99-693BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury, NY 12804
County of Warren (518) 761-8256
VALUE $ 7500
TAX MAP NO. 127.-1-13
Permission is hereby granted to
Owner of property located at
CLUTE, LARRY
62 MINNESOTA AVE.
Building Permit No. 99693
in the Town of Queensbury, to construct or place a 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 NYS Uniform Building Codes and the Queensbury Zoning Ordinance.
13 DAWAN�AVE.
QUEENSBURY, NY 12804
Contractor or Builder's Name:
CLUTE ENTERPRISES, INC.
Contractor or Builder's Address:
13 DAWN ROAD
QUEENSBURY, NY 12804
Electrical Inspection Agency:
COMMONWEALTH ELECTRICAL AGENCY
PO BOX 706
HAGUE, NY 12836
Type of Construction:
MOBILE HOME
Plans and Specifications:
980 SQ FT MOBILE HOME AS PER PLOT PLAN SPECIFICATIONS
Proposed Use:
MOBILE HOME
35 January 11 2002
$ PERMIT FEE PAID —THIS PERMIT EXPIRES
(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 To ofQueensbury this _ 11 Day of January 2000
SIGNED BY A for the Town of Queensbury
ode Enforcement Officer
Application for Permit — Mobile Home
Town of Queensbury, 742 Bay Road 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
Phone No. - 7—Z2 :7
Property Owner Information
Name: LAeA C l I)TE
Office Use
File Permit No. 99--6-93
Fee Paid
Reviewed By/
Information
Proposed Date of Placement:
Property Location: &2— Hi "J )FhCSM J)\A:
Road, Sheet, Avenue
Q��►��i�l�e�' ��� Name of Mobile Home Park:
7— (if applicable)
Phone No. ,SIB - -79-- 727
Mobile Home Information
Approximate Value of Home: $ % Yi
New Home: Yes
Replacement Home: es No
Size of Mobile Home:
Singlewide:
Tax Map Number: I Z% / I_ /
Zoning Information
Zoning Classification: i0,-L
Size of Property: _� ft. by 1Ua ft.
Existing buildings:
-jLj- R. by :7Q ft I "R �� L E3 6 -G
Setbacks: from yard ft.; rear yard ft.
Doublewide: Side yards I-?- ft. and :57 ft.
Number of Rooms: (exclude baths) _
Number of Bedrooms:
Number of Bathrooms: 2-
circle: ooe
Foundation Support:
TYPE SIZE & DEPTH
Piers x
Runners x
Slab CvAb-Tt;� x
Accessory Building(s): circle
Detached garage:
Attached garage:
Storage building:
Other:
Water Supply: circle
well ; municipal
1 car; 2 car, _car
1 car; 2 car, _car
Yes No
Further information requested on the reverse side of this sheet W
Name of Installer or Mobile Home Dealer: \ , A U-_' C L-yn-E
Address: Qa3\ tJ &AD
Phone No. -79.3 —7 Z7 7
Complete information below found on a "plate" or "sticker" which is affixed to the mobile home.
Insignia serial number: IZZ10573 %r(n tb?�3
2. Name of manufacturer: Ef?H j)K:) "L)HE6
Plan Approval Number: t" E. 1 1Bg2Y)
4. Model or Component Designation:
(New Home ONLI9
5. Date of Manufacture: 1 C) 7� n<R
AFFIDAVIT
Town of Queenftry State of New 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 BUILDING CODE, the
ZONING ORDINANCE, and all other laws pertaining to the proposed work
shall be complied with, whether specified or not,.and-ttia� such work
authorized by the owner.
owner, owfer's agent, architect, contactor
Special Conditions of Permit
By:
Forth: 11/19/1999sh Code Enforcement Officer
GENERAL IN.SPECTION'REPORT
(518)761-8256
Town of Queensbury
Dept. of Community Development
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804
NAME:
TYPE OF STRUCTURE:
RECHECK
Footings/
Monolith
Reinforce
The co
providi
for 48
of the <
Materials
Foundati(
Reinforce
Foundati(
Backfill /
Plumbing
Plumbing
Rough Pli
Healing R
Insulation
Found
Found
Floors
Walls
Ceilint
Duct H
unin
Proper Vc
Framing
Jack SI
Bracin
Joist H
Jack Pc
Air Infiltn
Fire Separ
Penetratio
Fire Wall
Firestoppi
Date inspection request received:
ArriveT-q-0epm Depa
Inspector's I
PERMIT
C)RC7 DATE :
Piers
j
is Pour Form _
menl in Place
ntractor is responsible for
ng protection from freezing
lours following the placement
oncrelc.
for this purpose on site__.
n/Wallpour___-_--- -_
ment in Place _
n/Dampproofing
,pproval
Under Slab
Vent/Vents in Place
imbing
ough-In_
llion Walls Interior R-
ition Walls Exterior R-
R-
R-
R ----
ork or piping in
atcd spaces R-
m, Attic Vent
uds/Headers
;/Bridging — —
ingcrs
isls/Main Beam
rtion Barrier —�
ation I, 2, 3, NOur
i Sealed__
Z. 3, 4 hour
ig --
COMMENTS
1CFE, WEr%vE� PUMP I tJ
�-Dw) RP�-PN +i0\3%V36 k)�5AT,Ep
GENERAL INSPECTION REPORT
(518)761-8256
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804 Arriv ndptls- Depart
/ /l r's Initial
NAME: /�� 1*�* l r� t Fes•
LOCATION:
TYPE OF STRUCTURE:
RECHECK
Y(ootings/
Monolith
Reinforce
The co
providi
for 48
of the
Materials
Foundati(
Reinforce
Foundati(
Backfill )
Plumbing
Plumbing
Rough PI
Heating F
Insulatior
Found
Found
Floors
Walls
Ceilin
Duct v
unh
Proper V(
Framing_
Jack S
Bracin
Joist F-
Jack P
Air Infillt
Fire Sepa
Penctratic
Fire Wall
Firestoppi
N/A vFc un
'iers
I
c Pour Form
ment in Place
ttmclor is responsible for
ng protection from freezing
tours following the placement
oncrete.
for this purpose on site
n/Wallpour_
merit in Place
n/Dampproof i ng___
,pproval
-
---—
Under Slab
Vent/Vents in Place
tmbing
ough-In
ition Walls Interior R-
ilion Walls Exterior R-
R-
R-
R-
ork or piping in
sated spaces R-
nl, Attic Vent
uds/Hcadcrs
g/Bridging
angers____ _
rsls/Main Beam
ation Barrie - —
ation I, 2. 3. hour
n Scaled
_
---
- -
-
2. 3, 4 hour _
ng- --
PERMIT #
DATE:
COMMENTS
t
P-1
GENERAL INSPECTION REPORT
(518)761-8256
Town of Queensbury
Dept. of Community Development
Building; & Code Enforcement
742 Bay Road
Queensbury, NY 12804
NAME: ,4 /
LOCATION: '
TYPE OF STRUCTURE:
RECHECK
Footin P�
Monolithi
Reinforce
The co
providi
for 48
of the c
Materials
Foundatio
Reinforce
Found:dio
Backfill
Plumbing
Plumbing
Rough PI
Healing R
Insulation
Foun
Foun
Floors
Walls
Ceiling
Duct
unh
Proper Ve
Framing
Jack St
Bracin
Joist H
Jack P
Air Infiltr,
Fire Sepa
Pene(ratio
Fire Wall
Firestoppi
Date inspection request received:
Arrive am/pm Depart/�a1y/,pm
Inspector's Initials
iJ
N/A VFS No
ers
c Pour Form
ment in Place
ntractor is responsi le for •,
ng protection from freezing
DATE:
COMMENT
V,4i,t,
�avNa9 I I o 1� CX ��fOQ TI D� &1 4906 o?652
MNikL INSPECTION fiL §aCJ"T
MOBILE / MODULAR
Town of Queensbury
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804
(518) 761-8256
ARRIVE`,-�DEPART; 7,4� INS .
DATE INSPECTION REQUEST RECEIVF�lfi k-_ I I
NAME:
I LOCATION:
DATE: PERMIT p:P�jl
MOBILE HOME , MO 1 R L
FOOTINGS _ FOUNDATION _ RACKFUL _ FRAM
N/A YES NO
1. foundation support, pier spacing
per manuf. .....
. — — —
2. anchoring per manu . — —
3. water line shut off j .......... — — —
4. sewer line support 4 fe�t ....... — — —
5. heating crossover ( lewip) off grd. — — —
6. dryer vented outside �..................... — — —
7. skirting ventilated ... �:............. — — —
8. hot water of valy "piping outside — — —
9. deck, pooches, s ps, railing ........ — — —
10. furnace/hot water ling ........ _ — —
11. garage fire proofing ................. _ _ —
12. door closers .......................... _ _ —
13. plumbing fixture ..................... — — —
14. foundation insulation ( f appl.)...... — — —
15. stroke detectors ...................... _ _ —
16. final electrical ....................... —
17. variance required ....... t............. — _
18. data plate okay ....................... _
19. mobile HUD seal okay .............. —
Model N GCCO Serial k 1 ZZ-165 7
of Manufacturer 10 J-9 gt
OKAY TO YES NO
�RAa�bc�s
Comments:
0-0./-V-1•5l
FINAL INSPECTION REPORT
MOBILE / MODULAR
Town of Queensbury
Building & Code Enforcement
742 Bay Road G
Queensbury, NY 12804
(518) 761-8256
ARRIVE: VL9bDEPART:"Q INS .
DATE INSPECTION REQUEST RECEI
NAME: -G
LOCATION:
DATE: 11-0Lt I I _ PERMIT
MOBILE HOME MODULAR HONE
FOOTINGS_ FOUNDATION// BACKFILL _ FRAMING
N/A YES NO
1. foundation support, pier spacing
per manuf. ..\\................... — —
2. anchoring per manut' ......... — — —
3. water line shut off ................... — — —
4. sewer line support ®;d feet ....... — — —
5. heating crossover (Olewide) off grd. — — —
6. dryer vented outsi ................... — — —
7. skirting ventilated — — —
8. hot water relief v ve piping outside — — —
9. deck, porches, s ps, railing ........ — — —
10. f irnace/hot wa r operating ........ _ — —
11. garage fire pr fing .................. — — —
12. door closers — — —
13. plumbing fixLe ......................
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 0
Manufacturer
Date of Manufacturer
OKAY TO ISSUE C/O _ YES
W
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LL
I. -
cc
w
U
W
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WA
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7 05)
W-dman Homes, Inc. tlanufscturer
�PirayrR
O�•
Date of Manufacture
/0%29%
Plant Number
1
HUD No.
/4C
Au/l"Vy
Manufacturers Serial Numberand Model Unit Designation
/21-1 G S'23 CGG drX7
Design Approval by (D.A.P.I.A.)
This manufactured home is designed to 0OMPIY with the federal manufactured
home construction and safety standards in force at time
of manufacture.
(For additional Information. consult owner's manual.)
The factory installed equipment includes:
Equipment Manufacturer Model Designation
For heating Z-^/-,r Lp7d; i e" /1J�& ffrrl0
Far-ei*eee+iFrs f f /— C c /
For cooking %9sX.'![' Lflrf G3j-7-CZ—
Refrigerator /doff1G/!' rrk47F A/3it-'po V.61
Water heater Z7Anc^7..1d'^i+F /fst3/FGY(/U
dfaeMeF...
FsFefpeG-IIgl� e
�I
T'efCp'I'dCC-+
A'i p,.-.lterty� dO vi7ywe�eGTL.F�,4S iaor
r 1G ios ti /YDiiLP/•Eva-� q,IC r.�'c-S
)ESIGN WIND Zore 1 e II
ZONE MAP ❑ Standard Wind -.an. Resistive
15 PSF Horizontal 25 PSF Horizontal
9 PSF Uplift 15 PSF Uplift
ZONE 1
Z
ZONE 2 ONE 2
.o q
qp�
ESIGN ROOF LOAD North 40 PSF —South 20 PSF
ZONE MAP
a Middle
30 PSF _Other _PSF
NORTH
MIDDLE MIDDLE
MIDDLE
SOUTH
I
NORTH
•o q
apt
COMFORT HEATING
This manufactured home has been thermally Insulated to conform with the requirements
of the federal manufactured construction and safety standards for ell locations
within climatic zone eLY•
Heating equipment manufacturer and model (see list at let¢
The above heating equipment has the capacity to mal$fain an average 70• F temperature
In this home at outdoor temperatures of — / F.
