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3362 s CERTIFICATE OF OCCUPANCY TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK ' Date .:ii ac....... 3 1 g rz This is to certify that work requested to be done as shown by Permit No-3 3L>cs has been completed. This structure may be occupied as a '` " ` Location Owner _. S By Order Town Board TOWN OF QUEENSBURY Building 8r Zoning inspector w CRK^TIVK AMSTA PRINTING %LENS FALLS M H 12BU1 ISIG1793 Stan BUILDING PERMIT TOWN OF QUEENSBURY No. 3362 0ulk � WARREN COUNTY, NEW YORK [n_ PERMISSION is hereby granted to OWNER of property located at Lot 91 Maplewood Drive Street, Road or Ave. 0 in the Town of O.ueensbury, To Construct or place a One Family Dwelling with SS cv 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 Oueensbury Building and Zoning Ordinance. [20. OwNER'S Address is 891 Schuyler Street Hudson Falls , New 'York .•► CONTRACTOR or BUILDERS Name Same 3. CONTRACTOR or SUILDER'S Address r 0 Same r' .a 4. ARCHITECT'S Name F- T3 F-' CD 5. ARCHITECT'S Address V`7 CIO f M 6. TYPE of Construction — (Please indicate by X) V. , G 4C I Wood France S ) Masonry f I steel ( 1 [7. LANS and Specificatiorw24 ' s 72 ' per plot plan , specifications and application No' submitted including sewage system and 2- car attachedProposed Use One - Family Dwelling cl $5 . 00 C/o Paid October l 1975 $ 1 po D PERMIT FEE PAID — THIS PERMIT EXPIRES (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Clueensbury before the expiration date.) 75 Dated at the Town of Oueensbury this 18th Day of March ig r-' SIGNED BY1 for the Town of 4ueensbury Building and Zomor� TOWN OF QUEENSBURY ( Space inside block to be Filled in 6v WARREN COUNTY. NEW YORK Building lnspecidw) Application for .vrll1i {Issu ell. i'c•r,uit lsaueel 19 BUILDING AND ZONING PERMIT ` F'_Np '-v% aIYlay , A WtIrk . f'C fll' THREE ( 31 Copies of a PLOT PLAN, Drawn to scale -�iYI Y ( INl'il showinS� fiat actual dimension: of the lo+ to be built upon. The exact sire. and location on the lot of the building to be erocted or offered MUST BE SUB- MITTED WITH THIS APPLICATION. TOWN OF Q1JEE'1��ji5Fi3W' nwiE° Per DO A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK �� � 1 ;� 19 / b ANSWER ALL OF THE FOLLOWING. 4 P. M. Iles for a permit to do the following work I The undersigned hereby Opp ? 8 9llgl1til 111213141516 6 which will be done in accordance with the description, plans and specifi- ,« X ' cations, and such special conditions as may be indicated on the permit. Tile net CPO A OO R S T person,.res nsihic far supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: . - - _ . IMAM£1 " - - - - - - - - - • ,p-O` A64RES51 . . . . . . . - - - . Name of Builder - - . .III . Address - . . . . . . . - . Name of Plumber . (Ze j�. . - . . . . . . . Address Name of Mason - - . . '. r. . . . . . . . .. . Address - .G �- - s. . . . . . . . Lot Number . . . . .C1,/ Unii Estimated value of proposed work S Name of Village . . . . (y .r._"tee ... . . . . . . . . , 8. . . . . . . . . . Side of street: north ❑ . east south ❑ , west ❑ Name of Street - . . . f . . . . . . Ft. Nearest Gross Street Distance From this crass street /. . . . . . . property is north © , south , east L J , west ❑ from Gross Street If on Corner, which corner, northeast 0 , northwest I] , southeast ❑ , southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY « Main Btsil{iing Construction of a new building. One-family dwelling C Addition to a building. Two-family dwelling G' Alteration to a building. family apartment house C3 Demolition of a building_ Store building D , . -car attached garage Other: . . . . . . Accessory Building One-car detached garage � . , , Two-car detached garage [] Other work. Deacszbe: . . . . . . . . D Private chicken house Q . . . . . . Private storage building Other: . . . . . . . . . . . . . . . . . . . . . ZONING SPECIFICATIONS- Fill in for new building, or addition to existing building, or a change of occupancy- ZONING y- Indicate on the plot plan street names, the location and size of the property, the location, sift and setbacks of pro- posed buildings, and the locati4in Of all existing buildings. MORTM Show proposed buildings) in dotted lute "d existing L tiuilding(s) in solid line.Size of property . ./. 