Loading...
1989-599 . . . 7E ,�y;_ +/f`q ''Ki►r.r.�fiY r"nc�� ..v "'�R- `^ 'r ' r -� r ,rn, __ ., ..p;. 9.-.e_ 1 + F l h CERTIFICATE +C]F� `"OC CUPAN+CY Tow4 OF QUEENSSURY WARREN COUNTY, NEW YORK November 2Q i9 89 Dave't �� certify came at work u zs to certify that work requested to be done as shown by Permit No. 89-599 has been completed. This structure may be occupied as a Sin le Famil modular Location ��� &tap gnib T ane - Chvner George Koshgar' n By larder Town Hoard TOWN OF QUEENSSURY r � f Director of Bldg. & Code Enforcement { BUILDING PERMIT TOWN OF QUEENSBUR4' No. z WARREN COUNTY, NEW YORK o a, PERMISSION is hereby granted to oxieOroge s.0 o* OWNER of property located at r ot 97 Stephanie I ane Street, Road or Ave. in the Town of Queensbury, To Construct or place a at the above location in accordance to application together wit plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. t_ OWNER'S Address is 2100 Saratoga Road-Suite 5 :Ballston Spa, N.Y. 12020 � 2, CONTRACTOR or BUILDER'S Name 3} Self 'y 3. CONTRACTOR or BUILDER'S Address ~' Same o 4, ARCHITECT'S Name S. ARCHITECT'S Address 0 O .-t B. TYPE of Construction — (Please indicate by X) to NXIi IYfood Frame 11 Masonry 1 I Steel i 1 Ua CD rp R7 7. PLANS and Specifications No. 24' x 40' Single Family Modular as per plot plan, specifications, and application, c° including septic, attached two car garage, and driveway rD 8. Proposed Use Single Family Modular $ y 55 ()0 PERMIT FEE PAID — THIS PERMIT EXPIRES March � fg_ 9g___ U� (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of theaq town of Queensbury before the expiration dated [li Dated at the Town of Queensbury ykri s Day August(4 ... SIGNED BY for the Town of Queensbury Building and Zon Inspector Off. G �s TO BE COMPLETED BY BLDG ., DEPT . �7 / Application No . or _../own O/ Queena ury Permit Issued 19 /d� BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation Queensbury, New York 12801 Variance Noe Site Plan Review No . Approvedoe �yy APPLICATION FOR f C BUILDING AND ZONING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION , ANSWER ALL OF THE FOLLOWING , The undersigned hereby applies for a Building Permit to do the following work which will be done in accordance with the description , plans and specifications submitted, and such special conditions as may be indicated on the Permit _ r The owner of this property is : 9Z2.4ol P . O . Address cx r Tel . f� Property Location : . ,� Tax Map No . Street number ot building lot number Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVI�SII�O'N OF WORK AS REGARDS BUILDING CODES IS : N e P , O. Address Tel . No . Name of builder eo Address �- Tel . _ - Tel . � �: Marne of plumber �&raow Address s � �.........� Name of mason Tel .