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3397 - ,.ray CERTIFICATE �i 1r/O UPAN V� TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK lg Date: �. This is to certify that work requested to be done as shown by Perfnit No. has been completed. This structure may be occupied I.acatian Owner , By Order "Town Board 'f I OF Q%JEENSBURY WIN III Ay Building Ff/ `zoning Inspector CREATIVE "INSTL PRINTING GLC N9 FALLS N Y t6u1 1519V143-1 i65B =� BUILDING PERMIT TOWN OF QUEENSBURY No. WARREN COUNTY, NEW YORK 0 PERMISSION is hereby granted to t W_ Rober Weaver , H r�- OWNER of property located at . Lot No 36 Hein=i- ck Ci rc 1 P Street, Road or Ave. in the Town of Queensbury, To Construct or place a — One Fa Dwa ng 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. � rD H t. 7OWNEROSddress is 7B Manor Drive ' Glens Balls , New York , 1 2. CONTRACTOR or BUI LDER"S Name Same x 3. CONTRACTOR or BUILDER'S Address F' Same � H Y n x 4. ARCHITECT'S Name H n 1-' 5. ARCHITECT'S Address B. TYPE of Construction — (Please indicate by X) lX ) Wood Frame l ) Masonry ( ) Steel 1 } cD r 7. PLANS and Specifications No. 281 x 64 ' per plot plan , specifications and application submitted including sewage system and 2 - car attached gara e . 8. Proposed Use One Family Dwelling +-^ $5 . O© C/O Paid 18�.,___ g, 60 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES November (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.) Dated at the Town of G}ueensbury this 14th Clay of _ April 19_7_5- SIGNED BY .E +-Q�P� - t'I �rr for the Town of Queensbury Building and ning In TOWN OF QUEENSBURY (Space inside Klock to be filled in br WARREN COUNTY, NEW YORK Btilding lnsfn,ctorl Application for tl)l,li( :,tioll 1'c`I'll it 1 s411141 19. . BUILDING AND ZONING PERMIT P(-1,T„ i1 E-Npires THREE 131 Copies of a PLOT PLAN, Drawn to scale showin the actual dimensions of the lot to be built upon, Tate exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION, TOWN OF QUE_ENESBUR'{ DATE A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWING, i i, 1 4 1975 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 spacifi- 71819 1101111121 1 1 2 1 3 1 4 ` 616 ca ' d such special conditions as may be indicated on the permit. T n of this property is: c �P l+ ,U� ' . Y a 'c� rPD AppPtE S51 The person responsibie for supervision of the work insofar as the Building Code and the Zoning Ordinance appiv is: IMAMEI iP O AppRE$$Y Name of Builder . . . - . 4.1f• " . . . . . . . . . . . . . . . . . . . . . Address - . . . . . . . Name of Plumber . . . . . . . . . . • . - - . - - . - . . . . - . . . . . . . - . . . - - Address . . . . . . . . . Name of Mason . , - . - - Address . . . . . . . . . . . . . . . . 4 ' ' . . . . - . . - . . . . . . . . . . Lot Number . .73 . . . . . [Snit � f"' NEsti�ted value of proposed work S . . . . . . . . . . . . . . . . . . . . Name of Village . . [J "1 ;r tV . S-I "� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . f Ni� IC K C ► C .� Name of Street . . - Side of street north 0 . east west � F1N1G�C I UZr ❑ . south � . Nearest Cross Street . . . . . 11.E - - - - - . . . - . . Distance from this cross street . . . . . . . _ _ _ F1 . Property is north 19, south ❑ , east ii, , west ❑ from Cross Street If on Corner, which corner, northeast 0 . northwest ❑ , southeast Cl , southwest ( Designate by marking with an "X " in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY © Construction of a new building. Main Building 0 Addition to a building. One-family dwelling Q Alteration to a building. Two-family dwelling 0 �] Demolition of a building. . -family apartment house 0 Store building a�-•"�'Ur : -car attached garage Other: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accessory Building One-car detached garage © Other work. Describe: . . . . . . . . . . . - - Two-car detached garage E 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 narnes, 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 buildings) in dotted line and existing huildingis) in solid line. I de J Size of property Jft. ft. Size and use of existing buildings, if any . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . y f LU W Size of proposed building . . . . . . . ft. x Height (from grade to ridge) . . . . . . . . .. . . �a . . . . . . . . ft. Front yard p / . . . . ft. Side yards . , , L (x . . . . . . . . . ft. and . . , . . . ft. Rear yard ,T. . . . . . // . . . . . ft. SOUTH on corner, setback from side stint . . . .�.-�.'t.+- - . . . . . ft. . . . Note- All distances are not. as asaasstred froes street lids lette to nearest Part of batildisat. rovt=_wr 7-73—m BUILLIINC= SPECIFICATIONS.. Wood frame, fire safe, etc.? , . a . . . . . ` . . . . . . . . . . . . . . . . . . . . . . . . . Kind of constructionAAA , Will any second-hand lumber be used? . . . ,h?�', . , - . - . . If so, for what? . . . • ; . . , , , Material of foundation walls . . . . . . . . . . . . . . . . . . . . A - . . . . - . 'Thickness Ad . .. . 0.�`. . . . . . . . . . Depth of foundation walls below de . . . A . I ,ff- Continuous foundation? . . . , - - - - - . Will there be �r A • 7j - - . - If so, material of cellar floor Type of roof: flat? . . . . . . . . . . . . . . . Material of roof - ..! . . . _ . . . . . . . . . . . . . . . . . . . . . - - spacing . "o.c., len . . . . . ft- size, wood studs . . . . . . . . . . . . . . . . -'. " x `� ' . . , . . . . . . . . . . . . . . it . . , . . gth . . -Lam. "" x � . . - - - ", spacing - . . . 4.c . "o.C.. Sp*rt - . 1 �£" ft. To Size, floor beams, 1st floor . . . . . . . L/ Size, floor beams, 2nd floor , - . . . - . . 2 " x - - . spacing . . . . . - , o-c., span . . . . - -/ ft. x . . . - ".TV spacing . - - - . . . . "o.c., span . . . . . . . . . . . . . . ft. Size, ceiling beams . . . . . . . . . . . . . . . . . . . / . , Siie, roof rasters or beams ). . - . . , "� x . . . - , , . - . . . . ". spacing . . . . . . , . 14A . . . "o.c,, span , /. � " . . . . . ft. Exterior finish . . . - 57-y.f.•%) With what material ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ✓ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Finish of interior walls . if ra is to attached. of what material is wall tw ga a d main b din to be cons erred? -► - - . , --r am . . ,+moo ;-�- . . , . . .�- .� � . . . rz .' = �� �47 . . : : : ��_ �2 : Is there to be an opening between garage and building? . . . . . . . . . . . . . . . . . . . . . . . . . . .. . Kind of heating system . . . - • . . . . . . . . . . . . . • . . . . . Oil burner or coal? . A ' . . . . . . . . . . . . . . . . . . . . . . . . . . ided? . . . . . . . . . . . . . . . Depth of chimney foundation below grade - . . . . . A . . . Will aflue-lined chimney be prov . . . . . - 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? . . . . . . . . . • • A _ , . . • . . . . . . • • Water supply (public water supply or pump) • , d - - . . , . . . . . . , . A . . . . . . . . . . . . . . feet Distance of cesspool from any private well . . . . . . . . . . . . . . . . . . . . . . . • • • • 4 . . . . . . . ' . . . . . . . . . . . . . Will drainage system be provided with required traps, cleanouts, and vents? . . . - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AFFIDAVIT 'Id of Queenshury County of Warren State of New York d. I swear that to th bwFA&of my knovtledge and belie[ the statements contained in this application, with the and tars ic+tions w1► mitred are a true and co,.,plete statement of all proposed bed ptetwees and that aII of tlrs 8[1ILTl- ING ODE, THE ZONING ORDINANCE, and all otltar'1*we pertaining to d arse shall be complied wad w specified or trot, and that such work is authorised by the owner. Sworn to before me this SignetC1WN£R. A Ad OWNER'S AGENT, ARCHITECT. TOH . . ... . . . day ef.. . . . . . . . .. . __ . . .. . . . . . .. .. . .. . . . . . . .. . 19. NOTARY RU9t-r C, WAttREN COUNTY, N, Y, SPECIAL CONDITIONS OF THE PERMIT: .................... ................. TOwra OP QUEENS13URY BUILDING 8 ZONING DEPARTi1[ENT QUEENSBURy TOWN OFFICE BUILDING BAY 8 HAVILAmD ROADS, R . D . #1 GLENS FALLS ,NEW YORK 12801 APPLICATIONGE SEWAGE DISPOSAL. � WWII'1HIN$THE TOM OFF WEE'N`SBTER OR �YY OCCUPANT* 5 NAME ADDRESS TELEPHONE OiN[3ERr S NA1�l ADDRESS '' C� a !