1999-233 • CERTIFICATE OF= OCCUPANCY :
. TOWN OF'.QUEENSBURY
WARREN COUNTY, NEW°YORK. ' . " .
June 21 .. • 99 : ' .
•
Dice'. 19
- 99233
Thu is to certify that.work, requested to-be done.as ihown•by,--Permit No.
. hai been'completed. -
MCil32LE"HOME
This structure may be occupied as a '
. LOT 47 HOMESTEAD :VILLAGE � ,
Location
Owner • I3OYER.; RICHARD '' .
•
TAX MAP NO., 9 3 . -2-11,. 1 k • By Order Town Board -•
TOWN OF QUEENSBURY
&II .
• : ,Direc'tor of Bldg. do Code.Enforcement ,
BUILDING PERMIT
VALUE $ 47000=TOWN„ OF QUEENSBURY No 99233
TAX MAP NO. 93 . -2-11 . 1 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to BOYER, RICHARD
OWNER of property located at LOT 47 LUZERNE RD. Street,Road or Ave.
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 Town of Queensbury Building and Zoning Ordinance:
1. OWNERS Address is
LOT 47 HOMESTEAD VILLAGE , .
QUEENSBURYK, .NY. 12804
2: CONTRACTOR or BUILDER'S Name
GLENS FALLS MOBILE HOMES.
3. CONTRACTOR or BUILDERS Address -
39 SARATOGA ROAD.
GANSEVOORT, NY. 0
4. ARCHITECT'S Name
NEW YORK BOARD
5.ARCHITECT'S Address
NEW YORK BOARD OF. FIRE UNDERWRITERS.
•
6. TYPE of Construction—(Please indicate by X) .
MOBILE HOME'
( )Wood Frame ( 1 Masonry ( )Steel ( )
7. PLANS and Specifications, .
1344 NSQ. FT. MOBILE HOME AS PER- PLOT PLAN SPECIFICATIONS
8. Proposed Use
MOBILE HOME .
53 . May 19: 2001
$ PERMIT FEE PAID -THIS PERMIT EXPIRES . 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
- town of Oueensbury before the expiration date.)
19 May.. 1999
Dated at the T r dt1 ueensbury this Day of 19
SIGNED BY . 4'2 for the Town of Queensbury
Bui di and Zoning Inspector
{ e •
•s E I V D
MAY 1 0 1999
TOWN OF Q V ENSI3 UIZ�' TOWN OF QUEENSBURV
tiliV
BUILDING AND
_ CODE
REVIEWED BY: j
FEE PAID: �),:l3, op r
PERMIT NO. \';),,?)
APPLICATION FOR PERMIT
MOBILE HOME OR MODULAR
A BUILDING PERMIT MUST BE OBTAINED BEFORE PLACEMENT OF MOBILE HOME.
NO INSPECTIONS WILL BE MADE UNTIL A VALID BUILDING PERMIT HAS BEEN ISSUED.
The owner of this property is: PI 12 NieTz L.
P.O. Address: L L 2-e cA'UP a 61 Phone Number ?T2-2JC/Q
Property Location
W-S{P1) ti t g JTa x Map No. / /
NAME OF APPLICANT: gtC--{ J5 VXJ-ee,
Address of Applicant: LP-) j' U../V.,&-e/(701(1=V2 al)
All applicants spaces on this application MUST be completed and the
signature of the applicant MUST appear on the reverse side of this application.
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES:
4
MOBILE HOME INFORMATION �f 1' � �Al l RUX I MA I E VALUE OF HOME: $ 10 00_ 0
New home es No
)--- ZONING INFORMATION:
Replacement home Y2.es o
Size of Property: ft x ft
Size of mobile homeftx ft Existi
ng Buildings:
Singlewide Doublewide 1 ,
No. of rooms (exclude baths) �ij Proposed building-distance from property line:
Front Yard ft Rear Yard ft.
No. bedroom( -3 Side Yards ft and ft.
No. of bathrooms Occupancy Information:
Primary dwelling: Yes No
Fireplace ti Woodstove
Accessory Building(s) :
Foundation style and size: Detached garage (one car /two car car)
_Attached garage (one car /two car car)
Piers-No. of Size ft x .Ft Storage building —
Other
Depth below grade . ft
* * * * * * * * * * )4 A• 14 * * * *
Foundation-Footing size " x !"
Proposed Je�v l acemen t
Wall material
Wall thickness " Height Water Supply: Well Municipal
Total depth below grade ft. Septic permit required?
