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1999-236 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY 'WARREN COUNTY,' NEW YORK July 1 99' Date • 19 -. 99236 This is to certify that work requested to be done as shown by Permit No: has been'completed. MOBILE HOME • This structure may be occupied as a 42 PINE CONE DR location _ PINCHEON, BRIAN Owner" TAX MAP, NO. 9,3 . 2-9. /7 6 5 By Order Town` Board • • WNOF QUEENSBURY • Director of Bldg. & Code Enforcement BUILDING PERMIT VALUE:_ $ 45000,,,-TOWN OF QUEENSBURY - No. 99236 TAX MAP NO. 93. -2-9 ./765 WARREN COUNTY, NEW YORK . PERMISSION is hereby granted to PINCHEON,- .BRIAN OWNER of property located at 42 PINE CONE DR. 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. OWNER'S Address is 42 PINE CONE DRIVE QUEENSBURY, .NY 12801 2. CONTRACTOR or BUILDER'S Name.. TODAY'S MODERN HOMES 3. CONTRACTOR or BUILDER'S Address 54 RT .9 . GANSEVOORT, NY 12831 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 ( 1 Wood Frame ( )Masonry ( )Steel . ( 1 7. PLANS and Specifications 1456N6Q FT MOBILE HOME AS PER PLOT PLAN SPECIFICATIONS 8. Proposed Use MOBILE HOME 65. ... .:,. May 12 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 Queensbury'before the expiration date.) . 12 . May 1999 Dated at the Town of Queensbury this Day of . 19 SIGNED BY for the Town of Queensbury uilding and Zoning Inspector TOWN OF QUEENSBURY 742 Bay Rd., Queensbury, NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS {C99 `� ,` Date ,19 Permit No. APPLICATION IS HEREBY MADE to the Building Dept. for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. Please fill out additional form if more than one appliance and/or chimney. Applicant t° i 24 1C/ /o/ APPLIANCE (check appropriate boxes) Address ,7, (Pole ('Vvii )o STOVE: ❑Wood o Coal o Pellet ❑ Gas 0 FIREPLACE INSERT l �` 1.e tom U ( Zip IZe O' •`A FIREPLACE, FACTORY-BUILT: `Wood ❑ Gas Phone 0 FIREPLACE, MASONRY: ❑ Wood ❑ Gas Owner 0 FURNACE: ® Wood ❑ Gas ❑ Oil Address ! " IF NON-MASONRY APPLIANCE: ° Manufacturer: C�O L6 '74 d Zip Model: 36,EC,Mf0 Phone CHIMNEY (check appropriate boxes) *EXACT ADDRESS of proposed construction 0 MASONRY: 0 Block CI Brick 0 Stone C FLUE: ❑ Tile ❑ Steel Size: inches CONSTRUCTION / INSTALLATION MUST ]" FACTORY-BUILTT,a6oc, CONFORM TO NYS FIRE PREVENTION & Manufacturer:14,o. Iuc . Model:JV' 84)1 BUILDING CODE. CONSULT AVAILABLE Listed By: QL- Number: 3 , TOWN OF QUEENSBURY HANDOUTS Albouble Wall ❑Triple Wall REGARDING REQUIRED INSPECTIONS. 0 Insulated 0 Direct Venting ❑ Chimney Liner Cashier's Department Town of Queensbury, New York Dept: Fire Marshal . Amount Collected, Amount Refunded Code Number Title A 173 3389 (190) Public Safety A 233 2655 (230)`Minor Sales Fee Collected From or R-efunrd-edzAtt /J i t Address: l , Dated: -7 I( is C Town Clerk or Deputy: \..Jr •( White: Applicant Green: Fire Marshal Yellow:Bldg. Dept. Pink & Goldenrod: Cashier's Dept. qs9b.Zt, vozo • TO l VV�T�VT NAY 1 .0 199g N n1' QUEENS13 U JZ Y TOWN Q iguhn REVIEWED BY: DCOD� FEE PAID: $ PERMIT NO. /II'PLICATION 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 I'EItMI'f HAS BEEN ISSUED, The owner of this property is: /f} y//zji/"Zfej P.O. Address: Luz. & er G6:) /.��,� Phone Number 79 — S.