4895 C/O
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date ' 16 19 % •
Q -Lfq
This is to certify that work requested to be done as shown by Permit No.
has been completed.
This structure may be occupied as a
Lot .'�i. tir:_.r."'i-C1< Circle :.: ! O . 1� ;
Owner ;
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector.
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CREATIVE "INSTA" PRINTING. GLENS FALLS. N Y 12801 [516)793-5656
BUILDING PERMIT
TOWN OF QUEENSBURY No. 4895
WARREN COUNTY, NEW YORK
• i
PERMISSION is hereby granted to Robert W. Weaver, Jr.
(St. #25)
OWNER of property located at Lot 24 Heinrick Circle Street,Road or Ave.. Pzi
O..
cD
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
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is 12 Heinrick Circle m
Glens Falls, New York
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2. CONTRACTOR or BUILDER'S Name
•
Same
3. CONTRACTOR or BUILDER'S Address
Same
4. ARCHITECT'S Name
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5. ARCHITECT'S Address
CD
F,.
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6. TYPE of Construction_(Please indicate by X) ' 0
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( >d Wood Frame ( ) Masonry ( )Steel ( ) n
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7. PLANS and Specifications N
48' x 42' per plot plan, specifications and application CD
No. submitted including sewage system and two-car attached
garage.
8. Proposed Use O
CD
One-Family Dwelling
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$5.00 C/O Paid
$ 64.00 PERMIT FEE PAID—THIS PERMIT EXPIRES April 1 19 78
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
O.
Dated at the Town of Queensbury this 16th Day of S Ppt Pmher 1977 N
SIGNED BY ¢ 49 for the Town of Queensbury
uilding and Zoning I spector
TOWN OF QUEENSBURY (Space inside block to lx filled in by
WARREN COUNTY, NEW YORK • Building Inspector)
Application for Application No. "
pp Permit Is.ued 19. .
BUILDING AND ZONING PERMIT Permit Expires. lg.
i.(')ninU District
One nl Work
THREE (3) Copies of a PLOT PLAN, Drawn to scale 1i'I ""•c1 by
showing the actual dimensions of the lot to be built Ren,arKS-
upon, The exact size, and location on the lot of the
. building to be erected or altered MUST BE SUB- -
MITTED WITH THIS APPLICATION.
7/76/2)
TO\NN OF' QUEENSE1UF Y
DATE J u kl 11c/ E I I I t
v tkll U II Il�li i1
C,f'L. ...*.--Nip
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ,, „ �,
ANSWER ALL OF THE FOLLOWING. °'E l' ` 197,�7 4 i
The undersigned hereby applies for a permit. to do the following work A.M. ,� P.M.;
which will be done in accordance with the description, plans and specifi- 71819L_11011111Lill 1131 J516
Li &cations, and such special.conditions as may be indicated on the permit. A
Th caner of is roperty is:
• 2--Vc . . . . .�g. . . . . . . . . . . . . . . (2. :4:�t.r► tGt.. . . c:�.k.0 L A. . . . .G.e'. . . . .
. . . (NA••:P) (P.O.ADDRESS)
The person responsi - for •.supervision of the work-insofar as the Building Code and the-Zoning Ordinance apply is:
J/IA ---_.__
ANE) . (P.O ADDRESS),
Name of Builder , "A, Address
Name of Plumber ' A 11--6 1Js L • • ' Address
Name of Mason • LN..) ___A USE`. Address
Lot Number. . . .,-. . . . Unit Estimated value of proposed work 3 -3a 0 °
J
Name of Village pQ
Name of Street C (nt2CC" t< ._I hC(- - Side of street: north 0, east 0, south 0, west 0
Nearest Cross Street
W 2 i 1v12 iC._ K S I Distance front this cross street . .)/"_. . .ig.1.► . . . . . . . . Ft. •
Property is north 0,south 0,east i 1, west ' ❑from Cross Street
If on Corner, which corner, northeast ❑, northwest 0, southeast 0. southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY _
,NYConstruction of a new building. Main Building
❑ Addition to a building. . One-family dwelling
Two-family dwelling ❑
❑ Alteration to a building. . , . , -family apartment house ❑
El Demolition of a building. • Store building ❑
• . . ,Z._. .-car attached garage .>
- Other:
. Accessory Building
• One-car detached garage O
❑ 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 building(s) in.dotted line and existing
lhuilding(s).in solid line.
•
Size of property . . . 1. .)• • • • ft. x ` `) ft.
• Size and use of existing buildings, if any
I-
Z
s W Size of proposed building . . • •f�• . . ft.x ft.
Height (from grade to rige) - . -. ft.
Front yard =?. ft.
Side yards `) ft. and Z ft.
Rear yard - 9 C.: 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.,
Kind of construction: m fire safe, etc.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will any second-hand lumber be used? A.) t:3 If so, for what?
Material of foundation walls ( (5 6 L 0 C.< Thickness
Depth of foundation wal113,9low_grade Contijpous foundation?
Will there be a ? --r--,_____ If so, material of cellar floor . . . . .t.Y.C._.(C, 5._.1--1 r_ .1
Type of roof: Sloped flat?
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Material of roof EX. ht A L.- i (1"f (tu6 .e..._. .c_....
Size,wood stu. s k-Z___ "x y ", spacing . . . (7,. "o.c., length. ,i4r• ft.
Size, floor beams, 1st floor Z___ " x C.) ", spacing "o.c., span . . . .1.' . . . . . . ft.
Size, floor beams, 2nd floor -2_ " x I b " spacing 4 1.:,. "o.c., span 1 C.( ft.
Size, ceiling beams x . ", spacing . . . `- "o.c., span .'.2--,- - ft.
