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98-769 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK May 10 99 Date 19 98769 This is to certify that work requested to be dome as shown by Permit No. has been completed. MOBILE HOME This structure may be occupied as a Location Owner WOOD , DEBORAH A * �GL I tic Ir CLV TAX MAP NO . 9 3 . - 2 - 9 . / 7 81 By [Order Town Board TOWN OF QUEE BURY Director of Bldg. & Code Enforcement BUILDING PERMIT VALUE $ 45000 • TOWN OF QUEENSBURY No. 98769 TAX MAP NO . 93 . - 2 - 9 . /781 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to WOODo DLMORM A OWNER of property located at 10 PINE CONE DR Street, Road or Ave. in the Town of Oueensbury, To Construct or place a MOBILE MORE 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 Oueensbury Building and Zoning Ordinance. t. OwNER 3 Address is 10 PINE CONE DRIVE QUEENSBURYr NY 12804 12804 2. CONTRACTOR or BUILDER'S Name SARATOGA HOUSING 3. CONTRACTOR or SUILOER S Address 3048 RT 50 SARATOGAr NY 12866 4. ARCHITECT'S Name 5. ARCHITECT"S Address fi. TYPE of Construction - {Please indicate by X1 MOBILE HOME 1 1 wood Frame t l Masonry I I Steel f I 7. PLANS and Specifications 1232MBQ FT MOBILE HOME AS PER PLOT PLAN SPECIFICATIONS 8, Proposed use MOBILE HONE $ 47 PERMIT FEE PAID — THIS PERMIT EXPIRES December 17 i9 2000 "If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Oueensbury before the eKpiration date.) 17 December 1998 Dated at the Town of QueensN this Day of 19 SIGNED BYfor the Town of Oueensbury � % i "Building and Zonirq Inspector WO 'Ell s" .f. `Y OF ilJ ,f.� Ee ` S 13 l..J R Y REVIEWED UY : FEE ['AID : 1 #'ERM i T No . (� APPLICATION FOR PERMIT MOBILE [TOME Olt MODULAR A BUILDING PERMIT MUST RE OBTAINED BEFORE PLACEMENT OF MOBILE-_ NOME . NO INSPECTIONS WILL BE MADE UNTIL A VALID BUILDING #' ERMIT IIAS DEEN 1SSUro , IL ` C { The owner of this property i s : �TPf 14J �+ P . O . Address : PO � ©}� � d -1 �`� �I'i� Number Property Location L { ( I� Tax Mali No . q / ? 1 NAME OF APPLICANT : F 1 5 Address of /lppl scant : A.t. '�". All applicants spaces on this applicatlon MUST be completed and the signature of the applicant MUST appear on the reverse side or this application . PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING cODES : MOBILE 11014E INFORmpr [ ON APPROX IMA if VALUE OF IIUME : $ L445 000 � New ##ome Yes No � ZONING INFORMATION : Replacement Nnnte Ye SO � I Size of Property : ft x { p _rt Size of nrobilc harrre 2$ fLx 44 fL ExisLinU Buildings • Singlewide Uoublewide 7C No . of rooms I' r•opnsed I,u l 1 d i ng-distance rk'orn pri�oerLy 1 f ne :( exclude baths ) Front Yard 4)AO ft Rear Yard 3 ft . No . bedroorrrs Side Yards + "I ft and i G, No . or ba tirroorrrs Z Occupancy I n forma t I a Primary dwelling : CYes No Fireplace K►fA Wnadstave of Accessory BulldinU ( s ) : Foundation style and size • Detached garage one car / two car car ) Attached (larage one car- "'/ two car car ) fliers- No . or �S1zC1: XFL x IF34FL SLorage buildirfg Other Dep Lh below grade 0 A f t Fourrciatian - Fooling size 49 x Proposed date or placement : Wall rrra ter i a '. 