1041 V . ,
TOWN OF QUEENSSURY
WARREN COUNTY, NEW YORK
»atG j� a 19
This is to certify that work requested to be done as shown by Permit No. 104f
has been completed.This structure may be occupied as a 01 .
�.-ri .tp Lot, If 3 :3
location , ,
Owner ---
By Order Town Board
017O WN OF QUEENSBURY
'J f
`+- Cl Building & 20ing hmPer-tor
BUILDING PERMIT
TOWN OF QUEENSBURY No 1041
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to t4illlam Richardson
i_ a7
OWNER of property located at Arbutus Drive C33 Street, Road or Ave.
in the Town of Queensbury, To Construct or place a One family 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.
I . OWNER'S Address is
16 Greenwa.y Drive -Glens Falls , Naw York
2. CONTRACTOR or BUILDER'S Name
C]
Same as above
coo
3. CONTRACTOR or BUILDER'S Address
C?
Same as abocre
r�
r-+
d. ARCHITECT'S Name
F-i
5. ARCHITECT'S Address
6_ TYPE of Construction — (Please indicate by XI
({ ) wood Frame I I Masonry I ) Stool 11
7_ PLANS and specifications
No.
24ac38 one family dwelling
B. Proposed Use
dwelling
$ 10 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES Jura 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 Qu nsbury�trhis 2 c' ttl Day of hlcverrif� r 19 7
SIGNED BY fl for the Town of Queensbury
Sui and Zoning I nspector
TOWN OF QUEENSBURY (Space iP4id ° Woc k cF lw ,fil t ,n 4-*%
WARREN COUNTY, f\iE:W YGtF2K � ! ' p� t�
Application for
BUILDING AND ZONING PERMIT ''t � , , ► `T
. :N I L R
THREE ( 3 ) Copies of a PLOT PLAN, Drawn to scale � pi
showingthe actual dimensions of the lot to be built
upon, Te exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. __
DATE
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK f v 2 J 1910
ANSWER ALL OF THE FOLLOWING. t,_pq. r. r.,.
The undersigned hereby applies for a permit to do the following work ? i S J9 11011 A i 2 L 3 i 6 u
which will be done in accordance with the description, plans and specifi-
cations, and such special conditions as may be indicated on the permit.
The owner of this property is:
WTT.T,IAM '.gICi3A 3DSON. . . . . _ _ . . . . 3i.fi. .GREMIWAY . DRIVE QTZNS, . FALL$ , , NEW . YOR.K
�NA ••:F} fP_0. ADDRESS)
The person responsiliie for supervision of the work insofar as the Building Code and the Zoning Ordinance apply i
. . .WILLIAM. .RICIiARD�SQN. . . . . . . . . . . . . . . . . . . . . . . . . . . . . A�3 . . . . . - - . . . - - - - - - -
(NAME) {PLO- ADDRESS)
Name of Builder . . . . WILLIAM, , RIC.HARDSON . . . . . . . . . . . Address . . ABOVE . . . . . . . .
Name of Plumber . . . . . . . . . . . . Address . . . . . . . . . .
Name of Mason . ABOVE . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . .
Lot Number . e .3.3. 4 . . . . Unit . . . . . . . . . . . . Estimated value of proposed work f 171.50a . . . . . . . dd . - - -
Name of Village . . . . TO.W. .QF. .QC1_T2;FrNSBII1ty., . WAIUR N. ,COTJN-9TY � . . C W . XQRK . . . . . . . . . . . . . . . . . . . . . . . .
Name of Street . . • . . .A )BUT S, DRIVE . . . . . . . . . . . . . . . . . . . Side of street: north ❑ , east Cl , south ❑ . west 0
Nearest Cross Street . .5 � N� . � . . . . � � • • • • . . Distance from this cross street 1 t
Property is north ❑ , south 11 , east i i , west ❑ from Cross Street
If on Corner, which corner, northeast V , ninsrthwest ❑ , southeast ❑ , southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
Construction of a new building. [�
1� Addition to a building. One-family dwelling Main Building
Two-family dwelling
0 Alteration to a building. , , . , , , . . -family apartment house
0 Demolition of a building.
Store building �
. . . . . . . . -car attached garage 0
Other-. . . . 4 . . . . . .
