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1316 r , G r i CATS CIF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK ~#-` D ate re.'iruar4, 39,__19'1s�L This is to certify that work requested to be done as shown by Permit Noo has been completed. 1 � 1� +� l Y�1 This structure may be occupied as a Locationll�rh� cOwner By Order Town Hoard TOWN OF QUEENSBURY Building Fr Zoning inspector x BUILDING PERMIT a TOWN OF QUEENSBURY No. 1316 �. WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Robert Hatease OWNER of property located at Merritt Road Street, Road or Ave. in the Town of Queensbury, To Construct or place a One fa&uily 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 Oueensbury Building and Zoning Ordinance. 1 . OWNER'S Address is R*D.#2 Glens Falls , New York 2. CONTRACTOR or BUILDER'S Nan SAMS AS owner 3. CONTRACTOR or BUILDERS Address d. ARCHITECT'S Name t $ S. ARCHITECT'S Address C9 CL 6. TYPE of Construction — {Please indicate by XI ( 30 Wood Frame { I Masonry { I Steel ( ) 7_ PLANS and Specifications No- 44x52 one family dwelling as per submai.tted plans and specifications to include sewage B. Proposed Use Dwelling rlo m >s $ 30 * 00 PERMIT FEE PAID — THIS PERMIT EXPIRES 1 -1-72 19 l—r {If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Oueensbury before the expiration date_) �D Dated at the Town of Queens ry this 15t1n Day of July 1971 IS � SIGNED BY for the Town of Queensbury A Building a ning Inspector TOWN OF QUEENSBURY ISIM( (1 inside block to !x, fill, (I in Ill. WARREN COUNTY, NEW YOI IK Building lnspc•ctorl Application for ppiiqu-A�{,Ei � BUILDING AND ZONING PERMIT h�.I III .1tp P D �y - AAA � + Lf�13Ix7 ^} T .+ ills' exl THREE { 31 Copies of a PLOT PLAN, Drawn to scale - showing the actual dimensions of the lot to be built idCrMpIBUILDING x, E -1 `: i .q ; I ' "7.)l CTOR upon, The exact size, and location an the lot the mot ' building to be erected or altered MUST BE SUB- T40'-N 1 MITTED WITH THIS APPLICATION. _ TCWty C7Ic QUEIVc DATE . - - - r� Pb A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK f' �4 ANSWER ALL OF THE FOLLOW INC . '30 {i � 41971 Iho undersigned hereby applies for a permit to do the following work A-Me ,vhick will be done in accordance with the description, plans and specifi- 1 1$ I 1� I A.t47. dtioNs , and such special conditions as may be indicated on the permit. 16 1 c7 c ner f this pin v ',,�- fpo. ADDRESSI " }terso)l responsilti<: f supervision of the work insofar as the Building Code and the Zoning Ordinance apply i5 : $ r l ! I NAME+ , . - - . . . i P,O, ADDRESS} - . - - - . . a me. ol Builder . . . . . . . . . . . . . . . . . . . . . . - , . . - . . _ _ . . . . . . Address `chine of Murnber _ . . . . . . . . . . . . . - , _ A . . . Address . . . . . . . . . . . . . . - . . . . . - Nam-rofMason . . - . . . . . . . . . . . . . . . . . . . . . . , . . Address - . . . - . . A - . . . . . - N urnbet. . . . . A . Unit . . Estimated value of proposed work f . f" n P.-6 . - '.:,Arne of Village - . 1 ? p . .Name of Street , . . r. 1. Side of street: north C . east 0 , south J . west 'yer�, rt.-sr Cross Street . . (30 " -fl, . , - IC , . . . . AAA Distance from this cross street ti I 'r Ix rty is nA .orth south ❑ , east C i , west ❑ from Cross Street z ; orx Corner, which corner, northeast U , northwest © , southeast ❑ , southwest ( Designate by marking with an "X" in the correct space.) 'WATURF OF PROPOSED WORK OCCUPANCY "-,amtn4rtion of a new building. Main Bui-}ding Arlr3itiort to a building. One-family dwelling rration to a building. Two-family dwelling < ar{ ,iition of a building. -family apartment house Store building -car attached garage Other: . . . . . . . . . . . . Accessory Building uo;rk- Describe: . . . . . . . . . One-car detached garage Two-car detached garage , . . _ . . . - . . . A A . - - . . Private chicken house Private storage building - . . . . . . . . . . . . . . . . A A A Other: - . . _ "IIC] NS. Fill in for new building, or addition to existing building, or a change of occupancy . Indicate on the plot plan street names, the location :,I n,t size of the property, the location, size and setbacks of rnr HaRrHw� i posed buildings, and the location of all existing bi:iidin�� Show