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2000-629 TOWN OF OUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 76142% CERTIFICATE OF OCCUPANCY Permit Number: P20000629 Bate Issued: Friday, February 23, 2001 This is to certify that work requested to be done as shown by Permit Number P20000629 has been completed. )3 . q Tax Map Number, 523400-093-000-0002-011-001-0000 ]Location. LUZERNE Rd Owner: HOMESTEAD VILLAGE L P ( LOT 17 0 ) Applicant: ALICE MORIN This structure may be occupied as a: By Order of Town Board Mobile Home In Park TOWN OF QUEENSBURY Director of Building & Code Enforcement TOWN OF Q►UEENSBURY CL 742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number. P20000629 Application Number: A20000629 Tax Map No: 523400-093-000-0002-011-001 -0000 Permission is hereby granted to: ALICE MOR IN Owner of property located at: LUZERNE Rd in the Town of Queensbury, to construct or place a Mobile Horne In Park 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. Owner Address: HOMESTEAD VILLAGE L-P. LOT 170 4294 ROUTE 5 CALEDONIA. NY 14423 Contractor or Builders Name 1 Address Electrical Inspection Agency GLENS FALLS MOBILE HOMES NEW YORK BOARD 39 SARATOGA ROAD GANSE'VOORT, NY Type of Construction: Mobile Home In Park Value : $ 22,000900 Plans & Specifications 2000-629 (ALICE MORIN) 952 SQ FT MOBILE HOME AS PER PLOT PLAN SPECIFICATIONS $35.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday, August 29, 2002 (If a longer period is required, an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town of Queensbury; Tuesday, August 29, 2000 SIGNED BY for the Town of Queensbury. Director of Building & Code Enforcement Application for Permit -- Mobile Home il�vwn of�ueen$bury, 742 Bay Road, Queensbwy. NY 12804 (5I8) 7GI�"3236 A building permit must bo obtained before placcmcnt of mobile hone Ott PzucC1. No Inspections witl be triad until a valid building permit has been issued. Alwlrravrl Irfarnrarinn d Ise ._,..�.-_ __- ...... .._.._....,.._.._-._ - ...-- . __ _ ---.._.. ..__. . _..... _-.. .. „_--- .... _. ._ .. ^� Name; .�� 1�' ,� \ ti i E] � y "� � File Fe�rmit N� Address: Fee Paid Reviewed By: ZII�SI i __- ,. Phone No. + '3 .34 FS 5 � `?, . � /l� • � . Parcel Infrnmarro?i I'rrverty owner.lnfow»ratlori Proposed Date of P'}aaezncQt: A '.;.5.' j9 Namal. f.�. 1�,r7c ►+�7 �p Property I&Mtinn: _J _ �__ __... _ �� va] �C k � � r" ;7C Itaad, �ttoel. Avenue- Address: rr I Name of Mobile Hotne Park: F Xj ,rpp ar ahle) Phone Nn. 7 a a 1 Tax Map Number: -- Mobile Hoone .In,formwin" I? -+� Zoning Irrfirx7p do" Appcaaduk*c Value of lla=: ``~~' Zoning Classification: New Home: Yes K: Size of Property: ft. by tit. Replacenrcmt Horne; No �� ,r Existing build"wigs: Size of WbUe Home: _._._ R. by f#. �./ Setback s. front. yard R.. ; rear yard R. Singlewide: Doubiewidc: Side yards ft. and ft. Number of Rooms; (exclude baths) _ r _ NurrAw of Bedrooms: Accessary Building(s): circle Number of Bathrooms Detached garage: i car; 2 car, car circle: Gas Fereptacc or Wnndstave Attached garage: I car; 2 car, car Storage btutdsng: Yes No Fau adation Support: other: LOOM $ Water Supply- circle Piers RurnneM well ; munkm'pal Slab Further information requested on the reverse side of this sheet a6 .d b£ : b Z nKL 66-84-AON Name of Install or Mobile Dome Dealer, S ' Address �_ l_ ' 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 "))late" or "sticker" which should be axed to the mobile home. l , Insignia serial number: / 2. Name of manufacturer-. --�? 