1987-486 CERTIFICATE OF OCCUPANCY
TOWN OF +QUEENSBURY
WARREN COUNTY, NEW 'YORK
Late 19
This is to certify that work requested to be done as shown by Permit No. 87-486
has been completed.
One-Family Mobile Home
This structure may be occupied as a
Ve `A 1973 MarlytCe Serial # 1625 653
LAD .atiortt Michigan Ave .
Owner John Telisky
By Order Town Board
TOWN OF QUEENSHURY
Building & Zoning Inspector
BUILDING PERMIT y
TOWN OF QUEENSBURY �
No. 137-486
WARREN COUNTY, NEW YORK z
a
PERMISSION is hereby granted to John Telisky
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OWNER of property located at 198 Michigan Ave . Street, Road or Ave. i
in the Town of Queensbury, To Construct or place a
Mob i le= Home 1
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
198 Michigan Ave .
Queensbury , N . Y . 12801
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2. CONTRACTOR or BUILDER'S Name
Same
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3. CONTRACTOR or BUILDERS Address `c
4. ARCHITECT'S Name —
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5, ARCHITECT'S Address
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S. TYPE of Construction — (Please indicate by X)
( ) Wood Frame ( } Masonry ( } Steel ( 1
7, PLANS and Specifications
No. 10 ' x 55 ' Mobile Home per plot plan , specification and application
Including seta septic system, driveway permit . 1973 Marl tte
8_ Proposed Use Serial No . 1625 653
One—Family Mobile home
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$5 , 00 C /o
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$ 25 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES February 1 , 1988
(If a longer period is repu€red an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date,)
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Dated at the Town of Queensbury thiis�.^ 27thh Day of July 19 87
SIGNED BY / i Gc��. E'G � ' for the Town of Queensbury
Buildingand Zoning Inspector
APPLICATION FOR SEPTIC DISPOSAL PERMIT
DA77E Q / G1 7
LOCATION OF PROPERTY FOR INSTALLATION �rc
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Owner's Name: y� L Telephone:
Address: C . /�"�i��� •c!"✓ J stJ� `/11 • �7 �.�7
Installer's Name: {� -� ]i Y�.J t (� ` S�^�: "► SP Tel phone: 2 +r
Number of bedrooms (residential only) _ IOPZ _
Total daily flow (compute @ 150 gal per bedroom) CSC] .4
Topography: circle oneo. < at Rolling Steep Slope ° of slope _
Soil Nature: circle one: En7d
Loam } Clay Other / Depth: feet
,I Ground Water: At what depth? '7 feet
Bedrock or Impervious Material: At what depth? . feet
Percolation test: circle one: not required required / rate min. inch.
Domestic water supply: circle on unicipal Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption feet
PROPOSED SYSTEM: Septic Tank /d 60 gal. (minimum size: 1,000 gal. )
TILE FIELD: Each Trench '5/0 feet / Total system length
length e.•wri' feet
SEEPAGE PIT(S) : Number of CD / Size each �+ feet by _ feet
Size of stone to be used # _ / Depth or Thickness feet
IMPORTANT
,..Please...LIST NEW EQUIPMENT `170 BE INSTALLED
13 C$D4�
(over) /
` NJ ESN COMI LI, , J HY DLI ,rj .
Application No . TC)Vk . , c r -
/oeur! O uFe l6stJay Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires 19 , "1 � � ` t ; � � L
Bay and Haviland Road, R. D. 4 Box 98 Zoning Designation LbLII�L,4
Oueensbury, New York 42801 Variance No. JUL 211987
Site flan Review Nov
APPLICATION FOR Approved BUILDING Bc CODE DEPT.
MOBILE HOME2
PUILDINO AND ZONING PERMIT
A PERMIT MUST BE OBTAINED BEFORE 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 , plazas and specifications submitted, and such
special conditions as may be indicated on the Permit .
..v._--.... ---.....-�/ . .._ �-�--f}- ---------- -- - .. r�__�r �------------------_--
The owner of this property is : L %q ,
P . O. Address I ` r r [. ;S � ,4 4r 4t 1 -rJ ! F+ /t�s Tel
! / 3/. 3
Property Location . -- 4 i (� A-V Tax Map No .[l p--+ f f5'+*y/� s 2 �] / ' f
street r:umber or building lot number
Subdivision name (if applicable) OP�J /A
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS :p
Name P . O. Address Tel . Nov
Name of Installer .SCe Address Tel .
Name of plumber to « Address Tel .
Name of mason 7 Address Tel .
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 Horne `� * showing clearly and distinctly all buildings ,
`3 or proposed whether existing Size of new Home ! +� ft X S'-s` ft * L' � sed and indicate all
/ set-back dimensions from property lines . Give
Single wide I/ 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
No . of bedrooms » of septic disposal area .
Nov of bathrooms COMPLETE INFORMATION REQUIRED BELOW .
rarelalace?i Hood stove? Size of property�W � r C) ft X ft .
Foundation style and size : oraGIZOjO� + l.�V%, Existing building ( s ) Size d^ft X ft .
*
Piers- No . of Size- ft x f t • * Existing building ( s ) Use N
•
Depth below grade ft .
Proposed building , distance from property 11ne
FOUNDATION Footing size " X 11 „
* Front yard_ ft Rear yard
Wall material * Side yards L ft and f� ft
Wall thickness " Height ft . * If on corner , setback from side street _ft
Total depth below grade ft .
