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1989-234 1144 'I N R CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date May 30. 19 89 j This is to certify that work requested to be done as shown by Permit No. 89-234 � I has been completed. I This structure may be occupied as a McFbi 1 e Howe Locad Lu?oene Roams s 1 Owner Horthwi ndS Inc . By Order Town Board 'TOWN OF QUEENSSURY j nirector of Bldg. do Code Enforcement i i BUILDING PERMIT TOWN OF QUEENSBURY No. s�-23a WARREN COUNTY, NEW YORK w rw 1 PERMISSION is hereby granted to Northwinds Inc . r-� OWNER of property located at Luzerne Road Street, Float! or Ave. in the Town of Queensbury, To Construct or place a Mobile HMIs 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 P . O_ Box 224 Glens Falls , N _ Y . 12801 a 2. CONTRACTOR or BUILDER 'S NameAC � AC Todays Modern 0 3 CONTRACTOR or BUILDER'S Address N 54-Rt 9 a Gansevoort . N . Y . 12831 4. ARCHITECT'S Name 5. ARCHITECT'S Address r- 6. TYPE of Construction — (Please indicate by X1 C IV m 1 ) Wood Frame I I Masonry ( I Steel ( Y ao 7. PLANS and Specifications No- 14 ' x 60 ' Mobile Home as per plot plan , specifications and application Serial #ULI308946 ,Manufacturer-Skyline , Approval #0163, Model #6014 JAY 7341G, 8_ Proposed Use Mobile Home c/o incl . December 1 1gag co $ 24. OD 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 M town of tlueensbury before the expiration date,} _ Dated at the Town of Queensbury thl� �nd Day f Kay 1989 M SIGNED BY for the Town of Queensbury Building and Zoolnil Inspector �7j // TO nE COMPLCTED ay nLr►C . DEPT. 1^ � _ J`uWIN u� �u can e1z"IFs Application N�o. � Y SUILUlNG ana ZONiNC'a DEPAfaTAAE NT Day anN] N-fbwilanO Road. R.0, j box 'Aa Pe r"t Expires 19 T+DvWN {7F c3uuunsNaury, fvuw York 12a4 ! Zoning D�sa;ignaLion QUEEf�lSBURY Variance Noe. RECEIVED site Plan Review No . APPLICATION FOR Approved by $ APR, 2 MOBILE HOME BLDG. & CODE DEFT, PUILDINO AND ZONING PERMIT A PERMIT MUST BE OBTAINED MzFORE BEGINNING CONSTRUCTION , ANSWER ALL OF THE FOLLOWING . The underuignod hereby applies for a Building Permit to do the following work which will Lc c3unu is' accordance with the description , plans and, opucificatianaa suluuittad , and such -j}e� i:.l canditiona au uway be indicated on the permit . 7`he owner of this property is : __ Noe �� ! ram• x-a S 6 ,x s ..7 +� Property LocationsJi atrnwt 1.Wi�L71 r or taus]diny �© fir` Tax Map td+D .�jr�._.`r/ lot nuwber S"dlvision name (if applicable ) / + Ie. ;W4-t.f/ r✓/�s � a7 '' 7'! !N VI ftSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS UUII.N]ING CODES IS ;ldoilsuior ..� s~Y- /1'r'° 9 __ '�y► lr .�cc��2 �- Y Acurasb Teel . Ho . N.unt of installers /J Address N.au4c: ua' I+1 unJCkrc` Tel . Na![u a rFl�,.a tfoll Add rauta Ttal . - „Rddreuaf R'ul . MOB I LC HOME INFORMATION : w ZONING INFORMATIONS 14cw Yloaue Placement ► A PLar PL.ANd NMUST ICE PRE PAR ED AND 5 USMI4j "1'ED, Replacing existing Home _ * drawn rnasonubly to scald xxnd attached haareto# ---., . auhowing cicwrly and distinctly all buildings $ Size of new Home_'�ft X ft whether uxisti �tj or pro,poaud :and indicate all * salt»hack dir►ensions from property lima . Give Single w '• ke `` L3auble j e " ytrObt and numGur or IOL nuu►tiar :and indicata No . of rooms ( excluding baths ) * whether Interior or corner lot . Show location of wa tur su 1 and location and con f i9" rKa t ion Now of bedrooms_- - " of sceptic di;Josal area . No , of ba t.)h rooms / ' COKPLLTE INFORMATION RCQUIR.ED BELOW . Fireplace?Wood stove? size of property ft X ft . Foundation style and size : * "luting buildingtu) Size