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90-591 "�'. L,. F 4' k TOWN OF QUEENSBURY WARREN COUNTYe NEW YORK i Date QGto-C4� -z 19 This is to certify that work requested to be done as shown by Permit Na. 9[?-591 has been crimpleted. Ittis structure may be occupied as a sin le family modular Lot 60 Ledgeview Village Location JOHN HUGHES C hmer By Order Town Board ToWrN OF QUEENS$Ui2Y Director of Bldg• do Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY 90-591 No. 46 o WARREN COUNTY, NEW YORK v PERMISSION is hereby granted to JOHN HUGHES OWNER of property located at Lot 60 1,edgeview Village Street, Road or Ave. In the Town of Queensbury, p Single family Modular Home To Construct or lace a g y 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_ Ca t. OWNER'S Address is !+} ftJ)*3 Bax 3292-2 x Lake George NY 12845 2. CONTRACTOR or BUILDERS Name same 3, CONTRACTOR or BUILOERS Address t" O rn c 4. ARCHITECT'S Name C lD eQ M f0 rAFCT'S Address C �Y�.r../•• Sr �y .4 Construction — (Please indicate by X) ) wood Frame ( I Masonry ( ? Steelnd Specifications.o. 261xxxxx501 Single family Modular Home as per plot plan, specifications and rn ap 3lication. S. Proposed Use r Sin le family modular home 0 $ 191 .00 PERMIT FEE PAID — THIS PERMIT EXPIRES S Member 6 , 19 9 1--.- y (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the C town of ousensbury before the expiration date.} m 6th Da of September �� 90 Dated at the Town of Queensbury this Y SIGNED BY � for the Town of Queensbury Building and Zoning inspector // TO BE COMPLETED BY nL W e DEP'1' . uws� L+ ar Application Na. Permit Issued o/ Q"eexa3 BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Havilana Road, MOP 1 Box 9a Zoning Designation ouaensbury, Now York 12801 Variants Hoe, Site Plan Review No . APPLICATION FOR Approved, by : EP 41990 MOBILE HOME 5 'elf: fz r'f'1f7E Clcr" PUILDIN; AND ZONING PERMIT - l 9 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 fig accordance with the description, plans and specifications submitted, and - su ,y speciul conditions as may be indicated on the Permit . / !� The owner of this property is ; 7 _ P . O . Addraus f �'_....�."�- ,rY �' !r'• fl Tul . 7f'�'� tea / Property Location : ! d9 -442 Z ZZ ile 12 Tax Map Wo . �;/ Str ev. x:iuunber or bu/i ding lot number Subdivision name ( if applicable) Tilk: PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : rltine -� P.O* Address Tel . No . Na-Me of Installe „r Address_r ,� fr �i _ Tel . N isnlL• uI' Plumber („�, _ ! ,: Addrens - Tol . N"ii*e of :nauon r , Address Tole x MDIIiLE HOME INFORMATION : 1 * ZONING INFORMATION : New home Placement " � ' A PDT' PLAN !'1uST 13E PREPARED AND suamITT£D , drawn reasonably to scale and attached hereto. Replacing existing Home � f � * showing clearly and distinctly all buildings , Size of new Home e-q;� 4ft X -5v ft * whether existing or proposed and indicate all set-back dimensions from property lines . Give single w ` le Double wide * threat 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 �� * of septic disposal area . No . of bathrooms COMPLETE INFORMATION REQUIRED BELOW. Fireplace? Wood stove? ' Size of Property �{; r5 ft x ryl ft . Foundation style and size : ' Existing building ( s) Size ft x ft . Piers- No . of Size- -. ft x €t . * Existing building ( s ) Use Depth below grade .,J ft. * . * Proposed building , diaLance fro:a property line FOUNDATION Footing size A " X teb * Front yard ft Rear yard / V ft wall material l2 l.