Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
2007-060
TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 (zt Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number. P20070060 Date Issued: Friday, April 20, 2007 This is to certify that work requested to be done as shown by Permit Number P20070060 has been completed. Tax Map Number. 523400-309-009-0002-00 1-000-0000 Location: 200 LUZERNE Rd Owner. HOMESTEAD VILLAGE L P Applicant: HOMESTEAD VILLAGE L P This structure may be 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, f fit' 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. TOV~~N OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201 Permit Number: Tax Map No: Community Development -Building & Codes (518) 761-8256 BUILDING PERMIT P20070060 Application Number. A20070060 523400-309-009-0002-001-000-0000 Permission is herebygranted 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 Onlinance. Tempe of Construction Value Owner Address: HOMESTEAD VILLAGE L P 4294 ROUTE 5 Mobile Home In Park $2,500.00 CALEDONIA, NY 14423 Total Value $2,500.00 Contractor or Builder s Name /Address Plans & Specifications Electrical Inspection Agency -060 0 SQ FT MOBILE HOME 1N PARK $58.80 PERMIT FEE PAiD -THIS PERMIT EXPIRES: Thursday, February 28, 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 of eens ~ d sda ,February 28, 2007 SIGNED BY for the Town of Queensbury. Director of Building & Code Enforcement " OFFICE USE ONLY ..••...•..•" f ................. " ~ --~ -' ~° F~ECEIVED TAX MAP NO. PERMIT NO.~~ -- O6~ DATE ISSUED: " ~ . " , " PERMIT FEE APPROVALS: ZONING " ` ' ~ r ;,,~` TOWN`CIERK ; ~~~~ '~ ~ ~~~~ " " " ~rOVyN ur k.,t~~~ivatsCRY ; ....~........_~ .............. ..__....,....: BI~ILDING AND CODE MOBILE HOME - APPLICATION FOR, PERMIT: 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 Properi y Owner In, forrnafiion Name: r1n a fS/ pct r r~ ~, ~"' Name: _ /~t?f~7 P Sf'e acY ~~~~4 g F Address: ~ ~ O ~ ~ 2 c r h t/ ~ L) Address: _ L k1 Z ~, ~ ~ (~ i,~ ~~~~ Phone No, __ 3 3 ~ ~ .~ 3 ~ Phone No. _~~" --- ~ ~ Parcel Information - _a~ ~.// tJ' Proposed Date of Placement: Property Location: f a~ ~l i~ ~ ~i ~ Road, Street, Avenue Name of Mobile Home Park: ~a ~ e ~<Idll ~`~' (~f appli~a6le) Tax Map Number: Mobile Home Information Approximate Value of Home: $ ~_ New Home: Yes Replacement Home: es No Size of Mobile Home: ~© ~, by ~ ~ Singlewide: _,~{_ Doublewide: Zoning Information Zoning Classification: Size of Property: ~. by ft Existing buildings: Setbacks: front yard it. rear yard ft. side yards ft, and ft. Number of Rooms: (excude baths) _~ Number of Bedrooms: _,~? Number of Bathrooms: _~ Circle: Gas Fireplace / Woodstove /Wood Fireplace Foundation Support: TYPe ~~ Size ~ Depth Piers $~c /6 " c ~ n~ reY'C d Ian K Runners Slab ~~ e r ~4~i /e~4X /~r i Accessory Building(s): circle Detached garage: mar-- _ - 2-cat' car Attached garage: 1-car 2-car car Storage building: Yes No Other: Water Supply: well or uniapa Is Septic Permit Required? Yes or Continued on bads Town of Queensbury ~ Community Development OJj"ice ~ 742 Bay Road, Queensaury, ~v r l~tsv4 Name of Installer or Mobile Home Deafer. ~7 ~ ~ ~ ~ ~~~ e- ~e`~"~ °Ge Address: .