Accessory Building
One-car detached garage
[] Other work. Describe: . . . . . . . . . , , . . . Two-car detached garage EJ
Private chicken house
. . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . a
` ' ' ' ' ' 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, size and setbacks of pro-
posed buildings, and the location of all existing buildings.
KORTH Show proposed building(s) in dotted line and existing
huilding(s) in solid line.
Size of property , . . . . . . . . . . soO ft. x . . . , . 200. . . ft.
Size and use of existing buildings, if any . . . . . . . . . . . . . .
N / t
w Size of proposed building . . - . . . 2 ft_ x - . . . 3 . . . ft.
Height (from grade to ridge) . . . . . . . . . . . . .Zlf . . . . . ft_
Front yard . . . . . . . . . 3Q . . . . . . . . . ft.
Side yards . . . . . . . . . . . .15. ft. and . . . . . . . . ;2-7 . . . . ft,
Rear yard . . . . . . . . . . . . . . . . . . . . . . . . . . . £t.
SOUTH If on corner, setback from side street . It. _
Note: All distances are net, as measured from street side
fine to nearest part of building.
;OV ER7
(cant"d.)
BUILDING SPECIFICATIONS.0
Kind of construction; Wood frame, fire safe, etc.? . . . . . . . . . .
t any second-hand lumber be used? . . - : .C� . . . , . . . . , If so, for what? . . . . . . . . . . . .
,
Material of foundation walls " " " . . . . .
. . . . . . . . . i '. . '.';:.'., ";. '. , ; :. . . . . . . . . . . . . . . . . . . . . . . . . Thickness to
Depth of foundation wails below grade . . . . . . '7 t Continuous foundation.
< "� . �..
Will there be a cellar? . . . . . .: :- .o, . , , . . . ol
If so, material of cellar floor `rt r, 0 a
Type of roof: Sloped or flat? Material of roof . . , , . -' :. . . 3 " " r Y .,
Size, wood studs . . . . . . . . . . . . .<j . x �. : r . . . . . . . . r,- . . .
^ . , . . . . . . . . . , spacing . . , , . . . 7- ? "O.c.t length . . . . . .5... . . . . . " ft_
Size, floor beams, Ist floor . . . . . ' . "
spacing . . . . . " . . . . . . . o.c., span . . . . , . . ft.
Sire, floor beams, 2nd floor " x . . . . - ", s pacing „
e . p g . , . . . . . . . , o.c., span . . . . . . . . .. . . . . ft.
Size, ceiling beams _ _ _ It . . `r . . spacing . . 4 r "o.c., span l:. ' ft
Size, roof rafters or beams " x . . . . . . . . �,
spacing
"3. _.'Y,, . . ' , p g . . .�-: +c., span . , t it.
Exterior finish : . _ . . . .., . . . . . - With what material? . . . .
Finish of interior walls . , . . . . . . . .
If garage is to be attached, of what material is wall between garage and main binding to be constructed?
Is there to be an opening between ,gars a and bu'lding? . . . . . . . . . . . . . "
Kind of heating system - " � Dt r* tea, r
: .
� . . .. . " >;.;,.'. Oil burner or coal?
Will a flue-lined chimney be provided? . : . 17�h of chimney foundation below grade . . . . < < " . . .
Height 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? ,
Water supply (public water supply or pump) ="
Distance of cesspool from any private well
I feet. , . . . . , " . . . .
. . . . . . . . . . , . .
Will drainage system be provided with required traps, cleanouts, and vents? . . . . . . .�r -'. a , , . , , ,
Town of Queensbury AFFIDAVIT
County of Warren ss
State of New York
I swear that to the bust 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 at7 provisions of the BUILD-
ING. CODE, THE ZONING ORDINANCE, and all other laws pert&!!: to the proposed work shay }7, on plied with, whether specified or not,
and that such work is authorised by the owner. /G/, i' -
Sworn to before me this Signature�6na c .�,W'
WNER. owH i AGENT" ARCHITECT, GQNTRACTt7R.. . _pr'. . .. . . . ._ ,. . . . .day of. .. ..... t7�r. .... . . .... . . ... 19..'
__. . . .._ _ . Id , . ..... . . - . . . .
NOTARY PUBLf G, WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
By .. . . . . .. .. .. . ... .