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RC-0285-2018TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5904 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: RC-0285-2018Date Issued: Wednesday, July 10, 2019 RC-0285-2018 This is to certify that work requested to be done as shown by Permit Number has been completed. 308.6-1-70.2 Tax Map Number: 14 WARREN LN Location: Daniel LeCuyer Owner: Daniel LeCuyer Applicant: This structure may be occupied as a: New Manufactured Home 1216 s.f. By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Director of Building & Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY I.` i 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: RC-0285-2018 Tax Map No: 308.6-1-70.2 Permission is hereby granted to: Daniel LeCuyer For property located at: 14 WARREN LN In the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance Type of Construction Owner Name: Daniel LeCuyer Mobile Home $60,000.00 Owner Address: 14 Warren LN Total Value $60,000.00 Queensbury,NY 12804 Contractor or Builder's Name/Address Electrical Inspection Agency ML Contracting 34 Warren LN Queensbury,NY 12804 Plans&Specifications New Manufactured Home 1216 s.f. $ 243.20 PERMIT FEE PAID -THIS PERMIT EXPIRES: Thursday,May 30,2019 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town uee bury; 4We' i- �1., ay 30,2018 SIGNED BY: for the Town of Queensbury. Director of Building&Code Enforcement Office Use Only (lig= MANUFACTURED HOME Permit#: (2-c, O2- PERMIT APPLICATION Permit Fee: $ Zv. Z o Town of Queensbury 742 Bay Road,Queensbury,NY 12804 Rec Fee: $ 6)Pr P:518-761-8256 www.queensbury.net - Invoice#: Z-�' Project Location: /4 k2 rT' t7 c,�/cne.- Tax Map ID #: 302.6 '7Q egs? Name of Park: /? �t� 44114 Proposed Date of Placement: 4sig �ri CONTACT INFORMATION: in MAY 21 2018 • Applicant: f W;Z Name(s): 1e.. c°r TOWN E Lily iBB rzY a CrirEst 1 JJar l2 rl -�-� IV/ /Le'd le Mailing Address, C/S/Z: ��'���� Cell Phone: ( SW' ) j_ 6-6St Land Line: Email: Kb rS /9 c Adi i • Primary Owner(s): Name(s): /di / Mailing Address, C/S/Z: /4/ /� k lr fr c 4�/ 6)/c s 'Le Ally - Cell Phone: ( C/i' ) 11/45 ‘s1 Land Email: r®�'-f S %16S€ hd ivv /. c2 L • Contractor(s): Business Name: eC.7 t& ; ; in Contact Name(s): 1�> 6/�// `� Mailing Address, C/S/Z: o` n O/c r-7,4ic-' '�)// --frO Cell Phone: ($/ ) 9� ric Land Line: e/S ) 29r-- 2 /7 Email: / '(4i rcia e C.k�YJ�i�. C V Contact Person for Building & Code Compliance: - Cell Phone: ( ) Land Line: ( ) Email: vn of Queensbury Building&Code Enforcement Manufactured Home Application Revised May 2017 ----------- --- ----------- -- -- --- - --- -- ---- ------ - MANUFACTURED HOME INFORMATION: (INFORMATION FOUND ON THE PLATE OR STICKER LOCATED IN THE HOME): Insignia serial#: 113 6 7 1°,4 Name of Manufacturer: 116fr1e,5" Place approval #: ? �J Model or component designation (New Home Only): Ann uer'Secj' Date of manufacture: 40/7 ADDITIONAL INFORMATION: 1. Approximate Value of Home: $ iZ DDa 2. Is the home NEW.