Loading...
1992-009 e l` tERTI.FICATE OF OCCUPANCY TOWN OF QUEENSSURY WARREN COUNTY , NEW YORK Of Date �� 2�19 I { * ' 92--009 This is to certify that work requested to be done as shown by Permit No. ,.I been completed. This structure may be occupied a Locxtio East Ave u Owner Mari l J. Grg By order Town Board 'TCJWN of QUEENSBURY r Director of Bldg. ode Enforcement BUILDING PERMIT M TOWN OF +QUEENSBURY _ O No. 92-009 WARREN COUNTY, NEW YORK I FJ PERMISSION is hereby granted to Marilyn J ' Gregory OWNER. of property located at East Avenue Street, Road or Ave. � in the Town of C]ueensbury, To Construct or place a Mobile H(]11M" at the above location in accordance to application together with plot plans and other information hereto flied and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. f?7 rNEdress is 2 Box 11ne Rdsbl►r , MY 12804 OR or BUILDERS Name Gregory OR or BUILDER'S Address m au 4. ARCHITECT'S Name rF t fU B. ARCHITECT'S Address cr Jr J CD B. TYPE of Construction — (Please indicate by X) f l Wood Frame i ) Masonry I I Steel { I T. PLANS and Specifications ` Na_14 ' x 501 Mob" le home as per plot plan specifications and applicat" an a. Proposed Use Mobile Home $ 4p_ PERMIT FEE PAID — THIS PERMIT EXPIRES _ s�anUa!']/ 10 19 93 (If a longer period is required an application for an extension most be made to the Building and Zoning inspector of the town of Queensbury before the axpi rat ion d ate,F Dated at the Town of Queensbury this I y 19 91 for the Town of Queensbury SIGNED BY ' Building and Zoni or 411 Tower Q UEENSB URY 9(91119 D � REVIEWED BY : JAN FEE PAID : 1BUILC►IN0 & coos parr. PERMIT N O . C `ea APPLICATION FOR MOBILE HOME PERMIT A BUILDING PERMIT MUST BE OBTAINED BEFORE PLACEMENT OF MOBILE HOME . NO INSPECTIONS WILL BE MADE UNTIL A VALID BUILDING PERMIT HAS BEEN ISSUED . . . . . . . . . . . . . . . . . . . . . . . . . . . The owner of t h i s property i P . O . Address : Phone Number ,-7 — is l YGr Property Location - 4 _ � - Tax Map No . NAME OF APPLICANT : n f G2 � �L�G�•/ � Address of Applicant : G} f 2A All applicants spaces on this application MUST be completed and the signature of the applicant MUST appear on the reverse side of this application . PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES : MOBILE HOME INFORMATION APPROXIMATE VALUE OF HOME : $ New Home Yes No ZONING INFORMATION : Replacement Home Ye�t4 Size of Property : �ft x ��ft Size of mobile home ftx, F't Existing Buildings * ,�,,r'e7` I�--' `Z Singlewide 1/f Doublewide Proposed building-distance from property line : No . of rooms ( exclude baths ) Front Yard v ft Rear Yard /���f : Side Yards �a ft and ,r No . bedrooms Occupancy Informatz n • No . of bathrooms_ Primary dwelling : Yes No Fireplace J\/j!