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1988-773
c. 7 CERTIFICATE OF ; OCCUPANCY TOWN OF OUEENSBURY WARREN COUNTY, NEW YORK Date November 25 1988 s l � I This is to certify that work requested to be done as shown by Permit No. 88-773 has been completed. This structure may be occupied as a Mobile Home Location ? ( ' VanDusen Road Owner R€�y & June Blackmer Sr. By Order Town Board TOWN OF QUEENSBURY • Building & Zoning Inspector BUILDING PERMIT , � TOWN OF QUEENSBURY No. 88-773 WARREN COUNTY, NEW YORK I N PERMISSION is hereby granted to Roy & June Blackmer Sr. OWNER of property located at 277 VanDusen Road 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 RR#3 Box 277 VanDusen Road Queensbury, New York 12804 2. CONTRACTOR or BUILDER'S Name t=7 Saratoga Housing 3. CONTRACTOR or BUILDER'S Address RT 50 RR 8 Box 1 Saratoga Springs,New York 4. ARCHITECT'S Name G 5. ARCHITECT'S Address N V 6. TYPE of Construction—(Please indicate by X) ( 1 Wood Frame ( ) Masonry ( )Steel ( ) C7 0 7. PLANS and Specifications No. 27'x48' Mobile Home as per plot plan, and application using existing septic. Serial # 19096, Manufacturer 1988 Poloran 509. 8. Proposed Use Mobile Home 5.00 C/O $ 25.00 PERMIT FEE PAID—THIS PERMIT EXPIRES MAY 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.) co Dated at the Town of Queensbury this 18th Day of October 19 88 co SIGNED BY agGj,0`(:d for the Town of Queensbury Building and Zoning Inspector N ' TO BE COMPLETED BY BLDG. DEPT. Q E' _, .., 1./ i !� F �utvi� U� Quemilury Application No. - 1 BUILDING tied ZONING DEPARTMENT ermit Issue • 19 t 9 • Permit •Expiree 19 L;' ' 5 1988 ' Bay ant] Haviland Road; R.D. 1 Box 98 • Zoning Dasignatio�n— — -- -= QusensDury. New York 12601 Variance No., - BUILDING-& CODE DEPT. las-/„ Site Plan Revie No. Y6 $g As� . APPLICATION FOR A' pproved .h 4.000011%,_____. . .-: MOBILE HOME .�r. . .7 . PUILDING AND ZONING. PERMIT .. 306° " * *. * * * * * * • * * .* * * * * *. • • * • * *, * * * • •_ * tt * • * • * * * •::- A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE, FOLLOWING. • .The undersigned hereby applies fora Building Permit to do the following work 'which will be done in accordance with the description, plans and apecificationu submitted, .end -such special conditions au may be indicated on the Permit. __ _� _-- -- Y_ _ The owner of this property( is: -- P.O. Address . Mq(1 . -1Ea•'10(. �77 �/ ) ` 9 II �7 •� /� � �!I O�x) �;,��� 'Pei. • Property Location: cV / / . �/ 4'',J'!.l .z.,/,0.O�tJ (. _ Tax Map No Street ,;w:l`er or building lot number 'Subdivision name (if applicable) TILE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING OD( nirES IS: • . tht,ne _,..X . P.O. Addr s u Q lei. No. _ Name of Installer-- �x�% f ,^,_;�Addrese `,e6 D I�IP g ri y . • Name- of plumber r i " � �1 e, Tel. , /�-.S 7- ‘�`il/ Address ,. Tel.. Naga: of mason Or-rj-yam Addreau • _ - - Tel. . ' MOBILE HOME 'INFORMATION: • ZONING INFORMATION: • New Home•,Placement .C11,1\3\e, (,»A,. k,e, PLOT PLAN5MUST. BE