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97-665 CERTIFICATE - OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK - Date February 27 i.9 98 Le This is to certify that work requested to be done as shown by Permit No. 97C65 hau been completed. ' MOBILE HOME This structure may be occupied as a 8 PETRIE LANE Location Owner MAB , DENNI S " TAX MAP NO. 121 . -6-5 9 By Order Town Board - TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement BUILDING : , PERMIT TOWN OF QUEENSBURY VALUE. $ 0 : No., . . ::. 97669 ' TAX HAP NO. 121.-6-59 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to- MABB• DENNIS OWNER of property located at c APRIL LANE Street,Road or Ave. in the Town of Queensbury,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 Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is .„, LOT 8 APRIL .LANE QUEENSBURY 12804 2. CONTRACTOR or BUILDER'S Name. COMBS TRUCKING 3. CONTRACTOR or BUILDER'S Address , VAL--DUSEN.i • QUEENSBURY NY 12804 • 4. ARCHITECTS Name • • NEW:,IORK BOARD, ' 5. ARCHITECT'S Address ,•;::Jik.:ii:NligUlti'ORK,...::BOARD,z...Or, FIRE UNDERWRITERS 6. TYPE of Construction—(Please indicate by X) ( 1 Wood Frame ( IkAasonrY ( Ste#°14/7A.: HOME , 7. PLANSand Specifications 980,,gijc)..FT..,'140BILE....,HOME AS. PER. PLOT ,PLAN,.EPEC,IFICATIONE: 8. Proposed Use MOBILE HOHL, $ "PERMIT"'FEEPAIDTHIS,PERMI:1-:EXPIRES„„,„„,,;,,,:,,,-;,,a,.NovemberE:422&o,1914', 9 (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 expiration date.) Dated at the Town of Queensbury this ,Novembe : SIGNED BY for the Town of Queensbury —MAW ng and Zoning Inspector 1 r .. RED• ' :1- ' J fir, illa 0 Nov 0 G 1997 TOWN WN O�Ii Q UEENS 13 U i1 . . . . ; Y 011, ir- REVIEWED BY: FEE PAID: $ 3 $, cG ., PERMIT NO. 97J6(os • APPLICATION FOR PERMIT 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 HAS BEEN ISSUED. • The owner of this property is: FARgy ("jyges•&•'" P.O. Address: 40R/L Phone Number79' R0f6" Property Location 6ijurvp-fsr lamerrl'nfieT L mot ', Tax Map No. / / NAME OF APPLICANT: IJ A,i/`c 4q8B Address of Applicant: s ' All appli'c ants. 'spaces on this application MUST be completed and the signature of the a pl i,;ant MUST appear ppear on the reverse side of this application. PERSON RESPONS.IBLEFOR SUPERVISION OF WORK AS REGARDS BUILDING CODES: • MOBILE HOME INFORMATION 93)0 APPROXIMATE VALUE OF HOME: $ /5/--ney) — New Home Yes No ZONING INFORMATION: Replacement Home Yes No . Size of Property: �S ft x 1g7�-5� ft - - Size of mobile/home f// ftx 70ft .. , Existing Buildings: -X,�it,7›:--- Singlewide — Doublewide No. of rooms Proposed building-distance from property line: : (exclude baths) 1 Front Yard o20 ft Rear Yard �2,-,.5--. ft. • No. bedrooms Side Yards ,j/ ft and /6 ft. No: of bathrooms Occupancy Information: -Primary dwelling: Yes No Fireplace . Woodstove Accessory Building(s) : , '' Detached garage (one car /two car car) Foundation style and size: Attached garage (one car /two car car _ Storage building _ = )- Pitfrs-No. of l0 Size, ft x a ft Other Depth be'l ow grade ft * * * * * * * * * *. * * * * * * * Foundation. Footing size2 " x 7 ii Proposed date of placement: Wall material :S`/-ia-r-eoc=.c_ //-/-17 Wall `thickness Height " Water Supply: Well . ::Municipal -r - - Total depth below grade ft. Septic permit re uired? • Aid Grade to home floor. level •.::.ft. ��7�`�' a � ' ��r� 0 FURTHER INFORMATION REQUESTED ON THE REVERSE SIDE Or THIS SHEET-I` • NAME OF INSTALLER/MOBILE HOME DEALER: Ce/WS S iief.P/'.