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1989-313{ i i CERT`IF ICATE 11 F CZJP, ►NCY P i TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK j Doft� September 21 14 89 k This is to certify that work requested to be done as shown by Permit No. 89-313 1 has been completed. This structure may be occupied as a Mobile Ham Location MlinnPfinta Avpnup C?rovner Frank It Kathryn whiting I By Order Town Board TOWN OF QUEENSBURY I Director of Bldg. do Code Enforcement E I 4r BUILDING PERMIT TOWN OF QUEENSBURY r No. 89-313 Q WARREN COUNTY, NEW YORK Iv 1 PERMISSION is hereby granted to FRANK: & KATHR�YN WHITING ''' -- V OWNER of property located at BOX III MINNESOTA AVENUE 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. t- OWNER'S Address is SAME r-a .'C frn 2. CONTRACTOR or BUILDER 'S Name TODAYS MODERN We 3. CONTRACTOR or BUILDER'S Address 54-ROUTE 9 rw €aANSEVIIORT, N . Y . 12831 a 4. ARCHITECT'S Name S. ARCHITECT'S Address 07 w S. TYPE of Construction — (Please indicate by X) 1 ) Wood Frame ( ) Masonry I ) Steel 1 1 � 1'r'1 7. PLANS and Specifications No- 66 ' x 14 ' MOBILE HOME AS PER PLOT PLAN , AND APPLICATION . ► A rm r*t 8. Proposed Use MOBILE HOME $ 29 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES DECEMBER 1 19 89 [If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the +ti town of Queensbury before the expiration date.) rrn Y Dated at the Town of Queensbury th' 19th Day of MAY 19 89 SIGNED BY for the Town of Queensbury Building and Zone I nspettor C -� TO tit: COMPLCTED By nLLLC . DEPT, �Jueu ►� C/ Q+srees . l" ra Application tyro. TOWN OF BUtLL]ING wnar 24Nlrvc r7t PAfiTr,.ttNT Permit Issued Ig QUEENSgURY Poxvat Expire" 17 RECEIVEO [lay and Haviland fioacl. R.D. 1 Box 98 L}uuunsirury. Naar York 12801 2oninq Designation Variance No.. MAY 15 1989 site Plan via No . APPLICATION FOR Appr" ad SLDG, & CODE DEPT. MOBILE }TOME I Rowel PU I LD I N; AND ZONING PERMIT J � eY * M ! • R • • aY t fM • eF A ♦ N Uk t M M 74 r! aF +IF M # rle 4 at ! • � • ak ar aF ♦ # :: �e A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWCR ALL OF THE FOLLOWING . The undersigned hereby applies for a Building Permit to do the following work which will i+u dona> i,e 4ccard4nce with the description , plans and slwcific4ti0n0 aaab,uittud , and such shzCei:al conditions as ra.ay be indicated on tho Permit , The owner of this property i.,s ; �{'LAo1e -mt-- "Z&/(?%L/ 4k) ',SefeeP . O . AJelre:ia�14.�t' /'`/CIF eSeS 53/ eZS40 ;y'9 -sue 1'rrapurty Locations .$ womw�'� ��� �'il y /c���'/'� 'P+ra�i . -,r;,,�,� "' + ` Tax Flap t+o . )„ ?/ :;it � .uet�iiasr or tauilr]rnyr lot nusrrber _'uudlvision name ( if applicable) (\J ! -A, T11E 1'I?H.SON RESPONSIBLE ?OR SUPERVISION OF WORKr AwS RECA^DS Ituxr.DlNc caDes r� : _ rent P. O! Addr _ -esn Tel . Noe N snv x u f Ins tal la; r , 4 S��IUO /2 R.'