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1989-838 3 i CERTIFICATE OF OCCUPANCY TOWN Of QUEENSBURY l 'WARREN COUNTY, NEW YORK i Date November 21 19 89 s 'This is to certify that work requested to be dune as shown by Permit No. $9-$38 h*s been completed. f This structure may be occupied as a ttidb i 1 e hoffie, Location Lot #11 - Northwinds Luzerne Load i D+nner Northwinds By Order Town Board i TOWN OF QUEENSSURY Director of Bldg. do Code Enforcement i r i i BUILDING PERMIT p x TOWN OF QUEENSBURY No. -838 WARREN COUNTY, NEW YORK cm PE R M iSSI O N is hereby granted to ry OWNER of property located at lot #1 1 - Nor hwi nds - LUzerne Rnad Street, Road or Ave. �u in the Town of Queensbury, To Construct or place a mobi Ia.. 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. t. O WN E R"S Address is PO Box 224 Glens Falls , New York 0 2. CONTRACTOR or BUILDER 'S Name S TODAY ' S MODERN o rn 3. CONTRACTOR or BUILDER'S Address C7 Route 9 Gansevoort , New York 4. ARCHITECT'S Name 5_ ARCHITECT'S Address Cr r 6. TYPE of Construction — (Please indicate by X) O { ) Wood Frame { ) masonry { 1 Steel { } � �. *. PLANS and Specifications No. 26 ' x 60 ' mobile home as per application and plot plan . 7 8, Proposed Use MOBILE HOME . $ 71 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES May 1_ 1990 0 11f a longer period is required an application for an extension must be made to the Building and Zoning inspector of the W town of O.ueensburV before the expiration date.] m T Dated at the Town of Queensbury this _ 25th Day of _ October 19, 89 . rn SIGNED BY �-� for the Town of Queensbury Bulld1ng and Zoning I riseector TO Jx COMnLCTea By nLL+C , n r•J , '6 . 00 Application Na BUILDING rnu Zor4ING OCPARTk4ENT Permit lauued 9 $ay unC1 htJsvilanrJ fioad. Fi.LI, I $ox Qp Permit >acpiran � 1�r r '�.• Quwunsbury. Now York 1280I Zoning AErnignutiOn- Variance Site P+ an R.aview NON 4G, ,43 � APPL I CAT 1 CYh! FOR APPr v s by Geo MOBILE HOME cs %d F I LD I NG AND ZONING PERMIT � . ly A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWCR ALL OF THE FOLLOWING , The undaruignad hereby applies for a building Permit to do the following work which will YJaecdune is' accord"ncu with the description , Plans and elwci fication" "ub+uittad , :and such iul conditions a� uway be indicated an the &As aC . '"w owner of this , • 10 propertyr],/^� is : f' /�/�C7fG� /�''i'/` GtJ/',,.t/!�.S ,/.r✓G r _ . 4. A+(�l> aa3s I ��/�CS F"-r9CG,s � rt f •ref . �9v - 5�, 3 � ['ropy.: y Location : G. �Zc.J'2nJ�" 2f3fTa� 5tra et l.wlibur or buildiing lot nuuiber Tax Map t uLdlvision name ( if applicable) ie2Q /Z 7 6#q 4lJjA1j:>jS /Rid 7'IlL 1'YiILSON 1tESPt]NSItiLE FOR SUPERVISIOW OF WORK AS U=A.RDS UUII DIN+C CODES ISO f'ea .4�l+s n�aaE �Z/U -� ,uLIJOJ) sZL 24 .�.t1sEy�FZ - � NY 1zA3/ 798 /l.]3Z f' O Addres u Nrutle of i ul . No , Installer SGC Address Nutlkv +ur` PILuwk.)ur Tel , NNnwj of as�,;a;,iorr Addrauaa `i'al . AacJreau �,"ol . MOBILE HOME INFORMATION : + ZONING INFORMATION : Now 11044e Placement R,.�dr S '.