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1989-499 it +CERTIFI ATE +C7 kjkwoo Y TOWN OF QUEENSBURY I WARREN COUNTY, NEW YORK Date September Ei 1919 $9- 499 This is to certify that work requested to be done as shown by P"erm'sc No. i has been completed. �l This structure cnay be occupied as a p I P,x ; �on r"W Di xon Load Owner i j By Order Town Board {I To vvN of QUEENSOUSL r i l I { Director of Bldg. & Code Enforcement f L� X BUILDING PERMIT TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK t PERMISSION is hereby granted to horm OWNER of property located at I Ot #9 ni xon load 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. cr: r� t. OyYNE R 'SAddressis m 33 Harrison Avenue Glens Falls .N . Y . 12801 2. CONTACTOR or SUI LDER'S Name Self n 3. CONTRACTOR or BUILDER 'S Address C Same 4. ARCHITECT'S Name r Q c a- 5. ARCHITECTS Address � rU t� X a 6. TYPE of Construction — (Please indicate by X) G7 AX*Wood Frame ( ) Masonry ( ! Steel F7P:LAN:Sand SpecificationsNo. 32 ' x 88 ' Duplex as per plot plan , specifications , and applications including attached two car garages septic and driveway . roposed Use Cz -v DUPLEX +D x $ 383 , 00 PERMIT FEE PAID — THIS PERMIT EXPIRES _ Fei�ruar�r ,,] 79.9(Z Ill a Ionger period is required an application for an extension must be made to the 8uiIdirig and Zoning inspector of the town of O.ueensbury before the expiration date.) Dated at the Town of Queensbury h Day of for the Town of Queensbury SIGNED BY y 0uildingand Z Inspector TOWN OFUEEN5I3URY APPI . ICAT1014 Foi: Il1� II.i) IkiCs AND 7nNINc; PEIznrIT c �- Rec.i-evedco TOWN OF QUEENSBURY A Revtewed % ! RECEIVED FIij Fee paid fi �• JUN 2 8 1989 1tUII.DINC AND CODES lal :l'AJtTT1I'.Arr Fate Iaeued BLDG. St CODE DEC'T, 13AY Bind 114AVILAND ROADS RD 1 ,pox 96 -1.__ �I �} G c� OUEENSDURY , NEW YOflK 12804 pewit NG . �7 1 11 I 1 'I'c1 . ( 518 ) 7921-1115832 Ext 204 > x w r r x w t I w w w x r w r w at r r w r r w w r r x w r x r r w x A 1'IRk1IT MUST B" OBTAI1.11: 1) iiEFOItE BECINNINC CONSTRUCTION . NO INSP1?C'" ONS WILL BE MADE UNTIL APPLICANT 11AS RECEIVED A VALID BUILDINC PL'• RIMIT . All applicable spaces an this application must be completed and the s .; Vtkaturc of the applicant trust appear on t11c reverse side Of this sllcet fk ik !e is �k !c :k rt• is X * is k 1r A Yc is is it * arc. ak # * 7k 'k i¢ !t 'k tk It tt !t iv �e ie The owner of this property i �� i �1 T* r , ' —0 P . O . Address F ♦ 6 I roper t ]/ 14CatlOri I TAX MAP tlas there been arty sgli, t o t' this property since October 1 r 1960 ? y e s Ito If yes , Planning Csoard Review is necessary . LOT NO . - �' URDIVIS1014 NAM13 . IP APPLICABLE — '1' he person responsible for supervision of work as regards , Sluff ldin � Code isk: P . O . AUUTtLSS EL . tlIlL' tt {� Tel rdame of builder udyi Y �i Fr1 _ 4c'ldress� - 1.c3;_t r e s Te 1 '! '] � £ G�Sr:� Nome of Plucnkaer -- ----� } r To 4Lf4 I 1tnC � L Name of Mason AddrCss_ Cm Ctes,„an 14ATURE OF fROPOeI LU Li K'V- : 2UNING AESIGNATION OF PROPERTY Nil'1L; iNI % lIMATION ( Offico use only ) �/ r ZO y coll :�: tructiorl of a Itew buildinq Addition to .t builllillg r PERMITTED PRINCIPAL PERMITTED ACCESSORY r .AILL SY L to a 14ULldinrl r REVIEW REQUIRED - PANNING BOARDII,IIIIIIIIIIIIIII ZONING BOARd � aS CO ( It4 Ckt:tllI1]v to LIXCL' r Lor' C xlftonK� ion i ) ^`,�` Cf4but worF. sillrE PLAN REVIEW I(_^'�PPitUVI IJ��, -r]Ai'F r VARIANCE (1 APPROVED BATE GROSS ARCH Ol' PROPOSED]. :% 'ritUc: '1' LPE Remarks Rcarks 1st floor '�' 1 sq ft *� _.rS ? rid floor s q f t .- i� ` Y COF•ti'T.L '1'i Ilil'CMUM'i'lON Il l r�U I i .ED ls1 Li1Ll . �^ 'f7 I 1 Y '7 tit x s ['I f t . ai1u of 1YO iuCt r.5lz. f tither floors ^ .�/ Existiltg l�uil.littcl ( : I ai: u .a /�4 I. t X rt . ( not collar or basceriont ) r "DOTAL VLOOR ARVA,0&,A j6 sc1 f t Is U!;;.: All of new :structure 31. -ft XA_ft r ' k'otwidation-pier ;la crawl/i7artial/ full NColso:sa d builclinc3 , dincancu i` rOil' LJVOLJur Cy 1Lftl (eLm rclu One ) L'ront yard 50 Pt Rear yar- d__3 1r ft tIJ , a€ ; tonics fi►aLyit itJl . '�L�¢ce1 ft side yard : 2r'S� _ �f t anc! _��.. 8 IIL: ight ( yrada to rickJ0 144 ft • , If on corner , ::urback -from sidL 5trc:Uc ft It ra :sickLnti:al , no . of fWiliiic:a '?-- OCCUPM LY II1i=014wFATION lea . of room:s ( excludinrl b"th:: 1 „ •If? I10. of bedroouts 84 PRIM"Y BUILBIIJC: - Na . of batktrootlt� One fainily dwelling I• ritllary itL.ttilul syt: r vrl, � �(,r 4 c+' c. Tt3sSt +� p�* '`•Swo f:+utiiy dsl+�lli ny 'rylzu of fuel MultilJl+: tlwullilig / tdutltttcr of units - Iao . of firt:placcl to Lilm! ilt::tallycl * perinunettt ❑ctupasicy will :a wood t; L.ovt l,L itrsst:. 11llk? 1'r.an :il:rtt racculs;ljtty C:+arttr"I Air caliditiunirry:' Al i]uwinusa (WILDING STYLVo PRIh1&Ry cj-RUCTUkC ial Other l ultckt C4R CL:drj'+c+r.aYy I..ora c:,.I�in IC addicioxts what will tssc k+u+' ,n./A I:.■ is�d rarich Mansir,Jlr y ��t _ x 'ter` al� lit luv�*1 Old style uutr.I.1 ow t_.:.1Jc_ Cod C'bttagr % Otltl' r 1tGCLS :ORY k1UILC]xIIG-- car LtJio[tial icew 1'otrrr mouse ' S )ccCaCkr3r1 ra atttclt fond cur/ twos ci r . * AttuChurl gurar}Lfcart� cur/ ( CIRCLE: ONE PLEASE 1 � ._ w ■. r r r r % r A A r x r x •e ■ r r Pr .Lv;l storage building E a I' IMA"k' r: n r+ nsixl_'r VA1_ Llt, OS• + M� O Clio r INVOSMATTON ON 11UTLDIIIG ril"ECIP TCATIONSr ON TLCVEHI SIPr"_ OF 'Tk1T5 Sk1Ek?"1` TO BE COMPLcllr ±ol Form APR 10189 V1 BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . r,"+ ao .,,] -�rrQ%,VV% V Will any second-hand or ungraded lumber be used? If so , for what ? oeu. 40 Foundation wall material QZ0 r; A f' GIV Vie' Thickness g rr Dept' : of foundation below grade ( to bottom of footing ) + Will there be a cellar?.Mo Heated or unheated] > Floor. sq , footage s ft Will there be a basement? fp Will any portion be used as living space ? -�I , , q L"!( If so , what paslope sq . ft . - - Type of use? Type of roof - slope flkt/shed/other Material of roof + .� . .a 1 , .