009040-2018 12242018INSPECTION WORKSHEET (009040-2018)
Town of Queensbury - Building and Codes - Fire Marshal
742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal
Case Number:RC-0804-2018Case Module:Permit
Inspection Date:Thu Dec 27, 2018Inspection Status:Passed
Inspector:John O'BrienInspection Type:Building Inspector Visit
Job Address:63 ILLINOIS AVEParcel Number:309.9-1-30
Queensbury, NY 12804
Contact TypeCompany NameName
Primary OwnerDKC Holding Inc.
Checklist ItemPassedComments
Building Inspector NotesYES12/27/18 As per my Building Inspector Visit of the
manufacturer home at Clute Enterprises the home is
compliant for installation at 63 Illinois Ave.
CMH Manufacturing, INC.
DATE OF MANUFACTURE : 11/07/17
SER. #: CWP036982TN
MOD. #: 36TRU1462Ah18
O'Brien, John (Inspector)
Dec 27, 2018Page (1)