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1989-468 r r x CERTIFICATE OF COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date May 2 19 91 This is to certify that work requested to be done as shown by Permit No. 89-468 has been completed. This structure may be occupied as a Addition to Single Family Location Pptpr & Matip Smith Owner Box 1384 Bay Road By Order Town Board TOWN OF QUEENSBURY Director of Bldg. 6c Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 89-468 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Peter & Marie Smith 1--3 OWNER of property located at Box 1384 Bay Road Street, Road or Ave. in the Town of Queensbury,To Construct or place a Addition to Single Family 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 RD#1 Box 1384 Bay Road Lake George, N.Y. 12845 2. CONTRACTOR or BUILDER'S Name Stanski/Carr Rt rn 3. CONTRACTOR or BUILDER'S Address So RD#1 Bay Road xi m 4. ARCHITECT'S Name 5. ARCHITECT'S Address C) r w o) 6. TYPE of Construction—(Please indicate by X) tA' ( 1 Wood Frame ( ) Masonry ( )Steel ( 1 xi Ca 7. PLANS and Specifications No. 24' x 24' two story addition to single family dwelling as per plot plan, specifications, and application. 8. Proposed Use Addition to Single Family c $ 25.00 Renewal PERMIT FEE PAID—THIS PERMIT EXPIRES January 1 19 90 (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.) 721 June 89 Dated at the Town of Queensbur D of 19 m A SIGNED BY </ ,i 26th for the Town of Queensbury Building and o ing Inspector -6 TOWN OF QUEEti'SBC,'RY 77-.1 T 5UTI flr, C ANT) 2''NTNC7 P1.-.7m1T • mac— �, TOWN OF QUEENSBURY ''f- —� Rev • e ;C FT y RECEIVED MOM Fee Paid s 5°=11, 1/44), L- JUN 22,1989 .0 I LD INC AND CODES pi.l'JV?TPhEE'I' Date Iaaued , Jnd NAVILAND ROADS RD 1 Box 93 BLDG. & CODE DEPT. nUEENSBURY,NEW YORK 12d04 PeAmd.t No. _ Tel . (518) 792-5332 Exc 204 4 A PERTIIT MUST BO OBTAINED BEFORE BEGINNING CONSTRUCTION . NO INSPECTIONS VILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDINC PERMIT . All applicable spaces on this application must be completed and the siulnature of the applicant mustappear on the reverse side of this sheet . * * * * * * * * * A * k A * - * * * * * * * * * * * * * * * * * * * he owner of this property is : Jh- f� � l/Y i,ni . 0 . Address Po of Ca L..1 r _ cat f Qo A c itekJ �i,w26L. AL d0 �a T E L. 0 798'3353 roperty location 2O / r ni(Veil QAyi> / (, rnq ._, /V�/aXYcTAX MAP NO. 2 / / / Z4-/ as there been any split of this property sincev/ October 1 , 1988? / A---- yes no f yes , Planning Board Review is necessary . UBDIVISION NAME , IF APPLICABLE ki/A- LOT NO . Ov he person responsible for supervision of work as regards Building Codes is : NAME P .O . ADDRESS TEL. NO. Ime of builder „' Acer< Address ref)1 RA/fvNi, Tel 79 (1)?// 1.ddress G2(J( P, Pak Tel 79� da3'{' 'me of Plumber .S' � Tel �Y.4 Ld�` ime of Mason ��� A�ldrea5 2 ( (.�AyG?�n TuRE or PROPOSED Wl)RK: • ZONING INFORMATION (Office use only) Construction of a new building • ZONING DESICNATION OF PROPERTY 7. Addition to abuilding •• PERMITTED PRINCIPAL PERMITTED ACCESSORY Alcei.acion to a building •• (no change co exterior c►unensions) • REVIEW REQUIRED - PLANNING BOARD ZONING BOARD_ Other work (describe) •• SITE PLAN REVIEW 4 APPROVED DATE • OSS AREA ON PROPOSED. ETaUCTURE. • VARIANCE 4 APPROVED DATE t Floor e9VI,,2t/ 571 sq f t . • Remarks: d Floor p��j(,2� V sq f t . , �COmP(.L•'1'E IN l•'Oatu1'1'LON 1cEcuI1cED uELLw. 