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95-427 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date Nov€,inl;er 1.3 1995 This is to certify that work requested to be done as shown by Permit No. ,5427 has been complfted. SINGLE FAMILY DWELLING W/2-CAR ATT. CARA This structure may be occupied as a Location Owner ,,!ERRIJNE MI I:; L D E R: TAB I f - I= I I r By Order Town Board TOWN OF QUEENSBURY Director of Bldg. ac Code Enforcement BUILDING PERMIT VALUE $ 1115000 TOWN OF QUEENSBURY No 95427 TAX MAP NO. 28.1-1-32. 1 WARREN COUNTY, NEW YORK CERRONE BUILDERS PERMISSION is hereby granted to BAY RD. OWNER of property located at Street, Road or Ave. in the Town of Queenbury,To Construct or place a SINGLE FAMILY DWELLING W/2—CAR ATT. GAR 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 BAY ROAD QUEENSBURY, NY 12804 2. CONTRACTOR or BUILDER'S Name CERRONE BUILDERS 3. CONTRACTOR or BUILDER'S Address 66 SUNSET TRAIL QUEENSBURY, NY 12804 4. ARCHITECT'S Name COMMONWEALTH 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) SINGLE FAMILY DWELLING ( )Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications 1320 HQ FT SINGLE FAMILY DWELLING AS PER PLOT PLAN SPECFICATIONS 8. Proposed Use SINGLE FAMILY DWELLING W/2—CAR ATT. GARAGE $ 191 PERMIT FEE PAID —THIS PERMIT EXPIRES August 2 19 97 (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 3 Day of August 19 95 SIGNED BY X) . C( for the Town of Queensbury Building and Zoning Inspector - . 13t- . ,n,1 7AT JTUI AMIA.37 44.1 ,TTA 5.1An- W OVitiddidri Y.,.:1Mk1 aallie 1An',i YA?: .;:laoallT71 akc,IRa.... aIART r-t,-181,1 ' 1 iNALINZiatig ilTJ3Wt-v-5 ileii,IJI7Vic t. TTAnII.T:aia AA.17. 1 ".1J,9' '42. 1 ‘1, '..AILI4JWC 'Illitv3 a.m.L,1,. T9 f,lq, N. .t ',70Afi.Ai7) ,TT!', lt : -,::\ ! ,2v!..11J3wq ylitivi 3jp1.1r.„ 4• App1ica1 oii for tSEi'TIC DISPOSAL PERMIT ' o 7. 'AI a'' . 4 lv STAMP RIic 1?I VI I) Z �J 0 1_ocation of properly for installation ` ~I'j Owner's Name ''I =� - U 10 Owner's Mailing Address:/6/ /41F / el/ I\}c�J Installer's NamAta��'�e�J 17. Phone #: tili Number of bedre oms (if residential): Total daily flow (rosidrnlial - compute (tit 15(I gal. pet bedroom): 11 - Topography: I -_-I Flat I____] Rolling I_ I Slope I Steep Slope "7, o p — Soil Nature: I I Sand jI.rerun L-_J ('lay I I Other /Depth: Oround Water: ,it what depth./ feet Bedrock or Impeirvious Material: at what depth? feet Percolation Test:! I_I Not Requited I I Required/Rate min. per inch Domestic Water Supply: I__] Municipal I Well [---I Other If dotnesticll water supply is a W I?I.I.: water supply ft out any septic absorption is / ` lec•t PROPOSED SY 'IFM: Septic tank: gal. (minimum size: I,000 gal.) Tile Field: each trenchfcet. / total system length feet. Seepage Pit-(a): number of / size each: U. x _— it. Size of stone Iio he used: // / depth or thickness feet. I101,DINO 'TANK SYSI FM: (if required) Number of tl•t1rks: Size of each: gal. till«)1ru s '.ciem and associated electrical work to be inspected by a certified a >enc•r. For yore• prote�IIrliun, plea se pule (hcrl jilt 15(11;Fit to Section 136-29 of the ('ode of the Town of Queensbrcry, arty permit ur a p proeal granted which is based upon or is granted in reliance upon any material ntisrepresentation or fitilure to make a material fitct or circumstance known by or on behalf of an al plicant, shall be void. 1 have read the regulations with respect to thi application and agree to abide by these and all requirements of the ?'own of Qu eenshur nitary Se e •e Disposal'Ordinance. d I- Sigrr«Irne of retponsiG'e person: �_ r Date: 7 ��1 ie par-.t,nent of Community Development Reviewed B Building & Code Enforcement content 1 ! 