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1991-867 dal CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN, COUNTY, NEW. YORK rs Date January 30, 1992 This is to certify that work requested to be done as shown by Permit No. 91-057 has been completed. This structure may be occupied as a Mobile H8 ome ration Lot #25 HOrthTnds Owner James g Deborah Waugh By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 91-867 WARREN COUNTY, NEW YORKo 0 PERMISSION is hereby granted to James & Deborah Waugh Iv OWNER of property located at Lot #25 forthwinds Street, Road or Ave. 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. 1. OWNER'S Address is e-1 to 2. CONTRACTOR or BUI LDER'S Name Lamplighter Homes a- 3. CONTRACTOR or BUILDER'S Address N RD#2 Rt 9 Fort Edward, NY 12828 4. ARCHITECT'S Name I— O ai 5. ARCHITECT'S Address ,Gs O PI' 6. TYPE of Construction—(Please indicate by X) O. to ( )Wood Frame ( ) Masonry ( )Steel ( ) _ 7. PLANS and Specifications No. 28' x 60' Mobile Home as per plot plan specifications and Cr applciation fD 8. Proposed Use Mobile Home f $ 77.00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 30, 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 t ' 30th. Day of December 19 91 SIGNED BY I� U (2 for the Town of Queensbury Building a`nq Zoning Inspector _ • e4 if ,•,.. , • . .. , _ .. .. . . . . . . •_. , L . . : . •. , • - . . DE COMPLETED BY ni..Dc. DEPT. c") , ApplicationfNo. .. OW') 0/ QUeeilili4r11 • Permit Isou-ed 19 ' OUHMING and ZONING DEPAIIT44ENT ' Permit_,Expire u; - - -19 -. °V oz,y ono Huy'Lind Road, R.D. I Box 08 , - ' Zoningrpeaignation ' - . ri i ' Ouuunoury, Now York 12601 - - viir4.an-04 -No...• - Site Plan Review No. . . .. APPLICATION FOR . , .PU I LD I NG AND ZONING PERM i T • _ -', : . - ,-. .: . : _ , ''': = - . . : • • . • . • • . * . . . * • -. * .4 Iv .• 4- 4.„ * p *, *, le *:' * it. * * * 4 At :* 'At .4 * 4';:if A PER)iIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUOIONANSWER ALL OF THE.FOLLCWING. , .The -underuignod hereby .applies for a Building Permit to do :the 'following work which will Le done in accordancu with the dosoripi.94,- plans and epecificatiOnw.uubmittud, and .-suCh Lp.eci...,.1 conditiOns au may be indicated'' on the Permit. _ I'ru.y owner of this property is:r...4"M&S'.-4/ 02S','>'-x.9-ti• -eN.. CO j . , '. . ', .,-,..,.„ .8c. 'i12 :Y ". : 'l(31:752e'Oeg-3 Pror y K.)..er t Locationt.;c25— 0 1,(2.2:1=k4 2,t)1,0 L)S . ..-..1 .k..L.k.-f-i--py, - Tax Map No.______/____/ _Street r.umber or buildin9:4ot. munber -.:L_Ldivision name (if applicable) 131tDRI.-hc011L-0S- --- ' 1 . : na: PEILSou RESPONSIBLE FOR SUPERVISION OF WORK AS IREGARDS WUILDING CODES IS: J-4 (11/1LcAZL...,) Otroyyx..e6 - 16Z.0(a_ iZTA 'qw.-L-c-. ,E,,occ.5.4 az -`615Y rraPs74 ,5.--73Y,:, INigte v 1-0-,0.• Address1;----- :. - :' - '' " Tel: 1."LIII0 of Install.er26‘;141VA :Qce, Addres80e.W.VY /647-W4odf--.0 AJ)'' Tel 79:3 -?892---..- , ,,,, ur - plUillber --.------... Acklreutic . '7-7----, ' ' ‘, -: Tel.'• ...p...: of liuJon Address : : -----r--7--= • .- . - Vol. . .. : .777-77--- -7,-• ' ' • • ' - . , •:.1,131r E HOME INFORMATION: : . . ' .ZON I NG INFORMATION:- lew Home Placement V-2---43 -. ' A Pi.911 PLAN ril.1§T, BE PREPARED-END--SUBMITTED, drawn reasonably .to scale ad attached hereto, - placing existing Home --•.