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2003-527 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761.8256 CE.DLvT IFICATE OF OCCUPANCY Permit Number: P20030527 Date Issued: Friday,August 01,2003 This is to certify that work requested to be done as shown by Permit Number P20030527 has beeti.completed. . Tax Map Number: 523400.309.005.0001.001-000.0000 Location: 17 Sugmbuh Road Owner: D&G MANAGEMENT LLC Applicant: MARIANNE GAMBLIN This structure may,be occupied as a By Ordet of Town Board Mobile Home In Park TOWN OF QUEENSBURY Director of Building&Code Enforcement J TO" OF QUEEN88URY 742 Bay Road,Queensbury;NY 12804-5902 (518)761-8201 Community Development-Building.&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20030527 Applidation'Number: A20030527 Tax Map No: 523400-3097005-0001=001-000-0000 Permission is hereby granted to: MARIANNE GAMBLIN For property located at: 158 LUZERNE Rd in the Town of Queensbury,to constructor 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 NY$Uniform Building Codes-and the Queensbury Zoning- , Ordinance. Tie of Construction Value Owner Address: D&G MANAGEMENT LLC Mobile.Home In Park $30,000.00 PO BOX 224 Total Value GLENS FALLS,NY- 12801 _ $so,000.00 Contractor or Builder's Name/'Address Electrical Inspection Agency- WELCOME HOMES MIKE LADD 1638 ROUTE 9 SOUTH GLENS FALLS,NY 12803-0000 Plans&Specifications 2003-527 MARIANNE GAMBLIN 17 SUGARBUSH_ -ROAD 28'X 44' 1997 MOBILE HOME AS PER PLOT PLAN SPECIFICATIONS . $53.00 PERMIT FEE,PAID THIS.PERMIT EXPIRES: Thursday;July.15,2004 (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. ie Tows mof ee sbu Tuesday,July 15,2003 SIGNED B for the Town of Queensbury. Director of Building&.Code Enforcement Application for Permit— Mobile Home Town of Queensby7)4,.742 Bay Road, Oueensbury, NY 12804 (518) 761-8256 A building permit•must.be obtained before placement ot-mobile home on parcel. No inspections will be made until a valid building permit has been issued.'. Applicant.Information A Use Name: GL CP/�� l 0, File Permit No. - 0�7 Address: �� � " Fee Paid W d By. IUL Phone No. 151 1 / �f�� JUL 1 � 2003 Property Owner Information , Parcel Information T1-1 -k-WWD w OF`QIJEENSI3ORY . Name: /rU/ ' I /�ts�' `%a 1 � .0 . lacemern: I D r c? 6� �,� � 7ij Property Location: �"?,ew"Ty ,�'y�p Address: Road,SftuA,Av Name of Mobile Home Park: /Va1zi1)4ly 41lV G � S�l�1lJ�i Al, 12— ,(if.applicable) Phone No. r Z Tax Map Number:._ Mobile Home Information 3= Zoning Information Approximate Value of Home: $ ®/0M, M Zoning Classification: Aw- New Home: Yes Size of Property: `/0 ft.by Su ft. Replacement Home: Yes �r Existing buildings: VIOL Size of Mobile Home: EJ ft. by �lft. Setbacks: front yard AP,.' ft.; rear yard ft. Singlewide: Doublewide: Side yards f 2 ft.and /0 ft. Number of Rooms: (exclude-baths) F Number of Bedrooms: -1 Accessory Building(s).: circle Number of Bathrooms: _ Detached garage: 1 car, 2 car, car circle: Gras Fireplace/Woodstove/Wood Fireplace Attached