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1989-303 f _ . CERTIFICATE C7F OCCUPANCY TOWN OF +QU'EENSSURY WARREN COUNTY, NEW YORK Date June 12 19 89 This is to certify that work requested to be done as shown by Permit No*_ 89- 303 has been completed. This structure may be occupied as a Mobile How - a�ti owner Nort:hwi nds , Inc . By Order Town Board Taws OF QUEENSDURY Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY = No. 89-303 WARREN COUNTY, NEW YORK do w r? Toda�fs Madera PERMISSION is hereby granted to OWNER of property located at rat 79 Northwi nds-I.uzerne Road Street, Road or Ave. in the Town of Queensbury, To Construct or place a Mohi l - 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 RYN. 54- Route 9 OPEC Ganse►foort , N _ V _ 12031 2. CONTRACTOR or BUI LOrE R S Name I�r'f Z*11 Todays Modern 3. CONTRACTOR or BUILDER'S Address Same 4_ ARCHITECT'S Name r —I V 6. ARCHITECT'S Address x C 6. TYPE of Construction — (Please indicate by .X) "'O x to { ) Wood Frame { 1 Masonry { ) Steel ( I r C: !"J 7. PLANS and Specifications l'r7 No. 14 ' x fib ' mobile hone as per plot plan and specifications , and application . 8. Proposed Use o Mobile Hone $ 2900 PERMIT FEE PAID — THIS PERMIT EXPIRES December 1cm (If a longer period is required an application for an extension must be made to the auiiding and Zoning inspector of the town of Queensbury before the expiration date.) Prrt Dated at the Town of Queensbury this h y May 19 89 $ rrt SIGNET] BY for the Town of Queensbury 8uIIdIngand 16nyng Inspector COmPLSTED I!Y IiLDC . DEPT. ►Juw�t: u/ Qupa'ssdA� ure Application No. TOWN dF QUI=ENSBUHY BUILDING rnu ZONING DEPA"TML.NT permit Issued 19 RECEIVED [Jay ana Haviiana Road. AID. 1 Box fl8 Permit Facpirea ��' CluaansDurY. NOw York 12801 Zoning Dealgnation MAY Variance Noe, 1989 Site Plan R aviuw N APPLICATION FOR >+pprovud bye BLDG• & CODE DEP7: MOBILE HOME _ ? PUILnING AND ZONING PERMIT A PERMIT MUST BE OB TA 1 NEl7 BEFORE BEGINNING CONSTRUCTION * ANSWER ALL OF THE FOLLOWING .The undaraigned hereby applies for a Duilding Permit to dea the fallor.ing work which will 1713 done f't accordancu +wrath the doacrintion , ,Plana and ap*,tci:ficationu auletu1tte:d , and , ,such ;'a` i:+J conditions as away be indicated on the Permit . r�yr ...r s'T�r+Y+tirr��Irrf�rriy�i;rwr�Wr�r�41w� ,r� �7'hc owner of this property is: : / IIeJ�12 %',r/•GL.'/.it,/,�".�._.�' /rrt/G `T' P o O v Address #*/•90. Q d ye L�.G�.�CS Property Location = or v " 2� �'� `I f Z Sp � Tol . Aaaa� stru.st w .wuiwu4r or t>uildiny lot nuetwbe:r Tax Map No . r S"dlvision name ! if applicable) �d2 � r5FfsJ1UQS 7'ItL I'i;1t5ON R..ESPONSIULE Foil SUpt:HVI.. ION OF WO4t1C Jl$ +�F_-C_•..nn - Q4qla �5 DUILDING CODES IS t Mo 2 .ru 3`c+E ,qua , V _ 2 G .4.UsEV00r� 7 A) `f 1ZA231 . 98 /043' P tint,au P. O. Addresta Tel . N"I of Installer S AF+'I Address N&N1 w .N ul: plundjur -' -tie el rtiddruua Tl . n: u "N:Ajt £ +wrsuon Tale ^r� �Adc2ra:eeee MOD i LE HOME INFORMATION: ZONING INFORMATION ; Nw_ w ltotne Placement A PLOT PLAN MUST UE PRJ»F'hRi:D i1t1S1 SUFIMII'1'E!], Replacing existing Home it.