Loading...
1989-318 Id bw CERTIFICATE' OF OCCUPAN(D'17 TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK November 9 89 19 w - TUis is to certify that work requested to be done as shovm by Permit No. 89- 11IR has beam completed. This *fracture may be occupied as a Silpiqlp Family Addition — ---------—-------- ll Loocatiorn Lake S�unn�ysl e Owner , . Pain Miller Sy Order Town Hoard 7MWN OF QUEENSSURY Director of Bldg. & Code Enforcement L y BUILDING PERMIT TOWN OF QUEENSBURY No 89_3�s a WARREN COUNTY, NEW YORK Q 1 t PERMISSION is hereby granted to� S Paul Miller OWNER of property located at Lake c■.nnySide Street. Road or Ave. in the Town of Queensbury, To Construct or place a at the above location in accordance to application together with plot plans and of er information 'hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 3 1 . OWNER'S Address is r- 52 Elm Street M Hudson Fails , N . Y . 12839 rn 2. CONTRACTOR or BUILDERS Name Mo Self r 3. CONTRACTOR or BUILDER 'S Address SAR e 4. ARCHITECT'S Name GI7 G Y S. ARCHITECT'S Address -C CJ'+ v m 5. TYPE of Construction — (Please indicate by X) l ] wood Frame i t Masonry l ) Steel l 1 7. PLANS and Specifications No, 32 ' +6" x 34 ' addition to single family dwelling as per plot plan , A specifications , and application , including septic , 8_ Proposed Use —I CD Single family addition o c/o incl. `JI W $ 8$. 00 PERMIT FEE PAIL] — THIS PERMIT EXPIRES 19 (lf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the rrI town of Queensbury before the expiration date.} =n Grated at the Town of Queensbury this Ifth D ky of may 19 89 SIGNED BY for the Town of Queensbury Building a nd26 ninglnspector TOWN OF QUEEN5BURY AP' P.I. ICATTON FOR BUILDIHC AND ZONING PERMIT Ila CC . F'LGtCV ed I TQ I le td Fee. Paid t- �-=� ■r7�Q�' � cS � ;U I LDI NC AND CODES DI :PARTPiF-NFT Date Iba ued 10 7989 r and ffAVIL.IND ROADS RL+ 1 RDx 98 (y �� PUEENSBURY , NEW YORK 12804 PeARlit No • Tel . ( 518 ) 792-5632 Ext 204 • • ! ! ,t * ,i ,Y f r • Ir ,r i w R i x i i w r • • w r r • 4 /e w • • w r Yt • A PERfIT MUST Bn OBTAINED BEFORE UEGINHING CONSTRUCTION . NO INSP1? cTIONS VILL BE HADE UNTIL APPLICANT HAS RECEIVED A 'VALID DUILDINC PERMIT . All applicable spaces on this application must be contpleted and the : '� ntiaturc of the applicant riust ape ear on the reverse sick of this sllect . tie owner of this Property is : . �I--�C '!�- ,rJ O . Address 4eZ Af ,4�,/_�/,� ,lr ., ,� 1240J� TEL . ZY �' ' eLr- ��,." �7', TAX MAP NO roperky location LA., rJc tAL gas there been any split of this property sin Le October 1 , 198B ? Ye5 ' — 1' yes , Planning Board Review is necessary . L BDIVISION 14AME , IF APPLICA5LU LOT NO . 1, e ,person responsible for supervision of wort: as regards Building Codes is ; NAME: F . O » ADDRESS TEE . No . ,me of builder f= Address Tel F.ddress Tel k:ne of Plumber Aor'�.aC Tel ime of Mason Aadross AURC OF PROrOSCO W[ 13r. » r ZONING INI ;ORPtlLTION ( UtTi. ce use only ) _COnstrUctior, of U nuw building ZONING DESIGNATION OF 'PROPERTY &Addition to a building ; PERMITTED PRINCIPAL PERMITTED ACCESSORY A. itur,..kion to :a Luiiding „ REVIEW REQUIRED - PLANNIIiG 80ARU ZONING BOARO� . ( no c1 ,.xnqu to exterior climenx: ionsl 00st.! r work tdoa crib&e ) - r SITE PLAN REVIEW ff APPROVED 'DATE ATE VARIANCE APPROVED +v D 5 BOSS AREA OV pnopoSVD, :; T fe U (2 Or U R C . t Floor sq ft . 