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1999-029 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Apr i1 7 99 Date t9 _ 99029 This is to certify that work requested to be done as shown by Permit No. has been completed. MOBILE HOME • This structure may be occupied as a OHIO AVE. Location JARVI S, COLBY & MALYNDA Owner TAX MAP NO. 12 7 . 9-2 By Order Town Board TOWN OF QUEENSBURY Director of Bldg. do Code Enforcement BUILDING PERMIT VALUE $ 40®la® :TOWN OF QUEENSBURY No. 99029 TAX MAP NO. 127 .-9-2 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to JARVIS, COLBY & MALYNDA OWNER of property located at OHIO AVE. Street, Road or Ave. in the Town of Queensbury,To Construct or place a MOBILE HOME at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is OHIO AVENUE QUEENSBURY, NY 12804 2. CONTRACTOR or BUILDER'S Name SERENITY HOUSING SALES 3. CONTRACTOR or BUILDER'S Address BALLSTON SPA, NY 4. ARCHITECT'S Name COMMONWEALTH ELECTRICAL AGENCY 5. ARCHITECT'S Address PO BOX 706 . HAGUE, NY 12836 6. TYPE of Construction-(Please indicate by X) MOBILE HOME ( 1 Wood Frame ( )Masonry ( )Steel ( ) 7. PLANS and Specifications 24' XN%8 ' MOBILE HOME AS PER PLOT PLAN SPECIFICATIONS 8. Proposed Use MOBILE HOME $ 72 2001 PERMIT FEE PAID —THIS PERMIT EXPIRES February 17 19 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 17 Day of February 19 1999 —77::)( SIGNED BY L, r , G ` for the Town of Queensbury uildi a Zoning Inspector Application for SEPTIC DISPOSAL PERMIT Town of QueensburyCfiDept. of Community Development Permit No. 0 al � Building &Codes Office 742 Bay Road Fee Paid S Queensbury, NY 12804 J Location of property for installation: L4/U (?i t OVEI Property Owner's Name: C (/if Ci / 2/,i ai 3icvi...s 'FEB 0 8 1999 /�' TOWN OF QUEENSBURY Property Owner's Mailing AddressjI ;'1///U (/C�_ B,.4 2G 81y CODE Installer's Name: 5/9)TM S �j\17,di✓F1ky Phone # 7 W g',_3 7 . Number of bedrooms (if residential): 3 Total daily flow: 4"3TTd (residential - compute @ 150 gal./bdrm.) Topography: flat, rolling, steep slope % of slope Soil Nature: sand, loam, clay, other /depth: Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth? _ feet Percolation test: �, not required, rewired [rate min. per inch Domestic water supply: 0 municipal, well, other If domestic water supply is a WELL, water supply from any septic absorption is feet. - PROPOSED SYSTEM Septic tank: Mod gallon (minimum size: 1,000 gal.) Tile field: each trench feet / Total system length: feet Seepage pit(s): number of o), / size each: . F ft. by ft. Size of stone to be used: # 3 / depth or thickness / feet • HOLDING TANK SYSTEM: (if required) Number of tanks: ••• Size of each: gallons Alarm system and associated electrical work to be inspected by a certified agency.J For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any or approval granted which is based upon or is granted in reliance upon any material misrepreaenta6on or failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations with respect to this application and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordnance. Sib ature of responsible person: 7X."