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2000-294 0 ^C'91vPnl" ^Y ) ertl luate o U, U ailU Town of Queensbury Warren County,New York 9, This is to certify that work requested to be done as shown by Pen nit Na 2000294 has been completed. This structure :nay be occupied as a MOBILE HOME Location_ . ...LOT R HOMESTEAD VILLAGE TAX MAP NO. 93 . -2-Ilol By Order Town Board TOWN OF QUEENSBURY Director of Ulding& Code En>l'areernelit BUILDING PERMIT Town of Queensbury, 742 Bay Road, Queensbury,NY 12804 County of Warren (518) 761-8256 VALUE $ 1600 Building Permit No. 2000294 TAX MAP NO. 93 . -2-11 . 1 Permission is hereby granted to S IMS , MICHAEL Owner of property located at LOT 60 HOMESTEAD VILLAGE in the Town of Queensbury,to construct or 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. Owner's Address: 4294 ROUTE 5 .. CALEDONIA, NY 14423 Contractor or Builder's Name: SHOWCASE HOMES Contractor or Builder's Address: 2712 ROUTE 9 MALTA, NY 12020 Electrical Inspection Agency: Type of Construction: t MOBILE HOME Plans and Specifications: 980 SQ FT 1983 MOBILE HOME- AS PER PLOT PLAN SPECIFICATIONS . ° Proposed Use: MOBILE HOME 60 May 15 2002 $ PERMIT FEE PAID—THIS PERMIT E)PIRES (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 thZT �f Queen b s 15 Day of May. 2000 SIGNED B for the Town of Queensbury ode Erdorcement officer Application for Permit— Mobile Home -Town of Queensbwy, 742 Bay Roam Queensbury, NY 12804 (518) 761-8256 A building permit must be obtaiped 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: &I-vLeze i s. File Permit No. . do Address: �,_ez ln_dn . //di = -Fee Paid r Reviewed.By:; Phone No. 7 L3—f d 6 Parcel Inf anti IV D Property Owner Information MAY 0. 9.2000 Name: f (J r/ Gf Proposed Date of PlacemeT® BURY 1 Property Location: . BUILDING AND CODE zo zu� Road, t;Avenue Name of Mobile Home Park: ff applicable) Phone No. ')_ � Tax Map Number: Mobile Home Information Zoning Information Approximate Value of Home: $ Zoning Classification: New Home: Yes Size of Property: ft.by ft. Replacement Home: Yes No Existing buildings: Size of Mobile Home: ft. by ft. Setbacks: front yard fL ; rear yard ft. Singlewide: Doublewide: Side yards ft.and ft. Number of Rooms: (exclude baths) / r7 Number of Bedrooms: Accessory Building(s): circle Number of Bathrooms: _ Detached garage: 1 car; 2 car, car circle: s Fir la /Woodstove/Wood Fireplace Attached garage: 1 car; 2 car, car Storage building: Yes No Foundation Support: Other: TYPE SIU&DEPTH Water Supply: well or municipal Piers x Runners x Slab x Is Septic Permit Required? Yes or No Further information requested on the reverse side of this sheet W Name of Installer or Mobile Home Dealer. A41 410, OF Address: /o� j i) A Phone No: Complete inform0 bel ound on a"plate"or"sticker"which is affixed to the mobile home. 1. Insignia serial number: 0 7-�rrI 3 2.