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1992-134 TOWN OF QUEENSBURY WARREN COUNM NEW YORK This in to certify that work requested to be done as shown by Permit No. 92-134 has been completed. This structure may be occupied as a Mobi l e Home Lia ns ff Lwxerne Rd owner Morthwi ndS s Inc * BY Order Town Board TOWN OF QUEENSBURY Director of BIdge doCode Enforcement t m BUILDING PERMIT " TOWN OF QUEEN5BURY No. 92_ 134 WARREN COUNTY, NEW Y© RK Ce na t PERMISSION is hereby granted to NORTHMINDS INC . �P OWNER of property located at LOT 70 LUZERNE ROAD Street, Road or Ave. in the Town of Queensbury, To Construct or place a MOSILE HOME C 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_ CL t. OWNER'S Address is PO Box 224 Glens Falls , NY 12801 2. CONTRACTOR or BUI LDERS Name Today' s Modern Hmes O 3. CONTRACTOR or BUILDERS Address "rt 54 Rt 4 Gansevoort , NY 12831 0 r- N 4. ARCHITECT'S Name fD Off. 5, ARCHITECTS Address 5. TYPE of Construction — (Please indicate by X) Cr i 1 Wood Frame { ) Masonry t ) Steel ( ) tp 8C 7. PLANS and Specifications No. 72 ' x 14' Mobile Home as per plot plan specifications and application 8. Proposed Use Mobile Ham $ _ ;>S_ pQ PERMIT FEE PAID — THIS PERMIT EXPIRES April 14� ig 93 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Oueensbury before the expiration date.) Dated at the Town of Queensbury this �14th_ _ spay of AQrj 1 1992 SIGNED BY 'Y 7r1� r'� 7a.r for the Town of Queensbury Building and 'Zoning 1&mjaactor TOWN OF QUEENS13Uti OWN OF RECEIVED +Q Q UEENS B LIR Y REVIEWED BY : APR 9 1992 BLDG. & CODE DEPT, FEE PAID : PERMIT NO . u .i - /� 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 HASJ BEEN ISSUED . The owner. of this property ism. P . O . Address : �! G�- ��+ (� ► J 6F- S Phone Number � - Property Location L L� C.sc' c '�-� Tax Map No . / /� NAME OF APPLICANT : -Zyde� y Address of Applicant : ✓,� iy2 T ! " / c' "; All applicants spaces on this application MUST be completed and the 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 ,y' . APPROXIMATE VALUE OF HOME : $ for ew Home Yes No ZONING INFORMATION : Replacement Home Yes No Size of Property : ft x / J ft Size of mobile home 2Lftx&ft Existing Buildings : Singlewide Doublewide Proposed building-distance from property line : No . of rooms ( exclude baths ) Front Yard zo ft Rear Yard ft . No . bedrooms Side Yards �,ft and / ft , Occupancy Information : No , of bathrooms Primary dwelling : Yes No Fireplace /TO Woodstove IVO Accessory Building ( s ) Detached garage ( one car /two car car ) Foundation style and size : Attached garage ( one car./two car car ) Piers- No . of Size Storage building `ft x ft yOther Depth below grade ft * * k * * * k k Foundation- Footing size " x �" Proposed date of placement : Wall material 4; V/ p"g ��'X/� f; 2 Wall thickness." Height Water Supply : Well Municipal , 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 �� G ,� f �.