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1989-145 r -r••r+.. ',.-,•�:n..s.- c-., ,;. .a.�,.s•a•'roc'���` .°•l +�s'1Pw'7R�"�+�7�!rsfT: ?';:"�YIFw![`'_•v^w„vr":ale:-a. -r . -.r.-� .era•..v' se�Eadia�z �W'�^i .c . n. CERTIFICATE +QF OCCUPANCY TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK Date December 20 , 19 90 • S " ��'This is to certify t work requested to be done as shown by Permit No, `" has been completed, This structure may be occupied as a ''ing l Family Ilwc 1] i nc3 LAocarion swee Hoacz Owner Kiao(, ha Co-ns - w.jjc-Lion & Fleet-way C4 3m t ruc-L±c>n By Order Town Board TOWN OF QUEENSSURY e r Director of Bldg. do Code Enforcement Dr BUILDING PERMIT y TOWN OF QUEENSBURY No. 89-145 WARREN COUNTY, NEW YORK 0 PERMISSION is hereby granted to ICn pka Cnnstruction &sway c� a rnr�t i nn I OWNER of property located at 27 Sw t ik R aci 'Street, Road or Ave, W r� 0 in the Town of Queensbury, To Construct or place a Si ng7 a T?ami l Nt Dwel i i xtrr 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 29C Sweet Road O Queensbury , N . Y _ 12804 2_ CONTRACTOR or BUILDEWS Name C Same W 3. CONTRACTOR or BUILbER 'S Address C� f: H Same C C "2 4, ARCHITECT'S Name R"+ tit tit 5_ ARCHITECT'S Address y 3c O 6_ TYPE of Construction — (Please indicate by X) " G: 1 ) Wood Frame I ) Masonry i } Steel ( ? C 7_ PLANS and Specifications F- No. 57 ' x 36 ' singlefamily dwelling as per plat plan , specifi tion 2 and appli.cation , including two car garage and septic . $, Proposed Use Single Family Dwelling er 25 . 00 c/o $ 7 () r; 0() PERMIT FEE PAID — THIS PERMIT EXPIRES Nn%rpmhPr i 79 149 (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0 town of Queensbury before the expiration date.) A Dated at the Town of Queensbury #h' Da of A ]rj l 19 R cl_._._ U. �1 W yt �G SIGNED BY for the Town of Queensbury M lawuIlding and ing Inspector M. r{ F+ ''" APPLICATTON FOR BUILDINC ANNOWND ZONINC PIsRMTT �~ Va•te- Sr- QcO ]�er..%ev ed •�� 50 OF QV y�--.�- Reviewed kEIV�38URY r Fee Paid Z34n ' APR 7ogq BUILDING AND CODES 61 J'AI T' IENT Date. Tdbued DAY and t111VXLAND ROADS RD l DOW 98 SLOG, & CODE KEPT. s UEENSOURY, NFir YOJ?K 12804 PeAnl i t No Tel . (518) 792-5832 Ext -204 . x • w • rt rrr rr i * x x * s x w x w r ,r IN 'Aar w w *• x + IN s • r IN r w A PERMIT MUST Uq OBTAINED BEFORE BEGINNING CONSTRUCTION NO INSPI:CTI + NS WILL BE MADE UNTIL APPLICANT HAS RECEIVED A 'VALID UUILDINC PERNiTT . All applicable spaces On this application must be completed and the � Pmature of the applicant must anPear on the reverse side of this sheet . oil he owner of this property is : y3am S' �� ' P . O . Address 5awh3az 4&0 LanZ6 T E L . Property location TAX MAP NO . �_/ � ' /�� etas there been any Split Of this property since October 1 . 1980 ?__� yes no if yes , Planning Board Review is necessary . SUBDIVISION NAME , IF APPLTCAnLE LOT NO . Tho person responsible for supervision of work as regards Building Codes is : NA PoO * ADDRESS TEL . NOo Name of .Builder A& m Address Tel Name of Plumber'a J�. X%ddress -- Tel NameofMason - * Address 'Tel SsGrt 47 5 °; to.%TURk Of•PRaposi D 6ORK : No ZONINC. IIVFORI`IATION ( otfice use anlu ) r0AZ; truCCiQ4rL of a naw building W ZONING DESIGNATION OF PROPERTY Addition to a builJing ` PERMITTED PRINCIPAL PERMITTED ACCESSORY �AlLuC"Cion to a building ' r � (no CkZLIr gu to exta: rior ckisnensiona) # REVIEW REQUIRED PLANNING BOARD ZONING BOARD OCtrer work (aascrilua } r SITE PLAN REVIEW # APPROVED RATE C ktOSS ARLA OL' LiROPOSI~ D `: 'L`1lUC 'L' ULtE VARIANCE #��� APPROVED ✓ DATE 1st Floor �fP e-? -7i e2sq ft . Remarks : 2 n d Floor s q, f i~ . ,. CO1.1P LLT4% . IF4PO1i4J'►` ION liL:QU I iCED LYS.LU61 . "" SIZQ of n y rolaurt Z coo Other Floors sq ft . rt 5C� c33 f ( nor. cellar or baseynent ) LaciitincJ L�uilaicw] ( ::} SiLa:� tr` fl' X� '( �( --fee r TOTAL F I.00R AREA �s� "� ' Ex"ttng loraiidincl ( s } Us.: ` `_.' iLa: of new ::true:Cura: + ? _ft X.