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1989-375 p,:-•---,.. -. ....� _ . _ .� �!. _..,ir-lr .. .nw+-•�---'o'+�1�"wRg7r ._T _,�„^_. .,,.- _ o , r CERTIFICATE OF 0`CCUP ., Cy TOWN OF +QUEENSBURY WARREN COUNTY, NEW Y©RK Gate March 13 1q 91 L.-� 1 V ✓� 89- 375 This is to certify that work requested to be done as shown by Peennit Na. has been completed. This structure may be occupied as a family rQDm and tWo-car attachgd,_ ra� � - Box 193 Route 9L , Star Route Location Frank and Isobel Munoff Owner By Order Town Board T'oWrN OF QUEENSBURY Director of Bldg. & Code ,Enforcement w Ap BUILDING PERMIT " I TOWN OF QUEENSBURY No 89= 37 5 WARREN COUNTY, NEW YORK t tv f to PERMISSION is hereby granted to F"nk. Arcn 7 Ai.nnff I� OWNER of property located at BoX 193 Rortte 91 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. t . OWNER'S Address is G Box 193 Star Route � . Queensbury, H . Y . 12804 -s 2. CONTRACTOR or BUI LDE R'S Name ow Gary Gray ' 3. CONTRACTOR or BUILDER 'S Addressp SCE New Vermont Road E �" Bolton Landing , N . Y . 12814 A, ARCHITECT'S Name 5. ARCHITECTS Address Y r� w 6. TYPE of Construction -- (Please indicate by X) C e-h [ } wood Frame I ) Masonry I ) steel I } 7- PLANS and Specifications No. 16 . 75 ' x 30 ' addition to dwelling and 24 ' x 32 ' two car garage as per ' plot plan , specifications , and application . S. Proposed Use W. Addition to Single Family Two Car Garage 90 $ 7!5 (In PERMIT FEE PAID - THIS PERMIT EXPIRES llanuarY 1 19�_ o (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Gueensbury before the expiration date_) _ Dated at the Town of Queensbury this. Day of htnrs 19...__RQ �y SIGNED BY for the Town of Queensbury wilding and ing 1 nspector MOT TOWN 'OF QUEENSBURY APPLICATTON FOR BUILDIMG AND ZONINC, Pr• RMTT I'u.te - F'e¢ ieveet TOWN OF QUEENSPBURY ,� --- RECEIVED Pev-4ewed MAY 3 1C) 'q Fee Po Ld fi BUILDING AND CODES l 1 :l 'ART1"t NFF Date Ia.sued 3� ,� BLDG. &. CODE DEPT. aAY tend 11AVILAND ROADS RD 1 Box 93 �C Y PUEENSBURY, NEW YORK 22804 PeAm,i t No . Tel . (518) 792-5832 Ext 209 A PERMT MUS'C B11 OB'I'AIPJFD BEFORE BEGINNING CONSTRUCTION . NO INSPEC'CIONS WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDINC PERMIT . All applicable Spaces on this application must be coulpicted and the npature of the applicant must appear on the reverse side of this sheet . !: rt ak k ![ k * * * * f[ fe 11 * '* 'k '"'' 7C * * /* * lie owner of this property is t _ ,EKO- r L) A a i' e3 . Address iC ` �. •� •.� —6s�/ © T E L . Property location ^ uE'G n Y TAX MAP NO . / `�- / �• etas there been any split of this property since October 1 , 1988 ? f� yes o 3f yes , Planning Board Review is necessary . f SUBDIVISION NAME] IF APPLICABLE - /V VIA- LOT NO . "Phe person responsible for supervision of work as regardsBuilding Codes is : Ka q N ME F . G . ADDRESS TEL . NO * Name of guilder a r roe Address_ � ct Tel N4.&Me of P1urntaer aGem 1'kddress ci� ff=;z2 5, 'Pe1 N:tme� of Mason lh o Addressg9l 4",, ' 71 $ a. ,, v3� C�. h3 u Tel J ^�i42 -71CSLo C d +�r,I�: k K : f2Tl.t'leer iJ,'lTLlI2k' ar PROPOSED) ZONING INFOI' lON { raftice use onlYI Cnn : cructioat of :a stow building _ ZONING DESIGNATION OF PROPERTY Ada i t ion to a bu i l a i rrg � PERMITTED PRINCIPAL PERMITTED ACCESSORY { A1LuraLiOn to a 1. uildiaq � [ 1t4 cil.alli]u to LxruYior clunensiorts) REVIEW REQUIR.IvD - PLANNING BOARD ZONING BOARD UL1+er work SITE PLAN REVIEW #1 APPROVED DATE GROSS ARL_A OF JIROPOSCD. :; TI( UC `1' URE: VARIANCE k APPROVED DATE Ist Floor �� sq ft . r Rem.�.rks n d ? 1 o o r sq f t CO.•4P I.L"i"1 IPPOl ""ION ItCQU I liLLD Lai? L thi . .ether Floors sq € t . Sizes of propizrty .1. �f214rrrc .- _ x ft� iot cellar ar ka .. meat ) Lxistinc} L�uil.Jill.3 [ s ) Si ::u ' ^r' L X cfLrt . r TOTAL FLOOR AREA sq f t]jj � L L:xiat; iatg Duil+.lincl ( :.: ) Us.t .