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2000-735 TOWN OF OUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 (518) 161 -8201 Community Development - Building & Codes (518) 7614256 CE. x IFICATE OF COMPLIANCE Permit Number: P24400735 Date Issued; Tuesday, October 17, 2000 This is to certify that work requested to be done as shown by Permit Number P20000735 has been completed, Tax Map Number. 523400-121-000-0006-059-002-0000 Location. Petrie Ln Owner. SAMUEL & VIOLA WAHNON DAVID LAPELL This structure may be used as a: Mobile Home In Park By Order of Town Board TOWN OF QUEENSBURY r Director of Building & Code Enforcement TOWN OF QUEENSBURY Et 742 Bay Road, Queensbury, NY 12804-5902 (518) 761 -8201 Community Development - Building & Codes (518) 761 -8256 BUILDING PERMIT Permit Number: P20000735 Application Number: A20000735 Tax Map No. 523400- 121 -000-0006-059-002-0000 Permission is hereby granted to. DAVID J LAPELL 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. TVUe of Construction Value Owner Address: S.AMUEL & VIOLA WAHNON Mobile Horne In Park 8,500.00 39 SAR.A.TOGA ROAD Total Value 8,504,pD GANSEVOORT„ NY 12831 Contractor or Builder's Name 1 Address Electrical Inspection Agency GLENS PALLS MOBILE HOMES, INC. NEW YORK BOARD OF FIRE UNDER 39 SARATOGA ROAD GANSEVOORT, NY Plans & Specifications 2000-735-LOT 6 PETRIE LANE 14' X 70' MOBILE HOME AS PER PLOT PLAN SPECIFICATIONS $35.00 PERMIT FEE PAID - THIS PERMIT EXPHtES: Friday, October 11, 2002 (If a longer period is required, an application for an extension must be made to the code Enforcement Offleer of the Town of Queensbury before the expiration date.) Dated at the Town of sbury; Wednesday, October 11, 2000 SIGNED BY for the Town of Queensbury. Director of Building & Co of enient Application for Permit — Mobile Home Town of Queenshury, 742 Bay Roac4 Oueenslrury, NY 12804 (fq -42w b A building permit must be obtained before placement of mobile home on parcel, Nc vfpajti&rybelYbe made until a valid building permit has been issued. Applicant Information Oj �},,`'{ ^� Name: T V1 File Permit1 Address' ! fcs •--rr IFJ�+� -ssr-' Fee Paid Coco - 0 p Reviewed By3� Phone No- . 5):L -T4S— (�`' I Property Owner Information Parcel Information Proposed Date of Place ent: Name; � ,,.�..�P ,r Property Address L ocati c9 Road, Street, Avenue Name of Mobile Home Park = (if applicable) Phone No. Tax Map Number: _ C Mobile Home Information Zoning Information Approximate Value of Home: S c �� -y Zoning Classification: New Home: Yes Size of Property: ft- by ft. Replacement Home: es No Size of Mobile Home: /Yft. by Z� ft. Existing buildings: Setbacks - front yard ft. ; rear yard ft- Singlewide: �__ Doublewide: Side yards ft. and ft. Number of Rooms : (exclude `Z ud baths) _ Number of Bedrooms: Accessory Building(s): circle Number of Bathrooms : u/ Detached garage: 1 car; 2 car, car circle: Gas Fireplace / Woodsto / Wood Fireplace Attached garage: 1 car; 2 car, car Storage building: Yes No Foundation Support. other: TYPE SIZE & DEFT[ 'Water Supply: well or municipal Rnxu er� Gj x Slab is Septic Permit Required? Yes or No x Further information requested on the reverse side of this sheet W Name of Installer or Mobile Home Dealer: + +� t r ; ' lw' Address: Phone No. STE 7q t72C3 V Complete information below found on a "plate" or "sticker"'which is affixed.to the mobile home. 1 _ Insignia serial number: Z T f 2_ Name of manufacturer: 3 . Plan Approval Number : 4. Model or Component Designation: (New Home 0ATL)q 5_ Date of Manufacture: _.__---_.............._ AFFIDAVIT ...