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98-649 -o.u.-�-y'^- .-.- .., .-a-.amv' ^ .=s.. , . _. _ ..;_ �. .. _ rt r-,,,. .. 1_s-- .. .. ... r .e.--T_"^s �.;a?l".:+:X!+TIa3. sTn . .v.i...M.r -•++ �._a s I CERTIFICATE OF OCCUPANCY TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK April 7 99 Late t 9 Thiss►is to certify that work requested to be done as show by Permit No. 98649 i has been completed. CHANGING POSITION OF EXISTING MOBILE H E This structure may be occupied as a 58 MICHIGAN AVE . Location OvVner BURTGN , SHERRIE D/B/A TAX MAP NO * 1 2 7 . 3 - 13 By Order Town Board oroww OF QUEENSBURY Director of Bldg. dt Code Enforcement 3 BUILDING PERMIT - lr&y-;UE $ 35000TOW' N OF QUEENSBURY TAX MAP NO . 127 . - 3 - 13 WARREN COUNTY. NEW YORK PERMISSION is hereby granted to BURTON OWNER of property located at 58 MICHIGAN A Street. Road or Ave. in the Town of Oueensbury, To Construct or place a CH,&NQTNG P11091TTON CIE. rv7amrNr.__ _MG]MILE HO 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 Oueensbury Building and Zoning Ordinance- t' MUM MOBIL HOME JACKSON RD , EXT . SO , GLENS FALLS , NY 12803 2. CONTRACTOR or gUtLOERNS Name VALUED MOBILE HOMES 3. CZINTW AUIRD EXTdress SO . GLENS FALLS , NY 12803 3. AnI"..i4ti`IIII. Name NEW YORK BOARD 6, W"iTfffRY 9MRD OF FIRE UNDERWRITERS 6. TYPE of Construction — IPiesse indlpte by X) MOBILE HOME t l wood Frame I I Masonry I I Steel l l 7. PLANS and SpecNications CHANQE POSITION OF EXISTING MOBILE HOME AS PER PLOT PLAN SPECIFI AT'IO MIDI CHANGING POSITION OF EXISTING MOBILE HOME 35 October 26 19 2000 S PERMIT FEE PAID - THIS PERM IT EXPIRES , (If a longer period is required an application for an extension num be made to the aulidI g and Zoning inspector of the town of (juaansbury before the expiration dots.) 26 October 1998 Dated at the Town of Quttensbury this Day of t9 for the Town of Queensbury SIGNED BY ati� zoning 1_.owervior � OCT t. 1998 TOWN C7.i' aQUL{I NSB +UR44t REVIEWED BY : FEE PAID : PERMIT NO , APPLICATION FOR PERMIT MOBILE IIOME OR MODULAR 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 : �ry � ��- � P . O . Address : -' fcS' �rlpa/i ��, v ,,t f ._ _L�e'�e! ,s_�iPhone Number '7 '+_� �. �'. • Property Location Tax Map No NAME OF APPLICANT : .�. Address of Applicant : %34� t�c3► C +yis9h . . fr'rrxo .r tia rC�'-�".y � Q/r'f X/ 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 � � �� APPROXIMAUE VALUE OF IIUME G'�' C - New Ilorne Yes No ZONING INFORMATION : Replacement Ilome Yes No Size of Property : /�2 If x ft Size of mobile home ftxft Existing Buildings : Sing ] ewide _V Doublewide e, r Proposed building-distance from propertyTines No . of rooms ( exclude baths ) #�' Front Yard 0pe ft Rear Yard fr..� ft . No . bedrooms Side Yards �f ind ice_ fto No , of bathrooms.-L. Occupancy Information : Primary dwelling : Yes No Fireplace- 72 --Woodstove Accessory Building ( s ) : Foundation style and size : Detached garage ( one car / two car car ) Attached garage ( one car / two car car ) R*ws- 410 . of _Size �Lft x `ft Storage building �,.