1 .e). .r. . . . . . ft. x . .ss , '�/°� _ . ft. Size and use of existing buildings. if any . . . . • . . • • • . . . F . . . . . . . . . . . . . . 'a" Size of proposed building . . , . - .`]� , B a ft. Height (from grade to ridge) • . . . . . . a 'Y" ' _ ft. Front yard . - ` . : . - . , . . . . . . Side yards . . 1. . . .oe . . . h. and . . . . . . . . . . . . . . . ft- Rear yard . . . . . . . . . . . . ft. If on corner, setback fran^in side street . . . . . . . . . . . . . . . ft. . soSOUTH Note: Aft distances are wee, as mersssered fr'em ssreee side tires to nearest fart of building. s� +ry��jj fOV�n7 (cont'd.) BUILDING SPECIFICATICINS. Kind of construction : Wood�m #ire safe, etc.? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber he used? . . . . . . . , . - - - If so, for what? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls - , ./. ,O ,X l Co. A .r - -�sr+�C-p e'er _ e .. e - . , . . . Thickness . . . . . . . . . . Depth of foundation walls below grade . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Continuous foundation? . . Will there be a cellar? _ _ . . _t s T : _ _ . . _ If so, material of cellar floor . . . . . Type of roof: Sloped or flat? . . . . . . . . . . . . . . . . . Material of roof . . . 4�� ,r r. y.. .. . . E' _ ? . . Size, wood studs . . . . . . . .. . . . . . . . . . . " x . . . . . . - - , . . , ", spacing . . . . /. 'w . - . . . . . "o.c., length . . . ' ft. Size, floor beams, Ist floor . . . . . . spacing x , - -. " C> p g . . . .{ . . , , . . . . "o.c., span . . . . f. ft. Size, floor beams, 2nd floor . . . . . . - - y. " x ! . . . . . . - ", spacing . . . J e,P. . . . . . . . ..a.c., span . Size, ceiling beams . . . . . . . . . . . . . . . . . . " x ", spacing . . . 0'4 tr[ .r' . . . _ . "o.c., span . . . . ! Six!e, roof rafters or reams . . - . . - - . . . . . " x . . _ . . . . d - - . - spacing . . . . . . . . . . . . . . "n.c., span . , . . . . . . ' Kd. !f. 440; .. Exterior finish � . . . . . . . . . . . . . . . . . . . . . With what material? . . . . . . . . . . . . . . . . . . . . . . . . . . u . . . Finish of interior walls /'j e latx-•c c..�„'"xi-=- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If garage is to be attached, of what material is wall between garage and Xnain building to be constructed? Is there to he an opening between gara and burl tng? . . . . . . . . _ . . . . . dam•, . . . . . Kind of heating system , - - - .CA-G Oil burner or coal? . . . . . . . . . . Will a flue-lined chimney be provided? _ _�_a� _ . . . . . . . . Depth oT c K ney foundation below grade . . Height of chimney above roof , .+y/ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . _ . . . . . Will there be a fireplace? . . . . . . .. . . . . . . . . . . . . . . Depth of fireplace hearth . . �' . - `.t, . . _ . _ . . . . . . _ . . . . . . _ . . . _ Will atoilet he installed? . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I , — . . . . . . . , , . . . . . . - , . , . _ . . . Wilt a kitchen sink be installed and coned to water supply? . . sZ-t p;?d. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Water supply (public water supply or pump) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . Distance of cess`pao'F"Pr87 t4 an`y private well . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 u-s Abdrdf`of my knowledge and belief the statements contained in this application, together with the� and rpeciBc MOO" sub.