Loading...
2011-322 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: P20110322 Date Issued: Thursday, July 28, 2011 This is to certify that work requested to be done as shown by Permit Number P20110322 has been completed. Location: 158 LUZERNE Rd Tax Map Number: 523400-3097005-0001-001-001-0000 Owner: D&G MANAGEMENT LLC Applicant: VALUED HOMES 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 Variance or P t3' P other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement or Zoning Board of Appeals. TOWN OF QUEENSBURY a 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20110322 Application Number: A20110322 Tax Map No: 523400-309-005-0001-001-001-0000. Permission is hereby granted to: VALUED HOMES For property located at 158 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. Tyke of Construction Value Owner.Address: D&G MANAGEMENT LLC Mobile Home In Park $60,000.00 PO BOX 2488 Total Value GLENS FALLS,NY 12801-0000 $60,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 4-' 22 econe Dr- 1400 sq ft mobile home $168.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Sunday,July 08,2012 (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 Toam Quee bu Vvi d„ aay.July 08,2011 SIGNED BY no � %% for the Town of Queensbury. Director of Building&Code Enforcement w ' OFFICE USE ONLY p TAX MA NO. PERMIT NO. DATE ISSUED: PERMIT FEE APPROVALS: ZONING TOWN CLERK JUN< 2 20i1,, �T ' .; DLOF EE•E ...__._ N&Bt1Rv_ BUILDING&CODES 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 Property Owner Information. Name: ve?&Z-a ZZ017=5 Name: &r114,,1j Address: �/,��2 Address: Phone No. Phone No. Parcel Information ,Proposed Date of Placement: Property Location: A'.,e ro- e_ �h Road,Street,Avenue Name of Mobile Home Park: �WIA r (if applicable) Tax Map Number: Mobile Home Information Zoning Information Approximate Value of Home: $ � € Zoning Classification:: New Home: Yes No ' Size of Property: �'�--ft. by lid ft. Replacement Home: Yes Ne € Existing buildings: WcD Setbacks: front and Size of Mobile Home:ft. by , / ft. FI., y oZ J ft. rear yard J ' ft. side yards ft. and /O ft. Singlewide: Doublewide:_ (� Number of Rooms: (exclude baths) Accessory Building(s): circle Mot,- Number of Bedrooms: 3 Number of Bathrooms: Detached garage: 1-car 2-car car Circle: Gas Fireplace/Woodstove/Wood Fireplace Attached garage: 1-car 2-car car Foundation Support: Storage building: Yes No Type Size & Depth Other: Piers Water Supply: well or municipal Runners Slab U Is Septic Permit Required? Yes or No .............................................................................__........................................................_...__.........................._...._..................................................................................................................._.........................---.--.............:........: Continued on page 2 Town of Queensbury- Community Development Office - 742 Bay Road, Queensbury, NY 12804 . Revised March 2010 w Name of fnsfaller or Mobile Home Dealer.- L� :Address:�Z' ;7,7 ����!