�l�Jf �' r- 5' Other Depth below grade .0 ft * * * * * * * * * * finitndni Ann. Foowing size H. x Proposed date placement : Wall material Wall thickness" Height"' Water Supply : Well Municipal r;,� Total depth below grade r') Ft , Septic permit required ? Q „ Grade to home floor. TeveT..LL'ft . FURTIIER INFORMATION REQUESTED ON TIIE REVERSE SIDE OF TIIIS SUEET r I1`I1'ER - OFFIG' .E CIO RRESPONDENCE Tro: +ComptroLle_'s ©ir_=ce FPLQ&I: Dept. or' Communi41 DeveIoprne^t Building & Code Fafaccemenc f RE,: Release Derosit � emporan, CertinCare of OCC~_c�na�r $ICl7. 00 'l emporary Sq n Perris SC?X0 Our records ;=:C.Ite tim. a IzFe:—mrr.,e wr Cer 6c=e to " C7c�c- :c�r111W been issed cal LL��� c s c1z� P=,:: t Na. T:.e == ca:rha.s c.omci ed to i T 'T ,<=.xa zaning roes. 2?TMc]r ^fSi�l? I745 De:^. tei:.C7Ve~.. S 7, P MC NO. i .: ti�ia m for plac=iieiZt 'L:"1 :.P=s 4e�a spQ c�' ry sic= i:2.'3 emzli yw. Tr e a! :-OVe a to a rer'=d. Please se:4c re�j c to.* s'C Chr ' s Round (, qq ENERGY CODE COMPLIANCEI APPLICATION TOWN OF QUEENSBURYi WARREN COUNT6R 9000 HEATING DEGREE DAYS Compliance Methods : PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings ( only ) PART 6 * - Thermal Rating -- Component Trade Offs 1 & 2 Family Dwellings ; Multi-Family Dwellings ( 3 stories or less ) PART 4 * Design by Component Performance Commercial Buildings -Hi Rise Residential * Requires submission of worksheets APPLICANT ' S NAME : PROPERTY LOCATION : UcFSC b1 Co 1h4C+ 4 M15L*4 �� � ) r��+ �T PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE : 1 . Gross Floor Area - ta>oo square feet 2 . Type of Heat - Electric Oil �( _ Gas Other 3 . Is building mechanically cooled ? X Yes No 4 . Percentage of area of windows and doors Over 17 % Under 17 % .5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED : a , Roof R !ZC> b . Exterior walls R �u c . Glazed areas R d . Exterior doors R �. e . Floors over unheated spaces R Edge of slab on grade ( heated building ) R c . Basement / cellar walls ( above grade ) R. ?' . Basement / cellar walls ( below grade ) R. i . Heating/ cooling-ducts -piping in unheated space R 6 . Service ( domestic ) hot water heating device Conforms to minimum efficiency per code,, Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 -• WILL NOT BE EXCEEDED AP D to Ph-J�o^ Nu .... INSPECTOR O S REMARKS : TOWN OF QUEEN.SBURY 742 Say Rd. , Queensbury , NY 12804 j APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS ,rac>r . 6 Date �'.ry,/ , , 19 Permit No . APPLICATION IS HEREBY MADE to the Building Dept. for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises to perform required inspections. Please fill out additional form if more than one appliance andlor chimney. Applicant t*,o APPLIANCE (check appropriate boxes) i Address , 'G' � 'S-� ' ❑ STOVE:+%b Wood ❑ Coal ❑ Pallet o Gas ❑ FIREPLACE INSERT Zip o�,2 FIREPLACE, FACTORY-BUILT: i Wood ❑ Gas Phone T FIREPLACL, MASONRY: ' Wood ❑ G as Owner , ,.,, ' / ❑ FURNACE: (p Wood ❑ Gas ❑ Oil r Address IF NON-MASONRY APPLIANCE: Manufacturer: +Ic ��,y� �, .!� � ..