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1989-316 OCCUPANCY CERTIFICAM OF CC TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date June 9 19 89 This is to certify that work requested to be done as *hcmm by Permit No. 89-316 has been completed. Tlue structure may be occupied as a Mob il e Hcme- Location I at 36 MacthkdnAc I gryerne Rnad Owner Todays Modern By Order Tovm Board TOWN OF QUEENSBURY Director of Bldg, & Code Enforcement K BUILDING PERMIT � b TOWN OF QUEENSBURY No. 89-316 WARREN COUNTY, NEW YORK kc r,o PERMISSION is hereby granted to #nri 3rs Mnder>� OWNER of property located at 1-of JA Morth%dndS 1-ij7pirnip Road Street, Road or Ave_ in the Town of Clueensbury, To Construct or place a _ Mobi l 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. t , OWNER'S Address is Dan 'Drel 1 as Box 224 Luzerne Road Queensbury, N . Y . 12844 2. CONTRACTOR or BUI LOE R'S Name p rM Todays Modern 3. CONTRACTOR or BUILDER'S Address 54- Route 9 Ganseroort , N . Y . 12831 4. ARCHITECT'S Name r— W S. ARCHITECT'S Address O �o 6. TYPE of Construction — (Please indicate by XI IC z l 1 'Mood Frame l l Masonry t l Steel I i <A r . c 7. PLANS and Specifications f~7'1 140 x fib ` mobile home as per plot plan , specifications , and § application , manufacturer : Skyline n B. Proposed Use Mobile Home c/o Incl . December 1 89 $ 29_ �DD PERMIT FEE PAID — THIS PERMIT EXPIRES 19 9 [If a longer period is required an application far an extension must be made to the Building and Zoning in%pactor of the R town of Queensbury before the expiration data.] r n Dated at the Town of Queensbury this Day of May 19 89 n 2L SIGNED BY for the Town of Queensbury Building and Zoning I nspector TO BE COMPL TED Dy nLEiG . DEPT, 0/ Qi.r Application No.1aa resit Espied TOWN 4F QUEENSBURY autica�rvG ana ZONING DCPA11Tr64 NT ) D 1 RECEIVEC nxmit Expires14 ©ay and }' UvtJond Road, R.O. 1 Box flB zoning Droaignation QuuunsGury• NOw York 12801 Variance no ., . - MAY 15 1989 Site Plan Reviuw No . APPLICATION FOR Approv ud y s BLDG. CODE DEP7; MOBILE HOME �. PUFLDING AND ZONING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLOWING , The undersigned hereby applies for a Building Pormit to do the following work which will tau done: iri accord.,ncu with t)xu de::;criPtton , plans and ap eCificatianu raubMittesd , and such x:i. ciaal canditieans as ssusy be indicated on the Parsiit . The owner of this property is : /�✓''t I? ;;, Addreus_ t t�i - G9 }C S� LeS7/ftS G �t,1 GCS n l ` i ! ��' €'G7 ( T.J . '�i 7..2 ' .92 � Property Locations 1J' 2n16 eeo/ do Tax Asap Moe %.5 6 L r U 4j t 14wid:eur or Luildiny lot nw,diur S"division name ( if applicable) 7W c-s_11A.JC> S ,-w ,., THP IAEMSON RESPONSIBLE FOR SUPi.HVISION OF WOFIK AZ REGARDS UUIJ.DING CODr�s IS s AJof tzpal 798 ra.3Z ri.csne P . Q. Addreau Tul . Nsa , N "Ite of Installer .s .4w14F Addreess Tel . 14"Ille Uf F..iumlaur_ ,.4.