2003-830 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761.8256
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µFC� �PAN
�„ Pemnit,Number: -P20:030�830:.. Issued: =Saturday,(Jctaber 30,2004
-I-u is:.teceiti-y thatwork reque"sted��to be done as shown.by Perna Number 3' P20030$30
has been completed.
Tax„Map Number:,.-, 523400.309.006.0001-032.000-0000
Location- . 29 SUNSET Ave
—CHARLES&BARBARA INGRAHAM
w Applicant:, 'CHARLES&BARBARA INGRAHAM
This structure may be occupied as a:
_ By Order of Town Board
Mobile Home In Park - __. _.A _ TOWN OF QUEENSBURY
Director of Building&Code Aforcement
r' TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
BUILDING PERMIT
Permit Number: P20030830 Application Number: A20030830
Tax Map No: 523400-309-006-0001-032-000-0000
Permission is hereby granted to: C;HARt E S &B ARB AR A TNCCR ARAM
For property located at: 29 SUNSET Ave
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: CHARLES &BARBARA INGA
29 SUNSET Ave - Mobile Horne In Park $35,000.00
QUEENSBURY,NY 12804 Total value $35,000.00
Contractor or Builder's Name/Address Electrical Inspection Agency
VALTTED MOBILE HOMES CTPMD
1572 STATE ROUTE 9
OUEENSBURY. NY 12804-0000
Plans&Specifications
2003-830
2003 MOBILE HOME(924 SQ FT) AS PER PLOT PLAN SPECIFICATIONS
Town Board approval for MH outside of a mobile home park
i
$30.44 PERMIT FEE PAID-THIS PERMIT EXPIRES: Friday, October 08,2004
(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 ;enas4, d , October 08, 2003
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Application for Permit— Mobile Home
Town of Queenskay, 742 Bay Road, Oueensbury, JVY 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:
-4pp icant Ir formationF1
Office Use
Name: IaLL File Permit No.
Address: Fee Paid
Reviewed By: -
Phone No. ji e-7 23 l-1 __—�- F L C E-N E D
Property Owner Information Parcellnformation S 2 6 2003
Proposed Date of Placement: /0 ,VJ ` 7 QUEENSBURY
Name: f Y C l�r 1 . C : I�NG AND CODE
Property Location:�%�J t:.,m 4-z Z _. _ e
Address: Road,S1teet,Aveune
V,) Name of Mobile Home Park: �l
(if applicable)
Phone No. � Tax Map Number: Y6 / -
L
I f—
Mobile I-Ioine Information Zoninglnformafion
Approximate Value of Home:$397UM
Zoning Classification:— _
New Home: Yes No
Size of Property: ft.by//-6-ft.
Replacement Home: CYe�sNo
.Existing buildings:940AQ ,Do" />-d pt't
Size of Mobile Horne: ft. by ft. _
Setbacks: frout.yard $,; rear yard �( ft.
Singlewide: Doublewide: Side yards f I and 1a-:ft.
Number of Rooms: (exclude baths)
Number of Bedrooms: c-�, - _ Accessory Building(s): circle
Number of Bathrooms: I —
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 o municipal
Piers 1t u x
Runners x 2.'� X 'Is-Septic Permit Required? Yes or No
Slab
Further information requested on the reverse side of this sheet
t ''►
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s ,
Name of Installer or Mobile Home Dealer: V
'C/ l
Address:
Phone No.
Complete information below found on a"plate"or"sticker"which is affixed to the mobile home.
I. Insignia serial number.
2. Name of manufacturer.
3. Plan Approval Number:
4. Model or Componem Designation: L 70 J L j
(New Home ONLY
5. Date of Manufacture: 910.3
AFFIDAVIT
'Town of Queensbury State of New York
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 z
shall be complied with,whether specified or not, and that such work is
authorized by the owner.