100'e Remarks : < < d Floor �� Gam. sq f t ComPLLTE Itik'tlrg4ATION ltl:Qi IULD U L0610 \\\ 5jr.0 of property r ^L it x ,/�� _ft . rtier Floors s _ ft IV A- Lxi�tir,c] Luil.iii ,.] t =% ) � i : L: 22 l' L x 2C) tt . Plot cellar or basement ) 3TAL FLOOR AREA_t � sq ft - i:xiatil;g b�. ildiru] { :: ] Uau �4�r?� �, t .: u ul` new structure Zj � ft Ar ft ,w4datian-pier sla /crawl/L7arti�ai/ full ' Yropo:ard building , ds:: sancu from property lino (circlo one ) r f t Front y:, rd f8 " � r' t Rear y:ard�, � . of stories {L►:abit:.ts1. �Lyace ) Side yards . 34- et and tt tl . ight ( Uradu to rid ,a ) � ft • If on cornar , : m;utb:xck fro sir][: :;tru(: t cc z ret; iduntial , no . of familicy� , . of roola:t ( excluding baths ) ` OCCUPANL:Y INFOP44ATICN , » of budroo,ns ' PRIMARY isUILflIN(: 410 � . or bAtIrooms Y7� r One family dwelling ri,rury Iruacilac] Uy:: ' ,'OIL . - Lwo family dwolliny Y1:u of fuel Multiial.= Jwc:liing / Number of units r3 . Of fituplacux Ito flu instull.:.d ( L'aruL.ant ,►t occupcaraoY L ll :a Woof SL:OVQ L.: 111lat:. 114jd7 'L'r:anS:1L:11C c t;xCO 7;alat:y untrul Aa. r conLL;ticlna.r,g .' + Bu slnuus tUILDlNG STYLE, PRI ��Q]L�STRUCTURE Industrial �01010Ochar ar,cit 'ontwul�c,r:,sy n eaUlri It ..r3ditinnr wl4ut Will us►: bu'7 i s+:d rancit M;anti I `~� DLIJAIa:x 'plit la:vel Old scylo UulLkj " 10w " :"pu Crud Cott:aga Ocher ` ACCESSORY UUILDING- csicani al Kow Town House L1s: t.]ch4d y:ar�age/ont3 cur/ two cur/ czar ( CIRCLE•' ONE PLEASE ) ' ACt&Cheer c]tar:at]L:/oaa: car,/ two cat/ cµc' ■ r a AT r ■ • • r r s r Privat` SLOCLLge building L ; 'VIMAIOED KARKF.Y' VAL. UV OF ` �C]chur _ _ _ _ _ lrir••or.7+tATTON ON DUTLDINC svEciFTCATIONS , ON ii.LVCRSE SIDE OF THIS SHELETv TO BE COMPL.GTL:DI Form BPA 10/68 v1 BUILDING 'PERMIT APPLICATION CONTINUED - BU [ LDING SPECIFICATIONS4 Type of construction , wood frame , fire safe , ete . Will any second-hand or ungraded lumber be used? If so , for what ? Foundation wall material !WFit>L.L VZE1 �> <:Zb 7 Thickness lrr Depth of foundation below grade ( to bottom of footing ) A4tIAJ �5 _ will there be a cellar ? ,+ C> Heated or unheated? Floor sq . footage sq ft will there be a basement? LIV_V will any portion be used as living space ? 4`0 ( If so , what port sq . ft . - - Type of use? T�=pe of roof - spe flat/shed/other Material of roof �, size , wood studs '2 , " X L " spaci.ng le, " o . c . Iength _ _ ' ^r -' *gg Joists ( floor beams ) lst . floor AS " x vmW spacing ,, flo . c . span ft . Joists ( floor beams ) 2nd . floor O�.7 " x_.�" spacing�"o . c . span f3 Y ft . overlays (ceiling beams ) I?, " X__ " spacing /<p. "o . c . span Z 3 ft . Roof rafters 02. "x�" spacing___s/(^__o . c . span I'� r ft . Roof trusses (pre-engineered ) spacing '" o . c , span ft . Exterior wall finish )AZZ }© r «r-_-> of what material ?� &ODO I> Interior wall finish "] "4V In L A;a I € a garage is to be attached , clqscribe materials to be used for FIRE SEPARATION : Is there to be an opening between garage and dwelling? Aj /4� if so will a Fire- rated door , enclosure , and calf-closing device be provided? will a flue- lined chimney be installed? 49!