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1989-444 CERTIFICATE dF OCCUPANCYf TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date November 2, 19 89 This is to certify that work requested to be done as shown by Permit No. 89-444 has been completed. This structure may be occupied as a Single Family Dwe l l i n g Location Ray Rnati Owner Marilyn VanDyker By Order Town Board TOWN OF QUEENSBURY r / ,Y207 Director of Bldg. do Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK No. -444 • PERMISSION is hereby granted to • OWNER of property located at Street, Road or Ave. in the Town of Queensbury,To Construct or place a at the above location in accordance to application together with plot plans and 'formation hereto filed approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. and 1. OWNER'S Address is RR#1 Box 1382 Lake George, N.Y. 12845 2. CONTRACTOR or BUILDER'S Name p Hilltop Construction — 3. CONTRACTOR or BUILDER'S Address RD#1 Box 576 BMX Glens Falls N. Y. 1 :f co 5. ARCHITECT'S Address ta, 6. TYPE of Construction—(Please indicate by X) XIX4 Wood Frame ( ) Masonry ( )Steel ( 7. PLANS and Specifications No. 70' x 28' Single Family Dwelling as per plot plan, specifications, ._ and application, including septic, attached one car garage, and 8. Proposed Use to Single Family Dwelling (-1)' a $ 181.00 PERMIT FEE PAID —THIS PERMIT EXPIRES _ atbifL lamary 1 19 9� (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the t7 town of Queensbury before the expiration date.) rp Dated at the Town of Queensbury t 16th Da of v June 19 89 cra SIGNED BY Building and ni ng In for the Town of Queensbury spector TOWN OF QUEENSBURY APPLICATION FOR r�UILniNG AND ZONING PERMIT Reeved y,M57 " Revi d .TOWW,�OF'OUEENSBURY F� RECEIVED M° Fee Paid S / . huILDINCJUN 141989 AND CODES IMPARTMENT Date I44ued . :' and !IAVILAND ROADS RD 1 Box 98 / BIBLDG. CQE7EEp . ()UEENSBURY,NEW YORK 12804 PeAn t Na.� 4 //-• `// Tel . (518) 792-5832 Ext •204 A PERMIT MUST B11 OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. All applicable spaces 'on this application must be completed and the si1' ature of the applicant must appear on the reverse side of this sheet . * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * he owner of this property is : Marilyn VannykP . 0. Address RR# 1 Box #1382 Lake George, NY 12845 TEL. 7'92_8(197 roperty location Bay Road Town of Queensbury TAX MAP NO. cQ /, / / ge as there been any split of this property since October 1, 1988? x / f yes , Planning Board Review is necessary. yes no JBDIVISION NAME, IF APPLICABLE LOT NO., he person responsible for supervision of work _ask ,regards Building Codes is : Hilltop Const. of GF, Inc. RD#1 Box ##576 Glens Falls 798-01fA - NAME P .O. ADDRESS TEL. MO. :me of builder same Address ' Tel :me of Plumber same • Address Tel inc: of Mason same Address Tel I ruRE OF PROPOSED WJRK: . ZONING INFORMATION (Office use only) Construction of a new building • ZONING DESIGNATION OF PROPERTY _Addition to a building * PERMITTED PRINCIPAL PERMITTED ACCESSORY Alteration to a building ` 1 (no change to ext. rior. dimensions) , • REVIEW REQUIRED - PLANNING BOARD ZONING BOARD Ocher work (describe) • SITE PLAN REVIEW # APPROVED DATE OSS AREA OF PROPOSED, STRUCTURE • VARIANCE-# G� -I /APPROVED '►/ DATE " �/ e1 t Floor 12R8 sq f t . M Remarks: . j.i). .r 7 'i14.1 %° ':/� �`7 (f/i) d