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2010-526 gift TOWN OFQ UEENSBURY tom742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20100526 Date Issued: Tuesday, May 03, 2011 This is to certify that work requested to be done as shown by Permit Number P20100526 has been completed. Location: PETRIE Ln Tax Map Number: 523400-308-006-0001-061-000-0000 Owner: SAMUEL & VIOLA WAHNON Applicant: ROGER SMITH This structure may be occupied as a: Mobile Home In Park By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the 9 4 //J_ property owner of the responsibility for compliance with Site Plan, L�z� r - Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. ;la TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20100526 Application Number. A20100526 Tax Map No: 523400-308-006-0001-061-000-0000 Permission is hereby granted to: SAMUEL&VIOLA WAHNON For property located at: PETRIE Ln in the Town of Queens bury,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 SARATOGA ROAD Mobile Home In Park $30,000.00 GANSEVOORT,NY 12831 Total Value $30,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2010-526 THIS PERMIT HAS BEEN DENIED: Lot 21 is reserved for Children' Playground. See C.Brown,ZA letter dated Nov. 8, 2010 21 Petrie Ln- 1848 sq ft mobile home $110.88 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday,January 20,2012 (If a 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 Torii xeensy94y;i /t a ,1a rJanuary 20,2011 SIGNED BY A`' ` Vir for the Town of Queensbury. Director of Building&Code Enforcement • OFFICE USE ONLY, TAX MAP NO.) i S`1 PERMIT NO• . /0''52("? DATE ISSUED: 0 PERMIT FEE I"' SI APPROVALS: ZONING TOWN CLERK I44 LA:ti I I MOBILE HOME -APPLICATION FOR PERMIT: 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 issued. Applicant Information Property Owner Information Name: jnigI'VM S/4-t-t D ) Name: 54 AT 4-1415z,d Q Address: Address: J 3a t-P a q 4,111o & k Phone No. 9 �'f $1 2$IO / Phone No. rzei$ 2S 6 I Parcel Information RkX� � ��� Proposed Date of Placement: /154-4° Property Location: Lo ( 2 1 Perri., 2-41)Li-e Road,Street,Avenue �� r Name of Mobile Home Park:(•pp;; lA ll�(L iZ c117((if applicable) Tax Map Number: ) 2I-4 Mobile Home Information Zoning Information Approximate Value of Home:$ J[3 ()TM Zoning Classification: New Home: Yes (M r/Size of Property: (6 ft.by(5C) ft. p � • Existingbuildings: N 0N-E. Replacement Home: Yes o , ,r c} g Size of Mobile Home: 2 g ft. by to i ft. " • Setbacks: front yard ft. rear yard ft. side yards ft.and ft. Singlewide: Doublewide: Number of Rooms: (excl baths) `#' Accessory Building(s): circle Number of Bedrooms: Number of Bathrooms: Detached garage: 1-car 2-car car Circle: Gas Fireplace/Woodstove/Wood Fireplace Attached garage: 1-car 2-car car Foundation Support: Storage building: Yes T •- Size & Depth Other. ©Ne a.. PADS Runners Water Supply: well or m nicipaD Slab Is Septic Permit Required? es or No Contlnued on back 0 Town of Queensbury• Community Development Office • 742 Bay Road, Queensvury, iv x ii u' Name of Installer or Mobile Home Dealer. "ikelk.4...(+(i0/2— 11 -44:1? Alfrgit)-(4"--- Address: f3 6 4 a- s-1 Phone: G q D 2-$ T ( Complete information below found on a`Plate"or Sticker which is affixed to the mobile home: ✓ Insignia serial number. CO20 2 q 4.3 1. ✓ Name of manufacturer: Pc OA Oke .LA IJl 2) sg1-eS ✓ Plan Approval Number. 3c,319'1 -4- 3 63/1 RJ ✓ Model or Component Designation: (New home only) ✓ Date of Manufacture: 1q6/ {a r.n«nnnn.sr._._—._-s_-aszs�-�•:av:r-a:_.z:rs nnr.r •-•- :_:_.__�z.rrael-u_-szcflfl.