✓_e e .._s — +P_�l —►-+'fir a t'� t . Size , wood studsZ "X�r _'• spacing^1/� cr . c . length �Joists ( floor beams ) 15t . floor ,A// � "X as � 5 spacing "o . c . span ft , Joists ( floor beams ) 2nd . floor ,r�/�„ '"X IF spacing 5#0 . cw span ft . Overlays ( ceiling beams ) - 1y FIX_ . _, spacing_ "o , c . span_ ft . Roof rafters � '"X_ spacing yr, u . c . span_ ft . Roof trusses (Are- engineered) spacing._�"o . c . spa n-ALy�ft . Exterior wall finish U;^lL . Of what material ? �f�+r•1 , -_- �_ Interior wall finish .s,'�., �,,S.�L`tea� L ------- If a garage is to be attached , describe mat/e�rials to +be used for FIRE SEPARATION : Z IS :QC r e _.0 fi r♦ e_ i A%% [] '� 'L1 4Lru q e r / Is there to be an opening between garage and dwel`fing'?- YeS If so will a Fire-rated door , enclosure , and self-closing device be provided? _ yew" , Will a flue-lined chimney be installed? ,yp Height above roof ft . - - Depth of chimney foundation below grade ,.,+ pl ft . Depth of fireplace hearth __cr_ft . �.in .""7�"- Water supply - Municipal or pr ivate"Well j/.)� ,Ic, C4 SEPTIC SYSTEM Distance from ANY private well ( includin4 adjoining properties gyp + ft . (A separate application is necessary for any repair or new installation of septic system) D E C L A RATIO N To the best of my knowledge and belief the statements contained in this application, together with the plants 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 others- laiws psrtainislK to the proposed work shall be complied with, whethet• sp: cifix�cl or not, and that such work is authorized by the owner. Signature d'�-- Z Owner, owner's agent, architect, contra or * * k * * * r * * * * r * * x x s * * IF * IF k * * * * * * s * * * * * * * w SPECIAL CONDITIONS OF THE PERMIT : By TOWN OF QUEENSDURY r WARREN COUNTY , NEW YORK Application for : BUILDING PERMIT IN CONPLIANC $ WITH TUR NEW YORK STATE ENERGY CONSERVATION CODE. A permit must be obtained before beginning work . ANSWER ALL of the following = 1 . Gross floor area 2 . Type Of heat 3e Is the building mechanically cooled ?_ a A . Percentage of area of windows and doors lq :6 A . over l6 % On15t 1 . Uo va-lue of gross area of walls , roof/ ceiling and floors exposed to ambient condicions 2 . Floor over heated spaces `-at�1 NO a . Are foundation malls insulated ? YES No 1 . If yxS , what is the R value ? 1 , Slabs on grade YE�p NO a . If YES , what is the R value of insulation around perimeter of floor ? Q 4 . Is basement heated ? YES NO 23�u5 r'Y1 a . R value of insulation 5 , Type Of insulation_ X'-pazYh Be Under 16 % only 1 . li ly,a o riOof Aln l� i gars exposed to ambient conditions 2 . R value of exterior walls ___ 3 . R value of glazed �7area_ 4 . R value of doors. 5 . R value of floors over unheated spaces 6 . R value of slake edge insulation an unheated slab_ -~1 w 07 . R value of slab insulation - heated slab �O Be R value of heated basement/ cellar walls ( alcove grade ) X 9 . R value of heated basement/ cellar walls (below grade ) , `)L 106 Type OLD insulation J � � Q L/ �f C . Controls 140 1 . Thermostat maximum heat setting - D . Duct Svstems 1 . . Is duct system installed in unheated spaces ? YES NO a , If YES , R value of duct installation___ be R value of duct in other areas - E . Piping Insulation 3 . Size of riot _ water 'or cooling carrying agent pipe �- 2 . R value of pipe insulation re Service Water Heating 1 . Performance efficiency. 