927 CERTIFICATE- OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19
This is to certify that work requested to be done as shown by Permit No. 927
has been completed.
This structure may be occupied as a Dwelling •
Location Meadow Lane
Willis H. Harris
Owner
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY No. 927
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Willis H. .Harris
I✓
OWNER of property located at Meadow Lane Street, Road or Ave. 1--
to
in the Town of Queensbury,To Construct or place a 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.
a)
1. OWNER'S Address is H
H
59 Meadowbrook Rd. ta•
(r)
Glens Falls, N.Y.
2. CONTRACTOR or BUILDER'S Name
Same
3. CONTRACTOR or BUILDER'S Address
Same
CD
v
n.
4. ARCHITECT'S Name 0
r
ci)
5. ARCHITECT'S Address
6. TYPE of Construction— (Please indicate by X)
( )Wood Frame I jQ Masonry ( )Steel ( )
7. PLANS and Specifications
38'8" X 24' as per plot plan.
No.
8. Proposed Use
One family residence.
10.00
$ PERMIT FEE PAID —THIS PERMIT EXPIRES February 1, 1971
(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 I42 Day of September 1970
SIGNED BY /a/aj- for the Town of Queensbury
Building d 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 Pt
BUILDING AND ZONING PERMIT Permit Expires 19 .
Zoning District
•
\ aluc of Work S
THREE (31 Copies of a PLOT PLAN, Drawn to scale :\Pl "`c'cl by
showing the actual dimensions of the lot to be built ltcniarl.�
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. .
_/ 70 TOWN OF QUEENS8Ui,Y
DATE E G E ull V E
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ,_JnL1111 A) --4— )'46_.,
ANSWER ALL OF THE FOLLOWING. c:E r' 1 '1970 •
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 specifi- 7 8 9'10, `I11I12I1I2I3I4I5I6
cations, end such special conditions as may be indicated on the permit. ' I` I `I
The owner pf this property is:
ahl1 iS •1/ /22IS 619 7230obu ,eoold /2c7/.
(NA' E) (P.O.ADDRESS)
The person responsible for •supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
(NAME) (P.O.ADDRESS)
Name of Builder -S/',''' Address
Name of Plumber Address •
Name of Mason Address
Lot Number Unit) Estimated value of proposed work$ / .0., D61
Name of Village 2.,/e6e61-z.F X-,'�I— -
Name of Street /�a"CC`i1�J 4ffsellirdi .141',1 j' Side of street: north ❑, east ❑, south ❑, west 0
Nearest Cross Street • r 2Gl Distance from this cross street �oG Ft.
Property is north 0,south ❑,east [[,.west 0 from Cross Street ,
If on Corner, which corner, northeast 0, northwest ❑, southeast ❑, southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
Construction of a new building. Main BuiYding V.
❑ Addition to a building. One-family dwelling Lld
❑ Alteration to a building. Two-family dwelling ❑
• ❑ Demolition of a building. -family apartment house ❑
. Store building ❑
Z.-car attached garag,e K!
• Other: 10 X. . .•'. .f ly '"� �'.t.YJ t
' Accessory Building
• One-car detached garagele-
(] Other work. Describe: Two-car detached garage ❑
•
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, site and setbacks of pro-
NORTH posed buildings, and the location of all existing buildings.
1 r Show proposed building(s) in dotted line and existing
/,4-- ,/--IA-} -}, ;�'1, • UL-1 , Ituilding(s) in solid line.
• Size of property / 5 ft. x . /82. . . . ft.
Size and use of existing buildings, if any
1- 1-
u) N
W ¢ `ja
W Size of proposed building v7 ft. x ft.
Height (from grade to ridge) ft.
Front yard • ft.
Side yards ft. and ft.
Rear yard 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.? "' " S 47il
Will any second-hand lumber be used? If so, for what?
Material of foundation walls Thickness
Depth of foundation walls below grade Continuous foundation?
Will there be a cellar? If so, material of cellar floor
Type of roof: Sloped or flat? Material of roof
Size, wood studs "x ", spacing "o.c., length • ft.
Size, floor beams, 1st floor "x ", spacing "o.c., span ft.
Size, floor beams, 2nd floor " x ", spacing "o.c., span ft.
Size, ceiling beams "x ", spacing "o.c., span ft.
Size, roof rafters or beams " x ", spacing "o.c., span - ft.
Exterior finish With what material?
Finish of interior walls
If garage is to be attached, of what material is wall between garage and main budding to be constructed?
Is there to be an opening between garage and building?
Kind of heating system 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?
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 feet
Will drainage system be provided with required traps, cleanouts, and vents?
Town of Queensbury AFFIDAVIT
County of Warren as.
State of New York
I swear that to the best of my know,Jadge 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 roposed work shall be complied with,whether specified or not,
and that such work is authorized by the owner. i ' • 'f
Sworn to before me this Signature ...� �. ' Al-Z1 . .,,( l A (1-2/) -
OWNER,OWNER'S AGENT,ARCHITECT,CONTRACTOR
day of 19•NOTARY PUBLIC, WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
By
_ _ I i Pees,o 9z7
TOWNH _ OF QUEENSBURY - -IS ' ('/�///_S�T' /T_ /e�wf
II II
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