1991-690 „ - -
= •
•
CERTIFICATE OF Ney-
r: TOWN OF OUEENSBU'Of
WARREN COUNTY, NEW. Y,IPRK
6A
19 57
Date /
This is to certify that work requested to be done as shown by Permit No. 91-690
has been completed.
single family mobile home
•
This structure may be occupied as a
Lot 81 Briwood Circle
Location
Owner Frank uo owner of MohilP HOMP St 'p Waters
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-690 ,t n
WARREN COUNTY, NEW YORK x
PERMISSION is hereby granted to STEVE WATERS
0
OWNER of property located at Lot 81 Briwood Circle Street, Road or Ave.
Cal
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.
w
1. OWNER'S Address is
Frank Parillop
215 Ballard Rd
(ansevoort NY 12R11
2. CONTRACTOR or BUILDER'S Name
—
PV Sales rn
C )
3. CONTRACTOR or BUILDER'S Address
Cn
2138 Route 50
Ballston Spa NY 12020CD
4. ARCHITECT'S Name
5. ARCHITECT'S Address0
r
c+
rr
6. TYPE of Construction—(Please indicate by X) -5
JC.
( )Wood Frame ( ) Masonry ( )Steel ( ) 0
7. PLANS and Specifications ti. —�•
No. 14')(80' Mobile Home as per plot plan, specifications and application
8. Proposed Use
Single family mobile home
0
41.00 September 30 92 Cr
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
(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.)
tZ}
Dated at the Town of Queensbury this 30th Day of ,September 19 91
SIGNED BY ) for the Town of Queensbury
Building and Zoning.Ispector
z ,l.
. . ..,ultN OF QUEENboc.,,_
TO DE COMPLETED BY BLDG. DEPT. P°c`"- '`ED
lnuPe�r,�urApplication No.sawn o ny
BUILUING andZON�ICNG DEPARTMENT Permit Issued 19 SEP �+ U 1991
• Permit Expires - 19
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation -1,E) . & CO DEPT.
Oueensbury, New York 12801 Variance No. ('
(f!)
• Site Plan Review No. -� `�/
•
APPLICATION FOR A ved by •
•
[[[ c
MOBILE HOME #
FUILDING AND ZONING PERMIT . < 4(- • .
* * * * * *. * * * * * * * * * * * * * * * * * * * * * * * *. * * * * * * *::*
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: r40TIC Pair, i 6 Fo reRI- Pa-k-ic I)1, a Art
r)
P.U. Address ?/3 f i ,02.frd. / �jffr7Se //)/Jyy//y J�1-!-/ Tel.
• Property Location: ,L�;�/ y ii'J' 1 ar7J Tax ap No. / 5,.(L/p1
f/,.$
Street number or building lot number 1_ 1
Subdivision name (if applicable)
u� �L�� 7
T1I PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: /
" . v S'qq- 1 eS 1:2)F‘ f?-4-es-0 &AtA.,013 .(Di - NL6- 6r-/8- - rES--S-0676 ,:-
. 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 Home- Placement yes . * A PLOT PLAN MUST BE PREPARED. AND SUBMITTED,
_* drawn reasonably to scale and attached hereto,
Replacing existing Home * showing clearly and distinctly all buildings,
* whether existing or proposed and indicate all
Size of new Home J4 ft X ROft ,
• * set-back dimensions from property lines. Give
Single w• 1e • x Double wide * street and number or lot number and indicate
No. of rooms (excluding baths) * whether interior or corner lot. Show location
* of water supply and location and configuration
No. of bedrooms 3 * of septic. disposal area.
*
No. of bathrooms a * COMPLETE INFORMATION REQUIRED BELOW. ,
Fireplace? NO Wood stove? NO * Size of property • ft X ft.
Foundation style and size: Existing building(s) Size ft X ft.
Piers- No.of Size- ft x ft. * Existing buildings) Use
*
Depth below grade ft. •
FOUNDATION - Footing size X „ * Proposed building, distance from property line
- * 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
* OCCUPANCY INFORMATION
Total depth below grade ft. *
Grade to Home floor level ft. * PRIMARY BUILDING - •
* * * * * * * * * * * * * * * * * * * * * .LOne family dwelling
* Two family dwelling •
Proposed date of placement Ci / .i /`3l ,, Multiple dwelling / Number of units
it Permanent occupancy
Aprox. Value. of Home $ aO,OC'O * Transient occupancy
Water supply - Well Municipal V * Business
* Industrial
Septic Permit required? 44 * 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.