( or a REPLACEMENT ? 3. Single-wide X or Double-wide ; Size: /6 ft.X 'IC ft. 4. Foundation support(choose one): Size Depth Piers: X Slab: / 0(7c tJ/,4 /' '7 5. Is the home being placed on a private lot? No Yes X (if yes,you must provide stamped engineered drawings of the permanent foundation plan) 6. Total#of rooms(exclude bathrooms): ;#of bedrooms: S ;#of bathrooms: 7. Additional heat source? No X Yes Choose one, if yes: gas fp_ woodstove_ wood fp 8. Are there any other/existing buil.. on the property? NoX Yes ; Explain: 9. What is the water source? PUBLIC PRIVATE WELL 10. Is the parcel on SEWER or a PRIVATE SEPTIC system? _ P i. /4-7 11. Do you need a septic permit application? No x Yes DECLARATION: I swear that,to the best of my knowledge and belief,the statements contained in this application,together with the plans 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 NYS Building Code,the Zoning Ordinance and all other laws pertaining to the proposed work shall be completed with I have read and agree to the above: PRINT NAME: a dA///L / t..)yf SIGNATURE: ✓ DATE: 4 �®,,e Town of Queensbury Building&Code Enforcement Manufactured Home Application Revised May 2017 , s'.l ate. ia...„,,,,„,...._ ,........ .,..._. 00 .r. 4..... 4kL -4 N VS �, � ul Vs 1,,,,,,. , O 0. .... 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FIT[mi 1 I . ,, .,, i; 1.1 S h.. • , 1,,1 _,...,, ,",,t".';:Z=r--1 mut i'i —.- . .._ . . DECIEUVETh _ MAY 2 1 2018 ilj I I 1 1 308.6-1-70.2 RC-0285-2018 ......QUEL.'"NSBURY LeCuyer, Daniel TOWN 6............._,F sup DINT-.p rs ODES ,..... „, 3 .,;,t; ,,,,. 14 Warren Lane -------,-----•-• -........._...... ' New Manuf. Home 1216 s.f. .. • THE ANNIVERSARY 9,..-;c_.;- 3&cis•2 Eeth•1216 sq.fL•7$'width•113 depth 0_;:-i-:--f.,ni:-, ,7.',',!!--.1--.:7,, _t,.....ii'.•!i-3,3.,'ff!_,-i;:s..t ill 1:-,.-_,T;',::.r.1:-..n,_-_,6;:f,-.-....,2,. ..j. 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A',%.".;:&si-.4'..04%NrAc-s.e.*.; , ...-45trz;,,,,,,,,,,,,,.,,I.,,..„4„,.:. -2::.,-,,5'..,,i...j1.-i,s,_.-t- 1111,1;•ii-.„:; , .c..4?„.1'1'.4.1174ri'l, :''': ''- '''':3;:i''AIM, ,- ]-`t1.3 ',---'.7;:-.;._,i;' ,-;-,-;t''J%„ -:-2.;4.1 C;';:t-.:. -°--2` -,1..,-.-.L ..„ ,...: ,:-14,....4- - --1--3.a.,.- ,-..,,,,- , -.... -4,;,.- 1r,... -,--0.,- -: ::- . 1,-„1.---...,, ,..