1896 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
19
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This is to certify that work requested done as shown by Permit No.
has been completed.
This structure may be occupied as a •
Location
Owner _.. :.
By Order Town Board
TOWN OF QUEENSBURY .
•
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 1896 " m
WARREN COUNTY, NEW YORK
m
m
PzI
PERMISSION is hereby granted to Berry White
OWNER of property located at Sherman Island Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a flwel Unrj Sewage System
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
7841 Feederdam Road
So. Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Ridge Homes
3. CONTRACTOR or BUILDER'S Address
Granville, New York Box 324
4.
4. ARCHITECT'S Name -
5. ARCHITECT'S Address
ti
6. TYPE of Construction—(Please indicate by X)
(A Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No.241X40' as per plot plans submitted enc. sewage system
Specifications submitted.
8. Proposed Use
One-Family Dwelling
Sewage Systemcn
C/0 5.00 z
30.00 PERMIT FEE PAID —THIS PERMIT EXPIRES 1_1— 19 73
(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.) O
Dated at the Town of Queensbury this 3 Day of July 19 72 CD7
SIGNED BY f r the Town of Queensbury
Building and Zoning Inspect
TOWN O3f. QUEENSBU (Space inside block to be filled in by
WARREN COUNTY. NEW YORK . Building Inspector)
. Application for P�ppl (Iat„�l No.erm ed 1
• BUILDING AND ZONING PERMIT PernM F.xpires 1S1.
, 7(mnr. U',tritt
\ slue nI Wm-I, "
THREE (3) Copies of a PLOT PLAN, Drawn to scale \i'I"u d b
showing the actual dimensions of the lot to be built Il,'nthi i
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
• TOWN OF QUEENSBURY
DATE , EIEGIEDVIE -_--,
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK JUN 2 8 1972
ANSWER ALL OF THE FOLLOWING.
The undersigned hereby applies for a permit to do the following work A.M. P.M.
�8�9�15�6
which will be done in accordance with the description, plans and specifi- �7 ()I1111A2IMMfl
cations, and such special conditions as may be indicated on the permit. '
The owner of this property is:
• rr• J, • c,.�,)4%; 1✓ • 7 '/ f'6e-J. .T8 . . .Rggd. . . o.•.6h,df. Tj'//
(NA••,_) )P 0 ADDRESS)
The person responsible for • supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
(NAME) J a/jl 2-cR0.ADDRESS) •
Name of Builder 7 .1'6 E / o t�i'S • Address •G.r.2 ✓J;A. ,.), /, go 1 3. 4(
Name of Plumber. . . .. 4.�L E r AddressiOR7
Name of Mason �� lcj� he ioes Address .0 tam v. - ��.c. . . • • �t' f t!/
Lot Number Unit I ac Estimated value of proposed work$ & /f•5/ O Co, I
Name of Village . . tj'.•E(7t, 1,v,'
Name of Street tom'1C. ! 4nR-J. . .S12-I()
e oe t) Side of street: north r<, east (3, south 0. west 0
Nearest Cross Street Distance from this cross street Ft.
Property is north 0,south 0,east i), west 0 from Cross Street
If on Corner, which corner, northeast 0, northwest ❑, southeast 0, southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
Construction of a new building. Main Busing
Addition to a building. One-family dwelling SK
❑ 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, site end setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH Show proposed buildingis) in dotted.line and existing
t19C--.Z -----Z Lwu;ldfng(s) in solid line.
Siz. of property I 17U ft. x o O U • ft.
.)11 Si and use of existing buildings, if any -,UO•''.Z-
c
3 w ` .ize of proposed building . .Z. • • • ft.x • • ./ •0. • • ft.
- Height(from grade to ridge)- - ft. _
Ea• Front yard CO "{r ft.
• Side yards . . 3-S ft. end 6-6 ft.
s h c r ,19?.J S I0.,T e) rc)�J Rear yard //G 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)
Kind of construction: Wood frame, fire safe, etc.?. . a.°.c. . ?�?��. . . . . . . . . . . . . . .
Will any second-hand lumber be used? 1• )d If so, for what
�J
Material of foundation walls o. £. . . Co .c! .7E.. . . . . ..2S0U �A • Thickness .cr."
Depth of foundation walls below grade (S / Continuous foundation? Ye'-5
Will there be a cellar? i/ 4 S / If so, material of cellar floor 0-ilc pc/-c
Type of roof: Sloped or flat? . .S!9�.'cri. . S�/2- Material of roof -A 13
•
Size,wood studs 62. "x e." ", spacing / 6 "o.c., length e • ft.
Size, floor beams, 1st floor Q- " x / U ", spacing / S "o.c., span /,2. ft.
Size, floor beams, 2nd floor " x ", spacing "o.c., span ft.
Size, ceiling beams " x G ", spacing / "o.c., span '/°4-, ft:
Site, roof rafters or beams .'. :i - " x 6 ", spacing / 6 "o.c., span /.2 ft.
Exterior finish . . C/7,a.4c 'r' s With what material? . / " iTt
Finish of interior walls. .2;.J - d J i•e-.)f
If garage is to be attache a, of what material is wall between garage and main buijding to be constructed?
AdA7e--, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Is there to be an opening between garage and building?
Kind of heating system . . .0 Oil burner or coal? •
- Will a flue-lined chimney be provided? Depth of chimney foundation below grade .-
Height of chimney above roof... . .
