1999-437 BUILDING PERMIT
VALUE $ 5189 TOWN OF QUEENSBURY No. 99437
TAX MAP NO. 150 . -1-4 . WARREN COUNTY, NEW YORK
' 0-7)i q G) 3
PE MISSION is hereby granted to LANGWORTHY, VIRGINIA
OWNER of property located at 581 CORINTH RD. Street, Road or Ave.
in the Town of Queensbury,To Construct or place a ROOF OVER MOBLLE 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
581 CORINTH RD.
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDER'S Name
GREGORY, JAMES
3. CONTRACTOR or BUILDERS Address
8 EAST AVENUE
QUEENSBURY, NY 12804
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
RESIDENTIAL _ALTERATIONS
( )Wood Frame I 1 Masonry ( 1 Steel ( 1
7. PLANS and Specifications
24 x 60 ROOF OVER. MOBILE HOME AS PER APPLICATION
8. Proposed Use
ROOF OVER MOBILE HOME
30 July 16 19 2001
$ PERMIT FEE PAID -THIS PERMIT EXPIRES
(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.)
16 July 19 1999
Dated at the Town of Queensbury this Day of
SIGNED BY 1'4?— for the Town of Queensbury
Building and Zoning Inspector
.3uruazng fermit Application .
Town of Queensbul y - Dept. of Community Development, 742 Bay Road, Queenshin y, NY 12804 /761-825G/
fNOTJCEJ
IIUILDING & . CODE ENFORCEMENT Requirements prior to issuance k
A permit must be obtained before , of this permit: 1'GKM/?'!1/.E NO. i�
beginning construction. No inspections s O
will be uuwdo until applicant has received • n Zoning Board ActionPERMIT FEE PAID$ ,_
a VALID BUILDING PERMIT'. All Area /Use
applicants' spaces on this application RECREATION FEE
MUST bo completed and.the signature n Planning Board Action
of the applicant must appear on the REVIEWED BY: J
SPR / Subdivision /Other ,Built ing Inspector
iktpplicntion form. n„au).,. J Recreation Fee Payment
Applicant: 31071$ m oBile 1(o/iq� frif8
Owner; V/(Ili i N i 4 L,r9/ i (A/a I-1 VF/
' Address: F�S`l^'9✓e. c dry Address: S r Cif ion?HR G��jr
•
r
Phone # ci e '
) jqg - ,?/97 Phone 11 (.578 ) '772 - 60 3s'
Property Location: •
Subdivision Name: Wax Map Number. /70 l / / y'Z.
...- Section Block I nt
NATURE OF PROPOSED WORK: • ESTIMATED MARKET VALUE OF T11E
New Building: CONSTRUCTION: $ S•/B?, Go
residence / .commercial
Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: • Primary Building -
residence / commercial X Single Family Dwelling
Residence / Commercial Two Family welli ai � ��
no change to exterior size . FamilyDwelit
Office
oth r Work (d cr'bq Mercantile JUL 5 1999
1:
I ) elow,
Manufacturing
Other
®P/iP'� O�IE�iVS6�1RY
GROSS AREA OF PROPOSED STRUCTURE: • 13U1LDINC pNp CODE
1st Floor If ADDITION, what will use
2nd .Floor sq. ft.ft- . of new addition be? :
Other Floors sq. ft.
(not unfinished cellar or basement)
ACCESSORY BUILDINGS: ,
Detached Garage 1, 2 car
TOTAL FLOOR AREA: -24X 56 SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: f�p 4 Commercial Storage Building
Other •
FEET X FEET
Foundation Type: Will, any second-hand or ungraded
' Number of Stories : lumber be used? If so, for what:?
(habitable space only)
height' (grade to ridge) : feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle' all which applies) •
. to be installed: Electric / Oil / Gas / Wood
. ,Forced Hot Air / Baseboard / Other
Person responsible for supervision of work as regards to building
codes is :
Naive Addresss Phone
Builder: 0-15thes Grec,or, 8Eiy%r#ve_ Oar, ' 7MS/97
Plumber:
Mason:
Electrician: •
DECLARATION: Please sign below after you have carefully read the slalente/(1.
To the best of my knowledge the statements contained in this application, together with the plans
and specifications submitted, arc 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 noted, and
that such work is authorized by the owner. Further, it.is understood that I/we shall submit prior to a
Certificate of Occupancy'or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; drawn to scale, showing actual location of project on premises.