2 . 'Temperature control setting maximum G . For Swimming Pool Only 1 . Maximum heating��_, Telephone No . ( applicant ' s signature ) TOWN OF QUEENSBURY APPLICATION FOR. NV tft '?.� SEPTIC DISPOSAL PERMIT le DATE LOCATION OF PROPERTY FOR INSTALLATION Y Q 62 Owner ' s Name . � :C 1 t'_ < y2j'1 r � "hof`1�l Telephone : Address : Installer ' s Name : E=r�` 1 � �',.►�� Telephone : � Number of bedrooms ( residential only) 7 Total daily flow (compute @ 150 gal per bedroom) t'a 4D d Topography : circle one : Flat Rolling Steep slope X of slope Soil Nature : circle' one : Sand Loam Clay Other / Depth ' feet Ground Water : At what depth ? /U A feet Bedrock or Impervious Material : At what. depth? ��/ feet Percolation test : circle one : of require required/ rate min . inch . Domestic water supply : circle one : Munici >a Well Other if domestic water supply is a Well :Separation : Watersupply from Septic absorption A,,r y1A feet_ PROPOSED SYSTEM : Septic Tank gal . (minimum size : 1 , 000 gal - ) TILE FIELD : Each Trench &:2 a _ feet / Total system length 5Q-� feet / SEEPAGE PIT (S) : Number of f Size each eet 1�Y Al feet th or Thickness .Zf feet De Size of stone to be used �1 „�, .� p 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 : t Date : C/ $ (OVER) 5e �7tic 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 . Co An approved copy of the plot plan shall be available on the construction site . Failure to, produce said plot plan at time of inspection may result in an immediate work stoppage . D . Should unforeseen problems during construction prevent proper installa— tion , alteration or repair of an approved system , a new proposal must be submitted to the Queensbury Building Department before further construction . Town of Queensbury BUILDING and CODES DEPARTMENT Bay and Haviland Roads Queensbury , New York 12804 Remarks : r - c c - -7 Tocatx of f�ur•�tx�sbtxr� �igl#Iutx� $�epttr#ttt�etx# Day at Harffand Roads Office Phone 518-7934771 Queensbury, New York 12901 PAUSupe H, NAYLrlds"t]R �l 3ir p r r �rrfrsl�}]y�r s Superinlrndenf Nlghweys J f DRIVEWAY PERMIT DATE t APPLICANT NAME : + c �r�^ 2 C'Wl TELEPHONE NO * 0677 �} ADDRESS TO BE INSPECTED: -o 1��-- i �` ?�, t7 J1.1 rcl ' RETURN ADDRESS : } i�cn.'C` C i so hJ AJ4P.• (' A) Applicant must show exact location and width . of driveway ( s ) p ��- to be connected ,i.o the highway by placing stakes, at : 'the specified • location . - The Superintendent of highways , Town of Queranssbury , has reviewed the application of the above named . resident to connect a driveway to the Town road . The following action has , been taken : ' STEP It { PFf Preliminary Approval , NEED : { t.f`} Slight Swail ( ) Level With The (toad C ) Deep Swail Size Pipe to be used ( if necessary ) , ( ) I2 " C ) l5 " { ) 1811 -_ { � ) 29 " { ) 36 Preliminary inspection b �DATE:� 8/16/89 Approval by highway Suptiz .