7434 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 tl q
Location
Owner ,
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
CREATIVE "INSTA PRINTING GLENS FALLS N Y 12001 15181793-56SO
Pik% BUILDING PERMIT
TOWN OF QUEENSBURY No. 7434
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Ronald Grimes
O
OWNER of property located at Dineen Road Street, Road or Ave. sv
in the Town of Queensbury,To Construct or place a One—Family Dwelling 0
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.
cn
1. OWNER'S Address is
R. D. #1
Lake George, New York
2. CONTRACTOR or BUI LDER'S Name
Same
3. CONTRACTOR or BUILDER'S Address
Same
m
m
4. ARCHITECT'S Name
0
5. ARCHITECT'S Address
p
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( 1 Steel (x) T,ng HnmP
7. PLANS and Specifications
30'x40' with 6 'x20' breezeway and 30'x24 ' attached
No. garage per plot plan, specifications and application o
submitted including sewage system.
E. Proposed Use This is renewal of permit 5068 issued 3-10-78 .
One—Family Dwelling
$b. uu c/u Paid
126. 00 February 1 1983 (D$ PERMIT FEE PAID —THIS PERMIT EXPIRES
s✓
(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.)
Dated at the Town of Queensbury this 9th Day of ,7111 y 19 8 2
SIGNED BY A for the Town of Queensbury
Buil ing and Zoni g Inspector
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date /74978-tfr
Name R.
Location `D//U- 4tj kb
Permit No. 7y 37' Weather
5'AR i Remarks
Excavation
Footing Forms
Footing & Piers ✓1' .J\ , ;�✓�7
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
P/C.Cf/74-/-1/(47Z- /11/C9
TOWN OF QUEENSBURY (Space inside block to Ix filled in by
WARREN COUNTY. NEW YORK Building Inspcector)
Application for Application
Permit Issued19
BUILDING AND ZONING PERMIT it,,,,,,,, 1..,i,ire, . 'g
i'unin� l)'striet
\ alum ''I \VI'L,%
THREE (3) Copies of a PLOT PLAN, Drawn to scale \i'l" "11 I"
showing the actual dimensions of the lot to be built I„ i)).ii 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.
TOWN OF QUEENSBURY
1-N — ( — 9
.71/ 2D
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK4 Etti�� 2 �, )J��
ANSWER ALL OF THE FOLLOWING. t-
A.M. (n.s`�d fee, Pc?i
The undersigned hereby applies for a permit to do the following work ?18+9�1 11�121 2 3 4 5 6
which will be done in accordance with the description, plans and specifi- + ,
cations, and such special conditions as may be indicated on the permit. A cio
The owner of this property is:
v- l i
(N,A "cj i' ,P 0ADDRESS)
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
(NAME), IP Q .ADDRESS)
Name of Builder Address
Name of Plumber Address . ,,�,j
Name of Mason Address . 6-3 t °u V
Lot Number Unit Estimated value of proposed work I --y-~---'-'j- ,e ,'
Name of Village ,/. K
Name of Street /!lr`.�'x"' ' -.' •7 Al '� Side of street: i)<r-th ❑, east ❑, south ❑ west 0
Nearest Cross Street .a.,4' x . .. '. .--i)d t a G .. Distance frc , t1,i: rose -, vv N OF QUEEINS'-;t..I'` Vt.
Property is north ❑,south 0,east i i, west ❑lfrom Cross Street (� �1,2 `j
If on Corner, which corner, northeast ❑, northwest ❑, southeast L'. ,euth s (�ee st t(JI U V , I,
t :�
(Designate by marking with an "X" in the correct space. JUL r� (qR2
NATURE OF PROPOSED WORK OCC 014}1F). 1 ' 1-,1 a I'
�f6 t n�
Construction of a new building. �,. Main •Buiitdin
❑ Addition to a building. �11(4 ) One-family dwelling
Er
0 Alteration to a building. Two-family dwelling ❑
0 Demolition of a building. CI / . . family apartment house ❑
Store building ❑
. . . -rar attached garage
Other:
3 Accessory Building
'' One-car detached garage Li
❑ Other work. Describe:. . .. .!•'• •C,/ft•C-.. • •
/ Two-car detached garage
13 ,c,- ,.Ec e.,U i1 17 C rx .o t Private chicken house ❑
�•' (� Private storage building
c. . .1 . . Other:
�nc�vwL;y• . .
ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building, or a change of occupancy.
4r4y 4IPIndicate 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 building(s) in dotted line and existing
zN /CvI CZ building(s) in solid line. r.
n ., Size of property / a e) ft. x1-1-7' ft.
Aa, 44,_`- `-` ' lids..) Size and use of ex sting buildings, if any
. t3re. zi�l-r7 y�°rA %z•y4• < 30
s E Size of proposed building `act ft.x '� 0 ft.
> Height (from grade to ridge) ?-0,c • • • ft.
,,,MFront yard , .L.-f 144 • . •3•6l ft.
Side yards . . . . <'. . . . . . . ft. and . . . ft.
Rear yard 3 42e%' e_
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.?
Will any second-hand lumber be used? , A If so, for what?
Material of foundation walls .,.. . ,Il al,...4) Thickness . . .
. . . . . .
Depth of foundation walls below grade -1 Continuous foundation?
Will there be a cellar? -)t-t„, If so, material of cellar floor
k.„...0-A, .
Type of roof: Sloped or flat? . . . ,l--a Material of roof
Size,wood studs "x ", spacing "o.c., length • ft.
c, ,
Size, floor beams, 1st floor ,, x l' 1 ", spacing ./C "o.c., span ft.
" x U,__., spacing . .7=r -'. .,..-,--1 "o.c., span
Size, floor beams, 2nd floor " ft.
Size, ceiling beams " x (.,zs.,,,.", spacing "o.c., span ft.
Size, roof rafters or beams " x 1 ", spacing "o.c., span ft.
Exterior finish -/:5. / With what material?
Finish of interior walls a`\,-';->
If garage is to be attached, of what material is wall between garage and main budding to be constructed?
Is there to be an opening between garage and building?
Kind of heating system , / Oil burner or coal?
Will a flue-lined chimney be provided? . Depth of chimney foundation below grade
Height of chimney above roof
Will there be a fireplace? ' 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) ' ' - • '
Distance of cesspool from any private well • , , feet
Will drainage system be provided with required traps, cleanouts, and vents? - •
AFFIDAVIT
Town of Queensbury
County of Warren
State of New York
I swear that to tr. iparof my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.i.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 pertain' the proposed/
-' work s all be complied with,whether specified or not,
and that such work is authorized by the owner. a
Sworn to before me this Signature.- -71 '
. —
OWNER OWNER'S AGENT,ARCHITECT.CONTRACTOR
day of 19
NOTARY PUBLIC, WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
By
T'
't,i ,::: uJ
i ..iii'l. 1 ..)1:' , OFF ICE 17'11, E.D1 ;
BAY a, HAV.11AZ R 0A.DS, R„ D. in
GLENS FALLS, NEW YCRK 12801
AP PL IC AT ION F CE A PERMIT TO CONS TRUCT, ALT ER OR ENLARGE
A S EWAL;E D I SPOSAL SYSTEM WI THIN THE TOWN OF QUEENSBURV
,
X.CIP,AN 7: 'S NAME /-4,<4.“-- "6/
-ia- '' ) -4.--;,--7-7‹.2 ?...-,
7 Et p}io : WO MINIM t S NAvi E 4,-/-.'
—
ADDP 17„-; /i'i L I,/, c___cl-z-• - L- L',/
• /7..-4,•• %._..- 7 4, ,., 4 4.' NYXV ER OF B EDR CXI1S
GARLiAr;E. f RD-1DM?, 74, (YES OR NO) TOPOGRAPHY; FLAT, ROLLING, STEEP
GENTLE SLOPE, OTHER 4/7: ,.. ,1-ii
NATURE 0? SOIL: CLAY, SANDY, LOAM, GRAVEL, ROCK, _titL.
PERC OLAT ON TEST j .
