Loading...
1990-499 v CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN .COUNTY, NEW YORK Date February 13, .. 19 . This is to certify that work requested to be done as shown by Permit No. 90-499 has been completed. This structure may be occupied as a single family mobil e home Maine Avenue Location GLENN & MARILYN GREGORY ry Owner By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement Ate.ip ®, BUILDING PERMIT y TOWN OF QUEENSBURY No. 90-499 WARREN COUNTY, NEW YORK z 0 PERMISSION is hereby granted to GLENN & MARILYN GREGORY 00 OWNER of property located at Maine Avenue Street, Road or Ave. co cc in the Town of Queensbury,To Construct or place a Single family mobile home m 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 11 Luzerne Rd Queensbury NY 12804 td 2. CONTRACTOR or BUILDER'S Name 0 3. CONTRACTOR or BUILDER'S Address R. lv 4. ARCHITECT'S Name 5. ARCHITECT'S Address 4 Aa 6. TYPE of Construction—(Please indicate by X) Cb ( 1 Wood Frame ( 1 Masonry ( 1 Steel ( ) h' fD 7. PLANS and Specifications fD No. 14Tx70' Single family mobile home as per plot plan, specifications and application including septic system. 8. Proposed Use Single family mobile home 4 0 60.00 February 6 91 $ PERMIT.FEE PAID —THIS PERMIT EXPIRES 19 0 (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.) Cto Dated at the Town of Queensbury this 6th Day of A guS , 19 90 SIGNED BY for the Town of Queensbury Building and Zoning Inspector TO DE COMPLETED BY BLDG. DEPT. acc�� // Application No. TOWN OF QUEENSBURY wn 0/ .q�upQn.lGur y Permit Issued 19 .RECEIVED- • BUILDING and ZONING DEPARTMENT permit Expires 19 Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation JUL 3.0 1990 Dueensbury, New York 12801 • Variance No., Site Plan Ravi N DLDG. & CODE DO APPLICATION FOR Approved by: + MOBILE HOME PUILDING AND ZONING PERMIT 4 6 * . * * . * . * * * * . . * * . . . . . . . * . '* * . *• * * .... . * . * * * .::. 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 i:i 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:(a e--4. p (- hi /3w)c›,i., (7P61.6ai / P.U. Address V ,r if L- V / 411.057 4-Ai Tel. '7 q2 gzcf r Property Location:(0 r'Z', ✓1/9141 41100 south (>.Y_ Tax Map No.J.2,r' Y / ..CZ Street r;umber or building lot number 1ff Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: Name P.O. Address Tel. No. -` Name of Installer C 214nxIy Address Tel. • Name of plumber Address Tel. Name of mason Address - Tel. • MOBILE HOME INFORMATION: * ZONING INFORMATION: New Home Placement / .. * A PLOT PLAN MUST BE PREPARED AND SUBMITTED, ' drawn. reasonably to scale and attached hereto, Replacing existing Home . * showing clearly and distinctly all buildings, Size of new Home ft X IV ft . • * whether existing or proposed and indicate all * set-back dimensions from property lines. Give Single wile 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 %i * of septic disposal area. * No. of bathrooms * COMPLETE INFORMATION REQUIRED BELOW. • Fireplace? Wood stove? * Size of property ) 3 ., Left X ei',0/ ft. Foundation style and size: %` X, * Existing buildings) Size Ft X ft. // ''�� * Piers- No.of / ? Size- i t x Y'_/ft. * Existing building(s) Use Depth below p grade ft. FOUNDATION _ Footing size�� " X 7 * Proposed building, distance from property line * Front yard -3 2 ft Rear yard _6'7 ft Wall material(/ftlyLL 1 f SWiel e,�L* Side yards / ft and /'4- ft Wall thickness 1 " Height g' f t. * If on corner, setback from side street , 2 ft * OCCUPANCY INFORMATION Total depth below grade ft. * Grade to Home floor level 2 ft. * PR Y BUILDING - * * * * * * * * * * * * * * * * * * * * * One family dwelling * Two family dwelling • Proposed date of placement * Multiple dwelling / Number of units Aprox. Value. of Home $ ! W_(j0 C) r Permanent occupancy * transient occupancy Water supply - Well - Municipal • * Business * - Industrial Septic Permit required? ��/S * 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 • * • Form MIIP 5/86 and-vl APPLICATION FOR MOBILE HOME PERMIT, (CONTINUED) State of New York Division of Housing and Community Renewal • INSIGNIA OF APPROVAL OF THE STATE BUILDING CODE 1 . INSIGNIA SERIAL NUMBER Z Z cPZ.L ,Llgq 2 . NAME OF MANUFACTURER %/yn J-7 3 . PLAN APPROVAL NUMBER • • •4 . MODEL OR COMPONENT DESIGNATION f/ (. ..7O/ • • 5- MANUFACTURER'S SERIAL NUMBER 6. 'DATE-OF `MANUFACTURE 4,r. ./ '7 ._ S - . . . • • • All the above information is to be found on a plate or sticker which should be affixed to the Mobile Home. Conrplete..above With that information. * 4 A 4 * * * 4 * * * * * * * * * * * * * * * * * * * * * * *• * 4• ** * * * Town of Queensbury A F F I D A V . I T STATE OF NEW YORK County of Warren 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, whether specified or not, and that such work is authorized by the owner. • . Signature_ ��(.�✓ [lti es- . Owner, o er's agent,arc tect ontractor * • * * * * * * * * * * * * * * * * * • * a * * * * a * * * * * * * * •* * * * * * * * * * •* SPECIAL CONDITIONS OF THE PERMIT: • • • • • . By 91)-499 TOWN OF QUEENSBURY 111,1101. ` � APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE: 19 LOCATION OF PROPERTY FOR INSTALLATION 1= 7L 4u , ( /5,y )([7/ Owner's Name: }1M2( (AL) �- (, (P/Viu 41�- y Address: R__p it II Z_C22 3 /t_e- Y iOs/ / {/ Installer' s Name: SMJ` IT-12(/ S-eb.)-CDZ Telephone: Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) Q c'! r Topography: Circle one: Flat Rolling Steep Slope % of Slope Soil Nature: Circle one: Sand Loam Clay Other /Depth: Ground Water: At whatdepth? Feet Bedrock or Impervious Material : At what depth? Feet Percolation test: Circle one: not required required Rate - Min. Per Inch Domestic water supply: Circle one: (;nicipal Well Other If domestic water supply is a well : - Separation: Water supply from any septic absorption feet. PROPOSED SYSTEM: Septic Tank 116 U) gal . (minimum size: 1,000 gal ) TILE FIELD: Each Trench feet/Total system length feet SEEPA PIT(S): Number of ( /Size each / o feet by � feet ' Size of stone to be used is 3 /Depth or Thickness ?i feet ***************************** HOLDING TANK SYSTEM IF REQUIRED NO. of Tanks Size of Each Gal . *Alarm system and associated electrical work 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 PERSON DATE: ` 3O ' C/ 1 • 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 co 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 co structures 4.) location and distance co any water supply 5.) size and dimensions of all ranks. distribution boxes. vile fields and/or drywalls B. Nu system shall be covered before inspection and approval by the Building Inspuctor. Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to $250.00. C. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may rusulC in an immediate work stoppage. • D. Should unforeseen problems during construction prevent proper installa— tion, alteration or rup:lir of an approved system. a new proposal Must bu submitted to the Queensbury Building Department before further construction. Town of Queensbury BUILDING and CODES DEPARTMENT Bay and Haviland Roads Queensbury, New York 12804 kamarks: :. _town. o/ Queeniur, BUI DING and ZONING DEPARTMENT Bay nd Haviland Road, R.D. 1 Box 98 ueensbury, New York 12801 /, / / SEPTIC DISPOSAL SYSTJ INSPECTION NAME a .%G ye) A( (. . ,7 LOCATION`-.;'; f/—/:.:(1L' DATE Q"��',� / /. PERMIT N . L1-4q2 SOIL TYPE - land - Loam Clay - Percolation ,est Requir:.d? YES - NO Percolation Ate - Min/ nch. TYPE of SYSTEM: Absorption fi ld, total' length Length of each trench Depth of trenc es ' Size of gravel _ SEEPAGE PITS{N er oil Size- ft. X f- . Gravel size PIPING: / Size Type Bldg. to tank Tank to dist. bo • Dist. box to fie d/pi t Openings sealed? tES NO Partial • LOCATION/SEPARATI•N..: Foundation to tank ft. Foundation to abso.,ption ft. . Absorption to lot line ft. Separation of pit. ft. LOCATION OF SYST IN PROPERTY(circle one) Front - Rear - L;ft ide - Right side - COMMENTS: 1 • (k.e_ /20-74 11-444' . ' 'b4-7---. . -.. . --r-Hade_ ; 4./.Jr$,X7 . . SYSTEM USE A"i•ROVED ES YINTO / ' / Bui• dingln.pector • 01/86 and vl TOWN OF QUEENSBURY j/ BUILDING AND CODES DEPARTMENT4 o �' i BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280� TELEPHONE (518) 792-5832 . BUILDING INSPECTOR'S RE RT REQUEST F*R INSPECTION RECE! ED NAME ���//° I LOCATION W7/).L/, AiDATE 3 f PE'; IT # -4/%q APPROVED '7.41 s'7'LC- YES NO FOOTING/PIE• MONOLITHIC PlUR FORMS FOUNDATION/D+ P-PROOFI BACKFILL APPROVAL ROUGH PLUMBI FRAMING ELECTRICAL RO 'GH-IN INSULATION: FOUNDATION FLOORS WALLS . CEILING XFINAL INSPECTIO CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES TEPS STAIRS-CLEARANCE`,'. RAILS PLUMBING FIXTURE'/RELIEF VALVE INTERIOR TRIM/PR!IACY DOORS FINISHED FLOORS GARAGE FIREPROOF' DOOR CLOSER(S) SMOKE DETECTORS / FINAL ELECTRICAL ;NSP` CTION ' _FINAL APPROVAL OF CON''.TRUCTION OK TO ISSUE C/O •''' C/ A SIGNED CERTIFICATE 0 OCCUPANCY MUST BE OBTAINED FROM TH BUILDING DEPARTMENT BEFORE THESE PREMISES A''E OCCU''ED! REMARKS: Ace_ ( fit, /)77_02,6 Shy 6 . ARRIVE DEPART 9• IO 1 INSPECTOR \\ i TOWN OF QUEENSBURY pi n�BUILDING AND CODES DEPARTME T V� BAY & HAVILAND I OADS QUEENSBURY, NEW YORK 1280' TELEPHONE (518 792-5832 . BUILD NG INSPEVTOR'S1REPORT REQUEST FOR INSP CTION :ECEIVED g 2-b d NAME 0,e . r1/4—_ �1 -C r6-4_ LOCATION q2_0 a � ( ' t--2 O.- /,DATE ( CI '•ERMIT # (1u �-9 1 APPROVED I, YES NO FOOTING/PIERS C) J C 1 0 �n x 7 MONOLITHIC POUR FOAM FOUNDATION/DAMP-PROO"ING BACKFILL-APPROVAL p, ROUGH PLUMBING ti; FRAMING ELECTRICAL ROUGH-IN `; INSULATION: FOUNDATION FLOORS WALLS I . . . . . . CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING I SIDING j . ., • • . • . EXTERNAL PORCHES'/STEPS STAIRS-CLEARANC' & RAILILS PLUMBING FIXTUR 'S/RELIEF VALVE INTERIOR TRIM/PRIVACY\DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) I j SMOKE DETECTORS j FINAL ELECTRICAL!INSPECTIQN . . ' . . FINAL APPROVAL Or CONSTRUiTION OK TO ISSUE C/O FOR C/C \ - A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING \DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED\! ii REMARKS: _--- a. ig ..Ua{ \d �5 C6 K 30 J[3 - y1'-&.