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98-033 CERTIFICATE �� � V ����� TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date Apr 1 1 16 t9 98 This is to certify that work requested to be done as shown by Permit 'No. 98033 has been completed. MOBILE HOME This structure may be occupied as a LOT 173 LUZERNE R© . _ Te!'�► L } ',7 Location _ LlV "` .t- +Owner JONE5 , DANIEL & LILLIAN TAX MAP NO . 9 3 . - 2 - 11 . 1 By Order Town Board -rowN OF QUEENSBURY boat Director of Bldg. & Code Enforcement BUILDING PERMIT VALUE $ 32TOQWN OF QUEENSB 'URY No 33 TAIL MAP NO , 93 . - 2 - 11WARREN COUNTY, NEW YORK PERMISSION is hereby granted to I. JO OWNER of property located at LOT 173 Street, Roar! or Ave. in the Town of aueonstx+rY. To Construct or place a 1 [3lgT? IiOME 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 OWNER OF MOBILE HOME LOT 173 LUZERNE ROAD HOMESTEAD VILLAG MH QUEENSBURYe NEW YORK 12804 2. CONTRACTOR or sUtLOERS Name GLENS FALLS MOBILE HOMES , INC . 3 CONTRACTOR ARATOGA ROAD OM 3AD GANSEVOORT , NY e. ARCHITECT'S blame NEW YORK HOARD S. ARCHITECTS Address 6. TYPE of Construction (Please indicate by Kl MOBILE HOME ( 1 wood Frame ( I Masonry ( I Steel f 1 7. PLANS and Specifications 304. r X 40r MOBILE HOME AS PER PLOT PLAN SPECIFICATIONS s. Proposed use MOBILE HOME 35 February Is12 2000 S PERMIT FEE PAID - THIS PERMIT EXPIRES (If a longer period Is required an application for an extension novae be Riede eo the Buiiding and Zoning inspector of the town of Oueansbury before the expiration date.) 12 February 19 Dated at the Town of ry this Day of is SIGNED By . for the Town of Queensbury f3vi a Zo E 1� Apr FO WN 01 Q UEELNSB UR&Nf Y REVIEWED BY4E2L : ING AND _ FEE PAID :PERMIT N0 , 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . The owner of thills property is : t� P . O , Address : -iA Z + QK { { �f Phone Number 119 ;k. �ft7 tom► Property Location Tax Map No . / / NAME OF APPLICANT : r+ `�•� C� ,.-� Address of Applicant : Lp "T� 1.9 a L M*=a'S?i1})0► All applicants spaces on dais application MUST be completed and the signature of the applicant MUST appear on the reverse side of this application . PERSON RESPONSIBLE FOR SUPERVISION or WORK AS REGARDS BUILDING CODES : MOBILE IIOME INFORMATION APPROX I MA IE VALUE OF DOME : New Home Yes ING INFORMATION : Replacement home Yes No % t Size of Property : ft x ft Size of mobile home ftx /Qft Existing Buildings : Singlewide Doublewide No . of rooms Proposed building-distance from property line : ( exclude baths } Front Yard ft Rear Yard ft . No . bedrooms Side Yards ft ano ft . No . of bathrooms . Occupancy Information a Primary dwel 1 ing : 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 } Viers-Flo . of Size ft x 'ft Storage building Other Depth below grade ft Foundation- Footing size " x " Proposed 41at G ' placement : Wall material 13 Wall thickness " lleiglrt Water Supply : Well Municipal Total depth below grade ft . Septic permit required ? MID Grade to home floor. level ft . FURTIIER INFORMATION REQUESTED ON THE REVERSE SIDE OF THIS SHEET NAME OF INSTALLER/MOBILE IiOME DEALER . ADDRESS/ PIIONE NUMBER 3'C( �GX✓C$-�C�i,Q IL�Jt � �` + � G +_ STATE OF NEW YORK DIVISION OF HOUSING AND COMMUNITY RENEWAL INSIGNIA OF APPROVAL OF THE STATE BUILDING CODE 1 . Insignia serial number 2 . Name of Manufacturer 3 . Plan Approval Number 4 . Model or Component Designation 5 . Date of Manufacture Qg '�l - All the above information is to be found on a Plate or s t: i cker which should be affixed to the Mobile Ilome . Colillilete above with that information . Town of Qneensbury State of New York County of Warred 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 bg. 