` Name.ofmanufacturer 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 Warred 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 WELDING 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. Signatur . owner,ov&iN agent,architect,contractor Special Conditions of Permit By. Form: 11/19/1999sh Code Enforcement Officer -,Oo -rc>wn of Ctuetanst>ury MuilclinCj .6k C=cKJ49 EEnfcwc4qm*3nt 74:2 Oeay Flcmxcl C)uea nst3ury, NY 12804 (518) 761-82561 DATE INSPECTZt7N REQUEST RECEISTEI?: NAME: C_ C- J2 -.1loor JFACXDrrEtl,T4C-xS FZEZ-AX"l1'44C-x f6u1ndaticma support, pjL4--r spacing PC--r- rrla-tx"f.. .......... ........ . ..... aimc--1bLcorixxU pf--:r rrmiiiif- ----------- ---- vvntt--r lixxf-- S13LXlt Coff .... ............... 4- sewer lirit-- support Q> 4 fct--t ------- 6_ dryer vented outside ------------------- vtnmtilated . .... .:------- -------- 9- licit water relief valve pxpxxig c3Lxtsiclt-- '590C railing- popvc-Alt--s' Steps, rELi g -------- �rV 9- vrc>cfixla ----- ----- --- -- --- c--16sv-rs -- - - - - - - --- - - ------------ -- 13_ plxzxxxlaing fixture- --------- - -- ---------- 14. f6xuxdaticm iiasudaticm (if appl-)------ JSsxxxcok*-- cL--tAa-,c--tc>rs ----- ------------------ 16- final electrical ------ ------ --- --------- 17- -va-rimaca-ea- vc-Aqudx-e4d --------------- --- --- - is- data plate okay ---------- - - -------- --- seal Cok-ELY ------------- - # Serial # Date of Manufacturer COKAY l0000r -rc� ISSUE 4--/4c> YES ND F1 ",jM,L !!'��GPECTlO!!� REPORT !�ilOBl�E J lVl�©�JlL�R Town of C lu4a nsbury Building 8L +:deice EnfC)rcomlBnt 74 2- Bay► Road t;)utaonsk)ury. NY 12804 ARI2_i'�TE: DEF'AI2T;,/' /•r- '���NSP: `✓ ��'""�'�"'"~~ DATE INSPECTION REQUEST RECEIVED: LOCATIOri: � � 7z 1! L DATE: PEFLMIT_ # �- fj A+940PBILE H®ME 4CIPDLTL FL HOMlt FC7►CDrFI:rq<3s FCaL7i�TI7ATION BACKFI FRANiINC3 -71 IA r:ESO' NG7 1_ foundation support: pier spacing pc,r xxuas uf_ --------- --- - - --- -- 2_ anchoring per rri.anixf. .__. __ 3_ water line shut off --------- - - ----- --- 4_ sewer lirie support (gp 4 feet _. __ _-_ c3ff g _ 5_ heating crossover (dole de) rd 6. dryer vented outside -- --- ----------- --- 7. skirting ventilated - ---- ---------- - --- s- hot water relief valve p ing cautside 9- deck, pc3rcYaes, steps, ra 10_ fixrxi celhot water opera g __- --••- 11_ garage fire proofing - --- - - --_--__- -- 12_ dc3ar cic3sers -- -- --- ------- ---- ---- --- 13_ plumbing fixture. .__._. . . . -- --____._. 14_ fou a n.ndtio insulation (if ♦ppl_).. . . .. Is- smoke detectors 16- final electrical -•_- _ - � 1'7- variance required ... ....... ... ........ IS- data plate c)o y ------------ . - ___-.-- 19- mobile HUD seal ©kay --_ --------- IVlodel # serial # Bate cif Manufacturer OKAY TO ISSUE C/C� YES NO -rc>wn of. C)ua nsUury Budding 6k CNDOie enfcwcetmetnt . 742 E3.-ay F:lc3c-acf C:juaEmsk3ury, MY -- 12804 (Sl 8) 761-B256 LIC)CAAIMIC)W: 1F<D4CXrlP-Tc;s 1_ foundation support, pier SP.-t ijng per rriarxuf- ------ ---- - ------- 2. arxc--hc>rirxs pc--x- rmaxl-"F- ---- - --- - - - --- 3_ water line shut c3ff -- ------ ---- ---- 4. sevvt--r lixxc-- support (U? 4 S_ heating crossover VV 6- ed ------------ - -- -- -- --- -- -- --- - --------- hot vv.-Lte-x- relief -v.-Llvf-- piping outside 9. decks P<>rx--Ues, steps, railing .... . .... . 10- fur-tmeaAbuot NwixWir operating -------- 11- garage fir*-- prc>cAixi�g .... ....