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2015-326 TOWN OF QUEENSBURY (Y, • 742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201 Community Development-Building&Codes (518) 761-8256 CF,RTIFICATE OF OCCUPANCY Permit Number: P20150326-42165 Date Issued: Wednesday, August 15, 2018 This is to certify that work requested to be done as shown by Permit Number P20150326-42165 has been completed. Tax Map Number: 308.12-2-4 Location: 38 WISCONSIN AVE Owner: DKC Holding, Margaret Himes Applicant: Valued Homes This structure may be occupied as a: New Manufactured Home 1456 s.f. By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the 4..,P4 if' 4\k' property owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20150326 Application Number: A20150326 Tax Map No: 523400-308-012-0002-004-000-0000 Permission is hereby granted to: VALUED HOMES BRUCE BURTON FOR MARGAI For property located at: 38 WISCONSIN Ave 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: DKC HOLDINGS • Mobile Home Out of Park $60,000.00 38 WISCONSIN Ave Total Value QUEENSBURY NY 12804-0000 $60,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2015-326 Margaret Himes, Owner of the Mobile Home 28 ft. by 52 ft. Double Wide Mobile home/out of park and allowed on parcel/Property Owner: Larry Clute: DKC Holdings Permit Issued to Valued Homes -Bruce Burton for Margaret Himes $0.00 PERMIT FEE PAID.-THIS PERMIT EXPIRES: Saturday,August 06,2016 (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 T n of eens u ,August 06,2015 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement rxfcc Use _ _.. MOBILE HOME APPLICATION ReceivedI/ • g .42-S 4 4- �TAX MAP,ID i L % I " pis pm 1 LO e' '' U'_— f0-11----.. -ALA I_L - �- U '� L 'L u a M < ' p{���±± OMEPY}RC i,'� �+/ 1 ,eitetj_5r- I pict-dAyez rj1+1,21 , p �3A��!'�CD�t�tT . . e d.5- a' . /S ram APPL_J--CANT V ' .7-- 2 PHONE PHONE , ., 1 boker , ."1).-.< \ 1 eit...,,,.i . -,u . 1,)Ra.-ce ci' Coe/ovierrurri -a-c'3-1) al& Co or • fo ' To pg�f .. �� H• �ay� PIzioe./approval Number home +tY) Model et ComponentDe4POn 0 (New Date of Manutactore: - �iNFt3VON 111111111111111111111111111 orMOBILE HOME INFORIMON IIIIIIIIIIIIIIIIIII APPToxiMAIe '17.7.776.--- New Home R Slze of Sinelw ' ` jc�a . 1e Sit�9l� l br� - Storage bngt Numbor of Bedr •, ._ . 'IE�� ,p�cSse� A � `. Number .. - r . Vater SY Size.. ' . i1/4401461at - --- foundation$14100ii . ; x .a Co �„ t� t' ca sro. Bootie Perot Required? _ __ _ Sim --�-'--- - MPb1S Home Appl ttO y 2 014 ovm at ass fi - .'*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:mobiie./manufactured liousing:muetbe anchored to the ground upon which-they are site per manufacturer`.requrrernents. 1.0. Installer Warranty seal rriuet-be-provi'dedatthetime of Certificate of Occupancy 11..1f anchoring is not.possible due to weather.conditions or any other item,a Temporary:Certificate(*Occupancy Will be.is_sued;Fee:.-$1:0, beposit$100:00(refunded when all items are complete) DECLARATION• ,I swear that to the best of»Ρmy knowledge and belief the statements contained. in this application., together with the plansAnd specifications submitted, are a true and complete statement OAK 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 workis..authorized by- the owner. Installer Warrant will be provided.at time of Certificate of Occupancy.. - _ Print Name: UC P /Q 1'ti-- Date: . ' rA-/(5- -caner,./agent,Contractor Signature: --- ° Date: / /`j • Special Conditions.of Permit; • By; Code.Enforcement'Officer • • • .2. Town of-Queensbury Building.