Loading...
RC-0544-2021 r r Office Use Only MANUFACTURED HOME Permit#: 2G-65M oz' PERMIT APPLICATION 23 Permit Fee:$ Town of Qucensbury 742 Bay Road,Queensbury,NY 12804 P:518-761-8256 www.gueensbury.net Rec Fee:$ 4! Invoice#: 3� l b dfMd S V``1 � er Flood Zone? Y Reviewed By:� Project Location: C1 1 Tax Map ID#: Name of Park(if applicable): la' U PROJECT INFORMATION: JUL 20 422 1. Proposed Date of Placement: TOWN OF QUEENSBURY 2. Approximate Value of Home:$ `�O CdO BUILDING& CLUES 3. Is the home NEW or a REPLACEMENT ? 4. Single-wide yS or Double-wide Size: _!_q__ft.X ft. = Z total square feet 5. Foundation support(choose one): Size Depth Piers: Slab: 6. Is the home being placed on a private lot? No Yes** (**if yes,you must provide stamped engineered drawings of the permanent foundation plan) 7. Total#of rooms(exclude bathrooms): ;#of bedrooms: 3 ;#of bathrooms: 8. Additional heat source? No ✓/ Yes Choose one, if yes: gas fp_ woodstove_ wood fp 9. Are there any other/existing buildings on the roperty? No Yes ; Explain: 10. What is the water source? PUBLIC PRIVATE WELL 11. What type of wastewater system is on the parcel? SEWER PRIVATE SEPTIC 12. Do you need a septic permit application? No d. W2 MANUFACTURED HOME INFORMATION: - (INFORMATION FOUND ON THE PLATE OR STICKER LOCATED IN THE HOME): ns'"n elrT Name of Manufacturer: L'MR?f<-5AT — 64-;q, Place approval#: Model or component designation (New Home Only): .Z"IJ2 1 Date of manufacture: Manufactured Home Application Revised January 2021 CONTACT INFORMATION: PLEASE PRINT LEGIBLY OR TYPE, PLEASE INCLUDE AN EMAIL • Applicanti Name(s) IsSN.. . Mailing Address, C/S/Z: 164 "bit QQ4-tA►S1D4f1( &1Y Mk04 Cell Phone: ( f1Y ) i1 'I V Land Line: Email: V s let g41 .ccvr. • Primary Owner(s): Name(s): r4aike£A-e.d t t L&ysa_ Mailing Address, C/S/Z: '.Oy IVzwh Gl_ &. noV -Uv 'Zkrqu Cell Phone: ( GI' ) 3Z0 $ 17 V Land Line: � ) Email: o wr Check if all work will be performed by the property owner only • Contractor(s): (List all additional contractors on the back of this form) Contact Name(s): Contractor Trade: Mailing Address, C/S/Z: Cell Phone: �_) Land Line: Email: "Workers' Comp documentation must be submitted with this application" Contact Person for Compliance in regards to this project: A \l Cell Phone: Land Line: ) Email: .i Manufactured Home Application Revised January 2021 i• l' Purchase Authorization PO Number: 21611 Purchaser: Seller; AGL Homes,Inc. Titan 4305 Route 5 951 Rte 12 South Caledonia,NY 14423 PO Box 177 (585)226-2727-Fax(585) 226-8909 Sanger8eld,NY 13455 Attention: Jim Davis (800) 937-3911 Fax: (315)841-4660 AGL Homes agrees to purchase the following unit,described as Model# 8144 Serial.# , for exactly $45,272.59 - AGL Homes further authorizes TITAN to submit this unit for floorplaning through 21St Mortgage Cash Program for the exact amount of $45,272.59 . The described unit shall not be submitted for payment to the floorplan source prior to actual shipment, unless otherwise authorized by Russ Corey. Customer and Delivery Information: Delivery Address: Customer Nam: 2I8t Model- Humestead Village Expected Delivery Date: 80 Alpine Ave Order Number: Qtleensbuty NY 12804 AFFORDABLE GREAT LOCATIONS, INC. MUST BE NOTIFIED IN WRITING OF ANY PRICE INCREASES ABOVE AND BEYOND THE PURCHASE AMOUNT AS AUTHORIZED ABOVE, AND SUBSEQUENTLY, A NEW PURCHASE AUTHORIZATION FORM MUST BE COMPLETED AND SIGNED, IF ACC JPT . AGL HOMES. Sales Manager Signature: ------ Date: Service Manager Signatu-•e: p Date: 7 i Z - Project Coordinator Signatu • Date: General Manager Signature: Date: i a ��VSy Champion Home Builders,Inc. Quote- Revision 1 951 Rte.12 South "r� No.: OT033112 SangerRald,NY 1345E Phone:315.841.4122 Quote Date: 06/24/21 Fax:316,641.4660 Retailer P.O.: Order Type: Relall Retail Customer: Lot f180 Bill To: 1057NY Bell To: 09SONY Req,Del.Date: Affordable Great Locations,Inc. Affordable Great Locations,Inc. Zone Manager: Jim Davis Affordable Great Locations.Inc, Homestead Wage MHP Brand; TITAN-EAST POINT 430E Route 5 200 Luzeme Rd Model No.: EP8144 Caledonia,NY 14423 Quesnabury,NY 12804 Base Home: 14X72 3 BR 2 BATH Shawn Adams Model Year: 2022 Model Size: 691Y X 134" Construction Type: HUD Shipping Agent: Shipping County: WARREN FOB: Factory Page:i o14 Feature Option variant Description Quantity Ext,Price Construction WINDZONE 1008 WINDZONE I 1 Standard ROOFINS 621 R-30 ROOF INSULATION Sol Standard ROOFLOAD 10003 30 LB ROOF WI 24 OC RAFTER 70 Standard RO0FPITCH 999 3112 ROOF PITCH 70 Standard FLOORINS 13979 R-1 t FLOOR INSULATION 1 Standard FLOORJST 13888 2X6 FLOOR JOISTS 16"010 1 Standard SHEATHING 14003 FOAM-CORE SHEATHING 1 Standard WALLINS 109 R49 WALL INSULATION 1 Standard SWALLHT 10077 8'SIDEWALL 1 Standard FRAME 13480 4"RECESSED FRAME•- 1 Standard HITCH 9 REMOVABLE HITCH-PER FLOOR I Standard OTHER 10001 CONTINUOUS RIDGE VENT 1 Standard Plumbing/Pleating HEATSYS i 0044 White GAS FURNACE(ATMO-GAS) i Standard DUCTSYS 1=6 IN LINE HEAT FLOOR REGISTERS 1 Standard WH 10061 30 GALLON ELEC.WATER HEATER 1 Standard W14ACCESS 10117 DRIP PAN FOR WATER HEATER t Standard OTHER 279 WATER SHUT OFFS 8 MAIN t 65.00 OTHER 323 PLUMB&WIRE FOR WASHER 1 Standard OTHER 392 ROOF JACK EXTENSION 1 25.00 OTHER 379 EXTERIOR FROST FREE FAUCET 1 40.00 ChaMlon to a regWored rredomrk of champlon Home eumw%kio. Quote-Revision 1-No.:QT033112 Model No.: PP0144 Page•2 of 4 Feature Option Variant Description Quantity Ext.Price Exterior FRONTDOOR 10188 White 36X80 FRONT DOOR 1 Standard KEYSTONE RHH REARDOOR 13340 White 36"9-LITE 1 375.00 KEYSTONE RHH SHINGLES 13138 Dual Black 3-Tab Shingles 14 WIDE 70 Standard SIDING 14280 SELECT VARIANT DOUBLE 4"VINYL SIDING J%� i,362 Standard OTHER 13458 White STORM DOOR 1 252.00 LHU OTHER 14208 NON GRID WINDOWS EA. 1 Standard .OTHER 14269 TRADITIONS FRONT END 1 250.00 (1)WHITE RESTORA7701V MILLWORK PILLAR LINE4L HE WINDOW(NO SHUTTER.WHITE SIDING COLOR BETWEEN PILLAR AND CORNER.SAME AS SIDING COLOR INCLUDES 2 OUTDOOR LANTERN LIGHTS OTHER 639 SELECT VARIANT EXTRA RP SHUTTERS-PER SET 3 114.00 OTHER 733 ICE GUARD. 