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1986-665 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK T . Date 19 36Z .--- that work:requestdd to be done as shown byPermit No. 86-665 This is to. certify has been completed. This structure may be occupied as a One Family Dwelling (porch added) Location l /�Tina Lane Owner Daniel Patrick DeChick, Jr. By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No. 86-665 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Daniel Patrick DeChick, Jr. OWNER of property located at 3 Tina Lane Street,Road or Ave. in the Town of Queensbury,To Construct or place a Addition to dwelling (porch) 0 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. ro 1. OWNER'S Address is RD #2 Box 346A rat Queensbury,NY ty 2. CONTRACTOR or BUILDER'S Name n H• same n 3. CONTRACTOR or BUILDER'S Address . same 4. ARCHITECT'S Name N• sv w 5. ARCHITECT'S Address 0 6. TYPE of Construction—(Please indicate by X) ( A Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications No. 16'x16' per plot plan, specifications and applicatin submitted. a (with bilco door) 8. Proposed Use 0 One—Family Dwelling (porch addition) -o $5.00 C/O $ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 1987 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the Q4 town of Queensbury before the expiration date.) .. Dated at the Town of Queensbury this 8th Day of October 19 86 SIGNED BY 1 14c.„1 a for the Town of Queensbury Building and Zoning Inspector qd) :'` TO BE COMPLETED BY BLDG. DEPT. . Jocun o, Queenibury. Application No. Permit Issued 19asivi4 •. uiv' BUILDING and ZONING DEPARTMENT Permit Expires . 19 • . Bay and Haviland Road, R.D. 1 Box 98. ' Zoning Designation ' -0' E 0 . Queensbury, New York 12801 . Variance No. • Site Plan Review No. . , `i_ e 2 5 1'6 • /a..j — — 3 Approved b me. 1 n--. ' .Pt,o APPLICATION FO•R G'L 71$1 c` 1-01) 11218)41 16 . k BUILDING AND ZONING PERMIT • * * * * * ,* * * * * * * * * * * * * * * * * * # * *.- * it.. * * * * ,* * * * * * * . 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 property is: A/j.)/&, 4)/ CA/CL az), P.O. Address )6012 & 3%4 ( v vsbiip j, C G.1: -J, Tel."7G18 376-1 ' . Property Location: \3 ( ( IV A- 1.__A N 5 Tax Map No. /Qr./ 69 43 _ Street number or building lot number . Subdivision name (if applicable) . THE PERSON RESPOIi IBLE FOR SU ERVISION OF WORK AS REGARDS. BUILDING CODES IS: Gie�. �0�' eA/c 0122( ye 798-SX Name P.O. Address Tel. No: Name of builder r)f Address - Tel. . Name Of plumber ' jl/v Address ' ' `�-CC/L. Tel. U . Name of mason ' . . . . Address : ' Tel. ���" . NATURE OF PROPOSED WORK: - * ZONING INFORMATION: Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED, XAddition to a building * drawn reasonably to scale and attached-hereto, ' 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) • x set-back dimensions from property lines. Give *. street and number or lot number and indicate FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or,corner lot. Show location LOCATION OF STRUCTURES AFFECTED of water supply and location and configuration . . . . • - * of septic disposal area. * * COMPLETE INFORMATION�RE�QUI DD BELOW. . .