98-347 +CERUIR C.A rM (JF OCCUPANCY
TOWN OF 4UEENSBURY
WARREN COUNTY, NEW YORK
July 15 98
Cate 19
to 98347
This is to certify that work requested to be done as shown by Permit No.
k ,
has been completed.
1979 MOBILE HOME
This structure may be occupied as a
LOT 177 HOMESTEAD VILLAGE
w
Location
RAVE ' S MOBILE HOMES
Owner
TAX MAP NO . 9 3 . - Z - 1 1 . 1 By Order Town Board
Director of Bldg. !fc Code l;nforcernent
BUILDING PERMIT
VA1 ,11►.: ► ,� TOWN OF +QUEENSSURY No. 98347
TAX MAP NO . 93 . — 2 - 11 . 1 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to RAVE ' S MOBI M S
OWNER of property located at
LOT 177 HOMESTEAD V I LLAA Street. Road or Ave.
in the Town of oveensbury, To Construct or place a 1 9 7 9 O I L I- OME
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.
t. OWNER'"S Address is
LOT 177 HOMESTEAD VILLAGE
QUEENSBURI NY 12804
2. CONTRACTOR or BUt Lt7E R 5 Name
RAVE ' S MOBILE HOMES
3. CONTRACTOR or BUILDER'S Address
331 ROWLAND STREET
BALLSTON SPAr NY 12020
4. ARCHITECT'S Name
NEW YORK BOARD
s. A7&VEV0K1t rff11AR.D OF FIRE UNDERWRITERS
6. TYPE of Construction — (Plesse indiceta by Xi MOBILE HOME
t I wood Frame ( l masonry l i Steel [ I
7. PLANS and Speoificstions
140'
NOX 70 ' MOBILE HOME AS PER PLOT PLAN SPECIFICATIONS
f . Proposed Use
1979 MOBILE HOME
3S June 24 2000
PERMIT FEE PAID — THIS PERMIT EXPIRES , 19
(It lunge Qu�n Is zbury iced a to ptication f r &odate extension must be made to the Building and Zoning inspector of the
tow24 Jana 1998
Dated at the Town of Queensbury this Day of 18
for the Town of Queensbury
SIGNED BY
Buiidirtp and anirp Inspaaor
'i
1€CVIEWED E3Y :
FEE VAID : �4
r'E c�RMrT NOO C"�-..-U.-�-3—; q
APPLICATION FOR PERMIT
MOBILE HOME OR MODULAR
A BUILDING PERMIT MUST 13E OBTAINED BEFORE PLACEMENT OF MOBILE IfOME .
No INSPECTIONS WILL ISE MADE UN141L A VALID BUILDING lJEftM1T 11AS BEEN ISSUEf} .
. . . . . . . . . . . . . . . . . . . . . .
The owner of tills property i s :
P . O . Address :
Property Location_ ��'►.7 �,�rlfi ���C1'ax Maly Na . J /
NAME OF APPLICANT : - -'' mow s�� _ C4y w�.cbJr� rbr.� i
Address of Applicant : X.0; a S to'
All applicants spaces or► tills appl Ica tIon MUST be completed arid tine
signature of the applicant MUST appear on the reverse side of this application .
P _ SON 111F, NSIBLE Volt SUI' ERVISI €IN OF WORK AS REGARDS BUILDING CODES :
1101 I LE IIol4C INFORMATION
7 A1J1'ROxlMAfE vnLtic OF ilaME : Z
New Home Yes 1� t (O
ZONING 1NFOi3MnTION :
Replacement 1lome es o
Size of Property : ft x ft•
Size of mobile home fLe,/- Ftx ?[eft
Existing 13uildrngs :
Sfn91ewide to/ Doublewide
No . of rooms ( exclude baths ) Proposed building- distance from property line :
Front Yard ft Rear Yard ft .
No . bedr001T1S Side Yards ft and ft .