Floor sq f t . „ COMPLETE INFORMATION REQUIRED uIiti D uI:LOW. /}D p' her Floors sq ft . * Size of property 4,3 /•Cft X /'7 ft. •of cellar or basement) Existing building(::) size ft X ft. • iTAL FLOOR AREA sq ft . • -- Existing building(s) Use ze of new structure .70 ft X_28ft ' mhdation-pier/slab/crawl/partial/full • Proposed building, distance from property line (circle one) • Front /00 ft Rear ft_ . of stories (habitable space) 1 • yardyardacres fight (grade to ridge) ft. • Side yards 125 ft and 129 ft residential, no. of families 1 • It on corner, setback from side street tc of rooms(excluding baths) h ' OCCUPANCY INFORMATION . • of bedrooms •' PRIMARY LUILDING - :. of bathrooms 1 • x One family dwelling •imary heating system electric Two family dwelling he of fuel Multiple dwelling / Number of units :. of fireplace:: to be installed • -+--- Al a wood stove be installed? no • Permanent occupaM►cy meal Air conditioning? no • 'Transient occupancy : • business 1ILDING STYLE, PRIMARY STRUCTURE • industrial i n nch Conte porary Lon cabin • ,r Ocher-__ BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPEC IFI CAT IONS: sa. Type of construction, wood frame, fire safe,etc. wood frame Will any secpnd-hand or ungraded lumber be used? If so, for what? no Foundation wall material concrete Thickness 8" Depth of foundation below grade (to bottom of footing) 8' Will there be a cellar? ' eS Heated or un eated? Floor sq. footage ,/ $ j sq ft Will there be a basement'? Will any portion be used as living space? (If so, what portion? sq.ft. Type of use? Type of roof - ope• flat/shed/other Material of roof fiberglass Size, wood studs "X 6 " spacing 16"o.c. length 8 ft. ,/ Joists(floor beams) 1st. floor 7' "x i n " spacing_ i6'o.c. span /7 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 N"o.c. span 1(p ft. Exterior wall finish wood Of what material? board & batten Interior wall finish sheetrock If a garage is to be attached, describe materials to be used for FIRE SEPARATION: 5/8" fire code sheetrock Is there to be an opening between garage and dwelling? ye 5 If so will a Fire-rated door, enclosure, and self-closing device be provided? ye 5 Will a flue-lined chimney be installed? (1O Height above roof ft. Depth of chimney foundation below grade 4 ft. ' ,i) Depth of fireplace hearth ft. in. Water supply - Municipal orrivate weld SEPTIC SYSTEM Distance from ANY private well(including adjoining propert' s ft. (A separate application is necessary for any repair or new installation of sep ic-system DECLARATION g 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., Signature Owner, ow r s agent, architect, contractor • * * * * * .* * * * -* * * * * * * * * * * * * * * * * * * * * * * * * * * * * `t!'=** * * * * * * SPECIAL CONDITIONS OF THE PERMIT: . r t aat 3 '31.I:b,�41.l i • aia.41. .t d ;,.- ' vs € :n i Tirl ?7 • ✓rwrlr iQa4 APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE March 16 , / 1989 LOCATION OF PROPERTY FOR INSTALLATION Bay Road Owner's Name: Marilyn Van Dyke Telephone: 792-8097 Address: RR#1 Box #1382 Lake George, NY 12845 Installer's Name: Hilltop Const. of GF, Inc.Telephone: 798-0338 Number of bedrooms (residential only) A.. Total daily flow (compute @ 150 gal per bedroom) „?,00 Topography: circle one: Flat Rollins Steep Slope % of slope Soil Nature: circle one: Sand Loam Clay Other erne-el/ Depth: feet Ground Water: At what depth? feet Bedrock or Impervious Material: At what depth? _ feet P Lo- LP+ Percolation test: circle one: not required required / rate min. inch. S t�`°''J S c-T. Dobnestic water supply: circle one: Municipal IMO Other too' Pt IF domestic water supply is a Well: korP,66141 _7T-e" - -Separation: Watersupply from Septic absorption )< PROPOSED SYSTEM: Septic Tank 1000 —gal. (minimum size: 1,000 gal.) WO ,M i jJ TILE FIELD: Each Trench '/A Lfeet / Total system length — /(p feet SEEPAGE PIT(S): Number of — / Size each feet by feet Size of stone to be used # _ / Depth or Thickness feet * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * IMPORTANT ...Please...LIST NEW EQUIPMENT TO BE INSTALLED * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * (over) Section II 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. I have read the regulations above and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of responsible person: I Date: b - /'-' 17 Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LIVE 4-nUZ-i 1/a* ,y TOWN OF QUEENSBURY de d 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 f a FY /of 2 . Type of heat �PfLe-e° 3 . Is the building mechanically cooled? -® 4 . Percentage of area of windows and doors 1/, 93 A. Over 16% Only 1 . Uo value of gross area of walls , roof/ceiling and floors exposed to ambient conditions 2 . Floor over heated spaces YES NO a. Are foundation walls insulated? YES NO 1. If YES , what is the R value? 3 . Slab on grade YES NO a. If YES, what 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_ 2 . R value of exterior walls k-' aLp 3 . R value of glazed area p - I 4 . R value of doors 2 - 15 , 1 5 . R value of floors over unheated spaces P.- 6. R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab /U/ 8. R value of heated basement/cellar walls (above grade) /0 /1' 9 . R value of heated basement/cellar walls (below grade) /ii/g 10 . Type of insulation / ,, C. Controls 1 . Thermostat maximum heat setting YQo D. Duct Systems 1. Is duct system installed in unheated spaces? YES 0 a. If YES , R value of duct installation b. R value of duct in other areas E . Piping Insulation 3 / ,/ 1. Size of hot water or cooling carrying agent pipe 2 _ R value of nine insulation TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT ILI BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804 27,343 TELEPHONE (518) 792-5832 !X BUILDING INSPECTOR'S REPORT REQUEST FORR INSPECTION RECEIVE]; NAME --,�i /l, $RECEIVE]; LOCATION / Pd DATE // //dp PERMIT # 8-1 -444- ` APPROVED YES NO FOOTING/PIERS 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 STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE ;FIREPROOFING DOOR CLOSER(S) SMOKE,DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: INS ECTOR TOWN OF QUEENSBURY .�� BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804, - TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME _ ? LOCATION DATE /Q PERMIT # V )L/l APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—ZN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/,STEPS' STAIRS—CLEARANCE,-& RAIL PLUMBING FIXTURS/RELIED VALVE INTERIOR TRIM/ 4IVACY DO RS FINISHED FLOG ' GARAGE FIREPI )0FING DOOR CLOSER( .) SMOKE DETEC ORS FINAL ELECTR AL INSPECTION FINAL APPROV L OF CONSTRUCTION A SIGNED CcRTIFICATE OF OCCUPANCYMUST BE OBTAINED F OM THE BUILDING DEPARTMEE