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93-229 y __.._.__... _ --FA - __..___.-- ----- . CERTIFICATE OF COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date dieVo ,(44,, .2 19�..3 This is to certify that work requested to be done as shown by Permit No. 93-229 has been completed. This structure may be used as a two car detached garage Location Day Road Owner John and Lara Currie 51-2-2 .1 By Order of Town Board (I- -;) OWN OF QUE BURY ‘fvf" Director of Building & Code Enforcement BUILDING PERMIT ro TOWN OF QUEENSBURY o No. 93-229 WARREN COUNTY, NEW YORK H PERMISSION is hereby granted to JOHN AND LARA CURRIE • OWNER of property located at Bay Road Street, Road or Ave. in the Town of Queensbury,To Construct or place a Replace Exist. 2-Car Garage 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 H RR1 Box 1601 Lake George NY 12845 Q 2. CONTRACTOR or BUILDER'S Name self//Mike Moon r 3. CONTRACTOR or BUILDER'S Address II SL 4. ARCHITECT'S Name 5. ARCHITECT'S Address 0 W 6. TYPE of Construction—(Please indicate by X) (X)Wood Frame ( 1 Masonry ( )Steel ( ) 1 7. PLANS and Specifications Replace existing 2-car Garage with 24 ' x3711' Two car Nodetached garage as per plot plan, specifications and application. 8. Proposed Use X w Two-car Detached Garage ;t N I 35.00 MAY 21 94 $ PERMIT FEE PAID -THIS PERMIT EXPIRES 19 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the a town of Queensbury before the expiration date.) 0) 11 Dated at the Town of Queensbury this 2 Day f May 1993 SIGNED BY (' for the Town of Queensbury Building and Zoni Inspector f TOWN OF QUEENSBURY REVIEWED REVIEWED BY: 60 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING & CODE ENFORCEMENT FEE PAID: 531 BAY ROAD QUEENSBURY, NEW YORK 12804 PERMIT NO. _ 93-2g 9 (518) 745-4447 .i181920 BUILDING PERMIT APPLICATION t.Nc3 �c Is A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCT 'i4. N I SPEC 'IONS WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALIDf UI 4 11W i RMI1.. All applicants ' spaces on this application MUST be g dm.-t.; •, d th0 signature of the applicant MUST appear on the appli - tio-41/i'e.f F'. OWNER OF PROPERTY: �o f j, 4 L4412,Q CC.-2 rz i E `Os 6'� Mailing Address : p , Rotc. 11.01 )- ✓ jy 12-2C / �d J� = -2 rc . c� tJ1. f 1f Telephone Number(s) : Wo k Home 5P-76/ -d6 ,8 Other PROPERTY LOCATION: Tax Map Number: Section S 7 Block Lot of J Subdivision Name: Lot No. NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE CONSTRUCTION: $ /1AZ 0Z0/2 EA/St / NEW BUILDING: �Zvx4 c"- -{" RESIDENCE/COMMERCIAL OCCUPANCY INFORMATION: ADDITION TO BUILDING: PRIMARY BUILDING - RESIDENCE/COMMERCIAL Single Family Dwelling ALTERATION TO BUILDING: Two Family Dwelling RESIDENCE/COMMERCIAL Family Dwelling (NO CHANGE TO EXTERIOR SIZE); Office OTHER WORK (DESCRIBE BELOW,) Mercantile Warehouse Manufacturing X Other GROSS AREA OF PROPOSED STRUCTURE: 1ST FLOOR 7- SQ. FT. q IF ADDITION, USE OF NEW ADDITION: 2ND FLOOR SQ. FT. OTHER FLOORS SQ. FT. (not unfinished cellar or basement) ASSORY BUILDINGS : Detached Garage - wo Car TOTAL FLOOR AREA: SQ. FT. Attached Garage - One/Two Car Private Storage Building SIZE OF NEW STRUCTURE: y j Commercial Storage Building ��L Other k LI FEET X FEET Foundation Type: Co/VCR-Z Re.