97-013 Ct
4
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date September 29 19 97
This is o certify that work requested to be done as shown by Permit No. 9701
has been completed.
MOBILE HOME
This structure may be occupied as a
LOT 80 HOMESTEAD VILLAGE,
Location
Owner HAYES , FRED ,
TAX MAP NO. 93. -2-t 1 . 1 By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code:Enforcement
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date August 29 1997
This is to certify that work requested to be done as shown by Permit No. 97013
has been completed.
MOBILE HOME
This structure may be occupied as a
LOT 80 HOMESTEAD VILLAGE
Location
HAYES FRED
Owner
TAX MAP NO. 93. -2-11 . 1 By Order Town Board
TOWN OF QUEENSBURY
•
•
Director of Bldg. & Code Enforcement
•
BUILDING PERMIT •
VALUE $ 1600P1 O vv N OF QUEE.NSBURY No. 97013
TAX MAP NO . 93. —2-11 . 1 WARREN COUNTY, NEW YORK •
PERMISSION is hereby granted to HAYES , FRED
OWNER of property located at LOT 80 HOMESTEAD VILLAGE Street, Road or Ave.
in the Town of Queensbury,To Construct or place a MOBILE HOME
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.
1. OWNER'S Address is
LOT 80 HOMESTEAD VILLAGE
OUEENSBURY, NY 12804
2. CONTRACTOR or BUILDERS Name
GLENS FALLS MOBILE HOME INC .
3. CONTRACTOR or BUILDER'S Address
39 SARATOGA RD
GANSEVOORT , NY
4. ARCHITECT'S Name
NEW YORK BOARD
5. ARCHITECT'S Address
NEW YORK BOARD OF FIRE UNDERWRITERS
6. TYPE of Construction—(Please indicate by X)
( 1 Wood Frame ( ) Masonry ( 1 Steel
MOBILE HOME
7. PLANS and Specifications
70 ' N° 14 ' MOBILE HOME AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
MOBILE HOME
$ 35 PERMIT FEE PAID —THIS PERMIT EXPIRES January 24 )9 99
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 24 Da of January 19 97
SIGNED BY 1u for the Town of Queensbury
Building and Zoning nspector
:� t'.'.! r, �,�:1• :;c/. l•
. . • JAN 17 1997
TOWN OFQUIJENSI3UIZ1' L =,�ar�du�;c,��
REVIEWED BY:
FEE PAID:
PERMIT NO.
APPLICATION FOR PERMIT
MOBILE DOME 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
{j .z f4CXs property is: (L,0,.e.A__
Cf4):Jk"---(
P.O. Address: C_(,L A_v 0 Phone Number cI 2 2_ `7
Property Location Tax Map No. / /
_ NAME OF APPLICANT: c /La / 4
•
Address of Applicant: ( . ����
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 RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES:
MOBILE HOME INFORMATION
04
APPROXIMATE VALUE OF HOME: $
New Home • Yes 6c;:,
ZONING INFORMATION:
Replacement Ilome401510 o
Size of Property: ft x ft
Size of mobile home ftx/L[ft
Existing Buildings:
, / i •
Singlewide V Doublewide
No. of rooms (exclude baths) Proposed building-distance from property line:
s • Front Yard ft Rear Yard ft.
No. bedrooms Side Yards ft and ft.
No. of bathrooms Occupancy Information: •
Primary dwelling: Yes No
Fireplace ----Woodstove
Accessory Building(s) :
Foundation style and size: Detached garage (one care_/two car car
Attached garage one car_/two car car)
Piers-No, of Size ft x ft Storage building
Other
Depth below grade . ft
* * * * * * * * * * * * * * * *
Foundation-Footing size " x•
Proposed date of placement:
Wall material
Wall thickness " Height " Water Supply: Well . Municipal
Total depth below grade ft. Septic permit required? /U 1
Grade to home floor level ft.
FURTHER INFORMATION REQUESTED ON THE REVERSE SIDE OF THIS SHEET
NAME OF INSTALLER/MOBILE HOME DEALER: J ' P. _.$(—& O • .,
,� p r
ADDRESS/PHONE NUMBER �j� 2 eV` 7
STATE OF NEW YORK DIVISION OF HOUSING AND COMMUNITY RENEWAL •
INSIGNIA OF APPROVAL OF THE STATE BUILDING CODE
1. Insignia serial number 573 F 3
2. Name of Manufacturer KI
_4-cj9
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 bq 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 authorized by the owner.
