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1989-970 CERTIFICATE C�►F C +CT�.JPA�N+ Y TOWN Of QUEENSBURY WARREN COUNTY, NEW YORK Date January 26 19 This is to certify that work requested to be done as shown by Permit No. 89- 70 - has been completed. This structure may be occup�e:4 as a lJobile Home laocarior` #8I � Luzerne Road Owner P rthwind In BV Order Town Board -roWN of QUEE • SBURY { Director of Bldg. be Code Enf; rcernent BUILDING PERMIT TOWN OF QUEENSBURY No. 89_ 970 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to ORTHW INDS INC . OWNER of property located at Luzerne Roam ®1 - NorthWi ndS Street, Road or Ave. in the Town of Oueensbury, To Construct or place a bi a Hom c3 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. x F2. OWhJE#t'S Address is y PO Box 224 Glens Falls , New York 12801 � ell CONTRACTOR or SUI LOE R'S Name Today ' s Modern 3. CONTRACTOR or BUILDER'S Address 54 - Route 9 Gansevoort , NY 12231 4. ARCHITECT'S Name 7! Q e* S. ARCHITECT'S Address G. N 1 C r7. TYPE of Construction — IPlease indicate by XI fbb l ) wood Frame { ) Masonry I I Steel 11 CID7C7 C"J PLANS and Specifications p, No. 14 ' x 66 ' mobile home as per application , and plot plan . a. Proposed Use Mobile Home . $ 29aOO 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 ilueensbury before the expiration date.? 19 89 Oc Dated at the Town of Queansbury this 19th Day of DeC mber r..� I— ii m SIGNED BY Y , for the Town of Queensbury Building and Zoning nspector rn f YOU ARE HEREBY REO)JESTED TO f INSPECT AND ISSUE CEFvocA-rES FOR THE FOLLOWING ELECTRICAL FQUIPMENT TO SE INSTALLED SY THE UNDERSIGNED E f ._ !L✓ j TEMP. IF f / 4 COUNTYTcwNsRIP Philp POLE NUMBER rr c7 7'1' ! c v z U UOCK' ssr sCcrlon /-• _-.uR[}SS STpEETS IS PREM75E51.01"'�E� � �1 �y/'yr, � �,.y !l T 5V4LD1NG OC+GVR�WG"�' E NUMBER .nJCUPANTS NAMETELEPI'wJN ,� / ,rN�j �^-�/' 'U''' �'• �J ...j..l 11pN�NUMBER AR 7 o Y+S.AMF �D ADDRESS FPOPLIED BY M TFIEIP T K 7E CURRENT SIB/V I ��----II BUILDING IS µIpFIK IS nE`M Lr= ApDI}'IONAL L� DEFECTS REMOVED oLD ❑ OFFICE USE n LIST BELpW ALL EQUIPMENT WHIGH YCJU 11VSTALL BRANOIi ONLY Nei. of Fixtures a MOTORS HEATERS CIRCUITS El NUMBER OF OUTLETS Lamp les o. AWG. 113SPECT1ClN tea_ HHe- Na Each wam WIG. Gauge tiOn Side ARach t Swnch pendant Beacw Na Type Earle Ceiling Wa11 Rscep'Is OkI SIDE SUB- BASE EASE- MENT tat FL. 21 FL. 3rd FL. RFMAI LIST OTR'ER ELECTRICAL DEVICES NOT SET FORTH ASOVE. 10 ©z`1GJ( �. .sINc � nJ BUT IF AY TIME OF II,IT THE FEEION, THERE IS THIS APPLICATION IS INTENDED TO COVER THE ABOVE LISTED EQUIPMENT Tt7 8E INSPECTED, FOUND ADDITIONAL EQUIPMENT NOT pBD4+"E LISTER YOU ARE AUTHOR52ED TC? MAKE THE INSPEGTfON AND ADJUST THE FEE TO COV �T IS PL THE ADDITIONAL EOUIPMENT, AS PROVIDED B FEEDERS THE APDERS €LECFRIC SIGNJI..AAIRS Yq 512E OF MAINS GAS ISIDW MAN Ifc SE I OF EXPOSED I^p,pADITY CHARACTER OF INORK ❑ O(.NiCFAI..ED DATE GYMWPI-EYED 9IM OF SIGN INUMBERI II MIORK TO BE STA171I MANUFALn RI OF SIGN I SERv10E EN7ER5SOLOING OVERHEAD 5J UNO€RGROUND x � � � DIq'E INSPECTION FIE�7� EO ON 1� + Rf]SSIBLE7 DTI G.. Lam` i �,.I��,� iY!