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1989-734 f CERTIFICATE OF C►CCUPANC'Y TOWN OF +QUEENSSURY j WARREN COUNTY, NEW YORK -ice cyt O.k V 19 I l - -- ii 734 This is to certify that work requested to be done as shown by Permit No. 9' has been catnpleted. y This structure may be occupied an a I o f f i c e b u i l d i n q Location C 2!= . 114 Ohl Quaker V 4 Ch ,ner Martin & Arlene Seel ye ! By Order Town Hoard _. . TOWN OF QUEENSBURY I 1 Director of Bldg. & +Cade Enforcement f BUILDING PERMIT -� TOWN OF QUEENSBURY No. 89_734 _ � WARREN COUNTY, NEW YORK PERMISSION is hereby granted to MARTIN & ARI ENE SFFI YF 0 OWNER of property located at CQ npr Highland $ Quaker Street, Road or Awe, ck s Ry To Construct or place a n o ff i ce bits l d i n - in the Town of Queensbury, g 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 a 235 Quaker Road � 2. CONTRACTOR or BUILDER 'S Name 00 a Self rn rn 3. CONTRACTOR or BUILDER'S Address Ury rr1 rn r-^ rM rn 4. ARCHITECT'S Name 5_ ARCHITECT'S Address s,7 Ci rn rn 6. TYPE of Construction — (Please indicate by X) x ( x) Wood Frame { ) Masonry { Steel I T = ]. PLANS and Specifications No. 20 ' x 20 ' office buildingwith septic system as per application , .cam specifications and plot plan . S. Proposed Use Trl Office Building $ _10 _ 00 PERMIT FEE PAID — THIS PERMIT EXPIRES x June l 7g -- (kf monger period is squired an application for an extension must be made to the Building and Zoning inspector of the � town of Ousensbury before the expiration date_I C'7 rn Dated at the Town of Queensbury this _ 7th Day of _ N©uellther 19 R9 t= — 0" for the Town of Queensbury s SIGNED BY _:' p� Building and Zoning I n ctor TOWN OF QUEENS,BURY REVTE W ED BY f F OLIFENStSURY FEE P A TD # /{,r'C� 6S e, �'�__a_ 3 f� PERN[IT NO. 'r SEP I 798q BUILDING PER' MIT APPLICATION BLDG- & CODE DEFT, A PERiliirr MUST BE OBTAINED BEFORE BEGQINING CONSTRUC.'TION& 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. The owner of this property is: Mpfiz ►'rfN A4RLe &) E Se-elle DfSR sit ^ ✓ `3 3mf-" l�T.�I IVf.S/7,1 P.O. Address TeL Property Location CC*r,..^t✓M A-'lGA4L1°k Tax Map No. Has there been any split of this property since October 1 , 1988 ? {� if yes Planning Board Review is necessary . yes no ` SUBDIVISION NAME. IF APPLICABLE LOT NO. THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: A � .,a�C5C L..'*/ � NATURE OF PROPOSED WORK: Esr.MATED MARKET VALUE OF /Construction of a new building . CONSTRUCTION : ✓ Addition to a building " COMPLETE INFORMATION REQUIRED BELOW# " Size of property ft x -91/10—ft. Alteration to a building * Existing Buildings( 3 ) Size 2Q_ft. x /JK ft , (no change to exterior dimensions) Proposed building - distance from property line: Other work (Describe) " Front yard(e�ft. Rear yard 3C)0 4- ft. * Side yards ft. and /( ) Z& fte GROSS AREA OF PROPOSED STRUCTURE If on corner, setback from side street Aw ft. 1st Floor $yo0 mmosq. ft. OCCUPANCY INFORMATION 2nd Floor sq. ft. Primary Building Other Floors sq. ft. + One Family Dwelling (not cellar or ement Two Family Dwelling TOTAL FLOOR AREA I00 sq. ft. ' Multiple Dwelling/Number of units • Business Size of new structure Q. ft x eft. Industrial Foundationampier rawl/partial/full ; (circ a ane) • Other Noe of stor#as (habitable space)_ „ Height (grade to ridge) ,�. � ft. , If addition, what will uste b*1��,.