97-356 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
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Date August 4 19 97
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This is to certify that work requested to be done as shown by Permit No. q°71 q A
. has been completed.
This structure may be occupied as a MOBILE HOME
64 MASSACHU SETT S AVE.
Location
Owner IHARRINGTON- WILLIAM
By bider Town Board
TAX MAP NO. 128. -3-11
TOWN OF QUEENSBURY
r
Director of Bldg. & Code Enforcement
BUILDING PERMIT
VALUE $ 35000 TOWN OF QUEENSBURY No. 97356
TAX MAP NO. 128. -3-11 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to WILLARD. BIRNEY R./Ha rri ngtnn, William
OWNER of property located at 64 MASSACHUSETTS AVE . 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
64 MASSACHUSETTS AVE.
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDERS Name
3. CONTRACTOR or BUILDERS Address
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)
MOBILE HOME
( )Wood Frame ( 1 Masonry ( )Steel (
7. PLANS and Specifications
952 StP•FT MOBILE HOME AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
MOBILE HOME
35 June 30 19 99
$ 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 Queensbury before the expiration date.)
30 June 97
Dated at the Town of Queensbury this Da of 19
SIGNED BY (CaWes...%
for the Town of Queensbury
Building and Zoning Inspector
I
• TOWN OF QUEFNSI3 UIZY
•
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REVIEWED BY: • UV
FEE PAID: $
PERMIT NO. y= ;
APPLICATION FOR PERMIT
MOBILE HOME OR MODULAR 97 -i35(e)
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: ( ( �� ( 1
ffi0e0ek..(5,kto,UPhon
!P.O.. Address: Ll-i2--er.20 e %- es "umber ( 1
• 7 z �-yc c_;
Property AA
0Sei --- /d(
iax Map No.�'� ` ®
NAME• OF APPLICANT: go
9 3P`- ; Yam,
Address of Appl icant: (OF; 1A t ,
th,L.C.6,a.64Ccce_f\-)sj‘
All applicants spaces on this application MUST be completed and the
sitlnature of the applicant MUST appear on the reverse side of this appli
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING COD S:
• JUN.•271997 .
MOBILE HOME INFORMATION [ Q4"U]NGANC3 �-
9$;......) APPROXIMATE VALUE OF HOME: $ V01)(5.
New home4100 No
ZONING INFORM
ATION:
Replacement home 6-5)No
Size of Property: ft x ft
Size of mobile home j`( -ftx gft
/ Existing Buildings:
Singlewide 1/ Doublewide _
No. of rooms Proposed building-distance from property line:
(exclude baths) ,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 car /two car car)
Attached garage (one car /two car car)
piers-No. of Size ft x ft Storage building —"
Other
Depth below grade ft
* * * * * * * * * ,k ,k * * *
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? _ i'v-a
Grade to home floor level ft.
