8403 i
C,
C/a Paid
E
OF
CCUP t
WAI#,M ,COUWy. New YOU
i
This is to owdry.
8403
has beian ,
Thk my be as a an .Mfti iV Dwel , ncj
Locwwa Pickle Pill Read
C wrm Glenn and Roffina powali
by Order Town a ad
TOWN OF c uUmm y
sae lngpe;;
NINE
CIttAT#V= •'lf1tTA"fN11YTupffi. Qf.tNt FAilff.,
T E M P O R A R Y
CERrn A`M 0F OCCUPANCY
TIC
v
January b $6
t:.
This is to c+tr* dot work regal to be 40ft 40 Aowft by wit IV®. 8403 �
has been co MA
This stag be as a One—family Dwelling
Pickle Hill Road
Omer Glenn and Regina Powell
TEMPORARY CERTIFICATE OF OCCUPANCY
FOR DAYS. PENAL FINAL ELECTRICAL.
By Or&f To" 900 d
TOWN CW Qu mity
Isfow
t�s•rvR ,rx�sarx t�rnr�a � •t�w.s. N; ��
f. 4
BUILDING PERMIT
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK No. 8403
N
m
PERMISSION is hereby wanted to Glenn and Regina Powell :J
iv
OWNER of property located at Pickle Hill Road
Street,Road or Ave.
in the Town of Queensbury,To Construct or place a One—Family Dwelling
at the above location in accordance to application together with approved and in compliance with the Town of Queensb Building anld Zot oning and other information hereto filed and
4
I
. D #1 Bay Road@
l':George, New York o
N
N
orLDERS Name
Same
3. CONTRACTOR or BUILDERS Address
Same 'b
w
c
H
4. ARCHITECT'S Name M
x
5. ARCHITECTS Address ;d
O
,
9
6. TYPE of Construction—(Please indicate by X)
( )Wood Frarne ( 1 Masonry 1 )Steel ( a}I'�l
7. PLANS and Specifications
NO
80'x28 ' per plot plan, specifications and application
submitted including two-car attached garage and sewage
s sten. o
8. Proposed Use (p
One-Family Dwelling *;
N•
$5. 00 C/O Paid
108. 00
$ PERMIT FEE PAID—THIS PERMIT EXPIRES Nov. 1 1984
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the N
town of Queensbury before the expiration date.) Y
F+•
Dated at the Town of Queensbury this 2 0 th Day of_ April 19 84
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
110` TOWN OF UEENSBURY
Q (Space inside block to 1x. filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for Application No. .
Permit 1„ttrd 19
BUILDING AND ZONING PERMIT permit Expire, ICJ
7,onitt_ District
\ alhu• „1 Work%
THREE (3) Copies of a PLOT PLAN, Drawn to scale \pin-1,',(.(1 by
showing the actual dimensions of the lot to be built Ilc•nt:u kr
upon, The exact size, and location on the lot of the
. . . . . . . . . . . .
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
a C — a - / l�YI ! fa TOWN OF QUEENSBLIRY
6Art EgGEIIVE Et,
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
ANSWER ALL OF THE FOLLOWING. APR 1 19
ael2
The undersigned hereby applies for a permit to do the following works M.
which will be done in accordance with the description, A.M.
p plans and specifi- ' gtj 3 4 6 6
cations, and such special conditions as may be indicated on the permit. 8 9 ..(I�,'�' ° aft
The owner of this,property is: � C
et1�. . gl.e.I.a. . . .�t.ow.e-<t.l . . . 1' .Q. 1. . . i3�;.� a. , .LOr.e,.Gedle Nt`r�• 1 "E34 S
. (NA''E) (P O.ADDRESS)
The person respp.cisibie for supervision of the work insofar as the Building Code and the Zonin Ordinance apply is:
(( �� ME) (PA ADDRE
(NA )
Name of Builder Deno QV.Je11 # 2Qu1 tra-�n el Address . . ` 1.0 R c� L-Q�� �i-e_OC'c'e Y•
(' . . . . .1 .Ct C. . .L..c,.. .e. .�: t .
