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97-631 CERTIFICATE OF OCCUPANCY TOWN OF +QUEENSBURY WARREN COUNTY. NEW YORK November 19 98 L)atc 1 _ 97631 T"hia is to certify that work requested to be done as shown by Permit No. 9 . has been competed. REPLACE EXISTING MOBILE 'HOME This structure may be occupied as a 9 OHIO AVE . LAD cation 8URTON , SHERRIE D/B/A Owner TAX MAP NO . 12 7 . - 1 1 - 7 By Order Town Board OF QUEENS R Director of Bldg- Code Enforcement BUILDING - PERMIT ''OWN OF +QUEENSBURY No. VALui WARRENCOUNTY, NEWYpiRFC TAX K" x0 . 127 . � 11-7 pERMISS(ON is hereby granted to OWNER of property located at Street, Road or Ave, in the Town of Queensbury, To Construct or place a at the above location in accordance to application toge r t OtImp wile x o o >7iEed and approved and in compliance with the Town of Queensbuty Building and Zoning Ordinance. t. OWNER'S Address is VALVaD MOBIL HOMi 36 SACKSOM RD . XXT . BO llZinnW FALLS a xz 12803 2. CONTRACTOR or BUILDER'S Name VALnaD MOBILa HOMB 3. CONTRACTOR or SUILDERM Address y SO -* GLUNS rAJX , R7r 12 ei 3, 4. ARCHITECT'S Name uZuk. YOB sloBD .. 5. ARCHITECT'S Address OF rX" UNDERwnlrssS 6- TYPE of Construction . IPlease indicate by XI I ! wood Frame I ! Masonry I I SteAtogrt N H'oMa 7. PLANS and Specifications 14 & z"°68, RaBLAcaHaxv Or KOBIL2 Hasa - -MITS AUM W a. Proposed Use R Z.l1�lar s:�slsxlA NOMILS ROHR !$ RA10 -- THIS. PERMIT EXPIRES ill a longer period is required an application for an extension must be made to the Building, and Zoning inspector of the town of Queensbury before the exPiration date.) Dated at the Town of Queensbury this �+ � . - ' '` for the Town of Queensbury SIGNED BY *- Building a Inspector �" "NUNN L [ •.. b Ifn 4 c4w '�.�YO WM Cad`' Q UEF ENSB UR Y t�CT 4 1997 R%y REVIEWED BY : �..UI FEE PAID : s/ C C PERMIT NO . APPLICATION FOR PERMIT MOBILE HOME Olt MODULAR A BUILDING PERMIT MUST BE OBTAINED BEFORE PLACEMENT OF MOBILE HOME , NO INSPECTIONS WILL DE MADE UNTIL A VALID BUILDING PERMIT 11AS BEEN ISSUED . The owner of this property is : P . O . Address : 3G,' d ''ram Phone Nurn er_ Property Location Tax Maly No .Jt 7 / / NAME OF APPLICANT : -,, Address of Applicant : All applicants spaces on this application M1'JST be competed and the signature of the applicant MUST appear on the reverse side of this spplicatlon . PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES : MOBILE 11014E INFORMATION APE'ROXIMA FE VALUE OF kOME : $ /C34 4 New Home Yes (i ZONING '; NFORMAT I ON : Replacement Home Qi No {� Size of Property : „�'� ft x - {'oe ft Size of mobile home /� � ftx t Existing Buildings , - . ' 1' aA Singlewide 4 Doublewide Proposed bui l din di stance from property line : No . of moms ( exclude baths ) ,j� Front Yard _ � ft Rear Yard No . bedrooms C2 Side Yards ,.lel ft and ��'� ft . No . of bathrooms Occupancy Information : — Primary dwelling : Yes No Fireplace YWoodstove- -4L Accessory Building ( s ) : Foundation style and size : Detached garage ( one car / two car car ) ` Attached garage ( one car/ two ear car ) Pliers-No . of Size ft x ft Storage building Other Depth below grade ft Foundation- Footling size " x " Wall material Proposed date of placement : E, s�^ Wall thickness" 1 1 efig11 " Water Supply : Well Municipal Total depth below grade ft . Septic p rrrtit �required ? () yes, Grade to home floor. level ft . FURTHER INFORMATION REQUESTED ON T11E REVERSE SIDE OF T11IS Sit T NAME OF INSTALLER/MOBILE HOME DEALER : ADDRESSMIONE NUMBER STATE OF NEW YORK DIVISION OF HOUSING AND COMMUNITY RENEWAL INSIGNIA OF APPROVAL OF THE STATE BUILDING CODE i . Insignia serial number _4 1 `-: >n 2 . Name of Manufacturer _ _-ZIS4 t'G 3 . Plan Approval Number 44 Model or Component Designation -- G1 h 50 Date of Manufacture cal' 2 All the above information is to be found on a plate or sticker which should lie affixed to the Mobile ! tome . 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 bq. done on the describert premises and that all provisions of the 1311ILDING CODE , the ZONING ORDINANCE , and all other laws pert aining to the proposed work shall be contplied with , whether specified or not , and that such work is authorized by the owner . Signature Owner , owner ' s agent : architect , contracLor SPECIAL_ CONDITIONS OF PERMIT : �,.��t �..r F'�"`w'y fiA��, h CJ..c G�f ^r t�✓4''+�P,._ T 2J r 6 � 2�V 6+ L*r _� .. By Code Enforce e t fficer DECLARATION.- Please sigrr below after yore have carefrslly read the stateinelftt. To the best of my knowledge the statements con[ained in this application, togellter with the plans and spcciCications submitted, are a [rue and complete statement of all proposed work to be done on the described premises and that all provisions or the Building Code, the Zoning Ordinance and all other laws pertaining to the Proposed work shall be complied with , whether specified or noted , and that such work is authorized by the owner. Further, it is understow that Ilwe sliall submit prior to a Certificate Of Occupancy or Certificate of Compliance being issued , an AS BUILT PLOT FLAN by a licensed surveyor; drawn to scale, showing actual location of project on premises. Signature' .�� _x' (owner, owne gent, architect, contractor) P cc [// +.)uEP7 [i: F CC"N", yDE'�.IEL p[ ra,l;� 07 �. 8! J .:! P V S L -Lr J. E for ,� �..�.'7l�� L� 1`.� _._�..,.._..�._._ _�..�.___...._..�_ Fyn SFr T EB �7� 1 TOWN OF ee 1 BL31LC11NG .' 'or•E..j G.v^::C`'S ,':?�a:.e: ��,=-�"`.`�'' .' ,�� •? _r�Ce'.r.`" ,{ i�.s^,�R-. _�- / _ ci gaxty ,-�ta�: ,� beeSoams :: res: ca j ' �. _ tut ; �'J��� �. � H^ i carapace �'arc?:�ti�; �•- ...xc, --� a.e4'.'. ,. •X C CanraR ru V.. ZG�L7C_'L �r "`+...JC:'f-.:= .�rf 3:C:1:: ate. L. ..... _ _. - rJ.;i:fiscc �.va:C: s-�•iy: �. ..__ � 2L:s'CTy't~•ua ;5 =G;. rumitV ,3 3 ':Tr` =Yo . e - 2 iT.tit A7 .�' .""Ja'Ll, L#.C� � •+'.��"'"` Oi w�.'��-'1..."7 `.fT ilL'1�'Il' 7• 'L'✓_,-� �!