3.gci Ariz her Floors '+ sq ft . ' Size of property SdBP{a't (� fe x I t. her Floors 4F/TC oc cellar or basement) • L'xi::ting L'uildi,i•)(::) Sire fc.ft: X • S6'u (Q,LAv-3 ITAL FLOOR AREA///52. sq ft . • Existing DuilOin9 (:.) Use Q4/ .J) S%oC?AG+� zu of new strut pL/ ft X, L) ft iwtd:acion-pier rawl/harci,,l/cull • i,roposcd building, distance from l.reperty line • rele one) , Front yard Dv i t Rear yard /) °a E'S 1 f t 1. of stories O►;ahic:abl,: spcce« - Side yards (,00' f c and god I fc ighe (tirade to ridge) �y g/ •ft. • If on corner, setback from side street r/P, fc r,:::iduntial, no. of families I 1. of roo►nslexcludinq baths) ' • OCCUPANLY INFORMATION i. of bedrooms rJ dr)t • • PRL ARY LUILDINC - ). of bathroom:: 110I%) .One family dwelling 7imary heating syuc2 (`rud4-°`- ,��' dee familytn r • '? Two family dwulliny pu of fuel .s�,. Q'eau 4 L • Multiple dwelling / Number of units r _ :. of fireplace:: co be installed 'v ..t .1'alcuwncnc occup:u,cy ►11 :. wood acovu La instaalled? N`O * _1'r:ansient occupancy antral Air condition.r,g? NC7 Business JILDING STYLE, PRIMARY STRUCTURE • Industrial . ch Contemporary Log cabin • Ocher ,► I, / / It addition, what will u::e: be? OUC'tJ i7cI ^/ Aided ranch Mansion Duplex • �\�1 Geoo,,e. yl ,►y 011c level (Old ac ) Uualow ' ..pe Cod COtt:aye Ocher ' ACCESSORY bUILDING- alonial “ow Town House Detached y.►rc,ge/one car/ two car/ car ( CIRCLE•' ONE PLEASE ) • Attached garage/oh.: car/ two car/ cur • • • • . ■ • • Private storage building :S'PIMATKD MARKET VALUE OF • Ocher Om:;TMUCTIUN magliblit • NFORtIATION ON OUILDTNC SPECIFICATIONS, ON REVERSE SIDC OF TIHIS SHEET, TO BE COMPLETEO: Form DPA 10/88 vl 6t II.DING PERMIT APPLICATION __NTI`IC:ED - y, *-, ,. ate.: BUIuDING SPECIFICATIONS: .0.1415. *<'-N* • Type of construction, wood frame, fire safe,etc! )I.36bb 6621e {z l)fro Will any second-hand or ungraded lumber be used? If so, for w at? pd2.,„` Cq �, , S t I ,c�1)-S - / J Foundation wa 1 material iv' it�rc $K¢a2 Y 'Fo51 Thickness 1,9" Pi' Fay, 1 bCiwnl a 'AcRoS Depth of foundation below grade (to bottom of footing) 0 '1 + gig¢ ", Will there be a cellar? n1() Heated or unheated? !-)Ai-so Floor sq. footagery.5ic;,;,,StY4q ft Will there be a basement?ES ,Will any portion be used as living space? /�p (If so, what por ' ••'' ,, ,'y sq. ft. - - pe of use? SjatsZ{NGJ' - U .. ' Type of roof sloped, flat hed/other t12, Material of roof 30 � wood studs " "X " spacing "o.c. length Size, � P ng +�� 9 � ft. Joists ( floor beams) 1st. floor ,a "X Id " spacing Hp "o.c. span 1,2 ft. Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft. • Overlays(ceiling beams) "X " spacing "o.c. span ft. a"arar2 Stce9Sa t . Roof rafters "X " spacing o.c. span ft. Roof trusses (pre-engin� P red) spacing ?I( N"o.c. span ,L( ft. ,. , Exterior wall finish Cbg) 2 Of what material? t�( 06 i t)oolJ c�IiJw.,,C Interior wall finish ,12. Vk,e.L�rz If a garage is to be attached, describe materials to be used for FIRE SEPARATION: \J&i Is there to be an opening between garage and dwelling? 'Jo If so will a Fire-rated door, enclosure, and self-closing device be provided? Will a flue-lined chimney be installed? pp Height above roof ft. Depth of chimney foundation below grade ,AO ft. Depth of fireplace hearth WO ft. _ Water supply - Municipal or rivate well SEPTIC SYSTEM _ Distance from private well(including adjoining properties .204:, ft. (A separate application is necessary for any repair or new installation of septic system) 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. Signature Owne , wne s agent, architect, contractor * * * * * * * * * * * * * * * * * * * * * * * * . * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: I 14fs is A 22E-iktbiitiA-e- of(= ek_.,, ,_____1,, ,,,,,e,6 By TOWN OF QUEENSPURY _f;lc�— APPLICATION FOR •, --e� 5 SEPTIC DISPOSAL PERMIT DATE c) UpUY pQ/- (37 LOCATION OF PROPERTY FOR INSTALLATION RD/ Q1;J6?