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87-677 . i I j } i CERTIFI`../A. i �_ /F `�_/CCUl'A�I'�T C'Y TOWN OF QUEENSSURY I WARREN COUNTY, NEW YORK ' i I Date Sept 7 19 $ 8 1 This is to certify that work requested to be done as shown by Permit No. S 7—b 7 7 has been completed. This structure may be occupied as a Mobile Home Laocation Zo 29 Howard St . BIrney Willard Owner By Order Town Board TOWN OF QUEENSBURY Building !!e Zoning Inspector BUILDING PERMIT � TOWN OF +QUEEN " URY � No. 87-67 7 -------- WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Birney Willard a OWNER of property located at Lot #29 Howard St . 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 RD #4 Box 312 Glens Falls , N . Y . 12801 rs ;3 m 2. CONTRACTOR or BUILDER'S Name i-i i--� i✓ N ry 3. CONTRACTOR or BUILDER'S Address � d. ARCHITECT'S Name r 0 rt N V5 5. ARCHITECT'S Address x 0 w rt c. B. TYPE of Construction — {Please indicate by XI Cn rt I ) wood Frame I ) Masonry I ) Steel I } 7. PLANS and Specifications No. 12 ' x 70 ' Mobile Home 1974 Parkwood Serial #* 767 1608902 (MHMA) Including septic system . F B. Proposed Use n' Mobile Home m 5 . 00 C /o $ 25 . 00 PERMIT FEE PAIR — THIS PERMIT EXPIRES May 1 . . 1988 (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 axpiration date.) $th October 19 87 Dated at the Town of Queensbury this � /Day of SIGNED BY -zez lw for the Town of Queensbury 9uiid1ng and Zoning Inspector '-" TO BE COMPIXTED BY BLDG. D1=1 ,r . J I Application No . ✓aLvn v espenah etrs� Permit Issued 19 D BUILDING ana ZONING DEPAnTMENT Permit Expires lt9 U Say ancs Havlland Road, R.D. 1 Box 9a Zoning Designation OCT 5 QueenSbury, New York 12801 variance Nov Site Plan Review No . .-;UIL -- iNG Bc C:00E r:EPT. APPLICATION FOR Approved by : Jr MOBILE HOME FU I LD I NO AND ZONING PERMIT d' A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLOWING . The undersigned hereby applies for a Building Permit to do the fallowing work which will be done in accordance with the description , plans and specifications submitted, and suckL spacial conditions as may be indicated on the Permit. . ............. The owner of this property is : Aawyae P . O. Address # Tel . Property Location : _ •c(-k , Q Tax Map No . � ( .� c `' street x.umber or buildinglot number f / a gr subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS 13UILDING CODES IS : ip� Y1 v t Fa3 � C 1. _o' r-f`i -,6 41-- -14;2k 31 Nam "e P. O. Address 40f,r Tel . No . Name of Installer ` Address , � ,� '�'^ Name of plumber yylc L n TluZ ;trn Address oMd Ike Tel . _� _-w24M2 Name of mason . , n , , [` rs„np, , Address ~ T I 7, Q 3 MOBILE HOME INFORMATION : * ZONING INI7OFToVk ION : New Home Placement * A PLOT PLAN MUSIN ibl : PREPARED AND SUBMITTED , " drawn reasonably to scale and attached hereto , Replacing exist Home * showing clearly and distinctly all buildings , £t OOW ft "" whether existing t ,r larolx.-Jsed and indicate all Size of new He x_ set-back dimensions from property lanes _ Give Single wide Double wide * street and ntutaktr:r ..tr let_ number and indicate Nov of rooms ( excluding baths ) _.r�_.,__ wl"iuther i.nter3Gi Qr cce ner ic.t . Show lcc atl.`.-D.:1 of water supply 4tttr; lcacation and configuration No of bedrooms * of septic daspo4ic,1 aroa * NO . of bathrooms ( * COMPLETE INFORM.n T:10N M,'QUIRED BEIAW . Fireplace? Wood stove . * Size of property - J 1150 ft }[�£ t . Foundation style and size : * Existing buildin<1 ( � ) i z e ft ]{ ft . * Piers- No . of Size-�£t x _ft. * Existing bualdi.rnrl{( :; ) f+ se _ a Depth below grade y�r �6� ft0 Proposed build.i. t,y , distancv4 from property litre FOgNI3ATioN - Footing size X * 'Front yard f t Reav yard 50 f t Wall material Q * Side yards (� f' t anci f u wall thickness i Heaght.� ft . * If on corner , s,utl.b.tck from side street r' t `Total. depth below grade ft . * OCCUPANCY 1SVFClRhhRTION Grade to 'Home floor level �. -^ft . +r PRI14ARY' BUILDING - * -One family dwt_ 1 i i ncj * Two family dwk- 1 1 i ny Proposed date of placefn t /[3 / . 