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1999-586 GaTtificate .of Occupancy Town of Queensbury Warren County, New York • Date „ 307 (0/. This is to certify that work requested to be done as shown by Permit No. 9958 6 has been completed.. This structure niay be occupied as a 9?el sri_ 177 T T 44.2817, vroN? 1985 Location j PETRIE LANE Owner • skikait; , .; • . •• _ TAX MAP NO. 121 . -6-59 By Order Town Board TOWNI-9:"ENVS,Y .., ‘111m. Director of Building& Code Enforcement • BUILDING PERMIT VALUE $ 21000 TOWN OF QUEENSBURY No. 99586 TAX MAP NO. 121 . —6-59 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to SEELEY, LISA OWNER of property located at 9 PETRIE LANE Street, Road or Ave. in the Town of Oueensbury,To Construct or place a 980 SQ. FT. MOBILE HOME, YEAR 1985 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. I. OWNER'S Address is 1 APRIL LANE CONVERSE MOBILE HOME PARK QUEENSBURY, NEW YORK 12804 2. CONTRACTOR or BUILDER'S Name GLENS FALLS MOBILE HOMES 3 9 C BUILDER'SSARATOGA Address GANSEVOORT,:,NY ..0. 4. ARCHITECT'S Name NEW YORK BOARD. 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) MOBILE HOME ( )Wood Frame ( 1 Masonry ( )Steel 1 I 7. PLANS and Specifications 980 Sciio. FT. MOBILE. HOME, YEAR 1985 AS PER PLOT PLAN AND SPECIFICATIONS 8. Proposed Use 980 SQ. FT. MOBILE HOME, YEAR 1985., 35 September 14 2001 $ 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.) 1999 14_ September Dated at the ueensbury this— Day of 19 SIGNED BY for the Town of Queensbury ui ing end Zoning Inspector vs,::: ,_°,_..1:7uRy ! ,( OWN QJ Q ULENS.I3 UJZ�' 7v;; ....L3LJI iNG AND CODE • SEELEY, LISA REVIEWED BY: 9 PETRIE LANE j _ 98@ SQ. FT. HOBILB HOME, YEAR 1985 .3c _ FEE PAID: $ PERMIT NO. qC11(c? 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 this property is: SA n1L. LKWAA,W3 Vi? P.O. Address: rq SW R` Cipit s ( 44,(1 . Phone Number rigicno ( Property Location ?T2t \---PE- (xutvAls Wiy Tax Map No. /4 / (o /Q f NAME OF APPLICANT: 14SPt- P_i, I`2L( / /•" V.57.3g. Address of Applicant: * 6 62 J . \ Lywe Qu�•eit.)S 19u( K { 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 (y);)O\ KAI)I)UOXIMKFE VALUE OF HOME: $ 4:;24 'li 1623-) 0 New Home Yes ZONING INFORMATION: Replacement Homeg No Size of Property: ft x ft Size of mobile home N ftx7nft Existing Buildings: Singlewide V Doublewide Proposed building-distance from property line: No. of rooms (exclude baths) j Front Yard ft Rear Yard ft. No. bedrooms Side Yards ft and ft. .• Occupancy Information: No. of bathrooms ' Primary dwelling: Yes No Fireplace Woodstove Accessory Building(s) : Detached garage (one car /two car car) Foundation style and size: Attached garage (one car`/two car car) Storage building Piers-No. of Size ft x ft Other Depth below grade ft * * * * * * * * * * * * * Foundation-Footing size " x " Proposed date of placement: Wall material w / Wall thickness " Height Water Supply: Well _ Municipal t Total depth below grade ft. . Septic permit required? lV D Grade to home floor, level ft. 'p'1/459 ' 4101 JP FURTHER INFORMATION REQUESTED ON THE REVERSE SIB Q R C OF THIS SHEET, Ork- /tu NAME OF INSTALLER/MOBILE HOME DEALER: a Qt,�1)— 2� .--_ ADDRESS/PHONE NUMBER 39 a %9-CLO._.- -20-2&0 I STATE OF NEW YORK DIVISION OF HOUSING ANI) COMMUNITY RENEWAL INSIGNIA OF APPROVAL OF THE STATE BUILDING CODE 1 . Insignia serial number r70 ti{ — 1 Z7 e 2. Name of Manufacturer . 3. Plan Approval Number • 4. Model or Component Designation StM � IVY, 12r/) 1 5. Dale of Manufacture I f — 1 S-- g-- • • All the above information is to be found on a plate or sticker which should be affixed. to the Mobile Home. Complete above WI th 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 applIcaLion, 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 compiled wilt, whether specified or not, and that such work is authorized by the orine . Signature .)a,t,c t_ W( ,, `-. -,(04---- Owner_ wn '' s agent, architect, co •ractor SPECIAL CONDITIONS OF PERMIT: • uy. Code Enfor ement Officer DECLARATION: Please sign below ajler you have carefully read the statement. .. '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 1/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) :y, s J. ..eS1.f,mt: • •Ji.J_ •_Q:In:?