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1991-786
1 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY,. NEW YORK Date ih4)/4' /219 f/ This is to certify that work requested to be done as shown by Permit •No. 91m786 has been completed. This structure may be occupied as a M bl 1 � ' Location Lot 67 F�arthwindc Owner Richard ®ipierio By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement BUILDING PERMIT a TOWN OF QUEENSBURY -� No. 91-786 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Northwinds Owner of Home Richard Dipierio w OWNER of property located at Lot 57 Northwinds mobile home park Street, Road or Ave. ko 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. r. 1. OWNER'S Address is rD Daniel & George Drellos o• PO Box 224 GlensFalls, NY 12801 2. CONTRACTOR or BUILDER'S Name Adirondack Housing INc. au 3. CONTRACTOR or BUILDER'S Address 0+ 114 Saratoga Avenue cr, South Glens Falls, NY 12803 4. ARCHITECT'S Name X G 5. ARCHITECT'S Address O t'D 6. TYPE of Construction—(Please indicate by X) ( ►Wood Frame ( I Masonry ( I Steel ( ) 7. PLANS and Specifications No. 14' x 66' Mobile home as per plot plan specifications and application 8. Proposed Use Mobile HOme $ 29.00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 8, 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 8th ay'of November 19 91 SIGNED BY Gl;= /7-z for the Town of Queensbury Building andjZoning Inspector • J. TO DE COMPLETED BY ITLDG. DEPT.. awn Application f `� • wn o� QNPt'�1.1G�I�w pp ation No. J Permit Isuued 19 IOW!! _OF QUzENSBL k. BUILDING me ZONING DEPARTMENT Perim. Designation l9 • RECEIVED Bay eno.Haviland Road, R.D. 1 Box 08 Zoning Designation oueenseury. New York 12801 . Variance No.. site Plan Review No.. t` 1! 199� • APPLICATION FOR Approved by; ._. .._.- MOBILE HOME L .r✓uD .: CODE DEPT. PU I LD I NG AND ZONING • PERM I T: ' • #0�9---- . ' i • e w * • • w * w • * w w w .w * * r w A * • w. w . w • * w w w.. w.-w .* * w * w::rr 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 - -u done in accordance with the description,-.plans and, s , 1>'aeciu1 conditions au uwy be indicated On the Permit. t"'eificationy aubmitta.d,` and,such • • 224( ills: owner of t s property- is: / 1174w/4 ohs Li C . u '.6. 1."lree - :.0 .6 _ (end -! ((s I 125=01 Tel, 7Q2- se3$ . 'roperty Location: /6 / S 7 juor-Ma,,, /C ,/P. S pi HP Tax prep No. � , SCrt:eC s.wlber or building lot number - - - uLdlvision name (if applicable) —.1 I C .rd •. . ✓a p i : t5 �(,)7,?7-A�1tri IIE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES. IS: . . V4.0-Y� . 14 OLA011D 5 i(A Cin2 -L/1 n: //y SAP, cr s- /.)Fos- - _ 79�'=��0d�. Name .44.0. Addreau Tel. No. • una: of Installer. Address .�me 'u1: plumber �' Tel. Addraau Tel. ,M.: o! uraaon • Acldraaa Tel.l. OI]ILC HOME INFORMATION: • . ZONING 1NFORMATION: - - _ ._. . . . .. w Home o:m a Placement V . 'a PLOT PLANS h1UST BE PREPARED' AND SUBMITTED, eplacing existing Home . drawn reasonably to scale and attached hereto, . showing clearly 'and diutinctly all buildings, ize of new Homely ' ft X. 6,4 ft . ' whether existing or proposed and indicate all • '. se.t-back:-dimensi.ons. tram_proaer_tv__iine's. Give. ngie w 1:e able wide • street and number or lot number. and indicate * whetherinterior or corner lot. Show location o. of rooms (excluding bath o. of bedrooms *:fair water- supply and location and configuration �-- • of septic disposal area. - • o. of bathrooms / " , • „ COMPLETE INFORMATION REQUIRED BELOW: • - Yireplace?