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2004-370 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 J CERTIFICATE OF - OCCUPANCY Permit Number: P20040370 Date Issued: Friday, August 27, 2004 This is to certify that work requested to be done as shown by Permit Number P20040370 has been completed. Tax Map Number: 523400-308-008-0002-055-000-0000 Location: 29 HOWARD St Owner: DARIN &BONNIE MABB Applicant: DARIN&BONNIE MABB This structure may be occupied as a: By Order of Town Board Mobile Home Out of Park TOWN OF QUEENSBURY r: J./I Director of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20040370 Application Number: A20040370 Tax Map No: 523400-308-008-0002-055-000-0000 Permission is hereby granted to: DAR1N&BONW,MA-BB For property located at: 29 HOWARD St i 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: DARIN&BONNIE MABB 29 HOWARD St Mobile Home Out of Park $10,000.00 Total Value $10,000.00 QUEENSBURY, NY 12804 Contractor or Builders Name /Address'. Electrical Inspection Agency Plans&Specifications 2004-370 14' X70'MOBILE HOME $33.80 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,June 07, 2005 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the To of Queens ury; o day, June 07, 2004 SIGNED BY for the Town of Queensbury. Director of Building Cod - nforcement Application for Permit— Mobile Home Town of Queensbwy, 742 Bay Road, Queensbury, NY 12804 (518) 761-8256. A building permit must be obtained before placement of mobile home on parcel. No inspections will be made until a valid building permit has been issued. Applicant Informafion ( I Office Use File Permit No. Address: 2.2 CY �`� Fee Paid �tn lee Reviewed By:, Phone No. fVlAy 2 00 2 4 Property Ownerinformation Parce'Infomw"on TOWN OF QUEENSBURY I�DING AND(;OBE Name: �� i'� a �rj Proposed Date of Placement:: /J%4 Property Location: a'� �ow�r� e4— Address: r Road,street,Avenue Name of Mobile Home Parr r a. 7reable Phone No. . .. ._ Tax Map Number: .-f. ..._.._ . tLfobile..Home Information ...__..__... Zoning-Izformadion Approximate Value of Home:$ Zoning CIassification: New Home: Yes Size of Property: /!Q' ft.by CS $. Replacement Home: sii�) No `f/ Existing buildings: yl- Size of Mobile Home: �ft. by �� ft. Setbacks: front yard 36 fb; rear yard Sa ft. Singlewide: �_ Doublewide: ;Side yards , /C ft.and L;,6 ft. Number of Rooms: (exclude baths) _ Number of Bedrooms: 02 Accessory Building(s): circle Number of Bathrooms:_2 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 �cipal Piers x Runners x Is Septic Permit Required? Yes or x TlJ Further information requested on the reverse side of this sheet Name of Installer or Mobile Home Dealer. -7 Address:�' �Via-t22Z Phone No. Complete information below found on a"plate"or"sticker"which is affixed to the mobile home. 1. Insignia serial number. 2. Name of manufacturer. L—f� c�� YZ /1-k� 3. Plan Approval Number: 0 4. Model or Component Designation: (New Home ONE I) 5_ Date ofMaliufaci11re: - AFFIDAVLT. . flown of_ nsbury _.. _._ .. .. __._......- ,. •__-. —.StateafNew=Yoic _ •. € 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's agent,architect,contlactor Special Conditions of Permit B Form: 11/19/1999sh Code Enforcement Officer FINAL INSPECTION REPORT MOBILE / MODULAR Town of Queensbury Building & Code Enforcement . 742 Bay Road Queensbury, NY 12804 (518) 761-8256 ARRIVE: DEPART: INSP: DATE INSPECTION REQUEST RECEIV NAME: M F3 LOCATION: -__cl DATE: n - C)y PERMIT# p _j MOBILE HOME MODULAR HOME FOOTINGS FOUNDATION BACEFML FRAMING N/A YES NO 1. foundation support, pier spacing / per manuf. ........................ _ V — 2. anchoring per manuf. _ 3. water line shut off .........:.......... _ — 4. sewer line support Qo 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. f imace/hot water operating ........ / — — .11, garage fire proofing .................. 12. door closers ........................... — 13 plumbing fixture ...................... — — 14, foundation insulation (if appl.)...... - - 15. smoke detectors ........................ _ — 16. final electrical ........................ 1.7. variance required ..................... 