1990-488 '-' `;1.. • ,i � .S. i ii ' ('�_ v W\L•.;i. ,1i''•. f, - `aa . , :"' , sue .�
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' 'I C�'1 OF. OC J ANCY i
" : P
WARREN.,000NTY,• NEW .Y®RK
, Dace Nov mhPr 21 ,
This•is to certify that work requested to be done as".shown by Peimit N . 90-488 •
{
has been completed.
. . ti
` � double-wide .sifig1e family mobile hnm6 '
Thin structure xnay. be occupied as a /
• . '1.nrmnon I117 _
's Avenue ��' �! ( 7 /.? • ' - •
•
Owner
JOHN :•E. D,4f_Y •
icy`Order Town.Board
"I, .. OF'QUEENSBURY
r .
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Director of..B1dg..& Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY x
No. 90-488 4
WARREN COUNTY, NEW YORK 'd
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PERMISSION is hereby granted to JOHN E. DALY F,
OWNER of property located at Illinois Avenue Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Double-wide 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. OWNER'S Address is
RD#4 Box 229 Ohio Av
Queensbury NY 12804 ti
1-C
2. CONTRACTOR or BUILDER'S Name 0
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Happy Homes
3. CONTRACTOR or BUILDER'S Address
Route 9
Round Lake E
4. ARCHITECT'S Name
CD
5. ARCHITECT'S Address
CD
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 24'x40' Double-wide Mobile Home as per plot plan, specifications and
application.
8. Proposed Use
Double-wide single family mobile home fD
CD
54.00 January 27 19 91
$ 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 CD
town of Queensbury before the expiration date.)
0
Dated at the Town of Queensbury this 27th Day of July 19 90
SIGNED BY rl {J _t ' qiL%� A for the Town of Queensbury
B ilding and Zoning Inspector ' /I
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TO BE COMPLETED BY BLDG. EPT.
_luwn o/ QUeiiiIiiiiry Application No. j� -` J(/
Permit Issued 19 -
BUILDING and ZONING DEPARTMENT
Permit Expires • 19
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation ow'?e'GR QUEENSEURY
Oueensbury, New York 12801 Variance No.. . �) RECEIVED_
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Site Plan Revie N'
APPLICATION FOR Approved by: JUL 2 51990
MOBILE HOME ,4--. J D L ' •
ELDG..& CODE DEFT'.
HIDING AND ZONING PERMIT
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* * * * * * * * . * * * * * * * . * . . .: . . * * * * * * * * * . - it * * * * *::*
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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 ill accordance with the description, _plans and specifications submitted, and-such
special conditions as may be indicated on the Permit.
The owner of this property is: John E. Daly
P.U. Address Rn44 Box 229 Ohio Avenue Queensbury New York 128&4 Tel. 792-6471
Property Location: Illinois Avenue 127-3-9 Tax Map No127 / 3 / 9
Street liumber or building lot number
NONE
Subdivision name (if applicable)
. THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES I
John Daly RD#4 Box 229 Ohio Avenue 7 �=6471
Name P.O. Address - Tel. No.
Name of Installe/HAPPY HOMES Address Route 9 Round Lake
Tel.899-6723
Name of plumber SAME Address Tel.
Name of mason SAME Address Tel.
MOBILE HOME INFORMATION: * . ZONING INFORMATION:
New home Placement VFG . * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
-* drawn reasonably to scale and attached hereto,
Replacing existing HomeNO * showing clearly and distinctly all buildings,
Size of new Home 3,I ft-X W ft . _� e0 * whether existing or proposed and indicate all
•Single 1,41e Double wide X .1�► ,O• * set-back dimensions from property lines. Give
street and number or lot number and indicate
No. of rooms (excluding baths) * whether interior or corner lot. Show location
5 * of water supply and location and configuration •
No. of bedrooms Fear Three * of septic disposal area. .
*
No. of bathrooms Two * COMPLETE INFORMATION REQUIRED BELOW.
Fireplace? X Wood stove? * Size of property • ft X ft.