*
Form MIIP 5/86 and-vl
APPLICATION FOR MOBILE HOME PERMIT, (CONTINUED)
State of New York Division of Housing and Community Renewal
INSIGNIA OF APNHOVAL OF THE STATE BUILDING CODE
1 . INSIGNIA SERIAL NUMBER
2 . NAME OF MANUFACTURER l0 ��r•��'
3 . PLAN APPROVAL NUMBER c Tvps 1> e,(-,
4 . MODEL OR COMPONENT DESIGNATION
5 . MANUFACTURER'S SERIAL NUMBER r?g99 4
6. DATE OF MANUFACTURE ‘G 9 CS
•
•
•
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.
4 4 * 4 * * * i * * * * * * * .* * 4 * * 4 '* 4 * * * * * * * * # * ** 4 * 4
•
Town of Queensbury A F F I D A V . I T STATE OF NEW YORK
County of Warren
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 11 other laws pertaining to
the proposed work shall be complied •with, whether s ecifi d or -4, nd that such work is
authorized by the owner. . . •
.-L/1
Signatures ' /C4—)
• Owner, owner's agen ,arcnitect,contractor
•
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * -*
SPECIAL 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 t (I.
TEMP.N C -r f 9()
_CITY OR VILLAGE TOWNSHIP - COUNTY
if ;� T f�r '• r"`1 `,GYM.C1`=-,,:--,s(t_I -
STRT AND NO.OR ROAD ( •
POLE NUMBER
} v`
BETWEEN-Wig TWO�GROSS STREETS IS PREMISES LOCATED? SECTION
_ BLOCK LOT
-q')' 'C, C II t '.--,�f7 r-�• .,
Ol3CIJNP PASAAME BUILDING OCCUPANCY
2 f • -. .
OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER
`, !
CURRENT SUPPLIED BY _J FROM THEIR OFFICE WORK TELEPHONE NUMBER
BUILDING IS ' '
NEW , OLD ElWORK IS NEW❑ ADDTONAL ElDEFECTS REMOVED❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED -
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH •OFFICE USE
LOB- Lamp Receptacles • CIRCUITS ONLY
tion Side Attach't H.P. Watts AW.G• INSPECTION
Ceiling Wall Recep'Is Switch Pendant Bracket . No. Type Each No. Each No. Gauge
OUT-
SIDE
SUB- • .
BASE
BASE-
MENT
1st .
FL.
2nd
FL.
3rd
FL. •
•
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 DATE COMPLETED SIZE OF SIGN(NUMBER) 1 .. CAPACITY -
SERVICE ENTERS BUILDING MANUFACTURER OF SIGN
•
❑ OVERHEAD ❑ UNDERGROUND
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST DENT E CAT ENTER NUMBER
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS ,
NAME OF APPLICANT DATE OF APPLICATION SIGNATURE OFPPLICANT '
tt r', 0.G-!/ X_ 1'` < -% ,._-'
��}�'�.:C' - LA ��5-C:!`S I' �. ,�` .- o-'�tl..f`yt`1,
STREET ADDRESS r-Ci .• -` 'TELEPHONE NO.
I �:.,r I t l-i<lvC.5 (',2 - ,— -- ! ,�;('-("5.., Ir I f Li-3 C, -r
CITY OR POST OFFICE 'J ZIP CODE LICENSE NO.WHEN APPLICABLE
Cif ;(1/21 r./.n 1..iC , ! "^-..-( UL-% r c: e.)c.f
❑t 85 John Street i) (1 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 "
Sum __- THE NEW YORK BOARD OF FIRE UNDERWRITERS
w 1./, , ./ .,,
-1 �C.\, .:5?a?,a. _ J.:..•.ti._ a i..1si,..,,1C,)�kJ.,!.,laa•¢J1"_/,19[.191.a,i.aTi.,.Pi.a�i..?ti •I.?.!.).[.1•9!:a9./A l,!.J1•tiC".a•4C?Mat[.?t(.J.f),j,h:ate,?.p.!„?!.�.i.; !--1. , , i,t i 19i : 9._ (.:
THE NEW YORK BOARD. OF FIRE UNDERWRITERS
PAGE 1
1 ' . l
1Os1�19 BUREAU,OF-ELECTRICITY. • r
4 p 41 STATE STREET;ALBANY,NEW YORK 12207 _ . E.
®ate OCTOBER 21,1991 Application No.on fi1e08007 91/.91 II 413909
11
THIS CERTIFIES•THAT • .-- co,q ii.
-, only the electrical equipment as described below and introduced bythe p icant on the above lication number in thepremises o
� aPP aPP of
STEVE WATERS, 81 BRIWOOD CIRCLE, QUEENSBURY, N.Y. :
OIiT
-.,` ' in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. Section Block . Lot
1 was examined on OCTOBER 1"`,1991 and found to be in compliance with the requirements of this Board.