-00c-k-- Will any second-hand or ungraded Number of Stories : I lumber be/V u�yd? If so, for what? (habitable space only) t Height (grade to ridge) : / g feet Type of Heating System: Number of fireplaces and/or woodstove (circle all which applies ) to be installed: Electric / Oil / Gas / Wood Forced Hot Air / Baseboard / Other PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS : NAME OF BUILDER/ADDRESS/PHONE: M 1 le..E. Mco/I 5 8 _6 2 3 G 672 NAME OF PLUMBER/ADDRESS/PHONE: NAME OF MASON/ADDRESS/PHONE: NAME OF ELECTRICAN/ADDRESS/PHONE: DECLARATION To the best of my knowledge the statements contained in this appli- cation, 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 noted, and that such work is authorized by the owner. Further it is understood that I/we shall submit prior to a Certificate of Occupancy or Certificate of Compliance being issued, an : BUILT PLOT PLAN drawn to scale, showing actual location of • - Jon • e es . Signature %� • (Owner, o agent, architect, contractor) FOR ANY SPECIAL PROVISIONS - SEE REVERSE SIDE: 1111 c'*j TOWN OF QUEENSBURY ��1 =_} APPLICATION FOR SEPTIC DISPOSAL PERMIT 1 4imata,# ��` Fee�Paf F rq �yjj" Date: o ikjfe6,1ewd By LOCATION OF PROPERTY FOR INSTALLATION: o8°eo7s 0' 0-- / -NsOwner' s Name: o � N V 2/4 Owner's Mailing Address: k I T - ( 'D I'3 61AE yCU �N Installer' s Name: 114.11<e_ Mock) /D01,) P 7Phone #: 4 23- 74f2._. Number of bedrooms (if residential ): 3 Total daily flow (residential-compute @ 150 gal . per bedroom): /i 0 Topography-Circle One Flat Rolling Steep Slope I of Slope Soil Nature-Circle One: Sand Loam Clay Other /Depth: Ground Water-At What Depth? Feet Bedrock or Impervious Material-At What Depth? Feet Percolation Test-Circle One: Not Required Required/Rate Min. Per Inch Domestic Water Supply-Circle One: Municipal (V Other If domestic water supply is a well - Separation: Water supply from any septic absorption AW feet C=Jc-1`SriN� PROPOSED SYSTEM: Septic Tank /D�O gal . (Minimum size: 1,000 gal . ) Tile Field: Each Trench feet//Total System Length feet Seepage Pit(s) : Number of / Size each: ft. x ft. Size of Stone to be used: # / Depth or Thickness feet CG'(1nc- f-i y ± t r-Gf 5{tr'Y fig rOC)n.t I�� C�G2!(t�le ************** HOLDING TANK SYSTEM IF REQUIRED No. of Tanks Size\of Each Gal . Alarm system and associated electrical work to be inspected by a certified agency. **************** 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: � ` 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 2) 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 B. 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 of 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 stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. Town of Queensbury Building & Code Enforcement Department 531 Bay Road Queensbury NY 12804 Remarks: 1 / ak ENERGY CODE COMPLIANCE APPLICATION ‘ TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE DAYS Compliance Methods: PART 5 - Acceptable Practice Method - 1&2 Family Dwellings (only) PART 6* - Thermal Rating - Component Trade Offs 1&2 Family Dwellings; Multi-Family Dwellings ( 3 stories or less) PART 4* - Design by Component Performance Commercial Buildings-Hi Rise Residential *Requires submission of worksheets APPLIICANNT' NAME: PROPERTY LOCATION: �/i e k /6 a I —Jo L� LA-40._ Gco rf I J PART 5 METHOD OF COMPLIANCE liY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - ?e)e) square feet 2 . Type of Heat - Electric Oil v Gas Other 3 . Is building mechanically cooled? Yes r/ No 4 . Percentage of area of windows and doors Over 17% Under 17% 