97-400 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
/1 . Date December 30 iq 97
SO6
This is to certify that work requested to be done as shown by Permit No. 97400
has been completed.
This structure may be occupied as a MOBILE HOME
56 INDIANA AVE.
Location
Owner RRL'TON_ PAUL/BTURTON_ BRUCE
TAX MAP NO. 12 7 . --5-1 By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. do Code Enforcement
BUILDING PERMIT
VALUE $ 25000 TOWN OF QUEENSBURY No 97400
TAX MAP NO. 127 . -5-12 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to BRETON, PAUL/BURTON, BRUCE
OWNER of property located at INDIANA AVE. Street,Road or Ave.
in the Town of Queensbury,To Construct or place a MOBILE HOME
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
INDIANA AVENUE
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDERS Name
VALUED MOBILE HOMES
3. CONTRACTOR or BUILDERS Address
36 JACKSON RD EXT
SO . GLENS FALLS , NY 12803
4. ARCHITECTS Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
MOBILE HOME
( I Wood Frame ( )Masonry ( )Steel (
7. PLANS and Specifications
924 Sa. FT MOBILE HOME AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
MOBILE HOME
54 September 22 99
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
22 September 97
Dated at the Town of Queensbury this Day of 19
SIGNED BY Q �� for the Town of Queensbury
Building and Zoning Inspector
9'
•
JUL 14 1997
• ' .[ OWN OF Q UEL NSI3 UJz Y
REVIEWED BY:
FEE PAID: $ �
PERMIT NO.
APPLICATION FOR PERMIT
MOBILE HOME OR MODULAR
A BUILDING PERMIT MUST BE OBTAINED BEFORE PLACEMENT OF MOBILE HOME.
NO INSPECTIONS WILL BE MADE UNTIL A VALID BUILDING PERMIT HAS BEEN ISSUED.
•
The owner of this property is: f f
P.O. Address: 4,� f j (/46., `
Q � //� y Phone Number 299- y
Property Location _757f7�4 a vec/is. (/�L Tax Map No/ 7 / / /
NAME OF APPLICANT: n,/ ,y lUc E ,6 �
Address of Applicant: 1L j9�
7c:2 c 5-• n S/ten U sr,- ?�J
All applicants spaces on this application MUST be completed and the
signature of the applicant MUST appear on the reverse side of this application.
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES:
MOBILE HOME INFORMATION APPROXIMATE VALUE OF HOME:
New Home Yes No 1;.,•(
ZONING INFORMATION:
Replacement Home Yes No ,1/ I' ize of Property:
46 ft x //CM ft
Size of mobile borne /q f txl' ft
012 .4.-Existing Buildings:
Singlewide V/ Doublewide
No. of rooms Proposed building-distance from property line:
(exclude baths) 6 Front Yard 2' ft Rear Yard /D ft.
No. bedrooms Side Yards y�. ft and t ft.
No. of bathroomsOccupancy Information:
Primary dwelling: aw No
Fireplace /J Woodstove iVO
Accessory Building(s) :
Foundation style and, size: �/ Detached garage (one car /two car car)
5�44 -c AO Attached garage (one car /two car car)
/70 Storage building
Piers-No. of SizeJ 'ft x
4�ft /I/� Other
Depth below grade " (/
Foundation-Footing size " x
Proposed da S plement;
Wall material �r/ ccJa�� l�� " ac
Wall thickness 6 " Height y " Water Supply: Well Municipal
Total depth below grade - ft. G:' // ,S4 4(--- Septic permit .required? yd,_ -
Grade to home floor, level ft.
FURTHER INFORMATION REQUESTED ON THE REVERSE SIDE OF THIS SHEET
NAME OF INSTALLER/MOBILE HOME DEALER: /�,e //�j�/ i M , e
ADDRESS/PHONE NUMBER Jac _5; /?T / /
�1F1- 29Y -/ 2
STATE OF NEW YORK DIVISION OF HOUSING AND COMMUNITY RENEWAL
INSIGNIA OF APPROVAL OF THE STATE BUILDING CODE
. 1. Insignia serial number ,� �2v L. /
2. Name of Manufacturer P�. Wa'0
3. Plan Approval Number
4. Model or Component Designation
5. Date of Manufacture
All the above information is to be found on a plate or sticker which
should be affixed to the Mobile Home. Complete above with that information.
