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88-812 { CERTIFICATE 'OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date June 22 19 89 This is to certify that work requested to be done as shown by Permit No. 88-812 has been completed. This structure may be occupied as a One Family Dwelling/ Location Nacy Road Owner John Dowd By Order Town Board TOWN OF QUEENSBURY �//! Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No. 88-812 zo WARREN COUNTY, NEW YORK • PERMISSION is hereby granted to John Dowd OWNER of property located at Nacy Road RR#1 Box 1646 Street,Road or Ave. w in the Town of Queensbury,To Construct or place a Alterations to One Family Dwelling 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 SAME Q4) x/�44 Lake George,N.Y. ty 0 2. CONTRACTOR or BUILDER'S Name George Savale 3. CONTRACTOR or BUILDER'S Address RD#1 Box 325A Queensbury, New YOrk 12804 4. ARCHITECT'S Name w 5. ARCHITECT'S Address 0 lv a. 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( )Masonry ( )Steel ( ) _ 7. PLANS and Specifications No. Alterations to One Family Dwelling as per plot plan, specifications, • and application. 8. Proposed Use rt One Family Dwelling w rt 5.00 C/O $ 80.00 PERMIT FEE PAID—THIS PERMIT EXPIRES MAY 1 19 89 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the ro town of Queensbury before the expiration date.) ry N 0 Dated at the Town of Queensbury this 18th ,/Day of Octtoher 19Jtst ,SIGNED BY 2Z <4' , a for the Town of Queensbury Building and Zoning Inspector Aje r• 00 WU BE GUMYLJ ThL) BY BLDG. DEPT. .11177"'*' ''-'''' '� N _cJuwn (.1Queen96urt Application No. Permit Issued 19 U ) `L) L— BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation CCI 1'/ 1988 Queensbury, New York 12801 Variance No. 8c CODE DEPT. qq_ / — / Site Plan Review No. BUILDI ,r Approved by: _ /� r` �/�� . r APPLICATION FOR /°/ f _ '��c" ' BUILDING AND 7.ONING PER - �.MIT ; * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ::* A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies for a Building Permit to do the following work which will be done in accordance with the description, plans and specifications submitted, and such special conditions as may be indicated on the Permit. The owner of this property is: Jrlr. t Mrsy Dewd P.O. Address ode y ied.d r /2 �/T Box /d 4( / ldk& Gear. /V/ /28'ys' Tel. 798'-Ye>0 Property Location: Noe Rioar��x?~ Ad eaid�a /Per,. C� Tax Map No. / / Street number or building lot number Subdivision name (if applicable) Pew ZdKG '1'IHE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: '>9t- zyJZ 6eo. -e. S a.le.r re th.. ROI Sor 3 2,5^A (aeP..s Lary AJ/ /28'oy 798-9s.s"6 ame P.O. Address Tel. No. Name of builder Address Tel. _ Name of plumber Address Tel. Name of mason Address Tel. NATURE OF PROPOSED W3 RK: * ZONING INFORMATION: _Construction of a new building * TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED, _Addition to a building * drawn reasonably to scale and attached hereto, }1( Alteration to a building * showing clearly and distinctly all buildings, (no change to exterior dimensions)` * whether existing or proposed and indicate all Other work (describe) * set-back dimensions from property lines. Give * street and number or lot number and indicate FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration * of septic disposal area. * * COMPLETE INFORMATION REQUIRED BELOW. * Size of property / /3 - ft X 275-- ft. * Existing building(s) Size 2,g ft X 29. ft. * PROPOSED BUILDING AND USE: * Existing building (s) Use a,..„0„.ee Size of new structure ft X ft * Foundation-pier/slab/crawl/partial ap * Proposed building, distance from property line (circle one) * Front ft Rear and ft No. of stories (habitable space) /4Z * yardy Height (grade to ridge) /8 ft. * Side yards ft and ft If residential, no. of families * If on corner, setback from side street ft No. of rooms(excluding baths) c * OCCUPANCY INFORMATION No. of bedrooms ,'Z • * * PRIMARY BUILDING - No. of bathrooms / One family dwelling Primary heating system /eer 6le.bob.04 ** Two family dwelling Type of fuel E/te7- * Multiple dwelling ./ Number of units No. of fireplaces to be installed 0 Will a wood stove be installed? � * .X Permanent occupancy NO Central Air conditioning? A/4 * Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE *' Industrial Ranch Contemporary Log cabin * Other 'Raised ranch Mansion Duplex * If addition, what will use be? Split level Old style Bungalow * Cape Cod ottage Other * ACCESSORY BUILDING- Colonial Row Town House * Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/_ car * * * * * * * * * * * * * * * * * * _Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION Ob al.