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1989-980 31V T';iMfl•fly =.n '� M T_'r' •' !. ro i-'L'T, .-.xr' _, +. . f i CERTIFICATE OF 0CCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YQRK Date March 21 . 1990 If: is to certify iithat li wol{rk requested to be done au shown by Permit Now 89- 980 has been coompdeted. This structure may be occupied as a Mobile Home Location C o xG- Indiana Avenue Owner Brian & jean Mooney By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement BUILDING PERMIT ' TOWN OF +QUEENSBURY � No. $9- 980 = WARREN COUNTY, NEW YOR K PERMISSION is hereby granted to BRIAN & JEAN MOONEY "`,, OWNER of property located at Corner of Central Ave & Indiana Aye . Street, Road or Ave. in the Town of Queensbury, To Construct or place a 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. VARCHITECT'S ress is RD #4 - Box 144 Indiana Avenue ueen sl�u r rM R or BUI LDE R'S Name Paradise Homes Ken Steele R or SUILDER'S Address TM G Bellen Road , Broadalbin 5^ Pillar Road W . Fort Ann x S NameS Address C7 O r'rt .�O S, TYPE of Construction — {Please indicate by X} rl l ) Wood Frame l ) Masonry l ) Steel l ) rM 7. PLANS and Spec ifi oat ions r No. 28 ' x 56 ` mobile home with septic system as per application , rt s ecifications and plot plan . fa. B. Proposed Use t--� Mobile Home rc $ 96 00 PERMIT FEE PAID — THIS PERMIT EXPIRES December 28 19 90 IM M I I 1 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.) tee, Dated at the Town of O.ueensbury this December �i9 $ m r for the Town of Queensbury m SIGNED BY :zz& O / 4rf3 BE COMPLETED 8Y nLraC . UEFA.'. � _Juan O/ Q"JeefisGury ApPlication Now i lU Permit +i 1 BUILDING and ZONING [DEPARTMENT Permit Exp Expirere s 19 FOWF OF OUEENSBURY Bay and Haviland Road, R.D. 1 pox 9$ Zoning Designation RECEIVED Queensbury, New York 12801 Variance No. Site Plan Review No . DEC 2 r 1989 APPLICATION FOR � bye MOBILE HOME BLDG. &, CODE DEPT, PUILDINO AND ZONING PERMIT Lu iM # • iM A 1F # # • # # # # iF 4M # # A # CIF ,M * +IF +eh M • # # eF A # • # ie• iik # f a ;: # A PERMIT MIDST 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 is, 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 : P . G . Address cj 1'I Ld C 1 14 t ,� �.�� r -. 9'-j � �1 5c Tel . � f Property Location . � - i l ' Tax Map No ./._ a7_ Street Lumber or building lot number Su2,division name ( if applicable) TILE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : tJ.+me P. O. Address Trrl . No . Name of installers r rt; rl i $ &2L-tf 1 „Address_ _[ 1/-C ; k'' t; fc rlti, f li s Tole + ' ,�+lumbct..:4�,-�[. :4iCr lt.t- }"i• , AddrBtlB_,r'�.z /i�E% ,'. +- . . _ � s fief . Name c7f Ie1aE30n Tim r - � .5 Address �fl f r? r red Lc% Ce rl tL k Tel MOBILE HOME INFORMATION : * ZONING INFORMATION : New home Placement . - * A PLOT PLAN MUST BE PREPARED AND SUHMITTED, drawn reasonably to scale and attached hereto , Replacing existing Home • showing clearly and distinctly all buildings , Size of new Homes ' ft x �" ft +,r� , � * whether existing or proposed and indicate all * set-back dimensions from y rBct� proper( lines . Give Single w le Double wide ✓ * street and number or lot number and indicate Nu . of rooms (excluding baths ) )' _ * whot+&e+ lhxterior or corner lot . Show location ' of