8876 C/O Paid
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. . 8876
has been completed. .
This structure may be occupied as a ADDITION TO ELKS LODGE FOR STORAGE V
4312,l oration C RON IN ROAD
Owner GLENS, FALLS LODGE NO 81 BPOE'
By Order Town Board
TOWN OF QUEENSBURY
Building'& Zoning Inspector
f RFATIVF "INSTA" PRINTING GLENS FALLS N T I2R01 13IR1]R3-SRSR _
BUILDING PERMIT . .
TOWN OF QUEENSBURY . No. 8876
•
WARREN COUNTY, NEW YORK
0
PERMISSION is hereby granted to Glens Falls Lodge No. 81 B.P.0.E.
rn
OWNER of property located at 11 Cronin Road Street, Road or Ave.
-----act.
storage for e
in the Town of Queensbury,To Construct or place a Addition to main lodge
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. O
sZ
1. OWNER'S Address is 11 Cronin Road -
Glens Falls, New York
03
2. CONTRACTOR or BUILDER'S Name H
Same
•
3. CONTRACTOR or BUILDER'S Address
tnJ
Same •
4. ARCHITECT'S Name. -
H
I-1
t7
5. ARCHITECT'S Address
O
I-'.
• 6. TYPE of Construction—(Please indicate by X) ep
IL
lx)Wood Frame (" ) Masonry ( )Steel ( )
7. PLANS and Specifications
22 'x36 ' per plot plan, specifications and
No. application submitted.
8. Proposed Use •
Elks Lodge (addition for storage) o oJ
• n w
rt
$5. 00 C/O Paid .n o-
$ 12. 00 PERMIT FEE-PAID —THIS PERMIT EXPIRES June 1 1s 85 Fo
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 11 O_
town of Queensbury before the expiration date.) ro
Dated at the Town of Queensbury this 14th Day of November 1984 N.
•
SIGNED BY for the Town of Queensbury - p
Building and Zoning Inspector
(D
TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for Application No. ' ,
�� 1 c'rmit Issued: 19. .
BUILDING AND ZONING PERMIT Permit Expires. id .
7.(,nine District r
\ aim. nl Work$ �� / '
w toscale .\I�Iii.u\ed by � ��- _�
THREE (3) Copies of a PLOT PLAN, Drawn � l�//l�/f( �
showing the actual dimensions of the lot to be built R,.,„:ii'Ks-
upon, The exact size, and location on the l'ot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
c1 JJ /-'- ��j��Jpp / TOWN OFOUEENS URy
� \ ( : ` DATE Cr
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
• ESE
Li
ANSWER ALL OF THE FOLLOWING. I' jV 9 19
The undersigned hereby applies for a permit,to do the following work AIL /7/
which will be done in accordance with the description, plans and s ecifi- Ric
g� ice} p
cations, and such special conditions as may be indicated on the permit. 718191:6O 12) 1218141516,
The owner of thispropert is:
. ...'. .CV,‘A/3 A;07/ /.4 a" 'fr'.e7 I I egay./,>0., ,-/ .o./. .',g/./i-,/vC/
(NA'4E) IP.O.ADDRESSI
The person responsible for •supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
(NAME) yy� (P 0 ADDRESS)
Name of Builder. L7/24r./. 1.�-�. .77e /0 4-9z-5 Address . . . .ei&O,V/moi�' 'd' 6,4
Name of Plumber ,V//.9' Address
Name of Mason. .0/Zi /. ./.72Z. • • . • •Address " ` H
Lot Number Unit Estimated value of proposed work S . . .6/4220. .GCJ
Name of Village . .7 C,e/.L). .6X7.�
Name of Street . . r //1) /L2.� Side of street: north 0, east 0, south V. west 0
Nearest Cross Street . R .D Distance from this cross street ,/el Ft.
Property is north 0,sou 0,east Xi, west ❑from Cross Street
If on Corner, which corner, northeast 0, 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 Building
X Addition to a building. , One-family dwelling ❑
❑ 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:. : TD '�� Two-car detached garage • ❑
Private chicken house ❑
' ''���-12 �� Private storage building X
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.
Show proposed buildings) in dotted line and existing
onom k„j 1.4 huilding(s) in solid line.'
Size of property . . :'WY. ft. x .---C---- ft.
. [ Size and use of existing buildings, if any
ti t� 1- . . .a X/a.0 — -'? . ,XD . . . .
Yl a
• i m Size of proposed building . . . . t. . ft.x . .X ft.
Height(from grade to ridge) fy ft.
X
fitly 5?� Front.yard •/�ilt� ft.
Side yards . . ./7. ft. and . . ./Jc ft.
Rear yard . . . . . .3d8
ft.
SOUTH If on corner,setback from side street ft.
Note: All distances are net, as measured from street side
- line to nearest part of building.
(OVER) .
7-73—M . ,
(cont'd.) _
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.7 h�• 'aca /r 22C -
Will any second-hand lumber be used? . . . . WO If so, for what'
Material of foundation walls . . . . . . .t.t?hll Q7E". . . .13(.00K, Thickness . . . "
Depth of foundation walls below grade . . . .51.Q." Continuous foundation? .'4
Will there be a cellar? . /1/0 If so, material of cellar floor
Type of roof: Sloped or flat? . ... .ord2 Material of roof . . .112//:; .,CX- 't.
