1986-668 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date June 23, 1987
This is to certify that work requested to be done as shown by Permit No.86-668
has been .completed.
This structure may be occupied as a Alterations One Family Dwelling,
Location West Mountain Road
Joseph Santa Lucia
Owner
By Order Town Board
TOWN OF QUEENSBURY
( Building & Zoning Inspector
t
--R BUILDING PERMIT
TOWN OF QUEENSBURY
No. 86-668
WARREN COUNTY, NEW YORK
'(d-A 66\U-..
PERMISSION is hereby gra ted'fo� Joseph Santa Lucia
OWNER of property located at �W West Mountain Road Street, Road or Ave.
o
in the Town of Queensbury,To Construct or place a Alteration to dwelling ( e )
ro
at the above location in accordance to application together with plot plans and other information hereto filed and .b
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
En
w
1. OWNER'S Address is RD #2 rt
Glens Falls, New York w
r
G
r)
H.
2. CONTRACTOR or BUILDER'S Name Po
Ed Brodie
3. CONTRACTOR or BUILDER'S Address
109 Homestead Village `
Glens Falls, New York rt
4. ARCHITECT'S Name p
G
G
rt
W
H.
G
5. ARCHITECT'S Address 7d
0
a.
6. TYPE of Construction—(Please indicate by X) t
(X) Wood Frame ( I Masonry ( )Steel ( )
9
7. PLANS and Specifications i--.
rt
fD
No. new roof per specifications and application submitted. w
rt
H.
8. Proposed Use d
One—Family Dwelling (new roof) o
a.
CD
r
$ 10.00 H.
PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 19 87
crQ
(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.)
co
Dated at the Town of Queensbury this 9th Day of October 19 86 0
0
rn
SIGNED BY a, 19 •4-, for the Town of Queensbury ••
Building and Zoning Inspector 29.-')
/ ,
• TO BE COMPLETED BY BLDG. DEPT. F '
c� // Application No. '
• /own of Queendbur.[� Permit Issued 19 o` m flz- T
• BUILDING and ZONING DEPARTMENT Permit Expires 19 OULL
Bay and Haviland Road, R.D. 1 Box 98 ' Zoning Designation -i' .E: 1i �' \i
IL IO
. Queensbury, New York 12801 ' • variance No.
Site Plan Review No. OC 7 9f)5 t;
- /-.� �. App ve by: �', .��l, j D� C C. OM i C�Q.4,r-
APPLICATION FOR r ; `I 081911i0E-0` ' ® a a e a - a
•
• BUILDING AND ZONING PERMIT I `' c'/0 •
* * * * * * * * * * * * * * # * * •# * * * * * * * * * # * * * * * * * * * -Si #
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING.
The undersigned hereby applies for a Building Permit to do the following work which will
be done in accordance with the description, plans and specifications submitted, and such.
• special conditions as may be indicated on the Permit.
The owner of this ro ert is:
•
PP y `T RA, (c --, ,
P.O. Address �1. )C.L.S.7 Zss\W-"\ems Tel
Tel 93 Sa. q
Property Location; �"1�i'^-� LS VrtA�� Tax Map No.
Street number, or b uilding lot number
'Subdivision name (if applicable)
THE PERSON SPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: '
: Fb i_c,„ \e VV \Oi / \l`\�Kz._. ' . '1 '±- a.? .
Name ' P.O. Address - '--- F • Tel. No.
Name of builder j V, • • Address IQ`\� \ \ ,Tel‘.1q . b '
Name of plumber Address Tel.
Name of mason - Address - Tel.
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
•
Construction of a new building '•* A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
Addition to a building * drawn reasonably to scale and attached hereto,
X Alteration to a building * showing clearly and distinctly all buildings, ' • .
(no .change to exterior dimensions) * whether existing or proposed and indicate all.- -
�Other work (describe) * set-back imensions from property lines. Give
714,(l,2('of w//2,}-jrot�i ifi,ifni-vi �Sr{�A�,ieg * street an \number or lot number and indicate
FOR DEMOLITION PERMIT, STATE SIZE AND
* whether i terior or corner lot. Show location
LOCATION OF STRUCTURES AFFECTED.• * of water siply and location and configuration '
* of septic d'sposal 'area.
. * .
* COMPLETE INF RMATION REQUIRED BELOW.
*Size of proper y ft X ft.
