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1999-651 TOWN OF QUEENSBURY t3t1P0 742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number. 99651 Date Issued: Tuesday, May 23, 2006 This is to certify that work requested to be done as shown by Permit Number 99651 has been completed. Tax Map Number: .5'L3400-309-009-0002-001-000-0000 Location: 51 wincd4s ang Owner: HOMESTEAD VILLAGE L P Applicant TANNER, BRENDA This structure may be occupied as a: Unknown By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, "),,,,,,P 4f Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. BUILDING PERMIT Town of Queensbury, 742 Bay Road, Queensbury,NY 12804 County of Warren (518) 761-8256 VALUE $ 19000 Building Permit No. 99651 TAX MAP NO. 93 . -2-11 . 1 Permission is hereby granted to TANNER, BRENDA Owner of property located at LOT 51 HOMESTEAD VILLAGE in the Town of Queensbury,to construct or place aMOB I LE 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 NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Owner's Address: SOT 51 HOMESTEAD VILLAGE QUEENSBURY, NY 12804 Contractor or Builder's Name: GLENS FALLS MOBILE HOME INC. Contractor or Builder's Address: 39 SARATOGA RD GANSEVOORT, NY 12831 Electrical Inspection Agency: NEW YORK BOARD NEW YORK BOARD OF FIRE UNDERWRITERS Type of Construction: MOBILE HOME Plans and Specifications: 980 SQ FT MOBILE. HOME AS PER. PLOT PLAN SPECIFICATIONS " Proposed Use: MOBILE HOME • 35 October 20 . 2001 - $ PERMIT FEE PAID-THIS PERMIT EXPIRES (If a longer period is required,an application for an extension must be made to the Code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the own of Queensbury this 20 Day of October 1999 SIGNE ;�Q i �— for the Town of Queensbury Code Enforcement Officer TOWN OF Q Ul�ENSI3 U.R Y CT 1 3 i999 FEE PAID: $ �. ct5.-CO 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. The owner of this property is: I'TTSFO� OpprroL. P.O. Address: -L -IFekle 1 nAec t{e Phone Number' 22 6o LET-5 771I ,�Y�D Property Location ( JiIJ "' Tax Map No. / / NAME OF APPLICANT: -- 6 m t-c-h4 Address of Applicant: GAiLuo Jl 5-1 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 IIOIIE INFORMATION C-i; u �.E VALUE F $ r(�r- Af ! 1,O.,IMA�o� 1.:�uC G� ��uME: .� New Home Yes /IR ZONING INFORMATION: Replacement home No ' v Size of Property: ' ft x ft Size of mobile home. / (Iftx7Oft ' • Existing Buildings: Singlewide Doublewide No. of rooms (exclude baths) 5 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 Builclirrg(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 Other Depth below grade ft * * * * * * * * * * * * Foundation-Footing size " xs Proposenaterpf placement: Wall material Wall thickness " height " Water Supply: Well Municipal;c Total depth below grade ft. Septic permit required? Ares Grade to home floor level ft. FURTHER INFORMATION REQUESTED ON THE REVERSE SIDE OF THIS SHEET NAME OF INSTALLER/MOBILE HOME DEALER: , ��- fin . .. ADDRESS/PHONE NUMBER 36? c5 ✓t,A�i fly a ,,, .. 7ql STATE OF NEW YORK DIVISION OF HOUSING AND COMMUNITY RENEWAL INSIGNIA OF APPROVAL OF THE STATE BUILDING CODE 1. Insignia serial number oirl-----5 . 2._/ 2. Name of Manufacturer L_,(, 0`//0-1 • 3. Plan Approval Number • 4. Model or .Component Designation -1,eirY pbv.v___ • __,\ ..,„.,, 5. Date of Manufacture • All the above information i,s to be found on a plate or slicker which should be affixed. to the Mobile' Ilonie. CoMpilete above wi III that information. • Town of (iuueensbury • State of New York County of Warren a • AFFIDAVIT - .� • • I swear that to the best of my knowledge and belief the statements contained in this appl I cation, together with the plans and specifications submitted, are a true and complete statement of all proposed work to bq. done on the described _ premises _a_n __ that _al_l__provisions of the BUILDING CODE, the ZONING ORDINANCE , and all other laws pertaining Co the proposed work 'Simi i be- comp sled - wit.h, whether speci fled or not, and that such work is ant horIzed by the owner. Signature _ _• — 4 'c wrier' s agent, architect, 'IlikulwriegillP . SPECIAL CONDITIONS OF PERMIT: • • By Codefnforcement 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 ail 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 Uwe shall submit prior to a Certificate of-.Occupancy or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a4licensed surveyor; dra:vn to scale, showing actual location of project on premises. Signature: —_• .