Si ,--) ,,
ie, roof rafters or beams x ", spacing . . .2_,_. . "o.c., span 2 ft.
Exterior finish . .-4WPCC--- . With what material? iivl as-0J Cr 4
Finish of interior walls. . . . ..(1--. . c.._.-re.„0. _.-.<
If garage is to be attached, of what material is wall betwyen prarnd main building to be constructed?
1-- i ci C-°P t i+z-Z- 4;---r-P •c) (--- ,
Is there to be an opening between garage and building? °T.-. CS
Kind of heating system . .2..L._ Oil burner or coal?
Will a flue-lined chimney be provided? . Depth of chimney foundation below grade
Height of chimney above roof. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..., . 4.4._...
Will there be a fireplace? i-• :.. 3Depth of fireplace hearth 2,/2_
Will a toilet be installed?
Will a kitchen sink be installed and connected to water supply?
(
Water supply(public water supply or pump) te-'-Z., .....-3 A)
Distance of cesspool from any private well Aj (4 feet
Will drainage system be provided with required traps, cleanouts, and vents? trI...
AFFIDAVIT
Town of Queensbury
County of Warren
State of New York
I swear that to th ,ivi.rof my know,ledge and belief the statements gin ir.6.--;----d in this appli on,together with the pla and specifications sub-
mitted, are a true and coa.plete statement of all proposed work to #e done on the desc premises and that all p visions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to th pro s w rk shall be complied with whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this. Signature
WNER.OWNER'S AGENT,ARCHITEC .CONTRACTOR
day of 19
NOTARY PUBLIC. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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THE NEW YORK BOARD OF FIRE . UNDERWRITERS
BUREAU OF ELECTRICITY. w ''' l ✓� y; #
, 41 STATE STREET,ALBANY,NEW YORK 12207 0
�' Date Application No.on file
�i THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of ` p
in the following location; ❑ Basement ❑"'1st Fl. ❑ 2nd Fl. • Section Block Lot
jwas examined on and found to be in compliance with the requirements of this Board.
- -
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ,
RECEPTACLES SWITCHES
-C. OUTLETS INCANDESCENT FLUORESCENT MyA�PORY AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. r
:4 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
AMT. K.W. OIL H.P. GAS H.P. AMT. NaA.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P.
SYSTEMS AMT.` WATTS
4 NO.OF FEET
'-<i -
.; SERVICE DISCONNECT NO.OF S E R V I C E
i AMT. AMP. TYPE EMQEUIP 1,8'2W 1 JB'3W 3,B'3W 30 4W NO,OF CC..COND. OF CC.COND. NO.OF HI-LEG OF.HI.LEG NO.OF NEUTRALS OF NEUTRAL
411
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t OTHER APPARATUS:
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4 - - - - BRANCH MANAGER -
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-'---h'YYYY-YYYY`Y YYYY YYYI:YYY YY Y"Y YY`CY`Cl'YYFYYYYYYY`CY`CY YYYI'YYYY YY`!Y'`CY i''YYf Fi' 1C'iriinV YYa'"A, ?"'YY YY'''i"YYr'Y`lY VY Yi'YY`IY Y1-
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
•
•
TOWN OF QUEENSBURY
Building Department
.
Inspectors Report , Date T/2C/7/
Name k_ /-/&/
Location • / / KL(Zc C-f-' (2//-
' Permit No. `-t ui S 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 6
Building Inspector
• REMARKS
L
„,/
Z /
J
TOWN OF QUEENSBURY
Building Department
Inapectars Report Date 7/-77
Name
Location Tier - J/e;n/`% C l< Cam.
Permit No. i ' Weather
Per Cent
Complete Remarks
Excavation
Footing Forms i/
Footing & Piers y _ �
Foundation {!1 i >j/
ti
Cement Coat /
Waterproofing i7
Backfill
Final Surveys
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg. �dL7z U Z172,6*
Rough Htg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs&Railings
Cellar Dr.Tile
Concrete Floors t/ 11,K d
Plhg.Fixtures
Gar.Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
/1/:/2,7
Vie--t-,4e/Zi/E-Z-
/ Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Re rt Date//d 2d— 77
Name /Wea.a 4
Location f d.e.-1Le - "
Permit No. f7 67,5 Weather I -l./6117
Per Cent Remarks
Complete
Excavation v �'
Footing Forms ,�
Footing Sr Piers riri/''-
Foundation LL
1.7
Cement Coat
Waterproofing ��-
Backfill V Final Survey
Framing MEMO
Sheathing k • )
Roof Felt UM.
Roofing SAME
Sidin:
Masonry Veneer
Rough Plbg.
Rough Ht:.
11.111.111
Relief Valves 11111Mi.
Wall Board IM
•Ext.Porches MIME
Finished Floor
Interior Trim
Stairs&Railings
Cellar Dr.Tile
Concrete Floors - /��-
Plb:.Fixtures
Gar.Fire.roofin:
Door Closers
Chimne
Water Meter Inst.
Septic A.'royal
Atifff
Building Inspector
REMARKS
i •
TOWN OF QUEENSBURY •
Building Department
•
Inspectors Repo Date y`I -7/
Name �� 4,..2,6
Location �j
Permit No. d q5" Weather �!flil//L
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
Plhg.Fixtures •
Gar.Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Repo Date Pi'24‘-7/
Nan,'
Location 't Cr t/ -27 / e-- ,- ji
permit No. i�.�; �i Weather
Per Cent •
11 Complete Remarks
Excavation v/
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
4
Wall Board
Ext.Porches
Finished Floor.
Interior Trim
Stairs&Railings
Cellar Dr.Tile
Concrete Floors
Plhg.Fixtures
Gar.Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Building inspector
REMARKS
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