Lojun(�a ion sty a and- size: * Existing building(s) Size none ft X none ft.
q//x- o/u m i s�°-� G // r •
• Pi-crz- ,.Ne-e-f ,� Size- D ft x 3
Existing buildiny(s) Use
Depth below grade 7 ft.
* Proposed building, distance from property line
FOUNDATION - 0/ an
Footing size /0 " X f V"
/>� /� • Front yard35 Feet ft Rear yard6l Feet 8in.t
Wall material sR �e;s� ,Yrs.j n� Lavar� * Side yards35 Feet ft and25 Feet ft
Wall thickness Height `� ft. * If on corner, setback from side street35 'Feeift
* OCCUPANCY INFORMATION -
Total depth below gradet. r
Grade to Home floor level S(/ gyp. • PRIMARY BUILDING -
* * * * * * * * * * * * * * * * * * * * * X One family dwelling .
* Two family dwelling •
Proposed date of placement 08 / 20 / 90 * Multiple dwelling / Number of units
Aprox. Value. of Home $ 25,000 + Permanent occupancy
* Transient occupancy
Water supply - Well Municipal X * Business
* Industrial
Septic Permit required? Yes • Other
If addition, what will use be?
FURTHER INFORMATION REQUESTED
* ACCESSORY BUILDING-
ON THE REVERSE SIDE OF THIS SHEET.* . Detached garage/one car/ two car/ car
* Attached garage/one car/ two car/-car
* Private storage building
* Other
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Form MIIP 5/86 and-vl
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APPLI CAT ION 'FOR MOBILE HOME PERMIT, (CONTINUED)
State of New York Division of Housing and Community Renewal
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INSIGNIA :OF APPROVAL OF THE STATE BUILDING CODE
1 . INSIGNIA SERIAL NUMBER A
2 . NAME OF MANUFACTURER C . IJ,p•ThQ_ gju, ,' JeN (9
3 . PLAN APPROVAL NUMBER
/• LP /
4 . MODEL OR COMPONENT DESIGNATION c (� / r� '`I 7
• 1 K%
5 . MANUFACTURER 'S SERIAL NUMBER .47- •
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6 . DATE OF .MANUFACTURE
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All the above information is to be found on a plate or sticker which
should be affixed to the Mobile Home. Complete..above With that information.
. # .4 .4 4 * * * 4 * * * * * * * .* * * *-.* * '* • it * * * * * * * * * * *4 * * *
Town of Queensbury
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
provisions of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to
the proposed work shall be complied-.with, wheth s • ified or not, and that such work is
authorized by the owner.
Signatur
er, 'owne ent,arcnitect,'contractor
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SPECIAL CONDITIONS OF THE PERMIT:
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By
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/ 111: TOWN OF QUEENSBURY
`llRg APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE: / R -1 40
LOCATION OF PROPERTY FOR INSTALLATION 'LL i (9;s am) r kirs 1 C4/0 r-/-14 1-/e-s77)
Owner's Name: L AI/W-
Address: P t/A), (re)t; a ,74( _ Lev,rLiiy //~f )r� ?YO /
Installer' s Name: Telephone: I), a C ujt) )
Number of bedrooms (residential only) . S
CIrEE1;2B IR
Total daily flow (compute @ 150 gal per bedroom) Li S-1 PECEIVED
Topography: Circle one: IMP Rolling: Steep Slope % of Slope JUL 2 5 1390
Soil Nature: Circle one: Sand Loam Clay Other /Depth:
BLDG. & CODE DEPT.
Ground Water: At what depth? T O Feet
Bedrock or Impervious Material : At what depth? /4/'C) •
Q_Eeet
Percolation test: Circle one: not required required
Rate - /%-4 Min. Per Inch
Domestic water supply: Circle one. Municipal Well Other
If domestic water supply is a. we .
Separation: Water supply from any septic absorption
PROPOSED SYSTEM: Septic Tank /F} (O() gal . (minimum size: 1,000 gal )
TILE FIELD: Each Trench feet/Total system length feet
SEEPA PIT(S): Number of 2 /Size each B. feet
by � feet
Size of stone to be used #: 3 /Depth or Thickness � feet
*****************************
HOLDING TANK SYSTEM IF REQUIRED
NO. of Tanks Size of Each Gal .
