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1988-914 CERTIFICATE OF * OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 1 ebruary 21 19 39 21(P( t q-3 This is to certify that work requested to be done as shown by Permit No. 88-908 has been completed. This structure may be occupied as a Mobile Home I^ration 2°� New Hampshire Avenue Owner H. Marie Broe By Order Town Board TOWN OF QUEENSBURY - Director of Bldg. & Code Enforcement w BUILDING PERMIT w TOWN OF QUEENSBURY No. 88-908 WARREN COUNTY, NEW YORK N W PERMISSION is hereby granted to E. Marie Broe F! co OWNER of property located at 295 New Hampshire 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. tz 1. OWNER'S Address is O t=1 SAME rTi 2. CONTRACTOR or BUILDER'S Name - W _ r•I Imo• m Rainbow Homes 3. CONTRACTOR or BUILDER'S Address 3 RTE 9 Gansevoort, New york 12831 N 4. ARCHITECT'S Name _ z CD 5. ARCHITECT'S Address ,r3 to r• 't ro 6. TYPE of Construction— (Please indicate by X) ( )Wood Frame ( ) Masonry ( )Steel ( ) 7 fD 7. PLANS and Specifications 1470 3B SK F & R XAC/CATH LR&KT&MBR/3WTAB Per Variance#1.441 No. 14' x 66' Mobile Home as per plot plan, and application, specifications Manufacturer Date:3/15/88,Serial #03 FPC 10875,Model Name: Forest Park Custom. 8. Proposed Use Mobile Home 0 rJ' N• 25.00 C/O s $120.00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 1 19 89 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) - N Dated at the Town of Queensb is 18th Day of November ig 88 SIGNED BY for the Town of Queensbury_. Buil ing n Zoning Inspector • • • - TO BE COMPLETED BY DLLOOC.. DEPT. awnu. uc'�'nl1 .Application No.. '' 1�0 • Wry Permit leaned( 1c, 19 BUILGING and ZONING DEPAI1TMt NT. �� I Permit-•Expires •b`�I�• 10 J'1O.Oa. Bay and Huwiland Road, R.D. 1 Box 08 Zoning Deeignatio,nP-�n..s�. G( O . Ouuensbury, New York 12801. Varian • 'tce No.: -F sit• Plan Review No N O F QUEENSBURY • RECEIVED . APPLICATION FOR . Ap. v•d lays .� MOBILE HOME i.<ra,� ►� '' NOV.171988` PUILDING AND ZONING PERMIT- ' • ..• ® - - ._ * * * * * * * * * r . r ' r .* ,r r s -w s .f1' r • -r * r r r *• * * * ■w. r *•* * * r:: • A PERMIT.MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF.THF FOLLOWING. • The undersigned hereby applies for a Building Permit to do the following work which will be done in accordance with the description, plane and specifications .uubmitted, and such special conditions au may be indicated ,on the Permit. ' • . The owner of this property is; /yAeIC • greAE P.O. Address •2D4 rik Z9S NE1U N-MMPSIf!