5115 1.
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.
has been completed.
This structure may be occupied as a -
Loodas
By Order Town Board
• TOWN OF QUEENSBURY
Building & Zoning Inspector •
CREATIVE -'INSTA" PRINTING GLENS FALLS N Y 12801 1518I793-5636
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.
has been completed.
This structure may be occupied as a
Location
Owner
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
CREATIVE "INSTA PRINTING GLENS FALLS N Y 12801 (5 181793-5658
BUILDING PERMIT
TOWN OF QUEENSBURY No. 5115
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Arthur T. Byers
OWNER of property located at Sullivan Road Street,Road or Ave. fi*
in the Town of Queensbury,To Construct or place a One-Family Dwelling
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.
bcJ
1. OWNER'S Address is R• D• #1
Lake George, New York N
2. CONTRACTOR or BUILDER'S Name
David Tennent
Northland Builders
3. CONTRACTOR or BUILDER'S Address cn
s✓
Box 211
Bolton Landing, N. Y.
Iv
4. ARCHITECTS Name
O
0)
i1.
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( 1 Masonry ( 1 Steel ( 1
7. PLANS and Specifications
No. 24'x30' per plot plan, specifications and application o
submitted including 1 car garage (basement) and sewage
8. Proposed Use
cyst- ni.
One-Family Dwelling.
$5.00 C/O Paid
$ 60.00 PERMIT FEE PAID—THIS PERMIT EXPIRES November 1 19 78 m
I-�
(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.) N•
tf)
Dated at the Town of Queensbury this 11 th Day of April 19 78
SIGNED BY �( / ep,,, a-d-reQ) go- for the Town of Queensbury
Building gnd Zoning Inspector
TOWN OF QUEENSBURY
(Space inside block to lx• filled in by
WARREN COUNTY. NEW YORK Building Inspector)
Application for \}'I'l'e dt1on No.
Permit Issued 19
BUILDING AND ZONING PERMIT pi,,„,it Expires . 1g
I..iiiiint.t District
\ slue +,1 Work,j
THREE (3) Copies of a PLOT PLAN, Drawn to scale \l""'"ed by
showing the actual dimensions of the lot to be built l:cn►.u►(s'
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION,
, 'f," - CR QU ENSBURY
HATE
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK 12 , P p fl ,
ANSWER ALL OF THE FOLLOWING.
The undersigned hereby applies for a permit to do the following work A.M. 1''M4
7k3IINI�'1111iIOlflgIa
which will be done in accordance with the description, plans and specifs- � � � � � � � � .,
cations, and such special conditions as may be indicated on the permit. A -
The owner of this property is:
1 (R-0 AD'ORESS) :`�'—•- . _.-.
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
. . . . : . .-. . . . . . . . - .. 1 }:,J. :) .i 1:'..:. fl:J^ 'J_� , • -'4!1/ ]r 1 �l I
(NAME) `(Pi0 ACDfESS... .. . '
Name of Builder. =.i. . r. r►r _ .n,^(5::;', •.t 6'-_ i��� '�` -Y . . . .i�-- . .
Name of Plumber.''�. `r- !.'. . T e--."•:'1^ ~- :a
Address in
Name of Mason `'1 17 '" .0'2--'
Address .
Lot Number 13 + )9 Unit Estimated value of proposed work i 7.,'•:'.7 -',I"Y) -
Name of Village L.0. . .. .01 . `?-u-okyr-.::u.- - .
Name of Street . . . 3.U2.1-i.:,2: •-n ;, Side of street: north 0, east ❑, south 0. west —
is..
Nearest Cross Street -�' -.Q . ri Ft.4 � . Distance fro. tlu•s ••Toss street
Property is north ®,south 0,east i,west 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast 0 southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
In Construction of a new building. Main Building
❑ Addition to a building. One-family dwelling Q
❑ Alteration to a building. Two-family dwelling ❑
O Demolition of a building. . . family apartment house ❑
Store buildin de, []
. . . . f' Yar attached garage ❑
Other:
Accessory Building
One-car detached garage ❑
❑ Other work. Describe: Two-car detached garage ❑
Private chicken house ❑
Private storage building
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 building(s) in dotted line and existing
to 1 i i VA( R d , luilding(s) in solid line.
Size of property i 2 ft. x ft.
l (
Size and use of existing buildings, if any
Will ''i w
Size of proposed building - ft.x - ft.
Height (from grade to ridge) ft.
Front yard _ ' 1_i; ft.
Side yards - ft. and ft.
Rear yard -` ft.
SOUTH If on corner,setback from side street ft.
)Vote: 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.?. . 1...-0.0 d. 1..K t=!Yn c. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will any second-hand lumber be used? N C If so, for what
Material of foundation walls . . .c-onLt` .`t"f id(. L. Thickness -Z" 'A z." to "
Depth of foundation walls below grade Continuous foundation? .(f S
Will there be a cellar? . .1.t, If so, material of cellar floor . L-.Or} '.1 i Tp. 4.."Type of roof: Sloped or flat? . .`�1.n e Q d Material of roof . . . q,s e h 0..i.-t. S 17y.;,r�c,� ',e
Size, wood studs "x 4 ", spacing I La ': "o.c., length. . .� • ft.
Size, floor beams, 1st floor 4 . . . . "x ", spacing . . .I to i "o.c., span . . .l a ft.
Size, floor beams, 2nd floor . . . . .42 "x . y ", spacing % (' "o.c., span . . ./oZ ft.
Size, ceiling beams 42. . . . . "x .Y ", spacing . . . .c. "o.c., span / ft.