5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS SHOWN ON PLANS SUBMITTED: R �6 a. Roof b. Exterior walls R /47 c. Glazed areas R d. Exterior doors R e. Floors over unheated spaces R f. Edge of slab on grade (heated building) R g. Basement/cellar walls (above grade) R h. Basement/cellar walls (below grade) R i. Heating/cooling-ducts-piping in unheated space R 6 . Service (domestic) hot water heating device Conforms to minimum efficiency per code Yes No TEMPERATURE TROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED p g t e ✓D e Pumbe J ! N2 /r— °( ECTOR' S REMARKS : TOWN OF QUEENSBURY 531 BAY ROAD air QUEENSBURY, NEW YORK 12804 `► TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR�_ -INSP IO/�,,, RECEIVED NAME - �. / h LOCATION 04" DATE i� PERMIT# 93-2 2 j' TYPE OF STRUCTURE RECHECK FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE) _FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC _INSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION ,/. B VENT/LOCATION ✓ PLUMBING VENT ROOFING ' SIDING / `, DECK/PORCH/STEPS/RAILINGS Y RELIEF VALVES '4 s' FURNACE/HOT WATER OPERAI1' INTERIOR TRIM/PRIVACY DO S V FINISH FLOORS: BATH/KITCHEN WATERTIGW OTHER FLOORS SWEEPABLE \ ,/ OTHER FLOORS CARPETED ✓. STAIR CLEARANCE/RAILINGS ✓ : SMOKE DETECTORS ✓ DOOR CLOSERS v'. BATHROOM FANS ' :f , ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING DOOR CLOSERS ..--- OTHER FIRE SEPARATION �. FIRE/DEMISE WALLS / FINAL ELECTR ,f /2!/ t/ OK TO ISSUE /O OR C/C v/ COMMENTS: 4// CO ARRIVE ''3U f DEPART 2I /.6" . r IN PEC R �itJc2-U-P TORN OF QUEENSBURY 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION REECEIVED /04 2, NAME Ln t h«2c-�: LOCATION L r DATE /0/7_1/4_3 PERMIT# _22 y TYPE OF STRUCTURE (1,,, 11/./ 41ju f,z RECHECK / FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE) ,FOOTING - FOUNDATION BACKFILL z-FRAMING ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC fSULATION WONSTOVE/FIREPLACE REMARKS Aet,f, G ,cam , APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION 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 OR C/C COMMENTS: G,./cam f-f„ /C-eror- - LOC 14/ At 6/ ARRIVE /i36 DEPART ' 5, 9b •VAk IN -'rCT.R TOWN OF QUEENSBURY r ; BUILDING AND CODES DEPARTMENT �-- 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT / REQUEST FOR INSPECTION RECEIVED J'�0�/9.3 NAME LOCATION k 'try.(` _. DATE AK? PERMIT # TYPE OF STRUCTURE %VG/ ' c '.e__. RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- i CEILING R- 3sf DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: q 7 ARRIVE > `KO DEPART C 4 •� INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED P/W9 3 NAME cOAk +- X(,t rk_ 6- - LOCATION \A Lir DATE 4503 PERMIT # TYPE OF STRUCTURE 2 Ca-c 66=1 Q7X- RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS ;FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PUFPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE; FOUNDATION/DAMPROOFING1 BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: kahitit, JACK STODS/HEADERS BRACING/BRIDGING JOIST HANGERS ' JACK POSTS/MAIN BEAM HEATING ROUGH-IN / INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALJL'S EXTERIOR R- FLOORS / R- WALLS /// R- CEILING / R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: V .4 ffs3 6 Co tirife-0 Cr d2 0 trr'4 RN' Qcrb+'ov f2=6-6flICOt/6 141 0 LA-r7dL) 1- fN i(2C I r � 04s_ ARRIVE /0t70 DEPART 16:. • INS ECT TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR°S REPORT REQUEST FOR INSPECTION RECEIVED NAME t a iz_2 LOCATION BPr4 DATE 114 /93 PERMIT # 9 -2 -9 TYPE OF STRUCTURE RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS 1 BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM-v t,,Thesr. p` HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTER OR FOUNDATION WALLS EXTE'IUR R-. FLOORS R-'. WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: Aki Qcr r Ma4 k-pQ Mi tJCo NOS/VOSVV4 iaS �--Te.