�R Height above roof ft . Depth of chimney foundation below grade fir. ft . Depth of fireplace hearth ft . in . Water supply - Municipal or [private well SAtAL� L� �( l L� �� � fr ice✓ SEPTIC SYSTEM _ Distance from ANY private well ( inclyu�g adjoining t = uperties � ft . ( A separate application is necessary for any repair or new installation of septic system) D E C L A 11 A T 1 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 with, whether specified or not, and that such work is authorized by the owner. Signature - owner, owner's agent , architect , contractor SPECIAL CONDITIONS of THE PERMIT : TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work . ANSWER. ALL of the following : 10 Gross floor area I S ZG7 SF= 2 , Type of heat {� � � � � C 3 , is the building mechanically coolest ? g:y e� 4 . Percentage of area of windows and doors' o A . Over 16 % Only 1 . Uo value of gross area of walls , roof / ceiling and floors e osed to ambient conditions 2 . Floor over h ed spaces YES NO a . Are foundati walls insulated ? YES NO 1 . If YES , what the R value ? 3 . Slab on grade YES NO a . if YES , what is the R value insulation around perimeter of floor ? 4o is basement heated ? YES NO a . R value of insulation 5 . Type of insulation B . Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions . 2 . R value of exterior walls 2 3 . R value of glazed area '30 3 A . R value of doors t *� ,,// 5 . R value of floors over unheated spaces F4/A l 6 . R value of slab edge insulation - unheated slab A, 7 . R value of slab insulation - heated slab k© B . R value of heated basement/ cellar walls ( above grade ) ,�la M 9 . R value of heated basement / cellar walls ( below grade ) / A. 10 . Type of insulation T _, Co Controls O F 1 . Thermostat maximum heat setting D . Duct Systems 1 . Is duct system installed in unheated spaces ? YES NO a . If YES , R value of duct installation b . R value of duct in other areas E . Piping Insulation I 1 . Size of hot water or cooling carrying agent pipe t _ 2 . R value of pipe insulation F . Service Water Heating 1 . Performance efficiency 2 . Temperature control setting maximum_ 1 3e_7 +G . For Swimming Pool Only / 1 . maximum heating Telephone No * ( applicant ' s signature ) TOWN OF QUEENSBURY APPLICA"ON FOR SEPTIC DISPOSAL PERMIT 1 7 DATE /4+ r LOCATION OF PROPERTY FOR INSTALLATION �-+ `(+sir-�` CGewLl.�G►, p' Owner's Name: FAu L e'r'//i ILLS Telephone: 74 7 6P w 3 43; Address: zG.+Ii1 5 T d/A Telephone: "A Installer's Name: �X� Number of bedrooms (residential only) �Q /� S� "4�aw �d 7� ,(1'a ~ Total daily flow (compute (d 150 gal per bedroom) 44510 4evw cl* 1Aj0?A►dd>Wm9e7X Topography: Circle one: Flat Rolling tee Sloes % of__$lop�&*f 1�1 4,L wT/'K'�� I"V le -, i Soil Nature: Circle on Sand Loam Clay Other. /Depth: Feet Ground Water : At what depth? -;P"' 8 Feet Bedrock or Impervious Material: At what depth's 15 Feet Percolation test: Circle one: tfooneot required>equired rate miff. inch. Domestic water supply: circle one: Municipal Well Others Sy' �W'�SlUt +°1 � /4?