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97-176
Pr CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK . r Hay 28 97 • Date • 19 ' 97176 This is to certify that work requested to be done as shown by Permit No. has been completed. MOBILE; HOME This st ucture may be occupied as a LOT 182 HOMESTEAD VILLAGE Location aEELEY, MIKE Owner TAX t-IAP NO . 9v. --2-11 . 1: By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 97176 VALUE $ 24900WARREN COUNTY, NEW YORK TAX MAP N0. 93 . -2-1-11 . 1 PERMISSION is hereby granted to SEELEY, MIKE OWNER of property located at Street,Road or Ave. in the Town of Queensbury,To Construct or place a MOBILE IIOME 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. OWNER'S Address is LOT 111 HOMESTEAD VILLAGE QUEENSBURY, NY 12804 2. CONTRACTOR or BUILDER'S Name GLENS FALLS MOBILE HOME INC. 3. CONTRACTOR or BUILDER'S Address 39 SARATOGA RD GANSEVOORT, NY 4. ARCHITECT'S Name NEW YORK BOARD 5. ARCHITECT'S Address NEW YORK BOARD OF FIRE UNDERWRITERS 6. TYPE of Construction—(Please indicate by X) ( 1 Wood Frame ( I Masonry ( 1 Steel MOBILE HOME 7. PLANS and Specifications 1992 14 ' x 80 ' MOBILE HOME AS PER PLOT PLAN SPECIFICATIONS 8. Proposed Use MOBILE HOME $ 41 PERMIT FEE PAID —THIS PERMIT EXPIRES May 12 19 99 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) Dated at the Town of Qu y-a ry this 1 bay of May 19 97 SIGNED BY ti for the Town of Queensbury Building and oning Inspector .4„FiTe1 TOWN OF Q UEENSB URY o ,'„1.. REVIEWED BY: ;, FEE PAID: PERMIT NO. , < (42 APPLICATION FOR MOBILE HOME PERMIT A BUILDING PERMIT MUST BE OBTAINED BEFORE PLACEMENT OF MOBILE HOME. NO INSPECTIONS WILL BE MADE UNTIL A VALID BUILDING PERMIT HAS BEEN ISSUED. 1 ( The owner of this property i s: PI'T'� ja--D (-24e rTTY-2---- P.O. Address: LA2--e&1P P_O (-&- /.05JGles Phone Number7612a c� Property Location Tax Map No. / / NAME OF APPLICANT: 'kLe Se.Qc (- -- . L) -S—C----- yd Address of Applicant: f�2 4 to Yi''c ]-h 1) , (/ c4) . irk-3— 1 k--3 ) All applicants spaces on this application MUST be complete � '�kIF signature of the applicant MUST appear on the reverse side of this appl t rP:--- PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING .COD:&.R 3 Q 1997 •- c TOWN ::: WOE �l i BU►LD,�G:::AND---- MOBILE HOME INF RMATION APPROXIMATE VALUE OF HOME: 09, 96 0 New Home Yes No . ZONING INFORMATION: Replacement Home CP No Size of Property: _ft x ft • Size of mobile home I( ftx krt Existing Buildings: Singlewide 'X Doublewide Proposed building-distance from property line: No. of rooms (exclude baths) ) Front Yard ft Rear Yard ft. Side Yards ft and ft. No. bedrooms Occupancy Information: No. of bathroomsYWoodstove 2 Primary dwelling: Yes No Fireplace Accessory Building(s) : Detached garage (one car /two car car) Foundation style and size: _Attached garage (one car_/two car car) Piers-No. of Size ft x ft Storage building — Other Depth below grade ft * * * * * * * * * * * * * * * * * Foundation-Footing size " x " Proposed��date of placement: Wall material f`- -5 P Wall thickness " Height Water Supply: Well 0/Municipal Total depth below grade ft. Septic permit required? NO Grade to home floor level ft. FURTHER INFORMATION REQUESTED ON THE. REVERSE SIDE OF THIS SHEET • NAME OF INSTALLER/MOBILE HOME DEALER: -- ,/.c/A( J1 / �� ADDRESS/PHONE NUMBER YL )4f. tu-o-ra 3'V v p_K--1 • STATE OF NEW YORK DIVISION OF HOUSING AND COMMUNITY RENEWAL INSIGNIA OF APPROVAL OF THE STATE BUILDING CODE 1. Insignia serial number ND 2. Name of Manufacturer &4-1 3. Plan Approval Number ' ?