� w. . .` i ' s of : CruCtu C ����ft .x ft 3z, rPS " G� �^ Ce l'uua ,d:. tiort-picrf z1JVfcrwwl artier fullq✓ .a'�,cY�r.aX�o: cci ttuiluing . di :: t:anca: troili Laro1�+rrty line tcircie one: ``""�" v �Clrront yard Varlr ft Raar No . of storiera (hal) ltahla sk7ace ) CC1 "�--�- �, Sid` yard:: iZ S _ t t and t f 3 2 1 It�ight ( Uradu to ridq%j ) Jtj ft . If on cornar , :;e: rl;u"Ck from side scrouc l i re : ids:ncial , no . of familie � Now of roo4n3toxcludintj }aaths ) _ OCCUt'ANL: f 1NFOCJ�LA7il:li tJo * of gadroolns �-- r PRI14ARY L UILDINC:No . or G;athraou►,: / pno tanlily dwelling i- riiwrAry Ituatie►rj syt. LuAIi c�C�-e-•r_ --`- - ------ 1'4o taurily 4w4lliny yla.s ,uf fuel - multiply awulling / Number of units. tjoe of firuplacws; CG b. : lnr.t;allk:.d � . 17 C'rlrlarlertt oCCta p:u�Cy Will :. wou4l sLbV.: L� irlut;all �a? r 1•rcan:sie:r�t OccuValbc:y Lsjnural Air A-*�) BUILDING STYLEo PRIMARY STRUCTURE , indusuvial / „ Ozhar :aaaclt t;;pnca,e,i crXw�y.- Len cabin xt uddizion , wl �.aC will u a�s ' b� ? ranchM:.►nsie..�► Dui�lvx " t1plit lwV.=l Old styiti Uutay.alow ! Calaa Cod Cortag .: Och"r " ACCESSORY IiuILOINC- colonial Ycow Towlt House L►i:tachaa g:ariagefone cs.rl two earl Car ( CIRCLE ONE PLh ASC ] * ALtuCI1r2U gurEigU1orYV CKr/ two C4rf Ciac ■ k a w = . A " . . .. # _ ■ ' PYiV:a4u storage building ►: S *r11+ 1%LT1: D MARXET VALUE OF C ON tVr h u c'Y I ON I t4VORNATTON ON nUIL•DINC SPECIFTCATIONS , ON REVCFLSV S-tDC OF THIS SFIEET, Tp be COMPLM- ICOI Form BAA I0/88 V1 BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe etc . Q Q -Cnieatrn e� Will any second-hand or ungraded lumber be used? If so , for p + � Foundation wall material rP e4►1P `,�n ,- Thickness Ly Depth of foundation below grade ( to bottom of footing ) 4 [� Will there be a cellar? " Heated or unheated ? 49 loor sq . footage sq ft Will there be a basement?ai _Will any portion be used as living space ? /y � ( If so , what portion? T sq . ft . - - Type of use ? Type of roof - A ooa^ed��lat/shed/other Material of roof pSr� S c +a q Size , wood studss -" X�(`" spacing IL_" a . c , length ft . .�°}c C, Joists ( floor beams ) lst . floor X "' spacing_"o . c . span_; + ft . .joists ( floor beams ) 2nd . floor spacing- O . C . span ft . Overlays ( ceiling beams ) "X spacing 1 (.� "o . c . span t Z, ft . z Roof rafters Z "X _" spacing+/ moo . c . span Roof trusses (pre- engineered) s acing O . C . span ft . Exterior wall finish t , C � } f what material ? 12 . nQ_ Interior wall finish. sS1%Cr 4- r- kCA(.. u� - If a gara e is to be attached describ mate ials to be used for FIRE SEPARATION : �'to be an opening between garage and d - ---. - --- Is there P 9 g g dwelling? a,1 �� If so will a Fire- rated door , enclosure , and self- closing device be provided? .P S \ Will a flue-lined chimney be installed? IV 0 eight above roof ft . Depth of chimney foundation below grader rift jai Depth of fireplace hearth Iw -ft . in . II Water supply - Municipal or private well ?Y� tr_„ [ 4 Li. Ire � � Ito t Is 4--Vn. SEPTIC SYSTEM _ Distance from ANY private ell ( including adjoining properties JFft . (A separate application is Aecessary for any repair or new installation of septic system) 1 ] ECLARATI0N 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, TILE ZONING ORDRJANCE, 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 , contrac SPECIAL CONDITIONS OF THE PERMIT : Hy___- 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 : // 1 , Gross floor area � / Z cSQ - 2 . Type of heat. 1: ree 7`✓r4. 3 . Is the building mechanically cooled ? rip 4 . Percentage of area of windows and doors A . Over 16 % Only 1 . Uo value of gross area of walls , roof / ceiling and floors exposed to ambient conditions 2 . Floor over heated spaces YES NO a . Are foundation walls insulated ? YES NO 1 . If "YES , what is the R value ? 