1Z- Zz- 28 Cb 4 s C^ weemer Wall thickness "' Iieiyht _ " Water Supply : Well Municipal y Total depth oelow grade ft . Septic permit required ? Pg, 3 _ Grade to lrorrre floor. level ft . FURTIIER INFORMATION REgUESTED ON TUE REVERSE SIDE OF THIS SHEET NAME O1= INSTALLER/MOBILE HOME DEALER : S NOc ratr�sa QV�1►1� d_���� ADDRESS/PlIONE NUMBER 30gla %0fA so w ,�t�r,n,__� s y " Y (2864 STATE Or NE14 YORK DIVISION OF 11OLISING AND COMMUNITY RENEWAL INSIGNIA OF APPROVAL OF TIIF STATE BUILDING CODE 1 . Insignia serf al re timber Tr rA ,,322AB 44 :2 P,L - Kl 2 . Name of Manu rac Lttrer Rett wood Ho,,-_me 4;___ 3 , flan Approval Number ' RKb 164C) OAS 3 4 . Mocle l or Component: De s i gna t i orl 44q t�+,n-ne crfe 5 . Date of MamjfacLure Iqq% uol n 1 �} All Cite above I ti forma Lt on Is to be fctltod ors a ill a l. e or sticker which sitould be affixed to the Mobile Itome . (:ojllp'IeLe alcove with that -informal. lon . Town of (!item sbnry S La Le of New York CouoLy of Warr*eoo At' FIDAVIT 1 swear t:hat to Lite best of my krtowl edge and hel i e f the S l: a Leulerit_ s con Lai ned in Lhis application , together witit Elie plans and specifications sulaml teed , aVe a Lrroe and colilpleLa sLaLemeill. of al 'i iok-oposed work Lo hot, done ors Lice described Premises artd that: all pl-ovislolls co !' the Itllil_DING CODE , Lhe ZONING ORDINANCE * alld all o l. her laws ttet% t.a III l nil Lo the lrt`oposvd work sila 1 l be c 0l"pl I ed wi Lh . wile Lllet' spec l f led or lint , alid Lha L stich worrk is a (�Ljlorlxcet by Lhe c wrier. SIgnattir-C Owner . Owner ' s agent , architect , cots Lrac Lor Si' EC. IAL CONDITIONS OF 11ERMI IF : By Code {' rtforcenlertt: Officer DEB CL ARA770N.• Please sign below afle►• ,yore have carefully o end the stateneent. To the best of my knowledge [tie statements conlailled in this applicalioo , logellier with the Mans and specifications submitted , are a truss and complete male:ment of all proposed work to be bone on the described premises and that all provisions of Cite BUildiltg CMIC, the Zoning Ordinance and all olher laws pertaining, to Ills pl-folx)sed work shall be complied wills , whelher specified or poled , and chat !dish work is :illlllorfe"cCI by [tie owoor. Ukerther, it is understood that 1/we shall submit prior to a Cc]-tilicale of Occupancy or Certificate of Compliance being issticd$ ao AS BUILT PLOT PLAN by a licensed sru'veyor; drawn is) scale, showhig actual location of project oil premises. Signature: (owner, owner's agent, architect, contractor) t BLDG. PERMIT NO. 9 8 7 5 9 APPLICATION FOR A TEMPORARY CER'air CATE OF OCCUPANCY A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property located at; 10 Pine Cone Drive for the following uses: MoUi le Home 1/ 2t3 f 99 DATE SIGNAtURE OF APPLICANT TEMPORARY CERTIFICATE OF OCCUPANCY The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby PPROVED ( )DISAPPROVED with the following conditions: Certificate of Occupancy to be issued upon completion of : Anchoring of mobile home and skirting TEMPORARY CERTIFICATE OF OCCUPANCY FEE:;_[1.)$i,,0.00 DEPOSI ( $100.00 received on January 29 , 1999 r Date of Issuance Director of Bldg, & Co a Enforcement THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES 90 DAYS FROM THE LATE OF ISSUANCE, NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. do Cade Enforcement or his designee. FINAL 1N81a C:"T`I�N FtrxPC3R"1r MC3 °01LIE / MCMUL F. AIR Town of Queensbury Building & Code Enforcement ,�► . 742 Bay Road Queensbury, NY 12804 (51$) 761-$256 ARRIVE: jDEPART. F 1N DATE INS ON REQUEST RECEIV NAME: LOCATION: to--:a i / C� r DATE _ I_-.�1—_.a-. - - - !"ERMIT MOBILE IiOMIi MO>t>IITLAR HO�IdE F )OTINGs FOUNDAVON BACKFILL FRAMING NIA YES l'}O Fanchoring sttlaport, prier spec. anuf. ... .. .» .. .. .. .. . . . .. .. . per Manuf. f shut aff -- 4. sewer line support (ZPNNN L . :: .. .. — -- 5. heating crossover (dblewide) joff grd. _ yr 6. [fryer vented outside » .; . .. . . .. !. .. .. .. .. . — �—// -- 7. skirting ventilated ✓ 8, hot water relief valve pip outside 9, deck, porches, steps, rail' — - 10. fumacelhot water operatin / 11. ,garage fire proofing . .. .. .. . .. .