_l •_l')_� J.• J_•l'J_tl'J`•l' v..otkv.w'J_•_l m J_....): •�lJ.i_l'J•_l •_.J_..Av•_l'J_•_l'J_ .n"..,kJ_.13__l'J_ .:.A•_l __l'J��.e... _l'..i,t. _l 4_l"l��lJ_• J.•_l •: •_l'J_•_l''/, it tyi THE NEW YORK BOARD OF FIRE UNDERWRITERS pAG 1 _Ct veo..1..�_.f Jam{ r BUREAU OF ELECTRICITY 111 W9ASHINGTON AVE., SUITE 704, ALBANY, NY 12210 vt S P�'1r E 2 ,19`�_4 4 864999/99 H 456409 r f(t Date Application No. on file !j• 'Ai THIS CERTIFIES THAT lr ± only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of iA =G r =, LISA S EEELEY, 9 PETR IE LANE LOT 9, QUE.EENST3tIRY, .PdY' fl' r it in the following location ❑ Basement ElIst Fl. ❑ 2nd Fl. (JUT9 S ciii Block Lot 'Ai was examined on � � ���BER �4°1999 and found to be in compliance with the Natio • Electrical Code. h. =G rY ?Cr q! ! FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS i :G OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. rr 1I DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS r r AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. ME H.P. NO.OFSYSTErFEET AMT. WATTS WI 'Y it WI 5 Il �� SERVICE DISCONNECT- No.OF ._ . - - S . - E . . R - - •�,V-. I - G , - -E -- = ry �r METER NO.OF CC COND. A.W.G. A.W.G., A.W.G. r 1 AMT. AMP. TYPE EQUIP. 1 0 2WKim 3 0 3W 3 0 4W pER 0 OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL ry. -i OTHER APPARATUS: it WI FEEDER:#2 #4 FROM DTSC TO Mil-1 it Wi Pik?•:�;LBQARTAS;1-2 CIR. 10?o r'i h =G rr .-G t� !N =G tY 4 . • t�! =G tY' .4 t} �, 'Pe."'P + 1 �� 1 ? HITCHCOCK "vq gr ,'' It:r t �i'r'�N23. i tc.NG ,�,�. ;'. :. it 337 9'2r` 22' 2 ' �1 ..r , 1 i i' SAT.FM$ NY 12865 Fr'.4 ' _Co-r E' aF GENERAL MANAGER i 6 F 1 �`'' 7"?. ;?`.=r-•k. ,�, 239 ' - - *- V-- Per It iii 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. /,V iII.Y;4Y 4Y Y YSoYYiY Zilirl riie,Y•Y Y.Y;WI YiY YaY Y•Y Y•Y YiY YiY YiYY3Y YiY Ye.YWr;Y1Y Y�Y Y•Y Ypil Y•Y YiiY YiY YWY YiiY 451 Y•Y Y4YY0 YiiY l'iY YiY YsY Y%Y YiiY.'4Y YiYY•Y iii YiY 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/f D- l] S DATE INSPECTION REQUEST RECEIVED: NAME: �C�� G� LOCATION: / 4----i 1"C DATE: // `3 end PERMIT.# 9?' l-eo MOBILE HOME MODULAR HOME FOOTINGS FOUNDATION _ BACKFILL_ FRAMING_ N/A . YES NO 1. foundation support, pier spacing Per manuf. — — — 2. anchoring per manuf. — — — 3. water line shut off — — — 4. sewer line support @ 4 feet — — — 5. heating crossover (dblewide) off grd. — — 6. dryer vented outside — — — 7. skirting ventilated ... — — — 8. hot water ref of valy, pip g outside — — — 9. deck, porches, step , rail' g _ — — 10. furnace/hot war •.ratin:. — — — 11. garage fire proo"‘,,". — — 12. door closers — — — 13. plumbing fixture — — — foundation insula ion (if appl.) — — smoke detectors — _final electrical — — — 17. variance requir-' — — — 18. data plate okay —. — — 19. mobile HUD s:•1 okay — — — Model # • Serial # Manufacturer Date of Manufacturer OKAY TO ISSUE C/O YES NO Comments: [ (2w--0 1 U U S Lk I' FINAL INSPECTION REPORT MOBILE / MODULAR Town of Queensbury Building & Code Enforcement 742.Bay Road Queensbury, NY 12804 (518) 761-8256 0 ARRIVE: DEPART INSPr. DATE INSPECTIONCT/I' REQUEST RECEIVED: NAME: JCS L6i' M -3738 LOCATION: q / " �(6 (fv DATE: > PERMIT:# [ 7'v U 6 MO. IILE HOME MODULAR HOME FOOTINGS FOUNDATION BACKFILL_ FRAMING N/A , YES NO 1. foundation support, pier spacing Per manuf. • — .— — 2, anchoring p input*.erinput*. — — • 3. water line s t off — — — 4. sewer line sup rt ®4 feet ... — — 5. heating crossov (dblewide) •ff grd.6. dryer vented outsi•- ..