�... If re+sidierttials no. of families No. of rooms(oxcludbW baths) 1 _ * Accessary Building Na. of badcaoms C� • * Detached Garage ONE/TWO Car No* of bathrooms C ) • Primary heating system tr C + Attached Gar " GNE/TWO Car Type of ival � " Private storage building Noo of fireplaces to be installed C a Other Will a wood stove be inat&Ued !V 0 ; Central Air conditioning AJ Q Ove ER BUILD ( NC PER %IIT APPLIC ATroti BUILDrNG 5PF. CIFiCATIONS: Type or construction, wood frame. fire safe, etcq aA.. cob F=eiOrtn 47 Will any second-hand or upgraded ltimr)er be used ? If so, for what ? Foundation wall material lk�)riztLE Thickness p ' r P Depth of foundation below grade (to bottom of footing) " + ` ` Will there be a cellar? � Heated or unheated ? lmm� V Floor sq. footage 4410 0 ;q ft . Will there be a basement ? V Will any portion be used as living space ? Aw .)o (If so, what portion ? sq ft . Type of use ? Type of roof - sloped/flat/shed/other :bTaterial of roof Size, wood studs "x� " spacing '" o. c. length ft . Joists ( floor beams) Ist floor "x_ja ;pacingj�"o. c. span�"4 ft, Joist (floor beams) 2nd floor. x " spacing "o. c, span ft . Overlays (ceiling beams ) 9 "x 6 spacing_ 16 to o. c. span /0 ft. Roof rafters �"x�" spacing o. c. span lft . Roof trusses (pre-engineered) spacing " o. c, span ft . Exterior wail finish ✓l " 4L IV r`et,i pi jgigeb of what material? 0 f Nay/ [ - Interior wall finish -pig tV.. y' -gr g �/� S-f.=--qVPr 1 If a garage P5 to be attached, describe materials to be used for FIRE SEPARATION, /t- fr/rfc] Is there to he an opening between garage and dwelling? AJO If so will a Fire-rated door, enclosure, self-closing device be provided? Will a flue-lined chimney be installed?_ 0 Height above roof ft . Depth of chimney foundation below grade 4 q ft. Depth of fireplace hearth�ft. in. Water supply - Municipal or private well jU SEPTIC SYSTEM Distance from ANY private well (including adjoining properties ft, (A(A separation application is necessary for any repair or new installation of septic system) NAME OF BUILDER t* EADDRESS 5"[�iVI �C �`�. TEL. NO. - ?� Ya— NAME OF PLUMBER it r` F ADDRESS ` f TEL. NO. y + NAME OF MASON + � rl +r ADDRESS TEL„ NO. 'r NAME OF ELECTRICIAN ADDRESS ' TEL, NO. + ' DECLARATION 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 propos _s.z k to be done on the described premises ,and that all provisions of the BUILDING CODE, THE Zt7NING ORDINANCE, erM &U other laws pertaining to the proposed work shall be complied with, whether NINC led or NA and that such work is authorized by the owner. Signature Owner, owner+s agent, architect, contractor SPECIAL CONDITIONS OF THE PERMTTt BY TOWN OF QUE _ NSBUiM : 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 �0c) S �� 2 . Type of heat F=�L.i 3 , is the building mechanically cooled ? r� O 4 . Percentage of area of windows and doors -f 0 A . Over 16 % Only 1 , Uo value of gross area of walls : roof / ceiling and floors exposed to ambient conditions 2 . Floor over heat � A spaces YES NO a . Are £ oundat on walls insulated ? YES NO 1 , if YES . what is the R value ? 3 . Slab on grade YES NO a If YES , wh _ t 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 exposed to ambient conditions_ 0 2 . R value of exterior walls _ R i01;1 3 . R value of glazed area + 4 . R value of doors ,!