1990-090 , ,
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CERTIFICATE OF OccupANcr, 1
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TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
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Date April 13 isea_
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This is to certify that work requested to be done as shown by Permit No. 90 - 90 .
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This structure may be occupied as a • ., Mobile home
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Owner
Location
James Waugn & Deborab_Bigeloliv/Lampiighter Homes
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BY Order Town Board ff '1 TOWN OF QUEENSBVRY . ,.
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Director of Bldg. & Code Enforcement
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BUILDING PERMIT
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TOWN OF QUEENSBURY
No.90 - 90
WARREN COUNTY; NEW YORK o
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PERMISSION is hereby granted to T,A MPT.TC;HTF.P HQMF.S
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OWNER of property located at #31 Northwinds Street, Road or Ave.
in the Town of Queensbury,To Construct or place a MAhile Home
at the above location in accordance to application together with plot plans and other information hereto filed and t"
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1. OWNER'S Address is
James Waugh & Deborah Bigelow
RR1 Box 155 tri
Hadley NY 1 2835 Pzi
2. CONTRACTOR or BUI LDER'S Name
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Lamplighter Homes • tit
3. CONTRACTOR or BUILDER'S Address
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RR2 :✓
'Fort Edward NY 12828
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
( ).Wood Frame (- ) Masonry ( 1 Steel ( )
7. PLANS and Specifications
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No. 14' x 70' Mobile Home as per plot plan, specifications and application.. ti
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8. Proposed Use p
Mobile home
$ 35.09 PERMIT FEE PAID —THIS PERMIT EXPIRES September 30 19 90
(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.)
Dated at the Town of Queensbury this $0th -Day of March 30 19 90
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SIGNED BY - for the Town of Queensbury
Building and oning Inspector
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TO DE COMPLETED BY fILDG. DEPT."
C) o7 quP�,i�Lurr Application No. 9 `1
Peewit Zssre 19 d .
BUILDING and ZONING DEPARTMENT
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Day una Haviland Road, R.D. 1 Box 08 ZonRiariag.,Dee igsj_. •
Queunsoury, Now York 12801 , Vairiane C nation
No No..• •
Site Plan Review No. '
APPL 1 CAT)ON FOR Approved • . r , ;.,: .OF Q i =
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MOBILE HOME l � r''� ,;;. i \V IC ii.
PUILDINO AND ZONING PERMIT -1 IIo '4 a .' _.
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A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING.
The underuigned hereby applies for a Building Permit to do the following work, which will .
Lc done in accordance with the description, plane and Specifications submitted, and .such
:special conditions as may be indicated on the Permit.
The owner of this property is: 19 �44.
// J/.1�0'' cam, nc� � �
P.O. Address k�'t d-4 is3 96 a • Y7fi
/ ( %���35 Tel. 7V—/gc//
Property Location: 4/ )B;%z' (... J
Street ,;umber or building lot n ,bee Tax Map No. �f
,uLdivision name (if applicable) )2 4 qJ
I'IIL•' PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS' REGARDS BUILDING CODES IS:
II me �- ,C.�•tea Lc/e- 793-7 9
P.O. Address '
Tel. No.
lame of Installer l ,fjµ24 Address i&L9 Z0r j
wale of plumber Tel. ��.3'73
Address Tel.
:,ole of :u.iaon Address T, .
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tODILE HOME INFORMATION: ► ZONING INFORMATION:
Ica IIome Placement 9,ted • A PLOT PLAN MUST BE PREPARED AND SUBMITTED, ..
cep 1 a c i ng existing Home drawn reasonably to scald and attached hereto, . .
bhowing clearly and distinctly all buildings,
size- of--new Home /11 ft X' -7 ft , • • whether-existing or proposed and indicate all
3 •._set-back dimensions from property lines. Give
single w' le • /'''''-Double wide . •
�3�� street and number or lot number and indicate
Io. of rooms (excluding baths) • whether interior or corner lot. Show location
Io. of bedrooms .3 • of water supply and location and configuration
•• of septic-disposal area. •
Io. of bathrooms 1 Va •
. COMPLETE-INFORMATION REQUIRED BELOW.
'fireplace? ///O Wood stove? lib • • Size -ofo r ert
P P y 40 f t'X cTY- ft.
oundation style and size: • Existing buil-ding(s) Size ft X ft.
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•ier.s- No.of Size- -• ft x ft. •
Existing building(s) Use. .
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Depth below grade ft. '
OUNDATION - Footing size X �. • I'ropoued. buil'diny, distance from property line
• Front yard ol'.J ft Rear yard /5- ft,
all material • Side yards _. ft and
/0 ft
Fall thickness " Height ft. • If on corner, setback fromside street ft •
otal depth below grade ft. • OCCUPANCY INFORMATION
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rade to Home floor level ft. • PRIMARY BUILDING -
* * • One family dwelling
, • Two family dwelling
roposed date of placement /_, __ , --Multiple dwelling / Number of unite
prox. Value. of Home $ -3 i J9v� " • Permanent occupancy
ater supply - Well Munici al • 'transient occupancy
p X • Business
�" �� • Industrial
optic Permit required? Mi Other
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• If addition, what will use be?
JRTHER INFORMATION REQUESTED • .
