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2000-138 f anc.1,7 (PertlflcatufN Town ofQueensbury Warren County, New York Date April 21, 2000 2000138 This is to certify tk t work regested to be done as shown by Permit No, has been completer, Thi's structure inay be occupied as a�.W MOBILE HOME w Location LOT, 80 HOMESTEAD VILLAGE OwnerOLCOMp . ... . '.,.-,.. . . __.. �.,. _ TAX NAP NO. 93 a -2-11 . 1 By Order Town Board TOWN OF QUEENSBURY Nrector ofBuild g& Code Enforcement wwrw..rwir,.....ww.wn.,,w.srww•,caiw....n„wwi:M� mcwµ*�«r.orc BUILDING PERMIT Town of Queensbury, 742 Bay Road, Queensbury,NY 12804 County of Warren (518) 761-8256 VALUE $ 24000 Building Permit No. 90001 38 TAX MAP NO. 93 . -2-11 . 1 Permission is hereby granted to HOLCOMB, SCOTT Owner of property located at LOT 80 HOMESTEAD VILLAGE in the Town of Queensbury,to construct or place a MOR I r F Pomp, 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. Owner's Address: LOT 80 HOMESTEAD VILLAGE QUEENSBURY, NY 12804 Contractor or Builder's Name: GLENS FALLS MOBILE HOME INC. Contractor or Builder's Address:' 39 SARATOGA RD GANSEVOORT, NY 12831 Electrical Inspection Agency: NEW YORK BOARD NEW YORK BOARD OF FIRE UNDERWRITERS Type of Construction: MOBILE HOME _ Plans and Specifications: 1008 SQ FT- MOBILE HOME AS PER PLOT PLAN SPECIFICATIONS Proposed Use: MOBILE HOME $ 35PERMIT FEE PA][7-THIS PERMIT EXPMS March 30 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 expiration date.) Dated at thZTof Queensbury s 30 Day of March 2 L 00 SIGNED B ' for the Town of Queensbury Code Enforcement Officer ► Application for Permit— Mobile Home Town:of Queensbury, 742.Bay Road,, Queensbury, NY 12804 (518) 761-8256 A building permit must.be obtained before placement of mobile home in parcel. No inspections will be made until a valid building permit has been issued: Applictint Information (Jffice t1se Name: /� _ File Permit No. Address: lC ��ti Fee Paid Rev'ewed By: Y Phone No. _ ��� �2_1 l b c),f Property�r Information Farce"nforrnatio AR 2 8 2000 ' "m mProposedate ofPlaceme _. 1 Name: n Property-Location: - d- Address: Road,Street,Avenue Name of Mobile Home Parrk: �. (ifapplicable) Phone No. ( ,, . 2,7 Q C� �?Tax Map Number: / 1 ! Mobile Horne Information Zoning Information Approximate Value of Home:$JQ�� / ' Zoning Classification: �,✓�' New Home: Yes ' Size of Property: ft.by ft. Replacement Home: Yes No 11 J r Existing buildings: Size of Mobile Home: ! ft. by 7_Z ft. Setbacks: front yard ft.; rear yard ft. Singlewide: _ Doublewide: Side yards ft.and ft. Number of Rooms: (excl baths) ; Number of Bedrooms: Accessory Building(s): circle Number of Bathrooms: Detached garage: 1 car; 2 car, car circle: Gas Fireplace or Woodstove Attached garage: 1 car; 2 car, car Storage building: Yes No Foundation Support: Other. TYPE SIZE&DEPTH Water Supply. circle Piers Runners SIab well unicipal Further information requested on the reverse side-,of this sheet A Name of Installer or Mobile Home Dealer: j-Q �{ Address:( Phone No. {70 State of New York Division of Housing&Community Renewal Insignia of Approval of the State Building Code . t Complete information below found on a"plate"or"sticker"whidli'should be affixed to the mobile home. 1. Insignia