�ft ' FoLwid«sc irow L.r31-)eCty ,line (circle one: ) � r Noo of stories (1►ublt%abla s•Ilaca ) ., z W Front yard Lcsc. ft Roar yard !64 _ft v Side yard:: 1 " ' f t and 1 al: �„_ �i t tl�ight (grade: to ridcyu } ft . # If on corner , �;c; r.bsclt .frarn side szr. ee fr. If rguiduntialj noo of families ,�� No . of rooms ( excluding bath:) (a ' OCCUPANCY 1NF012MhTICN Ito* of be:droosns , PRIMARY LLUiLDINQ +» Noe of bo;&0VrQOU% A � - -- #l'_._ ,� .+'oaa family dwelling Prim"ry bco:atilUrj :;ywta:ua 0:& k —Fal '1"wo fuu►Lly dwelling Tylk of fuel Kultiplo aw4lling / Number of units No. of fireLaacus to b" in :talled�, , i�eYsa:anectt eticculaar►cy Will :a wood ::I.Uva: be ixkuL:alludo? �.sn ~ I1"tansiusrz raLCLLtUafrLy Lunts:.l Air cocrctitivnincj- -' + � L3usinc:5s BUILDING ;TYLC, PRIMARY STRUCTURE ,. Iculuwtrial ussc Ce�nz.ae�rlx.r awry Lc+g cabin . Ocher if addition, wl'aut will uuu b4J? l+,.aisi:el ranch ri:ana�iurr Oui..l::x Siallt 4'A/a31 t71d �tYla' UujL4LJ.41QW No Co;LPaa Cod COLU"Q42 Or. twr ' AccassanY UUILOING- Coloni ►l UNOW `1'own House " U44cachad g4ruge3/one czar/ two car/..car I CIRCLe OHv PLEASE } '" Attached u"ragu/one Carl two c.;ar/ Cur • w w w s a u tt • . w rr x x x w * privcataD scorcaCje building L': .°' TI MA01%FhD F4ARKR. " V Ai. 0 E OF �.0 r•ha= r CON `i` LcUC'r IL.1N 1NFORHATTON ON AUILDINC SPrCIPTCATTONS , ON REVCRSk SIDE OF THIS SHG:ETO fro Be COMPLE'TL•'Ll ! Form DPA I0/88 V2 BUILDING PERMIT APPLICATION CONTINUED BUILDING SPECIFICARTIONS : Type of construction , fry fire safe, etc . Will any second-hand or ungraded lumber be used? If so, for what? Foundation wall material aLW816` Thickness 149mi' Depth of foundation below grade (to bottom of footing ) Will there be a cellar?Heated or unheated.? t,aw {LFloor sq. footage sq ft Will there be a basement? Will any portion be used as living space? ( If so , what portion? sq . ft . - - Type of uses? Type of roof - sl�fto flat/shed/other Material of roof # . Size , wood studs4� "X '" spacing��'"o . c . length �� ft . 3oists ( floar beams ) 1st , floor _"X `" spacing `s"o . c . span ft . .joists ( floor beams ) 2nd . floor --�"X�y_" spacing ! "o . c . span ft , Overlays (ceiling beams ) "x spacing "o . c . span ft . Roof rafters �. "}C _ _'y_" spacing .4,'1 r'o. c , span ft . Si�C- .y.R.�► Roof trusses (pre-engineered) spacing "o . c . span +} ft . Exterior wall finish _ .R � �� Of what material? Interior wall .finish If a garage is to be attached , describe materials to he 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? Will a flue-lined chimney be installed? Height above roof ft . Depth of chimney foundation below grade"& uft . Depth of fireplace hearth ft . in . Water supply - Municipa or private well SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties +yew . ft . (A separate application is necessary for any repair or new installation of septic system) D E C L A R A T I O N 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 :::i tq� _ ww�*�,�� Owner, owner's agent, architect,, '�ontrac r+r SPECIAL CONDITIONS OF THE PERMIT : BY___________________________________ ---WN OF UEENSI3URY APPLICATTON FOR BUILDING AND ZONTNC PERMIT RCC.4CV C�"I RevteulCd i Py Fee Paid WILDING AND CUDES U1 ,PART ,T-Mf Date Iaaued BAY and IIAVXLAJ1D ROADS R.D .I Box 93 PUEEjVSBVRY, NE[J YORK 12804 PL'.+'1RiaGt NO . Tc1 . ( 518) 792-S832 E'xc �2D4 .. .. . . w z * :* t<• a a. : * r r : r w . w . . a w . r x . . . w w . r . w A I' EimlT musrr Dq OBTAINED BEFORE BEGINNING CONSTRUCTION . NO INSPECTIONS WILL BE MADE UNTIL APPLICAMT HAS RECEIVED A VALID BL' IL.DINC PERMIT . All applicable spacers an this application inust be completed and the sivuaturc of the applicant dust appear on the reverse side of this sheet . w l '1' lse owner of this nroi3erty is : Nqa � Address C4�`-C. �S k.A x ?* " TEL * iroperty location -( .s (r TAX MAP No . -11 Etas there been any split of this property since October 1 , 1988 ? /, yes Iio if yes , Planning Board Review is necessary . SUBDIVISION NAME , IF' APPLICABLE LOT No . 'rhe person responsible for ::. upervislon of work as regards Building Codes is : NAML•' f P . O . ADDRESS TEL . NO . 14ame of builder ddress mmmmmpTel wame of Plumber t.'dc3ress Tel Name of Mason Address 'rel ItATURE OF PROPOSLD 6ORK : W ZONING INFORMATION ( office us .: On ,19 ) Con :itructiori of a aaw building ' ;CONING DESIC14ATION OF PROPERTY Addition to a buildinci ` PERMITTED PRINCIPAL PERMITTED ACCESSORY �Alt�r:ation to a building ' ( Ito C1 ..AIuj � to axc .: rior climen :: ionsl REVIEW REQUIRED - PLANNING BOARD ZONING BOARD Ocher work (..lancr'f.l.,)o) SITE PLAN REVIEW # APPROVED DATE i W LHOSS ARLA OL•' 1' RQPOSCD, STRUCTURE, W VARIANCC 9 APPROVED DATE �y `ist Floor Remarks �1� 1" � �2- s+q ft , „ . '? n d Floor l sq w Co1•tPr Lv "kC I,[Il-'0444h" ION lcl 15u I LtI D Lsl LL+41 . ' Siea of prOVu cty_.rU !c "74- -76 l t f t . Other Floors sq ft . + "i::t1ag 1�uii� li, «3 ( s ] Siva _cc ?i� rt - ( not Cellar ar b,�. s .:mancl TOTAL FLOOR AREA sq sq f t , IV Lxi:: cirl9 :' iza of new " ft ' �'cauard:ation-pier/ slat/craw arci;:.l all ' proposed builcsing , di::cancu Brous L, ral.;urcy line: (c ircl.s on - I Front yard fIc -� ` f c Roar yard ft NJ . of stories {14talfat:�bla ;,1�a4:e} r2 � Side yard:: I,� ` r t :anal � -Z' s C Ituighc ( Arad¢ t❑ ridq� ) C7 ft • . It on corner, ::e: tb:ack .from Side: strt.:Oc rro If rasiduaLial , no . of farflllla� Nom of room:; ( cxcludinrl b:athal # OCCUPANCY INFDf:MATICYV 17om, of budrooins PRIMARY DUILDINC wo Na , of b:ithraau4::MUNN Z__ � ono fan►ily dwelling s#rim:► ry I4uaci4l+j ::ya:s: .:u' -� Two i;am.ily dwullinu 'rypQ of fu..% l ( hultil41.s .lwelling / Number of units No . of f!ral1lacu:: to Lu inst.all :.:d 1 Lyam- aunt OCCNP:u4cy will :a wood ::L:OV43 U.: lrl:.it.+ llud? i O0 ; 'rransi.uut C�a:c4al3:arlS y+ contr:al Air Business BUILDING 4TYLE, PRI AftY STRUCTUIZE s Induutrial Ocher 1u44C — -------.y Li]r►L�311LLiGiwrr '� LGn C:.I�in If ;,,,d„Iitian , what will uz.;a L.:7 isuci rand Mansir.4l t]ul�It x e eI Old :; ty " Liyi4rj" low `:+Pu Cod CoLt;ago oclujr W ACCESSORY BUILDING Coloni.:.l ltow Towlr House ~ DatachQa gmLC1490/Ono cur/ two c+ac/ Car ( CIRC'L4 ONE PLEASE ] � MAttuChwa g:arEaqu/Dale Car/ two L'airf�c73i' w w r w w w �+ w • 'w w r ■ x s r r "' Priv:ace Storage building k: C` TTMATVD MARKr6i• VALUO OF ' OQh4= C INFORMATION ON DUiLOTNC SPECIFICATIONS , ON =VERSA: £IOr OF `f"S .r."VET, TO 13G COMPLI~`rLn ! Form BPA 10/98 v1 BUILDING PERMIT APPLICATION CONTINUED - �^ BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . kjjV0f7 will any second-hand or ungraded lumber be used? If so , for what? C7) Foundation wall material •' Thickness_ Depth of foundation below grade ( to bottom of footing ) � N . 4Q� _••. Will there be a cellar'? yd ZS Heated or unheated? YeP'loor sq. footage sq ft Will there be a basement?�( yO Will any portion be use as living space ? & i -y ( If so , what portion? Z."Z sq . ft . - - Type of use? Vby�\ 4L, 'r Type of roof - sloped/flat/shed/other Material of roof Size , wood studs 2 " X c=-+ spacing o . c . length � ftl Joists ( floor beams } lst . floor ? " X_'"a`_^ spacing_ i - " o . c , span ft . Joists ( floor beams ) 2nd . floor " X " spacing "o . c . span ft . Overlays ( ceiling beams ) "X IN spacing "o . c , span ft . Roof rafters " X spacinq O . C . span ft . Roof trusses ( pre-enginee e•u1 spacing 2�_" o . c . span C- ft . Exterior wall finis = y\A Of what material? Interior wall finish S> t-%S-s1 e fit- ,_ 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? ) tsf. Will a flue -lined chimney be installed?� Height above roof ft . Depth of chimney foundation below grade ft . Depth of fireplace hearth --ft . in . Water supply n RgiiYS i-cipal or private well SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties � _ ft . (A separate application is necessary for any repair or new installation of septic system) D E C L A R A T 1 0 N 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 compiled with, whether specified or not , and that such work is authorized by the owner. Signature 's x r s" Owner, owner's agent , arac itec contractor SPECIAL CONDITIONS OF THE PERMIT : F''y--............------- ■, TOWN OF QUEENSi1URY WAUREN COUNTY , NEW YORK Application for : BUILDING PERMIT IN COMPLIANCU WITH T11E NEW YORK 5TAT9 ENERGY CONSERVATION CODE. A permit must be obtained before beginning work . ANSWER ALL of the following : I Cross floor area.-- - TYpe o f hu " t 0 1, Lt►.%io �Inc ] , Is the building Mechanically 44 percentage of area of windows and doors \ '1 A . over 1G % On-1 1 . Uo u :, 3ue of gross area of walls , roof/ culling and floors exposed to auabient condirions � . Floor over heated spaces YES NO a . Are foundation walls insulated ? Yes NO 1 . If yes * what i. s the 1t value: ? 3 . Sl " U on grade YES NO a . If y2s , what is the It value of insulation around gJa: riuLuzi: r Of floor ? 4 . Is basement heated ? YES NO a . it values of insulation 5 . Typ of ln :; ulaCi. On B Urnder 16a. Only xi v , lu .: of roof and florly- s exposed to ambient conditions 2 . R value of exca: rior walls -3 . R values of gl :► ced aria 2 ' D 41 . 1t v .aluG of doors 5 . R value of floors over unhwa.ted dpacesz 6 . R valu4c of slab edge insulation -- unhdat4� d club _ ? . R value. of slab insulation - heated slab 1 0 . R value of heated basement ,/cellar walls, ( above '. cJr dal l7 za 9 . a value of heated basement/ cellar° walls { below g ude 10 . Type of insulation FtY�L� � ,L S5 ce Controls 1 . TIL " rmostat Maximum heat setting_ - D . Duct Systems_ `• 1 . . Is duct system installed in unheated spaces ? YE NO a . If YES . R value of duct installation b . ]t value of duct in ocher areas ' E . pilai. ncr Insulation 1 . Si :: u at hoc watdr 'or cooling carrying agent pipe 2 . a value of pipe insulation �' . �; ervic :: water !loathe [ 0 l 1' . r i Oru4.►l► a . . r s is idncy ,"'. 'N "stsapvratuzra: control " v; ccing Ul" X ]6wum G , For Swimming_ Pool Only Q �7 � Telephone Now `� ' `.r�.' 4 c�.�.� 1�L_5s � - � OF QUEENSBURY APPLICATION FOR, SEPTIC DISPOSAL PERMIT DATE rr•r,.._ ..,h• L..,_ "-�, . lQ.�l LOCATION OF PROPERTY FOR INSTALLATION Owner's Name:�� ,�.1 C.xw*siro n%^&& ' 'O • Telephone: �JQ � - qL Q Q Address:� gQ. e Installer's Name: Telephone*Telephone: -1 Number of bedrooms (residential only) 0:2�s 7 4t A«,=.,ma Total daily flow (compute (d 150 gal per bedroom) �-k'Sb Topography: Circle one: Flat ollin 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? rs� Feet Percolation test: Circle one: not required required rate min. inch. Domestic water supply: circle one: unici Well Other If domestic water supply is a wel : Separation: Water supply from septic absorption feet PROPOSED SYSTEM: Septic Tank_ 1 Cg�� gal. (minimum size: 10000 gal.) TILE FIELD : Each Trench feet/Total system length feet SEEPAGE PIT(S): Number of J size each -feet by feet Size of stone to be used # /Depth or Thickness r4) f feet I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance, SIGNATURE OF RESPONSIBLE PERSON: DATE: OVER Semitic Sxstenr 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 CO any water supply 5 . ) size and dimensions of all tanks , distribution boxes , Cile fields and /or drywalls B . No system shall be covered before inspection and approval by the Bu "ding Inspector . '' Failure CO 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 c oll-L; t r u c C ion . Town