T BEFORE THESE PRE ,ISES ARE OCCUPIED! REMARKS: J..c_ kt 0 1) )//ej 1/4f aCc INSPEcTnp TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS /)/2 QUEENSBURY, NEW YORK 12804- / TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME // Z LOCATION (/ DATE ,L'Q/5 PERMIT APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS AAILING L INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE:& RAILS PLUMBING FIXTURES/RELIEF VALVE L.,' INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPI 0FING t DOOR CLOSER(P) �� SMOKE DETEC ORS l/ FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION L/ j A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! E ARKS: `+' 04-e.,A-64-1 retai _________________ :0 I/ 1 IN ECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS ��'1 QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME () LOCATION l J DATE S—. L.�_ C� PERMIT APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP—POOFING BACKFILL APPROVAL L--ROUGH PLUMBING FRAMING - ELECTRICAL ROUGH—IN lti c/fNSULATION: FOUNDATION ■ FLOORS WALLS -, CEILING FINAL INSPECTION: 15111 CHIMNEY HEIGHT ■ ROOFING SIDING EXTERNAL PORCHES/STEPS _ STAIRS—CLEARANCE _ RAILS _ PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS, _ GARAGE FIREPR•. ING DOOR CLOSER(S) SMOKE DETECTO'S FINAL ELECTRICA INSPECTION _ MOFINAL APPROVAL F CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: INS ECTOR TOWN OF QUEENSBURY �j �, BUILDING AND CODES DEPARTMENT 1SC>yQ BAY & HAVILAND ROADS ` `r-� QUEENSBURY, NEW YORK 12801- �C� TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME �� LOCATION DATE -aL, _ PERMIT # ^ 9 APPROVED FOOTING/PIERS YES NO MilMONOLITHIC POUR FORMS FOUNDATION/DAM P-PROOFINGMN allBACKFILL APPROVAL ROUGH PLUMBING _ FRAMING ELECTRICAL ROUGH-IN _ IIIII INSULATION: FOUNDATION ■ FLOORS WALLS _ CEILING _ FINAL INSPECTION: _ _ CHIMNEY HEIGHT , ` ROOFING11111 SIDING _ EXTERNAL PORCHES/ EPS nil _ STAIRS-CLEARANCE A RAILS PLUMBING FIXTURE !III/RELIIF VALVE _ INTERIOR TRIM/PRIVACY DOORS FINISHED FLOOR NM GARAGE FIREPR FING S DOOR CLOSERS _ SMOKE DETECT RS _ FINAL ELECTRI AL INSPECTION !III FINAL APPROV _OF CONSTRUCTION _i A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: 0( V L (11)/(1z INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280� TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE i��/ �/ RMIT APPROVED FOOTING/PIERS YES NO MONOLITHIC POUR FORMS 11111 FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING =. /RAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS11111 WALLSNIS CEILING r FINAL INSPECTION: 11111 CHIMNEY HEIGHT ROOFING SIDING111111 EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE f RAILS _ MIMI PLUMBING FIXTURE/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS _ FINISHED FLOORS11111 GARAGE FIREPR i.o ING DOOR CLOSER(S) 11111 SMOKE DETECTORS _ FINAL ELECTRICAL INSPECTION _ MNFINAL APPROVAL OF CONSTRUCTION 111 A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: INSPRrmna awnTtl Jon of 1. / Queenjbur y BUILDING and ZONING DEPARTMENT i Bay and Haviland Road, R.D. 1 Box 98 /, Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME , f 6 &.._- LOCATION ' DATE ,`��;; � Y7 PERMIT NO, cJ "I SOIL TYPE - Sand Percolation Test‘Re ed?ClY S Percolation rate NO Min/Inch _ TYPE of SYSTEM: Absorption field, total length Length of each trench Depth of trenches / _ E Size of gravel 2 SEEPAGE