• 1 Zip Model : Phone � 1 CHIMNEY (check appropriate boxes) * EXACT ADDRESS of proposed construction ❑ MASONRY: ❑ Block ❑ Brick ❑ Stone •G G. FLUE: ❑ Tile Steel Size : _ �r inches CONSTRUCTION 1 INSTALLATION MUST ❑ FACTORY-BUILT: i CONFORM TO NYS FIRE PREVENTION & ManufacturerF lopr model : BUILDING CODE. CONSULT AVAILABLE Listed By : Number: I TOWN OF QUEENSBURY HANDOUTS ❑ Double Wall j1 Triple Wall REGARDING REQUIRED INSPECTIONS. M Insulated ❑ Direct Venting I ❑ C hiney Liner I I Cashier's Department Town of Queensbury, New York Dept : Fire Marshal Amount Collected Amount Refunded Code Number Title ' "S A 173 3389 ( 190 ) Public Safety A 233 2655 (230 ) Minor Sales i Fee Collected From or Refunded to: ,�� Address: Dated : �[ "7 �, _!' Town Clerk or Deputy: White: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink cfc Goldenrod: Cashier's Dept. I BLDG. PERMIT NO_ 9 8 ~ 6 `I 9 APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property located at; 58 Micl-hi an Avenue e for the following uses: Mobile Home December 31 , 1998 aAOUA DATE SIGNA URE OF APPLICANT TEMPORARY CERTIFICATE OF OCCUPANCY I A 1V J 1J N1 l. mrnnopRARY CERTIFICATE OF OCCUPANCY. is hereby (�PR0VED 1 I ( )DISAPPROVED with the following conditions: Cert i fi ca to o f Occupancy to be issued upon cnmPletion of : Replace rear panel @ Fireplace Do not operate until repair is made TEMPORARY CERTIFICATE OF OCCUPANCY FEE: 0.00 DEPOSIT- 00.00 ) received on December 31 , 1998 - Ir Date of Issuance Director of Bldg. & r Co forcement THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES Gil DAYS E FROM THE DATE OF ISSUANCE. NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. Ac Cade Enforcement or his designee. i F1fVA1L 1lVBPEC'PIOIfV REPOIf111T Ml31MILME / MC30UL.AIR Town of Queensbury Building & Code Enforcement 742 Say Road Queensbury, NY 12804 (518) 761-8256 .- 1 ARRIVE: DEPART:-" INSP: DATE INSPECTION REQUEST RECEIVED: NAME. f 4 LOCATION: DATE: / �aPl, PERMIT # 7 �" / #! MOBILE 1*0ME M0D1JLAR SIOUR FOOTINGS FOUNDATION RACKFILL _ FRAMING N/A YES ?40 1 . foundation support, pier spacing permanuf.. . . . . .. .. .. .. .. .. .. . . . .». — — 2. anchoring per manuf. _ 3. water line shut off — — — 4. sewer line support 4 feet . .. . — — 5. heating crossover { wade) off — 6. dryer vented outside . + . . . .. .. . .. . . . — 7. skirting ventilated . . .. . .. .. . .. . _ S. hot water relief valve piping _ — — 9, deck, porches, steps. railing _ — 10. f nnacefhot water operating — — — 11 . garage fire proofing .. .. .. .. . .. . . . .. . 12. door closers . .. . . . . . .. .4 . . . . . . .. .. . . .. —_ 13. plumbing fixture . . . . . . . . .. . . . . . .. .. .. - 14. foundation insulation (if ppl.). . . . .. — 15. smoke detectors . .. .. .. . . . . . . .. . . .. .. . — 16. final electrical .. .. .... .. .. .. .. .. .. .. . — 17. variance required ... .. .. .. .. .. .. .. . . . . — — — 18. data plate okay — 19. mobile HUD seal okay .. .. .. .. .. .. .. — Model # Serial # Manufacturer Date of Manufacturer OKAY TO ISSUE CIO YES NO Vo ff ,, CCN311neV1tSv FINAL INE'1p��,•'r101V iFe�lP+�rs MOMIL.E / MOOVLAR 40 Town Of QueensburY Building & Code Enforcement IC7 742 Bay Road Qygensbury, NY 12804 (518) 761-8256 1 p ARRIVE-- )EPART: INW - ARRIVE-- DATE INSPEC ION REC2ur-I{ RECEIVED: NAMa ro"ILOCAPERMIT #DA0! 1 0151LK Hdl�B Md11igyt1 &Lt I1d11tE FO GTIN 8 pa�JiVUATIOfl FRAMING A4'ICFIi 3 NIA YES No 1 . foluiclation support> Pier spaculg Per mane . . .. .. ... .. .. .. ... 2. anchoring Per manuf. .. .. .. . .. .. .. • • �- 3. water line shut,off .. 