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97-051 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBU.RY WARREN COUNTY, NEW YORK February 26 99 Date 19 role 97051 This is to certify that work requested to be done as shown by Permit No. , has been completed, 14 FT. BY 70 FT. SINGLE WIDE, MOBILE H. ME This structure may be occupied as a LOT 168 HOMESTEAD VILLAGE Location FARR, JEAN Owner TAX MAP NO. 9 3 . —2—11 . 1 By Order Town Board -TOWN OF QUEE SBURY Director of Bldg. & Code Enforcement BUILDING PERMIT VALUE $ 0 TOWN OF QUEENSBURY No 97091 TAX MAP NO. 93. -2-11. 1 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to FARR, JEAN OWNER of property located at LOT 168 LUZERNE RD. Street,Road or Ave. in the Town of Queensbury,To Construct or place a 14 FT. BY 70 FT. SINGT,F WIDE MOBILE HOM 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. dATER'S Address is OF MOBILE HOME LOT 168 LUZERNE ROAD HOMESTEAD VILLAGE MH QUEENSBURY, NEW YORK 12804 2. CONTRACTOR or BUILDER'S Name GLENS FALLS MOBILE HOMES , INC. 339 CSARAACTOR TOGA or BUILDE ROAD R'S Address ANSEVOORT, NY 4. ARCHITECT'S Name NEW YORK BOARD 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) MOBILE HOME ( 1 Wood Frame ( 1 Masonry ( I Steel ( ) 7. PLANS and Specifications 14 FT. BY 70 FT. SINGLE-WIDE MOBILE HOME (REPLACEMENT HOME ) AS FER PLOT PLAN AND SPECIFICATIONS 8. Proposed Use 14 FT. BY 70 FT. SINGLE WIDE MOBILE HOME 35 March 3 1999 $ 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 Queensbury before the expiration date.) Dated at the Town of Queensbury this 3 Day of March 19 97 SIGNED BY for the Town of Queensbury Building and Zoning In or r • , FEB 241997 �4 .[ O WN OF Q UEI�NS I3 0,,itY4 u . :._::.::. p'." REVIEWED BY: FEE PAID: $ \73 PERMIT NO. q — ® 57 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. nt The owner of this property is: Vid4-61-ffi.ej (1,4,112.1,4"Ir* P.O. Address: "A. + Phone Number Property Location Tax Map No. / / NAME OF APPLICANT: Cp _!4KAJA.K Address of Applicant: -f( 5 ! ,t.&2_. : 4 ' 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: $ J/ New Home Yes m ZONING INFORMATION: Replacement. Home, Ye No Size of Property: ft x ft Size of mobile home ) ftx.70ft Existing Buildings: Singlewide ✓ Doublewide 1 •_ No. of rooms (exclude baths) 5Proposed bu'i�din!-di.t nc;,. from property line: Front Yard ft RA r Yard ft. No. bedrooms -j Side Yards ��� s ft a ft. 11, /?� Occupancy I, fo atiin: No, of bathrooms Primary dwe ling: es 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 —" Oilier Depth below grade ft * * * * * * * * * * * A. * 44, * * * Foundation-Footing size " x ." Proposed date of placement: Wall material Wall thickness " Height " Water Supply: Well 'Municipal Total depth below grade ft. ' 'Septic perntit required? PO Grade to home floor, level ft. FURTHER INFORMATION REQUESTED ON THE REVERSE SIDE OF THIS SHEET • NAME OF INSTALLER/MOBILE HOME DEALER: — .r14104? ADDRESS/PHONE NUMBER . STATE OF NEW YORK DIVISION OF HOUSING AND COMMUNITY RENEWAL INSIGNIA OF APPR�OF TII E STATE BUILDING CODE • 1. Insignia serial number <S'ItG) 54)6 "hi 2. Name of Manufacturer ,`4Ar; ��Cy//.�� 3. Plan Approval Number 4. Model or Component Designation • 5. Date of Manufacture lCf 7 All the above information is to be found ,on a plate or sticker which should be affixed to 'the Mobile Home. Complete above with 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 application, 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 complied with, whether specified or not, and that such work is authorized by the owner. Signature Owner, owner' s agent, architect, contractor SPECIAL CONDITIONS OF . PERMIT: • By Code Enforcement 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 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 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) FINAL INSPECTION REPORT (MOBILE f MODULAR -50 Town of Queensbury Building& Code Enforcement 742 Bay Road Queensbury, NY 12804 (518) 761-8256 ARRIVEX(DEPART: )w3tNS DATE INSPECTION REQUEST RECEIVED NAME: (70 Y c--NC LOCATION: oLY, -GI'� ))p DATE: -3, ! PERMIT#9±_ MO ILE HOME MODULAR HOME FOOTINGS _ FOUNDATION _ BACKFILL_ FRAMING 1 / N/A , YES NO 1. foundation support, pi space per manu — — 2. anchoring per — — 3. water line shut —4. sewer line sup rt c 4 feet 5. heating cross er (dblewide) off grd. — 6. dryer vented utside ..s _ — 7. skirting ven' ted _ — 8. hot water r ief valve piping outside _ / — 9. deck, porches, steps, railing — / — 10. furnace/hot water operating — 11. garage fire proofing — — 12. door closers /13. plumbing fixture _ J 14. foundation insulation (if appl.) 15. smoke detectors — 16. final electrical .