`c) crq;? y/ 4. Model or Component Designation 7 5. Date of Manufacture 3 • All the above information is to be found on a plate or sticker which should be affixed to the Mobile Home. Complete above with that "ihformation. • Town of Queensbt'ry State of New York County of Warren "AFFIDAVIT 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. Signature Owner, owner' s agent, architect, contractor SPECIAL CONDITIONS OF PERMIT: • By Code Enforcement Officer • TOWN OF QUEENS URY 742 Bay Rd., Queensbury, NY 12804 r APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS 7(0 ., t Date % ,19 hermit No. APPLICATION IS HERE 4 Y MADE to the Building Dept. for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. Please fill out additional form if more than orte'ap pliance and/or chimney. Applicant j ".m£ c) ee. I e/ APPLIANCE (check appropriate boxes) 5 , Address / , � '�'j f) 1; (\QD STOVE: ❑Wood o Coal o Pellet ❑ Gas ❑ FIREPLACE INSERT Zip El/FIREPLACE, FACTORY-BUILT: ❑ Gas Phone'7 , 0 FIREPLACE, MASONRY: ❑ Wood ❑ Gas Owner 0 FURNACE: ❑ Wood ❑ Gas D Oil Address --. -- IF NON-MASONRY APPLIANCE: Manufacturer: Zip Model: Phone CHIMNEY (check appropriate boxes) *EXACT ADDRESS of proposed construction' j 6,1 ❑ MASONRY: ❑ Block ❑ Brick ❑ Stone 'S �2 7' i f FLUE: ❑ Tile o Steel Size: inches CONSTRUCTION / INSTALLATION MUST 0 FACTORY-BUILT: CONFORM TO NYS'FIRE PREVENTION & Manufacturer: Model: BUILDING CODE. CONSULT AVAILABLE Listed By: Number: TOWN OF QUEENSBURY HANDOUTS 0 Double Wall ❑Triple Wall REGARDING REQUIRED INSPECTIONS. 0 Insulated 0 Direct Venting o Chimney Liner Cashier's Department Town of Queensbury, New York Dept: Fire Marshal Amount Collected Amount Refunded Code Number Title `' .' A 173 3389 (190) Public Safety �a A 233 2655 (230) Minor Sales CCee Collected From ';l ,\- Refunded to: 1 1 c` . Address.....,� _ ��° Dated: 9 Town Clerk or Deputy: `' '-�� — � �--- � t<�rig.{....'.,i ,t�1i_-z �.-------._ I White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept. FINAL INSPECTION REPIGIRT MOBILE / MODULAR Town of Queensbury Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 ' (518) 761-8256 ARRIVF3dDEPART: d INS' DATE INSPECTION REQUEST RECEIV'D: grf NAME: V 1in LOCATION: �\ DATE: S-1'Z. )'CI7 PERMIT#q7 L7(Q MOBILE HOME MODULAR HOME FOOTINGS _ FOUNDATION/FRP'. LL FRAMING N/A YES NO 1. foundation support, pier p per manuf. _ •/ 2. anchoring per manuf. 3. water line shut,off- . _ V — 4. sewer line support ®4 feet — — 5. heating crossover (dblewide) off grd. - 6. dryer vented outside 7.• skirting ventilated _ 8. hot water relief valve piping outside 9. deck, porches, steps, railing 10. furnace/hot water operating _ 11. garage fire proofing 12. door closers 13. plumbing fixture _ 14, foundation insulation (if appl.) 15. smoke detectors 16. final electrical 17. variance required 18. data plate okay _ — 19. mobile HUD seal okay Model # Serial# Manufacturer Date of Manufacturer OKAY TO ISSUE C/O /YES NO Comments: • FINAL INSPECTION REPORT MOBILE / MODULAR Town of Queensbury Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 (518) 761-8256 - ARRIVE: DEPART: t t ,-2 riCF5 . e. DATE INSPECTION REQUEST RECEI tED: r 1 NAME: ��F ._ ,*_ i V\-1 LOCATION: II t c62._ �C)Z"�FIj�,Gv, D DATE: JJ I, - � 11`� PERMIT# 7(0 MOBILE III )M.-'L:V----MODULAR HOME _./ FOOTINGS FOUND TION BACKFILL_ FRAMING N/A . YES NO 1. foundation support, pie spacing per manuf. _ _ Vi2. anchoring per manuz ... _ _ _ 3. water line shut off . ...... 4. sewer line support feet . _ ✓ 5. heating crossover (dblewide) off grd. . _ -6. dryer vented'outside ; --- _ /___ 7. skirting ventilated 8. hot water relief valve piping outside 9. deck, porches, steps, railing _ \1 _ 10. furnace/hot water operating / 11. garage fire proofing Y/ 12. door closers '/ _ /, 13. plumbing fixture _ V/ 14. foundation insulation (if appl). _ _ V 15. smoke detectors �, 16. final electrical ( 17. variance required ✓ _/ 18. data plate okay _ V/ 19. mobile HUD seal okay _ ,/ Model Li ityjk)F ' Serial # 0,(2)161 7 IA <<izG Manufacturer [6 Date of Manufacturer 315/9Z. OKAY TO ISSUE C/O YES NO C) fN r-\ t-9 L \`9 c D _.