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4035 C/O Paid • • CERTIFICATE OF OCCUPANCY , TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK • Date - 't' 191‘e This is to cern it wirk red to be done as shown by Permit No. has been completed. r7jfitile This structure may be occupied as a •' v v61-111 ti(vij Location 4411-1. D 1 10) e0 pd.„, Owner (:)).-%CrA i(a 1-W\A=) ,C Id By Order Town Board TOWN OF QUEENSBURY ) • _— 4-2/1ci.47,7,)•, a Building & Zoning Inspector CREATIVE •IINSTA" PRINTING GLENS FALLS. N Y 12801 1518)793.5658 • BUILDING PERMIT TOWN OF QUEENSBURY No. 4035 WARREN COUNTY, NEW YORK J PERMISSION is hereby granted to Pro—Craft Builders OWNER of property located at Lot 6 Dixon Road Street, Road or Ave. y in the Town of Queensbury,To Construct or place a One—Family Dwelling n 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 fi 1. OWNER'S Address is 77 Main St. So. Glens Falls, New York H. Q+ m 2. CONTRACTOR or BUILDER'S Name N Same 3. CONTRACTOR or BUILDER'S Address Same °- a' 4. ARCHITECT'S Name d F'• X O 5. ARCHITECT'S Address 0 • SZ 6. TYPE of Construction—(Please indicate by X) cq 0 (X)Wood Frame ( ) Masonry ( ) Steel ( ) (1) y'I 7. PLANS and Specifications N No. 60' x 34' per plot plan , specifications and application �• . submitted including 2—car attached garage and sewage .� system t/ 8. Proposed.Use One—Family Dwelling 1 � u0 $5.00 C/o Paid $ 48.00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 1 1W6 (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 5th Day of May 19 76 SIGNED BY CT �I for the Town of Queensbury Building and Zoning Insp..-• TOWN OF QUEENSBURY (Space inside block to he Tilled in h•. WARREN COUNTY. NEW YORK • Building Inspector) Tic tion for \pplication No. . App . Penult Issued 19. BUILDING AND ZONING PERMIT 1,..,.mi, Expire, Ig i onin l)istrir t \ ,,liie of Work .% THREE (31 Copies of a PLOT PLAN, Drawn to scale .\i'I'I''J((•(I by showing the actual dimensions of the lot to be-built 1:(•It (rks upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. TO..._ .. • LL�� !�7LiFJt l rl lU u ;r f' �� DATE uu �_ . A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK [I AY ;:: 197 - deat ANSWER ALL OF THE FOLLOWING. A.M. 53 °= ('e e P.M. The undersigned hereby applies for a permit to do the following work 7I8I9i1O1llIl211I2I3I4I5IG which will be done in accordance with the description, plans and specifi- cations, and such special conditions as may be indicated on the permit. C.a6 The ner oft s property is—. The -- /eG9•r-.T . .PV/L.P.6./es 77 /i/9/.41.. . .. r. . . . <f. . G4-ivs 7-v9c•s Ai �. (NA' E) (P O.ADDRESS) The 4 ,r1 responsible for • supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: d9-N<di. tt!c:/—_.. . . . /921X. 7,Y2.. . . .6o.e.i.--70. . .... .....!'.: . 4 . . . . . . . . . . . . . . . (NAME) (P 0 ADDRESS) Name of Builder /e0 •' oe/9- TT+ Wu/L j)L 12• Address S/---• 6-1 C.y 5 �� LC s_ /U Name of Plumber. I,,1�19/e L�s Cam•k�• UX Address . . /.?/6yZG %L�1 m �• + ; Nae of Mason. . . i.V. . 7:--1? !' Address . . --21 /U 5. . .Ei9-G( S. At� Lot Number G Unit Estimated value of proposed work S 70 o e) a Name of Village 2 U t��v S J3 o }z Name of Street . . . / 14 f' Side of street: north 0, east 0, south 0. west 0 Nearest Cross Street /'G QZ/ / • Distance from this :loss street Ft. Property is north 0,south 0,east i , west ❑ from Cross Street If on Corner, which corner, northeast [3, northwest ❑, southeast southwest (Designate by marking with an ")(" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Main Building 1 Construction of a new building. One family dwelling ❑ Addition to a building. CI dwelling ❑ Alteration to a building. -family apartment house ❑ CI. Demolition of a building. Store building . . . -car attached garage Other: • Accessory Building One-car detached garage CI ❑ 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, size and setbacks of pro- posed buildings,and the location of all existing buildings. NORTH Show proposed building(s) in dotted line and existing Ituilding(s) in solid line. - Size of property . . . . . . . . / ? . ft. x / c) ft. Size and use of existing buildings, if any t- ut u m Size of proposed building . . . . .6 . ft.x ft. . Height (from grade to ridge) ft. 7 Front yard U ft. Side yards & ft. and 0 0 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., Kind of construction: Wood frame, fire safe, etc.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber be used? . . . eth.i.:.i . . If so, for what7 Material of foundation walls -v AJ C 0 1_a c r! Thickness /� // 'V 6' -j' 7 f Depth of foundation walls hel w grade �r Continuous foundation? Will there be a cellar? help, S If so, material of cellar floor Co iu C �C .