of Queensbury BUILDINC and CODES DEPARTMENT Bay and ,J-iaviland ]roads Queensbury , New York 12804 R�su.srk� : P y SELECT BUSINESS FORMS (609) 228-7775 APPLICATION FOR ELECTRICAL INSPECTION PLEASE. BEAR DOWN YOU ARE MAKING (4) COPIES MIDDLE DEPARTMENT INSPECTION AGENCY, INC. National Headquarters 900 Haddon Ave-, Collingswood, N.J- 08108 COMPLETESAPPLICANT e y Date : ' / : C r City, Town or Township � 4' �r , 1,-; �' G �r �' ` Count _. State X , ` Location/Address ( If Located in Rural Area Please"Attach Directions) Pole # Owner :i;�- FG' k &YA A 4 Permit �* —� �� Occupied As % 1 Building: New Old fl Occupant Work Area in Building Floor #, etc. ) : App. for: Wiring Service [] or: Ready for Inspection : Fee Remitted - $ Cash Q Check M.O. M Make Payable To : M.D. I.A. 500 750 1600 1250 1500 1750 200D 2250 2500 2750 300D Number of Rough Wiring Outlets Elect. Heat Switches S~ o[' Amp. Service Surface Unit Dishwasher , _Range Lighting cALy Z-- „� Water Heater Air Conditioner � +� Dryer Pump Receptacles Oven Garbage Disposal Wiring and Controls for Burner Number of 'Fixtures ,lO� Amp. Receptacles Fractional H.P_ Vent Fans Other Equipment: MOTORS H,P. 1/2 1/1 2 3 2 1110 1/8 1/6 1!4 1/3 1/ /4 1 1112 2 3 S 1V= 10 15 20 25 30 40 50 75 100 Mark Number of Each Size Applicant's r .... /' w/ License # Permit # Signature — T/A ` / Utility : NAME OFFICE L CATION ApplicantFs Phone #�� `e55 + �� (st te) + = (Zip) � `� y Service Request �* ti'�.r'c_ i ..,� (Cit r w } �. �/ Electrician : VIDIA USE ONLY DATE RECEIVED: DATE INSPECTED: Correct Location : Same as Above 0 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 R Vent Fans MOTORS H.P. 1!2'O 1/12 1/10 1/8 1!6 1!4 1/3 1/2 3/4 1 l �Ex 2 3 5 7�/x l0 15 20 25 30 AO 50 75 100 Mark Number of Each Size 11 Elect, Heat 5011 750 10D0 125D 1500 o 2250 2500 2 1750 20D750 :)!! CE iCAllO/lE JMX FOR IMITIAL. VIdIT OMLY NOTIFIED OATS T FEE PAIO RW Progress : Inc_ [] LKD Contractor (� CFT Violation : Work Comp. O Inc. CASH L/A Owner Fee CH K # QIPA Due Municipal IN # Applicant Date : Other Sided Utility Owner Cut in Card Q Temp # Date � ■ - # SSUIF DATE (LAMIl3DfY Y1 4,j 10 /89 PRODUCER THIS CERTIFICATE IS !SSUEO AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Hf7LDER 7HI5 CERTIFICATE DOES NOT AM ENO. ZC] 3SF;C7 J i €) = = F ' it i y { }1. EXTEND OR ALTER THE COVEAACE 4FFOPDED BY THE POLICIES BELOW. 1 TrATE ,T � --- COMPANIES AFFORDING COVERAGE INSURED $ if I ENE RA1.... H- C C l: Df.'_N`] f LU- ETWr�Y r0N`_+ TF:UC ..I_ lIJrl comF" N Y INC _ . C c') OCC 1 DENT D wI OUR HE'ES'J 7. LL_.E r4 v" 1 ` 1 £36 `� = ' 6ENE_R L ALL I PENT E 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 OF OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN- THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT "O ALL THE TERMS_ EXCLUSIONS. AND CONDI- TIONS OF SUCH POLICIES. L.."� TYPE ^�SURA^.CE 1 SIC ' "g"' ._ ._.. .. .--._ L rN THOUSANDS f GENERAL LIABILITY _.._ fr I `7 + . . S_ i_rq.ir i X ut1VMEq C.AL sE';c` _ a0;, - j $ $ 5 AUTOMOBILE LIABILITY EIh {_Yf_+-�'-.�,5 7 f_3 f;] ] J- ,? i ,$ I ,i 't38 123 • i..i 1 .r' `—'i .. - A•,Y X SCHEDU.ED AIJTCS c E%LESS LIABILITY f xCf_rc_r4_706 as T 12 / 4_31 / k - f $ 3 ' 1 ' 14 WORKERS COMPENSATION I _ - AND Jcl _ _ d I - EMPLOYERS LIABILITY Q OTHER DESCRIPTION OF OPERATIONS i LOCATIONS VEHICLES: aESTRIC`-OMS � = JOB LOCATION— 27 SWEET ROAD • s + OULD ANY O„ THE ABO) E •UFSCR'BED POLICIES BE CANCELLED BEFORE THE EX ATION DATE THEREOF . 