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1991-003 • ' " • , ,„ ;„„-. . • ‘.• CERTIFICATE OF COMPLIANCE TOWN OF QUEEi4SBURY WARREN COUNTY, NEW YORK Date L-hio PI) 2 19 This is to certify that work requested to be done as shown by Permit No. 91-003 has been completed. This structure may be occupied as a alteration to dwealino-renair to foundation Ridge Road Location Michael . BiPalme Owner By Order Town Board TOWN OF QUEENSBURY Director of Bldg.. & Code Enforcement j' BUILDING PERMIT TOWN OF QUEENSBURY A No. 91-003 WARREN COUNTY, NEW YORK -0 0 • PERMISSION is hereby granted to Mike Di pal ma OWNER of property located at Ridge Road Street, Road or Ave. a in the Town of Queensbury,To Construct or place a Repair Foundation 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 Star Route n 2. CONTRACTOR or BUILDER'S Name !1 tD Lee Horning 0) 3. CONTRACTOR or BUILDER'S Address —' 9 RD#1 Box 27-A sv Queensbury 4. ARCHITECT'S Name rz 5. ARCHITECT'S Address CD 0 0 a 6. TYPE of Construction— (Please indicate by X) ( XWood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications • No. 37' x 26' Repair of Foundation as per plot plan specifications and application 8. Proposed Use Repair of Foundation 0 0 0_ $ 30.00 PERMIT FEE PAID —THIS PERMIT EXPIRES January 7 19 92 0 (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 7th Day of january 19 91 5 0 -o 0) SIGNED BY for the Town of Queensbury -S' Building and Zoning Inspector • TO bt COMPLLTLD AY BLDG. DEPT. • Application No. afar: Of Queeniurt, Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 1.9 Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation �� QE E)QUVEO � Queens bury, New York.12801 Variance No. RE � l� Site Plan Review No. Approved by: JAN 1991 • APPLICATION FOR & C/� •DE ^7 BUILDING AND ZONING PERMIT • -/1 i : . / Si f C1/� • . * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * , * *:.* 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. The owner of this property is: IG ._ c-" i e, 4-444 P.O. Address ^4 2 20✓:L Q c' 616, pycv/2 - Tel. 6 56"9G 6 0 Property Location: 172, OCiE 20412 Tax Map No. / / Street number or building lot number Subdivision name (if applicable) THE PERSON R PONSIBLE FOR SUPERVISION 'OF WORK AS REGARDS BUILDING CODES IS: L� l e�t�I,.-c 4 11). i l a r 430x. 27-4 , Qv. �.-vsF6e)ra '2 3-c Z o 7 Name P.O. Address Tel. No. Name of builder ./3 ,,,4 f,� Address Tel. Name of plumber Address Tel. Name of mason Address Tel. • 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 12apk,i 2. 15 N 0,z,i i 0,.,1 * street and number or lot number and indicate FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location LOCATION OF STRUCTURES AFFECTED. - of water supply and location and configuration . * 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: * Existing building (s) Use Size of new structure 2 7 ft X 71,f * .. . . Foundation-pier/slab/crawl/partial * Proposed building, distance from property line (circle one) *• Front yard . ' ft Rear yard ft No. of stories (habitable space) * Side yards ft and ft Height (grade to ridge) / If residential, no. of familiesft. * If on corner, setback from side. street * ft • No. of rooms(excluding baths) OCCUPANCY INFORMATION No. of bedrooms ^J * PRIMARY BUILDING - No. of bathrooms hit /a * e One family dwelling Primary heating system r4/4 * • Two family dwelling Type of fuel l.( 6J Multiple dwelling / Number of units No. of fireplaces to be installed A/ b * ' Will a wood-stove be installed? �[ * Permanent occupancy /) n * Transient occupancy N Central Air conditioning? • Business * BUILDING STYLE, PRIMARY STRUCTURE *' Industrial *' • Other ' ' Ranch Contemporary Log cabin If addition, what will use be? Raised ranch Mansion Duplex * Split level 01. 7. _le Bungalow * Cape Cod Cottage Other * ACCESSORY BUILDING- Colonial f T Town House * '/ Detached garage/one car/ two car/ / car ( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car * * : * * * * * * * * * * * * * * * * '----Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION $ S, C.) 00 —' * INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SI-IEET, .TO BE COMPLETED! Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - • • BUILDING SPECIFICATIONS: �� J Type of construction; wood frame, fire safe,etc. KJ G 00 , Will any second-hand or ungraded lumber be used? If so, for what? Foundation wall materialTv,O eat, Ss.ILThickness S h Depth of foundation below grade (to bottom of footing) Gxicl- si 'T'p Q.S54p r2oc4c_ Will there be a cellar? Heated o Floor sq. footage cg'G sq ft Will there be a basement? r�S Will any portion be used as living space? (If so, what portion? sq.ft. - - Type of use? Type of roof - sloped/flat/shed/other Material. of roof Size, wood studs "X " spacing "o.c. length ft. Joists(floor' beams) 1st. floor "X " spacing "o.c. span ft. Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft. Overlays(ceiling beams) "X " spacing "o.c. span ft. Roof rafters "X " spacing o.c. span ft. Roof trusses(pre-engineered) spacing "o.c. span• ',.ft. Exterior wall finish Of`what material? Interior wall finish - If a garage is to be attached, describe materials to be used for FIRE;_S,EPARATION: 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 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 adjoining properties ft. (A separate application is necessary for any repair or new installation of septic system) Tow" of Queensbury AFFIDAVIT STATE OF NEW YORK County of 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 Signature Owner, owner' en arcnitec ,contractor day of 19 Notary Public, Warren County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: • • • • • By • • • !(,A!onir,...)•i?•+,p•i,,•.eu,,i„c•i,•(Ai,m ,•,)Q,)•i •,„•,,,• mt,•i,y._.o•/�•.,l•4 Al•0•i,.m.. „m..}(oPt..i.�•("... .!..1ti •r ,_•i,}•? •- Ni •i •i.•_•l, •i..1•,1•).,_•i 1•i_?•._�• • 1•i,.1 :304,,71a7 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY I 41 STATE STREET,ALBANY,NEW YORK 12207 ;3t 1I TM BEA 27,"1r?9t1 I.389;-:394/9.k H 4 30118 i; Date Application No.on file Z'l,R1.1iT NO. 43-514 �E THIS CERTIFIES THAT • .14 ►' only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of • ►E 411:(,HAEL DITIAL,E IA, RIDGE RD RT9-1,, QiJM:AS-3?7RY, Pi.S', 7 • in the following local on• j ElBasement� El 1st Fl. FA 2nd Fl. �/' 0°3 Section Block Lot • of I-,1j.E41135E8 '3, 1_.9� gE was examined on and found to be in compliance with the National Electrical Code. • ': I.: '.: E FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. ••41 1• •: 1 6 1 1 it :,ii DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS :- 'Ili' MAT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. MAT. AMP. MAT. AMPS. TRANS. MAT. H.P. PW.Of FEET AMT. WATTS• ,,. ti �. - :1 R' •.!, l'": SERVICE DISCONNECT NO.OF S E R V I C E : METER !; MAT. AMP. TYPE EQUI►. 1,B'2W 1 p'3W 3,i'3W 3.0 IW NO.OAR gCOND. OF CC.COND.. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS pp NEUGRAL , it i; : -L ,. OTHER APPARATUS: • 1; o 4. ►. • •••-l. ►' • 1. '• n' Y .• _ i, — lz ►, ,-_,-� NI, ID:C�'I\Td1F, • . . .• ...,•-•,. . ( ::: ., I,1,_E4 ,_ 1STAR RT Cw'e • QU ENS1398Y, 1`IY, 1 2804 BRANCH MANAGER .11 e' 5 2.39 ,' .. Per • c. This certificate 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 BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBURY 531 BAY ROAD 'w'" QUEENSBURY, NEW PORK 12804 . TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT FINAL INSPECTION // REQUEST FOR INSPECTION RECEIVED 7/L/ 94 NAME L[ /4/ P / / LOCATION / // L SY_ DATE /9i PERMIT# TYPE OF STRUCTURE /i/e4, RECHECK FEE MARSHAL APPROVAL (CO,MMERICIAL STRUCTURE) FOOTING V'FOUNDATION Le_BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC,' INSULATION WOODSTOVE/FIREPLACE • REMARKS • APPROVAL • � N/A YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION 0 PLUMBING VENT ROOFING SIDING DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE/HOT WATER OPERATING INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: / BATH/KITCHEN WATERTIGHT ,'' OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS DOOR CLOSERS BATHROOM FANS ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE WALLS' FINAL ELECTRICAL OK TO ISSUE C/O OTC) /,- COMMENTS: / / I ARRIVE ///(v DEPART /l1/SA S(4. IN5PCCTQR TIC OF QUEENSBURY 531 BAY ROAD :3p-' 0.,.3" QUEENSBURY, NEW YORK 12804 '' TELEPHONE (518) 792-5832 BUILDIN( INSPECTOR'S REPOT FINAL INSPECTION �'�/ REQUEST FOR INSPECTION RECEIVER /f�j-� {/ NAPE L/?1A/ QO /V-C 9f.9) LOCATION - DATE ,%%r*/ PERNITI Y//J�� TYPE OF STRUCTURE �1����r .1 RECHECK ( FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING FOUNDATION BACKFILL / FRAMING ROUGH PLDRIBING FINAL ELECTRICAL_SEPTIC INSULATION WOODSTOVE/FIREPLACE SITE PLAN/VARIANCE REQUIREMENTS / YES _ NO REMARKS !.. / APPROVAL i. N/A YES NO CHIMNEY HEIGHT/LOCATION `�. B VENT/LOCATION PLUMBING VENT ROOFING SIDING / DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE/HOT WATER OPERATING BASEMENT INSULATION/DUCTWORK INTERIOR TRIM/PRIVAY DOORS FINISH FLOORS: BATH/KITCHEN WAT-RTIGHT`: OTHER FLOORS SWFPABLE OTHER FLOORS CARPETED r; STAIR CLEARANCE/ AILINGS HANDICAPPED ACC SS SMOKE DETECTORS BATHROOM FANS/ HOLEHOUSE FANS': ALL PLUMBING .F XTURES OPERATING GARAGE FIRE P OOFING DOOR CLOSERS OTHER FIRE S PARATION FIRE/DEMISE ALLS DUMPSTER FINAL ELECT ICAL OK TO ISSUE C/O OR C/C ITS: ARRIVE DEPART INSPE7R TOWN OF QUEENSBURY 531 BAY ROAD 1 �'"ft QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED // /l / NAME LOCATION e//fe,Aa DATE //j 7/4 PERMIT# ,I O O 3 TYPE OF STRUCTURE �,.A7,/ �faiA/_)i_I,,, rj RECHECK 4X ' FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE) SOOTING FOUNDATION BACKF;ILL +FRAMING ROUGH PLUMBING FINAL ELECTRICAL f SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS a or / APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT / ; ROOFING / SIDING I; DECK/PORCH/STEPS/RAILINGS RELIEF VALVES / FURNACE/HOT WATER OPERATING4 {� INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: I' BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED, STAIR CLEARANCE/RAILINGS SMOKE DETECTORS DOOR CLOSERS I BATHROOM FANS I ALL PLUMBING FIXTURES" OPERATING ; GARAGE FIRE PROOFING! DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE WALLS FINAL ELECTRICAL t OK TO ISSUE C/O OR C/C COMMENTS: /6 r o �LI 014S A6-N (40-7A:A._ IVE kjj ,T ♦ r n-n Tf11 c0-1-) TOWN OF QUEENSBURY 0 BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12802- TELEPHONE (518) 792-5832 r60 BUILDING INSPECTOR'S REPORT REQUEST FOUR INSPECTION RECEIVED IM NAME CD � R 1 \''\ 0\ LOCATION / e 9 )____, DATE / / y v PERMIT # 00_4- APPROVED +00TING/PIERS YES NO MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING • FRAMING . ELECTRICAL ROUGH-IN ' INSULATION: FOUNDATION • FLOORS • WALLS CEILING . � FINAL INSPECTION: CHIMNEY HEIGHT • • / ROOFING SIDING EXTERNAL PORCHES/STEPS • A% STAIRS-CLEARANCE & RAILS / PLUMBING FIXTURES/RELIEF:VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS // GARAGE FIREPROOFING 'Y1 . ' DOOR CLOSER(S) , ' r' SMOKE DETECTORS - FINAL ELECTRICAL INSPECTION . " . . . . . FINAL APPROVAL OF CONSTRUCTION " OK TO ISSUE C/O OR C/C A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE,'BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: /0,774-4 tk) -X6J :"A / • / , rJ C-1) ��. 7y v IN$PF,mmnp , I -----7 FILE: COPY --ii , i-- 0-- ---' ' /I JAN 3 1991 . 1 •4=16"-*—'s --,...-0. 1 t'-11 -"\E--- Vg \f'lesIS Z1 14C-17.1 -1:'. )›i`. 1,L 1,02 EILLPia. & CODE DEPT. o 0 0 I . : . . '. 111 - 0 • ...t 01,i --- M'Z!. .•''':',',:. .,':,'-' ne,' ;'...) % ' ....•--",,,‘ ‘ / ,/- \,. , ce Ji ° i a • VI‘":.''.. • Ill_ 1 _ a -) • (L. .z al J 0 (\I a u.. It-TY Lit y $ , ---, 1- ) • i _ I 1 l' „ I 1 ; -"sr ki- • ' . -. _. --_-14ENV F( P-1 -... ----=4,1 • . r. , -- • I a . o . ,/e ...7-- , 1 I 1 F1-0 ,..e.-1?Ato: -.) 1 i--4), = _ _r_ , • I I 1 . . • • - - , ; a „ . co,ic. ‘I7 -1., i , 0 i 1 - 1 2sos.e. 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