1990-001 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date February 13 19 90
3J-7) $
This is to certify that work requested to be done as shown by Permit No. 90-01
has been completed.
This structure may be_occupied as a roof over trailer
Location
g9).orleso f`i'ob�home Park ,�9
Owner Milton Si Lena French
By Order Town Board
TOWN OF QUEENSBURY
2)/
Director of Bldg. do Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 90-01 *3
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to MILTON & LENA FRENCH ..
OWNER of property located at Forest Mobile Home Park #9 Street,Road or Ave.
in the Town of Queensbury,To Construct or place a roof over trailer ( torm Damage)
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 'T1
Same
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2. CONTRACTOR or BUILDER'S Name 1..1
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3. CONTRACTOR or BUILDER'S Address r
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4. ARCHITECT'S Name -
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) a
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(X)Wood Frame- ( I Masonry ( ) Steel ( )
7. PLANS and Specifications fD
No. Roof over mobile home and addition of mobile home (storm damage)
as per application and plans. o
8. Proposed Use
Roof Over Mobile Home - w
July
$ 20 - PERMIT FEE PAID —THIS PERMIT EXPIRES - - 10 - 19 90
(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.) O
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Dated at the Town of Queensbury this 10th Day of January 19 90 <o
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SIGNED BY \ for the Town of Queensbury
Building and Zo ing Inspector ry
CD
TOWN OF QUEENSBURY iqlqo
REVIEWED BY
/ TOWN ��QU1/ED QUEENSBURY
41/1111111likbal FEE PAID = / (/�/ (�(
g % PERMIT NO. 9O—®/
'� � JAN 0 5 1990
BUILDING PERMIT APPLICATION
BLDG. & CODE DEPT. .
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicants spaces on this application MUST be completed and the signature of the
applicant MUST appear on the reverse side of this application.
• • • • • • • • • • • • • • • • • • • • * • •'' • • • • • • • • • • • • • • • • • •
The owner of this property is: UK
P.O. Address l q 3 c0Z:]
Property Location V-d rL�5 DG 1 w_I,c_____ Tax Map No. / /
Has there been any split of this property since October 1, 1988? /
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE LOT NO.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
•
NATURE OF PROPOSED WORK: * ESriMATED MARKET VALUE OF
Construction of a new building * CONSTRUCTION: $ 2_0 o
Addition to a building • COMPLETE INFORMATION REQUIRED BELOW:
• Size of property ft x ft.
Alteration to a building * Existing Buildings(3) Size ft. x ft.
(no change to exterior dimensions) •
` 1 Proposed building - distance from property line:
they work (Describe) Tc 1 1oc\ ' Front yard ft. Rear yard ft.
4 � •
Mier'
cAelS)
m( -k`,�-, -ct. ,�C ,� Side yards ft. and ft.
Y� * If on corner, setback from side street ft.
GROSS AREA OF ED STRUCTURE •
1st Floor `)-P- sq. ft. •
• OCCUPANCY INFORMATION
2nd Floor sq. ft. • Primary Building -
Other Floors sq. ft. • J,,,._One Family Dwelling
(not cellar or basement) • Two Family Dwelling
TOTAL FLOOR AREA Nik sq. ft.
• Multiple Dwelling/Number of units
Size of new structureL ft x ft. • Business
Foundation-pier/slab/crawl/partial • Industrial
(circle one) • Other
•
No. of stories (habitable space) k I\ • __ _�,
Height (grade to ridge) .A ft. • If addition, what will use be?.
It residential, no. of famines__ •
No. of rooms(excluding baths) r •
L-1
(' ' Accessory Building
No. of bedrooms ' _14, Detached Garage ONE/TWO Car
No. of bathrooms, ( •
Primary heating system Q • _Attached Garage ONE/TWO Car
Type of fuel • . 11,_IA Private storage building
No. of fireplaces to be installed_ •
Willa wood stove be installed �` • _Other,
Central Air conditioning 1J O •
OVER .
