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2003-482 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761.8256 CERTIFICAT E OF OCCUPANCY Permit Number: P200.30482 Date Issued: Thursday,August 07,2003 This is to certify that work requested to be done as shown by Permit Number P20030482 has been completed. Tax Map Number: 523400-308.014-0001-052-000-0000 Location: 65 8 wood C4'Ade. Owner: ARC4BFND,L.L.C. Applicant: MARC&LISA CLOGSTON This structure may be occupied as a: By Order of Town Board Mobile Home In Park TOWN OF QUEENSBURY J4 de Nector of Building&Co a Enfo ement TOWN OF QUEENSBURY 742-Bay Road,Queensbury,NY 12804-5902 (519)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20030482 Application Number: A20030482 Tax Map No: 523400-308-014-0001-052-000-0000 ,Permission is hereby granted to: MARC &LISA CLOGSTON 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: ARC4BFND,L.L.C. . Mobile Home In Park PROPERTY TAX DEPARTMENT - PO BOX 13244 Total Value EL PASO,TX 79913-3244 Contractor or Builder's Name Address Electrical Inspection Agency Plans&Specifications 2003-482 1064 SQ FT MOBILE HOME AS PER PLOT PLAN SPECIFICATIONS $41.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,July 01,2004 (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 ow f Qureb T esday,July 01,2003 SIGNED BY for the Town of Queensbury. Director of Building&Co e Enforcement Application for Permit— Mobile Home Town ofQueensbury, 742'BayRoad, Queensbury, NY 12804 (518) 761-8256 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 t I Office Use Name: � Q�C l�•� � �e�� File Permit No . � ----�� � � Address: I r6r7 -J C',( kth `S L , Fee Paid J U N 2 6 20 d3 Reviewed B T{JWN C?F.QUEENSWRY Phone No. S 8A — - Property Owner Information Parcel Information Name: RRC,.�Q Pt,1D t_.L..0 . ��lx 1*f2csT Proposed Date of Placement:_� Property Location: (D J �j'�-uLA)W D c°,I�z.�.° z Address: ZvUb �EZt4r t�' ST. 5ut'rE 9�0 Road.Street,Avenue "DCtj0C i2 Cb Name of Mobile Home Park: roy_EST—v-:AV_K pA ke— (if applicable) Phone No. gOCS P46 16 Tax Map Number: Mobile Home Information Zoning Information d�0� Approximate Value of Home: �?tt�fi (JJ W/ nN Zoning Classification: 8 V 1 A New Home: Yes &0,) deep ade Size of Property. 1 4 ft.by $. Replacement Home. Yes No Existing buildings: _* See Q,t!-_�ecC 12 p Size of Mobile Home: �_ft. by - Setbacks: front yard'7Wi ft.', rear yard ft. Singlewide: _ Doublewide: Side yards ft.and ft. Number of Rooms: (exclude baths) Number of Bedrooms: Accessory Building(s): circle Number of Bathrooms: Detached garage: 1 car, 2 car, car circle: Gas Fireplace 1 Woodstove 1 Wood Fireplace Attached garage: 1 car, 2 car, car Storage.building: Yes No Foundation Support: Other: TYPE SEE&DEPTH Water Supply. well or unicipaI Piers s Runners x Slab X 1s Septic Permit Required? Yes or No Further information requested on the reverse side of this sheet W l�ue Name of Installer or Mobile Home Dealer. Lne- Address: (0 red . qvrj )�*n4- Phone No. I?q rS]-7 Complete information below found on a"plate"or"sticker"which is affixed to the mobile home. 1. insignia serial number. Y1 I 2. Name cif manufacturer: 3. Plan Approval.Number: 4. Model or Component Designation: (New Home OM I) 5. Date of Manufacture'. AFFIDAVIT z State Town of Queensbury of New York County of Warren z z I swear that to the best of my knowledge and belief the statements z 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 z the described premises and that all provisions of the BUILDING CODE,the —,--ZONING OR-DI�T-AiNCE, and-O-other-laws-peftaining-to-the.proposed work shall be complied with,--whether specified or not, and that such work is authorized by the owner_ z Signature: owner,owne wne ag t,architect, r ................................ Special Conditions of Permit By. Form: 11119/1999sh Code Enforcement Officer Residential Final Inspection Office No. (518) 761-8256 Date Inspection request received: Queensbury Building&Code Enforcement Arrive: apv3m, Lepart:Z��' am/pm 742 Bay Rd., Queensbury,NY 12804 Inspector's Initials: NAME: C, oc, S T-0�S�MAV-C-4-L;��k*,- PERMIT#; 0 O' — LOCATION: N C,�-CJ e--- DATE: C77 TYPE OF STRUCTURE: 7 Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Lc--- Roof Complete Guard 30 in.or more @ stairs,decks,patios Guard at stairwell at 34 in. or more Guard at deck,porches 36 in.or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stair-,2 or more risers Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 8 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft. or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut'-off boiler Relief Valve(s)installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches 3/4hour fire door/door closer Garage fireproofing Duct work Scaled properly Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"4cces's, 1 sq.ft.-15 Q sq. ft.vents Building No./Address sibl from roa� Final Electrical a V Site Plan /Variance reqtr6d Final Survey Plot Plan As Built Septic System/Sewer Dept,Inspection Sticker Flood Plain Certification,if required Y Okay to issue C/C(Cert.Of Compliance) ,j Okay to issue Temporary C/0(Cert.Of Occiipancy) ,�;r Okay to issue Permanent C/0(Cert. Of Occupancy) V L:\SueHenvngxvay\Building.Codes.Inspection.FORMS\Res.Final Insp.form' .floc edited January 28,2003 . I - Cfz-k t, 'ICMMBRL-N=— OOF E%#qCMCMLJL-A*2ik, --rc>wn at Cluctenst3ury Oullciing SL C:o0e+ E=nfarc4amelnt 74.2 E3c-xy Flaetci CWe nst>ury, N"Y -12804 (51 S) 761-82SO' AAJRA:tl'V]P-: DEPART: NSP: DATE INSPECTION REQUEST RECEIVED: . rq,Ajl..4 F3 Pam? c). P41-AL YES C� 1. fc3undation support, pier spacing permanuf_ ................... rna3a-aV. ............... 3. 'Weac--r lillf-- shut;off ................... . L-0001, 4- so-=--vvo--r lirxt-- sxn:)pox-t (ZD 4 F#--et ------- 5- heating crc>ssc)mvc--r (clbl*--yvicl#--) <)P-ff g-rcl- 6- clr-yc--x- -w-4-matewd outs- ------- --------------- sicix-tizia , ---------- --------- Nc3t 'WfLtf--r relief -,r -vt-- pipilm outside pc>rc--hc:S, ste S, x-.ailixx ........ .10- fLvrruxcv--AFx<3t vwatt--x- ratio ........ 11. gvmasf-- fire, pr<>C),nxl ....... .... ...... 12. dcx:>v closers .......... . .... .......... 13. plutyxYrAime fixture-- ------ - ------------- 14. foundation irxsxAatic>rx appi-)------ 'dool o 15. smaoRt-- detectors ----- ---- ------------ 145. final electrical ---------- ------__17_ variance_ red &-oo,9-110111 ------------ ------- IS.- data plate CAC.-ty ----------------- ----- 19. xxxootAlt-- 1-113-E) se.-tl <3kay ---------- --- Seri Manufacturer --'"` ] ►ate of Manufacturer l 144 C3KAY T© ISSUE CIO YES NO -- IL ...000'o � .40< I Alf' � �"N!► � 43 1 3 2 7 17 3 4 4 d t° d' w , J MM C11 r diI C N Qq T r k a 7 CO CC 0: Olt ON s � �t 4 �r O d Affordable Residential Communities FOREST PARK MHC 183 PITCHER ROAQ RECENED QUEENSBURY, NY 12804 JUG'?, 6. 0' 3 0 !TCHER 96 ,TOWN OF QUEENSEURY BUILDING AND CODE ROgp ry T77� do r 711 RECEIVED JUN 2 6 2003 �Nt TOWN OF QUEENSBURY BUILDING AND CODE � t ' Y i 1 p m o •s+e :Sa wgcci (. i _ I I n xawrnl ! I U D b l 66� ttE Ell �7 CEO, Iy S Wgg.a'`��" 4� 1- � w 1� o�I c¢� �I ��o 5 u�� �5} iw I -I ju 1D� I... �I _.ilk �!- LU I < 'ix �.z _ I - L. _ I — , .,,9 - �-- i i I � -4 i � 1 I I i r-""�I i II��"I"`��' I----I, ---I__- I � �_� _ I _ , II ,, ._. � il._ � � � .. -� �i-- I I _I. I I � � I � � ' II - � � � � I .-� � �_..�' � !I- I _• � �.._. -�. i � I J I I 1 i r I 06/30/2003 12:59 5187980431 JERRY BROWNS AUTO PAGE 01 _... assom C ------------ AM - 7 LL O 7:3- t