4 l 1 dingy la ctor Town of Queensbury i Permit Na j- 7 742 Bay Road or, • Queensbury, New York 12804 Fee Paid $ I q/• (518) 745-4447 Building Permit Application A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. All applicants ' spaces on this application MUST be completed and the signature of the applicant MUST appear on the application form. Applicant: d9PfeetoUt l/!+ Owner: ,e-.------ Address: 6 6(/.r/ / / crc Phone # as ) ! 2�a ► Phone # ( ) - Property Location ///• /0 fri /911 / 1 �� I 'lax Map Number / Subdivision Name: Section Block Lot NAT E OF PROPOSED WORK: ESTIMATED MARKET VAL' � OF THE New Building: CONSTRUCTION: $ /2t d& residence / commercial Addition to Building: residence / commercial OCCUPANCY INFORMATION: Alteration to Building: Pri ry Building - residence / commercial VSingle Family Dwelling Residence / Commercial Two Family Dwell c no change to exterior size Farr.i.ly Dwe 1GEIv�� Office Other Work (describe below) Mercantile JUL 7igg5 _ Manufacturing • Other TOWN OF i?UtENSGURY BUILDING AND C GROSS AREA OF PROPOSED STRUCTURE: ""` 1st Floor (P If ADDITION, what will use sq . ft . 5 of new addition be? : 2nd .Floor sq. ft . '35 Other Floors sq. ft . (not unfinished cellar or basemenhl) I ov ACCESSORY BUILDINGS: Detached Garage 1 , ar TOTAL FLOOR AREA: / iO SQ. FT. a/ Attached Garage 1 ,(2 ca, Private Storage Building SIZE OF NEW STRUCTURE : Commercial Storage Building Other �f .F E ET X4/e/ FEET Foundation Type : Vaite Will any second-hand or ungraded Number of Stories / lumber be use9?/ If so, for what? (habitable space nly) // /L/ 9 Height (grade to idge) : /.6 feet TYPE OF HEATING SYSTEM: Number of fireplaces id e/or woodstove (circle al ` ch applies ) to be installed: A ct / Gas / Wood Forced Hot Air / Baseboard / Other Person responsr} e fp supervision of work as regards to building codes is : ��// // - Naine Addresss i Builder: !/ 20 Plumber : .7X05A4_ _______ /496 Mason: r -Electrician: /#Q4 DECLARATION To the best of my knowledge the statements contained in this appli- cation, 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 lawe 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 Comp ' ance being issued, an AS BUILT PLOT PLAN drawn to scale, showing actua ocati of project on premises . Signature: 4e4 .,.ew''` ------ (owner, owner s agent, architect, contractor) �� TOWN OF QUEENSBURY h1� 1 BUILDING & CODE ENFORCEMENT � 742 I BAY ROAD /'C QUEENSBURY NY 12804 (518)745-4447 / ARRIVE: l ' 2:5 DEPART: 9 ' ;511 INSP.+-�� FINAL INSPECTION REPORT - RESIDENTIAL(/ � DATE INSP CT��IOOQN��REQUEST RECEIVED: tir-./6 // NAME,, ea0, LOCATION OA DATE PERMIT I TYPE OF STRUCTURE 5FIO FOOTINGS FOUNDATIOR BACKFILL _ FRAMING _ ROUGH' PLUMBING _ SEPTIC _ INSULATION • FINAL ELECTRICAL W0ODSTOVE OR FIREPLACE N/A YE NO CHIMNEY HEIGHT/B VENT/RIGHT PLUMBING VENT if /• • ROOFING EXTERIOR FINISH DECK/PORCH/STEPS/RAILINGS RELIEF (VALVES FURNACE/HOT WATER OPERATI iG'i INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED • STAIR CLEARANCE/RAILINGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SITE PLAN/VARIANCE REQ. / VFFINAL SURVEY OT PLAN �/ OK TO ISSU CO RCC -•W("RA 3 L S0 R v6-("( lAn.11•IIJIII VW Ed-u,in ica,r.A.,1nm.tte.