Town of Queensbury State of New York
County of Warren
AFFIDAVIT •
I swear that to the best of my knowledge and belief the statements contained
in this application, together with the plans and specifications submitted,
are—a-- true—and---compl-ete —statement— of all- -p-roposed—work to b€. done on- th-e=-
described premises and that all provisions of the BUILDING CODE, the ZONING
ORDINANCE, and all other laws pertaining to the proposed work shall be complied
with, whether specified or not, and that such work is authorized by the owner.
Si gna tore,
Owner, owner' s agent, architect,
contractor
SPECIAL CONDITIONS OF PERMIT:
By
Code Enforcement Officer
DECLARATION: Please sign below after you have carefully read the statement.
To the best of my knowledge the statements contained in this application, together with the plans
and specifications submitted, are a true and complete statement of all proposed work.to be done on
the described premises and that all provisions of the Building Code, the Zoning Ordinance and all
other laws pertaining to the proposed work shall be complied with, whether specified or noted, and
that such work is authorized by the owner. Further, it is understood that I/we shall submit prior to a
Certificate of Occupancy or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; drawn to scale, showing actual location of project on premises.
Signature:
owner's agent, architect, •
(owner, gcontractor)
Application for SEPTIC DISPOSAL PERMIT
Town of Queensbury Permit No.
Dept. of Community Development
Building &Codes Office
742 Bay Road Fee Paid $
Queensbury, NY 12804
Location of property for installation: I./013li'Mli' Av& ,
Property Owner's Name: ram-- /'V t— .--B AI
_ Property Owner's Mailing Address: i * -. 8 Fr 6Dta b
Installer's Name: OW/06R Phone # 7. 7-ego
Number of bedrooms (if residential): 3 Total daily flow: 96'O
/ (residential -compute @ 150 gal./bdrm.)
Topography: J flat, rolling, steep slope % of slope
• Soil Nature: /sand, loam, clay, oh`/depth:
Ground water: at who depth? feet / Bedrock or Impervicus Material: at what depth? feet
Percolation test: not r uired, required [rate min. per inch]
Domestic water supply: municipal, well, other
If domestic water supply is a WELL, water supply from any secnc absorption is feet. _
PROPOSED SYSTEM
Septic tank I e l° gallon (minimum size: 1,000 gal.)
Tile field: each trench feet / Toil system Tzgth: feet
Seepage pit(s): number of IV / size each: S ft. by 8 ft.
•
Size of stone to be used: # 3 / depth or tliic'r'c feet .
HOLDING TANK SYSTEM: (if required)
Number of tanks: Size of each: gallons
1
CA121m system aad associated electrical Rork to be inspected by a certified agency.
For your protection, please note that pursuant to Section 136-29 of the Code of Town of Queensbury, any permit or
approval grunted which is based upon or is granted in reliance upon any materiel misrepresentation or failure to make a
material fact or circumstance known by or on behalf of an applicant, shall be void_
I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of
Queens bury cf,nitary Sewage Disposal Ordinance.
Signature of responsible person: _ Date:
••Cei 94:).I:S.n).:". .,P..,9.1':ln41••9, ,.V.14°4)-n l._V.,(:•IN:x ti7.t.Cl.n n•14..0•',Aa94..e_CAP-`9C94:,. .A491,e,C"-Q•_C)..t...g4° ),_.'J1,,9cl l!la/:;12P.1'),..l�aP.lag..,,'an.,,n'e,C n.)..I>,..CJ.%J_7_la"cl'M e,C;}
J. rY
-, THE NEW YORK BOARD OF FIRE UNDERWRITERS 1�ivc,f.; :t 1)..,
j, 41,(M 4�1`6'-/ BUREAU OF ELECTRICITY
F 111 WASHINGTON AVE., SUITE 704, ALBANY, NY 12210 y
-t �O '..,E i 4 t� ,�9. _`I2'78 1?) i 197 S }. 413
Date NOV IE,�, ( v L` Application No.on file y4e�`3• .197 e9 l�.)
