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
* * * * * * . * * *
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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
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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.