2009-443 y TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
uER TIFICATE 0.1F 0CCUP-A-N(-'XX
Permit Number. P20090443 Date Issued: Friday, October 16, 2009
This is to certify that work requested to be done as shown by Permit Number P20090443
has been completed.
Location: 200 LUZERNE Rd
Tax Map Number. 523400-309-009-0002-001-000-0000
Owner: HOMESTEAD VILLAGE L P
Applicant: HOMESTEAD VILLAGE L P
This structure maybe ocAW4 ANP DONALD RUSSELL
Mobile Home In Park By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
property owner of the responsibility for compliance with Site Plan,
Variance,or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20090443 Application Number: A20090443
Tax Map No: 523400-309-009-0002-001-000-0000
Permission is hereby granted to: HOMESTEAD VILLAGE L P
APRIL AND DONALD RUSSELL
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 $3,800.00
4294 ROUTE 5 Total value
CALEDONIA,NY 14423 $ssoo.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
BP 2009-443 Lot 87, Alpine Ave. Homestead MH Park
9224 sq. ft. mobile home - April and Donald Russell
$30.44 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, September 16, 2010
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Town of Q7 bury; Wednesdayq September 16, 2009
SIGNED BY ` for the Town of Queensbury.
Director of Building&Code AE nforcement
HOMEtTL -LAGE:
157 IN. 5 34 33 3. 31' 30 29 2$ )-7
itQO
`151 131 �0 3� �9
' 153 13 �,29 89 -81- - 31p 2,5
. .. w..._
1b.9 79 38
iL
a tom. ?g9 ' � _ 125 $8 r17 �40 �.
-8c
b8_.. 14`7 138fit
.Zz3 ,90 - �s 42 �f 17
122_ 91 r. d C 43 1tD
-12-1utl
171 %�44,.° 191 �p `WNU 1A
a 72 .E3' " 14Z -139
� RN\ l L-L LAKE
h .1.73. � -
179 `# _117. 96
19
j 17Lo _ ;ems, 98, Ip'7 9
� � O
` D2 `7
�J AS
OF QUEENSBURYCuf� EPA I�- �� 10� r cvz 55 sed on our limited xam -
cbmpliance with our corjimen z 109- 1bq IPA,
rtbt be construed as i6dicat' g -
plans and specification$ are in i �Og .105 y}_ L.-p 5�'7 Z
4ompliance with the Builling de ck 1D7 �pl� .58 { 1
New York State. �
As-m-LA NO PLI v F.
Q
a
r ;in-n of ohserved,of betim!saw evidence ot,
Applicant: l �c't.{� :v,ts such as houses,wells,trees,fences, etc.,
Location: <_ onthis document I also represent that( have
Homestead Mobile Home Parkyea ed the istances set forth on the diagram,"
i
SIGNATURE DATE
09/16/2009 WED 15:36 FAX 5187454437 Community Development U001
*********************
*** FAX TX REPORT ***
*********************
TRANSMISSION OK
JOB NO. 3520
DESTINATION ADDRESS 915852266059
PSWD/SUBADDRESS
DESTINATION ID
ST. TIME 09/16 15:35
USAGE T 00' 27
PGS. 1
RESULT OK
TOWN OF QUEENSFURY
742 Bay Road,Quomsbary,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
I
' BUILDING PERMIT
Permit Number: P20090443 Application Number: A20090443
Tour Map No: 523400-309-009-0002-001-000-0000
Permission is hereby granted to; HOMESTEAD VILLAGE L P
APRIL AND DONALD RUSSELL
For property located ar 200 LUZERNE Rd
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot Flans and other information hereto fled
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. w of Constnicdon Value
Owner Address: HOMESTEAD VILLAGE L P Mobile Home In Park $3,800.00
4294 ROUTE 5 Total valve $3,800.00
CALEDONlA,NY 14423
Contractor or Builder's Name/Address Plecuical Inspection Agency
I
i Plans&Specifications
BP 2009-443 Lot 87,Alpine Ave. Homestead MH Park
9224 sq. f.mobile home-April and Donald Russell
r
r
I
• W- -
----0-41
OAll
----------- - -----
FFICE USE ONLY
TAX MA O. PERMIT NO. DATE ISSUED:
r M° ' ;
PERMIT E—' APPROVALS: ZONING TOWN CLERK___
0 i '
-------------4'1-1---------------------------------- r =S
MOBILE HOME -APPLICATION FOR PERMIT:
A building permit must be obtained before placement of mobile home on parcel. No inspections
„„will
pbe made +until a
valid building permit has been issued. !OV
Applicant Information Property Owner Informatio
Name: OLO(- I A Nf)od6 VLSS& Name: kr'I
r S t czc�L
Address: va�oq L'2"" Address: -Dn iau* 1c----A
_ N`P Y�-,Uo n , 1\A 1'-ALA 4
Phone No.
v► f
Property Location:���_0
r
Road,Street,Avenue f Lpi h e- &&
(if applicable) Tax Map Number:
...................................._._........................................................................................................................................................................
.
Zoning Information
Zor
Size
Exi
ft. Seivo
Singlewide: Doublewiide: -
Number of Rooms:(exclude baths) Ac
Number of Bedrooms:
Number of Bathrooms:
❑Gas Fireplace❑Woodstove E]Wood Fireplace
Foundation Support: fj
Type Size & Depth f
Piers Water Supply: Well uniapa
Runners
Slab Is Septic Permit Required? -]Yes ❑No
....................................................................................................................................................................................................................................................................................................................................................
