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1989-667
4 ti A CERTIFICA'TIE (DIF OCCUPANCY TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK r`r bats August 30 �9 89 This is to certify that work requested to be done as shown by Permit No. 89-66? has been completed. This structure may be occupied as a Mobile Home Location zerne ��d - ~ ` Lzex r Owner Michael Noon By Order Town Board TOWN OF QUEENSSURY Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 89_a rn WARREN COUNTY, NEW YORK w PERMISSION is hereby granted to Mich€ cal Noon OWNER of property located at Tom* 29 Nopthx;. II„zer- .fe Read Street, Road or Ave. in the Town of Queensbury, To Construct or place a 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 . o WN E R's Address is Same z 2_ CONTRACTOR or BUI LDE R"S Name PD Lamplighter Homes 3. CONTRACTOR or BUILDERS Address RD # 2 Fart Edward, N.Y. 12828 r a rt 4. ARCHITECT'S Name r co z O 5, ARCHITECT"S Address � .r. O, t" 6. TYPE of Construction — (Please indicate by X) N CD { ) wood Frame { } Masonry { 1 Steel { ) fU 0 7. PLANS and Specifications r° No. 14' x 70' Mobile Home as per plot plan, specifications, and application, existing septic. Serial # NTA 1718927Name of Manufacturer Ritz Graft, S. Proposed Use ModEjiComponent; CIVI 558 14, x Manufacturer Serial # 9998, Date of Manufacturer 8/89 Mobile Home 0 CD rc $ .135_n PERMIT FEE PAID — TEAS PERMIT EXPIRES March 1 19 on x (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the O town of Queensbury before the expiration date.) CCD Dated at the Town of OueensburyAbis 13rri ay of A l tct _19 uo SIGNED BY for the Town of Queensbury Bu ild Ing a6d Zoning Inspector �] II TO 1)E COMPLETED IIY l3LLaC, DEPR'. uu+�+ u� uPra � Gur� Application Na, purtCr+NG rna20rvrNG U[PAHTArI NT Permit Isnuead, Oay una Haviland Road, 19.04 Box I)8 Pwrm"tt Expirea lr} TOWN OF QUEENSBURY '"eun"wry. NOw York 12801 ?.aping £xadlgnat.ion RECEIVED ViariancB No.. Site Plan RaVicw Noe E AUG � $ � APP L l GAT l OtV FOR Approved by r r . MOBILE HOME : , J3LDGi. & CODE DEPT, PUILDING AND ZONING PERM I T • � e1 : � s • ♦ w e r w s r i ♦ r w et w • w • i. r ♦ • nr se ,�► r r r w ee w w :: w A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING . Thu undQraignud hereby applies, for a Building Permit to do the following work which will lrw dune 'it wccord"nc+u with thu description , plans and spe:Cificatiool following and such condi "Ons as way be indicated ors the &noPer at . "w owner Of this property P . O . Adair A c� _ Pro UrtY Location , al . _; 3per -,Voco strew4t u,uu�tr or bua.ldinV lot nuaiobar Tax asap Na ,�f_�I ;uLdkvision name ( if applicable) 11111: PIALSON RESPONSIBLE- Pon SUPERVISION OF WORK AS ••`REGAr=s uu xrnzNc CODES IS : llr%me -�.'�.�r 11 wTi'IirK k !_./ / /J� l N . O. Adelre:a� a ----..Tole Has . 1,W1%u of Inataller 447$4 P4Gfa'1 •.+ILIU of Fjll6wobur Addsss #� _. - �rrsL. •9'" .f," .,r Aart'f Tel :,r�� Sul ++Won �.