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1990-424 ... .ati i fw ., Aid ,' L. •auJ Ver i'� - - ,—.• r _. - a • _ _ ,. . • a� of l t)... ti CERTIFICATE OF OCCUPANCY TOWN. OF QUEENSBURY WARREN COUNTY, NEW YORK Date 1 0:[c1 4- 19 g2.- This is to certify that work requested to be done as shown by Permit No. 90-424 has been completed. This structure may be occupied as a singla fprmily mrhila hnmP Location g.�1 � ' `'r I``-` �-- Lot 92 Briarwood FOREST PARK MOBIL EHOME COURT Owner By Order Town Board TOWN OF QUEENSBURY r � Director of Bldg. do Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 90-424 WARREN COUNTY, NEW YORK -' ro 0 PERMISSION is hereby granted to FOREST PARK MOBILE HOME COURT cn OWNER of property located at 134 Pitcher Road - Lot #92 Briarwood 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 same 2. CONTRACTOR or BUILDER'S Name Today's Modern 0 trj c 3. CONTRACTOR or BUILDER'S Address 1-3 171 4. ARCHITECT'S Name 0 Ctl 5. ARCHITECT'S Address 0 tr1 CD 0 6. TYPE of Construction— (Please indicate by X) ( )Wood Frame ( ) Masonry ( )Steel ( I _ a 7. PLANS and Specifications ' 0 No. 14'x66' Single family mobil ehome as per plot plan, specifications and ed application. 8. Proposed Use 0.s Single family dwelling 29.00 December 28 90 $ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the tD town of Queensbury before the expiration date.) O Dated at the Town of Queensbury this 28th Day of June 19 90 SIGNED BY �� r'i(� for the Town of Queensbury Building and Zoning Inspector e �, // ' To BE-COMPLETED BY BLDG. DEPT. . Jowl, U/ iaiier JGur� Application No. !� ' BUILDING YnIJ ZONING DEPARTMENT l Permit IGeued ' , ,i �g u ©ay l,nd Haviland Road, A.D. Permit •Expired £9 ' 1 Box BO Zanin t : ..::0001 OF QUEMSBU Y Quuunsbury, Now York 12©01 9 e Hognation Variance No. •FleCEIIEC Site Plan Review No. •' AAPPLICATION FOR. provud byi J994 A : MOBILE HOME. G/ , /i k . • FUILDING AND ZONING PERMIT /t3LDQ. .COt�E ;DEPT f f f 4 * * # f * f ♦ f f f A PERMIT MUST BE OBTAINED BEFORE 'BEGINNINC CONSTRUCTION. ANSWER ALL OF ' The undersigned herebya THE FOLLOWING. . bu do pplies fora fuilding Permit to do the following dune in accordancu with the description, plans and II jttcdk`and.uchll special conditions au may be indicated on the Permit. • Iweifieationu dubmitted,_• and•such • Tho owner of this Property is: FO.2 -7" i,, P.O. Addrrs:�s J y' �'/�C.f,/� �'��, ;vll>3y�E /{�.�'JF Cl1 C/27 Prc rty Location: Tel.' -��S/Sl roe • Street ,,w„ber or buildinc 7 yz Tax Map,Ho:• .+ '•'. Subdivision nano J lot nuu,be:r f—f; - (if applicable) THE PERSON RESPONSIDLE FOR SUPERVISION >� Cs � ��� � �y��� OF WORK AS REGARDS UUII.DZNG CODES IS: KvM� GWA/LVZ lldml3 P.O. Address ,Name of Installer'T?j��.7� ' TzF:Lr/ Tel. No., a Nme of plumber �L 7 Addroua�5' /jL I 1, XTcl. "718'=.6"5 . t�/�i✓lFJc /1yy. riame of ivauon AddruuII 1. l�ddreuu el• '1'01. MOBILE HOME INFORMATION: . ZONING INFORMATION: • ' New Items• Placement E ` • A PLOT PLAN MUST DE, PREPARED' AND SUBMITTED', Rep). tcins::existing Home ''�� -* drawn reasonably to scale .and attachad hereto r showing clearly Size oP�r+ew•Home��ft X �� i� + .and dlatinctly all buildings• . , t . whether existing or proposed ""' "" •• 4 sing`. t • • J n Posed and indicdt�all: w• ,1Q,.