•:r..r'•- --•-•:.rnr:;y AFFIDAVIT y V M V Town of Queensbury State of New York - County of Warren M J 5 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 s z that all provisions of the BUILDING CODE, the ZONING ORDINANCE, and all other laws pertaining to the proposed work a shall be complied with, whether specified or not, and that such work is authorized by the owner. Signature: Owner,Owner's Agent,Architect, Contractor SPECIAL CONDITIONS OF PERMIT By: Code Enforcement Officer Town of Queensbury• Community Development Office• 742 Bay Road, Queensbury, NY 12804 � r • ' Application for Permit -- Septic Disposal System ( RAW/ of Queensbury 742 Bay li'orul Queenshwy, NI' 12804 (518) 761-8256 1. OWNER INFORMATION: €�) Lo'� Location of installation: Lowe ow e l,uS 19 —`5!!!.".".7. `5!!_.0_ e � SE Tax Map No. /.24�/ � ` �r��, ,�� C1�--1/4 i�7-1-/�CJ e�.. id s Owner's Namo; v q /� � .,... lou. �:;....1.. �(l.l.L..............� Address: ( 3n4 .41-13seVoot2�l r", OWN i)r I 7 U D 2. • INSTALLER'S NAME : G ✓" r S ,1a) t"` r 3. RESIDENCE INFORMATION: (circle year of dwelling, indicate 11 bedroom(,) and multiply II of- bedrooms fbedrooms with applicable gallons per bedroom to equal total daily flow) Year of House: No. of Bedrooms x Compulntion = Total Daily Flory 1980 or older x 150 gal/bdrm = 1980— 1991 x 130 gal/bdrm 1991 —present x 110 gal/bdrm = Garbage Grinder Installed yes / no Spa or Whirlpool Installed yes / no 4. PARCEL INFORMATION: (circle applicable information & indicate measurements) • xov_vxtnulur�S.oil.11ntSt.to___ .C1(u P'%d_Wntor_. __I�.o�liook or.I!r►n►ecvivu.a_M.o.lcr.i.nl_ _Domoslic_Wntor.$ut►i►ly Flat soot/ of whH►t depth of who(►/'p(/i ►at►►lelpr►l Kulllt►f, loom feet feet well Steep slope clay if well; water supply _%slope other from any septic-system depth: absorption is ft. other Percolation Test: (To be completed by licensed prt fessional engineer or architect) Rate: minute per inch 5. PROPOSED SYSTEM: For New Construction: All individual sewage disposal systems must be designed by n licensed professional engineer or architect (unless installed in a Planning Hoard approved subdivision), Md 250 gallons lo Ilrc sil.e of(he septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub. Septic Tank: !Sed_gallon (min. size 1,000 gal) Tilo Field: each trench E4'elOfl, Total System Length: fl• Seepage Pit(s): number of — size of each: �fl, by f1. Size of Stone to be used: // dej t!►or t!ack►u'. x Bed System Size: o2$- r x C 1 Alternative System: length and/or size 01 6, HOLDING TANK SYSTEM: (if required) N/4____ Number of tanks: / Size of each: gallons /TOTAL Capacity: gallons Note: Alarm System and associated electrical work must be inspected by a Town approved electrical inspection agency. RESOLUTION AUTHORIZING MODIFICATION TO QUEENSBURY VILLAGE MOBILE HOME PARK RESOLUTION NO.: 70,2011 INTRODUCED BY: Mr.Anthony Metivier WHO MOVED ITS ADOPTION SECONDED BY: Mr. Tim Brewer WHEREAS, the Queensbury Town Board previously approved the Queensbury Village Mobile Home Park located on Petrie Lane off Warren Lane, Queensbury (Mobile Home Park) and owned by Sam Wahnon(Owner), and WHEREAS, by Resolution No.: 102,2008, the Town Board authorized an expansion of the Mobile Home Park and at that time, as SEQRA Lead Agency, the Town Board determined that there were no involved agencies for SEQRA purposes, reviewed an Environmental Assessment Form to analyze potential environmental impacts of the proposed rezoning, considered the conditions and circumstances of the area affected by the proposed modification, determined that the modification would not have any significant environmental impact and made a SEQRA Negative Declaration, and WHEREAS, by letter to the Queensbury Town Clerk dated January 19`h 2011, the Owner applied for a modification to the existing plan to increase the lot frontage of lot #21 from 55' to 100', thereby reducing the frontage of the storage lot by 45', in order to permit tenants to store their miscellaneous vehicles on the storage lot in the Mobile Home Park,and WHEREAS, before