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98-357 CERTIFICATE C]1F OCCUPANCY TOWN CAP QUEENSBURY WARREN COUNTY, NEW YORK August 5 98 Date 19 IY 98357 This is to certify that work requested to be done as shown by Peen it No, i has been completed, MOBILE HOME This structure may be occupied as a LOT 137 HOMESTEAD VILLAGE Location Owner GOLDEN , THOMAS /'BENACK , NANCY TAX MAP NO . 9 3 . - 2 - 1 1 . 1 By Order Town Board TOWN OF QUEENSSVRY Director of Bldg. do Code Enforcement BUILDING PERMIT VALUE $ 20000TOWN OF QUEENSBURY No 98357 TAX MAP NO . 93 . — 2 - 11 . 1 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to GOLDENx THOMASIBE-NACH r NANCY OWNER of property located at LOT 137 HOMESTFaAD.-YVaTTLALAGE Street, Road or Ave. in the Town of Queensburyy, To Construct or place a NOZZLE HONK-- 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. O WNE WS Address is LOT 137 HOMESTEAD VILLAGE QUEENSBURY , NY 12804 2. CONTRACTOR or BUILDER'S Norte GLENS FALLS MOBILE HOME INC . 3. CONTRACTOR or BUILDER'S Addrsu 39 SARATOGA RD GANSEVOORTr NY 4. ARCHITECT'S Name COMMONWEALTH ELECTRICAL AGENCY S. A$VI� to HAGUEr NY 12836 6. TYPE of Cortstructian — tPlaasa indicate by X1 MOBILE HOME 4 1 wood frame 11 Masonry t l Stael t 1 'T- PLANS and Specifications 112po. sq = t MOBILE HOME AS PER PLOT PLAN SPECIFICATIONS a. Peoposad Use MOBILE HOME 41 July 7 2000 $ PERMIT FEE PAID — THIS PERMIT EXPIRES 19 111 a longer period Is required an application for an extension mvat be made to the Building and Zoning inspector of the town of Civeensbury beforo the explration date.) 7 July 1998 Dated at the Town of Queensbury this Day of 19 SIGNED BY for the Town of Queensbury Bvilduq and Zoning 1 napeetar WN CAI" 0 U ;LM B U I? Y REVIEWED BY : FEE PAID : $ PERMIT NO . APPLICATION FOR PERMIT MOBILE IIOME Oil MODULAR A BUILDING PERMIT MUST BE OBTAINED BEFORE PLACEMENT OF MOBILE IIOME , NO INSPECTIONS WILL BE MADE UNTIL A VALID BUILDING PERMIT IIAS BEEN ISSUED . The owner of this property i s : < i2c - L_ P . U . Andress : 29n&X�!! 1e laone Number�e '42 2- ( /0<f) Property Location Tax Mal) No , / / NAME OF APPLICANT : Address of Applicant : All applicants spaces oil 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 IIU I LD I N(RAPS$ MOBILE 11014E INFORMATION APPRUX 1MA IF VALUE OF 1IUME : $ New Home Yes No / ZONING INFORMATION : Replacement Ilome � No I4 C1 Size of Property : ft x ft Size of mobile dome Kftx / Existing Buildings : Singlewide - ram Doublewide - � Now of rooms ( exclude baths ) Proposed building- distance from property line : -�_. Front Yard ft Rear Yard ft . No . bedrooms Side Yards ft anti ft , No . of bathrooms Occupancy Information : Primary dwellings Yes No Fireplace Woodstove Accessory Building ( s ) . Foundation style and size Detached garage one car / two car car ) : Attached garage tone car / two car car ) Piers-No , of Size ft x Mft Storage building Other Depth below grade ft Foundation- Footing size ° x " Proposed date of placement : Wall material 6w srr-�R=� Wall thickness " height " Water Supply : Well Municipal Total depth below grade ft . Septic permit required ? Grade to Dome floor, level ft . FURTHER