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2006-445 .411111hi TOWN OFQ UEENSBURY Foiro742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20060445 Date Issued: Friday, July 27, 2007 This is to certify that work requested to be done as shown by Permit Number P20060445 has been completed. Location: 61 WISCONSIN Ave Tax Map Number. 523400-308-012-0002-030-000-0000 Owner: DANIEL HUNT Applicant: SCOTT ROWLAND This structure may be oc& s IUNT Mobile Home Out of Park By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the (---- AriA°1 property owner of the responsibility for compliance with Site Plan, / Variance, or other issues and conditions as a result of approvals by the Director of Building&Codenfoe •ent Planning Board or Zoning Board of Appeals. if.P4 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Fir.. iy Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20060445 Application Number. A20060445 Tax Map No: 523400-308-012-0002-030-000-0000 Permission is hereby granted to: SCOTT ROWLAND DANIEL HUNT For property located at: 61 WISCONSIN Ave in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: DANIEL HUNT Mobile Home Out of Park $50,000.00 SCOTT ROWLAND Total Value 21 AMERICAN Way $50,000.00 QUEENSBURY, NY 12804-0000 Contractor or Builder's Name/ Address Electrical Inspection Agency Plans &Specifications 2006-445 1144 SQ FT MOBILE HOME $72.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday, September 13, 2007 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensb before thepiration date,) Dated at the To of �,f( i ,�` -s.ay, September 13, 2006 ki,4 SIGNED BY �i ` for the Town of Queensbury. Director of Building&Code Enforcement 3.0,64t. - 2-- 3c) n �`l _ OFFICE USE ONLY TAX MAP NO.L`C ' ' PERMIT NO. DATE ISSUED: i RECEl���ED ; PERMIT FEE 41:7Z- APPROVALS: ZONING TOWN CLERK JUN 2 3 206J TOP1TOF'Qtr5EN'S'BOf: BUILDING AND CODE MOBILE HOME —APPLICATION FOR PERMIT: A building permit must be obtained before placement of mobile home on parcel. No inspections will be made until a valid building permit has been issued. Applicant Information Property Owner Information Name: Se0-4 Imr Roc,) \Ay‘\ Name: S Gb-Ak- i'' `' G .0,..3\,1Th Address: Co 3 'vJ \ Se-o C Address: to CMZN S N 14' cucCtiv S R'/ /0.Y 10`-{ Phone No. (5-1g\ 9 ( `�3 f 3 Phone No. Parcel Information 6 ' jif Proposed Date of Placement: Property Location: '.x) CA: S (t'-- Road,Street,Avenue Name of Mobile Home Park: (if applicable) Tax Map Number: 30 • Mobile Home Information Zoning Information Approximate Value of Home:$ o c v Zoning Classification: Of)• ` New Home: Yes No Size of Property: (}�'< ft. by l e v ft. Replacement Home: Yes No Existing buildings: Size of Mobile Home: 4ft. by Oil ft. Setbacks: front yard ?), ft. rear yard 10 ft. side yards i c ft.and I o ft. Singlewide: Doublewide: AccessoryBuilding(s): circle Number of Rooms: (exclude baths) '� 9( )� Number of Bedrooms: 3 Number of Bathrooms: _- Detached garage: 1-car 2-car car Circle: Gas Fireplace/Woodstove/Wood Fireplace Attached garage: 1-car 2-car car Foundation Support: Storage building: Yes No Type Size & Depth Other: Piers Water Supply: well or unicipal- Runners I, --�` Slab o?' C0 Is Septic Permit Required? Yes-7or No Continued on back Town of Queensbury• Community Development Office • 742 Bay Road, Queensaury, iv r izavi A Name of Installer or Mobile Home Dealer: I ► • I''`40- 11"tr1 Address: Cb �5ti51 q - Phone: 1aG Complete