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1990-364 , • • 40, 'CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK 1 n Date --t) 19 6:10 90-364 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 mobile home-sinP5e family Location PcACIA-E r FOR1ST PARK MOBILE HOME COURT Owner By Order Town Board TOWN OF QUEENSBURY Director/of Bldg. & Code nforcement BUILDING PERMIT TOWN OF QUEENSBURY x No. 90-364 WARREN COUNTY, NEW YORK �d 0 PERMISSION is hereby granted to FOREST PARK MOBILE HOME COURT OWNER of property located at Lot 89 Gregwood Circle Street, Road or Ave. in the Town of Queensbury,To Construct or place a Mobile Home r- 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 134 Pitcher Rd 1-1•1 O Queensbury NY 12804 rn 2. CONTRACTOR or BUILDER'S Name 1-3 Today's Modern 3. CONTRACTOR or BUILDER'S Address O 54Rt9 Gansevoort NY 12831 r tr 4. ARCHITECT'S Name • LT. C • 5. ARCHITECT'S Address O 6. TYPE of Construction-(Please indicate by X) r* oc co ( )Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications aq 0 No. 14'x66' Mobile Home as per plot plan, specifications and application. C . 8. Proposed Use n r-+ Single family mobile home r3 29.00 PERMIT FEE PAID—THIS PERMIT EXPIRES neoember 12 19 90 (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.) 0 Dated at the Town of Queensbury this 1 2fh Day of .Tune 19 90 SIGNED BY C AP for the Town of Queensbury Building and Zoning Inspector • _ •. 7 ,:\.-tlr'a'IIJuub'r,�; 1if'1'lic�L'ion Nu;' „oUUIu,�,Ir� 4;fuz0r'4INc DEfAnrm;%NT `J'crlilit rsuuoa_ 92 . aY na Hil .1,n'd ri ,I. , •D.:I! ., • ;Permit 'E�cpire.u. ' 10': �',`��,� z!RECEIVED `DUR}, Ouu�ny ox 00... ._. � � �Vt~ buPy, Nuw.York I260I Zoning Ourli'gnation Variance, No. _ . , Site Plan, - `'APRL'I C' • . view No: JUN 11 1990 CATION FOFt . . 'NOB I:LE HOPIE • :i � e:� r BLD ', Ot DE.®APT. FULLDINS, AND ZON,fiNG FEf 1 • h 1 - * • *- • qI T MUST DE OBTAINED:[1EFORE . O-GINN:NG`ICONSTRUCT.ION. 'gNSW.ER ♦ • - 'ALL OF. THE FOLLCWING.�hc tuidarsignod hercby, applies for' a-'Duilding Permit to do •tho following, work• which'wil lbudonu! accordancu; with' the ,oc ciiptian, plano and nix:cifi'cationu uub,uitt'ed,.. and<.such _Foci=1-conditions-au uwy-b`o indicated. on tho Permit.. ,- .. , • 1'h�: owner of this -- property is.: : 2 '7 �? re P.G. Ad�rauy. . v cG7 ye__�/C� '�` _! 3/C E fl.` Cl2 ,. r L. R ' Pro ty Locations EOC7O /�GrrC • Tul.• T'—�T y� StrCt:t I.uil � nl' Tax HaP.No:•V•+ s 1 t der• or buildinr SuY'dlvisio ] lot nuu�er. • • �f-�T.: n nano .(it; °PPlicablo);, ' • g7/ THE ! IaZ,;ON, FZESPONS )� C`S` � �� .�� IpiE', FOR SUPERVISION OF, WORK 'AS. `REGARDS UU•ILDING CODES IS: • r ffv�r O14"1/ 6 2 lJeinu , . Nano flit Installer .P.0.1 Addre:3.0 %Z.93/ '1`ql "No., tr.,n« ulr• `Iles / 1r,mo U t thor `7.1 . ' . . 11/J10droi;'' • '�T n//i✓lF�/G+O/'c y1%U�Tol. ' i iiL]uon A'ddruuu 71'�' ./C� •Z :Addre:uu '1t3l.' ____________'Jul. . HOD I.LE. UOME. INFO1u1j TIONs • _' Now ttosn Pla om ,,.L • ZONING INFORMATION: © ,. c an • __f6' A PLOT PLAN 1-1UST- DL rREPARED'.:AND"SUCHITTED, slept `�in4:. oxis. ing Home ,4 //) �~ drawn reasonabl Y to scale snd gall .t;u i horetc, Size o f'nrw •» u}�owing cl e1rly and distinctly all I;iutldingg' Home.ft x 6 ft (7Zl • whether existing or proposed nosed end` i .:-, .R. �" . Sing' e w.t.lo • ndic8tu all _ __ Double'.wide . •• sot-back dimensions from property 1inCo ; �0 P Y Ctu r;o; ,,F• • strcot and nuritbur or lot number and••indica'tu' r.00•ms (excluding baths) • whether interior or corner lot. Show location' ilo, cf bedrooms ` of •water supply and location and conficjuration No. uf. _ f » of':schtic disposal area. bathrooms ' , » Firc,�lac,e? • CORP' INFORMATION REQUIRED AEr_ow.' Wood stove? . • Founc ,ace? style , aSize ,of property f le No y an ze • 'lxilit'ing building C:+J. size,,,- ft X ft. Piers.