&:Goctes Mai:410•ygmo Appiieation 40014 Queensbury Building & Code Enforcement— Manufactured / Modular Final Inspection Office No.(518)761-8256 0\ Arrive: _- m m De am/ m Date Inspection request received: 12-1 Z.0 t tp Inspector's Initials: 4. NAME: b 1 `li 1 Yl /IAA YYK. PERM! . 2 o ) "" 2-(o LOCATION: ' 'CO \t SC_01'1 C 11°'1 DATE: (a-1 J` Manufactured Home 1 Modular Home Footings_. Foundation— Backfill, Framing_ Comments: Yes No NIA Foundation support,pier spacing, Per manufacturer v: ti\'t S S\ 1,- O Anchoring per manufacturer 2'from ends V 1 i Water line shut off 11°l s Sewer line support @ 4 feet I Heating Crossover[doublewide}off grd. / . - Dryer vented outside f/ Skirting ventilated 1 so.ft.per 1,500 so.ft. / Hot water relief valve piping outside Deck,porches,steps,railing Fumace/tiot water operating / . Garage Fire proofing Fire Door/Door closers Plumbing Fixture/3"Vent through roof[Modular] Foundation insulation of applicable] Smoke!Carbon Monoxide Detectors I Interconnected i Final Electrical Variance required 0:7 U Data Plate okay . :///z/ Manufactured HUD seal okay i°\-) @ Warranty Seal after January 1,2006 '® .17 b Installers Warranty Seal �'V 18"x 24"access or 22"x 30"attic access / Vapor retarder under home 6 mil poly or other v/ 911 Street number .v/ 7 Okay to issue CIC or CIO gem /Pe . Model# Serial# Manufacturer Date of Manufacturer L:\Pam Whiting\20101Building Codes Forms Manufactured Modular Final Inspection 03 04 10.doc wow ___, liVq. Queensbury Building & Code Enforcement— Manufactured I Modular Final lnspectionl Office No_ (518)761-8256 Arrive: ifr am/pm part: . 'rm/pm Date Inspection request received: GI 1 .I5 I2-1 A,5 Inspector's Initials: 6� NAME: ��C-�tD,kitvy, PERMIT t5`52 LOCATION: _ CL IN i S�O 't Y\ DATE: 9 1 15\ . Manufactured Home Modular Home Footings_ Foundation Backfill_ Framing Comments: Yes/No WA Foundation support,pier spacing, j Per manufacturer A Anchoring per manufacturer 2'from ends / Water line shut off V Sewer line support©4 feet 14.9- 14 Crossover[doublewide}off grd. litl' r416 Dryer vented outside -_ Ej Skirting ventilated 1 sq.ft.per 1,500 sq.ft. �, Hot water relief valve piping outside N Deck,porches,steps,railing Fumace/hot water operating V - .------- Garage Fire proofing Fire Door/Door closers e Plumbing Fixture/3"Vent through roof[Modular] ✓I/ Foundation insulation[if applicable] Smoke/Carbon Monoxide Detectors/interconnects!` Final Electrical , / Variance required v 7 Data Plate okay Manufactured HUD seal okay ���YYY` f Warranty Seal after January 1,2006 �/�, /P Installers Warranty Seal ,V f 18"x 24"access or 22"x 30"attic access Vapor retarder under home 6 mil poly or other 911 Street number .Y/' / Okay to issue C/C or C/O[Temp./Perm.] Model# Serial# 12 _ Manufacturer 2 7 Z c i°14‘3C7115kFfS " Date of Manufacturer 2.Z ti t t/l 1 L:1Pam Whiting120101Building Codes Forms\ManufacturedModular Final Inspection 03 04 10.doc 1 1/l Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: 4 'lb l W.(,S Queensbury Building&Code Enforcement Arrive: am/pm Depart 1_ am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials NAME: �G1\101M11,664, PERMIT#: 1 5 3 21. LOCATION: W '1�CO)C'S 1 Y^% INSPECT ON: 918 J',.O►5 TYPE OF STRUCTURE: 't" W L- Comments Y N N/A ,(2�_ . 