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1987-106 I CERTIFICATE IFICATE OF OCCUPANCY i TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date May 6 19 87 V 87-106 This is to terrify that work requested to be done as shown by Permit No. has been completed. This structure may be occupied as a i oLiiia_ Home Dwelling Location G [1 Rhade 1.< land Avg . Linda L . Fregenr Owner By Girder Town Board TOWN OF QUEENSBURY Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No_ 87-106 WARREN COUNTY, NEW YOIRK PERMISSION is hereby granted to Linda L . Pre ent t- OWNER of property located at Rhode Island Avenue Street, Road or Ave_ w t~ 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 "d n approved and in compliance with the Town of Queensbury Building and Zoning Ordinance- (D ro 1 . OWNER'S Address is 121 Aviation Road Queensbury , New York. 12801 2. CONTRACTOR or BUl LDE R'S Name 0 O a'o. 3. CONTRACTOR or BUILDERS Address r ca r w 0 sue. 4. ARCHITECT'S Name tD C N 5. ARCHITECT'S Address J 6. TYPE of Construction — (Please indicate by X1 l ? Wood Frame ( l Masonry S ) steel ( } 4 7. PLANS and Specifications c3' No 14 ' x70 * Ritz Craft Corp . Mobile Home — Serial No . 8010 ro per plot plan and application . Connecting to existing septic— B. Proposed Use ro Mobile Home Dwelling $5 . 00 C/0 $ 25 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES October 1 19 87 (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 31st Day of March 19 87 SIGNED BY • ' ' ` for the Town of Queensbury Building and Zoning Inspector ■v rsn: rsr i r i K' , 1j" 11: . // Application No . lJtf1I1f�PQIZ.fhfll' Permit Issued 3y , ,. . BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Haviland Road, R.O. 1 Box GO Zoning Designation (,�ri S � � 1�1 r� Queensbury, New York 12801 variance No. �__,�- Site Plan Rev ` r, . _ _ MAR 31 1987 APPL I CATION FOR �, Approved by MOBILE HUMS BUILDING�& CODEc�EPT. £UILDING AND ZONING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWE-R ,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 speciiic:ationb submitted, and such special conditions as may be indicated on the Permit . The owner of this property is . __ Linri:7, 1 P '" FgPnt k- . U. Address 121 Aviation Ed , Tel Tg2 nna_5 Property Location : Tax Map lva . Street number or building lc+t n er Subdivision name ( if applicable) P r'HE PLRSC}N RESPONSIBLE FOR SUPERVISION op WORK AS REGARDS BL) I14DING CODES IS : Name P . O. Address T� Tel Nc.� . Name of Installer Address Tel . Name ,of plumber Address � Tel . Name of mason Address Tel . MOBILE HOME INFORMATION : * ZONING INFORMATION : .. ew Home Placement A PLOT PLAN MU`1T riE PREPARED AND SUSMIT` EDr ~` drawn reasonaLly to scale and attached hereto , Replacing existing Home " showing clearly aa ,ci distinctly all buildings , * whether existing or proposed and indicate all Size of new Home 1 ra ft X 7f1 ft * X I I set-back dimensrc_sns from property lines . Give Single wide Y„ X Double wide " street and nuni-jr-r or IoL number and indicate * whether interior car corder lot . Show location No . of rooms (excluding baths ) 5 » of water supply and location and configuration No . of bedrooms 2 " of soptic disposal are.:r . » No , of bathrooms 1 » COMPLETE INFORMATION REQUIRED BELOW . Fireplace? Q 'Wood stove?