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2010-394 TOWN OF QUEENSBURY tos742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development - Building & Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Permit Number: P20100394 Date Issued: Friday, April 24, 2015 This is to certify that work requested to be done as shown by Permit Number P20100394 has been completed. Location: 183 PITCHER Rd Tax Map Number: 523400-308-014-0001-052-000-0000 Owner: FOREST PARK MHC, LLC Applicant: CALI ZAHN AT 25 BRIWOOD CIRCLE 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 /f Ot 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 ER` 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: P20100394 Application Number. A20100394 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 $25,000.00 900 Total Value $25,000.00 PO BOX 790830 SAN ANTONIO, TX 78279-0000 Contractor or Builder's Name/Address Electrical Inspection Agency Plans &Specifications 2010-394 25 Briwood Circle- RAYMOND JONES - 1216 sq ft mobile home in park $47.60 PERMIT FEE PAID- THIS PERMIT EXPIRES: Saturday,August 13,2011 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the own o Quee s ur ; / 'r i a August 13,2010 ' /' �f i4 for the Town of Queensbury. SIGNED BY �� Qu ury• Director of Building&Code Enforcement fit o(.3 ,b ri wccq(.-/J-C.(.li OFFICE USE ONLY TAX MAP NO. PERMIT NO. /Z)-3 c71/ DATE ISSUED: PERMIT FEE • `7T APPROVALS: ZONING TOWN CLERK • I I MOBILE HOME- APPLICA TION FOR PERMIT: A building permit must be obtained before placement of mobile home on parcel. No inspections will be made until a valid building permit has been issued. Applicant Information Property Owner Information Name: CY70(yi JO IID.3 Name: ARC P(npef �5 . Address: R - QO)C 76(9 Address: ($a PC t--}� d , -Act I1n- n ai n icIA0 (ikwukLi rf rag© Phone No. ,- 1 g-qc9 -Q5(6 Phone No. 52k- 7e7/5-77,--42 Parcel Information _ • /►, ,, Dn Proposed Date of Placement: s//LQJí 0 Property Location: , c9-5 8nwoxl Co Pay Road,Street,Avenue Name of Mobile Home Park:____, (g5---/-- pa/ (if applicable) Tax Map Number: Mobile Home Information Zoning Information Approximate Value of Home: $ 457000. 06 Zoning Classification: New Home: 0 No Size of Property: ft. by ft. Replacement Home: Les No ►" Existing buildings: Size of Mobile Home: I (0 ft. by —lip ft , Setbacks: front yard ft. rear yard ft. (IL�Nside yards ft. and ft. Singlewide: , Doublewide: See P'k p\an Number of Rooms: (exclude baths) C Accessory Building(s): circle Number of Bedrooms: Number of Bathrooms: Detached garage: 1-car 2-car car Circle: Gas Fireplace/Woodstove/Wood Fireplace Attached garage: 1-car 2-car car Foundation Support: Storage building: Yes No Type Size & Depth Other: Piers Runners �` c Water Supply: well or��nicipaI )( 1 • Slab _ Is Septic Permit Required? Yes or No Continued on page 2 0 Town of Queensbury• Community Development Office - 742 Bay Road, Queensbury, NY 12804 Revised March 2010 Name of Installer or Mobile Home Dealer: CA(IS-f4(LQ Schi 4 O-C I 1 I I �(CI _ ma/1u a mil Address: A47 (-preen-I`.1 flit() , II5-I7 ', , h ' one: S/S-Co65-O09(2(0 Complete information below found on a "Plate" or"Sticker" which is affixed to the mobile home: ✓ Insignia serial number: ✓ Name of manufacturer: ✓ Plan Approval Number: ✓ Model or Component Designation: (New home only) ✓ Date of Manufacture: AFFIDAVIT Town of Queensbury State of New York County of Warren 1 1 # Ills $ - • II % 1 I 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. Installer Warranty will be provid at time of Certificate of upancy. 1 G��/�� f Signature: ; r Owner w er's Agent, Archi ect, Contractor SPECIAL CONDITIONS OF PERMIT By: Code Enforcement Officer ;, Town of Queensbury• Community Development Office • 742 Bay Road, Queensbury, NY 12804 TOWN OF QUEENSBURY 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 ;w /�� Community Development-Building& Codes (518) 761-8256 Inspections per Permit Permit# P20100394 Inspection Date Inspection Type Approved/Denied Comments Permit Type Person Responsible 08/11/2010 Miscellaneous Mobile Home In Park JENNIFER HENDERSON Staff Misc 2010-394 permit entered 08/13/2010 Miscellaneous Mobile Home In Park JENNIFER HENDERSON Staff Misc 2010-394 permit issued 09/27/2010 Final Inspection Mobile Home In Park CHARLES DYER Staff Denied 2010-394 furnace needs to be in operation-Manufactured HUD seal- NTA 1524925 Queensbury Building & Code Enforcement— Manufactured / Modular Final Inspection Office No.