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8330 C/O Paid CERTIFICATE OF OCCUPANCY TOWN.:OF QUEENSBURY WARREN COUNTY, NEW YORK Date November 30 19 84 This is to certify that work requested to be done as shown by Permit No. has been completed. This structure may be occupied as a Addition to onF--Fam i 1 v rlTn 1 ;nrr (bedroom and porch) Locatior5- Stevens Road Owner Robert and Sue Johnson By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector CREATIVE 'INSTA" PRINTING. GLENS FALLS. N Y 12801 15181793'-5658 BUILDING PERMIT TOWN OF QUEENSBURY No. ®- WARREN.000NTY, NEW YORK PERMISSION is hereby granted to Robert and Sue Johnson 0 OWNER of property located at Stevens Road Street, Road or Ave. o n Addition to dwelling rt* in the Town of Queensbury,To Construct or place a_ W 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 RD #4 Stevens Road ' m Glens Falls, New York U 0 • 2. CONTRACTOR or BUILDER'S Name 0 same 3. CONTRACTOR or BUILDER'S Address - same En 4. ARCHITECT'S Name 5. ARCHITECT'S Address 0 6. TYPE of Construction—(Please indicate by X) - i (X)Wood Frame ( ) Masonry ( )Steel ( ) • 7. PLANS and Specifications 19'x14 ' addition for bedroom- and 8 x16 ' open porch t:r No. per plot plan, specifications and application - m H ct submitted. hiY. 00 8. Proposed Use rt One-Family Dwelling (additional living area and porch) o � sz $5. 0 0 C/O Paid '><r P D€. i 1 /7$ 10. 00 PERMIT FEE PAID -THIS PERMIT EXPIRES Sept. 1 19 88 ;0 N (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the /j tQ town of Queensbury before the expiration date.) 0 •Dated at the Town of Queensbury this 21stDay of February. 19 84 � SIGNED BY aid a. for the Town of Queensbury Building and Zoning Inspector . 1'TOWN OF QUEENSBURY (Space inside block to lx' filled in by WARREN COUNTY, NEW-YORK • . Building Inspector) Application for Application No. : Permit Issued 19. BUILDING AND ZONING PERMIT permit Expires. 19. Zoning District . \ aloe o1 Work' THREE (3) Copies of a PLOT PLAN, Drawn to scale •\1'111•"(111 hY showing the actual dimensions of the lot to be built 1tc•ma1'KS upon, The exact size, and location on the lot of the • building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. c�q //�/ q • TOWN OF QUEENSBURY l P — i— a �. �-Cit `/,DATE e�'DATE riVE 4e l! 1A E 0 A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK 1984 ANSWER ALL OF THE FOLLOWING. The undersigned herebyapplies for a permit to do the following work A. /S �' c7 " which will be done in accordance with the description, plans Sand specifi- 41516 .. = a a a e a cations, and such special conditions as may be indicated on the permit. ``' The owner of this property is: . . . . . C C).19tr$. .•: '. A-. $ e. . . ,. . .U6Kr.NA.?t`J. . . . . . . . . . . . . . . . . . . . .�\. . . . •�: .�?ccnea (NA`tE) (P.O.ADDRESS) The person responsible for .supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: �oo9r c . Sv .Sty Ito ' , Ste w,zn5 -V.-:s3. (NAME) IP 0.ADDRESS) • Name of Builder —9`0b°a-rt Address 5/rn� . -5 ,ot)e 1 rt °��l,��Sot�3 Address • ''t' c- 1) Name of Plumber • abec-k l'p h or\i Address it 1 1 Name of Mason . Lot Number Unit Estimated value of proposed work 3 -.GI op° —f os v,,D � Name of Village . . . . M.. .. :: 4t.i'o t Name of Street St OC�t'� -kb - Side of'street: north 0, east re, south D. west 0 Nearest Cross Street Distance from this cross street Ft. Property is north 0,south ❑,east i i,west'. 