_ Q � " Size of property 1 -90 FT _ f t * Existing buildinc ( s ) Sire ft X ft . Foundation style and size : » g I Piers- No . of. Size-�ft x ft . * Existing buildirx43 ( ;; ) �� Depth below grade ft . * s-t r3rag e Proposed buildirry , distance from property lino FOUNDATION -- Footing size " X " » Front yard 44 ft Rear yard 3 > ft Wall material * Side yards Iqs� ft and -3 V45 ft Wall thickness Height ft . » If on corner , 5utback from side street it Total depth below grade ft . " OCCUPANCY INFORMATION Grade to Home floor level ft . * PRIMARY BUILDING - * * * * * * * * * x * * * * * * * * * » _i one family dwelling * �' `raa family dwu I l my Proposed date of placement / / » Multiple dwelling / Number of units _ Aprox . Value Of Horne $ * Permanent occupancy * 'Transient occupancy Water supply - Well Municipal k * Business * Industrial Septic Permit required?� » other µ » if addition , what will use be" FURTHER INFORMATION REQUESTED " ACCESSORY F3Ull.li LPI[;-- ON THE REVERSE SIDE OF THIS SHEET . * Detached qar :ge /rane car/ two car/ car ' Attached car/ two car/ cur * 'Private storasger building " Other f Form MHP 5 / 86 and - vl APPLICATION FOR MOBILE HOME PERMIT ,, CCO NTINUEDD 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 ._dTT7 rgaFT rnRp 3 . PLAN APPROVAL NUMBER C M 55.2_ 4 . MODEL OR COMPONENT DESIGNATION E ,r 5 . MANUFACTURER ' S SERIAL NUMBER _To l o 6 . DATE OF MANUFACTURE -5Z2f�; g7 AZZ the above information is to he found on a I; Zata or sticker which should be affixed to the Mobile Home . Complete abovo, with that infoy"ation. Town of e A F F I D A Y i T � STATE OF NEW YORK - - County off Warren arr Warrenn I swear that to the best of my knowledge and belts of 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 nor. , and that such work is authorized by the owner . Signature _ __________ Own , owner ' s at� : r, t , ar cect , contractor SPECIAL CONDITIONS OF THE PERMIT : A- ir 1` 4 1 Cron, ,u r t4u t C t GU1 t( C uvL 7`U � �s T-t .cr , S► r7 — G l t C}r PG6e?-re�,� By x 7OWn 0Qbteenj LGp B I I L D I N G & CODES D E P T . MODULAR / MOBILE HOME ACCEPTANCE DATA N IE ( Property owner ) Linda L . Pre gent ADDRESS Rhode Island Avenue Location of property upon which home is placed BUILDING PERMIT NO . 87-106 State of New York Division of Housing and Community Renewal INSIGNIA OF APPROVAL OF THE STATE BUILDING CODE COUNCIL/ DHCR 1 . INSIGNIA SERIAL NUMBER 2 . NAME OF MANUFACTURER 3 . PLAN APPROVAL NUMBER 9 . MODEL OR COMPONENT DESIGNATION 5 . MANUFACTURER ' S SERIAL NUMBER 6 . DATE OF MANUFACTURE All of the above information is to be found on a plate or sticker which should be affixed to the Mobile/ Modular Home . Date Building Inspector COMMENTS : Form MHA 3/87 and/vl NEW ARD OF BUILDING DEPT. COPY OF THfS COPY WITH BUILD NC, C1EP YINHEN iEDU1REDIRE UNDERWRITERS* FILE TEMP. 71F DATE .^ / COUNTYIII Can CITY OR � .y } TOWNSHI VILLAGE(s` �. __ POLE NO. STREET AMONG OR S ['� Av . { LOT ROp4 AND POLE NO. i BETINEEN ~AT TWO SECTION fBLOCK CROSS ST RE EFS IS BUILDING PREMISES LOCATED? OCCUPANT'S OCCUPANCY e NAME # TEI y1 OWNERSNAME 121A ist, ion Rosa AND ADDRESS OFFICE sl FROM THEIR `"+� F - DEFECTS SUPPLIED 3 WOHI�• REMOVED BY t NEW Q ADDITIONAL i BUILDING OLD IS IS NEW wj LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED BRANCH OFFICE USE No. of FYsturas & MOTORS HEATERS CIRCUITS ONLY NUMBER OF OUTLETS LAMP R"Optecles A.W.G. L oc>~ K.P. No- 6 ah A.W.G. Gauge IN$PE.GTION