�_ Double wide s°t-buck dimensions from Property lined. Ctvc; r.lo, „f. ' ` street and n►mbur or lot number .and •iciilicatu rooms (excluding baths)_ ` whether .interior or corner lot. Show location' No. of bedrooms * of. water supply and location and configuration No. of • " of septic disposal area. bathrooms Fireplace?„ZYi Woo • COMPLETE INFORMATION REQUIRED BELOW.' d stove? Foundation style an il_zC: • Size of property • ft X ft. ` Existing buildin Piers- t7o.of .. • , 9(s) Size Et X • ft. ftx ft. ` l:xiuting building (s) Ue;e Depth low grade ft. • FOUNDATION _ Footing size X �� 1'ropoLed building, di:;Lancu frow property lino Wall material * Front yard • ft Rear yard • Sidu y rdII • • ft Wall thickness " Height ft. Ft and ft • If on corner, setback from side street �ft Total depth below grade ft. • OCCUPANCY INFORMATION Grade to • Home floor level ft. • Ry DUILDINC l • • . • . • On° family dwelling Propc._,cd date of placement / / / J i. .1ao family dwe;llin�J , __.. Multiple dwelling / Number of unito Apro . Value. of Home S L �c) Permanent occupancy Water supply - Well Municipal ,� ` �ir`'n`'iO11t occupancy "" . Business Septic Permit required? li/1/t"J ` Industrial _ * O[hcr . If addition, what will use- be? FURTHER INFORMATION REQUESTED ` • AccESI;onY DUILDINC- ON THE' REVERSE SIDE OF THIS SHEET.* Detached garage/one car/ two car/ car ` Attached garage/one car/ two car/-7--'par • Private storage building • Other • . . • • • Form MIIP 5/06 and-vl APPLICATION FOR MOBILE HOME PERMIT, (CONTINUED) , State'of.. News York Division of Housing and Community Renewal INSIGNIA OF APPNOVAL OF THE STATE BUILDING CODE 1 . INSIGNIA S.E'RtIAL-NUMBER 2 . NAME OF MANUFACTURER S c-y�j), ?.. $:' 7� 11 3 . PLAN APPROVAL NUMBER • 4---- • • 4 . MODEL OR COMPONENT DESIGNATION .•. • 5• 3 5 . MANUFACTURER' S, SERIAL NUMBER -= G. 'DATE OF 'MANUFACTUREif y • A Zl. .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 4 4 4 4 4 4 6 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 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 no , and that s ch work is authorized by the owner. i i • Signature___ . k=, e , •o re agent,a nitect, ntractor % • • * • • • • • • • • • * • • • • • • • • • •• • • * • • • • • * • • • • • .• * • • • • • • • • •• SPECIAL CONDITIONS OF THE PERMIT: i . • • • • • • By YOU ARE HEREBY REQUESTED TO INSPECT AND ISSUE CERTIFICATES FOR THE FOLLOWING ELECTRICAL EQUIPMENT TO'BE INSTALLED BY ' THE UNDERSIGNED ;.ty / ) - _• TEMP.# Y DATE,,,A, � f i • CITY OR VILLAGE �.` TOWNSHIP , OUNTY ec ' <<% / -ram',,/ STREET AND NO R±DAD l32 f A-) w O 1, , — o C � ? f POLE NUMBER O r7 r s BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION •BLOCK :r LOT Pt7CN-Ga. -i-- L0?C/WE OCCUPANTS NAME PO 41.n y BUILDING OCCUPANCY • {-, (a l .4+r • OWNERS• NAME c CAD-SS PAR f 1. 