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1989-147 +DER 1 Lr LCA 1 E CIF OCCUPANCY TOWN OF QUEENSSURY 1 1 WARREN COUNTY. NEW YORK Date .July 14 lq 89 89�- 147 This is to certify that work requested to be done as shown by Permit No. � has been completed. This structure may be occupied sa a Mob i I a Hoene I,ocarion {'nrnar ghndgm Island Cent al Avenue 1 Owner Patricia CapipeaLer By Order Town Board TOWN OF QUEENSBURY i i i k ' Director of Bldg. do Code Enforcement i I �1 BUILDING PERMIT TOWN OF QUEENSBURY No. � - WARREN C(]UNTY, NEW YOR K N 00 PERMISSION is hereby granted to I Street, Road or Ave. OWNER of property located at co Rhode18 1 9■+ in the Town of Queensbury, To Construct or place a Xob4l � 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. t_ OWNER'S Address is 161 Ridge Street IV Glens Falls , N . Y . 12801 tz NMI e*71 2. CONTRACTOR or BUILDER 'S Name ." Al . Tonnessen a 3. CONTRACTOR or BUILDER'S Address 161RIdge Street Glens Falls , N . Y . 12801 4. ARCHITECT'S Name n C'3 5. ARCHITi ECT'S Address r C7 6. TYPE of Construction — (Please indicate by X) i t Wood Frame i ) Masonry I ) Steel I I ~ CA 7. PLANS and Specifications .i N0. 12 ' x 70 ' mobile home as per plot plan , specifications , QW, and application , including septic 8. Proposed Use Mobile Home 25 - CQ ie/o November 1 19 89 r" s48 . UU PERMIT FEE PAID - THIS PERMIT EXPIRES (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.) C to FBI Dated at the Town of Queensbu is t _3� Day of ''' 1 19 R 9 L�si for the Town of Queensbury SIGNED BY Building Zoning Inspector C�7] TO 13E COMPLETED BY nLEOCe D T* /utvr� a� + uP�ns �e,'y Application Na, osJ Permit Isrsued 9 BUILDING ravel ZONIMG DEPARTq,etGNT 1'airipit E.xplre" 19 Bay anp },larilana! road. R.D. 1 Box us Zoning D"dignatlon Quounsoury, Now York 12801 Variance No.. ,+� Situ n Raviuw o , Q � APPLICATION FOR AP-pr od-.b 19F MOBILE HOME FUILDINi AND ZONING PERMIT w w t w s yr w w a w w r w w w r M w w f► r w n it +a w 10 w w w wa r w w w r A PERMIT MUST BE OBTAINED [IF-FORE BEGINNING CONSTRUCTION , ANSWER ALL OF THE FOLLOWING . The undorulgnod hereby applies for a luilding Permit to do the following work which will be clone iia Accordance with the description, plane and epucificationa uub,uitted , and . ,ouch m:lXmcial conditions ass "away be indicated on the r arwit . The owner of this property is : F4 RICr} I}�Lpg *j sic P . O. AdLIVou" IL f LrrfDf-. 9 5 6L' g; �'J2 7 LLFZ A) , 'z 9-0 f Tu1 . 7q9 - ,j, C.s..l, G. c P. AJt~' CY 2 I-f�a r'3aT' 154,AA.l.� r CLrA1712 �• Property Lezcaticnn :_ _ c a; s •gch.+ 3=sue -� �tf#hzrLTax Map No ./��1 Strua:t i.wi,bur or building lot nuuabur .r- S"division name+ ( if applicable) 411II!' YIi1L SQN RESPONSIBLE FOR ,SUPERVI pSION OFF I_' WORK ASG R="%jt0S BUILDING CODES 'S `E ,/ I s 7 p L GO ir7i C3 r C � A...1 �r7' � L1.1 ! b 1� fZ Z i/ +t.. � ✓ I !_?l�,- ILA�r !7 A A-L. '�j /`✓ ! / F � 6 y'Z` f ll.t,ne P. O. Adarouu '1"L:1 . N o . Nantia of Installer 14 L ,uAa e/ ,l Address" 7L• Tel . 7 - L� 1 rv.au�L ail i.