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+CERTIFI+CATt OF-r COMPLIANCE
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TOWN OF QUEENSSURY
WARREN COUNTY, NEW YORK
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Am February 8 � y 30
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This is to certify that work requested to be done as shown by Permit No. 89- 445
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has been completed.
This structure may be occupied as a
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T Nation
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Owner Wnrhi � [`l+�arhaari nnnrc - -_
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By Order Town Board
TOWN OF QUEENSBURY
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Director of Bldg. do Code Enforcement
BUILDING PERMIT
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TOWN OF QUEENSBURY No. 89- 445
WARREN COUNTY, NEW YOiRK �
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PERMISSION is hereby granted to Wi nrhf R nverhpad Donrs
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OWNER of property located at 3 Sweat Road Street, Road or Ave-
in the Town of Queensbury, To Construct or place a
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
t. C wNE R'S Address is
Same
2. CONTRACTOR or BUILDER'S Name r
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Hilltop Construction Of Glens Falls , Inc .
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3, CONTRACTOR or BUILDER'S Address �
RD# 1 Box 576
Glens Falls , N . Y . 12801 c
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4. ARCHITECT'S Name e
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5. ARCHITECT'S Address
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6. TYPE of Construction — (Please indicate by X)
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f ) Wood 'Frame ( } Masonry I Steel S ) —
a
7. PLANS and Specifications 3
C
No. 6 ' x 6 ' interior alterations as per application .
a. Proposed Use
Interior Alterations ( Bathroom )
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F
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$14 00 c/c only PERMIT FEE PAID — THIS PERMIT EXPIRES January 1 19 89 c
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.) 7
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Dated at the Town of Queensbury this 15th Day of June 19 89
SIGNED BY ~� for the Town of Queensbury
Bu ild ing and ZP46 mni ng Inspector +"
TOWN OF QLIEENS731JRY APPI. ICATTON FOR BUILDING AND ZONING PERMIT
Fec.i eve f TQW QQJEENSBRY
Rev ' d '" F QI U
f�ECEI1/ED
P
J€iN Y 4989
Fee Faid 14 C
WILDING AND CODES MPARTPtENT pate 7.6.6Ued BLDQ. & CODE DEPT.
BAY and J1AVX.LANQ ROADS RA I BOX 98
OUEEN.SBUR Y, NEIe YORK 12804 PeAmi t No . ':>--q� I _
Tel . (528 ) 792-5832 Ext -204
a a f r • a fw a I f f a f • a r a a f a a a ■ ■ • ■ a f x ■ ■ a f a • rs w
A i' 1;RkuT MUs'C Bq OBTAINED BEFORE BEGINNING CONSTRUCTION . NO INSP E+C'rIONS
- WILL BE MADE UNTIL APPLICANT [ [AS RECEIVED A VALID BUILDINC PERMIT .
All applicabl, c spaces on this application must be completed and the
sivuature of the uppiicant must appear on the reverse side of this sheet .
* * * * * * * * * ,* It rk
`i' he owner of this property �i} s : �_l� / Ai�L'
. O . Address a lCIJ� , d1 d.._ _._ TEL
U TAX MAP `
t' +e
NO +
Property location _
Has there been any split of this property since October 11 19087
yes no
If yes , planning Board Review is necessary . '
SUBDIVISION NAME , IF APPLICALILE LOT NO .
'i' lie Person responsible for supervision of work ..;as; ,regards Building Codes is :
P _ O . ADDRESS TEL. . .:NO .
