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1987-251 - .}Tml Z IN i ' l I RTIFICATE OF OCCUPA.NC if CE i TOWN OF QUEENSSURY }k WARREN COUNTY, NEW YORK Date 19 4 j This is to certify that work requested to be done as shovM by Permit No. $7-251 has been completed. C)q .m1\� Thin structure may be occupied a Clue—Famil Modular Dwelling i.ckation Lee 35 cephar-Ie ane ( St . h© . 2C3 ) C owner Gear g Koshn�arzan i 1 8y Order Town board { TC1WN of QUEENSBURY X . Building !!e Zonine Inspector I i BUILDING PERMIT TOWN OF QUEENSBURY No' 87_251 WARREN COUNTY, NEW YORK c� m George Koshgarian PERMISSION is hereby granted to ocq m OWNER of property located at Lot 35 Stephanie Lane (St . No . 20) Street, Road or Ave. o 5n 1 M in the Town of Oueensbury. To Construct or place a One—Famiodular Dwelling Mw 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 Queensburyr Building and Zoning Ordinance. t:1 1 . OWNER'S Address is Route 50 Ballston Spa , New York 12020 2. CONTRACTOR or BUI LDEWS Name Poloron homes mn a pa rt N M kil W tf 3. CONTRACTOR or BUILDERS Address 74 Ridge Road cj rt Middleburg , PA 04 � ro w r• cn to r4AFRCH:1TFCT'S Name CHIT aawCYr17-1,.`•- trw�mV� •7 Address rr 0 6. TYPE of Construction — (Please indicate by x) r .) 0 U 139 wood Frame ( ) Masonry { } Steel { } i. PLANS and Specifications 50 ' x24 ' per plot plan , specifications and application including No. sewage system and two-car attached garage . , THE ATTACHMENT OF THE TWO PARTS D BY A LICENSED 8- Proposed Use MUST BE APPROVE � PROFESSIONAL ENGINEER . One-Family Modular Dwelling rJ• r �c $5 . 00 CIO December l 19 87 $ 94 eQ0 PERMIT FEE PAID — THIS PERMIT EXPIRES o (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the C town of Queensbury before the expiration date_) H N H Dated at the Town of Oueensbury this 12th Day of _ May 19 87 c /; ,may, rt SIGNED BY �J � l w�'w" C., Irl,! for the Town of Oueensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG . DEPT . Application No . flown e7/ Q"eienjlury Permit Issued CjC- BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Haviland Road. R.D. 1 Box $8 Zoning Designation lJ 111i Queensbury, New York 12801 variance No , Review No . MAY 6 1987 J c'x Cv 3 - App y d �y iBLJlLI3lNG $c CODE DEPT. APPLICATION FOR � �R BUILDING AND ZONING PERMIT - — A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLOWING . The undersigned hereby applies for a Building Permit to do the following work which will be done in accordance with the description , plans and specifications submitted, and such special conditions as may be indicated on the jPermit . ..... The owner o£^this property is :,. <7 - F. P . O. Address C71 { . eK Tel Property Location : t AV 9� L.-. A � � n �SS— Tax Map No , Street number or building lot number �'r' �[O•.� f! Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : aEoQCr cl` oS h $ , 1! o l S t'N J5 R + t Name P . O . Address Tel . No . Name of builder Pjt oi Address '���R„�FE !!A�' 1 P,4= S Tel Name of plumber ..r ee Address ^ Tel . Name of mason ,tt,�/ Address Ay s el . . � NATURE OF PROPOSED WORK : * ZONING INFORMATION : Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED , Addition to a building drawn reasonably to scale and attached hereto , Alteration to a building * showing clearly and