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98-390 Certim- cate of Occupancy Town of Queensbury Warren County, New York A E Date May 24 , 2000 Phis is to certify th�;t work requested to be done as shown by Permit No. �T 98390 has been completed . This sWucture zt-iay be occupied as a _ MOBILE HOME --- { Location LOT G -- 4 PINELLO ROAD I (3wner TAX MAP NO . 14 7 . - 1 - 4 By Order Town Board TOWN OF QUEENS R Director of Building & Cade Enforcement BUILDING PERMIT Town of Queensbury, 742 Bay Road, Queensbury, NY 12804 County of Warren (518) 761-9256 VALUE $ 2000 Building Permit No. gg3go, TAX ,MAP NO . 147 . - 1 - 4 Permission is hereby granted to ALMYt ARTHUR Owner of property located at LOT G- 4 PI lyEl TIT ROAD in the 'Town Of Queensbury, to constrLict of place a minR T T.F: HC7Mp at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbuty Zoning Ordinance. Owner's Address: 14 GIBSON AVE . HUDSON FALLS , NY 12839 Contractor or Builder's Name: ALMY . ARTHUR Contractor or Builder's Address: Electrical Inspection Agency. COMMONWEALTH ELECTRICAL AGENCY PO BOX 706 HAGUE , NY 12836 Type of Construction: MOBILE HOME Plans and Specifications: 14 ' X 60 ' MOBILE HOME AS PER. PLOT PLAN SPECIFICATIONS Proposed Use: MOBILE HOME $ 17 PERMIT FEE PAD — THIS PERMIT EXPIRES December 8 2001 (If a longer period is required, an application for an extension must be made to the Cote Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at thq.Town of Qumnsbury this 8 Day of December 1999 SIGNED BY for the Town of Queensbury Enforcenicnt Officer Application for Permit - Mobile Home Town of Queensbury, 742 Bay Road Queensbury, NY 12804 (518) 761-8256 A building permit must be obtained before placement of mobile home on parcel. No inspections will be made until a valid building permit has been issued. Applicant Information ...... Office Use Name; +�$�]t�g [� 1,+(-�`, Yo"" File Permit No- �C) E Address: Fee Paid ,R Reviewed By: Phone No_ Property Owner Information Parcel Infarmation Proposed Date of Placement: Name: Property Location: t t'" y t.Jfr�l_L �vf�A� Address. t t-1} '�� ] ! �`}l� Road, Sheet, Avenue H1�'d 'tJ' ©ram F-AL�� '!�`f Name of Mobile Horne Park; af {If applicable) Phone No. Tax Map Number: - ALA-7 Mobile Home Information Zoning Information Approximate Value of Home: .[>Cj Zoning Classification: New Home: Yes No Size of Property: ft. by ft. Replacement Horne: es No Existing buildings: Size of Mobile Home: I LA ft. by . aD ft_ Setbacks: front yard t. ; rear yard ft. Singlewide: Doublewide: Side yards ft. and ft. Number of Rooms : (exclude baths) Number of Bedrooms: Accessory Building(s): circle Number of Bathrooms : Detached garage: 1 car; 2 car, car circle: Gas Fireplace I Woodstove I Wood Fireplace Attached garage: 1 car; 2 car, car Storage building: Yes No Foundation Support: Other: TYPE SIZE & DEPTH Water Supply: circle Piers x Runners x Slab well municipal Further information requested on the reverse side of this sheet �'' Name of Installer or Mobile Home Dealer: Address: Phone No. Complete information below found on a "plate" or "sticker" which is axed to the mobile home. 1 _ Insignia serial number: _ ,r'?!� — (S,- `7Q3 — 1h�1�a 2. Name of manufacturer: C, WA MP � o� 3. Plan Approval Number : 4- Model or Component Designation: (New Horne 0AE1) 5_ Date of Manufacture: AFFIDAVIT Town of Queensbury State of New York County of Warren. 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 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 not, and that such work is authorized by the owner. •, f� owner, owner's agent, test, contractor Special Conditions of Permit By: Form: l il1911999sh Code Enforcement Officer .rrr MC3 •Tawas at QueoxvOury gL Gad,e+ Entoreament guild'n9 42 gay p,oad Q"ee``s'bury, gA"CE 1�5,��otz REQ � !1 �,dP.