garage: I car; 2 car, car Storage building: Yes No Foundation-Support: Other: &Aw TYPE SIZE&DEPTH Water Supply: ,well or municipal Piers x Runners x Slab x Is Septic Permit Required? Yes or No Further information requested on the reverse side of this sheet �► 5 - Name of Installer '✓G or Mobile Home Dealer. Address: /V/ Jim •bream / �D,, " -Phone No. � ;��� RI 0D Complete information below.found on a"plate"or"sticker"which is affixed to the,mobile home. 1. Insignia-serial number. VA/-tOJ-*, P G1 r- . 2. Name of manufacturer 5, �Oa2X10 3. Plan Approval Number: 4. Model or Component Designation: '(New Home ONZT) 5. Date of Manufacture: 6;d e'J F i~-1 D-A V� Town of Queensbury, State of New York County of Warren - 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 statement of all proposed work to be done on the described,premises and that all provisions of the BU L>DING CODE,the ZONING ORDINANCE, and all other laws pertaining to the`proposed work. =`,shall be complie&iwith,whether specified or not, and that such work is authorized by the`owner. Signature: owner owner's aje7nardiiitect,contractor __.._ ...............--..................-- ..__...-- Special Conditions of Permit By- rom: iiri9ri99ssh Code Enforcement Officer Tc~n cif C tu, eensbury Muilciing 8t Cnx 49 E=-nforce3tme9nt 742 E3=-xy Road Cluie nsbu ry, NY 12804 (v18) 761-8256 L�A'TE INSF�C'�'ICaN R:L�'QiJt?'ST �2ECLIV Imo: II r DATE: `�J FER IT ## L5 -3 r ��OC�TI2�7GS - - FC3tJNZ7ATIC�N PlACK�"TT-i- G 1. foundation support, p r s ciag _ per marXU.f- ---------- --- ------- 2. anchoring pest- rraa.xiuf. , _ __ -..-_ 3. water line stet,off ........._ ... . 4- sewer Brie support (aa 4 feet ...... S_ heating crossover (dblevri�3e) o grd. 6_ dryer vented outside ---.------------- --- " 7- • skirting ventilated ------------ -------- S- hot caster relief valve piping outside _ 9_ deck, pot-ches, steps, riling ........ l(3. furrce/hot water operating ........ 11. garage fire proofing ----. - - ---------- 12.. dc►or closers ............ ............... 23_ plutrribing fixture ...................... 14� fc>ui2datiori insulation cif appl.)------ 15. smoke detectcars ----------------------- 16_ final electrical ------------------------ 17_ variance required _____________________ IS- data plate oka3' -------- -------- 19. mobile seal okay ......... ..... 3Vlcic3el # S c,rial # Manufacturer - _ Date of Manufacturer C�K�+s.Y TC:� ISSUE ClCA YES NCt-. tCcj►mments: _ -- i _ + Tc ~n c►f (::Iueenstr:)U y Bu�llcling SL Cc�+B �1 t�`IC?t r $M1r1`11±E ' C2ueensbury, . NY 12804 1 ! AJFZIZrNnE:- DEPART: - i3A'I`L I NSPECTtQN REQUEST RECEYtiTED: • '--�. ,t� GIN: �,. " ��""w,.._.4' ..:M� �._.,s' _ �5�r7...�1...,:.�4... ..C�.,-�r',,�,. •_ -��� .:a. _MOSIL.E HOME. - Api00ULAR HOl�IE . I'ZY�TGS FbUNDA'I'I(Jl�- - - BA�KFfL,- F12AitrZ�TG - 1_ foundatio= sx4nw>rt. pier spacing 3. water Brae shun;+c+ff - t 4= s+�wer line, support <n�, 4 feet= . ...... 