1999-597 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
•
Date December 2 19 99
This is to certify that work requested to be done as shown by Permit No. o o g,0 7
has been completed.
• This structure may be occupied as a MOBILE HOME
Location 53 PETRIE LANE
Owner wri e m nrtwr,nrlTr
TAX MAP NO. 121 -6-5 9 By Order Town Board
TOWN OF QUEENSBURY
J)-a/gi/
Director of Bldg. do Code Enforcement
BUILDING . PERMIT
VALUE $ 43000 TOWN OF . QUEENSBURY No 99597
TAX MAP NO. 121 . -6-59
WARREN COUNTY, NEW YORK
MOON, MELODIE
PERMISSION is hereby granted to
53 PETRIE LANE Street,Road or Ave.
OWNER of property located at
MOBILE HOME
in the Town of Oueensbury,To Construct or place a
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 Oueensbury Building and Zoning Ordinance.
t. N 14 4 iLANE
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDERS Name •
GLENS FALLS MOBILE HOME INC.
S.tN 'laffl( AUIREERS Address
GANSEVOORT, NY 12831
4. ARCHITECT'S Name
NEW YORK BOARD . ,
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X) MOBILE HOME
)Wood Frame ( )Masonry ( )Steel (
7. PL S and Specifi®tions
120 SQ FT MOBILE HOME AS PER PLOT PLAN SPECIFICATIONS
No.
MgrE u HOME
41 September 22 2001
$ PERMIT FEE PAID —THIS PERMIT EXPIRES .19
(lf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Oueensbury before the expirationhte.) September 1999
Dated at the Town of Oueensbury this Day of 19
SIGNED BY _ i for the Town of Oueensbury
Building and Zon' Spector
1•! b 1 /e C�l.. -ems_
TO W9 rrq N ' i}l:-- /'
f .2 SB U1? Yam. t/;;;;)
SEP 1 5
.� 1999
7
TOWN OF OUEE.` I �6C
BUILDING AND CODE FEE PAID: $ pL
,........._______.
p Ito - /S.,
APPLICATION FUR PERMIT 1
MOBILE HOME OR MODULAR
A BUILDING PERMIT MUST BE OBTAINED BEFORE PLACEMENT OF MOBIL : HOME,
NO INSPECTIONS WILL BE MADE UNTIL A VALID BUILDING PERMIT HAS BEEN ISSUED,
The owner of this property is : cp /) ejwcw✓)
P.O. Address: 39 Saf--- 7v , � 6 P1- 1
�' - i,�d-�i Phone Number 79e-oZPa/
Property Location b 3 ;:, 1],h,',„,ZTax Map No. 4a// & / 59
NAME OF APPLICANT: /L-fe4eit ij/e0c2 .-1 L\ S_ -7 f aa,
Address of Applicant: -nc—i-,4e,cer-e44- /at e e cJvuW.s
0
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
APPROXIMATE VALUE OF hOME: $ 3
New Home No
1 ZONING INFORMATION:
Replacement Home Ye No i /ci' u .
- Size of Properly: ft x ft
Size of mobile homeftx efl
Existing Buildings:
Singlewide qu rlewiD
No. of rooms. (exclude baths) s' Proposed bulldIng-dIstance from property line:
Front Yard ft Roar Yard it.
No. bedrooms' 3 Side Yards ft and it.
No, of bathrooms ... Occupancy Information:
Primary dwelling: Yes No
Fireplace ---- Woods tove r------
Accessory Bullding(s) : '
Foundation style and size: Detached garage one car /two car car)Attached garage (one
car_/two car car
Piers-No, of Size ft x ft
Storage building
car)
,- --Other
•
Depth below grade . ft .
�� * * * * * * * * * �k A * A. * * * *
Foundation-Footing size " x
Wall niaterla Proposed date of placement:
Wall thickness " Height " Water Supply: Well Municipal v
Total depth below grade ft. Septic permit required?
Grade to home floor. level ft,
FURTHER INFORMATION REQUESTED ON THE REVERSE SIDE OF THIS SHEET
NAME OF INSTALLER/MOBILE HOME DEALER: l�i'�►�'Q •
ADDRESS/PHONE NUMBER
•
STATE OF NEW YORK DIVISION OF HOUSING AND COMMUNITY RENEWAL
INSIGNIA OF APPROVAL OF TILE STATE BUILDING CODE
•
1 . Insignia serial number f oSJ
2. Name of Manufacturer —_-
3. Plan Approval Number •
4. Model or Component Designation T--
• 5. Date of Manufacture 1g7q
All the above information is to be found on a plate or slicker which
should be all!xed to the Mob I to Ilome. Comp] le above wll.h That in forma LIon.
