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2000-878
TOWN OF OUEENSBURY 742 Bad Road, Queensbun�, NY 12880¢5902 (518) 761-8201 Community Development - Building & Codes (518) 7614256 CERTIFICATE OF OCCUP-A—N. CY Permit Number. P20000878 Date Issued. Tuesday, November 14, 2000 This is to certify that work requested to be done as shown by Permit Number P20000878 has been completed. Tax Map Number. 523400421-000-000&059-002-0000 Location. PETRIE Ln Owner; SAMUEL & VIOLA WAHN©N This structure may be occupied as a: Mobile Home In Park K IM MAHONEY By Order of Town Board TOWN OF QUEENSBURY Director of Building & Code Enforcement TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 1 2804-5 902 (518) 761 -8201 Community Development - Building & Codes (518) 761-8256 ILD►ING PERMIT Permit Number: P200 25 Application Number: A20000825 Tax Nlap No: d, 523400- 121 000-0006-059-002-0000 Permission is hereby granted to: KIM MAHONEY For property located at: LOT 2 2 PETRIE Ln in the 'Fown 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: SAMUEL & VIOLA WAHNON 39 SARA.TOGA ROAD Total Home In Park 63,000.00 00 , 0 GANSEVOORT, NY 12831 Total value 6300000 Contractor or Builder's Name / Address Electrical Inspection Agency GLENS FALLS MOBILE HOME INC. NEW PORK BOARD OF FIRE UNDE1 39 SARATOGA RD GAN SEV OORT, ANY Plans & Specifications 2000-825 28' X 66' MOBILE HOME AS PER PLOT PLAN SPECIFICATIONS $86,00 PERMIT FEE PAID - THIS PERMIT EXPIRES, Wednesday, November 06, 2002 (Ifa 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 Town of Quee bury; M nday, November 06, 2000 SIGNED BY for the Town of Queensbury. Director of Building Co 4 Enforcement Application for Permit -- Mobile Home Town Of Quee;i b&Vy, 742 Bay Roast Queensbwy, 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 issuer'!. Applicant Information Office Use Name: _ File Permit No_ (' Address:, Fee Paid _ XWdOW&MCff e Reviewed By: Phone No. F Pmwcellnf motion OCT 2 7 2000 Property Clwner,+Irrfvrrnaticrn TOWN OF QUEENSBURY Name: ,ery l74llS ,a�;lp Proposed race of Placement: B ILDING AND C UE Property Location. Address: Avenue Name of Mobile Horne Pa 2 (if applicable) Phone No. Tax Map Number: Mobile Hearne Information Zoning Information Approximate Valve of Home: S _.,._`. 3 60� New Home- & No CLassificatsan: New Home: Yes No �/ g C1 Size of Property: ft. by ft. R,epLacemmt Home: Yes No ��` Existing buildings: Size of Mobile Home: 'ft. by �- Setbacks: fronE yaGrd ft rear yard ft Singlewide: D7oublewide: �C� Side yards ft. and ft. Number of Rooms: (exclude baths) / Number of Bedrooms: `Z~ _ Accessory Building(s): circle Number of Bathrooms: ?..� Detached garage: 1 car; 2 car, car Detached circle: Gras FirepLwe or Woodstove Attached garage: l car, 2 car, car Storage building: Yes No Foundation Support: Other: TYPE SIZE & DEPiM Water Supply: circle Piers tz.,...,P.s gam, well ; municipal Further information requested on the reverse side of this sheet Name of Installer or Mobile Home Dealer: k'C'+U-� �!S db� ! ? Address: 3117sal, Phone No. at State ofNew York Division of Housing & Community Renewal Insignia of Approval of the State Building Code: Complete information below found on a "plate or "sticker" which, should be affted to the mobile home. 1 . Insignia serial number: , ' ,p� , -7 2. Name of manufacturer: 3. Plan Approval Number 4_ Model or Component Designation: (New Horne ONLY) 5. Date of Manufacture: 2 o'0e:> AFFIDAVIT i 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 taws pertaining to the proposed work I shall be complied with, whether specified or not, and that such work is authorized by the owner. Sim _ owner, owmer's agent, architect, contractor � Special Conditions of Permit By.