Size, roof rafters or beams_ "x . F ", spacing ca'Z "o.c., span . ./. ft.
Exterior finish . . . . 3cat.dci--0,9T'r) With what material? .p/ytGc-'G.0 r.� 4htv!°?:$7,�",,5.
Finish of interior walls. . h..eT.t:oc$ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If garage is to be attached, of what material is wall between garage and main building to be constructed?
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . J.2C>. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . .
Is there to be an opening between garage and building? . Iv
Kind of heating system . . . :'_te ,Tiz'..c Oil burner or coal? —
Will a flue-lined chimney be provided? . .to-`. ' Depth of chimney foundation below grade •..Y
Height of chimney above roof. . .a2 'fug h. .7:hi9n .f9r)9,/F3eQ c.-,then id '
Will there be a fireplace? 4''4 •� . Depth of fireplace hearth /? l
Will a toilet be installed?. .. ra' . . . . . . . . . . . . . . . . . .•. . . . . . . . . . . . . . . . . . . . . . . . . . . . ./ . . . . . . . . . . . . . . . . . . . . . . . . .
Will a kitchen sink be installed and connected to water supply? Ll. `1J
Water supply(public water supply or pump) . . .%..v .l 1 . .(ek i YctTS
• Distance of cesspool from any private well feet
• Will drainage system be provided with required traps, cleanouts, and vents? V€5
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to th bard my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.i. 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 posed work shall complied with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature . . .- '. ,..... ..
NER,OWN R'S AGENT.ARCHITECT.CONTRACTOR
.. day of I9.
NOTARY PUBLIC, WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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By
: , '.'. : • :': ;. :: ,' . '''Y .
. _
' .
GLENS FALLS, NEW YORK 12801
PPLICATION FOR A PERMIT TO CONSTRUCT, ALTER OR ENLARGE
SFWAGE DISPOSAL SYSTE: '..:71.THTN THE TOWN OF QUEENSBUF,Y
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NORTHLAND BUILDERS
Box 211
BOLTON LANDING, NEW YORK 1281
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G'7ei‘i De'CV-
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(518) 644-9624
THE NEW YORK BOARD, OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY �1.
*, 41 STATE STREET,ALBANY,NEW YORK 12207
Date Application No.on file /�
; THIS CERTIFIES THAT
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a
. `!only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
i;
• in the following location; ❑ Basement El 1st Fl. ❑ 2nd Fl. Section Block Lot
•►; was examined on and found to be in compliance with the requirements of this Board.
i' ii
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ':
• OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT
PORURY AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
•
tv DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS --
1 AMT. K.W. OIL H.P. , GAS H.P. AMT. AMP.
NO. A.W.G. AMT. P. AMT. AMPS. TRANS. AMT. H.P. NO OF FEET AMT.' WATTS
►; SERVICE DISCONNECT NO.OF
S E R V I C E ':
�, AMT. AMP. TYPE METER 1.11 2W 1,9'3W 3,B•3W 31 4W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A•W G• NO.OF NEUTRALS A.W.G. :.
EQUIP• PER b' OF CC.COND. OF HI-LEG OF NEUTRAL ,
Its; r
'i
i' OTHER APPARATUS:
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1,
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BRANCH MANAGER r:it
l; Per r
fiiiYYiYYiYiAYY‘Y`i&C"iiYYiYY4YY4YY4YeYY4YYiiYYer is)5s',7irii7,Y4YY4YY4YY4?,/4,'4C'.i•, 4,Y475iir9aY AI,"/eyiYy4r(ii4\9A?i4f4?-ra 4\9��7A, i•'(Au9eY9i?4?4riii9ei40'•v•r-se,"iAY-i4rY
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date td- l 6-7�
Name lZ�` erg 6 e-VS
Location / oaf l i Ua*) NJ .
Permit No. 1 1 S Weather
Per Cent Remarks
Complete
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
_Final Survey
Framing
Sheathing
Roof Felt
Roofing /(-?
617
Sidinn I
Masonry Veneer
Rough Plbg. /p
Rough Mg. U
Relief Valves
Wall Board
Ext.Porches
Finished Floor
Interior Trim _Olf
Stairs&Railings ✓ C
Cellar Dr.Tile
Concrete Floors
Fixtures Gar. V)Gar.Fireproofing /
Door Closers ✓
Chimney
Water Meter Inst.
Septic Approval \TI
Building Inspector
REMARKS
Ve-exi
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date e( 7,
Name G
Location / sal L:L/
Permit No. 57 s' S - Weather
Per Cent
Complete Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing1../ t
Backfill rJ
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Rough Htg.
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. v C/
Septic Approval
Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department JJ
Inspect RDate j/'?�?�
Namc /' u/'"��ta/-
Location t�Il i(AI ) R
Permit No. 5/id, Weather
Per Cent • Remarks
Complete
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing " tea
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Rough Htg.
Relief Valves
Wall Board t�
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
Ct. /,
Building Inspector
REMARKS
illr-eaccAhrS 00-eitr Sl' odor 7/eq
1�occe .ax 1CJ
itu-S corr Door's cpodows
pi4c)g Qn) So/7 i J° -
b1Mb/ . 3G )9651 G(l'c)e- � 't
TOWN OF QUEENSBURY
Building Department
Inspectors Report YIP
Date 11-
!�
Name i )L ei
Location l/ L— L I ti/
Permit No. S// $`� Weather
Per Cent
Complete Remarks
Excavation
Footing Forms V
Footing & Piers 1/ O
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Rough Htg.
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
rr Building Inspector
REMARKS