8364 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. 8364
has been completed.
This structure may be occupied as a One-Family Dwelling - rebuilt after
fire damaged
Location Route 9L Dunhams Bay
Owner J a n P A. Wa j f-
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
f RE•TIVE 'INST•" PRINTING. GLENS FALLS. N V 12801 15181793-5858
\\71111
BUILDING PERMIT
TOWN OF QUEENSBURY No. 8364
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Jane A. Wait
OWNER of property located at Route 9L - Dunhams Bay Street,Road or Ave.
N
in the Town of Queensbury,To Construct or place a Alterations to fire damaged 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.
N.
1. OWNER'S Address is 658 N. Broadway
Saratoga Springs, New York
2. CONTRACTOR or BUILDER'S Name
Willard E. Grande
3. CONTRACTOR or BUILDER'S Address •
12 Iroquoil Drive
Saratoga Springs, N. Y.
4. ARCHITECT'S Name
5. ARCHITECT'S Address
5
6. TYPE of Construction— (Please indicate by X) td
(X)Wood Frame ( )Masonry ( )Steel ( )
7. PLANS and Specifications
remove fire damaged structure and rebuilt
No. per specifications and application submitted.
8. Proposed Use rh N
H•rt
One-Family Dwelling Fl ro
C H
!v
izct
$5. 00 C/O Paid 5 0
$ 140. 00 PERMIT FEE PAID-THIS PERMIT EXPIRES October 1 19 84 to
m
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0
town of Queensbury before the expiration date.)
Fi
CD CD
Dated at the Town of Queensbury this 2 R 1-h Day of March 19 84 Hoz11
Y I-,
Imo
�^ / ��qq N� -
SIGNED BY /rl a • eaL for the Town of Queensbury CDBuilding and Zoning I nspecto
TOWN OF QUEENSBURY (Space inside block to lie filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for \''I'Ii`ation No.
pp Permit Issued _19.
BUILDING AND ZONING PERMIT 1',.rnlit Expires IJ
Zoning District
• \ aim. "1 Work I
THREE (3) Copies of a PLOT PLAN, Drawn to scale \i'►'r" (II by
showing the actual dimensions of the lot to be built Item."It
upon, The exact size. and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
1 --:Z.- IAe
P E TOWN OF QUEENSBURY
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ® E C E
ril V E 3
ANSWER ALL OF THE FOLLOWING.
The undersigned hereby applies for a permit to do the following work ''I , C., RPMiaY
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.M. l
7 8)9)10111)121 2)3 41516
The owner of this property is: t "
TA0.t. .A.. Li).A.1.i. . . . . 6 si ,t).15 ��( e 6.41. . k. . . . . . .�. . . . . /464
(NA'E W O.ADORE 1
The person responsible for supervision of the work/f insofar the B ilding Code an the
Zoning Ordinance apply is:�f
ivl t�.� • E.. 1E,1�. /Z-PyJ.�eo(Poo.� . . . ,� 1 0�•1 p oWA.cro • • •S •1�4S /"
��1. ..1 . A .+., '>�L . � .a. i'� Address / . .0 oof . . . ?' 3',/ P 1 / .°L—"
Name of Builder. . . . . / /
Name of Plumber Address
Name of Mason C#`L' Address gV 7Q o • ��I'p e' a
Lot Number Unit Estimated value of proposed work$ 7C.?00•7'• • . `'NC C""
Name of Village p i f WAJM)fix. . �`fed..f). .2riice ,
Name of Street /Z VVPf' 't' " 7 &I Side of street: north 0, east 0, south 0. west ❑ er .
Nearest Cross Street . . .113/1- RI? Distance from this cross street Ft.
Property is north ttsouth ❑,east i i,west 0 from Cross Street
If on Corner,which corner, northeast 0, northwest ❑, southeast ❑. southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. Main Building
❑ Addition to a building. One-family dwelling ❑
x Alteration to a building. ? c Two-family dwelling
54 Demolition of a building.7A . . -family apartment house ❑
Store building El
-car attached garage El
Other:
Accessory Building
One-car detached garage
0 Other work. Describe. IS�/A-4()PI"' e wo car detached garage
T ❑
NPA. — `)ei\' — ,,)}'? Private chicken house
� J r Private storage building ❑
��t':4,,k2e.J . . ./✓..O.So C 4 Other:
ZONING SPECIIFICATIONS. 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, site and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH Show proposed buildings) in dotted line and existing
huilding(s) in solid line.
Size of property ft. x ft.
Size and use of existing buildings, if any
1- of
i m Size of proposed building ft.x ft.
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
(coned.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe etc.? �`-',4,°0'`� �
c ME
Will any second-hand lumber be used? , NO If so, for what?
Material of foundation walls +S 7 r'` G' Thickness
Depth of foundation walls below grade . . `5 r-1t`'' Continuous foundation?
Will there be a cellar?' .r 117 •ft-!• . If so, material of cellar floor
Type of roof: Sloped or flat? . . .4z•P.. Material of roof . .Sal--ATE.. of i ,dDL 7'
Size,wood studs 2x 4' • "x 2- spacing / "o.c., length V ft.
Size, floor beams, 1st floor . .__ .i.f7;t-t(4 ", spacing "o.c., span ft.
Size, floor beams, 2nd floor " x ", spacing "o.c., span ft.
Size, ceiling beams .'-r.e4C1fc.4-.2x l" it ..2el.t. .:Z-' `4', spacing 2•` .."o.c., span /' ft.
`
Size, roof rafters or beams /4,ir•1 Q''x . ((4• 4'„ .", spacing 2-17(."o.c., span `g ft.
Exterior finish . . .Wz.>4.9 'f00/AjC,-' With what material?
Finish of interior walls 1 k2d to
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 biding
Kind of heating system . .a.Lv • . r • •ro J• • • • • • • • Oil burner or coal?
Will a flue-lined chimney be provided? . F'jc.r7.4.:.(, • Depth of chimney foundation below grade
Height of chimney above roof. . . .firk.G. /f •"4`•('
Will there be a fireplace? ' x.•r.M'`)L?'• . • Depth of fireplace hearth
Will a toilet be installed 'y43
Will a kitchen sink be installed and connected to wat r supply? i`
Ar
Water supply(public water supply or pump) yd*htire 1 t/i-7.-Ln• (7—'
Distance of cesspool from any private well .JX.(`.7,O'.- feet
Will drainage system be provided with required traps, cleanouts, and vents? Az /f�.04--
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to tt p4 r of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.i.pj lete statement of all proposed work to be done on the desm pre at all rovisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the¢ro w all ed a I with,whether specified or not,
and that such work is authorized by the owner. / 1- a (
Sworn to before me this Signature ii.
L OWNER. WN S AGENT,ARCHITECT,CONTRACTOR
day ofC" - 19. 1
NOTARY PUBLIC, WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
By
TOWN OF QUEENSBURY
Building Department
Inspectors Report Da S /2?y
Name , L 1 lt)
Location
Permit No. -�
Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey _
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough P1bg.
Relief Valves
Wall Board
Ext. Porches \i/
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
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APPh.OV ED
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TOWN OF QUEENSBURY /��