Signature ardeAl
�'��--
Owner, owner' s agent, architect,
contractor
SPECIAL CONDITIONS OF . PERMIT:
By
Code Enforcement Officer
DECLARATION: Please sign below after you have carefully read the statement.
To the best of my knowledge 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 noted, and
that such work is authorized by the owner. Further, it is understood that I/we shall submit prior to a
Certificate of Occupancy or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; drawn to scale, showing actual location of project on premises.
Signature:
(owner, owner's agent, architect, contractor)
,. ;
Fred Hayes
BLDG. PERMIT NO. 97-0t3
APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY
A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property
located at; . Lot 80 Homestead Village
for the following uses: Mobile Home
'
DATE SIGNATURE OF APPLICANT
TEMPORARY CERTIFICATE OF OCCUPANCY
The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby ()APPROVED
( )DISAPPROVED
with the following conditions: Certificate of Occupancy to be
issued upon completion of : Anchoring of Mobile Home, Dryer
Vent, Skirting and plumb hot l Zter Relief Valve.
•
TEMPORARY CERTIFICATE OF OCCUPANCY FEE: ( 410.00 DEPOSIT: 0$100.00
received on .3-r /1- / `'D _i i Gi fl C
Date of Issuance Director of Bldg. & Code Enforcement . -
THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES 60 DAYS
FROM THE DATE OF ISSUANCE.
NOTE: This Certificate is NOT VALID unless signed by the Director. of Bldg. & Code,
Enforcement or his designee. .
. 'l%atAA :,.,9-P"J:).n.)..,_.n..)% ,...eP,,.Cad._l'J.PV,1,9.C:?•.. \1-•:,,,:A.,1:49,: Cad.C"J. ..).sn.)_n .A?._).tC7...:4t1:a.N.,n4_.4t.4.:"J:4:1n),. ._l'a.ILLn•LP-!Z4'.)."-'.).n.,9al.1n.Allt M›..P:',..C7 ,&)- .,..Se4C4•;
THE NEW YORK BOARD OF FIRE UNDERWRITERS L.'`'j_;F';
0113
�, BUREAU OF ELECTRICITY
111 WASHINGTON AVE., SUITE 704, ALBANY, NY 12210 lgra y
-t' t\fJctP :,rr '', l_`.97 4152 #ec 7/9 Y #; .1.'16 7 I�
ik - Date Application No.on file_ -
!�. THIS CERTIFIES THAT t 1.�1.lJ NO, �31. , r
'�c only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of :r
ii
i, j'ED H iYEi , 1.4JuE IiNL 1 O; ';EUtLiNLiF;.'TJI ?. N.Y. •
i
ih
.22 in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. Oirf Section Block Lot
was examined on 'o.f!;1JS ')ei ti.f 49r; and found to be in compliance with the National Electrical-Code._ '.1
FIXTURE SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ;r
W, OUTLETS INCANDESCENT.FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. MEM!
1. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS r
' AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS.al H.P. NO.OF FEET AMT. WATTS '}
-Ail Ai
W SERVICE DISCONNECT NO.OF S E R V I C E
t. a
AMT. AMP. TYPE METER L�,4W 3W 3.0 3W 3,e'4W NO.OF CC.COND. A.W.CO.
NO.OF HI-LEG A.W G. NO.OF NEUTRALS A.W.G. i
EQUIP. PER B OF CC.COND. OF MI-LEG OF NEUTRAL '.
j, OTHER APPARATUS: ':11
-c 'r
1.6 Y
aj'
•
y
,
' q'
.2 1
1...
r
,� .T.Ei"11,.i .1'O l y * $; GENERAL MANAGER ,y
GttN ;f!;47{t JR`i', NY, !.'« 3 L �r.C�� R' =t? 2 ;9 r
. a5 Per '.
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. ;y
f`iai'i,,iaai-,iCryl -4-c4-`ip-4?-4f•%Ai-ieCis?ii(%(i'/fit YAi-i i isTriaf YAj iti- YAi-rre.9Ai7i,?5 fYe;iai-gai•ia•is\-i,e.i'CYAZY"Y,YAYYa.'C7e4-1:Y.\'YaYYAYYaG:rai',?:iei'AYYeYYAKYAY'%.(Yai'iii' et-
- COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
,7
. • FINAL INBPECTION RePliZERfir 0 - U(--)
MOBILE / MODULAR
Town of Queensbury
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804
(518) 761-8256
ARRIVES1P DEPART:3 :/0iNsp:\--12e.-----
DATE INSPECTION REQUEST RECEIVED:
r -1
NAME: 4.44e6--)5
LOCATION: LI-go 140/14- 7-61-tO V t 4-- -
DATE: -2-"' "''' 77 PERMIT# ep- 6 1
.... -)
MOBILE HOME MODULAR HOME
FOOTINGS FOUNDATION BACKFILL FRAMING
N/A YES NO
1. foundation support, pier spacing
•
• per manuf.