& , -. K ? . . ARRIVE ti, ' / / DEPART '( l - ..b.adaill INSPE TOR • • Jowl; o/ Queeniburcy . . • BUILDING and ZONING DEPARTMENT /�i B ) ay .nd Haviland Road, R.D. 1 B. 98 "'// ueensbury, New York 1280 ' • • SEPTIC vISPOSAL SYSTEM INSP:CTION NAME >3/ - ,T)1'Jd..466/��', { / p��ll'!.i_/, • LOCATION 7 Z Y 4UU DATE al/(/.7/�� PERMIT NO. SOIL TYPE - San. - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each tre ch Depth of trenches Size of gravel SEEPAGE PITS4Number of ' Size- ft. X _ ft. ./) Gravel size PIPING: Size p Bldg. to tank II". Tank to dist. box Dist. box to field/pi. Openings sealed? S NO Partial v 7-"Af IL LOCATION/SEPARATIONS: Foundation to tank ft. . Foundation to absorption ft. Absorption to lot tin: ft. Separation of pits ' ft. • LOCATION OF SYSTEM 0 PRO•ERTY(circle one) Front'- Rear. ,- .Left. •.ide . Right side - COMMENTS:- • ' • ©. ►L o v 2 Ai I<-- • 5 aie- w 3 - 7 6v6ng02 . U 5 W I{ d N A L cou 6 e7-1 -TO t40M& 1 S COM PLC- • j�Gs M Qb-sir; 6-0 bR a 1317 ) -0AtS SYSTEM USE APP•OVED YES (NO Buildin I pector • 01/86 and vl _Jouhn of Queen iur, BUILDING and ZONING DEPARTMENT • Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SE IC SP AL SYSTEM INSPECTION NAME n/1!�� WA/ S�"e'V�'' ...��/� f./ LOCAT I O /G�-,»s>`0 63/-/ i DATE ,011 /0 PERMIT NO. %A/ SOIL TYPE - and - Loam - C1a/4 Percolation est Required? AYES - NO Percolation r to - Min/Incy- TYPE of SYSTEM Absorption fiel , total/length Length of each rench .- Depth of trenche f Size of gravel'_ SEEPAGE PITS{Numb lof) Size- "D ft. X y ft. Gravel size ^' PIPING: Siz L'� Type Bldg. to tank T ////5 Tank to dist. box 4/ Dist. box to ield/p\'t �.� /-1,4-% • Openings sewed? YES ( NO! Partial LOCATION/S FARATIONS: Foundatio. to tank 1 f1 . ft. Foundati n to absorption ,`�lT ft. Absorp t 'on to lot lined f4 I ft. Separa ion •of pits \ ---ft. LOCAT N SYSTEM ON P OPERTY(circle one) Fron - ear - Left sid - Right side - C NTS.„. i_ ---1/ 2\ 4ecilpg dr . l-. Y 11/ / a \ • 1• (—? P i' SYSTEM USE APPROVED YES( ' . /7/ Building Inspector 01/86 and vl • ---,:s„,,,k- <— --,..... ,„, ____„.. 4 , , ---- -., t, �— �a __ 1 • b q ., fel _,,,,) p __ APPROX HYD ` - W W w End Of Dirt Rood Macadam 382.0' 7 MAINS 1 ,i F/P On Lined . 1 0.5' South N /2'-5 55" E �166.45 Of Cor. ��' �� O I I I ,\ _ O 0.2/4f AC. .I 46 I 45 I31 l44 �\NI 43 0 I • ,, .I I z 30'FRON SETBACK LAVE I `J O O I cog _Y PROPOSED jc 32• fir W Jlax 70' MOBILE HOME IIWs i I A I '4 Proposed - y Proposed Ig I v et ' 10 3,,., I o Septic .Systems,, S /2'-5/'-55" W 'II Peking M Spaces 6 I 12. 154.55' j Lc, ti t0 i u � Q3 y —�c to Ilv. W o 1 O 75 I I�i —l ._ PROPOSED I M O M f W qj �t •' MOBILE HOME . , , a' i Z ss L — - — 1 — L � W `1 n L. O.I42 t A 14' — — 10'BACK SETBAC— K_LIN1E _� J ' S /2" 5/'-155,, w • I. 153. 5' • a a - J O 040 0I 0W �1 I ihniFil P 2.4' East I Of Line I CI I1 / --_- I LANDS OF EDWARD j. HILL LANDS "-F I ( 516-5 1 HOWARD �. __AROSE ( 630-1022 1 Q i •--7- I ( VACANT 1 I I APPROX TILE FIELD I I I I r — I • - [I• / •a�/ / o0 " SOUTH AVENUE lo a (D i r t1 W o a it TOWN OF OUiE SBU Y I a ..._4 Zoning Adminis 3or