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1767 .. CERTIFICATE OF, OCCUPANC Y TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date-11...1 6- 19 p - _ This is to certify that work requested to be done as shown by Permit No. 1767 has been completed. This structure may be occupied as a C'n f i 'a rn,11 Location I r k #1 An e s P l a c e Owner 'rif in Lumber Company By Order Town Board TOWN OF QUEENSBURy. ,E .yy. wilding & Oning inspector -r BUILDING PERMIT TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK No. 1767 r7 H PERMISSION is hereby ~•granted to f;ri ffi n T timhn,- (' an v w OWNER of property located at T.At #1 Ames -Place ace Street, Road or Ave. r, in the Town of Queensbury,To Construct or place a_ DwA1 1 i na pwn IP 5;3jgt1&M d. 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. H 0 1. OWNER'S Address is O 69 Pearl Street 'o Hudson Falls, New York 2. CONTRACTOR or BUILDER'S Name Robert Dunham 3. CONTRACTOR or BUILDER'S Address 13 Catherine Street Gansvoort, New York 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) ( Wood Frame 1 )Masonry ( )Steel ( ) 7. PLANS and Specifications r 0 "°601X241 as per plot plans and specifications submitted enc. `+ -sewage s stem 8. Proposed Use One-Family Dwelling two car attached garage sewage Mile em N C/O 5.00 w $ 56.00 PERMIT FEE PAID—THIS PERMIT EXPIRES 12-j- 19 72 a (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 1 5 Day of May 19--72 SIGNED BY _4 w fo he Town of Queensbury Building and Zonirg Inspector IOWN OF QUEENSBURy 1 - (Spare inside block to Ix. filled in by ':1/AFREN COUNTY, NEW YOF.K I Building Inspector) Application for '�,•i,►�r:�tir,,, No. . . . pP Permit Issued I'r. . BUILDING AND ZONING PERMIT „ril ,hire, v. /emu:4 I)e,tric t \ ,iliie rrl Work > . THREE (3) Copies of a PLOT PLAN,-Drawn to scale ti'1"''"'•r1 I)y; ._.: .. . . • . . . . . . . . showing the actual dimensions of the lot to be built h,'.rrorL` . • . . . . 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 QUEENSBURY . Dlf, ui: E -e,,,-, - ' DATP A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK c> Ay . MAY i �, 1972 ANSWER ALL OF THE FOLLOWING. A.M. i- 0/° :, The undersigned hereby applies for a permit to do the following work • 7lglgllp'11I12I1I2I3I4I5I6 which will be done in accordance with the description, plans and specifi- a 4 a ' ' ' I a ' I. • ' cations, and such special conditions as may be indicated on the permit. A The owner of this property is:• ,- #))"/1-1:#P./1011,1e/ L 6 7 /� , ,N,. ,E) IP 0 ADDRESS) The person responsible.for • supervisi opptn�hee work insofar/ /ass�tthe^Buildin rr�C,(oode an the Zoni,�O�rddinance apply is: NAM` . . . nCO& . . /. /. /.5O4?!VJ'. ��/.`c! . . ...I /.�G�,G..4 (NAME) Name of Builder. . /9 : Address .49. .„ . . . . �_ Name of Plumber. . ., //xi�i). . . Address ..d Address Name of Mason. .fn �• .!�✓�Z'�� �� ���' t Lot Number. . . . C,�' Unit . . . . . . . . . . . stimated value of proposed work S .Z.f&O� Name of Village . . . 1 Name of Street . . Side of street: north 0, east ►', south 0. west ❑ Nearest Cross Street . . . Distance from this cross street . . .4,2c5 Ft. Property is north 54,south ❑,east i i, west 0 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 ❑ Construction of a new building. Main Buitt ing ❑ Addition to a building. One-family dwelling rg ❑ Alteration to a building. Two-family dwelling ❑ O. Demolition of a building. . .-family apartment house 0 Store building . ❑ AV. . .-car attached garage N Other: • Accessory Building One-car detached garage ❑ ❑ Other work. Describe: Two-car detached garage ❑ Private chicken house ❑ Private storage building 0 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- posed buildings,and the location of all existing buildings. NORTH Show proposed building(s) in dotted line and existing . 4 //i/; 4 / fJ/Md{ J liuilding(s) in solid line. JJ pe y . . . . 7.7!.T.7. ft. x� /D.31. . ft A d� dital Nk �tathd�¢ P Size of property and use of existing buildings, if any • '• , r Size of proposed building . . . . .D. . . ft.x •2 ft. ti Height (from grade to r idge) . . .//. .6. �j ft. Front yard ,5.4: . . . . ft. Side yards 2.5. . ft. end �r. 'O ft. Rear yard ft. O SOUTH If on corner,setback from side street ft.. Note: All distances are net, as nse®sered from street side line to nearest part of building. (OVER) -_.. (cont'd.