2007-475 TOVN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
4E Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Pernut Number. P20070475 Date Issued: Thursday, October 04, 2007
This is to certify that work requested to be done as shown by Permit Number P20070475
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 occupied as a:
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 nforcement
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: P20070475 Application Number. A20070475
Tax Map No: 523400-309-009-0002-001-000-0000
Permission is hereby granted to: HOMESTEAD VILLAGE L P
For properly 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 $12,000.00
4294 ROUTE 5
CALEDONIA,NY 14423 Total value $12,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2007-475
DAVID SANOW 36 WINDSONG DRIVE 980 SQ FT MOBILE HOME IN PARK
$58.80 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday,August 13,2008
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the To a ugust 13,2007
SIGNED BY ��7, :74
for the Town of Queensbury.
Director of Building&Code Enforcement
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0. OFFICE USE ONLY r
TAX MAP NO. PERMIT NO. DATE ISSUED: i
' 0 ,
0 PERMIT FEE APPROVALS: ZONING TOWN CLERK 01 '
MOBILE HOME -APPLICATION FOR PERMIT: R4e
A building permit must be obtained before placement of mobile home on parcel. No inspections will be made until a
valid building permit has been issued.
Applicant Information Property Owner Information
Name: ,�✓� �7 ��� Name: 42�
Address:_ t�� v y� Address:
Phone No. �j ?y 7 y� 77 Phone No.
Parcel Information nnrr -7
Proposed Date of Placement:2 Y ff -('! Property Location:
Name of Mobile Home Park: y�� (, ble) Tax Map Number.
Mobile Home Information Zoning Information
Approximate Value of Home:$ I Zoning Classification:
New Home: Yes No Size of Property: ft.by ft.
Replacement Home: Yes Existing buildings:
Size of Mobile Home: ��ft. by ft. . Setbacks: front yard ft. rear yard ft.
side yards ft.and ft.
Singlewide: _ Doublewide:
Number of Rooms:(exclude baths) = Accessory Building(s): circle
Number of Bedrooms: y
Number of Bathrooms:_t Detached garage: 1-car 2-car car
Circle: Gas f WoodsCodo� lace Attached garage: 1-car 2-car car
Foundation Support: Storage building: Yes No
T pe Size & Depth Other:
Piers
ne Water Supply, well or municipal
Slab Is Septic Permit Required? Yes or No
Continued on back
Town of Queenslniry• Community Development Office • 742 Bay Road, Queensoury, iv x Luau*
Name of Installer or Mobile Home Dealer.
Address: Phone:
Complete informAorr below found on a`Plate'or`Sticker'which is affixed to the mobile home:
"" ✓ thsignia'Wal.number.
.✓ Name of manufacturer:
Plan Approval Number:
Model or Component Designation: (New home only)
Date of Manufacture:
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AFFIDAVIT
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Town of Queensbury State of New York
County of Warren
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` I swear that to the best of my knowledge and belief the c
statements contained in this application, together with the plans
and specifications submitted, are a true and complete statement x
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
shall be complied with, whether specified or not, and that such
work is authorized by the owner.
Signature:
Owner,Owner's Agent,Architect,Contractor s
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SPECIAL CONDITIONS OF PERMIT
By:
Code Enforcement Officer
Town of Queensbury• Community Development Office• 742 Bay Road, Queensbury, NY 12804
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OFME USE ONLY _
9-,�- /
TAX MAP NO. PERMIT NO. 41715 DATE ISSUED:
0 PERMIT FEE�O APPROVALS: ZONING TOWN CLERK
0 ,
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MOBILE HOME —APPLICATION FOR PERMIT:
A building permit must be obtained before placem t f mo i ho a on parcel. No inspections will be made until a
valid building permit has been issued_ AA�0 1 �c�v
Applicant Information 1A` 604 Property Owner Info 'on
Name: DIAVI`l a.�o� ���� w��I G Ai
Name:
Address: 1q3 e, Ave--& Address:
Phone No. Phone No. 6_l1V 2 g 9— '-�/ d
Parcel Information
Proposed Date of Placement: Property Location:_�-t/�n. �'► ��'
�/�/ Road,Street venue
� P)//,i�n�c{ifapplicabie) Tax Map Number:
Name of Mobile Home Park: /jG,,
Mobile Home Information Zoning Information
r
Approximate Value of Home:$ Z (906<ek) Zoning Classification:
New Home: Yes i Size of Property: ft.by ft.
Replacement Home: Yes CNo Existing buildings: �l otie
Size of Mobile Home: _1_Z ft. by ft Setbacks: front yard ft. rear yard ft.
side yards ft.and ft.
Singlewide: Doublewide:
Number of Rooms: (excl a baths) I Accessory Building(s): circle
Number of Bedrooms: ,
Number of Bathr om s: Detached garage: 1-ca rer car
—�
Attached garage: 1-car car i
Circle: Ga e ace/Wo 4/W place
I
Foundation Support: Storage building: Yes N
Type Size & Depth Other.ers
3
f
Runners I Water Supply. well or unlclpal
Slab = Is Septic Permit Required? Yes or No
Continued on bads
QT07Vn of Queenslmnj• Community Development Office • 742 Bay Road, Queensaunj, iv Y Ll-ou*
Name of Installer or Mobile Home Dealer. 4 L.(,r7�e C0/-4-c r>
Address: Phone:
Complete information below found on a`Plate'or'Sticker`which is affixed to the mobile home:
✓ Insignia serial number. /
Name of manufacturer. ,1
✓ Plan Approval Number.
