97-418 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date April 6 19 _ 98
, '30 3oqqi
This is to certify that work requested to be done as shown by Permit No. 97418
has been completed.
MOBILE HOME
This structure may be occupied as a
LOT 143 HOMESTEAD VILLAGE
Location
Owner JOHNSON, JOYCE/JORDAN, RANDY
TAX MAP NO. 93 . —2_11 . 1 By Order Town Board
��, TOWN OF QUEENSBURY
/ a., :.,-_ , _,,:Az„,
Director of Bldg. & Code Enforcement
BUILDING PERMIT
VALUE $ 33000 TOWN OF QUEENSBURY No. 97418
TAX MAP NO. 93. -2-11 . 1
WARREN COUNTY, NEW YORK
JOHNSON, JOYCE/JORDAN, RANDY
PERMISSION is hereby granted to
LOT 143 HOMESTEAD VILLAGE
OWNER of property located at 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. Tel.ffgednillsasMESTEAD VILLAGE
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDERS Name
GLENS FALLS MOBILE HOME INC .
3. IT tAWR IIIR5RS Address
GANSEVOORT, NY
4. ARCHITECT'S Name
NEW YORK BOARD
tlEcNITiEn (AVURRD OF FIRE UNDERWRITERS
6. TYPE of Construction—(Please indicate by X) MOBILE HOME
( I Wood Frame ( I Masonry ( ) Steel ( 1
7. PLANS and Specifications
24 ' ;040 ' SQ FT MOBILE HOME AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
MOBILE HOME
35 July 29 99
$ 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.)
29 July 97
Dated at the Town of Queensbury this Day of 19
SIGNED BY for the Town of Queensbury
��� Building and Zo 'ng Inspector
4 . .
TOWN n ], i ]�� J
'' r�,O Y Y L V OF UEE V , 2 1997
� sBvRx
REVIEWED BY:
FEE PAID: . 3S ®0
PERMIT NO.
'11 --Li 1F?
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: pITS2T\ rv �► Ian
P.O. Address: (,1(2�efLljr W-i) Phone Number `TCj9-.241)0
Property Location 6,q erUS 6cAQy Tax Map No. / . /
NAME OF APPLICANT: : hALSQK, ?(,a -
Address of Applicant: Lb`r
043 77 15 vII iv lit/3_679-o\
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:
• Ct.
MOBILE HOME INFORMATION APPROXIMATE VALUE OF HOME: $
New Home No ZONING INFORMATION:
Replacement Home Yes No
Size of Property: ft x ft
Size of mobile home ftx `f ft
Existing Buildings:
Singlewide Doublewide
No. of rooms (exclude batfis) .�—' Proposed building-distance from property line:
Front Yard ft Rear Yard ft.
No. bedrooms Side Yards ft and ft.
No. of bathrooms , Occupancy Information:
Primary dwelling: Yes No
Fireplace 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
* * * * * * * * * * * * * *
Foundation-Footing size x " •
Proposed d to ofrp lacement:
Wall material 1 51 1
Wall thickness " Height Water Supply: Well Municipal
Total depth below grade ft. ' ' Septic permit required? AJ J
Grade to home floor, level ft.
•
FURTHER INFORMATION REQUESTED ON THE REVERSE SIDE OF THIS SHEET
NAME OF INSTALLER/MOBILE HOME DEALER: ,Q,c,L.f.L 010r �e g
ADDRESS/PHONE NUMBER 3
'Z8" o G •
STATE OF NEW YORK DIVISION OF HOUSING AND COMMUNITY RENEWAL
INSIGNIA OF APPROVAL OF THE STATE BUILDING CODE
. 1. Insignia serial number akkA5L-ei? 40rA/4 _e
•
2. Name of Manufacturer
3. Plan Approval Number
4. Model or Component Designation
5. Date of Manufacture •
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 bq. 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
Owner, owner' s agent, architect,
contractor
SPECIAL CONDITIONS OF PERMIT:
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)
r - _-
TOWN OF QIJEENSBURY
742 Bay Road, Queensbury, N'Y 12804-5902 518-761-8201
October 15, 1996
All Mobile/Manufactured Housing Dealers
At a recent seminar regarding reference standards for the New
York State Uniform Building Code, it was pointed out by the
sponsors of that seminar that all mobile/manufactured housing must
be anchored to the ground upon. which they are sited. This is
required by Section 1223 .2, Reference Standard 35-3 .
Therefore from this day forward, any mobile homes which
require building permits through this office will be required to
provide anchoring before the issuance of a Certificate of
Occupancy. We're asking that the installation manual for these
mobile homes be available to the building inspector upon final
inspection, and anchoring be installed in accordance to the
requirement of the manufacturer_
Should you have any questions regarding this issue, please
don't hesitate to contact us . This Department will not be issuing
Certificates of Occupancy or temporary Certificates of Occupancy
until such time as the mobile home is anchored properly.
