1991-442 a �f
CERTIFICATE OF OCCUPANCY
.. TOWN OF QUEENSBURY -- :--_
WARREN COUNTY;. NEW YORK
Date Jdne 28 19 91
This,is to certify that work requested to be done as shown by Permit No. 91-442
has been completed.
This:`structure may be occupied as a Mobi 7 e HO e
Location Lot #28 Woodland.Path
Owner
Beorge & Shelly Mabb '
• By Order Town Board
TOWN OF QUEENSBURY
0 _
Director of.Bldg. do Code Enforcement ri
_.> I •
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-442 0
WARREN COUNTY, NEW YORK
cri
&e ShellyI
PERMISSION is hereby granted to George Mabb
a
OWNER of property located at Lot #28 Woodland Path Street, Road or Ave. 1-4
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. o
1. OWNER'S Address is
rD
Frank Parillo no
Forest Park
Corinth Rd
2. CONTRACTOR or BUILDER'S Name —r
Lamplighter Homes
Cu
3. CONTRACTOR or BUILDER'S Address
RT9 RD#2
Fort Edward, NY
r-
4. ARCHITECT'S Name O
c+
N
Co
O
5. ARCHITECT'S Address O
tZ
Cu
C.
6. TYPE of Construction— (Please indicate by X) a
( I Wood Frame ( ) Masonry ( I Steel ( )
0
Q
7. PLANS and Specifications
CD
No. 14' x 80' Mobile Home as per plot plan specifications and x
application 0
CD
8. Proposed Use
Mobile Home
$ 41.00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 25, 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 25t.,t1_ Day of June 19 91
//
SIGNED BY r )1;?/"., / / for the Town of Queensbury
Building and Zoning Inspect6r
9
•
TO DE COMPLETED BY fLGC. DEPT. T
awn ul Queelli•ure Application•
No.
Permit Issued 19
BUILDING me ZONING DEPARTMENT • OWt,� OF
Day una Havil:,nd Road, R.D. 1 Box 08 Fastest •Expireul9 OUEEf�d�
Zoning Designation BEGET E_ r'iIJR`i
Ouuunseury, New York 12801 F Iwo
Variance No.,
Site Plan:Review No. JUN
2'
APPLICATION FOR Approved by: 1 199'
MOBILE HOME LOG. & CODE DEPT.
f'U I LD I NO AND ZONING PERMIT41— •
..
• • • • • • • .~ • • • • • + * ` r • • • •. • • .• * * •. s •. * * * • * * * * w.::•
A PERh1IT 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
Lc done in accordance with the description, plans-and Dpeeificationu uubiuitted, and .such
..Jeci:,1 conditions as may be; indicated on the Permit.
1'rte owner of this property is: qQ/Pk.- P,,Q (2%,. 110�
P.O. Address .
• Property Locations �� 1 �-t -� , �NQ Map
Pea 2-I,L, `.De4 r-&-- a ( 14.4 T c.ki 0D Tax Ma No __/__2
Street 1:umber or building lot number
' d- T6n name (if applicable) ,D f- S- ' _ �� -• - .
I•IIL•' PERSON RESPONSIBLE FOR SUPERVISION F WORK AS REGARDS BUILDING 'CODES IS t
L �. > 9 ea J-04A giLuip ooV .5-4 293- 239a
Name / P.O. Address/J'��9 Tcl. No.
Lime of• Installers 04N . ,t_1(45 o Address el ifs -` 1,4.) C� i 1 Tel.u`-‘-796 '-3 9 2--
III(: uf plumber
0/ Address /0 Tel. //
. :,Hu of ,14iuon // Address /( . . . . Vol. if
:GUILE HOME INFORMATION: . . ZONING INFORMATION:
Iuw Home Placement (//4-6 _• • A .PLOT PLAN MUST BE PREPARED- AND SUBMITTED,
•-• drawn reasonably to scale and attached hereto,
tcplacing existing Home ' • showing clearly•and distinctly all .buildings,
:ize of new Home. • ft X U ft ' whether`_existing or. proposed and indicate all
• set-back dimensions from-property lines. Give
:ingle w le • Double wide • street and number or lot number and indicate
•.o. of rooms (excluding baths) `5 • whether interior or corner lot. Show location
• of water supply and location and configuration
:0. of bedrooms. ' • of septic disposal area.
•;0. of bathrooms O� ••
• COMPLETE INFORMATION REQUIRED BELOW.