Signature: .
(owner, owner's ag t Itect, contractor)
FINAL INSPECTION REPORT
MOBILE / MODULAR
Town of Queensbury
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804
(518) 761-8256
ARRIVE:Yr/lb DEPART:\_?-- DNSP: 'DATE INSPECTION REQUEST Q
RECEIVED: I a ! /
NAME: 1 r‘cx, (4r-e
LOCATION✓ / (--` h."- -
DATE: d )3 [ 9 9 PERMIT#----(#
ORILE HOME MODULAR HOME
av-Cf'-
F GS FOUNDATION _ BACKFILL_ FRAMING
N/A , YES NO
1. foundation support, pier spacing
per manu . — — —
2. anchoring per\manuf. — — —
3. water line shut off — —
4. sewer line suport fee — �� —
5. heating crosso •r (d• ewid;) off grd. —6. dryer vented ou id; ..s — 0 —
7. skirting ventilat-• — — —
8. hot water relief v:lve piping outside
9. deck, porches, s eps, railing ./-
10. furnace/hot wa :r operating .. — �_s3_.
—
11. garage fire pr••fing — —
12. door closers . — — —
13. plumbing fix a .... — — --
14. foundation ' sulation�ppl.) — — —
15. smoke de - tors ._. — —
16. final electrical — — —
17. variance required — — —
18. data plate okay _ — —
19. mobile HUD seal okay — — —
Model # Serial#
Manufacturer
Date of Manufacturer
OKAY TO ISSUE C/O YES NO
Comments: T 0®�
--��1 —=�r3c�� � tJU.D
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive Via-Wpm Depart m
Inspector's Initial
NAME: , PERMIT# —
LOCATION: CnP 11,3Tt-4 c DATE : - -
TYPE OF STRUCTURE: 0E1 p F
RECHECK ,
N/A YES NO COMMENTS
Footings/Piers r ,,
Monolithic Pour Form
Reinforcement in Place
The contractor is responsi le fo
providing protection from ► : z f g.
for 48 hours following the lace'l ent
of the concrete.
Materials for this ••:, • I -
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
$lumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing J.
eating Rough-In V
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
'oper Vent, Attic' Vent
raming
Jack Studs/Headers
Bracing/Bridging
Joist Hangers .
Jack Posts/Main Beam
Air Infiltration Bather a
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2. 3, 4 hour
Firestopping
-�o O� coks/\ \ _
,-- 1 ,13 gfCii; th
0tiefYvrr\o.c,- '1 L. t-ilj' Re)
v. -
GENERAL INSPECTION REPORT
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury, NY 12804 c ArriveVe-)an epart ''
Inspector's I
NAME: ` ,ram:./ ' c` U..)0 \\'}( PERMIT#
LOCATION: ,_ , r J DATE : - °'
TYPE OF STRUCTURE: •Zrl '\ - tip
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
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/Wallpour
Reinforcement in Place
Foundation/Dampproofing ..,--"�
Backfill Approval ;' \
Plumbing Under Slab I
PIumbingwVenl Vent iiikl lace* V 'i\ 6_ Az) 3I1
Rough Plumbing, 1' I
AIratingi iigimT-- -_.t - - /zE---Nk--- ___13.
F t—E-t V 1F- t cA\er-k9
Insulation
Foundation Walls Ijiterior R- ,
Foundation Walls xtcrior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
roper Vent, Attic Vent AADO
I Framing 6Ep 06 1:) -- R.FI -
Jack Studs/Headers i Pam' 4 tZt\Et \-\— t 1 ,J D
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beamttlij
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2,3,4 hour _
Firestopping
-2,-, __.,
RLE COPY
l ��
,_ F g 37
TNNt� OF QUEENSBURY BUILDING[lE,t�R f it1Ek!I t ,�� ��
Based on our limited examination, t , .�
compliance with our comments shall
not be construed as indicating the JUL5 199g
plans and specifications are in full
compliance with the code. TOWN OF CUEENvBURY
BUILDiNG AND CODE
TOWN OF OUP- : URY
BUILD NG .. EPT. .
REVIEWED BY A. . .f�.�_ __._
DATE . _` „a l l_y...._... .
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