1 219,00 Electrical MAINPANEL 10042 100 AMP SERVICE i Standard OTHER 10023 LIGHTS 0 ALL EXTERIOR DOORS 2 Standard OTHER 10048 EXTERIOR GF)RECEPTACLE 1 Standard OTHER 13713 HUNTER PADDLE FAN 1 195.00 OTHER 14117 USB RECEPTACLE 1 30.00 OTHER 025 WIRE&VENT FOR DRYER 1 Standard OTHER 560 CAR86N MONOXIDE DETECTORS 1 80.00 Interior DOORS 13598 WHITE 2-PANEL INTERIOR DOORS 1 Standard DRJAMBS 10200 Umber Oak DOOR JAMBS STD 1 Standard FLRCOVER 13596 Brownwood LIVE WIRE CARPET 6B 99.00 DRMOLDING 102t3 Umber Oak FLAT DOOR MOLDING 1 Standard CLGCOVE 10212 Umber Oak FLAT CEILING.MOLDING 1 Standard LOCKSETS 10063 METAL DOOR KNOBS 1 Standard CEILINGFIN 10011 STIPPLE TEXTURED CEILING i Standard OTHER 10009 WIRE VENTED SHELF-ALL CLOSETS 1 Standard OTHER 13612 MINI-BLINDS PER WINDOW 6 150.00 OTHER 13675 Umber Oak KF-104 W/MDF DOORS AND STILES 1 215.00 Kitchen DRYWALL 10025 Northwood Mineral VNL CLD GYPSUM WALL BOARD 26 Standard FLRCOVER 14419 AF010-Woodgraln ARMOURFLOOR LINOLEUM 18 Standard CABINETDR 10065 Umber Oak MDF CABINET DOORS 9 Standard CABSTILES 12663 Umber Oiled Oak MDF CABINET STILES 1 Standard CTRTOP 12286 Madura Pearl LAMINATE COUNTERTOP 12 Standard EDGE 12287 FORMICA EDGING 1 Standard SINK 10034 Stainless Steel STAINLESS STEEL SINK-KITCHEN 1 Standard Champwn is are©ia*ed Ladamark of Champlon Hama Burdars.Inc. astute-Revision 1-No.:OT033112 Model No.i EP8144 Page:3 014 Feature Option Variant Description Quantity Ext,Price Master Bath DRYWALL 10025 Northwood Mineral VNL OLD GYPSUM.WALL BOARD 22 Standard FLROOVER 14419 AF010-Woodgraln ARMOURFLOOR LINOLEUM 6 Standard CABINETDR 10065 Umber Oak MDF CABINET DOORS 1 Standard CABSTILES 12M Umber 0090Oak MDF CABINET STILES 1 Standard CTRTOP 12286 Madura Pearl LAMINATE COUNTERTOP 3 Standard EDGE 12287 FORMICA EDGING 1 Standard SINK 546 CHINA SINK I 47.00 TUB 10118 1 PC FIBERGLASS TUB I Standard Ball Bath DRYWALL 10025 Northwood Mineral VNL OLD GYPSUM WALL BOARD 25 Standard FLRCOVER 14419 AF010-Woodgraln ARMOURFLOOR LINOLEUM 8 Standard CABINETDR 10065 Umber Oak MDF CABINET DOORS 1 Standard CABSTILES 12683 Umber Oiled Oak MDF CABINET STILES 1 Standard CTRTOP 12286 Madura Pearl LAMINATE COUNTERTOP 3 Standard EDGE 12287 FORMICA EDGING 1 Standard SINK 548 CHINA SINK 1 47.00 TUB 10118 1 PC FIBERGLASS TUB 1 Standard Living Room DRYWALL 10025 Northwood Mineral VNL CLD GYPSUM WALL BOARD 74 Standard Dining Room DRYWALL 10025 Northwood Mineral VNL OLD GYPSUM WAIL BOARD 13 Standard Master Bedroom DRYWALL 10025. Northwood Mtnerai VNL OLD GYPSUM WALL BOARD: 62 Standard 2nd Bedroom DRYWALL 10025 Northwood Mineral VNL CLD GYPSUM WALL BOARD 49 Standard 3rd Bedroom DRYWALL 10025 Northwood Mineral VNL CLD GYPSUM WALL BOARD 54 Standard Utility Room FLRCOVER 14419 AFOID-Woodgraln ARMOURFLOOR LINOLEUM 4 Standard DRYWALL 10025 Northwood Mineral VNL CLD GYPSUM WALL BOARD 24 Standard WASHEROVHD 2882 WASHER/DRYER SHELF 1 20.00 Foyer FLRCOVER 14427 AF010-Woodgraln ENTRY LINO ARMOURFLOOR 1 65.00 Appliances RANGE 14733 S.S.GAS RANGE" 1 Standard REFER 14731 S.S.ISOU REFER'" 1 Standard DISHWSHR 14735 S.S.DISHWASHER" 1 445.00 MICROWAVE 10028 SELECT VARIANT VENTEDILIGHTED HOOD 1 Standard ChSmpton Isarogrstared rradvMtkof Champion Homo annders;Mo. Quote-Revielon 1-No.:OT=112 Model NM: EP8144 Page:4 of 4 Feature Option Variant Description Quantity Ext.Price Inflation Protection Plan DISCLOSURE 14739 IPP DISCLOSURE 1 This home 1s sub/ect to an tnilallon Protection Flan(LOP)at the time Of Invoicing.The quoted amount Inchides an IPP surcharge oP 10%above our base price.The final Invoice price will be adjusted in accordance w th IPP, MISCELLANEOUS CHARGES STATEDUES STATE DUES 130 tans HUD LABEL 14103 HUD LABEL 1 150.00 SURCHARGE 14710 Surcharge 907 8,490.59 HUDLASELI 9946 NEW YORK STATE WARRANTY SEAL 1 150.00 DISCOUNT 168 Discount 375 -375.00 INFLATION 14708 INFLATION PROTECTION PLAN 3.704 3,704,00 Requested By: Shawn Adams BASE PRICE . . . . . .. .. .. . . . . . . . . . . . .$ 28,832.00 It Is the retailer's responsibility to verify the options and the pricing of OPTION TOTAL. ' ' ' '' ' ' ' ' ' • ' • • • . • ' . .3 2,733.00 the home. MISCELLANEOUS CHARD E9 . . . . . . . . . . . . . .$ 12,257.60 SALES TAX(1PAPPLICABLE) . . . . . . . . . . . . . .S 0.00 Champion Home Builders,Iwov eserves the right to make changes at anytime in price d spec lEi0ifflions without notion and/or obligation. SIGNED X ti TOTAL FREIGHT CHARGES.. . . . . . . . . . . . . . .3 1,760.00 DATE 4 _ TOTAL PRICE: . . . . . . . . . . . . . .$ 45,272,59 h6lWdozo-. 24t21 DMW71 wPrioled.06M4M104:17PM MDd16ed0y:JWDAV13 Champion fs a ftizarad trademark of Champion Homo auQdOM Inc. ,!`-,t`3,',<: v�4,i.•n•'mitt k.--,f,: �h'( „',�6t ct(:=a-"-:H.:YiiY•ti r,^_. ,r� '4 R. +% ,n,.., •a.i ti`.• i x.}!X �..,r� SriRi:Y gFTd r�J' -0aa.`�r i. l �4.: ..j,��.bl�{T.':'B', Ts�;' a. • n.:e {§t:.syr"qCr -A+a:=' y,4,-, `•. < ''a _�i:e.:. .- . 