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91-738 _ra'.. - �� - -,., -.- ,i:�- •-- - -. .. - - . - � . - fie( CERTIFICATE OF ' OCCUPANCY TOWN OF QUEENSBURY r WARREN COUNTY, NEW YORK Date Octobers 24, 19 91 This is to certify that work requested to be done as shown by Permit No. 91-738 has been completed. This structure may be occupied as a Umbi l e D Location Lot 24 Mn Uieu Park Owner Deboy°ah Goo Man By Order Town Board TOWN OF QUEENSBURY 'v Director of Bldg. do Code Enforcement { "6 BUILDING PERMIT TOWN OF QUEENSBURY No. 91-738 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Deborah M. Nolan OWNER of property located at Lot 24 Aviation Rd Mountain View Park 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 RR2 Box 79 2. CONTRACTOR or BUI LDER'S Name Paradise Mobile HOmes Inc 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications NoW x 70' Mobile Home as per plot plan specifications and application 8. Proposed Use Mobile Home $ 35.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 21, 19 9 (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 21 st Day of October 19 91 SIGNED BY ;„� for the Town of Queensbury Building and ZoningInspector TO DE COMPLETED BY f3LUG. DEFT. � _JuPen,bWry Application No. %OPIAIN OF QUEENSE(�H uevn o/ Q Permit Issued 19 BUILDING and ZONING DEPARTMENT -Permit Expires 19 RECEIVED Bay and Haviland Road, R.D. 1 Box 88 Zoning Designation Oueensbury, New York 12801 Variance No.. -OCT 15 1991 Site Plan Review No.. APPLICATION FOR Approved .by E!_DG. CODE DEPT. MOBILE HOME PUILDINO AND ZONING PERMIT LJ 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. ------------------------------------------------- ---- r-���---2/f�'�) The owner of this property is: �y_-,n 1TA_ V-\ VY1,'1go --------- P.O. Address �� Property Location: i� Tax M p No. / Street :umber or building lot number V Subdivision name (if applicable) THE PERSON RESPONSIBLE F R SUPERVISION OF WORK AS REGARDS BUILDING CODES IS. r RBI S& i��l v�I 1. 44)7vifs Name n R.0. Address Tel. No. � Name of Installer q�U(6 Ati�- YYI� Address ��� rf,(fTel. 93- 91n 39 Namc of plumber Address ~--Tel. Nauw of mason Address Tel. MOBILE HOME INFORMATION: * ZONING INFORMATION: New -home Placement �- + A PLOT PLAN MUST BE.PREPARED AND SUBMITTED, drawn reasonably to scale and attached hereto, Replacing existing Home S • showing clearly and distinctly all buildings, Size of new Home 14 ft Xft + whether existing or proposed and indicate all - * set-back dimensions from property lines. Give Single w "le •"5L Double wide • street and numbe:r .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 of septic disposal area. No. of bathrooms * COMPLETE INFORMATION REQUIRED BELOW. --�---- Fireplace? 1r -Wood stove? • Size of property ft X ft. Foundation style and size: ' Existing building(s) Size ft X ft. 4 , Piers- No.of Size- ft x ft. * Existing building (s) Use * Depth below grade ft. ' Proposed building, distance from property line: FOUNDATION - Footing size " X of + + 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 •Total depth below grade ft. OCCUPANCY INFORMATION• Grade to Home floor level ft. + PRIMARY BUILDING - # * * * t * * w * * * * * * * * * # * + e family dwelling * Two family dwelling Proposed date of placement /0/r / * Multiple dwelling / Number of units • Permanent occupancy Aprox. Value. of Home $ Hai _ * Transient occupancy Water supply - Well unicipal * Business Industrial Septic Permit required? V (i + 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 INSLGNIA. :OF APPROVAL OF THE STATE BUILDING CODE . - 1 . INSIGNIA SERIAL- NUMBER 2 . NAME OF MANUFACTURER l_ PLAN 3. PLAN APPROVAL NUMBER 4 . MODEL OR .COMPONENT DESIGNATION 5 . .MANUFACTURER'S SERIAL NUMBER 6. DATE OF MANUFACTURE All the above information is to be found on a pZate or sticker which ` should be affixed to the MobiZe Home. Complete•.above with that. information. A * +t # A A k f. 