1991-039 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY,. NEW YORK
Date March 13 19 91
This is to certify that work requested to be done as shown by Permit No. 91-039
has been completed.
This structure may be occupied as a DBLMIDE MOBILE HOME - Single family
Location LOT 52. L HZOERHE RID
Owner HORTHbIINHS, INC.
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
a
TOWN OF Q U E E N S B U RY Na 91-039
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to NORTHWINDS N
OWNER of property located at
LOT 52 LUZERNE RD Street, Road or Ave.
in the Town of Queensbury,To Construct or place a DBLWIDE 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 =
PO BOX 224
GLENS FALLS, NY 12801
N
2. CONTRACTOR or BUILDER'S Name
TODAY'S MODERN (joe nudi)
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3. CONTRACTOR or BUILDER'S Address
54—Rt9 cf,
Gansevoort, NY 12831 r
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4. ARCHITECT'S Name fD
CD
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) C
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co
( )Wood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and Specifications
No. 222 x 40 sq ft DBLWIDE MOBILE HOME as per plot plan specifications
and application
8. Proposed Use
DBLWIDE MOBILE HOME
$ 29.00 PERMIT FEE PAID —THIS PERMIT EXPIRES February 14, 1992
(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 14th Day of ,February.
19 91
SIGNED BY / 249 for the Town of Queensbury
Building and Zoni' Inspector
n TO DE COMPLETED BY, RLDC. DEPT. ' ' , :
_/emir u/ Quee,,jiL, , APPlcationNoT �OUILUING snu ZONING pEPAATM
PermitExpires -vviN1 OF Q9JEENSat;1-
Bay dna Haviland Road, R.D.`1 Box 08
Ousensbury, Nuw York 12801 Taring Des on.gnati RRECEIVEDVarianca No.,
Site Plan Review No. 1D9�
APPLICATION FOR / • FEB
Approved by /
MOBILE HOME " �` -
'PLC G & CODE DEPT.
/
RI LD I NG AND ZONING PERM I•T Cif, 03-
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A ,PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OFTHE' FOLLOWlNG.
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.
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The owner of this property is: /110274 t1/,r/1js�
P.U. Address �0. /� /�G. .
Ax y, �'LE�uS F./gas ,cJ `1 12 Sp ( Tel. �9dZ-S&36
Property Location.: L.aZv2nlE 2o/1d
Street ,:umber or building lot number Tax Map No. �_f
Subdivision name (if applicable) /ub•2 T//i J/NpS , • ( f , ,.THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS;
PA•Lfts ,•✓►OdE2iJ Tod Nuei S-4 24. g 6 4.4)SEUD027, N Y .l zg3/ 798 1032_
Iamc. P.O. 'Address Tel. No..
Name of Installer S Ame
Name Of plumber Address Tel.
Name of „risen SA—L Address Tel.
nga Address . ' . Tel.
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MOBILE HOME INFORMATION: ► . ZONING INFORMATION:
New home Placement Yes • ' A. PLOT PLAN MUST BE PREPARED• AND SUBMITTED,
Replacing Pxz.cr;,.,c. . liY _. NO '-"drawn' reasonably to >±ccale and attached hereto,
w showing clearly and distinctly all buildings,
Size of new Homec2 ,�,Z,€t X 0ft . whether existing or proposed and :indicate all.
Single vileDouble wide a Set-back dimensions from property lines. Give
street and number or lot number and indicate
No, of rooms (excluding baths) * whether interior or corner lot. Show location
No. of bedrooms 3 • of Water supply and location and configuration
of Septic disposal area.
No. of bathrooms ,„2... • "
. COMPLETE INFORMATION REQUIRED BELOW.
Fireplace? Wood stove? /4)16) • " Size. of property S ft X //O ft.
Foundation style and size: "Existing buildingls) Size ft X ft.
.Piers- No.of Size- -• ft x ft.
Existing building (s) Use
Depth below grade ft.
FOUNDATION - Footing size " X is building, distance from property line
" Front yard 2 ft Rear yard 54S". ft
Wall .mate O� )(/S 7/46 S646 Side
" yards fD ft and ,Q / ft
If on corner, setback from side street ft •
Wall thickness " Height ft. .
Total depth below grade ft. ~ OCCUPANCY INFORMATION
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Grade to •Home floor level ft. . PRIMARY BUILDING - •
* * " JLOne family dwelling
Proposed date of placement /. g� " Two family dwelling
" Multiple.dwelling / Number- of units
Aprox. Value. of Home $ c {j) •)O0 " Permanent occupancy
Water supply - Well Munici al " 'Transient occupancy
P Business
Septic Permit required? Ai() •
Industrial
Ai()
Other
Alr¢ad7 iit -- to s pgt_--Pa4. " 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
loon" pia/A. " Private storage building
" Other
® jtdri C,4 IA-1•s c c oil . •
CQ plot pla •
Forme MIIP 5/86 and-vl •
r 1 r
•
b0/6 4 6- A /9V // r co�E =
,cel/c- - a/.//9/
APPLICATION FOR MOBILE HOME PERMIT, (CONTINUED)
State of New York Division of Housing and Community Renewal
INSIGNIA OF, APVi OVAL OF THE STATE . BUILDING CODE
1 . INSIGNIA SERIAL NUMBER
2 . NAME OF MANUFACTURER •Lc'�yc / E•'•
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3 . PLAN APPROVAL NUMBER
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4 . MODEL OR COMPONENT DESIGNATION •
S . MANUFACTURER' S• SERIAL NUMBER .
