1987-498 w2l 4.\_
mammon
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CY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW yORK
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February ry 1390
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This is to certify that worflr
I reyuesred to be done as ahow'tt by Permit No.has been completed. 8 7—+'r.9 8
This Structure may be OCCupied an a Mob{ -1 e
Horne
L.orution Maine Ave . (Off rrxe I.uz�' -
Owner Thelma Collins ,
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By Order Town Board
r owly OF ctu��IvssultY
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Building N Zoning Inspector
BUILDING PERMIT
TOWN OF +QUEENSBURY No. 87-498
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Thelma Collins p°
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OWNER of property located at Maine Ave . (Off Luzerne Rd . ) Street, Road or Ave. v+
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.
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1 . OWNER'S Address is Box 388 RD 4 m
Glens Falls , N . Y . 12801 g
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2. CONTRACTOR or BUILDER'S Name
Elliott Glansberg
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3. CONTRACTOR or BUILDERS Address
RR 8 Box 1 lit 50
Saratoga. Springs , N . Y .
4. ARCHITECTS Name
t�
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C
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5_ ARCHITECTS Address
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--------------------------------
6. TYPE of Construction — (Please indicate by X! G
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rd
l ! Wood Frame I ) Masonry I l Steel l y
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7. PLANS and Specifications
No 14 ' x 70 ' Mobile Home per plot plan and application ( existing
septic system) : Zimmer Model 211
B. Proposed Use
One-Family Mobile home
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$5 . 00 C /o c>
$ 25 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES February 1 , 1988 M
ilf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the tw
town of Qusensbunyy before the expiration date.]
Dated at the Town of Queensbury this 29th Day of July 19 87
SIGNED BY �� C�P t " for the Town of Queensbury
Building and Zoning I nspector
,
TO 13E COMPLETED 13Y FALLK„ D I'T ,
�] / Application No .
� otvn v/ Q"4re/If .flh " riy Permit Issued 19 TCIit, F �7 c
BUILDING and ZONING DEPARTMENT Permit Expires 19 ( ] j I
Bay and Haviland Road, R.D. 1 Sox 98 Zoning Designation
Queensbury, New York 12801 Variance No .
Site P an Revi JUL l 1J�if
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S vi APPLICATION FOR Appr ad BUILLA NG 8c C T ODE DEP
MOBILE HOME 'o!!>0� i�c►
PUILDING AND ZONING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGININING CONSTRUCTION . ANSWER ALL OF THE FOLLOWING .
The undersigned hereby applies for a aut1ding 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 : Alq
- ,2�..� Z, -
P , 0. Address ,�� Tel ,�� 4 �aQ�+ ;Z
Property Location : r Tax Map No ,/ W%on, /
Street t .umber or building lot number .
Subdivision name ( if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS RDS BUILDING CODES IS "
. ' _ Y _
Name I' . O. Address 'eel 9 No ,
Name of Installer Address Tel .
Name of plumber Address Tel .
Name of mason Address Tel
MOBILE HOME INFORMATION : ► ZONING INF"ORMATICN :
New Home Placement ZLI!t/ ,e * 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 Ig ft X�/ .& ft * whether existing or proposed and indicate all
set-back dimensions from property lines . Give
Single wide Double wide * street and number or lot number and indicate
No . of rooms { excluding baths ) _ _i * whether interior far corner lot . Show location
Vx * of water supply and location and configuration
No . of bedrooms " of septic disposal area .
No . of bathrooms k COMPLETE INFORMATION REQUIRED BELOW ,
"mire lace: ' c3 wood stove? IV4)
p .>Y - -- Sire of property &+rJ ft x p [ > to
Foundation style and ia%v �'+�J�'C�� �F
` Existing building ( a ) Size ft X
TF7 .}fir &we L'{ j/4E-L'1
iers �� - ft x £ t - * Existing Iauilciiny f5D Use
%Z &W�lv
am, a�rr r
ft . Proposed boil ance from property ling:FCUNDATION FootIng 11
Front yard C? ft Rear yard ft
wall material - L � * Side yards ft and ft
Wall thickness " eight ft . s If an corner , setback from side street ft
depth below grade ft .
* OCCUPANCY I NFORMAT ICN
Total de
p g T WCS
PR RY BUILDING -
Grade to Home floor level ft . * � TpcM +Mca ►3�14� Y1r ^aGS .
