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1991-040
CERTIFICATE OF OCCUPANCY { TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK • Date March 11 19 This is to certify that work requested to be done as shown by Permit No. 91-040 • has been completed. This structure may be occupied as a DBLWIDE MOBILE HOME . - Single family Location LOT 53 LUZERIIE RD " Owner i°1ORTHWIP1DS By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 91-040 WARREN COUNTY, NEW YORK 0 PERMISSION is hereby granted to Northwinds, INC. w ro OWNER of property located at Lot 53, 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 0 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is �. PO Box 224 0. Glens Falls,NY 12801 r 0 2. CONTRACTOR or BUILDER'S Name Today's Modern (Joe Nudi) 3. CONTRACTOR or BUILDER'S Address rD 54-Rt. 9 Gansevoort, NY 12831 0 70 4. ARCHITECT'S Name v 1-4 r 5. ARCHITECT'S Address rn 3 1-4 + r 6. TYPE of Construction—(Please indicate by X) RI ( 1 Wood Frame ( 1 Masonry ( )Steel ( ) • CD •c rn 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, 19 92 (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 1anh, Day of February 19 91 SIGNED BY \ /< (Irt_�. / �� for the Town of Queensbury Building and Zoning Inspect r C� TO DE COMPLETED BY BLOC. DEPT. - awn o J QueesaJtur Application No. �N F Q!_EE�+lS:�UH' . BUILDING and ZONING DEPARTMENT • Permit Issued,_19�_ RECEIVED Bay and HawiJana Road; R.D. 1 Box 08 Permit • Desiree1_l� eusensbur New.. Zoningan Designation FEB 1991 Y. York 12801 Variance No.• Site Plan Review No. APPL I CAT hON FOR APPr e b : • • ' LDG. & CODE'DEPT. MOBILE HOME PUILDING AND ZONING PERMIT • * • • • •• • • • • * * * • * • . * • •. • * * * * • • • • * • • • • * • * • •::• 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 uubiuitted, and •such special conditions as may be indicated on the Permit. The owner of this propertyis: NOR7 /GfJ/,JCjs /�G • P.U. Address a�t„/. /-� 0 x 0202 `f, 6LE`/US rr'Yc cs' to `/ la so ( Tel. 7?.:2-SBJ E Property Location: Z-aZv2NE 20.110 • • street u.unibcr or buildiny lot number Tax Map No._f_f SuLdlvision name (if applicable) (UO "T//( J/4Jps Lit &Z THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS �i4•y►� REGARDS BUILDING CODES IS: MDrDE2N 5o6 ,iue i s-y- 24. q 6AmsEyoorz7 NY •1Zg31 778 032. Nn►ne P.O:_ 'Address Name of Installer S Av✓►,E Address Tel. Name of plumber SR`�''�E Address Name of ►orison � Tel. ---i•�-� Address _ Tel. MOBILE HOME INFORMATION: . . ZONING INFORMATION: New Home Placement y6',S . . A PLOT PLAN MUST BE PREPARED. AND SUBMITTED, Replacing ex i_.s.r ;n.g Home NQ ••-1. drawn reasonably to scale and attached -hereto,- - showing clearly and distinctly all buildings,. Size of new HomeXtVZft X yn ft ; • , * whether existing or proposed and indicate all - Single w° le Double wide x * 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 + of water supply and location and configuration of septic disposal area. No, of bathrooms . . COMPLETE 'INFORMATION REQUIRED BELOW. Fireplace? Wood stove? /lie) Size of property JrS ft X //Q ft. • Foundation style and. size: 7-0 'e * Existing building(s) Size ft X ft. Piers- CED pr(J ,C /�S �� SC No.of `Size- ft x t. • Existing building (s) Use Depth below grade ft.