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1988-669
CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date November 30 19 88 3661 f I 3 This is to certify that work requested to be done as shown by Permit No. 9,a-a a e has been completed. This structure may be occupied as a mob''9P '-Tome i ncaeion 1/o Ohio Ave Owner Today's Modern By Order Town Board TOWN OF QUEENSBURY •7)/ Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY R No. 88-669 'b WARREN COUNTY, NEW YORK O • PERMISSION is hereby granted to Today's Modern t~ OWNER of property located at Ohio Ave. Street, Road or Ave. co 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. 1-3 1. OWNER'S Address is 0 O 2. CONTRACTOR or BUILDER'S Name •s 3. CONTRACTOR or BUILDER'S Address 0 0 4. ARCHITECT'S Name CD 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) O ( 1 Wood Frame ( ) Masonry ( )Steel ( 1 7. PLANS and Specifications O 5 - O No. 14 x 70 Mobile Home (Home on order no other info available 9/27/88) 8. Proposed Use One Family Mobile Home $5.00 C/O $ 25_nn PERMIT FEE PAID—THIS PERMIT EXPIRES April 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 Queensbur is 27 Day of September 19 88 SIGNED BY - for the Town of Queensbury Building and Zoning I Spector • Zb BE COMPLETED DY nLLC. DEFT. _/ Application No. TO.sar T Er.-2ME-1. '_:= :r- utvir• 0/ Queeilit urf Permit BUILDING+�nu ZONING DCPAJiTMLNT • ermit Issued • lg I? . II-j"�1 Clay uno Huvil;,nd Road, R.O. 1 Box 08 Permit ••laq�lrcu__-`l� -"'""' .. � � .' L.=J ,_� •,. -- Ouuunsbur ' Zoning Duuignation r. y,.Nuw York 12801 Variance Ho. Sits • Plan Review No. ' ,• : �. _( APPLICATION FOR APP d'b I BUILDING & CODE DEPT. 1 /1 MOBILE HOME `4 fI • PU I LD I NG AND ZONING PERMIT • .. I • I A PERMIT MUST DE OBTAINED BEFORE CIEGINNING CCNSTRUCT ION. ANSWER ALL OF.:THE ..FOLLOWING. °• x...'• The undersigned hereby applies for a building Permit to do the following workwhich• will -...' bir done in •accordancu with the description, plans and s . special conditions as slay be indicated on the Permit. p`eificationu' aubiuitt2:d and such ' The owner of this property is: %c� Oil . P.G. Address -.'. . ;. �. ;✓,IC-�- Qn . . 2 ? Tu l. .. Property Locations ��g�/�� Strout iumber or building Tax Map No. 7 Subdivision name (if applicable) J lot nu„�bur /'� • TIII: PER;ON RESPONSIBLE FOR SUPERVISION OF WORK A,, �-[ � - c REGARDS' BUILDING CODES IS s • :Lune C �, • P.O. Address Name of Installer �t�� /• • • • Tel. No. - ,..',,.• -:,,,• ti;:: .• Nuii of plumInstaller er 1 r'7S 11900C-�1�Cddress S'V /Of f '6•'f,,✓,S1�oa?7Tel. Addruuu �5�'lO N:.sme of mason. ., Tel. Ac1c1 re as _ Tel. • MOUILE HOME INFORMATION: • . ZONING INfORM/1T10N: New IIome Placement `fC-S • pLpZ. p ; • a LANSNUST DE PREPARED•• AND SUBMITTED :. `' Replacing existing Home • w drawn' reasonably to scale and attached hereto, • • showing clearly and distinctly :all buildings," =' '..•-' -:: Size of new Home /}/ ft .X 7Q ft • whether existinc or .