/ If domestic water supply is a well: Separation: Water supply from septic absorption feet PROPOSED SYSTEM: Septic Tank gal. (minimum size: 1 , 004 gal.) TILE FIELD: Each Trench feet/Total system length feet SEEPAGE PIT(S): Number of / Size each feet by feet Size of stone to be used # /Depth or Thickness feet I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the Town of Queensbury SanitaDW Se age Dispnsal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: 5cr/ DATE: 11�Li OVER Septic System Inspections : A . All applications for septic system installation , alteration or repair , as required by the 'town of Queensbury Sanitary Sewage Ordinance , shall be submitted to the Building Department at least 24 hours before start of construction and shall include a plot plan showing : 1 . ) the proposed location of the system 2 . ) location and distance to lot lines 3 . ) location and distance to structures 4 . ) location and distance to any water . supply 5 . ) size and dimensions of all tanks , distribution boxes , tile fields and /or drywells B . No system shall be covered before inspection and approval by the Building Inspector . Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to $ 250 . 00 . C . An approved copy of the plot plan shall be available on the construction site . Failure to produce said plot plan at time of inspection may result in an immediate work stoppage . D . Should unforeseen problems during construction prevent proper installa- tion , alteration or repair of an approved system , a new proposal must be submitted to the Queensbury Building Department before further construction . Town of Queensbury BUILDING and CODES DEPARTMENT Bay and Haviland Roads Queensbury , New York 12804 Remarks : TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAl' & HAVILAND ROADS YORK I28 �1E14 - QLJEENSBURY,, NEW 5 B , 792� 5832 TELEPHONE i BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED, _ NAME _�F✓� LOCATION t PERM � -�---� DATE J -�!1- --- A PROVED i ES NO FOOTING/PIERS MONOLITHIC FOUR FORMS FOUNDATION/DAMP-PROOFING_� BACKFILL APPR AL ROUGH PLUMBIN FRAMING ELECTRICAL ROU -IN INSULATION: FOUNDATION FLOORS WALLS cEILING �INAL INSPECTION= CHIMNEY HEIGHT ROOFING SIDING --- EXTERNAL POR ES/STE STAIRS-CLEA NCE RA PLUMBING F TURES/RELI VALVE INTERIOR IM/PRIVACY FINISHED LOORS GARAGE F REPROOFING DOOR C SER (S) SMOKE ETECTORS FINAL E CTRICA,L. INSPECTION FINAL A PROVAL OF CONSTRUCTION OCCUPANC MUST BE A SIGN CERTIFICATE OF OBTAINE ROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: INSPECTOR . ,sZ~45eowws►6dI tof MIDDLE DEPARTI ��y'o�o�- AGENCY, INC. 4Ct4 11 1Sp 7, Datu November 9 , 1989 QCertlfte� that lest ; i .equipment listed has been e�carm, 13e,�Si a approved as being in accord with the National Elect applicable governmental , utility and 4A15 s. Owner: S . Paul Mill � ..�,/r � P 1� i Occupant: Same � Location: Lake Sunnys i. , {1 (Idpie Elns t ekr certlf icate 7 blac to uipm9ne and inaSaflation inaOBcteJ Chia V date. If addiflonal ui nt in be introduced or aneralions made to a existing System IN Ica be null and void, and apPlication for ,,,� inspection should �� submits p sly to this ngancy. Equipment: 108 Outlets ; O. B cell t a C ies ; Ca�1 i�oltl er Of l"IS ceftlficata ah Id em some to his property insurance carrier l $ � � (agent or Corn pihy) ad OWartifleation Of 61OCTrIc2l OWproem OPPta d I} �+� ,' as specified- r M/ G General Co cotors '1 -_:- '-"" ow 15111111026926 Applicant: 