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1990-509 CERTIFICATE OF OCCUPANCY a TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date August 2g 19 .3q , c- H . ( This is to certify that work requested to be done as shown by Permit No. 90-599 - has been completed. This structure may be occupied as a single family mobile home i a L,,, „p, (Cb Lot 77 Northwinds Locati n •� Owner NORTHWINDS, INC. By Order Town Board TOWN OF QUEENSBURY `- J Director of Bldg. do Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 90-509 WARREN COUNTY, NEW YORK 0 PERMISSION is hereby granted to NORTHWINDS, INC. OWNER of property located at Lot 77 Northwinds Street, Road or Ave. in the Town of Queensbury,To Construct or place a Single family 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 0 Luzerne Rd 1-3 PO Box 224 Glens Falls NY 12801 2. CONTRACTOR or BUILDER'S Name CA Adirondack Housing • C� 3. CONTRACTOR or BUILDER'S Address 114 Saratoga Av S Glens Falls NY 12803 4. ARCHITECT'S Name O c-r 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications No. 14'x70! Single family mobile home as per plot plan, specifications and application. 8. Proposed Use Single family mobile home 0 CD $ 35-00 PERMIT FEE PAID —THIS PERMIT EXPIRES February 9 19 91 (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 August 19 90 SIGNED BY for the Town of Queensbury Building and Zoning.1 Spector • TO BE COMPLETED BY ®LOG. DEPT. OWN r, Application No. (�� 5�&q/ OWN OF OUEENSBURY • uuwn O/ Queelailurf1 ! RECEIVED BUILDING and ZONING DEPARTMENT Permit Ix 19 Permit -Expires 19-- Bay and Haviland Road, R.O. 1 Box 98 Zoning Designation AUG 0 3 1990 Oueensbury, New York 12801 Variance No.• , • Site Plan Review No. • BLDG. & CODE DEPT. APPLICATION FOR Appr d by: MOBILE HOME • �� i �S FUILDIN; AND ZONING PERMIT _ oio " D * * * * * * . * * * • 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. The owner of this pro y is: : - : T)c rl4 'Lti t�� S P.O. Address �V , (\v 7 . <( h"�f� LS Te ,w � x � l. �g� 7Z��B Property Location: / c) r t -7 ` V0Y \ itiUJln a.S Tax Map . Street :;umber or building lot number No. ( / Subdivision name (if applicable) TILE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: DLn-ti'lvi c ic l teel1C1KS WI Cllitt 72ciF c ci R C., 0, Name P.O. Address - Tel. No. - Name of Installer Address Tel. Name of plumber .Address Tel. Nauru of mason Address Tel. MOBILE HOME INFORMATION: * . ZONING INFORMATION: New Home Placement . * A PLOT PLAN MUST BE PREPARED AND SUBMITTED, ' drawn reasonably to scale and attached hereto, Replacing existing Home * showing clearly and distinctly all buildings, Size of new Home b ft X ft . • * whether existing or proposed and indicate .all • It set-back dimensions from property lines. Give Single wile • Double wide x . *, street and number or lot number and indicate No. of rooms (excluding baths) 0S; * whether interior or corner lot. Show location "` of water supply and location and configuration No. of bedrooms3 * of septic disposal area. No. of bathrooms a ** COMPLETE INFORMATION REQUIRED