!<: THIS CERTIFIES THAT - L ,T
j, only the electrical equipment as described below and introduced by the applicant namedon the above application number in the premises of .r
VALUED MOBILE HOME, 56 INDIAUA AVE. , O1.11';ER3'. CtiilPY, UY1)4
; in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. O(J'.1' Section Block Lot r
was examined on NOV EMBER 03 1997 and found to be in compliance with the National Electrical Code. }
s; !i
j;�' FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS !i
RECEPTACLES SWITCHES '�
OUTLETS INCANDESCENT•FLUORESCENT OTHER MAT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. T
• DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS ,r
SYSTEMS 14
rQ AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
Y
'T
. Y
• SERVICE DISCONNECT NO.OF S E R V I C E ;r
AMT. AMP. TYPE METER
QU P 1,B'4W 1,B 3W 3,Pf 3W 3,B'4W NO.OF COND. OF CC.COND. NO.OF HI•LEG OF•H•�G NO.OF NEUTRALS OF NEUTR W. AL Y
OTHER APPARATUS: ,
i' i
• tI �D1R:: 4 3}2 : (1 X'� e11 i. _ 11.1 -1. y,i] .
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>41
?f1 �I1 1,`I�IA?TG r 1�13 1. .=• 's''-fo,. 1. 1 Y
i it I ' ,i GENERAL MANAGER il
'r
H•:iECHA1�;M3't..''1fLLf, f ' E.2:1.18 I . _ __ d;�. _ '9 r
- -VI Per �Y
r
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. ;T
-i-;N•'i CI CI (v\`i Y'i fY v'70 -.( "i`C'i iY fY i`i YY i'i iY iF )7,iY YlYYYY i:YYYfYi,Y iY 7 iY'i'ii-F KYY,'I Y9 YY YY iY YY KY'jY Tr YY .Y\'Y Y,Y`(YY.Y YY YYYYY'/Y.YYY\1i'
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
FINAL INSPECTION PtMticomir
MOBILE I MODULAR
Town of Queensbury
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804
(518) 761-8256
ARRIVE: DEPART: INSP:
DATE INSPECTION REQUEST RECEIVED: ) J /
NAME:
LOCATION: � G C
DATE: -- -iv `01 "7 PERMIT 1��. 1.—LIDO
C
MOBILE HOME MODULAR HOME
FOOTINGS _ FOUNDATION _ BACKFILL FRAMING
N/A YES NO
1. foundation support, pier spacing
per manuf. — — —
2. anchoring per' . uf. — — —
3. water line shut,•• — —4. sewer line suppo ' ®4 f- -
5. heating crossover (•+lewi -) off d. — — —
6. dryer vented outside ... . — — —
7.• skirting ventilated — — —
8. hot water relief valve p}•ing outside — — —
9. deck, porches, steps, railing — — —
,10. furnace/hot water operating — — —
11. garage fire proofing — —12. door closers , — —
13. plumbing fixture — — —
14. foundation insulation (if appl.) — — —
15. smoke detectors _ —16. final electrical
17. variance required _ —
18. data plate okay — — —
19. mobile HUD seal okay — — —
Model # Serial#
Manufacturer
Date of Manufacturer
OKAY TO ISSUE C/O YES NO
Comments: \
Y`f u'13 �� L � -
• .FINAL INSPECTION PIMPiallitiaiT
MOBILE / MODULAR
Town of Queensbury
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804
•
(518) 761-8256
ARRIVE:A k) DEPART: INSP:
DATE INSPECTION REQUEST RECEIVED: +— ( l 7
� 1
NAME: +� �y\ . C( AA,
LOCATION: S 0 `CVY\ �
DATE: \\TX-44.0 / PERMIT#
MOBILE HOME MODULAR HOME
FOOTINGS _ FOUNDATION _ BACKFILL_ FRAMING
N/A YES NO
1. foundation support, pier spacing
per manuf. — — —
2. anchoring per manuf. — — —
3. water line shut,off • — —
4. sewer line support @ 4 feet — — —
5. heating crossover (dblewide) off grd. — — —
6. dryer vented outside — — —
7.• skirting ventilated — —
8. hot water relief valve piping outside — /
9. deck, porches, steps, railing — y—�
.10. furnace/hot water operating — — —
11. garage fire proofing — —
12. door closers ._ — —
13. plumbing fixture — — —
14, foundation insulation (if appl.) — — —
15. smoke detectors
16. final electrical — —
17. variance required _ — —
18. data plate okay — — —
19. mobile HUD seal okay . — — —
Model # Serial# �!
