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1991-118 CERTIFICATE' OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 127CliY.r' . (0 19 Pa5-8 1 1 " This is to certify that work requested to be done as shown by Permit No. 91-118 has been completed. This structure may be occupied as a Mobile Home Lot # 17 Location Mtn V1ew Trailer Park.. Aviation Rd Owner Ivan Barsukoff Tenant: Timothy O'Hare • By Order Town Board TOWN OF QUEENSBURY v Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY X No. 91-118 WARREN COUNTY, NEW YORK 0 PERMISSION is hereby granted to Ivan Barsukoff/Tenant Timothy O'hare 00 OWNER of property located at Mtn View Trailer Park Street, Road or Ave. cri 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 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is rri PO Box 613 ate► Glens Falls, NY 12801 ; EP 2. CONTRACTOR or BUILDER'S Name Reliable Mobile Home Service 3. CONTRACTOR or BUILDER'S Address RDJ2 Ft. Edward 4 m 4. ARCHITECT'S Name 1 CD 5. ARCHITECT'S Address -1 6. TYPE of Construction—(Please indicate by X) .a. ( )Wood Frame ( ) Masonry ( ) Steel ( ) O 7. PLANS and Specifications d No. 14')(70' Mobile Home as per plot plan specifications and application • 3 O G' 8. Proposed Use fD Mobile Home = 0 fD $ 29_00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 27, 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 27th Da _of March 19 91 SIGNED BY ' Z2i,4 i for the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG. DEPT. 9/ //C? awn o� QI Application No. BUILDING and ZONING DEPARTMENT Permit Issued 19 TOWN OF OUEENSBURY Permit Expires 19 RECEIVED Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation . • Oueensbury, New York 12801 Variance No., • Site Plan Review No. 'MAR 2 7 1991 APPL 1 CATION FOR - Approved by: . MOBILE HOME .BLDG. & CODE DEPT. PUILDING AND ZONING PERMIT ` %r / * * * * * * * * * * * * * * * * * * * ..* *- * * * * .* * * * * * * * * * *:;* 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 ;descr-iption, plans and specifications submitted, and -such special conditions as` may be indicated on the Permit. The owner of this property is: -V— . j4i(( ,1 cj Kv fJ . P.O. Address Pv is() Y. (9(') `-,� F �S 1 07,(C4.1 — G �/`� /Z U/ Tel. Property Location: /14(/i, ( 7 r(.v /(24-lLe,e Paw( Tax Map No. / / • it/7' Street :;umber or bui mot number Subdivision name (if applicable) f..*7�gi l//�Z/ _ ��(�� • TIDE PERSON RESPONSIBLE FOR SUPE SI_Q�LO REGARDS UIJ:DING CODES Iz Name Y.O. Add ess A/4/p,� Z .� ,/GJc� 1 Tel. Na. Name of Installer LL(A'/5� --r Address t2 r G� Name of plumber < '�-�� ���L�Qc.�JC�,, l Tel. ��v--�(ZC� • � /VL., Address - cf}'JNL� Tel. ,5,elifl AZ Name of mason Sly-YYLf, Address 5;' 't Tel. f} - S MOBILE HOME INFORMATION: * ZONING INFORMATION: New Home Placement . * A PLOT PLAN RUST BE PREPARED AND SUBMITTED, -* drawn reasonably to scale and attached hereto, Replacing existing Home l * showing- clearly and distinctly all buildings, Size of new Home �`�'- ft x -�V ft - * whether -existing- or 'proposed and indicate all / * set-back dimensions from property lines. Give Single wile • G, Double wide * street and number or lot number and•indicate No. of rooms (excluding_ baths) No. of bedrooms * whether interior or corner lot. Show location 5 * of water supply. and location and configuration * of septic disposal area. * No. of bathrooms �,/ *COMPLETE INFORMATION REQUIRED� BELOW. W( Fireplace? 