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2013-003 TOWN OF QUEENSBURY I FR 43, 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 4111.1. Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20130003 Date Issued: Wednesday, January 23, 2013 This is to certify that work requested to be done as shown by Permit Number P20130003 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 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 jl� 4 other issues and conditions as a result of approvals by the Planning Board Director of Building&Code En`cement or Zoning Board of Appeals. 1 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 ET Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20130003 Application Number: A20130003 Tax Map No: 523400-308-014-0001-052-000-0000 Permission is hereby granted to: 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 Value Owner Address: ARC COMMUNITIES 14 LLC PO BOX 61102 Mobile Home In Park $30,000.00 CHICAGO IL 60606-0000 Total Value $30,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency RAYMOND JONES 424-0508 P.O. BOX 702 BALLSTON SPA.NY 12020-0000 Plans&Specifications 2013-003 37 Briwood Circle Mobile Home Redman , Model 122-000H A001668A HUD seal PFS1108275 Serial #MMSL433 Redman Homes 11/15/12 $136.80 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,January 04,2014 (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 of Qu e sb , ,9 Fri , anuary 04,2013 SIGNED BY V for the Town of Queensbury. Director of Building&Code Enforcement OFFICE USE ONLY D • TAX MAP 40 /J `"P P IT NO. / 3-603 DATE ISSUED: • • JAN 0 3 2013 PERMIT FEE 12(n, Q)APPROVALS: ZONING TOWN CLERK i •I 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. ApplicantInformation Property Owner Information Name: AdIAVYincri JO Y L Name: 4 .1( Prcortys Address: . PnX- flag,cfi Address: / e3 t` (TCh-e r 1mc/ 6cF. 1 a( Oa cirtAhuN, fl- is Phone No. j 4 - 40q-050? Phone No. 5145,i- 7-k) - ! '/7(0 Parcel Information Proposed Date of Placement: - - 3 Property Location: a 1, fK3 ( afirif �_(� �n Road,Street,Avenue Name of Mobile Home Park: T'PCtiLl'( (if applicable) Tax Map Number: Mobile Home Information ( Zoning Information i F Approximate Value of Home: $ (50,000 € Zoning Classification: 7� New Home: [aYes ❑No i Size of Property: LCC ft.by la 0 ft. Replacement Home: PSYes 0 No I r I O Existing buildings: Size of Mobile Home: ft by fl U)ft. Setbacks: front yard `Fear yard _ ft.g side yards_ _ft.and ft.� Singlewide: X Doubtewide: ► ��C 1. 1 Number of Rooms: (exclude baths) 5 i Accessory Building(s): Number of Bedrooms: 3 i Number of Bathrooms: j Detached garage:❑1-car 0 2-car ❑ car I CI Gas Fireplace❑woodstove 0 Wood Fireplace j Attached garage: 01-car 02-car El car Foundation Support: Storage building: ID Yes ❑No Type Size & Depth Other: Piers c, (t 7 19 r I Water Supply: ❑Well Municipal Runners �( Slab Is Septic Permit Required? Elves 111 No {..—___.�_._.� _._._ ... m....r_._.._.� .__.._.._.. ._.I___....._._____..._._......._..._........_.._..___._�......_.-.._.._.. ............� Continued on page 2 0, Town of Queensbury• Community Development Office• 742 Bay Road, Queensoury, iv r 'LIRA Name of Installer or Mobile Home Dealer: L Lr i 4 . C_Irl LI `-k--7--- , Address: P-U •1 )OXt'W ! I. .�1Tf 3 t ? Phone: 5 t6 -tca5-0gAto Y\ t,•Je Complete information below found on a"Plate"or"Sticker"which is affixed to the mobile home: ✓ Insignia serial number. _ ✓ Name of manufacturer ` ma1� ✓ Plan Approval Number. ( � 2 ✓ Model or Component Designation: _ (rer� �L_`t x.13 \I♦ ✓ Date of Manufacture: I :}nr_e:nxiuv:esev:ft1:rv:r.2:1:r:r r:r:.trn•:es"..iv:Hila,isr:e:,1J.,..au:rsr:ra>ar..naa1vv1rusrvv:)srr:is_j r AFFIDAVIT 1 Town of Queensbury State of New York 3 County of Warren i A 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 4 i of all proposed work to be done on the described premises and i that all provisions of the BUILDING CODE, the ZONING s ? ORDINANCE, and all other laws pertaining to the proposed work shall be complied with, whether specified or not, and that such s work is authorized by the owner. / i sSignature: Lei �--~ a Owner, • ' era Agent,A, hitect, Contractor i ..