Grade to home floor, level ft. •
FURTHER INFORMATION REQUESTED ON THE REVERSE SIDE OF THIS SHEET
NAME OF INSTALLER/MOBILE HOME DEALER:
ADDRESS/PHONE NUMBER f )11Alip
STATE OF NEW YORK DIVISION OF HOUSING AND COMMUNITY RENEWAL
. • INSIGNIA OF APPROVAL OF THE STATE BUILDING CODE
1. Insignia serial number (o_sw ) Ku(
2. Name of Manufacturer
3. Plan Approval Number P I ' 1 q. 31, ` NcfV r -/2__
•
•
4. Model or Component Designation V\lk J
5. Date of Manufacture `�1—� '' ?f •
•
•
• Al 1 the above information is to be found on a plate or sticker which
should be affixed to the Mobile Home. Complete above with that information.
•
Town of Queensbury State of New York
County of Warren
• AFFIDAVIT
I swear that to the best of my knowledge and belief time statements contained
in this application, together with the plans and specifications submitted,
• are a true and complete statement of all proposed work to bq. done on the
described premises and that all provisions of the BUILDING CODE, the ZONING
ORDINANCE ,' and all • oilier laws pertaining to the proposed work shall be complied
with, whether specified or not, and that such work is authorized by the owner.
Signature 5‘CU-k1/6-4-Lidltg/(
Owner, owner' s agent, architect,
contract r
•
SPECIAL CONDITIONS OF PERMIT:
By --
Code—Enforcement Officer
DECLARATION: Please sign below after you have carefully read the statement. ..
•
'1'o the best of my knowledge 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 noted, and •
that such work is authorized by the owner. Further, it is understood that I/we shall submit prior to a
Certificate of Occupancy or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; drawn to scale, showing actual location of project on premises.
Signature:
(owner, owner's agent, architect, contractor)
1AP_'ASMI_lJ_e.MS1 V_e )_0A!').4_l •l' 1t 'JAW__l'J__l'')...Q WPAV_z:!SAW l'J. 41,09.l'"!Al!A!J_ A "!J_l _l' _l'),• •121egJ__l' _•_(Vege -1,ttl !_eell'JIM4V.M111 W,
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE
=G 40t59465 rY
�1 BUREAU OF ELECTRICITY I)!
{i 111 WASHINGTON AVE., SUITE 704, ALBANY, NY,12210 y
-<1 V U I rCi, _i Q�9.,ni -_;t3`_1 QQ9? 9'- t'A 1 428 3 r�
•(I Date Application No. o file_ Ir
THIS CERTIFIES THAT `'t��Ir NO 99 233 A
only the electrical equipment as described below and introduced by the -- e on the above application number is in the premises of iA
:G r�
:-(1 I),
WI RICHARD L. Z3OYER 3R. , 47 HOMESTEAD, QUZLWSBURY, NY
IA
4.14 in the following location; ❑ Basement ❑ 1st FL ❑ 2nd Fl. Section Block Lot iy
7Ai was examined on JUNE 11 a 1999 and found to be in compliance with the National Electrical Code.
11 I):
•(i I}
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
:(I OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. IY
14
WI 1-i
1-Q DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS IF
it BELL
1' AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT: AMPS. TRANS. H.P. NO.OF FEET SYSTEMSEET AMT. WATTS 'j
. --SERVICE DISCONNECT..•. No.of , _ _ . S- . E.--• R - -V I C E .,
!(1 METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. 1}
:G AMT. AMP. TYPE EQUIP. 1 0 2WMEM 3 0 3W 3 0 4W PER 0 OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL ,
•
WI
OTHER APPARATUS: y
•(1 5
FEE'.D.P?r #2 #4 FROM DISC .2 M?;i-1
J PAt�T.E`LBO gRDS;_1-2 CTR. 100 i•
•(I I
WI 6.1171
IT_
•
:CI rY
q!
=(I r�
�@ 1)!