• mitred, are a true and oo.m.plete statement of all proposed work to be done on the dese bed preninea and that a pr of the BUILD- ING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the7PNER1 work shall hYe? lmpHednrttL W ether specified or nett, and that such work is authorized by the owner. J Sworn to before me this Signature . . .. . . . . . . . . . . . . . . . .. .. .... . . . . . , NER'S AGENT, ARCNIT£G`t, CC7RTRACTOR ... . . . . . . . . . . . . . . day of. . . . . . . . . ... . . ... . . .. . . . ... . . ... . . . 19. . . . . . NOTARY PLBLi C, WARREN COUNTY, N. Y- SPECIAL CONDITIONS OF THE PERMIT: By .... ._..._.... ........ ...... . ... ..............- •............, -------------- TOWN OF QU EENSBU RY Building Department Inspectors Ri2port. Name Location W ea er permit No. Per Cent I;emarks Complete Excavation Footin Forms Footing & Piers Foundation Cement Goat Water rooffn Backf ill Final Surve Framing Sheathin Roof Felt Roof in Sidin Nlasonry Veneer Rou h Plb . Ron It Ht Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim stairs & Railin s cellar Dr, Tile Concrete Floors Plb . Fixtures Gar_ Fire roofin Door Closers Chimne Water Meter Inst. Se tiC A Val Building knspector REMARKS Tc)wt4 CIF QuEmSSURY Building Department lnspectars Rep Name Or L oeation 3 W eett4aer permit No.. pair Cent ltettterlt■ complete Excavation FootSn Forms Footin & Piers Foundation .,'mint Goat Water fin Backf ill Final Survey Framing Sheathin Roof Felt Roof in Sidin Sjasonry Veneer Rou h Pilo - Rou It Ht - Belief valves wall Board E ct. Porches Finished Floor Interior Trim dd Stairs & Railie a Cellar Ur- Tile Concrete Floors plh . Fixtures Gar. Fire roofin f)oor Closers Cltfmn Water Meter Inst. Se tic A roval aYiltlin8 lalapeGtOf REMARKS 'I I'I 11 TOWN OF QUEENSSURY Building Department Inspectors Report [}ate,. '7 Name F Locatiuon W eatl�er permit No. Per Cent itemsrks Complete Excavation Footin Forms Footing & Piers Foundation Cement Coat Water fin Bac Jill Final Survey Framin Sheathing Roof Felt Roofing Sidin 114asonry Veneer Rou h Plb . Rau h Ht 'Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Ratlfn s Cellar 1:0 Tile Concrete Floors Plh Fixtures Gar. Fire rooftn Door Closers Chima Water Meter Inst. Se tic A royal p p f3vildinx InaPe'ctor '�ff �.FJi MARKS F" III L 7 TOWN OF QUEENSBIU RY Building ©epartmelnt tttspectocs Reporf Date Name ILX cation ' Weather permit No. Per Cent Ram"Us Complete Exeavation Footin Forms Footin & Piers Foundation Cement Coat Water roofin Backfill Final Surve Framing Sheathing Roof Felt Roofing Sidin Njasonr Veneer Rough Plb . Rou h lit Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railin a Cellar Dr. Tile Concrete Floors Plb Fixtures Car. Fire roofin Door Closers Chimne Water Meter Inst. Se tic A roval Ruildini lrtspector REMARKS . i THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU ©F ELECTRICITY I � 41 STATE STREET. ALBANY, NEW Y©RK 1220 Date .� LL o: = r :> Application No. on file THIS, CERTIFIES THAT ips number in the pre""N" of only the electrical equipment os described belwa and introduced by the erpplicaa[ rsaeraed on the I d -, r applM` ,.f . ... •.f'h x:i 1a W.:.i:' r'1i. ,: ,Y C _ 2nd Section Block ire the fallowing location: I�1 Basement �tr 1st FY. Fl. . ^ LoL ': yr-( .:4 s '-.. and found to be in compliance snide the requirements of this Board. tries examined on FI XTURES R/I�NCiiES COOKING DECKS - OVENS DISHWASHERS EXH gXTURE A115T FANS OUTLETS ECEFTACLES SWATCHES INCANDESCENT FLVORE$[E1rr AMT. K.W. ART. K. w. AMT. K.w, AMT. X. W, AMT. A Amp �,u UNIT HEATERS tALILTI-OUTIlT DIMME1t5 DRYERS FURNACE MOTORS FUTURE ArFL1ANCE FEEDERS S MIALR TU' MECLOCKS SYSTEMS -AMT. wATTs 'AMT. K. W. 04L W P- GAS A. WAG. AMT. AMP. AMT. AMP& TRANS. AMT. H. P. NO. Of FRET ]: ' , SERVICE DISCONNECT No.OF S E R Y I C A. W. G. METER N17, 17F CG. COND. A- W. G. Nd. OF XI-LEG Cw IW G. NO. oP NEUITRAiS pP NEUTRAL AMT. AMP. TYPE EtiAllr. I 0 2W 1 X 9W s A' 9W 30 4W PER $ OP CC. COND. OTHER AFYARATU& . ., ... . .'-� i z£`-�ri L . .. . 7 ., j` BRANCH MANAGER Per COPY FAIR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER* TVIICI STORY cd Id LIA ddd Wo r m. ' n 6 E _ � MWMM •�f� � Me • . r J ,• ,� 4r, C WWI�� • : � I I z X t I