-• Lihowiruf clearly--and distinctly 'all buildings, x .c of ncw 8- • 'XO ft • -whotbe --existing or Copoed and indicate all . ....., , _.,... 7`. setback'diuienSiOns'.-frouff,property'.lineS.• Givo :Ingle c.F: le • Double wide \-,-.1". — • StrOtit and numbUr 6r lot nUin.bor and -.i.ii'd.i.C,it.ii';. o. of rooms (excluding baths) ., / ' whuthr: interior :or corner :lot i Show -location •• •• :, .! „, ., . „:::.iir . :.:.,,ofc.:Water supply and location and configuration 0. of bedrooms --7.-1,.1 '''---- !r ' ' of septic- disposal area,: i 0, of bathrooms ,9,' • . COMPLETE. INFORM.ATION REQUIRED BELOW.1.replace? __ Woodof stove? 0 ' Size property :Ire- PlerT Phierx it oundatki5n style and size . - -' Existing building(s) Size 't...) 1e1 ft X ,t,--577ft. . : . • , ,'iors- Ho.of_____ Size- - ft X _ft 1 * Existing building (s) Use IL> A . __ . , Depth below- grade ft. • - ' • Proposed building, disl.anco• from property -line CuNDATION - Footing size . X 14 . A-) ---- - „ Front yard ft Roar yard' . .- ft al 1 material w Side yards ft :and ft , — . , If on corner, •sor.back from aide atoot .ft all thickness " Height ft; ' • OCCUPANCY' INFORMATICN . . o tal depth below, grade ft. '- rude to Home floor level : • PR WILDING -- -ft. \73V.14-13 - One family 'dwelling * * * * * * * : ,i,' • • • ,,,,,, • • • • * * .. n • • Two familY dwoil ink) . - - - rotxpsed date of placement toq/271 / it . Multiple dwelling / NuMbnr of units Perminent Occupancy- ' : prox . Value. of Home $,5-e, 700 05- --- : , ,, ..- .__ Transient Occupancy -, - _ _____- - ater supply - Well Municipal \d' . • industrial ' .:1)E.ic Permit required? Pt..) , :Other , .- -. PAe--- ,A 0 fok..5 c-s' , If 'addition, what will use be? . • „ , . ' JRTHER INFORMATION REQUESTED ' • ACCESSORY BUILDING- . ' ,- ' - - • N THE REVERSE SIDE OF THIS SHEET.* DetaChed garage/one car/ two car/ car ......... * Attached, garage/one car/ two car! car •11 •••111••••Piiliatc itOragro building' • • i - - . • -Other' . — - - i - . . . • -•••. Fo rm MIIP 5/136 md-v1„ . . - , , 1/. • t 7 A•PPLI CAT ION - FOR MOBILE HOME PERMITtJ(`CONT:INUED) " • • s to to of New York D ,Vis'i:on of Housit1q and: Community Renewa1 .. - INSIGNIA OF APNiOVAL OF THE:STATE BUILDING CODE INSIGNIA SERIAL:• -NUMBER . - . .. , - •NAME OF MANUFACTURER e, t.5 PLAN APPROVAL NUMBER - • 0- /4. . .. 2•':-P''' :f '' '' '''' - •-' ''. ' "-''' - ---'-'s-''' .. ..';': "."...:-:'-.)-- ''''''''''''''' ' - * � MODEL 0 ' .`. R COMPONENT DES!GNAT'ION �`\� • • MANUFACTURER 'S .SERI-A�L NUMBER.:.. DATE •OF' MANUFACTURE . . 'l �"\..72s'f . . . r f t t 1 f ,i} '-__.� ZZ"•th• e' above in' ormattion sa',. J"' -J" • ' : . . ou Z`d Le a f to be found on a'.piate or a;tieker which ff,..xed'' to the Alobi le ;IIonre. Complete .above, with .-tha•t ,i.i:foiiration..' .• .A A 4 4t:4 4 -.i 4 4 _4 - 4;• 4 4 4 f 4 '4 4._.4 4 "4 4.,.• 4 4' 4 4' . 4 4 4 4 4 a' 4 4 .4 4 .4 • ' ewn; of_QuegnbbuTy .,.. ' 'ounty of Warren • - ,STATE OF NC ,YORK - A FTDV W - I swear that to the ,•bo-st o my'• knowledge and belief,`' n th;is a � 4 p 'the statements contained . Pplica tion to ether with the lanaJ and specifications submitted, are .q' true and - -onpI.-LC s t'ateman t, of;'all proposed work to be don@ on the ` ...• •: .. _ do'sc �.bsd-Tprc�aes�,�and �thnt'�all _ - .. Yrovi-aianx. :of th©'zBUILDZNC,'`.CODt,y= {y Z.phi1N0•—d xN,J CE, a'nd all roche r-•laws pertaining to. hL' proposed work shd11. he complied with,,', whether .epocif 'ed ,o..r not;.