the Town Board may approve the requested modification, it must first conduct a public hearing and the Town Board duly conducted such public hearing on Monday, February 7th, 2011, and WHEREAS, the Town Board has considered the previous SEQRA finding in relation to the current proposed modification and affirms such previous SEQRA finding as the proposed modification does not appear to propose any significant impacts to warrant further SEQRA review, NOW, THEREFORE, BE IT RESOLVED, that the Queensbury Town Board hereby approves Sam Wahnon's application to modify the existing plan by increasing the lot frontage of lot #21 from 55' to 100', thereby reducing the frontage of the storage lot by 45', in order to permit tenants to store their miscellaneous vehicles on the storage lot in the Mobile Home Park, and BE IT FURTHER, RESOLVED, that the Town Board authorizes and directs the Town Zoning Administrator and Code Compliance Officer to take any actions necessary to advise the Owner and effectuate the terms of this Resolution. Duly adopted this 7th day of February,2011,by the following vote: AYES: Mr. Brewer, Mr. Stec, Mr. Metivier, Mr. Montesi, Mr. Strough NOES: None ABSENT: None '30 ikkdPe 'eionsbury Building & Code Enforcement— Manufactured / Modul Final Inspection Office o.(518)761-8256 Arrive: am/pm p.- •arta ),3 3 am/pm Date Inspection request received:// Inspector's Initials: NAME: 5/14 I l(� PERMIT#: . -C f . LOCATION: 'Z / i C.. LCs... DATE: /-/-20-4 Home Modular Home Footings_ Foundation_ Backfill_ Framing_ Comments: Yes No WA k i>/Z � tY Foundation support,pier spacing, � -- _ee '.. z71/47e Is J Per manufacturer t - Anchoring per manufacturer 2'from ends I/7 6, /� 7 3STD Water fine shut off 1 Sewer line support @ 4 feet Heating Crossover[doublewide)off grd. Dryer vented outside Skirting ventilated 1 so.ft.Der 1,500 so.ft. Y Hot water relief valve piping outside V / Deck,porches,steps,railing Fumace/hot water operating V Garage Fire proofing . I/ Fire Door/Door closers ✓ Plumbing Fixture/3"Vent through roof[Modular] / Foundation insulation[if applicable] V Smoke/Carbon Monoxide Detectors/Interconnected Final Electrical Variance required V Data Plate okay {7 Manufactured HUD seal okay 4 Warranty Seal after January 1,2006 Y Installers Warranty Seal 18"x 24'access or 22"x 30'attic access Vapor retarder under home 6 mil poly or other / 7 911 Street number ,� 4 Okay to issue CIC or CIO[Temp./Perm.] Model# a Ill Serial# ee 2,q ' (Y70 v-LkT Manufacturer 1\1m'..K. 1�` Date of Manufacturer 0' 1 S(1) L:1Pam Whiting%20101Building Codes FomusManufactu ed Modular Final Inspection 03 04 10.doc 1 INS L NI- O. STATE MOPlNEW YORK _ DOENPEAR CO- 4NTCQF:STATAE ___ = r, 99 WASHINGTON AVENUE ALBANT NY 12231 - INSTALLER'S V tRRANTY SEAL - 4 THIS SEAL REMAIINIS THE P ROPEI TY OF THE DEPARTMENT OF STATE 0 NEW MANUFACTURED(HUD CODE) - fg RELOCATED MANUFACTURE_D-(IUD CODE) A. Manufacturer's name:. ( CW -� wig• t t}5i ra , let B. HUD label number: D !#,.,` 3 f - 1 ` i 9 Serial number P2 is---D j az C. Retailer's name:6 kb 115 Y1411 t L ri MG eltet a/ 14014‘,S. 4.414— D. Retailer's-address: 15 04,) ‘44445644‘,004" 4': (2453 I E. Retailer's certification#: .0 t Gia.7 jZ.. f Telephone#:� 4 5- 9"' 280 I •F 1tistaller�'s name: ti i* t f ..�. Lit t'1 tl t)r1 ' G Installer'S-address:.: 0 3 j _" /2 , 1, H. Installer' ce fication#: / A174'� -7 Telephone#: 't6,/ . i75-7`- 76 I: Date installed: // /240/4e. Mumclity issuing building permit= = ` r-0r./ rty,To ,v' e) -, I. Customer name and physical address (911)where home is installed:.DMi 4&l am , -2.