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5028 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 12801 1518)793-5658 • BUILDING PERMIT TOWN OF QUEENSBURY No. 5028 WARREN COUNTY, NEW YORK t PERMISSION is hereby granted to Irving and Alice Dallek ►—+ OWNER of property located at Bay Road Street,Road or Ave. �• ct2 in the Town of Queensbury,To Construct or place a One-Family Dwelling w 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. 1. OWNER'S Address is Olmstedville, New York 0 C7 co I--' 2. CONTRACTOR or BUILDER'S Name H' Byron B. Rist 3. CONTRACTOR or BUILDER'S Address Coolidge Hill Road Diamond Point, New York 12824 w 4. ARCHITECT'S Name to PZi O i]. 5. ARCHITECT'S Address ) 6. TYPE of Construction—(Please indicate by X) (x)Wood Frame ( 1 Masonry ( )Steel ( ) O to 7. PLANS and Specifications '11 Cu 24' x 46' per plot plan, specifications and application No. submitted with sewage system and one-car attached garage. (Variance #506 granted 8/17/77) 8. Proposed Use 0 cD One-Family Dwelling $5.00 C/O Paid $ 100.00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 1 19 78 (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 21st Day of December 19 77 SIGNED BY j for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEENSBURY t (Spare inside block to be filled in by WARREN COUNTY, NEW YORK Building Inspector) Application for \pi,'i`ati`►n • PP 1'rnnit Is,uc'd 19 BUILDING AND ZONING PERMIT 1',.t ,,it Expires iq /.I,11il111 1)'Stric1 • \ aliu' ',1 \1'"rk% THREE 131 Copies of a PLOT PLAN, Drawn to scale \i'l""'c'`I by showing the actual dimensions of the lot to be built IL, 111:100- upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. 7 .7/./ TO'-. : OF QUEENSBURY n,.tEi .h Li 1 A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK /e //-/o ANSWER ALL OF THE FOLLOWING. D t G i w1 1977 A.M. P.M. The undersigned hereby applies for a permit to do the following work �Isl9i1(1111I12�1�2I3I4I6.6 which will be done in accordance with the description, plans and specifi- . ."I . ,, cations, and such special conditions as may be indicated on the permit. A The owner of this property is: \1 (NA.•:-1 The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance ap lv is: . . . 3.. vr-c9.,,,,. .1 ' N 4— 4 e 0`wl,vQ V-i .l. Ted, F .Lti \G.l.ln.Q stiG\ P I"1 ' . 'Z 8� tNAME) (WO (AGGRESS) / Name of Builder. . `. •-Q,.----- -g tst Address i.it.-01t..cl.y k. . / - . , .Li.•.,.1...�,.. P4. i /4'9 Name of Plumber.1 v•-.1.4-.t-, . .J4et4-'S Address ./ SST wi.b 1`( P-r- 1 Name of Mason. .(C�.‘.-, .13,�N., ...�.,,, .. Address . .ice-e.S`V i`c"-(-. .4.tk.v. . . . Lot Number Unit Estimated value of proposed work S .Sei4742 "mil Name of Village . .a.t,..e, .L. -i Name of Street . .X.c:,--1• • •Z©C4 Side of street: north 0, east ❑, south ❑. west a Nearest Cross Street �` .. P j( Fes. Distance fri nx, t11i3 Toss street & 0 Ft. Property is north 'i-,south 0,east i i,west ❑from Cross Street If on Corner, which corner, northeast ❑, northwest ❑, southeast 0. couthwe°st (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY 21 Construction of a new building. Main Building ❑ Addition to a building. One-family dwelling X Two-family dwelling ❑ ElAlteration to a building. , . family apartment house ❑ El Demolition of a building. . Store building ❑ -car attached garage ❑ Other: Accessory Building One-car detached garage Li El Other work. Describe: ,jt u�: • . • Two-car detached garage ❑ �t>r� � �_c- Private chicken house ❑ /."