/•7L R`..- TI MUST BE 1F1 AP pyyt;,t{p pti�„AYS BY INCi ANiD R1LTE OArE '�'P Tl 510� OF PRINT NAME AND ADDRESS '}C. E .NAME OF APPLICANT © ^�'/Q_s 2"STRF T ADORE II ZlP DE � LICE S D. W"Et^I APPLICABLE CATY POST OFFICE ._ 1 .A ! c/ I Q 202 Arterial F[ i Q tI 67D Delawsre Avanue {� R,7 LakeOCHESTER AwenIVY Y46O81 SYRPeCLISE, NY 13206 0 85 John OR1C PSY 10038 ❑ ALBANY41 State SN 2207 y BUFFALO, NY 14242 BOARD FIRE UNDERWRITERS NEW YQRK T To uE coMpLcTED € y nLrac , DEPT. OWN OF QUEENSBURY Application No. RECEIVED ..futon u� �is�erljfa +lrr� Permit Issued ) 9 BUILDING rnd ZONINGT]EPAJi7i.l1:NT Parmit �FacpirNa 17 DEC 1 , 19' `) BOY unc] Hawil;and Road. R.O. 1 Box B$ Zoning Dredignation Quuun*uwry, Now York 12801 Variance No., site Man i.:a No . BL.DG. & COOE DEFT.A£ APPLICATION FOR 10 MOBILE HOME PUILDIN; AND ZONING PERMIT � 0 er w er • � w w r w +► w r w it w . �► ♦ w . w • w w w w w . w w �r w w r w « • >R • :: w A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWCR ALL OF- THE FOLLOWING . The underuignud hereby applies for a nuilding Permit to do the following work which will tau dune i:i accordance with the description , Plans and specification.a submitted , and - such ::S»cial cOAdi.tions as uetay be indicated an the Permit . — —�_.�._�w�ii��.�..�...:.�.-.-_.��r.r .i�..����"•�r������•��.�rr���rn.'��_.�����.r��.�i�i�r.rr r rr�r�������r rrr..��._w.r T•ha% owner of this property is : / y�+2 /�'L/�„Gf J /,,�r,/,/� S �/ I ! � • P . Gr . Adelraaas �Q. + 5� L�/llS �7GCSt AJ' ` ! / Z 9?0 ( Tel . '7r g2 " S836 M� Property Location ; G. C!e'cite NE �-Ize%og4o Tax 144p Wo .�%_._1� :� trae: t iowu3ur or trail-dj ny lot nuaibar ` Sul,divisian nasncs ( if applicable} 1t.J61Z Z IAJJAIL>S TICE PEILSON RESPONSIBLE FOR SUPERVISION OF WORK AS RE:GAIWS UUILDING CODES IS : 1G7AgJ MO [ & MAJ sr�9 NU401) C4ew 24 $ GA �c1sEUora27f A) Y I 799 103� a3 N . O. Address Ttl , Woo N:anw of Installer S r' vvx AddsBu Tel . N.xu4e u1 F+lun�}.,ier ,�,.�+ti„ Addrouu 'Cal . Nalike uC 1L61UOa -ee"Oft- mil/ram 'Address Taal . l i MOBILE HOME INFORMATION : * ZONING INFORMATIoV : New 110:1ke Placement aft,5 d 4 x PL r PLAN Mu5T BE PkEPARED AND SUBMITTED# -+ drawn reasonably tQ EcAle and attach,d hu=cGo , Replacing existing Hann ; Nd + showing cleverly and dirstinctly all buildings , Size of new Home ft Xa ft 4+hather axistir►c} or proposed :and indicatu all set-back dIme"Sions from property lines . Give single w ' ie Double wide " street and nunr.Lur or lot nuua.Nur and indi.catu No . of rooms (excluding baths ) _ �' r wha: thaer interior or corner lot , show location Of water supply anti location and configuration Noe of bedrooms /y _ .