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2002-873 r TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 C ERT I F ICATE O F 0 C C U PAN CY Permit Number: P20020873 Date Issued: Friday,December 06,2002 This is to certify that work requested to be done as shown by Permit Number P20020873 has been completed. Tax Map Number: 523400-309.009-0002-001-000-0000 Location: LUZERNE Rd Owner: HOMESTEAD VILLAGE L PiJ> Applicant: CUBBERLY,DOLORES 1 This structure may be occupied as a: By Order of Town Board Mobile Home In Park TOWN of QUEENSBURY Nectot 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: P20020873 Application Number: A20020873 Tax Map No: 523400-309-009-0002-001-000-0000 Permission is hereby granted to: Cl JBBFRT,Y. DOLORES 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. Tne of Construction Value Owner Address: HOMESTEAD VILLAGE L P Mobile Home In Park 4294 ROUTE 5 Total Value CALEDONIA,NY 14423 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2002-873 64 Alpine Ave., Dolores Cubberly Installation of a 1,344 sq ft mobile home per plot plan and specifications. $55.64 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, October 30,2003 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the To o ueensb d sday, October 30,2002 SIGNED BY 1z for the Town of Queensbury. Director of Building&Code Enforcement Application for Permit— Mobile Home 9�T 1 5 2002 Town of Queensbury, 742 Bay Road, Queensbury, NY 12804 (518) 761_82 A building permit must be obtained before placement of mobile home on parcel. No inspections will be made ' until a valid building permit has been issued. Applicant Information Office Use Na me: &,6Ae(, File Permit No. a Fee ee Paid L_t3 If Y Reviewed By: t ................... Phone No. Ll aq Property Owner Information Parcel Information Proposed Date of Placement: .0a zvwz, Name: Property Location: (1,4 �, Address: R&d,Street,Avenue Name of Mobile Home Park: Plybws_kola (lat. (if applicable) Phone No. Tax Map Numberjuef- Mobile Home Information Zoning Information Approximate Value of Home:$ -2-3 Cs0_0 Zoning Classification:. fn o 6,'Je 1-P/V-4 pad; New Home: Yes Size of Property: 5 0 ft.by 16D ft. Replacement Home: Yes VO Existing buildings: Size of Mobile Home: ft. by-�� — -- Setbacks: front yard fL; rear yard _ft. Singlewide: Doublewide: ✓ Side yards ft.and ft. Number of Rooms: (exclude baths) Number of Bedrooms: 3 Accessory Building(s): circle /9 Number of Bathrooms: 2- Detached garage: I car; 2 car, car circle: Gas Fireplace/Woodstove/Wood Fireplace Attached garage: I car; 2 car, car Storage building: Yes 49;P Foundation Support: Other: TYPE SIZE-&DEPTH Water Supply- well or mici Piers x C Dp Runners- X Is Septic Permit Required?- Yes or Slab X Further information requested on the reverse side of this sheet MOO, Name of Installer or Mobile Home Dealer: .