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7494 C/O Paid CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date t9 _ This is to certify that work requested to be clone as shown by Permit No. 7494 has been compleite& This structure may be owupled as a QTl a—Eam i l y Dwelling *25W -te5&-4= Big Boom Road (La nbert Subdivision ) Darlene Gould By Carder Town Board TOWN OF QUEENS13URY Building & Zoning Inspector C"t^TIYC "1NSTA Pa 1"VING Q�MNS FA4L-5 N ♦ 42601 15161715-6656 .6 BUILDING PERMIT TOWN OF QUEENSBURY No. 7494 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Darlene Gould 0) Road ( Lambert Subdivision ) OWNER of property located at g Boom Street, 'Road or Ave. N Lot 4 Big (D in the Town of Queensbury, To Construct or place a C)n c-b—p! Rm -i 1 )4 nwt�7 '1 i'ng _ __ 0 at the above location in accordance to application together with plot plans and other information hereto filed and 00 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. � CL t_ OWNER'S Address is 45 Br iwood Circle Glens Falls , New York 2. CONTRACTOR or BUI LDER'S Name same 3. CONTRACTOR or BUILDER'S Address 0 ri- same t3' 4. ARCHITECT'S Name I�„1 W []d I0 Q 5. ARCHITECT'S Address R+ h+• C !zJ r c m B. TYPE of Construction — (Please indicate by X) ( I Wood Frame ( I Masonry I ) steel La cr 7_ PLANS and Specifications 24 ' x3Br per plot plan , specifications and application No. submitted including sewage Bystem e 8. Proposed Use one-Fainily Dwelling [I) $ 5 . 04 C/o Paid l 98400 00 $ PERMIT FEE PAID — THIS PERMIT EXPIRES March 1 19 83 (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,) t-C a Dated at the Town of Queensbury this 13 th Clay of August 19 82 tD F- SIGNED BY � tzgsc• � � for the Town of Queensburyr Building and Zoning In ctoi(r ' ` /'J Lq TOWN OF QUEENSBURY (Space inside block to lx• lillvtt in b% WARREN COUNTY. NEW YORK Building lnsrx rttrrl Application for ppi is atiolI No. p� Pt-rural ls,,red 14 BUILDING AND ZONING PERMIT I'+ •rrnil I•apirv% kfI Y.+ n, in� 1 ?+�trit t \ a I nr nl 11'nrl. , THREE ( 3 ) Copies of a PLOT PLAN, Drawn to scale showingq the actual dimensions of the lot to be built upon, Tl+e exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. a U J "TOWN OF QUEENSOURY A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWING. �U6 1982 The undersigned hereby applies for a permit to do the following work 14,M, A P W which will 6a done in accordance with the description, plans and specifi- 71819�1I111�` cations, and such special conditions as may be indicated on the permit.O The ner of this proper is:f,r �c7 s-/e n�' 6 ` ` -r f SS �] ckJ � � .i-c� /:. . . . . . . . . O. ADDRESS) . . Thajwrson �.rfpsp[o7'nssible for upervision of the work insofar as the Building Code and the Zoning Ordinance apply is: (IiAMEI Name of Builder . ��,//�� Address % '.. �: . Name of Plumber . . F-L lf� . . Address j'� 1l (1 - . . Address - �� - . t Name of Mason , . ��r'.�E'.�". �. . . . . . +e.r# .` l Gt � . . .r Lot Number . . . Unit - - Estimated value of proposed work 3 -J. . 4 ( . . . . . . . . . . - Name of Village . . . . . . . . /, . . +, �r^ff + Vo tE � . . . . . . . . . . . . . . . . . . . . . . . ..- Name of Street . . . Side of street north ❑. east ❑ . south C] . west ❑ Nearest Cross Street . . . . . . . . . . . . . . . . . - - - Distance from this cross street . . . . . . , . - . . . . . . . . . . - Ft . Property is north Q , south ❑ , east i i , west © from Cross Street If on Corner, which corner. northeast U . northwest ❑ , southeast southwest (Designate by marking; with an "X" in the correct space.} NATURE OF PROPOSED WORK OCCUPANCY + ;D Construction of a new building. Main BuiMing I� Two famil1 Addition to a building. One-fami . dwelling . 