1I c 0�Ir r 4)v EALLa l !0809 HOME TELEPHONE NUMBER CURRENT SUPPLIED,i•• BY 7 r I Al,-1 q—M E�� V 7 FROM THEIR OFFICE WORK TELEPHONE NUMBER BUILDING IS �y NEW OLD❑ WORK IS NEW ElADDmONAL, DEFECTS REMOVED❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED Loca- NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE Lamp Receptacles CIRCUITS ONLY tion Side Attach't Ceiling Switch Pendant Bracket No. Type EachNo. Watts No. GWG' INSPECTION Wall Recep'Is Each Gauge OUT- SIDE • SUB- BASE • BASE- MENT 1st FL. 2nd FL. 3rd . _ FL. . REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE. S. ' • /�/S- ./1/6 �✓'d3/L 6 A4 - . • G CX/S-//-✓(a G o_ — 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 • 51 ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA • ❑ CONCEALED DATE WORK TA /DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACI1y5 - (( . 7c? he, SERVICE ENTERS BUILDING MANUFACTURER OF SIGN .' El OVERHEAD UNDERGROUND - • DATE INSPECTIO/0/STED ON(OR AS NEAR,AS POSSIBLE) IDENTIFICATION NUMBERS I/ 12 I 0 I j I? I&11�7 AVOID+/]DELAYS�/B/YY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS NAME„¢6.APPLICANT,C /1-7eF ApATIpN vSIGNA7R�E�F�A/PPkhCANT j- /d.�>f1`i J /i�'%fJ.�tl� ilJ� �r''� /� C�.4{ d�'i STR, T,ApDRESrea)�� + fr. lTLEP}/�y/Oa��E NO/.Jr1�1 CrR PP-O T OFFICE I r�� ` (` " ` �� v._1 C- r�(y'� „f r ODE LICENSE NO.WHEN APPLICABLE 85 John Street (� ❑ 41 State Street ❑ 570 Delaware Avenue ❑ 21-7 Lakkee4Avve(/nue ❑ 202 Arterial Road NEW YORK,NY 10038 ALBANY,NY 12207 BUFFALO,NY 14202 • ROCHESTER,NY 14608 SYRACUSE,NY 13206 THE NEW YORK BQARn of FIRE I JNnPRwRITPRc �; - rr, :THE NEW. ISYORK BOARD OF FIRE UNDERWRITERS'-.' iRAGE 1 :. : 1 420678_4 ' I. , BUREAU.OF ELECTRICITY f .- ! :$ 1. • 41 STATE STREET ALBANY,NEW YORK'12207 ' - Date ' ''' JLLY 65 1990 Application ►i_fi ,64b81890/,90 A 0:35513 THIS CERTIFIES THAT li ; PERMIT 0 90 ;4� • ii only the electrical equipment as described below and introduced app scant named on'the above application"number in the premises of ,! '' DOX LO\ -9`, BRIARWOOD FOREST PARK,: QLEEX SB RI N 1' , ; �' 'in the fo%llowing location.; ❑ Basement ❑ 1st'Fl. El 2nd Fl OUT + Section Block' Lot' was examined on JL LY 13,19-9 0 ! i 1, d found' -- to be in comphonce with the requirements of this Board an • ,, 9 s! _. FIXTURE '-. ';'FIXTURES , RANGES COOKING DECKS OVENS: DISH WASHERS EXHAUST FANS i OUTLETS ECEPTACLES SWITCHES-. INCANDESCENT FLUORESCENT OTHER 'AMT K W.f! AMT K.W. ' AMT. K.W.. MAT. K.W. ; AMT. H.P. ., Ai -. i + j ▪ " u DRYERS FURNACE MOTORS-, FIJTURE APPUANCE FEEDERS' SPECIAL REC PT TIME CLOCKS UNIT HEATERS MULTI-OUTLET MMERSM . . :: BELL. DI I ' AMT. K.W. ' ', OIL - ,'i H.P. GAS H P 4t ++'AMT c.NO. 'i.A.W A.W.G. •,AMT;;...' „'W AMP AMT #AMPS. TRANS.; AMT H.P. `'SYSTEMS '.AMT.' WATTS i .- No.OF FEET i ,• + r $ .; SERVICE DISCONNECT NO.OF 1. - = s; 452 S; E = R 3 V afi • I C:` `E MEYER NO OF CC.COND A W.G:l-AMT. AMP'.r TYPE 1.a''2W 7,9 3W 3,B'3W 3,9'IW _ NO.OF HI LEG.'" N NEUTRALS W G' _ OF CC COND I itOF'HI LEG NEUTRAL 1 100 C B S -1/ /0 1 « j, OTHER APPARATUS .. �� - • .. ! a fF � � ' C �' ifs f ! ` : ` _ • ,,,,-: - ; .