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1989-779 �¢y. --s' < ...aT'- .,:.�yRy-• 's..:.r-.gsorYiR"r:-u.r:R"'s'•�'S i � .. . _. . r' . . - r :. r , ' + V r . CERTIFICATE OF OCCUPANCY i TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK i Dste_ September_ b _. 1990 This is to certify that work requested to be done an shown by Permit No. $9- 774 has been completed. This structure may be occupied a Single Family Modular jOwner Daniel & Deborah Blake f I By Order Town Board PFOWN OF QUEENSBURY I i LL} 11 fBuilding 6r Zoning Inspector I i i BUILDING PERMIT sc r TOWN OF QUEENSBURY No. 89- 779 a WARREN COUNTY, NEW YORK �. w PERMISSION is hereby granted to naniel A Deborah RI A ko , OWNER of property located at 786.7$8 Michigan Awpinue Street, Road or Ave. n, in the Town of Queensbury, To Construct or place a Single 1[6Al T91tXK9k[N1XFamily Modular 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 Sox 196 Michigan Avenue Queensbury ,N . Y . 12804 r- 2. CONTRACTOR or BUILDERS Name r�*t PREMIER BUILDERS-MUNCY HOMES , INC . o 3. CONTRACTOR or BUILDERS Address s< xD m ea- 4. ARCHITECT'S Name o su 5. ARCHITECT'S Address 6. TYPE of Construction — (Please indicate by XC ( I Wood Frame I Masonry ( ) steel ( I v co a 7_ PLANS and Specificationsti' 4poi co No. OXXXXIXXXXB 24 ' x 50 ' Single family modular as per plot plan , specifi cations , and applciation , including septic and XXXXXX driveway . S. Proposed Use tC au Single Family Modular m m $ _ 144 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES May (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) to tL] Dated at the Town of Queensbury thi ay of October 79.E m SIGNED BY for the Town of Queensbury w Building and 7Zoning Inspector t+c C s? c TOWN OF QUEENSBURY REVIEWED BY Ale FEE PAID PERMIT NO. dgl2 � SEP fa �Gr•, r BUILDING PERMIT APPLICATION OLDG. COOF, 0- A PERKrr MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL BE MADE UNTM 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. * * * * * * • * • �r * * +� « * * * * # * a. �y-�.+r w re s a * : : s * * * * * t • a .�. � The owner of this property isz Q. ► : , p j ( - d � �,� �`��, �/ l.�1-J e P.O. Address r Tel. 2 qIr7 , f Property Location (ty ��c ['� ��' y Pam , r wTax Map No. /.a/� �Ias there been any split of this property since Or_tc`u'et• 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: r NATURE OF PROPOSED WORK : ESTIMATED MARKET VALUE OF Construction of a new building a)cj �,i Q t- ,. CONSTRUCTION: $ T' Horn g- * COMPLETE INFORMATION RE UIRED BELOW: Addition to a building Q Size of property �LJ ft x �ft. Alteration to a building '" Existing Buildings(3) Size ft* x n �t.(no change to exterior dimensions) * Proposed building - distance from property line: O#her work {Describe? * Front yard � 0 ft . Rear yard 'l_6 ft. Mzritalial Side yards ft. and .=3 C7i) ft. GROSS AREA OF PROPOSED STRUCTURE If on corner, setback from side street ft. 1st FIOOP. c ©C) sq. ft. OCCUPANCY INFORMATION 2nd Floor sq. ft. * Primary Building - Other Floors sq. ft. • ✓One Family Dwelling (not cellar ar basement)--� * Two Family Dwelling TOTAL FLOOR AREA sq. ft. �AVr :ltiple Dwrea"rig/1Y' urinbee ut units Size of new structure ft x Cy Pt. } Business Foundation ter/slab/crawl/partial " Industrial (circle one) ' Other Na. of stories (habitable space) Height (grade to ridge) ft. * If addition, what will use be? If residential, no. of families Noo of rooms(excluding baths)_ ry -1` Accessory Building