^ - 7�/� Address NATURE OF PROPOSED WORK : * ZONING INFORMATION : Construction of a new building A PLOT PLAN MUST BE PREPARED .AND SUBMITTED , _Addition to a building drawn reasonably to scale and attached hereto , Alteration to a building " showing clearly and distinctly all buildings , � (no change to exterior dimensions ) * whether existing or proposed and indicate all Other work (describe) set-back dimensions from property lines . Give * street and number or lot number and indicate * whether interior or corner lot . Show location FOR DEMOLITION PERMIT , STATE SIZE AND * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED . * of septic disposal area . COMPLETE INFORMATION REQUIRED BELOW , Size of property ft X ft . * Existing building ( s ) Size ft X ft . PROPOSED BUILDING AND USE : /f�� , * Existing building ( s ) Use Size of new structure �,� ft X `� ft Foundation-pier/slab/crawl/partial ulI '" Proposed building , distance from property line (circle one) Front yard ft Rear yard oo�ft No . of stories (habitable space ) � * Side yards ft and ft Height (grade to ridge ) ft If on corner , setback from side street ft If residential , no . of families / No . of rooms ( excluding baths ) ^fir '� OCCUPANCY INFORMATION No. of bedrooms " PRIMARY BUILDING - No . of bathrooms / * ' C One family dwelling Primary heating system y�/LC * Two family dwelling Type of fuel * Multiple dwelling / Number of units No . of fireplaces to be installed 67 Permanent occupancy Will a wood stove be installed? AM * Transient. occupancy Central Air conditioning? AID * Business BUILDING STYLE . PRIMARY STRUCTURE * Industrial Ranch Contemporary Log cabin * Other ised ranch Mansion Duplex * If addition , what will use be? Split level Old style Bungalow Cape Cod Cottage Other ACCESSORY BUILDING- Colonial Row '.Gown House * Detached garage/one car/ t car ( CIRCLE ONE PLEASE } * Attached garage/one car/ wo ca car Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION $ 46547 INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED ! Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe etc . 3r—OF Will any second-hand or ungraded lumber be used? If so , for what ? A20 Foundation wall material. rAd fir, Thickness Depth of foundation below grade (to bottom of food ) Will there be a cellar? I/PS....Heated or unheated? Floor sq. footage 47 ZP sq ft Will there be a bascment3 Will any portion be used as living space? ( If so, what portion? sq , ft , - - Type of use? Type of roof - At ped lat/shed/other Material of roof Size , wood studs "X ., '__'" spacing ""o , c . length /A f . joists ( flooz beams ) ist . floor o2l ` " spacing� atc . span_Z,2=�ft , .joists ( floor beams ) 2nd . floor '"X " spacing "o . c . span ft , Overlays (ceiling beams ) "x " spacing "o . c . span ft . Comers r "X spacing o . c . span ft , of truss pe-engineered) pac ' ng-2t"' o . c , spanft . Exterior wall finish_ A, ,r Sr' `w Of w t mate 1? Interior wall finish as4a pr- If�' a garage is t4 be at c ed , files rikae aterials to be used for FIRE SEPARATION : �• h/ Is there to be an opening between garage and dwelling? a If so will a Fire-rated door , enclosure , and self-closing device be provided' /4&4 Will a flue-lined chimney be installed? Height abovTe roof ft . Depth of chimney foundation below grade ft , Depth of fireplace hearth ft , in . Water supply - Municipal or private well /�fl SEPTIC SYSTEM _ Distance from ANY ,private well ( including adjoining properties lze� ft . (A separate application is necessary for any repair or new installation of septic system) Town of County off Warren I A F F D A V I T STATE OF NEW YORK Warren I swear that 