7653 C/O Paid
•
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. 7653
has been completed.
This structure may be occupied as a One—Family Dwelling
Location Bey Parkway, Agsemply Point
Osier Lorraine Ruffing
E
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
CREATIVE "INSTA" PRINTING. GLENS FALLS. N Y 12801 13181793-SASS
1111,7 BUILDING PERMIT
TOWN OF QUEENSBURY No. 7653
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Lorraine Ruf f inq n
n
OWNER of property located at Bay Parkway, Assembly Point Street, Road or Ave. W
in the Town of Queensbury,To Construct or place a 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. rh
Ifi
N.
1. OWNER'S Address is R. D. #1 W
Lake George, New York
2. CONTRACTOR or BUILDER'S Name
John P. Matthews
3. CONTRACTOR or BUILDER'S Address
R. D. #1
Lake George, New York
ro
4. ARCHITECT'S Name >y
fi
x
a
5. ARCHITECT'S Address
fn
W
6. TYPE of Construction—(Please indicate by X) 0-'
(X)Wood Frame ( ) Masonry ( )Steel ( 1 ro
0
7. PLANS and Specifications
52 'x46' per plot plan, specifications and rl-
No. application submitted including sewage system.
Per Variance No. 781 granted 9-15-82.
8. Proposed Use
One-Family Dwelling
0
$5. 00 C/O Paid
$126. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 1 19 83
iv
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 5
town of Queensbury before the expiration date.) F+-
Dated at the Town of Queensbury this 15th Day of November 19 82 C7
SIGNED BY (,r for the Town of Queensbury
Building and Zoning Ivor h~'-
•
TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for Application No.
'
pP Permit Is.ued - 19
BUILDING AND ZONING PERMIT I',rniit Expires 19.
%"nine District
aim. 4'1 Work$
THREE (3) Copies of a PLOT PLAN, Drawn to scale \i'l ""`'c1 1'v
showingthe actual dimensions of the lot to be built It(.",;1)Kf
upon, Te exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
TOWN N C[' CI'i,j say-.Y v R?
CI I ' Z /CI/--7 782,
DATE 175\ 7, 11). F•:' il v 7 i-,,i', IFT
i,!-,i? !2. :,-,! !Li !,i '.!,i L.,- 11 1i
ITU =1
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ,.,: ; j o', t'
ANSWER ALL OF THE FOLLOWING. r /3/ / t e
41
The undersigned hereby applies for a permit to do the following work a181.9110 -1)12)1321 314151h
which will be done in accordance with the description, plans and specifi- • G�v
cations, and such special conditions as may be indicated on the permit. i /nc-'
The owner of this property is:
. .1.c'.t2 R Afr.I1 • C y y -e iev-i I, i A )l 4 cf�n ,e- ie(/:
I A;c) IP O.ADDRESS)
The person rensibie for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
%,fe end ii'• ///4r Tree,$ /ii ! L� fry,
(NAME) IP O A DRESS)
Name of Builder 1 4v t ` Address
Name of Plumber Address
Name of Mason Address ,,,l,
Lot Number Unit Estimated value of proposed work$ se, e,71',
Name of Village . . . .(3:5.4 t ,1.6-i t`;i4,i
Name of Street . . . .46'`t'?• . .brif.Kw' Side of street: north 0, east 0, south Q;west 0
Nearest Cross Street . . . .C.a.`ss `;del If. :.( Distance from this Aross street ie Ft.
Property is north CI-South ❑,east El, west 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast D. southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
Er-Construction of a new building. Main Building
L- '
❑ One-family dwelling Addition to a building. Two-family dwelling CI
❑ Alteration to a building. -family apartment house ❑
CI Demolition of a building.
Store building 0
-car attached garage 0
Other: -
Accessory Building
0
� ) One-car detached garage
0 Other work. Describe: . .Q�c/1 V Two-car detached garage
Private chicken house 0
Private storage building 0
Other:
ZONING SPECIFICATIONS. Fill in for new buildin: 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
ftuilding(s) in solid line. _ �/
Size of property . . . . • • • 7 ,�5• ft. x I • ft.
k Size and use of exisUn buildings, if any . . / G/?dV' N(
• N f . htiv) ` — IAnilt,4 2 7(2 z
W (� w _Airy
=r R.x . . . . �. . . . ft.
e ,(�`C•f(w`� d Size of proposed building J�
Height(from grade to ridge) 2 y ft.
Front yard if ft.
Side yards rile) ft. and 20 ft.