At 49 ,
owner,owner's agent,architect,contractor
,Special Conditions of Permit
By-
Farm: 1111911999sh Code Enforcement Of
a
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may
require an endorsement.A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s),authorized representative or producer,and the certificate holder,nor does it
affirmatively or negatively amend,extend or alter the coverage afforded by the policies listed thereon.
RE LE: VE �
SEP 2 6 2003
TOWN OF QUE ENSBURY
511llaCJIN(--,
J._
ACORD 25-S(7/97)
F=I r*J AM&L-
nAcmummom loop "c3l="L-AkFm
-rown c:4 Chu— nst>ury
E3u!lcfino t& Gcx:J49 enfc>rc4qm<3int
7412 E3c-iy F:tc>oLci
C;)uo nst>ury, -NY 1280
�5
(SI,S) 761-BPt56
1_ foundation support, pier spacing -
per vrm3ja7uf- ------------------------
2. anchoring per Irla3allf.. .......... .....
............ ..... .. .
4. sewer li3mt-- sxapj><>rt <U?- 4 F<--et .......
S. Beating cvc3ssco--,rt--r (dbl*--vvicl#--) off grct.
6. cl-ryc--x- -.rt--imtewd outside-- ----------------------
7- - SICi3l-tiX3Lg ventilated --------------------
S. hot -wflwv 3re--Iif--F -V.--tl-vc-- piping outside
9. clerk, polches, steps, railing ........
,10. fUrxxac-t--/hcA -,;vELWr operating ... .....
11. SuraLSc-- fire, pr<>cAixxg ..................
12. cic>cor closers .............. .............
13. PIUST11,34,19 fi:)Lttxrf. ......................
14. Fk3xmmcULti<>xx irxsuLIELticmm, iCiF ELppll-)o------
IL:5- smac)-k-ta- clt--te-ctcws -----------------------
16- fimml electrical ------------------------
17- vmx-ivaaoc-- x-cNqxiir-c:<l ---------------------
18. datxL p]LnW c>kay .......................
19. mobile 141JID sal co"y ..............
Date of Manufacturesr -
-C!orfllml_-Imts:
Ov
■R��PEGTlQN REP_ ORT "
Town c�►f Qu�enstiuryr z � _ �/��
Bui"inc,3 FL +Cc3cla -EnfcwcetmIant
Qu4aransbury, NY - 1 .804
(518) 76-t-8256
DATE INSFECTIQN 12EQiJEST RECEIVED: ��—�
LOCATION: - _
DATE: ERMIT_ #t7:2 V r
H®AffE M®DLILAR 3�IQE
Fc3CYI'II�FGS _FOLJI�iD TICJN $ACKFILL. I-'I2.AMIN+G
NIA YIBS 3'rTC►
1_ foundation support, pier spacing _
perrna.nuf. --- -------- -------- -----
2. anchoring per rnainuf- ---------- - - ---
3_ water Iine sftut off =---- - - ------------ _
4_ sewer line support (W 4 -feet _..-__ -
S_ heating crossover (dblewide� c3ff grd_
6. dryer veiated outsid& .-..:--- ---------- -------
-7- skirting veritilated - -------------------
8- hot water relief_ valve piping outside
9_ deck, porches, steps, railing ----- ----
ILO- furnace hot water operating ____-__-
11- garage fire proofing ------------ - - --- -
12- door closers ---- ----------- - - - --------- '
13. piunzbirlo fixture ------- - - ---- ------- -- %i0
14. foundation insulation (if appi_)_-_--_
15_ smoke d+etAaCto-rs _ _ ___ .....
16. final -
17_ variance
1S. data plate. crlcay -- ---------- -------- -
19. mobile HUD seal a1cay ------------- -
Model #� l YT-4
Date of Manufacturer 6 O�!
OKAY. -rc> ISSUE -CfC3 YES CVO
Foundation Inspection Report
Office No.-(518)761-8256 Date Inspection request received;
. Z
Queensbuiy Building&Code Enforcement Arrive: am/P epart:
amlpm
04--7
742 Bay Rd.,Queensbury,� 128 Inspector's�Initi�als.�—
NAME: PERMIT:,#:
LOCATION: 1� ja� INSPECT ON:
TYPE OF STRUCTUI(f
Comments
Y N N/A
Footings
Piers
Monolithic Slab
Reinforcement in Place
The contractor is responsible f®ry
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/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 10 ft.
