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88-293
4 4 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date February 8 19 90 This is to certify that work requested to be done as shown by Permit No. 88-293 has been completed. This structure may be occupied as a Mobile Home Location Moon Hill Road Owner Patrick Stacivich By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector BUILDING PERMIT 1-3 TOWN OF QUEENSBURY No 88-293 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to 21rxxis Patrick Stacivich eo OWNER of property located at Moon Hill Road Street,Road or Ave. ti in the Town of Queensbury,To Construct or place a 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 (1- Harrison Avenue Ext. So. Glens Falls, N.Y. 12803 rt 2. CONTRACTOR or BUILDER'S Name Lamplighter Home Sales N. ti. n 3. CONTRACTOR or BUILDER'S Address R.D.#2 Fort Edward, N.Y. 12828 0 4. ARCHITECT'S Name Imo. I� Ir O 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( 1 Masonry ( )Steel ( ) I-, 7. PLANS and Specifications 14' X 70' single wide (replaces ex kkag existing mobile home) 1988 - Ritzcraft Royalton 624, Ritz-Craft Corp. of Pennsyl- No. vania, Inc. - Serial #0108888334 1D 8. Proposed Use Mobile Home 5.00 C/O $ 25.00 PERMIT FEE PAID—THIS PERMIT EXPIRES December I 19 88 (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 this 26th Day of May 19 88 SIGNED BY f�/�/lf for the Town of Queensbury Building and Zo i g Inspector TO BE COMPLETED BY DLUG. DEFT. ' ,� i; j, �] Application No. - wn ofQueeflilurf/ Permit Issued 19 Y2o l • • BUILDING and ZONING DEPARTMENT Permit 'Expires 19 Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation n BUILDING & CODE DEPT. Oue nsbury, New York 12801 Variance No.. \�` Site Plan Review No. , tAS. . APPLICATION FOR Approved as- �� G`� MOBILE HOME W , 5 c. o PUILDINO AND ZONING PERMIT o 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, plans and specifications submitted, and .such special conditions as may be indicated on the Permit. The owner of this property is: -Iq�Ac' 0 -k-c<< v icJr\ P.O. Address G�c c) Ave x-k-• 5e. G lQ.-Q,, .Us 0-Y. Tel. 19 3 l3I 7 Property Location: f\flcc (( 4 Lc Geoff c{9_ uly Tax Map No. LI<R/ ( / 0, Street ►Number or building lot number Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: Name P.O. Address • Tel. No. Name of InstallertAlivyloOtztr (eS Address I bt2 v'#- �cc,c..v"ck (fly'. Tel.7 i S `? 3 q_1 Name of plumber t( Address n Tel. t' Name of mason 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 Home * showing clearly and distinctly all buildings, Size of new Home jy ft X 1c ft . •� * whether existing or proposed and indicate all • * set-back dimensions from property lines. Give Single w 1,e • Double wide * street and number or lot number and indicate No. of rooms (excluding baths) Li * whether interior or corner lot. Show location * of water supply and location and configuration No. of bedrooms .- * of septic disposal area. * No. of bathrooms r COMPLETE INFORMATION REQUIRED BELOW. , Fireplace? ht Wood stove? A * Size of property a•t55 qere•ts.. ft X ft. Foundation style and size: * Existing building(s) Size ft X ft. Piers- No.of Size- ft x ft. * Existing building(s) Use • Depth below grade ft. FOUNDATION - Footing size " Xso * Proposed building, distance from property line - * Front yard 1 (00 ft Rear yard ft Wall material * Side yards ft and ft Wall thickness " Height ft. * If on corner, setback from side street ft ' Total depth below grade ft. * OCCUPANCY INFORMATION r Grade to Home floor level ft. * PRIMARY BUILDING - * * * * * * * * * * * * * * * * * * * * * One family dwelling * Two family dwelling • Proposed date of placement s / ; I /n * Multiple dwelling / Number of units * Permanent occupancy Aprox. Value. of Home $ aS, coc * Transient occupancy Water supply - Well `) Municipal • Business * Industrial Septic Permit required? V\e * Other * If addition, what will use be? • FURTHER INFORMATION REQUESTED * ACCESSORY BUILDING- ON THE REVERSE SIDE OF THIS SHEET.