*Alarm system and associated electrical Mork to be inspected by an approved
agency.
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 PERSO DATE: �4
0
Septic System Inspections:
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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,
tile fields and/or drywalls
B. Nu 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 co $250.00.
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may
result in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installa—
tion, alteration or repair of an approved system, a new proposal must
be submitted to the Queensbury Building Department before further
construction.
Town of Queensbury
BUILDING and CODES DEPARTMENT •
Bay and Haviland Roads
Queensbury, New York 12804
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h,:nwrks:
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,Z1
TOWN OF QUEENSBURY G&
BUILDING AND CODES DEPARTMENT J
BAY & HAVILAND ROADS �j
QUEENSBURY, NEW YORK 12801-
TELEPHONE (518) 792-5832 i `✓ lL)
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 06
o,4()
NAME � /� .,c/I d'• 4 4G_ .
LOCATION ‘ j 7 >$ / 1
DATE / //�1J t , PERMIT # 9n 4ef
n�J �,, - k • APPROVED'
/1/�7C1�//�j /fGlQ%'. - %�-nu YES /NO
FOOTING/PIERS / {
MONOLITHIC POUR FORMS ' /
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL ' • /
ROUGH PLUMBING �' " /
FRAMING i /
ELECTRICAL ROUGH-IN 1 : If '
INSULATION: I
FOUNDATION 1
FLOORS. / • .
WALLS 1 . i
CEILING
/FINAL INSPECTION: ,
CHIMNEY HEIGHT
ROOFING / i
SIDING /
EXTERNAL PORCHES/STEPS x
.r
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIRE1PROOFING
DOOR CLOSER(S) u`
SMOKE DETECTORS K
FINAL ELECTRICAL INSPECTION '
FINAL APPROVAL OF CONSTRU TIO
- OK TO ISSUE C/O OR C/C;
/ .1
A SIGNED CERTIFICATE OF; OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THEIPREMISES ARE OCCUPIED!
� /'LF/ i
REMARKS: � J /-- `-- a-"L-'
ALL---10 - , . ,
Lam_ ,VV�-e_ o)J s 2
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pivr- PZ_f V SLi.eM` T-Tt.
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ARRIVE I�j:3j
DEPART 3,r24) /: -\
INS ECTOR'
\\ awn of Queeniurty
BUILDING and .ONING DEPARTMENT
Bay and Havila d Road, R.D. 1 Box 98
Queensbu y, New York 12801
SE \TIC DISPOSAL SYSTEM INSPECTION
NAME I b .
LOCATION ', i _ L v
DATE o1 Z.,/ G 4RMIT NO. 90 - LOOS
SOIL TYPE t Sand - Loam - Clay -
Percolatio' Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYS fM:
Absorption f\el , total length
Length of eat rench
Depth of trenih.s
Size of grave
SEEPAGE PITS4N . er of)
Size- ft. _ ft.
Gravel size
PIPING: \ Size Type
Bldg. to tank
Tank to dist. o
Dist. box to f end/pit
Openings seale ? ( YES NO Partial
LOCATION/SEPA TI S:
Foundation to tank' // ft.
Foundation to absorption lift.
Absorption to lot llne /o ft.
Separation 'of jpits \ ,{t/oft.
LOCATION OF S STEM ON PROPERTY(circle one)
Front - Rear Left 4de - Right side -
COMMENTS: E
rG2-D C. TM0✓i0�' i u COAJ re rz)/\
5 :. S I.poA- ` A-
Sv-gAtN L w Pici- 1D1_,v 7-0
5 14_0(A.j S s n&-' f 1 s+ -uGy3
S z- Pr cm) ( PE- 3-J-/u
SYSTEM USE PPROVE YES NO
il
Building In pecto
+27?A
01/86 and vl
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_Down of Queeniturj
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BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury,INew York 12801
S:PTIC DISPOSAL' SY" EM INSPECTION
NAME 44.J4A4 •
LOCATION 44 cr 0,.lALc" reJ
•DATE f' / 9 PERMIT NO.
