1991-563 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSSURY
WARREN COUNTY;_ NEW YORK
Date October 1.1 19 91
This is to certify that work requested.to be done as shown by ,Permit.No. 91-563
has been completed.
I
This structure may be occupied as a ®hi l P Wimp
I Nation Lot #55 Northwi nds
Owner Northwinds/Daniel Drellos
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
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BUILDING PERMIT cu
TOWN OF QUEENSBURY
No. 91-563
WARREN COUNTY, NEW YORKl N
PERMISSION is hereby granted to Daniel Drellos / Northwinds Mobile Park
OWNER of property located at Lot 55, Northwinds Street, Road or Ave. 8
0
in the Town of Queensbury,To Construct or place a Mobile Home y
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. Q'
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1. OWNER'S Address is
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2. CONTRACTOR or BUILDER'S Name
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3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction— (Please indicate by X)
( )Wood Frame ( I Masonry ( ) Steel ( ) r�
7. PLANS and Specifications
No. 14' x 68' Mobile Home as per plot plan specifications and
application
8. Proposed Use
Mobile Home
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$ 35.00 PERMIT FEE PAID —THIS PERMIT EXPIRES August 7, 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 )ay,,of AUGUST 19 91
SIGNED BY / ,/A % for the Town of Queensbury
Building and Zorig Inspector
•c _ �'��,am f flle A-
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TO BE COMPLETED BY nG. DEPT. '
�eu,u of Queelaili4rf/ Application No.
Permit Issued 19
BUILDING and ZONING DEPARTMENT I OWN OF
Permit Expires 19 QIIEEN^v FiLJhi,
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation RECEIVED
. Queensbury, New York 12801 Variance •.
Site P vie No. AUG f.-
APPLICATION FOR Ap•r =. !;, 51991
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MOBILE HOME o�..��, I_ • BLDG. & CODE DEPT
BUILDING AND ZONING PERMIT :a
* * * * * * * * *• * * * * * * * * * * *" * * * * * *'.* * * * * * * * * * *::*
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 description, plans and specifications submitted, and such
special conditions as may be indicated on the Permit.
The owner of this property is: ,A-/),-,� "QIe_(lo Ir - /U 0 t-rc-w 1,JDI- A,,66/ C•z /°.rz.k
P.O. Address P o 109- aay G. r Te1.79,1 - 72S'7
Property Location: ," LT P/2"C _ /2! D Tax Map No. / /
Street Number or building lot number
•Subdivision name (if applicable) id
55 r
TILE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
Name P.O. Address • Tel. No.
Name of Installer Address Tel.
Name of plumber Address Tel.
Name of mason Address Tel.
MOBILE HOME INFORMATION: * . ZONING INFORMATION:
New tome Placement - • A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
- ' drawn reasonably to scale and attached hereto,
Replacing existing Home .. . * showing clearly and distinctly all buildings,
Size of new Home 14 ft X (cd ft . * whether existing or proposed and indicate all
* set-back dimensions from property lines. Give
Single wile • 1, Double wide * street and number or lot number and indicate
No. of rooms (excluding baths) �j * whether interior or corner lot. Show location
* of water supply and location and configuration
No. of bedrooms .2 * of septic disposal area.
/ *
No. of bathrooms * COMPLETE INFORMATION REQUIRED BELOW. •
Fireplace? . Wood stove? * Size of property • ft X ft.
Foundation style and size: * Existing building(s) Size ft X ft.
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Piers- No.of Size- ft x ft. * Existing building(s) Use
*
Depth below grade ft.
* Proposed building, distance from property line
FOUNDATION - Footing size " X " *
- * Front yard ft Rear yard ft
Wall material * Side yards ' ft and ft
Wall thickness Height ft. * If on corner, setback from side street ft
Total depth below grade - ft. * OCCUPANCY INFORMATION
*
Grade to Home floor level ft. * PRIMARY BUILDING -
* * * * * * * * * * * * * * * * * * * * * One family dwelling
* Two family dwelling
Proposed date of placement / / „ Multiple dwelling / Number of units
Aprox. Vales, of Home $ * Permanent occupancy
* Transient occupancy
Water supply - Well Municipal 0/ * Business
* Industrial
Septic Permit required? WO * Other
* If addition, what will use be?