�+•^ti. � Addruuu 'i'ul . N �a�w of +�uuon Rddreaa Tul . MOBILE HOME INFORMATION : + ZONING INFORMATION : New Home Placement y� ` A PLOT PLAN ?MUST Be PREPARED A"D SUBMI1VED , " drawn r,oasanauly to scale and attached hereto , Replacing existing Horne "hawing cic. rly and distinctly all buildinqu. Size of new home /� ft )i ft whether nxiating or proposud and indicate: all set-back di►uunsions from property Linea . Cive single w ` 9e - /1q Double wide + street and numi4ur or lot neu+rth)e:r :and irsdicato No , of rooms ( excluding baths ) C " whuthev interior car corner lot . Show location *No . of hedroosas of WALU supply and location and configuration � " 'eaf ssuptic disiacrsal aruu . No . of ba th rooms * COMPLETE INFORMATION REQUIILED nEIAW . Fireplace? Wood stove? �C) + Size of property -S ft X // d Woof to Foundation style and sizes * "LatIlig buildinglu ) SIZO ft X ft . + Piers- Nq . gf Size- fC x ft . ' Exlutinq buildins) ( U ) UL;e IdAraepth below grade ft . FCAJNDATION _ Footing size X kropouod building , diuiancu from proparty lisle + Front yard No,fr. Rear yard ,� f Rfr. Wall material * Side yard$ /� st and _ � r ft Wall thickness Height ft . * If on corner , 5utbaek from lid.: utruut ^wit * OCCUPANCY INFORMATION Tonal depth bellow grade £t . + Grade to Home floor level ft + PRIMARY BUILLIING - ■ w w ■ r 4 w + 4.000 f"mily dwelling / + TWa f"mily dwQll i ny Proposed data of placement / Mc / ? + Hultiglu dwel1in g ! Number of urs % Car A p r a x . V alus. of Home S te'. G'ce-:?Z�� . Peannanent Occupancy * 't`ran5icnt occuYaanuy Water supply - Well Municipal + ItuJirwuu:; „ �Induytrial Septic Permit r+equired7 +)000� Other AIf Aeu4y t N S PJZC,4-ad. + If addition " wh"s will use lour FURTHER INFORMATION REQUESTED + " ACCESSORY BUILt?THCMW ON THE REVERSE SIDE OF THIS SHEET.* DUL"ched g:ar.sge/ones car/ two car/ car �� + Attached garage/one Car/ two car/ car Private storage building 1 " Other Form MHP 5 / 06 ma - vl APPLICATION FOR MOBILE HOME PERMIT, ( CONTINUED) State of New York Division of 310using and Community Renewal INSIGNIA OF APF' WVAL OF THE STATE BUILDING CODE • �� r INSIGNIA SERIAL NUMBER NAME OF MANUFACTURER ` S 3 . PLAN APPROVAL NUMBER MODEL OR COMPONENT DESIG1ATION 5 . I'•IANUFACTURER ' S h SERIAL NUMBER 6 . DATE OF `MANUFACTURE ALx the aboue i. nf6rmatio» % a to be found on a plate or sticker which should be affixed to the Mobt Za Nome . Complete .above with that 1wnfaxmationo w 4 w .t # w # i +e t A ; k w +r A ♦ • • * R • .r • k IF A h # +1 +! +w w A R +! Town of gueenubury A F F I D A V . I T STATE OF NEW YaR3S County of Warren , I swear that to the mast of my knowledge and belief the statements contained In this arpiica Boni together with the plans and upecifications uubro�tttedw are a true and omplete stateenen t of all proposed work to be done on the described premises and thus all provisions of the BUILDING CODI� . THE ZONING pRAXNANCEr and all other law" p+�rtaining to the proposed work shwll be complied with, whether spacified or not, and that su h work is authorized by the owner . Signature 0 . ry ��L�a ..