Na. of bedroomsmoomoo ,��` ,. e Detached Garage ONE/TWO Car No. of bathrooms Primary heating systemrl +► Attached Garage ONE/TWO Car Type of fuei415A,(�'�, A.S " Private storage building Noo of fireplaces to be installed " * Will a woad stove be installed- Other_ Central Air conditioning OV• ER BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe, etc. Will any second-hand or upgraded lumber be used? If so, for what ? A• lZ.3 Foundation wall material lac Thickness I Depth of foundation below grade (to bottom of footing) _ :5�/ Will there be a cellar ? LleS Heated or unheated?�4 e7) Floor sq, footage sq ft. Will there be a basement? Will any portion be used as living space? (If so, what portion? sq ft. Type of use ? Type of roof - slope /flat/shed/other Material of roof Size, wood studs�"xi 2." 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. Roof trusses (pre-engineered) spacing,"' o. c. span ft . Exterior wall finish of what material? 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? If so will a Fire-rated door, enclosure, self-closing device be provided? Will a flue-lined chimney be installed? Height above roof ft. Depth of chimney foundation below grade ft . Depth of fireplace hearth-4e rt. in. !y Water supply - Municipal or private well � 1� �( rl11 �L ' AT ` SEPTIC SYSTEM Distance from ANY private well (including adjoining properties ft, (A separation application is necessary for any repair or new installation of septic system) NAME OF BUILDER ADDRESS TEL. NO. 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 provisions of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall be complied wit4, whethe specified or not, and that such work is authorized by the owner. 611 �,�Signature471 p; . E2= _. ,s a �rar ' Owner, owner's agent, architect, contractor SPECIAL l CONDITIONS Gf C OP RM' IT ' l ' rJ r / /'e/`' G� r'�' C✓ r /; BY TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work . ANSWER ALL of the following : 1 . Gross floor area *54�10 JC7 2 . Type of heat a 2 ■ /4�.a' 3 . is the building mechanically cooled ? 4 . Percentage of area of windows and doors A . Over 16 % Only 1 . Uo value of gross area of walls , roof / ceiling and floors exposed to ambient conditions 2 . Floor over heated spaces YES NO a . Are foundation walls insulated ? YES NO 10 If YES , what is the R value ? 3 - slab on grade YES NO a . If YES , what is the R value of insulation around perimeter of floor ? 4 . Is basement heated ? YES NO a . R value of insulation 5 . Type of insulation 8 . Under 16 % Only i . R value of roof and floors exposed to ambient conditions . 2 . iR vaZ :ae n £ px . erinr walls R � � 9 3 . R value of glazed area LL - A ��t 4 . R value of doors Aje*'rr ; 601,+ 4 - 1JJ REOA 7- Lam. = . 2,67 5 . R value of floors over unheated spaces RR- 19 6 . R value of slab edge insulation - unheated slab +tfAj 7 . R value of slab insulation - heated slab ^h9 8 . R value of heated basement/ cellar walls ( above grade ) 9 . R value of heated basement /cellar walls ( below grade ) 10 . Type of insulation F'R3Ekq-zg35 *BAr- C . Controls Y . Thermostat maximum heat setting 75' D . Duct Systems 1 . Is duct system installed in unheated spaces ? YES NO a , If YES . R value of duct installation b . R value of duct in other areas E . Piping Insulation 1 * size of hot water or cooling carrying agent pipe 2 . R value of pipe Insulation F . Service Water Heating 1 . Performance efficiency 2 . Temperature control setting maximum gyp " G . For Swimming Pool Only 1 . Maximum heating Telephone No . , ( appli ant ' s sign - - re ) A OWN OF QUEENSSUPZY APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE LOCATION OF PROPERTY FOR INSTALLATION L CA Owner's Name �y t e [ r LJz � LIN ephone: G] t / Address: 1L' tit\ {� (� �.