water supply and location and configuration No . of bedrooms _3 * of septic disposal area . N© _ of bathrooms * COMPLETE INFORMATION REQUIRED BELOW . Fireplace? / Wood stove? * Site of property Y;) f t X f t . Foundation style and size : Existing buildings) Size ft x ft . Piers- No . o€ size- ft x €t . * Existing buildings ) Use Depth below grade ft. FlaSe+enATION Footing size � � g�/�« Proposed building , diaLance from property line Wall material , 1 c * Front yard_ j €t Rear yard y' � ft * Side yards Go ILI, ft and , ft wall thickness" Height = ft. * If on corner, setback from side street �ft Total depth below grade ' ft . * OCCUPANCY INFORMATION I * Grade to Name floor level _ ft . PRIMARY BUILDING wIA pne family dwelling: w . t � t w w ,e * • w l w ,r w • * r w + Y g * Two family dwelling Proposed date of placement /. � * Multiple: dwelling / Hit or of units * Permanent occupancy A pr ox . Value of dome �;z`%""�' * Transient occupancy Water supply - Well Municipal Business * * Industrial Septic Permit required? / -e 1 * 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 • Farm MIiP 5 / 86 mdmovl APPLICATION FOR MOBILE HOME PERMIT, ( CONTINUED) Mate of New York division of Housing and Community Renewal INSIGNIA OF APNhOVAL OF THE STATE BUILDING CODE 1 . INSIGNIA SERIAL NUMBER 2 . NAME OF MANUFACTURER 3 . PLAN APPROVAL NUMBER 4 . MODEL OR COMPONENT DESIGNATION 5 . MANUFACTURER ' S SERIAL NUMBER. 6 . DATE OF MANUFACTURE AZZ the above infarmati.on is to be found on a pZate or aticker which ahou Zd be affixed to the Mobile Home . Complete .above with that information . * A Town of Queensbury A F F I D A V I 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 plane and specifications submitted , are a true and complete statement of all proposed work to be donee 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 note and that such work is authorized by the owner. , ry ,may Signature___r _�_------- - Owl} • owner ' s agent , aronitect', contractor w • r w w • w w w w ♦ i rr w w w s w w ,rr , • • * a • �t tt w w w w r • w w ' re t w + r w w w w w - r SPECIAL CONDITIONS OF THE PERMIT : TO OF QUE ENS BLyRY APPLICATION FOR SEPTIC I)ISPOSAL PERMIT DATES --/2 LOCATION OF PROPERTY FOR INSTALLATION 4_ �.c2_ Owners Name' . 2 G _ �r Telephone: ._.e�.-� w- Address: 1 �i Installer's Name: ` <�a-` Telephone: Number of bedrooms (residential only) Total daily flow (compute (d 150 gal per bedroom) y . `p Topography: Circle one: lat Rolling Steep Slope % of Slope Soil Nature: Circle one San Loam Clay Other /Depth: Feet Ground Water: At what depth :' A,1 Feet Bedrock or Impervious Material: At what depth? Feet Percolation test: Circle one: no# er quire equired rate min. inch. Domestic water supply: circle one: Munici Well Other If domestic water supply is a wel : Separation: Water supply from septic absorption „�+f - - feet PROPOSED SYSTEM : Septic Tank j ( ) p -E) gal. ( minimum size: 1 . 000 gal. ) TILL FI : Each Trench feet/Tote sys em e t SEEPAGE PIT(S): Number of :2� ! Size each feet by o 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 Queensbury Sanitary Sewage Disposal Ordinance. SIGNATURE OF /RESPONSIBLE PERSON: DATE: OVER. 