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1989-727 +CER.TIM CATS OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK paw Octobier 4 1q 89 This is to certify that work requested to be done as shown by Permit No. 89, 7 27 has been completed. This structure may be occupied as a 1 jkcarion Lot #48 Northwi nds Owner Northwi nds Inc By Order Town Board YOWN OF QUEENS8VjkY Director of Bldg. do Code Enforcement BUILDING PERMIT a TOWN OF +QUEENSBURY No. 89-727 WARREN COUNTY, NEW YORK ,c CA , PERMISSION is hereby granted to Northwi nds Inc OWNER of property located at Lot #43 fdorthwi nds Park 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. x. OWNER'S Address is Dan Drelios � P . D. Box 224 Glens Fall N . Y . 12801 2. CONTRACTOR or BUI LDE R'S Name 1i Todays Modern " 3. CONTRACTOR or BUILDER'S Address ` s 54- Rte 9 Gansevoort , M . Y . 12831 4. ARCHITECT'S Name S. r— ARCHITECT'S Address � r+ c Y 6. O E of Construction — (please indicate by XI �% e+ ) Wood Frame { l Masonry [ I Steel { } � C G1. 7. PLANS and Specifications No. 14 ' x 66 ' rlobile Home as per plot plan , and applciation . S. Proposed Use Mobile Home $ 29 . 00 PERMIT FEE PAID -- THIS PERMIT EXPIRES April 1 19 9Q o Cr (If a Longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Clueensbury before the expiration date.) O Dated at the Town of Queensbury this 1 th bay of September _19 $9 m SIGNED BY for the Town of Queensbury Building and Za Inspector COMPLSTED By nuic, aEr>z'r irPxrllGure Application No. "" 77 BUILDING &ad ZC lylr'A ,: DEPAnTMtNT Puraxit Isau,ed l9 Bay ana tyaviland Road. f1,04 1 C3ax IIB 1'erax.it Eac,pires ig TOWN OF QUEEIVSBURY ❑uaunsbury, New York 12a0l Zoning Dauign" :.Wn- ""-""'� RECEIVED variance No*. S.L* t" /P4a.n R�aview No , SEPI -APPLICATION FOR Apt ; �` MOBILE HOME JSL ruh iNEPT, LDING AND ZONING PERMIT A PERMIT MUST BE oaTA INED BE- FORE BEGINNING CONSTRUCT ION . ANSWER ALL OF r •► • . .r w t :: .► The undersigned hereby a THE FOLLOWING, Y Aplies .for a Building Permit to do the following work which will a" "MAY k"' dune in :aCcorclancas with than description . plian$ and spucigicatieana aulaeuitwor and • such r>'oi`l�conciitionsyibe indicated on th.a Permit . "I'h+: owner of tlxis Property is : /1/40,F2 r . +o. PQ. Aci.lresxs . L-�.iLCS 1�-r9LGJ' p PraEk=rty Locdtionx G. fJ�� � ! 2.N,E' 2e5R.� etrrut r.u,r4Ui3r or buuildiny lot nu+�+bar x map No.���+ ruLdivision name Cif applicable) /UCj 2 '�Ooq t-e_It S ra1rr Pr.rrsot�l rtSSP�xNSISLr! Fort su>s�txvlssow OF work As _fibr.4g:s AAln ^ REGARDS BUILDING CODES IS t rrA + � a ] stj — D1 'a G .dfoous� ycofr- I, AJY lZ493 103a ri..,n N't11C1 J q r� Jr AcidragLi e'_] Name of Installer ,$ .��.� F '1•ttl . Nor N..ns4 iWI' (.lumber Addreaa R'eir N;at„u of iKuuon E Addrunar Aaarerut MOBILE HOME INFORMATION : s ZONING INFORMATION : New Hotne Placement yE,S ' A PLOT Pi.AN ;JUST BE 1'+R£PAREO' ' AND SUDMITTED0 Replacing existing Hom . ,aRIQ drawn reasonably t+o ecalst arsa3 attached hereto, Size of new Homcr.Z ft X ., , ft _ * whither uwing clearOxIstly and and distinctly :,all buildings , ' sat-back d1we-ns i ens froprom Pro and Indicatet lines . all Single w = -te � Double wide . property 1ina.s . Give