5645 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date J(.41r te 19 /o
a31 . 11- r
This is to certify that work requested to be done as shown by Permit No. 56,1-/s-
has been completed.
This structure may be occupied as a 2 ,(A-h bk
Location 7 Li///T11t 4, . :
owner 0.r L JAY'-4.G ero to
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. 5645
WARREN COUNTY, NEW YORK
Arthur and LaRue Brown
PERMISSION is hereby granted to
OWNER of property located at Antique Road, Plum Point, Lake Geo. Street, Road or Ave.
•
in the Town of Queensbury,To Construct or place a 2 Unit Motel
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.
rh
1. OWNER'S Address is
R. D: #1-
n
Lake George, New York
•
2. CONTRACTOR or BUILDER'S Name
Same
0
3. CONTRACTOR or BUILDER'S Address bd
Same
4. ARCHITECT'S Name
5. ARCHITECT'S Address �y
rt
6. TYPE of Construction—(Please indicate by X) - 3
oxj
(X) Wood Frame ( ) Masonry ( )Steel ( ) 0
7. PLANS and Specifications
20 'x30 ' per plot plan, specifications and application '
No. submitted and Variance #596 .
8. Proposed Use
2 Unit Motel "
C
$5. 00 C/O Paid rt
$40 . 00 PERMIT FEE PAID—THIS PERMIT EXPIRES August 1 19 79
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the rf'
town of Queensbury before the expiration date.)
F✓
Dated at the Town of Queensbury this 2nd Day of January 109
SIGNED BY /`t" - for the Town of Queensbury
Building and Zoning Inspector e
• TOWN OF QUEENSBURYf I •
(Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for Application No. .
pp 1 omit Issued 19.
• BUILDING AND ZONING PERMIT Prnuit Expires. lg. .
ia,nint. District
\ ,dirt• nl Work$
THREE l3) Copies of a PLOT PLAN, Drawn to scale \i'l "`t'tl by
showing the actual dimensions of the lot to be built kynt:tr)C.f
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
/a/a9 /77 Toy,, QUE.E`/7SSUT
DATE RI E 0 IE I] .ti .�
BE OBTAINED BEFORE BEGINNING WORK -
A PERMIT MUST ,y
ji
ANSWER ALL OF THE FOLLOWING. Li 1.(. 2 9 I9I8 �,.1/
The undersigned hereby applies for a permit to do the following work 1. A.M. / ca /-'eQ. yl;
which will be. done in accordance with the description, plans and specifi- 7I8I9I10I11I12J1I2I3I.I5I6
e e e e e d d e e e e d.
cations, and such special conditions as may be indicated on the permit.
Theo ne of this pro.y, ty is:. at, �7 / /,
!� ?b )T Gi'. �f . .l!Q A_. G,s�,�,G i f
. ,,� � �. . . . .tP.O.ADDRESI �.
(NA"_I
The pers%n responsible for 1 supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
(NAVE) (P.O ADDRESS)
Name of Builder - / -` �W� Address
Name of Plumber
/i Address •
Name of Mason // Address ,,rryy�-�..,,,�,�
Lot Number
Unit Estimated value of proposed work 3 v`c•0�`'✓
Name of Village
Name of Street . . . • -`t-. • • `e•`"al.. . . . . . . . . . . . . . . Side of street: north 0, east 0, souther❑. west ❑
Nearest Cross Street Distance froin this -ross street Ft.
Property is north 0,south 0,east [1, west ❑from Cross Street
If on Corner, which coiner, northeast ❑, northwest ❑, 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 ❑
Two family dwelling
0 Alteration to a building. -family apartment house ❑
0 Demolition of a building.
Store building ❑
-car attached garage - • ❑
Other:
• Accessory Building
. One-car detached garage ❑
❑ Other work. Describe: Two-car detached garage
a ' G!h 't 7- fZO l e/ Private chicken house _ ❑
6 id c,
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-
, posed buildings, and the location of all existing buildings.
• NORTH Show proposed building(s) in .dotted line and existing
1;uilding(s).in solid line.
Size of property • ft. x ft.
Size and use of existing buildings, if any
•
I- -
te m Size of proposed building 3 6 ft.x •c2 L ft.
Height (from grade to ridge) ft.
Front yard - ft.
Side yards ft. and ft.
Rear yard 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) •
7-73-M
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.. . . . . . . . . . r
Will any second-hand lumber be used? ---1 -'9 . If so, for what? Jr
Material of foundation walls �f-v`t��'-��L' �Ls"I`' Thickness 9
Depth of foundation walls below grade 2 f7 Continuous foundation?