� L�" Y3LE Y--� AIV . Installer's Names i G_e a. y %F1r Telephone: Number of bedrooms (residential only) Total daily flow (compute fa 150 gal per bedroom ) y Topography: Circle one Flat Rolling Steep Slope % of Slope Soil Nature: Circle one and Loam Clay Other /Depth: Feet Ground Water: At what depth ? Feet Bedrock or Impervious Material: At what depth? Feet Percolation test. Circle one: not required required rate min. inch. Domestic water supply: circle one: Glunicipa Well Other If domestic water supply is a we'Tll . Separation: Water supply from septic absorption feet PROPOSED SYSTEM: Septic Tank_ W0 ____,gal. (minimum size: 1 ,000 gal.) TILE FIELD : Each Trench feet/Total system length feet SEEPAGE PIT(S): Number of / Size each 49feet by feet Size of stone to be used # /Depth or Thickness feet 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 Queensbur anitary Sewage Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: DATE: �� � OVER Septic System Inspections : A . All applications for septic sysCem 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 BO No system shall be covered befor. inspoi�- ction ar,d approval by the Building Iixspuctor . Failure to comply with this requirement may result in thm uncoverin8 of the system by the installer and a fine ut 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 bu submitted to the Queensbury Building Department before further construction . Town of Queensbury BUILDTNG and CODES DEPARTMENT Bay and Haviland Roads Queensbury , New York 12804 k�ntarks ; Wd y BLDG. PERMIT NO. 89-779 APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property located at; for the following uses: single family modular home zz DATE C SIGNATURE OF APPLICANT TEMPORARY CERTIFICATE OF OCCUPANCY The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby ( )APPROVED ( )DISAPPROVED with the following conditions: plastic_ plumbing must be replaced with copper plumbing. TEMPORARY CERTIFICATE OF OCCUPANCY FEE. ( "10.00 DEPOSIT: ( )$100 .00 received on August 10, 1990 / Date of Issuance Director of-Bldg, & Code Enforcement THIS TEMPORARY {CERTIFICATE OF OCCUPANCY EXPIRES 30 DAYS FROM THE DATE OF ISSUANCE, NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. & Code Enforcement or his designee. THE NEW YORK BOARD OF FIRE UNDERWRITERS P,WE I S3t1 � 1 "? r BUREAU OF ELECTRICITY +41 STATE STREET, ALBANY. NEW YORK 12207 Dare t EPTPIBEP l '=' , 1 ` ,)0 APFiicati"n No. on filefD 156948$ ) 8t) ���� THIS CERTIFIES THAT or"Y the electrical egtaipment ae described beloaa and introduced by V 1 read an titan above app4cati5k number ins thwir prenaLwee of Pz LNTEL ! I)FWORAH BIIIKL . 7a(o XIIC.HIGAN AVE . . GLINS FALLO . in the following locations, Basement ❑ lot Pl. ❑ 2nd Fl. i.}E.` T .Section ,Block Lot 7 R % ... 7 8 scar examined on 9EPTENJBYR 06 . I990 and o"nd to be in compli ance pliance Loi[h the requirements of this Board. FIXTURE EFIACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS 01tTLETS INCANDESOwM FLUORESCENT OTHER ANT. K. w. ANT. K. w. ANT. K.W. ANT. K, w. ANT. H, P, DRYERS FURNACE MOTORS FUTURE AMUANCE FEEDERS S/ OAL REC'PT TIMIE C A3cxs ■6/ UNIT HEATERS (MULTI- WILET ID IR,y AMT. u- w_ 04L H. P. GAS H. ►. AMIL 140. A. W G. AMT. AMP. AMi. AMPS. TRANS. AMr. H. P. SYSTEMS AMr. wArTa NO. or FILET SERVICE DISCONNECT No. OF S ! R p V I C E ANT, AMP. TYPE EOU1F. 4 X ]w 1 /a' 3w ] .e SW ] Ja iW ,COMB. OF CC COFKA . OF HI-LEG of �G. NO. #NtuTRALS Or IVEIRIIAL 4 /-0 OTHER A"ARATUS: ILP.Ok ? H (�FpsL:�3,7E 7 �J 8 'II :.