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98-689 CERTIFICATE OF +C CCU P`AN rCY" TOWN OF QUEENSBURY WARREN COUNTY, NEW Y©RK December 8 98 Date t 4 mo 98689 This is to certify that work requested to be done as shown by Permit No. has been completed. MOBILE HOME This structure may be occupied as a 31 MINNESOTA "Ea V- 68 - 1998 l..ocarion !-TIMES r REGINA Owner TAX MAP" NO * 1 2 7 . ~ 7 - 11 By Order Town Board TOWN OF QtJEEN U �� R Director of Bldg. & Code Enforcement BUILDING PERMIT VALUE $ 484o0 TOWN OF QUEEN58URY TAX MAP NO . 127 . — 7 - 11 WARREN COUNTY, NEW YORK PERMISSION isherebv granted to HIKES , R.EGINA 31 MINNESOTA AVE . V- 68 - 1998 Street, Road or Ave. OWNER of property located at IIIIIIIIIIIIIIIIIIIIIIIII at the Town of 4ueenrtion in V.a To Construct or place a MOBILE HOME at the above location in accordance to application together with plot plans and other information lxreto filed and approved and in compliance with the Town of OueensburY 'Building and Zoning 'Ordinance. t- Eft`2 .eS'&rA AVE . QUEENSBURY , NY 12804 Z. CONTRACTOR or BUILDEAZ Name TODAY ' S MODERN HOMES g, gw-QTjC7gR or SUILDER'S Address GANSEVOORT , NY 12831 . Aeyul-Ir-w S Name _ NEW YORK BOARD s. Wit RMANW&RD OF FIRE UNDERWRITERS s. TYPE of Construction — IPleasa Indicate by x} MOBILE HOME t I 'Wood Frame I I Masonry. I I Steel I l 7. PLANS end Spaoiticatlons 26 ' 4 " X 60 ' MOBILE HOME AS PER PLOT PLAN SPECIFICATIONS No. It Prnoetad Use MOBILE HOME November 2 2000 PERMIT FEE PAID — THIS PERMIT EXPIRES 19 tl; iow4m of �+iod + 1a w � r before a theelapiration loam y xtri enon must be made to tho Sunning and 1'�enkW iama�aator of thus 2 November 1998 Dated at the Town of Gueartsbury this Day of 1g for the Town of QueensburV SIGNED BY ttdlne and Zoning imprbatar w REVIEWED BY : FEE PAID : $ f PERMIT NO . ZD APPLICATION FOR PERMIT MOBILE HOME 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 i s : I G 76 t .v'A g w+ C=( P . O . Address : r-q2 owcrz Number 7Ve> `=;�2 7), Property Location _ - - /✓flti/icJtuoy Tax Map No ,�'� NAME OF APPLICANT : 2E61*404 tsrtIt75 Address of Applicant ; OCT08 1998 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 : 3�0e= K1c1 ��1 MOBILE 11OME INFORMATION APPROXIMA VE VALUE OF 110ME : $� _ � vo d New home Yes No / ZONING INFORMATION : Replacement home a No Size of Property : ft x �f' � ft Size of mobile home,�6 Vftx_Ft Existing Buildings : C7t© /'�'� , /G'I✓L�/i� Singlewide Doublewide _o � Proposed building-distance from property line : No . - -of- rooms ( exclude 'baths ) C2 Front Yard Z_- _ --__ft Rear Yard ft . No . bedrooms - Side Yards r,~& ft ana ��— i;? ft . -- " No . of bathrooms Occupancy Informatio Primary dwelling : es No Fireplace -Woodstove Accessory Building ( s ) : Detached garage ( one car / two car car ) Foundation style and size : L r� Attached garage ( one car_/ two car car ) SEE 4774cAO- Storage building Piers- No . of Size ft x ft Other Depth below grade ft Foundation - Footing size '� x , Proposed date of placement : [ Wall material Wall thickness- height Water Supply : Well Municipal/ Total depth below grade D Ft _ Septic permit required ? Grade to home floor. lever_ ft . e57K/J -Iriiv6 FURTHER INFORMATION REQUESTED ON TILE REVERSE SIDE OF 1-111S SIIEET � IBC-- S < ;& 49 TOWN OF QUEENSBURY I- ip 742 Bay Ad., Queensbury , NY 12804 APPLICATION FOR SOLID FUEL BURNING APPLIANCES AND CHIMNEYS Date 12 -' 7 , 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 our additional form it more than one appliance and/or chimney. Applicant w ¢ tvc " t r'"' e APPLIANCE (check appropriate boxes) Address ,rr► � ,1+ +^� sv-7 ct 0 le O STOVE: oWood ❑ Coal ❑ Pellet ❑ Gras O FIREPLACE INSERT Zip ! A Y-o c3 FIREPLACEM FACTORY-BUILT:Phone S"! 7 4 d �` `'! '� ❑ FIREPLACE, MASONRY: ❑ Wood d Gas Owner 14 ► rn S O FURNACE: ❑ Woad ❑ Gas ❑ Oil Address 31 rtr% r .u ,� c s�'rcn G � � �- IF NON-MASONRY APPLIANCE : Manufacturer: Zip 1 a. N 1 Model: Phone y 7 4 4� ;3 - CHIMNEY ( check appropriate boxes) * EXACT ADDRESS of proposed construction ❑ MASONRY : 0 Block ❑ Brick ❑ Stone ns�c � Lt� FLUE: cl Tile 0 Steel Size: inches CONSTRUCTION 1 INSTALLATION MUST P94 FACTORY-BUILT: CONFORM TO NYS FIRE PREVENTION & Manufacturer: Number-Mod : BUILDING CODE. CONSULT AVAILABLE Listed By : TOWN OF QUEENSBURY HANDOUTS ❑ Double Wall ❑ Triple Wall REGARDING REQUIRED INSPECTIONS. o Insulated mney Liner Direct Venting Cashier' s Department Town of Queensbury, New York Amount Collected Amount Refunded Dept: Fire Marshal Code Number 'Title A 173 3389 (190 ) Public Safety A 233 2655 (230 ) minor Sales Fee Collected From Refunded to: r� - Dated ; _ , - x Town Clerk or Deputy . Kite: Applicant Green: Fire Marshal Yellow: Bldg. Dept. Pink & Goldenrod: Cashier's Dept. i G„r��yy R�p'OgT Imira^1M x�yBP1� M=MltmE Tovin ofQUeensbUrV BLiAdin Code entOMOMOM 742 c lueertsbuNy N (5i 8) 70_a256 �r �^ L� 1T1 57 XBRIV8aC.� DEPART: REQ pA'7'E 11�iSPECTI'DN �'� Lt]CATiOS3 PERMIT DATE _- R Mp$TLv, gpldE VR^MU4G - sAcx� cs .�-- p�ourmr�'ctors �- NoFob r1lA YES Per ' .axe Sul" atkoiring Per, ff .. . 3. A feet d4» sewer line supPo oblew�) off �» a crossov . . .. . . .. . . . _ 5 tmg side . ri. ., .. . . 6. dryer ven . .. . . . .. .. . .. .I . .. .. ted 7 . slcirtin$ relief valve PiP"19 outside 8, t►at �hes, steps, railing » 9. e m water 6pera`ting _ - 14. — 11 ,garage fire Proofing ' . . . . . .» . . ,fir Closers •'xt" 1 .. . . . . . .. . . .. . 3. Plumbing 'Seatian {if appl.),14. fou�tion . . . is. snx detectors al .. . .. . . - 17 variancere4�'ed ». . . . . .. . :. .. .. .. 18. data P late okay . 19. mobile Se gut) seal (*ay .. » Model # Date of h+lanufactturer �----__"-_---__.___-____-.__ *1%1KAY 'fa Igsje CIO ��� ty1C�� n QueensbuN C1� BuiWinS ryy t000dgatv1 2e8�04er't r �A•rE, SI�S�P�CT;QS3 ' NAME" LC7rCAG ) pRM # - ipA'x'�= 14 lA Y� x 2, anctxoYiaB shut oif .. .. .pp» .. line d der Uno- firer L£ O ...... .. . 5, tixtig outside „ex 6. venal tilated s� f we41 8 '1 y�atsr retie steps g• _loot , ... 9. epapk yvaw apfire e __--- �-- ,tq» doot fc 12- tur tio »Cif _- _- WO 13• pf�ago3� ' 14.15» she ., . . ... ... ... . _ _-- 16- ffsn� etec 'Lei t9. ate serer model # . tuger mate of man'ufactorer NO tcjA F�No►r� Mov►u+.