13 Notre Dame Sere -Ft Edward , NY 12828 �I a Ferwn Me, ?W EL 143 _._ . TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUE'ENSBURY, NEW YORK 1280i- TELEPHONE (518) 792-5832 13U I LDI NG INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME - I.00A TION DATE Q PERM£ # APPROVED - YES NO FOOTING/PIERS MONOLITHIC POUR FORMS - - FOUNDATIONfDAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING - FRAMING ELECTRICAL ROU -IN INSULATION: FOUNDATION FLOORS WALES CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHE fST S STAIRS-CLEARAN & RA LS PLUMBING FIXT ES/REL F VALVE INTERIOR TRI /PRIVACY OORS FINISHED F RS GARAGE FIRE ROOFING DOOR CEASE (S) SMOKE DE T TORS FINAL ELEC ICAL INSPECTION FINAL APPR VAL OF CONSTRUCT-TO A SIGNED ERTIF£CATE OF OCCUPANC MUST BE OBTAINED ROM THE BUILDING DEPARTM T BEFORE THESE PRE ISES ARE OCCUPIED! REMARKS: INSPECTOR OUEENSBURY LABORATORY Oueensbury Water Department R. G. 2. Box 386 Corinth Road Queensbury, N . Y. 12804 1 ° J 518 79343866 REPORT OF BACTERIOLOGICAL EXAMINATION Date Collected t 1/1/89 Sample No. 24185 Collected By S. Paul Miller Time Collected 2'00 Sample Point Kitchen faucet, Driven point, 5unrryside No, , RD# 1 , BOX 3009 Qaeensb ury, NY 12804 Address will pick up 1 . Total Coliform ( */100 ml) C1 2. Plate Count ( */i mi) 72 3, Fecal Coliform ( xc/100 ml) 4. Free Chlorine mg/1 5. Other Procedure Used Total Coliform = Membrane Filter with LES Endo Agar Plate Count = 350 C - 48 hr with Plate Count Agar Fecal Coliform = Membrane Filter with mFC Agar AT THE TIME THE SAMPLE WAS SUBMITTED: ® 1 . The results of the analysis of this sample were satisfactory and met requirements for a potable water. Q 2. This sample was not satisfactory since it did not meet the bacterial requirements for potable water, The presence of organisms of the coliform group in a sample of potable water is undesirable and, while not neces- sarily indicating the presence of any disease-producing organisms, does indicate that such contamination might survive to the same extent_ The presence of nisms of the co ' oup may also indicate that the treatment was not adequate at the time the same w s col cte Chemist TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280i TELEPHONE (518) 792"-5632 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVE-o /rZ/^^'1 p� NAME LOCATION DATE tsc� 1 x PERMIT #-- 1L? APPRUVED YES NO FOOTING/PIE ~J�!4ty b C' MONOLITHIC PO" FORMS FOUNDATION/DAMPROOFING BACXFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH- N INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHESIS PS STAIRS-CLEARANCE RAID PLUMBING FIXTURE RELIEF VALVE INTERIOR TRIM/P VACY DOOR. FINISHED FLOORS GARAGE FIRE'PR ING DOOR CLOSER (S) .SMOKE DETECTO S FINAL ELECTRIC L INSPECTION ' FINAL .APPROVAL - OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISE'S ARE OCCUPIED REMARKS: ale r ` lm&tai ' rr INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BA Y & HA VILAND ROADS QUEENSBURY, NEW YORK 1 28Ok TELEPHONE (5I8) 792-5832 BUILDING INSPECTOR ' S REPORT REQUESTFOF INSPECTION RECEIVED NAME LOCATION DATE — PERMIT # —_3 I ' .APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP—PROOFING BACKFI4 APPROVAL �H PLBING { ING .ELECTRICAL UGH—IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: r CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ EP STAIRS—CLEARANCE RAT -- - PLUMBING FIXTUR1XVACY /RELIE VALVE INTERIOR TRIM/P a FINISHED FLOOR$ GARAGE FIREPRQ&F'XNG DOOR CLOSER (46 SMOKE DETECT RS FINAL ELECTRI AZT FINAL APPROV, OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY UST BE OBTAINED FROM THE BUILDING DEPARTM VT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: \ IN PECTOR F MIDDLE flEPAR1'lll� AGENCY, INC. kq YI 7 - INS " :,l : ,'"� Datu July 16 , 1989 F i ;,, - 5 +U k` C I IL" that 1e tic l equipment listed has been eka�rr a J�ksn approved as being in accord with the National Elects ��, applicable governmental, utility and-Ag?pcy les. Paul Miller � ' `� ": ' el D Ottrnsr: r` 3 ` xb 4�- � � p Dc+e2'lii}g E Occupant: Seine i ` Sunn sine ni4 kiu War 4 c y` Location: 3' a K y ceryficafe c`iarJ9 fhbBIBGLr1G pmBnf and installation inspected Ihi4 F 3 data. It additional e[fuioITa no Ish be irrlroduceid or aHerahons made to w ,.{'' ea lsting System tni/ carl;tl+cate be null and void, and application for y I Re c E t ac l+kr� , a 60 AM' p Service . inspection should ae submilled p tly to this Agency. E EQLfFpF7713nt: !.. k' Molder of this OeWficale an lid V nx i Y t ' y eu same of bus tproperty eq Ip ent ap carver as specified ified any}a9 BndanCe 6riiiication oFeCaciriceC equipment apprpved €r� as apecilied. . r M & C Electric T ' iC: � �# 19 ' 13 ' k Applicant. 13 Notre DaRle Stria O . 15 - 025509 L P't Iic3warrt ; NY l ?£328 '� alwf Him 7W EL 1-93 TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENS13URYo NEW YORK 1280k TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED & .+' tom NAME LOCATION DATE W' ` ?- 3 - S,2 PERMIT # ! / APPROVED YES NO FOOTING/PIERS 4,- f*ONOLXTHIC POUR FORMS FOUNDATIONJDAMP-PROOFING BACKFILL APPROVAL ROUGH PZumfxmG FRAMING ELECTRICAL GH-IN INSULATION. t FOUNDATION FZOORS WALLS CEILING FINAL INSPECTION. CHIMNEY HEIGHT ROOFING SIDING EXTERNAL. PORCH /STEPS STAIRS-CLEARAN E & RAILS PLUMBING FXXTWESIRErIEF V1LVE INTERIOR TRSMkPRSVACY DOORS ` �+ FINISHED FL4X*S GARAGE FIRED OOFING DOOR CLOSER ( ) SMOKE DE TEC RS FINAL E.LECTRS AL INSPECTION FINAL APPROVA OF CONSTRUCTION y A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FRO THE BUILDING DEPARTMENT BEFORE THESE PREMIS S ARE OCCUPIED! REMARKS: if Y o PlAce P Co�IN ECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY 6 HAVTLAND ROADS QUEENSBURY, NEW YORK 1280m'& TELEPHONE (518) 792-5832 - " J BUILDING INSPECTOR ' S REPORT REQUEST FOR XNSPACTION RECEIVED NAME LOCATION DATE - r - PERMIT #-- - APPROVED YES NO FOOTINGIPIERS ': MONOLITHIC POUF FORMS F0UNDATION1 DAM,T+-PROOFING BACKFIZ,L APPROVAL VROUGH PLUMBING....' _ FRAMING ELECTRICAL ROUGH IN INSULATIONr 1 FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING f: EXTERNAL PORCHESJsTEP STAIRS-CLEARANCE & RAT PLUMBING FIXTURES/RELIE :, VALVE INTERSOR TRIMIPRIVACY FINTSHED FLOORS GARAGE FIREPROOF2NG DOOR CLOSERS) SMOKE DETECTORS FINAL ELECTRICAL INSpE TION FINAL APPROVAL OF CON TRUCTION ti A ,SIGNED CERTIFICAT OF OCCUPANCY MUST\,BE OBTAINED FROM THE ILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: / r PVC ':SCf4 Zro :57L 6 V&o -1-7j u C'O AAC46T-& -' TOAI INSPEC R TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT SAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1 280& TELEPHONE (5I8) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INS ECTION RECEIVED NAME en Lea: LOCATION DATE (�7 ` �I J - PERMIT # r- APPROVED YES NO FOOTING/VIERS MONOLITHIC POUR FORMS }/FOUNDATIO DAMP-PROOFING MACKFXLL AP VAL ROUGH PLUMBS FRAMING ELECTRICAL R.'OU -IN INSULATION: xFQUN TI DAON i C1 "o FLOORS If WALLS CEILING �' FINAL INSPECTION.