NAM '
Tel
Name of builder _ Address
Tel
[Same of Plumber T.ddress
Q' '- -- Tel
Name of R ason Address
i4ATURE OF PROPOSED 4rClRK : I + ZONING INI'ORHATION ( UF-riae use only )
ronatructialk of a now building W ,'BONING DESIGNATION OF PROPERTY
Addition to a building It PERMITTED PRINCIPAL PERMITTER ACCESSORY
�A1ta: r:ation to a L.uilding '
(sko ci►.tnqL.: to ext,.! riot climensi-ons) • REVIEW REQUIRED — PLANNING BOARD ZONING DOARI]
Duster work Wancriho) SITE PLAN REVIEW # APPROVED HATE
}
L kOSS AREA OI' PLZOI' OSL' L), :; '11tUt 'Piliti: " VARIANCE M APPROVED DATE
• R�ema rks
1st Floor sq ft . „
2nd Floor sq ft . r C014VLU"Le . 1VVQ11MATLW I(EQUIRLD ILL:"44 .
' (size of props rty ft X ft .
[7tlticr Floors sq Et . Lxi::Liny buil+3ina] ( :+) 5i�e f � ?[ [` t .
( not cellar or basement ) #
'DOTAL FLOOR AREA sq ft . ' Existing ouilding (aa ) Uyas
,` izo of new structure /�+ ft X ft
l`oa=+ed:ation-pier/ slab/crawl/Partial/ full ' Prapo=%cd building , distance from l+ru1out' ty line
(cifclu one ( ■ FronC yard ft Roar yard ft
NJ . of stories (ltabit:.ahlax space ) � Side ytardu ft and ft
ll.aighc (grade to ridgel fL • if on corn.:+ , r:d, r2x;ack frowa side sLrudat ft
if ranidantiai , no . of AVfaiuilius OCCUP/#lVU" 1h1F01',MA71[]ld
No . of rootn:slexcluding b"ths ) „ '
No . of budrooms ;- PRIMARY DUIEDING _
Now of batitroolet:; Ono fwally dwelling
I'i-ill" ry ltuatilkq sy ::t.-w Two family dwulliny
ryl�,: u£ fuel MultI1410 Number of units
Now of flruplaca::: to b%z irrstalludf Partaancnc occ:up"Skcy
Will :a Wood ::tOVQ b.: init:allasd? •L•ranufunt d�c:cupaney
C"OLr:al hit cor>ulitiunactg:'
* �_i3usincss
OUILDING STYLE, PRIMARY STRUCTURE „ Industrial
Ocher
lc..utah conc. st%por.ary L.r.■_s cabin If :additirsns wilut will "wk4 be?
te..aiUi;:d ranch M:anaid..et L]ulsle x
:Jpli.t level Old style UU4%aa.alow
d_.Apu Cod CoLtaejo.: tlwr W ACCESSORY UUILDING—
coieani:al 1ww 'rowtl (louses LxrsCaCl�dd y triagQ/ono Czar/ two Car Car
Cis t`
I CIRCLE0"9 PLEASro 1 " ACLuched d�;trad2a:/d]Ila3 Carl two Cur/
w • a ■ a ■ IN r . a ■ a a a J%riv acaz storage building
I: .r. TI MATED _MARK1701' VALUE OF ■ �rOther
INVORFIATION ON BUILDING SPECIFICATIONS . ON REVERSE: slot: OF TUTS sfILWre "LSO BE COMPLC"I'i:Dl
Form DPA 10/80 V1
I3UILDINC; PERMIT APPLICATION CONTINUED
WILDING SPECIFICATIONS :
Type of construction , wood frame , fire safe , etc .
Will any secpnd-hand or ungraded lumber be used? If so�what? n0
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Foundation wall material Thickness
Depth of foundation below grade ( to bottom of+^footing )
Will there be a cellar ? Heated or unheated? Floor sq . footage sq ft
Will there he a basement? Will any portion be used as living space?
( If so , what portion? sq . ft . - - Type of use?
Type of roof - sloped/flat/shed/other Material of roof
Size , wood studs-,' X ._._'" spacing '"o . c . length ft . . 11
Joists ( floor beams ) 1st . floor " X it spacing "'o . c . span ft .
Joistsffloor beams ) ' 2nd . floor " X " spacing "o . c . span ft .