� Addraeeea R'ul • R +ul . OD I LE HOME INFORMATION : r 70NING INFORMATION i u w l l o is a Placement Rv m r Jr DtyC7k pr.?wJrl. .?3[]ST _ISI:_ .P..PEP7lFtEp AND SUPMIR"T"ED , f .�.,.._" . . tc p 1 a c i ng existing dome drawn reasonably to scald r nd 4Lttach+ad hurato, r showing clearly and diatinctly all buildings , ice of new Home / / ft X uo ft CJ ' +whetherther nxiatincJ or pronosad :and Indicate all -ingle w LieC Double wide sat-b&ck dij"unuions� from property linen . Give street and number or lot nuu►Isur and indicate: 10 . of raems { excluding baathe ) � r whuther interior or corner lot . Shaw location :o . of bedrooms 4f water supply and location and configuration of ea:ptiC diaiio5ul,o . of bathrooms- � ' area , C04KPLETE INFORMATION REQUIRED BELOW * fireplace? �✓G� Wood stove? r site of ert ro P p Y / crb f t x S'S"f f t , oundation style and sixes "" F:xiating buildingls ) size ft X ft . iurs- NO . of size- ft x ft , " Existing building ( u ) Ueie Depth below grade ft. " I�roposud buildirie diULancea from ro urt ling e,�.�NDn's�loN � Footing size x � r ! ' lti p • y all material . Front yard ..2 S`r ft Rear yard /S � ft Anemone r Silo yard& _ r t t and -t, yet all thickness " Height fto r xf on corner . " tLuae:ie from $inlet aLruwt tt oral depth below grade ft . ' OCCUPANCY INFORMATION rade to Horne floor level ft . r PRIMARY BUII.DXwC • w w . y r w w w w w r • ♦ • r + „ICY►$ f4ually dwelling roposed date of placement / / - Two family dwelling Multiple dwelling / Number of units pr o x . V a I u e, of Iiome2 $_ G{r]01 J. L-/ p y . Permanent occupancy * a ter supply - Well Municipal 'rranslent occupancy _ Dusinaaa 011tic Permit required? je-j iJ r Industrial Other ,. if additioal , what will uses blu? JRTHER INFORMATION REQUESTED N THE REVERSE SIDE OF THIS SHEET . . ACCESSORY IIUILGTNG- Detachetd garage/one car/ two car/ car " Attached gariage/one car/ two carry car " Private storages building r Other— Form Mil P S / a6 and - vl r . APPLICATION FOR MOBILE !-HOME PERMIT,, ( CONTINUED) Mate of New York Division of Housing and Community Renewal INSIGNIA OF APPKOVAL OF THE STATE BUILDING CODE INSIGNIA SERIAL NUMBER NAME OF MANUFACTURER PLAN APPROVAL NUMBER ielf/g y MODEL OR COMPONENT DESIGNATION G rrti .y /Yx ,d 7 �-- MANUFACTURER ' Sr SERIAL NUMBER_ DATE OF MANUFACTURE - AZZ the above information is to be found on a plate or atioker Ljhfah : ou Let be affixed to the Mobi Ze Nome . Compzate .above Lath that information. "Own Of Quaenabuvy 'aunty of warren A F F I D A 1F . I T STATE OF NEW YORK I swear that to the toast of my knowledge and belief the statements contained -n this application , together with the plane and specifications submitted, are a true and :omPlete statement of All propoacd work to be done on the described pronisae and that all �roviaions of the BUILDING CODE , THE ZOHXNG 0RDINANC6, and all other laws pertaining to he proposed work shall be complied with„ whether spacifled or not, and that such work is uthorirud by the owner. . r . . ./. r on Signature - rs ■.