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2008-424 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building &Codes (518) 761.8256 CERTIFICATE (3.11r' OCCUP-A-N- CY Permit Number. P20080424 Date Issued: Friday, September 12, 2008 This is to certify that work requested to be done as shown by Permit Number P20080424 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 may be occupied as a: Mobile Home In Park By Otder of Town Board T OF ENSBURY 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: P20080424 Application Number. A20080424 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 4294 ROUTE 5 Mobile Home In Park $49,257.00 CALEDONIA, NY 14423 Total value $49,257.00 Contractor or Builder's Name/ Address Electrical Inspection Agency Plans &Specifications 2008-424 59 Alpine Ave- Wanda Shambo - 1216 sq ft mobile home in park $72.96 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,August 14,2009 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the T Quee ury; AGode day,August 14, 2008 SIGNED BY for the Town of Queensbury. Director of Buildinnforcement 08/08/2008 09:36 518-7925606 VALUED HOMES c. ............... OFFICE USE NL: �j F f iv/ 2,/ Q TAX MAP O. PERMIT N DATE IS S1Q Z7�ME CLKP APP S: N G TtM9 _ t C IVI B E HOME—"PLICA! .FOR PE&U A budding permit must be obtained before placement f mobile home on paFceL No irmpeclkm will be made until a vatidbcg permit has been issued. Applicant Information Property Owner Informafi Name: Name: Address* Address: Phone No. 2 �! Phone No. Parcel Information Proposed hate of Placement: 2 Property Location: n?Q(� :, ? .( , 1',re'T t Road,Strotit,Avenue Name of Mobile Home Park: �ayr "" (ifappWawe) Tax Map Number; rj�✓,/�J Mobile Home Information Zoning Information Approximate Value of Horne.$ 5 i Zoning Classification: New Home: No (oct Size of Property: ft by it. EReplacement Home: Yes No 121E Existing buiidings: — - / _ i Size of Mobile Haute: f tE by ft. j Setbacks: front yard ft. rear yard ft.' [ = side yards ft.and ft. Singlewide: IA' Number of{looms:(exclude baths)_ � Accessory Bultdmg(s): drde Number of Bedrooms: 3 Number of Bathrooms:_ Detached garage: 1-car 2-car Gar Circle, Gas Fireplace/Woodstove/ ood Firepia Attached garage: 1-car 2-car car i Foundation Support: 1 Storage building: Yes No Type Size $ Depth Other: Piers - Runners Water Supply, well or municipal Mr Slab Is SeNc Permit Required? Yes or No GmUnued on bade +. Town of Queensbury• Community Devejapmmt Office- 742 .Bay Road, Queen5vury,iv z .tzau4 —INAL INSPECTION REPORT MOBILE / MODULAR Town of Ouemsbury Building &Code Enforcement 742 Bay Road Queensbury, NY 12804 (518) 76141256 VILP:ARRIVE: DEPART:LLL� DATE INSPECTION RE RECEIVED: NAME: LOCATION: -5--7 P\-e; DATE: C/?--ZZ C l PERMIT# MOBILE HOME MODULAR HOME FOOTINGS FOUNDAMON RACKFRJ,— FRAMING N/A . YES O 1. foundation support, pier spacing per manuf. ........................ — 2. anchoring per manuf ............... — 3. water line shut off ................... 4. sewer line support (&4 feet .off 5. heating crossover(dblewlder) grd- 6. dryer vented outside x................... 7. skirting ventilated .................... 8. hot water relief valve piping outside 9. deck, porches, steps. railing ........ 10. ftumce/hot water operating ........ I I. 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 it 6 V'1A�-2— Serial# Manufacturer f z Date of Manufacturer OKAY TO ISSUE CIO YES NO Comments: f FINAL INSPECTION REP©RT MOBILE / MODULAR j( . Team of Queensbury Building &Code Enforcement 742 Bay Read Queensbury, NY 12804 (518) 76141256 ARRIVE: DEPART-. J- INSP:Q� DATE INSPECnON REQUEST�RECEIVED: NAME: LOCATION: 4j / I /9V/ DATE: ' O PERMIT# ^ MOBILE HOME MODULAR HOME FOOT 14GS _ FOUNDAMON — RACKFIIL — FRAMING— NIA . YES NO 1. foundation support, pier spacing per manuf. _ ,/�_ 2. anchoring per manuf. .......... _ V _ 3 water hne shut off ................... sewer line support 0 4 feet ....... — — 5. heating crossover(dblewide) off grd 6. dryer vented outside ..,z................... 7. skirting ventilated .................... 8. hot water relief valve piping outside — _✓ _ deck,porches, steps, railing ........ — 0. wa operating ........ _ 11. garage fRe proofing .................. — — 12. door closers ........................... J/ — 13. plumbing fixture ...................... _ — 14. foundation insulation (if appl.)...... — 15. smoke detectors ....................... _ rW final electrical ........................ — 17. variance required ..................... 18. data plate okay ....................... — — 19. mobile HUD seal okay .............. — — Madei # l79 2 Serial# Manufacturer ���r` L '� Date of ManufachWer OKAY TO ISSUE CIO/' YES A N j FINAL INSPECTION REPORT MOSILE / MOOULAR Town of Queensbury Building 8 Code Enforcement 742 Bay Road Queensbury, NY 12804 (518) 761-8256 ARRIVE:Ul7 DEPART: DAZE INSPECTION REQUEST RE NAME: t LDCA71ON: Trcot p /*) , DATE: PERMIT# MOBILE HOMK MODULAR HOUR FOOrnwGs_ FOUNDATION _ BACKRU_ 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 (get 4 feet ....... — _— S. heating crossover(dbiewide) off grd. — — — 6. dryer vented outside _c................... 7. skirting ventilated .................... — — 8. hot water relief valve piping outside — — — 9. deck,porches, steps, railing ........ _ 10. fiunace/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 ....................... t9. mobile HUD seal okay .............. Model # Serial if Manufacturer _� � vsu Date of Manufacturer OKAY TO IS YES NO Comments: V\. � 08/08/2008 09:40 518-7925606 VALUED HOMES PAGE 05/06 ASLAND RIVE LOT 58 LOT 59 t i w "a W a. LOT 57 LOT 60 CUSTOMER: WANDA SHAMBO LOT 59 ALPINE AVE HOMESTEAD VILLAGE lr� • Ac k ' Ilomestead Villa 9 e • Mobile Ilome Park This is for information only and is not a subdivision Zoning: MHP Overlay Zone • � .Sc�z� Il3-I � ���,��� Front setback ft. Side setback 10 ft. Rear setback j!'3' ft. 08/11/2008 12:15 518-7925606 VALUED HOMES PAGE 07/07 4z s 19' - - 4 E ? 1 HOME 16 X 76 p 140 30' NOTICE ANCH RING OF MOBILE HOME FR ME IS REQUIRED PER MANUF CTURERS SPECIFICATIONS e5 vQ n, ,�, f45& ��,J F��w,.. ��LD,,�U��wR �i,,,di�T Ba .d on, vd eXa Ali rh!i;ri, co Nr; n.' Jr comments sndii not be c,- as indicating the pla s i,n ications are in fi�1 co 70 New'YorL ALPINE AVE . 08/08/2008 09:40 518-7925606 VALUED HOMES PAGE 04/06 t 2-z� V � . 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