__ Depty . Supt . After receiving the Preliminary Approval , submit the permit to the Town of Queensbury , Highway Department upon completion for a Final Approval . f r STEP 2 : {X ) Final Approval _,/�"�`'` 8/16/a9 { } Rejected DATE : aul If . Naylor Superintendent ut highways Town of Queensbury jam TO TJWA ...�. r .. g r 5: 1�J®tlone) Headpuarba = .. . a ry 9�t3 Flar pri Ave.: 0oilin+9swooe�, Ti.JO. t08 Xi r city, Town or Township * Countyr r 3!{ Stabr: Location/Address �. r (if Located i ural Area - Ple Atteco Directions) 1 , Owner. - A IN ):wry Occupied kS C Building:n M1iev "- „ • Old E3 Occupant Work Area in Building Floor * etc;}: Appm for: Whin rvice or: Read for Ins ecti ' 'rt . Fee Remitted -'$` ` P Cash 0 Check Make Pa able :To: M.D. I.A. Number of Wiring C7�rtlets Elect. Heft ° 1 z2s a 2750 2000 22so 30oa Switches - Lighting Amp. Service - ` ` " Surface Unit Dish"her- "Range Reeeptacles ' Water Heater Air Conditioner Dryer `- ` 0urnp �umber Oven C361%ba a Disposal Wiring and Controls for Burner a`f u g- Aenp. Receptaelk - Fractional H.P. Vent Fans Other Equipment' MOTORS N.P. 1/8 1/fi 1/4 2/3 1/2 3/4 1 1 2 3 + ,:5 ,: Yx10 15 7 20 -25 1 .30 49, 60 .75 mo Mark Number of Each Size c > APPlicanes Signature License. T/A 1 rUthYY: Appl icant"s Addr NApMiEJt {City} (State) ' Izitxl �I IPA-. Service Request ## Phone # :Elp�gti ici n (}ATE RECEIVED: DATE INS Correct Location : Same as Above Q or: Red Notice Label ED Rough Wiring Outlets Surface Unit Oven - Swi tches Ca Ran rr pispos$P ace ties r.,Heater Dishrvasfler Fixtures Pilr Con itiober C1r r" Amp. Service Equipment Burner, Wiring 'Si Controh for Amp: Receptacle Amp. Service Conductors Pump.. Vent Fans L d 4: . MOTOR$ H.P. 1/20 1/1^c 1/10 1/8 1/6 1!4 1/3 1!2 / 1 1�/s 2 3 S 7W 10 15 20 2-5 [30 4l7 50 75 1CCY Mark Number 1! of Each Sizell f . . Elect. Heat SOO ?ap 1000 125e aaoa ]Tao 20Da "SO 2soe 27se 30f3U RW Progress: Inc. LKD n 3_ , Contractor 00 47� FI CFT Violation : Work Comp. I"*: L/A Owner CASH CI L/A _ __ Fee CHK 4# l P^ flue i1+IQ. # _Wnjaipal,. : . . .iry�,-_,..>i ' k'+W,s.�.w. a"v•-l+H. ..p,R.s . ».t. .. :. - 36"""W"ft &E1Jr ..�. . .. - L7�'1'Iit ".�-r." I,M ...Y"Yyu.Vy.,s. . :♦ . M . Y . .. '' VV UU 1144rr r.M�l1 ff33''44u1..�. q' L��TT���"I�" Cut in Gard ED Temp # Date OL Final #G Date 1 APDLICAa'IL'aN F[3 R11A NC1. 2S0 E`L 4/8t1 ." •.«.., • . - - - .. . ` TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSSURY, NEW YORK .L 28139E 40 I /f TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME f & 4 4 LOCATION /� �G .