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1989-768 i I 1 } I CERrnfgCArM C►I OCCUPAN%4.0 J TOWN OF +QUEEN56URY j I WARREN COUNTY, NEW YORK I Date May 1990 j 'This is to certify that work requested to be done as shown by Permit No. -- ., 8 has been completed. This structure may be occupied as a _ Mo b i ] e Home I Location Owner _ Harold & Shirley Nash Sy Carder Town Board k TOWN OF QUEENS$URY Building !f► Zoning Inspector I I I I BUILDING PERMIT TOWN OF QUEENSBURY No WARREN COUNTY, NEW YORK N . rn PERMISSION is hereby granted to Harold & Shirlioy Ua4zh c+n c.r OWNER of property located at Sanders RnAd Street, Road or Ave. in the Town of Queensbury, To Construct or place a Tchmpnra ry Mobi 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- I- OWNER'S Address is b RD#3 Sanders Road 2. CONTRACTOR or BUILDER'S Name o Self as to 3. CONTRACTOR or BUILDER'S Address T J. J Same rD �-c 4. ARCHITECT'S Name 5. ARCHITECT'S Address u 0 CL F. TYPE of Construction — (Please indicate by X) - I wood Frame I ) Masonry S i Steel { J wa O 7. PLANS and Specifications No, 14 ' x 68 ' Temporary Mobile Home as per plot plan , specifications , and application . Town Board Approval : 9/25/89 B. Proposed Use Variance : 92- 1989 TEMPORARY USE UNTIL PERMANENT APPROVAL GIVEN BY TOWN BOARD Temporary Mobile Home $ An _ ()n PERMIT FEE PAID — THIS PERMIT EXPIRES December 28 89 (lf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Ousensbury before the axpiration date.) C C Dated at the Town of Queensbury this 28th Day of September SIGNED BY �— for the Town of Queensbury n Budding a rtE#Toning Inspector wow TO BE COMPLETED nL PT . TOW' . ,�/� � Q15I�ci'`J.�BURY / Application N 'P G Doi �� l� �/uwn o uPc�si3fslsrt�t Permit Issued � O [�++ # BUILDING and ,ZONING DEPARTMENT Permit Expires 19 SE H R w $t} Day ana aviland Road, Fi.GI. 1 Box ()a Designation Queensbury, NOW York 128ot Variance No,- BLDG Sites an Review Now CODE G�PT; APPLICATION FOR App' ova = MOBILE HOME _. PO I LD I N; AND ZONING PERMIT # # 1* % M 'II• # # ♦ All * * # * * M M # R iF .1 M M 0 e1' • # M * K M ei ei N M M ei N i 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 ilk accordance with the descriptiona plans and specifications submitted , and such nPeciul conditions as may be indicated on the Permit . The owner of this property isz In Gif P . D. Address S2 All r-/ —� Li ToEI:�! Property Location , Tax Map No* Street I:umbor or building lot numbs � S"division name ( if applicable) THE PI3RSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS , 17.xene Imo , O. Address Tel * No . NamO Of 1T r Name of installer rr r A7r [� i j rid Adress LZ X)J , � S � �a clr �- :^ � "Iel ._� �r crf' � F' ,1a1s>e_ " 1 et r- Address _ , I '14x1 . N;inmu of tnasare 1 r �Address 1 ; Tel . MOBILE HOME INFORMATION : * ZONING INFORMATION : New Home Placement f A PLOT PLAN MUST BE PREPARED AND SUBMITTED , - 'I drawn reasonably to scale and attached hereto , Replacing existing Home " showing clearly and distinctly all buildings , Size of new Home / ,ft Xft w whether existing or proposed and indicate all * set-back dimensions