97-699 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date November 21 19 97
This is to certify that work requested to be done as shown by Permit No. 97699
has been completed.
CERTIFICATE OF OCCUPANCY FOR MOBILE HOW '
This structure may be occupied as a
LOT 2 BRIWOOD CIRLCE
Location
Owner LISA DEUTER
TAX MAP NO. 125. -1-2 9. 13 By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING ; PERMIT
TOWN OF QUEENSBURY
VALUE $ 0 No.. - .
TAB.. MAP, NO.. 12-5:.-1-29. 13 WARREN COUNTY, NEW YORK`
PERMISSION is hereby granted to LISA DEUTER
OWNER of property located at Street,Road or Ave.
in the Town of Queensbury,To Construct or place a
at the above location in accordance to application-toget er.'wit p of p ans and of er in ormation ere o I an y`HOIK {:>-
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
LOT 2 BRIWOOD CIRCLE
, QUEENSBURY - NY = 12804
2. CONTRACTOR or BUILDERS Name
3. CONTRACTOR or BUILDERS Address
4. ARCHITECT'S Name
COMMONWEALTH: ELECTRICAL .AGENCY
- 5. ARCHITECT'S Address
hLL r; PO BOL-:7.06<,..,,:
HAGUE' , NY;',
6. TYPE of Construction—(Please indicate by X) -
: ( )Steel^' (�v? Bl�}}TIFICATE1 ::.OF.:,000UPANCYYF>ONLY4.,:1,ti :
` ( i Wood Frame "("'1�'Masonry
7. PLANS and Specifications :.'
_ CERT.I FICATE OF_zOCCUPANCY,..FOR..MOBILE< HOME =AS PER REQUEST :'Olt :
, 'HOUR OWWEPV 4)HGHEALREADY.: .SIGHT
B. Proposed Use
CERTIPICATII AMA DCCUPANCY ,FOR t:MOBILE>:e HO# . =;
: �
$`.. aax' :2,�;.:'�� EiilVlttfE'E-PAtQr':-:TfiiS'^PERMf_T.z'EXR.FRES r�-:�:..:.�+;,. ,,-�.,1�O��elRbdfi�2ilw�;���g,.�i�t�_94��::
(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 this146_ Qayof - <---:NoVe111bGr 19..
SIGNED BY - for the Town of Queensbury
ui Ong and o irq spe or �—
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. 'i
Main Office 357 Elwyn Terrace — Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL \rQ
Panel Board/No. ^Ceert. 5 2 6 0 8 Cut-in Card No... /
Owner h-l5 3)G 7 i2 /
Occupant
Location ..-%/2/400.E 40 G/e, 6e-Y
Installation Consisting of Oe a L67- A/c/WC Se'— am "
�JL, — -g E-1/0 °
Installed By Lic. #
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.
Inspectors of this Company shall have the privilege of makin; inspec . any time,and if its
rules are violated,the Company shall have the right to revoke i - tific
Date // 21-7 2 INSPECTOR. . ...O
ember N.F.P.A.,I.A.E.1.
FINAL INSPECTION PIERCINGOr
MOBILE 0 MODULAR
Town of Queensbury j
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804
•
I�(518) 761-825116
ARRIVE:! '71 DEPART:`' ✓ JINSP:Jam"
DATE INSPECTION REQUEST RECEIVED: 1 A�
NAME: v N ) S °� ç) ) T?- Y 1
LOCATION: .,92—C-N--k ' IA.7575c
)
DATE:\\J `, —T/C PERMIT il-7 LQ q.‘
MOBILE HOME MODULAR HOME
FOOTINGS _ FOUNDATION _ BACK ILL_ FRAMING
N/A YES NO
1. foundation support, pier spacing
per manuf. __1./
- -
2. anchoring per manuf.
3. water line shut,off — t —
4. sewer line support a 4 fee — V _
5. heating crossover (dble de) off grd. _
6. dryer vented\outside . \ V —
7.• skirting ventila- l —
8. hot water relief va e piping outside — J —
9. deck; porches, s ps, railing — —
10. furnace/hot wat, operating 11. garage fire proofing 1 — —
12. door closers / / _
13. plumbing fixture J
14, foundation insulation (if appl.)
15. smoke detectors /` —
eQ
16. final electrical .(1.1.......1� v —
17. variance r uirei _ —
18. data plate okay — —
19. mobile HUD seal okay — — —
Model # - Serial#
Manufacturer ! ✓4 (UUS 5 /P
Date of Manufacturer
OKAY TO ISSUE C/O YES NO
Comments:
FINAL
IN �DN
MOBILE / MODULAR , J
Town of Queensbury �j
Building & Code Enforcement \ II
742 Bay Road 1y1
Queensbury, NY 12804
(518 761-8256
C; it
ARRIV E DEPART('"
C w -. I f a IN SP: 4J DATE INSPECTION REQUEST RECEIVED:
NAME: CiLCCX Q\) E
LOCATION: a t e\ ' (k
DATE: \,` ! O — 7/ PERMIT# ! 3C2
MOBILE HOPE I MODULAR HOME
FOOTINGS FOUNDATION _ BACKFILL_ FRAMING_
N/A YES NO
1. foundation support, pier spacing
per manuf.
/'` anchoring per manuf.
3. water line shut,off /
4. sewer line support@ 4 feet t/
5. heating crossover (dbllewide) off
6. dryer vented outside
7.• skirting ventilated _
8. I'rrefvg
outside 9. rches, steps, r ' ' g 10. hot water ope tin11. re proofin12. sers • _.13. g fix e14. ulation (if appl.)15. tectors
16. final electrical _/
17. variance required 7/
18. data plate okay
19. mobile HUD seal okay 17
( f --07_0--/66 2-%SI 4 P�
Model # • Serial#
Manufacturer
Date of Manufacturer C,/i 41"J7 t
OKAY TO ISSUE C/O YES /NO
Comments: 1-kit-AmRAIL4 e >& 45
/Lie 0 F;Nr4 L 64. 6e, /SPC-<1
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