7 . Multiple dwelliny / Number of units Of Home * K Transient occuancy Aprax . Value * Transient Ocr�upttn4.y water supply - Well Municipal__ business * _industrial �"aptic P• rmit requirs d?J �,� e-, * at her -- ,� If add :'.tion , wlt.. t- will. u5u Lm,&` FURTHER INFORMATION REQUESTED * ACCa^•.SSOrtY 9U1 [.Li l ttC,- r"' 4 THL REVERSE SIDE OF THIS SHEET . * Detsi,:hed +grtr. .t ] i ,'Cjiie car / two car,/ csr ' Attached gr, rziq<L/otke car/ two car/ c" c Private stor,at)e building Other t �•r, orm MHP 5 / 86 and -vl APPLICATION FOR MOBILE HOME PERMIT , ( CONTINUED ) State of New York Division of Housing and Community Renewal INSIGNIA OF APPROVAL OF THE STATE BUILDING COIIE . 1w 1N5IGNIA SERIAL NUMBER-. 2 . NAME OF MANUFACTURER 3 . PLAN APPROVAL NUMBER 4 , MODEL OR COMPONENT DESIGNATION i 5 . MANUFACTURER ' S SERIAL 6 . DATE OF MANUFACTURE ]"2!2(- p f AZ. Z the alcove infoi� vnation is to be found on a r) Zaxf, nr stiekur which . vhould be affixed to the Mob % Ze Home . Complete abovi- &eith (, Ia(,rc information. Town of Queensibury County of Warren A F F i D A V .. I ., T STATE OF NEW yOR}: I swear that to the best of my knowledge and belief the statements container) in this application , together with the plans and specific cAtions :subndLted , are a true and complete statement of all proposed work to be done on iho premises and that all provisions of the BUILDING CODE , THE ZONING ORDINANCE , arccl 4-111 atlzr:r laws pertain1.ng to the proposed work shall be complied with, whethe=_r spacif i ; a ,r :ic,t , and that such w•)rk -Ls Signature .4apkl. & Owner , owners agcant0 arcnir-ect, contractor : a w • ,t w ,r * * • r s ,k w * yt • • * it ► w * +t s * w * � * * r * r * ,v sr +Ie w sr Mr � it it tr x • SPECIAL CONDITIONS OF THE PERMIT : APPLICATION FOR SEP"ITC DISPOSAL PERMIT BATE _Z/' � ! r� IfIr LOCATION OF PROPERTY FOR INSTALLATION Owner's Name : +"s+'�? S/r �*-'r� f' G�+' Telephone: Address: Installer's Name: 6:: R F"' ��' /�' Telephone: Number of bedrooms (residential only) _ f Total daily flow (compute 150 gal per bedroom) Topography: circle one: lat Rolling. Steep Slope % of slope _ Soil Nature: circle one: San Loam Clay Other f Depth: feet Ground. Water: At what depth? .3"Q feet Bedrock or Impervious Material: At what depth? -IZAIfeet Percolation test: circle one not required required / rate min. inch. Domestic water supply: circle one: Municipal Well Other I IF domestic water supply is a Well: Separation: Watersupply from Septic absorption feet PROPOSED SYST cpp 'xc Tank _'�al. (minimum siz 1000 gal.) TIL LD: Each Trench feet / Total syste ength feet SEEPAGE PIT(S) : Number of / Size each feet by / O feet Size of stone to be used # _ / Depth or Thickness feet IMPORTANT ...Please.„LIST NEW EQUIPMENT TO BE INSTALLED (over) Section II Septic System Inspections: A. All applications for septic system installation, alteration or repair, as required by the Town of Queensbury Sanitary Sewage 0vdinance, shall be submitted to the Building Department at least 24 hours before start of construction and shall include a plot plan showing* le) the proposed ,location of the system 2.) location and distance to lot lines 3.) location and distance to structures 4.) location and distance to any water supply 5.) size and dimensions of all tanks, distribution boxes, tile fields and/or drywells Be No system shall be covered before inspection and approval by the building Inspector. Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to $250.00. C. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. I have read the regulations above and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. .y, Signature of responsible person: Date: Z4Z Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792--5832 SE 'CTLED 1763 . . . HOME OF NATURAL BEAUTY . . A GOOD. PLACE TO LIVE floiun of Qu ¢ensbu+ SU1LDING and ZON,NG pEPARTmENT Bay and liaviland Road. R.O. i 'Box 98 Glueensbury, New York 128di BUILf7ING INSPECTOR ' S REPORT NAME LOCATION r �rl --Perms-t L3c, Date AppgOVED - YES No Footing/Fier F©rms Foundation Waterproofing 8acxfill � F`rami ng vgr3o f ing Masonry Veneer____�_�-- -- gIl Plumbing Gief Valves — -- --- �~ r gKt . porches shed Floors r bee r i o r T r i.m_____�_�- - - irs & EZailings �- Cellar Drain Tile Concrete Floors Leg pixtures xn Gar . Fireproofm Door Closers III Detectors Chimney i13SUL.ATION c Foundation Floors walls Ceiling C4WIN NIL F..LLI V AL zriS SPECTIO DRIVEWAY APP Survey nal aulldin Next scheduled insP eCtion (Call when ready) Rem a c k s� e-y I. J �[ Building inspector 6/86 and-VI �Joeq o v acteertsbesre�I SUILDINENT G and ZONING pEPAR Box 98 Bay and Har+ifand Road. R.D. Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSP ECTION NAME C,QCA'1' ION DA' ,jyI-* PERMIT NO * s TYPEES percolatiio s Required Percolation r to - Min/In _�--�-- TYPt of SYSTEMS= tot length Absorption f iel length of each en ryep,th ,of trenche Suet over a off SEEPAGE PITS Size- ft. "6 ft. Gravel size S rrType PIPT B1L63 • to to Tank to chi t. box e� -- Disto box to field/ O partial openings ealed? YES LOCATIO /SEPPAR71,TI011S : ft. Foundat on to tank t. n Foundat on to absorptio y £t . ¢` Absorption to lot line eft. separation of pits T+f� OL3 PROPERTY (circle one) I,( CAP TION _ Right Front - ear Left side COMMEN SYSTEM USE APPROVED YES NO Bull j,., Inspector 01/86 ma vl .Jatve, v eers �ere� BUILDImG and ZONING OEPA'RTME T Bay and Haviland Road, R.D. 98 Queensbury, New York 12601 BIfILDING /INSPECTOR ' S REPORT NAME LOCATION � . �-/ Date /' ✓' / Permit i3o . PPRC7VED� YE No A kePe9otin P per Fo Found ati Waterproofing Backf ill Framing Roof ing Siding Masonry Veneer Rough Plumbing Relief Valves Ext , Porches Finished Floors Interior Trim stairs & Railings Cellar Drain Tile concrete Floors Plbg • Fixtures Gar . FireProofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAI IL3SPECTIDN DRIVEWAY APPROVsurvey Final Building Next scheduled 'insP action (call when ready } Remarks- Suit ing Inspector 6/86 and-vl ._.+'own of Q" ee,niltary BUILDING and ZoNiNG 'DEPARTMENT Bay 98 Q eensbury New York 12801 BUILDING INSPECTOR ' S REPORT NAME BIRNEY WILLARD LOCATION Howard Street Permit NO . 87 - 677 ✓ APPROVED - Yz;s NO 1Crooting/pi er Forms Foundation waterproofing Backf i.11 S �t Framing Roofing a �� f� 7 Siding ^,,� Masonry Veneer Rough plumbing ~ Relief Valves Ext . Porches Finished Floors Interior 'Trim stairs & Railings Cellar Drain Tile Concrete Floors plbg . Fixtures Gar . Fireproofing Door Closers smoke Detectors Chimney INSULATION : Foundation Floors Walls ceiling FINAL ELECTRICAL F pECTIoN _ DRIVEWAY APPROVAL FInal Building Survey when. ready ) Next scheduled insp ecCie�n 4ca11 Remarks- As of this date > no inspections of foundation construcimont bve een the decis on of request of the app the Building Department that footings for this or any future mobile home will be required to be installed 4eftto below grade . Bottom of footw froSt� line ing tion t be Drawings of proposed £ounda ction . submitted for approval bef e c s Mack A. Dean Building Inspector b/86 and-vl Wn BUILDING and ZONING DEPARTMENT Bay and Hauiland Road. R.D. 1 Box 98 Queensbury. New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION r /fi/ /tea Date��vd -- P�ermi.t Iva . APPROVED - YES N4 Footing/Pier Forms Foundation waterproofing Backfill F ra.mi ng woofing Lgy.ding Masonry Veneer Rough Plumbing 1<1ief Valves Ext . Porches 4"infished Floors tiriterior Trim_._ - Stairs & Railings Cellar Drain Tile Concrete Floors '' Vlbg - Fixtures Gar . Fireproofing Door Closers t,oMoke Detectors Chimney L*V 3Ns 3LATION Foundation Floors Wa 11.s Ceiling FINAL ELECTR CAL INSPECTION DRIVEWAY APPR L Final Building Survey Next scheduled inspection (call when ready ) a - -- ' - -4 'duilding Inspector. 6/86 and-vl ORK BUILDING DEPT- COPYIOE T APPL PY WI H ION FORmLDING DE TYWR NBOARD OED FIRE UNDERWRITERS. TEMP. ! DATE CITY OR TOWNSHIP COUNTY VILLAGE STREET AND NO. OR f: _ "}r`- POLE NO. ROAD AND POLE NO- / p -. CRTWEEN AT TWO OSS STREETS is PREMISE TED? '� S TION BLOCK LOT BUILDING OCCUPANT'S .