2011-603 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: P20110603 Date Issued: Tuesday, January 03, 2012
This is to certify that work requested to be done as shown by Permit Number P20110603
has been completed.
Location: 183 PITCHER Rd
Tax Map Number: 523400-308-014-0001-052-000-0000
Owner: ARC COMMUNITIES 14 LLC
Applicant: RAYMOND JONES
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: P20110603 Application Number: A20110603
Tax Map No: 523400-308-014-0001-052-000-0000
Permission is hereby granted to: RAYMOND JONES
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: ARC COMMUNITIES 14 LLC Mobile Home In Park $48,000.00
PO BOX 61102 Total Value
CHICAGO IL 60606-0000 $48,000.00
Contractor or Builder's Name /Address Electrical Inspection Agency
Plans&Specifications
2011-603
2 Gregwood circle - 1344 sq ft mobile home -Raymond Jones
$161.28 PERMIT FEE PAID-THIS PERMIT EXPIRES: Thursday,December 27,2012
(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 Tovtlf(i ofensb r�� ,a:g
d J T�i¢sd�iytDecember 27,2011
r > i�J,,,;
i; /1 / .,3
SIGNED BY '" for the Town of Queensbury.
Director of Building&Code Enforcement
?���/Jj !^�� OFFICE U E ON Y p C W 4 n
,TAX MAP NO. / J PERMIT NO. 03 DATE ISSUED.
0 !ci; I 4011
PERMIT FEE 1"/ APPROVALS' ZONING TOWN CLERK
,
TOWN OF QUEENSBU-Y
_BUICdiNG"&"CODES"
MOBILE HOME —APPLICATION FOR PERMIT:
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 Information Property Owner Information
Name: Ruvvyl 3orkilName: A ►ZC Proms S
T
Address: ?. d , (30)L �+X70 I Address: /�f3 P' I r Rd.
iQ1ts-on so , fny ia0a6 Qpen3bwc/ ifl i ‘Qtf
Phone No. 5 l g -'J /- 0508/ Phone No. 5/g- 74/5 77 (p
Parcel Information
Proposed Date of Placement: Property Location:
a �rPc�ooCt
Road, Street,A enue
Name of Mobile Home Park: -1 )(P5-p ?CLX K . (if applicable) Tax Map Number:
Mobile Home Information Zoning Information
Approximate Value of Home: $ t- p oQ Zoning Classification:
New Home: X Yes ❑N ._ Size of Property: ft. by ft.
Replacement Home: Y �f No cit„,14,1Existing buildings:
Size of Mobile Home: o s- ft. by '1 gift. Setbacks: front yard ft. rear yard ft.
side yards ft. and ft.
Singlewide: Doublewide: x
Number of Rooms: (exclude baths) _A" Accessory Building(s):
Number of Bedrooms: c
Number of Bathrooms: 3 Detached garage:01-car 02-car ❑ car
0 Gas Fireplace❑Woodstove ❑Wood Fireplace Attached garage: 01-car 02-car p car
Foundation Support: Storage building: ❑Yes ❑No
Type Size & Depth Other:
Piers Water Supply: ❑Well ['Municipal
X30"x q to (p"
Slab Is Septic Permit Required? ['Yes El No
Continued on page 2
CI, Town of Queensbury • Community Development Office • 742 Bat/Road, Queensvury, iv ) izou'
Rem a . W1-66(RPM
Name of Installer or Mobile Home Dealer: �j� kI vitt =�- fhb (R - gi
rtip
Address: 70 , Bat, 76Q , 4kk fl1S Phone: 5//s" (/a`�-6 50 g
n lGal
V
Complete information below found on a"Plate"or"Sticker"which is affixed to the mobile home:
✓ Insignia serial number: E i 0.35'/ f-11/9
✓ Name of manufacturer: Ea '{.Q RA
I Plan Approval Number: oQ
✓ Model or Component Designation:
(New/hionly)
✓ Date of Manufacture: 16 10 /i
AFFIDAVIT
M Town of Queensbury State of New York
County of Warren
I swear that to the best of my knowledge and belief the
5.4 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
e work is authorized by the owner., /
f
~ i %�
Signature: 1
Owner, �� -r's Agent,Art itect, Contractor t
I
SPECIAL CONDITIONS OF PERMIT
By:
Code Enforcement Officer
Cli Town of Queensbury • Community Development Office • 742 Bay Road, Queensbury, Ni 12804
Community Development Office
Town of Queensbury • 742 Bay Road • Quecnsburi, New York •12804
PROCEDURE FOR PLACING AND OCCUPYING A MOBILE HOME
OR MODULAR HOME:
1. Application is submitted and reviewed.
a. Two (2) copies of plot plan and two (2) copies of layout must accompany
application, along with septic application (if needed).
2. Permit is issued.
a. Permit card is placed on property.
3. Footing forms are inspected before pouring concrete (Outside mobile home park).
a. Home is placed on foundation or piers.
4. Arrange for electrical inspection
5. Septic Inspection if needed.
6. Final Electrical Inspection.
7. Stairs and platform covering door width and door swing with handrails on both sides of
platform and stairs are required for all exterior doors.
8. Final Inspection by Building & Codes Department.
9. All mobile/manufactured housing must be anchored to the ground upon which they are
sited per manufacture requirements.