�2�'`3 �aw•+d�'' L�A'1't��• PERNLti f" # Cv A -- pAT� p lycs ` F�� -� �"_�-�"��T3 P► YES 1,40 P'vraCting �- tiC7b 6 ex �--- 1• f. per anctoringg Peryuf. _ -- UnO shut.off 4 'Feel t 3. ` 4i ,lisp s - - 4, s . crossove (�dblewide) off 5. Ming C 6. dryer v nw veom lill pig ou S. `antes relief vat na . ... .... - f 9 deckoltes. ter x£1 fire proofia►g It, gage rs claw •• • . ._ . .. •• � f __--- l2. gibing we .. . .... �- 1A, foss doetcrrs ., . 1 l5. sxstol�e . •. ir. sa 16 final ed" r wined -~� x'7 . varia oGe . ... .. l$. data P$v v seal Okay .. ... .. . .. ... rQ (o 19• t� serial # 6 CON Mufs+cer E 'q 3 h Date of 1,As0ufacturer � - --fJill140 CIO of Y ° xssiaE i ,1 PLC rmlm^ . INSPsomr1c3rm IRK AT MOmmrm / MC70U4AA Town of QueertsbufY 13uilding & Cade En"'rcet'r " 742 Bay Road Ctueensbury. Ny 12804 (518) 761-8256 ARRIVE: WaD DEPART. 1NSP; DATE INSPECTION REQUEST RECEIVE NAME: h 1,OCATION; PERMIT # �S— DATE: "ate—o'-+�-' IIiCISILE HgME MpDULAH HOWL FRAMING �IN�, FOUNDATION BAC.KI tl I NIA YES d 1 . fmmdation support, picT spacing per manuf. 2. anchoring per manuf. 3. water line shut off ,. �- 4. sewer 'line support ® 4 feet .off 8Td 5. beating crossover (dbl -- utside . .: .. . . ., .. :. . " . 6. dryer v , 7, skirting ventiia outsid 1" $, hot water relief Val pi in8 9. d c x ling .. . .. ..' Ce tislg .. garage fire proofing . . . .. .. .. .. .. �e'' 12. dour closers , . . . .. .. .. ... . . �- 13. plumbing fixture .. 14, foundation insulati (if appl.). . 1S. smoke �- detectors . . .. . .. .. .. .. .. .. , .. . 16. finial electrical 1'1. variance requnr D . .. .. .. .. . . . . . .. .. .. . / 18. data plate oka 19. mobile JJU seat raksy . .. . .. .. p Serial # Modal # '�`"�• Manufacturer _ � .... bate of Manufacturer YES NO OKAY TO ISSUE CIO c.am�nts: fir] L. tN'SP�GTION REPdp� Ft MpgttrE / M��tJLA� Town of QueensburY Building g Code Enforcement QUeenSbUrYv 1'`l12804 (51S) $1.8256 ARRI�� D�,PAR 'l7ATE 11VSPeCTIC1N RSQDEsT P,CEIV NAME: LpCA'I' ON: ppItMIT # L �- �pf! LT3Ca9 FOUNDA NIA YES es s� �- foundation suT�T'°rt• —` l• ndation Per �. .. . .. . . . .. .. . ___- uf Z. Sebcaring per i n �-- 3. water lixre 4 feet d. sewer line so off grd• �- 5. heating crossover ... .. ... 6. dryer vented. outside . .. . - / skirting ventilatr�d ing outside $, hot water relief valve p tg �f rches, s 1f. water L7 ?�"`r,a' _�- L 1 .g Se fire rnottng .. . --- 12. door closers ., . . . .• .. . . . ., . -- 13» plumbing fixture . .. f Lionsulaticru ( _ - 14. founds .. . . . . . .. . . . . . L5. smoke detectors , » 16. rilaal electrical » .. . . 17 » variance required . . ... ". . . .. .. .. . ---- __-- .�- 18. data plate okay '� okay .. . ,. .. .. . . .• --- 19. mobile WJD • Serial # Model # Manufacture, Date of manufacturer y�[ ny TO ISSUE C1C+ NQ comments. 3 F11VAL Ih1I31*LCTIC2I4 FaM agiFgT MCMMILMR / MODUL^I'% Town of Queensbury Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 (518) 7614M% ARRIVE: V po DEPART: *mZ ' INS -� DATE INSPECTION REQUEST R.ECEIY NAME: LOCATION: DATE: — PE IT # �?.._ . MODRLL+ HOME MO HOME FOOTMCJS 'FAO ATION CI{FA L _ FRAMING N/A YES NO 1 . foundation pier mg per manuf. 2, anchoring per uf. 3. water line shut, o . . . . .. .. . . . 4. sewer line supPo +2 4 t . . . . ... S. heating crossover dbl wide) off grd. 64 dryer vented outsi . .. .. .. ..... .. .. .. .. 7. skirting ventilated 8, hot water relief v piping outside 9, deck, patches, s railing .. .. .. .. _ _.,,/ to, furnacelhot ape ting I 1 6 garage fire propad. - 12. door closers . _ 13, plumbing fix . . . . .. ... . . .. . .. .. .. .. .. 14. foundation tion (&a l.). .. .., 15. smoke deter .. .. .. ... ... — 16, final electri -- 1'7. variarl uired. : .. ... .. . . .. . a . . 19, data plate y .. .. .. ..... .. .. .. 19* mobile seal okay . , . . .. .. . Model # So ' # Manufac Date of Manufacturer OKAY TO ISSUE C/O , YES NO Comznants vp, e+� 0.000*,r I 0 V i f - — — — — — — — — - r t r FILE coovr tt)M OF QLIWWW KNUM OUNME eo a comm-ft *wN Mt be u Mcdne the Olds and q*dkvfim lie in fd c"owm Frith the Cwt t<: