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1986-243 CERTIFICATE OF OCCUPANCY. " - TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK ' Date 19 _ This303 r- is to certifythat work requested to bb do L shown byPermit.No. 86-243 , .. a has been completed. This structure may be occupied as a One-Family Dwelling 111If Location Meadowbrook Road Owner` Star Homes, Inc. ..." - By Order Town Board " TOWN OF QUEENSBURY Building & Zoning Inspector I BUILDING PERMIT TOWN OF QUEENSBURY No. 86-243 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Star Homes, Inc. OWNER of property located at Meadowbrook Road Street, Road or Ave. in the Town of Queensbury,To Construct or place a One—Family Dwelling at the above location in accordance to application together with plot plans and other information hereto filed and w approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is 6 Sargent St. Glens Falls, New York H r) 2. CONTRACTOR or BUILDER'S Name same 3. CONTRACTOR or BUILDER'S Address same 4. ARCHITECT'S Name W 0 cr n 0 5. ARCHITECT'S Address 0 6. TYPE of Construction— (Please indicate by X) ( $Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications 45'x45' per plot plan, specifications and application submitted No. including two—car attached garage and sewage system. _ I 8. Proposed Use One—Family Dwelling 1-4 $5.00 u/u raid ro $ 129.00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 1 .19 86 r• (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the OR town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 19th Day of May 19 86 SIGNED BY // it a. ,a, s� for the Town of Queensbury Building and Zoning Inspector f j . TO BE COMPLETED BY :BLDG. DEPT. // Application No. , own of Queenurty Permit Issued 19 TOW OF QU ENS.81,1 BUILDING and ZONING DEPARTMENT Permit Expires 19 .. E C E. u lijj- ' Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation Queensbury, New York 12801 Variance No. • _ �r6, iP • Site Plan Review No. t�ih� v I�t L-`9.'�` � A.M. P.x r7.�3 V a P.M. Approved .by: ' ,718I911. 1�/1213I4I5�� APPLICATION FOR --�W� , �K) c:f ik. 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 Permit. The owner of this property is.: S'�er IP iid/9'11S ,:2-pNJC. P.O. Address ,cce (-3'5-£ I- S'f Tel. ? i'- A3 q3 Property Location: �f'i 7,U f rivd( &�{' Tax Map No.S�f/S / 7 Street number or building lot number , • Subdivision name (if applicable) • !N JI_ THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: �)_ i4 ff- .Sa, 1' -.S7`. e-./.01;I .993-' 11.E Name P.O. Address ' Tel. No. Name of builder S- tea_�yytrs Address ‘ Se2d-r2^w��T Tel. '13—pa q 3-�, 'c Name of plumber rtAnL Address Tel. Name of mason �14�• • Address ' ' ' ' ' ' Tel. NATURE OF PROPOSED WORK: * ZONING INFORMATION: Jonstruction of a new building * A�\LAN MUST BE PREPARED AND SUBMITTED, _Addition to a building '`sonably to scale and attached hereto, Alteration to a building early and distinctly all buildings, (no change to exterior dimens) \sting or proposed and indicate all Other work (describe) ' - \ensions from property lines. Give ember or lot number and indicate FOR DEMOLITION PEW or or corner lot. Show location LOCATION OF STRUCT, \ and location and configuration `al area. TON REQUIRED BELOW, & \�0-0 ft X /'j ft. . FP/f �t) \� Size ft X ft. PROPOSED BUILDING AND US, 6' fF, ( ',\\e . . .