8579 •
C/O Paid
CERTIFICATE . OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
•
Date 19
a0
This is to certify that work requested to be done as shown by Permit No. 8579
has been completed.
This -structure may be occupied as a Addition to one family dwelling
Location Le Mud Pond Road
Owner Arthur LeMay
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
CREATIVE "INSTA• PRINTING, GLENS FALLS. N V 12801 1518)793-5658
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 8579
WARREN COUNTY, NEW YORK
rr
PERMISSION is hereby granted to Arthur LeMay n
OWNER of property located at Mud Pond Road . Street, Road or Ave. 3
in the Town of Queensbury,To Construct or place a Addition to dwelling (living area)
IC
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.
1. OWNER'S Address is R. D. #1
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Same ,b
0
3. CONTRACTOR or BUILDER'S Address 7:)
Same • a
•
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
11
( Wood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and Specifications
12 'x14 ' per plot plan, specifications and rf.
No. application submitted.
8. Proposed Use fD
fD
N•
One—Family Dwelling (additional living area added)
$5. 0 0 C/O Paid
$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES January 1 19 85
(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 20th //rrDay of June 1984
'J'i SIGNED BY G C1t. fj�g,- for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for •
Application No. : I�.
pP 1 crt„it Issued
BUILDING AND ZONING PERMIT Permit Expires. lg.
'toning District // 7
\ ;due ()IWorkl Work/ �� 1/
THREE (3) Copies of a PLOT PLAN, Drawn .to scat® \ppc1,c•cl h•, t
showing the actual dimensions of the lot to be built Itcimii•KS'
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-• EF_1415®nvEUsk`!
U� -„/---/� / • & l� �ATF . . . . . . TOWN O QUEENSBURY
n
A PERMIT MUST BE OBTAINED BEF
ORE BEGINNING WORK Ti2
_ _
ANSWER ALL OF THE FOLLOWING. `)(''N 1 9 19B
The undersigned hereby applies for a permit to do the following work A_M, / ' �'� P• -
which will be done in accordance with the description, plans and specifi- 7j8)910111)12i11213141516
cations, and such special conditions as may be indicated .on the permit. •
(,...i.A.Lei ci•-•
The ow r of this property is: • a .F. p
(NA'4E) (P.O.ADDRESS)
The person responsible for 'supervision of the work insofar as the B(uilding Code and the Zoning rdinance apply is:
4v2- L0U 2 . . LC- 11_Ow+ \ u c\ la 0,-cA . .1. _ t�'. . . . G-. . . .lkC' ,
1 (NAME) 1' ( (P 0.ADDRESS) 1 _
Name of Builder 'i�2-`�Av' \` -\ (I-' { , Address . .\�'N c\ c30,4 � Co ' I1
Name of Plumber. . .`7 G?�-�:e-- I Address
Name of Mason '.&---c-)2--,-•' Address
Lot Number Unit Estimated value of proposed work 3 +
Name of Village
Name of Street .0.1.4• •0 •Q".A \ . Side of street: north 0, east N, south O. west 0
Nearest Cross Street 'Y-�-AY\-\,n.kS Q \\e,,_ Qck Distance from this cross street . . ...t.y .P\.t. . CZPPOY\Ft.
Property is north 0,south ,east i i, west. ❑from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast Q. southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. Main Building
cil Addition to a building. One-family dwelling
❑ Alteration to a building. Two-family dwelling ❑
❑ Demolition of a building. -family apartment house ❑
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, size and setbacks of pro-
posed buildings, and the location of all existing buildings.
NORTH Show proposed building(s) in dotted line and existing
SO 1 . 'I� I�C� �uilding(s) in solid line. j Kr b c4
-Size of ro ert 4-IC j ft. x�:• •�• • • • ft.
r, P P Y
n Size apsi use-of existing buildings, if any
i- AO itti•--tiv Q.Z..) ,..(4- •
4 ft.
s i^ w Size of building . . ft.x I
proposed . . . jc.
Height(from grade to ridge) 0 • ft.
Front and 30 4 ft.
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Side yards = 'Z ft. and . . . /.6 .ZJ ft.