/�I.ZY r�T CCC.'+�'G. :Y}y[�.�0`_L3'.7C�EY _Y..JS FSYY'� ��__..����..{{ ��1�,��.,� a r Ca L'ra h.,x.i` of s4�. N-vucr� ica'"li y:1fi r � �.��fiII.ca ktiD•=a 'a; a ^_ter.=•x^.2�. r.. _ r w v a iaxTi wF ALi: :!'4'CYX sc r.G�i cC r . ...e :-a3 ;:.r ',e,;',Llx:r.•a9 -,.=,`; Ica paa' — . :/�f���F// - - . : �s�r,s:v.•. ;,arse^. �.- FINAL HVBI2mtD"TIC7tI44A Ir=el f*c�rs r ■MOIBIL.� / MOOlJLAR Town of Queensbury ` Building & Code Enforcement 45 742 Bay Road Queensbury, NY 12804 (518) 76148256 ARRIVE: Z-i EPART; Z� INS DATE INSPPEC7TTIONN REQUEST RECEIV NAME: Z 0�: 1'C 1 � lr, y� LOCATION: DATE: r — PERMIT # L MOBILE HOME MODULAR HOME P00' 'INGS FOUNDATION RAC 0F1L.L _ FRAMING NIA YES NO 1, foundation support, pier spacing r/ per manuf. . .. . . .. .. . . . .. .. . — 24 anchoring per manuf.. . . . .. .. .. .. . . .. 3. wr Line shut. off / 4. sewe ,liras support a 4 feet . . .. . S. heating crossover (dblewitie) off 6. dryer vent&k outside .. .. .. .. .. .. . — 7. skirting ventilated .. ...... . . .. . S. hot water relief ve piping Is' 9, deck, porches, steps, — 10. furnace/hot water operating .. ., .. — 11. garage fire proofing ., .. .» 12. door closers . . . . . .. .» .. _. . » . . . ., . .. .. . 13, plutnbing fixture ... .. . ... .. .. .. .. ..... — — 14. foundation insulation (if appl,). ., .. » _ 15* srnoke detectors .. ........ ... .. .. .. .. .. — 16. final electrical . .A... .. .. .. .. .. .. . , . » . » 17. variance required .. .. .. ... . . .. . . .. .. .. 18. data plate okay . ... .. .. .. .. .. .. .. .. ... 19. mobile HLTD seal okay . .. .» . .. .. .. .. — Model # serial # Manufacturer Date of :Manufacturer OKAY TO ISSUE C/O YES NO Comments: -Noma 74 rvs�v f):��a RESIDENTIAL FINAL INSPECTION REPORT �} Office No. (518) 761-8256 Date inspecttll rived- Building & Code Enforcement 4� ��; t Dept of Community Development Arrive wpm Depart Town of Queensbury Inspector's Ini 742 Bay Road Queensbury, New York 12804 NAMES `I PERMIT # LOCATION DATE "TYPE OF STRUCTURE NIA YES NO COh0V1F.NTS Chimney Heightr" B" Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof, Roof Complete Exterior Finish Complete Int,erior/Exterior Railings 30" to 36" Exterior Handrails, balconies, landing 18 in. or more Interior Handrails stairs both sides 3 or more risers Grade 2% away from foundation 8" clearance to sill plate Gas Valve shut-off exposed/regulator 18" above grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Relief Va1ve(s) installed Headroom, 6 ft. 6 in- on stairs Basement stairs, 6 ft. 4 in. Handrail exterior stairs both sides more than 3 risers Interior privacy/tritnldoorshnain entrance 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balcomesll.rutiding, 18 in. or more Railing across window in stairwells Smoke Detectors every level �^ every bedroom outside every bedroom inter connected Bathroom fans d Plumbing fixtures > Foundation insulation 3/a hour fire door/door closer Garage fireproofingL Garage