2013-180 TOWN OF QUEENSBURY
742Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20130180 Date Issued: Friday, October 31, 2014
This is to certify that work requested to be done as shown by Permit Number P20130180
has been completed.
Location: 200 LUZERNE Rd
Tax Map Number: 523400-309-009-0002-001-000-0000
Owner: HOMESTEAD VILLAGE L P
Applicant: HOMES LEAD VILLAGE L P
This structure may be occupied as a:
Mobile Home In Park By Order of Town Board
TOWN OF QUEENSBURY
48 Windsong
Issuance of this Certificate of Occupancy DOES NOT relieve the property ;0:f`
owner of the responsibility for compliance with Site Plan, Variance, or
other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement
or Zoning Board of Appeals.
0164i TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20130180 Application Number: A20130180
Tax Map No: 523400-309-009-0002-001-000-0000
Permission is hereby granted to: HOMESTEAD VILLAGE L P
For property located at: 200 LUZERNE Rd
in the Town of Queensbury, to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: HOMESTEAD VILLAGE L P Mobile Home In Park
4294 ROUTE 5 Total Value
CALEDONIA,NY 14423
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2013-180 48 Windsong Dr. $50 renewal fee paid 7/7/14
Mobile Home- 14'x 66' Giles Industries' Model #46146634H13, Serial #56Io128TN
$110.88 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,May 14,2015
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town ue sbury �pTue• • 4 y,j a 14, 2013
�Vj
SIGNED BY !- for the Town of Queensbury.
Director of Building&Code Enforcement
Queensbury Building & Code Enforcement — Manufactured / Modular inal Inspection
=Z5
Office No. (518)761-8256 Arrive: - a •I art: am/pm
Date Inspection request received: Inspector's Initia s:
NAME: PERMIT PO
LOCATION: W uv. ."U DAT 1D-14
Manufactured Home
Modular Home
Footings_ Foundation_ Backfill_ Framing
Comments:
Yes No N/A
Foundation support,pier spacing,
Per manufacturer
Anchoring per manufacturer 2'from ends
Water line shut off
Sewer line support @ 4 feet
Heating Crossover[doublewide}off grd.
Dryer vented outside
Skirting ventilated 1 sq.ft.per 1,500 sq.ft.
Hot water relief valve piping outside
Deck,porches, steps,railing
Fumace/hot water operating
Garage Fire proofing
Fire Door/Door closers —
Plumbing Fixture/3"Vent through roof[Modular]
Foundation insulation [if applicable]
Smoke/Carbon Monoxide Detectors I Interconnected
Final Electrical \17
Variance required
Data Plate okay
Manufactured HUD seal okay
Warranty Seal after January 1,2006
Installers Warranty Seal
18"x 24"access or 22"x 30"attic access
Vapor retarder under home 6 mil poly or other
911 Street number
Okay to issue C/C or CIO[Temp./Perm.]
Model# Serial#
Manufacturer
Date of Manufacturer
L:\Pam Whiting\20101Building Codes Forms\Manufactured_Modular Final Inspection_03 04 10.doc
0 e8 I— 3
)ueensbury Building & Code Enforcement — Manufactured 1 Modular Final Inspection
Office No. (518) 761-8256 Arrive: am/p De art `3 am/pm
Date Inspection request received: Inspector's Initials:
NAME: PERMIT#: ' / 3* ) SD
LOCATION: 'C'/ R C.() dtl‘3 DATE: 10 _ i&J
Manufactured Home n d Q L_ 6-k6L ���
Modular Home � L� � /
.Sg53o3-5
Footings_ Foundation_ Backfill_ Framing
Comments:
Yes/No NIA +t_
Foundation support,pier spacing, , / R e R l°W 4 6. N y
Per manufacturer �/
4 ' ► 'l- 15
Anchoring per manufacturer 2'from ends '17/ .
Water line shut off
Sewer line support @ 4 feet
Heating Crossover[doublewide}off grd.
Dryer vented outside
Skirting ventilated 1 sq.ft.per 1.500 sq.ft. V
Hot water relief valve piping outside V
Deck, porches, steps,railingV
Furnace/hot water operating
Garage Fire proofing
Fire Door/Door closers ,,/
Plumbing Fixture/3"Vent through roof[Modular] V,
Foundation insulation[f applicable] V
Smoke/Carbon Monoxide Detectors/Interconnected V
Final Electrical V
Variance required IT
Data Plate okay V
Manufactured HUD seal okay
Warranty Seal after January 1,2006
Installers Warranty Seal
18"x 24"access or 22"x 30"attic accessV
Vapor retarder under home 6 mil poly or other
911 Street number %/1/
Okay to issue C/C or C/O[Temp./Perm.]
Model# \ ))'A'A`1rial# 0G261
Manufacturer_611,64) P//092-- -c
Date of Manufacturer 5 1 \k,".3
L:1Pam Whiting120101Building Codes Forms\ManufacturedModular Final Inspection_03 04 10.doc
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sMIDDLE DEPARTMENT INSPECTION AGENCY, INC. jv
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`��rrres that the electrical wiring to the electrical equipment listed below has been examined and is approved as `��1
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being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date �)
(Ca) noted below and is issued subject to the following conditions. <<
(.•'� Owner: Date: 08/2312013 �`��)
L.%,
�J Homestead Village Q?
.v. Occupant: Same Location200 Luzerne Road Lot 48 ry)
(a Queensbury, Warren Co. NY C
() Occupancy. Single Family Dwg. Gp)
ZGaJ Applicant: Robert Lawrence
0) 184 Adirondack Street C�`>>
•
k,.) Queensbury, NY 12804 <<l�
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?J Joseph A.Holmes
'A
�ti�� No. 318014153792EL - .. _ <<r>>
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a Equipment: ( �)
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This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies only to the use,occupancy and (7,.)
(l� above and the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change in the use,occupancy or ownership >
k) inspection. No warranty is expressed or implied as to the mechanical safety.effi- of the property indicated above,this certificate shall be immediately null and void. `(.•j)
s ciency or fitness of the equipment tor any particular purpose. This certificate shall In the event that this certificate becomes invalid based upon the above conditions. r›J�
(•�J be valid for a period o1 one year from the above noted date. Should the electrical this certificate may be revalidated upon reinspection by Middle Department ?;�
(>>J system to which this certificate applies be altered in any way,including but not limit- Inspection Agency,Inc. An application for inspection must be submitted to Middle <;J�
(�y)� ed to, the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc. to initiate the inspection and revalidation �,tt
pG'<t any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged for this service. '`�S
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{ t 14'x 66'-880 sq.ft.
Lyndon Lawn MHC
...,,k,]- 1208 U.S. Route 11, Lot 41
Central Square, NY 13036
TOWN OF QUEENSBURY NQT'�/�E
BUILDING DEPARTMENT ANiCFtORING pf ItC0
Based on our limited examination,compliancepB(I
with our comments shall not be construed as FRAM CE NOME
indicating the plans and specifications are in EIS REQUIRED put
full compliance with the Building Codes of MANUFACTURERS$PECtFleBUo�
New York State. ___
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*Previous model photos. Actual home interior colors/decor may differ
TOWN OF QUEENSBURY
BUILDING & CODES ` PT.
Reviewed !y: _ Manchester Home Center
Date: L __ V --
3180 State Route 96
; Clifton Springs, NY 14432AG--
I, Homes 315-462-9401
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ww.aglhomes.com
Due to continuous product development and improvement,prices,specifications,and materials are subject to change without notice or
obligation. Square footage and other dimensions are approximate. Images such as renderings,photos,and floor plans may be shown
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