/ N.,,nat ah` i+luaelicr- for- Adddrnsst Al 75 rv;tn.r of t�uuon 1'CICr{ fi al . M�te..C�Gt.-rr Adalrertr} Laa� MOBILE HOME INFORMATION : * ZONING INFORMATION : New I1onke Placement * A. PLOT :rrAm TSUST BE pREp^RED A"D SUh3Mx'1'TED6 Replacing existing Home _ * drawn r sho nasonolaiy to scale land attached hers to, .. . "I" c:, c:rly and dirstinctly ail buildings , Size of new Home ft X ft +r whether easisting or proposed and indicates all " set-back d.twenyions Eroea Single w ' fe � Double wide * streetproperty lines , ate street Andnum,?aas.ir or lot huu�e r and indicate No . Of roomsiexcluding baths ) * whuthe.r Interior ear Corner lot . Show location No . of bedrooms �4 ( y ��1! w of watatr supply and location and configuration ` - of rxeptle distIos,al area . No . of bathrooms— 1 * COMPLETE INFORMATION REQUIRED l3>rx,C1W , Fireplace?_ I &Wood stove? _ L,ZA� L size of property X 120 ft . Foundation style rand sixes ' Exiatirtg building Ls) Si ce cc x ft . Piers t�o . o ©„r� f' Size= £tax ov"t . + �_ l;ImLing buildinq (5 ) Use Depth below grade ft. * I+r4parsed buitdirel , ro purr FOUNDATION _ Fasting sire " )iC " * �/ diliLanuu frog l7 L Y linu * Pront yard___ T 4�. ft Rear Wail material ft Sida yard" _ �t ft and ft wall thickness Height ft. * If on cornere aerl►ack froaea aide aftreast "tt Total depth below grade ft. OCCUPANCY INFORMATION Grade to ,Home floor level (? `" ft . . PRIMARY BUILDING • w w w r iY w w w ■ w w ■ w * w r. y • ♦ +� 1�0'ne 1`wmllly dwa311 �.ng ,. Two family dwolling Proposed date of placementWSW * Multiplas dwellLng / Number of units A pr ox . Value. of Home: Pa9VUanant occupancy rronslent occut7ancy water supply - Well Municipal! # ttusiness s.s,�*- ic rer at x t1� L7 • Industrial equirc3 ' Other OWN � xxST� ''e ,. If Addittone what will use FURTHER INFORMATION REQUESTED ACCMSORY BUILDINC- ON THE REVERSE SIDE OF THIS SHEET * * Detached garitge/one car/ two car/ car _ pr.+ Attached garage./one car/ two car/�car Private storage building Cj * ether Form MH P 5 / 06 and - vl e APPLICATION FOR MOBILE HOME PERMIT, ( CONTINUED) State Of New York Division of Housing and Community Renewal I NS I G141A OF APPIsMAL OF THE STATE BUILDING CODE I , INSIGNIA SERIAL NUMBER - - 2 . NAME OF MANUFACTURER 3 , PLAN APPROVAL NUMBER 4 . MODEL OR COMPONENT DESIGNATION 5 , MANUFACTURER ' Sq SERIAL_ NUMBER G , DATE OF MANUFACTURE �"����--1�`'s°�.`--._._�.___"'�•'"�,�._� ``�`�` '`-,1� ��i��-'/`^•''',.'^�`�.?.\ \ \ Vim`-�.�- �,,,�'`.�� AZZ the above "information % s to be ,found on a pZate or sticker which should be affixed to the MagiZe Nome . Complete .above with that i.nfoxmatton. A a # A R +f 4 ♦ # +! 