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1989-124 I r CER,TIFICA'TE '�]II]Y (J1►'IPLIA�'�T+ E S i 4� TC►'WH OF QUEENSBURY WARREN CC7UNTY, NEW YC)RK i i Date� , This is to certify that work requested to be clone as shown by Permit No. ' c� I` has been coomPleted. 1_ l 11✓ 'C�-� � �VY*) ! This structure may be o copied as a Location �35pc L G�t�r� F y c L CLT� Owner ti. L Edo i:ul � � uc Value By Order Town Hoard j TOWN OFF QUEENSBURY Director of Bldg. 6c Code Enforcement iI k I i BUILDING PERMIT TOWN OF QUEENSBURY No. 89 - 124 WARREN COUNTYr NEW YOrRK � 0 PERMISSION is hereby granted to I rn Street, Road or Ave. OWNER of property located atX G 1en gtt`eet` _ I n] P4 in the Town of Queensbury, To Construct or place a 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_ � K C FOWN'ER"S Address is CD Al Boychu�k Leesees BoxChr14786 • Andrews � +v TRACTOR or BUILDER 'S Name Leesee NTRACTOR or BUILDER'S Address C : Same rn n 4. ARCHITECT'S Narne F l� fD C!� 5. ARCHITECT'S Address rt fD fD cr 6. TYPE of Construction — (Please indicate by Xi S ) Wood Frame ( ! Masonry I ) Steel 11 7. PLANS and Specifications No. 630 sg . ft . addition to building as per plot plan , " specifications , and application . a. Proposed Use P r Storage Addition � r N C lq . CIOc/c 6Iry nn PERMIT FEE PAID — TFi1S PERMIT EXPIRES N.nvc�mhrmr l 103- --- C (if a longer period is required an application for an extension must he made to the Building and Zoning inspector of the U town of Queensbury before the expiration dated r r Dated at the Town of Queensbury this 19$ Day of . Anr �- � for the Town of Queensbury SIGNED BY Building and Zoning Instmetor ZONING PERMIT TOWN N OF QUEENS]3UT2Y APPr. ICATTON FOR 13urL11I1iG AND t lea.-tc- U ' Pec.i ewr �; F7 OURENSBURY . R err-i.e.wed MAR 3 0 1989 Fee Pootd fi 11L)ILCIING AND CODES LATAtzr raid Date. Iaaued & / -7IIoe BLDG. & CODE DEPT. JJAY and NAV-rLAND ROADS RD 1 13ox 93 - 0UEEAISL3LlFtY, AlEtJ yC)pK 32& 0 Penrn t Tel . ( 518 ) 792-5332 Ext -204 a Y i a i s •i4 * r i • i 'a i •' * Y s ■ i i i Y / ■ i i Y a i w } a[ Y N a A 1" C01MIT htUS'C U4 OBTAINED BEFORE BEGINNING CONSTRUCTION . NO INSPECTIONS WILL BE HADL UNTIL APPLICANT 11AS RECEIVED A VALID BVIL.DINC PERMIT . All applicable spaces on this application must be contl+ leted and the -S •; (Yua. t re of app* the licant *" St *y'll'Q�D�* � �ca* � � � �0* D� } * side of �h � S � S '� � � '� 41. 1-te owner of this property is ; T E L . t} . O . Address s77r `PAX MAP NO troperty location - 1 . 31as there been any split of this property since October yes eo 1f yes . Planning Board Review is necessary . LOT NO . SUBDIVISION NAME . TV APPLICABLE The person responsiblee for supervision of work as regards Building -I1413Code is : NA At3: P . O . ADDREy` S Ti: L . NO . -�'' " Address L-� C,.="'�Z� Tel� �ra �u 8 .