18..data plate okay ....................... — — 19, mobile HUD seal okay .............. Model# Serial# Manufacturer Date of Manufacturer OKAY TO ISSUE C/O YES NO Comments: r . FINAL INSPECTION REPORT MOBILE/ MOOULAR Town of Queensbury Building &Code Enforcement 742 Bay Road Queensbury; NY -12804 (518) 761-8256 ARRIVE: DEPART: NSP: DATE INSPEC�TIION REQUEST RECEIVED- NAME: !"► q ` LOCATION: Z- l t�I�Is�RQ , DATE: '- PERMIT# Z-jCL{"i © MOBILE HOME MODULAR HOME FOOTINGS FOUNDATION BACKFILL FRAMING N/A YES NO 1. foundation support, pier spacing J per manuf. ........................ — — 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. 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 seal okay .............: Model# . Serial# Manufacturer Date of Manufacturer OKAY TO ISSUE C/O YES NO .Comments: COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Permit No........................................Cert. ® $ 3 7 Cut-in Card No............................lJ.. ����j �...............................................................................................Owner.......................... _ .............. Location....l.[ �u,�"6nip �,./ �LGG•',,//``yy ........ ........ ......................_ ..................................................... ....................... Installation Consisting of.. d: � r�fJ `1 ................................................................................................................................................................................... ................................................................................................................................................................................... Installed By......� ...... LLG%...........................................................Lic.No.. ................................................. The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of ma ' inspections at any time, and if it; rules are violated,the Company shall have the right to vok t ertifcate. Date..Y..?5 ..�.............. INSPECTOR............._. ....t1l.......k.Y'.�.C...�....... ........................... M-h-N_FP_A__1_A R I_ AL INSPECTION REPORT MOBILE / MODULAR Town of Queensbury v \ ` t� Building & Code Enforcement 742 Bay Road Queensbury, NY 12804' (518) 761-8256 ARRIVE: DEPART: �F� INS DATE INSPECTION REQUEST RECEIVED: NAME: \ 4 1 CIA'` _') LOCATION: Q � DATE: _�� o Li PERMIT# CJ -37(,i MOBILE HOME MODULAR HOME FOOTINGS FOUNDATION BACI FILL FRAMING N/A YES NO 1. foundation support, pier spacing per manuf. ........................ 2. anchoring per manuf. ............... —_ 3. water line shut,off ...... 4. sewer line suppo 4 feet -.. — 5. heatingcrossover b�a off d. _ flu ) �' — 6. dryer vented outside ..................... — — 7.• skirting ventilated .................... _ _ 8. hot water relief valve piping outside — — 9. deck, pouches, steps, railing ...�... — — 10. fiunace/hot water operatinga�\:.:.. _ 11. garage fire proofing .................. 12. door closers ........................... ✓ _/� 13. plumbing fixture ...................... — s� 14. foundation insulation (if appl.)...... 15. smoke detectors ....................... op 16. final electrical ........................ — — 17. variance required ..................... — — 18.. data plate okay ....................... —_ 19. mobile HUD seal okay .............. Model # Serial#-CC, �F}- �7-.t-� Manufacturer C E 5► t�! C ` Date of Manufacturer OKAY TO ISSUE C/O YES NO Comments: Foundation Inspection Report Office No. (518) 761-82.56 Date Inspection request received: Queensbury Building&.Code Enforcement Arrive: an>/1 r� � Depart: y ani/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: �`� NAME: PERMIT#: 17 LOCATION: —^ _ INSPECT ON: — TYPE OF STRUCTURE: Comments I - -------- _ X N N/A Footings 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 sit oundation/Wallpour enforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing i Waterproofing Footing Drain Daylight or Sump w 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. 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