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5916 • r CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date Nov,i 19-6 This is to certify that work requested to be done as shown by Permit No. 59) has been completed. This structure may be occupied as a rylk (ii Location onci Owner PQ1C ON' • By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector CREATIVE "INSTA• PRINTING. GLENS FALLS N Y 12801 (8181793-5658 - BUILDING PERMIT -�' TOWN OF QUEENSBURY 5916 No. �Z WARREN COUNTY, NEW YORK PERMISSION is hereby granted to P• Patrick Fiore OWNER of property located at Lot 45 Algonquin Drive Street,Road or Ave. b in the Town of Queensbury,To Construct or place a One—Family Dwelling at the above location in accordance to application together with plot plans and other information hereto filed and rt approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. N- n 1. OWNER'S Address is r` Box 482 Glens Falls, N. Y. o. 0 2. CONTRACTOR or BUILDER'S Name Same 3. CONTRACTOR or BUILDER'S Address - Same 4. ARCHITECT'S Name ti O 5. ARCHITECT'S Address o -, �-4 6. TYPE of Construction—(Please indicate by X) F,.f' (X)Wood Frame ( ) Masonry ( ) Steel ( ) d Fi 7. PLANS and Specifications 28 'x74 ' per plot plan, specifications and application No. submitted including sewage system and two-car attached garage 8. Proposed Use One-Family Dwelling 0 .$5. 00 C/O Paid I $(Ozi•O() PERMIT FEE PAID -THIS PERMIT EXPIRES January 1 1g 80 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the F+ town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 25th Day of June 19 79 SIGNED BY /�✓ � -� for the Town of Queensbury N Buildi�g d Zd Zoning Inspector lI , f, * - • • 4 , - TOWN OF QUEENSBURY (Space inside block to lie filled in be WARREN COUNTY, NEW. YORK Building Inspector) Application for Application No. �p Permit Issued 19. BUILDING AND ZONING PERMIT Permit Expires. . "Lulling District . \ aloe of work THREE (3) Copies of a PLOT PLAN, Drawn to scale -\)',""`cc1 by showing the actual dimensions of the lot to be built u;em:IrKs upon, The exact size, and location on the lot of the . building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. ,/ TOWN OF QU)ENSEUF:' DATE R E 3 E [1 V E n- A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK JUPN 2 5 'i /`� ANSWER ALL OF THE FOLLOWING. 08 Fed ' The undersigned hereby applies for a permit to do the following work A.M. which will be done in accordence with the description, plans and specifi- 7IMlil11l i llI I. 1, 1 , 1' cations, and such special conditions as.may be indicated on the permit. A . CAD \ n , Th owJr,er-of-this-properrtis: ,� . �rnjC 74-iDf'C Be Y /8 . .6L iv's . . . . s. . . ...N.. (NA.E) (P.O.ADDRESS) The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: •S/1`V4 (P.O. DDRESS) (NAME) Name of Builder 0 )_��� .Address Name Of Plumber P �OgE,6L®d`sC= Address L e-7)S 111 s- Name of Mason�.'/ Q`If/9R 0. . .0 C3/i.... . . : . . . . . . . . . .Address C.O.4/.e ?.$1 o. . . . .6,k Lot Number. . .? . • . . Unit . . . . . . . . . . . Estimated value of proposed work S .3. .p .i. .0.0, Q 0 Name of Village ./0. � . • A. $dt A 7' Name of Street a.4. 