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:
•
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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
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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
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s.
, OTHER APPARATUS:
1 m GFI Receptacle
1- Smoke Detector
Firrr
ZrrrN 'I-
�— � `���V rya .
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v
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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
•
•
•
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