�_ Town of Queenshu y State of New York Counter 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 BUQ.DING 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_ Suture: a;.; er, er's agent, architect,. contractor Special Conditions of Permit By:Form 1 111911999sh Code Enforcement Officer 1 'irt 1l :tt'slial 'ti C) Ifie'c To%■ 11 01 Cluce ri5lrr c i . '42 '" I�uutl. Qtt>•cliSlrm-y4 N { 51fi1701 -82 O - Application for Fuel Burning Appliance & {Chimneys f C applicable to solid fuel & vented gas appliances Date 20 f Application is herehl- rrrrfrle to llre 13trildifrg � ['r+cic .v C?!{iri lr,! tlrc•"cruir V rr r+ rrr.5 Cr,rN. ie:%4r7ttuc uc' rla 1tai1lirg rtrl Lsc 1tst Slate c,ppllicrrzt rsr n urrc +' agrees to ccrrrrnly tr'itlr all applicrthle /a,vs, 0rvlw rill ccs, :3 '. 'zrlcrlitJrr.s, ct,r,l <rll t nrrrlitir�+z.c Owl are pw t q/ tJrc,;e^ re>grrirc-rtrerrls ctrrsl also will eiHow (,111lrS�TCCtrJr',5' 10 "Ile)- NOTE to applicalit : Rough-in and Final Inspections are 1-egUIred . A13pllicant Inrormation Fuel Burning Appliance lttforrix,itiota j ( circle appropriate words) r'.xnxe: � 5'� L 'l _.,.� t � Stott e: W0041 coal Pellel grrs I Fireplace insert Address : INFit'e}xl<ICe, 11,900 gas Fireplace. masonrv: ycrs Furnace: lt>aoel gasoil Phone: lt' IIQII-Illasonary applicance, please Provide Owner: _.___„__.___•, � !r� lM� __ - 1'lai3itfacttrrer ?wat7xe: �F ���r �.lk`y�� � . i #.��Ili Address: Model \'iimtxer: �,.�::-r�:. ' C.-� t'-�r,'C:-. ,,.:� 3-C t M e�-�,'w:. 's�� �,.E k1a:�t.•II� Chimney Information Phone: (.' irc�Ie appropriate n cards) Masonry block brick srone Exact Address : Rue file steel sire,- inches � of Corr strtr criq,u or in srallatiurr Factory- BUilt Manufacturer name: Model Number-: Vote: Listed F3v: �,., IVtiixxber: Corrstr•rrctiota / Irrstttllcltiarr must CflFT ores to tAVYSSFire pret.•errriolt & B eililirrg Indicate (circle) clxirxxtxey material : Cocle. Cotrsult cructiltrlaie To11vrt ofQueeitsburtr f HfMclotlts regarding recli red ttrsj,,Tectlons. Double u•ull 1�r'ij+?t° ��-rtll / Irra rtl<t!c^rl / Dr+'c•c'I a•t^rlfurs a C lrinrnei Lirrc°+' {i j .P cr-f <�OXX'0*�=ZXrRNN!b'uYiW�r .1g7;�zisr• ;�''vz-mac i F�irc :ltar'sirrrl C`c,rle � ti C-'r�llE�cr�•rl 4 h'e�lirrrrlerl Hcr's^i i fi-r,r+r Ir•c�Jrrnrl�•rl rrr �� -. fJ w UCHirrlrl, E•s t : 1 j A 173 3.389 (190) f'zrblic Saf rr -- -1 133 6-5-5 {730) Alias)• Sale,s While (Applicaw) Greelt ( !`ire Marshal ) 1'rlicr��� ( l3icfg. Ile}�E . 1 !'ink (Cashier's l7clx.) i I�IIVAL IIV'BPEGTION REPQFIT MQ�ILE / MOQIJLAR .t W� Town of Queensbury Building & Cade Enforcement 742 Bay Road Queensbury, NY 12804 (518) 761-8256 ARRIVE: I}EPART:� INS -- DATE INSPECTION REQUEST RECEN PIDATE: a �_ PERMPAr"'�� M01MLE HOME MO>DULAE HOME FOOTINGS . FOUNDATION � I3ACKPU.L � FRAMING NIA YES O I . oundation support, pier spacing per rnanuf, . ... .. .... . ...nchoring per manuf.ater line shut off .... .. .ewer line support 0 4 f eating crossover (dble ) ,o + god ryer vented outsi ..kirting ventilatedot water relief valve p ing outsideeck, porches, steps, iling .. . .. .,arage fire water ope tmg +arage fire proofing .. .00r closers . , . . .. .. .umbing fixture . . . . . .. . . ..nnndation insulation (if 1 .) . 15. smoke detectors ... . — 15, final electrical 17. variance required .. .. .... . . . . . .. .. .. .. 18. data plate okay 19. mobile HUD seal okay . . . .. .. .. .. .. . Model # Serial N Manufacturer r Date of Manufacturer L OKAY TO ISSUE CIO YES N£7 Comments: r�rnr.ara. rnrsa,�crronr a�pairgr Town of Queensbury Cam` Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 (518) 76141256 AKRIVE ! DPPART:; IRIS DATE INSPECITON REQUEST RECEIV NAME: ` LOCATION: i DATE: P rr #00 " 73,C MOSILE MOME Mil LAA DroMg FOOrrI M FO[INDA7IQN BA FRAMING i I . foundation NIA YES NO st>ppo'l-t, peer Spacing per nunuf . . . .. ... .. .. .. .. . . .. .. . / 2. anchoring per f. �C 3. water line shut off' 4. sewer line support 4 feet S. heating crossover ( ewide) off z 6. dryer vented outside 7. skirting ventilated 8. hot water relief valve .ping ou do --- 94 deck, porches, steps. 