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5550 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSDURY WARREN COUNTY, ,NEW PORK Dateh Ahuani7D- This is to certify thai work requested to be done as shown by Permit No. has been completed. ii • '-'-C-00n(1)1'\IA 4 -e This structure may be occupied as a _ 7 Location . :I_ - •- ' ' • 44 - 1. owner By I:Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector CREATIVE INSTA• PRINTING. GLENS FALLS. N Y 12801 1518)793-S658 • BUILDING PERMIT TOWN OF QUEENSBURY No. 5550 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Michael Hayes .(5t. Nos. 3 anci 5) OWNER of property located at Lots 101 and 102 Helen S-treciZ) . Street,Road or Ave. in the Town of Queensbury,To Construct or place a C)nQ—Fermi ly Dwell i xnc n 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. PJ 1. OWNER'S Address is 28 Bonner Drive Glens Falls, New York m 2. CONTRACTOR or BUILDER'S Name John Hughes 3. CONTRACTOR or BUILDER'S Address 375 Bay Road Glens Falls, N. Y. 4. ARCHITECT'S Name ti O rt 5. ARCHITECT'S Address p3 6. TYPE of Construction— (Please indicate by X) N (X)Wood Frame ( I Masonry ( )Steel ( ) , O H 7. PLANS and Specifications lD 42 'x72 ' per plot plan, specifications and application No. submitted including sewage system and two=car attached (1- garage. 8. Proposed Use N One—Family Dwelling $5. 00 C/O Paid $ 140 . 00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 19 79 (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.) Dated at the Town of Queensbury this 30th Day of October 19 78 f! ~' SIGNED BY 1(J O-et Q• for the Town of Queensbury Building and Zoning Inspe r C7 .. to TOWN OF QUEENSBURY (Space inside block to Ix. filled in by WARREN COUNTY, NEW YORK Building Inspector) Application for Application No. . 1'cr11iit Is,tied 19 BUILDING AND ZONING PERMIT l`tlt„it Expires. '51. i.t,ninn District THREE (31 Copies of a PLOT PLAN, Drawn to scale \i'► c'c1 by showing the actual dimensions of the lot to be built ke!,tarKf upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- _ _ MITTED WITH THIS APPLICATION. i OWN OF QUF EN U sY . .° / .0/7" - p L Vo? 7 •-_.,A -. \,( v_ A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK _i i,•; F is ( --, l • ANSWER ALL OF THE-FOLLOWING. •M. P.M. The undersigned hereby applies for a permit. to- do the following work 7I8I9�10�11�1211'21314016 L.� 6__l. 6 6 6 6 6 6 , c 2J which will be. done in accordance with the description, plans and specifi- cations, and such special conditions as may be indicated on the permit. A • L: ' The owner of this property is: . Pl.!,:.h!Y�./. . .'. ./. ,/y/t.: -S • ', ' a v .v.-0 -i- ,DR. (HA';E) (P.O.ADDRESS) The person responsible for 'supervision of the work"insofar as the Building Code and the Zoning Ordinance apply is: 7—e. R .. /1. ": 6.e—$ s9), 2,ir ,e-� (NAME) • (P.O ADDR SS)' Name of Builder. . To • • f71. • .4•,-,4. ".. ... . . ... . . Address Name of Plumber' S A' Co i-L'`a 4 Address . G-..41.X.e..S,v ca o x r. . /N)/- • Name of Mason.. :t '/-t g A/q1 4., /r Address iv a 6 T F�•.-% '{me'"l� Lot Number Unit Estimated value of proposed work YC, "("'' �> 5 Name of Village . . At . . 5 X Name of Street /`ie-"• -5 '' 16i. 0_O2-- Side of street: north 0, east 0, south 0. west x❑ 3 Nearest Cross Street .tie..d PK r' Distance front this cross street /40 Ft. Property is north •,south .