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93-636 r T-` CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 911inuatit /119 This is to certify that work requested to be done as shown by Permit No. 9 3-b 3 6 has been completed. This structure may be occupied as a d c m h 1 ewi de. si nv1 P fJ n i_1 v c i we 1 i i ng Location Moon Hill Road Kenneth G. Coons Ovvner Applicant: Douglas E. Coons 18-3-15 By Order Town Board TOWN OF QUEENSBURY i / / Director of Bldg. 6c Code Enforcement - 1-3 BUILDING PERMIT TOWN OF QUEENSBURY ro No. 93-636 z WARREN COUNTY, NEW YORK o DOUGLAS E. COONS PERMISSION is hereby granted to co w w OWNER of property located at Moon Hill Road Street,Road or Ave. In in the Town of Queensbury,To Construct or place a Doublewide Mobile Home at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. O 1. OWNER'S Address is Z Kenneth G. Coons RD#1 Box 1624 Queensbury NY 12804 d 2. CONTRACTOR or BUILDER'S Name PV Sales N 3. CONTRACTOR or BUILDER'S Address 2138 Route 50 Ballston Spa NY 12020 4. ARCHITECT'S Name 5. ARCHITECT'S Address 0 0 6. TYPE of Construction—(Please indicate by X) N 1 1 Wood Frame ( 1 Masonry ( )Steel ( ) 0 7. PLANS and Specifications 26 'x44 ' Doublewide Mobile Home as per plot plan, No. specifications and application and in compliance with Use Variance # 83-1993 and Town Board Resolution 574, 93 . 8. Proposed Use O CS' Single family, doublewide mobile home N• $ 41 . 00 PERMIT FEE PAID—THIS PERMIT EXPIRES October 19 1994 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0 town of Queensbury before the expiration date.) %S 19th October 93 Dated at the Town of Queensbury this Day of 19 0 SIGNED BY G )Jz for the Town of Queensbury N B clAv2tZoning Inspector TOWN OF Q UEENS B UR Y - - -4011g, 0161718 79 REVIEWED BY: ' FEE PAID: $ OCT 1993 Received r YJ� PERMIT NO. -qa � town of Mel)? ,� ury APPLICATION FOR PERMIT ado Rt ti0 MOBILE HOME OR MODULAR ��[—L£d£6�4i A BUILDING PERMIT MUST BE OBTAINED BEFORE PLACEMENT OF MOBILE HOME. NO INSPECTIONS WILL BE MADE UNTIL A VALID BUILDING PERMIT HAS BEEN ISSUED. The owner of this property is: j<e•t.i .;h G Gex,rS P.O. Address: 1 b'4.t Sox r�zy Phone Number "t3-0993 Property Location moo., if,it Tax Map No. 48 /3 // NAME OF APPLICANT: ,S jes Address of Applicant: R FR oz 13ox eB e All applicants spaces on this application MUST be completed and the signature of the applicant MUST appear on the reverse side of this application. PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES: MOBILE HOME INFORMATION APPROXIMATE VALUE OF HOME: $ 3Z+,jam New Home (:--Y- rsT_:) No ZONING INFORMATION: Replacement Home Ye No Size of Property: 3,40 ft x g(a,s ft Size of mobile home 2.6 ftxyqft Existing Buildings: /voAIC. Singlewide Doublewide ✓ Proposed building-distance from property line: No. of rooms (exclude baths) 7 Front Yard foci 7 ft Rear Yard y ate/ ft. No. bedrooms 3 Side Yards So/ ft and Z ft. Occupancy Informati _ No. of bathrooms �, Primary dwelling `Yes ) No Fireplace .A40 Woodstove rt!® Accessory Building(s): Detached garage (one car /two car car) Foundation style and size: Attached garage (one car /two car car) Storage building Piers-No. of 33Size 2.,ft x L ft —Other Depth below grade 1Z " ft * * * * * * * * * * * * * * * * * Foundation-Footing size " x " Proposed date of placement: Wall materials' 8, 151543 Wall thickness " Height Water Supply: Well /Municipal_ Total depth below grade ft. Septic permit required? . ova Grade to home floor level ft. FURTHER INFORMATION REQUESTED ON THE REVERSE SIDE OF THIS SHEET CNAM? INSTALLER/MOBILE HOME DEALER: mQ,,,c3FOA-,s,, 3Y P J Skles AllDRES ONE NUMBER ai3� r Q+e 5o 3c t 5?4- ,t/:! 1zvzr-f-s-q) 5 -806C) w } MO /4 STATE OF NEW YORK DIVISION OF HOUSING AND COMMUNITY RENEWAL - lb INSIGNIA OF APPROVAL OF THE STATE BUILDING CODE . .1 si gni a serial number CtoZ. % 2. Name of Manufacturer Fq, ,no vt4-- 3. Plan Approval Number 7 ZO cZ3/7 2©Szt-` 4. Model or Component Designation Fctie p i + g2.001 5. Date of Manufacture iC>lS/Q.3 All the above information is to be found on a plate or sticker which should be affixed to the Mobile Home. Complete above with that information. Town of Queensbury State of New York County of Warren AFFIDAVIT 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. SignaturedOat;c C C _ Owner owner' s agent, architect, c tractor SPECIAL CONDITIONS OF PERMIT: By Code Enforcement Officer