2001-200 TOWN OF QUEENSBURY
742 BayRoadQueensbury,NY 12804-5902 518 761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20010200 V Date Issued: Wednesday, May 09, 2001
T This is to certify-that work requested to be done as shown by Permit Number _ P20010200
has been completed.
Tax Map Number: 523400-309-005-0001-001-000-0000
Location: 158 LUZERNE Rd
Owner: D&G MANAGEMENT LLC
Applicant: NICHOLAS JACOBS
This structure may be occupied as a:
By Order of Town Board
Mobile Home In Park TOWN OF QUEENSBURY
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,N1 12804-5902 (518)761-8201
Community Development- Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20010200 Application Number: A20010200
Tax Map No: 523400-093-000-0002-009-000-0000
Permission is hereby granted to: TODAY'S MODERN HOMES
For property located at: 158 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. Type of Construction Value
Owner Address: D&G MANAGEMENT LLC Mobile Home In Park 41,000.00
PO BOX 224 Total Value 41,000.00
GLENS FALLS,NY 12801
Contractor or Builder's Name/ Address Electrical Inspection Agency
Plans &Specifications
2001-200 TODAY'S MODERN HOMES LOT 32 SUGARBUSH RD.
1,664 SQ FT MOBILE HOME AS PER APPLICATION
$74.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Wednesday,April 30,2003
(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 T(wn o ; a uee y; � ..---• s ril 30,2001
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Application for Permit— Mobile Home
Town of Queensbury, 742 Bay Roach Queensbury, IVY 12804 (518) 761-8256
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.
Applicant Information
Office Use
Name: GUa ti.`c 4Verioll 110'4 .f 4.1° File Permit Nock f r01-0O
Addressy 604--e 9Fee Paid �`� � av
674Y1).56/0-027; /v / /z0J/ Reviewed By:
Phone No. L0 --/6 a( .
APR 2 5 2001
Property Owner Information Parcel Information WN OF QUE NSBURY
Proposed Date of Placement: 5- LDING AND CODE
Name: //k2-ymitn./P,5 `
�^ Property Location: I/3 z So ot bur
Address: /�V /U o1,Q, 6 aw Road,St�t,Avenue
62/fry l?vr r //It( /agog . Name of Mobile Home Park: A)0rWt S
(if applicable)
Phone No. /Z— 593 0Tax Map Number: 9 3 / c / 9
Mobile Home Information Zoning Information
Approximate Value of Home: $ � 1
Zoning Classification:.
New Home: No J 456
(11
U�" Size of Property: 52- ft.by//V ft.
Replacement Home: - No
�, Existing buildings:
Size of Mobile Home: ;61ft. by ft.
Setbacks: front yard ( ft. ; rear yard 6 ft.
Singlewide: Doublewide: Side yards ,/0 ft.and 7(4, ft.
Number of Rooms: (exclui baths) .1
Number of Bedrooms: c7 Accessory Building(s): circle
Number of Bathrooms: A
Detached garage: 1 car; 2 car, car
circle: Gas Fireplace/Woodstove/Wood Fireplace Attached garage: 1 car; 2 car, car
Storage building: Yes. No
Foundation Support: A& plea Pi(' Other:
TYPE I SWF&DEPTH Water Supply:. well or municipal
Piers
Runners x
Slab x Is Septic Permit Required? Yes• or No
Further information requested on the reverse side of this sheet 1110.
Name of Installer or Mobile Home Dealer: ms^ _
Address: S y iZ 't , Aft/ /93/
1
Phone No. `R--2%-/o 0
i_
Complete information below found on a"plate"or"sticker"which is affixed to the mobile home.
1. Insignia serial number: .S VA) O 736 -L/iS
2. Name of manufacturer. Ski/
3. Plan Approval Number: 6; 3
4. Model or Component Designation: ij¶K2 0 - G 7
(New Home O1VLI9
5. Date of Manufacture: 9/V/ 0
— -- - -- A F-F I D A V_I:T--— —
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.
