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2003-581 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-8902 (518)761-8201 Community.Development-Building&Codes (518)761-8256 C El I I F I Cj AT E O F OC C U P A NCIY Permit Number: P20030581 Date Issued: Tuesday,January,06,2004 This is to certify that work requested'to be done,as shown by Permit Number P20030581 has been completed, Tay Mn"Number; 523400.308.014-0001.052.000.0000 Location: 12-BRIWOOD CIRCLE Owner: ARC4BFND,U.C. Applicant: FOREST MOBILE HOME PARK This structure may be occupied as a, By Order of Town Board Mobile Home In Park TOWN OF QUEENSBURY Director of Building&Code Enforcement . TOWN OF QUEENSBUR.Y 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 M1Y, Community Development-Building&Codes (518) 761-8286 '. BUILDING PERMIT Permit Number: P20030581 Application Number: A20030581 Tax Map No: 523400-308-014-0001-052'=000-0000 Permission is hereby granted to: FOREST MOBILE HOME PARK 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. ' Tvoer of Construction Value Owner Address: ARC4BFND,L.L.G. PROPERTY TAX DEPARTMENT Mobile Horne In Park $22 00.0 Total Value $22,OOOAO PO BOX 13144 EL PASO, TX 79913-3244 Contractor or Builder's Name j Address ? Electrical Inspection Agency .1`r. Plans&Specifications 2003-581 FOREST MOBILE HOME COURT 12 BRIWOOD CIRCLE 1216 SQ FT MOBILE HOME AS PER PLOT PLAN SPECIFICATIONS ? , k� i $47,96 PENT FEE PAID-THIS PENT EXPIRES: Wednesday,August 04,2004 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the Town Tnsb 4 d ,August 04,2003 SIGNED BY t' for the Town of Queensbury. Director of Building&Code Enforcement I Application for Permit-- Mobile Home 7'owrt of Queensbury, ,742 Bay 1Roac, Oueensbury, NY 12804 (5,18) 761-8256 A building permit must-be obtained before placement of mobile home on parcel.,No inspections will be made until a valid building perm.ifhas been issued. Applicant Information Office Use P Name: A-aIII [�N17 L.t.r` File Permit No. f) - u - Address: 1 4d)e Y-Rd, Fee Paid ��° �l C- u e�Y15 Get l-1 l3a{�O Reviewed By : a a Phone No. `) -- � '1'�I'�?(�J �u el Parcel Information Jut 2 g Property Owner Information ?� 2003 ,r. �'0� Name: 09-eff GP&LD t-..1...C. . JIL1a oey- A4 Proposed Date of Placement: �UIC"II AcpC'@URY Property Location: 1Q ()�'i i!)Cu i be-le apt Address: Zp00 &P-ANT- ST. 5u t�'160 Road,Street,Avenue '-t>EtjU r- C.b Name of Mobile Home Park: .1'pV.E6T—V pA c M 14c- (if applicable) Phone No. SGb 46 BV4 15 Tax Map Number: 30S.14 /—( ` Mobile Home Information Zoning Information App te-Value-of Home-S> 0 �. i Zoning Classification:" i New Home: Yes No. Size of Pry ft.by �$. Replacement Home: Yes No. �vton+ 4 Existing buildings: nt Dt��' Size of Mobile Home: �ft. by �ft. /—efNREcj1i�] - front yard A I ft; rear yard ft. Singlewide: _ Doublewide: Side yards `2j!S ft.and It-Di. Number of Rooms: (exclude baths) Number of Bedrooms: 00 Accessory Building{s}: circle Number of Bathrooms: Detached garage: 1 car, 2 car, car circle: Gas Fireplace t Woodstove 1 Wood Fireplace Attached-garage: ' I car-, 2 car, car Storage building: Yes No Foundation Support: Other: F Piers' 'SIZE&DEPTH Water Supply well or unicipal unners x Is Septic Permit Required? Yes or No Slab X Further information requested on the reverse side of this sheet � Name_af InstalleF ar Mobile Home Dealers 't-t .1 � Address 1" � lot Gw(m `L" Kik taoao Complete information below found on a"plate"or"sticker"which is affixed to the mobile home.. I_ Insignia serial numbers �� 5a D 2. Name of manufacturer . 3. tPlan ApprovalrNumber y 4. Model._or Component_D"e_sigIlation SD I (0- Lot? — {New Horne ONLY} 5. Date of Manufacture: �7 Z L'I 0Q,� AFFIDAVIT Town of Queensbury State of New York County of Warren a - 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:_ owner,o ''s gent,archit ntractor Special Conditions of Permit By: Form: z 111911999sh Code Enforcement Officer - f Fi$"..ai�L ii�i�.