2001-474 ss
TOWN OF QUEENSBURY
742 Ba Road ueensb NY 12804-5902 518 761-8201
w Y ,Q �Y, � )
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20010474 Date Issued: Wednesday, July 18, 2001
This is to certify that work requested to be done as shown by Permit Number P20010474
has been completed.
Tax Map Number: 523400-309-009-0002-001-000-0000
Location: LUZERNE Rd
LOT 42 Windsonq Drive
Owner: HOMESTEAD VILLAGE L P
Applicant: JAMES CHANDLER
This structure may be occupied as a:
By Order of Town Board
Mobile Home In Park TOWN OF QUEENSBURY
(Deo,P4
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: P20010474 Application Number: A20010474
Tax Map No: 523400-309-009-0002-001-000-0000
Permission is hereby granted to: JAMES CHANDLER
For property located at: 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 22,000.00
4294 ROUTE 5 Total Value 22,000.00
CALEDONIA,NY 14423
Contractor or Builder's Name/ Address Electrical Inspection Agency
•
Plans &Specifications
2001-474 JAMES A. CHANDLER
980 SQ FT MOBILE HOME AS PER PLOT PLAN SPECIFICATIONS;
Homestead Mobile Home Park; Lot 42 Windsong
$33.80 PERMIT FEE PAID - THIS PERMIT EXPIRES: Saturday,July 05,2003
(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 ueensb ; Thur a ,July 05,2001
SIGNED BY for the Town of Queensbury.
Director of Building& ode forcement
v
Application for Permit— Mobile Home - E E V f
Town of Oueensbury, 742 Bay Road Oueensbury, NY 12804 (518) 761-8241:fN es 9_�001
. TOWN OF
A building permit must be obtained before placement of mobile home on parcel. No ins Riffi a '
gf ildoR
until a valid building permit has_been issued. , ,. , , _ AND C
Applicant Information
- Office:Use
Name: f i ivi ES A_ (T0/013 Elo _ 4.1° File Permit No.4 /``7 7
U
Address: cm— CJ/-il TE l/ i P' • Fee Paid 33 r`'
peoQ7' Fi coA_A_.P, M/K. 1,q g', .g' Reviewed By:
Phone No. �,'1g�.---74 --7 as—
1'1)
Parcel4-Information ��.yJ f
Property Owner Information,
Proposed Date of Placement: P S
Name: �j �5 ft{�.D C't4p 1 1 U L
Property Location: '/e E S.,/enkis,bciaLf
Address: L1{ 2e l2 de ��� ./ Road,Street,Avenue
ee 12 p /i •
i
u Name of Mobile Home Park: / �'•
-- (if applicable)
Phone No. "7(fS S29. 5 Tax Map Number:Rct:3-•-•-/ / 114-1
Mobile Home Information Zoning Information
' Approximate Value of Home: $...„2 0h v`�
Zoning Classification:p4,,,,_,44,___K
New Home: Yes o
/ Size of Property: ft.by ft.
Replacement Home: es /
ft. by ft.
Existing buildings:
Size of Mobile Home: (4-
(1U 5 y
Setbacks: front yard ft. ; rear yard ft.
Singlewide: Doublewide: Side yards ft.and ft.
Number of Rooms: (exclude baths) _ir_ J ' .
Number of Bedrooms: 3 Accessory Building(s): circle
Number of Bathrooms: j
Detached garage: 1 car; 2 car, car
circle: Gas Fireplace/Woodstove/Wood Fireplace Attached garage: 1 car; 2 car, car
Storage building: Yes No
Foundation Support: Other: -
TYPE SIZE&DEPTH Water Supply: well municipal
Piers x
Runners
Slab Is Septic Permit Required? Yes r No
x
Further information requested on the reverse side of this sheet
Name of Installer or Mobile Home Dealer: Pj - io 0(54,i40_1/0.41E5 j
- Address: _ ci q s 7l44_ ,62/ cAmt9k 7 / 9'- 2
Phone No.6 ( ) riqcal
Complete information below found on a"plate"or"sticker"which is affixed to the mobile home.
1. Insignia serial number. 11 6 (S
2. Name of manufacturer: h( Af.:
3. Plan Approval Number :
,
4. Model or Component Designation: - •
(New Home'ONLY)
5. Date of Manufacture: �-—02 d- /q7-7
AFFIDAVIT
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 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: -.
wner,owner's agen chitect,contractor - -
Special Conditions of Permit
By:
Form: 11/19/1999sh Code Enforcement Officer
FINAL INSPECTION REPORT
MOBILE / MODULAR
Town of Queensbury
Building & Code Enforcement
' 742 Bay Road
Queensbury, NY . 12804
(518).761-82566
ARRIVE: DEPART: ✓ 1,4 INSP: v1C
DATE INSPECTION REQUEST RECEIVED:
(NAME: �
LOCATION: 42— /-f mt&_6-s i-,�/1 V L
DATE: `7/l / f PERMIT # °
I -I/MOBILE HOME MODULAR HOME
FOOTINGS _ FOUNDATION _ BACKFILL_ FRAMING_
N/A . YES /NO
1. foundation support .ier spacing //
per manuf.
2. anchoring per •:nuf. _ ✓/ _
3. water line shut •ff
4. sewer line sup.•rt @ 4 f:•t 7
5. heating crossover (dblewi•-) off grd. /
6. dryer vented ou ide
7. skirting ventila -
8. hot water relief v:lve pi g outside _ ✓/ _
9. deck, porches, ste vs, railing
10. furnace/hot water o -rating
11. garage fire proofing /12. door closers / / _
13. plumbing fixture /
14. foundation insulation (if a.el.)
