2003-801 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building&Codes (518)761-8256
CERT IFICATE OF OCCUPANCY
Permit Number: P20030801 Date Issued: Friday, October 08,2004
This is to certify that work requested to be done as shown by Permit Number . P20030801, . ,. . .
...has been completed: .�. :_,.. ..
Tax Map Number: 523400-308-014-0001-052-000-0000
Location: 183 PITCHER Rd/ 27 woodtand path
Owner: ARC COMMUNITIES 14,LLC
Applicant: FOREST PARK-27 WOODLAND PATH
This structure may be occupied as a:
By Order of Town Board
Mobile Home In Park TOWN OF QUEENSBURY
4VP
Director of Building&Code Enforcement
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Developmeint-Building&'Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20030801 Application Number: A20030801
Tax Map No: 523400-308-014-0001-052-000-0000 -
Permission is hereby granted to: FORF,ST PARK-27 WOODLAND PATH
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 Queensbui:y':oning
Ordinance. Type of Construction Value
Owner Address: ARC4BFND, L.L.C.
PROPERTY TAX DEPARTMENT Mobile Home In Park $23 000
Total Value $23,000.00
PO BOX 13244
EL PASO, TX 79913-3244
Contractor or Builder's Name/Address Electrical Inspection Agency
Plans&Specifications
2003-801 27 WOODLAND PATH
2003 MOBILE HOME (924 SQ FT) AS PER PLOT PLAN SPECIFICATIONS
$30.44 PERMIT FEE PAID-THIS'PERMIT.EXPIRES: Wednesday, September 29,2004
(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' o�vn Quee, September 29, 2003
l
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
Application for Permit— Mobile Hoge
Town of Queensbwy, 742 Bay Roam-Queensbury, NY 12804 (518) 761-8256
A building permit must be-gbtairied before placement of mobile home on parcel. No inspections will be made
until a valid building permit has been issued.
Applicant In
}orrnation
Office Use '
Name: RP-CIV 1�1�1�L_LC 1�OreF:PQYk A File Permit No. Q --
� 0 /
8
Address: I (' 1`' _ Fee Paid_ q l
o� n
Reviewed By:
Phone No_ ��� '-'}'ri I l
k? TOWN OF QUEENS URY
Property Owner Information
Parcel Information' AN CODE
*ae'&T Proposed Date of Placement: 61 r} d's
Name: A Re1Z apal> t_,I—C . .41610- 3'r�-te y- wi W—
Property Location:
Address: (v()o C kAr-►T" 6T. 6u iTc q6C) '° Rosa,Street,Avenue
-DErjuep. Cd 8020s--z(528 Name of Mobile Home Park: lfog-,6T-PAW M 14Cr
(if applicable),
Phone No. &0 c� -154 15 Tax Map Number: 36i• / -( - / 5�
Mobile Home Information Zoning Information
Approximate Value of Home: $ _ i
Zoning Classification: J
New Home: CQYe No
Size of Property: 50 ft.by 1D(p ft.
Replacement Home: Yes No W lwi-- -DePT-W
1 Existing buildings: !Se(f CLU6LC-
Size of Mobile Home: ` ft. by Wo ft.
Setbacks: front yard c)-I ft.; rear yard q ft.
Singlewide: Doublewide: Side yards 0 5- ft.and rS f - 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/Woodstove/Wood Fireplace Attached,garage: I car, 2 car, . car
Storage building: Yes No
Foundation Support: Other:
SIZE&DEPTH Water Supply. well or unicipal
Piers
avers x
Slab x Is Septic Permit Required? Yes or No
Furtlier information'requested on the reverse side of this sheet W
Name of Installer or Mobile Home Dealer. tt0) 1 �k Mee)
Address: ,b x-3c- ` oc'� SuL �LLI
Phone No.(;3S 4' t ' 6
Complete information below found on a"plate"or"sticker"which is axed to the mobile home.
1. Insignia serial"number. �(1�
2. Name of manufacturer. ( CLr I C-te- k\J
3. Plan Approval Number:
1
4. Model or Component Designation: °1()14 16
(New Home ONLY)
5. Date of Manufacture:
AFFIDAVIT
Town of Queensbury State of New York
County of Warren
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 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 l
authorized by the owner.
jw&Signattue:
own r,own r s a ent,architect,tactor
Special Conditions of Permit
By.