Your anticipated cooperation is greatly appreciated.
Sinc ly,
David Hatin, Director
Building and Code
•
DH/mg
"HOME OF NATURAL BEAUTY. ..A GOOD PLACE TO LIVE"
Se ILED 1763,
'14
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THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE }
'� iE, �4'4 Ei'.; 1r
l BUREAU OF ELECTRICITY
{; F 111 WASHINGTON AVE., SUI -E 7II4-, LBANY, NY 12210 y
-t' r �.c ': r c9"7 �97 �'4;2 ,}
:S; Date :AUGUST I l:,.�_)a 7 Application N .on file -�'--- -i(�?. r r_. ! s�', '.�.�,, -....
% THIS CERTIFIES THAT PEr`I`iIY1' NO. 9-7-'4 8.
only the electrical equipment as described below and introduced b he licant nam don the above application number in the premises of y
' JO Y`L'E Jot SOWJ Y, t TORDAN uLD�;�f:-,e TE D of I_5is�s�.G i LOT 1.43, '''IO .I��4J:.�BUR� . n. . Y
I" f I
.r in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. Section Block Lot !2.3 ,_•
was examined on :AUGUST' 12,1. 3`- 1 and found to be in compliance with the National Electrical Code. }
i'', lY
j; FIXTURE SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ;T
OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. ,
-. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS 'r
iiic r
�' AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. MAT. AMPS. TRANS.Esi H.P. NO.OF FEET AMT. WATTS
!� SERVICE DISCONNECT NO.OF S E R V I C E ;T
�iAMT AMP. TYPE METER I�,7W 3W 3.B'3W 7,B'IW NO.OF CC.COND. A.W.G. NO.OF HI-LEG F I-G• NO.OF NEUTRALS A•W.G• y!
1 EOUIP. PER B• OF CC.COND. OF HI-LEG OF NEUTRAL
i, OTHER APPARATUS:
,Y
lg., .F'I'EDER:it2 x4 FROM I:SC TO f.it--1-
Y
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n 'Y
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•�, - •� a1C ,.,,.;,,Y: ;r
. GLENS I�ALL: MOBILE Qsss YI coy 0,...r�
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1 '3 =A.11-A0 c2 IUD. `�s�y '� . y i GENERAL MANAGER '�
- iI • - =It Per
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.
"('i.Y iY(7.CY,C ra 41'1i•;•q\'YAF-4i'%.-,'i.Y'iaCy.{Yi{7iY/e',ii'/,{'iifYeY.Y Ia(fAY'4t.'ri{.Y.{Y�{•YAC,YA ;F.fYA?'iA\c4fY.Y,'i•f Y.YYiYYA'C 7AYYiiY,Y•<YAYY.YAX.Y.Y,YAY.7sYYiY.YQCYe.YAY'%ArC;4`G.Yi{Y.Y9'
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
. ,.
( 21
FINAL INGIAICTIONI iREPF
.:..
MOBILE / MODULAR
Town of Queensbury , 1 1
Building & Code Enforcement S6VW\ 1A-)1 1/ 1
742 Bay Road r _
Queensbury, NY 12804 .N--
(518) 761-8256 A
ARRIVE:114_57.DEPART: V3OINS .
DATE INSPECTION REQUESTIZECEIV • '
NAME: , i -_ ti,
I _ . ff4
gr
LOCATION: ' _. 11.16.,&i, s•
Millint. ir s
.. .
DATE:.01-- --t 4,-' 1 113EltMIT#9-7-/41
MOBILE HOME MODULAR HOME
FOOTINGS FOUNDATION liACICFILL FRAMING
N/A YES NO
1. foundation support, pier spacing
per manuf. - ,:. -__
P -
2. anchoring per manuf. i
! — 7
3. water line shut,off
4. sewer line support @ 4.feet:' _
5. heating crossover (dbleWide) off grd. ' .
6. dryer vented outside , 1' —
7.• skirting ventilated fr.,. _ —
8. hot water relief valve piping outside •-
9. deck, porches, steps, railing '.. — — _
10. furnace/hot water operating _ — —
11. garage fire proofing !:
—
12. door closers
13. plumbing fixture ,: ,,,
.. ____ _ _
i.
14. foundation insulation (if appl.) — —
15. smoke detectors
16. final electrical
17. variance required ,1 —
18. data plate olcay — , — —
19. mobile HUD seal okay ...
Model # Serial# •
,. ).
Manufacturer 1 „,
\ ..),.
Date of Manufacturer .,
•
OKAY TO ISSUE C/O YES NO .