� fCs T r262co(2L 5 , R value of floors over unheated spaces I2 - 3© 60 R value of slab edge insulation - unheated slab G/ ? . R value of slab insulation - heated slab 8 . R value of heated basement/ cellar walls ( above grade ) ,�^y 9 . R value of heated basement /cellar walls ( below grade ) V , r 100 Type of insulation— ry-1 + ( Kc3P Pe* S F.c� C . Controls 1 . 'Thermostat maximum heat setting y� D . Duct Systems 1 . 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 1 . size of hot water or cooling carrying agent pipe I �1 04 2 . R value of pipe insulation AoIIA F . service Water Heating ,r 1 . performance efficiency Al 2 . Temperature control setting maximum G . For swimming Pool only 1 . Maximum heating, Telephone No . -- ( applicant ' s signature ) MoWn of Queenshurg AiStIfunga Pepartmen# Bay at Havitand Roads Office Phone 518-793-7771 Queensbury, New York 12801 PAUL H. NAYLOR RICHARD A. MISSITA Superintendent Highways Deputy Superintendent Highways DRIVEWAY PERMIT NCD N e7K..x 3 b (2 �V �__L '13p - DATE : I APPLICANT NAME : TELEPHONE NO . ADDRESS TO BE INSPECTED : RETURN ADDRESS : Applicant ' inuzs L# show exact loca n an width +bf driveway ( s ) to be corax� � t: - moo the': highway plat xr,g stakas at the The Superintendent Of H ' �3Yways , T of. , Queensbury , has reviewed the applicAl. of t`h abo a named resident to connect, a driveway to n r ad . The following action has bmeen taken = t STEP 3 ; ( ) P limina.r Approval , NEED : ( ) light Swail [. h : revel With The Road peep Swail A S 2e Pipe to use ( if necessary ) { ] ) 12 '" { } l5 " { i8 " { ) 24 " ( ) 361' Pre y�mina inspection by DATE Appr . "1 by Highway upt . Depty . Supt . After recei ing th Preliminary Approval , submit the permit to the Town of Qu ensbury , Highway Department upon completion for a Final Val . STEP 2 : { ) Final Approval { ) Rejected DATE : Paul H . Naylor Superintendent oL highways Town of Queensbury TOWN OF QUEENSSURY APPLICATION FOR SEPTIC DISPQSAL PERMIT DATE LOCATION OF PROPERTY FOR INSTALLATION `J Owner's Name: Y-i 0.) st=nff y Telephone: c - Address: Installer"s Name: Tel phone Number of bedrooms (residential only) Total daily flow (compute 2. 150 gal per be o m) Topography. Circle one: Flat Rolling S eep Slope % of Slope Soil Nature: Circle one: Sand Loam Clay they /Depth: Feet I Ground Water: At what depth ? Fe Bedrock or Impervious Material: At hat de h? Feet Percolation test: Circle one: equired rate min. inch. Domestic wat supply: circle one: Mu icipal Well Other If dames water suppl is a well: Separation: ester sup ly from septic bsarption feet PROPOSED SYST I : S ptic Tank gal. ( minimum size: 1 , © Ofl gal.) TILE FIELD: Each nch fee Total system length feet SEEPAGE PIT(S): Num er of J Size each feet by feet Size of stone to be used # epth or Thickness feet I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: DATE: OVER Septic System Inspections : 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, ? . } 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 , tile fields and / or drywells 13 . No system shall be covered before inspection and approval by the Luilding lnsptctor . 'Failure to comply with this requirement may rusulc in the uncovering of the system by the installer and a fine of up to $ 250 . O0 . 