1 rD_ 255.b Footings �l� Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place Footing Dowels or Keyway in place Foundation Dampproofing Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width N 6 inches above footing CWr;C 6 mil poly for wet areas under slab Backfill Approval Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior {� R- Rough Grade 6 inch drop within 10 ft. L:\Building &Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/9/2014 Foundation Inspection Report Office No. (518)761-8256 Date Inspection request received: I.�c f l Queensbury Building&Code Enforcement Arrive: am/pm Depa pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials- pv9 NAME: C 1 1 /6irticelVe2--- PERMIT#: � • J r' Vtl//-S7— LOCATION: w i;CU14 cf ✓� .�-- . INSPECT ON: TYPE OF STRUCTURE: • Comments Y N N/A ootings del Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing . UA-051\i‘g— — for 48 hours following the placement of the concrete. Materials for this purpose on site. Foundation/Wallpour Reinforcement in Place � a_M*5 Footing Dowels or Keyway in place Foundation Dampproofmg Foundation Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab Backfill Approval • Plumbing Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. L:\Building &Codes Forms\Building &Codes\Inspection Forms\Foundation Inspection Report.doc Last printed 12/9/2014 0 e- ei 7 „ �'6ilr, t f. NOTICE ANCHORING OF MOBILE HOME - FRAME IS REQUIRED PER f FILE COPY �j q A WUFACTURERS SPECIFICATIONS o n..�,. ... ` C� ;: �� TOWN OF QUEENSBURY L-____ _„�a BUILDING DEPARTMENT - _ 1 Based on our limited examination,compile .;e J with our comments shall not be construed as �--� indicating the plans and spec'', -rei .re in full compliance with the Bui ding Co•es o -4- New York State. e ¢. 4 rri ‘ CO ts. N a m ar, 1 lj FT . • 0 8 gNG QUEENSBI t' t ate:4V::......r5.....:1 T. t... Fx[ 's, U N IN • sr. iiii . BATH A 6 11 Ir IIII11I11RI '4a '. 1 E 11 ■ram vtrvtw0 . ,.;w afN oartookiO4 I t'N ,IliiINSIII r K Olin ri w!iJiir114I9ituI AP. - . MA$7E4er...OHOOM ROOM BEDROOM tO �e.r 1... r „» -. ) art :4, I ry JUL 2 4 2015 I� TOWN OF QUEENSBURY BUILDING& CODES . h i NOTES: TYPICAL PIER R'N T 1.THESE PRINTS BUBITHOUT NOTICE OR OBLIGATION. OR PROPER S CT TO CHANGE ET-UP AND SITE INSTALLATION,SEE THE CURRENT INSTALLATION MANUAL. -, Ii WHOLE HOUSE SHUT-OFF VALVE OPTION MAY 2..ALL ASPECTS OF THE FOUNDATION CONSTRUCTION ARE TO BE ill !�' REQUIRE THE WATER INLET TO BE RELOCATED PERFORMED ON SITE,AND ARE SUBJECT TO THE REQUIREMENTS OF THE TO AN AREA CLOSE TO THE WASHER BOX LOCAL AUTHORITY HAVING JURISDICTION. V ;I 1 N 3.THE PIER SPACING SHOWN IS A SUGGESTIVE SPACING ONLY,THE ' `j1 it JUL a / . I L-P1/►i ACTUAL PIER SPACING AND FOOTING SIZE IS TO BE DETERMINED BASED (I � 'J BASEMENTS MUST BE ING CAPACITY REFERTOTHECURRENT INSTALLATION MANUALFORON THE ACTUAL SITE CONDITIONS,LIVE ROOF LOAD,AND SOIL DETAILS. II 4. BLOCK BOTH SIDES OF EXTERIOR DOORS LOCATED IN LOAD BEARING u'Uf' i DESIGNED BY A SIDEWALLS(BLOCKING NOT REQUIRED AT DOORS IN NON-BEARING END �1 fjI' i �` - °' WALLS)."PIER SUPPORT ALTERNATE"DAPIAPAGEFL01.06.01(PIERSAVER)) _ REGISTERED ENGINEER MAY ONLY BE USED ON DOORS LESS THAN 48". - - 5. BLOCKING ISALSO REQUIRED AT BOTH SIDES OF OPENINGS LARGER THAN 48"IN LOAD BEARING SIDE WALLS OR MATE WALLS.ALSO,ADD ' (HEAVY LOAD PIERS)UNDER SUCH ITEMS AS HEAVY FURNITURE, 1 TYPICAL FRAME SUPPORT 43'-6"WATER INLET * WATERBEDS,FIREPLACES,AND LARGE FISH AQUARIUMS. • 41'-97" EXTERIOR DOOR LOCATION 6.ALL DIMENSIONS MUST BE VERIFIED BEFORE FOUNDATION 8 _ CONSTRUCTION IS STARTED. 