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2002-125 TOWN OF QUEENSBURY ' 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20020125 Date Issued: Friday,December 20,2002 This is to certify that work requested to be done as shown by Permit Number P20020125 has been completed, Tax Map Number: 523400.308.014.0001.052.000.0000 Location: 93 Bwood C4ccte Owner: ARC4BiiNND,L.L,C. Applicant: AFFORDABLE RESIDEYM HOMES This structure may be occupied as a: By Wad Town Board Mobile Home In Park TOWN of QUBBNSBURY Director of Building& ode ffiacement TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building& Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20020125 Application Number: A20020125 Tax Map No:' 523400-308-014-0001-052-000-0000 Permission is-hereby granted to: AFFORDABLE RESIDENTIAL HOMES For property located:at: VANDUSEN 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: PRANK&DELORES PARILLO Mobile Home In Park 28,000.00 115 BALLARD Rd Total Value 28,000.00 GANSEVOORT,NY 12831 Contractor or Builder's Name Address Electrical Inspection Agency SHO MOBILE HOMES 4294 ROUTE 5 ' CALEDONIA,NY Plans &Specifications 2002-125 AFFORDABLE RESIDENTIAL HOMES 28'X 66' MOBILE HOME AS PER APPLICATION 93 Briwood: Fores't Mobile Home Park $85.88 PERMIT FEE PAID - THIS PERMIT EXPIRES: Saturday,March 08,2003 (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 ue7 By the T ' f Q b Y,March 08,2002 �7 7 SIGNED for the Town of Queensbury. Director of BuildinYg&rk`C6%1e Enforcement Application for Permit— Mobile Home Town of Queensbury, 742 Bay Road Queensbury, 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 formaiion Office Use Name: X,417 A 6As File Permit N O Address: kco 4�5�t,y` S4. 1-1��1 6�UU Fee Paid C) Reviewed B': _ ...............__.............._... _..._.__.._...__._ Phone No. e4 `-Y-33 ' VsY8� - Property Owner Information Parcel Information -- Proposed Date of Placement: r " Name: �`j,)n:o G 1,4-R�� -7 c%e5S s 1 kt_'..�'- C-157/ ho'q-s Property Location: 2 Address: Read,Suet,Avenue i'l')f 11 Cl7< y 2f N`7 1 7r� Name of Mobile Home Park: I� (if applicable) Phone No. (�`!�'�3 -�� Tax Map Number: Mobile Home Information Zoning Information Approximate Value of Home:S /9d L Zoning Classification: New Home: Yes No Size of Propery: ft.by ft. Replacement Home: Yes No Existing buildings: Size of Mobile Home: 7 o ft. by ft. Setbacks: front yard ft.; rear yard ft. Singlewide: Doublewide: '� Side yards ft.and ft. Number of Rooms:(exclude baths) Number of Bedrooms: _ Accessory Building(s): circle Number of Bathrooms: a Detached garage: 1 car; 2 car, car circle: Gas Fireplace/Woodstove/Wood Fireplace Attached garage: 1 car; 2 car, car Storage building: Yes No Foundation