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1989-974 .v; . C}r•a!"tx'-rrrf.. n[<. ¢��q,S3k'p.`VRIr.-rct�T :.46MEv!•:..'£ '. irr:RFtr"'=."�'.." n*' . ,�. npn' '.:. . . , . . .. v CERUFICATE OF i i TOWN Of QUEENSBURY WARREN COUNTY, NEW YORK July 3 �590 Dotel+ This is to certify that work requested to be done as shown_ by Permit No, 89- 974 ? has been completed. This structure may be occupied as a _ Single F arrt i l y Dwelling i G Location _ #56 TYneswood 2� Wh '""'t `""' � Owner ,ferry & Tina Faglietta By Order Town Board TOWN OF QUBENSBURY 1 If Director of Bldg. do Code En reement P BUILDING PERMIT TOWN OF QUEENSBURY No. $9- 974 y WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Jerry & Tina Fagl i etta � • OWNER of property located at Lot 456 Tyneswood Street, Road or Ave. ro% r l in the Town of Queensbury, To Construct or place a Single Farml1 y Dwe 1 l i ng 1� at the above location in accordance to application together with plot plans and other information hereto filed and C N approved and in compliance with the Town of Queensbury Building and Zoning Ordinance_ 1. OWNER'S Address is Zenas ©rive Queensbury , NY 12804 TI 2. CONTRACTOR or BUI LDER'S Name 0�7 r Raven Industries a 3. CONTRACTOR or BUILDER'S Address rn r+'i ,7Q 4. ARCHITECT'S Name NMI o-.q x A 5. ARCHITECT'S Address "e,�Ifts7 6. TYPE of Construction — (Please indicate by X) r" WMq {}( } Wood Frame { ) Masonry ( } Steel CA t�or 7. PLANS and Specifications C O No. 64 ' x 31 ' single family dwelling with septic systems 2-car garage and driveway as per application , specifications and plot plan . S. Proposed Use Single family dwelling . con z $ 277 . 00 _ PERMIT FEE PAIL? — THIS PERMIT EXPIRES Dpcemher 28 1990 m (If a longer period is required an application for an extension must be made to the BuiIdirg and Zoning inspector of the town of Queensbury before the axpiration date.} ' Dated at the Town of Queensbury this PAth day of T) _ _PmhPr 19 89 ac SIGNED BY for the Town of Queensbury M Building and Z46 Mng 1 nspector Z Q7 TOWN OF QUEENSBURY 1 A REVTE WED BY TOWN OF QiUEENSBURY ID FEE PA $ PERMIT NO. ` / C RECEIVED p E C 1464W T8CJ BUILDING PERMIT APPLICATION BLDG. & CODE DEPT. - A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIC]NS 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. r • : s s s s . • * * * +s * * * * * * * * * * * * * * * * ■ * ,r * * * r r a s r a The owner of this property is: P.O. Address _:Ior �a -4!!�?k Tel a- Property Location 5 ' -- � Tax Map No.-,/ / ` w 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 1.'t>, c sm LOT NO. THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: * NATURE OF PROPOSED WORK : Esr. MATED MARKET VALUE OF .�truction of a new building CONSTRUCTION: $ Addition to a building " COMPLETE INFORMATION REQUIRED BELOW-z Size of property ft x ' ft. Alteration to a building " Existing Buildings(3 ) Size ft* x ft. (no change to exterior dimensions) Proposed building - distance from property line: Other work (Describe) * Front yard ft. Rear yard ft. * Side yards ft. and `/ ft. GROSS AREA OF PROPOSED STRUCTURE * If on corner, setback from side street ft. 1st Floor sqo ft. r ' " ��'` * OCCUPANCY INFORMATION 2nd Floor.. 