� ,T DATE "` J PERMIT # — 4e 3?61 APPROVED YES I NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP—PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—IN ' INSULATION: FOUNDATIO FLOORS WALLS CEILING NAL INSPECTION CHIMNEY HEIGHT: ROOFING SIDING EXTERNAL PORCHES/ST STAXRS—CLEARANCE & PLUMBING FIXTURES/RE I VALVE INTERIOR TRIM/PRIVA Y RS FINISHED FLOORS GARAGE FIREPROOFS DOOR CLOSER (S) SMOICE DETECTORS FINAL ELECTRICAL SPECTSON FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCIANUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: r , 1 INS R �..,lawri a� �+tec�ertshe�rt�r BUILDING and and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Oueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCATION '- -r�� r DATE PERMIT NO . SOIL TYPE - and Loam - Clay/= -- i Percolation Test Required? yS Percolation rate - Min/Inch / TYPE of SYSTEE3; Absorption field , total ength �ZJAC) Length of each trench Depth of trenches - Size of grave]: SEEPAGE P ITS4Number taf) Size- ft. X _ }fft . Gravel size PIPINGe Si a Typ . Bldg _ to tank Tank to diet . - Dist. box to f7d/ Openings seals YES NO Partial IP LOCATION/SEPAEATIONS : Foundation t tank / 'if to Foundation it absorption fto Absorption to lot lineft. Separation f pits �r/�[ ,ft , LOCATION STEM ON PROPERTY (circle one) Front Left side - Right side - CC14MENT SYSTEM USE APPROVED YES NO %2h Bui ' g Spector 01/86 and v1 OW TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS d/ QUEENSBURY NEW YORK I280$. TELEPHONE (528) 792-5832 BUILDING INSPECTOR ' S REPORT C� REQUEST FOR INSPECTION RECEIVED _'�- NAME LOCAT.2'ON cap DATE �� f PERMIT # / APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR -.FORMS F O UNDA T.2`O N/DAMP— R OO F S NG BACfCFILL APPROVAj. ROUGH PLUMBING FRAMING .i ELECTRICAL ROUGH—IN P�YNSULATION: FOUNDA TION FLOORS WALLS CEILING t FINAL IIVSPECTION. CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHESfSTEPS STAIRS—CLEARANCE & RAT PLUMBING FIXTURES/REL F VAL TNTERTOR TRIM/PRIVAC DOORS FINISHED FLOORS GARAGE FTRRPROOFT--NG� DOOR CLOSER(S)_ SMOKE DETECTORS FTNAL ELECTRICAL TN PECTTi3N FINAL APPROVAL OF C NSTRUCTTON A SIGNED CERTIF-T TE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESEPREMISES ARE OCCUPIEDI REMARKS. G` l Cl INSPECTOR TOWNOF QUEENS BURY BUILDING ING AND CODES DEF"AR7'MENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801. TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION �i wf �! •,�rr-i ^. /f. Yr DATE + ! PERMIT # f " 1 p APPROVED FOOTING/PIERS NO MONOLITHIC POUR OR MS FOUNDATXON/DAMP- OOFING BACKFILL APPROVAL 'r'rROUGH PLUMBING �',.-'FRAMSNG ELECTRICAL ROUGH-IN INSULATION: r FOUNDA TION , ` FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHE STEPS STAIRS-CLHARAN & RAILS PLUMBING FIX ES/RELIEF LVE INTERIOR TRI /PRIVACY DOOR FINISHED F RS GARAGE .FIR ROOFING DOOR cLos (S) .SMOKE DE T CTORS FINAL ELECT ICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION ��- A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED_+ REMARKS: r INSPECTOR �* MIDDLEDEPARTMENT,AIPPECTIOilhI �EAl 1IF It National Headquarters 900'Fla6don Ave.. ifiinswQod +i., ' J. 15iw Date• zq :(Sty, Town or Township County C4j. e �" '"4p-t % State : . Location/Address i f Lo d in Rural Area - lease Attach. Directions,) pole # C3ccupied.,�As '` 4. �"o 8uildrn :, lyew0 . OldO Ocexrpanf , =d brk Area in Buildin Floor #, etc,) : dt App.