penetrations sealed Furnace in separate room protected (in garage) Light ventilation per room Safety glazing I8" or less from floor Final Flectrical Site Plan/Variance required Final Survey Plot Plan As Built Septic System layout required _ Okav to issue CIC (Certif. of Compliance) Okay to issue temp. C/o (C:ertif. of Occupancy) _ Okay to issue permanent CIO (Certif of O cupancy) �1fVAL 1i1VSPEG7sC.1+N REPGIR'T `s Mp®1LE / MOsiT�1JLAR � Town of Quee+tsburY Building & Code En#Orcernent 742 Bay Road Queensbury. NY 12804 (518) 761 -8256 ARWV E:DEPART: f!*i5 DATE INSPECTION REQUEST RECEI NAME-. LOCATION: ppRM1T # 2)L— DATE: Mi3BILE HOMEMODULAR 290249 FOOTINGS FO'EJTi'DATIC7N .,- I3AC'KFILL FRAMING r NIA S NO 1. foundation pier spacu+g per uf- 2. anchoring nPe uf» 3, water line shut o 4. sewer line eSSuppor ( � _ 5. heating . . . -- 6. dryer vented outsi +. 7 , skirting, ventilated . .. .. .. .. . . .. g. hot water relief aloe piping outside f 9. deck. porches, eps, railing . . . . . . .. 10. furnace/hot water operating . ... . . .. it, garage fire proofing 12. door Closers . . .. .. .. .. . . . . . . . 13» plumbing fixture .. . . . .• . . .. .. 14, foundation insulation (if -- 15. smoke detectors .. .. . » . . • • • . • » y�l .. .. . . '. : 16, final electrical » 17 . variance required .. .. .. .- .. . . �- 18- data plate okay 19. mobile tjUD seal okay . .. .. . . .. . Serial # Model # Manufacturer Date of Manufacturer OKAY TO ISSUE +Cto YES NO g�A1w - 41 i l=1NA1� IIVSPECTII�N FtL�PO'RT' ;I MOSILS / MppULAFI Town of ©ueensbury Building $ Cate Enforcement 742 'Bay Road Queensbury, NY 12804 (518) 761-8256 ARRI ]Ex'AFtTs- i DATE INSPECTION REQUEST RE EI D: NAME: ) `_ LOCATION-. It PERMIT # �� �� -- DATE: MOHILE 'HOME MODUT1LAR 190WE FOOTINGS FOUNUA'TioN gAC1(FtLL FRAMING — N/A ES NO l » foundation $uplI;DA0 pier spacing ✓ per nianu€. 2» anchoring ode manuf. _ .. .. . u 3. water line shu 4, sewer line supp°rt off 5. Beating crossover lewide) i3r 6. dryer vented ide . . . . .. .. . .. .. . . . . .. 7. skirting v ted 8. de wa relief valve piping outside 9. deck rc'hes, steps. railing . . .. . . ., 10, /hot water operating . . ». . 11 , garage fire proofing , . . » . » .. .. .. . 12. door closers . . .. .. .. .. . . . . . . . .. .. .. .. .. 13. plumbing fixture . . . . . . . . . . . . . . .. .. .. .. 14. foundation insulation (if apply 15, smoke detectors .. .. . .. .. .. &. .. . 16. final electrical 17 . variance required . . . . ». .. .. .. .. .. .. . .. 18. data plate okay .». .. .. .. .. . . .. .. .. . . . » 19, mobile HUD seal okay .. . .. . . . . . . . . —" Model # Serial # Manufacturer Date of Manufacturer QKAY TO ISSUE CIO YES NO Comments: ��VCAY\4 F1NA1. 1N8Pi8tCT1ORV F31�1�vr-ram i nnoa�ls.r •r a C3CMUL .R Town of Queens bury i Building & Code Enforcement 742 Say Road Queensbury, NY 12804 (518) 761-S256J ARRIVE. : - INS DEPART IN _.,_._�— DATE %NSPECn0N REQUEST RECPIVED. NAME: �{"� DATE-ATE_ L1 1 PER.MrT # Yf MOHILL+ 2g{l1wLE HpHs n " HOl i� POOTI 1GS FOUNtDA-rION BACIOMIL FRAMING N/A YES NO 1. foundation p or Per nsanuf. o *a 2. anchoring Per rrlarx -- 3. water line shut,of€ •• .. . 