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1999-489 • CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date December 15 19 99 This is to certify that work requested to be done as shown by Permit No. 99489 1 ! . has been completed. • MOBILE HOME • This structure may be occupied as a LOT /.1,.4. HOMESTEAD VILLAGE Location • Owner BURCH, MARK/ANGELA PETTY TAX MAP NO. 93 . -2-11 . By Order Town Board TOWN OF QUEENSBURY Director of Bldg. dc Code Enforcement BUILDING PERMIT VALUE ,‘_: $..3.190-E0WN OF QUEENSBURY No. 99489 TAX MAP NO. 93 . -2-11 . 1WARREN COUNTY, NEW YORK PERMISSION is hereby granted to ' . GLENS FALLS MOBILE HOMES OWNER of property located at LOT 44 HOMESTEAD VILLAGE Street.Road or Ave. in the Town of Oueensbury,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. t. OWNER'S Attsi ROAD GANSEVOORT, NY 2. CONTRACTOR or BUILDERS Name - GLENS FALLS MOBILE HOME INC. 3. CONif 1C,R1008If.9ED ddrass GANSEVOOR`TT, NY 1,2831 4. ARCHITECT'S Name . 5. ARCHITECT'S Address 5. TYPE of Construction—(Please indicate by X) MOBILE HOME.:,. ( )Wood Frame ( )Masonry ( )Steel l ) 7: PLANS and Specifications . 960. sq ft. MOBILE HOME AS PER. PLOT, PLAN SPECIFICATIONS _ 8. Proposed Use MOBILE HOME 35 : - -:: . _. . _ � � - August 11 ..201 S PERMIT FEE PAID -THIS PERMIT EXPIRES 19 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) 11 :,,;. August: 1999 Dated at the Town of Queensbury this Day of 19 SIGNED BY T� I ►t-in�110 for the Town of Queensbury Building and Zoning Inspector AUG o .^c1 TOWN , Ltr TO WN OF Q ULENS I3 UR Y REVIEWED BY: FEE PAID: $ d)6 PERMIT NO. APPLICATION FOR PERMIT MOBILE HOME 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. r The owner of this property is: Vt) (:14 ao L P.O. Address: L 2a p q2 b kl),(Leo-alyhone Number r-)g;.! Property Location -`N 4e640ax Map No. / / NAME OF APPLICANT: 6-/e/OS. F4-1 (5 Na k) (/-boAddress of Applicant: r2e2RtiL Q-eit.)VO /v ri 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: MOBILE HOME INFORMATION ?66 APPROXIMATE VALUE OF HOME: $ 3 rct . Q) New Home No ZONING INFORMATION: Replacement home © No Size of Property: ft x ft Size of mobile home Z ftx (,ft Existing Buildings: Singlewide Doublewide No. of rooms (exclude baths) Proposed building-distance from property line: Front Yard ft Rear Yard ft. No. bedrooms Side Yards ft and ft. No, of bathrooms �-- 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) O Piers-No. of Size ft x ft Storage building tlier Depth below grade . ft * * * * * * * * * ,� * * * Foundation-Footing_s_ize " P opo'ed Me,tefala‘cemeieizWall material �� Wall thickness " height " Water Supply: Well Municipal Total depth below grade ft. Septic permit required? /0 Grade to home floor level ft. FURTHER INFORMATION REQUESTED ON THE REVERSE SIDE OF THIS SHEET NAME OF INSTALLER/MOBILE HOME DEALER: laLL.0_--4a.4__ ' ADDRESS/PHONE NUMBER c 4 ) wwuj ) W2 0 f STATE OF NEW YORK DIVISION OF HOUSING AND COMMUNITY RENEWAL INSIGNIA OF APPROVAL OF THE STATE BUILDING CODE 1. Insignia serial number tO G gc X 2. Name of Manufacturer / 3. Plan Approval Number 4. Model or Component