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1989-547 ~ i1 CERTIFICATE OF �OCCUPANCY CY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK March 29 9 19 91 Date?his is to certify that work requested to be clone ss Shawn by Permit No. 89- 547 has been completed. This structure may be occupied as a Sin l e Family Modular I.ocatiasti 4( c) Sherman Avenue Owner Patricia Rocige By Order Town Board TOWN OF QUEENSSURY • Director of Bldg. & Code Enforcement +� X BUILDING PERMIT -� TOWN OF QUEENSBURY No, b- S47 a fi WARREN COUNTY, NEW `w'ORK r,D fV N PERMISSION is hereby granted to Patricia Rogge css -A OWNER of property located at Street, Road or Ave. in the Town of Queensbury, To Construct or place a _ Single Family Modular 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. 1 _ OWNER'S Address is Cormus Road Queensbury , N . Y . ca 3_ CONTRACTOR or BUILDER'S Name rn Lamplighter Homes sv -s J. 3. CONTRACTOR or BUILDER'S Address n RD#2 a. Fort Edward , N . Y . 12828 4. ARCHITECT'S Name S. ARCHITECT'S Address W 6. TYPE of Construction — (Please indicate by X) C rp )4X X wood Frame l } Masonry I ] Steel I Y m 7. PLANS and Specifications No. 26 ' x 44 ' Single Family Modular as per plot plan , specifications , and application , including septic , and driveway . S. Proposed Use Single Family Modular rc -„ $ 132 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES February 1 (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Ciusensbury before the expiration date.) Dated at the Town of Queensbury this 18th Day of July _ 19 89 c` SIGNED BY for the Town of Queensbury � Building and Zoning nsipector TOWN OF QUEENSBURY APPLICATTON FOR BUILPING AND ZONINCh PERMIT ' V c� - F' eeteved — /2 - y: 'r TOWN OF QUEENSBURY RECEIVED Fee Paid I JUL1 l�)U I LD I NC, AND CODES iJI :1 'ARTt E. rT Date Ibb ued :3,1 Y and 11AVILAND ROADS RD I Box 93 nuerNseuRY, nrrItr YORE: 12a04 'PeAm-Zt No . BLDG, & CODE DEPT. Tel . (518 ) 792-5832 Ext 204 r • r • s w x r ore r « w re ■ r r * w ■ r ■ r r s ■ x : a r a a r r ♦ a w A PE- MIT MUST 1111 OBTAIt4ED BEFORE BEC) INHING CONSTRUCTION . NO INSPi CT16NS tq' ILL IIL MADE UNTIL APPLICANT 11AS RECEIVED A VALID BUILDINC PERMIT . All applicable spaces on this application must be completed and the s% ,iplature of the applicant must appear on the revers * side of this sheet . * -* r: X A * * * * & * a: * 'h * A All The owner of this property is : ^ /ZaC 004 1 oCo6 ge.- p P * O . Address CyOL " 5 X%)A. c4 Ad r� yIr TEL property location L2 ,e TAX MAP N{J . f ' siiC' : fr teas there been any split or this property since October 1 , 19881' ')�C yes no If yes , Planning Board 'Review is necessary . SUBDIVISION NAME , IF APPLICABLE LOT NO ' 111he person responsible for supc. rvision of work as regards Building Codes is : ? 