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2015-404 TOWN OF QUEENSBURY Fool 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20150404 Application Number: A20150404 Tax Map No: 523400-308-006-0001-070-002-0000 Permission is hereby granted to: DANIEL LECUYER For property located at: 14 WARREN Ln in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: DANIEL LECUYER Mobile Home Out of Park $16,000.00 14 WARREN Ln Total Value QUEENSBURY NY 12804-0000 $16,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency MAURICE COMBS 96 VAN DUSEN Rd OUEENSBURY.NY 12804-0000 Plans&Specifications 2015-404 Mobile Home out of park Lot 2 of the Andrew Darnley 2-lot subdivision SB 20-2005 $0.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, September 14,2016 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the To of Q nsb ; /f ; i . ptember 14,2015 �,Vf •, SIGNED BY - \ for the Town of Queensbury. Director of Building&Code Enforcement e r Office Use Only • MOBILE HOME APPLICATION C) / all � Received DATE: ! 1 a l l Tax Map ID TAX MAP ID 300- & -I-76-,Z Permit No. Z.C�c� , Permit rFee fI �.6y 0 PROPERTY LOCATION: i Lt LO L41� Lex-v2-- LE 1D 1 id NAME OF MOBILE HOME PARK: PROPOSED DATE OF PLACEMENT: SPS �0 .� Std u 2015 TOWN OF QU'EENSBURY -, LCU ilf� BUILDING&CODES11.41112- APPLICANT 1 ADDRESS ly "lam.( TQ4' ( s$,fQ, ADDRESS 0\2_0_0nshcL NY 10 Ery PHONE ! O- t- N 31 PHONE SCP-41U--- . NAME OF INSTALLER OR MOBILE HOME DEALER Ceffn b5 t ruC-b 1-6 ADDRESS: VOA C !` €02-1 1 (28- ,ZWre j3DOcrilleuLli7 ala2)(r5 r N Y 06a--/ SA-64;1-)in'a ri - 6-i ob-02co 5 PHONE 9L'' ?'W 515 CONTACT PERSON FOR BUILDING&CODES COMPLIANCE: IA', [ 1_481441 6- PHONE: 18- 19&-03/ 1") COMPLETE INFORMATION BELOW FOUND ON A"PLATE"OR"STICKER"WHICH IS AFFIXED TO THE MOBILE HOME Insignia serial number Name of Manufacturer s,rn Q n - jt"AQS Place Approval Number Model or Component Designation ), g�"-i 1p (New home only) Date of Manufacture: & A i / gg MOBILE HOME INFORMATION ZONING INFORMATION Approximate Value of Home $ C kQi ®C:)Cl Zoning New Home or Replacement Size of property 1 `SO ft.by, (c c.) ft. Size of Mobile Home I ft.by. 7 0 ft. Existing buildings Mb Singlewide or Doublewide ea/ng Accessory buildings 140 Number of rooms(exclude bath) LI Storage buildings Number of Bedrooms a Detached Garage _1 __ 2 _3 Number of Bathrooms l; Attached Garage 1 2 0. Gas Fireplace;Woodstove or Wood Fireplace' s Setbacks Front yard: ft. Rear yard:. ft. • Side yard: ft, Foundation Support Size Depth Water Supply Well: Piers Municipals E.-/` Runners Slab N 10 Septic Permit Required? ✓Y.es Na 1 Town of Queensbury Building&Codes Mobile Home Application July 2014 t • Procedure for placing and occupying a mobile home or modular home: 1. Application is submitted and review: 2 copies of plot plan and layout must accompany application along with septic application (if needed)and fee. 2. Permit is issued— Permit card is placed on property 3. Footing forms are inspected before pouring concrete: Home is placed on foundation or piers 4. Arrange for electrical inspection—see "Certified Electrical form" on Town website 5. Septic Inspection, if needed 6. Final electrical Inspection 7. Stairs & platform covering door width and door swing with handrails on both sides of platform and stairs are required for all exterior doors. 