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5050 "/0 paid 20 CERTIFICATE OF , OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date June 20 70 19 This is to certify that work requested to be done as shown by Permit No. 5050 has been completed. This structure may be occupied as a One-F-amily Dive l"Lina Location T'ot 56 Revere Road Owner Daniels Road Corporation (Hiltor. 1"'. Tall.man) By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspect�olr CREATIVE ANSTA PRINTING GLENS FALLS N V 1280t 1518)793.5658 BUILDING PERMIT TOWN OF QUEENSBURY _ WARREN COUNTY, NEW YORK No. 5(715 Cl PERMISSION is hereby granted to Dani el a Road Corporation (Hilton ton H. Tallman) man OWNER of property located at Lot 56 Revere Road Street,Road or Ave. C7 in the Town of Queensbury,To Construct or place a One-Family Dwelling at the above location in accordance to application together with plot plans and other information hereto filed and µ approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is R. D. #3 0 Saratoga Springs, New York 12866 CL n 0 2. CONTRACTOR or BUILDER'S Name ly V 0 Same y a, C+ 3. CONTRACTOR or BUILDER'S Address H O O Same 4. ARCHITECT'S Name r 0 r+ 5. ARCHITECT'S Address � (D G rn 6. TYPE of Construction—(Please indicate by X) H (D (x)Wood Frame ( )Masonry ( )Steel ( ) d 4 7. PLAINS and Specifications 68t x 281 per plot plan, specifications and "O application submitted including sewage system and 2 car attached garage. 8. Proposed Use One-Family Dwelling $5.00 C/O Paid • $ 150.00 PERMIT FEE PAID —THIS PERMIT EXPIRES September 1 1978 •C (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the d town of Queensbury before the expiration date.) $ tD l-� Dated at the Town of Queensbury this 14th Day of February 1978 N Q to SIGNED BY U+ for the Town of Queensbury Buillding and Zoning In ctor • •` TOW. Y Cr �; - .BUILDING DEI IEN`r •: a, •' ,,:, P.o '.Lai'' $.i Pay a Haq'iland 1Rcads (3, (S` " •, ' >; *I Glens :Pallet. N. .., • V i 6! •'- •:--2 -, '.9 Phone #792-583.2 '' , - , . ' _ : Sur, 'records .indicate that you were issued ,a building , •• . E , , - ', pt- :ernit on '.2._J'`1` 78 ' __ for the eonstruct&ct . , . f '' ' '- '% files show that the req red inspections are incomp`iete... •• , • 1 tW U .under construction p;tease contact,.this• office for.•a; '' , , cyz� :'.iSion, ,of, your building permit, or, if completed please -contact us,':so w a car,,.taker your card out of the acti ve file. • r . •_•. ‘ ' . tiv .t :rea ui.red- I tspection: _•cl-4 j„ e�v 1 .�p.. i 1 �?/ ,; _ . - • r , . !or al :.-nevi const :suCtton Town Law required a Certificate .. ''.0 7ecupancy:''to be issued by tills 1)epar tient before o 'cup raano , • .kr`5.: conplia ace may result it legal action.; , • ' • ' ' To aveid further delay and poss.�?ble••legal a� tir n,' , ontact,,., ,h.• . it , iff .ce,,.to make arrangements to up< ate your 'file .,i.'_•. {:':;r • , : ppnn p�Tw. 1, `11 .' % • QUE.ENSBUi�t 3UILDING DE'P 1�l�fL;-,•[E LM1 1:.,•' _ � 4 ' I • r { i. ■,,;.•: ,. - t:,: ar, ` ,{rl .. .yam'::. TOWN OF QUEENSBURY (Space inside block to be filled in by WARREN COUNTY, NEW YORK Building Inspector) • Application No. Application for 1'ermit Issued 19- BUILDING AND ZONING PERMIT Permit Expires. 1g. /.unini.1 District . • Value ill \Vrrk, THREE (3) Copies of a PLOT PLAN, Drawn to scale \i'1"•""c(1 l)y showing the actual dimensions of the lot to be built Ren,ar1T upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. 