1998-708 CERTIFICATE OF 0CCLJPA N1%`.IL
TOWN OF QUEENSSURY
WARREN COUNTY, NEW YORK
November 23 98
!' I Date 19 —
1'"0 tole� 98704
This is to certify that work requested to be done as shown by Permit No.
i
has been completed.
' MOBILE HOME
This structure may be occupied as a
LOT 3 PETRIE LANE
Location
OONYEA , JEAN
C]wrt►tr
TAX MAP NO * 12 1 . - 6 -- 5 9 By Order Town Board
TOWN OF QUEENSSURY
�
Director of Bldg. be Code Enforcement
BUILDING PERMIT
VALUE $ 38000TOWN OF QUEENSBURY No. 98704
TAX MAP NO . 121 . - 6 - 59 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to GONYEA r JEAN
OWNER of property located at LOT 3 APRIL LANE Street. Road or Ave.
in the Town of Oueensbury. 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 'mown of Oueensbury Building and Zoning Ordinance.
f. OWNERS Address is
LOT 3 APRIL LANE
QUEENSBURYr NY 12804
2. CONTRACTOR or BUILDERS Name
LAMPLIGHTER HOME
3. CONTRACTOR or 13UILE)eR'S Address
ROSS LOFFLER RD2 ROUTE 9 FAX 793 - 7522
FT EDWARD , NY 12828
A. ARCHITECT"S Name
COMMONWEALTH ELECTRICAL AGENCY
S. ARCHITECTS Address
PO BOX 706
HAGUE , NY 12836
fi. TYPE of Construction — (Please indicate by x) MOBILE HOME
1 I Wood Frame f 1 masonry f i Steel I l
7. PLANS and Specifications
10640, SQ FT MOBILE HOME AS PER PLOT PLAN SPECIFICATIONS
B_ Proposed Use
MOBILE HOME
41 November 17 19 2000
PERMIT FEE PAID - THIS PERMIT EXPIRES
fit a longer period is required an application for an eKtension must tse made to the Building and Zoning inspector of the
town of Oueensiury before the expiration date.l
17 November 1998
Dated at the Town of Oueensbury this Day of -- -� 19
ySIGNED BY r� R for the Town of Oueensbury
Building and Zonorg Inspector
REVICWED BY : {
FEE PAIDe
PERMIT NO . r
APPLICATION FOR PERMIT
MOBILE I IOMC Olt MODULAR
A BUILDING. PErtMIT MUST BE OBI'AINf: U BEFORE PLACEMENT OF MOBILE IIOME .
NO INSPECTIONS WILL BE MADE UNTIL A VALID IIUILDING PERMIT IIAS BEEN ISSUED ,
The owner of this properly Ise
P . U . Address : 4 A!,cX ��. � ��,< ,�, < .4 Phone Number '7 r s �
Property Location ��� Tax Matz No . / /
NAME OF APPLICANT :
Address or Applicant . Uxe "V5s-\
All applicants spaces on this .nppl r ca L I on MUST be completed arrd the
signature of the applicant MUST appear on Lhe reverse side of this applicaLlo{n .
PEItSON RESPONSIBLE FOR SUVERV I S I ON OF WORK AS REGARDS I3U I LO I NG CC)67 0 u`F '1c �
MOBILE 11014F_ I Nr"oIIMAT 1 ON / q (_4 APPROX IMA -CL VALUE" OF HUMS : $ 3
sspm
New Ilorne Yes No / ZONING INFORMATION .
Replacement Ilorne Yes Na Size of Property . ft x fL
Size of mobile home _]4ftxloft Existing Bulldings :
Singlewide Doub1ewide
Proposed building-- distance from properly l lire :
No . of rooms ( exclude baths ) Front Yard 08o fL• Rear Yard ] ft ,
Side Yards 3ti ft anti
No . bedrooms fL' .
Occulrancy I rs format i o
No . of bathrooms - Primary dwelling : Yes No
Fireplace jNt „ Wood stove Ctx� Accessory BulldrncJ ( s ) :
Detached garage one car / two car car )
Foundation style and size : AtLached garage one car / two car car )
P �5 Lor•age lru l l d i +ry
Piers- No . of Size ft x ft OLlter
Depth below grade ft
Foundation-- Footing size x "
Proposed date of placement: :
Wall rna teria '
Wall thickness _" IreTglrL IG, " Water Supply : Well Municipal '.
Total depth cpelow g_j:nde ft , Septic permit required ?
Grade to horrre floor. level,.�rt• .