Overlays ( ceiling beams ) "X " spacing "o . cv span ft _
Roof rafters "X It
spacing O . C . span ft ,
Roof trusses (pre-engineered) spacing to span ft .
Exterior wall finish / Of what material?
Interior wall finish _J +'o
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?
Will a €lue- lined chimney be installed? Height above roof f_t .
Depth of chimney foundation below grade ft . AT; ti '
Depth of fireplace hearth ft . in .
Water supply - Municipal or private well
SEPTIC SYSIIL:M _ Distance from. ANY private well ( including adjoining properties ft .(A separate application is necessary for any repair or new installation of septic system)
DECL ,ARATIQN
To the best of my knowledge and belief the kstatements 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.
Signaturetr�
Owner, owner' agent , architect, contractor
Ar It
"SPECIAL CONDITIONS OF THE PERMIT : _ -
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x x r .�..al f'd...t"{ . .
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YOU ARE HEREBY REQUESTED TO
INSPECT AND ISSUE CERTIFICATES
FOR THE FOLLOWING ELECTRICAL
EQUIPMENT BE INSTALLED BY �
THE UNDERSIGNED DOI
TEMP. 609
COLLr+Tv
CITr OR VILLAGF Pf]LE NUMBER
STREET AND NP RfIA.O .� BLOC% LdT
SECTION
B N WHAT TWO CROSS;;TREETS IS PREMISES LOr'N'ED?
BLLIL41NG OGCU IX -
OC;C 'S NAME f � ,Q,�. I-pME TELEPHCX♦E NUI/MV//Bg£FRf
OWNER'S NAME MID ADOR SS C)�FXE rlr♦EL�,.EE HONE,L ! �j7
GLR E T SU f�� ✓+��•'Q !
ADDITIONAL ❑ DEFECTS REMMED
BDILLIINC+13 WORK 15 N�
NEW Q GLD
LIST B1 LC3�1 ALL EQt11PMENT WHICH YOU INSTALL BRANCH OFFICE USE
Ns. a{f Fixtures & MARS HEATERS CIFiGUITS ONLY
NUMBER OF OUTLETS
Lorca- Lamp ReceP lss H.P. Wom No. G 1lVSpECPIQN
tion Side ATIaCh'[ Switch Pendent Brill~ No. Types Each No. Fach
cep Ls
Ceiling Well He
OUT-
SME
SUB-
SASE
T9+I
MENT
TSl
FL,
2nd
FL.
3rd
FL.
REMArI LIST CTHFR ELECTRICA'l- DEVICES NOT SET FORTH ABOVE:
THIS APPLICATION IS II3TENOED 'R3 C YVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED, BUT IF AT TIME OF IS+ISPE = FEO THERE IS
FOUND ADDITIONAL EGUIPMED PROM PEKOT E LIST E RP L AREICRN AUTHORIZED TO MAKE THE MSpECT%ON AND ADJUST THE FEE TO COVER
iE TTs
THE ADDITIONAL EQUIPMENT, FEEDERS ELECTRIC SIGNSILAMP$
vA
SIZE OF MAINS
GA:.TLBE SIGNRRANSEORMERS OF
�❑V EXPOSED Cpp/�IT-y
CHARA:rER OF U WORK GONCEALIED
p,4TE COMPLETED SIZE OF SIGN (NUMBER)
DATE WORK TO RE STARTED
MANUr+K:fURER OF SIGN
SERVICE ENTERS BUILDING Q UNDERGROUND f 1 I I V
Q DrgyE"HEAD M{�S7 F.Nj ' /k %wi -'
pA'E INuPECTION R£OIYESTEO ON IaR AS NEAR FS POSSIBLEl IDENTIFlCJ1611'?N NUMBER RETURNED.