—RE Property Location /q-eds G AA— gam, (atte4, 1 Tax Map No.. NAME OF APPLICANT: 'm4J „j Address of /lppl icar,C 3pff,t) Sheer, 06 y c� /2g oY All applicants spaces on tins applicatIon MUST be compleLec and the signature of the applicant MUST appear on the reverse side of this appl o PERSON RESPONSIBLE FOR SUPERVISION OF WORBUILD ��gg '���1�'�i 'J M.Dr�C!Yrf AS REGARDS I N ���i�i+CZUEENSBU�Y 6.1 -- c�0 C �1/ / `7 5'B —oa 3 INfa AND CEDE. MOBILE HOME INFORMATION 0-j C/ APPROXIMATE VALUE OF iIOME: $ TSB d OU New Home gp No ZONING INFORMATION: Replacement home ()No Size of Property: ft x /J® ft S1ze of mobile homeKrictx —4i°t Existing (1u11dlugs: SinglewIde Doublewide x No. of rooms (exclude baths) Proposed building-distance from property line: Front Yard .3o ft Rear Yard 2)/ ft. No, bedrooms a Side Yards /9 ft and /© ft, No, of bathrooms Occupancy In forma.ti Primary dwelling: ( No FireplaceWoodstove Accessory UuIldirtg(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 * * * * * * * * * * * * * * * * Foundation-Footing size " x " Wall Proposed dole f placement: Wall thickness " Height " Water Supply: Well Municipal Total depth below grade ft. Septic permit required? /l/(O --Ex/,J7/"✓& Grade to home floor. level 1 �� ft, FURTHER INFORMATION REQUESTED ON THE REVERSE SIDE OF THIS SHEET • NAME OF INSTALLER/MOU I LE IIOME_ DEALER: 1 )tO `S bE.',A.0 )! 6--I• , ADDRESS/PHONE NUMBER Sy f 4 'l 0i12/: y- V ; 4 /0g / • STATE OF NEW YORK DIVISION OF HOUSING AND COMMUNITY RENEWAL INSIGNIA OF APPROVAL OF THE STATE BUILDING CODE . 1 . Insignia 'serial number 2. Name of Manufacturer Ski/67,11 7 3. Plan Approval Number t/70O CT (l. Model or Component Des ignaLion Skye/v&Z 5. Date of Manufacture C�0 0�' All the above in forma Lion is to be found on a plal.e or stsicker wh I ch s both d be .affixed to the Mobile Ihm►e. Con►pleLe above WILD that 'In forma IIon. ./S.4?C' /71/91Airrc:-4(' 'cia'6.‘7.- • 61)/e.- • • Town of Que'enbury Stale of New York ,County of Warren, - AFFIDAVIT • I swear Oa to the best of my knowledge and belief the sla tenter)Is contained in this appl Ication, together wi l:h the plans and sped ficat:lons submi t:ted, are a true and compl a to s la Ienten I; or al 1 proposed work to by, dope on the described premises and Lila l: all provisions of the BUILDING CODE , the ZONING ORDINANCE , and all other laws pertalnIng to the proposed work shaI I be comps led wI Lh, whether speci f led or not, an(I that such work I s anti r• ' ed I th . owner. Signature • Owner, owner' s agent, architect, contractor SPECIAL CONDITIONS OF PERMIT: • IIy Code rnforce lent:Of ricer . DECLARATION: Please sign below afler you have carefielly read the statement. To the best of my knowledge the statements contained in this application, together with the plans and specifications Submitted, are a'true an(I complete statement of all proposed work to be (tone 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 Ihat such work is authorized by the owner. Further, it is understood that 1/we shall submit prior to a Certificate of Occu ru - Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed s( cyor; Irawn to s ale, showing actual location of project on premises. Signature. C� owl °r wncr's agent, architect, contractor) • • J_11 J_._l"4.1 J_8sl'J_..1.2J_.. J_v �_lJp l_l'J_._l ._l il'J•_l'J_"10,0�J_lkAt,,J,_,t.il,!��_l 114;,, ,t' ,,.1' i1',,sl.i.l' .l ,_l'J_e J_!