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2007-069v ~ ~ ~. ~ , ~ O U '° o ° N .~ N N ~ ~ `~'.,,~ rr "~a,~~ >; ~ ~ ~ ~ ~~ w ~,o ~° ~ ~ ~ ~ ~ U o z M ~ .. ~ ~ ~ ~ ~ W ~ •~ ~ ~ ~ ~ ~ ~ ~ ~~ a. ., o ~ ~ o° b H ~" d O~° rT - ~ ~ ~ O ~ ~ ~ ~ F+1 ~ W ~ W 4 s' ~, w'~ ~~~ ~' ~ ,~ o a ~ O W ~~~ a M O cv ~ !~ C ~ •~ ~ '~ u e~C N ~ a ~«. t~ .~ o p,,, c v °,~' a ~ ao ~ -v .n ~ ~*" ~ y o W V o d o U ~~ z .~ o ~ ~, o z ~~ ~ o ~; ~~ ~ ~°~~ TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY 12804-5902 (518) 761-8201 Community Development -Building & Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20070069 Application Number. A20070069 Tax Map No: 523400-308-014-0001-052-000-0000 Permission is hereby granted to: KIMBERLY A BARRETT ARC COMMUNITIES 14, LLC For property located at: 183 PITCHER Rd in the Town of Queensbury, to constntct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and incompliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: ARC COMMUNITIES 14, LLC 900 Mobile Home In Park $20,000.00 PO BOX 790830 Total value $20,000.00 SAN ANTONIO, TX 78279-0000 Contractor or Builder's Name /Address Plans & Specifications Electrical Inspection Agency 2007-069 63 BRIWOOD -KIMBERLY BARRETT 1120 SQ FT MOBILE HOME IN PARK $67.20 PERMIT FEE PAID -THIS PERMIT EXPIRES: Sunday, March 30, 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 To of ensb , /J r d ch 30, 2007 SIGNED BY ~~ for the Town of Queensbury. Director of Building & Code Enforcement ' OFFICEU3EONLY " ~~~~~~~~""""""""" .. _ , ~~ ~ !~- O ~ 400 aN~f JfVIQ~I[18 TAX MAR NO. PERMIT NO. ~ %Jl ~acnia~n, ~ -gin ni DATE ISSUED: , ~ M01, ~.av ~ PERMIT FEE APPROVALS: ZONING TOWN CLERK ~ L °.. " " , , " " 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 In ormation Property Owner Information Name: ~ lrti'1 ~" r" ~ Name: Address: ZV ~u; ~ Address:~~ 1- ~~d~ Phone No.<~l 7~~ ~ ~7 G Y Phone No, Parcellnformation ~dT~ ~- 8r1~~oa~f Proposed Date of Placement: Property Location: _HQ~ '~r-CS~ ~~,.~ ; ~Ur'rrl~~.r~ Road, Street, Avenue /~ v ' 2~~ Name of Mobile Home Park: n ~ ~S~ ~ ~ ~ ~-/~f ap/Xicable) Tax Map Number: ,~~ - [- Mobile Home Information :Zoning Information Approximate Value of Home: $ ~ t~ :Zoning Classification: ~~~~ New Home: Yes ~ :Size of'Property: ~~.r ft. by „ jQiQ ft. Replacement Home: es No Existing buildings: =Size of Mobile Home: ~ ft. by ~ ~ ft. ;Setbacks: front yard ft. rear yard ~~ ft. ,~ side yards ft. and ;~,_ ft. Singlewide: Doublewide: Number of Rooms: (excude baths) ~ :Accessory Building(s): circle Number of bedrooms: ~ Number of bathrooms: ~_ 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 8 Depth Other: Piers Runners ~ Water Supply: well or unicipal Slab Is Septic Permit Required? Yes or No ; Continued on bads ,, Tazt~n of Queensbury • Community Development O,fJ4'ce • 742 Bay Road, Queensvury, !v r l~rsv~ Name of Installer or Mobile ome Dealer: ~~~~ ~ ~ ~ ~ ~ S ~~ ( Phone: (Cr/~~ ~t S~~ ~ '~~lD Address FpQ ,~4w,~r~j ~ /Z ~ Complete information below found~o/n a `Plate" or `Sticker' which is affixed to the mobile home: Insignia serial number._ "T q~~ ©~ ~~ ~~ ,/ Name of manufadurer. / Plan Approval Number:, / Model or Component Designation: (New home only) ~ Date of Manufacture: ~~ o AFFIDAVIT Town of Queensbury State of New York County of Warren F swear that to the best of my knowledge and belief the statements contained in this application, together with the plans and speafications 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 alt other laws pertaining to the proposed work shall be complied with, whether specified or not, and that such work is~thorized by the owner. r ~ ` Signature: f Owner, ,. r' pct. Contractor ~~,~,,4• SPECIAL CONDITIONS OF PERMIT By: Code Enforcement Officer Toum of Queensbury • Community Development O}~ice • 742 Bay Raad, Queensbury, NY 12804 v • r S 18-761-8201 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: TOWN OF QUEENSBURY 742 Bay Road, Queensbury, NY t 2804-5902 Mobile Home Agent, Mobile Home Contractor Signature: Town of Queensbury Code Enforcement Officer "HOME OF NATURAL BEAUTY ... A GOOD PLACE TO LIVE" SETTLED 1763 Date:~~ 0 Date: i ~~ I.