�/NADDRESS/PHO•NE • NUMBER l% i Aues7tl , /. 1(/�/ jtic //fy • • ; . STATE OF NEW YORK DIVISION OF HOUSING AND COMMUNITY RENEWAL INSIGNIA OF APPROVAL OF THE STATE BUILDING CODE 1. Insignia serial number (1-70/3 7C/ ? 5-6 2. Name of Manufacturer IOW/ AJ MC-4 V7l(_, 3. Plan Approval Number 4. Model or Component Designation 5. Date of Manufacture /9�O . 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 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 DECLARATION: Please sign below after you have carefidly 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) - AL INSPECTION REPORT OBILE / MOOULAR Town of Queensbury Building &Code Enforcement 742 Bay Road v-LQueensbury, NY 12804 (518) 761-8256 ARRIVE: ( K ItDEPART: , IN•P DATE INSPECTION REQUEST RECEIV -( 7 NAME: 4 .� Q /u t�e�� 1 LOCATION: c� 6i` X ve: �I`�( ; DATE: 1--1 -6"'1 PERMIT fig77_ MOBILE HOME MODULAR HOME FOOTINGS FOUNDATION BACKFILL FRAMING N/A . YES NO 1. foundation support, pier s••cing per manuf. — — — 2. anchoring per manuf. 3. water line shut off — —4. sewer line support ®4 feet . — — — 5. heating crossover (dblewide) - 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 Fiel=1CIIIRIF MOBILE / MODULAR Town of Queensbury Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 • (518) 761-8256 ARRIVE:\ ,A)EPART: 1�'\'y`iSP " DATE INSPECTION REQUEST RECEIVED.. NAME: (-1-1A.wVi3 16 LOCATION: ° P DATE: /2 /J 1'r PERMIT# 7?� tics" MOBILE HOME MODULAR HOME FOOTINGS FOUNDATION _ BACKFILL_ FRAMING N/A YES NO 1. foundation support, ,rier s i acing per manuf. — ji\\ 2. anchoring per :< 1. ff 3. water line shut,o _ 4. sewer line support C% 4 feet — 5. heating crossover (thlewide) off grd. — 6. dryer vented outsi. — / 7.• skirting ventilated' — S. hot water relief valve piping outside —9. deck, porches, steps, railing — —/- 10. furnace/hot water operating - 11. garage fire proofing ‘17 — 12. door closers / 13. plumbing fixture — V — 14, foundation insulation (if appl.) — 15. smoke detectors 16. final electrical 17. variance required —� 18. data plate okay — f 19. mobile HUD seal okay — — Modell ``�' Serial#C i-157----CV kg C- Manufacturer �1�Q tL� 1 Date of Manufacturer � t 9 OKAY TO ISSUE C/O YES NO Comments: v\ COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 357 Elwyn Terrace — Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Panel Board No Cert. N° 4 9 9 7 7 Cut-in Card No... Owner to G e-72' v'Ch 6 Occupant Location` re edits k-' $6 ✓76' e. '`,ec' Installation Consisting of /9 ,8 e / ZG- 3F72e€E€ A/9 Installed By 5.-2/1'1"G'-' Lie.# The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:— This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations, application shall be promptly made for inspection. 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F:1 I 1 FilLE COPY TOWN OF QUEENSBURY BIIJILDING DEPARTMENT Based on our limited examination, compliance with ouricomments shall not be construed as indicating the plans and specifications are in full compliance with the code. •,.. , i e , -.. . V-1 \ --_,. IN \ --I au 0 iC .... = 13 rzl f-- it--1 ':.• crt -...,0, 8'6:3 c0 .1 ori ii 0 rn 33 i - % , [ • ! I ..cs-'