— Wood stove? a Size of, ro ert oun aeon style and size: ".Existing building(s) Size . ft X ft. jets- No.of Size- -• ft x ft. " i xiuting building(s) Use ' • Depth below grade . ft. OUaUI{'IN Footing size " X •• �r Proposed building, distance frc►u� property ling: " Front yard ZO ft Roar yard 24 ft all material " Side yards 3 ► ft and LO It • all thickness " Height ft. . * If on co(cner, setback from ride utreut ft atal depth below grade. • ft. ' OCCUPANCY INFORMATION • rade to •Home ,floor level . , ft. " PRIMARY BUILDING - ' * • * * a * * * * * * * * * * is * * * * .6ne !'wmily dwelling . " Two family dwelling roposed date of placementiLf 7d /IL" Multiple dwelling / Number of units prox.. vales of Home S' Zq Oat " Permanent occupancy Transient occupancy a ter supply - Wellnicipal - Busineus f . Industrial .ptic Permit required? Pi b . . " Ocher - " If addition; what will use be? JRTHER INFORMATION REQUESTED " * ACCES RY UILDING • - THE REVERSE SIDE OF THIS SHEET.** __Det ' a d garage/one car/ two car/ car • " • Atta,_ garage/ono car/ two car/ car " Priers s raga building . " Other • Form NIP 500 and-vl • APPLICATION FOR MOBILE HOME PERMIT, (CONTINUED) • - - State of New York Division of Housing and Community Renewal INSIGNIA OF APPKOVAL OF THE STATE BUILDING CODE INSIGNIA SERIAL NUMBER "To Se_ .9ss/94e D NAME OF MANUFACTURER Cl/22/nd PLAN APPROVAL NUMBER ▪ MODEL OR COMPONENT DESIGNATION •600,00e/2--• • • . MANUFACTURER'S. SERIAL NUMBER •' .7"a oefe- .42-C,cf9 Ape P DATE OF MANUFACTURE 7/ • •.: • • Is: • • f • • • . • . • • • • . • t All the above information is to be found on a pZato or sticker which lould be affixed to ethe Mobile Home. Complete..above With that information. 4 4 4 4 4 4 14 4 4 .4. 4 4 * * 4 4 ••+I '* • * 4 4 * 4 4 4 44 4 4 4 row. of Queenubury .:ounty of Warren A F FIDAVIT STATE OF NEW•YORK I swear that to the best of my knowledge and belief the statements contained Ln this application, together with the plane and specifications submitted, are a true and :omplete statement of all proposed work to be done on the described premises and that all )rovisions of the BUILDING CODE, THE ZONING ORDINANCE, and all other lawu pertaining to _ he proposed work shdli be complied_with,-*.thuther-upecified-or-not-a -AEU-that -such:work is .uLhorizeu-bY the-owner. • ' • Signature_ /1-- . ' Owner, owner's agent,arcnitect,contractor • . • • • • • • • • * • * • • * * • • * * * * .* * • * * • • • * * • * • • * Or • • • • * * • • * • • • 3PECIAL CONDITIONS OF THE PERMIT: • • ••• ••••••••••• • •• • • • • • • . • • • • • • • • • • 01 . • • • • • • • • •• • • • • e I. • 0 • " • "• • • •• • • • • • • • • • • • • -------0,....,-,„,... riu * MIDDLE DEPARTMENT INSPECTION AGENCY, INC. \ � National Headquarters Sa ' 1337 West Chester Pike,West Chester, PA-19380 . APPLICANT COMPLETES THIS SECTION _ . . • Date: il-6_ l7 City, Town or Township '�A S` : rf 'County 4 Jl eAl . State J `j Location/Address AG / -7c 7 /vUy-i•ii Fu A T y► t(R• R• €'"`c hu` / / _ .