Support: other: TYPE SIZE&DEPTH Water Supply: well or municipal Piers x Runners 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: l Address: Phone No. Complete information below found on a"plate"or"sticker"which is affixed to the mobile home. I. Insignia serial number. � 2,01 Z�j , 2. Name of manufacturer 3. Plan Approval Number: 4. Model or Component Designation: 4 '6o (New Horne ONL1) 5. Date of Manufacture: AFFIDAVIT Town of Queensbury 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: owner,owner's agent,architect,contractor Special Conditions of Perinit - Form: i i/i9ri999sh Code Enfo eznent Officer �IENA� �N�IQlI�CT�©N R�POFI:T - �'�i9�1E3��1l�' / �/'IECiIG7LJ.LAR- �-rowni of CWo nsbury- ,Building & C:odea E-Enforceernant 742 E3ay rload , - CQu+ecrosbury►, NY 12804 (5 18) .761-8256 ARRIVE: ��DEPART= c � INSP: DATE INSPECTION REQUEST RECEI _ _ J t NAME: LOCATION: � r - - DATE: � PERMIT l f i C���� FC.',',�'�+"TINC`xS FC�[.Jl�iZ?..+�.'I'It=7N BAC.K.FILL FR.APr�IN+Gr . N'IA YES NCB 1_ fbinadaticu Suppca►rt, piety spacing permanuf_ ------------------ 2_ aaclioring per inariuf- -- -- 3_ water lixie shut off -____-N "A- 4_ sewer lice support @ 4 feet 5_ _ hefting cr�s�s�e �€iblewide� ff grd_ - kirting verxtilated- .-------- - $_ r elie a ve pipirig o tside 9_ deck, Irai - __ -- l l_ garage a proofing ----- ----- --- -- l _ door cicisers _.. . ............... . 13_ plurxxlairzg fixtur+. ..... w .. . ._ ... � va c `—a �N 14. f mm da rn tic irisulatic>rx (if appl 15. smcokc-, detectc>rs ----- ---------------- - 16. Fu3ral electrical ------ ------ - -- --------- 1.7_ variance required --- ------------------ 18_ data plate okay ---------- ------------ 19_ mobile HiJD seal cxIcay -_------- --- i ilanufacturcr Bate cif AY TC3 ZSSXJFE C'/C� YES NCJ CDO COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC, 0 Darn Office 176 floe Run Road of Manheim, PA 17545 MUNICIPAL CERTIFICATE to ELECTRICAL APPROVAL t t t #i 4PanelBoard "o. N7017g' / in Card No,,,,, 11A r' `�li4itllurrii7i(Ifl4lrlt i if4t�fi/!Hilt fee { �}}} }({'{ IIIIf/4}• •• i 4 4/ 1 ! iiffi};;!\fl/fiitfif4};;;lfff fi LocationA9 ��(4f{►f►{ {{1�4 #f4#F!i#�f4#fi fiYiit4\• J�Jl�- -f! • •••Irl {I{I11 ►f{II#tiff\141f!}flff4tfiii�\IHItl4�i41tf/!\i�\{Iff\# f41{il Istaai /1 jnI l (f�� (/�('1��l!�� bi {jJ� h i{o,,�yj, �// 1�lononsistin1661to-CA'foulMM9441Ma#osladII#44#6f04 .�'#4foxetv `+ ` � C �/ ►'I M94 f�i 44Tii 4tit4f4},TI { # tfii4 i 4lll ra4t4NiiN/iii•/fiifl fIf•!f#!ifli#illff►ft•fHillfN!lffHNflqi{li/fri#if!{i4{{ifiif\►ff►4H#ff!!!liff##i4lffi#f4lf/Iif/11/fiHir•!•i##►F••►q#f►#H1f\fff#f#ttf►#ff\iNi#{••tf\►\{f4•/t4 aiii##trill## 414f#4#l1411fN1!lff4fl#liif;H4ir{NNM4{\NiiHf tNf 4f4#iRliipf#fi##f#f#fif/##Niii#rii!