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1989-971 I7.tv -_,i,4"'1- v,* iV4i v%TT-i4W- MIN CERTIFICATE +CIF +C]�CCLJT''ANCY a TOWN OF +QUEENSBURY f WARREN COUNTY, NEW YORK pate Janua r 24 lq 90 f j This is to certify that work requested to be done as shown by Permit No, 89- 971 I ' has been completed, I I This structure may be occupied as a Mobile Home w l i Location Lot #4 _- jimtrer � Lane Owner Forest Park Mobile Home Court By Order Town Board TOWN OF QUEENSSURY f Director of Bldg. do Code En cement i 1 BUILDING PERMIT TOWN OF QUEENSBURY No. 89-- 971 , WARREN COUNTY, NEW YORK PERMISSION is hereby granted to FOREST PARK MOBILE HOME COURT OWNER of property located at Lot #4 - Timber Lane Street, Road or Ave. in the Town of Oueensbury. 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 -� approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. cr+ 1 . OWNER'S Address is —I 134 Pitcher Road mo 2. CONTRACTOR or BUI LDER'S Name r-i Today ' s Modern rM 54 Route 9 - Gansevoort , NY a CONTRACTOR or BUILDER'S Address ip C 7C7 4_ ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction — (Please indicate by X) fb I ) Wood Frame I } Masonry i } Steel I 1 l— am 7. PLANS and Specifications M No. 14 ' x 66 ' mobile home as per application , specifications and plot plan . ` 8. Proposed Use '1 Mobile Home $ 29 • 00 PERMIT FEE PAID — THIS PERMIT EXPIRES December 19 19 90 [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 19th Day of December 19 89 41 SIGNED BY , /,z for the Town of Queensbury Building and Zoning Inspector �, 4 . ` •�� , � I.�.. ae:u :ir ic.rrc . aL:t"1 . '%PAis Lion )Ja . TOWN OF QUEE=NSBURY :� �rif�ft�7('a 1111U zohljlVCr QcPArI r�,�� r i'crmit rt;uuod RECEIVED Oay una H4vdand fioad, R.D. l Box t10 xyur=i.t Expireu 14 Quounsbury, Now York 12601 ZOni"9 Duaign" tion DEC 1 Variance No., _ Site Y'iara Re c No BLDG. R CODE DEPT. APPLICATION FOR hxpr QOV u MOBILE HOME 0�� rUILDIN; AND ZONING PERMIT f - AIF • # ! # • eF # +� # # eM • # +IF /IY • eF 1! M N # M • M i A . PERMIT MUST BEOBTAINED Or�FORE BEGINNING CONSTRUCTION , ANSWER .ALL OF THE FOLLOWING. The undersigned hereby applieu for a Building Iaarmit to do the following work which :w trey done in accordance with Lit" description , piano and apucificaciona Utdasuittud, . ill - and . 8 - w ssxa$ci'1 conditicana'a" " ay be Indicatud on tho rorulit ,, 'I•hr2 owner of tltiis property is : 24(`-7' lt� C ,"�'tE � .._ P . CG. Pro AcI►Irtaus �_f ` ` t© "f/C-✓C xu3 '5 �? "/°5,�. r4! ---------- I rty Locations /�+tr'}''J,r7 �, , a . atceu Tax Maya. NO:t 1.uncl yr or tauilda,ny lot nuu+be:r r� Sadie+'isiran ir}amo (if applicable ) 5 r- �s n }� ""So" RESPONSIBLE Ff]R SUPr:r2V1SION OF WClrt]C A$ REGARS]S DUILDING CODS IS a Ffd� ©4e/AICV"L Z�r11Ri3 i' . O. Adilre � u /2ops / Nsmo Of Inataller . �/ /J r, icl . NOV N"Altu N1.' •� / I��' ^.�'` Fr1un%}sc r }t:.41rcs oX ++rauan l Tu . AAdre: a Tul . MOBILE HOME INI. ORMATION : . ZC1N ) fVG 1Nf'oRM!