L:\SueMen-dngway\Building.Codes.Inspectioii.FORMS\Foundation Inspection Reportdoc January 28,2003
Foundation Inspection Report
Office No. (518)761-8256 Date Inspection request received:
Queensbury Building&Code Enforcement Arrive: am/ Depart: pm
742 Bay Rd., Queensbuiy,NY 12804 Inspector's Initials:
NAME:Cam` PERMIT#:
LOCATION: INSPECT ON: IYI 0
11
TYPE OF 9TRUCTU*-.�,/
Comments
Y N /NIA
o 0ti
Piers
Monolithic Slab
"oo
Reinforcement in Place od
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete.
Materials for this purpose on site.
Foundation/Wallpour
Reinforcement in Place
Foundation Danipproofing
Foundation/Waterproofing
Type of Dampproofing/Waterproofing
Footing Drain Daylight or Sump
Footing Drain Stone:
12 inch width
6 inches above footing
6 mil of for wet areas under slab
Backfill Approval
Plumbing Under Slab
PVC/Cast/Copper
Foundation Insulation Interior 1 Exterior
R-
Rough Grade 6 inch drop within 10 ft.
L:\SucHemingway\Building,Codes.Inspection.FORMS\Foundadon Inspection Report.doc January 28,2003
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45'
RECENED
ANCHORING OF MOB ED OR S E P 2 6 2003
FRRME IS REQUIR
TOWN OF QUEENSBUr Y
MANUFACTURERS SPECIFtCA1tON R.,; . ' "'�..-1 rc .!- .
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REVIEWED EY
TOWN OF QUEENSBURY BUILDING DEPARTMENT DATE 02
Based on odr limited examination,
compliance with our comments shall
not be construed as indicating the
plans and specifications are in full
compliance with the Building Codes
of New York state.
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%LtG;_ACY PQ►INTS OF PRIDE
INTERIOR BATHS Plumb and Wire for Washer and Dryer
Vamped Ceiling-Throughout-Spacious Looking 60"1-Piece Fiberglass Tub-Most Baths In-House Main Water Shut-off Valve
Stipple Finished Ceiling Bottom Shelf Base Cabinets
7'Ceiling at Sidewall Mirror over 36"High Vanity with Decorative tight- INSULATION s«
Residential Trim Each Bath *Fiberglass insulated Heat Duct(Looped for
Caebration 11 Drapes-Throughout Decorative Mirror Treatment-Master Bath Balanced Heat Distribution-Saves up to
"DC Carpet with 3.9 Residential Rebond Pad and Tack Shower Liner and Rod 18%Energy Costs)
Strip•LR,DR,Hall,BR's,&Master Bath 1.6 Gat Flush American Made Stool,Tank&Lid *R-25 Blown Insulation in Ceiling with Sprayed Vapor
Glass Ceiling Lights Bath Linen-Selected Models-Provides Storage Barrier
MetakDoor Knobs Receptacle with Ground Fault Interrupter *R-19 Fiberglass in Wails
Classic Oak Interior Doors 'Power Bath Vent-Each Bath *R-19 Fiberglass in Floors
Accent Border-Three Walls of Living Room *Bath Window Drape
Decorative Vinyl Wall Covering *EXTERIOR
KITCHEN Brushed Satin Nickel Towel Bar/Tissue Holder *Vinyl Lap Siding over Blackboard Sheathing with
Quality Crafted Oak Finish Kitchen Cabinetry with OSB Corners
Picture Frame Cabinet Doors BEDROOMS Vinyl End Soffits,
Drawer Over Door Cabinet Construction- Family'Styled Wardrobes House Type Front Door with Deadbolt and Storm
30"Overhead Cabinets with Finished Backs Vented Wire Closet Shelving Cottage.Rear Door with Deadbolt
