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2000-135 �� . ,.; •y fir. " 1 r �'�u ,� `.�ro'r��:{°'4 �r ���"�"mob"I���'f, J w�:,�� 5:.�,"° ,... �e i ��.wl .1 r t � +'����e_1, �.� �1�, v _— RILLL•mYliMwlbM�Yu4gYOwe zy„ trtlf.lCE&Lt up e 0 Town ofrQueensbury Warren County,'New York Date I�� 2000 This is to certify th,,�,work regested to be done as shown by Permit No. has been completed, This structure r ay be occ4pied as a--MOBILE HOME Location LOT 22 HOMESTEAD VILLAGE Owner TAX MAP O a 9 3. -2-11 , lBy Order Town Board. Y 0�QU r UR.Y Director of Building& Code Enforcement BUILDING PERMIT Town of Queensbury, 742 Bay Road, Queensbury,NY 12804 County of Warren (518)761-8256 VALUE $ 16000 Building Permit No. 2000135 TAX MAP NO. 93 . -2-11 . 1 Permission is hereby granted to HARDING, SABRINA Owner of property located at LOT 22 HOMESTEAD VILLAGE in the Town of Queensbury,to construct or place a MOBILE HOME at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the NYS Utifforin Building Codes and the Queensbury Zoning Ordinance. Owner's Address: LOT 22 HOMESTEAD VILLAGE QUEENSBURY, NY 12804 Contractor or Builder's Name: GLENS FALLS MOBILE, HOMES Contractor or Builder's Address:' 39 SARATOGA ROAD GANSEVOORT, NY 0— Electrical Inspection Agency: NEW YORK BOARD NEW YORK BOARD OF FIRE UNDERWRITERS Type of Construction: MOBILE HOME Plans and Specifications: 980 SQ FT MOBILE HOME AS PER PLOT PLAN SPECIFICATIONS Proposed Use: MOBILE HOME 35 March 30 2002 $ PERMIT FEE PAID—THIS PERMIT EXPIRES (if a longer period is required,an application for an extension must be made to the Code Enforcem6nt Officer of the Town of Queensbury before,the expiration date.) Dated at the Ajwn of Queensbury this 3 0 Day of March 2000 SIGNED for the Town of Queensbury Code Enforcement Officer r Application for Permit— Mobile Home Town,of Queensbury,--�42 Bay Roar';Oveensbury, NY 12804 (518) 761-8256 A building permit`mustbe'obtained before placement of'mobile.home`on,parceL_-'No inspections will be made until a valid building permit has, een issued'. _ Applicant Irrfonnation gfflce 6se Name: File Permit N � Address: Fee Paid Reviewed By: Phone No. ��25 �.��� .. ,-. �+�---� - �-�^ �.ram' R E fit- .l�s�=-.�.D Pro er7y Owner Information Parcel lnformatior�y�� " 2 8 2000 Name: Proposed I}ate of Placement: a ° F r rr Property Location: L-0 - Address: -' Road,Street,Avenue Name of Mobile Home Park: (if applicable) Phone No. �-- --t om Tax Map Number. qL Mobile Home Information Zoninglnfonnation Approximate Value of Home:$ + O C� Zoning Classification: New Home: Yes kNoj t�} ��[1 Size of Property: ft.by $. Replacement Home: es No Existing buildings: Size of Mobile Home: ft. by 70 ft. Setbacks: front yard ft.; rear yard ft. Singlewide: Doublewide: Side yards ft.and ft. Number of Rooms: (exclu a baths) Number of Bedrooms: Accessory Building(s): circle Number of Bathrooms: Detached