TOWN OF QUEENSBURY 531 BAY ROAD '4 QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED T At". -FL/i' NAME ; c..7 Ms LOCATION !1/1CC1AJ /Ju E:+:;' o DATE ' --1c2rciLA PERMIT# TYPE OF STRUCTURE AlciRi t i'+k,tit f 7. FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC INSULATION _WOODSTOVE/FIREPLACE REMARKS APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING SIDING S( DECK/PORCH/STEPS AILING RELIEF VALVES FURNACE/HOT WATER OPERATING BASEMENT INSULATION/DUCTWORK INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS HANDICAPPED ACCESS SMOKE DETECTORS BATHROOM FANS/WHOLEHOUSE FANS ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE WALLS DUMPS TER SITE PLAN/VARIANCE REQUIREMENTS FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMMENTS: ARRIVE M .;6-6-- (e1-:=2 DEPART IC) OCT): I SP T TOWN OF QUEENSBURY 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FO' 'ECTION RECEIVED NAME 00, 0,-- LOCATION �� DATE JP PERMIT# ��'6.36 TYPE OF STRUCTURE RECHECK, FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL CHIMNEY HEIGHT/LOCATION N/A YES VIVO B VENT/LOCATION PLUMBING VENT ROOFING t/- SIDING DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE/HOT WATER OPERATING a BASEMENT INSULATION/DUCTWORK. INTERIOR TRIM/PRIVACY DOORS ' FINISH FLOORS: - BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEE ' BLE ,' OTHER FLOORS CARPE ED STAIR CLEARANCE/RAIL ,� NGS HANDICAPPED ACCESS SMOKE DETECTORS ,/ BATHROOM FANS/WHOLEHO{ E FANS ALL PLUMBING FIXTURE$ OPERATING GARAGE FIRE PROOFING ,/ - DOOR CLOSERS OTHER FIRE SEPARAVION t' FIRE/DEMISE WALLS DUMPSTER SITE PLAN/VARIANCE REQUIREMENTS FINAL ELECTR : ✓, OK TO ISSUE IV rR C/C COMMENTS: r4,/,, �� Z6 saes c.4 S fr., ARRIVE 3•2_1 DEPART .1. I T TOW OF QUEENSBURY 531 BAY ROAD / ��''' QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR. INSPECTION RECEIVED NAME _ e0A1 LOCATION // : 1 //e/ ' • DATE /4,j•'5} PERMIT# TYPE OF STRUCTURE RECHECK FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE) FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL_SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/PORCH/STEPS/RAILINGS f RELIEF VALVES FURNACE/HOT WATER OPERATNGr' INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGH OTHER FLOORS SWEEPABL'E OTHER FLOORS CARPETED STAIR CLEARANCE/RAIL.INGS ` SMOKE DETECTORS DOOR CLOSERS BATHROOM FANS ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE SEOARATION FIRE/DEMISE WALLS FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMMENTS: ARRIVE ci ' 1 DEPART /C INSPECTOR TOWN OF QUEENSBURY /BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FO PECTION// RECEIVED NAME .l !�`1 (CE IYIA t4 �J ��gt LOCATION r DATE /U /7/9 PERMIT # 3 '&'C TYPE OF STRUCTURE RECHECK APPROVED OOTINGS/PIERS inia ie ar N/A YES NO P�F MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOL OWING THE PLACEMENT OF THE CONC ETE. MATERIALS FOR THIS PURPOS ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS : FACE PLUMBING UNDER SLAB FRAMING: + JACK STUDS/HEADERS / BRACING/BRIDGING / JOIST HANGERS / JACK POSTS/MAIN BEAM HEATING ROUGH-IN INSULATION: / ,. FOUNDATION WALL$ INTERIOR R- `` FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: 33 (er; 02 x 9 CJ ARRIVE /2-160 DEPART $2 11/- INSP TOR 1 `j 13D 3 A.E5. ISMDRI<1410 it raillitMEN/IG rr Oglllit IN!D's!M II , VIt1Ot C01rECI101I it-Ss (I .. c. d d '4 . RZ'CT. COMEC33DN 1S•-0• • may{ i - - _ • .� I DRAW CoNNEctttlN 4-S i1 It 8 r f 3-2 3l4• `fl 'Atli oar Ecnvta --; € • ` n, of .. - a `�i ..` \ ,,. r-sa } l 1 • IQ M s� AXLE AREA /) i Fkfpy , • } r /rr}} i TOWN OF QUEENSBU t� �t* ,'''. , ', vt "il ., fir ,N1 # + l [] E '} Based on our limit�''` 7,' i: ��. / e/I , ' " compliance with o g r r s :II � � ; _ry O N r not be construed a8 #4i-t E plans and sp'ucifii , �+ ,:�' -- ' _ I. �' compliance with ttie�c `: . •, 'a r � r 4. a `5i' �, ._......._.,._.....���_._.., ...}j .7 i _• 2 y„ t#^ 4—,_-._--50• '.,G• v .-;K' ' 80 ` .� 98' �.._ b"4 {t r4f`. 7-;.'. ....M,' -,-FAs,7r.-N.',-' ._" le( re35)eCk6 NorcE _ - - ioc": TT r5 INC RfSpdNYaury OF 114E DEALER OAR IN-. t. BILE NG SPAcwc !S star 1) EXCEED I 0 .. S:ALLEJ TO C EPTTY THAT A:1(BLCO3'C �C1t FOIJNOA- I Z. li.C:.L7.LBITO.. tCSSOVERS (CAS, i1A:Eit SEWER. etc i + 8 " 1/ INTS. OFr ANY OEFtER C4AO h 1S FPUEt TC A l E OK'ALER AN.O,'OR QKSTAIifRS RESPCPt5:;JT? Ot PR fY CONtR FO ACT R R 9TE iirOPiC. 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