9 7 - 7 NAF4 & P . O . ADDRESS TEL . NOw taame of builder LA +hj 'YC G/! r Address It, a jgX� 1 " ,C.d=.1I .i Tel :2 Name of Masons ^r[3sv3.1s/��d �iFTiEbL. Asldre� 5_ ,_fl 'f' JCZ'4&al ;w4AA Tel^ 9 ; _? � r4 amo o f P 1 umbe r ,G,�,.rti P' �(G IRii - —. ittf+d" Tel '2� �Y 9P -, rd,� TuRt OF f'RC]!'O�L'D yx] I:r: . FZONING INI t] ltrif+ i' IC3hl ( C3tfire use an 2 y ) rontirructiore of a ltow building tSIGNATiON OF PROPERTY 14 Addition to a l3uilalietq * PRINCIPAL PERMITTED ACCESSORY AlLwC" Lion to :a Luildinqirto CSt.an<jv t0 ,rx[ � rior (litnCrisLonS ] QUIRED PLANNING BOARD ZONING HOARD_ j ? ".1: s: ribol e' SITE PLAN REVIEW i3 APPROVEC DATE � e 1tOSS AREA PROPOSCD. ST [( UCTUR r VARIANCE # APPROVED DATE ` Remarks ; Lst Floor / �/�-/ sq ft . „ y nd Floor eT p sq f t . COe•►Pf.L"s`l: Ipj1-%C1r:atATlQN S<i:frUI.hL UL: LcsMi . ocher Floors sa ' ft , * Sie.a of prol:urty, 00 c] ft x 200 Ft . ( not ccllar or basement ) ` Lsci�titu} Luilaliat ] ( e; } ai ::�' 1; t % rt , r TOTAL FLOOR AREA ,�/ ��sq Cc L:x4.7eie19 D6tiWi090; ) Use is u o r nc:w x:cructuru "16 f t kvv� f t L'aanasdation-pier/ alaL/crawl/partial ` Nrol�a�jcd l�uilalang , di� c:ance trotu 1+rulaurcy iirtu ( circle one ) Front yard 0 ft Rear yard 3�ft Nu . of stories (Itabicable spncc ) 2w - 1l.: ight ( tirade to ridges ) ,� 3 ft , . Side yard : tt and I c ra:.aiduntieil , no . ctif f..milies ,� r It on corna:r , uQtbACk from side stra::f:.t rc No . of rooans ( excludinq bathes ) '7 ' OCCUPANCY INFO['�iTIQN 11o , of budrooinu .. PRZMARY LUILDING No * of bar.1%roouu; x Jr ) Ono fQAL- ly dwelling leritaary ieu.ttittea uyt;L: :tu A4a/40 C12LWe. 61AQL9LaZe ( * 61•wa f"M.ily dwatlliny •1'ypu of f ua:l ep- /a c-. - r Multil,la: alwclling / Number of units No , of flruplacue* tea lae.: inxzcu loci a ,: Ices wtnc �tit octuP:utc will :+ woo*j iLGVQ L+c irt:; ceilla:ai? A,3y� r y +"noel Air coma ltiunirtgm? .s J * Dusl :ier, t Ga:cul+:aracy � 13wLiS1n+L'SS BUILDING STYLE, PRIMARY STRUCTURE � Industrial luttcFt Canta:"6,p0 ,r"ry Leg cabin * Ocher liaised ranch Mansicill Duljlex • It aaddicion , wlnue will u:;a3 bu? :1131ie la:va:l Old scylQ Ltuetaj•,al0W r Cu 1, Cod �L Cottaq Or. tLear ' ACCESSORY UUILDIWC� rt~c, lans.:l 1iOV 1'ow+ � house Uestachad g4rz4go/ones cur/ two car/ car CIRCLL: QHLN ' PLEASE } ' AstachLtd 9"ra9e:/0nti.: CQr/ two car/ czs t• a r r >+ ■ r r r r • • r ■ r = w s * 11riv" tu sLar"ge building L: .'' TIMA"1ED MARKC'a' VAI. UC OF a: G1N :: '1' kUC "t' ION r IN['ORKATTON ON nUILDTNC .spEciFrCATIONS , ON pM- VEFSe SIDLE OF T11IS CFICE'TO 1`0 BC COMPLCTED1 Form BPA 20/88 v1 BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . 1.+.3 n c� 1�'/� y� .ems row Will any second-hand or ungraded lumbar be used ? If so , for what ? 4p246.) Foundation wall material [" a-y*, c,, & * T'p Thickness it Depth of foundation below grade ( to bottom of footing ) ,U Will there be a cellar? y ?J Heated or unheated? 4Jn .Floor sq . footage sq ft Will there be a basement? AotO Will any portion be used as living space ? ( if so , what portion? sq . ft . - - Type of use? Type of roof - oped lat/shed/other Material of roof S^Z , fv size , wood studs-" X .. spacing.../ length APPft . Joists ( floor beams ) lst . floor -" X i ,�s "' spacing ./I. _'"o . c . span j a ft . .joists ( floor beams ) 2nd . floor _ �^x /a spacing... r "o . c , span��fto Overlays ( ceiling beams ) _1_"'X �"' spacing ,, 4. " o , c . span s "5 ft . Roof rafters "' x " spacing o . c , span ft . Roof trusses (pre-engineered) spacing_ ,/ /,e_" o . c . span-4-,3_ft % Exterior wall finish lA P �$'� , G Of what material ? Interior wall finish �4� a I_rZp L AC._. 