serial number: G > 1 2. Name of manufacturer: i 3 3. Plan Approval Number j 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 corriplied 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: 11/18/1999sh Code Enforcement Officer Member NF,P,A,&I,A,E,It � � V(tn'x' I cutt UU AMI MUN01 MCI �� IS Eleclricalind fire Inspectioe•Enforcing i Consulting service Y Mclean Road,CoMand,NY 1304 DATE. CEPTIRATE NO.. � OWNER, Scott Holcolb AS APPROVED FOR: Housted fillay Ld IS, Nobile Hui: ADDRESS:Nee buq, NY � 1 III; Pole smiu Phis cortificato applies only to the doctrical wi q and oylpmoot listed above oc the Doted date, warranty is oxprm d or implied oo Ns visual iosp doe"This certificate sha 1 ho valid for a poriol ELECTRICIAN: ��` �� � � � � �� A " oco year from the above Doted date,Should the electrical system be altered 11 any way k d;but united to the iutrohdoo of additlooal eloctrical o ui moat this certificate shall become Void I ,this certiflda apphos ooiy to the occupancy oso and owe tls as licated hmlp. ADDRESS. ' e use,occupancy or owe dls of too property MIAa above the certificate s Aft ddi o become void,If for ao reasoo this cdficato becomes imlid be to the above mootioi ` ' Y�,.���r��=����' `�* � cocditio a re�icspectioo by how�oc�Atlaotictlolaod,loc is necessary to�a idate the icstallatioc, Al.27 -- 1 _ _.. Aim ��SPECT�OOrV RERQR _ 2%A01131E11-H—=- / !%A4=vOLJ.1-AOl ►R=- - -1-own- of c?ueensbury Oulicting 8L Code Enforcement ` 742 Bay R+caad - c)uocrosbury►, NY 12804 (518) __76 1-8255 ARRIVE: -�„ ►it��.�Iv7►EF'A.RT: �,�=e�.....�3I N���~ ,�^ ' DATE INSPECTION REQUEST RECEIV_ NAME: SATE: PERMIT —l��� FO(1TII�TCxS Fc3[JNDATTON I3AC"KFILL FRAMINGr N/A YES NC► 1. foundatic on suplticart, pi spa - g o-, perrr a reuf. .. ..... ........... . .... / 2_ anchorx`ng per irza nz a .. .. ... ... . ... 3_ water Brie s1+i"t off _..._._...- . ._ . �/ 4_ sewer Iine support 4 feet _ _.-__ ✓ �_ -heating crossover ( blewide� _©ff grd_ 6_ dryer vented c`iutsid _ - --------- -- - - - - =7 8_ hot water relief-vaI piping outside 9. deck, porches, steps railing _-__- _-- 10. furnacethcA water o rating _--__-__ 11_ garage fi;-e proofing -- ---- ---------- / I.2. door C--16sers . _ . ._ . . . ..._.... .._ 13_ glumbira g fixtiure ...... .......... . .. .. 14. foundation insulation f appl .... . . 1.5. smoke ....... .. ... ._. .. .... IL6- firxal electrical -------- -------------- 17- variance required _.._ ... . . ... . ...... 18- data plate 61c.- y ------- -------------- - i9_ rn©bite HUD seal cAca - ------------- t Model # - Serial # Manufacturer Date of Manufacturer c�KAY 'ro zssuE f--ADO Nc� Cfcarrr*�ents• - . T©wn- of Clueensbury E3ullcllno SL Cods -Enforesmant Q 742 .F3ay R+a2td - C:We+anst3ury, NY 12804 (518) 761-8256 ARRIVE. -;DEPART: � INsg� � _ I�►A-T�'. INSPE.CTI+Q!N R'F-+QLJF..,ST RECLIV�E, _ PERMIT M��IIL� I3C�ME � - Mt)DULA�i Hg9ME FOOrI'INGS FOLT�iDATION - �ACKFILIL FRAMIP�iG r-j A 1_ fc>undati©n support, pier spacing per znanuf_ ' ----------------- 2_ anchoring per inarnuf_ ----- ------- --- 3_ water line sUllf c>ff ______________ 4_ sewer lirxc. stippbrt Q? 4 feet S_ 13eatin,g cresss_over �cibl+�vvi.de) 'o- gr 6_ dryer vented outside- --z----------- ----- _ / 7_ Sk n irtig ven a tilted -------------- ----- •/ - 8_ hot water relief valve piping a tsid �Y� ,,,/ 9_ deck, parches, st+ Ps, railih .... . lo. furnac -"G- t � E te_ c�►p,�ra _... 