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 . SWORN TO BEFORE ME THIS day of -Owner , owner ' s agent , arch].tect, contractor - 19 Notary Public , Warren County, N . Y , SPECIAL CONDITIONS OF THE PERMIT : i WARRED COUNTY , NEW YORK F,,c�- plication for : BUILDING PERMIT 1 :N: COMPLIANCE WITH TH5T NEW YORK STATE ENERGY C ONSERVIN- f' ION CODE A permit-, tn,.zst. be a1-, tainc. d before beginning work oh F. P3 `a ij-: R ALL cif the foli. CitviL3y : ,L Gross f 1 o <? r area s I Is thc building mechG rcir- a. 11y cocilecl ^_ '__ _t'. 4 , Percc n uags of area, c> f windows and doors J A * Over 16 % © .z i . U value of grOss aYea of walls , � oof / cei. l9- ng and floors o exposed to a-Litblent � Czr• 3 ; * a. c xsti _ _ _ _ w. _ f d �' No onr over hoatP,, d sn " QnS `� -�E- i r a . ohr foundation �* . '. Ls irrsu : t: •� eci ? _ ]_ . if YE. s , w .lat; is the R ualuai" � 3 . S 1 r::b on c. r a d e y T; S a . if Y ; S , what is the R value of ,insulation around t� erirno. ter of i'. 1qr7r' ;' 4 , I w3 basa ::aoizt boated ? . XE $ ' t7U .. R val .ae of 5 . Type of i ^ s u 1 ? tics 't'Gx,✓ INsaur _ c ice.:= s: 1-? L. i_ Ek1G�_ .2dt/A etJ f B . UTr; der 16 % Only R -value of roc3f a. rld f' i7ors exposed to ambicn & conditions 000 2 . R vale :- of exterior wall 3 . p value of glazed aj,,e 41 , R value of 5 . R r+ alue of floor. career unheat cl rn - unheated slab � . R value ciF slab rd90 ins ► lati __. � ._. 7 R value of slab insulation beats: c? s1aI7 - F3 . Ti vaIioae of heaterJI basemedrt ; r_• ellar walls ( above cirade ) I;. va III e of heat • bz er� erxt ,tc- � 11a *: walls ? belOw grade ) lU . Type of i - sulatiu :: -. . - C , Con '4X.o1s I F1, er. tssos; toat W.ax 3 rv,.Am he <zto­ se: Lt'. inq � e� SIC' ti' oca. rr _ L D4+ cSystems �--- ' 1 _ T ,; duct systws ; ir; vta3 Lei In t: :+ 3teated spaces ? YES c��I� - a .. If YES , R value of duct installation 4� k. . !t value of c?- in. othe [' areas na- n }. n 7nsax3. ation tsl.' hot water cs3: coolin .-,. carrying age -it R value of pipe E , Service water Heatinr 1 . perfor :nairce effictoonc- y _ _ - 2 . Tt_' LC4$,] erofttk.kr C; control sr-it ti. nq maximum __..._ [; , I' or Swimrnizi,c��poo ]. o_n� � 1 Maximurrc tkeatinrw_ --- i ( app i. cant s signature ) J II f 4 yolwft of aww4oy APPLICATION FOR SEPTIC D]SPOrSAL PERMIT BATE LOCATION OF PROPERTY FOR INSTALLATION /ems / �TY�-rc�YC /s�¢�L� Owner's Name: �T-eel`ephonee: �✓ 825 7 Address: , � �Gc ' `7 t'�Lr<rSC�'�t.f /G/ C3 � f Installer's Name: _ rS•� �cr / E�3 Telephone: -_ '-' 2, 7 Number of bedrooms (residential only) . :2� - Total daily flow (compute (P 150 gal per bedroom) Topography: circle one: Flat Roiling Steep Slope s of slope Soil Nature: circle one: San Loam Clay Other / Depth: feet Ground Water: At what depth? feet Bedrock or Impervious Material: At what depth? ---z feet Percolation test*. circle one: of requiree required / rate min. inch. Domestic water supply*. circle one: uriicipal Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorptiOIL _ eet PROPOSED SYSTEM : Septic Tank 1 ()00 gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench 6b feet / 'Total system length '?.6" C feet SEEPAGE PIT(S) : umber oSize each Size of stone to be used # Depth or Thickness I feet IMPORTANT ...Please...IJST NEW EQUIPMENT 70 BE INSTALLER ��.