�.. er, • owner • s age a, rcnitect, Contra r' :IrECIAL CONDITIONS OF THE PERMIT = ~ . , ■ . ! r TOWNS OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS OUEENSSURY, NEW YORx I2$04 TELEPHONE (518 ) 792-5532 BUILDING INSPECTOR' S REPORT REQUEST FOR ImSPECTIONAI RECE2VEF��- NAME LOCATION DATE PERMIT # PPROVED YES NO FOOTING/PIE MONOLITHIC UR FORMS FOUNDATION/ P�PROOFING BACKFILL APP VAL ROUGH PLUMBIN FRAMING ELECTR.'CCAL ROU -IN ' INSULATION: FOUNDATION FLOORS WALLS CEILING &,. III INSPECTION: 3 CHIMNEY HEIGHT ,ROOFING SIDING EXTERNAL PORCHES] TE --�- STAIRS-CLLARANCE & RA LS PLUMBING FIXTUR SIREL F VALVE INTERIOR TRIM/ RIVACY FINISHED FLOC? S GARAGE FIRE P FING DOOR CLOSER ( ) SMOKE DETEC RS FINAL ELECTR AL INSPECTION FINAL APPROV L OF CONSTRUCTIO A SIGNED RTIFICATE OF OCCUPANCY MUST BE OBTAINED ROM THE BUILDING DEPARTMENT BEFORE THESE PR MISES ARE OCCUPIED' REMARKS: / INSPECTOR _.. _ _... . _. sELECT BiJ5�NE55 FC1RM5 (e09) 22e-7775 APPLICATION FOR ELECTRICAL INSPECTION PLEASE BEAR DOWN YOU ARE MAKING (4) COPIES MIDDLE DEPARTMENT INSPECTION AGENCY, INC. National Headquarters 900 Haddon Ave., Collingswood, N.J. 08108 /� D ate : City. Town or Township-- --&A, F & r i � . r *� `.+� County46ZJQ�'fea � ^ State e�✓ a+� Location{Address owevr--oir « ^" 4:�v/' f ( if Located in Rural Area - Please Attach Directions ) Pole Owner. f Permit * Occupied As s__/G+re AAJ cl p" /�? a ! /r e.•+K Building: New= Old Occupant C, r sx . Work Area in Building Floor #, etc. ) * for. Wiring Service or: Read for inspection : Fee Remitted - $ Cash Q Check E�j M.O. Make Payable To : AA-D. I .A. 504 7S0 1000 1250 1500 17 SO 1 2000 2250 2500 2750 3000 Number of Rough Miring Outlets Elect. Heat Switches Amp. Service Surface Unit Dishwasher Range Lighting Water Heater Air Conditioner Dryer Pump Receptacles Oven Garbage Disposal Wiring and Controls for Burner Number of Fixtures Amp. ,Receptacles Fractional H.P. Vent Fans Other Equipment. MOTORS H.P, I/2 1/12 111D 1/8 1/6 1/4 1/3 112 3/4 1 1t1z 2 3 5 7'12 IO 15 20 2S 30 4O SO 75 lOD Mark Number of Each Size Applicant's Signature _Z14aa'.s(F jr Ae.;PF Faoc ' od �"'w Aix License # Permit #' TIA Utility : ' • " Applicant's Address' rL. {NAME IOFFIC LOCATION (City) (State) os�J CuJ yd (zip)1OY_ i- 'E Service Request # Phone # :rZ .? ' �' 9 2_.- Electrician : - OWN DATE RECEIVED. DATE INSPECTED: Correct Location : Same as Above or: Red Notice Label [j Rough Wiring Outlets Surface Unit Oven Switches Range Garbage Disposal Receptacles Water Heater Dishwasher Fixtures Air Conditioner Dryer Amp. Service Equipment Burner, Wiring & Controls for Amp. Receptacle Amp. Service Conductors Pump Vent Fans MOTOR H.P. 1/20 1/12 1/10 Ifa 1/6 1/4 1J3 1/2 3/4 1 1Yz 2 3 S 712 10 15 20 25 34 40rO 75 104 Mark Number of Each Sixe Elect. Heat 500 75a 10D0 1250 15D0 1750 2400 2250 25P4 2750 30a0 LM FOR INITIAL VISfR :* y i.< NOTIFIED 7FIED OA' PEE fEE PAID = RW Progress: Inc. = LKD ED Contractor © CFT Violation : Work Comp, Inc. CASH ED LIA Owner Fee CHK # Due © IPA Municipal iNOV� Applicant Q Oats: ner Q CL Al INN a L a r CJ