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1991-036
CERTIFICATE OF COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date M a v 1 I; 19 y 5 , - • This is to certify that work requested to be done as shown by Permit No. 91-036 has been completed. " This structure may be occupied as a Addition to Building (Storage) Location Rt. 9, Across foom Round Pond Rd Owner Rocier Lafontaine By Order Town Board TOWN OF QUEENSBURY Director ,cif"Bldg. do Code Enforcement S BUILDING PERMIT TOWN OF QUEENSBURY 3 No. 91-036 "a WARREN COUNTY, NEW YORK 0 PERMISSION is hereby granted to Roger Lafontaine OWNER of property located at Rt. 9, Across from Round Pond Rd Street, Road or Ave. in the Town of Queensbury,To Construct or place a Addition to Building 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 RR #5 Bx 229 0 Queensbury 0 2. CONTRACTOR or BUILDER'S Name Robert Lafontaine 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction— (Please indicate by X) (X)Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications No. 248 sq ft Addition to building as per plot plan specifications and application 8. Proposed Use Addition to building for storage $ 20 00 PERMIT FEE PAID -THIS PERMIT EXPIRES February 12, 19 92 (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 1-2th- Day of - February 19 91 ‘e---- SIGNED BYj)j2- for the Town of Queensbury Building and Zoning1nspector _ TOWN OF QUEENSBURY REVIEWED BY �i, i 1 :, ,� ��, FEE PAID -$ OS U� i � PERMIT NO. qi 'O ..'JvN OF OUEEiNQDL1H�. l � RECEIVED BUILDING PERMIT APPLICATION FEB 0 1991 fL.DG, & CODE DEPT. A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. 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. * * * • * it * * * * * * * * * * * * * * I * * .* * * * * * *}tea *. * * * *• * * a a a The owner of this property is: fir, e,( (Fret l re 9q 3 b3 7 - �r�= = -(s t P.O. Address R_�, 5 Y. g- G7 QUee(AS bL) y1 A y_ Tel. (cb6 3/ q Property Location % GL(o c5 F CO(v) R bocha ()Ocic& Rerax Map No.. 7y a / /c1 i 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: IIolef FofTcAl`o-e • NATURE OF PROPOSED WORK: ESE MATED MARKET VALUE OF • • Construction of a new building • CONSTRUCTION: $ 00. 00 /Addition to a building • COMPLETE INFORMATION REQUIRED BELOW: • Size of propertyd-6- ft x qI) ft. Alteration to a building * Existing Buildings(3) Size /0,e ft. x 5-5;5 ft. (no change to exterior dimensions) • Proposed building - distance from property line: Other work (Describe) • Front yard l eg.)5' ft. Rear yard Cjf,,,�5s ft. * Side yards i,-33 ft. and � 7GJ ,).5- ft. • GROSS AREA OF PROPOSED STRUCTURE • _ If on corner, setback from side street ft. 1st Floor )--(" C sq. ft. • • OCCUPANCY INFORMATION 2nd Floor — sq. ft. • • ' Primary Building - Other Floors sq. ft. • One Family Dwelling (not cellar or baser nt it Two Family Dwelling TOTAL FLOOR AREA.,.)