5936 CERTIFICATE OF OCCUPANCY j
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19 _
1
This is to certify that work requested to be done as shown by Permit No.
has been completed.
This structure may be occupied as a "
Lac#sion
Owner
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector �.
't
CREATIVE "INSTA" PRINTING, GLENS FALLS. N Y 12801 15181793-5658
BUILDING PERMIT
TOWN OF QUEENSBURY No. 5936
WARREN COUNTY, NEW YORK
PER MISSION.is hereby granted to Julie Britko
v
OWNER of property located at Lot 45 Knolls Road North Street, Road or Ave. e
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
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
n
N•
1. OWNER'S Address is
Wedgewood
Apts. -0
South Glens Falls, N. Y.
2. CONTRACTOR or BUI LDER'S Name
Norman Ouellette
3. CONTRACTOR or BUILDER'S Address
66 z Oak Street 0
Hudson Falls, - N. Y.
,A
4. ARCHITECT'S Name
O
N
N
5. ARCHITECT'S Address
' OO
6. TYPE of Construction—(Please indicate by X) 7
IN Wood Frame ( ) Masonry ( )Steel ( 1
rt
7. PLANS and Specifications
34 'x30 ' per plot plan, specifications and
No. application submitted including sewage system
and 22 'x24 ' two-car attached garage.
8. Proposed Use THIS PERMIT DOES NOT SERVE TO
One—Family Dwelling 0
EXEMPT YOUR PROPOSAL FROM APPROVAL �$
OR PERMIT REQUIREMENTS OF OTHER f
S. p,
$5. 00 C/O Paid
N•
$110 . 00 PERMIT FEE PAID —THIS PERMIT EXPIRES January 1 1980
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.) S,
(D
Dated at the Town of Queensbury this 28th Day of June 19 79
N.
QP
SIGNED BY ( �C�' for the Town of Queensbury LQ
Building arfd Zoning Inspector
1
TOWN OF QUEENSBURY
(Space inside block to Ix- filled in be
WARREN COUNTY, NEW YORK Building; Inspector)
Application for Application No.
1'c rmit Issued 14.
BUILDING AND ZONING PERMIT I�� �tiit 1:•,�ires. I�
/-ilim- I)istrict
\ Atic• (i1 \\'cork$
THREE (3) Copies of a PLOT PLAN, Drawn to scale ed INN'
showing the actual dimensions of the lot to be built kc illarKs'
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. TOtj,,'N OF QUEENSBURy
2 = I i . . . . . . . ." `. .. .. . gey �
A PERMIT MUST BE OBTAINED BEFORE BEGINNING ORK JUN 18 i919
ANSWER ALL OF THE FOLLOWING. A.M.
7�8]g�ig1�I�121 2 s 4 6lS.
The undersigned hereby applies for a permit to do the followin work
which will be done in accordance with the description, plans and ss&ecifi-
cations, and such special conditions as may be indicated on the p it.
Thy owneLpf this�'property 's: . ,
m,s.s... . . .v.�-,. . . . . . /2.� .� . d . . . . . . . . . . . . . . . .�D� . da . . . . . . . . . . . . . . . . . . . . . .
The persorrresponsibie for supervision of the work insofar as&ZB�ildin Code and the Zoning Ordinance a ply is:
�f,!P.R I7l�'�. . . . .t. 61z.Z_/ . . ... . . . .�o. ~ .yv . . _!L"C. . . . . .//�a►�SO;
(NAME) (P//0 Ap/b8tE SI
Name of Builder. ./!!.Q/e.^10.41. . . .D.kli�LL5;- .T r�, .Address . .�
Name of Plumber. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Address . . . . . . . . . . . . �.). . . . . : . .
/J . . . . . . . . . .
Name of Mason. . . . . . . . . 1. . . . . . . . . . . . . . . ... . . . ... . . . . ... . . .Address . . . . . . . . . . . .). �. . . . . . . . . . . . . . . . . . . . . . . . . . .