-,r ." �rf OCCUPANCY NAME OWNERS NAME f TEL. # AND ADDRESS t J / •' K WE f: ,,. �„ rr��: AYf FRDM TNElR OFFICE BY Syr' 1--1�. DETECTS BUILDING f NEW © OLD LJ IWORK NEW Ld' ADDITIONAL ❑ REMOVED IS LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED 4 me. ofc tnsA MOTORS HEATERS BRANCH CIRCUITS OFFICE USE NUMBER OF OUTLETS Lamp Raae ptarJes ONLY L� H-P, Warm Hn. A.W.G. INSPECTION Coiling Side j Rae�alr'1t Switch Pandsw Bracket Na TV" Each No. Each Gaupa Out• slda $ub- base Bow mswt tat FR. 2nd Fl. Srd FR. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: 11 OO NOT USE THIS SPACE. Tltic application ii Inlantlad to cover ilte above-listed equipm ' to'bo inspected but it at time al inspection there is Iou n+d additiormd sou iP� nt not above listed, tat are audturized to make Rho inspection and adlust the 1" la csy~ Ith taldltianal stNtiPmettt. ss provided by the applicant. TOTAL ELECTRIC SIGN WATTS °rl E OF FEEDERS LAMPS MAINS ,,f �'i .J CHARACTER ,I . ' I r EXPOSED GAS TUBE SIGN OF WORK J• - - ! CONCEALED TRANSFORMERS OF VA INUMBERI ICAPACITYI WORK TO BE COMPLETED 'Size OF SIGN STARTED SERVICE OVERHEATS UNDERGROUND MAKER ENTERS OF SIGN BU IN jNSpTlDN ON OR AS NNEAR AS STEO NEW OLD POSSIBLE AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED Ir4 OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS DATE OF NAME OF i APPLICATION APPLICANT TELEPHONE # STREET ADDRESS ZIP LICENSE NO, CITY OR �r�--"� f f �i^": �•�--- CODE e'�VVH EN APPLICABLE POST OFFICE / v �' <e EL [REV. +IaS) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE„ .� n , �+ r �--. r � _._.`.- S r ss Jown O , . CL,UEENSBUKY TOWN OFFICE BUILDING BAY AT HAVILAND ROAD QUEENSBURY, NEW YORK, 12801 TELEPHONE : (510) 792-5832 MEMO To : The Town Board From : Vic Lefebvre , C . E , O . Re ; Mobile Home installation - Willard/Mabb - Howard Street The condition of this mobile home was inspected by Mr . Britton before it was brought to The Town of Queensbury . A fee of ; 35 was paid for this inspection . At this time there were no written requirements in force for mobile home foundations . We had been allowing a method approved by The New York State Mobile Home Association# as received from O' Brien & Gere , Rng.ineeving . Based on this , the applicant was told by Mr . Martin that he could use this method . Before any inspection was made by this Department , a complaint was received from the neighbors of the applicant . I made a trip to the site . The home hid been placed on piers of stacked concrete blocks with plywood on the ground , under each pjrex . I informed the applicant that this was not acceptable and he was to provide firm footings under each . I required that he place concrete footings , eight inches thick and twenty-four inches square , at each pier location . Before any inspection by this Department , the neighbors complained again . I made a trip to the site . The applicant was in the process of mixing concrete for the last two of the footings . He was using a mix of one part Portland Cement to three parts washed sand with small stone . Following a meeting with Mr . Kurosaka , the Building Department informed the applicant that he must provide footings , below the frost-line . Subsequently , having realized that other , similiar installations had been approved ; ;Mr . Kurosaka agreed to accept the size and location of these footings . Ho felt , however , that a coarse stone should have been used in the concrete mix . With all tht- [acts 'before me and following an inspection by Mr . Britton of the newly placc:d. footings and piers ; . I have decided to accept this as adequate support for this home . The septic system is under construction by a recognized contractor , The water line. has been installed and inspected . A final inspection will be made be. £ore issuance of a certificate of occupancy is issued . I hppe this will be acceptable to all parties . With the help of Mr . Xurosaka , The Building Department is developing written specifi.catinns , with typical drawings , to be used in the issuance of all future "Mob ; le Home Permits . Res bmI ed . ----._` ViE . Oa cc * Mack Dean , Bui ng & Codes Administrator SETTLED 1763 . . HOME OF NATURAL BEAUTY A GOOD PLACE TO LIVE �r Y- ; 4 � 1 i +v rl t ��'��� 9 Q-_