One family dwelling
* Two family dwelling
Proposed date of placement ._/ / * Multiple dwelling / Number of units
,r
Aprox . Value of Horne $ r LK`} /,a. Permanent occupancy
3
j' �--4-��" * Transient occupancy
water supply - Well Municipal * Business
* Industrial
Septic Permit required? * _Ot her
rG, --jr-/W� fr ' . if addition , what wi. il use be:'
FURTHER INFORMATION REQUESTED
" ACCESSORY BUILDIN+G-
ON THE REVERSE SIDE OF THIS SHEET , * Detached garage/one car/ two car/ car
* Attached garage/one car/ two car/car
" Private storage building
" Other
*
Form MHP 5 / 86 and - v3r
BUILDING and ZONING DEPARTMENT
Bay and Haviiand Road, R. D. 1 Box 96
+Queensbury, New York 12801
BUILDING INSPECTOR ' S REP ORT
NAMELOCAT I ON
Date/ Permit No .
✓ = APPROVED - YE Nq
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry veneer
Rough Plumbing
Relief Valves
Ext . Porches
Finished. Fl)Te:
Interior Tr
Stairs & Ra _
Cellar DraiConcrete FlPlbg . FixtuGar . Firepr
D00Y Close
Smoke Det tors
Chimney
INSULATI N :
Foun dat on
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
IVEWAY APPROVAL
Leflnal Building Survey
Next scheduled inspection (call when ready )
c
Remarks- � c'
Building Inspector
6/86 and-vl
BUILDING DEPT. COPY OF APPLICATION. FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED.
TEMP. • DATE '
VILLAGEA. / TOWNSHIP �f.L'. �"'�..i COUNTY - r
STREET AND 110. OR
ROAD AND POLE NO_ !x! s I P POLE NO. .
BETWEEN W"AT TWO
CROSS STREETS IS f`. �i, �. f SECTION
! • -' BLOCK --� LOT ...�
PREMISE LOCATED?
OCCUPANT'S ^... BUILDING
NAME � ,, t„t . ti Cx 7 V� OCCUPANCY 'J .
OWNER'S NAME �,•' �� ` {- f `` .. FEL, # r
AND ADDRESS t
S PPLIED �lr �- [. I.- t ,/f r`? y�.� FROM THEIR OFFICE
BUILDING bEFECTS
IS NEW OLD is
NEW ❑ ADDITIONAL REMOVED ❑
LIST BELOW ALL EQUIPMENT WMICFI YOU INSTALLED
BRANCH
No. of Fix surss B OFFICE USE
NUMBER OF OUTLETS Lamp Re4aptldM MOTORS HEATERS CIRCUITS ONLY
Lora
tied Silo Aeu■#.�t M.P.S No. E No. p`G,WVV-G.' INSPECTION
Coulas Well Recaplo S 9dn Pendant Becket Na Type
Out-
side GK�
Sub-
base
Bass-
mant
'Ist FI-
2nd Fl-
Srd f 1,
REMARKS: LIST OTHER EI ECTRICA ` DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE.
Tfiis I"tion,is intandod to cover She above listed equipment to be inspected but if at time of Impaction tfiMe is found addifionel aquiPmeM not above "$'ad,
you era authoriaod to make fM insparuon and adjust tMr #ea to cover Ms additional equipment. w Provided by tlta applicant.
SIZE OF ELECTRIC SIGN WATTS
MAINS FEEDERS LAMPS
CHAR/31j_FE ESiPOSED GAS TUBE SIGN
OF WORIK� CONCEALED TRANSFORMERS OF VA
WORK TO BE INUMSERI ICAPACITYI
STARTED COMPLETED SIZE OF SIGN
SERVICE OVER1iEAD UNDERGROUND MAKER
ENTERS OF SIGN
BUILm"a
INSPECTION REQUESTED
ON OR AS NEAR AS NEW OLD
POSSIBLE
AVOID DELAY BY GIWNG FULL AND ACCURATE INFORMATION. ALL SPACES DATE OF
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APP A I ;
PRINT NAME- ND ADDRESS �
t, �i i SIGNATURE
NAME OF
AFL RirT \ f`4 OF APPLICANT'
STREET ADDRESS f ;r/ .r f ! TELEPHONEzip
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CITY OR 7!`.; ' r ,. CODE
�' �; � WHEN APPLICABLE
POST OFFICE
cts EL (RE - 1/815) A SEPARATE APPLICATI dIN MUST BE FILED FOR EACH SEPARATE BUILDING
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