7 p\,j,J OF' QUEENSBURY . a-///or T3) EGEEIVE ff DATE -► s A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK FEB 1 0 1978 ANSWER ALL OF THE FOLLOWING. A•M. I \, DP- 7 8 9 1011121I1 2 M 456 The undersigned hereby applies•for a permit. to do the followingwork 1 1 P I which will be. done in accordance with the description, plans and specifi- 3 cations, and such special conditions as may•be indicated on the permit. The owner of this ro err,,y,,is:. ' Pro a c( Lo ic). '4.177-H1,r N: I2-k6,c .Q (NA`.E). (P.O.ADDRESS) The,pyx n/respo sjbie.for •.supervision of;h %.riwriv insofar asIlle_13uilding Code w4. thelpning Ordinance apply is: ct Gz 'l ier tsy-a . •— /. o if/ h L.s /O Li-sh-t-,r:, 0. ��a_v~:z 0 . a (NAME) � . (P.O ADDRESS) Name of Builder. . . �'.0.�2./.(1."o. .(ff.�... . : . . . . .�'��'. ... - . . . . . .Address Name of Plumber. GI'.d.1 . . P Y�r.�� S-e, . Address Name of Mason �1J yl/eLS f 11J ,--r--2 Address { Lot Number. . . .6.-76. Unit Estimated value of proposed work i / Name of Village . . . . ! .0 l/c . .0 :4."'- Name of Street . . . . . V. VC..-�/'4-A Side of street: north 0, east ©-south O. west ❑ Nearest Cross Street {`l t1'' r4 ,�/4 Distance from this r.ross street 'kid Ft. Property is north 0,south ❑,east west _0 from Cross Street If on Corner, which corner, northeast 0, northwest 0, southeast 0. southwest . (Designate by marking with an "X" in the-correct space.) NATURE OF PROPOSED WORK . OCCUPANCY Main Building T� Construction of a new building. One family dwelling L7 ❑ Addition to a building. [� ❑ Alteration to a building. Two-family dwelling. • • • . . ._family apartment house ❑ El Demolition of a building. Store building ❑ -car attached garage ❑ - Other: • • Accessory Building One-car detached garage ❑ 0 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, site and setbacks of pro- posed buildings, and the location of all existing buildings. .* NORTH __ Show proposed building(s) in dotted line and existing luilding(s) in solid line. Size of property ft. x ft. —t Size and use of existing buildings, if any Ili �, j` >� )� I. om• Size of proposed building . . . J. . . . ft.x 2•o ft. 4 \t ` ' ` •' Height (from grade to ridge) . ft. `yt` • ‘ \ Front yard ft. Side yards ft. and ft. C\ `-e..%- cam~ Rear yard ft. SOUTH ;,i . 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., Kind of construction: Wood frame, fire safe, etc.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber be used? NO i If so, for what7 C_eMaterial of foundation walls ,s1 . '✓-e- Thickness s a Depth of foundation walls below grade g I Cotinuous foundation? `y es- Will there be a cellar? If so, material of cellar floorCo.. �'i'C-f4 Type of roof: Sloped or flat? S k.0/%=-r.,9-- Material of roof as7 f ?�' J Size,wood studs ..7. . " x •f/ ", spacing a "o.c., length / `/• ft. Size, floor beams, 1st floor % . "x / 0 ", spacing l!a "o.c., span / `/ ft. Size, floor beams, 2nd floor %_ " x / 0 ", spacing /4 "o.c., span / :7 ft. Size, ceiling beams Z. xt 0 ", spacing . . . . . . . i.6. "o.c., span i •` ft. Size, roof rafters or beams 2. . " x ° ° ", spacing l 6" "o.c., span e I / ft. Exterior finish C .i , d With what material? Finish of interior walls If garage is to be attached, of what material is wall between garage and main building to be constructed? V 1 J—C fa- Is there to be an opening between garage and bui ding? y Kind of heating system '., Oil burner or coal? Will a flue-lined chimney be provided? •('3 Depth of chimney foundation below grade Height of chimney above roof. r Will there be a fireplace? Y- Depth of fireplace hearth �� / Will a toilet be installed? Will a kitchen sink be installed and connected to water supply -t'� Water supply (public water supply or pump) is... .t GLA`` 'P'` Distance of cesspool from any private well feet Will drainage system be provided with required traps, cleanouts, and vents? y' e Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to th,by j of my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and co.i. lete statement of all proposed work to be done on the described premtsea and