• ACCESSORY BUILDING-
N THE REVERSE SIDE OF THIS SHEET.* Detached garage/one car/ two car/ car
Attached garage/one car/ two car/ car
• Private storage building
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Other
Form MII P 5/86 and-vl
al)--is %/D / 2 2.
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APPLICATION FOR MOBILE HOME PERMIT, (CONTINUED) •
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State of New York Division of Housing and Community Renewal
INSIGNIA OF APPROVAL OF THE STATE . BUILDING CODE
INSIGNIA SERIAL NUMBER ij-7- /c,/p l6 7 .
. NAME OF MANUFACTURER
. PLAN APPROVAL NUMBER �,//7* •
. MODEL OR COMPONENT DESIGNATION •
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. MANUFACTURER 'S. SERIAL NUMBER 9_3 6.6
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DATE OF MANUFACTURE 7//D/l .
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All the above information is to be found on a plate or sticker which
:ou ld be affixed to the Mobile Home. Complete..above with that information.
4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 #•••4. 4 •4 • 4 4 4 4 4 4 4 4 4 4 4 4,4 4 4 4
'own of Queensbury A F F I D A V I T
:ounty of Warren STATE OF NEW YORK
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I swear that to the best of my knowledge and belief the statements contained
.n this application, together with the plans and specifications submitted, are a true and
:omplete statement of all proposed work to be done on the described premises and that all_
- .r-ov sions- of-the MUILDINC-CODE; THE ZONING ORDINANCE, and all other. laws pertaining to
he proposed work shall be complied with, whether specified or not, and that such work is
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.uthorized by the owner. , . . . .. .
Signature _ ,4,
.iy4 er, .owner's agent�
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'. arcnitect, acto
;PECIAL CONDITIONS OF THE PERMIT: y
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c1 V e_PWA./t/ V �JM kr \a J4V J V N.; — v J v v J v J+7•Ni i.,4 'av
( MIDDLE DEPARTMENTI,NSPECTION AGENCY, INC. 9o.-96 C)
900,HaddQn:Avenue Co1ngawood N J.l08108 / 1 O
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)' s 0s, % g: Zi.1; L;si April 6, 1990
C. teCtlf leg that they electrical equipment listed has been examined and is approved as being in accord p
(' with the National Electrical Code applicable governmental, utility and-A'gencyrules. C`
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C' Owner: James ldaugh & Dehor&h di, se,ip,r ( i I G Occupancy : g't C
f / y,. r r i , r 3 s
Occupant: Same a" �. I _ ��
F . E
Location: 3 IVUY'tI winds,;C,lle@n bui y (Cda•"rren Co:)'L his certjficate cove the elec rical equipment and installation inspected this C`
,r 3 date. If,additional egwpmentlshould be introduced or alterations made to
*4t existing system this certificate shall be null and void, and application for C
inspection should be submitted promptly to this Agency.
P Equipment: 100 Amp SexirxcA, 100; Amp Disc nnect. q� p )
>i rZ •` f u chi Dr3 L'- a u u Lu itj t.fiolder of this certificate should present same to his property insurance carrier
(agent or company)as evidence of certification of electrical equipment approved
�'�- �''� as specified.. / C
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ILampii ghter H mess '`- . 0,771A1
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�1��' "���=r.is "" `;%'''
Applicant: Rt 9, RD 2 •`` ,. '.'No. 15-033904 C
Pt Edward, NY 1Z328 _--' C
.zg. r\ ..... ibr• /"br1 /Irk !1r\•1ion 11. l+r1.4i�r\J.,r.c•• a l��. .lr�. .�+�.a ilokeas/? n /'�'
Form No.703 EL 1-83
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280g-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION
RRECEIVEDJ //z/9D
NAME %JZ �r/J Y �7?��/ l
LOCATION, 3/ � (/,r)rL r�
DATE y// /g/, PERMIT #
APPROVED
YES NO
FOOTING/PIERS I
MONOLITHIC POUR FORMS y'
FOUNDATION/DAMP—PROOFING f'
BACKFILL APPROVAL
ROUGH PLUMBING /
FRAMING
ELECTRICAL ROUGH—IN /
INSULATION: \
FOUNDATION +�
FLOORS r
WALLS I
?( CEILING
FINAL INSPECTION: d
CHIMNEY HEIGHT 4
ROOFING / •
1 i
SIDING
EXTERNAL PORCHES/STEPS
STAIRS—CLEARANCE & RAILS !/
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS L-
GARAGE FIREPROOFING j� / 1/L
DOOR CLOSER(S) / r 7'
SMOKE DETECTORS 17-
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION'•, E
OK TO ISSUE ,'C/0 OR .C/C
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
C% /// •7 ; 1 ,
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. ARRIVE )
DEPART /1) L// /y— t ,/
• INSPECTOR
MIDDLE D'EPAFITMENT INSPECTtfN AGENCY, .INC. 'I
Electrical-Building-Plumbing-Fire Inspections i
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Date -a!r ii 0 ►�
f- ,•- Viltitill 11 I I I II)la 1 Ir.IEI I"I
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onstitut-s certification that the
above installation, but not the equip
nient itself,has been visually inspected
as of this date pursuant to the applic-
able codes. If additional equipment
should be introduced or alterations
I made to the existing system or struc-
ture, application for inspection,should
be.submitted promptly to this Agency.
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-rowil OF QUEENSBURY
anfngAdmInistrato°
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MAR 291990