1987-817 lease
CERTIFICATE OF OCCUPANCY''
TOWN OF QUEEN58URY
WARREN COUNTY, NEW YORK
Dare 19
This is to certify that work requested to be done as shown by Permit No. 87-817
has been completed.
This structure may be occupied as a Mobile Home
i ocation� 6 Minne so C a Ave .
Owner Larry Blodgett
By Order Town Board
TOWN OF QUEEN$BURY
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QU EENSBURY No. 87_81 7 �
WARREN COUNTY, NEW YORK o
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PERMISSION is hereby granted to Larry Blodgett� -41
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OWNER of property located at Km Minnesota Ave . Street, Road or Ave. o
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 . £}WN E R'S Address is W
517 Glen St .
Glens Falls , N . Y . 12801
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2. CONTRACTOR or BUl LDER S Name ram.av
Dan Saville m
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3. CONTRACTOR or BUILDER 'S Address P . O . Box 824
Glens Falls , N . Y . 12801
d. ARCHITECT'S Name
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S. ARCHITECT'S Address
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6. TYPE of Construction — (Please indicate by X)
{ I Wood Frame ; I Masonry i } Steel I 1
7. PLANS and Specifications
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No 60 ' x 10 ' as per plot plan , specifications and application . p.
N Serial #a+ FCADOD-411844 Manufacturer : New Moon 1972 ro
8. Proposed Use
Mobile Home
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$5 . 0o CID
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$ 30 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES ,July 1 , 19 88oq
{If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Clusensbury before the expiration date.}
Dated at the Town of Queensbury this 7th Day of Dec . iq 87
SIGNED BY Z222z4z '-2 zt: f�� for the Town of Queensbury
Building and Zoning Inspector
TO BE COMPLETED BY BLDG . DEFT .
/ Application No ,
own o/ QuPen .f684rrV Permit Issued 1g 'r'OWN C' F QUIr ;W,,4
BUILDING and ZONING DEPARTMENT Permit Expires
Bay and Hawi)and Road, R.Q. 1 Box 98 Zoning Designation f ( L,i
£]
ueensburyNew York 12801 Variance No. 1 U
Site Plan Review No . "
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APPLICATION FOR Approved �}by /"Iw ` �+
V�AL�i'i � � - ."s `.3Ca f� C i " f �EP7
`I MOBILE HOME V y / 3 ��a
PUILDINi AND ZONING PERMIT
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 . , .•
The owner of this property i s : - . y --_ �O r x E -�-- � f 1= /a7�9� ' /
P . O. Address sr / /fire ,T + �- /' •' Ei s Pr. Tel . 7 `,�' j
Property Location : ! �, iaf /�
xv F , ��' �/ r� . r'� , Fins ` v' Tax Ma No . ��I
Street ? ,umber or building lot number /� ilfLI�4
Subdivision name ( if applicable)
TH.Fx PERSON RESPONSI LE +FOIL SUPERVISION OF WORK AS REGARDS BUILDING CODES IS :
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Name Y . O. Address Tel . No .
Name of Installer •' 7 �. . � r ]address � v3 `�� f32 �GPs�' S i Tel . "7 -
Name of plumber Address _ Tel .
Name of mason ,7. 7 _ - ;�-u ,'� Address r� �'4 r �c,e a� Tel .
MOBILE HOME INFORMATION : * ZONING INFORMATION :
New Rome Placement * A PLOT PLAN MUST BE PREPARED AND SUBMITTED ,
" * drawn reasonably to scale and attached hereto ,
Replacing existing Home_ Nu * showing clearly and distinctly all buildings ,
Size of new Home o('C) £t �ft - * whether exlsriny or proposed and indicate all
' set-back dimensions from property lines . Give
Single IV,! , .e Z _ Double wide.. At street and number or lot number and indicate
No . of rooms { excluding baths ) J
/- * whether interior ur 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? A- b Wood stove? Size of property ; df�51V ft }C�4:�;rG ft .
Foundation style and size :
* Existing buildings size ft X ft .
Piers- No . of Size-- ft x ft . ' Existing building ( s ) Use
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Depth below gradej:TyL ft .
