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1989-256 vy'T+ r;l x . . .n:�r-. .p {+{ .-i.�'-'4i„ „rqv � , i w ! CERTIFICATE OF OCCUPANCY TOWN OF QUEENSwBURY WARREN COUNTY, NEW YORK 3 Date May 31 lq 89 This is to certify that work requested to be done as shower► by Permit No. 89-756 has been completed sThis structure may be occupied sue a Mobile Florae L.ocaation Hgaw 4laMpczh-lrp Awpnm#A fixer Scott Eva Flansburg i f By Order Town Board TOWN OF QUELNSBURY Director of Bldg. & Code Enforcement i BUILDING PERMIT if TOWN OF QUEENSBURY Q WARREN COUNTY, NEW YORK ' fv PERMISSION is hereby granted to Scott A Eva Flansburg tin OWNER of property located at Naw Hann hire Avent Street, Road or Ave. in the Town of Queensbury, To Construct or place a Mob! 7 A 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 -n Box 223 Ohio Avenue Queensbury. B . Y . 12$04 vl 2_ CONTRACTOR or BUILDER'S Name C Joe Nudi Todays Modern as cn rro Q 3. CONTRACTOR or BUILDER'S Address } 54-Rte . 9 so Gansevoorts K . Y . 12831 r f� 4. ARCHITECT'S Name 5. ARCHITECT'S Address tU B_ TYPE of Construction — (Please indicate by XI x w ( I VYood Frame 1 ) Masonry I } Steel { I C J, 7. PLANS and Specifications y No. 14 ' x 5+6 ' mobile hone as per plot plans specifications * and � applications including septic . rSo S. Proposed Use Mobile Home 25 . 04 c/o $ 491 00 PERMIT FEE PAID -- THIS PERMIT EXPIRES _ nece r (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 axplration data-) ag 89 Dated at the Town of Queensbury thisd Day of May 19 CID SIGNED BY for the Town of Queensbury Bu ding and Zoning n ctor fD ",COMPLETED BY nL.r+C . DEPT. VX'.. ('�D "" �,�� _./ Wort V/ �s1f'rs� 3Gllrs ApPiication No. ar f`" kQJ N Op arxa.i. QUEENs�tl 13UILGING ana Zot4Irya DE�PAIiTh4fNT Prmlt rr.:uu.:d r9 1- Ft HIV p Al' t F.acpirc:w 1�3�.�r -" ,�-,Ray una Harilana ROAd, R.D. 1 9ox 08 Zaning nation y QuueJn5llury. hlaw Yg(k 128Cf1 Varian No., • �rtl ��gs site P an vMEE APPLICATION FOR Appr ad b ��-�G. ,C4L?E r)S . MOBILE HOME PU I LD I N i AND ZONING PERM I T w . w rr ♦ • • w r f ar w w w +r w w r y w . *r w w w r w w` w w w . w w w nr r w A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLOWING. '!'he undoruigned hereby applies for a Ouilding Permit to do the following work which will Le done i+, accard:uaCu with the dobcriptianv plans and apeaifi.cationu uub,uitted, and - such s3lrciyl'conditions as, u+ay be indicated on the Permit . 'Phil owner of this property is - 'r - ► �ryJ P . O. Addreais_ � U X s _� f ? � I LJ / � ffc y � � c �JSe31 a r Zy aJ •rul . t'rorx:rty I.oc:rtion • ,.�L�v�,' ,-,4a"r"y'7,`;°Sr�12� ,�r"�= . - Tax map NQ . .I+'QLf+' � II' atre.:C r.unLbur or building lot nu Lbur SuLdivision name ( if applicable) 7'Ill PrILON RESPONSIBLE FOR sUpi:RVISION OF WORK AS rU=ARDS DUILDING CODES IS : 11.4 uLv / C-�' "1/-21.J [_- tl.,. C.:' "';-. �_ ."/Ll / f ''- 3f !'Gr'•'y - f'C }.�,C`y i'. D_ Addresea Tc:l . No . Name of Installer AddraBS a N.,isle a I' E+1 un►tru r S /� C N Tole Add ra,.u Teal . :.�u■ Of 11w•auon_ .S •/}.�'4'-� ._,..� A[ictYrpll Tol . MOBILE HOME INFORMATION : * ZONIW+ INI"ORMATICN : New 110,na Placement LLjC- -s � ILarr pL.ANSiUST UC PREPAUED liedD SunmllrrED Replacing existing Home r drawn raaaonubly Lo scale and atcacItod hereto, ahowing cla"rly and al"tinctly all k,uildings . Size of new Nome f ft }C _5 ft r whether uxiating or proposud and . .ndicatu all single w ' le � Double wide se� C-b:ack di&aunsiona frown property linca . Give: street and nuadaur or ioL n"W)vr "nd indicate Na . of rooms ( excluding baths ) " whother interior or corner loc . Show location No . of Yaedrncuns w of Water supply and location and configuration ff of septic disPasal area . ownNa . of bathrooms I � • COMPL.ETe INFORMATION RE- QUIM- D REEoOW * F• ireplace7 /v10 Woad stove? Size of property, ft X ft . Foundation style and - size : " Exiuting bailding ( s) Size d ft x ft . Piers- No . of Size- ft x ft. "iating building is ) �I Depth below grade fto rt .