Loading...
97-441 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date September 23 19 97 c5OqdI This is to certify that work requested to be done as shown by Permit No. 9 7 4 41 has been completed. MOBILE HOME This structure may be occupied as a LOT 3 r HOMESTEAD VILLAGE Location Owner ' BELANGER TCAREN 'PAX. MAP NO. ` 3 -'11 1 - By Order Town. Board TOWN OF QUEENSBURY Director,of Bldg. 6( Code Enforcement j - -- --�. • j i ,; AUG 01 1997 • - ,.• rill . 4 . , . • TOWN OF Q ULENS I3 UIZY.. • •.• - .: _ .. . ....._ -_ REVIEWED BY: � FEE PAID: $ - PERMIT NO. APPLICATION FOR PERMIT 111 MOBILE HOME OR MODULAR A BUILDING PERMIT MUST BE OBTAINED BEFORE PLACEMENT OF MOBILE HOME. NO INSPECTIONS WILL BE- MADE UNTIL A VALID BUILDING PERMIT IIAS.•BEEN. ISSUED. The owner of this property is: tit 75 fkf) . (199 ,d P.O. Address: -2 06 , Phone Number 7 2 2-460 Property Location 5F' • • 1-01--7 i�. � Tax Map No. / / NAME• OF APPLICANT: V� --�r� e-1 . '�0--- r . 7 9E_&03 r Address of Applicant: c© � �•- - .ti Jf,� r e w 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 OF WORK AS REGARDS BUILDING CODES: MOBILE HOME INFORMATION X 17 , r APPROXIMATE VALUE OF HOME: $ 6 `�" , 6 C) New Home /op No ZONING INFORMATION: Replacement Home(G)No li, (�� Size of Property: ft x ft Size of mobile home' Q,^ftx ( ft Existing Buildings: s: Singlewide Doublewide X No. of rooms (exclude baths) Proposed building-distance from property line: Front Yard ft Rear Yard ft. No. bedrooms �� Side Yards ft and ft. No. of bathrooms Occupancy• Information: . Primary dwelling: Yes No Fireplace Woodstove Accessory. Building(s) : Foundation style and size: Detached, garage (one car /two car car) Attached garage (one car /two car car) Piers-No. of Size ft x • . Storage building . Other Depth below grade ft * * * * * * * * * * * * * * * * * Foundation-Footing size ". x' • !' Proposed d�.te Qf Olacement: Wall material f - (, Wall thickness " Height Water Supply: Well Municipal Total depth below grade ft. Septic permit required? Grade to home floor. level ft. FURTHER INFORMATION REQUESTED ON THE REVERSE SIDE OF THIS SHEET QQA,L.4__ ea3tUra-- 'ArraV NAME OF INSTALLER/MOBILE HOME DEALER: �/ ,� /J ADDRESS/PHONE NUMBER �C( /(.�' 23 STATE OF NEW YORK DIVISION OF HOUSING AND COMMUNITY RENEWAL INSIGNIA OF APPROVAL OF THE STATE BUILDING CODE . 1. Insignia serial number 2. Name of Manufacturer 3. Plan Approval Number a/O4. Model or Component Designation , 5. Date of Manufacture 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 information. Town of Queensbury 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 bq, 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. Si gnature Lu.4. Owner, owner' s agent, architect, contractor SPECIAL CONDITIONS OF PERMIT: By Code Enforcement Officer DECLARATION: Please sign below after you have carefully read the statement. To the best of my knowledge 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 noted, and that such work is authorized by the owner. Further, it is understood that I/we shall submit prior to a Certificate of Occupancy or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed surveyor; drawn to scale, showing actual location of project on premises. Signature: (owner, owner's agent, architect, contractor) • BUILDING PERMIT vAJ.,lUF; s !;4.04O TOWN OF QUEENSBURY No. «.