information below found on a"Plate"or"Sticker"which is affixed to the mobile home: ✓ Insignia serial number: 1 Name of manufacturer: ✓ Plan Approval Number: f � � I C)6:1r� ✓ Model or Component Designation: 3 Ky I i iv .7_ ' I �`� l 6� `I (New home only) ✓ Date of Manufacture: AFFIDAVIT Town of Queensbury 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 s and specifications submitted, are a true and complete statement s 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 s° shall be complied with, whether specified or not, and that such work is authorized by the own:r. / Signature: ate' G./1)? - Owner, Owner's Agent,Architect, Contractor XJ SPECIAL CONDITIONS OF PERMIT By: Code Enforcement Officer Town of Queensbury • Community Development Office• 742 Bay Road, Queensbury, NY 12804 C)Ss p 12, _2_ —3 0 OFFICE USE ONLY r REcEf�J , /r_ ECS TAX MAP NO. PERMIT NO(26 J -1 ) PERMIT FEE ; ; JUN 2 3 2006 APPROVALS: ZONING ; ; TOwN OF ,�. t TOWN CLERK gUjLDr rVSSU�Y NG Aide cop� , APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERMIT: A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE ISSUANCE OF A VALID PERMIT. y� OWNER: 3 al in (/ PINSTALLER: -W1 ADDRESS: V8 W 1 SCO/`),5 ')1.-3 ADDRESS: PHONE NOS. l a(c'' PHONE NOS. LOCATION OF INSTALLATION: 3 0 g. I ) 2'-c3cD NO.OF RESIDENCE INFORMATION: YEAR BUILT BEDROOMS X COMPUTATION= = TOTAL DAILY FLOW 1980 or older X 150 gallon per bedroom = GARBAGE GRINDER INSTALLED? 1981 -1991 X 130 gallon per bedroom = SPA OR HOT TUB 1992-present 3 X 110 gallon per bedroom = 3 3 v INSTALLED? PARCEL INFORMATION: ✓ TOPOGRAPHY: Flat rolling ' Steep slope %Slope / SOIL NATURE: Sand 94— Loam Clay Other ✓ GROUNDWATER: At what depth? / BEDROCK/IMPERVIOUS MATERIAL: At what depth? / DOMESTIC WATER SUPLY: Municipal Well (If well: Water supply from any septic system absorption is ft.) / PERCOLATION TEST: Rate is per minute per inch. (Test to be completed by a licensed professional engineer or architect.) PROPOSED SYSTEM FOR NEW CONSTRUCTION: All individual sewage disposal systems must be designed by a licensed professional engineer or architect (unless installed in a Planning Board approved subdivision). TANK SIZE: /CGd GALLON (MIN. SIZE IS 1,000 GAL.) Add 250 gallons to the size of the septic tank for each garbage grinder, spa or whirlpool tub. SYSTEM TYPE: ❑ ABSORPTION FIELD (WITH NO. 2 STONE) Total length /8L ft. Each trench V X �S ❑ SEEPAGE PIT(S) (WITH NO. 3 STONE) How many? Size? ❑ ALTERNATIVE SYSTEM Bed or other type? ❑ HOLDING TANK SYSTEM Total required capacity? Tank size? Number of tanks? NOTE: ALARM SYSTEM AND ASSOCIATED ELECTRICAL WORK MUST BE INSPECTED BY A TOWN APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REVIEW LIST PROVIDED. For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of QUESTIONS? CALL 761-8256 OR EMAIL Queensbu y S 't ry Sewage Disposal Ordinance. codes@queensbury.net r-1 ''' /9-), VISIT OUR WEBSITE FOR MORE INFORMATION , , 2_,.,..3 www.queensburv.net ,,Sigjture of Person Responsible Date ` Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, NY 12804 B 5-LGL 6/06 FINAL INSPECTION REPORT `l ' J� MOBILE / MODULAR Town of Queensbury Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 (51( ART: 8) 761-8256 ARRIVE , INS11:1--(2-e-7 DATE INSPECTION REQUEST RECEIVED: NAME: 4U'./t i l LOCATION: Lel C.C .J5/Ail AV DATE: 7// C fo 7 PERMIT NMOBILE HOME V MODULAR HOME FOOTINGS FOUNDATION BACKFILL FRAMING N/A . YES NO 1. foundation