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1071
': ' - CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date / l/ 8 ' 19 j_'? ' � — �I h I This is o certi that work tequested to be done as shown byPermit No. has been completed. This structure may� be occupied as a Location - ='-1[ ' I V) r C1 re e : •gv '� -- _-- -- Owner </VI - .L C ou re— By' Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY 071 No. WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Karl L. .Couture OWNER of property located at —:Wintergreen Drive `"� g Street, Road.or Ave. in the Town of Queensbury,To Construct or place a 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 12 Greenway Drive Glens Falls, New York _ 2. CONTRACTOR or BUILDER'S.Name Same as owner 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name - 5. ARCHITECT'S Address • 6. TYPE of Construction-(Please indicate by X) (24 Wood Frame ( 1 Masonry ( 1 Steel : ( ) _ 7. PLANS and Specifications No. 24'x40' dwelling °N\. 8. Proposed Use One family dwelling /22/ -7/ �C $10.00 - PERMIT FEE PAID—THIS PERMIT EXPIRES June 1, 19 71 '4s`/Z (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the - /-Z town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 22nd Day.of December 19- 70 SIGNED BY � for the Town of Queensbury Bui mg and Zoning Inspector TOWN OF QUEENSBURY (Space inside block to be filled in by WARREN COUNTY, NEW YORK Building Inspector) Application for Ap)>IICi1lI 7 .iv. ; ' A= .` .� ' Permit I ('h -N.. - 0 BUILDING AND ZONING PERMIT I'er, , res. },fir k .2. .1 .1970 19. \ alnc of \�`u, ( . THREE (3) Copies of a PLOT PLAN, Drawn to scale '�1,1"` . "ILD1N & ZOiVlld I`:5^' ;104� showing the actual dimensions of the lot to be built 12en,:irl s. upon, The exact size, and location on the lot of the. 'TOWN®F 4lU�EtSUtY building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. . TOWN 'i �i OF QUEENSBUR �.2.a D �. . . . .ATE DL5 s A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK � �� n JJJL��� /© V ANSWER ALL OF THE FOLLOWING. DEC 2 11970 The undersigned hereby applies for a permit to do the following. work which will be done in accordance with the description, plans and specifi- A.M. P.M. cations, and such special conditions as may be indicated on the permit. 71819110111112111213141516 ,, , , ,. . , , , , The owneer of this property is: ` � , 1 b �...L.. .Odt�-1-U aY�. .G reeh:•t cli-y 1 et�'•s .e.1'_1 S. . .11i,9.,r (NP?,_) (P.O.ADDRESS). 1' The person responsible for 'supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: C n -.aS •cbes4e (NAME) (P.O.ADDRESS) Name of Builder SGtr^n. as. .cth;Ve Address Name of Plumber Address ' Name of Mason Address ', Lot Number `ei I Unit, Estimated value of proposed work$ ir4,,QOLD . Name of Village '1jU.i).) .VP .01,Gf.er.1Sl',ci, - Name of Street . . . .VJ.i1!1: . r.9 e.eh.Did Vc._ Side of street: north 0, east ❑, south ❑. west 2( Nearest Cross Street . 1t'.l krtGit'1 Av.e o Distance from this cross street Ft. Property is north P`i,south ❑,east Pi,west 0 from Cross Street If on Corner, which corner, northeast ❑, northwest ❑, southeast ❑, southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Construction.of a new building. Main BuiYding . ❑ Addition to a building. One=family dwelling El Alteration to a building. Two-family dwelling El Demolition of a building. -family apartment house ❑ . Store building ❑ -car attached garage ❑. . Other: ' Accessory Building One-car detached garage Li Other work. Describe Two car detached garage El 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, sire and setbacks of pro- NORTH posed buildings,and the location of all existing buildings. Show proposed building(s) in dotted line and existing ma t'p kc&, huilding(s) in solid line. Size of property - !, ft. x . . .I, OA ft. Size and use of existing buildings, if any '•.`-s:-• "`y L w U w Size of proposed building . .a4T.•. . . ft. x . lD''• ft. Height (from grade to ridge) A' ft. Front yard '.b(,i 1 - _ ft. • Side yards . . ()1 .:.ft. and 90 C ft. S`N:f°tri'Y1CiVl N ,., Rear yard quo 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.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire saf§eptc \1/1300 Ea Y-TY. Will any second-hand lumber be used? 1\i ON. , If so, for what7 Material of foundation walls eftit*giDa-- thickness 5 , ife Depth of of foundation walls below grade 1 Continuous foundation? Will there be a cellar? . .4e:&. . . . ... . . If iso' material of cellar floor (..?C:::'•Ci`t; 00tICA, Type of roof: Sloped or flat? . . ... 5,,r. . . . . . . . . Material of roof . . . . .1,AQQ(.1. trarre.'A.cphatIr. .C3• - -.Op.; Size,wood studs 7%-- " x ", spacing 110 "0.c., length ' • ft. Size, floor beams, 1st floor 9:' "x 14 ", spacing IttO "o.c., span ft. Size, floor beams, 2nd floor 19/ " x ‘;' ', spacing tte) "o.c., span ,i-)„ ft. Size, ceiling beams q' " x U ", spacing '.1 Ve) "o.c., span /9 ft. Siie, roof rafters or beam . . . . . . ... . . "x (' ", spacing VtI7 "o.c., span 41+ ft. 7• Exterior finish etdor gOA.nc:i o ,ecitbv,.. With what material? WO•)(ill, °e PAGiani.-X1- Finish of interior walls ckltk4I'V If garage is to be attached, of what material is wall between garage and main buiJ,4ing to be constructed? Is there to be an opening betwqeri gamg§ and.building? . Kind of heating system tVr -C•X•iCA'atie7 Oil burner or coal? 94;..5. Will a flue-lined chimney be provided ycc; Depth of chimney foundation below grade Height of chimney above roof Will there be a fireplace? NO Depth of fireplace hearth , . Will a toilet be installed Will a kitchen sink be installed and connected to water supply? Water supply (public water supply or pump) . . . .plial Distance of cesspool from any private well 400 feet Will drainage system be provided with required traps, cleanouts, and vents? ye.G AFFIDAVIT Town of Queensbury County of Warren ss. . . State of New York , I swear that to the best of my know,ledge 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 dgscribed premises and that all provisions of the BUILD- - ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the prppØed works l rtimpliefrith,whether specified or not, and that such work is authorized by the owner. Sworn to before me t 's Signature . -ff7-1 V day of .ck,...&) 19.7/ OWNER,OWNER'S AGENT,ARCHITECT,CONTRACTOR NOTARY PUBLIC. WARREN COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT: , . - - • . , — - - - -- - - By ' . • . i 7.m......P ; • #1:1 K., Ai7-0':, .47--R44-4,,, .0,-/o, , .. .,-.,-, ___..... _ . t. Tel _.....„ ,._ , Ailli , ifir -100i, i 1 4.. .... _ 1 9 Ao" tit _.. 1 3 _ 4 _......<1 .. 3 A , ((il i re tes-.1v, .404) -., '--- , vk 1 p----- ilk n r-..il • I-- as,..,.., ,t_p OE.0 2 1 A970 . . DATED,,..----............,...„---,. BUILDING & .. ................... .... ...al TOW UEENSBURY