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2000-850 L ; TOWN OF QUEENSBURY k 742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 7614256 ER FIrATE F %�CUPAN Y Permit Number. P20000850 Date Issued: Friday, December 01 , 2000 This is to certify that work requested to be done as shown by Pennit Number P20000850 has been completed, Tax Map Number: 523400425-000-0001-029-013-0000 Location: VANDUSEN Rd ( off ) , 33 Briwood Circle , Forest Mobile Home Park Owner. FRANK & DELORES PARiLLO This structure may be occupied as a: Mobile Home In Park Fireplace By Orderof Town Board TOWN OF QUEENSBURY Owner of Mobile Home : Michael Liddle (� a; k� Director of Building &Code Enforcesrent 'I'Cl►ViJN OF QUEENSBUR.Y 742 Bay Load, Queensbury, N4' 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20000850 Application Number: A20000850 Tax Map No: 523 400- 1 25-000-000 1 -029-0 1 3-0000 Permission is hereby granted to: MICHAEL LIDDLE For property located at: VANDUSEN 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 C]rdinance. Tyne of Construction Value Owner Address: FRANK & DELORES PARILLO Mobile Horne In Park 40,000.00 215 BALLARD Rd Fireplace GANSEVOORT, NY 12831 Total Value 40,000.00 Contractor or Builder's Name / Address Electrical Inspection Agency SHO MOBILE n 5ME BROKERS USED MOBILE HOMES 3048 ROUTE 50 587-6704 SARATOGA SPRINGS. NY Plans & Specifications 2000-850 26' X24' MOBILE HOME AS PER PLOT PLAN SPECIFICATIONS VIA $44.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Friday, November 15, 2002 (Ifa longer period is required, an application for an extension must be trade to the code Enforcement Officer of the Town of Queensbuty before the expiration date,) Dated at the Towx Qu nsb L'ed d , November 15, 2000 SI{GNID BY for thc 'Town of (�ueetaslaury. Director of Building & {:ode Enforcement Application for Permit — Mobile Home pf; CFI / ED Town of Queensbury, 742 Bay Road Queensbury, NY 12804 (518) 761-8256 NOV Q 7 2000 ')sW E QUE SBURY A building permit must be obtained before placement of mobile home on parcel. No inspectio n (bODE until a valid building permit has been issued, Applicant .Information Office uset� Name: �V'V t L i yr File Permit NoC� cS Address: 1� - U'z �2 r +'r '2 - C�7 Fee Paid - -� � r _ - - Reviewed By.- Phone No. l Property Owner Information {r'` M -% : Parcel Information r - '� `'� P se D o cement: L7 f Name: F�r4i rc its t'�~; t tp r` D' Pr on: �n Stcti v � x3 r' Address: Road, Mrcet, Avenue Name of Mobile Home Park: Zee:, se-54 7""a ,•/C (if applicable) Phone No. T &4 Tax Map Number: /xr� `Jepw�r / Mobile Home Information Zoning Information Approximate Value of Horne. S 'YO, acpey Zoning Classification: � � t� J New Home: es No ` � ��� ` YA� -� i����� Size of Property: ft. by 4 ft. Replacement Home: Yes 03, ��'' /� Existing buildings: r Size of Mobile Horne: �(v ft. by � it_ Setbacks: from yard ft. ; rear yard ft. Singlewide: Doublewide: "� Side yards ft. and ft_ Number of Rooms: (excl de baths) 6 Number of Bedrooms: Accessory Building(s): circle Number of Bathrooms: ; Detached garage: 1 car; 2 car, car circle: Gas Fireplace I Woodst Fire a Attached garage: I car; 2 car, car Storage building. Yes No Foundation Support: other: TYPE SIZE & DEPTH Water Supply: well or municipal Piers x Runners x Slab x Is Septic Permit Required? Yes or No Further information requested on the reverse side of this sheet �► Name of Installer or Mobile Horne Dealer: , 9�i, tt��'` 1 Address: cs-•� / Phone No. ! G' -fie,/{ Complete information below found on a "plate" or "sticker" which is affixed to the mobile home. 1 . Insignia serial number. / 2. Name of manufacturer. _` ,/ e c/ 3 . Plan Approval Number : 4. Model or Component Designation: (7ew Home D)VL19 5_ Date of Manufacture: ' 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 previsions 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, awner's agent, architect, contractor Special Conditions of Permit By: l F«m: 11/1911999s Code Enforcenfent Officer PHVA.L 11V0PECITIQI4j "IKPC7RT MVIC311:11LE / MC3E2ULA,R Town of Queensbury Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 (518) 761-8256 ARRIVE: DEPART: �INSP: DATE INSPECTION REC?U RF�CEIVED; NAME; l447t7e' er y ► c� LOCATION: DATE: JE! PE IT {/ '" U0131LE SiATL [E 1110 R HOME FOOTINGS FOUNDATION BA ILL FRAMING Ll NrA YES No I . foundation support, pier spacin per manuf. 