Proposed building , distance from property line
FOUNDATION - Footing size-„ X�_
. Front yard ft Rear yard fy�f ft
wall material * Side yards / ft and. _sl ' ft
Wall thickness Height ft . * If on corner , setback from side street ft
Total depth below grade ft . s OCCUPANCY INFORMATION
Grade to Home floor level ft . * PRIM Y BUILDING -
* * * * * * * * * * * * k * * * One family dwelling
1 .7 Two family dwelling
Proposed date of placement / � / * Multiple dwelling / Number of units
of Horne $ 70 C3 " * Permanent occupancy
Aprox . Value. / * Transient occupancy
Water supply - well Municipal _ , Business
* Industrial
Septic Permit required.? - /, //4f� * Other
At 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 MHP 5 / 86 and - vl
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APPLICATION FOR MOBILE HOME PERMIT , ( CONTINUED )
State of New York Division of Housing and Community • Renewal
INSIGNIA OF AFF' WVAL OF THE STATE BUILDING CODE
1 , INSIGNIA SERIAL NUMBER � / 4
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2 , NAME OF MANUFACTURER
3 , PLAN APPROVAL NUMBER
4 , MODEL OR COMPONENT DESIGNATION
5 . MANUFACTURER ' S SERIAL NUMBER
6 . DATE OF MANUFACTURE - j ! %' at
AZZ the alcove information is to be found on a plate or sticker whtich
should be affixed to the Mobile Home . Complete above with that information.
Town of Warren
eensbury
County off Warren A F F I D A V I T STATE OF NEW YORK
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 , TRiE ZONING ORDINANCE , and all other laws pertaining to
the proposed work shall be complied with, whether specified or not , and that sAch work is
authorized by the owner . T ,
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Signature__
Ownowner ' s agent , arcnxrect, contractor
: ► * � k � * * * * ,► x * +� * ,r * ,t * ,t w w w w w aAe : rr a4 * • • #r w � tt w � ,rr � • +t � +t # sr
SPECIAL CONDITIONS OF TIDE PERMTT :
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BAY ii
HAVILA N YORK 12801
ogPHONE ' { 518 ) 792-5832
Y�I13G 1NSPEMR, S gpORT
INSPECTION
ItsQuasir FOR
NAME
LOCATION PERMIT
�- tr G. APPROVED
DATE S ye. YES NO
FOOTXNG/PIERS FORMS
MONOLITHIC POURRFING
FOUNDATION/DAMP--
,,CXFxP APPROVAL
ROUGH
FRAMING Oi]GH�IN
ELECTRICAL R
INSULATION :
FOUNDATION
FLOORS
WALLS
CEILING ION :
P
XmS H V
FINAL Hb'IGHT�-�
CH NY
ROOFING -�
SIDINGV,XT PORCHES/STEPS
STA _
RNAL RAX VALVE�� �r-- _ ---
TAIRS-CLEARA RE LIE � -
PLVMBING y,A RF± -
INTERIOR TRIM/P'R-T���
F,x1y.l FLOORS FIN a
GARAGN FIREPROO��
DOOR CLOSER (S)
cAt
SMOKE DETECTORS ION
FINAL ELECOR xNSPE
TRUCTIflI+1�
FrMAL APPROVAL OF ��
ax xo T ssuz c/fl OR O/'CSC MVsT BE
A SIGHTED CERTIFICATE OF
RE
THE BUILDING DEPARTMENT BEFO
OBTAINED F`RL71�1 UPIED I
'THESE PREMISES ARE OCCUPIED ,
Af ���n ` r�
RFMARKS: i1Ao C3tcl,& _
illillilliol
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�� INSP TOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVSLAND ROADS
QUEENSBURY,, NEW YORK I280k
TELEPHONE f5je ) 792-5S32
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME 11. r ! e /Yr a7/
LOCATION r/
DATE A I/ qL _ PERMMXT' ##„ X Z =e2 L
APPROVED
YES NO
FOOTINGIP ERS
MONOLITHI POUR FORMS
FOUNDATION DAMP-PROOFING
BAIL PROVAL
ROUGH PLUM NG
FRAMING
ELECTRICAL OUCH-IN
INSULATION: '.