�/� Size of new structure ' S �'� 4 Foundation-pier/ lab, ! t distance from property line (circle one) j 'it %No. of stories (habitable spa ft Rear yard /��1 ft Height (grade to ridge) c ft and �� ft If residential, no. of families - corner, setback from side street ft No. of rooms(excluding baths) ' OCCUPANCY INFORMATION No. of bedrooms ' '_ ? _ * • No. of bathrooms * PRIMARY BUILDING - '� *• KOne family dwelling Primary heating system .7/c- rim e of fuel / * Two family dwelling 'p �1���/'rr_ *' Multiple dwelling / Number of units No. of fireplaces to be installed Will a wood stove be installed?9v a}p * Permanent occupancy Central Air conditioning? .A * Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch C ontemporary Log cabin * Other." Raised ranch Mansion Duplex * If addition, what will use be? ' Split level Old style Bungalow * Cape Cod Cottage Other * ACCESSORY BUILDING- Colonial ' Row Town House * " ireetachedgarage/one car/ tlfo car/ car ( CIRCLE ONE PLEASE ) * Attached garage/one car two car car * * * * * * * * * * * * * * * * * * • 'Private storage building ESTIMATED MARKET .VALUE OF * Other CONSTRUCTION $ * �•-01:-"`- INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BPA 4/86 and-vl . BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe,etc. Will any second-hand or ungraded lumber be used? If so, for what? GOO. Foundation wall material CO'4JC.If f±:c � � � Thickness / :tv t1 Depth of foundation below grade (to bottom of footing) Will there be a cellar? ✓/[)Heated or unheated? apj Floor sq. footage sq ft Will there be a basement? a)Q Will any portion be used as living space? Ajo (If so, what portion? sq.ft. - - Type f use? Type of roof - sloped/flat/ hed/other r 1Material. of roof O cpAat 1 Size, wood studs . 2 "X " spacing / "o.c, length cQ' ft. Joists(floor beams) 1st. floor "X /� " spacing /.E, "o.c. span /j ft. Joists (floor beams) 2nd. floor "X / ) " spacing / , "o.c. span ft. Overlays(ceiling beams) "X 6 " spacing "o.c. span ft. Roof rafters 6` "X 4> " spacing / o.c. span ft. Roof trusses(pre-engineered) s acing "o.c. span ft. Exterior wall finish (2 T2-, ( kiist,'c, Of what material? ?jAJ�Interior wall finish :fi/-11G`� _ - If a garage is to be attached, 9les9rAbe materials to be used for FIRE SEPARATION: 3//p. `1 Is there to be an opening between garage and dwelling? If so will a Fire-rated door, enclosure, and self-closing device be provided? S Will a flue-lined chimney be installed? /� Height abd've roof ,Q ft. Depth of chimney foundation below grade a ft. Depth of fireplace hearth ? ft. in. Water supply - Municipal or private well r1/76./n)/C+'j 7' SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties /00 ft. (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury AFFIDAVIT STATE OF NEW YORK County offWarren I swear that to the best of my knowledge and belief the statements contained in this application, together with the plans and specifications submitted, area 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. SWORN TO BEFORE ME THIS Signature ¢��Z_`_'L �" 1/ __ _71_ e !r 6: _���'' Owner, owner's agent,arcriitectjcontractor yday of pivY 19 4 Notary Public, Warren County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: By J T TO BE COMPLETED BY BLDG. DEPT. • / / �.] / Application No. TOWN OF QUEE\4sd.1, _lown of QueeniL4p y • Permit Issued 19 p (�i 'f j Y BUILDING and ZONING DEPARTMENT ,Permit Expires 19 L-� rII Bay and Haviland Road, R.D. 1 Box 98 ZoningDesi nation Designation Queensbury, New York 12801 .. :, Variance No. FEB 3_ 1988 Site Plan Review No. BUILDING $ CODE , DERr -- - Approved by:. J cZ sera, - ri•r APPLICATION FOR • -- - - - 1 6.04 Gfl • i • /2)cre . . p..D ,;,'7/*/ 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 Permit. The owner of this property is: S1 i}A - /`/®mac %LN C P.O. Address I Ib,.AAA 1 7e erA,e a Peer cd Wa r€J Tel. 793-8Z v1 