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2003-572 TOWN OF QUEENSBURY 742 Bay Road,Queensbuzy,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761.8256 CERTIFICATE OF OCCUPANCY Permit Number: P20030572 Date Issued: Wednesday, October 08,2003 This is to certify that work requested to be done as shown by Permit Number P20030572 has been completed, Tax Map Number: 523400.308-014.0001-052.000.0000 Location, .47 GREGGOOD-CIRCLE Owner: ARCUND,L.L.C. Applicant: THOMAS&YVONNE BOISVENUE This structure may be occupied as a: By Otder of Town Board Mobile Home In Park TOWN OF QUEENSBURY Diteetot of Building&Code Enforcement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20030572 Application Number: A20030572 Tax Map No: 523400-308-014-0001-052-000-0000 Permission is hereby granted to: THOMAS &YVONNF.BOISVF.NIJF, 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: ARC4BFND, L.L.C.PROPERTY TAX DEPARTMENT Mobile Home In Park $10,000.-00 PO BOX 13144 Total Value $10,000.00 EL PASO,TX 79913-3244 Contractor or Builder's Name- Address Electrical 1risipection Agency Plans&Specifications 2003-572 24'X 40' MOBILE HOME AS PER PLOT PLAN SPEICIFICATIONS $35.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,August 07,2004 (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 ex,pira` tion date.) Dated at the To o eens August 07,2003 SIGNED BY -for the Town of Queensbury. Director of Building&Code Enforcement Applieation for Permit— mo ile:Home . Town o eens 742 B Road Ou'eens fQu - ',` , . r' '4 bury, NY.I2804 ( , 8)_7G1-82�6 A building.permit must be obtained before glacemient of.nubile-hoind on parcel .No;iinspectxoiis will be made until a'valid building permit has,beefi issued. . 4PPlicant lnformatron• Off ce Use F'Lt�rYt( .\l� fiP �Q15V�fi'lUG �D Name: l" File Permit Na Address:''- �' }. °� .Y1��Ill`lid Fee Paid ' c� Rev�ewedBy:1,X)LO 20 03 Phone.No. q L-6— 4 TOM OF QUEENSBURY oW ILDI NG AND CODE Property Owner Inf�rmation Parcel'Ir formuti �_ a�2 ��" Proposed Date of Placemem:` r7-A Name Ak6ff i�paD t-.. .0 A X y 1; v Property Location . �-� °rC 1 , Address: ty 60 C-P-A, i 6T, 5t i t t a0 R Avenue Enit� l2.. Cb $020 _ 5Z$ Name of Mobile Home Park:. lro t6T�?M M14 1 ., Phone No " " Tax Map'Number: Mobile.Home lnformadb Zoning i formcmon i Appro�cimate Value of Home "� /01 Vpj Zoning Classification: .; . F. New Home; Yes C-No. Size of Property . i�p. ft by $ Replacemeii Home: Ye No L A' Size of Mobile Home: ft by Exastuig,buildings •aNact� a�ca� � Setbacks from yard ft , rear yard,�Jj ft:`. Smglewide.' Doublewide.= Side yards _&.and Number of Rooms (eXclude baths} Nu� mber of Bedrooms: ;3 Accessory Buildings} _circle Number of Batliro s ' : Detached-garage: " h car; 2 car, car circle Gas Fireplace/Woodstove/Wood Fireplace Attacl'ed garage; " I'car; 2 car; car .' Storage building: Yes, No Foundation,Support: Other: TYPE' :SIZE&Dix Water Supply. well, or unicspal Runners s Slab x is,Septic Permit Required? -Yet, or No Further informati n requested on the reverse-side"of this�sheet ► Name of Installer or Mobile Home Dealer. Ho ld i no Address: lJuu fib - ftr l ) � IaBd A Phone No.