• . • *-. Size of property ' ft X ft. . * Existing building(s) Size 30 ft X ?So ft. PROPOSED BUILDING AND USE: q`�D � * Existing building(s) Use Size of new structure ' HO ft 'X Ito ft * Foundation-pier/slab/crawl/partia 40 *. Proposed building, distance from property line .. • (circle one) * e "�' * Front yard ' ' ft Rear yard I'D° ft - No. of stories (habitable space) I * Side yardec ' ' ' ft and ' ft ' Height (grade to ridge) H.q ft. ��' f If residential, . no. of families * If on corner, setback from side street ft . No. of rooms(excluding baths) I ' * OCCUPANCY INFORMATION No. of bedrooms : " -:-� ' ' ' ' ' * PRIMARY BUILDING - No. of bathrooms ' - ' ' • Primary heating system ELr- �R C- *. One family dwelling Type of fuel iJi MAD * Two family dwelling _. _-. --.- -- - - '_ Multiple dwelling / Number of units_-: ' No. of fireplaces to be installed ' Will a wood stove be installed? " * Permanent occupancy • Central Air conditioning? ' -- * Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE ,i. '_ 'Industrial Ranch Contemporary Log cabin * Other " Raised ranch Mansion Duplex * If addition, what will use be? Split level Old style Bungalow * Cw ©• IIV •P p..c,i-k , ' Cape Cod Cottage (Othe_O * ACCESSORY BUILDING- Colonial Row Town House * ' " Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) * -Attached garage/one car/ two car/ " ' ' car . * * * * * * * •* * * * * * * * .* * *' 'Private storage building . : . ESTIMATED 'MARKET-VALUE OF * Other CONSQ * TRUCTION , � • INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BPA 4/86 and-vl t . _ . , BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe,etc. L0000 FP-nfr) Will any second-hand or ungraded lumber be used? If so, for what? N30 • de Foundation wall material CErr) -A_T-(-- @,( OC Thickness \I 0 ?Depth of foundation below grade (to bottom of footing)5 1S4 Will there be a cellar? Heated or unheated? (kf..k Floor sq. footage ZSC, sq ft , Will there be a basement? - 0..j Will any portion be used as living space? No (If so, what portion? sq.ft. - - Type of use? Type of roof - sloped/flat/shed/other .4_--,:.66'.e3Materials of roof DUI WO or(-Acalvt 14-5 giit4Lc.,'s F Size, wood studs 7-- "X (., " spacing -2-% .a.c. length ''S fti. I i ;." Joists(floor beams) 1st. floor Z- "X 8 " spacing I Ca "o.c. span 4g ft. _ __ Joists (floor beams) 2nd. floor ______ "X ___-__" spacing --- "o.c. span — ft. c TR.A1-/--. - 7-Overlays(ceiling beams) 7.- "X f, " spacing 7 t'o.c. span ft.goof, rafters rafters 7 "X " spacing Z- o.c. span 1 q ft., Roof trusses(pre-engineered) spacing I "o.c. span / ft. /1"0 ,--8,- , Exterior 'wall finish 35cL2.64-4-Q1-AgAN) Of what material? WOOL> Interior wall finish, ,SREeT ROCK If a garage is to be attached, describe materials to be used for FIRE SEPARATION: Is there to be an opening between garage and dwelling? If so will a Fire-rated door, enclosure, and self-closing device be,provided? Will a flue-lined chimney be installed? Height above roof ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ft._in. Water supply - Municipal or private well SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties ft. (A, separate application is necessary for any repair or new installation of septic system) Town of Queensbury AFFIDAVIT STATE OF NEW YORK County of Warren .el 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 4:Dr,_ithe described premises and that all ' provisions of the. BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to - - the proposed-wcirk shall' be ---cbifipliedtifftri,-Vizheth-e-r-gpebifled-tir-not, and that such work--. - - authorized by the owner. _ - SWORN TO BEFORE ME THIS SignatureAtelli_X ikPaehtelelle Owner, owner s agent,arcnizect, ontractor 0-- 5.