0 from.Cross Street i If on Corner,which corner, northeast L7, northwest ❑, southeast 0, southwest - . (Designate by marking with an "X" in the correct space.) • NATURE OF PROPOSED WORK OCCUPANCY El Construction of a new building. Main Builltiing One-familyf4 Addition to,a building. - dwelling - kr 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 ❑ Other work. Describe Two-car •detached garage ❑ • Private chicken house ❑ \ \ Private storage . uilding ❑ - Other: 3.a . e'r?O ' 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, sire and setbacks of pro- posed buildings,and the location of all existing buildings. NORTH Show proposed building(s) in dotted line and existing C.Ar\'ic\Av..• cic�A. buildings) in solid line. ' XSize of property WO ft. x . . . . C� . . . ft X Size and use of existing buildings, if any `1x_ - U, y x 52. i ? I,D W Size of proposed building . . . . :,\.9. . . ft.x . . . . 9. . . . . ft. ' Height(from grade to ridge) 11 ft. V) ,soy Front.yard t 11 ft. Side yards ft. and . .`S. n. . • • • •IN . ft. l (/ " 1/ 'i V V / /f/1-'17\- V1/ 1 L/ t/ / Rear yard 1 ?3t.k ft. .; ft.. . SOUTH If on corner,setback from side street Note: All distances are net, as measured from street side . • line to nearest part of building. ' (OVER) . 7-73—M (coned.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe, etc.?. . . . . ... . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • • • • • • Will any second-hand lumber be used? 110 If so, for what7 F• 1;,.@.c�t\eY\'�' h\o c. . Thickness . . . . " I I Matena'r"bf`foundation walls � • • •���• Depth of foundation walls below grade Continuous foundation? Will there be a cellar? IN10 If so, material of cellar floor Type of roof: Sloped or flat? . .. \Op.e. Material of roof Q,'=A 'na.\-/C 5k-,.e\e\1 v., Size,wood studs a "x L. ", spacing I co "o.c., length R • ft. Size, floor beams, 1st floor a" x •$ ", spacing 1 fn "o.c., span (W ft. Size, floor beams, 2nd floor " x ", spacing "o.c., span ft. Size, ceiling beams s�... "x ", spacing 1 "o.c., span I Li ft. Siie, roof rafters or beams • a "x . t..0 .", spacing 0 Co "o.c., span (( ft. Exterior finish . . . . u-r.& + `et et,/ With what material? LI• O.b 1G� Finish of interior walls. . . . .,S.h-eat.R0.41`. 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? A Kind of heating system Rot Awr Oil burner or coal? . . .O l\. . .\'',(4r"r1,9r"' Will a flue-lined chimney be provided? '4`f 0 . Depth of chimney foundation below grade ' Height of chimney above roof J Will there be a fireplace? 'm".' 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) 'S2 t-1`N t C, Distance of cesspool from any private well feet Will drainage system be provided with required traps, cleanouts, and vents? Town of Queensbury AFFIDAVIT County of Warren , ' • State of New York • I swear that to th•bra r of my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and co.a.p lete statement of all proposed work to be done on the described premises and that an provisions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed work shall be complied with,whether specified or not, and that such work is authorized by the owner. Sworn to before me this Signature �`�' OWNER.0 NER'S AGENT.ARCHITECT,CONTRACTOR 2/ day of - ,6 1987 NOTARY PUBLIC, WARREN COUNTY,N. Y. ,. , SPECIAL CONDITIONS OF THE PERMIT: • • lr Ificl , • By r .4"..�S ia��oti.,f.,. a,�����•xs da isa• .•.tx•�a•:ca•.a ti,,, ,.a.,•.".. a•.i.I•:ta i,". •.a tia i, •ka is •�x•.,,...�a•,,,,,, a,I... . •..a•�a tia....,_ •�a•.a i,ae.,,,n",.a•����a•�.,�tia•- • .