INFORMATION REQUESTED ON THE REVERSE SIDE OF THIS SIIEET . C NAME OF INSTALLER/MOIIILE IIOME DEALER : 1�1 '�rO ,.J] � qma4=a ~ , ADDRESS/ PlIONE NUMBER STATE OF NEW YORK DIVISION OF MOUSING AND COMMUNITY RENEWAL INSIGNIA OF APPROVAL OF TIIE STATE BUILDING CODE 1 . Insignia serial number 3y [ Q u3 � 3^ 6 ? . Name of Manufacturer to 3 . Plan Approval Number _ _�3 , ] -- 4 , Model or Component; pesignaLIon 5 . Date of Manufacture All the above i n formation is to be round on a plate or sticker which should be affixed. to the Mobile lloi4te . CougrleLe above with that lnforruatione Town of Qtieensbury State of New York C o u p LiW t 14 r0e0o AFFII3AVIT I swear that to the best of uty 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 Uq. 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 , artci that such work Is auLhorizect by the owner . Si gna Lure Owl Ic: r , owner " s agent , architect . contrac: Lor SPECIAL CONDITIONS OF PERMIT : 13y Code CnforcenieiiL 0 f f i c e r DLCL ARAT7ON.• Please sign below after you have carefbily read the statement. `1'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 dome 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. l"urther, it is understclotl that I/we shall submit prior to a Certificate of Occupancy or Certificate of Compliance being issued, an AS BULLT PLAT PLAN by a licensed surveyor; drawn to scale, showing actual hio ation of project on premises. Signature: (owner, owner's agent , architect, contractor) F � Y T O WIC OFQ U E E �`�T,S B UR 1 742 BAY ROAD, QUEENSBURY, N.Y. 12804-9725 (518) 745-4400 PROCEDURE FOR PLACING AND OCCUPYING A MOBILE HOME OR MOF2ULAR HOME 1 . Application is submitted and reviewed . 2 copies of plot plan and 2 copies of layout must accompany application , along with septic application if needed and electrical inspection application . 2 . Permit is issued . 3 . Permit card is placed on property . 46 coating forms are inspc cted before pouring concrete . 5 . Foundation or piers are inspected before backfill . 6 . Home is placed on foundation or piers . 7 . Septic is inspected , if needed . 8 . Final inspected of electrical connections by approved agency . ( This includes pole to pole and pole to box . ) 9 . Stairs and Platform covering door width and door swing with handrails on both sides of platform and stairs are required for all exterior doors . lfl . Final inspection by Building and Codes Department . Certificate of Occupancy issued - home may be occupied "HOME C7F NATURAL SEFAUTY . . . A 0000 PLACE TO LwE" SETTLEL , :-53 ANAL 1NBP�CTI+ON t�[EPt�11F'�"f' MC7113ILH f Mpp1.lLAR Town of QueensburY Building] & Code Enforcement 742 Bay Road Queensbury, NY 12904 (518) 761-8256 ARRIVE: ]��7 DEPARTi : ]kj:1:j.5 NSP- DATE INSPECTION REQUEST RECEIVE NAME. P LOCATION: P # DATE: MOBILE HO 'E MO HOME NO£]ri'€NtC's L3NDATION BA MAM1NCr NIA YES NO 1. foundation pier sPHCMg per rnanuf. r 2. anchoring per uf. -- 3, water line shut, o q, sewer line support 4 feet .. .. . 5. heating crossover ( lewide) off 6. dryer vented. outside ... . . .. .. .. .. . .. 