PREPARED AND SUBMITTED,Replacing existing Home rawn reasonably to scale and- attached hereto, . • • showing clearly and distinctly all. buildings, Size of new Home ft X ./ : whether o existing r__proposed-_and. •indicata._.all" _ • • Single v.! le Double wide '� •Jset-back- diwension, from property lines. Give ., street and number ur lot number and indicate - No. of rooms (excluding baths) •• whether interior or corner lot. Show location No. of bedrooms. • • of water supply and location and configuration * of septic disposal area. . • I No. of bathrooms 1 f, * COMPLETE INFORMATION REQUIRED BELOW. Fireplace? ''�) Wood stove? ri (� • Size of property e-)(-j ft X n�00 ft. __ Foundation style and size: » Exiuting building es) Siz ft X (on ft. Piers- No.of Size- ft x ft. . • Cxisiting building(s) Use Depth below grade ft. • FOUNDATION Footing siz a k �. •• Proposed buildin�A, distance from property line Wall material *'Front yard ft Roar yard 'I c -s ft „ Side yards ti,A. . ft ands ft wall thickness Height ft. . If. on co�Cr:er, setback Prow side street eft Total depth below grade ft. . * OCCUPANCY INFORMATION • •Grade to •Home floor level ft. • PRIMARY.' BUILDING - a * a. *_ . . •*, a *- . . a . * . * *. * r, . x One• family dwelling . __Two family dwelling' _,Proposed__date of _placement., / / Hul.tiolu_dtte.11_irg=/ titur►0,e.i-of--e:r._ts; - - Home $ * _Permanent occupancy Aprox. Vales7 of e , 'Transient occupancy . Water supply - Well,- Municipal Business . Industrial-• - Septic Permit required?- -In 0 Other, R' ' • • 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 5/06 and-vl • • ia5 1 - � APPLICATION FOR MOBILE HOME PERMIT, (CONTINUED) s. State' of. New .York Division .,of Housing and Community Renewal INSIGNIA OF APNnOVAL OF THE STATE . BUILDING CODE • 1 . INSIGNIA SERIAL NUMBER I '1O q(() 2 . NAME OF MANUFACTURER `/i;WC-- ..-(.57-o 9 3 . PLAN APPROVAL NUMBER 4 . MODEL.`OR " COMPONENT DESIGNATION • S . MANUFACTURE.R!::S. SERIAL NUMBER • G. DATE_ -.OF-MANUFACTURE • •,: . .I.: • . . . •. . .• All the above information is to be found on 'a plate or sticker which ahould be .:affixed to the. Mobile Home. Complete .above With that information. ' A 4 4 4 4 4, 4 4 4 4 4' 4 4 4 4 4 4 4 4 4 •4 ••A 4 A 4 4 4 4 4 4 4 4 44 4 4 •4 , • 'Down of Queenebury : County of Warren A F' F I D A V' . I T • STATE OF NEW PORK ' I smear- that to the -best of my -knowledge; and belief the statements contained in this application, together with the plane 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 BUILDINC CODE,: THE.ZONING ORDINANCE,__anEall_o_her_-?aws pe t:-i„i;,g-tc- —- - -t..�=`propoaed�+orx—s�iull-be complied_with ,whether specified or .not', -and that such work is .'<., authorized by the owner. . ? ' • I/L " E 'Goy Signature _ •✓ ' owner;_ er's agent,arcnitcct,contractor • al . * * * '* -• ** *' • '• •. • * • • • * • • -•" • • • • • * * '* • • • • • • • • • * • •'`k"j ----- \ SPECIAL CONDITIONS.