'ling 10. furnace,/hot water opera l J . garage fire proofing . .. .. . .. . .. . .. 5..1-PiPL. -- 12. door closers _� 13. plumbing fixture 14. foundation insulation (if a ).. . . . . 15. smoke detectors ... .. .. .. . . . . 16. final electrical I.. ... . .. 1 , variance required . .. .. .. . . .. . .. 18. data plate okay . . 19. mobile 13[JD seal okay , .. . . . ., .. Model # Serial Manufacturer Date of Manufac � � OKAY TO I C/ O cz COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC Main Office 176 Doe Run Road - Manheim, PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Panel Board No... . No....h,/. .. ! . :.......................'................... Cut-in Card No��........... .... ..... . ND 0 Owner............. Locationf07 & .....................,,r......... ......................... ... - .. . iiW #a — [ 44f:......... ... .. ....... . ............................................................ ..... Inszallation {'onsisting of....l ? . . '{ l/ CC'[r� Ii°k'GZ/v. ...0.............. .. . .. ....._....._....................._......_................ .............................................................. ..................................................................................................... ................................................. ............................_„,............................,,...,,...........................,..................._............ Installed By. l......,,t.!..L tc�� ...L!r+ .!T'I"+......... 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 MSPection. Inspectors of this Company shall have the privilege o£' makloix inspections at any time, and if its rules art! violated, the Company shall have the right re ke t c tific z e- (� ❑aze.f.. ...:~. ... . .,'�.............. INSPECTOR ..r!�. Memher N.FPA., LA EA. IPIIVAL IIVSPECTIOIV FkZ1M l3M1r MC3WILE / MC3C3ULAA Town of Queensbury Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 (51 $ARRIVE. DEPAR IL u INSP:4 DATE INSPECPON REQUEST RECEIVED: -- { NAME: / C Gam- L'( V be/}N47 .�¢ ell LOCATION: F DATE: �`d PERMIT # r MOBILE Homy- M0D1tjLA1R OUR FOOTINGS FOUNDATION � SAC:KFi FRAMING N/A YES NO I . foundation support, Pier spacing per manuf. .. .. .. ... . . .. .. .. .. .. ... _ 2. anchoring per manuf. .. .. .. .I.. . . .. — 3* waterline shut off 4, sewer line support a 4 feet .. . . — 5. heating crossover (dblewide) grd. — 6. dryer vented outside .x. .. .. . . . .. .. .. .. . _ — — 7. skirting ventilated . .. . ... . .. .. .... — 8. hot water relief valve pipin outside 9. deck, porches, steps, rail . . . . . .. 10. furnace/hot water opera _ 11 . garage fire proofing 0 . . . . , .. . . .. . — — — 12. door closcrs ... . . .. . .. .. .. .. .. .. .. .. . _ 13. plumbing fixture . . . . . . — — — 14. foundation insulation f appl.). .. .. . — _ — 15. smoke detectors . .. .. .. . . . .. . . .. .. .. . _ 16. final electrical . .. . . . . . . .. .. .. .. .. _ 17. variance required ..... . . . . .. .. .. .. .. — 18. data plate okay — — — 19. mobile HUDokay . .. .. . . . . . . . .. — — — Model # `- Serial # 2 } Manufacturer t -- — Date of Manufacturer �- OKAY TO ISSUE CIO 'YES NO Comments: �} 0 � LNIII _LLLt_ L_ L,LI Ftcxw LL I_ L LLLLL_ - - - _ ^ _ — l—� i IIr� _ cnnwce w►r R:••=a*�aow+xn . L L_ L. L 1_ i_. L. L L SC�MATER R L SEMMO r'eO4"a�" ' L L L III- L. L L.L 1. _ LLLI � _ LL NO i_ l_ 0" _. Lrrr �r-r x ce=r �-•M I_ l_L LL_ Ll . L I I THIS PLAN ON TOWN OF GNU EI-VISBURY PROJECT SITE AT BUILDING & T. ALL TIMES FOR REVIEWED BY a THE DURATION OF DATE CONST"PtoCTION TOWN �� TIER�t vBUR? ?: '. ii o � CEFARTh�t: teased on our iimI examination, cornplianc:evwith our comments shall not be construed as indicating the Plans and specifications are in fuY wct compliance with the code. i an* IS REQUWIM FM "' _ 2000 / 3c� a S 2000