(. IA OAP NO , , - 2 !.?. . J. WARREN COUNTY, NEW YORK PERMISSION is hereby granted to LOT 3.5 f!O1,11'3;T.E.AI: VILLAGEStreet, Road or Ave. OWNER of property located at in the Town of Queensbury,To Construct or place a I1.013:!!'`i° i`'))t'ta 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. WNER'S Addr is. �a !t'tBST'r'.1AL'i VILLA(..; !LfNG tmr,s!31?v, N y 12i3 41 2. CONTRACTOR or BUILDERS Name GLENS PALLS 140n:t::€.,E HOME INC , 3. CQ.NTR.QTTO p(l•.or,BUtLDERS Address .]AttI;14.��3�1 t(I) GAK:EVOOPT, NY 4. ARCHITECT'S Name Eii=i %'01;1'',' 13OAR.t} 5.IA�RCHITE9-1SAddressttT) OF ,h':,..RE UNDER TTE?Z,S • 6. TYPE of Construction—(Please indicate by XI t1TLF•1 t-i0 tl'; ( )Wood Frame ( I Masonry ( )Steel ( ) 7. PLANS and Specifications "i.{ R ) `)i�) L T f(t: f:I:.Lf JlCLtJ:; ASi'PER PLOT PLAN SPECIFICATIONS fVo.' 8. Proposed Use 0013:1.1,1!1 HOME ?'f August: 14 }r} $ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 (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.) 1,4 L," :1 it :'L d Dated at the Town of Queensbury this — Day of", 19 SIGNED BY =Rr�-' �� for the Town of Queensbury Building and Zoning inspector TOWN OF QUEENSBURY 742 Bay Rd., Queensbury, NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS - 9 Date ,19 Permit No. 7- Lig 1 APPLICATION IS HEREBY 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 one appliance and/or chimney. Applicant /iqt',,.y 2ht 2qP APPLIANCE (check appropriate boxes) Address ,ii-r 1 di ,137;""' a2, /T. In STOVE: ❑Wood o Coal o Pellet o Gas • u 0 FIREPLACE INSERT ‘ikze-464 tt,-,/ , `f [ Zip 0 IT FIREPLACE, FACTORY-BUILT: Wood ❑ Gas Phone 3715 7'/() /C 1 Oa( FIREPLACE, MASONRY: E Wood ❑ Gas Owner , ' 0 FURNACE: ❑ Wood ❑ Gas ❑ Oil Address IF NON-MASONRY APPLIANCE: 5., Manufacturer: Zip Model: Phone CHIMNEY (check appropriate boxes) *EXACT ADDRESS of proposed construction d ) 0 MASONRY: 0 Block 0 Brick 0 Stone es t(r i', < Vi i iCi CiC FLUE: 0 Tile ❑ 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 0 Triple Wall REGARDING REQUIRED INSPECTIONS. 0 Insulated 0 Direct Venting 0 Chimney Liner Cashier's Department Town of Queensbury, New York Dept:Fire Marshal Amount Collected Amount Refunded Code Number Title. Ca c��) A 173 3389 (190) Public Safety A 233 2655 (230) Minor Sales 1 Fee Collected From or Refunded to: 64-41(1. ,A^a Address: / I 7 Dated: C a /(o (--/ Town Clerk or Deputy: `---tr7i';,�,.,1: • a r � White: Applicant Green: Fire Marshal Yellow:Bldg. Dept Pink & Goldenrod: Cashier's Dept. Oaf ao,C l S!la%J_s A•CJ.•g:3,• A•.l.),,,:je_C.• A7,4.l k1.•.l'JJiIa9,1"-l•f)-,9,a•g A•tia1..0 1s.9P, )_, •..la A'•!,•._l'A•&a• J• J_�C!_• a•.l'7_A4.4.: aC7s ACJI,)I)•.Cart:'.9eC •alJ.•e.Q._.l •.l.•cl�!,(:)•S'..In�l?LI,CC •._l'a' , THE NEW YORK BOARD OF FIRE UNDERWRITE-140 el qRS PAGE OF ELECTRICITY { 111 WASHINGTON AVE., SUITE 704, ALBANY, NY 12210 1 ,' SEPTEHBER 0:i,19_'; '!.