� Private storage building ❑ MI, `` r• 1.7/7 7 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- B posed buildings,and the location of all existing buildings. NORTH Show proposed building(s) in dotted line and existing A huilding(s) in solid line. Size of property 9-S ft. x .7-- -S ft. Z I.C,' l- t®o Size and use of existing buildings, if any I ' ,..ev W 141 , ic W is © Size of proposed building 2 4ft.x . . 4.(. . • • ft. cs c t ! Height(from grade to ridge) 2Q ft. b Front yard 4 0 ft. Side yards . . . 3 D ft. and / / ft. Rear yard /...tC 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. toyERI 7-73-m (coned.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe,etc.) k.),-)f)(:.,.c\ - -ce-czYW-ve, Will any second-hand lumber be used? Ay° If so, for what? Material of foundation walls ,S4 Cl- v•c.-v e-4-c 713. tcc.-/C. Thickness g (' Depth of foundation walls below grade -I- 3 i Continuous foundation? Will there be a cellar? ‘o-s If so, material of cellar floor . Type of roof: Sloped or flat? . Lts-ir 'e.-4 Material of roof . . .his.p.v.,p,J,k-- Size, wood studs 2/15171(' .2' "x spacing . . . . f.6. . . tfo.c., length e • ft. Size, floor beams, 1st floor -- "x S ", spacing I (0 "o.c., span ,t7.--1 ft. Size, floor beams,2nd floor 1, x "• spacing "o.c., span ft. Size, ceiling beams INYAA,Sc7 " x ', spacing "o.c., span ft. Size, roof rafters or beams T04,5 " x ", spacing "o.c., span ft. Exterior finish C.-06-'"-- -01t- c.A9,--.•t-sir- -*2-( With what material? Finish of interior walls. . . .t17-.1. . .S .4K,.k If garage is to be attached, of what material, is wall between garage and main building to be constructed? 2->Lk Q. .1 .(.9...C... 4 /17- .C4— 0.-S -- .0.-.,4 . Is there to be an opening between garage and building? "f -f,S Kind of heating system . .(Si .1 . .ik-.c*. . . ,,,s,,.,-k-..42..-,-- Oil burner* ski- 0 z. 1, Will a flue-lined chimney be providep . . . A'e-< . . . . . . . Depth of chimney foundation below grade 4 Es" Height of chimney above roof.. .?--: - Will there be a fireplace? `e e- Depth of fireplace hearth I Will a toilet be installed?. ... ...?.475. _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a kitchen sink be installed and connected to water supply? `e e-S Water supply (public water supply or pump) V, .-V1."--p Distance of cesspool from any private well I it>0° feet Will drainage system be provided with required traps, cleanouts, and vents? •e e-S AFFIDAVIT Town of Queensbury ) County of Warren State of New York I swear that to tr. bard my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and cod.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 complied with,whether specified or not, and that such work is authorized by the owner. ,, Sworn to before me this Signature / )p,-..3 72r' I ei day of Z-)‘(.0 t kr,6- -''' 19 11 / WNER. NE AGENT,ARCHITECT,CONTRACTOR NOTARY PUBLIC. WARREN COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT: By .. TORN OF 01 I E FNSBURY BUILDING LuNING Dzi-AfirlNi QUEENSEURG TOWN OFFICE BUILDING BAY 8. HAVILAND ROADS, R. D. #1 GLENS FALLS, NEW YORK 12801 APPLICATION FOR A PERMIT TO CeNSTRUCT, ALTER OR ENLARGE A SEWAGE DISPOSAL SYSTFM WI1Hr\T THE TOWN OF QUEENSBURY 07,CUPANTvS NAME 2:vvo„.1._:LELLLil_la/( . . ,) L , 3-,DR=7,,,,c, ci v6s13jja (Q. , kl,,, S , ( PDDR ES s LLe„.,6,1s_4 ix.