�,i / Date: 06.---/Py k ••: b . • jh . ,1• ,. .[ OWN OFQUL,LNS,I3UR�' REVIEWED BY: __ __L_TI2aCI a FEE PAID: $ ----Aq e PERMIT NO. _ T _—_ _ /fnPLI%ATION FOR PERMIT MOBILE HOME OR MODULAR A BUILDING PERMIT MUST BE OBTAINED BEFORE PLACEMENT OF MOBILE HOME. NO INSPECTIONS WILL BE MADE UNTIL A VALID BUILDING PERMIT HAS BEEN ISSUED. /l J, / 2� The owner of this property i s: C �y � /7/ici� Jyl,(UPS Pam: Address: l �� Oh v A Q Phone Numbek/ ?9a:3K: Property Location OA/ o l`l ' Tax Map No/07/ / . L NAME OF APPLICANT: i.�A/46- Address of Applicant: / 1 All applicants spaces on this application MUST be complete I signature of the applicant MUST appear on the reverse side of this appricrrix , • PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODF(SEB 0 8 1999 TOWN OF QUEENSBURY BUILDING AND CODE MOBILE HOME INFORMATION APPROXIMATE VALUE OF HOME: $4D dO o New Home No f/ ZONING INFORMATION: Replacement Home Yes No 9v//Size of Property: ft x 4)d ft Size of mobile homJ11 ftx lift Existing Buildings: • Singlewide Doublewide V No. of rooms Proposed bull ing-distance from proper; >"line: (exclude baths) 6 Front Yard Y ft Rear Yard Side -��% .^ _-- ; (O f t. No. bedrooms 3 Yards 3/ ft and of ft. No. of bathrooms o� Occupancy Informat on: Primary dwelling* Ye No Fireplace Woodstove Accessory Building(s) : Foundation style and size: Detached garage (one car /two car car) Attached garage (one car /two car car) Storage building — Piers-No. of Size, ":ft x' ft Other Depth below grade ft * * * * * * * * * * * * * * * * * Foundation-Footing sizeeN4 xg8" ,, Proposed date of placement: Wall material 3/G�b �o •a1Asfil Wall thickness " Height Water Supply: Well Municipally Total depth below grade ft. . Septic permit required? 9 .S Grade to home floor. level 3 ft. FURTHER INFORMATION REQUESTED ON THE REVERSE SIDE OF THIS SHEET Jnn NAME OF INSTALLER/MOBILE HOME DEALER: 3 / 6/J/7 / // O.S/r2f say• ADDRESS/PHONE NUMBER -692/Sl d "J Seig ( 7 ) Q o So • STATE OF NEW YORK DIVISION OF HOUSING AND COMMUNITY RENEWAL INSIGNIA OF APPROVAL OF THE STATE BUILDING CODE 1. Insignia serial number //� 2. Name of Manufacturer "a0/ r' & Z-)e 3. Plan Approval Number ,y� l 4- G�o 4. Model or Component Designation - 4 Hoch, O- i 5. Date of Manufacture /9 99 • . All the above information is to be found on a plate or sticker which should be affixed to the Mobile Home. Complete above with that in forma Lion. • • • Town of Queensbury State of New York County of -Warren AFFIDAVIT • 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 spec.' fled or not, and that such work is authors d b the owner. Signature Owner, owner' s agent, architect, contractor • SPECIAL CONDITIONS OF PERMIT: • • By Code En orce Officer DECLARATION: Please sign below after you have carefully 'read the statement. • To the best of my knowledge 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 noted, and that such work is authorized by the owner. Further, it is understood that I/we shall submit prior to a Certificate of Occupancy:or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by a licensed surveyor; dry to,scale, showing actual location of project on premises. Signature: =% ; _ (weer, owner`s agent, architect, contractor) FINAL INSPECTION REPORT MOBILE / MODULAR j,d0 Town of Queensbury o Building & Code Enforcement CQ. 03 �\ 742 Bay Road U Queensbury, NY 12804 (518) 761-8256 ARRIVE: DEPART: 'CefINSP: • DATE INSPECTION REQUEST RECEIVED: - - 9 NAME: fib gb IrdUPI LOCATION: DATE: PERMIT.#9a.:012,9 MOBILE HOME MODULAR HOME FOOTINGS FOUNDATION _ BACKFILL_ FRAMING N/A . YES z NO 1. foundation supportvpier spacin per manuf. 2. anchoring per manuf:. / 3. water line shut off 4. sewer line support (0 4 feet _ 5. heating crossover (dblewide 6. dryer vented outside 7. skirting ventilated }} 8. hot water relief valve piping outside _ • 9. deck, porches, steps, railing .1 _ / 10. furnace/hot water operating r 11. garage fire proofing V — — 12. door closers t� 13. plumbing fixture V N. — 14. foundation insulation (if app1.J . / 15. smoke detectors — V 16. final electrical ..? /2-_ \l7� / 17. variance required — — — 18. data plate okay 19. mobile HUD seal okay _ V Model # cms g6) - Serial #)(-4,k ZZ-55i3 Manufacturer S\.rTGk A,505 Date of Manufacturer (`9-9 OKAY TO ISSUE C/O YES NO Comments: COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. Main Office 357 Elwyn Terrace — Manheim,PA 17545 MUNICIPAL CERTIFICATE ELECTRICAL APPROVAL Panel Board No. Cert. 5 9 0 6 0 Cut-in Card o. /4-1 `t 9 70 Owner CO..L.v .l.�.t !d.l.$ ei,JQ .... .. Occupant Location 0..1-4.1.0 n.0 e— 0 u ee yiet5 b Li tz/ Installation Consisting of....azQO(4 L)G' M o b ! L'......h.0 sn e.— t2vlcerr- N Installed By S.YYl 1T14 4 1?vc-) 111 G- Lic. # The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:— This certificate only covers the electrical equipment•and installation conditions as of date. Upon the introduction of additional equipment or alterations, application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of making inspections at any time, and if its rules are violated,the C mpany shall have the right to revoke t : rtificate. Date....3.,ra.S ci 9 INSPECTO -Member N.F.P.A.,I.A.E.I. &106) TORN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name .� S 4 01( Location (� p Date -c) - 'Permit # - L CO- SOIL TYPE Sand Loam-Clay- Results ercolation Tes (if applicabl`'e) Rate-Minu e/I ch TYPE OF SYSTEM: ABSORPTION FIELb: Total ength • Length of each tench Depth of trenches AEI Size of stone / SEEPAGE PIT5J Number: ', Size - x "; ft. . Stone size PIPING: • Size Type Bldg. to Tank 'z v4 7 Tank to Dist. Box • '2 Dist. Box to Field P i-t 4 Openings Sealed? es ) No Partial LOCATION/SEPARATIO':S: Foundation to Tank / D feet Foundation to Absorpti orda�'1 feet Separation of Pits ` eet .Conforms as per Plot Plan No LOCATION OF SYSTEM ON PROPE'Vkir le one) (FronX - Rear .- Left Sid- - Right Side Middle Front - Middle Rea COMMENTS: • SYSTEM USE APPROVED: YES NO Arrived: , , Departed: ;-)/ Building Inspector GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive Depa R Inspector's Initi NAME: PERMIT# -021 LOCATION: ATE : TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS 2tings/Piers I Monolithic Pour Form / Reinforcement in Place M "' v The contractor is re ••nsible fo providing protectio from free •g for 48 hours folio 'ig the pia • ent of the concrete. Materials for this p ••se on s' • Founditipn/VVallpo Reinforce, -utinPi ,. - Foundation/Damppr• •fing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents .1 Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior. R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces Proper Vent,Vent, Attic Vent Framing •Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam . Air Infiltration Barrier Fire Separation 1,2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping A A Y v.t.yv epriA/31/... Awg-d7f yalvis R . i ? /-Z1A77:2?5°71r- ..,...N 1---- sA : 7•" , . . Fz.Ks.--.,._.R-,r---zm-._:t .,.k..--- z-m6t-. ...L-mr4tssl.r,-,..::--„itst•--.z.f.s-1.1-,...,..,..:.;,.._.___.o-T-z-s-zi---,: ----,g-----,4,....._--- - '''• - It 0.. • it. `..Ni IVi . ,be tp IA 0. , j • 1 ! 1:3 fl: i . _ . .,.. . t I, , , "I have seen or diserved,or belimaSissogisamaet . Sic? ail objects such OS houses,wells,tow timilkitits ; shown on this document.I also reptsestildi hew NI/I be' CommbipiEq‘7,14 Sk-c/ga • personally measured the astaacessetfealkesliediagram." .274). i.2 4-tfre 6 i,i •sQ A vices i SIGNA E " '' -'4 bia ro ri tiam tit) ...., 19 6) a 9g6 R CE1VED DIST-fity6 1-"EB 0 8 1999 , _,50577/1/6 d60114-1P TOWN OF QUEENSBUR Poo 1-- S&RV/164J jalltp4GAIN__ ,_19..2.91at ..... 9 9 49..9, tif..ferg:P - i(v*Per:L, Xg. PrE . ____ 91 13 -,- i- 4). , i s•IMMOMOIM•••• C3 r\r`•\ * QV a 4 f Nklt/410141 ' pLyAje.ILS ''' .. WO- . -r 1 6 pll-%Nfill & .. 111.1211'' ° j6°X ifoh6la' ' A )40 kfr: 000 . , . 4ip_____ ,5-, eammm••••=••••• Alj1 I 1...nor...ca.,re.,.. a, -.ex.-- 4.1.--,....*,.....,=,...........,..".., 4 I /OC) 'il-“- ,---::' . 4/7//d fri6e Q 1 la I ''../MY" i el , . • • ..--- . r.VA '•,.. - - tt',9 . . c .. . ;. MIMI Arri.JED i SEAL US MIMES • • - . ( - L•;we Ansa mom iii:••• •ma 1:--eiess a Ems mom um n men BATTIV warta WWI 1111171114 WEI trie—.!1/retat lip.MIME 111MIP lywr 1.1314 71:11 I- • 1- -I.. 1-, lir, ii- .- • 't•- i-i:.f 1.-1•111 1 1 1 : ;r A- 1 :4•!.•::-.• Iltfl -i• i,Li l l • RAUG.E.Mit I — H'61 — IR—la] C-1 - ›^' =art F./F.150M vse--.....__ 1 4 i • I • I, CC ILI CI --in— C—.61:21 a., Da 0, 'No ID 1111111111011111111111111EMODERI I • , " :11 . ' 4 - I ID . . t • ILI Z' TrTV TAE LENGTH (. W CD 0 0 C---- 0 ICE, Lio il • REAR SIDE _ c CT W LL,I Z -I 10" 5 - • — • ELEVATION I -1 , - ( T. 0 op •.. ---. ---- - i•- --.... • i --•-• -------- -,-----------------•------- r - ---------------- - •- ''- -- '-,--- • 1. -- • fl ---------E.—. • , • — •-•-• . , -------s--. ..---- . . .. ....... NOTE:SHUTTERS ARE OPTIONAL ON ° ===.."' s1 1. .. .,..-... • • E 0 REAR SIDE AND ENDS OF HOME. ...... 1,,, ,, 1111 1 ......... -... .. .....—.. ....- -,..---,. 1 .., ., ,..".""'' '' im+amo .11111111111MITIM.---••••••••—.. • III mmi11111M1 1111111111(1111111111111111% MMIIIIIIMIIIII . i. 1 27-1r HOME W IOW 01 le LEFT END ELEVATION • -•••, I . DATE REV: 7.30-97 DUTCH HOUSING.INC. , . MODEL 51304 1 1 0-7.311 • 1 i REAR SIDE AND LEFT END ,i. chwi Ha — ELEVATIONS 2 . — 1- TaAtit'S :Thrz irs-.P BUILDIlvt-t CI 4 ‘.../. L..:LI L.:Lz)B U RY I . • mai OF Cy irr''''r'!'r)v;, r...1,4G DEPARTMENT is.„,... \.,.. ,..-,....01,, -..., • - a 1.,...D at m•Q, C '•-• EPT E,,s,:ci 0,our lies8d examination, RE COPY c • (,,,,,.,p.. ., 4 (- , R t:VI EVVED By ., 1);.!',10 construed as indicating the ... -,,,-,.!:---ce,vitil our comments shall .,---, - DATE r..!'T1S arid specifications are in full - • compliance with the code. . . ... . • . ._ .. . ._ • . 1 . . • ....4: • , ...9 , .. • • ....... . . . . , FACTOKYMPLIM I RIPALTAS SIMMS . . f 0. 4 ‘.4 j/11Y.41 1°,1 .,1:4.11..f%14:.-(r.!:>iLtq- •11:: :lq),,i7:',:-Ir.•:1,:: UIVtiitiV.7kilicli.,.. 8" 31- . ...il.,... . . ':11-\•11'1,:e.- .ik. 1'.1 I‘. t.„,ir,•1•A: • :};:i •-4.. ....i- -j• iii‘-' i 3-1._ 1 d j .;.„..-1:4, 7,.`:.-ri.",-.;:wi",.i:. ir'Llii' 1 •1! I:1' ....n.:-.L-' ,-;-. - . ;;-..". . •:Tr:-.. i - t.,...i •ii- ..., —sit-, ,..., . • • a -I S E Y , 4 1. ..) :•4 i if ' II ''A 1,, „._______„. ll'EAVe 1-- STID• ISEIWT _. i 7--fr I '( I T /'t- 1- --.-1 T '---- L,...____...______, - . _ A _J-----1 ...ifi'n t- gni iiimiiiiiiiinlorin mu 1111111 JILIIIIII 11111111111111111(31111i111.1 11111111111;— 11111111111111111W I flit WIRTITITIIIITINir—4 - 4 ! , I i I3'.0"HOME t.ENGTH • I . . I . FRONT SIDE 1 . • WHOLE HOUSE VENT ELEVATION ( . . • . .• FURNACE VENT i • . -•••••-- -- • -4- PLUMBING VENT GENERAL NOTES: -,.......--....-.---.----.--. ,,," 1. VINYL SHUTTERS SHOWN ARE STANDARD FRONT SIDE ONLY. ........4== _ — 2. ALL WINDOWS SINGLE I-VNG WITH SELF STORING STORIIS. I , ... .—""...."... -- 3. SIDING IS VINYL LAP FACTORY APPLIED.(SIDING FOFI ENDS IS SHIPPED LOOSE FOR FIELD INSTALLATION BY OTHERS.) 1 4. PERIMETER'ROOF OVERHANG 1ST OF PERFORATED METAL OR VINYL . -It s. . RECIPTICtE=-- APIDARIV 1 SOFE1TWITH VENTILATION TOITIE ATIIG SPACE Arm.. LI 5. SOME STANDARD AND OPTIONAL FEATURES ARE SHOWN. . rill1111 11lhtlhiIhtIhIlJIiIIuIil 1 S. ALI.GUTTERS,DOWN SPOUTS,STEPS AIVHANDRAILSBY OWNEFL 1 . . ., 7. FOUNDATION WINDOWS ANOKA VENTS NOT SHOWN. i . I. 2. WIDTH 1 B. THIS HOME HAS ATTIC VENTILATION OF NUT LESS TIM 11300th OF THE ATTIC 2T-II"HOME AREA.5014 OFTITE REQUIRED VENTILATION IS LOCATED IN THE UPPER 1/3 AS RECOGNIZED BYFHA STANDARDS. . I . . . . RIGHT END 9, OWNER SHOULD GIVE CONSIDERATION TO WINDOW AND DOOR LOCATIONS . , • ELEVATION Al ENDWALLS WHEN PLANNING FOR A SITE WILT GARAGE . .1 1 ' DAM . REV: 7-3047 DUTCH HOUSING,INC., MODEL 51304 . 10.7-90 . . i FRONT SIDE AND RIGHT END ELEVATIONS -cm Nce 1 — i 1 • . 1 MN,ND t ....m... .. . . . . I I ... . . • • - : I I , . • . . ,. I .. • .. ''';-' . • . • . . • . , 1 • ' 1 ) . 7, . 