— 17. variance required �t — 18. data plate okay 19. mobile HUD seal okay — t Model # Serial # • Manufacturer Date of Manufacturer OKAY TO ISSUE C/O YES NO Comments: 5/4-05 FINAL INSPECTION 9RIEfplopit-r MOBILE / MODULAR Town of Queensbury Building &Code Enforcement 742 Bay Road Queensbury, NY 12804 (518) 761-8256 • ARRIVE: DEPART://_6 INSP:.�7i�� DATE INSPECTION REQUEST RECEIVED: NAME: e_ LOCATION: 76e 'ove l e- i0 VI DATE: .7/5-- PE' IT# G�7-o61 MOBILE II€%ME MOD • : R HOME FOOTINGS _ FOUNDA ON _ BACKFI'.i _ FRAMING- N/A YES NO 1. foundation support, pi•r spacing per manuf. — — — 2. anchoring per manuf. — — — 3. water line shut,off — —4. sewer line support ®4 --t — — — 5. heating crossover (dble aI•) off gr+. — — — lJ dryer vented outside ... — — — 7.• skirting ventilated — — — 8. hot water relief valve pipin;.outsi - — 9. deck, porches, steps, railing .... .. _ — — 10. furnace/hot water operating . .. ... — — — 11. garage fire proofing — — — 12. door closers — . — — plumbing fixture ... ...... . ... . — foundation insulation (if appl 15. smoke detectors 16. final electrical — 1 17. variance required _ — 18. data plate okay — — — 19. mobile HUD seal okay . — — Model # Serial# i Manufacturer Date of Manufacturer t OKAY TO ISSUE CIO YES N o Comments: ��N 1,4 Gig Cat_ tiSk--C. IT) 0S� �-vUi -t•'oL� -r 1�,�F l (1-0 12 ILL 7 FILIAL INSPECTION REPORT MOBILE / MODULAR ti Town of Queensbury �36 G► Building & Code Enforcement • 742 Bay Road Queensbury, NY 12804 (518) 761-8256 ARRIVE:?. u DEPART:/ ! INSP: ��✓ DATE INSPECTION REQUEST RECEIVED: I) 161477 NAME: Ta '35G LOCATION: DATE:f IDkel lit )q� 2t 7PERMIT# q 7'"06-I MOBILE HOME MODULAR HOME FOOTINGS FOUNDATION _ BACKFILL_ FRAMING N/A . YES NO 1. foundation support, pier ac. per manuf. _ 2. anchoring per manuf.. .. ... ........ 3. water line shut off 4. sewer line support @ 4 f r✓ _ 5. heating crossover (dbjewi e) o,f g _ 6. dryer vented outsider (4LPl 7. skirting ventilated 8. hot water relief valve iping outside 9. deck, porches, steps railing 10. fumace/hot water rating — 11. garage fire proofing — — 12. door closers i/ �� 13. plumbing fixture 14. foundation insulation (if appl.) 1 _ 15. smoke detectors 16. final electrical 'i./? .G7.....!a! 17. variance required 18. data plate okay 19. mobile HUD seal okay Model #1 v►Mo '1\4cl Serial #C01 I6 ` 06A Manufacturer VL L \f'k (LC Date of Manufacturer /0 /1) /76 OKAY TO ISSUE C/O YES NO Comments: Veg-r' AW/Z T�(QU 5 Kt 2T 6G.CO 46-0) 4N6r.to2 t Lc j 5 ri•- c42 ��INAL INSPECTION REPORT MOBILE / MODULAR /, ,ciw/ki Town of Queensbury 10 1 Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 (518) 761-8256 , ARRIVE: DEPART:/:0 INSP: /!`- V. DATE INSPECTION REQUEST RECEIVED: - 7 NAME:\CA\C,C `e)„,(9Arl'1 LOCATION: O2 }i� 1 C O 4i hfril ---;-6,C? DATE:CO'--fa J '7 PERMIT# -05/1 MOBILE HOME MODULAR HOME FOOTINGS FOUNDATION _ BACKFILL_ FRAMING N/A • YES NO 1. foundation support, pie `spacing per manuf. 2. anchoring per manuf. ... 3. water line shut off .... .... 4. sewer line support @ 4 feet 5. heating crossover (dlewide) off grd. 6. dryer vented outsi.e 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 3jul.l'7....4/) 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: A % 'To-, A)o i lkJ��� / ci C-41rU(Ati-% �Ff15 orr(cC ' 4 ,0/fiiz-z-il 03/03/1997 09:21 5187982803 GLENS FALLS M M HOMS PAGE 02 P)'CIL" PieCF/Li or-R iNdo-wup tiz4o L67-- 1 19 \.13 c)kg3 A \IV-2--130c0-1 • E COPY QUENSJRV PT. REVIEWED BY DATE viosaa•ase Qfp(4&egitedt)7 FEBEXiSpikici _ ..:; ' . . . , ....,....„ , . ,.- .--_, 1 i 24 pg7) (9 1. ‹..._ 3..sii-- - `4,4,, ZL --, -f- ---> I L, r"? APPROVE )," . Application FEB 2.8 p,--':( Zoning A§rninistrator TOWN OF QUEENSi3URY _ . jr V , ' . . .. ._______ 7—.,_____„— • . \ii . 36 - - _ U