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6860 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 V 12601 1518 1793-5658e BUILDING PERMIT ' TOWN OF QUEENSBURY No. 6860 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Marie Winchell n N• D OWNER of property located at Tee Hill Road Street, Road or Ave. N- 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 �p approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is Box 373 R. D. #1 Dean Road Hudson Falls, New York 2. CONTRACTOR or BUILDER'S Name y Robert Weaver (/ 3. CONTRACTOR or BUILDER'S Address H South Glens Falls, N. Y. r, � �' ° 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( 1 Masonry ( )Steel (x) Logs 0 7. PLANS and Specifications 28 'x36" per plot plan, specifications and No. application submitted including sewage system and 16 'x22" one—car attached garage. 5 N• 8. Proposed Use One—Family Dwelling £ $5. 00 C/O Paid H N• $ 110. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 1 1981 (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.) Dated at the Town of Queensbury this 8th Day of May 19 81 SIGNED BY ..� ,7►. for the Town of Queensbury Building and Zon ng Insp o TOWN OF QUEENSBURY (Space inside block to be filled in by WARREN COUNTY. NEW YORK Building Inspector) Application for Apt)lir,tion Permit issued 19 BUILDING AND ZONING PERMIT 1,t,,,11it Expires 19. %t+rtittt: District A;tltte t,1 11'ori.,$ THREE (31 Copies of a PLOT PLAN, Drawn to scale ‘l)ly',t rd by showin the actual dimensions of the lot to be built 1tt•t1t;,, upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. - TOWN OF QUEENSFt.irY :D - F - 6 I, . . lli • A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK MAY 7 'Iy `1 ANSWER ALL OF THE FOLLOWING. A.M. .t• 7881 1� 1213sy d The undersigned hereby applies for a permit to do the following work .. ��� , which will be done in accordance with the description, plans and specifi- Lo� � cations, and such special conditions as may be indicated on the permit. P ( (h The owner of this property is: t "44Yfi'/= W./JG !JJ^Z- l- ,&6x 373 /? )3 'I /0 F ,-' .s p . .lr/,oSai' f' (NA•:E) (P.O.ADDRESS) The person responsible for supervision of the work insofar as the Buiidi;g.Code and the Zoning Ordinance apply is: (NAME) (P O ADDRESS) L Name of Builder /eo s/r/?7 b 1 h "6 i Address �:. .6 tills /.4 uS 0 Name of Plumber. . '"{ t.c e:1 T W 4 u A/e-- Address ` Name of Mason W te." . le r- Address t I Lot Number c;.3 . Unit Estimated value of proposed work St Name of Village 1 Name of Street .S .14..\. ••RS Soda of.etreet: north ❑, east ❑t south 0. west Q Nearest Cross Street Pi.co.r.s. . r \ • A . . . . . . . . Distance front this -Toss street - Ft. Property is north ❑,south 0,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 12 Construction of a new building. Main Building ❑ Addition to a building. One-family dwelling a ❑ Alteration to a building. Two-family dwelling ❑ ❑ Demolition of a building. . . . -family apartment house 0 Store building 0 . . . -car attached garage E 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. 7/ A Show proposed buildings) in dotted line and existing l t;uilding(s) in solid line. Size of property J ft. x . . ./S.0. . . . . ft. 1 In r Size and use of existing buildings, if any �r,_ , 0 { - � III ,,1 :F.)., W '_ Size of proposed building ' ft. x . . . S ft. CI Height (from grade to ridge) T ft. Front yard .`a ft. Side yards 70 r. • . ft. and ft. 7-..v ,`,'.j.:�"z Rear yard i6e0 ft. SOUTH If alp 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.) Will any second-hand lumber be used? /L'C If so, for what? Material of foundation walls f3hC K. Thickness l e " Depth of foundation walls below grade Continuous foundation? Will there be a cellar? . . . . vGS. . . . . . If so, material of cellar floor . . .C, c.cvc a7 .cS..[t•! Type of roof: Sloped or flat? . . . ....c..d.P.4 0. . . . . . Material of roof SNif' Size,wood studs f`')- "x ",spacing . . . . . ."o.c., length • ft. Size, floor beams, 1st floor a��: "x i9 ", spacing . . , , "o.c.,span 1 ft. Size, floor beams,2nd floor 'V "x . . .' C'. . .", spacing . .0? ,. . "o.c.,span X ft. Size, ceiling beams — " Z x G- ", spacing '7 "o.c.,span / V ft. Site, roof rafters or beams �. "x ",spacing "o.c., span . . . e ?. . . . . . ft. Exterior finish k o-c'J With what material? Finish of interior walls. . . . . . . . . . .(7-.t'.5 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 ga s- ge and building? ,I 5 �p Kind of heating system Oil burner or coal? 1" y Will a flue-lined chimney be provided?