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98-124 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK July 13 98 Date 19 — 98124 This is to certify that work requested to be done as shown by Permit No* i has been completed. MOBILE HOME This structure may be occupied as a o -=35ta PINELLO RD . Loccation Owner CLUTE , LARRY *TAX MAP NO . 14 7 . - 1 - 7 2 By Order Town Board 'ro,WW OF QUEENS it Director of Bldg. & Code Enforcement BUILDING PERMIT VALUE $ 12JQWN OF QUEENSBURY No. 98124 TAX MAP NO . 147 . — 1 - 7*ARREN COUNTY. MEW YORK PERMISSION is hereby granted to . CLUTE LARRY OWNER of property located at ^� PINELLO RD Street. Road or Ave. in the Town of Queensbury, To Construct or place a NOBIT E Holm at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. t. OWNEWS Address is 13 DAWN ROAD QUEENSBURY , NY 12804 *2. CONTRACTOR or BUILDER'S Name CLUTE ENTERPRISES , INC . 3. CONTRACTOR or BUILOeR'S Address 13 DAWN ROAD QUEENSBURY , NY 12804 4. ARCHITECT'S Name COMMONWEALTH ELECTRICAL AGENCY 5. ARCHITECTS Address PO BOX 706 HAGUEr NY 12836 6. TYPE or Construction — (Please indicate by X) MOBILE HOME ( 1 Wood (Frame I i mmsonry Steel ( 1 7. PLANS and Specifications N960 SQ FT MOBILE HOME AS PER PLOT PLAN SPECIFICATIONS S. Proposed Use MOBILE HOME 60 April 9 18 2000 $ PERMIT FEE PAID — THIS PERMIT EXPIRES (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of oueensbury before the expiration date.i 9 April 19 Dated at the Town of Queensbury this b y of t9 SIGNED BY for the Town of Queensbury uilding a n napeator c . APR b 8 REVIEWED BY : FEE PAID : PERMIT Nowcam.--- APPLICATION FOR PERMIT MOBILE HOME UR MODULAR A BUILDING PERMIT MUST BE 0111-A I NED BEFORE PLACEMENT OF MOBILE HOME . NO INSPECTIONS WILL HE MADE UNTIL A VALID BUILDING PERMIT 11AS BEEN ISSUE [) . The owner of this property i s : i (,_ P . O . Address : Phone Number �� :S �7 � ? Property Location ,-^ Tax Mal) No . NAME OF APPLICANT * Address of Applicant : 0ncA..nJ.^,.., C> ,.,& All applicanLs spaces oil this application MUST he completed acid the signature of the applicant MUST appear on the reverse side of this application . PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES : /(cwk 0 MOBILE II014E INFORMATION A111'ROX I MA IL VALUE OF HOME : /New % [� New llorne Yes o ZONING INFORMATION . Replacement, 11ome Yes No Size of Property : ( Uri ft x �06 ft Size of mobile home�� ftX ebft Existing Buildings : .>'�r ie Si rig IewIde Doublewide ^><t J Proposed iyuildinc - distance from property l Ine : No . of rooms ( exclude baths ) Froiit Yard Ski ft Rear Yard ft & ft anti f t . No .. bedrooms Side Yards !._..__"._..__.`_1_— `�C.• -- -- Occupancy Information : No . of bathrooms ,,,,��{{ Primary dwellings Yes No Fireplace (I Woods Love <0 Accessory Building ( s ) : Detached garage ( one car / two car car ) Fourrdation style and size : Attached garage tone car./ two car car ) Storage buildiny Piers- No . of Size _ft x ft Other Depth below grade ft Foundation - Footing size " x pica " Proposed dat of placement : Wall material . ,� I rr, 'L ��p� {c �{ f I `e 1� Wall thickness $ ileigi� t�'� Water Sulsply : Wel i Municipal Total depth ijelow grade�f t . -. Septic permit required ? Gracie to home floor, level FURTHER INFORMATION REQUESTED ON TIIE REVERSE SIDE OF THIS SIIEET NAME OF INSTALLER/MOBILE HOME DEAL .