7921 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. 7 9 2 1-
has been completed.
This structure may be occupied as a Addition to dwelling (solar room)
Location Bay Road
Owner Doris E. Thomson
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. 7921
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Doris E. Thomson
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OWNER of property located at Bay Road Street, Road or Ave.
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in the Town of Queensbury,To Construct or place a Add it ion .to dwelling (Solar Room)
at the above location in accordance to application together with plot plans and other information hereto filed and y
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
E
1. OWNER'S Address is R. D. #1 Box 102 Bay Road o
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Fred Carey
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3. CONTRACTOR or BUILDER'S Address
R. D. 2
Ft. Edward, New York 12828
4. ARCHITECT'S Name
5. ARCHITECT'S Address •
•
6. TYPE of Construction—(Please indicate by X) �L
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( )Wood Frame ( 1 Masonry ( )Steel ( ) _ - F-'-
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7. PLANS and Specifications
19'x12' per specifications and application submitted. o
No.
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8. Proposed Use
One-Family Dwelling (Solar Room)
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$5. 00 C/O Paid
$ 16. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES January 1 19 84 H
Iv
(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.)
O
Dated at the Town of Queensbury this 21st Day of June 19 83
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SIGNED BY c5�� for the Town of Queensbury
wilding and Zoning Inspecto
TOWN OF QUEENSBURY - BUILDING DEPARTMENT
R. D. *1 BAY P":D Y.AVILAND ROADS
GLFNS FALLS, NEW YOF.K
Phone 792-5832
DATE: • O/3//g9 _
TO: � -� e '/oh,,,,,
Our records indicate that you were issued a building permit
number 7 9 Z f on
for the construction of ��-✓ G�/w
Our files show that the required inspections are incomplete.
If still under construction please contact this office for an
extension of your building permit, or if completed please
contact . s so we can take your card out of the active file.
Next required inspection
For all new construction Town Law requires a Certificate of
Occupancy to be issued by this Department before occupancy.
Noncompliance may result in legal action.
To avoid further delay and possible legal action, contact this
office to make arrangements to update your file.
OUEENSBURY BUILDING DFPARTMENT
TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY, NEW 'YORK Building Inspector)
Application for Application No. :
•
!+'!" Permit Issued - 19.
BUILDING AND ZONING PERMIT „it Expires. • id .
/,caning District
• \ ulu( nl \Vcirk ,%
THREE (3) Copies of a PLOT PLAN, Drawn to scale '\I'1 n d by 7
showing the actual dimensions of the lot to be built R niurKS 7
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. — L QUEE
,�v-3 •
es` r - 3 `-�{ , o --; c 5 I —
TOWN O
i= '/NStUiY
DATE W
'.J �f -1
5�\ �� U A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
ANSWER ALL OF THE FOLLOWING.
UN 20 198 � _,
The undersigned hereby applies for a permit to do the following work A i�9: ,z/ , P
which will be done in accordance with the description, plans and specifi- 1011l12 1 4i56
cations, and such special conditions as may be indicated on the permit. .(1gg, . - ✓ , + . .
1.
The owner of this property is:
Doris . .Thomson R. •R. la,oBuDZEO.,'Bogole2, Glens. Falls",. .N. Y.
INA"'E) 12801
The person responsible for •supervision of the work'insofar as the Building Code and the Zoning Ordinance apply is:
. . . Fred.Carey R.. .D.Fort .Edward, .N... .Y. -
(NAME) IP.D.ADDRESS)
Name of Builder Fred. Carey Address .R.. D. "2,• Fart.Edward,. N. .Y.. 12828. . .
Name of Plumber. . none Address
Name of Mason Roy. G.ilman. Address Redmond• S-te,South •Glers•Fal1s',• •N:• Y •
Lot Number Unit Estimated value of proposed work I .$8...000,0Q
Name of Village
Name of Street . . . . . . . AaY.RPad.,. .T own. .of. .Quee,nsbury. , . . Side of street: north 0, east 0, south O. west
Nearest Cross Street . • •Havil'and' Road Distance from this cross street • 2;000 Ft.
Property is north - 0,south ❑,east i i, west. 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest 0, southeast 0, southwest
(Designate by marking with,an"X" in the'correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. Main Buifitiing
One family dwelling
® Addition to a building. Solar Room acreage 2.74 A. ❑
❑ Alteration to a building. Two-family dwelling-family apartment house ❑
El Demolition of a building.
