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1993-076
AMISIMIMMO CERTIFICATE OF 'OCCUPANCY TOWN OF QUEENSBURY WARREN,.COUNTY, NEW YORK Date -/ 19 96 This is to certify that work requested to be done as shown by Permit No. 93-076 has been completed. This structure may be occupied as a doubl ewi de mobile home Location Lot 24 Northwinds • Daniel and George Drellos Owner Onner Mobile Home: `timothy Phillips By, Order Town Board '' TOWN OF QUEENSBURY .12 / Director of Bldg. do Code Enforcement 4 s BUILDING PERMIT TOWN OF QUEENSBURY No. 93-076 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to TIMOTHY PHTI I TPS OWNER of property located at I of 24 Northwi nds Street,Road or Ave. in the Town of Queensbury,To Construct or place a Doublewide Mobile Home at the above location in accordance to application together with plot plans and other information hereto filed and1-1 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. r— r— 1. OWNER'S Address is N Daniel and George Drellos PO Box 224 a' ( lens Falls NY 12801 2. CONTRACTOR or BUILDER'S Name Jack' s Manufactured Homes Service 3. CONTRACTOR or BUILDER'S Address r 4. ARCHITECT'S Name 0 0 5. ARCHITECT'S Address -5 c-t U, 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( ) Masonry ( )Steel ( 7. PLANS and Specifications No. 24')(48' Doublewide Mobile home (1991) as per plot plan, specifica- tions and applicaiton. 8. Proposed Use o cr Single family dwelling (doublewide mobile home) CD 47.00 March 31 94 $ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 0 Q- (If 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 31st Day of March 19 93 0 SIGNED BY a(/-Z/ 7y GGGCilC.> for the Town of Queensbury Buil 4 Zoning Inspector ,0111lik si TOWN OF QUEENSB URYY REVIEWED BY: - .�. ter.. " FEE PAID: $ _ PERMIT NO. 9,5 - 'l OF QUEENSb� APPLICATION FOR PERMIT RECEJVFD MOBILE HOME OR MODULAR A BUILDING PERMIT MUST BE OBTAINED BEFORE PLACEMENT OF MOBILE HOME. M AR "J1993 NO INSPECTIONS WILL BE MADE UNTIL A VALID BUILDING PERMIT HAS BEEN ISSUED. rem..&.CODE DES The owner of this property is: -7; , 'Tb,. //, ,0i P.O. Address: --1 Aid c( j Phone Number Property Locations I ,)014_r Tax Map No. / /_ NAME OF APPLICANT: ETA c I�-'J O '6. bits m e v, c ' Address of Applicant: ��-; /; 0,4, e' 4-zee& ep-Cmfej q 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: Z' _ _ MOOBILE HOME INFORMATION APPROXIMATE VALUE OF HOME: $ 3 ©, 0 06 New Home Yes No ZONING INFORMATION: fS- // Replacement Home Ye's No Size of Property: ft x - ft Size of mobile home. 2yftxx/1ft Existing Buildings: Singlewide Doublewide Proposed building-distance from property line: No. of rooms (exclude baths) 6 Front Yard 30 ft Rear Yard 3 'z_ ft. No. bedrooms 3 Side Yards ,s/ ft and /41 ft. Occupancy Inform No. of bathrooms �� ati Primary dwelling. Yes No Fireplace Woodstove Accessory Building(s): Detached garage (one car /two car car) Foundation style and size: Attached garage (one car /two car car) Storage building Piers-No. of Size ft x ft Other Depth below grade ft * * * f* * * * * * * t * * * * * 4 � Foundation-Footing size " x Proposed date of placement: Wall material e/` - -9 Wall thickness " Height Water Supply: Well Municipal )( Total depth below grade ft. Septic permit required? �J Grade to home floor, level ft. FURTHER INFORMATION REQUESTED ON THE REVERSE SIDE OF THIS SHEET NAME OF INSTALLER/MOBILE HOME DEALER: T;/ cKJ �r�i /�' Ca IVOPte ��Ik dL cro ADDRESS/PHONE NUMBER 3cf 61414, Pit G 71),k/- A - 'j STATE OF NEW YORK DIVISION OF HOUSING AND COMMUNITY RENEWAL INSIGNIA OF APPROVAL OF THE STATE BUILDING CODE 1. Insignia serial number Gr P 3 71 to o ,�./�� 2. Name of Manufacturer , ,,x,.