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 , rile fields and /or drywells B , Nu system shall be covered before inspection and approval by the Building Inspector . Failure to comply with this requirement may rosult in the uncovering; of the system by the installer and a fine of up to $ 250 . 000 Co 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 BUILDING and CDDES DEPARTMENT Bay and Haviland Roads Queensbury , New York 12804 TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVTLAND ROADS QUEENSBURYy NEW YORK 1280& TELEPHONE (518) 792-5832 BLTILDI INSPECTOR ' S REPORT REQUEST' INSF TION RECEIVED- 4 _ NAME LOCATION ` PERMIT # DATE a # APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FO FOUNDATION}DAMP-PROOFING BACKFI.LL APPROVAL - ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS- WALLS CEILING INAL IN7PORCAtESIS \\\+++ CHIMNE ROOFIN -�� ,SIDING EXTERN EPS STAIRSE RAI PLUMBING FIXTUREsyRELIE VALVE _ INTERIOR TRIM/PRXVACY DO"S FINISHED FLOORS - GARAGE FIREPROOFING DOOR CLOSERS) SMOKE DETECTORS' FXAAL ELECTRICAL XNSPECTION FANAL APPROVAL OF' CONSTR IQN 4 OK WO ISSUE C/O OR C/c s A SIGNED CERTIFICATE OF OCCUPAyCY MUST BE 11 OBTAINED FROM THE BUILDING DEPARTMENT BEFC.RE THESE PREMISES ARE OCCUPIED! MARK See P + e(P+w Q ARRIVE DEPAR't INSPECTOR • r MIDDLE DEPARTM ON AGENCY, INC. � ya d X.J4 Cal as Da l*e February 24 , 1990 �pCtlf[t that tect�li& Iek;uipment fisted has been exarnrnsd an�'i� approved as being in accord with the National Elect Off, appiicable governmental, utility and Agency rules. ��. Owner: Brian fir ,Teen rYe �` } flee, nAni yu DweI } ing Occupant: Same L3 Cor Central I id4a n ��y Location: n�a nu `Qtf eril3i ,. WaxriKla�r �yy } ) \ �addi�i CaP " ipr iftnt mjc��gUipmeM And insfe llalion inspECled this date IF additional Bga�ipman! 'atTdjf1Y he MtroduCad or a4lerahon5 made to 1 E>ristpng system tr1i9 Ceti MvCala ~ be null and vo4d, and appliCahon for Equipment: 150 Amp Se Cie #, s. ,. in spect io n shoutd ha subm OhOd pr0U7p7 I y TO to is Agency Helder of this CertlfiCa7e Shq $d Offcen7 Same to hie r (agent or Company}as eridanCeiflcertifi A insurance Carney CatjOn o}electriccalal Eqq uipment approved ---r as spaCihEd. rBrian Mooney 1 . : Appt+cant: Central & Indiana fn ... ,, . , NO . l S -03 291,3 'L Queknsbyy , NY 12804 " a• Pwwr Me. 710" _Jrru.n a� �ueer� .s6ure�l �r1! BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. I Box 98 Oueensbury, New York 12801 SEPTIC/)DISPOSAL SYSTEM INSPECTION NAME LOCATION 4" DATE 2V2W qO ! 'ERMIT NO. - SOIL TYPE - Sand, - Loam - cl - Percolation Test' Requtired? ES - NO Percolation rate - ;Min/inc TYPE of SYSTEM : Absorption fielr total le gth Length of each drench Depth of trenches Size of gravel s SEEPAGE DIITS#NuMber of) Size- ft_ X ft. Gravel size PIPING : sxzo Type Bldg . to tank Tank to dlst. boX _ Dist . boa: to field/p ' Openings sealed? p E ND Partial LOCATION/'SEPARATIVNS Foundation to tanl} Q f t. Foundation to absc� rp ion �ft . Absorption to lot lia a eft . Separation of pits '"jam; ft. LOCATION OF SYSTEM �aN PROP (circle one ) ront - hear - Lef iside - Right side - i ij f, r 1 SYSTEM USE APPROVEAdinVF BInspector 01/86 and vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT Br�AY & HAVILAND ROADS QUEENSSURYI NEW YORK 228O4- TELEPHONE (528) 792-5832 BUILDING SPECTOR' S REPORT REQUEST INSPECTI N RECEIVED NAME LOCATION DATE