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4054 01" CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 19 — This is to certify that work requested to be done as shown by Permit No. 1;05, 4 has been completed. This structure may be occupied as a One-lamily %elling Ches,tniutl Ridge Road Location Owner John Carusone By Order Town Board TOWN OF QUEENSBURY Building Zoning Inspector CREATIVE "INSTA PRINTING. GLENS FALLS N V 12901 (510)793.5%SS BUILDING PERMIT TOWN OF QUEENSBURY No. 4054 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to John Carusone L4 O OWNER of property located at Chestnut Ridge Road Street,Road or Ave. O in the Town of Queensbury,To Construct or place a One-Family Dwelling 00) 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. N O O 1. OWNER'S Address is Clark Street Glens Falls, New York 2. CONTRACTOR or BUILDERS Name Hilton A. Tallman Const. Co. Inc. n to 3. CONTRACTOR or BUILDERS Address C+ O R. D. #3 C' Saratoga Springs, New York 12866 4. ARCHITECT'S Name fy tQ �D O 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) O 7 f( )Wood frame ( )Masonry 1 1 Steel 1 1 M 7. PLANS and Specifications W No. 44' x 32' per plot plan, specifications and application submitted including sewage system. 8. Proposed Use M One-Family Dwelling r• ur1 $5.00 C/O PaUll $ '00 44,&V WRMIT FEE PAID—THIS PERMIT EXPIRES December 1 1976 (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.) Dated at the Town of Queensbury this 10th Day of May 1976 SIGNED BY Z , + for the Town of Queensbury Buildlhg and Zoning I nspec66r Na tt(..... TOWN OF QUEENSBURY (Space inside block to Ix. filled in by WARREN COUNTY, NEW YORK • Building Inspector) Application for application No. , • • em 19. BUILDING AND ZONING PERMIT Permit Expires. 19 /.o('(inl District • . \ ;due ',I work% THREE 131 Copies of a PLOT PLAN, Drawn to scale ,\i'l ""'(d l)• showing the actual dimensions of the lot to be built Rciii:i(XS • upon, The exact size, and location on the lot of the building to be erected or altered MUST BE•SUB- _ MITTED WITH THIS APPLICATION, • . . . --S /6/1.2 I . 1 E B P Luta A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK riF`i\('r ` 9/6 ANSWER ALL QF THE FOLLOWING. Wel9110i11112)112131415P0 The undersigned hereby applies for a permit. to do the following workwhich will be. done in accordance with'the description, plans and specifi- . 6 . ` ' ° ` 3 , 6- 6--�-- . cations, and such special conditions as may•be indicated on the permit. The owner of thjs4 property is:. . . , (NA''F) (P.O.ADDRESS) The persie�ponsi for ���ision of the work insofar asthe Building Code and the Zoning Ordinance apply is: /`/7�/ L ov ;Pi)71.E 54 .✓�!-.Ta rs l t Zg f�e ( AME) (P.0 ADOR S) Name of Builder A / i 1i��d`J hie *1 co c-' Address • Name of Plumber. . y"4 �o' 1� 0 e� Address Name of Mason O.J.(. . . P• ..(9• ./"^•7 )C t .Address Lot Number . Unit Estimated value of proposed work 5 Y6 4j ",0• :1 • Name of Village �� . U �, Name of Street .CAP.57//.7 V ��, . Side of street: north 0, east 0, south O. west 0 Nearest Cross Street . .C'. L? a, f/• .4./. L-e.Q t Distance frcrn this .Toss street .�orx • . . . • • . . . Ft. Property is north 0,south ❑,east west' ❑from Cross Street If on Corner, which corner, northeast ❑', northwest .0, southeast ❑. southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Construction of a new building. Main Buitding [I) .Addition to a building. One-family dwelling (� Two-family dwelling ❑ ❑ Alteration to a building. . . . . . . .