-0 a 12a �. 3. Plan Approval Number Ty7 j / ` ,P k o — 'y d3 4. Model or Component Designation f,4,Lk (A d 5. Date of Manufacture All the above information is to be found on a plate or sticker which should be affixed to the Mobile Home. Complete above with that information. Town of Queensbury — -State of New York t' ( County of Warren : ) AFFIDAVIT 6 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 that .such work is authorized by the owner. Signature 0 is agent, architect, contractor SPECIAL CONDITIONS OF PERMIT: By Code Enforcement Officer i���• INC * MIDDLE DEPARTMENT INSPECTION AGENCY, . \� ... � National Headquarters •= 1337 West Chester Pike,West Chester, PA 19380 APPLICANT COMPLETES THIS SECTION Date _ ,, - Cr, , City,Town or Township /_/ / ' .-_t ( f., ,,, o.-''/ County id/9 %f" State it-) 1 / i { Location/Address • - , , 11: �- , •: •( I • (If Located in Rural Area-Please Attach Directions) Pole # Owner %. , / ?if, . /-' ./' ( Permit # 2-_-:''' . /(; Occupied As 2 i- f Lw : A P 1'7'7.. /-,. /"- A,i. nz L Building: New❑ Old Occupant Work Area in Building (Floor #,etc.): App. for:"Wiring CIService© or: Ready for Inspection: Fee Remitted-$ Cash n Check I I M.O. n Make Payable To: M.D.I.A. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Number of Rough Wiring Outlets - Elect. Heat Switches Lighting Amp. Service Surface Unit Dishwasher Range Water Heater Air Conditioner Dryer Pump Receptacles Number of Fixtures Oven .Garbage Disposal Wiring and Controls for - Burner Amp. Receptacles Fractional H.P. Vent Fans Other Equipment: MOTORS H.P. 1/201/12 1/10 1/8 1/6 174 1/3 1/2 3/4 1 Ti/2 2 3 5 71/z 10 15 20 25 30 40" 50 75 100 Mark Number of Each Size . Applicant's j �� Signature7 /- - - License # Permit # . T/A '1 Utility:"'. T''?,) r!f: I s N�Z/'/ Applicant's Address: f /+'1,y 1)/ /d 2-`", "61'''yi (NAME) (OFFICE LOCATION) 0 r ; � (City) _ ,f : I., A-/c ,I (State) /---- :1-'(Zip) /7 ! ''-- Service Request # ' .,e-, - r 73 Phone # >.i (` - i i -; `.) -7 `'`, - Electrician: - - f 7z ,e, '`r`Y7(' i-e...- /- - MDIA USE ONLY DATE RECEIVED: DATE INSPECTED: • Correct Location: Same as Above Ti or: ' Red Notice Label n Rough Wiring Outlets Surface Unit Oven _ Switches Range Garbage Disposal Receptacles Water Heater Dishwasher Fixtures Air Conditioner Dryer - Amp. Service Equipment Burner,Wiring &Controls for Amp. Receptacle • Amp. Service Conductors Pump Vent Fans ; MEtRS-kiP 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1'/2 2 3 5 7'/2 10 15 20 25 30 40 50 75 100 ' Mark Number ' of Each Size Elect.1 eat 500 750 1000 1250'1500 1750'2000 2250 2500'2750 3000, CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CO RECT FEE PAID ❑ RW Progress: Inc.n LKD❑ Contractor ❑ CFT Violation: Work Comp.❑ Inc. n n L/A Owner CASH ❑ Fee CHK # . CI L/A Due' -r' 'MO # n IPA Municipal - --- INV # . Date: Other Side CI Utility. Applicant °a;+ Owner Cut in Card n Temp # Date .~ Date INSPECTORS SIGNATURE '" .. a n Final # ADOI it-nTlnkl CnenA ?Ifl 7Gn CI 11/RO • • PINE /�M�aanufa'cturer Address r INE GROVE M�11,1� This meMdacluted home has boon herunelyinsulated toconlormWith(nor 'Ir1 HOMES of lbw fedora?menufeciurod home obneeruOperi and safely Standards for Route 443, Box 128 p within 011mallc song-CRN _ _Pine Grove, PA 17963 Q Heeling equipment mtnutaciurer and modal(set flit tt loll). • 0 The above healing equipment hew the otpa II o maintain an average 70'F t Ihls home e1 outdoor lempsralur,e of , Dale of Manufaclfxre plant Number To me clmlr•furntea opetallnq economy,end to eonierve energy,If Is racer HUD No, this homebtfnetanad where the outdoorwinterMalanlampertture(a7fv')Ien D • 4 /4/9s2.