Will there be a cellar? . . . .,1 t O . . . . . If so, material of cellar floor .. , s
Type of roof: Sloped or flat? 2-� c rt-r/(�,. . . . Material of roof . . . . :t4)..!J?.1•rLt--J"'. . ��---,-,. t-�---4'
Size,wood studs " x ", spacing fl /�' "o.c., length 7 ft. - 5 ,
Size, floor beams, 1st floor t-�^ " x `7 ", spacing / . . . ."o.c., span /6/ ' �� ft.
r i
Size, floor beams, 2nd floor . . . .G. . . . ." x L spacing ie' "o.c., span ,/®- J ft.
Size, ceiling beams Z " x (.; ", spacing ri -2 "o.c., span _ ''� .- '1/4):—.ft.
-7 „
Site, roof rafters or beams . . . . x 6. ", spacing /fir, "o.c., span . . . ./1 :.). . . . . ft.
Exterior finish <' ° sA r .•1 With what material? t-4:;.,,_.
Finish of interior walls. . . . . . . . . ,:". . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If garage is to be attached, of what material is wall between garage and main building to be constructed?
Is there to be an opening between garage and building?
Kind of heating system .1.,..8.--t.'-4_4_i_`-' Oil burner or coal?
Will a flue-lined chimney be provided? . . . .e-:24.47. . . . . Depth of chimney foundation below grade
Height of chimney above roof
Will.there be a fireplace? Depth of fireplace hearth
Will a toilet be installed? - � '`'`^
Will a kitchen sink be installed and connected to water supply? `-"�
Water supply (public water supply or pump) ' ,:::, ',/--'t---V
Distance of cesspool from any private well E-a:-t_-�n�> �1 ��' feet
Will drainage system be provided with required traps, cleanouts, and vents? . . . . / C.--t!..�. .
AFFIDAVIT G/
Town of Queensbury
County of Warren
State of New York
I swear that to tt. J,ej r of my know,iedge 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 all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the pro worka
shall be complied with,whether specified or not,
and that such work is authorized by the owner. 7 �Sworn to before me this Signature "' �.��
OWNER.OWNER'S AGENT,AR E CONTRACTOR
day of 19
NOTARY PUBLIC. WARREN COUNTY..N. Y.
SPECIAL.CONDITIONS OF THE PERMIT:
By
• F124
TOWN OF' UEENSBURY
Building: Department
inspectors Report Date / ?/?5
Name -76/3 oiti j
Location 7 J,� L //q'
Permit No. 5 6 4L3--• Weather
Remarks
Excat;a ti on
-Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey j'
Framing
7
• Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext.' Porches'
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
.Pibg. Fixtures
Car. Fireproofin
Door Closers
Chimney
Water Meter Inst.
Septic Approval'
Floors '
Insulation
Foundation
Walls
Ceiling '
5 /P
Buil ing In ector
REMARKS
•
TOWN OF QUEENSBURY.
Building. Department
Inspectors Date `7SJ/r r-)
Name
Location .)
Permit No. Weather
• Remarks
Excaiation f
Footing Forms
Footing & Piers
Foundation
Cement Coat ��
Waterproofing
Backfill �
Final Survey C Yc
• Framing
Sheathing 7.5;t:;:d
Roof Felt
Roofing ? ._
Siding
Masonry Veneer ,
Rough Plbg.
Relief Valves
Wall Board •
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile 1 _
Concrete Floors f
Plbg. Fixtures
Gar. Fireproofing_(
Door Closers
•Chimney
Water Meter Inst.
Septic Approval J •
•
FFlO i.r
Insulation FoundElei6n
Iti _i
•
Building Inspector
REMARKS
F
/Y176-1 he' or/la-7'
OWN
QUEENSBURY
Building- Department
•
Inspectors Report D to
_h42/EL
Name er7/ %20"C/lr
Location . , 7'" iv /2q
. Permit No. S G 4s Weather
Remo s
Excat ation
Footing Forms j fig
Footing & Piers
1)Foundation �p�
•
. Cement Coat �..
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
. Finished Floor •
Interior Trim
Stairs & Railings
Cellar Dr. Tile •
•
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval •
-
• FlOOts
•
Insulation FOtindatidr}
Walls •
• Ceiling
•
Z./ • Building Inspector
' REMARKS
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