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2013-429 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20130429 Date Issued: Tuesday, June 03, 2014 This is to certify that work requested to be done as shown by Permit Number P20130429 has been completed. Location: 200 LUZERNE Rd Tax Map Number: 523400-309-009-0002-001-000-0000 Owner: HOMESTEAD VILLAGE L P Applicant: HOMESTEAD VILLAGE L P 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 (-1-DJ 'V i/ 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. 0.k TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 11111FN Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20130429 Application Number: A20130429 Tax Map No: 523400-309-009-0002-001-000-0000 Permission is hereby granted to: HOMESTEAD VILLAGE L P For property located at: 200 LUZERNE 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: HOMESTEAD VILLAGE L P Mobile Home In Park $38,000.00 4294 ROUTE 5 Total Value CALEDONIA,NY 14423 $38,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency Plans&Specifications 2013-429 71 ALPINE AVE. Mobile Home in Park - 924 sq ft Guiles Ind. Heritage 14663A Model 4614663AH Serioal S6103206TN 10/10/2013 HUD Label TEN781274 $110.88 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday, September 11,2014 (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 Que sbu We d 'e r a September 11, 2013 4 SIGNED BY � for the Town of Queensbury. Director of Building&Code Enforcement Town of Queensbury Building & Codes Office Use Only MOBILE HOME APPLICATION SEP C Received: 9 �v i -gx Map ID: ciA permit must be obtained before placement of mobile home on parcel. No Permit No.: I/3 ` inspections will be made until a valid building permit has been issued. Permit Fee: $ /in, (,? Applicant , /V344-'/ /!///A e Property Owner /9(74 /-tdvne 5 Address ,&r. Zu7sc_An-e_ Address /_76),5"-- /'c -.5 Neitsty 4.-v 717y' /?..sreY C /e.e-/ori V /Y4'23 Phone _cc- _303 / S,-2// Phone _? ,22 -6/SU E'/ ,3/5/ Contact Person for Building&Code Compliance: ',Lec l LAL,Orenc_,t Day Phone: -. 3O Sc' -I I Name of Installer or / r Proposed Date of Placement 91/437/3 Mobile Home Dealer /461 L. 14,518.5 Name of Mobile Home Park /Dine 5/Akl I/i//4 Address 1-4305- 2J- S5--ed/ecl,i;4-/ Property Location 7/ i/10/)c-c /ii../-C__ Phone JL - Phone 5-65- 2b 1 Z(s. - /.5.0 (3iy) Tax Map ID 3O9 43— z — / Complete information below found on a "Plate" or"Sticker" which is affixed to the mobile home: • Insignia serial number: / • Name of Manufacturer: 64-//.1--e-4 1h �S.i-,t S • Place Approval Number: • Model or Component Designation: /i/hylJ e /51463/4 (New home only) • Date of Manufacture: Mobile Home Information Zoning Information Approximate Value of Home $ 3i3)000 Zoning New Home or Replacement NES Size of property .573 ft.x /&ZD ft. Size of Mobile Home /Y ft. by ,t- ft. Existing Building(s) vie_ Singlewide or Doublewide < y15 Accessory Bldgs. Ate Number of Rooms(exclude bath) 6 Storage Building(s) A/cA_IL- Number of Bedrooms 3 Detached Garage _1 car _2 car _3 car Number of Bathrooms ..2- Attached Garage _1 car _ 2 car _3 car Gas Fireplace Setbacks Front Yard: oZ b feet Woodstove Rear Yard: /_) feet Wood Fireplace Side Yard: /0 feet Foundation Support Size Depth Water Supply Well Piers 6 5b,' Municipal X ?°li Runners Septic Permit Required? 540/u2, Slab /Vv Town of Queensbury Building&Codes Mobile Home Permit 518-761-8256 Procedure for placing and occupying a mobile home or modular home: 1. Application is submitted and reviewed: 2 copies of plot plan and layout must accompany application, along with septic application (if needed) and fee 2. Permit is issued-Permit card is placed on property 3. Footing forms are inspected before pouring concrete: Home is placed on foundation or piers 4. Arrange for electrical inspection-see"Certified Electrical Form"on the Town's website 5. Septic Inspection, if needed 6. Final Electrical Inspection 7. Stairs and platform covering door width and door swing with handrails on both sides of platform and stairs are required for all exterior doors 8. Final Inspection by Building &Codes Department 9. All mobile/manufactured housing must be anchored to the ground upon which they are sited per manufacturer requirements 10. Installer Warranty seal must be provided at the time of Certificate of Occupancy 11. If anchoring is not possible due to weather conditions or any other item, a Temporary Certificate of Occupancy will be issued: Fee- $10.00; Deposit-$100.00(refunded when all items are complete) ✓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 completed with, whether specified or not, and that such work is authorized by the owner. Installer Warranty will be provided atmtime of Certificate of Occupancy. Print Name: I-�alr-T K to v�re..