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1986-476 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. 86-476, - has been completed. . This structure may be occupied'as a Addition to one family dwelling tor sunroom Location` 135- Country Colony Drive ' Victor Kallit Owner By Order Town Board TOWN OF QUEENSBURY • Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No. 86-476 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Victor Kallit OWNER of property located at 135 Country Colony Drive Street, Road or Ave. H. o in the Town of Queensbury,To Construct or place a Addition to dwelling (sunroom) n 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 135 Country Colony Drive RD #1 rt Glens Falls, New York 2. CONTRACTOR or BUI LDER'S Name Ken Hicks Ln 3. CONTRACTOR or BUILDER'S Address 0 0 rt rt 4. ARCHITECT'S Name 0 0 5. ARCHITECT'S Address ri CD 6. TYPE of Construction—(Please indicate by X) (X)Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications 10'x18' per plotplan, specifications and application submitted. No. R a. N. rt 8. Proposed Use cn 0 One—Family Dwelling (sunroom added) o 0 0 0 a. .. g $5.00 C/0 rD $ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 19 87 N (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the oq town of Queensbury before the expiration date.) Dated at the Town of Queensbury this8th Day of August 19 86 SIGNED BY )1 �—)—��G L� for the Town of Queensbury Building and Zoning Inspector /0C) TO BE COMPLETED BY BLDG. DEPT. I 1., // Application No. -Olin of Queenury Permit Issued 19 TOWN or QUET:\ �C`URY BUILDING and ZONING DEPARTMENT Permit Expires 19 R. lti C� _E I_I 1'l E ,i) Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation V ! " Queensbury, New York 12801 Variance No. NIII4, J U L 31 1986 Site Plan Review No. — — .�. Appro ed by: Fl.M } C7 ��L' P M. ? 831 123458 APPLICATION 'FOR fld- go , BUILDING AND ZONING PERMIT f.lcc 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. r / - / - t'c_ ` ^- t�, ,-S ,/ The owner of this property is: rn� �- 1( J\ , U _. V\A. l I 1 P.O. Address 1 / S C,n7g/v.1n, C Q to o•• y D r .'u4:- Tel. 7ct 3-(00s Property Location: Y 3 _ (-0La .0 y C.( Tax Map No.V7 / l / .3, Street number or building lot number Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: Name P.O. Address ' Tel. No. Name of builder s k Address . . (. 5,c&? - 7 (�� � r C l(0 1 cti Tiw� „wry.w iG� r 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, ST - SIZE AND * whether interior or corner lot. Show location LOCATION OF STRUCTURES�A FECTED. / ',� of water supply and location and configuration of septic disposal area. * ,,.----- ,,/' * ,COMPLETE INFORMATION REQUIRED BELOW. �� '/"- * Size of property /00 ft X /<a. f t. _,-'/''' * Existing building(s) Size 70 ft X c, ft. * PROPOSED ILDING AND USE: * Existing building(s) Use cft v tv 7 W Cf j," Size of new structure 0 ft XJW-ft Foundation-pier/: crawl/partial/full * Proposed building, distance from property line k5:46 iriA/fa '(circle one) * , No. of stories (hab' . .le spec * Front yard ' 50 ft Rear yard '(c ft Height (grade to dge) f * Side yards �, ° "ie ft and 3`- ft If residentia no. of f ilies * If on corner, setback from side street ft No. of roof. (excludi aths) * OCCUPANCY INFORMATION No. of s-drooms * PRIMARY BUILDING - No. bathroo A/One family dwelling P, mary hea ' g system '� pe of C1 * Two family dwelling No. o ireplaces to e installed * Multiple dwelling / Number of units Wil a wood stove e installed? * Permanent occupancy Central Air can' tioning? * Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE *' Industrial Ranch Contemporary Log cabin * Other N o Raised ranch Mansion Duplex * If addition, what will use be? Split level Old style Bungalow * -c.)PU 420 t'M Cape Cod Cottage Other * ACCESSORY BUILDING- Colonial Row Town House * ' Detached garage/one car/ two car/ Zk car ( CIRCLE ONE PLEASE ) * - Attached garage/one car/ two car/ c2 car * * * * * * * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION $ 5'QQ© * 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: `� /' L Type of construction, wood frame, fire safe,etc. �Q T 6 s Will any second-hand or ungraded be used? If so, for what? el Foundation wall material CcU Ca-4--e- ..10k-r es's" L,C ,TI il/Ci L.ialiffS £/.J Depth of foundation below grade (to bottom of foot'' —` .-- Will there be a cellar? Heated o eated? Floor ootage sq ft Will there be a baseme Will any portion be u s living space? (If so, what on? sq.ft. - - Type se? A Type of roof - sloped/flat/ e Dther Material..of roof )4INC`'1/fC .f►2r/vt� As 'i 4 tit r- Size, wood studs "X " spacing "o.c. length ft. 61- .'n' G+- f-lroor1 ns-)-- 1st. floor "X " spacing "o.c. span ft. �T 8ie-4, A l�Jo' ) 2nd. floor "X " spacing "o.c. span ft. f� /0 Ovr,rlays(ceiling-beams) "X " spacing "o.c. span ft. Roof rafters Z'X " spacing /(, o.c. span /C' ft. Re f t usses4.e-engineered) '1,.u. span ft.' Exterior wall finish ui j.14 Sto‘NG, Of what material? Interior wall finish it/C) A./ 47- If a garage is to be attached, describe materials to be used for FIRE SEPARATION: Is there to be an opening between gar and dwelling? so will a Fire-rate. door, enclosure, and self-closi evice be provided? Will a flue-lined chimney nstalled? Heigh bove roof "t. Depth of chimney foun ion below grade ft. Depth of firepla earth .ft. in. 'Water suppl Municipal or private wel SEPTIC TEM _ Distance from ANY . - vate well(including a. '.ining properties ft. (A arate application is nec- sary for any repair or - ew installation of septic system) Town of Queensbury AFFIDAVIT STATE OF NEW YORK County of Warren I s ear that to the best of my knowledge and belief the statements contained in this a plicati , together with the plans and specifications submitted, _ere a true_. and complete ateme t of all proposed work to be done on the described premises and that all provisions of e BUILDING CODE, THE ZONING ORDINANCE,• and all other laws pertaining to the propose ork shall be complied with, whether specified or not, and that such work is authorized the owner. SWORN T BEFO ME THIS Signature ____ 0 er, o ner's agent,arcnitect,contractor day of 19 Notary Public, Warren'County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: • By Jown o f Queenibur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME Ol L VAC.L( l_ LOCATION I �v�I[Lc/ OA/•/ R.- Date // 3/ / s-G Permit No. iaL(90:04(r) ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill �rami Roofing 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 INSPECTION Final Building Survey AA Next scheduled Inspection(call when ready) Remarks- - I 05 Pcc r(au 1 d Wo arzic ry 0 , VVS C16(23r-3 Building Inspect r 6/86 and-vl `J S K x 1' 9/1/% -- ..t.1,,....\,..rir.-."..-ra.. ----,--3\ \ , . Roa F 6. 0wC • D. x 9,4„,,^-�. �:�, . 1:X "O / 1 /. 4 on,t A., Tad �� �o ,. RCN -.u.:►1 H /x y PT D_O z;k-,%i1 _ , . R-1E....,ar�r:V 3G1s & . / a�� cos- Lk/k 4„ P c. �L.� :U uc,- . - • 0.1.. . Ps s1- , :+,-6-- JA-cyg D /1-'/1" co r c.,-c . 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