1039 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date3L' CWIle
19
This is to certify that work requested to be done as shown by Permit No. \1(Z6 1-3-
has been completed. •
This structure may be occupied as
Location upicrvikii
Owner VIT41-4r-wP:12-j,ktoit--Cov\ . •
By Order Town Board
TOWN OF QUEENSBURY
r -
Building & Znning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY 1039
No.
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to William Richardson
OWNER of property located at Arbutus Drive ! f"*f3 g 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
3. CONTRACTOR or BUILDER'S Address
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Same as above -
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(x)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No.
24 `x28 '
8. Proposed Use
•
Dwelling
$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES NNVh.M.i 1 June/)g 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 Queensbury this 2 5 th Day of November 1g 70
• Z- 2_‘20'.
SIGNED BY for the Town of Queensbury
Buildi and Zoning Inspector
TOWN OF QUEENSBURY
(Space inside block to be fillet! in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for Al'!'li` o , p . 0 V E D •
PermilMtR<l 19.
_ BUILDING AND ZONING PERMIT , pir(•
• valuc of ww•k S -
THREE (3) Copies of a PLOT PLAN, Drawn to scale I'1 "` l `DING '& ZOi�ING INSPECTOR
showing the actual dimensions of the lot to be built llt ni:irl �. . .-r��� l�F.QGEF='lSB'URX. . .
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
/ MITTED WITH THIS APPLICATION. .
•
DATE TOWN OF QUEENSBURY
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK RECEIE V
� � D
ANSWER ALL OF THE FOLLOWING. /
The undersigned hereby applies for a permit to do the following work
N O V 2 51970
which will be done in accordance with the description, plans and specifi- A.M. P.PA:
cations, and such special conditions as may be indicated on the permit. 7I8I9 1101111121 1 1 2I3I4,516
The owner of this property is: X
WILL•IAM RICHARDSON 16 GREENWAY DRIVE, GLENS FALLS, NEW YORK 12801
(NAME) (P.O.ADDRESS)
The person responsible for• supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
Same as. above.
(NAME) (P.O.ADDRESS)
Name of Builder Same as. above Address
ill It ti
Name of Plumber II If ftAddress
Name of Mason Address •
Lot Number ? / Unit, Estimated value of proposed work$ .171500
Name of Village TOWN OF QUEENSBURY, WARREN COUNTY, -NEW- YORK
Name of Street ARBUTUS DRIVE Side of street: north 0, east ❑, south ❑. west ❑
Nearest Cross Street . . SHERMAN. AVENUE Distance from this cross street Ft.
Property is north ❑,south ❑,east [1,:west ❑from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast ❑, southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
11. Construction of a new building. Main Building
❑ Addition to a building. One family dwelling Cq
❑ Alteration to a building. Two-family dwelling ❑
El Demolition of a building. -family apartment house ❑
Store building El
-car attached garage ❑.
Other:
' Accessory Building
One-car detached garage ❑
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, sire and setbacks of pro-
•
NORTH posed buildings,and the location of all existing buildings.
Show proposed building(s) in dotted line and existing
buildings) in solid line.
• Size of property 80 ft. x 20.0. . ft.
Size and use of existing buildings, if any
I
m Size of proposed building 24 ft.x 38 . . ft.
` Height(from grade to ridge) 1-11 ft.
Front yard 30' ft.
. // Side yards 1-5 ft. and �7 ft.
$fwvr,,aUn l - Rear yard 146 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. ;..9i`'(1 `'' : =-'•C.-'
Will any second-hand lumber be used? '') If so, for what7
Material of foundation walls L_;,.....— -r,'I; Thickness ;ct
Depth of foundation walls below grade , P Continuous foundation? . . . .-.c?;- .
Will there be'a cellar? If so, material of cellar floor
Type of roof: Sloped or flat? . . .t:-. .C;.::. .I.` Material of roof l,.i� ....1, ' `' F'". '.' "•_. _ "
Size, wood studs x `w ", spacing ..'.'3. . . o.c., length ft.
Size, floor beams, 1st floor =.. " x {. ", spacing LE . . ."o.c., span . . . . . . . .'.2.... . . . ft.
Size, floor beams, 2nd floor . . . ... 1;j. . . . " x ", spacing "o.c., span ft.
Size, ceiling beams '- "xL. ", spacing n o.c., span . . . . . . . _ .... . . . ft:LI. USS
Size, roof rafters or beams — "x . . . :, ", spacing r"71 . . . o.c., span ! ft:6-2
Per-;-IC �-.t .?S r' .. —
Exterior finish With what material?E ''. . "'
Finish of interior walls
If garage is to be attached, of what material is wall between garage and main bui,l4ing to be constructed?
Is there to be an opening between garage and building?
Kind of heating system t r)�'''-'c-"- %(. ,A,12, Oil burner or coal?
Will a flue-lined chimney be provided? . .'.!.,-It.,,--.-. ....,,r'-Depth of chimney foundation below grade
Height of chimney above roof ,., i'at
r.
Will there be a fireplace? : (•
Depth of fireplace hearth
Will a toilet be installed? ',`(L'. t. ` `,-4=' '
Will a kitchen sink be installed and connected to water supply? .',(r`1 o. Ty:' a't?:-`'.ur.'. . .:) :r';: . ; :)
Water supply (public water supply or pump) "i-,7,ii
Distance of cesspool from any private well 1.`-C%l feet
Will drainage system be provided with required traps, cleanouts, and vents? ye rt
Town of Queensbury AFFIDAVIT
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 remises and that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed work hall complied with,whether specified or not,
and that such work is authorized bythe owner. ( `
Sworn to before me Signature �J i/' O�R,OWNER'S GENi� TECT.CONTRACTOR
.R5 day of /'Gc�� 19 7 O
NOTARY PUBLIC,WARREN COUNTY, N. Y.
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SPECIAL CONDITIONS OF THE PERMIT:
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