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2003-817 a TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761.8256 C ERTI F I CATE OF OCCUPANCY Permit Number: P20030817 Date Issued: Friday, October 19, 2007 This is to certify that work requested to be done as shown by Permit Number P20030817 has been completed, Location: 183 PITCHER Rd Tax Map Number: 523400-308-014.0001-052-000.0000 Owner: ARC COMMUNITIES 14 LLC Applicant: FOREST MOBILE HOME PARK-79 BRIWOOD CIRCLE 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 Planning Board Director of Building&Code Enforcement or Zoning Board of Appeals, TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development Building,&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20030817 Application Number: A20030817 Tax Map No: 523400-308-014-0001-052-000-0000 Permission is hereby granted to: FOREST MO]3'ff.F 14O1V1F PARK-79 BRTWOOD CT 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. Mobile Home In Park $23,000.00 PROPERTY TAX DEPARTMENT PO BOX 13244 Total Value $23,000.00 EL PASO, TX 79913-3244 Contractor or Builder's Name j Address Electrical Inspection Agency Plans&Specifications 2003-817 79 BRIWOOD CIRCLE 2003 MOBILE HOME(924 SQ FT) AS PER PLOT PLAN SPECIFICATIONS $30.44 PERMIT FEE PAID-THIS PERMIT EXPIRES: Wednesday, October 06, 2004 (If a longer period ii 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 sb-w le�. of y; 0 y, October 06, 2003 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Application for Permit - Mobile Home Town of Queensbwy, 742 Bay Road Oueensbury, NY 12804 (518) 761-8256 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 d �� Office Use Name: A RClu. 93 -M1, LI-C.. -rOCeSkTbLCY, File Permit N17 Address: '3lP�'~ OC'�C Fee Paid Chu ees to�a Reviewed B y:� 7 � (' :_ ._.._.......__ __...__j _j .._._..___... Phone i, "4S 2 � Parcel Infonn=67''21'111�/op 2003 Property Owner Information -aVI, 1p ��,nn��5 d t` Proposed Date of Placement: Name: A a e..ZiG:GFn1D m w� Cs' tF1t��i sT. �u lT� qua Property Location: � r'� t�l(L° Address: 1.400 Road,Stet Avenue --DEtJL)EP_ Name'of Mobile Home Park: 1r6v_E:6r—NR.K M 14c- (if applicable) Phone No. Sm ,;45 541 S Tax Map Number: Mobile Horne Information Zoning Information Approximate Value of Home: S 9,, Y,. �l✓. )Zoning CIassification: �" New Home: OYe ' N Size of Property: 'r)o ft.by JX7 ft. Replacement Home: Yes No utMiT + ,JJ i _ Existing buildings: �'_ e Q:�h me r�� Size of Mobile Home: �.`t ft. by l!/� ft. Setbacks: front yard J 1' ft.; rear yard ft. Singlewide: V Doublewrde: v l Side yards t (& ft.and�_ft. j Number of Rooms: (exclude baths), ' Number of Bedrooms: _ 3 Accessory Building(s): circle Number of Bathrooms: Detached garage: I car; 2 car, car circle: Gas Fireplace l Woodstove/Wood Fireplace Attached garage: I car-, 2 car, car Storage building: Yes No Foundation Support: Other: PT1r E T� SIZE&DEPTH Water Supply. well or cipal Piers s. uni ers x Is Septic Permit Required? Yes or No Slab x Further information requested on the reverse side of this sheet W Name of Installer or Mobile Home Dealer. Address: ,--� .( Na l5lnyL 61 K.1j 13()ao Phone No. 51S 4-74 05 Complete information below found on a"plate"or"sticker"which is affixed to the mobile home. 1. Insignia serial number. I O 2. Name of manufacturer. 