(2E f}UC GLEES F/L( ) p y I280¢ Tel. 792-2_732_ Property Location: 295 N/(*,ic, AWF: ' - ' ' ' streeti:umber or building lot number . Tax Map No. �. /- -- �� • - subdivision name (if. applicable) /1/7/4 . THE PERSON RESPONSIBLE FOR SUPERVISION 'OF WORK AS REGARDS BUILDING CODES IS:. N.iu►e .. xI/ ,acid P.O. Addresu ` V17 Tel. No. • Name of Installer , /�L�� Address • �' Welder eT 7. 79 544z. . Name of plumber • i Tel. Address Tel Naar: of : ation j$ - Addreuu �JS / <) ,g,c{/ ,1U� Rog T It ,te,A Aj • _ • Tel. 79z 2?3�- M00ILE HOME INFORMATION: / w • • ZONING INFORMATION: New h o:me Placement ice/ _. "a PLOTPLANSMUST BE PREPARED'AND SUBMITTED, Replacing existing Home »-drawn reasonably to scale and'attached hereto, . - showing clearly and distinctly all buildings,. Size of new Home./ f.t X _ft . _ . * whether existing- or -proposed---anaindicate all 1,41e • sot-back- dimensions from property lines. Give Single • L/• Double wide ' screet .and number or lot number and indicate No. -of rooms (excluding baths) . * whether interior or corner lot. Show location • No. of bedrooms ,� ".of water supply and location and configuration ' of septic disposal area. . No, of bathrooms * COMPLETE INFORMATION REQUIRED BELOW. Fireplace? Wood stove? Size of property MO . ft X (Pb ft. Foundation style and• size; �� Existing buildings) Sice �j ft x 4b ft.. Piers- No:of _ 'Si i - e , • l;xistlny building(:;) Use 5,/XiCS. L Depth below, grade FOUNDATION _ Tooting size " X �� * Proposed building, disLance from property line Wall material * • Front yard 2� ft Rear yard 10 ft Side yards ;2.5" ft and .2/ • ft Wall thickness •. ' Height ft. . + If on corner, setback from aide street ,u/,/.. ft • Total depth below .grade `� ft. r OCCUPANI:Y INFORMATION Grade- to Home _floor level - — ft. . PRIMARY' BUILDING - • * * + + . :.. „ _4One family, dwelling • Two family dwelling Proposed date pl of acementwq/ 3 ' 6 , Multiple dwelling / Number of units Aprox. Value, of ,Home S /e9, 1_ 60 * _.-.Permanent occupancy / • . „ 'fxanslent occupancy Water supply -,,. Well: Municipal !s Business Industrial SepticPermit required? VS - • other If addition, what will use be? 4//,4 FURTHER INFORMATION REQUESTED ~ ON THE REVERSE SIDE OF THIS SHEET.• •ACCESSORY BUILDING- . ' , Dotached garage/one car/ two car/ car• ' Attached, garage/one car/ two car/--w car ' Private storage building • ' Other • • . - y • -... .. Form MIIP 5/86 mnd-vl • • APPLICATION FOR MOBILE HOME PERMIT, (CONTINUED) - State of New York Division . of .Housing and Community Renewal INSIGNIA+VOP-'APPtOVAL OF THE STATE .BUILDING CODE 1/ 46-: to 1 . INSIGNIA SERIAL NUMBER / / if —. 2 . R .41174. iP/oe 3 . PLAN APPROVAL NUMBER • • 4 . MODEL 'OR COMPONENT DESIGNATION ./,017i7 5 . MANUFACTURER'S. SERIAL NUMBER • . • /e),7 6. DATE OF MANUFACTURE ;7".e9 All the above:-information is to be found on a plate or sticker -which ahou td be . affixed to the Mobile Home. Cohplete .above with that information. 