-,, ...;•ii.-'.---. 4,..',,....-4t4 ‘'.,,‘,...4.4.4' . ..' ; . ,., -.,': -. : ;•....!. �1 %• .,•1 , i a1 i.• • ' j •, TODA;S MODERN HO`iESj' '.,,':.'ek.�:.' ± ` a' G- '-- -''.00RT, s , 12 8 31 ! BRANCH MANAGER � ►�: .� 1 � ! -: $ ;_ _.;�.'. _ m� i i .:. ! i; i, ; Per �� • ,: �; This certificat•e must not-be altered.in,any,,manner•;return •to thef office of the Board if incorrect.''Inspectors may.'be identified by their credentials. 'i`Y f7 1-?'i i-T?'i Y'i r;i tY "i f'i f7 f'i?'I f7 et f'/et Y't et f.Y r['fY f., ,{>,•et'C`,et et eh et f', fY'Cr 1**,7 tY fY f'r ,f', f',f.'i iF,f'1 "i f`r I.it et et f7 et i°j et .> i', .ry . TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME 7/-('6/. LOCATION /61- 022 /mi(///), DATE _6,Wy. PERMIT 0 9D--/�4/1 TYPE OF STRUCTURE 7?"c%i1 RECHECK APPROVED . N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE P' — Tur rONCRETE e MATER FOUNC REINF FOUNT BACK �Ll ��j?/ ROUE 96) PLOP PLUI FRA' )7y52 • HE IP CEILING DUCT WORK OR PIPING IN fVHEATEU SPACES F_ REMARKS: �;' \, .47e •sl,0211,7112., ARRIVE DEPART // INSPECT OR TOWN OF QUEENSBURY BUILDING AND LODES DEPARTMENT BAY & HAVILAND ROADS r QUEENSBURY, EW YORK 12804- TELEPHONE ( ,18) 792-5832 BUILDING INSPECTOR'S ;,' 'ORT REQUEST FOR INSPECTION RECEIVE;. 110 1 ' 0 NAME _(/, ,_. ark- 'P:-hr,�_0 �(7 /'jLe, LOCATIONiiiii 1. 2 {/)V!,(, Z,cr f4 7,71' DATE f,1//2- f 0 PERMI # v/'d- '7"2¢ APPROVED YES NO FOOTING/PIERS MONOLITHIC POU' FORMS FOUNDATION/DAM", PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ' i ELECTRICAL ROUG "" IN ' INSULATION: FOUNDATION FLOORS WALLS CEILING ' " INAL INSPECTION: CHIMNEY HEIGHT • ROOFING SIDING EXTERNAL PORCHES/'• !EPS ' ' X STAIRS-CLEARANCE i, RAILS 911 ' g PLUMBING FIXTURES 'ELIEF VALVE INTERIOR TRIM/PRIA CY DOORS FINISHED FLOORS GARAGE FIREPROOFI; ' • /4- DOOR CLOSER(S) !/ SMOKE DETECTORS FINAL ELECTRICAL I, SPEE,TION ' ' ' ' FINAL APPROVAL OF CONS 'UCTION Y OK TO ISSUE C/O O; C/C '' A SIGNED CERTIFIe'TE OF i CUPANCY MUST BE OBTAINED FROM TH,. BUILDI , DEPARTMENT BEFORE THESE PREMISES A'•E OCCUPI:q i!' REMARKS: 30 Old If .ccrdr- -S- '••0 Il77 - c... 1TsN , c 0 otril ge%C r/i ; , / .ficol7(7,4 e / 111°V ‘3' i . ARRIVE DEPART / !15/ / / 'NSPE TOR • • • 4335D *70x14 -;; o UTILITY -- — CD 'i GPI : i DINING E. UINEGRALCENNS 3 BEDROOM•CENTER WEN B AREA ;ET ii BEDROOM BEDROOM KITCHEN• 2 I3ATHS' MASTER —_ _� �_—_ __ i9N°'a2 10-8' • i BEDROOM — ----- --- — — -- i �' 8" GARDEN TUB•BAY No r WINDOW•CATHEDRAL KITCHEN \i � 11 4" 15'-0" LIVING ROOM 11` 1 iU1 CEILING (902 Q. FT.) GARDEN L_ 1a'-e" ,00 � IUB - -1 1 ��� 1 • •43 r C . P. •ter O(oeo J 1 f • • • ! \\\\ \\ \1 - 1 -{-tm • -_ 4 • • \ \ VI: :.:I \\• "ram'., �= • \��wivr- \\\ \. , . . .„-_, . .....).„ . .\-c\.- :-. (.\\-, .. \\\\.\\ : co Ir;, t • j ���, ' ! I - i- ± levy .� nY9oN • al ,tful `�� \ • •M sl}\1_ \t `� I I V` ( I '-�90f_G74D.,B�,Io__ . ! yi.aon Y 01 O •t. l O J I : 1 iY1S �,e"I 1{)_ . . . Sf._ CO• 00" l; 'i \j I ))�\ za�n,s1.:lcrvn ' r l• cr11»a� ���Yd1 _�" \-7. ,! 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