from property lines . Give Single w ` lr L 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 K9— COMPLETE INFORMATION REQUIRED BELOW * Fireplace? wood stove? " Size of property 20S21 i2204� a f t X f t * Foundation style and size : ' Existing building ( s ) Size , rL4e ft X_ =ft . Piers- No , of - Size-,,2,,ft x 2e2fft . + misting building(u ) Use C � Depth below grade ' - t: "`49�^ wPro Proposed buildin di f FOUNlIVrION Footing size '• X " • JPo y • uLance from property line Front yard t7 � ft Rear yard ✓ ti ft Wall material * side yards Ly/ zi ft and ft Wall thickness Height ft * r IP on cornerr s�erback from aide streak ft Total depth below grade ft , ` OCCUPANCY INFORMATICN r Gracie to Home floor level, ft * ♦ PRIMARY BUILDING - • ► w r * r w It r * w r k k sf'one gamily dwelling ,. Two family dwelling Proposed date of placements/i/ 0 Multiple dwelling- / Number of xu► its , �� Permanent Occupancy A gr o x . Value of Name $ -SL-� zQ {) * Transient occupancy Water supplywell Municipal Business ,. Industrial Septic Permit required? r * Other * if additions what will USU be? FURTHER INFORMATION REQUESTED * ACCESSORY BUILDING. ON THE REVERSE SIDE OF THIS SHEET * * ww=wWMWW(detached garage/one car/ two car/ car " Attached garage/one car/ two car/ car Private storage building "' Other r Form MI1P 5 / 06 and - vl --W% �► APPLICATION FOR MOBILE HOME PERMIT, ( CONTINUED) State of New York Division of Housing and Community Renewal INSIGNIA OF APPROVAL OF THE STATE BSIILDING CODE 1 . INSIGNIA SERIAL NUMBER_ 2 . NAME OF MANUFACTURER 3 . PLAN APPROVAL NUMBER A . MODEL OR COMPONENT DESIGNATION r 5 . MANUFACTURERtS SERIAL NUMBER ` `7l 0 6 . DATE OF MANUFACTURE b I ,L 4 ' AZZ the above information i, a to be found on a plate or sticker which should be affixed to the Mobile Name . Comptete .above with that information. Town of Queenshury 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 provisiona 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 such work is authorized by the owner . Signature. Owner, owne r.ect , contractor SPECIAL CONDITIONS OF THE PERMIT : r . . f a , t .:.;�`.`�r.!N OF Q UEENSB UP Y r APPLICATION FOR =c SEPTIC DISPOSAL PERMIT' DATE LOCATION OF PROPERTY FOR INSTALLATION ,�^� Owner's Name: f , U "n i/ 5 � ` �elephone. 17 / . / Address: 7 Installer's Name: �p�7-�z Telephone: 7 /40 4 Number of bedrooms (residential only) Total daily flow (computee d 150 gal per bedroom) MIN Topography: Circle one:(' Rolling Steep Slope % of Slope Soil Nature: Circle one: an Loam Clay Other /Depth: Feet Ground Water: At what depth? �'� Feet Bedrock or Impervious Material: At what depth? " � Feet Percolation test: Circle one: of required required rate rain. inch. Domestic water supply: circle one: gunicipal Well Other If domestic water supply is a well: Separation: Water supply from septic absorption feet PROPOSED SYSTEM : Septic Tank &Klo gal. (minimum size: 1 , 000 gal. ) TILE FIELD: Each Trench feet/Total system length feet r SEEPAGE PIT(S): Number of / Size each feet by feet Size of stone to be used _/Depth or Thickness /„ fQaL 