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire saf etc.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber be used? . . .{'. . . f so for what �� Material of foundation walls ,EI ���/ . . �� Thickness .�. X. . . .X/�t Depth of foundation walls belowgrade 3 F , Continuous founds ion? . ...l 1. . . Will there be a cellar? . . . . . . If so, material of cellar floor S ai;igee4 Type of roof: Sloped or fla . . . . Material of roof . / I ., . . .. Size,wood studs , " x .7 ", spacing / o.c., length. ..,I/ „,. ft. Size, floor beams, 1st floor 2. . " x /19 ", spacing /o "o.c.,span /... . .1./A. . . ft. Size, floor beams, 2nd floor `—? " x — ", spacing "o c., span ,► /` i . ft. Size, ceiling beams 2. . " x .o ", spacing `e "o.c., span ./Z. .z.16:', /. ft. Size, roof rafters or beams ,./_ �'2. . '.�xx//.o ", spacing �� "o.c., span / ft. Exterior finish' . . . . ..C��CLY • •Cof,GL/ , .�, With w at material? .02-44.1.2 Finish of interior walls ` 1/ . • • �'. If garage is to he attached. of whit material is wal etween g rage and main t<lb be c.� s • acted? Is there to be an opening b t een garage and building? 0mil Kind of heating system .'.Jt ..laJlLlr/J` Oil burner or coal? . . . . /� it Will a flue-lined chimney be provided? . . .. .,,.. • Depth of chimney foundation below grade Height of chimney above roof Will there be a fireplace? • , - /AO Depth of fireplace hearth Will a toilet be installed? Will a kitchen sink be installed and ri nected toter su ply? . Water supply (public water supply or pump) / Distance of cesspool from any private well lee feet Will.drainage-system be provided with required traps. cleanouts, and vents? .� AFFIDAVIT Town of Queenshury 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 work shall be complied with,whether specified or not, and that such work is authorized by the owner. ����11 ,i����,,�,�..� l� Sworn to before e this Signature -il e�cLCZ&,. t - / ��J�,�� 19 ? OWNER.OWNERS AG,NT.ARC ITECT.CONTRACTOR f day of. .L`v.-.10 -2,` ee lf-ii �� � RUSSELL W. CERLACH • e NOTARY PUBLIC, WARR COUNTY, N.y.— Notary Public,State of New York ftc.,:d:,,,,,:a Cerst _....® My Commission Expires Match 30;Z2oe-s -SPECIAL CONDITIONS OF THE PERMIT:- __ - _ _ - _ -_ -— - _ _ _ _ _ _ By TOWN OF QUEENSBURY WARREN COUNTY, NEW ''ORK Applicatio t©r A PERMIT TO CONSTRUCT, ALTER OR ENLARGE A SEWAGE DISPOSAL SYSTEM FOR A PRIVATE RESIDENCE WITHIN THE TOWN OF QUEENSBURY Mail or bring this application to : Building 8 Zoning Department Queensbury Town Office Building R.D. 1 Bay Road Glens Falls, New York 12801 This application for a Sewage Disposal Permit must be accompanied by a plot plan drawn reasonably to scale showing all dimensions , the size of the lot, the location on the lot of the water supply and sewage system. 1. Name and mailing address of applicant: — C_ NildStrn FAiih ¢/2-1,9 2. Specific location of property: xi A. NUMBER 3. Application is for: � New construction of private dwellin . ti Alteration or enlargement of existing sewage disposal system. 4. Description of building: .2ti!dal tM. . a. number of bedrooms ,z ./, b. garbage grinder YES OR NC 5. Topography: C • at, rol ing, steep slope, g tle s ope, etc. 6. a. Nature of soil. (Describe to a depth of 5 feet if tile field is to be used or 10 feet if leaching is are proposed, giving thickness of various strata such as top soil, clay, loam, sand, gravel, rock, etc. ) t1'� b. How determined? 7. a. Soil percolation test made by (Refer to Part III, Bulletin 1 , N.Y.S. Department of Health) b. Percolation test notes submitted? (YES OR NO) 8. Proposed sewage disposal system indicated on attached plan or sketch? (YES OR NO T____p____ 9.. Date when construction will commence l AJ l9 . It is hereby agreed that if this ap{� licati. n and attached plans dated (ZZ 07 or any amendment or revision thereof ; are approved Installation o sewage tdisposal f fshowntonssucwill be ' made in accordance with the details h approved plans. ajg,( z. C4 Contractor l g ,J1-ii-I /94) 'i ; re f applican Insta led By: _ Owner 1r't vy . 0 Wi;LL DR/'v'/'iv .2,3"> _ • S1_'Pr/C' S ySi 1.771 r 7 i/`%iLLc:ie . C'.O NC/;F- re r/'iv/i' /cCC C!//_, DDR/7/41/-7/L 0 D.=Aril 3 1, en.:p ' .. . V✓/.2 'CR JS//l-v 5 Ofv'I.� RR? 'N P/per /6 a i/,�FTLv/r_'/_-Ai WELL Y- r'��`// // /_ D i5 o z.riv.. pr� } nl, rti Nf f0 ' \i.) , ....<'' ,.7 ..01 (.%sr\ it K