'ircplace? pia. Wood stove? pi A "+Size of property 1 T( 66
. ft X I ( 0 ft.
oundation style and size: •• Existing buildings) Size Et X ft.•
iers- No.of Size-_ft x _ ft. . • Existing building (s) Uue
Depth below grade ft. •
• •
GUNDATION _ Footing size X N • Proposed building, distance from property line
Front yard �5-/ ft Rear yard c2S ft
all material .,Side yards 36 ft and • /6 ft
all thickness " Height ft. • If on corner, setback from side street ft
• OCCUPANCY INFORMATION •otal depth below grade ft. •
rade to Home floor level ft. • I'R-One BUILDING -
# * 14, One family dwelling
- / -tr./ �� , - Two family dwelling
roposed date of placement2 gs / ,. Multiple dwelling / Number of units
p r o x . Value. of Home $ � ,1 ,J i r� • ____.Pe anent occupancy
• Transient occupancy
ater supply - Well Municipal N� • Business
•
.. `,)
• Industrial
ptic Permit required? 0 • Ocher
•
If addition, what will use be?
JRTHER INFORMATION REQUESTED
ACCESSORY BUILDING-
'N. THE REVERSE TH S:-I DE O.F d S SHEET.• Detached garage/one car/ two car/ ' car
•
• Attached garage/one car/ two car/--car
•
• Private storage building
. • Other
•
•
. Form Mll P 5/8G and-vl? '
•
APPLICATION FOR MOBILE HOME PERMIT, (CONTINUED)
State of New York Division of Housing and Community Renewal
INSIGNIA OF APPROVAL OF THE STATE . BUILDING CODE
INSIGNIA SERIAL NUMBER P 02-531 1q
NAME OF MANUFACTURER L,p 0 .-1
PLAN APPROVAL NUMBER •
. MODEL OR COMPONENT DESIGNATION /7O
MANUFACTURER ' S, SERIAL NUMBER 3 e A
DATE OF MANUFACTURE .0 /q,
All the above information is to be found on a plate or sticker which
ou ld be affixed to the Mobile Home. Complete .above with that information.
4 4 4 4 4 1 4 4 4 4 4 * 4 4 4 4 4 4 4 •4 • 4 4 4 4 4 4 4 4- 4 4 4 4.4 4 4 4 .
'own of Qucenabury
'ounty of Warren A F FI- D A V . I T STATE OF NEW YORK
I swear that to the best of my knowledge and belief the statements contained
n this application,_:together with the plans and specifications submitted, are a.-true, and
omplece statement of all proposed work to be done on the described'.premises and that,all
rovision8 of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to
he proposed work shall be complied with, whether specified or not, and that such work is
uthorized by the owner.
.ti0-v`aY�1 f•Signature --- ��,
Owner, •owner s ache t,arcnite6t,contractor
•
* •• • • • • • • • • • •• • • * • • • • * • • * • • • •• • • • • • • • * •- ••
~
•
;YECIAL 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 t-.�. _ /f l-1 - _
CITY OR VILLAGE �(`. ::t COUNTY - -
f. (—&-.(C`2._.I.1 a p' {_-cy. r A _P1 6-AJ
STREET AND NO.OR ROAD _ 'q ri POLE NUMBER
)-- i ?_S 1 ,ii_`5 i �4tZ �
-EL 0 1 L Iam- `.I-1 -o4 D
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT
O UPANT'S NAME BUILDIN OCCUPANCY
O :5- Ce ice,-7' frog g ..+ 1 p 0 I
°,IN ER'S NAME AND ADDRESS ,� L HOME TELEPHONE NUMBE
L,c4CI-C-a WI6?( y %)-i��� 1--,1 Z.rs I,):ct�7 lZ'r�tL 7,-/7 — eU !
CURRENT SUPPLIED BY FROM THEIR ( . 'OFFICE WORK TELEPHONE NUMBER
Ki i i'?Ca 6 taF\ i\-4 f.:lyst 3k.. (. %.P--)s 1.-c\u_S
BUILDING IS ,7,_{/
NEW MI OLD❑ WORK IS NEWNXL 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
lion 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-
B- /,C/ /I
BASE
BASE-
MENT ` '
1st
FL.
2nd
FL.
3rd ///16,w,- T)
t.