5. ,.�.::f".'`:.y,yyS�?? 'ri 9. F;:' ,,l\. Y- ,t�'`-iv �..'a-,ais,?rt5' arF°i;: 2=•'.�• .. .. t l°;:,.?„�,'..":1� .> <,.A.y S.T �. ._,ft ':,p-, '?'b`, „'���a L+;'n,y,.i,+._-, i`I.,�:i. )., ::a,Q.a7'-'a •!".`'iX�?°'•:rsi�i'k�ar x- z'r,x?•t.h r:/{:r. ,k., .,�.�p,, y"PS,h fi.�:,,.n.: '2"' ^T rc:6, ,t;� wa,�, - ,!. , i• x�' \.•>,.,ao:„.•.vi...:.,yy,.>°,t. ir•:es> -a`k'" a7 •.a(a s.;.v<. `p},... _,4: ..b... -:y, ;:k..a. r;2 ;: H,x:.- S.t:•:r'1. .se, .t,a. 7 •..:Y.d,4? ate: s. <'Sr�^ :.'. ��,. .:r,� a:.' :'k`,�:;.r..,,, d a,x, §: :i�iF:'r,>in`. rrn f .:7-. ,ro'•' `t'ri:so�.'C },,,a,,, :,x;.. :rz: „�.`.'rta hFr?ha`p,.�,s^p„c,,__ ?l'�'+;' o^i::§.''. ,•M' '`$�-` +'ii':d�o'' 'a ?- <° •g+�yr;a. fi"y" :ix'',' � .',..- -';>-7", .a.. <.t� .'��3: .:.z. .,d.'k' "3,9'4i' _ : 'r. rY r�b...F, ''.a..:" ., '::: ... r t': ,.>`5 - e7`�,,;..i: S .r"§A:` :zfrc.ci[ 2" w'. c. ,YA,,,"fir";,r:"_ ..s S .r.0 �-;y v.k•.: :i, a..ka; of•<;,:. �i•�\ '_:i: x«�..� S'''t• t: ;fir r -.rxa� �.:-a>.:..-'..R�. .l .x}.y_ ;:3` • -`�Y,' °,,d 5:;:' �, , Ft,'t.,: ,h T *;�, Y-$C;�a.'.,�b:, �kp^.:h:: `< >3„"rv',PS ":aC _r':C�. ;zF4-,n _ r' :�`4 i-:' .$,3y.r.:.ti .,\,f , :ci_,r.r. ,.•8 .>a''., .,.,.. A�.�.,:':` :..;. -x, ;,Lis"',`:s., .`i,.:r _ fr .., F+,:: ..; .. p .�'>e r.xl.. 1xy _.a a.y<. 9'' ._ ,Js. •f'•.,:. -.r:,^.::r.�ia;...L^r,L:�: '",:, s,Xi'., -' '! a ,a,'n t.a'".',`, ,' r.- rrr _...p ki: -,r._ ...k^ .:Jw. awmA s a t;., y fi.,:?a`xfY�+aw'Ztrpcut. 1. }y= w` ',.,,�'-', •etY l s.\ 'trE;,` S ? ,,'5,':lt #.�,+v�''ry ,,' s+ .;'?t°t= :. :� x1<"h�'d=„ .< ,�b�' •`'.:rr�,•:5' .t _: .�{,,`+'•r sy..„..y..F:,r., •:5;t:`;5,.:•:°' - '.pfr ,ht 'r f ;.:a.,,.t•,�. }` ?r,.lriYi' :i::,fir +:`S:. n,r'"A. '.',Y.. ,`aa '''Y; i ¢._r,. a.�2¢2'E`.„:Yfr•,.'l,'-` q� ..b,k-,<,> 1�' .- , .. h°`".§: \` ... b ,:, ,g .. q'-.a.. :i z;:...•.•,>rl .3''i;::�`,`j,. ""ir, r: :�i s : f.<:§,f,!".':T'F, _ .-R.��kd= .:Yh..� ei' '-{ •.,r. -, •1 1�..cLr?.o tis< :...A::r.xVr_.. -rx .i•. _,tt «k`' :;r.:t.-xf-;ns:e::?LS ic' ..tea. �1.:-?{ 3' +•.•„'•,'x,.P 'rew-"au°.'�,p w N•!e.a,7:1<. `.,:<•!Y.�..t '�4,.,Ct.. s,!' 4 •t?MW, _.tY`::..,'�.:f�r- ,1N^„,,.-, F r,y.... ' a=z�'", Ar6•gy,g;mn•;;w'k.. '`r`s:"' - %':x:•,Q` ^�,.;. <§t. ..i.°.� v8y` n,g. •v ""_ an.: yd•_s::: f; _, C. fi. `':ttt r.,.`:.cd ::° r C'{:T� •1:}`.,' .�'-irv!t,<; i�:;-s'.�' ='s,'';a}� a}.: ���''- �.i�:f��a ., �:u .,: [rr•'..• h :.. ., ..fi.>�.... ..G:!i.;�':?:a• ':E;.:. _ - _'y..�.:e �i h:. E• ` zt` L `:' 2? uF, m.... xa [ - i :'.a-i .:. �. r'# :.L.`...;f ''e .;.f;.'µ"d.:;, �^.:i' 'i;r !y Y.•`�x .y,., ,.,t tlf!§�.r-:< i _ 5�� <. '. •,>:•< n:: ;.^"t.• .y?_. ,.? '.,11.' �s+"i i,�'."�'.e'fit:".�i•. ��-Ky f[,....v. R� fl@!`.. " `d'it zG rl', ...1d,e wt. ..�'.• ,♦ ,,..'.' .:e``'ra"t t "`4 i� ,y� :. l� } , ,<.:•::. Y.. 1 :. :.:. '"_.. :9' r,f':.Sfir:,.1.{sr >',7(•vK'_ ,�YTw"y±°i'. 3� �} ,.< (=�. - :`� yr 'i ,_: f' ..6:i.F ) ~' ' , . �,rr r /a•fi' .':l'; 'lt^, s.}. �f�` - ''iz`_ 1> ao _., i/ '-}�: _,go-, <,', to i,_,,, ",. �r 0•:= r rh v r- �a: i v. w. I ''.,,� '�` ,• ,l.r w :•o•[{:.�N:.? :.'�:.jc.a=-�n', k .-3g::" ,.�,',`,., �f. 'v--"r'' °s-:r<r.;±.� a... y.``�. { ?v '' {a..6•,.. i �a s• 3?r' '<, .ty'. f {':r::• .ie,: "1 4.z,., .n:r'. t8> T. �.. t :r.-,,- :_ :t`� ,g r':'`. ,...,_ < q :ll"' .'h. • ` is �'"'�:•^ i. - :.-,'^ '_>. �•: L 't`�::.{,[7 r Yn .:4' Ore : '"i.� =i:- 3.: 1 S: 'r:' ,M{ "d' i pry %,�. •far ?v. u•ir:.a �..,t s+ s • :> ...,�w,,r,., � � ,,..,:a ., ...:,,.-u-a, .'..P.`:: 1 .,,.; -- t '.i'�'.`" ':-'1:•.f!<r..}=. ,A-f" i':.:2') 1` 3'' r,b' , are ..L'< :`S .. - �,1 -*'s•t:_'a -,a,,. :.tM _.�;�;x,•w#i 'ii;y ,.p 3 .•' - ':1 `:)' - .1.:_+:r .:;%:'q•_'ya 3,l,viFa�,." X` 54 ..}a Y, •:, r> ,...�•11'.,. C r •,a:. �! -`ii•.:'!i, a.44.. .`_,I-- z1'• _ ';:'i°t.'':,••:' 1."r,':. may,,,_ W A lid ?,- r 9�v.J1t 3 t: A }5' ,,.s,-,..%,.v,. :.): a•'tzr,.Yi ',:..w•3t:.. as .7 a�:•:S:t.,:�xs!Si` �,ra £?" : -rF:'Ci� '^"li.., a<'i•lali4,iO_kPP -,sv't,a i!'��p,M, {{ .+i., (�•y " '-"::+`•'•sf.�so�t '�` .rh'h`` Sv.:. .r_<. 4,.a.s« :»[.. y '3��i'.,•_T'-,s'' ,I.s, - ..V' : :{: 4" v'�.i"`��: .k, i.1-01.,iii%y„, ;:S+yi., r i 1. :t :�i': !! -sC1 u Y�t 3:.N' :.j>y,.:>, a.a }G.pf:>•e L•$:'. - - `•e?' - .t.. ."X,•'.,1 p ,6%`.a,,;ta '+<4�.n r> � �'`S.�t:' 'F�•y ::ti` .J:v ••i §SI. ..F;. qq :' y Y :: �' W.5'i[� a hut. tv$• Y •.h s. , ^y :w t l .1 ti.:.:. w:�wi. .ry1'_yy r._r' .1`:'':.,;,:...b::'f.f.,e. .-,. .. .,. .:,.,. .,•.,.: ' ,.<.,:.:': .f-.;<.+ f'. -i+: rz,.>l,st'4>:Yr''a•.' `,'at";r 8;,.".• , .c'.. Y .S. .v.;,..• „ .n", . ,.:;".. {:,,... ,,,,. t ,,t'`•'•�(1:,L'^ X'F k<"'v-) ; l�.txvi."r' is}.? ...�> :.t 4,- 1.: Y.....<.:-: -,i.,, ::4>, 1 't 'y;h'f' ,... %:ti ,;. 'soh ._f4tR� AA// v .a' •,.. ,ti „, ._a3 ,+< a•r•F'.^i::Y!y.5-.::a:i,: :9*:•, ",�•.:;w- }. .ws',f3.:. '�.:•:.:' y„2• 'Lai, ....,..a w.i::••, ):r•,?4 >.5.:4i..:q�. :�.y.*.,.._ ..;5,. >t:ta - .'k','. , :,` A�S`7<- i k 1. t , :..,. :,Y'--i :..,.+,.,: 1.. -.. :A: .<...,,. `a ''e:�'1s,<-:' ..yC*, f•r .>J'iry:i.�UJ, .r':: ,,':: :. ;:i- ='s'y :V- '*,tJa:AiI ,--w%, t.0 :,<', ;it:'a..:. _e1.. 'l, l.F,.,. x 'r+.Y.r d. 'uGK-.t+ �i'' r,a a %':,C^?.}t. _ s: r:>.:::.4.>. .'ri°, .:p . ,;,. {� <rr7.i.::;:'i..,.�i..�ts.-+ri•� ,t•,"€;,,. :3.W.,4 ?s `',. Sy'z•.{sa"t,, ,k .,i.:`�r.a.,. a- - �:g. ;`: is JE .a' `"...,.. :i ..3[ ix- ,2;=.,:.ai :.35: .i1aa:F.>sta: i ..jw .._..�.._ -.a .., t - ,n »y j. < . - w ... _ d'-i ..: X' !', - _ _ 1. P, g.r: ,zr,,l ? X., .fin.«. 1. :,,, f> i. t P. A. }} �• >t A" l•' S;W ,`•a�. «;'riz ,ems: :C :, :. :::; :i p " 'i11 - '�} ?fr:. ._gy`�,..r.:i»i:..' .y..;_ ,,,r, .,.9'1,x,. -s..T .A•��. _ ;.r C• - to ..p.x'(.. 