7. - skirting ventilated a g, hat. water relief valve p ide 9. docko porches, steps, ,10. furnace/h(A water opera 11. garage fire proofing .... .. f 12. door closers . .. . .. .. .. .. .. . .. . 13. 14, pfouu insulation (if a l.}, - —yI/ ~- 15, smoke detectors .. ...... . . —�fl 16. final electrical . .. .. . . ... 17. variance required 19, data plate okay 19, mobile HUD seal 0 .a -- Model # Serial # Manufacturer Date of Manufacturer N OKAY TO IS � CIO YES � Comments: �j F11VAL 11VMPWCDT1C r4 IFattEIF*�trtrsT M081LIE / MC30ULrAR Town of Queensbury Building & Code Enforcement 742 Bay Road Queensbury, NY 1 (518) 761-8256 ARRIVE: DEPART_ NSP - DATE INSPECTION REQUEST CEIV NAME: { 1OCATION: 1417 DATE: PERMIT # MOBILE 110M8 lA1{f 140MB FOOTMGS FOUNDATION SACU711 t FRAMING IA YES NO 14 foundation Support, pier per rnanuf. .. . 2* anchoring per manuf. . .. . . , .. . . . . 3, water line shut, off .. .» .. .. . . . . . . .. .. 4» sewer line support 0 4 fleet » . $, heating crossover (dblewide) o 6. dryer vented outside . ... » . .. .. .» .. . . .. 7. skirting ventilated _ 8» Dart wafter relief valve piping ou 9, deck, patches, steps, railing . .. .. ,10» furnace/hot water operating 11. garage fire proofing ., ». W. .. . ». . 12, door closers .. .. . .» .» »» . .. .. .. .. . . .. . — — 13, plumbing fixture .. .. .. .. 14, f6undatioan insulation (if a ).. .. .. 15» sntake detectors .. », .. .», .» »» . . . .., .,» 16. final electrical .. ».... .» .. .. .. .. .. .. .. 17, variance required .. . .. .. .. I .. . . , ., ., . ~_ IS. data plate okay .»..» »»... . .. .. ., .» . 19. mobile HUD seal okay » .. ... .. .. .. . Model # Serial # Manufacturer Date of Manufachtrer OKAY TO IlziiL]E C/O YES NO Comments: wlw,a.0 �t�sv c�r�or a vFs r MCMILMS ,r rnoouvl.1 Town of dueensbury Building & code Enforcement 742 Bay Road QueensburY. Ny 12804 (516) 76143256 A,gR1YE: DEPART: )ZM INS d DATE INSPI?CTfCtN REQUEST RECEI NAME: nr�r 1L.. CATION: PERMIT # DATE: 77 "OsILE 140m t /FOOTINGS J FOUNDATICIN � BAC"KF113 FRAMING N YES NO 1, famwation su p°rt' r spa -- per manuf. . .. .., ,. .. . � - 2. anchoring per manuf, g, water line shut, off . .. f sleet s .. ..... 4, sewer line upQort -- g, heating crassov (dblewide) off 8rd•. . J 6. dryer `' �- 7• stet relief valve piping outside rading k��watersr open ra �Ta O. ~- 13. phunbulg re fL 4. foundation insulation {if appl.} 4z . . ... . IS, stroke detectors . .... . ., --/ �- 16. final electrical 17, variance required ... .. . . . . . .. .. . . . -- 1s. data plate okay 19. mobile 'HUD sea' okay . . . . .. Serial # Model # b4anufatturer Date of Njanufacturer OKAY TO ISSUE C/o YES NO comments: MO13111 fE / MO1rJ11JLAR Town of QUOGnsbury Building & Code Enforcement 742 Say Road Queensbury, NY 128U4 (518) 7611-82.56 ARRIVE: DEPART: INSP- DATE INSPECTION REQUEST RECEIV f F NAME: LOCATION: DA E: PERMIT # MOS1I.8 I10fk1B MO1'►'L1LAM 19 0rME FOOTINGS FOUNDATION BACIMLL � FRAMING NIA YES NO 1. frnllldaiio[1 support, Pier Spacing V _ per manuf. ... .. .. .. ... .. .. ... . 2, anchoring per rnanuf. .. .. . — 3. water line SITt, off ✓:/ 4. sewer lines rt � 4 t 5. fleeting crosso r (dbl de) off J 6* dryer vented 7. skirting ventilated 00000, is. hot water relief piping outside 9. g8 garage fire proofing ... .. ... .. .. .. .. .. -- 1 12. door closers . . .. .. .. . .. .. .. .. . .. .. .. . , 1 13, plumbing fixture .... .. .. ... .. .. .. .. . .. — f 14, fpumiation insulation (if app1.). . . .. . 