— Name of builder'JffM� �(- ` — Tel t4"ma of Plumber r.ddress TelName of Mason Rddre�5 14ATURk Ur- MOPO:M walz ' ZONING INVORPIATION ( Off4ce use on11 ) _Cnn :tract iorL of a rruw building r I ZONING DCSICNATION OF PROPERTY `yC Adaicin [1 to a building r PERMITTED PRINCIPAL PERMITTED ACCESSORY.. i y Alta ration to a BOARDUui. ding # REVIEW REQUIRED - PLANNING BOAR ZONINGBC3ARD� _ � ( raA chr kckgk.: to a:Mtwri.� r aimensLon31 OLhur work (�la .cr iU.') r SITE PLAN REVIEW #� APPROVED DATE .r VARIANCE itAPPROVED DAT£ reoss ARUA OP 1� rtolsosED, � •rrtuc •lurie 1st Floor sq ft . Remarks : 2 nd Floor sq f t . r COihkV' L• r IF31`C11u�V11`i'S17tV !xa G1Uilal D ul L Utl . yw ft SizIa of prOVert Other Floors sq fit . Iaci::tiruy buil�litaw, iz ai rc X rt . ( not cellar or basQmentl 4r TOTAL FLOOR ARE ( sq f t • " Exiztiaig riuil+linal (« ) Uzo L' i;cu ac new x:tructur�% ft X ft ` l'ocu�d:wcion-riier/::l Llcr:►w1Jir�arci"l/ full Ntal)cz;ud building - cli:;tanerr rrauti Larclxerty line (eirclu one: ) + + Front yard ft Rear yUrd ft Nj * of :torie: (habitable •-D,race ) ! Side, yards �8 ft and rt ltuighc (t.)radc to r]l.dc)u ) It `t f t • If on crarn.:r , UQ ryack fro:a side: sc rur:t c c If raaidasntial , nos of f.:arni Ile s _ OCCUPANCY INFOP440ATION Na . of room:; ( excludinU bat:hsl NP tlo6 of bcsdroorns ; pRIMI DUILDING Noo or batlarocuo:: - Ones fanai.ly dwelling Vriar:ary huatiltU wyy:.e: r:rra •iw¢ family dwullinq "rypQ of fuel h1 s MultIV14s alwa'slling / Number of units No * of fire:l1laca`::: to tic: installe:ct i�eYsnrncnt occ:upw4cy Will :a wouai a:tovu Lu in-: t:allua3? a Trant.:iesnt 1uQcu1)ata0y Luntrul Air coj%UJLz>~canin90 ,. b =Uusin"ss uuILD1W4 STYLt", PRIMARY STRUCTURE . Industrial Oth+�r l; arach ContQ"Lpiarary Lcag c:abi.n � It ;&4dizinn , wl'rut will wws:es bet ranch M"nsic.ar Dul}la x alslit luVal Old acyl.: UUALCs.,14w . ACCL•'SSORY UUYLDIHC- LI Cod Cottaq� CALoni;il Uow 'town (louse ' rsc.:tachad 9"rt4go/ona curl two car/ a. .E Acruchud q arragu/ona3 car/ two car/��w cwa ( CIRCLE ONE PLEAS 1 riV Y w Is a -A a i i wN :ata3 atAruga building ti 'T 'e' 1MA9' 3: t3 HA_ R1: VALUt' or ��dtha9C r 1t4pOTtAtATTON ON AurLnTNC IsPCCIFrCATTC.NS . ON REVERSE: SIDC OF TSITS CHCET, TO 00 COMFLC•PLD1 Form DPA .10/98 V1 BUILDING PERMIT APPLICATION CONTINUED - u BUILDING SPECIFICATIONS : Type of construction , �oa ram£ moire safe , etc . Will any second-hand or ungraded lumber be used? If so , for what ? Foundation wall material _Thickness Depth of foundation below grade (to bot�__� ' footing ) Will there be a cellar? Heated or heated? Floor sq. footage s ft Will there be a basement? Will any portion be used as living space ? q ( If so, what portion? sq. ft . - - Type of use? Type of roof - sloped/fla she other Material of roof Size , wood studs- •x spacing �o , c . length ft . JoistsCfloor beams ? 