� A, PLOT PLAN j»1UST . I3L' PREPARED 71.Na SUBMITTED , 1R. enlacing exist . ng Ho :n : p�LJQ + drawn raasonably to Berle and ,wtGached hereto, . rshowing clearly and distinctly all buildings , Site o£ new Home_ ,� (�, ft X a ft » �/ � whether axisting or proposuJ ;,und ,indicate) all ` sat-back dianens .i or}s i rain , Single w ' 'le Double wider r property lines . Givq strerat and numYaur or lot nuuKber :and indicate No . of rooms ( excluding baths ) y� + whether interior or corner lot . Show location + f watsar supply No . of bedrooms ; o PT+IY and location and configuration of septic disposal aro" a rlo . of ba th rooms � " -- • COKPLETk INFORMATION rtC¢UInED BELOW , Fireplace? /Ud Wood stove? /tA . Size of property. ft X /l00 ft . Poundation Style and size : Exia3ting buildisxg ( s ) 5i2e Et Picts- No . of 5i ft x ft. J xisting building ( a: ) [Jaz<: Depth below grade ft. + rrop< rswed buildingJ FOUNDATION footing size g �• . . eIi ± L.aneu froau property line Wall material + Front yard Z L3 Et Rear yard fc + Side y" rds /C] yft and wail thickness `"{ Height ft. . If an corner# 5etk,ack froNa aid= atruac ft Total depth below grade ft, r OCCUPANCY INFORMATION Grade to Home floor level ft , + xaR�M ►RY UUII&DING " ■ * '+ + w . w w ■ ■ ■ w w 0 IN w w * * + family dwelling Proposal data of placement • family dwc:llin9 / Multi dwalling / Number of unit" A pr o x . V a l u w of Irome $ !E» 0bL7 . Perm"non t occupAncy Water supplyw 'Cx"nslent occupancy - well Municipal JJusineus SeI]tic Permit required? + Industrial + Other r eZa4 $A ft* 1+\ � �p�p �--� �Q` . if additioar , wliut wILI us b FURTHER INFORMATION REQUESTED ' ON 7H * ACCESSORY ULJILDTNTHE' REVERSE SIDE OF THIS SHEET * * Detached garage/one car/ two car/ car Attached garage/one car/ two car/ car t" C)0rf � C .Private storage building Other rl �. • Form M11P 5 / a6 and - vl APPLICATION FOR MOBILE HOME PERMIT, ( CONTINUED) State of Now York Division of Housing and Community Renewal INSIGNIA OF APP0VAL OF THE STATE BUILDING CODE _00vQ7 90;6 -77 / '9.-✓lJI�r" G 1 . INSIGNIA SERIAL NUMBER 4 2 , NAME OF MANUFACTURER .S "9C /-✓� L���'c--'rlpnJ �. 3 . PLAN APPROVAL NUMBER _ 4 . MODEL OR COMPONENT DESIGNATION -� S . MANUFACTURER ' SPSERIAL NUMBER b . DATE OF 'MANUFACTURE , A Z Z the - above inf armati. on ie to be found on a Plate or oti oker which ohou Zd be affixed to the Ajobi Za Home . Complete .above faith that infairr+ution. Town of Queensbury County of A F F I D A Y . I T 'Warren STATE OF NEW YORK I swear than to the bust of my knowledge and belief`' the statements contained in this application, togrethor with the plans and specifications submitted, are a true and complete starQ%4&0nL of all proposed work to be: done on the described premises and that all provisions of the BUILDINC CODE , THE ZONING ORDINANCE , and all other laws pertaining to the proposed work slwll be complied with, whether specified or not , and that such work is auchorIzed by the owner. Signaturelit .. .. r, P � er • s agen , arms t , eontractor w r � • r r w w w r t r w r • .► • w r r , r r w r w r i r r w r ♦ r r r ` r r r w w w r • r r ' w SF'E:CIAL CONDITIONS OF THE PERMIT : APPLICATION FOR MOBILE HOME PERMIT , ( CONTINUED) Sete Of New York Division of housing and Community Renewal INSIGNIA OF APPh,0VAL OF THE STATE BUILDING CODE 1 , INSIGNIA - SERIAL NUMBER__ _ �7 - 2 . NAME OF MANUFACTURER _ S'e5enoo /'5- -o'-se' 3 . PLAN APPROVAL NUMBER 16W .' 