*
FURTHER INFORMATION REQUESTED *
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
• *
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' Form MIIP 5/86 and-vl
APPLICATION FOR MOBILE HOME PERMIT, (CONTINUED)
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State of New York Division of Housing and Community Renewal
INSIGNIA OF APPROVAL OF THE STATE BUILDING CODE •
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1 . INSIGNIA SERIAL NUMBER
2 . NAME OF MANUFACTURER W-;1 2,0
3 . PLAN APPROVAL NUMBER •
4 . MODEL OR COMPONENT DESIGNATION :
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5 . MANUFACTURER 'S SERIAL NUMBER
6. DATE OF MANUFACTURE 7 - / 1
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All the above information is to be found on a plate or sticker which
should be affixed to the Mobile Home. Conrplete..above with that information.
# d * * * . * 4 * * * * 4 4 * .4 * * 4 h * •4 - * * * 4 4 4 4 * . * * *4 * *
Town of Queensbury A F F I D A V I T County of Warren STATE OF NEW PORK
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, r specified or not, and that such work is
authorized by the owner. . •
Signature_' _ r==t-- - -
Own , 'owner's age ,arcnitect,contractor.
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* * * * * * * * * * * * * * * * * * * * •* * * * * * * * * * * * * * * * * * * * * * * * * •*
SPECIAL CONDITIONS OF THE PERMIT:
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• . By
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'cc,,,,I,: 0 j', 1 \fv,,:cac2A r,u,. *" ri)
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T€�SPI OF QUNSBURY
-Go y� 531 BAY ROAD
'. � , QUEENSBURY, NEW YORK 12804
V �'^� TELEPHONE,' (518) 745-4447
.�N?IY 1
U-I-��IP86-ItSS \R S REPORT
1AL INSPECTI_ ON
REQUEST FOR INSPE4TTDURECEIVEU /O %/_/ /
NAME (N)-DAlSOe (vsS
LOCATIONS � )- i kir-H"l W ft_ds
DATE /0//// / PERI1ITi ` 9 / --S L_U3
TYPE OF STRUCTURE '("i)0,11) t e . j
RECHECK
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
_ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
INSULATION WOODS'IOVE/FIREPLACE
REMARKS X S - � . ( UV
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATI N
B VENT/LOCATION 41
PLUMBING VENT r/
ROOFING I ;
SIDING /
DECK/PORCH/STEPS/RAILING r//
RELIEF VALVES I/
/
FURNACE/HOT WATER OPERAT NG �;/
BASEMENT INSULATION/DUC ORK /
INTERIOR TRIM/PRIVACY D ORS .
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT ✓/
OTHER FLOORS SWEEPAB -OTHER FLOORS CARPETS' �j _
STAIR CLEARANCE/RAIL.IN, S \ ;,/
HANDICAPPED ACCESS
SMOKE DETECTORS _
BATHROOM FANS/WHOLEHOU;SE FANS
ALL PLUMBING FIXTURES OPERATING 1,1
GARAGE FIRE PROOFING_ '
DOOR CLOSERS
OTHER FIRE SEPARATIO/
FIRE/DEMISE WALLS
DUMPS TER /
SITE PLAN/VARIANCE!REQUIREMENTS _
FINAL ELECTRICAL /
OK TO ISSUE C/O OR C/C ;/
COMMENTS:
2A" *4' 04
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/-4, O dO tee/(> 44
ARRIVE ,�
DEPART d� `f
INSPE T
ELECTRICAL INSPECTIONS
/ DUPLICATE MUNICIPAL RECORD
9.PerMit No. ‹ �f
Owner /U 612 Y/f 4i//V O£ LiQ `PA-@tc
Occupant •- ` p/'�p
Location k0 S O T J I A140 7 / `I"�7
2era T
- Street
Town or City State
Installation as itemized on reverse side has been visually inspected pursuant to applicable
codes.