(J618) (054' ),5) Complete information below found on a"plate"or"sticker"which is affixed to the'mobile home. 1. Insignia,senal number ' ( ' _ H/ 7 2. vame of manufacturer 3. Plan Approval Number ` 4. Model or Component Designation: (New Home ONLY) 5. �=!D to oof Manui'acture l ` jY- -93` AFFIDAVIT Town of Queensl u. State of New York County of Warren 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 complied.with,whether specified or not, and:that such work is authorized by the owner... Signature. q� owner,'owned ag .nt,architect,co}y ractor A ,Special Conditions of Permit By. Form: 11/19/1999sh Code Enforcement Officer Tvw n ©f Clueensbury Eau i Icl i ng & C, ade -Enforcam+ant. 742 OaLy Rcpawl C7 Queeonsbury, NY 12804 (518) :?&1-8256 ARRIVE: DEPART: ' _� SP` DATE INSPECTION REQiJEST RECEIVED: NAME: - 1 ►-�1i'�r:�� - LOCATION: —� Md?iILE -HOAKE - - - - 14tfODULA�t H0�3E FCiGYI'INGS FC>TJNJ1X4-"CIN BACKFn .i _ FRAMING 1- foundation support, pier spacing permalixif_ ........... . ..... l/ 2_ anchoring Per inanuf_ ........... .... 3_ water line shot off --------- ---------- 4_ sewer line support (U� 4 feet . ...... 5_ heatirzg crossover {dblewide� ofF grd_ 6_ dryer vented outside __----------------- --- 7_ skirting ventilated ________________ ___ _ 8_ hot water relief valve Piping outside 9_ deck, porches, steps, railing _ ______ 10_ --- --- -- 11_ garage fire prc>cfix-xa - ----- - ---------- -- 1:2- door cicisers -- - ------------- ----------- 13_ plumbing fixture. ----- ----- ---- -------- 14_ foundation. insulation (if aprpl->...... / 15- smoke detectors __ __________________ 16_ final electrical ___________________ _____ 17_ variance, required ----------- ---------- 18_ data plate 6"y ------------ ---- --- --- 19_ mobile HUIJ seal okay -------------- i Model # - Serial # Manufacturer - Date c>f Manufacturer # +CIKAY T`O ISSLT.E C/C7 YES I�I� • - i COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC.0 Main Office 176 Doe Run Road - Manheirn, PA 17545 MUNICIPAL CERTIFICATE ELECTRICAL APPROVAL sIso Permit No. lfilfiRl/lfll.f i#/H!!lll lflfllr#N#f1#C�rti � 8 0 3 5 3 Cut-in Card No. #fiff ilifiHl Nff1i1f1!#}f i1f}I d3 0 Mg�#####460off fee itiffflY/lf/ff f# }#If 1f}f}}}}illd tffiff!!!}ll Ito}f/ff#f##fff}!!.feet 01!}NIN1f11111lot to feet feet i NNiiffififiiff m",tff#1} ! 6wr Y Location !i}}} f1lflll1f11lM# 46#114111l111.l111i11/}1l#fu1##ffffoll111t.itf#Rll1lf#11R11l1l/Nf/frif#tf#u#fft}f#if#11l1tlfl}frr}}}}#}}}}ll}}}} .1}!nil111ii11l111! Installation Consistingof#f i 1#ifNft 1!�}41}} }f}i#N #flf.f i! lllltf#li+•fiffrR+fl#I+i l.i#NllilfrlNf IN ffttf # # ff pi##fill#ffifflffflf f tlirll##illtfi#Nttflifftf•tl1lN}f}p}}fl1}ft}f1l!lfl1111lR1111#t#Hii#IfN1N1follfffipf#rfiN#R#M11N11flfrtritlf##iNliffifftff#if#ii•##ffttllllfil!#}/#ffil illllff fflMH #ltilllillN#H I1R111#FIl#lrif litl• R1f111N#1#iNt11H#NiffllitllilNfifirlfofltHlf/iRRfifHi#1t1fllliltfif##tlfitli#1#IfitiiNlll#f1###ti#tfilif l!}1oft1t11+1#1##IN1ff##}! InstalledBylvelosoMiftefe lff t#! ..IW.