- CHIMNEY HESGHT r� ROOFING SIDING EXTERNAL PORCHES/Sfi PS STAIRS-CLEARANCE & RAI PLUMBING FIXTURES RELIEF VALVE _ INTERIOR TRIM/PR ACY DOO FINISHED FLOORS - GARAGE FIREPR ING DOOR CLOSERS) SMOKE DETECTO FINAL E XCTRICA INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CER FICATE OF OCCUPANCY MUST BE OBTAINED FRO THE BUILDING DEPARTMENT BEFORE THESE PREMTORS ARE OCCUPIED! REMARKS: ) AA Ira XNSPWC TOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSSURYr NEW YORK 1280k TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE _; PERMIT / APPROVED YES NO OOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFIL,L APPROVAL ROUGH .PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: f FOUNDATION Ile" FLOORS e WALLS CEILING FINAL .INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES STEPS STAIRS-CLEARANC & RA-TP. js PLUMBING FIXTU S/REL.IbF VALVE INTERIOR TRIM/ RIVACY DOORS FINISHED FLOO S PIP GARAGE FIR EP PING N DOOR CLOSER ( ) SMOKE DETEC RS FINAL ELECTRI AL INSPECTION FINAL APPROV L OF CONSTRUCTION A .SIGNED CER IFICATE OF OCCUPANCY MUST BE OBTAINED FRO 1_ 'HE BUILDING DEPARTMENT .BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: r2P ` PC I� ( j` }L"17`I/t'/ To f3 fZlt— -- 12C) v0 /A/ d'2b IN ECTOR TOWN OF QUEENSBURY � BUILDING AND CODES DEPARTMENT vvv !!! BAY & HAVXLAND ROADS } QUEENSBURY, NEW YORK 2280k + TELEPHONE (5I8) 792-5B.32 BUILDING INSPECTOR ' S REPORT REQUEST FOR INS ECTION�Ri,E�CEIVED NAME � r�Cl G_1 G/i , ) LOCATXON `s DATE —p PERMIT W� APPROVED YES I NO fFr0'0TXNG/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAM --PPROOFING, BACKFILL APPROV L ROUGH PLUMBING FRAMING ' ELECTRICAL ROUGH—Xk. INSULATION: q / FOUNDATION FLOORS ' WALLS S CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING .SIDING EXTERNAL PORCHES STEPS STAIRS—CLEARANC & RAILS ''.. PLUMBING FIXTU ES/RELIEF VALVE INTERIOR TRIM/ RIVACY DOORS . FINISHED FLOi S _ GARAGE FIREP OOFING DOOR CLOSER S) SMOKE DETECTORS FINAL ELECTRIICAL INSPECTION FINAL APPROV,4L OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: �r 4 ( Ccf 3 �a v`� ' ►� - IN PECTOR MIDDLE "DEPARTMENT INSPECTIO]WAG6lYCY, INC. National Headquarters 9W Haddon Ave., Collingswood, N.J. OMOS / Date: { jo City, Town or Township County /'/ State Location/Address Z�- t-�C. +✓� �' ` I (If Located fin Rural Anfin - Please Attach Directions) Pole # Owner._ ea. r T�� L-•f L., I Lam . . Permit A /'. Occupied As ' Suiiding: Newts Old Q Occupant Work Area in Building Floor #, etcJ . for: W ring affsrvice or: Ready for Inspection : Fee Remitted - $ Cash © Check M.Q. Q Make Payable To : M.D. I.A. 500 1 760 1 1000 1250 15D0' 1750 2000 2250 2500 2750 3000. Number of Rough Wiring Owlets Elect. Heat Switches �3 4;� , Lighting Amp. Service Surf;aoo Unit Dishwasher Range 'Receptacles do I` Water Heater Air Conditioner Dryer. Pump Number of Fix ur Oven Garbage Disposal Wiring and Controls for Burner Amps. -Receptacles - Fractional H.P. Vent Fans Other Equipment: MOTORS H.P. 1 112 1/12 1/10 , ]./a 1/6 1 1/4 2/3 1 1/2 3/4 1 1 1% 1 2 3 1 5 742 10 1 15 1 20 t 25 30 40 50 75 100 Mask Number - of Each Size Signature l License # rmit # . T/A Utility: 1h i TI Appl icanes .Address: •- xl {CitY? _ (State) # (Zip) .