15, smoke detectors Q.. .. .. 0 .. .. .. ... . . -- 16. final electrical 17. variance required .. .. .. ... .. .. . . .. 18* data plate okay �- 19. mobile MD seal okay . . . .. .. -- Z`�L, � Model # —s -r, '3{�(n Serial # � �-- Manufacturer 4 uk. �zvo Date of Manufacturer OKAY TO ISSUE CCO YES NO Con rents: l E�JL� d� ter-"'.rc5 br5� �,��'�r'1 pe>e7P� ,► AN t1 FINAL llyp�CTlt�frif �!t$FytFi I M C201LIM / IV C3C3ULAR Town of ©ueensbury Building & Cade Enforcement 742 Bay Road Queensbury, NY 12804 (518) 761-8256 ARRIVE: % r- . PART: = N P: DATE INSPECTION REQUEST RECEI NAME. -' LOCATION: DATE: PERMIT 1►soleun E HOME lM[ODXYLAR HOME 7 A pooTINGS FOUNDATION _ BACKFUJ- FKt ING N/A YES NO 1, foundation , p1er` spacing per tnanuf. .. -- 26 anchoring per rnau 3. water line shut, off 4. sewer line s 4 fee .. .. .. . 5* heating erosso r (dblewide) off grd. 6, dryer v outside .. .. .. .. ..... .. .. .» .. . 7. . skirting. t;lated. . .. .. .. . .. .. .. .. .. . . 84 hot water relief valve piping outside 96 deck, parches, steps, railing .., . ., .. -- 14» furnaceThot water operating I I. garage fire proofing . ... .... .. .. ... .. . 12. door closers . . .. .. .. . .. ». .. .. ... .. . . .. . j 13» plumbing fixture . .. .. .. . .. . . .. .. . . ... . 14. foundation insulation Cif appl.). . . ». . — -- 15. smoke detectors 16. final electrical , ». .. .. ... .. .. .. .. .. .. .. j17. variance required ... .. .. .. .. .. . . . . . .. . i 1g, data plate okay ..... .. .. .. . . ... .. .. .. . -- 19. mobile HUD seal okay . . . . .. .. .. .. .» Model # :&84 1 1A "xda Serial # L"► �C C! —0 Manufacturer Date of Manufacturer I OKAY TO 1SS10E CIO YES Comments: '`'�- rC%x► ,T DINING i .. I [ LMING THIRD L l !I- L I _ I I- L_ l ROOM BOOM SECOND I l l - _ .. L_ l. _ l _ L. I t BEDROOM - - 1-- L- 1 _ Ll._ L- ; l L +s•-5' 1s' -r-- - _ e=i' . rr•_ti' +a--c s -rcr . I -L 1. i _ l .- I l-. I_- I_- �T��- cEIUNG STANDARD "'— MASTER _ I.- E [ THROUGNGur BEDROOM , 11,I el KITCHEN 1. f{ fLWLIM I 3BR, 2BA, FRONT CORNER BATH MW167002 won" I � + or MOW umalsop TOWN Of QUEENSBURY BUILDING DEPARTMENT WOLNUM Based on out limited examination, compliance with our comments shall I j I $ ' � ' �( riot be construed as Indicating the f L- !-L L j I l . l . Tnpiiance W �• MASTER _ L_ E l_&NI NG__ I F2001r1 THIRD R8 Il l_ L ! R -Y e -xL .°CEO.. \ LMNGG BEDROOM 14•-s . 1+ -r BEDROOM _ — ". •••— _ _ - - "l— - r�_ CATNEpNAL GEIUNG STANDARD _ _ L - SECOND THRavG[40u L BEDROOM KITCHEN _. L_ raw a e'-11" t 74-r 1 r 1 3BR, 2BA, CORNER OVAL TUB MINI 68037 5 + # i I � ! Il In l _ L._ I— LL— �_ !— �._ [ . - DINING ' --- --- I_ � t. . l- . . . ! . l LIVING a, ? ! , l . ROOM THIRD ... I_. f x"-v r,r•-r BEDROOM ILI L ( 7 CATHEDRAL CEILING STANDARD 5 ; 1 R I_ L __ l_ L, , TMNGu.r. L._ L SECOND , , - FOl1R1T1 L- i.- L. :- I I L BEDROOM BEDROOM BEDROOM fo•-11 rz -S II'�- �KrrCHEN - I L_ -_ 0•-A^ . 14'-r 4BR, 2BA, TWO FRONT BEDROOMS MW 168062 . . . . . t i 'p j ILx r