• .. ] propo..,ud"and `indicate all` '`""'`r`�:• Single w: le i/„ " set-back dimensions .from : i,,,•. :. Double wide property• linc.:I. '`Givr;`" .. stx.cat and number or •lot• nuuaicr. and indicate"''`, "':' No, of rooms (excluding baths), 5/ ` whether. interior sir' corner.lot. Show:location No, of bedrooms. Z • • * of water supply and ".location and configuration . of septic disposal area. No. of bathrooms • " • • COMPLETE INFORMATION REQUIRED BELOW. Fireplace? Ak.) Wood stove? /00 • • Size of property ' 60 ft X /00 ft. Foundation style and size: ..S L'efie Existing building(:r) Size ��,� f t X a/4 6!4re) �}77,9Erf� it/� ft. Piers- No.of+ Size- - ft x ft. Existing building (:;)• Use A//9- Depth . elow.grade ft. • FOUNDATION _- rooting size �� X „ * Proposed building, disLance from property line + and„ Front Wall material y. ft Rear yard /a. ft • • Side yards / ft and 2/ • ft Wall thickness " Height ft. • If on comer, setback from aide street tt • Total depth bcl rade ft. • OCCUPANCY INFORMATION �i oy • Grade to •Home .floor level /Z ft. • PRIMARY BUILDING • • • • •. • • • • • • . * * * ; * * * * • Ono f4Inily dwelling . • • Proposed date of placement /L�/ /Z fj�y • Two family dwelling ' / • Multiple dwelling / Number of units • Aprox. Value, of..Home $ /9f !' 0 • __Permanent occupancy.- . • Water supply. - Well Municipal Transient occupancy . , • Business • Septic Permit required? •ff 7--77-6 ,,:0 • Industrial Ocher • If addition, what will use be? • • FURTHER INFORMATION REQUESTED " • ON THE REVERSE SIDE OF THIS SHEET.. ACCESSORY BUILDING- . netuclied garage/one car/ two car/ car • Attached garage/one car/ two car/ ar. • Private storage building * Other . Form MIIP 5/0-6 and-v1 • APPLICATION FOR MOBILE HOME PERMIT, (CONTINUED) L Cc • • State of New. York Division of housing and Community Renewal . . • INSIGNIA OF AP[ OVAL OF THE STATE . BUILDING CODE • 1 , INSIGNIA SERIAL NUMBER • . 2 . NAME OF MANUFACTURER . • 3 . PLAN APPROVAL NUMBER • • 4 . MODEL OR COMPONENT DESIGNATION • • S . MANUFACTURERIS, SERIAL NUMBER• •• G . DATE OF MANUFACTURE • •• • • All the above information is to ba found on 'a plate or aticker which thou Zd be affixed to the Mobile Home. Completc..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 4 4 4 4 • Town of QuoenLibury 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 : anal belief the statements contained in this application, together with the plane and upocifications 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 not, and that uch work is authorized by the owner. • • • • , . • Signature _ /,,� 67 ez~,, o is agent,ar/itect contractor • • • • * • * r •* + * * * * * * * * * * * * ,* * * * * * * * * * * * * * * ‘* * * * * * * * * * •* SPECIAL CONDITIONS OF THE PERMIT: • • • • • • • • • • • • • • • • • • • • • , By J 7 • tiJ,i f:r/t. O, (�t1 eZ azi&illy, 1 s1_-1�,0 V 1 i1s+ APPLICATION F O12 SEPTIC DISPOSAL P.E12MIT ' 20uiliG L UU O C=UCS Dui. lol•11t Of 4Uf111::1.11J4 to4.1.L• 3 i / eC? • LO.CAT1ON 01. PROPERTY FOR INSTALLATION / Owner's N:t III a: ,JZ 3A� ,5 M0 «�✓ Telephone: %{ Ol13-L Adtlrr-ss: 'C ]nst;,ller' �S—r�1Ci'? J /- 3/ . Name: y__S-A-'-7%G Nr Telephone: -7 f 2'— 72„,c-7 a l Num er of bedrooms (residential only) Z Total daily flow (compute e ISO dal per bedroom) • • 7'opoLr;.pLy; circle one R. Ro11inL Steep Slope ;,; of slope Soil Nature: circle: one:er Loan( Clay Other / Depth: feet Ground Water: At what depth? feet , liet.rock or.lurperviou_; l.tatexial: At what depth? _ __ feet Percolation( test: circle one . r,rf -r , elir;•1 „ t11it••:tt / rate train. inch. Domestic water supply: circle one Munici Well Other . IF dometir water supply is a Well: Seepar:,tion: Watersupply from Septic absorption _ feet PROPOSED SYSTEM: Septic Tank Opp cal. (minimum size: 1.000 );;,1•) TiI_D FIELD: Each 'I'renclt feet / Total system lenl;th � feat • SEEPAGE PIT(S): • Number of J`/ S1Ve each _15 _ feet uY ____E feet SiL l_• or ,t()n1. iii Ili.. 1I•:-;1 nr 2 rent r• I1rt ]' Uit � • � ys + sY �r �s �ra . aia • 4N1�W4lQ� - 4 ,y'�. 