�vr�n;��-i v✓1ob,�l� { p Address: Phone No. Complete information below found on a"plate"or"sticker"which is affixed to the mobile home. 1. Insignia serial number_ L 7 iq l(j - 2. Name of manufacturer. ,(--�j-2z+2` b6d 3. Plan Approval Number: 4. Model or Component Designation: (New Horne ONLY) 5. Date of Manufacture: �1 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 BU LDI TG CODE,the ZONING ORDINANCE;and-all-other-laws pertafning to the~proposedwork shall be complied with,whether specified or not,and that such work is authorized by the owner. Signature: ✓ � `�I'1 \N ` owner,owner's agent,architect,contractor Special Conditions of Permit By- Form: t 1/19l2999sh Code Enforcers ent Officer _ P�NA!_ �NSPEGT�ON REPORT_ _ - Town- Csf CQueensbury Building 8L Code Enforc4Brn4Bnt -742 Bay FRo2td Queensbury, NY 12804 (51 8) 761-8256_ - ARI2IVE:-2f-:�� DEPART: DATE INSPECTION REQL7EST RECEIVED: �. ���Q NAME: clk LOCATICJN: � ■ ��'it-� 'f��CL..� . 7—3ZO M�[ASIL� H+�►IA+SE A�ta►1?�.?L,A>�. HOl1+![E Ft�l.7TINGS FOLJNI:'!A'I'It�►N B,A.CKFT= rt- FRAMINf3- s J " . NIA• ." Y:F S N'Q , 1_ foundation sxsprpcart,, pier spacin pex- Trim tlf , .......... 2_ aa�choring per xr.�snuf __ _. 4_ sewer line support ? feet ----._ hruating crossover fcblewic3e) off grd. 6. ------------------- 7. skirting entil,a .. ................. .. S. hcstt water elief alve piping outside ►. deck, port s, steps, railing .... .... 10- fiAsrnacelhott ter operatirng ... .... . moll 11. ,garaae fire pr ffi-"g ----------- ---- -- 12- door closers ---_ ------ ------- ---- --- 13- plutrnbing fi re _ ........ '. . .... 14. foxsndation ula.ti (if appl_)...... Is- smoke deter rs ---. ----------------- 16- final electri 1 -----_ ------------- --- 17. variance r ed ___i ---------------- 1.8. data plate o Y ----- ---------------- 19- mobile H seal okay ----- ---------- '- Model it Serial # Manufacturer _ e I DOate of M anufac tuner - C1tKAY TO ISSUE C/© YES NO Comments: -. - ��N�►� [NSP�CT�ON R�P=3RT r OULAA&FR -Fawn' csf- GZueenstbury �-=- BuiIcHng Sct:cede Enfcorcamant 74.2 Eey Ftcalaci (Quo nst:>ury, NY' 12804 � (51 88) 76-i-8256 jIN - DATE INSPECTION_ REC2UE_ST R�-CEIVED: _ LCCATIC3N: �- DATE: M�SIY.E -H��+IE MODLTLAIIi HiL1ME FC343'T`INGS FC7'iJNIa►A'I'I4N BAC�KF7L..L FRAr4iiNC3 1- foundatiorx support,- pier spacing pearrrlanuf. ----------- - - ---- �_ anchoring per +mAsiuf_ ........... .... 3- water line shut off ----.. ......... .... 4. sewer lime support (ED feet . -.__-. 5_ heating c;assover �db ewide� off grd_ � _ S_ dryer eizted outside -------------- --- - - �/ ?_ skirtirig ntilated ----------- ---- ---- �� 8_ hat water r -ef-val a piping o�stside 9_ deck, perches, ste S. rniling --.----- Z{3_ furnacelhot wa Aerating -------- ZI_ garage fire prop ---------- ------ - 12_ door closers ... ... .. .. ......_ 13_ plumbing fixtur _- ... ......... ........ 14. foaandation i.rs s tion appl_ .... .. 15. srxxake dete:.ctor ._..__..__ .._..____. 1e5. fun�al electrical .............. . ._.__ 1 7_ variance requir ..... .. ..... .......--- 18. data plate okay . .. .............._... 19- mobile HUD seal okay ----- --------- Model # t Serial # - Manufacturer �� � �7�t Bate of Manufacturer OKAY T© ISSUE CID YES IlTO COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC* Main Office 176 Doe Run Road - Manheim, PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL .. IN 06.