Form: 11I19/1999sh Code Enforcement Officer
F-=5"AMLL- lff*421Mff=M=
F*AOICM�IL—IM Or I%AfaC=l1=L.J L-AOML FM
-lr6wn of Cluaanst)ury
E3ui[Oing 8� C cod4B E=-nfc)rc4amc3nt
740 E3c-xy Flat
Cauo nsbury, f4Y 12804
(SI 8) 761-8256
DATE I L�TSPECTION REQUEST RECEIVED:
DATE: MMCA ipip-v-mi-r # 2003— 24'I
TWA, YES 1*4c)k
Fcovmiclixticni stippcwt, ]pit--jr spnt--ixxg
perrZinam-ur. ........................
per rrlaxl"f. ............. . .
3_ water line shut,off ----------------- -- -
4_ sewer
liru-- atippcwt � 4 F#--et - ------
lit--"tiixg c--r-c>sscpv*--r off orct-
Cll-yt--r -Vt--ste4d iC)--"tSiCIf-- ----------------------
?_ skirting ventilated -----:------------ ---
IXCA water relief valve piplial; outside
9. deck, p<>rr--He--s, steps, railing - -------
fxxrxmc--t--A1x<A vvato--r cq3e--ratirxg --- -----
,gELrzase- fire proofing- ------------------
12. door c-lc:*st--rs ----- ------------------- ---
pluxilboirw fixture-- ----------------------
14, fbpxmmdati<>" ixx--.uJaticnm (iFappl-)------
I5. srx-voR*-- cItApetoors. .......................
16. final electrical ............... ..........
17. variarxce re4quireKl. ............... .......
IS. data pleLtt-- c3lcay ................ ... .....
19. irxc3bilt-- I-YLJI:> se-al okay -------------- -
mcxdel
TOWN OF QUEENSSORY BUIIDING DEPARTMENT
Based on our limited examination
campfiance with our comments shall
CATBEDR��STD, not be construed as indicating the
Plans and
compliance�cations are in tub
of New York a Building Codes
State, 4
5ty
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106" FLOOR
OPY
� 'av4' �•r «� WARNING t+
9UT ON OPN4N This hone is drown with 8'E)HRIOR 29.
-N_LOT add T to td dimensions
-DQ(}QT odd T ehimc at(rant and rear.
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a SCHULT HOMES CORP,
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_. NOTICE +4, r" ►�• o-
ANCHORING OF M T� o f r C +.��~ ObUKpy
1
081E£HOME
FRAME IS REQUIRED PER BUILDING&
PT.
MANUFACTURERS SPECIFICATIONS REVIE
WED BY
DATE d"
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MARLETTE SCHULT
Insulation Disclosure Form
Model Number; 1633 Serial Number: T0306!"i I
This insulation information Is disclosed In compliance with the F, 6deral Trade Commision Rule,Labeling
and Advertising,of Home Insulation, 16 CFR Section 460.16.
Insulation Insulation Thickness(Inches) R-value
Location Type Rating(R/inch) Maximum *1 Installed *2 Component *3 Advertised d-4
Floor(outrigger) Fiberglass 3.1 k/IN 6.25 5.5 R-19
R-19
Floor(basement)_ Fiberglass 1 3.1 R/IN 6..25 5.5 R-19
ttltall Fiberglass 3.1 R'/IN 6.25 5.5 R-19 R-19
Wall Sheathing
Roof(flat)
Roof(vault)
- =U.S.EIBERI 3.70 R/IN 1 6.8 8.51 R-25 R-25
This home had 19.__bags of the following loose fill insulation installed In the ceiling cavity.;-
Manufacturer CELLULOSE Brand U.S.FIBER — Type CELLULOSE
Bag Size (Lbs.) 30 Density (Lbs./Cu.Ft.) 1.25 3.70
'I- Maximum un-compressed thickness of fiberglass insulation prior to Installation. Maximum installed thickness
of loose-rill insulation measured at the roof peak only. Other areas of the roof will be less due to the pitch
of the roof.
