1989-586 Jr =r I rw
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fr CERTIFICATE OJF _ COMPLIA.NCE
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rl TOWN OF +QUEENSSURY
WARREN COUNTY, NEW YORK
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Da Februgr 8
•41le' ' ( 19 90
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This is to certify that work requested to be done as shown by Permit No. 89- 586
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has been cornpleted.
This structure may be pi
]Y,.,, oc¢u ed as a Gar oft
L40CMtion
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Owner Myron Rapaport
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By Order Town Hoard
TOWN OF QUEENSSURY
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Director of Bldg, Code Enforcement
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- BUILDING PERMIT
TOWN OF QUEENSBURY
No. $9- 586
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Myron Rapaport
OWNER of property located at _Box 1190A Burnt Ridge Road Street, Road or Ave.
in the Town of Queensbury, To Construct or place a Carport
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
t. OWNER'S Address is
e
SKMKXRD#1 Box 1190A Burnt Ridge Road
Lake George , N . Y . 12845
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2_ CONTRACTOR or BUILDERSs, Name
Self
3. CONTRACTOR or BUILDER'S Address
Same
4, ARCHITECT'S Name
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S. ARGHITECT"$ Address
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6_ TYPE of Construction — (Please indicate by XI z
f ) Wood Frame I I Masonry 11 Steel ( 1
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7- PLAINS and Specifications C
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No. 18 ' x 36 ' Carport as per plot plan , specifications , and application .
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S. Proposed Use
Carport
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$ 50 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES February 1 1990
(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_) 'S
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Dated at the Town of Queensbu ry this 31st Day of July 19 89
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SIGNED BY for the Town of Queensbury
Building arKi Zoning Inspector
TOWN N OF Q U EE wsbb;S L? U R Y , , . —
i '7 r i r Yam' . . nv' ' ,. _ ' � i •� r '7 i,• ♦ +..
c ` - TO UVN
OF QUEENSBURY
>~; viewed RECEIVED
JUL 2 ; 1989
Get ro,� t'
FoUI LOINO ANE) CUDES Ui PAAI't'ENT Va..te Iaaued �LDG, & CODE DEp7:
riY .find 1l4,,% VILAND ROADS RLD 1. Box 91
r+U£ENSBURY , NEN YORi 1 2d04 No .
Tel . ( 518 ) 702 - 5433 : Exe: 204
a a * a IF ■ e a _ ■ * ■ It a ■ ■ * * ■ ■ r a r a a r r a a ■ a • • a a • a
A PEWIIT MUST C12 OBT'AIN1< L) UC170RE EEGIN2,1INr CONSTRUCTION . NO INSPL' CTIONS
14 ILL BL HADC UNTIL ArPL. ICAMT i1AS P% r. CLIVCD A VALID IILILDINC PE: RNfIT .
All applicable spaces on this application must be conipletcd and the
rrvaature of the upplicant must al-spear on the reversc site of this shcet
a a x a A * * * * IN 'Aa A; * R,} a k * a * * a a s a * * * a ■ ■ a ■ R
rt, e owner of this Property �isfj //
l' O . A d d r s 5 r i t .X / ! i ./7 ... .�''�''` `?'f ./r ^�-'` ,ter T E L . ZO
' roper ty location H1'!P -F1V 7- r-,7e Ce eCr--j TAX MAP NO . S:- / / J /gip
as there been any split of this property since October 10 l9aa / -k'
yes no
yes , Planning Board Review is necessary .
33DIVI5I0N wAME , Ir APPLTCAnLC LOT NO .
c person responsible for supervision of wore: as regards Building Codes is :
NAME F . O . ADDRESS TEL . NO .
Le of builder Address Tel
be of Plumber T"daress Tel
ne of Mason Tel
uliLi Or PROPO►LO 6i.]I;f. : Z0NIt: C: L N 1 0R11h UV11ION ( Grti. ca use only )
'on� trucciw, of .a icc:w bu.ilalr,'3 >< " ZONING DLsrCNATION OF PROPERTY
).a1.1ition to a L]asilalirlg a PERMITTED PRINCIPAL PERMITTED ACCESSORY
' Irmwr" Lion to " Luilding
L ;ibQ cfk.4tLgb� to .]xt � rkot clLinQnL, iona) * REVIEW REQUIRED - PLANNING SOARD ZONING SOARD�
itliwr work L 1 S: Cf ] Ltae } ' SITE PLAN REVIEW M APPROVED DATE
s
JSS ARLA 010 PROPOSED, : 'r [LUCTUkli r VARIANCE N APPROVED LATE
t rloor l4s1-3& sq ft . Remarks :
n d r L o o r s q laa:Q U I1cLQ QL LAwoW e
char lacers sq ft . ` SirQ Of PVQV%aCtY 3 .4 ft X �u fca
x rc
( not collar or b4samantl * Lxi� traa<1 Luil.lisr.] L �: l ai �w ra .
