1999-704 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date December 14 19 99
This is to certify that work requested to be done as shown by Permit No. q q 7(r a
. has been completed.
• This structure may be occupied as a MOBILE HOME
LocationLOT 93 HOMESTEAD VILLAGE
Owner T4OWTF.. MICI-LAEL
TAX MAP NO. 93 . ®2 s 11 . 1 By Order Town Board
TOWN OF QUEENSBURY
c )&z/ c
Director of Bldg. (Sc Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No.
VALUE $ 29900 WARREN COUNTY, NEW YORK 99704
TAX MAP NO. 93 . -2-11 . 1
PERMISSION is hereby granted to BOWIE, MEIN
OWNER of property located at Street,Road or Ave.
LOT 93 HOMESTEAD VILLAGE
in the Town of Oueensbury,To Construct or place a
at the above location in accordance to application toge er witWpiNians 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 93 HOMESTEAD VILLAGE
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDERS Name
GLENS FALLS MOBILE HOME INC. .
3. CONTRACTOR or BUILDERS Address
39 SARATOGA RD
GANSEVOORT, NY 12831
4. ARCHITECTS Name
NEW YORK BOARD
5. ARCHITECTS Address
NEW YORK BOARD OF FIRE UNDERWRITERS
6. TYPE of Construction—(Please indicate by X)
Steel
MOBILE) HOME
1 1 Wood Frame ( I Masonry ( )
7. PLANS and Specifications
1120 ttt FT MOBILE HOME AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
MOBILE HOME
$ 41 2001
PERMIT FEE PAID —THIS PERMIT EXPIRES November 16 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 Oueensbury before the expiration date.)
16 November 19 1999
Dated at the Town of ueensbury this Day of
SIGNED BY for the Town of Queensbury
Building and Zoning nspector
•
O. • TO V►VN Q IJ ENS'a3 UR Y
Anis
REVIEWED BY:
I'EE I'AII): k- l Q�
PERMIT No. Dtc) _. 709,
APPLICATION FOR PERMIT
MOBILE HOME Oil MODULAR
A BUILDING PERMIT MUST BE OBTAINED BEFORE PLACEMENT OF MOBILE HOME.
NO INSPECTIONS WILL BE MADE 11NTIi. A VALID ,IIUILDING PERMIT HAS BEEN ISSUED.
The owner of this property is: P.ViL-t4 0:1,1141°
P.O. Address: (� Phone Number_a
Property Location �—U r q 3 /1�f �- i
' , Tax Map No. / /
NAME OF APPLICANT: AIY GP , ,(, d -
1141100(r7
Address of Applicant:
All applicants spaces on l:li I s application MUST be completed and the
signature of the applicant MUST appear on Lhe reverse side of this application.
i' • ZS N RE '(fly LE ' S 'ER ON OF
S REGARDS BUILDING CODES:
MOBILE HOME INFORMATION OOAPPROXIMAI E VALUE OF HOME: $
New home No / l
ZONING INFORMATION:
leplacement Mom gpluo
Size of Property: ft x ft
ilze of mobile home i4 ftxgfL
Existing Buildings:
iinglewide. Doublewlde L
lo. of rooms (exclude baths) Proposed building-distance from properly line:
Front Yard ft Rear Yard ft.
lo, bedrooms Side Yards .ft and ft.
Occupancy information:
lo. of bathrooms 2
Primary dwelling: Yes No
'fireplace Woodstove�_
Accessory Building(s) : • `
oundaLioll style and size: Detached garage one car /Lwo car car)
Attached garage (one car_/Lwo car car
)
lers-No. of Size ft x Storage building
f t U t IIe r
Depth below grade ft
* * * * * * * * * A A A A * * *
Jundation-Footing size " x
Ill materialProposed date of placement:
111 thickness " height Water Supply: Well Municipal
Ital depth below grade : ft. Septic permit required? uW
•ade to home floor. level ft.
URTIIER INFORMATION REQUESTED ON THE REVERSE SIDE OF THIS SHEET
1
r
NAME Or INSTALLER/MOIIILE HOME DEALER: )3 (4-4-(-7:— - /
ADDfESS/PII dNE NUMBER Sq `ke" (-74/ 72 -1
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. P1 an Approval Number T L,(o 14'5-
4. Model or Component Designation
•
5. Date of Manufacture 16 '�"-93
All the above information Is to he found on a plate or sticker which
should be affixed to Lhe Mobile Home. Complete above with that information.