✓ +cam r '�.:'' �'L2�,C';''.�-G.�''r'.� (over) Section II Septic System lnsirections: 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, the 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 installation, alteration or repair of an approved system , a new proposal must be submitted to the Queensbury Building Department before further construction. I have read the regulations above and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance, Signature of responsible person: Date: do Town of Queensbury* Building and Code Department Bay. at Haviland Road Queensbury, New York 12801 (518) 792-5832 SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD. PLACE TO LIVE TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280& TELEPHONE (5I8) 792-58.32 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME ZOCAT TON DATE PE IT # APPROVED :r YES NO FOOTING/PIERS MONOLITHIC POUR RMS FOUNDATION/DAMP— FING BACKFILL APPROVAL ROUGH .PLUMBING FRAMING .ELECTRICAL ROUGH-IN INSULATION: ti ; FOUNDATION FLOORS WALLS FILING INAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ EPS STAIRS—CLEARANCE RAIL ` PLUMBING FIXTURES RELIEF 'YALVE INTERIOR TRIM/PR ACY DOO FINISHED FLOORS Z�, ARAGE FIREPROOF NG -- i,...�R CLOSER (S) — SMOKE DETECTORS FINAL ELECTRICAL SPECTION FINAL APPROVAL OF ONSTRUCTION A SIGNED CERTIFIC E OF OCCUPANCY T BE OBTAINED FROM THE : UILDING DEPARTME BEFORE THESE PREMISES ARL s OCCUPIED!' REMARKS a r =dry INSPECT TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK I280!& TELEPHONE (.5I8) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE PERMIT # APPROVED YES I NO FOOTINGIPIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFTNG BACKFTLL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-TN INSULATION: FOUNDATION FLOORS WALLS CEILING )(,F'-TNAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & $AILS PLUMBING F-TXTURES14ELZEF VALVE TNTERIOR TRIM/PRT CY DOORS FINISHED FLOORS GARAGE FIREPROC]F NG DOOR CLOSERS) SMOKE DETECTORS` FINAL ELECTRICAL NSPECTION FINAL APPROVAL O CONSTRUCTION A SIGNED CERTIF CATE OF OCCUPANCY MUST BE OBTAINED FROM T E BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIEDt REMA�RKKS: /Y G &n T-o G" 1 ( : U I SPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY 6 HAVZLAND ROADS y� QUEENS.BURY, NEW YORK 1280& / �J TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME i�- LOCATION DATE PERMIT APPROVED YES NO FOOTING/PIERS'" MONOLITHIC POUR FORMS kk FO UNDA T.ro N/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRA,M7NG ELECTRICAL ROUGH-IN INSULATION: f FOUNDATION FLOORS WALLS CEILING L. VAL INSPECTION: / CHIMNEY HEIGHT Y ROOFING SIDING EXTERNAL PORC LS/ST9pS STAIRS-CLEA NCE 4 RAILS PLUMBING FXXTURESfRELXVP VALVE INTERIOR TjFXMIPRXVACY DOORS FZNISHED VFLOORS GARAGE F EPROOFING DOOR CLO ER (S) SMOKE D TECTORS FINAL E TRICAL INSPECTION FINAL AP ROYAL OF CONSTRUCTION 3 A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS {� BUREAU OF ELECTRICITY 41 STATE STREET, ALBANY, NEW YORK 12207 Lute � Application NO. ""file THIS CERTIFIES THAT� on{y the elaxtrical equipment as descrsbed below curd satraduced by the sIPPI fic+ant named on the