�►a V ppi o�own of OLIei a bury W!5L 5e> ti ` Building cod q 7 ! tAO' 742 BYv ROad p ue(5ie) 761-sue 4 1JP.PAF6 CiI•t IiLC2 ES NAME Lp`T1a IT # P'EPIM iFgplN4ugG _ -- �os VOUNDK tots BAOUIu _ 13fp, YES ND f�xrdatian Support' 1 rnsauf• . .per I/ V3rin$ 2. ane line shut off .. .., .. .. • ----- 13/f/�f 03. water 4• Sewer l S rt dblevA off grd, er, G, dr5'er S e�°fedventtla Outside 7, sk ofWater relief valve faam g, d wik, porches. S operatin - water � ,10. 11. garagc ose fire prop _ _ - 1 door tin�tic� if a4p,'7' . .. �- 14 fovndation 1- final leecul al . .. . , 17. vsrianoe required - 18. data P se oka)' -- - 19. mobile W3D seal okay gersal l _D Mom pate of M.""f."Wrer l3D oK..A`t rro LSSt.3E CIO ---- YE5 V RSHAL L Fp N C?F QUEENSBURY { QUEENSBI.IRYI NY 12604 (518) 761-8205 t FIRE MARSHAL INSPECTION REPORT. y� PERMIT # c REQUEST RECEIVED NAME LOCATION --s �' �►— — �_ SCHEDULEINSPECTION Ohl AM PM ANYTIME APPROVED NIA YES NO EXITS ---- AlSLE WIDTHS -- ---- -- �_ _ EXIT SIGNS -- EMERGENCY 4IGHTING -- FIRE EXTINGUISHERS - - FIRE ALARM SYSTEM -- -------- - -� _ - - FIRF SPRINKLER SYSTEM - -- -- FIRE SUPPRESSION SYSTEM _.... I.10OD INSTALLATIOfA INTERIOR FINISHES STORAGF-: _ -- ---- CIE TO SPRINKI-ERE CLEARAN _ CLFARANCE TO I TEASING UNITS _ REQLHRED SIGNAGF CHIMNEY - — - -- -- -- - - WOOGSTOVE - — -- ---- - -- -i-- - -� FIRIrPLACE MASONRY - -- - FIREPLACE . 'ACiTORY 1dLNILT — _ OK TO THIS DXT REMARKS: �, � �_ - �T—�► E_�4� Ong.-- ` '► INSPE 0 COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC. Nlain Office 176 Doe Run Road - Nlanheim, PA 17545 {^ MUNICIPAL CERTIFICATE — ELECTRICAL APPROVAL ..........cert_ N2 66240 cut-in Card No. ..r... .... .: Panel Board No�....... .. _ Location ..... ..�........._.1�1..a _J t. ✓!. .. �'. r . ._.....1 �..4 .1„ . ......._...../_�...._.... Installation Consisting Of ....... •• '• � ��..... C' ..*.e:'.1:.1...'-...... .........................,.......(� ..... ... lf----- .,.......................... ... Installed Sy...... . .,..... f.J .t .. 1........................ .... ....... . .... certi The conditions fallowing 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 dare. Upon the mpxly made for inspection, introduction of additional equipment or alterations, application shall be pro io Inspectors of this Company shall have the privilege of making inspections at any time_ and if its rules are violated, the Company shall have the right to revoke thisccrtificaxe. ,.' C.t.'_.C:� .:fc"''""`�'z' •.- ................. © ,.y .... INSPFCTCSR ,� .- . . 1')atC...... .`. :. .... ..: .....1._G�{.--..- Member N.F.P-A., LA E.l. GENERAL INSPECTION REPORT Town of Queensbury 'r� Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queenabury, NY 128d4 Arriveaw4lal Depart spector's lfn' . NAME: PERMIT r LOCATION: DATE TYPE OF STR RECHECK NIA YES NO COMMENTS Footings/Piers I I Mog ' `c Pour Form Mc'b 44t6inforcenicrit in Place t- - The contractor is responsible for providing protection from freezing, for 48 hours following the placaem of the concrete. Materials for this purpose on site Foundation/Wallpour. Reinforcement in Place F oundatiotv.tjampproofin Back ill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing, Heating Rough-In Insulation. Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framin Jack. Studs/Headers Bracing/Bridging, Joist u'Viers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1 , 2, 3, hour Penetration Sealed Fire Wall 2„ 3, 4 hour Fireswppin FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 IRA (518) 781-8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED _ - PERMIT # CA?YA NAME LOCATION - SCHEDULE INSPECTION ON AMQ3M NYTIME APPROVED NIA YES NO EXITS _ -.-- -• - -- ----- AISLE WIDTHS -.-._ -.--- -- - - - -- - EXIT SIGNS �- -- -- _-- -- -- - - EMERGENCY LIGHTING - FIRE EXTINGUISHERS FIRE ALARM SYSTEM - - FIRE SPRINKLER SYSTEM _ .- -- - -- -- �- - - -- FIRE SUPPRESSION SYSTEM _ - -- -- - --- - - 1 - - HOOD INSTALLATION I � INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS __- -- -- - - - CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE __ __--- -- --- - __ CHIMNEY - WOOD STOVE _ -._ --- --- - - - - - - - FIREPLACE - MASONRY -- -.-- ---- - - - - FIREPLACE - FACTORY BUILT REMARKS: 3(o I.C_tATT C7 OK TO THIS DATE CC) r �It3r�?��1pr� Fl 1 F� FJ� mac) INSPEC 0 Jwgp%4P PUB FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761 -8205 FIRE MARSHAL INSPECTION REPORT REQUEST RECEIVED --_- _ PERMIT #{ (AJ?r NAMEE _l- -.. LOCATION SCHEDULE INSPECTION ON .---- - _ .. - IME APPROVED y NIA YES NO EXITS -- ----- -- AISLE WIDTH --. -- --- - EXIT SIGNS ----_-. .- - EMERGENCYLIG G -- _--- ..-. - i FIRE EXTINGUISHERS _ ---- ---'"l - FIRE ALARM SYSTEM FIRE SPRINKLER TEM --- FIRE SUPPR ION SYSTEM - HOOD IN TION I - i l RIOR FINISHES - TORAGE. CLEARANCE TO SPRINKLERS - -- _- . -- - -- - CLEARANCE TO HEATING UNITS -- REQUIRED SIGNAGE - - ----f . ....... CHIMNEY -- --- - - -" WOOD STOVE /REPLACE - MASONRY _ -- --- 1 ---- % IREPLACE - FACTORY BUILT "�N; � OKTOTHISDATE REMARKS: (gyp 6 \ ;:\/Ai- G YNS'P3UP.Pw INSPECT a • , :h I • i •F � 1 i ii i ! 1 • y �i 1iRM■ • 1 M ' IMm■ I M" ILL rrra rr[r.�...n t /■Malts 1■aa■1 G , I■ ■1 ! ! :css:ta 1■■fal� ! ! �j I■■ f■11 ,08011 �■ 1■■!loaf ! if M■M■la■I ;!!R ■ I■Maa■an ■■■■Mall Maas■aafl I . i laf;ttf■ 1■■■■■■f fall■■MI IM■R■MMMI I ti PFiflIMi 1■■■fM■M■ f■a■■afMl. IMfMMfR■L ` MaR,a�taaaMaMaMM aaiaMMMM1S #a■a■M■alter■tl■■■■fa■■MfMMMI Ifff■M I � t< � i • s � , ■a■■■■M■■ ■{lf■■ff■M■aaaaMt ■ ■ MaaaMa Ra■ M■MII■ia■■aaaM■M1■I 11191WEN iMf ■aaaiMaaaaMaMMaafl IIIMMMI! ` is ■M■ _EZlfafM■Ma■■■L 1■■■■1' IafM■fafa!■■ 1f■n ■fa■MMMMIMMMffafaal !■■■■■i■■■■■ i ■■■f■lMaM■aaa■■■■I !!!lll �as I aMM■■MaMMa■M■■M■i1 I 7 ��A f too ■!i 'a■aa ` ' ■aaf■■■afaRaaMMf■■fI � .. Ior Ilan I ElMaaM ■a■aaM■a■faaaaMafaffl •ariaaaaw�[r,[� uauaaNl�Mraaaaraaaa� �aM � rr� ■■ !!''��[[ � 100, Proposed Plot Plan For 10, Regina Himes 542 Lower Wright St. D-box dry well concrete Hudson Falls i 0' 8'X8' with an additional 2' of stone around it — ♦ , septic making it tank 12' X 8' 10' T proposed new 4— 2 8' 12,--► 26 X 60 home power pole {/�� 0..., 4 8' 104 Existing 10X48 ..,0„34' -------- Enclosed pore nu+u 2 6' paved driveway 31 ' 0 NIMO pole Qby water valve tY 31 Minnesota Ave, Proposed Plot Plan memrad and drawn by g gg Joe Nudi a ti H I T C 58' 45' 35' 24' 13' 2' H NOTE: E these measurements N are from