•
•
•
Town of tlueenshury State of New York
County of Warren
AFFIDAVIT •
I swear that to the hest of my knowledge and belief the statements contained
In this application, together with the plans and specifications submitted,
are a true and complete statentent of all proposed work to hp, done on the
described premises and that all provIslotrs of the BUILDING COI E, I.1w ZONING
ORDINANCE , and all other laws pertaining to the proposed work shall be comp' led
with, whether specified or not , and that: such work Is aut.horiz ', too r.
r-,
Signature 67
•
• Owner, owner' s agent, architect,
con Lrerc tor
SPECIA1. CONDITIONS OF PERMIT:
•
By
• Code LIIforcemen[-Officer
DrcLAlt a Ca: . ; . • ' ' re 'illy read the slalemer't.
To the best of my knowledge the statements contained in this applica ' together with the plans
and specifications submitted, arc a true and complete.statement of all proposes work to be done on
the described premises and that all provisions of (lie 1luilding Code, the Zoning . •clinance and all
other laws perlaining to the proposed work shall be complied with, whether specific I or noted, and
that such work is minimized by the owner. further, it is understood that I/we shall s rbnrit prior to a
. Certificate of Occupancy or Certificate of Compliance being issued, an AS BUILT PI O'I' PLAN by
a licensed surveyor; drawn to scale, showing actual location of project on premises.
•
Signature:
(owner, owner's agent, architect, contractor)
VOA::OW At:J_6AVA J!.1 e•Q"ke•M AMe•MeAV."l'J_I e•lJ_L Al'J_I_VAO J_._l' Q'Ae_l'J_. Aik . ..A. J..l'J,_lVA . 9. 1. J.. J! '.MJ_l'iAl'Jl'A Al'J_I_l'J.tl' ‘Me4'J...'/,
WI rY'
ill THE NEW YORK BOARD OF FIRE UNDERWRITERS "AGE ' i
08145 ,:
�, • BUREAU OF ELECTRICITY 1�
111 WASHINGTON AVE., SUITE 704, ALBANY, NY 12210
'4 D v;C..:'�1'-HRRP 13 i 9n ,262.1 e39_'a/(9 H ,z57524
•<I Date °-" Application NAo. on file it
�, THIS CERTIFIES THAT IA!
!i only the electrical equipment as described below and introduced by the applicant named on the above application number is in the premises of it
11 )�T-}'[[}},��,((�yy BOWIE p}ALPINE
AVE
LOT
7 £fyg[� rY•
IA
WI 1I O1IAE:�'L , ALP!-N AVE LOT s3. QLJf+�r�'1 ,513LJRY° Y :Xi
!I in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. ( lt_+' Section Block Lot `�`` I
was examined on �� ��'� ' �� ���`1 99� and found to be in compliance with the National Electrical Code. ar
1 Ii
:I I)!
j� FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS I)
OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. r:
I------�-■■■.■.■ r
•
:.1• r DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL ,UNIT HEATERS MULTI-OUTLET DIMMERS (
, SYSTEMS
-, 1.1
1 AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. CM:11 H.P. NO.OF FEET AMT. WATTS iY
gAi IA
•
icl SERVICE DISCONNECT - NO.OF__ - S-- E --R-- V - __I --C -'E" I>
•
-' -`G rY
_'1 AMT. AMP. TYPE EQUIP. 1 0 2W�3 0 3W 3 0 4W NO.OF CC COND. A.W.G. NO.OF HI-LEG A.W.G. NO.OF NEUTRALS A.W.G. q!
_(IPER 0 OF CC.COND. OF HI-LEG OF NEUTRAL ,
it
. iih.
-- OTHER APPARATUS: y
I
lil .1 SET #2 ;L.-1
IA
j1 RE NE GIZE 1 MUTER-1 1
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�1 3513.! CIT RT. 0 V,; .../ . ��� "V .}
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�� n"I r ! '' {�,� '� ' GENERAL MANAGER •
S�3 Ulf,d i, I i', S 6, 1 Ir
:, IL d J[, 1.. ► 239 (:
IA,1 I- .. Per ;
j1 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. ;Yi
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('nDV CnD DI III nlnun rICDADTRACMIT TuIC r'nDV l'"W ( cI TICIr'ATC full ICT MtIT RC AI TCDCn IN AIUV RA AAIAIFDI
FINAL INSPECTION REPORT
IVM`Mir-E / MOOULA /
Town of Queensbury r
Building & Code Enforceme .'
.742 Bay Road
Queensbury, NY 12804
(518) 761-8256 .
ARRIVE:3.ID DEPART: ��J IN" �,i
f�
DATE INSPECTION REQUEST RECEIVE r: --
NAME: 1Gf4 ..