4 4 4 4 4 4 4 i4 4 4 44 , 4 4 4 4 4 4'••A4 4 •.4 4 4 4 4 4 4 4 4 4 4 44 4 4 4 Town of Queensbury,.. County of warren • AFFIDAVIT. . STATE OF NEW YORK. I 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__BUILDINC._CODE,,THEi-ZONING-ORDXNA CE,=and-a-2l—other-laws-pert-a n ng^to the proposed work shall be complied with, whether specified or not, and that. such work is_ authorized by the Owner. - Owner, •owner's agent,arcnitect,contractor • • SPECIAL CONDITIONS -OF THE PERMITS `•i`'c f►) •JET C.� '�. • ay - - YOU ARE HEREBY REQUESTED TO, - ' - INSPECT AND ISSUE CERTIFICATES 4 ' ' • - .FOR THE FOLLOWING.ELECTRICAL-.. . . .. • . - EQUIPMENT. TO BE INSTALLED:BY -. .. - . • - . - . : THE UNDERSIGNED. ` ` '. - • TEMP.N DATE CITY OR VILLAGE �,y... -- ,..j/' !"� Jf TOWNSHIP ' CO-UINTY - 1[J� STREET AND NO. ROAD .. ', • - POLE NUMBER BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCAT ? SECTION - BLOCK _• : LOT jtJC: i� ` OCCUPANTS NAME • aq_ I 1 - -' - • _BUILDING OCCUPANCY • .•. • • . �roC� . 3 OWNER'S NAME AND AD�ESS f �v-F r .� - ^^� /',tee'. r s jt/t �`- ' HOME TELEPHONE NUMBER - .. E; Ira 27`9 .... i I f l.5 �J ,1Z-2-732 • . , ... CURRENT SUPPLIED BY . / OM THEIR- ., _ 'OFFICE ' WORK TELEPHONE NUMBER Aar fc /'/t7ftcrul/C- .. - •• BUILDING IS ' • J - - _ . . . . • NEW OLD❑ - -• • WORK IS •NEW❑. - ADDITIONAL El --DEFECTS REMOVED❑' LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED • NUMBER OF OUTLETS No.of Fixtures'& MOTORS. '. - ';•HEATERS BRANCH - OFFICE USE Loca- - " Lamp Receptacles :CIRCUITS ONLY tion - -Side Attach'I - H.P.• Watts- A.W.G. Ceiling, Wall Recep'Is Switch Pendant •Bracket No., Type' Each No.. Each No. Gauge INSPECTION SIDE . . SUB- BPSE . • MENT. ' . . 1st. _ • . - _ -- • • 2nd : . FL. - . • . -. 3rd - - FL. . . :. REMARKS:LIST 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 ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT. - . " , SIZE OF MAINS . .. _ _ FEEDERS ELECTRIC SIGNS/LAMPS • - 'TOTAL WATTS CHARACTER OF WORK .. ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF ❑ CONCEALED - . . DATE WORK TO BE STARTED .. •. - DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY - ' . SERVICE ENTERS BUILDING . ', '•' - . MANUFACTURER OF SIGN .. • ❑ OVERHEAD . -. " ❑ UNDERGROUND -- - • - DATE INSPECTION REQUESTED ON(OR AS NEAR POSSIBLE) _ IDENTIFICATION NUMBERMUST ENTER S I I I AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS: - - ' ' NAME OF APPLICANT f . DATE OF APPLICATION SIGNATURE OF APPLICANT ` - - L , - i IFe` Doe, II- 47--6x X <..• 2r,. .v. . -,:� , STREET ADDRESS.. - ' - TELEPHONE NO. . 