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1990-763
~, x~~+; . ~~ ", ~' , , , ~..r„ ,~FiC~,TE OF OC~tJ~'A1~dCY CERTY TOWN OF QUEENSBURY WARREN COUNTY,. NEW YORK Date -19 Thia ie to certify that work requuted to be done as shown by Permit No. 90-763 has been completed. cinale-f9m~~,~ rIA11h~OWit1P mnhila_home This structure may be occupied as a 17 Richardson Street Location ---~TkIY ANN SMITH Owner ey Order Town Board TOWN OF QUEENSBURY "" Director. of Bldg. ac Code Enforcement y y CER'T'IFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date ��i��s'�P/��'> 19 -zo This is to certify that work requested to be done as shown by Permit No. 90-763 has been completed. This structure may be occupied as a single famm-hi 1 a hotue 17 Richardson Street Location CATHY ANN SMITH owner By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement TO BE COMPLETED BY BLDG. DEPT. // Application No. awn o/ �uPc'�llGur� Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Havitand Road. R.D. 1 Box 88 Zoning Designation Queensbury, New York 12801 Variance No.. Nov �, 1990 Site Plan Rev'e APPLICATION FOR Approve b : �G. u' CODE DEPT: MOBILE HOME FUILDIN; AND ZONING PERMIT A PERMIT MUST BE OBTAINED BE-FORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies for a Building Permit to do the following work which will be done in accordance with the description, plans and specifications submitted, and such special conditions as may be indicated on the Permit. ---------------------------------------------------------------------------------------------- i The owner of this property is: ( '��'>>J )1 L (n P.O. Address cc '' Tel.513 Ric �f reeh . �� v(e at-INO. 13 LYL /�--/ Property Location:. n 1� CYlt�tr �✓t ,'�pE.✓1� � I Tax Street ►,umber or building lot rn cumber N `jG►,,k- j Z subdivision name (if applicable) r TIIE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: Name P.O. Address Tel. No. Name of Installer // 7 1 /dL _ jr/y'i►ddress_ /&7?� 9 q�✓� �� el. :5 796/0.3� Name of plumber Address Tel. Nau►e of mason Address Tel. i < MOBILE HOME INFORMATION: " ZONING INFORMATION: New home Placement " A PLOT PLAN MUST BE PREPARED AND SUBMITTED, drawn reasonably to scale and attached hereto, Replacing existing Home �E� " showing clearly and distinctly all buildings, Size of new Home'2 Y ft X__�10 ft " whether existing or proposed and indicate all " set-back dimensions from property lines. Give Single w` ?e Double wide_ " street and number or lot number and indicate No. of rooms (excluding baths) " whether interior or corner lot. Show location " of water supply and location and configuration A No. of bedrooms of septic disposal area. " C No. of bathrooms " COMPLETE INFORMATION REQUIRED BELOW. � Fireplace? rYd Wood stove? NJ Size of property � // 7 ft X ft. � Foundation style and size: S L,6 ' Existing building(s) S ze__/o ft X ft. 0/116 ,7 7q,,f C#�� " i Piers- No.of Size- ft x ft. " Existing building(s) Use � � Depth below grade ft. FOUNDATION - Footing size X » proposed building, distance from property ling: /If � " Front yard /4 ;; ft Rear yard / ft 1" Wall material " Side yards ft and h� f ft 4) Wall thickness Height ft. " If on corner, setback from side street ft " Total depth below grade ft. OCCUPANLY INFORMATION� i � ► PRIMARY BUILDING - Grade to Home floor level ft/1,11 )( Ofamily dwelling * * * * * * * * * * • r • * r * * * # • " ne amY g [s " Two family dwelling po af.....p / / !Q " Multiple dwelling / Number of units Proposed _da.te of Home),. �� D " Permanent occupancy �prox��. Value. e ( " Transient occupancy Water supply----wUr Municipal " Business Industrial Seotic Permit recruired? Other TOWN OF QUEENSBL'RY WL APPLICATIOff FOR SEPTIC DISPOSAL PERMIT DATE: LOCATION OF PROPERTY FOR INSTALLATION /dSOI�I �lt�f- r Owner' s Name: �(,t qk, Address: - t Z Ful Installer' s Name: 113Q.t, ; {� /� _�, Llj Telephone: -:Z 5 7 Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) 3 oo C��9 Topography: Circle one: Clal' Rolling Steep Slope % of Slope Soil Nature: Circle one: and 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: Municipal Well Other If domestic water supply is a well : Separation: Water supply from any septic absorption feet. PROPOSED SYSTEM: Septic Tank ICS( gal . (minimum size: 1,000 gal ) TILE FIELD: Each Trench feet/Total system length feet SEEPAGE PIT(S): Number of /Size each feet by feet Size of stone to be used # /Depth or Thickness feet HOLDING TANK SYSTEM IF REQUIRED NO. of Tanks Size of Each Gal . *Alam systems and associated electrical work to be inspected by an approved 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. SIGNATURE OF RESPONSIBLE PERSON: DATE: �� BUILDING PERMIT s TOWN OF QUEENSBURY No. 90-763 z WARREN COUNTY, NEW YORK C PERMISSION is hereby granted to CATHY ANN SMITH OWNER of property located at 17 Richardson Street Street, Road or Ave. i in the Town of Queensbury,To Construct or place a Doubl ewi de 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. 1. OWNER'S Address is same 2. CONTRACTOR or BUI LDER'S Name 5 Today' s Modern = n sv 3. CONTRACTOR or BUILDER'S Address C' 1< 54 Route 9 12831 4. ARCHITECT'S Name 5. ARCHITECT'S Address V 6. TYPE of Construction— (Please indicate by X) n s1 ( )Wood Frame ( ) Masonry ( ) Steel ( ) a N O 7. PLANS and Specifications � N No 24'x40' Doublewide Mobile home as per plot plan, specifications and `" applicaiton including septic system. 8. Proposed Use Single family doublewide Mobile Home 0 Q- $ 60.00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 7 19 91 `D (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.) 3 0 aDated at the Town of Queensbury this 7th Day of November 19 R0 SIGNED BY for the Town of Queensbury Building and Zoning Inspector m UTILITY- DEN ITCHEW 10' 0" A I DINING 13 E twN -cow B I •arr t)rrtoNr+ - arr- --- --I O :.Cum um M(ur�tl CONNfN r00rN � COMM altmG — i urWtrpNiNctnnAi N� '1 LIVING ROOM MASTER BEDROOM 19.0 BEDROOM No.2 No.I 10'•0" 12. 0" ar rMr run © (946 SQ. FT.) 3 9' ODAY'S MODERN t __ HOMES ........................:.................................................:........................................:.:.:.�:::::.�:::::.::....................................................................:::.:..:::.:::.::::::.:.�::::.::::..::.....:,.:.::....::,.....:...................... --ROUTE 9 EXlT 17N SOUTHN GLE S FALLS (518)798-1032 Will be a monolithic slab. Shaded area will be footers. 22 6" 10 I I 10' 8" 20" 1819 18" 2011 00 Cross section of slab. Reinforced with 6" mesh. ��c-rt4 Icif IfV -- I k-,- ,vim+ j-,C9 Z 1 !'71 " 'k?jnD 7vD--DOO -L S �J -��'✓� .��]d .L�L�� tiLtwl� vnTr-I- �o T' M m 4 !y _ } __\` pp z Njo 90 F d // oh XAHM h v� .r I 71 IRM -713M) 40 NA40i --:?O 173 03, b x 1M°� Jv\ V` � 0 7/:�7NuoJ - 9LIS - \1. /\ TOWN OF QUEENSBURY V �� 1 1 � BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280!& TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE PERMIT # (� —7 l 3 `� � �,J7�) t j�0µ,j_ _ APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING o�- EXTERNAL PORCHES/STEPS E JS&Lp STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSERS) SMOKE DETECTORS x, FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION OK TO ISSUE C/O OR C/C A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: ` ,r�._/_�°'�. �e� �L��-1 A/L`g�,✓�✓�T'izC� 5ki gi cJILf— iib- C0 WCIZ&T —9 LOC/C s %o 8&aAA,*a-r D 0JJ 3a ID P,43 ARRIVE (d:3 f J DEPARTL 9-4f E)c D wt,Ir/1D -1own o f QueenjLry V.'4 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME (� \ LOCATION � r c, u \� LI—XY t L `,_�—,�'(1 DATE � / PERMIT NO. SOIL TYPE - aid Loam - Clay Percolation Te ,t Required YES — Percolation ratk - Min/I ch TYPE of SYSTEM: Absorption field, to ength Length of each c Depth of nches Size gravel_ _ SEEPAGE PITS{Numb f) Size- _�ft. X int. Gravel size PIPING: Isize Type Bldg. to tank PV�-- Tank to d' —` A / Openings sealed? YE 0 Partial LOCATION/SEPARATIONS: Foundation to tank ft. Foundation to