4 * MODEL OR COMPONENT DESIGNATION 5 . MANUFACTURERtSk SERIAL NUMBER / /'L.�'/'• '7� •.. ,�,' ]'/ [) ,, G . DATE OF •MANUFACTURE AZZ they above , infGrmation 7 e& to -be found on u pZate or aticker which 3hou Zd be of fixed to the Alobi. Ze florae . Complete, .above tai.th t)=t informatioh, TO of QUO ensbury 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, togcthar with the plans and &pacification* submitted , are a true and complote stataxna" OZ all ,proposed work to be done on t-na described premises and that all provisions of the BUXLDING CODE, THE ZONING OROXNANCE, and all other laws pertaining to the proposed work . shull be Complied with, ►+Ihether apucified or not, and that such mark. is authorized by the owner. 1 Signature _ ar, ' o er • e a en arcni t ro `� . • ntraator "' ' w r • • • r * r r r w w r w r r r w , * * • * w * r r w w r w r r w ` r * * * * * * SPECIAL CONDITIONS OF T11E PEPHIT s THE NEW YORK BOARD OF FIRE UNDERWRITERS ; ` j [ BUREAU OF ELECTRICITY 41 STATE STREET, ALEIANY, NEW YORK 12207 Dote T- j_ ! r` ` 1 3 Application No. on file THIS CERTIFIES THAT onjy the electrical e"ipn"nt as described below and irstrodttoed by the appileant moaned on the above appileation nnrnber in the preasieee of I : t. T -. # . I . L T T•: S . ' L .l in thefollowing location; ❑ Daserrrent ❑ lot Fl. ❑ 2nd Ft, -.l T Section Block Lot was examined on .T_•: " - :• 4 I ! and found to be in compliance with the req"irements of this Board.FIXTURE RXTURES I RANGES ICOOKING DECKS I OVENS IDISHWASHERS 1XNAUST PANES OUTLETS EGEPTACLES SWITCMES 1NCANOESLENf FLUOMSCENT DTHER AMT. K- W. AMT. K. W. .EMT. KIWI AMT- K. W. AMT, H. P. DRYERS FURNACE MOTORS FUTURE APPUANCE MIR$QRS JSPEOAL W&VIII TIME CLOCKS SELL UNIT HEATERS MUITI4WTUIT DIMMERS AMT. K- W- OIL H. P. GAS N. P. AMT- No. A. W. G. All MY1►. MAT- Amm TRANS. AMP, N. P. SYSTEMS AMT WArT3 _ ttQ. OP fHT r? sarvi CE DISCONNECT NO- Of S E R (t}y V 1 C E AMT. AMP. TM►E PROVEN, 1 A' 2W I W 3W 3 X 3W 3 0 4W NO" OF CCPER rCONO. OF C CGN4. NO, OF HI-EEG Off H LEG NO, Of NEUTRALS Go 04*WRAL OTHER APPARATUS: BRANCH MANAGER Per This certificate must not be altered in any manner, return to the office of the Board if incorrect. Inspectors may be identified by their credentiaIII ls. COPY FOR BUILDING DEPARTMENT. THIS COPY OF +CER I TE S N T BE ALTERED IN ANY MANNER, r TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVI,LAND ROADS QUEENSBURY, NEW YORK 1 28Q4- TELEPHONE (518 ) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FO INSPECTION RECEIVED NAME LOCATION DATE f PERMIT # APPROVED YES NO TING/PILRS MONOLITHIC POUR ORMS FOUNDATION/DAMP- OOFING- BACKFILL APPROVAL ' ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: �. FOUNDATION FLOORS WALLS / CEILING yFINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES./ TEPS STAIRS-CLEARANCE RAILS _,,,,,,_ ✓ _. PLUMBING FIXTURE /RELIEF VALVE t/ INTERIOR TRIM/P VACY DOORS FINISHED FLOORS GARAGE FIREPR ING DOOR CLOSERS) SMOKE DETO FINAL ELECTECTRICA INSPECTION FINAL APPROVAL OF CONSTRUCTION_ L! A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: y-n GJ -I:- SS (fe- Q INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS ()UEENSBURY, NEW YORK 32809- TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION (RECEIVED NAME *��Fti°k.11� LOCATION _1..._44741jjoQaat 6 -TTy DATE PERMIT #� 7 APPROVED YES NO FOOTINGIPIERS !