Loading...
2004-920 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development -Building & Codes (518) 761-8256 CERTIFICATE OF "OCCUPANCY Permit Number: P20040920 Date Issued: Tuesday, November 30, 2004 This is to certify that work requested to be done as shown by Permit Number P20040920 has been completed. Tax Map Number: 523400-309-009-0002-001-000-0000 Location: 75 ALP ejAVENUE. Owner: HOMESTEAD VILLAGE L P Applicant: JASON J. CARPENTER This structure may be occupied as a: By Order of Town Board Mobile Home In Park TOWN OF QUEENSBURY Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040920 Application Number: A20040920 Tax Map No: 523400-309-009-0002-001-000-0000 Permission is hereby granted to: JASON J. CARPENTER 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 $5,000.00 Total Value $5,000.00 CALEDONIA,NY 14423 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2004-920 JASON CARPENTER 980 SQ FT MOBILE HOME (1983) $33.80 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, November 30, 2005 (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 o u sbury; ue y ember 30, 2004 _ SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement 11/18/2004 THU 08:51 FAX 2002/002 Name of Installer or Mobile Home Dealer: kECEIVED Address: ` NOV 2 3 2004 Phone No. TO BUILDING AND CODE Complete information below found on a`date"or"sticker"which is affixed to the mobile home. I. Insignia serial number 2. Name of manufacturcr 3. Plan Approval Number: _ 4. Model or Component Designation: (New Home Ole I) 5 Da'te ofmruft ire:. - A•FFID•AVII � - F a eta - Couuty of waum 3 I swear that to the best of my knowledge and beliefthe statements i contained in this application,together with the plans and specifications i 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 ORDINANCI,'and all other laws pertaining to the proposed work shall be complied with,whether specifie&or not',and that such work is authorized by the owner- Signature: er,owaa'' eat: ntracror � , Special Cotions of Permit Fwm: 11119r19M Code Enforc=ent Officer 11/18/2004 THti 08:51 FAX [a001/002 Application for,Permit- Mobile Home Rece Town of Queensbwty, 742 BayRoacZ Queensbury,Nf 12804 (S18) 761-8256 VEFD Nov 2 A building permit must be ottained before placement of mobile home on parcel. No kspections will be mad ?004 until a valid building permit has been issued. TOWN OF QN�FNSB(1 AppliotmtInformation pE T Offtce Use _ Name: io) � 1/l File Permit No. Ll 9 a - Address: 74 1~ee Fad oN�caeqcz Uvmaro, Reviewedy. ... _ Phone No. twin:74fii tat — �� .Property Owner brfarmation Parcellnformadon o f Name: -Gp1f G Proposed of Placement: 01Y S Property Location:7YAla b.c, Auf- Address: 7 6a2 f ve saea,Avg `yL Name of Mobile Home Park: �d K -Phone No. Tax Map Nu mr: :. .. -Mobile Home Information.::_.__:—. r__. .9i?Wqg.It.former App Yalnc of Home:S� .. Zoning Classification: New Home: Yes No < Size of Property: ,.--.—ft by fL Replacement dome: Yes No' Existing buildings: Size of Mobile Home: . & by -70& Setbacks: front.yard L; rear yard it. Singlewide: _ Doublewide: Side yards ft-and & Number of Rooms: (exclude baths) Number of Bedrooms: a+ Accessory Buildutg(s): circle Number of Barhmoms: Detached garage: 1 car, 2 car, car circle: Gras Fireplace/Woodst.ove/Wood Fireplace Attached garage: 1 car; Z car, car Storage building: Yes No Foundation Support: Other: ?n'E ST &DIY'1H Water Supply- well or municipal Piers i Pl m= x Is Septic Permit Required? Yes or No Slab x Further information requested on the reverse side of this sheet F I�i4L INSPECTION REPORT ®BILE / MODULAR Town of Queensbury Building & Code Enforcement r 742 Bay Road Queensbury, NY 12804 M (518) 761-8256 ARRIVE: DEPART/.-� � INS (� y DATE INS TION REQUEST REC IVED: NAME: LOCH Q � DATE: 6 GG ERMIT#D MOl ILF. HOME ODULAR HOME FOOTINGS FOUNDATION BACK FILL FRAMING N/A YES NO 1. foundation support, pier spacing per manuf. ........................ 2. anchoring per manuf. ............... �3. water line shut,off .................... _ — _— 'V sewer line support ®4 feet ....... _ 5. heating crossover (dblewide) off — — 6. dryer vented outside ............... ..... _ skirting ventilated ................ ... 77.. _ — 8. hot water relief valve piping tside — 9. deck, porches, steps, railing ........ _ — 10 furnace/hot water operatin ........ 11. garage fire proofing ...... ........... — — — 12. door closers ............ ........... — — — 13. plumbing fixture ...... ............... — — 14, foundation insulatio (if appl.)...... — 5 smoke detectors .. ... . .... _ 6 final electrical 17. variance requir ........ ............ 18. data plate oka ....................... — 19. mobile HUD seal okay .............. Model # Serial# Manufactur r Date of anufacturer OKAY TO ISSUE C/O YES NO Comments: FINAL INSPECTION REPORT MOBILE / MODULAR Town of Queensbury Building & Code Enforcement 742 Bay Road Queensbury, NY 12804! (518) 761-82 \ ARRIVE: DEPART: '�INSP. DATE INSPECTION REQUEST RECEIVED: NAME: C -Fee LOCATION: 7 5- 4)e-- , DATE: 1 i PERMIT# MOBILE HOME V MODULAR HOME FOOTINGS FOUNDATION BACKFII-L 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 .................... _ . hot water relief valve piping outside — — deck, porches, steps, railing ........ 0. f imace/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 required ..................... — — — 18. data plate okay ....................... —_ 19. mobile HUD seal okay .............. Model # Serial# Manufacturer Date of Manufacturer OKAY TO ISSUE C/O YES NO Comments: Y FILIAL INSPECTION REPORT MOBILE / MOOULAR Town of Queensbury Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 (518) 761-8256 ARRIVE: DEPART: INSP: DATE INSPECTION REQUEST RECEIVED: NAME: LOCATION: 77s- Ala, Ode_ DATE: 1 j PERMIT# ,' ' MOBILE 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. ✓f _ 6. dryer vented outside ....................... I/ — 7. skirting ventilated .................... 8. hot water relief valve piping outside ✓ — _ 9. deck, porches, steps, railing ........ 10. furnace/hot water operating ........ I/ 11. 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 # V Serial # 10 J6 Manufacturer 1t0"-L 10"Z— Date of Manufacturer OKAY TO ISSUE C/O YES NO Comments: J ��` 1% �( tiQLT) �� �Yr�pht '?e /ec r R CEI� NOV - OV 2 3 20p TO N OF QUEENS® RY - - - - -- — - - --- — ----D ILDIN6 AND-Co-E-- - - -- -- ---- --- -- --- - - -- ----- - --- ----- ------ ------ -- - - --