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1988-574 .-. - . .._J� - '.. ., �«.,*c_.'d'.. 1.Y;;,-h..,�. ref:;A"if' .•t5 �v�� t+:6` ��� ...�.yt�-0' $.r. ., °, CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date Larch 1 19 39 2)69.\()) *—\ (PI This is to certify that work requested to be done as shown by Permit No. 88-574 has been completed. This structure may be occupied as a Mobile Home Location Wit Ohio Ave. Owner Irving Dean, Sr. By Order Town Board TOWN OF QUEENSBURY C'- / J Building & Zoning Inspector BUILDING PERMIT 1-3 TOWN OF QUEENSBURY No. RR-574 WARREN COUNTY, NEW YORK z 0 PERMISSION is hereby granted to Irving Dean, Sr OWNER of property located at W. Ohio Ave. Street, Road or Ave. ti 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 Same c aq t7 2. CONTRACTOR or BUILDER'S Name N Robert Dean 3. CONTRACTOR or BUILDER'S Address Sherman Island Rd. Glens Falls, N.Y. 12801 4. ARCHITECT'S Name 0 O CD 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( I Masonry ( ) Steel ( ) 7. PLANS and Specifications l4' 56' Mobile Home Manufactured by Holly Park Homes as per plot plan, and application. ° 8. Proposed Use Mobile Home CD $5.00 C/O $ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 19 89 (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.) Dated at the Town of Queen this 9th Day of August 19 RR • SIGNED BY for the Town of Queensbury Building and Zoning Inspector • TO DE COMPLETED BY nG. DEPT. ' TC� 4'�I OF QUEEi�SBU�c'Y LD �uwi� o� Qwe�n�Gure Application No. I� L - ', ; J , 1 Permit Issued_' _19 U BUILDING and ZONING DEPARTMENT • Permit .Expires 19� . AUG 871983 Bay and Haviland Road, R.D. 1 Box 08 Zoning Designation n Ouuensbury, New York 12801`' Variance, No.• BJiLD:GNG & CODE DEPT. r 3 Site Plan Review No. , 1 t APPLICATION_ FOR • Approved : ' Y o r MOBILE. HOME; • ._. G •a �� ✓ ��G O FU I LD IN6. AND _ZON ING -PERMIT �-- • • A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE: FOLLOWING. The undersigned hereby applies for a Building Permit to do the following work which will be done in accordance with the description,- plans and specifications;submitted, and •such ' special conditions as may be.indicated on the, Permit. The owner ofthis property is: " �J P.O. Address � y. .e5--ox •_ tom, 1�Lt _LyA c Rlcp •A.sbo sn vex ' 'rel.79Q- Sq Property Location,•\I�,c,4 -C)h \ 0 •J\1•e'(1 c,1-e_. ' ' ' Tax Map':No. /./`L _ - Street ,;weber or building lot nuurber. Subdivision name (if applicable) /ff /`��� ff �' THE PERSON RESPONSIBLE �FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: • 44- r7r.r Ar�1 5hei t 2v V ) WZ A th --. 293 45-6—7 Name P.O.' Address Tel. No. • Name of Installer Address . Name of plumber Tel. Address Tel." Naha of mason Address , . • _ Tel. • MOBILE: HOME INFORMATION: a . . ZONING INFORMATION: New Home Placement A PLOT PLAN MUST BE PREPARED. AND SUBMITTED, . '" drawn reasonably to scale and attached hereto, Replacing existing Home ) * showing clearly and distinctly all l buildings, Size- of-new i ew Home - -f - t -X ; :ft * nd whether existing or proposed-and-iicate all " -set-back dimensions from property lines. Give Single Wile • X Double wide * street and number or lot number and indicate No, of rooms (excluding baths) * whether interior or corner lot. Show location �- 'of water""supply and location and configuration No. of bedrooms � * of septic disposal area. No. of bathrooms 1 * COMPLETE. INFORMATION REQUIRED BELOW. Fireplace? = Wood stove? * Size of property 61D ft X ADO ft. Foundation style and size: " Existing building(s) Size ft X ft. Piers- No.of Size-eft x ft. + Ai Existing buildings Use Depth below - * py/E p grade ft. FOUNDATION _ Footing size X �� * Proposed building, distance from property line * Front yard ' ft.Rear yard i44(/ , ft Wall material w Side yards ft and 1 ; ft Wall thickness Height rft. * If on corner, setback from side street Vitt 1 Total depth below grade ft. * OCCUPANCY INFORMATION * Grade to -Home floor level —ft. , PRIMARY BUILDING - ,A,_ /j ) * * * . *,.