4. sewer line Support at' feet 5. heating crossover (dbl 'de) off grd. --- 6. dryer vented outside . .. 11. skirting ventilated . .., .. . ix . 8, hot water relief value Pi ' ts 90 deck, poMhes, steps" rading -- 100 f n-mcelhot water operating - — 11, garage fire proofing . ..... .. ., .. » .. . . 12* door closers .. . -- 14. foundation insulation (if appl 15, smoke detectors ...... .. ... .. 15. final electrical 17. variance required . ..... ~- 1S* data plate okay ., .. .• . -- 19. mobile HUD seal oka .. .. ... . » Serial # Model # Manufacturer Date of Manufacturer OKAY TO ISSUE C1O YES NO 4-1 of.a MO@! 0"M R BuFfdin� of Q sbury 9 a COde +Enforcement 742 bay Road ou ensburY. NY(5 761 i ;I ARRIVE; DATE ZNSPEC77ON REQUEST RECEIVED: NAME.- LOCATION: ] DATE: P lrrosr>rX IlGf1►l " IT # 4 -- __ l�tolo►LMAit in ��� -- �trNI7ATT©N BACKS FRAMING l • foundation suppo , pier spaN/A YES NO Per manuf. . °' 2. anchoring per mono . '. ... .. .. . . . 3. water line shut off -' 4. server line suF)lxrt (M 4.» . 54 heating ssover ( 6. dryer Vowed owie ) Off grd, -- 7. skirting ventilated -' g' ter relief ve piping outside `- 114. fiirnacell�a ' s psi railing . .. .. 11. garage fire nrpp ` operating .. . .. .. . -- 120 door closers 13» .. .. ... .. .. ..... », — -� p umbing More 14. fotion inaulatiou' of a -- 15, smorce detectors • ( P°r.).. .... -- --` 164 final electrical .. .. . .... . .. — -� 17. variance required al . .. ... .. .. ... .. ». . .. .. . -�- s. data plate �y 19, mobile HUI) seal»okay... .. ... .. .. .. -- Model # �- Serial ,# .Manufacturer Date of Manufacturer OKAY rO 1ssz:IE C/O YES lv0 comments: �lIVAl� IIVSPL+CTiOEV RHt�Git�i�- mc3mli_E / MDC3ULW^P! Town of Oueensbury Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 (518) 761-8256 ARRIVE: 1 Y DEPART: ,' INS Cc DATE INSPECTION REQUEST RECEI � �..___`� NAME: Q� LOCATION: • C� Q '�] i P'ERMIT IY ,.,._I ! MOBILE HOME MODULAR HOME POOTINGS FOUNDATION SACKFI1.d.. _ FRAMING NIA YES NO 1. foundation support, pi span" per manuf. . . . .. .. .. _ 2, anchoring per f. .. . . . . . . . . 3, water lime shut. o 4. sewer line 4 feet 5, heating crossov r (dblewide) off grd. 6. dryer vented 'de . .. .. ..... .. .. .. .. .. .. _ 7. - skirting ventila . .. .. .. .. .. 8, hat water relief aloe piping outside 9. deck, porches, , railing . .. .» .. . .10. fiunace/bot wa operating 11. garage fire prop g 12, door closers . .. .. ... .. .. . .. .. .. . . . . .. . _ 13, plumbing fixture :. .. . .... .. .. .. .. . .. .. 14, fbundation insulation (if 1S. smoke detectors . .... . . ... .. .. .. .. .. .. . 16. final electrical .» .» .» . .. .. .. .. .. .. . . . .. 17. variance required ... .4 .. .. .. .. . . .. . .. . 