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98-446 CERTIFICATE OF OCCUPANCY TOWN Of +QUEENSSURY WARREN COUNTY, NEW YORK August 20 98 Date l9 -y- 98446 This is to certify that work requested to be cone as shown by Permit Na. has been completed, MOBILE HOME This structure may be accupied as a -- :72�-IUME STEAD VILLAGE VvA ,r� ..,r * m WX Location Q� 1 '� WELCH r MELISSA/BROWNr BEN i3+vt+er TAX MAP N© . 9 3 . - 2 - 11 . 1 By Order Town Board 1rOwN OF QUEENSBURY Director of Bldg. 6c Code Enforcement _.� BUILDING PERMIT VAI.#3E s 30000 TOWN OF QUEENSBURY N4. TAX MAP NO . 93 . - 2 - 11 . 1 WARREN COUNTYa NEW YORK PERMISSION is hereby "granted to WELCH OWNER of property located at LOT 52 HOMES AGE Street. Road or Ave. in the Town of Oueensbury. To Construct or place a at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliar+ce with the Town of f]ueensbury Building and Zoning Ordinance. t. OtYNER'S Address is LOT 51 HOMESTEAD VILLAGE QUEENSBURYr NY 12804 2. CONTRACTOR or SU1LDER S Name GLENS FALLS MOBILE HOME INC . rAddl I S1 TOGA L RD �NSEVOORTr MY CFteTECT'S Name COMMONWEALTH ELECTRICAL AGENCY BOX 5. l1 HAGUEr NY 12836 6. TYPE of Conser4crion — iat.rsr india.te by Xl MOBILE HOME I Wood Frame ( I masonry l i Steel [ l 7. PLANS and Spilliccstions 1056NSQ FT MOBILE HOME AS PER PLOT PLAN SPECIFICATIONS 8. proposed Use MOBILE HOME 41 July 27 2000 S PERMIT FEE PAID -- THIS PER MIT EXPIRES 19 _ to the Suiidkq and Zoning in'lPfceor of the [tf ttownn of�n is sburyubefore tie application lxtanaion mr»l be made 27 July 1998 _19 Gated at the Town of Uueensfaury Day of this for the Town of Queensbury SIGNED BY guitdirq and ton no I REVIEWED UY . FEE PAID . $ 0� ~ PERMIT NO . "7 9 APPI. ICATIOH FOR PERMIT MOBILE HOME Olt 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 . 0 * \ 06 woo The owner of this property iso elmL` �! f 'q f" _ -- P . O . Address : W ��WAjj�- / �u ��:Ir%Td 4 Phone Number` Y2 :�2-Aro D Property Location S ax Map No . NAME OF APPLICANT : SsC r�1 ) ! S { L fC(. - � c�c--.• Address of Applicant : 4V W'4� `5 •� 1 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 BUILDING CODES : MOBILE HOME INY40WTION APPIROXIMAfE VALUE OF IIUME : $ rJ New Iloine Ye '� No ZONING INFORMATION . Replacement Home (es )N�o Size of Property • ft x ft Size of mobile home ftxft Existing Buildings . Singlewide Doublewide �� - Proposed building- distance from property line : No * of rooms ( exclude baths ) ` Front Yard ft Hear Yard ft . No . bedrooms �j Side Yards ft anci ft . No . of bathrooms Occupancy Information : Primary dwelling . Yes No Fireplace • iWoodstove Accessory Building ( s ) Foundation style aril size , 'Detached garage € one car / two car car ) Y , Attached garage one car" / two ear car ? 'Piers- No . of Size ft x FL Storage buildingOther Depth below grade ft Foundation- Footsnq size x _" Proposed date of placement : Wall material Wall thickness " lleight " 'Water Supply : Well Municipal Total depth below g.rade ft . Septic permit required ? ^ ' Gracie to home floor. level ft . FURTIIER INFORMATION REQUESTED ON TIIE REVERSE SIDE OF T11IS SHEET NAME OF INSTALLER/MOBILE IIOME DEALER : ADDREss/PIJONE NUMBER STATE OF NEW YORK DIVISION OF HOUSING AND COMMONITY RENEWAL INSIGNIA OF APPROVAL OF TILE STATE RO I LD I NG CODE 1 . Insignia serial number � 1 [ I' 2 . Name of Manufacturer ;. p - 3 . Flan Approval Nrnnber 4 . Model or Component Designal. imi 5 . Date of Marro Fac tt, re All Lite above Information Is to be found on At plate or sticker which should be affixed, to Lire Mobile Ilome . Complete above: with that inFormaLiori . Town of Qtieenstiiiry SLat.e of New York Coiirrty of Warren AFFIDAVIT I swear that to the best of my knowledge anti 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 HOILDING CODE . the ZONING ORDINANCE , and all other laws pertaining to Lire proposed work shall be complied with , whether specified or not , and that such work is aiiLhorized by tine owner. Signature Owner , uwrrern S agunt , architect , contrac Lor SPECIAL CONDITIONS OF PERMIT : fly Chile irn fiircemen t "f cer DECL.ARA770N.0 Please sigh below gfier ynrr have carefully read ilxe statement. To [tic best of my knowledge tine sttrlenrer}ts