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? If so will a Fire- rated door , enclosure , and self-closing device be provided? Will a flue-lined chimney be installed? Height above roar. ft . Depth of chimney foundation below grade ft . Depth of fireplace hearth ft * in . Water supply - Municipal or ,private well jo" C io * r SEPTIC SYSTEM _ Distance from ANY private well ( including ad3oining properties owcaf.{ 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 o[i the described premises and tJ aZ uii P&OVIiSlO s Cf the B?TTT. D?hrrl 00DW, I FiT 7nNINt; 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 d owner's agent, architAtt , contracto sPECIAL CONDITIONS OF THE PERMIT : By- ------------- _......_____-_.......- "" G f�•r� P /F r, f�J",«_ ' 3�►'si' y :l -- .�'�r� ,six. ��" w ,v TOWN OF QUEENSBURY _f WARREN COUNTYr NEW YORK We -4 application for : BUILDING PERMIT IN COMPLIANCFe WITH THE NEW YORK STATE ENERGY CONSERVATION CODE pa-rp1].t must be obtained before beginning work , f © L�o nIg r area floor l - Grass It C� o f heat ' rJ 2 TYPe rg mechanically cooled ? 3 Is the buyld area of windows and doorsr Percentag ! Qn and floors 4 . Over value of gross area of walls * roof / ceiling p" l ,Zposed to ambient conditions NO Floor over heated spaces YES YES NO a , Are foundation , atwalls thesRlvalue ? 1 , If YES . 30 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 s . Type of insulation S . Linder 16 % Only 1 . R value of roof and floors �/ ambient conditions /77 2 , R value of exterior walls , 2 •3 , R value of glazed area 4 . R value of doors 5 . R value Of floors over unheated spaces 6 . R value of slab edge insulation _ - unheated slab 7 . R value of slab insulation - heated slab Be R value of heated basement/cellar walls ( above grade ) g . R value of heated basement / cellar walls ( below grade ) 10 . Type of insulation ep 'e- /hoc r " Co. {Controls 1 . Thermostat maximum heat setting D . Duct Systems NO 3 . Is duct system installed in unheated spaces ? YES a . if YES , R value Of duct installation b . R value of duct in other areas E . Piping Insulation agent pipe 1 . size of hot water ' or cooling carrying 2 . R Value of pipe: insulation F . Service Water Heating 1 , performance efficiency .., . . . . .. .. f, r. .r r. _ .-. r. .. r- . .. n rn ^✓ 1 n) r 7 !n APPROVED DATIED"-.` -- APPL1CATlON FOR SEPTIC Dl!:POSAL PrnMIT 20rojUG & ILW CODS DURL 10VM Cc- pursic4ulty LOCATION OF PR©Prh:n 'Y FOR INSTALLATION d 4 P A,At A,, Oe Owner's Name: Zr�rre _ 6yrt Telepkionr: 9 3' 3 .S' +C� 'Prlephone: 7 �4 sa 6 Number of bedrooms (reiddential only) Total daily flow (comfasstc 0 150 g;al per hedroorn) Topography: t:irele one.: Flai Rollinf; Steep Slope oa' of slope Soil N;Aturts: circle one: Sand oaten Clay Oth4j�:r / I3epth: feet Ground Watem At what depth? /✓�,�t fret Bedrock ar ls,"purviow Matt=rial: At what depth? ��.