7. $(� $ y J. �s.;i,_r,v fC _ - _ u-..jF.,rl Sri ,:f' f' a���e, +M1%?:'= ?:�i..b. -e'A.ir;-'.'.,.}" �a•}Y�. � 1. _ ''{ -�'a y =,:: ?•Y,:-., titer.i., .6 '.iF.' ;•: .1 I. '. r<� .w--^ .,-, .7•,.-.-.>i *s ^n .... ,-......_...; .,.._c:... 7,4: :iz .--_ .•'l"II. �''. „ : yy44- ._ :• .e.. >. .a. ,•::.:,., _s .x - >(•3`', ...�i`{j1.. - .! .d. ':t.�f,;... ::.?dt',.. :,,,r.a,,,.r,,;; :: :r„,=s-z.ay.;.rrr=, der':,.>' }.. �u:. ,r.: :s. s: �° ._ t � ro I .- a.: . ... ! l. _ ... ,. ,.:;....n• ...,. - tt gy. .y� ,.:., ar yr,.},r w••-r,," 11 . •'. ;. ...z<w ups•<..,••.: r.:-'i_. }} _ "1���>-•'44 :,'.,;>..: �•. : .:.,.. } ,',,r.:•,: ,;fig• y;a :<'i',•s-f•..•� a'r" a<. *.:5... ..,.- y .:.'f:x..: r t:: ;:P.r�" .+;.'N Ir Yy';.K „;a�'ry !rk:;<^ r.+ J" .,.:. ..,:,. y x:�'` : .k .l v< «.k-¢ ..l.qfi:,f..... }'; >'f;i :•;q=,F,'�'r+¢+ .r ..x..a., .. .r�: ,.:: ., ,. ,..,. :.,. .3 t. ..:. 'i•ir«a ,r'd,`:Ir._ nxm;, :'riY .-�fi«.. ..;. . ,;... , :'.:.'. r:'. $ YS:' ,.0: -.br rj. 3 Y' f o('.. "(' * •i.' tr"Aa �.j ,t. 1. s! -' .: 't::_,•:` 'i ;:'!;{,: :'4: -.in�artiu:' v .cf...', .,.dtt-..:u.r, i. :::.:,. ..C... .�f.a. T`- a.. t, s i%: 4' j':` w...h'•}'. ywA r p r rx, vY•S'.% t„ yr y/. •�f r'1. ' -F� �i t'� . .;yin:,.;.: ,. r x. ft ::1' i,,:y :,yt'... j. +ti.: yy• 4! n;;::: >, :: •,,. y .,,�"ri.: ;.�Y i:; :;Hsa:.. •*•.; , . .,,,:`,r....,r p.. i" ■��' i ),. ..Y",..,,,. , J r'_ ,. . t t' -�,s'" r,l ti f- 4: s=. t -T'h' jrj%': yi a s . of":'>,.-. [n %'z: !' r r.dy. _ :.�: :: .�:M' ,.eau..a.,:;:: + .. :- .: . Y. s:i J;1.::" {c' TV- v4 . vE1. „ J •( ,,:pv.,,....... 1°. - X. jeP( - ~P'r�i i j,.:i.. ,.,.r •_In , `nFi i,,,..., Lk'Ax" yy r•: 1 :Y�i' _ i' - i V:;.q :o• r ..,. dr.'' - cE:: .£ - .. !.:fie• - •r.; :.fix,:,:;. :.. iry i<_ t yw.rar v�aw�' . :� w. P:..:i ^f �f":`" S-. M.' . ,t. , :y jt. a _ ,sc•!a'%V .:f.<v--. % - •:'i(a.. -ry t if 1 ..,d" ��''/�,�.!�,�� •,"''e""' '~ai...�:.:.,�'e: - ;;i,N,.�..-i '.Lai.., .,:,•c ' ,: Y �7�,�j :€'% z . ,}.. . i. .:: .r ..<. ...' i i%i d. d 7 +, y Y' , `+f ,` .. .. y., '•r-..r .. _ 1.h . , " ant i: a r . .,. "f ; , r .. ,c.. •,y.,, : . : , !., .. - y .a. . i, . .. .. . ,, 'T:i., :":l' .. ... ,1,....`\: lt:j:•.0 Q`• .. _ - 4'�. - '.t i.. , i rr.. :. .. ;e r .,, ' ., . ' ... .. ,' r,­2 i e .. ' . , , i 5 ;:.;,". v f _ `,1 'L ,'S.i{`v�ai .. , :.,4,m. 's �_^�• .. it',.. :,.>.• :,c,`:'3•:.,, . .. ..:.i_:' x". .: '�.sky yk' 7�``;:fi. .,t It 41. '3 4'k3 - 3,s: s.v $•f .a '§ ,. '2>, N. :S .I'a;14 < r9.;".:-• :.t',...,;�;}_,a....,y.';l, s".. =iri R zsb Er• 9 .tt .' el__..,:..:�'A"'`*r':';tr" ', i7.,:. .a ! •'r- s EC E 0 W E NOTICE JUL z o 42321 ANCHORING OF M6BILE HOME FRAME +S REQUIRED PER TOWN OF QUEENSBURY MANUFACTURERS SPECIFICATIONS BUILDING 8, co®rS TOW OF QUEE SBURY �� :FILE BUILD NG & CO 5 DEPT. Revie ed By: Date: Tow i OF QUEENSBURY BUIL NG DEPARTMENT ! Based on our li iied examination, p pliance i with our comm is shall not be c ued as indicating the p its and sppeecifica are in full compliance 'ith the Buildin des of New York State. ; i i s cm iD M N •�_ � W J s U tY = 0 a+ T. 1 ' C to E ao 0 M = co Road Name: ' , o 1 a I a S m , i•; 4.` spun. , 'st _ O n- P�dol�napufl/�.emun , a r , g ON3 9 37 c- f t9 � , IM.. T .-•s�," -` �► � � .::.'1; :.�. 2V ,'rirey�.� _ is� - its NOT IVA t .. f ' . t xx �. S ttt� mil. ..«. .. er f , i'. , ,e [t , : v: i, r [It ,c gtT '9* ; ,55 ` i a i , „ `yYl _ r a: 1, e. yp b.M , i t.. IN A " f r °p s . _ , A INTO , ^ < dW TInK b i+lAylxo: m so ,e e -. u. �. A _ car .1d "k Of fit! _ - ti 9-07" ' Icr Sea �t 1C! 10 3 9'--'06" - d 5 77 IV 01, x Q6" � „ � it i �•,�., -1.1•«.'q�" .qrx. 1(7 f}7" qw,ra 71 w S —Fiu� At In n 9.1. 11. YaT t ECE0WE JUL20 ' , TOWN O6r OLICr I� ° BUILDING W --,.w- F $ N GPM all& --- -� 9 i O IN _. _...... ff 7-4 6 �•ok --_ A 0 dJ�Cti9 _ .Y�61 k�L 3C p D i 2 0 rG�I TOWN OF QUEENSEURV BUILDING& C0DE--S 0.�0. x �IJI "tea I-R NICE AA .ems► a � O `T t Purchase Authorization PO Number: 21611 Purchase Seller. AGL Homes,Inc. Titan 4305 Route 5 951 Rte 12 South Caledonia,NY 14423 PO Box 177 (585)226-2727 Fax(585) 226-8909 Songer8eld,NY 13455 Attention: Jim Davis (800) 937-3911 Fax: (315)841-4660 AGL Homes agrees to purchase the following unit,described as Model # 8144 Serial# , for exactly $45,272.59 . AGL Homes further authorizes TITAN to submit this unit for floorplaning through 21St Mortgage Cash Program for the exact amount of $45,272.59 . The described unit shall not be submitted for payment to the floorplan source prior to actual shipment, unless otherwise authorized by Russ Corey. Customer and Delivery Information: Delivery Address: Customer Name: 21.8t Model, fIanxestead Village Expected Delivery Date: 80 Alpine Ave Order Number: Queeisbury NY 12804 AFFORDABLE GREAT LOCATIONS, INC. MUST BE NOTIFIED IN WRITING OF ANY PRICE INCREASES ABOVE AND BEYOND THE PURCHASE AMOUNT AS AUTHORIZED ABOVE, AND SUBSEQUENTLY, A NEW PURCHASE AUTHORIZATION FORM MUST BE COMPLETED AND SIGNED, IF ACC P' AGL HOMES. Sales Manager Signature: T ---- Date: 4 ldkIA Service Manager Signature: a Date: 7 i a Project Coordinator Signatur Date: General Manager Signature: Date: Champion Nome Builders,Inc. Quote- Revision 1 951 Rte.12 South �� No.: OT033112 Sangerneld,NY 13455 or Phone:313.841.4122 N Quote Date: 06/24/21 Fax:316,641.4660 Retaller P.O.: order Type: Retail Retail Customer: Lot N80 Bill To: 1057NY Bell To: 0950NY Req.Del.Date: Affordable Great Locations,Inc. Affordable