Residential Metal Drawer Guides Color Coordinated Drapes Keyed Alike Contractor Locksets
Decorative Vinyl Wall Covering Smoke Detector in Each Bedroom Porch Light at Each Exterior Door
Spice Rack Over Range Switched Receptacles Vinyl Low E Thermopane Windows with Grids
Stainless Steel Sink Decorative Vinyl Wall Covering '12"Overhang-Ends
Refrigerator Overhead Shelf Egress Window in Each Bedroom 12"Vinyl Louvered Shutters-Front and Door Side
Deluxe.(20 mill Double Wear Layer Vinyl Floor Covering- Ceiling Lights in Each Bedroom
Easy Care-No Wax CONSTRUCTION
High Pressure Laminated Countertops UTILITIES Detachable Hitch
Satin Nickel Cabinet Door and Drawer Pulls Washer/Dryer Area Steel l-Beam Basement Frame 30#
Light over Sink with Separate Switch Laundry Overhead Shelf 2*x 6'Floor Joist-16'OC
APPLIANCES 100 AMP Electric Service 2"x 6"Sidewall Studs-16"OC
Copper Wiring Throughout-Fully Grounded 30#Truss Type Rafters
17,0 Cu.Ft.2-Door Frost-Free Refrigerator Interior Recept with Ground Fault Interrupter Self-Sealing Fiberglass Shingles-25 Year Warranty
30'Free Standing Gas Range Gas Black Piping with Valve at Furnace&Range HUD Seal
30'Power Range Hood with tight Beauty Ring Seals-Plumbing Lines -Energy Saving Feattaes Included:Air Exchange.Povx r Bath Exhaust Fans.
40 Gallon Electric Water Heater Brass Plumbing Fittings Self-Storing Storms,Extra insulation,and Fiberglass Heat Duct.
Auto-ignition Gas furnace with Roof Extension Rocker Type Light Switches
*Ventilaire Air Exchange Class"A"Lined Furnace and Water Heater Closet
ART 113VY POINTS OF. PRIDE
INTERIOR Plumb and Wire for Washer and Dryer
Vaulted Ceiling-Throughout-Spacious Looking BATHS In-House Main Wa#rNhul�offV N,
Stipple Finished Ceiling Fiberglass Garden Tub with Deluxe Drape-Master" Water Shut-off Lays� lolls_ tSir ve WED
D
7'Ceiling at Sidewatl Bath-Most Models Furnace Closet Sprinkler
Smooth Painted Drywall in Living Room 60"1-Piece Fiberglass Tub-#2 Bath Upgrade Trim Package"C" Bottom Shelf Base Cabinets INSULATION CC
Chemise IV Drapes-Throughout Mirror over 36 High Vanity with Hollywood.Light- *Fiberglass Insulated Heat DX��4 64Q9.: Heat
"DC"Carpet with 3.5#Residential Rebond Pad and Tack Master Bath Distribution Saves up tw 18%'Energy Costs)"
Strip-LR,DR,Hall,BR's,&Master Bath Separate.Medicine Cabinet-Master Bath *R 25 Blown fnsulatit' jii tGgQngtf �a�y�odVpor
ICU
#40$Hanging Dinette Light Shower Liner and Rod Barrier
#2 Bath RIL,III ),1tt;
Entry Foyer Linoleum 1.6 Gal Flush American Made Stool,Tank&Lid *R-19 Fiberglass in Walls: _
Glass Ceiling Lights Bath Linen-Selected Models-Provides Storage *l{19'Fiberglass in Floors
Metal Door Knobs Receptacle with Ground Fault Interrupter *EXTERIOR
Classic Oak Interior Doors *Power Bath Vent-Each Bath *Vinyl Lap Siding over Blackboard Sheathing with
Furnace Close-Off Door Laminated Backsplash-Each Bath 7/16 OSB Corners
KITCHEN Bath Window Drape Vinyl End Soffits
Drawer Bank Master Bath 30"LaVs and UP Cathedral Oak Kitchen&Bath Cabinets with PopUp Lav Drains-Each Bath Exterior Frost Proof Faucet
