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1989-244
A%S CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 14 _ This is to certify that work requested to be done as shown by Permit No. has been completed. This structure may be occupied as a Mnhi l p Hnavp �-.�^� Location ark G- k Wit_.✓ Owner Glenn I Marilyn GrognrX By Order Town Board TOWN OF 4UEENSSURY Director of .Bldg. do Code Enforcement IV BUILDING PERMIT 304 TOWN OF +QUEENSBURY No. 89-244 as WARREN COUNTY, NEW YORK w ry PERMISSION is hereby granted to Glenn A__Marilyn__..Ewegory ~ OWNER of property located at Lot, 25 Homestead Yi l loge Park Street, Road or Ave. in the Town of Queensbury, To Construct or place a Restore from 1W6ff1iKXK*iliL fire damage 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 RD#4 Box 11 Luzerne Road W. Glens Falls , H . Y . 12801 2. CONTRACTOR or BUILDER 'S Name rr1 SELF -mac V �J 3. CONTRACTOR or BUILDERS Address SAME a Ora 4. ARCHITECT'S Name � d S. ARCHITECT'S Address r O 6. TYPE of Construction — IPlease indicate by }C1 row Ry C7'r Wood Frame [ ) Masonry i } Steel ( } 7, PLANS and Specifications i!n R No_ 14 ' x 70 ' restore from fire damage mobile home as per application . 8. Proposed Use � Mobile Home ( restored from fire damage ) c/o Incl . $ 35_ nn PERMIT FEE PAID — THIS PERMIT EXPIRES December 1 19 _� (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the G town of Clueensbury before the expiration date.) Dated at the Town of CZueenshury�la+ Da f IMa+Y 19 89 SIGNED BY ( �t!Llltw for the Town of Queensbury Building and Ong Inspector � CS. w r-- (00to C��"� / TO BE CO!• PLETED BY 1ILDC. DEPT* /uuf�r u/ Qi.4eeJ► sGrrrr APFYication No. TOWN OF Qi_ EENSSURY BUILDING ane7 .Z17r« INC t1CPhFiTAf NT Pea-nut Isrruad ] 9 RECEiVEiJ Day and Havilana fiaad, R.D. i Box 0a ~ P'ar=4.t Expirem— ouaunsdufy, Now York 12801 ,\ Zoning do I Varian No. , APR +'4 T9 tI' Site P an vie.* APPLICATION FORAppr ad b : BLDG, & CODE DEPT, MOBILE HOME PU I LD I NG AND ZONING PERMIT S +► x w er w w • r w t r • w �r a r w • +� M r �► o r w r r ►• r er w r ar r wr �► r w .: re A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING . The u.nderuignad hereby applies for a Building permit to do the followinrj work which will L+u dune in :accordAncu with thu doscriptian , plans and specificati.ona aubu'itted , and such :;p4tcial conditiu"s am uWay be indicated on the Permit , `i•hu owner of this property is : /0 AV? Q Lr � 1 � 450 L _ f' U. Addreusd .C { f! i »,f j�•�dL C�v rf�" '/� 'S I � �L S !Z f� Test . Property LOGatioo :..- f ,may Stxea.t t.us:etse:r or building lot nuurbesr Tax Map No + _�/�f ( if applicable) _ f�+MC � f`#' • hx� LALCo*r G fr., L -f- 4:1m 01•IIL PERSON RESPONSIBLE POR SUP!~RVISION OF WORK AS REGARDS BUILDING CODES IS : :Inure: P. Q+ Addressu . 'i'tsl . No . Nwrke of 'Installer ("y t� ' AJC- rZ — _hddras$ rr,au a ul` I.lunaioer '- Tel . Addraseu Tul . N.i:iw: of uri:sar3 Adelraaea Tole MOIIILE HOME INFORMATION : it ZONING INF'ORKATION Now 110me Placement _. " A PLOT PLAN 'MUST 13C•' PREPARED AND suaMlolVED , Replacing existing Home drawn ruasonalsly to scale and attached hereto, showtn,g cic:erly and diatinctly all buildings , Size of new licame_/�ft 7C `% ft whether axiating or proposed .and indicates all single w ' 1e a/ Double wide sat-back diwensions fromproperty lines . Gives setrfsat and numisur or lot nuu►Uur and indicate: No . of rooms { excluding ba they ! ,/ * whu ther interior or corner lot* show location --^�a� "No . of bedrooms &;Pt wALOV supply and location and configuration * of gapti,C diSpOSSaal aru:a , No . of bathrooms r COMPLETE INFORMATZON R=QUTRcD BELO & Fireplace?