1990-663 • ,f,1 i
.. ,..44 . ' .
,
CERTIFICATE OF OCCUPANCY
. , TOWN ..iF QUEENSBURY
WARRE; ;' COUNTY, NEW YORK
3 .
Date >/r/7_,J /7 19 9/
• e".
This is to cJrtify that work requested to be done as shown by Permit No. 90-663
has been completed.
• - This structure may be occupied as a single family mobile home
eamodel only - no hookups
1.nrati () ) i
i '7 Lot 25 Homestead Village
on t La_t-r71 6
'17 P.V. SALES/Owner-mobile home
i Owner HOMFSTFAO VTI1AGF MOBTI F HnMF PARK/
By Order Town Board
5 ,TOWN OF QUEENSBURY ,. . ,
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i 447/7/Z11/ Sze,42:411-/ifi-
, /--"L -.7.. ,
I
Director of Bldg. & Code Enforcement
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_ ,
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 90-663 �.
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to P.V. SALES
OWNER of property located at Lot 25 Homestead Village Street, Road or Ave. co'
I
in the Town of Queensbury,To Construct or place a Single family mobile home F'
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 ttU n I tArUssY TILLAGE MOBILE HOME PARK
Luzerne Rd -n
Queensbury Ny 12804 •
2. CONTRACTOR or BUILDER'S Name
P.V.Sales m
3. CONTRACTOR or BUILDER'S Address
Rt 50
Ballston Spa NY 12020
4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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3
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6. TYPE of Construction—(Please indicate by X)
rD
Iv
IZ
( I Wood Frame ( ) Masonry ( )Steel ( )
to
7. PLANS and Specifications •
No. 1977 Vista Mobile Home - single family - as per plot plan, specifi-
cations and application.
8. Proposed Use
Single family mobile home - model only.
0
0
$ 3S.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 11 19 91
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0
9
town of Queensbury before the expiration date.) !D
Dated at the Town of Queensbury this 11_,th Day of October 19 90 0
a
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SIGNED BY . e°(?G ) for the Town of Queensbury 0
Building and Zoning Inspector �,
TO BE COMPLETED BY BLDG. DEPT.
licaJ
_lawn 0/ c)ueeni1g44F <rc\Q"- . tion No. 1
.v'�-. E:,- Permit Issued 19
BUILDING and ZONING•DEPAATMEfJT' ` `
Permit -Expires 19
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation1 i*:(,,,,,,.
Clueensbury, New York 1288Ep 27 1•• Variance No., f!/--------
Site Plan Review No. � 1
APPL I CAT I ON BEB & CODE DI~Approved by: �0C/I�.S U.�
• MOBILE HOME r
PU I LD I NG AND ZONING PERMIT II 1 -
A•
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 property is: "/iYtie54 )- U/ /// .2 Innb14 / i
P.O. Address LeZe?/ _ /`p1 (.yea,..)s {tea,• Tel V (70
Property Location: ,��
( Ey ` . Tax Map No. ( .Ai if
eet :.umber or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
.Name P.O. Address (� I Tel. No.
- Name of Installer?V. SA-ICES Address ��1�0 ((.lS4 &.) c- Tel. s.$S'-W'dSd Name of plumber Address Tel.
Name 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 14/ ft X 70 ft . * whether existing or proposed and indicate all
�/ * set-back dimensions from property lines. Give
Single w •,e • )C Double wide . * street and number or lot number and indicate
No. of rooms (excluding baths) * whether interior or corner lot. Show location
• * of water supply and location and configuration
No. of bedrooms :2j * of septic disposal area.
No. of bathrooms / *
* COMPLETE INFORMATION REQUIRED BELOW.
Fireplace? gyp-Wood stove? ti✓A- * Size of property : 4:,(5 ft X 10O 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 *p grade ft.
*FOUNDATION _ Footing size____" X I. Proposed building, distance from property line
* Front yard ft Rear yard ft
Wall material * Side yards ft and ft
* If on corner, setback from side street ft •
Wall thickness " Height ft.
* OCCUPANCY INFORMATION .