distinctly all buildings , � (no change to exterior dimensions) * whether existing or proposed and indicate all Other work (describe) set-back dimensions from property lines . Give street and number or lot number and indicate * whether interior or corner lot . Show location FOR DEMOLITION PERMIT , STATE SIZE AND * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED. * of septic disposal area . * COMPLETE INFORMATION REQUIRED BELOW . Size of property /��/ ft X.._ ft _ * Existing building ( s) Size ft X--� ­_ft • * PROPOSED BUILDING AND USE : Existing building ( s ) Use - gi2��f_�Lew structure ft X � Er--., oundatio pier/slab/crawl/partial ul Proposed building , distance from property line (circle one) �. Front yard `p/ ft ft Rear yard ,/' No . of stories (habitable space) f * Side yards ,/ � -__ ft and . 4- ft Height ( grade to ridge ) ,/} ft . * If on corner , setback from side street ft If residential , no . of families No . of rooms ( excluding baths ) * OCCUPANCY INFORMATION No. of bedrooms a�._ � PRIMARY BUILDING - No . of bathrooms A One family dwelling Primary heating system + erc:o * Two family dwelling Type of fuel d6AQe_ Multiple dwelling / Number of units No . of fireplaces to be installed_ * Permanent occupancy will a wood stove be installed? [J Transient occupancy Central Air conditioning? Cam.- ___ * �Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Other her Ranch Contemporary Log cabin * If addition , what will use be? Ised rancchhh Mansion Duplex Split level Old style Bungalow Cape Cod Cottage Other '" ACCESSORY BUILDING- Colonial Row Town House * Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) * Attached garage/one car/ wo car car * * * * * * * * +r * * Private storage building ESTIMATED MARKET 'VALUE OF * Other CONSTRUCTION INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED ! Form SPA 4/86 and-vl 1 BUILDING PERMIT APPLICATION CONTINUED BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . {4/dpca G Will any second-hand or ungraded lumber be used? If so , for what? fy�p Foundation wall material �p e7'c __Thickness rr Depth of foundation below grade (to bottom of ffooting ) __ � r Will there be a cellar? �_, _Eeated or unheated? Azl r� -_ Floor sq. footage A:t ,�j s ft Will there be a basement? Will an - eo q y portion be used as living space? ( If so , what portion? -sq . ft . - - Type of use? a ,�f�/.,i a�dk -- � Type of roof - sloped lat/shed/other — Material o£ roof Size , wood stud "' if spacing "o . c . length ft . Joists ( floor beams) lst . floor "X_ �,_� spacing-l�/ span f,^ ft . Joists ( floor beams ) 2nd . floor " spacing "o . c . span . ft , t7verlays (ceiling beams ) "X spacing s acin '"o . c . span ft . Roof rafters _ "'x --' a '— -- p /.2" spacing�/',r o . c . span /o2z ft . Roof trusses rc-en aineerec spacing "qo . c . span ft . Exterior wall finish ft * Of what material ? V%VZ',.p 4' Interior wall finish If a garage is to be attached , describe materials to be used for FIRE SEPARATION : Is there to be an opening between garage and dwelling . If so will a Fire-rated door , enclosure , and self-closing device be provided? r�5 Will a flue-lined chimney be installed? �rQ' Height __ _Ve roof £t . Depth of chimney foundation below grade - - ft . Depth of firepla h ft . Water supply - Municipa or private well SEPTIC SYSTEM _ Di tance from ANY private well ( including adjoining properties „� -- ft , (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury I �! County of Warren A F F D A V I T STATE OF NEW YORK I swear that 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 r not , , and that such work is authorized by the owner . SWORN TO BEFORE ME THIS Signature eA- day of bier , owner ' sGa t , arcnitect, contra�ctor lg Notary Public , Warren County, N . Y . SPECIAL CONDITIONS OF THE PERMIT : By t 1 WARREN COUN `iY , NEW YORK A,ppi ica Lion for : BUILU � NG PElo,11T TN COMPLIANCE WITH TY. E NEW YORK STATE ENERGY CONSERVATION CODE A permit mist be c ,. ta _:-. • d before beginning work . F. :fSfv ZR. ALL of tt: e foiluwi119 : 0 c; S f l c <,) r area 1" yp 3 I s + ..low ka :ti ldi -iri niechani. call. y (AOO ed ? + ' sescr: r: F .� ge of .,- ;: ,� � cf windaw � and A . Over 16 % Only } ._- vala 7f gross area of wal ?. s , roof / ceili. rry and f1c orr. exlsrsse t.ts ambie �. t c. cxiiiitioxyxs �-- _ 2 _ Floc= r over heated pa .- CS t._7CE_��_.� NO _- 1 a . Ar _ foundation walls insulated ? CYS, �/ wC) : . rf 'YES , wha ?- i R val. rxe ; e� _ 3 . S i ab c, A 3� ad e YE :; a . 1 t y "S , what i :; Cham R value of insulation around pe .rim� ter of I Is basem ? nt: hF :: tr c3 ? 11:.5-� NO � a . :t value of insulationY 5 . Ty TA linden_ 16% Only It vaI7,Ae of roof r- ad fl- acvs expased to ambient conditions� r . R. vaof eater. i. car raal1. _ .._ 7 . R value of glazed rt . R value of doors __ 50 TK value of floors ever unheated spaces r 6 . tt value of slab enge . nSulata. un - unheated slab� 7 . F vaI1.1H f slab i. r: sul- at. ion - ht� at• ed slab i 8 R valk4e of heated basement / cellar walls ( above g .' ade ) -- t3 . ;t vj,t1. .fe of heat :"- d basement / cellar wails ( below grade ) _ pe of i. nsulati. o :x p- I malrimes. ltea * :: ett3. ac1 _._.. . 1 .� i :.> c3uc *: ys4tem :. G: :aUal ?. ec3 it -unheated a , ES0 a . i 'YES , rt vali c> Of duct installation b . it value of duct in other areas E . Fri a, ns I :, �� ularion Sig- u ` nor. wate - o .r r.. 00ting carrying agent g : pe is of Pipe l r, s c7 1 a t i o n I' r . > exvir- c Wat cal- Beat%terry I r £ ca1 1ce effic: i. E . rxcy ? . 3' emp +�6ra ¢. ure contxo '- .sc: tting znaximunt ___ I G . For Swirnmi. nzg Pool only r- , Maximum b e alga- r= g�-_..._._.`...___.._ .�-_...._.._.. 1. C-] n a. f:. ll.r e } I• I i I AP'PIACATION FOR SEPTIC DISPOSAL PERMIT DATE LOCATION OF PROPERTY FOR INSTALLATION ,L d / � / 'f' .4 .yi E /� oA?Aledt� Owner's Name : + e"_ ;.E ko-shaAelfkly Telephone: Address: s7o is a L. / S roA, '� y Instalker's Name: -, , Sne: afi �f.g r a h+ Telephone: Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) Topography: circle one Flat Rolling Steep Slope % of slope Soil Nature: circle one: Sand Loam Clay Other / Depth: feet Ground Water: At what depth? feet Bedrock or Impervious Material: At what depth? _ feet Percolation test: circle one: not required required / rate min. inch. Domestic water supply: circle one: Municipal Well Other IF domestic water supply* is a Weil: Separation: Watersupply from Septic absorption _ feet PROPOSED SYSTEM: Septic Tank " gal. (minimum size: 1 ,000 gal .) TILE FIELD: Each Trench .6 e2 feet / Total