3 . Slab on grade YES NO a . If YES , what is the R value of insulation around perimeter of floor ? 4 . 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, extose to ambient conditions. jr 2 . R value of exterior walls — 2 t> �. t do 3 . R value of glazed area f lJ - 1, � ttsS ddddo 4 . R value of doors. R 5 od 5 . R value of floors over unheated spaces Il 30 �} 6 . R value of slab edge insulation - unheated slab �� 7 . R value of slab insulation - heated slab / +rtl 8 . R value of heated basement / cellar walls ( above grade ) .' } 9 . R value of heated basement / cellar walls ( below grade ) -Adrr 10 , Type of insulation �1 ]1Y cefa S ` ! k R �d V C . Controls 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 A344 _ b , R value of duct in other areas E . Piping Insulation doodd 1 . Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F . Service Water Heatingddddd 1 1 . Performance efficiency 2 . Temperature Control setting maximum G . For Swimming Pool Only F „ 1 . Maximum heating Telephone No . ip rJ {o _ tl?T-3 ( applicant ' s sig ure ) y ISSUE DATE (MM/DD1YY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS ConTnunity Insurance Agencies , Inc . NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 71 Saratoga Ave . , Box 1369 South Glens Falls , New York 12803 COMPANIES AFFORDING COVERAGE COMPANY A LETTER COMPANY INSURED LETTER B Gary Gray LETTER COMPANY c P . O. Box 694 Bolton Landing, New York 12814 COMPANY LETTER d COMPANY E LETTER • THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS„ EXCLUSIONS, AND CONDI- TIONS OF SUCH POLICIES. CO POLICY EFFECTIVE POLICY EXPIflATION LIABILITY LIMITS IN THOUSANDS LtR TYPE OF INSURANCE POLICY NUMBER DATE (MMIDDhY) DATE (MMIDID/M EACH aGGReGATE OCCURRENCE A GENERAL LIABILITY BODILY COMPREHENSJVE FORM INJURY $ PREMISESIOPERATIONS IOMP 362C988 FICA 6/9/88 6/9/89 UNDERGROUND DAMAGE EXPLOSION & COLLAPSE HAZARD $ $ X. PRODUCTS)COMPLETEO OPERATIONS CONTRACTUAL 81 & P COMBINED 1 , C}C1O Irmo INDEPENDENT CONTRACTORS BROAD FORM PROPERTY DAMAGE PERSONAL INJURY PERSONAL INJURY ,$10 000 AUTOMOBILE LIABILITY 6ODkLY A ANY AUTO (kjuRy KA PPE;ISON) $ ALL OWNED AUTOS {PRIV. PASS.) WDLY OTHER THAN) IJA 15495071 6/9/88 6/9/89 ALL OWNED AUTOS PRIV. PASS, l (PER ACCIDENT) $ « ? - HIRED AUTOS . '` „ PROPERTY NON-DWNEO AUTOS DAMAGE $ GARAGE LIABILITY COMBINED EXCESS LIABILITY UMBRELLA FORM EN a PD Q. COM $SINEU OTHER THAN UMBRELLA FORM A WORKERS' COMPENSATION STATUTORY AND ,JC 0842744881 6/9/88 6/9/89 (EACH ACCIDENT) EMPLOYERS' LIABILITY $ 00 (DISEASE-POLICY LIMIT) $ {DISEASE-EACH EMPLOYEE] OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESISPECIAL ITEMS Carpentry Operations • ■ 4 1 WIN • MY' . F'Y'L]- Ilk'. MU.I]fJ S HOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- I[� TION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO 193 tar Route MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Ql] nS}3l]ry, New York 12$O LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LUBILITY NY KIND UPON THE COMPANY ITS GENTS OR REPRESENTATIVES, REP ESENTA E STATE OF NEW YORK t.. WORKERS' COMPENSATION BOARD ESTADO DE NUEVA YORK — LA JUNTA DE COMPENSACION OBRERA NOTICE OF COMPLIANCE AVISO DE CUMPLIMIENTO WORKERS' COMPENSATION LAW LEY DE COMPENSACION OBRERA TO EMPLOYEES A EMPLEADOS IMPORTANT INFORMATION FOR EMPLOYEES WHO ARE INFORMACION IMPORTANTE PARA EMPLEADOS QUE INJURED OR SUFFER AN OCCUPATIONAL DISEASE SrEAN LESIONADOS O SUFRAN UNA ENFERMEDAD WHILE WORKING. OCUPACIONAL MIENTRA!S TRABAJAN. 1. Your employer is In compliance with the Workers' Compen- 1 . Su patron esta cumplimiento con Is Ley de Compensacsibn salion Law. Obrere, 2. Immediately tell your employer or supervisor when, where and 2. Avise inmediatemente a su patron o a Bu supervisor eudndo, how you were Injured. d6nde y c6mo sufri6 Is 1osi6n. ' 3. Obtain first aid or other necessary medical treatment 3. Oblongs primeros auxHios u otro tratamiento mddico Immediately, ne oserio inmedlatamonte. 