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2000-834 TOWN OF OUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201 Community Development - Building & Odes (518) 7618256 CERTIFICATE OFOCCUpANrY Pernu*t Number: P20000834 hate Issued: Monday, January 22, 2001 This is to certify that work requested to be done as shown by Permit Number P20000834 has been completed. ,Syl J � yi o Tax Map Number: 523400427-000-0011-012-000400 Location; 14 INDIANA Ave Owner: CARL CAPROOD JR Applicant: CARL CAPROOD JR This structure may be occupied as a: By Order of Town Board Mobile Home Out of Park TOWN OF QUEENSBURY r Director of Building & Code Enforcement TOWN OF QUEENSBURY 742 Bay load, Queenshury, NY 12904-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number• P20000834 Application Number: A20000834 Tax Map No. 523400- 127-000-0011 -012-000-0000 Permission is hereby granted to. CARL CAPROOD JR For property located at. f INDIANA Ave in the Town of Queensbury, to construct or place at the above location in accordance with application together with plat plans and other information hereto filed and approved and in compliance with the N-°S Uniform Building Codes and the Queensbury Zoning Value Ordinance. Type of Construction Owner Address. CARL CAPROOD JR Mobile Horne Out of Park 39,400,00 3110 REGENCY Park Total Value 39,400.00 QUEENSBIJRY, NY 12804 Contractor or Builder's Name / Address Electrical Inspection Agency ACE HOMES 3A SARATOGA ROAD 4. GANSEVOORT, NY Plans & Specifications 2000-834 l 'l 52 SQ FT MOBILE HOME AS PER PLOT PLAN SPECIFICATIONS $72.00 PERMIT FEE PAID - THIS PERMIT EXPIRES: Thursday, November 07, 2002 (If a finger period is required, an application for an extension most be made to the code 'Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town o ensbu Tuesday, November 07, 2000 SICiNYU3 BY A for the Town of Queensbury. Director of Building & kEr=cement R, TOWN OF QUEENSBURY RECEIVED OCTaw 3 0 2000 REVIEWED BY * TOWN OF ClULENSBIiRY 1LDlNG AND CODE FEE PAID : $ PERMIT NO . 0 APPLICATION FOR PERMIT MOBILE HOME OR MODULAR A BUILDING PERMIT MUST BE OBTAINED BEFORE PLACEMENT OF MOBILE HOME . NO INSPECTIONS WILL BE MADE UNTIL A VALID BUILDING PERMIT HAS BEEN ISSUED . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . The owner of this property i s : 12" ye P . Q . Address : sA( Phone Numbers/ "�sls= 72 +p Property Location_ /, �;}}. Tax Map No .zw :7 NAME OF APPLICANT : ( 04Rc.. Address of Applicant : (S {00 e Cr4e ca jtjV" All applicants spaces on this application MUST be completed and the signature of the applicant MUST appear on the reverse side of this application . PERSON RESPOKSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES : /44r-"E'S lrc " , .� Uf a Ir-' .r r�v�► rlo•J ] cdf.Yr c c%rc�-r✓ �.c..,�e.'