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1989-122 n .. nf.. . k � TOWN OF +QUEENSBURY WARREN COUNTY. NEW YORK I Date 19 } . [ - � - ' 7 This is to certify that work requested to be done as shovwn by Permit No. 7 has been completed- This structure may be occupied as a commer o i a l Building i Location Gravure R+estsurces Olvner By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement i k .. _. BUILDING PERMIT TOWN OF QUEENSBURY No. 59- 122 WARREN COUNTY, NEW YORK ry PERMISSION is hereby granted to Gravure Resources , inc -a 1 V OWNER of property located at Minnesota Avenue Street, Road or Ave. 16 1 O in the Town of Queensbury, To Construct or place a Alterations to Bldg ' 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 Oueensbury Building and Zoning Ordinance. 1 . OWNER'S Address is Same 2. CONTRACTOR or BUI LOE WS Name w . w . Maliiie & CONTRACTOR or BUILDER'S Address En 0 G] 4. ARCHITECT'S 'Marne + t-� 5. ARCHITECT'S Address , 6. TYPE of Construction — (Please indicate by XI h++ D 1 I Wood Frame { ) Masonry I ) Steel I I GO Q 7. PLANS and Specifications r'r 7 . 5 x 32 ' Alterations to bldg . as per plot plan , specifica ions 0 No. :W and application . C ro 0 8. Proposed Use C Commercial Building M_ 50 . 00 c /o $ 20 o OO PERMIT FEE. PAID — THIS PERMIT EXPIRES November 1 19 89 (If a longer period is required an application for an extansion must he made to the 0uiWing and Zoning inspector of the > town of Queensbury before the expiration date.) r.l. Dated at the Town of Cueensbury this 13th Day of April 19 89 PMII e-r for the Town of Queensbury p SIGNED BY a -- Building and oning In or W I"1 Q tx I` Q bQ 0 TGI N 10r QLJEENS13L1RY APPf, ICATTON FOR BUII. DTMO AND ZONING PT: RMIT r -" Revc r Fee. PaaLd !'d.]ILDING AND CODES D11PAk2'D40"tT pate. 7aAued BAY and IIAVILAND ROADS RD I BOX 93 0UEEjVSGUTi jvE1J Y"ORA 3280-P Pew' MZt Na . T01 . ( 518) 792-5832 Ext 204 !1 1M 'k t � w R * f * w w w * � f / Y1 ri ■ • s 'R t w w w x k x k x k w w rt a A {'Elt11IT biUS'l' l;) OBTAINED 13E )" ORE LEGINtlING CONSTRUCTION . NO INSPECTIONS • L'' ILL BE MADE UNTIL APPI ICANDT IiAS RECEIVED A VALID UCILDINC PERMIT . All applicable spaces on this a1?pllion an t1�+ et be reverxcPsidedofnthise51ACCt . c, i vaa cure of the applicant must ai pear a yc k h x x X at X n de w A # k x is ie '1' he owner of this PrOPerty is : e_ i-U� PeZ P . O . Address • 'TAX MAP In property location / [.'+ G7T " ✓E ^�"� , tr .,A Ilan there been any split of this property since October yes no f yes . Planning Board Review is necessary . LOT NO . . UBDIVISION NAME , Ir APPLICABLE `l, he person responsib e ror supervIsiOn of work as regards Building Codes is : Poo , ADDRESS TI L . NCI . NOI Tel 144Ume Of builder Address Tel ly:ame of Plumber T.ddresS Address ,eQ77 :t J S. Tel AS-e Name o f Masan �,rza.Gc. �.nvl �"'"+I_ � _ 1,44 JRk or PROI'D:LD wjl2v. : Z(INIrjG INIROftrfATION (Office use on - !) ) Cann » [ ruc [ iorx of a flaw quildinc) } :40NING DESIGNATION OF PROPERTY --�Ad.yir. ior► to :a buildiltg +r PERMITTED PRINCIPAL PERMITTSCI ACCESSORY - Al carat ion to " i:uilding W REVIEW REQUIRED - PLANNING DOARD ZONING 13oAR[]� (llO cfklI to a:xcL� rior climenslons ) w APPROVED