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 installa— tion , alteration or repair of an approved systetn , a new proposal must he submitted to the Quuensbury Building Department before further construction . Town of Queensbury BUILDING and CODES DEPARTMENT Bay and Haviland Roads Queensbury , New York 12804 R"marks : TOM OF QUEENSBURY BUILDING 53 D BAY ROAD DEPARTMENT QUE:ENSBURYo NEW TELEPHONE ( 518 )0RK 792- 58324 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAVE ,,/LOCATION .. +�' A — f^.a✓"� �''j ��L DATE -- PERMYT #R�',_',/ TYPE OF STRUCTURE _ APPROVEno D RECHECK RECHECK N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESP IBLE FOR PROVIDING PROTECTIO10fROM FREEZING FORTHE PLACEMENT OFHTHE CONCR"E o MATERIALS FOR THIS PURPOSE f�N SI OUNDATION/WALLPOUR REINFORCEMENT IN PLACE FOUNDATIONIDAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING : JACK ST D /HEAD BRACING/BRIDGING�� JOIST HANGERS JACK POSTS/MAIN 8 AM � HEATING ROUGH— IN INSULATION : FOUNDATION ALL I E I R R— FOUNDATION WALLS EXTERI R R. FLOORS WALLS R_ CEILING DUCT WORK 0 PIPING I UNHEA ED SPACES ARRIVE DEPART r!'�— INSPECT ,l!ta�tsk,r�n 1 HQadgi.ial'�1�r• 900;HaddlRn Ave:,' .� 1 Ongswo „ Wal 11178 Date: 1aty, Town or Township County �+'�� State Location/Address {!f L' in Ftural rea-- Please Attach 01r�ctions Pole # q .Owners ' c ': Permit _ Occupied. As ,Buiidin :;. . :AI ►w Old O Occupant — ' Work Area in BuildingFloor # etc. }; for: Wiringor: Read for Ins ion_ Fee Remitted _ �"` Cash Check '` ' ' .' Make Pa able . o: M.D.I.A. 4� e - .1 12 37ea soo 250 5 s75o aaoo - Number of;, Yl nny, Elect. Heat x. Switches i y_Aca}}: yS@rMlere � 9i+�face Unit Dishw ;her Range Lighting _ Water Heater Air Cdnditioner Dryar .r; � �- a-dump Receptacles " _ a 13aen Dis oral . Wiring and Controls for Burner Nu • r oiY 1 �u r `�' Akiwp, te@eitacleS rx , ± Frac#IH.f!.; Vent Fans €; %r ., i . so r: .. r :r�. Other Equipment: u x . 3� �+ ' i ; 3 x MOTORS Fi.P; 3 1/9, Y� x14: 113 1/2 3/a 1 1Ya 2 ;6e^ ;74z 15 '2fl 25 4a rn 75 ta0 Mark NUrruber � ,.. 4 . :3.'. - I of Each Size r . ; ... s .. A licant!s e,r. ;:' ;> . i:nt : Q. 'Signature . Lkosnss R ' Perfnit - TJA '. Applica dre r N » A (City) p [Sta#el ,.' Service Request # '. Phone #_ ice:;' 6AcTeREQEl�/ET] - - DATE INSP Correct Location: - . . Same as Above F ar �. �, _ • " a Red Notice Label.. Rough Wiring Outle "� Tf o lAriit , ? _ Oven Switches i > '- Oar Dispbsa.l Receptacles rWX e ish Fier`` Fixtures r lditi<iner' ;::; Dryer Am . Service Equipment , Burner, Wiring $i'Cohteols for Receptacle Amp. Service Conductors Pum Vent Fans MOTORS M.P. 1/2D 1/12 1/20 1/ /a 1/a 1/3 .1/F 3/4 2 21 T o 15 20 25 3 6 . 5a 75 loza Merle Number . of Each Size p!. J Elect, Heat 344 750 io5o i25o 1900 3756 2000 ss5o 2q0e ?'rRp aoao C] RRW Progress: Inc. LKD M Contractor r I_J L/A Violation : Work Comp. 4Owner ?- CASH Fee . CHK # p . LIA = - Due Mo O 1 PA y N9uitl Nrl # l?atea ° 3 t`. _ ._ E'rkMall".Sd@� lJtiFk C?y/ s w .. 69 t „ - '4 ner . Cut in Card Temp # :. •= DaiOe- z OTUFFWS 5 143 IMATUE. Final ,* Date I - Qir MIDDLE DEPARTMF� ,ION AGENCY, INC.900 / ,rC�-� ll# P (� ] ;Ca•s November 16 , 1989 (Certifirg that eeG ril6al �egi.aipment listed has been ex r e approved as being in accord with the National Elect C�ce, �Ipplicable governmental, utility arid.A�` cy es. Owner: Seelye ' s Au on :sou+ awn P� c s� Offices f � �J ; Occupant: Qul�enbu e' Location: Ruaker Rtia cartlhcata I I ric uipment and inslallahon inspected this to data. If aad�t tonal 4f1ci ent sh he introduced or alterations merle to ly Outlets : .,7 �9c ep tacles ; � Fixtures exiaf ing system lhii# C • he Hutt and Void, en6 sPPi iCation toe �QUIRnriBnt. ` inspeefionshoulo "submltt p tly to this Agency. g s) b '�e - " "c#der of this caFtiliCate a m same to We propsrly insurance carrier rgant or comp6ny) as eViWlnc rtificaGon of aSeclNcat equipment eppro d s; '• as aPeciliad..