-family apartment house ❑ ❑ Demolition of a building. Store building ❑ -car attached garage ❑ Other: • Accessory Building . One-car detached garage Li ❑ Other work. Describe• Two-c_ar 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 buildings) in dotted line and existing Ituilding(s) in solid line. Size of property' c-- �'2CS' t•'x ft. Size and use of existing buildings, if any F s w Size of proposed building ' 1Y r ft.x 3 c ft. Height (from grade t ridge) . . ft. Front yard V C ft. • Side yards . . . 47.Y-, ft. and .2,47.t ft. Rear yard . . .2-4- V'- ft. SOUTH If on corner,setback.from side street • ft. Note: All distances are net, as measured from street side - line to nearest part of building. (OVER) 7-73-M (cont'd.) BUILDING SPECIFICATIONS., n/ _ Kind of construction: Wood frame, fire safe, et 2 (.� c 6CC 1--- r0`„' " Will any second-hand lumber be used? . . . . Al& If so, for what Material of foundation walls . . . . . . . .Ca ve.0 VC--. - `r Thickness Depth of foundation walls below grade o 0 v°eG Cc' t T Y-c�c- Continuous foundation? . .}C,...,-. . Will there be a cellar? y-t's If so, material of cellar floor CD h C'�-�..1.e Type of roof: Sloped or flat? k . . . . aterial of roof ,�'l0 ( Size, wood studs . . .(R)(.6k c' 2.X Y "x 16 ", spacing (, "o.c., length • ft. Size, floor beams, 1st floor . . 2,l'1.0 . . . " x '46_ ", spacing /a' "o.c., span ft. Size, floor beams, 2nd floor 2 X " x . . . . . . . . . . . .", spacing 11 "o.c., span ft. Size, ceiling beams 2 X 7 " x - ", spacing . . .11 "o.c., span ft. Size, roof rafters or beams . .2 Y.c'. . . . . " x 71d ", spacing 4e "o.c., span ft. Exterior finish Z cO d S.r C. 4) With what material? Finish of interior walls4.C� z If garage is to be attached, of what material is wall between garage and main building to be constructed? Is there to be an opening f-between ara (..-0 a' v a and building? Kind of heating system Oil burner or coal? 0 Will a flue-lined chimney be provided? . . . 4y .3. . . . • Depth of chimney foundation below grade ,7 Height of chimney above roof I Will there be a fireplace? �,( Depth of fireplace hearth . . > Will a toilet be installed? ! . Will a kitchen sink be installed and connected to water supply? V Water supply (public water supply or pump) �!'� Lk//% Distance of cesspool from any private well ( D o feet Will drainage system be provided with required traps, cleanouts, and vents? . . X. .J'5 Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to tr, j,w 1 of my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and co.a.plete 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 ro sed work hall be complied with,whether specified or not, and that such work is authorized by the owner. 'G/ Sworn to before me this Signature OWNER,OW////N���/ER'S AGENT.ARCHITECT,CONTRA day of 19 NOTARY PUBLIC, WARREN COUNTY..N. Y. SPECIAL CONDITIONS OF THE PERMIT: • By TOWN OF QUEENSBURY • BUILDING & ZONING DEPARTMENT QUEENSBURY TOWN OFFICE BUILDT,NG BAY a EdAVILAND ROADS; R. D. ;i1 GLENS FALLS, NEW PORK 1280Y1 APPLICATION FOR A PERMIT TO CONSTRUCT,', ALTER OR ENLARGE A SEWAGE DISPOSAL SYSTEM WITHIN THE TOWN OF QUEENSBURY, <CCUPA T' $ :NAME Q (1r,l_ at/ USd frj ___ADDRESS ak 5 h �eG,, °MON c ( z %y _OWNER 9 s NAME �,h 14 6,,e_.(/sa . - ADDRI s s4Wl,D 4.3 v io __, / �2=i-6' a_ _NUMBER OF BEDROOMS_ OM.S_ GARBAGE GRIND ER 8 N/D ._(YES OR NO) TOPOGRAPHYg FLAT, ROLLING, Sr5.::EEP `SLOP(", GENTLE SLOPE, OTHER • '\ _...... .....�.._. g-y�Rym...�...a.s......_ MIRE OF SOIL g (CLA )SAN--Y .OM711, .c1a71A EL: ,....A...__,.._... .._ _._,.,.......�,... _.,,_.,.v,...>,.,..a..� 1 ia3\, « moo "•� . . — �.,.�_.:..�q ...e .�... -'ERCOF,ATION TEST WATER SUP:P ,.