*2- Average installed thickness of the Insulation component. This value takes into account any restrictions
dub to compression or tapering of the Insulation due to space limitations In the location.
*3- R-value of the insulation component at the maximum un-compressed thickness.
*4- Advertised R-value of all Insulation components for that location. This maximum R-value is acheived only
in the areas of the location not subject.to restrictions. The R-values in other areas of the location will be less
due to compression or tapering of the insulation. Savings vary,higher R-values mean greater insulation.
*5-The Installed Thickness will be less than the Maximum Thickness due to interferences in the floor cavity.
Items such as.the heat duct system,drain system and frame members will cause compression of the
insulation in those areas.
Refer to the included drawings for futher clarification of the Insulation as Installed in each location.
I hereby understand that a copy of this form will be included with my sales contract.
Date: Retailer's,Signature
Date: Purchaser's Signature
FORM FTC-001M 03/07/94 9198 DP 32099
FLOOR INSULATION DETAILS
FLOOR FRAMING
00
OUTRIGGER AREA BASEMENT (BELLY) AREA
L L
OUTRIGGER
00 MN-1-BEAM
FLOOR INSULAPnO R-33
1. L
(26 FLOOR)
S g S
o 00 BOTTOM BOARD
R-22
(26 FLOOR)
cr_
en
IN R-19
cr) r-
R-7 , R-93-11
The details shown above illustrate the use of fiberglass
insulation in 2x6 M and 2x10 floor construction.
Refer to the Insulation Disclosure Form
for specific information regarding the insulation.
*— Compressed area.
FORM FTC-002 09/16/93 (ALL) ME OP 32099
EXTERIOR WALL INSULATION DETAILS
IJ
-7(/(-3 1/2 -7t//�3 1/2 L-5 1/2
TOP PLATE
{TYPICAL)
INSTALLED
THICKNESS
INSTALLED - INSTALLED
THICKNESS THICKNESS
INTERIOR INTERIOR INTERIOR
SURFACE SURFACE SURFACE
BOTTOM PLATE (TYPICAL)
2x4 2A 26
(R-7) (R-11 MIN.) (R-19 MIN.)
The details shown above illustrate the use'e of fiberglass
insulation in 2x4 and 2x6 wall construction. The exterior
siding and any sheathing that may be used is not shown
for sake of clarity. Refer to the Insulation Disclosure Form
for specific information regarding the insulation.
Compressed slightly.
FORM FTC-003 09 16/93 (ALL) 9/98 DP 32099
SINGLE WIDE VENTED 'ROOF INSULATION DETAILS
INSULATION REDUCED
TO PROVIDE FOR
VENTILATION.
(*2)
'C14
I4AX
IMUM FLAT CEILING
THICKNESS AREA BLOWN IN INMATION
INSULATION REDUCED
TO PROVIDE FOR
VENTILATION.
(*2)
BLOWN IN INSULATION
CATHEDRAL CEILING
AREA
The details shown above illustrate the use of loose fill insulation
in the vented roof cavity Of a single wide home. Refer to the insulation
Disclosure Form. for specific information regarding the insulation.
( } — ADVERTISED VALUE
(*2) R—VALUE AND THICKNESS WILL BE LESS THAN ADVERTISED
AT SHALLOW END OF ROOF.
FORM FTC-M4 09/16/93 (M,R N.8,R,L,H) 9198 DP 32099
SECTIONAL VENTED ROOF INSULATION DETAILS
MAXIMUM THICKNESS (THIS AREA IS PARALLEL
WITH Boom.)
BLOWN IN INSULATION
INSULATION REDUCED
TO PROVIDE FOR
VENTILATION.
DOUBLE WIDE
(CATHEDRAL)
BLOWN IN INSULATION INSULATION REDUCED
TO PROVIDE FOR
VENTILATION.
(#2)
MAXIMUM THICKNESS
DOUBLE WIDE
(FLAT)
The details shown above illustrate the use of loose fill insulation in the vented
roof cavity of a sectional home. Refer to the Insulation Disclosure Form
for specific -information regarding the insulation.
(*) Advertised R—Value
(*2) R—Value and thickness will be less than advertised
at shallow ends of roof.
FORM FTC-M6 09/16/93 (ALL) 9/96OP32099
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