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1989-420 f f { r CERTIFICAtE Of OCCUPANCY I TOWN OF +QUEEN56URY WARREN COUNTY, NEW YORK �\ Date .. J 19 L 4 .J ` - 1 l This is t0 certify that work requested to be bone as shown by Permit No. stci 1�`�R s f ! has been completed. This structure may be occupied as a Mobile Home Locatioei 1 pa,n� Forest Park Associates By Order Town Board s TOWN OF Q'UEENSSURY 1 Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY � No- 89rd2Q 0 WARREN COUNTY, NEW YORK I PERMISSION is hereby granted to Forest Park Seocimtes s`'p i-� OWNER of property located at toot #B EwwoL][t-Circle Street, Road or Ave. w in the Town of Queensbury, To Construct or place a Mobile 110m,e 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 134 Pitcher Road c Queensbury, N.Y. 12804 2. CONTRACTOR or BUILDER'S Name �11 Rainbow Homes a 3. CONTRACTOR or BUILDER 'S Address r] 3 Rte. 9 Gansevoort, N.Y. 4- ARCHITECT'S Name 5. ARCHITECT'S Address Cf aMk 6. TYPE of Construction - (Please indicate by XI I ) Wood Frame I ) Masonry f I Steel { y 7. PLANS and Specifications t No. 14 x 7Q mobile home as it lot , and application, Insignia #NFA 166855 � � ]P"e P Pin gPi�li # Manufacturer; HollyPark Homes, 'Serial #S/N 11568, Date of Manufacture: 2/9/89 f° B. Proposed Use Mobile Home $ cn nn PERMIT FEE PAID — THIS PERMIT EXPIRES �rn � 1 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the #I�� town of Queenshury before the expiration date.) „ C Q Dated at the Town of Queensbury this Day of ,ajmeID SIGNED BY for the Town of Queensbury Building and Zoning Inspect r M TO BE CaHPLETrD By nLGC , DEPT, Cc'�� • _Juwui a/ Quvrrx .iGirri Application No. TOWN OF QUEENSBURY BUILbING arnd ZOt4ING DEPARTM NT Permit Taaxuud lc3 RECEIVED aiv una Huvilana Boad, R.O. 1 Brix Da ?-oening or� �iclna, tio�'n' lg Quuensbury. Now York 12601 Varriancd Na_. JUN Y _ 1989 Site elan Revlu - No .APPLICATION FOR mg* K_Zo� _� BL©+Q. S CODE DEFT. MOBILE HOME PUILDING AND ZONING PERMIT A PERMIT MUST aE ORTAIWED aEFORE BEGINNING CONSTRUCTION , ANSWCR ALL OF THE FOLLOWING , The underuigned hereby applies for a building Permit to do Cho following work which will be don' " accordancu with the dcucription, plans and spe:cificationea UubMitted , and much �Ia-c i;a1 corxditions asa uway be indicated on the parrx,it « w.wwwwwwws:—wY +,www.ati.— ` he owner of this property-� is :p�� "Z?yl.�?L�� wP`f✓�'L}'� / /Vc�St�G/�1l?�� [* . C3 . AddrC:as Af:r: Z^_61." �/S_ '� � y+'r G7�XcSt` LGYZ�P I✓ `rrs1 . .9r e L7r Property Location . /' Tax Map No . ��/_�/ :�itreut ;urrtiur or building lot n6w&bar/ SuL.dlvision Hama (if applicable) f 7'I11 3'Iiii .CSN ItFSPDNSIBLEL FOR SPI:1iVIwI OF WORK JLS Ra( "DS UII.DING CISDE:S IS I#,unr: f P « O« Addrouu TU . Nov N:aruv of InStalle f J1c-dram s46 i�"'G �.�C'i►/ Lrr.