---. ..---,.,.:i,..,,,Fl..-:. '40',-; ,, '.'64164: -.;-•-.; -1 c.i.&.:::1:4-1`-'-'•--".1,'1;:,--7;"1:Ad,•1-:, ..-Ai'44:'-:!;t',':,,i 4,:r1-117. ..?.,,V. ' 1 f•-°:!:-,!i-i.:-,--:.:',1-1,--:,•;.;,:,!,f_2.?al T httn://www.G/HomEsBAusroNspAcom :111;,.. :,- .' ',...`:::1,,,.:,,a.y.....,,it,14,: k'-`,-..--- --;'_.],-:;,---'0.-.'.';';',4i"...• :",- '`.'•, .10,',-....,'--.V.1=,,..44-.,..r.' •..,_:L' ... DEALER: G & I HOME S -BALLS TON SPA QUOTE : #2 8 15® CUSTOMER: STOCK 30 LB . PIER PRINT 57'-5 112" 46'-8 3/4" 40'-8 3i4" GAS ?4'-0" 65'-0" 561_01, 1 47'-0" 38'-0" 29'-0" r - -I' - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I n, I (U I j 1 I II I I 66'-3 1/41, I 49'-4 3/8" 1 I I II I I I 20'-1 112" DWV DROP _ WATER I I I DWV DROP ELECT I I I I I I II i i j j N i i i .SFr II i o i i i I I i o •- I u I v I I Clj L- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - J 24 4" 27'-2" ?G -0 4 PIER LEGEND SERVICE ENTRANCE LEGEND E❑= ELECTRICAL DROP ■= SUPPORT AT MATING COLUMN Fwl= WATER INLET ®= SUPPORT UNDER MATING WALL 0= DWV PLUMBING DROP = SUPPORT UNDER MATING OPENING ©= GAS INLET THIS DIRGRAM IS NOT DRPIR-APPROVED RND IS BEING PROVIDED ®= SUPPORT AT PORCH/RECESSED ENTRY ALLR RS R CONVENIENCE FOR ESTIMRTING PURPOSES ONLY. REFER TO ALL LOCATIONS ARE APPROXIMATE a= SUPPORT UNDER MAIN I-BERM CRAWLSPACE VENTILATION 1165 SO. FT. OF CRAWLSPACE AREA **FOUNDATION SLOP NOTE** T H E D R P I R R P P R O V E D I N S T R L L R T I O N M A N U R L F O R T H E O F F I C I R L PIER LORD, ®= SUPPORT UNDER PERIMETER WALL VENTILATION IS BASED ON 144 SO. IN. OF VENT FOR EVERY 300 SO. FT. 560 SO. IN. OF VENT REQUIRED OF CRAWLSPACE AREA WITH APPROVED VAPOR RETARDER MATERIAL. ONE SUCH Il VENTS NEEDED 2 52 SO. IN. EACH S P R C I N G, AND FOOTING REQUIREMENTS = SUPPORT AT CROSS I-BERM BASEMENT VENT MUST BE WITHIN 3 FT. OF EACH CORNER 572 SO. IN. VENTILATION INSTRLLED MINIMUM BRAND SERIES I R E V I S I 0 N S I BY I DATE G E N E R A L N 0 T E S DRAWING TITLE MODEL NAME I SQ. FT. MARL E T T E ` H0 1 6 1 FOOTING SIZES VARY BASED ON SOIL BEARING CAPACITY AND PIER LOADS 1 1 6 5 i REFER TO INSTALLATION MANUAL FOR PROPER FOOTING SIZING PIER 3 E y PLANT DESCRIPTION MODEL NO' 956 ( ]6X76 3BR-2BA 1 95SH8016-676 CLAYTON ]HOME BUILDING GROUP 99 112 13 E A Mf 5 P A C I NO DRRWN BY ORIG. DRTE DATE PRINTED SHEET NO. i TMB 106/30/2017 10711412017 I 21-PS-99 r-1 Ay ADDENDUM TCr UB h' WHATION MANUAL POW YOM STATE "ROUND REQUIREMENTS USING INSULATED SKIRTING OPTION) UMMUME UI rT-A LwR-e IDEMO IAI�IIOCIM OA9<IDI '�— c�ENOTE2)Aa R•5 IIIN.INSULATI:D SKIRTING MSEL F CLOSING Va47S IN COLD WEATHM;IS AND III�AI$ marl SLI PORiLIIAISAIL RAIL PIER FRGST SUSGEPTMLE SORJFILL S£f UP,Jk&APA AL MATERIAL IS PRESENT UNDER THE SLAB GRAVEL 64mmimum DEPTH .r=» v«",r-••- 5.,.