_04 ,r- Gc� Owner's Name:2-1,s2 /M ' ( Ik. Telephone: 2y,3‘,0 4 /.2q7e2734-"3 Address: c? f G3aiR6,No /44_, ',-v0_Snr f /1),-,-, 7k (494 fs� Installer's Name: & ,L(= 24,,,1.1 S ,✓e.ZiSe ,") Telephone: Number of bedrooms (residential only) 3 Q onQao w— Total daily flow (compute (d 150 gal per bedroom) I/j 0 Topography: Circle one: Flat Rolling Steep Slop% of Slope 7i 4.7 ice, A PA `A' Soil Nature: Circle one: Sand Loam ClayQ�a2u� Other (,.2A)�'L /Depth: �Q Feet Ground Water: At what depth? 76 Feet AT TA 1/4 I-0'4 " 'r Bedrock or Impervious Material: At what depth? Ligi Feet Percolation test: Circle one: not required equired rate min. inch. Domestic water supply: circle one: Municipal @Other If domestic water supply is a well: `� / �— ' 11 kF2 Separation: Water supply from septic absorption 3S-0 yoo feet Upd k ��, Ef.es.� c,J PROPOSED SYSTEM: Septic Tank 00c) gal. (minimum size: 1.00n gal.) TILE FIELD: Each Trench feet/Total system length • feet SEEPAGE PIT(S): Number of 2 / Size each g feet by g feet Size of stone to be used # /Depth or Thickness feet ************************* I have read the regulation on the reverse side of this sheet and ..:ree to a. '- e - -se and all requirements of the Town of Queensbury ': it S- `= - I •:sal Or.'• :nce. / SIGNATURE OF RESPONSIBLE PERSON: leiA_ 4 DATE: o-,,rvr'p7/9- / '7?7 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 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. Nu 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 installa— tion, 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 and CODES DEPARTMENT Bay and Haviland Roads Queensbury, New York 12804 Remarks: TOWN OF QUEENSBURY 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 4,;(5.0 1sj 2 . Type of heat F &6s1 - CO:- 2t. t 1 4 !`'a!= 3 . Is the building mechanically cooled? /JO 4 . Percentage of area of windows and doors /5 co 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_ 3g . y_5" 2 . R value of exterior walls Dt0 r7 3 . R value of glazed area cc d.( i'-z' 1-0-u3 - F. '2 10 4 . R value of doors p Hlatyu'/(s (b *IL �p,ms) R 10 5. R value of floors over heated spaces 3��4 E 6 . R value of slab edge insulation - unheated slab e 7 . R value of slab insulation - heated slab 10 , 0 8 . R value of heated basement/cellar walls (above grade) /JjA 9 . R value of heated basement/cellar walls (below grade) NlA 10 . Type of insulation r' j (le6Z 4'LQv-s,G / Aivv/� C. Controls /!! O 1 . Thermostat maximum heat setting ?� D. Duct Systems 1 . Is duct system installed in unheated spaces? YES NO a. If YES , R value of duct installation P/A b. R value of duct in other areas J.)/(a. E . Piping Insulation 1 . Size of hot water or cooling carrying agent pipe e A 2 . R value of pipe insulation N fA F. Service Water Heating � //^ 1 . Performance efficiency / 2 . Temperature control setting maximum /30° G. For Swimming Pool Only 1 . Maximum heating /J A Telephone No. /13�6j.' app icant ' s signature) TOW Of QUEENSBURY " .. 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME (Y',( �L r �c L r r j7_"1-1. 