- Form: IM811999sh Code Enforcement Officer F1NAL iN'PPE�TION R1�POpT MQB1�-'� f MC�17L11-I°i►R Town of ClueensbUl ' Code EnforcOmeM 8ulldin8 42 BaY Road ClueenaburY, NY 12VA (518) 761-8256 '� DgpART: 31-W IN ARRIVE-. �' BEST RECEIVED DATE IlySpE,,�IO�N REQ NAME: LCICATIC'rt3: _ } PLRMlT # DATE: �ag slogan -- �ppVLA 110,011LE 110TWE ---- aACK L FRAMING F )unNGS FOUNDArnON NIA YFsS NO on support• pier Spacmgper manuf f 2. ancluning Per manu£, 3. water line Shut off a4fee 4. sewer line support1 off grd• -- 6. drYer vMted outside ' . ... .. .. . , . . 7. skirting ventilated Wide water relief v e pip S. hot s railing hes� g• deck, lfl. furnace wale ,operating " �. ., .. e g �. .. . 11 . garage �. . . .. .. .. .. . .. .. .. . �-- ...-- 12. door clw- re 13, plumb' sulation (if appl• 14. fr�trdati .. . . . 15. smoke ., .. .. _-- final 7. variareilce -- _-- 19.19. data Plateile .. .. okay .. .. . .. - k Serial # Mom # Manufacturer Date of ma,,factarer �~ YES NO OKAY 'to ISSUE C!C}. CN 1 FINAL INBPEC'7'ION p�PClR'M"' M©01UN / MODULAR Town of +Queensbury Building & Cade Enforcement 742 Bay Road Queensbury, NY 12804 (518) 761-8256 I? : : "Juvi+' DEPART l INS DATE INSPECTION REQI3EST RECEI E NAME: ko LOCATION: Q DATE: PERMIT i MOBILE HOME MODULAR Ifou EE FOOTINGS _ FOUNDATION � RACKFM _ FRAWNG N/A YEAS/ NO 1. foundation support, pier spacing ✓ permanuf. . .. .. .. .. .. .. ... 2w anchoring per manuf. 3. water lime shut off .. . . .. .. .» .. . . . _ 4. sewer line support 4 feet 5. heating crossover ( wide) off ✓✓✓ 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 # ' ►�1-k� f -l�� Manufacturer 1-)ate of Manufacturer 02 � OKAY TO ISSUE CIO YES NO NA �FwfA *� ['omments:. COMMONWEALTH ELECTRICAL INSPECTION SERVICE, IN''C. Main Orrice 176 Doe Run Road - Manheim, PA 17545 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL � Panel Board No. .............................Cert. NO Owner.... / /�J A /�o IL + $ 9 6 9 Cur-in Card No, ,,., ._... a L r` ............... ................ ..�'.i"r Cry lnstaliarion Consisting of...... & 12:7- Installed By.. Lic_ No. .............................................. ... The conditions following governed the issuance of this cerfiricate, and any certificate cancelled: - previously issued is This certificate only cnvcrs the electrical equipment and installation conditions an 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 inaicing sirections at any time, and it' its rules are violated, the Company shall have the right to v e th- . . INSPECTOR ..._................ - _ Member N.F.2?A., f_A E_[. FIRE MARSHAL TOWN OF QUEENSBURY QUEENSBURY, NY 12804 (518) 761 -8205 FIRE MARSHAL. INSPECTION REPORT REQUEST RECEIVED NAME LOCATION �'�_ ,� PERMIT #I I SCHEDULE INSPECTION ON �� = ;,�C A PM APPROVED NIA YES NO EXITS AISLE WIDTHp EXIT SIGNS EMERGENCY FIRE EXTINGUI /HeITERS FIRE ALARM SY FIRE SPRINKLE FIRE SUPPRESSION SYSTEM HOOD INSTALLA-' ON 4 INTERIOR FINISHE4 STORAGE: _ t CLEARANCt TO SPRINKLERS CLEARANCR, TO HEATING UNITS REQUIRED SIGNAGE . CHIMNEYL Z- WOOD STOVE FIREPLACE LA MASONRY FACTORY BLT. [.� OUGH—IN _ INAL REMARKS: ❑ OK TO THIS DATE � � SPECTOR 7 V ! �,c - � ► - - ,� OCT 2 7 2000 TOWN OF QUEEN SBURY BUILDING AND C►DE N Q -I ' N k i Ar 2 + Jbi AW Q 0 IL 'E C OPY NOTICE T PLAN T�► ANCHORING OF MOBILE HOME ON FRAME IS REQLjfRED PER PIS C E MANUFACTURERS SPECIFICATIONS ALL S FO THE HqT F 1�4U1=1=N1 Ell wwwrmwoo �qi� the code.�►e in / REVIEWED BY r • DATE . .i • 14 • ! V9 . I3POP 11 U111" I - 100 uan Pro WAN r .., EID �+css��r � � s�l�t�rt�►� �'�a� s�r��s�l�anl y� srnreoow t ratanroait I • eeoreoorr a # rtn" a..► aMroiCV4 TraRlr [[ �1�.Et cIN BdrN n 48 ME #!I Wanted tsar being a dangerous llac�rpian capable at sienctirtg sty: r�"xre custocna+rtx rojn ing for their livee to their nearest retaUev* Use !"Ili ldy bvdrvv,w •nd kiralrlrn epNon" eaUenle coW12ILbecause this qoo lain corneae 1 ICMMPfWO ll�ess MOO rp equipped with It posse of standard reatureil, 11 was last seen heading Horltt. South. Eart, and Wesit art an major W94ways. Do not apprehend alonel. Contact Sam Or' Jamie Glens Falls ' Mobile & Modular liotnes Phone: (1318) 798 - 2801 39 Sa.ra�togaXRoad7M Gansevoort , NY 12831 Fax: (F318) 798 - 2803