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2007-661
TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20070661 Date Issued: Monday, November 05, 2007 This is to certify that work requested to be done as shown by Permit Number P20070661 has been completed. Location: 183 PITCHER Rd Tax Map Number: 523400-308-014-0001-052-000-0000 Owner: ARC COMMUNITIES 14, LLC Applicant: CAPITAL DISTRICT MANUFACTURED HOUSING OU 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 property owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Director o ding&Code En rceme Planning Board or Zoning Board of Appeals. TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20070661 Application Number. A20070661 Tax Map No: 523400-308-014-0001-052-000-0000 Permission is hereby granted to: CAPITAL DISTRICT MANUFACTURED HOUSIN For property located at: 183 PITCHER Rd in the Town of Queensbury,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: ARC COMMUNITIES 14, LLC Mobile Home In Park 900 PO BOX 790830 Total value SAN ANTONIO, TX 78279-0000 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2007-661 91 GREGWOOD CIRCLE - 1064 SQ FT MOBILE HOME IN PARK- CAPITAL DISTRICT MANUFACTURED HOUSING OUTLET $38.84 PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday, October 30, 2008 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Te, o eens ry, a ay, October 30,2007 for the Town of Queensbury. SIGNED$Y Q� urY Director of Building&Code nforcement 10/16/2007 TQE 12:28 FAA 2A*r•u%%a, .....».......f __ - _— - l` %.•.r.•.r•• r.►r•.. .............. ....... .•.. OFFICE USE ONLY , r 8 �I�I ; TAX MAP NO RIMIT NO. DATE ISSUED_ ICICT r PERMIT FE APPROVALS: ZONING TOWN CLERK E ..r..r•r.rr........ ..... .......................ri......rrrr .............. � MOBILE HOME—AP.PLICA77ON FOR PERMIT: A buikirxj pwW must be obtained before placement of motile home on pa+oel. No irvgxx m**be made urWd a V906 bulking permit hm been issued. AMI cant Inf oration Property Owner Information Flame: i 0145+4 Gt— Name: Aa-c ` Address: : .1 F I►c� 2 s'%t Phone No./ �'1� 1 Q�'J Plane No. 44 1 -7 7 7�v k./ —� c, Parcellnfornwtion �jee Proposed Date of Placement J 0 7 Property Lo.-mmt: LC- ROW.SrrE venue Name of Mobile Home Park &LES � t Tax Mr r Number: Mobile Horne Information Zoning information i Approidmate Value of Home:•S — I Zoning Cher fitatlon: New Home: Yes No /06,4 Size of Propedr. ft by ft. Replacement Hone: Yes No 9 : Size of Mobile Home: ft. by._. 0- II. I Setbacks: *ont yard ft mar yard ft. Side yards tt.and ft, S•in111e4": , Doublewide: Plumber of Rooms:(ex"batlts) s Accessory Buldrrg(s): circle Plumber of Bedrooms. 'S Number of Be6wooms:.. Dstsch0 goo acge: 1-car 2-car cw i t� Ckde: Gas Fireplace/VVooddove/VVood Fxep4m i Adadted garage: 1-c er 2-car car I Fot p SWpot: Storage buivP V: Yes No Type Size & Depth I Otter: Piers Ruiners I Water Supply: we/ or muM�t t Slab Is Septic Permit Required? Yes or No Cbmavedon back Toum of Queensbury•Community Development Office•742 Bay Road, Queenwury,zy r hove 10/16/2007 TUE 12:29 PAX 510745Qc7i Marne of>ns or mobile Mome Dealer: i'rt-� v iSin S `1' 2 (' Addmss: lVU ftk�& PhWv:L� Complete Mbinwtion below bond on a•PMd or-Sticker which is al6rred b the moble hone: soul number: C, U k-) Plan Appmail ✓ Model or conVer ent Designation: ( 1= U U S i� (M w hone only) Date of Marnrre: _1� 7� i p-m,..r—.+.nr.+.+.rxw.re►...cevw.r../vr�e�'jvD+rvrrrv..vuus...w�v.,.rr—..—�v.rrrrw.�e� Town of Queensbury State of New York C Lffdy of Warren st swear dial to the best of my knowledge and belief the r statements contained in#his application,together with the plans and specittcations submitted,are a true and complete statement q of all proposed work to be done on the desathed premises and I s that all provisions of the BUILDING CODE,the ZONING 9 i ORDINANCE.and all other laws pertaining to the proposed work 3 shall be complied with,whellm specified or not, and that such work is authorized by 3tiJUN 7' O SJ SPECIAL g9m- TONS OFPERMI'l 13y_ Code Enbroement OWKW Toum of QueenOw y•Community Dewlopnrent O*oe•742 Bay R&4 Queaensbuq, NY 22 W r FINAL INSPECTION REPORT MOBILE / MODULAR Town Of QueWsbury Building &Code Enforcement 742 Say Road Quomsbury, NY 12804 (518) 761-8256 T ARRIVE: DEPART-Z%INSP: L9 DATE INSPECTION REQUEST RECEIVED: NAM: LOCATION. (DATE- rD PERMIT# MOBILE HOMY DULAR HO1iIE FOOM40S- FOUNDATION BACKFML FRAMM N/A YES NO 1. foundation support, pier spacing per mantif. ........................ 