IM Inspection Worksheet_28-08-2023_11-58-15INSPECTION WORKSHEET (MANMODFIN-027400-2023)
RC-0347-2023Case Number:Case Module:Permit Management
08/28/2023 PassedInspection Status:Inspection Date:
Manufactured Modular FinalInspection Type:Inspector:Charles Dyer
Job Address:Parcel Number:50 Petrie Ln
Queensbury, NY 12804
308.6-1-62
Company Name NameContact Type
Applicant Cathy Parker
Contractor Glens Falls Mobile & Modular Inc
Granted Permission Queensbury Village
Primary Owner SAMUEL WAHNON
Checklist Item CommentsPassed
Building Inspector Notes False
Final Electrical True
Heating Crossover [doublewide} off grd.True
Anchoring per manufacturer 2ft from ends True
Warranty Seal after January 1, 2006 True
911 Street number True
Installers Warranty Seal True
Wood deck: 2'+ from grade dia bracing required True
Manufacture True Champion
Data Plate okay True
Furnace/Hot Water Heater operating True
Dryer vented outside True
OK to Issue C/O True
Vapor retarder under home 6 mil poly or other True
Hot water relief valve piping outside True
Date of manufacture True 6/14/23
Water line shut off True
Foundation support, pier spacing, per manufacturer True
Model True champion
Serial #True 007-000-HA005917AB
Foundation insulation [if applicable]False N/A
Smoke Carbon Monoxide Detectors Interconnected True
Skirting ventilated 1 sq. ft. per 1,500 sq. ft.True
Manufactured HUD seal okay True
Deck, porches, steps, railing True
Sewer line support @ 4 feet True
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