�) WoodstoveG Accessory Building ( s ) : Detached garage ( one car /two car car ) Foundation style and size : Attached garage ( one car,/two car car ) JStorage building Piers- No . of Size ft x ft —`! Other Depth below grade ft * Foundation- Fooling size" x %of"I k Proposed date of placement : Wall material Wall thickness Height 3 c` 'Water Supply : Well Municipal Total depth below grade ft . " Septic permit required ? Cf Grade to home floor level ft . FURTHER INFORMATION REQUESTED ON THE REVERSE SIDE OF THIS SHEET NAME OF INSTALLER/MOBIL£ HOME DEALER : # ADDRESS/PHONE NUMBER ! R � • STATE OF NEW YORK DIVISION OF HOUSING'"+AN0nWMM�JJN TY RENEWAL INSIGNIA OF APPROVAL OF THE STATE BUILDING' 60-DE I , Insignia serial number / �/ " 2 . Name of Manufacturer ,� / Z- 3 . Plan Approval NumberW,72 f,9 4 . Model or Component Designation 5 . Date of Manufacture f + ' 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 . Town of Queensbury State of New York County of Warren AFFIDAVIT 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 war shall be complied with , whether specified or not , and that such work is authori ed by the owner . Signature wner owner ' s agent , architect , ractor SPECIAL CONDITIONS OF PERMIT : By Code n orcement Officer TOWN OF 4UMNSOURY APPLICATION S S IT Permit # A � 8 �1 Fee Paid Date : gU1L01"G' & DEP r. Reviewed B LOCATION OF PROPERTY FOR INSTALLATION : ,f' jTOwner ' s Name : G' r - ILI 6� LZ;5, 4) t� Owner ' s Mailing Address : Installer ' s Name : Phone # : Number of bedrooms ( i f residential ) : Total daily flow ( residential - compute @ 150 gal . per bedroom ) : z� Topography-Circle One : Flat Rolling Steep Slope % of Slope Soil Nature- Circle One San 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 : unicipa Well Other If domestic water supply is a we Separation : Water supply from anLX septic absorption feet PROPOSED SYSTEM: Septic Tank jQV gal . ( Minimum size : 1 , 000 gal . ) Tile Field : Each Trench feet//Total System Length feet Seepage' Pit ( s ) : Number of /` / Size each : �' ft . x �6 ft . Size of stone to be used : # 4t" Depth or Thickness `d feet HOLDING TANK SYSTEM IF REQUIRED No . of Tanks Size�of Each Gal . Alarm system and associated electrical work to be inspected by a certified agency. k ,k�r �rdr�r* I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the To n of Queensbury Sanitary Sewage Disposal Ordinance . SIGNATURE OF RESPONSIBLE PERSON : � TE ` 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 al tanks , distribution boxes , the fields and/or drywells B . No system shall be cowered 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 to $250 . 