• — . — — 7. skirting ventilated — — — 8. hot water relief valve pipin outside — —9. deck, porches, steps, rail g _ _ — 10. fumace/hot water opera• — — — 11. garage fire proofing , — — — 12. door closers — — — 13. plumbing fixture — — — foundation insulation ('f appl.) _ 1 smoke detectors — / — 16. final electrical 17. variance required — .— — 18. data plate okay — — — 19. mobile HUD seal okay — _ —. Model # Serial # . • Manufacturer Date of Manufacturer OK Y TO ISSUE C O YES NO Comments: .c & xôu5 Sc_yz) FINAL INSPECTION REPORT i MOBILE / MODULAR ,`G . 3 Town of Queensbury L Building & Code Enforcement V 742 Bay Road Queensbury, NY 12804 (518) 761-8256 f. ARRIVE: DEPART:Z v INSP-:—: / 77 DATE INSPECTION REQUEST RECEIVED: NAME: LOCATION: 9 P- IP) • DATE: • —��o" PERMIT N AMR MOBILE HOME MODULAR HOME FOOTINGS FOUNDATION _ BACKFILL_ FRAMING N/A , YES NO 1. foundation support, pier spacing per manuf. — — 2. anchoring per manuf. •• — — 3. water line shut off - — 4. sewer line support @ 4 feet .. .... _/ — ' 5. heating crossover (dblewide) a ff grd. — _ 6. dryer vented outside . — / — 7. skirting ventilated — V 8. hot water relief valve pi ' I outs'9- — / _ 9. deck; porches, steps, railin_ - ti//10. furnace/hot water operating Y 1/ 11. garage fire proofing — — 12. door closers —f — 13. plumbing fixture �l �[ 14. foundation insulation (i;appl.) 1/ — 7/ 15. smoke detectors R. — / — 16. final electrical r.0. a)2.9A� — l 17. variance required — — — 18. data plate okay — /' _ 19. mobile HUD eal okay — J[ Model # 10-\ `4 ,—Z57/Serial# 76(7. 1 z7 Manufacturer J 1 1 L I iti Date of Manufacturer 11I( —/ 5-- OKAY TO ISSUE C/O YES NO Comments: i- — iE� , A26I- DP6R(11A)0 CA.1_4:, t2'- ,R ckE c i' FINAL INSPECTION REPORT ONLE / MODULAR Town of Queensbury /� Building& Code EnforcementL J 742 Bay Road Queensbury, NY 12804 lips (518) 761-8256 / ARRIVE: DEPART: SP: DATE INSPECTION REQUEST RECEIVED:� NAMES �'I9 F�d' m/1 (( LOCATION: cg3CxdiryK DATE: —/ /I/ `11q PERMIT.# MO F ILE HOME MODULAR HOME FOOTINGS FOUNDATION _ BACKFILL_ FRAMING N/A , YES NO 1. foundation support, pier spacing per ma per — — 2. anchoring per manuf. —3. water line shut off / —. — 4. sewer line support ®4 feet I — — 5. heating crossover (dblewile) off grd. _ — — 6. dryer vented outside —7. skirting ventilated 8. hot water relief valve piping outside — — — 9. deck, porches;,steps, riling _ 10. furnace/hot water operating 1 — - - — — 11. garage fire proofing ° ._-- — 12. door closers ti\ — —13. plumbing fixture — -- — 14. foundation insulation \appl.) — 15. smoke detectors - — —16. final electrical — — 17. variance required - 18. data plate okay — 19. mobile HUD seal okay. .... — 1 Model # � �-soe- 1- Serial # 7O 4- l:77 Manufacturer S LRL1>�� Date of Manufacturer ti.\15/1t1:-.( OKAY.TO ISSUE C/O YES NO Comments: I 126 12PkN516i(LTV`. r.6 tapc,6 . d - ti II c . ... RECE1V :D \ SEP 0 9 1909 TOWN OF QUE Er BURY CI BUILDiNG ANL' DDF • I_ , .......2 iy.... , ---5 NOTICE ANCHORING OF MOBILE HOME r FRAME IS REQUIRED PER .141 \iy. MANUFACTURERS SPECIFICATIONS \--- (1 TOWN Or' iUR:MA f=�Y NUILDING DEPARTMENT - --.•.4- tfoq l On our kited examination, } OfililiiiING With our comments sh all r .t ba ourticdvs indicating the i-31.0 0.,id {?t)t;3f cations are in full edit ti t>4t;1€h,i cafe. • TOWN OF QUEENSBURY BUIL 8 014 -� = REVIEWED 6Y - DATE /._ dFILE COPY 1 1 . --- . , - k. e J I!''.,'''. . 72. 6tftLeAr__________ . I ylH 0 �, '— _ 0' f �L i .���,_LLL DINING ' L �_L L L LIVING THIRD SECOND i ' •x ' • I 1_L ��I1_ L" ROOM BEDROOM BEDROOM _L w�oi Ie-5 X 12'-f0' 7-9•x 9'-9• ID-e a r-r r —_m—_J1 3. ti _L _ LLLL i _ __ - ____ 'MASTER LLLLLLLL Jr :L BEDROOMF LLL LLLLLLLL _LLLt' LLLLL•*os 4a I L .l .q w lW'I'It•► 1 . h r 3BR, 2BA, FRONT CORNER BATH JT147204 . .• 5gP .000 EILD SEP 0 9 1999