4__/ sq. ft. p Primary Building - Other Floors sq. ft. 5 ne Family Dwelling (not cellar or basemenf ... ,► Two Family Dwelling TOTAL FLOOR AREA �� s'�'G"sq. ft. " Multiple Dwelling/Number of units Size of new structure.elr-�* ft x i ft. +* Business Foundation-pier/slab/crawl/parti ull ..;! * Industrial (circle one) ' * Other • No. of stories (habitable space) Height (grade to ridge)__. � ? -7 ft. * If addition, what will use be? If residential, no. of families �f No. of rooms(exclu No. of bedrooms �` " Accessory Building + Detached Garage ONE/TWO Car No. of bathroo �' Primary 'heating systeKi<-- +• Attached Garage ONE�IQ Type of fuel Private storage building Noe of fireplaces to be installed f ,s Other Will a wood stove be installed Central Air conditioning /f OV* ER BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPE+CIF'ICATIONS: Type of construction, wood frame, Fire safe, etc. Will any second-hand or upgraded lumberbe used ? If so, for what ?_____���� Foundation wall material ,/Z/ p � Thickness Depth of foundation below grade (to bottom of footing) Will there be a cellar ? Heated or unheated ? Floor sq. footage sq ft . Will there be a basement ? ,I Will any portion be used as living space ? �y (If so, what portion ? sq ft . Type of use? Type of roof - 1e:d:ZAat/shed/other Material of roof Size, wood studs "x " spacing" o. c, length ft. Joists (floor beams) 1st floor Z_._ "x fC✓ "' spacing XK "o.c. span ft. 'r�- e ,. Joist (floor beams) 2nd floor "x le-' " spacing ,,�_"o. c. span f ft . Overlays (ceiling beams) spacing " O. C. span ft. Roof rafters spacing o.c. span ft. ,1,,�oof trusses (pre-engineered) spacing `Z7,_ " O. C. span ?_eft. Exterior wall finish "": .re�_ of what material? � .•�.�'�� "~ - Interior wall finish If a garage is to be attached, describe materials to be used for FIRE SEPARATION: Is thereto bean 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 ,• �. � eight above roof - �.a" ft, Depth of chimney foundation below grade.ft. Depth of fireplace hearth� ft. 4e'in. r .'�'c ' Water supply - Municipal or private well SEPTIC SYSTEM Distance from ANY private well (including adjoining properties (A separation application is necessary for any repair or new installation of septic system) NAME OF BUILDERrG '� � L �r '$DDRESS � ~- rf .,� o4$K. NO. G� a�l!' `-1 .?_�►rr,..- NAME OF PLUMBER ,�,,, /� ADDRESS TEL. NO. NAME OF MASON � �.:t'e�e ADDRESS / _ '"irn .�_. TEL. NO. 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 proposed worts 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. Signature - -ter■ �. �.