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1990-500 .` 2) ,� '• i 1, .\ r... era •� a • } CERTI C .' �T OF OCCUPANCY TOWN OF QUEENSBURY 1 WARREN COUNTY, NEW YORK Date September 25 19 90 This is to certify that work requested to be done as shown by Permit No. 90-500 has been completed. - This structure may be occupied as a single family mobile home East Avenue Location GLENN & MARILYiGGREGORY Owner By Order Town Board TOWN OF QUEENSBURY v Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY x� No. 90-500 WARREN COUNTY, NEW YORK z 0 PERMISSION is hereby granted to GLENN & MARILYN GREGORY w OWNER of property located at East Avenue Street, Road or Ave. c� co in the Town of Queensbury,To Construct or place a Mohile home—sine family 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 2. CONTRACTOR or BUILDER'S Name 0 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name • 5. ARCHITECT'S Address LTJ 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( ) Masonry ( ) Steel ( ) CD CD 7. PLANS and Specifications No. 14'x70' Single family mobile home as per plot plan, specifications and application including septic system. 8. Proposed Use Single family mobile home is $ 60.00 PERMIT FEE PAID —THIS PERMIT EXPIRES February 6 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.) Dated at the Town of Queensbury this 6th Day of August 19 90 SIGNED BY / �// &c for the Town of Queensbury Building and Zoning Inspector • • • . .. ... .r.sF.`.�- -.,:i. rim.-_r-- :' .r::.Gwrs€a'i4• ,,,,...a .,..,n,+„ -,- 'Ct.0 *i e5}:§isy,...r.,4u`ssc+st 1*Via t r+`.af:i // TO BE COMPLETED BY BLDG. DEPT. Awn o/ Queetaur Application No. I o�JVcJ OF gUEENSBURY BUILDING and ZONING DEPARTMENT Permit Issued 19 • • RECEIVED Bay and Haviland Road, R.D. 1 Box 98 ZoniPermlt Desigeation s 19 Oueensbury, New York 12801 Vari' 'e N N . Ste 1 'ew No. • JUL 3 01994 APPLICATION FOR Ap ro • BLDG. & CODE DEPT. MOBILE HOME • • PU I LD I NG AND .ZONING PERMIT . r(oO * * * * * * * * * * * * * i1 * * * * * * * * * * * * * * * * , ,y * * * * * * *:;* A PERMIT MUST BE OBTAINED BEFORE BEGINNING ,CCNSTRUCTION. ANSWER ALL OF THE FOLLOWING.. The undersigned hereby applies for a' Building Permit to do the following work which will be done in accordance' with ,the description, plans and specifications submitted, and such special conditions as may be_ indicated- on the' Permit. 1' The owner of this property is: 0.11-t/v10 m .nMe l4 !z/ P.O. Addre C'�'���� fV/3t/2'// d �_e-Ri7/-z'' TM ..i/.�,�/uS'l ,) ,V Tel. `J� & ul� /q '•Property Location: v � -UL•' , c� o ti its W Rom. hi A?'NLf'/iI,L�Tax Map No'19cPl.21 .. Street :umber or building lot number • Subdivision name (if applicable). Of THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: Name / P.O. Address • Tel. No. lame of Installe '1..elk/d/C LJCvc dress lame of plunweY- v Tel. -79� l�y Varrr3 of :mason Address Tel. O Address Tel. MOBILE HOME INFORMATION: ► ZONING INFORMATION: Yew Home .Placement . * A PLOT PLAN RUST BE PREPARED AND SUBMITTED Replacing existing Home •� drawn reasonably to. scale and attached hereto, • * showing clearly and distinctly all buildings, Size of new Home ,y ft X ry rD ft , whether existing or proposed and indicate all Single w leDouble wide set-back dimensions from property lines. Give * street and number or lot number and indicate Jo. of rooms (excluding baths) !-jf . * whether interior or corner lot. Show location * lo. of :bedrooms of water supply and location and configuration ' of septic disposal area. Vo. of bathrooms / ' * COMPLETE INFORMATION REQUIRED BELOW. Fireplace? Wood stove? * Size of property e) , U 1 ft X /5--3,Y t. ' Foundation style and size: q/ Existing building(s) Size ft X ft. � • 'ier.s- No.of p� Size r ft x ' * Existing building (s) Use Depth below grade ft. • 'OUNDATION - Footing size s ;� [b " * Proposed building, distance from property line gall material �fJ/n y L * Front yard .R � ft Rear yard / ft tzr re,c IC , Side .yards ft and 7_ ft Jall thickness L/ " Height f t. — '':,,I•f- on corner, Settbback from side street ; - ft . 