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1990-712 ,„,---rt CERTIFICATE OF OCCUPANCY .. 1 TOWN OF QUEENSBURY , \ WARREN COUNTY, NEW YORK , . Date November 7, —,..-- t . - This is to certify that work requested to be done as shown by Permit No. 90712 has been completed. , This structure may be occupied as a single family mobileehomp /0 Ohio Avenue , Location Owner Tn9P.YS MODERN . , t By Order Town Board TOWN OF QUEENSBURY ,, *'.."\------....,•-•,,Tw 0 < . Director of Bldg. & Code Enforcement , , BUILDING PERMIT -I TOWN OF QUEENSBURY No. 90_712 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Todays Modern OWNER of property located at Ohio Avenue Street, Road or Ave. Iv co in the Town of Queensbury,To Construct or place a Single family 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 54 Route 9 Gansevoort NY 12831 --t 2. CONTRACTOR or BUI LDER'S Name (N 3. CONTRACTOR or BUILDER'S Address • 4. ARCHITECT'S Name 5. ARCHITECT'S Address 0 CD 6. TYPE of Construction—(Please indicate by X) CD ( )Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications No. 14'x66' Single family mobile home (1991 Skyline) as per plot plan, specifications and application_ 8. Proposed Use Single family mobile home co $ 29.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 12 19 91 (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.) Dated at the Town of Queensbury this 12th Day of October 19 90 ( / - /� SIGNED BY for the Town of Queensbury Building and Zonirif nspector ...acc�� TO BE COMPLETED BY IILGC. DEPT. • wn of Queell.11ary Application No. ciWN OF C�IJFFeJSB 1 Permit Isuued URl• BUILDING Ana ZONING DEPARTMENT • 10 RECEIVED Bay unb Huviland Road. R.D. 1 Box DO Permit F:xplrcu__�lg-" """ Q a Huv uty,.Nuw York 12©O1 ' Zoning Duuignation . • Variance No. OAT ... . Site Plan Review No ' • .,, APPLICATION FOR • Approved ' . Qt.DG: .4 CODE.;I EPT. MOBILE HOME .�„ , � /� r FUILDING AND ZONING PERMIT J ' A ) •... s • : 'w * * i * * • A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF,THE •FOLLOWING. -. `..'The underuigned hereby applies for a Building Permit to do tha following work:which will. . bits done in .accordance with the description, plans and s special conditions au may b© indicated on the Permit. Peeificacionu riubmitt:td; urtid:such ' ' • The owner of this property is: 5 />i9 • . . P.U. Addrdus l -.•, ,,. : . ., . •-,.�:. ,.4fE cx9/?7. /J y /0g..i / Tel. -7,P-7 :i Property Locations G)y/ 4y, Street. ,,uniber or building lot number Tax Map No. Z • Subdivision mama (if applicable) • THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: Name • P.O. Address • . Name of Installer ��b4e7s �oJC-� ddreuu �• '1'c:l. No. • .:;}.;: �,. s: , Nwue ut` plumber r r �� �f �o.�,%SC i�c�c� �Tel. � �—/ Addruuu d � Name of +�uson• f, Tel. Adclrcutl _ Tol. • .. •_. • • MOBILE HOME INFORMATION: ZONING INFORMATICYJ; • • New Home Placement 'fC—S PLOT p . • 'a LAI S:AUST BE PREPARED..AND .SUBMITTED.;;;' ' Replacing existing Home WJES - • drawn ruaaonably to a cale •and•attached hereto;' `� showing clearly and diutinctl Size of new Home / ft•X • y :all building ~�' '''' 44'�ft • whether existing or ro P Posed"and 'indicate •all' .' .:' .: Single w':•le set-back diw�nsions E.rotn ro art line: l . Double wide * p. P y' ; vu- �•.