_,nj,ik1.",;J_,, J4._l'J_.1l'4•k s J_n..,,l n"J._l' nJ,,,24tl''/, :I !i THE NEW YORK BOARD OF FIRE UNDERWRITERS 't `' ' �, 4 20 6784 1}.:',(1 BUREAU OF ELECTRICITY 1 A. wi 111 WASHINGTON AVE., - I , BANY, NY 12210 i� DUNE 29,1999 4.:."'108199f99 A 143191 , ICI Date Applic(,tio, �Vp on�fe , 1>h t SaSCt'1� L dVCJ. 14J I� !i THIS CERTIFIES THAT , i only the electrical equipment as described below and introduced by ' . .. • ant named on the above application number is in the premises of ij ., ,1 BRIAN PINCF 'O1J, 42 PINE cONE DR. , QU.E.ENSBL-IRYlki , NY - I, f.qin the following location; CI Basement ❑ 1st Fl. ❑ 2nd Fl. OUT Section Block Lot i a1 illk 2 '1999 ,Y i was examined on and found to be in compliance with the National Electrical Code. 1,! 1, r.(1 5 • FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS rr it OUTLETS INCANDESCENT FLUORESCENT OTHER AMT, K.W. AMT. - K.W. AMT. K.W. AMT. K.W. AMT. H.P. 1„-, • CI DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS 1- 11 BELL S 1) AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. Ell H.P. NO.OFSYSTEAFEET AMT. WATTS Is �1, SERVICE DISCONNECT` i. I}, METER ,Y NO.OF CC COND. A.W.G. A,W.G. A.W.G. AMT. AMP. TYPE EQUIP. 1 0 2W�3 0 3W 3 0 4W NO.OF HI-LEG NO.OF NEUTRALS 1r �, PER 0 OF CC.COND. OF HI-LEG OF NEUTRAL• • - OTHER APPARATUS: 157, FEEDER: :12 #4 FROM MOB TO .f` • =G ,Y =C, IF 1 Ir 1l rF SI IA =Ci r °<1 1 =4 ,Y �C1 ,,>! 1fiy, v .4 ;e L1• • v Ir_ iii TODAYS MODERN HOMES >`t 1li y1 a�:.Y:` L ..wL re :' GA'16cTEVOL7s'$'1', ', 228 1 r -Co r F GENERAL MANAGER Ii dI ti -. Ir ;1 .d.: - .tG1?;': ,: 239 I; - .' :- °«-4- Per I i :Q 1r it 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. '4 YiY Y�Y Y.Y 47?,Yi.YYr-Y Y•YI'-•Y lyY Y�Y Y-•Y7�Y Y�Y YeY YiYY4Y 4ii Y'eYY„Y YiY Yir,4YY Y476 Y-4YY-•YY-.YY,4Y -.,Ti Y'Y Y.Y Y.Y Y YY-•Y Y.YY"Y67.Y Y.-Y Y.Y Wri Y051 YiYY�Y SiC YliY Y4YY4Y COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE -MUST NOT BE ALTERED IN ANY MANNER. cs.(\C82 -' );4 I 16nDr� 1 I 'FIRE MARSHAL ,/, .' TOWN OF QUEENSBURY l j ' QUEENSBURY, NY 12804 (518) 761-8205 -- )CIG ) U )5 FIRE MARSHAL INSPECTION REPORT REQU RECEIVED NAME \ ► LOCATII gne\ Qti K PERMIT#`'� SCHEDULE INSPECTION ON7 1 -90 AM PM APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS FIRE ALARM SYSTEM FIRE SPRINKLER SYSTEM FIRE SUPPRESSION SY' TEM HOOD INSTALLATION INTERIOR FINISHES STORAGE: CLEARANCE T SPRINKLERS CLEARANCE T HEATING UNITS REQUIRED SIGNAGE / CHIMNEY WOOD STOVE FIREPLACE ❑MASONRY [-!(FACTORY BLT. Li.SOUGH-IN FINAL Ffi /to5741- REMARKS: OK TO THIS DATE S70 ?31 INSPSLIP.PUB INSPECTOR FINAL INSPECTION REPORT MOBILE / MODULAR Town of Queensbury Building & Code Enforcement • 742.Bay Road Queensbury, NY 12804 (518) 761-8256 IA ARRIVE: DEPART:" "14" INSP:�„� DATE INSPECTION REQUEST RECEIVED: M NAME: Pli 0 C-44 619101 LOCATION: l d06' C -O 0 04 DATE: 7 / PERMIT it?-I .-2s MO:t ILE 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•ff — — — 4. sewer line suppo @ ,'feet — — — 5. heating_crossover( I , `de) off grd. — — — 6. dryer vented outside — — — 7. skirting ventilated — — — 8. hot water relief valve piping outside — —9. deck, porches, steps, ailing — — — 10. furnace/hot water ope ating — — — 11. garage fire proofing . — — — 12. door closers — — — 13. plumbing fixture —14. foundation insulation (if appl.) — — 15. smoke detector�.1r... ... ........ _ — 16. final electrical b1?:` 77 '/- — — 17. variance required — — 18. data plate okay — 19. mobile HUD seal okay — ✓✓✓✓— Model 46111,14- *VD " (1- Serial #C2& 42.3--1-kej Manufacturer 6 Z67)1 l 7 Date of Manufacturer SK efC G}�� OKAY TO ISSUE C/O YES NO Comments: t4U D v I— 15 — cDK Pt5 Sc-if `. S.60 4- -4 FINAL INSPECTION REPC-IRT MOBILE / MODULAR Town of Queensbury Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 (518) 761-8256 ARRIVE:3: .