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1986-521
CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 'December 4 19 86 This,is to certify that work requested to be done as shown by Permit No. 86-521 has been completed. This structure may be occupied as a CONNERCIAL and PROFESSIONAL OFFICE; Bay Road Location lJ ` Owner Frank Collins, (Cushing/Dybas) By Order Town Board TOWN. OF QUEENSBURY "71 ) • • Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No. 86-521 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Frank Collins (Cushing/Dybas) OWNER of property located at 274 Bay Road Street, Road or Ave. in the Town of Queensbury,To Construct or place a Alterations to building (comm./professional m office) 2--,1 at the above location in accordance to application together with plot plans and other information hereto filed and cra approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. d x a o 1. OWNER'S Address is 14 Dix Ave. cn Glens Falls, New York H. 2. CONTRACTOR or BUI LDER'S Name same 3. CONTRACTOR or BUILDER'S Address N 4. ARCHITECT'S Name w 0 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) ( )Wood.Frame ( ) Masonry ( )Steel ( ) - n o CD 7. PLANS and Specifications mri rt alterations to commercial building for commercial and professional r) o No. W O) office per specifications and application submitted. � rr b 0 8. Proposed Use o Commercial/Professional Office HI 0 ID H. m m P. H. H. o 0 $5.00 C/O w Qa 16.00 ~ $ PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 19 87 0 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the r h town of Queensbury before the expiration date.) H 0 Dated at the Town of Queensbury this 27th Day of August 19 86 SIGNED BY 'JC��i a I /LJ for the Town of Queensbury Building and Zoning Inspector ee TO BE COMPLETED BY BLDG. DEPT. Application No.5oTOWN OF QUEEi` SF3I ! Y urit o� Queeitd�urt� Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 REGMEn Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation ` Queensbury, New York•12801 • Variance No. ,i Site Plan Review o. Job-- I — 11 Approv A.M.�g��a 1 )l .J }3� � I6 APPLICATION FOR C 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: Frank Collins P.O. Address 14 Dix Avenue, Glens Falls, NY 12801 Tel. (518) 793-7746 Property Location: 274 Bay Road. • Tax Map No. / / Street number or building lot number I. Subdivision name (if applicable) N/A THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: Cushing, Dybas Associates, Architects, P.C. - Quaker Village, Glens Falls, NY 12801 (518) 793-5183 Name P.O. Address Tel. No: Name of builder Not Selected Address Tel. Name of plumber Not Selected Address Tel. Name of mason N/A 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, • X Alteration to a building * showing clearly and distinctly all buildings, (no change to exterior dimensions) * whether existing or proposed andlindicate 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 N/A of septic disposal area. * * COMPLETE INFORMATION REQUIRED BELOW. * Size of property ft X ft. * Existing building(s) Size 34 ft X 34 ft. * PROPOSED BUILDING AND USE: Existing building(s) Use Vacant Size of new structure ft X ft * . • Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line (circle one) * * Front yard • ft Rear yard ft No. of stories (habitable space) 2 Height (grade to ridge) 24'±' • ft. Side yards ft and ft If residential, no. of families N/A * If on corner, setback from side street ft No. of rooms(excluding baths) * OCCUPANCY INFORMATION No. of bedrooms * PRIMARY BUILDING - No. of bathrooms . Primary heating system Air. . * One family dwelling Type of fuel Oil/Electric * Two family dwelling . • No. of fireplaces to be installed. N/A * Multiple dwelling / Number of units Will a wood stove be installed? No * Permanent occupancy Central Air conditioning? No * Transient occupancy • • * Business BUILDING STYLE, PRIMARY STRUCTURE . Industrial Ranch Contemporary Log cabin *" X Other ' Commercial/Professional Office Raised ranch Mansion Duplex If addition, what will use be? Split level Old style Bun alow • * Cape Cod Cottage * 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 $ 8,000.00 * 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: Existing Masonry .Bearing Walls with Type of construction; wood frame, fire safe,etc. Wood Floor and Roof Framing Will any second-hand or ungraded lumber be used? If so, for what? No Foundation wall material Concrete Block Thickness 8" Depth of foundation below grade (to bottom of footing) Will there be a cellar?ExistUeated or unheated? Floor sq. footage sq ft Will there be a basement? N/A Will .any portion be used as living space? (If so, what porti. ,? s• .ft. - - Type of use? Type of roof - slo•ed: flat/AM other Material, of roof Asphalt Size, wood studs "X " spacing "o.c. length ft. Joists(floor beams) 1st. floor "X " spacing "o.c. span - -ft. Slab-On-Grade Joists (floor beams) 2nd. floor 3 "X 6 " spacing 24 "o.c. spanl0',-Oft. Overlays(ceiling beams) "X " spacing "o.c. span ft. Roof rafters 3 "X 6 " spacing:Var. o.c. spanll'.-Of.t. Roof trusses(pre-engineered) spacing . "o.c. span ft. Exterior wall finish Concrete Block Of what material? Painted- Interior wall finish Gypsum. Board If a garage is to be attached, describe materials to be used for FIRE SEPARATION: N/A 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? . No Height above roof ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ft. in. Water supply - Municipal or private well Municipal 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 Qi bury A F F .I D A V I T STATE OF NEW YORK County off War War pn 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. (1) SWORN 'TO. BEFORE ME THIS Signature_Cc,wc - • - Owner, owner's age , rcnitect,contractor. day of 19 Notary Public,. Warren County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: • By 0-,e1 /i f/ z l,Y‘ ii m11 _/own f Quenitur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 dok- BUILDING INSPECTOR ' S REPORT NAME %ra-n k Golf &ow >,fri`cf LOCATION Date 1/ l / fCry Permit No. 6-3 - * * * * * * * * * * * * * * * * * * * * * * * f� = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing 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 DRIVEWAY APPROVAL . A Building Survey Next scheduled inspection (call when ready) Remarks- 0 UJAL 1242 vO q -iU.A/S O.J L -f P6-A_J 01 1.0 Ak 4'0,4r, Building Inspecto 6/86 and-vl Jown of Queniturcy BUILDING and ZONING DEPARTMENT I .7 Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME () A J ‘i-15 LOCATION qQ- "Rd hop Date /O/ )/ 1(72 Permit No. 0 v 6 _ rj ,l * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches f 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- `r rnc�. 2 rIIo ' vi01).3 Oh ly — 0_X 4-5(--1 // p /� - o7C71{ ebiA_Pf)( ', Building Inspector 6/86 and-vl Jown of Qu 'enibur1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT ( o / 1( h) NAME PAUL C./<s 11l,ll 6 — LOCATION 'f 1 A Date RV/ Permit No. VD * * * * * * * * * * * * * * * * * * * * * * * V = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing 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 Building Survey : _ SC JrL00`L— Next scheduled Inspection(call when ready) Remarks- - r Li 6 c fr3 voit/&- )2�/iL /Mv ©A/1-- i/ Bu 1'ding In ect 6/86 and-vl