•
•
•
•
•
Town of Queensbury Stale of New York '
County of Warren
AFFIDAVIT •
I sweat' tha I to the best of my know!edge and bet f e I the s to lemon Is con to Inc('
in MI appl Ica tion, i:ogether with the plans and spec] ficalions subml lied,
are a true and comp 1 e le s La lumen I of al I proposed work to by, clone on thedescrIbed premises and tha l: all pray is bus of the _ I►tIll,DINr_r(lD_f: ,- Llte_ ZONING
ORD-I-NANCE, and al other laws per[iii i all to the proposed work s ha I I be comp) led
with, whether specified or not , and that such work Is authorized by the owner.
Si gn a lure Sjak_V -
Cal("4" ---------
Owner, owner' s agent, architect,
contractor
SPECIAL. CONDITIONS OF PERMIT:
•
By
Cob i:nrorcemen f cer
DECLAIMTION: Please sign below after you have carefully read the statement.
'I'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.coinplied 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) •
'
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•
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S2,0 •.C:.•,l'•Q J_n •,Q •.1 f '•_l:l•_l'J_•.0�PIJ_. `')A, '•_l'AQ'AC::In AM•A:').0. AQ 9.• '�.,1,,,Mi C':l l'A•c!'At:Al'J.,cl'AM IN Al�•J 01.Q • ).•,l'i,i',Q Al J...Q'A•.l": :'Ai:J_•_l' 6 '/,
•
THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE
, 8080285 BUREAU OF ELECTRICITY Pi
, F 111 WASHINGTON AVE., SUITE 704, ALBANY, NY 12210
W'' Date OCTOBER 07,199� Application No. on file 5904599/ _'� H 456533 r
THIS CERTIFIES THAT A
y only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of iii‹ t
�; MELODY MOON, 53 PETRIE LANE, QUEENSBURY, NY - / 5 . ,)
ir-
in the following location; ❑ Basement ® 1st Fl. ❑ 2nd Fl. OUT � ( Section Block Lot 53 •
was examined on SEPTEMZ3ER _30,1999 and found to be in compliance with t National Electrical Code.. i
Y
i 9.,..
o' FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS P>''
' OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
IA
IA
•
' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS
1� BELL iy
SYSTES
1 AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. Ell H.P. NO.OF FEET AMT. WATTS
' SERVICE DISCONNECT - • NO.-OF - --- -- S- E R V I - C -E ,
METER NO.OF CC COND. A.W.G.. A.W.G. A.W.G.
il AMT: AMP.yy�/i�r/ nnTYrPsE�p�y, EQUIP. 1 0 2WECEI 3 0 3W 3 0 4W pER 0 OF CC.COND. NO.OF HI-LEG OF NI-LEG NO.OF NEUTRALS 4OF NEUTRAL ,y
WI 1 100 NCB 1 ■ X �■ 1 2 .L '}�
l OTHER APPARATUS: Ij
C' I}
CI it
11 I
WI IY
it
=C'
"CI Ii,
<I — -
1
RANDY HITCHCOCK '11 �.� !l c. ,v ,f ,,
-c. . + t
-c 3537 CTY RT 30 r
"G "f'R :. a t': ). GENERAL MANAGER j"
<I ate.., .4 �.:.. 23`T I
�''° '`�O .,�-_ Per Q
in
il 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. }
/,:Y•Y,Y�Y;4Y;-11.7r.411476 4Y Y.Y zi‘ie-r„ile.Y•Y tie:Se,Y•1SY•Y7�YY•Y.Y•Y Y•Y Y•Y 7iY YiYYiY,iiiY4Y YiY Y•Y.7•114i1,'i—i i•Y YiY Y•7Y•YY•YYiY YiMii1;i Y YiYY YY•Y Y Y„Y•Yl'iY,7•Y;!
rnav Fno RI III nlNr, fFPARTMFNT THIS COPY OF CFRTIFICATF MUST NnT RF AI TFRFD IN ANY MANNER.