Manufacturer •
Date of Manufacturer
OKAY TO ISSUE C/O AYES NO
Comments:
FINAL INSPECTION teIF= mir•
MOBILE / MODULAR G�
Town of Queensbury
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804
•
(518) 761-8256
ARRIVE:11J DEPART: INSP:
DATE INSPECTION REQUEST RECEIVED:
NAME: Cfl r
LOCATION: ( Gt/tA
DATE://'"c)/-9 7 PERMIT# °t 7- ! Q
MOBILE HOME MODULAR HOME
FOOTINGS FOUNDATION BACKFILL FRAMING
N/A YES NO
1. foundation support, pier spacin
per manuf. — — —
2. anchoring per manuf. -
3. water line shut,o
4. sewer line support C, eet — —
5. heating crossover dblewide) off grd. — — —
6. dryer vented o ..ide — — —
7.• skirting yen ted — — —
8. hot water-relief valve piping outside — — —
9. deck, porches, steps, railing — — —
10. furnace/hot water operating — — —
11. garage fire proofing — — —
12. door closers •
13. plumbing fixture — — —
14. foundation insulation (if appl.) — — —
15. smoke detectors _ —
16. final electrical — —
17. variance required _ —
18. data plate okay — — —
19. mobile HUD seal okay — — —
Model # Serial#
Manufacturer
Date of Manufacturer
OKAY TO ISSUE C/O YES NO
Comments: 4 ® / //� 6 / ,QF
FINAL INSPEC`lt'ION WtePiGli 7
MOBILE / MODULAR
Town of Queensbury
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804
•
(518) 761-8256
ARRIVE:/J, DEPART: / INSP: '-051"
DATE INSPECTION REQUEST RECEIVED: ` I t 7
NAME: re C R�
LOCATION: 5 Co " -\.0
DATE: \\ O • / PERMIT# 11 -,7OC
MOBILE HOME MODULAR HOME
FOOTINGS _ FOUNDATION _ BACKFILL_ FRAMING_
N/A YES NO
1. foundation support, pier spacing
per manuf. — —2. anchoring per manuf. — — —
3. water line shut,off —4. sewer line support_c 4 f=-5. heating crossover (dble de) off grd. — — —
6. dryer vented outside — — —
7.• skirting ventilated -
8. hot water relief valve l iping outside — — —
9. deck, porches, steps, ailing — —
10. furnace/hot water •• ating — — —
11. garage fire proofing — —12. door closers — • — —
13. plumbing fixture/ — — —
14 foundation insulation (if appl.)
15. smoke detectors
16. final electrical 17. variance required
18. data plate okay — — —
19. mobile HUD seal okay
Model # Serial#
Manufacturer
Date of Manufacturer
OKAY TO ISSUE C/O YES NO
Comments: f� ‘(' (36Z,
FINAL INSPECTION REParcimr
MOBILE / MODULAR
Town of Queensbury
Building & Code Enforcement 3s d0 Pk
742 Bay Road
Queensbury, NY 12804
(518) 761-8256 •
ARRIVE:id DEPART: INSP: a
DATE INSPECTION REQUEST RECEIVED:
(71r44,- --,
NAME:
LOCATION: C('.k Ate_
DATE: PERMIT# 9 7'/M 0
MOBILE HOME MODULAR HOME
FOOTINGS _ FOUNDATION _ BACKFILL FRAMING
N/A YES NO
1. foundation support, pier spacing
per manuf. :/
2. anchoring per miff. 1.__ ,- _.
3. water line shut,o _ 1 —/
4. sewer line support ®4 feet . /
5. heating crossover •ble ' -) off : d. V —
6. dryer vented outsi.; . .... _ _ r'' -
7.• skirting ventilated .. . _ _ 1,_/
8. hot water relief lye ,..ing ou • de !/
9. deck, porches steps, rail...! _ V
10. furnace/hot ater operating ✓ _
11. garage fire proofing / _
12. door closers V_ ✓
13. plumbing fixture / .
1lk foundation insulation (if appl.) — s/
15. smoke detectors _ 1.. "16. final electrical
17. variance required
18. data plate okay _ /
19. mobile HUD seal okay _ ' _/
Model # Py��C)0Z7l Serial# '/1/#62Z�134°y
Manufacturer 14eiluzA.,i
Date of Manufacturer 336�,�
OKAY TO ISSUE C/O YES L' NO
Comments:
- ) ' yvo\vv\.