2. anchoring per manuf.. ............... 3. water line shut off ................... 4. sewer line suppoit 0 4 feet ....... 5. heating crossover(dblewide) off grd. 6. dryer vented outside ...:................... 7. skirting ventilated .................... 8. hot water relief valve piping outside 9. dock, porches, steps. railing ........ 10. fturiace/hot water operating ........ "0" 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 CIO ( -YES NO Comments: FINAL INSPECTION RE MOBILE / MOOULAR Town of Quemsbury Building &Code Enforcement 742 Bay Road Queens", NY 12804 (511) 76141256 ARRIVE: DEPART: ,�QNS DATE INSPECTION REQUEST RECEIVED: NAME: 5 � LOCATION: (✓ p DATE: — PERMIT# MOBILE HOME MODULAR HOME FOOTINGS _ FOUNDA11ON — RACKIFIIL_ 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 a 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 ........ 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 1fRi�-� Z Serial 1J! Manufacturer t�D Date of Manufacturer OKAY TO ISSUE CIO YES &NO E omme_nts: TOWN OF QUEENSBUR " 742 Bay Road. QueernsWry. NY 12804-59021 51 J1-8261�'. 117 • ew a _ AFFIDAVIT . .3 TOWN OF QUEENSBURY STATE OF NEW YORK COUNTY OF WARREN i I swear that the following used mobile home that will be transported into the Town of Queensbury for placement will have the following. A building permit approved and issued, meet all zoning requirements, the mobile home's HUD sticker affixed to mobile home and meet HUD requirements for the Middle Zone. As the person responsible for the transport and placement of this mobile home, I accept total responsibility for removal of the mobile home from The Town of Queensbury, if it does not meet the requirements for placement. Signatu 7E7 Date: Mobile owner, Owne Mobile Home Contractor I Signature: Date: Town of Queensbury Code Enforcement Officer 'HOME OF NATURAL BEAUTY. . .A GOOD PLACE TO LIVE' SEWL.ED 1763 10/24/2087 12:55 5l87450808 FOREST PARK . PAGE 01 07- ---------------- rn TOWN OF QUEENSBURY BUILDING & CODES DEPT. Reviewed By- (4 A Al NCHORING OF MOBILE HOMt FRAME IS REQUIRED PER MANUFACTURERS SPECIFICATIONS ` - - 6'-06 12'—a' 5'-4• 10'-8' t6'-0' 9'-0• '-4' S'-4• 9'-4• t NOOK s, :o MASTER w LIYlNG SIR 2 5A2 81R 3 5A1 SEDROOM I1C�EN ROOM sHRo-out • $.. e e s oft AF605—A 1476 Approx . 1039 Sod. Ft . � A Moog• TIMBERLAND LTD ��►� off► Co►ony Homes ,�jr • iS nnvaP6�at�utO$� ga?U�'niliWa37 r�"�-�I' g StSt 9LLL � So 17L- Ouasu� O � s vo CST JI rl L£in ; (Y` It J�- oNP 6Z �p > 5 ' t-+ w to -�1 ti0 }-+ ►-+ � p N 61y yam, � G took 00 -its y-► �O -J to W r tiC JtA to r•. IS, Vt v Cx' + ca o0 4131,0=0 raorcatNoo .P N 4 00 d1 -P N O 00 t�s £ yrj�t �:'•t F6 1 r N CT tD0 r-+ r.+ b-. *--+ r+ N N t.3 W W ts3 } gs(3 Cs N .p 0% 00 Cy gt v th 00 Cl IV i Str t-jvj N .�/-_.... r-+ w to -s to ►-� r-. r+ �-+ N N N N w t © N •P. CR Cty t7 N txy O ij .• cr, -4 �o t.iy i AY On 0 [PLrL3C fl3J-@ 1'"! P1�G1[,1101J�[.[n[1[J'C1'[JC.f[.t[1C.1�[1'[1�C1[1R[.n[.1WLrQJQ[.ncl�G![J'[1G1[.nCJ[1r�[1[1'[�'t1[f[J�[nGl�[1[f[1� r�cPct[.n[ffl3 PC B 5 BY THIS CERTIFICATE OF COMPLIANCE THE S NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 S 5 BUREAU OF ELECTRICITY S 5 40 FULTON STREET — NEW YORK, NY 10038 SCERTIFIES THAT 5 5 S 5 Upon the application of upon premises owned by S S 5 SHAWN ARRUDA EMMA KRAMER 5 CU 183 PITCHER RD. 91 GREGWOOD CIRCLE 5 5 QUEENSBURY, NY 12804 QUEENSBURY, TN, NY 12804 cS 5 Located at 91 GREGWOOD CIRCLE QUEENSBURY, TN, NY 12804 5 S 5 5 Application Number: 3050709 Certificate Number: 3050709 5 5 5 Building n Permit: B DC: A239 Section; Block: Lot: Bu Idi gS 5 5 Described as a Residential occupancy, wherein the premises electrical system consisting of electrical devices and wiring, described below, located in/on the premises at: Outside, c5 5 5 rlimited oelectrical devices and wiring to the extent detailed 5 A visual inspection of the premises electrical system, t g rj 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5 5 5 authority having jurisdiction, and found to be in compliance therewith on the 26tn Day of October,2007. rj Name QTY Rate Rating Circuit Tyne 5 5 5 Panels rj 1 100 2 r�J 5 Service 5 SService Disconnect: 1 100 cb 5 5 Meters: 1 5 5 5 S 5 5 5 S 5 5 5 5 S 5 5 5 S 5 seal 5 S 5 1 of 1 L5J 5 . 5 rLThis certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. 5 _ 5