<<: THE NEW YORK BOARD. OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY -r THIS CERTIFIES THAT --; (-"<, only the electrical equipment as described below alul introduced by the applicant named on the above application number in the premises of > Robert Johnson, Stevens Road, Glens Falls, New York , a —G following location; ® • Section Blockr .', ii.: was r r 1 0 'i and found to be in compliancer this Board. r »1r ECEPTACLES SWITCHES , OUTLETS, INCANDESCENT FLUORESCENT IMP AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. ; FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS , r DRYERS FURNACE MOTORSFUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCICS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS "* ' AMT. •IL H.P. GAS H.P. AMT. NO.. A.W.G. AMT. H.P. NO.OF FEET i N r SERVICE DISCONNECT NO.OF S E R V I C E MAT. AMP. TYPE. EaUIP. 1,t 2W 1 2 3W '3 2 3W 3 2 4W NO,OF CC.COND. A.W.G. NO. HI-LEG A.W.G. NO.OF NEUTRALS A.W.G. i PER..B" _. OF CC.COND. OF HI-LEG OF NEUTRAL. r ' i s. , OTHER APPARATUS: 1 m GFI Receptacle 1- Smoke Detector Firrr ZrrrN 'I- �— � `���V rya . r ,,- v rJ.L Robert Johnson , . °71,( 5.0‘:7 , , R.D. # , Stevens Road ' Glens Falls , New York 12801 „ ' BRANCH MANAGER Fs., Per I`4 >z/ . !Y'CYYY YY YYYY'G'i YY YY YY Y74YY YYI'Y`CYYY'CT"?7 YYt♦KYYY'f1'YI'.YY YY'CYYY YY YY\'Y YY YY fY YY YY YY YY YY YY'YY.YYYY YY YY Y'i Y i Yi YYYYYY:Y7 P'i Y'i iy.Y'i Y4 e COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. INFORMATION FOR BUILDING DEPARTMENT WE ARE IN THE PROCESS OF ISSUING A CERTIFICATE OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION AS COVERED IN AN APPLICATION FILED WITH OUR DISTRICT OFFICE.HE EW YORK BOARD OF FIRE UNDER ITERS gi , --7e- a,e7 . -e-'r --. • CAT 6V1 DATE INSPECTOR TOWN ; F QUEENSBURY Building Department ent Inspectors Report Date h /I,/ 't,/ Location ct'7/.3 eie—A yi�(2 Permit No. 74/4-i Remarks Excavation Footing Forms Footing & Piers Foundation 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 ,./try Stairs & Railings;, -� 4 Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors • Insulation Foundation Walls Ceiling Building Inspector • y2o REMARKS rjb 1l 4_ 57Z- TOWN OF QUEENSBURY Building Department Inspectors Report Date lt' 7 Name ,,Ti971-1.ci Location " 7-7PL ' ✓'EIJ c i - 6 Permit No. A ? <C ) Weather "'';;AI /147}) 70 R g emarks Excavation r, , Footing Forms plf v • Footing & Piers • Foundation Cement Coat Waterproofing Backfill Final Survey Framing • Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches 1(t( Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. �• Septic Approval Floors Insulation Foundation Walls " ' Ceiling Building Inspector /REMARKS • t 1/, /1YLLO y17+,r;s CC. ,t)' OAk_ t-ko '" ,c‘o yj�t;� S' J JP £' Ci1 TOWN OF QU•EENSBURY Building Department Inspectors Report Date_67L2/11___ Name /f'n&'2-t, -)/.t71/s o•J Location z/,s'?> 'cJ'Tetig VS Permit No. 3'An Weather Remarks Excatta tion Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey -7 Framing • Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. L- C) Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile 1/1::\)1(1... Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls L Ceilin L Building Inspector REMARKS • TOWN OF'QUEENSBURY Building Department • Inspectors Report Date gi476 Name a8 1115041 Location .fa�'9 7 r e r1/9 f' . Permit No. S 3 3 D- Weather Remarks Exca*Ya tion Footing Forms • Footing & Piers ((9 Foundation \\\ 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 Floors • Insulation Foundation Walls 'Ceilin Building spector REMARKS • • • • 23 em�er.s eu MMINIMMEMEMMEMENSMIMMEMMEMERMEMMEMMIMMOMMINIMMIIII 22 It MINEMMUMMIIMMEMMINOMMMMIUMMUMMIMINOMMMEMMEMEM c iiiiiiii I Mil'. ...... .......................... ....... 1 1611 III 11111111111111111111111111111111111111111 2 11111 , 11: limn 101 EINAIRIIEHE iiiiIiIHINNllm1iiIIImHIl =1 9 i tr �-1—.-,}..-�....� 1 I 1 I ITT I�� .-�-f'-�-_T'"j'_'—T_. 9• I T _ .. .}- _. _.-.. __.____.._.___. ___. , I x 07 1 w Q 1IL , y`, 'i h1�w71 e MI t � , 1