1519 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date MCVth 419 7
3 01 (0—,)- -"1
This is to certify that work requested to be done as shown by Permit No.
has been completed.
Oke'
This structure may be occupied as '1
Locatio'i►' ,
Owner \J O ► -I l:J (-C.(A-l71
By Order Town Board
TOWN OF QUEENSBURY
.'Building & Zoning Inspector
BUILDING PERMIT
F
TOWN OF QUEENSBURY
No. 1519
WARREN COUNTY, NEW YORK
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SA Durcan mh
PERMISSION is hereby granted to Jo e P ,.d
net
OWNER of property located at d Avenue Lot I S Street, Road or Ave. cn
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
Box 1372
Glens Falls, New York
12801
2. CONTRACTOR or BUILDER'S Name
Owner -
3. CONTRACTOR or BUILDER'S Address
Owner
4. ARCHITECT'S Name
Owner
5. ARCHITECT'S Address
Owner
- t
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No26tX70' as per plot plans submitted enc : specifications and
sewage system.
8. Proposed Use
One-Family Dwelling Sewage System 2 car attached garage
$ 54.00 PERMIT FEE PAID —THIS PERMIT EXPIRES 5-1- 19 72
(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.) CI
r
Dated at the Town of Queensbury this 3 Day of November 19 71 cD
SIGNED BY �p � for the Town of Queensbury
Building a Zoning Inspector
TOWN OF QUEENSBURY
(Space inside block to be filled in by
WARREN COUNTY, NEW YORK • Building Inspector)
Application for application No.
Permit Issued ISi. .
BUILDING AND ZONING PERMIT Permit Expires
Zoning District
• Value nI Work S
THREE (31 Copies of a PLOT PLAN, Drawn to scale AI pm\c•cI I)\ .
showing the actual dimensions of the lot to be built kc iluirk,. .
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 OF QUEENSBURV
DATE D E C .S EJ t1I I
S
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK OCT 2 u 1971
ANSWER ALL OF THE FOLLOWING.
A.M. P.M.
The undersigned hereby applies for a permit to do the following work 7I g I g IIQI17I12J 12I 3 14I 5 I G
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 wner of this prope is: 3 ��
E l
) (P.O.ADDRESS)
The person responsible for •supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
bl. . .fr.4..e...fi.ec•
(NAME) n (P.O.ADDRESS) ,,Z
Name of Builder. . .' . . . . .-.. L.!�tr�, Address . . ....r'.9' . . J 3-
Name of Plumber. . . Address -41„ '•
Name of Mason. •�._,A4/-, ,.Address �-&r-i . . .,. . . ..4 �- "
Lot Number. . . . '�067 Unit / Estimated value of proposed work$ . .at Pr l,Q0 0 Cl
Name of Village . . r .
Name of Street ...
�"�— Side of street: north rg, east ❑, south ❑, west ❑
Nearest Cross Street . . . .(! •,..-.,.-- Distance from this cross street . /.0 O 1 Ft.
Property is north pa,south ❑,east i), west 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast 0, southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
Construction of a new building. Main Building
❑ Addition to a building. One-family dwelling .
❑ Alteration to a building. Two-family dwelling ❑
❑ Demolition of a building. -family apartment house ❑
Store building ❑
. . . .!, -car attached garage 173
Other:
Accessory Building
One-car detached garage ❑
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, size and setbacks of pro-
NORTH posed buildings,and the location of all existing buildings.
.� o- Show proposed building(s) in dotted line and existing
� � '�` building(s) in solid line. (
c
Size of property / d c) ft. x 1 S--C) ft.
Size and use of existing buildings, if any
I- I-•
H 4
ir m Size of proposed building 2- C.-. ft. x 70 ft.
Height (from grade to ridge) 1 7' ft.
Front yard . . . 7.-" ' ft.
Side yards . . .I-5' ft. and . . . (._S� ft.
,,, %'" r
Rear yard I� 7 r 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)
5 c- y'''
3 lL
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc2
Will any second-hand lumber be used? . . . If so, for what7
Material of foundation walls /C9 " Thickness /
Depth of foundation walls below grade 6 Continuous foundation? . .
Will there be a cellar? . It...so, material of cellar floor "
Type of roof: Sloped or frat? .4.4.-erce . . . . Material of roof . .04../.../,e-e-,/d
Size, wood studs " x c./ ", spacing "o.c., length • ft.
Size, floor beams, 1st floor " x Id ", spacing / "o.c., span . ... . . . ft.
_SiKe_Jictor_hearasT-2-nc1-floor " x ", spacing "o.c., span ft.
Size, ceiling beams x
", spacing j cc, "o.c., span . ft.
Size, roof rafters or beams 2_ "x ", spacing / 6 "o.c., span /3 ft.
. _
Exterior finish . . With what material?
/./
Finish of interior walls.
If garage is to be attached, of w at 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 Oil burner or coal? .4.--j•
Will a flue-lined chimney be provided? Depth of chimney foundation below grade 7 /
Height of chimney above roof 2 4
Will there be a fireplace? Depth of fireplace hearth . 2.
Will a toilet be installed?
Will a kitchen sink be installed connected to water supply?
Water supply (public water supply or pump)
Distance of cesspool from any private well feet
Will drainage system be provided with required traps, cleanouts, and vents?
Town of Queensbury AFFIDAVIT
County of Warren
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 proposed work shall be complied with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this - Signature
/67 day of 19.7(
, OWNER,OWNER'S AGENT,ARCHITECT,CONTRACTOR
,- I.
NOTARY PUBLIC, WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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