4. Tell your doctor to file medical reports with the Board and 4. Pldale a su doctor [rue presents Inforrnes itMycliC4e a Is Junta with your employer or his or her insurance carrier, y at patron suyo, o a In compeflfa de seguros do Wells: 5. You may be entitled to compensation If your work-relaled injury 5. UBted podris tenor derecho a compenseci6n of au lesl6n keeps you from work for more than seven days, compels you relacionsda con at trataaJo Is Implode de trabsjoi .por mds de to work at lower wages or results in permanent disability to siete dills o Is oblige a trabojor s sueldo reds bajo o results any part of your body. on Incapacidad permanante de alguns parts do au cuerpo. 6. Obtain and file a claim form (Form C-3) with nearest Workers' S. Consign y presents una forma de reclamaci6n (Form C-3) Compensation Board Office. Failure to file within two years. an Is oficina nits cercans de Is Junta de Componsec:i6n after the date of injury may result In your claim being denied. Obrers. El no presenter reclamacibrt dentro de dos aflos a 7. You are enlitted to be treated by a physician, podiatrist or partir de to fecha do Is 18816n puede Bar motNo de quo as chiropractor of your choice, If he or she Is aulhorized by the Is rechace Is reclamaci6n. Chairman, Workers' Compensation Board. 7. Usted tiene derscho a ser tratado por un m6dico, podistra S. DO F pay your doctor or hospital. Their bills will be paid o quiroprdctico qua usted Bills, sl AUeila said autorizado por y nsurarrcte carrier" your case is not dlsputed. If your at Presidents de Ia Junta de Gompenvaici6n Obrera. case Is dispuled, the doctor or hospital must wall for payment B. NO PAGUE a su doctor ni ai_ hospital. F_saB factures senin until the Board decides your curse. 1n the event you_ fail to �61 asegura r caao suyo no he sido secure our case or the Dos decWels �naF�ou au disputado. Si Be disputseJo. of doctor o of hospital dabs esperer eve n or or o pare recibir pago hosts quo Is Junta deckle au caso. Si dell 9. wnwe a cisimant usually needs no representation, you may usted de orciammuir au caso o Bi Is Junta falldra contra totedo be represented by an attorney or a licensed representative, se ver& obik3ado a Eapar u m unn o a i�octor o hospital. OO NOT pay anyone directly. A fee w Fso ill be fixed by the Board 9. -r go general rec amante rill representacton, Pero and deducted from your award. usted puede Bar represerttado par un abog ido o por un 10. If y-3u have difflonolty In obtaining a claim form or need help represenaante licemlado. NO LE PAQUE a nadle directa- in fill" it out, or it you he" any other questions or pnabferrts mente. Los honorarlos qua to ca loa fiJard is Junta about a job-relsted injury, contact any office of the Workers' y serdn deducklos de Is otorgact6n quo so is hags a usted. Compensation Board, 10. Sl tiene usted dificultad an conseguir una forma de reclarracl6n o neaesits syuda pare Itio ar Is formar o of Ilene alggunas preguntas o sigunos problerrtas con respecto a lest6n WORKERS' COMPENSATION BOARD OFFICES relecionade con at trabojo, comuniquese con cualquiera do Altany, 12241 - 100 Biosdwe - Merlsrwfr - (510) 474.6674 las ofiehosaa de W Junta de C wnpensecidIn Obrera. SkViosrWort, 13901 - Stafe Offte 014 - 1lawle St - (Wn 77'34M Buffalo, 142M - Stale 011ioe Bklo. - 125 Main SL - (716) "741156 0 kqo laid 11550 - 175 Fla UM Averse - (516) 485-4 M ` New York City, 11240 - 100 Llrrtpttnn sL - Brooklyn - (718) 802,if M ItochesMer, 14614 - 155 Main Slovat Mhaf - (714) 234-rl3Zt Syromw 13202 . stale ofllrae Bldg. - East ww,r,glon St - (313) 4254454 ROBERT STEiNGL T Cimkirlrn (pr..kkoro"s) Workers' Compensation Benefits, when due, will be paid by (Los beneficios de Compensaci6n Obrera, Cuando debidos, SerAin pagados por): THE STATE INSURANCE FUND Name of employer (Hombre del petr6n) 199 Church Street, New York, N.Y. 10007 Lithe Kiln Construction RD 10 Sox 71 B EFFECTIVE FROM 04 / 07 / 87 UNTIL CANCELLED . Greenwich , New 'York 12834 . Y POLICY NO . 