(518)761-8256Arrive: -� ,/ y- ` �1 Date Inspection request received: 411 1115 Inspector's Initia : __'.► NAME: PERMIT fV ]D- LOCATION: 2 5 brivq0Ock DATE: 4l'2, 12.xDA,s Manufactured Home Modular Home Footings_ Foundation_ Backfill_ Framing Comments: Yes No N/A Foundation support,pier spacing, Per manufacturer Anchoring per manufacturer 2'from ends Water line shut off Sewer fine support©4 feet Heating Crossover[doublewide}off gni. Dryer vented outside Skirting ventilated 1 sq.ft.per 1.500 sa.ft. Hot water relief valve piping outside Deck,porches,steps,railing Fumace/hot water operating Garage Fire proofing Fire Door/Door losers Plumbing Fixture/3"Vent through roof[Modular] Foundation insulation[if applicable] Smoke/Carbon Monoxide Detectors/Interconnected Final Electrical Variance required L`, Data Plate okay �"•� Manufactured HUD seal okay V vr— Warranty Seal after January 1,2006 Installers Warranty Seal 18"x 24'access or 22"x 30"attic access Vapor retarder under home 6 mil poly or other 911 Street number Okay to issue C/C or C/O[Temp./Perm.] Model# Serial# Manufacturer Date of Manufacturer L:\Pam Whiting\20101Building Codes Forms‘Manufactured Lured Modular Final Inspection 03 04 10.doc Queensbury Building & Code Enforcement— Manufactured / Modular Final Inspection Office No.(518)761-8256 Arrive: am/p rt:/7 am/pm Date Inspection request received: Inspector's Initials: NAME: PERMIT#: 1314 LOCATION: ZS' --LW X7) d-u DATE: cik Z-7I, t 0 Manufactured Home V Modular Home Footings— Foundation_ Backfill— Framing Comments: Y No WA Foundation support,piers Per manufacturer v Anchoring per manufacturer 2'from ends Water ane shut off Sewer line support©4 feet Heating Crossover(doublewide}off grd. Dryer vented outside Skirting ventilated 1 so.ft.per 1.500 sq.ft. Hot water relief valve piping outside Deck,porches,steps,railing Fumace/hot water operating Garage Fire proofing 1411 c20.4"" th) 011 -12Atk't Fire Door/Door dosers Plumbing Fixture/3'Vent through roof[Modular] Foundation insulation[if applicable] ✓ <P "' 1 Smoke/Carbon Monoxide Detectors/Interconnected Final Electrical J Variance required Data Plate okay . Manufactured HUD seal okay ✓ �� l rzFi. Warranty Seal after January 1,2006 V Installers Warranty Seal 18"x 24*access or 22'x 30*attic access Vapor retarder under home 6 mil poly or other 911 Street number Okay to issue CIC or CIO[Temp./Penn.] Model# gOt( 1 CX5 Serial# L 11°030i VA Manufacturer ( 1/ Date of Manufacturer I IZ 1,3 L:1Pam Whiting120101Buiilding Codes Forms\Manufacu ed Modular Final Inspection 03 04 10.doc op 4A6 id v. 394 . , TOWN OF QUEENSBURY BUILDING DEPARTMENT rased on our limited examination,compliance ith our comments shall not be construed as 1 ,i dicating the plans and specifications are in compliance with the Building Codes of li ew York State. 27 ---1.)1 II lb., •Ni, ., : ' .•, ..,, • i V V;-,; %,.,'-.- '-,,'7-.0:I.:_:," ':: TD•Qi,,,, t ' -- ! ; .7-1;'- --; :.• ' : '., '-,!:(,;• n'l r.;.:r_s-7- .• • *, f.'11 4'-:'.;"" ;'`,'' e......:N"):"'"4...49........r"- . ' a.. NOTICE . , , 1 Ii ANCHORING OF M:BIL:HO71 iAMEISREQt1REDPER vAurcTRERssECcAT0 i s or observed, or believe I saw Ises, wells, trees, lt, I al::,, VO,,, ......., I, OCT-30-2002 11 :04 AM For est Par`MHC. ' /75187450808 P. 01 11y i': ell * in a, ..1 i,11•10 .r I iii 1 Z1 III i IInili t ^ 1i :f. d , 1. 1 al '.1 y/ /mii. 4Z a:- ki ll .„. :,. NA 7 y.!' 1111111111111111111.11 1'' i il. ,c, / ii.311111 1 _ ; , ,, .i, , :,:. , 11 :II ':1 /1 1 .t.., • 1'• 1 1� Ik 1 1*�i:.: • I1ri•, " eV.`` 'IRIIII# 111111101111111111111111r n + .t. : 1 AI i 3.11.1 all ...„,, , 11101, ,, :::„„...,_ ,_..„ ,,,,., _,Rt: , ........ Fp .,,,c,- • eji, 1 ev { ARC16763A 16x76 3 bed, 2 bath t r ■■■■ ■■■■ ` gimp MI 111=1111111 awuwr \ ii I■. i _i■.■� ■■■■ ti I■ 1- iiia ■�■■■■ VW Wok 3 In 01 um MASTER BEDROOM - ®mot —,■■ LIVING ROOM 111111111 BEDROOM S 3 r ,r4r x,5. ; x,�.� ■i.:: spa-:1esa" I _ :, ■ /�11 istii4 KITCHEN ..� tih 0 nor �cyi .. NMI .w.w....... *This is a floorplan we developed last year with no changes.