1990-155 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date Agri 1 30 19 90
This is to certify that work requested to be done as shown by Permit No. 90-155
has been completed.
This structure may be occupied as a Mobile Home
Location Lot 35 Northwinds
NORTHWINDS INC
Owner
By Order Town Board
TOWN OF QUEENSBURY
17'r^I': kIaLt T/K4
Director of Bldg. & Code Ehtorcement
V0. BUILDING PERMIT
TOWN OF QUEENSBURY
No. 9)456
WARREN COUNTY, NEW YORK " P
co
D 9--- — 6co
PER MIS ON is hereby granted to NORTHWINDS INC.
OWNER of property located at\CA t ', !`ee dLot 35 Northwinds 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
PO Box 224 0
Glens Falls NY 12801 1-3
2. CONTRACTOR or BUILDER'S Name
Today's Modern
3. CONTRACTOR or BUILDER'S Address •
0
54-Route 9
Gansevoort NY 12831
4. ARCHITECT'S Name
C
0
w
cri
5. ARCHITECT'S Address
•
6. TYPE of Construction— (Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 14'x56' Mobile home as per plot plan, specifications and applicationa 2-
ro
8. Proposed Use
Mobile home
5
ro
$ 23.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 17 19 _
(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 Day of April 19 90
"/"' p
SIGNED BY -/O, for the Town of Queensbury
Building and Zonin nspector
iuww 0/ 1,_1(4upe,ldGur f Application No. ,p --0
)g / DTBUILDING line ZONING DEPAIITML•NT Permit Is:uu►zcl
ozy and Hs:viland Road, R.D. 1 Box 08 • permit •Expiree lg h-,. �.� 1
,11\,1 CIF Ca• ' gli H
Ouuensbury, New York 12801 Variance
N Noo.,
Site Plan Review No. ' '00
APPLICATION FOR APR'1 • ..
Approved by: .
MOBILE HOME ,. .. DG. & GOI E. DEFT.
102i •
,�'� BLDG.
DUILDING AND ZONING PERMIT
f i • • f f • • f
f * * • •* * .f f f f M •
• f • f • f f• f f • M f * f * 4 f::•
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 i:: accordance with the description, plans and s
special conditions au may be indicated on the Permit, peeifications submitted, and:such
•
The owner of this property is: /11o2 , w
P.O. Address / ;1Q. /� . .LENS LCf
Pra y ----, � `/ /Z go .rex. 79eZ-SJ
pert . .Locations . G UZy2NC ?2DRL7 / ,ES---
Street ►.un►ber or building lot number Tax Map No. � y
Subdivision name (if applicable) Nb2 -Thy r-o/tips• -t-
9'lIL' PE RSON RESPONSIBLE FOR SUPERVISIO hiss 6TC c_
N OF WORK AS REGARDS DUILDING CODES IS:
DA'f''s rvtoDE2it1 706 'own) 4- 24. G�tiSEUDo27 NLi •lZA,?
Name 798 �o�Z
P.O. Address
Name of Installer s ,4vvtE Tel. No.: . •. •
plumber Add
Nau►C Of plumber
� ress ' Tel.
Name of s►.i;�on Tel
N
a� Addreuu
f Tel. • . .
•
MOBILE HOME INFORMATION: . . ZONING INFORMAT1Cr1:
New Home Placement yE •
_S • A •PLOT PLAN !•LUST LE PREPARED. AND SUBMITTED,.;:.
~ drawn reasonably to r�rs►la and attached hereto,--
•
Replacing existing tla;ac /1JQ
' showing clearly and distinctly all buildings,... :.
Size of new Home ft X
ijft . i * whether existing or proposed and indicate :all ::':."
Single Wile • K Double wide 1 * set-back dimensions from property lines. Cive. •
' street and number or lot number and indicate
/
No. of rooms (excluding baths) Y * 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?/4l9 Wood stove? ND
' Size of property ' • sS' ft X
Foundation style and. size:
' Existingbuilding(s) ` ��0.. ft.
. 9ls) �_fC X_ft.
Piers- No.of Size- ft x ft. .
Existing building(s) Ue;e
Depth below grade ft.
FOUNDATION - Footing size }{ „ • Proposed building, distance from property line
Wall material • Front yard ?.,S-- ft Roar yard 4,27 ft
• Side yards c/ ft and /0 ft
Wall thickness_" Height ft. •
If on corner, setback from side street ft
Total depth below grade ft. * OCCUPANCY INFORMATION
PRIMARY DUILDING -
Grade to •Home floor level ft. •
• One family dwelling
Proposed date of placement / 9/90 ' Two family dwelling
• Hultiple dwelling / Number of units
Aprox. Value, of Home S r �i j)oo • Permanint occupancy
Transient occupancy
Water supply - Well Municipal '
� 1 ,. Other
Business
Septic Permit required? Nb nh •
•
• Industrial
s�
All'2ei�1/ i^ IA �c_--P.Q4.