7"E ISSUING. COMPANY WILL ENDEAVOR TO TOWN OF QUEE!'38E;URY L 1 t? DAYS LVRITTEN NOTICE "O THE CERTIFICATE HOLDER NAMED TO THE 011JEEiVI BURY TOWN OrF I CE Ftl, DIS7FJOHN T BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR RD # I — PAY ROAD BILITY OF ANY KIND UPON THE. COMPANY, ITS AGENTS OR REPRESENTATIVES. QUEENSBURY NY 1 282604 I ,£J � . �aESE>. u R Zt]hlC;RONE fir` `` TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS /�?f QUEENSBURY, NEW YORK 12804. '] I '7D / TELEPHONE (518) 792-5832 �` BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED "�-/� *r, G NAME &/Use- /�i� quit Gi LOCATION DATE r .x „ PERMIT # 7 ' fS ~ APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR RMS FOUNDATION/DAMP-P OOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN vt INSULATION: FOUNDATION FLOORS WALLS CEILING 0,�INAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL z S/STEPS STAIRS-CLE & RAILS PLUMBING ES/RELIEF LVE INTERIOR PRIVACY DCN3 FINISHED GARAGE FIRFING DOOR CLOS 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. ARFtIVE .^ .-U DEPA.Rm �a C4;04®r) XIAPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROAD$ QUEENSBURY, NEW YORK 1280& TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME IACATION ' DATE c� C� PERMIT c7y APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFSNG BACXPX" APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PARCHES TE STAIRS-CLEARANCE & RA-T f PLUMBING FIXTUR /RELIEF VALVE INTERIOR TRIM/P IVACY FINISHED FLOOR GARAGE FSREPR FING DOOR CLOSER ( SMOKE DETEC RS FINAL ELECTRI AL INSPECTION ' _FINAL APPROV OF CONSTRUCTI OX TO ISSUE /O OR C/C A SIGNED RTTFICATE OF OCCUP CY MUST BE OBTAINED ROM THE BUILDING DEPARTMENT BEFORE THESE P MISES ARE OCCUPIED.► REMARKS: eon C9 /4'tf�/' a� � (J � i �EI� ARRIVE {p DEPART... INSPEC R TOWN OF QUEENSBURY BUILDrNG AND CODES ,DEPARTMENT DAY & HAVILAND ROADS '2UErNSBURY, NEW YORE 1280$- � TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPMT / RAWEST FOR rNSPECTTON RECEIVED NAME LOCATroN DATE APPROVED YES NO FOOTrNG/PrERs MONOLrTH.TC POUR FORMS FOUNDATION/DAMP— OOFING r BAC"XZZ APPROVAL ROUGH PLUMBING FRAMrNG ELECTRICAL ROUGH—rNs rNSULATrON: FOUNDATION FLOORS WALLS CIs.I'LING ,k F?NAL INSPECTXoN: / CHIMNEY HErGHT ROOFTXG srarNG - EXTERNAL PORCHES/,ST s STAIRS CLEARANCE & RAXLS — PLUMBING FIXTURES RELIEF VALVE INI'E14rOR TRIMII ACi DOORS FINISHED FLOORS GARAGE FIREPROO rNG DOOR CLOSER (S) .SMOKE DETEC FrNAL ELECTRx INSPEC ON P-TNAL APPROVAL OF CONS T CTXON OK TO ISSUE O OR C/C A SIGNED CE TIFrCATE OF CUPANCY MUST BE OBTAINED F M THE BUrLD NG DEPARTMENT BEFORE THESE PRE rSES ARE OCCU rED! REMARK {( d� u r ( � ?-rrnlZ a t+1-► Yc�// /� �C/ f7—?D T-1Ae s APJzvZ 2-�:dd r PECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 41 STATE STREET, ALBANY, NEW YORK 112207 L'rL ' F '195 �{f i 3 ,. : ,,,, f- 1 .b1 rsj , Date dpplicatiara j'Vo. on ele r:s � . " - e , T1419 CERTIFIES THAT {] Only the electrical equiprrsent as described bola" and introduced by the applicant namwd an abousl ipplfrytsan n"r"ber im the prrensis" of FLr_ ErVA , {.,d: :; r i, ;.: r. rr rr,�. r �;r: _ r, r ; Lr. ;, in thefollawinA location; ❑ Basement lot Ft. Q Fnd Fl. It Section Block Lot eoaa examined an rIf' i 1i r and found to be in compliances .pith the requirements of this Board. FIXTURE ACLES SWITCHES FIXTURES OUTLETS RANGES COOKING DECKS GIVENS DISH (MASHERS EXFIAIJST FANS INCANOESCEWT FLUCN*SCENT OTNEn ,MAT. K. W. MAT, K- W, AMT. r DRYERS FURNACE A40TORS FUTURE AFFUANCE FEEDERS SFt?CFAL REC'1'T TIME CLOCKS �yy UNIT tsRATERS MLKTI-DUTIEI AMT. K. W. Oil H. P- OAS N- P. AMT. NO, A. W. G. MAT. MAP. MAT. AA1r5, TRANS, AMT. M. P. SYSTEJMS p1O, {� FEET AMT. WhttS 1 r 1 F } SERVICE DISCONNECT OF M S E R V t C M E AT. hA1r. TY/t RA�LUIr. I r sw a �Ir qw I Ai' aw s e aw NO. of Cc, oNo. NO. of Hi-LEG A Wa. FER 111,1 of CC. CONO. Or NI_lEG NO, OF NE47IRALS OF W.NEUTRAL _'�.ri OTHER AMARATUS: r BRANCH MANAGER Per-- } This certificate must not be uttered in any manner, return to the office of the Board if incorrect_ Inspectors may be identified by their credentials. J l COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT DAY & HAVII.AND ROADS QUEENSBURY. NEW YOR.K 2 28 O1� TELEPHONE (528) 792-58-32 f/ BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE PERMIT ,#.JE2?