0 Alteration to a building. y dwelling 0 0 M Demolition of a building. -fancily apartment house M Store building 0 . . . . . . -car attached garage Other . . . . . . . . Accessory Building One-car detached garage Other work. Describe: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Two-car detached garage Private chicken house . . . Private storage building Other: . . . . . . . . . . . . . 4 . . . , . . . . . . . . . . . . , . . . . . - . . . . - 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 and setbacks of pro- posed buildings, and the location of all existing buildings. T Show proposed building(s) in dratted line end existing huildingts) in solid line. / L Size of property . / . 1 .5. . . . . . . . . ft, x 71 . . . . ft. Size and use of existing buildings,/if any . . . . _ . . . . . Size of proposed building . . . f . . . ft. x h o . . . . . ft. �_� Height (from grade to rid it. ge) • • 1 .'dJ. ,/'�2. `'"'� "� '� ft. Front yard . . . . 1.1. G? . . . . . . . . . . . . . . . i . . . ' ft. Side vards . . . . r. . . . , � it. and . , . . , . . . . Fy. Rear yard . . . . . . . . . . . . . ft_ SOUT t If on corner, setback from side street . . . . . . . . . . . . . . . ft. . . 7 Note : All distances are net, as measured" from street side line to nearest dart of building. (OVER) {cont'd.) III.JILDING SPECIFICATIONS. Kind of construction : Wood frame, fire safe, etc.? . . . Ao. C'. U. . f .; `f: . . - - - . . e7i . . . . . . , . . . . . . - . . Will any second-hand lumber be used? . . . 11 so. for what? . . . . _ . . . _ C _ C - f� . G !? : � - Thickness . . . . : . . _ , . r . . . . . . . . . . . Material of foundation walls `�- . . . . . . . . . . . . . . . . . . . . . . . . Thickness . . . - . . . Depth of foundation walls below grade . - - - . . . . . % Cont` uous Foundation? V *e_. . . . . . Will there be a cellar? If so, material of cellar (I oar , . , of C .f? . C .7 . . . . . . . . . . . . . .� . . . . . . . Type of roof: Sloped or flat? ?. f3. .` . . . . Material of roof . . . 1 + .� - � . . . . . . . . . . . . . . . . . Size, wood studs . . . . . . . . . . . . . . . . . - ^ x . . ", spacing . . . . ,/� "o.c., length 7:- .r�o ft. Size, floor beams, Ist floor . . . . . . - . . " x . . • - . . . , . . - . ", spacing . . . . /47.. _ - . . . . "o.c., span . . . .J .",��.r- ft. Size, r . . . . . . . - . . .1e. . . "' floor beams. 2nd floor . . . . " x pacing o.c., span . . f . . . . . . - ft_ Size, ceiling beams . . . . . . . . . .- : . . . " x spacing . . . . . . . . . . . . . . "o.c., span . . . . . . . . . . . . . . ft. . - , . . "" Site, roof rafters or beams . . . . . . .� • " x . . , spacing; . . . . . . . . . . o.c., span ft_ Exterior finish . . - . i- 0, . . . . . . . . . . . . . . . . . . With what material? . . S� :, . . - . . . . . . . . . . . . . . . , . Finish of interior walls G^}- S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If garage is to be attached, of wh; material is wall between garage and main building to be constructed? Is there to be an opening tween garage and building? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kind of heating system . . . 0 -- e/.� • • . . . . . . . . . . 0 1 burner or coal? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a flue-lined chimney be provided? - . Depth of chimney foundation below grade . . . . . . Height of chimney above roof . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . , . . . . . _ . . _ . . Will there he a fireplace? Depth of fireplace hearth . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . Willa toilet be installed? . . . . 