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2012-387 111111 � ` TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20120387 Date Issued: Monday, October 22, 2012 This is to certify that work requested to be done as shown by Permit Number P20120387 has been completed. Location: 78 MONTRAY Rd Tax Map Number: 523400-296-014-0001-007-000-0000 Owner: GRAYSON PROPERTIES LLC Applicant: GRAYSON PROPERTIES LLC This structure may be occupied as a: Mobile Home In Park By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property (- 44P r.,J 45("' owner of the responsibility for compliance with Site Plan, Variance, or v other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Ray Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518)761-8256 BUILDING PERMIT Permit Number: P20120387 Application Number: A20120387 Tax Map No: 523400-296-014-0001-007-000-0000 Permission is hereby granted to: GRAYSON PROPERTIES LLC For property located at: 78 MONTRAy Rd in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Tyne of Construction Value Owner Address: GRAYSON PROPERTIES LLC Mobile Home In Park $9,000.00 1004 CHESTNUT St Total Value MECHANICVILLE,NY 12118 $9,oao.00 Contractor or Builder's Name /Address Electrical Inspection Agency JAMES PIERCE MOBILE HOME INSTALLATION 78 MONTRAY Rd QUEENSBURY NY 12804-0000 Plans&Specifications 2012-387 14 X 80 Manufactured Home Lot#11 1990 Fairmont Serial#6014-2B-FK-RA-ES-Point West Custom $134.40 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,August 17,2013 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town of Queensbury; Friday,August 17,2012 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement • • i OFFICE USE ONLY ' r , TAX MAP PERMIT NO. l c)-- • • 3 `p J , DATE ISSUED: • i Ag130 2012 , i PERMIT FEE 13&l.*APPROVALS: ZONING TOWN CLERK • t • o nip , MOBILE HOME -APPLICATION FOR PERMIT: A building permit must be obtained before placement of mobile home on parcel. No inspections will be made until a valid building permit has been issued. Applicant Information Property Owner Information Name: ,Arr / O'is19/15--6111 Name: Address:/0 a y L'/e s7 i Sf Address: /Tie c,,4,>/, � v,,./I6, Ay. ,.02„F Phone No. 1/7- V 66 a y Phone No. Parcel Information p - // Proposed Date of Placement: ��371-rno �p�° /�C� // Property Location: o a o_N,r,�oi Y Road,Street,Avenue Q"Ay Name of Mobile Home Park: (if applicable) Tax Map Number: Mobile Home Information Zoning Information Approximate Value of Home:$ y OBD Zoning Classification: New Home: ❑Yes ❑No Size of Property: ft. by ft. Replacement Home: ❑Yes ❑No Existing buildings: 7 Size of Mobile Home: /V ft. by t ft. Setbacks: front yard a a ft. rear yard 0 ft. side yards 2 f ft.and 2 5— ft. Singlewide: /, Doublewide: � Number of Rooms: (exclude baths) .5Accessory Building(s): Number of Bedrooms: ,-2- Number of Bathrooms: / Detached garage:❑1-car ❑2-car 0 car 0 Gas Fireplace 0 Woodstove 0 Wood Fireplace Attached garage: ❑1-car n2-car ❑ car Foundation Support: Storage building: ❑Yes D No Type Size & Depth Other: Piers ," Runners Water Supply: ❑Well ❑Municipal C:fy t"../47`er Slab Is Septic Permit Required? "El Yes ❑No Continued on page 2 Ww Town of Queensbury n Community Development Office • 742 Bay Road, Queensoury, iv r Las U4 Name of Installerllor Mobile_ Home Dealer: J A /"''f- ese- rcei Address: �a /`"7 0/"/t/, /rd Qui e QP/S hone: S/F� y�J ^`� 2'O Complete information below found on a"Plate"or"Sticker"which is affixed to the mobile home: ✓ Insignia serial number: ✓ Name of manufacturer: F3; r- /)') 0 tv 7 W p1 -e C ✓ Plan Approval Number: 0 5 ✓ Model or Component Designation: / / (New home only) I Date of Manufacture: /0 /96 •i!i_•i_i.i.i_i_..._i_R.i_._i.._..i_._..._.!1!i:!i!i!i!._._.!._1_i!i!t!ti_•i:i!i^.nnfl!Vi!i}111.i_i!1_i!1!3%!i_i_:_^..