110 Wood stove? ) * Size of property ST) ft X 7 ft. Foundation style and size: * Existing building(s) Size ,c./ ft X -70 . ft. Piers- No.of / 9 Size- ft x Z ft. w y p2(I. //7-21l�f/i/ c,Ltic[G Existing building(s) Use Depth below grade V ft. FOUNDATION _ Footing size " X * Proposed building, distance from property line , Front yard ft Rear yard 7 ft Wall material , Side yards c ft and (e, ft Wall thickness " Height ft. * If on corner, setback from side street ft * OCCUPANCY INFORMATION . Total depth below grade ' ft. ' •,� Grade to Home floor level ft. * PP.1 RY BUILDING - * * * * * * * * * '* * * * * * * * * * * * //One family dwelling * Two family dwelling Proposed date of placementcc��/ Zf/ y/ * Multiple dwelling / Number of units Aprox. Value. of Home $ t�iC 16C0 * _l' a anent occupancy * transient occupancy Water supply - Well Municipal i/ ` Business Industrial Septic Permit required? e,0/3;h l'7, . * Other , If addition, what will use be? FURTHER INFORMATION REQUESTED w 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 MUP 5/B6 and-vl APPLICATION FOR MOBILE HOME PERMIT, (CONTINUED) State;:of . New York Division of Housing and Community Renewal • INSIGNIA OF APNhOVAL OF THE STATE BUILDING CODE 1 . INSIGNIA SERIAL NUMBER IN 6V 2 . NAME OF MANUFACTURER tkfltgo. pow 1c ierec, 3 . PLAN APPROVAL NUMBER ►1 ! , . ; 1 :\ 19111 - ' 4 . MODEL OR COMPONENT DESIGNATION of i 7 ` ' `� ? J'( 3$ f F3 2 61A• . £f v,� 5 . MANUFACTURER 'S SERIAL NUMBER �.141 �{. r77 6 . DATE OF MANUFACTURE Z` 42QQ.' • 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 * * * * * * * * * * * .* * * * * * * * * * * * * * ** * * * • Town of Queensen A F F I D A V . I T STATE OF NEW YORK 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 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. . Signatur`c , er's agent,architect,contractor • * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * •* * * * * * * * * * •* • SPECIAL CONDITIONS OF THE PERMIT: • . . By • • YOU ARE HEREBY REQUESTED TO • INSPECT AND-ISSUE CERTIFICATES ' FOR THE FOLLOWING ELECTRICAL . EQUIPMENT TO.BE INSTALLED BY THE UNDERSIGNED TEMP# DATE 6J l _/ /5' CffY OR VILLAGE l'-.) TOWNSHIP _ COUNTY STREET AND NO.OR ROAD 1 / rr7 POLE NUMBER BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? . SECTION - BLOCK LOT OCCUPANTS_NAME - BUILDING OCCUPANCY. , //;A•. !I/rf J L,1 //.` . t'�v /rf/.:_,`.f'.!° i/. f..`.t' OWNER'S NAME AND ADDRESS/ • - —HOME TELEPHONE NUMBER " CURRENT SUPPLIED BY FROM THEIR OFFICE WORKTELEPHONENUMBER - ,, -, l tf r~" ` BUILDING IS •_ - NEWQ 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- - BASE BASE- MENT 1st FL. 2nd FL. ' 3rd ' 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. , 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 DENT FNTE A NUMBER •AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS - • NAME OF APPLICANT . DATEOF APPLICATION SIGNATUREJ OF APPLICANT 7 , ?