�cs�— c--12 13 Signature: )<Owner,Owner's Agent, tractor Date: /— ' —/. Special Conditions of Permit: By: Code Enforcement Officer Town of Queensbury Building&Codes Mobile Home Permit 518-761-8256 ,. f- tr,:,,Icil S -Ph7-mliaiti%3:za__ 4 _-_-_-_/ Queensbury Building & Code Enforcement - Manufactured / Modular Final Inspection Office No. (518)761-8256 Arrive: am/pm epart: ( 3 J am/pm Date Inspection request received: Inspector's Initials: q NAME: 1--)c)Jc)iY i " �s� PERMIT* 1 3- A / LOCATION: 7/Al ViI ke DATE: b .2e)J/ Manufactured Home Modular Home Footings_ Foundation_ Backfill_ Framing Comments: Yes No WA C_D Foundation support, pier spacing, Per manufacturer Anchoring per manufacturer 2'from ends f Water line shut off V/ Sewer line supportf @ 4 feet ,i/ Heating Crossover[doublewide}off grd. / 7 �( Dryer vented outside Skirting ventilated 1 sq.ft.per 1,500 sq.ft. f Hot water relief valve piping outside Deck,porches,steps,railing V \ Fumace/hot water operating / Garage Fire proofing 1//://' / \�/ Fire Door!Door closers Plumbing Fixture/3"Vent through roof[Modular] ,� Foundation insulation[if applicable] Smoke/Carbon Monoxide Detectors/Interconnected - / Final ElectricalV _ Variance required Data Plate okay ??-1 15-c.......rt.%);Le..--- 1),/...._1W4.1.405 Manufactured HUD seal okay / V r` Warranty Seal after January 1,2006 , / '--� Installers Warranty Seal 1,/ /v 18"x 24"access or 22"x 30"attic access Vapor retarder under home 6 mil poly or other 6..y71 911 Street number ,e4. Okay to issue C/C or C/O[Temp./Perm.] Model •al � iti •aeal# '�c /Z- 0 Manufacturer �� G ---C4/7812-14 Date of Manufacturer I l 1 s ( (3 L:1Pam Whiting120101Building Codes FormstManufacturedModular Final Inspection_03 04 10.doc L., 4 liNaminmq...,....t.,11.rlefrerts,..a¢:ses,- 1\7- .J . . II 'U 1 I V (--#� INSTALL NO. 20878 STATE OF NEW YORK DEPARTMENT OF STATE Ti—OWN OE;QCIE ENSBURY LZ .� '� Y "i * ONE COMMERCE PLAZA BUILDING CODES ;` I a" 99 WASHINGTON AVENUE ALBANY,NY 12231 INSTALLER'S WARRANTY SEAL THIS SEAL REMAINS THE PROPERTY OF THE DEPARTMENT OF STATE 1$1 NEW MANUFACTURED(HUD CODE) ❑ RELOCATED MANUFACTURED(HUD CODE) \,...) A. Manufacturer's name: G; 1 % -rio 01 Cie s+r i QS B. HUD label number: -ra 4' 7 ! a-i Li Serial number: S&ra !3 $‘ + C. Retailer's name: 'A C c,O rdcz bile r ectf t_0 cat+ i Ori c rn D. Retailer's address: L3 05 F V On Ca he CitOri i s Q d E. Retailer's certification#: _ 4.RIETt2Q(aCh Ltd Telephone#: Gg'S` -7 D N.,), , l 1 F. Installer's name: Pt F-c-o rd ek bl to Great+ �,..-O C -�-i©r' ' 6.0 G Installer's address: 1-130-S A Wb, CaI Q d©i1 :0c. ;q H. Installer's certification#:/t Ih.!+OQ C Z LI LOO q Telephone#: 5E5 – 30.3 7 70 3 L Date installed: 5–/z.-74/ Municipality issuing building permit: (City,Town,Village) J. Customer name and physical address (911)where home is installed: ' #114 S" –7 i izi I p1 n Q K} V fiz_ QtdeQrShtjry ,New York. By attaching this SEAL to this manufactured home,the undersigned Installer of this manufactured home warrants as follows: 1. That the installation of this manufactured home meets the standards of the New York State Uniform Fire Prevention and Building Code. 2. That the Installer is certified as an installer by the New York State Department of State. The foregoing warranties are in addition to and not in derogation of all other rights and privileges which the consumer may have under any other law or instrument.The foregoing warranties are in addition to,and not in limitation of or substitution for,any and all other warran- ties,express or implied,given or made by the Installer,whether contractually or by operation of law. Printed Name of Person Signing Seal: -�'/`Re.±'.:. /l Pia /4G—' Signature of Installer or .-.