�Q - R drawn reasonably to scale sand attached 1!sefirrsto, ebik � ft sahowing clearly and distinctly :a11 Luild.i.ngsa , izo of new Home /E ft x_ ` ( , • whether uxisting or proposed nd indicate all Single w ' -I � Double wide Go ;a sot- wn ,p pack diIinunsions from linese Gives street and nuteLLsur or loc nuucbcr and indicates No . of rooms fexcIuding Feasts } * whuthe:r interior or Cornee lot , Show location No . of bedrooms � � of wAt+ur supply and location and configuration - _ --N© . of bathrooms of septic dl4pos.xZ area . f'' r Fireplace? Wood stove? COMPLENII rNF'ORMATZON RCQUIRE. 0 DZLDW .,�-�!� ' Size of property_. 'y ft x ft . Foundation style and - size : ' "lutingbuildingLsi sizes ft X Et . Pier. s- No . of size- -, ft x ft .a "letting building lu) Uua Depth below grade et . FOUNDATION Ono Footing size ON x •. IrGpoeied 1?uildirtyr dis;L.snr.o .frour property line Hall material IL . Front yard_ ,,� .� ft Rear yard /' it Side yards / i7 et. and '�`ft Wall thickness to Height ft. . If on Corinory sar_I ►:ack frow +side atruest it Total depth below grade ft . * OCCUPANCY 1NFORMATICN +Grade to Home floor ievel et. * Pal RY DUILDrNc IN, at or w w r . w Nor It w w . * w w . w er • W Ono f"MIly dwelling Proposed date of placement / I * Two fotetily dwesilinq a HultiPlu dw cll ,l.ng / Nuuwbor of units Apxox , vales. of Home S WW4 /4519!f2 _ * Permanent occulsancy Water supply - Well Municipal 0 •lr:ansicnt occupanvy * llux:inuus Se;�tic Permit required? IA,_ 0 lncSustrial ,. other ? r-I 7 iJr, t- i +k cS pat_-"PJ2-d- ,. if additiast , what will uses taw: FURTHER INFORMATION REQUESTED ON No THE REVERSE SIDE OF THIS SHEET , * ACCESsonv BUILDIN0. Detached garage/one car/ two car/ car ' Attached garaUe/ana Car/ two car/—�T Far �Prrivatc storaqu building r l�rt '1(0 Other--- 04,C) —r PC A /I Cj L4 -S C10-0 K 1�70L> Z; !Yl/i P 0 Form Mun 5 / a6 ma- vl 11P SG "'i G7 APPLICATION FOR MOBILE HOME PERMIT, ( CONTINUED) State of New York Division of Housing and Comswunity Renewal INSIGNIA OF APPKOVAL OF THE STATE BUILDING CODE I . INSIGNIA SERIAL NUMBER 2 . NAME OF MANUFACTURER 3 . PLAN APPROVAL NUMUCR 4 * MODEL OR COMPONENT DESIGNATION 5 . MANUFACTURER ' S • SERIAL NUMBER G • DATE OF MANUFACTURE A Z Z the above inf6x•ma tian is to be found on a p Zate or sticker which uhcu Zd be a•f'f#Zxed to the Afobi Ze home . C4wV Late . .above W, Ith that infoxviati.on. A '� w A A rt rt rt • * ♦ rty # # A ♦ * A # # # # # A # A # # +! • # A A # # 7'o t of Qucanubury County of Warren A F F I D A V . I T STATE of Nuw yORK I swear that to the ,bast of my knowledge and belief the statements contained in this application , togethar with the plans and apecifications submitted , are a true and complaste statement of all proposed work to be done On the described premises and that all phc Pr ondPos of the SUXLDsh"llIe CORE , THE ,ZONING OROINANC£O and all other laws pertaining to ,mho proposed work shall be complied with, whether a acified or not, and that such work is 'a► 'triori,zed by the owner. r / / S�.[�nature town , or�s agent -rcnLtect, contractor • • w w w w w w w w w r w w w w w w w ♦ , w w w • w s • w w w �♦ w w w r Fib r w w w w 0 w w a '• SPECIAL CONDITIONS OF THE PER,MIrs THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 41 STATE STREET, ALBANY, NEW YORK 12207 Date ! 