-OF THE PERMITS • • • • • • ay • • • • INTERIM BUILDING PERMIT PERMIT APPLICANT ' 139//4,- 63 ' CONSTRUCTION LOCATION , � %ft .0e.A 47° le•r), EFFECTIVE DATE ;/,3,,,,✓ ' APPROVED BY .e� a��. .✓ i,S'S' �,f SPECIAL CONDITIONS : This will certify that all submittals for a Building Permit have been received and fee has been paid . During the processing of the Permit, the above named may begin construction per plans submitted . It is the responsibility of the applicant to obtain the Permit • from the Building Department, following processing . POST THIS INTERIM PERMIT IN A CONSP U��j a TION ! ! )6 • • • • . . . . . . . . . Building & Codes Department . TOWN OF QUEENSBURY REQUIRED INSPECTIONS: 24 HOURS NOTICE REQUIRED!! 1. —• Foundations Footings, before pouring concrete. 2. Foundations Inspections and Waterproofing, before Backfill. 3. Rough Plumbing, Heating and Frame Inspections before Closing in the Framework. " 4. Insulation - Foundation, Floors, Walls, Ceiling. 5,— Inspection of Electrical Installations before covering (rough in) and on completion of job. Final inspection certificate is necessary for issuance of CERTIFICATE OF OCCUPANCY. 6. All new septic systems or repairs before covering any work. 7. ►.Final Inspections before Certificate of Occupancy is issued. THERE IS TO BE NO OCCUPANCY OF THE BUILDING WITHOUT APPROVAL OF THE BUILDING DEPARTMENT. •14�A ti.e,!.?.l!'4l.1.I c!?S-.9!.1.?..1!.x[,1• 4-- --•&- i. !. P!.a'(.a?..1. .1•.('!.?!.a!.?!--!-.[-- �1 61.!.?•k1 k1 4.-. �•!.,,,j.•!.?a,•,. i 1•!..a:-'?..1 1!..1!-- !:,.,,-., ?-- --. THE NEW YORK BOARD. OF FIRE - UNDERWRITERS o;t, BUREAU OF ELECTRICITY'.' �� � ' P?LG 41 STATE STREET,ALBANY.NEW,YORK 12207 =' ^j Date "'�� '{� i i�, I.)f1(i Application No.on file (j33 ut'� .3 A t I gy- y;P. : 9 Si:fit 1 .51 THIS CERTIFIES THAT to ti• only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of o�i . ROY E. & JU'Nr 1 '.+CXMER, RR 3 BOX 277 VANDJSEN ROAD, GLENS FALLS, NY Ed • o in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. OUTSIDE Section Block Lot • was examined on 11/K23/38 and found to be in compliance with the requirements of this Board. ~-t ' FIXTURE ECEPTACLESI SWITCHES FIXTURES A_,..._r RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS . OUTLETS INCANDESCENT:FLUORESCENT yArp, AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. Fr.P. • DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS u SYSTEMS . AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. . AMT. AMP. AMT. • AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT NO.OF. S E R V I C E AMT. AMP. TYPE METER 1 if 2W 1,B'3W 3,9 3W 311 4W NO.O RC/COND. .OF CC.COND.. NO.OF HI-LEG OF.W.HI-G. NO.OF NEUTRALS ANEUTRAL It',!i Ski 1 x 1 ir`2 d tS) 3 rit OTHER APPARATUS: F.1. • _ t.. ,.OY ?-7 RR 3 3OK 277 VAN DUSL:N ROAD . GLENS i&Li 2, 12 12804 239. BRANCH MANAGER i • �, Per - a �; 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. "'is' L iC`q(to tof';j'iei-ies;e'i•f'p"ie';ai-'4?iir-ieYAr'i t let'It tot`ill'tOt tot t.t loY'iot'ie to CI ® 0 ® ® 5 0 0 ® 0 ffliff ® ® 51031iffiliME 0 •..4''• } ,- I: .