contained in this application, together with the plans and specifications submitted, are a true and comple ft statement of all proposed work to be done on the described premises and that all provisions r the Building Code, the Zoning Ordinance and all other taws pertaining to the proposed work shalt be complied with , whelber specified or noted, and that such work is authorized by the owner. I 'urther, it is underslotxi that Ilwe shall submit prior to a Certificate of Occupancy or Certificate of Ganrplhince being issued , an AS BUILT PLOT PLAN by a licensed surveyor; drawn to scale, showiizg actual locatiom of project on premises. Signature: (owner, owner's agent, architect, conlrlclor) NlllCtueensb"ry�� Town dt F,rdorcom6n,, 1 Buildlrrg A2 Bay Road NY 12804 Queensb,8 g u 1-825r? �(�•,1 lI3SP pRRT�• --_-_� IV E� I7rA£E tNSPECnot4 PPQU NwIti+�P•' � "'L i✓ °' QN PRNEi T # g"ty vqG -- g iGSUNpA1z YBS lJil NO , ,__,,�,,,�•t pier iu8 --- . fptflK titu of. . . .02, Sac, Oving per �--- .nra l+ne Suitt,off fae`. ... . .... 3. 4. sewer rss support q(dews at[ —"` --- _ -- S, Outside ..... ... . 5. dyer venteured . .. ..,.. .., &iruog .rentslAf V ,e plp• __--- g. �k,&tet Pa'� Ste,*% rail" t-S -- lbdt ,water �r &e f1TP p1006119Id 120 door closers .• ., .• --- `� fiXtur® tiara 3 , fanrulat►an inSul& • 15. detectors ' ... ... . . . e real watianc � oka�, . -' r 1%. data TWO l y ., 19. mule Sexial i No 0 o"Y l 1SSCTE C1 ,3 a Y 1 Town rat pueenaburY F3uilding a Code Entorcement 742 6aY IRYO C�uee�'ry (518) 761-8256 ,�} s LtJ INS.P. _ AR DEPART ----- �+� CIEST RECEIVED: M1 NA'kIIE. LG?CATIONI. +� j PgR3VII T # DATE: !r[0��'H KOME H0E1LE 1r1 1MEE FRAMING U-bWA-n0N �LACKM.L ` S NO NIA yE suppokrt� pier spacing per 2. ancharirr Per s"a'�°f. . 1 .. .. . . . .. .. . . �— : '— line ut, off 3, water a 4 feet .. .. . 4. sewer line ) off grd. 5. heating cr ver { .. . 5, dryer vented outside .... . . .. . .. .. . .. .. . -- 7. relief valve piping outside $ operating railing9. .. .. ... . k. porches, steps. 10 dec water opera ~— , . hyrpacehtot . ..... .. . 11. garage 'fire proofing .. .. .. . . . . . .. . . .. . 12. door closers . . . . . .. ... .. .. . _ 13. plutstl�in8 fixture . . .n .. ... — " tion {if appY•).. .... `mac✓-� 14. foundation insulation -- 15. smoke detectors ' '' 17. variance required . ..... : .. .. .. .. .. ... 18, data plate okay . .,... . • �G- -- 19, indbile HUD seal okay ,. serial #0&�i Model # f kkk Date of MfiAufacturer NO OY.A'y TO IS8[3E C/o C! � corratil r P COMMONwEALTII ELECTRICAL INSPECTION SERVICE. INC. (�r Maim Office 357 Elwyn Terrace Manheirn, PA 17545 C, 6 ' T q & MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL 8 12 Cut-in Card No . . ..... .... . . . . ... . ' Panel Shard Na. . .. . .. .. ......... . Cert. / ,(f .. ...... . - . -..._. -...... .... Owner . .. - '.. ... .. . .......... occupant ... ... .............. . ... .. .... . ... ........ �jR�Q . . .1� / .�v . . . Location .............. G Si E ! L�.Cr.. --------- Installation Consisting of _ d C ...-. t... 'X� . .. . ... .. .. . . . . .... ....... Lic, #.-..-... 01 . . The conditions Following governed the issuance of this certificate, and any certii-icatc rirevic,usly Installed By issued iscancellate 1,cancm shall be promptly made for This certificate only covers the electrical equipment and installation conditions as cal` date- pon the introduction of additional equipment or alterations, aPP ss/s any time. and if its At inspection. an shelf have theprivilege of making ins Inspectors of this Comp' yshali have the right to revokeetvq I ce rules are violated, the Corn any J' do IPiSPEC'1''U'R . ..-., .. ..member', .............. ern'her >\1.F,P.A.. 1.A.E.S. CD r,rrr - rrrr- r r- r� r- r � � rr- r-rr �- ► ] c r r- - ; r--� x _ rrrrr � -- r Q r.+�N rr r 70 TOWNa 7tl p y TOWN OF pttEENSSURY BUILDING DEPARTMENT %mited examinatt011. : '• x •.''�,.-y. .I .f C.d S- B Corp, 1; .Cj^jF NL-1h UIfI (:9M, " jvn^; , .I,814 BAP,=, , ul r \ t1 plan :4nd stzec+fErations are En full coaEpfEance with the Coda* DATE 313,E 21 l4onGt FRAME #5 REQWIR£Q PER MMUfACxUPIM MMXA C_.1 i "gg f r f 9� {}r 1e/i i L 1!1 I Y ..��...._..,,.,,—e.� ...-+n..�.•...nn+,'...«,+ewe......+ F} n 71