. • , j - * Existing buildi g(s) Size • /ft'X ' ft.
• PROPOS BUILDING AND USE: •* Existing buildin (a) Use / '
Size of ew structure ft X ft * .. /
'.Foundati n-pier/slab/craw /partial/full * Proposed building, distance from property line
' (circle o e) . , *
* Front yard ft Rear yard ft
No. of sto ies (habitabl space)' * Side yards • • ft an/d ft
Height (gra e to ridge) ft. * If on corner, setback fro side street ft
If residenti 1, no. of families '
No. of rooms( xcludin baths) * OCCUPANCY INFOTTION I .
No. of bedroom
* PRIMARY BUILDING -
No. of bathroom * ' One family dwelling
Primary heating tem * Two family dwellin
Type of fuel '
No. of fireplace o be installed - * Multiple dwelling / Nu .er of units
Will a wood sto e b installed? ' " * Permanent ocqupan y
Central Air conditio ing? *' Transient occupy cy
* Business
BUILDING STYLE, PRIMA Y STRUCTURE ,. • Industrial
Ranch Contemporary Log cabin * Other "
Raised rich Mansion \ Duplex * If addition, why will use be. .
Split level Old style Bungalow *
Cape Cod . Cottage Other * ACCESSORY BUIL ING-
•
Colonial Row rla
Town House * ' Detached garage/one car/ two r/ - car
.. ---( CIRCLE ONE PLEASE ) * Attached garage/one car/ two .car/ • car
* * * * * * * * * * * * * * * * * * ' -• Private storage building \
ESTIMATED MARKET VALUE OF *' Other
CONSTRUCTION- $ t �Z.� O u * T
• -----7 `—_. .
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-v1
•
•
BUILDING PERMIT APPLICATION CONTINUED - •
•
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. W 0E)O ceu:N_ .. L
Will any second-hand or ungraded lumber be used? If so, for what? iJ-Q
Foundation wall material �' TYri�kries
Depth of foundation below r-a (to bottom of footing)
• Will there be, a cel Heated or unheated? /lour sq. fo e sq ft
Will there be asement? Will any�Pe porti&r used as li " g space?
(If so, what portion? sq.ft. rlY of use? •
Type of roof - "loped flat/shed/other Materialof roof 4(4J La,-- —
Si e, -wood-s "X " spacing "o.c. length ft.
Jpists._(Lle earns lst. floor "X " spacing "o.c. span ft. .
Joists_(floor—beams) 2nd. floor "X " spacing "o.c. span ft.
Over -lizTg-b-gams) • "X " spacing "o.c. span ft.
Roof rafters X g " spacing o.c. span q ft. / / ..
Roef-t-r-usses-(pre-Engineered) spacing "o.c. span ft.
x e �;e 1—f nish Of what material?
-Interior. wall- 3nis
If a garage is to be attached, describe materials to be used'for FIRE SEPARATION:
Is there to be an opening betty garage and dwel g If so will a Fire-rated .
door, enclosure, and self- osing device be vided?
' Will a flue-lined chi ey be installed? Height above roof ft.
Depth of chimney undation below gr e ft.
Depth of fire ce hearth ft in. •
Water supp - Municipal or vate well
. SEPTIC STEM _ Distance om ANY private well(ipcluding adjoining properties ft.
(A' s arate applicati is necessary for any hair or new installation of septic system) •
Town of Queensbury AFFIDAVIT STATE OF NEW YORK
• County of Warren •
•1" swear that to the best of my knowledge and belief the statements contained
in this application, together with the plans and specifications submitted, .are.-a true and
complete statement of all proposed work to be done !on the described premises and that all
provisions of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to
the proposed work .shall be complied with, whether specified or. not, and that such work is
' authorized by the owner. •
Signature_ -
- yy Owner, owner's cgent,arc:nitect,contractor
day of tJ •19�6'
.Nsata . •
•
SPECIAL CONDITIONS OF THE PERMIT:
•
•
•
•
•
•
•
By
• •
Jouin of Queenitur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION 1 th `. JUT- W Y
Date (U/ j/ (0 Permit No. (p—to b7
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill '
Framing fit" l=`.rrnAAI LAD
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors . ,/`
:ft
Interior Trim /
Stairs & Ra-flings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar.. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
OAJ) ipse6-croil aco eizzo
/t&Ai*
Building Inspect r
6/86 and-vl