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98-749 CERTIFICATE OF 0 CCUPA.N Cam' TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK January 26 99 Dstxe 19 — 98749 This is to certify that work requested to be dome as shown by Permit No. i has been completed. MOBILE HOME This structure may be occupied as a LOT 73 HOMESTEAD VILLAGE Location LEE , LAURIE C7wner TAX MAP NO . 9 3 . - 2 - 1 1 . 1 By Order Town Board TOWN OF QUEE y � Director of Bldg. & Code Enforcement BUILDING PERMIT VALUE s 48500 TOWN OF +QUEENSBURY No. � CI A TAX MAP NO . 93 . - 2 - 11 . 1 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to OWNER of property located at LOT 72 H Street, Road or Ave. In the Town of Clueensbury, To Construct or place a HOIRILE 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 Chmonsbuty Building and Zoning Ordinance. t. OWNER'S Address is LOT 72 HOMESTEAD 'VILLAGE 72 ALPINE AVENUE QUEENSBURYr NY 12804 2. CONTRACTOR or GUI Lt7ERS Name LAMPLIGHTER HOME WIN 3 CONTRACTOR or BUILDERS Address RD2 ROUTE 9 FAX 793 - 7522 FT EDWARDr NY 12828 4, ARCHITECT'S Name COMMONWEALTH ELECTRICAL AGENCY S. 'PO BOX 57�6'°s HAI NY 12836 5. TYPE of Construction — !Please indicate by XI MOBILE HOME t l wood Frame I I Masonry l } Steel l 1 i. PLANS and Specif ications 1568MOSO FT MOBILE HOME AS PER PLOT PLAN SPECIFICATIONS $. Proposed use MOBILE HOME 96 December 7 �� 201�1fD PERMIT PEE PAID - THIS PERMIT EXPIRES tlf a longer nsbury e fired a the application for r no extension m mad must be e to the Guiiding and Zoning inspector of the t 7 December 1998 Dated at the Town of flueensbury this D+Y of 1g SIGNED BY �" ' ' for the Town of Oueensbury Guitdisw end tanirro lnstsaeaor I OWN C7U QUI� I74N,S13 URY �J 1 REVIEWED BY : , FEE PAID : riERM i T No . — APPLICATION FOR PERMIT MOBILE HOME Olt MODULAR A IIU I LD I NG PEItM I T MUST [IF OBTAINED BEFORE PLACEMENT OF MOBILE HOME , ( NO INSPECTIONS WILL BE MADE UNl- 11_ A VALID BUILDING PERMIT IIAS BEEN ISSUF. 0 , lie owner of this Property is : P . O . Address : 4-+-� L?r. Ci� �r�x � � ��Y ,t Phone Number `16;3- 1,2�� Property Location Tax Mali No . / / Nat NAME OF APPLICANT : �c.r�y���1.c� ei' Address of App1 icanL : Al appls car) ts spaces on this application MUST be completed acid the signature of the applicant MUST appear of the reverse side of this application . PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES : MOBILE IIDraE INFORMATION APPROX I X -lE VALur of i IUME : New Home Ces) No ZONING INFORMATION Replacement Home Yes No Size of Property : CA5 ft x ft Size of mobile 11011ie Z_ftxtft Existing Buildings : CL� Singlewide Doublewide No . or roonis ( exclude ba Llis ) 5) Proposed bu l l d i ng-d i s tarice from Property 1 f lie : Froirt Yard �ft Rear Yard ft . Side Yards If t anti ft No . bedrooIias . Occupancy rrrformatl WJA Na . of lratlirooms c� Primary dwelling : to Na Fireplace : k Woods Love Accessory Duilding ( s ) : Foulidatioll style acid size : Detached garage ( one car / two car car ) Attached riarage ( one car / Lwo car car ) `N `` • :X'S Lora-ge bu' i l d i ng Piers- No . of Size kG x other Depth below grade f t F- ouridation - Footing sizecua. " - P1-oposed date of placement : Wall material Wall thickness Vj La., " rlelght Water Supply : Well MunicIpa1X Total deptli j,elow gKacle ft . Septic permit required ? Grade to liarae floor. level Ft . FURTIIER INFORMATION REQUESTED ON TIIE REVERSE SIDE OF THIS SHEET NAME OF INSTAL. l.ER/MOIlII_E IIOMV DFAI_ER . ADDRESSMIONE NOMBEit STATE OF NEW YORK DIVISION OF 1100S I NG AND COMMDN i TY IZENE14AL INSIGNIA OF APPROVAL OF T11E STATE t1111 l_D I NG CODE 1 , insic3n1a serial number 2 . Name of Martufactrorer 3 . Plan Approval Number 4 , Model or Comlronert t Des1 gna L i on S . Date of Manufacture � r, All the above Information Is to be fc>Irrtrl on it pl a t. e or s lA cker which should he affixed to the Mobile Home . Complete above wi t. 1t LhaL Information , "town of Qtreenshury StaLe of New York Comity of Warren AFFIDAVIT 1 swear that to the best of my knowledge and hel ief the sLat: ements contained in Lhis appl lcatIon . together wI CIr the plans and speci ficaLlons strhrni tted , are a erne and crratlrlet.c st. atcalertl: of all proposed work Lo hq. done on the clesr. ribed premises and that all provlsitars axl' t. 11c3 11111LDINr CODFo the ZONING ORDINANCE , and till other laws perta I Ir i ntI to the pi-oposed work % ha 1 I he compiled wl Lh . whether spec f Iccl or not , artd drat: srrch wtrrk Is all I. bol, Izeci Iry Lhe owner. S i !jn a Ln re Owner- , owner ' s agent , architect , contractor SPECIAL CONDITIONS OF I' CRMIT : Ily Codern forcerrlertt off fi cer DECLARATION: Please sin below after you have carefully read the slatemelrt. ,ro tire best of my knowledge the statements contained in this application , logelher with [lie plans arrt -1 slrecifrcations submitted, are :t iruc and complele slatcmcnl of all proposed work to be clone of) [lie describcd premises and that ail provisions of the 11tri1ding Code, [lie Zoning Ordinance and all ether laws pemliniul; to the proposed work shall he cionsplied with , whether specified or nolecl, and that such work is zruthor'izcLI try llre t)wilel'. I urlttic r, it is uncicrstcxxl that I/we sliatlt srrturrit prior to a ccrtilicale of Occupancy or Certif-ic+a(c of C'omptimice being issued, m AS BUILT PLOT PLAN by a Iicensmi surveyor; drawn it) scale, showirit; actual Iocarion of project on prerniscs. Signature: (owner, owner's agent, archilect , coniraclor) ` Application for SEPTIC DISP© SAL. PERMIT Town of Q=ensbury ( Q _ ) �1 Dept. of Community Development Permit No. (�7 / Building & Codes Office -- 742 Bar Roar! Fee Paid S Quee zsbu y, NY 12804 ccation of property for installation: Property Owner's Name: - Property Owner's Mailing Address: Installer's Name: �. 1-��. � 40 p x CL._, Phone # Number of bedrooms (if residential)* Total daily flaw: (residential - compute 0 750 gal.fbdrm,) Topog:raphy: flat, rolling, steep slope 5u of slope Soil Nature: sand, loam, clay, other I depth: Ground water: at what depth? feet f Bedrock or Lnpervious Material: at what depth? feet Percalation test: not required, ( rate min. per inch I Dorxestic water supply: murdcipa.l, well, other If domestic ware: supply is a W=, water supply &orn any septic absorption is feet. PROPtOSED SYSTElvi Septic tonic gallon (==ri*�utn size: I ,004 9 l.) Tile field: each trench feet ! Total sy-5-tern length.