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1987-365 ,. C CJ ERTIFICATE OF OCCI'ANC x' TOWN OF QUEENSSURY WARREN COUNTY. NEW YORK Date March 2 , 19 r�a This is to certify that work requested to be done as shown by Permit No. 87-365 has been completed. 'Phis structure may be occupied as a AIditloll to dwelling (durmer � Location corner Revere and Triphammer Roads Robert- M-orphy Owner Ely Order Town Board PI or f.QUEENSBURY �-7 Building & Zoning lgapector 1 BUILDING PERMIT . � TOWN OF QUEENSBURY No. 87- 365 CD WARREN COUNTY, NEW YOR K r' - � - � � Robert Murphy �n PERMISSION is 'hereby granted to I , Road or Ave, �^ Corner Revere and Triphammer Roads Street OWNER of property located at To Construct or place a Addition to dwellingdormer in the Town of Queensbury' lil a e a together with plot plans and other information hereto filed and at the above location in accordance to app rOO approved and in compliance with the Town of Q.ueensbury Building and Zoning Ordinance. m rs 7 . OWNER'S Address is RD #3 rt Queensbury , ICY 12801 MO rt b 2. CONTRACTOR or SUi LDER'S Name Donald Carberry a CONTRACTOR or BUILDER'S Address Box, 507 Bolton Landing New york m G a rt �o A. ARCµITECVS Name G t r r 5. ARCHITECT'S Address t 6. TYPE of Construction — (Please indicate by X) ( X) Mlood Frame ( 1 Masonry ( 1 Steel 1 1 r 7. PLANS and SPecific tions ,�r speCi.fleations and application dormer addition to dwelling p No. S. Proposed use pn,e_E'amily Dwelling (dormer addition) $5 . 00 C /0 Jan . 1 19 88 20 , 00 PERMIT FEE PAID - THIS PERMIT EXPIRES ctor of the lFf a Iongar period is required an application for an extension must be made to the Building and 7oning inspe town of aueensbury befofe the expiration date.) 87 1$th June 19 Gated at the Town of Queensbury this i]ay of for the Town of Queensbury SIGNED BY Building and Zoning Inspector �' TO BE COMPLETED BY BLDG . DEPT . Application No . v _loeutl pueen3Csttrf T permit Issued 19 �JVvhJ C7F CUEE `= BUILDING and ZONING DEPARTMENT Permit Expires 19 [] ' Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation Queensbury, New York 12801 variance No . LLffllll jug! 1 5 1987 �.' ,C'+� site P1 few No . i� G7 ' ' -2' I Appro b BUILDING 8e COf3E C1EPT. - 2 � -- / ems- -.� P� �► APPLICATION FOR rt �� �- - EUILDINIG AND ZONING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLOWING * applies for a Building Permit to do the following work which will The undersigned hereby be done in accordance with the description , plans and specifications submitted , and such special -conditions -as -may be-indicated-on-the -Permit * _-----___--G_.�-- ........ The owner of this property is : - Tel . P . O. Address 41 s Property Location : C`Q ZIN FEZ 2 . 3 T R F f /`� / `/� �'� --S oO5 Tax Map Street number or building lot number Subdivision name ( if applicable) 4005 Z� THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS Name P . O . Address Tel No Tel �. `�Z de!L�61 . Name of builder.Q4 C'iQ ' �`�� � Address � � ¢�� �� Tel . e Name of plumbel,, 6k vain G'H Address — - Addres Name of mason s Tel . NATURE OF PROPOSED WORK * ZOI'd I NG INFORMATION : _Construction of a new building A PLOT PLAN MUST BE PREPARED AND SUBMSTTED , .qCAddition to a building drawn reasonably to scale and attached hereto , Alteration to a building * showing clearly and distinctly all buildings . � } ll whether existing or, proposed and (no change to exterior dimensions indicate a * set-back dimensions from property lines . Give Other work (describe) street and number or lot number and indicate * whether interior or corner lot _ Show location FOR DEMOLITION PERMIT , STATE: SIZE AND * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED . '* of septic disposal area . COMPLETE INFORMATION REQUIRED BELOW . * Size of property ft X ft . ft * Existing building ( s) size * PROPOSED BUILDING AND USE : Existing buildings ) Use Size of new structure ft Xf t * Pro used building , distanc 11 e III from property line Foundation-pier/slab/crawl/partial/full * 1> ft Rear yard ft (circle Cane} Front yard ft No . of stories (habitable space) Side yards ft and * ft Height ( grade to ridge) - / ,. ft . * If on corner , setback .from side street. if residential , no . of families * OCCUPANcY INFORMATION No . of rooms ( excluding baths) No . of bedrooms_ * PRIMARY BUILDING - No . of bathrooms * one family dwelling Primary heating system .