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe. etc. lj a
Will any second-hand or upgraded lumber be used? If so, for what? D,
Foundation wall material V) Thickness
Depth of foundation below grade (to bottom of footing) ILI
Will there be a cellar? OA Heated or unheated? Floor sq. footage sq ft.
Will there be a basement? ‘-/� Will any portion be used as living space? !v
(If so, what portion? sq ft. Type of use?
Type of roof - sloped/flat/shed/other . L Material of roof
Size, wood studs "x " spacing " o.c. length ft,
Joists (floor beams) 1st floor "x " spacing "o.c. span ft.
Joist (floor beams) 2nd floor "x " spacing "o.c. span ft.
Overlays (ceiling beams) "x " spacing " o.c. span ft. `_
Roof rafters "x •
" spacing o.c. span ft. `I oTe._ Mo•..-� 4r-rja- aX6o\ -§" o a�
Roof trusses (pre-engineered) spacing " o.c. span ft.
Exterior wall finish of what material? 41,
Interior wall finish
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
Is there to be an opening between garage and dwelling? rJ-A If so will a Fire-rated door, enclosure,
self-closing device be provided?
Will a flue-lined chimney be installed? KV_A Height above roof ft.
Depth of chimney foundation below grade
Depth of fireplace hearth Ion" t. in,
Water supply - Municipal or private well
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties ft.
(A separate application is necessary for any repair or new installation of septic system)
NAME OFBUILDER ( . B C(� ADDRESS CvY'C �'G�( ; TEL. NO. `"2Q3S'81 C�
NAME OF PLUMBER ADDRESS TEL. NO.
NAME OF MASON ADDRESS TEL. NO.
NAME OF ELECTRICIAN ADDRESS TEL. NO.
DECLARATION
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 provisimm-i.Hof the BUILDING CODE, THE ZONING ORDINANCE, and
aiu %rum. wi'ws pertaining to the proposed work shall be complied with, whether specified or not, and that
such work is authorized by the owner.
Signature( ?r D ,
Owner, owner's t, architect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
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\ BY
Vi°
TOWN OF QUEENSBURY PM
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804- ,R5-v
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT /
REQUEST FOR INSPECTION ECEIVESD ///(p/r0
NAME 7)1,111 d /r
LOCATION l ( �7f bA J / A_e
DATE ///(o//d I PERMIT # gO-0/(
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP- ROOFING
BACKFILL APPROVAL
OUGH PLUMBING
,
RAMING
ELECTRICAL ROUGH-1 N
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/S' EP'
STAIRS-CLEARANCE & •'ILS
PLUMBING FIXTURES/R I IEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFI 'G
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL / SPECT'ON
FINAL APPROVAL OF CONSTR TION
A SIGNED CERTIF CATE OF OC PANCY MUST BE
OBTAINED FROM 'HE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
INSPECTOR
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 I y }2I:--iU CH
LOCATION T,(/63,L)2 ZiR,(/ Da . i r�n6s i po-�fC
DATE ) 1 f `I o i PERMIT # • .
\ ( I
( 4T_ AAfPPROVED
\ J YES NO
FOOTING/PIERS l
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-gROOFING. .
BACKFILL APPROVAL . .
- ROUGH PLUMBING
(FRAMING 1'CO o r= /p 0 La-/Llo6 i(& /4oM6-
-ELECTRICAL ROUGH-IN '
INSULATION I
FOUNDATION
FLOORS \ f . . . .
WALLS \/ . . . .
CEILING r\
• FINAL INSPECTION:
CHIMNEY HEIGHT .
ROOFING. I \
SIDING I \
EXTERNAL'PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING/1FIXTURE /RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS . \
GARAGE FIREPROOFING .
DOOR CLOSER(S) \
SMOKE Dh'TECTORS \
' 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: ` \
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