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1990-221 , 04 : 1 " 'CERTIFICATE OF COMPLIANCE . TOWN OF QUEENSBURY • WARREN COUNTY, NEW YORK • Date dimii -2-e') 19 f gatl 1(), I 1 90-221 This is to certify that work requ&ted to be done as shown by Permit No. has been completed. This structure may be occupied as a attached one-car garage Lotion Wincoma Lane Lee Horning Ownee• By Order Town Board • TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement :.• BUILDING PERMIT TOWN OF QUEENSBURY No. 90_22,1 WARREN COUNTY, NEW YORK 0 PERMISSION is hereby granted to Lee Horning U, rn OWNER of property located at Wincoma Lane Street, Road or Ave. °' cn in the Town of Queensbury,To Construct or place a Attached one—car garage 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. 0 1. OWNER'S Address is PZI RD#1 Box 27A Queensbury NY 12804 r 2. CONTRACTOR or BUILDER'S Name ro same 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name O 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) ( Wood Frame ( ) Masonry ( ) Steel ( ) ` 7. PLANS and Specifications Co No. 22'8"x15' Attached one—car garage as per plot plan, specifidcations, o and application. 8. Proposed Use tv Attached one—car garage. tv Sy $ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 30 19 9n (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 30th Day of April 1990 SIGNED BY for the Town of Queensbury Building and Zoning Ins ctor TOWN OF QUEENSBURY -3qCfb REVIEWED BY FEE PAID $ • 0 MINN OF CailiNtiNfilY. PERMIT NO. 0-" / BUILDING PERMIT APPLICATION 2 1990 BLDG. & CODE DEPT. . 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 reverse side of this application. « « « * * « « * * * « * * * * * *'' */ * * * * * * * * * « a• a * « * * * * * * * * * The owner of this property is: L c4- ' 14 t^i, ...i P.O. Address ilo,. .-�= / . 2e 0 V-4i 94./- C3y,6 Property Location 11)4"ICo,c.r' 64 eat Tax Map No. S6 / 6/ Has there been any split of this property since October 1, 1988? 1 do If yes Planning Board Review is necessary. yes no SUBDIVISION NAME, IF APPLICABLE 20 GA-,,mac, 2,®G e LOT NO. THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: • NATURE OF PROPOSED WORK: ESTIMATED MARKET. VALUE OF • Construction of a new building • CONSTRUCTION: $ j! DOGS Addition to a building • COMPLETE INFORMATION REQUIRED BELOW: * Size of property 2/0 . ft x L12?ft. Alteration to a building * 46 (no change to exterior dimensions) : • Existing Buildings(3) Size 7^ ft. x / ft. Proposed building - distance from property line: Other work (Describe) ' Front yard Go ft. Rear yard 6 ft. • Side yards .j1' ft. and / ft. • GROSS AREA OF PROPOSED STRUCTURE • If on corner, setback from side street 3.c ft. 1st Floor 3 45 sq. ft. • OCCUPANCY INFORMATION • 2nd Floor sq. ft. * Primary Building - Other Floors s�. ft. • One Family Dwelling (not cellar or basement • Two Family Dwelling TOTAL FLOOR AREA_sq. ft. • Multiple Dwelling/Number of units Size of new structure22S•'ft x /5' ft. • Business Foundation-pi- /slab rawl/partial/full • Industrial (c = one) • • Other • No. of stories (habitable space) Height (grade to ridge). /Co . ft. „ If addition, what will use beg 124Gf If residential, no. of families: / ._ • Nc+. of rooms(excluding baths) . / .. -' Accessory Building No. of bedrooms ' Detached Garage ONE/TWO Car No. of bathrooms • Primary heating system • Attached Garai ONE/ WO Car Type of fuel__ • Private storage building No. of fireplaces to be installed ( ' . . • Other Will a wood stove be installed_I=a Central Air conditioning "1?- • OV• ER BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe._etc. Wooer Will any second-hand or upgraded lumber be used? If so, for what? r • Foundation wall material Cow. Thickness s I) Depth of foundation below grade (to bottom of footing) 4 Will there be a cellar? Nit' Heated or unheated? UN /,154re, Floor sq. footage 4S sq ft. Will there be a basement? 