•
• -.-.-ID ' Reap yard . 0. )ram. ' 4� .• 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
(coned.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.' Gv
Will any second-hand lumber be used? 1k„)U If so, for what2
Material of foundation walls . . Thickness 6 r
Depth of foundation walls belowl grade . . . 1, - Continuous foundation?
Will there be a cellar? . . .C7 If so, aterial of cellar floor ����
Type of roof: Sloped or flat? . ...(S./d Material^ of roof . .��.: G woo �1 60 `i GI
Size,wood studs "x , (J ", spacing ./(-. "o.c., length (7," a ft.
Size, floor beams, 1st floor . .e...O n c 1`e_4e2_x ", spacing "o.c., span ft.
Size, floor beams, 2nd floor . . . ./.1.0.?LC'=x ", spacing "o.c., span ft.
Size, ceiling beams " x Cc ", spacing / Cc " "o.c., span /a - ft.
Size, roof rafters or beams . . . "x ", spacing . . .1' 4 "o.c., span . ./6. - ft.
Exterior finish .(51 ...2_e,r—�+_(;‹,x L With what material?
Finish of interior walls n 7 '
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 between garage and building? . .ZOO
Kind of heating system Oil burner or coal?
Will a flue-lined chimney be provided? . Depth of chimney foundation below grade
Height of chimney above roof
Will there be a fireplace? /.i4) Depth of fireplace hearth
Will a toilet be installed?
Will a.kitchen sink be installed and connected to water supply? yWater supply (public water supply or pump) .Distance of cesspool from any private well . . . .l C'.0.. � • feet
Will drainage system be provided with required traps, cleanouts, and vents?
Town of Queensbury AFFIDAVIT
County of Warren _
State of New York
I swear that to th b�� of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mined, are.a true and co.i.'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 work shall complied with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature
OWNER.OWNER'S AG NT.ARCHITE , -ONTRACTOR
day of 19
NOTARY PUBLIC, WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
By
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BUILDING DEPT.COPY OF APPLICATION FORM 46-EL.NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
CITY OR '
VILLAGE TOWNSHIP [�/jar y,may ,; ?� lye COUNTY J/";v j _` `"
STREET AND NO.OR t, y
ROAD AND POLE NO. i% t \t C` \- n..c\ ,�" POLE NO.
BETWEEN WHAT TWO __
CROSS STREETS IS ,
PREMISES LOCATED? i? 1 1"L h '1 11SECTION BLOCK LOT
OCCUPANT f'
'S BUILDING / ,NAME A i `S--I•\ l ` i .
• ,� � a /�,d f OCCUPANCY ,r:_/fif.�-, c
OWNER'S NAME I - -
AND ADDRESS ,,, , l7 ^
BYCURRENT
PPLIED -/��`�- / ,� FROM THEIR ,�"�� 5 ,�.. OFFICE
ISB NEW
NEW❑ OLD ; REMODELED[-LE ❑ IWS
NEW L ADDITIONAL❑ REMOVED DEFECTS ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH LAMPS
Lamp Receptacles CIRCUITS
Loca-
tion Side Attach't H.P. Watts A.W.G. WATTS
Ceiling Wall Recept'Is Switch Pendent Bracket No. Type Each No. Each No. Gauge NO. EACH
Out-
side -
Sub-
base
Base-
ment .
1st FI.
2nd Fl.
3rd Fl.
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE.
•
This application is intended to cover the above-listed equipment to he inspected but if at time of inspection there is found additional equipment not above listed,
you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant.
SIZE OF ELECTRIC SIGN TOTAL
MAINS FEEDERS LAMPS WATTS
CHARACTER EXPOSED GAS TUBE SIGN
OF WORK CONCEALED - TRANSFORMERS OF . VA
WORK TO BE (NUMBER) (CAPACITY)
STARTED COMPLETED SIZE OF SIGN
SERVICE • MAKER
ENTERS - OF SIGN
BUILDING
INSPECTION REQUESTED
ON ORAS NEAR AS ! ./ �/A� /)�'/
POSSIBLE r,ft_✓ l r.:.fr / • NEW [1 OLD P1
AVOID DELAY BY GIVING FULL AND ACCURATE rNFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
APPLICANT ). `.1,` \I C.:' .:t.- .� �`- APPLICATION
DATE OF C. /�f
..,\ .