{TICN : NOW )lotae Placement I ' A PLOT PI-AN MUST BE PREPARED' AND SU0MI1"r"E0, Refslacj, nq existing dome r [,/ J _ drawn woAuonubly to scald and attached tiurrstcs -- e�howing cla" rly and dieti"ctly :all laui].d3ngs'„ , Size of new Nome /��`� ft }Cit whetherC uxistineJ ro or �r P posue] and iridicratea all S '•i. ngic w JQ Doouble wide + ', , t_ b;ack diure:n:: iona from property 1 ir'►o4 : ;Givq utreorw, and nurnlrur car lot nuusx:r ad 3r1[iicat�t Now of rooms ( exciLding baths ) ' what c n r interior ur corner lot . show locations NO . of bedrooms Of water aupply and location and configuration . " of aacptic diaisosal aresu . No . of 'bathrooms �� • + COAiI'LE:'TE I NFORMl TION rLGQUIIt - o}{�,J D noL .'Fireplace? /�fr"� � - . astove? Foundation style .rn Size of property ft X ft * 5+ ze: : ` Lxissti:ag building Ls ) Slz+a fC X ft . Piers- No . of ft x ft . tar.iatinrJ builcxinH [ :.: ) Uwe: Depth la .+ grade ft . FCn ap ^ TION Foot ng size ]G IV1rofaor;cd buixdinq # diuL.anc:C� trow property linu • u Wall material- s . Front yard ft Rear yard ft side yurd4 et, and ft Wall thickness� Height fC_ + If on corner , uot:Iu ack froru aii[ln LitruuC ft Total depth below grade _ ft . ► OCCUPANt:Y INFORMATION �M Grade to }soma flo r level ft , ltI Arty BUILDING -• a , • • a r • • • • • 0 ,. r s = w ► ,r ,. Once family dwelling Proposed data of lacement 17 /// / ="a'niiy dwc; Liin+J �HultiPlu dwa:lling / Number of units Aprox . Value, of liome Perrrwnunt occupancy •�"'�.•" • spa ter supply Well Municipal ,� •1`r:an : lent occupancy � Uu:.cine:Lis ') tic Permit req, l iced ? A.01 = naustri :al ,r ottaur ,. if additicus , w11ut Will uses Lea:? FURTHER INFORMATION REQUESTED " ON THIr REVERSE SIDE OF THIS SHEET , * ACCeSSORY BUIL.DINGIMP Dr3tached gar-xge/one car/ two car/ car " Attached q,araUe/one car/ cvo ca -M rf���ca=- ?Private storaga bulldinrJ • 4theMr r Form mile 5 / 06 APPLICATION FOR MOBILE HOME PERMIT , ( CONTINUED) State of New York Division of Housing and Community Renewal I IDS IG14IA OF APPROVAL OF THE STATE BUILDING CODE 1 . INSIGNIA SERIAL NUMBER +—x 3 0 -- 2 . NAME OF MANUFACTURER �— ,F�,,ti,l� 3 . PLAN APPROVAL NUMBER 4 . MODEL OR COMPONENT DESIGNATION L' % / 7/'-'] j�yL� y / S . MANUFACTURER ' Se SERIAL NUMBER G , DATE OF `MANUFACTURE k �3 4C9 AZZ the . above , information is to be found on a plate or et •toker whioh " hou Zd be affixed to the hiobi Ze .dome . Compzete _above With that information. Town of Queenabury+ County of Warren A F F I D A V . I T STATE OF NEW YORK Z swear that to the bust of my knowledge and belief the atatements contained in this ariplication , target'har with the ,plans and upeci. fications aubmitted , are a true and c::rn,plete sra ,zomenr. sir all proposed work to be done on the described premises and that all provisiana of the t3uIL1JItYG CODL' , TfiE ZONING ORDINACiCE # and all other laws pertaining to the proposed work shall be complied with, whether authorized by the owner. pacified or not , and that such work is Signature Gma , owne ' e agent , arcn�tect , contractor ■ w . • r • r r a r r # tic a a • a a a r _ r r r r • a a r a a r * a r • r a r r a r r r a a ' r SPECIAL CONDITIONS OF T31E PEiiMITx J F JT r NEENSBGRY TOWN OF Q C,ODES DEPARTMENT BUILDING AND BAY & HAVILAND ROADSEW PORK 2280 TELEPHONE ' O f5E E . 