(If LocatedgRural Area-Please Attach Directions) Pole # L Owner ( 1 t. C_ IN.c"" J 1), `7 1 f- ► 0 • Permit # L// _ ' i (-2 Occupied As ' b" �� • t�. V v't� t. c, +,-- • , Building: Newf . Old❑ Occupant •-�C., 1,t- - Work Area-in Building (Floor #,etc.): `" App. for: Wiring❑ Service❑ or: Ready for Inspection: Fee Remitted -$ . Cash n Check n M:O. ri - 'Make Payable To: M.D.I.A. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Number of Rough Wiring'Outlets ' Elect. Heat . Switches - • Lighting Amp. Service Surface Unit Dishwasher Range Water Heater Air Conditioner "Dryer Pump Receptacles - Number of Fixtures Oven . Garbage Disposal Wiring and Controls for. • -. Burner Amp. Receptacles Fractional H.P. Vent Fans Other Equipment: - . • MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5' 7'/ 10 15 20 25 30 40 50 75 100 Mark Number -- of Each Size / Applicants }�f . / Signature v � a-7 4- C._._ License # Permit # ,i T/A ,`�t n.( Th 0t t4 L) cl Utility: ` • "] (NAME) (OFFICE LOCATION) Applicar 's Address: I C tt CI'k �w `rJ 5 i' -6� •) (City) �- A• • k` S (State) /4) it (Zip) / 2 ° 3 Service Request # �. Phone # g- - ?© a Electrician: - MDIA USE ONLY DATE RECEIVED: DATE INSPECTED: Correct Location: Same as Above ri or: ' Red Notice Label n .Rough Wiring Outlets _ Surface Unit - - - Oven Switches Range Garbage Disposal .-_,• Receptacles Water Heater Dishwasher Fixtures • Air Conditioner ' Dryer Amp. Service Equipment - Burner, Wiring &Controls for Amp. Receptacle Amp. Service Conductors Pump . Vent Fans - - MOTORS H.P. • 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/2 10 .15 20 25 30 40 50 75 100 Mark Number of Each Size . • 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Elect. Heat •,t . ' ,'\ CERTIFICATIONS USE FOR INITIAL VISIT ONLY , NOTIFIED DATE CORRECTFEE FEE PAID ❑ RW I ` , Progress: Inc,❑ LKD❑ Contractor ❑ CFT Violation: Work Comp.❑ Inc. I I CASH El1-7L• /A Owner Fee CH K # 1-1 L• /A . . . • . Due MO # n IPA. . Municipal - INV # Date: Other Side - Utility Applicant ❑❑ Owner. Cut in Card n T• emp # Date INSPECTORS SIGNATURE n F• inal # Date • - APPLICATION FORM NO.250 EL 11/89 /\ APPLICANT'S CQPY AMe244 ar2EVV.6 TOWN OF QUEENSBURY 531 BAY ROAD QUEENSBURY, NEW YORK 12804 }' TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED / 2// NAME_ /��1�/./�/� �'000�il' LOCATION, -j 77S/j/j/,476 DATE /C407/ PERMIT/ TYPE OF STRUCTURE RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) - FOOTING FOUNDATION BACKFILL FRAMING - ROUGH PLUMBING �....FINAL ELECTRICAL-- SEPTIC - INSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL N/AI YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION 4 7 PLUMBING VENT ROOFING SIDING ti DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE/HOT WATER OPERATING X BASEMENT INSULATION/DUCTWORK INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE%RAILINGS HANDICAPPED ACCESS SMOKE DETECTORS h' BATHROOM FANS/WHOLEHOUSE FANS ALL PLUMBING FIXTURES OPERATING GARAGE FIREPROOFING • DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE WALLS DUMPS TER SITE PLAN/VARIANCE REQUIREMENTS _ FINAL ELECTRICAL OK TO ISSUE C/0 OR C/C COMMENTS: °War VJULL 1 'b r\ppor o!i -L ShicaL Er:-ems ARRIVE 17K • - ` DEPART II � AL_ !