6.a. x�• tT /Ii) • . • PR, Side of street: north 1,east 0, south 0. west ❑ Nearest Cross Street C N` .R 0 1k E C '-ir Distance from this cross street Sb Ft. Property is north ❑,south Z,east Ill, west 0 from Cross Street If on Corner, which corner, northeast 0, northwest ❑, southeast 0. southwest (Designate by marking with an"X in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Main Building Construction of a new building. One family dwelling �l El Addition to a building. ❑ ❑ Alteration to a building. Two-family dwelling ElDemolition of a building. -family apartment house ❑ Store building ❑ . . vZ -car attached garage ❑ Other: • Accessory Building One-car detached garage ❑ ❑ Other work. Describe Two-car detached garage ❑ Private chicken house ❑ Private storage building ❑ • Other: ZONING SPECIFICATIONS. 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, size and setbacks of pro- posed buildings,and the location of all existing buildings. NORTH Show proposed buildings) in dotted line and existing • C I+E'/?0 IC E I 1-.19. Iuilding(s) in solid line.' /Qi / / Size of property /3' ft. x (W !` / ? ft. J Size and use of existing buildings, if any )- I- N W W it Size of proposed building o2 ft.x . . . . • • . ft. Height(from grade t9ridge) /(o ft. • O Front yard 5�A Side yards . . c ft. and . . � f " ft.t. ‘.IRear yard . SZ). 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 (cont'd.) BUILDING SPECIFICATIONS., (A ) �- Kind of construction: Wood frame, fire safe, etc.?. . ."4!.e. d. • '• • • . • •' (_• • • • • • • . • • • • • • . . . . . . . . . . . . . . . . Will any second-hand lumber a used? . . . . (V.c?. . . . . If so, for what Material of foundation walls ^ Thickness /0 r/ Depth of foundation walls below grade S. 72_ Cont. uous foundation? yE5 Will there be a cellar? . . . . . If so, material of cellar floor . . / Type of roof: Sloped or flat? Mat rial of roof S ti � - S „x �;!� ;. . . . . . . .", spacing . .49(. . • Size, wood studs • • • • • • • . •"o.c., length ft. Size, floor beams, 1st floor . " x ft) • •0, ", spacing "o.c., span ... . . . /c . . . . . ft. Size, floor beams, 2nd floor . . . N o(VC" x . . .I\J J.Qa" ", spacing . . AV.cs.Nam. . "o.c., span . . . )1).6. a/. ft. Size, ceiling beams " x r. ", spacing . . �g• °( "orc., span .� � :�-. ,2 ft. Size, roof rafters or beams . " x (p //1 JOSS", spacing . . �¢"o.c., span 2 ' 1 Z(ft. Exterior finish . . . 6•'17 With what material? ./'/)l) Finish of interior walls. Z y • If garage is to be attached, of what material is wall between garage and main building to be constructed? .6) y. . . . . Is there to be an opening bween g age and building? Kind of heating system . . . • Oil burner or coal. • Will a flue-lined chimney be provided? . . . • Depth of chimney foundation below grade Height of chimney above roof. . . . .2• Will there be a fireplace? ./� , Depth of fireplace hearth Will a toilet be installed? Will a kitchen sink be installed nd connected to water supp)4— Water supply (public water supply or pump) � Distance of cesspool from any private well / 6 feet Will drainage system be provided with required traps, cleanouts, and vents? e - Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to it vim,,jof my knowledge and belief the statements conta' ed in this application,together with the plans and specifications sub- mitted, are a true and co.c.plete statement of all proposed work to on o + •escnbed premises an. at all provisions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pe • i . • work hall be ,. < rlied.switth,whether specified or not, and that such work is authorized by the owner. Sworn to before me this Signal OWNER.OWNER'S ATECT.CONTRACTOR day of 19 NOTARY PUBLIC. WARREN COUNTY. N. Y. SPECIAL CONDITIONS•OF THE PERMIT: • By c:i.1 --t (rf ,')U7,,l'EN-r.:P:URY COUOTY, 'c., NVr ilIVF..11V's: Cr.