364 461e- 9 Ed Rudinger , Owner THiE WORKERS' COMPENSATION BOARD EMPLOYS AND SERVES THE ouv4DPOAPPED worHOUT DIBCRIMINATK7N, THIS NOTICE MUST BE POSTED CONSPICUOUSLY IN AND ABOUT THE EMPLOYER"$ PLACE OR PLACES OF BUSINESS O JUNTAS NOArwC^P CIOAGAS SON ISTI"CI T A SOME A PERSON" INCAPAGTADAS SIN DIET{NCION . C-105 (5-85) Prescribed by Chbrman S.F. Form U-3D Wbrsere Campo 111411 n Bo d 5B1-B7 Slats of New York TOWN OF QUEENSBURY Bay at Havitand Roads, Queensbury, FLY. 12801-9725 APPLICATION FOR SOLID-FUEL BURNING APPLIANCES AND FIREPLACES Date • 5110 199410 Permit Na. .q7:3 AP12LICATION IS HEREBY MADE to the Building Department for the issuance of a Building and Use Permit pursuant to the New York State Fire Prevention and Building Code. The applicant or owner agrees to comply With oMl applicable taws, ordinance and all conditions that are part of these regtsimtnents and also will allow all inspectors to enter se r the required inspections. Applicant" s Name ' r Woad dress .... Boiler r Circulating, Unit. , Zip Owner's Name �y � Outlet .?Sze zip Listed by Number lit r, CHIMNEY TYM Ld masonry*. Brick Stone city. location of proposgd cGristruction F7tt+e: Toe Steel Size: d Factory Built; -' Manufactulr4W Model Size ,,. {;.`OPY OF MANUFACTURER SPECIFICATIONS IS Height,_ Listed By Nutnist REQUIRED FOR FACTf7R,Y-BUILT 1i`P�,IAI�ICtit:9 . Type' Dnuble 'Wall, Triple Wail AND CHIMNEYS. MUST BE LN48TALLED Insulated ACCORDING TO SPECIFICAT10WS .. PY- F'O CUNSTRUCTrON DETAIL R FI✓tlt MA- Estimated,C ~` . Fee Sdh SONRY FIREPLACES AND CHIMNEYS* CAsmER*5 DEPAwrmENs TowN [lP QUEENs8URY, NEW YORK ?CUartment: Fore Mar&W Amount Collected Amount Refunded Cole Number TItieow A ] 73 3389 (190) Public Safety A233 2655 (230) Minor Sales lee C acted fro r Refunded to: MW !/+1y Address: 1993 - End 9 + UU Dated* Town Clerk or Dequty . While: Appficanl reffaw and Pi+wk: Caskfer"s Deparbwal Gofdenrnd: Fin Marshal TOWN OF Q BUILDING AND COD CODESS DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280k � TELEPHONE (5I8) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR IN SPECTI� RECEIVED,, ff//--^^ NAME /6f"'000L/d x O �� A-zt, J LOCATION e DATE �' `! / PERMIT # 7 /� APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN IN.SULATIONc FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING ,SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS —— PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS - GARAGE FIREPROOFING DOOR CLOSER (S) SMOKE DETECTORS . FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION OK. TO ISSUE C/o OR C/C INN A SIGNED CERTIFICATE OF OCCUPANCY MAST BE OBTAINED FROM THE BUILDING DEPARTME ,BEFORE THESE PREMISES ARE OCCUPIED1 ,/� ' REMARKS: DEpnum � • INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT `� J BAY & HAVILAND ROADS 1/ QUSENSBURY, NEW YORK 1280& TELEPHONE (5I8) 792-58.32 BUILDING INSPECTOR ' S REPORT REOUEST INSPECTION RECEIVED J 1` fl am_ NAME LOCATION DATE } ` U PERMIT #� APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS i — FOUNDATZON/DAMP-PROOFSN� BACKFILL APPROVAL r. ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: Y� FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STE STAIRS-CLEARANCE & I S PLUMBING FIXTURES/ LI VALVE INTERIOR TRIM/PRSV Y RS FINISHED FLOORS - GARAGE FIREPROOFI DOOR CLOSERS) SMOKE DETECTORS FINAL ELECTRICAL I SPECTIO FINAL APPROVAL OF4CONSTRUC ON QIC TO 25SUE C/o A SIGNED CERTIF CATE OF OCC4PANCY MUST BE OBTAINED FROM E BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIEDd' REMARKS: ARRIVE. r?. S DEPAR /O , `"eO YA INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 13AY & NAVILAND ROADS QUEENSBURY, NEW PORK I28046 TELEPHONE (518 ) 792-5832 BUILDING INSPECTOR ' S REPORT ,^f REQUEST FOR �'[NSP CTION RECEIVED NAME �`"±' L } LOCATION DATE ._ PERMIT # [ APPROVED YES tNO ,FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATIONIDAMP-PROOFING_ 'a! BACKFILL APPROVAL F ROUGH PLUMBING FRAMING ELECTRICAL ROUGH;XN INSULATION,- FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION - / �- CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORC S/STEPS STAIRS—CLEA GE & AAILS 11 PLUMBING FI RES/RE`f�IEF VALVE INTERIOR T M/PRIVACY DOORS FINISHED RS GARAGE F EPROOFING DOOR CL ER (S) SMOKE TECTORS — — FINAL E CTRICAL INSPEC ON FINAL A PROVAL OF CONSTRICTION A SI ED CERTIFICATE OF CUPANCY MUST BE OBT NED FROM THE BUILDIN DEPARTMENT BEFORE TH E PREMISES ARE OCCUPI 1 R MARKS: INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK I280+I TELEPHONE (518 ) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME _ ,. s oc LOCATION DATE PERMIT # r3 APPROVED YES NO FOOTING/PIERS MONOLITHIC PO FORMS FOUNDATION/DAMS'-.PROOF2NG' ;BAC .ILL APPROVAL UGH PLU BING too FRAMING 4+ ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS t CEILING FINAL INSPECTIO CHIMNEY HEIGV! ' ROOFING SIDING EXTERNAL PORCHESISTE STAIRS—CL RANCE & RA LS PLUMBING IXTURES/REL F VALVE INTERIOR fiRIM/PRIVACY OORS FINISHE FLOORS GARAGE IREPROOFING DOOR C SER (.S) SMOKE ETECTORS FINAL EL CTRICAL .INSPECTION FINAL A ROVAL OF CONSTRUCT-TO A SIGNE CERTIFICATE OF OCCUPANCY MUST BE OBTAINE FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED ! REMARKS: INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 'J�] BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 128061- TELEPHONE (5138 ) 792-SS32 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION q p p� DATE 7 ' / PERMIT # G] / 9 APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING (/FRAMING ELECTRICAL ROUGH-IN INSULATION: r' FOUNDATION FZOOR.S WALLS CEILING FINAL INSPECTION: / CHIMNEY HEIGHT ! ROOFING SIDING 4 EXTERNAL PORCHES/ST PS .STAIRS-CLEARANCE & F II PLUMBING FIXTURESIRE I VALVE INTERIOR TRIM/PRIVAC DOORS FINISHED FLOORS - GARAGE FIREPROOFING_ DOOR CLOSER (S) _ SMOKE DETECTORS_ FINAL ELECTRICAL IN ECTI N FINAL APPROVAL OF ONSTRUC ION A SIGNED CERT ICATE OF OCCUPANCY MUST BE OBTAINED FR THE BUILDING DEPARTMENT BEFORE THESE PREM SE5 ARE OCCUPIED! REMARKS: ' r r+ YI U � - INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILANE ROADS X QUEENS$L1RY, NEW YORK I28O� TELEPHONE (518) 792-5832 22BUILDING INSPECTOR ' S REPORT ---ram~/ REQUEST FOR I SPECIPTON RECEIVED 7/ ^ 7 NAME LCJCA T2t-7N7,/DATE - /� PERMIT #l_ APPROVED &4XW4A� YES NO FOOTING/PIERS MONOLITHIC POUR FORMS e,,. MUNDATION/DAMP-PROOFING `r..B-ACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: p CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES STEPS ,STAIRS-CLE•ARANC & RAILS PLUMBING FIXTU ES/RELIEF VALVE INTERIOR TRPRIVACY DOORS FINISHED F RS GARAGE FIRE ROOFING DOOR CLOSE (S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: PECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT / BAY & HAVILAND ROADS QUEENSBVRY, NEW Y04RK 2280& TELEPHONE (528) 792-5032 y BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECESV'ED_.7 NAME LOCATION cr DATE 7:, [p kq PERMTT # 3 APPROVED YES11 NO (,.eOOTING/PIERS Gam" MONOLITHIC POUR FORMS FOUNDATIONIDAMP-PROOFING SACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-xq INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANyi`E & RAIL PLUMBING FIKTORES/RELIEF VALb\E INTERIOR TR-TAIPRIVACY DOORS y, FINISHED FL&RS GARAGE FIR PROOFING DOOR CLOS (S) SMOKE DET CTORS FINAL ELEC RICAL INSPECTION FINAL APPR VAL OF CONSTRUCTION A SIGNED CkRTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED: REMARKS: G/ Ar t P49 LA� INSPECTOR �' TOWN OF QU.EENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY,o NEW YORK 1280& TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME ZOCATION T e. p DATE _ 30 � PL�'RMXT # 1 . yr/ S APPROVED YES NO FOOTINGIP.TERS MONay, ,THXc POUR FORMS FOUNL TION/DAMP-PROOFING 4.