�Twood stove? r d ' Size of property ft x ft . Foundation style and size : � Existing buildirigla) Sixes ft x ft . Piers- No . of size- - ft x ft . kxiatlny tsuildirlg ( s ) U:zn Depth below grade ft . FOUNDATION Footing sire " +� PropoUud buildireej , disL+ancu frow property lino r Rear and f wail material Front yard t Side Y ft r yards f t and f t wall thickness Height ft. r If an Corner . sett+ Ck frow sieAe: ereruest ft Total depth below grade ft . + OCCUPANCY INFORKNTION Grade: to Home floor leavel�_ft. + PRZM4RY BUILDING -- • x r w w w w a w w x w w w w r 6na Gamily dwelling . eee000e'11rO faaaily dw4ull ing Proposed date of plaeemertit�/ � „ Multiple dwelling / Number of units Aprox . Value. of Home S r Pesya;anent Occupancy ,. 'transient Occupancy water supply - Well Municipal * E3usinaas ,. Industrial Septic Permit required? 1' JD ,� Other if additions wh:.et will use b.:: FURTHER INFORMATION REQUESTED � ACCESSORY BUILDING- ON THE REVERSE SIDE OF THIS SHEET . • Detached garaege/one ear/ two car/ car 0Attached garage/one car/ two Car/ car ,+ 0WWWWRIM,Private storage building Form M11P 5 / 06 and - vl APPLICATION FOR MOBILE !-TOME PERMIT„ ( CONTINUED) SLate of New York Division of Housing and Community Renewal INSIGNIA OF APHWVAL OF THE STATE BUILDING CODE le INSIGNIA SERIAL NUMBER 1!2 j!4 cy 2 , NAME OF MANUFACTURER 3 , PLAN APPROVAL NUMBER 4 . MODEL OR COMPONENT DESIGNATION III" 5 . MANUFACTURER * S • SERIAL NUMBER + 6 . DATE OF MANUFACTURE / G AlZ the above infvrmation is to be found on a plate or shaker which ehou ld be afftixed to the Mobile liame . Complete .alcove with that information. Town of Qucensbury A F F i D A Y I T County of Warren STATE OF NEW YORK = 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 CODED THE ZONING ORDINANCE, and all other laws pertaining to Lhe Proposed work shell be complied with, whether opqcified or not, and that such work is authorized by the Owner, signature ------ nr, owner ' s agent , arcnat ct , con - actor- SPECIAL CONDITIONS OF THE PERMITS CJ ' ._'�',q r t? T r'~ /-; )z Cte& 60f-L4 i'nmP'c -T-4� c r4-C Ivs o&er-rl © ii Da &,6- e4 I 10192'�•- L7& r By-- o „ TOWN OF QUEENSB Y BUILDING AND CODES PARTMENT /` ! 1 BAY & HAVILAND ROAD ! ! QUEENSBURY. 5NEW H ) YO92 5832 28046 TELEPHONE BUILDING I SPECTOR' S REPORT REQUEST FOR SPECTX N RECEIVED rF . NAME f LOCATION (� DATE PERMIT -'1 r APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORM FOUNDATION/DAMP-PROOF NG BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING XNAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHESIS VP STAIRS-CLEARANCE RA PLUMBING FIXTURES REL F VALVE INTERIOR TRIM/PRI ACY RS FINISHED FLOORS GARAGE FIREPROOF NG DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRIC NSPECTI FINAL APPROV CONSTRUC ION Ox To ISSUE /0 