Property Location: tn.CadAGU hrOok. /Q.pqcj Tax Map No. Sq' ./ 5 / Street number or building lot number Subdivision name (if applicable) Nfir THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: A. (Uornjo,& La.4i ,fir I *Ic(jrul rev tau herrn/4,0re, /)..PLe — 7C.1 - &a i13 Name P.O. Address Tel. No. Name of builder SA4r frtes,4 s 1.,,` Address ►chief J ?e,', c4 ht.ret404tJ Tel. 79 3- f 1 y 1 Name of plumber •' Address ' • t• Tel. It Name of mason I. Address •. Tel. •. • NATURE OF PROPOSED WORK: * . ZONING INFORMATION: . X 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 FOR DEMOLITION PERMIT, STATE SIZE AND ,. * whether interior or corner lot. Show location LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration * of septic disposal area. * *COMPLETE INFORMATION REQUIRED BELOW / 4.CrC of rA0 sox t®O • dlolilhzy.c * Size of property 2.00 ft X /7C ft. * Existing building(s) Size ft X ft. PROPOSED BUILDING AND USE: * NM * Existing building(s) Use iV,/ . Size of new structure S ft X 115 ft * • . Foundation-pier/:. , • partial/full * Proposed building, distance from property line . (circle one) * / 1.. i t No. of stories (habitable space) * Front yard C � ' — ft Rear yard /O a ft * Side yards 'gp'',r. ft and 1I0 s 1 ft Height (grade to ridge) Zy ft. * If on corner, setback from side street ft If residential, no. of families ./ No. of rooms(excluding baths) ig • * OCCUPANCY INFORMATION • No. of bedrooms .3 • * --- r/ -� No, of bathrooms Z t * PRIMARY BUILDING* )C One family dwelling Primary heating system CIEGl'rIL * Two family dwelling Type of fuelIC.GfiIC. * • ' Multiple dwelling / Number of units No. of fireplaces to be installed / Will a wood stove be installed? A * • Permanent occupancy Central Air conditioning? Na * Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE . *' Industrial " ' Ranch Contemporar * Other Log cabin . If addition, what will use be? Raised ranch Mansion Duplex * Split level Old style Bungalow * Cape Cod Cottage Other - * ACCESSORY BUILDING- • Colonial Row Town House '- •* • Detached garage/one car/ .t / car ( CIRCLE ONE PLEASE ) * "/Attached garage/one car/ two ca / car * * * * * * * * * * * * * * * * * * ' 'Private storage building ESTIMATED' MARKET VALUE OF *" Other CONSTRUCTION * ' INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form RPA 4/86 and-v]. . BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS:Type of construction, wood frame, fire safe,etc. U.0id //'at s 4 Will any second-hand or ungraded lumber be used? If so, for what? Alb Foundation wall material COvt trete $ /OcA Thickness /a) 1' Depth of foundation below grade (to bottom of footing) di' Will there be a cellar? itio Heated or heate Floor sq. footage sq ft Will there be a basement?.-/lap yin. any portion be used as living space? An • (If so, what portion? sq.ft. '- ` Type of use? Type of roof - sloped/flat/shed/other5[oped Material• of roof ac1Aa, S4,4 it; Size, wood studs ' 2 "X -/' " spacing /k, "o c. length' ?.., ft. Joists(floor beams) 1st. floor L'.' "X s'Z " spacing•Re "o.c. span /5 ft. . Joists (floor beams) 2nd. floor. 