BELOW. Fireplaces- -Wood- stove? * Size of property ft X ft. Foundation style and size: * Existing building(s) Size ft X ft. * Piers- No.of Size- ft x ft. * Existing building(s) Use * Depth below grade ft. * Proposed building, distance from property line FOUNDATION - Footing size " X " * - * Front yard ft Rear yard ft Wall material * Side yards ft and ft Wall thickness Height ft. * If on corner, setback from side street ft * OCCUPANCY I NFORMAT ION Total depth below grade ft. * Grade to Home floor level ft. * IMARY BUILDING - • * * * * * * * * * * * * * * * * * * * * * One family dwelling * Two family dwelling Proposed date of placement 9 // / ?6* Multiple dwelling / Number of units Aprox. Value. of Home $ c) 6 6 c) * Permanent occupancy / *� Transient occupancy Water supply - Well Municipal g. * Business * Industrial Septic Permit required? j f o 4 * Other * If addition, what will use be? FURTHER INFORMATION REQUESTED * ACCESSORY BUILDING- ON THE REVERSE SIDE OF THIS SHEET.* Detached garage/one car/ two car/ car * Attached garage/one car/ two car/ car TOWN��ee OF Private storage building BUILDING . DES g Other • 1—� • REVIEWED BY _... DATE Form MIIP 5/86 m -v - ---- APPLICATION FOR MOBILE HOME PERMIT, (CONTINUED) State of New York Division of Housing and Community Renewal • INSIGNIA OF APN-OVAL OF THE STATE BUILDING CODE 1 . INSIGNIA SERIAL NUMBER 2 . NAME OF MANUFACTURER 6 vvyvi. ► CCa 'e 3 . PLAN APPROVAL NUMBER D? O S • 4 • MODEL OR COMPONENT DESIGNATION P IL • 5 . MANUFACTURER 'S SERIAL NUMBER C P - t . 6. " DATE OF MANUFACTURE • 9- ?' • • All 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. * * * * * * * 4 * * * * * * * * * * * * * * * * * * * * * * * * * ** * * Town of Queensbury A F F I D A V . I T County of Warren 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 BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall be complied -with, whether specified or not, and that such work is authorized by the owner. . Signature_ 47--9 Owner, owner's agent,arcnitect,contractor • * * * * * * * * * * * * * * * * * * * * •*. * * * * * * * * * * * * * * 'a a * * * * a * * * •* 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 (\, - . TEMP.S DATE . i v,, i it '. CITY OR VILLAGE TOWNSHIP COUNTY l ) STREET AND NO.OR ROAD / POLE NUMBER . 'I I /. -.I t._ FC i I !. `J I t '/ t'\ BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT OCCUPANT'S NAME ( - i 2.-BUILDING OCCUPANCY I r /1 , r ..._!,t ' t i/ t •I, j ` .J;'I }'lam(v'? OWNER'$NAME AND ADDRESS v HOME TELEPHONE NUMBER _ I is - ,'` ri `` I.-;1 i;• I '. ',i 1\1_.1( .1 ICf_ 1--c;t ; .., Y"`l''.-1 r J/:_.! i L. CURREFJTSUPPLIED BY ' FROM THEIR OFFICE WORK TELEPHONE NUMBER BUILDING IS NEW❑ 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 Luca- 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. 