5334 •
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. 5334
has been completed.
This structure may be occupied as a one family dwelling
Locuks off Fitzgerald Road
Owner Donald Milne
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
CREATIVE "INSTA PRINTING. GLENS FALLS. N Y 12801 1510)793-5658
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW fYORK
Date June 5 19 95
This is to certify that work requested to be done as shown by Permit No. 5334
has been completed.
This structure may be occupied as a Single FAmily Duelling
Location 31 Fitzgerald Road
Owner Donald & Barbara Milne
Tax Map # 41 .1 .7
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. ac Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No. 5334
WARREN COUNTY, NEW YORK
0
PERMISSION is hereby granted to Donald Milne
OWNER of property located at off Fitzgerald Road Street,Road or Ave. 0.
y, placeone-familydwelling
in the Town of Queensbury,To Construct or a 9
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
►'h
764 Pease Lane Pt)
West Islip, NY 11795
r+
2. CONTRACTOR or BUILDER'S Name O
tt�
SAME
w
a.
3. CONTRACTOR or BUILDER'S Address
SAME 0,
O.
4. ARCHITECT'S Name
5. ARCHITECT'S Address
O
6. TYPE of Construction—(Please indicate by X)
cp
)Wood Frame ( ) Masonry ( I Steel ( I
w
B
7. PLANS and Specifications
No. 42' x 30' per plot plans specifications and application
submitted including sewage system and variance #564
8. Proposed Use
one-family dwelling
0
$5.00
$60.00 PERMIT FEE PAID —THIS PERMIT EXPIRES February 1 1979
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this // Day of 19 77
SIGNED BY for the Town of Queensbury
Buildi nd Zoning Inspector
TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY. NEW YORK Building Inspector)
Alication for \ppli`Jt1 nl No. "
pP Permit Issued 19
BUILDING AND ZONING PERMIT I'..,mil Expires 1g
/.„,6n;_ District .
\ aluc ill Work,
THREE (31 Copies of a PLOT PLAN, Drawn to scale \l'I ,c(l b
showing the actual dimensions of the lot to be built R<•i,lin Kr
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
7 1/_ 7( TOE'', . OF QUEEpN�SELL:? {
DATE f i U i _ L
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK --j
ANSWER ALL OF THE FOLLOWING.
The undersigned hereby applies for a permit to do the following work A.M. i* z r(L. P.M.
which will be done in accordance with the description, plans and specifi- 7I 8 1P011Al2i 13 4 5 6
cations, and such special conditions as may be indicated on the permit.
The owner of this property is:
. Donald .A. .and.Barbara. .D. .(vii.],ns, 764 Pease Lane, West Islip, N.Y. 11795
(NA''F) 'P o ADDRESS)
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
Donald A. Milne, 764 Pease Lane, West Islip,
(NAME) (P 0 ADDRESS)
Name of Builder. . .D•A&.l4 A• Milne Address
764 Pease Lane, West Islip, N.Y.
Name of Plumber. .Donald.. .,. .Milne Address 764Psase. Line, West Islip„ N.Y.
Name of Mason Donald •A.. Z ].ri$ Address
764 Pease Lane, West blip, N.T.
aLock f S t� Estimated value of proposed work 5 30,000
Lot Number 7 Unit P Po�
Name of Village 6-/c/
Name of Street in R.O.W... c!nnectintr wf Fitzgerald Rd.side of street: no-th 1:it, east 0, south 0. west ❑
Nearest Cross Street l�annis Pfl Distance fro:, this -ross street Ft.
Property is north (o,south 0,east i, west 0 from Cross Street
If on Corner,which corner, northeast 0, northwest ❑, southeast U. southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
Main Building
Construction of a new building. One-family dwelling
❑ Addition to a building. Two-family dwelling ❑
❑ Alteration to a building. . , . family apartment house ❑
El Demolition of a building. Store building ❑
. . . -car attached garage L7
Other:
Accessory Building
One-car detached garage L-1
❑ Other work. Describe Two-car detached garage
Private chicken house ❑
Private storage building
'Jcuv.
