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92-089 1469,41 or- €ERT/FIcATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 01 I 19 t This is to certify that work requested to be done as shown by Permit No. 92-089 has been completed. This structure may be occupied as a Mobile Home Location Jay Road Owner Charles O. Sicard By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement r BUILDING PERMIT . I. x TOWN OF QUEENSBURY No. 92_089 v WARREN COUNTY, NEW YORK ilk ,. z Sicard 0. .Is 4' PERMISSION is hereby granted to CharlesI w OWNER of property located at JayRoad Street,Road or Ave. fv in the Town of Queensbury,To Construct or place a M at the above location in accordance to application together with plot plans and other information hereto filed and Hance with the Town of Queensbury Building and Zoning Ordinance. a approved and in comp 1. OWNER'S Address is a. RD#1 Box 1676 V z Lake George, NY 12845 en Iv ffl 2. CONTRACTOR or BUILDER'S Name o Matthew L. Sicard 3. CONTRACTOR or BUILDER'S Address v W 70 C. 5. ARCHITECT'S Address 3O C. 6. TYPE of Construction—(Please indicate by X) r ( )Wood Frame ( I Masonry ( )Steel ( ) • 7. PLANS and Specifications No. 14' x 56' Mobile Home as per plot plan specifications and application 8. Proposed Use Mobile Home $ 48 00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 24, is 93 (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 t 24th Da ; March is 92 for the Town of Queensbury SIGNED BY Building and ning Inspector ." T9WZT. oF QUEENSBURY BURY il Tloymy b REVIEWED BY: 111,f_/02i,/ II MAR31992 FEE PAID: $' 41k, D�'� BUfl DING & CODE DEPT. PERMIT NO. Q.*::2 - OYC/ 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 this property i s: C it a r(es O. S e'cet rcl P.O. Address: R 0:9 e 14 /b '?b LA'Cc- hcAjt. Phone Number 7'7 2-S U 3' Property Location i ad C-Ith t•c Its. acie Tax Map No. '73 / / / 23 NAME OF APPLICANT: /K4 - itA... i... cc`cw ed Address of Applicant: R.4I #/ 13 ax /4.72 1.-4 t.... t,. 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 Fprk SL1P RVISION OF WORK AS REGARDS BUILDING CODES: ,% MOBILE HOME INFORMATION APPROXIMATE VALUE OF HOME: $ /6 04:76 New Home 421f No ZONING INFORMATION: Replacement Home Ye No Size of Property: ft x ft Size of mobile home Pi ftxS6 ft`784 Sx fi sting Buildings: Singlewide X Doublewide Proposed building-distance from property line: No. of rooms (exclude baths) 9 Front Yard ft Rear Yard ft. Side Yards ft and ft. No. bedrooms 2. No. of bathrooms 1 Occupancy Information: Primary dwelling: Yes No Fireplace IVc' Woodstove M o Accessory Building(s) : Detached garage (one car /two car car) Foundation style and size: —_Attached garage (one car_/two car car) Storage building Piers-No. of 1, Size 2. ft x Pift Other Depth below grade .8 fit * * * * * * * Foundation-Footing size s " x 2'f " Wall material Proposed date of placement: r' Wall thickness ' iigh Water Supply: Well )C Municipal_ Total depth below grade ft. Septic permit required? yeS Grade to home floor level 2- ft. FURTHER INFORMATION REQUESTED ON THE. REVERSE SIDE OF THIS SHEET , 1 NAME OF INSTALLER/MOBILE HOME DEALER: ADDRESS/PHONE NUMBER STATE OF NEW YORK DIVISION OF HOUSING AND COMMUNITY RENEWAL INSIGNIA OF APPROVAL OF THE STATE BUILDING CODE 1. Insignia serial number 2. Name of Manufacturer 3. Plan Approval Number 4. Model or Component Designation ASIt'G e4 5. Date of Manufacture \q ct 4 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 work shall be complied with, whether specified or not, and that such work is authorized by the owner. Signature 4041+. 44 , Owner, owner' s agent, architect, contractor SPECIAL CONDITIONS OF PERMIT: By Code Enforcement Officer 1 /ihTOWN 0 APPLICATION FOR SEPTIC + . '," ` AL PERMIT Permit # MAR 2 1992 Fee Paid Date• BUILDING & CODE DEP Reviewed By LOCATION OF PROPERTY FOR INSTALLATION: J ay rid Oa' /eh L 't L Owner' s Name: /t1q ►er,.✓ L.. J,,Go rd Owner' s Mailing Address: R 0 t ( cox if" 7z Le,4'c., 6-ear � hJ< `!. iz fX Installer' s Name: M0' {'1ec✓ L.. Src-4;rcif Phone #: 76 /-OP”. Number of bedrooms (if residential ) : Z • Total daily flow (residential-compute @ 150 gal . per bedroom): 3 C> C..� Topography-Circle One: Rolling Steep Slope % of Slope Soil Nature-Circle One: 400 Loam Clay Other /Depth: Ground Water-At What Depth? N/A- Feet Bedrock or Impervious Material-At What Depth? N//fi Feet Percolation Test-Circle One: Require' Required/Rate Min. Per Inch Domestic Water Supply-Circle One: Municipal (Well) Other If domestic water supply is a well - Separation: Water supply from any septic absorption /SO feet PROPOSED SYSTEM: Septic Tank 12o d gal . (Minimum size: 1,000 gal . ) Tile Field: Each Trench feet//Total System Length feet Seepage Pit(s): Number of / / Size each: it) ft. x8)0' ft. Size of Stone to be used: # / 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 a certified 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. r SIGNATURE OF RESPONSIBLE PERSON: DATE: 92. 