• . atreot and number or lot nuMber. and',indicbtu`'''''"i"''` No. of rooms (excluding baths) • S/ . ' • whether. interior (ir' corner•.lot... Show. location. ' No, of bedrooms. • of water supply .and :loca•tion and configuration I * of septic disposal area. No. of bathrooms . • • • COMPLETE INFORMATION REQUIRED BELOW. Fireplace? 4/0 .Wood stove? Ak2 ' Size of property ' 60 ' ft X XX) ft. Foundation style and•size: SL4 • Existing building(s) Size _ / ft X 64; ft. Piers- No.of + •Size- - ft x ft. • ' 1:xisting building (u) UuepCiC /�U�C Depth . elow.grade ft. FO.NDA'I'ION - Footing size �� X „ * Proposed building, diuLanre from property ling: wall material . Front yard -7 ft Roar yard i . - ft • • Side yards /s ft and `?/ ft • Wall thickness " Height ft. -• If on corner, setback from side street .ft , Total depth below. grade t.• • OCCUPANCY INFORMATION �s Dy • Grade to llama floor level �Z- ft. . PRIMARY BUILDING • • * • • *. • • a a » • • • • ** * i * • One family dwelling • Proposed date of placement /C7l /Z l fj • Two family dwelling . Multiple dwelling / Number of units Aprox. Value, of_Home $ 2;1f 000 • Pertnanunt occupancy Water supply - Well' Municipal • 'Transient occupancy . . Uusineus • Septic Permit required? • Industrial . • Ocher • EX1S ii,1 & S/76-.. . If addition, what will use be? • FURTHER INFORMATION REQUESTED • • ON THE, REVERSE SIDE OF THIS' SHEET.* ACCESSORY BUILDING- . Detached garage/one car/ two car/ car ' Attached garage/one car/ two car/=ar ' I'rivace storage building ' Other . • • 61hi, S.L.,y, MK/. • Form MIIP 5/86 mc]-vl • N0� 61,Lr VCR APPLICATION FOR MOBILE HOME PERMIT, (CONTINUED) iL'Z-L ceP State of New York Division of }lousing and Community Renewal /9 / .criejL/ 16-7 INSIGNIA OF APPROVAL OF THE STATE . BUI'LD I NG CODE • • 1 . INSIGNIA SERIAL NUMBER- . 2 . NAME OF MANUFACTURER • 3 . PLAN APPROVAL NUMBER • 4 . MODEL .OR COMPONENT DESIGNATION • • • • • S . MANUFACTURERIS, SERIAL NUMBER • G . DATE OF MANUFACTURE , • • • • A 11 the above information is to be found on a Plata or at.ioker ' which- c hou Zd be affixed to the Mobile Home. Complete..above with that information. • 4 4 A A A 4 4 1 4 A 4 4 A 4 4 4 * A 4 4 4 '4 ••4 • 4 4 4 4 4 4 4 4 4 4 A 4 4 4 Town of Quc:c:nsbury 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 bo done on the described premises and that all provisions of the BUILDING CODE,. THE 2.ONING own ANCE, 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. Si nature ' S • ,,cr, :o r'a agent, rcnitcct contr or d • • • a a a a r a a a a * a a a a a a * a a •a a a a a * a a * a * a a a * 'a a a a a a a a * a 'a SPECIAL CONDITIONS OF THE PERMIT: • • • • • • • • • • • • • • • • • • • • • , By • • YOU ARE HEREBY REQUESTED TO INSPECT AND ISSUE CERTIFICATES FOR THE FOLLOWING ELECTRICAL EQUIPMENT TO BE INSTALLED BY THE UNDERSIGNED /�/[/� TEMP.H D 5 / 9 Ca. / f 1 CITY OR VILLAGE}e"')J i '? �t TOWNSHIP Jf O ((LL..