2�}c.. -aAJet.- I-,. sAjr:4. - .f u -. . . • -. . - . . - . : ' . ` 2.752-'' : CITY OR POST OFFICE T/{ - . - .. •• ZIP COD LICE SE NO.WHEN APPLICABLE -. ❑ 85 John Street . ❑ 41 State S/treet. ' ❑ 584 Delaware Avenue _❑ 217 Lake Avenue - ❑ 202 Arterial Road. NEW YORK,NY 10038 .ALBANY,NY 12207 . -BUFFALO,-NY 14202 ROCHESTER,NY"14608 SYRACUSE,NY 13206 . THE NFW YORK BOARD 4F FIRE I�NQERWR-ITERS ' • . . ' ril • . . '-'14.94.A..1•11_•"!.".".-1.9!--.9!."-!,....!..1.9?.-!.°!•-.',91.--. .)_"!-In-IY!,".-1.9!-.19.4-).•.9.-1.9)....9,.-.19,!-.?!‘"..19!-".).1".-91-11/.-19..1.1.?"'..).14.AY ,.. .-11!..1"!,-1.9!.-1,9!."--19!‘"-19!.-19'-'9'••`•'-`91-`9!-19).-`9'.-`9'.•`•'-`.1-`'f--).! 1 ^ -, •fil THE NEW YORK BOARD. OF FIRE UNDERWRITERS1. BUREAU OF ELECTRICITY YCtRoct ...k. p •: -4,: . 41 STATE STREET,ALBANY.NEW YORK 12207 ic. Date J.'INH,,,W, 7:7 . i 5:;:$:.., Application No.on file.-. :: !.: THIS CERTIFIES THAT • . . • • only the electrical equipment as described below and introduced by the applicant mined on the above application number in the premises of i N . N 13i'r. 11:: "I'.V.A7, ?T..., PTY 11-'MP10% :\VF.NIIT, c.)UVIVAn'O.TV , 1::! :•: . • - c . ! :;-' Block,' Lot in the following location; El Basement El 1st Fl. El 2nd Fl. i-)':: Section 01: was examined on 1'1,C1.:?11:.1,1 .'..(.), ',9 :,'ii . • 4 .i.t.: -v and found to be in compliance with the requirements of this Board. FIXTURE I FIXTURES 1 . Es , RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS KEPT ACLES SWITCHES 0 i INCANDESCENT-FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. w ;0 -c, .. :4' • . • . • •••:' •• .-, DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS . i'' SYSTEMS AMT. K.W. OIL H.P.• GAS H.P. AMT. NO. A.W.G. ' AMT. AMP. AMT. AMPS. TRANS.' AMT. H.P. NO.OF FEET AMT. WATTS •• !I: - - . ::. . • pig , _.• • a SERVICE DISCONNECT NO.OF S E R V I C E a METER L R 'sic: AMT. AMP. TYPE EQUIP. 1,02W 103W 303W 304W NO.OFpfEirCOND. ' A.W G OF CC.L6ND. NO.OF HI-LEG Ot.alo NO.OF NEUTRALS OFANVEIAAL i -<: i•1 i r: •'': -4 OTHER APPARATUS: . .. . • t . 7. 1 • • . . . . . • . co . , -,CI . • IA' . • • . . . ...4 • . ; . . IA, , , 1 Ei -C. • . .. , • ' ... . • . , . ,.. • , .• . :: = .1, N 5 • . ,- . , - • . • • .. . . . ..c. . . -.7,;(,,:z7.0e..7....-............ "1 1 iii. .. ..,, i.-;. 1,-J:ff: '04;':-.-T . • . , .'- liTE • • _ I iP . s-.1.1::,N;; l'7 ).t.:, !1;V :'( ':;;. -',.1 .• BRANCH MANAGER Irl r.. . . , W . ' • • '' ' No i_ of,: • ' • Per t' -....r• \ This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. :. MilfilENE MEI WI riiin MIMI CI MIMI CI 4,-,40-•%,"'•'•-• COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUSTNOT BE ALTERED IN-ANY MANNER. J_ TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT -in BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR_cc'__ �IINNSPECTION RECEIVED ) .