4 » A A w i • -A +I a +t A A rt * A # a +i w 4 # w w Town of Quoenxbury County of Warren A F F I D A V . I T STATE OF NEW YORK I swear that to the best of my kno4-{1edge and belief the statements contained in this application , together with the plans aied s,pecificati.ans submitted, are a true and complete statement of all Proposed work to ksa done on the described premises and that all provisions of the BUILDING CODE , THE ZONING O,RDINA14CEO and all other lawn partr.aining to the proposed work shall be complied with, whether specified or not, and than such work is auchOvIzed by the owner. Signature Owner, owner agent , arc s.tect, cont ctor ■ ■ ■ i • * M i i i i ■ i i i ! i ♦ � # # * # # * # * • i f # i i i * e * # i i i # # i # i ' i SPECIAL CONDITIONS OF THE PERMIT .�►,i:H1IM. .,'r, URiANCE W� ISSUE DATE IMMIDDIYY} CERTIFICATE OF IN — 4.-14-89 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS I NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, 1 Cool Insuring Agency Ine v EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW r P . O . Box 2153 Glens ralla , N . Y . 12801 COMPANIES AFFORDING COVERAGE COMPANY A LETTER Aetna Ins . ..t] . CODE Si COMPANY B INSURED LETTER Hartford Ins . Co . Richard A. Smaldone DBA ET TERNY C Smaldone Specialties CO 42 Northwinda LETTERNY D Queensbury , N . Y. 12804 COMPANY E LETTER COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PER OD INDICATED, NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES_ LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ALL LIMITS IN THOUSANDS f LTR DATE (MMIDDIYY) DATE (MMlDDIYY) { GENERAL LIABILITY GENERAL AGGREGATE $ 300 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COI AGGREGATE S 300 A CLAIMS MADE X OCCUR. Binder 4L 11�89 4M 1 '.1• 90 PERSONAL & ADVERTISING INJURY $ 300 OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $ 3w FIRE DAMAGE (Any one }Ire) S 50 MEDICAL EXPENSE (Any one perSAn) S 5 j AUTOMOBILE LIABILITY COMBINED SINGLE S ANY AUTO LIMIT ALL OWNED AUTOS BODILY INJURY $ j SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJ.I { NON-OWNED AUTOS RY S (Per accident) I (Per citlent) {J3 GARAGE LIABILITY PROPERTY DAMAGE EXCESS LIABILITY EACH AGGREGATE OCCURRENCE ` S S OTHER THAN UMBRELLA FORM STATUTORY WORKER'S COMPENSATION A AND Binder 4-11-89 4-11-90 $ 100 (EACH ACCIDENT) EMPLOYERS LIABILITY $ 50[1 (DISEASE—POLICY LIMIT) S 100 (DISEASE—EACH EMPLOYE OTHER B N .Y . Disability Binder 4-11-89 4-11-90 Statutory Limits ( DESCRIPTION OF OPE RATION SA-OCATIONSIY EHI CLESIREST RICTION S/SPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION Building Dept . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Town of Queensbury EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO Queensbury , N .Y . 12804 MAIL ...3.0.._ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES, AUTHORIZED REPRESENTATIVE ACORD 25-8 3188} � �_ _ �__.. _ _ OACORLI CORPORATION 1988 V I ..'y' ISSLIE DATE IM YY1 DOf wA. Mrd ,Y; !