garage: 1 car; 2 car, ear circle: Gas Fireplace or Woodstove Attached garage: 1 car-, 2 car, car Storage building: Yes No Foundation Support: Other: TYPE SIZE&DEPTH Water Supply: circle Piers RnrmP*r _._._ well munic Slab ipal Further information requested on the reverse side of this sheet �► Name of installer or Mobile Home Dealer: Address: Phone No. � State of New York Division of Housing& Community Renewal' ; Insignia of Approval of the State Building Code Complete information below found on a"plate"or"sticker"which should'be affixed,to the mobile home. 2. Insignia serial number. 2. Name of manufacturer: 3. Plan Approval Number V S � 4. Model or Component Designation: (New Horne ONLY) ` t 5. Date of Manufacture: _ b AFFIDAVIT y 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: owner,owner's agent,architect,con actor Special Conditions of Permit By: Fonn_ 11/18/1999sh Code Enforcement Officer �II�.r�l'1L. •Ii*�.a'_.F�►��� TIE IC�'#i� �■���.:J R"""�' - rAn®l3lli-m or Mc=l®1"LAmbFv Tovun of Queensbury - Building 8L Cods Enforcement 742- Say Read - Quraipinsbury. We 12804 (518) 761--8256 f . y ARRIVE: DEPART= �,- INSP:��- DATE INSP'"ECTIC►N F2EQT_.FL,ST RECEIVED: - ! - L©CATION. --- - ,�. A��l1��Ii..E I�CiP�E - - Mtb1TtiTL1iR �-H1�11+�E ' PC30rI'II�TGS FOUI�TI3ATIC�I�T BACKFIL.L FRA2VIII�G 1_ foundatiosi support, pier acing - psrrr armf --------- --------- ----- ><anuf - 2. suchoring per rr --- ------ - ---- 3. water lizae sl-iut +cuff ------------------ 4. sewer line Sapp: CW 4 feet ---__ 5_ hea.tirlg cressscrve (dblswiide) off grd 6_ dryer vested ou ida ______________ -- 7. skirting ve--ritilat - - -- --------------- 8_ hcat water relief alve piping out de 9. deck, porchss, st ps, railing .... 10. furrr mce/hot water pera.tixxg _ -_-_- 11- garage firs proofin -- - ------- -. - ---_- 12_ door closers ____ _ _. - - - ---- --- ------- 13- pllxxxlbing fixture ---- -- ------- -------- - foundatiori insulaticir: if pl_ ...... srnolc+er detectors .. . ...... . 1 final electrical _ _ _-: - variance required -- -- - ---- --- - -- 38_ data plats okay ---_- --- ----------- 19_ mobile HUD seal o y- - - ------- Model # - Serial # R{Ianufacturcr 'f'iate of Mauufac er OKAY TO I Sl`JE C/© YES NCB Comzr>terzts i a _ 442 - '���e�L_ ��i'�ll����T■�1 f� f�'iC IiE=!M�r� fit" ff%AC3m3vL .m=- i ■rAn car=uL-I0Msr=:t Town of C luo nsbury Building SL Coda Enforcement 742 E3ayf Road Qu nsbury, NY 12804 (S1 0)) 761-8256 DATE INSPE+C'I�C7N REQL3 'T I2E� _ ��` - DATE: A;x PERMIT # — 10►5®�A�..� �►1M.lE M®.1�LTL�.I� Hta1�E FOUrI'IN+GS F�3LTNDATIGSP�T BACKFiT—i— FFLAMZN+G W A- YES WC) 1. foun►da tioxs support, pier spa ing pernU►.nuf. ........... . .. .. .... ... 2. anchoring per xrianuf. ....... . .. .. .. or 3. water line shut off ------------ ------ - 4. sewer litre support 4 feet S. lteatiog crossover ( l "Cie ----- - 6_ dryer verrtexl c utsi+ci- ----------- --------- - 7_ skirting ventilated -------------- ----- 8. hcot water relief valve piping o tside 9. deck, pc>irclie-s, steps, railing .... ,! 