\ MUNICI;.F'k . uF,LL 0'; - Efl DIA,(z�'.. 1 OF, T' O OSI".f}. SEPTIC, SYSYrid S- :LT 4_ -61 4i6, 5 1- w OTHER PERTINENT INFORMATION IT IS HEREBY AGREED THAT IF THIS APPLICATION AND PLANS ARE APPROVE , INSTALLATION OF SEWAGE raSL.'OSPL FACILITIES WILL BE' ,MADE IN ACC DAN: t= DETAILS SHOWN Xte--/-41;_i&' �tee� (a- WITH DATE '-_ 7‘ SIGNATURE OF APPLICANT LAKE GEORGE PARK COMMISSION APPROVALS • - TOWN OF QUE NSBURy Building Department • Inspectors Report Date /// /2-17/ Name A7 41/7 Location l 7`•(l /f— G j/ Permit No. Weather Per Cent Complete Itainarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing 1 Backfill Final Survey Framing r� 1 Sheathing t Roof Felt ifc) Roofing Siding Masonry Veneer Rough Plbg. Rough Htg. Relief Valves L—_ • Wall Board 6 7 Ext.Porches ( �� Finished Floor Interior Trim Stairs&Railings Cellar Dr.Tile Concrete Floors ._ __ Plbg.Fixtures Gar.Fireproofing 4 Door Closers Chimney Water Meter Inst. Septic Approval j rt C- , Building Inspector REMARKS- TOWN OF QUE NS3URY Building Department Inspectors Report Date Name ck/pij�`j e Location L h e..ST.h/,T ,�"`c/9 e Permit No. .j S5( Weather Per Cent Il Complete Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding 1� Masonry Veneer i Rough Plbg. ✓ Rough Htg. Relief Valves Wall Board Ext.Porches Finished Floor Interior Trim Stairs&Railings Cellar Dr.Tile Concrete Floors Plhg.Fixtures Gar.Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval I s:21t Building Inspector REMARKS TOWN OF QUEENSBU ` Y Building Department �J Inspectors Rep rt Date 7-7 ,7 Name "7// /11_o(_iC/ r, Location 7 r.1,4,/,/tYY////�/%f,/z' 7'. Permit No. — /10,r,= Weather l z;/�'1�// Per Cent Complete Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing //f' Sheathing Roof Felt � 1 Roofing (� Siding Masonry Veneer / Rough Plbg. G� Rough Htg. • Relief Valves _ Wall Board Ext.Porches Finished Floor Interior Trim Stairs&Railings Cellar Dr.Tile Concrete Floors Plhg.Fixtures Gar.Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval , j- yi0(/g/ Building Inspector REMARK TOWN OF QIJEENSBURY Building Department Inspectors IIRepo��r}}t Date Name 0011 h lLIY•I A S 1°) Location CAN e`1" iA,ts Cl ?_ Permit No. /1-6_5'4-Ti Weather /7.1- "JJ Per Cent Complete Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill i/ y Final Survey Framing Sheathing � NRoof Felt ( m", �� . Roofing Siding Masonry Veneer Rough PlbgHtg. Rough Htg. Relief Valves • Wall Board Ext.Porches Finished Floor Interior Trim Stairs&Railings Cellar Dr.Tile Concrete Floors Plhg.Fixtures Gar.Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval. -/ i ., Building Inspector REMARKS S)4iY TOWN OF QUEENSBURY Building Department Inspectors Report Dat I '' Name C i 7G�G�G/� f.�� 1i1L6�. :.t Location /' 1a' '/_- G �1 / Permit No. *//5—,5/ Weather ✓,J2�.�/. Per Cent Complete Remarks Excavation f/ 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 Cellar Dr.Tile � Concrete Floors Plbg.Fixtures Gar.Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval i Building Inspector REMARKS TOWN OF QUEENSBU Y Building Department Inspectors Repo Date Name � �r� .. 'sff" Location %. f���i/T Permit No. 4/(j,. Weather - s- Per Cent Complete Remarks Excavation ‘,../� 1 Footing Forms I/ Footing & Piers Foundation • Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. )(7 Rough Htg. Relief Valves Wall Board Ext.Porches Finished Floor Interior Trim Stairs&Railings Cellar Dr.Tile Concrete Floors Plbg.Fixtures Gar.Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval 1,7 Building Inspector RE ARKS Age( ii CgaZ7(Z, �� 54_ 2_ - `) 0