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1428 Ar. CERTIFICATE (DF OCCUPANC'e"I'Lor TOWN OF +QUEENSBURY WARREN COUNTY. NEW YORK hate _`•r' —', 'r�,K,�_— _ is . l + r - �4� This is to certify that war requested to be donye'�an showm by Permit No. � has been completed. Q 1 1 This structure may be occupied as a r Location fz pp L_.•w (?timer � � � Es IN 1j By Carder Town Board TOWN OF QUEENyySBURY Suilding &eZZing In Pectar f BUILDING PERMIT TOWN OF +QUEENSBURY No. 142g r WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Go R. Builders Ines r6 un OWNER of property located at 35 Lu ine Lane Street, Road or Ave. Fi in the Town of Queensbury, To Construct or place a Dwelling ( one -Farm] y ) n 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 . OWNE R'S Address is 16 Greenway Drive Glens Falls , New York 2, CONTRACTOR or BUILDER'S Name Same 3. CONTRACTOR or BUILDER'S Address Sarre 4. ARCHITECT'S Name Same 5. ARCH ITECT'S Address Same 6. TYPE of Construction — (Please indicate by X) (X) wood Frame ( } Masonry 1 ) Steel i l t^ i. PLANS and Specifications `t3 Ni .40rX24 ' as per plot plans and specifications submitted . t-* 8. Proposed Use w One- Family Dwelling Garage in Basement $ 16 QQ PERMIT FEE PAID — THIS PERMIT EXPIRES Ulf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queansbury before the expiration date_) Dated at the Town of Oueensbury this 911 Day of :Sepf tamhp r 19— - .- SIGNED BY /,/ A40 fjor the Town of Queensbury BuiMinng and Zonineqnspector TOWN OF QrUEENSBURY (Space inside block to 13v 1ilk'd in b. WARREN COUNTY. NEW 'Y'ORK Building; Ins 410 Application for �''''' i"` ' . . �� i'crzznt ti- [ 6 d I 3 r BUILDING AND ZONING PERMIT 5EP :r l ni' a z1 THREE ( 3 ) Copies of a PLOT PLAN. Drawn to scale pp] 1}�I31 G '& ON G INSPECTOR showingthe actual dimensions of the lot to be built '�'�� upon, Te exact size, and location on the loft of the building to be erected or altered MUST BE SUB. MITTED WITH THIS APPLICATION. . . TOWN �©OIw �0iIltetl� �NSPuRY W DATE � . � L IJ 17� f� A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWING. [S' k f� 2 1 1971 BUJ The undersigned hereby applies for a permit to do the following work A M. which will be done in accordance with the descrip#ion, plans and specifi- 7J8r9yI 17 1 15 P.M. cations. and such special conditions as may be indicated on the permit. f , The o er off�rthf2ro is; , �Irl . r. ��iPe"Pnrsv /,� !+! P- . . . Yl7. - ( !� f •! !% .Y' INA'•�F! IP.O- URESS) The person responsibl�y�e• fo�r/y supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: ✓ !(NAME)7 .'�.'~ . . - . IF,O. ADDRESS! . . . . . . . . . . . Name of Builder . . . . . . ' rn L . . . Address . . . . . . . Name of Plumber . . . . . .+{r4. . �. . . . . . . . . . . . . . . . . . . . . . . . . . . Address . , , . - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c� Name of Mason . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address _ . . . . . . - . - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Lot Number . . . . . . . . Unit . . . . . . . . . . . . Es •mated value of proposed work S /r. CQ/. Z7. ©. . . . . . . . . . . . . . . . . . . . . Nameof Village . . . . . . . . . . . . . . . . . . . . . . . . . . . . . u . . , . , , , . . . . . . . . . . . . . . . Name of . . . . . . . • - . • • Side of street: north El , east 0 , south 0 , west Nearest Cross Street . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Distance from this cross street . . . . . . . . . . . . . . - . . . . _ Ft. Property is north ❑ , south C3 , east L i , west ❑ from Cross Street If on Corner, which corner, northeast 0 , northwest C1 , southeast ❑ , southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY F91 Construction of a new building. Main Bantling f� Addition to a building. One-family dwelling C� Alteration to a building. Two-family dwelling 0 Demolition of a building, -family apartment house � Store building � . . . _ . . . -car attached ggfZrag l� Other: (9 f2A� In+! , .. ¢;M4�.v. . . . . , , . . . . . Accessory Building One-car detached garage 0 © Other work. Describe. . . 4 . . . . . . . . . . . . . . . . . . . . Two-car detached garage 0 . . . . . . . . . . . . . . . . . . . . . . . . . . Private chicken house I—]. . . . . . . . . . . . . . . . . Private sto age building 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, size and setbacks of pro- NORTH posed buildings, and the location of all existing buildings_ Show proposed building(s) in dotted line and existing huilding(s) in solid line. Size of property . . . . . . . . . . . . . ft. x . in -a ft. Size and use of existing buildings, if any . . . . . 