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6 . DATE OF MANUFACTURE •
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All .the\ above 'info'rmation is to be found on a plate or sticker . which
should be ,affixed to . the Mobile home. Complete..above with that information.
4 4 A 4 4 4 4 4 4 4 4 * 4 4 4 4 4 A 4-* 4 '4 ' 4 4 4 4, 4 4 A 4 4 4 A 44 4 * 4
Town of Queensbury •
A F F I D A V . I T
County of Warren 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 a. 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, whethe specified or not, and that such work is
authorized by the owner.
/Siga►ature___ �
,r, •o'-'/'r'u agent,arcnit t,C actor
* • • * • • * • • • • * • * * * * • • * * • * • • • • • * * * • • • * * • • • * * • • • * ••
SPECIAL .CONDITIONS OF THE PERMIT:
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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 0 L ,33 i� c`T �•j ;;1 /0 .
2 . NAME OF MANUFACTURER &1c.yc(I•J 5 •'•
3 . PLAN APPROVAL NUMBER 1 (.73 • • .
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4 . MODEL OR COMPONENT DESIGNATION ��ovd' /I �'i �' CGr)- c=f
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5 . MANUFACTURER 'S. SERIAL NUMBER tom.// . _O f�7V 0 V '/' &046 f 0/9
6. DATE. OF 'MANUFACTURE .D .7 . 6I I' • _ . •
......./..p_
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 1 4 4 4 4 4 4 4 4 4 , 4 4 4 4 •4 • 4 4 4 4 4 4 4 4` 4 # 4 44 4 4 4
Town of Qucensbury
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 or all proposed work to ba 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.
- - --_------ - — - Signature - - — -.
' Owner, •owner's agent,arcnitect,contractor
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SPECIAL CONDITIONS OF THE PERMITS
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YOU ARE HEREBY REQUESTED TO
INSPECT AND ISSUE CERTIFICATES
FOR THE FOLLOWING ELECTRICAL
EQUIPMENT TO BE INSTALLED BY
THE UNDERSIGNED
TEMP.# DATE 7�� _ i i `Z•
2/11/91 " �
CITY OR VILLAGE TOWNSHIP COUNTY
Onnenshnry W en
STREET AND NO.OR ROAD POLE NUMBER
Northwinds Lot #52 Luzerne Road
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT
Luzerne Road & Sherman Avenue
OCCUPANTS NAME BUILDING OCCUPANCY
OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER
Northwinds P.O. Box 224 Glens Falls, NY 12801
CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER
��lmo 792-t8RR
BUILDI NEW I IImo�y..
A OLD❑ WORK IS NEW❑ ADDITIONAL❑ DEFECTS REMOVED❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE
Loca- Lamp Receptacles CIRCUITS ONLY
lion Side Attach't H.P. Watts A.W.G.
Ceiling Wall 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.
Connection from meter to new mobile home
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 ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA
❑ CONCEALED
DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY
SERVICE ENTERS BUILDING MANUFACTURER OF SIGN •
❑ OVERHEAD ❑ UNDERGROUND •
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANTS
Will Call IDENTIFICATION NUMBER 411210 1 61 71 81 4
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
r
PRINT NAME AND ADDRESS /
NAME OF APPLICANT DATE OF APPLICATION SIGNATURE OF APPLICANT/7 I;
�'{�9 Ut s Modern Homes 2/11/91 X ,,%i :27,, // ,I_r_ . ,.
STREETADDIiE$S 1 '' TIELLE9EP88HON�(E Nib. 2
94b R1111 E I? q ZIP CODE iI `''LICENSE IIto. EN APPLICABLE
CITY OR POST OFFICE
Gansevoort NY 12831
❑ 85 John Street ❑ 41 State Street 0 570 Delaware Avenue ❑ 217 Lake Avenue L 202 Arterial Road
NEW YORK,NY 10038 ALBANY,NY 12207 BUFFALO,NY 14202 •ROCHESTER,NY 14608 SYRACUSE,NY 13206
(212)227-3700 (518)463-2122 (716)884-1155 (716)254-0141 (315)463-8552
THE NEW YfRK BOARD OF FIRE UNDERWRITERS .. .
to..I,.sn",.?_7.V}l?"(-11,.1�(."""_,„ (."...1",!—".A("..\ ,!."kyp.w4..A(_Ay!..J.("...ln".".1"4.AT,I. %""."".".."""..,.•i j.1,i Ai-1,(..Ai.".?fit"-.1ti- ..le!.e
THE NEW YORK BOARD. OF FIRE UNDERWRITERS PAGE 1
I2OG�B I BUREAU OF ELECTRICITY ;`ww.
