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1989-031 r Y l l 1 i + 'ER.TIFICA�T'E OF CC:�C+ ''.A►N' ,Y TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK l i 14 =� i ira 4 � This is to certify that work requested to be done as spawn by Permit Na. , has been completed- IL Il This structu f •r r ^ " - y `T :; Location ii(1 i.: n i.,U 'L } I-:.I .aJ It L7 . �i VL'l�J L YC'f.L3 I I i : �� dlt TaC l x :IFS L{)il:�r. i� �:JI1k j Owtwr I By Order Town Board j I' I ToVvN of QUEENSRURY i i Director of Bldg. & Code Enforcement i 7 I �-3 BUILDING PERMIT TOWN OF QUEENSBURY No 89 _ 31 WARREN COUNTY, NEW YORK w PERMISSION is hereby granted to LA617RENCE & DONNA R-PNNF`"i T 1 t.3 I OWNER of property located at LUZERNE ROAD LOT # 56 Street, Road or Ave. I~ r- 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 O.ueensbury Building and Zoning Ordinance. L'z7 1 . OWNER'$ Address is HOMESTEAD 'VILLAGE INC . GLENS FALLS , NEW YORK 12801 2. CONTRACTOR or BUI LDER'S Name r ADIRONDACK HOUSING th 3_ CONTRACTOR or BUILDERS Address t� 114 SARATOGA AVENUE sn SQ . GLENS FALLS . N . Y . a 4. ARCHITECT'S Name 5. ARCHITECT'S Address Q N L� S. TYPE of Construction — (Please indicate by X) trJ { I Wood Frame ( l Masonry [ l Steel ( Y r.7 t " 7. PLANS and Specifications y No. 14 ' x 70 ' XXXX MOBILE HOMErSERIAL # 29667r PLAN APPROVAL "=*t' NUMBER PFS 182622Y 3 bedroom a ns ate, a. Proposeduse and application . MOBILE HOME 25 . 00 c/o � tt1 $ XX35 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queansbury before the expiration date.l x C? Dated at the Town of Oueensbury this 8th Day oof�•Februar3r 19 RC) SIGNED BY r-."l for the Town of Gueensbury Building and Zohing Inspector cc�� �/r R�4 I]E . COMPLETED Dy flLT,G . DEPT TOWN OF QUEV41 stiRy rluw"i a}� itPe++ l[+r,rre Application Noa RECEIVED .," .I purait xseued R;QUILLING MAU ZONING DEPA"TAAL-NT F� a Clay unq NaVll:.na Road. R.O. 1 Hox Il8 ZanP " � t Eacpires ��l S 8 1989 Ouuenslaury. Now York 12a9QD1 variance a No&. anon V:►ic`ianao No., Site Plan Review No . BLDG& $e' .CODE DEPT. APPLICATION FOR Approved lay : I:;2 _ MOBILE HOME '" �. .� - � ,' ; PU I LII I NG AND ZONING PERMIT ' M • Ya er ea N ea A t 4 M 1W • Y '► # eF • w M • • 0 #R ee • ! +Y' f ee eF • M er e4• er »» gel A PERMIT MUST BE OaTAINED DCFORE BEGINNING CONSTRUCTION . ANSWCR ALL OF THE FOLLOWING . Theft L,e duns&r is i,sruignad hereby applies for i► Building Permit to do the following work which will l nccordanoc, with the description. plans and spucifisations submittud , and—such :.I,e=cial conditionb a" may be indicated on the Kermit , � w�+ ..��rtirrrr r!•r�R�1.rr���ii�r�F��r r�Ar..4Y��N•��!•a.r♦..�W1lraa�a.a.�•11•frwr�tiri'�"r�aYy.,.a.p...�a..���.r sr�i..lrr�i�.r Th,� owner of this property is : .�eel . � � - 2 D Cy al Praprty Location : 7-. t,�. cam— S 'j - atre:e.t l.u,upur or buildiiny lot nuu+laesr Tax ?asap No S"dlvision naeno (if upplIcable) V IiRSON RESPONSIBLE FOR SUPERVISION of WORK AS RELAX DS DU TLO I NC CODES I5 L II uue. �. 0. Addre:a7te "l"e:l . No * t+.+selt of Installer Cn : ., a,N. ,�1F � utiLht►ddrEla,Yl !r /y{ p "7 �1 IV,i114< U!' #.lwlsiwr �i 'rC. C] 1 1 i.1�m �4 �'$1 ._ N:4,144� epL suassoA J►tleirea+asa 1'ei,l . . .AdchCest,s 9.