�& W; I FOUNDATION I'oating size }r w " l•xOPOaud building , diuLance fru,a Property line ^- rt WWW wall material rji', ,. Front yard i3 0 ft Roar yard � fc - - . Sides yards 0 ft anti _fr Wall thickness / J,//). Haight ? % •ft. . If On Cof-ndr, sQtback frow side ncrf0lut tt Totol depth below grade fr E. OCCUPANCY INFOR4ATICN Crade to Home floor level ft, r PRIMARY UUILDINC ow ■ r ■ ■ w r ■ ■ ■ y ■ ■ ■ w r ■ ■ w A w rt One f"=11y dwolling TOWN family Two family dwullin�d OF QUEENSBUR 'f Proposed date of placemenC�J �/- - f f b � Multiple dwullin_ g / Number, of unite A nrox . value. of Home S_ Occupancy supply -• well Municipal �� � 'transient occulaanuy Water iJusineus Zoning Administ ator Industrial Date �.� SCI3 i tic Permit requxed? Or her If additio4Y , what will uses Let FURTHER INFORMATION REQUESTED a ACCESSORY BUILDING- ON THE REVERSE SIDE OF THIS SHEET ow Detached garage/one car/ two car/ car • Attached garage/one car/ two car/ car ' Private storages building co ; Other Form Mup 5 / 06 and .evl APPLICATION FOR MOBILE HOME PERMIT, CCONTINUED] State of Ndw` York Division of Housing and Community Renewal INSIGNIA . OF - APPROVAL OF THE STATE y . BUILDING CODE le INSIGNIA SERIAL NUM13ER Ay6) L) L (.> 77 � . 2 . NAME OF MANUFACTURER 3 . PLAN APPROVAL NUMBER 4 . MODEL OR COMPONENT DESIGNATION 5 • MANUFACTURER ' S m SERIAL NUMBER_____ G . DATE OF MANUFACTURE I�/�3f c� kp ALL the above information io to be found on a pxate or atioker which ahou Led be aff#Cxed to ` the Alobi Ze Rome . Complete, .above writh that inforsnatione w s M � ,� w ; • w w A s +a w +t +1 +a � w • w # • ♦ • +! +► +1 M +! # # +k x w +r w rt +s +t k Town of Quc ensbury County of Warren A F F I D A V • I T STATE OF NEW YORK I swear that to the beast of my knowledgrs and belief the statements contained in this application, together with the plans and a jpecifi,cationa uubmittud, are a4 true and complcta statesnOnt of all proposed work to be done on the described premiaes and that all provisiana of the BUILDING CODE ,_ 771,E ZONING ORAINANCE, and call other lawa perteaining to the proposed work sh"ll be complied with, whether specified or not, and that such work is authorized by the owner . Signature ____ /gym C`�� Own , owne r aga.nt , & na.Ccct ontractor x w a r w • • w r w w w w w r w w • w w . w ♦ w ♦ ■ w w w w • w r w w w • w r w w w r w SPeCIAI. CONDITIONS OF THE PERMITS FOWN or• QuE• E• NS13 L1ry APPLICATION FOR +! SEPTIC DISPOSAL 1P'ERMIT DATE V/Z wry/ C/: LOCATION OF PROPERTY FOR INSTAL. LATION 4,� J /� 1/-•7a� ,ff�.s7�f/i/�t� Owner's Name: &.p-14 -+- ! ' L- -~n s /y�Telle-phone: Address: c �rr'� r'TZ ` { /'c %• �'rrJ ic1.^ /� / 1'r � f Installer's Name: TE .V'ol-v2") Telephone: Z- Number of bedrooms (residential only) Total daily flow (compute (d 150 gal per bedroom) oc:> ) Topography: Circle oneffand Rolling Steep Slope °y, of Slope Soil Nature: Circle oneLoam Clay Other /Depth: Feet Ground Water: At what depth ? Feet Bedrock or Impervious Material: At what depth? Feet Percolation test: Circle on not required required rate min. inch. Domestic water supply: circle on hlunicipat Well Other If domestic water supply is a well: Separation: Water supply from septic absorption feet PROPOSED SYSTEI4I : Septic Tank ^ gal. ( minimum size : 1 , 000 gal, ) TILE