!, fl 41 STATE STREET,ALBAN EW YORK 12207
1; Application, o.on file. 'F
Date JULY 1G,1991 ti=llJ09"1/91 A 055620 •
W t,, THIS CERTIFIES THAT PERMIT NO 91-039 `'
only the electrical equipment as described below and introduced by he applicant on the above application number in the premises of ...I!'"
:NORT'IIWINDS, LUZERNF RD. , QUEF`TSBURY, N_ Y.
, in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. ,OUT Section Block Lot 5 J
�' was examined on JULY 9 and found to be in compliance with the requirements of this Board.
'�� JUL1 10,1,91
FIXTURE I FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
�' OUTLETS ECEPTACLES SWITCHES INCANDESCENT.FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
ilP
:-(' DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS ®ELL UNIT HEATERS MULTI-OUTLET DIMMERS '"
' AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO OF FEET AMT. WATTS G
136 SERVICE DISCONNECT NO.OF "'S:'• - - E' R V • I C Er. ,.
�� AMT. AMP. TYPE METER LAY 2W 1.%3W 3,B'3W 3"4W NO.OF CC..COND. 'Of C . OND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF EUGRAL >;:
1i
j 1 100 CB 1 l 1 1 ,I ~
a. 1:r. �, OTHER APPARATUS:
o E,
J,
4.
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-( —
TOD \5 !1UDER`vT HOMES� 54 ROUTE 9 _ C._
�' BRANCH MANAGER
GANSEVOORT. NY, 12831
-<'
Per,,39
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-4: 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.
ih?.1-1•1jel..- i•-c• CIESESIMIESTSIESSEMIlill B ® 00ll17 ® 0lO0 ® 0000 ® IIM ® ® n Nit 0 ® ® B0
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE`MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF p.,17
J
531 BAAYEROADURV �D ii/
QUEENSBURY, NEW YORK 12804
�•a.: TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S RAT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED , -?i7/9/
NAME 77, /1 , J LOCATION 4(1, ,<T.2 LeNlitze/../1✓�IJ
DATE ,,./. C/ PERMITS 9/—�
TYPE OF STRUCTURE 7PI//x,fie,
RECHECK
FIRE MARSHAL APPROVAL, (COMMERCIAL STRUCTURE)
FOOTING )(FOUNDATION BACKFILC FRAMING
ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION WOODSTOVE/FIREPLACE
SITE PLAN/VARIANCE REQUI;REMENTS f_YES NO
—
REMARKS
/ APPROVAL
a' N/A YES NO
CHIMNEY HEIGHT/LOCATION r
B VENT/LOCATION
PLUMBING VENT s
ROOFING 1
SIDING ,,
DECK/PORCH/STEPS/RAILINGS ;;;;
RELIEF VALVES
. FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY DOORS ,
FINISH FLOORS: ; A
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS a,
HANDICAPPED ACCESS ,J 1
SMOKE DETECTORS i A k
BATHROOM FANS/WHOLEHOUSE FANS 1,
ALL PLUMBING .FIXTUR'ES OPERATING 1
GARAGE FIRE PROOFNG
DOOR CLOSERS /
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER /
FINAL ELECTRICAL X
OK TO ISSUE C/6 OR C/C X
COMMENTS:
ARRIVE //;/
DEPART //=. 4—
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A CATHEDRAL CEILING ___ I
r REF �=UTILITY=� GARDEN
1 I _I_ r 1 o L.
OPT.=F �\
DOOR/ J� 3 .
BEDROOM A I Q ___ T-J
No. 3 , 1 ---KITCHEN/DINING _� s - — I�
• 10'-0" O I 13'-2" h WM • ►
--
OPT. I- a O _B--
c c CORNER. OPT. CORNER- I I 5
I —CURIO BREAKFAST CURIO^'
� BOOTH'I 1 CURIO
i i I
CATHEDRAL CEILING v CATHEDRAL CEILING--� KITCHEN/OININGAIVING ROOM
CATHEDRAL CEILING
--1
I LIVING ROOM MASTER
- OPT.: 18'- 0" BEDROOM
• BEDROOM BOOKCASE
.. No. 1
No. 2
� 12- 0
10' 0"
1_f
OPT.ENTERTAINMENT
CENTER ' ( N
V
5362CTQ *4024
3 BEDROOM•CENTER
KITCHEN•2 BATHS•
GARDEN
TUB•CATHEDRAL
CEILING THROUGHOUT
(900 SQ. FT.)
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C.
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-AWN OF S2,0i-i
FEB ,2 1991
RLDG. & CODE DEPT: