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2002-215 S TOWYOF QUEENSBURY . 742 Bay Road;Queensbury,NY 12804-5902 (518)11-8201 Community Development-Building&Codes (518)761.8256 Y .. CERTIFICATE -OFOCCUPAN� Permit-Number P20020215 Date Issued: Thursday,May 1 ;2005: This is.to certi that work ru e ested�to n be.dont as show b Permit Number . . . _ �. .. y r , .� . P20020215 . has been completed. Tax Map Number: 523400-308-014-0.001-052-000-0000 Location: 183 PITCHER Rd WCOMMUNIES, RI�V001I CIRCLE Owner: 14 LLC Applicant: SCOTH WOOD This structure maybe occupied as a: Mobile Home In Park By Order of Town Board TOWN QF QUEENSkRY Issuance of"this Certificate Hof Occupancy DOES NQ,T relieve1le property owner of the responsibility.for compliance with Site.Plan, Variance,or other issues.and conditions as a result of approvals by the Director of Building&Code Enforcement Planning Board 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: P20020215 Application Number: A20020215 Tax Map No: 523400-308-014-0001-052-000-0000 Permission is hereby granted to: SCOTT C WOOD I For property located at: I 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: ARC4BFND,L.L.C. Mobile Home In Park 12,000.00 600 GRANT St Total Value 12,000.00 SUITE 700 DENVER, CO 80203-0000 Contractor or Builder's Name Address Electrical Inspection Agency Plans &Specifications 2001-215 SCOTT C. WOOD, 1120 SQ FT MOBILE HOME AS PER APPLICATION Lot 86,Address 86 Briwood Drive in Forest Mobile Home Park moving year 1992 Mobile Home from Lot 137 Adirondack Drive in Homestead MHPark to Forest MHPark $42.20 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,April 15,2003 (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 the To7neensb Aril 15,2002 SIGNED BY for the Town of Queensbury. Director of Building&Code&0rcement RECEIVED Application for Permit— Mobile Home APR 01 2002 Town of Queensbury, 742 Bay Roam Queensbury, NY 12804 (SI YOW�1 O25 F QUFENS13lJRY BUILDING AN C?QE A building permit must be obtained before placement of mobile home on parcel. oP 0 irtsp ction: - made until a valid building permit has been issued. 14pplicant Information Office Use Name: File Permit No� Address: j S job&'j oYtA R , �-� Fee Paid t Lk Ke. geo t-C e—, /U 9 1A 2115 -Reviewed BY: .........__.......... Phone No. q 7.q Property Owner Information Parcel Informations l LG Name: r" P►���M 8 j~'�fo Qa � Proposed Date of Placement:HC Property Location: 1g ) � yy� Address: I83 n her &C - Road,Street,Avenue 6(a- t1f;qble)Name of Mobile Home Park:. Phone No. C J T Tax Map Number: y Mobile Home Information Zoning Information Approximate Value of Horne:S 600 Zoning Classification: Ci New Home: Yes No Size of Property: ft.by ft. Replacement Home: es "- -Q/) Existing buildings: /S t..t.1 "� Size of Mobile Home: � . by ft. Setbacks: front yard 25` ft.; rear yard 3 o'- ft. Singlewide: Doublewide: Side yards .3 D ft.and '3O ft. Number of Rooms: (exclude baths) Number of Bedrooms: Accessory Building(s): circle Number of Bathrooms:_ Detached garage: 1 car; 2 car, car circle: Gas Fireplace/Woodstove I Wood Fireplace Attached garage: 1 car, 2 car, car Storage building: Yes No Foundation Support: Other. Piers TYPE p 6"Ic ISIZE XDEPTH Water Supply. well Slab x or municipal ll Runners x 1's Septic Permit Required? Yes or No Further information requested on the reverse side of this sheet W Name of Installer or Mobile Home Dealer. V t� t :R A/us Port Address: _ �o� }- � J ��� _�ac L-oaV �/',V. Phone No. �3 •",r. Complete information below found on a"plate"or"sticker"which is affixed to the mobile home. 1. Insignia serial number. 