@ Co ents: I\tJC\\O4 _Z-),h1E VOu7a Vt L5 C3 TO Gti EG\C.-- v--\--Gt t_'F l ‘ ►J 1-\ -A- P Pik-\---,,OO .A tF__ -VD 'A-1\13V_To . n 10 \p -/ B� g`G. id LU FINAL INSPECTION REP e.RT MOBILE / MODULAR S (3\\ Town of Queensbury I ,A Building & Code Enforcement 742 Bay Road C l Queensbury, NY 12804 4 ,6,(518) 761-8256 _ i ARRIVEth DEPART: a INSP• ` DATE INSPECTION REQUEST RECEIVE1 l NAME: PM,irdg.CJ SU/ . LOCATIO '': !j O &LI�� _O l`7 44 DATE: - PERMIT #D\r1'( t MOBILE HOME MO 1 ULM& HOME FOOTINGS FOUNDA ION BACKFILL_ FRAMING N/A . YES /NO 1. foundation support, r spacing // per manuf. _ V/_ 2. anchoring per uf. 3. water line shut off • _ ,// 4. sewer line support ©4 feet _/ 5. heating crossover (dblewide) off grd. •✓ 6. dryer vented outside , / 7. skirting ventilated _ �/ _8. hot water relief valve piping outside �_ 9. deck, porches, steps, railing 10. fumace/hot water operating 11. garage fire proofing _/ ` —.1/4/ 12. door closers f 13. plumbing fixture D _ _ 14. foundation insulation (if appl.)..0 15. smoke detectors .... 16. final electrical .... .O.1 l---4-00- _ 17. variance required 18. data plate okay /1 1_ 19. mobile HUD seal okay Model # Serial # • Manufacturer Date of Manufacturer OKAY TO ISSUE C/O YES /NO . Comments: 10`� _ % v1 6-\ p \1U - \u ``\t1-,2->t i (--, \ lJ '61:). o'. \ t Th\\ __- F _o�Ic____ a -\ u\c \\ 0\) L yTh 4,„ TOWN OF QUEENSBURY s FIRE MARSHAL y,. QUEENSBURY, NY 12804 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT REQUEST FOR.INSPECTION RECEIVED 7c) 5-9 NAME c\C") CIA 5Q- LOCATION 02---e'sk1 g-D, 11 J, l 1�Viri DATE PERMIT # -"\ 6-9 1 O r) )7 � APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHT G FIRE EXTINGUISHERS AUTO. EXTINGUISHING SYSTEM HOOD INSTALLATION AUTO. SPRINKLER SYSTEM ALARM SYSTEM INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOODSTOVE (REPLACE - MASONRY ✓FIREPLACE - FACTORY BUILT REMARKS: ❑ OK TO THIS DATE 4 1�i/ NSPSLIP.PUB INSPECTOR • FINAL INSPECTION REPORT -MOBILE I MODULAR Town of Queensbury • Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 (518) 761-8256 ARRIVE: D PART: 10-- I r DATE INSPECTION RESUEST RECE VED: NI r-• 1\ NAME: Gll`pn` :: , c ii J LOCATION: 1'C`3V V..`to S eel ek, DATE: Li)f--3 - 1 PERMIT Pt 1 ,•I 7 I� MA BILE DOME MODULAR HO E FOOTINGS FOUNDATION BACKFILL_ FRAMING N A YES NO 1. foundation support, pier sp-1 ing per manuf. _ _. 2. anchoring per manuf. , — _ _ 3. water line shut.off _ 4. sewer line support a 4 feet \1 5. heating crossover (dblewide) i .rd. 6. dryer vented outside 7. skirting ventilated _ 8. hot water relief valve piping g. t ide _ 9. deck, porches, steps, railing .. _ 10. furnace/hot water operatin 11. garage fire proofing %.• — 12. door closers 13. plumbing fixture 14. foundation insulation (' appl.) 15. smoke detectors 16. final electrical 17. variance required . 18. data plate okay .. 19. mobile HUD sea okay )ZCa14 V_____ Model # Y • Serial #103i T i\J Manufacturer I 1 t, °kct_` Date of Manufa turer 3 5- 17----- OK' „-We -: i.' �, Comments. 0 V---' 17-b ..110�� t5E(p .,. t---- I .„----- , 0 ,...._.-- ......- ,-------. , ---'7 3cDr-e- '--) (- - --------------7 -f--A ,....____ ,..._, ( ,, \ NOTICE k" ! MOORING OF moan HMI ki pm Is REQUIRED POI ' ,1 iiIMPFACTURERS SPECIFICATION'S ! , 4 ' V 0 A f ILE "r I APPROVED ' 12_2/26 • MAY - 6 1997 tl 40 t RECTINED Pr 1-7,-,... k - ..., e APR 3 0 1997 T ninWN 814gIlinEratt7RY sr WEENSEWRY °V"°I: D CODE TOWN OF QUEURY BUILDING, xDPT. REVIEWED BY / / • Ad/ DATE .----(---4- 1:- st • NOTICE -- RIMMING OF MOBIL. FRAME tS REQUIRED PER VANUFACTURERS-SPECIWICATIONS • FlEcEtvED APR 3 01997 zOWN Of OUE®c CODE BUILDING 1'