- ARRIVE 3;Os DEPART 3726 IN TR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME Jta. 148.0dt,ic LOCATION DATE PERMIT # '��'' �� TYPE OF STRUCTURE RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITH+C POUR FORM 5/a42 ✓ REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING � BACKFILL APPROVAL ' ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR - FOUNDATION WALLS EXTERIOR FLOORS /R- WALLS / R- CEILING ] R- "R DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE cf; /5 DEPART INSPECTOR TOWN OF QUEENSBURY '64L.t4/ BUILDING AND CODES DEPARTMENT ^,/ ' 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 4/7'/ ,-r ; avit- NAME 7n` ,� `ae ` LOCATION 7Gt-11 ` AWL- DATE 3 PERMIT # -l /��y TYPE OF STRUCTURE RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL )(ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: (o ) _ Lt,'kv . y v_, (//,vim - To C2 Lost= Cep ARRIVE t. r: DEPART Via. L(u SP CTO TOWN OF QUEENSBURY � BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 4,/i/�� NAME_f ,f N46 I 421iJ j LOCATION . I • DATE 047 A3 PERMIT # 71.-/2,9 TYPE OF STRUCTURE RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB )( FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOf R- FOUNDATION WALLS EXTERIOR - FLOORS WALLS R CEILING R- DUCT WORK OR PIPING IN UNHEA D SPACES REMARKS: 4/ fg6 9d/ c' l _< Sp a & 74,1e5.3 , jj l 04: -7,e7A, i-ta6 ARRIVE_ 42-50 DEPART �I SPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME Cs} ZSLI LOCATION - DATE 6f -f3 PERMIT # TYPE OF STRUCTURE RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN kLA( E PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM 1\, HEATING ROUGH-IN INSULATION: FOUNDATION WALLS I TERIOR R-\ FOUNDATION WALLS XTERIOR R- FLOORS R- WALLS # R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE( NN DEPART t'po> S R �. / TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name n OMAZ Location — NISI o/ Date (/ 40 Permit # 93-221i SOIL TYPE: Sand-Loam-Clay- Results of Percolation Test- (if applicable) Rate-Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length Length of each trench Depth of trenches Size of stone SEEPAGE PITS: Number- Size - ft. x ft. Stone size PIPING: Size Type Bldg. to Tank Tank to Dist. Box Dist. Box to Field/Pit Openings Sealed? Yes No Partial LOCATION/SEPARATIONS: '', Foundation to Tank !: feet Foundation to Absorptipn feet Separation of Pits _ feet Conforms as per Plot Pl' n Yes No LOCATION OF SYSTEM ON PfQPERTY: (circle one) Front - Rear - Left Side =, Right Side Middle Front - Middle Rear\ COMMENTS: 4tLftt,e. 'LPI!„,1 oittei4 6 YL n� - �� 3µ.) 0tc_1-%. o Cg� SYSTEM USE APPROVED: YES NO Arrived: ( 4(0 Departed: Building n pecto • TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT //" 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 6h/gJ 1 NAM 4 O M.