-and '.that such:_.work•`'is v t.nortzed by the •owner , • . • ' Signature 4 E 0„ , •- Owner, Owner'a cjent,arChlt ct,contractor •is• p r: p ▪ _ - • • _ , _. i• :HECIAL. CONDITIONS OF TTHE"•PERMITS 1 f ..\ ,t ,•. _ . • • • • • • • • By: - . • • _ • T. e:.. ..__.._-..,_-- ' _..•-:.._ _ ._ w :Jaar:dl::riiw:3u 1• - _, • THE NEW'YORK BOARD OF FIRE UNDERWRITERS •'°ERr'F'F4TEN° s e n DO PVOT WRITE,HEF,3E�FO!i OFFICE U$E ONLYu'k' -- I ��] d r i s ,r •#" n Sz. t cy • r t`Tlr1 *,j ct. r(<t.#Ir2 " 7�}1' K� n �( LrE�rr Crt � � '.�� i )'z £`� f b f I r' t`fi I , „ I€VFW,.d 1 F • BUILDING PERMIT NO. � r7 jt) t ta' r s ;• ri1T Tilt • I ,bre .7 . f t et rti , .. dT it t I ti V� ` F .'Q. i t : TEMP N I,: ' E.I. i DATE m, ... (� „�� .'%:r ; �..`,'I1. .`.1#f'," ` ."`�_. , . ' ��^ i i E , r.�,� .. ' ,_iI ,i�1�' ( `J CITY LLAGE TOWNSHIP COUNTY yy4JS 6i/K. I lf�pA,,xZ ',tl STREET AND NO.OR ROAD POLE NUMBER ETA f(Jo/J7 /(cl/,t 1 i)j B EN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT - OCCUPANT'S NAME ,,l�__ BUILDING OCCUPANCY ,.., + OWNER'S NAME ADDRESS *-.e' ` I HOME TELEPHONE NUMBETj -5:1.teaice" '1fie= -b;r i CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER if f 1.)'7 b v, C) /...�F BUILDING.IS .NEW OLD❑ WORK IS NEW, ADDITIONAL❑ DEFECTS REMOVED❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED i Luca- NUMBER OF OUTLETS No.of Fixtures& MOIURS HEATERS BRANCH :; ,:OFFICE USE -_. - Lamp Receptacles CIRCUITS r•;;ONLY,'lion Side Attach't Cei'in H.P. Watts AWG. g Wall Recep'Is Svitch Pendant Bracket No. Type Each Ne• Each NO� Gauge INSPECTION I. OUT- SIDE i. .,t • . i SUB- +. BASE- MENT 1st • - ' 2nd , ..... FL. 3rd ' - t i. I. FL. I.. - ` 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 0 EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA 0 CONCEALED DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER). CAPACITY; • SERVICE ENTERS BUILDING MANUFACTURER OF SIGN i ❑ OVERHEAD 0 UNDERGROUND DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) :MUST ENTER APPLICANTS _ y Id ( i I } I ( j IiL: 'IDENTIFICATION NUMBER, , ; , i ' . •, .,�_'AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY.BE RETURNED. I , PRINT NAME AND ADDRESS - •• NAME OF APPLICANT DATE OF APPLICATION SIGNAT RE OF A► LICANT f I.4 *rt-O( ' k,y - . tU.p'I�(,Ltd.,_-} l,) -- ..z 7 - 'i/ X I ( ' ,,{.,fi-1-T .. . I I STREET,�D ADDRESS 3,-. - `' TELEPHONE NO. •. I ? l�`I 7A f I 'r,.2 1,2 CITY OR POST OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE 0 85 John Street • ' 0 41 State•Street 0.570 Delaware Avenue 217 Lake Avenue 202 Arterial Road Ei 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 NEW YORK- BOARD OF FIRE UNDERWRITERS, • _ !(..,t/„\IPAJAPr,)Ii VICt(„ktr,vti.,\ti tr ,tl,it/..\tl,\t/.)f/."„Mt„\t/,}tr,Vti.,,,•/„W„1,0/.}h„1,,LitLatr„1,t/.\t/.!t..0), tL\t,!,.", ( (b fit(.t(.?t/ h:Vl,trIt! 10! le?fit!19r,11Pr ;tr�h,tr,ti IV,�! ,,, THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE 1 4129215 BUREAU OF ELECTRICITY. 