2005-462 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
4z Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: P20050462 Date Issued: Tuesday, September 13, 2005
This is to certify that work requested to be done as shown by Permit Number P20050462
has been completed.
Tax Map Number: 523400-308-015-0001-018-000-0000
Location: 46 SANDERS Rd
Owner: PETER BOVEE
Applicant: PETER BOVEE
This structure may be occupied as a:
Mobile Home Out of Park By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the (�2)j /I
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
(2t 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20050462 Application Number: a2005O462
'Fax Map No: 523400-308-015-0001-018-000-0000
Permission is hereby granted to: PETER BOVFF.
For property located at: 46 SANDERS 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. Type of Construction Value
Owner Address: PETER BOVEE
DARLENE PHILLIPS Mobile Home Out of Park $65,000.00
Total Value $65,000.00
45 SANDERS Rd
QUEENSBURY, NY 12804-0000
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2005-462
1152 sq ft MOBILE HOME
$44.12 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, July 14, 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 Que sb4 ; u ay, July 14, 2005
SIGNED BY� for the Town of Queensbury.
Director of Building&Code Enforcement
Application for Permit— Mobile Home
Town of Queenshwy, 742 Bay Road, Oueensbury, 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
Office Use
Name: 0ck-1 ehe A /l�Qs a,.d Pzler ,&)ee File Permit No. 4QO�Ll
Address: Y 5 5aod-er-s Rd Fee Paid
Reviewed By:
t�
Phone No. -7q,�'-U(on-5- —
JUN 7 2005
Parcel Information
Property Owner Information TOWN OF QU ENSdURY
Proposed Date of Placement: J Gc_( IM.72YIO AND CODE
�----
Name: SCcv►ae
Property Location: Lf(e 5anj f C,S
Address: Road,Sheet,Aveaae
Name of Mobile Home Park: 6/9-
r1f applicable)
Phone No. Tax Map Number.- D-2
Mobile Home Information - Zoning-Information
Approximate Value of Home: $ (7
Zoning Classification:
New Home: Yes No
Replacement Home: Yes No
Size of Property: �( �ft.by
Existing buildings: skiej 12' Y $'
Size of Mobile Home: —�fL by 2 ft.
Setbacks: front yard i oo fb; rear yard 3 5.2 ft.
Singlewide: Doublewide:_ 4 Side yards -7 I _ft.and Lj 3 ft.
Number of Rooms: (exclude baths) 5
Number of Bedrooms: 3 Accessory Building(s): circle
Number of Bathrooms: 2_
Detached garage: 1 car; 2 car, car
circle: Gas Fireplace/Woodstove/Wood Fireplace Attached garage: 1 car; 2 car, car
Storage building: � No
Foundation Support: Other:
TYPE SIZE&DEPTH Water Supply: well o municipal
Piers s
Runners �3 r ,� x „ Is Septic Permit Required? Yes or A
Further information requested on the reverse side of this sheet W
Name of Installer or Mobile Home Dealer. 1�ccr'�s � �-o " V��nu-�ac -.��c� H-0►'►eS
Address: 8�2- &L, e I NL?rT1-.r Le-11a�d U 7 U 5 201
Phone No. -1 -7 3-(o5s t l
Complete information below found on a"plate"or"sticker"which is affixed to the mobile home.
1. Insignia serial number.
2. Name of manufacturer. ��� 4--�Ma
T
3. Plan Approval Number:
4. Model or Component Designation:
(New Home ONLY) /
5- - Date of Manufacture: C ip
AFFIDAVIT
Town of Queensbury - State oNew-York
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 BUELDING 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.
sere.
owner,owner's agent,architect,contracwr
Special Conditions of Permit
BY:
Form: 1111911999sh Code Enforcement Officer
FINAL INSPECTION REPORT
MOBILE- / MOOULAR
Town of Quewisbt"
Building &Code Enforcement
742 Bay Road
Oueensbury, NY 12804
(518) 761-8256
ARRIVE: DEPART INSP:
DATE INSPECTION REQUEST RECEIVED:
NAW
LOCATION:'q�e
DATE:9 1 1PERMIT#
MOBILE HOME MODULAR HOME
F00Tff4GS— fkXJNDATION — BACICRIL— FRAMM
- N/A o
1. foundation support, pier spacing
YES /�
per manuf. ........................ —
2. anchoring per manuf ............... —
3. water line shut off ...................
4. sewer line support 0 4 feet ....... —
s. heating crossover(dblewide) off grd. —
6. dryer vented outside ..:................... _
4
7. skirting ventilated ....................