- ..(.. .1119101 of 1111#444 Mite!#,}}}11/#!#/f111 Ito#*###1 Lic. No, The conditions followinggoverned the issuance of this certificate, and any certificate previously issued i cancelled; - This certificate only covers the electrical equipment and installation conditions as of date, Upon thi introduction of additional equipment or alterations, application shall he promptly made for inspection. Inspectors of this Company shall have the privilege of making ' pe tions at any time, and if its rules are violated, the Company shall have the right to re ke this rtific et DateMo. }11}}! the i##tff#1Hiflif##f# INSPECTOR! #ff if+lf }11t11t#1 +# rrtlf#tf}tf}N!}i+lflf 1l01+r10 it r1t11 f11fi11 fif iffff4ff#tii#fi Momhor N.FP A.. t_AYI -!1_�s3.IA►lL._ •I<''��►P C T Ci ll'i! R E PC1 RT To► h c►f C2uonsbury ~' Binding Coci+e Enfc3rcem+ent i~ 742 Bay Read Quc3cmnsbury, NY 128fl4 - (518) 761-8256 ARRIVE: DEFAI2T: �� _; L�AT'� INSFEC'I'IdN REQi_.TL,.ST R.ECE,IVLI�: � �`� ��� NAME: F e LOCATION: �s� ��� Fli !►�i][Z.E gam ► M�►��.T�.AR *'i OMA&= FCX7Z'II�7GS FdLT1iIDA"TZdN BAGKFIf";_ FI2A21rfING YES NCB 1_ foundation support, pier spacing _ - - perTi anuf_ ---------- -------------- -anchoring per manuf- ---------- ----- ' 3- waver lime shut off ----- -- -- -------- -- 4. sewer lire support (U? 4 feet - ------ 5_ heating crossover (dblewide� off grd_ 6_ dryer vented outside; :.-ti------------- ------ 7_ skirting ventilated - ------ ------------- 8-_ Hc3t water relief valve piping outside: 9- deck, porches, steps, railing - ---- --- 10- fiurnacelliot water <opperatirrg --- -.--_ 11 . garage fire proofing - -------- - ---- --- 12_ door closers ------- -----------_------_. 13- plumbing fixture -------- ---------- ---- 14. fouridation insulati©ii (if appl_')_._. .. 15- smoke detectors --------- ----------- -- - 16_ final electrical ------------------------ 17- variance required -:------------------- 1.8. data plate: ckayy ----------------------- 19- molaile HUTS seal <)okay ------- -------- Model # Serial # Manufacturer - Y��� � - s'D" t Date of Manufacturer - �` '''�� t KAY TO Iss-UE ClC r YE$ N<Dp Comanents: - _ - ii�Qii��ii�i� / �iaLL�►.R- - - Tc3wn of C?usensbury (Building Zk Cc>clp Enforcemont ; 740 E 3c-xy► Floacl - Clt, a nabu ry, -NY 12804 � (5� ) 761-825Ss DATE INSPECTION REt�►UL-=ST RECEIVED LC3CAT`I ON: DATE. PERMIT # 03 ] ii��ItH3LE ll-i�P+� NJI __ ii,3��t.T�.ARa►1�E l?tX7T•II�TGS FOUNa']ATYON B.A,G'xF'ILL FRAMING - NIA YES NCB ' 1_ foundation su;p�sort, pier spaca�� ��� ,�- _ anchoring per rri axiuf_ - 3_ wager lice shutoff ___________ Loo ___ 4_ sewer line support 5. heating crossover (dbl�;wide� off grd. 6- dryer vented outside ---- ------------------- 7_ skirting ventilated. -------------------- - hot water relief valve piping outside 9_ deck, poirches, steps, railino ........ 1C1� furnacelliot water +cxperating ........ 11_ garage fire prcXDlfing ------------------ 12_ door closers -------------- ------------- 13_ plumbing fixture _.............._ 14, fouladatiorx irxsulsttion (if appi_)...... 