FIELD : Each Trench feet/Total system length feet SEEPAGE FITS); Number of / Size each S' feet by +t " ' feet Size of stone to be used # /Depth or Thickness feet ** ** * * * * * * * ** ** ** ** * ** ** * I have read the regulation on the reverse sine of this sherit rind ngrev to abide by these and all requirements of the Town of Queensbur Sanitary Sewage Disposal Ordinance. SIGNATURE F RESPONSIBLE PERSON: DATE: Z a OVER Septic Systeni Inspections : A . All applications for septic system installation , alteration or repair , as required by chu flown of Queensbury Sanitary Sewage Ordinance , shall be submitted to the Building Department at least 24 hours before start of construction and shall include a plot plan showing : I . ) the proposed location of the system 2 . ) location and distance to lot lines 3 . ) location and distance to structures 4 . ) location and distance Co any water supply 5 . ) size and dimensions of all tanks , disrribution boxes , tile fields and /or drywells Be No system shall be cov4red before inspection and approval by the #suilding Inspector . Failure to comply with this requirement may result in the uncoverin-T of Chu 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 Installa— tion , alteration or repair of an approved system , a new proposal ruust bu submitted to the Queensbury Building Department before further c: onti Cruc t ion . Town of Queensbury BUILDING and CODES DEPARTMENT Bay and llaviland Roads Queensbury , New York 12804 kemarks . , TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 32804- TELEPHONE (528) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION /RFCEI D NAME r LOCATION t'' DATS PE IT #(_ l - i� ✓ L+ APPROVED YES NO FOOTING/PIERS 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 PO HES/S PS STAIRS-CLE NCE & ILS PLUMBING F XTURES/REL EF VALVE Id INTERIOR RIM/PRIVACY OORS FINISHED LOORS GARAGE F REPROOFING DOOR C SER (S) SMOKE ETECTORS FINAL E CTRICAL INSPECTION FINAL PROVAL OF CONSTRUCTION ` A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED: REMARKS : 1�1/} 4 ♦ f 4 [ 4 lfr? ifl� /{/jam r■/// � 4I INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS � i " ' ' BUREAU OF ELECTRICITY 41 STATE STREET, ALBANY, NEW YORK 12207 Date Application NO_ an fete � :� ;" � - • THIS CERTIFIES THAT k € 4 only the electrical egUijIMMent as described below evsd introdiuced by the applicant named an [he atone aEsplicatian number In the pns� of . . tel }: : .. I �. " i 1 . 1 7 [ Y. j s S C,.l . in the following location; 0 Besernent ❑ Ist Ff. ❑ Srsd FT, Section Block Lot f . '1 . .. and found to be in compliance with the requirernrrets of this ,Board. rwas examined on FIXTURE FIXTURES RANGES COOKING DECKS OVENS DIEM WASHERS exMAUST FANS OUTLETS AGES SWITCHES kNCANOESCENT L FLUOINSCENT I OTHER AWL K. W- AMT. K. w. AMT. K.W. AMT. K. W. AMT. M. P. DRYERS FURNACE MOTORS }UTURE APPLIANCE PSWERS SPECIAL REC'PT TIME CLOCKS 2 LL {tItIT HEATERS M�TI-oUTtIfT ti1htMERS SYSTEMS AMT. WATTS .ukT. K. W. 01L H. P. GAS M. P. AMT. 1sa. A. W. G. AMT. AMP. AMT. Am". TRANS. AMT. Ito. OF FEET SERVICE DISCONNECT No. OF S E ItV 1 C E ARMEN Na. aF cc. cONP. A_ w. G. Na. OP NIAM A- W. G- NO. Or NEUTKw13 A. W. G. AMT. AAM. T" EQUIP. 