146 Will any portion be used as living space? h/a (If so, what portion? sq ft. Type of use? etpa 2q t„ - Type of roof - .loped flat/shed/other Material of roof ASrr14L7 %.4.�c Ld Size, wood studs Z "x 4.- " spacing/ C. " o.c. length a ft. Joists (floor beams) 1st floor "x " spacing- "o.c. span ft. Joist (floor beams) 2nd floor "x " spacing "o.c. span ft. Overlays (ceiling beams) 2_ "x (,, " spacing / (, " o.c. span 22. ft. Roof rafters Z "x " spacing / ,o.c. span /2) ft. Roof trusses (pre-engineered) spacing o.c. span ft. Exterior wall finish S.° of'what material? •agoca Interior wall finish -- If a garage is to be attached, describe materials to be used for FIRE SEPARATION: 5 Is there to be an opening between garage and dwelling? �kS If so will a Fire-rated door, enclosure, self-closing device be provided? � g Will a flue-lined chimney be installed? a/o Height above roof ft. Depth of chimney foundation,below grade ft. Depth of fireplace hearth .-- ft. in, Water supply-- Municipal or private well i72, 7_f. 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) NAME OF BUILDER / 024r.-ice 6u..r-ADDRESS Qv.EE,ysw/2-P TEL. NO. 9,-B-4:52e. NAME OF PLUMBER — ADDRESS TEL. NO. NAME OF MASON S 4) e.- ADDRESS TEL. NO. NAME OF ELECTRICIAN ADDRESS TEL. NO. DECLARATION To the best of my Imowledge 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 ZONI ORDINANCE, and. all other laws pertaining to the proposed work shall be complied w' h, whet r cified or not, and that such work is authorized by the owner. Signature Owner, contractor SPECIAL CONDITIONS OP THE PERMIT: BY °0�®�•:, MIDDLE DEPARTMENT-INSPECTION AGENCY, INC. ...�. National Headquarters 1337 West Chester Pike,West Chester, PA 19380 APPLICANT COMPLETES THIS SECTION Date: e ./ �; ri- City, Town or Township r r ��. - County ( f� State 1% f / Location/Address J_. r - t (Ift.Ocated in Rural Area -`Please''Attach Directions) Pole # .� r Owner .. �!'_ Permit # W Occupied As ~ r:/ r.=•,. v• Occupant 1 C. _ .J Building: Newer Old❑ Work Area in Buildin• (Floor #,etc.): App. for: Wiring Ljs'Service I or: Ready for Inspection: Fee Remitted -$ Cash I 1 Check n M.O. I 1 Make Payable To: M.D.I.A. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 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 for Burner Amp. Receptacles Fractional H.P. Vent Fans Other Equipment: - MOTORS H.P. 1/201 1/10 1/8 1/6 II 1/3 1/2 3/4 1 IIIIII 5 7i/2 10 11 20 25 30 40 50 75 100 II Mark Number of Each Size Applicant's Signature License # Permit # T/A Utility 1- E. d y (NAME) (OFFICE LOCATION) Applicant's Address: ;' I'D . 1 40 c JX•, -% rA-y (City) J ., -% (State) / l y (Zip) r ?. L-y .V' Service Request # Phone # Electrician: MDIA USE ONLY DATE RECEIVED: ? C DATE INSPECTED: =y . / _/ -_ C, Correct Location: Same as Aboven or: v Red Notice Label n Rough Wiring Outlets Surface Unit Oven ("Switches Range Garbage Disposal 6 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. ' 1/20 1/12 1/10 1/8 1/6 1/4' 1/3' 1/2 3/4 1 Ph 2 3 5 ' 7'/2 10 15 20 25 30 40 50 75 100 Mark Number of Each Size 500'750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Elect. Heat CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECTFEE FEE PAID I RW Progress: Inc.n/r LKD❑ Contractor I I CFT Violation: Work Comp.❑ Inc. L/A Owner CASH I Fee CHK # L/A Due MO # n IPA Municipal INV # Date: Other Side❑ utilityApplicant ❑Owner Cut in Card I Temp # Date /">' ' 1 IhtSPECTO"i'nICI ATURE Final # Date / APPOCATIQN FARM NO.?50 F1� 11/89 if ��.�� MIDDLE DEPARTMENT INSPECTION AGENCY, INC. \\\ �* National Headquarter • s • . . ..-.• -- 1337 West Chester Pike,West Chester, PA 19380 APPLICANT COMPLETES THIS SECTION Date:?