'C,IG�_ �— -- A SIGNED CERTIF CATE OF OCC PANCY MUST BE OBTAINED FROM E BUILDING PARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: 3 �- _ r - - r ARRIVE ..... � DEPAR INSPECTOR { : E TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY B HAVILAND ROADS QUEENSBURY. EW YORK 1280A TELEPHONE ( 8) 792-5832 BL1 ING INSPECTOR' S ORT } ,r� 4 REQUEST FOR SPECTION RECEIVED NAME LOCATIONr DATE I i PERMIT # ` 2 APPROVED YES NO i FOOTINGIPIERS i Po MONOLITHIC PaUR PR FIND FOUNDATION/DAMP" BACKFXLL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—IN ip INSU .ATIC FOUNDAS FLOORS_ WALLS ilez CEILINf FINAL IN � -? CHIMNz dC ' _ ROOFIA SIDINC _,_ ip EXTERJ � STAIR, PLUMB INTER FINIS 1 GARAC "s DOOR SMOKI R Y FINAL ".- Id FINAL QK To ISSUE CIO 4R C C A SIGNED CEygTIFICAT OF OCCUPA Y MUST BE ILDING DEPA TMENT BEFORE OBTAINED FROM THE B THESE PREMISES ARE CCrJPIED ! i REMARKS: i. I1� 4 p,RRIVE -- JDEPARZZ IIYSPE7CTOR TOWS OF Q[3EEFISBURY BUILDING AND CODES DEPARTMENT -- - - � BAY & HAVILAND ADS 2280k QUEENSBURY . NEW YORK � g2_5832 TELEPHONE INSPECTOR' S PODry oi REQ E T R x,i+1s' C ' aN RCEIVED �_---- ------"- NAME NATION 4 / _ -PERMIT # DATE '__-----�---- APPROVED olm-11I - YES NO sly FOOTINGIP ERs MaNOLxTN1C% POUR FORMS FOUNDATIONIDAMP-FROOFxNG BACKFILL APPROVAL ROUGH PLUMBING FPAMING ELECTRICAL ROUGH-IN� � �{i75ULATIaN: � V FOUNDATION FLOORS - CEILING FINAL INSPECT ON : CHIMNEY HEIGHT ROOFING SIDING q^EPS EXTERNAL PORCHESIP STAIRS-CLEARANCE; Et RAILS�_��----- FIXTURBSIRELIEF VALVE PLfJMBING g�{I VACY DOORS INTERIOR TRIM/ - FINISHER FLOOR GARAGE FIREPR FxNG �- DOOR CLOSERZSR5 SMOKE DETEC 2NSPECTSON__�_-,-- -- FINAL ELECTRIC aF CONSTRUCTION____ -- FINAL APPROVA A SIGNED CER IFICA7"E OF OCCUPANCY MUST BE OBTAINED FRO THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED ! REMARKS -4 INSPECTOR TOW BUILDING G CAD CODS DE Alt, F BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY. NEW YORK 1 ,28C74- TELEPHONE (518 ) 792- 5832 BUILDING INSPECTOR' S REPORT REQUEST F013 INSPECTION RE NAME LOCATION DATE - Jl�, �Y PERMIT ,# APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION``/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING ✓FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS + WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL POR ESIST S_ STAIRS-CLEA NCE & LS__ PLUMBING FI TURFS/ EL F VALVE_ INTERIOR T IM/PRIVACY RS FINISHED TAORS GARAGE F EPROOFSNG DOOR CLO ER (S) SMOK D TECTORS FINAL EL TRSCAL INSPECTION FINAL AP ROVAL OF CONSTRUCTION `, A SIGNS CERTIFICATE OF OCCUPANCY MUST BE OBTAINE FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: INSPECTOR �, I�HBDt�":�'AKT wi11QY, National Headquarters 900 Haddon Ave., Collingswood, N.J. 06108 Data; y•„a,� ar' City, Town or Township ' County ( A Jp r` ll �e State At Location/Address ( If L aced In Rural Area • Please Attach Directions) Pole # Owner. ! Y U or Permit # r� 1 Occupied As al ; � �a .AL � Building: - New Old 1� Occupant Work Area in Building Floor sk, etc.] . for: Wirin Service] or: Ready for Inspection: Fee Remitt d - S Cash Check 0 M.O. F hilake Payable To: M.D. I.A. Number of Rough-Wiring Outlets Elect. Heat 500 1 750 17 12% Isoo 1Y50 2o00 22sa 2500 27w 9101 Switches Amp. Service Surface