1988-031 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
February 8 90
Date 19
3ORI lq -1 -
This is to certify that work requested to be done as shown by Permit No. 8C-31
has been completed.
This structure may be occupied as a Mobile Home
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Location Pinello Rd.
James & Catherine Webb
Owner
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-31
( WARREN COUNTY, NEW YORK o
PERMISSION is hereby granted to James & Catherine Webb
OWNER of property located at Pinello Rd. Box 378 RD 3 Street, Road or Ave.
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 Box 378 RD #4 w
Pinello Rd.
Glens Falls, N.Y. 12801
2. CONTRACTOR or BUILDER'S Name
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Rainbow Homes m
1-6
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3. CONTRACTOR or BUILDER'S Address
Rte 9
South Glens Falls, N.Y.
4. ARCHITECT'S Name
5. ARCHITECT'S Address 'ro
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6. TYPE of Construction—(Please indicate by X)
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( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 28' x 56' Imperial Homes Mobile Home — Plan Approval Number NY-0513
Mnfg. Serial Number IH861097—A—B2860FPS1801, Date of Manufacture 11/15/85
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8. Proposed Use Q'
Mobile Home
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x
$5.00 C/0
25.00 Sept. 1, 88
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
(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.)
9th February 88
Dated at the Town of Queensbury this Day of
19
SIGNED BY V-1-7G g for the Town of Queensbury
Building and Zoning Inspector /e ,
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TOWN OF QU N • .7'
TO BE COMPLETED BY. BLDG. DEPT.• M -_
...awn vI Queeniti4,. Application No. :0 U
BUILDING and ZONING DEPARTMENT Permit Issued ]9 -..J
Permit Expires 19 FEB 3 .. 198�
Bay and Haviland Road, R.D. 1 Box 98 . ' Zoning Designation .
Queensbury, New York 12801 • Variance No. . . BUILDING & CODE DEPT.
txA'`�v� Site Plan ' view No. �, ,� elp �O �n�
APPLICATION FOR Approved �y s` ' .
MOBILE HOME . i ,.. Ie!.,r I' Of/
/
BUILDING AND ZONING PERMIT I
* * * * * * * * * * * * * * * * * * * * * * * * * * . * *
* * * * * * * * *. *::*
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,ofthisr er i 3:-QT 4 ' /• ', 1�
p_op_�ty - `0��1-"w,�I'"''".��..9--' ( �/ f.�P.O. Address 6 0 v 3 7 � P �.��/3 d3, Jq,0� . Tel. 79, -ic3G/
Property Location: -�-(-.-- �3 Tax Map Noll / / / 6,
street number or building lot number •
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
' ____IL.ja ,,,e-, q i
Name P.O. Address Tel. No.
Name of Installer O ddress eiff• °J cSo-74p-t 6-,,, le..14el.
Name of plumber Address Tel. -7 p--- 3 y G/
Name of mason Address _ Tel. ", /-1
•MOBILE HOME INFORMATION: * ZONING INFORMATION:
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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,
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Size of new Home ft X ft . . * whether existing. or proposed and indicate all
` / * set-back dimensions from property lines. Give
. Single wile • Double wide . * street and number or lot number and indicate
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* whether interior or corner lot. Show location
No. of rooms (excluding baths)
"' of water supply. and location and configuration
No. of bedrooms . * of septic disposal area.
No. of bathrooms * COMPLETE INFORMATION REQUIRED BELOW.
Fireplace? Wood �- �
Size of property i L5---() ft Xe;2Qr) 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.
- gri-e � XL76' * Proposed building, distance from property line
size
c$L 6. * Front yard ft Rear yard /2-� ft
wad-material Side.yards J o0�� * yards ft and �3 2 ft
thickness get.** - �u/� * 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
Two family dwelling
Proposed date of placement<l / /2 Multiple dwelling / Number of units
Aprox. Value. of Home $ L�� e,� -� ► �/ Permanent occupancy
/ * Transient occupancy
• Water supply - Well Municipal X * Business
• Industrial
Septic Permit required? 7 * Other
,r If addition, what w.ill use be? . - -
FURTHER INFORMATION.' REQUESTED
* ACCESSORY BUILDING-
ON THE REVERSE SIDE OF THIS SHEET.* Detached garage/one car/ two car/ car
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* _1 Attached garage/one car/ two car/_ car
* Private storage building
* �/Other
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Form MHP 5/86 md-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 . INS IGNIA SERIAL NUMBER //
2 . NAME OF MANUFACTURER
3 . PLAN APPROVAL NUMBER " O S�� 1
4 . MODEL OR COMPONENT DESIGNATION
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5 . MANUFACTURER S SERIAL- NUMBERV, ` /U �'f' -7_
6 . DATE OF MANUFACTURE /220
Alt 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 * * * * * * * * * * * •*. * * * * * * * * * * * * * *.• * * *
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, an. that such work is
authorized by the owner.
Signature . _ --_- V✓ ---
o , eri, owner's- agent,a. . tact,contractor --
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* * * * * * * * * * * * * * * * * * * *, * *., * * * * * * * * * * * * * * * * * * * * * * * •*
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SPECIAL CONDITIONS OF THE PERMIT:
/ 4/7- /-Gq
_qeu,, o/ Q n.i u rty
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT_
NAME liteljl
LOCAT I ONE /4v/ifi
1
Date 2 / m
erit No. ,-(3/
* * * * * * * * * * * * * * * * * * * * *
• ✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing • •
Backfill
Framing
Roofing 4/ /� ; 4N
Siding
Masonry Vent -r _
Rough Plumbi' g.._c / •�
Relief Valve. C
, ------ P</
Ext. Porches
Finished Floo
Interior Trim .
Stairs & Railing's
Cellar Drain Til;
Concrete Floors
s"ccPlbg. Fixtures r .
Gar. Fireproofing •
Door Closers •
Smoke DetectorsX .
Chimney
INSULATION:
Foundation
Floors •
Walls
Ceiling
I FI L--ELECT ICAL INSPECTION A _
RIVEWAY AP.'ROVAL L
Final Buildng Survey
1
Next scheduled inspection (call. w en ready)
Remarks-
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Building Inspector.
6/86 and-vl •
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