� r. Martin SeelYk 71 - Applrcant: Quaker Road31 x O . i5-[130739 Queensbury , NY _-- Fwrrs No. 7W 8L 1 as TOWN O'F QUEENSBURY BUILDING AND CODES DEPARTMENT BAY 6 HAVILAKD ROADS �280& ,QUEVNSBURY, NEW YORK TELEPHONE (518 ) 792-5832 GILDING INSpFcTOR' S REPORT REQUEST FOR TNSPXCT-TON RECEIVED NAME vid r. (Queen. R LOCATION pERMIT DATE _ -r-� — wa � b u-Ut vED Thai 6 b nuctune cayG6r�t ' NO with no P'OOTING/PSERSUR FORMS MOZ40LXTHIC PO PROOFING1� FOUNDATION/ P" ,B,A,CKFILL APPROVAL 1 ROUGH PLUMBING FRAMING ELECTRICAL SNSTJLAT20N: FOUNDATION FLOORS WALLS CErLTNG FINAL INSPECTXON: CHrMNEY HErGHT ROOFING SSDXNG EXTERNAL PORCHES/ TE STAIRS-CLEARANCE & RA pA V PLUMBING F IXTUR S/1RELI rNR'ERrOR TRIM/ VACY D ,FINISHED FLOO FIND GARAGE FIREPR DOOR CLOSER ! 3S SMOKE DETEC FINAL ELECTRI L INSPECTION FINAL APPR OF CONSTRUCZ`ION pANCY MUST BE IFrCATE OF OCCf1 A SIGNED CER THE BUILDING D�*pARTMEN'r BEFORE OBTAINED FR OCCUPIED!- THESE PREMISES ARE cIiY�9 WeJ� e expa6ed pee REMARKS: '�oxt c OYtb a{y bU d �? ��J Axe" V iEw�d `ap ewt to be ecAbu.i.�t co brru t nota zed Owne."L w �mZe.X �t & tat-LYL9 that aLt Pon�.�a vT b k�c�c vthcce6 . add, itlon were co.rw cted ,cvi camp with a tt appjUcabZe cod" {� i c Q�,c.a n a $ a ilwne n W.i,P.e. a ubm c ta2xzis e ec q� Lcat warn f2 0 ; per ECTOR l r_ is P TOWN OF: QUEENSBI " .BUILDING AND CODSS DEPARTMENT BAY & HAVILANE ROADS 12801. YORK QUEENSBURY 5I8 ) 792- 5$ 32 TELEPHONE � BUILDING INSPECTO' S REPORT REgUESI FOR INSPECTION RECEIVED NAME2AA $ L LOCATION PERMIT # APPROVED DATE -� APPROVED YES NQ FQQTXNGIPXERS F R ORMS MONOLITHIC POU „�� FOUNDATIOxiPPRQVAL r- BACKFILL ROUGH 1"LUMSING FRAMING F ` ELECTRICAL ROUGH-XN� F�` INSULATION: FOUNDATION FLOORS F WALLS CEILING : FINAL INSPECT-TON :`. CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES IS PXLS!_��- -- -^�' STAIRS-CLEARANCE EF VALVE. PLUMBING FIXTUR I RE OORS INTERIOR TRIM/ FINISHED F� pOFING GARAGE FIIRE (S) DOOR CLOSETORS SMOKE DET FINAL ELEC ICAL INSPECTION -�- FINAC� APP VAL OF CONS TRt1CTI A SIGNED CERTIFICATE OF +OCCUPANCY E ST BE OBTAINED FROM THE BUILDING DEPAR`1'MENT BEFORE Tf1ESE PREMISES ARE OCCUPIED ! ol REMAR{ S : ] -rf All TZ7 L:/ '1'� 1' '(-.r7rL"" �� l�"S r � f�i3^VF'?A'T1O.{." rw✓'i (-L -� i NS ECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVIL.AND ROADS QUEENSHURY, NEW YORK 2 28 02— TELEPHONE (5I8 ) 792--5832 BUIIA}ING INSPECTOR ' S REPORT`` `y REQUEST FOR INSPECTION POECEIVED. NAME LOCATION DATE I P777?MTT ? 3 APPROVED to ILL t a c _ YES NO *'FOOTING/PIERS MONOLITHIC POUR FORMS a. FOUNDATION/DAMP--PR PING c BACKFILL APPROVAL l ROUGH PLUMBING ; ----� FRAMING ELECTRICAL ROUGH—IN INSULATION: FOUNDATION S' FLOORS C WALLS CEILING ' FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ TEPS i STAIRS—CLEARANC & RAILS _. PLUMBING FIXTU S/,RELIEF V LVE ,C! INTERIOR TRIM) RIVACY DOOR5 FINISHED FLOG S GARAGE FIRED FING DOOR CLOSER ( ) A SMOKE DETEC RS te''FINAL ELECTRI AL INSPECTION FINAL APPROVAle OF CONSTRUCTION '1 A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREM �I` SES ARE OCCUPIIEDI r REMARKS : /y� � Mfg _ /` , �� Iki )zno4—.j rC3v9 ;rruc-rrr04. f `r0 C- PL J2 1>LA � S r3 AA- rG-z� s INSPECTOR Y MI#?1] Q T �"Mffj�T1 11 AkGENCYt lI1C. National :Headlquarters . �. sole Fiac#aan Ave:, Cral(fr►gswc ltid, °1 6 Ealoa —,. Date: City. Town or Township �i'" kNx-:� TS-3 �'' County_t L.LI i" State Location/Adddress (If Located in Rural. Area - Please Attach Directions) Pole # Owner - ��3 ` '� �"� _#�i��.1C" � ' ' `�� i i�trFiYit,# r+ J Occupied As F Ci3ii7id+ng: ° Old . s - s Ooeupanf Ft- y "_yy � Fee in Buildin Floor # ,etc.) : r A for: -WiringService or: Rea for Inspei!