above application ntwanber in the prensises of �Yl ei�r S �,�y tJ �-s� -' in the�followin,g location; Baeement LJ let Fl, f 8nd Fi. �}[ `^�-- Section Block Lat ?rv� aaae examined on _ I _ end found to be eincompliance with the requirements of this Board, FIXTURE RECEPTACLES SYMtTCNIN NXTURES RANGES cocKINXF DECKS OVENS 1115N WASHERS EXNAIlST FANS OWLETSNCA DESCENT FWogESCENT OTHER AMT. K. W. AMT. K. W_ AMT. K.W. AlNT, K. W, AIwT. DRYERS FI,IRNACE 1Y10TOR5 FUTURE AF'MiANCE 11tEi IdERS JSVIIaAL R!C'F'T TIME CLOCKS.] RRLL UNIT HEATERS M LTWUTtA M T WMERS AMT, K. W. Olt H. p. GAS H. P. AMT. NO. A. W. G. AMT. ANW. Amy. Amps, TRANS. AmT. H. p. toSYSTEMS FAT AM7, wwrTS SERVICE DISCONNECT No. of Si E R V 1 C E AMT. AMP. TTp! I 1 ,e' 3W 1 X .9IW N ER S A' 3W 9 X 4W NG, aF CC. C0040. A. W. G. 1K7. OF HrLEG A. W- G. IMa. OF NEUTItALS GFi NEUTRAL t pER a OF fiC. t" GF HI-LEG i OTHER AMARATUS: �G W MVG `t ifs •. 4 --4 S k &d Iid �?r .... . BRANCH MANAGER dd Per This certificale must not be altered in any manner, return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILD114G DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. - _Down a Q ' ', G and ZONING C/EPAFiTMENT Say and Haviland Roarl' R. D. I Sox 98 C]ueerrsbury, New York 72801 SEPTIC DISppSgL p� SYSTEM INSPECTION NAME LOcAT040DATE M1 PERMIT NO, SGIL TYPg ,. Perco Sand .t,o,am lation CZaY :'_ 1'ereolatImon rate M/Inch Y O TYPE of SYSTEM. Absorption .f Length of each xtrC70 total . Yength be,Pth of wench C7C trenches . Size of flrravel SEEPAGE ;'.TTS-fNt Sit f xtft Gr size t. PIPING : '_-�- Rldg . to tank f . Type Tank to (list_ box „—�--- Sr�f I moist . L boy, to field/ openings sealed? y S Np? Lc7cA TxoN.'sEPARATzOtIS : Foundation to tank Foundation to absc�rptionft- Absorption to lot :' l.ine —�'d SeParat%on of pig%C FLOCATION Cp' SYSTrm pN PROPERTY ear ront Lieft fircle one ChIENTS : i Side - Righ side r / Z. / t/ SYSTEM USE APPIZOVEn YE NO 13u.ilding I s 0,t r 0I/86 and vZ /own oI Iueens6 SUILDII and ZONING bEPARUMENT Bay and Hav+land Road. R.D. 1 13ox 98 Queensbury, New York 12801 BUIL ING INS �PECTO s REPORT eel, NAME LOCATION Da te Permit No . GJ- Footing/Pier Forms ✓ APPROVED - yE * " Foundation NO waterproofing Backfill Framing Roofing Siding I masonry Veneer Rough Plumbing��" Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Fl©ors Plbg _ Fixtures Car- Fireproofi Door Closers Smoke Detector Chimney INSULATI()N : Foundation Floors ; Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL, Final Building Survey Next schedce3ed inspection tca ] 1 when ready} Remarks, / C�4 , T 6/86 and-vI8uil ing IPector TOIYN OF QUEEIVSBURY IrDrNG AND CODRs DRPAR7rj4,ENT Qi7EE7VSBURYrAN.L7 �' QAi7S TEPHCtiNE • NEW YpRK I280 4 (516) 7.92-5832 BUILDING INSPVCTOR 'S REPORT REQDEST PpR rNSP NAME �'TroN R.scxxvRD IOCArxQN DATE^ �'ERMtT # 1 oor.2'NGfp D APPRI'jy873 MONOtrzq R,S YES NO �QC TIC.�NfD vR �ZZ APP F NCr RQLTGH P VAL LL1'�181rN `F'12AM.