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2940 BUILDING PERMIT TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK No. 29Q 0 u' PERMISSION is hereby granted to Robert P. and Carol P. Madden cD I-i C+ OWNER of property located at Lot 69 St. Andrews Drive Street, Road or Ave. 'b in the Town of Queensbury,To Construct or place a One-Family Dwelling with SS w at the above location in accordance to application together with plot plans and other information hereto filed and 0- approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. C? sv 1. OWNER'S Address is y 14 Sherwood Drive Glens Falls, New York 2. CONTRACTOR or BUILDER'S Name 5 Lee A. Perrotte Sz 0, cD 3. CONTRACTOR or BUILDER'S Address C/O Robert Madden 14 Sherwood Drive, Glens Falls, New York r 4. ARCHITECT'S Name O C+ CIN (n 5. ARCHITECT'S Address C-I- f2. 6. TYPE of Construction—(Please indicate by X) fi (D r � )Wood Frame ( ) Masonry ( )Steel ( ) U7 tzi ►'i 7. PLANS and Specifications F C No. 741 x 341 per plot plan, specifications and application tD submitted including sewage system. 8. Proposed Use One-Family Hwelling o m $5 .00 C/O Paid $ 100.00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 1 1974 IJ (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the d town of Queensbury before the expiration date.) cD Dated at the Town of Queensbury this 16th Day of May 19 74 SIGNED BY P LQ � for the Town of Queensbury Building and Zoning Inspector C ;. 4 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY I WARREN COUNTY, NEW YORK fi 1 Date October 24 19 74 I This is to certify that work requested to be done as shown by Permit No._ 2940 i has been completed. This structure may be occupied as a One-Farm V -Dyje j j Z r1q j Location T.O± 6C) ! AndrAir, il^ri ere3 Owner Roh rt P and Carol P. Nladden By Order Town Board TOWN OF QUEENSBURY Building N Zoning Inspector CREATIVE "INSTA" PRINTING. GLENS FALLS. N• 12801 (516)793-5656 TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Application for BUILDING AND ZONING PERMIT THREE (3) Copies of a PLOT PLAN, Drawn to scale showing the actual dimensions of the lot to be built upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB. MITTED WITH THIS APPLICATION, DATh A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies for a permit to do the following work which will be done in accordance with the description, plans and specifi- cations, and such special conditions as may be indicated on the permit. (Spacc in.ide block to Ix, Iilii-d it, b•. Building Inspector) \pplic.,tion N1t. prnno loued -19 1" 111it F.spimt 19 Di,tri,i \,nn,„etl 6e R, nroK5- TOWN OF QUEENSBURY a E 0 E � V E 0 MA �'1974 las err, 0'w 4 (2160 M. ?I819PF11111213141516, dle The owner of this property is: ` 1,C.a4rL P. /ei.g1 ��- .. .... / 1/ ,I�iazaool D t . (F. ............. INP"EI ........ .. .. !PO ADDRESS) The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply k. 44�e y...1101101".uZTe....... I .... c/a Ala�!Jes . �rJu rs D� (NAME) IRO ADDRESS) Name of Builder.. Lee .4/�izrtit, 'ije -..Address ... ........ Name of Plumber ........................... ..........Address .................................. Name of Mason. .... .... .... ... ........... Address ...... .. ....... ..... Lot Number....6 p / ..... Unit". �4"4d. Estimated value of proposed work f ���� Nameof Village ............................ .................... .............................. Name of Street .. S/ 10! !t!} s , .... I ...... I .......... Side of street: north ❑, east 0, south ❑, west ❑ Nearest Cross Street Q!tcOR:..... ..... Distance from this cross street ....... ..ZGLi .. Ft. Property is north ❑, south JO, east r 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 91 Construction of a new building. ❑ Addition to a building. ❑ Alteration to a building. ❑ Demolition of a building. ❑ Other work. Describe: ......... .. - - - OCCUPANCY Main Building One -family dwelling -� Two-familv dwelling ❑ ..... I . I -family apartment house ❑ Store building ❑ ... ...-car attached garage ❑ Other: ................................. . Accessory Building One -car detached arage Two d C -car a='.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. I NONTN 1i11*CACG 1fk r N W W oL6 ox�r:rs.r� air , souTN Indicate on the plot plan street names, the location and size of the property, the location, size and setbacks of pro- 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 ..... .? ..... ft. x /?r....... ft. Size and use of existing buildings, if any .. ................................................ Size of proposed building .....Q y .. ft. x ... 3l ft. Height (from grade to ridge) ..................... ft. Front yard (t. Side yards ............... ft. and ............... (t. Rear yard it. .................................. If on corner, setback from side street ........... • ft- Note: All distances are net, as masured from street side line to nearest part of building. (OVER) Icont'd.) BUILDING SPECIFICATIONS, Kind of construction: Wood frame, fire safe, etc.? . W014. Fit.gm.e.. . . . . . ....... . .. . ... . .... . . . . . . . .. . . ... . . . Will any second-hand lumber be used? f!...... N"Q..... If so, for what? ..................................... . ......... Thickness . . Material of foundation walls ........%Cod/: . . ................ Depth of foundation walls below grade .....6..... ......................... Continuous foundation? ..... . Will there be a cellar? ... _ /PJ ......... If so, material of cellar floor .yeti-r!m . . . . ... . . . . . .. . .. . .... . .... . . Type of roof: Sloped or flat? ..-F:tu/VJ........ Material of roof .............................. ", ��...." length . ft. .`.�............ o.c., gth. ............ Size, wood studs ............... . . .%" x spacing g.. ...�.. Size, floor beams, 1st floor ......... 2. " x ........... ", spacing ....../6 ....."o.c., span .............. Size, floor beams, 2nd floor " x A .......... ", spacing .... l . "o.c., span ............. ft. I ft. ........... ? " ", span ft. Size, ceiling beams ............... . x spacing .... o.C., .............. �" L.... ", spacing !?: "o.c., span ft. Site, root rafters or beams ......... x . ....... .... ..... .............. Exterior finish .... R�"ss� d'. . . . . . . . . . . . . . . . With what material? ............................. . Finish of interior walls.....'/f.`.,Boy�f................................................................. 'yg �.rz If garage is to be attached, of what material is wall between garage at�)df main bull to be constructed? .... we-A./�?^ 4....Fy.hnuN..i'4o`te!4..r - ...�wP�.. �.� Is there to be an opening between garage and building? .. yC! ..................... .............. 0.! C . Kind of heating system ^!!O4!�................ • ..... Oil burner or coal? .... .................... . Will a flue -lined chimney be provided? .-Yf-!.......... Depth of chimney foundation below grade .. 6........... . Height of chimney above roof........................................................................... Depth fireplace hearth Will there be a fireplace? ..................... of Will a toilet be installed? ........ Y!!J ................................................................ J . Will a kitchen sink be installed and connected to water su ply? .. ......................................... / . Water supply (public water supply or pump) ..... A ''e.................................................. �� 10 . feet Distance of cesspool from any private well .......... . ................,;A Will drainage system be provided with required traps, cleanouts, and vents? .. /`.... .......................... . Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to to of my koow)edse and belief the statements contained in this application, together with the plans and specifications sub- mitted, arc a true and co.oalete statement of all proposed work to be done on the described ptemun and that all �ovuiooa of the BUILD- ING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proI shall be complied with, whether specified or not, and that such work is authorized by the owner. Sworn to before me this Signature . .... ............ _. _.. NER OWNERS AGENT. ARCMITECT. CONTRACTOR day of. , . ... ......... 19 NOTARY PUBLIC. WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: By........................................................................................................ BU..LP .NG ZCT.UNG DEPT, QUT EWI)BtIlY TCIVN; OFFICE BUILDING BXf & HAVILA14D ROADS, RD#I .GLENS FALLS, NEW YORK f uUl APPLICATION FOR A PERMIT TO CONSTRUCT:, ALTER OR ENLARGE A SEWAGE DISPOSAL SYSTEM WITHIN THE TOWN OF QUEENSSURY,, OCC,"JPANT' S NAME A �� _., s.. ADDRESS %9 TEI,Iak�HCNE ADDRESS ��/f%aau�fl2, �Nli°:iSF.F OF GARBAGE GRINDER?„ RYES OR A10) TOPOGF*APHY FLAT ROL.7.. 4Gv STEEP SLOVE, GENTU S1,1 PI:9 OTHER NNTIRE obi- 1 t a` =VlCTPAl,,,. s y C"ii-;F�? PFACOL.ATTON TE5°I r__.:: ii ! _ M e N- S� '. C ; ,�ie u DIAGRAM, OF PROPOSED SE;P T I,( S' Ei'!'FFM` 1 E ER, PERTINENT I"e IS HEfiEBY AGREED THAT IF THIS APPLICATIONi,ND Pi -AN, ,a, E APPRt�VTd II STALLAT"ION OF SE,VAGF DISPOSAL FACILITIES WILL BE s .""DE IN D61AIL3 SHOWN, Rr..Tc AN, w .* Its• . d� A! }, yt v; Q a 1 a V.• r '1 l 1F ,;1 R 1 1 t �^ F rl t cx 1 z^d a 7.. 1 9 1 1 1 t�1�► 9 S 4 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 41 STATE STREET,ALBANY,NEW yY*ORK 12207 Date October 25, 1974 Application No.on file 310269 A A, I 1-� '4 A ^, THIS CERTIFIES THAT /1 only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of Robert Madden, lit. Andrews Drive, Glens Falls, New Yank in thefollowing location; k] Basement f] 1st Fl. ❑ 2nd Fl. Outside Section Block Lot 69 was examined on 10/18)74 and found to be in compliance with the requirements of this Board. FIXTURE RECEPTACLES SWITCHES FIXTURES M RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT yA AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 20 6 lA 1 1.1 2 Fr. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RK'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO,OF FEET AMT. WATTS 2 f 1 3® SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. TYPE METER �,4W �.3W 3,0'3W 3.0'4W NO,OF CC.COND. A.W.G. NO.OF HI-LEG A.W G. NO.OF NEUTRALS A.W.G. EQUIP. PER.0' OF CC.COND. OF HI-LEG OF NEUTRAL 1 1 4/0 1 2/0 OTHER APPARATUS: GeWman Electric R.D. #11, Box 118 239 Morrisonvilles New York 12962 BRANCH MANAGER Per MR COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 3 _ s AW 4WK vl AVOIR -- -/NT. AXIS# e ! t ---.—. .•01FAMM4! ,2•,ZB,3 vromAL -----SIVIA(C CIS SWC. 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