-�'-" NAME - ._-1-�-1� I P > LOCATION a G 6 pc �1- . ajrn4� � DATE J p(-a I - O PERMIT # is - ?JVl 1�i y r t 0--�-��"`Q _ Q Q- ��. APPROVED 9 ' YES NO FOOTING/PIERS MONOLITHIC POUR FORMS • • FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ` ' ELECTRICAL ROUGH-IN INSULATION: c , FOUNDATION FLOORS / • WALLS CEILING FINAL INSPECTION: '', Y CHIMNEY HEIGHT A ROOFING .r _ `� SIDING A. - _ EXTERNAL PORCHES/STEPS ✓ ry STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF. VALVE INTERIOR TRIM/PRIVACY DOORS L/ FINISHED FLOORS r/ 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 OCCUPIED! REMARKS: 10 5 TC ,_e 5 h ./ ?0 73/(;2// Ice . 4,11-; 3-// - ' S'0.z 4/ Q 3 ../%PC -I6 F 7,5)-//77 4 3/-sic -inn INSPECTOR .(/71 sown of Queen 3l urcy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 //e/Lie-- SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCATION �/I�jjGGZ] G Lfil DATE 9/ PERMIT NO. Fe- 7 SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length jf Length of each trench Depth of trenches " Size of gravel` f' _ SEEPAGE PITS4Nuinber of) Size- ft. X \ ft. / Gravel size , PIPING: \ Size Type . Bldg. to tank y Tank to dist. box \/ Dist. box to field/pit Openings sealed? /YES NO Partial LOCATION/SEPARATIONS: tttttt Foundation to tank ft. Foundation to,;absorption \ ft. Absorption to' lot line ft. Separation of pits \ ft. LOCATION OF/SYSTEM ON PROPERTY(circle one) Front - Rear - Left side - Right side - COMMENTS: ' r SYSTEM USE APPROVED YES ((NO Building%Inspector 01/86 and vl Y .., TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORTJJ--A� REQUEST F INSPECTION RECEIVED /C7Gp�7/ NAME _ LOCATION DATE ,/, :/tif PERMIT # - 70Y APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL 1../ ROUGH PLUMBING+. FRAMING ' ELECTRICAL ROUGH-IN ' INSULATION: `r FOUNDATION \ f. FLOORS WALLS f CEILING ` �, �. FINAL INSPECTION: (; CHIMNEY HEIGHT / ROOFING z* \ SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE/& RAILS \ PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/IPRIVACY DOORS\ FINISHED FLOORS GARAGE FIREPROOFING ',, DOOR CLOSER/(S) SMOKE DETECTORS FINAL ELECT ICAL INSPECTION FINAL APPR VAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: 'v 'A INSPECTOR TOWN OF QUEENSBURY • BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 ,„ 3�7 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED //v7 y NAME 61. / m,c_. • LOCATION 1qp�' 0� Y Y2,6d 'w-,?n,/ k4, DATE )7-_,F0 PERMIT # \ 9O 67 /� APPROVED L, ✓' '`- YES NO L.