-�e�is.r.,.r�� _ ��f j Y_� 1._� M �« — _ BENEATH SLAB AT ANY POIhT NNW 14 00FE NIMM-NIRIY FAOtYI CIENTER W HOME A=AR CONTIINUOUS wmIha. �p�wr TIDE PERIMETER QA AS 11118»II III rdlit .Fbm f>�►7NCi0NIC.6CA8 REOUIRED BY ANCHOR MFGR. AA tt=f>1111EIRKLI7!lmImv SANGLE WADE HOME CONCRETE SLAB oo 2} 1 (SEE tJl3TE i�pi 11 BIAM!!: II mE E R-'S MIN.INSULATED SKIRTING WISELF CLOSING VENTS IN COW WEATHER BiMI�wuawr lo.wi C;d:Gl:Jd:Y1, IS RECAMED UNLESS A (ARV-FROST Ilpllf®Sitm AMMUM TV113CAL MAIM RIImL.PI6i SUSCEPTIBLE MLIFILL MATERIAL 5UPF0RT5AWPE0R1 IS PRESENT UNDER THE SLAB k SET UP MANLt4L • .- 6'MIVNFb m DEPTH _� __--sr �~---:.'.: � _`���r_•►: '---�—• — _ BENEATH PPO�INTStJ48 A7 —= —=— 1 — ____ --- ==--= Ir I SUVEGRdAW AWAY°lQU M:X&mm POLY VAPOR APPROVED BY �• C OFMC-VE BARRIER BENEATH CONC.SLAB f> may 04,.c4,5 :tD[Nfl YYIR'14CfI1R[D HDME .wau+.a .uro.,�.l16RR ,1l•12 9L 91y SEE NOTE 2 CONS ucma AND wm%TAW a RIIr110.1. I�[IAAImmlB�� —„� I3 � W4iKiIIl�tll """"'„'"" _ •`2I#4 REBAR CONTINUOUS ' AROUND THE PERIMETER OR AS � �'* RECUIRED BY ANCHOR MFGR. — • �« — MIN.Bmm POLY VAPOR BARRIER BENEATH CONC.SLAB Ntt41N!4r• Amfim�l ID L t aik B.r�wwa..�nenn�,I. AAp3 IP�IPAfA�3�EAiM�33 AID NNtlRIla Ml IfMI A1i1 VERTICAL MISULATION PE••RR PAGE 2 TABLE F140.3 aL Im®Ilpt®K $CIA6» .,A"' �JtO G 9i i:4,®V-- t-�% V3%tkvV\ Pt -22% V-61��A IL�iiEf@NiI.Y►d8fBN11317i l llL1 }N AW&UMMOSTOM CONPI 1T LE55 T14A m 25%M Fib DEPTH. SOL CCN'DMC14S AS INDICA M ARE m rk;CCIRI�IRI�IAffBI A F*Mm l.OWL 2.M E10==M IF'M SLW S WFAW 5'R1IAI ASS 21=PSF II EAMG CAPACRYu FOR I6100?SF M04 SOIL REARING CAPACPY USES*THICK CONCRETE SLAB +r gar WJI£ 3�mPRIMRIL �.A!I[l1.Il0�ERIJFl1IIMINSfIp1I..ESL'uaswLtn�+o+rc7i9fm�9f,9p9,,47H9905P�m115'T1t+CSTs. N.If JUt tIaNI}FI�{$W�ItISIAItAIi I� i1ANIIIIIJAdf�i�FMEIIJLORWIMQ LVEGMEMED GROUND OR 14 Li THAT IS NOT SUSCE LE TO FROST. (CI6,4WaOW.,LWW"4OFfffMWSWSCMMUWGF-WMLSHkV.LIECErffAMIWBYASWORGEMDWJLENMNM UNLESS OTMEWME APPROVED, THE WE' LOU WTE SIN S,z mi i fir SiI W .0KXUDE DATArAAT we v owc a THE SO11 COfIDf NS TO A MINIMUM DEPTH THAT IEp6SIL'�TfAls# +mnwwr•Baru. 3.II &Trt�r?Af Arii�!TM=—A44a=JIM" z m^r<uwsa ;I ilIC7NL +IGTIi AM R-VA rS AND TAB R-40.9.3(1)IRCNYI FOR AIR FREEING INDEX VIAklIB�I� �. i$.Af>$1 IRIDI rr i fNl;M u!