8.' "X /q " spacing /of "o.c. span ft. Overlays(ceiling beams) 2 "X (, " spacing t ."o.c. span ft. Roof rafters 2 "X 9 " spacing /1, o.c. span ft. Roof trusses(pre-engineered) spacing "o.c. span ' ft. • Exterior wall finish Cl o„ / /Lark if Of what material? AAA Interior wall finish .Ski4Airem( If a garage is to be attached, describe materials to be used for FIRE SEPARATION: V e" SL rock P;re .t ,( . . '7r"e X Is there to be an opening' between garage' and dwelling? V(_ If so will a Fire-rated door, enclosure, and self-closing device be. provided? y—p Will a flue-lined chimney be installed? yes Height abole roof Z ft. Depth of chimney foundation below grade Z. ft. Depth of fireplace hearth 3 ft. in. Water supply - Municipal or.private`well tit 61 N•CI�ld SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties /h p ft. (A separate application is necessary for any -repair 'or new installation of septic system) Town of Queensbury STATE OF NEW YORK County of Warren A F. F I D A V1/ I T 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 ion 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. - ;Sra` s SWORN TO BEFORE ME THIS - Signature 13 a-4'17-6 wof Owner, owner' agent,architect,contractor day of wok• 19 tir ... . • N ary ublic, Wa ren County, N.Y: . ' * * * * * * * * * * * * * * * * * .*' * .* *-:* *.. * _*' * ;k'•* * * * * * * * * * * * * * * * * * * C CONDITIONS OF THE PERMIT:• By TOWN OF 'QUEENSBUPY' • WARREN COUNTY, NEW YORK t ' 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 Oe) :Q<r i'l, . 2 . Type of heat ( :.(2 —n c- 3 . Is the building mechanically cooled? 4")° 4 . Percentage of area of windows and doors /1'1 /U A. aver 16% Only 1 . Uo value of gross area of walls, roof/ceiling and floo • . -xposed to ambient conditions / 2 .- Floor over - - ated spaces Alltlb NO a.• Are founda ',.n walls insulated? lizan. NO 1 . If YES, wh• - is the R ue? 3 . Slab on grade Vail 0 a. If YES , what is e R value . insulation around perimeter o loor? 4 . Is basem heated? YES NO • a. R - alue of insulation Type of insulation B. Under 16% Only 1 . R value of roof' and‘ floors J�xposed to ambient conditions 6„ 2 . R value of exterior walls /9-R-L.3 3 . R value of glazed area `J 4. R value of doors e J y, 7 5. ,R value of floors over unheated spaces ? (, -. • 6.- R value of slab edge insulation - unheated slab /_ 7;) 7. R value of slab insulation - heated slab 8. R value of heated basement/cellar walls (above grade)? /3 9 . R value of heated basement/cellar walls (below grade) ,^� 10. Type of insulation C�--<ja 7----� b���/CGSS � /�/ C. Controls d 1 . Thermostat maximum. heat setting ' !�(�v D. Duct Systems \ 1 . Is duct system installed in unheated spaces? YES NO a. If YES , R value of duct installation b. R value of duct in other areas . E . Piping Insulation / 1. Size of hot water or cooling carrying agent pipe 3 y 2 . R value of pipe insulation 2_ // 111 F. Service Water Heating 1 . Performance efficiency 2. Temperature control setting maximum /Y,S O G. For Swimming Pool Only 1. Maximum heating Telephone No. 2:1.3±,a4_3___ (_./.;;;;e2L (applicant ' s signature) 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 OQ /d ØL• 2 . Type of heat r(G 3 . Is the building mechanically cooled? 04, 4 . : Percentage of area of windows and doors /6. .z 7p A. Ove 16% Only 1. Uo value of gross area of walls, roof/ceiling an loors exp,,sed to ambient conditions 2 . Floor o -r heated spaces YES NO a. Are f• ndation walls insulated' YES NO 1. If S, what is the R v- e? 3 . Slab on grade YES N• . a. If YES, what ' s t - R value of insulation around perimeter of f -or? 4 . Is basement eated? ' ES NO a. R va da of insulatio 5. T .e of insulation B. Under 16% Only 1. R value of roof and floors exposed to ambient conditions • 2.si — - 2 . R value of exterior walls ' / 6 A 3 . R value of glazed area ` 3 4 . R value of doors R • �y. 1 5 . R value of floors over unheated spaces A. 6. R value of slab edge insulation - unheated slab A Ls 7 . R value of slab insulation - heated slab 8 . -R value of heated basement/cellar walls (above grade)g i 9 . R value of heated