FURTUER INFORMATION REQUESTED ON TIIE RCVERSE SIDE OF T11IS SHEET
NAME OF iNS7ALL[R/MOBII_E WME DEALER : 4_c:,v..,�\�`.��`x�,
ADDRESS/PlIONE NIIMBEil
STATE OF NEW YORK DIVISION Ot= Itt}USING AND COMMUNITY RENEWAL
INSIGNIA OF APPROVAL OF TifE STATE BUILDING CODE
1 . Insignia serial member
2 . Name of Manufacturer 31C>ni .�
3 . Platt Approval Number
4 . Model or Component Designation Lp,,
5 . Oa Le of Manufacture
All the above informaLioil is to he found can at lrlal. e or sticker which
shots l d be affixed to Lhe Mobile Il mte . Coato a to above will, Lita t i n f o rma L l on .
Town of Qtteensbtiry State cif" New York
Comity of Warren
AI= F I t1AV F1'
I swear that to the best of my knowlecfUe and bel ier the stat: enterats contained
in this alililicaLIon , t: otlether with the irlans and sliec: ifications stibmItLecl ,
are a trite and Ctm pl e t.e s t. a t.emen I: or all proposed work to he, done oil the
desCr I fleet lireuil sets and tha 1. all lirov i s i erns of Llle ltll l t UiNG CODE , the ZONING
t UD I NANCE , and till other laws Berta l n ing to Lhe proposed work sha I [ he complied
with , wheLlier slieclfled or not . and that such work is imLhorized I>y the owner.
Slynatore E3 ."�_
Owner , owner• s argent , arclli tect ,
corn Lrac tar
SPECIAL_ CONDITIONS OF PEitMFfo
ley
Cork* rrlf'orcemetit W79cer
DECLARATIOX..- Please sign belovp after you have carefrally rear-1 the statcrrreut.
To the best of my knowledge [lie sullements Con(ailted in this al)JAicalion, logelher with the Plans
and sticcificalioels subtalitte(l, are sc Irtie .uld caml�Icle statctrlent of all l)rolx)scd work to be Clone on
the described premises and tii.tl all provisions of the l311iltling Code, (tie Zoning Ordio.ince and all
olltcr laws pertailling; to the pro x)se€I work shall tic cc>Iniilied with, whether specilie€i or nested , all([
IIIat such work is awliOrizecl lay the owtacr. Vnrtllcr', it is tlistlersltsotl tha( I/wc sh:aII stlb ill it prior to a
CcI'IIIIa:.alc or Occispa[icy or Certificate Or Col)'Illi a 1'cc tieing; isstted, a AS BU1LT PLOT PLAN by
n licexlsed surveyor; drawn tar scale, Showing actual location or project oil premises,
Sign attire: '
(owner. owti s .agent, architect, contractor) -
�� MpBILEQ Mt13joutm10
rpm tr
Town 0i Queensbury ~
Building & Code Entorcennent
742 Say Road
pueensbury, NY 12804
(518) 761-8256 {
I7EPAR . 0 ,do xNSPI:` _
ARRIVE:
nxAM INSPECIIION REQUEST RECEIv'El]:
a -
NAME: j
DATE:
-cY� `7 ? PERMIT #
MOIN31LAIL HOME
1410E11.E HOM» gpA ,,sING
FAWTUIII F01TNDAT,0N 8AClcFTI.L
III IIIIIIIIII NIA YEs NO
1 . fowdation suppoxt. 'Pier sPacing �-
per manuf.. .. .. . .. .. .. . .. .. . . . 1
2» anchoring Per f. .. .. . . . �- —
3. water line shut, ff .. ..F» t . . �-
4, sewer line s=V l de) off — �-
5. 1leating crossover _ —
6» dryer vented outside
7, skirting ventilated ' . in outside
hot water
relief va a P�lP g _
fading
101 furnace/hot opera —
I. garage fire Proofing A/
12. door closers . 1N . or6. --
3 plumbing fixture _-
14. foundation insulation (if aPPl.7• �-
1S. smoke detectors .. .. ..... .. ..A .. .». -- --
16. final electrical . ... ». . ,. . .. ... . �-
17. variance required ... .. . . .» . ., .. . .. .
okay �-
18. data plate ay .. .. .. ... .. .. ..
19. mode BUD seal okay . ..
Serial. #
Model #
Manufacturer
Uate of 'Manufacturer
YE5 NO
TO ISSUE CIO __--
Conwiwnts:
COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC.
Main Office 176 Doe Run Road - Manheim, PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPRO AU
Panel Board �^Nro....`...........................Cert. N2 66681 Cut-in Card No. ........................... .......