- + FOUNDATION _ Footing size X �� • Proposed building, distance frost property line Wall material + Front yard 2S ft Rear yard S ft. , Side yards / tt and v/ ft If on corner, setback from side atr.:ec •fc Wall thickness " Height ft. . • Total depth below grade ft. + OCCUPANCY INFORMATI(�1 • Grade to -Home floor level ft. • • PRIMARY BUILDING - . _0ne family dwelling 7 //� . 7_'_Two family dwelling Proposed date of placement L�/ v'E2/ 'i/ + Multiple dwelling / Number of units Aprox. Value. of Home $ -7i 900 + Permanent occupancy Water supply - Well Municipal , + Transient occupancy P Business . Industrial Septic Permit required? N O • Other AIr¢ady in. -F 1+1 S pgC.-P.Q4. . 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 1D0(:)' �) �` + Attached garage/one car/ two car/ car ` * Private storage building _ n Other . ®..012- 1 Cak 1v►-(s C- coil • . Qe! p`s.L-'' Form HIIP 5/86 and-vl t'ii/C C. C `I !,/ 19 9/ /fc/0 c O- 7� do c1/c Z1/9/ 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 2 , NAME OF MANUFACTURER LS'ie 3 . PLAN APPROVAL NUMBER • ►+ . `".?DEL OR COMPONENT DESIGNATION • 5 . MANUFACTURER 'S. SERIAL NUMBER • 6 DATE OF 'MANUFACTURE. • • A ZZ .thee. above: '.information is to be found on a plate or sticker which should be affixed to the Mobile Nome. Complete .above With that infozmation. 4 4 4 4 A A A ♦ 4 4 4 A 4 A 4 4 4 A A A 4 4 • A ' A A A A A A A A A A A A 4 4 Town of Qucensbury 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 c:=-pieta 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. l � Signature___ ct //.. ..071).. r, o er•s age t,arcni ,contractor • • • • • • • • • • • • • • • • • • • • • •• • • • • • • • • • • • • • • • • • • • • • • • • '• SPECIAL CONDITIONS OF THE PERMIT: • • • • • By • • • .. • APPLICATION FOR MOBILE HOME PERMIT, (CONTINUED) . State of New York Division of Housing and Community Renewal INSIGNIA OF APPKOVAL OF THE STATE . BUILDING CODE . ,• • _ • 1 . INSIGNIA SERIAL NUMBER ULLI 33/2) :). - 3 3 i-=- 13 . . • 2 NAME OF MANUFACTURER ......SY01(.... //E1.. , • . . • . . . 1 C . . . .. . • . 3 . PLAN APPROVAL NUMBER 3 • • . . .1 . . .,. ... . 4 . MODEL OR COMPONENT DESIGNATION iv/ 00Cillr'"i49 ie.'' ' .S-3 77 .CT .'. ••• ' • . . . . ..:. • r . . • ,„„ , i AD 5 . MANUFACTURER' S, SERIAL NUMBER 116,7/6?' - Li't if LIO (4(8/42 —611W O 11- . . do-, . G . DATE OF 'MANUFACTURE DIV- 0/7/ • •' . . ' . . ' . • . . ---- . Tit.c3 . • • . . . • • . • . . .• .. . . . . . ... .. •. - • • • . ' • .. . • • • An. ..the.% above 'infmation is to be found on a plate or sticker which should be 'affixed to the Mobile Home. Completa.above with that infaryna“on.. • 4 4 4 4 4 4 4 i 4 4 # * 4 * 4 # 4 ' 4 4 -4 4 '4 . 4 4 4 * 4 4 4 4' 4 4. 4. 