No . of bathrooms '-� Occupancy information :
Primary dwelling . Yes No
Fireplace Woodstove
----� accessory BuiTding ( s ) :
Foundation style and size : Detached garage ( one car / two car car )
IltCached garage ( offs car / two car car )
fliers- No . of Size ft x `ft Storage building
other
Depth below grade ^� -f t
Foundation - Footing size { x "
Wall material Proposed date of placeruent :
Wall thickness." Height Water Supply : Well MunlciliaT
Total depi: A below gt-ade Ft . Septic permit required ?
Grade to lfome floor. level ft .
FURTIIER INFORMATION REQUESTED ON THE REVERSE: SIDE OF TI1IS SIIEET
NAME OF Iri5TAL1_LRJMO[lIl_l LIOME i7fA1_L" li : L ixfe4e.__
nD[�li[ ssJrlllClNL NUM> I rtkt- ,�'� �'`_.._ c� c
STATE OF NEW YORK DIVISION OF ILOt1S I NG AND COMMON ITY RENEWAL
INSIGNIA OF n11f'RCIVAL OF THE S'fATL I1il I l_b I NG CODE
1 . insignia serial mimber
2 . Name of Manufacturer _ / ( C?
3 . I' l ari Approval Number —.--
4 . Model or Componerr t Des l una t: i orr
56 Date of ManufucLure
All (Ale above I ti forma L i on 1 s to Ire fotnid on it 1rl it Le or s Li cker which
Should be affixed Lo Lhe Mobile 11011le . (.ompleLe above With l. haL iuforniaLlcan .
Town of 011eerish" ry st: aLe of New York
ComiLy of tdarreri
AFF 1 r)AV i 1'
I swear Lira t to the best of triy ktlowl edge and belief Lhe statements contained
in this aplrlIcaLIoil togeLlier, with the plans art €I siredfIcatio11s submiLLed
arc a t. raie and rornlrleLe si. aterrlent. of al l proposed work to be, crone oil the described lrreml ses and that: all 1) "W i s ions of I. hc� IIDI I D or shall
l= , Llu� 7pi led
ORDINANCE , and al 1 o Lher 1 aws 1re� rt.a In 11141 t. o Lire pt-olrosed work slra I ! be compiled
wI L1i , wire L lie r spec If Ied or not , and 1. 11a L such work Is artthol- i zeal by the owner .
Signature
Owner , �owtrer ' s agent , archiLecL ,
con Lractor
SPECIAL. CONDITIONS OF PERMIT :
Dy - - -
Crrile t=nforcetnen ! (} ff� cer
DECL ARAHON: Please sigit below after you !rave carefully rear! lire slatemerlt.
' I"o the best or ti-ly knowledge Ills slaiclncrrts c0ritaillec! in this application , togellier with the Mans
and speciftcatioris submitted, srre rr irua.'. arld contplcte statement of all proposed work to be clone oil
the described premises and that all provisions of the Building, Cocle, the Zot7irig Ordinance and all
other Laws pertaining to (lie prolxrscd work shall be complied with , whether specified or noiccl , and
that such work is authorized by lire owner. I-curther , it is understood drat Ilwe shall submit prior to a
Ccrfiitc,lic or Occupancy or Certificntc of ConrirliaLice being issued , an AS BUILT PLOT PLAN by
:r Iicenseci surveyor; drawn to sc:.rle, sharwirrg .rcfteal IOCi%1ion of lrrojcct orr lrrenriscs.
`iigoatorc:
(owner, owner's agen( , architect , contractor)
�11V,p►L IIVSgEC"1"IC>tt�1 r�lt;r�r�r-ic�r ,
Town of Queensbury
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12844
(518) 761-8256
ARRIVE: DEPART INSP:
Soo"
DATE INSPECTION REQUEST RECEIVED:
NAME;
LOCATION
DATE: ! ( PERMIT #
MOBILE HOD= MODULAR atom
FOOTINGS FC?UNDATION MCKFR.L _ G
N/A f NO
14 foundation support, pier spac' /
per tru uuf.
24 anchoring per manuf. .. .. . . . .. .. _
3. water line shut, off . . .. .. .1 . » , » . .
4. sewer line support a 4 feet
5. heating crossover (dblewide) o /
6. dryer vented outside . .... .. .. .. . .. . __._,�`
7# skirting ventilated
8, hot water relief valve piping outs, y
9. deck, porches, steps, mling . .. .»... _
LO, furnace/hot water operating .. .» .. , .
