2007-703 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201
4E Community Development- Building &Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number. P20070703 Date Issued: Thursday, December 13, 2007
This is to certify that work requested to be done as shown by Permit Number P20070703
has been completed.
Location: 1 SUGARBUSH Rd
Tax Map Number. 523400-309-005-0001-001-000-0742
Owner. RICHARD A SMALDONE
Applicant:
This structure maybe occupied as a:
Mobile Home In Park By Order 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: P20070703 Application Number. A20070703
Tax Map No: 523400-309-005-0001-001-000-0742
Permission is hereby granted to:
For property located at: 1 SUGARBUSH Rd
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: RICHARD A SMALDONE
C/O RICHARD SMALDONE Mobile Home In Park $35,000.00
1 SUGARBUSH Rd Total value $35,000.00
QUEENSBURY,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans &Specifications
2007-703
1064 SQ FT MOBILE HOME
$66.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,November 28,2008
(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 Town of Queensbury-, Woinesday,November 28, 2007
SIGNED BY for the Town of Queensbury.
irector of Building Code—Enforcement
Application for Permit— Mobile Home
�- Town of Queensbwy, 742 BayR=4 Queensbury, NY 12804 (518) 761-8256
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
i Office Use
�) �� S
Name: °l���/�� f �File Permit No.����� ,
Address: Fee Paid
f Reviewed B .
Phone No.
Property Owner Information Parcel Information
Proposed Date of Placement:_ No o � .Z 0 0 7
Name: d H t
Property Location: l,l, G-1
Ad s: � RoacL Street,Aveaae
64,
Name of Mobile Home Par 1
Cf applicable) -
Phone No. , Tax Map N er: -30 7&6
Mobile Horne Information _-. - Zoning o on - -_--
Approximate Value of Home: $ '3 5/ 00 a
Zoning Classification:
New Home: No
- Size of Property: ft.by $.
Replacement Home: Yes� No
':SuFT Existing buildings:
Size of Mobile Home: �L� ft. by 7 6 ft.
Setbacks: front yard ft.; rear yard ft.
Singlewide: _ Doublewide: Side yards $.and ft.
Number of Rooms: (exclude baths) Jr
Number of Bedrooms: Accessory Building(s): circle
Number of Bathrooms:
Detached garage: 1 car; 2 car, car
circle: Gas Fireplace/Woodstove/Wood Fireplace Attached garage: 1 car; 2 car, car
Storage building: Yes No
Foundation Support: Other:
TYPE SIZE&DEPTH Water Supply: well or municipal
Piers x
Runners x Is Septic Permit Required? Yes or No
Slab x
Further information requested on the reverse side of this sheet W
Name of Installer or Mobile Home Dealer. _1`/al U 0►kl. -o
Address: 2S
Phone No. / - 7 �-3 G�
Complete information below found on a"plate"or"sticker"which is affixed to the mobile Z-,fhome.
1. Insignia serial number.
2. Name of manufacturer. 4��?
3. Plan Approval Number:
4. Model or Component Designation: �� -
(New Home ONL19
5. Date of Manufact&e:
AFFIDAVIT _
— Town of Queensbury _ - -----State of New York t _.
County of Warren
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:
owner,owner's agent,architect,contractor i
Special Conditions of Permit
By
Form: 11119r1999sh Code Enforcement Officer
FINAL INSPECTION REppRT
MOBILE / MODULAR
Town of Queensbury
Building &Code Enforcement
742 Bay Road
Queensbury, NY 12804
(518) 76141256
ARRIVE: DEPART• INSP L
DATE INSPECTION REQUEST RECEIVED:
NAME: (�/YV►
LOCATION:
a
DATE: ��-- %, ��j PERMIT 11
MOBILE HOMWE MODULAR HO�[E
F XYMGS _ FOUNDATION RACKFRI-_ FRAMING
NIA . YES NO
1. foundation support, pier spacing /
per manuf. ................. �1F/
2. anchoring per manuf. ...............
—
3. water line shut off ................... _ _✓/�
4. sewer line support ®4 feet ....... _✓ _-
5. heating crossover(dblewide) off grd. _
6. dryer vented outside ...;...................
7. skirting ventilated ....................
8. hot water relief valve piping outside _ —
9. deck, porches, steps, railing ........
10. fiunace/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 Z..................... _
19. mobile HUD seal okay �Z�3� —
Model # Serial#
Manufacturerr'
Date of ManufacturerIL t
OKAY TO ISSUE CIO YES NO
Comments:
10/29/2007 12:52 5187925838 SANITARY SEWER SERV PAGE 01
Y
� t
NOTES:
A.PRINTS ARE FOR SETUP ONLY AND ARE SUBJECTTO CHANGE WITHOUT
NOTICE OR OBLIGATION.FOR PROPER SETUP,SITE PREPARATIORANO SITE z
INSTALLATION,SEETHE EAGLE RIVER HOMES,LLC.INSTALLATION VWNUAL. OO
B.ALL ASPE CTS OF THE FOUNDATrON CONSTRUCTION.ARE TO BE PERFOR6IED I
ON SITE BY TRAINED INSTALLERS,AND SUBJECT TO LOCAL CODES AND N
REQUIREMENTS. I
C.BLOCK BOTH SIDES OF ALL EXTERIOR DOORS.ALSO,MARRFAGE WALL OPENINGS 0
AND SIDEWALL OPENINGS OVER W. m
N
N
WATER INLET EXTERIOR DOOR BLOCKING
ELECTRICAL It 224" TV--j m
f�-
-2r-r _i
m
WWA
a �
v b CI Ft1RTiACE� ��P� 2
LIAIN FWd1E a
m TV. m
- 1 Ai
FXTERIOR DOOR BLOCANG
1E'
REFER TO THE ERR LLC. m
INSTALLATION MANUAL m
TYPECAI[-HEM PIER BLOCKING FOR PROPER SETUP m
O r' ' TYPICAL PERIMETER BLOCKING
DRDYISIDOS Rev,dale: Rev.By: Drawn By: 71ue: -u
PIER PLAN
A STAFF Rl
ro Dote Drawn: Model: Sheen:
EAGLE RIMER HOMES C ro
m
TI a IWORNLTIOV 047148 PAGE ISFRCPR-E':ARYAW CONFICET-AL 10l12I06 E — F' PIER
14" X 76" pier and tie down placement
LOT 41 NORTH WINDS MOBILE
HOME PARK
piers every 8 feet using 8"x16" blocks 1st row double with single block on top
tie down zone 1 every 11'6"
14 X 80
Bedroom#3 Bedroom#2
alk in
Bedroom antry •
r ,
1
N