-)DEPARTSP.---1 DATE INSPECTION REQUEST RECEIVEALa/ -MD' - 9 NAME: LOCATION: / -VtNe_ e_alt,e___-. Ys i))--e-- DATE(p-d.Li -9 9/ PERMIT.# J MOBILE HOME j 'MODULAR HOME 1_\ FOOTINGS FOUNDATION BACKFILL FRAMING _ \ — -- - N/A , YES NO 1. foundation support, pier s acing\ . per manuf. 4 2. anchoring per manuf. • — 3. water line shut off ii —____ i‘ 4. sewer line support (04 fee 5. heating crossover (dblewide),off grd. 1 . 6. dryer vented outside ..: \ N/ ' 7. skirting ventilated _____ rk — —/ _ / 8. hot water relief valve piping outside -— ;,//, 9. deck, porches, steps, railing ....,... ,,// — 10. furnace/hot water operating f :/ __\ii. _ 11. garage fire proofing ‘.// — 12. door closers 13. plumbing fixture 1i — — 1 14. foundation insulation (if appl.)11 15. smoke detectors 1 16. final electrical 17. variance required I *----- 18. data plate okay 1 19. mobile HLTD seal okay X.IVI-....V..1.--.AclaZib• /Pie f ....------ Model #,Alil" --4100.-c,T- i! Serial # -17 cz,b-l ?3-1P13` .\ \ Manufacturer Date of Manufacturer c c-2.C\-99 OKAY TO ISSUE C/O e?XS Comments: C (D C-e lAint,t3-* 0,\.A \ k • , \------- - • 0\5cucTA-ntt -b2__. ‘0Ewtrs_ L(e)- 4tiC C ovue b e( Lie GoT * 6 / of f Z 5'-5-Xlto ' ZYi qq001 i'344e) _•010-00•0001---- ,... • . • TOWN OF QUEEN&_U BUILDING &j PT. REVIEWED BY DATE 5 • cam" FILE COPY :: 4. 11 . :, ,. . . , NOTICE _ 2-4 ANCHORING OF MOBILE HOME FRAME IS REQUIRED PER MANUFACTURERS SPECIFICATIONS 2c Jt-uel , 3 • TOWN OF QUEENSBURY BUILDING DE ARTMENT ��� -i. Based on our limited examination, compliance with our comments shall :\ not be construed as indicating the plans and.specifications are in full • . compliance with the.code. .4_ . - • • ilk,: . 40. 1 •w .'y ii %►';'�-,7'.�!^:,t.. .'}GCS ,.`X•. '.1,= •�Y••" '� , r K ortftw Ui ® r Y� • 1t- ?. J 1'''t � Yi p: '+ r s�`�r'r"! 3 - iT s/ 7fi; F- Luzerne Rd. Phone: 79 Phone: Queensbury, NY 12801 I k . . . 2 e_ : t 4 71 i ! t A r_ 7 _ a c _ c T • .L . I 1 ' � -� ._i i 1 k -- ! , 7 1 7 r' a Y U' r ' l r $ c w . s i _ $ [ c7 • j . y . F. • 0 6 q...:, . . C v2491 i -- .__,..— ,riir /TA%v-4 fA- is dz... 6..g.,(,C.....r is—±a. ill . \ 14— °fgliltel„ • ' . . . - . . i 56' - • ea . • . . 1 . . --Tfr . 4 .... . . .0._______E____ ___ra...________\_..0._____IT__ i COPiete 1,,Lk 9'. . • rrt A2001t 42004 • ,...0.....____._. ___:,__:_fi__________._0_ __ � � ---` 2��#' mar I J a• `� [0._________B_....._...'_______.0._-__...,...„......_{3._•___________.0_________B....______.13 . PIER PUIIIT LmYDUT (PIERS € I-BEfiti & (ZNTERLIt+IE VITI 7UT PERIMETER F"DUNDATJoN) 4 Yi\vL:: :::::.:::::::::: ::::::::::6:::::::::::. :::::::::, • ........... l Y:}iti [7' .L :::...9 .:... - ••�'LT:r:iii:':v• 5,i •:Y:ti: .::rti??ni i:•i:•i:ti: ....{.:: . . :::.::: . ..:4}ii:4i i::ti•i::4::. . Y 0 A 9g ................ ...... .:::::::::.. ... ... .... M 19 • .............. I p�11 Blf 7�1NN F_E B O OE lJ Q: : ; .s:. .::.>:=>: : <<::. -•:: ><:••' BUILDING AND CODE r 1 C . ` I AV 4ED C ,�di OPT. . . L�1 � Ii. �KniTE \EE v • .MMI 1111 MASTER. f Fi B • KrurE BEDROOM mom .l BEDROOM - iu..Kamm m....NIMXIMII, No. 1 ® I 1 A • No. 12'2 1 1 • 16' CORNER UTILRY—g --___ Tusk TFURN- i' * !!!!i!!-" • STAIRWELL i\e. N I IR( II i PANTRY • 'iii 1 • 11111111111 CATIEDRAL TIMU•OUT BEDROOMILJN'Jv UVRJG ROOM • No. 3 20 12' --- .-) 4700CT/5628 3BEDROOM - 2 1/2BATHS - CATHEDRAL THRU-OUT (1,474 SOFT )