7N �Ai D * s • • (over-) • • Section 11 Septic System inspections: • A. All applications for septic system installation, alteration or repair, as • ;• required by the 'Town of Qucenshury Sanitary Sewage Ordinance, shall be tp the Building; Uul,;u•tment at least 21 hours before start of construction and shall include a plot plait slruwin f: l..) the proposed location of the system Z.) location and distance to lot lines 3.).. loca'•Ubri and distance to structures • .1.). location and distance to any water supply • 5.) si:e and, dim'en::ions of all tanks, distribution -- . boxes, tile fields ;rig/or.drywclls 13. No system shall be covered before inspection and approval by the building lnspecto'r•. Failure to comply with this requirement !nay result in the uncovering of the systern by the installer and a fine of up to $250.00. C. An approved copy of the plot plan shall be available on the construction site. l:'ailure to produce said plot plan at time .of inspection may result • in an immediate work stoppage. • D. Should unforeseen problems cluring.construction prevent proper installation, • alteration or repair of an approved system, a new proposal znue.:t be submitted to the Queen:;Lu,.y Buildint; llepartrnent before further construction. • • • • I have read the regulations above and agree to abide by these•and all requirements of the Town of .Q,uecrt:..Lury Sanitary Sewage Disposal Ordinance. • • ' .Signature of responsible person: Date: /77../.08 • • • • Town of Queensbury Buildin g and C L- odi:_Dcp;u•tment ltay ;,t llaviland ltoad Quccnsbur•y, New Vovk 12.1101 • (5lR) 792-5R32. .• INTERIM BUILDING PERMIT PERMIT APPLICANT _ avya. CONSTRUCTION LOCATION /'l)ko.. CGc� EFFECTIVE DATE C/'j4Fe APPROVED BY ��_r'�Ja e jie; SPECIAL CONDITIONS : This will certify that all submittals fora Building Permit have been received and fee has been paid . During the processing of the Permit, the above named may begin construction per plans submitted . It is the responsibility of the applicant to obtain the Permit - from the Building Department, following processing . POST THIS . INTERIM PERMIT IN A CONSPICUOUS LOCATION ! ! Building & Codes Department TOWN OF QUEENSBURY FILE COPY ' • - - - ' : • YOU.ARE.HEREBY REQUESTED TO " INSPECT AND ISSUE CERTIFICATES FOR THE FOLLOWING ELECTRICAL I • _ EQUIPMENT:TO BE INSTALLED BY . • - THE.UNDERSIGNED ' - • . . . TEMP.H ...7 �a • • d COUNTY CITY OR VILLAGE /( J ` e- TOWNSHIP _ • . i' _ U� „f. 4 ;VJ i,_G...? - : -POLE NUMBER. •• STREET AND NO.OR ROAD - - • . - Ct�{Ud1� BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION - BLOCK. - - LOT / v.,0,r—� r3 --• C49/2J.tOEC.`26-r f_' 7 . OCCUPANT'S NAME. •' - - .. BUILDING OCCUPANCY -" • OWNER'S NAME AND ADDRESS S: HOME TELEPHONE NUMBER *J!7 7 ,/7 ...$ .. 