755 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19 _
This is to certify that work requested to be done as shown by Permit No. 755
has been completed.
This structure may be occupied as a One—Family Dwelling
Location Ray Road
Owner Glenn E. Powell
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING ' PERMIT
TOWN OF QUEENSBURY No 755 ,V
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WARREN COUNTY, NEW YORK g
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PERMISSION is hereby granted to Glenn E. Powell ~
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RD# 1 Bay Road 1--,
OWNER of property located at Street,Road or Ave. M
in the Town of Queensbury,To Construct or place a Dwelling Il
M
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
Same
Po
2. CONTRACTOR or BUILDER'S Name R
Same I--'
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3. CONTRACTOR or BUILDER'S Address 'C
P3
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(`)Wood Frame ( ) Masonry ( I Steel ( )
7. PLANS and Specifications 28' X 48' as per plot plan.
No.
8. Proposed Use
Dwelling
$ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES October 30 1970
(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 5 Day of May 19 70
SIGNED BY for the Town of Queensbury
Buil and Zoning Inspector
TOWN OF QUEENSBURY
(Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for Application No.
Permit Issued I9
BUILDING AND ZONING PERMIT Permit Expires 19.
Zoning District
• \ aloe of Work 5 . . . .
THREE (3) Copies of a PLOT PLAN, Drawn to scale .\1)1 "`"1 b
showing the actual dimensions of the lot to be built lten,ark.
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 QUEE
N
SBURY
DATE RECEIIVE —
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK /Dej ��PP4i;,
ANSWER ALL OF THE FOLLOWING. Mk( `: 1970
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- 7I819110I1111211I2I3I41516
cations, and such special conditions as may be indicated on the permit. A
The owner of this property is: G
coo . owe' I IZO-*1 4,
ec,,t c.a.
(NA'1E) 1 (P.O.ADDRESS)• l. •L•o,v• e. _ • \ iZ ttS
The person responsible for su rvision of thrork insofar as the Building Code and the Zoning Ordinance apply is:
l.,1erih 4=. .0,
(NAME) (P.O.ADDRESS)
Name of Builder C kentx fc) e t k. Address
Name of Plumber Gte„++t w '.t.( Address
Name of Mason C.ANk `V►*Y'.t Address
Lot Number Unit Estimated value of proposed work$ . . . . .i,S oOo
Name of Village R DAv ! ec.I. Rc ., . Lox, .Gey c Jc. ,. l•t.`�'i i Zgit3
Name of Street a A. . .!R,acua Side of street: north ®, east 0, south O. west En
Nearest Cross Street Pi tK e lf.L l U ei0o,4 Distance from this cross street 50 0 Ft.
Property is north ®,south ❑,east is ii,west 0 from Cross Street
If on Corner, which corner, northeast 0, 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 Building
❑ Addition to a building. One-family dwelling Lk
❑ 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 ❑
0 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
• 5'-14.ces size of the property, the location, site and setbacks of pro-
NORTH posed buildings,and the location of all existing buildings.
Show proposed building(s) in dotted line and existing
13ct. Lct &Ne„,— I uilding(s) in solid line.
NIP"—
"earn Het,, Curet Size of property 4 00 ft. x ft.
aruJor oropc sect Size and use of existing buildings, if any . .4. .Cn.r
i-1,00.s e. _ c
y \ .t�Gru�t .:. .2..Y .30. .i . .r/Z .cal. 5: /w5 e,a(.r rut.(ne-, •rb Y6
u
m Size of proposed building . . . . .i?.> . . ft. x . . .'f8 ft.
a Height(from grade to ridge) i 5' ft.
Front yard Z 50 ft.
Side yards i 00 ft. and Y5° ft.
Rear yard 3 0o 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.? ie
Will any second-hand lumber be used? Pe If so', for what?
Material of foundation walls ,310(K Thickness F'
Depth of foundation walls below grade 5' Continuous foundation?
Will there be a cellar? Yes. If so, material of cellar floor (...-,aeYf, 4—
Type of roof: Sloped or flat? S to P�.8 Material of roof . . .3.T0:9. . S nclea
Size, wood studs "x 41 ", spacing `c "o.c., length 5• ft.
Size, floor beams, 1st floor .. . . . "x i C ", spacing ' "o.c.,span ' y ft.
Size, floor beams, 2nd floor "x ", spacing "o.c.,span /,, ft.
Size, ceiling beams a. . . "x tF ", spacing "o.c., span . . '!till/ ft.
Size, roof rafters or beams "x (. ", spacing "o.c., span ft.
Exterior finish /P ,With what material? _
Finish of interior walls V/o'2d. pa 0 It-I ''"i E
If garage is to be attached, of what material is wall between garage and main building to be constructed?
/c
Is there to be an opining between gars a and building?
Kind of heating system Nub .ua.c.tz.t Oil burner or coal? Q;t
Will a flue-lined chimney be provided? . . .'I Depth of chimney foundation below grade (1 `
Height of chimney above roof Z`
Will there be a fireplace? eS Depth of fireplace hearth
Will a toilet be installed? . ktes
Will a kitchen sink be installed and connected to water supply? des,
Water supply(public water supply or pump) `7w10.1P
Distance of cesspool from any private well feet
Will drainage system be provided with required traps, cleanouts, and vents? . . . ..S
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 all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to 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 ..&Veil
0 N R,OWNER'S AGENT,ARCHITECT,CONTRACTOR
`t Ldayy H�of S ' '4 5 19.7a..
/,G�J1,_y rygT-Airi-p THLICC. WA RRNECOUNTY, N.Y.
SPECIAL CONDITIONS OF THE PERMIT:
A . D
DATED nAAY 5 agZ _ ..
B3UILDIN & ZONING I 'SPECTOR
TOWN OF QUEENSBURY
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Germ Pow0 \ Q°4
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( TOWN OF OUEENSEURY
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MAY 5 1970
DATE
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8 1LDiNGITSPECTOR
TOWN OF QUEENSBURY
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