` Y'. rS • Depth of chitiftney foundation below grade . . . . I. . . . . Height of chimney above roof. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . Will there be a fireplace? ' Depth of fireplace hearth -- Will a toilet be installed? - r.e? Will a kitchen sink be installed and connected to water supply? . . .Y. .. Water supply (public water supply or pump) . . . ' 1""r` Distance of cesspool from any private well ) 'L.- feet y Will drainage system be provided with required traps,cleanouts,and vents? f a'S Town of Queensbury ) AFFIDAVIT County of Warren State of New York I swear that to tr +ilia 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.,. fete 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: By a io ...,1 _ kx) -t------ iet,(7,15 Q • ‘, 60 i \ .c3Z4L i .111 ---4 :K.• - V. /0 , . 0 /2/ 0 (1 '/ . A. 1 l I i I I ilii iI ------i. . . TOWN OF QUEENSBURY Building Department Inspectors Report Date Name t Location 7- i f /L p D Permit No. t';a E'e Weather Remarks Excavation Footing Forms Footing & Piers Foundation 4 AtO Cement Coat f;VAL- Waterproofing Backfill /AJS P Final Survey Framing Sheathing 12&--- Roof Felt _ c_-- ——*... Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches Finished Floor Interior Brim (---) Stairs Railingd e Cellar Dr.�'i1.c \ Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundationf Walls Ceiling T, "ledi/d Building Inspector REMARKS fJL7LJ TOWN OF QUEEN BURY Building Department Inspectors Report D.to - 1 7' S Name Location ` W Permit No. / � Weather Remarks Excavation Footin• Forms Footin• & Piers Foundation Cement Coat 11111111111 • Water•roofin• Backfill Final Survey Framin• Sheathin• Roof Felt Roofin• Siding Masonr Veneer �•�� Roush Plb• • Relief Valves ', Wall Board Ext. Porches ��1� Floo IFnteshedrior Trimr Interior � --""�` Stairs & Railin•s Jat, Cellar Dr. Tile Concrete. Floors Pl.. . Fixtures Gar. Fire•roofin• 11"70IC Door Closers �---- Chimne Water Meter inst. Se•tic A••roval Floor s FOundation Insulation Walls Ceilinele,44( -a7.0("J c7 Building Inspector 1444-16 �- ✓07 6) REMARK , /'e* , / L/ec-- �� P '4' TOWN OF QUEENSBURY Building Department Inspectors Report 4 Date -7—`ZO 9/ Name 1/1L4ir y,II Location /, i�j1 Permit No. ID 8 0 Weather Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. D frc 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 Foundation Insulation Walls Ceiling de re2- 410 Bui ding Inspector REMARKS TOWN OF QUEENSBURY Building Department Inspectors Report Date 6--/Y � Name (Z�i 4 l Location -7A— Hit / Permit No. (� '�t: Weather 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 f Stairs & Railings Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Foundation Insulation Walls Ceiling "1"-t/X7die-3 pector REMARKS 00© :P"4,,CUP--€4•M`eA TOWN OF QUEENSBURY Building Department Inspectors Report Date .'5 i Noametation /� r 44- n < `e,/j ") Permit No. j-DP_e_Ai Weather (, W ' Remarks Excat,ation 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 Building Inspector REMARKS COSVIFWAINJI1V MCMIA411RMUI{VOSIm mmmmmmmanan 0 THE NEW YORK BOARD OF FIRE UNDERWRITERS 0 I V BUREAU OF ELECTRICITY 0 41 STATE STREET,ALBANY,NEW YORK 12207 February 10 19 , z, Date " Application No.on file ';(1 n.`'' A 1 THIS CERTIFIES THAT � E only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of 0 0 :Marie Wincb.ell , Tea Hill Road, Queensbury,New York 0 0 in the following local ory• l Basement LJ 1st Fl. ' 2nd Fl. out Ode S�'de Section Block Lot 7 was examined on ll t and found to be in compliance with the requirements of this Board. 0 FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT OUTLETS MERCURY _.. . w v�roR AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. y.. cl 6 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECPT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET ET DIMMERS 0 i AMT. K.W. OIL H.P. GAS H.P. AMT.- NO. 4Ar W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT.- WATTS 0 rdr SERVICE DISCONNECT NO.OF S' 1 E R V I C E g AMT. AMP. TYPE EQUIP 1 At 2W 1,S'3W 3,0 3W 3 0 4W NO.OF CC.COND. A.W.CO. NO.OP HI-LEG A•W G• NO.OF NEUTRALS A.W.T y PER B" OF CC.COND. OF HI-LEG OF NEUTRAL A� ! 1 200 t:. x I 1 4/0 1 2/0 0 OTHER APPARATUS*-amps GFI Breakdr U $ 1 SmokeDetector sPJ EIeC. Heaterss 3-/20k ; 2-15A ; -1.0k 101 ' jAn) , o 0, . 0 0 WM 0 1� Robert Weazer �� : 117 Gansevoort Road So. Glens Falls , New York 12£ 01 - %, 0' k BRANCH MANIA ER U Per L'` 0 g 0 C-F YY Y7 YYYrip Y4Y Y Y Y4Y YYYYYYYYY4) 41(1rA (\ //1'% r YY Y Y Cr YY\-r YYYY YYi''ii''i Y. . . . .,'Y Y Y YY YY 77 er - - - - - - - -Y9YY YYYdrrYY YY --YY YY Y-i YY YY Y9' COPY FOR BUILDING DEPARTMENT. THI.