1661 CERTIFICATE' OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date • 19 —/This is to certify that work requested to be done as shown by Permit No. ) Leke
has been completed.
This structure may be occupied as a ° 1_ I I oje •
Locata3 W-e:Stv'tory6,—YoA. n 'Zoo o.L.
Owner --1(\OC6< k-(J Paki6a_Ar-I-ct
By Order Town Board
TOWN OF QUEENSBURY
Building &,Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 1661
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Thoma a K. & Patri ci a E. Flaherty
OWNER of property located at West Mountain Road Street, Road or Ave. 1-3
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in the Town of Queensbury,To Construct or place a Dwelling Sewage System
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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.
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1. OWNER'S Address is
West Mountain Road
Glens Falls, New York
12801
2. CONTRACTOR or BUILDER'S Name
Ridge Homes
3. CONTRACTOR or BUILDER'S Address
Granville, New York
4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No.301X73t as per plot plans and specifications submitted enc. rn
sewage system
8. Proposed Use
One-Family Dwelling two car attached garage 2
sewage system
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$ 40.00 PERMIT FEE PAID —THIS PERMIT EXPIRES 11-1— 19 72
(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.)
Dated at the Town of Queensbury this 1 () Day of April 19 72
SIGNED BY 'per for the Town of Queensbury
.4.'--1—V—Building and Zoning Inspect
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TOWN OF QUEENSBURY .
(Space inside block to Ix• filled in by
WARREN COUNTY, NEW YORK • Building.Inspector)
Application for Application No.
Permit Issued ISM.
BUILDING AND ZONING PERMIT Permit-Expires . 19.
'tuning District -
\"a I tie nl Work S
THREE (31 Copies of a PLOT PLAN,.Drawn to scale . •\I'I"'( od by . .
showing the actual dimensions of the lot to be built Mannar{, . . . . . . . . . . . . . . . . . . . . . .
upon, The exact size, end location on the lot of the
building to be erected or altered MUST BE SUB- - .
MITTED WITH THIS APPLICATION.
TOWN OF QUEENSBURY
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DATE O dO
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK " R FP. 6 972
ANSWER ALL OF THE FOLLOWING. A.M. P.M.
The undersigned hereby applies for a permit to do the following work 71819110111112111213141516
- which will be done in accordance with the description, plans and specifi-. A
cations, and such special conditions as may be indicated on the permit.
The owner of this property is:
. . . .Thoma.s . K .&. .Pa.trici.a . E Flaherty West Mountain Road
(NA)E) (P.O.ADDRESS). . •
The person responsible for •supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
(NAME) .' (P.O.ADDRESS)
Name of Builder. . . .Ridge. .Ho.mes Address Gran\ lle, New York
Name of Plumber Owner Address Queensbury, New York
Name of Mason Graham Const. Address Argyle, New York
Lot Number Unit Estimated value of proposed work$ .20.,0.00...00
Name of Village
Name of Street . . . .Wes.t.Mounta.in. .Ro.ad Side of street: north 0, east ❑gsputh 0. west
Nearest Cross Street Luzerne Road Distance from this cross street Ft.
Property is north ®,south ❑,east Li, west ❑from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast ❑, southwest
(Designate by marking with-an "X"in the correct-space._)_, ____._ __-- -
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NATURE OF PROPOSED WORK OCCUPANCY
Construction of a new building. Main Building
❑ Addition to a building. One-family dwelling
❑ Alteration to a building. Two-family dwelling ❑
El Demolition of a building. -family apartment house • ❑
Store building ❑
2 -car attached garage
Other:
' Accessory Building
One-car detached garage ❑
D Other work. Describe Two car detached garage • Cl
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, size and setbacks of pro-
NORTH posed buildings, and the location of all existing buildings.
Luzerne Road Show proposed buildings) in dotted line and existing
huilding(s) in solid line.
Size of property 150 ft. x 132 ' ft
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asSize and use of existing buildings, if any
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,� idSize of proposed building ft..x ft.