,,,,, ,,,,-.- •c.) v--9-- '- ..
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT T -t_.
742 Bay Road
Queensbury NY 12804
(518) 761-8256 (�� 1
SEPTIC DISPOSAL SYSTEM INSPECTION
Name ___.cLak.k4
1 ,
Location �,,( Ask,_.
Date ---S riPermit # -
SOIL TYP : Sand- oam-C ay-
Results of Percolation est-
(if applicable) Rate-Minute/Inch .
TYPE OF SYSTEM:
ABSORPTION FIELD: Total ength
Length of each trench .
Depth of trenches
Size of stone
SEEPAGE PITS: Number-
Size - ft. x t.
Stone size
PIPING: Si`.fit Type
Bldg. to Tank
Tank to Dist. Box
Dist. Box to Field/Pi
Openings Sealed? 410 . No Partial
LOCATION/SEPARATIONS.
Foundation to Tank feet
Foundation to Absorptio feet
Separation of Pits _ feet
Conforms as per Plot P an Ye. No
LOCATION OF SYSTEM ON `'ROPERTY:
(circle one)
Front - Rear - Left S de - Right 'ide
Middle Front - Middle Rear
COMMENTS:
SYSTEM USE APPROVED: IP
NO
Arrived: .
Departed: 174E)
i p
Building Inspector
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURYrr NY 12804 �.
INSPECTOR'S REPORT: ARRJ�� 1O DEPART INT
REQUEST FOR INSPECT RECEIVED:
NAME (fv/ !e""
LOCATION 6-g' gal0
DATE /d 3//�', PERMIT 0
TYPE OF STRUCTURE:D
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POU• FORM
REINFORCEMENT' LN PLACE
THE CONTRACTO• '.PONSIBLE FOR
PROVIDING PROTE ' ION FROM FREEZING
FOR 48 HOURS FOL •WING THE PLACE-
MENT OF THE CONCR 'IE.
MATERIALS FOR THIS •URPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
A44,--
/ /„& 0:17e 4
e9Z �j" Brier-tr • eXe icy/
s
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT _ :
742 BAY RD., QUEENSBURY NY 12804 ��
INSPECTOR'S REPORT: ARR /IDEPART INT '1//,9
REQUEST FOR INSP7N RE IVE
NAME ✓ /Y?- ,L
LOCATION j? .�(Di�_j7 y�
DATE /O > PERMIT A / /- et)
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM -
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE. _
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION DAMPP _
SACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING _
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
(518) 761-8256
TOWN OF QUEENSBURY ''
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804 `• �; .;
INSPECTOR'S REPORT: ARR 93iDEPART INT ,
REQUEST FOR INSPECTIO/N`/� CEEIVED: /7
NAME '/ /� �( Ore,1 a—
LOCATION ..1�/��t/C��4 47.-DATE /O v5-6
? PERMIT 0
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES _ NO
FOOTINGS/PIERS
MONOLITHIC POUR F)RM
REINFORCEMENT IN (LACE
THE CONTRACT IS •ESP`NSIBLE FOR
PROVIDING PROTLT •N F`OM FREEZING
FOR 48 HOURS FOLL'9 ,G THE PLACE-
MENT OF THE CONCRE'E. -
MATERIALS FOR THIS •URPOSE ON SITE
FOUNDATION/WALLPOUR -_
REINFORCEMENT IN PLAC
FOUNDATION/DAMPPROOFING _
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING _
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER _
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- _
FLOORS R-
WALLS R- _
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R- •
/6 Alb' (-Boni Elecirt c 4 t
/
11- Mos b,
prem.,/ Oa, / W
l ` 34e) (518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12604
INSPECTOR'S REPORT: ARR 9 3O DEPART INT (;)/47-
REQUEST FOR INSPECTION RECEIVED:
NAME 21P4� G, ,I/
LOCATION 4, `�/3% `-'7�1r/p n ��,/DATE /,% 7 PERMIT 0 79fG/vi
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
LP
REINFORCEMENT ZN PLAACE
FOUNDATION/DAP PROOFD G
BACKFILL APPROVA
PLUMBING VENT/VENT I ACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING: _
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R- _
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
(fir/7 / ed
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804 •
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name A
Location k)0(' 4U'G- •
.Date /7 Permit # 7 7 _. 0
SOIL T . E: and-Loam-Clay-
Results of P.,ercol Ion Test-
(if applicable) ate-Minute/Inch
TYPE OF SYSTE :
ABSORPTION FIEL : Tot 1 Length
Length of each t nch
Depth of trenches;
. Size of stone
SEEPAGE PITS: N. mber-
Size - ft. .x ft.