• ` . CJ4i 12 /89 _ = `1UCEh ! A rION ONLY AND CONFERS .< r'rlCATE DOES NOT AMEND. Oftl ICl'ES BELOW- COOL INSURING AGENCY INC PO BOX 2074 - - - GLENS FALLS NY 12801 " :> GE AETNA L & C GF TODAYS MODERN MOBILE HOME SALES INC 54 ROUTE 9 GANSSEVOORT. NY 12B31 w ?iIIS IS TO f^rq Tiry T• : - - " ^1-1!:v PCWOOINO!GATED. .'. r :? NNDINr_. s'. . v RE ' ., r . . 'r`r�" . • a:++ICH THIS CERTIFICATE MAY ' r !ti:iUFO OR MAY PERTAIN -< . . EXrLUSION'S, AND CONDI- OF SUCH POLICIES CAITS IN THOUSANDS T =A' AGGREGATE '- A ENERAL IJABILI= ; OI OACM5010952 OB/ 05 /88 OB/05/B9 — - y- I � • � rn ,IPnr E VSN� PRE PAL! ESff}P€RP 114)%e" UNDERGROUND �_ ExPI.OS10n A CrIL r^.h-rtLor. Ar C 1 • {?OQ� 10000 ., oriOAD FORM 7R=ipr-- . .-- J'�4 PER50NA, INJ UPl' :': 4€ ;NJURY Gam," 500 H -AWTOKAORILE LIABII ITV 1 GFX275364 08/05 /89 08 /05/99 500 _.;ce55 LIA$ILr TY - •I v A _.. ._ I00533056- o,e/ 05 /88 08 /05/89 WORKER Co"PC 7•i .. _ ... ` \.f ViTA� A h'p y ' +[� . , -'50 QISEASE.P(•_ ry I %T;rl �. .. ERfPL('1'-FRC' 1. 1h'47i- • , - 100::11$EAC r.e c•.Ip: .')4 cry ,Y A' < >+PRf3Pr=RTY OIOACM5010952 08/ 05/BB 08/05/89 - T P... ' A PROPERTY OIOACM5349439 08/ 05 /88 08 /05/ B9 TOWN OF QUEENSBURY %NCELLED aE90RE THE EX- &NY WILL 'ENDEAVOR TO DAY ROAD 30 . .I 1+-.ATE HOLDER NAMED TO THE OUEENSBURY, NY L4 O OF3 . GATIO ESL N OR LIABILITY ,(�,,•4r (,.�I TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT ry BAY & HAVILAND ROADS ►}J QUEENSBURY, NEW YORK 12801- f( TELEPHONE (518 ) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME �/7 LOCATION .[ .%.� /r u max.,.. , r� _L ..._ DATE _�/ PERMIT APPROVED YES NO FOOTING/PIERS MONOLITHIC FOUR FORMS FOUNDATION/D�P-PROOFING BACKFILL APF VAL ROUGH PLUMBI FRAMING ELECTRICAL ROU H-IN INSULATION.- FOUNDATION FLOORS WAL C LING AL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHE S FPS STAIRS CLEARAN & ILS PLUMBING FIXTU ES/R EF VALVE INTERIOR TRIM PR2VAC DOORS FINISHED F RS GARAGE FIRE OOFING DOOR CLOSE (S) SMOKE DETE TORS FINAL ELECT SCAL INSPECT ON FINAL APPROVAL OF CONSTR TION A SIGNED CERTIFICATE OF UPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIE REMARKS. S�/000�' oc SFECTOR TOWN OF QUEBNSBUR.Y BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 22801il / /�/ TELEPHONE ( 518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME ts--�{ / LOCATION DATE _ (O 4 PERMIT #_ G / APPROVED YES NO FOOTINGIPIERS " ,N IOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING _ BACKFILL APPROVAL�__�� ROUGH PLUMBING r FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHESfSTEP STAIRS-CLEARANCE 6 ILS PLUMBING FIXTURES14 LIEF VALVE INTERIOR TRIMIPRI CY DOORS FINISHED FLOORS - GARAGE FIREPROOF NG DOOR CLOSER (S) SMOKE DETECTOR FINAL ELECTRICA INSPECTION _ FINAL APPROVAL F CONSTRUCTION A SIGNED CERT FICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISE ARE OCCUPIED? REMARKS : INSPECTOR k-(Lg ! 