0 anchoring per manuf. ... —
3. water line shut,off .... . _
4. sewer line support ®4 f:...- — — —
5. heating crossover (kdi - ,;:b off grd.
— .1 —
dryer vented outside
skirting ventilated
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 :;41....
16. final electrical :,-46:(0..-. .. )...44i6
17. variance required ___ —
18. data plate okay — — —
19. mobile HUD seal okay —
Model # ' Serial#
Manufaaturer
Date of Manufacturer
OKAY TO ISSUE C/O YES NO
•
Comments: CAA -TO C _cx.)--\- (ev4\P
0
/
•+ TOWN OF QUEENSBURY 1
, ,,sf µ BUILDING & CODE ENFORCEMENT
vM1 4
f / 742I BAY ROAD
, ;+ QUEENSBURY NY 12804
. =?1•'; (518)745-4447
ARRIVE: 3 • DEPART: '20s INS+P:�
c,
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECT ',N REQUEST RECEIVED: f
NAME A y
LOCATION L s d - J 1,' ` 4._
DATE e/ i ` 61-7 PERM T # / —C)
TYPE OF STRUCTURE I
FOOTINGS FOUNDATION _ BACKFTLL _ FRAMING
ROUGH PLUMBING; SEPTIC _ INSULATION •
FINAL ELECTRICAL WOODSTOVE pit FIREPLACE _
� N/A YES NO.
CHIMNEY HEIGHT/1B VENT/HEIGHT
PLUMBING VENT t _ •
ROOFING 1,
I - -
EXTERIOR FINISH ','••
i
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES _}'
i
FURNACE/HOT WATER OPERATING ,
p
INTERIOR TRIM/PRIVACY DOORS
• FINISH FLOORS: •1
BATH/KITCHEN WATERTIGHT
OTHER FLOORS 'SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILT`INGS
SMOKE DETECTORS
BATHROOM FANS I
PLUMBING FIXTURES 1
•
FOUNDATION INSULATION `
/1
GARAGE FIRE PROOFING \!�
D OR CLOSERS II CF
FINAL ELECTRICAIL `�. V///
11
SITE PLAN/VARIANCE REO.
FINAL SURVEY/POT PLAN /
id/
OK TO ISSUE C% OR C/C
C 6-G—C - 2 O I CC— /(A)cU f,G,/A.'G e6u GEC
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT - '
742 BAY RD. , QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR DEPART INT
REQUEST FOR INSPECTI RECEIVED: y' !.
NAME
LOCATION f r91.4
DATE �7 �� PERMIT A / - o/3
TYPE OF STRUCTU E:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESP NSIBLE FOR
PROVIDING PROTE TIOH\ OM FREEZING
FOR 48 HOURS FOLLOWIPIf THE LACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURIOSE ON SITE_
FOUNDATION/WALLPOUR ! _
REINFORCEMENT IN PLACE _
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE ..
ROUGH PLUMBING .
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
FINAL INSPECTION REPORT
MOBILE / MODULAR
Town of Queensbury
Building & Code Enforcement
742 Bay Road �`
Queensbury, NY 12804
(518j 761-8256 f,
6
ARRIVE: f A EPART: INSP: J Vi
DATE INSPECTION R•QUEST RECEIVED: P
NAME: 1 l
V
LOCATION: 4'1 go6/Piridie4W1
DATE: 7 /� PERM Il /7-"O/3 )
MO>:.ALE +=+ARE 1 MO UI ,+;R HOME
FOOTINGS _ FOUNDATI ON —
BACK'ILL—
FRAMING
. / N/A YES NO
1. foundation support, pier spacing
/
per manuf.
2. anchoring per manuf. .. ......../...
3. water line shut,off ...
