2002-279 !� TO" OF QUEENSBURY
742 Bay Road,Queensbury,NY 1280�5902 (518)761.8201
Community Development-Building&Codes (518)761.8256
UtA11F1%r.jf11.T1E
OF OCCUPANCY
Permit Number, P20020279 Date Issued; Monday,May 16, 2005
This is to certify that work requested to be done as shown by Permit Number P20020279
has been completed.
Tax Map Number. 523400-308.014-0001-052-000-0000
Location; 183 PITCHER Rd [89 BRIGOU D CIRCLE)
Owner. ARC COMMUNITIES 14,LLC
Applicant- ANDREW ELLIS
This structure maybe occupied as a:
By Order of Town Board
Mobile Home In Park TOWN of QUEENSBURY
Director of Building&Code E ement
r
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20020279 Application Number: .A20020279
Tax Map No: 523400-308-014-0001-052-000-0000
Permission is hereby granted to: ANDREW ELLIS
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. TVe of Construction Value
Owner Address: ARC4BFND,L.L.C. Mobile Home In Park 28,000.00
600 GRANT St
SUITE 704 Total Valde 28,000.00
DENVER, CO 80203-0000
Contractor or Builder's Name/ Address Electrical Inspection Agency
i
Plans &Specifications
2002-279 ANDREW ELLIS 89 BRIWOOD CIRCLE
14'X 66 SQ FT MOBILE HOME AS PER PLOT PLAN SPECIFICATIONS
$30.44 -PERMIT FEE PAID- THIS PERMIT EXPIRES: Thursday,April 24,2003
(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 ow f Qu sb a nesday,April 24,2002
for the Town of Queensbury.'
SIGNED BY Q rY
Director of Building&Code Enforcement
Application for Permit--Mobile Home.
Town of Queensbwy, 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.
16
Applicant Information
Office Use
Name: _ jzxl� �.1%� File Pqgmit N � ,9A
Address: c Fee P id
/Z80 Id Reviewed B esB
' O �
Phone No. 'M� ' . � �
Property.Owner Information Parcel Information
Name: C' '� Ill} Proposed Date of Placement:10 9
► B3r PA.0 k_ Property Location:
Address: ( � k �
R enue
een� r Name of Mobile Home Park , TUE54- 19RU, j
RC
\ (if applicable)
Phone No. Tax Map Number:
Mobile Home Information Zoning Information
Approximate Value of Home: $ 9 -
Zoning Classification:
New Home: Yes No
Size of Property: ft.by ft.
Replacement Home' ;Yes No
Existing buildings:
Size of Mobile Home: P ft. by ft.
Setbacks: front yard ft. ; rear yard fL
Singlewide: Doublewide: Side yards ft.and ; " 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/Wood Fireplace Attached garage: 1 car; 2 car, car
'Storage building: Yes No
Foundation Support: Other:
TYPE SIZE&DEPTH Water Supply well r municipal
Piers x
Runners x Is Septic Permit Required? Yes or No
Slab x
Further information requested on the reverse side of this sheet
-�-"�J3- F[NA[.. [@V�'►�'+��T[C�[V E'�'�i�►ClRT
Town oDf Queenst3ury
Bu!lciing SL Code Enforcemapnt
All
742 Bay F:toad
Queensbury, -NY 12804
(518) 761-8256
DATEINSPECTION REQX.TE.ST RECE,NI?I�:
LOCATION: �� Z L
DATE: �� ,,/� (� PERMIT # � � i.�,�"•� f
` M.ii�l3Z�L..� 3�+[3►14�� Mii►Z3��[.a'=...A.R HC►1dl�
- �KOC7TISS�TGS FOLTNI�A'I-ZON BAST t_ FR.AM�iG
1_ foundation support, pier speecing
i
per IxaEMI f ------------------------
�. A11ChC1rlr1 p+er rv6 21f ---------- -----
3- water 1.1Z1e sl�ut,c�ff ------------------- -
4- 4 feet -------
S_ heating crossover (dblewide) off grd_
6- dryer vented outside ----------------------
?- sk;=�s#erg ventilated - ------------------
water relief valve piping outside
9_ deck, pc),irches, steps, railing -----_--
.10- furnacerhot water operating --------
11- ,garage fire. pr K>fing ------------------
12. door closers --------- •-----------------
13. plumbing fh-r-tuse ----------------------
14, fourndation irssulation Of appl-)------
Is- smoke detectors - -----------------------
16_ final electrical ------------------------
17- variance required. ---------------------
is. data plate okay -----------------------
19. "a6bile F[_ C> seal okay ..............
OlE
lirlanufacturer �- 1'
Bate of R/Iariufacturer C-� ! �Z� '� - -
t�I �AiY "TO ISSUE Crt� VIES ltiTt
li
r
F■NAB... �N�PECTION REPORT
Town of (::ZueBnsbury
Bending SL Cods Enforcernent
742 Bay Road
C:Iueensbury, NY 12804
(510) 761-8256
IaATL �I N'SP'LCTIC:)N R.E.C�LTI�ST R,.�CLIVL?L"]:
Mt38=ICE HOME Mi"�17►LT�..1�►.R HOME
FOC�ITNGS Ff�UNUA�'IC3Ri BAWL: T-i- �G
N/A YES Na
1. foundation support, pier spacing
per tI1aI11-ur ------------------------
2. anchoring per rrianuf. ---------- -----
3- water line shut,off ------ - ------------ -
4. sewer Iine support cC� 4 feet ---___- -
S_ heating crossover (dblewide) off grd_
6_ dryer vented outside ----------------------
' _ sC'�-t>rzg ventilated --------------------
8. hot water relief valve piping outside
9. deck, pouches, steps, railing --------
lo_ fiiriiace/llot water operating --------
1I_ garage fire proofing -__.-.--._-._.----
12. cloor closers ---------------------- -- ---
13- plumbing fixture ----------------------
14-- foundation insulation OF appl-)_-----
1S. srriolce detectors ..---------------------
16_ final electrical ............. ...........
17- variance required .....................
18. data plate okay -----------------------
19. me >bile ITUID seal okay .............. -
Model #�--�rs Sexial # " �r' �"_�► l
bate of Manufacturer -NL
UKA.Y 'F+Cd ISSiJF CfC� Y'ES NCB..
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f%ACMlEM§L-F—= .04' WAnCMOl=L.J L-AOML EM
-rc:)wn c:4 ( 2ua nsJDury
Oullclino SL C::cx:fei F=nfcwoeE�m4ant
Mety Flaatcl
C?ue nst>ury, N")r 12804
(518) 761-8256
ARRIVE: -7 -6-
V-17)
LOCATION
'VIR-S wc7
rxut""f.. ....... ...... .. .......
-trir-Axc)rin�g per rximmixf- ------ ------ --
3. water Line shut off ---- -- ---- ------- -
4_ sewer
lime t-!.xxjppc3,rt (90 4 feet ------
ltit--ating crosscsver (cll:),l off g-vcl-
6- clryt--X- vented outside ---- ---- ------------
7- - skirting ventilated - -- - ---------
8- hotwater- relief outside
9- deck, pc),rc--JLLt--s, steps, r%ai a oiler ------- -
waterwater3pt--z- ...... ..
11_ garage fire fi- ------ -----------
12. cic>c>r- c--Ic3stars ---- ------------- -- - - - ----
13. pluxillipilw fimttlrt-- --- -------- ------- --
14- fboxxrvdaticom irwsluht ......
15. smoke dA--te<--tors -- ----------- -- -------
16- final electrical ....... ..... .. .........
17- -.rELrjjMOf-- re4qULirC:ld ...... ..... ... ......
ILS- data Plate K>klLy ..... ........ . ........
19- maobile MJID seal ulklmy -- - - ---------
YES
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COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC,
Main Office 176 Doe Run Road - Manheim, PA 1754
MUNICIPAL CERTIFICATE - ELECTRfCAL APPROVAL
� 117
Panel Board No. �ertf Cut-in hard Nit
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The conditions following governed the issuance of this certificate, and any certificate previously issued i�
cancelled; -
This certifkale only covers the electrical equipment and installation conditions as of date, Upon th(
introduction of additional equipment or alterations, application shall be promptly made for inspection,
Inspectors of this Company shall have the privilege of mak' inspections at any time, and if its
rules are violated, the Company shall have the right o revok ` certill te.
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G'` " 14' WIDE FLOOR PLANS
CATHEDRAL CEII.NG THROUGHOUT
us'
CATHEDRAL THROUGHOUT
H 1001
%..................
..................................
....... ........................
tMNG ROOM
�L 12'—ta'
MM�7A}�R �pt� '.ar BED]#2 ]t?iti?tiii 'a ^'r•^• .:.ar.. rB�EDROOM3
12'-10' ::UdtL1tY:
AREA
i W
MODEL A631
14 x 70 3-9EDROOM11-BATH
APPROX.891 SO.FT. NOTICE
ANCHORING OF MOBILE HOME
FRAME-IS REQUIRED p
CATHEDRAL THROUGHOUT SPECIFICATIONS
27 700
�t
„.
BEDROW 43
.. :-� :
`t Er s>
... ..... LIVING RaM'
. 13'-4' O
• d
OPT
DEPARTMENT
MO I ELrS222 "' TOWN Or QUE
14 x 70'3-B DROOM/2 B� i c)a d On our limited examination,
' compliance with our comments shall
`0 not be construed as indicating the
plans and specifications
are in full
�s V de.
Hance wi th the co
comp
68.
CATHEDRAL THROUGHOUT
��1y DINING DYING 3 A 2
AGG ::ROt?hd.::: ROOM R l BATHS." /
OP 14—s O
M MASSER
Ate, 0 BATH12 ::.KITCHENititiiic:::ti
. •.•O.O
OPT.
MODEL5710 TOWN. OF
14 14 x 72 3-BEDROOM-BATH
APPROX.918 SQ.FT. BUILDING
�U I i(,�,DIN 6x G Q_
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REVIEWED
DATE
Isar7O1-0ZA 01:37am From-TWIN LAKE VILLAGE 846-733-6671 T-458 P-04/08 F-834
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CHOOSE SCALE ON LEFT 0 SCALE: square;= feet -
FOR THE HE-PURPOSE;
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UR OWN. 1 inch or 4 squares = 40 feet ' _ inch or_squares =_—feet
Warren County New yoric
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