1 .X 2W 1 jr SW S X SW S X 4W PAC Of CC. C4Nk7. Or M-11G QP NEUTR/uI I OTHER APPARATUS: BRANCH •MANAGER 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 M,4NNER. TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- TELEPHONE (518 ) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION q DATE E T # 1 APPROVED YES NO FOOTING/PIERS GOLITHIC. POUR FORMS FOUNDATION)(DAMP—PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTIO CHIMNEY HEIGH ROOFING SIDING EXTERNAL PO CHESISTEPS" STAIRS—CLE NCE & RAID PLUMBING F XTURES/RELIEF VALVE INTERIOR IM/PRIVACY DOOLcyS FINISHED LOOR'S GARAGE FI EPROOFING DOOR CLO ER (S) SMOKE DE ECTORS FINAL ELEC ICAL INSPECTION FINAL APP VAL OF CONSTRUCTION A SIGNED C)FRTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!' REMARKS. INSPECTOR flows n/ Q"eenji "ry BUILDING and ZOWNG DEPARTMENT Bay and Haviland Road, R-0- 1 Box 98 � C Clueensbury, New York 12801 SEPTIC DISPOSAL SYSTBw INSPECTION NAME ,r LOCATION1ns _1 'zz�'."""2.-'� �•2 G • G�� " DATE , / / PERMIT NO. SOIL TYPE - sand - Loam - Clay -_ Percolation Test Required? YES - NO Percolation rate - Min/Inch _ TYPE of SYSTEMz Absorption field , total length Length of each trench. Depth of trenches Size of gravel. SEEPAGE PITS{Numbe 0 Size- (0 ft. .X, 1 ft. Gravel size PIPING : ir. Siz Bldg . to tank Tank to disc. box Dist. box to field/ openings sealed? NO Partial LOCATION/SEFARATION �y jr� Foundation to tan eft. Foundation to abs ptiorlL, Absorption to lotl line �ft. Separation of pi s ft. LOCATION Ce SYS R Y (+Circle one) Front - Rear - ft aid - Right side - CCMMENTS : SYSTEM USE APPROVEDBu or ol/86 and vl BUILDING DEPT. COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING, DEPT. WHEN REQUIRED. TEMP, ie DATE .� , .' CITY OR (_,�_ I� 7 �j /^ VILLAGE �+Y j EE /4J C `r TOWNSHIP COUNTY " r-1 � /,[ eA STREET AND NO. OR ROAD AND POLE NO. /�C'"�,f �1ryr,�'r- �."I}�/�" POLE N6 BETWEEN WHAT TWO CROSS STREETS IS PREMISEFLOCATE D? O= CW lr0o&f tr .�rzCTION BLOCK LOT ,. OCCUPANT'S BUILDING NAME , ^ U .r [ S OCCUPANCY OWNER'S NAME TEL. # AND ADDRESS (` CURRENT SUPPLIED PPLIED FROM THEIR ,�II--II `.y/� F-/'-}4r. e. s OFFICE IBILDINGDEFECTS S Cl NEW OLD ISORK NEW (.�1 ADDITIONAL 1 REMOVED Cl LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED L " of FixlWrp A BRANCH Lamp Receptatdes MOTORS HEATERS CIRCUITS OFFICE ONLY USE NUMBER OF OUTLETS Loan. ONLY Can Side Aftol h't H-P. Wen s A.W.O_ owing Wall Rewp's Seriad Pendant Bracket No. Type Each Na Each Ne. Ganges INSPECTION Out- sum sub- saw adds nisrlt lst Ff. 2nd Ff. 8rd FI_ REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. This appAication ie intended to cower the above-Iistad equipment w be inapeated but if at times of inspscfian thera it found Mditianal equipment not abase hated. you are authwiu•ad to make the inspsctian and adjust the fee to cowat the additional equipment, as pr kled by the applicant. SIZE OF ELIECTR IC SIGN TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE INUMBERI ICAPACITYI STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND ,MAKER ENTERS OF SIGN BUILDING INSPECTION REQUESTED ON OR AS NEAR AS POSSIBLE tn.f �. L f. NEW OLD AVOID DELAY BY GIVING FULLAND ACCURATE INFORMATION. ALL SPACES DATE OF MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. AAPLICA N e PRINT NAME V:,ADDRESS NAME OF , � - C. ,,,bar,7� ,�1 � SIGNATURE � APPLICANT Mn _y�7� OF APPLICANT _ STREET AODRESS f ( T n nL �� OIL t. �y TELEPHO E # � cy 0CITV OR � POST OFFICE ' " ` 'E I( fl ._N N-.+l C. t//L � e f " q CODE W 4ENZIP SAPPLICABLE ae EL (REV. 1l9.¢) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING k g� i� FSao X.. + Sys66 l,yVV .S# ` 7�"}'r v'Y�g ,. ty'i�/ ; •.{� V lab � •. . 1 ^ .. . , . F .. 4 N .�,.. ., _,� �k�,. �.CY�t .'k+.a r-n�iR• �. .i [-.+ .'q:,r.::+.ry�M'� Y-r'ht x •.F:r.ia ilr �' s}r.yr:+..a i-a�.c.. ..1':r .an^f4hSe4r%rke++ 5!.:.r. .-t-,.. ...•.... � . Mep� o FIN, r 1a' LI,ILL — ((�� ff — — -- — JTdn4 Dr;veto;/ r G (0% 3 p13 Z , � U 0 Z1 CL ('� f c Wiz co ? 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