98-190 -------------------
CERTIFICATE OF OCCUPANk.. I
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
April 19 99
Date 19
This is to certify that work requested to be done as shown by Permit No. 98190
has been completed.
MOBILE HOME
'Phis structure may be occupied so a
LOT"'". HOMESTEAD 'VILLAGE
Owner SUTLIFF , WESTLEY
'FAX MAP NO * 9 3 . - 2 - 1 1 . 1 By Order Town Board
7OW�'N OF QUEENS
Director of BIdg. do Code Cnforeement
BUILDING PERMIT
VALVE $ 30001$ OWN OF QUEENSBURY No. 98190
TAX MAP NO , 93 . — 2 - 11 . 1 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to GLENS FALLS MOBILE HOMES
OWNER of property located at LOT 55 LUZERNE RD . Street, Road or Ave.
in the Town of Queensbury, To Construct or place a �,..._,. OBIT R 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.
t. OWNERS Address is
39 SARATOGA ROAR
GANSEVOORTr NY
2, CONTRACTOR or SUtLDERS Name
GLENS FALLS MOBILE HOME INC .
3. CONTRACTOR or BUILDERS Address
39 SARATOGA RD
GANSEVOORTr NY
4, ARCHITECT'S Name
NEW YORK BOARD
S. ARCHITECT'S Address
6. TYPE of Ca ristruct io n — ;Please indinta by Xl MOBILE HOME
l I Wood Frame l 1 Masranry I } 'Steel I I
7. PLANS and Specifications
96Ro. SQ FT MOBILE HOME AS PER PLOT PLAN SPECIFICATIONS
S. Proposed Use
MOBILE HOME
35 April 29 2000
$ PERMIT FEE PAID — THIS PERMIT EXPIRES 19
lif a longer period is required an application for an extension must be made to the Bullding and Zoning inspector of the
town of Oueensbury before the expiration date.t
29 April 19
Dated at the Town of Queensbury this Day of 19
SIGNET] BY ,moo, for the Town of QueensburY
Sui$dirq and Z6ft ng 1 nWil etar
c
4cawrJ. �O W 't ill.�' O tom./ j ~l� 11
'S
49
It I EWER DY ;
y
FEE PAID : $ `--
PERMIT NO * � (
APPLICATION FOR PERMIT
MOBILE IIOME Olt MODULAR
A BUILDING PERMIT MUST BE OBTAINED BEFORE PLACEMENT OF M0I11LE JIOME .
NO INSPECTIONS WILL BE MADE UNTIL A VALID BUILDING PERMIT ilAS BEEN ISSUED .
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
::
The owner of this property is : t + ]
F . U . Address : � ~E' Phorre Number � � 4
Property Location �' t._- Tax Map No .
NAME OF APPLICANT ;
Address of Applicant :
All applicants spaces oil tiffs appl ica t f on MUST be completed and tfre
signature of the applicant MUST appear on the reverse side of this application .
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING COZIES :
MOBILE 11014E iNruRwrIoN
APVHOX I MA I E VALUE OF IIOME : $
New I Iorne Ye O IN i NFfll1MAT I UN : f
Replacement Ilome Ye No C '$Size or Property : ft x ft
Size of mobile Itiomeftxt Existing Buildings :
Singlewide Doublewide
No . of rooms Proposed building- distance from property line :
[ exclude baths ) Front Yard ft Rear Yard ft ,
No . bedroomsr Side Yards ft and ft .
No . of bathrooms No . Information ;
Primary dwelling : Yes No
Fireplace ^--- - Woodstove Accessory Iluilding ( s ) :
Fourtidatian 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 "
Proposed date of placement :
Wall material
Wall thickness." Height " Water Supply : Well Municipal V
Total depth below grade rt . Septic permit required ?
Grade to home floor. level ft .
FURTIIER INFORMATION REQUESTED ON THE REVERSE SIDE OF TIIIS S11EET
�}m-■�fr ._.. . .. .. F ��{.
s
x
M1.
RESS/PHONE NUMBER
me
"dd
srnrE OF NEW YO1tK 11I v rOn AND
INSIGNIA : QF Ir ►A1?!= a. rut#' can
I . Insignia serial mmber "1s5rO °` _
2 . Name of Manufacturer
3 . flan Approval Number = r
4.
4 . Model or Contponen t Uesi gna ti can
•^leeOr
5 . date of Manufacture
r
All the above information is to. , fgj4. ld on a P1, or stiw�
should he affixed to the I�iioU1 .1 e= It �eoau�pllre-t rct ':°a'lravt± i� i°Lh t:#tali^
�.._ .
}
.4—. .y Ory
Id P
999
POO
Town of fltieen stir+ry State a F .Hs.rv: York: ' . •`:
County of WarrenI .;�
AFFIDAVIT =...,
I swear that to the best of illy knowledrge and belief the statetle% act
in this application , together with the plans and specificatiolss s4
are a true and complete statement of all proposed work to
described premises and that all provisions of the BUILDING CW; : tom' �a
ORDINANCE , and all other laws pertaining to the proposed work sl�alil 10
with ,, whether specified or not , and that such work is attthorized Iry i~
•Si.gna Lure
� Q
Owner , owner ' s agent , archl4t,ecit .
contractor
SPECIAL CONDITIONS OF PERMIT :
Oe
POPT
By
Code Enforcenient Officer _
DECLARA27 N.• Please sfgre below gfter you have careAlly read the. statement. -
'l'o !lie best of my knowledge tite statements conlained in this application, together with , the. .