-(1) 7� • ultiple Dwelling/Number of units �—.= sq. ft. Size of new structure_s__--ft x 3/ ft. • Business Foundation-pier/ ab/c.=:.7:ipartiai/full • Industrial (circle urw; • Other * No. of stories (habitable space) 1 Height (grade to ridge) / (,s ft. * If addition, what will use be? .-1'-'O{C' e If residential, no. of families •. �IJCj No. of rooms(excluding baths) / • Accessory Building No. of bedrooms • No. of bathrooms * Detached Garage ONE/TWO Car Primary heating system Air • __Attached Garage ONE/TWO Car Type of.fuel ' Private storage building No. of fireplaces to be installed_ f 7 • • Other Willa wood stove be installed /l/o Central Air conditioning /VD • OV• ER BUILDING PERMTIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe, etc. GJ 0(:)J FCG,(Y) P Will any second-hand or upgraded lumber be used? If so, for what? J/Q Foundation wall material Qi CX-K Thickness Depth of foundation below grade (to bottom of footing) Will there be a cellar? /(/O Heated or unheated? . _ Floor sq. footage sq ft. Will there be a basement? a U _Will any portion be used as living space? (If so, what portion? • sq ft. Type of use? Type of roof - slope /flat/shed/other Material of roof Rot 1 iObF1;(19 Size, wood studs �- "x L " spacing( 6 " o.c. length D ft. Joists (floor.beams) 1st. floor- "x ":spacing "o.c. span ft. Joist (floor beams) 2nd floor "x " spacing "o.c. span ft. Overlays (ceiling beams) "x (, " spacing l 6 " o.c. span l0 ft. Roof rafters .r/-. "x g " spacing 2 o.c. span i 6 ft. Roof trusses (pre-engineered) spacing " o.c. span ft. Exterior wall finish te,Ytu re_ 1--I f of what material? L Oo d Interior wall finish dC fricAl 1. If a garage is to be attached, describe materials to be used for FIRE SEPARATION: Is there to he an opening between garage and dwelling? If so will a Fire-rated door, enclosure, self-closing device be provided? Will a flue-lined chimney be installed? /JC) 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) NAME OF BUILDER renbect f on-'c,lh DDRESS Lrcle. o e TEL. NO. ' U..76*--- 6 L) NAME OF PLUMBER jcA.N1 e ADDRESS TEL. NO. NAME OF MASON 50"ine ADDRESS TEL.,NO. NAME OF ELECTRICIAN e 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 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. - O Signature �1'( / , Owner, owner's - •, nt, architect, contractor. SPECIAL CONDITIONS OF THE PERMIT: . BY . ° +- MIDDLE DEPARTMENT INSPECTION AGENCY, INC: i National Headquarters - 1337 West Chester Pike,West Chester, PA 19380 APPLICANT COMPLETES THIS SECTION Date: "7—f_i{ r City, Town or Township , ,Ir y County L jCA(Ce n State P L Location/Address (, ri,c� ;�' • ( Loin Rural Area - Please Attach Directions) Pole # (� / Owner l i ce'- c r d {r r��C 1�� Permit #' �/i "l)� �f Occupied As ern ,j Z,'� r 2fc.