nd No , of rooms iexcluding batlxsy * street ndicatlo wh�atherainteriorrorr lot cornerLLlotr and Show locationNO , of bedrooms � * Of Water supply and location and configuration "Na , of bathrooms of fteptic dis .a iaosl araur �L r Fireplace?d{4 Wop,d stove? COMPLETZ INFORMATION R - QUInno BELOW4 , . /�I� ` Size of property -- �:t_ ft X_. //o ftr Foundation style and size : " E:xiutitYg busldialgisy Size ft X----_rf t . Piers- Ho . of�j/,/ Size- •- ft x ft. • . "" kxitfting building #a ) Una Depth below grade ftr + FOUNDATIONC Footing siz + X i + PropoUed buildiny , disLa - ce from property lino Wall material . Front yard..,a ft Rear yard /,�` {t Side yards 2� ••Jtt and 3'` ft Wall thickness .+ sleight fte . If on corner, scct+a►ck front sid.s tYtri et ft Total depth below grade ft , * OCCUPANCY INFORMATICN Grade to Horne floor level ft. . p`}i�21IJ►RY UUILDINC • s r r w w w r r w w r r • ypr r Orie .family dwelling Proposed date of Plac+ement�/_ / / * family dwuLlinl -�.�y 0 Multiplu dwelling / Number of units Aprox . value, of home $ �l� boo * Perawnunt occuPancy Water supply Well Municipal- " Translcnt occupancy Busineus Septic Permit required? i�� ' Yndustrial * Other wlxiat will usa bo7 FURTHER INFORMATION REQUESTED ON THE REVERSE SIDE OF TM 1 S SMEET r * ACCESSOnY DUILDiNG rac�taohed garage/one car/ two car/ ear " Attached � C7©I"`" r garage/one car/ two oarJ�car � ��}Qi'Y� * Private storage building a) XJ6 ..4r. L:"Q Other , Yr't S G G C D/1 . Form MSSP s / 86 and -vi APPLICATION FOR MOBILE HOME PERMIT, ( CONTINUED3 State of New York Division of Housing and Community Renewal I N S I G fJ I A OF APNj%.OVAL OF THE STATE BUILDING CODE 1 . INSIGNIA SERIAL NUMBER ((++/},�.. ,�' 2 • NAME OF MANUFACTURER �JJ7t y /r /?Ae. �� i''�' ! ` �'�^'d -oy cw 3 . PLAN APPROVAL NUMBER 4 . MODEL OR COMPONENT DESIGNATION 5 . MANUFACTURER ' Sm SERIAL. NUMBER- G . DATE. OF -MANUFACTURE AZZ the above information is to be found on a plate or stinker which thou Ld be affixed to the Mobile Nome . CompZete .above w1oth that infor+reation. Town ue Of f Warren A F F I D A V . I T STATE OF NEW YORK County of Warren , I swear that to the best of ay knowledge and belief the statements contained in this application, together with the plans and apacifications submitted, are a true and compplene scatemtanc oZ all proposed work to be doge on the described premises and that all pravisiona of the BUILDING Coone THE ZONING ORDXNANCE, and all other laws pertaining to s tis proposed work shall be complied with, r4r, L specified or not, and that such work is authorizad by the owner. ' a Signatur _ r own r • s agesntaar &cect ontraetor w • • w w ■ w w w w w ■ w w w w w w ■ w w w ■ w w ■ w w w w w w w w w ' ■ w ■ w ■ w w w w w ' ■ SPECIAL CONDITIONS OF THE PERMI'Tt , wwrr rrwwwwr r�.rrrrrrrr�r rrr rrrw r�wr�.rrr� • TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY. NEW 8 } YORK 1 32D� TELEPHONE BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RSCEIVED NAME :0� LOCATION �• - r �+ DATE PERMIT # PPROVED ES NO FOOT,rNGfPIERS MONOLITHIC POUR FORMS FOUNDATION/,DAMP-PROOFING BACKFILL AP ROVAL ROUGH PLUMB G FRAMING ELECTRICAL ROU -IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ST PS STAIRS-CLEARANCE ,& RAILS _ PLUMBING FIXTURES RELIEF VAL INTERIOR TRIMfPR VACY DOORS_ ` FINISHED FLOORS ..