Signature:
owne ,owner's a ent,architect,contractor
Special Conditions of Permit
By:
Form: 11/19/1999sh Code Enforcement Officer
FINAL INSPECTION PIZIPI i
MOBILE / MODULAR
Town of Queensbury
Building &Code Enforcement
742 Bay Road
Queensbury, NY 12804
(518) 761-82
ARRIVE: DEPART ! (V INSP:
DATE INSPECTION REQUEST RECEIVED:
r � 1
NAME: (f-e- `)441A
LOCATION: .1'2 �u-c nt(2
DATE: 5 c` 0 1. PERMIT# C)t` 2-eft)
L J
MOBILE HOME MODULAR HOME
FOOTINGS _ FOUNDATION _ BACKFILL_ FRAMING
N/A YES NO
1. foundation sus••. pie spacing
per manuf. .. ._ / —
2. anchoring per .id. ..•• — ✓�
3. water line shut,off — —V/ —
4. sewer line support 0 4 fee — ✓✓ _
5. heating crossover (de ewi•;) off grd. —
6. dryer vented outside . — —
7.• skirting ventilated ... — —
8. hot water relief valve pi 'i g outside — _
9. deck, porches, steps, rai g — —
,10. furnace/hot water opera;1: / — —
11. garage fire proofing •,/_/ _ /
12. door closers 1/ , /
13. plumbing fixture _/ /// —
14, foundation insulation (if appl.).. ... V 1./ —
15. smoke detectorsy .... /v� _
16. final electrical 5-.. .1 .0.....•.
17. variance required _ — —
18. data plate okay — _/ —
(4
19. mobile HUD seal okay — t/ —
Model # . _ ' Serial#o V)0-09 ' -LA-„i
Manufacturer �•1-1,L1'tie"
Date of Manufacturer ` re
OKAY TO ISSUE C/O YES NO
Comments:
E IEIEMP �r�L�PrJ EMPL rEPrJ c_PLPEr_PrJ ESOPE_�E.PrP LUMPED LIPPED �riO
5 BY THIS CERTIFICATE OF COMPLIANCE THE 5
5 NEW YORK BOARD OF FIRE UNDERWRITERS 5
5 5
5 BUREAU OF ELECTRICITY 5
5 40 FULTON STREET — NEW YORK, NY 10038 ` 5
5 /` 5
S CERTIFIES THAT 5
Upon the application of upon premises owned by 5
5 5
5 NICHOLAS JACOBS NICHOLAS JACOBS
S P.O. BOX 242 32 SUGARBUSH RD 5
SGLEN FALLS,NY QUEENSBURY, NY 12804 1 5
Located at 32 SUGARBUSH RD QUEENSBURY, NY 12804 S
5 S
5 Application Number: 1014808 Certificate Number: 1014808 5
5
SSection: Block: Lot: Building Permit: BDC: A239
5
gDescribed as a Residential occupancy,wherein the premises electrical system consisting of
5 electrical devices and wiring, described below, located in/on the premises at:
5 Outside,
__5 _____ ___--=-- . _ ____ -_-- . __ , _- _- _ _.. _ __ __r- - - - - --- -- : - -. --- -- - % -
was inspected in accordance with the National Electrical Code and the detail of the installation,as set forth below, was
found to be in compliance therewith on the 4th Day of 05/07/2001 S
Name QTY Rate Rating Circuit Type 5
5 5
5
5
5S 5
5 5
5 5
5 5
5 5
5
5 5
5 __
5 = ( seal _' 5
S % ;. . _ 5
5 1 of 1
5
5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. S
5 5
an PLo.Pr_P_rop P:PompLIEE_M��IEMPLOP PLOMEP01l1
Te y,►;, GY Q 1EEW BURY B1r WtNG DEPI RTMEE T
,,i 1 r C n7sCeld on our limited examination,
y_11 `<. : ''. compliance with our comments shall
not be construed as indicating the ° ;10 4—
Gt1
pins and specifications are in full � ���
ED
TO �A ` OF n. . 4, compliance with the code.
