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2008-540 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building &Codes (518) 761-8256 CERT IFICATE OF OCCUP-A-NCY Permit Number. P20080540 Date Issued: Thursday, April 22, 2010 This is to certify that work requested to be done as shown by Permit Number P20080540 has been completed. Location: 46 RHODE ISLAND Ave Tax Map Number. 523400-309-009-0003-024-000-0000 Owner. RONALD O MOREHOUSE Applicant: RONALD O MOREHOUSE This structure may be occupied as a: Mobile Home In Park By Order of Town Board TOWN OF QUEENSBUR.Y Issuance of this Certificate of Occupancy DOES NOT relieve the 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&Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20080540 Application Number. A20080540 Tax Map No: 523400-309-009-0003-024-000-0000 Permission is hereby granted to: RONALD O MOREHOUSE For property located at: 46 RHODE ISLAND 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. Tyne of Construction Value Owner Address: RONALD O MOREHOUSE Mobile Home In Park $80,000.00 PO BOX 252 Total value WARRENSBURG,NY 12885-0000 $so,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2008-540 1056 SQ FT MOBILE HOME $63.36 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday, December 18, 2010 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Tow �nsbu Fr�dayYDecember 18,2009 SIGNED BY ! ` . I--r.. for the Town of Queensbury. Director of Building& de E Ircement OFFICE USE ONLY tl;;;(((LLL111jjj{{{ TAX MAP NO, PERMIT NO, DATE ISSUED: { PERMIT FEE APPROVALS: ZONING TOWN CLERK o; t 1' 3 2009 T>'? N OF QUEEI� .3lJRY. ___________ ___ ___________________________________ UiLr & CODES MOBILE HOME -APPLICATION FOR PERMIT: A building permit must be obtained before placement of mobile home on parcel. No inspections will be made until a valid building permit has been issued. Applicantlnformation Property Owner Information Name: sl 0 Name: Mo(-o h(a 1 c 5c Address: �L( 1 � . l is r`CI P(nd Address: J Ballat-d _8 Phone No. S1 Z,.. 4:��1 - 7 7S 3 Phone No. 7-7 �5 3 Parcel Information `�� �l3 q Proposed Date of Placement: Property Location f &x/Sh tic 0"0�tv'cj Road, Street,Avenue 7 Name of Mobile Home Park: applicable) Tax Map Numberi-D9.0 -3 o;)C/ :............................................................................................................................................................................_._..._.......................... .......................................................................................................................................... Mobile Home Information ZoniyX Information Approximate Value of Home:$ Zoning Classification: 5� New Home: ❑Yes No c� e�of Property: ✓e G' ft. by ft. Replacement Home: ❑Yes ❑No Existing buildings: Size of Mobile Home: f( by QQft.f Setbacks: front yard ft. rear yard /p ft. , ,� ( �(Q side yards / ,& ft.and , o ft. I Singlewide: "Ltoublewide: Number of Rooms:(exclude baths) Accessory Building(s): Number of Bedrooms: Number of Bathrooms: Detached garage:❑l-car ❑2-car ❑ car ❑Gas Fireplace❑Woodstove [j Wood Fireplace Attached garage: ❑1-car ❑2-car ❑ car Foundation Support: Storage building: ❑Yes DITo' Type Size & Depth Other: Piers Runners Water Supply: ❑Well ]Municipal Slab Is Septic Permit Required? ffYes ❑No ..............................................................................................................................................................................:.................................................................................................................................................................................. Continued on page 2 Town of Queensbury - Community Development Office - 74.2 May Road, Queensinoy, iN r 1_/6U4 Name of Installer or Mobile Home Dealer: Address: 3,�, l 4 ex f Vq? Phone: �1,E) Y 7 —2,5-3 Complete information below found own}a"Plate"or"Sticker"which is affixed to the mobile home: ✓ Insignia serial number: `r /PC IAJ l�3L(��U�! /OS i��1 L, q 3 8 Flats k ZG 1� ✓ Name of manufacturer: /-�C) 0 ✓ Plan Approval Number.[► t;4T �J loq_ 2 Z, 1 �i ✓ �C `llkm ,.erg '��` aa31 O r ( e h e only ✓ Date of Manufacture: f-J / -nv �1 0 -- 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 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 spec ied or not, and that such work is authorized by the owner. 7 Signature: l Owner, Owner's Agent, Architect, Contractor SPECIAL CONDITIONS OF PERMIT By: Code Enforcement Officer Tt 7vn of Queensbury • Community Development Offiice • 74? Bay Rtwd, Queensbury, N)'12804 Queensbury Building & Code Enforcement— Manufactured I Modular Final Inspection Office No. (518)761-8256 Arrive: �C Date Inspection request received: inspector's Initials: NAME: 14 PERMIT C� t� —FLAO LOCATION: _�p E VAC)D VhL 1: 0 A\J E-DATE: — 2_1 k Manufactured Home Modular Home Footings` Foundation_ Backfill_ Framing— Comments: Yes No WA Foundation support,pier spacing, Per manufacturer Anchoring per manufacturer 2'from ends Water fine shut off Sewer line support @ 4 feet Heating Crossover[doublewide]off grd. Dryer vented outside Skirting ventilated 1 so.ft.per 1,500 sq.ft. Hot water relief valve piping outside Deck,porches,steps,railing Furnace/hot water operating Garage Fire proofing Fire Door/Door closers Plumbing Fixture/3`Vent through roof[Modular] Foundation insulation[d applicable] Smoke/Carbon Monoxide Detectors/interconnected Final Electrical Variance required Data Plate okay anufactured HUD seal okay arranty Seal after January 1,2006 Installers Warranty Seal 18"x 24"access or 22"x 30"attic access Vapor retarder under home 6 mil poly or other 911 Street number Okay to issue C/C or C/O[Temp./Perm.] Model# Serial# Manufacturer Date of Manufacturer L:Wam Whiting%201018uilding Codes FormsWanufadured Modular Final Inspecbon_03 04 10.doc Queensbury Building & Code Enforcement— Manufactured / Mod r F' Inspection Office No.(518)761-8256 Arrive: a '� Date Inspection request received: Inspector's n'" NAME: Mo PERMIT LOCATION: !3 R�A r� DATE: Manufactured Home Modular Home Footings_ Foundation_ Backfill` Framing Comments: Yes WA support,pier spacing, Per manufacturer Anchoring per manufacturer 2'from ends Water fine shut off Sewer line support @ 4 feet Heating Crossover[doublenride}off grd. Dryer vented outside Skirting ventilated 1 so.ft.per 1.500 0.ft. Hot water relief valve piping outside Deck,porches,steps,railing Fumacefiot water operating Garage Fire proofing Fire Door I Door closers Plumbing Fixture/3'Vent through roof[Modular] Foundation insulation[if applicable] Smoke I Carbon Monoxide Detectors I Interconnected Final Electrical Variance required Data Plate okay Manufactured HUD seal okay Warranty Seal after January 1,2006 Installers Warranty Seal 18'x 24'access or 22'x 30'attic access Vapor retarder under home 6 mil poly or other 911 Street number Okay to issue CIC or CIO[Temp.I Perm.] Model# Serial# Manufacturer Date of Manufacturer L%Pam Whiting120101Budding Codes FormsWlanufactuned—Modular Feral lnspec ion_03 0410.doc Foundation Inspection Report Office No.