1 ; [. " I Application ,'Vo. on file , f , ,. ] ' C} 1 1 ' THIS CERTIFIES THAT 1 - only the electrical equipment as deecrihed below and introduced by the applicant named on the above applicatisors number in the p wrnises of ' ri 1 f' ? i PJ '. V I; I:I , %4-,I: III`P 11' .` : I `• e, 1. i I I : : fll ' 1% . in thefoltawing location; ❑ Basement ❑ lot Ft. ❑ 2nd Fl. i Section Block Lot was examined on •I i � � i I 'i }� and fnund to be in compliance with the cequirements of this Board. FIXTURE EPTACli3 51MITCHK MXTURES N RAGES COOKING DECKS OVENS DISHWASHERS EXHAUST FAFlS 0UTMTS INCANDESCENT FLUORESCENT QTMER AMT- K- W. AMT. K. W. AMT- K.W- AA I- R, W, 4 t' H. P. .. DRYERS FURNACE MOTORS lUTURE "MJANCE FEEDERS SPRCIAL REC'PT TAME CLOCKS SELL UNIT HEATVM MULTI-OUTLET DIMMERS di H. P, GAS H. P, AMT, No. A. W- G- AMT. AMP, MAT- AASPS TRANS. AMT. H. r- SYSTEMS AMT. wAtts Nd_ ST FEET SERVICE DISCCIIIMKfC T No. of S E R V I C E T. AL W 1AMP. Tv Etiti1JIP. 1 .jr 2w 1 Ar SW '3 . 3W 8 A �W NU. C�CCRiD. ar CC. C4ND. No. Or HI-lEG CK HI.1#G Mo- OF NE4FTRALS aF NEUMAl 1 rift Ch }{ 1 1 I 1 OTt1ER /1PFARILTl15: BRANCH MANAGER Per ! L_ 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_ - COPY FOR BUILDING DEPARTMENT_ THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVTLAND ROADS QUEENSBURYr NEW YORK 1280+2 TELEPHONE (518 ) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION ,RECEIVED NAME LOCATION7f DATE r PERMIT # APPROVED YES NO FOOTINGIPIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP—PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—IN INSULATION: FOUNDATION FLOORS WALLS C�UTLXNG L-eeYNA INSPECTION: CHIMNEY HEIGHT ROOFING SIDING e EXTERNAL PORCHES/ST PS STAIRS--CLEARANCE & lRAIL PLUMBING FIXTURESIRELIE-F ALVE INTERIOR TRIM/PRXVACY DOO FINISHED FLOORS f GARAGE FTREPROC,IFTNG DOOR CLOSERS) SMOKE DETECT[) S _ FINAL ELECTRIC L INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: 44 LA I SPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS � BUREAU OF ELECTRICITY �t 41 STATE STREET, ALBANY, NEW YORK 12207 Date i y ! Application No. on file . I THIS CERTIFIES THAT 11 ;" 1 ' oFnly the eleletrical +gtrlpment ar deacrilPed LLelane and fntraduced by the apprlicarst named on the ahvne application number in the premises of ii : i . I _ dg ! in the following location; ❑ Basement ❑ lat Fl. ❑ 2nJ Fl. Section Block Lot was examined o '. re andfo"nd to 6e in compliance with the requirements of this Board. FIXTURE RECEPTACLES SwITCMlS RXTURES RANGES CC0KINp DECKS OWNS MOO WASHERS EXHAUST FANS INCANDESCENT FLUORESCENT OTHER ANT- K. W. AMT. K. W. AMT- K.W- ANT, K- W. AMT. DRYERS FURNACE TNOTORS FUTUEE APPMANCE MEMOS ISMCIAt *ft*CCwP"1j TIIMECLOCKS EHA, UNIT WATERS IMIAT40UTLET WMMERS CHMS I H. P. GAS H. P. AMT. mc, A_ W_ G. AMT- AMP. AMR_ AMPS. TRANS1 AMT. H. P. N SO 'O. OF FRET AMT- WATT$ SERVICE DISCONNECT NO. of S I It �^ V I C E MOTOR AMT. AAUP, TY►k OQUW 1 X 2W 1 ,r 3W S Jr 3W 3 x AW No- *riERC,ecCIND. OF A. CLM10- No. Or HIARG #•WGG No. OF NEUTRALS OF MWEi/4AL OTHER APPARATUS: �-.. , � . << • , -;r'` . r � r is :. I � �.'