1st . f] ocar- -'' 01spacing •lo . c . span ft , joists ( floor beams ) 2nd . floor " X11spacing "o . c , span ft . Overlays (ceiling beams ) lox it spacing "'o , c . span ft . Roof rafters ^ XItspacing o . c , span ft . Roof trusses (pre-en1 n" acing "o . c . span £t . Exterior wall finish Of what material? Interior wall finish If a -;arage is to be attached , describe materials to be used for FIRE SEPARATION : Is there to be an opening betwe,:_;-_ ,arage and dwelling? (1 If so will a Fire-rated door , enclosure , and self-closi: . _, device Pe provided? Will a flue-lined chimney be installed? Height above roof ft _ Depth of chimney foundatia b low grade ft , Depth of fireplace hearth )�ft . in . Water supply - Municipal or private well SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties ft , (A separate application is necessary for any repair or new installation of septic system) D E C L A R A T I O N 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 th, whether specified or not , and that such work is authorized b he owner, Signature _ Owner, owner's agent, are ect, contractor 't SPECIAL CONDITIONS OF THE PERMIT : By TOWN OF QUEENSBURY Bay of Mavdand R084DueaR+ +►Y: !VY 72 04 9T25—ST6-T92.5632 Buildincj & Cddes Department INSPECTOR'S REPORT I9 p RCYP E iLOCATT I ON pWNER OR TENANT BUILDING SEWAGE SIGN QTHER REMARKS : s CONTACT THIS OFFICE WITHIN INSPECTOR •*o4oME OF NATURAL BEAU Ea YAGGOW PLACE TO LIVE" T©ti�N QUENS$[3RY ENT { t AND CODES DEP IN D ROADS H VILAN yORIC eOsk y, NEW QUEEITSB ( 518 ) 792~5 32 TELEPHO INS ECr p I S MTORT W-ILDING RE;7UEST� . R INSPE IO RECEIVED NAME I — IpGATIDN C PE IT # APPROVED DATE -f- YES O FOOTING/PIE ` FO S � MOSOLI THIC P-PR FING FOUNDATION/P �--� �— AL BpiCKF`II'L' '� ROUGH PLUMBING FRAMING -x ELSCTRXCAL RpTrG INSVLATION= FOUNDATION FLOOR$ WALLS CEILING NSPECTION= FINAL HEIGHT CHIMNEY ROOFING SIDING EPS� EXTERNAL PORCHE / & CLEARANC LIxEF VALVE STAIRS— FIX S/ PLUMBING IVA Y DOORS INTER-TOR TRIM/ F.I1i1SHED FLOOR INC, GARAGE FIREPR DOOR CLOSER (S) SMOKE DETECTOR INSPEC ON FINAL ELECT CONS T TIONf_ F•IN'AL APPROVAL O Fi C/C 1. _ OiC 'ro ISSUE C/d TE OF OC UPANCX MUST BE SIGNED CERTIFI 'ABUILDING EPARTM OBTAINED FRO' EN AT BEFOFZE TH OCCUPIED THSSE PREMISES A E EMARKS : } � r INSPECTOR 1 { TOWN OF QUEEi3 � SUILY LDI T NG AND CODES DEPARMENT BUS yA --�--� BAY & HAVIL ND ROADS 1280& NEW YORK QUEENSBURY= 51s ) 792-5832 TELEPHONE gEpORT iLDIP3G I1`35PBO'TORr NSPECTION RECEI D REQUEST FOR NAME ,c LTION PERM # ,�� ..�..._—~ APPRO DATE 'VED YES NO FOOTING pou FORMS f` MONOLITHIC DAM PROOFIN FOUNDATION/DAM BACKFILL "PRO L GH PLUMBING RAMING ELECTRICAL ROUGH IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION= CHIMNEY HEIGHT ROOFING SIDING S PS EXTERNAL PORCHES 6 ILS _ �-- STAIRS-CLEARANCE IEF VALVE PLUMBING FIX VA DOORS INTERIOR TRIMFINISHED /P RS GARAGE FIRS R ING DOOR CLOSER (S) SMOKE DETECTOR ELECTRICAL �-- ICAL INSPEC O FINAL TIf7~N FINALAL APPROVAL CONSTR _ /� R CIO OK To 15SUE C UPANCY MUST BE BUILDING DEPARTMENT