„ If addition, what will use be?
FURTHER INFORMATION REQUESTED •r
ACCESSORY BUILDING-
ON THE REVERSE SIDE OF THIS SHEET.'
Detached garage/one car/ two car/ car
0pIoOr I • Attached garage/one car/ two car/ car
! Q/A • _Private storage building
•
•® ���--�rl G other
�'1.SGC li/1 '
0 efoi- p(a---1, .
Form MIIP 5/B6 and-vl
•
APPLICATION FOR MOBILE HOME PERMIT, (CONTINUED) ,
State of New York Division of Rousing and Community Renewal .
INSIGNIA OF APPROVAL OF THE STATE . BUILDING CODE •
•
•
1 . INSIGNIA SERIAL NUMBER 0L. . 30/F9 17/4" • .
2 . NAME OF MANUFACTURER S Vyc/jr/
3 . PLAN APPROVAL NUMBER 0J6
•
1-4 . MODEL OR _COMPONENT DESIGNATION 6e /V r -1, 3 Y/ 6'T - • •
•
5 . MANUFA%CTURER ' S. SERIAL NUMBER . /i•%� - dg ��y ,
S. DATE.. OF 'MANUFACTURE 2(-2/9(/ .. . • . • • .
•
•
AZl. ..the\ above 'information is to ba found on a' pZata or sticker . which
should 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
Town of Queensbury
County of Warren A F F I D A V . I T STATE OF NEW YORK
I swear that to the bost of my knowledge and belief the statements contained
in this application, together with the plans and specifications submitted, are a true and
complece. statement of all proposed work to be •done on the described premises and that all
provisions of the BUILDING CODE, THE ZONING ORDINANCE, 'and all other laws' pertaining to
the proposed work shall be complied with, whether specified or not, and t t such work is
authorized by the owner.
Signature _• _ ___ 61 ?c/
���j�
r, •o eras agent arcnite ,contractor
•
•
• • • • • r • • s • • r * * * • • * • • .• * * * * * * * * * * * * • • 'a * • a * * * * * a •s
SPECIAL CONDITIONS OF THE PERMIT:
•
•
•
•
•
•
•
•
•
. . • •• By
.
•
•
YOU ARE HEREBY REQUESTED TO
• INSPECT AND ISSUE CERTIFICATES
- . FOR THE FOLLOWING ELECTRICAL
EQUIPMENT TO BE INSTALLED BY
THE UNDERSIGNED /}V _
• TEMP.# DATEC.f�l _ '�J
e/ o /
CITY OR VILa)---�j 60 2`f TOWNSHIP COUNTY
STREET AND NO.OR ROAD POLE NUMBER
/IlU2 7z/A/�.E12£ `3S- Z U z gter11 / -
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT
L U e&2/IJL feo,!O -1 S./-7C.r%>,2�2/ ,,✓C .
OCCUPANTS NAME BUILDING OCCUPANCY •
OWNER'S NAME_AND/,ADDRESS Imo/ � :JC ,/ ) y2 V /�s c- ,•� HOME TELEPHONE NUMBER
CURRENT SUPPLIED BY bfi / FROM THEIR G,J OFFICEE/ (J WORK TELEPHONE NUMBER
/1) /no 7�z- . -8
BUILDING IS
. NEW 0" OLD❑ WORK IS NEW❑ ADDITIONAL❑ 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't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
' OUT •
-
SIDE
SUB-
BASE
BASE- • '
MENT '
1st
FL.
2nd
FL.
3rd
FL.
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE. ems—_ / e-
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 WAFTS
CHARACTER OF WORK ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA
El CONCEALED
DIVE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY
SERVICE ENTERS BUILDING MANUFACTURER OF SIGN
❑ OVERHEAD ❑ UNDERGROUND �J
DATE INSPECTION REQUESTED 0/Co JAS NEAR AS Pgssle�,E)Cc MUST ENTER DENT F CATION NUMBER APPLICANTS I ! I Z I P 1713 I 5
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS i
•
NAME_QEAPPLICANT DATE OFAPP NATION SIGNA PLICAl6T
f O/4t',�C / OZ--'N{Z4) .i U C-S AZ: 7U X �F�QTfJ�'(
STREETADpRESS__f/4)?�_• 9 _ f TF P/ / I�j7 ","�a,
CITY,OR PO OFFFIICCE I DE" LICENSE NO.WHEN APPLICABLE
' IT' SE 1c 7/C'7' 4141 / /
❑ 85 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 14608 SYRACUSE,NY 13206
THE NEW YQRK EQARD QF FIRE UNDERWRITERS
:-..
