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2012-141
.4111%, TOWN OF QUEENSBURY 742 Ba•Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20120141 Date Issued: Wednesday, November 13, 2013 This is to certify that work requested to be done as shown by Permit Number P20120141 has been completed. Location: 183 PITCHER Rd Tax Map Number: 523400-308-014-0001-052-000-0000 Owner: FOREST PARK MHC, LLC Applicant: ARC COMMUNITIES 14 LLC This structure may be oc�ell{a RT Mobile Home In Park By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property ("---:D 449/1 owner of the responsibility for compliance with Site Plan, Variance, or other issues and conditions as a result of approvals by the Planning Board Director of Building&Code Enforcement or Zoning Board of Appeals. TOWN OF QUEENSBURY Fires 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20120141 Application Number: A20120141 Tax Map No: 523400-308-014-0001-052-000-0000 Permission is hereby granted to: DEREK HART ARC COMMUNITIES 14 LLC 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 alue Owner Address: ARC COMMUNITIES 14 LLC Mobile Home In Park $44,800.00 PO BOX 61102 Total Value CHICAGO IL 60606-0000 $44,800.00 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications BP 2012-141 Derek Hart 11 Woodland Path-Forest MH Park Mobile Home 1,056 sq. ft. (new) $126.72 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, April 11, 2013 (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 Town ensbul 4W .. e )ay,April 11,2012 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement WOW OFFICE USE ONLY I q * EgWE TAX MAP PERMIT NO. pol)-l 4 DATE ISSUED: ^� 1 PERMIT F t7?".APPROVALS: ZONING TOWN CLERK i ; j- N• ___ 13UILTiIWV6 & CODES 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: Ree z4 c.r k. Name: - Address: 11 .3.3c 2c3 L3LA-NctkrP Address: t 1 PC Phone No.(S r 4 5- b Phone No. Parcel Information Proposed Date of Placement:/,2 -/7-/v Property Location: ‘L,.r,c� p �- Road, Street,Avenue Name of Mobile Home Park: rofze T p i/Z k (if applicable) Tax Map Number: Mobile Home Information Zoning Information Approximate Value of Home: $ `�/�� ` Zoning Classification: New Home: ["Yes ❑No Size of Property: ft. by ft. Replacement Home: ❑Yes ❑No l 4 S Existing buildings: Size of Mobile Home: /a) ft. by _'_=' ft. Setbacks: front yard ft. rear yard _ft. side yards ft. and ft. Singlewide: ✓ Doublewide: Number of Rooms: (exclude baths) Accessory Building(s): Number of Bedrooms: 3' Number of Bathrooms: Detached garage:❑1-car ❑2-car n car ❑Gas Fireplace❑Woodstove ❑Wood Fireplace Attached garage: F71-car n 2-car n car Foundation Support: . Storage building: 7Yes ❑No Type Size & Depth Other: Piers Water Supply: ❑Well ❑Municipal Runners Slab Is Septic Permit Required? ❑Yes No Continued on page 2 CITown of Queensbury • Community Development Office • 742 Bay Road, Queensoury, 1v r lzou' t JC 5 Name of Installer or Mobile Home Dealer: �'"'J Address: PO /30X HOZ I fSTc%!N 4 Phone: 5-l z ._Li?y.