000 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 installation , 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 & Code Enforcement Department 531 Bay Road Queensbury NY 12804 Remarks : TawN of QUE,ENSBORY ' 531 BAY ROAD 2804 C)UEENSBURY > NEW YOR 45I 4447 TELEPHONE ( 51S) BLIILUIfl6 INSPECTOR' S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED MA14E. LOCATION PEWdfITi TYPE OF STRUCTURE r RECHECK A-fi- RCIAL STRUCTURE ) FIRE MARSHAL APPROVAL ( COMME OMME LL FRAMING FOOTING FOUNDATION -.BACKFIIMRL ELECTRICAL~ SEPTIC ROUGH PLIiMBING INSULATION WO 05TOVE/ FIREPLACE REMARKS A PROVAL N/ YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING SIDING --- DECK/ PORCH/ STEPS/RAILINGS , RELIEF VALVES __.�,�_PERA IN ' FURNACE/ HOT WATER OPERA IO.__�_-.- - 5ASEMENT INSULATION/DU Co INTERIOR TRIM/ PRIVACY Dfl0 S FINISH FLOORS : BATH/KITCHEN WATERTIG T OTHER FLOORS SWEEPAB E OTHER FLOORS CARPET D STAIR CLEARANCE/ RAIL: GS SMOKECD - C TORSAPPED ESS BATHROOM FANS/WHO HOU E FANS ALL PLUMBING FI %T RES OPERATING GARAGE FIRE PROD ING_ DOOR CLOSERS' FFIRE/DEMIS £ WA LSER FIRE SEPTI N ouMPSTER -- SITE PLANIVAR ANCE REQUIRE MEN S FINAL ELECTR AL OK TO ISSUE 0 OR C/C COMMENTS : y 4 k DEPART.'__----- I S TOgN 0 QUIJ ENSrUa 531 BAY ROAD QUEENSBURY , NEW YOR 45I4447 TELEPHONE ( 518) BUILDING IRSPEC'TOR' S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED MANE LpCAT I ON � JJ,(,�,, ,�, DAT€ .� / . L-Gc. --'PERMIT#T-YPE OF STRUCTURE —��s • �� RECHECK FIRE MARSHAL APPROVAL ( COMMERCIAL COM ER CAL STRUCTURE) `C FOOTING FOUNDATION INFRAMING AL ELECTRICAL~ ?SEPTIC ROUGH PLUMBING INSULATION �WOCIDSTOVE/FIREPLACE REMARKS APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATIVN B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/PORCH/ STEPS/ I G RELIEF VALVES PERA N FURNACE/ HOT WA E BASEMENT INSULAT N INTERIOR TRIT4/ P IYACyOORS DOORS FINISH FLOORS ' BATH/KITCH WATERTIGHT OTHER FLOORS SWEEPABLE OTHR FL S CARPETED STAIR ECLEARANCE/RAILING HANDICAPPED ACCESS �. SMOKE DETECTORS � BATHROOM FANS/WHOLEH USE FS FA NNS ALL BIN PFIXTURES OPERATIN GARAGE t DOOR CLOSEOTHER FIR RS I N RE/DEMISE WALLS DUMPSTER REQU R EN SITE PLAN/ VARI N FINAL ELECTRICAL OK TO ISSUE C /O OR Cl COM�IM, NTS : DEPART,�- IN PAGE NDERWRITERS THE NEW YPRK BOARD OF FIRE U I BURIEEAU OF rELECTRICiTY K 12207 0^26672 41 STA.Tr= STREFKT� ALBANyw NEW YOR 416910 Appli�atiOn N�&- omfiteo9l 70792/ 92 MAY 11e1992 PER141T NO . 92009 of above appacatieft nismber in the p,lon-� a on the THIS CERTIFIFES THAmr reduced 1py the appucant naosed only the electrical equipmums aa describemi below �sd Ing EAST E Lot AV 9YJEENSBURYF N * Y - MARILYN GRNGORYP �L-j lot Fl. Zmd FT. OUT section Bloc in alefollowing locatwn, ion'C'e With the rwq"irements of thio B40ard r o"fe"nd to be in COospi 41 was examined On 14AY 04r1992 WAH WA UST PAWAS A DOCKS 0 K W. X.W. AMT. K'W- NXTURE mn^4m SVMCHES 1"C'*NmsCu0k4T fLu ER OUTLETS as %OURS A9FUo&WR P� AMT. C W. A A. W, G, "0. CW NOUTRALS OF XAAL W. C� 040. OF W OF x 2W 1 j®r 3fw 3 'jV 3�w 3'xff 4 W of 4no cc. COND. AMT. AMR, Type 2 X 100 CB ARATUS% x BASEMENT FEEDERS : 1-4 BASEMENT TO A#AWW