44 4 * 4 • . Town of Qucensbury _ AFFIDAV . IT - • STATE OF NEW YORX 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 bit •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. . . - • ------- ' - 1 - — Signature • Owner, •owner's agent,arcnitect,contractor . . . . . . - . . . • . . .* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * • * * * * * * * * * • • •• . • - • •• •••-• • • • . SPECIAL CONDITIONS OF THE PERMIT: . .• -P . • l'* . . . .... .......... .. .. . • • I \r-- - . . • . - • . .. . . . \ . .• • . .__ . . .. ' :)-------- . " . • • • • .. . . • , • . . •• •• • • . • ••• . By . . - .. . • . ; •. ' • • , • • i •,.. •- • . . . . • • • . '• • • ' . • • •• • • • . • • • • . • . .• • • . • YOU'ARE HEREBY REQUESTED TO INSPECT AND ISSUE CERTIFICATES FOR•THE FOLLOWING ELECTRICAL . -EQUIPMENT TO BE INSTALLED BY THE UNDERSIGNED • TEMP.N DATE ff _ / ) J 2/1 1/91 '- / 1,f CJ CITY OR VILLAGE TOWNSHIP COUNTY Queensbnry Warren STREL 1 AND NO.OR ROAD - • POLE NUMBER Northwinds Lot- *53 Luzerne Road BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT • Lu7erne Road &Sherman Avenue OCCUPANTS NAME - BUILDING OCCUPANCY OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER Neirt hwi nc R P.O. Box 224 Glens Falls NY 12801 CURRENT SUPPLIED BY FROM THEIR OFFICE • WORK TELEPHONE NUMBER Nimo . 792-5838 BUILDING IS _ • NEW 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 tion 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- r•. BASE BASE- - - MENT 1st FL. 2nd • FL. 3rd FL. - - • REMARKS:LIST OTHER ELECTRICAL DEVICES NOT-SET FORTH ABOVE. ' ('onnertion 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 SIGNSMMPS '"", 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 IDENTIFICATION APPLICANT NUMBERS P. I 4121 61 71 14 VVVAESSRPGIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. n • PRINT NAME AND ADDRESS • NAME OF APPLICANT DATE OF APPLICATION ' SIGNAT6RE OF APPLICANT 4 1 STREE7"ADDa88r C Modern Homes .2/11/91 X //-) !;.';-1 ik--1t,.6I -� %"/nELEP ONE NO"j ORP TDFFfCEe 9 / 798-1037 CITY OS Z ODE LICENSE NO.WHEN APPLICABLE Gansevoort . NY 12831 • ❑ 85 John Street ❑ 41 State Street D,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 (212)227-3700 (518)463-2122 (716)884-1155 • (716)254-0141 (315)463-8552 THE NEW YORK BOARD OF FIRE UNDERWRITERS ' MI F. 17.• .1/..\/-,.1).11.11.!.a 1_1!..\'!-H..'' i.)!.A 14.11.,C1,!...i-1!.)_!..1/.a./.1!)/.1!..\, 1) 1 )-)..!)./_.\,!C1_11A..\/.).�1.Ca!1 l.1!-).!.A!)!-).J \!).!...!1!.-1!-) I \'!-1'),t_\!„1,.2 j.I. ! -(; 01 1 THE NEW YORK BOARD. OF FIRE UNDERWRITERS PAGE 1 74 0� - '06784 BUREAU OF ELECTRICITY 0 41 STATE STREET.ALBANY.NEW YORK 12207 4 Date 1 1 • Application ' . r t JULY 16,1))1 0-440991/91 A 055619 - THIS CERTIFIES THAT PERMIT ,JO. 91-040 -c only the electrical equipment as described below and introduc by the applicant on the above application number in the premises of o o NORT'HW INDS, LUZERN n?•">RD. ; QUEFBUR, X Y.. , in the following location; LJ ❑Basement 1st Fl. ❑ 2nd Fl. OUT Section Block Lot J 3 so®R 1 was examined on JULY 10,1991 and found to be in compliance with the requirements of this Board. • 1 FIXTUREI FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS E. - OUTLETS ECEPTACLES SWITCHES INCANDESCENT.FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 1 _ -t ;< DRYERS FURNACE MOTORS RJTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS MAT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. MAT. AMP. MAT. AMPS. TRANS. AMT. H.P. NO.OF FEET MAT. WATTS C • _ k '� - �, SERVICE DISCONNECT NO.OF . S'.' E._ R V I C • E : �. AMT. AMP. I TYPE VIMETEP 1.B'2W 1 Jr 3W 3,B'3W 3A 4W NO.OAR.COND. OF CC.COND.. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS NEUTRAL .•� 't 1 •r 1 100 CB 1 1 2 1 rp OTHER APPARATUS: :• .1, . j 1. J•tom/ TOD YS MODERN HOMES _- �;s* cruT' t"` 54 ROUTE 9 BRANCH MANAGER GANSEVOORT, NY, 12831 t- Per?3 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 e. - .... Atom/let mitt tut v. ni Ili Illetlit vat vt mat villa!Aar vet yirlat vat Air iv/Arrv[.f[glelmat Alt Wit'Wit WUWU Ant lilt vrM[lit lilt v/IMi1St vat lerlrl[Ait AW[v[1.11[vrvrrutrvtWit COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. �: el /' V Of QUEENSBURY/A tom T *`` ... 531 BAY ROAD j4, QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING IB CTOR'S RAT FINAL INSPECTIOi REQUEST FOR INSPECTION RECEIVED ._?,��/ NAME 4 _,e-/._,,6„,z, LOCATION f .5•� Wi 4/1L..�-r- ') DATE , ØØ/ PERMIT# -9f 1 TYPE OF STRUCTURE `/)t//1//c AV RECHECK fir` FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING )<FOUNDATION BACKULL FRAMING ROUGH PLUUM-BING FINAL ELECTRICAL_SEPTIC INSULATION WOMSTOVE/FIREPJACE SITE PLAN/VARIANCE REQUIREMENTS!! YES _ NO �; REMARKS l' APPROVAL . N/A YES NO CHIMNEY HEIGHT/LOCATION ': ii B VENT/LOCATION / PLUMBING VENT 'q ROOFING i SIDING ,ti i DECK/PORCH/STEPS/RAILINGS x RELIEF VALVES I. FURNACE/HOT WATER OPERATING';, BASEMENT INSULATION/DUCTWORK{, INTERIOR TRIM/PRIVACYf'DOORS FINISH FLOORS: Iy BATH/KITCHEN WATERTIGHT i; OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS c HANDICAPPED ACCESS SMOKE DETECTORS t X BATHROOM FANS/WHOLEHOUSE FANS 4 ALL PLUMBING .FI!(TURES OPERATING 1 GARAGE FIRE PROOFING i DOOR CLOSERS '� OTHER FIRE SEPARATION FIRE/DEMISE WALLS' 'i DUMPSTER FINAL ELECTRICAL ‘X- OK TO ISSUE C/O OR C/C K COMMENtS: IA\ /r f 5 ARRIVE / DEPART it A CATHEDRAL CEIUNO r C OO L I I REF ^UTILITY-It GA 6)7-1 r oCEN OPT. � DOOR! 3` / \ BEDROOM I 7 i No. 3 _—A Q -KITCHEN/DINING 10'- 0" 1 13'-2" ,T WM O4RNER. OPT.. CORNER- I g -7 - --CURIO BREAKFAST CURIO} I C�. ..._14._____.1 )1 1 f BOOTHSI� I } i i I I\ B CATHEDRAL CEILING \ l / CATHEDRAL CEILING KITCHEN/DINING/LIVING ROOM \ CATHEDRAL CEIUNG V - I LIVING ROOM MASTER ' -IOPT. 18'- 0" BEDROOM BEDROOM BOOKCASE - No. 1 No. 2 1. I 12'- 0" 10'- 0" , OPT.ENTERTAINMENT `\�j CENTER , / V\IL I■r r 5362CTQ *4024 © 3 BEDROOM•CENTER - KITCHEN•2 BATHS• GARDEN TUB•CATHEDRAL CEILING THROUGHOUT (900 SQ. FT.) r? (. 0 Z /71 90 ®v M 0 0I 0 �� 0 Z.v rr,c r4 -1 c ts� rr •...a 05 74 C •'-.,r,,r<+, . �il,T"" F.Yr,ViGikr`r, ,.':F:v�Sa,'its:%avP•9N '1<+'.`+^.�Yv`i"v.:/pyl9%:Sit }S .. K.,id r'I+T. i.`x/'--,.1i AY -,÷7d, .. . . 0 (11 1-2 (r\ V > A o (P1 (3-'\ (./N) (tir\N -vaNi FEB 12 1991 RLDG. & coos DEPT.