Designation 5. Date of Manufacture All the above information is to be found on a plate or sticker which should be affixed to the Mobile Home. Complete above wi lb that information. Town of Queensbury State of New York County of Warren AFFIDAVIT • 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 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 complied with, whether specified or not, and that such work is authorized by the owne . Si gn a it:re )/ - Q_itit 4 Owner, owner' s agent, architect, contractor SPECIAL CONDITIONS OF PERMIT: _,..a l , By ti.. Code Enfor ement 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) Member N.F.P.A.&LA.E.I. ATLANTIC - INLAND, INC. - NEW YORK ECectrical Certificate Electrical and Fire Inspection-Enforcing&Consulting Service 997 McLean Road,Cortland,NY 13045 09/20/1999 C— 22 306 DATE: CERTIFICATE NO.: Homestead Village AS APPROVED FOR: OWNER: Homests:ad Village Mobile Home: Loii44 ADDRESS: 100Am,p Disconnect OriiyXXXX Queensbur q, NY This certificate applies only to the electrical wiring and equipment listed above on the noted date. ELECTRICIAN: Tast'•t,-t3i B 1 Sb'I1 warranty is expressed or implied on this.visual inspection.This certificate shall be valid for a period one year from the above noted date.Should.the electrical system be altered in any way including,but 31 P'ar°khur° , Rd- - limited to the introduction of additional electrical equipment this certificate shall become void. • addition,this certificate applies only to the occupancy use and ownership as indicated herein.I ADDRESS: uansevoor't, NY ,'` 1c831', change in:he use, occupancy or ownership of the property indicated above the certificate st �imgOlately become void.If for any reason this certificate becomes invalid due to the above mentim 0 D �df ions,a re-inspection by New York Atlantic-Inland,Inc.is necessary to validate the installation. AI-27 )_°_l':.'V'A°_C l_.°i:AV: .V'V'AV'AV'AV:A.,.1 J_V;1..l''AV °l'A.Q.A l J. °Q l_. J..l'J°; J.°_l ° Al')_°: • 'J_°_l J.°_l'.!l.l Q".! !_;'Al!AQ A AL!'J_°_l`'A'A:'),• •l',?..1',.. J°l'A_l' °lam`/,, THE NEW YORK BOARD OF FIRE UNDERWRITERS PigGE 1 i>, �; 8080628 BUREAU OF ELECTRICITY r • r 111 WASHINGTON AVE., SUITE 704, ALBANY, NY 12210 , i; OCTOBER 26 1999 — 45995999/9 ' t{ 456832 Date ° Application No. on file �} (`� 1)-_ • THIS CERTIFIES THAT ' - only 1/41 the electrical equipment as described below and introduced by the applicant named on the above a piication number is in the premises of r ii6 Ni j MARK .BIRCH-ANGELA PETTY,. HOMESTEAD VILLAGE LOT 44, QUEENSBURY, NY r • in the following location; ❑ Basement ❑ 1st FL ❑ 2nd Fl. OUT Section Block Lot `-4 N i was examined on QCT'L�BER 22,1999 and found to be in compliance with the National Electrical Code.- i? ; IT, 7-4 FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS Pi 1 OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. I} IA' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS • ', BELL SYSTEMS ' { AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. EMI H.P. NO.OF FEET AMT. WATTS '1 (t■S■■■.■-.