FINAL INSPECTION REPORT MM '
MOBILE / MODULAR
Town of Queensbury
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804
(518) 761-8256
br 1)ARRIVE: DEPART: INSP:
DATE INSPECTION REQUEST RECEIVED:
.f
______§,0
�
NAME: 11J
LOCATION: U Rig/6 C,/ '
DATE: /z/ / 1 PERMIT # V.77
J
MOBILE HOME V MODULAR HOME
FOOTINGS FOUNDATION BACKFILL FRAMING
N/A , YES NO
1. foundation support, pien
per manuf. — — —
2. anchoring per manuf. — — —
3. water line shut off — — —
4. sewer line support ®4 ..5. heating crossover (dble de) ' grd. — — —
6. dryer vented ouu&e .1 — — —
skirting ventilated — —
8. hot water relief valve p ping outside — —
. deck, porches, steps, r iling — — —
10. furnace/hot water oper ting — —
11. garage fire proofing — — —
12. door closers — — —
13. plumbing fixture _ — —
14. foundation insulation (f appl.) — _ —
15. smoke detectors — — —
16. final electrical — — —
17. variance required _ — —
18. data plate okay \ _ — —
19. mobile HUD seal okay — — —
Model # • Serial#
Manufacturer
Date of Manufacturer
OKAY TO ISSUE C/O YES NO
Comments: , - %WoO5 5L(_19
FINAL INSPECTION REPORT
MOBILE / MODULAR
Town of Queensbury
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804
(518) 761-8256
ARRIVE: DEPART:-c) f ( NSP:
DATE INSPECTION REQUEST RECEIVED:
O9.5=7zZ.
NAME: �D�AO ' 7
.�GG U'
LOCATION: £3 i`JiQ/C-- 64)
DATE: l2/f`ri PERMIT# 7 -537
MO IILE HOME P/ MODULAR HOME
FOOTINGS FOUNDATION _ BACKFILL_ FRAMING_
N/A YES NO
1. foundation support, pier s p t cin
per manuf. _. —
2. anchoring per manuf.
3. water line shut off ... — f =
4. sewer line support u 4 feet — �//
5. heating crossover (•.lewide) o i grd.
6. dryer vented'outsi t-
7. skirting ventilated — —
8. hot water relief v.lve piping outside — �"—///
9. deck, porches, s eps, railing — —
10. furnace/hot wa •r operating — —
11. garage fire pro%fing / — —
12. door closers . �/ .✓ —
13. plumbing fix re
VI
14. foundation ' sulation (if appl.) — /
15. smoke det• tors — ,
16. final elec i'cal — V
17. variancl required _. — —
18. data plate okay
19. mobile HUD1 seal
okay — �[
Model # l441 Serial /65S4�
Manufacturer AIM P(/C 0/AJL&S
Date of Manufacturer 7-JI S 1V
OKAY TO ISSUE C/O YES /NO
Comments: `tip'
6 xf'c9SC AAr_ Nc -CA iO
FINAL INSPECTION REPORT
MOBILE / MODULAR
Town of Queensbury 1 v 0
Building & Code Enforcement off,
742 Bay Road
Queensbury, NY 12804 a, SO
(518) 761-8256 /
ARRIVE: DEPART-`V' INSP:
DATE INSPECTION ' QUEST RECEIVED:
NAME: IMMIMP
LOCATION:
J n PERMIT
DATE: a "
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 relief valve piping outside — — —
9. deck, porches, steps, railing — — —
10. fumace/hot water operating — — —
11. garage fire proofing — — —
12. door closers — --13. plumbing fixture — — —
14. foundation insulation (if appl.) — — —
15. s oke detectors — —
1 electrical -�]J •. — 1./
17. variance required — — —
18. data plate okay — — —
19. mobile HUD seal okay
Model # Serial#
•
Manufacturer
Date of Manufacturer
OKAY TO ISSUE C/O YES
+�NO
Comments:���
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SEP 1 5 1999
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ANCHORING OF MOBILE HOME
FRAME IS REQUIRED PER
,-..
MANUFACTURERS SPECIFICATIONS :arm
•
FRE copy
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Opt. Stairwell
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C1441A 28x44(40) TOWN OF , —ENRRY
.:- Approx. 1066 Sq. Ft. BUILDINC,.':,
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REVIEWED BY ,r. ....... •
tra
DATE / _ . ,..._.f ... .—
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' It ivl • 6' HIGH YroOD �STOCKADE�
---� i o l . E SCE. TO BE M1�IN---� CFO ,p%\��, M EO BY PARK OWNER• p�
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