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2005-449 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: P20050449 Date Issued: Tuesday, January 29, 2008 This is to certify that work requested to be done as shown by Permit Number P20050449 has been completed. Location: PETRIE Ln Tax Map Number: 523400-308-006-0001-061-000-0000 Owner: SAMUEL & VIOLA WAHNON Applicant: JOHN & BRENDA BEADNELL 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 /I property owner of the responsibility for compliance with Site Plan, 6/�f 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: P20050449 Application Number: A20050449 Tax Map No: 523400-308-006-0001-061-000-0000 Permission is hereby granted to: JOHN & BRENDA BEADNELL For property located at: PETRIE Ln 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. Type of Construction Value Owner Address: SAMUEL &VIOLA WAHNON 39 SARATOGA ROAD Mobile Home In Park $70,000.00 Total Value $70,000.00 GANSEVOORT, NY 12831 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2005-449 1484 SQ FT 2005 MOBILE HOME $90.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, July 05, 2006 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town of uee ury; ues , ly 05, 2005 SIGNED BY for the Town of Queensbury. IV Director of Building& Code Enforcement Application for Permit— Mobile Home Town of Queensbwy, 742 Bay Roue Queensbury, NY 12804 (518) 761-8256 A building permit must be obtained before placement of mobile home on parcel. No inspections will be made until a valid building permit has been issued. Applicant Information j r Office Use Named D�jn r, File Permit N Address: ke/s�pSS: JZ�. Fee Paid V Z` /Gr Ksok2ef-� A1' f26yS_ Reviewed By: Phonq No. rv_'2_3 —9 7 Y RECEIVED---------- -- ---- JUN z Parcel Information Property Owner Information TOWN OF OUEI-NSIIRY Name: BUILDING AND ed Date of Placement: AW _0 Property Location: iaq I Address: vy-, &0 r,0„:, Road, Me= 2 -7 Name of Mobile Home Park: V 1� (ijapplicable) Phone No. 2 Tax Map Number: Mobile Home Information _:__ - Zoning Information - Approximate Value of Home: Ir � r(/i,� Zoning Classification: New Home: es No l U1�. S� Size of Property: ft.by � �$. Replacement Home: Yes No � Q � Existing buildings: Size of Mobile Home: 2LIS ft. by� �ft. Setbacks: from yard /J e' fh; rear yard Singlewide: Doublewide: Side yards ft.and ft. Number of Rooms: (exclude baths) 5— Number of Bedrooms: vZ Accessory Building(s): circle Number of Bathrooms: Detached garage: 1 car; 2 car, car circle: Gas Fireplace/Woodstove/Wood Fireplace Attached garage: 1 car; 2 car, car Storage building: Yes No Foundation Support: Other: TYPE SIZE&DEPTH Water Supply: well or municipa Piers x RuSlab x nners x Is Septic Permit Required? Yes or No Further information requested on the reverse side of this sheet � Name of Installer or Mobile Home Dealer. Address: Phone No. Complete information below found on a"plate"or"sticker"which is affixed to the mobile home. 1. Insignia serial number. 2. Name of manufacturer. 