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2001-751 01111K - .40014.4. TOWN OF QUEENSBURY Fr , 742 B R a ueensb NY 12804-5902 518 761-8201 Fos 4 aY o �Q �Y, ) Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20010751 Date Issued: Friday, November 02, 2001 This is to certify that work requested to be done as shown by Permit Number P20010751 has been completed. Tax Map Number: 523400-309-009-0002-001-000-0000 Location: LUZERNE Rd (LOT 9 ALPINE AVENUE) Owner: HOMESTEAD VILLAGE L P Applicant: CRYSTAL HESS This structure may be occupied as a: By Order of Town Board Mobile Home In Park TOWN OF QUEENSBURY (1"- av,P ,/ Director of Building&Code Enforcement ��� TOWN OF QUEENSBURY s 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 fF Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20010751 Application Number: A20010751 Tax Map No: 523400-309-009-0002-001-000-0000 Permission is hereby granted to: CRYSTAL HESS For property located at: 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: HOMESTEAD VILLAGE L P Mobile Home In Park 30,000.00 4294 ROUTE 5 Total Value 30,000.00 CALEDONIA,NY 14423 Contractor or Builder's Name/ Address Electrical Inspection Agency SHO MOBILE HOME BROKERS USED MOBILE HOMES 3048 ROUTE 50 587-6704 SARATOGA SPRINGS.NY Plans &Specifications 2001-751 CRYSTAL HESS 14' X 70' MOBILE HOME AS PER PLOT PLAN SPECIFICATION Lot 91 Alpine Avenue,Homestead Village Mobile Home Park $33.80 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday, October 11,2002 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the ex siration date.) Dated at,the Toju4nsb, ►, • . !. sday, October 11,2001 SIGNED BY Y ' \ for the Town of Queensbury. Director of Building&Code Enforcement Application for Permit— Mobile Home Town of Queensbury, 742 Bay Roact Queensbury, NY 12804 (518) riC 761-82 �C ' permit must beobtainedbeforeplacement of mobile home onparcel. No inspections will be m'd Eri A building us p la until a valid building permit has been issued. OCT 0 2Q0' Applicant Information TOWN OF .Office Use BUILDING��p SOD R� Name: 6-" a 74 L e S 5 File Permit No.r-- ��f " 76 E 8.9 Address: Pd, 06( '/S Fee Paid .3 _1 kQ-a �(6 l)-FQ/ Reviewed By: Phone No. 7 e 'd 5 O 47 , , . . Property Owner Inform on Parcel Information Name: 6 1d, Proposed Date of Placement: 9/ :Vok-e, ,,j e / �-�/ mohs rc, el,er,, Property Location: d/(L(3,2 L ih e'44 Address: l�cic��C�e . RAv ue Name of Mobile Home Park: 5kde- i#/i t_____ (if applicable) Phone No. : ,•� "l_j�01-6—' 6/3 d 2 1' Tax Map Number: / / L ' c0e rr)' ks Mobile Home Information Zoning Information 31) Approximate Value of Home:$ 000 ` 3` 1 J Zoning Classification: New Home: Yes) No Size of Property: J ft.by)d(J ft. Replacement Home: Yes Existing buildings: Size of Mobile Home: /47 ft. by 70 ft. Setb_a_c_k_s: front—yard ft. ; rear yard aft. Singlewide: / Doublewide: —-Side'yards 3 0 ft.and 0 _ft_ i Number of Rooms: (exclude baths) 5 Number of Bedrooms: 3 Accessory Buil ' g(s): circle h`a. Number of Bathrooms: ,p ` Je--% Detached gaga : 1 ; car, car circle: Gas lace/ ve/Woo eplace Attached e: car; 2 car, car St a building: Yes o Foundation Support: er: - a,,--,,,,,o,' TYPE SIZE&DEPTH Water Supply. well or municipal Cro&sik Zak Runners vk l x G1 /4.— x Is Septic Permit Required? es5):r ) No '2 7`7(-- s S 71s Rae-LW/SP) 6 Further information requested on the reverse side of this sheet 11, Name of Installer or Mobile Home Dealer. JAL, v —/ 4 c Address: oZ / I y p Lc- Q c _ ! al p ,7)-2J Phone No. 510 ! 3 6 5 A-2(. 20-O(i' Complete information below found on a"plate"or"sticker"which is affixed to the mobile home. 1. Insignia serial number ', 4 f 2. Name of manufacturer. • 7�("z!'f a✓-7 cf 5 3. Plan Approval Number: 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: owner,owner's agent,architect,contractor Special Conditions of Permit By Form: 11/19/1999sh Code Enforcement Officer FINAL INSPECTION REPORT MOBILE / MODULAR r1" Town of Queensbury ,,,,,/ Le- Building & Code Enforcement 742 Bay Road �01 Queensbury, NY 12804 , ' '- (518) 761-8256 Q,it"' I ARRIVE: DEPART:,�i'` INSP:3 2 DATE INSPECTION REQUEST RECEIVED: P/ / GU NAME: d i A 1✓.1 LOCATIO r. :Tl..