� � feet purcut..itiou tout: circle- 011e: not require: r required / rate ruin. inch. Dosuestit water supply: circle one: Municipal Well Other 11` domestic water :supply is a Wel SGli:ar:.tiw,: WateMupply from Septic absorption feet PROPOFSJ.lD SYsTI2M : Serstic Tank IdaV U gal. (minimum size : 1 ,000 p:il.) Tl1_12 FIELD*. Each Trench ±5� 40 Uket / "rotal systems length feeet SEEPAGE 1 1T(S) : Nursibeav of / Sire each feet Ui F feet Sice of atone to Le u::utl a / Depth or Thickness feet V * * * * * y * * *WW * IMPORTANT NNW" UOUll�lriX; hi'3"t'(] lil~ YNaTALLRI] ♦ * s ss *, * a► t . � a s * ; * ems * jai rir * • s � sfa ra s * * • 3a * * (over) SrcCiAn II Septic Systont inspections: A. All upplications for septic system installation, :alteration or repairp as racluireal tay tlae 'Town s,f Quicetlsbu.t•y S "llitary SeW "Rt: Ordmancv. shall ue sut,ttlitCad to the Building at least Zd hours bvf(jrcr start Of culastl•uction and shall ilaclu.le a plot plats sltowink:: I J the proposed location of the system Z.) locution and distance to lot lines 3.1 location :and distance to structures 4 .1 location and dist:anca to :iny water supply 5.) bice :and dimensions of all tanks. distribution boxes, tilt fields and/or drywells Be No system shall be covered before inspection and approval by the building Inspector•. Failure to comply with this rcquiriament tnay result in tide: uncuvs"rj,%U of 114u system by the installer and a fin.: of up to $2. 50. 00. c. An upprovrd copy of the plot plan shall " availaWe an the construction bite. l&`adore to proc[ucc said l,lot ;elan at time: of inspection may result in an inrnrcdiate work 5toppa0e. n. Should unforeseen problems during construction prevent proper installationo altrrutiol% or repair of an approved systurn, a new proposal must l,e subillitted to ilia Qu.:enabrary Building Department C.efora further construction. I have read the rcgul:.tions above and agree to abide by these and all requirements of tlaa: 'Town of Quaen:.Lrary ,a.nitary Sewage it3i :jfcr:::al C7nlixaaucc. Sietlature ofx"pon::ible person: ❑:ate•: Town of Queenbbury Building and Code_Depart inent bay at Huviland ll.o:td Queensbury, New York 12901 151R) 7r7Z-583Y . . . TOM OF Ct �pr�E �Rr r�UEENSB�►Rr, NEw roRx IaBOa BIJILDINN In" 5 Z�5832 llEPOlt FINAL. INSPECTreX REQUEST FOR IMSPEGTroN RECEIVED i XAME r' v LOCATION DATEi PERMIT# �i TYPE OF S RECHECK � �� jI _FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) RROUGHNPLUM—SING FOUNDATION FINAL EI ECTRiCAL BACKFILL �FRMING �fTESULATION wPLAN/VARIANC REQUIREMENTS SEPTIC -�1ES REMARKS 1 I CHIMNEY HEIGHT/LOCATIO N/ YE NO 8 VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/P /S G RELIEF VALVES FURNACE/HOT WA R ER I `NG BASEMENT INSU! .Tt /DUCTWORK ~ INTERIOR TRIM/PR ACY DOORS FINISH FLOORS ; BATH/KITCHEN TERTIGHT OTHER FLOORS WEEPABLE OTHER FLOOR CARPETED STAIR CLEARAN E/RAILING HANDICAPPED CESS SMOKE DETEC RS BATHROOM F S/kM LEH US . NS ALL PLUMBI FIXTURES OPERATI GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE S �[jj�y FIRE/DEMISE WALLS DUMPSTER FINAL EL R C OK TO ISSUE C/O R C/C ARRIVE DEPART ,/ � TVA OF 531 AY�RO SMY QUEENSBUTELEPHORY , ,&W YDRK 1804 BtIILDIW IRSOE PE792-6832 C� S XEM �T FINAL INSPECTION REQfIEST FOR INSPECTION! NECEIV6 NAME , _ LOCATION .f1�? „� � .. DATE = r 1 -s-/,C�-�.