To maximlzs furnace operating economy, and to conserve energy, It is recommended
that this home be Installed where the outdoor winter design temperature (97'6%) is not
higher than=L7 degrees Fahrenheit. I
The above Information has been Calculated assuming a maximum wind velocity of 15
mph at standard atmospheric pressure.
OUTDOOR WINTER DESIGN TEMP. ZONES
W
f'-
cc
Q
U
f—
W
U
N
U)
Q
m
Z _ COMFORT COOLING
a— Air conditioner provided at factory (Alternate I)
Lo Air conditioner manufacturer and model (see list at left).
0 Canifiedeapacity— B.T.UJhourin accordance with the appropriate
air conditioning and refrigeration institute standards.
/ •r The central air conditioning system provided in this home has been sized assuming
Z an orientation of the front (hitch end) of the home facing . On this
basis the system is designed to maintain an indoor temperature of 75• F when
J
O outdoor temperatures are F dry bulb and F wet bulb.
O The temperature to which this home can be coaled will change depending upon the
0 amount of exposure of the windows of this home to the sun's radiant heat.
Therefore, the home's heat gains will vary dependent upon Its orientation to the sun
0 and any permanent shading provided. Information concerning the calculation of
Z cooling loads at various locations. window exposures and shadings are provided In
Q Chapter 22 01 the 1972 edition of the ASHRAE Handbook of Fundamentals.
Information necessary to calculate cooling loads at various locations and clients.
(� lions is provided in the special comfon cooling Information provided with this
Z manufactured home.
i'Slr conditioner not provided at factory (Alternate II)
Q The air distribution system Of this Items is suitable forth@ installation of central air
W conditioning.
•s The supply air distribution system installed in this home is sized
) for manufactured
home central air conditioning system of up to�B.T.UJhr, rated
capacity which are certified in accordance with the appropriate air conditioning and
refrigeration institute standards, when the air circulators of such air conditioners
are rated at 0.0 inch water column static pressure or greater for the cooling air
delivered to the manufactured ham* supply air duct system.
Information necessary to calculate cooling loads at various locations and Ontanta-
tions is provided in the special Comfort cooling information provided with this
manufactured home.
To determine the required capacity of equipment to cool a home *fficiently and economically,
a cooling load (heat gain) calculation is required. The cooling load Is dependent on the orien.
is lion. location and the structure of the no me. Central air cgnditioners operate most efficiently
and provide the greatest comfort when ;nor capacity closely approximates the calculated
cooling load. Each home's air conditioner should be sized in accordance with Chapter 22 Of
the American Society of Healing. Reingerating and Air Conditioning Engineers (ASHRAE)
Handbook of Fundamentals, once the location and orientation are known.
INFORMATION PROVIDED BY THE MANUFACTURER
NECESSARY TO CALCULATE SENSIBLE HEAT GAIN
wells (with..[ windows and dooral ..... _- ................ _........ `U' • �'CCC�
Ceilings and roofs of light color. ........... ...... _... ..U-'
..............
Ceilings and .of. of dark color ..................................... `U- ,r (/
WOFloors ................. _............................ `U` N/ ..........
All ducts in floor ............ ......
..__........ .................... "U", i4o V
Air ducts in ceiling .............. ..... _......... I ...... ........... 'U.
Air ducts installed outside the home.. ........
The IOIICwing are the duct areas 11 this Idme: /CF
AT ducts n floor _.... •' p. it.
Air ducts In coiling ... ..... sq. K
Air ducts onside the home_. _. _.......... _.. ..... p. n.
// \ A =
P�'OV 0 4 1999
NOTICE
ANCHORING OF MOBILE HOME
FRAME IS REQUIRED PER
MANUFACTURERS SPEGt mATinn
/I 9
JAN 1 0 2000