10.If anchoring is not possible due to weather conditions or any other item, a Temporary
Certificate of Occupancy will be issued.
a. Fee: $10.00
b. Deposit: $100 (refunded when all items are complete)
QUESTIONS? CALL 761-8256 OR EMAIL
codes anqueensbury•net
VISIT OUR WEBSITE FOR MORE INFORMATION
www.quensbury.net
B 9-LTR 11-05
Town of Queensbury Building & Codes Fee Schedule
Activity Fee
1 &2 Family Dwelling (includes septic system permit) $0.12 per sf
Additions: Commercial $0.14 per sf: Minimum$100 fee
Alterations: Commercial $0.12 per sf: Minimum$ 50 fee
Additions: Residential $0.12 per sf: Minimum$75 fee
Alterations: Residential $0.10 per sf: Minimum$40 fee
Boathouse w/Sundeck $50
Building Permit Renewal: Extends permit for period of 1 yr. $25
Certificate of Compliance& Use $20
Certificate of Occupancy No fee
Commercial, Industrial,Public Assembly, Day Care Center,etc. $0.15 per sf: No Maximum
Commercial/Industrial: Unheated structures (i.e,warehouse) $0.05 per sf: No Maximum
Deck, Porch $0.10 per sf: Minimum$40
Demolition $20
Dock $30
Fire Marshal Inspection
$25 per inspection
(Includes Solid Fuel bum permit,installation of chimney/wood
$100 per special projects
stove)
Floodplain Development Permit $25
Garages $0.10 per sf: Minimum$30
House Moving Permit $30
Mobile Homes (includes septic system permit) $0.06 per sf
$25,Above Ground;$35, In-
Pool Ground
Septic Systems: Alteration or New System Only $25, Residential;$35,Commercial
Septic Variance (requires Town Board of Health review) $50
Sheds/Storage Structures, Pole Barn, Picnic Pavilion,Misc. $20 per inspection
Signs: Permanent $2 per sf
Signs: Temporary $ 10 per 12 days/$50 cash deposit
Townhouse, Condo, Apartments, Multi-family $0.14 per sf: Minimum$100
Revised 1-17-07
Community Development Office
Town of Queensbury • 742 Bat/ Road • Queensbury, New York •12804
Electrical Inspectors
THE FOLLOWING ELECTRICAL INSPECTION AGENCIES ARE CERTIFIED BY THE TOWN
OF QUEENSBURY TO PERFORM ELECTRICAL INSPECTIONS:
NAME&ADDRESS OF BUSINESS INSPECTOR CONTACT NUMBER(S)
Commonwealth Electrical Inspection Services Donald Loveland Local OFfice:1-800-562-9934
176 Doe Run Road Ron Mumblo Ron: 518-798-0905
Manheim, PA 17545
Main Office: 1-800-873-6432
Middle Department Local Office: 1-800-479-4504
143 Troy Schenectady Road Ray Novak 518-273-0861
Watervliet, NY 12189 (Office Hours:7:00—9:00 AM)
Ray: 369-6614
The Inspector, LLC Richard Moon Main Office: 1-800-487-0535
4755 McConchie Rd. Douglas R. Hull Local Office: (518)882-6140
Galway, NY 12074 Brian D. Sweet
David J. Irwin
New York Board of Fire Underwriters
40 Fulton Street-6th Street Walter Sonntag Local Office: (518)373-7003
New York, New York 10038
PLEASE NOTE: WE CANNOT RECOMMEND AN INSPECTOR, HOWEVER, PLEASE ASK
YOUR CONTRACTOR WHO HE PREFERS TO INSPECT HIS WORK.
3/28/07
Attention all Manufactured,
Mobile Home Owners
New York State Law requires that all Manufactured
and Mobile Homes have an Installers Warranty Seal
by a Licensed Installer affixed to the Home prior to
the issuance of a Certificate of Occupancy
No Occupancy of a Manufactured or Mobile Home
will be allowed until a Final Inspection has been
completed including the Installers Warranty Seal
affixed to the home. Any Occupancy will be
considered a Violation of Town Code section 88-24
and a Court Summons will be issued for this violation
Any questions should be directed to the Town of
Queensbury Building Department at 761-8256
d F
Queensbury Building & Code Enforcement— Manufactured / Modular Final Inspection
Office No. (518)761-8256 Arrive: am/p rt:/v 1. Z 'am/pm
Date Inspection request received: /�- I-)/ Inspector's Initials:
NAME: ),‘C/1_‘14- PERMIT* t://- L-.)
LOCATION: d Fii54- 44,21„uC t r4 DATE: /.) -,. /1-//1
Manufactured Home
Modular Home
Footings_ Foundation_ Backfill, Framing_
Comments:
Yes, No WA
Foundation support,pier spacing, /
Per manufacturer J
Anchoring per manufacturer 2'from ends
Water line shut off VI
Sewer line support%4 feet V
Heating Crossover Idoublewide)off grd. 1
Dryer vented outside
Skirting ventilated 1 so.ft.Der1.500 so.ft.
Hot water relief valve piping outside
Deck,porches,steps,railing f
Furnace/hot water operating V
Garage Fire proofing V
Fire Door/Door dosers 1
Plumbing Fixture/3”Vent through roof[Modular]
Foundation insulation[if applicable]
Smoke/Carbon Monoxide Detectors/Interconnected V
Final Electrical V`-A`` 1
Variance required I
Data Plate okay f •
Manufactured HUD seal okay ,✓
Warranty Seal after January 1,2006 V
Installers Warranty Seal V
18"x 24"access or 22'x30'attic access
Vapor retarder under home 6 mil poly or other V
911 Street number l
Okay to issue CIC or CIO[Temp./Perm.] /�
Model# tf/'f � �r rial# A f- 2 41 A-P) ��,-�
Manufacturer y��\ V
a ^ P< i. 1(CV'( LkL
1
Date of Manufacturer `e VIA L
L:1Pam Whiting120101Building Codes Forms\Manufactured Modular Final Inspection 03 04 10.doc