3. Plan Approval Number: 4. Model or Component Designation: (New Home ONLIq 5. Date of Manufacture: -- `'� AFFIDAVIT Town of Queensbury State-of i>Tew Yogic County of Warren 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 Con&trons of Permlt By Form: 11/19/1999sh Code Enforcement Officer �... L INSPECTION REPORT MOBILE / MOOULAR Town of Queensbury Building &Code Enforcement 742 Bay Road Quewdx", NY 12804 (518) 761-82W ARRIVE: DEPART: INSP-.1/1 DATE INSPECTION REQUEST RECEIVED: NAME: `"Y� ►VTv LOCATION: DATE: 0"Zct(os�- PERMIT# _ MOWLE HOME _)�. MOMU.AR HOAM FD(n'MGS FOUNDATION BACKFUL FRAMING N/A . YES NO 1. foundation support, pier spacing per manuf. _ _ 2. anchoring per manuf. ............... _ — 3. water line shut off ................... 4. sewer line support ®4 feet ....... _ — 5. heating crossover(dblewide) off grd. — — 6. dryer vented outside .x................... _ 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 appt.)...... — 15. smoke detectors .,... ... .. _ — 16. final electrical .J-0jIS.j _ — 17. variance required ..................... — — 18. data plate okay ....................... — — 19. mobile HUD seal okay .............. — Model# Z.. Serial# ' 1 Manufacturer Z � - Date of Manufacturer Z OKAY TO ISSUE CIO VYESNO Comments: FINAL IN93PECTION REPORT MOBILE / MOOULAR Town of Queetsbury Building &Code Enforcement 742 Bay Road Queensbury, NY 12804 (518) 761-8256 ARRIVE:Qj DEPART: lC.��, P: DATE INSPECTION REQUEST RECEIVED: NAME: `y�;1► "J�� LOCATION: DATE: C 120 0 PERMrr t `C MOBILE HOM ' MODULAR HOUZ FOOTINGS_ FOUNDATION _ BACIG L_ FRAMING- N/A . YES NO 1. foundation support, prier spacing Per manuf. ........................ — — — 2. anchoring per manuf: ............... — — - 3. water line shut off ................... — 4. sewer line support ®4 feet ....... — — —_ S. heating crossover(dblewide) off grd. — — 6. dryer vented outside .x................... _ _ 7. skirting ventilated .................... — — 8. hot water relief valve piping outside — — 9. deck, poaches, steps. railing ........ — _ 10. furnacelhot water operating ........ — 11. garage fire proofing .................. 12. door closers ........................... 13. plumbing future ...................... — 14. foundation insulation (if appl.)...... — —_ 15. smoke detectors ....................... 16. final electrical ........................ 17. variance required ..................... _ - 18. data plate okay ....................... 19. mobile HUD seal okay .............. — — Model#MI,WV)K Dv Serial# Manufacturer � �(Z � -1 Date of Manufacturer E) OKAY TO ISSUE CIO YES 19O— Comments: ! N� l''I�A W 4,.t,C'---71-1- 0, Stock # 372 Liberty 286098 Approx. 1352 Sq. Ft. 28 x 60 Glens Falls Mobile & Modular Homes, Inc. 1304 Route 9 Gansevoort, NY 12831 Q �� qq (518) 79$ 2801 Fax 798- 2803REC I VED JUN 9 1 'l_0Q5 OWN OF O'•JEENSBURY B-UILDING A.vD CODE --- OJ:LI,,, ,�, _I �' .LLLLLLLLLJ3W f 1�';;oG t _ LL I i I !_L_L_LSECCND L"L"_L w-�rxias� LLLLIQtCNEN�LLLBEDROOM LL _L LLLIIsa•xi2-<'_LLL_V—xizr ( LLLLLLLLLL_ M LLLLLLLLLL L-L- I_LLL .L 1 U, MASiFR LIVING PCRCN BEDROOM ROOM v-0•x -3' 11 tsw•x�2�• 13 2' S+o, K. 213R, 28A, MORNING ROOM 286098 q5 • 1 ')5 - WIDE BUFFER i 1 r SIDS OF la O- `- f OF ` I J.:FFR=Y TINA ELSIE FARTS E?-SAL. i E xL�WQOD ETj� AL. � �y SS��I. WAShIBURN t�Ous ...._r--�--_.. ..,::.i;_ W _ —v�...� t _�, 1rr / �( �L �l �'�T" W � y V✓ � 1,7�I ___ LI s �` r 432 {.� cV b cp Ce a v 0 ICAIITS r OWN R5lApp.L CONYENYR12804 ApRY C. & UEENS URY. ApRIL LANE R� URA g�G_ S B .i 1 �,ppROX. 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