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2000-083 wAn�Nr o Uertii ' cate cl,cu anc f 0 p Y Town of Queensbury ,m Warren County, New York Date Mara 3k 2000 . 2fl@0033 This is to certify that work regested to be done as shown by Permit No. has been completed. This Structure ina be occupied as a MOBILE HOME LOT 91 HOMESTEAD VILLAGE tocatioll Owner BERG, TRAVIS L. 'SAX MAP NO, 93 a-2r1 o 1 . By Order Town Board T N,0F QUEENS. Y x Director of Buiildin,g Code Enforcement ��1wgw111MW1„9V N�MwvwIRM1 BUILDING PERMIT Town of Queensbury, 742 Bay Road, Queensbury,NY 12804 County of Warren (518)761-8256 VALUE $ 25000 Building Permit No. 2000083 TAX MAP NO. 93 . -2-11 . 1 BERG, TRAVIS L. Permission is hereby granted to LOT 97 HOMESTEAD VILLAGE Owner of property located at in the Town of Queensbury,to constructor place a MOBILE HOME at the above location in accordance to 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. Lj Oj0vgilr'!kM9 'EAD VILLAGE UEENSBURY, NY 12804 Contractor or Builder's Name: LENS FALLS MOBILE HOME INC. Contractor or Builder's Address: 9 SARATOGA RD ANSEVOORT, NY 12831 Electrical Inspection Agency: NEW YORK BOARD NEW YORK BOARD OF FIRE UNDERWRITERS Type of Construction: MOBILE HOME Plans and Specifications: 980 SQ FT MOBILE HOME AS PER �PLOT PLAN SPECIFICATIONS Proposed Use: M BILE HOME 35 March 14 2002 $ PERMIT PEE PAID—THIS PERNET EXPIRES (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 of Queensbury this 14 Day of March 2000 SIGNED BY '� i for the Town of Queensbury Code Enforcement Officer Application for Permit— Mobile Home Town of Queensbury, 742 B.ayRoari Queensbury, NY 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 In I Office Use i nn iL4-)1 o 1 S. File Permit N%20, 00_ Address_ kNk?_ ram'S'c A l G�tL�� Fee Pad . Reviewed By: o MAR1 � 200t 5 Phone No. 94 !aLOING AND M IE Parcel Information Property Owner Information Proposed Date of Placement: Name: � � Property Location:w��f11 U' ��{ Address: 111�op 2rc1E- P_1/ Road,Street,Avenue Sbud-4Name of Mobile Home Park: mes'Tlm 1� Cf applicable) r ! o9k f Phone No. �( --2 Tax Map Number: Mobile Home Information Zoning Information Approximate Value of Home:$ 2 _t7YO Zoning Classification:L. 0L'--e; &S Z�� New Home: Yes No Size of Property: ft.by ft. Replacement Home: Yes - Na l� . v ' Existing buildings: Size of Mobile Home: -ft. by ft. - Setbacks: front yard ft.; rear yard ft. Singlewide: Doublewide: Side yards ft.and ft. Number of Rooms: (exclude baths) Number of Bedrooms: 3 Accessory Building(s): circle Number of Bathrooms:_cP,,_ Detached garage: 3 car, 2 car, car circle: Gas Fireplace or Woodstove Attached garage: l car; 2 car, car Storage building: Yes No Foundation Support: Other: TYPE SIZE&DEPTH Water Supply. circle Piers — Runners Slab well unicipal Further information requested on the reverse side of this sheet Name of Installer or Mobile Home Dealer: Address: Phone No. L State of New York Division of Housing&Community Renewal Insignia of Approval of the State Building Code Complete information below found on a"plate"or"sticker"which should be affixed to the mobile home. 1. Insignia serial number: 2. Name of manufacturer: .3. .Plan Approval'Number V b/ 4. Model or Component Designation: (New Home ONLY) 5. Date of Manufacture: — `� `� 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. Signature: e owner,owner's agent,archite ,con or Special Conditions of.Permit Form: 2 311 s11999sh Code Enforc ment Officer Mombar V.P.A.&1A.EII, ► UNIC 1 N O, INCI a NEW loR E(ut 'of (utilicaU Elocirical and Fire Impeclioo•Enlorcing&Consulting Sete 991 McLoao Road,cofllaod,NY 13A � ���I � DATEI1 CERTIFICATE NO,: - 22fil OWNER, AS APPROVED FOR: ADDRESS:Alph Ave. . I . I This xllllolt apples only to tho oiaclfinl wiling and ogoip ul listed abovo on the Doted date. wllza is oxp mo l or lgllod on this visual io shoo'this allllic to Oill bo ua id for a p to ELECTRICIAN. Bflsh hildt-rOA �;, 'fl� # , �,�'�,c r�, � (� o abouo notod datol Shooid tho oioctc�cal systo�bo aitorod in any way inc uding,but ,rAy N yty��N�", JJ li introduction of additional olodliul ogolp�ont this alllliA shal *omo uoid t'F !