- .ofC, X ' L ft�x : • , Depth low ft . 4 i.xisting bu`ildiilg (:;1 UL gr:ade e f� FOUND.\TZON.• Footing size •• ' " .X . hropos.ud b.uildin 1, cJi:,l..ancu tress property line Wall maaer,ial _ - » Front yard ft Roar . Wall n' » Sido yards yard ft sickness ft and . ft Height ft: • : IC on corner, setback from. nidu atruucft Total depth below grade • ft. OCCUPMIC:Y INFORMATION . • Grade to .}tome floor level ft. • . P I Ry DUZLDZNG - » Ono family dwt:lling Propc •ed date of placement /2--/ /54. J ` Two family dwollinrl . . •_Multiple dwelling / Number or units pro . . Value, of home $ 0 Permanent occuh,aney Water •supply: _ Well 'Transient occupancy • Municipal " l • ;tlu inuus sc)�tic 'Permit required? /(/ Industrial » Ocher •• ;, . •1f addition, what will use, !k;j ' =URTHER INFORMATION .RE Q,;UCS7ED'' ACCESSORY DUTLD NC- • DN THE REVERSE SIDE OF TH'1 S SHEET;.» Detached garage/one car/ two car/ car . • » Attached » garage/ono car/ two car/ ar • Private storage building Other •.... • Form HIIP 5/06 and-vl APPLICATION FOR MOBILE HOME. PERMIT, (CONTINUED) State ,-of Newyork Division of Housing and Community Renewal INSIGNIA OF APPROVAL OF THE STATE BUILDING CODE. ic.,..---- GNIA SERIAL ERI NUMBER. '_ . NAME OF MANUFACTURER ' • • i . PLAN APPROVAL NUMBER • I . MODEL OR COMPONENT DESIGNATION • i . MANUFACTURER' S, SERIAL NUMBER • i, `DATE. OF 'MANUFACTURE • = • Alt. .thc above:'information to to be—found on of plate or sticker which •1 h•u ld be• affixed to the Mobile Home. Complete.,above with that •information. .:. A A A, 4 4 4 1 ' 4 4 4 i 4 -4 4...*. 4.`A .4 ..4 4 •4 •.4 # A 4 A .A 4 #`* +F * A 4R . 4�.4 4 • • Tow of Queensbury Cou ty of Warren A F F I D A V . I T STATE OF NEW YORK I swear that to the best of my knowledge and belief the statements contained in -his application, together with the plans and specifications submitted, are-a true and' corn lete..statement of all proposed work to ba •done on the described- premises and that all pro isions of the BUILDING -CODE, THE ZONING ORDINANCE, •and all other laws pertaining to the proposed work shall be complied with, whotho apucified or not, and that such work i au prized by the owner. • Signature___ © A r, i s age u , r nitect ontractor t • • • • * • * • • • • * * * * • * * * * .• * * * * * * • • • * * * • * .a * • * • * * * * * •• SPE. IAL CONDITIONS OF THE PERMIT: • • A09 L I Cr- 1- (40 Lit 6-So B Ait r i .j,v • • lit. CPU ill--- 0 A 8 o U .... w ski,) OM Is PL -c L.-n 1 • • • • , By • • • .YOU ARE HEREBY REQUESTED TO INSPECT AND ISSUE CERTIFICATES FOR THE FOLLOWING ELECTRICAL EQUIPMENT TO BE INSTALLED BY THE UNDERSIGNED � ��! TEMP.# DfjTE/ l' i CITY OR VILLAI � <.--3 J M')r( TOWNSHIP ( /I/ j COUNTY j" / STREET AND NO.OR ROADto. ••••• Gr J� k-ODL 1.i c I r-1 I-e -" F ( E- T p/`-r it?rgE NUMBER BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOUSED? SECTION BLOCK LOT OCCUPANT'S NAME P BUILDING OCCUPANCY � �% OWNER'S N D ODRESS 4 y PI! ,,PC'i6- e HOME TELEPH UMBER pig � l�'1. fit. Co '��r t9c1C CA-kJ cfv' - sM— f'YS7 CURRENT SUPPLIED Y,,' FROM THEIR OFFICE WORK TELEPHONE NUMBER V 0 BUILDING IS NEW l!J OLD❑ WORK IS NEW❑ ADDITIONAL 0 DEFECTS REMOVED 0 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. , C-16ili/CSC C� �C la0CC / 6/ Xl,C -70 ' -7:" ( fit/l Y'G 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 SIGNTTRANSFORMERS OF VA ❑ CONCEALED DATE WORK 13 ,STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY SERVICE ENTERS BUILDING MANUFACTURER OF SIGN ❑ OVERHEAD UNDERGROUND DATE IN PE N REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANTS '`� /' �( ,S-- /C e- C 44- .. IDENTIFICATION NUMBER I I Z I OI &I / I TJI 7 AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS NAME OF APPLICANT D,AT�F AP LI TION SIGNAT OF APP NTZ STREET ADDRESS TE,1,l;P N.