ERMIT I�r�R PROVED L/yEs I NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING effACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ST PS STAIRS-CLEARANCE 5 RAILS_ PLUMBING FIXTURES(RELIEF ALVE INTERIOR TRIM/PR ACY DOO. S FINISHED FLOORS GARAGE FIREPR ING DOOR CLOSERS) SMOKE DETECTO S FINAL ELECTRIC L INSPECTION FINAL APPROVA OF CONSfiRUCTI T. A SIGNED CE IFICATE OF OCCUPA Y MUST BE OBTAINED FR M THE BUILDING DEPARTMENT .BEFORE THESE PREMISES ARE OCCUPIED! REMARKS : INSPECTOR TOWN OF QUEENSBURY G k' rpr4L BUILDING AND CODES DEPARTMENT lzt� BAY & HAVILAND ROADS QUEENSBURY, NEW YORK I280&L TELEPHONE (5I8) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR SNSPECTSONiRECEIVED NAME 0 f LOCATION COvt-- C,,6 DATE / [a p RMST' r # APPROVED YES NO FOOTING/PIERS LZ ,MONOLITHIC POUR FORM FOUNDATION/DAMP—PROD ING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHfi ROOFING SIDING EXTERNAL PORCHE f EPS STAIRS -CLEARAN RAILS PLUMBING FIXTU ESf ELIEF VALVE INTERIOR TRIM PR-TV CY DOORS FINISHED F S GARAGE FIRE OOFING DOOR CLOSER S) SMOKE PET TORS FINAL ELECTR CAL INSPE TION FINAL APPRO AL OF CONS UCTION -- A SIGNED C RTIFICATE OF CUPANCY MUST BE OBTAINED OM THE BUILDIN DEPARTMENT BEFORE THESE PRE ISES ARE OCCUPIE REMARKS: : r rV L� rvl r r f t14. � 4XNCTOR MNDUL 84PARTIAIEMT MSMTip Nat.ional H, d+quartera .. QW Haddon Ave " "CiAiin' V gswood N,J: r Date: !' City. Town or Township t' Cceunty ►° % Stare Location/Address (I' � e[Q . (if Located in Rural Area • Please Attach Directions] Pole � Owner I if f1 -Permit, Occupied As �. f. : •- Building: . W4 r .` Old0 Occupant or " in Buildin Floor # etc is ;� for: WiringServi or: Read for In ion: Fee Remitted - $. : Cash Cherck - ' ` II€ia hle .ToT M.D.I.A. z s e �aa 1760 amen axc4 ssao a�sa Bobo Number of Roylphl4nng f7utft Elect. Heat Switches ; Lighting Amp. ServW0 � '84kaee-Unit Dishwasher ; . Mange . Receptacles Water Heater Air -Conditioner D ier x` r `t ' ' f r� oximp Numb r of F' tur > Oven ' ' - �Gierbage disposal Wiring an trola for Burner Fractional H.P. Vent Fans - r: Other Equlpxnent: r� �„ i ' .£ L 'f?-�jP -i' �a MOTORS H.P. �,/2 1/Y 1/14 1/0 1/6 1/4 1/3 1/2 3Z4 .. 1 1ys 2 3- : ,:•S'! 7Yz 14. 15 -24 25 Sap Nlrrk .Number .. Is- of Each Size - r. tt,, .�. Applicants L . �� �y-� y r s ;s. ; t Signature !7 ,aLlerl��3rF:s. License # Pik•, # ale Applicant's Address �Sa!` �, �/Gcrtr # Xfc +[City) lSte1— �. iiai� s/ " !�F` - Service R@C�IJ@ft. # . : Phone. Eleatisjan_ " ' A7E REC IV.ED: DATE INSP -R . Correct Location : Sam e as Above or: Red Notice Label Rough Wiring Outlets Su Unit .:. Oven .: ' Switches, Ra,€€ C: _ Rece les r Heats :. Fixtures Ali CondUll Gr AMP. Service Equiprxlent Burner, WielriQ G'on#ro7s for Amjr: Ff iacle y Amp. 'Service Conductors Pum Vent Fans MOTORS H,P. 1/P'4 1718 1I14 1/8 x/6 1/4 1/3 1/2 1 7% 15- -2Q 25 4 Mark €Number �, - i- - • ii .1 3�, r i of Each Size - ' Id Elect. heat Sme re0 'ImeO 1256 1600 17a6 200e 2250 : �710 r RW Progress: Inc. © LlCD *. AGontractor 0 CFT Violation : Work Cbm �) . .M F Gk. t 14; „sr• Owner L/AEj CASH: 0 L/A Foe . CH Kr #k 4DUj-'-. ,!.en`sc na,i a: .'Ea.w:t+w +:.y...w+w•. A.ay-..ark#�st -a.r' f!1"`.�lil:l�:� .+.a. 4L.flii ".' r .Gw ..-i i�i.i .:bC 7:7.:a.s..' . 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