Store building ❑
-car attached garage ❑
Other:
• Accessory Building
One-car detached garage ❑
❑ Other work. Describe •
Two-car detached garage
Private chicken house ❑
Private storage building al
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-
posed buildings,and the location of all existing buildings.
NORTH Show proposed buildings) in dotted line and existing
liuilding(s) in solid line. acreage 2.74 a.
• Size of property ft. x ft.
Ho use
Size and use of existing buildings, if any
W W
s , Size of proposed building 19 ft.x 12 ft.
Y Height (from grade to ridge) 17 ft.
S 1,e_4ril Q Front yard .p.arch.•to. .road 64 ft.
• Side yards • ft. and ft.
gti h d i Rcl, 'l-h it.ti /a,•,JRear yard '
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 wood. .for. s.olar;r.00m;. e.onvpite. .flo or.�.f-Lbui'
Will any second-hand lumber be used? 2I0 If so, for what2
Material of foundation walls bloks Thickness .gu
Depth of foundation walls below grade . . .` ' • Continuous foundation?
Will there be a cellar? . . . .no If so, material of cellar floor
Type of roof: Sloped or flat? .gable Material of roof . •asbes•tzxs
Size,wood studs "x 2x4 ", spacing 16 "o.c., length g • ft.
Size, floor beams, 1st floor . .e onerete. " 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 2 x. 6 . . . "x ", spacing . 16" "o.c., span . . . .g&- .6. . . . ft.
Exterior finish PedWo.od With what material?
Finishof 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 solar Oil burner or coal?
Will aiflue-lined chimney be provided? . . .ter . Depth of chimney foundation below grade
Height of chimney above roof —w
- Will there be a fireplace? 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)
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 tt: bard my knowledge and belief the statements contained in this application,together with the plane and specifications sub-
mitted, are.a true and co.,. lete 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 C. ......2-
OWNER.OWNER'S AGENT,ARCHITECT,CONTRACTOR
day of 19
NOTARY PUBLIC. WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
•
By
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL.NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
CITY OR
VILLAGE TOWNSHIP of taueensbury COUNTY Warren
STREET AND NO.OR
ROAD AND POLE NO. POLE NO. •Lt Air 21111 —75-2
BETWEEN WHAT TWO
CROSS STREETS IS
PREMISES LOCATED? SECTION BLOCK LOT
OCCUPANT'S BUILDING
NAME OCCUPANCY Dix �,- / /A 7/-
OWNER'S NAME >
AND ADDRESS Doris E s Thomson r,r . 7/1 Y P
CURRENT '
SUPPLIED FROM THEIR G ens Falls
FIE
BY Niagara Mohawk 12 Maple St.
BUILDING WORK DEFECTS
IS NEW❑ OLD❑ REMODELED ❑ IS NEW ❑ ADDITIONAL❑ REMOVED ❑
LIST BELOW ALI EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& BRANCH
Lamp Receptacles MOTORS HEATERS CIRCUITS NUMBER OF LAMPS
Loca-
tion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge I F M.V.
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 MAKER
ENTERS OF SIGN
BUILDING
INSPECTION REQUESTED
ON OR AS NEAR AS
POSSIBLE NEW OLD
• AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS
NAME OF DATE OF
APPLICANT Doris E. ThoiLson APPLICATION June 20 1983
STREET ADDRESS R.R. 1, Bay RoR ? Pox 102CITY OR ZIP 9
LICENSE NO.
POST OFFICE Clausa.115 L O CODE 12c+oI WHEN APPLICABLE
1'
46 EL(REV. 1/82) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
•
TOWN OF QU•EENSBURY
Building Departmentn 7
Inspectors Report Date 7:'€9
Name 7i` 12 e7
Location
. Permit No. 9: % Weather
5e kcc Remarks
Excalia ti on
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
Stairs & Railings .
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation '
Walls
Ceiling
1/7„
Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Ike artmmeent
Inspectors Report Date
Name 7"ff ./ =,
Location .j? '
Permit No. 7,, Weather
Remarks
Excatation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wa11 Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile s'
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
(110 0
Builrng Inspector
REMARKS
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