°5"RWICiiS 711E semwmemrsp Am SP+#Ct a,REFER TO ANCHOR MANUFACTURER INSTA_LATiON iNSTRCUTIONS FOR ALL 01111tIIIRAriE NE311A s. PAGE 1 - -1074 Y Slaib 9n- Insulated Sl+cirting horns bullding group CLAYTON HOMES TAKER"" MOULAIM ! FOiR -PRtfTWillCl7 F00TWG8 IN HEATED BUILDINGS# Ht}Fl=NTAL WSM A'tlflt+f DIMEN84ONS i t'iclp.,EtNfA;L WMATM a-VALl• PLEA PIOU E R4"11(i( i} Am parrs Oaks At call A B c >l�lanrtlesa 45 Alfotr gdmd tint rcgt2.red ItiQtrtgtrircd Not rrqutrrd Not ccgvi;cd �- SS Notrcgainad lit requ.irzd Not required Net rrgtured Not requited 1.7 4.9 12 24 40 ZR 6 5 9.6 12 24 40 11.2 24 30 60 t. 111 l t o's 13.1 24 36 60 m.11113101Ydilill Bill L, , •3"La rp.Gmatrr vi lam;may be requimd to next il co+ucruation Aludirds ffiseawooasdaalytc. b.21121MMS1111411113i IwAlfirEwcaft kAM ac.��aik� eieaNMw� aA-� ��z�t�nsc�&t.below-end cnndltic�a:ir►imexin�cllmatrs.7ha talinw Iit$1Hnia�s lkstadllr ltu "Mcbmunrrgail c for"appli=6oft:Type U expanded polystymna•2AR par Inc1r;Type IV extNded w=wqMgwbdCTWcVjjwm"jdj- 1pontl terlKkTypsJX expo po)ys;ymru•3.2R per Inch;Typc X extruacd polystyrenc JR per &WIL dt.' hWM dtittc gdj ij a eredm"p6lp1rwim9tadon, TAB!MOGi.�'ij An OMMOLUEar gElUM PERIOD OF 100 YEAR(99%pROBAH11.iT1Iy iIW4a � T—Air1� �etloa limns Ssatloct Are Prao J l+Itererber Indwe 11 1350 LIBERTY 304731 1515 ARCOW AM 3 1451 'Enin FAm CITY RES 304791 1586 �A1t.1FBW 300M 14" Urn EVALLEY 304808 1540 �PlP S4AC=rARK 3 1 0 1411 1494 I.Lul,.t—l w,,L 21,9E 304944 1147 ' A 300 0 1421 LOW 11221 304912 1768 7 111R 300M 1349 MKIBROOK 305334 1246 IMOW . 30040 1310 111iMLA 305377 4% +111Y11�,K25'SW 30M 1903 WHONKLAKE 305426 1109 30tti1189 SID MOUNT MORRLS 2 W 305597 1355 311 " IT 21!AW 300937 1195 N W YOKK C NTRL FK WS0 305801 40 3S 30111152 1125 NY rt,...y,., 4 GHSTATIS 305821 521 4CAMMCK4 5B 3M118li 21W NGRWIQ31 NE 306085 1679 3011W j093 0131E W URG 3 NE 306164 2038 4ZAWFALLS 3M397 I= OSWBOO EAST 306314 1164 301401 1497 PATCEWUE 2 N 306441 599 MN 3f>rm 1454 PENN YAN 2 SW 306510 1075 XEMILAND 3 EW9 1396 "Mu 2 WSW 306538 1733 AL3Kw 1m PORTJERVIS 306774 990 31p914 1Z30 -PMl,j!15hl�L"lwl4lAAAP 306820 1160 XMW 30n" 5716 R1VERHP.AD tI WEARCH 307134 510 �ciW 1K 3MM4 2= ROCHES1'ER.WSO 307167 1199 3H,11�l► 310mo 1361 SAIEG+I 307405 1706 303A25 1715 SCARSDALZ 307497 618 A 303033 1143 SSCAA= 307633 452 m,wa wARESENKH FARM 3W124 1297 SODUS CENTER 307842 1248 � "�Ing_��` 985 w�u�. 3 W 309088 1314 F�111rMMtlrAdtAAAP III=% 1689 STILLWATERRESFRVOIR 309248 2493 303319 0w SYRACUSE WSO 308383 1213 a 3W" 111"ft 'IIJPPER1.AI£E SUN1vlOUNT 308631 2372 t�61 30335D 1516 UTICA FAA AP 308737 1545 I ! 3w, 141M WAI�i RANGER sCE1{)t}I. 308944 2192 JNCMMRLAZE2SW 304M 2317 WAaru uWN 309000 1701 L"A.uGImJJ�f��ms.. 'li. 3MI74 LW -%r.4uw l3}3SW 309189 1247 LASEPLA 13DCLUM 304555 2315 "=I t uu� 3)9292 894 1AV I till I.