Stone size
PIPING: Size Type
Bldg. to Tank
Tank to Dist. Box
Dist. Box to Field/Pit
Openings Sealed? Yes No Partial
LOCATION/SEPARATIONS:
Foundation to Tank feet
Foundation to Absorption feet
' Separation of Pits _ feet
Conforms as per Plot Plan Yes No
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
Front - Rear - Left Side - Right Side
• . Middle Front - Middle Rear
COMMENTS:—
7(Z S C`ouei e-=1) (56 Res/A) P�1 12
L(< -rc
•
eette-- ji fNSpC. o r- 4/A) c
Fi 6 4-0G. 0 iVo(
SYSTEM USE APPROVED: YES NO
Arrived:
Departed: 77730-
jg.6"
- Building Inspector
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: AR4/1/St EPAR7[//'5 0NTLJ2a
REQUEST FOR INSPECTION RECEIVED:
NAME 'G> f2e0-Y )n�
LOCATION /UQ
DATE 77 r7/q7 PERMIT R 97- 102)
TYPE OF STRUCTURE:
RECHECK APPROVED
� �� N/A YES NO
FOOTINGS/PIERS edAM) eS
MONOLITHIC POUR FoRMAA
REINFORCEMENT IN P' 4 V
THE CONTRACTOR IS R(SPONSIBLE FOR
PROVIDING PROTE TIO'7 FROM FREEZING
FOR 48 HOURS FOLLOWNG THE PLACE-
MENT OF THE CONCRETE
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE _
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R •
-
(518) 761-8256
7 , ,
TOWN OF QUEENSBURY1411
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S 'REPORT: ARR1( 1 DEPARTIf /,JINT4 /
REQUEST FOR INSSP TION RE VED: 1)-° ,6-6/
NAME i9 i'1.. �CLOCATION 77'�� 5(_ nn�� PL�-��
DATE /(9 '_- J 7 '-9 7 PERMIT I 1 / 00
TYPE OF STRUCTURE:
RECHE K APPROVED
N/A YES Ny/
OTINGS/PIERS RUNA/!'cR..S
MONOLITHIC POUR FORM �/
REINFORCEMENT IN PLACE .�--4y _
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS B6PAE ON SITE
FOUNDATION/WAI1POUR' ,IJ
REINFORCEMENT IN.E.LiACE ;
FOUNDATION/DAMPPROORING
BACKFILL APPROVAL I _
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING _
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN -
INSULATION:
_FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
-
• DUCT WORK OR PIPING IN
UNHEATED SPACES R •
-
TOWN OF QUEENSBURY
BUILDING b CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804 •
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name .
Location _ (�
Date /0 — q 1 Permit # - l , (7
SOIL TYPE: Sand-Loam-Clay-
Results of Percol .t .n Test-
(if applicable) ' ate- linute/Inch
TYPE OF SYS .
ABSORPTION FI •t: Total Length
Length of each ur' .ch
Depth of trench•'.
Size of stone
SEEPAGE PITS: Nu ber-
Size - ft. x ft.
Stone size
PIPING: ! Size Type
Bldg. to Tank
Tank to Dist. Box
Dist. Box to Field/Pit _ _ __
Openings Sealed? Yes No Partial
LOCATION/SEPARATIONS:
Foundation to Tank feet
Foundation to Absorption feet
Separation of Pits _ feet
Conforms as per Plot Plan Yes No
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
Front - Rear - Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
o\h
P ov K) KrcV\
- B \O CIV
E� ?Pt\W__ o b nor E_ 6 3d
plc Vt ct__
- t_o tJE_ �"�OVAVE e r o 'Pg
SYS . !- NO
Arrived: 1Z°4S
Depar
Buil Ong n pector ,
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804
(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name RRV..R11
Location _ I KN)I OIN Avg
Date 10 -q-/ Permit # 7-
SOIL TYPAI_an.- e. -C1
Results of Percolatio Tes
(if applicably Rate inute%Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: T al Len th
Length of each: tre h
Depth of trenches
Size of stone
SEEPAGE PITS: NuMber- �L__
Size - ft. x ft.