�/- GARAGE FIREPR PING + I DOOR CLOSERS SMOKE DE S FINAL ELECTRI L INSPECTION FINAL APPROV OF CONSTRUCTrON A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS. INSPECTOR YOU ARE HEREBY REQUESTED TO INSPECT AND ISSUE CERTIFICATES FOR THE FOLLOWING ELECTRICAL EQUIPMENT TO BE INSTALLED BY THE UNDERSIGNED r TEMP N DATE CITY OR VILLAG �,�.Ip COUNTY STREET AND No pFl RWyp� - GOR ✓[> POLE NUMBER 4 BETWEEN.W TW'O CFIIOS,S STREM IS PREMISES LQpW S'EC:1'I0N BLOCK LUl' OC,CUPANrS NAME 9VILDMIG OCCuPANC:Y OWNER'S NAME AND ADDRESS FK)ME TE HONE NumFERR _ �f ` Z Vim" 7 CURRENT SUPPL jB"Y FROM THEIRE. ` WORK iELEP110NE NUMBER BUILDING IS ' G• -,,•,`� 11----,� 4- NENE� OLD ❑ WORK IS NEW IJ ADDITIONAL DEFECTS REMOVED LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED Loca NUMBER OF OUTLETS No. at FNctures & MOTORS HEATERS BRANCH OFFICE USE Lamp ReCoptacles CIRCUITS ONLY tpor Side ALta.Ch'I H.P. Wads AW.G. Ceiling Awl Recep'Is. Switch Pendell BnACKW No. Type Each NC` Each No. Gauge INSPECTION OUT- SIDE SUB- BASE MENT MEAT 1st FL. 2nd FL. 3rd FL. REMARKS: LIST OTHER ELECTRICAL DEVFCES NOT SET FORTH ABOVE, THIS APPUCATION IS INTENDED TO COVER THE ABOVE-USTED 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//40 Y FEEDERS ELECIAIC SIGNSILAMPS TOTAL V"TTS CHARACTER OFWORK .y� r ❑ EXPOSED GAS TUBE SIGNrrRAN&FORMERS OF uq 06%0/vlr dc.� +' !�c7{Z IF -mil ❑ CONCEALED L9RIE WORK TO BE ST f ED DATE COMPLETED SIZE OF SIGN (NUMBERI CAPACITY f SERVICE ENTERS BUILDING MANUFACTURER OF SIGN ❑ OVIER"EAD UNDEAGROUNO DATE INSPECTION REOUESTED ON (OR AS NEAR AS POSSIBLE MUST ENTEFI APPLICANTS EE —�1 II i 4.. / C 4 ✓rSE IDEN'TwwATIDNNUMBER `" I 401 GI 71I� D DELAYS BY GIVING ULL AND ACCURATE INFORMATION. ALL BE FILLED IN OR APPLMCATION MAY BE RETU PRINT NAME AND ADDRESS NAME OF APPLJCANT CW APP ly -�v� � "s r 8 STFtEET ADORES r L�� NO- CITY OR PrS 0 OFFICE iP CODE LICENSE Na WHEN APPLICABLE ❑ 65 John Street ❑ 41 State Street ❑ 670 DalaWare Avenue ❑ 217 Lake Avenue ❑ 202 Arterial Road NEW YORK, NY 10038 I ALBANY, NY 12207 I BUFFALO, NY 14202 ROCHESTER, NY 14608 1 SYRACUSE, NY 13206 THE NEW YORK BOARD OF FIRE. UNDERWRITERS x 7355E *70x14 r - 3 BEDROOM ' FRONT BEDR TER -- - --- KITCHENIBAR ' No, 1 _ -_ LIVING Roots - KiTCHENI Q BEDROOM BEDROOM 15'- 7" ig'. B DINING CEILING A �� No. 2 N0,9 fa'- 5" (902 SQ. FT.) #: 1a',a" to'- a^ �� [JiTMEpW arwc : 7333ZL * 70x14 r' KITCHENI 3 BEDROOM ' FRONT MASTERKITGHEN'SNACK BEDROOM LIVING ROOM BAR+ CATHEDRAL ` Aro- BENo,3 . ts'- 7" -- CEILING (902 SQ. FT.) CA771EUIMt Cfitllp S {Fx+ aft "` e€u i airy Op 7384F * 70x14 --- -- - �r ! !� �� MASTER if it C+iNE°A{ fiki�f a KITCHENt i.»iiM°EAM5 3 BEDROOM 'FRONT aEDRooM -- �I r I +°°« DINING IsITGHEN/ISLAND' No. 1 (�� ROOM - r===== ____ - - =_- r 15.. ¢.. 1, SNACK BAR• WALK-IN 12'- a" A Na. 2 M s LIVING ROOM G a i {k BAY •CATHEDRAL I, g- a" a 14'- e' r, W CEILING (902 SQ. FT.) + - S � arc +EE ii WfEf>i) u lid _Y Luzerne Rd. Phone: Queensbury, NY 12801 792-5838 ------------- F ; Q � i 11 i F 7 4 3 i TOWN OF QUEENSBURY Zoning A ministrator ------------------------ 4 C1 a t:. 9� C,✓ q C>