1. '-} �E .fi. . . . . . , - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . , , . Will a kitchen sink be installed anti connected to wate s pply? . . S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Water supply (public water supply or pump) . . . . . . . . . . . . . . . . . . . . . . . . . . . . - . . . - , . . . Distance of cesspool from any private well . > > . . .1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . l feet Will drainage system be provided with required traps, cleanouts, and vents? . . .`� ] . . . . . . . . . . . . . . . . . . . . . . . . . . . Town of Queenshury AFFIDAVIT County of Warren State of New York I swear that to tc b,c4 a of my kr*owjedge and belief the statements contained in this application, together with the Plans and apecafi Ums. sub- mined, are a true and co... late statement of all proposed work to be done an the described premises and that a of the BUILD- ING CODE, THE ZONING ORDINANCE, and all other laws pertaining 6o the proposed work "I be eon whether specified or not, and that such work is authorised by the owner. 0 44 Sworn to before me this Signature [.5 . . . . . ,. .. .-. �p Q�ii. C}W#I,vE/"R'S, EN�. ARCMiT 7. C4NTRAC7l?fi / - day of. ... . . .. - .y . . . . . . . . . . 19 NOTARY PUBt-IC. w'ARREN CG1.I NTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT- By .. . . . ... . ....... . ..... .. . ...... . .... . . . . . . .. . . ._. . . _.. .. _ _ . . . . ... .. . .... . . . .... .. .. TOWN OF QUEFNSBURY BUILDING & ZONING DEPARTMENT SEWAG+`F DISPOSAL PERMIT APPLICATION 1 . Owner • s Namey l �. CZ € �[N [ o c ) Address It J � � �' �� G7 ��j _ �+s�, Telephone. Nor. _ _r �17 ter` 1 2 . Property location 1 C _ ` ( Q ram -► l `� t� c ,�? -n 3 . Name of person or firm responsible for installing system Telephone No . Address 4 . Number of bedrooms ( residential buildings only) 5 . Daily flow cfallons/day 6 . Septic tank capacity c) gallons 7 . Topography : flat , rolling , steep of slope 8 . Nature of soil and depth 9 . If ground water , bedrock or impervious material is a parent at what depth does it begin? f t . 10 . percolation test : A is required g is not required C if required what is t - {he rate minutes/inch ll * 'Water supply : municipal , well , other T 12 . Type of system proposed : drywell , -tile field , other ( r ,Frc Any contractor ,. corporation , individual , etc . engaged in the construction of a sanitary sewage disposal system who covers the same before inspection , does not have an approved permit , or varies from the approved application will be subject to a penalty of $ 250 as provided for in Section 6 . 010 of the Queensbury Sanitary Sewage Ordinance . Date -.. �_t � � _ '.._.-''�'Q signature of applicant On separate sheet of paper submit a diagram of the proposed septic system with all dimensions , including distance from any structure , distance from property line and domestic water supply , etc . Include all dimensions of the system itself . N { Form 3 - 82 TOWN OF QUEENSBURY Budding Dopy rrt,mont Date Naws 11 MCM M yy1�tlYer perank No. Remarks Rxcavat on Footin Forms Poati & Piers r Foundation C7 � Cement Coat ..y Water xoofln Backfill Final serve Frartti sheathing... Ro[�f Fel t Roofin Sidin Masonr Veneer Rou h PI Relie.f valves Wall ,Hoard Ext . Parches Finished Floor Xnterfor Trim Stairs & Railin s Cellar pr . Tile Concrete Floors PI Fixtures Gar . Fire roof-in �r Cl©secs C!=i.mne Water Meter Xnst . Se tic A roval ' Floors Foundation _.. Xnsulati.on Wails Ceili op Hni!ding Inspector REMARKS TOWN OF QUEENSBU RY Building Department tu � —�/ Name 4e permit No. w�r►tM� Rem rks Excatya ti on Footing Forms Footi & Piers Foundation Cement Coat Water roofin Bachfil2 Final Surve Framin Sheathi Roof Felt Roofin Siding Masonry Veneer Rough P3 Relief Valves Wall Board Ext _ Porches Finished Floor Interfor Trim Stairs & Railin s Cellar Dx . Tile Concrete Floors �Pjbgm Fixtures Gar . Fire roofin Door Closers cmmne Water Meter Tnst . se tic Appzolval Floors Insulation Foundation Walls Celling build ctor REMARKS