_nu. .vFENS FALLS MOBILE Fv, L
..2. J, rY
14
eOhS 1 . %I
39 SARATOGA RD. ., ifs.;; !. S,�Y N•_ GENERAL MANAGER
1 -:..." ,-►--e 1^`- Per
l This certificate must not be altered in any manner;return to the office of the Board if incorrect.Inspectors may be identified by their credentials. r
'/,Y•YY�YY•YYiYY•Y,•Te.,Y Y4T1.-7. YYiY.lieni .YY.YYiYY-Y4YYiYIyYY�-iiii47 Y..• Y.YYVYYeYYiYY1r.Y•Y4YY•YYiYY�Y4YYiYY4,T..-4YYeYY•764-(AYfiiiiYe.S
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
`C 3fl L
r
FINAL INSPECTION REPORT
y-_..-_.— MOBILE / MODULAR
Town of Queensbury
Building & Code Enforcement
742 Bay Road •
Queensbury, NY 12804
(518) 761-8256 /
ARRIVE:`- D DEPART: \ INS• /-
DATE INSPECTION REQUEST • EIV-i s
NAME: ���-- — J 1.► [
LOCATION:
-a 1 ' -DATE: PERMIT#
y
MOBILE HOME MODUL R HOME
FOOTINGS FO NDATION _ BACKFI _ FRAMING_
N/A . YES NO
1. foundation support, p -r spacing
per manuf. — —
2. anchoring per manuf. / _
3. water line shut off — j —
4. sewer line support ®4 feet
5. heating crossover (dblewide) • grd. —
6. dryer vented outside ..ti .-
7. skirting ventilated — —
8. hot water relief valve piping outsi•• —9. deck, porches, steps, railing — J —
10. furnace/hot water operating / —
11. garage fire proofing J, _ —
12. door closers / _1
13. plumbing fixture —/ —
14. foundation insulation (if appl.) �/ —
15. smoke detectors —
16. final electrical \I) —
17. variance required —
18. data plate okay —
19. mobile HUD seal okay —
Model # Serial#
Manufacturer
Date of Manufacturer 1\
OKAY TO ISSUE C/O YES ' NO li
Comments: •
FINAL INSPECTION REPORT
MOBILE / MODULAR
Town of Queensbury
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804
(518) 761-8256
ARRIVEZ•7g DEPART:4,s, INSP C)
DATE INSP ION REQUEST CEIV/P:
� _ 1
NAME:
1}
LOCATION: CI
DATE: PERMIT#� )—a-J3
MOBILE HOME MODULAR HOME
FOOTINGS FOUNDATION _ BACKFILL_ FRAMING
N/A . YES NO
1. foundation support, pier spacing per manuf. — / —
2. anchoring per manuf.
3. water line shut off
4. sewer line support @ 4 feet ..AIL
5. heating crossover (dale 401.111_ �
6. dryer vented outside It).. -.. t.
7. skirting ventilated _
8. hot water relief valve pi,• outside
9. deck, porches, steps, rail'
10. fumace/hot water operatf /t — v/
11. garage fire proofing V
— —
12. door closers — /
13. plumbing fixture
14. foundation insulation f appl.) —
15. smoke detectors
16. final electrical / —
17. variance required �/
18. data plate okay — —
19. mobile ! = ,• — V
•
2?+V5
Model :�� • Serial # RI"A),
Manufacturer (_42, -
Date of Manufacturer LI 7 -
OKAY TO ISSUE C/O YES /NO
Comments:
•
GLENS FALLS M & M HOMES, INC.
39 SARATOGA RD
GANSEVOORT, NY 12831
(518) 788.2801
• r� - �r� _
hi (00-Th
DINING �_-L L' I L L; it
THIRD
BEDROOM L L.i I LIMV4 •
II
71 `..�.1 I I
LIVINGSECOND ROOM
DER
t7- 12-1 ' BEDROOM
BEDROOM
12•-r
CATHEDRAL CEIUNG
STANDARD THROUGHOUT
.. r'1 E"il
1272 SQ. FT. 3 BR, 2BA, ISLAND KITCHEN. LUXURY MASTER BATH MS285250
r
LIVING MASTER
ROOM BEDROOM
15'-1' ■ 12'-10" ; 12'-V . 12•-r
OPTIONAL BASEMENT ENTRY
FOR MS285250
___.� --- - - ---- -- O ♦ -
Glens Falls Mobile & Modular Homes, Inc.
39 Saratoga Road
Gansevoort, NY. 12831
•
STOCK #171
Included in this home:
Water shut offs through out
Exterior Faucet
Vinyl Entry
Gun Furnace
Perimeter Heat
Perimeter Frame with basement entry
Dormer
Skylight
Paddle Fan
Recessed Florescent Light
Bedroom Lights
Kitchen Ceramic'Tile
Panel Box Cover
Bathroom Ceramic Tile
Dishwasher Installed
9-Lite Rear Door
Penthouse Carpet
Legacy Package
Tub Overdrape
Brite Star Kitchen Package
6-Panel Doors
Border Paper
l` 05/17/1°59 07:20 5187982803 GLENS FALLS M M HOMS PAGE 02
• •
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GLENS FALLS M M HOMS PAGE 02
IkA4, \I -6'tJa, •
J4) A.) /317 L/r---?
el-4-k .4.7)/i- C)1 1-,333
`'f'
4 .- fig ' .� - NOTICE
ANCHORING OF MOBILE HOME
,/T ,,_, FRAME IS REQUIRED PER
MANUFACTURERS SPECIFICATIONS
Her"Y'(
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TOWN OF QUEENSBURY BUILDING DEPARTMENT
Based on our limited examination,
compliance with our comments shall
3000 ONV JNI®`lini3 not be construed as indicating the
Aanestaano dO NMOI plans and specifications are in full
compliance with the code.
6661. L 0 AVw
3A1 03 = TOWN OF QUEENSBURY
BUILDING i D T.
COPYFILE DATE • 5—
'. �\\" 1110;:c;K —
4, . MOBILE
HOMESTEAD
'I. ' .."-- i %
`�
MAY 1.0 1999
i TOWN OF QUEENSBUBV
i BUILDING AND CODE
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