Lot Number. --PV-- !•S. . Unit . . . . . . . . . . . . Estimated value of proposed work 3 ,�. . . 5 5l 0.00.. . . . . . . . . . . . . . . . . .
Name of Village . .(� W6AI,�. ./9.ll x . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Name of Street . . . . . Iklvo.' . . . /2D.�Id7. . ../,Vd 2T17-'. Side of street: north Dff, east ❑, south ❑, west ❑
Nearest Cross Street . . ..H.U.I."1!7.,6.12. . . . .E-►3N . . . . . . . . . . . Distance from this cross street O. . . . . . . . . . . . Ft.
Property is north ❑,south 0,east c i, west. ❑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 '
Construction of a new building. Main Building
❑ 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 ❑
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, sire and setbacks of pro-
NORTH posed buildings, and the location of all existing buildings.
Show proposed building(s) in dotted line and existing
huilding(s) in solid line.-
�Size of property . . 0 . . . . ft. x . . . ft.
11"Size and use of existing buildings, if any . . .` . . . .
. . . . . . . . . . . . . . . . ... . . . .
W Size of proposed building . . . . . ��3 it.x . . . .3. .®. . ft.
✓Height(from grade to ridge) . . . . . .. . . . . . . . . . . . ft.
&-Vront yard . . . . . . . ..9.3 . .,X. .a0b . . . . . . . . . . . . . ft.
��7��,5 . . . ft. and . .'�.�(. , S.o. . , ft.
!/Side yards .� �j
t/Rear yard . . . . . . . . . . . . . . . . . . . ft.
SOU THfrvcza�.dC street --ft.. .
Note: All distances are net, as measured from street side
line to nearest part of.building.
(OVER)
I 7-73-M
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.?. . .
)• • • . • • • • • • • • • • • . . . . . . . . . . . . . . . . . . . . . . . . .
Will any second-hand lumber be used? . :4VnQ. . . . . . . . If o or what?. . . . . . . . . . . . . . . . . . . . . . . . y/. . . . . . .
. . . . Thickness .
Material of foundation walls . . . .C.b!✓G. .sif 4C ..�.n/3.4DGf . r� . .c�
Depth of foundation walls below grade . . .. . . �51. ."41,. .SL- Continuous foundation? . . . . . . . . . .
Will there be a cellar? /01.�. . . If so, material of cellar floor .C, O . .C-. . . .y. . . .5 196 . . . . . . . . . . .
Type of roof: Sloped or flat? . . .j L v'�.�. . . . Material of roof . r1SP.1��I.� .�/ c?i6'�.�� �� j. . . . . . . . .
Size,wood studs . . . . .�• • • • • • • . . . . . "x . . . . & . . . . . . . .", spacing . . . .f./® . . . . . o.c., length. : .. . •. . . . . ft.
Size, floor beams, 1st floor . . . . .;t . . . . . "x . . . . . ./. ®. . . . . .", spacing . . . .,rCi. . . . . . ."o.c., span . . ./-s . . . . . ft.
Size, floor beams, 2nd floor . . . . . . . . . . . " x . . .", spacing . . . . . �/--�'�o c., span . . . .� . . . . . . ft.
Size, ceiling beams . . . . . . . . . . . . " x . . .lp . . . . . . . . .", spacing . . . .��. . . . ."o.c., span . . . J 3 . . . . . . . ft.
„ J
Siie, roof rafters or earns . . . . . . . . . "x . . . , spacing . . . .1.6. . . . . . ."o.c., span . . .1.�. . . . . . . . ft.
Exterior finish . . 0.)VA.fj. . , r � • • • • ,fV• /4741,,&with what material? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Finish of interior walls. . . . �d . . . . .5.11 4,C_T. . e:,R. . . . f'Ej 1 Nr0lb . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . .
If gara a is to be attached, of what mater}al is wall between gara e and main builHin to be constructed? ,
Is there to be an opening between ' ara a and b9ilding? . . . �'S. . . m�.�94 . •l=�.C�
Kind of heating system . :. . . . . 4,6C T�/•C. . . . . .�. . Oi11 l burner or coal? . . . . . . . . .
