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5479
CERTIFICATE E 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 15181793-56SE BUILDING PERMIT TOWN OF QUEENSBURY No. 5479 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Jessica and Betty King OWNER of property located at Ash Drive Street,Road or Ave. to to in the Town of Queensbury,To Construct or place a Addition and alterations to dwg. N. \ 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 R. D. #1 Lake George, N. Y. 12845 rt rt 2. CONTRACTOR or BUILDER'S Name Same 3. CONTRACTOR or BUILDER'S Address Same 4. ARCHITECT'S Name 3l 5. ARCHITECT'S Address N C7 II f-'- C 6. TYPE of Construction—(Please indicate by X) 1(U (X Wood Frame ( 1 Masonry ( )Steel ( ) 7. PLANS and Specifications No. 16 'x20 ' enclosed porch per plot plan, specifications and application submitted and new septic system 8. Proposed Use Two-Family Dwelling $5. 00 C/O Paid oa � $ 16.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 1 19 79 rt. (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the (D 0 e town of Queensbury before the expiration date.) X -t O ,II wa 11 Dated at the Town of Queensbury this 27th Day of September 1978 a SIGNED BY 18).4. _, � for the Town of Queensbury Buildin nd Zoning Inspector rt lD K SU rf• 0 co TOWN OF QUEENSBURY (Space inside block to lx filled in by WARREN COUNTY, NEW YORK Building Inspector) Application for Application N Per1nit Issued . . 19 BUILDING AND ZONING PERMIT h.,mit Expires . Ig i:,,nine District . \ Ulu' "I \\'nrl, THREE (3) Copies of a PLOT PLAN, Drawn to scale \i';',' d by showing the actual dimensions of the lot to be built l:c111;'1Kf 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 O/1"7 Si . H i �F QUEEN]SBURY f — HATE J A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK S r.) 21 {;� 8 ANSWER ALL OF THE FOLLOWING. a d A.M. a I P.M. The undersigned hereby applies for a permit to do the following work 7lglgi]p111112111213141516 which will be done in accordance with the description, plans and specifi- , , ■ , ' ' ' ' ' ' ' cations, and such special conditions as may be indicated on the permit. n /,J O •1 h c The owner of this property is: 26 c° !I V-i/ i O v e /= ex_ ft-i y-? Jf:ssl<f1. ,t .a..Fr.ry . 14 N.G. . . . . .Ro,urr. /49 . i-f1K :. .GA%.Gt,./.N. 1, 1?-f5is- INA'El (F 0 AD ESS( The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: ✓IGro.R. . .sJ . Ki.N.C- . . . . . . .(Ro.vTf. /49 LAKL .C.or3G.E.. N I. 12-1-Ct / (NAME) Name of Builder V/LT0 R O. )AI.& Address Name of Plumber Address Name of Mason Address . . Lot Number S/ Unit Estimated value of proposed work.S r.Up .r?. . . . . .a(�-.. . i, /y- )Y Name of Village 0 $1<. Name of Street ASH p(tt 'L Side of street: north 0, east 0, south 0. west 0 Nearest Cross Street Distance frc;,, (his ross street Ft. Property is north ❑,south ❑,east i i,west ❑from Cross Street If on Corner,which corner, northeast ❑,northwest 0, southeast 0 ,out`Ftyest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY ❑ Main Building Construction of a new building. • Addition to a building. One-family dwelling IVTwo-family dwelling ErAlteration to a building. , . . family apartment house ❑ ❑ Demolition of a building. Store building ❑ . . . .-car attached garage ❑ Other: Accessory Building r One-car detached garage ❑ ❑ Other work. Describe:.1. Y. ,D. / Two-car detached garage . El erye /o,L ,a CP ° c/- Private chicken house El l� Private storage building ❑ Nt c/J ,,5--0_p/ i 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 lluilding(s) in solid line. ' t Size of property -s d ft. x Z- o ft. Size and use of existing buildings, if any /I.gooi'I HoLiss& 32.-' ,X, `/`t m ,`,� 3 2- ft.x 7 Q i ft. is Size of proposed building Height (from grade to ridge) ft. Front yard ft. Side yards ft. and ft. Rear 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.?. . . .WOOD. . P68.1,1f. . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber be used? No If so, for what) Material of foundation walls /0"C©N cQ�T6 gLac-KS Thickness / 0 Depth of foundation walls below grade -.6""' Continuous foundation? ./ .... . . . Will there be a cellar? y.4,5 If so, material of cellar floor . . .coNcRe_TF Type of roof: Sloped or flat? .5.L.0 P.4P. . (:/'.2- . Material of roof . . s:P.H<9L.T. . .4tvwa.t.E. Size,wood studs ,�• • • • •"x L/ ", spacing 16 "o.c., length. . . . ft. Size, floor beams, 1st floor 3— " x .i y ", spacing / 4 " "o.c., span . . . . /.6 ft. Size, floor beams, 2nd floor " x ". spacing "o.c., span ft. Size, ceiling beams . . "x ", spacing "o.c., span ft. Side, roof rafters or beams . . . . . .rU� ", spacing "o.c., span ft. Exterior finish .B well 4 ,B4 With what material? Finish of 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 .i«cT.R tG. .t.Woo P. .- To yr Oil burner or coal? Will a flue-lined chimney be provided? . . .y.GS Depth of chimney foundation below grade G Height of chimney above roof 30 " Will there be a fireplace? ,Na 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) Pc"m e Distance of cesspool from any private well /2.S ' 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 tr. .4 i of my knowledge and belief the statements contained in this application,together with the plane and specifications sub- mitted, are a true and ca.I.plete statement of all proposed work to be d a on the described remises and that all previsions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertaini to the proposed wor ehal(`be complied with,whether specified or not, and that such work is authorized by the owner. Sworn to before me this Signature I A-t4 V ... .. OW ER.0 NER'S ENT.ARCHITECT.CONTRACTOR day of 19 �' NOTARY PUBLIC.WARREN COUNTY. N. Y. - SPECIAL CONDITIONS OF THE PERMIT: • By TOWN OF QUEENSBURY BUILDING AND ZONING DEPARTMENT BAY AND HAVILAND ROADS RD #1 GLENS FALLS, NEW YORK 12801 APPLICATION FOR A PERMIT TO CONSTRUCT, ALTER OR ENLARGE A SEWAGE DISPOSAL SYSTEM WITHIN THE TOWN OF QUEENSBURY OCCUPANT'S NAME ,Ic/1 F' e/A/ (r ADDRESS Acre /9-9 TELEPHONE 79 3 - / MIER"S NAME )&rs/c/) P /6/v6- ADDRESS I? Ti /1-7 LfiK6 6E N.y. /24'4/5 NUMBER OF BEDROOMS...2_ GARBAGE GRINDERZ_Ap __(YES OR ) TOPOGRAPHY: " t-ROLLING, STEEP, SLOPE, ENTLE SLOPE) OTHER _ __ NATURE OF SOIL: CLAY, SANDY, LOAM, ROCKS ROCKSt PERCOLATION ?EST WATER SUPPL : MUICIPALVEL OTHEF, DIAGRAM OF f=ROPCSiD SLPTIC 2.60' 0 PRILL15.0 GiJ WELL A k- Q /2-5' Ofr 1000 GAL . SEPTIC. "rit\NA SCML L.6PCH 1 "7-561 Lo'r No. sj OTHER PERTINENT INFORMATION IT IS HEREBY AGREED THAT IF THIS APPLICATION AND PLANS ARE APPROVED, INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL BE MADE IN ACCORDANCE WITH DETAILS SHOWN. DATE ,s'r"—P-130 /q7KSIGNA.TURE OF APPLICANT [JL ) LAKE GEORGE PARK COMMISSION APPROVAL: TOWN OF QUEENSBURY Building Department L"pectorsRep Date r -g—a-8d Name Location �6 4k.dr 21<. Permit No. S14 7.1 Weather Remarks Excaation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding 5 " //V , 3 Masonry Veneer / Rough Plbg. j deell Xid� Relief Valves Wall Board A212e/41/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 „I. •>,$( • Building Inspector 0 REMARKS I. \~ TOWN OF QUEENS-BURY Building Department Inspectors Report Date //—�'-- 7P- Name4 Location Cl ,ls,1 Dr. Permit No. it 7 I Weather Per Cent • Remarks Complete Excavation _ IIn Footing Forms /�({/t le •/J,>/ % Footing & Piers v Foundation CementCoat ie � 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 Plhg.Fixtures Gar.Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Building Inspector / REMARKS ins/ &}c • 71 id D S' 1 I ..:1 a a IV' ,I I 1 ' f 1 1 . "0 Pal f>I ‘.1 1?0 4' ki. i.s.s3p h Ili IJ El 1 t i ,i 3/► 1YU HSV W nl.d i i ? !! ij NO/1-1 VW � o 1 9tA ! I ' H j j I i ii 11 _i_r Hf11d 7I/9 � , j — I ,N o,1.1 JQ V I Z X IV i 4 1E2 7- 1 i ' IT i� I 1 1 '\ ' in r 7 7N/O1In' 9N/LS/)(9 y