(514)761-8256 Date Inspection request received: Queensbury Bu d'trg-k Cam-Enforcement Arrive: am/pm Depart. am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials* — l NAME: �'���J�� -- PERMIT#: � LOCATION: INSPECT ON: TYPE OF STRUCTURE: Comments Y N NA Footings Piers ~ Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement ' e concrete. or this purpose on site. Foundation/Nallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing 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 Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building&Codes Forms\Building&Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM clt�ensbury Building Code Enforcement— Ma Ufa red / Modular Final Inspection Office No. (518)761-8256 Arrive: a - Date Inspection request r Inspector's In' 7, NAME: PERMIT" V LOCATION: .' DATE:t Manufactured Home Modular Home Footings_ Foundation— Backfill _ Framing_ Comments: Yes MIA Foundation support,pier spacing, Per manufacturer ij �E Anchoring per manufacturer 2'from ends Water One shut off L kL3LC,� , Sewer line support G 4 feet Heating Crossover[doublewide]off grd. Dryer vented outside 5- Skirting ventilated 1 sq.R per 1,500 sq.ft. �. Hot water relief valve piping outside Deck,porches,steps,railing r Fumace1hot water operating Garage Fire proofing Fire Door/Door closers Plumbing Fixture/37 Vent through roof[Modular] Foundation insulation(rf applicable] Smoke/Carton Monoxide Detectors/Interconnected Final Electrical � �� \ Variance required _ Data Plate okay �\ F t% i.�oj4 Manufactured HUD seal okay A;T, 41 i rJ Warranty Seal after January 1,2006 V 1 Installers Warranty Seat ' 18"x 24"access or 22'x 30'attic access �� ..► �'= iti Vapor retarder under home 6 mil poly or other 911 Street number Okay to issue CIC or C/O[Temp./Perm.] Model# Serial# Manufacturer 's Date of Manufacturer LAPam Whiting\2010\Building Codes Fo msWla nufactured Modular Final Inspedion_03 0410.doc Septic Inspectife Office No. (518) 761-8256 Date Inspect*Queensbury Building &Code Enforcement Arrive: at: 1D=7,742 Bay Rd., Queensbury, NY 12804 Inspector's InitNAME:LOCATION: Z=15=&D RECHECK: Comments and/or diagram Soil T Loam / Clay Type of Water: Munici ell Water Waterrih—eseparation distance Well separation distance ft. Other wells: ft. Well Casing Length 50' + / - Y N N/A Absorption Field: Total length ft. Length of each trench ft. Depth of trenches ft. Size of Stone See a e Pits: Number Size: x Stone Size: Piping Size Type Building to tank 1% Tank to Distribution Box Nc- Distribution Box to Field/ Pit a N -(-p Opening Sealed: N End Cap N Inlet/Outlet Pipes&Baffles Y N Location Separations , Foundation to tank ft. -- Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan r Y Engineer Report and As-Built Y N Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear System U Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc Z•3O Septic Inspection Report Office No. (518) 761-8256 Date Inspection reque ived: K7�p5w Queensbury Building&Code Enforcement Arrive: 7=?yD a pm D art: 742 Bay Rd., Queensbury, NY 12804 Inspector's Initial NAME: PERMIT NO.: `'' —:T ?f— 4C� LOCATION: �(o R���E 1` AJE INSPECT ON: _ —I 1 -1Q RECHECK: Comments and/or diagram Soil Type: Sand Loam Clay Type of Water: Municipal Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Well Casing Length 50' + - Y N N Absorption Field: Total length ft. Length of each trench ft. -1 Depth of trenches ft. Size of Stone Seepage Pits: Number Vv�. w Size: x L Stone Size: Piping Size Type �\�`F - Building to tank Tank to Distribution Box Distribution Box to Field Pit O nin Sealed: Y N End Ca Y N Inlet/Outlet Pipes&Baffles _Y_N Location Separations Foundation to tank ft. Foundation to absorption ft. Separation of Pits ft. Conforms as per Plot Plan Y N Engineer Report and As-Built i --Y_ N Location of System on Property: Front Rear Left tjt�Ligh:t Side Middle Front Middle Rear System Use Status: pproved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 06/18/07 U\Building&Codes Forms-01.1)\Building&Codes\Inspection Forms\Septic Inspection Report.doc Foundation Inspection Report Office No.(518)761-8256 Date Inspection requ r ve Queensbury Building&Code Enforcement Arrive: Z Depart: am/pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initials. NAME: RMIT#: © —,!�L4n _ LOCATION: SPECT ON: 17-7 `j TYPE OF STRUCTURE: commeab Y N NA Footings Piers Monolithic Slab LZ 41 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 Dampproofing 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 Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Buliding&Codes Fors\Building&Codes\lnspecdon FormsVoundatlon Inspection Report.doc Last printed 12/20/2005 9:24:00 AM Foundation Inspection Report Office No.(518)761-8256 Date Inspection 7reque iv Queensbury Building&Code Enforcement Arrive: part:2 I pm 742 Bay Rd.,Queensbury,NY 12804 Inspector's Initi NAME: U RMIT#: LOCATION: INSPECT ON: I — \ TYPE OF STRUCTURE: Comment Y N NA Footings Piers Monolithic Slab 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 Dampproofing 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 Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. U\Buliding&Codes Forms\Building&Codes\Inspection Fonns\Foundation Inspection Report.doc Last printed 12/20/2005 9:24:00 AM FINAL INSPECTION REPORT mosiLE / moouLAfR r Town of Quemsbury Z`-la —Lb Building &Code Enforcement 742 Bay Road Queensbury, W 12WX L4 (518) 761-82% _ `q 4 7 ARRIVE:�_�EPART: � INSP: DATE INSPECTION REQUEST RECEIVED: NAME: I OrC� �( LOCATION: DATE: f[1 '�J PERMIT# MOBILE HOME MODULAR HOME FOOTINGS FOUNDATION SACKFIL L 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 ........ — 10. farnace/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 required ..................... — — — 18. data plate okay ....................... — — 19. mobile HUD seal okay .............. — — Model#CZ 1-� j e\ Serial# 1-77,LrAA Manufacturer ��� Date of Manufacturer N OKAY TOM YES NO Comments: Communify Development Offlice Town of Queensbury - 742 Bay Rd. vcoz �� Queensbury, New York -12804 POW PLAN Show all existing and proposed structures. Indicate the setbacks of all structures and buildings from all property lines. SIDE PROPERTY LINE ............. .......... ......... .. .......... ...... ................................................ ...... ............ . ..... .... ............ . ......... .......... ........... 7 f ........... .. .......... Z ........... .......... z .............. --i ...........L,­ C .. ;0 ........ .. ........... M 0 —--—------ X C r M ... ........ T"071 J lip .......... SIDE PROPERTY LINE 1 SQUARE = FT. L:AMETAXMAP:YED IRON PIPE --IRON P I _ FOUND/PE FOUND S 8104020"E POST-0 0 100.00, ° L TALL p O METAL POST O O PROPOSED PROPOSED o j 70.0' 3k3'DECK STEPS 1000 GAL. 70.0' p 379 o I so' 70.0' sEPnc O TANK O W 0 cep 342 PROPOSED D. BOX 'OW 1 STORY STOCKADE NOW OR FORMERLY I 3 BEDROOM HOUSE MAILBOX o — LANDS OF FENCE ON CONCRETE SLAB "- - - JACKALYN M. RATHBUN L/BER 7260, PAGE 106 ill 1 0 �- - -� 30.0' i v TAX MAP: 309.09-3-41 34 j PROPOSED PROPOSED .; 3'x3'DECK STEPS LOT AREA' 1' i 6,000 S.F.t o , PROPOSED I O ° DRIVEWAY 46 RHODE ISLAND AVENUE N O 3SO O PROPOSED -~ N STOP l`O Z 24' MAPLE �o ELJEN SYSTEM I 10 G' O SIGN W c EX/ST7NG N I i Z 12' o SIGN STREET p CUT-OFF METAL c I PAVED I Fc NCE POST \_ DRI VEWA Y I I ° I I O--O-O- N 81`402O"W { ? 100.00, ° — _ _- -- WA TER CATCH I m T (TO BE REMOVED) PROPOSED WATER LINE VALVE BASIN O� \ 1 - TO ILL/NOIS AVENUE TO MASSACHUSETTS AVENUE—�- CENTRAL. AVENUE GAS GAS LINE G'TL. POLE RE VALVE— UTL. POLE • MARKER NM-9YDRANT(, NM-9 u �f u u u -- u —jf u u u u rSIGN �f u UTL. POLE lw NM-10 GAS LIN MARKER x— x — M0710N TO APPROVE AREA VARIANCE N 23— 009 RD ALD 0. MOR OUSE, T S.• FIRE co HYDRANT 46 RHODE ISLAND AVENUE x W R IW T, P R l 17 4-030. !N M THIS DETE LINA ffALL SIDER ? L cr I x� V 0 TH^ W AN TER O NOTES: OF S THI N K ROPERT ES. Z o WH j LC S. THE 1 PH EN NE I NK F THE O k 1) FIELD SURVEY PERFORMED IN DECEMBER OF 2008. RE RH _. DIF ULrr sIDERED s _ EAT -BED THE sH TO THE M H'OM S - APPR °' i/09. 2 2) SUBJECT TO ANY AND ALL RIGHTS THE UTILITY COMPANIES DUL400WRIF 27r THE AYES MR. DRELLOS, MRS. JENKIN, MR. URR/C9, S. H ARRAND, MR. -MR DEED REFERENCE MAY HAVE IN AND TO THE SUBJECT PARCEL MAPPED HEREON. NOES: NONE 3) THIS MAP WAS MADE WITHOUT THE BENEFIT OF AN UP-TO-DATE MAP REVISIONS COUNTY OF WARREN TITLE REPORT OR ABSTRACT OF T77LE AND IS THEREFORE SUBJECT TO TO WHATE'VEP, FACTS MAYBE REVEALED BY THE SAID DOCUMENTS JANUARY 16, 2009 TO SHOW PROPOSED HOUSE, SEPTIC, WATERLINE AND DRIVEWAY. _ NALD 0. MOREHOUSE 4) REFER TO MAP REFERENCE FOR CIRCLED LOT NUMBERS OCTOBER 6, 2009 TO SHOW CHANGES TO PROPOSED S17F IMPROVEMENTS. DTD. SEPTEMBER 27, 2007 NOVEMBER 20, 2009 TO SHOW PROPOSED 3' x 3' DECKS AND STEPS RCD. NOVEMBER 19, 2007 LIBER 3426, PAGE 5 MAP REFERENCE SURVEY & MAP BY MAP ENTITLED: "14,FS7FRN PARK, TOWN OF QUEENSBURY, WARREN CO., N.Y., MAPOF A SURVEY OF LANDS OF SUBURB OF GLENS FALLS, CORLISS REALTY INC., ST. ALBANS VT." MADE BY , t 4v r DLP SURVEYING, LLC E.H. WELLES, C.E. AND L.S, DATED DULY, 1927, FILED IN THE WARREN COUNTY, DONALD L. PIDGEON, Jr. RONALD O. MOREHOUSE CLERK'S OFFICE ON AUGUST 11, 7927 IN TOWN OF QUEENSBURY MAP BOOK 2, Y COPIES MADE FROM THE ORIGINAL OF 1H/5 SURVEY MAP PAGE 58, PLATE' N0. J. PROFESSIONAL LAND SURVEYOR 'H ARE MARKED WITH AN ORIGINAL OF THE LAND SURVEYORS N.Y.S. LICENSE NO. 50372 BEING LOT 341 & LOT 342 - WESTERN PARK SUBDIVISION _ AND BEARING THE SURVEYOR'S ORIGINAL SIGNATURE/N _ INK, SHALL 8E CONSIDERED TO BE VALID AND TRUE COPIES. TAX MAP REFERENCE . t 16 MiCHAFL ROAD SITUATED IN �JNOR?ING A R ZED ALTERATION OR ADOI A SURVEYMAP ''•; �I --`"_U' 1 ��„ ' " FORT EDVVARD, NEW PORK 12828 TOWN OF QUEENSBURY, WARREN COUNTY, NEW YORK ?!NG A LICENSED LAND SURVEYORS SEAL IS A VIDLATON 2 OF 7HE NEW YORK STATE TAX MAP: SEC�ON 309.09, BLOCK 3, PARCEL 24 _. < v \ (518) 792-4146 SCALE.- I" = 20' DECEMBER 5, 2008