Rear yard 7X 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
(coned.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.?. . . . . . . • • • • . • • . • . . . . . . . • • • • . . . . . .. . . . . . . . . . . . . . • • • • . • • • • • •
Will any second-hand lumber be used? A/ 0 If so, for what
Material of foundation walls /0 I‘ :C2.7VC•4Y7 6- Thickness
Continuous
Depth of foundation walls below grade `� P foundation? . .WS . • .
Will there be a cellar? . . . .v.t • . . . . . If so, material of cellar floor arVe ce —
Material of roof 31S - /l5t�K �. ,1 i. . . . G S
Type of roof: Slo ed r flat? • �• � • y/.�``�!
Size,wood studs 'L- x
" ", spacing . . . . ./.(�, "o.c., length ft.
• • •
"x0 spacing / 1✓ "o.c., span ft.
Size, floor beams, 1st floor . . :� / '+ P gP
Size, floor beams, 2nd floor " x . . . .L b ", spacing . . . ./.L••. . . . . . ."o.c., span ft.
" x <C ', spacing 167
Size, ceiling beams "o.c., span ft.
Size, roof rafters or beams "x (C� rl.7. .", spacing / "o.c., span ft.
Exterior finish w'2 • •t •5.%ai . . . . . . . . With• With what material?
Finish of interior walls. . . . . .............i 1'i't. k
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 a ,Ic..7.€c C. . .. a.,-. !z • . . . ._Oil burner or coal?
Will a flue-lined chimney be provided ,/fS . . . • • Depth of chimney foundation below grade •7`
Height of chimney above roof. . . . .1! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .
Will there be a fireplace? . 57Y4'✓41y P
Depth of fireplace hearth
P
Will a toilet be installed?. .. . . y.�. . . . . . . . . . . . . . .`
Will a kitchen sink be installed and connected to water supply? . . .yf--
Water supply(public water supply or pump)
Distance of cesspool from any private well /ate feet
Will drainage system be provided with required traps, cleanouts, and vents? /(.e
Town of Queensbury ) AFFIDAVIT
County of Warren
State of New York
I swear that to it ea of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.,.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 tr'6. ./ ,7-...
OWNER.0 NEWS AGENT,ARCHITECT,CONTRACTOR
I day of Cf.e.7/P,..'47 19 4-?
NOTARY PUBLIC, WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
By
TOWN OF OUEENSBURY
BUILDING & ZONING DEPARTMENT
SEWAGE' DISPOSAL PERMIT APPLICATION
1. Owner' s Name � °��. 7 � ieev f<.o.47
Address zni l9jsfv„ }
Telephone No.
2. Property location , At
3 . Name of person or firm responsible for installing system j,-,ti /Yl rE �_
Telephone No. 6s-5-31 7
Address a L._6 A j y
4. Number of bedrooms (residential buildings only) 3 'j
5. Daily flow gallons/day
6. Septic tank capacity 11/6) c,.gce. gallons
7 . Topography: flat,(collingy steep
% of slope
8 . Nature of soil and depth
� C 7
9. If ground water, bedrock or impervious material is apparent at what
depth does it begin? ft.
10. Percolation test: A t i.5T, - is required
B is not required
C If required what is the rate minutes/inch
11. Water supply: municipal, well, other /
12. Type of system proposed: drywell, tile field, other 6C`ST,,- . ZZE, Ad/kij
Any contractor, corporation, individual, etc. engaged in the construction
of a sanitary sewage disposal system who covers the same before inspection,
does not have an approved permit, or varies from the approved application
will be subject to a penalty of $250 as provided for in Section 6 .010 of the
Queensbury Sanitary Sewage Ordinance.
Date le -
signature of applicant
On separate sheet of paper submit a diagram of the proposed septic system
with all dimensions, including distance from any structure, distance from
property line and domestic water supply, etc. Include all dimensions of
the system itself.
Form 3-82
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date o✓ •-8 ,3
Name Rehr,
Location /4-gfEi i 9Y PT'
Permit No. 7 6, 5"3 Weather
Remarks
ExcalYa ti on
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.
Septic Approval v .. (r92
Floors
Insulation Foundation
Walls
Ceiling
Building Inspector
REMARKS
(// °5Cra.74"144i)
'" 0
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date --6)3
Name tJP- //(/t6
Location ‹'s0*gs v i 7
Permit No. -1 l0 5 3 Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer ,c
Rough Plbg. (/ O/c
Relief Valves
Wall Board \ix\
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
Foundation
Insulation Walls
Ceiling
7/1(L'Iry -17) n‹../.-1;-;iii4
Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date ,k --f
Name ,=Ffz/1 6/ ,�9'�ie 1
Location � ce
Permit No. 76 -6*3 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. Firepro ing
Door Close
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
Building Y-eipector
REMARKS
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