1990-093 •
CERTIFICATE OF OCCUPANCY \\
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
• April 19 90
Date 19
3a90-93
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 Mnhi1 horriP.
Location Minnesota Avenue
•Owner Bradley & Mary Winslow
By Order Town Board
Condition: Skirting will be
TOWN OF QUEENSBURY
installed within 30 days®
4:0
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY f
f
-
No.
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to BRADLEY & MARY WINSLOW
OWNER of property located at 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.
1. OWNER'S Address is
Hughes Road
Hadley NY 12835
2. CONTRACTOR or BUILDER'S Name
Today's Modern
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 12' x 60' Mobile home as per plot plan, specifications and application.
8. Proposed Use
r
Mobile Home
$ 42.00 PERMIT FEE PAID —THIS PERMIT EXPIRES September 30 909
(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 30th Day of March 19 90
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
•
�.(�� TO DE COMPLETED BY BLDG.. DEPT.
// Application No. i
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f q�ueen.bury q�
Permit Issued 19
BUILDING and ZONING DEPARTMENT
Permit -Expires 19 - ,
Bay and Haviland Road, R.D. 1 Box 98 " Zoning Deeignatio �7
Queensdury, New York 12801 Variance No.•
Site Plan Review No. --
'C -' L it I Ci p
APPLICATION FOR Approved b : !_1 I ' ..17 �; ��J(/ 5
U MOBILE HOME � � MAR 29 a
PUILDING AND ZONING PERMIT ,,m,� r.�,-
* * * * * * * * * * * * * * * * * . . * * * * . * * * .« * * . * * . * * * *::*
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING.
•
The undersigned hereby applies for a Building Permit to do the following work which will
be done in accordance with the description, plans and specifications submitted, and.such
special conditions as may be indicated on the Permit.
• -3,Eock.y.nep
The owner of this property is: 1 y/f ) ' ,
P.O. .Address `%O<-- r I� rr= ; iii.Y Al/1 S NcTel. „b96^ /ao
Property Location:. / iiO&5 +r6% clue r shr,#y(/ /11 y Ago y Tax Map No.121/`j 16
5t•reet ::umber or building lot number •
/Subdivision name (if applicable) ,,9 t (IrA5 /T4/(
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS' BUILDING CODES IS:
.o e rAx ? /flu ,5 • /IM le' 6,6 -50 Y ..
Name l/P..O. Address Tel. No.
Name of Installer )!bid Address Iokrr- •
Tel �/�-�/n�0�
Name of plumber (PJ1 Address 141/I Tel.. ,
Nano of mason (�i2�? Address t ,r', S L1l�J
MOBILE. HOME INFORMATION: * • . ZONING INFORMATION:
New. Home Placement . * A PLOT PLAN MUST BE PREPARED' AND SUBMITTED,
Replacing existing Home �Cj . drawn reasonably to scale and attached hereto,
showing clearly and distinctly al.l-bt,.i-1dings- -------- -
Size of new Home A ft X- fr� ft . . * whether existing or proposed and' indicate all ..
set-back dimensions from property lines. Give
Single w 1e - / Double wide * street and number or lot number and indicate '
No. of rooms (excluding baths) 4/ * whether interior or corner lot. Show location
of. water supply and location and configuration
No. of bedrooms * of septic disposal area.
No. of bathrooms *
* COMPLETE INFORMATION REQUIRED BELOW.
Fireplace?/1Jb Wood stove? NO * Size of property ' /0 D ft X MT) ft.
Foundation style and size: * Existing building(s) Size /:2 ft X &® ft.
GARRGe
Piers- No.of Iy Size- ft x ft. * Existing building(s) Use : 6fIp,,p}-6
Depth below grade 4 / ft. * '
��• * Proposed building, distance from property line
FOUNDATION - Footing size X * •
1�
* Front yard ,40 ft Rear yard .enft
Wall material �7t�iv(24* R s * Side yards /Q ft and /S" ft
Wall thickness Q " Height g ft. * If on corner, setback from side street ft •
a OCCUPANCY INFORMATION .
Total depth below grade 7 ft. *
* PRIMARY BUILDING -
Grade to Home floor level 0 I�� ft.
* * * * * * * * * * * * * * * * * * * * * ne. family dwelling,
'* Two family dwelling
. Proposed date of placement / / * Multiple dwelling / Number of units
Aprox. Valus, of Home $ 000 * ]rermanent occupancy
, / * Transient occupancy
Water supply - Well Municipal 1., * Business
* Industrial
Septic Permit required? /V'6 * Other
* If addition, what will use be?