•I1 I I ..I IAJOI 011at Main Office 357 Elwyn Terrace — Manheim,PA 17545 qs--y i 7 MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL Panel Board No. Cert. 4 5 3 4 9 Cut-in Card No. (-_/-7 C c Owner Occupant Location . I Installation Consisting of S:at r. re 1.4 ti ReCce3cLi 77.7S Di/iv. I(at Pre c 77A ficAt 1 /14-15 / e sa Installed By 5 . P LO 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 inspe ions at any time,and if its rules are violated,the Comp...4.m shall have the right to revoke th. cert . Date ./7— / S INSPECTOR. M/Y"..---47tr-Atv-CL Member N.F.P.A.,I.A.E.I. TOWN OF QtJEENSRIIRY ,� f�� BUILDING L CODE ENFORCEMENT f;## 742 HAY ROAN QUEENSRURY NY 121104 (5)11)145 4441 ARRIVE: -6 ° Ga DEPART: 3J/441 I®INSP: J•` FINAL INSPECTION REPORT - RESIDEN IA DATE INSPECTION REQUEST RECEIVED: 8 G 5' NAME 6/21p04)C�- LOCATION " /"O DATE I r'M �+ PERMIT l TYPE OF STRUCTURE jfr /) FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING ' SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES NO / CHIMNEY HEIGHT/B VE T/HEIGHT PLUMBING VENT - /✓ ROOFING V EXTERIOR FINISH DECK/PORCH/STEPS/RAIL NS 7_ RELIEF VALVES FURNACE/HOT WATER ••ERATII(G / INTERIOR TRIM/PRI 'ACYDOOR� FINISH FLOORS: / BATH/KITCHEN/WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR_CLEARANCE/RAILINGS SMOKE DETECTORS _✓ BATHROOM FANS _ PLUMBING FIXTURES - I// FOUNDAT__ION INSULATION GARAGE FIRE PROOFING DOOR rip �1tINALTRICAL 412€ ` y v/ SITE PLAN/VARIANCEREQ. FINAL SURVEY PLOT PLAN - OK TO ISSUE C/O OR C/C ��XTGN rJ k L I PI? TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 BAY RD., QUEENSSBU�RY//NY 12804 - ,n/ INSPECTOR'S REPORT: ARIA Jf/(�DEPART 2:25I N1V1�^- REQUESTEA?OE/Ry�INSPECTION RECEIVED: Cam/ _ NAME LOCATION 67/ e° y DATE 9/2 PERMIT # ____ , TYPE OF STRUCTURE: 5/ 0 RECHECK APPROVED N/A YES NO FOOTINGS PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE TION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACE- MENT OF THE CONCRETE. MATERIALS FOR THIS PLRPOSE ON SITE FOUNDATION WALLPOUR REINFORCEMENT IN PLACE /` FOUNDATION/DAMPPROOFING / BACKFILL APPROVAL / PLUMBING VENT/VENTS IN PL C ROUGH PLUMBING r\ / PLUMBING UNDER SLAB \ FRAMING: / JACK STUDS H ,DERS \ `-- BRACING BRIT ING _JOIST HANCE'S ; - JACK POSTS MAIN BEAM w AIR INFILTRATION BARRIER HEATING ROUGH- N INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- F - - WALLS R- - CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- \k)• \\\ TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 BAY RD., QUEENSBURY NY 12804 •14-.. INSPECTOR'S REPORT: ARJ^.k DEPA 6W°4�bINT "'/ REQUEST OR INSPECTION RECEIVED: 1 ,Y 'J—1.5 NAME /,1` y - S, \_ ) LOCATIION O DATE C.1 "Dcc. ''c1J PERMIT N (21 5-- LI ck7 TYPE OF STRUCTURE: 5clii-) RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS R4SPONSIBLE F1R PROVIDING PROTE TIOIW FROM FREE ING FOR 48 HOURS FOLLOWI G THE P E- MENT OF THE CONCRETE. MATERIALS FOR THIS PUR OSE 0 SITE t FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE , FOUNDATION/DAMPPROOFIN! BACKFILL APPROVAL PLUMBING VENT/VEN'P IN PLACE . ROUGH PLUMBING PLUMBING UNDI:' SLAB FRAMING: f ` JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS . \\\\: JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER HEATING ROUGH-IN INSULATION: i FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R_ ~ CELLS R CEILING R_ #- DUCT WORK OR PIPING IN - UNHEATED SPACES R- PRO P6i 0c,1)r l/0 /0c = 0 ^t Or v o 5 OW 0 i G A661 T&cam-1< TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 BAY RD., QUEENSBURY NY 12804 INSPECTOR'S REPORT: ARA161 DEPAR INT JI& REQUEST FOR N PECTION RECEIVED: / NAME — �� , LOCATION t 424,1(— c)t1) P1 c i / DATE GC .,( . PERMIT # 9 --nll'/`Ip7• 2 TYPE OF STRU TURF. 5/O >_ Ca ./ RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCE NT IN PLAC: THE CONTRAC •R IS RESP•NSIBLE FOR PROVIDING PR•' E TION F'OM FREEZING FOR 48 HOURS F LOWING THE PLACE- MENT OF THE CON 'ETE. MATERIALS FOR THIS 'UR'ISE ON SITE FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING PLUMBING UNDER SLAB ING: JACK STUDSLHEADERS BRACING/BRIDGING ,/ JOIST HANGERS V JACK POSTS/MAIN BEAM - AIR INFILTRATION BARRIER HEATING ROUGH-IN • INSULATION: 1 FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- 1 - FLOORS R- - WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- 4 RoR A44#0 PO3Yc tO 1764A, . I /psi 41 kilct 41 6 AT t?e4K �`-�� TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 BAY RD., QUEENSBURY NY 12804 INSPECTOR'S REPORT: ARRAVP FOR INSPECTION RECEIVED: NAME 419 efAA --. LOCATION DATE t PERMIT # TYPE OF TRU URE: '5i O W z.. C RECHECK _ APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR S RESPONSIBLE FOR PROVIDING PROTE ION FRbM FREEZING FOR 46 HOURS FOL WING IHE PLACE- MENT OF THE CONCR E. MATERIALS FOR THIS URPOSE ON SITE FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING BACKFILL APPROVAL PLUMBING VENT/VENTS IN P A E (UGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BE' AIR INFILTRATION BARRIER 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 R- TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 BAY RD., QUEENSBURY NY 12804 INSPECTOR'S REPORT: AR4'5EPART`(- VVINTi/2L- REQUEST FOR INSPECTION RECEIVED: 9 - 1-3 - 9 5 NAME v-C^�ac?).) LOCATION CO � J "` DATE i-i 3 15 PERMIT # OI 5-L J a7 TYPE OF STRUCTURE: Sc 0 V.. - CQy1 A f 46CW RECHECK APPROV i N A YEA NO FOOTINGS/PIERS .• \'U _ MONOLITHIC POUR FO' REINFORCEMENT IN PLACE THE CONTRACTOR IS RE'PONSIHLE FOR PROVIDING PROTE TION ROM FREEZIN FOR 48 HOURS FOLLOWING THE PLACE- MENT OF THE CONCRETE. MATERIALS FOR THIS PURP• E ON SI^E FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING BACKFILL APPROVAL PLUMBING VENT/VENTS IN PLACE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS[HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BE' AIR INFILTRATION BARRIER HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIO R- FOUNDATION WALLS EXTERIO R- FLOORS R- - WALLS R_ CEILING R- ' DUCT WORK OR PIPING IN UNHEATED SPACES R- Jckj, Pi It \ • TOWN OF QUEENSBURY • BUILDING & CODE ENFORCEMENT 531 BAY RD., QUEENSBURY NY 12804 r t INSPECTOR'S REPORT: ARRff.