BE. FILLED IN OR APPLI 710W MpY BE
NVCND DELA BY Git41N FULL /YCC11RA7E I�7NFOHTA 71ON. A1.1- S.,..{,r � wy{J Cj. ..K..0 'Z
III ,Ili! 120
PRINT NAME AND ADDRESS y�.CJ ..-C.L'�["" y.�� f°/'� E 4F APPLICATION
NA E F API' NT f� /_ "�'. yi,.,1 f 4tx.f'....� Ir ` c'S '
ADpAESS �{� f ,•� ^" ZIP CODE. LICENSE NO- WHEN APPLICABLE
CITY OR L� OFFICE
-, �y � Q 202 Arterial Road
�41 State Street l Q 584 Delaware Avenue y �1 RO Lake Avenue _
Q 06
85 John Street ` h
NEW YORK, NY Y0038 � ALBANY, NY 122t77 BUFFALO. NY 142[32 R�NQER��-BtITERS SE, NY i32
THE NEW YQRK BOARD (3F FARE U
Page No. T D# 1 Pages
G�
S0fF .G1F;, ,,,
Inc .1 OX 576
At�R.PaaT INDUSTRIAL PAiRK CQ
Cures FALJ..s. NY 12801
(518) 798mC338
PROPOSAL SUBMITTED TO PHONE DATE
Winchin - Overhead octcrs -� ti7 � - F'ebe 13r 1989
STREET
.FOB NAME
3 52weet Road
CrrY. STATE AND ZIP CODE JOB LOCATION
rMft' nsburv , NY 12804
ARCHITECT -- DATE OF PLANS - JOB PRONE
We hereby submit specifications and estimates for: -
FINT_ sH OF'F APPROX2MA.7ELY 61 x t CT_.CSET INTO A BATHROOM :
2 ) 2 * x 4 " famed wars , 16 " on center
3 ) 3 1 / 2 " insulation
4 ) Wire for GFI receptacle and ( 2 ) switches
5 ) Bath fan by Nutone installed to exterior w/ light
6 ) Reins a L1 yc**r electric heater wf•aall the =mcstat
? ) Flush E3irch bath door unit w/ standard knob and casing
84) 1 / 2 " aheetrock complete tared and. sanded
9 ) Rubber bake
10 ) Vinyl floor cover?ng
11 ) 30 " vanity installed by Aristakraft ( ' ight cak ) w/ recessed medicine cabinet
i2 ) 300 cultured marble white sink / countertnn
13 ) Kohler S'rend faucets
14 ) Mansfield white Yoilet �w / seat
15 ) Jack harmrler concrete floor un to cnnnect PVC Waste lines ( venting hook un )
16 ) Access pl.y ood door to eject _ical sp,• zcs
WP Prt: PO SP hereby to furnish material and labor — complete in accordance with above specifications , for the sum of.
- - - Two Thousand ':.'wo Hundred Eighty no / 100 - - - dollars ($ 2 . 280 . 00 - _ _ ) �
Payment to be made as follows :
S1 . 000e00 dry-m ^avr-rent with - emainder due uncn 'inb comiDlet4ion ..
I
Ait material is guaranteed to be as specified. All work to bra completed in a workmanlikerunner according to standard practices. Any atterKion or dawkation from above speckfice. Authorized
dons mvnering extra casts will be executed only upon wrttbsn orders, and w+ll become an Signature
extra cnarge o1Nr and above the astimate. All agreements cdntingent upon strtkas, accidents
or detays beyond our control. Owner to carry fire, tornado and other necessary insurance. Note: This proposal may be
Our workers are fully covered by workmen's Co
,�m
,,pensation insurance_ withdrawn by us if not accepter] within �- �'�'} Ldays-
Ax'r.rVt=rr of ItrI34199aL -- The above prices.. specifications
and conditions arc satisfactory and are Hereby accepted_ You are authorized Signature
to do the work as specified. Payment will be made as outlined above.
Sienatt 'A
t]#te of Acceptance: ...�. ,