LOCATION: / 6 /u • '
DATE: C9--)1/f1.-. PERMIT# d/.70i
IOW
MOBILE HOME MODULAR HOME
FOOTINGS FOUNDATION _ BACKFILL_ FRAMING_
N/A YES NO
1. foundation support, pier sp-cing
per manuf. •
2. anchoring per manuf.,3. water line shut off — —4. sewer line support ®' feet — — —
5. heating crossover (dble •de) • grd.6. dryer vented outside . — — —
7. skirting ventilated _. — —
8. hot water relief valve piping rutside — —9. deck, porches, steps, railing . — — —
10. furnace/hot water operating — — —
11. garage fire proofing — —12. door closers — —13. plumbing fixture — — —
14. foundation insulation (if app1.1 — —
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:
FINAL INSPECTION REPORT
MOBILE / MODULAR
Town of Queensbury t j/!r.ei iil
Building & Code Enforcement
742 Bay Road /
Queensbury, NY 12804
(518) 761-8256 ligoor,...
ARRIVE: GtE DEPART: . INS'•Ar
--`
DATE INSPECTION REQUEST RECEI 9
r, • • 1
NAME:
LOCATION: I!` I
DATE: — PERMIT.# 7O L
J
MO ILE HOME MODULAR HOME
FOOTINGS FOUNDATION _ BACKFILL_ FRAMING
N/A , YES NO
1. foundation su , pier.acing i
—per manuf. .. _2. anchoring per ,• uf. .. . — —3. water line shut o —
4. sewer e suppo • e%! f t
5. heating(it s•s ver 01 • . 'de) off grd. —I / —
6. dryer Bien :, outs• e — /7. skirting vent :ted .... — ,✓—/ _
8. hot water relief valve p sing outside — ,1 //
9. deck, porches, steps, rat •g — , f/ —
10. furnace/hot water operat t',\) /
11. garage fire proofing I — —
12. door closers ✓ V —
13. plumbing fixture ". —— 4
14. foundation insulation (if appl').\.. _ —
15. smoke detectors _ —
16. final electrical 17. variance required —/ —
18. data plate okay — /1 —
19. mobile HUD seal okay -_ ✓ •
Model # LTC)14 - Serial#c- - 3 .
Manufacturer CO`A IA,c 7
Date of Manufacturer
OKAY TO ISSUE C/O YES /10
Comments:
i—ec L \ t. UpR- wc--it3 _.--
G-V. 11
FINAL INSPECTION REPORT
MOBILE / MODULAR
Town of Queensbury
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804 /"--)1
(518) 761-8256 /( /
i od�T1�ISP:L—/
ARRIVE: k V 4) PART: `\c+
DATE INS( T )*Q
CTION REQUESTRECEIVE/
NAME: 1�1 C '/ I
G, S C—all '(Y\c� •i Om..
LOCATION: -3ek `y--
DATE: \\ y PERMITT if
L J
MOBILE HOME MODULAR HOME
FOOTINGS FOUNDATION _ BACKFILL_ FRAMING
N/A , YES NO
1. foundation support, pi;r spa.' g
per manuf. — — —
2. anchoring per manuf. ...• — — —
3. water line sh.t off ... — —4. sewer line sup..rt t feet . — — —
5. heating crossove dbl'wide +ff grd. — — —
6. dryer vented outside .
7. skirting ventilated - — — —
8. hot water relief valve piping outside — — —
9. deck, porches, steps, railing — — —
10. furnace/hot water o.•rating — — —
11. garage fire proofin_ — — —
12. door closers — —13. plumbing fixture -
14. foundation insult ion (if appl.) — — —
15. smoke detector-
16. — —
final electrical — —17. va ce required
18. da plate okay !.1Arr . _ g ,
19. obile HUD seal okay k —
\Y�1a5
odel # '��� Serial #
f t`J(�1 a)0E-� \A
Manufacturer � *
�^L A cvl
Date of Manufacturer ki3\51
ct "/
OKAY TO 48 /O YES NO
Comments: J “\-(6`01 \
t
...,- —
,
1 -
1 # i
)..)
•
o
1- NOTICE
---c) FILE COPY . ANCHORING OF MOBILE HOME
FRAME IS REQUIRED PER
43 : MANUFACTURERS SPECIFICATIONS
. •,&..,
S
1 1 ,
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shout wArinato:c9
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MI viith air ootimentisio1 .
emit**Ineggitinci; . 4,p
BUILDING & Al 2 •/),(4.4,4T1- ladironsoyytwe kifit 1
REVIEWED BY 1.04... , ;aro i , tintevosoge. c _ ,
DATE ''*411rallinri 8 (iii-3 ((.8 m 0
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