+lunaLe;r � r i Adclres"" Tole ._ N:auat u1 a�wisra 7 .K1+4a.i - 2A 14AA. A44 ra:ua_ .. LA-)CCit� �. 7 �,-�,� ;�so AJ FAti S w'1•c,L . --7141 - 97 S-- V 5e+ o rc �'Ygr�ys ti. MORiLE HOME INFORMATION ; ZONING 1NFORMATICN ; NOW lloznC placement PL rr PLANSMUST BC PR£PAILED AND SUOM14rrE0 + drawn reaconaiwly to scale and uctaclaed huruto, Replacing existing Home Uhewing clearly and diutinctly :all t,uildinga , size of new Home ft x ? M1) ft w whether extut'ing or proposed :and ,indicate all ' set-back d1luensions from property linou . Give Single w '• le 4 •-` Double wide ucrcnt and nwi%1jur or lot nu u.:oer and indicate No . of rooms (excluding baths ) '+ whether interior or corner lot . Show location ' Of orator supply and location and configuration No , of bedrooms 2 of "optic disposui arc+" . Nom of bathrooms COMPLETE INFORMATION REQUIRED HEL40wo Fireplace? tJ0 Wood stove? iQ t5 ` Size of property f0--0 ft X f-x © ft . Foundation style and size : "luting building (" ) Sixes ft X iFt . Piers- No . of Size- -. ft x ftw M "luting building Isl U+ao Depth below grade � kropoaud building , diULaneo Crow property lln.: FOUNDATION - Footing size •• x .R ; grant and � r 4 crs + y. ft Roar yard ft Wall material R Side yu rda _ -z2S;;2 , t t and Wall thickness " Height fte . If on corneve soti+.ick Prow uid.m " trour 30 it " OCCUPANCY INFORMATION Total depth below grade ft . � Grade to Rome floor level ft . * I'R1PMRY BUILDING r w w w r w w w w w w w r w r r r r ♦ * r One f4a3ally dwelling laacmentfHulll rn`1 Proposed date of tipu dwelling / Nuuabcr of unite Aprox . Value. of Home S 4 `cy-Crc? w, Peruuanunt occupancy „ rx""Slent accul-lancy water supply - Well Municipal ✓ Ousiness ,. Industrial Septic hermit required?.;' y # Othesr It addition , what will use b�? r FURTHER INFORMATION REQUESTED ACCESSORY r1DILDtNc- ON THE5 REVERSE SIDE OF THIS SHEET * * Detached garbage/one car/ two car/ car • Artachod garage/one car/ two czar/ ""mar ' Private storanw building " 1 . Other { Form Mli P 5 / 8G and -vl APPLICATION FOR MOBILE HOME PERMIT, CCONTINUED7 State of New York olvision Of Mousing and Commurifty Renewal INSIGNIA OF APPROVAL OF THE - STATE BUILDING CODE ti 1 . INSIGNIA SERIAL NUMBER � . . Z . NAME OF MANUFACTURER 3 . PLAN APPROVAL NUMBER _. H . MODEL OR COMPONENT DESIGNATION �` 4A1 + : 5 . MANUFACTURER ' S * SERIAL NUMBER a p 4 y _4 Ca( G v DATE OF MANUFACTURE --_ AZZ the above inf6rmation -Cs to be found on a plate or aticker which arhould be affixed to the Mobile Nome . ComFlete,.above with that tinfoimation. x a , .r +w w e + f w w +r *. +r # ,� .. .,� ; . ,� . . . ,� .w +t ♦ e .t .e .r TO of Quctnsbury County of Warren A F F I D A V . I T STATE OF NLV YORK Y swear that to the best Qf myr knowledge and belief the statements contained in phis asta" tion, pogathar +with the ,plana and &Vocifications aubinittud, a" 00rc, a true and crow i s ioompluto s tisf thamant of all Proppaed wQrk to be done on the d+eacribad Provisions QP the p BUILLIING CODE ,- THE ZONING OROXNANC and all other pertaining e and thut all tR.: proParsed work sluall ba