Will a flue-lined chimney be provided. . . . - • • • • Depth of chimney foundation below grade
Height of chimney above roof. . . . / / D.� . . . .,JL . . . . . . . . . . . . . . . .�. . . . . . . . . . . . �. . . CO�e.
Will there be a fireplace? . . . . . . . . . . . . . • • • • Depth of fireplace hearth . . ./. . . . . . . . . . . . . . . . . . . . . . . . . . .
Will a toilet be installed?. . . . ...... �!S. . . . . . . . . . .'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will a kitchen sink be installed and connected to water supply? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Water supply(public water supply or pump) . . . . . . . ./�JU.I?� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...
Distance of cesspool from any private well . . . . . . . .fib.O.�. . . . .d t-. . . . ��.7'j�;.!�. . . . . . . . . . . . . . . . . . . . . . feet
�Will drainage system be provided with required traps, cleanouts, and vents? . . . . . . . ,r. . . . . . . . . . . . . . . . . . . . . . .
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear.that to ttr b rof my knowledge and belief the statements contained in this application,together with the plane and specifications Bull,
mitted, area true and co.t, 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 pertam7��A_A
work shall be comp ir"!"� ,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature ..... ..... ................................... ....
GENT,ARCHITECT,CONTRACTOR
...................:..................day of..................................................19........
. ........................................ .
NOTARY PUBLIC, WARREN COUNTY, N. Y.
SPECIAL CONDITIONS:OF THE PERMIT:
By ............................................................................................. . ..............
TOMA Cr t lWENSEURY
BUILDING .AND ZONING DEPART111ft-11T
BAY A_ATD fAVILAND ROADS, RD #I
ENS FMLS, Nrl.4 gORK 12801
A SEWAGE DISPOSAL SYS`.M 1,gTHYN THE TOWN OF OUEENSWR`Y
OCCUPANT v S NM - I J, //I# d ADDRESS
CAREA ' GRINDER? OR ToPCammy: nAT, RCLL€m S TEES', SLOPE
NTLE SLOPE, OTHER-
�711, `9 OF SOIL: CLAY, S.-AIMY, LOAM, GRAVEL, ROMS' , ETCa Z(.p":v12-?
"'PERCOLATION TEST WAIM SUPP?LY r IMIPITs CIPAL, ITELL, O'MER
DI AGWM OF PROPOSED SEPTIC SYSTEM
i�
�a
Pip, c1C 6l lgoofz
e w ALL /bb f wl(l
OTHER. PERTINTEIT. INFOR ?A11014.
3,&j
1T IS HEREBY AGIMED THN.0 IE `I S APPMC.AT ON AND PLLNS ARE APPROVED,
INSTALLATION CE SWAGE DISPOSAL FACILIT P ES WILL BE TVIADE IN ACCORDANCE
Wl"M DETAILS /24
.-A,rs, 3 1 el S TGNA°1"T3RE OF APPLICANT_ D
L. (E G"EORGE PRIM COMMI S S I CN APPROVAL
v
THE NEW YORK BOARD. OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
41 STATE STREET,ALBANY,NEW YORK 12207
Date Application No.on file A ,
THIS CERTIFIES THAT /�'�
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Ft. Section Block Lot
was examined on and found to be in compliance with the requirements of this Board.
FIXTURE FIXTURES RANGES ICOOKING DECKS OVENS I DISH WASHERS EXHAUST FANS
OUTLETS RECEPTACLES SWITCHES INCANDESCENT1 FLUORESCENTMEACU
VAPOR AMT. K.W. AMT. K.W. AMT. K.W.. AMT. K.W. AMT. H.P.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. I AMPS. TRANS. AMT. H P SYSTEMS
NO.OF FEET AMT• WATTS
SERVICE DISCONNECT NO.OF S E R V I C E
AMT AMP TYPE METER �,2W A'3W 3,0'3W 3�0'4W NO,OF CC COND. A.W.G. . • A.W G. NO.OF NEUTRALS A.W.G.
