Loading...
1992-076 PSI- IFICA.TE OF OCCUPANCY Y CERT TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 19 ( � 92-07b This is to certify that work requested to !x done as shown by Permit No. has been completed. This structure may be occupied yam a Sin le fami7 mobile home tr Lot 70 Northwinds Location Northwinds Inc . Qwner Stephen Knickerboftbe Owner-Mobi 1 e Nome gy C?rder Town Board TOVYN of QUEENSBURY Director of Bldg. '& Code Enforcement x BUILDING PERMIT s TOWN OF QUEENSBURY No 92- 076 WARREN) CCIUNTYO NEW YORK un r� PERMISSION is hereby granted to STEPHEN KNICKERBOCKER OWNER of property located at Lot 70 Northwi nds Street, Road or Ave. in the Town of Oueensbury, To Construct or place a Obi 1 e H nMA 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 Queenshury Building and Zoning Ordinance_ a i-r 1. OWNER'S Address is + 7c Northwinds Inc o PO Box 224 ' O * Glens F lls NY 12$ x 2, CONTRACTOR or BUILDERS Name r+ i .'� Adirondack Housing cn rr- m -c3 3_ CONTRACTOR or BUILDER'S Address r6 114 Saratoga Av S . Glens Falls NY 12803 4. ARCHITECT'S Name r— r+ 5. ARCHITECT'S Address V C7 zz O r7 6. TYPE of Construction — (Please indicate by X) SE [ ) wood Frame ( ) Masonry ( ? Steel r- 7. PLANS and Specifications No. 14 ` x74 " Mobile Name as per plot plan and application . B. Proposed Um Single family mobile home 35 . 00 March 13 19 93 $ PERMIT FEE PAID — THIS PERMIT EXPIRES Cr (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the rp town of Queensbury before the expiration date_) _ Dated at the Town of Oueensbury 13th Da March 19 92 SIGNED BY for the Town of Queensbury Building and Z nA inspector TOWN OF QUEENSBURw RECEIVED TOWN OF Q UEENSB URY 31992 REVIEWED BY : Ca. & CODE DEFT. FEE PAID : PERMIT NO , APPLICATION FOR MOBILE HOME PERMIT A BUILDING PERMIT MUST BE OBTAINED BEFORE PLACEMENT OF MOBILE HOME . NO INSPECTIONS WILL BE MADE UNTIL A VALID BUILDING PERMIT HAS BEEN ISSUED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The owner of this property is : Fd P . O . Address I t c w% 2 2 _.� f�firo Phone Number 2 `� Z - , T$� Property Location_ �1 , ,, c Q Tax Map No . �'_ NAME OF APPLICANT : _ S�``Fi"�� rC. �► xr cc � -�r £?t �2ciJ c ks�sr � •� C� . Address of Applicant : t t t [ S*_k=a Ig I;Q C2 ':F� All applicants spaces on this application MUST be completed and the -71 signature of the applicant MUST appear on the reverse side of this application . PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES : MOBILE HOME INFORMATION APPROXIMATE VALUE OF HOME : New Home Yes No ZONING INFORMATION : Replacement Home Yes No Size of Property : _ i ft x // U ft Size of mobile home 1 ;Lftx-21-ft Existing Bui1dings - Singlewide Doublewide Proposed building-distance from property line : No . of rooms ( exclude baths ) .. Front Yard ft Rear Yard ft . Side Yards ft and ft . No . bedrooms 3 - Occupancy Information : No . of bathrooms_ Primary dwelling : Yes No Fireplace Woodstove Accessory Building ( s ) : Detached garage ( one car /two car car ) Foundation style and size : Attached garage ( one car./two car car) Storage building Piers- No . of w Size ft x ft Other Depth below grade ft * * Foundation- Footing size x 41 Proposed date of placemen : Wall material Wall thickness Height Water Supply : Well Municipal X Total depth below grade ft . Septic permit required? ` Grade to home floor level ft . FURTHER INFORMATION REQUESTED ON THE - REVERSE