Sanders Road / Replacement. TO~Nt*.! OF QUEENSBUR~( '~..~~o'~''tG~
WAF'E?:"""a COUNTY. NEW YORK
application for
TOWN OF QUEENSBURv
A MOBILE HOME Ot3T SIDE OF A MOBILE HOME COU ~ (~ ~ ~ ~ ~ D
Mail or bring this e~;,aication to : J~~L ~ ~ l~~ ~
Building ~ Zoning Depn r ~ment I4M. a5 `~ ~~~'- P.M.
Queensbu Town Offic.r- Buildin
Y'y g ~7~8'9~1~1~2~3~4~6~6
R.D. 1 Bay Road
Glens Falls, New Yorw 12801 ,
This application for Mobile Home Permit shall be
accompanied by a pl:~~ olan drawn reasonably to scale
showing all dimensions, the size of the lot, the location
on the lot of the Mobile Home, the water supply and sewage
system. If the appli:.ant is not the owner in fee of the
premises, then the apNlfcation must be accompanied by
the written acknowledged consent of the owner.
Name of applican~ '-
2.
Location of mobflr~ home premises by street or road, etc.
Give nearest cross: street
Name of owner of land
s address --
4. State fully the reasons for this request
~~
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Use extra sheets if necessary
5. Description of mobile home, year, model, slake, seri8l
~ and dimensions / ~ SS' S ,,,.,~„~Q~Z,,,,,~,.- j C',~_
(Applicant a signs e
7`'~ y /n•~. l ~ ~ _ l - ~-~ . ~ Address„~1~..f~..G~.,s___1.J ~ -
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THIS SrID_E_ FOR TOWN GOVERNMENT U3, E,ONLY
Report of the investigation of Building Inspector and
recomonendationa.
Approved
Disapproved
Other :-
RE,commendations :-
-r-~+c s ~M-e ~ - ~ ~ I ~~M ~ 1 S d E- ~~ n S ~,p ~Z+-o rz 4c~~t-c-c ~-~/Are ~
f}Pf~b/}rtA.crc~ ~{A~Tit~vvct' ~'r'~21s~c/~-crlbs. l T~s Gocq-~co,J t 5 (~
N , l ~~ A C~ U ~ V 4~l V V / V '~ " llJ ~~ L L` I v vM V V r
`Il~~y
Signed
ilding Inspe or
Action of the Town Board
Approved
Disapproved .
Other •-
By Resolution Nwnber of the Town Board of the
Town of Queensbury, Warren County, Nsw York.,
Dated this day of 19 ,_,_
Signed
(Town Clark, Tova of Queensbury
~ ~ ......
.3
BUILDING AND ZONING
TOWN OF ~UEENSBURY
WARREN COUNTY. NEW YORK
~pNM -~~at n.rrV=~ .~
INSPECTOR'S REPORT
19~'`
Location of Property-Street or Road 8 No.
~~+: t.~tPS - ~
Name of Owner or Tenant
APPROVED DISAPPROVED
Building ^ ^
Sewage ^ ^
Signs ^ ^
Other ^ ^
Type of Building
Remarks '~ ~ .t~~ C-~ T ~} rte- ~ ,-v" btitl i ~~-1 C-~ 12 ~ C
~ (: w N to /~CavCrJ I ~l W 1 n~} 0 ~r (~L-~2n~ ~T-
nspector
~~ ~~~~' BUILDING~AND ZONING
TOWN OF QUEENSBURY
WARREN COUNTY. NEW YORK
INSPECTOR'S REPORT
~6 19~:5~
~~~ ~ 1r~.~ ~~. t,Ql - r9' ~-.
Location of Property-Street or Road 8 No.