®,east i i, west 0 from Cross Street If on Corner, which'corner, northeast. ❑, northwest •❑, southeast ❑. southwest (Designate by marking with an "X" in the-correct space.) NATURE OF PROPOSED WORK : OCCUPANCY _ Main Building ©Construction of a new building. One-family"dwelling ❑ Addition to a building. Two-family dwelling 0 ❑ Alteration to a building. -family apartment house ❑ 0 Demolition of a building. Store building 0 9-T--car attached garage • ' Other: Accessory Building • One-car detached garage ❑ ❑ Other work. Describe: • Two-car detached garage Private chicken house ❑ Private storage building ❑ . Other: ZONING SPECIFICATIONS. Fill,in for new building, or addition to existing building, or a change of occupancy. . . . Indicate on the plot plan street names, the location and • - size of the property, the.location, size and setbacks of pro- posed buildings,and the location of all existing buildings. NORTH Show proposed building(s) in dotted line and existing lwilding(s).in solid line. Size of property " /?a ft. x -3 O 0 ft. Size and use of existing buildings, if any Uf in m Size of proposed building ' .V ft.x 7 ft. Height (from grade to ridge) . ( 3 ft. Front yard ,`n 0 ft. Side yards 91. ft. and S Y ft. t ft. Rear yard ' '?a SOUTH If on corner, setback from side street ft.. . Note: All distances are riet, as measured from street side line to nearest part of building.. (OVER) • 7-73-M (coned.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe, etc.?. . . . . n !>. . . • • • • • • • • • • • • • • • • • • • • Will any second-hand lumber be used? Aec-' If so, for what? Material of foundation walls d ° c v 7 lo f4 c Thickness g f / o Depth of foundation walls below grade H r Continuous foundation? .y ..5 Will there be a cellar? If so, material of cellar floor Type of roof: Sloped or flat? . . . . roe- a Material of roof . Size,wood studs • " x • ", spacing /' "o.c., length •4e ft. Size, floor beams, 1st floor . . "x ", spacing /G "o.c., span /v ' ft. Size, floor beams, 2nd floor " x . to ", spacing 's2 "o.c., span - ' ft. Size, ceiling beams . " x G ", spacing .19 "o.c., span . . . . . . . . . ft. Site, roof rafters or beams " x . G ", spacing ? `r "o.c., span y. . . ft. Exterior finish (y/v.:r!o.4.�!br�� With what material? Finish of interior walls. g `' dr . If garage is to be attached, of what material is wall between garage and main building to be constructed? d v Is there to be an opening between garage and building? . .y.e 5 • Kind of heating system t i <- Oil burner or coal? Will a flue-lined chimney be provided? y'z-,S Depth of chimney foundation below grade . Y Height of chimney above roof Will there be a fireplace? .:.. .y.e Depth of fireplace hearth IL '' Will a toilet be installed? Will a kitchen sink be installed and connected to water supply? y�-- Water supply (public water supply or pump) `- Distance of cesspool from any private well feet Will drainage system be provided with required traps, cleanouts, and vents? . . .Yc,S Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to tt- , 1 of my know,edge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and cou.pp lete statement of all proposed work to be done on the described premises and that all provisions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed work shall corn lied with,whether specified or not, and that such work is authorized by the owner. Sworn to before me this. Signature - ^ . NER.OWNER'S AGE .ARCHITECT.CONTRACTOR day of 19 NOTARY PUBLIC. WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: • • By TOWN OF QUEENSBURY Building Department Inspectors port Date ^JC- 7j Name A`ui ,y�' / Location / i- 12 ,c'a� .., Permit No. 47.5 SO Weather Per Cent Complete Remarki Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey // Framing f Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. 