EQUIP. PER 0OF CC.COND. NO OF HILEG OF HIAEG OF NEUTRAL
OTHER APPARATUS:
i�
T �
7
BRANCH MANAGER
Per
COPY FOR BUIL.DINr. DFDAQTAAFMT_ TUIS rnDY nC rCDTICIrATC RAIRCT LIAT eC AITCDCn IKI AKIV RAAUMCD_
TOWN OF QUEEMSMUIRY.
Building. Department
Inspectors Report Date 7` 7
Name -I"u I ,� •r, 7- 0
Location 1,2t- �(! � dad /Il0 r
Permit No._--5"93 Co "."In.:Offer
Remarks
Excavation
Footing Forms-
Footing & Piers
Foundation
Cement Coat ; �T
Waterproofir_c
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Pibg.
Relief Valves
Wall Board 4
Ext. Porches _
Finished .Floor
Interior Trim j ^
Stairs & Railing: 1 _
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures �—
Gar. Fireproofing _
Door Closers
Chimney
Water Meter Inst,
Septic Approval
CO s
11"cund.-it'Insulation ---
Cei ^cc
c i,7 d_-ng xn.-b 3CtOr
REMARKS
TOWN OF QUEENSBURY
Building- Department
Inspectors Report Date
Name
Location
Permit No._� f- earlier
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 Plb .
Rough Ht .
Relief Valves
Wall Board
Ext.Porches
Finished Floor
Interior Trim
Stairs&Railings
Cellar Dr.Tile
Concrete Floors
Plb .Fixtures
Gar.Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
u11 'na Inspector
REMARKS
TOWN OF Q EENSBURY:
Building- Department
Inspectors Report Date -
Name A i--,VeJ
Location -. L 0 5 Kn o II NO
Permit No. Weather
Per Cent Remarks
Complete
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backffll
.Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Rough Ht .
Relief Valves
Wall Board
Ext.Porches
Finished Floor
Interior Trim
Stairs&Railings
Cellar Dr.Tile
Concrete Floors
MS.Fixtures
Gar.Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
' Building inspector
REMARKS�
f
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 7,1 ' 7,9-
Name r,
Location (1
Permit No. 52 3(P 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 Ht .
Relief Valves
Wall Board
Ext.Porches
Finished Floor
Interior Trim
Stairs&Railings
Cellar Dr.Tile
Concrete Floors
ME.Fixtures
Gar.Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Buil 'ng Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date
Name F r ��
Location
r
Permit No. �J� �(9 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 Ht .
Relief Valves
Wall Board
Ext.Porches
Finished Floor
Interior Trim
Stairs&Railings
Cellar Dr.Tile
Concrete Floors
Plb .Fixtures
Gar.Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval _
uilding Inspector
REMARKS
TOWN OF QUEENSBURY
Building- Department
Inspectors Report Date
f 7- -
Name /, ��,"i
Location ' c Y �ji
Permit No. U fi9 3 L Weather
Per Cent
Complete
gtem°rk�
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
_Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Alasonry Veneer �•
Rough Plb .
Rough Ht . 7
Relief Valves �.
Wall Board
Ext.Porches
Finished Floor
Interior Trim
Stairs&Railings
Cellar Dr.Tile
Concrete Floors
Plb .Fixtures
Gar.Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date f jam/
Name
Location DO
Permit No. �)-9 3 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 Ht .
Relief Valves
Wall Board
Ext.Porches
Finished Floor
Interior Trim
Stairs&Railings
Cellar Dr.Tile
Concrete Floors
Plb .Fixtures
Gar.Fire roofin
Door Closers
Chimney
Water Meter Inst.
Septic Ap roval
�r
Building Inspector
REMARKS
TOWN 0F .QUEENSBURY-
Building Department
inspectors Report Date
Name Ai
Location
Permit No. Weather
Remarks
ExcaT>a ti on
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Ba ckf.i 11
Final Survey ( _
Framing
_ Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer _
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches �J .
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,
Ceilinc
ui!Ldeing Ins ac nr
( REMARKS