1 't' ( APPROVED eY • _ N n jl�Ci�C 15 sge ammummemo ma mow 1-. ko OPT.DRYER GAS SUPPLY TOILET MOO BTU RANGE TOTAL BTU 205000 LAUNDRY A \Vr SS000 BTU my tC?V D) CCLUAIN LENGTH:3C /" O W. D \ �? SN•NI•I1EaOsvrtom 1 iam) FOR ADDITIONAL INFORMATION // \ N.SINK 3 SEE SFtTS.GP 1 TFii11 C3Pe 3 . / // TOILET d LAV / / TUB OPT.F.F_ —I vrWrwaKwxGem" /� \ NO*EBIH \NIT / \� W ( LAV 2; / \ yy. p- FURNACE TUB \ / - arr ur C 16E00 STU yr OPT.WM aeon am sr\ / ►CO ur \ I / nET IwPrnl Z FLOOR WV VTR JL u11 a1 TOILET to i r Wlal►ercewa vtTi , -V WYLAUNDRY K.SINK . CITY al Ill. as aT - art IV WATER SUPPLY s an OPT av ALLIIJBNNG 1R"UFiI.ESS NO1E0 OPT.Ns• tn. -----HOT COLD MT 3, sr TUB r am oI a err.4r IUD IN • s in. . r • rime s momFtoOq I. r otvrt. ?+ Ln r OPT. o —"' TOILET N j DWV(ABS SCH.40) a CO LAY r ALL PEE 1 1 QY UNLESS NOTED 64 tit FEY: DATE DUTCH HOUSING,INC. MODEL 5804 f7. G.07--- 7.71.97 awaslo an DRAIN,WATER,GAS MP-5804.1 vi;� i 1 I SERENITY HOUSING SALES, INC. .i ' 2138 Doubleday Avenue BALLSTON SPA, NEW YORK 12020 . (518) 885-8050 In this contract the words,L Mc and MY refer to the Buyer and Co-Buyer signing this contract.The words YOU and YOUR refer to the Dealer. ' Subject to the terms and conditions on both sides of this agreement you agree to sell and I agree to purchase the following describe• unit. BUYER(S) PHONE DATE C 0 " ii ► atc c o e ..r Strati C51/B� 19�-3 v5A . ii i19� ADDRESS (,/`� �- jot /7 Areptd4Lx ♦ I j -,_ /iy �o SA(.ESPERSON A[^ ,� u l DELIVERY ADDRE//SS (K/{/ �(�r'V L i0'� 1VCLrf`N/Lo u MAKEd MODEL l WAR BD.ROOMS FLOOR SIZE HITCH SIZE STOCK NUMBER SERIAL NUM 4 Z -?i.r ft. -' //95' �/ L"(/D I W o�� L p2, l -/ . U COLOR • PROPOSED DELIVERY DATE KEY NUMBERS rEW ID USED LOCATION I R-VALUE THICKNE TYPE OF INSULATION BASE PRICE OF UNIT .s 106 CEILING I I OPTIONAL EQUIPMENT /700 0() EXTERIOR FLOORS SUB-TOTAL s j 7L/9,5 0 d THIS INSULATION INFORMATION WAS FURNISHED BY THE MANUFACTURER AND IS DISCLOSED IN COMPLIANCE WITH THE FEDERAL TRADE COMMISSION RULE SALES TAX 1pe g5 16CRF.SECTION 460.16. OPTIONAL EQUIPMENT, LABOR AND ACCESSORIES NON-TAXABLE ITEMS Oil aalibi! $ VARIOUS FEES AND INSURANCE ey l 0 0 Qirti� Svuu.Le) 1/14(wino aki �L,�,L ) 1. CASH PURCHASE PRICE $. 4. p}37 J-5 /S 6 S TRADE-IN ALLOWANCE $ T < / LESS BAL.DUE ON ABOVE S . G[d NET ALLOWANCE S If � /:�1 lead B�� CASH DOWN PAYMENT ,, cJ - • � � J�I� �i�� \ CASH AS AGREED SEE REMARKS $ �a_, -, 6 47 vV Cv�,��i_Anu f x.16 2. LESS TOTAL CREDITS $ � �/ i ttTT -� SUB-TOTAL $3 5 36,3 75 O rl i �e SALES TAX(If Not Included Above) IBC /� 3. Unpaid Balance of Cash Sale Price SS9 3 673 7 S • Y Remarks: - , 'jA1-d-11-41-12,d) 01-01 -C,j _I etad-61 9 Dtp,o) Yl_il&) 1,0-61p,ligyficyri'20-00 I BALANCE CARRIED TO OPTIONAL EQUIPMENT I S NOTE:WARRANTY AND EXCLUSIONS AND LIMITATIONS OF DAMAGES ON THE REVERSE SIDE.— You and I certify that the additional terms and conditions DESCRIPTION OF TRADE-IN YEAR SIZE printed on the other side of this contract are agreed to as a 1.,AKE MODEL BEDROOMS part of this agreement,the same as if printed above the sig- ,TIrLE NO SE L COLOR natures. I am purchasing the described trailer, manufactured A!:rcun,TcAvINr,rosvNoM home or vehicle; the optional equipment and accessories, I the insurance as described has been voluntary; that my ANY DEBT I OWE ON THE TRADE-IN IS TO BE PAID BY 0 YOU ❑ ME 1 trade-in is free from all claims whatsoever,except as noted. THIS AGREEMENT CONTAINS THE ENTIRE UNDERSTANDING BETWEEN YOU AND WE AND NC OTHER REPRESENTATION OR INDUCEMENT.VERBAL OR WRITTEN.HAS BEEN MADE WHICH IS NOT CONTAINED IN THIS CONTRACT. I.OR WE,ACKNOWLEDGE RECEIPT OF A COPY OF THIS ORDER AND THAT I,OR WE.HAVE READ ANO UNDERSTAND THE BACK OF THIS AGREEMENT. S;,;IED:< BUYER SERENITY HOUSING SALES, INC. J SOCIAL�E�vRliY NO _ 7,0Z 9l 70 •Not va,,a' DEALER Jnres;5,•ir,.T 3r.1 4CC'Ci. DY an OfI, ar Al WV CGn ca^�. /�! SOWED X t..� .., � BUYER Ev Act;''-,.,?..:: SOCIA._ .CI,PI'(NO I/65) `l dc-L.D �.,n,r -,..,., • Cs,1"-A N In A nr-N A PLAIN LANGUAGE PURCHASE AGREEMENT _, ___ a:-s '' " Q APPROVED BY •3 . JDEC15i9 • • • t l l - l 4�-0' .112-4" 1n er t .r•s^ 9 to Itiol4-� Q ''TI N - ,,=,-••-,--,,• TH 9 x] n UTILITY KITCHEN DINING 110 2 ° W 1,;i-1—•0-,p, .r q �ma �" ----- MO�OM �90 BEDROOM { t t F LAM - ate 9 14 —acts I tot ��"'s SPAN 11'-S" lc to 1 H p 11 to1 ,�- 11 1t r� 0 �� 10 -" --- tt 1 ii BEDROOM f :9 MASTER WING ROOM f R BEDROOM ,h �tanao gum 11 tl filleP0 Aqp _ mg IPt9Je1 IQtia9 J w..�,et _u w-8n+ war+ jj� „� \ • AN - 1�n I 810 'I. 99 � I I totsl 9Me ttJ,K* 7M IFI- ae5te � 1741 1T_T• 1M�" 1,pg" 33'-4" SW75' SW 33' SWIM PLF 174 PLF 140 PLF 140 DEL AT N /co C cs • o pESIoNi DR1TERIA 1- ZONES:W1ND 1,ROOF AIIDDlE.'IEMP UI TOTAL ROUGH WINDOW OPENINGS:69,57 SF RE1► ' DATE: SEE SHT.MP-FOR LEGEND AND CIRCUIT MODEL 3804 9.296 -+- 7-21-97 DUTCH HOUSING.INC. s1 u�E. 1 11:122G NOG Y 2462 38R 2$ATi1 MP-se04.o . . .,......_ 1 4g! 1--- II171 ,z. _ 1,... ;?I 1;..,,1-i I ,f.. i1..5.;.., ,, , ... ; , 6 Concgfrc' 5IRb , , t tr.,,, fi. ... .. - �$ • ray. 1 t ,34 f i f FROM : StyleCrest PA PHONE NO. 717 668 6174 P05 1% il ." X L•:r+7Z ricArzon! Z. rArRc l c� C� 3o_DN A c.r _~~ \ IAD F \� . a z t,C Z S%0 a�E Hoks % • ~ tJ'Pre� L gofh :7rDGs ' I. A. /� T, ,i♦` . • /� r by C'-- ROSI.TTE WftR u fr \.-.0zD 5/9 itv Ditinlzfal top. 2 { A36SILEL b�° n ril PLATE s l o e A. /oho _5ff f L. rn C--- 1. 25"rN y „fall.-f- wELD z - 4" I-i1L1x \ ' ' Pi 0. :.•(;1)-i 4-•:A-.-L--.9-.- D.D. CARCEL, P.E. • DISTRICT MANAGER FROM : St1eOrest PA PHONE NO. 717 668 6174 P33 .• (k • . Field Anchor Testing Job No. 72-95041 Page two • Y : If there are any questions concerning this report, please feel free to cart us at (904) 771-3055. Very truly yours, ATEC ASSOCIATES, INC. ',0-141-2;r4944 Robert N. Prop et 56 -, ASep,z Special Testing Manager )ay4„ L..tfl si T: fi19 or x at LK pi,Commission Cohus Ltae, .89 Roug. . s D:s !Carvel, P.E. • .District ManAcier . • . • m - -AttKR:DOC/jcm ‘kita...chments ..•••.