7�412r7 3. Plan Approval Number : 4_ Model or Component Designation: {New Home ONLY) 54 Date of Manufacture: AFF ) DAVIT Town of Qneensbury state ode 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 cnrnplied with, whether specified or not, and that such work is i AU thorize,d by the owner. ` owner, owner's agent, ardntaot, contractor f i.. .- ... .. . .. Special lamblions of Per►ttit --- - By: ►. . C i4 �_ Code EnfbrcATW=t Oirker t FO •d n>, : t i nH 1 np-la i -nnN �,�sq�ifAL fN�p�cTftQN RE RT M08fLff: t MC2C21Jf,.AR Town of Queermbury �1 Bui1d1xV & Code EnWcernent } y -- 742 BaY Road Queensbury. NY 12804 (518) 761412 ARRIVE: OATP INSPECTION REQUEST RECEIVED: 1 NAME: i LOCATION: ., PERMIT HATE: MODUIO&WL 1iLlli[>fL I&OB11A sAClcF1l-r• FRAMING FoOTL IGS potINDATION N/A YES NO 1. foundation suPport. Pier spacmg.... �- � -- nuf. Pen nnar manuf ✓ 2, anchorin8l� / -- 3. water line shut off . ..»a feet ee -Jr-/ 4. sewar line supPort Off &rd. �- 5_ heating crossover (d'b off fi. dryer vented outside . ... . . .de 7, skirting ventilated _ S. hot water relief valy PtPmg ami 9. deck, porches, t 10. furnac elhct water rating 11 , garage fire proofing . . . ». ., .. . . .. 12. door closers . .. . .. ., ». . ' 13. plumbing fixture . . . • . .. 14. foundation insulatiOn 1$. smoke detectors ! Y. .1.. - 16, final electrical `�'�`'�.�'• . . . .. .. . ._-- 17 . variance required ,. ... . _- 18. data Plate okay 19, mobile HUD seal okay . - 111d Serial # Model # if cog manufacturer date of Manufacturer OKAY TO ISSUE CIO YES NO Comments: Town of Que nlsbury Building &. Code Enforcement 742 Bay Road Queensbury, NY 12804 (518) 761 -8256 ARg1ypX ..= LEPART: NS ._-- )ATE II+15PL'.CTION REQUEST RECEIVED. NAME: V, Iia LOCATION. DATE: Sr-r � -� PERMIT MOBILE HOME Mf.1 B.A�L HOUR FRAMING FOOTINGS � FOUNDATION A YES NO 1, foundation support, pier spacing per manuf. . . .. .. .. .. . . ..... . . . . .. -- 2. anchoring Per manuf. 3. water line shut off 1. .. .. .. .. .... .. ..a -- 4. sewer line support a 4 feet . .. .• .. 5. heating crossover (dblewide) off 6. dryer vented outside � . . .. .. .. . . .. . 7. skirling ventilated • , . .. S. hot water relief valve pip -- 9. deck, porches, steps. railing . . . .. ., . — _ � 10, fi n nacefhot water operating . .. .. .. . 11. ,garage fire proofing . .. . . .. .. .. .. . . .. 12, closers drxn' . .. . .. . . . . .. .. . 13. plumbing fixture . . . .. .. .. . I ." .. .. .. .. � �- 14. foundation insulation (if appl.). .. .. . _ - 15. smoke detectors _ 16. final electrical , .. ... ., . .. .. . . . . .. 17, variance required . .. . .. .. .. . . .. . . . .. .. 18. data plate okay T 19, mobile 14UD seal okay . . . .. .. .. .. .. . Model # Serial # Manufacturer hate of Manufacturer OKAY TO ISSUE CIO YES NO v v� L>. THE NEW YORK BOARD OF FIRE UNDERWRITERS 1aN.