- 0 c ?C iy /Z620 Complete information below found on a"Plate" or"Sticker"which is affixed to the mobile home: ✓ Insignia serial number: L. , /0-01-1-” P(4- ✓ Name of manufacturer: (/1/1r I "Oa C fc1' f t! 1 ✓ Plan Approval Number: ✓ Model or Component Designation: (New home only) ✓ 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 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 t6,4 .Jeensbury Budding & Code Enforcement— Manufactured / Modular Final Inspection Office No. (518) 761-8256 Arrive: /6 am/pmmJDepart: am/pm Date Inspection requestfoer received: Inspector's Initials: l NAME: 4}'C2A PERMIT#: /c `f ( I LOCATION: / n DATE: /1 -13 -1:3 1 Manufactured Home Modular Home Footings_ Foundation_ Backfill_ Framing_ Comments: Yes No N/A Foundation support, pier spacing, Per manufacturer Anchoring per manufacturer 2'from ends Water line shut off Sewer line support @ 4 feet // Heating Crossover[doublewide}off grd. t/r Dryer vented outside Skirting ventilated 1 sq.ft.per 1,500 sq.ft. Hot water relief valve piping outside 1//- Deck,porches,steps,railing Fumace/hot water operating Garage Fire proofing t/ Fire Door/Door closers t/ Plumbing Fixture/3"Vent through roof[Modular] s/ Foundation insulation[if applicable] >/ Smoke/Carbon Monoxide Detectors/Interconnected Final Electrical s 4 0/3 Variance required Data Plate okay V Manufactured HUD seal okay i Warranty Seal after January 1,2006 V Installers Warranty Seal 18"x 24"access or 22"x 30"attic access Vapor retarder under home 6 mil poly or other 911 Street number Okay to issue C/C r C/O[re 'p /P Model# ?ui L -70/0 Serial# I L k-6.,/00 Manufacturer ('.m/. Date of Manufacturer /'i-/1�/U L:lPam Whiting120101Building Codes Forms\Manufactured_Modular Final inspection_03 04 10.doc „.54/ouicul,9 Queensbury Building & Code Enforcement— Manufactured / Modular Final Inspection Office No. (518) 761-8256 Arrive: % am/pm Depart am/pm Date Inspection request received: (} Inspector's Initials: �/� NAME: .&.�l- t-R -I' PERMIT#: '// LOCATION: I J LL) D 0 L i Q r1 d I ak1 DATE: //�� Manufactured Home Modular Home Footings_ Foundation_ Backfill Framing Comments: Yes No N/A Foundation support, pier spacing, C �( p y ..� I-1 3 Per manufacturer Anchoring per manufacturer 2'from ends Water line shut off Sewer line support©4 feet Heating Crossover[doublewide}off grd. Dryer vented outside Skirting ventilated 1 sq.ft.per 1.500 sq.ft. Hot water relief valve piping outside Deck, porches,steps,railing Fumace/hot water operating Garage Fire proofing Fire Door/Door closers - Plumbing Fixture/3”Vent through roof[Modular] Foundation insulation[rf applicable] Smoke/Carbon Monoxide Detectors/Interconnected Final Electrical Variance required Data Plate okay Manufactured HUD seal okay Warranty Seal after January 1,2006 Installers Warranty Seal 18"x 24"access or 22"x 30"attic access Vapor retarder under home 6 mil poly or other 911 Street number f / `� �'/3 Okay to issue C/C or C/O[Temp./Perm.] t// ! /,Vj Ct j/ l v rope Model# Serial# c vJ< GJ� v✓f Manufacturer bird/ ljSuc`( Date of Manufacturer L:1Pam Whiting\2010\Building Codes Forms\Manufactured_Modular Final Inspection_03 04 10.doc -11AS Queensbury Building & Code Enforcement — Manufactured / Modular Final Inspection Office No. (518) 761-8256 Arrive: I am/p epart: am/pm Date Inspection request( received: Inspector's Initials: NAME: ""7 c"1-L=� PC- -L-r PERMIT# LOCATION: // LL) CC, Ci I C A-S P(c-16/) DATE: Manufactured Home Modular Home Footings Foundation Backfill Framing_ Comments: Yes No N/A Foundation support, pier spacing, Per manufacturer Anchoring per manufacturer 2'from ends Water line shut off Sewer line support @ 4 feet Heating Crossover[doublewide}off grd. Dryer vented outside Skirting ventilated 1 sq.ft,per.1,500 sq.ft. Hot water relief valve piping outside Deck, porches, steps, railing Fumace/hot water operating