�NG EXA&CTR.rC'4Z RQUFSH-rN rNS�,rLAT2'ON: FC_7rjN,r,yA q,IQN PT�RS r• CE1rL.yrNG P21VALJR tNSpTtQN: IfErGHT .Sttl2NG E.X2*E'RNAL PORCHssf.s Ps F'LL71�B.tNG Prxrc,.R,� IRRroRELIEP -�_- PINx�rHED FRS VACY EVE GARAGE^ PIREPR P r DOOR CLOSER CS' NG SMOKE DE'7EC -- &'X)VAL EZZCZW pINA4Z APP Z tNSPECTZoV . RQVA L>P CONS7'RITC TraN - A SrGNED QR C'RR 7AINED pR xP�CA?'E op QCCL7P THE SE RR TH'8 $UxLDING ANCY A#fjST' 8E MIS S ARE QGCUpX D B'PAgRTMTsN2' BEFORE REMARKS: r■l !i SP MR TOWN OF OUEENSBURY BU'rLDING AND CODES DiEF'ARTMENT SAY & HAVILAND ROADS 'CUEENSBURY, NEW PORK 1280lE. 1 _ TELEPHONE' (518) 792-58.32 BUILDING JNSpECCOR ' S REPORT q. REtVUEST Pon _INsPECTXON RECEIIYED -� -& f NAME � LCCATrON DA TS # _c 9 , / APPJ?OVED V FETING/FINKS YES NO M0IV0LITHrC pouR FARMS FO UNDA T IO N/DA M.P=I"ROO PING BACXFSLL APPROVAL ROUGH Mg3NG PIPANXNG ELEL*TRI ROUGX-rN rA7SULAT2O FOUNDATrCI FLOORS WALLS CEILING FINAL TNSpECTION CHrMNEY MR-TGH R00FrNG SrDING EXTEP.OVAZ CXES/STEP STAIRS-C RANCE & RAI PLUMB?NG rX2URESfRELIEF TNTERZOR RTM/PRXVACYALVE -� FINISHED FLool?s GARAGE l7EPROOFrNG DOOR C SER (s) SMOKE 2'ECT0RS FINAL EL CTRrCAL TNSPECTxojV FINAL A ROVAL OF CpNarTRUCT2GIN�- A SX %N CERTIFICATE OF OCCUPANCY musr BE THEOB SE fij FROM THE BUILDI DEPARTMENT BEFORE THESE PREMrSES ARE OCCUprEDI REMARKS: Aw 1 ;7 %' 21VSPECTOR TOWN OF QUEENSBURY aUxLDXNG AND CODES DRpARTNEIVT BAY & HAVxLAND ROADS l2U13ENSBURYr NEW YORK 1280g, TELEF"HONE (518) 792,5832 &JILDING INSPECTORS REPORT REL7UEST G712 .�`NSPE9CT?C7N NAME �f ' / 1?ECETVED Z40C'AT IC3N DAIS (f� Ap- RRO 'ED F001^I1VG/PXERS YSS NO MONOLxTHxC POUR FORMSTxO FOUIVDAN/DAMP- BACKF2'LL AFP PROr7x'xNG ROUGH FLUMBxN TfAL PPAM.rNG ELE'C2'Ft.TCA.L JR? -xN xNSULATxON; i FOUNDATION I'LOC.RS WALLS 'CE'I"LxNG t I'xNAL xNSFF,tC;mrON: CHJVSY HEI RC30I'x4vG 1 -�- 1117 EXTERNAL PORCI3ES/6fiEta� ST.AX.RS-CLEARANCE & RA �} PLI]MBxNG FIXTURES/RELIT XJVTERXoR ?'RxX/PR -vACY VAZVZ �--_ FxNxSHED FLOORS RS GARAGE F'xREPRPPING DOOR CLOSER (S) SMOKE DETECTORS 1 _� PTNAL EZECTRxCAL FINAL APPROVAL OF CTucr Co .sTRucTIo A SrG1VED CRRTrPXCA 08 OF OCCUPANCY 2'A1 NEV FROM THE UILDING MUST' BE THESE PRENI-SES ARE DEPARfiNENT occu1�XEDI BEFORE REl'1ARICS: INSPE7G`TOR YOU ARE HEREBY REQUESTED TO INSPECT AND ISSUE CERTIFICATES FOR THE FOLLOWING ELECTRICAL EQUIPMENT TO BE INSTALLED BY THE UNDERSIGNED _ TEMP x / CITY OR VILLW3E D/1T r h t•r ! ✓ •/('`.^ Je" TWJr15HIP / STREET AND OR ❑ r.c � , COUNTY �+�.� r�r ��T POLE NUMBER BETWEEN WN__IDIY�D CROSS g[per,;Tc Lu, LOCATED- / . : +Li J/rff- N O='GK.IF9RNT'B NAME Lf f ,I� s' ./� BI.pCK r .� BUILDING OCCUPANCY OWNER'S r4PRIIE AND ADDRESS �f. L Fes. i/�!' /fA:r;.,,�t .r'"Y� 1'`� y _ f HOME TE WyI,IMBE� C CURRENT SUPPLIED BY � C:,••3/' �� J /Ajr FROM THEIR OFFICE �q �' - �` G it WORK T E MBER BUILDING IS �i NEW OLD ❑ � f•^ / WORK IS NEW AOpR'KNJn4 ❑ DEFEC.7S REMOVED LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED tea. NUMBER OF OUTLETS No. of Fixtures 8 BRA tiDn Lamp Receptacles M NCH MOTORS HEATERS OFFICE USE Coiling Side Ati I CIRCUITS ONLY Wall ploceP'is Switch Fgndant Bracket Na Type Ha No. Wom A.W.G. OUT. h Each No. {3auga INSPECTION SIDE SUB. EASE BASE. MENT 7sl FL. PAd FL. 30 FL. REMARKS: LIST OTHER ELECTRICAL DEVICES NIL I SET FORTH ASCII THIS APPLICATfON IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO 13E INSPECTED, BUT IF AT TIME OF INSPECTION, THERE IS FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED, YOU ARE AUTHORIZED 70 MAKE THE INSPECTION AND ADJUST THE FEE