�EG"TslCii'V REPOR Town of Clue nsbury Building 8L C;c'd@ -Enfor4--8m4Bnt 742. Bay_ Road Queeinst5ury, -NY - 12804 (51 8)- 761-8256 DEPART DATE INSPECTIC3N REQUEST RECEIVED: T _- rTAME- � a LOCATION � `i?�t�.lUpG� DATE: PERMIT_ �O�I�,E H®1�E - 1K�®D1�.TLAR IID!l�i� FOOTINGS BA4C%CF11F J FRA3VYZNG NIA YES N© I_ foundation support, pier spacing perrr:anu - --- --------------------- 2_ anchoring per manuf- --------------- 3_ water line shut off --------------- • - - 4. sewer line support <?p 4 feet _- -_-_._ S_ Keating crossover (dblewide) off grci_ •/ 6_ dryer vented outside :-ti----------------- •- 7_ skirting ventilated -- ------------ - a- hot water relief valve piping outside 9_ deck, porches, steps, railing _.____-- ltl_ ©peratirlg --------- 11_ garage fire proofing -- -- ------- - --- - 12_ doer closers ---- - -- ----•- --------- ----- 13_ plumbirng fixture --- - - --------- ------ -- 14- foundation- insulation (if appl->.. . . .. 15_ smoke detectors --- ----------- --------- 16_ final electrical 17_ variance required --- --------- -- -------- - IS- data plate okay ----------------------- 19_ mobile HUD" seal ©1caY --------- ----- Model # E - Serial # Manufacturer �Gi�/Cf � � Date of Manufacturer D - .001 OKAY TO ISSUE C/CQ IL YES ND --�,,4 C s L- - . FINAL ■NSP1EGTiQN REPQR� � -_ . Town of- CZueensbury = Building 6k Code -Enforcement 742 _Bay Road C a nauury, NY ,12804 (518) �761-8256. i ARR.IVE: Z�EF'.A.RT: �-3'NSP� Z�A'TE, INSP'LCT`It'�N RE,Q►TJt?s'T R.�."^�C�E?IVE.L?: . LC�►C A-TI C7N: - M+�'11�IL� �Yt3ME ld+lOrl>MY.TL:A.R HtlME FOCYTII�TGS F©I.7i�TI�A'I"ION BALL- FRA2ViING N/A YES_ NU Z_ foundation support, pier spacing - perrxxvnuf- ----•-------------- ------ 2_ anchoring per inarauf- ---------- ----- 3_ water line shut off --------------- - 4_ sewer lute support (W 4 feet -----_- _ 5_ heating crossover (dblewide� -off grd_ - - 6_ dryer vented outside - ------------------ -- 7_ slcirting venti.Lated _--------------- - --- hot water relief valve piping outside 9_ deck, porches, steps, railing __--___- furnace/11ot water operating --- ----- � 11_ garage fire proofing ---------- --- ----- i2_ door closers - --- --------- ----------- --- 33_ plumbirw fixture - -------- - ------------ 14_ foundation insulation (if appl_)__-_-- - - 1 smoke detectors�� ;;••�� ��''^='''���- _� - �s 16 Sinal 1'7_ variance required _. ________________ 18_ data plate okay ---- - --------- --------- IL 9 mobile 141JI> seal okay ______________ Manufacturer 33atee of Manufacturer <31KA:Y TO ISSUE,C/C► -. YES " NO C77omrnents: TOWN OFw Q#JB R RtVIEWED.BY DATE ' a 0 , W CODV . . .. f p�1CNpRING RQ�RED PER • FRAME 1S TOWN OFQUEENSBURYBUILDINGDEP {�A�IUfAC�URERS SPECtf1CA�l0KS Based on our limited exammahoRTMENT x co, with our comments shall r.not be construed as indicating the + ~Plans and specifications are m full F� � � NOTICE compliance with the'Building Codes of New York State. MUST BE COVER! FOAM INSULATION MU BY A 15 MINUTE THERMAL BARRIE We .� NOTICE MM KRAFT PAPER INSULATim MUST BE w COVERED BY NON-COMBUSTIBLE BARRIE k ae k r a • i ! __------------.._—------------------------------I--4�r----.---_------------------__----------------------------------. ---------------_. ., F q I Ve wv r r I I I I I I I I I I ! t ! 1 I I I 1 1 t I t I I I l I ,� �._-_---__-....j. r_ --_-. - -------------I----------_ -�_..__ __.. `--------------T-_-__ +_._r-_----------- LVY a ! ua If+rEr AND o0 z • ¢ yminimum, � ' 5' W ME FT NDER HOE SCHUt1 HOMES CORP MODEL (N)8016-499 mmm ><,>$ „ PIER SE J a •> w (i /�jJ OU 4 iCC,.'1.0 • c.y' ..i' 10, \/ ... t :;,.,�s^•�w.'4$,.d;�.,tila r„��hM; �,i,�..,�,,�`:�d MEMO I � 1` ZL ZU K. -�Lo—OP —LlkC4 E ....•... G tfi frl4.FrrRj'✓ pl/i7�� I r, `' 43 1 3 2 19 11 4 �1 MN Mr ON d a r d a to Dt < ss cw 1' t SL cr t� c� a M � w gID 1 1 a Af fordable Residential Communities FOREST PARK MHC 183 PITCHER ROAD Q IEENSBURY, NY 12804 96 PITCHER ROAD W lj `a' I I i o ,cJ v