4. sewer line support 0.4 f t
5. heating crossover (dblewi le) ff 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 operating . _ _
11. garage fire proofing t
12. door closers - \ . - _
13. plumbing fixture
14. foundation insulation (i appl.)... .. _
15. smoke detectors _
16. final electrical _ _ _
17. variance required
18. data plate okay
19. mobile HUD seal o y
Model # • Serial#
Manufacturer
Date of Manufactur r
t t
OKAY TO ISySUE C/O YES ', NO
Comments: ,cieG/wc4 / ��Gl‘,/ AA I.f/er�
` rA
- y z/: UBiz' /t/e i pliera ,5 1<-4
al L pr renef /mac/t Aeb /44,4
FIMAL INSPECTION REPORT.
MOBILE % MODULAR
Town of Queensbury
Building & Code Enforcement
742 Bay Road Fac-14
Queensbury, NY 12804
(518) 761-8256
ARRIVE: DEPART:/ INSP:
DATE INSPECTION REQUEST RECEIVED: 6,'"(726/- ? 7
NAME: ��Lam' '"'
LOCATION: bL i� C) P6iNgit,r ( /b
DATE('
0 - 'ri / PERMIT#9 7-V/ J
MOBILE HOME 7 MODULAR H&ME
FOOTINGS _ FOUNDATION _ BACKFILL_ FRAMING
N/A . YES NO
1. foundation support, pidr s t.cing /per manuf.
2. anchoring per manuf.
3. water line shut off ... ...
4. sewer line support @ % fee
5. heating crossover (db ewide) off grd.
6. dryer vented outside — ///i
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 1/
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 # _
Manufacturer
Date of Manufacturer
•
OKAY TO ISSUE CIO YES NO
Comments: itAp.
1/4
PL61 CO/IA iR' /tie'G6SS4-ie
FINAL INSPECTION REPORT
MOBILE I IiVM®DULAR
Town of Queensbury `0°
i\ Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804
(518) 761-8256
9 I
ARRIVE:' DEPART: /-/O i INSP: "
DATE INSPECTION REQUEST RECEIVED:
r
NAME: 4'W-5
LOCATION: La vt 4 c4o ( AC.%
DATE: 5/,-/l7 PERMIT#97 d 3 J
111 :ILE &NCO E "- ' O MO 'ULAR HOME
FOOTINGS _ FOUND 10 BACKFILL_ FRAMING
)
N/A YES NO
1. foundation support, pier spacing /
per manuf. — —
2. anchoring per manuf. _ � —/
ff 3. water line shut,o
4. sewer line support ®4 feet —/
5. heating crossover (dblewide) off grd. ✓
6. dryer vented outside
7. skirting ventilated _ i
8. hot water relief valve piping outside _
9. deck, porches, steps, railing _ d
10. furnace/hot water operating
11. garage fire proofing 7 —V _ _
12. door closers
13. plumbing fixture 7 1 _ .
. foundation insulation (if appl.) —
15. smoo g d tors _ i
6. finaY e(e6Mal ../ i.Nf •i/fr ' _ ✓
17. variance required
18. data plate okay —
19. mobile HUD seal okay
Model # Serial # 57.583
Manufacturer
Date of Manufacturer
OKAY TO ISS10� YES NO
Comments: ( O -/ /G/14.f (.O, o l i/0/JS
CPLErc 5/eiart.v', ite rt�, f eaiP/�� f
�
FINAL INSPECTION REPORT 6 ,
MOBILE / MODULAR
Town of Queensbury •
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804
(518) 761-8256
ARRIV lam-. i EPART: ! [ INSP: +
DATE INSP CTION REQUEST RECEIVED:
r �,{� / 1
NAME: ��7�s 1
/
LOCATION: toll- IN—0 IA4../
DATE: jZ.a 7 PERMIT# 9//Q�3
L / J
It I�?':;ILE HOME , MODULAR H t•ME
FOOTINGS FOUN ATION BACKFILL / FRAMING
�j A YES NO
1. foundation support, ier spacing , I
per manuf. /i _
2. anchoring per manuf.\ �_ / 2
3. water line shut,off \
4. sewer line support ® . feet �/ tl —
5. heating crossover (dblee v*de) off 'd. ti
ti
6. dryer vented outside _ ✓
7. skirting ventilated
8. hot water relief valve pipi g 'tside _ ✓
9. deck, porches, steps, rail'
10. furnace/hot water operating V
11. garage fire proofing ,/. ✓
12. door closers / ✓
13. plumbing fixture ' \....