�PERMIt# 7_ TYPE OF STRUCTURE RECHECK FIRE MARSHA APP + ,FOOTING FOlJNRA OOVNAL (COMMERCIAL STRUCTURE) ACKFILL . ROUGH PL gING FINAL ELECTRICAL--FRAMING 1 rNSlJLATION w0 STOV /FIREPLACE SEPTIC STTE PLAN/VARIANCE REQUI EMENTS REMARKS NO i CHIMNEY HEIGHT/LOCAT N N/ YE NO 8 VENT/LOCATION PLUMBING VENT ROOFING SIDING ? DECK/P H/ G RELIEF VALVES _ FURNACE/HOT BASEMENT INSULATION DUC ORGi-" INTERIOR TRIM/PRIV Y DO S FINISH FLOORS : BATH/KITCHEN WAT RTIGHT OTHER FLOORS SWE PABLE OTHER FLOORS CA ETED STAIR CLEARANCE/ ILING HANDICAPPER ACCE SMOKE DETECTORS BATHROOM FANS/1�y� Ho S S ALL PLUMBING FrXTURES OPERATIF ; GARAGE FIRE PROOFING DOOR CLOSERS --— OTHER FIRE S FIRE/DEMISE WALLS DUMPSTER FINAL EL RI OK TO ISSUE C/o OR C/C ARRIVE DEPART � „�c7 +Rw-.. 1 BUILDING� Tox O QUEEN DEPARTMENT 531 BAY ROAD J+ QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518) 792- 5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTIOX RECEIVED NAME LOCATION Le DATE PERNIT # TYPE OF SCTURE ; CTURE_!5Lj(,,�UM --- -46 RECHECK '� APPROVED IrAA FO I11 GS/PIERS N/A YES NO MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONS LE /FOR PR[1VIDING PROTECTION FREEZING FOR 48 HOURS FOLL ON G THE PlACEIKENT OF THE CONCR E. 'MATERIALS FOR THIS PURPOSE ON SI FOUNDATION/WALL POUR DE REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING 8ACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VEN S IN PLACE PLUMBING UNDER SLAB FRAMING : JACK S UD /HEAD£ BRACING/BRIDGING JOIST HANGERS JACK POSTS/WAIN BEAM HEATING ROUGH- IN INSULAiTION : FOUNDATION AL S IN ER FOUNDATION WALLS EXTER OR R- FLOORS WALLS R` CEILING R' DUCT WORK R IPING I U R- SPACES RHEA ED REMARK or ARRIv te`! .� �.e _� �� DEPART INSPECry . Down o/ ueens6 RUfLDING and ZONING DEPARTMENT Bay and Havifand Road. R, D. 1 8ox 98 Queensbury, New York 12801 SEP20� DISPOSAL SYSTEM INSPECTION NAME "41 - �O LOCATION L7ATE PERMIT No, SOIL TYPE - Sand - Loam _ Clay Percolation Test Re9uired7 YES percolation rate NOS"` Min/Inch TYPE of SYSTEM; Ablqorpti field g / Length of each total length Depth o f trench P trenches �f'�-7--� .� Size of gravel SEEPAGE PITS-( r of) - ~" Size- er of) ` ft. X ft_ Gravel size PIPING : Bldg . to tank Size Tjsspe ----�- Tank to dist . C Dist. box 'box x + --�� to field openings sealed? S N© Partial. LOCATION/SEPARATIONS Foundation to tank �- Foundation to abso ft. to lot �ft .Absorption tion . fine Separation of pi s !- ft . LOCATION .op SYS fte Front _ ON PROP TY (circle one) 'CC14MENTS�! Left side fight side t } SYSTEM USE APPROVED YES f NO i Bu d Inspector 01/86 and vl TOWN OF QUEENSBURY 2U-rr.DXNG AND CODES DEPARTMEN2' BAY & HAVXLAND ROADS QUEENSBURY, NEW YORK 128 0* TELEPHO'VE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FpR XIIVSPECTXON RE E VED NAMEf_ ".--.---- LOCATXDN , h? i �l ✓ �j DATE - G1 PERMIT #_ c APPROVED POOTXNG/PSERS YES NU M. [7LTTHTC Po FtJRMS DATXON/L1AMP-PROPF'SNG i ACKF,Z ZL APPRpVA.Ti G R©UGH PLUMBXNG FRAMING ELECTRXCAL pUGH-IN INSULATTON: POUNDAT-T F*ZOORS WALLS CEILING FINAL XNSPECTXO CHIMNEY HEXGH ROOFING STD-rNG EXTERNAL PD CHES TEPS STAXRS-CLE RANCE RATLS -- PLUMBING OIXXTURESf LXEF VALVE INTERTDR `TRTM/PRXVA Y DOORS FTNTSHEL FLOORS GARAGE FSREPRIX7F1'NG DOOR CTOSER (S) SMOKE ,-bETECTORS FINAL ELECTRICAL XIVSPECT N FINAL d4PPRovAL QF CC?NSTRC7 TSCJN A SIGNED CERTTFXCATE OF OCCI3PANCY MUST BE e7BTAINED PROM THE BUXLDXNG DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: i r XNSPECTOR - —__ TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT r� • BAY & HAVILAND ROADS l CJURENSBURY, NEW YORK 228L7¢ TELEPHONE (5I8) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE PERMIT # 'yam 'L r APPROVED '' � YES NO �,,, 6TING/P RS MONOLITHIC UR FORMS FOUNDATION/ P-PROOFING BACKFIL.L APP VAL ROUGH PLUMBIN FRAMING ELECTRICAL ROU -IN INSULATION: r FOUNDA TION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAIL PLUMBING FIXTURES/RELIEF EVE INTERIOR TRIM/PRIVACY DOt7 FINISHED FLOORS _` - GARAGE FIREPROOFING J DOOR CLOSER (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 OCCUPIEDI REMARKS: 5 �.J i INSPECTOR nn DDLE:�WARTMENT INSPECT-10KAG"CYANc. ,: I National Headquarters 900 Haddon Ave., Collingswood, N.J. 0$108 * Dater / J- rr City, Town or Township t . e County �'� �' State Location/Address Aq (if Located in Rural Area - Please Attach. Directions) Owner f'errnit # ��3 C Occupied As r } Building:. Newer OWE] Occupant etc-) : Work Area in Building,. Floor #. App. for: Wirin Service or: Read for Inspection ' Fee Remitted - $ Cash Q Check M.O. PAake Payable To: M.D. I.A. SOU 750 1000 12 1500 1790 2000 2P50 2Sa0 P7Se 3DOe Number of Hough Wiring Outlets Elect. Heat Switches Amp. Service Surface Unit _Dishwasher Range Lighting Water Heater Air Conditioner Dryer Pump Receptacles Oven Garbage Disposal Wiring and Controls for Burner Number of Fixtur Amp, 'Reeeptacles Fractional H.P. Vent Fans Other Equipment: MOTORS H.P, xJ? 1/12 1/lot YJ<i 1/6 3J4 1/3 1J2 3/4 1 %,,b 2 3 5. 74s li7 15 26 25 . 30 :.dw 50 7f j, lOd Mark. Number - of Each Size Sip pnature ,s �' �n ,1 ,/� �.L'Ir.Y`-� .�r � � ,►'�"J a� J License # Ple mit # i nr I TIA Utility: NA E F l E LQC.A I ION Applicant's A,bddress:� _}? �� � •c f +� � � •;1 �t �J rr {City} CState) e*� {Zip) C 2 �' Service Request # Phone #. 7 "R.r Eleccttrrmiarr: ©ATE RECEIVED: - "��- '.✓T DATE INSPECTED: Correct Location : Same as Above = or: Red Notice Label Rough Wiring Outlets Surface Unit Oven Switches Ranue Garbage Disposal Receptacles Water Heater Dishwasher Fixtures Air Conditioner Dryer Amp. Service Equipment Burner, Wiring & Controls for Amp.' Receptacle V Amp. Service Conductors Frump Vent Fans MOTORS H.P. 1/20 1/12 X/10 1/S Y/6 1/4 Y/a 112 3/4 1 1Y2 2 3 5 71x 40 15 24 25 3U 40 50 75 leP Mark Number of Each Size 500 750 1000 1P50 1504 1750 2000 P250 25e0 PiSe 3000 Elect. Hest 0 R W r' r r- Progress : Inc. Q LKD Q - Contractor �CFT Violation :, Work Comp. Q Inc. _ CASH = L/A Owner Fee CHIC # IPA Municipal INV # Applicant Date : r-' - Other Side Q Utility Owner - Cut in Card Q Temp # Date rr 1 Spur4ATURE Date APPLrCATION FORM NO. 250 EL 11/86 SELECT BUSINESS FORMS (609) 848-5203 APPLICATION FOR ELECTRICAL INSPECTION PLEASE BEAR DOWN YOU ARE MAKING W COPIES MIDDLE DEPARTMENT INSPECTION AGENCY, INC. National Headquarters =-" 900 Haddon Ave., Collingswood, N.J. 0$708 IN Ill• • Date City, Town or Township tL f- Q .f /"� �R County ILI 'eIt 1C, � State ' Location/Address ( if Located in Rural Area - Please Attach Directions) Pole # Owner, 441 zw/ dd ..err..,_ _466a Ill 41 S Permit # Occupied As Building: NeWE71 II occupant Work Area in Buildin Floor #, etc, ) : AI