0t e:::-. /tf -- .7 7 7-- 7 �i rd-f iva.))4,, - 9,5`,,,,;.s .i7 - " CURRENT SUPPLIED BY FROM THEIR:• OFFICE •-_ WORK TELEPHONE NUMBER BUILDING IS - . - - - NEW Y /iOI j f C.E /r tl"/ OLD❑ - • WORK IS . NEW J ADDITIONAL❑ - . DEFECTS REMOVED❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED • NUMBER OF OUTLETS No.of Fixtures& MOTORS. HEATERS BRANCH OFFICE USE Loca-_ Lamp Receptacles CIRCUITS ONLY tion Side Attach't H.P. WattsA.W.G. Ceiling Wall Recep'Is Switch Pendant Bracket .No. . Type Each Nc. Each 'No. Gauge INSPECTION OUT- . . SIDE • . SUB- - BASE _ BASE- • MENT . 1st_ - - .. - FL. . . . 2nd . . - FL. 3rd . - . " FL. . • REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: ' . . . . THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS.. " FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER • THE ADDITIONAL EQUIPMENT AS PROVIDED BY THE APPLICANT. • - -. . • SIZE OF MAINS - . ., - - FEEDERS . ELECTRIC SIGNS/LAMPS _' • TOTAL WATTS CHARACTER OF WORK . 0 EXPOSED GAS TUBE SIGN/TRANSFORMERS OF . . • VA, . - ❑ CONCEALED • - DATE WORK TO BE STARTED DATE COMPLETED s SIZE OF SIGN(NUMBER) - . .' ' CAPACITY SERVICE ENTERS BUILDING . . MANUFACTURER OF SIGN - ' - ❑ OVERHEAD 0 UNDERGROUND • DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) . MUST IDENTIFICATION APPLICANT NUMBERS .► I I I` I I I I - AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS - • - , NAME OF LICA •" 0•Ci �- _ .• - )9 7 F ALIGATION v SIGNyApTURE OF AP LICAN _- "STREET ADDRESS �, _ . - - f . _ ') > _TELEPHONE�NtZ , � • • • • - - : • .. . /. . , ..9r `:/,v.—( 3�. CI R POST OFFICE - - - - •- •7ZI „CODE LICENSE NO.WHEN-APPLICABLE • 0 85 John Street - ' ❑`41 State Street '' ' ❑ 584 Delaware Avenue ❑ 217 Lake Avenue • .• 0 202 Arterial Road. NEW.YORK,NY 10038 - ALBANY,-NY 1220/ BUFFALO,NY 14202 : .ROCHESTER,_NY 14608 SYRACUSE,NY 13206 Tup FJIw vnRV RCIARn (IF FIRE UNDERWRITERS • - " .. S[..��_49..?.eke,!V�l 1.i."),1 ,"a[i...9(..�9_C. _),� .1 ,P.nA..4 )19-•t,CA'9.1.•e s".".:Int(J I1 . !,.?., .(.".."-1.4.a�_.",a..C?9..".0,,91.01.".19i,�,-,./."-`9'.".1.(._�(.. ) !,-1,!,y!. .i.1t.,,! , ;}h • p THE NEW YORK BOARD. OF FIRE UNDERWRITERS 'i c q t� BUREAU OF ELECTRICITY b —�� 1 I` 41 STATE STREET.ALBANY,NEW YORK 12207 ' o Date December 9, Application No:on file 0332I'LJ/try 7A :4� e f THIS CERTIFIES THAT f' �z onlythe electrical equipment as described below and introduced bytheapplicant named on the aboveapplication number in thepremises of ®�) 'I Toda 'o Modern Lot: v2 Ohio Ave. Glens Fulls, No York. . • in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. Section Block Lot was examined on A.1`30-=88i ' • and found to be in compliance with the requirements of this Board. 0 " FIXTURE ECEPTACLES SWITCHES MERCURY RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT•FLUORESCENT yApR AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. f DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS C:; 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 SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. TYPE METER Baum. .6.2W 1 5 3W 3 3W 3,B'AW NO.OF C.COND. A.W.G. NO.OF HI-LEG A.W G. NO.OF NEUTRALS A.W.G. EQUIP. PER B OF CC.COND.. OF HI-LEG OF NEUTRAL I 100 e© 1 :-: 42 4. OTHER APPARATUS: V-1 _ -Ott F, `"t i z, :7Z- Cranston Electric i�= dieGilv33 L£ 7?llo n PTA% 12118 BRANCH MANAGER ':, . i • Per 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. •': COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE=MUST NOT BE ALTERED IN ANY MANNER. . 