14. foundation insulation ( appl.).\... t/
0 smoke detectors _
16. final electrical ?�/ll 7 Alit, �/
17. variance required / �\ ' _
18. data plate okay _ _
19. mobile HUD sea okay 2,
p
Model # P l 70 - Serial # '3 63
;7 \
Manufacturer JAI/3c#Z 1
Date of Manuf' turer I I.b61/43 \\
OKAY/ O I0_.____
YES 0
Fiimzfe3nt :
005
�c.0_6_ /7it,c,a,,,,•\ co i
514c ion DR.ceER t}e-NTi.v-cv `f /c \(U41
Teti O,e ii/nCE:
FINAL INSPECT101%1 REPORT
MOBILE / f VICIDULAR
Town of Queensbury •
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804
(518) 761-8256 /
ARRIVE: EPARTZc'55 INSI
DATE INSPECTION REQUEST RECEIVED:
i
NAME: ____Whi_____G�
LOCATIO : L6 jo 6 o, I/ j�
DATE: I PERMIT# r /7 0/'-1
I J
P,Ct ;:ILE ;1`",MIE MO IULAR ®MIE
FOOTINGS .OUNDATION BACKFILL / FRAMING
. \ 4//rA YES NO
1. foundation sup..rt, pier spacing
per manuf. .\
2. anchoring per f.
3. water line shut,off
4. sewer line support C%' 4 feet 1'
5. heating crossover (d.\ewide) offrd.
6. dryer vented outside .
7. skirting ventilated / _ _ _
8. hot water relief valve pit ing •. tside
9. deck, porches, steps, rai \g
10. furnace/hot water operatin,. _ _ —
11. garage fire proofing
12. door closers _ , _
13. plumbing fixture _ _
14. foundation insulation (if-ppl.) ....
15. smoke detectors ..
16. final electrical '? .9.
:01 .... ..4;`. — —
17. variance required .... _
18. data plate okay
19. mobile HUD seal o .y
Model # Serial #
'
Manufacturer j
1
Date of Manufactu j r
OKAY TO SUE C/O YES NO
Comments: . G-� '"1 8 Ce4., '/i2 6642 IA L 4k— (1
513 ,' 4`- o,t) (11/90 rMt&6-
FINAL IIMBPEDTIOIV REPORT
MOBILE / MODULAR
•
Town of Queensbury •
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804
(518) 761-8256
ARRIVE}/O DEPART; '35 INSP:,J 2 6--
DATE INSPECTION REQUEST RECEIVED: !k1 g
1
NAME: 1 r'1'y'' T5
LOCATION: Ler(SC) 4Oin_6-.576/1-1> VIA--
DATE: IV?7 PERMIT# / — 61.
MO:ILE HOME MODULAR HOME
FOOTINGS FOUN'• •N BACKFILL FRAMING
—
N/A YES NO
1. foundation sup.. , pier spacing
per menu
2. anchoring per manuf. _
3. water line shut,off
4. sewer line support ®4 feet
5. heating crossover (dblewide) off grd.
6. dryer vented outside
7. skirting ventilated
8. hot water relief valve piping outside _ _
9. deck, porches, steps, railing - - — 12 -
10. furnace/hot water operating
11. garage fire proofing
12. door closers .1
13. plumbing fixture _ •1
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 # 5-36 3
(133 )
Manufacturer
Date of Manufacturer
OKAY TO ISSUE C/O YES J NO
Comments: v//?
C� ,atOLE:re- A-re/460A)6 � S-k c►2Tl416 !'`)
PRr4'c, '97 .
- mdaE ,4«atv\; 6er T/4)44-
v5/�- •, '13hDd
• 1.
, • •
- , Model 14's 1 i - •
' gi v+Art*.•:::2.1 ',
2., • 404.01ps,,..„.441. i
CAT_H_EDRAL_C_EILINE_STAND_ARD _ iit.....„.• ....,RE , c) 7._ 0
MASTER . . ••.,
; .,,.,.•\
s„. k.,,,:iti:i.,:* •- 3 1
,
SECOND LJVING
1 c*"". ',:'`..,..-•... BEDROOM ROOM lc,4V:0P 47••7•4:1‘.,,, -•••• q.,.. t:i.(,P7-•:- -:•;::'
[M 91. x T5. 13'-e' x 1T-10. A 44+D I N I N G , ' - ° 1"
1 t*: :VS.. i'' •,•••• JA Ni 1
•;.; Sinn IMII • 4 I Irb,
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