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2007-544
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. P20070544 Date Issued: Friday, December 28, 2007 This is to certify that work requested to be done as shown by Permit Number P20070544 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 other issues and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board or Zoning Board of Appeals. _ TOVN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (5.18)761-8201 Community.Development-,Building;&.Codes;(518) 761-8256.. BUILDING PERMIT Permit Number: P20070544 Application Number. A20070544 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 Mobile Home In Park $5,000.00 900 Total Value PO BOX 790830 $s,000.00 SAN ANTONIO, TX 78279-0000 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2007-544 95 BRIWOOD Dan Hunt 672 sq ft mobile home in park $42.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Friday, September 05,2008 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the T , September 05,2007 SIGNED BY o eens 74- ay for the Town of esb Que ..n. ury• Director of Building&.Code Enforcement ......... .......................... .................... 2 OFFICE USE ONLY N := ' •l -l�--5 ` ` I I ,` TAX MAP NO. PERMIT NO. DATE ISSUED: c I ! PERMIT FEE APPROVALS: ZONING TOWN CLERK 0 I I I , MOBILE HOME -APPLICATION FOR PERMIT: A building permit must be obtained before placement of mobile home on parcel. No inspections will be made until a valid building permit has been issued. Applicant Information Property Owner Information Name: 0. V Name: Address: t` C Ck-1A Address: P�c�-C kp,:Y- �j y /44 cj Y Phone No. Phone No. ! N `7 Parcel Information Proposed Date of Placement: © (� C7` Property Location: L, �7� 7 S 'fey ems. Road,Street,Avenue Name of Mobile Home Park: rem Ar (if applicable) Tax Map Number: --__ ____._.._....__..---.___...__.....__._........ _, Mobile Home Information ' Zoning Information Approximate Value of Home:$ •c` Zoning Classfication: A — ® ft.by <A S ft. New Home: Yes No € Size of Property: Replacement Home: Ye No I Existing buildings: /1 bat Size of Mobile Home: l ft. by Ga ft. : Setbacks: front yard -1 ft. rear yard 3 ft. side yards—_ft.and I ft. Singlewide: Doublewide: Number of Rooms:(exclude baths) )` Accessory Building(s): circle Number of Bedrooms: _�L Number of Bathrooms:I Detached garage: 1-car 2-car car Circle: Gas Fireplace/Woodstove/Wood Fireplace Attached garage: 1-car 2-car car Foundation Support: Storage building: Yes No Type Size & Depth Other. C Piers Runners Water Supply. well o municipal Slab Is Septic Permit Required? Yes or Now Condwed on bads „ Town of Queensbury• Community Development Office • 742 Bay Road, Queensaury, iv r izav* Name of Installer or Mobile Home Dealer. Address: Vv\Q_'Fi k Q--e",W�Q C.� Phone: I TJ Complete information below found on a`Plate"or"Sticker'which is affixed to the mobile home: Insignia serial number. I " z ✓ Name of manufacturer. T 1 A e- Plan Approval Number Model or Component Designation: (New home only) � Date of Manufacture:�� g O _ [.z�<<•�•�•-..-:rr�.rr�--�«-u:r--�--�•::�•-�--�-zz-✓�••�-:r-�s•-�•�•�-'�•:r:ra-�--�•�•-...rv:r��•«-v�•-.rr�-.nr-�•:rasr:rrr:;f AFFIDAVIT c w Town of Queensbury State of New York c County of Warren x Yri y ` V I swear that to the best of my knowledge and belief the y 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 z that all provisions of the BUILDING CODE, the ZONING ORDINANCE, and all other laws pertaining to the proposed work N shall be complied with, whether specified or not, and that such work is authorized by the own Signature: r Owner,Owne gent,Arb6itect, Con ctor i V i :)iJ:.a.J.'r✓._aG'_—_. _=r'Jr'Jr'Jr'a:X'a.'J:iJsl:1:r.-x-_�_.=�_i4✓...n. �.n.-xl.a.'�.a.' 'sit::a:r.'xa.'J.'a.'J.:r.'+.-1.'h SPECIAL CONDITIONS OF PERMIT By: Code Enforcement Officer Town of Queensbunj• Community Development Office- 742 Bay Road, Queensbury, NY 12804 TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 518-761-8201 AFFIDAVIT TOWN OF QUEENSBURY STATE OF NEW YORK COUNTY OF WARREN I swear that the following used mobile home that will be transported into the Town of Queensbury for placement will have the following. A building permit approved and issued, meet all zoning requirements, the mobile home's HUD sticker affixed to mobile home and meet HUD requirements for the Middle Zone. As the person responsible for the transport and placement of this mobile home, I accept total responsibility for removal of the mobile home from The Town of Queensbury, if it does not meet the requirements for placement. Signature: �, i Date: �j Mobile H e Owner, wner's A4 ent, Mobile Home Contractor Signature: Date: Town of Queensbury Code Enforcement Officer "HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LIVE" SETTLED 1763 FINAL INSPECTION REPORT MOBILE / MODULAR Town of Quemsbuq Building &Code Enforcement 742 Bay Road Queensbury, NY 12804 (518) 76141256 ARRIVE:3 1 DEPART: — zv" DATE INSPECnON REQUEST RECEIVEDr_ NAME: 1) Hi-)CT7 V LOCATION: qT5 � ODUQ CA Ffl-L DATE: PERMIT# LEI =1E2j!A MOBILE HOME X MoMnAlL HORM FOOTINGS FOUNDATION BACKFUL FRAMING N/A YES NO 1. foundation support, pier spacing per manuf.. ........................ — 2. anchoring per manuf ............... — 3. water line shut off ................... 4. sewer Fine support 0 4 feet ....... 5- heating crossover(dblew1de) off grd- 6. dryer ve_nfed outside -x................... 7. skirting ventilated .................... 8. hot water relief valve piping outside 9. deck, porches, steps. railing ........ 10. furnace/hot water operating ........ 11. garage fire proofing .................. 12. door closers ........................... 13- plumbing fixture ...................... 14. foundation insulation (if appl.)...... 00. smoke detectors ....................... else ' ........................ 17. variance required ..................... 18. data plate okay ....................... 19. mobile HUD seal okay .............. Model # Serial# Manufacturer Date of Manufacturer A�p)(�OKAY To ISSUE CIO YES NO Comments: COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 176 Doe Run Road-Manheim,PA 17545 UNICIPAL TIFICATE - ELECTAWAL APPROVAL ..:�- _ permit No...�. ... �t�t. Na 9 4 0 9 3 Cut-in Card No..................................... OW ner..................0A.a.......��n.. ......................................................,......................................................... I.ocBtioII.. F. __.._.�lC�lf,R1A.f7.(.1...�r !./LfrL.i .................. .c65-ll.J--2_L!li .............. , Installation Consisting of............ .Q.fF.....1—nQA A5..._._..Ara Q..-C 5X-c.4.C�,�......,......... •--••-.........................•--••.......................-................_....-----..................-----.....----...---.........................._I.....__....----......_.,. InstalledBv..........nSA,fz.,lr.�.......................................................Lic,No................................................... The conditions following governed the issuance of this certificate,and any eertifieaw previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection, Inspectors of this Company shall have the privilege of making inspections at;any time, and if its rules are violated,the Company shall have the right to revokethis certificate, Date..... ............... INSPECTOR.-f �, .. ... . . . ................................ Member N.F.P,A.,1.A.E_I. Z0 39Vd o-lgwnW NON PBST86L 66:5Z LOOZILZIZZ .IAL INSPECTION REPORT MOBILE / MODULAR D Town of Quueensbury A e'' Building &Code Enforcement 742 Bay Road Queensbury, NY 12804 © -FA 14 AP (518) 761-8256 ARRIVE: -i--� DEPART_ "I U DATE INSPECTION REQUEST RECEIV J 07 NAME: LOCATION: ` DATE: i D rr -Okkro- MOBILE HOME M H F XYMGS FOUNDATION BACKFI L _ FRAMING N/A . YES NO 1. foundation support, pier spacing per manuf: _ _ 2. anchoring per manuf. ............... _ —f _ 3. water line shut off ................... _ — 4. sewer line support(p 4 feet ....... / — 5. heating crossover(dblewide) off grd _ 6. dryer vented outside .x................... _ 2 _ 7. skirting ventilated .................... _ l _ 8. hot water relief valve piping outside — �,/ — 9. deck, porches, steps. railing ....... _ — 10. furnace/hot water operating ........ — 11. garage fire proofing .................. — 12. door closers ........................... - 13. plumbing fixture ...................... ✓� 14. foundation insulation (if appl.)...... — 15. smoke detectors ....................... 16. final electrical ........................ 17. variance required ..................... -- 18.data plate okay ....................... -- 19. mobile HUD seal okay .............. — — — Model /1 Serial# Manufacturer Date of Manufacturer OKAY TO ISSUE CIO YES NO Comments: A01001j"M MpH1 EC�-r�N RE �T �S��'Y Town 70( StAkng & Code N 1Rt,YF�Oe na�td1(,M QUeenb (518) 761-82% 2 ARRIVE: Ab DEIPARI. DATE'NSPEMON REQUEST RECVJ NAME: LOCATION. F DATE: PERMrV# Monlix Romig MODULAR lift" FOOTINGS— FOUMATM— BACXIM.L— FRAMING N/A YES NO 1. foundation support, pier spacing per manuf.. .................... I anchoring per manuf. ............... 3. water line shut off ................... 4. sewer fine support 0 4 feet ....... 5. heating crossover(dblewide) off grd. 6. dryer vented outside x................... 7. ski.*g ventilated .................... 8. hot water relief valve piping outside 9. deck, porches, steps. railing ........ 10. finvace/hot water operating ........ 11. garage fire proofing .................. 12- door closers ........................... 13. plumbing fixture ...................... 14. foundation insulation (if aPPI-)...... 15. smoke detectors ....................... 16. final electrical ........................ 17. variance required ..................... 18. data gJ&okay ....................... 19. mobile HUD seal okay Model# Manufacturer I Date of Manufacturer YES NO OKAY TOINWL** Based on our 11mitpo examination, t compliance with our comments shall not be construed as indicating the <:, FILE g plans and spec!fica`ons are in full ccrr� COPY „ �ne wit tnM r - qFa,- y ,i b aj„ Ig Codes of Novi YurK State. E t S NOTICE ANCHORING Of MOBILE HOME f FRAME 1S REQUIRED PER TOWN OF QUIfEYSBURY ANUFACTURERS SPECIFICATIONS BUILDING & C Reviewed By: . Gate. i. 0 i 0 0A "'1 on E 3