•ii!t!ly AFFIDAVIT J Town of Queensbury State of New York County of Warren F. I swear that to the best of my knowledge and belief the Y statements contained in this application, together with the plans y and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and E that all provisions of the BUILDING CODE, the ZONING F. ORDINANCE, and all other laws pertaining to the proposed work shall be complied with, whether specified or not, and that such x work is authorized by the owner. ' J Signature: zC Owner,Owners Agent,Architect, Contractor Z SPECIAL CONDITIONS OF PERMIT By: Code Enfor menticer 4 , , ` Town of Queensbury• Community Development Office • 742 Bay oad, Queensbury, NY 12804 Queensbury Building & Code Enforcement — Manufactured / Modular Final Inspection Office No. (518)761-8256 Arrive: t _ . nom'. 5e Date Inspection request received: Inspectors Initials: NAME: PERM�Gt� t�� i iir lj PERM #: LOCATION: t III": X11 1i) T / 27 DATE: Manufactured Home Modular Home Footings_ Foundation_ Backfill Framing Comments: Yes No N/A Foundation support,pier spacing, Per manufacturer Anchoring per manufacturer 2'from ends Water line shut off 1/ Sewer line support @ 4 feet v // Heating Crossover[doublewide}off grd. 7114 Dryer vented outside Skirting ventilated 1 sq.ft.Der 1,500 sq.ft. Hot water relief valve piping outside Deck,porches, steps,railing Fumace/hot water operating ✓ Garage Fire proofing Fire Door/Door closers Plumbing Fixture/3"Vent through roof[Modular] Foundation insulation[if applicable] Y Smoke/Carbon Monoxide Detectors/Interconnected v Final Electrical Variance required Data Plate okay \` Manufactured HUD seal okay C � ,/ Warranty Seal after January 1,2006 Installers Warranty Seal 18"x 24"access or 22"x 30"attic access Vapor retarder under home 6 mil poly or other 911 Street number Okay to issue C/C or CIO[Temp./ rm vv Model# Serial# Manufacturer Date of Manufacturer L:1Pam Whiting120101Building Codes Forms\Manufactured_Modular Final Inspection_03 04 10.doc Queensbury Building & Code Enforcement- Manufactured / M• •u : Final Inspection e Office No. (518) 761-8256 Arrive: D, f a ,4ait Date Inspection request received: Inspector's!Mi. NAME: 1/)V-q ! PERMIT#: I — 3 LOCATION: D .-,f\ -r'n� P Lt e6 DATE: {-112-1,Z— � ll Manufactured Home V Modular Home �r\ X17 7t EV-C- Footings_ Foundation_ Backfill_ Framing_ \5 — Lap DO Comments: Yes No NIA Foundation support,pier spacing, j Per manufacturer , / Anchoring per manufacturer 2'from ends YYY • t,\. , +, Water line shut off V 1f I' V---% ` `J v_\ v \Prt-i-i t..G Sewer line support @ 4 feet V F LV---1 'IG (16 P t C.,)J 1 Heating Crossover[doublewide}off grd. Dryer vented outside Skirting ventilated 1 so.ft.per 1,500 so.ft. I .