97-300 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
July 23 97
Date 19 _
20,01 , c1+1
1 This is to certify that work requested to be done as shown by Permit No. 9 7 3"
has been completed.
MOBILE HOME
This ,structure may be occupied as a
' LOT 37 NOIZTHWINDS I-1I-IP
Location
Owner BAKER,.r CLARK
TAX 14AP NO. 93. 2_9 By Order Town Board
TOWN OF QUEENSBURY
C. Atio,..,7,ffece
Director of Bldg. do Code Enforcement
BUILDING PERMIT
VALUE $ 48000
TOWN OF QUEENSBURY No.TAX MAP NO. 93. —2-9 WARREN COUNTY, NEW YORK 97300
PERMISSION is hereby granted to RAKER, CI-ARK
OWNER of property located at I.n11 37 NORTHWINDS HHP 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
20 SUGAR BUSH. RD
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDER'S Name
ADIRONDACK HOUSING
3. CONTRACTOR or BUILDER'S Address
4..ARCHITECT'S Name
MIDDLE DEPARTMENT
5. ARCHITECT'S Address
6:TYPE of Construction—(Please indicate by X)
Nip ILE HOME
Wood Frame ( )Masonry ( )Steel I
7. PLANS and Specifications
12 SQ FT MOBILE HOME AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
MOBILE HOME
53
PERMIT FEE PAID —THIS PERMIT EXPIRES V June 18 19 99
(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 18Day of June. 19 97
SIGNED BY , for the Town of Queensbury
Building and oning I nspeCtIV
-
;Y
j001I141
TOWN Oh Q UEENS B UR Y
REVIEWED BY: c, 1-7-300
O 0 FEE PAID: $
53, 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: 7 1 7' . CJ/i7 GAS /j iV,
P.O. Address: 6)t1ee Phone Number
Property Location ,,v I Tax Map No.P-r�j / / 9
NAME OF APPLICANT: 0_1c11. v lr ,
Address of Appl i cant: /i-cr( ���l Y -� ( � �,, , 1A-1
All applicants spaces on this application MUST be completed and the
signature of the applicant MUST appear on the reverse side of this
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING COS ' 41E
JUN .06 1997
TOWN 1.+P QUEi:i`dsiUR�i
BUILD' I ND ®e
MOBILE HOME INFORMATION l / APPROXIMATE VALUE OF HOME: $ 0 ,
New Home 010 No (2,44ZONING
INFORMATION:
SSize of Property: � ft xReplacement Home e No L0 ft
/l
Size of mobile home 4ft4§!t Existing Buildings:
Singlewide Doublewide
Proposed building-distance from property line:
No. of rooms (exclude baths) 8 Front Yard 0. ft Rear Yard Z 8 ft.
No. bedrooms3 Side Yards i--"? ft and 1. CDft.
Occupancy Informatio •
No. of bathrooms Primary dwelling: 41111 No
Fireplace -- Woodstove -- Accessory Building(s):
Detached garage (one car /two car car)
Foundation style and size: Attached garage (one car /two car car)
Storage building
Piers-No. of maize ft x - ft
—Other
Depth below grade ft * * * * * * * * * * * * * * * * *
Foundation-Footing size--- " x ` " Proposed date of placement:
Wall material & \ C C9 1 9.-1
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: 142c/j/ec,1 C.. /f , ' :/S//77
ADDRESS/PHONE NUMBER ///y J '-7' S--s 7f1:7 /1- / u-S
STATE OF NEW YORK DIVISION OF HOUSING AND COMMUNITY RENEWAL
INSIGNIA OF APPROVAL OF THE STATE BUILDING CODE
1. Insignia serial number n `�S� }
2. Name of Manufacturer CAS %' l�
3. Plan Approval Number 2 rC. CS Z)
4. Model or Component Designation crDOY
5. Date of Manufacture C \ �(
All 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 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 not, and that such work is authorized by the owner.
Signature r
Owner, owner' s agent, architect,
contractor
SPECIAL CONDITIONS OF PERMIT:
By
Code Enforcement Officer
: vEDY ,
ATE
„. ..„. , .
BLDG. PERMIT NO. 97-300
APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY
A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property
located at; Lot 37 Northwincis Mobile Home Court
for the following uses: Mobile Home for Clark Baker
•
a24/ 97 • C-cf•
DATE SIGNATURE OF APPLICANT
•
TEMPORARY CERTIFICATE OF OCCUPANCY
The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby ( )APPROVED
( )DISAPPROVED
with the following conditions: Certificate of Occupancy to be issued
upon completion of Anchoring of Mobile Home„gupporting
Sewer Line and Heat Cross over, Dryer and Hot water to be
extendde outside skirting and install skirting.
•
TEMPORARY CERTIFICATE OF OCCUPANr:C;FLi Ea":00A.V-iikd : '400.00
received on June 26 . 1997
Date of Issuance Director of Bldg. & Code Enforcement
THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES 111111130 DAYS
FROM THE DATE OF ISSUANCE.
NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. & Code
Enforcement or his designee.
FINAL INSPECTION REPORT
°MOEIRLE / MODULAR ,
Town of Queensbury
Building & Code Enforcement
742 BayRoad 6
Queensbury, NY 12804
(518) 761-8256
ARRIVE:` CWDEPART: INS
DATE INSPECTION REQUEST RECEIVE . l'--d--/ -"1 7
NAME: ` G I.I �'
LOCATION: —] J /1 /Yl/L.