BUILDING qAy.....3 *EPT NOTICE APR 2 6 2001
• f ANCHORING OF MOBILE HOME TOWN OF O UEENSBURY
REVIEWED BY CI, FRAME IS REQUIRED PER -
B9.iaLD1 . 1-aD DUDE
DATE MANUFACTURERS SPECIFICATIONS
1 ■�■■■■■1 -- --- ❑— L—
mom
mom
la, r UTILITY
=d Emma ,Tr_m DINING •
"� OPT. pP _ <o ■■■ •OPT. Niliili'W r
- - TrR-TV' i MEW ■■ilry■■ •ROOM ■■■ FAMILY ROOM
■■■■■■■■r■■■■�■� ■■■m 101 ■■■■■I COVERED
■■■■1♦' L 111■11111■
•
■____ r--- -• LL A I WORK TOP AND ==I 18' o PORCH
• _I
Eno•�t• I I p ■::v■ —I
o bra 21NE r I _MMIMIMIII■■■■■■ MMIMMN cv
4- h■■Op ir'_ I ■■■ IMMEIMIII B
N CATHEDRAL THRU-DUT LINEN
......___, 77. . . •
MASTER BEDROOM
BEDROOM LIVING 6ROOM glint No. 2
No.41- 1 BEDROOM WM > 13'-4"
1 '-B" No. 3 a 0
Es(
L _____ ,
1O'-B" :
mems11031
\ , ig. ��
9802CT/6428 3BEDROOM - 2BATHS .- CATHEDRAL THRU-OUT (1,580 SQ.FT.)
r.
....k...).
•
.-k-... _.
- c
• _
• . .
. .. • . c
. •
• • • . . .
..
•
Ad c 41 O • . • • ,_
p.
Z
i 4
,0 6,1-0 c Pe_S. • 1 • I . . 1 1 • 1 t I .
--- • 64'.-- . -
C
. • . 11 r . 9'
I . 9' 1 • 9'. f----- -9'
I I 9'. . . 1 ot.______...q, •
.t ;'• ..• . '
•
• T 7,7. zi- • ..
I •L.„
ti
• ..E. ...*......._______.. ___.:_‘°___)(4.7'...4(___E55...___..11/
- ''" . Zz.e..cre lc 1,59 .. c
- _, . le I. •. • ,.J r
-4(,..<— __. - —.3..S • ---->.
•:_ai • -
2+1J-V 30?-11' 41.'-41
ty,
' • E10611 P.100Itt 126011 1E011
2- 0,,7-1. •
L4
• 0-C-,-
-B___..__9_______._6_,______B.__________TB__________9._________...._____R___________H
ti
11
.1
1•J
.A „S-fth
.< e..1
i -
• -
• . . • . • , Cr• •
.. -----...---.---IF_____-__...__E_...._,__o____._____0________Ei__________0___:______B. ____,,,zr • • ..
. •. -114 :,,
, - •
• •
• .
• .
PIER POINT LAYEJUT (PIERS e I-BEAM & CENTERLINE.WITLILIUT PERIMETER FIUDATILIN)
. . • mwslows • : •- -•
. . Illi 241 ' 262 in.
.
X. tfiLiMN SIFFORTS'SEC AWE DIhrbriAli rrgi isieriffis It iiiAn REOLIDOENTS e EMI Raw 291;e. 112 244 553 4 •
---*------0._ 94 2 571 • ' -
, •Nam
0 ;'WM lid)SKIM Wi- 126 "222 OW • ,
641EAH PIER Sly2DTS I NE NICE II IF INSTALUITIEN NIVIDAL•FOR IllaIllii CAPfallES e 2{141 MU- 20hE. in r-Ti& .— .02§,2 012 F,..j - --- DMA DILIT-1111 Iwo Icon'
•
.
!. - • suiErr •- • or - - c
c
krt i VONTACT WitNIFACILRING DIVISION f13R LIINGIIII IF FJERS WARM- N EKtED/IF MO .296 1130X LENGTH. • •DERNRITTION. IINN.WINC N1114131SN N
: . DOORS/ SLID*MASS EOM?,WOWED MINERS MD OPTION& 1.+1RGE VINDOVS', I—iFt—dna
•: am —gimil - 61J-0f, •• 6420-3Ck-2p-cATH•• • . . • 9802-CT.- .-
: •.. . ..• ...
. . .
. • _ . . • • . • -• •
• . _ ._ . ,
__-• -- - --•
04/25/2E101 :12:51 5137925838 NORTHWINDS MOBILE FK FigGE El?
Fop e • 1---t9
. •
I •
•
•
• _
• •
1,‹ 1
Leto *,
),
•
IVRA Q.L1' 4i't• .
•
\e"
•