+{N,t�111� 1tl ! 11 t 1 1 1 1 #; , , ,1 tion, is uflt 110 apphas only to tho occupancy nso and ownodlh as i d ul d hmlp. ADDRESS; , , $'$* � than o ho use, occu ant or owno�shi of tho co of indicatod abouo the ufllll ale s ose ., inlmh km uoid,it for an coason this xlilic It kom invalid duo to the above mantic conditions,a Now York Atiaolic-iniond,inc,is norms to validato tho instal ationl I 1 AI.27 - Tc)owh- of Queensbury Building 8c C ode Enfcarcament - %>" 742 Stay lRcwmi ! Ctueensbury, NY 12804 - (518) 761-8256 DATE INSP CTI�N REQUEST RECEIVE LC�CA'TIC3N:� h DATE: �- - PERMIT M+I��ILE Z�+C'!►M� Mi�r1��L,AR H+t��lr![L�" FOOfTII*-TGS FC7LJNDA-rIC3N BACKFILL FI2AiVIIi�TG 1. fouridatxon ,support, pier sp cing per xnanuf_ -- ----------- ---- - ----- _ anchori$g per rr,Arltif_ -_ ---------- 3_ water lirse shut off ---- -- ---------- 4. sewer line suppc>x-t 4 f t ....... 5_ Yc�a.tin,g crossover (dblewi ) off ,g _ 6_ dryer vented cutsid� - - -- -------- 7_ skirting ventilated --- --_ ---- -- --- - S. hot water relief valve pip- g outside 9. deck, porches, ,steps, raili g ........ 10. f urnac�;/hcA water c),j3erat' g ........ 1 1_ garage fire proofing ---__ __----. . _ 12_ door closers -- - ------------ ------- -- 13_ plumltArxg fixture. -- --- ----- ------- ---- 14- foundation insulation (if 1.)..... . IS_ smoke detectors ---- - ----- ---------- 16_ final electrical ------------- --------- 17_ variance required ------- -- ---.-_---- 18. data platy okay .._......_ . ...... . . . 19. nacsbrilc, IAA JIE► seal-okay - ----------- Model # - Serial # IVlanufacturer Data of Manufacturer � C�K.AY Tt� ISSUE ClC�► YES. N+C>. Comments: _ ����►'�. �N�����T•O�'oa �iC��PGA�'T - - Town vf-C�uEnsbury Building 8k Code -anforcement 742. E3ay Flpacl C;Wc r6nsbury, NY = 12804 (518) 761--8266 - L:+A"TE INSp'LCTIC�N RE[�iJL?ST I2E,CEIVL `_ � r+( LOCATIflI�i: �� > Ole 6 DATE: c EiI'T. # lr't�I��iiLE H®11�E - A�i31t?itiJ`Y..J�a�i HQ5►�� - Ft3oTI�TGS FOCT1iTDATIDI�T BA�KFILL FRAIVIII�TG • y YES H.C1. 1_ foundatioa>E support, pier spat' _ -• • - perrnanuf ----- --------- ------ 2_ - 3. vvater xine shut o ......_.. ..__.... 4. sevver line suppo 4 f t . ._. 5_ I->leating crossover (dbie off�grd_ 6_ �ryei vented outsides _--� ----------------- 7_ slcirtir><g ver>ltilated _-- ----- ---------- 8- l c3t vvater relief valve pipirig outside 9_ d+eck, porches, step railing _.. .__._ 1©. fiIrraace/l:.ot water pratirig ........ 11_ garage fire prod g ------------- ----- 12_ door closers -- - -_ . - ------------------ 13_ pli;r,tbing fixture -- -------- - -- --------- r 14. foundation-'insulaticin (if appl-)---- -- �/' 15. sarnoke detectors _____ __________________ 16_ fYnal electricax _.__._-_- _--------_-. 1?_ variance required -----_---- -- ---------- 1S_ data plate 6kcay ------- -------------- -- . 19_ mobile HUD" seal okay ---- -- - ------- - lillanufacturer � _ 00, IJa.te of Mar�.ufacturer •_ �� ��` �' � OKAY TCC> YES NO 4 NL 4-A (�O NOTICE BURY ANCHORING OF MOBILE HOME `OWN ' FRAME IS REQUIRED PER BUILDING ? ;; - :� �° MANUFACTURERS SPECIFICATIONS REVIEWED BY r � ©ATE MAR 0 2000 ",BURY :1^1E r N OF QUEENSBURY BUILDING DEPARTMENT Based on our limhed our e ss c0rnmenshall compl'ancewitn not be construed as ind'rcatin9 the ' plans and specificat1ons are In fug Glens PallsiMotiile.&Modular Homes ,,. compllancewithinecx�de. 39 Saratoga Road, Gansevoort, N.Y. 12831 NOTICE i KRAFT PAPER INSULATION MUST BE COVERED BY NON-COMBUSTIBLE BARRIE 518 - 798-2801 D�a FAX 518-798-2803 NOTICE Copy FOAM INSULATION MUST BE COVERED BY A 15 MINUTE THERMAL BARR,���r _ ` 3040 IV Cwr it wr -LLLLLLLLL ""'"!L`�"_ _L L L DINING L t_IVING SECOND L L L L L L L ' L ��1� ' L BEDROOM 8,_ x s-4• — LLLLLLLLt_LI_LLL .L_ _LLLLLLL IL.L w-s x toW t _hit - ___ _------ --- ----- MASTER L L1_ti _LLLLL —THIRD L L BEDROOM �"�'-L —L L L L L BEDROOM UE�_L*N i i Dom tr-s x ta-b- — 81ww x s•-to• Li aersa ao.o aos� 3BR, 2BA, TWO FRONT BEDROOMS MW147011 tP PPOUVED MAR 1 o ZO `f���yy',��'cggt, C)F<Ed s . s�l��gq� F��(