-��� Owner, owner's agent, architect, contractor SPECIAL CONDITIONS OF THE PERMIT: BY T :; wN � F kCiE :� � 3wn _ WARREN COUNTY . NEW YCRK Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE A permit must be obtained before Yeginning work . ANSWER ALL of the following : 1 . Gross floor area �Z { 2 . Type of heat Gi �} 111 3 . Is the building mecha - 4 . Percentage of r - A . Over 16 ¢ 4! floors L 2 . v 3 , s { a . � L � Asulation around 4 . Is bt NO a . R an 5 . Type of .ten H . nder 16 % Onl , 1 . R value o roof and floors exposed to ambient conditions_ ,�. ,•� 2 . R value of exterior walls 3 . R value of glazed area f 4 . R value of doors 5 . R value of floors over unheated agates fr 6 . R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab 8 . R value of heated basement / cellar walls ( above grade ) •--�-- 9 . R value of heated basement/ cerllllarr walls ( below grade ) 10 . Type of insulation C . Controls c� 1 . Thermostat maximum heat setting D . Duct Systems 1 . Is duct system installed in unheated spaces ? NO a . if YES , R value of duct installation b . R value of duct in other areas E . Piping Insulation 1 . Size of hot watet or cooling carrying ,a nt p�I 2 . R value of pipe insulation F . Service Water Heating 1 . Performance efficiency 2 . Temperature control setting maximum y° G . For swimming Pool Only 1 . Maximum heating Telephone No * �"4rww, a glicant ' s signatur ) TO WN OF >r7 U.EENS B UR Y APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE s LOCATION OF PROPERTY FOR INSTALLATION Z, e57�-� ` u1- fi .•.r �-- zu Owner's Name: Telephones _ Address: :�:> r/✓�� — Installer's Name: 'r < z c-e Telephone: his' - _3 •!J;s Number of bedrooms (residential only) Total daily flow (compute (d 150 gal per bedroom) Topography: Circle on ! Fla . Rolling Steep Slope % of Slope Soil Nature: Circle one: and earn Clay Other {Depth • C�' ~ Feet Ground Water: At what depth ? ,00 '"" � � �� Feet Bedrock or Impervious r0aterial: At what depth? eet Percolation test: Circle one: not required required rate min. inch. e�,S Domestic water supply: circle one: A � Well Other If domestic water supply is a well: Separation: Water supply from septic absorption feet PROPOSED SYSTEM : Septic Tank ,. erG eo% e> � gal. ( minimum size: 1 , 000 gal. ) TILE FIELD: Each Trench Ste'' feet/Total system length feet SEEPAGE PIT(S): Number of „ ~--~- " �ize each feet by feet Size of stone to be used ` btckness 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: s'-- 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 co 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 5e ) size and dimensions of all tanks , distribution boxes , the fields and / or drywells Be 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 ut 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 scoppage . D . Should unforeseen problems during construction prevent proper installa— tion , alteration or repair of an approved system , a new proposal must t7u submitted to the Quvensbury Building Department before further construction . Town of Queensbury BUILDING