FURTHER INFORMATION REQUESTED
* ACCF�,.SSORY BUILDING-
ON THE REVERSE SIDE OF .THIS SHEET.* Detached garage/one car/ two car/- 0 N:6. -car
* Attached garage/one car/ two car/ car
.* Private storage building
•
l�Other
Form MIIP 5/8d-vl
I - - —
APPLICATION FOR MOBILE HOME PERMIT, (CONTINUED)
State of New York Division of Housing and Community Renewal
INSIGNIA OF APNIOVAL OF THE STATE BUILDING CODE
1 . INSIGNIA SERIAL NUMBER
2 . NAME OF MANUFACTURER
3 . PLAN APPROVAL NUMBER •
4 . MODEL OR COMPONENT DESIGNATION
•
5 . MANUFACTURER'S SERIAL NUMBER
6. DATE OF MANUFACTURE
•
AZ/ the above information is to be found on a plate or sticker which �.
should be affixed to the Mobile Home. Complete above with that information.
* A * * * * * f * # * * * * +t .* * 4 *^'* * '+F • A +F * * # 4 4 4 * 4 4 ** * *
Town of Queensbury AFFIDAVI T STATE OF NEW YORK
County of Warren
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 BUI-LDINO--CODE;:H-E-ZONIU0-ORDINANCE,-and-a,?-other=l-a::a_pertaining to _ .-_- _
the proposed work shall be complied..with, whether specified or not, and that such work is
authorized by the owner.
V y Signature &,eripa!`;t
• Owner,owneryagent,arcnitect,contractor
•
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * •* * * * * * * * * * .*
SPECIAL CONDITIONS OF THE PERMIT:
•
•
By
•
!(",17.1-1_, I.&.1wk"e,.m4e..")_.N",,EC.wCa,/".1w?_�(.a�?.Jw"""a%. %,"J. •ty!"".",""e?"" ..y}[."..��;C.�� ��.��3.,�,,�•
4,
THE NEW YORK BOARD OF FIRE UNDERWRITERS �,:,:;7 ®b
l 0 I(j, BUREAU OF ELECTRICITY c
�; 41 STATE STREET,ALBANY.NEW YORK 12207
r Application No.on file
Date .'�.T'I:IL .L? . L�1<f� ��— l ; ) l�.).�;ir;/:I ) II 1�'_.;_� 1 "
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
i;
T 7 0
i L'F ,111_Ll R. l,Tq ;,,,,,1( 1 '•1 NT`...;T '!T_' AVE,,l Ul1r:1':;PR�� . _. , a , o
• �; in the following location; ❑ Basement ❑ 1st Fl. 2nd Fl. ,^t tt IG Section Block Lot
IA,IA' was examined on 1 c{ , and found to be in compliance with the requirements of this Board.
4.
FIXTURE ECEPTACLES I SWITCHES FIXTURES
OUTLETS RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS E.
INCANDESCENT-FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. no
1
r.
% DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI OUTLET DIMMERS -
' AMT. K.W. OIL H.P. GAS H.P. AMT. Na A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. SYSTEMS
NO,OF FEET AMT. WATTS ,is 7- L'
4i
!, SERVICE DISCONNECT NO.OF S E R V I C E
-4 METER
!!,,. AMT. AMP. TYPE Bow. 1,B'2W 1/3'3W 3$3W 3,B'AW NO.OF CR.COND. OF CC.COND. NO.OF HI-LEG OF•We NO.OF NEUTRALS 0 NEUTRAL .�
4i
�n-
; ! 21,1:) CO 1 1 .110 1. 2 e '
-" OTHER APPARATUS: '•
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PP PLLY \ NI:1.1.1
s' 1JUiGTTEO RD. BRANCH MANAGER
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P,ADLEY . Ni:. 12i?_i5i.
ip Per
�; This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be 11 I
identified by their credentials.
&ill-i Y�Y'iel;e1,ii-lei•-?.?-i i"i�[iAYYAY'ieC'i.Y-47rie ai--4-(-�Y'4i—iii'iaYYsTi� 0 0 MO ® 0 0 MI 0 MO !I L' I ® ® II 0 0 0 S E
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ji
=
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME 3 2J c r S t oCL
DATE /4 96 PERMIT # 'i o'"(73
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: A 4'
C T , p
XROOFING
X.S 4
IDING f�C�/�eIG
x EXTERNAL PORCHES/STEPS:
STAIRS-CLEARANCE &a RAILS
“LUMBING FIXTURES/RELIEF VALVE x
INTERIOR TRIM/PRIVACY DOORS
)(FINISHED FLOORS )(/
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL„OF CONSTRUC1 •
OK TO ISSUE C/O OR C/C ', , (2 JL_
r
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
•
REMARKS: AA^g I 14- `
•
Lj N- 30 DA'Sr.