15_ smoke dete rtar►rs ....................... 16_ final electrical ------------- ----------- IL7. variance'regssired --------------------- 18. data plate okay ....................... 19. mo'bile Hi 7I3 seal op"y . ............. Model # - Serial # Manufacturer -- Date of Manufacturer C>IC,k V 'TG ISSUE CIC ► YJES NCB Comineilts -rc>wn of CWckensUury Olullciino Sa C::aa4g 1=-nfcmrcemf3tlt - 74.2 Elay Road - C)ueienst3ury, -NY 12804 (Sl 8) 761--6256 VIZ-Aml"r-rc; _ IlTIA YES NO 1_ foundation support, pier spacing per rxzajaxxf- ----- ----------------- 2. anchoring per rrul"lly. ............... _ water liuc. shut off ............:------- - 4- sewer lixxc-- sixpp<cmrt (Zo .4 Fv--et ....... 5. heating a'fF gr-cl- C13ryf--I- -.rc--xxtecl outside ---------------------- slcirtixlg ventilated -------------------- lxc3t vvatt--ir relief Nral-vc-- pipijagg outside 9- CN--cR, potches, steps, railing ........ 10. fisr"w-c--AICA -.Wawr vgerating ........ .11. oanmat-- fire-- prc*c>fijmg ........ .... . ..... 12. cicx3r cic>st--rs ......... ................... 13- plumbing fixture. ....................... 14� fc>xxr7LcleLtiuorx irxsijlatic3rx (if apppl-')------ 15. Sx3MC>Rt-- CIA--tectc>l-s ----------------------- I Cw. firml eiectricai ------------- ----------- 17- 'VariaLZXOf-- VC-4tXiX-eld --------- -;;----------- 18. d*Lta Plgxw C)k.%Y ------------ ------------ 19. x1acolbilf-- . . ............ CDOIECA,.'Y' -r4SO-I;&M CDP ly7p-s P-4 C) -7 t-I � IF=R"Agltk L- I"SM E=E= N=ME= ffkAcmmmRL-E=- E%ACMK=&aL-A4i26.FM -rc~n of C.Zu�ensbury Ouilclino 8L Cqowd4a E=-nfc>rc4Bm4enit 742 Elay Ftcmexcl Clue nst>ury, NY 12804 (S-10) 761-8256 DATE INSPEC'g-I©N REC2UE,ST RECEIVE NAME: PERMIT iv 1*q/lA YES NT(DO 1. foundation support, pier spacir�g rxxe_rxxxr. ........... ............ Z. anchoring p4-=-r rriarnif- --------------- 3_ water Iiinc-- shut-off ----------- --------- - 5_ Ideating crossover {dbiewide) off S-rcl- 6- clx-yt--3r N-c-nteol 4z)-lutsiclf-- --------------------- - 7_ - r4lcir-tirxg -.re--Xltilateol -----:--------------- 8- hot water relief valve piping outside 9- railing vvgLt#--r- c>pf--rmtiimg -------- prozmaliiao -----;------------- 12- dk3c),T- cicasers --------------- ------------ 13. fixture-- ---------------------- 14. f6ur-Aclatic>11 irlsudntioDrk (if ZIPPI-)------ ----------------------- 16. final V-Ie4--trical ------------------------- 17. variance required --------------------- 1:9. data plate-- okay -------------------- 19. mobile-- I-YUID seal okay -------------- 4 43 1 3 2 7 17 3 4 4 f ifaK<_. µyP• } wb _ 0)tj Wr T- N -i dr Ui r Q Q r Anv. U N 0 r � 4 i s pNC1�0 pFM < RERS S I�ICA�10 ESN lDl PgME rn �s Nt1�A u o se o � omit e s shall � m liance our oQm, he as in felt laps and ificadon Codes fNewYo to r QU £� f 0 IN c OD 51 r pp Or c r 'I • a C DATE a co 0 D No LJO c a co O Affordable Residential Communities 7NU 00MUS FOREST PARK WC ZQ 183 PITCHER ROAD N o QUEENSSURY, NY 12804 96 £6 Z , PITCHER ROAD too- ^� . _ 03 • r ,.r 02 I JUL 9 2003 I i I i i cCjz ��7 C oval Cc rC �'9 �rrer�wDU� GJrC.��� �r�c1,UJ :,,