--••••,. - Limited Installer: ''": ` If you have a problem with your home,you should first contact your installer or retailer.If the problem is not resolved by the Installer or Retailer you can contact the Department of State at(518)474-4073. Manufacturer Address Data Plate GH.FS INDUSTRIES Comfort Heating GILBS INDUSTRIES HONES This menuledurod home hes been thermally insulated to conform with the requirements of the 405 SOUTH BROAD STREET federal manufactured home conetiuction and safety standards for all locations within climactic NEW TAZEW LL, TN 37825 zone 3 1.R �- .. Heating equipment manufacturer and model(see list at left). ,;-�:, ,,•, ,i ... `r5 U -‘8 The above heating equipment has the capacity to maintain an average 70idedrea calirenhelt Date of Manufacture Plant Number HUD No. -.�..__._.... TENT 81274 temperature in this tame at outdoor temperatures of -92 �F.l' 10/10/13 00946 1 • To maximize furnace operating economy and to conserve energy,It ummendad Manufacturers Serial Number and Model Unit Designation that this home be Metalled where the outdoorw winter design lemperatt (971f2 )is °:-141 N 0 2 2014 If Serial Number ends with"P"-Perimeter Blocking Required(See Below) higher than -43 degrees Fahrenheit. I I SG1013 286TN 46HER14663AH14 The above information has been calculated assuming a maximum wind velocity of 15 m.p.h. n Approval by(D.A.P.1.A.) Perimeter Blockingstandard etnnshperlc oondhlons. TC'4'v i'•,i OF Q U E E N SB U RY Desi s pp D 64"OnCenter Comfort Cooling BUILDING & CODES TRA __fres [j No ❑ 96"On Center ❑Air Conditioner provided at factory(Alternate I) This manufactured home is designed to comply with the federal manufactured Air conditioner manufacturer and model(see list at left). home construction and safety standards in force at time of manufacture. Certified capacity B.T.U.ihour in accordance with the appropriate air (For additional information,consult the owners manual) conditioning and registration institute standards. The factory installed equipment includes: The central air conditioning system provided in this home has been sized assuring an Equipment Manufacturer Model Designation orientation of the front(hitch end)of the home facing On this basis the SMOKE DETECTOR MX FT RST ALERT 97.2013 system is designed to maintain an indoor temperature of 75 degrees Fahrenheit when DISHWASHER WHIRLPOOL . WDF110 PABB2 outdoor temperatures are_ F dry bulb and F wet bulb. CLOMPS DRYER The temperature to which file borne can be cooled will change depending upon the amount of -------_-- -------- - - _ '�• ! exposures of the windows dimhome ane to the sun's radiant heat. Therefore,the home's heat MICROWAVE gains will vary dependent upon its orientation to the sun and any permanent shading provided REFRIGERATOR WHIRLPOOL WBTENGZBB00 j Information concerning the calculation of cooling loads at various locations,window exposure --- WASHER , and shadings are provided in Chapter 22 of the 1981 edition of the ASHRAE Handbook of Fundamentals. FOR HEATING NORDYNS M1MC077ABW i Information necessary to calculate cooling loads at various locations and orientations Is .__._.__ WATER BEATER R137ffi4 82-30-1 provided In the special comfort cooing information provided with this merhufectved home • ----- IX i Air Conditioner not provided at factory(Alternate II) CO2 DETECTOR ._ ........ _. . .. .. .......__.__._ The air distribution system of this home is suitable for the installation of central air conditioning FOR COOKING WHIRLPOOL WFG114SWB1 . The supply air distribution system Installed in this home is sized for manufactured home centra -. I air conditioning system of up to 33000 B.T.U./hr rated capacity which are certified in FIREPLACE accordance with the appropriate air conditioning and refrigeration institute standards when tC air circulators of such air conditioners are rated et D.3 Inch water column static pressure or greater for the cooling air delivered to the manufactured home supply air duct system. Manufactured Home Constructed for: Zone 1 Information necessary to calculate cooling loads at various locations and orientation is This tame has not been designed for the higher wind pressures and anchoring provisions required for provided in the special comfort cooling information provided with this manufactured home ocean/coastal areas and ahoukl not be located within 1500•of the coastline in the Wind Zones II an L Air Conditioner not recommended (Alternate III) III,unless the home and its anchoring and foundation system have been designed for the increased requirements sped for Exposure D in ANSUASCE 7-88. The air distribution system of this home has not been designed in anticipation of its use with a central air conditioning system. This home Has Not been equipped with storm shutters orother protective coverings INFORMATION PROVIDED BY THE MANUFACTURER for windows and exterior door openings. For homes designed to be located in Wind Zones II and III which have not been provided with shutter or equivalent covering devices,it is strongly recommend NECESSARY TO CALCULATE SENSIBLE HEAT GAIN that the home be made ready to be equipped with these devices in accordance with the method Wags(without windows and doors) recommended in the manufacturers printed instructions. Wind Zone Map Ceilings and rods of light color -U• fila Nil _� Ceilings and roofs of dark color "U" ,03,3 —_-- �rra Air du 1r .053tt;.°.reFloors h floor 'L" .053 amant.. .. IISCIlki* t"PjT Air duds inuxti5rg 'L"UNA Air ducts installed outside the home " " NA 11111112111allrAll210uoeo The following are the duct areas in this house Air ducts in the floor 56 Sq.Ft. 7lr dutla in the ceiling NA SyF. inwporsir- Air ducts outside the home .. NA. ._ .. Sq.Ft. .. '� vl ,yrTo determine the required capacty d equipment to mol a home efficiently and economically, 1 -o ' ` cooling load(heat gain)calculation Is required.The cooling load is dependent on the orientatio ��,� w•o location and the structure of the home.Central air conditioners operate most efficiently end � J> provide the greatest comfort when their capacity closely approximates the calculated cooling -- lJ load.Each home's air conditioner should be eized in accordance with Chapter 22 of the American Society of Heating.Refrigerating and Air Conditioning Engineers(ASHRAE) DESIGN ROOF LOAD ZONE MAP Middle 30 PSF Handbook of Fundamentals,once the location and orientation are known. 110.1, .�MIDDLE 1.A U Value Ma . u,aaue� o P 1(111111raltgri it Al_IA,,. Viiii -',. * ry'*3 .-maii070,..0iMiqz. ,... � �► wi Ivo imv ,, , ..,-.4„,. .. ,,t,.:„.*.._' [> AMIE ......, ta-r.I.;.,1,,,,,,. ., . 40 PSF z,,,, I 2 , _ Y �Mid410 30 I'SP - l__J South 20 i'SI, 1.--3 r.:-] DO NOT REMOVE RX Date/Time 09/11/2013 11:08 P.002 Sep 11 13 11:09a p.2 3- 9 . fferitage sE.p ., .1 2013 F GI LES Model 14663 3 Bed/2 Bath 14' x 66' Homestead Village MHC Queensbury,NY 12804 SPECIAL MODEL HOME FINANCING: ASK HOW WE HELP PAY YOUR HOME LOAN* WI ,.a ■1,Iiuius .:�... SIMS, -Maiail 1 1111111111•11•111111.011UptIVE 11111111. U f#al ■sII� 01`"_ •■ mi:;i ■■■....11. N , 10-a-:law- MEI ['jlt11�l11� liisommonn mo-.Mown II. i y.7.1r -i �• ni..,:w ally _ �" as MIK -:•:::c.:: f �wrl01P- I II *Special financing program valid on select model homes placed in Homestead Village MHC.Some restrictions apply.Cail for complete details. HOMESTEAD VILLAGE -� AGL HOMES 200 Luzerne Road --~ !. �, - 4305 State Route 5 Queensbury,NY 12804 `, AGL Homes Caledonia,NY 14423 585-303-5211 I. , ---__ = — 585-226-2727 www.ag1hOmaS.com 585-259-6099 Due to continuous product development and improvement,prices,specifications,and materials are subject to change without notice or obligation. Square footage and other dimensions are approximate. Images such as renderings,photos,and floor plans may be shown with optional features andiorthird-party additions that may not be available in all regions or situations. of PLei n Sc4ff : 1 "c 10 Cor 1,c,:.(.. . 1..,of 5iz- -- % X (44D \ /5 ' v- g-c-4- L/)c_) J1--\1 -91 4- \ _ '(\b ,2_ .5..-, V ti Q� s l' 1 tl i -45 .6 D Igi).,,,_ _______---, l /0 ! a .____, ---1 �`J 1 ...._., f T WN Of- QUEENS BUR i C\ B 'LUNG & CODE;; Q-I Reviewed Pyr: _ _ Date: IN.cs NOT1E ./AN HORING OF MIKE HOME TG WN OF QUEEN BURY PERMIT 'LOT PLAN B !WING UEFAR "MENT I HAVE PERSONALLY IvYASURED THE DISTANCE RAME IS REQU RED PER ased on o - limited examin tion,compliant MANJFACTURERS S"ECIFICATION ./p our con ents shall not be construed a ROM THE PROP :RTY LINES TO THE IdkFting the plans ana sp lications are i •ZO*OS e STRUt TURE(S)OR SIGN(S) jil complian e with the B ilding Codes cf i ...i y' -r-42 iew York Sta e. I DATE I SIGNATU•E (730 v 70. 11 Nil o a) 5)r 'd. 1 ca o 4 Q. 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