5_ -.heating.. c_ ros sower (cibie�vde� a►ff gr"d_� - - - 6__ dryer vented outside __ - 7= sicirtirig veiztiiated ___ •• _ '< 8. hot water r-elief valve _ i ii� `:outside � `-1_ -9� clecic, =pt}t-c es,. steps, railingF— ...... ..J 0 L 1 1 ZO 0_3 i0. ftm_ma4--elhot- water _opera#zrig _ -__ l l garage art-- proofing ..._ -TC]1iiJ1�6 CIF Q U E E N SB U RY l2" dw+o►r cica►sers ._,... ........ : --•�- BUI LDI ( AIND C400E 13. p►iu m bi r3►g. the tui-e. _._. .:, ............ 14.' gouradatiiarl iiasul.ttic++©►n 15=�.srncz3c�: d+�tectc�►rs ___. _ _---• _ ,.__.._. � - 16.J final electrical - _ --_ ---- _ _:__•_ - '17=: variance re�uir�ci _ _-•. _ --•- _ - _ - _ 18= d to plate cikaY ------------- --•-- i 9. mobile:I-i u1 > sear ohay - - •_----_ - 70P3�anufa+cis-er 1' -- :d . OKAY.:TC3 ISSUE. CtC YES l NCb- Town of Queensbury Building 8L Code Enforcc3ment '742 E3c-RLy Ft.c>ad Clu4a�ensbury, NY 12804 (5-16) 761-8256 ARRIVE: DEPART: INSP: �� _ YZ7�.P�T-:E INSPECTION REQT...TEST RECEIVLL�> '`-� - - 1 - Focn-nvGs ovava�p.Ti©N $AC�- t F71zp nrinvo Nl.A Y-F S NCt 1. founelation s�espp+csrt, pier spacing per rrianuf_ ------------------------ 2. anchoring per rnanu€ ------------- 3_ water line shut c�fF ------ ------------- - 4- sewer line support ,@? 4 feet .... ... 5_ heating cresssove:r Cdblewide~� off grd_ 6_ dryer vented outside ---- -- ------------ ---- 7_ skirting ventilated -------------------- 8_ hot water relief valve pii png outside 9. deck, pot ches, steps, railing ........ 41C3_ fumia.celhot �craGcr csperating .._.._.. " 1 1. garage fire proofing ___................ 12. door closers ------------ -- ----- --- ----- Z3_ plumbing mixture ---------- ------------ 14- fouridatiori insulaticm cif appl-)------ 1S_ srxxoke dertecctors _______________________ 1 6_ f"im.1 elc,ctricnl ------------------------ 17_ variance required -------------- -- ----- 18_ data plate c31CaY ----------------------- 19_ mobile HUD seal 4o"y __ ____________ Date of IVlanufactu�r - 2i � ©KAY TC� ISSUE C!® YES -_ Comments: � � � � I - � IJU s - scP7 ANCHORING OF MOBILEVIGME --FRAME-IS-REQUIRED-PER MANUFACTURERS SPECIFICATIONS 76 7(ol z,,Oz/ WELCOME HOMES 443 SARATOGA RD. --S0-.GLENS-FALtS-,NY7I2803---- T'r,�—�f Xv, BUILDI�LQ REVIEWED E83 DA-T- 4-4� T�OWN OF QUEENSBURY BUILDING DEPARTMENT Based-on-odr-limited-ex ..... ination, --- comcliance with our comments shall not e construed as indicating the plan and-specificaffons-are-i full compliance with the Building Codes of New York State. GrtPoV P,7 04 rC- -- --------- VJ 17 V-7V e& PC-X?j a,-Z1,01-47-i> ECE ( �UL ?003 BUILDmG mD CODE Pad, /4"(t 4 C- &- AII-7 d.r;12)1 9:r,A0 /:',I��r,770A� 04lUe eA) 5�-77-6 V L UPI I /g/p ME, Ad 11441qkoae6v� A/064 -77 4 � L✓�! f� ���L�y' �LJ� 7' �!o/�{✓ QV" ��f-�/� �!i �9✓� jei' y"��' •' -- �r v MIKE LADD i��-OBI�IEI� 443 SARATOGA RD. SO.GLENS FALLS NY 1260 5 8-761-1176 • a SDI C' OPY--- RECEWED 411-4 2003 OWN OF QUE-NSBURY BUILDING AN,CODE �OA4� it y COW " r + 1 tal W.W. J; 1 � f9 �j(ItA ` I I � _... . __ . _,.. .. 