7.f •••••" ---- .e1//‹.", Rough Htg. Relief Valves • Wall Board Ext.Porches Finished Floor 1 _ Interior Trim 1 J/� Stairs&Railings 1 Cellar Dr.Tile % Concrete Floors Plhg.Fixtures Gar.Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Building Inspector ,,ll ��,,pp��// REMARKS Lui 4/ /t2 s c - -G4 G r-er-,, � / r r1 N 4,-ec y y c7 : /yam r a zAii" `P,S 0 C. TOWN OF QU:EENSBURY • Building Department Inspectors Re ort Date Name t54 3 ar Location L9 y_fv"../e q Permit No. rS`S 0 Weather Per Cent • Complete Remarks Excavation Footing Forms • Footing & Piers Foundation Cement Coat • Waterproofing Backfill Final Survey Framing Sheathing • Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Rough Htg. Relief Valves Wall Board Ext.Porches Finished Floor Interior Trim { Stairs&Railings .�'}C" ,Zt s'j(c,- /Gji Cellar Dr.Tile C [' Concrete Floors Plbg.Fixtures Gar.Fireproofing z„-/.. Door Closers Chimney Water Meter Inst. Septic Approval -1 Building Inspector REMARKS i'e ! /-r 0 (K • • TOWN •OF:QUEENSBURY. Building. Department • Inspectors Repol. Date /--1y' - 7 Name, ,�, S' - Location . A/eh Permit No. S1575 0 Weather .1 Per Cent Remarks Complete . • Excavation 11 • Footing Forms Footing & Piers 11 1. Foundation Cement Coat Waterproofing Backfill • _Final Survey Framing Ji Sheathing 11 Roof Felt • Roofing 11 Siding II • Masonry Veneer Rough Plbg. IL Rough Htg. • 11 Relief;Valves �I Wall Board �! Ext.Porches• Finished Floor i Interior Trim 11 Stairs&Railings � ;1 Cellar Dr.Tile II Concrete Floors • • 11 Plbg.'Fixtures !i • Gar.Fireproofing Door'Closers 11 i Chimney li Water Meter Inst. Ii Septic Approval 11 • !f Building Inspector REMARKS • • � II . li i i. • • TOWN •OF QUEENSBURY• . Building Department Inspectors Report. . Date /2— 7—7F Name. / %r f I:Location 'e/ / 5- 1-di) dii/ I id Z Permit No. _t c c 0 Weather II Per Cent Remarks Complete Excavation 11 Footing'Forms II - Footing & Piers II Foundation • ii Cement Coat II Waterproofing II Backfill II • _Final Survey II Framing II • Sheathing II Roof Felt . t• II Roofing t, II Siding , A, I! -- • Masonry Veneer / Vi Rough^Plbg. \ / II Rough:Htg. l Relief Valves • ,/ 1 II Wall Board / \ 11 Ext.Porches / II Finished Floor / li Interior Trim /1 - Ii Stairs&Railings 11 Cellar Dr.Tile !I Concrete Floors • - • II Plhg.Fixtures II. Gar.Fireproofing11 Door Closers it ' Chimney II Water!Meter Inst. _-.6.)./ .. l Septic Approval %��. it 5.--; e t/ 1 , . Building Inspector REMARKS 0o l_ O %1,.,e `�-i s - ,; it TOWN OF QUEENSBURY Building Department' Inspectors Report Date !0-;i 3c - � Name S14 Location 1 eA.1 S ' /eve— /o/oc477 Permit No. Weather ii i! Per Cent 'j Complete Remarks !: rs ✓ It Foundation Cement Coat -d Waterproofing Backfill • .Final'Survey Framing Sheathing Roof,IFelt \ .I Roofing Siding Masonry Veneer • l Rough Plbg. Rough Htg. �`• Relief Valves WallBoard — ^' Ext.Porches Finished Floor Interior Trim Stairs&Railings Cellar Dr.Tile Concrete Floors Plhgi Fixtures 1 Gar.Fireproofing Door.Closers as Chimney ii Water Meter Inst. Septic Approval ii ' !I Building Inspector ` tl REMARKS • II :f !!i ii p t i--- ly' - 13 a