�-tltSNOLITHXC POUR FORMS FOUNDATION/DAMP—PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-1"(V INSULATION: +' FOUNDATION FLOORS ; WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/S PS STAIRS—CLEARANCE RAILS_ PLUMBING FIXTURE /RELIEF' VA.1INTERIOR TRIM/P VACY DO FINISHED FLOOR GARAGE FIREPR PING DOOR CLOSER ( SMOKE DETEC RS \ _ FINAL ELECTR AL INSPECTION FINAL APPROV L OF CONSTRUCTION A SIGNED C TIFICATE OF OCCUPANCY MUST BE OBTAINED FR M THE BUILDING DEPARTMENT BEFORE THESE PREMI.SkS ARE OCCUPIED!' REMARKS . OK 17V- INSP TOR THE NEW Y©RK BOARD OF FIRE UNDERWRITERS CERTIFICATE NO. DO NOT WRITE HERE - FOR OFFICE USE ONLY BUILDING PERMIT NO. TEMP. M DATE CITY OR VILLAGE tOWNSHIP C !)UNTY .� r�.J,r .J__i L/" "F : �'' ... _ L- Z.✓.^J •.l{. 4 LJ STR BET AND IV . RC%AD f POLE NuM BE BETweEN w"Alr T WO,CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT _ L L l(Z' CR ./✓'C < .::.J� -S �'a`ram" . �,r ..� C- OCCUPANT'S NAME eU IL DING OCCUPANCY OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER CURRENT SUPPLIED BY , FROM THEIR OFFICE 1 AO TELEPHONE NUMBER .ram l'% ( / !r C +-"' .1 BUILDING IS ��,+ J ✓ NEW)o OLD I—I :nlR IS NE'w ADDITIONAL ❑ DEFECTS REMOVEO LJ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No. of Fixtures 8 MOTORS HEATERS BRANCH OFFICE USE r1j0 Lamp ReceptaCleS CIRCUITS ONLY SKIM Attaeh'I H P Watts AWG. Ceiling Wall Recap'Is Swileh Pendant 0racket Na Type Each No. Each ND. Gauge 4NSPEGT10N 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 ELECTF14C SIGNSRAMPS TOTAL WATTS CHARACTER OF WORK ❑ EXPOSED GAF.TUBE SIG N(fRAN SFORMERS OF 'V& CONCEALED DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN (NUMBER) CAPACITY SERVICE ENTERS BUILDING MANUFACCURER OF SIGN LJ CvCFHDAD UNDERGROUND DATE INSPECTION REQUESTED ON IOR AS NEAR A5 POSSIBLE! MUST ENTER APPLICANT'S - ✓'r C_ G ^ °i e. C IDENTIFICATION NUMBER /Ci/OID DELAYS BY QIvING r-IjLIL AND ACCURATE INFORMATION. ALL 'SPAC£S HIUST BE FILLED IN OR APPLICATIOM SHAY BE RETURNED. PRINT NAME AND ADDRESS NAM APPLICANT _ DATE OF APPLICATION s4HMGN 4F _ C TELE HONE NO. STREET ADDRESS j- �• : y �. ' y 77 CITY OR POST OFFICE ZIP CODE LICENSE NO. WHEN APPLICABLE i ❑ 85 John Street ❑ 41 State Street ❑ 570 Delaware Avenue ❑ 217 Lake Avenue ❑ 202 Arterial Road NEW YORK, NY 10038 ALBANY, IN 12207 BUFFALO, NY 14202 ROCHESTER, NY 14WO I SYRACUSE, NY 13206 .TH.E NFW YORK BOARD OF FIRE UNDERWRITERS t, ti S Y� • i,r Luzerne Rd. Queensbury, NY 12801 Phone: 792-5$38 i F « x i t t 9 t i iI - t t L41 i 100 -ITO oh o; oz18 Ztming Administrs r r I 1 EP FIREPL GdRGEN WIN ftEF � �J� ` 1711� ACE �— TUA - PAN FINNi r � i A BEDROOM KITCHEN No. 2 - 8 UTILITY 16' 4" 10' i0" a I _ LINEN . I i �I - -U - S K t 2p60 DRr i �, CATHEDRAL CEILING CATHEDRAL CEILING CATHEDRAL CEILNG XIMHENIDININGIGREAT ROOM CATHEDRAL CEILIND hY � t' GREAT ROOM 16'- 0' MASTER — BEDROOM � 11 DINING BEDROOM 3 . 1 '' ROOM No No. 171 41. F 1D` 8" 12' 0" _ I f Jt I '603 * 6428 i BF.ROOM • CENTER KITCHEN • GREAT ROOM 2 BATHS GARDEN TUB •CATHEDRAL CEILING THROUGHOUT ( I,560 SCE. FT) . , L//7 ,_I S d✓.G' 7 r Z tPr? Cr` cSi /, 6 9 ' c � r