8. Final inspection by Building &Codes Department 9. All mobile/manufactured housing must be anchored to the ground upon which they are site per manufacturer requirements. 10. Installer Warranty seal must be provided at the time of Certificate of Occupancy 11. If anchoring is not possible due to weather conditions or any other item, a Temporary Certificate of Occupancy will be issued; Fee-$10; Deposit$100.00 (refunded when all items are complete) DECLARATION: 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 alt 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 completed with,whether specified or not, and that such work is authorized by the owner. Installer Warranty will be provided at time of Certificate of Occupancy. ��yy Print Name: i C y e'r Date: '"l ic) /) Owner,Agent, Co,tor Signature: �� Date: 9/2-/5--e• Special Conditions of Permit: By: Code Enforcement Officer 2 Town of Queensbury Building&Codes Mobile Home Application July 2014 INSPECTION WORKSHEET (MANMOD-001284-2018) Town of Queensbury - Building and Codes - Fire Marshal 742 Bay Road - (518) 761-8256 Building (518) 761-8206 Fire Marshal Case Number:P20150404-42281Case Module:Permit Inspection Date:02/23/2018Inspection Status:Passed Inspector:John O'BrienInspection Type:Manufactured Modular Final Job Address:14 WARREN LNParcel Number:308.6-1-70.2 QUEENSBURY, NY 12804 Contact TypeCompany NameName Granted PermissionCombs, Maurice ApplicantLeCuyer, Daniel Primary OwnerLeCuyer, Daniel ContractorCombs, Maurice Checklist ItemPassedComments Building Inspector NotesYES2/2/18 Final Inspection Partial Approval -Install 36? high plywood guards on rear landing until steps can be installed in Spring. -Installer?s Warranty (Comb?s Trucking) 2/2/18 Final Inspection Partial Approval Remaining Item: -Installer?s Warranty (Comb?s Trucking) 2/23/18 Final Inspection Approved-Ok to issue CO -Received Installer?s Warranty Seal Foundation support, pier spacing, per manufacturerYES Anchoring per manufacturer 2ft from endsYES Water line shut offYES Sewer line support @ 4 feetYES Dryer vented outsideYES Skirting ventilated 1 sq. ft. per 1,500 sq. ft.YES Hot water relief valve piping outsideYES Deck, porches, steps, railingYES Furnace Hot Water Heater operatingYES Plumbing Fixture / 3" Vent through roof \[Modular\]YES Foundation insulation \[if applicable\]YES Smoke Carbon Monoxide Detectors InterconnectedYES Final ElectricalYES Data Plate okayYES Manufactured HUD seal okayYES Feb 23, 2018Page (9) INSPECTION WORKSHEET (MANMOD-001284-2018) Checklist ItemPassedComments Installers Warranty SealYES2/2/18 Final Inspection Partial Approval Remaining Item: -Installer?s Warranty (Comb?s Trucking) 2/23/18 Final Inspection Approved-Ok to issue CO -Received Installer?s Warranty Seal Vapor retarder under home 6 mil poly or otherYES 911 Street numberYES Okay to issue CC or CO \[Temporary / Permanent\]YES2/2/18 Final Inspection Partial Approval -Install 36? high plywood guards on rear landing until steps can be installed in Spring. -Installer?s Warranty (Comb?s Trucking) 2/2/18 Final Inspection Partial Approval Remaining Item: -Installer?s Warranty (Comb?s Trucking) 2/23/18 Final Inspection Approved-Ok to issue CO -Received Installer?s Warranty Seal Model #YES Serial #YES ManufactureYES Date of manufactureYES O'Brien, John (Inspector) Feb 23, 2018Page (10) ^Oct. 14. 2015 12 :42PM MD IA No. 7989 P. 4/12 's�$5e...i•'.. .