180 data plate okay 19. mobile HUD seal okay . . . .. .. .. .. .. . Model # Serial # i Manufacturer Date of Manufacturer OKAY TO ISSUE CIO YES _ NO Comments-. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 111 WASH INGTON AVE., SUITE 704, ALBANY, NY 12210 rate tlAy 1941998 435549i98 q8 1 13 =34 .3£s Application No. on file THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant na med on the above application number is in the premises of BRUC!E BURTGN , 9, OHIO AVE . QUE;EAI9Br3RY7 t3Y ' f in the following location; ❑ Basement El Ist pi. ❑ 2nd F!. OUT 4 f k r RY l ri , 1998 Section Block Lot was examined on and found to be in compliance with the National Electrical Code. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS (NCANbESCE FLUORESCENT OTHER AMT. N.W. AMT. K.W. AMT. K,W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS H-P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS, AMT. SYSTEMS H.P. NO. OF FEET AMT. WATTS SERVICE DISCONNECT NO. pF S E R V I C E METER AMT. AMP. TYPE E6lUIP. 1 A 2W 1 !0 8W 3 m SW S 0 bW ND" GpFRG�CONtl. OF GC, COND. NO. OF HI-LEG A. W. G' NO. OF NEVTRALS ' `• ''�• G- OF HI-MG 4F MEH?RAL � xe� cry 1 OTHER APPARATUS: 24 HII-[,TAtJ'IL?�E i1U BOX 24 GENERAL MANAGER F1FaCF1RfiZCV1-i•�r,E . Nv , 1 ;_> 118 ., per This certificate must not be altered In any manner; Tatum to the office of the Bawd if Incorrect. Inspectors may be identified by Their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. FINAL 11V13PW=V1C3 V R1E v 7 MIC18111mPE / 1 C30U1LAR Town of queensbury Building S Cade Enforcement 742 Bay Road Queertsbury, NY 12804 (518) 761-8256 ARRIVE: DEPART: 1NSP: DATE 1NSPECnON REQLSEST RECEIVED: e '/1 +E' rf3.•- LOCA 1ON: D 7� ,+Y MIT # � ATE: PER MOBILE HD1rtE HQDVLAK HOME FC7aMGS FOUNDATION BACKF''LL FRAMING N/A YES NO 14 foundation s Pier per wanuf. _- 2. anchoring per mm� 3. water line shut, ». .. .. . .. j 4. sewer line support a 4 . .. q — -- 5. heating crossover (o jewi ) o 6. dryer vented 7a, ide7 �g venti$. hot water relve pip' outside Y 9. deck, poYches, steps, S . .. . — - -- ,10. furnacellwt water opera — 11. garage fire proofing . .. ..4,. .. .. . . .. .» 12. door closers — - — 13, pl unbing fixture .. .. .. .. ..... .. .. .. ... 14v foundation insulation (if appl,). .. ... 15. smoke detectors .. ... ., ». .. ... .. .. .. .. . 16. final electrical 17. variance required . . .. I. .... ... . . .. .. 19. data plate okay . ...., .. .. .. .. .. — t/ 19. mobile HUD seal okay .. .. ... .. .. .. » Model # Serial # Manufacturer Elate of manufacturer �f OKAY TO ISSUE C/o YES NO Sk Conan �: � r-Crltotl� trG/i � r Yrern.r :s.. ih r G G� s� fs J,0I -0 Aw � � w95 +GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road ' �7 cc,, m Queensbury, NY 12804 Arrive am/prn Depart Tam/pm Inspector's Initials p_c_:/ NAME: U (z:'a PERA4r7F # --� LOCATION: Ge DATE TYPE OF STRUCTURE: RECHECK N/A YES JCON*lS Footing (Piers <UA.