\i'7 Building: Newr Old Occupant GI("1c Work Area in Building (Floor #,etc.): fit;;( -i cle App. for: Wiring 4 Service❑ or: Ready for Inspection: Fee Remitted-$ Cash n Check n - M.O. I I Make Payable To: M.D.I.A. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Number of Rough Wiring Outlets Elect. Heat Switches ' / Lighting Amp. Service Surface Unit Dishwasher Range Receptacles & Water Heater Air Conditioner Dryer Pump Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner Amp. Receptacles Fractional H.P. Vent Fans Other Equipment: ' MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 7'/2 10 15 20 ,25 30 40.. 50 75 100 Mark Number of Each Size - Applicant's ,, f ' Signature i r, • License # Permit # T/A Utility: Applicant's Address: T$.R.=I1 i!5 2 (NAME) (OFFICE LOCATION) (City) L-,i e .ec�y (State) "/,f_ (Zip) !y?.5%G/r" Service Request # Phone # J, f > ' •-' [ .Electrician: !r.n' e i MDIA USE ONLY DATE RECEIVED: DATE INSPECTED: i Correct Location: Same as Above n or: /1 Red Notice Label n a' 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 1 MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1'h 2 3 5 7'h 10 15 20 25 30 40 50 75 100 *' Mark Number f of Each Size r 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Elect. Heat `; • CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE C/FEEGT FEE PAID ❑ RW Progress: Inc.❑ LKD El Contractor CFT Violation: Work Comp.❑ Inc. ❑ [ I L/A Owner -. CASH I {-1 L/A Fee CHK # Due MO # Ti IPA Municipal INV # Applicant ❑ Date: Other Side Utility ElOwner Cut in Card n Temp # Date \ Final # Date INSPECTORS SIGNATURE • -LICATION FORM NO.250 EL 11/89 TOWN OF QUEENSBURY lell BUILDING & CODE ENFORCEMENT 531 BAY ROAD QUEENSBURY NY 12804 (518)745-4447 ARRIVE: DEPART: INSP: je FINAL INSPECTION REPORT - RESIDENTIAL DATE INSPECCTTION REQUEST RECEIVED: NAME I i\5Jti), \Ai'Y:_- LOCATION ']e-q �j` / DATE _y)J-)/?r PERMIT H l,-�"/ ^Cf�l.-, TYPE OF STRUCTURE/ l� FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC _ INSULATION • , FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES NO CHIMNEY HEIGHT/B VENT/HEIGHT PLUMBING VENT • ROOFING EXTERIOR FINISH DECK/PORCH/STEPS/RAILINGS , RELIEF VALVES FURNACE/HOT WATER OPD• STING INTERIOR TRIM/PRIVACY DOORS • FINISH FLOORS: • BATH/KITCHEN WATERTIG T OTHER FLOORS 'SWEEPABLE' OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS _ , SMOKE DETECTORS BATHROOM FANS • PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SITE PLAN/VARIANCE REQ. FINAL SURVEY PLOT PLAN OK TO ISSUE C/O OR C/CPc C____ Lc5 6- ® VCR / t. I A/o Wo iz IL Q o, &, oVE+w IOC r'1 E�IjTr;s SrP7,C__ 71 A,I � 0 I L/6Nr p°LE� NM ///A Alp \ AA9xa �� AlU fa , p aj3 A13 � AI O II Q 0�!, ' �� ems® z ... Ilz L �it/pS OF r9 TJ-2,4C T/O AID { A s i% . �' . /�_;: /au/ Ap JV S q 30` cucv�,zr I NEwDww tc _ . 