'otal depth below grade • ft, ` OCCUPANCY INFORMATION ;rade to Home floor :level 0, ft. * PRIM tY BUILDING - • * * * * * * * * * * * *-.* * * * * * * * //ne family dwelling ' • roposed date of placement / * Two family dwelling �1 * Multiple dwelling / Number of units . prox. Value. of Home $ ,� .,e.00� * Permanent occupancy 'ater supply - Well Municipal i» '--Transient occupancy ▪ _ Business 'eptic Permit required? ,//� • Industrial r of her l • * If addition, what,will use be? URTHER INFORMATION REQUESTED * • ACCESSORY BUILDING- N THE REVERSE SIDE OF THIS SHEET.* Detached garage/one car/ two car/ car * Attached garage/one car/ two cat/ car ' ' Private storage building * Other • _. * . Form MIIP 5/8E and-vl APPLICATION FOR MOBILE HOME PERMIT, (CONTINUED) State of New York Division of Housing and Community Renewal INSIGNIA OF APP OVAL OF THE STATE B.UILDING CODE INSIGNIA SERIAL NUMBER ' . NAME OF MANUFACTURER ' y;,( / `� `. PLAN APPROVAL NUMBER f /'��` 1 . MODEL OR COMPONENT DESIGNATION -,4, RUf G%—ry-- — MANUFACTURER 'S SERIAL NUMBER /. r Cr? V . DATE OF MANUFACTURE / . • All the above information is to be found on a plate or sticker which hould be affixed to the Mobile Home. Complete above with that information. A 4 A .F 4 4 4 4 4 A 4 '4 4 4 4 * 4 * 4 4 4 4 4 4 4 4 4 4 4 4 4 A 4.4 A 4 4 Town of Queensbury AFFIDAVI T County of Warren 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, whether specified or not, and that such work is authorized by the owner. , . Signature__ //_ G�c,✓ _ _ 11./Ne Owner, owne 's agent,arcni ct,co ractor • • • SPECIAL CONDITIONS OF THE PERMIT: • • • • • • By • •. C Ds•o--6 TOWN OF QUEENSBURY � � APPLICATION) FOR SEPTIC DISPOSAL PERMIT /9411k- DATE: j ii ( l,/ 3 , / • Cot- LOCATION OF PROPERTY FOR INSTALLATION MAR/ -4- .PT574/4(J' ✓(iv — OS,d `/11/ Owner's Name: )-(12_i ( I/1u't--- /eL)llJ ..ee4a.e- Address: K.0L-/ 1//// /'_.0 z-a-Ne Co�'/3c/ivy / 6i Installer' s Name: fjilJ1, -512 S-ec,002._ Telephone: Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) 7)0074 Topography: Circle one: ( Flat Rolling Steep Slope % of Slope Soil Nature: Circle one:` Sand Loam Clay Other /Depth: Ground Water: At what depth? 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: Municipal Well Other If domestic water supply is a wel : Separation: Water supply from any septic absorption feet. PROPOSED SYSTEM: Septic Tank IOW gal . (minimum size: 1,000 gal ) TILE FIELD: Each Trench feet/Total system length feet SEEPAGE PIT(S): Number of I /Size each / AI feet by T feet Size of stone to be used if, _5 /Depth or Thickness 7./ 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: ��Gu._ ,9 14:74U DATE: 7— ,3d'—Yr.)" 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 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 co structures 4.) location and distance to any water supply 5.) size and dimensions of all tanks, distribution boxes, tile fields an.1/or. drywells 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 mice. Failure co produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper. installs— tion. alteration or repair of an approved system. a new proposal must be submitted co the Queensbury Building Department before further construction. Town of Queensbury BUILDING and CODES DEPARTMENT -Bay and Haviland Roads Queensbury, New York 12804 Remarks: • 10 3-0 TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT Wilt:fry,�J BAY & HAVILAND ROADS J QUEENSBURY, NEW YORK 12804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT)24)c,o REQUEST FOR INSP TION RECEIVED`-'1 NE I { ( libt9 ) LOCATION ;l , , a DATE 2�+- ' PERMIT # - 1 r!J CO i; APPROVED YES NO FOOTING/PIERS t, MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL;` ROUGH PLUMBING V' FRAMING ELECTRICAL ROUGH-IN INSULATION: 11 FOUNDATION FLOORS 1 . . WALLS CEILING FINAL INSPECTION: r. % CHIMNEY HEIGHT'\ ROOFING 1 ' ' . • .SIDING y EXTERNAL PORCHES/STEPS ' STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER( ) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION . . . ' / _FINAL APPROVAL[OF CONSTRUCTION ' OK TO ISSUE C/0 OR .C/o t r