+�£' 1 Monolithic Pour Form Reinforcement in Place The contractor is responsible for �C"Csc1 providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/WalIpour Reinforcement in Place Foundation/Dampproofi ng Backfill 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 Hangers Jack Posts/Main Beam Air Infiltration Barricr Fire Separation 1 . 2, 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestoppin 11\fAL fIVSPEC"7 iCffV � pIOF7�� MO®iLE3 ! f1AODIJLAR Town of Queensbury Building & Code Enforcement 742 Bay 'Road Queensbury, NY 12804 (518) 761-8256 ARRIVE: \IZ&PEPART: 4 INSP DATE INSPEC"t ON REQUEST RECEIV NAME: � L•OCAT ON: z l Sl DATE: PERMIT, # MOURLE HOME ._--•- 13'MLTLA R IICIME BOAC KFU L FRAMING g FOUNDATION � - �ilA YEs N0 adalion BUPPOA, ,pser spactn8 _ per musiuf.. .. .. .. ..... .. .. .. . . . .. �' -- 2. anchoring Per manuf. . .. .» .. .. . . . . 5 3. water line shut. off . .. ... . . .. r _-- 4. sewer line support a 4 feet . .. .. .. , 5. heating crossover (dblewide) off gid. 6, dryer vented outside . ... ..»... .» . 7. skirting ventilated . .. .. .. .: . .. .. tus g, hot water relief valve PiiPrailM8 outside 9. deck, porches, sue* ,10, furnaceAwt water operating I I . garage fire proofing . .. .. . .. .» .. .. _— closers .. ., .. 12. door .. .. .. .. . .. .. .. 13, pluinlring fixture • �a if a 1.).• .. .. fov — -- i4. ruiatian insubga (� Pp 1S. smoke detectors ... .. .. .. electrical 1S. final .. ..... � .. .. .. . .. .. .. equired ...4 .. .. .. .. . ... .. . 17. variance r IS. data plate vkaY . .. .�....... .. .. .. .. . . . 19. mobile HUD seal OCAY .•... .. . Maaiel # Serial # man. +a' tumr Dace of Manufa pKAY T iSSLJE CIC3 YES NO Comments: ► s � I TORN OF QUEENSBURY } BUILDING & CODE ENFORCEMENT 742 Bay Road Queensburyr MY 12804 --- (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location Date ? Permit # / SOIL TYPPE,;- n lay- Results of Percolation Test- ( if applicable ) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD : Total Length Length of each tr ch Depth o trenches ,.--- �....._ Size of s , n SEEPAGE PI umber-_ �' ft . Size - t . x Stone size _ S e -hype; PIPING : ` ASS Bldg . Tank Tank,, a Dist . Box Di-st . Box to Fi el d� �` openings Sealed ? Yes o LOCATION�'SEPARATIOMS : �iEi feet Foundation to Tank �"�� '�V feet Foundation to Absorption ��t Separation of Pits o Conforms as per Plot Plan LOCATION OF SYSTEM ON PROPERTY : ( circle one) -- -� Right Side Front - Rear Middle Front - i ddl a dear COMMENTS : bJtT-, .. T %Z:0 +X�` ; N10�5% Mom-- SYSTEM USE APPROVED : YES C� Arrived: c Depart ilding n e or 66F T l a { 10i I y �,�� r . 4 � (yt f:a^ ! rY� •.�E S� W .( }..y , �, ; '1 3� a4Tf '��: hi..xK x'�?_ Jlvt t.�+ ti " �'4`R" ► { YY° r 'QL99r,Ifs t»} �aV , ii!i t C. At 7 e♦, �;�F.'t k� -� ;.s�� "i ff��5 o a�#.. 'Y�,;^'r ,•w�iy •�w 1f 1 S�f� '�tF 1P», fi � ¢'4.4ti Jh'trtt fF:' i °y Yet , , `•ry ` i,�y 1 fi .eI. .r „'�' 3tfY6 .ti� '�r., ,� :v� !� '���i'�f�- rY� � S,�,:I ,•C.'y!'�� .�)'i"* a "'i�.ti�a a [[ � hti tSYn �{ � .rtY� n t� •y(}t i'; w i�q�J{�n Y' !f/r�• F1v 4 �+ n { IJF'�• �. ht l.t Fr �t #. 