* * *-* " "* 12- doorclosers ..... . . . .. ... .... ........... 13_ plumbing fi:)Ct-tl-rc-- --------- - - -- - - ------ - 14- foxmad.-xt1LC>rl MaSULlatic>lx (if ztjppl->.... . . Is- sxxxc)-Rc,- --- --------- - --- - - -- - ---- - 16- final talt--ctri4--nl -------- ---------------- 17- -vnriaxxoc-- v4aqxxircxl __-------.-. _- _-- --- - 1 s. data Platt-- okay ..... .. ................ 119- mobile I-XILJIX steal okay ....... ....... MC>Clf--1 hF Serial # Manufacturer ]EXatea- of Manufacturer ISSUE C`/C> 'YIES NCi 1 Gonurierits THE NEW- YORK BOARD OF FIRE" UNDERWRITERS E' I 808,1813BUREAU o I.EC LYY 40 FULTON STR T° NEW YORK, ,, 10038 , Date J 1 07120 - APpiicatio No. on file ,���1�3 0140100 11 459835 THIS CERTIFIES THAT k1� �7' '• ; only the.electrical equipment as described below and introduced the icant na on the above application number is in the premises of in the following location; 11 Basement Q 1st Fl. 0 2nd Fl, °�°lA a'� Section Block Lot 6o was examined on IMY 2512000and found to be in compliance with theNational Electrical Code., FIXTURE FIXTURES ' RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT, K.W. AMT. K.W. AMT. K.W. AMT, K.W. AMT, H.P. .f DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC"PT, TIME CLOCKS BELL UNIT HEATERS MULTI.OUTLET DIMMERS SYSTEMS AMT. K.W. OIL N.P. GAS N.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS, AMT; H.P. NO,OF,FEET AMT, WATTS SERVICE DISCONNECT - NO.OF _ __ . ._S - _ _ .R 'V, ' I C E - METER NO. CC COND. A.W,G: A W.G. A W G. AMT. AMP, TYPE EQUIP, 10 2W 1 0 3W COND,.,- NO.OF HREG OF RREG N0.OF'NEUTRALS OF NEUTRAL OTHER APPARATUS: FEEDMR r#`2 #4 F1101t DIS TO H -1 �L BAIR, iffr 12865 GENERAL MANAGER 39 Per LThI3ertificate must not be altered In any manner;return to the office of the Board If,incorrect. Inspectors may be identified by their credentials. f`.t1PY POP R(111 r)1Nf, i1FPARTMFNT THIA COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. IF=I"AXh.L- l"3S35=V==-lrlC3r%M FMW=5=C=XWMllr §%ACnlaaa§R_E=- 00' W46#§CMCML.JL_AoMhLFM Town of Cju4a nst3ury E3uiiclino 8& Code E=-nfcorcE3imq9nt 7421. E3aLy Fl<>;acl C)ueensk3ury, N*)r 12804 (518) 761 -8256 - ]PIEMA41r AFCyn ---- support, pier sp g per rrimaluF. ............. ---- ---- a3mc--l14c),Vixlj; per rrla-,mlxF- -- -- ------- -- vv.Ettt--r lineslillt off - ------- ----- - - -- 4 - 4 f t .. ..... heatingcrossover (dblewi CAT 4 dryer vented outside -_ti-- ------------ --- ... ..... ......... .. hot water relief p":rc,-Uv-s, steps, raAai ixig ..... ... 'ng 0 fury.Laefa-Axot water <>pera t 9 - ------- ---- --------- --- - - --- - --- ------ - - - ---------- 13- plxxna7bi-tx,- fi3ctu-rv-- - -------------- ---- ijasWaticma if appl.)...... ..... ........ .... . .. . . 16_ final electrical ----- ------- --- -------- -V.-jr-ja-jat--4C-- required ------------------- 18. plate 6kxty - ------------- ----- - CAcgxy -------------- Serial # Maziufacturer Date <>f Majm-uCgxc--turc--r —00o Of - CWCIALY -r4c> I1SS'U1F- C/O YES IF=1ff".A11_ ■9MfMl ►MOTION"!" ��a►��!'T B%nOi sal-Pm- !