A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! ; REMARKS: s, ' [,�• l yj?c 7o , \ aal6e Z6/II j 06c, 41 9/20° ARRIVE /0/ '5 DEPART a/0')'s`S I SPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 TELEPHONE' (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST Ft'R INSPECTION R'CEIVED NAME %/t-' LOCATION C a L/ DATE "/% / ERMIT # 9b 5d-6i APPROVED - YES NO FOOTING/PIER':. MONOLITHIC PtUR FORM FOUNDATION/D•i; P-PROO''ING BACKFILL APPROVAL ROUGH PLUMBIN( FRAMING . ELECTRICAL ROUE.H-IN INSULATION: FOUNDATION r FLOORS WALLS ' CEILING FINAL INSPECTION, CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCH :.. STEPS STAIRS-CLEARAN.; ' & RAILS PLUMBING FIXTU",E''. RELIEF VALVE INTERIOR TRIM/.'R l ACY DOORS FINISHED FLOOR:. _ GARAGE FIREPRs/FI DOOR CLOSER(S) SMOKE DETECTO'=S FINAL ELECTRICA? INSPECTION _FINAL APPROVAL IF CON', RUCTION OK TO ISSUE C/• OR C/C, A SIGNED CERTI''ICATE OF OCCUPANCY MUST BE OBTAINED FROM HE BUILD ': G DEPARTMENT BEFORE THESE PREMISES ARE OCCUP+ D! REMARKS: ARRIVE /•64 DEPART ilf INSPECTOR /own of Queeniur ' /�/ BUILDING and ZONING DEPARTMENT. j'/ Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 S, PTIC DISPOSAL SYSTEM INSPECTION NAME Ai,6v/%t(.- 1 )l1./dA-1..40 /.{eJJ.t../ LOCATION E e ,(,".0426f t= DATE YJ%5 9L PERMIT NO. 9j) - I ' ' SOIL TYPE - and - Loam - r ay - Percolation est Required? YES - NO Percolation rate - Min/In. TYPE of SYSTEM: Absorption fiel. total length Length of each tench Depth of trenches Size of gravel / 44? SEEPAGE PITS{Nuinbe, o _ / Size- ft. X f . Gravel size PIPING: )\ Size Type Bldg. to tank ' " Soli LIG, Pv C_. Tank to dist. box Dist. box to field/pi Openings sealed? , NO Partial T/4N le._ LOCATION/SEPARA IONS: Foundation to ank ft. Foundation to bsorptio' ft. Absorption to lot line ft. Separation o pits ft. LOCATION OF pYSTEM ON PRciPERTY(circle one) Front - Rea - Left side Right side - COMMENTS: , _pi,ir; .i/I ' otz IL-Te. Tprutc . Sc--PT-(. 5ts-rg-ti� w1L.L`.3&:�PP!Lou 6-6 W I I-6 F-NAL C KJ J6-e�b66 N ra 140M6- lIS 6-. -D`Fs 76-M ©L-si G 1✓ 0 o .2 aL-n eAdMg SYST USE APPROVED YES 1 , - 0 / / Building n-.. ctor 0 /86mdvl _Down of Queen.ibur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queens/bury, New York 12801 SEPTIC D'1SPOSAL SYSTEM INSPECTION c_ • le.ov,z- rNAME )0"Gt/ %ii --1c.1�� LOCATION 1,-///d (�0/f �/i`� DATE / PERMIT NO. • � j./%6 SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: / Absorption field, tot.1 length ; Length of each trench Depth of trenches ' Size of gravel_ ' SEEPAGE P tTS4Nuinber o i.) II Size- K ft. X a fs. i L Gravel size _ PIPING: .iz / Type Bldg. to tank f, t /-C Tank to dist. box �� 42/�. Dist. box to field/pit '` !j/?'t- Openings sealed? YES /N, Partial (--) LOCATION/SEPARATIONS: Foundation to tank Y �ft. Foundation to absorption IN , ft. Absorption to lot line 77-7ft. Separation of pits // --- ft. LOCATION/(OF-SYSTEM ON PROP.RTY(circle one) Front - 1Rear - Left side" - right side - COMMENTS,: / 64- f/:lLi-71 7 ,/ l • Parkil --- /-) �i ✓1�7 � ( ___4__- ,p,// 0 to 'Y1 '-e �•/ SYSTEM USE APP OVED YES INO' Building Inspector 01/86 and vl -::- W a 3 O APPROX HYD cEnd Of Dirt \ \,...,.,82Road Macadam S °' MAINE FIP On Lined I, ' if 0.5' South N /2'- 55 E " �155.45 i i .Of Cor. --�.0' 47 645 (44 ,,IN 430 0.2/4t Ac. I131. \\I I O O N Oi - J O r_ _ L 30'PROW SETBACK LWE I NiJ I ? O _ - to I 43 `_Y _ PROPOSED T 32' v l4'x 70' MOBILE HOME II w I �Y'cr Proposed i yI Proposed 15 I C3 Drlve d I • h k i oW Septic Systems, S /2•-5/'-55" W III m Space p Nil W Spaces rMI 12, /54.55' I W r�t0 i i L � O II : 1 i W j VD N p I, 1` - - -a -- , PROPOSED I ° _ O M 1 W O et L — MOBILE HOME _ , ,_ �_f I__ Z N. 0.142± A 14' IO'BACK SETBACK L -i'y N. ^ • .„ -1--) 0 MEMO MM., S /2 5/' 5" W • 153. 5' • a - J I i fa) CII 42 W LP0O_ I ),I40 41 F/P 2.4' East Of Line I I I I I-- I / LANDS OF EDWARD j. HILL LANDS SF ( 5/6-5 ) HOWARD H. __AROSE V). I ( 630-1022 ) I Q � - I ( VACANT) II I APPROX TILE FIELD I I r _ / . . __________. • 11111.. // I • • ...,...„ Ct-/ 0 e SOUTH AVENUE o (Dirt) W� a 0 0 - Q t`. ./ / Zoning Administrator _ _ JJate ,_L-7o