=`f 5- ' COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBURY `--------u0.4 . BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED f-AJ/ ?Y- NAME �; f t LOCATION 2 `1 (.40...1i?1------,--(-1- {3 z,..�i i . DATE Q 1 ' PERMIT • Ff --17 APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL OUGH-IN INSULATION: FOUNDATION FLOORS \ WALLS \ CEILING \ t/FO INAL INSPECTION:\ CHIMNEY HEIGHT \. ROOFING \ �C SIDING \ X EXTERNAL PORCHES/S EPS STAIRS-CLEARANCE : RAILS PLUMBING FIXTURE /RELEF VALVE INTERIOR TRIM/P'/VACY DOORS\\ t)c FINISHED FLOORS K GARAGE FIREPR.tFING ;N i DOOR CLOSER(S /1 SMOKE DETECTS'S / \ FINAL ELECTRICAL INSPECTION \ /), FINAL APPROVA OF CONSTRUCTION ti ///f A SIGNED ERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE P EMISES ARE OCCUPIED! REMARKS: /- 57.1' 41 6� C d 77 D/ /4I _ 7-t, 4 eicyC cf, -4 f, S;, ,x/i /4.,,_ z-' f<, if A INSPECTOR , ..,. • , - , _ • - .: ,_.' - -1, , -' ' . • . . .. . - . . -' •• '•: • , . - . ; - . .: A .-. . . • , •. - . . . • . - . • . _ ..- ...: , .. , . . . INFORMATION FOR BUILDING DEPARTMENT i • , • . - 1 , . . . .:. • , WE ARE IN THE PROCESS OF ISSUING A CERTIFICATE ,1 • . . OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION . . . . . . . . AS COVERED IN AN APPLICATION FILED WITH OUR DISTRICT OFFICE. . 1 THE NEW YORK BOARD OF FIRE UNDERWRITERS • j)APPLICATION NO. , . ' -. , . , . r, (10 21-11 Vil bdc)sh. ' •. LOCAT?ON , - IA (2 i? DATE NSPECTOR - ' • , ., • - . ,1 FORM IBD(REV.1/86) • Jouin o/ Queenitury BUILDING and ZONING DEPARTMENT • Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 /1_______O BUILDING INSPECTOR ' S REPORT NAME i47,,,,, /�, ?�7,,,,,) LOCATION (7:77) (/G✓y2. Lz_,�.:;... _ Date/0 --/ /cam " Permit No. CO- /./`� * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YE,5r/ NO 1-Footing/Pier Forms %mac. (/ Foundation ,dle ,.'' Waterproofing ,fit$' Backfill ''' Framing '' / Roof in• " Siding Masonr eer Ai• Rough um :ng / Relief aloe_ t ' Ext. Porches ' . / . s Finished Floor Y: / Interior Trim Stairs & Railings ,c Cellar Drain Tile r Concrete Floors Plbg. Fixtures I , • Gar. Fireproofi X Door Closers Smoke Detecto Chimney ' INSULATION: Foundation . \ Floors ' Walls , Ceiling FINAL ELECTRICAL INSPECTION ` ,, • DRIVEWAY APPROVAL k Final Building Survey ! • Next• scheduled inspection (call when ready) Remarks- eK rr6 Auk • LP(74, Building I s ector 6/86 and-vl • 106.E1 kN Sill 4,11 /41S3nci...0A ubv 3 „mu vvig 1\t.51114 -IV' N S , zel' J../ z„ p) -0,4//' rt4 ,L••l 9 r r1•y i -- ia ed P' [-- 9' : ç;JL;i 3 0 4 i.g., at- tiv m uubod,e d p1 w1 .--t,o oca 30,‘ c.©,inL`!('�Q� P1r"cs.i moo. C �� ao r' c,'rt'e �Dt llt 4 aVaM 1.„5-t-con.c... vi 4.006d e° "'' FP er Aiiii4 , . cl, Af____4 ,---ri, ...-.7 4 1----.'..-7200 etALN tie oo/ p. L1 Me, ,� a:� x 1E fi Wid0 IT �-�'g Ff g e • Z ar,44 I Y al -C'rzter pw£ I ►dle ' r 5f %,: . It e+1)30PtI :N4P1 Oa 10061f1 34 1,1 Y 5 �,,,. -7;',044, Goe-orfir-A- ,~6.11pa pitivg ?--z3- F? , a me4Mz WNcx s 'e ., tr?V j t esep P), _._ Glens mits, N.y• Po . ...