--day of ,P--79_7( 19 / Notary Public, Warren County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: . _ _ -- - . By 4 BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. (TEMP.# IDATE I 1 CITY OR G. ) _ --f i f' ( J VILLAGE '.�P,�-� - —(� Il- GJ � TOWNSHIP i,�,. L- 'j COUNTY /.!'�,I��I'E.ci. STREET AND NO.OR / ( „-., ROAD AND POLE NO. . + -'.!42,-- - �- - C=F POLE NO. BETWEEN WHAT TWO :. / CROSS STREETS IS ( r., ;,-(k (-) ('% .r -(C I „ j.)I) PREMISES LOCATED?` L. SECTION BLOCK LOT OCCUPANT'S L J / BUILDING i/ NAME I�C., .i„ . (,_- L ) (,-. t, OCCUPANCY )--.(4- � OWNER'S NAME',{ /I _ ._� AND ADDRESS ), ) ;a:V-: c:...( (.y�C: �--V>,c (w TEL.# , ) 5 .� �% c CURRENT { BBYPPLIED I i 1 ) 1 c--) FROM THEIR C� L j'`-: rr� r r/.-' OFFICE BUILDING v I ' WORK DEFECTS IS NEWX OLD❑ IS NEW ElADDITIONAL g+�"' REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No. Fixtures& BRANCH NUMBER OF OUTLETS LampfReceptacles MOTORS HEATERS CIRCUITS OFFICE USE Loca- ONLY tion Side Attach't H.P. Watts A.W.G. Ceiling Wall Recep'Is Switch Pendent Bracket No. Type Eaeh No. Each No. Gauge INSPECTION Out- side Sub- base Base- ment ' 1st Fl. - 2nd FI. 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. 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 OVERHEAD • :\. UNDERGROUND MAKER ENTERS BUILDING d OF SIGN INSPECTION REQUESTED - \ ON OR AS NEAR ASEl POSSIBLE NEW OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORM(.TION.ALL SPACES DATE OF MUST BE FILLED IN OR APPLICATION',MAY BE RETURNED. �, ,-1 ;r 7 APPLICAT ON PRINT NAMMAND ADDRESS I (-, - i' _ l i l D: �7 NAME OF r' _, `� SIGNATURE 'j :/ ,L APPLICANT`S", ' _ I. ' -'. -,C.'.w. X OF APPLICANT/ �/ �'t ! ( �'. � �/ 7. J • j STREET ADDRESS /'�� f`"' PJ=!: . , �iT`'! •-� l�//`�---j.7 I L- C: 't . TELEPHONE# -C-1 _ % �' �( CITY OR // -�� fj� /t� ZIP -7 .� LICENSE NO. POST OFFICE 'Z.-,'��'"9-� L.= e--� .'l// CODE / C tr'‘-� / WHEN APPLICABLE 46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING 1 10 Ito 19C .Jown of Quenitur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S (lREPORT NAME DGZ,U a De C1 t c k Tr . LOCATION 3 Tah� Leh (-9nz- g - G c Date /o/-? / Permit No. 1 7 * * * * * * * * * * * * * * * * * * * * * * * V = APPROVED - YES / NO )( Footing/Pier Forms Gtrt, &mJ 4,y1*'+e al( Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors • Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- I/ / 3 Building Inspector 6/86 and-vl . , 1, ., .." .. . , . ... . .. . . . ..... .... ; . . .. . . ., . . . . . . . . .. ... . . ... . . . - _ . . ..,.. i . , . . . . .. . . . . , . .. ... ,,.. . , . , . . . . . . . , . . . .. .. . . . .; . , . .. .. . .. .. . .. .. . . .. _ , . .. . . . ... _ . . . ... .... . . . . .. .. .... . , .. ____. .. , ,/,.... ; . . _ ______, .