-4/P 61.USfy t, LOCATION \ ad/ £� . DATE 6102-/Q 3 PERMIT # y3-zz f TYPE OF STRUCTURE A C,/,,t, GEC/ "-tar APPROVED N/A YES NO k FOOTINGS/PIERS -` MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS:, / BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAT / HEATING ROUGH-IN �,` , INSULATION: \ FOUNDATION WALLS'r'INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: 97y. /6 viLf ARRIVE 7 ?* l DEPART '67) I SPECTOR ,ectar TOWN OF QUEENSBURY felt BUILDING AND CODES DEPARTMENT !7 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME -71 y k J.G 'a M LOCATION {�`�- pea DATE 5/v-6/y 3 PERMIT # 93 TYPE OF STRUCTURE RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR F REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE X PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS t BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: Ce'LL(// ARRIVE 720 if d/ DEPART INSPECTOR TOWN OF QUEENSBURY . _,. __ �. DEPARTMENT OF C_-`0MMUNITY DE 'EL MF_'N . x i" ,-- L w 0 Application d iLl BUILDINGT PERMIT NUMBER. 4�,\ _ MAY 2 w `# j l__J q34°1 f t .1 vit 0 '0-,. .... , _yot...:?' 1. BASIC/BUILDING PERMIT INFORMATION: AM .� �..� 0, Applicant/Name& Address Agent/Name & Address "` -- ~ 1 N C o E t 6- . applicant agent 4' e-4-- I go (00 ( -r-f I- w e�C— �. TAX MAP NUMBER: Z Ownet ' rlltiie/A,ldte s c/ --.0 / kJ SQ'.fAIe ,i.i d ietk Pt.:. ettW,' ALidir.:,S / 1 7 .9. k6 34 2. PROJECT DESCRIPTION: _ ___ j _ _ " _ lot plan (2 copies) _ _ __ i a__ _ building plan (2) _ _4_ _ E sewage disposal nergy code 3. PROPERTY INFORMATION: v4 edli., e electrical inspection Eldriveway permit SETBACIS REQUIRED ACTUAL. .12 mpleted/signed _sE PAID Front Yard _ Front ( if corner) Side Yard ( 8 NEW CONSTRUCTION Side Yard (2) ADDITION Rear Yard 0 ALTERATION Width 0 MODIFICATION Depth 0 SIGN YES NO N/A PROPERTY IS IN APPROVED SUBDIVISION ti ltile 00, Meets depth, width & square footage requirement \ 0 ) Preexisting, nonconforming lot with proper setbacks Required road frontage on public road Has required off-street parking Permeable area is adequate /(Required: % Building does not exceed maximum height / Max. ft. Required setbacks from stream, lake and/or travel coma or meets requirement Buffer zones required Is lot in a Flood Plain Zone? OVER x 4 ' STAFF DETERMI ATION: Ott `r 9- 7 � u, lew-fg per Secti (s) of the ILv4I Zoning ❑ Sign ❑ Subdivision Ordinance Ordinance Regulations • r7q - 7oteimutio-R - ie6Act J' / idthl LLI ,aAtf ap Iic w aetauito d , a sloac , it We /) rce s 5. REVIEW REQUIRED BY ZONING BOARD OF APPEALS: ACTION FILE NUMEER RESOLUTION DATE Use Variance ❑ Area Variance ❑ Sign Variance ❑ Other Comments: 6. REVIEW REQUIRED BY PLANNING BOARD: ACTION FILE NUMBER RESOLUTION DATE ❑ Site Plan Review ❑ Subdivision ❑ Planned Unit Dev. ❑ Other Comments: REVIEWED BY STAFF /_4 DATE ✓ -1/ COMMENTS -_-:' THE NEW YORK BOARD OF FIRE UNDERWRITERS .., BUREAU OF CITY 41 STATE STREET,A ANY,NE YORK 12207 - . ., Date Ni Atilt Itt111-!. 041 , I`'i'''P ' Applico on No on file ''I 21 t''.4--1'''''42'; 11 4:"3:-i'4" PEN IT T Nt., •.-',.-:''''9 THIS CERTIFIES THAT only the electrical equipment as described below and introduced the • n.m5don the above application number in the premises of V '0111 F:, ttil„'s- PP, O1JFPN:43NR?. in the following location; ci Basement E] 1st Fl. El 2nd Fl. Section Block Lot NOVEI .it:Ii 01 , 1`.4'14 '`• was examined on and found to be in compliance with the National Electrical Code. RECEPTACLES SWITCHES- OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. • K.W. AMT. M.P. 1!'; I I 1-.' 1 L'' ..