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2000-332 Y d t ti F la*�'fi".'.�• 'Y.d`.'+xy�''��v" tir.�;�•� ZriJ'rk.".,��^�'` 'apt i��.t,• 1 J�4'r`,�" 'u rt, r 4 u ' f a PRIX Y Town 4 Queensbury Marren Counter,NewYork Date June 7, 2 0 0 0 Q t• This is to certify that work re tested to be done as shown by Permit No, 20@0332 has been co mipletted. This stricture in.ay be occupied as a �. .. MOBILE HOME Location LOT 179 HOMESTEAD VILLAGE Owner 1-THR' ' TAX NAP NO, 93. -2-11 1 By Order Town BOW f -,W OF QUE B t Director ofBuiiding Cade.Enforceinent BUILDING PERMIT Town of Queensbury, 742 Bay Road, Queensbury,NY 12804 County of Warren (518) 761-8256 VALUE $ 219.00 2000332 TAX MAP' NO. 9 3 . -2-11 . 1 Building Permit No. GARVIN, TAMARA/MCWAIN Permission is hereby granted to LOT 179 HOMESTEAD VILLAGE Owner of property located at MOBILE HOME in the Town of Queensbury,to construct or place a 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 Uniform Building Codes and the Queensbury Zoning Ordinance. 281 rl` dr MESTEAD VILLAGE QUEENSBURY, NY 12804 Contractor or Builder's Name: GLENS FALLS MOBILE HOME. INC. Contractor or Builder's Address: 39 SARATOGA .RD GANSEVOORT, NY 12831 Electrical Inspection Agency: NEW YORK BOARD NEW YORK BOARD OF FIRE UNDERWRITERS Type of Construction: MOBILE HOME Plans and Specifications: Proposed Use: MOBILE HOME 29 May 22 2002 : $ PERMT FEE PAD—THIS PERMIT EXPIRES (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.) 22 May 2000, . Dated at the To of Queensbury Day of SIGNED B thi for the Town of Queensbury Code Enforcement Officer Application for Permit— Mobile Home 'Town of Queensbury, 742,Bay Road Queensbury, NY 12804 (518) 761-8256 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'_ Name: j, jVsl File Permit No; Address: Fee Paid .QQ2C5�U tql X/1 Reviewed y � � ? Phone No. 0 �- MAY 14 2000 Property Owner Information Parcel Informa0m.,q OF QUEENSBURY _ E f.t)ING AND CODE Proposed Date of Placement: Jt 0 Name: �,�...� Property Location-.A/ /71 Address: Road,Street,Avenue a Name of Mobile Home Park: (if applicable) Phone No- Tax Map Number: / / Mobile Home Informa tion Zoninglnformation .Approximate vatue of.Home:$ 2- i 90 Zoning Classification: New Home: Yes No Size of Property: ft.by ft. Replacement Home: Yes -- .,"No Existing buildings: Size of Mobile Home: ft. by ft. Setbacks: front yard ft. ; rear yard ft_ Singlewide: Doublewide: Side yards $ and ft. Number of Rooms: (exclude baths) Number of Bedrooms: _8 Accessory Building(§): circle Number of Bathrooms: Detached garage: I car, 2 car, car circle: Gas Fireplace or Woodstove Attached garage: 1 car; 2 car, car Storage building: Yes No Foundation Support: Other: . TYPE SIZE& FPTFI Water Supply. circle Piers Runners Slab well ; municipal Further information requested on the reverse side of this sheet Name of Installer or Mobile Home Dealer: 1 4 as ( IS r - Moc Address: Phone No. S/8 17 State of New York Division of ousing& 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. 1. Insignia serial number: 2. Name of manufacturer: 3. Plan Approval Number: 4. Model or Component Designation: (New Home ONLY) 5- Date of Manufacture: AFFIDAVIT Town of Queensbury State of New York County of Warren z z 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: OW10V I ,owner's agent,architect,contractor Special Conditions of Permit By. Form: 11/18/1999sh Code Enforcement Officer THE NEW YORK BOARD OF FIRE . U,NDERWRITER PAGN 0 :+ 8UREAU,OF ELECTRICITY 40 FULTON STREET, NEW YORK,NY 10038 Date JI:INE 1 5,204 Application,No. on ale 1 ., THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the.applicant named on the above application number is in the premises of ROGFIR m1;'Gwyll, 179 HOt-08TEAD V111 LIAZER + RD, QUENN B VI f lily in the following location, 0 Basement 0 .1st Fl. 0 2nd Fl. OUT