Continued on page 2
-x6 Town of Queensbury Community Development Office - 742 Bay Road, Qzteensoury, iv r 1LlSU4
Name of Installer or Mobile Home Dealer:L (110�
Address 1 P $, '' Ahorie:
CixtedzyLicy N� ��4,3
Complete information below found on a"Plate"or"Sticker"which is affixed to the mobile hone:
✓ Insignia serial number: �4 BB 1p-1 0 14 36 k&A'
✓ Name of manufacturer: yci r rrm C6v1 €
✓ Plan Approval Number: -
✓ Model or Component Designation:
1 (New home only)
✓ Date of Manufacture:
AFFIDAVIT
Town of Queensbury State of New York
County of Warren
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 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
5 shall be complied with, whether specified or not, and that such
work is authorized by the owner.
Signature: '
Owner, Owner's Agent,Architect,Contractor 54
r,
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r-----..-.:r..:....:r:r---- --s:r:.:..:r.s:r:r..:..s-..---....-,w:s---r....:r.r--- r:...:r.r----r:...:r.s:s.',
SPECIAL CONDITIONS OF PERMIT
By:
Code Enforcement Officer
; :; Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804
FINAL INSPECTION REPORT
MOeILE / MOOULAR
Town of QuewsWq
Building &Code Enforcement
742 Bay Road
Queensbury, NY 12804
(518) 761-8256 F f
ARRIVE:< <_b DEPART: -- 5 INSP "
DATE INSPECTION REQUEST RECEIVED t
NAME:
LOCATION: c� �1 I),
DATE: PERMIT B
MOBUX HOmy MODULAR HOW
RWINGS FOUNDATION BACKFE L FRAMING
NIA YES / NO
1. foundation support, Pier wing /
per manuf. ........................
2. anchoring per manuf. ............... —
3. water lire shut off .. ........... ...
4. sewer line support 4 feet
S. heating crossover o1 off grd
6. dryer vented outside .:...................
7. skirting ventilated .... ol
8. hot water relief valy
9. deck, Porches,
10. firrnacelhot water operating ----....
11. garage fire proofing ..................
12. door closers ......................... .
13. plumbing fixture ......��t%S
14. foundation insulation (if appl-)...... —
�/ —
15. smoke detectors /
16. final electrical ........................ —/
17. variance required ..................... -
18. data plate okay .......................
19. mobile HUD seal okay .............. —_
Model/#
Manufacturer �7Z_Nk,—�i
Date of Manufacturer t
OKAY TO ISSUE CIO YES NO
Comments:—LF J�L J�7 L-Aa:,�o�E: sA 6,iLE
FINAL. INSPECTION RE
L.
MOBILE / MOOUAR
Town of QuewMx"
Building &Code Enforcement
742 Bay Road
Queenslwty, NY 12904
76
ARRIVE: DEPART: - I
DATE INSPECTION REQUEST RECEI :;
NAME: d
LOCATION: A 0I K,Z7
DATE: _ PERMIT it
MOSIM HOME MODC LAB HOUR
FOOTINGS- FOUNDATION - RACKRIL_ FRAMING_
N/A YES NO
1. foundation support, pier spacing t
per manuf. ........................ — —
2. anchoring per manuf. ...............
3. water line shut off ................... ~_ —
4. sewer lime support a 4 feet .......
S. heating crossover (dblewide) off grd
6. dryer vented outside ..:................... _
7. skirting ventilated .................... — _-
8. hot water relief valve piping outside —
9. dock. porches.o
10. fiuna water operating ........
11. garage fire proofing .................. —1
13. plum�fixt"e ....................
oundation insulation (if appl.)......IS. 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 VINO
Comments:
SPT"t� �
�F �
F-/O (r Id
FINAL INSPECTION REIFORT
MOBILE / MOOULAR
Town of Quewsbury
Building &Code Enforcement
742 Bay Road
Queensbury, NY 12804
(518) 761-8256
ARRIVE�j�DEPART: INS �
DATE INSPECTION REQUEST RECEIVW-`
NAME:
LOCATION: '41Q)YIV—
DATE: 'O PERMIT
MOBILE HOME MODULAR HOW
FOOT114W FOUNDATION BACKFHI. 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 0 4 feet .. _ l ✓S. heating crossover(dblewide) off grd.
6. dryer vented outside .x................... —
7. skirting ventilated .................... — ✓
8. hot water relief valve piping outside
9. deck, porches, steps, railing ........ _ _✓/_
10. fumace/hot water operating ........
11. garage fire proofing .................. —_
12. door closers ........................... — � —
13. plumbing fixture ......................
14. foundation insulation (if appl.)...... —IS. 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:
Page 1 of 1
Dave Hatin
From: Dave Hatin
Sent: Wednesday, September 16,2009 2:22 PM
To: 'Denise Smith'
Subject: RE: RUSSELL to Homestead-Snow Load
Denise,
Based on what you have submitted we will allow the home to be moved, if a site inspection when the home is
placed here show's different information the home will have to be removed.
Dave Hatin
From: Denise Smith [mailto:dsmith@aglhomes.com]
Sent: Wednesday, September 16,-=9 11:42 AM
To: Dave Hatin
Cc: Denise Smith
Subject: Fw: RUSSELL to Homestead - Snow Load
Re: Homestead lot 87(Russefl)-snorer loads as-requested.
Thank you,
Denise Swath
AGL Homes
--Original Message From: Lou Giorgione
To: dsryfith@acjlhomes.com
Sent: Wednesday, September 16,2009 11:04 AM
Subject: RUSSELL to Homestead Snow Load
Denise,
Here is the photo of the data sheet for the RusseA home going to Homestead. You can see the roof load map at
the bottom left of the photo. I cut out that part and magnified in the second picture so it is a little easier to read.
Lou
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9/16/2009