-Al..'J >G J,\ 4�} �L,.. },:w-., -?y ornc-$ >477.44t1 ,y.Cr�.Y„a r- �‘`p7, {�Avv4 r <r:•ray�:•rte-.�. •✓. •/, / J J.� ✓:<'/•4�Jv %.Y_h(v:✓.G_r 'Y i'»s:U \' {v. s! 1 pis MIDDLE DEPARTMEATT INSPECTION AGENCY, ITC. �,• a .,(4A, that the electrical wiring to the electrical equipment listed below has been examined and is approved as P. 7.,.., l r.Abeing in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date f�>i A noted below and is issued subject to the following conditions. a� J4 Owner Date: rt) (�`� Dan Lueyer 10/05/2015 .1, Occupant: j 0 p Feeder To Home Location- Warren Lane ' �5, �a a) Occupancy' Queensbury, Warren Co. NY v, Services hc Applicant: Don Beagle rro t 1483 Hadley Hill Rd.' el Hadley, NY 12835 •••• <<< L J * Joseph A.Holmes S 59 No. • 03226,5,194646EL �� Y1 << Equipment: t;G:' • • ;,.200 -Amp. Service Equipment4/0; 1 -200 Amp Feeder To Home (j�j lS if AI .., This certificatez applies to the electrical wiring )5 •`�� to the electrical equipment listed immediately null and void. This certificate applies only to the use,occupancy and �•i h•. above and the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a Change in the use,Occupancy or ownership 591 0 inspection. No warranty is expressed or implied as to the mechanical safety. effi• of the property indicated above,this certificate shall be immediately null and void. 64 1 ~') clency or fitness of the equipment for any particular purpose. This certificate shall In the event mat this certificate becomes invalid based upon the above Conditions, r? � be valid for a period of one year from the above noted date. Should the electrical this certificate may be revalidated upon reinspection by Middle Department 1C�,K system to which this certificate applies be altered in any way,including but not limit. Inspection Agency,Inc. An application for inspection must be submitted to MiddleCC,`` j� ed to,the introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc. to initiate the inspection and revalidation f(.:j 1 any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged for this service. 5Y tye ti' 4 r. c1> `g� lia.✓:a;r' �<. :7 ^ ��,'rC'.ti•-Y.-:.•o. �1 rc:"r� �J� .c �."` � i�•' r. ra r� .c1 •.•� �•r g y r'• u e. ?�i<':J/,F .3�'O sr\ \.a,F,�,`Y: v y J t'yd G•�r4 v . 6 J L= �/. rr:�f5ktta - i�•�'r U ;i'•:JG.�%'�i:::vim t.`�.ti�.r..�a!Ll L �`�C�`.w�.t'�,.\.v:'����•'•�� ��s��%�:1,r�.�!�`�•J+v��%�\'. ?n�iC.l�.i.Cia��ti✓•<`r'�.`C�:G3�`%::: A X3-.2101 • • 1v Rough Plumbing I Insulation Inspection Report Inspection request received ' \14:t "ZQA 'D NameInspected on 1111'2-CAS Location l q �,) Arrive Ore . am Permit No. 2,0 kcD , rat Inspector's Initials Type of Structure M 0.1 d-o- COMMENTS Y N NA Plumbing under slab Rough Plumbing /Nail Plates Plumbing Vent /Vents in Place 1 V2 inch minimum Drain Size Washing Machine Drain 2 inch minimum Cleanout every 100 feet/change of direction Pressure Test Drain /Vent Air / Head 5 P.S.I. or 10 ft. above highest connection for 15 minutes Pressure Test Water Supply Piping Air/ Head , -50 P.S.I for 15 minutes Insulation/ Residential Check/ Commercial Check A/ 74- `C N-Wirtdov�i Sealing 1r04 Tyvek or Similar Exterior Sealant Proper Vent.Attic Vent Door/Window Sealed (No Insulation) Duct/ Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape Blower Door Test Air Sealing cOtN1, C7Nrk(2_1 \''2: AilZpl.220-t) Town of Queensbury Building & Code Enforcement Office No. (518) 761-8256