6628 a i c)
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date (0;®.1';., ', 2 l 19t
This is to certify that work requested to be done as shown by Permit No. LCP` 2
has been completed.
This structure may be occupied as a )= ' -weA l Vl .
Location ig '
pruner
By Order.Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
CREATIVE "INSTA• PRINTING. GLENS FALLS. N V 12801 15101793-5658 ' '
• '•z BUILDING . PERMIT
TOWN OF QUEENSBURY
No. 6628
WARREN COUNTY, NEWYORK
PERMISSION is hereby granted to Douglas Coon
OWNER of property located at Bayberry Drive Street, Road or Ave.
in the Town of Queensbury,To.Construct or place a One—Family Dwelling cn
at the above location in accordance to application together with plot plans and other information hereto filed and C]
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 0
1. OWNER'S Address is
350 Canada Street
Lake George, N. Y.
2. CONTRACTOR or BUILDER'S Name
John Hughes
Iv
3. CONTRACTOR or BUILDER'S Address
375 Bay Road
Glens Falls, New York
4. ARCHITECT'S Name C7
ri
N.
ID
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( 1 Steel ( )
7. PLANS and Specifications 28 'x8 0' per specifications and application o
No. submitted including sewage system and two-car attached
garage.
• Iv
8. Proposed Use
W
One—Family Dwelling
r:7
$5. 00 C/O Paid m
$126. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 1 19 81
(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.)
Dated at the Town of Queensbury this 30th Day of Sept ember 19 8 0
SIGNED BY O for the Town of Queensbury
Building andeoning Inspector
TOWN OF QUEENSBURY ' (Space inside Klock to lx filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application No. .APPlication for
1'rrmi) Is:,uM - 19. .
BUILDING AND ZONING PERMIT Expires. 1g.
i-i'111n0 District
. \ ;iliac. ',I Work.lr
THREE (3) Copies of a PLOT PLAN, Drawn to scale \1'I" ``I by
showing the actual dimensions of the lot to be built Rema(KS'
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 OUEE►•IS '�;.. .
..9 Q - ' DATE REGVIVE
\-i)
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK SEP °Z 9 1980
di 4
ANSWER ALL OF THE FOLLOWING. i 3/ ,u re-e p.M.
The undersigned hereby applies for a permit. to do the following work A.M. g 10111 )112131415I6
which will be. done in accordance with the description, plans and specifi- .4 I• I ,I !
cations, and such special conditions as may be indicated on the permit. • C/p ",.,,"c.,
The owner of this property is:
D.0 1. !A...s. . .C.�1.ar-/ 360 C .4141:>+ ,q -57 ,�.,G-.
(NA''E) (P.O.ADDRESS)
The person responsible for . supervision of the workinsofar as the Building Code and the Zoning Ordinance apply is:
. . . . . . ..t. ...... .fi�•,he.s 325 i34/ ,moo/.
•(NAME) , (P0 ADDRESS)
Name of Builder... F•I.a.r1✓47( /-i&"?A e..i Address r
Name of Plumber- SJtlj?. Cv r h 4,c'SG. - • . Address Pc "Truer Rd S.C.," F'
Name of Mason. . .ge.,ci .Bif id zv:1-I Address FE':'> iceN!�
Lot Number 0 Unit Estimated value of proposed work i . . fa.'. 4)e 0:PO
•
Name of Village
Name of Street . .B yi3cYe-/ De. Side of street: north G , east 0, south 0. west 0
Nearest Cross Street ./ne—rifdo• - • .areAog Ietti. Distance from this -ross street Ft.
Property is north ❑,south ❑, east [1, west Q from Cross Street
If on Corner, which corner, northeast ❑, northwest Eli, southeast Q. southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY .
4 Construction of a new building. Main Building
❑ Addition to a building. One-family. dwelling ElTwo family dwelling [�Alteration to a building. • . • , • . .-family apartment house ❑•
❑ Demolition of a building. Store building ❑
. . . .4. . .-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 building(s) in dotted line and existing
buildings) in solid line.
Size of property A.0, s- ft. x
ft.
Size and use of existing buildings, if any
i W Size of proposed building . . . . . . J. g. ft.x SO ft.
Height (from grade to ridge) /( ft. .
Front yard . ty Q ft.
Side yards 6.9. . . . ft. and 4 6 0 ft.
. Rear yard 7 t0 0 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: Wood frame, fire safe, etc.?. . . .414. . 6" Cit 214 o •�
Will any second-hand lumber be used? Nv If so, for what2
Material of foundation walls C'u .e;ir Thickness /a '
Depth of foundation walls below grade . . . 5 ' Continuous foundation? ./
Will there be a cellar? f e c If so, material of cellar floor . . e v-sicce;7cJ
Type of roof: Sloped or flat? a5 /a j4 Material of roof //-s folly ./T S/7".rt i e-s
Size,wood studs ., . " x N ", spacing /G "o.c., length 8 ft.
Size, floor beams, 1st floor "x /v ", spacing /G "o.c., span i°! ' ft.
Size, floor beams, 2nd floor x spacing "o.c., span ft.
x( r�s G%� ', spacing t "o.c., span ,�. '£+
Size, ceiling beams " ft.
Siie, roof rafters or beams " x G f ", spacing N "o.c., span ft.
Exterior finish C ✓,J,4'.c. . .S i With what material?
Finish of interior walls //:7? " c/ f w'")/f
If garage is to be attached, of what material is wall between garage and main budging to be constructed?
Is there to be an opening between garage and building? tf Q
Kind of heating system . . /'.a% i'Ji iri j' Oil burner or coal?
Will a flue-lined chimney be provided? Depth of chimney foundation below grade .0--
Height of chimney above roof
Will there be a fireplace? .: Depth of fireplace hearth I '
Will a toilet be installed?