30 1 0 — 6 3 53 E 2. Name of manufacturer. e- - g fh r,&,4 / . 3. Plan Approval Number: 4. Model or Component Designation: (New Home ONLY 5. Date of Manufacture: 7-' at.s— C/1 AFFIDAVIT Town of Queensbury State of New York County of W== 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: f owner,owner's agent, 'test,contractor Special Conditions of Permit Permit By- Form: 11/19/1999sh Code Enforcement Officer FINAL ■I>\fBfPECTIION REPORT. - - M�BItLE - r 1%,0VOZ=3ls__llLAR Town of CQuaansbury �:-�— Buildirtg SL Code -Enf4orcem43nt = 742 •Bay Road . - = - = Clueenabuiry, NY 12804 (518) 761-8256 OF i�A'I"Ei INSFE+CTIC�►N R.t'?QT�JI?�T RE+CE.ZVEL7: - . • L.C�CATTON: fS> '----t. I�►A'TE: :`_ j '" FER3trt3T # Mi BILE HiSME Dell M�lZ7tL7 LA R HtSME FC?�TNGS • - F©�.T3�T17.ATIQN- BA�`KFT�-T- FRAMII�iG 1. fvundatioa support, pier spacing i perrllatliar -------------------.----- 2. anchoring per manu-f_ -------------- 3. water line shut,off ------------------- 4- sewer line support cC3 4 feet -__-__- S_ heating crossover (dbiewide:) off grd_ _ dryer vesnted outside -------------------- - akirtirlo VeZltilated -------------------- S. hot-water relief valve piping outside �` 9_ deck, pouches, steps, rniliag ---_---- ,1©_ furaRcelliot water operating __-_---- 11_ garage -fire prc3ofiag ------------------ 12. doarr closers --------------------------- _ 13_ plumbing f xture ------ 14- foundation insulaticsa (W appi_)-----_ 15_ smoke detectors- -- --------------------- 16. final electrical ------------------------ 17_ variance required --------------------- IS. data plate okay ....................... 19. mobile 1 1YE> seal <3kl y. ........... lvtanufacturer t]KA'Y 'I'C! ISSL3E C!o - YES ' NC] COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC Main Offlee 176 Doe Run Road be Manheim, PA 17545 MUNICIPAL CERTIFICATE to ELECTRICAL APPROVAL Permit No. O 79057 'r+f#,!#fllllt/tl►tit„}}N}}•li}tlYliir• ���• ut-in Card �"t}Itlirlu••#lilt#11r•NN}}1}}#f} 5A r Oe- OLwne'r 4 11it111r#f YiliiiNt}#tNffi•1 IIIIItNgf•#f•H4N}tt►It#INi•Nli•liliii}•}}i}i}ff!}I}}ti14f•}iii#••i•i111#f4ff••i•ff t##}lief•#•f•11 i} ##• little! VYa•#�+ ili It•• i1Nit1N i•+INllfilfettl•1}#4lllflll tN}tilt#q/lf# r }i#M•ff}}•N/Mt1i11MlNlllgt}f#i111Nt#riup•}•}•}t}}tittl►iiilYltltt#te• glI41t1itlttlf Ix ion Cans�stln Of • 1 ill##N#i#i##if##ff1t111#/t1111i# ###iif•tq}uii•loInstallat ##flllt,Hf•Nr•Il,i•ii!•ffruii.tiif}}•#fr!}f►H##f#H##}pllYlr►#uiiiailH}I#aii#111tiYi//ifff•iii#if,nti#fYtllHii,ffiH►!•iilit••#####lf I}Ii.#N#ui###!I/!!••}•i•}Nllliii #if•,}}}}IIItHlf,flY#/Ni!•ii}}►MHi•11ii##,#}!##!1}1N!#flit}!i!f• 11#i#111kt/#rr f99#0Nii1}i•1//#till,iiiflf•Y,i#i Yllri,111!!ff##fie►1ltiii###f#i#lillHilfff•}!1}ilirtif•i/} InstalledBof i ###### #„►i14MM #f###►ifiiiifi••••„•i}•i.##•10#1iii•#, Leofeet•!!••,•}}}Y1}i.1/ri i 1 N r i,#•}##}f}##}a•i}#•ii}!#*•}.f#•igi•NH.