IM Inspection Worksheet_28-11-2023_15-31-00INSPECTION WORKSHEET (MANMODFIN-029101-2023)
RC-0518-2023Case Number:Case Module:Permit Management
11/28/2023 PassedInspection Status:Inspection Date:
Manufactured Modular FinalInspection Type:Inspector:John O'Brien
Job Address:Parcel Number:68 Wisconsin Ave
Queensbury, NY 12804
308.12-2-35
Company Name NameContact Type
Applicant DEBORAH NOLAN
Contractor Peaceful Living Home Sales
Granted Permission DEBORAH NOLAN
Primary Owner DEBORAH NOLAN
Checklist Item CommentsPassed
Building Inspector Notes True 11/14/23
Manufactured Home Final Inspection Not Approved
Remaining Items:
- Provide a access panel to the under side of the home
- Extend downspout for hot water relief valve from hot water tank
thru perimeter skirting to within 6" from grade.
11/28/23 Manufactured Home Final Inspection Approved
- Ok to issue Certificate of Occupancy
Final Electrical True
Heating Crossover [doublewide} off grd.True
Anchoring per manufacturer 2ft from ends True
Warranty Seal after January 1, 2006 True
911 Street number True
Installers Warranty Seal True
Wood deck: 2'+ from grade dia bracing required True
Manufacture True
Data Plate okay True unit serial # 019-000-H-A006514AB
MODEL # CTN.2-20
HUD SEAL # PFS1318352,PFS1318353
DATE OF MFG. 8/15/2022
Furnace/Hot Water Heater operating True
Dryer vented outside True
OK to Issue C/O True 11/14/23
Manufactured Home Final Inspection Not Approved
Remaining Items:
- Provide a access panel to the under side of the home
- Extend downspout for hot water relief valve from hot water tank
thru perimeter skirting to within 6" from grade.
11/28/23 Manufactured Home Final Inspection Approved
- Ok to issue Certificate of Occupancy
Vapor retarder under home 6 mil poly or other True CONCRETE SLAB
Hot water relief valve piping outside True - Extend downspout for hot water relief valve from hot water tank
thru perimeter skirting to within 6" from grade.
Date of manufacture True
Water line shut off True
November 28, 2023 Page 1 of 2
INSPECTION WORKSHEET (MANMODFIN-029101-2023)
Checklist Item CommentsPassed
Foundation support, pier spacing, per manufacturer True
Model True
18 x 24 access or 22 x 30 attic access True - Provide a access panel to the under side of the home
Serial #True
Foundation insulation [if applicable]True
Smoke Carbon Monoxide Detectors Interconnected True
Skirting ventilated 1 sq. ft. per 1,500 sq. ft.True
Plumbing Fixture / 3" Vent through roof [Modular]True
Manufactured HUD seal okay True
Deck, porches, steps, railing True
Sewer line support @ 4 feet True
November 28, 2023 Page 2 of 2