% 61 f„r.fery degreesFshrenenc Manufacturer's Serial Number and -� /► 'JY O Theebovalgtormarlunbeebe,neafeulatadaeeumngamaximumwindrebclq Model Unit Designation lienderd atmospheric premium, J co coMiOfiT COMIC U jt� Design Appro al by{D,A r`70 -- V) 0 Alr cendlNoner provided in fedlory(Al,ernate 11 „7:—7.• 1 ----__ In 4 Air conditioner manuraeturer and modrl(see rim a1 len)_ �., Thla manufactured home Is dasignad to Comply With a labial manufactured horns Cernned capons'- eir P �•--'WI I*'va/hour In eOcortlpnce with tAl EC coastlualion and safely standards n force at ume of manufacture. (� The centre!air conditi ning ayillom provided In NI home hoe been sized W (For additional lnlormatlon,consult owner's manual.) U` syelemtrI. dos pnodon of the ntt ohhm lntetch �nor n Indoor Ishe home Ong of 7a' F WI The factory Installed equipment includes: WOn I CI W t o Equfpmenl Manufacturer Model Designation temptrrn+rva eve.��_ F dry bulb and Z For healing C(al0�Acorded will F en ds /� 7� ir the temperalun to which this horns can lot corded w;11 chariot dap0ndh.� For air cooling �/, z. amount of exposure of the wlndOws of this home to the curie redlrrthut.Tl `1, For air col /��� �� _ +Z i adin heat gains Will vary d,pvndenf upon ing III1h orfenletlon to the Suncabling mid and i• 1 S1 _ Yy J/ 4 provided,Information oonCerntng Iha calculation of Cooking load Refrigerator •._ ��•'� 0 Pi:manoftieor%wlndoWexposuresi drhadinpaarsprovididinChapur2201CIO' 0 LTA-/, ..r. (� of the ABHgAE Handbook of FuhdemenlAlt. Wafer healer �; d,pFL t;� 7 ��-ck y (,0 IniormAlionnecoearytocntculelecoolingtoedsalreriou,WOcallorn And orl provided In the special comfort cooling Informolion provldad with Ihlr hen Washer Al-1_ _ �„� ja $ 0Air conditioner not provided at factory(Alternate III Clothier Dryer _ ' The air dhtribuflon system o1 this hem,10 tunable for the Inslanollon 01 1 r1 < tondlllonfng, Dishwasher I!u f r rre The supply air distribuflpn system Inflelled in this home Is cued tors menuleel Garbage Disposal A. J _ oemralarr conditioning syetertfolupto, _ 1�, eenillod In accordance with the approarlote aiconditioning ind iarrip Med efollk Fireplace _ a- standards,when the air bltoulelOrs of such sir condiilonera aro ratud Si 0.9 Q column Iloilo pressure or greater for the cooling air dallvored to Ins manulacii +. "-' •�-----_.__ _ supply all du01 eyltem, — _ • lnlormer+ae martian?ro eelculale violin;IOadt al 1lgloVe IOCellane and orb ._. -• ��s^provided In the Special comfdrl cooling informellon provldoa with tills menutactu -•-^•----- _ !°" Air ccndllfontna not recommended{Alternate Ill) The air dielrlbullon tyelem of this horns hos not been designed In pnlictpepo with a osntrai air oondiliontng system, • 0E81ON WIND "1--�- • INFORMATION PROVIDED BY THE MANUFACTURER ZONE MAP r� zone I 2at,o f! � K� 8landurd Wind ❑ Fturricenb Resistive HECEB8ARY TO CALCULATE SENSIBLE HEAT CAIN. 16 POF Horizontal 25 1'5F ItOriiontal B PSF Lie wan.(without wtndowo and door /� i 15 Nra�Uptil, // U" Ceilings and roe 9 roofs Of light solar„ t• �7, �, ,,,.....P7.P,l.."U"-4�/� A .... . Celtinge and tools of dark color /4� "V'•&L �� Fleets / \,../ Air ducts In floor • •u' Alr ducts In Cutting •.U„ . . lirif ZONE 1 4fix. Air ducts Installed outilde the home The following are the suet areas In this home: ♦x • Air ducts In floor (� �xQ �, C.) Air ducts in tCidscitn � AirCh ducks°Wilde the home • AWN o C K 10 determine therequtred capacity ofequlpmeniIo00010 home efltclentty and acOn+ Q ki'�+• a cooling lead(i+oat pin)oaloulatton Is required.The cooling ho,d fO tlependanl*An CO a itllon,loceilon end the structure olihahonta.Central oft condltlonaraopeIblemulti end provide_ cooling load'Eat ha Creates!comfort air Condillonu 1hOu►d be seised In closeaccorrdan eatei withlhe CI Ch p DESIGN ROOF LOAD NOrlh AD P$F .