cQuiPli`d with, whathar s cified or no ,Ptaining to authovIzud by the owner. �� �. and that such cork is SigRAture Own or awn r • e agcnt, arcnitect, cent actor r . r r r r • • • .r w r # f w * w � A � , y► r fU rk M t A * R ti � ,r s t w ` b s r A r w r • r w ' r SPECIAL CONDITIONS OF THE P£RMITt Y . . M 'S'OWN OF QUEENSBURY r, APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE I} 2 30 t� o y 3 5 i 3 V Z. 23 S' yS g 4 w kF�Tc f-c,t.: LOCATION OF PROPERTY FOR INSTALLATION S ; l7-NLrrt. 4 P JRJ+0 .3u� I ! tr.AA O � Cenli(LAL- Owner's Name: I14-T (Lt G s A- (f A(Z OEN a u f-z-, Telephone: w-1 9 r. � b Address: (o Z i i� G E: -- {i 1 . F-AL ... y 1 '7. 8 Installer's Name: WAS Tit [2i + g'Tj' G 2I �{ ,q .� Telephone :? Number ol` bedrooms (residential only) �- Total daily flow (compute (d 150 gal per bedroom) Topography: Circle on : Flay Rolling Steep Slope 0,6 of Slope Soil Nature: Circle oner�gandl Loam � rClay Other /Depth: Feet g Ground Water : At what depth? ( v r7 Feet Bedrock or Impervious Material: At what depth ? Feet Percolation test: Circle one: of require required rate min. inch. Domestic water supply: circle one. Municipal Well Other If domestic water supply is a wel Separation: Water supply from septic absorption feet PROPOSED SYSTEM : Septic Tank / 0-6-0 gal. (minimum size: 1 ,000 gal.) TILE FIELD : Each Trench feet/Total system length feet umber of Z / Size each 16 feet by 4;�o feet Size of stone to be used # /Depth or Thickness feet I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the Town of Queensbury Y y S wa a Dis sal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: DATE: OVER 5e�� tic Systeul 1: nsl�ectians : A . 1l1 applieziti.ons for septic system installation , alteration or repair , �1 :; required by Elio "fawn of Queensbury Sanitary Sewage Ordina,7ca , shall �+ subiaittu (A to the 1suLlding Uepartl„onE at least 24 hours before start of construction and shrill include a plot plan showing : 1 • ) the proposed location of tfae systeu: ' . } location and distance CO lot lines 3 . ) location and distance to Srructures 4 . ) Lacatlon anll distanco CO any water supply � . } :, ize and dimensions of all tanks , distribution boxes , rile fields .1ndlor drywells Li . -: yste[c, shall be cov � rod before inspection and approval by the "' " iding 1116puctor . F" ilure to comply with this requiroino :, t utly ult in "off uncoveric,,; of tha system by tkre installer and a fine of 1117 to $ 2 0 . 00 . G • =1 .1pproved copy of tt,e plot plan shall be available on th4 construction :; itC . Failuro to produce said plot plan at time of Inspection may 1csult in an IMMudiate work stoppage ,. D . 'h0o ld unforeseen probl �,us during construction prevent proper installa— " I, , alteration or rol,ciir of an approved system , a new proposal ,rust ul7,r, it tuci to the Quuensbury Building Department before further 1 � 1 :; ruct inn Town of Queensbury BUT1.DTNC and. CODES DEPARTMENT Bay and llavi.land lioads Queinsbury , New Yorlc 12804 ;s..h:�: .:�. I•. ..x: sEL.