system length .2D ? feet SEEPAGE PIT(S) : Number of L''.7 { Size each feet by feet Size of stone to be used # .mot' / Depth or Thickness f feet IMPORTANT _._Plea9e...1AS7 NEW EQUIPMENT TO BE INSTALLED (over) 4 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, the fields and/or dryweils 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 Ord' ce. Signature of respo"ible person: Date: � — 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 TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVIIeAND ROADS QUEENSBURY, NEW YORK 12804- TELEPHONE ( 518 ) 792- 5832 BUILDING INSPECTOR' S REPORT REQUEST FORK INSPECTION RECEIVED !_.e�pf NAME LOCATION DATE �/ f PERMIT #E � .APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APROVAL ROUGH PLUM NG FRAMING ELECTRICAL ROUGH-IN INSULATION. � FOUNDATION FLOORS WALLS r CEILING 4�1NAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES STEPS STAIRS-CLEARANC & RAILS PLUMBING FXXTU ES/RELIEF VALVE INTERIOR TRIM PRIVACY DOORS FINISHED F S GARAGE FIRE OOFING DOOR CLOSER S) SMOKE DETE ORS FINAL ELECTR CAL INSPECTION FINAL APPROVAL OF CONSTRUCTION _ i11 4 A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIEDI REMARKS . _--� .r+ / INSP TOR TOWN OF QUEENSBURY ,1BUILDING AND CODES L7EPA14T14ENT + BAY & HAV'ILAND ROADS QUEENSBURYr NEW YORK 12804— /000 rye TELEPHONE (518 ) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED +''7~ �`,5� � cc._..1, o NAME LOCATION ,p Trr aW4 DA TE /r tom'` PERMIT # — APPROVED YES..' NO FOOTINGIPIERS ' MONOLITHIC POUR FORMS FOUNDATION/DAMP—PROOFING BACKFILL APPROVAL ,ROUGH PLUMBING FRAMING ELECTRICAL ,ROUGH—IN INSULATION: FOUNDATION FLOORS WALLS CEILING [�MAL INSPECTION : CHIMNEY HEIGHT r ROOFING y y SIDING EXTERNAL PORCHES/S EPS V STAIRS—CLEARANCE RAILS — PLUMBING FIXTURE RELIEF VAL ' .L . INTERIOR TRIM/P VACY DOORS 1r' i FINISHED FLOORS GARAGE FIREPR PING 1' DOOR CLOSER(S) E SMOKE DETECTO S io FINAL BLECTRIC L INSPECTION FINAL APPROVAL{ OF CONSTRUCTION A SIGNED CER IFICATE OF OCCUPANCY MUST BE OBTAINED FRO THE BUILDING DEPARTMENT BEFORE THESE PREMIS�SS ARE OCCUPIED1 REMARKSs I J' 7NSPECTO 100 See See MNWNWN � THE NEW YORK BOARD OF FIRE UNDERWRITERS i �Ax f{a22? BUREAU OF ELECTRICITY 41 STATE .STREET, ALBANY, NEW YORK 12207 1 Date IFEBRU' AIZI. 28 2 f 3BS APPlicatian .va. on file 0620'00W f89 rL 862630 THIS CERTIFIES THAT 7 lo�nly the electrical equipment as described below and introduced by the 5 applicant na"sed on the above application number in the prommises of V . K0514GAl�.IAN ST'VIKb1�I E LVU, C�4)�U 1+.0 -*1 in the founwing location; ❑ `Bosensent Ellet Fl. I I $nd Fl. 'Gmt Section Block Lot 03 5 was examined on Amy '�f� 1969 andjoand to be in compliance with the requirements of this Board. AxTURR PTACLES SWITCHES FIXTURES RANGES C7pdKINO CEC1t5 OVENS DISK WASHERS EXHAUST FANS OUTLETS INCANDESCENT MXXWSCENT OTHEn AMT. X. W. MAT. K. w, AMT. K.W. AMT. K. W. AMT. H. P. 9 21 9 DRYERS FURNACE MOTORS I PUTUM APPLIANCE P6SVERS ISMOAL NEVIPTI TIME GLOMS L UNIT HEATERS MULTI-OWLI pIMMass OIL H. P. GAS H. P. AMT. NO. A, W. G. AMT. AMP, AMT. AMPS TRANS. MAT. H. P. NO.SYSTEMSOF FEET AMT. WATTS SERVICE DISCONNECT NO.OF S E R V I C E AMr. AMP. Tort AI MlRs 1 II Rvr x snv s X aW s 0 •w No. aP CC. COND. A. W, G. No. oP "1490 A. w. a. NQ. OF NEUT"Ls A W, G. Pelt A Or cc. COND. or HI•LEG Or NEUTRAL 2DA C9 al I X 1 1 1 1 Alb f 210 OTHER APPARATUS: ]ELM AGOA NSATSRS ; I 0-2 . 