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,!...1..,!...1.!-"...1,!..1,9'!..1 I-.1"4-11.)...1.../...1.."!..1-...!..49,1.4' .4....' ....19.'...1-91...?. .,"..I,!,...,!..1.9"1-1,./....1.!.....1,!...I,....1-....1..!...,!&)....e!...".4.9.1....l....!."."-I,..!"A.!.-It!...11.!-.19,!..19!.....19?-,I.'...19.1.."."...`. !.....1.!....1. !..,,.?..,_!....)-
....
. • ' T.HE NEW YORK BOARD. OF FIRE UNDERWRITERS r 1 In
In
- k .' Ar)11c,.97 ., BUREAU OF ELECTRICITY
41 STATE STREET,ALBANY.NEW YORK 12207
Date DECENBER 05,192'1-) Application No.on file,-:,,-.1.7 c.--,f..),-,/,-,,1 -:\
P k
THIS CERTIFIES THAT qb-- 15
....3.
.. ,
m. m
.-4 d only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of irl
g
M k il
CI i,
N k CTORi.M g, DAVF PRELLO::: . 35 N 'o..TNDS, LUZETRE RP. QUEENSBURY. N.Y.
R i in the following location; 0 Basement 0 1st Fl. 0 2nd Fl. OUT Section Block Lot
FL:4
N : was examined on 1•;01,-ENEE-1-; i:,,,. , .1 /3 s,),!) and found to be in compliance with the requirements of this Board.
--,
- k r FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS
F1ITURE
ECEPTACLES SWITCHES .
INCANDESCENT.FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
r=1
'• k
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS' BELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS VzI
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 FA
1 '
El
=
SERVICE DISCONNECT NO.OF
METER S E R V I C E F.
r,-.. AMT. AMP. TYPE mum.
lr I if 2W 1 Id 3W 3 0 3W 3 l 4W NO.OFpEFirCOND.
OF ACZ.i&D. NO.OF HI-LEG . ot•g:A NO.OF NEUTRALS
OfAZIAAL
loo ,.7.T; 1. -...: 1 -70 • i. LiO :
OTHER APPARATUS:
. .:1
-..e
..<
1 r'c: — • :`,4 F.
,•.. -
..., ..
•
:,.. ..
-• Zi
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DN & CEO DRELLOS •
.
BRANCH MANAGER
,
GLENS FALL . NY. 12P,01 . • .
.% .
..‹.
Per / )'!:6
( ‘,
--o . .•1
• 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. :is
i "f-4• -risi-4-ei'• CM Etii10 ! riiin tl El II CI rEIENESTEEI 51E1 II 51711181121 CI ll 11 ! tiiilin tl Cl IlliEl ti 11 !I !MEM ! MIMI 11 10illell1
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
?..",!..- .!...1,?..1.9! !'4.-1.9!.•.1.1..191•J.!..,1,!-.11q..S.,!-.1.?.."-19?....1"'..1,-.19,!-InA,P,Y14!,..?".?..1.1•-ln-ly?..11-191J--Mi -..19?..1.!--?•!•-1!-.1!... ?-1?-1 4-.1!..1 !.-.19?-`.
,,...
THE NEW YORK BOARD. OF FIRE UNDERWRITERS
.._
BUREAU OF ELECTRICITY
1 1 41 STATE STREET.ALBANY,NEW YORK 12207 1:1
ILI.
3t1 , Date 'I' V" '' L 1 -' :. Application No.on file , i. • '
1
..
••<..., THIS CERTIFIES THAT : I
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of IN,...,
T'- • ':-1'17:;Nfl,1 3.1'': :,;, ,v, .,-:
ICI g.
ILI=
..
_ in the following location; LJ Basement LJ 1st Fl. LJ 2nd Fl. Section Block Lot --
, was examined on 1.t::,y ; , 1, :.--. and found to be in compliance with the requirements of this Board.
....,,, FIXTURE RECEPTACLES' SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
-..r. OUTLETS • • INCANDESCENT.FLUORESCENT OTHER AMT. K.W. MAT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 0.
-<'
•.,
DRYERS FURNACE MOTORS RJTURE APPLIANCE FEEDERS SPECIAL RECPT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS CD
N., AMT. K.W. OR H.P. GAS H.P. •
AMT. . NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. MAT. H.P. AMT. WATTS SYSTEMS
NO OF FEET KJ
'
1 Fil il
1 •
h, 1 SERVICE DISCONNECT NO.OF S E R V I C E
AMT. AMP. METER
TYPE mull). 1 if 2W I J1 3W 3 if 3W 3)21 4W NO.OFpfiCtCirCOND.