11. garage fire proofing . .. ..... .. .. .. .». _
12. door closers . .. .. .. . . . »» .. . .. .. .. .. ..
13. plumbing fixture . ... .. .. . .
14w foundation insulation (if appl.). . .. .
15. smoke detectors
16. final electrical l.Lf . ` :1
17. variance require. .. .» .» .... . .. .. .
18* data plate okay
19. mobile ]IUD veal okay . . . . .. .. . . ...
Model # serial # <A If*0 VA to
Manufacturer A5T
Dane of Manufacturer 7
OKAY TO ISSt�l
C/O YES q NO /
c �•n• ts
f`* mac' ►�'�' �'�C---��r �" .'��cx.G � �,
i
Fl AL fN�SPEGTfOIV FIEP�IRT '�
�MpB1lLd6 / M�p1J LAA ,.r-y��, '�
Tawas of queensbury C�
Building & Code Enforcement
742 Say Road
aueensl3ury, NY 12804
(518) 761-8256
ARRiVE DEPART'
-
DATE 1NspiEc oN REQ'JEST RLCEIVED'
Is
NAME:
L.10CAT1aN: �'" '
#
96
DATE.
�t0 g HOME
+D,&,.LIE Ii01Mi 1 g grIING __
V-00TINGS NDATI()N - SA+ F --
N;A YF-S "40
su rt, pier spacing _
1 . fa pea uf. f
2. anchoringPer
uf.
3, water line s}tut ° � 4 feet . , . . .
4, Sewer love su --
5, heating crossover dblewi,de) o �-
dryer vented outs' .. . . . . . .. off
-
skirting ventilated ing 0 ide ✓
g, hot water relief vat PIP
rchesI steFx railing . . . . .. .
9. deck. �' akisxg
to furnacefdtOt water
l l . garage fire proofing .. .. . . . . ;I .
12. doox closers . . . , . - . ..
1 Plurntxing fixture ., . +
.1
foundation insulation (' PP - ar �-
15- make detectors . .. . . . .. . . . �- s�
6. final electrical ... .. .. --
17. variance regx red . . .. .. .. _-
18. data plate okay .. .. . . .
14. mobile 14UD seal kay .. .. .
1 #
Model #
Manufacturer
Date of Manu Curer ___- ----
�,E NO
OKAY ISS13 E CIO
fr d� G III'
Comments. C
�1N 4 1
MOIIl�L� ! MOC1f.�'v�AR _�
'own 0i QueensburY
Bullding & Code Enfarcemer+t
7422 Bay Road
Queensbury, NY 12W4
(518) Bi-8255 l s�
I�ARRIVE- - I� ,
DATE iriSpEC'i or4 RpQI3F.ST RECEIVED:
,� YEg,p,3IT # "'"
DATE: '- "
Mp ?LAltit
MOSTLE B H01"OMB FRAMING
FOOTMGS .. FOUNDATION _,_ 11111111111
BACKFIS-L .�
NIA YES Nd
1. r manu
st ur spaclog
.. . .
2. ,anchoring per ---
3. water line shut,off . .. .. .. . .. .. . . .. .. . �- --
4. sewer line support 4 feet --
S. 1wa�g crossover (dblewide) off grtl '
6. dryer
outside7. .,ling + . outside
owae aping
$.
9. deck, porches, steps+ railing -- _
10. furoace/hot water Operating _-
11, garage fire prc7ofin$ . ... .. . .. .. .. . ... �- -`
12, door closers .. .. . .. .. .. . ..
13. plumbing fixture
ion Cif appi.)
14. foundation � ---
15. smoke detectors ... .. . . . .
16. final electrical .. ... �-
1'1. variance required . ..... .... . .. .. ..
..... .... . .is. data plate 11"y okay.. .., .. . .. .. .. .. ..
19. mobile HUD seal
. .. .
Serial #
Model #'?� .L
Mannufacturer !>
i Date of Manufacturer
OKAY TO ISSUE CIO
YES NO
Cots:
f
J jz
r
No
W1 � a � s rrl
N