#i Fee Remitted :r, ` E rt l Cash © Check 0'" - r,M.br M#&4 bHtTi3 sop rso �afoa 1 xoaa 2250 2a00 xvaa a000 Number of Ro . h �Nitiho Outletls Elect. Heat Switches '.. = g - `' �Q7 „ y = : Lighting # } ' ''r Amp. ServJ%* f�elrface Unit Dislhiwast4e . Range . N� water Heater Air.Cor�ditione`J--��i]rysc f umia Receptacles N �lrren x3�+ r - pawl Wiring and Controls f $srrrier k: "kAr s 3 K ;e Rek�ppr r stionat H.P. Vent Fans ,. .: `. Other Equiprnent: MOTORS H P. f2 ,*^E1: 1!6 1fA 1f3 1/2 3!4 1 lJfs 2 3 , $ 44 1CF 15120 ^c5 84 44 80; - O< r l Mark Number of Each Sire ' ApplicenYs Liosnse .# Siglnature TIA Appl icon 's Address._ �1.-- l� ii�' �+�- {City) (Statel___ ij ,r;-W-� -� [Ziix} + ' r '3- Sarvlce Request # Correct Location : Sarrre as ,Above Q or: ., ' ; :: Red Notice L8ltael �.: _ ." %- ? � ; -' � ;= •- _ Rough Wiring Outlets Surface Unit Oven. Switches Range -t: G'i3r sal Receptacles Fixtures Dicer . ',, tidnet Amp. Service Equipment Burner. WirirSgrfontrols ,€ar: Amjb'. F#ecbjatacle ' Amp. Service Conductors ' Pump Vent Fans MOTORS H.P. 1f20 LJ12 1lib 1!a 1 i 1/3 1/2 3J4 - 1 3- Sr 74ft 10 15 20 25 #fl 75 . 106 Mark Number ? ' of Each Size ., Elect. Heat sao Tao saoo lzao asea tyso x o zxso �o s L.aso e000 a { 0 ,RW Progress: Iisq� 0- LKD o C intractar 0 CFT Violation : WarFk,Comp: O )lnrr . 0t' CASH [� LIA vrrser Fee CKK # [� CIA .. _. - _ . . . .. - . , rDue MO # ` 0 . lPALr Municfpal fri1 # Date. .. Other Sit#e`� iJtilii�y - Cut i n Card . . 0' tee #; .. Date __ --=—= r;= r= s. , < s T Cl .Final # mate . . :. APPL.IGATlON FORM NE]: 25e - ^ - . . _ -- `a - �, - TOWN WN OF +Q UEENSB URY Bay at Haviland Road. Queensbury, ,NY 12801-9725 — 518-792-5832 Sept . 18 , 1989 Martin A . Seelye 235 Quaker Road Queensbury , N .Y . 128i14 Re ; Building Permit application # 89 - 734 Sirs ; This addition was built without a Building permit and therefore no inspections were made during constructione in order to quseifY such for a Certificate of occupancy , it will be necessary to expo areas as will allow inspection for the following : footings - - Foundation 'framing - - Plumbing, - - Insulation- - Fx electrical . You have submitted drawing, with some very nice detail , however ; We must have floor plans for both stories , showing fire separations where required and door sizes , locations and fire - ratings . 1f you are unfamiliar a regu ations you may need to ask ^your Architect�C r--£�. sneer for help , far � to have -� plans st y a N . Y . State chitect or - submit them So.r- reyTw 'by this ? you may call upon us for assistance if necessary , for our goal is the same as yours ; a safe , well constructed building that complies with all Building Codes . anc issued Please be aware that there is nshould not be rtificate of occupied until and therefore the structure in question such time as one is issued . 5i rei�:izl Victor Lefebvre E .O . Town of Queensbury p �ti VAlr� � 2 � C7 M �,�"�={� u1174n�Building F, Codes Dept . 1 4en "HOME OF NATURAL BEAUTY . A GOOD PLACE TO LIVE" SETTLED 1763