`eal . MOUILL HOME INFORMATION : 4r I ZONING INFORMATION : New llossse Placement ♦ a PLOT PLANSAUST BE PREPARED' AND SUBMITTED, RePlacing existing Home ` drawn ru","nably to scale and attacheae3 hereto, "bowing cluarly and distinctly all buildings , Size of new Home ( kf ft X ? Oft Ir whether existlaq or propusud and indicate all Single w '• le • .�K'` Doubler wide W set`back 14°nsionsc fro,a 'property lines . Civc stye®t and numbur or lot nuu►bur land indicate: No . of roomsQexcluding baths ) • " whuthor interior or corner lot . Show location No . of bedrooms of 1WALOC supply and location and confi9we"tion Of se;ptiC disposal area. Now of bathrooms f �-a • P Wood stove? }C� * C014PLETE INFORMATION 1REQUIRED neww . Fire lace? 00 " Size of property o ft x 1 �s o gt . Foundation style and size : Existing buildingiall Size 1.4-A ft x �, ft . Piers- No . of Size- ft x ft. * i:xirating building ia:l Uue . Depth below grade ft. FOUNDATION _ Footing size x M 1'ropoe:esd lauildis,y , disLancrs trues prr,pe:rty lie.: . Pront yard ��_ft ,Rear yard ft Wall material s Side yards et and � 4 ♦ t wall thickness." Weight ft, . If on cofCnera setback froul "Ede: atruot xe: Total depth below grade ft . ` OCCUPANCY INFORMATION Grads: to Home floor level fte +► PRIMARY BUxLDING ,. >< w t w a Ik r er ■ w r • r er +► r •'� One f"011y dwelling Two tuss,ily dwQ.Ll ing Proposed dates of placement f+ $9 ,a Multiple dwelling / Number of units A prox . V alms. of Home S _ .2 1 `� ey o r Poxwm"nant occupancy Water supply - Well Municipal ?C� ' Transient occu,2ancy Uusinaos Septic Permit required? i'ti + Industrial Other 40 If additions, what will use laaa't FURTHER. INFORMATION REQUESTED ~ ACCESSORY i3UILDINQ^ ON THE REVERSE S I pE OF TH I S SHEET . �tached garage/one car/ two earl car Attached garage/one Carl two czar/ car " >< Private storage building zs,-4+ ,ya in other Form MlTP 5j06 and - vl t APPLICATION FOR MOBILE HOME PERMIT, ( CONTINUED) State of New York Division of flousIng and Community Renewal INSIGNIA OF APPJ%OVAL OF THE STATE BUILDING CODE 1 . INSIGNIA SERIAL NUMBER 2 . NAME OF MANUFACTURER •'j 3 . FLAN APPROVAL NUMBER 4 . MODEL OR COMPONENT DESIGNATION Poo 5 . MANUFACTURER ' S , SERIAL NUMBER G . DATE OF MANUFACTURE to AZZ the above inf6rmation is to be 'found an a pZate ar aticker whsch a hou Zd be affixed to the Mobti Ze Home • Complete..abova &"*th that information• Town of Qucenanury County of Warren A F F I D A t1■ A T STATE OF NEW YORK I swear that to the best at MY knowledge and belief the statements contained in this application, together with the Plana and apeeifications uubuaitted, are a true and complOte statumOnt of all proposed Work to be donna on the described prew.Laea and thut all provisiona of the BUILDING Cool:,_ TniB ZONING ORDiN^NCE♦ and all other Iowa pertaining to Lhe prO,posed work ah"ll be complied with,, whsther apeacifiad or not, and that such work is authorlccd by the owner . signature sir owners agent . arcnixect. contractor w • • e w e w • w w * r � w w r w u • • , w w ■ 4 r w w w w * t w • w • w t r r • w w r y w ' w SPECIAL. CONDITIONS OF THE PERMIT wwwlwY.wi,iw!!iw ll YYr!ll,li.11Y ti. ` 0 4 TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS EW YOR-1c TELEPHONE 22609- QUEENSBURY, 5 8 ) 792- 5832 BUILDING INSPECTOR' S REPORT REQUJ�rs'j icz INS TION RECEIVED NAME LOCATION '� 1 � �- PERMIT ## DATE A ppROV FD YE,$ NO FOOTING/PIERS MONOLITHIC POUR FORMS '. FOUNDATION/DAMP—PROOFING BACKFILL APPROV'AL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION : CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS—CLEARANCE & RAILS_��_ . PLUMBING FIXTUIEDFRSVALVE INTERIOR TRIM/PRIVACY FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION_ FINAL APPROVAL OF CONSTRUCTION_�_�-- A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIEDI ------- REMARKS :� x_ .i l ECTOR ~' APPLICATION FOR ELECTRICAL INSPECTION r PLEASE BEAR DOWN YOU ARE MAKING (4) COPI ES MIDDLE DEPARTMENT INSPECTION AGENCY, INC. National Headquarters 900 Haddon Ave., Collingswood, N.J. 08108 COMPLETESAPPLICANT • Date : City, Town or Township County S4$y ,t*Y +� "Vmk _ State Location/Address ( If Located in Rural A a - Please Attach Directions) ole # Owner ��`�5l '� rtS 9Rr '`c p -�* „� Qy �C. 2 Permit # Occupied As r"'4W%1 � . Building : NewUl Old Occupant Work Area in Building Floor #, eta. ) : App. for: Wirin © ServiceW or: =i Ready for Inspection : Fee Remitted - $ Cash Q Check' M.Q. Make Payable To : M.D. I.A. Number of Rough Wiring Outlets Elect. Heat 5oa 75J a000 lz5a 15oa 175a xooa 2250 25aa 2750 sago Switches Lighting Amp. Service Surface Unit Dishwasher — Range Receptacles � s— Water Heater Air Conditioner' _Dryer Pump Number of Fixtures —•- — Oven Garbage Disposal Wiring and Controls for Burner Amp. Receptacles Fra ional H.P. Vent -Fans Other Equipment: MOTORS H.P. 1/2 1/12 1/14 1/8 1/6 1/4 1/3 1/2 3/4 1 1Vx 2 3 5 T42 34 15 24 25 30 44 54 75 1W Mark Number of Each Size Applicant' Signature License # Permit * T/A Utility : ApplicaWs*,Addre iEa " {}NAME CIFFICE LOCATI N {City} 1\k (State) (zip) ' %910 Service Request # Phone # Electrician : MDIA USE ONLY BATE RECEIVED: DATE INSPECTED: Correct Location : Same as Above E�] or: Red Notice Label Rough Wiring Outlets Surface Unit Oven Switches Range Garbage Disposal Receptacles Water Heater Dishwasher Fixtures Air Conditioner Dryer Amp, Service Equipment Burner, Wiring & Controls for Amp. Receptacle Amp. Service Conductors Pump Vent Fans MOTORS H.P. 1/24 I/12 1/30 1/$ 1/6 1/4 1/3 1/2 3/4 1 IV' 2 3 5 74t 10 15 24 25 34 44 54 75 104 Mark Number of Each size Patrick 3 Dashrsaa Elect. Heat Sao 750 laaa 125a 15aa 17d 2apa 2250 25aa 2756 30Da :'M Haase xA 34 312639 FL€CTRICAL INSPECTOR CERTIFICATIONS USE FOR INITIAL VISIT ONLY NQTIFIE@ DATE CORRECT FEE PAID FEE 0 RW Progress : Inc. LKD Contractor CFT Violation : Work Comp_ � Inc. [] L/A Owner CASH �] LIA Fee CHK # IPA Due MO # Municipal 1NV # Date. Other Side 0 Utility Applicant [� a Owner Cut in Card 0 Temp # Date Q Final # ,Date INSPECTORS SIGNATURE 4 i 4,-D i c ..�-�.�a �. � c�-�-.-�.. ��,-ram. -�"�car�� ►-� l Vf 1 � 7 - g -7 7 vez LJ LAl .L -W ilL v li JL Yam. Say at Naviland Road, Queensbury, NY 1 2804-9 725-5 1 8-792-5832 II 4 pt� C . V rd L 0+ ��� 4� C !t Q Q 9 f. { F � d 1l111� f f LET f t f i K ITG1�J1 11 '-6" B'-{1» 10'-B" 16� "G» 10'-�• 10'-Q• 1470(66) 36R IF FSR A-430 r Y.. . .EADER SERIES