absorption ft. n Absorption to lot line ft. PUT'v14�j Separation of pits ft 014 " LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear - Left side Righside COMMENTS: SYSTEM USE APPROVED YE NO Building fns ctor 01/86 and vl Wtu_ CrAL"-- TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 - TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE ' j� PERMIT # ��3 APPROVED YES NO FO PIERS MONOLITH POUR FORMS FOUNDATIO AMP-PROOFING BACKFILL AP40VAL ROUGH PLUMBI FRAMING ELECTRICAL ROU -IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ST STAIRS-CLEARANCE & S PLUMBING FIXTURES/ ELI F VALVE INTERIOR TRIM/PRI Cy RS FINISHED FLOORS GARAGE FIREPROOF NG DOOR CLOSERS) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL F CONSTRUCT N A SIGNEDZFOM IFICATE OF OCCU NCY MUST BE OBTAINED THE BUILDING DEPARTMENT BEFORE ttT,,HESE PRS ARE OCCUPIED! froy o ho (,.4 Flo L_ — REMARKS: roO`rlAto -�Swfoe-,r5txnoYs �- THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PRC2ECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SIT ARRIVE 2:3.)` DEPART 4Tq I'Tn, YOU ARE HEREBY REQUESTED TO INSPECT AND ISSUE CERTIFICATES FOR THE FOLLOWING ELECTRICAL EQUIPMENT TO BE INSTALLED BY TEMP. DATE CITY OR VILLAGE TOWNSHIP COUNTY STREET ANMO.OR ROAD _T POLE NUMBER BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED' .$ SECTION BLOCK LOT OCCUPANT'S NAME L / BUILDING OCCUPANCY OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER y CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER BUILDING IS NEW OLD❑ WORK IS NEW�'--a ADDITIONAL❑ DEFECTS REMOVED❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No.of Fixtures& BRANCH OFFICE USE Loca- Lamp Receptacles MOTORS HEATERS CIRCUITS ONLY tion Side Attach't H.P Watts A.W.G. Ceiling Wall Recep'ls Switch Pendant Bracket No. Type Each NO Each NO Gauge INSPECTION OUT- SIDE SUB- BASE BASE- MENT `f 1st I FL. ll 2nd FL. 3rd FL. 1 REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE. r. THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT. SIZE OF MAINS FEEDERS ELECTRIC SIGNS/LAMPS TOTAL WATTS CHARACTER OF WORK ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA jyf. 7 ❑ CONCEALED DATE WO TO E STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY yX SERVICE EN RS BUILDING IMANUFACTURER OF SIGN ❑ OVERHEAD UNDERGROUND DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANTS IDENTIFICATION NUMBER ► AVOID DELAYS B)t GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. _,40I ADDR�_; NAME OF APPLICANT DATE OF APPLICATION I SIGNATURE OF APPL17NT 14 IS rp , v 1t t STREET ADDRESS TELEPHONE NO. CITY OR POST OFFICE 1 ZIP CODE LICE ..NQ WHEN APPLICABLE 85 John Street 141 State Street 570 elaware Avenue 217 Lake Avenue L] 202 Arterial Road NEW YORK,NY 10038 1XBANY,NY 12207 I BUFFALO,NY 14202 ROCHESTER,NY 14608 SYRACUSE,NY 13206 (212)227-3700 1 1 (5M)463-2122 (716)884-1155 (716)254-0141 (315)463-8552 Tum KIMAi vnDV RnAQn nG PIRG I wnPPXA/RITFR_q TIDE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 41 STATE STREET,ALBANY.NEW YORK 12207 Date Application.Vo.on file THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of A 6-� (D3 in the following location; ❑ Basement ❑ lst Fl. ❑ 2nd Fl. Section Block Lot was examined on and found to be in compliance with the requirements of this Board. FIXTURE KEPTAClES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT1.FLUORESCENT OTHER AMT. K.W. AMT. I K.W. AMT, K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RK'PT TIME CLOCKS SELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P, GAS M.P. AMT. NO. A.W.G. T. AMP. AMT. AMPS. TRANS. AMT. H P. SYSTEMS AMT. WATTS NO.OF FEET SERVICE DISCONNECT NO.OF S E R V I C E METER NO.Of CC.GOND. A.W.G. A.W.G. A.W.G. AMT. AMP. TYPE EQUIP 1,e'2W 1,0'3W 3,0'3W 3,0 IW PER OF CC.CG. NO.Of HIAEG OF H W. NO.OF NEUTRALS OF NEUTRAL OTHER APPARATUS: �7 BRANCH MANAGER Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. SPY FOR BUILDING DEPARTMENT. TW LTERED IN ANY f' St�T�c. TP,.✓�� G1 a 03 STDr