-,40 b--e // DATE: I/ 2 ,202.) / PERMIT#dot 1-d)57 AZ MINI MOBILE HOME MODULAR HOME FOOTINGS _ FOUNDATION _ BACKFILL_ FRAMING'_ N/A . YES NO 1. foundation support, pier spa ing per manuf. — — 2. anchoring per manuf. .. _ /3. water line shut off _ V___.4. sewer line support @ 4 f- V 5. heating crossover (dblewi..- off grd. 7/ — - 6. dryer vented outside ..4....7. skirting ventilated __ /_ 8. hot water relief valve pip' , outside 7 _ 9. deck, porches, steps, r:• ing _ _ 10. furnace/hot water..o -rating 11. garage fire proofing _,( _ 12. door closers _ 13. plumbing fixture _ V — 14. foundation insulation (if appl. _ V 15. smoke detectors�/ 16. final electrical NIP I b. ! d I _ j 17. variance required _ — 18. data plate okay _19. mobile HUD seal okay _ Model # 2(erQ3 U :erial #f 12 7✓ 5r C) Manufacturer - rwu Date of Manufacturer /01Z4�O OKAY TO ISSUE C/O YES NO Comments: OP�rJ�r�c_PLIOOPLOrPLPEEPLIrJMr�r�r�rJMP LEM PEPLI PEJ�rJ [MP r_PEPLIEPE_PEPr�rJ �E.PL t El 5 5 BY THIS CERTIFICATE OF COMPLIANCE THE NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 5 5 BUREAU OF ELECTRICITY 5 5 40 FULTON STREET - NEW YORK, NY 10038 5 CERTIFIES THAT h. � � Upon the application of upon premises owned by ) 5 e5 CRYSTAL HESS CRYSTAL HESS 5 91 ALPINE AVE QUEENSBURY,NY 12804 GLENS FALLS, NY 12801 CX 3415 5 c5 5 Located at 91 ALPINE AVE QUEENSBURY;NY 12804 — - - - --__ - - -- -- 5 5 S 5 Application Number: 1024876 Certificate Number: 1024876 5 5 Section: Block: Lot: Building Permit: BDC: A239 5 5 Described as a Residential occupancy,wherein the premises electrical system consisting of 5 electrical devices and wiring,described below, located in/on the premises at: C5, 5 single house trailor,Outside, C� 5 5e was inspected in accordance with the National Electrical Code and the detail of the installation,as set forth below,was 5 found to be in compliance therewith on the 30th Day of October,2001. Name QTY Rate Rating Circuit Type Service Crj, 1 Phase 3W Service Rating 100 Amperes EU Service Disconnect: 1 100 cb 5 5 Meters: 1 5 5 5 5 5 5 5 5 5 5 5 5 5 5 seal 5 l of 1 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. 5 5 OP PrPrJ�rJ�r�r��P�Pr�rJM�rJP cDrr_PLI JP EldPc_rrJPM�LIMPEEPLIPP LI-0M 0 41Mir litikn-'42.:'. saw=imp, - gini v . •.:. . .,..: ....,. ...• 6 Suncrest Series ....m.milik , 0 Y. 0 u j CD >•• S LQI g C=, ..... ,..... -.YZ Uli " gPLY.-..I!';:',...:;7:.:40.:....%'.::.:::...:,M:;;:i.....M..;:::.:E.:'''''':•:!: :::S.2 Model 2663U \ = -Ili 0 I— 13...g . C..) 0 04 (__61 ..-1 ui c) g5 Et p-co Imo ... jil r = BEDROOM#2 • .5!..o"x 9'-4" ggliblUirAt • I,_r, , #3 afri,..441 EY-6"X12.-4" BEDROOM#2 ,..- 8%0"X 7'-4" !• : DOOR % BC) 1 . .:i; 1*.t, ''' 1 , BEDROOM#3 5.-4"X 12'-4" _ • ,.r. arf.,.h .:1‘-'cro! • - . , 14 • !.1:. al "1.. ..-.—,...; F.( ..... .. • , . • •••• ..._ ...,„.,.{VIA V. OPT HALF OATH ("1.‘"4" OPT.FULL BATH -4----i:!•tn-::'',: ::.;;;.:1,- $;:: '-i',,v4 v,....isq• . 660" OPT.wOw. v ......„.t \ 2 0 OPE SHEIF1071,_0 JI:.:b:I..r.1:1"..1.1..ILI 1.1.;.1 1 1.i I 1.1...0. On OPT. biiiIINGT.GLAS5 JACK WAS ........,„........,)„. ..,,,/ .! !UTILITY:i il,".1.11.1! ! I I, ! . . : , AREA; : I ; I i ; :: .......... OM •• ' . : l ' ; : • I ! , ' ! ; i , II":el-C'XT-9" ! ' i ' 1 i •• -4-11, • . . ::i.' '.!j!! : 1 II.1.1:111 . .i.i. ;.; i.1 JACK ;j1 . ." ' ' '-'.i.U. J..1..1..i.f.LI.;.' ;.1...i ...i I ..i. l' ,_. f "'"'"' .1.1.:..., 1.;. ; ! , i 1 : . ! ;i ; LIVING ROOM 0% 1Y-4" 1 BEDROOM#3 13'4" MASTER -,'Y' 0 Z '*;•!*1* -I I ! ; ; I !.I i I . ,.; :... , WALK-It I3EDROOM ; ; • i . 13 P•* ':•1 : I : " ! '1 ; '. 14%10"X 12'.4" 1 CI(75r r 1Y-4"X 12%4" i 1.! i I ' I ' I ;IR i ' . • (TO 1-••14-t•-ti-(!i•Tql:11LP.-!:;•1 4 :.; — • • • C50 111:t1::!7.1.:!-i 11 i..1:4. • • i i , : orr. - — !';;>4..' ' • • 1 'r:=-.7?• -4-ri IOW ... r-------1 11 orr JACK ED i----11 0°1 I-1 L547:1711-4-P / 114N1 1----1 = JHA0CNKE '-''=." "-'''''."1 /.7:77:i .i• ,.V., 1 TRANCE OPT.WM. . 1 EN . 1 . ., I 3 Bedrooms - 1 Bath • 879 Square Feet ,....• .,•,,,,, •