<�aat 58�7/').: A 12 7%L ii' Date N A placation o.on file to THIS CERTIFIES THAT - • only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of Y ek �(}�� T 1 Sf'ti �S 'tST i t ��i' IY ^, I. E <, H I.ES nt. ,,,�.; ', LOT3F.-tr, i.2kitt i +a.,; 14.`9Y,. • i OUT i 1,3 Ir ,, in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. Section Block Lot 'r ' €ids+�i).�` 1 z i 'E and found to be in compliance with the National Electrical Code. 'Y�, was examined on ol. iC1 FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS RECEPTACLES SWITCHESIA • OUTLETS INCANDESCENT.FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. T 1 Y ' tT �' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS c. SYSTEMS ;?ii, • AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS 'C 9:. Y SERVICE DISCONNECT NO.OF S E R V I C E ;)i 1 AMT. AMP' TYPE EQUIP. 1 Z 4W 3W 3�'3W 3.0'4W NO.OF C COND. OF CCC.COND. NO.OF HI-LEG OF HI-LEGA. NO.OF NEUTRALS OF NEUT W.RAL Y C' - T OTHER APPARATUS: ► 4 Y xY�'!T tt i q pd t ft t Y,4 Y .› ' J.' _'iY'J:P EI:',..'+� 2,4 4 .t'ROI4 DIS TO A i.H, "I iY •]; ' r} �1' ;i n' r. 1j �.� • ". L' Y I,cT'f�+. Y iv E :f,n-J1:� I�';l.,3�bi HOB I.Lf�t 'Qht t'.!,. ► ' ( L oL.Jt, L,. 1 "' a'a; : 3 .1b) y $$': '• GENERAL MANAGER 'r !' G 11+�Cx+s�t R , NY, 12z:s31 t.i{Jlr ■i _iy ''.t. ?-Si3 4 1. i� - _ as Per ,r ; This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. a --- - - - --- - --- - -- - - -- - '(ti s7 f'i 'i t S ? ?.i'i Y'i YY(Y i` i'Y YYi:/f'i Y.Y CY YY'(,%Y'i i:'r"fY fYC•'r i'.7Y7 fY(r YY<.YY;%`fYY.Y YY?.7 Y.YYYY.Y YY YY':%\'..YYY(YY,Y Ya Y7 Y'%Y'%YY Y%Y}" COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ThAJo 10"TO, o TOWN OF QUEENS URY `� ' `;. FIRE MARSHAL. = `' QUEENSBURY, NY 12804 (518) 761-8205 . FIRE MARSHAL INSPECTION REPORT REQUEST F R IN q /In l SPECTION RECEIVED -7. NAME 2\ alvesyv, LOCATION 1.- g c - nl'Lal P`J i 1 ill DATE PERMIT 131 J , gs-q ) 91-1---Liqf r (5-ig41/ APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS AUTO. EXTINGUISHING SYST M HOOD INSTALLATION AUTO. SPRINKLER SYSTEM ALARM SYSTEM INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY WOODSTOVE �/ FIREPLACE- MASONRY ,// FIREPLACE- FACTORY BUILT REMARKS: ❑ OK TO THIS DATE 7927%fd I� sGy % r --23-2-127 / INSPSLIP.PUB INSPECT FINAL INSPECTION I aEr loNT MOBILE / MODULAR Town of Queensbury Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 / (518) 761-8256 ARRIVE: I`-nEPART:2 INSP: - DATE INSPECTION REQUEST RECEIV: NAME: C�E l 4,l 1�• LOCATION: DATE: 'R 1• " PERMIT# M MOBILE HOME MODULAR HOME FOOTINGS _ FOUNDATION _ BACKFILL_ FRAMING_ N/A YES / NO 1. foundation support, pier s,t: mg / per manuf. 2. anchoring per manuf. — 3. water line shut off`'4. sewer line support C/ 4 feet — 5. heating crossover (dblewide) off :. — — 6. dryer vented outside — — 7.• skirting ventilated 8. hot water relief valve piping outside 9. deck, porches, steps, railing _ I — 10. fumace/hot water operating — 11. garage fire proofing j — — 12. door closers J — 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# 4 Manufacturer Date of Manufacturer OKAY TO ISSUE C/O S Comments: Fad- oc ��'� FINAL INES EDTIONl AtEPQrIFrT MOBILE / MODULAR Town of Queensbury Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 (518) 761-8256 ARRIVE: \C. DEPART: INSP: '. c DATE INSPECTION REQUEST RECEIVE* NAME: eM C_l f N,LA„_ � LOCATION: T : -b a0la>bT 11 DATE: - -qi PERMIT# 97-.111 Li MOBILE HOME MODULAR HOME FOOTINGS _ FOUNDATIO — N _ BACKFILL_ FRAMING N/A YES NO 1. foundation support, pi spacing per manuf. — 1 2. anchoring per manuf. _ 3. water line shut,off — 4. sewer line support ®4 feet _ 1 / 5. heating crossover (dblewi ff • 6. dryer vented outside — —/ — 7.• skirting ventilated — �/ 8. hot water relief valve pip g outside — _ 9. deck, porches, steps, rail g — — 10. f mace/hot water operating — 11. garage fire proofing — — 12. door closers — 13. plumbing fixture _ 14. foundation insulation (if appl.) _ I 15. smoke detectors 16. final electrical (2;) ____ .2Y._ __V / — 17. variance required / _ 18. data plate okay — ✓ 19. mobile HUD seal okay Model # 0-14 IFi O erial# 12i--.2ZI CA VI1"Manufacturer 1F 1)Z Date of Manufacturer (i'_ )\15\CA7 OKAY TO ISS iJE C/O YES V NO Comments: . -E_P�RCV 10-6VE_C k 03 CALL YR C i\ ZT To 1._1 FEE j cic 65®sF_z._ %-ko5\" eF.__ ow- bv36v*Jv) } C ctL?E �1Qa►o v D t�‘--- Li- r cam. c ,,1- o— 'V) '. ___cam FINAL INIBRECTION! RaPcisT MOBILE / MODULAR Town of Queensbury Building &Code Enforcement 742 Bay Road Queensbury, NY 12804 (518) 761-8256 ARRIVE•2) DEPART` v-INSP: DATE INSPECTION REQUEST RECEIVED: C 1 NAME: /�&C.C,./,-Af-$6 LOCATION: LaT -1964.65T6-/9O 1!/L, DATE: `7 //�J/1 PERMIT# 7 7 / / MOBILE HOME MODULAR HOME FOOTINGS FOUNDATION BACKFILL_ FRAMING N/A YES NO 1. foundation support, p ing per manuf. — — — 2. anchoring per manuf. —3. water line shut, - 4. sewer line support Ch eet — — 5. heating crossover (dblewi -) 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: 44/0 div& , 1 . i . ! co 1 ..-1) GROH. HIM. -:;-:-.• i-,k'%^/4111:11.orwri:,' =I,,,,•kpr, •••••• Hem ix.1. I CI] - ,r.-'•"-V o 1#1.1- , Nl, 0:111P,',.?\,:g144trf.- AiA4,;t4.: --,-::. • 1'i,:'f.. ..',,L-,37-1. =.'.,-,- -.A:41:'.4...'W,'.4•At71;,..:*14`rilL1 WU " lel ORIN ?l I vd &ORM' 13.-e may. ilA : 141,?.. . ITPC fi:,.iic, 11111. i ' •,,' ^,-, ^:, 1'4 ' ''''',,.t.,* . _ NA1N-IN M NM,IA.REIRSAF '4,4;4 C4 Ra.:Te,fflpikl6 I fuels DOORS ...OPIIONAL il,FillIl . ., SUN NASIER BCDPOON 17.-4. NG Ro L I V 1 ai 18'-a• NENINSOH*2 IB.-0° ."'"...................... MASTER BAIN 0 A--.. ....." t MODEL D407 C - 28 x 64 3-BEDROOM/2-BATHS APPROX.1620 SQ.FT. \ ..,..', ..........;.) . . -.• . . CI\ , TOWN OF OUEENSOUR'Y -. 6 .., • BUc:rd;7,2 iir ...... of ....s ---ii rIN , Z- , ....._...Q, I I k:2...) assi A 1I I I ' NI 1 i i 'a.......,..0.0..... Si I .................1,p, I 1 , • 1 i . I ... I ',....._............ i1:,;1,'I y_ 1.—,......— 7 6...„. › . —_— _ ..., , , ,..............Z iil---- ,......„....„,.. ..,...,..,, 1 I 4.010.) 1 ,.. AppR i :_,::,,.:- _11,-,, _ \------................. ! _ _ __ . ,,: , -------------„.".. ---- ii , ,, 1 41 1 • rt. :.-.301mini,-, 1): 70Wh OF QUEE:"NSBuii? . _ . J