FURTHER INFORMATION REQUESTED ON THE REVERSE SIDE OF THIS SHEET
NAME OF INSTALLER/MOBILE HOME DEALER: �Q ,L4_ 2_�; /(
ADDRESS/PHONE NUMBER 3 c ��- a21 ,T 6(.2e.ri Z j& u /
STATE OF NEW YORK DIVISION OF HOUSING AND COMMUNITY RENEWAL
INSIGNIA OF APPROVAL OF THE STATE: ILD NG CODE
pfetivx
-
1. Insignia serial number
2. Name of Manufacturer ( 1f-Na _'' 14arrke
3. Plan Approval Number
4. Model or Component Designation f\J LL) /
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 51,:AA-C. C.X-45L-g—N---__
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)
),i,).•4. ,),•c?•,.4',)_,•i)•ka•:la,c..??,.Ca".CJ,•X)•.0 V!:),,'.l• a l).•,l_•.o_(:).n k')N: ,e."1:J.•ti?,i.),. _• AN:.•._:?,. x,,I�•_lx�1715t1:37,C21:2 ti)• a•.lJ_Jfi9_"._l'J.•_l' •h.,t1:• ,:".:e,:'),!: •,la•Ae,C,S',c
THE NEW YORK BOARD OF FIRE UNDERWRITERS pA.45 i fr
:^' {rf-ti(7•`'?zr3`-9 BUREAU OF ELECTRICITY
I
j; 111 WASHINGTON AVE., SUITE 704, ALBANY, NY 12210 ----LL ''
JIIF¢r '..1Cl'i i 2't "yr i !/ 92 If
• Date Application No.on file 7 tt9 � I),
. THIS CERTIFIES.THAT
• only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of IY
WILLI M HARRINGTON, 64 {'IA7r3F f:'1•li]Sin spr 111E. , QUI.IEN CJM. D A. y
• in.the following location; ❑ Basement ❑ I st Fl.. ❑ 2nd FL OUT Section Block Lot Y
-+ JUI.31' 21. king" y
S�; was examined on _......,...___and found to be in compliance with the National Electrical Code. ,�
FIXTURE ECEPTACLES SWITCHES FIXTURES -v. .' RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS I
is OUTLETS INCANDESCENT.FLUORESCENT OTHER..-.::::„.AMT. K.W. • AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
-Q f 1
, . .i. /.. „v,.� V h
•.-. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS I}
i.<•
'. AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OFF FEET AMT. WATTS '
4
i
Y
Y
SERVICE_DISCONNECT NO.OF S E . R V I C E ;
1 AMT. AMP. TYPE EQUIP. 1�'2W 1,i!3W`3�'3W 3,fD'4W NO.OPERi%COND. OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL '>
• 'i
' OTHER APPARATUS:
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ii' h'E!al. WR; 1 17:4 1,i VP.0 i t.l''F TOOR-1
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•�. ''."1 •� •.:z.:'- ... `- I
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ik. u:11 i,3s:F.1`1.i ,1+;F![ 3€atr`iY)t:! ,`JJ>kat.' �L.rf
�' (��l �i�SL� i�..l";€I;P`1''1:�, rlrl'i. •,.„y �,�,^s� '.R' L' , rY
., (';�1i1';U$lw:iEItik`I, tIi. I.'804 ` �_.�r tie 1 i GENERAL MANAGER 'y
. - ii Y
' Per '� n.• 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. ;
'i'ie, i.crm•tat rA tiV:rai re iAi lio tw iii-iiriafy 7AC^r iii Yidlei—iti'YAYIiiYJiii'ie."iifY.f Yaf'YAiAGY"A(YAf'iai YAfYi(:%•Y.4i-ffi'ii,riiiiYAYYai YAfY.YYiiY7.C1'ide-CieY.YYiYa•'f Ysi"iiiii LY.Yi ll
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
FINAL INSPECTION REP e.FIT
MOBILE / MODULAR':.
Town of Queensbury
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804
p18) 761-8256
ci
ARRIVE: ft l s DEPART:l '(INSP: v
DATE INSPECTION REQUEST RECEIVED:
NAME: lik1Z21 -6T-64-1)
LOCATION: Q Ave
DATE: PERMIT# 77 35p
MOBILE HOME MO.IeULA" HOME
FOOTINGS FOUNDATION _ BACKFILL_ FRAMING
N/A YES NO
1. foundation support, 'el'spacin
per manuf.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 pipin 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 #
Manufacturer
Date of Manufacturer
OKAY TO ISSUE C/O IL—ES NO
Comments:
c;c-G-- D S L)P 5
FINAL INSPECTION REPORT
MOBILE / MODULAR
Town of Queensbury
Building & Code Enforcement
742 Bay Road
Queensbury, NY 12804
(518) 761-8256
ARRIVE:/ ,t' DEPART:it`255NSP /P-6
DATE INSPECTION REQUEST RECEIVED:
NAME: kgek. 6.-vo rd
LOCATION: f-S5. , Ave .