support, pier spacing per manuf. — _ — 2. anchoring per manuf. _ — — 3. water line shut off _ _ _ 4. sewer line support ®4 feet — — — 5. heating crossover (dblewide) off grd. — — 6. dryer vented outside ... — _ — 7. skirting ventilated _ — 8. hot water relief valve piping outside 9. deck, porches, steps, railing _ _ — O)furnace/hot water operating _ — 11. garage fire proofing 12. door closers _ �_ 13 plumbing fixture — 14. foundation insulation (if appl.) _ — — 15. smoke detectors — --- — 16. final electrical — — — 17. variance reed — — — 18. (1-.....1 plate okay — — - obile HUD seal okay — — — i i.-1 y Serial # Manufacturer Date of Manufacturer / OKAY TO ISSUE C/O YES NO Comments: 1`C LKv FINAL INSPECTION REPORT MOBILE / MODULAR Town of Queensbury Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 (518) 761-8256 ARRIVES .2'bEPART: INSP:y tL DATE INSPECTION REQUEST RECEIVED: NAME: kit)/0 LOCATION: 40 / Se 1 /`A A06- DATE: t6DATE: 2of PERMIT II OW ,/A— MOBIL ' HOME MODULAR HOME FOOTINGS FOUNDATION _ BACKFILL_ FRAMING_ N/A YES NO 1. foundation support, pier spacing per manuf. 2. anchoring per manuf. 3. water line shut off - 4. sewer line support ©4 feet - 5. heating crossover (dblewide) off grd. — 6. dryer vented outside 7. skirting ventilated — V/ 8. hot water relief valve piping outside v/ 9. deck, porches, steps, railing ✓ —/ 10. furnace/hot water operating — �!L 11. garage fire proofing _ — 12. door closers — 13. plumbing fixture — — 14. foundation insulation (if appl.) — 15. smoke detectors LL 16. final electrical ..7.7/47/.02..(V‘7 _ 17. variance required - 18. data plate okay — 19. mobile HUD seal okay — Vj Model # /U20 L-1 Serial # 6716-6 ?9-V lg,4 Manufacturer �l(�CIIJ6- Date of Manufacturer (P It f 0 OKAY TO ISSUE C/O YES NO Comments: ,v0 tem-r-6.1 '-& *05e- 5 Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: /2 / Queensbury Building&Code Enforcement Arrive: am/ c_i Depart: am/pm \_______ , 742 Bay Rd., Queensbury,NY 12804 Inspector's InitialsfJ NAME: 5colf- °quo/0nd PERMIT#: °6 — Lf 4S LOCATION: b/ ( 5C( /fl 4U�'- INSPECT ON: Ca J//,L/p -2 TYPE OF STRUCTURE: /,) /-j--0 ioZ "//2-2 Comments Y N N/A yo uth ati 1/t v Footings Piers Monolithic Slab / 0J-j2'Q '764j11 Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval PIing Under Slab Cast/Copper '5 0 fo Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Bullding&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM . /d ) l-/ Septic Inspection Report Office No. (518) 761-8256 Date Ins 'Qn,p‘quest received: 10/ Queensbury Building&Code Enforcement Arrive: r f)) am/pm v part: am/p 742 Bay Rd., Queensbury, NY 12804 Ins is Initials NAME: 5e-D" ' /q01.,0 r/4'' PERMIT NO.: 06 fce VS LOCATION: L�/ (A)i CC 0riciA) INSPECT ON: 6//' /D-7 RECHECK: /0 o / a Comments and/or diagram Soil Type: Sand •. , lay Type of Water Municipa / Well Water ? 3 Waterline sepa '•• _•" -nce - ft• J 6 ` )9 / ca.La Well separation distance ft. Other wells: ft. �,taVU ")-(Atal Absorption Field: Total length ft. Length of each trench ft• Depth of trenches �� ft• Size of Stone liu t t---14--(0k J% S Seepage Pits: Number Size: x Stone Size: Piping Siz ,, Type Building to tank ` ��'J r) Tank to Distribution Box 4t 0 ,z_v Distribution Box to Field/ Pit ,` 0 Opening Sealed: Y/ N/ Partial "f-1/4- End Cap Inlet/Outlet Pipes &.Baffles Y N • Location/ Separations � lav 3���iR-���v� Foundation to tank • Foundation to absorption ft. Separation of Pits