`HTGAjV AVE-BRANCH MANAGER !JL`EEtiuSI� k"1LL . �l lit? !) -1 Per.n39 f� This certificate must not be altered in any manner return to the office of the Berard if incorrect. Inspectors may be identified by their credentials. . OPY FOR BUILDING DE PARTMENTPTRM103RCUFFMOF CIERTI FICA 1-it MIUsT NOT 1515 A LTER ED IN ANY MANNICK. TOWN OF QUEENSBURRY� � BUILDXNG AND CODES DEPARTMENT / I� BAY & HAVILAND ROADS VUEENSBURY, NEW YORK 3280& TELEPHONE (518) 792-583.2 BUILDING NSPEC'TOR ' S REPORT REQUEST XOR INSPECT ON RECE D d:7 d NAME LOCATXON /J ` DATE D PERM # 7J !ry 0 APPROVED YES NO FOOTING/PIERS MONOLITHIC .POUR FOPJS FOUNDATION/DAMP-PR ING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULAT.rON: FOUNDATION FLOORS WALLS CEILING INAL INSPECTION: CHIMNEY HEIGHT ROOFING S.T DING EXTERNAL PORCHES/ TE STAIRS-CLEARANCE RA LS PLUMBING FIXTURE /REL EF VALVE INTERIOR TRIM/PR VACY DOORS FINISHED FLOORS GARAGE FIREPROO ING DOOR CLOSERS) SMOKE DETECTOR FINAL ELECTRICAL INSPECT ON FINAL APPROVAL CONSTRL TION_ OR TO ISSUE C/o OR C/C A SIGNED CERTI ICATE OF CUPANCY MUST BE OBTAINED FROM HE BUILDIN DEPARTMENT BEFORE THESE PREMISES ARE OCCUPI I REMARKS: NEED : F ' al electr ' al inspection . NEED : W itten appr al of engineer as to t e proper joining of the two por ions of th� modular units . L P► G S l Tint c fC, srs 1,V S0LAT 1o,,v 1Al F4 At. ARRIVE �} INSPEC OR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK .I2809- TELEPHONE (528) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR .YNSPECTION RECEIVED �CI NAME 4 9 fP LOCATION ;7 I lie DATE -� � 4 PERMIT # / ! APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FO S FOUNDATION/DAMP-PR FING BACKFILL. APPROVAL ROUGH PLUMBING FRAM.TNG ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STE STAIR'S-CLEARANCE & RA PLUMBING FSXTURES/REL ALVE �.. INTERIOR 2'RTM/PRIVACY RS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER (S) rl SMOKE DETECTORS FINAL ELECTRICAL INSPEC' IOr FINAL APPROVAL OF CONS UCH ON OK TO ISSUE C/O OR C/ A SIGNED CERTIFICATE F OCC ANCY MUST BE OBTAINED FROM THE BU ING D A TMENT I FO E THESE PREMISES ARE CUPIEDI REMARKS: Oy ARRIVE IDEPART � INSPECTOR NNNNEEMENNERW �GIWIr1 47 / �� BUILDING and ZONING DEPARTMENT Bay and Ha hand Road, R. CI. 1 Box 98 Queen ury, New York 12801 BUILDING IN P CTOR tS REP RT NAME LOCATII7ON c. I]at+0 r Permit o . }� - 1 - - Footing/pier Fp s APP OVER YES NO Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors - Plbg . Fixtures Gar . Fireproofing €F - Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECT AL INSPECTIO DRIVEWAY APP VAL — Final Buildi g Survey Next ached 6f86 and-ul ed inspection Cc 1 when ready ) Remarks- Building Inspe for TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 32sok TELEPHONE (518) 792-5832 BUI ING INSPECTOR' S REPORrr XREQUEST FOR INS ECTON RIVED NAME FACATXON DATE PERMIT APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR F S �( FOUND.ATXON/DAMP- FING BACKFILL APPROVAL if ROUGH PLUMBING FRAMING ELECTRICAL ROUGH- INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ PS STAIRS-CLEARANCE ILS PLUMBING FIXTURE / LIEF VALVE INTERIOR TRIM/P VA Y DOORS FINISHED FLOOR GARAGE FIREPR FING DOOR CLlJSER (S SMOKE DETEC S FINAL ELECT RI L INSPE TSON FINAL APPROVA OF CONS' CTION OK TO ISSLTE C O C3Ft C/C A SIGNED CER IFICATE OF iCCUPANCY MUST BE OBTAINED FR THE BUILD G DEPARTMENT BEFORE THESE PREMI ES ARE OCCU ED#- REMARKS: J. 7 l <, [- r ARRIVE DEPAR"'j'_ .