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 Sanitary Sewage Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: DATE: OVER ti Septic System Inspections : A . All applications for septic system installation , alteration or repair , as required by the Town 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 : 1 . ) the proposed location of the system 2 . ) location and distance to lot lines 3 . ) location and distance to structures 4 . ) location and distance to any water supply 5 . ) size and dimensions of all tanks , distribution boxes , the fields and /or drywells B . No system shall be covered before inspection and approval by the Building Inspector . Failure to comply with this requirement may result in the uncovering; of the 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 must be submitted to the Quwt:insbury Building Department before further c onstruc t ion . Town of Queensbury BUILDING and CODES DEPARTMENT Bay and Haviland Roads Queensbury , New York 12804 k marks ;4C; 6�d ' sw MOd 7W�A,14 l r_� / V o S TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280& TELEPHONE (5l8) 792-5832 BUIJDING INSPECTOR' S REPORT REQUEST FOR INS ECTTONf REC/EIVED 1� % NAME LOCATION DATE i7 e .PERMIT APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FO FOUNDATION/DAMP—PROD ING BACKFILL APPROVAL ROUGH PLUMBING t FRAMING i ELECTRICAL ROUGH— INSULATION: FOUNDATION FLOORS WALLS CEILING ✓ .FINAL INSPECT )No GG CHIMNEY HEIGHT ROOFING S•XTRPG XTERNAL PORCHES/STEPS STAIRS—CLEARANCE & RAILS PLUMBING FIXTURESIRELIEF VE INTERIOR TRIM/PRIVACY FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER (S)� SMOKE DETECTORS FINAL ELECTRICAL INSPECT ON ,_ .FINAL APPROVAL OF CONS T CTX OK To ISSUE /0 e A SIGNED CERTIFICATE O OCCUPANCY�WST BE OBTAINED FROM THE BUI ING DEPART aNT BEFORE THESE PREMISES ARE OC PIED! REMARKS: ARRIVE a f� DEPART / `L0 INSPECTOR THE NEW YORK r,,BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 41 STATA STREET, ALBANY, NEW YORK 12207 •1 '•. },;r f{ ,`� r, ' ";. , �. Application No_ onfile '�' . r; -1 .^� "; a �; ! s: . r Date THIS CERTIFIES THAT l�J1 only the electrical egrtipment as described beLow and intraduced by the applicant nonsed on the above application n�� in t'hopnon" lee LI in the fallowinx Location• paseo t . . ❑ lot FT. ❑ $nd FR. £ 1 Section Block Loot r was examined anF 1 }`' IrP r and found to be in compliance with the requirenaenta of this Board. a FIXTURE lrTACLES SHV1tCEtES FIXTURES RANGES COOKINLi DECKS OVENS DOM WASHERS 'EXHAUST FA OUTLETS INCANa]ESCEMI FLUORESCENT OTHEn AMT- K. W- AMT, K. W. AAAT- K.W. AMT. K, W. AMT- N. F. DRYERS FURNACE A40TORS FUTURE APVU NCE FElDERS SPECIAL REC'P7 TIME CLOCKS BELL UNIT HEATERS M SYSTEMSRT MAMMAS AMT. K. W. Oft H. P. GAS H. P- M too.AT. O. A. W. G. AMT. AMP. MhT. A/An. TRANS. AMT. H. P. NO. Of FEET AMT. WATTS SERVICE DISCONNECT No. csF S E R V I C E AMT. AMP. TTPF METER 1 X TW 1 0 3W 3 1I 3W 3 ,e Iw HO. OF a- COMM A. W. G. NO. OF HNLEG A. W. G. NO. OF NEUTRALS A.W.G. eNildIP. PER A' OF CC. COMO. OF HI-LEG OF NEUTRAL OTHER APPARATUS: } r BRANCH MANAGER } , I, ; Prr This certificate mast