Height (from grade to ridge) ft.
Front yard 50 ft.
Side yards 30 ft. and 30 ft.
Rear yard 50 ft.
• N SOUTH If on corner,setback from side street - ft.. ..
a
Note: All distances are net, as measured from street side
line to nearest part of building.
(OVER)
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.2 Wood Frame
Will any second-hand lumber be used? No If so, for what?
Material of foundation walls B 1 o c k Thickness . 1.Q.8.. . 12. 1 rl C h
Depth of foundation walls below grade . . . .62 Feet Continuous foundation? Yes
Will there be a cellar? YeS If so, material of cellar floor Concrete
Type of roof: Sloped or flat? S 2 Pe 4 Material of roof .S.hl.ng l.ei.6
•Size, wood studs 'x ", spacing
Size, floor beams, 1st floor 2 "x 10 ", p g "o.c., length • 8 ft.
spacing 16 "o.c., span 15 ft.
Size, floor beams, 2nd floor " x ", spacing "o.c., span ft.
Size, ceiling beams 2 " x . .16 ", spacing 16 "o.c., span 15 ft.
Size, roof raftersor beams 2 "x 6 ", spacing 16 "o.c., span ft.
Exterior finish Manufactured siding With what material?
Finish of interior walls Sheetrock
If garage is to be attached, of what material is wall between garage and main budding to be constructed?
Is there to be an opening between garage and building? Yes
Kind of heating system . . . .Hot .Water Oil burner or coal? Oil
Will a flue-lined chimney be provided? . . . .Ye.s . . . . . . . Depth of chimney foundation below grade '
Height of chimney above roof 2 . F.e e t
Will there be a fireplace? Depth of fireplace hearth
Will a toilet be installed? Yes
Will a kitchen sink be installed and connected to water supply? Yes
Water supply (public water supply or pump) Private
Distance of cesspool from any private well 125 Feet feet
Will drainage system be provided with required traps, cleanouts, and vents? Ye S
Town of Queensbury AFFIDAVIT
County of Warren ss. - '
. State of New York
I swear that to the best of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and complete 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 proposed work shall be complied with,whe er specified or not,
and that such work is authorized by the owner. ,�
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Sworn to before me this Signature
OW ER.OWNER'SNT,ARCHITE .CONTRACTOR
day of 19
.__ NOTARY PUBLIC, WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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...,, THE NEW YORK BOARD OF FIRE UNDERWRITERS
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1.,..1 BUREAU OF ELECTRICITY : - ,p-
--<, 1--- 1 951r\STATE STREET,ALBANY,NEVV2 XOR/5 02207
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_-,-, Date Application No.on file - _ . A ''
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• THIS CERTIFIES THAT
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only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of .P.
el; ThOMD.S w FLE.111Cr ty p W. Iv!criantain Roa.d., Qt3.e ensbury, New York ,>:
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wi in the following location; El Basement L_I 1st Fl. 0 2nd Fl. Section Block Lot ,>-
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was examined on / and found to be in compliance with the requirements of this Board. 4
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ill FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS '':
41 OUTLETS RECEPTACLES SWITCHES MERCURY "s
INCANDESCENT FLUORESCENT VAPOR AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. 'AMT. •:......H.P.
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P•C', DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
4 AMT. K.W. OIL 1
SYSTEMS
, ,.;1..P. , GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS.Ell H.p. NO.OF FEET •AMT.' WATTS
,2-0 ''.1 1.4 SERVICE DISCONNECT NO.OF S E R V I - C E
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METER
.1‹.4 AMT. AMP. TYPE 1..21 2W 1,8'3W 3)8'3W 3 0 AW NO.OFpE5S.COND.
OF Ael.ILCS.ND. NO.OF HI-LEG A.W.G.
OF HI-LEG NO.OF NEUTRALS
OF NEUTRAL
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OTHER APPARATUS:
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COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
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