~ ~ f ~ ~ e' '^ i G4 H ~ `~ ~ Phone: 7 6 ~ " 4 ~y cal/ 361 d~13! Complete information below found on a `Plate" or `Sticker' which is affixed to the mobile home: Insignia serial number. R ~ 7 ~ ~ 3 ~ 5 ~N Name of manufacturer. ,~ P I~R to pl4 / Plan Approval Number / Model or Component Designation: Q ~~ (New home only) ~ Date of Manufacture: 1 AI-'FIDAVIT Town of Queensbury County of Warren State of New York I 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 statemeht 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: f~a r~~'`~iOr"~~ Owner, Owner's Agent, Architect. Contractor SPECIAL CONDTITONS OF PERMIT sy: Town of Queensbu>~,/ • Community O, f j"ice • 742 Bay Officer NY 12804 TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 AFFIDAVIT 518-761-8201 TOWN OF QUEENSBURY STATE OF NEW YORK COUNTY OF WARREN I swear that the following used mobile home that will be transported into the Town of Queensbury for placement will have the following. A building permit approved and issued, meet all zoning requirements, the mobile home's HUD sticker affixed to mobile home and meet HUD requirements for the Middle Zone. As the person responsible for the transport and placement of this mobile home, I accept total responsibility for removal of the mobile home from The Town of Queensbury, if it does not meet the requirements for placement. Signature: ~~ rte- (~~-~ Date: Mobile Home Owner, Owner's Agent, Mobile Home Contractor Signature: Town of Queensbury Code Enforcement Officer "HOME OF NATURAL BEAUTY ... A GOOD PLACE TO LIVE" SETTLED 1763 Date: ;~° f- .i a~ ~~ ~.~':. F ~~ ~ ~ ~ 5 S ~ w u,~ O - > ~ ~" ~ ~ o ~, ~ ~~~ v ' ,.~-f°~ 9 ." --~' ~ -, ~g } &;ti ~ 7 ~' ~.: ~ .w ~~ ,.,,,._ ....w" ~P V~ t..,•~ ~. l..~- W Z O = aW. v ~ p u_ V °~° ..~ ~ p. cn p ow ~ a v_~ u.i ~- o ~r.. Z 4 ~ W Ems- W ~ f~ 2 Q Q Z ~ `4> p ? F ~ . ® f~ W ~ ~ ~ .c h ~ •C N ~ ~ ~ ?~ y ~ ~ CD --~ E c _. j ~ $ C ro :~ ~ -~ O ~ ~ (U m ` ~ ~ ._ ~ p 3 ~ dw. m ~ Oc V $ -~ ~ Cq C'1 C C C RS (O ~=nsZ ~_ s~ F ~~ ~ ~~~ ,~: ~~ ---~. ~ ~ ~- w "''_' =-~ e ~~ ~ ,S ~ L ~~ d~ 'Y~; l .. (-"`, .J , ~~ .. 'J3 Y' ~ 4 ,, lJ' J w-+ C~, O ~ c~ S ~ ~ ~ ~ S- V ~~~`, ~ C~... -. C y ~ fT ~' ~ .. __ ~ ,s ~. ~ , ,~ ., _' C° ~ ~.~ ~~~ =~, s L., ~ ~; ~- -7 ~~ ~ ~ ~ ~ ~~. ,,_ ~. ~~ ~_ .Q a ~ ~ ~~ 3~ C.1 rYS rp s i~r'1 S ~''- 8 v ~ ~ „ `_ t~ 17-- L aC ~. _ ~p ~. ~ _W ~ r ~~ .~-. Q7 ~ r ~ G'' ~~~ C ~.{, "~^ ~~ ~ ~ ~+ M~ 00 MCP: / ~ f ~ - ~ ,_ Y r ~~ ~ ,,. -..sue - I ~J:. ro t~ -'~~ V Nx ~ ~ . .~ 1 ~~ }~ .:.. wy/ ric w ~ 6'r ~'::, ~ '~o c >r~1 ~ ' eP, `~ ~ ~. 1 V G^1 _ zt'~,',;j' ~ r -r ~ /S .=. ~' ~ 5 ~ ~ ~: .,t w .r Y s i~ f !~ ~ ~ ~ -N .L ~~~~ t ~ S'~ ~ ~/ ~~z..~~ ~ ~~ ~. > W _ t~N ~\S yi ~ ~ " r.. 1~ ~ . '1. N ~~ ~~s e .I~ / y ~ ~, i - ~ i ~- ~:~~~% J I~ O9/, z` T ::~° +~ k ~ ~ ,. v~ „t_ tifi~*-_ # ~ .- `, *'~ ,~r~ J! <+.~ i~ ~ ~ ` f ~; rA-~1~V ~~~ ~i n^~~= F'I~IAL IIVSpE~O1V REPt~~- MCIOILE / MOpuL/RA Tovm of Queer~ry /~~,/ J~ ~~e9 & Code Enforcement (~_ 742.6ay Road Queensbury.- NY .12804 (518j 761-8~6 ARRIVE=`~D~PART: ~~~ NSP: DATE INSPECI70N REQUEST NAME: LOCATION: DATE: - - PERMIT / >1tO88LE HOh[B )t[OD~1I,~)R HOB F00~['QIf3S _ PO[JNDA7'ION _ . BA(.~ _ pRAMiNC} 1. foundation - N/A .YES NO import, pier spacing 2. anchoring per manuf . ............... - __._ 3_ water line shut off ................... _ 4. sewer line support ®4 feet ....... --- ` S. heating crossover (dblewuie) ot~' grd. _ - - 6. dryer vented outside ............... - - 7. skirtin8 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 .... i4. fcwadation insulation (if appl.)...... 15. smoke detectors ............. - - - l6. final electrical ...................... - -' 17. variance required ..................... - ---- ~s. dare plate okay .... ................... - l9. mobile HUD seal c3kay .............. - Model ,~ --~~C~~~ serval A` ~ Z?~ t~(CL Manufacturer _ ~ ~. Q iJ1 A t\ ~ 1 ~1 111 P I~~j Date of Ma~facturer OKAY TO 35 YES. ~~~ NO v ~~~F~~~ ~~~~ ~ ~ ~~~~~ o ;~ ~~ ~-1r3~~~ =~ I ;w ; ~~ ~~~ ~ ~ ~ ~ r~~ f ,itigjt w~~ ~ ~~ p ~~ ~ (S •~ r Q.