Great Locations,Inc, Zone Manager: Jim Davis Affordable Great Locations,Inc. Homestead Village MHP Brand; TITAN-EAST POINT 4305 Route 5 200 Luzeme Rd Model No.: EP8144 Caledonia,NY 14423 QUeensbury,NY 12804 Base Home: 14X72 3 BR 2 BATH Shawn Adams Model Year: 2022 Modal Size: S&U'X 13W Construction Type: HUD Shipping Agent: Shipping County: WARREN FOB: Factory Page:1 of 4 Feature Option Variant Description Quantity Ext.Price Construction WINDZONE 1019s WINDZONE I 1 Standard ROOFINS 621 R-30 ROOF INSULATION goy Standard ROOFLOAD 10003 30 LB ROOF Wl 24 OC RAFTER 70 Standard ROOFPITCH 999 3l12 ROOF PITCH 70 Standard FLOORINS 13979 R-11 FLOOR INSULATION 1 Standard FLOORJST 13M 2X6 FLOOR JOISTS 18"0/C 1 Standard SHEATHING 140M FOAM-CORE SHEATHING 1 Standard WALLINS 109 R-19 WALL INSULATION 1 Standard SWALL14T 10077 8'SIDEWALL 1 Standard FRAME 13480 V RECESSED FRAME-• 1 Standard HITCH 9 REMOVABLE HITCH-PER FLOOR i Standard OTHER 10001 CONTINUOUS RIDGE VENT i Standard Plumbing/Heating HEATSYS 10044 White GAS FURNACE(ATMO-GAS) 1 Standard DUCTSYS 1246 IN LINE HEAT FLOOR REGISTERS 1 Standard WH 10061 30 GALLON ELEC.WATER HEATER 1 Standard WHACCESS t0117 DRIP PAN FOR WATER HEATER 1 Standard OTHER 279 WATER SHUT OFFS&MAIN 1 65.00 OTHER 323 PLUMB&WIRE FOR WASHER 1 Standard OTHER 3442 ROOF JACK EXTENSION 1 25.00 OTHER 379 EXTERIOR FROST FREE FAUCET 1 40.00 QwVlon la a regWered mdawk al Chanvlon Hoerr BO&r%k- Quote-Revision 1-No.:QT033112. Model No.: PP8144 Page:2 of 4 Feature Option Variant Description Quantity Ext.Price Exterior FRONTDOOR WWII White 36X80 FRONT DOOR i Standard KEVSTONE RHH REARDOOR 13340 White 36"9-LITE 1 375.00 KEYSTONE RHH SHINGLES 13138 Dual Black 3-Tab Shingles 14 WIDE 7D Standard SIDING 14280 SELECT VARIANT DOUBLE 4"VINYL SIDING Al�G 11362 Standard OTHER 13458 White STORM DOOR 1 2522.00 LHH OTHER 14208 NON GRID WINDOWS EA. 1 Standard OTHER 14289 TRADITIONS FRONT END 1 250.00 (1)WHITE RESTORA 77ON MILL WORK PILLAR LINEAL HE WINDOW(NO SHUTTER):WHITE SIDING COLOR BETWEEN PILLAR AND CORNER:SAME AS SIDING COLOR INCLUDES 2 OUTDOOR LANTERN LIGHTS OTHER 638 SELECT VARIANT EXTRA RP SHUTTERS-PER SET 3 114.00 OTHER 733 ICE GUARD 1 219,00 bectricai MAINPANEL 10042 100 AMP SERVICE 1 Standard OTHER 10023 LIGHTS Q ALL EXTERIOR DOORS 2 Standard OTHER 10048 EXTERIOR GFI RECEPTACLE 1 Standard OTHER 13713 HUNTER PADDLE FAN 1 195.00 OTHER 14117 US6 RECEPTACLE 1 30.00 OTHER 325 WIRE&VENT FOR DRYER 1 Standard OTHER 560 CARBON MONOXIDE DETECTORS 1 80.00 Interior DOORS 13598 WHITE 2-PANEL INTERIOR DOORS 1 Standard DRJAMBS 10200 Umber Oak DOOR JAMBS STD 1 Standard FLRCOVER 18596 Brown►vood LIVE WIRE CARPET 86 99,00 DRMOLDING 10213 Umber Oak FLAT DOOR MOLDING 1 Standard CLGCOVE 10212 Umber Oak FLAT CEILING MOLDING 1 Standard LOCKSETS 10063 METAL DOOR KNOBS i Standard CEILIN13FIN 10011 STIPPLE TEXTURED CEILING 1 Standard OTHER 10009 WIRE VENTED SHELF-ALL CLOSETS i Standard OTHER 13612 MINI-BLINDS PER WINDOW 6 150.00 OTHER 13675 Umber Oak KF-104 WI MDF DOORS AND STOLES 1 215,D0 Kitchen DRYWALL 10025 Northwood Mineral VNL OLD GYPSUM WALL BOARD 26 Standard FLRCOVER 14419 AF010-Woodgraln ARMOURFLOOR LINOLEUM 18 Standard CABINETDR 10065 Umber Oak MDF CABINET DOORS 9 Standard CABSTILES 12683 Umber Oiled Oak MDF CABINET STILES 1 Standard CTRTOP t2286 Madura Pearl LAMINATE COUNTERTOP 12 Standard EDGE 12287 FORMICA EDGING 1 Standard SINK 10034 Stainless Steel STAINLESS STEEL SINK-KITCHEN 1 Standard Champian is a rep[atered tradarwk of Champlon Home Wdam,Inc. Quote-Revision 1-No.:QT033112 Model No.: EP8144 Page:3 of 4 Feature Opllon variant Description Quantity Ext,Price Master Bath DRYWALL 10025 Northwood Mineral VNL OLD GYPSUM WALLBOARD 22 Standard FLROOVER 14419 AF010-Woodgraln ARMOURFLOOR LINOLEUM 6 Standard CABINETDR 10065 Umber Oak MDF CABINET DOORS 1 Standard CABSTILES 12M Umber Oiled Oak MDF CABINET STILES 1 Standard CTRTOP 12286 Madura Pearl LAMINATE COUNTERTOP 3 Standard EDGE 12287 FORMICA EDGING I Standard SINK 846 CHINA SINK 1 47,00 TUB 10118 1 PC FIBERGLASS TUB 1 Standard Hell Bath DRYWALL 10026 Northwood Mineral VNL OLD GYPSUM WALL BOARD 25 Standard FLRCOVER 14419 AF010-Woodgroln ARMOURFLOOR LINOLEUM 8 Standard CABINETDR 10065 Umber Oak MDF CABINET DOORS 1 Standard CABSTILES 12663 Umber Oiled Oak MDF CABINET STILES 1 Standard CTRTOP 12286 Madura Pearl LAMINATE COUNTERTOP 3 Standard EDGE 12287 FORMICA EDGING 1 Standard SINK 548 CHINA SINK 1 47,00 TUB 10118 1 PC FIBERGLASS TUB 1 Standard Living Room DRYWALL 10025 Northwood Mineral VNL OLD GYPSUM WALL_BOARD 74 Standard Dining Room DRYWALL 10025 Northwood Mineral VNL OLD GYPSUM WALL BOARD t3 Standard Master Bedroom DRYWALL 10025 Northwood Mineral VNL OLD GYPSUM WALL BOARD 62 Standard 2nd Bedroom DRYWALL 10025 Northwood Mineral VNL OLD GYPSUM WALL BOARD 49 Standard 3rd Bedroom DRYWALL 10025 Northwood Mineral VNL OLD GYPSUM WALL BOARD 54 Standard Utility Room FLRCOVER 14419 AF010-Woodgraln ARMOURFLOOR LINOLEUM 4 Standard DRYWALL 10025 Northwood Mineral VNL OLD GYPSUM WALL BOARD 24 Standard WASHEROVHD 2882 WASHERIORYER SHELF 1 20.00 Foyer FLRCOVER 14427 AF010-Woodgraln ENTRY LINO ARMOURFLOOR 1 65.00 Appliances RANGE 14733 S.S.GAS RANGE- 1 Standard REFER 14731 S.S.1BCU REFER'" 1 Standard DISHWSHR 14735 S.S.DISHWASHER- 1 445.00 MICROWAVE 10028 SELECT VARIANT VENTED/LIGHTED HOOD 1 Standard Ctwnplon is mrealstored Iradw atkof Vtw000 Home WIdam Mc. OUote-R@VISIon 1 .No.:OT093i12 Model No.: EP8144 Page:4 of 4 Feature Option Variant Description Quantity ExL Price Inflation Protection Plan DISCLOSURE 14739 IPP DISCLOSURE 1 This home Is subfect to an Inflation Protection Plan(IPP)at flip time of Invoicing.The quoted amount Includes an 1PP sumbarge of 10%shove our base price.The final Invoice price will be adjusted in accordance with IPP, MISCELLANEOUS CHARGES STATEDUES STATE DUES 130 130.00 HUD LABEL 14103 HUD LABEL 1 150.00 SURCHARGE 14710 Surcharge 907 8,498.59 HUOLABELI 9946 NEW YORK STATE WARRANTY SEAL 1 150.00 DISCOUNT 168 Discount 375 -375.00 INFLATION 14708 INFLATION PROTECTION PLAN 3,704 3,704.00 Requested By: Shawn Adams BASE PRICE. . . . . . .. . . .. . . . . . . . . . . . .