#6,__(:# 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 building(s) in dotted line and existing
_,...__._ --- R.(Cot,.) . Iuilding(s) in solid line.
G L.f F Size of property 100 ft. x . .203• • • . . . . ft.
1 none
)-4 K E ROs., i t Size. and use of existing buildings, if any
FRI 0�4�0 E w Size of proposed building . . . .42. . . . ft.x . . .30 ft.
R
�T 23 ft.
A Height (from grade to ridge) 30 ft.
I ���� I Swig Front yard
Side yards 15 ft. and 30 ft.
R-ow �-- Rear yard 135 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—N
(coned.)
BUILDING SPECIFICATIONS.,
wood frame szt and beam cenatrnctisn w 2x4 anode
Kind of construction: Wood frame, fire safe, etc.?. . . . . . . . . . . . . . . . . . . .P. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will any second-hand lumber be used? no If so, for what)
Material of foundation walls poured cencrete Thickness 8" sides, front, 10" re,
Depth of foundation walls below grade 4 feet Continuous foundation? . .yea
Will there be a cellar? .yea If so, material of cellar floor . . . 4 .inele. .tisk.p..ired. ctancrate
Type of roof: Sloped or flat? .11101:10d Material of roof . 220 .lb. aapSalt, set4gle
Size,wood studs 2 " x . k 16. .", spacing 16 "o.c., length 8 • ft.
Size, floor beams, 1st floor 2 "x . .t Pi ", spacing 16 "o.c., span 16 ft.
Size, floor beams, 2nd floor 2 " x . .le 12 - ", spacing 16 "o.c., span 16 ft.
Size, ceiling beams none " x ", spacing "o.c., span ft.
Side, roof rafters or beams 4 " x . .12. . . ", spacing 24 "o.c., span . . . 28 ft.
Exterior finish pine beard and batten With what material? pine
Finish of interior walls 1/2 and 3/8 in.gypsum wallboard
If garage is to be attached, of what material is wall between garage and main budding to be constructed?
no gar ge
Is there to be an opening between garage and building?
Kind of heating system electric Oil burner or coal?
Will a flue-lined chimney be provided? Yea Ix Depth of chimney foundation below grade 4 feet
Height of chimney above roof. . . . .ft.
Will there be a fireplace? . Yea - Depth of fireplace hearth 2'11"
Will a toilet be installed?. ...TOP. . . . . . . . . . . . . . . . . . .*. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..
Will a kitchen sink be installed and connected to water supply? yea
Water supply(public water supply or pump) PUMP
Distance of cesspool from any private well 450 feet
Will drainage system be provided with required traps, cleanouts, and vents? yea -
** roof rafters vary in length from 14 is 28 ft.
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to tt:"ivs i of my knowledge and belief the statements contained in this application,together with plans and specifications sub-
mitted, are a true and co.i.plete statement of all proposed work to be done op-dge described premi at 111rovisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed work s m with,whether specified or not,
and that such work is authorized by the owner a' /J
Sworn to before Signature G'� �" � � i� .
...ter ;."A
OWNER, W S AGEN R ITECTRACTOR
a ''of 197 JJJ���
N O TART PUBLI .WARREN COUNTY. N. Y.
0 1r.1 S. PORTER
SPEC NDITIONS OF THE PERMIT: .. `"`•°
< v,.:''J r�0.1,:1C,.� '�.9. of New yolk`^, I'Yan e, u_ ••-.617744
?.'r' Catnv miam :rsfnres March. S®ls,
By
p
TOWN OF QUEENSBURY - BUILDING DFPARTYENT
R. D. * 1 BAY P'.D PPVILAND ROADS
GLFNS FA1 LS, NFY YORK
Phone 792-5832
DATE: iri`/0/`/`
TO: .x.:(-) .a• p_o_r„eg
Our records indicate that you were issued a building permit
number .- 3 j } on
for the construction of ,/_,2-- ` L'
Our files show that the required inspections are incomplete.