� SPECTOR 1 TOWN OF QUEEN BURY BUILDING AND COD DEPARTMENT BAY & HAVILAND R DS r QUEENSBURY, NEW ' RIC 12804• TELEPHONE (518) 92-5832 BUILUI INSPECTOR' S ORT REQUEST FOR INSPEC ION RE'CEZV7i O NAME tQ LOCATION r r DATE C? PERMI # ! 1 APPRO ED YES NO FOOTING/PIERS MONOLITHIC POUR FO FOUNDATION/DANP• PR FING BACICF-rLL APPROVAL ROUGH PLUMBING FRAMZ'NG SZECTR.TCAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTZON, CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES TEP STAIRS-CLEARANCE & RAI PLUMBING FIXTURE /RELI VALVE INTERIOR TRIMJP VACY RS FINISHED FLOORS GARAGE FIREPROO ING DOOR CLOSER (S) SMOKE DETECTOR FINAL .ELECTRICAL INSPECTION .FINAL APPROVAL O CONSTRUCT N OK TO ISSUE C/O R C/C - A SIGNED CERTIF LATE OF OCCU NCY MUST BE OBTATIVED FROM E BUILDING DE RTMENT BEFORE THESE PREMISES ARE OCCUPZEDI REMARKS: am Awl I ARRIVE CX/,A5 DEP���• INSPECTOR �._.J'Ofovn 0/ Queenjxury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D- 1 Box 98 Qu nsbury, New York 12801 SEPTIC SPOSAL SYSTEM INSPEC ION NAME LOCATION � " DATE .� / Gy PEWIT NO -- Cj ZZ SOIL TYPE - Sand - Loam Clay - Percolation Test Require ? YES - NO Percolation , rate - Min/ ch TYPE of SYS EM : Absorption field, tota length Length or a ch trench Depth of tr nches Size of gra el SEEPAGE PI Number Size- f X - "t. Gravel size PIPING : Size Type Sldg _ to tan Tank to diet box Dist . box to fiel Openings sea d? ES NO Partial LOCATION/SEPA T S : f, r Foundation to to k ' ft. Foundation to orption Wit . Absorption to line t. Separation of is 71 fto LOCATION OF Sy EM ON Front - near - ft side R ' sides. COMMENTSo s i SYSTEM USE APPROVED /+ J?NO r . C Suildi q pector _ _ 01/66 and vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURYr NEW YORK I280+I TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME t& O O l Pj 4- & a=h fiJakC L �f�i L.00ATI&N DATE PERMIT 6 APPROVED YES I NO FOOTING/PI S MONOLITHIC UR FORMS FOUNDATION/ -PROOFING BACKFILL APPRO L lop ROUGH PLUMBS"^ { FRAMING J� ELECTRICAL R INSULATION: FOUNDATION FLOORS p „Q..)uy-' A .P"� WALLS Lyt � f CEILING 4 �� b �i FINAL INSPEC'. CHIMNEY HE_ Y G L d ROOFING SIDING QVL✓ J+ - EXTERNAL PG STAIRS-CLEA PLUMBING F3 INTERIOR TA FINISHED FT - GARAGE FIRE M1 DOOR CLOSER _ SMOKE DETEC RS FINAL ELECTR CAL INSPECTION FINAL AP PRO AL OF CONSTRUCTION A SIGNED ERTIFICATE OF OCCUPANCY MUS BE OBTAINE FROM THE BUILDING DEPARTMENT EFORE THESE P EMISES ARE OCCUPIED!' REMAR S: INSPECTOR I { LOT 758 LOT 757 LOT 756 LOT 755 I LOT 754 L I r 7 I I r 1 I I ISON ROD S 050- 2 I W WIRE FENCE 90,010 I -.- 4w014 N PIPE FRAME r , -- 51iEO I I 1.61 I I t 4 I PRD POSCO SEPTIC L07 786 LOT 787 r I" " ' SYSTEM LOT 788 I I i I y METAL L rJ 6.a SHED I 1 W ~ I I 2 2.4' w I 47FxiSTmQ LOT 78SofLOT 789 i6oaI -PROPOSED DWELLING OWELUNG M I 1 f TO OF DEMOLISME y I ?. I^- 501 n- D I r a co V Gt i tp o � POLE 1.4 1.4 1.3 Q FaLINp I IRON R - 1 LSD SET - - - - IwDN ROD N O,Sp- ,731 F 90.001 TO +R._ NaaTNraLr SIDE Ox CENTRAL AYE . MICHIGAN ( 50" WIDE ) AVENUE TOWN OF QUEENSBURY Zon rig Admlnistrato Onto —dar I HEREBY CERTIFY THIS SURVEY TO FIRST NORTHERN NOTE : LOT ' NUM6ERS REFER TO LOTS AS MORTGAGEE CORP, ITS SUCCESSORS AND /OR ASSIGNS, SHOWN ON MAP OF WESTERN PARK MADE FOR DANIEL L . SLAKE , DEBORAH L . BLAKE AND TICOR CORLISS REALTY, INC . , MADE BY E . H . WELLS TITLE GUARANTEE COMPANY . f DATED JULY , 1927 AND FILED ON AUG. 11 , 1927 IN THE WARREN COUNTY CLERK'S OFFICE . LOT AREA = 97000 �- SQL FT . N.Y. S . P. E . & L ,S . 