Unit Dishwasher Range Lighting Receptacles Water Heater Air Conditioner -DryerPump Owen Garbage Disposal Wiring and. Controls for Burner Amp. Receptacles '' Fractional H.P. Vent Fans Other Equipment: _ MOTORS Fi.P_ 1 I/2 1/12 1/ID 1/8 1/6 1/4 1/3 lf2 3{R 1 1 leis 1 2 1 3 1 5 1 7ur 10 1 15 1 29 1 25 SO 40 50 f?S lg6 Mark Number of Each Size Applicant's ! - - " Signature License # Permit # T/A ill 92 C f Utility : Applican Address' U f (NAME) (OFFICE T SCity)-- "'3 ti, c' (Szaze} /�/ izipl �t� Service Request Phone # Electrician: Q DATE RECEIVED: DATE INSPECTED: Correct Location : Same as Above 0 or: Red Notice Label 0 Rough Wiring Outlets Surface Unit Oven Switches RangeGar E]lispvnc8l' Receptacles Water heater Dishrwa hbi Fixtures Air Conditioner r Amp. Service Equipment Burner, Wiring & Controls for Amp_ Receptacle Amp. Service Conductors Pump Vent Fans MOTORS H.P, 1/2G lfl2 1Ro 1/A lf6 lf4 lf3 lf2 3f4 1 1 1Il/x 2 1 3 1 S 1 7'/2 1 lfl 15 20 25 30 - 40 50 T5 300 Mark Nurnli of Each Size Elect, Heat 1 sad 1 75a 1 load 1250 1" a 17so 2aa 223a 25M 275a 7049 F R W Progress : Inc. �~ L Ill � Contractor 0 CFT Violation : Work Comp. Inc. CASH© LIA `i Owner Fee L,FA Due CHIC elk Mt7 , IPA Municipal 1NV # Drxc�: Other Sided IU tility Avpucant Owner s .- Cut in Card Q Temp # Date 0 Final # Date ELCAWRilf APPLICATION FORM NO. 250 EL. 11/a6 TOWN OF QUEENSBURY � BUILDING AND CODES DEPARTMENT } SAY & HAVILAND ROADS G QUEENS,BURYr NEW YORK 1280k TELEPHONE (518 ) 792-5832J /�T/Tt BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LA?CATION DATE ��` PERMIT #- 77 �L APPROVED YES INO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP--PROOFING BACKFILL PPROVAL ROUGH PLU ING joexFRAMING ELECTRICAL R GH—IN INSULATION: i FOUNDATION \ FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ' ROOFING SIDING EXTERNAL PORCH S/STEPS STAIRS--CLEARA CE & RAILS PLUMBING FIX RES/RELIEF VALVE INTERIOR TRI /PRIVACY DOORS FINISHED F RS GARAGE FIRE ROOFING DOOR CLOSE (S) SMOKE DET TORS FINAL ELECTR CAL INSPECTION FINAL APPROV L OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED1 REMARKS: eo gel -s INSPECTOR TOWN OF QzJEENSBURY , Bay W HaVORW Road, Queenslwry, NY 12804-9725-518-792-5832 f January 28 , 1991 Glenn & Marilyn Gregory Rd#4 Box 11 Luzerne Rd Queensbury , NY 12804 ROE : Building Permit # 89- 244 for a Mobile Home Lot 25 Tax Map#93- 2- 11 . 1 Dear Mr. & Mrs . Glenn Gregory: The Building Permit noted above has expired . We have not been able to close our file and issue a Certificate of Occupancy since we did not obtain a final electrical inspection certificate . Please furnish this department with a copy of the final electrical inspection certificate no later than February 15 , 1991 , so we may close the file and issue the necessary documents . If you do not have this certificate we suggest that that you contact either your electrical contractor or the electrical inspection agency involved . Thank you for your cooperation in this matter. If you have questions pertaining to this request that either of the above cannot answer , please call . Very truly ours , 0 5E DeAAVID HiATIN, DIRECTOR Building R Code Enforcement DH : se "HOME OF NATURAL BEAUTY . _ . A GOOD PLACE TO LIVE" SETTLED 1763