* Detached garage/one car/ two car/ car * Attached garage/one car/ two car/------ car 11 Private storage building • Other r • Form MIIP 5/86 and-vl APPLICATION FOR MOBILE HOME PERMIT, (CONTINUED) 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 `R; • - ;� ' 3 . PLAN APPROVAL NUMBER • 4 . MODEL OR COMPONENT DESIGNATION R 1±7. 0 fic-4- tS6 LAe. AQ L., ( • • 5 . MANUFACTURER'S SERIAL NUMBER C510 czN 339 6. DATE OF MANUFACTURE Ctiq • 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. 4 4 4 4 * * t 4 4 * * * * * * * * * * * .* * * * * * 4 4 * * * * * * * 4 Town of Queensbury County of Warren AFFIDAVIT STATE OF NEW YORK 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. . . -4<Signaturecut , t_Li. Owner, owner's agent,arcnitect,contractor • * * * * * * •* * * * * * * * * * * * * * .* * * * * * * * * * ► * * * * '* * * * * * * * * * * • SPECIAL CONDITIONS OF THE PERMIT: • • By awn of Queenilurj BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 ;U DING INSPECTOR ' S REPORT 11 NAME tithwel 46 LOCATION Mg-8 Date 8- / A" Permit No. H- ?9 3 ✓ - APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing / Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing 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 ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey 1/ ' Next scheduled inspection (call when ready) Remarks- &et,Ar Co#" ode P - y , Bu d g Inspector 6/86 and-vl awn o/ Queen Jtur BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 'Queensbury, New York 12801 '4..;1149 ,A44,11eY19LL . BUILDING INSPECTOR 'S REPORT NAME LOCATION Date pJ_ ��c7j '-�- Permit No. -,g * * * * * * * * * * * * * * * * * * * Footing/pier Forms PiAPPROVED - YES NO Foundation • Water �►� Waterproofing ' �■ Backfill _ Framing '- Roofing A- Siding ._ Masonry Veneer --_ Rough plumbing -__ Relief Valves -_ Ext. Porches _ Finished 1- Floors �_- Interior Trim _ Stairs & Railings ��_ Cellar ®_� Drain Tile Agall Concrete Floors Annimm _- I'lbg. Fixtures �_ Gar. Fireproofs g __ Door Closers MINIM Smoke Detector- -- Chimney ,_ INSULATION: Will Foundationa a IN I Floors of Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL _ Final Building Survey "Ill Mil Next a4- ti scheduled inspection© "t .� Remarks- �II (call `�fl t 0d 1 S when ready) /UG-Cq gPievo f /ei te-S_6k tot SK I 2Y-lAr(0 4 j 145T-B‘ 4te/44--ems rc rL(/9 6g Jown oI Queen Jtur, BUILDING and ZONING DEPARTMENT 117 Bay and Haviland Road, R.D. 1 Box 98 Clueensbury, New York 12801 i/PY/ BUILDING INSPECTOR' S REPORT NAME /// dzi LOCATION GQrJ 4 / • Date b—(3/ge Permit No. Fef`693 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - 71 NO Pting/Pier Forms Foundation Waterproofing Backfill Framing j Roofing Siding Masonry Veneer Rough Plumbing 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 ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- it K 16 - bra tirt,4 - L; k Lc,v ; r4 - co n ` -e vk !vi Q S G u O\3 ///T-7 :"-A'"e Building I spect 6/86 and-vl fim775 la4 1;P/102,031/7 or/ /r,774/ Le) /Ws. 02/rr-572ivi-e//c//) VOA) Rove c lete7T ftv,O 1& .iv 14.1600 / S 040 (:"3140 66 ' 1 A5 La) 1 1BE /o x s � f A 1 (� L. a • 9-5 / 0 r A.) / Y 4"< c , V