I
SOIL TYPE an - Lo•,m - Clay -
Percolation Test Required? YES NO
Percolation rate - M" /Inch
TYPE of SYST k :
Absorption fi:'ld, t., al length
Length of each treniih 4O_'Fj
Depth of trenc'es
Size of gravel_, 3 _
SEEPAGE PITS4N .e of
Size- IF ft.
G •e size 1;
PIPING: Size Type
Bldg. to tank - - _
Tank to dist. box
Dist. box to fiel.i ;.it
Openings sealed? aES NO Partial
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LOCATION/SEPARATIt S.‘
Foundation to tan ; , ft.
Foundation to absrpton ft.
Absorption to lot line`s ft. ,
Separation of pith ft.
LOCATION OF SYST. ON P.,OPERTY(circle one)
Front - Rear - L,It sides - Right side -
COMMENTS:
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AUK ! [/ 1
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crf3 M i C-qi P1-0 PLAAr
SYSTEM USE APPRO ED YES ^
Bui d g Inspector
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01/86 and vl
TOWN OF Q EENSBURY
BUILDING AN CODES DEP TMENT
BAY & HAVI ND ROADS
QUEENSBURY, NEW YORK 1280i /9
g •
TELEPHONE 18) 792- 832
BUILDING IN PECTOR'S REPORT
REQUEST FOR 4TSPECTI4N RECEIVED 0��//�'d
NAME / e ,
LOCATION P6 7
DATE (1),70/(4- I U PERMIT # 717 7°7 4 4
APPROVED
YES NO .
I
FOOTING/PIERS
MONOLITHIC POU F RMS ✓,
VP FOUNDATION/DAMP P OOFING
(IT BACKFILL APPROt LI
ROUGH PLUMBING f
FRAMING \ '
ELECTRICAL ROUG , IN' '
INSULATION: AFOUNDATION
FLOORS 1
WALLS '
CEILING .
FINAL INSPECTOO :
CHIMNEY HEIG T
ROOFING \
SIDING •
EXTERNAL POR HES/"TEPS
STAIRS-CLEA NCE •\RAILS
PLUMBING FIX URES/'ELIEF VALVE
INTERIOR TRI/PRIV4, Y DOORS
FINISHED FLOORS \
GARAGE FIRE ROOFING •
DOOR CLOSER S)
SMOKE DETEC ORS r •
FINAL ELECTRI AL INSPE4 ION
_FINAL APPROVA OF CONST` UCTION
OK TO ISSUE /0 OR C/C--, :
\A SIGNED CER .I -
- FICATE OF CCUPAN.CY. MUST BE
OBTAINED FRO THE BUILDI1 DEPARTMENT BEFORE
THESE PREMIS S ARE OCCUPI.D!
REMARKS:
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ARRIVE
DEPART
INSPECTOR
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Jo[un of Queeniurcy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDIN INSPE/1? al.CTOR ' S//iNo /i4/-//r6K
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NAME �� Lf,
J
LOCATION //�� l
Date / ,e, Permit✓ = APPR -/ NO
l'Alooting/Pier orms 3
Foundation
Waterproofing
Backfill
Framing .
//f
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches , •
• .
Finished Floors Interior Trim
Stairs & Railings if
Cellar Drain Tile j • ,
Concrete Floors /
Plbg. Fixtures '
Gar. Fireproofing It I
Door Closers i
Smoke Detectors I
Chimney • .
INSULATION: A
Foundation '
Floors \ •
Walls
Ceiling ,
FINAL ELECTRICAL ;INSP:CTION
DRIVEWAY APPROVA,
Final Final Building ' rvey
i. A
Next scheduled/ins ,ec` .,n Call when ready)
Remarks- / ,;V /1/ e` /�/ 7 e
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Building Inspector
6/86 and-vl '
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TOWN OFOUEl-ENSBURY
Zoning Adraira'stratoir
YAXMAP Iz7-3-4
%w &T I I APPROVED BY:
DRAWN BY
IDATL REVISED
DRAWING NUMER