88-167 rive 7
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date August 29 19 88
This is to certify that work requested to be done as shown by Permit No. 88-167
has been completed.
This structure may be occupied as a Addition to Summer Cottage
Location East Side of Dunhs Bay
Owner Douglas & Virginia Wrigley
By Order Town Board
TOWN OF QUEENSBURY
Jai /Y
Building & Zoning Inspector
BUILDING PERMIT 1-3
TOWN OF QUEENSBURY
No. 88-167
WARREN COUNTY, NEW YORK •
PERMISSION is hereby granted to Douglas & Virginia Wrigley
OWNER of property located at East Side of Dunham's Bay Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Addition
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.
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1. OWNER'S Address is 221 W
Wayne Ave. B3
Wayne, Pa. 19087
2. CONTRACTOR or BUILDER'S Name
F'•
Same
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3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
5. ARCHITECT'S Address �y
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6. TYPE of Construction—(Please indicate by X) m
( )4 Wood Frame ( 1 Masonry ( )Steel ( )
7. PLANS and Specifications
No. 16' x 24' as per plot plan, specifications and application >
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8. Proposed Use
Addition to summer cottage.
$5.00 C/0 a.
30.00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 1, 19 88
(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.)
C/J
Dated at the Town of Queensbury this 21st Day of April 19 88
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SIGNED BY '/�U for the Town of Queensbury
Building and Zoning Inspector rt
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IQ EVE. LUMeLL1t1.1 11X J3LLli. U ±'1'.
// Application No. ` ':
1EIc� 88
_ wn o f Queensbure Permit Expires 19 APR 18Permit Issued 19
BUILDING and ZONING DEPARTMENT -j
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation J
Queensbury, New York 12801 Variance No. 8UtLDING & CODE DEPT.
Site Plan Revie
App over
5 APPLICATION FOR •
BUILDING AND ZONING PERMIT
* * * * * * * * * * * * * # * # * * * * * * * * * * * *• * * * * * * * * * .*.::*
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: D®(16 L f LS , / 1 * Ka6,,fv/I kk- ir i/4%/(a Li
P.O. Address a) kJ/ k1 f lv`Ii f(o/E, f Y NZ r l ` ! ?1;i-/7 Tel.a a ` 0464.1
Property Location: ,�/4S i Siee Ov' ' - IJtry 4.61Ck: 67LrG2& )V,rax Map No. f/ if/ 2
Street numier or building lot"number /
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
o V 61.iis , 1 i c2i >►✓ y `/4- — SLILV
Name P.O. Address el. No.
Name of builder Address Tel.
Name of plumber Address Tel.
Name of mason Address Tel.
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
Addition to a building * drawn reasonably to scale and attached hereto,
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. 11TP
* Size of property 2 ft X /701ft. ,4CC42S
`
* Existing building(s) Size ft X JV6 ft. .-g`�
*
PROPOSED BUILDING AND USE: e j 1 _
* Existing building(s) Use >Si/Ay ji 71-b1�..-
Size of new structure a ft X41/ft *
Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line
(circle one) * `7''
No. of stories (habitable space) /
* Front yard ft Rear yard / ft
Height (grade to ridge) 1 ft. * Side yards ft and ft
* If on corner, setback from side street ft
If residential, no. of families
No. of rooms(excluding baths) ,2. * OCCUPANCY INFORMATION
No. of bedrooms / - *
No. of bathrooms t * PRIMARY BUILDING -
Primary heating system a'Q�j� * One family dwelling
Type of fuel * Two family dwelling
No. of fireplaces to be installed /14y,v,1; * Multiple dwelling / Number of units
Will a wood stove be installed? / * Permanent occupancy
Central Air conditioning? 0 * Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial / _
Ranch Contemporary Log cabin * (Other c7I7MM I� l ✓lirbir
Raised ranch Mansion Duplex * If addition, what will use be?
Split level Old style Bungalow * `�V M1�Y� ���
Cape Cod otta. e 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 $ - j O *
)
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS: /
Type of construction, wood frame, fire safe,etc. WOAD fR 4 45
Will any second-hand or ungraded lumber be used? If so, for what? A4rA/L=
Foundation wall material rep./4,,e,,CIL--Ph5pi . -tyle /as at:c C,i7 E.-
Depth of foundation below gir ade (to bottom of footing)
Will there be a cellar? Na Heated or unheated? Floor sq. footage sq ft
Will there be a basement? .4%, Will any portion be used as living space?
(If so, what portion? sq.ft. - - Type of use?
Type of roof - sloped/flat/shed/other Lt> Material, of roof .Nff5rfL
Size, wood studs "X " spacing "o.c. length ft.
Joists(floor beams 1st. floor 4 "X " spacing I "o.c. span r ft.
Joists (floor beams) 2nd. floor ------"X " spacing "o.c. span ft.
Overlays(ceiling beams)ea "X 45 " s acing /V? "o.c. span 7 ft.
Roof rafters g "X " spacing /A f
o.c. span /o ft.
Roof trusses(pre-engineered) spacing o.c. span ft.
Exterior wall finishAiiguLwriglp �Y�.� Of what material? /OOO
Interior wall finish IP/ VW,'VW,'asp IVII-I--/N1�
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 tr4 K1=
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 done on 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 specified or not, and that such work is
authorized by the owner. .-N . 2
r-
SWORN TO BEFORE ME THIS Signature 1-e--" 1 . a (.'
er, own 's agent,arcnizect, o actor
j day of j�l(( r 19 l�i�
/ N wRiG1- ,,„„YorK
A�c, 0'N County.
State
0` f�; plotaDrY.publc, ongton
Notary P , Warren County, N.Y.Qual\l1ed No.46 es F b.28,199°
* * * * * * * * * * * * * * * * *Co;�ots9t0 It * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
By
f-"
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Jown of Queenur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Q eensbury, New York 12801
iB, UILD'TNG INSPECTOR' S REPORT
NAME {
/' ,
r3 r /
LOCATION , j 1 1
, r /
Date 1/ ?� ,.�' � ''
� 1 / �, <�i Permit No. ,�1 -4
* * * * * * * * * * * * * * * * * * * * * * *
APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing ...//
Siding 7 ie
1/
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
\\:///
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures ✓
Gar. Fireproofing I \ ..,.._
Door Closers //
--
Smoke Detectors /
Chimney \
INSULATION:
Foundation / \
Floors
Walls \
Ceiling
FINAL ELECTRICAL''INSPECTION P
DRIVEWAY APPROVAL Final Building Survey k
Next scheduled inspection (call when ready)
Remarks- ,....--gwsx_ A / 6: 0,
d
Bui ig` Inspector
6/86 and-vl
awn of Queen iurcy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
�Queensbury, New York 12801
`14'; )"
!. UILDING INSPECTOR ' S REPORT
NAME I /i
LOCATION �.�� �k �/2 944
Date - 5/if Permit No. ,
* * * * * * * * * * . . * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
01;129Bry Veneer
gh Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
/
/./i 4, 7//
Buidingnspector
6/86 and-vl
\\\b
fb1 own of Queeniupcy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
� Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME tacu1/460.e.;\13 (.\\414...n
LOCATION 7.40-,9;11i IA:))44312.6,5
Date '\ / t� Permit No. a 1��
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing /
I Roofing ✓�
N4 Siding /
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL SPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Bu. I sp for
6/86 and-vl
Joeun of Queenilury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
(1)(1
BUILDING INSPECTOR ' S REPORT
NAME LO Zeta .
LOCAT ION /��
Date /fir Permit No. eF,?/o�
✓ = APPROVED - YES / NO
Fo ting/Pier oundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough P bing
Relief Va .ves
Ext. Porche.
Finished Flo. s
Interior Trim
Stairs & Railin.
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofi g
Door Closers
Smoke Detector.
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
r
///L///
Building nspector
6/86 and-vl
Jown of Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME /a?
�t���t����//// L.C/ r
L O C A T I 0 N_
Date 6 e3/ 3permit No. F /�p7
APPROVED - YES /
ier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railin.s
Cellar Drain T'le
Concrete Floors
Plbg. Fixtur-s
Gar. Fireproofing
Door Closer-
Smoke Detec ors
Chimney
INSULATION
Foundation
Floors
Walls �1
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Building Inspect
6/86 and-vl
s 4.
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