- .. _ ., , — DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS Bei UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.O. AMT. AMP. - AMT. AMPS. TRANS. AMT. H.P. No.of mu AMT. WATTS . . .T.; .. SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. ".: METER TYPE Rom 1„ir 2W i A,3W 3 0 3W 3 4W NO.nefeCirCONO. of Ac. ,fa.io. NO.OF HI-LEG OtZLYD .r4°'W NEUTRALS OFAilEVAAL .• TT. ., OTHER APPARATUS: • .1!:1*FA'. I fitli\l'ENC:• I- .-1. t".. II .P:I;• I - ', El 1-' '' i , 1 -..r II 1 .1(;!t1N V COPP I I.; (.....- (21A-77e • 0 NH I tiOX t rAll 1,(AY NU LAKE (4101-0.34: NY, I 2Z a 2,4 BRANCH MANAGER 1 0 Per ., 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. THE NEW YORK BOARD OF FIRE UNDERWRITERS CERTIFICATE NO. DO NOT WRITE HERE-FOR OFFICE USE ONLY BUILDING PERMIT NO. TEMP.# DATE i I CITY OR VI f ZIP CODE „- ,,< P TOWNSHIP C NTY ,...,:..„,,,k,_,),,c, erC ic STREET AND OR ROAD ff}y'' POLE NUMBER BETWEEN WHAT TWO CR S STREETS PREMISES LOCATED?.. .-# SECTION r !•� BLOC LOT f- .4r4 fit. ( }� "S- 11'. 1 Ob `4-1 I 0 OCCUP NAML"^"w- / ,/�f - BUILDING OCCUPAN itC_•( ?{'/C'IE' OWNER'S NAME AN D SS/� / - ,' Jj /r jj� „� ,/ HO JF�(y{�. N N�ulV7fl/E Ii 066 l-)) f t /...' r t.v#,✓i / ' ...-° hi/rV fV.+l PF 6t e".6v M d; E }` ni _ if CURRENT SUPPLIED BY f.} -f FROM T)9 IR €4-'/` OFFICE WORK TELEPHONE NUMBER BUILDING IS NEW OLD❑ WORK IS NEW 6 ADDITIONAL❑ DEFECTS REMOVED❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE Loca- Lamp Receptacles CIRCUITS ONLY tion Side Attach't yp HP No. Watts No. A.W.G. INSPECTION Ceiling Wall Recep'Is Switch Pendant Bracket No. We Each Each Gauge OUT- SIDE SUB- BASE BASE- MENT 1st. f+ (f f 4 { y FL 2nd FL. 3rd FL. REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE. THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,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. SIZE OF MAINS . FEEDERS ELECTRIC SIGNS/LAMPS TOTAL WATTS CHARACTER OF WORK 5LEeXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA ONCEALED DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY SERVICE ENTERS BUILDING MANUFACTURER OF SIGN ❑ OVERHEAD ❑ UNDERGROUND DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANTS . I. III I I IDENTIFICATION NUMBER AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS pii / /* NAME OF APPLICANT } J / r f D p�PLIC vSIGNATURE OF APPLICANT STREET ADD - ,Llyi{' / y,/ {"/! C.. //�J /� /y i0 / +? V ta- i (..✓f t # Ii" Tl E NU'} 1 , t CITY OR POST FFICE r D LICENSE NO.WHEN APPLICABLE Llit ❑ 85 John Street ❑ 41 State Street ❑ 57 Delaware Avenue ❑ 217 Lake Avenue ❑ 202 Arterial Road NEW YORK,NY 10038 ALBANY,NY 12207 B FFALO,NY 14202 ROCHESTER,NY 14608 SYRACUSE,NY 13206 (212)227-3700 (518)463-2122 (716)884-1155 (716)254-0141 (315)463-8552 - THE NEW YORK BOARD OF FIRE UNDERWRITERS it ",.t MIDDLE DEPARTMENT INSPECTION AGENCY, INN.- ...�.. , t Nation Headquarters 13 /West Chester Pike,West Chester,PA 19380 AFT_,..2 vT COMPLETES THIS SECTION Date: er, in-93 City, To or Township 7 County State Location/Address lil l Located in Rural Area-Please Attes Di ti s) pole#- ? Owner Permit# ' Occupied As - Building: Newt 1 - Oldfl Occupant" * 9 ' Work-Area in Building-(Floor #,etc.): for :wirin ❑ Service❑ or: Ready for Inspectionn. !..tit /- L. 1 e e., Fee nfi ' - _ , .'Cash n Check❑ --1%.