1986-041 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date is 1 19
3 0 q
6
This is to certify that work requested to be done as shown by Permit No. ` -4 1
has been completed.
This structure may be occupied as a - -1Ilil,i I%{IC. ?1 _C' .`c '_iJT;:i li r r
fire_ ;t._T1ig,
(l;..la (rUJCN.e
Location
Owner :;.Uliert A. «el (yr.
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
CREATIVE "INSTA" PRINTING. GLENS FALLS. N Y 12801 1518)793-5658
{ = - BUILDING PERMIT
TOWN OF QUEENSBURY No. .- _86_41
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Robert A. Nelson
0
OWNER of property located at Ohio Avenue Street, Road or Ave. CD
rt
in the Town of Queensbury,To Construct or place a Alterations to fire damaged dwelling y
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. F-,
m
0
1. OWNER'S Address is d
RD #1
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
same
3. CONTRACTOR or BUILDER'S Address 0
0
r•
0
4. ARCHITECT'S Name CD
CD
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications N
Alterations to a fire damaged concrete block dwelling ro
No. ri
per application submitted.
rt
8. Proposed Use 0
0
cn
One—Family Dwelling — alterations following fire
rt
0
p rh
$5.00 C/O Paid 6-7// H.
$10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES Sept.1 19 86 -6
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 5
town of Queensbury before the expiration date.)
QQ
ro
cc
Dated at the Town of Queensbury this 18th Day of Sept. 19 86
SIGNED BY /mil q_ x)f, for the Town of Queensbury nD
Building and Zoning Inspector • H.
UQ
1'111S FOND? TO. ILE USED FOR EU1141NG"S UNDER 1100 sq. f' .. without'; stamped plans. '
TOWt4 OF QUEENSBURY • (Space inside block to be Idled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application
A lication for No. .
�7e13 l 316 PP T... ls.nt d ) 19
. BUILDING AND ZONING PERMIT F.zpires. i / . lg •
%.4niin� Ui.tritt • !
:\ ;ilue=id \Vcirl. If '
One copy of a PLOT PLAN, Drawn to scale •\1)11"(11 by ' --
showing the actual dimensions of the Iota to be built Ilc•m;n)(S'
upon, The exact size, end location on the lot of the
i
building to be erected or altered MUST BE SUB-' . -. '
MITTED WITH THIS APPLICATION. -
•
2 7— �� — al s O WE OF QUEENS U Y
DAte, 1 IE It E
tl,
- 'A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK A a
985
ANSWER ALL OF THE FOLLOWING. - �� c
�� / RAT
The undersigned hereby applies for a permit to do the following-work l�a �l��� d 3 4�5I�
which will be done in accordance with the description, plans and specifi- gi e b :+:f• ,1
6 `
cations, and.such special conditions as may be indicated on the permit. I �Ib
t�
The owner of this property is: - ,i .
Robert.A . .Nelson RD. #.l . .Glens. Falls. . .(.Patten.Mills .Rd )
(NA',E) .(P O ADDRESS) ._ .,
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
Robert A Nelson r' • RD #1 Glens Falls
(NAME) , (P O ADDRESS)
Name of Builder.Robert.A . .Nelson Address .Same-
Name of Plumber. .Sam.e Address Same
Name of Mason. . . .Same Address Same
Lot Number Unit E stirnated value of proposed work S . . .50.0'0 00
Name of Village . . .Queensbuxy
Name of Street Ohio Ave Side of street: north 0, east 0, south $]. west 0
•
Nearest Cross Street Corinth Road Distance from this gross street . .50n Ft.
' Property is north [ ,south ❑,east % f, west ❑from Cross Street
If on Corner, which corner, northeast Li, northwest 0, southeast D. 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 Nl
IN Alteration to a building. Two-family dwelling El
El Demolition of a building. . -family apartment house ❑
Store building ❑
-car attached garage El
Other:
• Accessory Building
• • One-car detached garage LI
0 Other work. Describe. Two car detached garage 0
. 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-
NORTH posed buildings,and the location of all existing buildings.
Show proposed building(s) in dotted line and existing
-,c'D U-i-Ji A V building(s) in solid line.
• '.!
Size of property 100. . . ft. x .150 ft.
• �( Size and use of existing buildings, if any
zk' , F, . 30.X 40. single, faxnily. .cIw.e'.li ng
Ill; 1 -�` w Size of proposed building . . N/A. .'. ft.x •Exh.is•ti n •
Height (from grade to ridge) II ft.
'o Front yard " ft.
NI- ft.
Side yards ft. and
and c� ft.
Gbr rt✓�rh !qD Rear y
SOUTH If on corner,setback from side street IT 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. block and wood frame
• Will any second-hand lumber be used? . .yeS. . . . . . . . If so, for what?.mis.cellaneoas
Material of foundation walls .block Thickness . .ex.hi.s ting• 8"
Depth of foundation walls below grade . .8!.and•exhisting Continuous foundation? .yes
Will there be a cellar? . exhisting. . . . If so, material of cellar floor . .exhisting.concr•ete
Type of roof: Sloped or flat? . •s loped Material of roof . . shingles
Size,wood studs . . .N/A " x spacing "o.c., length • ft.
Size, floor beams, 1st floor 2 "X •8• (exhisting)', spacing "o.c., span ft.
Size, floor beams, 2nd floor 2 " x . • (exhi sting , spacing "o.c., span ft.
Size, ceiling beams 2 "x 10 , spacing "o.c., span ft.
Site, roof rafters or beams exhisting. . " x ", spacing "o.c.,, span ft.
Exterior finish . aluminum .and masonry With what material?