� +r ' 'r� * Two family dwelling Type of fuel Multiple dwelling / Number of units * No . of fireplaces to be installed i� - - * Permanent occupancy Will a wood stove be installed? �, * Transient Occupancy Central Air conditioning? /� * Business Industrial BUILDING STYLE, PRIMARY STRUCTURE * CCrlcher Ranch Log cabin * if addition , what will use be?".. J F (fvy+ Raised ranch Mansion Duplex D©vr , ¢ . Bungalow Split level Old style Bun 9 * ACCESSORY Bi3ILDING- Cape Cod Cottage Other Detached garage/one car/ two car House * car Colonial' Row Town * two car/_ car ( CIRCLE ONE PLEASE ) Attached garage/one car/ Private storage building * Other ESTIMATED .MARKET VALUE OF a� CONSTRUCTION ON REVERSE 'SIDE OF THIS SHEET . To BE COMPLETED ! INFORMATION ON BUILDING SPECIFICATIONS , Form SPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . L.kj CJ L..> - Will any second-hand or ungraded lumber be used? if so , for what? Foundation wall material ( 0rC [ ( Thickness Depth of foundation below grade (to bottom of footing ) Will there be a cellar? Heated or unheated? Will re be a basement? - Floor in footage Sq ft _,��1 Wi.11 any portion be used as living spade? ( If s , what portion? sq . ft . - Type of use? Type of roof - slope d/flat/shed/otherS'.Copr�"J Material of roof --W0 �" ,/,l,C : Size , wood studs ,� - , __�_ k spacing3 o . c . length ft . —_ — — joists ( floor beams ) 1st . floor ++ ++ ., Joists ( floor beams} 2nd . floor +, K —,• spacing-�r " ) c , span /f ft . Overlays (ceiling beams ) +•�{ spacing o . c . span ft . Roof rafters spacing_ span /2 { ft . -� �.k " spacing�lE . -o . c . span /aF ft , Roof trusses (pre-engineered) spacing "o . ce span ft . Exterior wall finish_4fW*,K4fo C ,dr" 47, Of what material ? C.a.+ s ---0 .� Interior wall finish 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 fto in : Water supply - Municipal or private well 1 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 r County of Warren A F F i D A V L T STATE OF NEW YORK 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 . SWORN TO BEFORE ME THIS Signaturcx day of lg Owner , owner ' s agent , arcnitect , co ractor Notary Public , Warren County , N . Y , SPECIAL CONDITIONS OF THE PERMIT : By THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY Fmd 41 STATE STRE ET. ALB ANY, NEW YORK 12207 Date April 20 . 1988 APPlication .Vo. on file 017392-8 i A 71JI 5 03 THIS CERTIFIES THAT only the &levtrknd equipment as described below and introduced by the applicamst named on the above application mun•bor in the premises of Robert & Eileen Nurphy+ s 54 Revert' Road , Clens Falls , New Torte in thefollowing location; ® Basement ® 1st Ft. ® 2nd Fl. Oyatslde Section 7 Block Lot 54 was examined on 2 /229 lyre and found to be in compliance with the requirements of this Board. FIXTURE �TILClES SWITCHES FIXTURES RANGES COOKING DOCKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECINCAMMSCENT FLUORESCENT v AMT. C W. AMT. K. W. AMT. K.W. T. K. W. AMT. H. #. 32 16 1 3:5 2 P DRYERS FURNACE MOTORS FUTURE APPU"4CE MDIWS SPECIAL REC'PT TIME CLOCKS SM UNIT HEATERS MLTLTt-OUTLET DIMMERS NO.AMT. OR H. P. PAS H. P. AMT. A. W. 6- GMT_ MAP. AMT. AMPS. TRAN$, AMT. N. P, SYSTVSTEMS AMT. WATTS NSOF FEET SERVICE DISCONNECT NO. or S E R V I C E MITTEN AMT. AMP. TYPE EQUIP. 1 JEw't 1 1 3W 3 X 3W 3.1' aW NO. wr'•CoND. OF CC COND. NO- OP HIAW Of I I'LC{'s NO. o1F NEUTRALS O.NWEUTRAL OTWR APPARATUS.. Electric Room Heater : 2- 2 . 0 kw kw y TN3T%PC`n01q FILM PAW Robert Ea Murphy 54 Revere Road �f Glens Palle , New York 12801 239 BRANCH MANAGER Per This certificate must not be altered in any manner, return to the office of the Board if incorrect. Inspectors may be identified by'their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. �� r Jown o� ueens ure BUILDING and ZONING DEPARTMENT Bay and Haviland Road , R.D. 1 Sox 9$ ()ueensbury. New York 12801 BUILDING INSPECTOR ' S 12EPORT NAME L/!/ LOCATION / (2u Gr G Permit Date Bio . 4 ` ' t✓ YES NO * * * APPROVED - Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer ------ Rough Plumbing Relief Valves Ext . porches Finished Flsaors Interior Trim Stairs & Railingsy Cellar Drain Tile Concrete Floors plbg . Fixtures Gar , Fireproofing Door Closers Smoke Detectors Chimney IN su LAT I ON Foundation Floors Walls_ Ceiling FINAL ELF f RICAL YT3SPECTIOI3___ RIVEWAY PPROVAL ^)(Final Bui ding. Su ve f \ ifwy Gall when ready ) Next scheduled inspection Remarks- Building Inspector. 6/86 and-vl .Jown o� �teeens6ur� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D_ 1 Box 96 Queensibury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME <- V 144 LOCTfON Pi { " ,�FLTL I�V3 Date/ Perrn± t No . 'F 7 -"5 6 ✓ = APPIROVED - 'YE NO Footing/Pier Forms Foundation Waterproofing Backfill X Framing Roofing Siding Masonry Veneer )( Rough Plumbing Relief Valves Exte Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile. Concrete Floors Plbg . Fixtures Gar . Fireproofin 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- Building Inspector 6/86 and-vl