DATE ochg: r wort: f.lascril�aal � SITE PLAN REVIEW #) Ar C: i,LOSS AREA 01.' PROPOSED. :.6TRUCTURZ DATE N VARIANCE APPROVED "1111111111 lip Remarks 1 .; t floor 2�ic� molsq ft . * -- 2 sid Floor sq i t . w CCk•LV I�UTILi IiN1.Ol:IrlIA`1`ION lrl:r,U "` I us=LUa! . ` Sins Of 1?ralsa rty _ tit x Irc , other Floors sq ft . "!:I ti�lg T�uilali�ti•} ( :: ) siayav ft; x_ 7 (o r' t . ( not cellar or basement ) � TOTAL FLOOR AREA 'L� �?sq f t . ' LiCi�Giric] OW11" i.nw,l ( :s ) u::c ►"vi :Tuu�s�c.7`u. s� tJ L' iFa Ur ? � ft X 3Z' ft ` 1�ctusi`rl � fir r:`a�aAiuw. rLGL' + .c �'oau�dation-Pier �laL crawl/p,arci:aiJfull PgQpo;:cd buiiaing , ds::canca: rrOlu I,r lsc rty new [ ruC rclas One-. ) � Front yµrd� o f t Rear yard t J f t Noll of storiew (Ila bit:a'blo :. lsc►ce) Sidi yard:: r IIu .La}t1t { s}rJ�d�' to ridgo ) ft • w II Ori CC+rSIa:X � ��: t"Ick r'rola SWU t+CCuut rF If r.: sid.ntial , no. ox famiIies OCCUPANCY INFON" ATION No » of rooms (axcludiou b:athaW IIO.. of budroouls # Is1iIISRItY LUILDING: Alex No „ of bathrooms ; Ono .family dwelling Pr.i.mary 11"atil►q fau►ily dw►s11i0H 3`yl1u caf €u+= 1 Kultlp,G* alwulling J Number of urlits�� NO . of fir4aplacwa to 14Q irxaca.11vd . � Parutianc:llt OCCUPalwCy Wi11 ;,. woual ::4aw4= tea: r 'Pr:xns:S.Out rsi:cul,s:arsc:y CoaLrcal Air cor�aiitiunicic}'?. . �T usinuss BUILDING STYLE, pRIMARY :TRUCTURC , „Induce rial Other l::+e►ckl Cclntuauswcuary Lt,n cabin if .additi4xn . w1&"Q will u�+ b. ? le:.� iz.:d raricll 1K:ansi.u�� Dul}l::x ILsIiG LcVa l Old Style Lsu a kow . ACCL:SSORY 13UILAI1iG� c rv�pu Cod Cott.«ya OCIL4:r R _ zar Colonial Luaw ' wn klOuse L+sscachac,l gaart,g[s/ono car/ two cac/ { CIitCL.L ONE PLEASE 1 Actach4u g:aragu/Ono arsr/ two c::ar/^ Caar w • s w • w tir . w a • r w w s '�' prlvaGa storaagle building L•; S41' I MAT1"` D MRR1 ICT V A1. 0 V' OF w tpNS:'x• ltUC'i" TGN 1N['ORMIRTIGSN ON nUILOTNC SPrCIFSCAY'3C.4Ss oN REVERSE. SIDE OF THIS Ct'EL'T, 'I"O HE COMpLE'1'I Al Form BPA 10/98 V2 BUILDING PERMIT APPLICATION CONTINUED - ""'or BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc , CO •� 4C 1S0C0c_J[ Lll*A. 1 S fd-e0j Will any second-hand or ungraded lumber be used? If so , for what ? Foundation wall material CbdLC.r- fc'_j-'Z Thickness tea;; Depth of foundation below grade (to bottom of footing ) _ Will there be a cellar?Heated or unheated? r -- Floor sq, footage sc ft Will there be a basement? gyp Will any portion be used as living space ? ( If so , what port ? �sq . ft , - - Type of use? Type of roof - sloped flat/shed/other Material of roof +t t� wva Size , wood stu "' }{ p g -� s acin "o , c , length ft , Joist Floor beams ) 1sto floor _+" x Itspacing "o , c . span ft . .7oisL:. % floor beams ) 2nd . floor "X '" spacing "o . c , span ft . Overlays ( ceiling beams ) "X " spacing "o , c . span ft . Roof rafters +' X "' ape o . c , span ft . Roof trusses (pre-engineered) ing "' o , c , spin ft , Exterior wall finish Of what material? Interior wall finish If a garage is to be attached , describe materials to be used for FIRE SEPARATION : Is there to be an opening between garage and dwelling? ,4Jca If so will a Eire-rated door , enclosure , and self-closing device be provided? Will a