DATE: ; --J _9 7 PERMIT # /'-3 lx(/
Mai v5IIPLE Elm ME MO rULAR HOME
FOOTINGS _ FOUNDATION _ BACKFILL_ FRAMING
N/A YES NO
1. foundation support,piers cing
per manuf.
2. anchori r manuf.
3. water line sh ff
4. sewer line support -i�
5. heating crossover (dble 'de) off grd. _ .
6. dryer vented outside _ J/
7. skirting ventilated ,J
8. _hot water relief valve pi ping outside __ ____ _ ____
9. deck, porches, steps, railing _ _/
10. furnace/hot water operating / _/
11. garage fire proofing J/
12. door closers ,_/
13. plumbing fixture • / _
14. foundation insulation (if appl.)
15. smoke detectors /
16. final electrical
i — —
17. variance required
18. data plate okay = EE19. mobile HUD seal okay Model # Serial k
Manufacturer
Date of Manufacturer
OKAY TO ISSUE C/O IES NO
Comments:
FINAL INSPECTION REPORT
MOBILE / MOOULAR,
Town of Queensbury
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804
(518) 761-8256
ARRIVED: - PART:L I,95 I P: \)°—�--
DATE INSPECTION REQUEST RECEIVED:
r
NAME:
LOCATION: Z'r 37 Aloiegpi /ll"0.J
DATE: C7z / 7 7 PERMIT f q7 Y-v
MO;,ILE HOME • RId>%DULA tc Il�.�F IE
FOOTINGS _ FOUNDATION _ BACKFILL— FRAMING
N/A , YES NO
1. foundation su s port, pi r si.cing /per manuf.
2. anchoring per •.'u'. _
3. water line shut off _ �t
4. sewer line support f®® 4 feet —
5. heating crossover dblewide) off grd. — _
6. dryer vented outside
7. skirting ventilated _ _ V
8. hot'water relief valve piping outside _ . _ J
9. deck, porches, steps, railing _
10. fumace/hot water operating
11. garage fire proofing J
12. door closers —{ —
13. plumbing fixture
14. foundation insulation (if appl.) V _
15. smoke detector .. . ....-} ......Z _
16. final electrical M .IA/ JB _
17. variance required
18. data plate okay — —
19. mobile HUD seal okay
Model # UR W. Serial #C 1 P 171(5 4
Manufacturer Ci;.Le 40-5 to C'>
Date of Manufacturer Le let ('1?
OKAY TO ISSUE C/O 1/ YES NO
/6w�P. `" 3d i74y
Comments:
(/ 7 Crop,-- R&Fotib)
77-g—�2-49,0 J®��
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.
Main Office 357 Elwyn Terrace — Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Panel Board No. Cert. 45 0 3 Cut-in Ca No. silte4
Owner .i�<:1.13.K.......OA:.4C.G'..C�
Occupant 3 len e— 7-300
Location..1->Q.r.. ?.3.:7 Al.O(=.T..H.W..1.n.lOS......T..1 .ta.....P.1.0
Installation Consisting of ,�..:�.R.ve:! 1.Y1 SlP..N,c_7.'LQ..i'L.-
Installed By eL1./r9 Lic.#
The conditions following governed the issuance of this certificate,and any certificate previously
issued is cancelled:—
This certificate only covers the electrical equipment and installation conditions as of date. Upon
the introduction of additional equipment or alterations, application shall be promptly made for
inspection.
Inspectors of this Company shall have the privilege of making inspections at any time, and if its
rules are violated,the Company shall have the right to revoke this certificate.
Date Q.- .c�l'q INSPECTOR_.SG��4
ember N.F.P.A.,I.A.E.1.
.. Y�� .a .N..Wr__.(.-VF�1M..a..,. r��_'r.. . - •F'IYr
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• 'LIVING ROOM
BEDROOM 2 MASTER BEDROOM 1T-0% 1T-7 MISTER a .. .
11•-e x 12'-7 13'-1 % 12'-7 BATH
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'cam '—
ml, OM . I
MM U.
R00 ■i��' ; 3
12•-2 x 12'-7 �� m•
BEDROOM 3 KITCHEN oo
1 t•-5 x 12'-7 11 . 12•-2 x IT-0 M ROOM G
t , Mal
9'-10 x T-1
D URHAM APPROX 1280 sq. ft. ?�
28X56 (52) csp
C �
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• 1 STANDARD ENT. CENTER
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MASTER IJHNG • BWR00412 '
QEOROOM ROW - 11•-9 x 12'-7 .._...
15'-4 x 1T-7 2T-4 x 12'-7 y
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EDINBURGH URGH APPROX 1494 sq. ft.
0 W
n
BEDROOM 2 � f BEDROOM 3 IT-8M ER
91
BATH 2 10.-0 x 12'-7 ° -9 x 1T-7 LIVING ROOM
1T-2 x 12•-7 _ ' \ "`
•
l71 �An p o o l rii
�,- Eli
P KITCFIEN
KX-0 X 12•-7
00I tilt
MASTER BEDROOM �1
117-e x 12•-7 CU
11 DINING
7---11T%110-0 MORNING ROOM a.
10.-0 x e•-0
e
3.....i,‘..w�,a.s..v° �.a •mc.-w.aa _._ r.'PRnea9R r
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J ILTIIMORE APPROX. .1600 sq. ft.
•
28x64 (60)'