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2004-712 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building & Codes (518) 761-8256 CERTIFICATE O.F.. 00CUPAN.CY Permit Number: P20040712 Date Issued: ' Tliursday,'February 10, 2005 - This is-to certify- work.re uested to b-e-done-as-shown b Permit Number . - . � q y-. P2004071=2: -:. . has been completed. Tax Map Number: 523400-308-008-0002-062-000-0000 Location: 18 HOWARD St - Owner: JOSEPH AUSTIN Applicant: JOSEPH AUSTIN This structure maybe occupied as a: By Order of Town Board Mobile Home Out of Park TOWN OF QUEENSBURY 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: P20040712 Application Number: A20040712 Tax Map No: 523400-308-008-0002-062-000-0000 Permission is hereby granted to: JOSEPH AI TSTIN For property located at: 18 HOWARD St 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: LARRY CLUTE 13 DAWN Rd Mobile Home Out of Park $16,500.00 Total Value $16,500.00 QUEENSBURY,NY 12804-0000 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2004-712 924 SQ FT 1985 MOBILE HOME $30.44 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday, September 17, 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 Fr' y September 17, 2004 =,� SIGNED BY for the Town of Queensbury. Director of Building& ode E rcement Application for Permit— Mobile Home Town of Queensbwy, 742,Bay Road, Queensbury, NY 12804 (518) 761-8256 A building permit must be obtained before p�lacement.of�mobile home on•.parcpj. .No,inspections will be made until a valid building permit has been issued. _ ` Applicant Information , • , _ . Office Use Name: _,,�' t��� _ �File Permit No. Address: OcA.4nd Fee Paid lo9gfA Reviewed By Phone No. (doh' ��'o� l �9�e �iI� L Property Owner Information Parcel Information S E P 10 2004 WN OF QUEENSBUR` Proposed Date of Placement: /5 Name: = �UILDING AND CODE �aD�rs /JY�®ffE'r�°it,' /�rmc �© � . �7d Property Location: aAk-m-, XAddress: � xoaf sfteetAveme Name of.Mobile Home Park: i a t e. .V 1 Phone No. 20 .. Z/' z .041 i.. Tax Ma Number: Mobile.Home Information.--._._..__. . :-.-- Zoning.Irrformation - Approximate Value of Home:S � .C\T Zoning CIassification: New Home: Yes No Size of Property: /0 3 ft.by h ft. Replacement Home: Yes No Existing buildings: Size of Mobile Home: ft. by �ft. td b 7tw i Setbacks: front yard ft.; rear yard 1.3-3 ft. Singlewide: �� Doublewide: .Side yards I.A &and 02- ft. I Number of Rooms: (exclude baths) Number of Bedrooms: ,3 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: No Foundation Support: Other: TYPPE SIZE&DEPTH iers X Water Supply: well o 6—,ggjc Ral - Runners x Is Septic Permit Required? Yes or No SlabX�,S x Further information requested on the reverse side of this sheet NO- Name of Installer or Mobile Home Dealer Lintr Is • c -r Address: Phone No:, ' Complete infor mation below found on a"plate"or"sticker"which is affixed to the mobile home. l. Insignia serial number. L 12. Name of manufacturer. _ rT;'�/{;�) `75Jt ,w,,-V� 3. Plan Approval Number: 4. Model or Component Designation: (New Home ME19 S. Date of Manufacture: _ AFFID-AVI.T-.. . - 'Town of -- State of-N York . ..._. . .. ... Queensbucy ew 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 t authorized by the owner. - Signature: owner, er's agent, contractor Special Conditions of Permit Form: }I1191I999sh 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: DATE INSPECTION REQUEST RECEIVE NAME: .. LOCATION: ��� DATE: PERMIT# — MOBILE HOME MODULAR HOME 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 @ 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: FINAL INSPECTION REPORT MOBILE /.M000LAFI Town of Queensbury ,, Building 8�Code Enforcement. 