ft Conforms as per Plot Plan .4 N• 411t- 44 - 6t,/c_-r-- g_4A/ Engineer Report and As-Built —Y_N Location of System on Property: Front Rea Left Side Right Side Middle . Middle Rear System Use Statu : Approved • Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 021006 Last revised 1/6/05 tap NO. sit/t3.12--Z-19 • I I L-L-'10' I I oultId at ,orth side of Central Avenue - 676'7 �� G� .OD: ZS=00=Es FT NrcN srocxf _t \�o,s r A':'r ro 4�-gCL I S.oa I I to • 0) I /7& i - . , MINIMUM BLDG..SETBACK LINE. I 1 Tax Map No. 308.12-2• (877) (878) ,..10 Fr. �rAes�c.R�rION _ mgt.) I FIELD IST. (881) I I Man__ 9 --. OLD FRAME �IOW IGAL — —— b / SEPTIC ADDITION — _- ; r.W .' TAT Area: 6,50cJ Sq. Ft. I / z FRAME I I .'I \-. -"x— UTILITY HED <I w_ I Fm- LL Z I I �I I �� I I I -, . Im JI I I a j I° jjj �� 21 •, Q z I� Z_I I I W 1 M O g Proposed Single FJmily I , oo XI Proposed Single Family R z l Residence I p Resldencp -. _ai ids N/F Albert& Helen Barlow o i l \ I I r (527/411 & 582/992) o I � I I I Tax Map No. 308.12-2-28 & 29 vi I MINIMUM BLDG SETBACK LINE^ i MINIMUM BLDG.SETBACK LINE "5= I IL U II� I I IW I I I I o} �,.rcc > I Il< I o b ,3 o til • ` o i ;/"" Ile, I cir c tW I l H I i I no �° �o 1 I° , I I li I a GS.00 65.00 59.9P I 1 __ IRON PIPE '" Q FOUND I .1-DO '" 25 OQ I i4.) -1 0 0 I c"\ I found at north side of Central Avenue I L I l{ 1 ► 1I _ �I II 06 ,,_ Wisconsin Avenue H II II IZ• POLE NM 2 OHW OHW OHW . MAP REFERENCE: OWNERS - DEVEOPERS: ,rpenter "Map of Western Park," made for Corliss Realty by E.H. Daniel Hunt Welles, Surveyor, and filed in the Warren County Clerk's 21 American Way 'land Office on August 11, 1927, Queensbury Map Book No. 2, Queensbury, NY 12804 page 58. 173/266 Scott Rowland 1 northerly 10' ZONING INFORMATION: 68 Wisconsin Avenue ' Parcel is zoned 'MR-5" (Multifamily Residential) Queensbury, NY 12804 and falls within a Mobile Home Overlay District. Minimum Lot Size: 5,000 sq. ft. NOTES: Minimum Front Setback: 30 ft. 1) Site is clear of above-ground struct (land Minimum Side Yard Setback: 10 ft. existing grade is essentially flat. Minimum Rear Yard Setback: 10 ft. 2) Total area of property = 13,000 sqt 3/269 3) Site grading around proposed struc .81 and 882) shall provide for positive storm watt away from said structures. 41 Installation of individual sewage Bis • - i I Li El 1 � HUTCH U_�--J L\ 1111 KITCHEN/DINING—d _ 1T.s' '-E_ . / / \ I > ■■■A■■■OPT I I w%H� I • ...1■■■rE,Mali o� ■■■�o■CABS i ion i '�- Mel MIRill • UTI ■■■■■■■ STAIRWELL l • J.■�S■■lawn 3 ■■ ■■■■fi■■ � �AHTI I■ OPT'.III ■■ I CCC MI V ,i.�■, CAROEN TUB imo 'r. OPTION MIUMU ■■■■■■ 1r Iit�Ammonsua OPTION T1LITY INTEGRAL FLOOR FRAME STAIRWELL 1.I■■■■.■■■uI _ 1 OPTION MASTER BATH I, \ ■■■■ WASH/DRY RY � WlH7--1 HUTCH U----i ❑I-1 l� �► 1 1 Mr s r • - C. n n 4!! �n w!w■ ■ ■� --7■� w BEDROOM CORNER Akr III �■r 1211......111111.171‘.11mall' ■■■� •.• TUB . •...■ ■ ■■■■•r��■ ■■■��I 0 I A N10o.? AmmundlI ■■■■ I gsEIJiIUII1! ■■■■ LAND-■■■ MINIIIIIIIIIIIIME�■■■■ WORK TOP �\� ■ annum i�iiiC■�.=___—" 1 z� 4/ OPTION GUEST CLOSET \..../\...- OPTION CORNER TUB BATH `' •■■ .. FANTRY JI I BO zp OPT CAB l N / CATHEDRAL THRUOUT / MASTER >I'm • m\rmV"I BEDROOM LIVING ROOM BEDROOM N DEN • MASTER • No.1 No.3 • BEDROOM 14'4" 10,6• 10' No.1 )\ I --\ 1614" TJ —.....