1991-732 �•9
CERTIFICATE OF OCCUPANCY
•
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date % /j'2/?%.Yi%s . 19 9-'?
r
This is to certify that work requested to be done as shown by Permit No. 91-732
has been completed.
This structure,may be occupied as a nO�3i HO
LocationLot 73 Northtsi ds •
Owner Nancy A. MUrphy'
By Order Town Board
• TOWN OF QUEENSBURY
(;)z;i:&
•
.1
Director of Bldg. do Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY x
No. 91-732 1
WARREN COUNTY, NEW YORK
m
ko
IV
PERMISSION is hereby granted to Nancy A. Murphy ip
OWNER of property located at Lot 73 Northwinds Street, Road or Ave.
-s
in the Town of Queensbury,To Construct or place a Mobile Home cc
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. p
1. OWNER'S Address is
35 Cherry Street
Glens Falls NY 12801
I—
O
2. CONTRACTOR or BUILDER'S Name e4
Lamplighter Homes
RD#2 Rte 9 Fort Edward NY
3. CONTRACTOR or BUILDER'S Address
ca.
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4. ARCHITECT'S Name
5. ARCHITECT'S Address
CT
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6. TYPE of Construction—(Please indicate by X)
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( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 14' x 72' MObile Home as per plot plan specifications and
application
8. Proposed Use
MObile HOme
$ 41.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 15, 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 15tthh Day of October 19 91
SIGNED BY for the Town of Queensbury
Building and Zoning, ,ector
TO DE COMPLETED BY BLt,C. DEBT'. - : r._y ; -
E'Y � y 3/ r, V t r i l 5
uwn u� Qup.•ii� Application No. ���,,,,,� „,, ,•,4- z 5,
Guy Permit Issued I9 (t'y`a.t`. ` t'.j `09i
BUILDING ins ZONING DEPARTMENT
s 4�
I l €i `i l t if ;/
• • Permit Expires 19 any. on p 1 i " �'
Bay una Havil:lnd Road, R.D. 1 8ox 08 � � _
Ouuunsbury, Now York 12801 • Zoning Designation
Variance No., BUILDING & CODE DEPT.
Site Plan view No. •. -..
APPLI CATION FOR - , , L,. _ z ,t; `_73,;7_,MOBILE HOME I,/� O - /, a
BUILDING AND ZONING PERMIT r G'
* * * * r • • * * • • * * •
* •. • • • * • • • • r * • * • • * • * * * * * •::r
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
Je dune in accordance with the description, plans and specifications submitted, and such
special conditions as may be indicated on the Permit.
'he owner of this property is: 0 u ) c rry A �K P 1 4
0. Address 5- ,'{ 2,e_ Sr &1.(-S --
•roperty Location! )-.c j '73 (00R.TWtut0.DS Qc.> f
Street ,.umber or buildiny lot number
Tax Map No. ll
uLdivlsion name (if applicable) 'lu 0 (`T'i---\. (,. I N 3 S
HE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
LAINNOk!Lime
�T �2i �b(,ca Oa29 y tag S/�793— �39�
P.O. Addresu Tel. No.
Lee of Installer M ill Addre0aOA k-t- i-Zrt'fiE.D6cdb2D N`/ •Tel.s/9-7/'3-73ca
,mc uf plumber
the of mauon Address Tel.
Address Tel.
)BILE HOME INFORMATION: • ZONING INFORMATION: •
a Home Placement Y'ES . • A PLOT PLAN MUST BE PREPARED. AND SUBMITTED,
-1placing existing Home drawn reasonably to scale and attached hereto,
( f showing clearly and distinctly all buildings,
(C
ize of new Home 1 ft X -7i., ft . • . • whether existing or proposed and indicate all
•
inglc w ler k Double wide +set-b k-dimensions from property lines. Give
•
street and number or lot number and indicate
,. of rooms excluding baths) C • whether interior or corner lot. Show location
,. of bedrooms 3 • of water supply and location and configuration
• of septic disposal area.
,. of bathrooms (9\ •
11 �� • COMPLETE INFORMATION REQUIRED BELOW.
N
.replace? O Wood stove?
Size of property Cpo• ft X 1.C) ft.
,undution style and size: • Existing building(s) Size )J.l(J ft X 161.4:'4 ft.
• •
.er.s- No.of . Size- •• ft x ft. •
Existing building (s) Use -
•
Depth below grade ft.
iUNDA`I'ION - Footing size X „ • Proposed building, distance from property line
Front Pl 07- 1�1+f +J
:11 material • yard ft Rear yard ft
• Side yards ft and ft
.11 thickness " Height ft. • If on corner, setback from side acreet tc •
y
•tal depth below grade ft. • OCCUPANCY INFORMATION •
•
• ade to Home floor level ft. • PR MO►RY BUILDING -
* * • One family dwelling
• Two family dwelling •
oposed date of placement O / t.-� / 9 ( Multiple dwelling / Number of units
crox. vale.. of Home $ (Dc2(� �,S Permanent occupancy
• • 'transient occupancy
ter supply - Well Municipal ; - • Business
• Industrial
ptic Permit required?9R2.- I. pp20c'E • Other
• If addition, what will use be?