• • » . . . — -- 12. door closers . . . I .. . . .. . . . . . . . . .. . .. . . .. _...,r 13, plumbing fixture .. . . . . . . . . . .. .. .. .. . . . 14, foundation insulation (if appl.). . . . .. 15, smoke detectors ., .. . . N . . . . . . . . . . . . .. .. - 16* final electrical — 17. variance required . . ., ». .. . . . . . . . . . .. .. 18, data plate okay 19. mobile HUD seal okay . .. . . .. .. .. ... Model # Serial # Manufacturer Dane of Manufacturer OKAY TO ISSUE CIO YES NO Comments: rwrt►. FINAL l�ygpEGTifGiN REp�RT MOIEIL 'L1° ! mc=ul A^Fk Town of Queensbury Building & Code Enforc8m8nt 742 Bay Road Queensbury, NY 12804 (518) 761 -8256 ARRIVE:� EPART:/A *1 INSP: BATE IN T1 REQUEST RECEIV NAME: LOCATION: DATE: PERMIT 9 M0811LIS HOML lY ODILJLAA DOME FOOOTINGs , you DATION _ BAMOLL HRAM1NCi N/A YES NO 1 . foundation supportv pier spacing permanuf. .... . .. .. .. .. uf. . .. . . .. .. z. anchoring Per . .. 3. water Line shut o 4. sewer line s 0 4 fee 5. heating crossover lewd ) off grd. 6. dryer vented outsi ..:. . . . .. .. .. . . ... . 7w skirting. ventilated 9. hot water relief valve ping outsi -- 9. deck, porchesa steps, ing . . . . _ 10. furnace/hot Wa Eattin . .. . 11 . garage fire proofing .. .. .. . . .. .. . . -- 12. door closers . . . . .. . . . .. .. . . .. .. .. . . . . . 13, plumbing fixture .. .. . . . . . . . . . .. .. .. . 14. foundation insula ' (if appi.). .. .. . — 15, smoke detectors . . . ... .. . . .. . . .. . . .. .. . -- 16. final electrical IT variance required . .. . . . . . . . . . . . . . .. .. .is, data plate okay 19. mobile HUD seal okay .. .. . . . . . . . . . . F el # Serial # ufacturer of Manufacturer OKAY TO ISSUE CIO YES NO FComnent lei e THE NEW YORK BOARD OF FIRE UNDERWRITERS JFAGEE P&)75 744 BUREAU OF ELECTRICITY F 111 WASH INGTON AVE., SUITE 704, ALBANY, NY 12210 Elate Application No. on file THIS CERTIFIES THAT — ^//� only the electrical equipment as described below and introduced by the applicant named on th bove a an number is in the premises of '.BERM! A . ►(OOD. F 0 �-�J=W:' C01VF; DP, PC?2: V# . c.t . ?c� ' lv eU�t:'� Ary in the following location; ❑ Basement ❑ Ist Fl. ❑ 2nd Fl. OLIT Section Block Lot was examined on 'TAIJUARY '`$• 194y and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS .EANDESCENq FLUORESCENT OTHER AMT. N.W. AMT. K.W. AMT- K.W. AMT- K-W- AMT- H.P- DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMi. W. OIL H_P_ GAS X.P. AMT. NO. A. W. G. AMT, AMP. AMT. AMPS. TRANS. AMT, H.P. NO. OF FEET AMT- WATTS SERVICE DISCONNECT No. OF1 S. E R V I C E METER NO. OF CC COND. A. W- G- A. W. G. A. W. G. AMT. AMP. TYPE EQUIP. T 0 2w T 0 3w 3 0 aw S 0 4W PER @ OF GG. COND. MO. OF HI-LE6 OF HI•LEG NO- OF NEUTRAL$ OF NEUTRAL OTHER APPARATUS: QUEEN,SBURY, MI , 12804 GENERAL MANAGER Per This certificate must not be altered In any manner; return to the office of the Board N Incorrect. Inspectors may be Identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTEREp IN ANY MANNER. �rnraL rnr�P�cr�aOrw r�st��ca.-r -� MOBIL!! ! 11AOOuL kl a Town of Queensbury Building $ Code Enforcement 742 Bay Road Queensbury, NY 12804 (518) 761-8256 ARRIVE b EPART: b IN / DATE INSPECTION REQUEST RECEI D: 142 NAME: Do f LOCATION: /,1�� d f +L' �L� ��• DATE: -- �! *� r `1 PERMIT #' -7fiq MOBILE MOMS MOMRJI.AR HOME POOTnvrS FOUNDATION sACIFIa. FRAMING NIA YES N4 1. foundationsupport, Pier / 24 anchoring per rnanuf: / fm 3. water line shut,off .. ... ..... .. .. .. .. . 