#Ni#••, The conditions following governed the issuance of this certificate, and any certificate previously issued h cancelled; This certif Coate only covers the electrical equipment.and installation conditions as of date. Upon th€ introduction of additional equipment or alterations, application shall be romptly made for inspection. inspectors of this Company shah have the privilege of makin in ections at any time, and if it(k p p rules are violated, the-Company shall have the right to r oke this e ' icate, Date,,#, HI1tllee#}}}}#}iluliti}u}}}}}tt #••!•• INSPECTOR li i###i##f##Y flee!## ,Hii•►i1111.1•ir••if••lltil}tif•Hi//tile##i#••Ill#ftligi!## Mpmhor PRNAL- iiNSPECT10n� REPORT ' N%A CM I=" LA R"- Tc3wn c)f Queensbury Building 8L Code Enfcwcernent 742 Say Road = Qucnsbury, NY 12804 (Si 8) _761-8256 ARRIVE: DEPART- z INSP: DATE INSPECTION REQUEST RECEIVED: LOCATION: _- DATI✓: 6 # 14!®BILE H@T�IIE 14+ZODLJLAA H©�E FQOrrIi�TGS F©IJIVI3ATION BACKFILL FRA�1+IZrIG N!A YES NO 1_ foundation support, pier spacing " germanuf_ ----------- ------- - ----- 2_ aachorirg per u - - -------- -- -- - 3_ water line shu off ---- -- ---------- 4_ sewer Brie su rt 4ZD 4 f t -____.- 5_ heating cross©v (dblewi off Ord- 6_ dryer vented ou de _- ----- ------ -- ---- 7. skirting ventilated _---_---- ---- ---- 8_ hot water relief va a pip- outside 9- deck, perches, step . rail g _-___-. - 1a_ fusnacelhot water o ra g __--____ 11_ garage fsre P��ofin - ---- --- --- - ---- 12. door closers - --- - - - - -- --- - ---------- -- 13- plumbing fixture --------- -- ---------- 14_ fouadatic�n insulation cif 1-),_ .____ IS_ smoke detectors ------- ------ ______ - _ 16_ final ---------- --- - - ------ 17_ variance required ----------- -- --- --- 18. data plate okay --------- - ------- ----- ISO- mobile HUD seal olcay ------- _--- ---- j Manufacturer - G Date of Manufacturer �� � OKAY TO YES NO ;r T�VVN OF QUEE -. ot BUILDIN MIMED flaYRECpIVED k� PAN To,�0 APR- 0 !-2002 =QUE-.E ���;SBURY c(_ © TCiWN f,)F QU'EENSBURY BUILDW DEPARTMENT Based on our limited examination, compliancewith our comments shall not be construed as indicating the plans and speclticatians are in full a compliance mAth the code. 1 _ 7S 3G —5 Coe NOTICE ANCHORING OF MOBILE HOME FRAME IS REQUIRED PER MANUFACTURERS SPECIFICATIONS 3 o o tt-Ct � z JUN -LLLt ! I I.LL ------- L L L(DINING.L L L L L L L L L L L_L L L L L_ LIVING THIRD ROOM BEDROOM ]SECOND L.L�-LLLLLLLLLL.L I_L- _LLLLLLL ts'-� ■ u-r a-t• = tt-�•-4 _L�-L-L-J=L_`t _LLLLL CATHEDRAL�+G sTANwo -MASTER L L' I 1 I ! L THROMOUTBEDROOM a„!vt- KITCHEN L= ts'-r L_LLLLI : it 3BR. 2BA, FRONT CORNER BATH MW167002 ILE cur AROMM OF M(}U ROME TOWN OF QUEENSBURY BUILDING DEPARTMENT Based on out limited examination. , rJ REQIJIR p PER compliance with out comments shall �MWICATItyNS not be construed as indicating the 'n full LLLLL _LLLLLL In IianGyeLLLLL LI I ILL pMASTER LLLLLLDMNGL LNGBEDROOM L L L L L 9-r■a-s L ROOM THI 0 t V-r: tV-r L t-1 ' LLLL W-s =t4•-r BEDR_LLLL-L�L't CATHEDRAL CouNG STANDARD --LLLLL LLLLLLLTHROUGHOUT SECONDLLLLLLLLLLLLLLL BEDROOM =j 't LLLLLLLIKriq{QJ-LL w R-tr, w-r P I oar I ' I t t i l Il, 313R, 2BA. CORNER OVAL TUB MW168037 PAX,--, � E771, i 0r1.p aIT LL LLLL_LLL LLL DINING-LL LIVING ! E_. D.<<_L_LLLLLL ROOM THIRD m .LLLLLLL tr-c : 14•-r BOOM LLL-LI-LL - - - - - __LL ' LLLLLL, 1 CATHEDRAL G�Mao SECOND DrL i-: LFOURTH L L L L L Li Li_L BEDROOM LLt BEDROOM _LKITCHEN_, ; L� t s-Y = u-r „ 3 s•-ar x V-0 LLL I I -- H { H I �I t..l 4BR. 2BA. TWO FRONT BEDROOMS MW168062 M ' 4