STREET ADDRESS 1 1 _,, ( i „_ ,-
ZIP - LICENSE NO,
POST OFFICE .- '.'I , . `�I::S.•''>.% C 'i . CODE -7 h I : t WHEN APPLICABLE
.
A SEPARATE APPLICATION MUST at FILED FOR EACH SEPARATE BUILDING
i ttiA7g?V'"Qn)J.CA.J_.lJ.%.)._InJna%..n.ln.)_nl.l.nAnAAI.)nA7,!_-n,_l�_A!.,QNAi l%.e, .l_.I./_. ne.4-1.n..I ."C"J.%,.nnn;\.ef!JAI-In .,ge.Ce.t/..A l,!klJ.ne%Y/lnJA!-".A'
400092.! THE NEW YORK BOARD. OF FIRE UNDERWRITERS :T
1 Y
ad BUREAU OF ELECTRICITY y
.-' 41 STATE STREET,ALBANY,NEW YORK 12207,
- October "j L t t?G;t Yi4-,. 4- ;1
�- - 9, �2�5
Date Application No.on file A i '7,"'1 54-1
t, THIS CERTIFIES THAT R� T
: only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of ,r
Arthur E,eMaay, Mud Pond Road, Pi3�censbur`y,, Nov York ,r
r
• in the following location; ❑ Basement ❑ 1st Fl. III 2nd Fl. Section Block Lot
was examined on and found to be in compliance with the requirements of this Board. ,r .
r •
- FIXTURE FIXTURES, ` RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ,¢
¢' OUTLETS ' ECEPTACLES ;SWITCHES MERCURY y
-6 r INCANDESCENT FLUORESCENT yN AMT. K.W. AMT. K.W. MAT. K.W. AMT. K.W. AMT. H.P. ?
_ j; iT
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¢' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
Y
"t' 'AMT. K.W. OIL ' H:P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF EET •AMT•- WATTS 'Y
r
SERVICE DISCONNECT NO.OF S E R V . I . C E ;r
-. ki AMT. AMP. TYPE METER
1 A'2W 1 0 3W 3,0'3W 3,0'4W NO.OFF_CCC COND. OF A.CC.COND. NO.OF HI-LEG OF.W.G.LEG NO.OF NEUTRALS OF NEUTRAL r
=: 1 150 CD :i. . 1 210 1 1/0 y .
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., OTHER APPARATUS: ,T
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7, v! .
/, v1-1.
1 Edx-TaLL N . Gaiotti Y
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134 East Hunter i
_<, G_eus Fasts, Ne.wYop L. L..30.A
4' BRANCH MANAGER
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5<i ?
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tr<f Per •
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CYO rey Yv-iz Fe7.,CY4YYdY 4Y-4YYwYYgY-re-ci YYe?,es-4YYeYeY�YYeFY�s-r?er YYz-i,e5 YY4YY4YYeyeye?d6 Yev-?e-;vr;:Y4YY4YYjYY4YYeYY.Y-Fe5ii Fe-;-e9vcY4i-ie-4-rieYaY4
COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
•
TOWN OF QUEENSBURY •
Building Department
Inspectors Report Date al2: /, ,7'
Name
Location j ")//f)jam'/ A)j2 ,?
. Permit No. '?-7 y Weather
!ti i 7-Cc-6ek/ /g2:),b1,I Li t Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey / ^ 1
Framing L ()// •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg. // (i1/<
Relief Valves
Wall Board
Ext. Porches \\77—
Finished Floor
Interior Trim
Stairs & Railings /
Cellar Dr. Tile /
Concrete Floors /
Plbg. Fixtures /
Gar. Fireproofing /
Door Closers
Chimney /
Water Meter Inst.
Septic Approval
Floors '
Insulation FoUndation '
Walls
Ceiling
.. /�/yam/•/" /
Bui ding Inspector
REMARKS
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C . . . Rear Yard ; . • ,"
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Frontage ft'
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Feet To i�learest Street • •• ' •Feet To Nearest Street
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