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, tile fields and/or drywells B. No system shall be covered 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 $250.00. 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: TOWN OF QUEENSBURY Ibik 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME EIS_ LOCATION DATE ,��'?d,/ PERMITS 9.0.?Weir TYPE OF STRUCTURE 1W S JL RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) XFOOTING FOUNDATION BACKFILL _FRAMING ROUGH PLUMBING FINAL ELECTRICAL SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS ��.'Z/ l !.. APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION ✓ PLUMBING VENT ROOFING SIDING DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE/HOT WATER OPERATING BASEMENT INSULATION/DUCTWORK\ INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED s/ STAIR CLEARANCE/RAILINGS ✓ HANDICAPPED ACCESS SMOKE DETECTORS :./ BATHROOM FANS/WHOLEHOUSE FANS ✓ ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE WALLS DUMPS TER SITE PLAN/VARIANCE REQUIREMENTS FINAL ELEC TRI OK TO ISSUE 4 IR C/C COMMENTS: ARRIVE .3, S('-' DEPART Y/te ---` IN awn ot Queenitury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYST INSPECTION NAME 71 i_C_,'\.,k 1, C Wk." LOCATION .-aC' DATE / : PERMIT NO. 08( SOIL TYPE Sand Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total le Length of each tre Depth of tr Size of gravel_ SEEPAGE PITS{Number of) Size- 'Y ft. X 1 ft. _f TOfV6- Gravel size PIPING: Siz ype Bldg. to tank Tank to dist. box Dist. box to field/pit Openings sealed? YES 0 Partial LOCATION/SEPARATION$': Foundation to tank/ ft. Foundation to absorption f 4 Absorption to 14 line ft. Separation of pts ft. LOCATION OF SYSTEM ON PRO one) Front - Rear -` Left side - Right si. - COMMENTS: CY- A}C) co )2 cJ - SYSTEM USE APPROVE Y S Building I spector 01/86 and vl 0\f\'\-)-6N ) rcx\- Q--'sxn TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 1 II ,j � 9 2. NAME \ %l ) .L feS LOCATION T3 CL A-• () DATE Lill 3 9 PERMIT # Ci TYPE OF STRUCTURE RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM 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/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTSIN PLACE PLUMBING UNDER SLAB` FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM HEATING ROUGH-IN INSULATION: FOUNDATION WALLS IIT:ERIOR R- - FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILINGf R- DUCT WORK OR PIPING IN UNHEATED SPACES ` t REMARKS: ARRIVE • DEPART r�PETOR 1 RESOLUTION APPROVING MOBILE HOME RESOLUTION NO. 184, 92, Introduced by Mr. Michel Brandt who moved for it' s adoption, seconded by Mr. Nick Caimano. WHEREAS, Mr. Matthew Sicard has petitioned the Town Board of the Town of Queensbury for the necessary permission to replace an old mobile home with a new mobile home and a formal application has been submitted to the Town Board, and WHEREAS, Chapter 113 of the Code of the Town of Queensbury provides that the Town Board shall have the authority to grant a permit to substitute a mobile home it may request a public hearing, NOW, THEREFORE BE IT RESOLVED, the Town Board of the Town of Queensbury after examining the matter and after speaking with the applicant and considering the fact that adjoining property owners except for one owner has been notified and have voiced no objections, the Town Board of the Town of Queensbury hereby determines that it is not necessary to call a public hearing on this issue and further determines that this is just a substitution of one home which is of better quality for an older home and be it further RESOLVED, that the Town Board of the Town of Queensbury hereby authorizes that a permit be issued to Mr. Sicard to exchange or substitute the mobile homes and be it further RESOLVED, that because this is a substitution of mobile homes is considered to be a Type II action under SEQRA. Duly adopted this 16th day of March, 1992 by the following vote: AYES:Mrs. Goetz, Mr. Caimano, Mr. Tucker, Mrs. Monahan, Mr. Brandt NOES: None ABSENT: None Cordite Moo ladII.Depw beelleikdie Toss eflismuddy+W'Ien cook New WI%do as WOE IN the etigieetemillie of ibew`ii1�Mitw w Ica day d _ ✓�- «�iw tMattlM .4111111111111 of .r Yid ,cam (/—/I :61:11:111 ;J: at Nil galasulpt$sot MP le lose in$1 owt blis Y ii#s rsi Mlia goof s$01. t e' it t ill ski' , R t ., _ _______ . _____ .• __. c‘?„ i i 1 1 i i i 1 1 , 1 , I RI' 0 1 0 1 • 1 1 0 1 I 1 J i ') V ‘a t 1 i ! i i I 1 i I ! i 2 ' --•-•,,,,r , i . . 1 • /000.6*/ /0 /74.- /0 s1/4 to cr. 50 ---4 1 i 0 ; ? Z • , 1 i . ,,.......„ , , t 1 t ; f 1 s i I •, a ekly 0 d 0 ri frate.- a ci -------- ___ • ld30 3000 JNialifl8 Z661 g d N zItr.,..-752 7 ir\ Fl • .!!;t! .tl;p! I .AR;( I N3ItaLay i `�►! �11iO0e103a op�J t �00 y 7YNoado 1 r X ,4/ ail tM00lI!!NN!! 1■ .I At ✓ ��O 8 L4J N�I /a orro3s axis �_. .� a