0. . .. .. I. . .. .. .. . �- 4'feet , . ., .. . —yc 4. sewer line support K_ 5. beating crossover (d iewide) off gird. 6, dryer vented oatside �K ^— 114. 7 . skirts ventilated . .4 g outside S. boo water relief v e V` 9. deck, POW Pe' 1106 furnace water operating 11. garage proofing ... .. .. . .. .. . .. . ` closers . .. ..... .. .. ... .. .. . . . .. � 12. door 13. plumbing future . ... .. ..i .a p". .. ... 14. foundation insulation 15. smoke detectors ��7 �- 16. final electrical 17, variance required ... .. . . .. . .. .. . . . . . .. �- 18. data plate okay 19. mobile HUD seal okay .. . .. 0 E Model #�'7(E^_A'�-�Y. Serial # Manufacturer t� Date of Manufacturer N(y OKAY TO ISStE C/o YES c. G 1r+ST.Ecs- Wr.k+t?. 1�r,rcbr. LI +�G- 1 ,u5+Atr�-- F+nAC353 1twep�iv�oou4aa '�'uwst Ofaueensbury , ent Building & Cade EnforWfn 742 Bay Road QueensburY, NY 12804 (518) 761-8256 ARRIVE: DEPART: R` t INSP-. DATE INSPECnON REQUEST RECEIVED.- NAME. t . LOCATIt7N: ��..t-k�- ,� _ PERMIT 0 DATE-, MOSILE 2goVAB i1[ODI3LAl� HOME FRAMING ATSON BACKFRAMING Pp INGS FbIIND _ FILL NIA 'YES NO 1. foundation support, pier sl�� per manuf. .. .. . .. .. .. .. .., -w 2. anchoring per uf. . .. . . 3. water line shut,o I 4. sewer ra�({d�ble } Off grd. j 5. heating _ ✓.! 6. dryer vented outside . �- 7• skirting ventilated .. ... . 8» hot water retie+f v va piping Outside v' 9. de+cI porches" s • railing ., .. .. : 1U. furnace/hot 'aster Operating i t, garage fire praofssr8 •..... .» . . .. .. .. 121 door closers ». ., ,.. / 13. plumbing fixurre iian (if»sT�PI») i4, foundation insult 15, smoke detects .. ... .. .. .». .. ... .. . 164 final electrical .. .... 11, variance required ..... .. .. .. . .» .. . 18. daft plate okay .. ... 19. mobile HUD seal` okay . . . .. Model # Manufacturer t Date of Manufacuuer OKAY TO ISSUE YES NO 17AY-r> Comm�ti;: �/v Aj AE- oc COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC. { Main Office 176 Doe Run Road - Msnheim, PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL 4 Cut-in Card No. ...................«<__.. .. Panel Board No..............................Cer[. N_ � � 2 .. . /2Cee +�u2r. ... ............. . Owner......... .................ry.�... .............._..... Location ..... Frf l �� ! }� �.. .. ........................ . _. ram.. .........,.. r � � dL t .... . . ........... ....... Installation Consisting of ._../..fir . L ... .............................................................................................................. ...........r.. ..................I......................................,,.....................,.........._..............,,.,........ InstalledBy....,,,. ..�.................................................... Lic. No. .............,.,..............,,.................. The conditions foilowing governed the issuance of this certificate. and any certificate previously issued is cancelled: - ' This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations, application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of maki coons at any time. and if its rules are violated, theCofm�pany shall have the right t r ke � Ificat$.r/ `X,k INSPEC'COR .r ..,�........;L.f�G`N......`.,M..y�..L.`....»....