C3wner......._� ,t.4�.......tip........ z .r9..r4'... b�?>F.................... ...... _.........._........._........,.............__...... ........
Location .: �........ . !t1Uc JLS...�....!... f�f. '.................................... C,C F�� ........,
Installation Consisting of ,...'r'� .. � rG - �.......
......................................................................r................,,,,.................,...................,...........
....................
// IPLI fP 1' ./e. lk�?Yrft'=� Lie. No. .................................«_.....,........
InstalledBy.W-.- 7�L......:.»i .«......................................... _...,,......... .
The conditions following gaverned 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 maki inspections at any time, and if its
rules are violated„ the Company shall have the right to r
INSPECTOR S oke s certi,[}cate.
Date..�l:r' ... r " — ..................................
Member N.F.P.A.. LA E.J.
��NAL INISP�IIlCT1C71�IV rtl��+rstre �
MOBiL.l� f MOOUL-A`R
Town of Quepnsbury
Building & Code Enforcement
742 Bay Road ] *,
Queensbury, NY '12804 /
ARRIVE; DEPART: J 1
DATE 1NSPE Mor4 'keQUEST RECEIVED:
TIc7N:
PERMrr:
IR HOME
blenulL&A MONS
BAC"M I FRAMING
�; � FOUNDATIONY - -
NIA Y>aS NO
1 r €c�undanoa suL►Po'+�*
2. anclwring per mane€.
3. water line shut, off
4. sewer lima supper 5, heating crossover ( lewi
6, dryer vented ~-
76 . akirtinS ven outside
8, hot water relief v ve Piping —"
9, deck. pOCcheswr
1U. furnace/hot . . .. --
11. garage fire proofing y'
12. door closers .. .. Do..r .. .. . . . .. . '
13. plumbing fixture . ... .. .. .. ... .. .. .. .. .
M foundation insulation (if appl.).. ....
is, smoke detectors `i
16, final electrical kip? `[ — �-
17, variance required ... ... . ..
18. data plate okay . .. ... r
19. mobile HUD seal, ok�.e'y #
Model # /V Serial --
lVlsnufacturer C - O L40 N
Date of Manufacturer LL o
YES NO
C1KAY T(7 1SSE1E C10 XLL OCO
ommer►ts. L712 , S c_ 1 Ca 2
fitCII-
�— de `�
I
`�y l
I
I
i •
i
1 i
1 Jar
I
i
i
s
r
i
I
V(M CE
Y AHCHIMHG Of MOME
I
FRAME IS REQUK" PER TOWN OF QUEENSBURY BUILDING DEPARTMENT
i ANUFA MRS SPWFWA?IO"& Based an our limitedexamination,
i compliance with our comments shall
i not be construed as indicating the
plans and specifications are in full
I RJ / ' compliance with the cede.
E
TOWN
fir ' ' a•�'" ELATE
11 /17/ 1998 09 : 24 518-793-7522 LAMPLIGHTER HOMES PAGE 02
. ezrn�b �s�►�a d`e�
SyOcioiizin0 in Medulvr Homor end Manuiaciwrod Mousing
Route 9
R02 Fort Edward IVY 1282k1 T
(519) 793.7392
s DtNING
91{ 1 SIR 2
MASTER f � ROOMG $ Ik`
MCA
�' SEpROL7i.S
!� U1L .{— {HEN , _ . VHit OcxKour Gt L
..
mile
N9501A 1480(7F) CENTER KITCHEN, F FI<O .1T BEDRGON10 2 BATH, UTILITY Approx. 1064 Sq. Ft_
MODEL # 13
Perimeter Heat System
Triple Three vinyl Lap Siding
Skylights both Bath & Utility groom
Paddle Fan w/ light ( 1r )
2 X 6 Floor Joists with R- 14 Floor Insulation
2 X 6 Exterior Wall with R - 19 Sidewall insulation
2 X 5 Top Plate
Vault Ceiling Throughout
Vinyl Covered Gypsum Walls Throughout
Smoke Detectors With Battery Backup
40 Gallon Water Heater
Vinyl Thermopane Windows with Tilt Out Sash
Scotchgaurd Treated Carpet
Residential Upgrade Drapery
Mini - Blinds Kitchen and Bath
Lighted Walk - In Closet ( s )
Oak Cabinet
Frost Free Refrigerator
3014 Gas Range
Lights All . Bedroome
Glamour Tub
Separate Shower Stall
Airconditianing Thermostat with 5 - wires