Finish of interior walls. . sheetr•oek _
If garage is to be attached, of what material is wall between garage and main bui,l4ing to be constructed?
• N/A
Is there to be an opening between garage and building? . N/A
Kind of heating system hot air Oil burner or coal? gas
Will a flue-lined chimney be provided? . .yes . Depth of chimney foundation below grade .exhis.ting
Height of chimney above roof. exhisting
Will there be-a fireplace?-. no Depth of fireplace hearth
Will a toilet be installed?. e.xhi sting
Will a kitchen sink be installed and connected,to water supply? . exhisting
Water supply (public water supply or pump) public
Distance of cesspool from any private well . .exhisting feet
Will drainage system be provided with required traps, cleanouts, and vents? • •exhisting •
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to tt bej r of my know,ledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.,.p•lete statement of all proposed work to be done on the described premises and that.allprovisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the posed work shall be complied with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature 1a-
OWNER.OWNER'S A NT.ARCHITECT.CONTRACTOR
day of • 19
NOTARY PUBLIC, WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
ALL BUILDING PERMITS ISSUED, REQUIRE THAT CONSTRUCTION METHODS
WILL COMPLY WITH NEW YORK STATE BUILDING CODE.
PLANS FOR DWELLINGS UNDER 1500 SQ. FT. , WITHOUT THE SEAL AND
SIGNATURE OF A NEW YORK STATE. LICENSED ENGINEER OR ARTHITECT, MAY BE
ACCEPTED; BUT THE APPLICANT ASSUMES THE RESPONSIBILITY FOR COMPLIANCE
WITH ALL APPLICABLE CODES. FAILURE TO COMPLY MAY RESULT IN A STOP
WORK ORDER UNTIL ALL DEFICIENCIES ARE CORRECTED.
•
DATE By
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
(TEMP.# IDATE
CITY OR
VILLAGE W. Glens Falls TOWNSHIP Queensbury COUNTY Warren STREET AND NO.OR
ROAD AND POLE NO. ° � Aveo POLE NO. E lr M rt 1 •
BETWEEN WHAT TWO Corinth Road
CROSSEETS IS
PREMS ES LOCATED? SECTION 1 27 BLOCK I 1 LOT 4
OCCUPANT'S BUILDING
NAME Robert A. Nelson OCCUPANCY s-"ngle family 2
OWNER'S NAME Same RD #1 , Glens Falls 7/f'33-131 C
AND ADDRESS TEL.
. CURRENT
SUPPLIED
BY Niagara Mnhawi FROM THEIR Glens Fa 11 ct OFFICE
BUILDING - ,+1 WORK DEFECTS
IS NEW❑ OLD P IS NEW r� ADDITIONAL❑ REMOVED ❑
;4
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS Lamp of Fixtures& BRANCH
No. Receptacles MOTORS HEATERS CIRCUITS OFFICE USE
Loca- - ONLY
tion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
Out-
•
side
Sub-
base
Base-
ment
1st Fl. `
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 be 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 N TOTAL
MAINS FEEDERS LAMPS 1`f/A WATTS
CHARACTER new service EXPOSED GAS TUBE SIGN
OF WORK CONCEALED TRANSFORMERS OF VA
WORK TO BE (NUMBER) (CAPACITY)
STARTED 1d P y COMPETED ,/1 /g 6SIZE OF SIGN
SERVICE OV `H D fJ UNDERGROUND 7 MAKER
ENTERS X OF SIGN
BUILDING -
INSPECTION REQUESTEDON POSSIBLE Will
AS NEAR AS 1 s
rill Cali n
NEW I OLD ❑
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS
NAME OF Robert A. Nelson DATE OF February 13, 1 .86
APPLICANT APPLICATION
STREET ADDRESS RD #1 . Patten Mills Road T EPHONE#7'•3-1 31 C
CITY OR Glens Falls ZIP 1 Z �1 LICENSE NO.
POST OFFICE CODE WHEN APPLICABLE
46 EL (REV.1/65) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
r
w;E DDLEfD PAHTMENT'INSPECTION AGENCY, INC,
' ' g .�oclrlcal �uiiirlgPb�n9;Filo Inspections
t n�2rd ' �•
o. Date r 4 :�:•i:'r
El 11� �
ector •
l`�•A�� •
T - constitutes certification that the
above installation, but not the equip-
�: {. ment itself, has been visually inspected
as of this date pursuant to the applic- •
t.z able codes. If additional equipment
should be introduced or alterations
made to the existing system or struc-
ture, application for inspection should :
p. be submitted promptly to this Agency.
•
•
•
awn of Queenitury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME Ir:�l/�r // �f
LOCATION (6-)A; `.,.6,
Date J/�-' / 0 f Permit No. g t n — 'I
* * * * * * * * * * * * * * * * * * * * * * *
P/ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing X
Siding A
Masonry Venee
Rough Plumbing
Relief Valves
Ext. Porches /
Finished Floors
Interior Trim X
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures /
X
Gar. Fireproofing
Door Closers )f /-
Smoke Detectors x ,
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICA INSPECTION y
DRIVEWAY APPROViL
n l Building Survey
Y)K/e
Next scheduled inspection (call when ready)
Remarks-
.\
C7/7 P/// 07/ I
/
4m e 4 '
4 ,.,„/
, it
Building Inspector
6/86 and-vl
Down of Quecniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ` S REPORT
NAME J' 6 ive /S 1
LOCATION Ilnn
Date S y / f_ Permit No. 36
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim 1i
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing /
Door Closers f
Smoke Detectors
Chimney 1�
INSULATION: / \\
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
B ilding I pe to
6/86 and-vl