&AULl. 30#W 956 -r+.ytl<uJ ciA11 309399 1594 PAGE 3 A"Mill BY �WP�+ 04y",2016 Nirf,NC. 4J4/20�6 RC-o ecis G&I ,HOMES a Clayton. company To whom it may concern, The setup of the Singlewide manufactured home at 14 Warren Lane Queensbury NY for Daniel Lecuyer is set to the requirements and standards of G&I Homes — Clayton Homes Ballston Spa. We require a minimum of 12" for blocking of a manufactured home. This customer has been blocked with a block and two cap blocks which is equivalent to 16". If you have any other questions or concerns, please feel free to reach out. Thank you, Codey Staulters D cEllVED Sales Manager IP AUG 0 12018 G&I Homes Ballston Spa _ _ (518)885-80850 BUILMOFNG E CODESRY INSTALL NO. 27662 STATE OF NEW YORK —D2`3�—Zia\g DEPARTMENT OF STATE ONE COMMERCE PLAZA c -�. 0. 99 WASHINGTON AVENUE ALBANY,NY 12231 INSTALLER'S WARRANTY SEAL � THIS SEAL REMAINS THE PROPERTY OF THE DEPARTMENT OF STATE 12g NEW MANUFACTURED(HUD CODE) ❑ RELOCATED MANUFACTURED(HUD CODE) A. Manufacturer's name: C467Yrbal Cc.sw) B. HUDlabelnumbec Afn M4221S/ Serial number: it$#'Ji40•7 14 C. Retailer's name: 0/1•C Mee) D. Retailer's address: filik .af. 3CSOJ ' .9aa' /614.1/O6- .912., Ale /4042 E. Retailer's ceiUficattonrta6� /(Ur�0//l Telephone*•/tJtY�`� F. Installer's name: NAIVE:t,�\ �16rfkn (1 Installer's address: !/sift /l atad /fU C�yt(raas- / 1L Installer's ceiliftcatio #: lfiNl'v0�I Telephone .112A 3�1'�'. F-t. -I)ateiostaled:-wig Municipality issuing building permit: earealgtar(City Village) I. Customer name anndphyssical address (911)where home is installed: Di iLL awied�j Village)� AbithaZJGl All - C t1 n anS*a sa ,NewYork rvv9 By attaching this SEAL to this manufactured home,the undersigned Installer of this manufactured home warrants as follows: - -- 1.—Thmtlteinstallation of this manufactured home meets the standards of the New York State Uniform Fire Prevention and Building. Code. 2. That the Installer is certified as an installer by the New York State Department of State. The foregoing warranties are in addition to and not in derogation of all other rights and privileges which the consumer may have under any other law or instrument.The foregoing warranties are in addition to,and not in limitation of or substitution for,any and all other warm- ties,express or implied,given ormade by the Installer, therconuactually or by operation of law. Printed Name of Person Signing Seal. si.df AS Signature of Installer or Limited Installer: If you have a probl ith your ho ,you should first contact your installer or retailer If the problem is not resolved by the Installer or Retailer you can contact the Department of State at(518)474-4073. DOS-1680 pier 0109) ., Yellow Copy—MI tltww ofaYb MIS Copy -OWln for Your Records Ooltlenrad Copy—A/miningAaanty SaMIPo,b Nome