-/..3( ;'/ (" .( , i 'J:� County10•4• :J/L?'<'E=(--) State JL Y City, Town or Township `�•/ "% ��/� 5 /��--�f` Location/Address •_•-) ?/f* /Ai / %L/ ('(.i---114 14 L/`.1-- - . -(If.Locatedin Rural Area -Please Attach Directions) Pole # ��--W/ Owner ,/,,- ,/- !:- ; /f',, 2 A / xi Permit # Occupied As (�'/: fl( %r Building: NewF Old Occupant /`)•) �—� ' Work Area in Building (Floor #,etc.): . App. for: Wiring© Service 7 or: • Ready for Inspection: Fee Remitted-$ Cash n Check n M.O. 1 I Make Payable To: M.D.I.A. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 - Number of Rough Wiring Outlets Elect. Heat Switches ' Lighting Amp. Service Surface Unit Dishwasher Range Water Heater Air Conditioner Dryer Pump Receptacles Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner Amp. Receptacles Fractional H.P. Vent Fans Other Equipment: - - MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 7,/2 10 15 20 25 30 40 50 75 100 Mark Number of Each Size - - Applicant's Signature • License # - Permit # T/A -; /, //Of? /I) ,l E.A . Utility: (NAME) (OFFICE LOCATION) Applicant's Address: ==` 7 A a)/Ai( 61--Af i4 L/7' ' (City)/,)) (t7 /(i; I';/..//_`V (State) 'f' Y (Zip) /--) k G V Service Request # Phone # 7L / —r -= r 8 Electrician: MDIA USE ONLY DATE RECEIVED: DATE INSPECTED: Correct Location: Same as Above n or: ' Red Notice Label n Rough Wiring Outlets Surface Unit Oven Switches Range Garbage Disposal v/ Receptacles Water Heater Dishwasher / 5 Fixtures Air Conditioner - Dryer - Amp. Service Equipment Burner, Wiring &Controls for Amp. Receptacle Amp. Service Conductors Pump I Vent Fans - • MOTORS H.P.' 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1'/2 2 3 •5 71h 10 15 20 25 30 40 50 75 100 Mark Number " . of Each Size 500 750 1000 1250 1500 1750 2000 2250 2500'2750 3000' Elect. Heat - // / . .1� ' T %)// //'') I /'; ___�-- /._/ ;/ % t o / ! � '✓ / /` r f 2 CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE' CORRECT -"I‘.FEE FEE PAID I I RW Progress: Inc.❑ LKD❑ Contractor ❑ T Violation: Work Comp.❑ Inc. ❑ CASH ❑ L/A . _Owner - Fee CHK # ❑ L/A - • Due MO # • n IPA Municipal INV # Date: Other Side Lf" Utility Applicant ❑❑Owner / , Cut in Card . n Temp-# Date a� _ jf �r fit'.. L.��� -;} �'/�^!/ .•vt(,l 7� a n Final # Date j` -,,-) - / /__, , , • INSPECTORS SIGNATURE • APPLICATION FORM NO.250 EL 11/89 • BUILDING DEPT.COPY OF APPLICATION FORM 46.EL,NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS.COPY WITH BUILDING DEPT.WHEN REQUIRED. . (TEMP.# I DATE I tf f: ,4 1 CITY OR . VILLAGE TOWNSHIP. }",- '' -2- 1/I L' COUNTY- L 2,2t`..✓ STREET AND NO.OR / i - ROAD AND POLE NO. . ;^• CG•..-y' _ POLE NO. BETWEEN WHAT TWO / - r CROSS STREETS IS i �" " ,u ' i ct ' PREMISES LOCATED? _ a' .'../(•'•2'7 I.! SECTION . BLOCK LOT ' OCCUPANT'S / BUILDING C-' , NAME f L- ('•>t u Z . j .../ - OCCUPANCY OWNER'S NAME + AND ADDRESS - -!__ TEL.# l) ( / .tv 7 CURRENT �... "— SUPPLIED / FROM THEIR C,-•_"} L. BY i\f i : C.-�:i,l -3 .�C�j !.% J<i�rL ,1• /`"J LC �, OFFICE BSUILDING NE OLD ElI IWS NEW—A ADDITIONAL El REMOVED DEFECTS ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS • Lampf MOTORS HEATERS Receptacles CIRCUITS OFFICE USE . Lam- ONLY lion Side Attach't H.P. Watts A.W.G. Coiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION Out- side Sub- base . Base- ment 1st Fl. 2nd Fl. 3rd Fl. . . REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed, you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant. SIZE OF ELECTRIC SIGN TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN • OF WORK CONCEALED TRANSFORMERS OF VA ' WORK TO BE (NUMBER) (CAPACITY), STARTED COMPLETED SIZE OF SIGN . SERVICE OVERHEAD UNDERGROUND MAKER ENTERS - OF SIGN BUILDING INSPECTION REQUESTED ON OR AS NEAR AS (. L t. �'1 L. r NEW OLD POSSIBLE . 