,
•
FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS '
OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. - .,
DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI
SYS-OUTLETTEMS DIMMERS �'
•
-c AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS I
1yy
{
` SERVICE DISCONNECT NO.OF S • E R. V I C E - _. --- `
1 AMT. AMP. TYPE METER
1,ff 2W 1/tf 3W 3 0 3W 3%4W NO.OPR gCOND. OF CC.COND.. NO.OF HI-LEG OF•HI LEG NO.OF NEUTRALS NEUGRAL
� P
•
OTHER APPARATUS:
'ram ..t
E s PANELBOARDS:1—'2 CIR. ' 100 h
•
g F,
?
7. 2
0 -
-t
-r yN
7
STEVEii WATERS
•
1 STEVENS STREET ." (i.. dc.r1, 1 :1A
4 ,...,
GLENS FALLS, NV, 12801 • BRANCH MANAGER
^;3 9
_ • 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. ]I w
i. lrr 1rt fir virtual 111 Air lit lief lilt w W WI(1flr 11dt 1Yif 11Wllr WU lit 111r 1/r 1it lit lift WV 1ft UV lilt of Alt airlift 1Wf lrr AEU 1dr ASV lrf Ulf lit lit of Aar,rt mfrvfrlilt yr of 1r[1rr lrr WI vt 1r0
COPY FOR BUILDING DEPARTMENT. THIS COPY OF.CERTIFICATE MUST NOT BE ALTERED 111 ANY MANNER. P
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280 .
TELEPHONE (518) 74 s q Li q 7
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME U)
LOCATION jZ6-%"1- Pikat<,Lc`g' 15- f
DATE ,(J f�?1 (70 PERMIT # 9 (-4.q0
APPROVED
. YES NO
FOOTING/PIERS •
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
. CEILING i
FINAL INSPECTION: 11
) ' .
CHIMNEY HEIGHT A
ROOFING 1
SIDING
EXTERNAL PORCHES STEPS K
STAIRS-CLEARANCE RAILS
PLUMBING FIXTUR RELIEF VALVE
INTERIOR TRIM/aPRI ACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSERS) %�
SMOKE DETECTORS \
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
1
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
Pro pe. i&i25 ova-, /-ec&iD
[2A-17., Doof(Z-
O 4 -r-o / S 5.&1, CA , .
PlC(C v P c b ril C
J '2
;( , INSPECT R
TOWN OF QUEENSBURY �0�
;t/f ►.;., 531 BAY ROAD
'N _"a QUEENSBURY, NEW YORK 12804
.' TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED ./DA//Q/
LOCAT I OW f fP //.(�!i`T�7`rl /,GCS/
DATE/V///9/ PERMIT#
TYPE OF STRUCTURE_ 1',LL/�i24,, 54;77e e
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION, BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL--_SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
• N/A YES NO
CHIMNEY HEIGHT/LOCATION, ;f
B VENT/LOCATION �r
PLUMBING VENT
ROOFING ?;
SIDING , \
DECK/PORCH/STEPS/RAILINGS `,
RELIEF VALVES
FURNACE/HOT WATER OPERATINGi
BASEMENT INSULATION/DUCTWORKk_
INTERIOR TRIM/PRIVACY ;DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT ;,
OTHER FLOORS SWEEPABLE k,
OTHER FLOORS CARPETED `+
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING : .
GARAGE FIRE PROOFING_ .h
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL';,cr1;=g-C90 ;j
OK TO ISSUE C/O OR C/C
COMMENTiSr
ti.
ARRIVE
DEPART
INSPECTOR
TOWN OF QUEENSBURY Ms
ice. 531 BAY ROAD
QUEENSBURY, NEW PORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME / /g O-T4— z�i-s
;2
LOCATION L - / Qs/ �(
DATE �''0 9/ PERMIT# y/-br/�'�y�
TYPE OF STRUCTURE AP; r
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
_ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
i N/A YES NO
CHIMNEY HEIGHT/LOCATION I
B VENT/LOCATION
PLUMBING VENT p
ROOFING
SIDING /
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES /
FURNACE/HOT WATER OPERATING /
BASEMENT INSULATION/DUCTWORK /
INTERIOR TRIM/PRIVACY DOORS\
FINISH FLOORS: V
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE / \
OTHER FLOORS CARPETED / \
STAIR CLEARANCE/RAILINGS / \
HANDICAPPED ACCESS
SMOKE DETECTORS / \
BATHROOM FANS/WHOLEHOUSE' FANS \
ALL PLUMBING FIXTURES OPERATING �
GARAGE FIRE PROOFING
DOOR CLOSERS 1 \
OTHER FIRE SEPARATION \ \
FIRE/DEMISE WALLS `_
DUMPSTER \
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL }<
OK TO ISSUE C/O OR C/C \.
COMM NTS:
cJ d2(CA—L.`-0 Yl E_ . /
ARRIVE M K-- — /
DEPART 1/:7 ( 9 %�
INSPE
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RECEIVED
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. . . SEP 2 G 1991
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P_DG.,:&,..C.ODE DEPT,
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