✓",��- NSPE�TO rn TOWN OF QUEENSBURY 4f011W 531 BAY ROAD Q.U.E SBURY, NEW YORK 12804 :r TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME ,gathrif// A0.[�I,c P/Li LOCATION ' f t �S 7 (*G17 //7 /.6/ & DATE /,2) 6-1Q/ PERMIT# gl-'7f6 TYPE OF STRUCTURE `-/7� �t.j�, / -y e RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING FOUNDATION BACKFILL FRAMING - ROUGH PLUMBING .- INAL ELECTRICAL--_SEPTIC - INSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL N/A9 YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING SIDING 1 DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE/HOT WATER OPERATING i BASEMENT INSULATION/DUCTWORK / INTERIOR TRIM/PRIVACY DOORS / FINISH FLOORS: BATH/KITCHEN WATERTIGHT ,6 OTHER FLOORS SWEEPABLE /, OTHER FLOORS CARPETED / . STAIR CLEARANCE/RAILINGS / HANDICAPPED ACCESS ,l SMOKE DETECTORS / k BATHROOM FANS/WHOLEHOUSE FANS ALL PLUMBING FIXTURES OPERATING, GARAGE FIRE PROOFING / DOOR CLOSERS / OTHER FIRE SEPARATION! FIRE/DEMISE WALLS / DUMPSTER j SITE PLAN/VARIANCE REQUIREMENTS _ FINAL ELECTRICAL OK TO ISSUE C/O OR C/C • COMMENTS: Glia:c&idert ciew gi& kw-1 et y 4,o-ateio The-A-- ARRIVE DEPART alS , � V IN'SP JI ELECTRICAL INSPECTIONS DUPLICATE MUNICIPAL RECORD Permit No. Owner g I IP/C/2/ 6 Occupant S7 /VoR. 7-Ww/x/6,5-- 44, //, Location s73-ce PY Street Town or City State r' Installation as itemized on reverse side has been visually inspected pursuant to applicable codes. Installed by 6,-7/11-Z/C e-&e-C Date `7 7- 9/ ur 96 0 • kacljECA GlYtaXt-latspector 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 BbRNER RECEPTACLES H.P.PUMP • FIXTURES K.W.OVEN 6// AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT / 6 AMP.SERVICE CONDUCTORS K.W.DISHWASHER f K.W.SURFACE UNIT K.W. DRYER K.W. RANGE AMP. RECEPTACLE K.W.WATER HEATER FRAC. H.P.VENT FANS MOTORS H.P. 1/20 1/12 1/10 % %s ''A 'h '/: % 1 11/4 2 3 5 714 10 15 20 25 30 40 50 75 100 MARK NUMBER OF EACH SIZE APPARATUS 1,-i • • • • *I . ^ 3 . li\ GJ,1 ; cti �, l i11 1 111MA ilnl F 1 ,� 111 J MASTER i OPT 'E: • OFT z B EOROOM =,� 00ORe., wnIf S 14 x 13 OOOIR it BEDROOM 2 LIVING RC1pM <"1 KITCMEN.}� BATN--- axa 19x1! -Y Iwo [s_ d is .-, VAULT C [ILIMA TNRU -ouT / 0Ilbl OPT t TILE -\,) • • • • I. • Di I s 9 1ds TO 104-e)2►K evil AaT[A K - ie • CC . . • • • . _Commodore • ,�, Cor1!oration - • • AP**QIIIMAT(L'1 933 34 FT,- • • tij O • 99'el n .. Fri O • • 0 Ga - � •• ©TII C-0 0 Z -0 to . • . . . . . . , • . . . . , . . . _ . --iUVVINI OF QUEhNSh i RECEIPT) 011 6 1991 . ---t-A:i./ Jae...-,4 . i • • i .• .• c>.-1 • . BLDG. & CODE DEPT. ,ir.q;',LP:41.11).APy 5..Liiii0Z k,IV ,. ...,„. . . • . . rnr1) --/1417) .M0 0. Y . . • . , • -,,:. • . . • [ • • t, . , • . . • J 1 0 ‘ , .. .. . . • i . . . . • . , . . . • ,I, . . . . , - ! . . . 1 .• ._.... • . t . • , ,,..._... • . ! . • . , •. , . . . . . . . .. :: . , --?-- • • . . . . . , . . • ,b . • _ . . I. . . . . . . • 1 . . • 1 . • . . . i . • 3' • i j Gr---2" • . 1 ....1:- ...52. . . • . . . 1 . • 1 1 . . . 1 . , . - , 1"i . . • . . . • • . • • 2 3 • . • . • " . P . • . . . . , v . , . . . . _ . • . • ir. o.. • . . . . . • , .