�CY sl.eslrvESS r-oxnns lwuyl 1e+sir�a APP. ICATION FOR ELECTRICAL INSPECTION t e 1 PLEASE BEAR DOWN YOU ARE MAKING (4) COPIES ., ;. :;; MIDDLE DEPARTMENT. INSPECTION AGENCY, INC. National Headquarters +� 900 Haddon Ave., Collingswood, N.J. 08108 r • 1 Date: City, Town or Townshipo".�n`y CountywmT rAj Location/Address S , W0-, -45 w n (If Located in Rural Area - Please Attach Directions) Pole # _ C+wner_02jc %1T �/F/2 /)E' 1J iE' R Perrnit Occupied As 19. !L52 I &2j C r - Building: Newr l OldtK Occupant N-1v J &W" Work Area in Buildin Floor #, etc.) : 0G* S 1 fJ C App. for: Wiring 0 Service or: Ready for Inspection Fee Remitted - $ 007 Cash C] Check M.O_ ED Make Payable To: M.D. I.A. SOD 750 1000 1250 1500 1750 2000 225D 2504 275tl 30D0 Number of Rough Wiring Outlets Elect. Heat Switches 171� Amp, Service Surface Unit, Dishwasher Range LightingWater Heater Air Conditioner Dryer Pump Receptacles Oven Garbage Disposal Wiring and Controls for 13urner Number of Fixture Amp, Receptacles Fractional H.P. Vent Fans Other Equipment: MOTORS H,P. 1/2 1/12 1/10 1/e Ila 1/4 1/3 1/2 3/4 1 1W 2 3 5 7i4 10 15 2U 25 30 40 50 75 100 Mark Number .. I I . of Each Size Applicant's r•� Signature License # I7 Permit # T/A 4 C' 4 utility : F C L CAT fJ Applicant'�},Address: L7 Ak [City) � {State) r � ' (Zip)Jf $s +"i ,-''� Service Re nest #i Phone # Electrician : • • DATE RECEIVED: DATE INSPECTED: Correct Location-, A aSaihie as Above I� or: Red Notice Label Rough Wiring Outlets Surface Unit Oven Switches Range Garbage Disposal Id Receptacles Water Heater Dishwasher Fixtures I Air Conditioner Dryer Amp, Service Equiprrnent Burner, Wiring & Controls for Amp. Receptacle Amp. Service Conductors d Pump Vent Fans MOTORS Ff.P. 11/201 1/12 1/10 1/e 1/F 1/4 1/3 1/2 3/4 1 1Va 2 3 5 71x 10 15 20 25 30 40 50 75 1166 Mark Number of Each Size Elect. He tj 1 500 754 1000 125D 1500 1758 2040 225e 25DD 2750 Iw000 092 tdT ,.... k. ED RW Progress: Inc:© LKD E Contractor CFT Violation: Work Comp. IJ Inc, CASH L/A Owner Fee CHK # [] L/A Due MO # [� IPA Municipal INV # Date: Other Utility Applicant Owner Cut in Card Q Temp # Date INSPECTORS SIGNATURE TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVrLAN17 ROADS Z28a QUEENSBURY, NEW 5 8 ) 7y2�5832 TELEPHONE �` BUILDING INSPECTOR' S REPORT REQ[1EST FOR INSPECTION RECEIVED Ole NAME LOCATION DATE . APPROVED YES NO FOOTINGIPIERS MONOLITHIC pC}UR . FORMS FOUNDATIONIDAM�'' ROOFING - BACKFILL APPROVA.LN ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-rN INsuLATION: FOUNDATION FLOORS WALLS EILING r4N .FINAL INSPECT CH ROOFING .SIDING SISTEPS EXTERNAL PORC CE & PAT STAXRS-CLEA RESIRELIE VALVE PLUMBING FI MIPRIVAC -- INTERIOR I' --�-^� FINISHED IRS GARAGE: FI EPROOFxNG DOOR CIA R (S) SMOKE DETECTORS FINAL ELECTRICAL INSPECRIQN FINAL APPROVAL OF CONSTRUCTION MUS BE A SIGNEDCERTIFICATE ERTI IC TUILDINCUPANCY DEPARTMENTT�BEFORE r OBTA NED FROM THESE PREMISES .ARE OCCUPIED! INSPECTOR MIDDLE DEPARTM ON ACaENCY, INC. "7P - . o:aa� May 17 , 1989 err- Y _w approved as being in accord KLerfiflet,; that �j uipment listed has been �� pP Iicable