1043 r
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date th(Al =G�� 19 ''
This is to certify that work requested to be done as shown by Permit No.. 10- _::2
has been completed.
This structure may be occupied as a 11C1404111 ( M T' -
Location a. I`. _ : 5 !T c ,. R k V`e
W 6 l' i _` << SAY
Owner I
By Order Town Board
TOWN OF QUEENSBURY
•
Building & Zoning Inspector
•
BUILDING PERMIT
TOWN OF QUEENSBURY 1043
No.
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to WILLIAM RICHARDSON_
OWNER of property located at Arbutus Drive 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.
1. OWNER'S Address is
16 Greenway Drive-Glens Falls , New York
2. CONTRACTOR or BUILDER'S Name
Same as above
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3. CONTRACTOR or BUILDER'S Address _ x
Same as above r�
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4. ARCHITECT'S Name
5. ARCHITECT'S Address -
7�
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( )Steel (
7. PLANS and Specifications
No.
24x38 one family dwelling
8. Proposed Use
Dwelling
$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 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 Q nsbury this 2 5 th Day of November 19 70
SIGNED BY ��7- for the Town of Queensbury
Buil . g and Zoning Inspector
TOWN OF QUEENSBURY
(Space inside block to be fille,�-d�in b`
WARREN COUNTY, NEW YORK I'm l it I s ,,.-,` )(;3 ;a �•
Application for �,>,,, .c,... , �� •
Permit Issued I'2f:
BUILDING AND ZONING PERMIT I ` '� ---- •.
Zoning District _),.
-------
air=�if�.,....
THREE (3) Copies of a PLOT PLAN, Drawn to scale 1 I 1 G.84.ZO�ZONING. INSPEC�ii '�.•
showing the actual dimensions of the lot to be built R<'niarl �, bWIN ®F ��7E�[�1��UR'
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. •
//- f-7° T O iN O,� QUEEN ?a�iRY
DATE ff II lJ `f
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK J .a 1
,ll L
ANSWER ALL OF THE FOLLOWING. NOV d b i�/O •
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 �g�10e11�12�1 2 3 j 5 G
cations, and such special conditions as may be indicated- on the permit. - - - '
The ownern toff thisl {pran`p_e�rvtypnis: _ Tit t 1 n DRIVE, t
l' of 1 •o ertytisD.S.t_)A1 16 GRE �lit'JAY GLE .18 F L.l..,iJ 5 _LLM lUii ,
(NAAE) (P.O.ADDRESS)
The person responsible for 'supervision of the work insofar as the Building-,Code and the Zoning Ordinance apply is:
U'1 ILL IA,1,1 RICIIIIRDSOTT , ,vv
C•JILLIAll RICFARD SOi1 A OVEDDRESS)
Name of Builder Address
Name of Plumber A! 0llE Address
Name of Mason Address
Lot Number. . . . Unit . . . Estimated elpeof pr sed work$ t 9 G11
Name of Village iOtTi.' OP QV-11;L f8..i iPe y ?.1-1E1-,L;.�:•' ._•(JUT;F'Y.9 !!J�k':! .f01, ,
ARBUTUS DRIVE
Name of Street . . . . . .�y � T T,. �, Side of street: north ❑, east ❑, south ❑. west ❑
Nearest Cross Street ".1L, s .I 11 VLA'tI;, Distance from this cross street Ft.
Property is north ❑,south ❑, east [I,,west ❑from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast CI, southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
I] Construction of a new building. Main Building
❑ Addition to a building. One family dwelling
❑ Alteration to a building. Two-family dwelling ❑
CI of a building. -family apartment house ❑
. Store building ❑
-car attached garage ❑
Other:
' Accessory Building
• One-car detached garage ❑
0 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.
Show proposed building(s) in dotted line and existing
luilding(s) in solid line.
Size of property 80 ft. x 200 ft.
Size and use of existing buildings, if any
w •" a 24
3n
U
3 w Size of proposed building ft.x . .il_ ft.
Height (from grade to ridge) 30 ft.
Front yard -i C 2 ft.
. Side yards 2..31ft and ft.
t-5%/144-c-a--Pi 6re 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.2
Hood_ Fro...De
Will any second-hand lumber be used? 10 If so, for what7
Material of foundation walls (.Or1C 'C te Thickness (--'
Depth of foundation walls below grade 7 t Continuous foundation? -L C s
Will there be a cellar? Yes If so, material of cellar floor 1-''I1 Concrete 51 ao ^ -77"{{
Type of roof: Sloped or flat? Material of roof . . . . . . . . . . . . .r . . . . . .I: . . . . . . . . . �;
Size, wood studs " x �; ", spacing 1 `' "o.c., length ft.
Size, floor beams, 1st floor `• " x C' ", spacing "o.c., span 12 ft.
Size, floor beams, 2nd floor . . . . . . . " x 1, ", spacing t. "o.c., span ft.
Size, ceiling beams ` " x '- ", spacing 2 ' "o.c., span l ft. `-ti'''
,;
Siie, roof rafters or beams x , spacing "o.c., span ft.
Panel Sid 7,g- l'Ia oil"t,e
Exterior finish With what material?
Finish of interior walls
If garage is to be attached, of what material is wall between garage and main bu{l4ing to be constructed?
Is there to be an opening betweensgarage and bujtld ng? Gas
Kind of heating system . . . . . . . . . . . . . ..,.,. .,. . . . . . . . . . Oil burner or coal?
Will a flue-lined chimney be prow4eF1? '" Depth of chimney foundation below grade
Height of chimney above roof
Will there be a fireplace? G _ Depth of fireplace hearth
Will a toilet be installed? - ;_rt�s `"' `� .0 '
Will a kitchen sink be'installed and connected to water supply? C S T:�� v'�Ge i�t 1 C;� SZ�-'v '
Water supply(public water supply or pump) Pi :'`)
Distance of cesspool from any private well l Gil 9 feet
Will drainage system be provided with required traps, cleanouts, and vents? yes
Town of Queensbury AFFIDAVIT
County of Warren ss.
State of New York
I swear that to the best of my know,ledge 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 pertaini g to the proposed work shall- complied with,whether specified or not,
/
and that such work is authorized by the owner. ( /� ' '
Sworn to before me this Signature ..- .c.) V��- -a,-,^1 ,/ �t� c'�‘'L,''�t
/J OWNER,OWNS' AGENT,ARCHITECT,CONTRACTOR
,,2 day of / 19 7
NOTARY PUBLIC, WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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