TOTAL FLOOR ALZL:h� (ram` geq f tlr.lirry ( � ) Ua%3
'J: i -' .: of now :Ltuczurw fL a: . tc ft r
1'uibusMAcion =] iQr �� .ik,/Ct.�wl/L]arLi..1/ tu111 ` propaaea Luil " .6ng , c1A.r. QaAAQ" Lraua L, rslyurcy LLnu
ti: Lrclrt onrs ) * /
N.iw of scarier ila;►bic:.bi.: upeco ) Front yard �b t [tear yardfc
r a - /3 f t . . Sid.: y"rdu � e f c :.nck r c
ilwigllc [;fr3CLi3 to ri4sla ) If on c+arnar , zowQL3"ttk from &!do aCrwwc cc
If rQuiduntial , no. of f.�milluu
NO * of maul% [ a XCludinq b"ChAl * OCCuPAN L;Y INFOrPATICN
ego . of bcsdroams a Pp MF1RY LUILGINQ '
No . 01 b"Clirooiw: On Cagawly dwelling
vrilskabry k4"" tiwj avy ::t.aw * o wo i". A.ily dwaeiiiny
Tyll" u f f ua L
No. of fivwplacas cub L++ xultii,i�s Swwlliriq / Number at units,
..�_ „ 1�BJr7wJs►fsl►t OCa:a�i?:+iaCy
will " yWirl sil:Owo t,w il1L' t:allwl''�„•a—h * Pr:an::l.wlat r�wculsrfacy
coantr•al Air coa,4"ti."n."lag: L1ug3<ingsglac
WILDING STYLE, PR104ARY STPAXTURE . Inckuscrisl
luuacIVCant% k� ,Ocur L.co ? c;&bin a Ochs
g4lar�fl rr"Lf1Ck1 jkU& ►*1LC 6+ otapLwa s It wd.71tLOA • w1144G will u:.rt burl
UpLac lvr.11 Old aicyla 1su•uj.r, law r
C. pu Cod Caa&";a .i QLhIb:r ' ACCESSORY UUILOINC-
Cg+loni.rl kuatd 1"awu }rouse ' Wucach4a .ar:.hQ/ono cur/ two Car/,„�� o:ar
y
L CIACL,9 4214L•' PLXAXE 1 " ACtocnw" car/ two c:.t/� Cu a.'
r a a ■ a a s 0 a a a Is a • s s s • 11riNwcw SC r;.a94 bui.lydawng
CGTZMATIg O MARKET VALULk Or � �—Othsr ��q
C Ogg %;T ks U C"k" I U,47
ra. a. .ar .� rarr� a � � + r• ra• r
lnF'OriMATTON CH BUTLOTNC SPECIFICATTONS , ON REVERSE .� Jnr OF TliIS 't*ICVT, 'LRO BE C004PLCT=l
Form 8PA I0/68 w2
CA7 ! 7t S
_ cr. � tr sCt o ^ , wooer
Zd- hand
waLI ma terlal TrL = :Knvss
: egt "I of fo r, 3at �ar. be Low grain _ c �w tt r� of _ cotir, �
W ll _ : ere be a cellar ? � Etate � or ». : aated ? 'Floor sq . footage s; ft
L4 , 11 there be a basement ? wi11 any^ portjon to used as Living space '
if so , what portion? J� ge of 5e '
of roof —Tope flatfshed/ot : ar >'.a _er : al of rccf c
_ _ ce , wood studs " X it spaC zg " C . C . l ngth f r, 44
ToistsLfloor beams ) lst . floor " X " soar " o . c . span ft .
.�oists tfloor beams ) 2nd . floor x s_aclr.g •'o . c . span ft .
�;ver lay s ( ceiIing beams ) " X " sP,acLng " c . c . span ft .
ep.00f rafters " x spaCLn s; a. lx' ft .
Rccf trusses ( pre- engineered ) spatI. g � ` " o . C . s - an 1$ ft .
Exterior wall finish Of w..at material ?
interior wall finish
If a garage is to be attached , descr :.ce macerials to we used for FIRE SEPAF2ATIwN :
Is there to be an opening between garage s :d dwelling? It so will a Fire- rac.t�:d
door , enclosure , and self- closing device ba provident? -
wiil a flue - lined chimney be installed? Height above roof - ft ,
Depth of chimney foundation below grade - ft ,
Depth of fireplace hearth � ft . - in .
water supply - Municipal or private well
SEPTIC SYSTEM _ Distance from ANY private well ( including ad) oinLng properties - ft .