governmental, utility and A pby Qs1 with the National Elect f �1 ; , Owner: Alfred Tonnes !j Vacant % occupant: tr p y t� uipment and installaxip 4nsDecled this Corner Rhode a Q� Y' ce 'O be introduced or alterations made to LPC&fiOr+' axle. lF adtlniont gaw at;at exisli It akdoti this C icaba ST@ null and void. and xp pN cation For inspection Should sou qlt Fqd p tly to this Agency- �QE1Ip�19fir r3 Amp S @ rV ` S ' ' " , doidar o} sriis GetiCaCe a Id nt same tp his property insurance carrier ""agent or com Patty) as xvr ertificalion of electrical aquipmer+t approved as xPecilietl. . r Hanna Electri s D CJ—: ... C . 15 -022841 Applicant: RFWP 2 Hartford , NY 12838 M a a fanll No. 7M EL 1-63 TOWN OP QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS OUEENSBURY. NEW YORK 1 3204- TELEPHONE ( 518 ) BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION 1RECEIVED NAME ONINI LOCATION INN DATE +� ` PERMIT # L5 NNNAPPROVED YES NO 1. -FOOTI NcI PIERS NO loz ci; MONOLITHIC POUR FORMS��_ �- FOUNDATIO N/DAMP-PROOFING �- BACKFILL APPROVAL ROUGH PLUMBING ; FRAMING ELECTRICAL ROUGH;IN INSULATION: FOUNDATION FLOORS s WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHNSI , VP STAIRS ^CLEARANCE r'k RA Id LVE S�-� PLUMBING FIXTURTy'IVAELI)�F,�.P,..,,,,-,�VA INTERIOR TRIM "Y "' FINISHED FLOO PING GARAGE FIRED DOOR CLOSER ( ) SMOKE DETEC ORS FINAL ELECTR CAL INSPECTION FINAL. APPRO L OF CONSTRUCTION A SIGNED CE.V'TIFICATE OF OCCUPANCY MUST BE THE BUILDING DEPARTMENT BEFORE OBTAINED FROM THESE PREMISES ARE OCCUPIED t REMARKS'" INSPECTOR TOWN OF QUEENSBURY BUILDING AND 'CODE'S DEPARTMENT BAy & HAVILAND ROADS NEW ORK T7ELEPHONE yI Y pg ( 518 ) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME ` G' LOCATION ' 7' y p PERMIT #�-Z � �f DATE APPROVED YES NO �OTI NGI PI ERS MONOLITHIC POUR FORMS--�- �_ FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES S EPS STAIRS-CLEARANC & ILS�_ PLUMBING FIXTU SIRE IEF VALVE INTERIOR TRIMJ` RIVACY DOORS FINISHED FLOO GARAGE FIREPR FING DOOR CLOSER ( ) SMOKE DETECT RS FINAL ELECTRIC L INSPECTION --"' FINAL APPROVA OF CONSTRUCTIO A SIGNED CERT FICATE OF OCCUPAN MUST BE OBTAINED FROM HE BUILDING DEPARTMENT BEFORE THESE PREMISES E OCCUPIED [' REMARKS : ILI r 9 _ i INSPECTOR j ._.lo+wn of Queen3fstory 1 ` ' BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, Now York 12801 SE dkDISPOSAILAYSTEM INSPECTION ECTION NAME tV6 LOCATION PERMIT NO. S�]- ! - 1 I l SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES Percolation kate - Min/Inch _ TYPE of SY.STMI Absorption field , total length ..%' Length of each trench Depth of trencheg Size of gravel: SEEPAGE yES4Number oft Size- �1.L1 to x ft. L Gravel. size PIPING : � ize Tape - Bldgo to tank T _ Tank to listo box Disto box to field/ Idiom YF Openings seabed? f ES NO Partial LOCATION/SEPARAT f3NSo Foundation toT k N ft. Foundation toorption f't . Absorption to line ft. Separation ofs �ft. LOCATION OF SM ON PROPERTY circle one? Front - hear: ft side - fight side COMMENTS : SYSTEM USE APPROVED YES N � Buil ing Inspector 01/86 and vl