����//�/ t_ �j STREET AND NO.OR ROAD -(( POLE NUMBER ///O rTs BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT C.tret 7/7 C.a C /E OCCUPANT'S NAME', I I1/ 4.. BUILDING OCCUPANCY OWNER'S NAME AND ADDRESS HOMET PHONE NUMBER o47/c "s r t��r'�'6' - J' arc -I/s CURRENT SUPPLIED BVt/ 'W ,� FROM THEIR OFFICE WQRK-I51.EPJiONE N)J8BEE BUILDING IS J/IVl /l/? IC.,(4/t j NEW Or OLD 0 WORK IS NEW 0 ADDITIONAL �� DEFECTS REMOVED❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE L0ca- Lamp Receptacles CIRCUITS ONLY tion Side Attach't H.P. Watts A.W.G. Ceiling 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. 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 /f0-0 1-7' 1I ' CHARACTER OF WORK _ f ' /el- / CONCEALED ❑ CONO GAS TUBE SIGN/TRANSFORMERS OF VA DATE WORK TO�IO r BE LLSSTARTEEO DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY SERVICE ENTgRS BUILDING ,. MANUFACTURER OF SIGN ❑ OVERHEAD UNDERGROUND yy DATE INSPECTION REQUESTED ON(OR NW AS POSSIBLE) MUST ENTER APPLICANTS t ® / 2U/€ L ' a IDENTIFICATION NUMBER I I I I I I G•�I AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS O APPIICANT/ J r7 _ J CS / Y/05 ATION vSIGNATURE OF APPLICANT STREET AESS PJ! `/ �/�/ �J /` TEl€FNE70 J CITY gR PO$i OFFICE� `�IP.C,O LICENSE NO.WHEN APPLICABLE a 0 85 John Street ❑ 41 State Street 0 570 Delaware Avenue ❑ 217 Lake-Avenue ❑ 202 Arterial Road NEW YORK,NY 10038 ALBANY,NY 12207 BUFFALO,NY 14202 ROCHESTER,NY 14608 SYRACUSE,NY 13206 'TI Ir Nlr\A/ `k/1-.. iz nrAr-\n, nr r-il"1r I 'him rrl\A/rl`ITrr r '-- -(.,�.v.a�.).�, -Q.,, ,1, ,�•,..,•,.).•./V.,.1. ,.0.92,,,,.,,..,,./ • ,•, 0•,,.,. •/„•e.,I.J..a•,,,.>..,..1.,AA�,.,.,.,,•ti, ,•,.k.,.,,.,,, i),,,..1,) >.,.,-, ,, , k; .I„, .1j., -L i THE NEW YORK BOARD. OF FIRE UNDERWRITERS I .t l- ! ' !� 1 ' .'0f rf ! BUREAU OF ELECTRICITY 41 STATE STREET,ALBA W YORK 12207 A licatio o.on file -, frit �; Date 'yiust'3-::AiI.ICI: I.s, l.'?`1!) PP f' <�":it�t��'i3'y(3t�;+7 1 (?4h;49 '. `; THIS CERTIFIES THAT I'EF;1IT x, t;fl 7.`.., 7 , ` --c' only the electrical equipment as described below and introduced b' plic�t aimed on the above application number in the premises of .. 1. Tt D ., ,1 '1ODEW.: I101L OIIIO AVE. . ol'LTr?:i;IiURY. N.Y. 1, in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. +s3'T Section Block Lot ., was examined on N0VE'ILEI; 07 . 9 00 and found to be in compliance with the requirements of this Board. 's iFIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS e 1 �, OUTLETS INCANDESCENT-FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT, K.W. AMT. K.W. AMT. H.P. J, -<' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT, TIME CLOCKSUNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS i � BELL 3 1� AMT. K.W. - OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. MAT. AMPS. TRANS. AMT. H.P. NO. FEET AMT. WATTS y- i. 1, - - .i SERVICE DISCONNECT NO.OF S E R V I C. E 1 t' AMT. AMP. TYPE E'QU F I"2W 1 if 3W 3 if 3W 3%4W NO.OFF CCC COND. OF CC.CGO.ND.. No.OF HI-LEG OF HI-LEG• No. NEUTRALS OF NE NEUTRAL ', 77 GO ( TT ,. L 4 R -6 OTHER APPARATUS: 1 -1: •• 1, 1. 4. 4. TGU.i.., No',EI,N 11O.IEi: Et -1 1 ROUTE ..1 • BRANCH MANAGER 3 • ,,-n` v € N<<. 12831 i, '3 c h `! {' Per a -o _% ` 1• ;! _1!a ' 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. •'i $ i.