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 OWE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY
SERVICE ENTERS BUILDING MANUFACTURER OF SIGN
❑ OVERHEAD ❑ UNDERGROUND
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANTS /
IDENTIFICATION NUMBER I l¢ ,I /1,.; I'? I r; I / - ✓
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS
DATE OF APPLICATION SIGNATUR OF PLICA i
NAME OF A�PLICANI4, J i � t � �`_
,�,�� i �I..--•-� �.e,tt �--Z_t- i ! X•_. �,., i/ � , Sri%�
ST� ET ADDRESS — r TELEPHONE NO./�
-'� �j /.)—)A -ice '2`7 3 —2 3 7
CITY OR POST OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE
1_ f-T E :,•,j ,R..tj 1i-' Y t i 7 S-
❑ 85 John Street ❑ 41 State Street ❑ 570 Delaware Avenue ❑ 217 Lake Avenue ❑ 202 Arterial Road
NEW YORK,NY 10038 ALBANY,NY 12207 BUFFALO,NY 14202 ROCHESTER,NY 14608 SYRACUSE,NY 13206
(212)227-3700 (518)463-2122 (716)884-1155 (716)254-0141 (315)463-8552
THE NFW YnRK F3nARD OF FIRE UNDERWRITERS
!!4",.\natti )t�lti,"1,ti,k_n Ati ati w?CJ.P!,.)tl,�tti Jti .at("ky It"..1�[.ah atlaf/.at�C).1."..1. .t(;?ti_)tl,fit["._tr,iti 1ti..�h jti t4_ ,!4,
j
THE NEW YORK BOARD. OF FIRE UNDERWRITERS PAGE 1
' 41'9215
BUREAU OF ELECTRICITY
:
' 41 STATE STREET,AL ANY1 W YORK 12207 '
1�
Date JULY 12',1991 Applicat• n No.on fill'307491/91 A 055 s''7
THIS CERTIFIES THAT PERMIT P'0. 91-113
5 �i only the electrical equipment as described below and introduced b p icant named on the above application number in the premises of ..
T GEORGE & SHELLY MAL'B, CORINTH PARK-FOREST PARK, QUEENSBURY, N.Y.
: in the following location; ❑ Basement ❑ 1st 1!l. ❑ 2nd Fl. OUT Section Block Lot 28
was examined on JULY 03, 1991 and found to be in compliance with the requirements of this Board. '+
I 'v
aLi FIXTURE I FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ;
i. OUTLETS RECEPTACLES SWITCHES INCANDESCENT..FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. ':
1'
T, :
' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS •,
4 A' AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. SYSTEMS AMT. WATTS ..
NO.OF FEET
G '.i
u"(
�; SERVICE DISCONNECT NO.OF S. E - R . V I ' •C - E
is' AMT. AMP. TYPE METER 1,e'2W 1 12f 3W 3,Br 3W 90 4W NO.OFF C$COND. OF CC.CGOND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEWLJTGRAL ;
OTHER APPARATUS:
;. PANELBOARDS:1-2 CIR. 100
'•
a
ie
LAMPLIGHTER HONES
z
'mac, DOROTHY MURRAY .
-6
% RT.9 RI?2 BRANCH MANAGER
FORT EDWARD>, NI�, 12828 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. :
• •ielio,i. nsrafarso 0 0 0 mrstranzi minim eginno ® 0 min ® 0 0 ® rim ® ® n 0 a 0 0 0 0 0 0 0 0 ;":"
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
/0
w W TO OF QUEENSBURY/9
531 BAY ROAD
`1, 47 QUEENSBURY, NEW YORK 12804
- TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED'.
NAME (k) ' bi4 )Xa4-6.
LOCATION 44 6qf Z/s--e-dA.j," A ,�
DATE &V6Th /4/ PERMITI 1/'4✓2)6:
TYPE OF STRUCTURE : �t2P O7-j2� _
RECHECK . 's
_FIRE MARSHAL APPROVAL ,(COMMERCIAL STRUCTURE)
_FOOTING FOUNDATION . BACKFILL /FRAMING
ROUGH PLUMBING FINAL ELECTRICAL e SEPTIC .
INSULATION WOOTSTOVE/FIREPLACE f
SITE PLAN/VARIANCE REQUIREMENTS; ,EYES _ NO
REMARKS
hR
,k , ,� '
APPROVAL
• ' ; N/A YES NO
CHIMNEY HEIGHT/LOCATION l\ if _
B VENT/LOCATION \ , :
PLUMBING VENT Al r
ROOFING anti /
SIDING r ':
DECK/PORCH/STEPS/RAILINGS/ +4,:
RELIEF VALVES
FURNACE/HOT WATER OPERATING , Y
BASEMENT INSULATION/DUC ORK
INTERIOR TRIM/PRIVACY DOORS , x
FINISH FLOORS:
BATH/KITCHEN WATERT/ GHT J 1 ✓
OTHER FLOORS SWEEP,ABLE f
OTHER FLOORS CARPETED t
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS '
SMOKE DETECTORS ? _ A ✓/ "
BATHROOM FANS/WHO EHOUSE FANS' A V
ALL PLUMBING .FIXT RES OPERATING
GARAGE FIRE PROOF NG
DOOR CLOSERS
OTHER FIRE SEPARA ION ' .