tion Side Aitrclr't Switch Pendant Bracket no. TYW Each Calling Well Recap'Ig Out- side Suter bne Bate' mas 1st Fl. 2nd FI. srd FL DO NOT USE THIS SPACE. REMARKS, LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE' f ment is 6a iAspected but if at Roma of Inspection there is found lddiiioglM�k{u P men not above listed. fcaAt-e Thn application is intended to curer aha shore-1"rsted equ'P TOTAL you are authorized tB make the inspection and adjalxl m1e fse to Carer the additional ELECTR IC SIGN rfdsd bV the aPPI WATTS SIZE OF FEEDERS LAMPS MAINS EXPOSED GAS TUBE SIGN VA CHARACTER CONCEALED TRANSFORMERS OF OF NKiRK {NUMBER) IGAPACITYd WORK TO BE COMPLETED SIZE OF SIGN STARTED UNDERGROUND MAKER SERVICE OVERHEAD Of SIGN ENTERS UILDIN ( j OLD INSPECTION REQUESTED N7=1N ON OR AS NEAR AS POSSIBLE D DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN DR APPLICATION MAY BE AYOY RETURNED. r� PRINT NAME AND ADDRESS 04f � NAME OF APPLICA fON _ f TELE APPLICANT '7-9 Q'089 PHONE # ST H E.ET ADDRESS AviaLICENSE NO. E I 12aQ '� WEN APPLICABLE k CITY OR COD ter.--- H POST OFFICE (RE4'- lIB5) ICATIOW MUST BE FILED FOR EACH SEPARATE BUILDING 4e el- A SEPARATE APPL �\01Aup� na6 �� Le �Qwn �* © BUILC)ING and zp{ufhlG I)EPARodh TmENT 9$ i Say and Havifand w York 12801 Queensbury, BUILDING INSPECTORIS pFPORT NAME -aA � W- LOCATION {� Permits' - * * P.PPROVED - YES NO Foo+~ ingfl'1er Forms Foundation Waterproofing Backf i-1]- Framing Roof ing Siding Masonry veneer___�.�- -----' Rough plumbing Relief valves 'eftt . Porches Finished Floors Interior Trim airs Railings 4St & Tile ^•Cellar Drain Concrete Floors ,,1bIg ., Fixtures Gar . Fireproofing Door Closers Smolce I3etectors Chimney IN SU I,AT I ON Foundation Flc7ors walls Ceiling IN SPEC T I GN.-- FIflAL N,LECTItICAI. AL DRIVEWAY AP PAtIV Survey��- - f � en i action (call wh ready ) l3ext scheduled nsp Remarks_ j ldingInspe or6/136 and- C lie1 i16 41 i ,.� � Joevs� a,� steert3h ur� BUILDING and ZONING DEPARTMENT Bay and Haviiand Road. R.D. 1 Box 98 Oueensbury. New York 12801 BUILDING INSPECTOR ' S REPORT NAME , ri � pre �e- hT LOCATION � �la cS � � 14n .3 � V Q D / Permi.t I�Icr . 0 (0 APPRC]VED* -*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 Chi mney INSUTLATION Foundation Floors walls Ceiling FINAL ELECTRICAL INSI'ECTIL7P3" DRIVEWAY APPROV _�... -- Final Building Survey Next scheduled inspection (call when ready } Remarks- r C r T- V 1e 4,� J �` I R ,C,&s 5 7-0 vAI is 6"+L S 10 & 19 fr f�-o A4 6 T: a n� f ,c./s ft;lr�r-td R Building speeto 6/86 and-vl C . /7 Ci f .Jawn v 'Queenshurry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTORS REPORT NAME L i Vol Cr*' P. I^ e e.pzr LOCATION O C�A�, T I O N R � • G� C .-tea - 14 &F n Date, / � '� Permit No . * * * * * * * * * * * * ✓ = APPROVED - NO yCFooting/Pier Forms 31wbmo &401 Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer. Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings JV Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION :. Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTIOI3 DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( call when ready ) Remarks- A�JUQ L 4X X` X-k % u^ i l� .S /VIG& 1~C1JZ AA S F.010e�f� Building Inspector 5/86 and-vl 351 �o R r19 6 F711111111...............Million'MEIJI III III IN.........",I'll JOAN#'1111 Cj IV �d PP, E 6,111111 I 1 4 1 h i 4 � 5�nR5 RERoD s