-i 14e.'t (fp 4.4..,e4.lrs.S L J 1 % - ,Newyork. By attaching this SEAL to this manufactured home,the undersigittt Installer of this manufactured home warrants as follows: 1. That the Installation of this manufactured home meets the standards of the New York State Uniform Fire Prevention and Building" C ode. -- 2. That the Installer is certified as an installer by the New York state Department of State. -- The foregoing warranties areM addition to and not in derogation of all other rights and privileges which the consumer may have under any otherlaw or instrument.The foregoing warranties are_in addition to,and=not;in limitation of or substitution for,any and all other warran- ties,express or implied,gir made by the Installer,whether contractually orb operation of law. Printed Name of Person Signing Seal: +' i� ( - _ Y RAvt L i4-.c?�-� Signature of Installer or -- ,j . 4Jci _- l.irnitedler ` JI If you have a problem with your home,you Should first Contact your installer or retailer If the problem is not resolved by the Installer or Retailer you can contact the Department of State at(518)474-4073. DOS-1680(Rev.03109) -- Yellow Copy—Department of State White Copy—Retain for Your Records Goli Pnrod Copy—Permitting Amt._ Seal.-Affix to Home 1/111 Septic Inspection Report / Office No. (518) 761-8256 Date Inspection request received: -1 l . ( 1 Queensbury Building&Code Enforcement Arrive: am/pm Depart: Ate* am/pm 742 Bay Rd., Queensbury, NY 12804 Inspector's Initials: NAME: (AmRN d'v PERMIT NO.. 10 f� a r0 LOCATION: g �e-fir L PrN INSPECT ON: (`1 it L f RECHECK: Comments and/or diagram Soil Type: Loam/Clay Type of Water: 4 u1 . I/ Well Water Waterline separation distance ft. Well separation distance ft. Other wells: ft. Well Casing Length 50' + / - Y N N/A Absorption Field: Total length ft. Length of each trench ft. - Depth of trenches ��ft. F Size of Stone Seepage Pits: Number Size: x Stone Size: Piping Size Type Building to tank Tank to Distribution Box u" Distribution Box to Field/ Pit `` ltZ. --g" 14-0144-4, Opening Sealed: Y_N End Cap A_N Inlet/Outlet Pipes&Baffles ,/ Y w N Location/ Separations • Foundation to tank ft. L `) 7" Foundation to absorption ft. Separation of Pits ft. c•. - F _ Conforms as per Plot Plan _Y Engineer Report and As-Built Y N Ar VI/Aa Location of System on Property: Front Rear Left Side Right Side Middle Front Middle Rear S Y:1 : Approved Partial Approved and needs to be re-inspected, please call the Building &Codes Office Disapproved Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc Queensbury Building & Code Enforcement=Manufactured/ Modular Final Inspection 4 Office No. (518)761-8256 Arrive: am/ Depart am/pm Date Inspection request received: Inspector's Initials: NAME: t V .£. . -t--- PERMIT*: , t,f / _ LOCATION: / / / . i DATE: Manufactured Home V Modular Home Footings_ Foundation_ Backfill_ Framing_ Comments: Yes No WA Foundation support,pier spacing, f _ __T- ) ,,- ,/, / L ( / % 4 Per manufacturer X/ r i. j Anchoring per manufacturer 2'from ends f 2 4 .5 Water fine shut off Y � �� A Sewer line support @ 4 feet . . �4Z. G.�-�'$ Heating Crossover jdoublewide}off grd. ‘7 y ,4 Dryer vented outside V Skirting ventilated 1 so.ft.Deer 1.500 so.ft. f � Hot water relief valve piping outside Nsit Deck,porches,steps,railing / R Furnace/hot water operating vvv,/ �� / 721 -4-11-°C5r1--1"4 t41-1- rerra- Garage Fire proofing �(. _ Fire Door/Door closers LA ' Plumbing Fixture i 3°Vent through roof[Modular] V Foundation ins if applicable] - . /' Smok /Carbon Monoxide ect /Interconnected `/ �--4--- Final Eledrica� re ,— Varia / 1Z-N,N(.-S ata ate okay 4 _z_. , anufacrured HUD seal okay Warranty Seal after January 1,2006 Installers Warranty SealGC i-)7: 31'( 18°x 24"access or 22'x30'attic access �'"� Vapor retarder under hone 6 mil poly or other 911 Street number Okay to issue C/C or CIO[Temp./Perm.] qii-siAls- Model# Serial It O'I t9 Manufacturer Date of Manufacturer L:1Pam Whiting12010\Building Codes Forms\Manufactured Moamar Final Inspection 03 04 10.doc