~L'~, ~- ~ ~~ /~/~ ~1 y.~ n -- ~ ~ ~ ~_rh t° t° ~ ~~ ~ ~~ -.-~ i~~Nf ~,6 ~~LS 31 ~ ~ 18l ~ k ~„ F~l ~~e i5a' ~;~fr ~x~r.~E ice L~j^ ~-~ 'J cEVVE "~QWN UN („ZUttI ~( BUILDING AND 122p8436 Length Monufecturer's • Statement or Certificate OF ORIGIN TO A ~- MOBILE HOME REDMAN HOMES, INC. r Subsidiary cif Redman Industries, Inc. _ FPNRATA~ pQ City & State The undersigned manufacturer hereby certifies that the new \lohile Ilome described belq, th property of said manufacturer has b e [ransferred this L~h'~ day of J~'e l9 ~~ nn Invoice No. 12208436 whose address is K"L! L ~ ,r f' ira„),,,,d,- Ny 1828 Trade Vame of ~, Series or Mobile Home _~W_..~!~On !~ Model Name RI70F3R41 N Width 1 Q t serial tiu. tihil+ping >Xeigh[_ 1`ate of Manufacture: (ldter Bata: tiaid manufacturer hereby certifies that dtis written instrument constitutes the first conveyance u( ,ai~i vehicle after its manufacture and that the manufac- Hirer's serial number set forth alxrve has not been and will -not be used by the manufacturer on any other vehicle manufactured by said manufacturer, and that there are no other manufacturer's certificates issued by the manufacturer for the vehicle described above. DMAN HOM ,INC. ~ ''"~ NUFAC RER r' .._ _ _. _ ' Can~f.a.P.ee~r. Irv: n Name) Tier nr Position) .i, i~ui 70' No, Wheels June 1978 Month 191 ~ made, Yeu _ FINAL INSPECTION REPORT MOBILE /MODULAR Town of Queensbury Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 (518) 761-8256 ARRIVE: ~ ~~ DEPART: ~ INSP~ DATE INSPECTION REQUEST VED: NAME: ~,~ ~RN ~~ LOCATION: ''~ C. ~ ~ 1r t) L_~ ~~ 1 ~ 1`~) ~ DATE: - - ERMIT # -~~~~1~ HOSTEL HOME MODULAR HOME FOOTINGS _ FOUNDATION _ BACKFILL _ 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 ®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. furnace/hot water operating ........ _ - 11. garage fire proofing .................. _ - - 12. door closers ........................... 13. plumbing fixture ...................... -_ -_ _ 14. foundation insulation (if aplil.)...... - - - 15. smoke detectors ....................... - - - 16. final electrical ........................ 17. variance required ..................... -_ -_ - 18. data pla Ca3L-+~...r.... -... • • • • • • • • • • • ~ 'I9 o ile HUD seal okay "~''~~~,y_~. •.~ - '' Model # E~'?Q~'~«~ ~~ iJ Serial Manufacturer Date of Manufacturer (.p -` OKAY TO ~I86~'~- ES ~ NO ~~~ t± Comments: ~~_~~ ~~ Institute ` for Building Technology and Safety Request for Verification for Manufactured Home Certification Labels Verification through IBTS You will receive a verification letter in 2-5 business days. IBTS will make every effort to expedite the verification letter, but actual processing time will depend on the viability of the information you are able to provide. All requests are processed on a first-come, first-served basis, unless a request is marked as "URGENT." The cost of expedited verification is $50. This covers the cost of research efforts, discussions and verification of the information provided, and the issuance of a verification letter. The URGENT requests are given the highest priority, and are completed within 24 -36 hours of request (1-2 business days). The cost of an URGENT request is $75. Please wmplete the form provided below. Note: The cost is non-refundable if the home is not located in IBTS's database The Institute for Building Technology and Safety (IBTS), as the Department of Housing and Urban Development's monitoring contractor under the Federal Manufactured Housing Program, is required to maintain all reported certification label