�,G7�+�7`•" +�i/ Tel .rd,auu: u1` I.lunaLer Adalreauu `l•eal , rd:,u«: of a,rauon Address MOBILE: HOME INFORMATION , : ZONING INFORMATION : New ! lame Placement ' � A PLOT PLAN MUST BE: PREPARED AND SUDMI'VrED , drawn ressxuonuialy to scales and attached hereto, Replacing existyin Home " uhowing clearly and distinctly all b"ildings , Site of new Home / ft X ft- r whether existing or proposed :and indicates all ' set-back diwonsions from property lines * Give Single w le Double wide r ucreet and number or lot number and irxdicate No . of rooms ( excluding baths ) e« ' r whuthor interior or corner lot . Show location r of water supply and location and configuration No . of bedrooms � "' of euptic diBlaos.al area . rao . o f )aa th moms / r COMPLETE INFORMATION REQUIRED IIEL0W « Fireplace?_Wood stove? /LrL " Size of property_ - 60 ft x ,/ 2� ft . Foundation style and six _ Exiaating building ( u) SLter - E � ICSN -� j + � �Probud buildin+l , dLsr..►ntes froau 1.Yolarurrty lines �i ,. Front yard fG Raer yard ^- ft Wall material r Sid+x yrarda ft and f� Jr ft wall thickness Height ft * + If on corner , setbac:Ic from sic3C ratrese: t wfs: ' OCCUPANCY INFORMATION Total depth below grade ft . r Grade to Home .floor level ft , '► PRI BUILDING • * • * • • • + . r . * . w w w . w w » one family dwelling Tw,67 family dwelling Proposed date of placement jA/' " / KultiPlu dwellx.nq / Number of unite Aprox « Value, of Home � + -`� . Permanent Occupancy '1•ransient occupanoy water supply - well M"nlcipal ,+ Ilusinuus . Industrial Sa Istic Permit required? '� 4thew r r If addLtiorla wheat will use FURTHER INFORMATION REQUESTED r ' &a;nK — --- r ACCESSORY BUILDING- ON THE REVERSE SIDE OF THIS SHEET , * Dotached gareag oe�ca / o car/ car Attached garl:'' �o car/ car Private storaclo building Other Form MIIP 5f £iG mc] - ul —y APPLICATION FOR MOBILE HOME PERMIT, ( CONTINUED) State of Now York division of 'Housing and COmmunity Renewal INSIGNIA OF APPROVAL OF THE STATE/ BUILDING CODE 1 . INSIGNIA SERIAL NUMBER 2 . NAME OF MANUFACTURER 0e5,�7i�"'�'t'� 3 . PLAN APPROVAL NUMBER _ 1�++ . (� 74A:Z?7 J� 4 . MODEL OR COMPONENT DESIGNATION 5 . MANUFACTURER ' S , SERIAL NUMBER Go DATE OF MANUFACTURE pp AZZ the above tnf6rmation is to bow 'found on a plate or sticker which ahou Zd be affixed to the Mobi Ze !Homer Comp Z-etre .above rmth that infoxwrat-ion. A 4 A w w w ♦ + .e +t 4 rt R # ae A 4 A • +1 +f A A w +f A +F +► ,� +e .r k Town of Queanabury County of warren A F F I D A V I T STATE Of NEW YORK i swear that to the bast of my knowledge and belief the statements contained in this application, together with the piano and specifications aubmL ttsd , are a true and comPlcte statemenL of all proposed work to be donee on the described promises and that all provisions of the BUILDING COPED THE ZONING OROXNANCE, and all other lama pertaining to Lhe proposed work shall be complied with, whether apacIfied or not, and that such work is authorized by the owner. IF Signature ' r r, owner ' s agent , arc itect, contractar , / IF wA,d ■ * • • * * .