,.~'"~ ~ ti ~,C ( ~Sa ~ Ifs ~~ t ~i~~ .
of Owner or Tenant
APPROVED DISAPPROVED
Building ^ ^
Sewage ^ ^
Signs ^ ^
Other ^ ^
Type of Building
Remarks C l~~C~ ~~~ ~ I~~JLL~S. O ~iG'> l
C ~ t~rc"~ t~~ ~~ P~~rc~ r~ ru a:T~2r~-r ~~1n2.
r
_ BUILDING AND ZONING
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
INSPECTOR'S REPORT
~~- i9~5
~~ ~s~
~~V~G~s
ation of Property-Street or Road $ No.
1Cr~t1,~~A fY(~i L1 Iv
Name of Owner or Tenant
~~1~'«r,~rfi~v~r APPROVED DISAPPROVED
!L(,2S -5~i,vraGaa2~ --
Building ^ ^
Sewage ^ ^
Signs ^ ^
Othe r ^ ^
Type of Building
C~,~~r~r~-~.v----
Remarks ~ -y ~ i o ~ ,c/~ ~'" ~ /~
Spector
TORN OF ~E~I~SBURY
l~uildia~ Depsrtmeat
1a~Pectaes Repart Date~2-3 $
Name~c~l~rt.r> tPvk L.L~ p S -"
' I•ocatioo_ 5'~.tr a fsn.A (L p
' Permit Na We;attier
Remarks
. G~xcar~ation
Footin Forms
Footin 6 Piers '
Foundation
Cement Coat ~"
Water roofin ~"
Backfill
Final Surve
Framin
Sheathin
Roof Felt ~~
Roofin ~-
Siding
Masonr Veneer '~
Rou h P1b
Relief Valves
Wall Board
Ext. Porches '
Finished Floor
Interior Trim
.Stairs & Railin s "
Cellar Dr. Tile
Concrete Floors
P1 Fixtures -~
Gar. Fire roofin
Door Closers "
Chimne
Water Meter Inst.
Se tic A royal.
Floors
-r_.
Insulation Fouridatio»
Wa11s ^"
Cei 1 i n~_
BuiZ 'ng Inspector
REMARKS n~ ""
~ij M'~~Tl'r A-I~D h ~ Jtr'~ U CA~~[ 0~
~rGcJ~ ~tS 1114 i T C.,(r-
l~4ca~3s~ THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
~A.e~ 41 STATE STREET, ALBANY, NEW YORK 12207
Date ~.LZ~uSt ~ s 19£#5 APPlication No. on file t~85I38-~5 A ~ /! C
/1 "
i tij
THIS CERTIFIES THAT
only the electrical equipment as described 6eloto and introduced 6y the applicant named on the above application number in the premises of
~ticherd L. Phi11ip8s Sanders Road, Gl@YIS Fa11as New York
outside
in the following locatiort~ill~~sement ^ lat Fl. ^ 2nd Fl. Section Block Lot
was examined on and found to 6e in compliance with the requirements of this Board.
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS ECEPTACLES SWITCHES I NCANDESCENT FLUORESCENT
VA
AMT.
K. W.
AMT.
K. W.
AMT.
K.W. -
AMT.
K. W.
AMT.
H. P:
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BEU UNIT HEATERS MUITI-0UTLET DIMMERS
'AMT. K. W. OIL M. P. GAS H. P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS. AMT. H. P. SYSTEMS
NO.OF FEET AMT ~ wATrs
SERVICE DISCONNECT NO.OF S E R V I C E
AMT. AMP. TYPE METER
EQUIP. ~ ~, 4W ~ A, ~ 3,B' 3W 3,9' IW ~~ ~ CC COND.
PER .B' A. W. G.
OF CC. COND. NO. OF HI-LEG A• W G•
~ HI•LEG NO. OF NEUTRALS A. W. G.
CAF NEUTRAL
1 lql~ CD 1 ~ 1 2 1 4
OTHER APPARATUS:
Power t}utlet Asseilabl}~
Richard W. 'threw
R.D. ~4, Box 21 ~
New York 12801
Glerz:3 ~a1ls~
,
BRANCH MANAGER
f°
Per
~" COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.