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2007-566 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number. P20070566 Date Issued: Monday, October 22, 2007 This is to certify that work requested to be done as shown by Permit Number P20070566 has been completed. Location: PETRIE Ln Tax Map Number. 523400-308-006-0001-061-000-0000 Owner. SAMUEL & VIOLA WAHNON Applicant: SAMUEL & VIOLA WAHNON This structure maybe occupied as a: Mobile Home In Park By Oder of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the 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: P20070566 Application Number. A20070566 Tax Map No: 523400-3 08-006-0001-06 1-000-0000 Permission is hereby granted to: SAMUEL&VIOLA WAHNON 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. Type of Construction Value Owner Address: SAMUEL&VIOLA WAHNON 39 SARATOGA ROAD Mobile Home In Park $44,900.00 GANSEVOORT,NY 12831 Total value $44,900.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2007-566 LOT#11 PETRIE LANE - RICHARD HURLEY 1088 SQ FT MOBILE HOME IN PARK $66.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Wednesday, September 17, 2008 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the September 17, 2007 ee u SIGNED BY for the Town of Queensbury. urY Director of Building&Code Enforcement .....rr<....r.w..er.Fr/er.......rrrrrr..................rrrr............ �.rrwr.rrr rwrrr rrr rr, OFFICE USE ONLY ,' TAX MAP P N(l PERMIT NO. V/ DATE ISSUED: 0 PERMIT FE 1� APPROVALS: ZONING TOWN CLERK MOBILE HOME -APPLICATION FOR PERMIT: A building permit must be obtained before placement of mobile home on parcel. No inspections will be made until a valid building permit has been issued. Applicant In ormation Property Owner Information Name: l kckl Name: k. 1 A Address: bs�(o UL Address: ! "t Phone No. I Phone No. Parcel Information U►2 � � Proposed Date of Placement: M 2 Property Location: -7— f�k1 �0 Road,Street,Avenue " Name of Mobile Home Park: rVU!a&&j(2_\jL*jf app9cable) Tax Map Number. Mobile Home Information : Zoning Information Approximate Value of Home:$ ` Zoning Classification: wio o 'e Qk New Home: es No = Size of Property: ft.by Replacement Home: Yes /Cr6$ Existing buildings: Size of Mobile Home: ft, by ft : Setbacks: front yard ft. rear yard ft. side yards !ft.and_a ft. Singlewide: _ Doublewide: Number of Rooms:(exclude baths) : Accessory Building(s); circle Number of Bedrooms: 9 Number of Bathrooms:_f Detached garage: 1-car 2-car car Circle: Gas Fireplace/Woodstove/Wood Fireplace Attached garage: 1-car 2-car car Foundation Support: Storage building: es No T pe Size & Depth Other frs oy` tZa-4j}S ; Water Supply. well or uniclpal unners Slab Is Septic Permit Required? Yes or No Continued on bade Team of Queensbury• Community Development Office • 742 Bay Road, Queensvury, iv x -L zav* Y Name of Installer or Mobile Home Dealer. \ e�ojlw�' Address: 1360 LI,6--0 Phone: \ Complete information below found on a'Plate""o`r'Sticker"which is affixed to the mobile home: ✓ Insignia serial number.�� ✓ Name of manufacturer a12 w u ✓ Plan Approval Number ✓ Model or Component Designation: kft� b I. f�l r (New home o ly) � Date of Manufacture: (•�'�� "b ' AFFIDAVIT s J Town of Queensbury State of New York County of Warren y } a t y 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 x ORDINANCE, and all other laws pertaining to the proposed work x shall be complied with, whether specified or not, and that such work is authorized by the owner. s G Signature. z Owner,Owner's A66ht,Arc itect, tractor s ' J 'jy Kt SPECIAL CONDITIONS OF PERMIT By: f Code Enfor ment Officer Town of Queensbunj• Community Development Office• 742 Bay Road, Queensbury, NY 12804 F1=SPECY101M mEPc*rr E / MODULAR Town of Queensbury Building &Code Enforce wxU 742 Bay Road Queensbtmy, NY 12804 (518) 761-82W DEPART: ARRIVE. INSP: DATE INSPECTION REQUEST RECEIVED: [NAME: HL)r leL4 LOCATION: WCN: _/_0j /f t., DATE: PERMIT#W MOBILE HOME MODULAR 110012 FOOTINGS FOUNDATION BACKFILL 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 ....... 5- heating crossover(dblewide) off grd- 6- dryer vented outside ...c................... 7. skirting ventilated .................... 8. hot water relief valve piping outside 9. deck, porches, steps. railing ........ 10. furnace/hot 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 seat okay .............. Model # ,---Serial# Manufacturer Date of Man uer 0 AY TO ISS NO Co FINAL INSPECTION papOpT MOBILE / MODULAR Town of Quemftry Building & Code Enforcement 742 Bay Road Queensbury, NY 128D4 (518) 76141256 ARRIVE: _ DEPAIZ A- -�NS P6 DATE INSPECTION REQUEST RECEIVED: NAME. LOCA77ON: DATE: CS Z PERMIT N MOBILE HOME MODULAR HOME FOOTINGS— RXINDATION 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 ....... 5- heating crossover(dblemAde) off grd. 6. dryer vented outside x................... 7. skirting ventilated .................... 8. W water-relief valve piping ou—ts-id-e 9. deck, porches, steps, railing ........ 10. fi"ac r ope W g . ....... 11. garage fire proo Wo .................. 12. door closerss ........................... 13. plumbing fixture ...................... 14. foundation insulation (if appi.)...... 15. smoke detectors ....................... 16- final electrical ........................ 17. variance required ..................... 18. data plate okay ....................... 19. mobile/;HUD seal okay .............. Model CE-4-0 Serial# Manufacturer Date of Manufacturer OWTO ISSUE CIO YES NO TOWN of QUW NOTICE BUILDING & C ANCHORIN OFMOBILEHO E Reviewed BFRAME I REQUIRED PER Date: ifMANUFACTU ERS SPEC►FICATI NS FILEGOPY TOWN OF QUEENSBURY BUILDIN"DEPARTMENT <C Based on our limited examination, cornplwre with our comments shall C not be construed as indicating the plans and specifications are in full compliance with the Building Codes of New York State, 9� LOT # It STOCK # 412 Glens Falls Mobile & Modular Homes, Inc. 1304 Route 9 Gansevoort, NY 12831 (518) 798-2801 (fax) 798-2803 info(a dmhomes.com 16X72 singlewide with porch toe 12'-0' 6�-0' W—0' W—0' art BA1 B/K 2 LIVING =CAto ROOM - K I TCHEN JJ ll ww'' MASTER , � VnUITED CEILING off � 4 BEDROOM � I F TNtu-our • VFW- rt e e $449900000