If still under construction please contact this office for an
extension of your building permit, or if completed please
contact is so we can take your card out of the active file.
Next required inspection
For all new construction Town Law requires a Certificate of
Occupancy to be issued by this Department before occupancy.
Noncompliance may result in legal action.
To avoid further delay and possible legal action, contact this
office to make arrangements to update your file.
cftJr FNSBURY BUILDING DFFARTNENT
/ 'z
none (new construction)
5/6 -SR ?-V? 67 Donald L. Milne
764 Pease Lane, West Islipt N.Y. 11.795 :4; 3
no FLAT, ROL.LINC(.4-...FP Si
rock and sand
plopped from Glen Lake
(IL . o'D
,o p
LAKE 35 I \i
SH0RE 30' NOUSE 100'
<-35'
ITII1iL
cESSPooL
/ oveg FLAh.„ SCA LE: " 5-0 so if
2.03 /
System t,o be constructed in conjunction with one
-Fa de
family hameAsn lot located on the southeast, shore of Glen Lake designated as lot no.7
block 1, section 41 of tl.ze Warren County tax map, in the town of Queensbury
AND PLi
itLL E3 .
1, LZCT
"A Iv "t*.! ';-‘‘ 4'3V AL;
TOWNOF QUEENSBURY ,L
BUILDINGNG �/V& CODE ENFORCEMENT /
531 BAY ROAD
111111 QUEENSBURY NY 12804
(518)745-4447
ARRIVE: k2:45- DEPART: %Z-HA INSP.
FINAL INSPECTION REPORT - RESID OI #
DATE INSPECTION REQUEST RECEIVED:
NAME 1 2- 93
LOCATION 3 F
DATE LS /? ' RMIT fl
J /5'79 -i+t
TYPE OF STR C�1` URF / / . oj��[1`r/G�(�G, /FCS �Z /� t_11rG/—
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION
//F""��INAL/ELECTR/IQCAL QrWOODST�OV�EE OR FIREPLACE
6,14 ! -1/t /z U' "b1�Z N/A YES
NO
CHIMNEY HEIGHT/B VENT/HEIGHT v/
PLUMBING VENT ✓/
ROOFING ✓/
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS V/
FINISH FLOORS: ✓
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS PLUMBING FIXTURES :/://
FOUNDATION INSULATION /
GARAGE FIRE PROOFING ✓/
DOOR CLOSERS 1/
FINAL ELECTRICAL j
SITE PLAN/VARIANCE REQ. 1/
FINAL SURVEY PLOT PLAN ✓
OK TO ISSUE C/O OR C/C
TOWN OF QUEENSBURY
Building Department A--61
Inspectors Report Date I Id ? /e o
Name Dohai d - f% e
Location O f f F, 7-7 er I I c1 Mo!
Permit No. 5"3 3 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
,i
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures I 1\\
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
'Ceilin
J
Building Inspector
REMARKS
ol,
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 7 -49 d
Name
Location /i (JJ f j
Permit No. _5 3,3 4 Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat sue.
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
6 e ;_ �L _ Ter(-7
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date
Name
Location / ` `�e.,
Permit No. 5-3 Weather
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.
Septic Approval
Building Inspector
REMARKS
/-i _7
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date
. 721227L
Name CAL) L '{fly
Location D J— Z 7. '/7 7P r:rY�1(f
Permit No. 3!f. Weather
Per Cent
Complete Remarks
Excavation
Footing Forms t!//
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
Plhg.Fixtures
Gar.Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Building Inspector
REMARKS
PROPERTY 0 F.
DONALD A• /v. L N E
2.47 7 9 BLOCK 1 SECTION 41
SCALE I " .301 "
< A/46°Vi
(
„
GLEN SR LAKE- 30'0" ), "VD 1 12:6'6" N46LE
E
100
" C)I
SiVE ,203 '
/2' R. 0