111 AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF / l MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATIO 1/ PRINT NAME AND ADDRESS NAME OF / �_,�C ,? -� Cs V SIGNATURE 4 R --` /// APPLICANT t /%,OF APPLICANT _ 7 J/ f.7- STREET ADDRESS t {�'t �'( ' - F. ,[ ',- 2. 2 `� TELEPHONE# / ! ,f ,' -�� Q� CITY OR /"_ � _? - r.� 7 - ZIP LICENSE NO. POST OFFICE �-sC+_%•=.= .. CODE L� 4 WHEN APPLICABLE • 46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH-SEPARATE BUILDING /6:0411 TOW OF QUEENSBURY 531 BAY ROAD QUEENSBURY,-NEi YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT FINAL INSPECTION � �/ REQUEST FOR INSPECTION RECEIVED // / NAME /-10Y-Y1.\(\dgc ) Q c? 1 LOCATION \ ` ; n DATE le 1 71 9 /' PFRMITO 9r) � L/ TYPE OF STRUCTURE 1-�-1— l --T C ( �; V RECHECK E MARSHIVAPPROVAL (COMMERCIAL1STRUCTURE) ,//""FOOTING v OUNDATION BA`CKFILL/_FRAMING ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC INSULATION WOOUSTOVE/FIREPLACE SITE PLAN/VARIANCE REQUIREMENTS ,-'r YES — NO REMARKS / / . 6 APPROVAL j / N/A YES NO CHIMNEY HEIGHT/LOCATION ' B VENT/LOCATION ' PLUMBING VENT ROOFING SIDING y DECK/PORCH/STEPS/RAILINGS RELIEF VALVES a. FURNACE/HOT WATER OPERATING BASEMENT INSULATION/D;UCTWORK INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: 11 BATH/KITCHEN WATER IGHT OTHER FLOORS SWEEP BLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS HANDICAPPED ACCESS SMOKE DETECTORS' k BATHROOM FANS/WHOLEHOUSE FANS ALL PLUMBING.,FIXTURES OPERATING .PROOFING GARAGE FIRE ✓" DOOR CLOSERS 1 OTHER FIRE/SEPARATIONI FIRE/DEMI,SE WALLS FLTEL/ v FINAL ELECTRICAL 1 OK TO ISSUE C/O OR C/C '\ COMMENTS: } g ✓ �/CyU� // • ARRIVE ,9,! DEPART 4/ ELECTRICAL INSPECTIONS DUPLICATE MUNICIPAL RECORD Pet it No. /�~ . v4 /a'/1V/`V--_�` ; Occupant "Location r? l 4- //Lf t._e-7,11,4- Ny� tr et Town or City State Installation as itemized on reverse side has been visually inspected pursuant to applicable codes. Installed by J o. 16d Date `l` � �_____ _____ _ Inspector MIDDLE DEPARTMEN SPECTION AG Y,INC. FORM NO.18 EL. 1337 West Chester Pike,West Chester,PA 1 80 ROUGH WIRING OUTLETS H.P.AIR CONDITIONER 3g Ovg,Qa /red WIRING &CONTROLS FOR BURNER RECEPTACLES H.P.PUMP FIXTURES K.W.OVEN AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT AMP.SERVICE CONDUCTORS K.W.DISHWASHER K.W.SURFACE UNIT K.W.DRYER K.W. RANGE AMP. RECEPTACLE K.W.WATER HEATER FRAC.H.P.VENT FANS L a ——MOTORS M.P. 1/20 1/12 1/10 IA % % % IA 3/4 1 1/ 2 3 5 71/2 10 15 20 25 30 40 50 75 100 MARK NUMBER OF EACH SIZE APPARATUS TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801- TELEPHONE (518) 792-5832 BUILDING INSPECTS' 'S REPORT REQUE T FOR INSPECTION REC IVED NAME LOCATI DATE ` 3 0740 PE'' IT # 90 a owl / APPROVED / f„-, YES NO FOOTING/PI RS MONOLITHIC POUR FORMS FOUNDATION ,RAMP-PROOF'NI BACKFILL APPROVAL ROUGH PLUMB G FRAMING ELECTRICAL R 41, GH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTIO CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES '•,TEPS STAIRS-CLEARANCE': RAILS PLUMBING FIXTURE' RELIEF VALVE INTERIOR TRIM/PR• V'CY DOORS FINISHED FLOORS GARAGE FIREPROO INS. DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL NSP ': TION FINAL APPROVAL O: CONS+ 'UCTION OK TO ISSUE C/O ,hR C/C A SIGNED CERTIF CATE OF •CCUPANCY MUST BE OBTAINED FROM T E BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUP ' D! REMARKS: re-trfrAy' /454- yfrS'0-1 0=14 o ARRIVE 'O.,' Y ' / DEPART SPECTOR klew 40C>1-'no' vp- 4- z --r-j -T L-4 2)16, -1(0 " c r- vt� b L 6" Cc,,,jc VkLL, 1, 41' 4 G'% -rowN .4WN-ENS zonin APR99 Z�Q TOWN OF IM V VJEEMM Kl%M KKRTMENb I emd a m w" wA*dfi"' m U I L D CM G somolkwwwoorcm 0-tishag Old k nmdnW as W*ft theREVIEWED BY On ad opsdkdions are in full DATE MMObw with the code. o D*AW4" -1 NSSURY )FS DEPT. COPY . �P.