Will therebe a fireplace? /I/ Depth of fireplace hearth .• �, ..
Will a toilet be installed?. . .E S .
Will a kitchen sink be instalh d and connected to water supply?..z/ S
Water supply(public water supply or pump) /24:�/�
•
Distance of cesspool from any private well / feet
Will drainage system be provided with required traps, cleanouts, and vents? .y
Town of Queensbury AFFIDAVYT
County of Warren SS.
State of New York
I swear that to the beet of my knowledge and belief the statements contained in this application,together with the plane and specifications sub-
mitted, are a true and complete statement of all proposed work to be done on the described premtsxs and that all ions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertain' the proposed work shall be compli w whether specified or not,
and that such work is authorised by the owner. 49
Sworn to before me this Signature .. . 1
OW .O EA'S AGENT.ARC ITECT. ONTRACTOR
day of 19
NOTARY PUBLIC,WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
•
•
•
•
By •
WARREN COUNTY, NEW '!ORK
Application for
A PERMIT TO CONSTRUCT, ALTER OR ENLARGE A SEWAGE
DISPOSAL SYSTEM FOR A PRIVATE RESIDENCE WITHIN THE
TOWN OF QUEENSBURY .
Mail or bring this application to:
Building & Zoning Department •
' Queensbury Town Office Building •
R.D. 1 Bay Road
Glens Falls, New York 12801
This application for a Sewage Disposal Permit must be 0/
M
��
accompanied by a plot plan drawn reasonably to scale _,_. .
showing all dimensions , the size of the lot, the location
on the lot of the water supply and sewage system.
1. Name and mailing address of applicant:
•
1-----,-) ! /./� _ V T cr /[JF/J/0 r
2. Specific location of property: S �_r�,) � �.�/ - - - -
)---
STREET AND NUMBER)
3. Application is for:
New construction of private dwelling
Alteration or enlargement of existing sewage disposal system.
4. Description of building:
a.. number of bedrooms
b. garbage grinder e
YES OR NO)
5. Topography: •
at, rol ing , steep slope, gentle s ope, etc.
6. a. Nature of soil. (Describe to a depth of 5 feet if tile
field is to be used or 10 feet if leaching pits are
proposed, giving thickness of various strata such as o
top soil, clay, loam, sand, gravel, rock, etc. )
b. How determined? co/11 n
�(- 4e /0F}ifi ddo Ec‘
7. a. Soil percolation test made by NW—
(Refer to Part III , Bulletin 1, N.Y.S. Department of Health)
b. Percolation test notes submitted? YES O OR NO) •
8. Proposed sewage disposal system indicated on attached plan or
sketch? Y
(YES OR NO) /
9. Date when construction will commence 2y Uy/1 /0
It is hereby agreed that if this application and attached plans
dated __ or any amendment or revi inn thereof,
d
are approved,
withltheodetaa.lsethereofal as¢showntonssuchl be
made in accordance
approved plans.
Installed By: Contractor m Signatur pplicant.r
Owner
'4 1.%..w_So;4•_J.....AJ._CJ...),.CA.Ia%J..l?./,J..I"la 4.". ,—t./:),.C. 1.0.,",),/X/.J./,a/:A.l .lJ.A. },",J..C.1.Ca..l..C1.9.Ca. ).tCA./...�c..k.-LI.a.Ca%. /,a,,,i..),..A9.F.1,,I..I_.1,.14 kJ.,_la l,a.la.?...i!
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY i
fl 9 41 STATE STREET,ALBANY,NEW YORK 12207
WDate '+L i° m':::4-1r,z 25 1974 Application No.on file 2. 's'5 74 .# "ry ..
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
j l;V t' C, �:111`.1�4r � ._r L:'_.!., i- 2 i..I>rt. L„ e3.' r>f.:.!;I,?'L'nf, � 71C2i t:
➢„7It:fL`.�A
��(( in the following location; 0.-Basement ❑ 1st Fl. ❑ 2nd Fl. Section Block Lot y
3
was examined on al.k1!t' '$' l+`° and found to be in compliance with the requirements of this Board.
• FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT MERCURY
VAPOR AMT. K.W. AMT. K.W. AMT. K.W.. AMT. K.W. AMT. H.P.
.y�
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS �jI
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P SYSTEMS .AMT.' WATTS 0
NO.OF FEET
0.
SERVICE DISCONNECT NO.OF S E R V I C 1 E 1
METER NO.OF CC.COND. A.W.G. A.W.G. A.W.G.
AMT. AMP. TYPE EQUIP 1,B'2W 1,B`3W 3.8'3W 3 ji 4W NO.OF HI-LEG NO.OF NEUTRALS
PER B OF CC.COND. OF HI-LEG OF NEUTRAL
OTHER APPARATUS:
j4-
INSPECTION P.�'..y
' "— -' ' - ' ''' 15?toto.-•-4—•.....s.12.—,,—:—/
BRANCH MANAGER
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Per �` ,_ -
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vet of lst uie Nat Au lat Wit Iltt lanai vat lV ll/lft n.L VL 1/t lItt WU xat1f11f[1iL]tit 1ilL aft 1/t AV Wit 1,1 Nat 11.[Ili tit Alt mit 12/vat mitt Wet Wet AS/Sa[1�L Ali wit azt ,.`
COPY FOR.t$LiILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
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