RIMER INFORMATION REQUESTED •
• ACCESSORY BUILDING-
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 MII P 5/86 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
1 . INSIGNIA SERIAL NUMBER
2 . - NAME OF MANUFACTURER CO1---C) y
•
3 . PLAN APPROVAL NUMBER 01 Pk
• • •
4 . MODEL OR COMPONENT DESIGNATION ), L.0 (K) ce, (?—e•CD•'CYN
•
•
5 . MANUFACTURER ' S. SERIAL NUMBER
G . DATE OF MANUFACTURE CiD\ •
•
• •
. .
All the above information is to be found on a plate or aticker which
hould be affixed to the Mobile Home. Complete .above With that information.
4449444. j4 4 * * 444444444444444444944444
•Town of Qucensbury
AFFIDAV . 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, togethar-biith 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 spd-cifie.:1 or not, and that-such work is'
authorized by the owner. • •• . • • • •
ebfirr•-0-=2
Signature -.••-`"-A0--('
Owner, owner's agen orcnitect,contractor
• -
• •
••• • • • •
SPECIAL CONDITIONS OF THE PERMIT:
' •
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•
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• . • _ _
•
• • "' By
. •
. • • • • •
i
' . . . .
•
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YOU ARE HEREBY REQUESTED TO
Ii : INSPECT AND ISSUE CERTIFICATES
FOR THE FOLLOWING ELECTRICAL •
EQUIPMENT TO BE INSTALLED BY
THE UNDERSIGNED 1 _�'7^�,�
TEMP.It DATE (/ // :)2
CITY OR VILLAGE , TOWNSHIP COUNTY
- ( -a2—,i5 l�UL - ?a c R F
STREET AND NO.OR ROAD POLE NUMBER
) /9 ► r7 3 00 t2.i-t-t L I &) O S • •
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? ' SECTION BLOCK LOT
11
OCCUPANTS NAME BUILDING DCCUPANCY
NI-A c�, r I e-ku _
OWNER'S NAME Nb ADDRESS 1 / 3 Y HO�M/E TELEPHONE NUMBER
CURRENT SUPPLIED By!
M -t_ Q 1 `` FROM vI THEIR N C/tJ `/ 5 I 6IOFF Cs E&t'� 0 " WORK TELEPHONE ��•9
, BUILDING IS
NEW 11111 OLD❑ WORK IS • NEW R ADDITIONAL❑ DEFECTS REMOVED❑
11 LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& BRANCH OFFICE USE
Loca- I, Lamp Receptacles MOTORS HEATERS CIRCUITS ONLY
tion Side Attach't H.P. Watts AWG.
Ceiling y Wall Recep'Is Switch Pendant Bracket No. Type Each Na Each Na Gauge INSPECTION •
OUT- Il
SIDE I
SUB- I
BASE I
BASE-
MENT
1st •
FL. •
2nd I
FL. I
3rd
FL.
•
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE.
lI .
I
1'
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.11
SIZE OF MAINS ,1 . FEEDERS ELECTRIC SIGNS/LAMPS TOTAL WATTS
I�
1
CHARACTER OF WORK ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA
11 ❑ CONCEALED
DATE WORK TO BE STARTED DAM TE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY
11
SERVICE ENTERS BUILDING MANUFACTURER OF SIGN
11 ❑ OVERHEAD ❑ UNDERGROUND
DATE INSPECTION R II UESTED ON(OR AS NEAR AS POSSIBLE) MUST DENT F CAT ENTER NUMBER I I I I I I i
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
If
PRINT NAME AND ADDRESS
NAME OF APPLICANT'� DATE OF APPLICATION SIGNATURE OF APPLICANT ,
�•Ftw� i� —ll ICI . q-ti\AI ., 1,0- \(.—9 It X i
ST,,GEET ADDR S,I TELEPHONE NO.
CITY OR POST OFFICE 7IP CODE LICENSE NO.WHEN APPLICABLE
❑ 85 John Street ❑ 41 State Street ❑ 570 Delaware Avenue ❑ 217 Lake Avenue ❑ 202 Arterial Road
NEW YORI 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 NEW YORK BOARD OF FIRE UNDERWRITERS
• 4.1/.�/, /.J/.i l k t.f t..f ..\ ' ',J•- •\/..\I. /.A'._ ,,i.? ..fl I. /- ,A J.1.A.l fl r-A A..,i_. ,.\,,,,,,/.i•e. •A. •%J.• • •.?•La•.a•i. •i. •i.j•i.,,•i.)•i.'•,.,•,.i I._.i.I. i... I.} I-, 4.., i.i I.
-Co
-k, THE NEW YORK BOARD. OF FIRE. UNDERWRITERS PAGE 1 0
�; 1 29215 'BUREAU OF ELECTRICITY t ' I
-4, I 41 STATE STREET,ALBANY.NEW YORK 12207 i
f. Date OCTOBER 28,1991 Application .o 'If 81.0.3691/ 1 . A 060.460 4
-..'(; THIS CERTIFIES THAT PERMIT NO 91-73.2
i only the electrical equipment as described below and introduced by applicant na on the above application number in the premises of g
1,
7.