ft x ft , r. Piers- No of S ' ft x ft. ■ "iutia q buildiatiy ( s ) Us:a Depth g cede ft . ` i+ropQra:aad building , d ,LUL"nuo- froja property ling FOUNDATION oting size "" X "" + „ Front yard ft Rear yard fc wall material side yards [t and ' ft Wall thickness Height ft. . It on corner# sarJuaek frosu olds atLOT i rarst tt Total depth below grade ft . OCCUPANt4Y INFORMATION trade to Horne floor level ft. • PRIMARY UUXLDING » w . ar M r w • r r . . w * .s r . . • * ► one family dwelling r Two family dwoll ing Proposed date of placement f�-f Multiple dwelling / Number of unit" A pvox . Value- of Home 0676 '-L- . Permtianent occupancy Water supply - Tranulent occupancy Well Municipal' � . uu:,ina:es . Industrial Septic Permit required? /1f othur sc"P-rtr- ACR60%01'f /r✓ d f�SPEr9Cx': ,. if addition , What will use Nxri' FURTHER INFORMATION REQUESTED ♦ ACCESSORY uuILDINC- ON THE REVERSE SIDE OF THIS SHEET . + Detached garage/one car/ two car/ car Attached garages/one car/ two car \//;,\ Private storages building l Other Form M! I P 5 / 86 and - vl APPLICATION FOR MOBILE HOME PERMITo ( CONTINUED) State of New York Division of Housing and Community Renewal INSIGNIA OF APP i%OVA L OF THE STATE BUILDING CODE 1 . INSIGNIA SERIAL NUMBER L. J: . Z(`) ) � ` 6 " 2 • NAME OF MANUFACTURER 3 . PLAN ,APPROVAL NUMBER +4 . MODEL OR COMPONENT DESIGNATION 4e _LTA �7 3V � . . S • MANUFACTURER ' Sm SERIAL NUMBER G . DATE OF MANUFACTURE 4`� rZ Z the above information is to be found on a plate or vtzaker which should be affixed to the Mobi Ze Home . Complete .above with that information. Town of Queenubury � F F I D A � - � T County of Warren STATE OF NEW YORK I swear that to the nest of any knowledge and belief the statements contained in this application , together with the plans and apecifications submitted, are a true and complete statement of all proposed work to be done on the described premisea and shut all provisiono of the BUILDING CODE, THE ZONING ORDINANCE # and all other lawn pertaining to chc proposed work shall be Complied with, whathe speicified or note and that such work, is authorixc:d by the owner . . Signature r, er * a age=n a cnxtec contractor ■ • r A w • • ♦ • w • � r * ri w ♦ • * • , • ■ • * * w t • � • +► • • • M ! 1Y • w • s • w w • r ' r SPECIAL CONDITIONS OF THE PERMITS By i . f TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK I280Ll- TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR TNS'P��ION ECEXV QED NAME LOCATION DATE S PERMIT APPROVED YES NO FOOTINGJPIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP--PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—IN INSULATION: FOUNDATION FLOORS WALLS �ESLING to## JAL INSPECTION: ' CHIMNEY HEIGHT f ROOFING SIDING EXTERNAL PORCH /STEP5 STAIRS—CLEARA E & RAILS PLUMBING FIX RES/RELIEF VALVE INTERIOR TR M/PRIVACY DOORS' t/ FINISHED F RS GARAGE FI EPROOFING DOOR CLO R (S) SMOKE DE ECTORS FINAL ELF0MICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKSt INSPECTOR 11 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 41 STATE STREET, ALBANY, NEW YORK 12207 i1 . : l7ote I Application No- an file ` 1 ' THIS CERTIFIES THAT a aly the electrical a gwiprnent as describod botorw owed intrad"cad by the ayppiteaaas non wd on the above epplication rarwrnhwr in she prsrrriaea of . i;-, y: . . kE F dI : I'.s , . . . in the following Location.; Q Basement ❑ lot FY. 2nd Ft. ` ' Section Block Lot ' seas examined an t and found to be in cornplianee with the requirernenta of this Board. FIXTURE FIXTURES RANGES COOKING DECKS I OVENS I DISH WASHERS EXHAUST FANS OUTLETS GMPTACLE&I SWITCHES IrKAWIMSCEan I