*1:5PNATT014 C..IY:'- --- ;•":n7:..1,1" tvii-APt .4• 4'.'i Of)V.:al.rt ea 6 :',?(,.• t,...:!.,.. pt re 111=4 ir, ,,,,,lc. , 4 "' - 7:': :' •',i,,,'4' ,'.4..•:. ‘1.: ''-:4:•4 'e,Y.'Er 14• :1,Cf ! s ., l ,sil :7 .:‘4.---h,S411,.S.Tn71411.11 C.,C,f51',.44.. „ . 4M 6 i 6-a..... ,, T•,F;r c.:',';',I-, •7."47.4":'t•• :;3:' ...4:,"4:.171 t.1 t I.,r A 4-ffi, 1 „ r._:.., ‘.,..! -.,:, c, .:t.-: c.,-sie:,z,z-,• z,,,,Evo,e, 1-.-,:t '‘.- 1. k .f i:.•::r,,:,,,,,,,, i1 ,;.1,.::! 434 1'4 a :'5 34.'f,1 0 :r a ...,,.,:b.. -r,t ;:'_,c,•vtdil:.-.11 ,,, ,-„ , , - , , ,,, ,. . -„ , ,, ,. . , „, e .. .. ,. . - - ::' : •,•-•.7' ,:,•,- ,;:fs- ,,, 7_•.t.i,;,,•:k p .t.': :,t, I.Q. valu-(5 ,. , „- u , , , ,. . , ,, ,,, ,, , , 1r "va,F,i, ,(;[;-ljat ift :1',.ift R Vii,Iu4, ; 1..-,..:1.:), !..1.411.2--yt.l.r i:P;". r. 5..`:''''V e 7 . , e, C 4 .'./. .` 04 - ," 0 " . 9o0 . a . .." 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R1 GLENS FALLS, NEW YORF. 12 801 APPLICATION FOR A PERMIT TO CONSTRUCT, ALTER OR ENLARGE A SEWAGE DISPOSAL SYSTEM WITHIN THE TOWN OF OtTEENSRURY OCCUPANT'S MATTE -�% /c/i fr o --*--- ADDRESS / AZO0 V 6 el 51/2) %7A', TELEPHONE_29 2 oZ CY ? Z OWNER'S NAME /7/ - • ADDRESS .S-- Q f J 4)//u , 2 NUMBER OF BEDROOMS GARBAGE GRINDER? c) b (YES OR NO) TOPOGRAPHY: FLAT, ROLLING, STEEP, SLOPE, GENTLE NTLE SLOPE,• OTHERL 1227:1 NATURE OF SOIL: CLAY, SANDY, LOAM, GRAVEL, ROCKS, ETC. 5 191 DXl PERCOLATION TEST WATER SUPPLY: MUNNICIPAL, WELL, OTHER` DIAGRAM OF PROPOSED SEPTIC SYSTEM 5v 2 r NI - \ 2 r Z 11111 0 � �a l OTHER PERTINENT INFORMATION ,97- g e 4 /3 . 4;1 .3,.� TT IS HEREBY AGREED THAT IF THIS APPLICATION AND PLAMS ARE APPROVED, INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL BE MADE IN ACCORDANCE WITH DETAILS SHOWN DA; 0zei -72$-7 j SIGNATURE OF APPLICANT e--, 2.., LAGEoRGE PARK CntJtlSSTON- AAPRnVAL: (signature) (date) -�a,4lJ.Al.).-3-0.A.\,l.\�l)./.J..V..C��J.kJ..V,d?��J.a,,',,,, C.-W-4.1��A��Ca.U.4.a..CJ.�a�J..!•••1,la.lJ.Aa AJ_��n..?-!at.Ca ,1Via.ti�A),�Ca.44.U.,larC�.Ca.lA.V..la�� l�A la.Ca..CJ. - Y p THE NEW YORK BOARD, OF FIRE UNDERWRITERS - -C rY BUREAU OF ELECTRICITY 'r -- 41 STATE STREET,ALBANY,NEW YORK 12207 ;Y Application No.on file /\ ..,- Date .< THIS CERTIFIES THAT P1 r r only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of .r .r .Y - in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. - - . Section Block Lot ,Y was examined on _ _ .: and found to be in compliance with the requirements of this Board. 