DATE: e V"1 L�•17 PERMIT R7'"
M® :;ILE HOME MO !MAR HOME
FOOTINGS FOUNDATION BACKFILL_ FRAMING
N/A YES NO
1. foundation support, pier spacing
per manuf. — —
2. anchoring per . f.
3. water line shut off
4. sewer line support
5. heating crossover (db •wide) off grd.
6. dryer vented outside
7. skirting ventilated
8. hot water relief valve piping outside
9. deck, porches, steps, railing — - / _
10. furnace/hot water operating V
11. garage fire proofing yf j
12. door closers �/
13. plumbing fixture V —
14. foundation insulation (if appl.)
15. smoke detectors
16. final electrical
17. variance required _
18. data plate okay
19. mobile HUD seal okay _ IJ
Model # Serial #
e,
Manufacturer itL�(J l,c7O5
Date of Manufacturer
OKAY O ISSUE C/O YES NO
Comments: Co Y1,Le>L yC— 6(4.(4.i tk f A'
0/4}‘
7 tJ64)T D Gii/AT/A.) Pie
Cyr$ AQjLkO//lJ&
(s K t aTI A-1 Al vsj& tk,,0760)
6t,_,_ oAntiii) VA) 773 ",\/2-6
7�� e34;
FINAL INSPECTION REPORT
MOBILE / MODULAR
Town of Queensbury
Building & Code Enforcement
742 Bay Road pt./ „,
Queensbury, NY 12804
(518) 761-8256
r O
ARRIVE:f, DEPART:pa'il3 INSP:
DATE INSPECTION REQUEST RECEIVED: 7 7`
NAME: furd 6 -111ZEIN
LOCATION:
DATE: 7 , S PERMIT
MOBILE HOME MODULAR H:%.ME
J
FOOTINGS FO NDATION BACKFILL_ FRAMING
N/A YES NO
1. foundation support, p. r pa g f
per manuf. — —
2. anchoring per man f. — ✓
3. water line shut off —
4. sewer line support @ 4 feet V V —
5. heating crossover (dblewide) off grd. v
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 W. V.c.1 '22 _ ✓17. variance required18. data plate okay —
19. mobile HUD seal okay
Model # Ai t 72 2-5 ; �S 1'S# (q r1�
Manufacturer (6_�W.fCA)
Date of Manufacturer I -` 5L1/
OKAY TO ISSUE C/O YES ✓ ISO
Comments:
ROBERT W.HIS.P.E
STRUCTURAL ENGINEER
31 ARBUTUS DRIVE
QUEENSBURY.N.Y.12804
ROBERT W.HICIQN.P.E. TELEPHONE
PRINCIPAL (518)793-9750
To: Mr. Sam Wahnon December 17, 1996
Glens Falls Mobile & Modular Homes, Inc.
39 Saratoga Road
Gansevoort, NY. 12831
Ref: Anchors for Modular Homes
Dear Mr. Wahnon:
As you requested, I have reviewed your alternate anchor
system being used in a Queensbury Home. Each anchor is formed
by a vertical strap from the main rail to a 5/8inch expansion
sleeve anchor installed in the concrete footing which supports
the block piers.
With the anchors directly below and into the concrete foot-
ings, the piers become an integral part of the house and adds
resistance to overturning due to wind.
It .is my opinion that the strap anchors installed verti-
cally into the footings and next to the block piers will, stabi-
lize the house as well or better than the diagonal straps
connected to ground anchors.
If you have further
questions please feel free to call me.
Respectfully submitted
Robert W.Hickin, P.E.
Structural Engineer
3LS-(3,
JUL 21 1997
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TOWN . OF •Qt3F945BURY I N OF i EENSB11• BUILDING DEPARTMENT
Ba. ' on OW • F.:i esami,.Ir.
LD O. . DE. f c ilianc• with ,ur co, e 1,. sh
no e •instrue i a ' dicati e -
REV ED, pla s and specifications are in full
PATE 1 -2- . compliance with the code.
/ .
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