406" fj,� I ADaf1 f AI DUD /�A- F,��fI�Cf CR2LTON f/e.E/,C3E,2GE",2 �' �,4rzT/y/� F.e,E/IjE�GE.2 To 2OGEP LA /�O/VT/9 L ,V A L /-� /F•0Ac/T-,4 ••�r,D: /�/�/98Z G451-757' 2co: 419 A-09 oo�E A51 olio �A Al � t6ra ,ii AI A x 1 �3.3. 23 'W�' an x 415.' lit .. — — ' G' Y. All 1p A, 0 4Zox8 / I 1 1 DI�I T' o�,t Et7 1 KAv =nki a x A, ' ! x 8 A,'r Y s �© I / ` AL «o - ,S•E �, �aaoPosEo� 1 r � l 3 r � rEsr SEPT/�• �� ../PP ,W,f `7�c. AP � NOtE �0 i %� �— Ti4N•C � % ' LOcq ,v 1 a� i PriC s TE^T 415 GO A 19 �"v FPy E/ A. 't3. 'Av ♦ (f f>, .. • '' k --• ( E / 23�.G3 Ce✓F<C _ . / _ _ w'o E -- _ - .41 } 1061 /`t.AX db I N BAtsv ;///,0001 `� 423w h C c'o.v / 9to"o' 80 Ay/.l It EF r / A• EX/ST/NG �`�c� AOq 9 u ` AZa V �,s7 c�U/LD/NG �Z �f �r�s�+°NiTE Eai` c• 6-- A 2E,fi�ovEO; d ��c r ? cr l AI �% 1 \� / t-^ R-y�IR ..\ .... OJ ° L-ipKwk� 5 r c ,ayµ,, s., � L3 �, AM o 41 A I A rt o a �/ 10. Q S l•\ � W r_ J soi� Tfs T ,�fs�Z T.s - -. O _0 " To O a ., - TORSO/L. 0 '- (, " TO 3 O '" - yE,CS/ f/NE yELLOy> • XAi D ,3 '- 0" ro 4' - 0 " - CO, 7,e t'cE _04,V.0167,P/4I/,- L 4'-0" To //'- o - 4G1 ,Olzw 6;e411/ .r".0 /I/0 1v0,7TL /N l ) l/iV4 G20U/VD Af///TE,e ) O 03Ale, 6 c • 1k 9 AZ3 '}°- 5 RooF AW9//V d.PY WELL I* a 1 `l. EMCTEL 00 Yr- � W car � O \ \ aZSxI � Iw TE 46Nr 4 x� h 'Y / A L$* a C7:. �• r� �,tiE f Lrf, p1 / e� ! if5 s.[, \ qZL x 5 !y fuil� /G Piv6 413 0, 6► � , PINE �A 9 \ /N ! � t 51•�. <r lII 7 424x q.\ c/ \ { �bLE AZT \ \ OP,eox1"ArF 3 �s \ 2s•4 • � �o g13x1 ' o Also Loc.trio.v of CPp�o z PIAIL \ ? C/1C:(i1 ItiQ�:� /srY j 0 % •/(� " •L to qr• q Ex,sri.�/G sE,ori� � qZL r \ \ —9 SPirL/G' r, LJU�L L7//��j /i. 1 O V q23 7 SYsrcn.t 4Z5, 42 • & - S O /S1"W,PA/E M 4r4x' Nor A Z-7. t " II 41G.s \ K4 � CEOA.2 .YEOGE ow " , CArPtex.\s /�/1.9 G � TV � • 41Ax i r U Le ,�•% qt ��,��=C•NA,N�X�wXC�'' K '7� r/�.UK� � �.. ! j_lj s`� A A K 3 413, Ay1 o A I SEWAGE O 4Z5r 3 �Af j ? 4/2.Z .-41s� + D/SPOSAL ' x A2E•4. :s / • 'Q - AiB o \ 1 4Z7. 7 ♦ �' if�x S g s T 1 N OF QUE QZG?`3�4Zsx z � I �l'y �• � A /Sxs OL05 GOLFI ., honing drrtini� r tour a S r x MMM t •I J I I S -.7/ t O 1 r L 1f I I � �, AZ�•h 8 4/6 ,. I 24x G { •� .i I �,s,►r 05 s T o ^/ E �ti 4/S% z h Alb x $` •X 1=-- x " '� " i 4 � 4 AZ 4Z4x CNA/N L/NK fE,tICE ,!/M-/OBI Z y 4z� M G 4Z5xa S A A /A/ve.f-r % 1 `` 4/s•9 ax\ 4iG % ' I / AigXS z 9 /RO v Ra Y S fou,✓O ,?o W o f O/,VEJ T `�'�s 4 z,�8 ,� Eon � �- / l Ut/fc� f�NE Q sv +V G b�. \ _ A21xo 42s.5Ilk 4, Atiti �4/G d N Kew qzs. 4 A Lsk / 2� ra AZy �! G_ AZ x z F Nlre / �• rt3 Z��• Z�' RooFOuuo PoLEs. II AZZ i D. 29.3.0,3 NOTE ' �EFUJE C'ONTA/�c/.fiIE,VT 421 3 • A/PEA FO,e AL L / Z,OO/—O GI CA Z_ 1Df% .e� ST,QUCTU,QES. _ �EeEB� CE2l \FY To c LEt`IS FALLS VAT\o14AL- 'c5AMY_ AW1>-r1RUST Co., 175 SUL, �! 