742 Bay-Road QueensbOy, NY -12804, (518)'76178256 . ARRIVE: DEPART: V. IN ti DATE INSPECTION-REQUEST RECEIVE NAME: � LOCATION: lob DATE: H "0_ PERMIT# d MOBILE HOME MODULAR HOME FOOTINGS FOUNDATION _ BACKFML 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(&4 feet ....... 5. heati grass dblewide) off grd. 6 er vented-,o 'de ................... kirtin ven .:............:..:. 8: hot water relief valve piping outside 9. deck, porch 4 , ste s wig ...... . 10. fiirnace/hot wa r 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 ....::.................. _ _ M mobile HUD seal okay ..............: Model # . Serial# Manufactures Date of Manufacturer YES OKAY TO ISSUE'C/O NO .Comments: : . . • FINAL INSPECTION REPORT MOBILE / MODULAR Town of Queensbury Building & Code Enforcement 742 Bay Road Queensbury, NY 12604 (516) 761-6256 ARRIVE: DEPART: I — " ., L DATE INSPECTION REQUEST RECEIVED: NAME: LOCATION: DATE: 9 PERMIT#0 MOBILE HOME MODULAR HOME 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 ®4 feet ....... 5. heating crossover (dblewide) off grd. — _ — 6. dryer vented outside ..:................... 7.. skirting ventilated .................... — 8. hot water relief valve piping outside — — — 9. deck, potches, 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 ........................ — — — 17. variance required ..................... — — 18.,data plate okay ....................... 19. mobile HUD seal otay Model #10�t y Serial#. sm (�ICIIU Manufacturer Date of Manufacturer OKAY TO 10h V YES NO Comments: r FINAL INFECTION REPORT ALL? MOBILE / MODULAR Town of Queensbury Building & Code Enforcement �)_ 742 Bay Road Queensbury, NY 12804 (518) 761-8256 / f ARRIVE: DEPART: I P. S DATE INSPECTION REQUEST(RECEIVED: NAME: / L. � LOCATION:` 9 � DATE: PERMIT# MOBILE HOME MODULAR HOME 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 ®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 ....................... - 19.-mobile HUD seal okay ........... .. `-Z) �1 AZ\K- P•13�`16 Model # Serikl# torWia— Manufa&urer ��- Date of Manufacturer Aq OKAY TO ISSUE C/O YES `` NoO) Comments: �� C��Y�1j l� Foundation Inspection Report Office No. (518) 761-8256 Date Inspection reque t received: Queensbury Building&Code Enforcement Arrive: anvpn L Depart: -- _Aydpm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: C; -URE: PERMIT M OL) 7/LOCATION: INSPECT ON:TYPE OF STR s Comments _ ----- __ Y N N/A Footings Piers Monol' is Slab 10 Rei orkment in Place \ he contractor is responsible for \ pro iding protection from freezing 444 fo 48 hours following the placement the concrete. aterials for this purpose on site,^ oundation/Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/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 1.0 ft. L:\SucHcmingway\Building.Codes.Inspection.F0RMS\foundation Inspection Report.doe January 28,2003 T141 1 S t4 T O :5NOTICE , TIMES F SITF FRAME IS"REQUIRED PE CTURERS SPECI j + TO ``'�?►-r� ANUFA FICA � . ` a N8' L7�'y � • ur'. Loci,L 71e r � + ' C+ 0- 2004!y.. r � D' ' SEP I OWN Off•O �.'. BUILDING AND CODA.SBD . IUos•r�+3�-r�u.� :. r-_ EX 7nl G v _ t�Xkf Z1416 5/g X.2 J'Sc TO OF QUEEN URY BUILDING DEPARTMENT o2 aced on o r limited examination, ,Kv . �mpfiance our comments shall d �_ of be constr ed as indicating the laps and sp 'fications are in full 3 plianoe Mth he Building Codes ' of New York Stat q of Howr1l?o 5� �- a e BUILDING &iM e REVIEWED B ;<- DATE .G'y7k Wlo- 9� NwT t _. . . ..... _ U/ --------------- ttt=:� ------- -- SEP 16 2004 TOWN OF QUEENSBURY