BEFORE A SIGNED CER�IF LATE OF OBTAINED FROM T RE OCCUPIE THESE PREMISES REMARKS : �yRPAR r] INSPECTOR p ar P P I rr MAIN OFFICE ATLANTIC-INLAND, INC. 997 McLean Rd. NEW YORK Cortland, New York 13045 MEMBER OF N-F.P.A. AND IAE-I. Phone: (607) 753-7118 FIRE UNDERWRITERS (fi07) 753-7809 (607) 753 1396 (Electrical and Fire Inspection-Enforcing and Consulting Service) (Incorporated in the State of New Yo(k) Desifin9 Cerh IF Cale of Approval, application is made for inspection of electrical irate ll ati on in the premises described below. On demand applicant agrees to pay for inspection service in accord with schedule of charges. APPLICATION FOR ELECTRICAL INSPECTION — PLEASE. PRINT OR TYPE THIS SECTION TO BE COMPLETED BY APPLICANT DATE OF APPLICATION CITY, W VILLAGE COUNTY 1"7 / 1I�' STATE STREET eqz' . l BUILOG- NO. ADDRESS �=�" RURAL POLE NO. DIRECTIONS OWNER'$ 1 ,/'+ NAME {,,.. L-{t�` ram--914 LA OGCUPYEO AS OCCUPANTIVf R G BUILDING — New E9 Old 0 WORK — New M Addilimlio OWNER'S P_O_ 7^4 ADDRESS iJ Sd APP- FOR — ROUGH WIRING FIXTURES OR READY FOR INSPECTION 19 FEE REMITTED — t BY CHECK ❑ CASH ❑ MONEY ORDER M MAKE PAYABLE TO ATLANTIC-INLAND. INC. -.NEW YORK Number of Rough Wiring Outlala Flxlwas Add InetallaLon . 500 750 1000 1250 IWO 1750 20M 22% 25 2750 3000 Swlch Li'ing Recap- KW Med. Mogul Fluor Moat Base Base FJOCL Heat Amp. Amp. Service wafer Nu. Burner Au Cantl. ._, Surface Unit Oven Range Gr- DISP- Dish W- Dryer H.P. Pomp Ex. Fan Hood OTHER EQUIPMENT (Specify Type # Capacities) + L-I .TYPE OF SIZE OF SUB- BRANCHES No- OF ,,,,�r �]prIRING OPEN CO iJED THE MAIN ' MAIN CIRCUITS �•I�L-'r4 �� APPLICANT'S LICENSE M PERMIT F SIGNATURE pf NAME OF APPLICANT'S O p "L, UTILITY —..— ADO RESS p iR� Q OFFICE 70 CITY �7� STATE . ZIP CODE �[] BE NOTIFIED AMP SERVICE K.W. SURFACE ROUGH WIRING OUTLETS EQUIPMENT UNIT SWITCHES AMP SERVICE K-W. OVEN CONDUCTORS H.P.GARBAGE RECEPTACLES M.P- PUMP DISPOSAL UNIT K.W. MEDIUM BASE DISHWASHER FIXTURES K.W. DRYER MOGUL BASE K.W- WATER FIXTURES HEATER K.W. RANGE FLUORESCENT H.P. AIR AMP. RECEPTACLES' CONDITIONER FIXTURES BURNER SMOKE f'RA(:.. H P. MERCURY VAPOR OR WIRING a CONTROLS FOR DETECTORS VENT FANS QUARTZ FIXTURES MOTORS, H.P. 1120 1112 1r10 1!B 1/6 114 113 112 3�4 1 1'h 2 3 5 7A 10 15 20 25 30 44 SD 75 100 MARK NUMBER OF EACH SIZE 500 750 1000 1250 150( 1750 2000 22W 2500 2750 7000 APPARATUS Elect Haar Mlsc, INFO. Received Inspected FEE PAID d PROGRESS TOTAL $ f3 OEFECTIVE Crack No. A) �. 71. .cv 60 1a Rough wiring ceraacate ,+t Money Otoer O Temporary Sorvlce O FINAL CERTIFICATE Cash M odri. - Fri. 6-7:3 0A. M: ❑ pop. Cart Req- Gharga 513-69e�1- J" `'95 I7 MUNICIPAL 518- 638-6339 MUN. ADDRESS n 3 I 1 4,is ` s �7 ' ` f' / r ju (.SC2134;T S iJ,' k�`xf g• CL coz X- ' COV�2E�� 6LOtXU/G17/�tr t C C. 92 5�9 74 , . fP v.�c ,4JQ Sil k v t � V � or .. F 51 E n IF l . .r �,x F�c 1 s \ 1 1 n� J 7 S � v � � ��,f ✓ I ,