%
and specifications submitted, are a true and complate statement of all pwposed work,ta< '
the described premises and that a!1 provisions of ffia3 I3itilding Code, tuts Zoning Ordinance, a�
other laws pertaining to the proposed work shall be complied with, whether specified or-n+atec#,
that such work is authorized by the owner. Further, it is understood that I/we shalt :ieubmit :.grivrs=
Certificate of Occupancy or Certificate of Compliance being issuer!, an AS BUILT PJLAYr PI.APi I�r
a licensed surveyor; drawn to scare, showing actual location of project on premises.
Signature:
r
(owner, owner's agent, architect, contractor) s "
�IIVAL. E�gp�c-Y'ti+C91h� r��r�vl�e-r
Town of Queensbury
Building & Cade Enforcement
742 Bay Road
Queensbury, NY 12804
(S18) 761-8256
ARRIVE: - I� f DEPART: f 1�INSP: __ 1 r'
DATE INSPECTION REQUEST RECEIVED:
WCATION;
DATE: r PERMIT #
MOSILIX HOlrKB MOTH HOME
pooTINGS FOUNDATION SACKFILL � FRAMING
FN/A YES NO
h
ndation support, pier spacing
per manuf. .. .. .. . .. .. .. .. . . . . . .. ..
horing per manuf. .. . .. .. .. .. . . . .
ter line shut, off ..... .. .. . .. .. .. .. .
er line support C� 4 t . .
ating crossover [cable grd _
yer vented outside
irting ventda . .. .. .., ..
t. crater valve piping o
hes, steps. railing . ..ck, Trot'c rnacelhot wateroperatingrage fire proofing. 00r closers . . . .. .. .. .. . .. .. .. . . . . . .. . . r —
13, plumbing fixture .. .. .. .. ... .. .. .. .. . . . ,
14. foundation insulation (if appl.)., .. .. �•
15. smoke detectom �. — /
electrical ` ?
16. final .. .. .�. . �.. .. . ... ..� --
17, variance required .. .. .. .... . .. .. .. .. ..
18. data plate okay *. ..I I . .. .. .. .. . . ... .. .
19. mobile HUD seal okay . . . . .. .. .. .. .. � —L -
,. v Serial #
Model # s -
Manufacturer
S
Date of Manufacturer
OKAY TO ISSC3E CIO YES NO
Corrmnents:
i
4y
ptiNAL INSPitsG'1"1QN REPCJ�iP!"1"
Town o4 de eensbu
ry
p,uiiriirtg & Code Enforcement
742 Say Rom Div ff
Queensbury, NY 12804
(518) 761 -8256
ARRIVE. +
DEPART: SNSP:
DATE INSPBC"I'lON REQUEST RECEIV
NAME:
l_,OCAl ION:
DATES PERMIT &
MOBILE Holds
MoTML)LAR Holds
FDOCtNQ,g � FloISNDATtON
9ACKFIL L FRAMING
NIA YES NO
1. foundation suppA. Pt spacing
per ty-januf. , ,. .. .... �-
2. anchoring Per Man ..... .. .. .
3. water Line shut off . . . ., .. » . .•
4. sewer line support feet . . . .. .. .. .
5. heating CTOSSOver (dbl off
6. ,dryer vented Outside . . . •• . .,
7» skirting ventilated . . .. .
ing outside
$. hot water relief valve p �.-
9. deck, porches, steps, ra ing . . . . .
I furnace[hot water opera g
11. garage fire proofing . . . . . . .. .. .
12. dour .. . . . .. .. . . . . . . . . . �-
13r plumbing
ng fixture . . .. .. . . . . . . . . . .. .. .. .
14, foundation insulation (if appl.). . . . . »
15. smoke detectors .. . . . .. .
16, final electrical . .. .». . . .. .. .
17, variance required . .. . . . . . .• • . . . . .. /F
1$. data plate okay .. .. .. .. .. . . . . . .. .. ..
19. mobile HUD seal okay . . • . . . . . .. .. .
Model # �yi?�� ria1
1
Manufactuurer
Date of Manufacturer X
OKAY TO ISSUE CIO
g NO
Comments:
APR 2 TJG
1998
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GUNS FALLS U & W HOMES, INC.
36 SARATOGA RD °
GANSEVOORT, NY 12831
78.2801
Jt?27 3053
WL�A
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SECOND
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KITCHEN
DINING BEDROOM
81-v x 10'-1 (1' 9'- -T x 8'--e
f�
w� a aPr '
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c Cif # t11L CaIJN
STANDMO THROUGHOUT
MASTM
BEDROOM LIVING
104 x 1Q'-IT ROOM THIRD
14'-e x i o,- i c' BEDROOM
8`-gr x 8'-4"
3053 3m3 3053 30.53
990 5Q . FT . 38 28 M8244402
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