�<-c-�'ti, j�.x_.y �-�C�t�"1,C.. MOBILE HOME INFORMATION �'I ��� APPROXIMATE VALUE OF HOME :Wd $ yy<c�► New Nome Yes No ZONING INFORMATION : Replacement Home Yes k0D Size of Property : d ft x l ft Size of mobile home(/ ftx 54fft Existing Buildings : Singlewide Doublewide Proposed building-distance from property line : No . of rooms ( exclude baths ) Front Yard ft Rear Yard iVs f ft . Side Yards —�o'�y+�s ft and ft . No . bedrooms Occupancy Informat ' :� . No . of bathrooms Primary dwelli. nqo. Yes No Fireplace Woodstowe Accessory Building ( s ) : ✓ ._--- _Detached garage {0 far /two car car ) Foundation style and ize _Attached gara f ge - done car /two car car ) ! . I� Storage b.u-il-ding Piers-No . of Siz ft x ft� Other, Depthbelow grade f Foundation- Footing size" x Proposed date of placement : Wall material gf:L _� _ [� . Wall thickness Height Water Supply : Well Municipal ✓ Total depth below grade ft . Septic permit required ? L. e ^_ Grade to home floor level ft . FURTHER INFORMATION REQUESTED ON THE REVERSE SIDE OF THIS SHEET r A j+ a NAME OF INSTALLER/MOBILE HOME DEALER : ADDRESS/PHONE NUMBER STATE OF NEW YORK DIVISION OF HOUSING AND COMMUNITY RENEWAL INSIGNIA OF APPROVAL OF THE STATE BUILDING CODE 1 . Insignia serial number ejror,c z 4e-7' 2 . Name of Manufacturer r 3 . Plan Approval Number 4 . Model or Component Designation 5 . Date of Manufacture " All the above information is to be found on a plate or sticker which should be affixed to the Mobile Home . Complete above with that information . Town of Queensbury State of New York County of Warren AFFIDAVIT 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 auth7i d by a own Signature Owner , owner ' s gent , architect , contractor SPECIAL CONDITIONS OF PERMIT : By ` Code En4forc ent fiver ACE HOMES INC PAGE 02 10/ 26/ 2000 10 : 37 518-793-1994 aq8 :518 7d� d43'7 PF�iE L E o .429 10r20 '00 Pm 02: 43 t C : TOWM CF pL,QEhNSBURY Gypit" Tbwt� vl w+P,rtAw sir t�e.+w1e - f4PtlO wrtk +M wfile! s ry M! RMW gems h ►'n'r Nr 1?+tur rsla; rar.alsle t. OWNSIt 1NPdltMATIOrl; L" j0OCA- e?oAV do'eWCP is T� i oJY..... . . lq,ray er wf IwetaYtsatan —. File lhrmit Woo -- Tom Moo xlm. Fee Paid — Owm ear'a wweww; .2 G7'I P14005 NO ;, pg�tpitPtCg FHFDRM+MI bederaums wrtth pplicable maji mAw► bvtAro m a""I ra w OPO .l[ w 1t>SO or aldetr x 1 S4 pVbdM _ loth} - HAY WOO r: 1%091 - Pcomam 7`'+t Wan o�ndMr 1nRa51�d YM I no �'"� Opp Or VN►i *ml I no a. P14RCBL 1HPOt1lMN►T1tJt 1; (clecM apptldbia Mlbrrsrttlw+t Ya&Wde, rtewraur xttertta) rn-.arf?r fw Wh-fya r1/RrirJA,'Y i4pthat what 7 ✓ fr« Js depth= Li nmJ�mh'awu�ArcruwlJ rpt+;rra rAq�wNr ssRiHer+/r N!Tsls evArArs.�.7l.'r.rMhsr c bo mwiv l�y #cwr+I Fr axw�at of +mar r,r ardnrra!} Parooiativu Twat: C1 wehewor prrr htclt All IrAviduai eg+etylr d'4'UW OYSLras mart be 4oaL9111"W a LtVsnead S. Pnt�POM�l�3 SY'STSM: ' - euyctyvlsbn), Add 2W SALofte to the Ow faerl or srtMtwca irxloee letstslNd iw w P►ragSiso or wh olmol TV o f" Pgw lr, w w kwh ftom Ibr enc9t Qettems Ont+dr+. 'SP* 'a �{r1{7ovL Tom. Sopue TW14% � ,�r ` (rain. rLwr I.DOr)Jta'I•� Taw Field: rwdr a+hc�Ca F Taut system Laiftob: ,1. 20 A- sl.. �isiarewea be wad: +r ...,„„_•,_. __ / rte�,rh.+r rlwct„efar �.._ . .. -- ,wrr p, MOI.OW TANK SYSTSW Ofregrtitwd) Nesnbftr r,ftattlu: 1 siaw of exalt: Mane 17OTAL Ck"Vity Wlloeta Nw a, AJAnn Syatwm paid saaoaiwtad ehRaxi M week must be LnaPOOW by a Town apprarved o1octrilm) inepw%iwn •iMtaY 7. SkowATL= & V4VORMATION POOL RUPOWS'S" P'"t'SoN (PlO read) For your praaee&WW4 p wo" now ttaat purueant to Secom 13607LP Of-am qo� vm ofoutrat'rabury. pow per"%it or 47ppowl litYrt�tw+•arWIL eq u�rtrsiwt wt of rdiawca uyan any mwarial mtenp»ewnrat t o to be N61d osrraumrtrton ltaowru by as an. behalf of an apLP wAsms. to this aPP�asi°n and agree to abW w by these wnd all 1 have seek tlta *ytxbR.arta .rltlttury pLapow1 Vtddnuno.. roqwk"OMttr T40AWOO grwtyrd d netwp�onrlb,Lr P+r� R� .