applications, and has been the sole source of this data since 1976. The data IBTS maintains comes from manufacturers' production reports. IBTS cannot provide copies of data plates or wind zone information. Also, please note that HUD labels aze not replaced. The verification letter that will be provided by fax suffices in most cases for missing HUD labels or unknown manufacturer data for specific homes. Note: Details for modular or pre-HUD homes built before June I S, 1976 are not available. Instructions for Requesting Expedited or URGENT Verification from IBTS Provide as much of the requested information in Section 1 as possible. In most cases, providing a Certification Label Number (if known) will facilitate the process. The Serial Number is stamped into the steel front cross member of the home's frame. The data plate (a letter-sized piece of paper) located in the vicinity of the electrical panel box in the master bedroom closet or utility room, can also be a source of information regazding the Certification Label Number of the home. Label and Serial Numbers provided by the requesting party should be inclusive of all letters and digits. The Certification Label Numbers are identified by 3 letters followed by 6 or 7 numbers (including 0). Example: XYZ-1000000. Section l: Request for Verification (PLEASE PRINT) Company Name, Requestor's Name & Mailing Address: Phone Number: Fax Number: Email: Date of Request: Closing Date: Section 2: Payment Method (PLEASE NOTE: Payment is required for ALL requests.) REGULAR ($50.00 per home) URGENT ($75.00 per home) Check (Mail check with request to: IBTS, 505 Huntmar Pazk Dr., Suite 250, Herndon, VA 20170) Credit Card: Visa/MasterCazd/AMEX (Circle one. Chazge will appear as IBTS on your bill.) Credit Card Number: Card Owner's Name/Address/Zip (required): Expiration Date: Signature (required): Home Manufacturer and Plant Location: Date of Mfg/Age: Complete Serial Number(s) (&/or) Certification Label Number(s)* if known (start with 3 letters): *Either Serial Number or Label Number must be provided. Fax Form to Label Dept: (703) 437-6894 Questions: (703)481-2010 IBTS Form 01-1 January 30, 2007 ~-CYb COMMONWEALTH 1w>~,I:CTRICA,I. INSPECTION SERVICE, INC. Main Of11ce 176 Doe Rna Road - ManheLn. PA 17943 MUNICIPAL CERTIFICATE ,ELECTRICAL APPROVAL Permit No .............~........................, cert. N ° 9 413 9 cttt-in ears No..........~...... • Owner .........................~.,E9.1.? ~-.--....~.~.~Ci.kd.S:r~...........---•------- l --- - - Location.~p_~,---...~.Sl..~.c~,r.~~....I.~.Y1..........~51.~..1.~~.........~:?!~i~4F1 ~1~... _.[~,~r..._ Instaftation Consisting of.......,(.G2.Q.~.......Y..7.~t~..~.~.,f.~ 5.,,.....h.a ~c.~....~~.~ ~r.~ ~..5.r ............._ insiallcd B ~,.....L~.ft~T .......-•---•--•--........ ... Lic. No . ....................... y.... .... ....................... ........................... . The Conditions following governed the issuance of this cettificate, and any cermficate previously issued is cancelled: - This certificate only covers the electrical equipment and installation conditions es of date. Upon the introduction of additional equipment or alterations, application shall be promptly made for inspection. Inspectors of this Cotttpany shall have the ptivilego of making inspections at ;any time, and if its rules are violated, the Company shall have the right to revoke this certificate. Date........`.~~.~..~- SI.7 ..............1NSp~CTOR _~....-•--•--..........................................:... MomMr N.pP.A.. l A.IC.1. ~~ Inspector's No ,~r ate _ 1 1 ~.