not be altered in any mannerl return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUDDING DEPARTMENT. ANY . TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT .BAY & HAVILAN ROADS �7 UEENSBURY, NEW W YORK 3 2$peI TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S ]DEPORT 3 REQUEST FOR INSPECTION RECEIVED NAME CZ1444 LOCATION DATE / G _ _ ��PERMIT # �"/�jr APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR poRMS FOUNDATION/DAMP—PRpOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING f ELECTRICAL ROUGH—IN INSULATION: FOUNDATION FLOORS WALLS i C:fo,XLING AL INSPECTION., CHIMNEY HEIGHT ROOFING SIDING < EXTERNAL PORCHESfSTEPS l STAIRS—CLEARANCE & RAILS PLUMBING FIXTURES/RELIE VALVE INTERIOR TRIM/PRIVACY ORS FINISHED FLOORS GARAGE FZ'REPRDOFSNG DOOR CLOSERS) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A .SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT ,BEFORE THESE PREMISES ARE OCCUPIED! REMARK i Y J L Y2 L} C= c,. L),f,4 it- lz, \� R� I NSPE R t� /r _lawn a ueen3bury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R .D. 1 Sax 98 141F Queensbury, New York 12801 SEPTIICCC DI,pSPOSAL SYSTEM INSPECTION NAME LOCAT I ON E2- BATE %Z ` 1 PERMIT NO. f ` °d i` SOIL TYPE - Sand - Loam - Clay Percolation Test Required? YES - NO Percolation rate - Min/Inch - TYPE of SYSTEMI4 Absorption field , total le t Length of each each Depth of trenche Size of ggxavel_ SEEPAGE i? ITS#Nt11nb of Size- ft» X _ f Gravel size PIPING : Size Type Bldg . to tank ' Tank sboo , to ed?x ES NO Partial — 3]ist. boy: to £se / openings LOCATION/SEPA IONS : Foundation to ank 7 t_ Foundation to absorption t _ Absorption t lot line t_ Separation - pits r-- f LOCATION YSTEM ON PROPERTY (c . cle one) Front - ea Left side - might de - CCINSMENT SYSTEM USE APPROVED YES NO Building Inspector 01/86 and V1 TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENS'BURYt NEW YORK 1280+q. TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR IN/SJPECTI N RECEIVED NAME LOCATION DATE -�''' ''! �/ ¢,+i PERMIT #IL APPROVED YES NO OPTINGjPIE MONOLITHIC PO FORMS FOUNDAT20N/DAM —PROOFING BACKFTLL APPRO L ROUGH PLUMBING FRAMING ELECTRICAL, ROUGH— N INSULATION: FOUNDA TION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT 'e LL ROOFING SIDING d EXTERNAL PORC S/STEPS ,STAIRS—CLEA FCE & RAILS PLUMBING FI TURE91RELIEF LVE INTERIOR T IMfPRIVACY DOOR FINISHED LOORS GdSt?AGE F REPROOFING DOOR C .SER (S) SMOKE DETECTORS 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: 7D INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVXLAND ROADS QUEENSBURY, NEW YORIC 12804- TE.LEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION rVED - GL' { NAME , LOCATION DATE { PERMIT # - / 49 5 APPROVED YES I NO L FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BAC"XLZ APPROVAL ROUGH PLUMBING FRAMING x ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS t CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING i EXTERNAL PORCHEO&ISTAPS STAIRS-CLEARA2N1tE & RAXLS PLUMBING FIXTpRESfRELXEF VALVE INTERIOR TRZ4(IPRIVACY biPORS FINISHED F RS GARAGE FXREE FING - DOOR CLOSE (S} SMOKE DET TORS FINAL EL EC XCAL INSPECTION FINAL APPR . AL OF CONSTRUCTION a 1 1 A SIGNED CkRTXFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIEDP REMARKStf P70 �_- INSPECTOR SELECT SUSFNESS FORMES (609) 228-7775 APPLICATION FOR ELECTRICAL INSPECTION PLEASE BEAR DOWN YOU ARE MAILING (4) COPIES MIDDLE DEPARTMENT INSPECTION AGENCY, INC. National Headquarters 900 Haddon Ave., Collingswood, N.J_ 08108 City, Town or Township s A+ {IL1 aL y1 N/ County li t�c� !