A� C' FEE PAID AS CAS $11MTI L WEAK OF SEMUW- MARILYN GREGORY LUZERNE RD , RD , 4 BOX 11 QUEENSBURYO NYr 12804 pe 239 ST REST, NEW YOKKO M 65 JOHN VMS mLL PAYAWA AT THE MEW Y04M 0 4LND is 040T A CENTWmATE OF CIOMM4""* SgiEwmams"Ovam TFUS is YOUR WaVOR 10WR OF QUEENSBURY 531 BAY ROAD QUEENSBURY , NEW YORK 12804 'TELEPHONE ( 518) 745- 4447 BUILDING INSPECTOR` S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME. LOCATION DATE ' PEW41T• --' —7 TYPE OF STRUCTURE R£CRECK %MERCIAFIRE MARSHAL APPROVAL ( COt'SACKfILLt STRUCTURE ) � FOOTING FOUNDATION NA�ELECTRICAL SEPTIC ROUGH INGWOO`DSTOVE/ FIREPLACE -' INSULATION REMARKS APPROVAL / A YES NO CHIMNEY HEIGHT/LOCATION_` B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/PORCH/S EPS /RAILING RELIEF VALVES ING� FURNACE/HOT Y!A ER OP CTWORK BASEMENT INSULATION/ DOORS__ INTERIOR TRIM/ PRIVA FINISH FLOORS : BATH/KITCHEN W EEPABLET OTHER FLOORS OTHER FLOORS CARPETED_---..----- STAIR CLEARANCEJRAILING5______._-- HANDICAPPED ACCESS SMOKE DETECTORS FANS BATHROOM FANS/WH❑ H U E f� ALL PLUMBING FIXTURES OPERATING____ GARAGE FIRE PROOFING DOOR CLOSERS OTHER I FIRE SEPA WALLS ION fS— �— DUMPSTER REMENTS SITE PLAN VA IANCE E FINAL ELECTRICAL G/G�— OK TO ISSUE C/0 ❑ COM N So do. Lr" DEPART�.�----- INS c� ` .._.lown. 0 Queenshuey BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME Cn Y 'Nc LOCAT I ON DATE _ PERMIT NO.. SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - No Percolation rate - Min/Inch TYPE of SYSTEM.: Absorption field , tota length Length of each trench _ Depth of trenches Size of gravel SEEPAGE PITS4Numb of _ Size- �ft. X _ f Gravel size PIPING : Xd Si a Type Bldg . to Q _ Tank to L7ist . bo t OpeningsS N, Partial LOCATIO Found ion to tank ft. Fou ation to abs ption ft. Absorption to lot Tine ft. Separation of pits ft. LOCATION OF SYSTEM ON PROPERTY (circle one ) Front - Rear - Left side - Right side CCMMENTS : SYSTEM USE APPROVED No Bui ing Inspcector 01/86 and vl l k :1S • _ f. wr 4 a t, t 7 {s #t z i t JAN 13 coot t; Bl31C MQ i COME DEP,T. OF f W. i� j G � 1 ram.., dabs ► - ern I T (�° TOWN Of QUEENSB�RY .C , 'RvILOIMG ANo CODES DEPARTMENTa,LOI 531 SAY ROAD \p UEENSBURY . NEW YDRK 1" Q TELEPHONE ( 518} 792- 532 8 CJ BUILDING INSPECTOR E"fRT REQUEST FOR INSPECTION RE ES NAME LOCATION - � 4 DATE PERMIT #,J �(� oy dt.C.'�.vti.�C TYPE OF STR TURF 5 APPROVED RECHECK ' `+�� N/A YES NO MONOLITHICPOUR THE REINFORCEMENT IS R P _ PROTECTI FROM FOR PR,OwIDI116 LOOYiING FREEZING FOR 48 THE PLAGEMEKT Of THE MATERIALS FOR THIS PURP E ON S FOUNDATION/WALL POUR REINFORCEMENT IN PLAC FOUNDATION/DAMPROOFING_ BACKFILL APPROVALr �- ROUGH PLUMBING PLUMBING VENT/V N N E PLUMBING UNDER SLAB FRAMING JACK STUD /HEp,pERS BRACING/ BRIDGING JOIST HANGERS JACK POSTS /MAIN B FIRESTOPPING WALLS CEILING FIREWALLS HEATING R UGH- IN INSULATION : E -_ FOUNDATION