'Y ,r rY ,r- FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ')" 1 OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT MERCURY .W ,y �, VAPOR AMT. K.W. AMT. K.W. AMT. K .. AMT. K.W. AMT. H.P: -0 -G PY ,r ^( rY DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS n- 1' SYSTEMS 'Y 'AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A-W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET .AMT. WATTS ,Y rY SERVICE DISCONNECT NO.OF - S E R V I C E 'Y ri AMT. AMP. TYPE EQUIP I 2W 1 A 3W 3,0"3W 3,0'4W NO,OPER%COND. OF CC COND. Na OF HI-LEG OF.W.G.LEG Na OF NEUTRALS OF W.NEIJGRAL '>' Y t OTHER APPARATUS: Y i r ,Y 'y >- rY � :r i� y — ' i ;r 4 ??1,c"..!5;204 :7 , . :4- , BRANCH MANAGER k Yi Per r 1 ''CYYYYI'F YY'YYY'iYYYYYYfYFY YK- YYYY YYY'YYYYYYYYYYYYYYYYYYYYYYYYYYYYYYYY-•'iY?i-ii-VYYY'fYi'yYYYiYY '5,il riYYYYYii-i, ^ii'l'YYYYI COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNtik. fri TOWN OF UEENSBURY Building Department • Inspectors Report Date 'Z.-2- 7,9 Name 1Par et_G4 Location . 4 t fi 7 Permit No. jr1 Up Weather Remarks Exca'Yation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing / r0 / Backfill `�`� ' Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings a//[J�� f a, i Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. • Septic Approval Floors Foundation" Insulation Walls Ceiling / • Building"Tnspector • REMARKS • Dej 1-1 • 1\ • TOWN OF QUEEN5BURY Building Department inspectors Reports a ztee ,.241- Name /i d'o Location Permit No. F 5 16 E'V�...:atiher` Remarks Excavation Footing Forms Footing & Piers P �� Foundation Cement Coat Waterproofing rn Ba ckfi l l __j Final Survey < Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves , Wall Board Lt a Ext. Porches i • Finished Floor Interior Trim Stairs & 1 Cellar Dr. Tile i \ Concrete Floors Plbg. Fixtures Gar. Fireproofing 1 Door Closers �T Chimney ° / - —` Water Meter In.t, Septic Approval Fc7 d,-ti - Insulation Building Ins_•.ctcr REMARKS 1 TOWN OF QUEENSBURY Building Department Inspectors Report Date9?j77 e Name 1P. l e rf Location ('- # 7Z-G`' Permit No. 5 91 r Weather Per Cent Complete Remarks Excavation Footing Forms , Footing & Piers Foundation Cement Coat . Waterproofing Backfill • Final Survey Framing Sheathing Roof Felt Roofing Siding / Masonry Veneer Rough Plbg. Rough Htg. Relief Valves Wall Board Ext.Porches Finished Floor - Interior Trim Stairs&Railings • Cellar Dr.Tile Concrete Floors Plbg.Fixtures Gar.Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Building vector REMARKS /Pd,cci / /7 ...../ TOWN OF QUEENSBURY Building Department Inspectors Report Date 2l ;Z5 Nam:- �jl Location /7 ti('yJLt,'IL Permit No. 9/E 'Weather Per Cent • Remarks Complete Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill ✓ l Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Rough Htg. Relief Valves Wall Board Ext.Porches Finished Floor Interior Trim Stairs&Railings Cellar Dr.Tile Concrete Floors Plbg.Fixtures • Gar.Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval uilding Inspector REMARKS TOWN OF QUEENSBURY Building Department Inspectors Report Date Name J�7% Location Permit No. Li 0 ri i I(o Weather Per Cent Complete Remarks Excavation Footing Forms a/ - ,— 2) - Footing & Piers �— v Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Rough Htg. /1/2 • Relief Valves Wall Board Ext.Porches Finished Floor Interior Trim Stairs&Railings Cellar Dr.Tile Concrete Floors Plbg.Fixtures Gar.Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval /jj, Building Inspector REMARKS _. ., r riq.EA12,_ VARQ IS' ( I v n. t__._ 3 .A til itt..... F—__ j' ( ctsfe 66)( 6 F-� ik,1166, 6 d.i. Tri-h) k C.4115Cf a 1 Li 0 U S 6 ri __ St&` ©UJaL.L . I ., <4 1 , /3 g > c 14L6otJ4Lilly 0t2_