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98-174 CERTIFICATE OF OCCUPANCY TOWN OF +QUEENSBURY WARREN {COUNTY", NEW YORK July s 98 Date 14 _ 981 744 This is to certify that work requested to be done as shown by Permit No. has been completed. MOBILE HOME 'dais structure may be occupied as a LOT 22 HOMESTEAD VILLAGE Location Owner MABB , SHAWN/ALLEN , TRACY TAX MAP NO , 9 3 . - 2 - 11 . 1 By Order Town Board T+DWNN OF QUEENSSURY Director of Bldg. & Code Enforcement BUILDING PERMIT VALUE 3 15900TOWN OF QUEENSBURY No. TAX NAP NO . 93 . - 2 - 11 . 1 WARREN COUNTY. NEW YORK PERMISSION is hereby granted to OWNER of property located at LOT 22 WINDSONG DRIVE Street, Road or Ave. in the Town of Queensbury, To Construct or place a 1pfMTT r. sii' ulz 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 LOT 22 WINDSONG DRIVE. HOMESTEAD VILLAGE +QUEENSBURYr NY 12804 2. CONTRACTOR or 8UI LM S Nam* GLENS FALLS MOBILE HONE INC . 3. CONTRACTOR or SUiLDER'S Address 39 SARATOGA RD GANSEVOORT , NY 4. ARCHITECT'S Name NEW YORK BOARD S. ARCHITECT'S Address NEW YORK BOARD OF FIRE UNDERWRITERS S. TYPE of Construction — ip arse indicate by Xi MOBILE HOME { ) Wood Frame C ) Masonry { l Steel 1 I 7. PLANS and 'Specifications 1988a- 14r X 721 MOBILE HONE AS PER PLOT PLAN SPECIFICATIONS S. Proposed Use MOBILE HOME 35 April 22 1S 2000 $ PERMIT FEE PAID — THIS PERMIT EXPIRES (If 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 expiration date.l 22 Apr i 1 19 Dated at the Town of Queensbury this Day of 1g SIGNED BY for the Town of QueenslwrY i{ding and Zoning 1rap actor �� REVIEWED 13Y0 J FEE PAID : PERMIT NO . `��� 1 / APPLICATION FOR PERMIT 11i 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 lIAS BEEN ISSUED . The owner of this property is : � P . O . Address : t Lz Pa ,t _ _ Lr?17 Phone Number �Zyc-;) 240 c] Property Location Tax Map NAME OF APPLICANT : Address of Applicant : All applicants spaces on this application MUST be completed 'I a tie 1 �� � ry 0 signature of the applicant MUST appear on the reverse side of this application . PERSON RESPONSIBLE FOR SUPERVISION Or WORK AS REGARDS BUILDING CODES : APR E3,P IM ,kf 3c MOBILE HOME INFORMATION APPROXIMATE VALUE OF HOME : C1 00. New home Yes P ZONING INFORMATION : Replacement Home Ye No Size of Property : fit x ft Size of mobile Lome a tx 4ft Existing Buildings : Singlewide Doublewide — Proposed building- distance from property line : No , of roams ( exclude baths ) Front Yard ft Rear Yard ft . No . bedrooms Side Yards ft and ft . Occupancy Information No . of bathrao�its / : 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 ) Piers-No . of Size ft x +ft Storage building _ Other Depth below grade ft Foundation-- Footing size IN x PON Proposed date of placement : Nall material ,r Wall thickness height It Water Supply : Well Mutsicipal Total depth below grade fit . Septic permit required ? Grade to home floor level ft . FURTIIER INFORMATION REQUESTED ON THE REVERSE SIDE OF THIS SHEET NAME OF INSTALLER/MORILE 11OME DEALER : ADDRESS/PHONE NUMBER STATE OF NEW YORK DIVISION OF HOUSING AND COMMUNITY RENEWAL INSIGNIA OF APPROVAL OF THE STATE BUILDING CODE I . Insignia serial number C. 1� f �+ 1 2 , Name of Manufacturer 3 . Plan Approval Number v _ - 4 . Model or Component Designation 5 . Date of Manufacture All Lhe above i nforii►a ti on is to be found on a plate or sticker which should be affixed to the Mobile ilou►e . CoiiipleLe above* with that Information , Tgwn of , Queensbiiry State of New York county ' of Warren AFFIDAVIT I swear that to the best of niy knowledge and belief the statements contained in this application , together with the plans and specifications submitted , are a true and coinplete 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 pertaininu to the proposed work shall be complied with , whether specified or noL , and that such work is authorized by the owne� f SIgnaLure � + t� ,t � Own wner ' s agent , architect , on tray. to SPECIAL CONDITIONS OF PERMIT : By Coe--ie--fin forcenient Of fi cer DECLARAT70N.