and CODES DEPARTMENT Bay and Haviland Roads Queensbury , New York 12804 TCYIVN OF QUE SBUR7' BUILDING AND C ES DEPARTMENT BAY & HA7 LAND GADS QUEENSBURY, NEW PORK 128OJE- TELEPHONE {518 792-5832 BUILDI G INSPECTOR' S [7K REQUEST FO INSP TION ECEIVEDApn NAME LOCATION DATE PERMIT g r APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FO S FOUNDATION/DAMP-PR FING BACKFIL.L APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN ' lir INSULATION: FOUNDATION FLOORS WALLS CEILING YpFINAL INSPECTION.& CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHE /STE STAIRS-CLEARANC & ]4A LS PLUMBING FIX TU S/REL F VALVE INTERIOR TRIM/ RIVACY RS FINISHED FI,UO GARAGE FIREPR FING DOOR CLOSER ( C. SMOKE DETEC RS .FINAL ELECTRI L INSPECTI _FINAL APPROVA OF CONSTRUC To ox TO ISSUE C 0 OR C/C A SIGNED CER IFICATE OF OCC ANCY MUST BE OBTAINED F THE BUILDING PARTMENT BEFORE THESE PREMI S ARE OCCUPXED1 REMARKS: Po ARRIVE DEPAR ! SPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU COF ELECTRICITY Y I y ! dl STATE STREET, ALBANY, NEW YORK 12207 .w`r`*F Date 1z tam THIS CERTIFIES THAT only the eleetricaul equipment as cliveccribed boi&w and Introd� by tha app icrast tsansard on the altvvs appLicutsan rsunaber fn the promisee esf Fa, Lsc 1t� , �inr Pic'*$ t��a[��:'1 in the following location; .Baaentent f_'�tJ. Ist Ft. '�Snd FT. Section Black Lot .. Leas examined on �.I r- 7 and found to be in compliance with the regairementa of this Board. FIXTURE NXTILIMS RANGES cooKs a DECKS ovems DISH WASHERS EDIHAYST FANS OLITIETS ACUUS swiTCIIES INCANDESCENT FLUORESCENT OTHER AMT. K. W. AMT. K. W. T. K.W. AMT. K- W. AMT. 4-r 4IS 47 1tz 5 .� �► DRYERS FURNACE MOTORS FUTURE APMANCE FEEDERS SIPECUAL REC'PT TIME CLOCKS titlU. UNIT HEATERS MULTI.OUTtE► DIMIYIERS AMT. K. W. OIL H_ P. GAS H. P, AMT. NO. A. W. G. AMT, AMP. MAT. AMPS- TRANS. AMT. H. ►, trO ST MS AMT. WA7?S I 3 F ' 6 �►I�D SERVICE OtSGI" NNECT NO. OF S E R Y I C E AM7. AMW. TYPE MATEp pl l ,e ?AV 1 X 3Aw 9 X TIY 3 A` aW ND, d�R cComb, OF eC C&D- NO. Of H16LEG Np. OF NEUTRALS Rµ I! 2D�ll C6 X ! " Ia 21b OTHER APPARATUS: G.F. C.oz 2-5 BRANCH MANAGER S Per This certificate must not be altered in any manner, return to the office of the Board if incorrect. Inspectors may be iderriified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST ROT BE ALTERED IN ANY MANLIER, �CJWJri +D� �RLB8I13rG� Ll1'i� BOIL ING and ZONING DEPAR ENT Bay a Maviland Road, R.D. Box 98 Q ensbury, New York 1 801 SEPTIC ISPOSAL SYSTEM SPECTION NAME LOCATION ! ' DATE J�I PERMIT NO e -9 - '^• SOIL TYPE - Sin d - Loam Clay - Percolation Te t 'Require ? YES - NO Percolation ra - Min/I ch TYPE of SYSTEMV Absorption fiel tots length Length of each ench Depth of trench s Size of gravel:_ SEEPAGE PITS4N er o ) Size- ft. X f Gravel size PIPING : Size Type Bldgw to tank Tank to dist. box Dist. box to fiel it openings sealed? ES NO Partial LOCRTZON/SEPPARATIO Foundation to tan ft. Foundation to ab tion ft . Absorption to lot 1 e ft& Separation of pi ftv LOCATION OF SYST PRoPERTY (circle one) Front - Rear - L ft de - Right side - CtFSMENTS G"7Ir. ° Z I PNL SYSTEM USE A PROVED YES NO Bui di g I n ector 01/86 and vl 7 wn 0/ Queen .3hurrey BUILDING and ZONING DEPARTMENT Bay ano Maviland Road, R- D 1 ox 98 Pr Qu ensbury, New York 12 D1 SEPTIC ISPOSAL SYSTEM I SPECTION NAME LOCAT I c�rva� DATE Qj[f / / Q PERMIT NO SOIL TYPE - mand - Loam Clay - Percolation est Requuir ? YES - NO Percolation iate - Min/ nch TYPE of SYST Absorption f eld , tot length 0 Length of ea trench Depth of tre cues Size of gran I SEEPAGE PITS tunber f) Size- ft4 X t . Gravel size - PIPING : Six Ty Bldg . to tan lyr, Tank to dirt , box Dist. box to field pit Openings seal d? YES NO Partial LOCATION/SEPA TI s : Foundation to to €,t Foundation to orption ft . Absorption to o line ft . Separation of ' ts ft. LOCATION OF SY ON P ERTY (circle one) Front - Rear - ft side - ight side - CC.t+IMENTS SYSTEM E APPROVED S Buildin I Spector 01/86 and v1 Town OF QUEENSBUR'Y - / +// ��%,T . BUILDING AND CODES DEPARTMENT /w' s^ 1 ZP4 BAY & HAVSLAND ROADS ce QUEENSBURYf NEW YORK I280& TELEPHONE (528) 790—5832 �^] r'' r / BUILDING INSPECTOR ' S REPORT 3 REQUEST FOR INSPEC ION RECEIVED Jr NAME LOCATION DATE --t J PERMIT �{f APPROVED YES NO FOOTING/PIERS Y l MONOLITHIC POUR loRms FOUNDATION/DAMP— FIND 1. BACKFXXAL APPROVA ROUGH PLUMBING FRAMING ELECTRICAL ROUGH IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING a EXTERNAL PORCHES TEPS STAIRS—CLEARANCE RAILS PLUMBING FIXTUR ELIEF VALVE INTERIOR TRIM/P IV CY DOORS FINISHED FLOORS GARAGE FIREPR ING DOOR CLOSER (S) SMOKE DET'ECTO FINAL ELECT2ICA INSPE TION FINAL APPROVAL PF CONS UCTION A .SIGNED CERfirFICATE OF CUPANCY MUST BE x OBTAINED FROM± THE .BUILD G DEPARTMENT ,BEFORE THESE PREMISVS ARE OCCUP EDI REMARKS: fir' J INSPECTOR �� TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 3280&L TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECESVED _ NAME LOCATXON DATE ,/ PERMXT #� ' "L/ -� APPROVED YES NO FOOTING/PTARS MONOLXTHXC J'OU72 FORMS FOUNDATXON%PAMP-FROOFXNG BACKFILL AP*ROVAL ROUGH PLUMB-tNG FRAMING f ELECTRICAL ROUGH-XN XNSULATXON: i FOUNDAT_ olv i. FLOORS WALLS - CEILING 1p " FXNAL INSPECT N: CHIMNEY HEX T ROOFING SXDING EXTERNAL PORC ES/ST,SPS STAIRS-CLEARA E &;` RAILS PLUMBING FIXTU .S.YRELXEF VALVE XNTERXOR TRIM/ VACY DOORS FINXSHED FLOOR GARAGE FIREPRQb NG - DOOR CLOSER ( SMOKE DETEC RS FINAL ELECTR AL IN ECTION FINAL AFPRO� bF CO TRUCTXON A SIGNED ,tC7ERTXFXCATE OCCUPANCY MUST BE OBTAIN FROM THE B" ING DEPARTMENT BEFORE THESE EMISES ARE OCC XFIED: {{ f REMARks: f 1 n 0 -- Ago XNSPECTOR w TOWN OF QUEENSBURY BUXLDXNG AND CODES DEPARTMENT BAY & HAVtLAND ROADS QUEEN.SBURYe NEW YORK 1280d- TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REP© REQUEST FOR INSPECT? RECEIVED NAME LOCATION DATE ERMXT # APPROVED YES NO FOOTXNG IERS MONOLITHIC POUR FARMS FOUNDATXON/DAMP—PROOF"NG BACKFILL