1999-411 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
•
July 23 99
Date 19
This is to certify that work requested to be done as shown by Permit No.
99411
. has been completed.
MOBILE HOME
• This structure may be occupied as a
17 SUGARBUSH RD.
Location
HART, RUTH
Owner
TAX .MAP NO. 9 3 . -2-9. /7 5 0 By Order Town Board
TOWN OF QUEENSBURY
77-7I
Director of Bldg. do Code Enforcement
BUILDING PERMIT
VALUE $ 32400 TOWN OF QUEENSBURY No. 99411
TAX MAP NO. 93 . —2-9 . /750 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to HART, RUTH
OWNER of property located at 17 SUGARBUSH RD. Street. Road or Ave.
in the Town of Queensbury,To Construct or place a _MOBILE H( IE
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
• 17 SUGARBUSH RD.
QUEENSBURY., NY 12804
2. CONTRACTOR or BUILDER'S Name
TODAY'S MODERN HOMES
3. CONTRACTOR or BUILDERS 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
( )Wood Frame ( I Masonry ( )Steel l 1
7. PLANS and Specifications
924 scpoft MOBILE HOME AS PER PLOT PLAN SPECIFICATIONS.
8. Proposed Use
MOBILE HOME
$ 29 •
PERMIT FEE PAID —THIS PERMIT EXPIRES July 7 192001
(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.)
Dated at the Town of Queensbury this 7 Day of July 19 19 9 9
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
rr�, I,'' • . 1 .- - ,ti, _ice \ '•
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J I0'2`'1999
• • TOWN OF Q UEENS.[3 UR X TOWN OF ;-y
TJIL `� id ,a ,�tY
t ' ,„silo .,
° - I�`7 REVIEWED BY: AR/-'
. - • FEEyPAID: $ ~
.. J9-
. -, ,-:
c.: ,IIPI'LICATION FOR I riiMIT
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: NO2-7grAiiJOs
P.O. Address: 07 JOGA4641',- (ô1(Oid h0/1&O Phone Number -?9,-sBa5
Property Location Qu eLe&' d ur y y /ZeOc/ Tax Map No. 930/ ?. / 9/7S0
NAME OF APPLICANT: 2d.. &a,- r
Address of Applicant: c.)o2 R,fE(,4i_. 4> a�6-dural. y, luV 12 V
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:
"700,4"I1J __ ./ irJ m '', - -- G - -,oJww/ _ 7%G /60-r--c,q.2-
MOBILE HOME INFORMATION ' APPROXIMATE VALUE OF HOME: $ D, 0C
Hew Home • till No ?C9
ZONING INFORMATION:
Replacement Home No Size of Property: S,S' ft
/�O ft x
Size of mobile home /9(ftx 66ft Existing Buildings:
SJnglewide X Doublewide '
No. of rooms Proposed building-distance from property line:
(exclude baths) Front Yard 2
ft Rear Yard 2V ft.
No. bedrooms Side Yards 3) ft anti it) ft.
.... Occupancy Informatio °
Ho. of bathrooms I
Primary dwelling: 0 No
Fireplace A° Woods Love /Ua
Accessory Building(s) :
Foundation style and size: Detached garage (one car /two car car)
41Attached garage (one car_/two car • car)
'Viers-No. of Size ft x ft —_Storage building
Other
Depth below grade . ft •
* * * * * * * * * * * * * * * * *
'oundation-Footing size " x• '
Proposed date of placement:
fall material 6:8,fio
gall thickness " Height Water Supply: Well Municipal
etal depth below grade 'ft. Septic permit required? /1J0
rade to home floor, level ft. Ex(s ---1j") 6
FURTHER INFORMATION REQUESTED ON THE REVERSE SIDE OF THIS SHEET
NAME OF INSTALLER/MOBILE HOME DEALER: —75✓4, S /�t9614J
ADDRESS/PHONE NUMBER Sy 9' ��/S��ca27 //y //08
STATE OF NEW YORK DIVISION OF HOUSING AND COMMUNITY RENEWAL
INSIGNIA OF APPROVAL. OF THE STATE BUILDING CODE
1. Insignia serial number c2/O — [��C"��— I/vl
2. Name of Manufacturer SAy Ji,7-e
3. Plan Approval Number
�l. Model or Component Designation (Z 3c).D3 — 66K7V
•
5. Date of Manufacture V? 9
• All the above information Is to be found on a plate or slicker which
should be affixed to the Mobile .Ilome. Complete above wil.h iliac infornialion.
