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98-441 CERTIFICATE OF OCCtMAN CY TOWN OF +QUEENSBURY WARREN COUNTY. NEW YORK August 14 98 Date 19 _ 98441 This is to certify that work requeated to be done as shown by Permit No. has been completed. MOBILE HOME j his structure may be occupied as a LOT" 93 HOMESTEAD VILLAGE Location LUTHERr ROYCE & DAWN iDw.e+er TAX MAP NO . 9 3 . - 2 -- 1 1 . 1 By Order Town Hoard TOWN OF QUEENSBURY z .rr. Director of Bldg. & Code Enforcement BUILDING PERMIT VALUE $ 24e00 TOWN OF QUEENSBURY No. 98441 TAX MAP NO . 93 . -- 2 - 11 . 1 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to LUTHER , ROYCE & L3AWN OWNER of property located at LOT 93 LUZERNE RD . Street, Road or Ave- in the Town of Oueensbury, To Construct or place a MOBILE HOME 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 Oueertsbury 'Building and Zoning Ordinance. 1. OWNER'S Address is LOT 93 LUZERNE ROAD QUEENSBURYr NY 12845 2. CONTRACTOR or SUI Lf]E R`S Name GLENS FALLS MOBILE HOME INC . 3 �iTRSRA'1'f.7t AL RDA Address GANSEVOORTr NY 4, ARCHITECT'S Name COMMONWEALTH ELECTRICAL AGENCY HAGUEr NY 12835 6, TYPE of Construction — (Please indicate by X) MOBILE HOME ( i Wood frame ( I Masonry f $ (tee! I ) 7. PLANS " Specifications 129f&4SQ FT MOBILE HOME AS PER PLOT PLAN SPECIFICATIONS 8, Proposed Use MOBILE HOME 53 July 21 2000 PERMIT FEE PAID — THIS PERMIT EXPIRES , 19 III * longer Period is required an application for an extension must be made to the Building and Zoning inspector of " town of Ouknsbury before the expiration date.) 1 8 21 July Dated at the Town of Queensbury thi _ Day of 19 for the Town of Oueensbury SIGNED BY Ilding and Z _ 4TOWN OF QUE NSBURY REVIEWED BY : [ � L FEE PAID : $ � . PERMIT N0 . ` f APPLICATION rUR PERMIT MOBILE IIOME OR 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 : ? _s /L L P . O . Address , ��= y. #'7 one un er -2 - C.` C� Property Location 97i-7? I Xen 4:3 ax Mau No . NAME OF APPLICANT : R!7 3 Address of Applicant . 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 WORK AS REGARDS BUILDING CODES : JUL 21 19.98 MOBILE 11014E INronmAT IoN APPROX IMA rE VALUE OF HOME : $ gyao -© z New home Yes No '� ZONING INFORMATION : Replacement dome %�No -�' Size of Property : ft x ft L e � Size of mobile home ftx Tt/ Existing Buildings .Singlewide Doublewide fir' Proposed building-distance from property line : No , of rooms ( exclude baths ) Front Yard ft Rear Yard ft . No . bedroom Side Yards ft and ft . s - _ I d d Occupancy Information : No . of bathrooms Primary dwelling : Yes No Fireplace Woodstove Accessory Building ( s ) : Detached garage ( one car / two car car ) Foundation style aryl size * Attached garage ( one car'/ two car car ) " Storage building Piers--No . of Size ft x FL Other Depth below grade ft * * * * * * * * # Foundation- Footing size " x Proposed date of placement : Wall material Wall thickness " Height "' Water Supply : Well Municipal Total depth below grade ft . Septic permit required ? Grade to bome floor level ft . FURTIIER INFORMATION REQUESTED ON THE REVERSE SIDE OF TIIIS SHEET NAME OF INSTALLER/MOBILE HOME DEALER r ADDRESS/PHONE NtIMIIER STATE OF NEW YORK DIVISION OF i1011S I NG AND COMMUNITY RENEWAL INSIGNIA OF APPROVAL OF T11E STATE Ile! I t_D ING CODE 1 . Insignia serial number 2 . Name of Manufacturer 3 . Plan Approval Number 4 . Model or Component t)e s i grla t i can 5 . Date of Manufacture 1g(2 CC . _____ � �-• --- All tite above information is to be found oil a plate or sticker which should be affixed. to Lite Mobile lioieie . Complete ahovt_ with that Information . Town of (Iueenshtiry State of New Fork Coicnty of Warred ArFIDAVI -t I swear that to tine !rest of my knowledge and belief the statements contained in this appl Icatiorr , together wi Lh the !darts anti specifications submitted , are a true and complete statement of all proposed work to bq, done on the described premises and that all provisions of Cite IItiILDING CODE , the ZONING ORDINANCE , and all other laws pertaining to Lice proposed work shall lie complied with . whether specified or not , and that such work is aoithorized by the owner. Signature Own t!N. . uwrler• ' s agent . architect . con irat: trrr SPECIAL CONDITIONS OF PERMIT : By Cone enforce lent Of F cer DECLARA77ON: Please sigit below after you have carefully read the stateinteW. TO [lie best of my knowledge the sl:ttements contained in Ellis applicaliorl , together with the plans and specifications submitted, are a true and complete statement of all proposed work to be clone on the described premises and that all provisions of the Building Code, the Zoning Ordinance and all rather laws pertaining to the proposed work shall be complied with , whether specified or noted, and that such work is authorized by the owner. Im*tarthcr, it is iendersluod that I/we shall submit prior to a Certificate of Occupancy or Certific::tle of Compliance being issued, an AS BUILT PLOT PLAN by a licensed scnveyor; drawn to scale? showing actual location of project on premises. Signature: {owner, owner's agent , arclli(ect, contractor) 1 s d�1LL Taw" d Queen sbUrY T orce 'SUIlding & Code Entorcement -742 Bay Ny 2604 Cdu etlSWryl(518) 7B1-8 .-'. Deep ARRt . Id .£ Ck'XV1�D DXTE. �o NO 141 oxt, pet 'n8 1. fsb"n s - �— ,per awauf pex man�'f• . .. . . • � �--- 2.. anc �ut,off -- • water line A € _ 4. sewer Airle � ver (dhle de) Off` � �— 5. vented +awl 5. drietvan ced .. .. 7 . lief .rape �.. �— $ syeck,a�t,cl�es, sue' .. • . ----- _--- Sam vertex mot ----- .__-- i fine f+re .. . . ...PtO . . .. . . . __--- _--- ge ' I2. drcx closets •. .., .. . . r 13, plurn .,Auta . (i vwl•).. ... . , tloR1 - i '~ 15. sane detects ' ,..:. . ... cal _--- i6. fiscal electri -- 17 . �atruunce realuued : .. .... ..... ... . . f Serial. # --__"'_-__-_-�-------� Model # of ,Manufacturer bY+AY TO ISSAIJE CIO ---- Cents: ��=G-- " Town ot °`" "`� ry gUlMding & Code Enjoraement C 142 $may Fkoad %V 12804 (5i8� 76V8256 � '� �___---- 'asp• =r�'-s� .I. '�CP.I`Jf'.L�': pArm 114SPEcenoN �qu� NAW4, LOCf'"gN: [ PSRMl4 # 1p �OHI'L� Its Ft+.►+M CGS Y� No NFA ,r per s p. . . . . r rnanu �- 2• Woring per shut _ -- 3 water lire 4 feet . 4, sewer !� Mwpolt k� de) 8� 5. tveatiu8 Grossoper — eowdoutside 6. drYex "' 7. sl 'g ��uef valve P' ` S. bot water steps• g . ... .. .. ,deck, Pdm"' s. tin8 wowrook !!. 74 12, ��'06e . ..: . . �uinbin8 �cture ins"'4a� of app!•}. . vn 14 f°ssxudetectcrxs lb. final elec 1 trica !7 . vsrran�e re4� .. _--- !S. data PAte °�` l y .. ... ... .. . .. . !4. mile WJ Serer # ►�' f pate of Ni+au'►u'�1°,acres C/o - �N(a OKAY To ISSL3B YES oe � Vk TIi ELECTRICAL INSPECTION SERVICE, vrr w / COMMONWEALTH Terrace — manheitn, PA 17 V 1 Main Office 357 Elvayu ELECTRICAL APpRpVAL MUNICIPAL. CERTIFICATE O Cut-in Card No . Cert Panel Board NO- ----.. -.- E Owner ... .. .. . IV Dccupant .., .............................................. ' .......,.....,..., . .., Lam + ~.. . ... .. .. .. Location . !! �= .. 1 . . . '1 . . .... ....: . ...'... .. . ... . .. .. .. ... . .. . .. . . . . .. installation Consisting ............