$ 20,832.00 It 18 the retailer's responsibility to verify the options and the pricing of OPTION TOTAL. . . . .. . . . . . . . . . . . . . . . .$ 2,733.00 the home. MISCELLANEOUS CHARGES. . . . . . . . . . . . . . A 12,257.50 SALES TAX(IF APPLICABLE) . . . . . . . . . . . . . .$ 0.00 Champion Home Builders,Inc. eserves the right to matte changes at anytime in price nd spr citi ions without notica and/or obligation. r , SIGNED X ro TOTAL FREIGHT CHARGES . . . . . . . . . . . . . . .$ 1,780.00 DATA: �J TOTAL PRICE . . . . . . . . . . . . . .$ 45,27259 W1%dDato:0W4W DMaMmaPrinted.0624r2104:17PM MoNedey.MDAMS Champion is a registmmd trademark of Champion Home eidWWS,1K. <� � k �W.. c.T �!�f E+g"+°�4�`ri{aid�1ao�W�1 0.'9&���E���{ram E jdsk4 j! ik�P.maws�1.•'�+�. ':.�r'f.#�`.�'{ma's*' f ir•,�.`f"•j`W<v}n¢:i.,r;,Y:[,.n'i:'t .�, ag !d#14a'.a o'"j.� � _'•';J'7;.. i.i ::r,'L.;i .. ... 6a.. L, .."f t 8 ..� ^'Y. , ' ` k fi'*; 3't> p' :' c i ""'j fi �, r,t-f lei n�+`' ,'.'%�.' wJ•i4�7Ts;f'�". "ymsy..� .`�h f .. ,. •> i , f.'At •weby��q. �Y' „S' >'t ,'1 %�'t .. „>,.. .,s , - ..j n leV: 'S'•_ =4:m 4- yam• -i5.'sr.y�s+su.. '.F, i ::t .> ,> _ G t*= _ t VA" .r� $,yr utk+�..S.aw.4'..t "',W,:i�,c'�' ;.a� ��::. •{ :t - 6� , ,u• ^ cv< r. d� ' •••;i.,n5,y s RJrw. • 'mil_ _ �...,_. , N i> - ;]w =�;,.:},: '.ice-•. �:... -- `.ir:n .�E.�.:;i-.r.::....,., %'F-,...a -,.:�,.L......::...•,_::�.:.. k,s ,r.� '3. wt. ' vx.y, r,l y !�:y�'0•Mu4� .+P: tFa�X,+.t' .fS':✓.F� ess.ci:' -.,t. -'.Ir-� _ < ,i""? .,fir„,..,•_ ',`''c- . is 3 �t`n ��" .JEi", .f<-*'. •'n':�'{6":Ft ''Tft'dh' «•.+4' YS'r'a:,, ��^`?w :5 t.. -�.� •�i �:`ff�' :id-.;% ,>.A' y .i �.A'•.':'+,e�'_ . ..tkv>.'e .<��4, w.).o,,r a�v: ymww,.�yw,{. i'+A.!r'..rC'ci!.. ��}}:,�";!x%'iw,s %:w:'6;ssii^•t-�•,�«• ._vr..zsr�+,.r, >•iw,�• d�:r'' :=x,.:.. "�,>.3 .:< v w iA d. i ti "a _ ,:try f.::..,•:.�a•�•,;:w�:•:�z .«<-,.. ;,;,y>, ^:.b'> <•rya ram, wf ,zk• H• p e'v. 'a r^s' .:d�.r.:.-R�-.n,�. :rt.. '%•13, f �;. .Hf, a- J" i.. & •ti. 3'>a -ors :�*•, .' 1 .�j^ew i.'a. r ;.,xi ..k,,•." ..ql, {•.. ,.,ri.,::",.k" �. 'ti.�;` _ t 1. - : � �i: nv, r .:..n,�}... �. a' !� `T3 o s >�,, •�y,t is. a..+;#P ��+7u.:, 'us,_ �,yrt s.:.<,` .;>" ,<•:;�kk�' ,j $��irx:.. •x :ijt'=s, `��$'';; ,:v k: C 1` :w".a. `E"`•:ti° ;'": t.H,yt . xi5'..,....'�ee•,'S, 3`r• c ,,"'�,.y IR..°f»K_p.�.l t'1'{,'�.+a,T:Yy''.n i''�-'„„'?.t>-y t.:' M.d:3:,`LoY`: q•ro:�,y"�w��t+yt•.��;.�:-.r:`a__-«:.}4`+I+-F1.t•-:f.'3:1.4 :'.«j.,:..r„.Go,y t..,..�.:..,:a£•,''S3,.:,....'..G 5 a. �,-•',i;.`eLFi:";.�`•�•v�P>Mr'!s{+`a'�`,��..i'v::k;;��.',T.•F�e>��:µ�.„:!:,''�L.vet•."riS1.:. s��-`.r�.`7.��:-�j*',i:tr.%:�'�.t,x6 e?�:ai�fi�.•,,.iF,.,'.-,+P-.i�,�.•':�.?:y%✓.r;"v�,:4�'•t',s+!rue.',':�•.'Y:rsr5 ':..'i_S,i'`.FD's':,..,s.>•�=K Y':,il:.�.,� (`xa'cr<�'.','..::."•xt*.t_4�g5 r..; ,;"?+5��.d'^i•,�;7.y,,. f -. `'� $�!4,.?�=,�,ir•,^o✓•.','.P.�h."iY;4�'.•'qSt�,�x `>x S'4 t' .- .. ,.2; ..L.�t_ 'nod:+,?`'�,a;r`al.i>;�wv',<:«:.9+sf«:>at^ _.,.t;,. .i;Ft'°" `'y,P,•vt.,+�'ax+., ",�':'" '�',,`.00��� ,r :.+'`ik";'.. ...+,..s ..p..R y U ., wn,c'q " `'' ',� [,r„*da'r.•p•....:: .4. ;it. iY.._^'2g ..,.,,J;; ..,,. ;:^;S. ,.,dr �''�i `"{•" :•`:":.x.t_.vae , ,i :`.:•?'p,, f".� ,t>:'o �`.��';k�''•;C;q:' K V '.t .:d.- !>%Ai.;."..;, F _ '::4�i�.'�.as,.�' ,.^S r'a+*,L•0'.✓.-t,t:.;'Y.r., .p. 1":^:^.�3;'1'':: .,� .`I.n:le: :�,�a•, t'f... `'.a�''�:.:'..v$::,;��.k,, F•�' 7'd�tis't"'av':,.,,,,s,•><5.J""5, ' Y' t.e v <.�=4"i�� ;%'' �:Y',.�:•: S`;'sr �;,3 •x; ;;�'ifw. >rw.st'`'rc.:w'. t�. "`�'+*•'P',.�M°^:k.-c i' C.. „r.: '.j:` ,.n..ruw:k'R!' ,.`ai.,,.'.•' .V.•`y,t�,•r'y i+.a +,. ': ��` .: ..t..Sx:4'..,,•<.•„ .,u>:kq2±Sw wdi'aw-Na,�`+bl3 ":`3r`;r'vn ,.�'?°{;,�+'M ,(y .Mrt .`�iJl >f v:kK.F,.•r.'$.y �f rc':, _ 3. , 3. :nC�,;:,�cti?:rj,.�%,< :Y�4�3,:.,�•��[3,�:mY•a'$""M.• ,.'1'[YJ .{ a.YY..: ' � .. , +��a r,0..`,:4,i"k i(,,:;, f',l,l• �:,['.;�'»5i riff.. � ` '�; ,Y=;�:-X..w ..aw �?��;:?S:s'• :.l:a, �:p,siy: ,:3' _,eftw}i• :b Y9>,;�r., ^J,"�.eJ•i'. - -;''�,."�Y;,[. .a�e,y J/�,- �':h'.;.'.x s`,"�x'3:`.tr;' ;r tiij•:.wR.... ,-n'?. gqn �;r i,£rF'F,t.�:_:a,., aP`''tbr°: �°' '` "'.,:aaiJ,tr:e'zy'.'^'•„««'„"P.•,..vr�„ .•�.;w,.`ri�'3`<�t�G'N"yi�':�,Aaj.wa<:s �:.'..,,`i;t,.?;'S'o , INSPECTION REQUIREMENTS: BORING AND PERCOLATION TEST: ENGINEER OF RECORD TO INSPECT TRENCHES PRIOR TO BACKFILLING. ASSUMED CONDITION BASED ON SITE EVALUATION 0-5' MEDIUM FINE SAND NO WATER OR MOTTLING Z Nolm PERCOLATION RATE APPROXIMATELY ONE MINUTE r) BASEMAP s AND oam o r REPRESENT SENT AN ACAL.r AYARABIE S 1:� ; RESONRCES AND DOES NOT REPRESENT AN AC7UAL F7FID I _ ,' NONE SOIL CONDITIONS 7D BE CONFIRMED BY P.E.PRIOR TO BACKFlWNC SYSTEM. NN57RUYENT sURVEY. SEPTIC DESIGN: APPLICATION RATE — 1.2 GAL./SF/OAY N 1:.= LOT 80 N EI ,l,r, 3 BEDROOMS AT 100 GALLONS/BEDROOM Ip r}y� 1 OF OUE".4. tl;�Y -300 GALLONS 1 7 BL iwl71IN G 4.l.'�=1•.