� 5 P L 1fV81�ECT+yC�IV :W5MC3F1rr MO@f4L / MC)CMUL.AR j Town of Queensbury --- Buiiding & Cade Enforcement 742 Bay Road Queensbury, NY 12804 04 +'o (518) 761-13256 ARRIVE: DEPART: INSP:� i 1 DATE INSPECTION REQUEST RECEIVED: NAME: -zi J6L- Jon/- 1 •- LOCATION: DA PERMIT �L1GV � i lY[O$ILB Ii[>MS MODULAR 19ONB FOOTINGS FOUNDATION = EACKFH L FRAMING I I - N/A YES NO 1. foundation support. pier spacing per maanuf. _ 2. anchoring per manuf. ., . a,.. . 3. water line shut off ... . . .. . . .. .. ... 4. sewer line support (W 4 S. heating crossover (dblewi } off dryer vented outside . n .. .. .t. .. .. .. . .. .. skirting ventilated . . .. . . .. .. . .. .. . . . hot water relief valve pip" 9 deck, porches, steps, rai 10. furnace,/hot water cape g .. ., .. .. 11. garage fire proofing . .. .. .. .. . .. . . . . . 12. door closers .. . .. .. .. .. .. .. . .... . .. .. . 13. plumbing fixture .. .. . . . . . . . .. .. . .. .. . �- 14. foundation insulation (if appl. . . . . . 15, Smoke detectors . ... .. .. .. .. .. .. . . .. .. i 16. final electrical . .. .. .. .. . . . . . .. .. .. . .. 17. variance required . .. ... .. .. .. .. .. . 18. data plate okay .. .. . .. .. . . .. .. .. .. .. . 19. mobile HUD seal okay .. .. .. .. . . .. MO&I # Se # Manufacturer Date of Manufacturer OKAY TO ISSUE C/d YES NO i �NF �Q PIrMAL 11VSPECTION FIMPd: plrr MOBILE t Mi7rmiUL kp Town Of Queervsbury Building & Code Enforcement 742 Bay Road QueenSbury, NY 12MM (518) 781-8256 ARRIVE-- � I DATE INSPECTION REQUEST RECEIVE NAME: LOCATION: DATE: ! `� ©__{ PERMIT #�l'?�•. 'sue" I I MOBILE HOME MOD[.TI.AW HOME FOOTINGS FOUNDAInON UACKFILL FRAMING 1 . foundation start, ,pier N/A YES NO m per manuf. . »,.. .. .. .. �L,/ j 2. anchoring per manuf. V 1 3. water Eire shut off .. .. 4. sewer line support (& 4 t . . . 5. heating crossover (dble ) o gird 6. dryer vented outside .7. skirting v / 8. hot water valve pi g outside 9' deck I]e . rail g . Qtf'.IC evt� l ✓ 10, ftunbce of water operatin 11. garage fire proofing �-' 12# door closers . 13, plumbing fixture .. 14, founda6oan insulation (if appl ). .. .» . 15. smoke detectors 1.. .. .. 16. final electrical — 17. variance required . , . . .. .. ., . . 18. data plate okay . .. 19. mobile HLII.? seal okay Model # � Serial. # (�" -" ski ` ICIV Manufacturer hate of Manufacturer •� OKAY TO ISSUE CIO YES NO Comments: COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC Main Office 176 Doe Runt Road - Manheim, PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Panel Board No. .............................Curt r �1 5 2 $ Cut-in Card No. ..........».. CSwner........................... ......................0 ...........,,........,................ .............._................__,,.. ..«....... Locatton ,,,.......�, .,.tf !k/ f>/,�i-.!LJ /�. 6 Installation Consisting of._.!{;e's+ ..! .....,, ' �!! t ..........................­............................................,.,...................._................ «..................................... ......... b.................... Installed By... 6 ........................... Lie. No. ....,,.......