1462 ., ,.._
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CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK ,
Date J 19 701
This is to certify that work requested to be done as shown by Permit No./-'44(L2
has been completed. . .
This structure may be occupied as a C,Ax., , . , :- -. _ -,
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weii ,
Location Pop-1-6211/7--;,0)f--,
Owner
•
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
1
BUILDING PERMIT
TOWN OF QUEENSBURY 1462ID
No.
WARREN COUNTY, NEW YORK
w
Realty
PERMISSION is hereby granted to Heber Co.Cod
OWNER of property located at Poplar Drive Street, Road or Ave.
n
in the Town of Queensbury,To Construct or place a One Family Dwelling Sewage System
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
37 Chester Street
Glens Falls, New York T-
2. CONTRACTOR or BUILDER'S Name
Herman Heber —�
3. CONTRACTOR or BUILDER'S Address •
Same
4. ARCHITECT'S Name
Same
5. ARCHITECT'S Address •
-
v
Same -
6. TYPE of Construction— (Please indicate by X)
(X)Wood Frame ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications
No26 'X64 ' as per plot plans and specifications submitted enc :
septic system.
8. Proposed Use 0
ri
One—Failly Dwelling 2 car garage and sewage system
•
fD
$ 52.00 PERMIT FEE PAID —THIS PERMIT EXPIRES 3-1— 19 72
(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 6 Day of October 19 71
SIGNED BY for the Town of Queensbury
Bui ng and Zoning Inspector
TOWN OF QUEENSBURY
(Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for ;)'1'li`a p (it: . 0�. E ,
I e mit cal it,
BUILDING AND ZONING PERMIT Permit sires d- -?/
• . vafu(.. of work ,,)/` -------
THREE (3) Copies of a PLOT PLAN, Drawn to scale `\1'1 rvNNG
" " NI:Nt INSP.ECTO1:31
URNi
showing the actual dimensions of the lot to be built Rmlark,. . . TOWN.0F.(VtE1y$. . . . . . . .
upon, The exact size, and location on the lot of the . . .
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. •
,a (,_ 7 / TOWN OF QUEENSBURY
DATE D
Sze E PA+,J
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK OC119 1
ANSWER ALL OF THE FOLLOWING. . •
The undersigned hereby applies for a permit to do the following work A.M. P.M.
which will be done in accordance with the description, plans and specifi- 7I8I9j10I1111211I2I3II516
cations, and such special conditions as may be indicated on the permit. /;
The owner of this property is: / / e /`
(HA'AE) / (P.O.ADDRESS).
The person respons' -e or •supervision,Qf e ydrk in ofar as the Building Code and the Zoning Ordinance apply is:
NA ) (P.O.ADDRESS) i
Name of Builder Zis.,...._"
Address •2 7 C �° X' e=-''
Name of Plumber I, Address ' !/
Name of Mason �,, Address /1
Lot Number. . . . 7.t7. . . . Unit, Estimated value of proposed work$ 'o. 6 c '
Name of Village -
Name of Street . .„G"�{?-�. . J Side of street: north ❑, east ®, south ❑, west ❑
G tn/ /
Nearest Cross Street Ae Distance from this cross street . . . . Ft.
Property is north 0,south pg...east tr.7.i,: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
Construction of a new building. Main Building
❑ Addition to a building. One-family dwelling
❑ Alteration to a building. Two-family dwelling ❑
❑ Demolition of a building. -family apartment house ❑
. Store building ❑
. . . . -car attached garage
• Other:
Accessory Building
One-car detached.garage ❑
❑ Other work. Describe. Two-car detached garage ❑
Private chicken house • El
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, size and setbacks of pro-
NORTH posed buildings,and the location of all existing buildings.
_ Show proposed building(s) in dotted line and existing
Ji'i9/ /'D ii" R i?+ building(s) in solid line.
f, • Size of property ,r�) ft. x ft.
i d) Size and use of existing buildings, if any
g u /
m Size of proposed building 6 ft.x T ft.
Q. •
o Height(from grade to ridge) /7. 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., _ Q
Kind of construction: Wood frame, fire safe, etc • -
'Will any second-hand lumber be used? If so, for what?
Material of foundation walls �� ® Thickness c?
Depth of foundation walls below grade Contin ous foundation?
-
Will there be a cellar? ��. If so,material of cellar floor
Type of roof: Sloped or flat? . . .-.2� 'Y - Material of roof . . .
Size,wood studs ... ."x ",spacing /6 "o.c., length. . . . . ... . . .. ft.
Size, floor beams, 1st floor . . "x ", spacing "o.c., span /z ft.
Size, floor beams,2nd floor "x ", spacing • "o.c., span ft.
Size, ceiling beams t . "x ", spacing c. "o.c., span G ft.
Size,roof rafters or beams ."x . ", spacing "o5., span ft.
Exterior finish � With what material? =G�i�'%%�
Finish of interior walls 1/2 " -t; -
If garage is to be attached, o what aterial is wall between,garage n�bui<lding to be constructed?
Is there to be an opening between garage and building? . . . . f /14 /"" ®vor P/i/aM/
Kind of heating system . . . €� .iu-o�l�r�t_,. .l ??ur-� Oil-burner-er-eoal?
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? ^!. .ci
PP1 •Y• • - •
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 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 a _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.
Sworn to before me this Signature
OWNER,OWNER'S AGENT,ARCHITECT,CONTRACTOR
day of 19
NOTARY PUBLIC.WARREN COUNTY, N.Y.
•
SPECIAL CONDITIONS OF THE PERMIT:
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