basement/cellar walls (below grade) 10 . Type of insulation t0s i P,betytats R , ,,, C. Controls Cad 1 . Thermostat maximum heat setting D D. Duct Systems 1. Is duct system installed in unheated spaces? YES . O a. If YES , R value of duct installation b. R value of duct in other areas E. Piping Insulation 1. Size of hot water or ' cooling carrying agent pipe 3V 2 . R value of pipe insulation. F. . Service Water Heating 1 . Performance efficiency 2. Temperature control setting maximum rig. G. _ For Swimming Pool Only T Maximum heating Telephone No. 7 3 EZrc (appl ' ant ' s signature) -awn °/ Queenilury APPLICATION FOR SEPTIC DISPOSAL PERMIT BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 DATE / • LOCATION OF PROPERTY FOR INSTALLATION /710, )/23/-24 GC�� OWNER' S NAME � �^ ���'. ' ADDRESS _c-N • N.1 TEL L .�9 -eck/3 INSTALLER' S NAME TEL Number of bedrooms (residential only) • Total daily flow(compute @ 150 gal per bedroom) . -00 . Topography: Flat ,- Rolling Steep slope - (circle one) % of slope_ _ay, • Soil nature: San. - Loam - Cla Other Depth ft. Ground' water -At what depth? ft. • Bed-rock or impervious material , - At what depth? . . ft. Percolation 'test - Not required, -. Required - -Rate min-inch. Domestic water supply Municipal.] Well - Other Separation .- Watersupply(if well) from Septic absorption - gip ft. Proposed System: Septic tank 7 '') gal. ( Minimun size, 1000 gal. ) Tile Field - Each trench ft. Total system legnth ' '36d ft. • Seepage pit(s) Number of" — . Size each - ft X ft . Size of stone to be used # Depth or thickness . / ft. IMPORTANT! '. On- a separate piece of paper, submit a diagram of- the proposed system with all dimensions shown; including distance from .any structure , distance from property' lines and from ANY DOMESTIC WATER SUPPLY or • • shore-line of lake, streain,pond or • wet-lands . Include all dimensions of • the system, itself. * * * * * * * * * * * * * * * * * * * * * * * * * * * •* * * * * * * * * * I have read the regulations 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 ofresponsible person 1 / . g p p rir�� . Z`�'�C`/ Date 11/ J v 05/86 and/vl • 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. • wit 0 OW014111 APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE �f it nary 3 /_aft LOCATION OF PROPERTY FOR INSTALLATION AAA tiO 4,64,6/c ate^e) Owner's Name: SPgr► i'{ol�t1. D�„L Telephone: 7 S — T L N 3 AN'dwo.J re,,*c.t Address: yor f Ec(ware / ivy / L12,.cr Installer's Name: SOwhA Telephone: Number of bedrooms (residential only) _ 3 . Total daily flow (compute @ 150 gal per bedroom) ys Topography: circle one: Flat •lling Steep Slope % of slope 25 Soil Nature: circle one: Sand Loam ClZ1 Other / Depth: feet Ground Water: At .what depth? 5 feet Bedrock or Impervious Material: At what depth? _ feet Percolation test: circle one: not require. required /rate min. inch. Domestic water supply: circle one:�lunpal Well Other IF domestic water supply is a Well: ici Separation: Watersupply from Septic absorption feet PROPOSED SYSTEM: Septic Tank / 0 00 gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench S 0 feet / Total system length ' O a feet SEEPAGE PIT(S): Number of / Size each feet by feet - Size of stone to be used # L / Depth or Thickness 2 ' 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: (.2 .,e_ye_yi �� f% Date: fill nu,dy a 019 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 BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS. ' FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. 'TEMP.# DATE CITY OR ' • VILLAGE ! \ TOWNSHIP COUNTY >(�i' /7- i STREET AND NO.OR ROAD AND POLE NO. POLE NO. BETWEEN WHAT TWO i CROS STREETS IS \� I. I i.