• * • w * * # # # * ! i * * , * # # # # # # # • • * ! • # # ' # • • • M # # # 1Y lei ' • SPECIAL CONDYTIONS OF THE PERMIT : Y pY__-•-_______ r . l . • F ,TOWN �BURI ``""��� 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEP140NE ( 518 ) 745- 4447 BUILI}IN6 INSPECTOR' S REPORT FINAL INSPECTION lir c;t q REQUEST FOR INSPECTION RECEIVED ` £ip � MAKE LOCATION I 9 } > OAATE_��f-- PERMfIT# :-- s�� TYPE OF STRUCTURE_._.__ , REcHECIP r mall — �` ERCIAFIRE MARSHAL APPROVAL � Comm BACKFILLL STRUCTURE ) `FOOTING FOUNDATION NA L -ELECTRICAL-SEPTIC ROUGH PLUNIBINGW00DSTOVE/FIREPLACE INSULATION REMARKS APPROVAL N/A: YE1 CHIMNEY HEIGHT/LOGA ON B VENT/LOCATION PLUMBING VENT ROOFING SIDING HECK/ PORCH/S EP5/RAILIN S RELIEF VALVES FURNACE/HOT wA ER OPERA- BASEMENT IN5ULATION/oUcTWSK INTERIOR TRIM/ PRIVACY DOORS FINISH FLOORS : BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED - - STAIR CLEARANCE/RAILING HANDICAPPED ACCESS SMOKE DETECTORS BATHROOM FANS/WH L HO E FANS ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING ^ 90OR CLOSERS 01RE/OEM FIRE WALLS I N DUMPS TER SITE PLAN/V IANC REQLIIREMENTS� 0K TO ISSUERC /OL C/C COM NTS : ,4 `F`1 ARRIVE / DEPART INSP — i TOiM�3�B�ERflAD iRY QUEENSBURY * NEW YORK 12804 TELEPHONE ( 518) 792- 5832 BUILDING IMSPEC'MaS REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIYEII'~� NAME LOCATION o� if pERF1IT —"T DATE ,,n TYPE OF RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL FILL STRUCCTTURE) FOOTING FOl3NDATION FIHAELECTRICAL SEPTIC ROUGH PLUMING `INSULATION WOMSTOV /FIREPLACE MTE PLAN/VARIXRCE REQUI EMEHTS YESf 'x0 REMARKS NIA ES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING SIDING _._..._DECK/P f I G. RELIEF VALVES FURNACE/HOT WA R BASEMENT INSULATION/DUCTW R INTERIOR TRIM/PRIVACY DOO FINISH FLOOR'S : BATH/KITCHEN WATERTIGH OTHER FLOORS SM[EEPABL - OTHER FLOORS CARPETS STAIR CLEARANCE/RAILI HANDICAPPED ACCESS .=!=. SMOKE DETECTORS BATHROOM FANS/WH L ALL PLUMBING FIXTUR S OPERATI l+� GARAGE FIRE PROOFI DOOR CLOSERS OTHER FIRE FIRE/DEMISES WALLS DUMPSTER . - FINAL EL R OK TO ISSUE C/O OR C/ BIZ. J MF3 "+r 'T fLS ARRIVE r DEPART A — Tli�Ml OF QUEERSBURY 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518) 792- 5832 BUILDING INSPECTOR' S REPORT FINAL INSPECTION + REQUESTS -FOR `INSPECTION }RECEIVED f S sap LOCATION IZ DATE -PERMITF ! - C E OF STRUCTURE_.. ± Ei RECHECK FIRE MARSHAL APPROVAL ( COMMERCIAL STRUCTURE ) !FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FIN ELECTRICAL SEPTIC INSULATION WOMSTO E/FIREPLACE �;fTE PLAN/VARIIVNCE AEQU REMENTS YES NO REMARKS N/A YES NO CHIMNEY HEIGHT/L ION B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/PDW/STEP L G RELIEF VALVES FURNACE/HOT W G BASEMENT IN ATION DUCTWORK INTERIOR TRI /PRIVA Y DOORS FINISH FLOG BATH/KIT EH WATER IGHT OTHER F ORS SWEEP LE OTHER F ORS CARPS D STAIR ER RANCE/RAILI G _ HANDICAP EO ACCESS SMOKE 0 ECTORS BATHR FANS/WH H ALL PL MBING . FIXTURES ERATIA GARAG FIRE PROOFING DOOR LOSERS OTHE FIRE S FIR DEMISE WALLS D TER FI L EL A OK 0 ISSUE C/O , ,1=i ..