®em ~12 1020CTB14428(1,158 SQ.FT.)3BEDROOM -2BATHS-CATHEDRAL THRU-OUT OPTION DEN OPTION MASTER BEDROOM 11.184 SO FT.) I I I I I (899) (898) 1 /(897) I 1 Lands N/F Linda Breault (886/133) Tax Mali No. 308.12-2-19 1 I ««<I< 319.96 Feet to iron rod found at north side of central Aveque — I I I (876) I I I I I I I I I I I I I (896) 1 (895) 1 (894) Lands N/FlArthur & Margaret Riolhardson 1 665/155 Tai( Map No. 308.12-2-181 �OD°-25�00�1E L s TOWN OF QUIETEN BURY BUILDING ° �.JDt r)FPT. REVIEWE,) BY � DATE 66t l (8�3) (892) I I Lands N/F Thomas Hill 1 (1435/86) Tax Map No. 308.12-2-17 I I ' I ora o� I _MINIMUM BLGF SETBACK LINE �� qFT _MINIM UMBLDG,SiE_FBACKLINETax Mp No 30812 2.30 ABSORPTIqtj ioET. TaxMapS 3308N12-2-31(877) (878) —' FI"rt) MIN EIELD,OFT • DIST.879)(MIrv) 6Box (8 0) (881) ,1000 GAL,.tOFEET OX I 1 ADE ME I SEPTIC (MIN.) SEPTIC AODITI N -- TANK w Area: 6,500 Sq. Ft. z z Area: 6,50¢ Sq. Ft. w z I FRAME UTILITY SIRED _ xz I p Proposed Single Family I I Proposed Single Family Lands N/F Albert & Helen Barlow o ; Resldenc3 h1 O I Residence� t 1 (527/411 &582/99) Tax Map No. 308.12-2-2 &29 vj IMINIMUM BLD SETBACK LINE MINIMUM BLDG S TRACK LINE ._ I w W] I -l�w to �� ��w ❑, �' I� �zQ. �w w I IISIL b a LL z > LLz a> a> 3 og I o f � I�y I ap ao y i af 9P� FOUND ««« 320.18 Feet to iron rod found at north side of Central Avenue DEED REFERENCES: Richard J. and Linda M. Carpenter To Daniel Hunt and Scott Rowland D: 10/19/2005 R: 10/20/2005 1473/266 (Deed conveys Lot 879 and northerly 10' of Lot 878). Richard J. Carpenter To Daniel Hunt and Scott Rowland D: 10/19/2005 R: 10/20/2005 1473/269 (Deed conveys Lots 880, 881 and 882) IRON PIPE I = FOUND L G6.Oo jr, oe F 00 215, 00 ,l w S st I Ra I J�OQD��Q' I Wisconsin. -nue 11 OHW MAP REFERENCE: "Map of Western Park," made for Corliss Realty by E.H. Welles, Surveyor, and filed in the Warren County Clerk's Office on August 11, 1927, Queensbury Map Book No. 2, page 58. ZONING INFORMATION: Parcel is zoned "MR -5" (Multifamily Residential) and falls within a Mobile Home Overlay District. Minimum Lot Size: 5,000 sq. ft. Minimum Front Setback: 30 ft. Minimum Side Yard Setback: 10 ft. Minimum Rear Yard Setback: 10 ft. POLE NM ^HW OWNERS - IDEVEOPERS: Daniel Hunt 21 American Way Queensbury, NY 12804 Scott Rowland 68 Wisconsin Avenue Queensbury, NY 12804 NOTES: 1) Site is clear of above-grqund existing grade is essentially fl 2) Total area of property = 13,0( 3) Site grading around proposed structures shall provide for positive storm water runoff away from said structures. 4) Installation of individual sewage disposal systems and connections to existing Town of Queensbury water system shall be in 5) accordance with existing Town standards. t LINK (883) 010, TIP I I i I I (891) I (890) I 1 I I I I I r I I I I I I 1 I I 1 I I I 1 i I I (884) (885) 1 I I I I I I I I 1 I I 1 I 1 1I I -- Lands N/FlJohrt'A. &"Linda Wi�—low' (6417/904 & (347/906) Tax Map No. 308.12-2-32 & 35 I I I I I I I I I I I I I i I I I I I I 1 I /SO I _ - ..CHAIN LINK FFNCF ROAD - ASPHALT SURFACE) (889) (886) MAGNETICMERIDIAN 2006 I I (888) (887) I Survey and Map by CHARLES T. NACY Licensed Land Surveyor 32 John Street Queensbury, NY 12804 1 I— ., „�n�, i�rl illXlso.J"li IriIV1'�yl9reitlii iRik �J } o m � 7- 0 of a survey showing a proposed subdivision of lands of T Li+ v Jul Daniel HuntandSC 0% tt, Rlh o w1a n LJJ LL. o situated in Town of Queensbury County ,New York ,Warren Cal Scale: 1" = 20' May 31, 2006 Survey and Map by CHARLES T. NACY Licensed Land Surveyor 32 John Street Queensbury, NY 12804 1 I— ., „�n�, i�rl illXlso.J"li IriIV1'�yl9reitlii