1989-408 . .�•..cr>ycwe [a'ySR-.m•, -'.rv'i. 7x; ., ..;.s• .•R�,a;;� .�.�.. ,y .r!^;: ..'.r.., sy„ :.`.; . f� t•a�,.,x..�y; .ar' .'ITT. . . ^ A .
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CERUMCATEE OF 0 CCC FANCY
TOWN OF +QUEENSBURY
WARREN COUNTY, NEW 'YORK
Date June 12 19 89
This is to certify that work requested to be done as shown by Permit No. 89-408 {
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has been completed. E
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This structure may be occupied as a Mobile Ubme €
Location &'C"T7"i" Narthtivi nds
5�3' LU Z�YY12.
Owner .fames rt g�r
By Carder Town Board f
Town OF QUEENSSURY
J�A I
Director of Bldg. do Code Enforcement ;
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` BUILDING PERMIT
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TOWN OF +QUEENSBURY
No.
WARREN COUNTY, NEW YORK 89-AaB d
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PERMISSION is hereby granted to t aar�ll ihter Hlalnes
OWNER of property located at l 6t 78 INnrthwindc Street, Road or Ave.
in the Town of Queensbury, To Construct or place a mnbi 7#„ Hrffla
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.
[2.
7RACTORorBUILOER'S
WS Address is
CONT Name
PR
PR
Lamplighter Homes
3. CONTRACTOR or SUILOER'S Address *G
RD#2
Fort Edward , N. Y . 12828 n
4. ARCHITECT'S Name
f�l
S. ARCHITECT'S Address
d'+7
R/f
6. TYPE of Construction — (Please indicate by X1
{ ) Wood Frame ( ) Masonry C I steel C T r-
C!
7. PLANS and Specifications V
C?
No. 14 ' x 70 ' Mobile Home as per plot plan , and application . Insignia Serial - Ica
Nwnber: NTA 140072,Name of Manufacturer : RitzCraft , Manufacturer Serial #9292, yz
8. Proposed Use
1 �
Mobile Home a
to
S 35 * PERMIT FEE PAID --- THIS PERMIT EXPIRES _ January 1 19 90
(If a longer period is required an application for an extension must be made to the 8uilddng and Zoning inspector of the cc
town of Queansbury before the expiration date) `.y
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Dated at the Town of C2ueensbury this 9th Day of June 19$9 Q
SIGNED BY B for the Town of Queensbury
Building and Zoni n" actor
te% ,� Ae2
La To BE COMPLETED BY nLCJC. DEPT. rX9
.. Muir Q � Application Noe
ChUIL0HNG anu Zor4ING DE PAR TM NT Permit luuued ] 9
Qay unlit HUvltanO [load, Ft.D. 1 [lox oa Permit Fuprirea to r[��
Quuun*Dury. New York 12601 Zoning Dealt titian ° Off,
Vwrtance o."
site P1 ie w RFCG ��V
APPLICATION FOR Appro ~ b : ✓el,WO
MOBILE HOME c�_ � 4r00 � _ 79,,�0
PUI !_.DING AND ZONING PERMIT Woe
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w w sr IMP • • r ♦ # w w w is • A r r eF r • w t M It • 0 * W in • e► eY e► ee N :» r
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION, ANSWER ALL OF THE FOLLOWING .
The underuignud hereby applies for a Building Permit to do the following work which will
Lu duns iii accord"I with thu description . plans and spucificatiesna uul»iatted , and such
conditions as "Way be indicated on the Permit ,
owner of this property is :
Addreaas
Tal .
Property Locations , z ,r Lr �r � rr¢ G �'
atr_. t i.u:�+k�s:r Tax Map No . �
or /
A"Iltling lot nuI
Suijdivision name (if applicable ) 'I& e -r-1, C1 �f
7'1 !L YI�ItSON RESPONSIBLE FOR SUPERVISION of WORK A5 fECARDS UUTL DING CODES IS :
PoI 7111 'r
Ijnwu - u i2 T
P. O. Adslresu TLol . No .
Nane4 ofInstalls r �` f. G �sG7C •< Address
N"It c: of ,(.+1 uniSae:r_ !'' Tel
.
n/. 6 d,�T.n. J►ddre:sa •.e a1 .
N;,il[a: of i1.3:son /.C-y,.. ",�-,e°�^- A[id resat 'teal .
MOBILE HORSE INFORMATION : r ZONING INFORMATION :
New Home Placement A PLOT PLAN ,MUST BE PREPARED AND SUBMITTED ,
- �'Replacing existing Home drawn reasonably to scale and attached hareto ,
'li �,7 r
_- --- aehos Lyre* rLe;".rl'v :end Fl!-sr *.rsrtl�+ ua. l builrEinctrs ,
Sji � .: of new home ft ?C ft ' � � µ ._ 9 whwr:l _ _ i stz..g or ��rc+{�used aria J.ndicatu all
set-back
diaaensions from property 3in . Giveou
Single w ` to Double wide • street and numtaur gar lot nuuelaer :and indicate
No . of rooms ( excluding baths ) �Z� ' whether interior or corner lot . :show location
Noo of bedrooms ` of w.stuv suPV1Y and location and configuration
of auptic disiaosal area .
No . of bathrooms •
r COMPLETE: INFORMATION REQUIRED nELOw .
Fireplace?
wood stove? (3 ' Size of property -5-sJ ft x // c. ft .
i'aunddtion style and size : !;»aciating builclinglar ) Size ft x ft .
Piers- No . af Size- ft x Pt . ' Existing building is ) Ua:e
Depth below grade ft ,
*'� l+raposud buildinge diuL anvo froaa FOUNDATION Footing size '� }C r property xine
,. Front yard a r Cc Rear yard
wall material * Side yaarde i ft and
Wall thickness ""• Height ft. . If on corner . serlaac:k from aides atra:nt Pt
Total depth below grade f t . * OCCUPANCY I NFORMAT ION -
Grads: to Home floor level ft . a PRIMARY BUILDING me
• w y * M w a w w ■ ■ w Or • w a ON ON of r � Ona r amity dwesllLn
i-reposed date of placement_`[ `3y � Multiples dwelling / Number of units
A pr o x . Value. of Home S _ �C [� t] ll . Permanent occupancy
"transient occup"ncy
Water supply - well Hunicipal� Llusinees e.
Septic 'Permit required? ,- &P I Other
,O, if additioswe what will use
FURTHER INFORMATION REQUESTER
NO ACCESSORY DUILDING-
ON THE REVERSE SIDE OF THIS SHEET.* 00tached garage/one car/ two car/ car
" Attached garage/one car/ two car/ tar
' ririvatc storage building
Other
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Porm MttP S / BG and - vl
APPLICATION FOR MOBILE HOME PERMIT,, ( CONTINUED)
slate of New York Division of Housing and Community Renewal
INSIGNIA OF APPI OVAL OF THE STATE BUMING CODE
/ �� �
I . INSIGNIA SERIAL NUMBER r��jO
2 . NAME OF MANUFACTURER
3 . PL.ANI'APPROVAL NUMBER _ f
4 . MODEL OR COMPONENT DESIGNATION / talk f�7'� � ,a � , e 9y
5 r MANUFACTURER ' S • SERIAL NUMBER / 19 � � 9L
Go DATE OF MANUFACTURE 9/ ,V1/ ee
Mow
All the above inf6rmation is to be found on a plate or at -take" which
ahou Ld be affixed to the Ajobi xe Nome . Complete .abbove wa.th that information.
A A A +e w .t ♦ ♦ 3 w # # +r r! +► # • - 4 4 A # +� # x A +t w A * a f .r aF * A
Town of Qucensbury A F F I D A V . I T
County of Warren STATE OF NEW YORK
I swear that to the bust of my Unowledge and belief the statements contained
in this application , together wl0i they ,plane and specifications submIztede are a true and
complete stateenOnt of 411 proposed w o+rk to be danoj on the riescribsd xsrrref, r t1:::t c,;,,
Provisions of the aerr*.nrasn OYS .DXNA! ZE& and all other lams pertaining to
Lhe proposed work ShUll be complied wi�:h, rihai:her epu :ivied or not , and that such wort[ is
auchorized by' the a%,aer .
Signature w-w..��
r. awner • s agcaf arcrk.1 , conU actor
w • . • • • • r • w w • • • w w ♦ t w s . s w w sr w w • w w w w w • w w • w w +f • w w w • • r - r
SPECIAL CONDITIONS OF THE PERMIT :
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TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE ( 538) 792-5832
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION
DATE /�� =/ PERMIT
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATIONIDAMP-PRO6FING���_
BACKFILL APPROVAL
ROUGH PLUMBING
r
FRAMING
ELECTRICAL ROUGH-IN f
INSULATION:
FOUNDATION 4
FLOORS
WALLS
�fL NG
NAL INSPECTION: y
CHIMNEY HEIGHT ✓
ROOTING
SIDING
EXTERNAL PORCHESISTE'PS�,_
STAIRS-CLEARANCE & RAILS_ �T
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS'
FINISHED FLOORS
GARAGE FXREPROOFS NG oe
DOOR CLOSER (S) j- -- -
SMOKE DETECTORS'` r
FINAL ELECTRICAL INSPECTION ✓-
FINAL APPROVAL O CONSTRUCTION
EOBTAINED
GNED CERTI ICATE OF OCCUPAN& MUST BE
FROM HE BUILDINGDEPARTMENT BEFORE
E PREMISES ARE OCCUPIED!
REMARKS :
a � i &tL4cx) 7 �
ra,X
L ECTOR
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TOWN OF QUEENSBU RY
Zoning Administrator
Date '