for: Wirin 0 'Service or: Ready for Inspection : Fee Remitted - $ Cash © Check M_O. 0 Make Payable To : M_D. I_A. SOp ]S4 7o00 1250 150tl 1TStl 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 Oven Garbage Disposal Wiring and Controls for Surner Number of Fixtures Amp. Receptacles Fractional H.P. Vent Fans Other Equipment: MOTORS H.P. 112 3/12 1/10 1/a 1/6 1 1/4 1 1/3 1/2 1 3/4 11 1 1 11/2 1 2 1 3 1 5 7Yx 10 15 j 21 25 1 311 1 40 1 50 1 75 1,110 Mark Number of Each Size aant'S Signature O�W Zf AN J,0 M _..Iy License # Permit # Signat T/A Llulity : Applicant's Address: - _ 41 K jr Fes(, . -. WQ�A- WiNAME iOFFICE L CATI N (City) (state} 00I (Zips) / ZJ-Zc1 Service Request # Phone Electrician : VDIA USE ONLY DATE RECEIVED: DATE INSPECTED: " Correct Location : Same as Abvve 0 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. 1/20 1/12 1/10 1/8 [1/6 1/4 1/3 1/2 3/4 1 llh 2 3 5 711z 10 15 20 25 30 40 50 75 11W Mark Number of Each Size _ Heat S00 750 1000 125OP 5tltl 1r5tl 2000122501250012750 tl 30D `,� es, Patrick p� g�3 J�Slri avi Huason FaII5: i 834 5181798-3473 �.,,.._. E1.ECTBFCAL 1NSFECITCI, CER Nid'E TIFIC^Irlc USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORFEE RECT FEE PAID © RW Progress: Inc. 0 LKD 0 Contractor Q CFT Violation : Work Comp_ 0 Inc. 0 L/A Owner CASH 0 Fee CH K # L/A Due MO # Q IPA Municipal INV # Date: Other side © Utility ApplicantOwner Cut in Card 0 Temp # Date Y TOWN OF QUEENSf URY Y � i rrl f ---�� x, Zoning AdmjnW Date i� �►sa saw � I ` l G^ r to ;�=� ii '� � 3 a r •r• zPk'h , p A 4+ fi 7 '" JL. +ae in x r**.- � N Belli (w7 �Q'OPl Q`'S �t f; O'ppt j,0'Dp+( " #• ` Bi 00 e �! '� S�• ' t ~ Lo D01 Bli ` o q r+ 14 , ---•- 14, .. 41114 oat SZ1 ` 001 001 001• 001 �•. ^y 11 8�b'tSt ' -- TOWN OF QUEENSB URY Bay at Haviland Road, Queensbury, NY 1 2804-9 725-5 1 8-792-5832 April 26 , 1991 Mr . Bruce Jordan Attorney at Law 119 Bay Street Glens Falls , New York 12801 RE : Building Permit 89- 547 Parcel 93- 2- 22 . 64 Dear Bruce : I am writing concerning Building Permit # 89- 547 that was issued to Parcel 93- 2- 22 . 64 located on Sherman Avenue . The Plot Plan submitted with this Building Permit was approved by the Zoning Administrator who erred as to the Zoning District for this parcel in that she placed it in a SFR- 10 Zoning District instead of the correct and current SFR- 1 Acre Zoning District . The side yard setback of 16 feet was proper for the Single Family Residential 10 Zoning , but 20 feet is required for Single Family One-Acre Zoning . Therefore , the Single Family Dwelling on this parcel does not exceed the scope of what was approved on the Building Permit Application . A Certificate of Occupancy has been issued based on the approved Building Permit and the approved Plot Plan submitted at that time . Enforcement action will not be taken with regard to the side yard setback of this structure as this was an error of the Zoning Administrator and not an intentional action by the property owner . Very tr y yours , f �. /ATRIC IA M . CRAYFORD Zoning Administrator PMC : Imm CC : Trish Watkins Bartlett , Pontiff , Stewart , Rhodes & Judge PC "HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LIVE" SETTLED 1763