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2008-191
TONXN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 42 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number. P20080191 Date Issued: Tuesday, June 24, 2008 This is to certify that work requested to be done as shown by Permit Number P20080191 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 maybe 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 owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20080191 Application Number. A20080191 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 1004 CHESTNUT St Mobile Home In Park $5,000.00 MECHANICVILLE,NY 12118 Total value $5,000.00 Contractor or Builder's Name/ Address Electrical Inspection Agency Plans &Specifications 2008-191 Lot 9 1120 sq ft mobile home in park $67.20 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday, May 28, 2009 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the T of Quee bury; W dnesday, May 28, 2008 SIGNED BY for-the Town of Quemsbury. zz :y: Director of-Build ri &Co Enforcement i �_ i `�..�, ! • w w... w.. ........................................ /_ . OFFICE USE ONLY ,` TAX MAP NO. _PERMIT NO. DATE ISSUED: % ` + PERMIT FEE APPROVALS: ZONING TOWN CLERK ' '? i i t ._ s by +................ww.w..rw..w..w..w...w.r.w...r...rwr...r.w.wwrw..w... + '.�ovV+r,�l rc+�... , � , BUILDING & CODES MOBILE HOME -APPLICATION FOR PERMIT: A building permit must be obtained before placement of mobile home on parcel. No inspections will be made until a valid building permit has been issued. Applicant Information Property Owner Information Name: - C-1 C� ©0 Name: Address: /d 0 6<4-N Li Address: Phone No. t/' 6( 2 ZL Z�-Z�1 y Phone No. I t S Parcel Information Proposed Date of Placement: Property Location: Road,Street,Aven e Name of Mobile Home Park: (itappticabie) Tax Map Number: _................._....... ....................._...._._ ._..... ._...-.........__........................... _ g f Mobile Home Information ...._. Zonin In ormation Approximate Value of Home:$ ' Zoning Classification: l New Home: Yes No I Size of Property: 75 ft.by Ia�5 ft. Replacement Home: Yes No _,Q Existing buildings: IZTT 1� Size of Mobile Hom ` 7 ft. by�ft. Setbacks: front yard ft. rear yard ft. side yards 3 o ft.and ft. Singlewide: Doublewide: Number of Rooms:(exclude baths) ' Accessory Building(s): circle Number of Bedrooms: _ Number of Bathrooms:_ Detached garage: 1-car 2-car car Circle: Gas Fireplace/Woodstove/Wood Fireplace Attached garage: 1-car 2-car car Foundation Support: Storage building: Yes No T Size & Depth Other. Piers Water Supply. well or unicipal,`, hers Slab Is Septic Permit Required? Yes or No .........................................._....._..._.._.. _._........_.._............_...__.....__...._.__..__ _—..___...._...._._..�._....._........._...._..........._.............._........__....._............._....._........_........_............ Continued on back T'prtm of Queensbury- Community Development Office- 742 Bay Road, Queensoury, iv T izo i �LL Name of Installer or Mobile Home Dealer. ( Address: /D O q C 4 p ,, nk S Phone: S( R° — Complete information below foundon a"Plate"or"Stickerwhich is affixed to the mobile home: ✓ Insignia serial number: 03 1 o ✓ Name of manufacturer: -5/k� �� f��rs�l ✓ Plan Approval Number: G� ✓ Model or Component Designation: (New home only) Date of Manufacture: 4f, ' w._:_:_._._�i_._:_:_:_._•i_i_w:_._..:_._._i_.5:.._i_�..._._:-«r•:F•:_•'r•:Si_•GS:_:_._:_L._�._�._._._:_�._i•:S:::�.y J AFFIDAVIT ii J J Town of Queensbury State of New York County of Warren - J J I swear that to the best of my knowledge and belief the statements contained in this application, together with the plans w and specifications submitted, are a true and complete statement c 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 c shall be complied with, whether specified or not, and that such e work is authorized by the owner. s •' J e V $ �v Signature: ��er,Owner's Agent,Architect, Contractor v J � J SPECIAL CONDITIONS OF PERMIT r C , By: Code Enfo Ment Officer Town of Queenslninj• Community Developn t Office• 742 Bay d, Queensbury, NY 12804 FINAL INSPECTION REPORT MOBILE / MODULAR Town of Quemsbt" Building &Code Enforcwxw 742 Bay Road Queensbixy, NY 12804 (511, 7 1-81256 AARRIVE. DEPART: IN DATE INSPECTION REQUEST RECEIV NAME: C' U)CA-noN. .. IS 9 DATE: --A-7-Y-US PEMff# *01111111Z momfl --)(— MOMMLAR Igft= FOOTINGS— ""ATM BAOURL FR.AAM N/A YES NO 1. foundation support. pier WWmg per manuf ........................ 