• Please sigrt below after you have carefully read the statentent. '1'o the best of my knowledge the statements contained in this application , together with they plans : asid 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 Toning Ordinance and all other laws pertaining to the proposed work shall be complied with, whether specified or noted, and Lhat such work is authorized by the owner. Further, it is understood that I/we shall stibinit prior to a Certificate of Occupancy or Certificate of Compliance being issued, an AS BUILT PLAT PLAN by a licensed surveyor; drawn to scale, showing actual location of project on premises. Signature: (owner, owner's agent, architect, contractor) Pi1VA4 1Pj0pEtCT101V REPORT MCMl:t1L.E / MC1l3UL*^1% Town of (Queensbury Building & Code Enforcement 742 Bay Road pueensbury, NY 12804 (518) 761 -8256 ARRIVE; DEPART: F' it35P DATE INSPECTION REQUEST RECEIVED: NAME: * LOCATION: DATE: PERMIj # MON&ILS HOME MODU HOME FOOTINGS FOUND A N BACKFIL FRAMING lA YES NO 1 , foundation support, Pier cing Per manuf. . . . . . .. .. .. . . . . . . . .. 2. anchoring Per manuf. — - 3. water line shut Off . . . . . .. -- 4. sewer line support tW 4 feet . . .. . . . �- 5, heating crossover (dblewide Off gr 6. dryer vented outside . .. .. . . . . . . . . . . . 7. skirting ventilated . . $, hot water relief valve Piping tsi -- 9. deck, porches, steps, railing . . 10. furnace/hot water Operating . . 11 , garage fire Proofing .. .. . . . _ . . . -- 12. door closers . . . . . . . .. .. . . . . • • • • • • • 13. plumbing fixture . . . .. .. .. . . . . . » . 14. foundation insulation (if aPPI. . .. . 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 CIO YES NO Comments. FfNAL INE,PECTIC�N �EPpRT MpB1LE ! MOiC31.iLAR of Queensy L7 �5'� Town 4 Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 (518) 761-8256 r / 1V ARR E: .� ��-•1.. DATE 1NS pEcTION_REQUEST ��EIVED: NP,ME: nJ Coe LOCATION: f PERMIT p DATE: MpgxLE HOMI�u Mflptnwit HOLE Fr)O�L'INGg � PC1l3I+SDATI0t3 $ACKFILL FRAMING NIA . YES - P3f] 1 . foundation support, pier spacing per manuf. . .. ;.. .. .. .. .. . . . . . .... : — 2, anchoring per rnanuf.. . . .. .. . . .. . . 3. water line shut off . . 4, sewer line support 4 . .. . . Id S. heating Crossover (dblewr ) off 8T 6. dryer vented outside 7, skirting ventilated •.a ale 8- hot water relief valve piP 9. deck. porches, steps' 'railing 10. furnace/hot water operating - 11. garage fire proofing .. .. . . . .• -- 12. door closers . . . . .. . . .. .. I .. .. .. . . . 13. plumbing fixture 14. frnmdatiou insulation (if apt .}.. 15. smoke detectors..",?. 16, final electrical 17. variance required . .. .. ... .. .. .. .. . 18. data plate okay .. •• .. .. . . . . . . . . .. .. J — 19. mobile 13LYD seal Okay . .. .. .. .. r,1,lG` I© Serial # d� . Model # Manufacturer Date of Manufacturer �^ YES NO OKAY TO 'ISSUE CI0 -- Ar 4e kS K /jJ& F ri �-` "�-" c� .► Imesprrcarlar hAp01LJE / MCQOULMAR t1 Town of dueensbury Building & Cade Enforcement 742 Say Road Ctueensbury, NY 128D4 (518) 761-8256 kMVE: 33he& DEPART: 1NSP: DATE INSPECTION REQUEST RECEIVED: NAME: �C"'2`1Pt i ► LOCATION: c // ��ry,r 4*ERIv[iT # DATE,: MOSI'i.E Hp11RL 14I4DLTLAIt HOIIEE FRAMING FOOTINGS F-OUNDA'TION 1 BACKFf1 A6 YES Na ton supfxaft. pier in 1, founds �z per manuf. . .. .... .. .. . . . .. . 