12oCEQ LEtiA 1AFok(TAI,AC �Ok$So�$ ASSKN.S iHA-r'TW'S MAP WAS MADE FROM Ate Ac-rUAL. 5UeUF_ 0NTHE (El?GNPI AN7D SHOW5 3kAe C°�tec.T �.00A-r10 -- I Z 21 119 8� TIVE CovfoTEL Fool�%7A 0u / As Loco I ED � o�lrlk M 3r4 -- - . . / v�'A lANDeE. "i , t1cCoetAA1CK - r4: �ry �' ATT/eACf�O� CA.t/Of/ /NC. � (G,�s�432) �• (� t I s Nsr. L, % G 78/-970 ) - NN, y r 'Li 9 7vwN W,,4TE,e ",41W /S \� ter•/ ' e9 o /9LONG' W,, T.S/DF OF 9a. jo • s� • • I*i ' "401 GALE • C/ " = Zoo' t s > • BSO�PT/O/t/ T E�Cf/.U�'TA/L• r 1lor ro .JCA[f CQ01J .fFCT/Ga/' LarV�irtAAl.✓AL ✓/fNJ s riw.ra Fit =__ •�, P,� ° • la•aY r- ', •o. / . • t �:.' S.C. S.C. N J. �`j.�•MM� ,.iJPO-M✓/N.��:+ WAJ,.IIipIIa ° • - ' : • . ' ' ' - S.C. - SPREA+D/NMj CO TONEASTE,e �- Ja•�i ltq/iw rrrr,T.'Aeat Kw/ P. 7• -PF/T -=-,C —AZIAI 2 ��✓A1 PtOFI t E A/• -7. - /NETZ / JUN/,0 E e !4 - r4RASORVI7A 6 • loeo • Al M B E PL ANTE"O AT SW CV IAur44j.AnaW arAu WROJAL JYJTEM aw~ENT' " m#Lz is cewr1jrENr w/rN 7W x%AAAMAr-Arr%trkn►' E/VO OF /(/TOTE L CABU/%LD/NGF. /A/ AYE 4VZerA/rNE/V )II J7'Ar6 GIE?AA!rAIE.V1r f /'►y _% / /� °"- ,WA T/ON ' WAJri MAWrAffNr NIr± a OAC " ( (/ /,volr�ou vL• /IO//JEiYOLO Jp1rX#" AJ•• " day: ,yEAI�EJ' NU2SE2 y SEWAGE DISPOSAL SYSTEM Total i:aa iy Flow - 15, urti is - 100 GPD .......................... ':5 � 00 GA.L... F`ir.3r.• Second F cor Flow - to be separated, eacr, having 1Y.,, owr, neptic Lac y: tank to have a capacity of 1-1/2 x daily flow, or ' 1i5 gallons. Prue• .de - Two :25',' gal' -,xi t;'oncrete tanks. APZORPTION FIELDS Eacr field desl6l ed to accr-rr:modate a . a' ily flow oI `` gallons. "esign AFE Fsa.sed; (n percolation rate of 1" ir, r, rain., or 1 , day. 56 - 1 . - 62"r . t; . of nivsor'ptiori area rE qu—' red . - ',•.ix ft. wirie 60 feet; iong; Tot.a'l Area: 7,�Ci sq. :'t. •NO r,E - P,co.7ECT P,eo,pE,eT•y 0 4D.719 CENT ,020 /�E',2T/ES AI2E �S'E2 [/E O By _. d'v a OF QUEENSIBUH I RECEIVED ZONE : 4ZZ 11V HC-1 ,q FEB 3 1991 ILDG. & CODE DEPT. R06)5',2 GA FONT-/f1 /NE OyVN�D /e o -z 1,4,ew- 6-e,0zGE-,e0AD All .yD,e,c� /Z804 I ,86Vl•SEO NOV, 30 1989 io JHou/ wffEs`G BIJNAE,cJ /,V NEW NiaT�'G PIOK//�4 LoT•2 ,0/M,r,VS10N,f OF ,eoaF D,PA/A/ DA2yW67/_GSZe4oc-q rich OF //a,CT/,9 EeLy 9,-yav/-44. AND SGopC-_ O/0 R9•eA-/AIlc LOT 4A&I F;ea/-! MOTEL/ ANO D,PA// INcy /NTC C7Z�.T1' 4/ZEW . _1:'Y SED * DEC, 2 7/ /989, Sf.'O`V /`"OUNOAT/O/tJ LOCAT/atJ OF mOT£L U,U17-' . .4U,e VEs' 4o MAP .BSI c5 / T1 PLAAf OF COULZE-Z CO2MAC1,1_ L /�'E,VSED LA/�/D sU2yEy02S L A N US 3 E L O /t/ ,�;• / Al 7 TO GLEAIf FALLI, NEW y02C Ro 6 f2 -o,v T,q / Ivf ro Lfff,q Z4f_0A17`III`hrf TOwN °F quE�NSBv,ey, W,4RREN COU/vTy, NEW YOZk- 30, AX /LfA� SECr�oN 74 BLocx � t L 0 r•• 1-9, 2-U:ToBE/e /9/ /989 T f -,?,SG 9