1' r 41 STATE STREET,ALBANY,NEW YORK 12207 " .; Date JA UAR1 15,1992 Applicatio o.onTfitf'}8615392/92 . A 064282 'sv THIS CERTIFIES THAT PERMIT NJ. 91-867 . only the electrical equipment as described below and introduced a application number in the premises of o !'YJAMES & DEBORAH 4+SUGH, 25 NORTHWINDS, OUEENSBURV. N.Y. so in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. OUT Section Block Lot was examined on 'I Y 10,1992 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. �? i . ,� �t [I L '<: DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS ' '. ®EU. v AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. .AMT. H.P. NO. ET AMT. WATTS i ,• is `i J• ►, i _0•—SERVICE SERVICE DISCONNECT.._ NO.OF -- '-"----- ----�_-�� E--- R-----V-*----1+- = -C•--_--_E— --- --------- •: METER AMT. AMP. TYPE EQUIP I.t 4W 1 if 3W 3%3W 355 4W NO.PERC•e•COND. W.OF A. COND.. NO.OF HI•LEG A.H•LEG NO.OF NEUTRALS OF EULL 4 et 1• � �. OTHER APPARATUS: • 1. FEEDERS:1-4 t 2 BASEMENT TO BASEMENT 44. PANELBOARDS:1-2 CIR. 100 1. .; 14; LAMPLIGHTER HOMES �, RD 2, RT 9 u �• FORT EDWARD, NTH., 1282E BRANCH MANAGER �; 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- e 'iei-reYe‘'ier'ierw",,,,c,40-ieY,er'ref7eiiecw",.ecie 'ier'ie-4,"er•ie 4,-ieY'ie—re,'ie 'iei'ref•q.,-ie,40-4",.,,,e..4,-,/i'iaY,,,--i6,,mre •;e ie"tap"r?-te iei'ie�'ret, idr•dr :e,y- e;.6, COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. k, 0prif\ ect.� )-bL1C O U ENBUIRY 3 av TO Q • �'j�:' 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED I 1 c9- 102 NAME \ 3 o "yiC\ s GIII�-0 4 e 24 kfi LOCATI`O P d-c W OYM1,l0 i n a___S DATE PERMIT# 1 / -2/�7 TYPE OF TRU TURE çc'C I(>� /frmn&€_. RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING FOUNDAT ON BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC INSULATION W ODSTOVE/FIREPLACE REMARKS APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT l ROOFING SIDING k Y DECK/PORCH/STEPS/RAILINGSi RELIEF VALVES FURNACE/HOT WATER OPERATING BASEMENT INSULATION/DUCTWORK • INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: /< BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEpPABLE j} OTHER FLOORS CARPETED {i STAIR CLEARANCE/RAILINGS ; HANDICAPPED ACCESS l? SMOKE DETECTORS ;1 BATHROOM FANS/WHOLEHOUSEF, FANS ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING 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: �� � If �� gc> gce--7) 6 /c/ic/ Pa,D6/V 9S ARRIVE DEPART INSP T r m e • - a OBL 0 i>iiil<iiviiiii►I- 1 fl (� Y } it MASTER• �Ofi FENTLICCR i BEDROOM aPTx1 I T I 14XI3 (� ` -� l l FAMILY 16XI3 —j • 'OPT Sl. • �` O MASTER 4 _ • Q --.r-- BATH• r NENE, W 0 �� NOOK/� ' UTL r :OP . .' • O F I I •. it. mall FORSUGGESTED LOCATION I I e " SITE BUILT GARAGE III KITCHEN II Ll f.INING I. --- 11 0 X 13 \:11 VQOMiI — BAR TOP • 04 I I Will II 1 ' Id- 0 CATH. .11, — CEILING T/O 0 cli • • B/R 2 t I LIVING n . . MEIBEDROOM 3min ROOM ..,,.. ��J' I I X II 16X • OPTIONAL O OPT.TILE BATH STAIRWELL III I _WIN :FaY##ERA - t I oPT,sL BEDROOM 2 OPT ' I I I I I I X Ia a COVERFD U OPT � i II IIII OPT POR I II OPT.EXTRA OR TRAPEZOID TRAPEZOID WINDCw5 ABOVE WINDOWS NOT AVAILABLE WITN UPGRADE WINDOWS • LH119A 2864. Approx. 1680 sq. ft. 3CK 2BA UTL FR P RCH . N. „t cry lt k` . 14V*.$:, , , . ,•,72:&.1;k." *.-W*44.;4.4-'%;.. .`:*4,4.. .dA..! -.1. .. 1 ,7.,• ,,,.., w-m- r.. - . , ..,... ...'';r4+---; .;;%-v)C.,..-.4-.-: u,5 Luzerne Rd. . Queensbury, NY 12801 Phone: 792-5838 �a v. — 2_,LL---- F — 2.1____L— c .....)., .1 ,) ) . . IL I II -�. _T I I -f, .. ) _ -- i 2 r [ S 7� i 7— , {_ f !_ Y I • t i C c G t l= i l 3 1 7 C t •x 7— 5 / 7 r"- C t, C \_ �\ CSN v '' , C, r.� w '' SN \,' �' � -� �, v J v I. ! I "-� --- - .-1----1.._._1. -__I..__ 1 ! I 1 T } I �C { 0 e • a t t 7 \4` 1 7� 1 aT 7 II— t 7_ s e 3 3 • C • r f J Z ry A ifl • Q �q t