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1989-257 4 + ERTIFICA�TE CJF 0 +�UI'A�N+�'�' TOWN OF +QUEENSBURY WARREN COUNTY, NEW YORK Date 19 89-257 This is to certify thatvtork requested to be done wr shown by Permit No. has been completed. This structure tnay be occupied as a Mobile Home Location David & Tawny Sowwr Owner Sy Carder Town Soard TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement BUILDING PERMIT A TOWN OF QUEENSBURY � No. 89-257 WARREN COUNTY, NEW YORK ' -.d PERMISSION is hereby granted to David $ Tammy Sommer ' rw OWNER of property looted at 25 Nathan Street 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 , OwNE R'S Address is con Same 2. CONTRACTOR or BUN LDE R'S Name n P . Y_ Sales d e CL 3. CONTRACTOR or BUILDERS Address RT. 50 Ballston Spa , N . Y. 12020 4. ARCHITECT'S Name 5. A R CH ITE CT'S Address P3 R7'l 7 qi 6. TYPE of Construction — (Please indicate by X) sy ( } wood Frame i ) Masonry { I Steel { I fH via r'b 7. PLANS and Specifications M r+ 26 ' x 62 ' Mobile Home as per plot plan , specifications , and N4application _ Manufacturer-Fairmont Hames ,Nodel #5628,Serial #175511, date of manufaeturer 1988 8. Proposed Use Mobile Home c/o Incl . $ 53 . oD PERMIT FEE PAID — THIS PERMIT EXPIRES December 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.) yR 0. Dated at the Town of Oueenshury tJyie- 1St Day o May 19 89 —� {' r tti SIGNED BY r for the Town of Queensbury uilding and Zoni Inspector SELECT BUSINESS FORMS (609) 84e-5203 APPLICATION FOR ELECTRICAL INSPECTION PLEASE BEAR DOWN YOU ARE MAKING (4) COPIES MIDDLE DEPARTMENT INSPECTION AGENCY, INC. National Headquarters - • 900 Haddon Ave., Collingswood, N.J. 08108 COMPLETESAPPLICANT • Tr"k� w r � y t - w^ Date : City, Town or Township C�" -''' till /�? Z County l'd �` State +' .�'✓,4 1ti Ate- :5,7,. Location/Address � � _- ( if Located in Rural Area - Please Attach Directions ) Pole # Owner %QL' / K? ti % !9 ! , c's• � ry+ *�.M Permit Occupied As Z* Building : NewO OldO Occupant sw00� '� Work Area in BuiIdin Floor #, etc, ] . App. for: Wirin = 'Service or: Ready for Inspection : Fee Remitted - S Cash 0 Check F�l M.O. = Make Payable To: M.D. I .A. 500 75o 1000 ) 250 1500 1750 2000 2250 2500 2760 300a Number of Rough Wiring Outlets Elect. Heat Switches - Amp. Service Surface Unit Dishwasher Range Lighting Water Heater Air Conditioner Dryer —Pump Receptacles Oven Garbage Disposal Wiring and Controls for Burner Number of Fixtures Amp. Receptacles Fractional H.P_ Vent Fans Other Equipment: MOTORS H. P. 1 /2 1f12 1/LO 1/e i/6 Lf4 1/3 1/2 3/4 1 1V� 2 3 5 7!+x 10 15 20 25 311 40 50 75 100 Mark Number of Each Size Applicants Signature License # Permit T/A Utility : (NAME) (QFFICE LC?CATION Applicant's Address : (City) (State) (Zip) Service Request # Phone # Electrician : • • DATE RECEIVED: DATE INSPECTED : Correct Location : Same as Above [--] or : Red Notice Label I I Rough Wiring Outlets Surface Unit Oven Switches Range Garbage Disposal Receptacles Water Heater Dishwasher Fixtures Air Conditioner Dryer Amp, Service Equipment Burner, Wiring & Controls for Amp. Receptacle Amp- Service Conductors Pump Vent Fans MOTORSH.P. 1/20 1/12 1/10 1/8 a 1/4 1/3 1/2 3/4 1 1112 2 3 5 7!!2 10 15 20 25 30 AO 50 75 100 Mark Number of Each Size I I I = 500 750 1000 12So 1500 1750 2000 2250 2500 2750 3000 Patrick J Trashnarl t. Heat PO DD X 32.1 kitit,�an j�'-_ ��k 8�R 51 or If 34 rFLECIll 3�m CORRECT FEE PAID CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE FEE Q RW Progress : Inc. LKD 0 Contractor CET Violation : Work Comp. Cl Inc. IJ CASH © L/A Owner Fee CHI # Due IPA Municipal INOV # Applicant Date : Other Side Utility Owner Cut in Card C] Temp # Date m Shy n+� LU i1 � t LU LrUy yS LL I a .0 t s� 30 f '' us G1�a DOI U ENSBUR�►' � � T WN OF rG �, Dr �, ' --