Size,wood studs A "x (a ", spacing "o.c., length • ft.
Size, floor beams, 1st floor 0!�' • " x
", spacing "o.c., span ft.
Size, floor beams, 2nd floor �. . ."x ", spacing "o.c., span ft.
Size, ceiling beams "x ", spacing "o.c., span ft.
Size, roof rafters or beams "x ", spacing "o.c., span ft.
Exterior finish /J(/at o /K2, -- With what material?/7/jk4-. ./2r4'�,04:91-)
Finish of interior walls
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?
Kind of heating system . . /AT.%/!� - Oil burner or coal? . . .Gs-S
Will a flue-lined chimney be provided? Depth of chimney foundation below grade
Height of chimney above roof
Will there be a fireplace? . . ./vtO Depth of fireplace hearth
Will a toilet be installed ✓Vd
Will a kitchen sink be installed and connected to water supply? . . . Ak9 •
Water supply (public water supply or pump) y6:5 — A,//, '
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 I '
State of New York '
I swear that to tee vim,r of my know,ledge and belief the statements contained in this application,together with the plans and specifications sub- ;
mitted, area true and co.,.pplete 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,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature
OWNER,OWNER'S AGENT,ARCHITECT,CONTRACTOR
' day of 19
NOTARY PUBLIC, WARREN,COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
5
By ' -
•
— BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
TEMP.# DATE
VI AGE TOWNSHIP efp4/C- -/LX, !` aSCOUNTY �j�1,c,..!i Gil
STREET AND NO.OR L l'9` cal
ROAD AND POLE NO. POLE NO.
BETWEEN WHAT TWO
CROSSROSS STREETS IS
PREMISES LOCATED? SECTION BLOCK LOT
'OCCUPANT'S { � � ` >�� BUILDING
NAME
' f • F /OCCUPANCY
OWNER'S NAME
AND ADDRESS TEL.#k
CURRENT
SUPPLIEDBY it f FROM THEIR �r ,rc-z,- OFFICE
BSUILDING WNEW❑ OLD L(Y IS
NEW ❑ ADDITIONAL Imo' REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No.of Fixtures& BRANCH OFFICE USE
NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS
Loca- ONLY
tion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
Out-
side •
Sub-
base
Base-
ment
1st Fl.
2nd Fl.
3rd Fl.
•
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE.
This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed,
you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant.
SIZE OF - ELECTRIC SIGN TOTAL
MAINS FEEDERS LAMPS WATTS
CHARACTER EXPOSED GAS TUBE SIGN
OF WORK - CONCEALED TRANSFORMERS OF VA
WORK TO BE (NUMBER) (CAPACITY)
STARTED COMPLETED SIZE OF SIGN
SERVICE OVERHEAD UNDERGROUND MAKER
ENTERS
BUILDING OF SIGN
INSPECTION REQUESTED
ON AS NEAR'AS � � ,/9� �
POSSIBLE C NEW OLD Ili
AVOID DELAY BY GIVING FULL,AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS ff)
NAME OF y ""�0 r� �,� ,t-;{_f DATE OF f L /,!
APPLICANT �f:...� `'l .e . ail ,../J/ ,.7.�+•">E}'t'rt< APPLICATIONf {
,r t !
STREET ADDRESS _ .�. tp 'r V TELEPHONE'* 3 4- 7 's
c , t LICENSE NO,
POST OFFICE � � �.FG3 � �f Y f CODE `?tj WHEN APPLICABLE
46 EL(REV.1/84) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
TO OF QUEENS BURY
Department ref
hupectme R bate C'i / b J
Name F%A:; C.LLir /
Location. C'',e d. / 15()
Penult No. ' S % Weather
Remarks
Excat)a Lion
Footing Forms
Footing & Piers
Foundation
Cement Coat •
Waterproofing
Backfill •
Final Survey
Framing I - C,�,S F -9(57 1 A-i
Sheathing O J=t,Mc? 7sDL5T
Roof Felt _ DCLa14 A i n.S +
Roofing F•-/Fi4T
Siding ere Tt 67. ) )10T)
Masonry Veneer f-S .t&.t) o
Rough Plbg. S%17- C
Relief Valves R$ us cri4 cm(
Wall Board d n a
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile •
Concrete Floors
Plbg. Fixtures ^
Car. Fire•roofin•
Door Closers
Chimney •
Water Meter Inst.
Septic Approval
Floors
Foundation
Insulation Walls _
Ceiling
wiLL-11.1
RA.A: Ar,
wilding Inspector
•
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date ,: /ice
Name /L54/C5 CCU /85
Location C"- IA/i
. Permit No. Weather
Remarks
Excavation
Footing &Forms j
FootingPiers L.
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer •
Rough Plbg.
Relief Valves
Wall, Board /
Ext. Porches \, 7'
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile /
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Foundation.
Insulation —
Wa11s
Ceiling
2)
Building Inspector
REMARKS
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