■■�■■ lit II ■ � r. �' SERVICE DISCONNECT NO.OF S E R V I C E I� t ry! I AMT. AMP. TYPE METER NO.OF CC COND. A.W.G. A.W.G. A.W.G. I}5 EQUIP. 1 0 2W DE 3 0 3W 3 0 4W PER 0 OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL ;ii 1 OTHER APPARATUS: 15y • EI IN °A INSPECTION OP METER SET ONLY-1 r Ni" Ir IV'I r r r IY :; — IA 4S. '``f` I ICI ♦ 4 4�9 l K4 I 1i • 1 .e'Ii ,ri49,!,..!//` `Y '� r'cI RANDY HITCHCQC L` u , • L (°"'L Ir3537 CTY PT 3Q '� , f -� 7S ly! illSF .EMii, NY, 12865 °„ , ° GENERAL MANAGER i ?I *"t`„,2 1Y :4 - -'" r"''° 4,- Per 0 'cl 4r 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. ; '/,6,.° 7�YY°l'Y°Y S�Y,Y,YY�Y Y°YY,,Y 4Yi,e-Y.Y°Y 7�YY°YY°YY�Y,Y�Y Y�Y Y°Y,Y�Y Y°Y S°Y Y�Y,:Y°Y Y°Y;4Y Y°Y Y°Y,ZW6Y°Yr;Toil rIiYY°Wiii1Y°YY•YY°lit5iel4YiY°Y Y°1C 476Y0:lit Y°YY°Y YiY;r] COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. FINAL INSPECTION REPORT MOBILE / MODULAR Town of Queensbury Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 (518) 761-8256 ARRIVE: DEPART: I-?bINSP:e� DATE INSPECTION REQUEST RREECEIVED: NAME: 'c "\Qp--NA` LOCATION• 1); DATE: / (5 � / PE IT #°\ lC1 MOBILE HOME MO L R HOME FOOTINGS FOUN P ATION B LL FRAMING N/A . YES NO 1. foundation suppo , pie acinb per manuf. . .— "/ — 2. anchoring\per • uf. — V// — 3. water line but o . — 4. sewer line sup @ 4 feet .. t/ - .. — / / 5. heating crossove (dblewide) o grd. — t/ _ 6. dryer vented ou ide �/� 7. skirting ventila — 8. hot water relief alve piping ou ide — 9. deck, porches, s eps, railing .... ... 10. furnace/hot wat operating .. _Z 11. garage fire prop g — — 12. door closers ✓ — 13. plumbing fixtu e ✓ — 14. foundation ins ation (if appl.) V 15. smoke detectors 16. final electrical — — — 17. variance required — — — 18. data plate okay — 19. mobile HUD seal okay ,.._ Model # �� Serial#C&_T W pX0 Manufacturer ✓'k i4-T611 Date of Manufacturer 7 2-g OKAY TO ISSUE C/O YES NO Comments: ' P GLENS FALLS M & M HOMES,INC.: 39 SARATOGA RD . • GANSEVOORT, NY 12831• L � .�� 1 (518) 798-2801 • P113 2-1142 6 Ruo LCr 4i • /Cx3a ty D6+1Tu i, c.(se7"oJt Dope. Z*Noi CS G fa r ."::11111 1 WI E LL LL!Mai.a i -+ ......4 .41\ KIVA .72.04-2grotx- 174474 : : mi . ►-� • LLLt_L Ti-IIRD 1 54L.LF Wf S . ,ag ' , 6 r LLL LLI K HEN_ ■ I,.11 BEDROOM�, . ?0aoQ i 1TT• _1 J. ► LL L �. t • LL - ' LL' .LLL III • LL _ LL► ..L! ' I I LLLL Lt Vt._ D1NING_LL L • 72 ' • INK . LLLLLLLLL► 0 1 n b 7.1.012, t AStER LIVING BEDROOM ROOM SECOND to'-a* x io-7a 1a`-2' x sa*-io' BEDROOM z.z. '-x-- 309 1=1 9CS3 31253 • 0 S'T :_ • • 41to. • i_. 1ri . • Loez-es2. (s Ls) _ • L£8z1. AN 1I=1OOA3SNVO • OH VDOlVIDIS 6£ . . "ON!`S3r1OH VI '8 NVST1Vd SN3 ID ',et I -r ---; z- --: --9. u) - ?< Q1 --c-7-1: NOTICE OWN OF QUFENSBURY au ,"I,.; Based :G DEPARTMENT ANCH IRING OF MOBILE HOME compliance with our commeexamints shall FR+ME IS REQUIRED PER not be construed as indicating the MANUF CTURERS SPECIFICATIONS bans and specificationsittthe code. are in full compliance with the� �+e, . _, A \__________jLy___-....,_ ram) TOWN OF Q1 N ° RY BUILDING .:0 €- T. Or REVIEWED BY • DATE - t • \ i ,. F ILE COPY \ If' , \ ,_ , „ . T _, ------ ----9 (f) — ?\ ti --1 _,..___, . __r___, ors