Section Block Lot was examined on :m, 0 �2'ow and found to be in compliance with the National Electrical Code.. . FIXTURE FIXTURES RANGES COOKING DECKS OVENS I DISH WASHERS i EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT, KX AMT, K.W. AMT, K.W. AMT, K.W. AMT, H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT, TIME CLOCKS BELL UNIT HEATERS MULTI-.OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP, AMT, AMPS. TRANS. NO.OF FEET AMT, WATTS SERVICE DISCONNECT NO,OF -. ----S ,E R V- I C E METER NO, CC COND. A.W.G. A W G. A W G. AMT, AMP. TYPE EQUIP, 10 2W 11 3W 3 0 3W 3 4W PER 0 OF CC,COND, NO,OF HIAEG OF HIAEG N0,OF NEUTRALS OF NEUTRAL OTHER APPARATUS: .I� I±i�I.E►�i(��:�,�:'� 1, ���i�I'i� ONIa�� ROGER MMAIN '09 HONESTSPRD 11 WEIRNE It GENERAL MANAGER 239 Per This certificate must not be altered in any manner;return to the office of the Board If Incorrect.Inspectors may be Identified by their credentials, COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. T©wn of C)ueansbury Buitdincg SL C:omJ49 Enforcernf3nf 742 Bay Ftc)aad C lu nsbury, NY 12804 ('Fill 8) 76 1-8286 ARRIVE_ r EPART:�'-S DATE INSPECTION REQiJF.ST RErCEIVED: ` DATE: _ �►_ � -'t�K...� PERMI'I' � -� �-_�;��. --�'�► FOt3�i' GS FOiTI�TDATIQI�t BACKFILL FRAhI1�TG _ NlA� YES N'C] 1. . fourxdation support, pier ink per manuf_ --------•- �x� - 2. anchoring per rnauuf- -. 3. water line shut off -- ---•- --- ------ 4. surer line support {W -4 f t .. 5. heating crosscaver (CltA i ) <aff gr _ 6- dryer vented outside -._•-__ --------• - sRirtiazg ventila _--- - - -------- $. hot water relief va a pipin outsi 9. deck, porches, steps, ailing . ..... 10. fxrr ace,-lhc>t water opera g .. .. 1 1- garage fire pr4bcpfing ..._. ....- ....... 12- door closers -------------------- - --- J 13_ plumbing fixture ---------------- ----- 14, fc-undatioll insulation (if appl_ -- ---- 15. srimc)Re cletectcars ---------------- -_-- 16_ final electrical ................ .. ... 17_ vax-inrice required --------------- - --- Is- data plate c>kay ------------ ------- -- 19. mobile 141JI3 seal c3lcay -_--_----. -. 1VIade1 # # Manufacturer pate of Manufacturer ©KAY TO ISSiTE +C!©. YES NC.� - Comments: i' Town 40 QueensUury B�:.iiEclinc,,,�. 8� Ccx1a �nforce�rri+snt _ ~_ " - 742 -Bay Road - CIueenst>-ury, NY 12804 (51 8) '-/61-8256- _ ARRIVE: ."EUP R i ' DATE INS_ P�,GTIC�N RE T R-ECEIVEI�: _ - - 1_ fraunda ran suppc3rt,, pier spacing - per. ............ . .._ 2_ ar3cli+e�riag per inariuf_ -------- ----- 3_ water line shut off ._..._ -___ __ ____ 4. -sewer line support +W 4 fee - 5_ heating +crcassov+�� (db2e � off grd_ 6_ dryer vented- outsides -• ------ --------- - 7_ skirting veutiLated -------------- 8_ mot water relief valor -• iping rautside 9. deck, porches, sto p r fling _.. . .___ la_ watfar- Pera g. - -------- - 11_ garage fire prow g ----- ---------- i2_ door cicasers _. ...._._.____ ...... . .. 13_ plumbing fix a .. .. . . . ... ........ 14_ €oundation - ulaticln (if agp _). 15_ smoke detec rs- -- ----------- ----- 1F_ final ela-4-- al __ . .... .. .. ..... ..... - 17_ variance. r uired .......... ..... . . _. 18_ data plate ckay ------ -- ------------- - 19_ mobile seal- c�lcay _---- -----_- - S eD 1Vlanufac • rc�r ��.�.`� �-�� � _ . 3�a.te cif anufactx.�rer �J��� — � tIKAY TC3 ISSUE..ClfJ YES - - NC) . 0 p j TOWN OF QUEEN NOTICE 11 °� SB ANCHORING OF M081LE HOME BUILDING& F9AME IS REQUIRED PER REVIEWED BY MANUfaCiURERSSPECIFICkTIONS DATE L /A F � a coowl E EIVED PRY 14 TOW?l OFQUEENSBURY aUILDiN ODE \/f - aov n a,n Mayne COUP DZIA wm"n LLLLL L LMNG : L L-�--DINING L L LL ROOM SECOND W-r x 12=t0' L L L.L L L L Lt! e``L _ BEDROOM L_ _LLLLLL.L _LL -sxt°-s �-------- MASTER LLLL _LLLLL o i r THIRD A'L�� BEDROOM L L L L L BEDROOM _I ( I_ e•-s x lr lcr tr--s x IV-& 00 3BR,- 2BA, TWO FRONT BEDROOMS MW147011