�South 20 p1;K the Mallongocltly Of Heating,Refllgeraling and Alt Condilloning afternoon(A 0 ZONE MAP Handbook of Funpemt•nlels,once Iha Mouton and efranlallon are known. N /� Middle 30 PSF --. Other __,pSF OUTDOOR WINTER DEMON TEMP.Mlle Lit NORTH d ;1'' MIDDLE MIDDLE. .;", iftall- v Al, 4 .• ' •.•, „•• , 010141.-Fl"''....hi'iDDI:;:':Mr'''''";s1:-a ' 41#1er ZONE R ��� : ... . II liiimv0.1:-441r . , •,t*•.': :IV• CC SOUTH 1 Ir 1�---�, �eN� , TOWN OF QUEENSBURY 531 BAY ROAD 1r F TELEPHONEY, (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME P'41LLI PS LOCATION Z4 lfOizJ4 Cv i,L DATE 11-2-j 9 PERMIT# r 3-0 6 TYPE OF STRUCTURE RECHECK FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE) FOOTING FOU ATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC INSULATION OODSTOVE/FIREPLACE REMARKS I APPROVAL N/A • YES NO CHIMNEY HEIGHT/LO ATION B VENT/LOCATION PLUMBING VENT / ROOFING /' _ . SIDING 4 DECK/PORCH/STEPS/RALINGS J. RELIEF VALVES FURNACE/HOT WATER OP RATING INTERIOR TRIM/PRIVAC DOORS FINISH FLOORS; BATH/KITCHEN WATERT ;GHT OTHER FLOORS SWEEPAOLE OTHER FLOORS CARPETED, STAIR CLEARANCE/RAILINGS SMOKE DETECTORS j< DOOR CLOSERS BATHROOM FANS ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE WALLS FINAL ELECTRICAL'LyP0U,5,rG- iC OK TO ISSUE C/O OR C/C COMMENTS: • aK-io IS50L C/O ARRIVE 2 : od . DEPART Z4 D r.(, NSP T ELECTRICAL INSPECTIONS ' DUPLICATE MUNICIPAL RECORD Permit No. C(.— 7 Owner -" %/fl t/// L-c / Occupant Locatiofi L O 7- L/ Ain>� 1 /1 cv,(r.D 5 No. ` Street Town or City State Installation as itemized on reverse side has been visually inspected pursuant to applicable codes. Installed by ^1 2- L/ ?—Y No. Date L/ ' l J` / Inspector MIDDLE DEPARTMENT INSPECTION AGENCY INC. FORM NO.18 EL. 900 Haddon Ave.,Collingswood, NJ 08108 ROUGH WIRING OUTLETS H.P.AIR CONDITIONER OUTLETS WIRING &CONTROLS FOR BURNER • RECEPTACLES H.P.PUMP • FIXTURES K.W.OVEN /0 AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT AMP.SERVICE CONDUCTORS K.W.DISHWASHER K.W.SURFACE UNIT K.W. DRYER 'Y K.W.RANGE AMP. RECEPTACLE K.W.WATER HEATER FRAC. H.P.VENT FANS ,19I6 4/Gc: /4 44'6.= 5- _ c>T OTORS H.P. 1/20 1/12 i/10 % % % Ih 1/4 % 1 11/4 2 3 5 71 10 15 20 25 30 40 50 75 100 ARK NUMBER EACH SIZE • PPARATUS AT 0-tkit i61 It'll". TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT irt 531 BAY ROAD . QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST OR INSPECTION RECEIVED .A/(zrly� a� NAME (: Q�h jq Q. LOCATION L*' W(rO O th JL 4/ ( o ff CB1A/YCi" /1 DATE , 1 2q 19.3 PERMIT # Oe 9o17L • TYPE OF STRUCTURE DId LU (CU) n') i RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FRO4 FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB . FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING '�, {' JOIST HANGERS ;;` JACK POSTS/MAIN BEAM HEATING ROUGH-IN ,, INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS .r' ', R- WALLS ;f' \ R- CEILING NR- 'DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: litPaltir & 04 • 9 q- I JJ P&ra}J C©M Pz.G i40MiL l S A P9 vouL-13 ARRIVE ---� 00 DEPART -3�Oc7 INSPE TO ,... 3 g- i (Ay, .A. cI J /' ' .• .. 1 . . , , \\D ' 1 T (-(0 --›: I i, A,) , .. , ! 7v- .1 . . APPROvED Applicationm/E-- , . . . ( MAR 3 1 1993 , 7______, i .4.e.-, - , - --- • . > „. i , • , Zoning n;In_istmto_r_ ----- 2-9. --- TOWN OF QUEENSBURY /\ i . . 1 / ,a4 OF QUEENSb,- • ' RECEIVED . . ... . wiaR 2 .1993 Ct,k.•QA--LAA-1) & CODE DEPT. "I-- s—,r / <---