10. fiuirnacelhot water c)peratfing .. .... •• -�/ 11. garage fire proofing .... ......... ... 12. door closers - - -- ---------- - - -------- 13. piu.nzbing fixture ------------- --- - -- - 14. fouradaticon insulaticni <i f appl-)--- -- 15_ srnokc. cietecrtors --------------------- 16. final electrical ------------------ - -- - - 17. variarice required -------------------- I S. data plate o1kay ---_--_----. .----- -- . 19. mobile I-l'UD seal cokay .......... .. 1%4cxIel # - eri-al # A/Ianufactuxer Date of 1VSanufacturer C3I�A.Y TC7► ZSSU"F Cl1C? YES �„� NCB I I Member AM7 1 INIM01 INCI *NR 10K Elodricol and Fire lnspecfion•Fnforcing&Consubg Bice f 997 Keac Road,Codacd,NY 1304 ,���� DATE. � CERTIFICATE NO.,Sabrha llardiq'ol I OWNER; Hw��itud fillai e bt#261 RSRPPROUEaFOR: Nobilo Ho2epi RDDRESS. �� r I Phis certificate apples only to Ib�doctrinal wifig iod oglpoul li�l d above ou IN M d date. '. warranty is upross or lgllod onIhls visual lnspoctloo.lhis corlillda sha bo valid fora p to ELECTRICIRN. JosephWSH� ��, ��3� ;I, ���t �.`. ; ono year from IN above notod dalo,Should the iclrlcal systom to allorod in any way k ud q,but unit to the ltoklloo of addillonl oloclrical golpmont this cortillda shill bnomo void addition,this xlllldo apphos only to tbo occupancy use and owrlorship as iicatod hnlp. ADDRESS, charge in, use,occupancy or oWnOIs of to proporly i d clod to"tho cerllftato s i Ili o mmo void.If for ao mason this cortllicato tamlo�alid duo to tho abouo m ll( } �e N! , pdiu by Now York ktl Itic-lniand,In.as nocossary to q idato to instal atioa. RI-F k- - I / 40 Il�A®tom LJ.1LA - `�'^�►, Tc>wn- cif- Clueensbury Building 8L Cade Enfc)orcarinent 742 -0a Road - t)ueenat>ury. N")r 1.2804 (51 8) :76r 1-825C ARRIVE: C3=- I3EPART: INSP: - BATE iNa.pL?C~-TTt3N R.I;?QL.TL,.ST RF�CEIVE _ NANfE: -CA LOCATION- - I::►A"'1`�: '".- PERMIT #,� .` '`,� `�d�� ��9BIILl� -I��fME M®DUL�H Ht13�+tE - F�rINGS Ft7U1�Z?ATI©N BACKFILL FRAMING 21TlA ' . V�.S NC> i. foundation support,. }bier spacing - _ ancliorissg per irlalluf ------------- 3. water line shut off . . ............. 4-. sewer lire x suppc►rt (i;- feet ... . . S_ h+ ating-ci-csssover <+C �widej c► grd_ 6_ dryer vented outside _ti-----_ --------- - 7- skirtirig ventilated _ --_ ------- ---- 8- hc>t waetr relief va ping outsiCle 9. de;ck, porches, steps railing ......... 10_ furriacc,llrcat roster o rsting ........ .! 1 1_ garage fire prcfing -- --- -- --- -- --- 12_ door cicisers - .--------- ----------- --- }/ 13- plumbing fixure t - - --- - ------------- 14, foundation insulation (i \appl.)...... I S- smcDpIc6 dete ctors -_-----.- ............ IL6- final electrical ------ ------:--- ---__ - 17_ variance required --------- - - - -- ---- - -- 18_ data plate okay - ---------------------- / 19_ mobile HULL seal okay ______________ Mock l ## Serial # Manufacturer - I?ate of Manufactur+�r # OKAY TO ISSiJ�`C!O YES. .- NO -- Corn merits 03128/2000" 15:09 5187982803 GLENS FALLS 'M M HOM. PAGE 02 Ie tt�pp} A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING THE. NEW YORK BOAKjl� RD OF FIRS UNDERWRITERS MWIFICATENO. 2W COOi ,v COUxrr r rck.E NUMtrr—e . eETW�NWNA wm cnm STI sEeLOCATEdi ytCaCM 9LOCR tor A-f 0% . f AJ eesrs>rNb ocru�+�Ncyr FROM THEIR,, WORK TELEPHONE MlWlER L— dJKDM+w� ryry �y i N MI❑ OLD L.J VA%W Is NEW IJ ADamO+uL❑ OEFECTR UST AFLQW AllE IPM1 H YQU INSTA - NUMBER OF-OUTIEI8 No.of Flxttlres E MOTORS HEATERS BRANCkt OFFICE USE 1)OnLanV C" Sift CIRCUITS . ONLY Ammu' ' ewRcn Pefldetd etaidLet W. TypeEac, INSPECTION s st>a t3ABE I aAae• { MINT Id FL, FL 3 R- HOW LK&LIST OTHER EL ("CAI,DEVICES NOT SET FORTLt ABOVE THIS APPLJG11T1QN 13 WENDED To COVER THE ABOVE-LISTED EQUIPMENT TO BE INSKCTl D,13UT IF AT T)ME OF INSPECTION, IS FOUND A[}DriK?t1AL EQUIPMENT NOT ABOYE U3TED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER " THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT. M Of MAM FEEDER8 -- C►ARAMiR OF WORK �xvosED Applicant affirms that there Is not an application for electrical 0CpxEAL10 Inspection pending with a qualfied electrical Inspection IDATTWORMTONSTAAM oATf cawPLETEv auftrify, for the Instailatit n listed herein. � �enEallo. This application is valid for a period not exceeding one year O arETw from the'date received by the Board. DA'M N8PEcrloN FMQUff8M ON(OR AS►+Eaa AS POSSWIE) MUST ENTER APPLW.NrrS- ( IDEN7TFMATICN NUMBER 7 . f 10 I I ( I I AVOID DELAYS BY QMNQ FULL AND ACCURATE INFORMAT*N,ALL.SPACES MUST BE FILLED IN OR AFFLICATION MAY SE RETURNED, PRWT NAiM AND At?DRa 32 "~-'— OF APPI.ICAN? OAT£ Z S APPLWAW "'eE ` �r TELEPHONE NO. ZIP CODE (ICEN$O NO.WMEN APPLICABLE 0 85 Jdhn Stroo ! [� 111 asNngt-Ave, �[�3291 Lake Shore Road (]217 Lake Avenue 0 202 Arterial Road NEW YORK,NY 10033 SUrr 704 - BUFFALO,NY 14218 ROCHESTER,NY 1460$ 202 ACUSE,NY 13206 (212)227.3700 (Sas�2Y f 10 (716)927-IIW ! (716)254"0141 (315)403.8552 THE. NEW YORK BOARD OF Fl.RE UNDERWRITERS 7 i j R"CRVED MAR 2 8 2000 .4 AND CODE 5 30L rc LIA y�L _ LIVING - 7'. LROOM fl,,,,�,�� LLLit x i4-r .LLMASTER SECOND it ST" O T _LLL . j BEDROOM BEDROOM v L THIRD _L L L L L L L L DINING _L LLL BEDROOM _L LLLLLL_L. tv_a x a-r u o a to=r s s x ter-tr L '_L L_,L L • 81r x to-W L a ., AMR PRA_ FRONT DINING. LUXURY BATH MW168097 TOWN Or QUEENSBURYUfl.01N;DEPARTMENT Based on our limited examination, compliancewith our commerits shall not be construed as ind•►eating the . -plans and specifications are in full compliance with the code.: NOTICE ANCHORING OF MOBILE HOME - FRAME IS REQUIRED PER MANUFACTURERS SPECIFICATIONS _ , a ti{N; ? r � URY BUILUI EPTN REVIE�J'V L) I ° DATE ,, � � � � � s i s � � � � �c s � o � X � k � � � � , - Z ,