®DEPARTI( , 0'INT REQUEST FO INSPECTION RECEI ED:. I -9 5 NAME SAYN LOCATION (;)4){�� DATE I ' — P RMIT # � � TYPE OF STRUCTURE: 5 RECHECK _APPROVED N/A YES 1 NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENTIN PLACE THE CONTRACTO• IS RESPONSIBLE FOR PROVIDING PROT; TION FROM FREEZING FOR 48 HOURS Fe' LOWING THE PLACE— MENT OF THE CONiRETE. MATERIALS FOR TH PURPOSE ON SIT' FOUNDATION/WALLPOU' REINFORCEMENT IN PL CE FOUNDATION/DAMPPROOF NG /� �CKFILL APPROVAL v PLUMBING VENT/VENTS IN PLA ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEAD RS BRACING/BRIDGI JOIST HANGERS JACK POSTS/MAI BE, AIR INFILTRATION BARR ER HEATING ROUGH—IN t INSULATION: 1 FOUNDATION WALLS'INTERIOR R— _ FOUNDATION WALLS,/ EXTERIOR R— FLOORS R— WALLS R— CEILING { R— DUCT WORK OR PIPING IN UNHEATED SPACES R— 5 � TOWN OF QUEENSBURy i�' -{-`' BUILDING b CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name `Ll,0 V1 (Ue4.<3 Location 2.-) Date Pe i t e ---1/01 7 SOIL TYPE: . .' Loam-Clay- Results of 'erco ation Test (if applicable) Rate-Minut:/Inch TYPE OF SYSTEM: ABSORPTION FIELD: 1 otal Le . . .,DX) Length of each tre ch () Depth of trenches Size of stone - SEEPAGE PITS: Numbe - Size - ft. x \ ft. Stone size PIPING: Bldg. to Tank S� e 'y0e /0 Tank to Dist. Box \ Dist. Box to Field/Pit i 1 Openings Sealed? Yes + 0 Partial LOCATION/SEPARATIONS: ' 111 Foundation to Tank ( 2- feet Foundation to Absorpti .n ' feet Separation of Pits fe Conforms as per Plot "lan Yes N LOCATION OF SYSTEM 0 PROP RTY: (circle one) Front - Rear - Left Side ight Si Middle Front - Midd a Rear COMMENTS: So us itk Fr - v i PL° PL 44 i k-hfU1L 4kppikz_ SYSTEM USE APPROVED:� YES Arrived: 2- Departed: - i V C Building Inspector/ ) ( 7J11 TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 BAY RD., QUEENSBURY NY 12804 +. INSPECTOR'S REPORT: ARR'r' DEPAR12; I INT" REQUEST FOR I SPECTION RECEIVED: C> ) NAME l�l�C-'�- LOCATION ThA___ .,) a( _ DATE PERMIT # C\5 _ c 7 TYPE OF S RUC RE: RECHECK APPROV N/A Y /NO 4OTINGS/PIERS MONOLITHIC POUR ORM REINFORCEMENT I PLACE / THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE IION FROM FREEZING FOR 48 HOURS FOL OWING THE PLACE- MENT OF THE CONC•ETE. MATERIALS FOR THI , PURPOSE ON SITE FOUNDATION/WALLPO • REINFORCEMENT IN P 'CE FOUNDATION/DAMPPROO, ING BACKFILL APPROVAL PLUMBING VENT/VENTS P 'CE ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS R RS BRACING BR DGINt JOIST HANe RS JACK POST./MAIN AM AIR INFILTRATION BARRIER HEATING ROUGH-I . INSULATION: FOUNDATION ALLS INTERIOR •- FOUNDATION ALLS EXTERIOR FLOORS 4 R- WALLS CEILING RIll - DUCT WORK 0 PIPING IN UNHEATED SP' ES R- TOWN OF QUEENSBURY . . . .. EPRILNF ccr' 1: C1\11\1UN I i Y L)L'\" `,` "'; g Gu Application � ; w BUILDING PLR ' L NYJI BER � ! c4 "'t - 4 Eu 9 5-1/ -7 ti,,,) , -, ' Nk i cc 1. BASIC/BUILDING PERMIT INFORMATION: A trio,Adm 3tt Applicant/Name & Address Agent/Name & Address n agent Ca Qj AX MAP NUMBS' 4. Z ,ti&t N -1le/A,1,lt + e l ` ' t i • , 0 q7n/l,!• Pt )ettV,� AL1Jte� a' ati l" VAAS\CI\rAMV;:t -11AZDA,. X_ 1 1 t 3p ty /- - 2. PROJECT DESCRIPTION: -----1--3 --S-?)-4--&- D . 'St plan (2 copies) wilding plan (2) [-sewage disposal energy code 3. PROPERTY INFORMATION: lectrical inspection N , „,,, Odriveway permit • SETBA';='i7.. REQUIRED AilT LTA L. [],completed/signed CD-FEE PAID Front Yard <5j ' ,96b Front (if corner) IT NEW CONSTRUCTION Side Yard (1) �yt) � U i � ADDITION Side Yard (2) 30 ' ' ALTERATION Rear Yard U �� MODIPIGATION Width. �a ' "" � SIGN ." .,, Depth YES NtyrfA PROPERTY IS IN APPROVED SUBDIVISION tithe iik Meets depth, width & square footage requirements Preexisting, nonconforming lot with proper setbacks