„1.. __ ,_,j,urm ER OF BEDRIX)AS.....3 GARBAGE GRIND ff.? _ALQ ( YES f.:)R. N(,:'= TOP Dal APHY: F LAT, I i.OL LI NG.9 S T E EP, SLOPE, ....._ GENTLE SLOPES OTHER -- NATURE OF SOIL: CLAY, SANDY, LCA:i, ORATE , Ra,':<., PERCOLATION T a:: ilA TER :iii;:i2LY: :J.7.5NIc',.::r')--,7.,, ITi 7,1,, OTHER PC 2 DS Li) S":;27-''4..:: S VSI Tvi kizal-t__ t tie ' 1,..., D (3 , i1- ey ----i—j ,.. OTHER PERTINENT IN:CRArION_ -:i -,._:, HEREBY ACRES) Ti i:,1 IF Th I 0 f-'.)::17.C.A r Cf.', AND P...„1i.i\ S ARE P P9RO 2 ED Ii\:..Z-dils.ELATION 0 : S:AGE DISPOSi-IL ":".:: :',..ITIES ':ITLL T,„::: '.1..11Y2 ".:1 A0;:7,4-RDANCE liTT!,-, DETAILS 51,Ctlis„ , DATE /2- - I 7 1/4 `7---4 SIGNATURE- OF KE G ,,', ;,I PARK ca-,'IT 6S I CN APPOV, ..-TuFtriT.....- TOWN OF QUEENSBURY Building Department Inspectors Report Date —5/4 617 Nam' Dy':.r J(h L tie it Location aI y eo a c2 Permit No. 5 D 2 g Weather Per Cent Complete Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing • Sheathing �J Roof Felt Roofing Siding Et/ Masonry Veneer Rough Plbg. Rough Htg. f Relief Valves (, iv r J P Wall Board _ Ext.Porches Finished Floor C \I\ti Interior Trim Stairs&Railings Cellar Dr.Tile 7D 66, ( Concrete Floors Plhg.Fixtures • Gar.Fireproofing Door Closers y • Chimney6 '12fill Water Meter Inst. :;;1},e Septic Approval U� X lding Inspector REMARKS 04 inspccit; are key Uhdeh S, de doo)- j resAoa TOWN OF QUEENSBURY Building Department Inspectors Report Date ,3/Z Name .2) l< , /) Location PO Permit No. j L> v-p Weather Per Cent Complete Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer 2/ Rough Plbg. Rough Htg. Relief Valves Wall Board Ext.Porches Finished Floor Interior Trim Stairs&Railings Cellar Dr.Tile Concrete Floors Plhg.Fixtures Gar.Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Building Inspector REMA'KS TOWN OF QUEENSBUR• Y Building Department Inspectors Report Date `27 7F Naxtk,. 'j�,c� �r Location -V Permit No. 50.)k Weather /L Per Cent Complete Remarks Excavation - Footing Forms Footing & Piers 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. L1 Septic Approval /�/ / Acio/ lr- ilding Inspector REMARKS ' Aa//,,,-4 x-c-4 - / '7 cc-e / t/( go'ie- .411 TOWN OF QUEENSBURY Building Department (� Inspectors Replort Date l�! Name �,r �J Location al./ Permit No. .3- ' " ather 1 Per Cent Complete Remarks Excavation Footing Forms Footing & Piers !✓� Foundation Cement Coat Waterproofing ✓� Backfill Final Survey v/Framing l/Sheathing Roof Felt s� Roofing Siding Masonry Veneer Rough Plbg. Rough Htg. Relief Valves Wall Board / Ext.Porches Finished Floor Interior Trim /, I - Stairs&Railings Cellar Dr.Tile Concrete Floors Plbg.Fixtures Gar.Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Building Inspector REMA KS TOWN UEESURY Building Department Inspectors Report Date AZ- 02(:-77 Name /��OQ;� y � Of".4i---7 - Location Ygfasii Permit No. of ?f Weather 6t141 Per Cent Complete Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Rough Dig. Relief Valves Wall Board Ext.Porches Finished Floor Interior TrimP1 Stairs& Railings Cellar Dr.Tile Concrete Floors Plbg.Fixtures Gar.Fireproofing Door Closers Chimney Water Meter Irst. Septic Approval �� Building Inspector REMARKS -p r)i TOWN OF QUEENSBURY Building Department Inspectors Report Date 12/2-Z/7 7 Name f D Location ' 7 Permit No. S eze Weather Per Cent Complete t Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing s''J Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Rough IItg. • Relief Valves Wall Board Ext.Porches Finished Floor Interior Trim Stairs& Railings Cellar Dr.Tile Concrete Floors Plhg.Fixtures Gar.Fireproofing Door Closers Chimney Water Meter Irst. _ Septic Approval //([/:" Building Inspector REMARKS