44 I ' (SIDS FM.5 0 ONLY g.AK WWfi 10 i si911 FROM PARTNERS—FOR—PROGRESS PHONE NO. Jun. 30 2003 01:37PM P2 s ` I 'RECEIVED z JUL 1' '� 2003 I •-:TOWN OF QUEENSBURY �. BUILDING AND CODE ra 'FuaH "to e . �41YISION COPY, . lanutacturer°s Whe and Address 'HUD ND, L90LA PA ant No, Mods!Designation . Serial No" `" , ..,., �p a Q Date ofi Mifg, ' This MOM ciured Weis dpsiglfed 10 ralnply With the Federal N nufattasad Nolio Construction and Silet Slan�ard 1a toted ' 0 W at fhs tta;e of ll�aaufacturc. r(s g(�Approu i underinrllsrs t,audratortes;lnc: :tort'lnstaled 1quipmenttnclutsi MODEL RATING'OF F,A06RY INSTAI.iik:1RCUrC �Q�U� ANT EQUIPMENT MANtIFACTURIrR RESIGNATION '' a i �ApPL IANCf~tdDl FRClCPAY INSTALLfrD) SERIAL PLUMBER a ,andilioai>f LL -in Oren ad i�0op cooklllg unit g Ir.1lealer 1 ' (as Washer 81 t . . V—MI Las Pryor Jdc1SilCr idl "°���--- M._ ..,�,. �✓ ,, f>,iis • walsle keR�.e6ar 1212,AA �..� � � , .. • !race 1313 r . 14 lostructions for all wgrk to be porlormed In the.fleld are locate 1 in+h kitchen drawer, Z e maps In thls bnx det(t!e the design,IQady for each Uecg'rapsticaE HOME CUSTnUU16 6* 26n,,1. Q Zane n [�Ions In manulacturad home has been design+d far the roof dbd This home has not bier,� rrod!w'the highermd pmsswe and ancharmg pray skins ieiµrkstl`for nd land zones as checked; be araoi am ahamd not w16pw wllhin tnptat Ihe coastttne In wipe zdr*'s p Pad tp,unlox tho horns and h amhoria:,drat(mm8ation system have,bosh designed for its tr Creased raga ramonia s�e1Ge[llarF�posuro(7inANS!/ASCE�•9t1, ua i o DP •0Sou( 2R'PSF ►"� „ ..; '.:: '•:.;:. '': ' ., 7hlaho�'tp;L..,lhaaecl�boanetjugyrodt�ipistnrmahuherea'oiherpmtectNeem�dhgalorwkrildwa a llddle OIL oa1eC _ ��� aNle tniKrdodropahUr�a.Cgr(rotne�d �nedfielretocd dlaSUndZon hand h 0!1i hhrute not been proves with shutters or inrwuatant covering dnig6oi it re stmggly.modmmended that the home be made ROOF LOAD mady to Ue OWN wlh.thd,Se dw6s'h acconiance with the mtfiod tsaohmendod!n Im' ktkirms bt ONLY ,Eacrl Tll I t 1A61PY MIDDLE MIDDLE 4 z0he I. SOUTH VM ' s "tf1 ZUNEl �} ` 'ZONE III tli M if 1 ZbNE III ZONE'! ZDNE it , o" Pare rate Derr `utayx fjva mynates !or Anch Dmagn 11aw ",-Jfj pa)(_&Oyz�3 vt6r rlay pf'­. ,Anilr SeknD ptio, t"a'e""a t"o4e l'ov 2 or. � unals Seepage pits 2 Im-it boo gallons yer day In-r 'L2 w>OL7 sqnarD feat requirea 6 raot de op x 9 feet effeetive diameter 2 pits 8 feat Map X 30 feet affaativw ajameter r is,- 3 unit sync 900 capons per day - 750 Xeet r*qV,).red use j pits 8 feet deep X IV Mat effective Aiamerev All 11TY 6.2,103'. 1"Avvv 0_ff ut2r��elf jNz1'xeStiY1 ?.,zruaq for 1,10 vKh!"I"'3 14 �j Lmder roads aed In ��o4ll b ove�z' gther areas Overhead PCW,r 1MBS If any shall be at least LL fec-C above, VAM h be Ince w.Lm New Yor AJ.l g�,_S 6 can k Slate Coda. All mobite humas shall jy.pp(>x-t-,,,d by concrete MOM Piers extending below ITUSUMB and tie doms RS Per chapter a p,;,,,t S-tate Sanit I ar-Y W A USE A q NEW YORK SYAT . lmlitary Fnght­r 1'1_­_11k11W L. Al A W,evir AIT 'ra wN Clee o 4�fo, 0Rr& N A L Sy-ze, ;7