1 I J LOCATIO ,L-, /. i ';/ �5 r c �is'l DATE l,'1 �i,J PERMITS -_,f . TYPE OF STRUCTURE RECHECK Rrz 6/ ' Or64ee FIRE MARSHAL APPROVAL/(COMMERCIAL STRUCTURE) :FOOTING FOUNDATION t BACKFILL L-FRAMING --ROUGH PLUMBING FIf AI ELECTR CAL SEPTIC INSULATION WOOUSTQVE/FIREPXACE SITE PLAN/VARIANCE REQUIREMENTS YES _ NO REMARKS ���'_� �",,,�� '°„� / ` APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING _ SIDING ' / DECK/PORCH/STEPS/RAIINGS RELIEF VALVES FURNACE/HOT WATER O ERATING BASEMENT INSULATION/DUCTWORK INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SNEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS X HANDICAPPED ACCESS SMOKE DETECTORS x" BATHROOM FANS/WHOLEHOUSE FANS ALL PLUMBING :FIXTURES OPERATING GARAGE FIRE PROOFING : DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE WALLS DUMPSTER FINAL ELECTRICALJTTU -a.d I S k OK TO ISSUE C/O OR C/ COMMENTS: ARRIVE / 5 DEPART - ^42 TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 4� BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED %ate////96 NAME b�i; }1G7.11 r' c/ LOCATION 4/ /3 ff /L DATE % /41 Q PERMIT # (1Q'- 9(01'f }- APPROVED t2_1_4l f11 L/` ji t�'id 42(,LP24 YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING • BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN cINSULATION: 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 X FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION OK TO ISSUE C/O OR C/C A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS:N',E-(sn ( vl�Z(� j U�;/}t 1C S Dc--ctc,i?�u. S ,61'S C I-G'�, J S�.A-LC_ S../4-0 K.Ls D L-ti—Z�TO rcl &Oi C� 37/74-c.✓ iA p,Z —coi . ►RRIVE CI%LFU :PART (r C IN PECTOR a /� Ll TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT /l ' BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- '�� TELEPHONE (518) 792-5832 71 --- -- BUILDING INSPECTOR`S REPORT REQUEST FOR, INSPECTION RECEIVED /off///196 v f NAME / ,'Lr'i ;JJ Y/1 LOCATION /3 s 4L/ A--af DATE / ��,'4/(k) PERMIT # (d " APPROVED • YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION ` l FLOORS WALLS 1 CEILING 1 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 OK TO ISSUE C/O OR C/C A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: N o vlll0- 1 l-- ,� U !-,-‘ 1L5 /.()S7 S'r&olCU 0L-- ,-ee-o MAI&Di l-71U - (..) �3�'a�.✓ t TN4— i-�L�r� ( 11-C- ll • TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801. TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME Vf--Tt—,ez- A.4.,1 l-+ LOCATION J '4 V©p, io DATE 7171I PERMIT # 15-4c; (`'/ 'PROVED YES NO {FOOTING/PIERS /t MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING '' BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: w FOUNDATION FLOORS q WALLS F� CEILING �� FINAL INSPECTION: ,` CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES STE S STAIRS-CLEARANC & \ LS PLUMBING FIXTU•'ES/REL EF VALVE INTERIOR TRIM PRIVACY RS FINISHED FLOPS GARAGE FIRE•'OOFING DOOR CLOSE* S) SMOKE DETE TORS FINAL ELECT ICAL INSPECTI FINAL APPROVAL OF CONSTRUC ION OK TO ISS • C/O OR C/C A SIGNED CERTIFICATE OF OC UPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: ,RRIVE ePART IN ECTOR 3; 19,1 TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT V LC' BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- TELEPHONE (518) 792-5832 D BUILDING INSPECTOR'S REPORT REQUEST OR INSPECTION RECEIVED NAME s5t=r6(zJ LOCATION i _�/ 1_ �j� )( \ , L, ,c /L&TDATE c3 (C1 PERM # 6q--4 S . C) 1 _ APPROVED ,!I , .p j �r_ArI r I U 7/;qU YES NO FOOTING/PIERS IOKT.IINNG/PIERS j/y f sc ' !