$ ..:1p Y or. INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, BE COMPL•TEDI, ' Form IIPA 9/86 and-vl /2/7_,! : /c/i,/274'7 , j // / • WILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe,etc. • Will any second-hand or ungraded lumber be used? If so, for what? Foundation wall material Ce.«u,t' b/ee k Thickness fD " Depth of foundation below grade (to bottom of footing) VD " Will there be a cellar? yes Heated or unheated? OVN(own Floor sq. footage >ft/ sq ft Will there be a basement? yes Will any portion be used as living space? No (If so, what portion? sq.ft. - - Type of use? S-fers,g¢e Type of roof -sloped/flat/shed/other Material. of rESof Size, wood studs "X " spacing "o.c. length ft. Joists(floor beams) 1st. floor "X _ " spacing "o.c. span ft. Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft. Overlays(ceiling beams) "X " spacing "o.c. span ft. Roof rafters "X " spacing o.c. span ft. Roof trusses(pre-engineered) spacing "o.c. span ft. Exterior wall finish Of what material? Interior wall finish If a garage is to be attached, describe materials to be used for FIRE SEPARATION: Is there to be an opening between garage and dwelling? If so will a Fire-rated door, enclosure, and self-closing device be provided? Will a flue-lined chimney be installed? Height above roof ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ft. in. Water supply - Municipal or private well SEPTIC SYSTEM Distance from ANY private well(including adjoining properties ft. • (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury AFFIDAVIT STATE OF NEW YORK County of Warren I swear that to the best of my knowledge and belief the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be donelon the described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall be complied with, whether spec' 'ed or not, and that such work is authorized by the owner. SWORN TO BEFORE ME THIS Signature ___ er, ow s agent,arcn3.. , tractor day of 19 Notary Public, Warren County, N.Y. * * * *. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: • • • By TOWN OF C`l'FFNSBURY BUILDING DFPfl.TMFNT J' N BUILDING PFRMIT RFQUIRLMFNTS CHFCK LIST Where not applicable indicate by NA 1 . Type of prmit requested Construction of new building B Construction of addition or alteration C Sewage D Sign • F Other 2. Required documents submitted : Yes /j' No if not check further documents required. A Plot plan is required B Building Plans C Sewage • D Other 3 . Required Zoning Regulations: ' Zone Classification A. Is use specifically allowed in zone: Yes No 1 . Check applicable explanation a. Permitted Principal b. Requires Site Plan Review, Type I Type II c. Preexisting non-conforming use or expansion thereof . B. Is lot size adequate? Yes No 1 . Preexisting non-conforming lot 2. Lot size meets required sq. ft. 3 . Lot meets width and depth requirements C. Lot has required frontage on Public Road . Yes No 1 . If not, explain. D. Required off-street parking. Yes No E. Residence only - is there the required minimum sq. ft. • Yes No F. Are proper setbacks met. Yes - No If not, explain. C. Required permeable area is Adequate Inadequate • H. Building height Does Does not exceed the maximum. , (----' /7 Vi4,„,.>- .-/, .•,-"'/--1>/ 7/, r/ -- Form 8-82b - �-�__ _ TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 12--/3 -Jy NAME LOCATION Up o yA. v�Y DATE PERMIT # APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING -BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST,BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: INSPECTOR //A/ TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT / REQUEST F NSPECTI N RECEIVED /I 1/ NAME _ • e''`f// LOCATION // 7(1 `e/— /cI:G/lr'�L DATE // /7. /... 'PERMIT # r ' /2 APPROVED YES NO DOTING/PIER MONOLITHIC PO FORMS FOUNDATION/DAM PROOFING BACKFILL APPROV ROUGH PLUMBING \ FRAMING ELECTRICAL ROUGH— V INSULATION: 11 FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ' ROOFING SIDING \ EXTERNAL PORCHES/ TEPS\. STAIRS—CLEARANCE & RAID PLUMBING FIXTU S/RELIEF VALVE INTERIOR TRIM/ RIVACY DOO FINISHED FLOC) S GARAGE FIREP OOFING DOOR CLOSE (S) SMOKE DETE TORS FINAL ELECT ICAL INSPECTION FINAL APPR VAL OF CONSTRUCTION A SIGNE CERTIFICATE OF OCCUPANCY MUST BE OBTAIN D FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! 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