•
•
Town of Queensbury -Stale of New York
County of Warren
A F f-I`I)AV I T
I swear that to the best of my knowledge• and bellef the statements contained
in this application, together wi Lb the plans and specifications submitted,
are, a true and complete statement of all proposed work to bd. done on the
described premises and that all provisions of l:he BUILDING CODE, the ZONING
ORDINANCE, and all other laws perl:aliming to the proposed ork sha11 be compiled
with, whether specified or not, and that such work Is alit In Ized )y I he owner
Signature ,.. V,'•
•
Owner, owrfr•' s agent, arc ii tect,
( contractor
SPECIAL CONDITIONS OF PERMIT:
--J
•
\\
By
Code Enforcement Officer
DECLARATION: Please sign below after you have carefully 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 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)
VPA fl'AVAIVAl'J.0_l'J_...VAI' l'!.V.A.' •A1' l'AkVA•_l'J_.0_l')_ll'J_!l' tl'J3.0_l'JKV AQ A Q OA).0_l'J_• 0_l nJ__V"!Al!J_0_J..,,,, JAJ!_l'J_10,J_6.l''..1'J_,_1 0 ''0,0,0_l")_,_11_l' I_l .._lJ_0_l"/,
•' r
. THE NEW PORK BOARD OF FIRE UNDERWRITERS
RAGE 1W, 42067&..
•<., BUREAU OF ELECTRICITY Ir
:; F 111 WASHINGTON AVE., SU 704, ANY, NY 12210
, JUJLY 23,1999 45� �c 3'''99 1 '376� I
it
Date . Application No. on file I Ir
t"ER1#.L1 NO 9-4_1 rY
i THIS CERTIFIES THAT IA
'Ai only the electrical equipment as described below and introduced by the ap 'cant med on the above application number is in the premises of iA
IY
WI>,
; NORT O INDS, ?7 SNOB USII, QUEENS'DURY, NY
!; in the followinglocation; ❑ 1st Fl. ❑ 2nd Fl. OUT
T Section Block Lot
❑ Basement
+ was examined on JLIL� ��"i999 and found to be in compliance with the National Electrical Code.
1i IY
!<, Ir
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS i`4
=(i OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. IY
WI /Yi
1' DRYERS' FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS Y
-, AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. cri H.P. NO.OFSYSTE FEET AMT. WATTS it
WI
fq
Ci■■■■■.■-.■❑■❑■.■-■ Y
-- '--SERVICE DISCONNECT- NO.OF - - - - ---S - . E__ _ R _ __ V __ ___ I_ _ C _ E Ir
lij METER
_Ci AMT. AMP. TYPE EQUIP. 1 0 2W 1 0 3W 3 0 3W 3 0 4W NO.OF C COND. A.W.G. NO.OF HI-LEG A.W. E NO.OF NEUTRALS A.W.G. I
PECR 0 OF CC.COND. OF HI-LEG OF NEUTRAL ,
Wl
,--` OTHER APPARATUS: �j
WI FE'ED.ER:#G #4 FROM QB TO MH--1 ij
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Ir
ji IN
-{i /� ,}
TODAYS •
MODERN HOME'S K Y'r - - t . L riL.JL i
54.. ROUTE 9 =;•. ate:i-1.,I:er.t. _ �.