Installed by .__(�7/V
�' ` No. __ 96 t✓
Date 174 ' �J/
�, ector
MIDDLE DEPARTMENT INSPECTION AGENCY,INC.
FORM NO.18 EL. 1337 West Chester Pike,West Chester,PA 19380
ROUGH WIRING OUTLETS H.P.AIR CONDITIONER
OUTLETS WIRING &CONTROLS FOR BURNER
RECEPTACLES H.P.PUMP
FIXTURES K.W.OVEN
/e:fi CAMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT
AMP.SERVICE CONDUCTORS K.W.DISHWASHER
•
K.W.SURFACE UNIT K.W. DRYER
K.W.RANGE AMP. RECEPTACLE
K.W.WATER HEATER FRAC.H.P.VENT FANS
'Q a zE 1c 6-v 6 12,1r C -d
MOTORS M.P. I/20 1/12 1/IO Vi % % 'h h '/ 1 11/2 2 3 5 7y 10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE
APPARATUS
TOW OF QUEENSBURY
531 BAY
•``` j QUEENSBURY., NEWRYAD YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED Rl/5/9
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NAME J 3 k1 �S l
LOCATION
DATE PERMITS# _ -c
TYPE OF STRUCTURE--� CD
RECHECK 1J
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL r SEPTIC
INSULATION `WOONSTOVE/FIREPLACE 7
SITE PLAN/VARIANCE REQUIREMENTS AYES - NO
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 OPE ATING
BASEMENT INSULATION/D CTWORK
INTERIOR TRIM/PRIVAf'Y DOORS.
FINISH FLOORS: /
BATH/KITCHEN WATERTIGHT
OTHER FLOORS S EEPABLE
OTHER FLOORS C RPETED
STAIR CLEARANCE RAILINGS
HANDICAPPED AC ESS
SMOKE DETECTO
BATHROOM FANS/WHOLEHOUSE FANS °,
ALL PLUMBING.FIXTURES OPERATING
GARAGE FIRE ROOFING
DOOR CLOSER
OTHER FIRE EPARATION
FIRE/DEMISE WALLS
DUMPSTER
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS: ,
ARRIVE
DEPART
1
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VOi \\ MO
U° TOWN OF QUEEWSBURY
- 531 BAY ROAD
V j QUEENSBURY, NEW YORK 12804
- TELEPHONE (518) 792-5832
811 C` 'S REPORT
FINAL INSPECTI / _
REQUEST F!,• INS 1 RECEIVEID / l�
ll
NAME ��,f jOY i)) (V),
LOCATIONS'
DATE /�/q1 • PERMIT) ' / — 56,3
l
TYPE OF STRUCTURE ) .-
RECHECK
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
_FOOTING FOUNDATION BACKFILL ;FRAMING
_ROUGH PLUMBING FINAL ELECTRICAL T ., SEPTIC
INSULATION WOUDSTOVE/FIREPLACE
SITE PLAN/VARIANCE REQUIREMENTS AYES � N
REMARKS (34-LC G 12 t -10S e6-e i 7c)11-1
0114- ,) Coo/zPLG
' APPRO AL
, N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION I
PLUMBING VENT /
ROOFING ,:t /
SIDING ;/ /
DECK/PORCH/STEPS/RAILINGS 1 / ,0,K
RELIEF VALVES / /
FURNACE/HOT WATER OPERATING •/ 1
BASEMENT INSULATION/DUCTWORK+`
INTERIOR TRIM/PRIVACY DOOR/
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE i
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS P.
HANDICAPPED ACCESS / II
SMOKE DETECTORS ,
BATHROOM FANS/WHO:EHOUSE FANS
ALL PLUMBING.FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE,.WALLS
DUMPSTER
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS o G4-s sG r
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24Aic 5r&P U Url /Z 5j 2A 3 t v Ss'
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ARRIVE l� 7
DEPART If:- /6L P V---- _
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MASTER
BEDROOATXI ;►'�- I1 ;
�.Mr KITCHEN
LIVING ROOM
e'4" MAIN 13'4" 1-- 11 11 � A U G 5 1991
n - BATH BEDROOM,O2
I' DOOR ,4=6"•�� f I ..