-7--Z % O V;71 ___`- ep____ Hot water relief valve piping outside 171 Deck,porches,steps,railing / ' 7 c- RR O 0 CEng 'co C3E_. Fumace/hot water operating t-'\O E LLo 5 - TO T2r'�1�� Garage Fire proofing / Fire Door/Door closers / Plumbing Fixture/3"Vent through roof[Modular] ,✓, Foundation insulation[if applicable] ✓ Smoke I Carbon Monoxide Detectors/Interconnectedz . Final Electrical / `a t-117-r-(\LL 5 04 o /i_iJ _` ►. HALL Variance required ✓ C �t 7-D.z‘ i_b J toe . Data Plate okay Manufactured HUD seal okay ✓ Warranty Seal after January 1,2006 f Installers Warranty Seal _ ,X_— L L%= l3� D 0._`�1 v� 18"x 24"access or 22"x 30"attic access r. DF- TV-Al V ^ t Vapor retarder under home 6 mil poly or other ✓ 1 < 911 Street number /71./*/- �- J. Okay to issue C/C or CJS[Temp.!Perm.] -k--,ALL. LIT 0\) Nw- sJt, FP Oso sJF -T Ca-1 t -- . Model# 60r zi -FK-PA Serial� # Manufacturer Fk1� l \ \-k-A-A, \V ,_ Date of Manufacturer ttn - to - kl.J L:1Pam Whiting120101Building Codes Forms\Manufactured_Modular Final Inspection 03 0410.doc Queensbury Building & Code Enforcement — Manufactured I 11,1•19 - inal Inspection Office No. (518) 761-8256 Arrive: .fp -part 7- 7D pm Date Inspection request received: Inspector's Initia : , \ r NAME: VAC, 1JTRE) �\(,4\T5 PER IT \Lc39 7 LOCATION: 1-0 \ 1 , 73 M[)t o D DATE: Manufactured Home Modular Home Footings_ Foundation_ Backfill_ Framing— PA R-Ft Comments: Ye/2 WA Foundation support,pier spacing, Per manufacturer Anchoring per manufacturer 2'from ends Water line shut off (// . Sewer line support @ 4 feet Heating Crossover[doublewide}off grd. Dryer vented outside Skirting ventilated 1 so.ft.per 1,500 so.ft. Hot water relief valve piping outside ``s� Deck,porches,steps, railing Fumace/hot water operating t_, Garage Fire proofing \ ✓�G��\�Q� � � Fire Door/Door closers Plumbing Fixture I 3"Vent through roof[Modular] Foundation insulation[if applicable] Smoke/Carbon Monoxide Detectors/Interconnected Final Electrical Variance required Data Plate okay Manufactured HUD seal okay Warranty Seal after January 1,2006 Installers Warranty Seal 18"x 24"access or 22"x 30"attic access Vapor retarder under home 6 mil poly or other 911 Street number Okay to issue C/C or C/O[Temp./Perm.] Model# Serial# Manufacturer Date of Manufacturer L:1Pam Whiting120101Building Codes Forms1Manufactured Modular Final Inspection 03 04 10.doc Queensbury Building & Code Enforcement — Manufactured / •dul-,r ' final Inspection Office No. (518) 761-8256 Arrive: ����� .,- •.rt a n �7-y7 p te Date Inspection request received: Inspector's Initial- 4 Iii NAME: ©t l-R 1 k \AT 1-) PERMIT it: 1 L—:7-)ce;7 LOCATION: Lr"I\ 1 A 79 N1 C)i/SC Rf LA) DATE: '— 16—1 7— Manufactured Manufactured Home Modular Home Footings_ Foundation_ Backfill_ Framing Comments: Yes No N/A Foundation support,pier spacing, Per manufacturer Anchoring per manufacturer 2'from ends Water line shut off Sewer line support @ 4 feet Heating Crossover[doublewide)off grd. Dryer vented outside Skirting ventilated 1 sq.ft.per 1,500 sq.ft. Hot water relief valve piping outside Deck,porches,steps,railing Fumace/hot water operating ' Garage Fire proofing Fire Door/Door closers Plumbing Fixture/3"Vent through roof[Modular] Foundation insulation[if applicable] Smoke/Carbon Monoxide Detectors/Interconnected Final Electrical Variance required Data Plate okay Manufactured HUD seal okay 11 04-) - 6-617 7 Warranty Seal after January 1,2006 � :J Installers Warranty Seal 18"x 24"access or 22"x 30"attic access Vapor retarder under home 6 mil poly or other 911 Street number Okay to ( o\4— LV-Y' F\S—KS\--E. ‘t\S-V- c_6 - LO -A--y Model# i.)012E Serial# Manufacturer EA k R tJT \r\c E- k OC, Dateof Manufacturer ken '0 —ck3 L:1Pam Whiting120101Building Codes Forms\Manufactured Modular Final Inspection 03 04 10.doc