Total depth below grade ft. *
Grade to Home floor level ft. * PRIMARY BUILDING
* * * * * * * * * * * * * * * * * * * * * JLOne family dwelling
4Two family dwelling
Proposed date of placement 0 / L' c7
/ O * Multiple dwelling / Number of units
Aprox. Value. of Home $ Va Opp * Permanent occupancy
f * Transient occupancy
Water supply - Well Municipal • Business
* Industrial
Septic Permit required? * 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
* Private storage building
* Other
*
•
Form MIIP 5/86 and-vl
APPLICATION FOR MOBILE HOME PERMIT, (CONTINUED)
State of New York Division of Housing and Community Renewal
INSIGNIA OF APPROVAL OF THE STATE BUILDING CODE
1 . INSIGNIA SERIAL NUMBER 'WU 2-551
2 . NAME OF MANUFACTURER
3 . PLAN APPROVAL NUMBER
•
4 . MODEL OR COMPONENT DESIGNATION
•
5 . MANUFACTURER ' S SERIAL NUMBER • t;2 20 '2
6. DATE OF MANUFACTURE I Q-?7
•
•
•
•
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 * * * 4 4 * 4 4 4 4 4 4 * * 4 4 4 * * 4 4 4 4 * 4 4* * * 4
Town of Queensbury A F F I D A V .. I T STATE OF NEW YORK
County of Warren
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.
Sigaatur
Owner, owner's agent,arcnitect,contractor
•
* * * * * * * * * * * * * * * * * * .* * .* * * * * *• * * * * * * * * * •* * * * * * * * * * .*
SPECIAL CONDITIONS OF THE PERMIT:
•
•
•
•
• . By
• •
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( ..-...-(K- (--/TN.06\re,‘)&.1-0_7 j__I 0,p 6r.
TOM OF QUEENSBURY
yl *e'\1_ , %..
531. BAY`` j: QUEENSBURY, NEW AD
RYORK 12804
- TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTIONS
REQUEST FOR INSPECTION RECEIVED RECEIVED 57/9/9/
\) 3ll ( / /
NAME �l {l,�
LOCATION c.)-6 5 l�/1-TR9.2-2,-,r O
DATE _ g PERMIT, 9;-Z,/ /J
TYPE OF RE
RECHECK
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
_FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION WOTSTOVE/FIREPLACE
SITE PLAN/VARIANCE REQUIREMENTS YES NO
REMARKS
' APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING •
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED i '.
STAIR CLEARANCE/RAILINGS •1
HANDICAPPED ACCESS F
SMOKE DETECTORS /
BATHROOM FANS/WHOLEHOUSE'FANS
ALL PLUMBING.FIXTURES OPERATING
GARAGE FIRE PROOFING /
DOOR CLOSERS I ,
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS I•
DUMPSTER /
FINAL ELECTRICAL 4 po,, SI L '
OK TO ISSUE C/O OAR C/C x
COMMENTS; I
YM.or 0 ti-i=(--ea-o
VO 0 --
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FUR— g(-46-C. -n
ARRIVE "
DEPART 2
TOW UEENSBURY tTr,
BUILDING , DES DEPARTMENT a�� 4
531 E ROAD' 1 ) r
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /,l/457,/
NAME n/.1/�%i.i?..
LOCATION ,13--7 • �,?? P -Pl�/77(y
DATE i/ q/ / PERMIT # 9Q - l
TYPE OF STRUCTURE - 9/,/,t. c /e,. 7 - -
RECHECK APPROVED
,' N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM ;.
REINFORCEMENT IN PLACE f
THE CONTRACTOR IS RESPONSIBLE /
FOR PROVIDING PROTECTION FROM if
FREEZING FOR 48 HOURS FOLLOWING'
THE PLACEMENT OF THE CONCRETE/
MATERIALS FOR THIS PURPOSE ON+SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE I
FOUNDATION/DAMPROOFING ,;'
BACKFILL APPROVAL 3
ROUGH PLUMBING A
PLUMBING VENT/VENTS IN', PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS /
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN ,BEAM
FIRESTOPPING :i
WALLS /i
CEILING i
FIREWALLS 1 A
HEATING ROUGH-,IN i
INSULATION: . d
FOUNDATION 'WALLS INTERIOR R-
FOUNDATION/WALLS EXTERIOR R-
FLOORS I i R-
WALLS i MR-
CEILING / 'IR-
DUCT WORK OR PIPING IN UNHEATED
SPACES I `i,
1
REM- KS: 1iN602
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DEPART /0�(C) /L% _
INS ECnOR
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" QUEE 11 r'A- /cry 7® 3 e3R 113/4-4-11
DESIGNS, SPECifICATIENS, AND PRICES ARE S.J&EECT TO CHANGE MITNCUT NOTICE. SCME OrT1
SHOW. SOME 11I1ES. *HEELS. BRAKES. AND AXLES ARE REUSE) Ann CAUL INSHECION. 2-A y
SEP 2 7 1990 .
QLc . 6: CODE DEPT.
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