Comments:
' . •
•
• -
•
FINAL IN ECTION ballEIPC9iwilr
MOBILE / MODULAR
Town of Queensbury
Building &Code Enforcement
742 Bay Road
Queensbury, NY 12804 eee
(518) 761-8256
ARRIVE: 10-i-6DEPART: jt)INS fie
DATE INSPECTION REQUEST RECEIV•
NAME: D A3
LOCATION: I He t-I E T EAD DATE: . •9 PERMIT# ° pl1•--1I Z")
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 —5. heating crossover (dblewide) off grd. — —
6. dryer vented outside — —
7.• skirting ventilated — —8. hot water relief valve piping outside — — —
9. deck, porches, steps, railing — —
10. furnace/hot water operating — — —
11. garage fire proofing — — —
12. door closers — —13. plumbing fixture _ — —
14, foundation insulation (if appl.) — —15. smoke detectors _ —16. final electrical — —17. variance required _ — —
18. data plate okay — — —
19. mobile HUD seal okay — — —
Model# Serial#
Manufacturer
Date of Manufacturer
OKAY TO ISSUE C/O YES NO
Comments: I��DT
FILIAL INSP CTION PildPOIRY
MOBILE / MODULAR
Town of Queensbury
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804
(518) 761-8256
10
ARRIVEA DEPART: !cZ.. INSP:
DATE INSPECTION REQUEST RECEIVE
NAME: I b b:0.: _ I. A .,s 1
LOCATION: r ti_43 E-�'T E V)
DATE: -,2)-9? PERMIT/i °I-J-L-a I Y)
MOBILE I•IOME M DU AR HOME
FOOTINGS _ FOUNDATION AA _ FRAMING
r
i N/A YES NO
1. foundation support, pier spac' g —
per anuf. — f m
2. anchoring per manuf. — �/ _
3. water line shut off — /
4. sewer line support a 4 feet /5. heating crossover (dblewide) off grd. j
3
6. dryer vented outside — —
_7. skirting ventilated.
S. hot water relief valve piping outside — —
9. deck, porches, steps, railing —
10. furnace/hot water operating —
11. garage fire proofing —
12. door closers , —
13. plumbing fixture —
14. foundation insulation (if appl.) — —\—/
/
15. smoke detectors = .1L
9
16. final electrical _ 1/_ — —
17. variance required
18. data plate okay — —
19. mobile HUD seal okay — —
Model # Serial#
Manufacturer
Date of Manufacturer
OKAY TO ISSUE C/O YES NO
Comments:
O FLE.tit-. HEAT O ucc t- 5Tc t- FI a.
N'ILZoOD U 0®_O r; c Z 1ED CP_
tofTE-[ ot.D_ v..)it �f2. lior1E0
•
0 1ECD O k rJ6W AIII
of- r çcLLrcc
FINAL INSPECTION IvIMPuripcir
MOBILE / MODULAR
Town of Queensbury
Building &Code Enforcement
742 Bay Road
Queensbury, NY 12804
(518) 761-8256
ARRIVE: 2....:2CIDEPART: 2;351 • .
DATE INSPECTION REQUEST RECEIVED
NAME: I.*Littk nraj . jr_o
LOCATION: I, b‘.1Mi
DATE: oto PERMIT# TP4
MI EMI
MOBILE HOME MODULAR HOME
FOOTINGS FOUNDATION BACKFILL FRAMING
N/Ar YES NO
1. foundation sus s I , pier spacing
per manuf.
2. anchoring per man . ti
3. water line shut,off .
4. sewer line support @ f-
5. heating crossover (dble - off grd.
6. dryer vented outside
7.• skirting ventilated
8. hot water relief valve uiping outside
9. deck, porches, steps, railing
.10. furnace/hot water operating
11. garage fire proofing
12. door closers _
13. plumbing fixture V V
14 foundation insulation (if appl.)
15. smoke detectors —1
16. final electrical
17. variance required
18. data plate okay
• 19. mobile HUD seal okay
Model# /11.16 N5V6iiS tt0t). Serial# Lfg.ti-In-15
Manufkturer V-Ibtic2)
Date of Manufacturer
OKAY TO ISSUE C/O YES k/rs10
• Comments:
kW-Fir MCA— 13F-F
67.-0ZD CN3Qtsr
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Ait(Ned \ 0151/
v . .-i(."(41°) .fc40' .
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Ci '.441,04
c\fr• 4,>A,dr7 ,
14,130
44' x 44 deuilmood
01 - . - - oo
'4'1: qp
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LIMITED 2 . ... L
AVr�1.AB1LlTY �`- �- LIMITED
144
...., AVALABIUTY
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JUL. .23 1997
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' Application • - ,____,-.
I
f k 21997 I
i -------,----_,_____T OZZ 18 Administrator
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Fill COPY _.. ,
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,
NOTICE
ofttioRIUS OF MOBILE HOME
FRAME IS REQUIRED PER
MAtillnit UM SPECIFICATIONS
TOWN c...-3F QUFF ;EUR_Y-\
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