FLUOMMCENT DTHEn AMT. K. W. A T. K. W- AASr. K.w- AAST- K- W, AMT. n. ►. DRYERS FURNACE !MOTORS FIXTURE AFFUANCE PREDERS ISPOCIALMSCOPT, TIME CLOCKS j BELL, UNIT HEATERS MMMOUTUIT DAMUMERS. AMT. K. W. OIL H- P. GAS H. P. ART. HO. A. W. G- ART. AMP, ART. AwTPs:. TRANS. ,vwT. H. P. STfTEMi MST. WATTS NO. OF FEET SEitV10E DISCONNECT NO. OF S E R V I C E ART. AMP. TYPE METER 1 ,a 7w 1 X 3w 3 AT 3W 3.a rw NO. or CC. C0"a- A- W.G- N17. OF HI•LEG A. W, G- NO. OF WUTRMS A. W. G. WOW. PER a of CC- COND- COT HI•LEG of HtuTRAL OTHER AFTAIIATUS; law .,- :.. 3 , . ;.i:.._ T, BRANCH X{AAF{/LC, R t Per This certificate must not be altered in any monnerL return to the office of the Board if incorrect. Inspectors may be identified by their credentials. r COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANLIER. YOU ARE HEREBY REQUESTED TO INSPECT AND ISSUE CERTIFICATES FOR THE FOLLOWING ELECTRICAL EQUIPMENT TO BE INSTALLED BY THE UNDERSIGNED CITY OR VILLAT,IF /"� 1Q4YFlSHIP � �u N STREET AND NO ROAD POLE NUMBER LuzcrznokF BETWEEN W TVA:F CROSS STREETS IS PREMISES UDCONFED7 SECTION BLOCK LOT G. 440 G 'G .?JIB S.fGr ?�✓l,q ,/ OCCUPANT S NAME BUILDING OCCU PA.NGM dWNER'S NAME AND ADDRESS�-�'7 qJ '�'�I:Jr✓r I'L.f �� �^ �C /'7.Ir L.IfQ/ / fG� = GJl CURRENT SUPPLIED B'�� /_ � FROM THEIR1F_IG� 7 5TISLfF+#ONE NUMBER 6 BUILDING IS /.•rr�!/ �4 / �'- NEW OLD ❑ VW:InKIS NEW ADDITIONAL ❑ "' 'DEFECTS REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED LocNUMBER OF OUTLETS No, of Fixtures & MOTORS HEATERS BRANCH OFFICE USE $- Lamp Receptacles CIRCUITS ONLY tion Side Aftwhot HPWam A.W.G, Oelling Wall Recap Is Svoftch Panders Bracket Na -rype Each Nm EaCh No. Gauge INSPECTION OUT- SIDE Sua_ BASE EWS& MENT 1st FL- 2nd FL. 3rd F FL. f REMARKS: LIBT OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE. THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED, BUT IF AT TIME OF INSPECTION, THERE IS FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED, YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER THE ADD+TIONAL EQUIPMENT, AS PROVIDED BY THE APPLICANT SIZE OF MANS FEEDERS ELECTRIC SIGNSUMPS TLITAL VYUTS CHARACTER OF WORK El EXPOSED GAV TUBE SiGWTRAN SFORMERS OF ❑ 0 cr:ALED DRTE WORK TO BE STARTED DATE ED&iFtETED SIZE OF SKdN(NUMBER) CAPACITY SERVICE ENTERS BUILDING MANUFACTURER OF SIGN ❑ OVERHEAO ❑ UNDERGROUND y� D)aF INSPECTION REQUESTED ON IOR AS NEAR AS PDSSISLE) MUST ENTER APPJM� ANTS I I I I I WISNFIR01101114N NUMBER AVOID DELAYS SY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED AN OR APPILIC41TION MAY BE RETURNED. PRINT NAME AND ADDRESS NAMEC.,IF�PPLICANT OF AP N OF f G�t5/9 's3 MOPWO 4o/'Iz r- ii G: .00V41 3/ jC ST17 E T 7RES TE HONE NCY. CITY POST OFFICE ZIP CODE LICENSE NCL WHEN APPLICABLE ❑ 86 John Street ❑ 41 State Street ❑ 570 Delaware Avenue ❑ 217 Lake Avenue © 202 Arterial Road NEW YORK, NY 10038 ` ALBANY, NY 12207 BUFFALO, NY 14202 � ROCHESTER, NY 146081 SYRAC USE, NY 13206 THE NEW YORK BOARD OF FIRE UNDERWRITERS 7302AB * 56xl4 w,x, GEM PA UlL*E. 2 BEDROOM • FRONT KITCHEN• SNACK BAR * 4.1 BEDROOM LIVING ROOM - , CATHEDRAL CEILING 12, a.. fC BEDROOM 13'- 40. KITGHENi g'. 4" DINING '. P. (710 SQ. FT.) 9 4 dfM m x. V Y. CD W W 7341B _ - -- / CAtNEGPAI LEIEW6 ��( r; ? BEDROOM • FUN �' KITCHEN/BAR • BEDROOM `�� LIVING ROOM — KITCHEN! 16'. 3., — — DI aG — 2�a — BEDROOM 1D 5 CATHEDRAL CE 1N � I r- —_ �, 41' (765 SQ. FT.) Z6 lima F 0 a: (WIN) wasmo-a* 73G2B *fi4x14 arf ' (FINF�0.LL LEgixE 2 BEDROOM • CENTER KITCHENI - BEDROGY DINING : 1� LIVING ROOM I 12'- Or' KITCHEN • SNACK BEDRxM DI NG i , . 1�•. BAR •CATHEDRAL. 1a - 10 CEILING (820 SQ. FT.) M � ua OO t