'tj IfIJ 7 1 ��.tT`f 3*' (4~ f.}11 r ".t.4 x �� N R k4 Q} ,r j 'yt A �iY7 a 1tt��"n 14aa1�ki t f k 41r �a !r rr ;yAt• A LL t'j . "�tw'�'�a '�� ,yrt 'Y " F� TtF y' t �F�''a'r 7i�� ��� .'�rEx�'�7 �t'�7�`ai�rZ .t1'�' >(•� ..�.'�..rxr�'��fc Ir i Cr j � r L l� 90 L Im a a .r rp on zMi III + tlt ) Y S S t1` f FINAL 11V1RPEGTION REPCiRT MOBILE / MC3C.1U9W^R Town of Queensbury — Building & Cade F_nfurcermeM 742 Bay Road Queensbury, NY 12804 (518) 761-8256 ARRIVE, DEPART: INSP; ' DATE INSPE ON REQUEST RECEIVED: NAME: f� • ) J�/ , , 1_OCATI0N. DATE. PE IT I► bKOSILB NO MO LA'S HOME F X- rMGS FO AYtON LL FRAMING I NIA YES NO 1» foundation support, spac per manuf. . .... . 2, anchoring per manuf. .. .. .. 3. water line shut off 40 sewer lime support (! 4 5. heating crossover {dole ) off grd• - — 6. dryer vented outside �. ... • • 7. skirting ventilated - .» .... . ».. 8. hot water relief valve outside 9. deck, porches, steps* 10. f n-nacelhot water ring 11 . garage fire proofing -- -- i12. door closers ... . . ... ........... 13» plumbing fixture ... 14. foxmdation it)Isula (if appl.). .. is. smoke detectors .. .» .. .. .. .. .. .. .. .. 16, final electrical .. . . ..... ..» .... . . .,. — -- 17. variance 18. data plate okay . .. .. .. .. .» .. .. .. . .. .. 19. mobile HUD 1 okay ... . Model p Serial #4F Manufacturer Date of Menu toter OKAY 0 ISSUE CIO YES Comments � ,FINAL Ih18P�C:TIC71V REPCiRT MC]BILE f MC30ULAR Town of Queensbury Building & Code Enforcement V 742 Ray Road Queensbury> NY 12804 / (518) 761 -825,6 4 ARRIVE- .*'r EPART: P: k { DATE INSPECTION REQUEST RECEIVED: { NAME: LOCA'17C]N:o�r.A�.[_-��.��`�L�1—�r✓7�,. ,r') 1 DAT PERMIT # 14oVAOIA a MOBILE IIOMB MOEWULAR BOMBR+FIh3G-y,r '— 3 K)OTINGS FOUNDATION RACKFILL � FRA ? i NIA YES NA 1 . foundation support pi pa g er s can per manuf. . . .. .. .. .. .. .. .. . . . . .. .. 2. anchoring per manuf.. .. .. .. .. .. . . • • • _ 3. water line shut. off . . . .. .. .. .. .. .. .. . . i 4. sewer line support (W 4 feet . .. . . . . 5. heating crossover (dblewide) off d. ` 6. dryer vented outside . .. .. .. .. . . . . . . . . 7q skirting ventilated 9, hot water relief valve railing ou ` e 9, deck, punches, steps. railing . 10, finrnacellxn( water operating 3 1 i . garage fire proofing . .. . 12. door closers . . . . . . . . . .. .. .. . . . . .. .. . . . . 13. plumbing fixture . . . . .. .. .. .. . . .. . . .. . . _ 14. foundation insulation (if appt.). . . .. . T 15, smoke detectors . . . . . .. . . .. .. .. .. . . . . . . 16. final electrical . .. .. . I .. .. . . . . . . . . . . . . . 17. variance required . .. .. .. .. . . . . . . . . .. .. I S. data plate okay 19. mobile/HUD Seat okay . .. .. .. .. . . . . . Model # L... 11-200 M )Q A:I Serial # ! Manufacturer /rl stereo Date of Manufacturer F TO iSSUE CIO YES NO I $ 1 ] L1 Av-e - • L _ter' I i FRT OCT 2 4 1197 Towix $UIL©NG L Y 1 1 � i j r �G