� SACKFYAM APPROVAL ROUGH PZFNBING FRAMING ELECTRTCA ROUGH-IN INSULATION:3 FOUNDA r-ro 4k, FLOORS WALLS CEILING + s FINAL INSPECTION; CHIMNEY HEIGHT f I' ROOFING, SIDING EXTERNAL PORCHES STEFS STAIRS-CLEAR ANC & RAILS PLUMBING FIXTUR S/RELIEF VALVE INTERIOR TRIM/ RIVACY DOORS FINISHED FLOG GARAGE FIREPR FING MOOR CLOSER ( SMOKE DETEC RS FINAL ELECTRI AL INSPECTION r FINAL RPPROV OF CONSTRUCTION A SIGNED CE TIFICATE OF OCCUPANCY MUST BE OBTAINED F OM THE BUILDING DEPARTMENT BEFORE THESE PREM SES ARE OCCUPIED! REMARKS: ell INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280E TELEPHONE (528) 792-5832 BUILDING INSPECTOR " S REPORT RE¢UZST FOR INSPECTION RECEIVED NAME LOCATXON l' e, 9'4. DATE ^�y Lai PERMIT APPROVED YES I NO FOOTING/PIERS t--�NOLSTHIC POUR FORMS � _ FOUNDATION/DAMP-PROOFS G— BACKFILL APPROVAZ ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-TfN INSULATION: FOUNDATION FLOORS WALLS CEILING i FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ EPS STAIRS-CLEARANCE & RAI PLUMBING FIXTU S/RELIEF VALVE INTERIOR 2RIM/ RIVACY DOO FINISHED F S GARAGE FIRE OOFING DOOR CLOSE (S) .SMOKE DES TORS FINAL ELEC ICAL INSPECTION FINAL APPR VAL OF CONSTRUCTION E A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS C OArl PTAs l4,6- rNsP TOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT y� BAY & HAVILAND ROADS'' QUEENSBURY, NEW YORK 3280& TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION �RECEIVED NAME LOCATION f /5? PERMIT #-_ � 7- APPROVED . - YES NO /FOOT NG PIERS ONOLITHI O FOUN NIP -PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL R GH IN INSULATION FOUNDATION FLOORS WALLS CEILING FINAL. INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ST*PS STAIRS-CLEARANCE & NAILS PLUMBING FIXTURES/RELIEF VA E INTERIOR TRIM/PRIV''ACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER (S) SMOKE DETECTORS ' FINAL ELECTRICAL INSPECTION FINAL APPROVAL OFt CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! _ r.x 6 Y REMARKS: r Vs�r UDC v A re1) � 671 be& ANSPECTOR MtQQU,VW ARTMENT--f A"L NCY ;�tCf. National H.eadqu - 900 Haddon Ave., Collingswood, W: �18i�8 `} Date: City. Towrkor Township— ��E `/ �' l�r.` :1 Y �r� ^County ' ` ^n, State Lacatian/Address x / f eat .✓ tC [.. /. s . . . . . ' fl' : ow !' 1.- ( if. Located in Rural Area - Please Attach Directions) Pole # Owner �' sF !� ' idl�ir s , . Ir pit �!�It # Occupied As / r ( ' cxtr d } _ : Building: New OIclO - 'Occupant A;z"'f r <: __ L I L L L LL} Work Area in ildin Floor' #k, etc) : for: WirinqM0 Service[3 ors Read for. inspection : Fee Rem" - $ Cash Check M.O.- Make Pa able'.Ta: IVI.D:l:A. 500 7-50 1000 125e 15 17&0 2004 2250 2100 2 so 3o" � Number of. F#augh Wiring Outkets Elect:.Heat �" Switches Lighting — _ - _ Amp. Servlee , Surface Unit Dishvilasher flange Receptacles Water Heater Air Conditioner Dryer" Puma Number of Fixtures Oven "-' C,arbage Disposal Wiring AngOl f, ols. for Burner ^ Arltkf Receptacles Fractional H. Venti ns Other Equipment ` i9 .. MOTORS H.P. 1/2 1/12 1/1D 1/8 1/e 114 1,f3 1/2 3/4 1 lxfr 2 3 5 7Y2 10. 15 20: � "5 30 � =50 7'S_ .100 Mark Numbers. G of Each Si - r Applicant's Signature • License T/A - Utility : Appkiellt"s i0.ddress:. (NA (OFFICE GATiQIV (City) (State). t (zip) icsRequest # Phone #It Electrician: DATE RECEIVED&, DATE INSPECTED: Correct Location : Same as -Above © Err: Red Notice Label Q Rough Wiring Outlets Surface Unit Oven Switches Range Garft ispos8l Receptacles Water Heater L`)ishwasher Fixtures Ali Co d` 'brier _ Dryer Amp. Service Equipment Burner, Wiring & Controls for Amp. Receptacle Amp. Service Conductors PumpVent Fans MOTORS " 1/20 1/12 1 O 1/8 1/6 1/4 1/3 142 3G4 1 l�ls 2 3 5 7V2 10 15 1. 