609 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19
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
Location
Owner
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
et
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 609
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Joseph & Margery McPhillips
OWNER of property located at Birch Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a 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
20 East Washington Street - Glens Falls, NY
2. CONTRACTOR or BUILDER'S Name
Robert Ruggles
3. CONTRACTOR or BUILDER'S Address 3.
C'?
5 Windcrest Drive - Glens Falls, N. Y.
4. ARCHITECT'S Name
'LJ
Northern Homes, Inc.
5. ARCHITECT'S Address
10 LaCross St. - Hudson Falls, New York
6. TYPE of Construction—(Please indicate by X)
•
( xQ Wood Frame ( ►Masonry ( )Steel ( 1
7. PLANS and Specifications
No.
24'widex50' lonq - 2 stories high
8. Proposed Use
Dwelling
$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 1, 1g 70
(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 15 Day of October 19 69
gee._
A SIGNED BY�,,. V � .ice for the Town of Queensbury
Bu.
Bwl•i :�'�• oning Inspector
�G`
. ) TOWN OF ci iz. r 1... „
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h:i' L� U L��
TOWN OF QUEENSBURY
Warren County, New York " -:
Office of the Zoning Inspector A.M. P.M.`
718I iO_ i2JiiaiI
APPLICATION FOR A BUILDING PERMIT i
/--.) :tfv) t-e-r
Location of Property 1`,�. .✓. :. . . . . , `"' Road,Street or Avenue
Owner' s Name and )27t 71c '
Address r
Architect' s Name
and Address . . ----4 )---
2 �:. . . . . .". .
Builder' s Name jc' Ifes e
,sT pe of Building ( check one) ( )MasonrIr (V) Wood Frame ( ) Metal
-'1 uilding to be Feet Wide . 0 Feet Long c,I. Stories High
te\ ' ��(
Estimated Cost of Building � ;
Proposed Use of Building
Are There Any Other Buildings on the Premises? 6
Is Any Existing Building to be Demolished? N
Is the Work ( check one) ( ) New Construction ( ) Repairs ( ) Remodeling
Three copies of a plot plan drawn to scale showing the actual dimen-
sions of the lot to be built upon, the exact size and location-ten the
lot of the building end accessory buildings to be erected are attached
to this application.
The undersigned hereby agrees to comply in the said construction with
all the provisions of the Zoning Ordinance as adopted, of the Town of
Queensbury.
(If permit is granted it will be on condition that building or al-
terations shall be completed at date to be fixed by Zoning Inspector,
and if not so completed permit shall be revoked by him. )
REMARKS '
I hereby agree that all work and materials will be in strict con-
formity with the laws governing building -' this Town, and further agree
to post conspicuously a copy of the Building Permit, protected from the
weather, on the premises affected.
, (Signature)
APPIZOV ED
DATED OCT 1 5 1969
t
BUIL & ZO ,1 G INSPECTOR Owner, CotrLructur, Ar-ctrttect or Agent
WN 01= QUEENSBJRY (Strike out inappropriate Provision)
Date Filed \ 5 i 191
SEWAGE DISPOSAL APPLICATION
APPLICATION FOR A PERMIT TO CONSTRUCT, ALTER OR ENLARGE A
SEWAGE DISPOSAL SYSTEM FOR A PRIVATE RESIDENCE WITHIN THE
LAKE GEBRGE PARK § TOWN OF QUEENSBURY
1. Name and mailing address of applicant:
A1 s<fes-724 ,i c 7>A. //,;, j
62/e/i
2. Specific location of property: ,ter,/F.s t S"/ &
3. Application is for:
New construction of private dwelling.
Alteration or enlargement of existing sewage disposal system.
4. Description of building:
a. number of bedrooms
b. garbage grinder
(yes or no)
5. Property line dimensions, or total area of property:
2 /Ic ,- s — //
6. Topography: re 1l' �?
(flat, rolling, steep slope, gentle slope, etc. )
7. a. Nature of soil. (Describe to a depth of 5 feet if tile
field is to be used or 10 feet if leaching pits are
proposed, giving thickness of various strata such as
top soil, clay, loam, sand, gravel, rock, etc. )
Ces r S e (— / o cA s
b. How determined? Cr.. lla Y c C U a � ►mil
8. a. Soil percolation test made by 0
(Refer to Part III, Bulletin 1, N. Y. S. Department of Health)
b. Percolation test notes submitted?
(yes or no)
9. Proposed sewage disposal system indicated on attached plan or
sketch? 1
eyes or no) '1
10. Date when construction will commence ///Pr - f r
It is hereby agreed that if this application and attached plans
dated or any amendment or revision thereof,
are approved, installation of sewage disposal facilities will be
made in accordance with the details thereof as shown on such
approved plans.
5 LdD 7 d
( a ed) - ( nature of applicant?
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