�'.::7 USE 7000 GALLON PRECAST TANK �,..A USE 3 LINES AT 50 FT. EACH (SPACED 6 FT, ON—CENTER) r°71 ?t I ILII%? LJ°'� �Ui W ��l��5{T� �-' a V• ' PROPOSED WYE AND P PVC SM-ss i mDlrosm T.DDo cAtLw sETPra TANK (w Tm BT1U AT ATF MPL roNsiRl,GnON NorEs. Z C) (SEE DETAIL-STIFET 2) O T) CtWSmuentw OF ABsoRPnON rAmTTI£s SMALL NOT OCCUR WMRN THE GTCMD IS momN GH THE sOM.YOs7URE CONTENT 6 NIGIL IF A FRAGYENr or Sol roamSTEAD APPRa=ATELY NNE DICILS 0 PROPOSED OISm(0{TnCH BOX 02 LpOS UR /WT�IS TDo wwrF ROLLED INTO V uRBPOSES WAYmms-£9Lr cR CIAr ` II)I FI PROPOSED a PVC 11 (SEE DETAIL-SKUT 2) uUsr 8E PRESE)!r FOP A RIBBLMI ro BE FORUM Q SCH w AT 2x LOW. 2) TROWN LOCA77 AND OEPmsI sNIXRO BE mA BY srA BEFORE TRENplEs ARE O EXCAVATE.. 7NE NA7VRAL SURFACE SMALL Nor or SGMFICANRr DtsmwEA 7F THE SITE IS Lu '^ RrMAED OR SYtWtLY v1snmeEO THE sm SNAIL BE ALLOKEO TO supamr(LE.S:R(E /y V ��LL— -1 NATVRALLY FOP A PERIOD of Ar LEAST SX umT HS OCLUONG AT LEAST ONE FREEZE-TRA y- yid -- I nM AND DEEP BOLL'TESM�CIEM MAW EOAPUIRff USE IN THE O�AIw ABsORP AND NEW nom smEL MEA sNOUTD DE LRwIPZID TD PREVENT sat PIIIYEABII/TY Q ^ I I I I I REDUCTION DUE TO COVPALROM PLUS POSSIBLE TRENCH GAW- AND LXSTR/ VOM PIPE /F�� I Lu wsAUGNUENrINREAKAGE LL 3 J).AFWt A FINAL GRADE CHECK.TRENCH L'XCAYATIM MAY BEGPL TRENGN DEPM SMALL BE AS W Z SHALLON AS/OS.DLL BMT NOT LESS'THAN TD/NCNB ) MGM S SHALES B£ENCA VATED Ta FLY. I 1 1 I Fmm�ar I OE9GH W­ DEPTH TWIN 00T S PRACnCALLY LEVEL r^� `J O 1 1 VATARf 1 •) FOLOWNO EXCAVATION.THE TRENCN BOTTOMS S BLRD BE GRADED BY NANO TINE BOrT OF 1.{. a / } 1 1 11 ronFQ 1 THE TRENCHES SHOULD BE CNEGIA:D BY A 7RAMSTr.ENGNETR'S LEVEL.GR CARPENTERS LEVET.ro n j W 1 I 1 I I ASSURE THAT EACH Is PRACnCALLY LEVEL TRLNON BOTTOVs AND SDEWALLs sHOOD BE Z Q W n 17E'ORCaI I$I 1 I I I I PROPOSED ABWRPTLON FIELD IULIE7lATELY RAKED AFTER FINAL GtAOWO AMP AT LEAST SX WOMEN OF A-RECATE PULED PN J L RO 1 I 1 I 1 J L7NE5 AT OO FT.EACH THE TRLNa� /E� I tl 1 I 1 I (SEE DETAIL-S HEEr 2) _V a m Z 1 I I I 1 B) GRAMTr Csn7/BU7OR PEE SHALL RL'WmRx r PHSrALlm AT A 9OPe OF TT ro WOM PER SMALL or (n D) LOT ODUE'IWIPRESSURE wB REBr µ EN�SsLemm mar OR�EmrER's�YII�Am uETNw or _I Z i 80 I 1 1 I I uEASURING TINE R.IXOH PpH FDOr STOP£FM OSTTLBUTOM PIPE Is ro TAPE A w—BIOCT ro W O F-• W Z i 1 = III LOT 1 rAavc�oo�WHA )TTMA£ooKMm uHrrOaB pFO 7NE MURNT XPIE.A PBD WIN THE MWS LEEM�e�av BE Q � /F� O U L. I 79 I USED 70 DEM-W THE DA DICH PER FOOT SLOPE A TL MW BLOCH SMPARLT USED xATLnD \T' m 1 II am&r IN A k+INCH PER FDOT SLOPE ANOINER ACGgrGAMCD USED TD ESrAet/9f THE GRADE Or /1 11 1 CI(� ALL A DEPIN OF AT LEASTTrmo LRGRESES ABOVE THE TOP OF THE LXSYMBUM&LED 6�AMA�ro V_ LJJ T OFAG�GA TEE MAY BE REOUIR£D ro B IME TOP OF THE AGGREGTE ro WIMM SIX ro 12 INCHES �...H O W W I a Z� G) AF$R 7UA UPPER AGGREGATE E PULED ON DIE 7ALLED S THlE AGC E IVIl UNTREATED BOLDPIG O O O Hy PAPER NAY OR STRA W A7 ro B£LMYEOwe w/N"Mrs G tw THE AGGFEIAR`L AVA THE IRENTJI W '3 CQ 7mNaMrs8ACWMLE WIN EMS{VEUP ARm G TII£TRENCHES fJINNOr BE rUAIERI n7.r BALL S T..TN£ �L I. ^ TF7EHL/R5 SNORO BE EwMr warty COVERED WIN AN WPFA m i m THE L STIIX As TREATED (� J X F F 0D i BUANNG PAPIIt TO PREVENT SD£WALL CCUPSE'ANO RTAnON Wro THE AGLREGAIE O b b 7) THE EARTH BACOIIL is ro or mcuRDED SUcN7Lr ABOVE THE DRIGNAL GROUND LEVEL ar-NOr TA I LOHPACTED)ro ALLOW FOR SETTLING FOLLOWNC BETREM£NT,THE'ENTIRE AREA SIOutD BE y y GRADED wnN TIHe use DF HEAVY ET7(APULNT AMP sTaoED WIN GRASS I EAw EGuIPMENT AP 0 SHALL NOT EN7CL OHE ABsONPnm FAWrr AREA OR n2 PROPGS4.D E]mmw AREA AFTER TH£ _ e SUBSURFACE SEWAGE TREA7UEMr STRAW HAS BEEN CONSTRUCIED. rA� � B) A uOIYUM NORIZONrg SEPARATION O•/0 rEET SHOUD EMsr BETWEEN THE HOUSE SEKF/t AND CHARLES D. K e Se ANr wATFJHRIE WHRE LA'HS YUST CROSS,THE WATER,ERWGE LINE SMALL BE AT LEAST TT BAKER INCHES ABOVE WE NO=SEWER IF A WATER LONE u r PASS BELOW'Mi HOUSE SEWEHL THE 70'149 VERnCAL sEPARAnom uusr BE AT LEAsr TB maim d>E 7 �tlPsom 8) AOOF,FOOfINCI CARAGL CELLAR AND SURFAfI WAIER DRAINAGE YUSi BE OIR fRDY NNE SISTEm. WATER SOFRNFR WATER RECHARGE AND BACKWASH WASTES lIORWLLY ARE or TO W ' DWMARGEV TO TINE SrSIEV LINLL59 A SEPARATE SUBSUIlFADE OISCNARGC TO AN AREA ZW FEET ALPINE AVENUE FROM"ELLS OR WATER COURSTS/S WAVARASM tSOF N r ;' APPROVED AP Q�ES O Z FWSa MMP.d *O 'r99t • HEWYORI STATED lun 7_FMOFREAITH 1. OFri Pg �. �T_.a A..9o20 070I42 P7ADO9t-�.LI{D"VL '�X l� t ss.D�' a WWP�A[iDMPPM OI AtD/PPMW NOTE: ' EICSTOIO SANITARY STRUCTURES SSE Fl LNLICES G SEPTIC TAM.AND SIN PLACE G7�1 ����Q DENL15 ARE ro De CRUSHED IN LRAL2: Al 1 I Lb0Pr�P.>w MOBILE HOME UNITS TO BE PLACED WITH A MINIMUM 10 FT, HORIZONTAL SEPARATION. AND FILED Mill NATIVE MATERIAL 20,SHEET TITLE` o aMOTA�Pn�A 1 OF 2 r i � FIN75H GRADE AWYCCOKR BY=PB0 R EQUAL ro •Sf]RN6 ni%�..Nc—ENu Q y( y DRW tNml uSlmAm MtNe r�+u Z y.2pF'n [1CRREQUIRED) IIIFA N 0 R[ 11 EQUAL NIET OUIIFT OUNiED) 1aVw,TiRRE r J 0 �'r.0 YK err OR tDIL Erm S+/aTueY � A —�vANCTERALL JOINTS SELOWJ E wMON=ems ENNTTPdi i 7. "°/' lEE o �•yW, IN90E t otrt Q, O 7t IEVEL TO BIMGNOYS4 TOR sAfaTARr TEE .D. u WAlT7iDtRET AmT < ,yTT� w` 1s'_} a1DaD ilaa oN N PPo TOA BAO�U NO ON EQUAL J W'X19•WK - al•c4�v6� W WW -_•' B'TO 12'LAYER CROSS SECTIONAL VIEW LONGITUDINAL VIEW _'�:•••� ••�•:,:I, PEA 5GNRAVEL OR ME SECTION VIEW B�EOP ' 40iwino NOTE 2�•LO TAPEAm _ rW1OOlC Ut�'IAA v STRM ASPHALTIC INLET INVERT 102 L]•ON.)AOOVE SEAL 11�G� •I ' I W i���w rT�Aruf�1xE � OO m Gt7 0 0o r fBa 06fNfBtIDbI Bar ro tr A'!1a sr. nw a O CUTLET 4y 00 00 !