1999-113 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW, YORK
June 30 99
Date 19 '
3 ' \
99113
This is to certify that work requested"to be done. as shown by Permit.No.
• has been completed. .
MOBILE HOME
This;structure may be occupied as a
LOT 78 HOMESTEAD VILLAGE
Location -
GLENS FALLS MOBILE HOME
Owner .
TAX MAP NO`. 93 .- 2-11 . 1 By Order Town Board
TOWN OF QUEENSBURY
Gig
Director.of'Bldg. d& Code Enforcement
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BUILDING PERMIT
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TOWN OF QUEENSBURY
VALUE $ 30000 No. 99113
TAX MAP NO. 93.-2-11 . 1 WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to GLENS FALLS MOBILE HOME.
OWNER of property located at . LOT 78 HOMESTEAD VILLAGE Street.Road or Ave.
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 Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
LOT 78 HOMESTEAD VILLAGE LU Z ERNE ROAD
QUEENSBURY, NY 1 280 4
2. CONTRACTOR or BUILDER'S Name -
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GLENS FALLS MOBILE HOME INC.
3. CONTRACTOR or BUILDER'S Address
39 SARATOGA RD
GANSEVOORT, NY
4. ARCHITECT'S Name
NEW YORK BOARD
5. ARCHITECT'S Address
NEW YORK BOARD OF FIRE UNDERWRITERS
6. TYPE of Construction—(Please indicate by X)
MOBILE HOME
Wood Frame ( I Masonry ( )Steel (
7. PLANS and Specifications
960 itQ FT MOBILE HOME AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
MOBILE HOME
$ 35 PERMIT FEE PAID —THIS PERMIT EXPIRES April 19 19 2001
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Oueensbury before the expiration date.)
19 : April 1999
Dated at the Town of Queensbury this Day of 19 •
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
c. • • EC8 VE
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APR 0 8 1999
• 0VVN UEENSSURy
firV
TOWN OF Q UE NSB UR Y IAr
3u DI= AND CODE
• 1ZEVIEWED BY: �•
FEE PAID: $ ot)
PERMIT NO.
APPLICATION FOR PERMIT
MOBILE DOME OR MODULAR
A BUILDING PERMIT MUST BE OBTAINED. 'BEFORE PLACEMENT OF MOBILE HOME.
NO INSPECTIONS WILL BE MADE UNTIL A VALID BUILDING PERMIT HAS BEEN ISSUED.
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The owner of this property is: i171`5FS4 (161) !I e&
P.O. Address: Li -efeovf' l2� ("Phone Number W2_2. f v
Property Location L IA'T r1 450 r5/41 I/ , Tax Map No.4?— r /
NAME OF APPLICANT: P/1-1
Address of Applicant: >44 3/9'K, lit` s, 1 JSeVo AJ '
All applicants spaces on this application MUST be completed and the
signature of the applicant MUST appear on the reverse side of this application.
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS. REGARDS BUILDING CODES:
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MOBILE HOME INFORMATION 60
APPROXIMATE VALUE OF (TOME: $� d, rUIJ
Hew Home $ No
ZONING INFORMATION:
Replacement. Home (gN.o .
Size of Property: ft x ft
Size of mobile home 2-L1ftx / ft
Existing Buildings:
Singlewide Doublewide )c
No. of rooms (exclude baths) Proposed building-distance from property line:
Front Yard ft Rear Yard ft.
No. bedrooms 3 Side Yards • ft and ft.
No. of bathrooms Z Occupancy Information:
Primary dwelling: Yes No
Fireplace --Woodstove Accessory Building(s) :
Foundation style and size: Detached garage (one car /two car car)
Attached garage (one car /two car car)
Storage building
Piers-No, of Size ft x ft
Other
Depth below grade ft
* * * * * * * * * * * * *
Foundation-Footing size x Proposed d/f`11-- 7'��� wpplacement:
Wall material
Wall thickness " Height " Water Supply: Well Municipal ✓
Total depth below grade ft. Septic permit required? Y v
Grade to home floor level ft.
FURTHER INFORMATION REQUESTED ON THE REVERSE SIDE OF THIS SHEET
NAME OF INSTALLER/MOBILE HOME DEALER: g,(2,a4.-9 - ` ittirec4
ADDRESS/PHONE NUMBER -0.220/
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STATE OF NEW YORK DIVISION OF HOUSING AND COMMUNITY RENEWAL
INSIGNIA OF APPROVAL OF THE STATE BUILDING CODE
1. Insignia serial number p & ZS a X
4ifet/vuerz..._,
2. Name of Manufacturer
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3. Plan Approval Number •
4. Model or Component Designation .<•-•
5. Date of Manufacture CnC\
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All the above information is to be found on.. a plal.e or slicker which
should be affixed. to. the Mobile Home. - Complete above with that information.
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Town of (lueensbury • State of New York
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County of Warren
AFFIIIAVIT
I swear' that to the best of my knowledge and belief the statements contained
in Ltd s application, together with the plans and specifications submi tted
are a true and complete statement of all proposed work to bq. 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 compiled
with, whether sped fled or not, and that such work is authorized by the owner.
Signature
WCW-44-0-A-
Owner- , owner' s agent, architect,
contractor
SPECIAL CONDITIONS OF PERMIT:
By •
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CodeZnforcement Officer
DECLARATION: Please sign below after you have carefully read the statement. •
To the best of my knowledge 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 noted, and
that such work is authorized by the owner. Further, it is understood that I/we shall submit prior to a
Certificate of Occupancy or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; drawn to scale, showing actual location of project on premises.