—.e,r+ilii....s:.:....— x.. ..::..s,..v..uw....xiw.w...rxx.: xas.. ..z SPECIAL CONDITIONS OF PERMIT By: Code Enforcement Officer a Town of Queensbury• Community Development Office• 742 Bay Road, Queensbury, NY 12804 Queensbury Building & Code Enforcement — Manufactured / Modular Final Inspection Office No. (518) 761-8256 Arrive: ri am/pm Depart:( }� 'am/pm Date Inspection request received: Inspector's Initials: NAME: / -. Re PERMIT* 1 3 - OD3 LOCATION: d t rtei4 DATE: V t . o-"`3 Manufactured Home Modular Home Footings_ Foundation_ Backfill, Framing Comments: Yes No N/A Foundation support,pier spacing, f Per manufacturer 4Anchoring per manufacturer 2'from ends 4 Water line shut off , Sewer line support©4 feet Heating Crossover[doublewide}off grd. Dryer vented outside f Skirting ventilated 1 sq.ft.per 1.500 sq.ft. 17 Hot water relief valve piping outside 1� Deck,porches,steps,railing V/ Furnace/hot water operating , Garage Fire proofing _ Fire Door/Door closers V Plumbing Fixture/3"Vent through roof[Modular] Foundation insulation[if applicable] / s Smoke I Carbon Monoxide Detectors/Interconnected ,�/� Final Electrical Variance required t Data Plate okay /7-Manufactured HUD seal okay ri -. I C0(. 2.:7"j Warranty Seal after January 1,2006 Installers Warranty Seal .17 18"x 24"access or 22'x 30"attic access Z Vapor retarder under home 6 mil poly or other7; 911 Street number V Okay to issue C/C or CIO[Temp./Perm.] Model# I.al-1)(1>-14 i ` `erial 1k W M!1 4 ?"1__--fr' :,- k4,4. /`" . Manufacturer e ri-i A-1..70,-.4.4-5 Date of Manufacturer t 1 1 ) 12- L:1Pam Whiting120101Building Codes Forms1Manufactured_Modular Final inspection 03 04 1 Qdoc . PERMIT PLOT PLAN 2 I HAVE PERSONALLY MEASURED THE DISTANCE 3'a J FRO THE PROPE�I LINES TO THE PRO"1 9 S 4U RE(S)OR SIG (S) 4.fir Z1� • --- (�_3 I SIG!'T,RE AT Ni/ 5ler4-e t c < r i (.f.X 77(0'1 . 3 z Oorne._ 4-->. 1fi goi _ c 2ri �r I LOood CI rd SPS Pat ' . Pc4 tal S .. 00 3 PERMIT PLOT PLAN lb 13 'O I HAVE PERSONALLY MEASURED THE DISTANCE -- , J FROM THE PROPERTY LINES TO THE PR!*OSED TR/ URE(S)OR SIGN(S) SIG' ' URE DATE `LJ I 1I-`U v� Z'o 68 k U ) n !1 J E_--) ---8 ..:_-) -# -•=9_ , .A 3 ---E. \"s- S� V a C--;\ ---4 y j1 O . T. S . A001668 BUILD WITH OPTIONAL FURNACE LOCATION INSTALL TWIN TOWNE EXTERIOR g . / ii \ 0 • i .= DINING LIVING BEDROOM#3i ' ' l MASTER 1°E-- ROOML. N L. \I BEDROOM BEDROOM;:2 t 8'-10"x 10'11" ill • ii to 11-8"x 14'-2" . , 13'-0"x 14'-2" JO 9'-0"X 14'-2" 0 1:::i KITCHEN: -- . ;' \ OI #8.„. `, ''1.x'..4 ....„ 1\ :IF , — ---_--... , — .... L W MODEL 122-L-433 3 BEDROOM,2 BATH NOMINAL SIZE:16'x 80' TOTAL AREA: 1152 SQ. FT. 11o3`� APPROVERS SEAL MODIFICATIONS MODEL: SHEET 4A [�,y�J y}'�P ._ ___...-..__...._-- i 122-L-433 Redman Homes I NEW MOON L-101...__.__.. ...--- TITLE: CHAMPION - --- - LITERATURE PLAN Home Builders, Inc. PROPRIETARY AND CONFIDENTIAL DRAWN BY:STAFF DATE.08.24.12 -- -- (Plant#122) _ — !NESE OR-Wlas MID SPECwuT,a1SM'E ORGVAL. PHOPRx DAY MID COHTiOENTUL HATER W S OF CI WVPION :....-:. ..�.... +. ... " ..._ ". SCALE:tar=1'O • 5 3.arr ee rl is n a . _ _-- OcT 3B-2802 1i=04 AM EoressP�a�kr F{'- f - - I itHTLH ' ' i I _ War - 1 ! I I I Dpi # � I � 1 III ' 1 Iy . . A I .7 ! •• fit 1 IA ! Zi !C r •� ',g _i,_ 1-1 [.; 31 pk.„........1 I ! ill I I 1 ` r ! I 1 ! I!pI I 1 I T 1 I I I I ! a Fani I ;-• I Da! • • 1 ;•• r. ..• __ f A 1 ! 1 ! ! I ! 1 ! - 4 .."` ! 1 I I p ! i ! 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