2. anchoring per numuf.. ............... 3. water line s&#off ................... 4. sewer line support @ 4 fed ....... 5. heating crossover(dblewide) off grd. 6. dryer vented outside ...;................... 7. skirting ventilated .................... 8. hot water relief valve piping outside 9. deck, porches, steps, railing ........ 10. furnaceAbot 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 hate of Manufacturer OKAY TO ISSUE CIO YES NO Comments: Ak FINAL INSPE ION RE MOBILE / MODULAR Town of Oueensbi" Building &Code Enforcement 742,Bay Road Queensbury, NY 12804 a (518) 76141256 ARRIVE: M.J�DEPART: INS q DATE INSPECTION REQUEST REC LJ NAM .'^ DATE: 31 > M01 ILE HOME MODUL" HOME P01MINM /FOUNDATION _ SACKFU.L` _ FRAMING Ct leeJ NIA . YES NO I. foundation support, pier spacing per manuf. ................. 2. anchoring per manuf. ............... 3. water line shut off ................... 4. sewer line support (M 4 feet ....... _ ^ 5. heating crossove wide) off grd. 6. dryer v_ tsi : ................. 7. skirting vea .................... — 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 seat okay .............. — Model 11 Serial# Manufacturer Date of Manufacturer OKAY TO ISSUE CIO YES NO Comments;--K%-Zrlk ES �t�V-- pKt11 &) FINAL INSPECTION REPORT MOBILE / MOOULAR Town of Queensbury Building &Code Enforcement 742 Bay Road Queembury. NY 12804 (518) 7614256 ARRIVE:�DEPART:Z�Z�'INSP: DATE INSPECTION REQUEST REC NAME: E T LOCATION: L # W DATE: ICA PERMIT#_ �-lQ\ MOBILE HOME MODULAR HOME FoornNGS, FOUNDATION_ BACKFH.L_ FRAMING_ NIA : YES NO 1. foundation support, pier spacing per manuf. ........................ — — 2. anchoring per manuf. ............... 3. water line shut off ................... —_ 4, sewer line support @ 4 feet ....... S. beating cro&,uver(dblewidc) off'grd. — — — 6. dryer vented outside ................ 7. skirting ventilated _ 8. hot water relief valve piping outside — — — 9. deck, porches, steps, railing ........ — 10. fiumaceJhot 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# �J\0-Z14 'S0;a# ManufacturerV L$ Date of Manufacturer OKAY TO ISSUE CIO YES NO Qxnments: i ` TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 S 18-761-8201 AFFIDAVIT TOWN OF QUEENSBURY STATE OF NEW YORK COUNTY OF WARREN I swear that the following used mobile home that will be transported into the Town of Queensbury for placement will have the following. A building permit approved and issued, meet all zoning requirements, the mobile home's HUD sticker affixed to mobile home and meet HUD requirements for the Middle Zone. As the person responsible for the transport and placement of this mobile home, I accept total responsibility for removal of the mobile home from The Town of Queensbury, if it does not meet the requirements for placement. Signature: Date: ile Home Owner, Owner's Agent, Mobile Home Contractor Signature: Date: Town of Queensbury Code Enforcement Officer "HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LIVE" SETTLED 1763 I s ; Mai 27 08 04: 11p Larry Grayson 518-664-9194 p. 1 Ua1Z11ZUV0 14:Ub rAl t 002 Homette Corporation MINE 99 Horseshoe Road P.O.Box 220 teola,Pennsylvania 17540.0220 717-656-2071 L9VL May 27,2008 ` ,. SIT - _._..Y To Whom It May Concern: From: Cindy Scheid Administradvt<Assistant r in af' Of RE: Serial Number: 0310-0964G i L Y c This is to verify that the above-referenced home was manufactured at Skyline Homes in Ephrata,Pennsylvania,and meets the.middle zone snow requirements. lopy NOTICE ANCHORING OF MOBILE HOME FRAME IS REQUIRED PER 1 T MANUFACTURERS SPECIFICATIONS KR FT PAPER INSULATION COVERED BY NON-COMBUISTIFLE i BRINGING Ann How. BRINGING FUYlCi(IWUN. 1 - I. -� --- - . d moo. - -�----- ------�-_---- -�- � _ � off, -- - ----- ----- --__--------= - -- MAY 07 �0 TOWN OF QIIEENSBtlR c� � 1 � o � 9 o AV ? y ra B41,6 a/ i 1 77/5 &If A r.6 4 AIVO s.CA v/=iP 3 M olvl-eAK lj'G.�� Ry 127 it�iL I f 4 i i' TA/v>!SA4oR sL aM I 4 � Gr �.Z 3 l } f 2 S AS S/7 u iV o, ni, 1 � mot F _ t i _ x � i 1y 1 •6� a r or 1�7 77 f � / 1 y, � F-/Zwv ll� Y