Stone size #2" . .
PIPING: Size T e
Bldg. to Tank a[taT t i1,-T \
Tank to Dist. Box .tot% v-(�
Dist. Box to Field -i t4.3) L\t c(),
Partial
Sealed? es No
LOCATION/SEPARATIONS:
t`1aN.,Foundati on to Tank � feet
- Foundation to Absorption ' feet
Separation of Pits -� feet
Conforms as per Plot Plan 41EEw No
LOCATION OF SYSTEM ON PROPERTY.:
(circle one)
Front - Rear - Left Side i ht Side
Middle Front - Middle Rear
COMMENTS:
- Rt=i-1 o OE �TooE FAN\
i va \DE_ \ R 1v-
._\` To1V-1Lb Fv of
— ► u-- VIVDPAC_ o v-EP_-
•6 6aJ_ SW lv13D MCAW_ -OF
SYSTEM USE APPROVED: YES 09 7
Arrived: t' t ''-
Depart • ,
1 A! v
Building In a tor .
TOWN OF QUEENSBURY
BUILDING A -CODE ENFORCEMENT
742 Bay Road
Queensbury NY 12804 •
_(518) 761-8256
SEPTIC DISPOSAL SYSTEM INSPECTION
Name Q , - \ ;?"),u. C:)'
Location IrWrAcvn G AT-cz.
Date/a ' LCt,-) Permit # on—900
SOIL TYPE: Sand-Loam-Clay-
Results of P,ercola ion Test-
(if applicaile) R,. Minute/Inch
TYPE OF SYST : l
ABSORPTION FI .i : • al Length
Length of each t ench
Depth of trenche•
Size of stone
SEEPAGE PITS: umber-
Size - ft. x ft.
Stone size
PIPING: Size Type
Bldg. to Tank
Tank to Dist. Box
Dist. Box to Field/Pit _
Openings Sealed? Yes No Partial
LOCATION/SEPARATIONS:
Foundation to Tank feet
Foundation to Absorption feet
Separation of Pits _ feet
Conforms as per Plot Plan Yes No
LOCATION OF SYSTEM ON PROPERTY:
(circle one)
Front - Rear - 'Left Side - Right Side
Middle Front - Middle Rear
COMMENTS:
e % E= c5-rol. _ ` 0‘
VV-OM m?b aF P\-vs 0
L6c icMso V, p\too o\)F__ .
t 5?Ec® co �?___ ` t,
C.FLL b Arm liv 0 FV=t c v
SYSTEM USE APPROVED: YES NO
Arriv• 1p=
Dep. I : -
.B/Ls atA,
Building I sp•ctort
pik TOWN OF QUEENSBURY
Bay at Ha►iland Road, Queensbury, NY 12804-9725-518-792-5832
TOWN OF QUEENSBURY BUILDING DEPT.
PROPER METHOD FOR SUPPORTING A MOBILE HOME
a
SHOWN FOR USE WITH A SINGLE WIDE MOBILE HOME ONLY
FOR USE WITH A DOUBLE WIDE USE SAME METHOD UNDER EACH SIDE
TRAILER BODY
TRAILER I BEAM TRAILER FRAME
WOOD BLOCKING
1
CEMENT BLOCKS
4ITHTCK SLAB
FINISH GRADE I „
REINFORCEMENT ROD 6-6-10 WIRE MESH i�6-1ZOD
REINFORCEMENT ROD AND MESH AS PER CONDITIONS
SLAB TO RUN FULL LENGTH OF THE TRAILER AS SHOWN
TOWN
1121 R �, , . , ,r TpWN OF QUEENSBURY BUILDRT�a-._�
® p6 1�"�}i r LLB : uuVtPTo.4> Based on our limited examination,
." � � compliance with our comments shall
U 1u z REVIEWED 5 not be construed as indicating the
plans and specifications are in full
m W ®® DATE / z compliance with the code.
Q.
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',�, y NOTICE
ANCHORING OF MOBILE HOME
p 1 FRAME IS REQUIRED PER
• _ • MANUFACTURERS SPECIFICATIONS
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