-for: Wiring Service or: Reagy fqT In ecfion: Fee Remitted ir' Cash 0 Check lN. Make Payable TW M.D. I.A. Number o# .R riri ~Outlets Elect. Heat E0 7 0 1DDD 12a0 1500 1750 2000 2250 2505 2700 30" switches " ' : '. h g Lighting Arhp. Service-•-' Surface Unit Dishwasher. Range Reoeptacles Water Heater: Air Conditioner Dryer . Pump -- --r—�—: _. . Oven r p •,",� i sposalWrrrn g and -i Controls r ols for Burner _ VeRe�ptsel" .� ;actronal. H.P. Other Equipment: ; MOTCfRS H.P. la /1 �/10 1!4 1/6 1f4 113 1f2 3/4 1 1Ns 2 $ 5. 3�is IO 15 20 25 36 40, . SU 1$ . 100 Mark Number of Each SUe . dr Applicant.'s , Signature License T/A t fe U#ili.ty : a Applicant's rJciress: +� 1 (city) 4rj .; 4c [Statgl {Zip � Service Request # Phone In - . SATE RECEIVED: - 4 DATE INSPECTOD! { Correct Location : Same as AboveO air: Red Notice Label 0 Rough Wiring Outlets Surface Unit Oven • Switches Range roft W;aY�_7 Receptacles Water Heater 1315FiwiasYrer= ' Fixtures • iir-Conditioner= 9ryer Amp. Service Equipment Burner, Wiring% Cdritiols-for Amp: 'F(br Ptscfe Amp, Service Conductors PUmp Vent Faros MOTORS H.P. 711,fA211401 1/8 1 1/6 1 1/4 1 1/3 1/2 2 a` 7% 10 15 20 25 40• 6 [75-_ 306 Mark Nunr ber i `=- --i= . .7 is of Each Size - EIeC#. Haat 500 1 750 1000 1250 1500 1750 2DOD 2250 26D5 2750 3000 r '. i `'' RW Progress: Inc, LKD Contractor p f CFT Violation : Work Comp. Ind, .-� .. , 0 L/A Owner CASH L/A Fee CHIC # -Due IPA MO # [� Mumrrpal. . I,I.r < /li PAS ` Date: Other Side Ut itY Id Cut in Card C] Temp #k ..�I Dais ::vas r•,; < rnal at ' l.� �!". Date i/' „ t 1 ir APPLTCATIC?N FORM NO. 25Q 'EL 4'/a1111 - .r - -. ' ` - • . ..�.~>. S'<x TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT RAY & HAVILAND ROADS QUEEN.SBURY, NEW YORK 12804- TELEPHONE (528) 792-5832 BUILDING INSPEcTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE f �f _-, PERMIT # z 47 `T ./ APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR ORMS FNDATION/DAMP-ROOFING �ACKFSLL APPROVALS ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN ` INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: E CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS .STAIRS-CLEARANCE & RAXLS PLUMBING FIXTURRS/RE,+tXEF VAiPVE INTERIOR TRIM/PRIVA9!Y DOORS 1 FINISHED FLOORS GARAGE FIREPROOFIN DOOR CLOSERS) 4 ._.....__���_ ..__...... .� SMOKE DETECTORS FINAL ELECTRICAL IN. PECTION FINA2. APPROVAL OF CCINSTRUCTION l 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 12804- + TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION REC VED NAME LVCATZON DATE �, - ,�j -- _PERMIT 9 APPR ED YES NO L/F'OOTINGf PIERS MONOLITHIC POUR ORMS FOUNDATION/DAMP- pOF1 NG BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION f FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT R ROOFING SIDING EXTERNAL PORCHES/ EPS STAIRS-CLEARANCE & .RAILS_ PLUMBING FIXTUR /RELIEF VALVE _ INTERIOR TRIM/ IVACY DOORS FINISHED FLOOR GARAGE FIREPR FING - - DOOR CLOSER ( ) SMOKE DETEC RS FINAL ELECTRI L INSPECTION "~ FINAL APPROVA OF CONSTRUCTION A .SIGNED CERT ICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: 14NSPECTOJR -- BUILDING DEPT. COPY OF APPLICATION FORM 46-ELr NEW PORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING AEPT. WHEN REQUIRED, TEMP. i DATE r CITY OR VILLAGE > �. +...".. � yj �� �„ �'"" TOWNSHIP COUNTY STREET AND f� .