FOUNDATIO
FLOORS
WALLS
CEILING
FINAL INSP TION:
CHIMNEY HtXGHT
ROOFING
SIDING
EXTERNAL CHXS/STEPS
STAIRS-CLEA CE .. RAILS
PLUMBING FI RES/RELIEF VALVE
INTERIOR TRI 1PRIVACY DOORS
FINISHED F R
GARAGE FTR PRC 1TNG
DOOR CLOS fS)
SMOKE DET CTC7RS ! --��--
FINAL ELECTRICAL I SPECTION
-FINAL APPROVAL OF NSTRUCTION
C11C '�U T SS E C/o OR /C
A SIG LEDjCERTIFICATE OF OCCUPANCY MUST BE
OBTAINED] FROM THE BU ING DEPARTMENT BEFORE
THESE PREMISES ARE OC UPIED'
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CAT
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-LIVE
Dsp I PECTOR
�� ..Dawn a� �ueensbf urr�
l�0 BL7lLC1lNG and ZONING DEPARTMENT
Say and Haviland Road, R.D. I Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME
LOCATION
DATE // /Cfe PE RM I T,o�,NO.
SOIL TYPE :a an- Foam - Clay -
Percolation Test Required? YES NO
Percolation rate - Min/Inch -
TYPE of SYSTEM:
Absorption field , total leng
Length of each trench
Depth of t enche
Size of --
SEEPAGE PI S4Number of)
Size- - X ft .
Gravel size
PILING : Size Type
Bldg _ to tan Jj
Tani: to d±st. box
Dist* box to eld
openings Seale ? YES NO Partial
LOCATION/SEPARA ONS : a -Aj
Foundation to a ft. -0�4
Foundation to a ti+on
Absorption t lot ine lL7ft-
Separation o pits
LOCATION OF SYSTEM PROPERTY (circle one
o - Re r - eft i e - Right side -
CC7MMENTS :
pis Y�-
SYSTEM USE APPROVELES No
Bullding Ins actor
01/86 and vl
Lt �lotvti nl Queens ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.0. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
--
LOCATION
Date-��f12� permit No .
` ����/' so' — AP R E YES NCJ
LAooting/Pier Forms
foundation
waterproofing
I3ackfill
Framing
Roofing
Siding
Masonry Veneer
Rough ing
Relief ,Va ves
Ext . Porvh
Finished Fl rs
Interior Tri
Stairs & Raili gs
Cellar Drain Ta. e
Concrete Floors
Plbg . Fixtures
Gar , Fireproofin
Door Closers
Smoke Detecto
Chimney
INSVIATIDN :
Foundation
Floors.
Walls
Ceiling
FINAL EIEC RTCAL INSPECTI0
DRIVEWAY AP ROVAL
Final. 'Building Survey
Next scheduled inspection ( call when ready )
Remarkks-
Building Inspector
6/86 and-vl
December 26 , 1990
Mr , Lawrence Blodgett
341 West 11th 5t , Apt , 3F
New York , New York 10014
RE : Tax Map # 127 - 1- 16
Minnesota Avenue
Dear Mr . Blodgett :
According to our records , there is an expired building permit issued
to you for placement of a mobile home on the above captioned parcel in the
Town of Queensbury .
We cannot close-out this permit file as all items , at least on the exterior
of the mobile home , are not complete , nor do we have records of electrical
inspections 'being performed . Please contact this Department within ten ( 10 )
days of receipt of this letter , to arrange for either the extension of the
permit ( a $ 25 . 00 charge ) or to arrange for the rest of the inspections necessary .
Your anticipated cooperation is appreciated .
Very truly yours ,
DAVID NATIN , DIRECTOR
BUILDING & CODE ENFORCEMENT
DH : im
CERTIFIED
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" NOTE TO FILE '
Planning and Zoning Department
Senior Town Planner
Application Number:
Applicant/Project Name:
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BAY AT HAVILAND ROAD
QUEENSBURY, NEW YORK , 12801
TELEPHONE : (518) 792- 5032
SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . A GOOD PLACE TO LIVE
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