TO COVER THE ADDITIONAL EQUIPMENT, AS PROVIDED BY THE APPLICANT SIZE OF MAINS FEEDERS ELECTRIC SiLiNSAJVAPS TOTAL t^^NI'7s CHARACTER OF WORK EXPOSED GAS TURF 3MFIr1'RAN SFORIAEAS OF DATE WORK TO aE ,�UVir E6 ❑ CDNOEALE6 WIL SERVICE ENDERS BUIL DAY COMPLETED SIZE OF SIGN (NUMBER) A�CpAen-`fDING MANUFACTURER OF spo ❑ CNERHEAD UNUEHGR0UND DALE INSPECTIONREO{/EgrED ON TOR AS NEAR A4 Pp,SSIRLE7 MUST ENll APPUCAlil ► I I I I r 1 I ID ELAYS NIIV FUM AM ACCUftillillRNUCI' ALL S MU BE FI EO APP PRINT NAME AND ADDRESS MAY f3E 1]. NAME pF PPLICANT DATE dill ! PLI STRE ADDRE'S y/ /i .rr. .yr'7r/9r•.�L.J' / ±,, !_'� ,_,�„� r ZIP CODE LI E E NQ WHENri6A^PPLICABLE Q 85 Jo11n Street d 41 State street ❑ 570 Delaware Avenue CI 217 Lake Avenue NEW YORK, NY 10038 f ALBANY, NY 12207 BUFFALO, NY 14202 ROCHESTER, NY 14608 O SYRACUSE, N�Y�13206 THE NEW ` ORK BOARD OF FIRE UNDERWRITERS 4 W Y D• RECO'R'O r c t J �I land* Of l3riiNn FISHER Qa bQC i Obe c IS y, w .� SoOS0 42` 30" W , 100 ` y J F = LAS to ON 0 to S < o t v w O w W E � M° 0- L9 411, . F eb a w 1*- a z W off , 1 = a r< i b i : SEPTIC si5Tal^+st � M F z M o 6. 0 W 4K MIBa OsA 4 LI ►VES AT 50 = F w r n a o w NOTES 1. MAP REFERENCE+`MAP OF A PROPOSED SUNOIYI#ION OF LANDS OF WALTER DOMNEx" LY COULTER i Me COMMACK DATED SEPT. 96R 1960 , PILED IN THE , p0 S � WARREN COUNTY. CLERR'O OFFICE ON NOV. T , IOOO IN NOOK 109 , PAOE 42, 1HOUSE re LOcoArION 40 5 w �. • f NI � TOWN OF QUEENSBURN 2t zoning AdministrAI#Or -------------- N. 080 I 1120NI E . IOO N STEPI'IANIE rao ' R. a. NF. do LANE CERTIFICATIONS SHALL RUN ONLY TO THE PERSONS FOR W040M THE SURVEY IS PREPARED. AND ON THEIR BEHALF TO THE TITLE cOPAPANY. GOVERNMENTAL AGENCY AND LENOIIO INSTITUTION LISTED HEREON AND TO THE SUCCESSORS AND ASSNONRES OF THE LENDING INSTI- TUTION. CERTIFICATIONS ARE NOT TRANSFERABLE TO AOWTIONAL INSTTTUTKINS OR SUSSEOUENT OWNERS- OF­ INS CERTIFICATION OF THIS MAP AND SURTET 12 NOT 1 IVVEY VALID UNLESS SIONEO AND SEALED WITH AN IMPRESSION SEAL. LOT 27 EII E'T AUTHOMAPMI%EA ALTIIRIOM OFON ADDICTION 7NOSOxTHIS MAP OF A` PROPOSED SUBDIVISION OF LANDS OF THE NEW YORK STATE - EDUCATION LAW. OF THE LTER DC3MBEK N CICII.IN TY : T/IN/OO PROPOSEWORGED HOUSAE LAOCATION OR TOWN OF OUEENSBURY BATE WARREN I N ,Y • rp eNc SCALE: 1 " _ 30 * DULY !$ , 19$S � r � a Hobert Sohn �li�c.�'jatrl�lne dc LRCe MleO VANO luRMYeTOR.LAND hLAMMIN� 10 i Oy� LIC . NO.: $9 a ROBERT J. Maa FARLANE 44 N 229 Noe 81 ., g D: m CDPYRI4HT Q IDS&* ROOERT J. Moe FARLANE Engineers • Planners & Building and Landscape Designers GA 59 Franklin Street, P.0, 1010 [irallor A sssocIUtes Saratoga Springs, New York 12866 Telephone : (518) 584- 1300 November 16, 1999 Building Department Town of Queensbury, New York RE: Modular Home Construction Gentlemen: I have reviewed the plans for modular homes produced by Poloron homes of Penn i vania and inspected the installation of such modular home units located at lots #27 and #28 Stephanie Lane in the Town of Queensbury. The connections have been mane according to the approved building plans and specifications. Please feel free to call this office should you have any questions. Is ��QESSION �� �, ,� �^ • Sincerely, 05940 Jl per.OF J. Ga r, E. NEW �;,� EJGld1g