'i. . .. .. .. . . . .. .. . .. .. — — 2. anchoring per m4luf. . . .. . 3. water line shut ofl\ .. .. . .. .. . . . . . . .. 14. sewer line support 4 5. heating crossover ( e ) off grd. — 6, dryer vented outside , . . .. .. .. .. .. . . .. — — 7. skirting ventilated . . . .. . �.. . .... .. .. .. — — 8. hot water relief valve p outside — 9. deck, porches, steps, il` — — — 10. furnace/hot water ope tin — — 11. garage fire proofing . . . . . . . . . ... . — — 12. door closers .. . . . .. . . . . . .. .. — — _- 13. plumbing fixture — 14. foundation insula ' (if appl.). . — — _- 15. smoke detectors I . . . .. .. .. . . . . . — 16. final electrical — — 17, variance requir .. .. .. .. . .. .. .. .. . . . . 18. data plate oka 111 *40 .0 — 19. mobile HUD I okay . . . .. .. .. .. .. . — — Model # Serial # Manufacturer Elate of Manufacturer OKAY TO ISSUE CIO YES NO Comments: 'W- t E V PIIVA,L IrmaFa EGT101V r-ta opwr i1/1©BIKE ! fMOR3t.fl.AA Town of Queensbury Building & Code Enforcement 742 Say Road Queensbury, NY 12804 (518) 761 -8256 ARRIVE: DEPART I INSP: �- - DATE INSPEC [ON REQUEST RECEIVED: NAME: fd� - L.00ATlON: ..gg DATE: Phu fiG+ PERMIT' ki MOBILE HOME MOEnKnLA^ HOME r FOOTINGS � FOUNDATION � BACKFII � FRAMING _ t NIA YES /�r'NC1 1 . foundation support, pier spac/ng per rnanuf. . ..i .. .. .. ... . . . .2. anchoring per mar3. water Line shut off .. .. .. . .. .4. sewer line support 4 feet5. heating crossover ( wide) 6. dryer vented outside . � .. .. .. .. .. -� 7. skirting ventilated '. ' 8, hat water relief valve pi ' outside 91 deck, porches, steps, rar g .. . . . . . . 10. furnace/hot water opera . . . . . . . / 11 . garage fire proofing .. .. . . . . . . �i f 12, door closers . .. . . . .. .. .. .. .. .. . . . 13. plumbing fixture . . . .. _ 14. foundation insulati (if appl.). . . 15. smoke detectors 16. final. electrical . .4 .. . . _ 17. variance .. .. .. . . . .. .. .. .. 18. data plate okay 19, mobile HUD l okays.. . . . . . .. .. .. . _ Model # C:/ Serial Ay3if %r Manufacturer G e)e)vn Date of M anut4turer OKAY TO ISSUE CIO YES NO n -� ` I� ✓ t Comments: �W p U�rF COMMONWEALTH ELECTRICAL INSPECTION SERVICE INC� Main Office 176 Doe Run Road - Manheim, PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL V Panel F3aard No......... ............. ...Cert M N9 68991 Cut-in Card No. ............ V(^ Ownar...,. Location .... �t ..... 1�!?!'��'ir, .•G7 -Ct.. ...... .!I...+�'—...:.... .......................... Cf' +� +._.. ......... /vy� Installation Consisting of../,.�w, , „ e, 61c yy S7i. R OA0 ....._ ............................................................. .............................................................................................................. Installed By..,.-_il:.`-'. . �tr �� ' . ...... .................................................. .............. Lie, hlc. .............. . c 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 shall he promptly made for inspce[ion. Inspectors of this Company shall have the privilege of makin rules are violated, the Campany shall have the right to v e this g ections at any time, and if its /! / 'axe. Date d„L..",! z �T� ) «........ tNSPE C-I' R ..... ...... Member N.F.PA., i.A E.J. 11110J2000 11 : 51 518-587-4939 _ SHO BROKERS RAGE 02 Ya ' A � i Lo RECEIVED r� IAYt�G NOV 1 3 2000 TOWN OF QUEENSBURY B� UILDING AND CODE ow Pbnft -� am ` + as ' w�rr, rye tee. C� ' TOWN OF Q EN 8u Y FILE COPY BUILDING 140TICE REVIEWED BY ti ANCHO ING OF MOBILE HOME DATE FRAt IE IS REQUIRED PER NMI 1YlANUFA TUBERS SPECIFICATIONS LAW& woro Fed 1 • h 1 i i! • • wj. r f• • • • � ' t• r •� K • �r r� ii 1 • # • * rr • i , '�- 1 Y, 1. s y « i T , T .r w r, K `H • 1 ., u f • rot 04 ... 1s , , • . .. ! *� r.f r.r • s \ • , + •RL Tr Tr. ii • � � ��. CT•T r , �: r '�, rr r t rr SARATOGA HOUSING OUTLET ' + 3048 RT. 50 SARATOGA SPRINGS N.Y. 12866 FLEEWCOD. SuC1C1`est Sc.=ric"s ,. 518-587-6701 Model 4443U Atok i ,aptptrELI OF7 O'FiPISNEtF I IrrI""""''��II I 1I5 1 I i ' WL ��l:T' { zbr.8. i . !.. . i; D o°zIrN7Ilk •atl^ BEDROOM #2 . �rttr LL� ti F I I `:t DIN ING AREA LLL t AREA KICHE t y BED.•R�OrlxO�M.•�#. 2 r0;60 QrT, ri a V 1 , VAHMENT ENrR =-- s ry OFT eR M.4°" --- armor wAtt WALL I*- Orr MOVE ,tAcx I I MASTER .try t HYING ROOM BEDROOM I Jncx L1YlNG ROOM i rra°xrz' ro i tTa°xtr•ro� BEDROOM #3 ' ca0 " pPr.PIREPiACE 1 \ f CD # + +I ° m < ENTRANGE Q 07 07 o m 3 Bedrooms • 2 Baths • 1 , 173 Square Feet 54N22/Jf1E00