flue-lined chimney be installed? ,6le Height above roof ft , Depth of chimney foundation below grade ft , Depth of fireplace hearth ft , -- in . Water supply - Municipal or private well ►nvttc 120K SEPTIC SYSTEM Distance from ANY private well ( ineluding adjoining properties _ ft . (A separate application is necessary for any repair or new installation of septic syst <:m ) 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 c0lilplete 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 specific or not , and that such work is authorized by the owner. Signature " /� Owner, owner's agent , architect, contractor lir Jr it for SPECIAL CONDITIONS OF THE PERMIT : ........... o � • rr - 4 ( 3/ 89 THIS CERTIFICAT. IS ISS1:EC :c A MaTTER OF :`IFC RPAA7!0. N ':NLM AND CONFERS ,. NO RIGHTS UPON THE C'"A F�^:."� ••.^'�DE R. ^CES NOT AMEND Wise Insurance Brokers , Inc . EXTENO OR AL`• ER THECfiGE7 BY =H£ "JL! IES aE-OW — 10 Railroad Place - -- - Saratoga Springs , N . Y . 12866 COMPANIES GFFCRDiNG COVERAC%mE ---'- AGeneral Accident Insurance Co . Zurich Insurance Co . William W . Maille -- 121 Aviation Road --- - --- - Queensbury , N . Y . 12804 - - - ' - - -- E GENERAL i ' 4$-LITw - _ _ - I I _ 100 A WC 0065985-01 3/ 30/ 89 3 / 30/ 90 - 500 100 _. .. B N . Y . S . Disability 1988538-001 3 / 20 /87 Continuousi Benefits For work at Lamplighter Mobile home Sales , R . D . # 2 , Rte . 9 , Fort Edward , N . Y . x fL. •yY"n'3 ✓:'StS}I'Y9 .T. .0 x .. y� i ...."u. ?4 • $-.. - . , ..i.t ... "qF. YY.. . Town of Queensbury - . , 2� Bay Road 30 Queensbury , N . Y . 12804 �- REcc ESEN _A Attn : Nancy MIDDLE DEPART N AGENCY, INC. ��. I .. 1989�lmsPec � ate May 2 : (�Q1L t lflt� that tQ uipment fisted has been eXe approved as being in accord iicabie governmental , utility an s with the National Elect p g Owner: Gravure Resour a p s i Same ... occupant: u e u W rl�ficale t Ic 1pment and 4nslellation inspected to r.Q�'waildn: Mull Av : date. if addiionel ul nT be introduced or alSaralions made to ertsating aYatem IN be nuts and void. and APPlicalion for C L ,/ pry y Inspectlan should aUbmltt p ly to thla Agency. 600 Amp $erV �$ 8 `#VS/"2 ArL �` � older of this ae fkaie Eh Id ent acme or his ti"IGQ ineuranCe carrier Equipment i fi +7 a9an4 or comp yl ea srl mica me 140 his cr property km ane approvetl 160 Amp 30 Dtac ct sa apecisieE. rK & j Electri 5... ICE #11383 oo 15 -022476 11 Walnut street App+rcant: �Glexxa 1"'a1ls , NY 128 z SELECT BUSINESS FORMS (609) 848-5203 APPLICATION FOR ELECTRICAL INSPECTION PLEASE BEAR DOWN YOU ARE MAKING (4) COPIES .� MIDDLE DEPARTMENT INSPECTION AGENCY, INC. National Headquarters 900 Haddon Ave., Collingswood, N.J. 08108 LA Date : 4 I3 S`? City. Town or Township U L~ENse>C4 � � County �'A �P,15 "^J State Location/Address ©7` � I�'� lnluEFSOTA A-V iE {1f Located in Rural Area - Please Attach Directionsf Pole # Owner_ � 42,A `QU1 = 54uLf'-C- ES / � = Permit-" .�.,� Occupied As �A V1 r � kA ���� -ZNG Building: New= OId 5< Occupant 4 12_E ' LiC.