� .� .. «� Moo J r, o i r • B agent , a nir.ect . retractor • w w • • • w w w w w w r w w w r w w w . w w • w y� y, w w yr w • • w � w ` w ■ w +r w y w w w w '♦ spEcxAL CONDITIONS OF THE PERMIT % rfOUN DF Q1- Eo COVES S BUILDING ANT? CODE5 DEPARTMENT BAY & HAVILANY7 ROADS 12809: ¢UEENSBURY . N18 PORK) 792^ 5832 TELEPHONE { 5 BUT,101P3G Ijy�Y''�,CTOR' S RE�'C1RT INSP TION R IVE - RES?UEST �� / __ /r NAME _3 ` (p LOCATION PERMIT # APPROVED DATE YES NO FOOTING/PIE BUR F012M5_� MONOLITHIC P� OOFING�-- -�--'�- �-- pOUNDAT L APPROVAL_-- BACKFIP PLUMBING ROiIG H 7�i1 FRAMIIVG ELECTRxCAI INSULATT OI+ON____� ------� FOUNDA FLOORS WALLS CEILING INSPECTION : FINAL INSPEC ----- CHIMNEY HErGHT ROOFING____----- SIDING pORC45SISTEPS EXTERNAL NCE & RAILS VA CLEARA RELIEF VA STAIRS' �,IXT+URESI '•. �_ PLUMBING q+RIMfPIVACY DOORS.___,_ INTERIOR OR __� -----__'- --~ FINISHED FLO FING_�___�- GARAGE FIR EPRC7 VOOg C LOSER (s) SMOXE Dr ECT RS ��-ECTIO N - FINAL ELECTRIC I CONSTRUCTION FINAL APPROVA1 OF rorOCCUPANCY MUST BE RE: A SIGNED CE IFrCA U LDING DEPARTMENT BEFO OBTAINED FRW`�M THE CCUPTED ! -----' THESE PRE MTSES ARE O REMARKS ; � . *rt4SPrcToR jOW BUILDING NG ,,ND C I3 ES DE � SUILDSNG AND CODES DEPARTMENT k. hiAVILAND ROADS 3-280 NEW PORK QUSENSBURY. TELEPHONE ( SIS ) 792- 5832 WILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION FtECETVE���'/ NAME LOCATION PERMIT DATE APPROVED YES NO FOOTINGIPIERS ORMS MONOLITHIC POUR F F,OUNDATIONIDAM PROOFING OO BACKFILL APPRO L ROUGH PLUMBING FRAMING L ROUGH N ELECT'g1CA INSULATION: s FOUNDATION Y FLOORS WALLS CEILING T'ION= -- FINAL INSPEC ` CHlMNEy HEIGHT ROOFING SIDING RCN SISTEPS���-� EXTERN ALL CE & RAID__----- � STAIRS-C RESIRE�Er VALVE PLUMBING FI PRIVACY DOORS INTERIOR T MR5 FINISHED F PROOFING GARAGEF' _ DOOR CLO FR (S ) SMOKE D TFC' RS CT CAL INSPECTION FINAL EL ROYAL OF CONSTRUCTxO FINAL A CUPANCY MUST' BE NED CERTIFICATE OF ING DEPARTMENT' ,BEFORE A FROM THE BUILD OBTATA IN CUPIED ! THESE PREMISES ARE OC REMARKS = �1 INSPECTOR rIojjx OF QUEENSBURYPARTMENT BUILDING AND CODES" DE HAVI LAN D ROADS BAY QUEENSBURY, NEW YORK 7280� TELEPHONE ( 538 ) 792-5832 I i-DiNG INSPECTOR' S ,REPORT REQUEST R xNSPECTION FQ RECEIVED NAME LOCATION � �✓7I PERMiT APPROVED DATE - YES NO pCjp+PTNGIPSERS S MONOLITHIC 'QVR FORM FIND FQ i7NDATSQNID PJpROO RQVAL BAC�'ILL APP ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN r INSULATION : � FOUNDATION FLOORS WALLS CEILING T1rpN : �PpAL INSPEC r CHIMNEY HEIGHT ROOFING SIDING PORCHES/STEPS EXTERNA RAX L S STAIRS-CLEARCE LIE F VALVE FIX!tURESIRE PLVMBrNGTR ZPP'TVACYDOORS INTERIOR ORS FINISHED F EFROOFING GARADOORG CLO*1z (S) SMOKE DEFECTORS -- FINAL ELECTRICAL INSPECTION--�-- OVAL OF CONSTRUCTION FINAL APPR �1--- OCCUPANCY M�7ST BE FORE ' CERTIFxCATE OF rLDING DEPARTMENT BE A SIGNED OBTAINED FROM THE BU EMISES ARE OCCUPIED : THESE PR REMARKS : 117SI s INSPECTOR YOU ARE HEREBY REQUESTED TO INSPECT AND ISSUE CERTIFICATES FOR THE FOLLOWING ELEC7"13ICAL EQUIPMENT TO BE INSTALLED BY THE UNDERSIGNED TEMP. u _ 7DWN.9HIP CITY OR WLL � „y +�' /q �y(�f (f .