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1989-111 S f 1 � s � f ` CERTIFIC. 8- A" OCCUPAN TOWN OIL +QUEENSBURY WARREN COUNTY, NEW YORK Date A u gl, s t 13 19 This is to certify that work requested to be done as shown by Permit No. has been cQMpleted. M01blic This structure may be occupied as a G Axatio7R L[7 t. � ..i �.:.f_ut.i Pi-i 1, L l� Owner F7[21173ys �fc�w iui� By Order Town Board ! TOWN OF +QUEEMOVKY a y Director of Bldg. & Code Enforcement Bldg. & Code Enforcement 1 f BUILDING PERMIT TOWN OF QUEENSBURY No. WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Dennis Therrien 1 OWNER of property located at Tot 134 Homestead Village Park Street, Road or Ave. in the Town of Queensbury, To Construct or place a Mobi le Home F 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 Same 2. CONTRACTOR or BUI LUE R'S Name � Adirondack Housing xl Fi LTJ 3. CONTRACTOR or BUIL13ER 'S Address a 114 Saratoga Avenue ro So . Glens Falls , N . Y . 12803 4. ARCHITECT'S Name U' S. ARCHITECT'S Address L" O r I- 6. TYPE of Construction — (Please indicate by X1 w ( I Wood Frame ( I Masonry I I Steel [ 1 O D 7. PLANS and Specifications (D 14 , x 66 ' mobile home , Serial # E - 229800 , Manufacturer- No. Schuh Homes Corp . , Plan approval #Had 455517rModel - - e VnT-kt_nwn 30A14 . date of manufacture- 8 15 89 as per CIL 8. Proposed Use plot plan , specifications , and application * f r 1� Mobile Home 11� m $ 54— flnc/o _�F1411T FEE PAID — THIS PERMIT EXPIRES October 1 19 89 (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 Queensbu is 2 4 th Day of March 19 89 N ro SIGNED BY for the Town of Queensbury Building and 2FonFng inspector x fb " TOWN OF QUEENssunY C `� TO DE COHPLETED BY nLL,c . DEpT. RECEIVED ?M"011 a csPsriaJ6s,srs Application No0 l3UIs_Uz1dG and ZONING DSFAJiTir1 NT Permit Isuuud 19 MAR 2 4 l'�!P9 flay and HOVAUna Fioada A-13v 1 Box 08 Zoning t3�►aignaCio�n C]uaensDurya Ntlw York 7280! Variances No. BLDG. $ CODE DEPT. Site Plan Review No . APPLICATION FOR A �� P,provad by z MOBILE HOME " ;�'���~ 9' K +� �- sy� o0 PU I LI3 I NG AND ZONING PERM I T MOVE v► r . or • « . w * . w . a * . w w . a r a 40 w . r • . . w6 w e. w « « # ih ar . �► : . A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION , ANSWER ALL OF THE FOLLOWING . The undcruigned hereby applies for a Building Permit to do the following work which will Lau dun. is► accordance with the description, pli nu and apueificatic>nas "LLbl .itt`de and - such flbuci'"l conditionu as sway be indicated on the Permit . The owner Of this property is . /l r . G. J►d,]res:ae lo !:Zilef e ProperLy Locations �{,�.