��. .......... ....... .... .............. Ltc.. ., -- {e 4M�L151Y and anY tef tk l�;atl' {� y�. ........ ............. ...... ... 0t- this certifleate. ' of datc. Upon Installed By - vverned the issuan a de tuti The condittons following B a litation shall he PT"Tnpt4y ma issued is cancelled' -only covers the electrical equipment and installation condlttons a- enx ur altcratians, pP s at any time and if its This certificatevf additional equip"' in e o the introduction shall have the privilege of mak r inspection. t to sevo t s insp ectors of this Company shall have the rlgh ,........... ti.A.E.i. rules are vlolated. the Compare %NSPEfTQR Member ly•FP.A-. Date FINAL 1NSi�EGTIL7�N �t�a+c�r�t r M08IL� / Iy MOULAf A A� 066`c Town of Queensbury Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 (518) 761-8256 ARRIVE: DEPART: Zip INSP: DATE INSPECTION REQUEST CEIV � NAME: LOCATION: DATE: PERMIT # MOBILE HOME KODILMAH PAZ POOTiNGS 'FOUND TION RACKFILL _ FRAMING NIA. YES NO 1 , f❑um lation support, er gracing per rnanuf. 2, anchoring per manuf, — 3w water line shut, off . . . .. .. .. . .. .. .. . . 4, sewer line Support {W feet _ 5, heating crossover (db1 ide) off grd. 6. dryer vented outside . .. 7. skirting ventilated — 8, hot water relief valve pip g outs' 9* deck, pouches, steps 110, furmceniot water opera ' 114 garage fire proofing ..... .. .. . .. .. — 12. door closers . .. .. .. . .. .. .. .. . .. .. . . .. 13. plurnbing fixture .. . .. .. .. .. .. . .. . — 14. foulWation insulation (if appl,}: . .. . 15, smoke detectors .. ... .. .. .. . .. .. .. .. . . 16, final electrical . .. .. . .. .. .. .. .. . .. .. .. _ — 17, variance required . .. ... .. . . .. .. . . . .. . . 18, data plate okay . ... .. ....... .. .. .. .... 19, mobile HUD seal okay . .. .. . .. .. .. .. _ Model # Serial # Manufacturer �p Date of Manufacturer _ \oL." . .— OKAY TO IS51(7E C/O YES O Comments: 4 rG lei et�-e C5( �r6 � GENERAL INSPECTION REPORT Town of Queensbury Dept,. of Community Development Date inspection request received, Building & +Code Enforcement 742 Bay Road �" Queensbury: NY 12804 t t A,r3rive�� �� ep r--� Inspector's _._. LA NAME_ kA LM, rrlAe- ESPERMTT # LOCATION: 1�� -iTl k S' EE ' T e DA'I"E TYPE OF STRUCTURE; RECHECK NIA YES NO COMMENTS FootingslPiers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing - � 1� 1 rd lei 1 for 48 hours following the Placement Of the concrete. '` Materials for this purpose on site Foundation/W'allpour, Reinforcement in Place FoundationJDampprooFing Backfill Approval Plumbing Under Slab Plumbing VentlVents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- W alls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framin Jack studs/Headers Bracing/Bridging joist Hangers Jack PosislMain Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping S L H l RiC .eve. >wt ... • .w •1 •m ,49 % Zip % .41Z � t 409Z ON NVld / Fg 3Xl J9-..R2t X AL Mgt .vq it ,SL X.9.1L r.,.,,/tows i .Y9•.Lt zL X.e st p9- A.0 XAL .91 49�jt zL X.90l /pYXI A4-At Zk,LkzL X_1 .54 Ols NO IN-At Zt X.e.CL ,09 % ,94 % .4 .1_Z Havat ,gS �.X.ztXAsal as-.LLZLxsAt 469Z ON NV-ld noou WAn moan 0141ma L.r1a011g39 £66Z ON NVId ; I5 3%l rove O r r dl — 39vuvo 9-.L At Al X.r.fL ED J 3m%-No t5' .L ,4L X 2_L0 Ale A9' r t Y.l AL zl .6.e X..6.Zt as� tAL %dA .09 -1A4 X.e Al _ f N3FK11i7F' - - NL)(1H JfdMklgX ZX tYOOlY03e n we rt.e near wy ,st At sm J . NOTICE LA AmeWRING OF MOBILE HOME + aE ;;* Sod 0% FRAME IS REQUIREDPEIt � $1WA� � JUL 21 MMUFACTURERS SPECIFICATIONS vo t o aaVO axe +� oacts VA ;; e. FIL £ COP y TOW � rl .. .s . i fl:Apr}L: i .' ..... L w� Q Co