( A separate application is necessary for any repair or new installation of septic system )
D E C L A R AT [ 0 N
To the best of my knowledge and belief the statements contained in this
application , together with the glans 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 wort: shall be complied with , whether specified
or not , and that such work is authorized by the owner.
Signature y
Owner, ow is agent , arc tec , contractor
SPECIAL CCNDITIONS OF THE PERMIT :
TOWN OF QUEENS3313RY
BUILDING AND CODES DEPARTMENT
2AY & HAVILAND ROADS 12809-
QUEENSBURY. NEW YORK TELEPHONE { 518 ) 792-
5832
BUILDING INSPECTC3R' S REPORT
REQUEST FOR ISSPECTION
NAME
LOCATIONr RMIT #_ s 'r'� ED
Q Z APRROV
DATE 0._.F-----'-" YES NC7
FOOTING/ IER5
FORMS
MONOLITHIC POUR
-PROOFINC_
FOUNDATION/DAMP -�--�
BACKFILL APPROVALf�-�-- >
IZOUGH PLUMBING
FRAMING
RavGx-IN
EZECTRICAU
INSULATION-"
FOUNDATION {
FrOOORS
WALLS
/EIT'INC
It" ThAL IIVSPECTIO go p
o
CHI!''rNEY xEXG
ROOFING
STD-TING CHESISTEPS j-----�--
EXTERNAL F gAILS�1�---- --
RANCE LrEF ,VALVE
sTArRs-CL 'TXTURESIRE
PUUMsxNG RIM/PRXVACY DOa
IrrTERIOR FLOORS
FINISHEDIREPROOFING
GARAGE
DOOR C7SERt5)
SMOKE DETECTORSNSPECTXON
\
FINAL ELECTRICA oFI ONSTRUCfiSON
FINAL APPROVAL
OF OCCUPANCY MUST BE
CERTIFTCATE BEFORE
pj SIGNED FROM THE BUXLDING DEPARTMENT
THESE PREMISES ARE OCCUPIED !
THESE
RE RKS c �y
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I PECTOR
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� 0�31*1 o'F QUEEI3SB►3R paRTMENT
BUILDING AND CODEaS E E
BAY C. HAVrLA NEW YORK 128 C}�
QUEENSBURyt � 5 W RK2 5832
TE,LSPHONE
BL3ILDING 1.14SPEC"fbR' S REF'(]RT
FOR INSPECTION
REQUEST
NAM
w $� ---
I,OCATIaN ERM T it APPROVED
DATE YES NO
FOOTING/PXB p�OtTR FORMS__----- - --__ -
MONaLI�xIC0 OUR �PROOFING_��
FOUNDA NIDAMP
ROV'AL ----- -� --~~�
BACKFx ALL
ROUGH pWMB G
fLB14 r IN
ELECTR TCAl7N ROUGH_
INSULA
FOUNDATION
FLOORS
WALLS
CA Lr gprCTION =
FINAL CHIMNEY I3ErGHT_�_-
ROOFING
SIDING paRCHES/ . EPS
EXTERNAL NCE
STAIRS- CLEA RA AN /RNELIEF VALVE
P LUMBING TRIM/� A
V`x1CY DOOR.S.�----_
INTERIOR
a
FINISHED FLa FING
GARAGE FIREPR
DOOR CLOSER ( ---""
DETEC RS ECTION
SMOKE ALINSP �
FINAL ELECTRr NSTR
L OF co III
FINAL APPROV
or OCCUPANCY MUST BE
A SIGNED FROM CE�TXTHE BUrLDING
DEpp RTMENT BEFORE
OBTAINED MIS Cvp:rEDI
THESE PREMiaES ARE
REMARKS :
. rY E"cerf
INSPECTOR...._____ -
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
HAY 4 HAVILAND ROADS
QUEENSBURY, NEW YORK 128096
TELEPHONE (518 ) 792-5832
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION
DATE PE IT #
APP VIED
YE NO
LOOTING/PIERS
,MONOLITHIC POUR RIMS
FOUNDATION/DAMP- PING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION: i
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION#
CHIMNEY HEIGHTr
ROOFING
SIDING
EXTERNAL PORC EsISTEPS
STAIRS-CLEARA CE & RAILS - ....... —
PLUMBING FIX RESIRELTEF VALVE_
INTERIOR TRI IpRIVACY DOORS
FINISHED F RS
GARAGE FIRE ROOFING
DOOR CLOSER S)
SMOKE DETEC ORS
FINAL ELECTR AL INSPECTION
FINAL APPROV L OF CONSTRUCTION
I
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE ,BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
4INSPECTOR
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TOWN OF. QUEENSBURY
BUILDING & T.
REVIEWED BY
DATE - , / �' I i
FZONT ELF- VAT -ION
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CAR POR-T-
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LAKE GEORGE CAMP
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