� MONOLITHIC POUR FORMS i FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING j'(.,,- f J,i'M ) FRAMING . (y 41:j ./ ELECTRICAL ROUGH-IN ' i INSULATION: FOUNDATION 3-1-(; 1, - s ct) i� FLOORS �'14 WALLS f Y j — CEILING ' 4 !! FINAL INSPECTION: CHIMNEY HEIGHT ROOFING I \ SIDING I \, EXTERNAL PORCHES/STE S f. STAIRS-CLEARANCE IZy l ' PLUMBING FIXTURES/R IEF\VALVE � INTERIOR TRIM/PRIVAC DOORS i� FINISHED FLOORS 1, GARAGE--FIREPROOFING r{j%� -D9OR--CLOSER(S) 1/1,,4 SMOKE DETECTORS FINAL ELECTRICAL INSPEC ON FINAL APPROVAL OF CONST CTIOk OK TO ISSUE C/O OR C/C A A SIGNED CERTIFICATE OF C CCUPA47CY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIEDI a �1 REMARKS: (1 1U-C, &W L- -t-ii"C,4 iv.sC;L.4. 13CX i &Ar 2'yi- i►> t: i r,L,,M(5,,,,i, (1`s7LA-b J- t"«iA -S 5OA-40 J'i -- iti4-- n x ,,� Y�''fwv i 0 Q L ( kJi::j /e %t 4- /'AP- i LRRIVE 3-55 )EPART 410 r. ' INS ECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 128(4 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FO NSPECTION RECE VED° !R/ O NAME , LOCATION , (i3j4 J DATE PERMIT # (71- ?Cj APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING r BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: i t FOUNDATION FLOORS. WALLS CEILING a 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 OK TO ISSUE C/O OR C/C \ A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE .OUILDIN DEPARTMENT BEFORE THESE PREMISES ARE: OCCUPIES! { f k REMARKS: DZI,,) V tit ( V41Lt3oK) ARRIVE f DEPART ! INS ECTOR TOWN OF QUEENSBURY Bay at Haviland Road, Queensbury, NY 12801-9725 — 518-792-5832 March 7, 1990 PETER SMITH Box 1384 - Bay Road Queensbury, NY 12804 Dear Mr. Smith: Your permit number 89-468 expired on January 1, 1990. It can be extended for 6 months without charge by a phone call to our Department. The structure appears to be ready for a framing inspection. Please contact this office as soon as possible. • Very t yours, VI TOR LEFEB RE, .E.O. Bldg. & Codes Department VL/jjd /JA[ f- 44\Am vOtco To cti--6-13 "HOME OF NATURAL BEAUTY. . . A GOOD PLACE TO LIVE" SETTLED 1763 A11111111114k TOWN OF QUEENSBURY Bay at Haviland Road, Queensbury, NY 12804-9725-518-792-5832 March 20, 1991 Peter & Marie Smith RD#1 Box 1384 Bay Road Lake George, NY 12845 RE: Permit #89-468 - Addition to Single Family Dwelling Tax Map No. #23-1-26.1 Dear Mr. & Mrs. Smith: The permit noted above has expired. As of 12/14/90 the following needed to be done in order to close out the permit and issue a Certificate of Occupancy. 1) Need Hand Rail on Stairs. 2) Deck Railing & Steps Complete. 3) Install Smoke Detector. 4) Obtain Final Electrical Inspection. Please contact this office no later than April 1, 1991 to further discuss this matter. Very truly yours, DAVID HATIN, DIRECTOR Building & Code Enforcement DH:se "HOME OF NATURAL BEAUTY. . . A GOOD PLACE TO LIVE" SETTLED 1763 SELECT BUSINESS FORMS (609) 848-5203 APPLICATION FOR ELECTRICAL INSPECTION PLEASE BEAR DOWN YOU ARE MAKING (4) COPIES i' `t MIDDLE DEPARTMENT INSPECTION AGENCY, INC. \ National Headquarters '""" 900 Haddon Ave., Collingswood, N.J. 08108 APPLICANT COMPLETES THIS SECTION t ., Date: y {o�`E`J City, Town or Township _nn f'S A/S SUP-4County Wy,Dah-AC) d - JS State .- _ Location/Address Quit U�Oi. ISgq 'JQ�.( akin, C,Oa6 - iie►v [)-g�{S /� (If Located in R ra Area -Please Attach Directio ) Pole # Owner PS-40-2. 1i N I O'citl1rT S M x Permit # Y9" 6 7 Occupied As DLO&_c.(,trC Building: Newt, Oldn Occupant Work Area in Building (Floor #,etc.): /o/o O App. for: Wiring' Service El or: Ready for Inspection: .