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 VA ❑ 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 AS POSSIBLE) MUST ENTER APPLICANTS IDENTIFICATION NUMBER AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS -1 t�' I + \N, i I' (/ I/' li"'I NAME OF APPLICANT ,--•I _ DATE F AP_ 1CATION S%GN,�� F APPLICA� P' 9 :---- STREET ADDRESS / I - / TELEPHONE NO. CITY OR POST OFFICE J ZIP CODE LICENSE trfO.WHEN ABRLV2AaeL-' ` / Li 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 (212)227-3700 (518)463-2122 (716)884-1155 (716)254-0141 (315)463-8552 TI-IF NEW V(1RK R(IARfl nF FIRF I INf1FRW-RITER. - - TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12 0- TELEPHONE (518) 792-583 kBUILDING INSP CTOR'S REPORT REQUEST FoR INSPECTION RECEIVED /a/9Q NAME o-u 'f- e ado) vArt-c� LOCATION (L� 177, DATE �.'o2/9e PERMIT # RD-3-D 9 J'tL.& jJ• APPROVED FOOTING/PIE' • MONOLITHIC ''UR FO1MS FOUNDATION/D P-PROOFING BACKFILL APP'9VAL ROUGH PLUMBING FRAMING • ELECTRICAL RO H- N INSULATION: FOUNDATION FLOORS WALLS I CEILING - X FINAL INSPECTIO i:. - CHIMNEY HEIGH ` ROOFING • SIDING ' EXTERNAL PORCHE \ STEPS STAIRS-CLEAR �NCE' & RAILS PLUMBING FIX URE 1 RELIEF VALVE INTERIOR TRI /PRI1,ACY DOORS FINISHED FLO RS t GARAGE FIREPROOFING. DOOR CLOSERS) SMOKE DETECTORS - FINAL ELECTRICAL INSP' TION ' K. _FINAL A_PPROVAL OF CONS:RUCTION ' X. - OK TO ISSUE 4/O OR 'C/C A/0 A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FRdttM THE BUILD , G DEPARTMENT BEFORE THESE PREMISES ARE OCCUP'EDt REMAR : AvA-6- E 6' 772-1CA-L !Asp —/eAr- f 3G r c/o 1S 13u&O • ARRIVE 441)e DEPART c7- ' INSPICTOR ��C l"777 ^ OPT. _ . ( \ NUTdI..__+-------j_.,- O I I �I DIVIDO O `D;!I tII 6('�DIVIIjoi-,16; -I INING DIVIDER 'al I --�-DINING pjDIVIDERtpj. I U1. v 1 III ��L� ,, Ix'� 1111 T ITCHEN BEDROOM 2 0 MUSTER` KITCHEN—I BF_DROOM 2 BEDRCOM 3 > LIVING O BEDRCOM 3 OMAS ` ` ,- LIVING I2XI0 •� t; BATH Y•� MASTER. `PAN ROOM I2%IO II%13 OPT BATFI MASTER R „t ���: I I X 13 — BEDROOM BE30%FiWI�� 16X13 ` /� I pr.-1 D 5. 12XII1Lk'I` �.J ; I6%13 ` ^ F 75. „ O VAULT CEILING TNRU-OUT - 1 rI J C �. VAULT CEILING TNRU-OUT -v 1 IC OPr L_� l o OFT TILE - 1 TILE DZ037 1480 3CK 2FB 2BA RB UTL I DZ038 1480 3CK 2FB 2BA RB UTL T APPROX. 1064 SQ. FT. I APPROX.1064 SQ.FT. OPTIONAL GUEST CLOSET OPTIONAL GUEST CLOSET FREEZER • OTT /\ HUT - _ / \ W H�OIN ING I � .� oPT.uTI.i._ QO OPT. - D j_ III'DIVIDER OO = `D n , ',I I ����OPT G.C. 5 ','i UTL l_1 I IHUTCH.. ,DIVIDER ` LINEN F I LW .@�I_II U��• BEDROOM 2 �I MASTERS L_ -- b j� ,.�.. VAULT CEILING TNRU-OU7 BATH P� KITCHEN LIVING I MASTER SUITE OPT ��DINING/ LIVING 9%10 O BEDROOM 3 > NEETEA O I` 1 ROOM ('• '� KITCHEN ROOM 9XII *CPT �II D%13 OOM � M 2 BEDROOM3 p 16XI3 d 'OPT ¢X13 �rl�� I6%13 El - RS • los 10 h 10X10 '—La VAULT CEILING THRU•OUT g, OOOR6 211 =pp�� TOFT ILE 00 6�-.. TILE ® 0 L�1 nLE _---- � OPT. DZ039 1480 3FLR 2BA RB UTL DZ049 1480 3CK 2FB 2BA RB UTL , O APPROX.1064 SQ. FT. APPROX.1064 SQ. FT. OPTIONAL GUETangr NOTE: Overall length includes approximate four foot hitch. The information contained on this brochure is accurate at the time of printing,but because of an ongoing product improvement program.is subject to change without notice and without incurring any obligation. r ID(RA.(16,44-" 4./ -23 OWN 07-GUSENSBURY RECEIVED AUG 0 8 1990 BLDG. a CODE DEPT.