-o� Phone: :. :CompletQ.1information below found on a "Plate" or"Sticker" which is affixed to the mobile home: ✓ Insignia serial number: ✓ Name of manufacturer: ✓ Plan Approval Number: ✓ Model or Component Designation: (New home only) ✓ Date of Manufacture: AFFIDAVIT Town of Queensbury State of New York County of Warren r - ; r i 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 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. r Installer Warranty will be provided at time of Certificate of Occupancy. i Signature: wrier, Owner's Agent, Architect, Contractor i r SPECIAL CONDITIONS OF PERMIT By: Code Enforcement Officer Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, IVY 12804 INSTALL NO. STATE OF NEW YORK DEPARTMENT OF STATE ONE COMMERCE PLAZA 99 WASHINGTON AVENUE ALBANY,NY 12231 INSTALLER'S WARRANTY SEAL THIS SEAL REMAINS THE PROPERTY OF THE DEPARTMENT OF STATE NEW MANUFACTURED(HUD CODE) ❑ RELOCATED MANUFACTURED(HUD CODE) A. Manufacturer's name: 4 B. HUD label number: ,) Serial number,",If C. Retailer's name: S?, D. Retailer's address: 7 E. Retailer's certification#: r a4­ ef Telephone#: F. Installer's name: G. Installer's address. H. Installer's certification#: —Telephone#- Az 1. Date installed: Municipality issuing building permit: (City, Town, Villag6) J. Customer name and ph)�ical address (911)where home is installed: New York. S By attaching this SEAL to this manufactured home,the undersigned Installer of this manufactured home warrants as follows: 1. That the installation of this manufactured home meets the standards of the New York State Uniform Fire Prevention and Building Code. 2. That the Installer is certified as an installer by the New York State Department of State. The foregoing warranties are in addition to and not in derogation of all other rights and privileges which the consumer may have under any other law or instrument.The foregoing warranties are in addition to,and not in limitation of or substitution for,any and all other warran- ties,express or implied,given or made by the Installer,whether contractually or by operation of law. Printed Name of Person Signing Seal: a C Signature of Installer or Limited Installer: If you have a problem with your home,you should first contact your installer or retailer.If the problem is not resolved by the Installer or Retailer you can contact the Department of State at(518)474-4073. DOS-1680(Rev.03/09) Yellow Copy—Department of State White Copy—Retain for Your Records Goldenrod Copy—Permitting Agency Seal—Affix to Home Queensbury Building & Code nforcement— Manufactured Modular Final Inspection Office No.(518)761-8256 Arrive: am/ am/pm Date Inspection req es received: Inspector's Initials: NAME: PERMIT* LOCATION: 2 DATE: Manufactured Home Modular Home Footings_—Foundation Foundation_ Backfill, Framing_ Comments: Yes No N/A Foundation support,pier spacing, /-5 ! Per manufacturer Anchoring per manufacturer 2'from ends Water line shut off I Sewer line support @ 4 feet Heating Crossover[doublewide}off grd. Dryer vented outside Skirting ventilated 1 so.ft.per 1,500 sq.ft. Hot water relief valve piping outside 01 Deck,porches,steps,railing Furnace/hot water operating Garage Fire proofing Fire Door/Door closers Plumbing Fixture/3"Vent through roof[Modular] Foundation insulation rd applicable] Smoke/Carbon Monoxide Detectors/Interconnected Final Electrical Variance required Data Plate okay