' OCCUPANCY INFORMATION
Grade to Home floor level ft, . * PRIMARY BUILDING - ,, //
* * * * * * * * * * * * * * * * * * One family dwelling I/Y)r> Fi�r4A-�-
---7� * Two family dwelling
Proposed. date of placement I / cwp Multiple dwelling / Number of units
vvvvvvv
A prr�x . Values. of Home �;�Z1 b� [3 ("� �+ Permanent occupancy
/ * Transient oecul?ancy
Water supply - Well Municipal iv ' „ Business
- Industrial
Septic Permit required? Other
* If addition , what will use be7'
FURTHER INFORMATION RE+QUESTEi?
* ACCESSORY BUILDING--
ON THE REVERSE SIDE OF THIS SHEET . * Detached garage/one car/ two car/ car
Attached garage/one car/ two car/ car
Private sto a building
* Other ��1i
Frnrm MRP 5 / 86 mdvmvl
+
pwn [,�� �ueen36urr�I
BUILDING and ZONING DEPARTMENT
Bay and Maviland Road, R. D. 1 Sox 98
Queensbury. New 'fork 12801
BUILDING .INiSPECCTOR ' S REPORT
NAME DI
LOCAT ION ,MUj
Date
_�� Permit Now
APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterproofing
Back£ill
Framing
Roof ing
Siding
Masonry Veneer
Rough Plum]aing
Relief Valves
Ext . Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg . Fixtures
Gar . Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICA INSPECTION r
DRIVEWAY APPROVAL
Final Building Sur v .y i.
Next scheduled inspection (call when ready )
Remarks-
Hui an Inspector
6/86 and-vl
. otvit o� '�u+�e►'r36urt�
BUILDING and ZONING DEPARTMENT
Bay and Haviiand Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATIO {`
Date/ ID F-
Footing/'Pier Forms A ED Permit No . � �- ZIF4,
✓ = PPROV - YES NO
Foundation
Waterproof g
Backfill.
i Framing
L460fing
Cj57XWl.ng
Masonry Venee
Rough Plumbing
o4Celief Valves
Ext . Porches
finished Floors
�Tnterior Trim
Stairs & Raili _
Cellar Drain le_
Concrete Fl rs
�Zbg . Fix es - �7
Gar . Fir roofing
Door C sers
smoke tectors
Chi ey
Lzk LATION :
F dation
L/Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
.DRIVEWAY APPROV
Final Building Survey
Next scheduled inspection (call when ,ready
Remarks- ,, j ;;, 4t, /� �'�
/Wt
Suilding ins ctor-
6/86 and-vl ,;.,,,, ,�..rj /,�r,r �'"e.���
l
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rn
Any Length
LEGEND
12{'——(Max)-{ �6 1. Pier Foundation - Excavate all organic and/or unsuitable material to
firm undisturbed soil. Backfill with clean granular material com-
_.. pacted to 95% standard proctor.
—9
-au - -c= - -
2. Pier - Non-mortared concrete blocks minimum 8" x 8" x 16" conforming
Block Pier y v to ASTM C-90, (open cells vertical) stacked true and plumb. Maximum
C b block offset of 1/2" from top to bottom of pier. Install with 16"
J dimension perpendicular to the I-Beam frame.
Unit Main Frame ° 3. Non-mortared cap - Hard (oak, etc.) wood or concrete 2" x 8" x 16".
B e a rn Z Cap may be thicker than 4" and may be made up at more than one solid
concrete block with a minimum thickness of 2".
_c Q 4. Leveling unit between top of pier and main frame may be hard wood
N o plates (not exceeding 2" in thickness) and shims (not exceeding i"
-E3 ^ �----B in thickness). Shims shall be at least 4" wide and 6" long, fitted
and driven tight between wood plates or pier and main frame. Leveling
unit must be level within 1/8" in 12".
/�t,�D/3jL lfp�?gr 5. Unit main frame.
NOTES:
B O'(Max)and each
side at all openings
1. Non-mortared piers will carry no vertical uplift or horizontal loads.
410'or Greater: 2. The maximum load capacity for a single stack (8" x 16") non-mortared
block pier is 6,400 lbs.
PL AN
N.T.S.
BLOCKING OFF5ET
Main B ea mX
2Max. 5/ope
3
fh re erred2pi(Max.) All rnusP aredP 9 c
� Upiers over 3G"must be reach firm �des;9ned bya N.Y. 5fa}edisturbed =C, Registered Prdfessianali . 12— y8 Max 5/ope
~ Engineer MEM, 4" . x. block offset Top of footing smooth enough to
t 09 Nofe: From 4-op fo bot/ern put 50`Y block- surFace in direct
b 't
Al/ blocks must be clean and smooth of block. bearing.B/ort most be stable and even.
�• _ uwifh no debris between mating
M z surface: of blocs PIER AND FOOTING DETAILS
p m21 w�v r/.T.5. _
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NEW PORK 5TATE �No.
eslo�°' h.e.r,..r_-1 Jam.-__�____-- _ O'OfilEN6G[R8 3257.00/-0/F
ENGINEERS.INC. AIANUFACTU,PED HOME A550C/AT/O/Y
DATE
M.d.by Sy....... N.., .•,k FOUNDATIOA/ PLAN AUG. 1385
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