4 7.DWV DROP AND WATER INLET LOCATIONS ARE APPROXIMATE AND MAY TYPICAL MAIN SUPPORT 36 24" VARY DUE TO UNFORESEEN CIRCUMSTANCES, r - 1 ! T II r---, r---,, r----, r---, I I-BEAM I L___I L_— L_--, L. _! v� L___1 ! t-ri o FURNACE CI ;; DWV DROP 0 2g - 1 41'48-3 35'-2" t---, r---, r---, r—_—, r---, r---, I-BEAM i ' 1 r ' , 1 a I I I I I I I L 1' I I I I f 1 1 I1 �- l_.-.-J ___J ___JL_...-.J 1 c, 1;11 II c , g' 1-BEAM Y 1 - 1 1 I 1 I 1 i r----1 - , , 1 1 --4-- 1 • 1._ t j, Y r a 1 I I I I L___.I I I I I L___J N V I 1---- I-- I-- 126' I-- I--- f18' -- `-` DWU DROP • i I r 1 I i ch 1 I i -i i---� r-----) '' 1-BEAM I 1 J - - 1 1 i r 1 - I f I I I I I I I 1 1 I 1 g - 2' 8' f. 8' I 8' I I 8' 1 8. . ' 8' 1- 2'— 26'-2g EXTERIOR DOOR LOCATION' . . 52' APPROVERS SEAL MODIFICATIONS` , , MODEL:122-A 25202 SHEET NORTHWOOD • TITLE: PIER FOUNDATION F-101 HOME BUILDERS INC. PRO,PRIETARYANDCONFIDENTIAL DRAWN BY:STAFF DATE:11-19-12 THESE DRA AOS AND SPECnAT10NS1.1kt1 IGINAL, - 1 CODEth DIVISION New York State Department of State Manufactured Housing Unit liViSION OF One Commerce Plaza, Suite 1160 COD, ENF IRCEM - NT 99 Washington Ave. Albany, NY 12231 &ADMINISTRATION 518.474.4073 phone DEPARTMENT Cif STATE 518486.4487 fax mFaatmr-imaostataim-mar --....Z.NaSESEEMMMUSEEEMEESMIEngs, •••,- •••,, ,••••• Limited Certific4iim as au Installer of Manufactured Homes Certification Number: 11NT01065L001 Effective Date: 11/5/2013 Expiration Date: 11/5/2015 Be it known that pursuant to the provisions of Article 21-B of the Executive Law and Part 1210 of Title 19 of the New York Codes,Rules and Regulations, Bruce A. Burton, an individual residing at 36 Jackson Rd.Ext.,So, Glens Falls,NY 12803, (the"Certificate Holder")is a duly certified Installer of Manufactured Homes. Certificate Holder's Employer: Valued Manufactured.Housing,Inc. This is a Limited Certification. The Certificate Holder is authorized by this Limited Certification to act as an installer of manufactured homes only within the scope of his or her employment by the above-named Employer. This Limited Ceitification shall cease to be valid if the above-named Employer ceases to be certified as an installer of manufactured homes,or if the Certificate Holder ceases to be employed by the above-named Employer. This Limited Certification is effective on the Effective Date indicated above and,unless earlier suspended or revoked,this Limited certification ceases to be effective on the earliest of(1)the date on which the above-named Employer ceases to be certified as an installer of manufactured homes,or(2)the date on which the Certificate Holder ceases to be employed by the above-named Employer, or(3)the Expiration Date indicated above. New York State Department of State By: Ronald I .Piester, .A., Special Deputy Secretary of State and Director,Division of Code Enforcement and Administration Important:Display this document as proof of your qualifications to operate at the above certification level. 76-7.7174,,.,v;„,4-M:-04074t4 ,11ZT , „,t,„ kr:44i*, - +4'•