«........ . ] The conditions following governed the issuance of this certificate, and any certificate previously issued is 1 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 makin spections at any time, and if its rules are violated, the Company shall have the right to "e ke t "s a ua L1ate..f.... .... ..............,+V............. INSPECTOR ........u........ G ......................................................... Member N.F.P.A., LA E.I.. r '. ^�rp''A'Yrs• ;.� �.:. .- ram-'. ^ - "'ei t CCJJ >:x• ` . ELECTRICAL CERTIFICATE � : i COMMONWEALTH ELECTRICAL ' INSPECTION SERVICE, INC. > .. 176 DOE RUN ROAD, MANHEIM, PA 17545 ; � " • >': i TELEPHONE (717) 664-2347 December 15 , 2000 j APPL . # L001075 dd PREMISES OF CARL CAPROOD as MOBILE HOME � > Address : INDIANA AVENUE f +�iJEENSBURY' t3Y' County of 'WARREN ray: f Installed by : ASHLEY CONSTRUCTION Apparatus : 1 v U AMP AER MOBILE 140ME SERVICE APPROVED l . Inspected by : DONALD LOVELAND j a L -' The conditions Following governed issuance of this certificate, and any certificate previously . ..i, issued is cancelled. Failure to have the property reinspected when additional equipment or wiring is - added: or within one year from date of the certificate shall void the certificate in its entirety and the company shall not be liable for any damages whatsoever: This certificate does not guarantee efficiency, wearing qualities, maintenance or repair and the company shall not be liable for any damages resulting from any defect or fault in the plans or speci- 5. fications, including repair, reconstruction personal injury or for the death of any person: and j This certificate only covers visual inspection of wiring and sloes not cover manufacture or uses ':. A of wiring. Inspectors of this Company shall have the privilege of making inspections at any time, and if `\ �a its rules are violated, the Company %hall have the right to revoke the certificate, :. t }4aY Age a i d �^ _ r7`�-=. ��.,. - w r-,�eC: +�i,.4t •� � �`, � �.ice' II ':;,, TOWN OF QUEENSBURY BUILDING &. CODE ENFORCEMENT 742 Bay Road Queensbury_ MY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name Location Date Permit ` SOIL TYP San - oam- Clay- Results of Per ` olation TesFln ( if applicable) Rate-Minut � TYPE OF SYSTEM:. ABSORPTION FIELD: Total Lei gth Length of each trench Depth of trenched r Size of stone % ��� . SEEPAGE PITS : RYnber- Size - fts, x - ft . - Stone size PIPING : Size ype Bldg . to Tank `4 Tank to Dist . 'Box ! t� Dist . Box to Field/P , t 4 ' Openings Sealed? s No ar as o LOCATION/SEPARATI Foundation to Tank feet Foundation to Abso do feet Separation of Pits y eet Conforms as per PI t Pl ar+ es No LOCATION OF SYSTE ON PROiER ( circle one ) Front - Rear - - -fight Side Middle Fro - iddle Hear COMMEN 41 & pj SYSTEM USE APPRO YES No f Arrived- Depa F f uild.' ng,- nspe or I i f f {f i TOM OF QOEERSHURY �79 �^BUILDING CODE ENFORCEMENT 742 say Road Queensbury NY 12804 (5I8) 761-8256 SEPTIC DISPOSAL SYS INSPECTI Name Location Date Permit # SOIL TYPE: and oam- Clay Results of Percolation Test- ( if applicable ) Rite-Minute/rnc TYPE OF SYSTEM: ABSORPTION 'FIELD: otal Len th Length of each tre h Depth of trenches 