SIDE OF THIS SHEET NAME OF INSTALLER/MOBILE HOME DEALER : ADDRESS/PHONE NUMBER rl t e_ + j '2 J7C,),j -7q STATE OF NEW YORK DIVISION OF HOUSING AND COMMUNITY RENEWAL INSIGNIA OF APPROVAL OF THE STATE BUILDING CODE Z . Insignia serial number 2 . Name of Manufacturer 3 . Plan Approval Number 4 . Model or Component Designation 5 . Date of Manufacture 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 . Town of Queensbury State of New York County of Warren AFFIDAVIT 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 ins--a--u—thorized by the owner . Signature Owner , owner ' s agent , architect , contractor SPECIAL CONDITIONS OF PERMIT : By Code Enforcement Officer TOWN OF QUEENSBURY 531 BAY ROAR QUEENSBURY , NEW YORK 12804 TELEPHONE ( 51B) 745-4447 BUILDING IISPECTOR' S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME LOCATIONf DATE, 3 1s �' + PERMIT# �p9�i lL7 TYPE OF STRUCTURE /7Z D-u/ 44 11 RECHECK FIRE MARSHAL APPROVAL ( COMMERCIAL STRUCTURE ) FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAf. ELECTRICALSEPTIC _INSULATION �WOOOUSTOVE/FIREPLACE REMARKS e �" — AP R AL N/A , YES IND CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/PORCH/S EPS/RA LINGS RELIEF VALVES FURNACE/HOT W ER OPER ING BASEMENT INSULATION/DUCTW RK INTERIOR TRIM/ PRIVACY DOO S FINISH FLOORS : BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS HANDICAPPED ACCESS SMOKE DETECTORS BATHROOM FANS/WHO EH US FANS ALL PLUMBING FIXTURES ERATI GARAGE FIRE PROOFING DOOR CLOSERS OTHER 'FIRE SEPARA N FIRE/DEMISE WALL DUMPSTER SITE PLAN/VARI C REClUI EM NT FINAL ELECTRICAL OK TO ISSUE C/O OR C/ o COM NTS : A<5 ARRIVE DEPART= - I N TOWN OF EIrSBURY 1 531 SAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518) 745- 4447 BUILDING INSPECTOR ' S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME Ye 00 u ` LOCATION DATEAf �! cam. PER11IT r�# k 1 C+U TYPE OF STRUCTURE k ik RECHECK FIRE MARSHAL APPROVAL ( COMMERCIAL STRUCTURE ) FOOTING FOUNDATION BACKFILL _FRAMING —ROUGH PLUMBING F AL ELECTRICAL SEPTIC INSULATION WOODST E/FIREPLACE REMARKS APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/PORCH/STEPS /RAILI S RELIEF VALVES FURNACE/HOT WA OP IN BASEMENT INSULATION UCTW K INTERIOR TRIM/ PRIV Y 000 FINISH FLOORS : BATH/KITCHEN W ERTIGHT OTHER FLOORS WEEPABLE OTHER FLOOR CARPETED _ STAIR CLEARA E/RAILINGS _ HANDICAPPED CCESS SMOKE DET To BATHROOM ANS/WHOL H U E ANS ALL PL BING FIXTURES OPERATI G_ _� GARAG FIRE PROOFING DOD CLOSERS OTHER FIRE SEPARA N FIRE/DEMISE WALLS DUMPS TER SITE PLAN/V NCE REQUIREMENTS FINAL ELECTRICAL OK TO ISSUE C /O OR / COMMENTS : Lr r�L'e'r [U 4 1 ARRIVE DEPART./ I Rig FAT IT rggog,F + j, ro tu WCYt frig ago or I sod { } ,too a �`r be 0s°d'►' C4 too 110 bus bile 00, OAS too LoobOy m � f Se 56901960 so Sleet 401 m MO mM `° v z Moe cr 4f : •. National -H rs 133-r PVesi 0"W'PrkkAflt i"' r _ . . . _ Date : do City, Town or Township C10 A6ir r 0% State Location/Address7 - (if Located In Ural rea - P easye Amch Directi Pole # Owner;i +fi W �`,+T-� Ye • ao +C ?