_�/ y` APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR ORIyS FOUNDATION/DAMP- OOFTNG BACKFILL APPROVAL ROUGH pWNBING FRAMING � E�LE' CTRICAL ROUGH-IN 4� , •s ULATION: FOUNDATION FLOORS �� 5' WALLS ti CEILING FINAL INSPECTION; N CHIMNEY HEIGHT ROOFING SIDING EXTERNAL. FORCHES/S pS STAIRS-CLEARANCE & RAiLS PLUMBING FIXTURES/ ELIEF VAL INTERIOR TRIM/PRI CY DOORS FINISHED FLOORS - GARAGE F'IREpROOFIG DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL ZVS- �PECT-TON FINAL APPROVAL OF 0ONSTRUCTION r A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE" BUILDING DEPARTMENT BEFORE TIJESE PREMISES ARE OCCUPIED! REMARKS: r1VSFECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVI.LAND ROADS QUEENSBURY, NEW YORK 12809. TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME DATE PERMST # , APPROVED ` YES 1 NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDAT-TON/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBIN FRAMING ELECTRICAL in -IN INSULATION: FOUNDATION f �- FLOORS WALLS CEILING F-TNAL INSPECTION: CHIMNEY HEIGHT ROOFING SIFTING EXTERNAL PORCHEI5JSTEP STAIRS- EARAN E & RAI PLUMBING CrFIX RES/BELIE VALVE INTERIOR TRI (PRIVACY D RS FINISHED F RS - — -— GARAGE FIRE ROOFING DOOR CLOSER S) SMOKE DETE TORS FINAL ELECTR CAL INSPECTION FINAL APPRO L OF CONSTRUCTION i A SIGNED CE TIFICATE OF OCCUPANCY MUST BE OBTAINE FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS INSP TOR TOWN OF QU.EBNSBURY BUILDING AND CODES DEPARTMENT r� BAY & HAVILAND ROADS /y- QUEENSBURY, NEW YORK 12609. TELEPHONE (5I8) 792-5832 BUILDING INSPECTOR ' S REPORT RE{1UE62' FOR INSPECTION RECEIVED NAME 0101 LOCATION DATE _...G ' �C I S 7 PERMIT APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR foRms FOUNDA TXONIDANP'PWOOFXVG BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN` INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL IN.S'PECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/}STEPS STAIRS-CLEARANCE!' & RAILS PLUMBING FIXTU S/RELIEF VALVE INTERIOR TRIM/ RIVACY DOORS FINISHED F2C7O S GARAGE FIRED OOFING DOOR CLOSER S) SMOKE DET RS FINAL ELECTR CAL INSPECTION FINAL APPRO AL OF CONSTRUCTION A SIGNED C RTIFICATE OF OCCUPANCY MUST BE OBTAINED F OM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIEDf REMARKS: W '- r jq INSPECTOR �ueen � 6eery BUILDING and ZONING DEPARTMENT Bay and Navifand Road, R.D. 1 Box 98 Queensbury. New York 12801 SEPTIC DISPOSAL ZYSTEM INSPECTION f NAME LOCAT I • ..... DATE / PERMIT NO. SOIL TYPE - Sand - Loam - C1. y _ Percolation Test ReCluired? Y1 Percolation rate - Min/In - NO~~ TYPE Of SYSTEM: Absorption field , totalength Length of each trench Depth of trench Size of gravel SEEPAGE PITS{N a of) Size- ft. X ft. L �- Gravel size Typ PIPING . �_ r Siz�"`" Bldg . to tank f -�-F -- - � _L+_--t Tank to list. I�iox S r Dist. be.x to eld/p Openings sea d? YEf % NO Partial LOCATION/S RATIONS : r Foundation o tank Foundation o � ft. Absorption to lot line eft . Separatio of f r' efts ft . Y OC'ATION YSTEM ON PROPER (circle one) Front - ar Left Side - Rig t side - C C KMEW . X SYSTEM USE APPROVE YES NO Bum ng Inspector 01/86 me v1 TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK I280$ TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED 41V NAME OCATTON DATE _ — �Sj PERMIT # APPROVED YES NO FOOTING/ ERS MONOLITHI POUR FORMS FOUNDATION DAMP—PROOFING BACKFILL ROVAL t000/ROUGH PLUMB G fi FRAMING ELECTRICAL R GH—IN ' INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL TNSPEC'TXON: "" CHIMNEY HEIGHT.' ROOFING SIDING EXTERNAL CHEST FPS STAIRS—CL RANCE & ILS PLUMBING IXTURES/ LIEF' VALVE INTERIOR TRIM/PRIVAC DOORS FINISHE FLOORS GARAGE IREPROOFING DOOR C SER (S) SMOKE ETECTORS FINAL E CTRICAL -,TNSPECT20 FINAL ,AP, R+OVAL OF CONSTRUCT.TON