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 atttllnrized by titre owner. Signature 1� _ Owner , wnerIs age t , architect , contractor SPECIAL CONDITIONS OF PERMIT : By Carle En forcetttent Officer DECLARATTfJXI Please sig)e below after you have carefully read the statentertt. 'l'o 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) TOWN OF QUEENSBURY 742 BAY ROAD, QUEENSBURY, Nv Y. 12804-9725 (518) 745-4400 PROCEDURE FOR PLACING AND OCCUP ' ING A MOBILE HOME OR MODULAR HOME 1 . Application is submitted and reviewed . 2 copies of plot plan and 2 copies of layout must accompany application , along with septic application if needed and electrical inspection application . 2 . Permit is issued . 3 . Permit card is placed on property . A " Footing farms are inspected bef ore pouring concrete . 5 . Foundation or piers are inspected before backfill . 6 . Home is placed on foundation or piers . 7 . Septic is inspected , if needed . s . Final inspected of electrical connections by approved agency . ( This includes pole to pole and pole to box . ) with or 9 - hands ls and onl both sides of rJn patfo m dand s a door with and ar7s are �requir d for all exterior doors . 10 . Final inspection by Building and Codes Department . Certificate of Occupancy issued - home may be occupied "HC73%,[E 07 NAT-UpA , E =3 L17 Y . . A GC)OD PLACE' TO LIVE" SLAG. PERMIT PTO. 9 8 � 0 3 3 APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY DANIEL AND LILLIAN JONES A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property located at; Lot 173 Luzerne Road . Homestead Village Mobile Home Park for the following uses: ,Mobile Home February 27 , 1998 DATE &>d3KATURE OF A PLICANT TEMPORARY CERTIFICATE OF OCCUPANCY The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby **APPROVED ( )DISAPPROVED with the following conditions: Certificate of occupancy to be issued upon coppletiOn, of : 1 ) Anchoring , 2 ) Skirting , 3 ) Adjust Door @ master Bath TEMPORARY CERTIFICATE OF OCCUPANCY FE / 0 'OSIT: $100.00 received on February 27 , 1998O / Date of Issuance Director of Bldg & Code Enforcement 9111IS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES 60 DAYS FROM THE DATE OF ISSUANCE. NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. do Code Enforcement or his designee. A x�p�31►..EMgn 1 ,own of QugEnf��esti t 130,0n9 & code12804 7�,� Say Road u�l� NY au Ce 7Ca1.825(6� 15i'6 � �/ VXTE F Rai{iG p41313D o T.iO f dr7iiS3Gs IA wf■// pier 51rVi'; �v founai,n su 1 �nuf .. . .. _--- ._--- uf.per / ,x �Yuoriri$ but . .. . ...(M 4 fee•�' 3. water line -- 4, sewer lis►e sso er {dble* de) off _ . ,f cro 5- MASI {� AAA er dry 4en mated . .. . .. . .. .. ' utsicle / skirtin8 yal a ftpi .. . t war relief .rail / t 9. deck, lxxct water . . l0' €u rvm ce fiveVEO0609 � . _ -• •. . .. � ""_ l L for 13. plmnlaU* 1pp insulation (► 14• €oundation WITS •. ., . .. .. �b 15. de tec cal ed 11 data plate olta seal okay i 19, a}ab Serer mil # ~` v � � L ►?d Marafacturet Date of � So ~�1S CIO `�ll r10"v{=N fit �, pC]�1.N-p"`M } A rr Btslld;ri9 & code Ertforcemem 742 Bay Road � N W 4 Qu � Sear 18) ARFtI"d - l3Esrr CB'Nen. >sAIIA PERMTx - Mpy1LTLl►QgYL.B k[�D1�E(•- r ap.CtCFt - -' Na Foaru4GS 'YES 4 Pier spacing V111Jaa—�VM}$ Y` -�y .1 . rr� 1r `IVIMWMi'."