- R : ADDRESS/PHONE NUMBER S - - �- STATE OF NEW YORK DIVISION OF IIOOS I NG AND COMM11N ITY RENEWAL. INSIGNIA OF APPROVAL OF THE STATE 110I [.1) [ NG CODE ] . Insignia serial ntinebur b 2 . Name of Manufactm-er �T- 3 . Plant Approval Numhgr _ 4 . Mode ] or Cornponen L lies i gna t, l aii '\,,A,t' ,cn, e. 5 . Date of Manufactt, re ` f All Lite above i nforma L i on Is Lo be fomid on it plate or s Li cker wii 1 ch shoo1d be affixed to Lite Mobile Home . Complete above w ! t. h LhaL InformaL } on . Tnwrt of Qtteertshury SLaLc of New York Comity or Warrert AFFIDAVIT I swear that to the (test of my knowledge and belief Lite statements contained in this application , together with 'tile plans anti specifications stibmItted , are a true and complat:e statement of all proposed work to ha; dune on tiie described premises and that all provisions of the 1311ILDINr i; the ZONING (]ftl] iNANCI and all ot: lie r taws }terLainirta to tltc ic ltr op oscct wct steal ] to cctnrltl Icledwi th h, we t lie r s}tec I F i eci or riot , <'irtr! LIta L strcli work I s air L } I zcal by re owne S f cana Lti - Own owner ' s a t , architect , con actor, 47 SPECIAL CONDITIONS OF PERMIT : Ely Code 'Enforceinent Officer DIsCLARATION: Please sign below azfle)- yore have carefully read the sltticrrte►it. To the best oi' niy knowledge the statcriterils contained in this application, together with the plans and specifications submitted , are a true till(] coniptete statement of all proposed work to he clone on the described premises and that all provisions or the Building Code, the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied wish, whether specified or no(ed , and that such work is aulhori- -)y ]lie wner. Further, it is uncicrstOOd that I/we shall subinit prior to a C'.crtificate of Uccup• my or Certif�tcale of Compliaoce Lwing, issued , ant AS BUILT PLOT PLAN by a licensed sutrocy dratwn to sc' v, shawin * cit ' loc:at ion of project oil premises. Signature, owner, awiter s gent , arrchitccl, contractor) FIRE MARSW& TOWN OF QUEENSBURY QUEENsBURY, NY i 28'D4 (518) 761-8205 FIRE MARSHAL INSPECTION REPORT pERMIT #q7 ,/d REQUEST RE 'VED NAME LOCATION N SCHEDULE INSPECTION O AM pM ANYTIME APPROVED N/A YES NO EXITS --- - AISLE WIDTHS EXIT SIGNS EMERGENCY FIGHTING FIRE EXTIN UISMERS FIRE ALARM YSTEM FIRESPRINKL Sy FIRE SUPPRES SYSTE HOOD INST TION INT IOR FINISHES S ORAGE: CLEARANCE To SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE CHIMNEY yvooc) STOVE FIREPLACE - MASONRY FIREPLACE - FACTORY BUILT OK TO THIS DATE REMARKS: INSP TOR RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 7614256 Date inspection request received' Building & Code Enforcement Dept. of Community Development Arrive ' ' �1 Town of Queensbury Inspector's Initials 742 Bay Road Queensbury, New York 12804 NAME PERMTr # J LOCATIO-4N DATE •r— TYPE OF STRUC'I'UKE NIA YES NO COMMENTS Chimney Heightf 1131, VentIr rest Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" to 36" Exterior Handrails, balconies, landing 18 in. or more Interior Handrails stairs both sides 3 or m sers Grade 2% away from foundation V clearance to sill plate Gas Valve shut-off e or 18" a ve grade. _.. Gas Furnace shut-off wi 30 f t or wi i line of site Oil Furnace shut-off at en to area Furnace/Hot Water Heater o Relief Valve(s) installed Headroom, 6 ft. 6 in. on Basement stairs, 6 ft- 4 in. Handrail exterior stairs both sides more than 3 risers Interior privacyltrirn/doora/main entrance 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies TAnding 18 in. ar more Railing across window in stairwells Smoke Detectors every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofing Oarage penetrations Sealed Furnace in separate room protected f in garage) Light ventilation per room Safety ,glazing 18" or less from floor final Electrical Site Plan/Variance required Final Survey Plot Plan As Built Septic System layout required Oltav to issue CIC (Certif. of Compliance) Okay to issue temp. CK) (Certif. of Occupancy) Okay to issue permanent CIO (Certif. of Occupancy) 1 1�1111AiL 1V*JS1==="C3r4j1 FmWaG3FE4 Mcmn.E / MO0UL=^1% Town of ©ueensbury Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 (518) 761 -8256 ARRIVE: DEPART; ° INSP DATE INSPEC"ON REQUEST RECEIVE NAME: DATE; t b r I' —qls PERMIT # M0131 IK 290ME MOENJILAR HOME F4DCMNGS FOUNDA7110N SA('ICFILL _ FRAMING . NIA YES NO i. foundation support, er sPacing per manuf. — 2. anchoring Per manuf.. . .. .. .. .. . .. . 