2009-531 �- TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
CERTIFICATE CIF OCCUPANI"v
Pernut Number. P20090531 Date Issued: Wednesday, December 02, 2009
This is to certify that work requested to be done as shown by Permit Number P20090531
has been completed.
Location: PETRIE Ln
Tax Map Number. 523400-308-006-0001-06 1-000-0000
Owner. SAMUEL &VIOLA WAHNON
Applicant: RONALD &JOANNE THERRIEN
This structure may be occupied as a:
Mobile Home In Park By Order of Town Board
T WN OF Qu' �ENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the
p Y
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: P20090531 Application Number. A20090531
Tax Map No: 523400-308-006-0001-061-000-0000
Permission is hereby granted to: RONALD &JOANNE THERRIEN
For property located at: PETRIE 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. Tyne of Construction Value
Owner Address: SAMUEL&VIOLA WAHNON
39 SARATOGA ROAD Mobile Home In Park $65,000.00
GANSEVOORT,NY 12831 Total value $65,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2009-531
Lot 10 Petrie Lane-Ronald &Joanne Therrien- 1344 sq ft mobile home in park
$81.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday,November 13,2010
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the Quee a November 13, 2009
bu
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
..s..c...i.ii........w.s................. ............. �5.�.�• ., \
• D b��f /�C'� j OFFICE USE ONLY
TAX MAP NO. PERMIT NO. !� DATE ISSUED: --P-
,
o PERMIT FEE APPROVALS: ZONING TOWN CLERK 17rr J P 2009 �U
,
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BUILDING& CODES
MOBILE HOME -APPLICATION FOR PERMIT:
A building permit must be obtained before placement of mobile home on parcel. No inspections will be made until a
valid-building permit has been issued.
Applicant Information Property Owner Information.
Name: l;c iG ' ,- � i J 6l fa 1 f Jt ' Name: Sri 1kJ1 /4&'e-)
Address: L> E(j�:-a! Address: ! C �- - C�
Phone No. Phone No.
Parcel In ormation
Proposed Date of Placement:A `! Property Location:
Road,Street,Avenue
� !fAat�
GName of IMobiie Home Park: (,i eat Tax Map Number.
Mobile Homeinformation ` Zoning information
Approximate Value of Home:$ �� L° I Zoning Classification:
New Home: Q es, No 1314 Size of Property: ff.by ft.
s� R
Replacement Home: Yes _ € Existing buildings:
Size of Mobile Home: ft. by t� ft Setbacks: front yard ft. rear yard ft.
side yards ft.and ft.
Singlewide: Doublewide:
Number of Rooms:(exclu a baths) = Accessory Building(s): circle
Number of Bedrooms:
Number of Bathrooms: _ Detached garage: 1-car 2-car car
Circle: Gas Fireplace/Woodstove i Wood Fireplace Attached garage: 1-car 2-car car
Foundation Support: Storage building: Yes No
Size & Depth Other:
ier
Runners Water Supply. well o munici
Slab Is Septic Permit Required? Yes or No
...._....._...___�._._....._�_...___.._...........__..__..... Continued on bade ..._
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Glens Falls Mobile & Modular Homes, Inc.
1304 Route 9 (exit 17N) Gansevoort, NY 12831
(518) 798-2801 (fax) 798-2803
www.gfmhomes.com
Stock# 381 28X48 2 Bedrooms 2 Baths
Aprox. 1166 square feet
Refrigerator, Range, Dishwasher Thermal Windows
1OX28 porch
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FINAL INSPECTION REPORT
MOBILE / MODULAR
Town of Quemftry
Building &Code Enforcement
742 Bay Road
Quoensbury, NY 12804
(518) 761-8256
ARRIVE- DEP :21 INSP-
DATE INSPECTION REQUEST RECEIVED:
NAME:
e.r
WCAITOX.
DATE: PE10.411'N
MOBILE HOME MODULAR HOME
FOOTINGS- FOUNDATION BACKFUL FRAMING
N/A YES No
1. foundation support, pier spacing
per manuf ........................
2. anchoring per manuf ...............
3. water line shut off ...................
4. sewer line support 0 4 feet .......
S. beating crossover(dblevA&) off grd.
6. dryer vented outside x...................
7. skirting ventilated ....................
8. hot water relief valve piping outside
9. deck, porches, s". railing ........
10. fiu-nacelbot water operating ........
11. garage fire proofing ................
12. door closers ...........................
13. plumbing fixture ......................
14. foundation insulation (if appl.)......
15. smoke detectors .......................
16. final electrical ........................
17. variance required .....................
18. data plate okay .......................
19. mobile HUD seal okay ..............
Model # Serial#
Manufacturer
Date of Manufacturer
OKAY TO ISSUE C/O SE:YES NO
Comments: 00 -
t-In�
FINAL INSPECTION REPO)
MOBILE / MOOULAR
Town of Queensbury
Building &Code Enforcement
742 Bay Road
Queensb9y,-AC(__12804
{518 761-8256
ARRIVE: DEPART:/2 u INSP:t_"7'_
DATE INSPECTION REQUEST RECEIVED:
NAME: �,'r�r;
LOCATION:
DATE: 7 PERMIT#
MOBILE HOME MODULAR HOKE
F001INGS_ FOUNDAT M— -RACKML FRAMING
NIA . YES NO I. foundation support, pier spacing
per manuf ................. _ / —
2. anchoring per manuf. ...............
3. water line shut off ...................
4. sewer line support(0 4 feet .......
S. heating crossover(dblewide) off grd. 3
6. dryer vented outside ..:................... _
7. skirting ventilated ....................
8. hot water relief valve piping outside — —
9. deck, porches, steps, railing ........ _ —
10. f umaceAot water operating ........ —
11. garage fine proofing ..................
12. door closers ...........................
13. plumbing fixture ...................... —
14. foundation insulation (if appl.)......�ec
........................................... —
17. variance required ..................... _
18. data plate okay ....................... _
19. mobile HUD seal okay .............. —
Model t' � Serial#
Manufacturer
f
Date of Manufacturer
4 4-
OKAY TO ISSUE CIO YES NO
Comments: '/ �,