* ‘3 . Type of roof: Sloped or flat? CC e D Material of roof 5-'et/N6'2 C Size,wood studs 7. " x ", spacing /6 "o.c., length $• ft. Size, floor beams, 1st floor " x ", spacing bi ."o.c., span /2- ft. Size, floor beams, 2nd floor a'" x ", spacing / ."o.c., span /2- ft. Size, ceilin beams " x ", spacing "o.c., span ft. u s l` Siie, roof or beams X" x 7 ", spacing /6 "o.c., span 7 6. ft. Exterior finish /�`U al S / 17/dU G With what material? Finish of interior walls 5/-,/-G'-(.5-7- 1--() K - If garage is to be attac d, opf wha,t material is wall between arage and main budding to be constructed? Is there to be an opening between garage and building? p v, / 1.. . . i.2. . Kind of heating system . . .t17./.L. . . P.-Ec T . /9 1`i?. Oil burner or coal? Will a flue-lined chimney be provided? i /L 5 . Depth of chimney foundation below grade Height of chimney above roof .2-- ' Will there be a fireplace? I• C. Depth of fireplace hearth Z L i/ Will a toilet be installed Y6-5 Will a kitchen sink be installed and connected to water supply? . . .,Y. .C: Water supply (public water supply or pump) /'U 5 I/ Distance of cesspool from any private well — feet Will drainage system be provided with required traps, cleanouts, and vents? 7e 5- Town of Queensbury l AFFIDAVIT County of Warren State of New York I swear that to th- i of my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and co.i,plete 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,w ther specified or not, and that such work is authorized by the owner. /J Sworn to before me this Signature 7/L2�- /j- � lic�✓...,,,,, i��� OWNER.OWNER'S AGENT.ARCHITECT,CONTRACTOR day of 19 NOTARY PUBLIC, WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: • By • • TOWN. OF QUJEENSBURY - Building Department • Inspectors Report Date d " P/7/ Name. / 4_/ // Location 1 ,r ��' /, .l) 1 Permit No. Weather Per.Cent • Complete Remarks Excavation Footing Forms Footing & Piers IFoundation Cement Coat Waterproofing Backfill / S Final Survey l /s / Framing //1 Sheathing tZ Roof Felt Roofing 4F/ Siding Masonry Veneer Rough Plbg. Rough Htg. Relief Valves Wall Board Ext.Porches Finished Floor Interior Trim Stairs&Railings ' Cellar Dr.Tile Concrete Floors Plbg.Fixtures Gar.Fireproofing , Door Closers Chimney Water Meter Inst. Septic Approval II et Building Inspector REMARKS (.6 . TOWN OF QUEENSBURY Building Department" Inspectors Rep!tt Date (1 ;FA- Name Location Lei` ' J)j jVlj;+iJ/ 0 Permit Noi} 3y20119ga# Weather Per Cent Complete Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing • Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Rough Htg. Relief Valves Wall Board Ext.Porches Finished Floor Interior Trim Stairs&Railings ¢i Cellar Dr.Tile Concrete Floors Plbg.Fixtures Car.Fireproofing Door Closers Chimney Water Meter Inst. / f Septic Approval G Building Inspector • 1/P 7REMARKS ��`) V �' w TOWN OF QUEENSBURY • Building Department Inspectors Report D,te Name �Location ! (..„z. ./( 4 Permit No. ° `C' 3S Weather /[4z,./ Per Cent Complete Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer ( • Rough Plbg. Rough Htg. Relief Valves • Wall Board Ext.Porches Finished Floor Interior Trim Stairs&Railings Cellar Dr.Tile • Concrete Floors Plbg.Fixtures Gar.Fireproofing Door Closers Chimney ' Water Meter Inst. Septic Approval Building Inspector REMARKS TOWN OF QUEENSBURY Building Department Inspectors Report Date _ „r Name /4/ Location �� '.dG Permit No. Wit) Weather m 1 Per Cent Complete Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing , Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Rough Htg. Relief Valves Wall Board Ext.Porches Finished Floor Interior Trim Stairs&Railings Cellar Dr.Tile Concrete Floors Plbg.Fixtures Gar.Fireproofing Door Closers Chimney Water Meter In.st. Septic Approval Building Inspector REMARKS - - Vd/h.c f i-OWN OF QUEENSBURY Building Department a )4, in Inspectors Report Date S-/ - Name P 0 - C.r c-r 3c1 t `e-s Location �,o1 (Q D`i y tl h I?n a Q. Permit No. 0 3 c- Weather Per Cent Complete Remarks Excavation ! 2 Footing Forms V Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Rough Htg. Relief Valves Wall Board Ext.Porches Finished Floor Interior Trim Stairs&Railings , 7 Cellar Dr.Tile Concrete Floors Plhg.Fixtures Gar.Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Building Inspector REMARKS r'6YeLK, TOWN OF QUEENSBURY Building Department Inspectors Ite ort Date 04;*6 Name Location i AI Permit No. / Weat er er Per Cent Complete Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing 1111E1,P9 Backfill Final Survey Framing Sheathing Roof Felt Roofing 11111111 Siding =OM / • Masonry Veneer Rough Plbg. W- Rou•h Ht:. EMI./ Relief Valves NM= . Wall Board Ext.Porches Finished Floor Interior Trim Stairs&Railings J Cellar Dr.Tile Concrete Floors -� PIb:.Fixtures Gar.Fire.roofin Door Closers Chimney Water Meter Inst. Septic A..roval • Building Inspector REMARKS _•-WEIZIOS6._MR _____ ._ _ - ,••u-_ . 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