15. smoke detectors . _ V/
16. final electrical ( G /
17. variance required
18. data plate okay _ _
19. mobile HUD seal okay t/_ _
Model #/7d z"G� ���erial #
L 6=�7/
Manufacturer i A
Date of Manufacturer V/7-6/7
OKAY TO IS
SUE C/O L YES NO
Comments:
FINAL INSPECTION REPOR .
MOBILE / MODULAR
Town of Queensbury Ai
--
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804
(518) 761-8256 /
ARRIVE: DEPART &-h INSf'
DATE INSPECTION REQUEST RECEIVED: `1 (3 aOO
NAME: 07fh
LOCATION: of 1 Oi
DATE: • Ob I PERMIT 1 - Z
2/
MOBILE HOM' MODULAR HOME
FOOTINGS _ FOUNDATION _ BACKFILL_ FRAMING_
N/A , YES NO
1. foundation support, pier spacing / •
per manuf. — /
2. anchoring per manuf. 1 _
3. water line shut off
4. sewer line support @ 4 feet
5. heating crossover (dble de) o : grd. — /
6. dryer vented outside ...;... ...... /
7. skirting ventilated . ...
8. hot water relief valve piping ou r,i 4 e _ / _
9. deck, porches, steps, railing .... ...
10. furnace/hot water operating ..... .. i
11. garage fire proofing ✓ _
12. door closers �/_ / —
13. plumbing fixture / a/
14. foundation insulation (if appl.). .... t/ /
15. smoke detectors _ _ �/
16. final electrical
17. variance required — _
18. data plate okay
19. mobile HUD seal okay _ _
Model # Serial #
Manufacturer
Bate of Manufacturer
OKAY TO ISSUE C/O YES NO
Comments:
—vP .-DUCi 10 VW.
0 4e-pA(IR 0 oe l '6.-ft.i4a---' 4eLL0 14 6- 176-,-- .
. .- ,4e'-> ri N C -& - be, 5/°c� •
0 `' (*' . PtitrL - o
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC
Main Office 176 Doe Run Road-Manheim,PA 17545 �Q
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Permit No. Cert. N o 73288 Cut-in Card No.
Owner cl 0 A J
Location 4.117-' 4-4 dU 0 g'ZI/J'G eacuj
Installation Consisting C SC 2
aer
Installed By /C, few-e0er. Lic.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued i;
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon thi
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of mak-i spections at any time, and if it
rules are violated,the Company shall have the righ to oke th.. ifattee.
Date °✓l� ��� INSP.ECTORI r'
_ . - . . . . FINAL:INSPECTION•REPCART:
. , . _.,.. .. ' .-:
-:MOBILE../MOCULAR_ : = - - - -
-.. .Town of Queensbury
. Building &.Code Enforcement '-:::--11 ��'�
742 Bay Road '` .
Queensbu ,.NY :12804 //5r'� —.
rY . �]7. (518) 761-8256 . /�`
ARRIVE: DEPART: ''.��INSP: v .
• DATE INSPECTION REQUEST RECEIVED:
r I NAME: I . 1 , l"l ARMY
, LOCATION: 5 LO k' ' � I i)
i,.r' ! DATE irzzataki . r PERMiT r- J
'' r '" •', MOBILE HOME MODULAR HOME
f FOOTINGS _ FOUNDATION_ BACKFILL_ FRAMING
' ..,. ,---,,, [;" :
f', , i // f N/A YES NO
}'. -., 1. foundation support, pier spacing
•
Li '.:.. f /' i' per manuf. — — —
i gin,
i 2. anchoring per manuf.
�'I 1 3. water line shut off
.y 4. sewer line support I@ 4 feet — — _
_1 5. heating crossover (dblewide) off grd. — — —
6. dryer vented outside ..ti — _ —
7:. skirling ventilated — —8. hot water relief valve piping outside _ — —
9. deck, porches, steps, railing _ _ —
10. furnace/hot water operating _
11. garage fire proofing — — —
t 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 # b 5�7 ,Serial# I ( (.15
Manufacturer (—\6e)z I T
Date of Manufacturer 7/Z D 7 7
1
OKAY TO ISSUE C/O " YES • AO
•
\c\ -7 i pt
Commnts:
F/z--74,0 5 /0 519. — o
R7' /77. E • f/A-5r ,16K o0 SG or .
t
J
k \ •
. Z--- . 7-7' U ' -. T ' 1 M - 1
.\
7 '
7Q- c iNOTICE
�, ANCHORING OF MOBILE HOMER �, � �
FRAME IS REQUIRED PE JUN
a Vgl
MANUFACTURERS SPECIFICATIONS v 29 •
rowN 0F2ppi -.
81-80/ QUsfiANDMS
. . ie_(P C) C' .
nr 1EE'+It'llVS ii BUILDING f.1>✓r7'.I\IMENl
�. ^rl SIC I 'rPei=V 1 ••:}1S'S
. C? . TO'th
corapliance'with our comments shall
not be construed as indicating the
....._? • •
t ns and specifications are in full •
p; .
compliance with the code.
. . : .. .,_1‘ L.A-Lv.,;..,:,,i.....,ti.R.,‘ )--,,,
REVIEWED BY
DATE
MIME=NM
•
mt. COL 3053's
j11—=//li
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Tin TIT
UTILITY -;I
MASTER BEDROOM BATI/ I e 4 40/ L I'INC ROOM
19� 2 X 12'-4 �- --: 8/T('llF.h'i
1�'—r, x ,o'—► -__ Z]DININC i I
�� mr BEDROOM 2
f Kr( c 11.-5 X 9'-1 _
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mr.
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