-. la Al--- Tax map Na . J strut s.Lus,bur ar bulldl"Q lot nuu,bur i:+alral � visiwn namma TILL PPJSON RESPONSIBLE FOR SUPERVISION OF WORK AS RX ' ca it 13i1II.1]ING coDcs ISz 6l?ns Fal W& ,► a llitan� I' . Oa Rd.lrt:uu oil No . N;une of Installer Rddr+aae 1va11te LAIN plum"t Tel , hddrouu N�.11« oC a,,.au4n �1 fa� " �?.�-,F?7 Tol . � Rdare ass Tel . M0131LE HOME INFORMATXON : r ZONING INFORMATION : Now IIome Placement ` �PLOY PT.A ,MUST AC PREPARED AND SUOMIVrEop Re p l taxi ng existing Home � drawn roaaanably to scale and attached hareto , "howing clearly and cllu+tinctly all buildings , Size of new Home_ t � ft X �� Ft A . � whether oxiatinU or proposed and indical all set- wu back dinsi Onu from property lincu a Give SincJle w ' le ✓ ikiuh ] e wide r urrerat and nuwalzur or lot nuuLLser and is►caic" Lu No . Of roams ( excluding baths ) �+�- ' whuthor interior or corner lot . Show location R of water supply and loaa.tion and confi ia gurtion Nov of bedrooms of sse,p,tie disposal area . Nov of bathrooms _ � ,,f r CONI►Llr'l'E INFORMATION Ttf:;?LIIIt1�>7 nL"L.OMIa F i rcplace7 '� wood stove?alml O + Size ,o f property_ 'JJ r t t x f t Foundation style and - sizez.cl 1� "luting buildingLu) Size fc x� t . Pi .'rs- No . of Size--ik9lnu x `1faC. f1Y1 L ,,yyamy �.�� kxxssting buildsny (s ) LJxzes _ � Depth below grade f "> lG. _r all-vas 00 FOUNDATION w Footing size "+ g ., 0 Vrapoaud buildinult di1;L:ancu From property .Lino ��r . Front yard ft Rear yard Ft wall materia� a `� r Side yurds let and ft Wall thickness "' Height fta + If an corner , sattuack frail sid.: ucr4ac ft Total depth below grade ft . r OCCUPANCY INFORMATION AV Grade to Home floor level fte . P'R RY BUILDING r w a s ■ r • a a a r r w r r a w s x w ,e r One fasuily dwelling AA0db `1L& 0 'lhl:s ., Two f.sulily dw"llinu Proposed dace of placement r�/ y MLZI LPIe dwelling j Humbar of units Aprox . Valu4& of Home: s a` � P—` + ermanent Occupancy ,. 'Prrsns.ie:nt acaulaancy Water supply - well Municipal �� r ilu5inuas � ,., „ Industrial Septic Permit required? .t\10 �_ 1Jtha:r • r If addttiosl, wlusG will use bez? FURTHER INFORMATION REQUESTED ACCESSORY 13UIL 'UYNCr ON TrirE REVERSE SIRE OF THIS SHEET . +► Detached garage/ons car/ two car/ car Attached garage/ono carj two carj car ( • lrivatc stOrago building I) C-.Se- �1t�C ,_,.. Other a Form M11P 5 / 06 mr] - vi APPLICATION FOR MOBILE HOME PERMIT, [ CONTINUED) State of Now York Division of housing and Community Renewal I NS IGP IA OF APPKOVAL OF THE STATE . BUILDING CODE I . INSIGNIA SERIAL. NUMBER.., 9 &90 2 . NAME OF MANUFACTURER 3 . PLAN APPROVAL NUMBER - # . MODEL OR COMPONENT 'DESIGNATION �7�E)a;n �lSG7 � 5 . MANUFACTURER ' S • SERIAL NUMBER , �' 9 G . DATE. OF MANUFACTURE .11I the above inf6rmation is to be found on ' a plate ar aticker which ahou td be affixed to the AlObi to Nome . CampZatv, .above with that information, # # +� # +! # # 4 # # # # # # # # 4 Tnwn of