- feet Seepage pit(s): number of / sae each: fit. by ft_ Size of stone to be used: m I depth or thickness feet OLD]'`d� 'G TANK SYSTEM: (if required) Nurnber of tanks: Size of each: moons Alarm system and associated electrical work to be inspected by a certified xgvnCY. For yox- protection. please note that pursuant to Section 136-29 of the Cod-0 of the Town of Qteewb ry, any permit or apercvv a,l ara=ad which is based upon or is granted in reIiaace uPCPa hay n2 rial u*Arepresoatxtjoa or faRtIre to niakca a material fact or circumstance known by or on behalf of an appEcsat, shall be amid. I have nmod the reguianons with respect to this application azkd agreci to abide by these and an roquiremerda of the Town of 's!:=y Sanitary Sewage Disposal Otdmance, Smart .:re of responsible person: Date: Y SLDG_ PERMIT MO_ 9 8 - 7 4 9 APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested forthe property located at; lot 73 Homestead Village for the following uses: mobile home DATE SIGNATURE OF PLICANT TEMPORARY CERTIFICATE OF OCCUPANCY The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby (c)APPROVED ( )DISAPPROVED with the following conditions; okay to issue Temp . C/O for 3i7 days �� � th fireplace cvnditians adjust comb . air lever and extend comb , aIr duct to ext . ( thru skirting ) i TEMPORARY CERTIFI ATE OCICCUPANCYI.FE : �; 10�DEP /SIT: ( )$1 #14.00 received on Date o Issu nc Director of Bldg. & Code Enforcement THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES 30 DAYS FROM THE DATE OF ISSUANCE. NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. & Code Enforcement or his designee. E1R'� QUEEµ T4WN OF W 12604 ( UEE�yggURB�g205 Fci IR SVAPL tNSt't~CTIOPI REPORT MW PERMtT # Leff LOCATtotA TtON O TtME EC p SCttEOULEmsp pM - ApPROVE NO gyp,, YES E}aTS - AISLE - E)(g SIGNS 1NG 'ENIERGt=.N��! Li FIRE E?CTItdGUISk1ERS _. --- - - -- -- -^ �'EM F1RE �-�'`RM SYS F1RE SPRINKLER SYSTEM EM FIRE SUPPRESSICIN SYS STAL►�`T1ON - -" y 1 1N"TE OR - STORAGt= - -GE -TO SPRINKLER - -- - � - CLEA CE T'O HEATING UNITS - CLE1; �----� - REGl1lREO SIGNAGE 'NOOD Sl 'BR.EPLAOE - Fp,OTORY BUl1..T - - --'� v� THIS l]ATE FIREPLAOE ' --- Oty, -T "-Y� IPISPECTC7R j i M� pf ClUeeMbus�l Bu►ldin9 & Code Enlod ' �Say ry / HAM (518) 7g1 .a2� xrssp� 4DXrM 1P3&PBCTt p1.1 �EQ�gST �CEN VOIC po nBGS r pp vATso �� �r��.NO. . . � P�r '�pa'cins .�-- 1. fa"i'v3�'r f. .... ,. . 2. at,,bboruu8 Per �.... .... .... � -- ,off t .. _ - - 3. *�'r 11 Ni ppon 4� 4 fact off f 4. sI or 4�1 r 5 b e M,v. cro�sov ,c .. WIW-- vented 6. �eT ve�alatsd 71 , s kifwm relief valve Piping 13. bot WOW r�ailin8 sty -- deck, �rc1�• --� r- Watar lq, fume fitl8 . ..fire i "6 --- --- i1. '8e'ra'gc1ose .... .. .. ... .. _�--- fur. 13. plumb►x'$ (if appi•�• 14 ft'aea deft ...... . . r i5. she ....... .. ,... . . • 16• fug electrical 17 . V"iSn'ee „ .6........,. ,. i8. � P1�'tei a •okay . . .•....• ... MoWe, seal Doleof Numufacto, ��r~�� _ 11 1 WIIIIIIIIWIIIIIIIIIII III� 140 �. YES ,airs r� nn M=�'a c t eensburY BtitOng & Code Entorc e 'ti '742 Bay Road�2� du urY (618) 761.8256 c,/ DEPARI ' 5Y._��7!iNSP: .�JV`� I7AiE INSPECTiON PsQ UFST 111 t3Alti+1�; Locsnor • PEFTT g M r -- I)A'�= � 131A Y'F.S f , Oar spac'°8.. . a� 1. mai►nf• f. per -- 2. Bch°rwn8pelt off 4» Wiune � 5 . . 4 , .. .. .Ssd �g ciossovei .. ide 7. skirtins -- $. ho te t r stems• S .. . y, deck, ....... fin13 ' 11' Safuew fire prop .. .. "• • . � -- 12.. door closevs uac 13. plu"" tion foui�6 on insu 14- �- 15" smoke cletec . . L f3� 16, final e] trical _ / 1.1 . varies .. ... .. Is. d� plate� seal okay . .. ... ..... .. . 