-Fr-DOTING/PIERSf/ MONOLITH C POUR FORMS % FOUNDATIO /DAMP-PROOFING / BACKFILL A PROVAL ROUGH PLUM NG / FRAMING / ELECTRICAL RO GH-IN / " INSULATION: FOUNDATION % FLOORS WALLS . CEILING 1 FINAL INSPECTION: / CHIMNEY HEIGHT ; ROOFING / SIDING 1 EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREfPROOFING DOOR CLOSERS) SMOKE DETErCTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: p,o/ • • 04,45 INSPE -TOR J� . INVOICE.:-* !4101b, park homes, inc. V 5 TOWN OF QUEENSBURY • RECEIVED R. R. 1 BOX 1-B SHIPSHEWANA;INDIANA 46565 . PAGE MI5*x10F3 N O V 17 1988 • S • ' RAINBOW MANUFACTURED HOMES, INC. BLDG. & CODE DEPT. 0 . 3 ROUTE 9 I' GANSEVOORT, NY 128311 SAME b t bi INVOICE NUMBER: DATE SHIPPED: PU/DEL: • SHIP VIA: 10875 (' 3-15-88• • UM FOB DFST DATE ORDERED: ORDER NUMBER: ' ' SALESMAN: DEALER P.O.'NUMBER: STOCK/SOLD: 3/7/R8 I 1n37 ' • TF N/A STOCK FLOOR PLAN COMMITMENT: • C.O.D.: d,r BARB 3/9 dM SERIAL NUMBER: MODEL NAME & DESCRIPTION: FOREST PARK CUSTOM n3 FPC 10875 --- 147? �R SK F&R XAC/CATH LRSKIF�u F �/3WTAB EXTE IOR: INS RT: TOP: EARTH BROWN .5380 CCOL WHITE 5100 BROWN DECOR BOARDS: KITCHEN: NOOK: . • MASTER BA H:. _ 2ND BATH: HARVEST KITCHEN N/ MICAELA BLUE W/MA TER EDROO i+2 BEDR O �: BEDROOM: #4 BEDRO • CO L� UE -•- MAUVE STRIPE SILVER SILK WJA COU O L SELF EDGE: R-BATH: SELF EDGE: KITCHEN: E;LL . MAUVE EGG SHELL MAUVE 2ND -BATH:' SELF EDGE: • BUFFET: SELF EDGE: CORNER HUTCHES: ' SELF EDGE: N/n_- . PANELING: �'/n CABINETS: N/A � t: . . ra/A . FUI NTTU" bUP: -'oa VP• EA . . CA E : LR: DRAPES: LR. RE P: ROLL GOOD : . ' .� ' b�1SCftfltION : , AMOUNt BASE DETACHABLE HITCH . • MIDDLE " ZONE ROOF LOAD WITH RAFTERS 16" .O.C. HUD SEAL & INSPECTION FEE ' CATHEDRAL CEILING .LR & KT & MBR ' . HARVEST KITCHEN ALL WALLS KITCHEN WITH WOOD MOULDING WAINSCOT ALL WALLS 'LR WITH BUCKWHEAT MAUVE OVER PANELING WITH WOOD CHAIR RAIL & MOULDING. & DR ODS INTERTHERM 75,,000 'B,TU 'GAS AG FURNACE TOTAL ENERGY PACKAGE INCLUDES 2X6 SIDEWALLS WITH R-19" INSULATION, 2X4 END WALLS W'R-11, R749 INSULATION IN :ROOF S R-11 IN FLOOR FURNACE DOOR ' ' 3/4" GAS PIPE WITH FLEX LINES- EXHAUST FAN IN BATH FIBERGLASS TUB/SHOWER. IN PLACE OF STD DLX TUB DRAPE ' ' • WOOD FRAMED RECESSED MEDICINE CHEST WITH MIRROR PLUMB FOR WASHER WIRE FOR DRYER . 30 GALLON ELECTRIC WATER HEATER CONT. • FORM N21 REV 3/87 DEALER COPY INVOICE 1tolta p ark homes, inc, • R. R. 1 BOX 1-B- SHIPSHEWANA, INDIANA 46565 PAGER XX 20F3 § RAINBOW MANUFACTURED HOMES, INC. O 3 ROUTE 9 GANSEVOORT, NY 12831 SAME t d • INSULATION INSTALLED IN THIS HOME BY THE MANUFACTURER INVOICE NUMBER: DATE SHIPPED: PU/DEL:- i THICKNESS IN INCHES „R.,VALUE 10875 • '3 ,3_188 DEL LOCATION TYPE OF INSULATION.. MAIN UNIT SM MAIN UNIT SM DATE ORDERED: .ORDER NUMBER: SALESMAN: 3/7/88 1037 IF FLOOR FIBERGLASS MODEL NAME: SIDE FIBERGLASS FOREST PARK CUSTOM WALLS END FIBERGLASS SERIAL NUMBER: 03 FPC 10875 ROOF ' FIBERGLASS tiESCi#IPTION AMdUNt CABINETS OVER LAUNDRY AREA EXTERIOR WATER FAUCET DS EXTRA EXTERIOR ELECTRICAL RECEPT DS 100 AMP SERVICE AM/FM STEREO INSTALLED - PANTRY 3/k" CARPET ,PAD MAUVE JAMBOREE CARPET THROUGHOUT EXCEPT KITCHEN • HOLLY PARK DLX HARDWOOD CABINET DOORS 6 DRAWERS 14 CU FT CYCLE DEFROST 2 DOOR REFER STAINLESS STEEL KITCHEN SINK STD DISHWASHER INSTALLED DLX GLASS DINETTE SET SPARKLING CHAMPAGNE CHANDELIER- KITCHEN PANTRY/GUEST CLOSET COMBO DR-ODS BASE CABINET CENTER SHELVES OVERHEAD CABINETS OVER BAR WITH SEE THROUGH DOORS METAL BACKSPLASH BEHIND RANGE DLX SNACK BAR WITH CABINET BLANK SHUTTERS FRT C DS HT REAR DOOR WITH BROWN PAINTED STORM HT FRT DOOR 'WITH BROWN PAINTED STORM 4640 WINDOW BR3 DS - EGRESS 3 WINDOW BEDROOM LEDGE BAY - FRT END WALL - STANDARD STORM, WINDOWS 3 WINDOW TIP�A-BAY WITH CARPET DR-ODS PENTAZOID WINDOW REAR END WALL 2 PADDLE FANS- INSTALLED - 1 LR $ 1 MBR TRAD III MAUVE FURNITURE GROUP WITH DRAPES FOREST PARK OPTION PACKAGE: ' CABINETS, OVER REFER PORCELAIN COMMODE TANKS METAL DOOR KNOBS DRAWER GUIDES LEX I NGTON P.AR K DLX FRONT COLUMNS 'CONT. FORM#20 REV 3/87 I DEALER COPY INVOICE A ,.i l 0 pat" , homes, inch . R. R. 1 BOX 1-B SHIPSHEWANA,INDIANA 46565 PAGE 28XX 30F3 • • S RAINBOW MANUFACTURED HOMES, INC. tl 3 ROUTE 9 tlGANSEVOORT, NY 12 831 SAME t . , . / a INSULATION INSTALLED IN THIS HOME BY THE MANUFACTURER INVOICE NUMBER: DATE SHIPPED: PU/DEL: THICKNESS IN INCHES ,.R"VALUE DE LOCATION TYPE OF INSULATION 10875 �3-15_88 L• MAIN UNIT . SM MAIN UNIT SM DATE ORDERED: ORDER NUMBER: SALESMAN: • 3/7/88 1037 TF FLOOR FIBERGLASS i�3 1911 MODEL NAME: SIDE FIBERGLASS 6 � FOREST PARK CUSTOM WALLS END FIBERGLASS 3 II i I1 SERIAL NUMBER: . 03 F�'C 08 ROOF FIBERGLASS 6 k 19 DESCRIPTION AMOUNT OMIT:. 3 BEDS . STATE FEE . 1 . • • • - , FORM N20 REV 3/87 I i DEALER COPY • TOWN OF QUEENS sb-r \ RECEIVED BURY NOV 1 7 1988 TOWN OF QUEENSBURY sT-i06-81-Da a CODE DEPT. BUILDING 7k CODES DEPT., SL-Pe.6 REVIEWED BY cf,L0 DATE ( (-14( CAba at-tikrez ( \c"Thcoi-tio-s-S rciLdnlcU n. iicw���iivy K 60 _ • } TOWN OF OUEENSBURy RECEIVED 10' N O V 1 71988 Ad • n: . . BLDG.. x �. & CODE DEPT7-.. r 2i- ... ;.‘ .\ /r9,U0 of I 10' `c.\/''\ , i BRuao) UoME4416f`) LAND oF . •.14 -==-> <-24i=— •. .A septic (<'UGfRT A. NAl�ftlonlp I ,' SYsrEhI exiSt►Nr H omc x X�"\. ,-'-,©1 \ y s ,. 4- — h, ,, PROPosED• . r \i,> , HOME IX >cX 4-41J0RrN . - SCAL6 V . A N(W /14MP$R/2E 4 VC • . WA*1Z• --- suPPLy . Er n R�r O /���, n '� . . • q ,1yD; )Eu REVIEWED BY _1 Nti-� S.�`\R a CAT - -..,. ,.--- - -- " D. ,