Name of Plumber.���E►'�a"'.�.�Q1��.�:1. .��: .�.Qt,\,� �1...t� �v�� Address r����1�. ' �. \ Vi et,�r e j1)T.
Name of Mason. . .1' keti r1 Pau) e\, ii- 1'Ckvk� l_CtiCOfc1 Address .R Q I. . . (3.ay R cl L ciVQ. CD.eO. � . N ci-
Lot Number Unit/k 5 5 Estimated value of proposed work 3 . t Ot 000
Name of Village .LOW n . .c c. . . C9 e e,n s k,,,,c,1 1,_ec vC- G.-e c,r e i\t.f, 1. .RY.
Name of Street . . .te- ..k' i-lt\\ Read Side of street: north ®, east 0, south 0. west 0
Nearest Cross Street 3R\t P00- a Distance from'this ^rocs street Ft.
. Property is north ❑,south ®,east ri, west 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest 0, southeast F: . southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
[Si Construction of a new building. Main Building
❑ Addition to a building. One-family dwelling
0 Alteration to a building. Two-family dwelling ❑
❑ Demolition of a building. -family apartment house ❑
Store building ❑
-car attached garage �J
Other:
• Accessory Building
One-car detached garage ❑
0 Other work. Describe Two-car detached garage ❑
Private chicken house 0
Private storage building 0
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, sire and setbacks of pro-
NORTH posed buildings, and the location of all existing buildings.
Show proposed buildings) in dotted line and existing
huilding(s) in solid line.
Size of property . . . . 5. • • • • • . ft. x Li 7ft
Size and use of existing buildings, if any
St �..----- w Size of proposed building . . . . $'O. . . ft.x . . .Z. . . . ft.
t-te�S� ..C. i
4C 1 o Height(from grade to ridge) . (1 ft.
Front yard a 7L ft.
t
Side yards . . . . 370. . . . . . . ft. and 1 00 ft.
P t _t e 'A 1\ Rd. Rear yard ?.0 ft.
SOUTH If on corner,setback from side street v t(t ft.
Note: All distances are net, as measured from street side
line to nearest part of building.
(OVER)
7-73—N
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.' 1 0 Lt t'l CO1 6 r1 C-h e `je(4-0(A.,(1 l
Will any second-hand lumber be used? NI R. . . . If so, for what?
Material of foundation walls . . . . . . . • • • • 1.0•'1• . •b IQcK Thickness I D .,
Depth of foundation walls below grade s Continuous foundation?
Will there be a cellar? . . . .11t-5 If so, material of cellar floor CprActk k_
Type of roof: Sloped or flat? S 10't; 6 Material of roof ►/SS `/2 Phil /1%p h Lil.. . 1 11!1q.de.5"
Size, wood studs "x ", spacing "o.c., length J ft.
Size, floor beams, 1st floor 2. . " x ‘ Q ", spacing l (a "o.c., span I`1 ft.
Size, floor beams, 2nd floor " x " spacing "o.c., span ft.
Size, ceiling beams a. . " x LY �-rp ", spacing l(F "o.c., span . . . . I!". . . . . . . ft.
Size, roof rafters or beams Z. . " x Co [ t✓0,-?", spacing l Iv "o.c., span I (G ft.
Exterior finish LQ J With what material? . .U-h'{k-. r:.;� . . . . . . . . . . . . . .
Finish of interior walls Sher+rc'r K, , , , ( . (.,.1((2Su,w>_ _ W.a l M - .b 0.4 r:d
If garage is to be attached, of what material is wall between garage and main building to be constructed?
a A (4 S i-.4 d V1 ec--t+ c;(.. V<
Is there to be an opening between garage and building? . . . . . .'e4ulA.y
Kind of heating system / lK<f i,,' Oil burner or coal?
Will a flue-lined chimney be provided? ''= . Depth of chimney foundation below grade Y'
Height of chimney above roof. . . . . . . . .'.I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . .
Will there be a fireplace? NO Depth of fireplace hearth
Will a toilet be installed?. .. . . . . . Y.e. . . . . . . . . . . . . .'
Will a kitchen sink be installed and connected to water supply? . . . ')e'_S'
Water supply (public water supply or pump) Or!i It S.. Wt( I f (p - 0
Distance of cesspool from any private well 2,•�1:) feet
Will drainage system be provided with required traps, cleanouts, and vents? . . . .le.5
Town of Queensbury ) AFFIDAVIT
County of Warren
State of New York
I swear that to tt nv,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.e.plete 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 corn lied with,whether specified or not,
and that such work is authorized by the owner. (Sworn to before me this Signature t-U/, `• ✓ a�
OWN�`R.OWNERS AGENT,ARCHITECT,CONTRACTOR
f..3 day of �r��/p�1� 19�
NOTARY PUBLIC, WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
By
TOWN OF OUEFNSBURY
BUILDING & ZONING DEPARTMENT
SEWAGE DISPOS L PERMIT APPLICATION
1. Owner ' s Name L ' (,,_., , •
Address L' � ; ¢- )_ \
/ y l ) Telephone No. ' .,
2. Property location �� j �, „'
3 . Name of person or firm responsible for installing system
7-Telephone No. -
Address , r., f¢ 0c ' �� ) -
4. Number of bedrooms (residential buildings only)
5. Daily flow gallons/day
6. Septic tank capacity �' �) gallons
7 . Topography: flat, rolling, steep
% of slope
8 . Nature of soil and depth
9. If ground water, bedrock or impervious material is apparent at what
depth does it begin? ft.
10. Percolation test: A is required
B is not required
C If required what is the rate minutes/inch
11. Water supply: municipal, well, other , 1,-
12 . Type of system proposed: drywell, tile field, other
Any contractor, corporation, individual, etc. engaged in the construction
of a sanitary sewage disposal system who covers the same before inspection,
does not have an approved permit, or varies from the approved application
will be subject to a penalty of $250 as provided for in Section 6 . 010 of the
Queensbury Sanitary Sewage Ordinance. _ 17-;;)
44
Date r 'r �,7 ✓� %r/ c a d
signature of applicant
On separate sheet of paper submit a diagram of the proposed septic system
with all dimensions, including distance from any structure, distance from
property line and domestic water supply, etc. Include all dimensions of
the system itself.
Form 3-82
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date /1/7/55)'
Name_S L ,v Po LA L`_
Location pL c-rLL E Mr CL /2 i7
Permit No. , `f Q 3 Weather
Remarks
Excatia t on
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg. °�
Relief Valves I \
Wall Board
I \
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 N5LCO ,
Floors
Insulation Foundation
Walls
Ceiling
IA)deeNtIet w4
Bui ding Inspector
REMARKS t i f J �,
W
.S , t for L_ .. CCVA-/26O
C C g p e — coven-Eh
�- i3o,r — b.r.
TOWN OF QUEENSBURY
Building Department
inspectors Report Date (c)(( f i'
Name Le_A f pc) t'&
Location 01 i K Le L-E,`L ►uQ
Permit No. r�/- 3 Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey C7/�
Framingv
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer �r
Rough Plbg. �,�
4‹,,
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
Bu ding Inspector
REMARKS
TOWN OF QUEENSBURY _0.
Building Department (r}va-566�
Inspectors Report Date
Name u)
Location )c<1 L- /?d
Permit No. tf - ? Weather
Remarks
Excavation
Footing Forms e3c,
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. ff'`
Septic Approval L
Floors
Insulation Foundation
Walls
'Ceilin
Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date ;S / 3`7'
N.me�t7-u-c. . C'4 12A1
Location C'y- .Q,. eC t /4
Permit No. 53`/o W ther
Remarks
Excavation �>
Footing Forms ✓,/�
Footing & Piers, �d / , .gr -/li
A )7`
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding /
Masonry Veneer f
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 Inspector
REMARKS
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