20] 25 30 40 ' O 75 1100 # Mark Number - of Each Sire , Elect. Heat 500 750 avo0 also asoo also 2000 2230 2500 27a 000 �{ r '' Q RW Progress- Inc. F�j LKD 0 Contractor �J 0 CFT Violation : -Work Comp. Inc. CASH 0 LfA Owner Feed LIA Due' CH Q. IPA r MuniCipas ' 11194",# Dates Other Side Utility x ' . Aj7plican"t .� / Owner Cut in Card Q Temp # DateI w1i { . r [] Final # Date EDTORS SIGNAnIR APPL CATION FORM NO. 250 EL 11/86 SELECT BUSINESS FORMS (bag) 84a.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 • • Date : — - City, Town or Township C V e f` o ✓ County l��-�Cl 1�✓ 'E'� State Location/Address t'r � 10-,.d 1 L) A jf ( If Located in Rural Area - PIeasQ Attach Directions ) Pole # Owner, ✓et I sG7 rJh 0 :n . � Permit # Occupied As .Jr' ry fC 41rs-I�p 1��J{ �p Glad ,s 4�+—� Building: New© OldQ Occupant .!�Ck r- *e 4zs Ct_lda�I vic Work Area in Building Floor Or etc. ) : A _ for: Wiring Service Q or: Ready for Inspection : Fee Remitted - $ Cash [] Check Q M.O. [] Make Payable To : M. D. I.A. Soo 750 1000 1250 1500 175v 2vvo 225v 25v0 275n 3v0v Number of Rough Wiring Outlets Elect. Heat Switches Lighting Amp. Service Surface Unit Dishwasher Range Receptacles Water Heater Air Conditioner Dryer Pump Number of Fixtures Oven Garbage Disposal Wiring and Controls far Burner Amp. Receptacles Fractional H.P. Vent Fans Other Equipment : MOTORS H.P. 11201/1: 1r10 1Ja 1/6 1/4 1/3 1/2 3/a ; 1MI0 2 3 5 ] Mark Number lIx 30 15 20 25 30 40 50 75 100 of Each Size Applicant's Signature License # Permit # T/A Utility : Applicant's Address : (NAME) OFFICE L CAT16N (City) (State) (ziP) Service Request # Phone # Electrician : • DATE RECEIVED: DATE INSPECTED; Correct Location : Same as Above or : Red Notice Label 0 Rough Wiring Outlets Surface Unit Oven Switches Range Garbage Disposal Receptacles Water Heater Dishwasher Fixtures Air Conditioner Dryer Amp. Service Equipment Burner, Wiring & Controls for Amp. Receptacle Amp. Service Conductors Pump Vent Fans MOTORS H.P. 1f20 1R2 1 1Jt0 1 1/8 1 1/6 1 1/4 1 lr3 1/2 3/4 1 1 142 1 2 1 3 1 5 1 73I2 j 19 ; 5 20 25 3a 40 50 1 75 ;IXI Mark Number of Each Size Ct. Heat Sap 75O lvvv L25o 154R 1750 2o00 2250 250v 215v 30o0 ca CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECT FEE PAID RW Progress : Inc. Q LKD Q Contractor [Q CFT Violation : Work Comp_ 0 Inc, 0 Q Q L/A Owner CASH Q L/A Fee CH K # Q IPA Municipa# Due MO # INV # Date: Other Side Q Utility Applicant Cut in Card [] Temp # Date 4L4w 'SOWN OF QUEENSB +URY Bay at Haviland Road, Queensbury, NY 1 2804-9 725-5 1 8-792-5832 i Fe rua ry ,, 1991 r Frank & Isobel Munoff PO Box 193 Star Route Queensbury , NY 12804 RE : Building Permit #89- 375 Addition to dwelling & Two Car Garage Tax Map #17- 2- 3 . 2 Dear Mr . & Mrs . Frank Munoff : The Building Permit noted above has expired . We have not been able to close our file and issue a Certificate of 0ccupanc,y since we did not obtain a final electrical inspection certificate . ► Syt', Please furnish this department with a copy of the final electrical inspectionY certificate no later than February 22 , 1991 , so we may close the file and issue the necessary documents . If you do not have this certificate we suggest that you contact either your electrical contractor or the electrical inspection agency involved . Thank you for your cooperation in this matter . If you have questions pertaining to this request that either of the above cannot answer , please call . Very truly yours , DAVID HATIN , DIRECTOR Building A Code Enforcement DH : se "HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LIVE" SETTLED 1763