\#f{1{i ir4inlff!{f 4!f!f flff4\ifillf\tfi Nf if!!!f f ff tliffittt!!#!#f\f\f••f4ffiN•r••### Installed t \ f i if ffi ff!ll fi#10#14i� 4 •By,The conditions following governed 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 th( introduction of additional equipment or alterations, application shall he promptly made for inspection. Inspectors of this Company shall have the privilege of making inspections at any time, and if it! rules are violated, the Company shall have the right to revolve this certificate. Date,,3,�{i�i{ #Lot,##4if######liii4 INSPECT a/ f►1 141# 10#62 •4}} 4 i I�Iii Mfit#tif}i#Hii{iIM0411 k'EB.23.2002•. . 2:55PM. MARLETTE HOMES NO.323 " " P_ .1/2 TOWN W /7 WY i� •, . , /VI 999" ..SOY" ,'! t ` RE r ..s 3-pt,i•vliinrs Os,0.-_--_ .._.,a•s 4.ZLwq...-..>�.' , ' i •• � , ` 1 ^I{ � it i .+ I•, j ' � it 7 •-{• 'n �irArar� n irn nrulirnr} .{_ w la + If i+biax'I�`•r 1 �.i I'_ --i .'• i-- -� :i i-_ _;• n i�w "NOTICE 1 1 ANCH RING OF MO L Hb -- - -- - 1. ,FRA ME.IS:RE10Q1 Di;PER, MANUF Tk1RERS SRECIF�CtTI - -•-- - �'�'� TOWN 0: w(,>�,illiiEnnENSO dun o I RTM ' our mited ®fiance witlt our 1 1 • —• -. -- -- i pi ns and spe r= 1 t 4 co lance with oreIf i { AL 1 { i 1 , t�. —'{—�w- +••..li 4w_ ...:.C--';.�--fir_ ww� 4w_ _, i• � . ^_ La - ' L « 4 • � -�•aia�^'•»••«-•• ��rtaessr�All,ecrrartvsred•••«--'•:�-.•,,•�,,�r�:-srr•-1 ti FIIRN. 41•-ID 48 45 5/8, 34 34 .32 48 37 314 � 48 , 49 t 32 48� 40 48 t 32 48 48 32 t'1148 48 ' q +51'-47 l2'- 0-ta nS t 14'-14 D' �' 3 ` 1� JPI 14*4 1!8`12'4Ah BEAU iB'-4-2A 03 SPF TOP ID'-7 1!2'9 1!4'Gut BEAN 8'-, 1�8'2x4 b OF TBP U1`t4tj 7'-I0 1/4' 4 6ElBii Ft i a'-a'- , ! 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'-11� s 3- . 66'D_ 1.60" FLOOR Q 40 ' 48, 34 I14 13 3i4 48 '48. 48. i8 48 48 16 48 48 48 48 is, 48 32 '48 49 � ., Jim Al W4, 14- 4` Mar-01-02 01:38pm Frdm-TWIN LAKE VILLAGE 845-739-6671 T-458 P.06/06 F-834 del r t� r i tsar-01-02 01:38pm From-TWIN LAKE VILLAGE 845-733-6671 T-456 P.05/06 F-834 a Od BRIWOR PAXTE ray o� . 161201 'p0'' w C�•i3Cf' ,m0� TME i1ADE o a CELINA M. 71 BUTt.Ef� N, DEED BOOK97S FRANK J. RARILLO • TAX PARE - NEED BOOK 698 PAGE 166 �2� CY TAX PARC!*L TAX PARCEL No. 308.15-1- MAILWXes TAX tK� PARKING AREA t q' NOT 5Tf;iF'Iq "-'CONCR FOLOCK """ "` , bf RUILDiNs FRANK J. PARILLO f�,q�' DEED BOOK 786 PAGE 166 , tg 75.T' 0 N =3 ` TAX PARCEL No.308.15-1-9 uc. pA� ROAD SIGN � ,- Ep, so,%76 c W-01-2002 FRI 10:50 AM OFS RK PRA nut suoddolaea r, ui t 3 W f Q 3 M Vi do ' 41 tv NrN oo' Q f 43 47Nct �' � , � f CM 00 00 C71 Co cc to t C4 23 en T-q Ct en r 2-9 t 31 '.� `"' 0033 t 37 39 t 145 47 ,rr ` w romt Park) lMC 134 Pitcher Road Qucm sbwyt NY 12804 H£-d 901ti0'd 99N 12994£2-9y9 39Y111A 3NV1 NIM1-w0ll Wd2£:10 ZO-10-IIN