3. d� Size of stone SEEPAGE PITS : Numbe Size - ft . x ft . Stone size - ---- Sldg . to Tank tik� Tank to Dist . Sox Dist . Sox to Field/Pit +r Openings Sealed ? Ye o art� a �!tT` LOCATION/SEPARATIONS : Foundation to Tanis feet Foundation to Absorp ion feet Separation of Pits Conforms as per Pl o Plan feet LOCATION OF SYSTEM PROPERT es No ( circle one ) Front - Rear - Le t Side - Righ ' Side Middle Front - Mi dl a Rear COMMENTS o - U�c Nc SYSTEM USE AP ROYED: YES No i Arrived; Depa r 'u; di 9 ctor r I i " I r%EIVED r ' r .o ,o to r ` r li OCT 3 0 2000 r e m T TOWN OF QUEENS13URY FILECOPY our tp BUILDING AND CODE Narlsl rr c�ornplrarx,�u�th the� I t T.Yjc�P��� . I ♦ � I TOWN OF &QUEENSBURY �+ f' � I I � r � v- BUILaINS & AT. r j Q O � �, i 8 I a m IIAr„t taa r ci REVIEWED BY �!x � +� ti a in s DATE r.t, k v,; t �� -� � r r " �40'DB ' 0*55 LL C` 4. IDA 'RaNiAV v& NOTICE ANCHORING OF MOBILE HOME FRAME 1S REQUIRED PER MANUFAC URERS SPECIFICATIONS GENERAL M6SPEC'TION REPOR( 518 ) 761 - 8256 Town of f,Queensbury Dept. of Community V*vekWfuent .Date inspection request received: Building & Code Enforcement 742 Bay Road Queensbury, NY YfA04 Arrive ID] Depart spectoes Initi NAME: co ��D-U PERMIT # LOCATION.- &O F� DATE : (z - TYPE OF STRUCTURE: RECHECK N/A 7 ES NO COMMENTS Footings/Piers V1 Monolithic Pour Form to � 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 site Foundation/Wallpour �4 Reinforcement in Place Foundation/Dampproof n,g� _ Backfill Approval Plumbing Under Slab Plumbing, Vent/Venis in Place Rough Plumbi Healing Rough4n Insulation Foundation Walls Interior .Foundation Walls Exterior Floors R.- Walls R- Ceiling Duct work or piping in b.. unheated spaces - Proper Vent, Attic Vent Framing Jack Studs/Headers BracinVBridgin Joist Hangers Jack. Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestoppin I 1 ,93 roEIVED OCT 3 0 2000 OF WA%a Bawl on our= TOWN OFOUEENSBURY FILE COS I rot °urn ro BUILDING AND CODE M aw �,r►tl�� rbt�� TOM OF QUEENSBURY ; tF BUILDING & � o a f,� + I ' trams l" to REVIEWED BY 2 l x 4,1 +{ �' o �;o DATE 1 s/ to z 1 I I +a t t 00Q'DB w 44[ �tlrtl � R a J n, iAv � NOTICE ANCHORING OF MOBILE HOME FRAME IS REQUIRED PER MANUFAdURERS SPECIFICATIONS �. 40'4• 1a' tr 2'-4. 5"-4' 7`.4' �" �• b' o• fflu*To. HK3 ml T: :a T 6A1 q00/ xEORAI LEIIIIRIi�'. MODELS `ytxeu-our ' 1 RANCH LIVING ; OfT MASTER MROOM ME KDROOM TF501 -A 2444 ( 40 ) Approx . 947 5q . Ft . 3 A Saratoga F?d. 4tr -FLAe GanWvoart, NY 12831 (518) 793.0153 (518) 793-1$94F�T,x W-Q' 12'-0' S'-4• 12'-8" 9'-4' 5"-8' 10"-0' -4' 7'-D' 1b'-0' 12'-O' BtR 2 ��, ITCHEI T1 4 b1R Z MASTER 8A1 ' d w D BEDROOM w o Ok <OOOOP IRK - NOOK ur1 WHEORAI UflINU'; N tArxEVRAI 6EIllx6 �' THRU-OUT s `i THRU-OUT ''* MASTER ITCHEN LIVING NOOK GIVING BIR 3 ROOM OR ROOM BEDROOM • del r . APT 4. +' '1I4E .•'lr �TfIE a e SA 448 ( ,44 ) Approx . 1203 5q . Ft . TF504—A 2452 ( 48 ) Approx . 1136 5q . Ft . TOWN OF QUFFNSBURY Bay at Kaviland Road, Q Wnsbwy, NY 128044725- 518•r92-5832 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 TRAILER..._. BODY TRAILER T B -AM TRAILER FRAME WOOD BLOCKING CEMENT BLOCKS t, -4 FINISH GRADE REINFORC _.._ §4 10 MIRE MEN_ REINFORCEMENT ROD AND MESH AS PER CONDITIONS SLAB TO RUN FULL LENGTH OF THE TRAILER AS SHOWN