- 'itifvtifirit1ir i>s*tlrnrt*I lilt 1st%atiatvrr11WASt UtflfftmmAmu%frrvrurvetalc vviiViI LIeclatvrvivrvrt-satyr/lot 1st let likvrvf garlic U Ulf'MAW rvavr ' 3 ropy FOR RI III I]ING I)FP®RTIu1PNT THIS COPY OF CERTIFICATE MUST NOT RP ALTFQFn IN ANY MANNER TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804• f ) l/ TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 11N90 NAME j) d 0,1 ,41 0 d i h LOCATION 1(1 / �/ DATE Ji 1 1/q,6 PERMIT # R b'//A !!! 1 APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING I. BACKFILL APPROVAL \ f ' ROUGH PLUMBING \ • i' FRAMING ELECTRICAL ROUGH-IN ' `+q, . .N` . . . . INSULATION: FOUNDATION , I • FLOORS % . WALLS CEILING . ' . • t FINAL INSPECTION: CHIMNEY HEIGHT /. ROOFING - -- • /. . . SIDING ,J EXTERNAL PORCHES/STEPS /. x STAIRS-CLEARANCE & RAIL•''S PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS N,, FINISHED FLOORS I GARAGE FIREPROOFING 7 DOOR CLOSER(S) j +� SMOKE DETECTORS v FINAL ELECTRICAL INSPECTION _FINAL APPROVAL OF CONSTRUCTION ' • OK TO ISSUE C/O OR .C/GT A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!. • REMARKS:` SGevjZ& 3 GAS K_ Z (Ss & CVO ARRIVE l.. 3 S/ DEPART //'u TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804. TELEPHONE (518) 792-5832 �J BUILDING INSPECTOR'S REPORT /// REQUEST FOR INSPECTION RECEIVED ,i7 79 NAME NIO /ar//I 2Yad e4A,L v LOCATION / a ,t7/ DATE / //a PERMIT # - 742 APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL • ROUGH PLUMBING I; FRAMING ELECTRICAL ROUGH-INS I,' I INSULATION: (� FOUNDATION it FLOORS ' if WALLS . . . d CEILING •It( • FINAL INSPECTION: , CHIMNEY HEIGHT . . • ROOFING — SIDING y' EXTERNAL PORCHES/STEPS .' I" STAIRS-CLEARANCE & RAILS/ PLUMBING FIXTURES/RELIEFJVALVE INTERIOR TRIM/PRIVACY D'DORS FINISHED FLOORS Ali GARAGE FIREPROOFING ;' ' DOOR CLOSER(S) y' t SMOKE DETECTORS ,1 FINAL ELECTRICAL INSPECTION. . . . ' . . . . . FINAL APPROVAL OF CONSTRUCTION . OK TO ISSUE C/O ORIC/C A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!• REMARKS: 1 ! 9 1 5 b (33 r6-&-o S76P5 r/ts,G/JJ.0 1A) l -c /J&& I i�f//�-- , L- -Cot(04 . (z- its /4a t ri t i vJts /,!/C S• - ARRIVE -;,5 la.) / 7\ DEPART I T NR P F7rT()R FORM FOR BUILDING DEPARTMENT INFORMATION CERTIFICATE WE ARE IN THE PROCESS OF ISSUING AL IINSTALLATION , ' � OF COMPLIANCE FO THE APPLICATION FILED WITH OUR '• AS COVERED IN AN DISTRICT OFFICE. THE NEW YORK BOARD OF FIRE UNDERWRITE APPLICATION NO, 0, 0 4. t 0 /I ii e P-- I-4-P / 1 . IV:I___. (. . _______(9 6-, ---- . INSPECTOR DATE _ - -- FORM 1BD(REV.1/86) -,1f 1M vN -4 � ti�£i � r OPTION.FOR CATHEDRAL CEILING_ x-,;,f�.,-.� . , 4 .�,s -.,.. --c_- : :- .ram. -_ -. .: .- -.01 , THROUGHOUT AVAILABLE. . . .,W1, MAswnn 7 I I 73.92,T *4 bx 14 . , �. /, , —�� . . Tv . LIVING ROOM ; 1 . 2 BEDROOM • FRONT `` KITCHEN • SNACK MASTER (j� 18'-4 __ ___ KITCHE • N/__ BAR•CATHEDRAL BEDROOM A �LI BEDROOM uraawrtwrs �� DINING -- , 14'-8" �' No.2 11:8 CEILING (902 SQ. FT.) - 10 1 13•=4^ • . CO • r i 0 CD • o • Q , •.� ?i. • 0 cco rnED ® Cra " C i J • 60 0.1ja'it4r: 01 • Po W-e./1 ocpat Tx) • BLDG. & CODE DEP r - • • NN (IF QUEENSB U 14'1' 37' • Adrninistrat9 Date Ofi/o •