32135 lkN0 -cr�,� MAP' . 82135 SHOWING SURVEY OF THE LANDS OF DANIEL L . BLAKE AND DEBORAH L . BLAKE TOWN OF QUEENSBURY WARREN COUNTY, N .Y. FRANK RAPANT, JR. , P, C SCALE : I " w 20" ER: GINEER 81 SURVEYOR DATE : AUG . 25A1989 ROTTERDAM, N .Y_ JOB NO. 366 - 89 September 4, 1990 Mr. David Hating Director Town of Queensbury Building & Code Enforcement 531 Bay Road Queensbury , New York 12804 Dear Mx. Hatin: Within sixty (60) days of this date, we will provide the following as pertains to our single family modular home at 786-788 Michigan Avenue, Queensbury, having been constructed under Building Permit # 89-779. 1 ) R19 Insulation under floors 2) Engineers letter regarding construction. Very truly yours, ' � RA"I3-B1-,A E AND DANIEL BLAKE TOWN OF QUEENSBURY - Bay at Haviland Road, Queensbury, NY 12801-9725 — 518-792-5832 h April 20, 1990 DANIEL be DEBORAH BLARE RD#4 Box 196 Queensbury, New York 12804 RE: Building Permit # 89-779 Dear Mr. & Mrs. Blake: Regarding above noted permit for address of 786-788 Michigan Avenue, Tax Map Number 127-3-11 .12, be advised that we have granted extension of this permit until August 19 1990. Should you have any further questions regarding this permit, please contact our office. Very truly yours, ell DAVID IIATQ4, Director BtRdingas do Code Department DH:1m ,,HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LIVE" SETTLED 1763 G,EORGE KlJROSAKA JR. , P. E. Rcvf sco : S/1 / gg BUILDING SYSTEMS CONSULTANT 13 ARBUTUS DRIVE ` QUEENSBURY, N.Y. in" ( 51 g ) 793- 7190 f ~ REs NCf : . OiJ"1faN OF QUEENSBURY 13 ARBUTUS DRlv17 RECEIVED QLIEENSMURY. rI. Y. 1 2804 PhHr3NC S " 6 792 -1522 BUILDING INSPECTOR SEP 12 1990 TOWN OF QUEENSBURY re: Factory Manufactured Home TowN HALL — BAY ROAD BLDG. & CODE DEPT. Installation Certification. QuEENeeuiRY , IVY 12904 Attention: DAVID HATIN Dear sir , This is to certify that I have observed and inspected the installation of a ""Factory Manufactured Home" ; as defined by the New York State Uniform Fire Prevention and Building Code , Chapter D - MANUFACTURED HOUSIM , Article 2 FACTORY MANUFACTURED HCMES , as applicable to your local building regulations ; there appeared to be no apparent structural damage to the units , due to or attributable to the transportation or loading/unloading of the uni-ts , herein- after described as follows �f} / Date ;-1f Installation: � Q Site Location: 2& C- 78T Community: TOWN OF QU£ENSBURY County : WARREN Manufacturer/Supplier : A, �i _.-- 019 Address : /p,5 , fe•� >` 3 �, ,"w�/���/� �y 40 Ins3.gnla Serial No. Plan Approval No. Gf— C7,:;,�5e Manufacturer ' s . Model/Component No. : E Date of Manufacture : Installer/Supplier : ,f4 jk/_ �j'ie�. �,L!�...�=L I have also examined the approved Plans & Specifications for the abovementioned "Factory Manufactured. Home" , and to the best of my knowledge and belief , this " Home" has been installed in accordance with these approved Plans & Specifications , and all other applicable laws codes , ordinances , standards &/or regulations . tRESPECTFILILLY sUBrA 1 rT,ED, {+ 3 » • A 04 cc : �1fi �'` G£OE GORGE KUROSAKA JR . . P . C . Op mod: aS669 �2. R'dp�r Sl C1M a'"