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2007-485 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20070485 Date Issued: Wednesday, August 15, 2007 This is to certify that work requested to be done as shown by Permit Number P20070485 has been completed. Location: 200 LUZERNE Rd Tax Map Number: 523400-309-009-0002-001-000-0000 Owner: HOMESTEAD VILLAGE L P Applicant: HOMESTEAD VILLAGE L P This structure may be occupied as a: Mobile Home In Park VBorof o aU Y 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 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20070485 Application Number. A20070485 Tax Map No: 523400-3 09-009-0002-001-000-0000 Permission is hereby granted to: HOMESTEAD VILLAGE L P For property located at: 200 LUZERNE Rd 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. Tyne of Construction Value Owner Address: HOMESTEAD VILLAGE L P 4294 ROUTE 5 Mobile Home In Park $24,000.00 CALEDONIA,NY 14423 Total value $24,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2007-485 1008 SQ FT MOBILE HOME IN PARK $66.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,August 07, 2008 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Ot,T o ee 4 August 07,2007 SIGNED BY �� for the Town of Queensbury. Director of Building&Code Enforcement -q"w OFFICE U;48 ONLY ! r TAX MAP NO, PERMIT NO. r , PATS ISSUED: i r / PERMIT FEE 107 APPROVALS: ZONING TOWN CLERK.- 0 r .....................................................................: :.................-: MOBILE HOME -APPLICATION FOR PERMIT A building permit must be obtained before placement of mobile home on parcel. No inspections will be made until a valid building permit has been issued. Applicantln¢ormation Property Oumer Information Name:141Lf i' Name: Address: 136 (mil i L j ot'► /�U L Address: w Z Y r.7 _ Phone No. S/ IFS SRO®C 1 Phone No. EgMgl Information Proposed Date of Placement: Property Location: Road,Street,Avenue Name of Mobile Home Park: Nei S' 7-Ir' (Majoplimbie) Tax Map Number: I-..._................._.__.._...._._.__ .._�_�__ ._�.M_._._.�_--.._._ _ _...._-.-------- ---� Mobile Home lnformatlon Zoning Information E Approximate Value of Home:$ 2 060 r Zoning Gassilication: 4 New Home: Yes Size of Property: ft.by j Replacement Home: Yes No Existing buildings: j Jp Size of Mobiie Home: ft by 7 Z ft Setbacks: front yard ft rear yard ft. 1 side yards ft.and ft. '� � � • ! Singlewide: � Doubiewide: Number of Rooms:(exclude baths) Accessory Building(s): circle Number of Bedrooms: `Z { Number of Bathrooms: _ Detached garage: 1-car 2-car car Circle: Gas Fireplace/Woodstove!Wood Fireplace Attached garage; 1-car 2-car car Foundation Support: Storage building: Yes o Type Size Depth Other: Piers rs Runners Water Supply: well or municipal ! _..-,. Slab'.•._..__.�._....._...._,_.__._,.._.__......,.___.________�.__ Is Septic Permit Required? Yes or No CoMirrued on back Town of Queensbunj- Community Development Office - 742 Bay Road, Queensbury, iv x izow _,t • �zngRbAR:n i :wnN a Abn:PS a Pm;3-)a-7n r Name of Installer or Mobile Home Dealer._i LL A 6£ M6 6k LE [�q M E 0>C.:c Kr-(L ii G C- /2c'z.a Address: /30 Hirt Tpni t 3tjZ UT•� 5-t9,1-14 Y Phone: ,S l Fi S k EGG I Complete Information below found on a`Plate"or'Sticker'which is affixed to the mobile home: ✓ insignia serial number. 2 8 1 Name of manufadurerI f O 5 ✓ Plan Approval Number. ✓ Model or component Deslg ion: TS .� �Nw °rnc°rely Date of Manufacture: r� arsNuaatuVanaVanrvvvwra+VlrYMf'fArvv antaran�vvvarwuaairy . AFFIDAVIT Town of Queensbury State of New York County of Warren 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 BUILDING CODE, the ZONING ORDINANCE, and all other laws pertaining to the proposed work shall be complied with, whether specified or not, and that such work Is authorized by the owner, Signalbu?rl: AAA/1N.-J Owner,Owner's Agent� rector SPECIAL CONDITIONS OF PERMIT By: Code Enforcement Offioer Town of Queensbury• Community Development Office• 742 Bay Road, Queensbury, IVY 12804 ,a d s099tas:01 :wodj dio:ao Loot--z--nr �/-,U , /0est)n FINAL INSPECTION REPORT MOBILE / MOOULAR Town of Queensbury Wkiinng &Code Enforcement 742 Bay Road Queensbury, NY 12804 (518) 76141256 ARRIVE: DEPART: 3 7)INSP: DATE INSPECTION REQUEST RECEIVED NAME: ( j LOCATION: / 1 DATE: 'A PERMIT l MOBILE HO PA� MODULAR HOME FOOTINGS FOUNDATION BACKFIIL FRAMING N/A . YES/ NO 1. foundation support, pier spacing / per manuf. 2. anchoring per manuf. ............... — — 3. water line shut off ................... _ 4. sewer line support 0 4 feet ....... _ S. heating crossover(dblewide) off grd. — 6. dryer vented outside ...:................... _ _ 7. skirting ventilated .................... _ 8. hot water relief valve piping outside — — 9. deck,porches, steps. railing ........ _ — 10. furnace/hot water operating ........ 11. garage fire proofing ................. — — 12. door closers ........................... — 13. plumbing fixture ...................... — 14. foundation insulation (if appl.)...... — 15. smoke detectors.-. •. -• — � _ 16. final electrical _. . . . .... ... 17- variance required 18.data plate okay ....................... — — 19. mobile HUD seat okay .............. — — Model # �-kA Serial a Manufacturer i)ate of Manufacturer OKAY TO ISSUE CIO YES NO Comments: FINAL INSPECTK3N Vjffp4OVM M0931LE / MCCUL^p Town of Que=ftry Building &Code Enforcement 742 Bay Road Queensl"y, NY 12804 (518) 761-8256 ARRIVER�OQ DEPART INS P DATE INSPECTION REQUEST RECEIVED: NAME: WGORX�t LOCATION: A<- DATE: B PERMIT'10 M01611Z HQ'ii]�EM�O=nL�AR now FOOTINGS — FOUNDATION — IMCKFUI-— FRM4M N/A YES NO 1. foundation support, pier SWU*W per manuf.. ........................ V// 2. anchoring per manuf. ............... 3. water line shut off ................... 4. sewer line support 0 4 feet ....... 5. heating crossover(dWewide) off grd. 6. dryer vented outside .x................... 7. skirting ventilated .................... hot water relief valve piping outside 9. deck, porches, steps, railing ........ humce/hot water operating ........ 11. garage fire proofing ...12. door closers ........................... 13. plumbing fixture ...................... 14. foundation insulation (if appl.)...... 15. smoke defectors ....................... 16. final electrical ........................ 17. variance required ..................... 18. data plate okay ....................... 19. mobile HUD seat okay .............. Model# Serial # Manufacturer Date of Manufacturer OKAY TO ISSUE CIO YES N Comments- IN WpZ-L- V4-<- FINAL INSPECTION REPORT MOBILE / MODULAR Town of Queensbury Building &Code Enforcement 742 Bay Road Queensbury, NY 12804 (518) 76141256 ARRTi/ DEPART- ,l"INSP: C�r� DATE INSPECTION REQUEST RECEIVED: NAME: M1' LOCATION: Als" I)I-. DATE: p o� PERMIT'Illl)7 MOBILE HOME MODULAR HGOM FOOrTOM _ FOUNDATION _ BACKFII!- - FRAMING_ N/A , YES NO 1. foundation support, pier spacing per manuf. ........................ — — — 2. anchoring per manuf. ............... _ 3. water line shut off ................... _ 4. sewer line support @ 4 feet ...... — — — 5. heating crossover(dblewide) off grd. — — 6. dryer vented outside ...................... 7. skirting ventilated .................... — — — 8. hot water relief valve piping outside — — — 9. deck, porches, steps, railing ........ — _ — 10. furnace/hot water operating ........ _ 11. garage fire proofing .................. _ 12. door closers ........................... _ —B. plumbing fixture ...................... 14. foundation insulation (if appl.)...... — — — 15. smoke detectors ....................... _ — 16. final electrical ........................ 17. variance required ..................... 18. data plate okay ....................... _ —W. mobile HUD seal okay .............. Model # Serial# Manufacturer Date of Manufacturer OKAY TO ISSUE CIO YES NO Comments: L FINAL INSPECTION REPORT MOBILE / MOOULAR Town of Queers tfy Pre— Buildng &Code Enforcement 742 Bay Road 1 (Queensbury, NY 12804 Ce-fl -#-z (518) 7614L2564 _ 1(V ' DEPART: INSe � DATE INSPECTION REQUEST RECEIVED: NAME: q LOCATION: ) 7C—e. DATE: pERhflT# ®7 MOBILE HOME V MODULAR HOME FOOTINGS _ FOUNDATION _ BACKFILL ^ FRAMING N/A . YES NO 1. foundation support, pier spacing per manuf. ........................ 2. anchoring per manuf. ............... — — 3. water line shut off ................... 4. sewer line support a 4 feet ...... � — — S. heating crossover(dblewide) off grd. — — 6. dryer vented outside .x................... 7. skirting ventilated .................... 8. hot water relief valve piping outside — 9. deck, porches, steps, railing ........ 10. fiunace/hot water operating ........ It. garage fire proofing .................. — — _- 12. door closers ........................... — 13. plumbing fixture ...................... _- 14. foundation insulation (if appl.)...... 15. smoke Mors ....................... 16. final electrical ........................ — — — 17. variance required ..................... — — — 18. data plate okay ....................... — — _- 19. mobile HUD seal okay .............. — — Model # Serial# Manufacturer Date of Manufacturer OKAY TO ISS CAT- YES NO Comments: ,..�� �� ��,�.� u� �,� � �.��� i��ao-rove» r.a�L • ` ,�l Lam/ {{JJ L/ a � 1 9 M k _.:._�: -_ -.m__. �M1 J 1 r �1 �--, ,s-si+�+i-ou��",ry .sir 1 i�i � � '; S. �.--� r `� � � �- � V� �, {� -- �� E �. 4 �. �' �; p� j F 1 45} cp w Mpy Y") i' j2 _--� limited examen c 1 our comments led as indicatin 'cifications are the Building Cc.