� r � ,(�fE s * Side yards 0�10$ ft and .+ 4 ft wall thickness' �� Height _ft . * If on Cornert sctb4Ck from ,side street ft Tonal depth below grade .3 9 f t. * OCCUPANCY I NFORMAT I ON - * Grade to Home floor level ft. PRIMARY BUILDING So w'bna fi*mLly dwellin Two family dwelling Proposed date of placement / / Multiple dwelling / Number of units A prox . Value- of Home: $ * Permanent occupancy * 'transient occupancy water supply we Well Municipal - * Business * Industrial Septic Permit required? .-Lp0 * Other * If addition, what will use but? 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/a car Private storage building * Other Form M11 P 5 / 86 md - vl ! APPLICATION FOR MOBILE NAME PERMIT, CCONTINUED) Slate of New York Division of Housing and Community Renewal INSIGNIA OF APNhOVAL OF THE STATE . BUILDING CODE IV I . INSIGNIA SERIAL NUMBER 2 . NAME OF MANUFACTURER � q� yf7 ,rye 3 . PLAN APPROVAL NUMBER 4 . MODEL OR COMPONENT DESIGNATION 5 . MANUFACTURERTS SERIAL NUMBER 6 . DATE OF MANUFACTURE Ld AZZ the above information is to be found on a pZate or atioker which should be affixed to the Mobi Ze Nome . CornpZete -above With that infor+nation. Town of Queensbury County of warren A F F I D A V . I T STATE OF NEW YORK i swear that to the beat 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 an the described premises and that all provisions of the BUILDING CODE , THE ZONING ORDANANCE, 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 [ er462wne r ' 1 9ent , arcnisect, contractor +� w w • ■ w w ♦ w w r w r ♦ r r # r r ! , r R • • w ♦ A r r fr r r • • fY , * t r w ♦ w r • r • ' r SPECIAL CONDITIONS OF THE PERMITa a Ila TOWN OF QUEENSBURY / /� 531 BAY ROAD OUEENTELEPHONEYr ( 518 ) 745- 4447 BUILDING INSPECTOR' S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED iNAME LOCATION d DATE PERMIT# TYPE OF STRUCTURE RECHECK L4O FIRE MARSHAL APPROVAL ( COMMERCIAL STRUCTURE ) �?OTING �P'DUNDATION ACKFILL FRAMING ROUGH PLUMBING YftNALELECTRICAL�-SEPTIC INSULATION _WO©DST0VE/FIREPLACE REMARKS APPROVAL N /A YES NO CHIMNEY HEIGHT/LOC ION B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/POR H/ EPS/RA NGS RELIEF VALVES FURNACE/HOT WA ER P R ING BASEMENT INSULATI /DUC ORK INTERIOR TRIM/ PR ACY DO S -- FINISH FLOORS . BATH/KITCHEN ATERTIGHT OTHER FLOORS WEEPABLE OTHER FLOOR CARPETED STAIR CLEARAN E/RAILINGS HANDICAPPED CESS SMOKE DETECT RS BATHROOM FA S/WHOL HOUSE ANS ALL PLUMBI FIXTURES OPERATING GARAGE FIRt PROOFING DOOR CLOSERS OTHER FIRE SEPARA ION FIRE/DEMISE WALLS DUMPSTER. SITE PL1 N/ A I N E E IREMENTS� FINAL ELECTRICAL OK TO ISSUE C /O 0 / _ CO ARRIVE ✓/ _ NPART f INS TOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12806- TELEPHONE (528) 792-5832 BUILDING INSPECTOR' S REP�OR/T/► / / REQUEST FOR INSPECTION RECEIVED 0 f NAME C LOCATION n + / DATE I PERMIT # J C APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS Fo u.wDA�O N/DAMP--PROOFING ,BACKFI APPROVAL ROUGH PL&JVBING FRAMING 7 ELECTRICAL OUCH-IN ' INSULATION: FOUNDATIO FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE &' RAyL5 PLUMBING FIXTURES/RELIEF" VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS _ GARAGE FIREPROOFING DOOR CLOSER (S)_ _ SMOKE DETECTORS:` FINAL ELECTRICAL ;'INSPECTION FINAL APPROVAL Or C'ONSTRUCTTON OK TO ISSUE C/OJOR C/C R. A SIGNED CER4'IFICATE OF OCCUPA?fCY PMST BE OBTAINED FROM PHE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! k n REMARKS: 4 - -- Y ; ''St'IVE fl .Jr INSP TO TOWN OF QUEENSBURY BUILDING AND CODES DEPARTME T BAY & HAVILAND ROADS / J QUEENSBURYI NEW YORK 128 TELEPHONE (518 ) 792-5832 BUILDING INSPE TOR ' S REPORT REQUEST FOR -rNSRECTXON R CEIVEDCj NAME LOCATION DATE /'r P RMI € �Q A PPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS XFOUNDATTON/DAMP—PROOFS ( z BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—IN INSULA TION: FOUNDATION 1 FLOORS 1 WALLS 1 CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS—CLEARANCE & RAT _ PLUMBING FIXTURES/RELI VALVE INTERIOR TRIM/PRIVACY RS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL INS ECTION FINAL APPROVAL OF CCJVSTRUCTZ OK TO ISSUE C/O OR /C A SIGNED CERTTFICA E OF OCCUPA CY MUST BE OBTAINED FROM THE BUILDING DEPA 71 NT BEFORE THESE PREMISES A OCCUPIED REMARKS: ARRIVE (,.x w' fj ^��� DrPART Zz .sa�� INSPECTOR 11"ry-�. 'rFi �[.r'xi��i�,,y, }. e'l v%�r.r•i h•L^<1rri -� 'U e.%"'#.1'f[X�I+4� • 'Ra V ! 'U[%"�Vi\:vtc/'T'.%"�[l''ti"\"y i 1' 'M[ila i PC>..l'•'/�\+e r `� �e .(�;�q��A.. 'e f�, MIDDLE DET"AII"IATENT" IN,SPEC"I'ION AGENCY, INC.'. / 1337 Wrist +Choster 1'ikc, Wor3t Chngtt+r, PA 19390 o "-"October 26 , 1990 tIf that the electrical equipment listed tins been examined and is approved as being in accord wFth the National Electrical Code. applicable governmental , utility and Agency rules. ti chi'ner. John Hughes Urrupanry. Ocruparrf.• S am a Dwelling L+x'aftan Le dg ev i e w Village , RT # 1 4 9 This certificate covers the electrical equipment and installation inspected F_qt±rprrtenL Stu e e n s bu rY this date_ If additional equipment should be introduced or alterations made f ( Warren Co ) NY to existing system this certificate shall be null and void, and applicatron for 200 Am Service ; inspection should be submitted promptly to MDIA. Inc. ' �' 1 - Receptacle holder of this certificate should present same to his Property insurance carrier (agent or company) as evidence of certification of electrical Appfrcanl: �Saim W . Corhouse � equipment approval. �. C 11 Potter RcI . .b �Gansevoort , NY 12831 No . d 16 - 001278 /013 r. [1 FormNo, I'i�jfa�r..r'a y^�_•.n,... _ [ 1'-y[yam»�l• r. `'�"! }+ .f.CR /'�'[4 ,_R� !� /"l f^1o. 70$ EL 1.90 '.��� r,{`'`�rrnr' zc:�`�/y' .{`.'�ti.:✓J1. '*�''" 'r'-{"•_+�;. V ��+, ,,,�r�"' ��'��,rn . TOWN OF QUEENSBURY A � BUIL XMG AND CODES DEPARTMENT P ''��/ . BAY & HAVILAND ROADS .QUEENSBURY. NEW YORK I280& TELEPHO E (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST INSPECTION RECEIV NAME (p LOCATION DATE (Q qQ PERMI APPIROVED ^ YES rK FOOTINGJP ERS MONOLITHS POUR FORMS FOUNDATIO DAMP-PROOFING BACKF'ILL A PROVAL ROUGH FLU NG FRAMING BLECTRSCAL OUGH- XN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECT N: CHIMNEY HEIG T ROOFING SIDING EXTERNAL PORG ES STEPS - STAIRS-CLEARA E & RAILS_ PLUMBING FIXTU /RELIEF VALVE INTERIOR TRIM/ VACY DOORS FINISHED FLOOR GARAGE FIREPR ING DOOR CLOSER (S) .SMOKE DETECTOR FINAL ELECTRICA I PECTSON _ FINAL APPROVAL F C TRUCTION - OK TO ISSUE C/ OR - C A SIGNED CERTI ICATE F OCCUPANCY MUST BE! OBTAINED FROM HE BUS ING DEPARTMENT BEFORE THESE PREMISE ARE OC PIED!' REMARKS: P.RRIVE DEPART INSPECTOR