APPROVAL r. TROUGH PLUMBING _ "✓FRAMING ELECTRICAL ROUGH—IN INSULATION: FOUNDATXON FLOORS WALLS CEILING FINAL XNSPECTXON: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEP. STAIRS—CLEARANCE & RA LS PLUMBING FXXTURES/RE EF VALVE INTERIOR TRXM/PRXVAC OORS FXNXSHED FLOORS GARAGE FIREPROOFING — DOOR CLOSER (S) .SMOKE DETECTORS FINAL ELECTRICAL IN PEC ION FINAL APPROVAL OF NST UCTXON OK TO ISSUE C/O 0 C/C — A SIGNED CERTIFt TE OF •CCUPANCY MUST BE OBTAINED FROM TH BUILD G DEPARTMENT BEFORE THESE PREMISES A E OCCU ED1 REMARKS: ARRIVE DEPAR? . ._ � INSP TOR TOWN OF QUEENSBURY BUILDING AND Co.V S DEPARTMENT BAY 6 HAVXrAND ROADS / r QUEENSBURY, NEW YORK z28o& TELEPHONE (516) 792-5932 BUILDING INSPECTOR ' S REP()RT REQUEST FOR rNSPECTXON RECEIVED � NAME LOCATTONU ' DATE /j 1°ERMIT # q _ - PROVED F T'I'NG/PXERS YES NO 00 MONOLITHIC POUR RMS FOUNDATION/DAMF- OOFING BACICFILL APPROVA 1 r ROUGH PLUM'BSNG r F !L / FRAMING 1-- ELECTRICAL ROUGH+IN �- INSUI.];TION: P0UNDA2"ION Fz400RS WALLS CEILING FINAL INSPECTION: CFIIMNZY HPXG FT+ ROOFING 3 SIDING EXTERNAL PORC$ES/S PS .STAIRS-CLEARANCE & MXr 'LUMBTNG FIXTURES INTERIOR TRXM/PRI V �D�aGRS LVE P-rNrSHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS ~ FINAL ELECTRICAL INS ECTIO "� - FI'NAL APPROVAL OF COIVS2"RfiJCTION - OK TO ISSUE C/o OR C/C A SIGNED CERT,rF-TCA2*E OF 08TAINED FROM THF's rE OF OCCUPANCY MUST' BE THE5Z F MISES d7EPARTMENT BEFORE ARC OCCUPIED(. REMARKS: Li w6rz4z� fi' c s i r3 cC� ARRZVE DEPART INSP TOR TOWN OF QUEENS.BUIRY BUILDING AND CODES DEPARTMENT( BAY & HAVILAND ROADS / ()UEENSBURY, NEW YORK 1280g. TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT +ReQUEST FOR INSPECTrON RE IVED r NAME ,�/ .�.•?.L__. LOCATION .• T DATE `S 1 APPROVED FOOTIIVGIPIERS YES NO MONOLXTHIC POUR FO S FOUNDAgIONfDAMP—PR PING s�ACKFILL AP: VAL_ ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-1 rNSVLATXON: FOUNDATTON FLOORS WALLS CEILSNG FINAL XNSPECTSON: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/S PS STAIRS—CLEARANCE X S PLUMBING PIXTURES .INTERIOR TRIM/PRI AC I EP VALVE FrNISHED FLOORS DOORS GARAGE FrREPROOF NG DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL AI SPEC TX N FINAL APPROVAL O CONSTRUC A STGNED CERTIF ATE OF OCCU NCY MUST BE OBTAXNED FROM T BUILDING DE TIJESE PREMrSES A E RTMENT BEFORE OCCUPIED! REMARKS. I ECTOR TOWN OF QUEENSBURY BurLDXNG AND CODES DEPAR21MEN2, BAY & HAVXLAND ROADS ()UEENS$URYr NEW YORK 12809�. TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S RFpORT REQUEST' OR INSPECTION RECEIVED NAME LOCATT !y � �t DATE ts7 � PERMIT L� APPROVED &00F' '002'IN+G/PIERS YES I NO -- MONOLXTHXC POUR. FORMS FOUNDATXON/DAMP,PROOFING BAC KF XZL APPROI AL ROUGH PLUMBING FRAMING ELECTRXCAL ROUG FXN INSULATION; FOUNDATION FLOORS WALLS CEXLXNG FINAL XNSPECTXON: g CHXMNEY HEIGHT" 5 ROOFING STDXNG n EXTERNAL. PORCHES PS STAXRS--CLEARANCE & AILS PLUMBING FXXTUR /RE XEF VALVE Ih7TERIOR TRXM/P XVACI} DOORS FXNXSHED FLOORS GARAGE