5 K. 'W. l NJ- 2 . 5 Vt W. C-lea. WATER BEATERS . . 1 -4a $ K.V%L G . F . C -MVP �L RT.. 50 glw,LIST&J SOX, Nf, t 2620 BRANCH MANAGER Per i This certificate must not be altered in any manner; return to the office of The Board if incorrect. Inspectors may be identified by their c iois. - - —COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE JVIUST NOT BE ALTERED IN ANY MAN" _.�,. TOWN OF QUEENSBURY BUILDING AND CODES ,DEPARTMENT BAY & HAVILAND ROADS �� .yy QUEENSBURYr NEW YORK I280ar- TELEPHONE (5.18) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FO INSPECTION RECEIVED_ __;24 NAME L0CATXOIV J DATE f� Sj, PERMIT APPROVED YES NO FOOTINGIPIERS MONOLITHIC POUR FORMS FOUNDATIONIDAMP—PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL R UGH—IN INSULATION: FOUNDATION FLOORS WALLS CEILING INAL INSPECTION-- CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ST S STAIRS � PLUMBING .FIXTURES/ VALVE INTERIOR TRIMfPRrvAtY RS FINISHED FLOORS GARAGE FIREPROOF�WG DOOR CLOSERS) SMOKE DETECTOR FINAL ELECTRICA INSPECTION_ FINAL APPROVAL F CONSTRUCTION A ,SIGNED CER IFICATE OF OCCUPANCY MUST BE OBTAINED FRO THE BUILDING DEPARTMENT BEFORE THESE FREMIS S ARE OCCUPIED:' REMARKS: uAl 13 t r PE OR THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 41 STATE STREET, ALBANY, NEW YORK I2207 Elate OCTOBER 17 M 1980-- Application No. on file 01 1312/ 87 � 730511 THIS CERTIFIES THAT only the oloctrical equipment Mre MteeCrilled 6e&rw and sstrodyced by the appliClOnt aaerrsed on the Mboue Mrppll»CMZian number in the preassiees of GEORGE KpSUGARIAN? LOT 35 STEPHEN19 14ANEO LQUEENSBLIRY, NY inthefollowinglocation; © Basement ® letP1. ❑ Ynd Fl. GARAGE/OUTSIDE seer" 26 BloeO Lot 33 Boas examined on 9 / 7 /i3B and found to be in compliance with the requirements of this Board, F7tTURE MXTURES I RANG S ICOCWJNO DECKS I OVENS I DISHWASHERS I EXHAUST PANS OUTLETS EPTACLES SWITCHES IHCAMbd$CENT FuJONSCENT AMY. K. W. AMT. K. W. AMT. K.W. AA+T. K. W. AAM b 4 2 DRYERS FURNACE MOTORS FUTURE APPLIANCE MEORRS %FMALMOCIPTJ TWA OXMXS �, UNIT HEATERS MULTI-OUTLET pWUNERS AMT. r. W_ ou H. P. GAS H. P. AMT. HO. A. W. 0. AMT. AMP. AMT. AMrs. TRANS. AMT. H_ r. M ,�"s AMT. wAs75 SERVMCE Olr * NO, OP S E R V C E AMT. AMP. TYPE MSS 1 .Mr SW 1 .0 3W 3 0 3W 3 g 4W NO. O► CC. CONP. A. W. G. IW7, 4F A. W- G. Na. 8r NEIfTRA1S A. W. G. PFR !P 17P CC. C D- OF HI-LFG or HEUTRAl 200 Cb x 4 /0 1 2 / 0 OTHER APPARATUS: cUEUtZ'.G: ,I:05EtGAR.iA,*; /f RT 50 BRANCH MANAGER SPA , NY 12020 239 PRr This certificate must not be altered in any manner return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT 8E ALTERED IN ANY MANNER. tie _1O+w'� o ! 4% G NY eutu 7VNG and ZotRoa pE . vi{and Road, R.C . 1 Bo 9$ gaY and Ha York 12BO, C}ueensburY. New p I SPpSAL SY 5 C INSPEC-T I o" Sep-TIC r .�-.