Gt��3SEVOG�R�', NY, 12831 °�° ° L
yI 'w �° °'j; y, GENERAL MANAGER l
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WI k 1 �;4, ., '1 .4 329 I
ICI N.':.6 ,;" [/ ... i I``1i fr
I a''..'‘-, I- Per 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. ;r
'/,Y�Y YiYYiYY Y."74Y1'iY;iiii",YiY Y4i;reiii",YiY Y.7r;;•71:711YiiY YiYYiii1 Y:Y YiY YeYYi?.YiY Yii1 Yit;411 Y�Y Ziiii1;iiir.Y1.Y 4YY Y:TiiY YiY YVY;f4.YYii1 YiYiriiY 4Y;i1li1 4YYoY Y Y.14Y YeY;iiii1YiY YiY,\
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
FINAL INSPECTION REPORT
MOBILE / MODULAR
Town of Queensbury
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804
(518) 761-8256
ARRIVE Ctl DEPART:'B-1.5 INSP: /"
DATE INSPECTION REQUEST RECEIVE D
NAME: ck n-; 1--Pl ,RE
LOCATION:
DATE: Z.�°— 1 1 PERMIT.# __
MO°•ILE HOME MODULAR HOME
FOOTINGS FO DATIO �/ BACKFILL_ FRAMING
N/A . YES NO
1. foundation sup,.rt, pier spac' g —
per manuf. — f
2. anchoring per : uf. .... — _
3. water line shut o — /
4. sewer line sup j,• C� 4 feet — •
—
5. heating c ossover O blewide) off grd. — ✓ _
6. dryer vented outsid\ ..; — —
7. skirting ventilated —
8. hot water relief valv piping outside — li —
9. deck, porches, steps, ailing — ./
10. furnace/hot water opera ing //// —
11. garage fire proofing 1 - —
12. door closers —
13. plumbing fixture — 4 —
14. foundation insulation (if appl.) .—
15. smoke detectors .— / —
16. final electrical —/ -�[
17. variance required .s[ // —
18. data plate okay — i —
•
19. mobile HUD seal okay —
Model # Serial #
Manufacturer
Date of Manufacturer
OKAY TO ISSUE C/O YES NO
Comments:
FINAL INSPECTION REPORT
MOBILE / MOOULAR
Town of Queensbury
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804
(518) 761-8256
ARRIVE:2114C DEPART: L Z-7U INS'• A ,.
DATE INSPECTION REQUEST RECEIVED,
r
NAME: �7�,(�' ��BE
LOCATION: ' G "J CaC �—
DATE: - ZZ.-111 PERMIT.if tit 1
MOBILE HOME MODULAR HOME
FOOTINGS FOUNDATION BACKFILL_ FRAMING
N/A , YES NO
1. foundation support, pi;r spacing
Per manuf:• t — i —
2. anchoring per manuf. — —
C
3. water line shut o, J` —
4. sewer line support C. 4 feet J —
5. heating crossover (d e) off grd. —
6. dryer vented outside .., — �/ —.
7. skirting ventilated . — i
—
8. hot water relief val - piping outside — —
d
9. d rches, step., railing —
. furnac t water o.•rating — \/
1 . garage fire proofing / — —
12. door closers �/ / —
13. plumbing fixture — J —
14. foundation insulation (if appl.) — V —
15. smoke detectors _. -
16. final electrical . —
17. variance required I
18. data plate okay — / —
19. mobile HUD seal okay — v Model # Serial #
Manufacturer
Date of Manufacturer
OKAY TO ISSUE C/O YES /NO
Comments: .
6-VCR % TQA cFL_
FCC e
FINAL INSPECTION REPORT
MOBILE / MODULAR
Town of Queensbury , 00 —a .DU
Building & Code Enforcement �I.
742 Bay Road
Queensbury, NY 12804
c5 8) 761-8256
",a
ARRIV'•.' 1, DEPART:2'-2 1NS•a.):
DATE INSPE ION REQUEST RECE�IV:00
/� ` I '�.NAME: ri
LOCATION: \ )
DATE: —1 --�\ —CNC\ PERMIT.II 1'Li I I
MOBILE HOME MODULAR HOME
FOOTINGS FOUNDATION _ BACKFILL_ FRAMING
N/A , YES NO
1. foundation support, tier acing
per manuf. . — —
2.-anchoring per uf. — —
3. water line shut off — —
4. sewe?liee sup.Id ®4 fp( —
5. heating crossov e bles ide) off grd. —
6. dryer vented ou ide ...: — _
7. skirting ventilate I — —
8. hot water relief valve piping outside — —
9. deck, porches, steps, railing —
.,iPitsP; RL t wa r-r operating
11. garage fire pr•• g i — —
12. door closers �( —
13. plumbing fixture — —
14. foundation insulao'on (if appl.) — —
15. smoke detectors . — — —
16. final electrical — —
17. variance required vi — —
18. data plate okay — — —
19. mobile HUD seal okay — — —
Model # P 376,3 T8Serial #' .)