the hitch D end of the HOME not the slab T T T T T T Front boar Side Anchor Locations for # 1075 ••• See the anchor instruction sheet for de ils ••• DEALER COPY fracturer's Name and Address HUD No. �IIIIIif lePA ^ ant No. Model Designation Serial No. rw M/230 Date of Mfg. This manufactured home Is designed to comply with the Federal Manufactured Home Construction and Safety Standard in farce at the time of manufacture. Design Approval by underwriters Laboratories, Inc. tory Installed Equipment Includes: MODEL RATING OF FACTORY INSTALLED CIRCUIT EQUIPMENT EQUIPMENT MANUFACTURER DESIGNATION (APPLIANCE NOT FACTORY INSTALLED) SERIAL NUMBER fort Heating 1 Al f6 LlL 1 'O90M onditioning 2 / II 2 // ,Ing Range 3 / 3 ATlt?55I� ,in Oven 4 ! ! / 4 I#er-top Cooking unit 5 5 igerator 6 (1 21 r!" CM f 6 D150[1D62 )r beater 7 t f1'l'!i< I _ / 7 C98624 6 ies Washer a / ! 3D AN 115V g / les Dryer 9 / / 30A ZV AC g / washer Ill I / / 10 / I Waste 11 / / / - 11 // ke Detullor 12 1 / 12 place 13 YAM / 13 14 / 14 / Instructions for all work to be performed in the field are located in the kitchen drawer. is maps In this box define the design loadstar each geographical HOME CONSTRUCTED FOR g] Zone ❑ Zone 11 ❑ Zone III a This manufactured home has been designed for the roof and This home has not been designed for the higher wind pressure and anchoring proftions required for oceaNeaastai areas and should riot be located within 1590' of the coastline In Wind Zones 11 and Ili,union rid load zones 8s checked: the home and Its anchoring and foundation system have been designed for the Increased regenremenis specified for Exposure 0 in IA`N�ISVASCE 7-88. North 4o PSF 0 f_.1 South 2Q PSF This home has[]has not been equipped with storm shutters or other protective coverings for windows Middle 36 PSF ❑ Qther ._PSF and exterlor dew opertirtgs.For homes designed to be located In wind Zones 11 and 111,whe have not been provided with stxdtars or e0valent ctwenng devices, it is strongly recommended that the home be made reads to ha sopped with theas davicae in accordance with the method recommended in manufacturers ROOF LOAD wntedInstructions. WIND LOAD NORTH MIDDLE MIDDLE a MIDDLE a� N ZONEI SOUTH r+v ZONE 11 0 NORTH ® ZONE a .a {> i 7y}' tl ZONE Iit HI 49D ZONE III ZONE III -a ZONE It f J 1 0I (VOTES. 1) This slab is smaller than the home. The skirting will go from the home to the ground. Utilities can be brought out of the ground between the slab and the skirting. 2) The surface of the slab must be at least bull floated, if not power troweled, to provide a smooth setting for the support piers. 3) The six inch thickness is a minimum dimension, and does not provide for frost protection. Footers or other protection should be considered. 4) Fiberglass fibers may be used in place of wire mesh. 5) If anchoring the home, imbed the anchors in tT a concrete, see diagram. ' R Slab Line ---III iiiiiiiiii WIN III III Home Wine 59' Minimum 6' thick NOT Overall Flame Dimensions: 26'4" X 601 Regular Slab for Model 1075 TO Overall Slab Dimensions: 24' X 59' X 6" Thick (minimum) SCALD Reinforce with 6' X 65 Wire Mesh (or fiberglass fibers)