� $ pp r� 8 0 7 1NE SMf fY lla;AYlT PB'E DIA!![L'i'1O1 fE Q i� 9—O O AQFATOI T—N r DG l�P3tlm1 11DDT0!E NW 11 1 OETNEII! AE9DO11>A41AA�T AND BASRE 9OAPPLE NOT RE011Rm TOR T 1 W 4 TAfMS lES5 THAN l0 R LENGTH LY L ro' TRENCH PRORLE �r PLAN NnEW � Ll.I ABSORPTION TRENCH DETAIL a TAM SRE Hr1.U0XO DEPTH-AI TANK OWE O--WX•D' 'O• -r M1P1Di NOT TO SCALE W 1000 CAL. S•-r �'-J'K B•-3' U'-B• S-B• 6'-B' `` (L W - SEPTIC TANK (HEAVY DUTY SEPTIC TANK), 1, a) 3 NOT TD SCALE FORT MUM OR ECAJAL J 0. / � ` tttttJ �W Ls OQWoz e AVDfOIT CA } O W 7 e °RMW 00 cl) o T GRADE AIl1EREt TNDXR�M ' SDELIFD 641NUAA FILL ro AD9L-As ORDE S7 DCRM Lt.Z NOTE' D1 0aM SHEETS) 7TQRO1 ff PLACm IINDPA PAYDAM O W I. PIPE JOINTS i0 BE SEALED WI7N PATMEIR UNITS TOL APPLY. N01F. Opf1iRUCIN6 YAT CO , YIOTI ALL ASPHALTIC MATERfALS OR EOUIYALENi L L LOGO.STAE,!'T.)L SIOEH POL1AAl10NS 7 O O ` 12•Y/ REMOYABLE COVER ALL BAGOEL twDA,L 7O BE lm,.cl AfE awt flR (05"A firm DAL) 4 2. INVERT ELEYA7If1N$OF ALL PIACro N S'lsl5 AND PomO IAGs aaY OUTLET PIPES MUST BE EQUAL. fQPACTFD TO 'G(3 SIAtA11✓fl J lO y S rRDbO)i0 NO'N"'NO J = O 1 �•� • •••'fA•'J. THE SLOPE OF OUTLET PIPES O[BA6,iNOIDt WTDW. L 'I YOp A SAE 9nPE BETWEEN 7NE DISTRIBUTION BOX 4065 ON S7oMS WIN m O a AND THE DISTRIBUTOR LATERALS YATIETL OR 00OR IO61rfAREi • w QM PUSTIC lHaw TAPE • SHOULD BE I/B'PER FOOT tuWAYLS•31Att NOf 0E N/LaRD SLVIEN�� aN 'ytl11 •\ BAFFLE 1 USED AS B'GOU- ON SI M s� 1 �NrVrERT 1�K� Urm INLET 2•M/N V.1 NC �' CHARLES D.Q O 1 1• ERIA@-V I YB]WOCSEEALY NOTES OR BAKER L� OUTLET cTAVTRAC ED ro f6E —E IL14Eff5 AOBE SEE NOBS TE2 1 Assw+Tun Br rLWrA@lflfro (LT1llo PofD' wsl TIONRaamn �DPPE 7�O 149 ���� NTH tLss itWl�'mvERl 5 T-6' CRUSHED S10fA:M SDRT 7 DODe ro wx A'SLOW OAm S rla.(NtEAR WTD7YL AS ORDOFD - iii11! < ':.•L .':'•..•. •ar EfAO11EDt Q2 "vmm T TAtOO7 aN ACdE SIX fFAC] _ --- S'101.FOR PK u'Dll ANB 9WiO { 12' MIN••:CLEAN SAND OR PEA GRAVEL EaR U61 DD NCU321W TO�A tY WI FOR PPE N'GA.00 Wlral ;,OF � O w� SIDE ABF- ME BE NWPRDD W A n #2 DISTRIBUTION BOX , rom) NOT TO SCALE 1) W.E.V..CNIN"UATUM Z) CRUStDD STONE NOT ro Ek=12 N wY BE USED T APPROVED Ur 111E 517E CRNMAR TU.TO tall iNE it -DK.W EN1DATf6 D a IN[>rAs 6 S FESSIC� . 73%-75i PATING N ME q1ma nANKro mrrA+msw I O N-15X PAADID Pw S" uccAw urt Au wwn A��m Wum9rDD AiD�iPwlmmlla ' TRENCH DETAIL S Iw w.a.Ka.m. 1N=20' wAonma.a or M A.K+Pr mD $ mwnrat us I NOT TO SCALE } caPo nrar nr Dramuu°roOOP..� NEW YOPo(STAIEDFPAtiTMI:MOF HEALTH SHEET TIDE nvA m+»dxmA I GktD Fa7r fls4iCOt1b 2 OF 2 AfTNbO'mNMlueypO.addw W e(Blmun. ff ❑mv A b NOT 1) BASEMAP INFORMATION OBTAINED FROM PUBLICALLY AVAILABLE BORING AND PERCOLATION TEST: RESOURCES AND DOES NOT REPRESENT AN ACTUAL FIELD INSTRUMENT SURVEY. ASSUMED CONDITION BASED ON SITE EVALUATION F�i�:� 1 !/ �w 0-5' MEDIUM FINE SAND / ( -W" NO WATER OR MOTTLING PERCOLATION RATE APPROXIMATELY ONE MINUTE NOTE: SOIL CONDITIONS TO BE CONFIRMED BY P.E.PRIOR TO BACKFILUNG SYSTEM. �\ (" �—�W�_a, SEPTIC DESIGN: \\ APPLICATION RATE = 1.2 GAL./SF/DAY Z N LOT SO 0 N 3 BEDROOMS AT 100 GALLONS/BEDROOM Q 1, =300 GALLONS N 7 0 USE 1000 GALLON PRECAST TANK USE 3 LINES AT 50 FT. EACH (SPACED 6 FT. ON—CENTER) Q U a^ W APPROXIMATE LOCATION OF AS-BUILT WYE AND v' APPROXIMATE LOCATION OF AS- UJ BUILT •�PVC SDR-35(CASKETED BELL)AT 1%MIN. U 1.000 GALLON SEPTIC TANK APPROJaNA7E LOCATION OF ` , AS-BUILT DISTRIBUTION BOX 02 W 11 ♦� r----� U I I VJ L 4 N m a V' BEDROOM 0 0 W a UNIT 1 I I I I AS-BUILT ABSORPTION FIELD LINES Q / Q m Zco < 80T Iq 1 I 1 I 3 ES AT 50 F7.EACH W p\ [ ; I I I I CQ O W — f 1 I 1 I LOT ; G co 5 0qq .L i ff t 79 1 X W (LL 7 U J� � o �..I C OZ n --- O o Q o s e Q J = e la , �e �e C C Q t 5 ALPINE A VENUE m E t S° t 0 ©aora or awaoad u orsav rn¢rtaeA uv.qua avers n®nm w P�4RUM a SCAM- NOTE: '•N SCHEMATIC LOCATION OF SEPTIC TANK, DISTRIBUTION BOX AND �•1Np; � ABSORPTION TRENCHES FIELD LOCATED ON AUGUST 5, 2020 SHEET TRLE: vw rmu oo.. ��A. 10F1 3 INSTALL NO. 31527 STATE OF NEW YORK 54 2 CiZ) DEPARTMENT OF STATE ONE COMMERCE PLAZA far`'fp 99 WASHINGTON AVENUE `, ' t w ALBANY,NY 12231 INSTALLER'S WARRANTY SEAL THIS SEAL REMAINS THE PROPERTY OF THE DEPARTMENT OF STATE 2 NEW MANUFACTURED(HUD CODE) ❑ RELOCATED MANUFACTURED(HUD CODE) A. Manufacturer's name: 'i t 4 n tfTh B. HUD label number: k C i j I Serial number:()ICI - — Ll)tf C. Retailer's name: P Ccnr(4-1 IrA 0 t`-1 r prs ) (Tr-r-A--t('l\ D. Retailer's address: (--i` S=31 .( .t- Ora tl'ri' ?l.( l `i��� (1C1 D '�1 51_f r� �- I L1 Lin) j E. Retailer's certification#: T b. Fa. 1 q Telephone#: ` (9 a t F. Installer's name: --"Ti ht \fi .t nrl G. Installer's address: L; (1)( ( Itr:fr-)i1 1 ri f:1 ft I r(-inf1 I 11,-, -) , yLJ ' _> H. Installer's certification#: 1 -Tit. )T(" 1 r 1 I ()(-0 Telephone#: I e I ,S. I. Date installation completed: Li 11\0.1) Municipality issuing building permit: CO (City,Town,Village) J. Customer name and physical address(911)where home is installed: 42-\ f i.cr--4h`6 o Y rr!- I rry-14i( 1-1 - ( \ ,NewYork. 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 warranties,express or implied,given or made by the Installer,whether contractually or by operation of law. Printed Name of Person Signing Seal: - • Signature of Installer or Limited Installer: ') If you have a problem with your home,you should-firstconyour 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. DOS-1680(Rev.06/18) Yellow Copy—Department of State White Copy—Retain for Your Records Goldenrod Copy—Permitting Agency Seal—Affix to Home