$'O S. Fee Remitted -$ Cash❑ Check ' M.O. ❑ 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 11h 2 3 5 7'/2 10 15 20 25 30 40 50 75 100 Mark Number of Each Size Applicant's Signature License # _ Permit # T/A ti I'ty: Applicant's A dress: car �� da (NAME) (OFFICE LOCATION) (City) aR(State) /�trr... (Zip) /,- 4' Service Request # cAArk r ns/44,pa+2c"�4` Phone # 2 3,4£3 Electrician: Sdi/ MDIA USE ONLY DATE RECEIVED: DATE INSPECTED: Correct Location: Same as Above IT or: Red Notice Label ❑ 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 MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1'/2 2 3 5 7'/2 10 15 20 25 30 40 50 75 100 Mark Number of Each Size 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Elect. Heat CORRECT CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE FEE FEE PAID ❑ RW Progress: Inc.❑ LKD❑ Contractor ❑ CFT Violation: Work Comp.❑ Inc. ❑ ri L/A Owner CASH ❑ El L/A Fee CHK # Due MO # ❑ IPA Municipal INV # Date: Other Side❑ Utility Applicant ❑ Owner Cut in Card ❑ Temp # Date • THE NEW YORK BOARD OF FIRE UNDERWRITERS PAGE ' 804_itl4 I BUREAU OF ELECTRICITY 41 STATE STREET,ALBANY,NEW YORK 12207 l • Date 1?t��t,`EMBER 09,l r 94 Application No.on file 1- 43�'3 94194 441205 • ', THIS CERTIFIES THAT , O, I .., 4 6,2 p only the electrical equipment as described below and introduced by the applicant named on the above application number in the promises of • PETER N. SMITH, BAY RD. RD] BOX .1384, .tTJEEN 'PURY. Icy ' in the following location; U Basement COUT. ❑ lat Fl. ❑ tnd Fl. Section Block Lot was examined on DECF,P 13F;R 06. 1(494 and found to be in compliance with the National Electrical Code. • : . FIXTURE E'TACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS •' OUTLETS INCANDESCENT FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. • i' 0, . ' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECPT TIME CLOCKS Nu UNIT HEATERS MULT1-0UTLET DIMMERS SYSTEMS '' MPS.' AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. A TRANS. AMT. H.P. N T AMT. WATTS i • i' i' -- •I - NO,OS - -- - METER t. AMT. AMP. TYPE mum 1,/2W 1 IN 3W 3 a'3W 3,/AW NO.OF CC.COND. Vac,.G. NO.OF HI-LEG A•W G• NO.OF NEUTRALS A.W.G. • PER.I OF CC.COND. Of HI-lEG Oi NEUTRAL i . i; .I .,00 CB 1 4 I • • OTHER APPARATUS: . FiEaCONNErT AFTER FIRE ONLY-1. ::, . • :. ►; . . . --D PETER N SMITH • RD#1 BAY ROAD BOX 1384 - 2 4 LAKE GEORGE. NY, 12845 BRANCH MANAGER # 239 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 credentiak. . 6,1..•, ,•,_.•;.,a,.,a .•:,.;a, a :•..,a,. a_a,.,•, • ,•. a a • ;• •...• .•..• a .......-a..a a c...... ..a ......- .-.a • ........,a_.- a a .....a- .....-. a a' a • a a a • COPY FOR " JILC:NG DEPP-S=Ercr. M/17,2C0.7Y O CLTIFiCATI uil°Lra tiY T RE,:M°.. .ID IN ANY MANNER, VT ._ -- _ _" _" _ = -_ , '•- ,~_ .•-'4•; _'`+-,may -- - : = _, Eldon Ave - $ _ �. ".-,c>x- City- Town Townsh x :_ :-',.-.-county., St to `ram77.7_,4 .' .�+ '! ._ tttif -...ass= r . _ _ - If Locate ���< a Plebe At# �lfrect� - .:�,.• ` �_ " 1 _ • - i " " Building: " r�=, ' 'ram >-.>-�.'` ," - 'sue~ _ = -Work'Ash in Building(moor#,etc. .:-- - -- _ '.App. for; .Wiring r - or: $e #or ioFi '- _ n.:-i _ _ - --Fee_Remitted.s- _ .". r = =Cash . -' ; _ -4- - - " .- 4 3 zzsa Q .2F:5-.WOW r.,-s im rrtf�t� f _ n !ae out' *i '� -Elect. - -- '_� - - SWf'�G{'3+E:5. r-= p. r -_ . - - - �Li it Water Heater7-_ ire i o+er = - -t._,_ ;7 R pt�c[es. - T : =r- ;� -rr - ��;�..,t,.:� �=Air �i fir - _ ._ - -gi , - _ �.- ..,� - . � � H.P.tert Fs' — - - :' Other;E, "xrtt; . - - - = A9€iTO RS H. . i t /s i 6 1/4 - 2 i :i =,` «'= -Appl �e�y�`-t s`"4 -- '.fir-- a_ 30:_4 ,. _ ';_' M1 -_ -`emu• ' 6^ny i t' - - _ - - -- - - - _ - ' t _ - - -•- - - -- - - - _ - _ } -. 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