Manufactured HUD seal okay Warranty Seal after January 1,2006 Installers Warranty Seal V op 18"x 24"access or 22"x 30"attic access Vapor retarder under home 6 mil poly or other Street number Okay Okay to issue C/C or C/O[Temp./Perm.] Model# Serial# � Manufacturer I1, L `/ Date of Manufacturer r L:1Pam Whiting\20101Building Codes FormsWlanufactured Modular Final Inspec ion_03 04 10.doc 44' CATHEDRALTHROUGHOUT I . r r tmLr Y i BATH DINING. ®® BEDROOM#2 V x 12-T r o ® ® 5-Y x 104, Y BATH as MASTER j ROOM `" 'BEUROOMdi3 o BEDROOM :;9-z•z10 a• 12'S•z17T �/� 1fl-TX12T .:� X'.. Q '": . .. OPf UOR61Ht ' 1,Lis ameP.. rr15 . dui e- TOWN OF QU Ei',ISBl9��`' �Revievved y:.. FILE. TOWN OF QUEENSBURY Copy BUILDING DEPARTMENT Based on our limited examination,compliance with our comments.shall not be construed as Indicating the plans and specifications are in full campllenca with th Q ullding Codex of New Yortf State, - y� i r _ P. so t o 82 =D r2 =3 M!!1!IN'•U!vt 7,c-R2 S,F, VENTILATiC>N AREA ReQuIRAD, g!ra8�D g� Sic p �f~AR lNts SNAIL 96 20 X2C? .4f3.g MAT IVANUIrRGT'UFk" FPR THE PURP0,9C or- SUPPOR,, iN1. ►,4ANiJPAC-r'uREjn- HOMs PIERS, ---� rr -- MINUTEM,AN SYSTEM 5NAtt_ PRDVIDE L-0Nv1T0V1NAL ! If>x�"FIERON0o'SfaB FvtD t "xg"P►r€R aN2d"xZiO'PAD�- AtM L.AT'ERAL 5 U PFEWT, -- CJIVEEPT SURFACE RON-OFF AWAq FROM HOMC'e1-rLLLLHI ► � 1 5' -- �� un; CA7'�Dl� DJ<� lC3►►-i is 1I,1 ACC.ORZ� WITH PROu15IDN,� _ _ ___ ._.__.__._^_. __ F _ __ _ �� GJA C OF A rrZ NVIX OF 7HLO Rgstt�rA rlAt.. CrClEd4r NEW z YORK AMID LS RXPGr--rt-i) TU 8E FRr E f=RbM t^HE ►� X pI�R ON zo x2o PAp._ _ !e FF6CTZ F FRO "r"; �, X 2d PAa-'7`1rPICAI.- ; " &� ' MlNUTEtvSflta FOUNDATION SYSTEM % 441 go 8 EA►M BY wrm Le R.S CO Efl r 1 —rNi N • -Iv i rg-oz I o— t Qi Co *� G r-(4- -I - !lo XIS PICR ON 20 X 20I F'AD;TYf'IG/gL __ ' {� -411, ` Z MINUTEMAt4 FOUNZ)ATiOtt! SYS'TCM _- _ ._ _y,j UL! (t) 5� Pt 9 R ON ED"A Z O" P A O a 5- t 3 =0 so = D LAYOUr 6-8 NORYHWIND5 RE01AAN HOMES MODEL 2�=g • rt2�� 32 dIL 2 S' _ - - - - 8 - -. -- - - - .. _.. _. _ - _ _ - _ate•-�- _ _ _ _ -rti-�_ _ �.,4 ,,, HOME FLODRY Q I NEf I I-I,a:DYJ S�t►M fir` r1u,Rt:D sKr>?Tjtvv ay BEAM BY oTM �ii►-l� t-.faCK nTh ER:3 - -- - r r PG 8' e, L--ex� K GRADL= 2Qrt. g"8l_O"K i - (0 Mt - POLYETHYLENE ,g ; 3 r • - _ . _ . _ �` 2 • try,¢ I I4A.RDWJ©D SH►M ,A5 Rt_Qur � �c - _ __a--,�--------�„i HONE FLZ)OF EY OTNEf?. I EAM BY O T NERD_- „ E �D X 2d A� �A K i ? =4� '✓'f: J i GMIR. POLYETHYL.EN5c �I ADJU ,TABU F--,R.AG,• 1 I(>"G AI..V. PIN W„X 0-0„GAL.V, PAD SECTION AT KAIIlk� L)`r Krl'At-ll P-OUNOA T" I ON S K I %t-r, N G 73Y CrH E R:� r R,A0E s Fc-FION NTg 4'EPED ARC ��a �ER��`F1" / n a L to 026 "Io 'k- . -1 G, PETER JENSEN 17 WEST ROAD SOUTH GLENS FALLS NEW YORK 12803 S!{ I R TIN41 13Y 07-HER.S G rRA 0,5 It is a Violation of the Law for any Person, Unless Acting Under the Direction of a Licensed Architect, to Alter any Portion* T#ris Document in any wayi, any Portitsh d1 this Document is so Altered, the Altering Architect Shall Affix to the Portion so Altered his Seai and the Notation "Altered 8y" Followed fir hft Signature and the Date of Suc" Atlerati^ ad a Speeft Doscription rd the AIMi'aiiok v M �} Q F•o R P'LA N (r�RA w IDA Ti i,C.4A t•- C i I-Dlo02, r' t1cXv��f! �AS W-M