�.NANCI MURPHY NOR THWINDS, RUEENSBURI°, N.I-. d .
in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. OUT Section Block Lot 72
�; was examined on OCTOBER 21,1991 and found to be in compliance with the requirements of this Board.
�; FIXTURE I FIXTURES RANGES _COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
1, OUTLETS RECEPTACLES SWITCHES P INCANDESCENT-FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. E
e -,,
1' E
-<, DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET . DIMMERS
MAT. K.W. OIL H.P. GAS H.P. AMT. No. A.W.G. AMT. AMP. • MAT. AMPS. TRANS. AMT. H P SYSTEMS
' '.:4,: NO.OF FEET AMT. WATTS
SERVICE DISCONNECT NO.OF S E R V I C E
• �� AMT. AMP. TYPE METER I,B'2W 1�'3W 3,B•3W 3,s 4W NO.OFNR$COND. OF A.
COND.. NO.OF HI-LEGOF•H•�G NO.OF NEUTRALS OF NEUGRAL
gi
1,
.4. OTHER APPARATUS: .
1 '
4. PANELBOARDS:1-- ' C:IR. 100 '
j,
�.
1,
e � —
'D..tz,___' C
1.
-. LAMPLIGHTER HOMES crud'
�, RD2 RT. 9
e, FORT EDUARD, NY; 12828 . BRANCH MANAGER • `,
is;• 239 .
1. 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• tat UVme/vt/11/1*t1i/1st lit wit mitt ll..[vat.if Alit 1:t alkali(vlL Willi/lei MIL WUlili an*/101 IN!Mt mitmit'WAS(lilt lit VICAM WI v1lOtmit v0V_TL Inr,.r 111116l r1/010irII[ '
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
C-CO\ 2-=Ny 22lae cce_ Q-�ck(A..
' <(c""� ��J-73 �� TOWN OF QUEENSBURY
r� 531 BAY ROAD
ra, QUEENSBURY, NEW YORK 12804
' w TELEPHONE (518) 745-4447
' "" BUILDING INSPECTOR'S REPORT
FINAL INSPECTION - ,/JI? 3/ /
REQUEST FOR INSPECTION RECEIVED / !
NNE `��U V 0-z-f1 112 CO �\
LOCATION 7i NQY .03k I\()
DATE i 1/5/7( PER?IITi f1 -73 .II
TYPE OF STRUCTURE \ v \6 1 1 F''_ 41A--Q
RECHECK
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
_FOOTING FOUNDATION BACKFILL FRAMING
_ROUGH PLUMBING FINAL ELECTRICAL--_SEPTIC
i. INSULATION WOODSTOVE/FIREPLACE
REMARKS ,;'
t7
to
Y APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION !/'
PLUMBING VENT ' .4,!r1 1//
ROOFING .3 ,,;' ✓
SIDING /
DECK/PORCH/STEPS/RAILINGS ,/
RELIEF VALVES -"
FURNACE/HOT WATER OPERATING ,/
BASEMENT INSULATION/DUCTWORI<
INTERIOR TRIM/PRIVACY DOORS /
FINISH FLOORS: af;
BATH/KITCHEN WATERTIGHT /
OTHER FLOORS SWEEPABLE / —
' OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS',,
HANDICAPPED ACCESS
SMOKE DETECTORS ✓
BATHROOM FANS/WHOLE'IOUSE FANS _____
ALL PLUMBING FIXTURES OPERATING ✓✓
GARAGE FIRE PROOFING_
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS.'
DUMPSTER •
SITE PLAN/VARIANCE REQUIREMENTS /
FINAL ELECTRICAL' �/l
OK TO ISSUE C/O OR C/C I/
COMMENTS:
5/b //fii6 2///
-Ee�io/W,5-A 4 3 0/ .?7
')//eizirfa'Stilee 6.e 7 3
2-5
ARRIVE /0
DEPART /0 aGE kW;
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EC" R
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WALT GennO DORAWF 'DI i= s
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' BEDROOM 2 1.11L'il BED,00,, ,\: :-
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,_... , ;------- DININO i 17 4' ry4-1-: , Ira. .., „„, ((....n. i 14(ISTER SUITE T LIVINO ,•\ 117 4' :.i .
ROOM
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. , -•
76' _
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BEDROOM 2 ---7-174'.1,.:'•'''l
BEDROOM 3 s
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75'
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FAMILY8 :" BEDROOM . ,1CHEN HCm .
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c4A RS tJTL FR
• 7 DENOTES OPTIONAL SKYLIGHT
NOTE:Overall length includes approximate four foot hitch.
The information contained on film brochure is accurate at time of printing.but because of an ongoing r,rouuul
1 .,..... .1000,°1111111111111411111414''1411.4 =pros, ent program.is subject to change YOUR without noticy„ano without incurring any obligation
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