&OW 7 9 3 10 Pent No.IdN{Y41{Mflfllltl•14f4fifffffff44ffifR���i � �+U -in ��� i '`!Miff#IMi4iffilff44MM4M ##I### off f r Owner,mM.M. ifflf414{4f4M}t#}11tifRMMY4f}fftfilf4fff}fold#Itifff/fflf4fffM.4ftiff4ff{MififMffi4444444444M{ Ri 4.#off!#foittifl4it#lfflnf#f#ff{t#t i df#o##i{#Il611ofIItool#114,404111*Mfoodoffifi1if14t4ffiff, 41f #4►4 motMllf #f{4tLocation #1411Yd1AA6 ft#fMMtt +j� p}1}{ f� Consisting 1� rff44iffff4MN/V4A7 56M 66 Installation of 1411 411l1f444o14Yff4ilifrff R4/ffffN#41•ff/Y44Rf4iN4f Hfif4}}I711it1f}f414f41f#f i41441##44if4fo} ff4Mif R4f4ff4f4114f l01f44f44}}4}ff 1101i#41111#ff4tf411t#d1Yflo/fof41ff411o1 food 104044 Most 114 oil fillip 000i41ff44tN#Ifiififf{f}1M4#Ilttt off 1i0400 064 i!!flff 1411NRlfi{off!#Ri#1 44rfdlfiffl►Milfliif}}}RIMliidd#ldoo#!t#II4ff4114!!!#flfi!l4..111l►i41!!4lfRl4M4}iii!}fiff!l4ii►f!f!!1.{4f.flld!!ff#f illllflo4414111l1f111•if.Nif4lfil4i Rfflf#flf ffftgl4H!!#f1f4f installed No. mm f f f11110411 f{l04 too The conditions following governed the Issuance of this certificate, and any certificate previously issued is cancelled, - This certificAte only covers the electrical equipment and installation conditions as of date, [upon the introduction of additional equipment or alterations, application shad be promptly bade for inspection. Inspectors of this Company shall have the privilege of making i ections at any time, and if its rules are violated, the Company shall have the righ4toevoe this ' e i ate, ZOO/ Date}Rf1d{•44f«# itlfifllffllf14M111i4}}}i}}}}}!4f}} INSPECTOR ... 11Mf11 ! atseMI total lfff#f#MM 14M food f}M4Mti1No}{o4{i#iY4II#iif##off#boo I MQmhpr N.F.P!A..1.A.F.I. Building SL C:;c)wdc3 -E=Enfalrcermcknt rc>vvn- of C:Iuc"anst3ury 742 Oety Flocact C?u<a�nsbury, NY 12804 8) 761-8256 C--> MOBILE H@ME MODULAR HQ■I�IE lel f6uriclaticm support, pier spacing perrrimallf.- ----------- ----- -- ------ rrinxXXXT- ------- -------- 4P 3- Nvntf--r lijac-- slilat off ------------- -- w--- 4- se---wt--r- lixxt-- s-Lipp4Dr-t � 4 feet - ----- - 6- cli-yt--r vpjatecl 4cD,7utsiclt-- ..-,:------ -7. skirting -vt--nLtilatc�cl - ---- -x- relief - piplua&y c),"tsl 8_ hot -.7vntf valve 4C)FIXtSIQL 9. deck, porches, steps, railing --------- 10- flmrrlacf--A[14:A VVELte-r c3Pe-rELtizig ------- - 11- garage fire prc3c)pfilag ------ ------ --- - -- IL:Z- 4dc>c>x- 4--Iostars -- - ------------- ----------- 13. pluxnbixio fixture-- - - --- ----------------- 14- f-buitclaticni irisul"ticmi (if appl-)..... . IS- srnolce clr--toe =tcxrs ----------- ---------- - - 16- Beral electrical -- -------------- -------- 17- v;alriaxaot-- :re�qudrexi --------------- ------ 18- data pl*ttt-- C>"Y --------- - ----------- -- 190- vrxc3l:>ilf-- IAT-Jl> vt--nl C>"y -------------- MC>Clf--1 ff Serial # -.100V-1- Bate of Manufacturer *qc) -0� --> OCT-16-2002 14:05 FROM:PDI TRANPORT 51e2e25125 TO:518 745 4437 P.001/003 Paisley DeveIOPM4 Inc. PDI Tran*wf COPY F 102 Hinds Road E'I,E Middle Grove, New York 12020 Telephone (518) 882-5123 OCT 16 2002 Fax (518) 882-5125 To: From: Dutc; it,, Rcm VdI44,0 -- I CC: V ( Oz� L 24 Nr ! 