11_ garage ---' ---- -- / 12_ char closers - --------- ------ - - - - -- ✓ 13_ Plumbing fixture ----------- ----- ---- 14_ foundation irxsulaticyn (if I-).._._. 1S_ smoke dtetectc),rs --------- __- --_--____ 16_ final electrical --------- -------------- 17_ variarice required _ -- ------ ---------- f 18_ data piste cikay ---- - ----- - - - -- ------- 19_ mobile HLT17 seal y -______-- --- F Model # Serial ManufacCurer- /_�— ©KAY Tc> ISSUE I-qO C�c�mments- Cl> lJli—:-- t' YOU ARE HEREBY REQUESTED TO INSPECTAND ISSUE CERTIFICATES - FOR THE FOLLOWING ELECTRICAL EQUIPMENT TO BE INSTALLED BY THE UNDERSIGNED FEMP.0 DATE J CITY OR VILLAGE ZIP CODE TOWNSHIP COUNTY STREET AND NO.OR ROAD POLE NUMBER %BETWEEN WHAT TWO 3 STREETS! M fiES LOCATED? SECTION BLOCK LOT " SOOCCUPANTS NAME/7"1 ./0{`*,. Lr'1 i� BUILDING OCCUP CY �t_C3` © l' fi�L S ci V 11 l �? 0us(Lz,L-)s �,lt } C OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONENUMBER BUILDING IS NEW❑ 5 OLD ❑ WORK IS NEW❑ ADDITIONAL.❑ DEFECTS REMOVED❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No,of Fixtures& MOTORS HEATERS BRANCH OFFICE USE Loca- Lamp Receptacles CIRCUITS ONLY tion Side Attach't H.P. Watts A.W.G. Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION OUT- SIDE ' SUB- BASE BASE- MENT 1 St FL. 2nd FL. 3rd FL. REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE. THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT. SIZE OF MAINS FEEDERS CHARACTER'OF'WORK ❑EXPOSED Applicant affirms that there is not an application for electrical CONCEALED inspection pending with a qualified electrical inspection DATE WORK TO BE STARTED DATE COMPLETED authority, for the installation listed herein. This application is valid for a period not exceeding one year SERVICE ENTERS BUILDING from the date received by the Board. i1 OVERHEAD ❑ UNDERGROUND DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER.APPLICANT'S I IDENTIFICATION NUMBER> I AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS N O. AP (CANT DATE OF APPLICATION SIGNATURE OF APPLICANT F -� t STREET ADDRESS TELEPHONE NO. CITY OR POST OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE ❑ 85 Jahn Street ❑ t1 i Washington Ave. ❑ 3291 Lake Shore(toad ❑ 217 Lake Avenue ❑202 Arterial Road NEW YORK, NY 10038 SUITE 704 BUFFALO, NY 14219 ROCHESTER, NY 14608 SYRACUSE, NY 13206 (212) 227-3700 ALBANY, NY 12210 (716) 827-1155 (716) 254-0141 (518) 463-2122 {315}463-8552 THE NEW YORK BOARD OF FIRE UNDERWRITERS i72 NOTICE 1 TOWN OF UEENSBUNY8u1t.D1NDEPARTMENT RING Of MOBILE HOME Nas d on our limited examinab, CN O com liancevithourcommentsshall FRAME IS REQUIRED PER not canstmedasind*te MINUFACTUR"Cl5all S On and specificatlons are in full c om liance it the code. F r i TO�N`N JRY BUILDING & PTO REVIEWED CY .� DATE on LL SCI Y 1 ai rzt,. '>y LINING _LLLLLL, ♦1 ;�„ S 4 � �' MOM I ; rd001 .'L �h r �x J',i ail, tii{ CIII i LLLL' L _-. rWT � CATIm OILING L L �-. ` KASTER SECOND ..�� i _LLLLLLLL DINING r THIRD BEDROOM BEDROOM LLLLLLL IN G� I-LLLI BEDROOM I t LLLL 6.7xI7.7 ;+ Gc mzwr k i rr. wr y; �R� 28A. FRONT DINING, LUXURY BATIK MW168097