Quuenubury County of Warren A F F I D A V • I T STATE OF NEW YORK I swear that to the bust of my knowledge and belief the statements contained in this ai�plica Lion, togeth©r with this ,plans sand ap scifications uubauittaad , avo a true and comple" stzatcuvant of all ,proposed work to be done on the described promises nand th"t all praviaionu of the BUILDING CODli , THE zoNIlNG ORDXN"CE, and all other lawn pertaining to the proposed work shall be complied with, whathar aipaacifiaad or not, and that such work is auLhorircd by the ownero y Sign& ure _ W � Owner, , owner ' a agent , a cryitect, contraatar� r r ■ r r * �� w ti w w w * �a w w * tir ar tr , w w rr w w w w a • • • r * • w • w t w r • w w • r r ' w - SPECIAL CONDITIONS OF T11E PERMITS TOWN OF QUEENS URY BU-rLDING AND CODE DEPARTMENT / BAY & HA VILAND RDA g /!• •i("� .QUEHJVSBVRY, NEW YQ X 128Dk .y�� TELEPHONE (518) 7 2-5832 71 BU' D'NG NSPEC OR ' S ORT REQUEST FOR INSPECT ON RECEIVED NAME C� LOCATIONi DA TE APPROVED YES NO FOOT'INGfFIERS MONOLITHIC FORMS FOI3NDATION1d1AMp_PRQOFI G BACRFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATIONc POUNDAT,rQN FLOORS WALLS CEILING �[ FINAL ZNSPReTION; CJYIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/S EPS STAIRS-CLEARANCE RAILS PLUMBING FIX2VI?Z.S RELIEF LVE INTERIOR TRIM/PRI ACY DpQ FINISHED FLOORS GARAGE FIREPROOF NG DOOR CLOSER (S) - SMOKE DETECTORS FINAL ZLEC2'RrCAL NSPECTION FINAL APPROVAL 0. CONSTRUC27O OK TO ISSUE C/o R .C/C A S rGNIs D CER 1*x CA TH OF OCCUPA Y MUST BE OBTAINED FROM E gUrLDING bEP THESE PREMISES ARE 'OCCUFIEDI TMENT BEFORE REMARKS: Ix ALRRIVE CJ INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY i 41 STATE STREET, ALBANY, NEW YORK 12207 Date ' Application .APa. an file . . THIS CERTIFIES THAT only the eiiieetrical equipment as tfescribed baLoaK and introduced 1by the applicant waned on. thiv above replication number in sha premisas of in thefallowing location.: ❑ Basement ❑ lst Ft. 0 $rsd Fl. '� . = section Block Lot was examined on � f' �- € � € � � and fo"rwi to be in compliance with the requirements of this Board. FIXTURE EPTACLES SWITCHES MIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHIAUST FANS OUTLET$ INCANDESCEM FLLK7KESCENT I OTHER I AMT, j K. w- AMT. K. w, AMT. K.W. AMT. K. W, AMT. H. ►. DRYERS FURNACE MOTORS PUTURE APPLIANCE FEEDERS SPECIAL RECPT TIME CLOCKS REt► UNIT HEATERS MULTMOYTLM DI u"Its AMT. K. w, OIL H. P. GAS H. P. AMT. NO. A. W, G- AMT. AMP- AMT. AMPS. TRANS- AMT_ H- r SYSTEMS AµT, WATT$ NO. OF FEET SERVICE DISCONNECT NO. or S E R V I C E AMT- AW, TYPE METER 1 ar tw 1 0 aw a r 3W a A 4w NO. W*COND- I of cc caw- No. Or Hi-LW OF ,w- v No. aF HEurnALs aF' W O- L OTHER APPARATUS: BRANCH MANAGER Per if 7 This cartificote must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by ?heir credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. F _ � _�. ._-- ----- --- - — -- — - — — ---- Y y YOU ARE HEREBY REQUESTED TO INSPECT AND ISSUE CERTIFICATES FOR THE FOLLOWING ELECTRICAL EQUIPMENT Tp BE INSTALLED BY TEMP THE UNDERSIGNED M DATE CFrYOF111111,IL E E AND Na CNR qa-Dy� :.