proposed building(s) in dotted line and exisneav Iwilding(s) in solid line. , Size of property - .fs� . . . . . . . , ft. x . r `A-k . Size and use of existing; buildings, if any . . . . . . . . . I- "' Size of proposed building . . ft. x --t'�. � Height ( from grade to ridge) . Front yard . . . . . . . . . . . . . . . . Side yards . . . . . . . . . . . . . . . . . . . ft. and . Rear yard . . . . . . . . SOUTH If on corner, setback from side street Note: Alf distances are net, as measured from street silo line to nearest {.cart of building. (OVER) (cont'd.) s,CILDING SPECIFICATIONSo Kind of construction: Wood frame, fire safe, ey�cc . . . . q ° . . . . . . . . . K.' Q. - - . . . , . If so, for what? . . . . . . . . . . . . . . . . . . . . . . 4 . . . . . . . . . . . . . . . . Will any second-hand lumber be u aI tr Material of foundation walls fa. . . , Thickness . . . ./A* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ' C tinuo s foundation? . . . . . . . . . . Depth of foundation walll�w grade . . . . . . . . . t•• Will there be a r? � . . . . . . . - . If so, material of cellar floor . . . �� . � 6, . . . . . . . . . . . Type of roof:, io or flata Material of roof . . . . - . , • . • spacing , !r "' . length . . . . � . . . . . ft. Size, wood studs . . . - " x . . . . . . . . . . . . . . . P g j e Size, floor beams, Ist floor F .25 . , . . . " x . . . . . . . . . . . . . . . ", spacing . . . . -� tn. . . . . ."'a ., *pan . . , . . . . . . . . . . . ft. „ spacing . . . . . . . . . . . . . . "o.c., span . . . . . . . ft. Size, floor beams, 2nd floor . . . . . . " x . . . . . . . . . . . . . . . � #� g Size. ceiling beams . , x ". spacing . . . . . . . . . . . . . .*Vc„ span . . . . . . . . . . . . . . ft. Size, roof rafters or be s - . . . " x . . . . . . . . . . . . . . b ", spacing . . . . . . . . - , . , . . o.c., span . . . . . . . . . . . . . . ft. Exterior finish . . . . J4:;e4 ' • • . - • . . With what material? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Finish of interior walls . . . La<7` •� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If ga age is t be attac of vi+hat,material is wall between garage and main buiJAing to be constructed? Is thei're to be an opening between garage and building? . , . . • .vo- , . - . . . • . . • . . . . . . . . . . . . . . . . .. . . . . . • . . . . . Kind of heatin s stem Oil burner or coal? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . g y C / Will a flue-lined chimney be provided? . . . . • . • • • • . . . . . Depth of chimney foundation below grade . . . . . . . . . . . . . . . . Ileight of chimney above roof . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ - . . . Will there be a fireplace? . . . . . . . . . . . . . Depth of fireplace hearth . . . . . . . . . . . . . . - . . . . . . , . . . . . . . . . . will a toilet be installed? . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a kitchen sink be installed and connected to water supply? . . . . . . . . . . • • • • • • . P - - • • . • • • . • . . . . • • . . Water supply {public water supply or pump) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • , . . • . . . . . . I . . . . . . . . - - Distance of cesspool from any private well . . . . . . . . . . . . . . . . . . .. . . . . . . . . , . . . . . . . . . . . . . . . feet Will drainage system be provided with required traps, cleanouts, and vents? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AFFIDAVIT' Town of Queensbury County of Warren Sal State of New York I swear that to ttte best of my krww Aedre and belief the statements aaa this spplseatiao, with tiro y�s�s and apsa36eatiue�a salt mitred, are a true and corn fete statement of all prupossd work to o e ea and tbuit rD of iba BLTILI3- ING CODE, THE ZONING ORDINANCE, and all other Laws parts' ins tB w ' whetltar spensltied cwr ms, and that such work is authorised by the owner. Sworn to before me this $ienstnre .- . OWNERS !►GENT, ARCHITECT. CONTRACTOR dayof. . . _-. . . . .. . .... .. . . . . ... . ....I9.. ... . NOTARY FUBLAC. WARREN COUNTY, N- Y. SPECIAL CONDITIONS OF THE PERMIT: By .. . . ...... ...... . ....... ........ ...... .. ........ ................ .... ................ .......... ..... ............