�; - `-. PREMISES LOCATED? _.(Ye ! L-',i i R..._r C"..;k( SECTION BLOCK LOT BUILDING ' NAME ANT'S ` //,_ -V OCCUPANCY OWNER'S AND ADDRESS S^( I - !1 t,�EL.# i .i, 3 ) <. r 3 CURRENT r�rl /'.' (J 9Y! C �'"t--J�_ ,f f.<'j--Y> .r ! If i,' f .� �C SUPPLIED 1 l ! BY ;�(�i rP1 FROM THEIR �� '��� /-�;t //1 OFFICE ' BUILDING _ WORK `, DEFECTS IS NEW El OLD El IS NEW ❑ ADDITIONAL❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED . .NUMBER OF OUTLETS No.of Fixtures& BRANCH i Lamp Receptacles MOTORS HEATERS CIRCUITS OFFICE USE Loca- - ONLY tion Side Attaeh't H.P. Watts A.W.G. . Ceding Wall Recep'Is Switch, Pendant Bracket No. Type Eaeh No. Each No. Gauge INSPECTION Out- side Sub- base Base- , ment 1st Fl. 2nd Fl. 3rd Fl. . REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. 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 ELECTRIC SIGN TOTAL MAINS .Z.,: (-) /7/;�f i- FEEDERS LAMPS WATTS CHARACTER 1 ! EXPOSED GAS TUBE SIGN OF WORK j r 1 ) CONCEALED TRANSFORMERS OF VA WORK TO BE . , �- (NUMBER) (CAPACITY) STARTED 7/,.2 `('(i. / -A COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROU _ MAKER ENTERS OF SIGN BUILDING INSPECTION REQUESTED - ON OR AS NEAR AS POSSIBLE NEW n OLD 0 - . AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION PRINT NAME AND DDRESS/ .--� i' p � :% NAME OF �i _ SIGNATURE J•;"' . APPLICANT— f /rrr/ /77-3 1/ ) ,�L-� - X OF APPLICA %/ / �l/ � fir. ; .. jir.. ."-i— STREET ADDRESS / / /; ( -r_', f f l/e"• TELEPHONE# / f J - CITY OR �7/ r'/ -`. ZIP LICENSE NO. POST OFFICE r/ / !r. .eIr�% .ii/ CODE `--",lr�.., WHEN APPLICABLE 46 EL (REV. I/66) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING BUILDING DEPT.COPYOF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. TEMPr1 T 1 j ; 7---rAc L.((-2 (_. .,# ). ?) DATE r 41.. CITY OR VILLAGE ' �'r TOWNSHIP COUNTY ,L �: STREET AND NO.OR i'\ / y ROAD AND POLE NO. 1 !��(%f -(��'t 1.jsOi /.'s f--- POLE NO. BETWEEN WHAT TWO 1 CROSS STREETS IS �J PREMISES LOCATED? t>>i (0 \i rig (l C.1 r !0,1 ..) SECTION _, f BLOCK LOT • OCCUPANT'S y n (if �/f �) "� BUILDING // /�-- / NAME (l f` 7�l 7,47:f i'c .. /i k. OCCUPANCY ` ) , ,t_)f /.S /` ii+_,, l I J OWNER'S NAME / F V _ J AND ADDRESS [f v r►mc(„_�- 0 In., TEL.# ,/.3 -J e./.. CURRENT b1 / t BYSUPPLIED f\ / Il ,1/f� . FROM THEIR 6 /!/li ( (p Vcs OFFICE BUILDING / On WORK - `J '�{{�� DEFECTS IS NEW ZR- OLD❑ IS NEW L�� ADDITIONAL❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No.NUMBER OF OUTLETSof Fixtures MOTORS •HEATERS BRANCH LampReceptacles • CIRCUITS OFFICE USE Loca- ONLY lion Side Attach't H.P. Watts A.W.G. Ceiling Wall Flews Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION Out- side - • Sub- base • Base- . - ment 1st Fl. • - 2nd Fl. 3rd Fl. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. • 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 ELECTRIC SIGN TOTAL MAINS __J(-)r ^/ ,l-i-f=-9 FEEDERS LAMPS WATTS CHARACTER - _PfPOSE�T> GAS TUBE SIGN OF WORK , '0,/�{) 6j,,,�( 7/r /{ r tj L' EALED TRANSFORMERS OF VA WORK TO BE (NUMBER) (CAPACITY) STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD " UNDERGROUND MAKER ENTERS BUILDING - OF SIGN INSPECTION REQUESTED ON OR AS NEAR AS POSSIBLE NEW El OLD El AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES • DATE OF - " f MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION." /" J / � PRINT NAME DRESS SIGNATURE �j f'!' ✓ NAME OF OF APPLICANT, ?'i`�%. °�`��"� �' ��'APPLICANT f.{tl ��t'1(,r' / �" STREET ADDRESS TELEPHONE# / t( r CITY OR ZIP LICENSE NO. ��- -"' ' _ POST OFFICE -c i ..