- 7 n J C^ Work Area In Bulldln Floor #, etc. ) : A _ for: Wirin Service —1 or: Read for Inspection : Cash Check [] M.O. 0 Make Payable To : M. D. 1,A. Fee Remitted - $ Saa 15a 14a4 1230 1504 1�5a 204a 2230 25a4 225a 3DOa Number of Rough Wiring Outlets Elect. Heat — Switches Amp. Service Surface Unit Dishwasher Range Lighting Water Heater Air Conditioner 0Dryer Pump Receptacles Oven Garbage Disposal Wiring and Controls for Burner Number of Fixtures _ Amp. Receptacles Fractional H.P. Vent Fans Other Equipment: hM1C]TORS I-{ p 1f2 1/12 1f10 1/8 1/6 1f4 1/3 lf2 3f4 1 1+lz 2 3 5 7112 10 15 20 25 3e 40 50 75 100 Mark Number of Each Size Applicants License # Permit # Signature T/A Utility : {NAME] (OFFICE LOCATION Applicants Address : (City] 4State) (Zip) Service Request # # Electrician : Phone MDIA USE ONLY ❑ATE RECEIVETJ: DATE INSPECTED7 Correct Location : Same as Above C] ar: Red Notice Label Rough Wiring Outlets Surface Unit Oven Garbage Disposal Switches Range Receptacles Water Heater Dishwasher Fixtures Air Conditioner Dryer Amp. Service Equipment Burner, Wiring & Controls for Amp. Receptacle Amp, Service Conductors Pump Vent Fans MO TORS H.P. 1/20 1/12 1/10 1/a l f6 lf4 lf3 1/2 3/4 1 1112 2 3 5 742 10 15 20 25 30 40 50 75 100 Mark Number of Each Size - - --- I SOD 750 1000 1250 1500 17s4 xaaa zzsa 2500 2750 a000 ect. Heat Da-s}aiaw Po) Sox 321 1�1 �SutCJ f /i 4 ( 31�; v, i LEC7Rl AL i1�^aPECTOR NOTIFIED DATE CORRECT FEE PAID CERTIFICATIONS USE FOR INITIAL VISIT ONLY FEE 0 RW Progress: Inc. 0 LKD Contractor I� CFT Violation : Work Comp. Inc. � CASH 0 F1 L/A Owner Fee CHK # L/A Due MO # IPA Municipal INV # Applicant Date : Other Side � Utility Owner Cut in Card [] Temp # Date Tows of QU'E.B.NSBUvs ARTMENT BUILDING ANp CODES ND ROADS BAD. & HAVILA 1280&- RY ( 5y81 7 92 UgEiJSBU , NEW PORK 5832 TELEPHONE � I 1NSk'ECY©R' S ggpoRT usST Ff7 I SPECTrON �- NAME LOCATION PERMIT IN 1- f /J ( � AFk'gpG ROVED DATE S� T�-- yr,5 N OTINGIPIgRS FO ip*1S�1 - --- MONOLIT14C POUR PROO FINGFOU C'J,N/DAMp� �--� EkAcRDFAILL APPROVAL ROUGH PLUMbING FRAMING gO,UGFI IN IN TION : FLOORS- WALLS CEILING PECTION ��-- -_-- FINAL INS HEXGH CHIMNEY ROOFING�_- SIDINGAL PO CHESIST .pS LS��_ EXTERN RAiVCE 6 RA7i VALVE STAIRS~CLE IXTURRSILF PLUMBING 1RXM/ PRIVACY RS INTERIOR RS FINISHED GARAGE F R oOFING DOOR C SMOKE D TECTORS IT1S--- ION ELF mRICAL CONSTRUCTION FINAL OVAL Cif' r'lNAL APB' SST flE ----$'-' '-- -~ OF OCCi7PANCY BEFORE --� TIFICATE DEPARTMBNT A SIGNED FROM THE BUSL77IN ED r OHTAIN pREMXSES ARE OCCUPI -- THESE REMARKS - a I�I TOWN OF Q L3EEN BURY BUILDING AND CODES DEPARTME NT ,SAY & HAVILANE ROADSYORK I280k QUEENSBURY, 518 ) 792- 5832 TELEPHONE � BUILDING INSPECTOR' S REPORT REQUEST FOR IATSPECTTON RECEz�1ED�_-.--- NAME LOCATIONg� / PERMIT # DATE _^ ."_t �--- -- APPROVED YES NO 4,,,froOTING/PIERS C� MONOLITHIC POUR IpR�OOFING_�-�. FOUNDATIONIDAMP � BACKFILL APPROVA\P ROUGH PLUMBING FRAMING ROUGH-IN ELECTR INSULATION* FOUND FLOORS WALLS CEILING FINAL INSPECTION : CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCH S/STEPS CE & RAILS S.LUMB NG FI A RES/RELIEF. LVE PLUMBING FIX PRIVACY DOOR INTERIOR TR � S — - FINISHED F _ -- GARAGE FTR PRDOFING__�_---�--�— DOOR CLOS R (S) SMOxE DE CTORS NTION FINAL ELF C RICALOFICSONSTRUCTION FINAL APPR VAL A SIGNED CERTIFICATE OF NG pCCUPANCY SST 8E OBTAINED FROM THE BUUTLDT DJ EPARTMEN7' BEFORE 'THESE PREMISES ARE RE RiCS Ap IN PECTOR