` 1, ..t.. .. t •. . r�—� ��—� per Uf. �. . .. . .. boring i�x saar' IL -- 2» ate shut,aff ... . . .. .. . .. % water line . . .. .. �- .Wer ]ine Supper off 8rd» 4. Se ever 5. heatingtsi 6. ("ev ventilated •. .. ..� .. . $ Outside �- 7. relief verve p p"a _- S» 'apt wa l T steps* xay .. 9 - _ celY►ot ,Wagerxatin8 . .. .. .. iU- saxaga fire pxoofit18 12. closetg . . . _---- ip ig, plurn 'gulson Cif apPi.7• .. ... _ - Id i4 fdation 1 i6. swart detector futl electxic.al �.. . . ., i7 . variance �rure i$. daa phi lUDseat okay �� C� 19, ,bile 1� 5exiai # Mai # nfact►n'et lS; Date Of tVl YES --�� Na s CIO — C/O do INN rw THE NEW YORK BOARD OF FIRE UNDERWRITERS 't ,' + } " ' + BUREAU OF 'ELECTRICITY iti WASHINQTGN AVE, , SUIT 7040 AL9ANYi NY 12210 3 .. 1 .. € t�'t;i tf:11 ?ik{ iy• ,q4 '�1 p q j�n jy . ors,�fiI Date � `1' THIS CERTIFIES THAT t noosed ou the above appiicwtioEs ""tuber in thepremxisse qf only the sleetricol equiprrsent as described beA&W Ono introdraced by the l S I I. 11 f r'1" ^Ftli tttd ;1 '1i'r '€ t .• t ,^^ '1' .F .LN 'f 1:3E�t ' .j t 1 .t.F~'.. ;1 : , I 3 t .I , [ =1t3 l ;,'sti I r, i , T tsr:, i ll: I ' Section Block ❑ Basement ❑ ✓<At FI. ❑ 2r.d F'I. in [Isefoilauin}t I■acotion; F t;f'Ftl3t kt rand found to be in compliancewstJ'tshe�lVrueoisuP Electrical code uses examined orE R%TUBES RANGIS KING DECKS OVENS DISH WASFIER5 EXHAUST FANS RXTtm ASS SWITCHES K-W. &MT. It. W. Amt. H. a OUTLETS PICANDESCENT - PLUORESCE14T OiTHER AMT. r fujUiitiI A►►UANCE "MOM SPECIAL REC'I'T TIMA CLOOCKS "LL LtNIT HEATER5 tAUSvSTLTS.�aLITLET DIMMERS DRYERS FURNACE MOTORSOF FRI AAtT WAYrS AMT. C W. OIL H. P. GAS N. P, AMT. HO, A. w. G. AMY. AMP. AMT. ATAPS- TRANS.TERNS. AiwT. H- P. tq, Of FEET S E R V 1 C E $NRV#CE DISCONNECT A. W- G. HO- Of NEUTRALS A- W. T MISTER Tla. OF CC- COND. A. W. 6- NO. OF HI-LEG OF MI-LEG OF NEUTRAL AMT. AMP. ry" Eep�r, I X 2W T 0 3W a x 3W 31 AW PER x Of CC. COND. GTHER APPARATUS: •"1 1S :: Ft41 l reE'isq{ttM f y� ,3 41-13-1::° r'E3i ,I .: ' € ;{.•1� t l ,r Hi A{4•*,: l EJi - �' SiNdERAL 11AAIttAGlR rsFC71'i`I K=, ri ;1it1;71 ;Vj : : IS-;'1' . tf`c' _ l .'i :S 1. d aCa 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. MUS7 NOT BE ALTERED IN ANY PLANNER . COPY FOR BUILDING DEPARTMENT . TtIIS COPY OF CERTIFICATE — Tub Jan 27 x213t32 144£# Psr. � c 7x FED �� " 19'98 TOW%; ..,• .tom ��t�BBURY B► ILUING AND CORE Z6 Nos 1 01 10M 0OFWASU "OK FILE COPY MQUEDUNim gUMM" gg%gTMM offeed an srr iww waaatiP km ro be Arum " M&Cpft Plans and sPecelicoftw ara In tug comPliance with the code. TOWN! 04QUE BIuRyYBUILDINGE EPT . REVIEWED BY DATE , Shadowridge By Redman Homes, Inc. P.O. BOX 428, GARDEN SPOT ROAD, EPHRATA, PA 17522 7171733-7941 STANDARD CATHEDRAL THROUGHOUT on kcFxr as all r BEDROOM z sro. w B• REca fy'F OAT. OBI_ Ul O�PEHEI ^4 f�1 R Z4 AD OFT' MASTER BEDROOM LMNO ROOM BEDROOM 3 C it+ 1" IB !" Id-C v U o GL r` f 7 DORMERM©DEL siso 24 x 44 3-BEDROOM/2-BATHS ,��y APPROX. 946 SO. FT. C , i ! Z in vM © F M m3) 0 i