1162 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19 7 1
This is to certify that work requested to be done as shown by Permit No.
has been completed.
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This structure may be occupied as a
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Location -
By Order Town Board
TOWN OF QUEENSBURY
Buildingi',6 Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 001162
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Mr. & Mrs . George Vangarderen °Q
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OWNER of property located at'/ Lupine Lane L e71 4/ t1542. Street, Road or Ave. caD
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in the Town of Queensbury,To Construct or place a One-Family Dwelling & Sewage System
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
38 Walnut Street
Glens Falls , New York
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2. CONTRACTOR or BUILDER'S Name
John Cifone Jr. m
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3. CONTRACTOR or BUILDER'S Address
89 Cooper Street
Glens Falls , New York
4. ARCHITECT'S Name
Same
5. ARCHITECT'S Address Q.
Same m
6. TYPE of Construction—(Please indicate by X) (D
( Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No.24 'X52 ' as per plot plan and specifications submitted.
Sewage System - specifications s>;ibmitted
8. Proposed Use
One Family Dwelling
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$40.00 PERMIT FEE PAID —THIS PERMIT EXPIRES 1 1-1 — 19 71
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the QQ
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town of Queensbury before the expiration date.) m
Dated at the Town of Queensbury this 3 Day of May 19 71
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SIGNED BY for the Town of Queensbury
Buildin d Zoning Inspector
TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building, Inspector)
pplication for Application No.
Permit Issued <<;
BUILDING AND ZONING PERMIT Permit Expires
Zoning. District
. Valli(' of Work S
THREE (3) Copies of a PLOT PLAN, Drawn to scale •\))I uc c•d by . .
showing the actual dimensions of the lot to be built itc'niarlks
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 OFr QUEENSBURY J
DATE - D E l V D
cMUST BE OBTAINED BEFORE BEGINNING WORK /�G,° .--•,
A PERMIT �/-
ANSWER ALL OF THE FOLLOWING. fr;i_,r 3- 1971
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- 71819110111112111213141516
cz+lons, and such special conditions as may be indicated on the permit.
property owner of this ,
The u-d C' c.,,r:r k.;`�1. . . . . . . . ..... . .f c __ --.
is: •
(NA''E) -' (P.O.ADDRESS)
The person responsible for •supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
CI c.,?1.k,N. . . c,,i.-.z.ti.e . .% .\.r. . . . . . . . . 9 ct. . . .Co c,.p.c., .`Q... G-(-- -$ 1.7-7,01�.
(NAME) (P.O.ADDRESS)
Herne of Builder. . . .cJ.cNri.1c• . . .0%S"€1, c.. j ' Address . .8cf cc, ?l e-- t =lr.t•.s .�...J(.S . .
Name of Plumber. . . j=YX)--vs...... . . .S.-c;-).v`\y Address ,:j"Q,- -1,- 3 ' G--(c‘•.;. . '1„ lie. . . .
Sane of Mason a t.wh c' . •ac k "'`•`'. Address 'o 7 - ,,r,k^
Lot Number. .8 .a-!-i.Z--Unit Estimated value of proposed work$ . .2O 0 OQ
11ame of Village . . . 63 1.c1, Yd.,u j Po,AP N -
Name of Street . .Li).r..P`^• • • J•4`•A.:N:S�- Side of street: north a, east ❑, south ❑. west
. Nearest Cross Street S.i.N. 1"."N fi,-i.e.. Pe J Z., Distance from this cross street . . I.2.. G ' Ft.
property is north ,south ❑, east E l,west 0 from Cross Street
If on Corner, which corner, northeast 0, northwest ❑, southeast ❑, southwest .
(Designate by marking with an"X" in the correct space.) NOT e) c':.•,•,,.n' r-
NATURE OF PROPOSED WORK OCCUPANCY
L1 Construction of a new building. Main Building
One-family dwelling
X • Li
L Addition to a buildang. r]
El Alteration to a building.
Two-family dwelling 0
❑ Demolition of a building. -family apartment house Li
Store building ❑
•
ti_i
-car attached garage ❑
Other:
•
Accessory Building
One car detached garage
_i; Ctber work. Describe:. . . J .e.'�• .. Two car detached garage
Private chicken house Ei
Private storage building ❑.
• Other:
TCNE '3 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 _: L
li ...,.;
size of the property, the location, size and setbacks of rr^
posed buildings,and the location of all existing buiicli,a.
NORTH Show proposed building(s) in dotted line and existir.::
building(s) in solid line.
I • Size of property . . . •�.L .�'. . . . . . ft. x . .°Z� .O. A.
G rec......x...1.
Size and use of existing buildings, if any . .N.c.si ..i 6 �, FIJl° tw Size of proposed building . . .2.>.�} . . ft.x . b. .� . . • • '•.
P ,
r Height(from grade to ridge) 1
{ i `, 1 Front yard •cc t.`
I `' "T eh 1 Side yards t—J Q Sr ft. and . . .G.�'. ,s T. . .
..S k '' `' -`- hi-vf ,i(27'1 -, Rear yard J 2� Ly.
1py4�w
,i )-, " - soi r�l `j — ''`"� If on corner,setback from side street
{ 1 �— ' ,, Note: All distances are net, as measured from street sic'e
f ��� j - � 1N�.-Tog line to nearest part of building.
a�1�D1 1C1 ' UE�NS6u�Y (OVER)
•
(cont'd.)
•::.UILDING SPECIFICATIONS., - •
Kind of construction: Wood frame, fire safe, etc.? c'0
Will any second-hand lumber be used? ).i `-) If so, for what?
Material of foundation walls . . . . �.U. �. G.v� � �. . . . . . . . . . . . . . . . . . . thickness
Depth of foundation walls below grade . .7 Z. Continuous foundation?
Will there be a cellar? If so, material of cellar floor
Type of roof: Sloped or flat? . .G s t?.5 Material of roof . . ./ pi:4 t T . ....
Size, wood studs • . . "x =-1 ", spacing I L � "o.c., length cP , • ft.
Size, floor beams, 1st floor 2 "x 6 ", spacing / G' "o.c., span ft.
Size, floor beams, 2nd floor " x ", spacing •• "o.c., span ft.
Size, ceiling beams •- "x . C. ", spacing / "o.c., span 12 ft.
Size, roof rafters or beams 2-. . "x ", spacing span . . 1 i- A.t H. . . . . ft.
Exterior finish f .C=3-efr ,.kn . 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 and building?
Kind of heating system 1-4 v Oil burner or coal? . . . �S
Will a flue-lined chimney be provided? / i.c{ 1-.1?5", � & Depth of chimney foundation below grade
Height of chimney above roof
Will there be a fireplace? iv`o Depth of fireplace hearth
Will a toilet be installed? `/ 5
Will a kitchen sink be installed and connected to water supply? . . :
Water supply (public water supply or pump) . . . .9.c1 II pc iv w z(--'^ y u kr)
Distance of cesspool from any private well feet
Will drainage system be provided with required traps, cleanouts, and vents? . . . .- --5
Town of Queensbury AFFIDAVIT
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 pro sed wor shall complied with,whether specified or not,
and that such work is authorized by the owner. d
Sworn to before me this Signature
OWNER.0 ER'S AG NT,ARCHITECT.CONTRACTOR
day of 19
NOTARY PUBLIC. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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REVISIONS
NO. DATE BY
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RAWN BY SCALE MATERIAL
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CHK'D DATE DRAWING NO.
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TRACED APP*D
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POST NO. 1�5HP-12X18