~ ~ r .~ r ~' ~ n '`~ ... _ .~ i i i i III ~ ~w { o~ n ~' _ i_ ~~ i~ J /r},hCh{nlC cc r?fl~(1Cb!!?IC ~1>lN,~ Ic7>I(1J ~I'F(1 f('I-rn-!f1f17 0 3 x 3 ~s 1 ~~ ~ m ~ --r fTT - r-- a ~ A~~ s~ ~~ o ~ ~~ N~ ~~ ~~~ .~ OCT-30-2002 1 1 :1a4 H~•~ r ~r c_. ,, ~ •:., ~..... _. I ~f ~"- Q ~,.~,fiMt~ r~~ ~~ ', FINAL INSpECT10N REPEAT ', MOBILE / MOOULAq '~, Tt~m of Queensbury ', Building 8~ f:ode Enfarcerttent ', 742 Bay Road (~ueensbury. NY 12804 (518) 761-8256 ARRIVE: ~FPART: INSP: C~~~~. DATE INSPECTION REQUEST RECEIVED:. , NAME: ~ ~ "~ LOCATION: (.o ~ k>~- ~ ~b DATE: 'J 2. ~ PERM17. ~ ~ ~ `- FLOC ''' i1tOBILE HOIr[B it[ODUI,AH HO>wt8 fOOR'QV(3S - PO(INDATiON - . BAG[~1;L _ F1tAMIIQ(} i - ', NIA .YES Na ', 1. foundation support. pier spacng per manuf. ..... ... _........... 2. anchoring per manuf . ............... _ - - ', 3. water line Shutt off ................... _ - ', 4. sewer line support ®4 feet ....._. _ _- - 5. heating crossover (dblewide) off grd. _ - ', 6. dryer vested outside ..: : ................. _ _- - '~, 7. skirting ventilated ................... - 8. hot water relief valve piping outside _- _- - ', 9. deck, porches, steps. ceiling ........ _ _ - 10. furnace/hot -water operating ........ _ 11. garage fire proofing ..:.............._ _ - 12. door closers ........................... _ - -- 13. piunbing future ...................... _ _ - 14. foundation insulation (if appl.)...... _ _ - ', 15. smoke detectors ....................... _ - ', !6. final electrical ....................... - - ', 17. variance c+aquired ..................... - - - is. data prate ~y ....................... _- - - 19. mobile HUD seal okay .............. - - Model ~ Serial ~ Manufacturer , i~te of Manufacturer ,, , OKAY TO LSSUE C/O yES NO (-omtn~ents: ~ ~ G- ~- jl ~ ~~-1C' ~~ r ~~' ~ ~r;~- .' ~ .~ ' ~°~ 3-~----- FINAL INsBPECTION R c~~~ ~~AT MO®ILL / MODU / ~., Town of QueensburyLAA J.~~i~f Building & Code Enforcement l 742 Bay qp~ ~~° ~. Queensbury, NY .12804 "` (518) 761-8256. ~-~- ', ARRIVE- 'LC''uEPART: - INSP: J~ --__ ', DATE INSPECTION REQUEST RECEIVED: NAME: LOCATION: ~~~ DATE: _._------_ PERMIT J{ MOBILE HOME __ MODULAR HOME _ ',' FOOTINGS _ ~UNDA'I70N _ BACKFII,L ._ FRAMING 1. foundations ~ N/A ,YES NO upport, pier spacing per manuf. .... 2. anchoring per manuf .......... ... '- - .- ', 3. water line shut off ............... - - .._ 4. sewer line support (g) 4 feet......... - -- ---- 5. heating crossover (dblewide) off grd. -" -- ti- dryer vented outside ...:......... -' -- - . shirting ventilated ............ - - - ', 8. hot water relief valve piping outside -" - - 9. deck, porches, steps, railing ........ -- - 10. fumace/hot water berating -' - - 11. garage fire proofing .................. _" - 12. door closers ..... ~- - - 13. plumbing fixture .. ................... - __._ - 14. foundation insulation (if appl.)...... - - 15. smoke detectors ........... -' - 16. final elec ............ - tncal ............ - - - 17. variance ............ required ............... - - 18. data plate oka ...... 19.m Y ....................... .- - - obile HUD sea! okay .............. _ - Model ff UC1' ~ Serial # ~ ~ t~Tjv ~ Manufacturer ~.