� A►-'�-A--y+�-�..i'r /� i 1 This certificate must not be ahered in any manner, return to the office of the Board if incorrect. Inspectors may be idein ified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. BUILDING DEPT. COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT, WHEN REOUIRED. /TEMR • DATE_ ,/� 1 ' '�+� .1 VILLAGE vJ [ C STREET AND NQ. OR TOWNSHIP COUNTY ROAD AND PALE NO. At"'I --;;w0 ae -%5 f. - PO LE {MO BET WE EM WHAT TWO LE PREM+1 ESREETSTED7 L/ Wil'�'6I,[` voe- OCCUPANT'S M5M TION BLOCK LOT NAME No.:. f"! •et 4- 4 fZ F LJ 'JC �iwANNGCY` OWNERS NAME ♦ ' l � 7 ,wry ,r / �r ,. ^ AND ADDRESS �/U t/7/-ni''�r`.�e,J�/.✓�� ! 'V l'�- �C/ .3 �� 7 L.arG`'?„f !-'a�7+C./ fi TEL. # C'�„� BYPPLIED / �r BUILDING FROM THEIR �C.� C -'� � "�`v''r7r[ lr 3 OFFICE IS NEW Lev, OLD ❑ WORK lT-� � DEFECTS 1S NEW Wwmr ADOITIONAL ❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS Le�p q i,�x,�P, MOTORS HEATERS BR'WCH Lcce CIRCUITS OFFICE USE tlort ONLY Calling II I R•em `:a'b Sw*td Pendant Bracket No. TV" RI No. Wetb No. A.W.G. EachEach Gettpa INSPECTION eQw�i Sub- here Baer mom Tot FR. 2nd PA. grd FI, REMARKS; LIST OTHER ELECTRICAL DEVICES NDT SET FORTH ABOVE: DO NOT USE THIS SPACE. This application is intended to cover the eianve.listed egwiMnenf to be inspected bull if ei tlme of i You are auther�sd to make the i { l+s/tection theta is feu ml edditionel equ ipr t net abova listed, tlrpection end adult Lhe fee to cower the additional SIZE 4F equipment, ar Provided by the applicant. ELECTRIC SIGN MAINS �J ,f� /w '� FEEDERS TOTAL LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF WORK TO BE VA STARTED COMPLETED SIRES SIGN ICAPACITYI SERVICE OVERHEAD UNDERG_RDVND. ENTERS Jl�,,.r MAKER IL i OF SIGN INSPECTION REQUESTED PO OR LE NEAR AS r L �r- � e � PASSIBLE I '�'^"-�� NEW � OLD AVPID DELAY BY GIVING FULL AND ACCURATE {NFDRMATiON, ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. DATE OF PRINT NAME AND ADDRESS APPLICAT N NAME OF APPLICANT ,/�",,:dry , �„� J. ,,/�j.��, Iy.��� J7 ,SIGNATURE .�L ''r'V OF APPLICANT 4`'"'` ,�^,�r STREET ADDRES/S,r' �•1 TELE/PHQ E CIT= OR l YI'�� 4'� :.d✓C-.,�'C.J /� ;P �r"UP+� j' ,ZIP -Z �..�. 1 ']FFICE ,^ CODE WREN APPLICABLE 'PARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDIQIIG . - - r� _; + , r M TT.:1 Sile: w x a a # e s a ! s r { a a s t s t t c s C x S a x * s t L� a ; At I r I I I e 3 ' � r r i i i i Luzerne Rd It is the desire of the developers of NorthvAnds to establish the finest Mobile Home. Queensburc '"" Community in the Queensbury Area. DESIGNED BY: TODAY' ' MODERN 1jore ", OR THE EXCLUSIVE t .. . .i.i NORTH I S Moblore Home Community i I. 6 X 14 # 41 � I , I 0 C1 b MIFF" cunm Clow a nCHEW \ BEOR 01, {� — — LIVING ROOM � O1NINfi (� 12'•0" BEDROOM —— _ $ IF aI, �t Lo MR . . f Fr �1 Wiri{1J - J ;iF1 y , , w RODM BEpROQM eEaRoar� IF ILL ' 12• Q" OWING r = aniwiw'uwi — 1ola 04 BEDROOIA Y OL Vt ! a ,, IF IF . ' y' r .r fa"+ �i/ Flf r f fi�M Fir � ft , G •:4�4 N�1fl ==�V '. J- 4 � t 'Sy*A vYhr•F .l`. � '%� t :.:;� F;l�t t i t .. IF r r t 'r — ti Jai MiWMR Y .{ 3 r It %s} + F r Fe, +n X w s .I h A' r , 5 .:} : BEDROOM r 4 F,I . W�N1iN y• . + 1L, o't BEDRdOAi BEDROOM. i . J.•: a1B`�?"�+. 'a .. .. ' a 1 '`•f hr� 5 ` Ct ov i XION 1 ED pp."C