2174 A
CERT1 %r-kTE %-.iF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date , —e-e' uary 0t 19
This is to certify that work requested to be done as shown by Permit No. 217
has been completed.
This structure may be occupied as a Lk, P t 7 I n r
Location R a i n b oyv'r r i l ; o, 2
Owner George Ph nneaj
,Order Town Board
/TgVWN OF QUEENSBURY
Building &x0ning Inspector
�r g
BUILDING PERMIT
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK No. 2174
PERMISSION is hereby granted to GEORGE PHINNEY
m
OWNER of property located at H d
---Rainbow-frail Street, Road or Ave. ko Cy
M
in the Town of Queensbury,To Construct or place a Dwelling $
Swage 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. C-
1. OWNER'S Address is `C
N
2. CONTRACTOR or BUILDER'S Name
C
Michael Woodbury
3. CONTRACTOR or BUILDER'S Address
679 Glen Street
Glens Falls, New York
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ► Masonry ( 1 Steel ( ►
7. PLANS and Specifications N.
No. as per application 0
8. Proposed Use y
Dwelling 24 x 40 & Sewage System
4t
N
5.00 CO Fee Paid
$ 36.00 PERMIT FEE PAID—THIS PERMIT EXPIRES _ Apri1 30 19-2-3--
(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 Rth Day of November 19 72
SIGNED BY for the Town of Queensbury
-BuilcHng and Zoning Inspector
TOWN OF .QUEENSBURY
(Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for \1'1'Ii"'ti"'t No.
Permit Issued I('. .
BUILDING AND ZONING PERMIT 1'c,rmit l.xpire. 19.
Y(.nn) District
\ ;due uc nI Works) . . . . . ... . . . . . . . . . . .
THREE (3) Copies of a PLOT PLAN, Drawn to scale \I'1 ''''`l I ' • ' ' - . . . . . . .
showing the actual dimensions of the lot to be built Itc':tthr1.
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 QUEENSEURY
DATP H jP.&U7)4J
GGfiA PERMlT MUST BE OBTAINED BEFORE BEGINNING WORK �� 1972
ANSWER ALL OF THE FOLLOWING. n 1n
The undersigned hereby applies for a permit to do the following work A.M. d .//P.M.
which will be done in accordance with the description, plans and specifi- 7181911011112111213141516, , . . . . , ,
cations, and such special conditions as may be indicated on the permit. A
The owner of this property is:
(NA"'E( IP 0 ADDRESS)
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: •
.7 v,, - I' / 7
(NAME) IP O.ADDRESS)
Name of Builder. . L — • '�-. .:e, ' .�' `"•'�• . . . . • •Address
Name of Plumber `' Address . .
Name of Mason Address
Lot Number. . . . . . . . Unit Estimated value of proposed work$ / D DD.O '
Name of Village
Name of Street . . 1\ e,c.i.:0. .i.�t - Side of street: north 0, east 0, south 0. west 0
Nearest Cross Street Distance from this cross street Ft.
Property is north 0,south ❑,east 11, west 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast 0, southwest •
(Designate by marking with an "X" in the correct space.) .
NATURE OF PROPOSED WORK OCCUPANCY
Construction of a new building. Main Btuald ing
❑ Addition to a building. One-family dwelling
❑ Alteration to a building. Two-family dwelling ❑
❑. Demolition of a building. -family apartment house El
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 El
Other:
ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building,or a change of occupancy.
Indicate on the plot plan street tames, 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
huilding(s) in solid line.
a Size of property //.5— ft. x . . f'S.(. . . . ft
Size and use of existing buildings, if any
I-
s m Size of proposed building . . . .�: . . . ft.x . . A.G. . . . 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, es measured from street side
line to nearest part of building.
(OVER)
.._.-._.--___..,.. _ ._ _.. _....ter- ... .. ....
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.?. . . . . . . . . . .w. % 1�. . . . . . . . . . . . .
. . . . . . . . . . . . . . . .
Will any second-hand lumber be used? If so, for whaee
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? .!.''--r.�JJ. 4. . . . . . . . . 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.
Site, 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 bilk/ding 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 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 premuea and that a _provisions of UILD-
INO CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed work shill be complied with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature {7 t��lN �it .!•Q "�1 ti/L�'
OWNER.OWS AGENT.ARCHITECT.CONTRACTOR)
day of Zvi
NOTARY PUBLIC. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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