FIRE/DEMISE WALLS "
DUMPSTER \
.1k'i5/
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C ,
COMMENTS:
?Al.
efig,13,Aii-b° th-ei 41,if:/360. 6 \ 33q '
;4 5P o .539� )boy
• ?7ewr d/ ?
ARRIVE �6 ,
DEPART /t"-' � )14/ J`.
•
INSPECTOR
o id S-��L TOWN OF QUEEN BURY
BUILDING AND CODES DEPARTMENT /�
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT � � /
REQUEST FOR INSPECTION RECEIVED �J/07/Cj/
NAME c/%,i,46/ //-1/7/ 111
LOCATION Q //47.(i'L 1/G 7z 'r/
DATE0i n
PERMIT # %/` 149
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
V FOOTINGS/PIERS
/`MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING ,/
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE !
FOUNDATION/DAMPROOFtNG
BACKFILL APPROVAL
ROUGH PLUMBING \,
PLUMBING VENT/VENTS IN PLACE ;,
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS \
BRACING/BRIDGING =`
JOIST HANGERS k.
JACK POSTS/MAIN BEAMS ',
FIRESTOPPING
WALLS
CEILING
FIREWALLS /
HEATING ROUGH-IN ,/
INSULATION: /
FOUNDATION WALLS INTERIOR R- .
FOUNDATION WALLS EXTERIOR R-
FLOORS I WALLS / R-
CEILING / R-
DUCT WORK/ OR PIPING IN UNHEATED \
SPACES / ',ti
REMARKS:
ro'cD-0-u-G s b e- P 69-5 P"- _.,(/
Af .,� (,vs P i(ate - racvo f u6
ARRIVE C ,�)
DEPART Q/',' Is --,____-.
IN PEC OR
. . . .... _ ... .._ .... .
p \A
(.._dC , I, . ,
:,
fl. 1 l
:s-.• .1T`i.?8e1:?Y.3ttii4;iitE1 �t'"_ti.-1UT�. Oi— J./+ _^
OIT �L 1 oL
..--._ :r.i�.. ,�_ "'"' • BEDROOM 2 [�,'. ,���: KITCHEN VAULT ,
►* e : : �.•+-- «•---- DINING „'� CCU.]n+a'on '! •BEDROOM 3
):: : . MASTER surrE '.-_ - _ _;s�. LIVING 9.t� •1M•s;:.. Vi
,
i 13' B' -= _ • T T -- ROOM _ J t �; tfB'
•
01104 1 80 3CK 2FB 2BA RB UTL Approx. 1039 Sq. Ft.
.
-.- 4e--07-c 4 s i*._,_,_ _y in, Lc,__,
IOWN OF QUEENSBUr,,
k - - T►z�29�i cl2 i<. RECEIVED.
C�(2.-t ...0 ak.--ERs8uC,y JUN 211991
BLDG. & CODE DEPT.
TOWN OF QUEENSBURY '-7cf?-3p a n1-
BU LD1i CODE DEPT.
REVIEWED BY
•
DATE v5" I
.
i
•
I
.
CA3Y- )r-
J(11,31
z /
OF QUEENSBUFIf
&e)-(2-6 SY/ 6C-V /q4ed
il,-,7 2. GOO°0 L.A 63_0 PA-t--b4 -r)
C',0 (
1--2- --) ', JUN 211991
..0-LEsi,Jsge:t, ./ io y ,
BLDG. & CODE DEPT,
i .
6 E•1 i ' tt.„. ..„.
----
OCC-1•CO 1E'',0 6q..6SyL thf 1,-(0' 4).Ac„.61--N A
b_A7,7 '240 I 4,---e 5-Jog- , i..._,0 -.- Z o 1•3o--Q-7C1.--,
TOWN OF QUEENSBURY
BUILDING C D S DEPT.
REVIEWED B ,
DATE
(so ( C:9------q- . CA t•3______-.4-fie_._.-4-o.C-
121- 9 qi9)__ i7cz--f- a9e-Q-arti9
9 93- 2392_ -
.
. ,