FXREPR XNG i DOOR CLOSERS) SMOKE DETECTOR FINAL RLECTR.rCAL INS pE FINAL APPROVAL O TX N -- NSTRV A S rGNED CERTIF ATE OF OCCU NCY MUST BE OBTAINED FROM T E BUI TfIESE PREM_rSES RE LUPXE D ARTMENT BEFORE' OCCUPXED! REMARKS: The Contracto is responsible t ro►ride Protection f freezing for 48 hours following the placement of the concret . Materials for this u ose P �"'p on site Es No INSPECTOR YOU ARE HEREBY REQUESTED TO INSPECT AND ISSUE CERTIFICATES FOR THE FOLLOWING ELECTRICAL EQUIPMENT TO BE INSTALLED BY THE UNDERSIGNED TEMP. N DATE .r;"� R' /,. Gyre GR y�yL,/,�^ ' _/.4 TOYVNSKP STREET AND NO OR ROAD 4 l-'!10I- ,.�. - .. T POLE NUMBER BEI WE,EJN�W-HAT TWO CROSS WWII STREETS IS PREMISES r-OATED? 'J K . •f '� 'r #BLOCK LOT A' _ BUILDING OCCUPANCY •••may' +^'�1 - �y OWNER'S NAME AND AOpRESSPor � NOME P NUMBER CURRENT SUPPLI D BY FROM THEIR r' uV ra 0' —0 FFIOE '00 ill TELEPLIpyE NUMBER BUILDING IS NEW OLD, ❑ IMORK rS NEW ❑ ADDITIONAL ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLS-) DEFECTS REMowED ❑ L.7ca_ NUMBER OF OUTLETS No. of Fixtures & MOTORS HEATERS BRANCH OFFICE USE Lame Rece CIRCUITS tk)R CeilingSide A�p T Ptacles ONLY Wall R Swllch Pendant Brackel Na. Type H. No- Each Na Gaulpe INSPIE IGIN OUT- SIDE SUB- BASE BASE- MENT Ist FL. 2nd FL. 3rd FL, REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH AISOVE- THIS APPLICATION IS INTENDED TO COMER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTEa BUT IF AT TIME OF INSPECTION, THERE IS FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED, YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER THE ADDITIONAL EQUIPMENT, AS PROVIDED BY THE APPLICANT, ECHAHACrrRop FEEDERS ELE1:--rRIC SIGNeA,nMpg TbrAL Wq S ORKEXPOSED GAS r11BE SIGNTTRANqFCONCEALED START$D DATE COMPLETED SIZE OF SIGN(NUMBER) r.+'+PACITY BUILDING MAN UPACTURER OF S ION OVERHEw ❑ UNDERGROUNDSPECT F7DN REpl1ESTED ON (pR qS NEAR A5 POSS BLEI &OUS , ENTER dPPLMANTg "Ort �a ► i i l f f f f D IRIG FULL AND' IRATE 1 Till SPACES M cw I�a_n 1!Q RE7UAN []. PRINT NAME AND ADDRESS NAME OF AP I NT s DgTE OF AP LIC,/.�/JpN S-rREETq D ESS .,.. T- �- .' /r+ °�',F X ' TELEP }�lE N 10 CITY OR P,65/T' OFF E _ ZIP CODE LICENSE NO, WHEN APPUCABL ❑ 85 John Street ❑ 41 State Street C] 5 O Delaware Avenue ❑ 217 Lake Avenue ❑ 202 Arterial Road NEW YL?RK, NY 10038 ALBANY, NY f2207 BUFFALO, NY 14202 1 ROCHESTER, NY 74608 SYRACUSE, NY 132M THE , NEW YORK BOA,RO OE FIRE_ UNDERWRITERS TOWN OF QUEENSBURY REMIV DEC 1" 9n�l BL.DQ,&COD DEPT. WIZISPE-RINC PINES WA Y Oa S 6 f� 00 E a%r 5 f0 .0> , I � s C �6 M1 4 a _...... \ TOWN OF QUEENSBURY �+ rn J sEP° CAI. a Zoning Aftnistr TANK 'o LOT 55 Dat LOT 56 co OROPOSEO r CEP rrc 0.50 acres MAP DF A P., PLAN MADE FOR 150.00, RA VEN INDUSTRIES ^ -�,.,„„„, OIIEENSBtJRY COUNTY OF WARREN N.Y. N 93'5'00 TOWN OF W --. TO I SCALE i =30 DATE- DECEMBER 19 1989 Vmd user & Steves LAND SURVEYORS,GLENS FALL s NEW YORK ' LAND 0' PINES SECTION 3 N.Y. STATE LIC, NO, 35617 f