Natural Oak Stiles Decorative Vinyl Wall Covering 6-Panel Steel Front Entrance Door with Deadbolt_
Drawer Over Door Cabinet Construction', Brushed Satin Nickel Towel Bar/Tissue Holder and Storm
30"Overhead Cabinet with Two Adjustable Shelves House-type Rear Door with Deadbolt,and Storm
Moen Single Lever Kitchen Faucet BEDROOMS . Keyed Alike Contractor Locksets
Cream Ceramic Backsplash in Kitchen Family Styled Wardrobes Upgrade Front Entrance Light
Residential Metal Drawer Guides Vented Wire Closet Shelving Vinyl Low E Thermopane Windows with Grids
Decorative Vinyl Wall Covering Color Coordinated Drapes *12"Overhang-Ends
Spice Rack Over Range Smoke Detector in Each Bedroom 12"Vinyl Louvered Shutter's-Front and Door Side
Stainless Steel Sink Switched Receptacles Double Gable End Elevation-#40H-716 with Light**
Refrigerator Overhead Cabinet Decorative Vinyl Wall Covering **Select Models.
Deluxe(20 mill Double Wear Layer Vinyl Floor Covering- Egress Window in Each Bedroom CONSTRUCTION
Easy Care-No Wax Ceiling Lights in Each.Bedroorn Detachable Hitch
High Pressure Laminated Countertops UTILITIES Steel Detachable
Basement Frame 3{i#
V-Groove Deco Glass .
Satin Nickel Cabinet Door and Drawer Pulls Washer/Dryer Area 2"x 6"FlMe'oor Joist-16'OC.
Light over Sink with Separate Switch Laundrryy Overhead Shelf 2 x 6 Sidewall Studs-16'OC
100 AMP Electric Service 309 Truss Type Rafters
APPLIANCES Copper•Wring Throughout-Fully Grounded Self-Sealing Fiberglass Shingles-25 Year Warranty
17.0 Cu.Ft.2-Door Frost-Free Refrigerator Interior Recept with Ground Fault Interrupter HUD Seal
30'Free Standing Gas Range Gas Black Piping with Valve at Furnace and Range -Eveigy saving Features ncutoca n;r Exchange,Fovrer Rash Exhaust Fans,
30"Power Range Hood with Light Beauty Ring Seals-Plumbing Lines Self-Storing star ng storms,ExtraInsulation. na Fiberglass Neat pact.
40 Galion Electric water Neater Brass Plumbing Fittings
Auto-ignition Gas Furnace with Roof Extension Rocker Type Light Switches t dta hi,scl u:t Hanes is a registered tide name of 14BBS
*Ventilaire Air Exchange Class"A"Lined Furnace and Water Heater Closet hhfanlaacturing.LP.
Because our company has a continuous product update process,specifications,floor plan lay-out and dimensions shown on this literature are subject to change without notice or oblig-
ations.Construction and design specifications as 4vell as features presented are conceptual,therefore should not be used as actual construction data,and may not be offered iri.all series
or models.Our Retailer will:provide accurate,up-to-date information on available options and specifications for your home.
MARLETTE BY SCHULT HOMES •INDUSTRIAL PARK ROAD&HWY 22•LEWISTOWN,PENNSYLVANIA 17044•PHONE 1717)248-3947-wwwmarlettehomes.eom
TOWN of Q IJEENSB I., RY
Bay at Navr7and Road;4creensabury, NY 7280¢-9725--518-792-5832
TOWN OF QUEENSBURY BUILDING DEPT.
PROPER METHOD FOR. SUPPORTING A MOBILE HOME
SHOWN. FOR USE WITH A SINGLE WIDE MOBILE HOME ONLY
FOR USE WITH A DOUBLE WIDE USE SAME METHOD UNDER EACH SIDE
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