PITS{Ner of) Size- _ ft. X ft• -" Gravel size PIPING: Size TYpe Bldg, to tank (77 �� Tank to dist. box s --"=-- box to field `�/pitOpenings seal0 ES PartNO ial LOCATION/SEPATIONS: Foundation tb tankFoundation 4o © ft' Absorption/to lotolineon ftSeparatio iofp ` ftOCATION F SYSTEM ON PROPERTY(circle one) ront - Rar - LeftOMMENTS:/ _____________________Dist. STEM USE APPROVED YES , „„NO Building nspector 01/86 and vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE - PERMIT ,,)) APPROVED FOOTING/PIERS YES NO MON LITHIC POUR FORMS ( NDATION/DAMP-PROOFING pra BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION ■ FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT 11111 ROOFING SIDING EXTERNAL PORCHES/STEPS _ STAIRS-CLEARANCE & RAILS _ PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS all FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION _ FINAL APPROVAL OF CONSTRUCTION MIMI A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: 1112 INSP mna TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT �G�"-` ``BAY & HA VILAND ROADS QUEENSBURY, NEW YORK 12804. 'litlt.r TELEPHONE (518) 792-5832 /977 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION Q iX/ DATE/ PERMIT # -V ��/.f �/ APPROVED DOTING/PIERS j / NO illormilim MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING _ MNBACKFILL APPROVAL ROUGH PLUMBING an FRAMING11111 ELECTRICAL ROUGH-IN _ imi INSULATION: _ 11111 FOUNDATION FLOORS WALLS _ CEILING _ FINAL INSPECTION: Ill CHIMNEY HEIGHT ROOFING11111 SIDINGMN EXTERNAL PORCHES/STEPS _ MISTAIRS-CLEARANCE & RAILS MN PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS III! _ FINISHED FLOORS GARAGE FIREPROOFING _ DOOR CLOSER(S), _ SMOKE DETECTORS _ FINAL ELECTRICAL INSPECTION _ FINAL APPROVAL OF CONSTRUCTION11111 11111 A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARK : 0 UC OA 4 lie iv- i ,A,be/ ( y119 • s g___ 11\(/ -- P_Orp CAI 1!i p - � IT- Lif24 OLta __) INSP C OP TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT ' BAY & HAVILAND ROADS QUEENSBURY, / � �. NEW YORK 1280} TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME ` //P i 7 -� _ '- LOCATION 'AIIIIIRMIr00, DATE -L j = � PERMIT # �_�!<q APPROVED FOOTING/PIERS YES NO 11111 MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING NM S BACKFILL APPROVAL ROUGH PLUMBING _ FRAMINGIIIII ELECTRICAL ROUGH-IN all In INSULATION: FOUNDATION ■ FLOORS WALLS _ CEILING MI FINAL INSPECTION: III CHIMNEY HEIGHT ■ ROOFING SIDING _ EXTERNAL PORCHES/STEPS MN allSTAIRS-CLEARANCE & RAILS _ PLUMBING FIXTURES/RELIEF VALVE _ INTERIOR TRIM/PRIVACY DOORS _ FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) _ SMOKE DETECTORS Oa FINAL ELECTRICAL INSPECTION _ _ FINAL APPROVAL OF CONSTRUCTION all A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: 4 / /4 / INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280� TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE --�r 7 PERMIT #_ E�- f'41y APPROV D YES 40 '-F OTING/PIERS MONOLITHIC POUR FORMS - '41 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 STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: A-Ti-kL--7s- 2- r 4---,4' 029 iii, 64-) SPECTOR C RV c ONST -cOP o f T/O GLENS FALLS, INC. C RD #1 • BOX 576 AIRPORT INDUSTRIAL PARK GLENS FALLS, NY 12801 (518) 798-0338 DykE PL cii' ?J A/I scRLE 1 's = 50. Tone 20 , Qq 410 0 15TO pose d e+ liakSe t000 66►10, 711..1 so' wam ,+ all yC �_�_ _ ex Ito 7171, k v d87,So 18 eKire.