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I. � t\l.J CAI ZIP 1280 CRESTHAYEN HElOHTS ESTATES Ct Perc y, ^ 190 Halfway Creek t o o n r a r ;, tie Res i Utllt" i ry y pi a / d, >t� btt dy, t L y f 4, v f f �_ ��� rk�-- �_.. rUe \ 4t .. 4 6 .. ,�C� � '"� r ` # #H N ?iy-. &�•. Ir 5u mmft ka� {J 4 G± 7c' ma �# yob r..• p y p }~ �a. • CENTE # COTT w j q 5 r Was Rd a ., G 4 s ?ie 11Pper Sherman i52. Oarit�t @4 r Jtilar Ga�it'�Sa s`+°s} Jr jg°r R pAENS " 9 r 1 •^. a pL Nair S d a 7 a i t l; �° A Nµ ae S dHOSPITAI er W a y m s ra m �isen�owPJ ° O a 1a F Stf tr 4r1a� 5t u ° r m �vl iiu , MU e�°� pLPY , +u �. GROUND k ` r . P 94! c `� l F ©a r a a s Z r �sa 7 lmn r r isi a = : h 1 `i y� t dhr 32 v�� Pr r •` {j Gp1iS�J p �t * N GLENS FALLS 4i t`Uµ Zr d 5i r Wpodraw DISPOSAL a � ' eJe tN r st j2r DA 15 `, st . x risor, o� Hamilton I r e > ARFA ` ° t PI ` t 6 3 HO'•'ES7FAD 1,'ILLACE { 1 2 n tlls a rd ° utn n 5 DBlLE PA i 5 a o � t r _ t 9Aly HeW[ ws iQ� SI or y r a , y 5 art rtA` , Cye 4;, t S tl1sr+5l V im. j� `t1 '+(f. C)t Stt 1ti. `15.1,i• ~t 1 ` 5E �J I i tlr, Lxi i s t� ',l� s•, v J' rit 5t a,.}•,. °j7 111� •.. i'!• at;sritl: M1{;, P.t tU',^J ririe��`fi r 7 � U 7 Sr 74 iati}e yst St ^ ISLAND ` AvCa. :w t �y 4 7 Ou n a 114DUSTRIAL SI 7 'A° r rya s4 °" . 9°Ytstge,cps+ SL ^ FARM 1 o Stewart c y 1 pc r ps ; et 1 ont ct f }ackip c J tr J Y{ 4 In AJ y ttitaV .p P U' J S e t Pan er HAVILANO S' Riverside b DOVE Rt1 '-' tes i q1 l har i ¢d tpWEST 00 Dr �` ` L£s` rYz PART{ , J G olds eia to ran - St to GLENS # �1y woad. Frit•E I"St1F!2 f ", Cr;E57 Or PLANT y , � v l 37 , l� 4 �415,s# I La Sutler itd N l2d SPr S e e G l hLN nx• ar Oi a Fernwood Rq yWiflaw i Dr p Sauk Fry pin w5# 'k � da �^ a r 4 ¢a 4 1acµ�d APTS d4S Grr n t R ise Rd i rya eohia d P wa a s 4 ¢d m o en MYi 0 6 HER .., t . :_> t 4tI BROOKS w& # '.. .. �; errytt m a. v Woojv lawn FERNWOOD c LIn PINE VALLEY tr rni ebitd 4 SHERMAN 1 4r r ° iTRAIL R A s ISLAND � � s Rd fe0 rt PARK ° p4 e i HYDRO * : r LD ;'-- PI ANT }�t t t � sip me r ��'Y a ♦ e • • .r . � . w f � f s ^ ♦ � �/�f k +w a d4CL ' �,C, O ^T4ra,v TOWN OF QUEENSBURY BUILDING DEPT, PROPER METHOD FOR SUPPORTING A MOBILE HOME SHOWN FOR USE WITH A SINGLE WIDE MOBILE HOME ONLY FOR USE WITH A DOUBLE WIDE USE SAME METHOD UNDER EACH SIDE TRAILER BODY _TRAILER I . BI9M ____ . . _ _ TRAILER FRAME WOOD BLOCKING CEMENT BLOCKS _4 THICK.SLAB _. FINISH GRADE jo REINFORCEMENT _ROD 6-6—I0 WIRE MESH REINFORCEMENT ROD AND MESH AS PER CONDITIONS SLAB TO RUN FULL LENGTH OF THE TRAILER AS SHOWN A20 S�� l,r:2 �e�aloCin� a IC� x,�-D (96 l�l�s tl e J 1 10' t � PDWE� Exil7rrJG POCE �KlS 71N(r . Cr k' SP7r t �k lS Tlq,l(t r for in zoning A oace