�;ro 8rstr,' ; ISUREAU OF ELECTRICITY {� 40 FULTON STREET, NEW PORK, NY 10088 I 4ti .14`-' (r iF�l ''i"1:PiEtl :ii v"e< , 41vN1417 I� . +i; 1 / Do" ,�ppltaatlon TFNR CERTIFIES THAT Yk;ut•t � 's' . r!VIFZLS-^h a a No only the electricai equipment as described below and Introduced b the appNcaant +maned a the above application number Is In floe paxmiaea of Al , I ( 'F, t40PI N l '0 E,3 ,btH01l 4t'T . 00EMN8BUHY , NY in the following location; ❑ Basement ❑ Ist FI. ❑ 2nd Fl. 0011' Section Bloch Lot was examined on SEE A"F3wtE1Y_IR Ol e j"e*) and found to be in compliance with the National Electrical Code. IFIXI' SE RECIPTACUE SWRCNES FIXTURESCgKlE7N4 6lCKE OVEN DIEM WASHERS EXNAUST FANS OUTLETS I gYOEEfCENT aTNER AMT, K.W. AMT. K.W. AMT. %.W. AMT. IC.W. AMT. K.h. DRYERS FURNACE MOTORS FUTURE AFPUANCE FEEDERS SPECIAL AEVVTo TIME CIOCKs SELL UNIT HEATERS FA SVIH-IMUSUIT DIMMERtI AMT. ILW. OIL H.h. OAS H.P. AMT. HD. A. W. e. AMT, AMR AMT. I AMha. I TRANS. AMT, I H.P. NO. OF FEET AMT, WATri SERVICE DISCONNECT NO. OF S E R V t C E METER eao. as Hh1ae No. of MIUMAu F . L AMT. AMh, TYM EQU W. Ih. 1 e SW 1 i 5W a ■ 7W 9 e 4W a, Of I•ue OTHER APPARATUS: :;:1;T # f 44 F'ko tl C? i: "i1l�fliti "P 'tY a- l Fi1, C�'F FSC £t i N 1170 FitAlk;S'lEAD V11 ,i.AGE GENERAL MANAGER tiJ� 1F F IJ ?l MII�t"� 1aY , t :'kit9KL Per TMs certlRoate mutt not be altered In any manner, retum to tho OMCo Of the Soard H InCO1100, Inspectors may be identified by their Crodontlata. COPY FOR BUILDING DEPARTMENT. THIS COPY C7'F CERT1FiCATE MUST NC7T BE ALTERED IN ANY MANNER. rr11"AL- 1NSpEGT1CIN F's1rP0pT MIC301LWN / "c3c3uLftAR Yowrn 01 Queensbury Building & Gede EnforceKttent 742 Bay Rood 2804 duBens 7611-8256 s (5SS) pj"' AARIVE: PATE INSpI3CT1 ON RSQjEST IICE"% NAME. LOCAILIoN: �{ PERMIT # DATE: � tJ �OIlt7L&W laI'D1Y Z _.---- •nans Tt01N sACt to -- NIA YESfoundation 1�10 , Piers per 2• ax choring Perrnan €. . ., . . .. . . r line shut off �- 3, caste 4 feet 4» sewer line supPfltt off 51 lteatltlg cr°ssover (dbl wide).. .. ... �- 6. dryer vented outside • ~ » . . .. y 7 . skirting ventilated • outsi , hot 'water relief valve rail P11 . .. .» . , Porches, steps, ailin 9 +ck to. fumacelhot water operating -- '� it . garage fire Proofukg . .. . . . . . . .. .. . . 12. door cic�rs , . . . .. . » . . . .. . . . . �- 13. Plurnbu►g fixture . . . .. .. . . . .. .. . insulation {if 14. fourkdenon .. . . . •. .. 15. smoke dete�cWrs .. .. . .. . . :. .. .. . .. . •• J _-- 16. 'Final electrical �-- 17, variance reclutred �-- l8. data Plate okay . .. . . —Mobile Hl3D seal okay Y4ty 19. m ,-- y 7Z Ser►al # �- Model # +�• $ r— Marmfacturer n ufact+krer F 1]ate of Mark O OKAY Z O ISSUE CIO YES F LE COPY TOM 07 ��E�; SBURY BLM DING DER RTMENT csrr;,ed on our limited examinatto not be construed as indi sail plans and specifications a the TOWN OF QUEENS WRY campllance with the code. BUILDING & C EMM ©ATE c NOOK ANCHORING OF MOB FRAME rS RE U(R E HOME �4fANUFACTl1RERS SPI�C ICArjONS ra ca � ... s Z0 3' Vci SWC]H W w S-11VJ SN319 E0GZ86LOTS TO : ZT -P66Tl90J10 u� W�, - � �. E � L.' �. �a .. �. . ' ' �. _ ... .._ _,� � � t..� r••. x �} �" :� Gi:.3 ie wiev.. w p ` Y-� Y � . . � ' 4' 'L