~' irvice Request # . Phone # 5 Electrician: WeZgZC DATE RECEIVED: DATE INSPECTED. Correct Location : Same as AboveQ or: 4 Red Notice Label E] ' Rough Wiring Outlets Surface Unit _ Oven C . Switches / Range Gar Disposal Receptacles Water Heater Dishwasher r Fixtures Air Conditioner - Dryer Amp. Service Equipment Burner, Wiring & Controls for Amp: Receptacle Amp. Service Conductors Pump Vent Fans MOTORS H P 1/20 1/12 1/10 1/8 1/6 1/4 1/3 /2 .3/4 1 1 1W 1 2 5 17W 1 10 1 15 1 20 1 25 lb 1 40 50 1 75 1 100 Mark Number of Each Size ` Elect. Heat S00 750 1000 1250 1500 1750 2004 2250 2500 27a0 3000 Q RW Progress: Inc. Ly^'" LKD © Contractor ED CFT Violation : Work Comp. Q Inc. 0 Q L/A Owner CASH Q ED L/A Fee , CHK :# Due Q IPA _.. . Municipal INV # Dater Other Side Q Uti I ity Owf)er Cut in Card 0 Temp # Date OA Final # Date ._ - ;.. . #h1 T Sl fVATU SP C RE 77 APpt'ICATION FORM No. 200-E ita •. .. - . . GHARLE$ H. SCUDDER OONSULTING ENGINEER eox 742 GLENS FALLS, NEW YiDRK 12WI (518) 793-1475 May 110 1989 Mr . Paul Miller 13 Notre Dame Street Ft . Edward , New York 12828 Re : Lake Sunnyside Property Tax Map Reference 50 - 1 - 67 Dear Paul : In order that this office can act for you in acquiring a building permit from the Town of Queensbury for the improvements to your home at Lake Sunnyside pursuant to the action of the Queensbury Zoning Board of Appeals ( area variance # 1362 ) , we shall require your authorization to function as your agent . Please sign the authorization set out below so that we can proceed I n your behalf . Very truly yours , SCUDDER ASSOCIATES Charles H . Scudder , P . E . STATEMENT OF AUTHORIZATION I , S . Paul Miller , do hereby authorize Scudder Associates , Charles H . Scudder , P . E . , Principal , to act for me in securing a building permit from the Town of Queensbury , and to submit such papers as in your judgement will be required pursuant to that end . Since pre- existing non- conforming conditions exist , I hereby indemnify and hold you harmless from any liability that could arise from said matters and things . Signature : Lir Date . S . Paul Miller DEED REFERENCE: ROBERT McCAFFERY TO S. PAUL & MARY NORTON MILLER DATED OCTOBER 23, 1987 LANDS OF IN BIC 698 PAGE 814 FRANCIS & BURNADETTE DUNN p GREAT LD N0. 1 FIRST SUNNYSIDE Q �SUBDIV'rSION TOWN SHED ROAD #2 I3I OF QLJL'EN 'BURY' t S 85 27' - GREAT 3,f1 LOT N0. 20 E f -- -- 137.00 �- -- � 0.13 acres � �Q ,� � q "( \ LANDS OF 14 - ` ~ �� �sO'` nj� �� DAVID PINE OARODE FOUND'O 7.10,,° ,1 1 �ti� w o N ° JITV-- LANDS OF DI ANN E BARBER / --— ----- --—------------ --— -- MAP OF A SURVEY MADE FOR S. PAUL & .M.ARY N. _MILLER T/j TOWN of QUEENSBURY CouNTY of WARREN N.Y, O _ G 1 � SCALE, 1"=20' —_ DATE, MAY 8, 1989 Jam. C� �J —�------ �T t V'ZATt- =12 Vaduseu & Steves 'SOWN OF QUEENSBURY LAND SURVEYORS,GLENS FALLS,NEW YORK I.P.F.-IRON PIPE FOUND N.Y, STATE LIC NO. 35617 fii.. U$tp. 7i