-- , / -L= CODE /"-J-("(i )/ WHEN APPLICABLE ,(� V'n"-' I.,,TION MU'T BE FILED FO EACH SEPARATE BUILDING �- _w - TOWN OF QUEENSBURY 531 BAY ROAD `•. QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION ECEIVED NAME - r e LOCATION • DATE 3 PERMITO• TYPE OF STRUCTURE 5,0:) RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL N/A f YES NO CHIMNEY HEIGHT/LOCATION 1 B VENT/LOCATION i� 1 PLUMBING VENT g, ROOFING I SIDING it / DECK/PORCH/STEPS/RAILINGS ;4 / RELIEF VALVES 1 y FURNACE/HOT WATER OPERATING li BASEMENT INSULATION/DUCTWORK A INTERIOR TRIM/PRIVACY DOORS / ‘ FINISH FLOORS: / BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS HANDICAPPED ACCESS f SMOKE DETECTORS BATHROOM FANS/WHOLEHOUSE • FNs ALL PLUMBING FIXTURES OPE ((((ATING GARAGE FIRE PROOFING - DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE WALLS DUMPSTER SITE PLAN/VARIANCE REQUIREMENTS FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMMENTS: / 7,Z7f ( Jih 9�✓� v fr G 744 ARRIVE irev /17) DEPART 0' � IN CTO - : -�� /own o/ Queenil urn BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME7 � LOCATION 4, aye...0 t_ e_ev4._ Date///;2!�/ / �/ Permit No. �f —�LfJ * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing ' B,�aackfill beraming Odc' Roofing Siding Masonry Veneer 1 Lugh Plumbing Relief Valves Ext. Porches Finished Floors f 5, Interior Trim Stairs & Railings I \ Cellar Drain Tile 1 Concrete Floors • Plbg. Fixtures Y °� 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- 64/ 73 Building Inspector 6/86 and-vl awn of Queenibur4 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT . NAME <' / : %2 LOCAT ION • Date/0/2/ /,If' Permit No. pp ✓ = APPROVED ,'t1E�S _�/ NO Footing/ ms r-p, x �4k � 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 Plbg. 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- ile/Le 1/71 G44i Building ,Inspector 6/86 md-vl Jown of Queeniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME Zrt. 1-4r13T9-- LOCATION )1167-t-re_00-,3 ?317..__ Date hyt / (} Permit No. D U a LI-3 * * * * * *. * * * * * * * * * * * * * * * * APPROVED - YES / NO Footing/PierFo� Forms vFoundation if U4aterproofing i� L516Ckfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & RailingsY\\\."----NN'-' , Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - (:--.7 rOHL147. Ae use_ Adf � .14-iy6 Building Inspector 6/86 and-vl 3f°6 • TOWN OF QUEENSBURY Building Department • Inspectors Report Date S' , Name 6774-Ia b ii Location ,,/ept) r6„ H_ Permit No. ?6- Li-3 Weather Remarks Excafta ti on Footing Forms Footing & Piers j„,// —©r f�' Foundation f �` Cement Coat Waterproofing Backfill Final Survey • Framing • Sheathing Roof Felt • Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches Finished Floor 1\7/\:/\:\ Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation • Foundation • Walls Ceiling 1 ' J _" Building Inspector REMARKS L.Ao.ros a% Go,ap-, .J4f 5-47-'08-'30-'E--► 3/2.00' -....,,,,O x -cen‘CI car, ���I\a , di 36' /,Q� Q '�4 S O /35.0 — — — __a.., A 3 W N is A �� „r o \ V ` \ f:ii r p y AREA=O.70/ AC. f w` —\ . '_ I (TO CEA/TER OF ROAD) • 16 O , REMtain)t n7C� Lp..., .- . M� 'PiP-------1 4 \ 0 -c),-. \, , lg. --\ ‘c, -, ..-8 1.--- i zob...461. (;) L • , .�� N-45`/6'00"l?/ T 23736' -1 �'QS I y= ,..._.) I la) --4_ 1 . . ., To \ c..., \ k . . . ' . /AN.. •. ---P.T LD...,ny ocr. .cor _ _ _ MAP of /ands to be conveyed from ARTHUR LAMB situate in /RF= /RON ROD FOUND , TOWN of QUEENSBURY, WARREN COUNTY, N.Y. /RS= , SET o SCALE.. _I"_.0' APR/L /5,/986 ��z %8� C SURVEY& MAP BY WAYNE R. RAYMOND LICENSED LAND SURVEYOR GLENS FALLS& WEVERTOWN,N.Y.