ALL i FOUNDATION WALLS EXTERIOR R 1� FLOORS WALLS R- CEILIN PIPING IN UN EA ED DUCT WORK 0 SPACES p�WRKS : Z . ARRIVE DE PART NS P TO MAIN OFFICE ATLANTIC4NLAND, INC. 997 McLean Rd. NEW YORK Cortland, New York 1 3D45 MEMBER OF MF.PA AND LA.Ek Phone: (607) 753-7118 FIRE UNDERWRITERS Avft ry (607) 753-78M {Electrical and Fire inspection-Enforcing and Consufting Service) V 1 0 16 2 5 (607) 753-1396 (Incorporated in the State of New York) Desiring Ceforicate of Approval, application is roads for inspection of stectrical installation in the promisee described below. On demand applicant agrees to pay for inspection service in accord wuh schedule of charges. APPLICATION FOR ELECTRICAL INSPECTION — PLEASE PRINT OR TYPE THIS SECTION TO BE COMPLETED BY APPLICANT DATE OF A L_GATtGN Cil'Y, 1R1JU►CiE o L./ Zt COUNTY � � .V i.. �^"' STATE r . STREET ff RURAL ,,�! / /U 4' Imo/' BUI ADDRESS r- ..,�} d F,� L + �+ �.,�r pAPV DIRECTTII'O''NS Ar t NCI L,►�^/wt ylJ" ,r/��L�' .rq L/r� Jeri F - ,yam. Lt"- I� 7f C7 ..�1 -��r• f� U! - a POLE NO. �EE'C.r► 04:C V f f & Ld 6W I� OCCUPIED AS 4„J • . OCCUPANT BUILDING — Now O Old O WORM[-- New ❑ AddlOonal C] 4/ ; .417'.'� les-A Te p �Lra 4g'o X- c A'00 s r3 v jpz � ,� � 0 APP. FOR — ROUGH WIRING ❑ FIXTURES O OR "'- ,/ '� !'f I� �7 4 G' ~ READY FOR INSPECTION 79 FEE REMITTED— 5 eY CHECK D CASH D MONEY ORDER ❑ MAKE PAYABLE To ATLANTtC-INLAND, INC — NEW YORK Number of Rough Wlnrg outlets FhcWree Add kreiam"on Swtch UIMQ Recep- KIN Me& Mogul Fluor. 500 750 10XI0 1260 1600 1750 1 2000 1 2250 2500 1 2760 3000 "Gat as" ate Elect Heat Amp. Sorv6m Water "Ir. Bumer Air Cond. Surface unit Oven Range Gr. Dlop.. Dish W. Dryer H.P. Pump Ex. Fan Hood OTHER EQUIPMENT [Specify Type a Capaddesl TYPE OF , SIZE OF �� suit- BRANCHES NO. OF WnRING OPEN COISCFAI D ❑ OTHER MAIN rp MAIN CIRCUITS uw� A=PPIA RE LICENSE ♦ PERMIT�M APf+ a �. �©F ADDRESS OFFICE T40 CITY STATE ZIP OCIPW NENOTWUW . ROUGH WRONG - AMP SSRVICE K.W. SURFACE OUTLETS EQUPMENT VINT SWITCHES AMP SERVICE K.W. OVEN .00NDU078RS H.P.f3ANBAfiE RECEPTACLES H.P. PUMP 04SPOSAL UNIT t MMEOIUM BASE K.W. FIXTURES K.W. DRYER DISHWASHER MOGUL BAST•': KW.WATM FACTURES HEATER K.W. RANGE E FLUORESCENT H.P.AIR AMP. RECEPTACLES FOCITIRES coNcIrTI 'R MERCURY VAPOR on YMdeNG A.CONTROLS FOR BURNER SMOKE FRAC. H.P. OUART2 FIXTURES DETECTORS VENT FANS MOTORS, H.P. if" 1112 7110 115 1/6 1/4 1 f 3 112 S!a 1 114 2 3 If TYfI 10 75 20 25 30 40 50 75 100 MARK NUMBER OF EACH WE SOB 1 750 1 1000 fM 150U 1750 2000 1 22M 1 2500 1 2750 1 3000 APPARATUS Elect. Hest - MISC. pHF4. _ FMcdwd Inapecled FEE PAID PIIDAResf TOTAL ti . L7 Dtlracim Chock NO, CI Rough wring ceruaoate ❑ 'Temporary swvice Money Order . C3 FWAL CaRRYWICATE cash _ E3 Dup. Cert Req. Cher9e 0 MUNICIPAL MUM ADDRESS ATM, Te"gx Cut-in Cord No. Final Cut-In Carol No. _ Inspector AI-01 MUMCI` PAL.ITY