that all provisions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertaini ng to,th,ji,ropo wo hall be complied with,whether specified or not, and that such work is authorized by the owner. �1 J��L---- Sworn to before me this Signature OWNER.OWNERS AGENT.ARCHITECT.CONTRACTOR day of 19 NOTARY PUBLIC, WARREN COUNTY..N. Y. SPECIAL CONDITIONS OF THE PERMIT: • By r I TOWN OF QUEENSBURY BUILDING & ZONING DEPARTMENT QUEENSBURG TOWN OFFICE BUILDING BAY & HAVILAND ROADS9 R. Do #1 GLENS FALLS, NEW YORK 12801 APPLICATION FOR A PERMIT TO CONSTRUCT, ALTER OR ENLARGE A SEWAGE DISPOSAL SYSTEM WITHIN THE TOWN OF QUEENSBURY OCCUPANT'S NAME ADDRESS TELEPHONE c574/`/ // (( OWNER'S NAME ..cf/G. G�� L ,�C _Salco ADDRESS 9 to S- V, • NUMBER OF BEDROOMS___, GARBAGE GRINDER? (YES OR NO) TOPOGRAPHY: 11?- ROLLING9 STEEPS SLOPE, GENTLjLOPE . ThER NATURE OF SOIL: CLAY, (SAND LOAM9 GRAVEL, ROCK, ETC.��-, PERCOLATION TEST ... 'WATER SUPPLY: MUNICIPAL, WEL , OTI-iER' DIAGRAM OF PROPOSED SEPTIC SYSTEM % I ,o' pp � n 0 Ja g M �--0 41 e. )1.►)` b,,k ---I� � hki,aye,(ti OTHER PERTINENT INFORMATION L - i e>pruc 174 1 " c\D 1-* S'Yk- p IT IS HEREBY AGREED THAT IF THIS APPLICATION AND PLANS ARE APPROVED, INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL BE MADE IN ACCORDANCE WITH DETAILS SHOWN, DATE 2' ld 7 8 SIGNATURE OF APPLICANT LAKE G =BCE PARK COMMISSION APPROVAL: Signature ate TOWN OF QUEENSBURY Building Department Inspectors Report ' Date Name /,,o Location e re. Permit No. ,5 C.5 C3 Weather Per Cent Complete Remarks Excavation - Footing Forms Footing & Piers Foundation / Cement Coat Waterproofing ,s,• 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 l....••• Door Closers d.>""" Chimney Water Meter Inst. Septic Approval ilding Inspector REMARKS 3SA TOWN OF QUEENSBURY. • Building Department Inspectors Report DDa,t J Name /%'�1 / f ' Location l' i; �- c6 /�L 1/C��C' /��/ Permit No. ,c-o 5— Weather Per Cent Complete / ks 17 Excavation /� // // Footing Forms / 1 Footing & Piers Foundation /J // /1 C(/" Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt L. Roofing } Siding tb Masonry Veneer' Rough Plbg. • \ Rough Htg. / 1` Relief Valves '1 Wall Board Ext.Porches Finished Floor Interior Trim ,(� ,� • Stairs&Railings j� Gs�/' �)/',j Mi.IS3"J !/€ i/{dS X,jt/IISS( Cellar Dr.Tile Concrete Floors • Plbg.Fixtures • Gar.Fireproofing 17 "���� 5 " /- t,k5 Door Closers�L •��(.t(7%� C/lL iv ?Le Chimney Nett S Water Meter Inst. V.-41741 Septic Approval Building Inspector EMARK • /6/kit f‘t Q ,•Aj) £Zee. f A Ql�3�j�f� d ‘1k) TOWN OF QUEENSBURY Building Department Inspectors Report Date 4/ J/-/ i Name %Ge-& i- . t-, Location A D y , ' G, f 21-rt.P i4. f c{._ f Permit No. Weather , Per Cent • Complete Remarks Excavation Footing Forms G✓L!i Footing & Piers (// Foundation Y Cement Coat ' 1 Waterproofing ��G J'" f Backfill t f7"-- Final Survey Framing Sheathing / -) Roof Felt j / Roofing Siding Masonry Veneer Rough Plbg. 1 r Rough Htg. /V P i // 1 Relief Valves ( 1' Wall Board f �r Ext.Porches I / . Finished Floor r+ Interior Trim / — Stairs&Railings Cellar Dr.Tile I it Concrete Floors {/ Plhg.Fixtures Gar.Fireproofing ' Door Closers Chimney • ' Water Meter Inst. 4 Septic Approval Building Inspector REMARKS 1 TOWN OF QUEENSBURY Building Department Inspectors Report Date / 17) Name % ,/�/�,� t���-G LocatioL � g> �P '�� •i<a Permit o. / Weather �rJ Per Cent Remarks Complete Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Rough Htg.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 Building Inspector REMARKS i • j • / I �rw Y:_ ° ro o 0K f,s o �� t' p 0£, . .A.' . --.... V. t 0 0 4...: 51.0 % ' .1,/c\kg h:17 r\- •::...2:-.77- --- -- < _ *. i +• t/ry�•ts.'K• L A , ,:„, •91);. 0 - ' 04 . 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