OF Ad?'..10.ND NO.OF HI-LEG A.ripe NO.OF NEUTRALS OfANVEICAAL Ki
CD
— t 1
L •,, i " i PEI
w-i
OTHER APPARATUS: Kli
El
1 • I -'],
n 1 HT:r I';', '
BRANCH MANAGER
rv,-,,-...ill
!=11 ) CD
1 ' Per -
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.
Ali Ant UV'Mt Mit Slit Milt Alt l*t Wit-VOL et Alt Vat Mt vat'Mt lit Mit lit Lit 11Pt lilt Int Wt Alit AEU Ail Int Alt(vat vitt Wit litt Int lit INV WI Iltt Alt INC 1111 wr Ilif it IlatIllriZtAlirdit Iiirvennakt
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY '/
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS .
QUEENSBURY, NEW YORK 1280�
TELEPHONE (518) 792-5832 •
BUILDING INSPECTOR'S ' FORT
REQUEST F R INSPECTION RECEIVED.
NAME tOi� I��.U-ulLL4
LOCATION f '`,5
(DATE y—►�� (� PERMIT # f l5
f APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POU FORMS
FOUNDATION/DAMI PROOFING
BACKFILL APPRO L •
ROUGH PLUMBING
FRAMING 'y
ELECTRICAL ROUG ' IN •
INSULATION:
FOUNDATION
FLOORS
\. . . . .
WALLS
CEILING
FINAL INSPECTION: \\
CHIMNEY HEIGHT
ROOFING ti
SIDING •
EXTERNAL PORCHES/5' ' PS � � ��
STAIRS—CLEARANCE &1 RAILS PSI 01()__ . ;\,/
PLUMBING FIXTURES/•1 LIEF VALVE �'
INTERIOR TRIM/PRI At Y DOORS
FINISHED FLOORS j
GARAGE FIREPROOF NG •
DOOR CLOSER(S) ,
SMOKE DETECTOR
FINAL ELECTRICAL INSPE TION
_FINAL APPROVAL OF CONS UCTION
OK TO ISSUE C/o OR C/C
A SIGNED CERT FICATE OF OCCUPANCY MUST BE
OBTAINED FRO ' THE BUILD G DEPARTMENT BEFORE
THESE PREMISS ARE OCCUP ED!'
J .
REMARKS:
I / ''
r /0 -e '.,(--76 ,
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4' <'": , i 7 4.di("V'''
.e. /en ' m .,
ARRIVE ,i,r , j, �/ f
DEPAR /5�,/ �� �%'" _
T 9
7 INSPECTOR
•
-TOWN OF QUEENSBURY ,/717
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280Q.
TELEPHONE (518) 792-5832
BUILDING INS CTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED // /a/C/L%
NAME 4(VI(V),( gill ,`146-t/
LOCATION X9 _ j
DATE WAld/ed ERMI' # 9 r/.y .'c
. I APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS I ' •
FOUNDATION/DAMP-PROOFING
B, KFILL APPROVAL
ROUGH PLUMBING / ' •
FRAMING I '
ELECTRICAL ROUGH-IN '
INSULATION: �I
FOUNDATION
FLOORS • I ;
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING / I
SIDING
EXTERNAL PORCHES4STEP
STAIRS-CLEARANCE & RAILS /111 -'
PLUMBING FIXTUR 6/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS "X
FINISHED FLOORS IX
GARAGE FIREPR••FING
DOOR CLOSER(S) ill
SMOKE DETECTOR'.
FINAL ELECTRICA INSPECT •N - . . •
,j FINAL APPROVAL •F CONSTR TION ' X
•
A SIGNED CERTI ICATE OF O'CUPANCY MUST BE
OBTAINED FROM THE BUILDINe DEPARTMENT BEFORE
THESE PREMISE ARE OCCUPI p!
REMARKS:
/g0� l/�f 11 '� �/j/Q S' n//JS
4 ,n a //if
A
.:71,:j ,
3U
la.
a
INSPECTOR
INFORMATION FOR BUILDING DEPARTMENT
1 WE ARE IN THE PROCESS OF ISSUING A CERTIFICATE , i
OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION
AS COVERED IN AN APPLICATION FILED WITH OUR
DISTRICT OFFICE.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
APPLICATION NO. 0 0( Fe
`3 s ?iv 4,--,.------‘
LO ATION /
0-V 7 6 &76-c.--z.-..-*--
DATE INSPECTOR
FORM IBD(REV.1/86) - -- -- -
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• :elf!'il "`7 '`':
APR 121990
•
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