+ ROAD AND POLELE NO- / X A-f POLE NO BETWEEN WHAT TWO - CROS$ STREETS IS PREMISES LOCATED? f/ X 4 SECTION BLOCK LOT QCCUPANT'S ! r BUILDING NAME !I r r ,l -iC. J a /"`•r'�,.-� yn<.. `+1./ OCCUPANCY OWNERS Al TEL. * 6YPPLIED JV T �:e. !- GL~. / d�al./'r . FROM THEIR �ry OFFICE Is NEW NEW fYl OLD © Is NEW I?` i ADDITIONAL ❑ REMOVED Q 1�1 LIST HE LOW ALL EQUIPMENT WHICH YOU 1NSTA ILL ED NUMBER OF OUTLETS Le of eaptimituvais & BRANCH Lori_ Limp ReeelsbcMe MOTORS HEATERS CIRCUITS OFFICE USE ONLY tlotl Side Attathre CeNin/ WISH RaeaPTs Swkdl Pardons Breckrt No. Type wwm Ends Np- E No. AG.mugoW G' INSPECTION Osm aide Sb� Beet rnrnt tat Fl. 2nd Fl. 3rd ED. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE, This application is intended to cover the above-lisled equipment to be inspected but if at time of inspection there is found authorized additional equipment not shore listed. You are authlxed to make the inspection and adjust the fe to corer the add e additional equipment, ea, by the applicant. SIZE OF ELECTRIC SIGN TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WOAK CONCEALED TRANSFORMERS OF VA WORK TO BE 1NUMBERI STARTED COMPLETED [CAPACITYI SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS ILbiNG OF SIGN iNSPFCTION REQUESTED ON OR AS NEAR AS ��[[ POSSIBLE NEW LJ OLD AVOID DELAY BY GIVING FULL AND ACCURATE IN FORMATION ALL SPACES DATE OF �^y MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICAT OH PRINT NAIVE AND ADDRESS ��-� -- NAME OF --" ^- �1' RE APPLICANT t# � ) a♦ ' . -3. I t" J-" .,/� /CJ' x OF APPLICANT ^rr" STREET ADDRESS iX i , r : / 'd...'' r '_�—'^� TELEPHONE # �^ i CITY OR } --tis +C. r y 4 C,� CZIP ODE i -- I LICENSE PLI POST OFFICE x e a— �" L L ' LICENSE WHEN APPLICABLE 46 EL (REV. I/aa) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING MAP REFERENCE: MAP OF A SUBDIVISION MADE FOR MICHAEL & RALPH WOODBURY BY VanDvsen & Steves DATED MARCH 2, 1985 REVISED OCT. 20, 1987 y Q O V 1114 6-1 I NOTE A PROPOSED 4' X 4 WITH AN 18" RINC DRYWELLS FOR WATER RETE', OF STONES DRIVE, LOCATED `-iTION FROM SHOWN 06 0 / o\ r � i I ;EE NO'E A: W 1.09 acres — - 6 5 A i0 � 6' 3 0 M 3 56 \ o � o TOWN OF QUEENSBURY �ct) LOT 3 Zoning Admin strata Date 6 I r ZONE INFORMATION: MAP OF A SURVEY" MADE FOR SR 1A RICHARD SCHERMERIT"RN MIN. LOT SIZE 1 ACRE --- -- - - - ---- T - - - ----- - - — ---- TOWN OF QUEENSBURY COUNTY ❑F WARREN N.Y. MIN. WIDTH 150' �CAL-E : 1"=40' ! DATE 1 MAY 31., 1989 SETBACKS �ar�D Steves FRONT 30' G LAND SURVEYORS,LENS F ALLS,NEW >'CRK SIDE SUM OF 30 = SETBACK UNE WITH A MIN. OF 10 ' N.Y. STATE LIC, NO. 35617 = PROPOSED SEPTIC ---------- — - — - -- - - —} -- ---- O PROPOSED DRYWELL REAR 20 89-193 (85-241 DISK 24) 93-