( dts SS7 .(<)J-75 �++ CITY OR POST OFFICE ZIP COD LICENSE NO.WHEN APPLICABLE ❑ 85 John Street 0 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 -ri II— AirtAl 't/r1nly 171r1AC11 r1C CI ID I II Ir col A ID ITC ID 0 !!(..\t�C. .,_•t),jq!ti 1tl.}t{,�ti.,\t1 fir,.}/,.fie[..\t/.R!l)9i.tt(,.1e1�t�.}tr.,t(".ae/1p S.�r,�tl t(.wi.?tt..�te."4.•/.4t_C?t1.�et.an4..!-.ae(..A(.�ti.�tr.ae!?t.�.,4.(.4t(.der.per.per .,..Ai.?t(.lti.}t,.1.!Vie(,,_!,4! it; THE NEW YORK BOARD. OF FIRE UNDERWRITERS ['VA' 1 'I2Q6 7$4 BUREAU OF ELECTRICITY �`' � 41 STATE STREET,ALBANY.NEW YORK 12207 1 4. Date JUNE 27,1990 Application No.on ile ,5198,0/90 . 03421 ''.'1.''.'1.9 I : THIS CERTIFIES THAT PERMIT N . 90• 364 only the electrical equipment as described below and introduced b l' "t named on the above application number in the premises of IN FORM t� �ap? T'tt � �}FLl:r%ri1� T' .li�. '�. {mot}�1i'{,I•: -iLj1'efS{, �} CIRCLE, �,.) A:L:� ii.UCTR N.Y. 5 :, in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. OUT Section Block Lot 89 -; was examined on JUNE '=: 1�� a and found to be in compliance with the requirements of this Board. ?' FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT-FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT._ K.W. AMT. H.P. p �1, �' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS flU UNIT HEATERS MULTI-OUTLET DIMMERS 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 9, .1: . x �: 1 :; SERVICE DISCONNECT NO.OF S E R V I C E METER AMT. AMP. TYPE EQUIP. 10 2W 1 JY 3W 3 9'3W 3,B'.IW NO.OFF CC COND. OF CC COND. NO.OF HI-LEG OF•HI LEG NO.OF NEUTRALS OF EUGRAL T "c' .1 _1 �' OTHER APPARATUS: J, 4 o 1 i:r.(C: o 5. 1• 4; TOD AY MODERN HOMES �' 54 ROUTE G.j EVoi).€ NY, 12831 • BRANCH MANAGER it i' Per iRf`0 c �: 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. ": - - -- ® ® DODO �CY�C7�i-r�i'i�i 7�Y,I�Y,��Y'gi 7�f Ye ..- - . _- - 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 BUI DING INSPECTOR'S REPORT REQUEST FOR INS'ECTION RECEIVED a//9d NAME ,`�//''I./�d aik. )97 o-iu i I' & LOCATION 4d-�. 0 n (pwv- 0,92,( DATE ®�j�/ , I PERMIT # 9U ;2('4{ r / APPROVED O €_&_) )i YES NO FOOTING/PIERS MONOLITHIC POUR FO.' S FOUNDATION/DAMP—PR.OFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—IN' INSULATION: FOUNDATION FLOORS . WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STE'S STAIRS—CLEARANCE & •I I. lk1� PLUMBING FIXTURES/R LIE VALVE INTERIOR TRIM/PRIV' Y DaORS FINISHED FLOORS e� GARAGE FIREPROOFI 1 l DOOR CLOSER(S) l f SMOKE DETECTORS (/ FINAL ELECTRICAL I SPECTION FINAL APPROVAL OF ONSTRUCTJON OK TO ISSUE C/O 0* C/C A SIGNED CERTIFI.''TE OF OCCU' 'NCY MUST BE OBTAINED FROM Till BUILDING D '•ARTMENT BEFORE THESE PREMISES A•E OCCUPIED! REMARKS: tr fr"-rGr1# Gh fit/ / C"°77- ;/e/ /iv ce, a /- ARRIVE DEPART 7 'd7 INSPECTOR OF GUEENSBURY - RECEIVED • JUN 111 -19 90 BLD : & CODE r OI Z * UX14 --- --,Cr� uI[I 10 MUDT• ------ • r 7.321 / _ ROOM . DINING ' . 2 BEDROOM'CENTER • MASTER- ROOM ' MINES LIVING ROOM BEDROOM BEDROOM • 12'-0" 17_4'_ ——• No 2 — . KITCHEN/DINING! No. 1 0 ______ ___=_— — — —— — 10._8" ' • CATHEDRAL CEILING 12'-q" . I urnmiut MING • • (902 SQ. FT.) I. KITCHEN ' i • w.1sero11. O O 1 • IZ J Irjj,1 - '• ' iJfr • • �\. -r c�, • � vC tzx\c (C�� M° MA w !r �. 94 E .. �k.0 r;) vt --, .to \Z.;•/ T.N • F��NUS �L� .� vsnvt ocnievs .. �dv1ELt - . � .tz. \ !Yl Iq . 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