� r foe rUt�lSER OF BEDROas GARDA" GRINDER2 �(YES OR P NO))-- ,_ TOPOGRAPHY: FLUROLLING, STEEP SLOPE , G81' a SLOPE, , OTH ER L NATURE OF SOIL # CLAY, SANDY, LOAM, GRAVEL, ROCK , ETC . --_„_ �' l PERCOLATION TEST NAT ER SUPPLY$ MUNICIPAL, 'W EL.L , OTHER MIAlGRAIA OF PROPOSED SEPTIC SYSTEM OTHER PERTINENT INFORMATION IT IS HEREt3Y AGREED THAT IF THIS APPLICATION AND PLANS ARE APPROiVED , rNSTALL, TION OF SEWAGE DISPOSAL FACILITIES WILL BE MADE IN ACCORDANCE WITH DETAILS SHOWN FEHsT FEE IS;. .Cad" DATE �_„� SIGNATURE OF APP �"�� Wr'N OFkuEEt4SBUR� Building Department CFO pate lnapettots Re-port Name W either tiort permit No+ p � rlts _._--- per Cans Complete 1+,�Xcavation F'ootin Fortes F ootin & Piers Foundation Cement Coat 'Water roof in Backfill Final Surve Framing Sheathin Hoof Felt Roofing Sidin AlasonrY Veneer you h Plb . finu h lit fi,el ief 'Valves W all Beard E.L. Porches Finished Floor Interior Trim Stars & Railin Cellar Or. Tile Concrete Floors Flb , Fixtures Gar_ Fire roo6n Door Closers Chimne Water yfetor Inst- Se tic A t"a $uild'is.l. I't'uFcctat c THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 41 STATE STREET. ALBANY* NEW YORK 12207 T Date ._:. ! „ " ,. '•1 a Application Na. on file _ THIS CERTIFIES THAT licat u ion nmber in the prensieee of only she electrical equ pmentas described below and introdEsced by the appli clEnt nar.led an the above app TP Section Block Lot inthefollowift9location, ,- . ,� "ement Q letFl. 0 Snd Fl. 1 , ,r was examined on '. and fourad to be incompliance with the rsg Ls irements of lhia Board. gXTURES RANtiES COOKINSiDECKS OVENS DISH WASHERS EXHAUST FANS FIXTURE EM:tlrTACLEs STIi1TCHE5 AMT. K- W. AMT. K. W. MAT. K.W. AMT. K. W. AWL OUTLETS INCANDESCENT FLUI li CENT v _. .� FURNACE MOTORS FUTYRE At•FIlANGE FEEDERS Soso RECT+T TIME CLOCKS FELL, UNIT HEATERS MULT14WTLET DIMMERS DRYERS SYSTEMS AMT. WATTS AMT. K_ W. OIL H. P. GAS H. P. AMT, NCI. A. W. G. AMT. AMP. AMT. AMP&. TRANS. AMT. H. P. T, o_ of FEET . Idd � SERVICE DISCONNECT NO. OF A. W. G. NO. OF NEUTRALS A. W. G. METER T �, '7W 1 X 71N 3 X TW' 8�T' IW NO, CPS COND. DF CC C0140. tiO. OF Hr•lEO OF MIA& OF NEUfRAt AMT. AMP. TYPE EQUIP. . . 7.,.. OTHER A"ARATUS: A.•.o J N rr VO w.� i. r ..i: 1- ;. , + r : c BRANCH MANAGER.. Per IFICATE MUST NOT BE ALTERED IN ANY MANNER. COPY FOR BUILDING DEPARTMENT., THIS COPY OF CERT .r TOWN OF QUEEN BURY Building Department ! Inspectors Report Datc �� J � Gr ✓�� Name Location Permit No. Weather Per Cent o..mswits Complete Excavation Fontin Forms Footing & Piers Foundation Cement Coat Waterproofing Sackfill Final Survey Framing Sheathing Roof Felt Hoofing Siding Masonry Veneer Rough Plh . Rough Ht Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railin s Cellar Dr_ Tile Concrete Floors Plhy, Fixtures Gar. Fireproofing Door Closers Chimne Water Meter lust. Se tic A meal � pildioiyt Inspector REMARKS e e r y. TOWN OF QUEENSBURY Building Departments .� inaspectm Rep Date_ // Name AOF LOC&60 t r 2 Permit No. Weather kkk Per Cent Re�oierkr . Complete Excavation Footing Forms Footin & Piers Foundation Cement Coat Water roofin Backf ill Final Survey Framing Sheathing Roof Felt Roofin Sidin lt{asonry Veneer Rou h Plh . Rou h Ht _ Relief Valves Wall Board 44 Ext. Porches 'finished Floor i i Interior Trim Stairs & Railin Cellar Dr. Tiie i Concrete Floors Plla . Fixtures Gar. 'Fire roofs Door Closers Chimn Water Meter Inst. Se tic A roval uildiwsg Inspector REMARKS TOWN OF QUEENSBURY Building Department j Inspectors Report Date Name Location Permit No. Weather Per Cent Complete Bernarlrs Excavation Footing Forms Footing & Piers Foundation Cement Coat Water roofin Backf ill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Ptb . Rough Hi . Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors P1h . Fixtures Gar. Firel2roofing Door Closers ChimnLy Water Meter Inst. Septic Approval Buildins Inspector REMARKS TOWN OF QUEENSBURY Building Department ,r Inspectors Resort Date `./�/� _ 76 Naame L ncation Permit No. 33 Weather PmClnter e Renmwka Cpte Excavation Footing Forms Footing & Piers Foundation Cement Coat Water roofin Backfill Final Sury Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plb . Rough Ht . Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr, Tile Concrete Floors Mg. Fixtures Car_ Fireproofing Door Closers Chimn Water Meter inst. Septic A val Building Inspector REMARKS i r f ( 1 �. { �1: G r I ------------------------- I r - - - I r G Ir I r I r G F6 I 61 G F77