�•• f OPUNTY If POLE NUMBER BE wY4q TWO CROSSS STREETS Ye PREMISES LO[:NIEp7 OCCU S NAME I I? BUI OIATJEq' E AND AI?DRES _ - Ip - �fI"� ✓11 HOME TELEPHONE NUMBER CURRENT SUPPLIED By TREIR OFFICE NV SIER BwLDiMG Is '.. NEW +�1' WORK IS NEW ADDITI NII El EpEIcE g REMOVED � I BELOW ALL EQUIPMENT WHICH YOU INSTALLED . _ NUMBER OF OUTLETS . a B Fixtures & Lion siae Lamp Receptaotes MC7fOR5 HEATERS BRANCH OFFICE USE Ceiling Attach't - Type CIRCUITS WoM ReoeP'K 5wioch Pendartt "racket III H.P ylp�,, ONLY SIDE Ern No f acR Na INSPECTION SIDE A.Wg Sue- "AS E 811 MENT 1st FL. 2nd FL 3M FL. REMARK+- LIST(7rHER ELECTR[CA L DEVICES NOT SET FORTH A80VE: 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 MWNS FEEDERS ELL-CMIC SIGNSA-AjA TOTAL 4WTTS CHARACTER Or WORK 0 ExFDSED GAS TUBE SIGNITRAN SI=OPM,YERS OF GATE WORK TO BE gTARTED CONCEALED Vn` DArE COMPLETED SIZE OF SIGN [NUMBER} SERVICE ENTERS 6UILDING CAPACH Y MANUFACTURER OF SKeN E OMERREAD E-1 uNDERGROUN❑ P9T MSPE-CTgN REOUE;y TEED ON ORAS NEAR AS POA..;JBLE} ER YN/CUD DELAYS 9Y ItWG1 ILL ACCURATE MIF0RbAT1pF4 ALL .S & MAN 0gTDBE MJMBFILLEQ INPPM..f TK:MV AY BE RETUR�ED.� PRINT NAME AND ADORES" OR A NAME F APP D EC. J7, .. G+?/� uS..• '� DgDE OF11PLl arp APPIJr,w'6►,IT STREET ADDRESS {_ ,yy, C1T 4019/df-) f+' .1` TE' P E ND. OFF,CpE / 'ej 4n> ' +V ere. Al ZIP CO E LICENSE NO. WHEN APPLICABLE C-1 85 John Street 41 State Street El5" Delaware Avenue O 217 Lake Avenue El 202 Arterial NEW YORK, IN 10038 ALtSANY, NY 12207 SUFFALO, NY 142U2 ROCHFISTER, NY 14GQ8 J SYRACUSE�NY 13206 THE NEW YORK BOARD OF FIRE UNDERWRITERS ��nr1i.� �lj�►�ric ►� S Lai- M14344 ....... - _ .. _. P blC r Seusir I f f t� 04 q 72� W r �rSe MODEL #7014-3CO4 — 2 BEDROOM—FRONT BEDROOM - 2 BATH 4 �, rH WARD UTILITY OPT eaOKcwaSCE LAW ROOMHUTCH KITCHEN FMIEPLACE\ a _ 3 BATH �' _ — " -- — _ _ = VAULTED CEILING THROUGHOUT TH jA BEOpOOM LfY1NG ROOM w BEDROOM' �''"�" "� Ili,2"' J_ -. 1 r' - - P"AN BOOKCASE `+ OPT 90 UN . VANITY 925 sq.h- OPT PAN BOOKCASE HUTCH r . r BOOKCASE OMIT ISLAND KITCHEN OPTION AODEL #7094-436-1 — 3 BEDROOM—FRONT BEDROOM-2 BATH 1H I PAN OKCASE U ROOM HUTCH t i L11W _= FIREP'LACE%�.� BEDROOM �� BEDROOM 7" 70" fO. 3.. VAULTED CEILING THROUGHOUT BATH BEDROOM WALK.IN KITCHEN LIVING ROOM BATH �T 1 BOOKCASE rfOPT ` LNYI.` ENT• 0 926 aq.ft. BATH OPTIONS .. _ WARD �^ WARD WA BATH II o l _ y BATH 3 t3 O BEDROOM BEDROOM BEDROOM BEDROOM BATH 8 --- V, BATH OPTION C - Y. BATH OPTION D = r. BATH OPTION