18 ) 792-5832 HONE , S g,EpfJRT WJILDING INSPECTOR REQUEST FOR INSPECTION RECgIVED NAME n 4 LOCATION PERMIT DATE ��~~~ APaPROVED YES NO FOOTING/PIERS Fo IS �--- ,MONOLYTHIC POLJ _pROOFING� FOUNDATION/DAM BACKFILI. APPRO ALr� r� ROUGH PLUMBING ,FRAMING ELECTRrCAL ROU H-IN INSULATION: FOUNDATION FLOORS WALLS / CEILING ,/FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING. BPS EXTERNAL PORCHES RAILS STAIRS-'CLEARANC s` LISP VA~ L~ VS PLUMBING FIXTUR S/ INTERIOR TRIM/ VA DOORS FINISHED FLOOR SMOKE DETECTO S FINAL ELECTRIC L INSPECTI FINAL APPROVAL OF CONSTRUC ON r� TE OF OCCUPA CY MUST Be A SIGNED CERT FICA BUILDING DEPA 'T'MENT BEFORE OBTAINED FROM THE THESE RFMISE9 ARE OCCUFXNDt REMAgu RKS : + , 4. r.-n 1Cr Aa/ CA-1- 144506<�r zU I7. • INa°`PEC R TOWN OF +QUEENSBURY BUILDING AND CODES DEPARTMENT BAy & HAVILAND ROADS QUEENSBURY. NEW PORK 12809% TELEPHONE ( 518 ) 792- 5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECT ON RECEIVED NAME -- LOCATION DATE 4 &-- PERMIT # - APPROVED YES NO FOOTING/PIERS MONOLITHIC PO U FORMS FOUNDATION/DAM -PROOFING BACKFILL APPRO L�^�_ ROUGH PLUMBING FRAMING ELECTRICAL ROU -IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHE S EPS STAIRS-CLEARANCE RAILS PLUMBING FIXTURE RELIEF VALVE INTERIOR TRIMIPR VACY DOORS FINISHED FLOORS GARAGE FIREPROO I G DOOR CLOSERS) SMOKE DETECTORS FINAL ELECTRICAL IN CTION FINAL APPROVAL D CON TRUCTION A SIGNED CERTIF CATE O OCCUPANCY MUST BE OBTAINED FROM T E BUT NG DEPARTMENT BEFORE THESE PREMISES RE OCCU IED! REMARKS- i+ L Lj,: K.j'( 1 ACC_ �JJ` � s L it INSPECTOR _ T THE NEW YORK BOARD OF FIRE UNDERWRITERS ; -,BUREAU OF ELECTRICITY 41 STATE STREET, ALBANY, NEW YORK 12207 Date I'1'R'i:T1 ', lzY 6 1 -1r4Op Applicotion ."4'o. on file ,, THIS CERTIFIES THAT } `; Nil, . K c, ^ only the electrical equipment as described belasstft ,7�� [ aed by the apyslLcaras "�" ors the above application number iss the prernises of Ft ?Itl ':"i" T ! ftrP I ' f Tt"If f l: F'I! .4 '1'_13�nB 1. F l31f1 F,PF;:ti[rltY . P4 . in the following local ion, ❑ Basement L...J la[ Ff. 8nd F'l. *tii1'I• Section Bloch Lot woo examined on .1 'M11' '., RY 10 and found to be in compliance with the requirements of this hoard. ' FIXTURE EFTACLEs SWITCHES FIXTUM RANf3ES COOKING DECKS oVENS DISH WASHERS E?[HAUST FANS 115 OUTLETS INCwNOESClNT FLWRESCtNT OTHER Aw�T. K. W, EMT, K. W- EMT. K.W. wMIT- R. W. EMT- N. P. DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL W'PT TIME CLOCKS BELL JUNITHOIATMS MULTI-OUTLET DUAMESS AMT. K. w, b r H. P. GAS H. P- wMT. Hb. A. W. G. AMT. wwv, EMT. ww�P& TRANS. AMIL H. P. SYSTEMS AMVT WATTS I+o. OF FEET SERVICE DISCONNECT NO. OF S E R V I C E AMT. AAUP. Ty" METER I .s' 7w i �Ir 3W 3 IF 3W 3 0 4W Na. of CC. CaNa. A. W. No. Cx WiRG w. w. G.ECLKR PER As aF