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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 :,J:S.,A) ,P.,•"Ca�/.1-Cyst'1_..CJJ.:.3.7,),"1:�A.l.tc.'_p.,n).,C LC,_174.:11.V.?,.C;��.FJ.�.:At::)�.:,�,CA•A•J_..._cJJK7.o "..1I. ,C�...4,...gelC7_�t.nx.._l'J:):),.J.,:e,,p_n..�_l'..I.EL\..C'J.CI'J_ti�tiJ•..1,,1:7.,Aa...C)�.Cpf.0 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 .r r n 'Y r J — . . .Y •�, - •� a1C ,.,,.;,,Y: ;r . GLENS I�ALL: MOBILE Qsss YI coy 0,...r� Y 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 VNv-Ei- Ait(Ned \ 0151/ v . .-i(."(41°) .fc40' . ,e,0 Ci '.441,04 c\fr• 4,>A,dr7 , 14,130 44' x 44 deuilmood 01 - . - - oo '4'1: qp !7 LIMITED 2 . ... L AVr�1.AB1LlTY �`- �- LIMITED 144 ...., AVALABIUTY r.......,..,. . . q 7_Id p Y -.:: n. k---,,,.-7.•\.: - - - , .. :--, • i JUL. .23 1997 c.;T--7'v--------1 /.'--'\ I-) t----' p rtp------..,, 17-=N• ' 'A W IL:.11--)) i ' Application • - ,____,-. I f k 21997 I i -------,----_,_____T OZZ 18 Administrator / \ Fill COPY _.. , , 7 , NOTICE ofttioRIUS OF MOBILE HOME FRAME IS REQUIRED PER MAtillnit UM SPECIFICATIONS TOWN c...-3F QUFF ;EUR_Y-\ . . LI LD1;NG -" ,-.: .),E". D ..„----07 EVEWD. fAff.e • r - V .'----___-) 4.,• LZ, 7; ---- '---NtiV‘.--- )(*t 1-1-1 .....„:„. -.---2 --. `-> c...2> . ..) -Th . .N., • ... ..