- t%.fmOl L.ML-A _rC~h ©f QuE: nsbury Budding 8k C 36*3 Enforcement 42. Say Road +CQuoensUury, N)r - 12-804 -(518) 761-8255 ARRIVE= DEPART: / � � INSP: ��� DATA IN,SPLGTEO�I REQLTL.ST I2E�LIVEI�: "" " NAME_� �� �r`-L t3 '�_v d3��G� i``�, �'�► J c ��: I>A'TE: P'ERl IT_ # "" ! "`: Fix®j&ElL.E HAl�E Mt�Y3ICJLAY� E�t9ME Fc3QT'IIVGS FOLFNI3A"I'IOi�I B CICFIi "i_ FRAMI�iG T3IA YES NO 1_ fourndation support, pier spac' g permanuf_ ---------------- ------ 2� anchoring per manuf_ ------- -= - -- -- 3_ water Iine shut ©ff --- -_---___ -- ---- 4- sewer Iirze suppc►rt Cto 4 fit . . . . ... - S_ heating crossc.7x r (dblewide) cuff d_ 6_ dryer vented ou 'de __'�-----_ -------- ------ k 7_ skirting ventilated - - -_ _ --- - - ---- S- licvt water relief valve pipin outside 9_ deck, porches, steps, railin ._... _. . - 1 O. f xrrtace/Iiot water ciperatirig ... ..... 11_ garage fire proofing -------- --- --- -- 12_ doc>;- closers -- -- --------- - - -- ----- -- - 13_ plumbing fixture ------ -- -- --------- 14. fcaundaticni insulation (if - PI-)_--- -_ 15_ srnoRe detectors --- -- ----- -- - ------ --- 16- Final electrical ---••---- ---- --------- 17_ variance required ----- ------ -- -- ---- 18_ data plate okay ----- -- -------------- 19_ mobile �II7I?" seal c� y ------ - ----- -- Model # serial # -'�'--,c�:►;i�=�`--, 't�-'.�-" Date ckf Manufacturer O £AY TO ISSUE C/O YES NO -rclwtn [of C�Uge- rsbury Bui#cfir3 gg S. +C�odE3 JF=nfc:)rcrametnt -742 -B.-ay Road - C?uo nsbury, IVY 12804 (51 By 761-8256 16 L7A'I�E INSPECTIQN REQLJE,ST R.ECEIVEL>: - - - DATE: � �� PER.Ml .��••/� 1�+f�SliLl� I-�+i�M� Mt3ti11L3Z.•A.� Hii+�1� FC�i'ZNGS FC?i�T,E�+T.3aA'I-i+C3N BA.�"'�"7�7' L FRA�R+�INt".�r 1 support, pier spacing perrnantif- --- -- ------------- 2. ---.- ----_ -- 3_ water line shut ciTf ------------- -- - 4- sevvt--r liras support Ca> 4 feet ....... S_ heating crossover fdblewic3el off grd_ _ dry+e.r vented ---_-. _-___-_. _ 7. skirting ventilated _.. . __. -- ---- -_ 8_ hot vvater reli f valve pip- g on ids 9. deck, porches, steps, rail.- g ........ 1C3_ furnacelhot wets ra ... . .... 1 1_ garage fare proofiixxg .... ... ........ . . 12_ door cicisers -- - ---------- .-____- _._ 13_ plurnbirag f-axture ------ --------------- I4- foundatioxx insulation f appl.)...... IS- smoke detectors ---.-- -------------- - I6_ fi.ual electrical ------ -- ---------------- 17_ variarace required --- ---------------- 18_ data. plate 6ka.y ---- - ----- --- -------- - I9_ mobile IFiUD seal o y __ ____________ Manufacturer �- fit' 1 �� � yU rr. - 3�a.te of Manuf cturer �� � UKAY TO ISSUE C/© YES ND- An -*-s-o::l 3 MAY 0.9 2040 . v� Queel,S® GA—D CO �� ��7r x TOWN O PUEENSB BUI URY tQWN OF QUEE gJLpl�1G E}EPARtMENT �DiN & Bandon r We exams shall EVIEINEI) 8Y comoian not be Ind bATE-foom are in hi l plVs and complla vo the code. u NUT cc NOTICE . j 5LS� ANCHORING OF MOBILER EFILECOPYUIRED IS REQ FRAME - ', MANU�AC�uRERS SpECIfICAtIONS ....._ .^^w'�"x::�^^c�-a�-^.aa. • ..— MAY "0 "OWN"OF QUEENSBLiFly, 3STEAD MOBILE HOME -PARK 1 { 5S 55 j'' SS " SS 5S 3S ✓ V r Sir. .roc .�, ✓!i T 5 {� `y"' j„At'^"41 M Tom.• �f ti' )I(j 4 5 64- Z 'a t o c■ tot t o z_ i a 3 I c 4 t o : " G. ,, , {'c r.I-t"S ..�►d.r c t r. s u ; �: ti - ti ��4 1t3 1LZ ttt