Manufacturer 6Mt_k N� �u - Lk
Date of Manufacturer yl1-1-
OKAY TO ISSUE C/O YES NO
Comments:
Roy af
Manor
em NOTICE
up r �i ANCHORING OF MOBILE HOME
FRAME IS REQUIRED PER
MANUFACTURERS SPECIFICATIONS
rvi, r trrT\I .
lik9
1S � �
TOWN OF QUEENSFURY Jut ®2"IN Op 1999
i -Tom,
REVIEWED BYr� `nr �
DATE
____,/
WASWDRY OPY 1
�W/H� OPT. PANTtY --
CATHEDRAL TKiU-OUT --r
K I
I
OPT, BEDROOM
1 ,� LIVING ROOM N0. 2 I BEDROOM
MASTER 0o 11_i I . .KITCHEN/DINING 14'-4" T'10" 1 No. 3
BEDROOM � 10'-8" / �____ 9'-4"
No. 1
11' A I�
® 0 -I
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3203CTB/6614 3BEDROOM - CATHEDRAL THRU-OUT (902 SQ.FT.)
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•
• 143 631 Mgr OF—NOTE I GIIN7AGt fiNcRI4CTURING. DIVISIOM FOR LOACTIQN !'C PIEf3S REWIRED R EX.TERIDR.. •''i83 SW +BiOX MOTH . - 1t1:l4RtPm . - uitkitJNG NULUER
!:CM SL1DSHG GLASS oak S1;E' EII CORNERS AHV (IPTU1PL LARGE WINDOWS, • 171 .►5 ` 1 fib'--0" " 6619-3CK-CRTH 3Eo3lCT
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Luzerne Ad. Phone:
Queensbury, NY 12801 792-5838
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1 I I 1 1 1 DEALER COPY
Manufacturer's Name and Address - HUD No.
Tit3�L' $
alattagli4IPURIVAj VI
Plant No. Model Designation Serial No. Date of Mfg.
This manufactured home is designed to comply with the Federal Manufactured Home Construction and Safety Standard in force
at the time of manufacture. Design Approval by Underwriters Laboratories, Inc.
=actory Installed Equipment Includes: .
MODEL RATING OF FACTORY INSTALLED CIRCUIT EQUIPMENT
EQUIPMENT MANUFACTURER DESIGNATION (APPLIANCE NOT FACTORY INSTALLED) SERIAL NUMBER
.omfort Heating 1 �3>5�t [ / - - 1 tEL 2689
Air Conditioning 2 f 2 /
;looking Range 3 GIS if 3 BVl06654P
3uilt-in Oven 4 / / / 4 /
,ounter-top Cooking Unit, 5 / 1 5 /
iefrigerator 6 C' Ifflar.14SAMIN 6 131,7R3f7056
Hater Heater 7 MILTS Set =NUE / 7 H992[12619
;lathes Washer 8 / / 20 3IRq 8 /
3lothes Dryer. 9 / ./ . CA 2331r VC 9 /
3ishwasher 10 f / 10 / .
Food Waste 11 / / / 11 /
Smoke Detector 12 mac mac / 12 /
ireplace 13 / / 13 /-
14 / 14" /
Instructions for all work to be performed in the field are located in the kitchen drawer.
The maps in this box define the design loads for each geographical HOME CONSTRUCTED FOR 1 Zone I ID Zone II El Zone III
.area. This manufactured home has been designed for the roof and This home has not,been design for the higher wind pressure and anchoring provisions required for
ocean/coastal areas and should not be located within 1500'of the coastline in Wind Zones II and III,unless
wind load zones as checked: the home and its anchoring and foundation system have been designed for the increased requirements
specified for Exposure D in ANSI/ASCE1 7-88.
❑ North 40 PSF ID South 20 PSF This home hasp has not!l been equipped with storm shutters or other protective coverings for windows
IE Middle 30 PSF ❑Other PSF and exterior door openings.For homes designed to be located in Wind Zones II and Ill,which have not been
provided with shutters or equivalent covering devices,it is strongly recommended that the home be made
ROOF LOAD ready
ted beru ectqions.uipped with these devices in accordance with the method recommended in manufacturers
to inst
ar
WIND LOAD
NORTHr
' 0 MIDDLEi
MIDDLE.< � ipIIiIIlIrsi mtllIlil1ftiO4mi0,,m,/1111.1_rI
nooti t
lk.4i„.„ zvr,I
MIDDLE ldr J =
S ■ ti
■ ZONE I. '
-SOUTH `�
� �0 ZONE II
°1 - "I,.
NORTH ZONE I ten—
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, I D 1`�C' :I ZONE III I HI F/// ---•— \ .ZONE III ' •