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 all other laws pertaining. to the proposed work shall be complied with, whether specified or not, and that such work is authorized by the-owner. Signature ---- - --- -�=-1 ---- ------- Owner, -owner's agent,arenitect,contractor r r r r * r • ► # • # # # r # • -# # # # ,# # r # # # # w # r # • • r • w # r # +r r + r • r • SPECIAL CONDITIONS OF THE PERMIT: • • . BY--------------------------------------- .. OCT T 99 13UILDING & CODE DEPT. r F �N 1r tF Y)e,Awc, dUa� TOWN OF QUEENSBURY 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 �-_EJLA ' NG-IFSPE C�ARSS REPORT PECTION REQUEST -RECEI D 1 C5 MANE 1 ` LOCATIO OfA) DATE PERNITF — 1 2 4 T STRUCTURE RECHE _FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) _FOOTING FOUNDATION BACKFILL _FRAMING _ROUGH PLUMBINGAL ELECTRICAL _SEPTIC INSULATION WOUDSTOVE/FIREPLACE R RKS 1C� uio c-/o ar cxzz ox�c4_ APPROVAL N/Al YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING SIDING --- -- - ___ DECK/PORCH/STEPS/RAILINGS RELIEF VALVES i FURNACE/HOT WATER OPERATING BASEMENT INSULATION/DUOTWORK J.' INTERIOR TRIM/PRIVACY DOORS ' FINISH FLOORS: '1 l BATH/KITCHEN WATERTIGHT\ OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS HANDICAPPED ACCESS SMOKE DETECTORS \ BATHROOM FANS/WHOLEHOUSE FAN ALL PLUMBING FIXTURES OPERATjNG GARAGE FIRE PROOFING_ DOOR CLOSERS_ OTHER FIRE SEPARATION FIRE/DEMISE WALLS DUMPSTER SITE PLAN/VARIANCE REQUIRE ENTS _ FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMMENTS:i„ I C-AlPo2/W/S i_p5 J RZvxj 8or* Si�t rc-frl AJt T-o f3& i 1v PLNC-& ARRIVE DEPART " rlk�l INSP f 6 , J+jn+/o,'Z TOWN OF QUEENSBURY 531 BAY ROAD IM, QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 B _ �C,—it�PECTOR'S REPORT INSPECTION REQUEST FOR INSPECTION REC 3 �� WME LOCATIO DATE 0 PERMITF TYPE OF STRUCTURE RECHECK _FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) _FOOTING FOUNDATION BACKFILL _FRAMING _ROUGH PLUMBING FINAL ELECTRICAL SEPTIC INSULATION _WOODSTOVE/FIREPLACE II� REMARKS (��31L�` � i-1lt0/{ L APPROVAL CHIMNEY HEIGHT/LO fATION N/Al YES NO B VENT/LOCATION PLUMBING VE14T ROOFING a SIDING v' DECK/PORCH/STEPS/RAILINGS- RELIEF VALVES FURNACE/HOT WATER 0 ERAJTING_ BASEMENT INSULATION/+U&WORK INTERIOR TRIM/PRIVAC BOORS FINISH FLOORS: BATH/KITCHEN WATERTLGHT OTHER FLOORS SWEEP, AE _ OTHER FLOORS CARPE'TEk, STAIR CLEARANCE/RALLING! HANDICAPPED ACCESS/ V SMOKE DETECTORS �\ BATHROOM FANS/WHOfEHOUSE NS ALL PLUMBING FIX RES OPERATING GARAGE FIRE PROOFING_ DOOR CLOSERS I OTHER FIRE SEP RATION FIRE/DEMISE WAKLS DUMPSTER SITE PLAN/VAR ANCE REQUIREMENTS ', FINAL ELECTR CAL OK TO ISSUE /O OR C/C COMMENTS: t QGI w6,-L GUc t—L r—A i Af 5!CPS r1101A f 20.V774 IZPhZ- 000tiS �I*OJ�- ffAA1,,0 A Lr -(-a fiWj0&n S-lDC ARRIVE__ DEPART�� IISPV-ruR THE NEW YORK BOARD. OF FIRE UNDERWRITERS PAGE 1 SO�l�i20 BUREAU OF ELECTRICITY F 41 STATE STREET,ALBANY.NEW YORK 12207 Date 1VOVE?HBER 12 Y,1991 Application, .on L `),81�84091/91 H 414315 THIS CERTIFIES THAT PERK NC ' 91-7 iS only the electrical equipment as described below and introduced b he opplica4undined on the above application number in the premises of DEBORAH NOLAN, AVIATION RD. RR2 BOX 79, QUEENSBURY, N,.Y,- in the following location; ' ❑ Basement OUT❑ 1st Ft. ❑ 2nd Fl. Section Block Lot was examined on NOS°EAIBER 06;1991. and found to be in compliance with the requirements of this Board. FIXTURE KEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT.- I K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RK'PT TIME CLOCKS SELL UNIT HEATERS MULTI-OUTLET DIMMERS 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 SYSTEMS. NO. FEET '1 50 SERVICE DISCONNECT NO.OF S E R V 1 C E AMT. AMP. TYPE METER 1 0 2W 1 0 3W 3 0 3W 3 X 4W NO.OF CC COND. A.W.G. NO.OF HI-LEG A.W G. NO.OF NEUTRALS A.W.G. EQUIP. PER Ar OF CC.COND., OF HI-LEG OF NEUTRAL OTHER APPARATUS- I I I DEBORAH NOLAN RR2 BOX 79 AVIATION RD. BRANCH MANAGER QUEENSBURYr NY, 12804 � 39 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. 0 COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE A411ST NOT BE ALTERED IN ANY MANNER.