3. Plan Approval Number: 4. Model or Component Designation: �-� OL (New Home ONLY) 5. Date of Manufacture: C1 AFFIDAVIT Town of Queensbury State of New York County of Warren. r 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. Sigd-=-re:� z owner,ownV ag t,architect,co r Special Conditions of Permit. By. Form: i vi9/i994sa Code Enforcement Officer 10 c1�[P[J�r�cP[1[f[1rJ�cf�r�[1�rJ3Gf[Pr�C1�G nrJ�CP[1�[.I�[J[1�[PC1�[J�cfrP[1tP[1[.n[1[PcJ�[J�[J�[.nCPCJ�Gf[P[1�PrJ�[![1[nCUJJ �[J0[�J'�[J0r�[.(r�Gl[1�cnc1[1�[J� C� 5 BY THIS CERTIFICATE OF COMPLIANCE THE L/ ��� 5 5 � 5 5 NEW YORK BOARD OF FIRE UNDERWRITERS 5 5 S BUREAU OP-ELECTRICITY S 40 FULTON STREET NEW YORK, NY 10038 5 S 5 CERTIFIES THAT 5 c5 5 Upon the application of upon premises owned by 5 5 5 SHAWN ARRUDA AMERICAN RESIDENTIAL COMMUNITY 5 5 C5 183 PITCHER RD. 183 PITCHER RD. DCj QUEENSBURY, NY 12804 QUEENSBURY, TN, NY 12804 5 5 5 5 -.-Located at __ 7.9_ERIWOOD CIRCLE QUEENSBURY,-TK,_NY 12804 _T _ Application Number: 3043071 Certificate Number: 3043071 5 5 S SSection: Block: Lot: Building Permit: BDC: A239 5 5 5 Described as a Residential occupancy, wherein the premises electrical system consisting of 5 electrical devices and wiring, described below, located in/on the premises at: First Floor,Outside; 5 5 5 A visual inspection of the premises electrical system, limited to electrical devices .and wiring to the extent detailed 5 5 herein, was conducted in accordance with the requirements of the applicable code and/or standard 5 promulgated by the State of New York, Department of State Code Enforcement and Administration, or other 5 5 authority having jurisdiction, and found to be in compliance therewith on the 17th Day of August,2007. 5 Name OTY Rate Rating Circuit Type 5 Miscellaneous 5 no new equptment 5 Panels 1 100 .20 5 Service 1 Phase 3W. Service Rating 100 Amperes Service Disconnect: 1 100 cb C, 5 Meters: I C5 5 An as built inspection,of the delineated electrical installation,determined that an obvious hazard is not present and the installation is believed to C be in conformance with the applicable reference standard for the estimated period of construction of the premises wiring system. 5 5 cC1 5 5 5 _ 5 5 r 5 seal c5 �] X of 1 S This certificate may not be altered in any way and is validated only by the presence of'a raised seal at the location indicated. 5 5 ® ������������������in����������������������-���������ffl3 ����� - �(3iAtF1 Qf- QL.IB��iSI?ts�']f ". Sa. HClj"l 8 Gr die►' Enfc ace +e t -74P .E3 4my Road - G2u nsbury. - NY - f:2004 (5-1 0) ,?'fir 43P-5 ,- 33A"TE INSPEL"I'ION= REQL3LS'I- RECEIV = , - - - - - - i'4iAME= oa ffC, h--� - L3A3'E= - PLlRIVIIT # _ .7 `- MqmSILE HOME M0JMXYX A M HOME - f=�'I`I��I+GS PCJ►CTNI�A"I'IaC]N I3A.c"�c_'�--�� r_ s-rz.e►'�►.T a�,c"- N/A. -W IF-S iV C! 1_ fdatic�n =�ul?'P'�'��. pier spacirag - perrimalXuT _________________-______ 2_ a_* -�Ciring per iuuu3arf _-------------- 3_ _ v�rater line smut ©ff ------------------- 4_ sewer line support 4 feet _______ 5_ 13eati�g crossover (dblew;deb off grd_ S_ dryer vented outside -- ------------------- 7_ s}Lrtir�g vsut�iatied -------------------- _ 8_ loot water relief valve pipirig ositside 9_ cieck� porclzes� steps. railirig -------- 11_ garage fire proofieri8 ---------------- i2_ door closers ----------------------- 13_ f►lsu �tbing ti-X ui-cr ;__________________-__ 14� foxan ,atiCm irssula tics (if - ppt_')_____- 15_ sole d+ t�r �ct+cors. _:_ __________________ 1w5_ fsal c.lec tricil _____"___________________ 1'7_ vas' ir+ +quired _____________________ l8; data plate okay- ----------------------- i9_ u�obile HLTD seal -okay ______________ Mareufacturer - Date of IVlsuufacturer _ C]KAY TC� ISSUE-cIo P■_ NA■._ ■NSPECT■QN REOQAT = - - Town o C�ueensbury Building Ss Codes- Enforcerr»nfi - 742 Bay R03C (:;)uoenspburys+, NY 12804 J . _ I�ATF_ INSPLCTIC�N RE+Q►LT�=+T RLCEIV��►:, MCfSILL "H+C■►ME_ _-- _ - - - Mt31"�UL..AR Hfrl�lE - - FOC7I`INGS �C7CTNDA'I'IC?N BA�KFILL- _ FRAII�IN� ell 1_ foundation_ support,� pier spacing - - - -: - - per _ -----------_----- '- 3_ - 4_ -sewer line support (W 4 feet ------- 5_ heating crossover -(dblewid$)p .off grd._ - 6_ dryer vented ©utside __ti----------•------ - _ 8_ hot water relief valve piping cnutside 9_ deck, porches, steps, railing ___:_-_-_ - - 10_ furnacelliot water operating _ __:_____ - 11_ garage fire pi€iofing ------------------ 12_ door cicisers ------- = ------------=---- _ 13_ plumbing fixture ___---- --_------------- - - 14_ foundation insulaticon (if appl_)...... s 15_ sX3Molce detectors ---------- - ---------- 1,6- firml +_- ectrical ....................... 17_ variance - 18_ data plat+-: 6kay 19. mobile.-Z lux::► st,;al okay - -____-. . _-- i Ma.r�ufacturer - - - y I�►a.te of Manufacturer _ T QKAY TO- iSS"LME .C/C? - _'YES. _ Y " N+C7►- IC-1 �--i S 7 4 7D=L FL Q O P PLA N LAYOUT Hitch End r r J } . . ..- 11'•3" 5.p. .-� 11�3 1�-0—.. z�6 4�6 9�3--- "DINING-.. .. _ ..,AREA+--"i BEDROOM BATH UTILITY . , . . . . . ( �� � �-- .-----, LIVING a -r�- ROOMS 1 MASTER v _ 1 — ' BEDROOM BEDROOM - KITCH�I BATH -___... .�_ �r I _.... ;FS ......... a • = t _ ��o --- j Min 11 � n ' "3 4.6 • --• 13�1112 j 66-0"---- AdbL a�N a Specifications are subject to change without notice rr , a 7 4 7D=L TD 2DD' 3 FDLJNDA TION LAYOUT (PIER, SET) Hitch End � o M � 1IT �_J �_J� rj 1 r 1 w r 1 r 'i 41 r11 L J L J L J LjJ J N �n1 + Cr 1 1 1 I 4L-7. r I F LI LTJ 6TJ >TJ tTJ 4Tr LT T, � - 10'-�" � 1Q1.4" �_ .--10'•4"- 10'�4'I_ ..._._..�.. 941.4� ..___;._ ._141.�1� .-- r 2141 1 n I m y' 1 r t 1 ( 99 % Frame Uses a 12"Main I-Beam Note.The foundation specifications shown above are suggested by Four Seasons Housing.Please refer to the Four Seasons Housing installation manual for specific details.Altemative foundation construction is the responsibi41 of the Aft' j selling dealer andtor!Deal constructor and must be approved by a qualified engineer. JF►Cb1116dUV1►d Of 0 JUNJVW W 411019W NJU►UUt 1 WULU 1 4 70=L TD 2003 FO UNDA TI LAN LAYOUT SPIER SET) Hitch End 21'•3" t. y 1 1 181•10 k4 r L_J00 y L L L1i L ! L 1 L d l ,1qq,rry�, l I I I I ! ! 4L21 „ ! 1 ! co r r , 391_51 ri rI r � Ir rr.�.ar!r �wr..r rr.�r.r.�. _�..�_�..! ��.. � r��r�r+ r.�..•..w wt L d I 1 I t r; rr i 1 ! CO I 1 1 ` I , I i 4 61,011 I f I 82 %"+1=rame Uses a 12"Main I•Beam I Note.The foundation specifications shown above are suggested by Four Seasons Housing.Please refer to the Four Seasons Housing installation manual for specify details Alternative foundation construction is the responsibility of the Aft selling dealer and/or local constructor and must be approved by a qualified engineer Specifications are subject to change without notice i i �. ✓ ILI Pohl, • r U a 0 i 3 S/ : z E ?OWN LDING BU . REVIEWED BY DATE -TOWN OF QUEENSgURY"BUILDING DEPARTMENT t r limited 'examination, ,a � C Based on or1 l ; nowcamppliance wth a t ccmEesf5at not- — -- construed as indicating the 4 plans and specifi rations are in full compliance with t ie Building Codes { 4 of New York tat ; i y ` _•04 V ,• --, r T10E ANCHORING OF MOBILE 1 ; t I ' FRAME!Is REOUIRED PER C �fANUFACTiRERS SPECIE t. w ' l