� (owner, owner's agent, architect, contractor) . FINAL INSPECTION REPORT MOBILE / MODULAR Town of Queensbury Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 (518) 761-8256 ARRIVE: - DEPART: \2 jINS•. DATE INSPECTION REQUEST RECEIVI. %'k NAME: 1 iE i LOCATION: t 5- I I,,O1 OV)_LL)r> .k, DATE: - - PERMIT# 99-b51 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. furnace/hot water operating �/ 11. garage fire proofing 12. door closers _ 13. plumbing fixture 14. foundation insulation (if 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: d L ‘.5o00 FINAL INSPECTION CRePoolizrlir MOBILE ! MODULAR Town of Queensbury Building &Code Enforcement 742 Bay Road Queensbury, NY 12804 (518) 761-8256 ARRIVI DEPART: DATE INSPECTION REQUEST RECEIVED: NAME: -1-R �O t�F( LOCATION: 51 \\LLL-/ AF- DATE: 12_- 13- PERMIT# ITl45.I J L MOBILE :OME MODULAR HOME FOOTINGS _ FOUNDATION _ BACKFILL FRAMING N/A YES NO 1. foundation support, pier sp.cmg per manuf. — — — 2. anchoring per manuf. — — — 3. water line shut,off — —4. sewer line support CO 4 f- t — — — 5. heating crosso er (dblewi•-) . grd. — — 6. dryer vented ou '.• — —7.. skirting ventilated — — — 8. hot water relief valve pipin l outside — — — 9. deck, porches, steps, railin — — 10. furnace/hot water operating - — — 11. garage fire proofing 12. door closers 13. plumbing fixture — — 14. foundation insulation (if a..1.) — — — 15. smoke detectors _ —16. final electrical — —17. variance required _ — — 18. data plate okay — — — 19. mobile HUD seal okay — — Model # Serial# 1 Manufacturer Date of Manufacturer OKAY TO ISSUE C/O YES NO Comments: 1 \ LM.C&VO4 I. L M L INSPECTION REPORT MOBILE / MODULAR Town of Queensbury ' 3 C- Building & Code Enforcement • , 742.Bay Road i Queensbury, NY 12804 (518) 761-8256 ARRIVE: ..F-e- EPART: . .`5INS. DATE INSPECTION REQUEST RECEIVE if mawo NAME: LOCATION: _f4 c dlf' �� � , DATE: j.f:% 'n -9 9 PERMIT.#99 -(05/ MO:ILE HOME MODULAR HOME FOOTINGS FOUNDATI N BACKFILL— FRAMING I 4 N/A . YES NO 1. foundation`s support, p'ier spacing —r manuf. l ly ——2. anchoring per manuf. — 3. water line shuhoff/ / — 4. sewer line suppor @-4-feel' 5. heating crossover/(dblewide) off grd. — 6. dryer vented outside ..ti — f 7. skirting ventilated — — 8. hot water relief valve piping outside — — 9. deck, porches/ste s, railin _ 10. furnace of vfater operatin — 11. garage re roo g 12. door closer — / — 13. plumbing fixture — 14. foundation insulation (if appl.) 1, — _ 15. smoke detectors i16. final electrical17. 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: 1\c?��s. ` ` �Q v . met-_tt.-_ &U C U FINAL INSPECTION REPORT MOBILE / MODULAR Town of Queensbury Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 (518) 761-8256 ARRIVE: \T P-ART: kl-. _ INS° ' DATE INSPECTION RE�QUEST RECEIV R. NAME ' \'( ,,S WORM LOCATION: l L ck DATE: PERMIT/t±ifia5j MOBILE HOME MODULAR HOME FOOTINGS FOUNDATION _ BACKFILL FRAMING N/A . YES NO 1. foundation su..• pier spacing . Per manuf. — _____ — 2. anchoring per . uf. — .— — • 3. water line shut off — — — 4. sewer line sup.:.rt ©4 feet — — — 5. heating crossover (dble 'de) off grd. — — — 6. dryer vepted ou i.: — — — 7. skirting ve' 'n:.04 — — — 8. hot water relief v. ve piping outside — 9. deck, porches, ste s., railing — — — 10. furnace/hot water o.-rating — — —. 11. garage fire proofing .12. door closers — — 1 .— — — 13. plumbing fixture — — — 14. foundation insulation (i appl.) — — — 15. smoke detectors — — — 16. final electrical — — — 17. variance required _ — 18. data plate okay — �/ — 19. mobile HUD seal okay — c,/ g, — Model #I to- l�b Serial # CC -t -�9L3 7_ ' Manufacturer LU - a I A —4 Date of Manufacturer \Fi(, l 7j /St4 OKAY TO I ' \ YES NO Comments: \ raw 5 C1J k- 4-0 ._ .. : UU/14/UU MUIN iv:zo rIt A -,--,-', liLaGIN r ril....1..o? trj 4JUL . , -,.' / • .................................. ....................................................................................................................................................................................................... :if.'.g's 14.;.'' 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OW Ir-x•x tw-x:, , _ — ---- __-L-L--—LL .t....64..rfx.-6t•—-—-—- --—-—, c--,---— ;,< < LL-ktit Li.-LL I,-i..;.!1 CAN0AF/74714"‘Touvv"1.1444cor t'i.4 E:..!,i'::Al .....*.1,4, L LL lr'''' Lio-i-ol'Er4_U 1 wi. - r,,i‘;!•:,‘' Ammommo \\irmismowim.e/ 1;,',7,.;.7N .:'',0•• 3BR, IBA NT147007 1.;•!‘.•,:!;;;i: 9 . .... RECF:IVF- • -- RE . ,,, ,_ ,,,_ , Cy' 5 Y . OCT 1 3 1999 TOWN OF OUP BUILDiNG k.t.-,112:c7-inr--- ...... . • . . .. . . . :,... . TIWN ,:,,..)r— QUF:—EPC.;;•)1.3Lir,Y ANCHORING ORFEQMuOIRBEILDEgORME NOTICE BUII.DING 8, r,:,,:ry.ir-,,,,pr '....)-, %.,,j. b....,6 ! -%. .„,„,1/,_, ,. MANUFACTURERS SPECIFICATIONS . ,, .. REVIEWED BY / / TafilltI 0::QUEENsBuRy Bu!Loip4G,DEPARTMENT u Based on our liniited c;,g•am' ination pnoat b„se copstrued, os indicatTnoth.'aje3" cu.-I inn:laiLln7sowecit:111::ft i:ns a rp I`rid full .01111170-rifq,.-i, ii mrnplianceivi't t' - . .. ui lip;.1(irip.. .-, C . • . . '!..,..........r......IL\\.......F.....,.. t iN , i 1 i 1 E i i C 2 1 1 i I 1 . . .: . 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