/:,' v 1. X��"" ` STREET ADDRESS - . - C - ,TELEPHONE NO. CITY OR POST OFFICE - . ZIP CODE LICENSE NO.WHEN APPLICABLE ❑ 85 John Street ❑ 41 State Street • ❑570 Delaware Avenue ❑ 217 Lake Avenue - 202 Arterial Road LJ NEW YORK,NY 10038 ALBANY,NY 12207 BUFFALO,NY'14202 _SROCHESTER,NY•14608 SYRACUSE,NY 13206 (212)227-3700 (518)463-2122 - --"'(716)884-1155 ,":` (716)254-0141 (315)463-8552 THE NEW YORK BOARD CIF ,F'-1 -1ND R.WRITERS / ; ..,. .9•).a R).Rc . •191--.,.,..,.,.a.,..•,.ia:..A.).•..A,RJ. .,,-1•!..1`.tia.J.a•,..,•,.a•,... a.a,.•ia.,.)•i..91-1.4 •.l.a•,.a•c�• aa,-1•,. •i.a ta•,.A.'.- k.,..1-5/...,,.,.,•,.,•,.ay..i.,,,..',.,,.,,•,.).,.-. _ THE NEW YORK BOARD. O� E UNDERWRITERS PAGE 1 8017354 BUREAU 07ELECTRICITY 41 STATE STREET ALBANY,NEW YOR 12207 • Date APRIL 29,1991 Appl'Eation No.onfille,06 r j691 J1 . H 411085 THIS CERTIFIES THAT PER.1'1' 30.21-I ..'[i only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of ..1" TIMOTHY O'HARE, 17 MOUNTIAN VIEW TRAILER PARK, OUEENSBUR'i, N.Y. in the following location; ElBasement ❑ 1st Fl. ❑ 2nd Fl. Section Block . Lot .I. was examined on APRIL 2 2, .I 991 and found to be in compliance with the requirements of this Board. l FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT-FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. - DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL 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. SYSTEMS NO.OF FEET AMP WATTS i SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. TYPE METER 1,8,2W 1 if 3W 3 0 3W 3,9'4W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A•W G• NO.OF NEUTRALS A.W.G. .• EQUIP. PER B OF CC.COND.. OF HI-LEG OF NEUTRAL 2 1 -.I : El r. OTHER APPARATUS: io 1 to F a . , . . ,:,...f: '\..).„..„.,_ ( 2 :...: ..,.. `I'I4 O'HARE 17 MOUNTAIN VIEW T . BRANCH MANAGER P TRAILER PLR}: p ��,UEr,��SB fti`c", NY, 12804 239 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 credentials. ® ® 0 ® ® ® 0019 ® 0 ® 0 ® 0551112/1000000e0000 ® ® 0000 Y COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBURY '`A► Y ' 531 BAY ROAD s ", ; QUEENSBURY, NEW YORK 12804 , TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME LOCATION 2//, ��, /; be.) /&& DATE , �- �a PERMIT# Q/-//f TYPE OF STRUCTURE V16t-4 ! `49-7,7q_/,.--- RECHECK,.A1!-7-1 l//9t .OA!'�/Aip,,%u/i/Y�!/..& FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL--_SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS • APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION !i PLUMBING VENT p ROOFING `, t SIDING :'; �Y DECK/PORCH/STEPS/RAILING'S jC RELIEF VALVES \ /i FURNACE/HOT WATER OPERATING BASEMENT INSULATION/DUC';TWORK INTERIOR TRIM/PRIVACY,1fDQORS FINISH FLOORS: BATH/KITCHEN WATERTIGHTT OTHER FLOORS SWEEPABLE 'n1 OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS HANDICAPPED ACCESS! SMOKE DETECTORS BATHROOM FANS/WHOLEHOUSE FANS ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING "i DOOR CLOSERS I OTHER FIRE SEPARATION FIRE/DEMISE WALS DUMPS TER SITE PLAN/VARIANCE REQUIREMENT FINAL ELECTRI AL OK TO ISSUE /0 OR C/C COMMENTS: `'� S'6=P ii(�i1�LLi eLos 1.7; 0 cir P111.61-17-- ARRIVE /1:7 i DEPART /CA. 4.1 I SP Val TOWN OF QUEENSBURY 