� YOU ARE HEREBY REQUESTED TO FOR INSPECT AND ISSUE CERTIFICATES EQUIPMENT FOLLOWING ELECTRICAL MENT TO BE INSTALLED BY CITY OR VILLAGE THE UNDERSIGNED sTREETA NO OSayR D DATE D ad TOWNSHIP Fi BETWEEN WHAT TWO C + - t '1T . :.... "' Lockhart �y t STREETS IS PREMISES LOCATED?NAME ��� � TED� �a��'.;� Marti + and Stone SECTION POLE NUMBER OWNER'S N n uhp } 'I BLOCK NAME ANDADDRESS �'.: �� BUILDING OCCUPgryCy. LOT CURREN QPLIED BY ✓uMx sA i ara Mohawk 41382 Lake = t BUILDING IS FROM THEIR �^ - HOME TELEPHONE NUMBER NEW� OFFICE. : , OLD� •' " Falls WORK TELEPHONE NUMBER Loca- NUMBER OFLIST BELOW ALL WORK IS lion ® No.T ofB Fixtures& EQUIPMENT NEcy j our- wail �OUTLETS( Receptaclesre MOTORS WHICH YOUIN ADDITIONAL LampLED DEFECTS REMOVED SIDE ®® ® BRANCH H.P. CIRCUITS OFFICE USE ftftllIIIII® Each IIIVIIIIIIIIIIIIMIMII REMARK®®- ®®®-S nllinIIIIIIIIIIIIIMIIIIIIMIIIIIIIaIIIII ®®-® LIST OTHER ELECTRICALIIIIICES NOT ®®- SET FORTH ABOVE -- --,- THIS APPLICATION IS INTENDED EQUIPMENT NOT THE ADDITIONAL EQUIPMENT �COVER THE ABOVE-LISTED AS PROVIDED LISTED,YOU ARE EQUIPMENT TO BE INSPECT FOUNDSIZE f ADDITIONALs ED LIY THE AUTHORIZED APPLICANT. TO MAKE THEE�BUT IF AT TIME INSPECTION ANDOF INSPECTION, CHARACTER OF WORK FEEDERS ADJUST THE FEE'THERE VER ELECTRIC SIGNS/LAMPS CHE WORK 7p BE STARTED 0 EXPOSED 0 CONCEALED GAS TUBE SIGN/TRANSFORMERS OF TOTAL WAITS °RVICE ENTERS BUILDING - - DATE COMPLETED SIZE OF SIGN(NUMBER) VA TE INSPECTION REQUESTED ON(OR AS OVERA AS NEAR AS POSSIBLE) MANUFACTURER OF SIGN CAPACITY UNDERGROUND M �T NAME ' ? re ji \ !>TUST ENTE P WTS AND ADDRESS 'TIOId 1N NUM �. I + OF APPLICANT . / r d' c / '.A { -M!1- I lttta �� � CAPPLLCRT• �: T ADDRESS of °l / Y RETURNED. t..1.1. o. GP Inc. DATE OF APPLICATION 'R POST OFFICE + �� i ELEPHONE NO John PO Street ZIP CODE Glens Palls IN YOLK,NY 10038le 41 State Street LICENSE NO. + ALBANY, � S84 Delaware WHEN APPLICABLE NY 12207 I BUFFALO,84Dela Avenue 0 217 YORKNY 14202 I HEe Avenue THE ROCHESTER,NY 14608 I� 202 Arterial Road BOARD OF Fll�c - SYRACUSE,NY 139na ► ► V V r Of . CERTIFICATE F INSURANCESET TAB STOPS AT ARROW • � ISSUE DATE(MM/OD/YY; PRODUCER 3/14/$9 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND, AMB ASSOCIATES, INC. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 12 Computer Drive, West P.Q. Box 1685 COMPANIES AFFORDING COVERAGE Albany, New York 12201 COMPANY LETTER A AEtna Casualty & Surety Company INSURED COMPANY LETTER B Hilltop Construction of Glens Falls, COMPANY Inc aqi LETTER C RD #1, Box 376 Airport Industrial Park COMPANY LETTER Glens Falls, New York 12801 LETT RNY E COVERAGES THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS,AND CONDI- TIONSPO NS OF SUCH POLICIES. CO LTR TYPE OF INSURANCE POLICY NUMBER PDLICY EFFECTNELIABILITY LIMITS IN THOUSANDS DATE mEFFEC/YY) DATE(MMI EXPIRATION GENERAL LIABILITY EACH AGGREGATE OCCURRENCE COMPREHENSIVE FORM BODILY PREMISES/OPERATIONS INJURY $ UNDERGROUND EXPLOSION&COLLAPSE HAZARD 1QMP380114 1/13/89 1/13/90 PROPERTY DAMAGE $ $ x PRODUCTS/COMPLETED OPERATIONS CONTRACTUAL INDEPENDENT CONTRACTORS COMBINED $ $ BROAD FORM PROPERTY DAMAGE 1,000, 1,000, pg PERSONAL INJURY PERSONAL INJURY $ AUTOMOBILE LIABILITY 11000, III AUTO BODILINJUY ALL OWNED AUTOS(PRIV. PASS.) (PER PERSON) $ I ALL OWNED AUTOS HIRED AUTOS OTHER THAN1 PRIV. PASS./ BCOILY (PER