• ' •'. • • • •• • • ' . . • • • • •, FROMStyleCrestPA PHONE NO. : 717 668 6174 P02 • r' • ATEC Associates, Inc. 6600-1 Youngerman Circle Jacksonville.Florida 32244 (904)771-3055.GAX a(904)77/2977 Style Crest ,Products May 1, 1989 P.O. Box 690 • Job No. 72-95041 Fremont, OH 43420 Report No. 1 Lab No. 0774 RP051-06 • Attention: Mr. Burr Young Reference: Field Anchor Testing Specification Standards: Department of Highway Safety and Motor Vehicles Division of Motor Vehicles Chapter. 15C-1.10 Dear Mr. Young: ATEC Associates, Inc. has completed testing one type of soil anchor, Model No. 30DH, on April 18th and 19th, 1989. The testing was completed in the South West Area of Duval County, Jacksonville, Florida. These tests were witnessed by Mr. Burr Young of Style Crest Products and Mr. Bob Prophet .of ATEC Associates, Inc. Procedure: All anchors were installed using a B34 Noble rotary Grill rig from the surface to a depth of the head on each anchor. Load readings were conducted using a calibrated 10, 000 pound • Dillon Dynamometer, serial number 890701. This instrument was calibrated on March 23, 1989 to + 0.S%. Along with the dynamometer, two hydraulic cylinders on the rig ware used to apply an upward force to determine the load magnitude. The connection between the dynamometer and anchor was nade using a split 5/8" diameter square shoulder bolt with nut. A;1,000 pound upward preseating load was applied. An initial measurement was , then made from which to gauge subsequent deflection was measured. Loads were then applied as presented on e attached Anchor Test Summary. • Also attached is a drawing o the anchor tested and a copy of Chapter 15C-1.10. A Subg;CFary ni American Teat;,d zinc Enginevriny Corporation 0((ltee in Melor U.S. Cirie.ois;neo+9sa C Desalt;ip Geereen..:,ar.Marenars and FROM : StyleCrest PA PHONE NO. 717 668 6174 P94 i • Field Anchor Testing Job No. 72-95041 Page three • ANCHOR TEST SUMMARY _ Manufacturer: Anchor-Sur Products, Div. Poly Foam . International, Inc. Fremont, Ohio Anchor Description Model No: 30DH No. Helix: 2 Length: 30" Weld Size: 1/4" Fillet Rod Length: 27-5/8" Identification Mark: 30DH Helix Dia: 4" Additional Information Area Location: Southwest of Duval County Soil Description: Dark brown silty fine sand Soil Classification: Class SM Blow Count: From 20 to 24 blows per foot Date Installed! April 18, 1989 Date Tested: April 18, 1989 T--------------- ENSION LOAD VERSUS DEFLECTION TEST Anchor No. l 2 3 • Upward Load Anchor Anchor Anchor Pounds Deflection Deflection Deflection 1,000 0 0 1,500 0 0 0 0 2, 000 0 0 0 2,500 0 0 0 3,000 0 0 • 3,500 1 8" 0 4,000 1/4" 1/4" 1/8" 3/4" 3 8" 4 ,500 3/8" 1-1/4 / 4,750 1/2" 1-1/2" 1/2 i/2" . Load at 2" Deflection 5,850 6.,950 •• i§, 00o Max Load in Pounds 6,500 7,200 8 550 • Summary The . load and deflection meets the standard set torth in Chapter 15C - 1.10 of the rules of the Florida Department of Highagay Safety and Motor Vehicles. The blow count meets the minimum set forth for Class C soil (medium-dense coarse sands, ,.acdy gravel_;, very stiff silts and clays) . Blow counts were obtained using a 140 pound hammer at a free fall or 30 inches. r--ti D (12 t