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTORS REPORT FINAL INSPECTIO4 REQUEST FOR INSPECTION RECEIVED// j7r-raf-t-ky UNatiz- LOCATION 7Z/Ln 7 U c�d CL � p l 7 DATE a/ l g/ PERMIT' TYPE OF STRUCTURE /y .b. i67,7/Le--- RECHECK per/ i ' 'i ai✓r ca D - FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL--_SEPTIC INSULATION WOODSTO+E/FIREPLACE REMARKS i ! APPROVAL ; N/A YES NO CHIMNEY HEIGHT/LOCATION 1 ,`' B VENT/LOCATION t ' PLUMBING VENT ROOFING SIDING DECK/PORCH/STEPS/RAILINGS •,. RELIEF VALVES FURNACE/HOT WATER OPERATING BASEMENT INSULATION/DUCTWORK INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS HANDICAPPED ACCESS A SMOKE DETECTORS ' BATHROOM FANS/WHOLEHOUSE FANS \ ALL PLUMBING FIXTURES OPERATING !, GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE WALLS DUMPSTER SITE PLAN/VARIANCE REQUIREMENTS FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMMENTS: • (:rS i Bed- d c' Ui1L�2 1 lCD1 - [A-iJ 2-i 71 /Y ARRIVE ; i() DEPART 1/1L INS T TOWN OF QUEENSBURY .v 531 BAY ROAD QUEENSBURY, NEW YORK 12804 *4:r4),14 TELEPHONE (518) 745-4447 BUILDING INSPECTORS REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED E JI/I-Y /-b y 71.6h_ LOCATION IX >tcfz.ri e`Crc.a DATE 9// (,1/Gl. / PERI2IT# TYPE OF STRUCTURE_G'1L gL RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING L - 1—NAL ELECTRICAL _SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL' N/A) YES,;%'NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING SIDING ' DECK/PORCH/STEPS/RAILINGS\ RELIEF VALVES FURNACE/HOT WATER OPERATING\ BASEMENT INSULATION/DUCTWOR / INTERIOR TRIM/PRIVACY DOORS \ I FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE S OTHER FLOORS CARPETED f° STAIR CLEARANCE/RAILINGS it' HANDICAPPED ACCESS e '� SMOKE DETECTORS BATHROOM FANS/WHOLEHOUSE FANS ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING !' DOOR CLOSERS r' OTHER FIRE SEPARATION FIRE/DEMISE WALLS DUMPSTER I SITE PLAN/VARIANCE REQUIREMENTS FINAL ELECTRICAL OK TO ISSUE C/O OR C/RC MENTS: V(0 620 p -c-76 p s - Eo-6?Ai L *to TA miv g A-e,( CA-c-L ,Z iz�- ()ISPLC:T-toll- ARRIVE ,2i ti DEPART ^5 T •I I 1 . il--.-- 1 1 ii \„, 1 - TOWN OF QUEENSBURY . J RECEIVED, •„.cfP'-',/ ' I ; % MAR 27 1991 giti , I ofro, • • BLDG. & CODE DEPT. ....., ,.../° _ , _..., c j,:_t`Y-'• -; , 4,4cr, CP i ( .:.1-'1* Pfll• (1,06)- - ' 1 0 C4.1 ' f" 4' , i . _____,...,......_.,....„ , , 1 , 1 , , , ) ; , \ • , . ; (( c,.9'1„/ cDru„)0:'-'-,i---/ . 1 1 , , 1 . , 1 . , . . , , . . , , • I , , 1 , , , , , . r , ! , , I 1 , 1 , 1 1 , , , ; 1 , ,,, 1 , ... ivis. I.v.- 1 ,,, ..,...•,,,,, • - -,.1}1-1——-1,I:L'o,;c:-;17:-: 0 to • 41 .:1-,•1,s '„ , .i,---2,- ‘,.‘:1, co....). ::•ei 1 gi "E. 1,,,,,,n,— . : ,..,d - '- 1,/e/./ fl I CY, LI • .,.. / 1 171.' { 1 . / /1 , , 1 I .. 1 7 / ; .) li' i 1 ; . .,/. ,F / , / if' TOWN OF LJEEINISSURN. i / / , . RE-10E1VED - 1 /* I, MAR,:2 7 1991 1 6 '°'t.otee=ceummur2.....Nvxmsmoe.........=..atruaaem ( / 'N. ...oseftstearzaa.z...v.m..,..a.raumsla .......*".'........... BLDG. & CODE DEPT, r rtr,,,, , I „, i,.,.,,i , , ,..D 1 tt , ,-- 4- \ - , - \-,'L '1) 2k--() 't.''''e''' 4. ' 1 it . . kv...,.:\ )p_(4_:,,,f-i•. .. ii \ ci;),013- a-tiv41,111'-) ,........_... , .