- � f r✓�' iypME 00 L,OCA'I ION PIEWI-T No r3A'TE 7lJf~ _ Clay �- -�- SGT� `TYPE � Sand - I,oa med? YES V percolation Test ReMI /Inch percolation rate TYPE of SYS`r� - toical len9 Ab xPt _on Held , ch w 6bc;OT.eng P of each tr De. of trenches Size of grave] ex �- ~ SEEE'RGE PT TS Et3umb �- t. X �� Size- _ sa--- T Gra+'el srye ize (fL p Ip 114G t,o, tank 81d�} • clist- be Tank to d o Paxt,ial pint. boas to f x ES �eninG3s wale - *rIGfi15 � t. j'OcNTT'Di3/S o .tan]c t . -Foundation to absorption Founaa{cra to lot 13ne f one7 RbsorPtio l,t6 S YS -=-�- rcle arat � of P cg pgOPE� t s1de I T-1 r it side R i g Front. SyS`S L3SE APPFD p YEWS 140 _ Inspector gui Ol/SE' End vl U ` Down of Queen 3l "ray BUILDING and ZONING DEPARTMENT Bay and Havifand Road, R.D. 1 Sox 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME / < LOCATION jle%ol /CCT Dates C 1'_._f r Permit No . APPROVED - YES NO Footing/Pier Forms Xleackfill oundation aterproofing Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext , Porches Finished Floors Interior Trim Stairs & Railin -- Cellar Drain Til Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Wails Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAT Final Building Survey ._ Next scheduled inspection (call when ready ) Remarks- fj I Building I Spector 6/86 and-vl f� own of Q"ven5i"ry BUILDING and ZONING DEPARTMENT Bay and Hawifand Road. R.D. i Box 98 aueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME le-(o LOCATIONS �G ,Gc �' Date [ { ,/ Permit No : � /�r ";a'5�11 * * se * +t tt iM w * k`*� f� it i * it * • at ie r APPROVED - YE ' NO ©ting/Pier Forms Foundation waterproofing Backfill Framing Roofing Siding Masonry veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Pibg . Fixtures Gar . Fireproofing_ _.. Door closers Smoke Detectors Chimney INSULATION : Foundation Floors walls ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL_ Final Building Survey _ Next scheduled inspection (call when ready Remarks- i L' t 1 Bull in Spector 6/86 and-vl ID OF BUILDING DEPT. COPYFILE APPLTHISI CATION FORM W TH BUILD kG DEPT ORK BRE[IUIRED IRE UNDERWRITERS.'T J EMP. ! DATE / !. WI '+ / COUNTY CITY OR TOWNSHIP VILLAGE NI bYrf- STREET AND NO. Oft ] A .5C T POLE NO. ROAD AND POLE NO. i.-. BETWEEN WHAT TWO SECTION i BLDCK LOT CROSS STREETS IS � �/� ;eS,�[ hQ I PREMISES OCATED7 BUILDING ,f" / 1 OCCUPANT'S OCCUPANCY ) NAME TEL. # OWNERS NAME AND ADDRESS - 7L FROM THEIR +' i ! r'/...�. OFFICE SUPPLIED C^ DEFECTS BY l--I WORK REMOVED ❑ BUILDING OLD 1� IS NEW ADDITIONAL ❑ IS NEW LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED BRANCH OFFICE USE No- of Fixvlrae A MOTORS HEATERS CIRCUIT'S ONLY NUMBER OF OUTLETS Lamp Resevaides Ltlm�i H.P. Watq No. AG-aWil�. IAISPECTION Side Atleah't Swhdh Pandenl Bnaekat No- TyPa Eeoh No' Each Coning Wall R•SSPF% Out- 61 Sub- bees Seer meal tat Ff. 2nd F1. 3rd Ft. DO NOT USE THIS SPACE. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: This aPPli"In n it intend to corer the abovaIlined liquip..lent to be inspected but if at time of i uv' IItion there n lic nd additional aquiPsnent not abora listed, you are authorized to make the m opselfcn and adjust the Ise to core. the add:ti--atequipment, as P lded 6y the applicant. TOTAL WATTS SIZE OF f�I'>!�� FEEDERS LAMPS MAINS EXPOSED GAS TUBE SIGN VA CHARACTER CONCEALED TRANSFORMERS OF OF WORK ;NUMBER) ICAPACITYI WORK TO BE COMPLETED SIZE OF SIGN STARTED SERVICE OVERHEAD UNDERG DUND MAKER OF 5lGN EMIL IL INSPECTION REQUESTED NEW OLO ON OR AS NEAR AS POSSIBLE "DID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES APPLiCATIO MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. -- ` PRINT NAME &ND ADDRESS �" SIGNATURE �• ►R^�"` .,. NAME OF �Y �' gr$' r +'� "`..