„. „ . .... . , . .. . ... . . . .. . .. . . . .. rl _ ,, , _ .. . ., . . , . _ , .... . . . . . . . , . . . . . . • . . . . „• ; . . . . , . ; . . ., , . . . .. . .. . . . . .. . . . _. . . . . . . . .... .. . , / ( N. . ,, . i ,,,,(://, . .., : . ( , . . . . , , , , ; . . ,,,--- ,, .. . . . . ... ,.... . _ . .... ... .''.. .. .... . _.. ' . .. ... d _ .. . .. . . . . . . . . _ . . . . . . ,..., ... , ; . • , . : . . , • . . . . . . . . , . _ . .._ . . . . . , , ; ; . . . , . , . . . . . : . . . .. . . . .. , . . , . . . . . . . . . .. . ... .. . , • . . . . . . .. .. .._. . . . . , . . f II 1�. ... a • \' V i 1094 `t''• - -- — (aca'� . 7� • . 3, , — . h Y ;�" +C - _ ,.`.�r.ID�-..�r' °�'_...SLR ✓' __.. - ... ... ll DATED '-- - BUILDING & ZONING INSPECTOR TOWN-OF QUEENSBU.RY . • . \- . . .. . . i - I ... ... - , .,/ . .." . . .. ./' . . . i.."/ , N . „"/ ! . . / RA 1 1$ 1 ,....../-\ I:, .-- V/ EVvi . . . 1 . , . . ( I . .. . -.10,69.MIISIALL--•,,e,.e.lon,r—•••• . . F • ��n�s o� . Acid c+eoa _ _ L a , F !G" /6" /6& /6`,' '/6,1 /6" it: /6" /6" /6" , /6' 6� �'�Ctt� Ise 941 . . ti T .. . , . , , , . ' . ,. . . _ . • . . .. _ _ . _ . _..... . ._ . ,), ,,,,, ,&" le #6" y {{ - _ / .GALE- tr 510E VIEW .._ _ .. .. N.7),,,to 12 . _.. .. _. .. F�ryCC�.1ASS LOLILL. T II'f .. - ' . . 'j a I ? ,, FLYNkbD $i o ... . • (2nrtep� _ ._ - _ 7Qo pe e_ V 6 M Ts • N- .. . 2.-I 1: •.• /N. . (..:-,' • . . — a .. . L s'' conc1F - Sols-is + `wNOa - .. . - _. sHEnTt♦,n1 . < bUeeTRM.K 1,9 �.r 6/y sivwCI. < '' b � ,?- a./10" -- P.4°,,,, . _ . . _ . _ .. .. • QIqPE �me „ „0o2 • _�� L 1. { 2uPrtE e, m Iasi G_RC1t --f-4 to ;� az no, , -Z ' 10•eArr,T �i 4 . _. REI 0y _•o'... r !if if rIOG. __._ _ ; -- - M ahFoLc'i-ti-fL Roy FL • • I. \ : e • , , . . . , . . , . _ . . t . , , , . . , , , , , . . , . . , .:._. , , . , . ,, IJ O i j • j - N i• _ Vil L Tf --- - it& - -1o! Z 7148iiiiik._- C.1._ -BEDFORD CLOSE- '` `''1 " — �, � sueDiis sEcr = - S-05 I7=,1O=W t r�cb' ._��! .g of / 245.00' I PS . ,'f O; J i �� �� AR-?2.929 SQ.Fr a` WI on fine adrs IIP. b tr ri DP;r cY 3/ - \ \rept:* k' c'• l ai.o•. op MAP REFERENCE : ZQ�if/ ° t STY .. . 4 by AMENDED MAP . As- of a subdrweron of lands of et9." HOUSE . 0 M/CHEL R.d MARY.F. BRANDT 1 PS - Tr DEED REFERENCE: �� M/CHEL R.a MARY E. BRANDT FILED:l2/2//79li P6.0' ? n IPS TO 0' 26 1 deck 'I D4N/EL"P. 3 JANET A. DeCH/CK %al y g • 648-80 7/20/52 -d'4-NS rip ;LiN IPS:.!RON PIPE SET . :L 11t u / I / / 35.Vo underground 0,5 N-05.I7-'40"-E %� .-' 39.60' - TINA LANE i . �� I hereby certify' to Daniel P. and �A 0��o� PJanet A. DeChick, Home & City --- �3 Savings Bank, its successors and/or Of lands. of assigns , and to Title USA Insurance Corporation of New York that this . Daniel pO.?.Chtck map was prepared from an accurate Janet .A, field survey. This certification ' shall run only to the persons for TOWN`OF QUEENSBURY, WARREN COUNTY, N.Y whom the survey was prepared and to the title company and lending SCALE: 1"=40' DEC.7.1983 institution listed hereon, and to REVrsEo ..I`:nE.R/986 ro se-/OW caTREfvr cOavoir7a.s " the assignee s of the lending PREPARED BY WAYNE R. RAYMOND institution. Certifications are not .�} LICENSED LAND SURVEYOR transferable to addition institu- GLENS FALLS b WEVERTOWN,N.Y. ti ons or subsequent owners. WAYNE R.RAYMOND.LIC. NO.48988