�. ` of septic diapos"L area , f ., No . of bathrooms COhtriT.ETE INFOIi1iA'i'IC3N REQUIRED nELoDW . Fireplace? wood stove? / jc) ' Sias of property ft X to Foundation style and ze : i:xistIng building ( u ) Size ft X ft . Piers- No . Of t x ft. + i:xistintl building ( u ) Line . Depth be w red ft _ M Proposed building , diULeAnce trove property line FOUNDATION Footing r Front yard 2,.C' ft Rear yard_ �+ ft Wall material + Side yards X> ft and ~ f Wall thickness " Height ft, r It on coner . c .ter r. r rIauck froatt aids atraut tt Total depth below grade ft . ~ OCCUPANCY INFORMATION Grade to Horne floor level ft . . PRIMARY BUILDING r ' 'One family dwelling Two family dwellinU Proposed date of placement t9C y/� � multiple dwelling / Number of units ^ � ,r Peratanant occu Banc • Aprox . Valurt. of Home $ ` � � �1t✓ Traunuient occupancy Water supply - Well Municipal rsusiness Industrial Septic Permit required? Iu� + Other Alr- za4V /L -o - I SPAT �7 J. if additio►I, wl►at will use lee:' r FURTHER INFORMATION REQUESTED ACCESsony BUILDINCr ON TINE REVERSE SIDE OF THIS SHEET ow Detached garage/one car/ two car/ car (� Attached garage/one car/ two car/ car Private storarye >auilding 000n000Other Form MIIP 5 / 06 md - 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 _ I , INSIGNIA SERIAL NUMBER � - 2 . NAME OF MANUFACTURER 3 . PLAN APPROVAL NUMBER 4 . MODEL OR COMPONENT DESIGNATION 5 . MANUFACTURER ' S • SERIAL NUMBER G . DATE OF 'MANUFAGTURE AZZ the -, above , information is to be found on a plate or sticker which tthau Zd 1+ e affixed to the Alvbi• Ze Nome . COmpZete, .above rJith that infoimrztiOn. x . ♦ w w t .t * w * * ♦ * ,r +� s R * ♦ +t A # ,► ` +! ,r ♦ w To 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 in this applicaition& together with the plans and specifications submitted , contained complete atatc inentc Df all proposed work to be done on are a true and the described promises and pravisianu of the auILDING Cope , dME ZONING ORDINANCE, t all t and all other laws Pertainingthat to tha the prcpose,d w. work shll be complied with, whether gPocified or not, and that such work is authorized by the Darner. Signature _Own _ rJOwn r • s agent arcniL t , contractor Alk • • • ■ i R i i ■ ! i ! R ! i ! ! ! ! ! • 4 ! R i R ■ R i i R i R ! i ! R • i ! • * ! • ■ SPECIAL CONDITIONS OF THE P'£RMITt f G G�" • By____________�,.______..________ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 41 STATE STREET, ALBANY, NEW YORK 12207 $ Date THIS GERTfF1ES THAT only the electrical equipment as described be&nv and its by the ZPP"eatst AN on the above application number in the promises of in the following location; LJ Basement ❑ rat ", Snc! 1. y Section Block Lot L and found to be in compliance with the requirements of this Board* was examined on •.