680 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date MCI C 19-71
c .N q
This is to certify that work requested to be done as shown by Permit No. C-0-141
has been completed.
,
This structure may be occupied as a -'- r'•tl - ' •
Location ' Pi IPLO-':16,'d Ott':•I c'a(2e„,,
Owner OLI CI 1 lCM5
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF. QUEENSBURY
No.
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Lloyd Kingsley
OWNER of property located at Lot 104, Pinewood Ave. Street, Road or Ave.
in the Town of Queensbury,To Construct or place a House
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
11 Hughes Court
Glens Falls , N.Y.
2. CONTRACTOR or BUILDER'S Name
Owner
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
Owner
5. ARCHITECT'S Address
6. TYPE of Construction— (Please indicate by X)
(X)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications 28'X 48'8" one famley, One story Dwelling
No. Two Car Attached Garage
8. Proposed Use
•
Dwelling
$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 1, 19 70
(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 Queensbury this 2nd Day of January 19 70
I 1
SIGNED BY for the Town of Queensbury
LeRoy Phillips Building 'nspector
•
TOWN OF QUEENSBU-ICY— •
(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 I . .
Zoning District
Value of Work S
THREE (3) Copies of a PLOT PLAN, Drawn to scale -\)'I)""1l by
showing the actual dimensions of the lot to be built Ilcmarl.%
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
•
LfCO TOWN C i= Q U E E NS B U R Y
EEIVIE
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ((( ��- 0
_U,
ANSWER ALL OF THE FOLLOWING. Lirt t. 6 c. 1969 •
The undersigned hereby applies for a permit to do the.:following work 1,;, I,P.M.
which will be done in accordance with the description, plans and specifi- ! 9 EC17�i2 f 3 5 'o
cations, and such special conditions as may be indicated on the permit. A.
A
The owner of this property is:
1
:. The person responsible for •sup rvi. on oft wor insofar as the Building Code and the Zoning Ordinance apply is:
0y4 �.
( tOI�E) (P.O.ADDRESS)
Name of Builder. . ./.....4514-21. . Address .4..d .�f
Name of Plumber Address
Name of Mason Address
Lot Number.,/D. Y Unit, Estimated value of proposed work$ 2.a22;,
Name of Villag ! -
Name of StreetV Side of street: north ❑, east El, south El. west ❑
- Nearest Cross Street . . . :�i 0.424. i.<�J Distance,from this cross street . . . . c; if 4 Ft.
Property is north RI,south ❑, st ❑,,west ❑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
q Construction of a new building. Main Building
❑ Addition to a building. One family dwelling LJ
El Alteration to a building. Two-family dwelling ❑
- El Demolition of a building. family apartment house ❑
. ,;Store building El
. . .c_. -car attached garage Ni•
•
Other:
• Accessory Building
• One-car detached garage ❑
❑ Other work. Describe Two-car detached garage
• Private chicken house El
Private storage building El
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.
Show proposed building(s) in dotted line and existing
L' n t`e-iet Iuilding(s) in solid line.
- Size of property )4 6 ft. x . . .17 . . . ft
Size and use of existing buildings, if any
cn 1 en
w h t
Size of proposed building . . .,se. . . . ft.x .2�y. . . ft.
Height (from grade to ridge) /t ' ft.6.
Front yard -.6 ft.
Side yards /.� ft. and / ft.
fry;a_t 1.U - Rear yard /,A D 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 safe, etc.2 1- A-d---krve--
Will any second-hand lumber be used? If so, for what2
// u
Material of foundation walls . . . . . . . . . . . . .Cf2^-/Wit" . . . . Thickness ef
Depth of foundation walls below grade 6 -7 D Continuous foundation?
Will there be a cellar? If so, material of cellar floor . . . t
Type of roof: Sloped or flat? . Material of roof .6 (71 i�
Size,wood studs ��---x , spacing /4 o.c., length ft.
Size, floor beams, 1st floor o?-x . . .J2 ", spacing /<P "o.c., span ,/ ft.
Size, floor beams, 2nd floor " x ", spacing "o.c., span ft.
Size, ceiling beams ,A.1'x . . .4 ", spacing / t "o.c., span ii7Z ft.
Size, roof rafters or beams ,7" ", spacing l "o.c., s an 40 ft.
Exterior finish / With what material? . -41
Finish of interior walls #� �� 6- —
If garage is to be attach d, of what at rial is wall etwee 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? . . .lr°j�-G-1(:) /
Will a flue-lined chimney be provided? . .G. / / Depth of chimney foundation elow grade ./
Height of chimney above roof OO
Will there be a fireplace? Depth of fireplace hearth . . ��
O'
Will a toilet be installed?
Will a kitchen sink be installed and c nnected to water sup ly? . ./ . .G
Water supply(public water supply or pump)
Distance of cesspool from any private well 1,-/4 ✓c-4-G1` = 'Cl feet
Will drainage system be provided with required traps, cleanouts, and vents? ''
634,2.3
AFFIDAVIT
Town of Queensbury
County of Warren ss.
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 works all be complied with,whether specified or not,
and that such work is authorized by the owner. t
Sworn to before me this Signature .9 .
NER,OWNER'S AyENT. ITECT,CONTRACTOR
day of 19
NOTARY PUBLIC, WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
.90" . 1 \C. .. as,,.ID
it N
ic,
Nli)
V \ SpE
\ G & FOQ\�OG NS�u �
8V\1- WN 0
By
1 i
�d
q
y 5
k
d 5
I 1
i
I
I
a� I
ry
1