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2012-394 ,��` TOWN OF QUEENSBURY ra 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20120394 Date Issued: Thursday, September 27, 2012 This is to certify that work requested to be done as shown by Permit Number P20120394 has been completed. Location: 183 PITCHER Rd Tax Map Number: 523400-308-014-0001-052-000-0000 Owner: ARC COMMUNITIES 14 LLC Applicant: ARC COMMUNITIES 14 LLC This structure may be occupied as a: Mobile Home In Park l a f 1 W 00 d, 2 i f cAe By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property n `f A-- owner of the responsibility for compliance with Site Plan, Variance, or �/ �d 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 4:2L d42 B ay Road,t,?ueenAau.u,NY 12804-5902 (518) 761-8201 Caataattauttity Development-Building& Grades (515) 761-8256 BUILDING PERMIT Pei-mit Number: P20120394 Application lttinber: a20120394 •I ay Nlap No : 523400-308-0114-0001-052-000-0000 Permission is hcrelay granted m: ARC C()IvIMUNITIE`~, 14 LLC 1,or property located;at: 1.83 PITCHER Leel in theTown.own of Queensbury, to construct or place at the above location in saccordancc with application together with plot plans and other information hereto filed and approved and in compliance with the NYS t iniforraa Building("odes and the Qucent;htuy= /oiling Ordinance. � , Type of Construction Value()wwr¢ac�r.ltldress: FOREST 1'',A111< 1x11-[C', LLC 3120 NORTHWESTERN 1-Iwy Mobile 1-1 la�nae In park S60,000.00 ob e e FARMINGTON I IIL.1,S Ml 48834-010 $60,000l .tfll Contractor or Builder's Name / Address Electrical Inspection,Agency Plans &,Specificatio ns 2012,-394 1,344 sq 1:t Manufactured Flome at 18 BRI' 'OOD Circle Marlette 811012012, Model #5624-4104 Serial 1.,EWI 1078811AAP S161.28 PERMIT IEEE PAID -THIS PERMIT EI PIKES: Weduestlay, August 21, 2013. (if a longer period is required,an application for an extension must be made:to Haat code Enforcement Officer of the"rowvn of Queerasburyr before the expiration date,) Dated at the'Towyn of Que+etaslaraay, Tuesday, August 21, 2012 SIGNED BY For tlac Town of(,)aar:eru bury. Director of Building& Ccycle 1.?tafor•cernent 1 7 `\``' \\\ �308,14 -/-SA SA OFFICE USE ONLY 11�' ' 'k� ' II \VJ nl TAX MAP .Njr. 1 PERMIT NO. /'(�,39 y DATE ISSUED: I� fI�I'1 d �� i" PERMIT FEE Ito J.2 APPROVALS: ZONING TOWN CLERK ! u AUG gt '1'l' —� ! T. 7. a Q,'EENSEURY :3ti_: MOBILE HOME -APPLICATION FOR PERMIT: A building permit must be obtained before placement of mobile home on parcel. No inspections will be made until a valid building permit has been issued. Applicant Information Property Owner Information Name: 1`(1(1(\GI //► �o n� S Name: f-r.k.0 Prop S Address: • , P()% la a 3 P�'Address: 1 ,4 " - e&diS1fl Spa n ►to G u&omo_rl � , .4 q, jaioq Phone No. 4ig- /4911-40501 Phone No. b jg - iiS- ']'7/ `7 P Parcel Information Proposed Date of Placement: sil.La-LaN Property Location: -A 1 g R(1 Wood & r Road,Street,Avenue Name of Mobile Home Park: &)res-f Pa • h (if applicable) Tax Map Number: ' Mobile Home Information i Zoning Information Approximate Value of Home:$ (o01 000 Zoning Classification: New Home: {B&es ❑No Size of Property: ft.by ft. Replacement Home: (Yes ❑No //__ Existing buildings: Size of Mobile Home: t,y ft. by ..gcoft. Setbacks: front yard ft. rear yard ft. side yards ft.and ft. Singlewide: Doublewide: x Number of Rooms:(exclude baths) I Accessory Building(s): Number of Bedrooms: Number of Bathrooms: Detached garage:❑1-car 02car ❑_car ❑Gas Fireplace❑Woodstove 0 Wood Fireplace Attached garage: 01-car 02-car ❑_car Foundation Support: Storage building: ❑Yes ❑No Type Size & Depth Other. Piers ,ter' ' Runners 3 b' �y1 r r r Water Supply: ❑Well t4n1unicipal Slab V Is Septic Permit Required?f ❑Yes o Conti ued on page 2 ,'' " 3 ''-Town of Queensbunj•• Community Development Office •• 742 Bay Road, Queensounj, iv r uau* Name of Installer or Mobile HomennDealer. (�[t(141 Q �Gf►u I . Address: ain 6ietnnel(fi lc 82<<s sa Phone: 515- )05'0Me0 Complete information below found on a'Plate'or'Sticker which is affixed to the mobile home: ✓ Insignia serial number: ✓ Name of manufacturer: 171044 p • ✓ Plan Approval Number: ^^ ✓ Model or Component Designation: b 7 - y034 (New home only) ✓ Date of Manufacture: o0 O/ AFFIDAVIT Town of Queensbury State of New York 3 County of Warren i Y I swear that to the best of my knowledge and belief the statements contained in this application, together with the plans s and specifications submitted, area true and complete statement of all proposed work to be done on the described premises and Y that all provisions of the BUILDING CODE, the ZONING ORDINANCE, and all other laws pertaining to the proposed work S shall be complied with, whether specified or not, and that such work is authorized by the o er. Signature: / / L` • '.,r(• ner's Age Architect, Contractor y SPECIAL/ /CONDITI TT {/ONS OF PERMIT [/ s M 02d / Ch/J OA. cr irti(/, 'f litiP! By: 14, Code Enforcement Officer 1 Town of Queensbury• Community Development Office• 742 Bay Road, Queensbury, NY 12804 iUwe. Aa. IN I -3 Queensbury Building & Code Enforcement— Manufactured / Modular Final Inspection Office No.(518)761-8256 Arrive:r/ am/pm rk72 Pam/pm Date Inspection request received: received: t� Inspectors Initials:C fvl NAME6% "p reP i8 l- aR PERMIT#. I ,-3 9 / �J LOCATION: 6;F lu DATE: /--ag: /a. Manufactured Home Modular Home Footings Foundation_ Backfill_ Framing_ Comments: Yep No WA_ Foundation support,pier spacing, J Per manufacturer Anchoring per manufacturer 2'from ends Water line shut off J / Sewer line support©4 feet Heating Crossover Idoublewide]off grd. . /„ Y Dryer vented outside �v// Skirting ventilated 1 so.f per 1.500 so.ft. ✓ ...- Hot water relief valve piping outside / / Deck,porches,steps,railing 4/ Fumace/hot water operating 1/ - Garage Fire proofing l— . k(/// aillotrer- Fire Door/Door dosers ✓/l - Plumbing Fixture/3"Vent through roof[Modular] f T _�' Foundation insulation[if applicable] A Smoke/Carbon Monoxide Detectors/Interconnected // :. _ e:: _ — '��" Final Electrical Variance required y ✓ ._ '_—'• --a- r Data Plate okay 1017/ � --- �— Manufactured HUD seal okay Warranty Seal after January 1,2006 / Installers Warranty Seal 18"x 24"access or 22"x 30-attic access if / Vapor retarder under home 6 mil poly or other ,/ _ 911 Street number /�/ Okay to issue CIC or CIO[temp.I Penn.] Y Model# 5ta'4 te4 Serial It 1$Stj i.le Manufacturer MAW ►v N. Date of Manufacturer e ala. L:1Pam Whiling120101Bullding Codes Fom sWanufactured Modular Final Inspection 03 0410.doc • cVLf3I Poe$-. Bol t m .o Elm Ml .. BEDROOM —EcfIMRING.•7,. IIT' N :.:. E 1:1 IL ®1 rn 10',2-x 10'•T' O�■i ';`�- 1111111.111.1n0 a;nuua =NN 1 ../..OVDROOM 2 //+ LIVING ROOM M-RUDROOM t ID'-4"it 10'•7" / 16'4^it 10%?" 12'•T'EP:1T; O BEDROOM 4 891^x T-5" M MIMI=MG Sala 1 1 1.1ON2 r, Vivsnarar sex_la N - 24' X 56' 4 Bedroom -& SALES LITERATURE N • r II- . - I -. 1. I I ' ` , I • I• . I • 5 1 I - - t !'y i • I , I { Q {OpOQd C6 - ) (Ofl Q1Tl2Lda1 -�resp ` 1 AUS/il / 72012U/Th l $3 P► Rot Qu3in I a , 00_s aia Bri u000d �� _ Sao , 1101 \a' STV-11 ie_ (20 -o MC t n a if i ,v0th b rC __e_ aol\LA- tb ROJAMMck-Aoiu_ 9 ci .gocioa Q cAA on S.p a.1 ‘ a(590 6-;% - 14a q- o 5o