4 G,' � � vrr t •u+ K ,. r - t ��y CONSTRUCnON RlTONEN .PA4STER 0ATR Vinyl tap siding with backing Easy clean no wax floor covering Porcelain commode and tank Heavy duty I-beam frames .Free standing 30"gas ranfle with vented range Easy clean no wax floor covering hoed end light Vanity 2'x 6°floor joists fij with storage cabinet 2">t 6-stdewalls Roller drawer guide system Exhaustvent We In all bathrooms r` Upgrade front door with storm door Stainless steel Idtchen sink Mini-blinds Self-edged counter tops Self-storing storms andscreens POPULAR OPTIONS Zone i H,U,il,wind code construction Double door frost free refrigerator o Dormer roof-in line Vpe 8-2240ofl R-19-wallslR44 floe rand meets thermal GUEST BEDROOMS a tone Ili H,U,D,code requirements Removable hitch Mlni-bilhds Ott gallon electric water heater or 30 gallon as Acoustical ceiling panels g 9 r.. , 18 ox,sculptured carpet buster heater A Wiring for dryer connection with vented dryer line ebond carpet pad a R-28 roof insulation to exterior of home R Plumbed for washer Large wardrobe closet R-Ft#foor insulation N 100 am electrical service with,gas heat Ventilated doset shelving Due tothermalzone III KU,D.energy codes, w p sliding glass doors and stcylightsmayor may 30 gallon electrk water beater r j � ``' �,t, MASTER BEDROOM .n� , not 6e available in some models tll copper vriring 1goz,Seulpturefcarpet Cathedral cei)ingsthroughout t ,v Rebond carpet pad O NFRMONSANDFE'AMES1lAVHE LMNS RDQNt Large wardrobe closet AVAL48LE N SURE TO ASK YOUR Ri TAXER, 18.02.sculptured carpet Ventilated closet shetving Rebond carpet pad c Drape valanT with mini-blinds h Drapes and mirii•blinds o �s p, h Q t` 0 ro ~ '� � ttp�thalsqueretaore Ismemu.Rdlromaxmrbr�a'Iros�aria�watl,andManappr�dua � � l[tiara,�ergmirc�afedh4scr�na�lbosl�fimy.Eirx�i�lnpaard6a2tarr�sac�n�a�m to Ng and,hkecpinyvilffihwd's BY MEMO} E o "IVRYion"Acksib"Adlmen9cmNnonia4Pakyouut�v1xsFep�r4AW x t � 8makfiield Homes orebAby: tow f�lta eoh�>st>Eesspoaa�t�ny�J H PfyCEBANDSPECIPICATIOKSSIlB�CTT4EWAQE IMOUTM01)CEUADEt1eATM?�1. , FLEE'TWOOD HOMES OR PENNSYI.VANIk INC. a soWdlaryarAftaodEattrpdses,lot. 1' 481ndustr'talRoad,P.0.Box530 cv l Enzabathtown,Pennsylvanla 17022 - �, o t11713674227 1850139-8221 eFn�aas (U m tU � W , P �1 t � r y ppi�pp v_ r � o N B � - :C Rr r�w�`��• ��J 4 Ron- �♦�rl ■�1�1IIi M 1)��y 4 315f 1■i! `'' i a •11 1 Gr■af\ ■`l uIL '+, �l .,� ■w■w PQ,,1•f A■tlf■11�.1i `+ Ca 4r�1EQ�IRdIRS�C`r.•��k':a ■■.fir/!■f■a■ `^� ■r AYr..r..1■A■■■■r1a N��,a: 11IN t•�■■�/O if ■■1, ■■ Yl0■ ff■ �/ �}L � �a=ia: efi�iiiisiii�{�,� �ii ..+�■'■fn ■/wf/YA us allso •11�� t b ou■ 1 . r�11�ir■1■11�■1, •*■�■ .■i■iiii■lam' 0.6.� WI[ ilsi■r��fM■/■1 G ': .■a w ;.; 1. .! � w FI I► rr � ■ .■. f. 1. ■. r f� ■ ��i /�I- Iso, VED ���q�EE�URY ANCHORING OF MOBILE N ME ----T� _— .____ _._______.__.__ BUILDING AND CODE FRAMErvfS RE OTl7E-O P R_______ _ MANUFWT RERS-S ECIFI ZlO -- -- -- 7 Zo f-��,����" 1(j�d't�t�� all�G 4;:�'- •' � .v::'d on out I'vitea F.xs2tnlC1c�t10 1, _ mplianee-yAh ouc --- �1.cvSf VVV 10 f not be construed as indicating and-sp�ci'iicatlons are in cfiru dance With -----REVIEV ED-BY... - .. . - - _ - - DATE; I .......... 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