1083 t
•
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date ji117 P /4° 197/
This is to certify that work requested to be done as shown by Permit No. 1083
has been completed.
This structure may be occupied as a Dwelling •
Seelye Road®Cleverdalec own of Queensbury
Location -
Mary R. Dion
Owner
By Order Town Board
•
TOWN OF QUEENSBURY
1,9Z
Building &,G'oning Inspector
_- BUILDING _ PERMIT 1
TOWN OF-' QUEENSBURY . . No. 1083zz
- - -:,:. ,:WARREN COUNTY, NEW YORK - • - - - -
- PERMISSION is hereby granted to Mary- R. Dion-•.: _ " -
:..OWNER-ofproperty located at Se@lye 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 - _
__ ' - Seelye Road-Cleverdale-Town of Queensbury
_ •_ 2._CONTRACTOR or BUILDER'S Name
Celeste Construction Company
_ Big Boom Road-Glens' Falls , New York : . - . .
- 3:. CONTRACTOR or BUILDER'S Address Ci.
- H
: - 2
4. ARCHITECT'S Name ' _ . - ,. „. . g
..0
- • • Cr1
• - 5. ARCHITECT'S'Address •1 - A`
' 6. TYPE of Construction—(Please indicate by X), - • - - - . . - -
- (X)Wood Frame ( ) Masonry ( )Steel ( ) .
7. PLANS and Specifications '
No.: - ' 2 6'x40' _ • _
' 8. Proposed-Use
'Dwelling - - .
$ .32.00=: PERMIT FEE PAID—THIS PERMIT EXPIRES July 1, - ' : 19 71 -
(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 Q eensbury this 19th Day of = January 19 71 •
:_" - SIGNED BY ` /�tZikAa)-. for'the_T,ow ..uilding and Zoning Inspector
- .
r.
TOWN OF QUEENSBURY
(Space inside block to be filled in by
. WARREN COUNTY, NEW YORK Building Inspector)
Application for Application No.
Permit Issued 19. .
BUILDING AND ZONING PERMIT Permit Expires 19
/.( n.ing District
• Value of Work S 6 -ei
THREE (3) Copies of a PLOT PLAN, Drawn to scale .\i)},r()%c•cl by . "P • . . . .
showing the actual dimensions of the lot to be built RVmark.. . . . . .
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 QUEENSBURY
DATE IA E 0 --E [I Y E
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK 3Z�_\( 1 9 0
' ANSWER ALL OF THE FOLLOWING. �?��� I9�`
The undersigned hereby applies for a permit to do the following work A.M. P.M.
2J1I2I3l4Bo16
which will be done in accordance with the description, plans and specifi- 7i8I9%10i1,II1• , , ,
cations, and such special conditions as may be indicated on the permit. i
The owner this proJerty is_:
(NA'•'E) (P.O.ADDRESS)
The person res AS
for •supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
(_c?(.�s 4c,:4 ?/ l w A g 1.7 Or"'-'
/'� // (NAME)// / (P.O.ADDRESS) /�
Name of Builder. .a.1 , 1 . . . . . yn1/ C1 Address . . . .a, 130G"7 4d
Name of Plumber. . S. 6/.5 E.. Address t.Narne of Mason. . .� /-e S /C- A S7` Address /3 c� (301 G', d
oo
Lot Number Unit Estimated value of proposed work$ RIG.,PC;d
'Name of Village . . . ..�,e-e/1s di
Name of Street _e3 6
Side of street: north ❑, east 0, south al, west 0
Nearest Cross Street 1 L Distance from this cross street Ft.
Property is north I,south ❑,east [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
Construction of a new building. 'Main Builiing
❑ Addition to a building. One-family dwelling "" ,❑
❑ Alteration to a building. 9Two-family dwelling ❑
❑ Demolition of a building. -family apartment house ❑
Store building ❑
-car attached garage ❑
_, s ,�{;1`\. ,� Other:
0.
�•�•®• - •
741 • • • Accessory Building
C106 One-car detached garage ❑
0 Other work. Descr e• ,� . PG. Two-car detached garage ❑
n
� y ' G'» ;�';\' r�\$'" Private chicken house g ❑
& _ (1\0 •
Private storage building ❑
\\,�®��� Other:
ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building, or a change of occupancy.
,
i - , ,
NORTH'
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.
/ Show proposed building(s) in dotted line and existing
Cf-L building(s) in solid line.
• Size of property -3, ft. x 9 ft.
Size and use of existing buildings, if any
r 'N
N
° W
Size of proposed building ft.x . . .4fQ. . . . ft.
Height(from grade to ridge) 4 ft.
. Front yard - 6'° ft.
- Side yards IC. . . . ft. and . . . .!.4. . . . . . . . ft.
Rear yard 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)
•
- - - -- - . --- . - - --— — -- -
(cont'd.)
t5UILDING SPECIFICATIONS., . •
Kind of construction: Wood frame, fire safxice)tc.?. . . . .(4). ci
Will any second-hand lumber be used? If so, for what2
Material of foundation walls /3(0e- / 5 Thickness a-
Depth of foundation walls below grade 4 Continuous foundation? le*
Will there be a cellar? S If so, material of cellar floor a-r.)•?e".1/1—
t. .
Type of roof: Sloped or flat? 8Y°P7.- Material of roof p9-//42. a ,‘ .S 4 4
0=-/ -4( , %,
rl /
Size, wood studs 2r--/V1 )-• "x 4 ", spacing "o.c., length:7-. . . . . ft.
Size, floor beams, 1st floor "x ", spacing / "o.c.,span (174 ft.
Size, floor beams, 2nd floor "x ", spacing • "o.c.,span ft.
Size, ceiling beams "x f, spacing / "o.c., span (4i ft.
Size, roof rafters or beams "x 0 ", spacing I 4 "o.c.) span - ft.
Exterior finish 57`tie,7, 4.)oa • With what material? / /
Finish of interior walls. —
If garage is to be attached, of what material is wall between garage and main building to be constructed?
Is there to be an opening between garage atyl building?
Kind of heating system 6/0117/1'-' 1rie71,t Oil burner or coal?
Will a flue-lined chimney be provi51ed? Vk 5 Depth of chimney foundation below grade 44.,
Height of chimney above roof ;2-.
r
Will there be a'fireplace? 5 Depth of fireplace hearth
Will a toilet be installe& - r c 5
Will a kitchen sink be installed and connected to water supply?
Water supply(public water supply or pump) . ./Pv.4.7,/*
Distance of cesspool from any private well /a Ce feet
Will drainage system be provided with required traps, cleanouts, and vents? tie-5
AFFIDAVIT
• Town of Queensbury
County of Warren ss.
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 sub-
mitted, are a-true and complete 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 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 Signature V .
WNER.OWNERS AGENT,ARCrIlITECT,CONTRACTOR
day of
NOT-A2-Y-1244414.4E.WARREN COUNTY N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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P02OVED • ,r, /
116.fr' JAM 2 0 1971
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i DATED ,2 ,-
i 1
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AluiLDI & ZONI INSPECTOR 1 1 1
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.: TOWN OF Q-' -ENSBURY .
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