Signature:
(owner, owner's agent, architect, contractor)
�)NAL INSPECTION REPORT
✓/ MOBILE / MODULAR
Town of Queensbury 9,a6 Qi‘-
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804
(518) 761-8256
ARRIVE: DEPAR : 1, / 1 INSP:
1
DATE INSPECTION REQUEST RECEIVED: 62 , 4 4
NAME: //0-. r r-er'r>C(d-i--C_ f�j
LOCATION: i �
gri V`� v,
DATE: d - /
PERMIT II Si-i/
MOBILE H"'ME MODULAR HOME
FOOTINGS FOUNDATION _ BACKFILL_ FRAMING
N/A , YES NO
1. foundation support, pier spacing
per manuf. — — —
2. anchoring per manuf. ._ —
3. water line shut off ....t /—
4. sewer line support @ 4 -= / _.
5. heating crossover (dble -) off grd. —
6. dryer vented outside ..ti . —
7. skirting ventilated — —
8. hot water relief valve piping outside — _
9. deck, porches, steps, railing — —
10. furnace/hot water .-rating _ — —
11. garage fire proofi g — — —
12. door closers — —13. plumbing fix e — — .-
14. foundation • sulation (if appl.) _ —/ _
15. smoke tors j �j — ___
16. final electrical .k. .1..�..... •• .5L.'• — _
17. variance required — — —
18!data plate okay —
19. mobile HUD seal okay — —
Model # Serial # .
Manufacturer . PRL-I_)l oZr s . c I e
Date of Manufacturer
OKAY TO ISSUE C/O YES NO
Comments:
FINAL INSPiEDTI®N Aerat IRCIF
MOBILE / MODULAR
Town of Queensbury :."
Building & Code Enforcement
742 Bay Road % . �,�^^�
Queensbury, NY 12804 (Z d�
(518) 761-8256 ARRIVE: DEPART:/'/ J
INSP: O v
DATE INSPECTION REQUEST RECEIVED: q/ 51//g
NAME: C .4 '
LOCATION: j—rP*" i. 'aZ---�
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DATE: �4/l-J//� ERMIT# 99-//..?
MOBILE HOME \M( )ULAR HOME
i
FOOTINGS _ FOUNDATION BACKFILL FRAMING
6 N/A YES NO
1. foundation support, pier spacin
per manuf. _
2. anchoring per manuf. .... _ /
3. water line shut,off _ / _
4. sewer line support ®4 f t t
5. heating crossover (dblewi s-) off grd. _ _ ‘/6. dryer vented outside _ —/
7.• skirting ventilated
8. hot water relief valve p ping outside _ 1
9. deck, porches, steps, '.'ling _
,10. furnace/hot water ope'sting _ , 7"
11. garage fire proofing —
12. door closers j , —.
13. plumbing fixture
14, foundation insulati• (if appl.) ../ X\
15. smoke detectors .
16. final electricalg /# 6/1-•.(4), —
17. variance required — —
18. data plate okay —
19. mobile HUD sea okay
Model # 2-f 2-5- - Serial#OSL - 7-513x0
Manufacturer L,nJ-l2,-1 t
\,
Date of Manufacturer ` /6^ cri
OKAY TO ISSUE C/O YES I NO
k io-5-ii-Lc. LJ J L.. CS k)e3612 C-(Z6 g 5 O OC lQ
Comments: C,at,�PLc:YG- L IZ U6.4-'11.A-)&
L)(Pc C— lkoi WArc2 TAtaK
d36CUik SAD foiV-1.& Ji-IL
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GLENS FALLS M & M HOMES,.INC.
39 SARATOGA RD .
GANSEVOORT, NY 12831
n L - - FILE COPY • (518) 798-2801
• Y)15 2-11q25' RUo Lt 4 1
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s'�Ceope. . APR 08 1999
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TOWN OF QUEENSBURY
BUILDING AND.CODE
tCx3a - 3027
S �iG ._
nL �p , LL - `�� TASTA.GL74#11-4/
rLL f.S ./� TI-BIRD:ice .0 I�- LLLL L. Y i 1 I_yr BEDROOM t S bc.� Wf SG
°-4 � LLLL_L(K HEN 1)oo2
{.. Nan . ' _l_LI_ LLLL'^t_' el'�° x 1Q'-'' o,
`�L A LLLL` LLL ') LL
LL 1 (-h-..L 1 I 1 1 LLLL
FOAM INSULATION :Ail AI A,. j LAL DINING_LL Ltd
BY A 15 MINUTE T a' ' ill. LLLL LLL
I"IASER - LIVING
BEDROOM ROOM SECOND
NOTIOE roe-eI x iv°T` 18'-2' x SQ'-102 BEDROOM
c'-cr x ro'7°
FT PAPER INsuLA1I MUST _
.xz 9� 3053 aWN OF QUEENSBURY RUNG DEPARTMENT
COVERED.BY NON-COMBAT ; - BA Based on our limited examination,
.. compliance with our comments shall
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not be construed as indicating the
' AlkiP plans and specifications are in full
-, S.T CM iri compliance with the code.
3 NOTICE • ���, �� _ 1.08z-86L (8L5)
. ANCHORING OF MOBILE HOME UEE Y W8ZL AN `J OOn3SNV9
FRAME IS REQUIRED PER OH eSoldads sE
MANUFACTURERS SPECIFICATIONS BUILDING ` P�. ONI S311 0H W '8 W STIvd SN31O
REVIEWED
DATE •