^F APPLICANT APPLICANT TELEPHONE iMI' STREET ADDRESS + L+I`�—L LICENSE NO. CITY OR CODE off 4/ WHEN APPL ICASI POST OFFICE as EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING RECORD u. > F m t CI LIS J 3 O 4[ U "E D 3 w W lands of 4 W c IL W " RICHARDSON a � E > 0 N e w O ku C O d u d o S. 080 42" 30 w 100000 � J F O Y rL Q 0 « Q M LL O CJ o i u O Ilf w m 4 FIL co Oa O 4C cc W = O C[ o c PRC)PIc�5 Eb m O > ,,,� �. 'SE P T IC LI y U E dF = W >� i i x i 0 I T l"+ �E5 AT SO NOTES: 1. MAP REPERENCE+ " MAP OF A PROPOSED SU9O(VISION OF LANDS OF WALTER DOMMEN� . 9Y COULTER d MoCORMACKIDATED 0 SEPTEMBER 299 1990 ppyhpp9Eb IIRAGE VS E4 ) P%OaM HaysE. r 5' 15' fit E� +x Q 4 O co � Z N. 08011 2d'I E . I dd.dd STEPHANIE R d W gdl LANE CEATIFICJATK7MS SHALL RUN ONLY TO THE PERSONS FOR 'WHOM THE SURVEY IS PREPARED. AND ON THEIR BEHALF TO THE TITLE COMPANY. _ GOVERNMENTAL AGENCY AND LENDING INSTITUTION LkSTEO HEREON AND TO THE SUCCESSORS AND ASSIGNEE$ OF THE LENDING INSTI TUTION CERTIFICATIONS ARE NOT TRANSFERABLE TO ADDITIONAL INSTITUTIONS OR SUBSEOV£NT OWNERS THE CERTIFICATION OF THIS MAP AND SURVEY IS NOT SURVEY OF VALID UNLESS RI9NE0 AND SEALED WITH AN IMPRESSION SEAL, UNAUTHORIZED ALTERATION OR ADDITION TO THIS MAP OF A PROPOSED SUBDIVISION OF LANDS OF SURVEY MAP IS A VIOLATION OF SECTION 7209 121 OF A THE NEW YORK STATE EDUCATION LAW. ' [�i CO4NtY : o DAYE PROPOSED HOUSE LOCATION FOR TOWN OF QUEEN58l1RY WARREN , N .Y . ti t/2'3/i7 OEOROE KOSHOARtAN. m >t PROPOSED SEPTIC SYSTEM ADDED F6R II _ I DATE In r s/R /ST gEOROE NORNQARIAk. SrC•.A,L.E: I — 3d FEBRUARY 23t 1987 w �I PROPOSED IMPROVEMENT! ADDED FOR 4/�o✓aT QmomQE KORHYARIAN 'Nodaert e�nkn 3flacAndanr .l qppop0SEp IMPM UNTS AWED FOR 4/4 /OT OEOR OE %O$H OA RIAN 69CW"890 LAND &URYlYORALANO PLANNINi rtALLsxoN sPA--N[>rx xwnl—:saw i� « LID , NO. : $?- ROBERT J, MocFARLANE P. L. S. 44229 NC7. 3�_s m l + % 6 " PRESJURE. .2. "' x 10 P T. .TREATED DECKING FLOOR JOIST 4 " 4" P.T. POST CONCRETEfooTiNry THE CERTIFICATION OF THIS MAP IS NOT YYPICAL PORCH SECTIO VALID UNLESS SIGNED AND SEALED WITH AN FOR IMPRESSION SEAL, UNALLTHORIIED ALTERATION QR ADDITIONTO THIS SURVEY MAP IS A VIOLATION OF SECTION 7209 (2) OF GEORGE K OSH GAR I AN THE NEW YORK STATE EDUCATION LAW. N CDUN tw : C7 DATE TOWN OF QUEEN9BURY W ARRE N o NOY . nDAre SCALE; 3 " : l ' MAY 5 1907 Robert 11,nko MatNarlano usCEMSED LAND EURVZVOWwAND rL^MWM* r S LLSTO" vr*. w vow—Isom 19 a x W trc . $7 - ROSERT J . Mal: FARLANE P .L .S . 44229 Nam- $ I - S m GAILOR -ASSOCIATES . Engineers * Land Surveyors • Building and Landscape Designers 59 Franktiri Street; P© Box 1010 Saratoga Springs, New York 12S65 Telephone (518) 584-1300 FILECOPY August 28, 1987 Building Department Town of Queensbury, New York Re: Modular Hoare Construction Gentlemen: I have reviewed the plans for modular homes produced by Pploron Homes of Pennsylvania and inspected the installation of such modular horse units located at lots #33, #34 and #35 Stephanie Lane in the Town of Queensbury. The connections have been made according to the approver building plans and specifications. Please feel free to call this office should you have any questions. Sincerely, Ernest J. G P.E. J- oaf{ EJG/d me . 0 -