-e1°�► t`.'i f %'(►� - CTit. Occupied As r his r' —�1 c, y - - : building NewQ~ Old El Occupant ` Work Area in Building Floor #, etc.] : for: Wirin c] Service 0 or: Ready for In a dn : ' Fee Remitted - $ ' Cash Check c ` a e ayabisl 6- M.D.I.A. Number of Rflugh Wiring Outlets Elect. Heat _ 4$O s o a2an ;rsm 17w 2000 zss0 250o 2750 3a0o Switches -- Amp. Service ' ' qurface Unit Dishwasber Range Lighting Water Heater Air Conditioner Dryer. ' ' Pump Receptacles Oven `(3alsbage Disposal Wiring and Controls for Burner Number afhki6reg Amp.4.Rocdptacles Fractional N.P. Vent Fans • . . rsj: ' " Other Equipment: ti MOTORS H.P. 1/ y 1/10 lJa 1/6 1J4 if 1!2 3/4 1 lYi 2 : 5 ?jIx 10 15 20 ,25 30 40 C%0r '7.5 . Joe _ Mark Numb er of Each Size Appl icant's „A �,,. V Signature 44 I +4 +�6;4% clot: A4 0& go*2 License T/A duai lity Applicant`s Address: f (NAME) f E TI N (City), 'alp) . . t +4 �It9 2' Service Request # Phone Electrician r bIYi+E RECEIVED: DATE INSPEnTi6b: rRed t Location : Same as Above EA or: otice Label Rough Wiring Outlets Surface Unit . Oven _ Switches Range Oarbage Dls oral Receptacles Water Heater "' " is washer Fixtures Airorrditivyner; ` b r' ` ' "' Amp. Service Equipment Burner, 14ititlg"OrCcialalstfor Am , f4d6sptlicla Amp. Service Conductors Pump Vent ans M4Tl7RS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 y ?AIx 10 15 20 25 .3 40 5 00 M N umber ' Mark of Each Size Elect. Heat 500 750 1000 12sa 1500 176012406122501f$00 Yso 2000 1. a"' r� ryur [ . Wo. 0 RW .. < Progress: Inc. LK01 I rPontractor Q CFT Violation: Work Comp. 0 Ini::. � . : . © LIA CASH 'Owner ` Fee . CHIK # [] - L/A 0 I PA r st"icipal 111� Date: Other Sided Utility , - 'Y Cut in Card 0 Temp # Datew 3 ' Q Final # Date I Nj2PEc RS 9 IGNATORE 7A APPLICATION FORM NO. 250 P L 11/89 .. •. ' . ' :n ...• .•. . TOWN OF +QUEENS13URY Bay at Haviland Road, Oueensbury, IYV 1 2804-9 725--5 1 8-792-5832 MEMO April 14 , 1992 TO : Assessor ' s Office RE : Building Permit # 92- 076 Tax Map # 93- 2-- 9 Please be advised that the wrong Lot number was used on Permit application . The Lot number for this permit should be # 71 not # 70 . Thank you . "HOME OF NATURAL. BEAUTY A GOOD Pi-ACE TO LIVE" SETTLE[) 1763 5 I � Y �7y I fO ' -� 2 01V OF 'QUEEN MAR 13 1992 PA BLDG, & CODE DEPT: [n CPTMUTER NUUM r 0 OPT (sit �L ��`w KITC4 w ? IEWPOM 2au aJTNTr L late SM. lem GIIGi3x exq KOUM Exit EeiAuLT ukln TIIRR-WTtk{ MILAN T1rWR � rim =1 OPT@ TILL OZ037 1480 3CK 2FB 2BA RB UTL .1� 6Z0381 3CK 2FB 2BA RB UTL J APPR OX, 1064 $0, FT, t T X. 1064 SO# FT, Wrio L MST tLD�T „ yi#a{r{�S[R ,. WVAULT a i r ,Ifs DIIVINER 17TL lI�.. w ' •+' wmrc[lursrfeu r BEDROOM 2e..WINti VNG 9 CPT WNINGI LIVING SID BEDfXN3NAM MJSTEN SIxTEKOROOM eOal KIT MEN RODN RillGn 11113 RDFWM2 BEDROD[[3kA '01cx13 x4 lox10 j exfo1.11IO TNTniyr a WCRs CPT om lu TILE DZ039 1480 3FLR 2BA RB UTL DZ049 1480 3CK 2FB 2BA RB UTL OPT APPROX. 1064 $0, FT. APPROX, 1064 S0• FT. GRrxwaL acSTgpsE NOTE: Overall lerigth Includes approximate (out toot hitch The mformatloa eantamed on this brochure 1S wCurJte at the time of printing. but because of aft ongoing product nnprovemNil program. 1a autHtct to Change without natice&N With" Intutrmg any oblpxNon �•, BEk,w" �' nili ulntNu IfR1n-•f ORa(N �"� �. (tEpRDoli2 smoomS ra Vt1 sr1Rr.V rwau.Rul :iT. ar 11ki. .y�y` u,rw uy-en r Exit loxa to ro 6 €, SIT w DZ031 N 1470 3FK �y DZ032 1470 3CK 2FB 2BA RB UTL ' APPROX, 924 $0, FT, J APPROX. 924 SO. FT, 4o4aM1L a1R:w¢GNr 0 a`�L yr ughi°r Q0 U�� j# 85° rw uktalk �xf— Ndp u�aiL �' ;IerT / V p�+M l_� rdP Mile 1� + K I1ruR5t R4tT 4Yka1a RENtuwf\ lot LOW T LIVINGrTn MJSTER durTE Rc01r Ya5T[R SurTF'brT akllMka lowI•ai3 J 'q! .x rar0 Mtn • - QrT ill R . . ED QV DZ043 1470 2CK FAR 2BA RB UTL v D2044 1470 2CK FAR 28A RB UTL APPRaX. 933 SO, FT, APPROX, 933 SO, FT.