~ M. 20_~ COMMONWEALTH ELECTRICAL INSPECTION SERVICE INC. (Consulting and Fire Inspection Services) (Incorporated in the states of Maryland, New York, Pennsylvania, Delaware and West Virginia) Desiring Certification of Approval, application is made for. inspection of electrical installation in ..the r p emises described below. On demand, applicant agrees to pay for inspection service in accord with schedule of charges. PLEASE PR/NT Owner ............ ... , s , .... .:.. ......~,~......... .:.,.._ ......................................... T e Bld ............... ' yp g. DWG ^ Other Occupant ....................... Job Location r ................. , wilding Permit No. .: County . i.. y ............ ... I ::.:::... ...::.... State .... ...:. ..:... 3--.: ...... .........Tw .... . p ...........................:...........: M/C#........................................:. Swimming Pool -New ~Uld ^ Directions to Job Stte ..........................:...:. ..................:.... Application For Rough Wiring ^ Fixtures ^ Service ^'"or .. ,,~,:;; ~ ~~~~~~~~~~•~~•~~~~~ ~'~' ~' "`~ Work -New ^ .:<:.~..r:.p ..................................:....... Additional ^ Bld Old ^ .............................. g. -New ^ ... ' Ready for Inspection ............ .APPLICANT'S SIG NATURE - PLEASE LICENSE t. PRINT NAME PERMIT ;r APPUCANT'S .PHONE >r -.ADDRESS - - NAME OF ~,~ CITY ~ UTILITY s i -"~ .W STATE` 21P.CODE `OFFICE 70 ~ - '8E NOTIFIED ' ROUGH WIRING SPACE BELOW FOR USE OF JNSPECTDRS ONLY .OUTLETS AMP SERVICE ., ... 'EQUIPMENT" PUMP SWITCHES HEAT RECEPTACLES PUMP OVEN aURFACE GARBAGE MEDIUM $ASE UNIT DISPOSAL UNIT '" FIXTURES RANGE MOGUL "BASE DISHWASHER FIXTURES'. <; WATER F1,UORESCENT HEATER DRYER . FIXTURES - AIR MERCURY VAPOR OR CONDITIONER AMP. RECEPTACLES QUARTZ FIXTURES WIRING & CONTROLS FOR BURNER FRAC. H.P. `MOTORS:'H:P• 1120 -1/12 1/10 1/8 ]/6 1!4 1/3 1/2 VENT FANS MARK NUMBER 3/4 1 - f-V2 2 3 S 7.112 /0 15' 20 25 - OF EACH SIZE 30 40 50 75 . 100 Insbector's nmments• - Insfalled'by(if other than applicant): OFFICI+/ USE ONLY WORK INSPECTED NOTIFIED REPOR- ~ p TED . ~ ~ FEE PAID SERVICE DATE CON- . Date Received: TRACTOR TOTAL $ ^" ,~ R. W PATE ~ `. OWNER CHECK NO. -, _", , Certificate No.: FINAL DATE:. F -; " ~ occuPAN7 ~~ CHARGE Date Sent: CERTIFICA"="E NEEDED AGENT ~' CASH ^YES ^DUP ELEC. LL CO. . PfOgreSS ^ INSPECTOR THIS APPLICATION EXPIRES ONE YEAR FROM DATE ~_.... MAKE ALL FEES PAYABLE TO C.E.LS. INC. WHITE/OFFICE PtNK/INSPECTOR YELLOW/OFFICER GOLD/CUSTOMER FINAL ~~ INSPECTION EPOAT ',. MOBILE: / MODULAR y Town of Queensbury Building & Code Enforcement .742 Bay Road ' Queensbury, NY 12804 (518) 761-8256 C ARRIVE: DEPAR~ INSP: ~~~~~'~ DATE INSPECTION REQUEST RECEIVED: NAME: LOCATION: DATE: ~ PERMIT J! ""' ' MOBILE HOME- MODULAR HO>w[E FOOTIIVGS _ FOUNDATION _ BACKFILL - FRAMING N/A ,YES O 1. foundation support,. pier spacing per manuf . ....... ............... .... _ 2. anchoring per manuf . ............... _ 3. water Lne shut off .... 4. sewer line 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. fiunace/hot water operating .... , . , , ~_ _ 11. garage fire proofing .................. _ 12. door closers ........................... 13. plumbing fixture ...................... ~- 14. foundation insulation (if appl.)...... 15. smoke detectors . ~ -' 16. final electrical ..~~~,°.~, ~", , ~ / -' 17. variance r aired ~ _ eq ..................... - ~ - 18. data plate okay ....................... 19. mobil~e-HUD seeal~ okay .............. Model # «`~i'~'V Serial # _~~~~. Manufacturer ~~'~~(~ Date of Manufacturer OKAY TO ISSUE C/O '~ YES NO Comments: