1991-053.. a . ` -�: t. •!:,�^t•'...1 _ ti.4rv� J .... - r '1 ..�^ - r ... - y..a-. _ ..
CERTIFICATE OF OCCUPANCY
TOW OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date March 15 19 91
This is to certify that work requested to be done as shown by Permit No. 91-053
has been completed.
This structure may be occupied as a Si nol a Family Mobile Home
Location 150 Horth,i sods
Owner John Field
By Order Town Board
TOWN OF QUEENSBURY
//)2(
3 �
•
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-053
WARREN COUNTY, NEW YORK .72
'o
PERMISSION is hereby granted to John Field
w
OWNER of property located at #50 Northwinds Street, Road or Ave. rvi
in the Town of Queensbury,To Construct or place a Mobile Home
at the above location in accordance to application together with plot plans and other information hereto filed and v
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. a,
1. OWNER'S Address is TI
RD#2 ro
Ft. Edward, NY 0.
0
2. CONTRACTOR or BUILDER'S Name
Lamplighter Homes
3. CONTRACTOR or BUILDER'S Address CT1
I—
c
N
4. ARCHITECT'S Name ro
O
5. ARCHITECT'S Address cr
rD
6. TYPE of Construction—(Please indicate by X) CD
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
N, 14'x 60' Mobile Home as per plot plan specifications and
application
8. Proposed Use
•
Single Family Mobile Home
$ 23.00 PERMIT FEE PAID —THIS PERMIT EXPIRES February 25, 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 25th Day of February 19 91
> /,
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
r ,
�j TO DE COMPLETED BY f]LUC. DEPT.
_/uw,t o/ Quee,.i1i ,,, Application No. LL1;' r �
Permit Isuued 19 �U�EiVSoUlq,
BUILDING And ZONING DEPARTMENT '' ' ��='�
Day una Neviland Road, R.D. 1 Box 08 Permit •Expiree�_19
OuuunsDury, Now York 12801 •
Zoning Designation
Variance No., FEB r .� 1991
•
Site Plan Review No.
APPLICATION FOR Ae-ro ed• by:if / ' DCa., & CODE DEFT
MOBILE HOME .e...: Or e
rPU 1 LD I NG AND ZONING PERMIT • .a/ 5 3
• r r • r r r r r ♦ r r r r r • r r r s• • Q'
•
' r r ,�r r r • r r. r r r r r r r r;: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 dune 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: Is a-�,% ��'
J
.f:O. Address Tel. Z/ 696,oZ
Property LocationR� ,l�v /2.4. y„,rtti(m-�2'd./ /-1
Tax Map No.
Street i.unibcror building lot number.
`subdivision name (if applicable) )/ 41),Z .A_4.4, ate
TILE PERSON RESPONSIBLE FOR SUPERVISION
OF ,,ORx AS REGARDS UUII.DINC CODES IS:
1 /��j. ,�•- - /may
tame P.O. AdilrNss�.n l/� _c '1'e1. 'No. •
�/
Name of Installed, vicd)/���Ci Address _.1 ,M 7 _e Tel. �`/ �foZ.-
N.,me of plumber /I r /' / Address / << " J
N:,uu of mason /r (� Tel. — yGZ
Address '' ` ol.
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 J ft X 6 ft • , • whether existing or proposed and indicate all
* set=Lwck •diuens;ions from property lines. Give
Single w le Double wide • street and number or lot number and indicate
•
• whether interior or corner lot. Show location
7 No. of rooms (exclu4ng baths/ y7 • of water supply and location and configuration
•
No. of bedrooms . -c,Z ' of septic disposal al area.
r
No, •of bathrooms • COMPLETE INFORMATION REQUIRED BELOW.
Fireplace? 11,1) Wood stove? )14 • Size of property ,/6 ft X ss 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 grade ft. •
•
•FOUNDATION - Footing size " X „ • Proposed building, distance from property line
• Front yard 04_5' ft Rear yard ._j ft
• Wall material , Side yards Jo ft and -.3 ft
Wall thickness " Height ft. • If on corner, setback from side street ft
Total depth below grade ft. •
• OCCUPANCY INFORMATION .
Grade to Home floor level ft. • PRI RY BUILDING -
* * + One family dwelling
• Two family dwelling
Proposed date of placement /oU / J • Multiple dwelling / •Number of unite
'Aprox . Value. of Home S��d45o1' ii + Permanent occu(�ancy
/ . Transient occupancy
Water supply - Well ' Municipal I- •
• __Business
+ Industrial. .
Septic Permit required? /1.,0 • 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 S/BG and-vl
APPLICATION FOR MOBILE HOME PERMIT, (CONTINUED)
State of New York Division of Housing and Community Renewal
INSIGNIA OF APPKOVAL OF THE STATE , BUILDING CODE
I . INSIGNIA SERIAL NUMBER _ 4 ;s9707//
2 . NAME OF MANUFACTURER
3 . PLAN APPROVAL NUMBER
4 . MODEL OR COMPONENT DESIGNATION 7e4.1,..4. •
•
5 . MANUFACTURER 'S. SERIAL NUMBER
G . DATE OF MANUFACTURE • /-1/k---7 •
•.
•
• • •
. ,
• . .
AZ/ the above information is to be found on a plate or sticker which
Mould be affixed to the Robile Home. Complete .above with that infcnmation.
444444444444444 * 4_ * * -* A 1414 4444444 * * A 44 4 4 4
Town of Queensbury
County of Warren • AFFIDAVI •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 plane and upecifications submitted, are a true and
complete statement of all proposed work to be done on the described premises and that all
provisions of the HU/LDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to
the proposed Work shall be complied with, whether spdcified or not, and that work is%
authorized by the owner. • . . •
. •
Sigzia ture 4.1(14.4../ /-
Owner, owger' acjefft,ercnit ct, ontractor
•
* * * * * * * * * * * * * * * * * • • • • • * • • • • * * • * * * * * * * * * * * * • • • •
" •
SPECIAL CONDITIONS' OF THE PERMIT:
• ••• •••••• ••• • -• •
•
•
•
•
•
•
•
. . • •
•
• •
•
•
•
•• • "• ' By
. • •
•
• •
. .
•
• • •
•
.' ,--,..,s _.Pry+
`� MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
i National Headquarters -
900 Haddon Ave., Collingswood, N.J. 08108 _
APPLICANT COMPLETES THIS SECTION Date: 0L7,Jy/,z/
Cit{ To&r Township- 1�"j F"-¢�'�`' )ii County '��.A.1.�.J1 State ir
Location/Address :r � /t 0 f;�v� `-'` •
fj (If Located in Rural Area- Please Attach Directions) Pole #
Owner d v-16 -- --- Permit # %f- jF
Occupigd As " - . l-ee-> -1✓w'-%• 1,e.6,` 6• - Building: NewL ' Old❑
Occupant try-1-i r''•- ' -
0 Work Area in Building (Floor #, etc.):
App. for: Wiring n Service - or: Ready for Inspection:
Fee Remitted -$ Cash n Check ‘17-74---- M.O. n Make Payable To: M.D.I.A.
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Number of Rough Wiring Outlets Elect. Heat -
Switches
Lighting Amp. Service Surface Unit Dishwasher Range
Receptacles Water Heater _ Air Conditioner Dryer Pump
Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner
. - - Amp. Receptacles Fractional H.P. Vent Fans
Other Equipment:
MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1'h 2 3 5 71/2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size .
Applicant's (, / (VI
Signature ✓ �c�, .�ir rt ;Gf 't License # Permit #
�,r .yam. f`�,1-L- ,='G-�v'�fr' ' �,1-� ,'e r/ -` &-e-f-v--12/
T/A. . fi 7�A _, Utility: ,a
Applicant's Address: , f- (NAMED (OFFICE LOCATION)
(City)C?`( '-04-"`-'k- (State) /I? (Zip) r" Z Service Request #
Phone # 4'/r ' 1'e'3-2-3 9-4 Electrician:
MDIA USE ONLY DATE RECEIVED: _ DATE INSPECTED:
Correct Location: Same as Aboven or:
Red Notice Label n
Rough Wiring Outlets Surface Unit Oven
Switches Range Garbage Disposal
Receptacles Water Heater Dishwasher
Fixtures _ Air Conditioner Dryer
Amp.Service Equipment _ Burner,Wiring &Controls for Amp. Receptacle
Amp. Service Conductors Pump Vent Fans
MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Elect. Heat
CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECTFEE FEE PAID
❑ RW Progress: Inc.❑ LKD❑ Contractor
❑ CFT Violation: Work Comp.❑ Inc. ❑
n L/A Owner CASH ❑
n L/A Fee CHK #
Due MO #
n IPA Municipal
INV #
Applicant ❑
Date: Other Side❑ • Utility Owner
Cut in Card n Temp # Date
n Final # Date INSPECTORS SIGNATURE
APPLICATION FORM NO.250 EL 4/89
-ram Of QUEENSBURY 01/1
531 BAY ROAD
QUEENSBURY, NEW YORK 128O4
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S LO- N.
1�I N,�PFrTTnL
REQUEST FOR INSPECTI:r'. RECEIVED r
�
NAME �
LOCATION i ,5 /ZG Z,,t7 ,/-e,i-C__do
DATE .r/ /./ PERMITS /'C�.�s
TYPE OF STRUCTURE,lhf4./LL1° dV-ya._
RECHECK Y1,. -"Ce, (/)•t ,r.
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKF/ILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION WOODSTOVE/FIREPLACE
SITE PLAN/VARIANCE REQUIREMENTS YES '/ NO
I'
REMARKS �
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION Q ,/
B VENT/LOCATION I
PLUMBING VENT
/
ROOFING r
SIDING i .1
DECK/PORCH/STEPS/RAILINGS 1
RELIEF VALVES Y/
FURNACE/HOT WATER OPERATING /
BASEMENT INSULATION/DUCTWOR
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE/
OTHER FLOORS CARPETED 7 f:
STAIR CLEARANCE/RAILINGS E
HANDICAPPED ACCESS 1
SMOKE DETECTORS / ► k
BATHROOM FANS/WHOLEHO SE FANSi
ALL PLUMBING .FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS q
OTHER FIRE SEPARATION '
FIRE/DEMISE WALLS /
DUMPSTER
FINAL ELECTRICAL /
OK TO ISSUE C/O OR C/C }�
COMMENTS:
w, • J &I* o LF1 ch) •
ARRIVE
DEPART /O,s--cf
PMr
_ T(l OF QUEENSBURY
4Tqww �- 531 BAY ROAD
i QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING I NSPECTOR°S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED,?//,� /Q /
NAME e- enN\
•
LOCATIOIt C) f r� 2la�i(1
DATE j// / G1 ( PERMIT# / - (5 3j
TYPE OF STRUCTURE \O t c-
RECHECK ,r
FIRE MARS�L APPROVAL (COMMERCIAL STRUCTURE)
FOOTING OUNDATION IBACKFILL FRAMING
ROUGH PLUMB` NG FINAI1 ELECTRICAL _SEPTIC
INSULATION \WOUDSTOVE/FIREPLACE
SITE PLA{N//VARINCE REQUIREMENTS YES — NO
REMARKS A/O /JD► O GCu P L(
VO !s 1\5'S vi-D
3 APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION;
B VENT/LOCATION \
PLUMBING VENT \ j •
ROOFING \
SIDING \, I
DECK/PORCH/STEPS/RAILINGS >S
RELIEF VALVES
FURNACE/HOT WATER OPERA ING X
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT }"
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETfED
STAIR CLEARANCE/RAILI'NGS
HANDICAPPED ACCESS '
SMOKE DETECTORS S'41t i:56-toctJ
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING.FIXTURES OPERATING
GARAGE FIRE PROOFINGI
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
GAit 5A/tp 0&rr& r s
/14(5SI,6
ARRIVE
DEPART j('30
ELECTRICAL INSPECTIONS
/ 5-
DUPLICATE MUNICIPAL RECORD
9—l/.Permit No.
Owner is Wit F2 T'C/1 /-44.....S
•
Occupant
Location >a� /�l o� U1-i r-±s- S
(��J No. ( Street
Town or City State
Installation as itemized on reverse side has been visually inspected pursuant to applicable
codes:
Installed by
o.
Date �1 - �.c.�/ Inspector
MIDDLE D ARTMENT INSPECTION AGENCY INC.
FORM NO.18 EL. 900 Haddon Ave.,Collingswood,NJ 08108
ROUGH WIRING OUTLETS H.P.AIR CONDITIONER
OUTLETS WIRING &CONTROLS FOR BURNER
RECEPTACLES H.P.PUMP
FIXTURES K.W.OVEN
AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT
AMP.SERVICE CONDUCTORS K.W. DISHWASHER
K.W.SURFACE UNIT K.W. DRYER
K.W. RANGE AMP. RECEPTACLE
K.W.WATER HEATER FRAC. H.P.VENT FANS i
MOTORS N.P. 1/20 1/12 1/10 Vs '/6 % 'h % '/ 1 11/2 2 3 5 7' 10 15 20 25 30 40' 50 75 100
MARK NUMBER
OF EACH SIZE
APPARATUS
•...s.:
D 1-2.
a..
..f.) , LU
4..0
cri
Lu yli
,4-3- LLI
LU t"
c--., Ca
CY
C..) .
.N.- ...... ,:s..
0 CC: Cn Od
,
Li./
. .
_
Li_ d
,_.
itn
1 ,-....,..... .
•
•
•
....,
. ,
1 \\ . .
...,..,' ,
. .
.-.--..-1..10.‘ ......-..-.• ..-
.- ...-
.
.-• -....Li...-.ti;1..1..: . • . - ;
nitity ___1,. (..)I. <.?. ; . ' C•••••• . .
, . 1 ••••• (•••...4.
... .
I
I 1. .
N• 7I ,I .
-r---.1 ,
1 , r nroiNuok.I 2 • I '.1"‘r,,,. •tIVING AOOkA
P el I O0PlA it
-
1.....
' ' 1 I 1 011:41,1,4C014 1,11,4 I A . 1 . r
• •-
1 • . •. MAIII 11 ' I
I ..
•
LATH • I .
•
I \
it i , ''
f\ 1 1. • . _.
..._
---•-
.
PLAN NO P 0 Y 609
.,
•
_... .. . . .
•
•
056'sittAuGia-gi
-5-"
zC MED
FEB 2 9 1991
�S
r7,LDG. & C•DE DEPT,
n
V
r I
14 -
A
2,'
A.
Y .
PRI k