3. water lire shut, off .. ... .. . — 4. sewer line support a 4 fee ... 5. heating crossover (dblewi o 6* dryer vented. outside - 7. skirting ventilated .. .. . .. ... 8, hot wa 'ef valve outside 10. furnace llwt water ,r 11. garage fire Imw 12. door closers .. .. 13. plumbing fixture .. .. .. .. .. ... .. . . . . . .. 14. foundation insulation (if aPPI.).. .. .. — 15. smoke detectors .. . .. .... .. .... . . .. . . .. 16. final electrical . .. ... .. .. .. .. .. . . .. .. .. 17. variance required . . .. .. .. .. .. .. . . .. . . . 18. data plate okay .. .... . .... .. .. .. .. .. .. 19. mobile HUD seal okay ... .. , .. .. .. Model # In Serial # Manufacturer _ y'�7 i L! `�' Bate of Manufacturer OKAY TO ISS(.3E C10 YES NO ComnnAwrits! fv� ��1'►J COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC. Main Office 357 Ehtyn Ternee — Manheim, PA. 17545 4 ?j f Z� MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Panel Board No. ....,ry........... . . Ce�rtt- ,5�,,2�, 8 6 3 Cut-in Card No. .. ...... ... . ... _. Owner . .. .. .,/�...�<4!�.�'� . .. . . C:...'-44'1 �. ...........--- . . . I --- ------- .. ..... .. . . . .. . . Occupant ... ...... . . . . . . .. . . . . ..... .... ............................. . ... . .. ...... . ... . .............. Location ... . .................................... ....y, ., . . . ., ..+. .,..,.-..................... .. .. .... .. .. . . . . Installation Consisting of .. �f pGE1 I .� ._.._ ..._.... . . . .. . . ..... ...... .......... . . .. . . . . . . . . . .. .................. ... ... . .. . . . . .. . . . . ...•---- . . ................... . . ... .........,.---------.,, . . . . ., ., .. . .. ... ... .. • ......,, . . . . . . . . . . .... .... ,....... .. Installed By . 6- -- Lie ..... . . . - . .... .. The conditions followine, governed the issuance of this certificate, and any certificate previously issued is ca nee kled: — This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment OF alterations, application shall be promptly made for inspection, Inspectors la of this Company shall have the privilege oftt tg i t any t if iLv rules are�tfvfi..�olated�,?the CQom n shall have the right xo revo t cert . ................. ...... ... ...............�--- Me.mber N.F.P.A.» f.A.E_f_ GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received-. Building & Code Enforcement Gary Road Qu In spd r'spart l ~ eensbury, NY 12844 Arriv� a ep t ecto ` NAME: PERMIT #! c LOCATION: - } TYPE OF STRUCI. ,RECHECK NIA YES NO CO NTS Footings/Picrs Monolithic Pour Form 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/'Wal 1pour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-ln Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walis R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing .lack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier_ Fire Separation 1 , 2, 3. hour Penetration Sealed Fire Wall 2. 3, 4 hour Firestopping 3 TOWN OF QUEENSBURY j BUILDING A CODE ENFORCEMENT 742 Bay Road Queensbury MY 12804 j (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSIMTION Name i Location Date Permit # SOIL TYPE: Sand- Loam- Clay- Results of Percolation Test- ( if applicable ) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD : Total Length Length of each trench Depth of trenches Size of stone SEEPAGE PITS : Numb r- Size - fto t . stone size PIPING : SiBldg . to Tank rc ze ype Tank to Dist . Box Dist . Box to Fie /Pit` Openings Sealed ? "� ` LOCATION/SEPARA 14:: ^ Na rt� a Foundation to nk feet Foundation to bsorption feet Separation of Pits feet Conforms as per Plot Plan Y�e s No LOCATION OF SYSTEM ON PROPERTY: ( circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS SYSTEM USE APPROVED : + Arrived: • Depa - - Bui spector TOW OF WEEMSBURY BUILDING & CODE ENFORCEMENT 742 ns Say Road Queensbury NY 12804 (51S) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION f� '77 4 Name Location _ - � Permit # Date � J (� SOIL TYP Sand- oam-cl Results of Percol ati n Test- ( if applicable ) Rat Minute/Inc 1 TYPE OF SYSTEM: ABSORPTION FIELD : T tal Len tlp Length of each tren hl Depth of trenches Size of stone SEEPAGE PITS : Numbe size fto x t ' Stone size e PIPING: Si ...`'fyp !� Bldg . to Tank ! Tank. to Dist . Box k �+ Dist . Box to Field/Pit o artla openings Sealed? Yes LOCATION/SEPARATIONS : f,+`Q feet Foundation to Tank feet Foundation to Absorpt4 n feet Separation of Pits es Na Conforms as per Plot Plan es LOCATION OF SYSTEM ( circle 'Fi�arr' - Le Side - Ri t Side Front Middle Front - Mi dle Rear COMIMENTS �.4 i ) SYSTEM USE APPROYEDO YES NO , " Arrived : ` Departed : p . for GEIVERAL INSPECTION REPORT ► Town of Q►ueensbury Date inspection request received: Dept. of Community Development Building & Code Enforcement 742 Bay Road Depart Queeosbury, NY 12804t Arrive MM 's paI[nspectoriniti NAME: PER?ATT # Ic LOCATION: 1 __ TYPE OF STRU t' RECHECK N/A YES NO COMMENTS ungs/Piers� k )onolithic Pour Form VReinforcement in Place The contractor is responsible fo providing prole wtion from freezin for 48 hours following the placernen of the concrete. Materials for this purpose on site Foundation/Walipour Reinforcement in Place F'oundation/Damipproofing Back£ill Approval Plumbing Under Slab Plumbing Vent/V�Mts in Place Rough. Plumbing_ Heating Rough-lr Insulation. Foundation Walls Interior R. Foundation Walls Exterior R- Floors R- wails R- Ceiling R- ,a $ Duct work or piping in - unheated spaces R- Proper Vent, Attic Vent Framing *. Jack Studs/Headers Bracing/Bridging (( Joist Hangers_ " tv� vg�_ jack PostsfMain Beare Air Infiltration Barrier Fire Separation 1 , 2, 3. hour Penetration Sealed Fire Wall 2. 3. 4 hour. Firestoppin,g Clu Town of de Enforcement Building & Code Enfaraerce ment 742 Bay Road pueensbury, NY 12804 (518) 761-8256 qg yE; ' 11 DEPART., INSP; DATE INSPECTION REQUEST RECEIVED: NAME: LOCATION: DATE: PERMIT # 2 IMI<OSMS Home MODULAS HO a f;0a WGS poUNDATIDN RACKFML INCH N/A YES 140 1. foundation support, pig ing per manuf, 2, anchoring per rnanuf. .. . . . . . . .. —. 3. water line shut, off . . .. .. .. . . . .. .• 4, newer line support C4t;1 4 fee . . .. .. . 5. heating crossover (dblewide off grd 6, dryer vented outside . .. .. .. ... . .. .. ... . . 7. skirting ventilated S. hot water relief valve piping - - 9. deck, porches, sue, railing .. . . .. 106 f nmacelhot water operating — - - 11, garage fire proofing I. .. ... .1 .. . .. -- 12. door closers .. .. . .. .. .. .. . . . . . .. . .. .. 13, plumbing fixture . .. .. . . . . . .. .. .. .. . 14 foundation Insulation (if a ). . ... 15. smcke detectors .. .. .... . . .. — 16. final electrical . . .. .. . . .... . .. .. .. .. . j 17. variance required . .. .. . I . ... . . .. .. .. . 18. data plate okay .. ... .. .. . .. .. . .. .. .. . 19. mobile HUD seal oka �— -- I Model # serial # Manufacturer Date of Manufacturer OKAY TO ISSUE CIO YES NO Comunents: -e {J -v`i► ryp Gt "C I } ..�1 a. Cr t tL f -_ J Mr. QLU l 9 ra C Cl) Z C\l r a } Z co } z io _J � 43 ! I �( i >a N a ODTOWN[ _ Or FILE COPY TOWN Of QUEENSBURY BUILDING DEPARTMENT Based on our limited examin4on, compliance with our comments shall not be construed as indicating the A( plans and speOications are in full compliance with the code _.. _ ��___�_ _ ._ _--_-_v.. --- .... _ -- _�_ _ - _ --- y� -. 1 a a o � a s • a Lcwwr 11449 � MRS W��yp,) rL �T E 13 1 9 WIN 2049 4 W5 COWWOoUs+ VP Sox) i; ��. �..nr .+ter► .,�rr...r� tom+ E:l Eil i =T -r 2X bq&Lmz 4 zs & O'14 ci s j ill { � _ . � � � .. ,._.. ]._.. _! MMMMM 1 i „” ti+ ri T � { T k � � r