Garage Fire proofing Fire Door/Door dosers Plumbing Fixture/3"Vent through roof[Modular] Foundation insulation[if applicable] Smoke/Carbon Monoxide Detectors/Interconnected Final Electrical Variance required Data Plate okay Manufactured HUD seal okay Warranty Seal after January 1,2006 Installers Warranty Seal 18"x 24"access or 22"x 30"attic access Vapor retarder under home 6 mil poly or other 911 Street number i Okay to issue C/C or CIO[Temp./Penn.] L /`onn e 4(./111Q--/ �� s//.w' Model# Serial# ":"" PL 1124KJ2' Manufacturer Date of Manufacturer L:\Pam Whiting\2010\Building Codes Forms\Manufactured_Modular Final Inspection_03 04 10.doc --T"Lt s dcR. q -j 0 Queensbury Building & Code Enforcement -- Manufactured / Modular Final Inspection Office No.(518) 761-8256 Arrive: am/pm Depart:i( J lOam/pm Date Inspection request received: Inspector's Initials: NAME: G<\-Q a,� ,( - PERMIT 4#:0-kV) /Q - I 'ci LOCATION: I/ ` i 6U Ai ci rd Pa--i-in DATE: B\1.-AZ_- Manufactured Home Modular Home Footings_ Foundation_ Backfill_ Framing_ Comments: Yes` No WA Foundation support, pier spacing, o Per manufacturer v Sji 62_, ,.._,- Ma 1 A- C .'1C�v'�Ge✓ Anchoring per manufacturer 2'from ends V 1 3 j 5- Li Sa.0 I D Water line shut off Sewer line support @ 4 feet 'V v ` Heating Crossover[doublewide}off grd. q1.1 -' ---ACC- M Dryer vented outside Skirting ventilated 1 sq.ft.per 1,500 sq.ft. f Hot water relief valve piping outside f Deck,porches,steps, railing Fumace/hot water operating �t/ L,„--c2-3 -Z___. , Garage Fire proofing / Fire Door/Door closers / Plumbing Fixture/3"Vent through roof[Modular] V �� Foundation insulation[if applicable] � �' ` Smoke/Carbon Monoxide Detectors/Interconnected Final Electrical Variance required 7. Data Plate okay Manufactured HUD seal okay , / Warranty Seal after January 1,2006 vv Installers Warranty Seal 18"x 24"access or 22"x 30'attic access SZ Vapor retarder under home 6 mil poly or other r".1...„.._ 01 `IVI )414‘ ' 911 Street number VVV ki-7 � _�1� �n eR AV Okay to issue CIC or CIO[Temp.I Perm.] / �kJ ' Model# Serial# `F Manufacturer Date of Manufacturer L:IPam Whiting120101Building Codes Forms\Manufactured_Modular Final inspection 03 04 10_doc 6)dnia - (4-1 .... y . Hh;.'.rn. seen or observed, or believe I saw evidence of, 1y :inf' 111 G wells _ Irlces etc.,..1,.:1 ':.Z :�if:s�,S, VY-,IIS: �:�. � ..�- e..l,7 !..r.L 1'� 1 �.Lt 11Lrl 1. I also r Fl rt.�..t i a the GiStances ei .`. rit on he i� . . a iiaJi� ', rat ' TOWN OF QUEEN SBURY L.------- BUIL)ING DEPT R R Iv1ENT Based on our limited examsr anon,compliance with our comments shall not he construed as indicating the plans and specifications are in full compliance with the Building Codes of NOTICE NeW York State. I ANCHORING OF MOBIEE HOME i FRAME IS REQUIRED PER MANUFACTURERS SPECIFICATIONS .4.1e jip4 di •0 P J OWN OF QUEENSBU-Y �.UILDING & COD S DE al. Reviewe By. 6- Date: t G S.aao0 S'e a Ine V Eiji?, i• 0 . a 3A03n3a 5187450808 P. 01 OGT-30-2002 11 :04 AM ForestPQ.rkMHC - w. •,e •.a ; a4 INN : 1 1• 1 i i i 1 X17 -w...+.• 1 A j ihliii .: 1 :1 :f j1 1 Nr INNMI f• 1 I / 01 AI Lemow .411 ,Z) virmirim ands riar O. N. r4; 16 MIMI CM ~' •• :'" i: :4: • 1 S : :i !ti :: :1. :1' •111 o AMMEINIIImip ,• mimm: ,,. , , ; 11.11.10 ,.....„.„.. eir.„,,......m.:. eiri;7 ` t . am- OM :,. II Pr immit ,466...: .4t „,„,,, milli 3 . . .1. i . . i A1.11.1I • , . �� 1 :�f 'i A$ • �+ iatr! i ,10.„ .... 1 ....,,,, Ifilikpo,