3 w Size of proposed building ` ! . ft. x . . .A?. ft. .Height (from grade to ridge) . . . �`.� . . . . . . . . . . . . . . ft. Front yard . . . . ft. Side yards . . . . . . ..2 0 _ . . . . ft. and ft. Rear yard . . . . . . . It`l. . . . . . . . . . . . . . . . . . . . . . . ft. SOUTH If on corner, setback from side street - ft. Now All distances are net, as measured from street side line to nearest Hart of building. (OVER) r BUILDING. SPECIFICA'TIONS., (cont'd.) Kind of construction: Wood frame, fire safe, etc. ? . . . . . . . �. A�b Will any second-hand lumber be used? . . . . IV,,a .. . . . , . . If so, for what? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls . . . . . . . . Co", CR s . !' . . . . . . . . . . . . . . Thickness +f. 0. , , , Depth of foundation wails below grade . . . . . . . . . �a .F . . . . . . . . . . . . . . . . . . . . . . . . Co tinuous foundation? �JI-r 19 Will there be a cellar? C. s . . . . . . If so, material of cellar floor Gla.0v f` rt 'e >� / Type of roof: Sloped or flat. . . . . . ?- . . . Material of roof Size, wood studs . , . . . . . . . . . *2 . . . , , , . " x . . . . . . Y . . . . , . ", spacing . . . . .! .`. I I .%o.c., length. . . _ R . . . . . . . . ft. Size, floor beams, lst floor , . . _ . . � . . . . " x . . . . . . . . . . . . . ", spacing . . . . . 1, .(R �Y, , , . "o.c., span Size, floor beams, 2nd floor . _ . . /� !. . . . . . ft. x ", spacing . . . . . "o.c., span . . . . . . . . . . . . . . ft_ Size, ceiling beams . . . _ , . . . . . " x . . . _ . . .(P. , . . , ", spacing . . . . , dO.C. span F / .Z. . . . . . . ft. Size, roof rafters or beams '.I . . " x 4- spacing . . . . . . /. � _ . . "o.c., span . . . . !_ -X . . . . . ft. : . . Exterior finish . . . . . . . . . , . , lle-" .19AN,f' FI !Q: :rf With what material? . . . .r+t. ?t + d.v. /x. Finish of interior walls . . . . . . . . . . . .% .r.` . .X *l -e ie-leP a rX . . . . . . . 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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , I . . . . . . . . . . . . . . . Kind of heating system . . , , . .Q c . . . . . . . . . . . . . . . . . . . . . . . . . Oil burner or coal? . . . . . . . Will a flue-lined chimney be provided? . . . . . . . . . . . . . . . Depth of chimney foundation below grade . . . . . . . . . , . Height of chimney above roof. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will there be a fireplace? . . . . . . . . . . . . . . . . . . . . . . . . . Depth of fireplace hearth , . . . . . . . . . . . Will a toilet be installed? . > . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . , . . . . . . . . . , . . . . . . . . Will a kitchen sink be installe and connected to water supply? . . , , . t`X . . . . . . . . . . . . . . . . . . . .Water supply (public water supply or pump) , . , , jra .Rtd, k./?. , , , , , , . . Distance of cesspool from any private well . . . . . . . . . . . 1.43 u , '' . feet Will drainage system be provided with required traps, cleanouts, and vents? . . . . +jt.e!' , , , • , , , , Town of Queensbury AFFIDAVIT U County of Warren sa• State of New fork I swear that to the beet of my knowledge and belief the statements contained in this application, together with the plans and specifications sub.. mitted, are a true and oom lete statement of all proposed work to ne on the desrrfbed premixand that a isions of the BUILD- ING CODE, THE ZONING ORDINANCE, and all other laws pe g to the proposed work s and led with, whether specified a not, and that such work is authorised by the owner. F , oom Sworn to before me this Signature OWNER, OWN AG' EN R C H I T E T. CD RACTOR . .. . . . .... .. . . .... . . _.. .. . . .... . . ....day of----. . ._ .. . . .. ... . ., ... . . . . . . . ... . . . NOTARY PUBLIC, IAfARREf,I COUNTY. N. Y. SPEiCIAL CONDITIONS OF THE PERMIT: By ._. . . ..._. . . ..... . . . .._ . . .. BUILDING AND ZONING DEPARTMENT February 13 , 1975 Mr . Peter Coffey Maynard , OTConnor and Smith P . O . Box 957 Schenectady , New York 12301 Dear Mr . Coffeye. Enclosed please find copy of Inspection slip made by me on March 30 , 1973 at 27 Lupine , Town of Queensbury Building Permit 01478B . At the time of this inspection the septic system being installed met with my approval . Of course . I have no way of guaranteeing that changes may not have been mede since or that due to foreign materials being introduced into the system its efficency has been curtailed . If we can be of service in the future please feel free to call on us . Sincerely , Harold E . Boynton Asst . Building Inspector Town of Queensbur-;/ H EB : eb encl . 1 s r G H