A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPXEDI REMARKS: INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT [� BAY & HAVILAND ROADS ( [ QUEENSBURY, NEW YORK 12809. ! TELEPHONE (518) 792-58.32 BUILDING INSPECTQR ' S REPORT REQUEST FOR INSPECTION RECEIVED - -�r NAME LOCATION DATE PERMIT # APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS Ir FOU.NDATZON/DAMP-PRq0FXNG BACKFTLL APPROVAL H PLUMBING RAMING ELECTRICAL ROUGH-IN r INSULATION: FOUNDATION e FLOORS WALLS CEILING FINAL INSPECTION., CHIMNEY HEIGHT ROOFING SIDING EXTERNit CHES STEPS STAIRSANC & RAILS PLUMBITU S/RELTEF VALVE INTERIM/ RIVACY DOORS FINISHO S GARAGER FING DOOR CJSMOKE RSFINAL EL L INSPECTION FINAL APOF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT ,BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12809. TELEPHONE (518) 792--5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPE TION RECEIVED S ^ 1 / _ NAME LOCATION DATE S - PERMIT ,# — — APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS J.,FOUNDATXONf DAMP—PROOF 1 NG f,, VACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—TN INSULATION: FOUNDATION FLOORS WALLS CEILING r FINAL IIVSPECTSON: CHIMNEY HETGHT ROOFING SIDING EXTERNAL PORCHES STEPS _ STAIRS—CLEARANC & RAILS PLUMBING FIXTU S/RELIEF VALVE INTERIOR TRIM/ RIVACY DOORS FSNXSHED FLOG GARAGE FIREPR FING DOOR CLOSERS SMOKE DETECTS FINAL ELECTRIC L INSPECTION FINAL APPROVAL {OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIEDI REMARKS: lie INSPECTOR TOWN OF QUEENSBURY BUrLDXNG AND CODES DEPARTMENT BAY & HAVXLAND ROADS f2 ..NS8URY, NEW YORX 1280j& TELEPHONE (518) 792-58.32 BUILDING INSPECTOR ' S REPORT REQUEST ,FOR XNSPECTXON RZCErVED NAME LOCATXON DATE APPROVED [/FOOTINGf 1b2ERS YES MONOLXTHIC POUR FORMS FO UNDA TIONIDAMP—PROOFING BAC.KFTLL APPROVAL ROUGH PLUMBING FRAMIIVG ELECTRXCAZ ROUGH—rN XNSULATXON: FOUNDA 27XOIV FLOORS WALLS CE1'LXNG FINAL XIVSpECTXON: CHXMNEY HEIGHT ROOFXNG SrDXNG EXTERNAL PORCH /.STEPS STArRS-CLEARA E & RAILS PLUMBING FXX RES/RELrEF VALV ° -- XNTERXOR TR /PRXVACY DOORS FINISHED F RS GARAGE FTR PROOFING DOOR CLO,S' (S) SMOKE DE T CTORS FINAL ELEFC ICAL .INSPECTXON FINAL APPR vAL OF CONSTRUCTrON J A SrGNED CE TrFXCATE OF OCCUPANCY / BE OBTAXNED FROM THE BUrLDrNG DEPARTMENT BEFORE THESE PREMXSES ARE OCCUpirED!. REMARKS= ���'s� ✓ TNSPECTOR ._.../owre v� �u�ens6ure� BUILDING and .ZONING DEPARTMENT Bay and Havifand Road, R. D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCATION DATE ! PERMIT NO. SOIL TY E - Sand - roam - Clay, Percolat ' on Test Required? YES - NO Percolatl n rate - Min/IncIV - s TYPE of SY EM: Absorption eld , total 1 ngth Length of ea trench Depth of tree es Size of gravel SEEPAGE t=S4N� er of) Size- + ft. X ft. Gravel size PIPING : "ize' Type Bldg . to tank Tank to dist . box -- Dist. box to field/ .... �T Openings sealed? Y S ) NO Partial LOCATION/SEPARATION ; Foundation to tank ft. Foundation to abso ption ft . Absorption to lot ine t , Separation of pit LOCATION OF SYS ON PROPERTY (c . cle one) Front - ear t side - Right side - CCMMEN/T}S . 7 ` SYSTEM USE APPROVED YES Suildin Inspector 01/86 and v1 -- — TOWN Of 0UEENS13URY f 1 Zoning inistrat r ° 6 Date Q _ o �' I �Q� rnal Q��t. 'i►r � �lts Co XPPROVED BY: SCALE' DRAWN BY RATE- REVISED DRAWING NUMBER J IT +{ I IT j4 y a • .. . . + 7 -'' ..� • ai. " ` TIT IT � . iTITIT, TIT fII #w u � 3b � zgp• 1 rti11 892 y� g o 8� ! :lgA.o ' �"'" �� - fir E n � L11 laa.o IT ` r� (� •9 Fvp fti, , aQ V LJ h r ti 13 /boa `Y l�.6G 8 q' Y ,. IMF attItIt IttIp {�, f 2$Q•0 kA.D L�r i + IT ..fT x F! 0fTTL AT VIV IT ITT�= .. �e ` 5 {1 Ijj/�/� 0 art: =j3 z i F . 4 - r )r t 20IT QaOo CS Z(, (aDa � ! - Lj # x !.« !V7 r t is io rn ' '' ;1 r, 1, (° 1 -y 07 _ i zal i e C 4 Q 7 7 j �} �h 114 V1 l 0 9 { `/ l 21, & DO G , ��� TT 1.IT _ zd _ �. .. o o ' 't 117 rF IT Sato i y� tt 2 .6 2 030+ RI 's. r000 � -