cc. C�:+a. [JF ra-lEc No. T?r NEUTRwts as,W.G. i. A 1�+Q [e I ,�, OTHER APPARATUS: or BRANCH MANAGBE 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 [rederlTials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. YOU ARE HEREBY REQUESTED TO INSPECT AND ISSUE CERTIFICATES FOR THE FOLLOWING ELECTRICAL EQUIPMENT TO BE INSTALLED BY THE UNDERSIGNED TEMP N DATE f if CRY GR V COUNTY ILIArau d4l4+C_ S?R yY}N�SF�P ( [ )' �r/-� i��./c."y! y /_� EET �/ BER SETWEEN 44'HAUT,�ROSSS-rR IEET.°.1'S PREMISES L47C.�F1F�, �y � � SECTION BLOCK LOT OCCUPANT'S NAME ',JTT// r�IJ� 7JL•.. f/',IfF �/ BUILGING OCCUPANCY =L HOME TELEPHONE FIUM�1B�ERg�,/ CURRENT SUPPUED BY /y l �� FROM THEIR fy OFFICE BUILDING IS N Ou) © MADRK.is NEW ADOVnOhI ❑ OEFECIS REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No. of Fixtures & MOTOR HEATERS BRANCH OFFICE USE; Luca- tamp Receptacles CIRCUITS ONLY tion Side Atlach't H.P. Wang A.W.G. Coiling Wall Recep'Is Switch Fondant Bracket Ne. Type Each No. Each Nn Gauge INSPECTION OUT. SIDE SUB- BASE BASE- MENT 1st EL. 2nd FL. 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 SUE OF MAINS FEEDERS ELEGrRIC SGNSA.AMPS T6TAL vArTS CHARACTER OF VKJAKK yr^' ElGW/ EXPOSED GAS TUBE STRAN SFORMER5 OF VA (.. ❑ comCEALEO DATE VWORi TO BE D / DATE COMPLETE 2E D S OF SIGN INUMSERI CAPAC" L'Y/ SERVICE ENTERVINUILDINO F MANUFACTURER OF SIGN El DRTE INSPECTION EQ D N TOR OyERHEA ppO ] /44 / Al/lj IyNDEROROUND TAm NI.IIMBER00' IY Yf-* k9 1 ! 19 I f ORLMS BY Gr MIfi F%N.L AND ACCURATE INFOWAATION. ALL SPACC5 1141.161 BE FILLED IN OR APPIUCATION MAY BE RETURNED, PRINT NAME AND ADDRESS NAME OEARELLCANT WE OF PP I 860MATUFM OF APPLICANT STREET ,AQ „�'+ TELEP N CITY OR"C1"' 0 21P L CENSE NO_ WHEN APPLICABLE O 85 John Street II•• ❑ 41 State Street 570 Delaware Avenue ❑ 211/7 Lake Avenue ❑ 202 Arterial Road NEW YORK, NY 10038 ❑j ALBANY, NY 122C17 I BUFFALO, NY 14202 1 ROCHESTER, NY 146081 SYRACUSE, NY 13206 THE NEW YORK BOARD OF FIRE UNDERWRITERS f zz de to N OK kj I ► u5!'�'+, lrre attrr�ys P�ltAtt, tiaJLCi (� 4� �,� , m vql 1 SNEA l� 2C � c 0 txWi }'1fYT � QII*Cr}�1 jr , e! ALL P�' +� V'� tc :rq \ t1 LR ; M rn Rb rn \ Ike -DuJAew bava�r ' eceb A tcfr>' rd °'KaBaitt SPts+c cGE,►t it • r,. . titi N2d �, i, m .. �} r.� t5 i g rye: ' lxw,; rE� �U►++ N1 ( ;\7a►!Fs (�AHr'1 lri '� _ :� f5rcdeuS,+J Ott MEd } tlLis brurr� Lew! t L4S9 Lfbt�2 1r1A,>! ( �r AN Y ' �(;A7xluSok! f�tut`.� n' �Gx16FR , PfEI��/ {� I ry�FLFMIN(� T�FL1lltr� I! 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It It ! \ n 4 �� , i JAY S E R I E S 74x14 UTILITY FB DINING AREA [ LIVING ROOM A WOOM • CENTER r MASTER a' a' BEDROOM ..HEN . 7 �, � BEDROOM � — -=_- - -" - - - - - 101 0.1 H5 ' GARDEN 1, 134 6" KITC�,ENMEMOS" I • CATHEDRAL ;3 0' - � — 1: .. - — .91 * lwrel UTILITY � _ �j � A 358z 70X14 4 - t' LIVING ROOM uY DROOM CENTER l ,a.- a„ ;HEN # SNACK / MASTER 2 BATHS ROMAN B BEDROOM 5 \ N❑ , BEDROOM • CATHEDRAL 13 4" F € KITCHEN/ No 2 nee 2' DINING 12'. D" ' „�- a"ING (902 5Q. FT. } "IN �� � - _ -� _'