8. hot water relief valve piping outside
9. dock, porches, steps, railing ........
10. ftuTgwz/hot water operating ........
11. garage fire proofing ..................
M. door closers ...........................
13. plumbing fixture ......................
K 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 LTA
Date of Manufacturer
4
OKAY TO ISSUE CIO V YES NO
Comments:
FINAL INBPECTION REPORT
MOBILE / MODULAR
Town of Queensbury
Building &Code Enforcement
742 Bay Road {
Queensbury, NY 12804
(518) 761-8256
ARRIVE: DEPART: f V N eas /
P`1��`�
DATE INS TION REQUEST RECEIVED:
NAME:
LOCATION:
D ATE —RA PERMIT#6S-
MOBILE HOME MODULAR HOME
FOOTINGS FOUNDATION RACI¢ILL 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 ......................
7.. skirting ventilated .................... —_
8. hot water relief valve piping outside — —
9. deck, pouches, 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 .... P1 -
17. variance required .....................
18. data plate okay .......................
19. mobile+ HUD seal okay .............. ♦ —7
Model # ` ' Serial# l
Manufacturer
Date of Manufacturer
OKAY TO ISSUE C/O YES NO
Comments:
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
ea that the electrical wiring to the electrical equipment listed below has been examined and is approved as
being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date
noted below and is issued subject to the following conditions.
Owner: Peter Bovee Date: 08/29/2005
Occupant: Unknown Location: 46 Sanders Rd.
Queensbury, Wa ren Co. NY
Occupancy: Trailer
Applicant Peter Bovee
45 Sanders Rd
Queensbury, NY xk8Q
.e
a R � y
_ N :e x
`"-ate ' „ z"`ku." s 4.
s
No. _ 31 8 0X1' 4 5 2 6d � e
Equipment: Q� � � -
s
100 Amp . Service Equipment #2g
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L 4
. p
IF—
a =
a
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This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies only to the use,occupancy and
above and the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change in the use,occupancy or ownership
inspection. No warranty is expressed or implied as to the mechanical safety,effi- of the property indicated above,this certificate shall be immediately null and void.
ciency or fitness of the equipment for any particular purpose. This certificate shall In the event that this certificate becomes invalid based upon the above conditions,
be valid for a period of one year from the above noted date. Should the electrical this certificate may be revalidated upon reinspection by Middle Department
system to which this certificate applies be altered in any way,including but not limit- Inspection Agency,Inc. An application for inspection must be submitted to Middle
ed to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc. to initiate the inspection and revalidation
any of the components installed as of the above noted date,this certificate shall be process. A fee wi11 be charged for this service.
Foundation Inspection Report
Office No. (518) 761-8256 Date Inspection request received: f
Queensbury Building &Code Enforcement Arrive: am/p j Depart: f/> m
742 Bay Rd., Queensbury,NY 12804 Inspector's Initials (--
NAME: _ �/ r_ PERMIT#:
LOCATION: y�5 AND�_,z S i2 INSPECT ON: Z
TYPE OF STRUCTURE:
Comments
Y N N/A
Footings
Piers
onolithic Slab
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Dampproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil pof for wet areas under slab _
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior/Exterior
R- _
Rough Grade 6 inch drop within 10 ft.
L:LSueHemingway\Building.Codes.InspectionTORMSToundation Inspection Report.doc January 28,2003
_Down o/ QueenjLry
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98 '' ,
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
a.
WE
r.
LOCATION,
DATE lj ; -I '� ' PERMIT NO.
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length
Length of each trench I
Depth of trenches
Size of gravel_
SEEPAGE ?ITS-(Number of) f RECEIVED
C IVE®
Size- ft. X J' ft.
Gravel size - SUN % 7 20
PIPING: Size Type
Bldg. to tank TOWN OF QUEENSBURY
Tank to (list. box BUILDING AND CODE
Dist. boa; to field/pit
Openings sealed? YES NO Partial
LOCATION/SEPARATIONS:
Foundation to tank ft.
Foundation to abscrption =ft.
Absorption to lot line ft.
Separation of pits ft.
LOCATIQN OF SYSTEM ON PROPERTY(circle one)
Front —Rear - Left side - Right side -
CCMMENTS:
i
SYSTEM USE APPROVED YES NO
Building Inspector
01/86 and vl
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. .......... - -----
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113
powX Y'F aoo -r I
V
RECEIVED
-K
JUN 7 2005
TOWN OF QUEENSBURY
-.BUILDING_AND CODE
MPy
TOWN OF QUEENSBURY
BUILDING & ODES DEFT,
REVIEWS P BY
DATE
......................
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