�� VI+l��l! b NXTURE EPTACLES SWITCMS FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EICHAVST FANS OUTLETS INCANDESCENT PLLK}RESCENT I OTHER AMT. K. W. AMT, K. W. AMT. K.W. "T. K. W. AMT- DRYERS FURNACE MOTORS FUTURE APPLIANCE PRIMES SPICIAL WW'"I TIME CWCKS EEU, uIMT HEATERS mumouTLET DIMMERS AMT. K. W, OIL W P. OAS H. R. AMT. NO. A. W. O. AMT. AMR. AMT. AMPS- TRANS. AMT. H. P. A AT. WAITS SERVICE fltSCONNECT NO- OF S E R V I C E AMT. AMP. TYPE METER 1 .a 2W 1 .e• 3W 3 X 3W 3 A JW No. arPE CC. COND. A. W. NO. orHI-LEG A. W G• NO. # NEUTRALs EOWP. Rt OP CC- CD. # LN•lEG OR NELlrRAI I Iva ca x aTNEE APPARATUS: �9 I T. I BRANCH MANAGER Per r� This certificate most not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. d. COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS + 1I BUREAU OF ELECTRICITY _ 41 STATE STREET. ALBANY, NEW YORK 12207 sDate i ? ; ] i Application No. on file THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant nansedon the above application number in the premises of al " % ""Vux K ) %r"&N%A 14.y* in the following location: ❑ Basement ❑ Ist Fl. ❑ 8nd Fl. Section Block Lot was examined on oawog" l't1iI� © andfound to be in compliance with the requirementa of this Board. FT%TURE EPTACLES SWITCHES FIXTURES RAML#ES ICOOKING DECKS I OVENS DISH WASHERS EXHAl15T TAMS OUTLETS 1NCANDtSCENT n CHMS INT OTHER AMT- K. W. AMT. C W. AMT. K,W, &'*T, K- W. AMT. N. r. �. DRYERS FURNACE MOTORS FUTURE APFT.IANCE PERUSES S.FRCIAL K14VPTI TIME CLOCKS J WU I Low HEATERS I M ULTI-OUTUIT DUAMERS AMT, K. W. OIL H. �. GAS H- P. AMT- Na. A. W. G. AMT. AMP, AM7, AAA"- TRANS. AMT. N. P. SYSTEMS AMT. WATTS �E NO. OF FRET 3 SERVICE DISCONNECT MIO, # S E R V I C E //T►Y��IE M It 1 Jr 1'W I Ir 3W 3 AV 3W 3-` iW "' OpERC 'CQND. C?F CC. co"D. 7VD. Of M1-tEG OF NO. OF NEUTPALS OF NEUTRAL A OTHER APPARATUS: BRANCH MANAGER Per in any monneri return to the office of the Board if incorrect. Inspectors may be identified by Their credentials, TIENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QU£BNSBURY BUILDING SAY & lfAfiTIN D CODES DEPARTMENT LAND ROADS ¢UEENSBURY, NEW YORK I28Q� TELEPHONE ( 5I8) 792-5832 BUILDING INS'P£CYOR' S REPORT REQUEST FORS PECTION RECEIVED f L `' 4 �— GSGZ4 NAME % ee LOCATION y 25r PERMIT # DATE APPROVED YES NO r i FOOTINGIPIERS MONOLITHIC POUR F FrNG �~ FOUNDATIONIDAMP—P SACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—I INSULATION : FOUNDATION FLOORS WALLS RILING Ar TNSPECTION: CHIMNEY HEIGHT ROOFING SIDING PS ,EXTERNAL PORCHESIS ILS STAIRS—CLEARANCE & IEF VALVE -- PLUMBING FIXTURES DOORS INTERIOR TRIMIPRI A FINISHED FLOORS GARAGE FIREPROOF G R DOOR CLOSER (S) SMOKE DETECTORS _ FINAL ELECTRICAL SPEC ON_ON-�--� � FT L APPROVAL OF ONST C ON��— e Lr IC TE OF CUPANCY MUST BE A SIGNED CERTIF H BpGCUPI DEPARTMENT BEFORE OBTAINED FROM T THESE PREMISES A .E REMARKS : 5 n'��- Lit CraA l INSPEC R i TOWN OF QUE NS$URY s madw istfator Zo�n'y+�yjng _ Luzerne Rd. Phone. Queensbury, NY 12801 792-5$38 IMI h� ! i i J I i 1 F I �p7 S?1j r y/,d1 f III MII Jill a . ss sic d oil s r 5355 7D X 14 3 FK 7 29,195# ----- ----- ~i f( 1 U V ifs __-- __ _ LIVIW3rP ?OM v MASTER �' j '+ KITCHEN! BEDROOM © DINING BEDROOM ' uw�.a.+c Na i A r3 BEDROOM eEDROOM 10' B" .� No. 2 No. 3 I ta. B.. 10 . 0 f