___WATER SUPPLY: :ThINI 0 I PAL, '.'/EIL 9 OTHER
--------
DIAGRAM OF PROPOSED SEPTIC SYE7
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OTHER PERT INENT INFORMATION I Ci 0 -(--;______ 4•,... ..z:.- Ao
, J----/s- _ 3 S622./......... . .._ ...._
!LT 1 ; H ER EBY AGREED THAT IT THIS APPLICATION AND PLAN,(J AR E APPROVED,
1:;ST ALLAT ION OF SEWAGE DISPOSAL FACILITIES WILL 13 E TAADE I ACC CADMIC E
11I TH 'D dT Al LS SHOWN.
DATE SIGNATURE OF APP LI CAN --' -c'-'-n-cZ
LAKE GEORGE PARK COMMI SS I ON APPROVAL;
(Signature:!
--Mate)
i • .
I
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date /Wy
Name et") Crtime
Location
Per No. 7<�3 P�
cram.
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
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst. rq�
Septic Approval1/4/440G— C�
Floors
Insulation Foundation
Walls
Ceiling
,if - , �
Building Inspector
threi f' REMARKS
KZ
n � 'LW
TOWN OF QUEENSBURY
Building Department
Impeders Report Date /D l 3/1 V
Name 12 o N /
Location D r v /up
Permit No. ?I y 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
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst. J
Septic Approval v Bpi tri,g4, f
Floors
Insulation Foundation
Walls
Ceiling
Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 7 �4
Name /'` (4-1L. C s
Location dam, :f/ -C /Z
Permit No. 7 Y 3 Weather
Remarks
Exca fiaat on
Footing Forms
Footing & Piers t
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board iA
Ext. Porches ;
Finished Floor ( ., i
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
•
.C2 )c-
Buz1 nspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 61-:-2 83
Name iM PC
Location DiA c-cis/ Rd n2EA( I-Ic
Permit No. -pi 34 Weather
Remarks
ExcaOation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey ✓�^� n
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
P1bg. Fixtures
Gar. Fireproofing _�....
Door Closers
Chimney ---
Water Meter Inst.
Septic Approval
Floors
Foundation
Insulation Walls
Ceilin
1f
Bu ' ding Inspector
.'REMARKS
TikAl/
Alc9 it
TOWN OF QUEENSBURY TOWN OF QUEENSBURY
Building Department Building Department Inspectors Report Date /3/j/ Inspectors Report Date 4)7&�7r
Name re , (/?/ /7 i C- --i Nam' 2,7)2 Yi 171-'-7
Location 70 / /4 1 E=2 ,L i I.') I) Location 2) i 6-&-,t} fC AL)
Permit No.6---C� (.0 k1 Weather Permit No. A-06P Weather
Per Cent Per Cant • Remarks Res CompleteRemarks
Excavation Excavation I/
Footing Forms Footing Forms L./
Footing Sr Piers Footing & Piers `
Foundation Foundation
Cement Coat A`:" 1«& , 4.c9' Cement Coat
Waterproofing AY t e t Y 4 , f/ e.4 .f - Waterproofing .
Backfill L/ ( jr Backfill
Final Survey Final Survey
Framing Framing
Sheathing Sheathing
Roof Felt Roof Felt
Roofing Roofing
Siding Siding
Masonry Veneer Masonry Veneer
Rough Plbg. Rough Plbg.
Rough Htg. Rough>< Htg.
Relief Valves Relief Valves
Wall Board Wall Boardi ///'//
Ext.Porches Ext.Porches
Finished Floor Finished Floor
Interior Trim Interior Trim
Stairs&Railings 1 Stairs&Railings
Cellar Dr.Tile Cellar Dr.Tile
Concrete Floors Concrete Floors
Plhg.Fixtures Plhg.Fixtures
Gar.Fireproofing Gar.Fireproofing _
Door Closers _ Door Closers
Chimney Chimney
Water Meter Inst. Water Meter Inst.
Septic Approval C-^ Septic Approval
V t
Building Inspector Building Inspector
REMARKS REMARKS
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