-i �,�"_ ^�' .`� � /c zzj;/� STATE OF NEW YORK DIVISION OF HOUSING AND COMMUNITY RENEWAL INSIGNIA OF APPROVAL OF THE STATE BUILDING CODE 1 . 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 is auth ized by the owner . Signatureor y- / Owner , ow r ` s agent , architect , contractor SPECIAL CONDITIONS OF PERMIT : AJQ �s - tcul�J ca ,2 �G'Ago tom--= r t ► ,B �t,� ��9..ra•r r By CodEnforcL&meat Officer TOWN OF QUEENSBURY 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 745- 4447 BUILDING INSPECTOR ' S REPORT FIL INSPECTION REQUEST FOR INSPECTION RECEIVED' N��17E tOCATIQN _ �0.... �} '. , , L Qom• DATE /,� � __`PERJWIT# TYPE OF STRUCTURE R€CFfECK FIRE MARSHAL APPROVAL ( COMMERCIAL STRUCTURE ) FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL' SEPTIC :INSULATION ,WOODSTOVE/FIREPLACE REMARKS ` d. � �''`T APPROVAL CHIMNEY HEIGHT/LOCATION N/A YES NO B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE/HOT WA ER OPERA G BASEMENT INSULATION/DUC RK INTERIOR TRIM/ PRIVACY D 0 S FINISH FLOORS : -- BATH/KITCHEN WATERT HT OTHER FLOORS SWEEP LE OTHER FLOORS CARPE ED STAIR CLEARANCE/RAI INGS HANDICAPPED ACCESS SMOKE DETECTORS BATHROOM FANS/WHOL H U E NS ALL PLUMBING FI%T RES OPE TING GARAGE FIRE PROOFING -" DOOR CLOSERS i OTHER FIRE SEPARA I N FIRE/DEMISE WALLS DUMPS TER SITE PLAN/VAR AN REQU REMEN S FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMMEN S : rta 7-E I7`3 ©cam f,s . t F j-/� y� ./+,rzj M 13,r- ,'�/arffi!�T i GAAZ r> 7 o Qv r4- +o 1"Cp" ARRIVE ,�/r� DEPART /'`f. IN r THE NEW YORK BOARD OF FIRE UNDERWRITERS d - - BUREAU OF ELECTRICITY 41 STATE STREET, ALBANY, NEW YORK 12207 Application No. on file THIS CEFITIFIES THAT Only therrelectrical equip"sont an described below sead introduced by the opplicsnt named on the epplicatiar nunsber in the prse ssiees of in the following lorcation, amun Rent © Isr Iris L_I ,Trod Fl. .Section Black Lat woo examined an 1 and found to be in complionew with the require►nenrs of this Board, RXII RXTURES RMOCM COOIFINGDECKS OVENS DISH WASHERS EXHAUST FANS OUTUITS "ACLE6 SWITCHES INCANDEZ"W FLUORESCENT OTHER AMT. IL. W. AMT. K. W. AMT. K.W- AMT, K- W, AMT. H. P. DRYERS FURNACE MOTORS IVTURE APMANCE ME1iERS SNICIALMVIIII UMECM=XS j JUNITHRATERS. MULTI-OUTM DIMMERS W. OIL H. P- GAS H, r. AMT. NO. A. W. G. AAeT. AM►. AMf. AMrS. TRAHS. }iMT. H. r. SYSTEMST. WATTS y! NO. Of RR;T T SERVICE DISCONNECT HO. or S E It Y 1 C E f AMT. AMP- 1'TIE DCAM.M 1 Jr 3W 1 X 3W a X Sw 9 X aW NO. Or CC. CONb. A.M✓. O. NO, of HRLEG A. W, G MO. Or NEUTRALS A. w. G. FER i' OF CC. C # HI•LEG OF NEUTRAL OTHER AM$"TUS: F' dr3:L-4 4 2. &M., Cr p.7-e BRANCH MANAGER Per This certificate must not be altered in any manner, return to the office of the Board if incorrect. Inspectors may be identified by their cmdentiak. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MIDST NOT BE ALTERED IN ANY MANNER. YOU ARE HEREBY REQUESTED To INSPECT AND ISSUE CERTIFICATES FOR THE FOLLOWING ELECTRICAL EQUIPMENT TO BE INSTALLED SY THE UNDERSIGNED tr. Tuvaasmp srREErA■or�D oouNry launm� rww TRp 5rRP�Lrg of 2z� , SEcnoN LOr euadNc ply -� �rs NIYE/yyD AppgEg,S CURRg+{ gy,. �7 � t�DR1E TEI.EPFgIIE}yLygE}� .'T0EMRUILD6 -- is y �' �. L� LI /`-•„ C NEw 1M1OnK 1ELEP"ONE MIMBER J QI.D ❑ LJ BELOW ALL E UlPMENT WORK s rELv LJ ADOMMAL Loca- NUMBER OF OUTLr 15 , d Fixtures WHICH YOU INSTALLED IxM=laEwvE° � mr+ Au 1 I Lamp fides MOTORS HEAMRS BRANCH . C' "g MM eoCIRCUITS Our- 911 RW*ft SWhoh Penpanl 8Mdmt Nn lfgtq P.FachNa Each Na AWG,see 9# Y SUB- BASE MENT +A1 FL. FL- FL- REMARKS: LIST OTHeH ELECTA1CAl DEVICES N47 SET FORTFt ABOVE. . FON THIS D A-D ]q QN L INTENDED TO COVER THE ABQVE.LISTED EQUIPMENT TO BE INSPECTED, BUT IF AT TIME OF INSPECTION FOUND AdDfflONgL EQUIPMENT NC3r ABOVE LISfE THE FMAM OiM,4L EQUIPMENT. AS PROVIDED BY l�C7U ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST TH E TO ECOVER THE APPLICANT. 512E OF iMMM,g y •-a 'i�r� FEEDEPS ELeA="%C SKtNSA-"APS A L1F LIVRK 'IDTAL MAQI'TS '! /'✓•'"� ❑ E7 POWD GA:TUee SKiWIRMSFOpA gS OF 4WE M omw lD BE ❑ CONGEALED yl DME OOMPLErED SIZE OF SIGN[NUMURPq SEiV1QE BY f Eft;'BUILD� /MANUFAL.MRM OF Sk3A! L1A'E fOSPECDr,It,I Nsauey.mD ON (OWONAWr AS NEAR AS PiO$SgL UNDERDRDVND E) PRINT NAME AND ADDRESS NAME OF APPUCArM7 t-�.I'r7 � T EW E OF APPLICAnON STnEET ADDRESS '-v ,"Y;/ - Ion CITY gn POST CIFFICE P NE f- 'may �c'7+.�j ./e 'gP - OE LICENSE NCI W E ❑ 86 John Street I 41 State Delaware _ NEW YOR NY I OD38 I CJ ALBANY, NAY 12207 � o 570 [7 NY Al 24 ©2 � ❑ 217 Laks Avenue f 2d2 Arteries! Rued (2t 2) 227 STpp (51$) 463 2122 RCICHESTER, NY f 4805 I SYRACUSE, NY 13208 (71 B) 88-0-1 155 (716) 254-0141 I THE NEW YORK BOARp C?F FIRE UNDERWRITERS 552 400 I-OWN OF QUEENSBUH RF=CEIVED f APR 9 1992 BLDG. & CODE DEPT. f f I i 11J�lG�M�1, � i Ir L 0 Q� U M U) W Wo a 'U W :~ 0 Cl 0 °7 0 00 Cc QO - --- - - . . ... . . .. . Ir+Nr UTILITY � F' All '7 4 :sNING ; BEDROOM eEDfi00M REA Na. 2 No 3 m MASTER �+ 8' g" 3 BFDR00M • (:ENTER a , lWINeG ROOM 1d. g BEDROOM fl KITCHEN • 2 BATHS 11 No 1 - 3tITCHEN f' ------ wni �J 3 o6 * 7614 - " mum -- _ LIVING ROOM no q 1QTCHENI BEDROOM OF i I3EDROONI • CENTER MASTER Q� DINING 17' dBEDROO KJ I CHIN • SNACK BAR • No- I B BEDROOM �.� 10 8 I1' 2" 2 I3A74I IS ( 1 038 SQ. FT.) „ s°.4� 1 1 310 * 7614 - CMN(N , f f r BEDROOM � ) f r MASTER wwao.r _ No. 2 �� A BEDROOM 3 BEDROOM N CENTER ' g' 2" , No. 3 g BEDROOM I{ITCHENI LIVING ROOM KITCHEN ' SNACK BAR • 2 No. DINING Is'- d" '( 1d` d" BATHS • CORNER "CUB ( 7z d { _r." td s" ' (1 038 SQ, F`f.) — - - -- D --, JC] [fill, - -- -- w,x ' u•+