-_...... ........... hate............. ...., ...................... Member 1+F.F P.A•, LA tt.i. FINAL INgp1ECT10N REPCIR7' MOBILE ! MOC]1JLAR r'�-. Town of Queensbury Building & Cade Enforcement 742 Bay Road +Queensbury, NY 12804 (518) 761 -8256 ARRIVE: DEPART/t DATE INSPECTION REQUEST RECEIVED: t/w NAME_ LOCATION: DATE: PERMIT # MOSILE HOM MOjDvLAIR HOME. FCXMNGS FOUNDATION HACK.FILL _ FRAMING NIA YES NO 1 . foundation support• ier spacing per smanuf. .. .. . -- 2. anchoring per rA TRI • .. .. . . . . . . — -- water line shut off . . .. .. . . .. sewer line support (M 4 • ., 5. hating crossover (dble de) off grd. 6. dryer vented outside — 7, skirting ventilated . . .. . . . . . . . . . .. .. $. hot water relief v e piping outside -- 9. deck, porchesi s ps, railing . . .. .. ., -- 10. furcelhot wa r operating 11 . garage fire proofing .. .. . . .. .. .. . . .. .. 12. door closers . . . . .. .. .. .. . . I . . . . . . . . . . .. — -- 13. plumbing fixture I . . .. . . . . . .. .. .. . . .. .. -- 14. foundation insulation (if appl.). . ., .. 1S. smoke detectors . . . . .. . . . . .. .. .. .. .. . . . final electrical -- -- 17. variance regwred .. .. .. .. . . .. .. . . .. . . . 18. data plate okay l9. mobile BUD seal okay . .. .. .. .. . • .• . -- Model # Serial # Manufacturer Date of Manufacturer OKAY TO ISSUE CIO YES NO comments: ��5 I" ++�• "`1 l N d 1 GENERAL INSPECI'I[71V REPoDR " Town of Queenshury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive 3 s DepartT Inspector . N AME: PERMIT # LOCATION: DATE TYPE OF STRUCTURE: RECIIE K NIA YE NO CONO"NPS -�"'�,o,n-Ei "inner err 1 Monolithic Four Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. ate iaLs fbor�this purpose o site T-. r,'yv" allpnw T^O'; A,� lownt in Place Foundation/Dam Backlill Approval Plumbing Under Slab Plumbing VentlVents in P Rough Plumbin Heating Rough4n Ixtsvlalion Foundation Walls Inte r R- Foundation Walls Exterior R- Floors R" Walls R- t Ceiling R" Duct work or piping in unheated spaces R- Proper V cni, AruC Vent Framin Jack StudslHeaders BracingJBridgin Joist Hangers jack posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestoppin fiENERAL VVSPECTTN REP©R3r �GI -- Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road w Queensbury, NY 12804 Arrive ' - D inspector'sNA14E: � "'� PERA41T #LOCATION: BATE :TYPE OF STRUCTURE: RECHECK NIA YES NO COMMENTS tin CTS L Monolithic Pour Form Reinforcement in Nisnsiib - - TP '►tC_ �__ t � Tc> LJ �,', The contractor for p�dng prote ing for 48 hours foplacemento€ the concrete. Materials for thisite Foundation/Wallpour Reinforcement in P FoundationlD n Backfill Approval Plumbing Under Plumbing Vent+'Vents in Place Rough Plurnbin Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Cei.li.ng R- Duct work or piping in unheated spaces R- Proner Vent_ Attic Vent L � Framing Jack Studs/Headers Brucing/Bridging. Joist Hangers lack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2. 31 4 hour Firestopping CIO o bi 14x66 1 Oft H 30 ft .� 16 ft 60' pop i � lip bedroom bath () 1? � G bedroom fire- place livingroom NOTICE AN ORING OF MOBILE HOME kitchen F ME IS REQUIRED PER MANIA) TURERS SPECIFICATIONS TC]W ': , BUILD REVIEWED Cy DATE A IS se eo TOWN OF OUEENSBURY APR 101991 BUILDING & CODE DEPt