4, sevmr title s rt 00 4 feet S. heating c (db de) grd, 6. dryer vented 7. skirting ventilated . .. .. ....... / S. hot water relief valve p g outside 9. deck, porches, steps. 10. furnace/hot 'water 11, garage fire proofing ... ....., 12. door closers .. .. .... . .. . �f 13. plumbing fixture . w 14v foundation insulation,i(if appl,),. .... _ Is. smoke detectors 16. final electrical 17. variance required . ..... .... ... .. .. .» .. I8,8. data plate okay .. .. ....... .. .. . 19, mobile HUD seal. okay .. ..... .. .. .. . Model # Serial # Manufacturer Date of Manufacturer OKAY TO ISSUE C/o YES NO Comments- M'MAkL 1r+j0=w :T1C3lr4 RE1�1�RT MCIII31LE ! MC3 =ULAM Town of 'Queensbury Building & Code Enforcement 742 Say Road Queensbury, NY 12804 (518) 761-8256 ARRIVE DEPART: I1Y DATE INSPECT70N REQUEST RECEI b: NAME: LC)CATIEaN: I]ATE: �`` _ PERMrr # MOBILE HOME -- _ MOIlt MAlt HOME FO(YnNGS FOUNDA?'ION -� BACKF� rl..L y pRAhiINCi I , foundation support, pier specin N/A ES NO Per tnanuf. .. .. ».... .. , f B. anchoring per tnanuf. �G / 3. water Brie sh { 4. sewer lute stgw 4 €eet » » . . . . 5, heating crossover ( 6, dryer vented outside , Off grid, 8- hot water relief valve pi ing outside 9. deck, porches, steps. din 1 10, furnace/hot water capers g -- I I - garage fire proofing . y`✓ 12. door closers . . .. ., . ,» .. . . d . . .. - l3» plumbing fixture .. .. .. . . . 14, foundation iithulation if alrpl.).. . . . . 15, smoke detectors 16» final electrical . .. .. 0�--,r 17. variance required , , . ,. . .. . —✓�`+ IS, data ,plate okay / _ 19, mobile HUD seal okay . . . .. .. .. .. .. . Model # Serial # Manufacturer Date Of Manufacturer OKAY To ISSUE C/o YES NO ' Comments: ' MO®ILIE ! tiI+C3OULgR gag Town of (ueensbury 8uildirrg 8 Code Enforcement J /7 742 Say Road Queensbury, NY 12804 (518) 761111,8256 ARR1VB:2- DEPART: s . DATE INSPECT ION REQUEST RECE?I NAME- LOCATICIN. DATE: PERMIT # ~ : M+PDiLT=,gR HOlrlE POOTINGS — FO[11HI]A1YCEN SACKFUja FRAM94G 1. frwndation support, pier spec' N YES NQ Per marxuf. 2* anchoring per manuf. .. 3• waterline shut, off -- 4. sewer line suP4P3I 0 4 r�aer 5, beating crossover (dblewide) off grd. 6* dryer vented outside . 7. � skirting ventilated S, hot water relief valve pipes W 9. bes, s �Iig 11 10. furnace wad operating srf.8 A In I2. door closers * *"* . 13, pitunbing fixture M1S 14, foundation insulation (if appl, 15. smoke detectors .. 0. -► 16. final electrical .,. ?. .CALL 17, variance wired , -- I S. data plate okay 19- mobile HUD seal okay .. ... .. .. .. ... -- Model # c: Serial # F Manufacturer _ _� - •.� ;�. Date of Manufacturer OKAY TO ISSUE CIO YES it _ _ NO Crxts: F—V- r 1 iz�,C, Mom C7 �-+CTcR � ,� L� .at� tea, AN �j N FLEETWOOD, Stone Creek Series + Model 4443K 3 Bedrooms * 2 Baths • 1 ,173 Square Feet LO N B C° A TOWN OF QuEE s �11BUILDING & Ln Ln 6 1998 ^M° ,, .. .,. Ln REVIEWED BY Xwom DATE ED A GI r^A � arc '.;.wux•w.-, PHONE C[OMN ]]3 r IAa I [ A{• MA5TEK �( 6EORODA? rI3 Oro x x ro �" FO OATH �! BEPROOM iLY fs'- xi2 fc� OK ---- ry at irk ` JACX T Ui a SLIM 2 IhCF � CWC r [� fq I5'd"xP5-2' JACK BEORt30 i AZ OPT. DEN BEDROOM 92 f�•2 xu�' rvrxra.e iv-2 x�4L6 1 Oft. MEAGENT ENTRY [. i tr e. . fJiNiNG ti AR€i1 QlfRAa1C� FILE COPY m 0 r sc.nsrr�e `�xteriaP rmc+enr� �bown a�rtb o�trorur�shaHas w:` I qg 7 icy 1998 o6 , Q� 1LG x