�1 /� P[N.E NUMBER STREET AN NO. IAD Y / ! �..G V'G ! Ifi�L✓ /+ ✓r .3 !'r BLOCK TDr SUMON FIT BETWEEN WHAT TY40,.CR�p�S�6 + PREMISES G (f T4 V'� LC G + BUILPIN© 00011PA 4L1 pCI.:LIPANTS NAME HOW TELEPHONE NUMBER OWNER NAME AND ADDRESS+ /^]( / i / Jy' �r 7 7 6 IIe,.rI S /—�fy A 9. ..J 'c"/` i. C WCEtZ FROM YREIR ,�1OrE G.A T CURRENT SUPPLI O BY BUILDING is WEEK IS NEW ❑ ADDITIONAL ❑ DEFECTS REMOVED ❑ NEW OLD ❑ LIST BELCWIf ALL EQUIPMENT WHICH YC1U INSTALLED NCH OFFICE USE NUMBER OF OUTLETS No. of Fixtures & MOTORS HEATERS CIRCUITS ONLY Lava- Lamp Receptacles tioR side Aftach't D TYpe "EaaP Nan Na ge INSPECTI[7N Ceiling VI Recep'Is Switch Pelydent grackej N OUT- SIDE SUB- BASE EASE- MENT 1st Ft. 2nd FL. 31d FL, REMARKS! LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE. TED, BUT IF AT TIME OF INSPECTION THERE IS THIS APPLICATION IS INTENDED TO COVER THE ABOV .-LISTED EQUIPMENT TO BE INSPEC , Iw FOUND ADDITIONAL 'EQUIPMENT NCR' ABOVE LISTED, YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER THE ADDITIONAL EQUIPMENT, AS PROVIDED BY THE APPLICANT 7pTAL WSTTE FEE DER5 ELECTRIC SIGNSfLAMi1P5 SIZE OF MAINS VP ❑ E%POSED GA:TUBE SIGNYrpMISrf-xlMERS 0E CHARAOMR OF WORK ❑ CONCEALED pACE COMPLETED SIZE OF SIGN CNUMBEfiI DATE WQ"I<TO HE STARTED IIAANUFACAEHOI SERVICE ENTERS BUILDING �J UNDERGROUND E❑ OVERHEAD A POSSIBLE) y� Iimml EPiYER APPLIt ANTS DATE INSPEGTK�N R �.� �ED ON(OR �+4 f.PS Lr�` r ri OF ,S IOENTIFWAX10" N Ll•'"+* ' •d!7 M HE ED Ni 17R GRTION M" BE RETURNED. D pFi 1yg ING LL AND ACCURATE INFQ—ffim iDN- A PRINT NAME AND ADDRESS D� or I ION t7F NAME�O "PPLICANT � ../�,,.� f "fir /] i7 �E /(]I�rI�Y / 76i J TE P E No- - 00I STREET ADDRESS J/ LICENSE�fvs- -. �! ZIP GO E LICENSE NO. WHEN APPLICABLE II POST OFFICE 1� 202.Arterial Road 0 85 John Street ❑ 41 State Street �l 670 Delaware Avenue L� RO Lake Avenue NY 14608 r` �YRACUSE. NY 13206 NEW YORK, IVY 10038 1 ALBANY, NY 12207 BUFFALO, NY 14202 RO THE NEW YORK BOARD OF FIRE UNDERWRITERS 110 t Y i . /�vf�/�v:n4 Hof # �tImpa a _ 0 jil It a �` V } � ` i Al tts 00 1 0 Q Y Z Lucerne Rd. Phone: Queensbury, NY 12801 792-5$38 -- I JIM Jill I a � r 1 _ :et �,r,. �;i .:q,;. _ 1 . .SFr;. . ,�,�, i 9� •e. .�frtq'r *7m.'2' . 6D X 14 # 41 mmogiii I IF asixox�au.� IF KITCHENt BEDRWk# Ct UVING ROOMDINING h BEDROOM =� , ¢ y � } I r 9d , . �' . - - 'v ' - IF I J x 61 1 LIVING ROOM BEDROOM BEDROOM t } KITCHENI f4'. 4 54.B., _ . 12'0 d" 3 DINING _ 11'.g.. ! a ww uir BEDROOM fl Ir I 10r'0" ,• cx i 7OX t4 #IF 55 IF - - _ — waix...� - w+x+ MI I - ff , , 4:: � � rri ti}.'r. .. BEDROOM f1 Aer FFl- aF k— '. Sy«Y�� iY•t4 .,ram• �wr r Y , IIIG r_� WING AMU � DINING IF BEDROOM BEDROOM 15.7" ' 1Q., o., 10'.prr14 IF k e:. t+lwra^«..i. IF : . . I I IF III F In on IF I IF ..'mot `� Z.arIF IF I IF P T pp { + t h,�kY s I KYLa r ;arwilrAr America tontc. •.fM .r.