Will a kitchen sink be installed and connected to water supply? . . .X s
Water supply (public water supply or pump) . . . .��b/t �-
Distance of cesspool from any private well feet
Will drainage system be provided with required traps, cleanouts, and vents? . .
AFFIDAVIT
Town of Queensbury l
County of Warren
State of New York
I swear that to tr, bard my know,ledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.i.plete statement of all proposed work to be done on the described premises and that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to thepposed work hall be complied with,whether specified or not,
and that such work is authorized by the owner.
C
Sworn to before me this Signature 94 OWNER.OWN R' GENT,ARCHITECT.CONTRACTOR
day of 19
NOTARY PUBLIC. WARREN COUNTY. N. Y.
SPECIAL.CONDITIONS OF THE PERMIT:
•
Nor p/
By
BUIDY,N IGNI.C,G DEPARTMENT
JiFN yiij OFF IC E 13U LD INC.;
E,VtY & HAv:: AND ilet:',J.DS D
GLENS FAU,i, NEW YORK 12801
FOR A PERMIT TO CCVS7RUCT, ALTER CR ENLARGE
'1ISPOSAL SSTEM WITHIN THE TCMN OF QUEENSFAjRY
tj,MT 9 Ck 11.!bjgr: 0 0 of ArirqP ESS
•4 •,4'A`, , • V % .e.T4 3.5 0 04.44e1.4 7".
0,41,,,Z.V.L`._ rrouisafla.,1,..:44VinraTM
1.7 OWN V.PIT
•u, ,
A 7
3 S Ai4 d -7- N.:1J leth t.',1•1 01- ,
'En? (YES CR NO) TOPOGRAS''HY: FLAT4 RCUING,
-------,—
S•Le•Fli
;,ccfurtE ;Q.;0:17. ft,!, :•_•.„ jyy, 6.11p FT r c.•81(.•
i7M(2.0Y. 1'7. • \Jj 1P M1JNIC7.rAL, WEr7„,.- OTW1R
F V.Zrssau,• • ..r.1,-.41V, •
DHAGRAM OF PROPOSED SEPTY1
• _ _
•
•
, •
OTHER PliAT'S.NEaTt INORMA7-4M
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• S Znr,r ;IA P-±Y 7,.1 IF, Ap p LacAT ON ANC AR ARC'/tt
TASTAT,LATION OF SHWAG DISPI,•Si';.f., 'FACILITIES WILL BE MALI.E ACCORDANC
WIrri DT:AIL.S SHOWM.
• E 0.2 _ 13 I(..:11A11.1.:V.:',..1 0.F P L IC.'=A1,11" 94 •
LAKE, GEORGE PARK COMMISSION API4OVAL.1
•
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} THE NEW eR BOARD. eUNDERWRITERS
/ .
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% Date - /## , . . .electrical equipment . ,
r described , , named on application • ¥
/
} in the following ■ Basement n ist ■ '
•}< » .
DECKS FIXTURE . FIXTURES RANGES COOKING
ECEPTACLES}a .
i
k
$ FURNACE MOTORS FUTURE amaa �2� scia' TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS• \
w •_. K.W. OIL H.P." GAS H.P. _. �W.G. AMT. AMP. _. _s TRANS. _. H.k .SYSTEMS I zz WATTS '
§ . . - . .
§ J \\ \ \S . \
# SERVICE DISCONNECT NO.OF S ■ R V I C E
k AMT. AMP. TYPE �� Oc cm **a /
EQUIP. 2W .�» ,�m ,»4W OF HI-LEG A. OF NEUTRALS A._» OFe � e �_< /
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# BRANCH .4A ER.
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lfY mYYY YY Y7YYYYYYYrYYy
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERT■ ■FCAT■ MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 3—23-d'l
Name 7'e'c' v
Location
Permit No. (/ Weather
Remarks
Excaiia ti on
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing �
Siding U
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings ,�72./ 4, c:1 ,i,v
Cellar Dr. Tile FtPtietie-e _I ..
Concrete Floors 'El/rg P-
P lbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
Building Inspector
REMARKS
/l;a/ l, a� ���1
•
TOWN OF-QUEENSBURY
Building Department
Inspectors Report Date /F —1/-c'
Name C� nJ
Location Lpee
Permit No. "/ .$ Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves \
Wall Board f
Ext. Porches \
Finished Floor .Interior Trim •
Stairs & Railings
'Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing •
Door Closers
Chimney
Water Meter Inst. I/��
Septic Approval
Floors
Insulation FoUndatiorl
. Walls — ' '
Ceiling
• Building Inspector
- REMARKS
•
• TOWN OF QU'EENSBURy
Building Department
Inspectors Report Date /a -7Z -(go
✓
. Permit No. l p (o Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat'
Waterproofing
Backfill
Final Survey
Framing /l •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches Finished FloorInterior Trim � :::\\\\\\\\\:::::
`
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney °
Water Meter Inst.
Septic Approval
Floors '
Insulation Foundatio�ti
Walls
. Ceiling
• Building Inspector
REMARKS
grL) Jss
3
• TOWN OF QUEENSBURY-
Building- Department
Inspectors Report. - • Date 91 /fv
Nome /) 'i �J j / 2
Location
f s.t
Permit No. 6 6, `7 7-6 ,n Weather
•
• 6 6 8 "� ```' . • Remarks
Excavation
Footing Forms i>
Footing & Piers
Foundation
Cement Coat
• Waterproofing \
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
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney •
Water Meter Inst: •
Septic Approval •
Floors •
Insulation Foundation -
Walls " • '
Ceiling
•
•
• Building Inspector
•
•
•
REMARKS