ARRIVE
DEPART
INSPE OR
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•
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---- --
INFORMATION FOR BUILDING DEPARTMENT .
---- -
,
. •
WE ARE IN THE PROCESS OF ISSUING A CERTIFICATE
OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION '
r
„ -
AS COVERED IN AN APPLICATION FILED WITH OUR ;
.- )
,..
1
DISTRICT OFFICE.
,.
;-;.-
. .
,
, -
THE NEW YORK BOARD OF FIRE UNDERWRITERS ,
_...
-,-,
APPLICATION NO. 0 (19
i.
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LOC TION
C-0
DA E
INSPECTOR
FORM IBD(REV.1/86)
, • '
,•
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801.
TELEPHONE (518) 792-5832
BUILDING INSPECTO 'S REPORT
REQUEST FOR INSPECTION REC VED /&/q
NAME , iliG/ 4 I '4 �.44?of%
LOCATION 71,b71/
DATE D PERMIT # ! G -9
. APPROVED
YES NO
FOOTING/PIERS ,
MONOLITHIC POUR FORMS g •
FOUNDATION/DAMP-PROOFING r; • '
BACKFILL APPROVAL 'i, i
ROUGH PLUMBING . G
FRAMING \ '
ELECTRICAL ROUGH-IN S '
INSULATION: ,e {
FOUNDATION 7; p
FLOORS . . . . °1 . .
WALLS • % • .
CEILING • °PRE- • . '
FINAL INSPECTION:
CHIMNEY HEIGHT 1,1,;
ROOFING • • g, •
SIDING • ' ; i
EXTERNAL PORCHES/STEPS `\ •
STAIRS-CLEARANCE & RAILSv,
PLUMBING FIXTURES/RELIEF'VALVE
INTERIOR TRIM/PRIVACY"DOO.S
FINISHED FLOORS
GARAGE FIREPROOFING 'k
DOOR CLOSER(S) i 1.
SMOKE DETECTORS t k
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
M `4
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is
A SIGNED CERTIFICATE OF WCCUPANCX MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUpIEDl
REMARKS: Q fr ��-�; ® U
. ..- ‘ .
THE CONTRACTOR I-S RESPONSIBLE FOR PROVIDING
PROTECTION FROM FREEZING FOR 48 HOURS
FOLLOWING THE PLACEMENT OF THE CONCETE.
. MATERIALS FOR THIS PURPOSE ON SITE 4N�4-
ARRIVE YES NO
12 jai r-2 2M Old
DEPART 16 () Z X 2-' " /TKO At S
i��lf'i
INSPECT R
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT 1/A7
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /4141,5,147
NAME Autl& lN.(/y/ € ) 1
LOCATIO J
DATE (. & PERMIT #1 o-��
1 / APPROVED
I�L-(J.., /,f9,7i t ) . YES NO -
L- DOTING/PIERS 1 ; ,X
MONOLITHIC POUR FIRMS I \
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVALS •
ROUGH PLUMBING 1
FRAMING 1 I
ELECTRICAL ROUGH-IN II
INSULATION: 1
FOUNDATION
FLOORS I
WALLS �� .
CEILING . K F • . . . .
FINAL INSPECTION: 1
CHIMNEY HEIGHT .
ROOFING t J.
SIDING '
EXTERNAL PORCHES/SEPS . .
STAIRS-CLEARANCE pRAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVAIY DOORS
FINISHED FLOORS ! l
GARAGE FIREPROOFING \ '
DOOR CLOSER(S)
SMOKE DETECTORS t
FINAL ELECTRICAIJINSPECTION
FINAL APPROVAL OF CONSTRUCTION ' •
. . . .
A SIGNED CERTIFICATE OF O,CUPANCY MUST BE '
OBTAINED FROMITHE BUILDIN� DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPI4 !-
I
REMARKS:/ (g 6 6A"2L-1'
o *__ T2,64,,( AAA) A I+1
THE CONTRACTOR IS RESPONSI'LE FOR PROVIDING
PROTECTION FROM FREEZING Fd 48 HOURS
FOLLOWING THE PLACEMENT OF • HE CONCRETE. .
. MATERIALS FOR THIS PURPOSE `N SITE
ARRIVE YES NO
DEPART
1 '
1 INSP CTOR
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TOWN OF QUEENSBUpy
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DATE
FILE COPY
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MAR 291990
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