2 Pe manuf. anchoring p 3, water lure shut off . ... 4. sewer line support d 4 f t . .off 5. xg crossover ( ble de) off g rd. 6. +dryer vented outside . . . ., .. -, .. . 7. skirting ventilated 8. hot water relief v ve piping outside 9. deck, porct►es, steps, railing . . . . to. furnacel'hot water operating . . . . . . •• 1t. garage litre proofing . . . . . . .. .. 12. door closers .. . . . .. .. • - . . . . . . . 13. plumbing fixture . . . . . . .. .. .. . appl•) , . . . . y/ 14. foundation insoletion {if 15. smoke detectors .. . .. . . . . . .. . . 1+6. final electrical . .. . . . 17. variance required` .. .. . . . . . .. .. .. . . . 18. data plate okay .. .. . . . . • . .. . ' -- 19. mobile HUD seal okay . .. .. ., . Model # (sx Manufacturer rDate of Manufacburer ���� YES NO OKAY TO ISSUE C/o — - / 4r ,14 It-S 4, l us,( y �s FfIVAL I�gpEGTfCfIV ��pOi=sT r-IlLE / MC3=ULA1R Town of Queensbury Building & Code Entorcernent 742 Bay Road Queensbury, NY 12804 (5J 8) M-8256 AMUVI DEPART'-IIII INSP; DATE 1 �"� 'CELVPul7: NAME: rI PERMIT Oq2L L,CcATION: 'I DATE?: J '�! MDSIY.E HOMB M0lt7gJj*AR HOMIE FOOTINGS FOUNDATION BACK FILL_ FRAMING NIA YES NO I , foundation suPport, Leer ing per manuf. -- �- 24 anchoring per manuf. .. .. . .. . 3, waterline shut. off . » . 4, sewer line Slk) P "rt a 4 t '- S. Lxeating crosrover (dblewi off grd. �- 6. dryer vented outside .. .. ... 7. . skirting ventilated 8, hot water relief valve piping outside -- 9. deck, porches, steps, railing . .. .. .» . 10. f nnacelhot water operating - - -- II, garage fire proofing . .. ..... .. .. 4 . ... — - 12. door closers _ 13. plumbing fixture . ... .. .`f.a.. .1.).., .. . 14. foundation insulation (i PP 15. smoke detectors .. ... .. .. .. . .. .. .. . 16. final electrical . .. .., . 17. variance required . . ». .. ... — _ 18. data plate okay .. ... . -- _- 19. mobile HUD seal okay , » . .. .... Model # Manufacturer C' ,A-v, � f� Date of Manufacturer OKAY TO ISS'OE +C/O YES NO Cornrnieslts: ! ALLIED ELECTRICAL INSPECTION AGENCY INC. PO Box 2141 � 1 Gkns 1 Wb , N.Y. 12801-2141 { AMNIC PAt REPORT DATE: 05/07/98 To. DAVID HATIN DIRECTOR OF BUILDING CODES, QUEENSBURRY, N .Y. PERMIT NO. • UNKNOWN INSPECTION NO. 59814 / J . DALTON C . I . L.00A,TION / ADDRESS* LOT 22, HOMESTED PK_/ LUZERN RD. ,QUEENSBURRY APPLICANT ; PBM / SCOTT Du FOUR / 5186923336 / GLENS FALLS MOBIL HOMES OCCUPIED AS : MOBIL HOME OMrpjE,g ; UNKNOWN OCCUPANT : RENTAL DATE INSPECTED ROUGH WIRING OUTLETS: 05/06/98 APPROVED DATE OF FINAL INSPECTION: 05/06/98 APPROVED THE EQUrp"ENT LISTED BELOW HAS BEEN YISUALL Y INSPECTED PURSUANT TO APPLICABLE CODEK 100 AMPERE SUB-FEED 120V / 240V Yboaw (518) 793-2661 NOTICLr No OF A408&E HOME 1p 'FRAME IS NtNUF $pE CAT REUIRED 011S k 4 �, (^ 64 LL" F r s pr ` age a C OfQUEDOW" W,LUNGOMMMENT FILECO Y Based an our lm t d WSWARahonm tomprmm* wo our tooamw is shalt ad be cout rooad as kwkffft tM pbm ow spetwomuffia are In campllsr+na rrith the code TOWN B u v I '0000009pookoss� ORION ROOM Ism - DINING MASTER GATnEDRhIIU DROOM DNlD BEDROOM .. — t BE 213R. 26A, ISLAND KITCHEN JT147053 I O L4,11, dilAR it ix-fa . 1r-ta MASTER THAN00134OUT BEDROOM KRCHENI ` >I AN d °POATH L 2BR. 213A, FRONT BEDROOM JT147074 jl II I * � I bit; - DWM'�"+ LMNG THIRD .�,o��'-�a . a -+ ItOQiI BEDROOM . " fl MNP� 17'-le 7'-Ir 4' 77F` 7 77 { CATHEDRAL c uma T AWYAO MASTER BEDRODM i r-Y x 10'-6 .. ',,.0 .1 cy 3BR, 2BA, FRONT CORNER BATH JT1472Own 4 0*-_' Lam, K=HE 6� .no* ROOM! MI CATHEDRAL. cauHG STANDARD w�.MII�V MASTER THROUGHOUT BEDROOM r 2BR. 2BA, ISLAND KITCHEN JT1472.34 t 3 f I � I �rNi01Nrt4'A. >,.'.. �'!, .'-..._......_..,_..�.. .•_..»..-._..._.......... . .-. ., .wwror-.�....�.w . .. .__ —_ _— ..._—__ _.