4 p ii-.6/), C.21.-e( i 7if-/o TOWN OF QUEENSBURY-9 BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS - 1111 \ QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT/ REQUEST FOR INSPECTION RECEIVED // _ V, NAME I . Ge G� '' LOCATION 7Qj/ 1"-�' DATE // �a PERMIT # f 6,4 i7 /�� APPROVED 21 ,itit// / 7 � YES NO FOOTING/PIERS • MONOLITHIC POUR FORMS , FOUNDATION/DAMP-PROOFING / BACKFILL APPROVAL ROUGH PLUMBING ' / FRAMING • ELECTRICAL ROUGH-IN / INSULATION: / FOUNDATION \ / FLOORS . \ WALLS I • • CEILING , P1`NAL INSPECTION: CHIMNEY HEIGHT / I/' ROOFING 1 \ i/ SIDING \ c� EXTERNAL PORCHES STEPS \ STAIRS-CLEARANCE & RAILS PLUMBING FIXTUR S/RELIEF VALVE 1� INTERIOR TRIM/ IVACY DOORS �, 1/ FINISHED FLOORS \ v GARAGE FIREPROOFING /V ," \\ DOOR CLOSER(S) f J//d' SMOKE DETECTORS \ i/ FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: h / g.A. 6,„„„,_„,,, INSPECTOR INFORMATION FOR BUILDING DEPARTMENT „ _ - WE ARE IN THE PROCESS OF ISSUING A CS TIFIC TE - ` - _• OF COMPLIANCE FOR THE ELECTRICAL IN AN APPLICATION FILED WITH OUR AS COVERED -- - DISTRICT OFFICE. TH E NEW YORK BOARD OF FIRE UNDERWRITERS 12 a�� APPLICATION NO. LOCA ON // - 1 .. ;r.r e I PECTOR DATE _—__- — FORM IBD(REV_1/86)__ _ TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS /./0, QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED //%,/ r NAME -- 74(i LOCATION (7 , DATE ///y/r7 PERMIT # J --‘� 7 / APPROVED YES NO , FOOTING/PIERS aj' MONOLITHIC POUR FORMS FOUNDATION/DAMP—PROOFING BACKFILL APPROVAL rti ROUGH PLUMING FRAMING ELECTRICAL RQUGH—IN INSULATION: \\ // FOUNDATION FLOORS WALLS Nk CEILING /1' FINAL INSPECTION CHIMNEY HEIGHT. \. ROOFING SIDING ✓r � \ EXTERNAL PORCHES%STEPS \ STAIRS—CLEARANCE& RAILS\ PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIMWPRIVACY DOORS, FINISHED FLOORS \ \ GARAGE FIRtPROOFING \, \ DOOR CLOSR(S) SMOKE DETECTORS \\ f ' FINAL ELE WRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: r' \ AA\ V Iv NSPECTOR Jown o1 Queeniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 qc°' Queensbury, New York 12801 1/(/,);;;;;S" EPTIC DISPOSAL SYSTEM INSPECTION NAME da:// l ��%'/G�&Z-7✓ a¢ .5 LOCATION Oe. a �/i/ ee i j ), DATE/Q/c4 PERMIT NO. 11" SOIL TYPE - nd - Loam - Clay - Percolation Te.-„ Required? tS - NO Percolation rate',- Min/Inchl 1,1 TYPE of SYSTEM: 4 Absorption field, toe l 1,pngth Length of each trench , Depth of trenches ' Size of gravel ,f t _ SEEPAGE PITS{Number of) 1, ( Size- V ft. X A. "1A 2, Gravel size , ' ,�` `.\, PIPING: Si,,e . Type . Bldg. to tank y \ r 7."(' Tank to dist. bo L/, \ {�7,2' Dist. box to fi�'ld/pit % 1/4 !'i:-(_ Openings seale•. YES- NO Partial LOCATION/SEPA TIONS: Foundation t tank 4/ t._' c' ,i/ Foundation co absorption A,,/--,)ft. Absorption ' o lot line ',' ;eft. \, Separatio of pits ft. `°\� LOCATION iF SYSTEM;-ON,-PROPERTY(circle one)N N. Front - -ear - Left side ->Right side - COMMENT : —i" • SYSTEM USE APPROVED YES NO 4/ ,// • Building Ifispector 01/86 and vl 60 'SE/ 77C, Qed Df//c. .9YE. 60 _ • tu /9-76ic o < //s • • •/z/ , 7 A.7 fezcx • „A. • o/ GiNO cl 2► , O9