~~ ~'~C ', Date of Manufacturer l ~j d ', OKAY TO ISSUE ~- YES ~2~~~ NO ~-'omments: Lq n~ / o ~ ~ 1/C-'~ ua ~ T 2~ ~~~ FINAL INS3pEC `~'~ TIO REPORT MO®ILE / MODIJLAq Town of Queensbury Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 ', (518). 761-8256. ~ ', ARRIVE:~DEPART:~~ '~ f '- N DATE INSPECTION. REQU T RECEIVED: NAME: LOCATION: ~ , ', DATE: PERMIT # MOBILE HOME MODULAR HOM$ '' FOOTINGS _ FOUNDATION _ BAC'KFILL ._ FRAMING} 1. foundation su rt N/A .YES NO 1?lp ,pier spacing per manuf . ........................ _ f 2. anchoring per manuf . ............... ', 3. water line shut off -' - ' 4. sewer line support (g~ 4 feet ....... ~ -" 5. heating crossover (dblewide) .off grd. _ - ' --- 6. dryer vented outside ..,......... ~ -- 7. skirting ventilated ...... - - 8. hot water relief valve piping outside - 9. deck, porches, s - tees, 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 # ~ Serial # Manufacturer ])ate of Manufacturer OKAY TO ISSUE C/O YES ~ NO ('omments: ', f ~ ~ ~~ cL~~,~ D~ c~9 COMMON'WY:AL;rH ELECTRICAL WSPEC~'YON SERVICE, INC. Mala Oftfee 176 Dve Run Road • Mattiteim, PA 17345 M[JIVICIPAL CERTIFICATE ,ELECTRICAL APPROVAL Permit No......_ ............. ...Cert. N ° 9 414 6 Cut-in C ................ tud No.......... I.ocaNon..........Ca.~.........~J./.•.L~.La/..Oa..d...,...~1./1.~,L.~..........~!?:4~.~ , n ~t L ............. .._...~1.~,P Instatlatiott Consisting of.........(.u.4...fa.........1!7.1.Q_~,~,~~.r..~_hc~.x~.~r.....+~S.~kS~,~~r+..~ ................. ................................................................. .......................................................... .. ............... . rnstallcd By..1~~t,~..(l.~.ti....l~:~!.~, r~...--• ................. ... Lie. No.......... ' The conditions following governed the issuance of this certificate, and any certificate previously issued is cancelled; This certificate only covers the eleetricat equipmem and instagation condjtjons as of date Upon the introduction of additional equipment or alterations, applieatian shall De promptly made for inspection. Inspectors of this Company shall have the privilege of making ingpcctfons at any time, and if its i rules are violated, the Company shalt have the right to revoke this certificate. Date............ ~ l~ ~ .. ................... _ ~. __ , ^ _^.. , , . ,^ Member N.F.P.A,,, ~.A.E.I. FINAL INlHpECT10N REPOpT MO®IL.E /MODULAR Town of Queensbury ` ~ ~ "` o"~ Building & Code Enforcement 1 N~~ 742 Bay Road Queensbury, NY 12804 / " ~ (518) 761-8256 ARRIVE: ~ DEPART: I C.[.~/ DATE INS~PE~~C.,TION REQUEST RECEIVED• NAME: ~--t n~~G.,f'i ice... _ LOCATION:.~_~ ~~ r7~i r DATE: ~' 0 ~ PERMIT > ~ ~ ~ ~~ MOBILE HOME MODULAR HOME _ F~T~r*S _ FOUNDATION _ BACKFIL,I, _ FRAMINd 1. foundation ~ N/A .YES NO suppo ,pier spacing Per manuf. . rt........... 2. anchoring per manuf . ............... -' -7 -- 3. water ......... Lne shut off - -~' -- 4. sewer line support ®4 feet......... - ~ -- 5. heating crossover (dblewide) off grd. _~ - '-' 6• dryer vented outside .., ................... _-~ - 7. skirting ventilated ................ / - • hot water relief valve i - -Y - 9. deck P Pm8 outside - .~L. ,porches, steps, railing . _~ _-- 10. fZUnace/hot water operating • . ~ . ~ ~ ~ - 11. ara a •'~"~'~ g g fire proofing .................. - _ - 12. door closers . ....................... ~ - 13. plumbing fixture .................... - 14. foundation insulation (if a 1. 15. smoke de ~ )~""' lectors ................ - - 6. final electrical ....... 17.va' "" Hance required ....... - ~ - 18. data plate okay ....................... -- _._. 19. mobile HUD seal okay .............. _ ~ -.- Model # ~ Serial l/ Manufacturer Date of Manufacturer OKAY TO ISSUE C/O YES NO ~-'omments: -----_ ~~ ~~,~