19. mobil Dste of Manufachuer YES PLG O%.ALY TC1ISSl3E CIO tb " cots: 6&> At -'t+rk lON WEALTH ELECTRICAL INSPI hei a p 17545 iC� `A� % � f CCDMA' ON E main pllice 1'76 Sloe Run RoaEL ECTRICAL. APPRC3 1bIi31�ifCfP aiL CERTIFICATE N6 $ Cixt-'sn Card No,. ................... C crt. Panel Board No...'...­... .....F­­..... owner.... ...... ,,,� • �� . •...... ...`...........:........ t,rr G' c ....... ....,....., ......... Installation Consisting of .................... ........ {� G I iP fYC j - �°` a 7?1 ..... Lxc, No. ...........................................Id is ................................ lSSnL'd 7S Installed By. '.,..• governed the issuance of this certificate and any certificate previous on the The conditions 'Following g of daxe. Up application shall he pvotrtptly made for 'inspection. cancelled: - covers the electrical a ui meet and installation conditions and if its 0. P This certificate only ciions at any time, ui ment or alterations pp of makin n introduction of additional e4 shall have the privilegeoke t ' is inspectors of this Cornpan yyhalS have the right to !,�,� L/ rules are violated, the Comp y ��--�•��•�^..' .. ...... ....0.............................. . ............ INSPECTOR .� � Member N,&P.A„ S]ate..r....,........................ ... Tour OF QUE NSBURY --"WILDING A CODE ENFORCEMENT 742 Bay Road Queensbury NY 112804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location Date 2 ? Permit # SOIL TYP San - oam- Clay- Results of Percolation Test. ( If applicable ) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Length of each trench ,ate► rT Depth of trenches Size Of Stone SEEPAGE PITS: rr Size - umber- Size size ft. PIPING: Size Ype Bldg. to Tanis r- Tank to Dist . Bo s Dist , Sox to Field itOpenings Sealed ? �t LOCATION/SEPARATI antia Foundation to nk 1 Foundation Aborp ti on et Separation of Pits feet. Conforms s per Plot Plan eet LOCATION OF SYSTEM ON PROPER ( circle one ) Front - Rear - Left Sidi Middle Front - Middle Rear�`-" COMMENTS : EV SYSTEM USE APPROVED: YES o Arrived: Depa Ir f uii i Spector FADE 01 12/ OV 1998 11 . 46 5187922400 d I I d d I _^ 0 p p ;k °x 31VQ 3aR �IViS Y ' ! : :,.` + eip aid -uo ep�a� xas �aous�si� ,+�y3 p�nseaui l[Fleuasaad . ansy .1, M as dau os�rr op sits ua UMOEls .. In" �t=tl st VFW s� I its `;oauaw E qo m uaas ai►sy ii, a PLk L did kI "� l . DO d rd, d ,. . ... . . . ,- , .. d. dr a - - - ,---�- � ' .. f . _ : y C .I . . - - ' � :: .'1,,, Yi '.-, _ .. .. r r r k r I d d 6 k Jr. . 3 _ ' . - + * 4 ;' dL ddrk pj : 5" i f .. Yy#r. _ lI , i /f/, V� Y F .r _ . .. .. - ._ ..__ . v.. .. n. _.. v .wy.. . . ., .. _ 4 tw �•: y - 1 f idL dd - .._.. �1jffr ! rd ;. ,... _-., .._. .._ t l T . ► " rr ..y-. - ..- .,-. . , .. . - ._ _ _ . .. �.. __ . . . - n a r MODEL 951tr 3 $E FILE COPY C1RQCfil, 2 $AS H t�fi�11C�Wj�t0uC�1f(Mil��i811 ti NOMINAL SIZE 28` k b0' not be c�nst�ad as�aiinQd�e Irl ACTUAL SIZE 26'•8" X 5b"o, oq �ateinfuN 9'•Q"tkl�7T1� !IJ L� ��+I#y the cads. t" a K]T%EA!_ T mr a . _DINiN`i CA EAT RXM IN i F?! MASTER 5EEt?RU M 12 15EDROOM 13 5EDR00h TOWN OF QUEENSBURY BUILDING & PT. 1 r V T OPT. BASEMENT ENTRY 8 REVIEWED BY DATE T{3Tm HOMES HC � _. ��_ � __f5 I!a I N