* . . .* w . . . . * . . * * * * One family dwelling ��bt7E :7'VDzl6F- * Two family dwelling Proposed date of placement y //�/ * Multiple dwelling / Number of units . Aprox. Value. -of -Home $ 1 7 Da(9, �o * Permanent occupancy » 'transient occupancy Water supply - Well --Municipal Business 1 * Industrial • Septic Permit required? ( Ocher • • * If addition, wl at Will use be? URTHER INFORMATION REQUESTED * �� • * AC ESSORY BUILDING- N THE. 'REVERSE SIDE OF THIS SHEET.* Detached garage/one car/ two car/ car . * Attached I / �— garage one car/ two car/ car ea-4,0v✓ 5//</, * Private storage building eI l� */ Other 2 1)IBC' • • • • Form MIIP 5/136 and-vl APPLICATION FOR MOBILE HOME PERMIT, (CONTINUED) State of New York Division of Housing and Community Renewal • INSIGNIA OF APPKOVAL OF THE STATE . BUILDING CODE ‘//e D'6,04) 1 . INSIGNIA SERIAL NUMBER (� � �' -- 76 E� (No /J c� f 1, gol 2 . NAME OF MANUFACTURER t ��� 2-1--(3Q 3 . PLAN APPROVAL NUMBER • jUfClo0 A) 4 . MODEL OR COMPONENT DESIGNATION /ify-//•Xs67 aYam- ,b ' ut e /. • 1 5 . MANUFACTURER 'S, SERIAL NUMBER F """ "" VEyuir/4 G . DATE OF MANUFACTURE e 4== g6" • • r .I 1 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. 4 4 4 4 4 4 4 i 4 4 4 4 4 4 4 .4 4 4 4'•.4 4 '4 •.4 4 4 4 . 4 4 4 4 4 4 4 44 4 '4 4 Town of Queensbury County of Warren A F F I D A' V • I T STATE OF NEW YORK 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 complete statement of all proposed work to be done on the described premises and that all provisions of the_BUILDINc_f_'ODE,- T'--ZO" ;iC-O t,'D.N C, ,— ecitti :sCi ochelr ia��e pertaiiii ig to the proposed work shall be complied with, whether specified or not, and that' such work is authorized by the owner. Signature � V;� A '�'�� %< Owner, 'own s agent,arcnitect,contractor • • * * * • * * a a * a a a 'a * * a a *• .* .* ,* * * * * * * * * * * * * a * • * a a * * * * * a '* SPECIAL CONDITIONS OF THE PERMIT: • • • • - By t • • • INTERIM BUILDING PERMIT PERMIT APPLICANT )AW,145 CONSTRUCTION LOCATION ,4 o EFFECTIVE DATE 04-p APPROVED BY ot/A/ SPECIAL CONDITIONS : • This will certify that all submittals for a Building Permit have been received and fee has been paid . During the processing of the Permit, the above named may begin construction per plans submitted . It is the responsibility of the applicant to obtain the Permit from the Building Department, following processing . POST THIS INTERIM PERMIT IN A CONSPIC LOC N ! ! 14/%7/ Bui ding & odes Department TOWN OF QUEENSBURY . .J•C tifl4J yr •vv4•vJs VJ41Z(V•ilZ,. vJ <+J4•tf V v vJ V ^t1 V v^• y MIDDLE DEPARTNIENT,.INSPECTION AGENCY, INC. • �) ' 900 Haddon Avenue Collingswood,N.J 08108 �! j ) _. _.._� •;tom .. Date September 14, 1988 eertifie5 that the-electrical,equipment listed has beenexam(r�ed and is approved as being in accord 1) with the National Electrical Code; applicable governmental utility and Agency rules. C\ ' .r. �` fry .max �4 `,. • _ ti 'Owner: �•rving Dean, Sr; j Occupancy Trailer, l• ' Occupant: Same r r _ w • C\ Ohio & Soutfi-.kvenue- Qucensbu WarrerL-4o);'.i} c LOCatiOn; a '� iert)ficate covers thRfItlectrical'equipment and installation inspected this C\ i " date. If additional equipment,'should be introduced or alterations made to , 1 existing system this certificate shall be null and void, and application for C ( Equipment: 100 Amp Service - a Inspection should be submitted promptly to this Agency. C E t,-'r , y µ; t Holder of this certificate should present same to his property insurance carrier �� (agent or company)as evidence,of certification of electrical equipment approved 3 as specified.,, e C C �hvi.ng Dean C Ct Applicant: Box 134 Indiana Avenue I' ' , NO. 15-024558 • ( i Glens Falls, NY 12801 ) 'rt\.r/-)r\d./�r1.Yr1.l.