(.I A—G i �cl S� k: TI H 5 TD ,C��� ARRIVE ZA `� -� ? /� 'DEPART 'Z -3t> � ,�--�- SELECT BUSINESS FORMS (6o9) 848-5203 APPLICATION FOR ELECTRICAL INSPECTION PLEASE BEAR DOWN YOU ARE MAKING (4) COPIES MIDDLE DEPARTMENT INSPECTION AGENCY, INC. --*• •• National Headquarters 1 ` 900 Haddon Ave„ Collingswood, N.J. 08108 APPLICANTr r Date : City, Town or Towns ip /Y' County / State Location/Address J" f d If Loc ted in RLLral Area - P ase Attach Directions) Pole # Owner 4:!Fs T Permit # Hl J __......._ Occupied As r 00 "- Building : NewF� Old 0 Occupant '"Z T' Work Area in Building Floor #, etc- ) : App. for: Wirin 0 Service or: Ready for Inspection : Fee Remitted - $ Cash © Check M M,O, 0 Make ayabie To : M.D. I .A. Number of Rough 500 rso 1000 12eo isDD 175o 2Ddd 22SO 2sDD 27sa 3000 Switches- �Wiring Clutters Elect, Heat Lighting 1� ---- P Service Surface Unit Dishwasher flange Receptacles Water Heater -^ Air Conditioner Dryer ,. Pump Number of Fixtures 'Oven _Garbage Disposal Wiring and Controls foll�+ _,..___ Burner Amp. Receptacles Fractional H.P. Vent Fans Other Equipment. MOTORS H, P. 1 /2 1/12 1/10 1/8 1 1/05 1 1/4 1/3 1/2 3/4 I 1 11,7 2 1 3 1 5 1 7'/2 17 15 1 24 1 25 1 30 1 40 50 1 75 1 100 Mark Number of Each Size Applicant's J�f �l7�' License # Permit # Signature TIA Utility : NAME) IOIFFICE LOCATION Applica ddress: Aery (City) (State) (Zip) 74n eareoz Service Request # Phone # ;K=2� Electrician : MD 4 USE rNLY DATE RECEIVED: DATE INSPECTED : Correct Location : Sarne as Above L3 or: Red Notice Label Q 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 MOTORS H.P. 1/20 7/12 1/le 1/8 1/6 1/4 1/3 1/2 3/4 1 Sik17lia40 50 2 3 5 10 15 20 25 30 75 100 Mark Number of Each Size Elect. Heat SOD ]5D 1nDO 1250 15DD 1rSO 2d00 2250 2500 2� 5D 30D0 CERTIFICATION.! USE FOR INITIAL VISITONL'Y NOTIFIED DATE CORRECT Y. 0 RW Progress : Inc_ 0 LKD 0 Contractor [� CFT Violation : Work Comp, 0 One, M CASH Q [] L/A Owner Fee CHK # Q L/A Due MO # 0 IPA Municipal lNV # Date : Other Side E ility Applicant Owner Cut in Card F] Temp # Date . . rvr. -r-r.-.oc car ni nT� toC TOWN OF QUEENSB URY � � � E C � p Bay of Haviland Read, Queensbury, IVY I28o4-9725-5,a-792-5a3 r 7x 4 January 22 , 1991 Mr . Frank Parillo 215 Ballard Road Gansevoort , New York 12831 RE : Forest Park Associates Tax Map # 125- 1- 29 . 13 Building Permit# ' s 89 , 20 , 89- 569 and 89- 570 for Lot 6 Briwood Cir ; Lot 12 Timber La ; Lot 41 Gregwood Cir . respectively Dear Mr . Parillo : The building permits for the above captioned mobile homes have never been finalized with this Department and are now expired . Please contact this office upon receipt of this letter so that we can may discuss this matter . Very truly yours , DAVID HATIN , DIRECTOR BUILDING & CODE ENFORCEMENT DH : lm "HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LIVE" SETTLED 1763 oil -rowM of d Teo Ads iTf 1417 37 3s' y= 31 �C W .o !7 17 St tt Sr . yq 47 4t r 67 YS '�3 Yr sq 37 J t3 is p 3s ft rt. ft�. t4 Sj D rkJ pp � Li t 4 43 It rY t! �, S4 -f 3 Rcrr a° sr Y 3r Alt Y 7 y 7 �� (i• 3 ° A 31 G IQ S G7 c� 47 S r AS AT at 4r 43 milli A° fi3 �'°°d y' 3•t Cq � ! 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