€ ❑' _ Make Payable To:`M:D.LA. - -" 500 750 1000 1250 1500 1750 2000 2250 2500 2750.3000 - - >1 bertif Rou !Miring Oattets= Elect. Heat Switches Am#1. Service Surface Unit Dishwasher Range Lighting _- _ Receptacles Water Heater Air Conditioner Dryer Pump Number of Fixtures Oven Garbage Disposal Wiring and Controls for - Burner i 7, , Amp. Receptacles Fractional H.P. Vent Fans : - ,-- Other Equipment: MOTORS I-IP• .,_ 1/201/i2 1/113 1/4 1/3 1/2 3/4 1 11/2 2 3 5 742 -10 15 20 25 30 40 50 75 I00 Mark Number - of Each Size A -- Signature z License* Permit # Signature _ T/A 1 g 7 '- '/ _ Utility: __ - �`a .._,i� � . NAME I (Of FLCE_LOCi4T1O1fl Applicant's Address: r _ - ,- (City) 3 `''` . X (State) _ (Zip-) f 2-4-0Service Request # Phone # Electrician: . a CVMLDiA USE ONI-.'f DATE RECEIVED: DATE.INSPECTED: Correct Locatii is ,88- ,❑ or: - _ Red Notice'Cattle% Rough Wrii .* t1ets Surface Unit t _ Oven Switches - Range Garbage DisPt : -g- Receptacles . - ' Water Heater Dishwasher - Fixtures Air Conditiatre _ Dryer -' An/O.Serrrice Equipment - Burner, Wiring i-Controls for Arm. Receptacle >K - - Amp. Service Conductors Pump MOTORS H.P. -, 1/ 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1�12 2- 3 5 7112 10 15 20 25 30 40 50 75 100 Mark Number of Each Size i{ 1_Elect Heat-1 - 1SOO 750,I10001250115001175Q 2O012250fi25001275013@QQ t. ❑ RW Progress: Inc.❑ LKD El Contractor /VD-ri l CFT Violation: Work Comp.0 Inc. ❑ CASH .Owner ,Fee �CH1C_#. L/A Due MO # Municipal . I.N V# ., - � � cant Other Sidef Utilt Data, ;`awn Cut in Card- ,-❑-Te ni3 Date -_ Y tirt El Final, , - .. =_ TiIRE ...v.—APPLICATION FORM NO:250 EL 11/89 _; " q-- - —. ..,. MIDDLEPAR TN � EC'�N AGENCY, NC. - -lONALE Q A TERS - ,. � - _1337.West wester�,.West ti- er�_PA 1'K � _ -- . P NNSYL! A K,. . ;�.�_ -. - - y : 11 RYLAND. f. i ::-.igt West Tenth s 424 Ede` Boulevard West _ 318-A Commerce Dive { F'rA 1 6,56f , _ -P0 Box -' - -. - Eason,MD 21601 . -1-�� -—. ;_ _ _NY 13 {301)822"fit} ' (315)736 0477 ; 8 _1;ompany(31�3�7 3480 �C ,r_ Kingston,PA 1870 ° - 469 State Street_ 1r t" arlotte Hall, 2 71 )( 288-4 St 02 --- -. ( 01)645- 9 - #ier, NY14 ,- ( 01)884-457 397 .HartzdaleDrve . 16) -4519 - - - £- , t? _ Suite112 { . -4 -- Yam`_. i ice 1 RR ,3XPO Complex _ ADO WN r> = (71 - 9 ,NY.12901- F Hager own. D21 - - (51 563-2836 - . ` 3 1-31 " i. �� - ' _ U.S. - k_Hiop Plaza Bensalem,� § 143 Troy-Schernectady Road d Iy_. and (2t � - -'Watervliet,NY 2189 -.Sa ;i 2f$01 - (518)273 - Route 19,f4Qrth Wexford,PA 1509 ,.� � 3 `7 412)931 3028 - f0301fings Highway, forth - d j4. A F , � (412)935 155$ �- ' �H�11,f�0 � -. _�ki�a�t - -�i• t .(30f •. t. -9200' WNW 1815'Newport`Gap.I 3 Grove S -- -Withal-kWh-- Grove.XXII�r a -' 999- 43 water 1 08807 1 - a! -- )526=-0880- - 1± f* -1 203 NE Front.Stream )681'..8484 -_ Su =105 farce_,_ _ _ 1 South State Street P€1ii- ox { - :Hackensack,41- 2 a,DE-19963 • (201)487-373 =mute s Marmora;,11 -itt1223 - - ram _ „ -:- - _ NOTICE ,ICA w o_-_,,A_rtd approval;may be require€t by law before electrical current may-be ene r r use of ` - ,_occupants.The en ndertakes to priiiiida*SpectitteSuntil final certification is grantedif such requestsare made- 20 days• i eft t-inspection= of.120 days from the date of the most recent inspection, all _ obligations o _;1_ the`' be deemed completed, all fees pa idby applicant shall be deemed sider • ▪by+ices performed.No further _ • • ns wizen by the Agency with ie iimg of a new rplication,and the elevant inspections-ems Nit final i is all be'imp erred without issuance of a duly executed certificate - �h Agency iit: pt b; 'onu.fc ection t r res - y for una. ection. n