�+t,.s l�rl.w,� /Irk r\.bin !+ r1d. ar1 /�` /.\ Form Nlo.703 EL 1-83 - • /24L Jown of Queeniur, '� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 j Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LA!/`_./iz1- /a—G�,i LOCATION LC/ G( / (20t_I __ Date ,��7/ 1h7- Permit No. ,�,����7 * * * * * * * * * * * * * * * * * * * * * * * !/ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing ,``,` Roofing Siding y' Masonry Veneer j' 4C Rough Plumbing Relief Valves ,,' Ext. Porches Finished Floors ,' Interior Trim r Stairs & Railings Cellar. Drain Tile r.•i Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers . Smoke Detectors Chimney r" 4 INSULATION: tti' , Foundation . !J' Floors r,' Walls 6s' Ceiling It FINAL ELECTRICAL NSPECTION /\ I IVEWAY APPROVAL nal Building Survey (/)c Next scheduled ii1spection (call when ready) i Remarks- fibre; C ]j2 //,;,, . 5,1fiki • • Buil ng Inspector 6/86 and-vl Jown o/ Queenibur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM7)),-e—Z1.-9 INSPECTION NAME L/`�l 7L� LOCATION a./, /cm.:.{� a c DATE /-6 / r PERMIT NO. , 41't'J 1,/- SOIL TYPE - Land Loam - Clay - Percolation " Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: • A , ion field, total length Leng of each trench • Depth f trenches ' Size of gravel / SEEPAGE kTS{Number of) '/ Size- eft. X ft./ Gravel size PIPING: Size Bldg. to tank - // Tank to dist. box r T r. i Dist. box to field/pit ,i 1 Openings sealed? i YES NO Partial / LOCATION/SEPARATIONS\ Foundation to tank . •/p ft. Foundation to /absorption „..ft. Absorption to/lot line CQ ft. Separation ofA pits • ft. LOCATION OF /SYSTEM ON. PROPER (circle one) on Rearrr - Left side- 'ght side - I" ENTS: . • SYSTEM USE APPROVED Ail NO 1 . ri , Bui ding Inspector . 01/86 and vl . Jown o� Queen.lioury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 117 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME �r�y/Y-67 LOCATION GJ � Cam_ Date S'-� /h'6" Permit No. it * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED -n YE/S / NO Footing/Pier Forms � Foundation Waterproofing Backfill Framing Roofing Siding , Masonry Venee 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 ELECT' CAL INSPECTION DRIVEWAY A'PROVAL Final Bui ding Survey Next sch: d led inspection (call when ready) Remarks- ' :///) / �,�6(( Building Inspector 6/86 and-vl • . . , e . , . • . ..._. E. _D .:. - ,0 . . x ... r., _ i . • /fin ,^�t`` .. . . A P:,- geld, R . - • i tft\ t 1> P i .<_, • . F i f.-- • , . -,' 7yya, X /? t- • . . . 1 . . ., , / , ., , . 5eut---/ • ; . . . -,--,,,,,, • -, !t�/ iI mi. 1 . , -,.,...vd,. I .,,g K I I z `' 'I' ri.© ' I . . rvaLuao a a� i •----- —� � ,G{ ` �. { a..S.._� �r�o_- -:zQ�-'siNa';v-3n-c5-al�Tii(v a a (v • J I. • • -- - - 1 UCJfl6tt. 5Lc 15 '; j./. Yti 5) l'ii <......„--_2 0_6/..,.---7 7 . •.., a 5.1,611: j 4=7 ,--qp-- -------- �� 4 T J O . �--1- ,,1a�" , M,h 1y" ,3 I -. jolt ao f..-::' , : a ! • 1 - V 1 . ' \l/ .... 1 ,gip, . St /041;4 id SQ-Ll.- O\iv't—u—e_. 6" p u,t. c\ i,.c,-,,. c5t. \--1 U ,a' IDS• . / 1--.CY-1C..Z7.-CcOL0:-A.__ X \ C.:{)'r. - , ,. TOWN OF QUEENSBU!Y