^ I'" t�f�/ State Location/Address (If Located in Rural Area - Please Attach Directi ns) Pole # Owner d ?r r�pl CJ ` e f /� A S' Z Permit # .� Occupied As f Building: Newl;Rr Older Occupant Work Area in Building Floor #, etc. ) : for: Wiring Q Service Q or. Ready for inspection: Fee Remitted - $ Cash C] Check M.O. [] Make Payable To: M.D. I.A. 306 7s0 lOo0 12 50 1$00 17 so 2000 2250 2500 : 3006 Number of Rough Wiring Outlets Elect. Heat Switches Lighting Amp. Service Surface Unit Dishwasher Range Receptacles Water Heater Air Conditioner Dryer Pump Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner Amp. Receptacles Fractional H.P. Vent Fans Other Equipment' MOTORS H.P. 1/2 1/12 1/10 1/8 1/e 1/4 1/3 1/2 314 1, 1 142 1 2 t 3 5 1 71/2 10 1 15 1 20 1 25 1 30 1 40 1 50 1 75 1 1OO Mark Number of Each Size Applicant's Signature License # Permit # T/A Uti I i ty: Applicant's Address: INAME i3FFICS LOCATI N (City) (State) (Zip) Service Request # Phone # Electrician : ` • DATE RECEIVED: DATE INSPECTED: Correct Location : Same as Above Q or : Red Notice Label El Rough Wiring Outlets Surface Unit Oven Switches Range Garbage Disposal Receptacles Water Heater Dishwasher Fixtures Air Conditioner Dryer Amp. Service Equipment Burner, Wiring & Controls for Amp. Receptacle Amp. Service Conductors Pump Vent Fans MOTORS H.P. 1 12/201 1/12 1 1/10 1/a 1/s l/4 1/3 112 3/4 1 1 14z 1 2 1 3 1 5 17421 10 15 20 25 30 40 1 50 1 75 1100 Mark Number of Each Size Elect. Heat 500 750 1 loon 1 1250 1500 1750 2000 223D 2500 2750 3000 F '1lVf 1i/►1 v1$11L" ! Ott ED RW Progress. Inc_ © LKD Contractor CFT Violation : Work Comp. O Inc. 0 L/A Owner CASH El L/A Fee CH K # # -f 0 IPA A+lunici paI Due MO INV # Date: Other Sided Utility Applicant I Own Cut in Card 0 Temp # Date IIUCDC!"Tflr]C Cli" l ter- . k y j i 5e c✓ic -.. r Of el�o Nor r f <w 1 C) -raw ► OF +QuEE NS'BURY Zoning Administrat Date TOWN OF QUEENSBURY BUILDING DEPT, PROPER METHOD FOR SUPPORTING A MOBILE HOME SHOWN FOR USE WITH A SINGLE WIDE MOBILE HOME ONLY FOR USE WITH A DOUBLE WIDE USE SAME METHOD UNDER EACH SIDE TRAILER BODY _TRAILE$ I .B� __._ _ __ _ _.. TRAILER FRAME WOOD BLOCKING I CEMENT BLOCKS - -.�__. ._ _ FINISH GRADE " - ' • e REINFORCEMENT_ROD . 64 10 WIRE MESH_ _ REINFORCEMENT ROD AND MESH AS PER CONDITIONS SLAB TO RUN FULL LENGTH OF THE TRAILER AS SHOWN --- -----' LIVING RaaM BEDROpOM BEDROOM 1` e 1g"- p" 12'- V'F ` / _fpAfn+GEr— _ 1 wrap. 1D 8" ! en — 1 noeF _3 KITCHEN/ DINING Jrw6IUL Mmm (-J7 CatnfdYL CfILMW GF?I14L1111L fY1lF4 1B,_ B,. BEDROOM wu,a.dF - 229C *7OX14 3 BEDROOM--CENTER KITCHEN—SNACK BAR—V-BAY—CATHEDRAL CEILING THROUGHOUT (913 Sol �T.) I x i.