Required road frontage on public road Has required off-street parking Permeable area is adequate /'Required: <S' /6, ‘ Building does not exceed maximum height/ Max. 33 n I Required setbacks from stream, lake and/or travel corridor meets requirement Buffer zones required Is lot in a Flood Plain Zone? L 0 VER 1 4. STAFF DETERMINATION: E- u, As per Section(s) of the❑ Zoning Sign NM Subdivision Ordinance Ordinance Regulations C . • w • mar u_ f 2 5. REVIEW REQUIRED BY ZONING BOARD OF APPEALS: ACTION FILE NUMBER RESOLUTION DATE ❑ Use Variance ❑ Area Variance ❑ Sign Variance ❑ Other Comments: 6. REVIEW REQUIRED BY PLANNING BOARD: ACTION FILE NUMBER RESOLUTION DATE ❑ Site Plan Review - .• ❑ Subdivision ❑ Planned Unit Dev. ❑ Other Comments: F, 1,`H `� f �,; A F DATE: t . _. _z___. /400 i AP so.- 1 A. : r ,T JUL 2 71995 T BU lD►NuEENsBu___BY \ G AND coot t ) INN i t pDUiFG t1r ' -z M (\ i a , 3 71(eigwitt=r, 1 zoninr Adak ink rater F..-.`: OF aii E N BUR .may...=./ 111 � Fd_21-_,_k,,-- .,Wry! ____ ,•,„'.,.1ti•-11-..144i4.4,4:43.,. .iliticit.4- _ • i'-. . ... ••7'. . . . . ,:....-... ••• . ,. -•• ,,..,.........,:...''.'4',..A..; II T • . .......4...•"...:. l..;.•i• elf.•e•-.A.4.!•.:;.:;.:fi.:•-f.:ii;itt:i.'''1•:1.4...;444;i: ''*-4... ...."...' • ' 77'• ' '.4%i'''' .. .. .... '.. 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':•",`,:i'...,s...••--." ," • - ' •'• '" -- I r Nov 4 1995 I�iot' `wlLvEy t'.O '` S.83' o(, w -7 Z I CIN Mop i gE��, M a ' f i 3 GErc2o.s>r. ts,.>t�.or.rc.�, lug � •, '`� S. b3• �� lc E 1 Au4_ z� ° 3� JWC� o -ranws J 1 1J 8 3' 0 1 ' h K1447 ca j h `7 tag v A. S-X C'A u RNtsa J� E2NGS< �L2TNA I `�uclMA.� MAP OF, A SURVEY MADE FOR 'UNAUTHORIZED ALTERATION OR AO01TION M A SURVEY ••••••••••• MAP REARPIG A LICENSED LAND SURVEYORS SEAL IS A �SEo lA1® d U S An �- �� ATl1� k o-n K� �e ; hereby G-artify that this map was prepared from an actual field survey. This • MOl.AT10N OF SECTION 720p, SUB—pv190N Z. OF THE certificz'in shall run only to the persons for whom the surveywas �pN p1 slf NEW YORK STATE EDUCATION LAW,' TOWN OF Wepatuti and listed `ONLY COPES FROM THE ORONAL OF TFRS SUR1.EY Q O L E N S i3 u Ry W At_R.Ira COUNTY, N.Y. his be-.all to the Title Company, Governmental Agency and Lending InsMution Usted her-in Certifications are not transferable to additional institutions or subsequent �� ; MARKED wTH AN ORIGINAL OF THE LAND SURVEYORS mers. SCALE I 1 = lob DATE I 1J O t/. 1 9 g S Certified to Susan L &Frank E Ronk,Jr • �-CER711MATIONSS I OICAIAL SHALL BE ED HEREON SIGNIFY THAT M&T Mortgage Corporation,its successors and/or assigns • THIS "VEY WAS PREPARED IN ACCORDANCE WTH THE Vat UD WV e!V t,4 Steves Department of Housmp&Urban Development,its successors : ' EIOSTING CODE OF PRACTICE FOR LAND SURVEYDRS ADOPED T and/or assigns E5E11 �� By THE NEW YOW STATE ASSOCIATION OF PROFESSIONAL Na►aons Title Insurance of New York Inc I • r0 LAND SIMWYOM SAID CER'11FICATIONS SHALL RUN ONLY LAND SURVEYORS,GLENS FALLS,NEV YORK ••Of NEB •.• TO THE Pte7t M FOR WHOM THE SiMVEY IS PREPARED. AND •••••• ON HIS BEHALF TO THE Ting COMPANY, GOWRNMENTAL N.Y. STATE LIC. NO. 35617 yi.pr - �pP Certified by_ AGENCY AM LENDING MiSTITUiT10N uSTED HEREON. AND — Leon M Steves LLS NYS Lt.P 35617 TO THE ASSIGNEES OF THE LENDMIG RIS'TiTUTiON." Date November 13 1991, Z8 — 1- 3 q5,�1-13