Accoan $ ■ NON OWNED AUTOS PROPERTY GARAGE LIABILITY DAMAGE $ BI&PD COMBINED $ EXCESS LIABILITY I UMBRELLA FORM BISPD $ OTHER THAN UMBRELLA FORM $ COMBINED WORKERS'COMPENSATION STATUTORY p t , AND 10CB096203 1/13/89 1/13/90 $ OO, (EACH ACCIDENT) EMPLOYERS' LIABILITYIr $SOD. (DISEASE POLICY LIMIT) OTHER *{;,' $]-0(}* (DISEASE EACH EMPLOYEE) DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS RE: New House with 1 car garage C RTIFICATE HOLDER CANCELLATION Marilyn Van Dyck SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO RR #1, BOX 1382 MAIL 15 DAYS WRITTEN NOTICE TO THE CERTIF ATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO MA SUCH NO D. SHALL IM••-. NO OBLIGATION OR LIABILITY Lake George, New York 12845 OF ANY KIND UPON THE OMPANY S ENT. • REPRESENTATIVES. AUTHORIZED REPRESENT IVE/ / ACORD 25(8/84) // A Apr © I'R/ACORD CORPORATION 1984 4 O p L- ANDS o F A ° v ( ` oPNaEt3E JAIVE IOTQAC'/ Q I t � o � v v � ` � � I � � � ' /�/'OT�•' A/2E.9 1�4�E'�.Q.(tC.E /Il0. 2 Z- /989 /�+/, v �f h h h ao a a 6 X4.vT.Eo B Tary v o y F iw.t•/�u/E /2/D Z r' ~ ZO/1//.V6' BOA.eO Cyr.4,o "Egt,!' fyiV f� p Cs',P./A/TJ EEL 1,e C,4Q,O.e v*'4E',eJ'/EEll �-, LOTJ .0,11a LESJ'-Ti4/.4.✓-.�I/,A//.40o,&,�/ O LOT &,o,/Dr.,V. , � � /1/07�: i!/A Fv.FryE.� s�iep/v�,1•/0,1,� � ,�/r�rE.e LoT•v�.J � � t �� �.W.+F�QYEQ U/t/QE�P .4(/Ti�/�P/TJ/ O� �Q `:,; ! •, Q n, By 799 a .oL A,'V/A/'/A/d- .&0,4,e o 0,C T.W TlldiJiV' 7,'VIJ 'O"V I,f CON.!'/ T-.e VT /T ' " H THE sxon/iN6' It AMAlee O/�' 7 /E TOM D N F Q UE.EA/1.dU,+P f/� JU4J.ECT TD U /ti/= �f � /7- 0 457. 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DE.VOT,ES PAAAOX90 e44,7db4�C. k b 'K lb /L1/it/ F.PONT .4.Q0 •' ,.iD FT /QD fT IL Section 23 .' °r•- ' '• .. -• ,«4 t3 - / -.*1./ dE.VOTEJ ReO.�b1ED TAY,�ffA.o Ofl/6.t/iOT/O LA•tom! to FXs�.rs P �^vsto [or «Block 1 5 C oeicceo ,urec w°f�r .�reeu/ �fi4.Q .�D f? /DO Cr Parcel Owner Address ZORIf19 AdmirlRScr k OrEs �/A.CC�fiQ TO /st' T k-Lr l4 �Z->!+ E A�.a CAeoL A. RUC ' Mow Block °• OF LOT TO GrEf�,P.NEAtILE N S r:-�cN ET` • /l- .lUQ1ECT TO .ee4r4ge.4r14�t/ ?5 estate of New York """� DE�t/OTEJ-,EI'/,rT/� A�t.I/ Vd'E /V7TE.AVr. J /N-. ,a •.r .1'ECTio.1/4. oS3 + . • s i 4•• `•. . �� ...� (, � DUE TD .�l4iVT.4d,E 2G.1 Peter N. & Marie E. SmiLh RD bt, Box 250, Lake George, NY 12845 •�' y' ;''.�',•�:•, t ......a s' " r► DEA107-X! �1ftU?0.JED D f R41TE.P.✓J' Ijl I 26.2 Kenneth E. & Carol A. RR #1, Box 1383. Lake George, NY 12845 vd- -!•� s.-.,.r ,,�,�.,,;„r,,,•• f K f 0A1 eAy E9,40. Fuehslocher ��•��� t G•..e. �•s�,e- _L_. ..••+•.+....+. tMl• fO1rQ OUTOOU:1/LtI QF //,�WOJ/if'.E A',*.Wa!'7V, ,ezfEE no -,N,e� pf �1�. SURVICY � MAP By 27 Lake George Ventures, Inc. P.O. Box er Depot Road, x;; _ _ .Q/C,�.4�d E. J,y/r�/�/,I�a �//�l GuiLake George, Center NY 12085 . E,fu/7• NO F_ .y/� .l slJ�i✓6' 7�f/f �r -O L ANOS OF 29.1 L. Rae Gillis RD II t. Lake George, NY' 12845 Lem 1.'• ,. "'% l A10,e7y AOerZ441 7~i`, ,C4,r ,,G►�r To eE ~*if try TO �4!/[ ��TE'e Cv 29.21 L. Rae Gillis RD fit, 7•ake Gaarge, NY 12845 •t • ...�• ;•� •••;•.• l6/AY D�/, �/•VO ifl�4�/LJfif//i/ / f, "A9T1�!> .b1.4J//2/Ad0 ,�/.Ol. '8 UCENlEO G4A/D ,.... M•s.1. aw+a. • ... `�/ 6XeA/J FALCj',,VcA) yog& V 31 John A. 8 Helen P. >�thaw RD Nt, Laki tTeorga, NY t28#5 ►' .a� !a'LE�/ Q. C'OG/17E� G/CE.✓J'ED L ' .5•G4E'✓EyO,E• P111i. 4. 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