✓ Model or Component Designation:
(New home only)
✓ Date of Manufacture:
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AFFIDAVIT
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Town of Queensbury State of New York v
County of Warren
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1 swear that to the best of my knowledge and belief the y
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
shall be complied with, whet pecified nd that such y
work is authorized by the ner.
Signat e:
caner, Owner's Agent,Architect,Contractor
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SPECIAL CONDITIONS OF PERMIT
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By:
ode En74d,
ent Officer
Town of Queenslnirlj • Communitj Developn Office• 742 BayQueensbury, NY 12804
FIRE PREVENTION&BUILDING CODE ENFORCEMENT ,
WARREN COUNTY MUNICIPAL CENTER
1340 STATE ROUTE 9
LAKE GEORGE NY 12845
Marvin F. Lemery 518 761-6542
Administrator FAX 518 761-6249
Fire Coordinator E-mail fpbc@co.warren.ny.us
May 3,2007
Mr. David Sanow
PO Box 530
Glens Falls NY 12801
Dear Mr. Sanow:
This letter is to verify our conversations regarding your 1988 manufactured home.
Warren County will accept the attached letter from IBTS in lieu of the data plate being present in this
manufactured home. As a result of my conversation with Tim King, New York State Codes Division,we
can accept this letter because it places it in the snow zone that it is constructed for. It also will meet the
criteria for the wind and energy zones per Mr. King's determination.
Be advised that while this letter is acceptable to the Warren County Building Code Office,other code
offices may have different policies in place regarding their acceptance of documentation. All other criteria
required by the Uniform Code for the re-installation of this manufactured home will have to be met.
Sincerely,
PL �.
U
Karen Putney
Administrative Assistant
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FINAL INSPECTION REPORT'
MOBILE / MODULAR
Town of Queensbury
Building &Code Enforcement
742 Bay Road
Queensbury, NY 12804
(518) 7614 256
ARRIVE: DEPART:Z-q)NSP:
DATE INSPECTION REQUEST RECEIVED:
NAME: 5ajqQ L'j
LOCATION: /
DATE:
MOWLE HOME MODULAR HOUR
FOOTINGS _ FOUNDATION _ BACKFIIL _ FRAMING
NIA . YES/ NO
1. foundation support, Pier spacing
per manuf. ........................ — —
2. anchoring per manuf. ............... _ _
3. water line shut off ................... _
4. sewer line support a 4 feet .. — _
S. heating crossover(dblevA&) off grd. _
6. dryer ve_rated outside .x................... _
7. skirting ventilated ....................
8. hot water relief valve piping outside — —
9. deck, porches, steps. railing ........
10. furnace/hot water operating ........ —
11. garage fire proofing .................. —
12. door closers ........................... —
13. plumbing fixture ...................... — —
14. foundation insulation (if appl.)...... _ —
15. smoke detectors.. —
16. final electrical ....
f? —
17. variance required �.. _
18. data plate okay ..................... _
19. mobile HUD seal okay ........ _ — —
Model #WN t Serial#
Manufacturer
Date of Manufacturer
OKAY TO ISSUE CIO YES NO
Comments:
-112 3/� /0 v b V"6SPORT_0
00 J�K
FINAL INSPECTION
MOBILE / MCOULAR v\t3
Town of Queensbuq
Budding &Code Enforcement
742 Bay Road
Queensbury, NY 12804
(518) 761-8256
ARRIVE:" DEPART- 0-'
DATE INSPECTION REQUEST RECEIVED
NAM: Df,�Wx
LOCATION: 1q3 orP\
DATE: 7 - Z-3 PERMIT if
MOSILF. HOME MODW.Alt HOW
mornNGS FOUNDATION BACKFKL FRAMING
N/A YES NO
i. foundation support, pier spacing
per manuf. ........................ — — —
2. anchoring per manuf ............... — — —
3. water line SW off ...................
4. sewer fine support @ 4 feet ....... — — —5. heating crossover(dblewide) off grd. — — —
6. dryer vented outside --;................... — — —
7. skirting ventilated .................... — — —
8. hot water relief valve piping outside — — —
9. deck, porches, steps. railing ........ — — —
10. ftumace/hot water operating ........ — — —
11. garage fife proofing .................. — —
12. door closers ...........................
13. plumbing future ...................... — —
K foundation insulation (if appl.)...... — —
15. smoke detectors .......................
16. final electrical ........................
17, variance required .............
18. data plate okay .........
19. mobile HUD seal okay ..............
Mo
de! 0 Serial#
Manulacturer -AAI)U=� ffi6v)
Date of Manufacturer
OKAY-1048DWrC49 Y"YES NO
Comments:
(S)Sq-7799 7LIq--L4
{ 1 M
NOTICE
AN NGRING OE Mug. t
/ AME IS RE fQ:a9E
PER
MAN 6ACTURERS�SPECi�C TI
ATlONS
rQVN f 11c C SRY.sJi 11 N 10
zC
Based on our limiter.) I"n,
compliance with our comments shall
not he construed as indicating the
plans and specifications are in full ( �Py
compliance with the Building Codes of
New York State, ., r
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