$If 8=10" "
4l i 13L[�C. S Cp
F1E tEPT,
J90-2 RiVER RIDGE 52'X 14' - 2 BR -• FRONT KIT - 'I BATH u...
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1 MASTE_R BEDROOA9f y UV1NG ROOM O
i1 10'-9" � ry 14'9" KITCHEP!., OPTIONAL MAIN �U BEDROOM
R DOOR BATH r 1 T-1 i•'
.. it 7--4O" 1 3 • ! 10=11"
$ f
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E89-2 RIVER RIDGE 60'X 14' - 2 BR - FK OPTIONAL
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1 BEDROOMV3 BEDROOM
KITCHEN I +
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I MASTER BEDROOM#1 .,D. vv. a _ I LIVING ROOM 9•,5„ i' 8'�" 4
11'-11., .- -t Y
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,:.'.:..STANDARD.FEATURES '
Name Brand Appliances R 7 11 11 Insulation Designer Styled Cabinet Doors
14 Cu Ft Single Door Refrigerator Prefinished Gypsum Ceiling Throughout Distinctive Cabinet:Hardware
30 Free Standing G;as Range :Color Coordinated Mouldin T/O
9 Arripts Cabinet Storage Vented Power Range Hood : ';Gun Slot Front.& Rear Doors
Stainless Steel Sink- " Porch,Light at All Doors
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Motal Drawer Guides ,
Integral One Piece Tub Surround Removable Storms:&Screens; Switc Interior•poor Knobs
High.Pressure Lab in.ate Countertops Color Coordinated Wail Vin is T/O Switched Reaeptacle in Living ROOrri : .
20 Gallon Electric Water Neater Custom D Y Showe eptacln
I rywall interior acne ,
Gas:Furnace Caret Throu hout with ad - j
Smoiie Detector P g P G 01 AMP Receptacle
w/Circwt Breaker : ,
y M .Decorative Drapes T/0 Federal Code Requirements Gas'Line Direct Hook up No Wax Vin y l Floonn in Kitchen, Bath& r
•
Plumbin for:Washer Y g
g Utility Room .:.>::i
POPULAR OF ri0ms •
Shingle Roof Fire lace
f: Vin l Dutch La Exterior Y P Sk I'ip hts
2 x 6;�xteri0r Wails: Y g D slhwasher ack
Built In Stereo
l hermopane Windows Decorative Ceiling Fans roae a®Furnitur
i Deluxe Steel Exterior Doors':
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ompl a Groupings
lioiloi
NI of cur floc plans published since Standards and Options may vary according to floor plan. All Astro Homes are manufactured
aOM ai'ceI9D9e0cenber all
ollc1990 aro F r houses
under third party inspection and in full compliance with HUD Federal Mobile Homo
owerodbydwllnlbd States Ardatecexal � � .,. P
Wake cydiegni Rebce A Ad.to me Standards. Prices and Specifications subject to change without notice or obligation.
uaufialzed cop•Ang of these pans a
houses 01 result In copyright infrirgo- Box 189
merit.We intend b enforce our rights For Detailed Discussion of Your
wider die copyright law to the fullest ex- Shippe nvi Ile, PA 16254
WI.Moreover,willful infringement of a phone 814-226-6822 Home Requirements Contact:
copyritht for conmerdal advantage a
•
3/91
cerrvoio;'.vnai!g;lnioa criminal ell€se. _
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I OWN OF
AUG 5 1991
TOWN OF QUEENSBURY BUILDING DEPARTMENTLD
G Based on our limited examination, CODE DEPT.
compliance with our comments shall
not be construed as indicating the
plans and specifications are in full
compliance with the code.
- FILE CORY- -
TOWN OF QUE NS U'l
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Zoning Mgr;nis ator ‘Ve
TOWN OF • NS U Y
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