5667 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.
has been completed.
This structure may be occupied as a
Location --
Owner
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING PERMIT
•
TOWN OF QUEENSBURY 5667
No.
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Philip C. McIntire
OWNER of property located at Upper Ridge Road Street,Road or Ave.
ro
in the Town of Queensbury,To Construct or place a Addition to dwelling (living area)
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.
v n
1. OWNER'S Address is Star Route
Glens Falls, N. Y. 0
H
rt
I-I-
2. CONTRACTOR or BUILDER'S Name Fi
George Senecal II
3. CONTRACTOR or BUILDER'S Address
57 Helen Drive
Glens Falls, N. Y.
4. ARCHITECT'S Name
111
n
5. ARCHITECT'S Address
h,.
IQ
tD
6. TYPE of Construction—(Please indicate by X) O�
)Wood Frame ( ) Masonry ( )Steel ( ) 0'
7. PLANS and Specifications
14 'x20 ' per plot plan, specifications and application
No. submitted. ,
8. Proposed Use
One—Family Dwelling
sz
lam•
rt
$5. 00 C/O Paid 0
$20. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES Sept. 1 19 79
(If a longer period is required an application for an extension must be'made to the Building and Zoning inspector of the o
town of Queensbury before the expiration date.)
21st February 79
Dated at the Town of Queensbury this Day of 19 F,
/3)
SIGNED BY U di for the Town of Queensbury
Buildi and Zoning Inspector
TOWN OF QUEENSBURY ) (Space inside block to Ix. filled in by
WARREN COUNTY. NEW YORK Building Inspector)
A lication for Application
on
PPPermit Issued 19
BUILDING AND ZONING PERMIT 1'v,mit Expires . I9
7t3iini. 1)istrirt
• \ aliu• i31 \\'ur1..%
THREE (3) Copies of a PLOT PLAN, Drawn to scale \11"„"(d by
showing the actual dimensions of the lot to be built it •n>:ilks"
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB- _
MITTED WITH THIS APPLICATION.
•
/ — / _ 7 . . 4-- 4,)" ? i T. OWN OF QUEENSBURY
A PERMIT MUST BE OBTAINED BEFORE BEGI NING WORK
ANSWER ALL OF THE FOLLOWING. FEB re e
2 i9 9 �C�
The undersigned hereby applies for a permit to do the following work �S .�
A.M. P.M.
which will be done in accordance with the description, plans and specifi-
cations, and such special conditions as may be indicated on the permit. . . • i ' ' .
The owner of this propertyf is:
a P••�y+�1 Xi
s
J (P 0 ADDRESS)
(NA••FI
The person responsible forsupervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
(NA MEII/r p7 / S IP 0 ADDRESS)
Name of Builder
Name of Plumber "'7�'ck'7F£~�-�
Address
Name of Mason. . . . . . . . . . •"..''?`i I Address
Lot Number Unit Estimated value of proposed work 5 76700t, --
Name of Village ^�
Name of Street / .0'� Je' -D Side of street: ii with ❑, east ❑, south ❑, west
Nearest Cross Street . . /..e_'1. • • • .e • • . Distance fro:zn thi:.; 'Toss street . i.2 60,4. . Ft.
Pe Y
Pro rt is north ,south 0,east i i,west ❑from Cross Street
If on Corner,which c niter, northeast ❑, northwest ❑, southeast E. ,outhwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. Main BuildingK.
g Addition to a building. One-family dwelling
O Alteration to a building. Two-family dwelling El
❑ Demolition of a building. • . . -family apartment house ❑
Store building ❑
-car attached garage
Other:
Accessory Building
One-car detached garage El
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
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
,•� 4 huilding(s) in solid line.
?'.
Size of property . . . ft. x . ft.
Size and use of existing buildings, if any ' / :
1 i � w Size of proposed building . ././ • ft.x . ). • ft.
.£IC) Height (from grade to ridge) / 2 ft.
Front yard
��' Side yards 7 ft. and /$ ft.
Rear yard ft.
N 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)
7-73-M
(coned.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.' ` '`v
Will any second-hand lumber be used? A-" If so, for wha
Material of foundation walls C eL4 • -- Thickness Si. J1` e�ms�./--
_ 4 `Gt.fot-Cf
Depth of foundation walls below grade . . . 3 _ y`f Continuous foundation. . d..'. . . ��J
Will there be a cellar? A' C� If so, material of cellar floor 64s 2
Type of roof: Sloped or flat? . . . . te- — Material of roof . . .--.-
Sue,wood studs "x ",spacing / ld, "o.c., length. . . . ft.
Size, floor beams, 1st floor c`-'La 1.. .;-4'-- ", spacing "o.c., span ft.
Size, floor beams, 2nd floor 7-t_'-' '-eti-4 ". spacing "o.c., span . . . . ft.
Size, ceiling beams "x • •6 spacing . . . . . . ./ . . ."o.c., span - i'l ft.
Size, roof rafters or beams x(
. . . , ", spacing . . . . . . . 7.Iv . ."o.c.,span . . . . ft.
Exterior finish • • �
With what material? J
Finish of interior walls t/ -54,' 4-c`.c.-
If garage is to be attached, of what material is wall between garage and main budding to be constructed?
Is there to be an opening between rage and building?
Kind of heating system � - 4. - ., Oil burner or coal? 0"-N, >
Will a flue-lined chimney be provided? e -" . Depth of chimney below grade
P foundation
Height of chimney above roof. . . . . . . . . . ..
Will there be a fireplace? Lyc'" Depth of fireplace hearth ...
Will a toilet be installed?. .. . . . .%. . . . . . . . . . . . (V . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will a kitchen sink be installed and connected to water supply? A"-,
Water supply(public water supply or pump) pt.-1..-L.,c_::-C—
Distance of cesspool from any private well GL! ,' feet
Will drainage system be provided with required traps, cleanouts, and vents? 1/�
Town of Queensbury / AFFIDAVIT
County of Warren
State of New York
I swear that to tr. b r of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.,. lete statement of all proposed work to be done on the described premises an that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to work shall be comp with, hethe specified or not,
and that such work is authorized by the owner.
Sworn to before me!his , Signature ....... . .
i OW ER. NER' A ENT.ARCHITECT,CONTRACTOR
0 day ofv�" .!/ t{. 19. l�
-)?" g-a
rNOTARY PUBLIC, WARREN COUNTY, Y. •
SPECIAL CONDITIONS OF THE PERMIT:
•
By .
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 77
Name
Location�A95ithr-4a
,. .
Permit No. C ,c6 6 ', Weather
Per Cent
Complete Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing 1
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
/tx4!
Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
lnspectors Date
Name ii� � 2
Location
Permit No. 5(0 (j Weather
Per Cent
Complete Remarks
Excavation
Footing Forms "� c
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
Plhg.Fixtures
Gar.Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
S- 4 .
Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date -? — 7
,mc..,c�
Location
Permit No. 5—7 6 7 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
Cellar Dr.Tile
Concrete Floors
Plhg.Fixtures
Gar.Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Building Inspector
REMARKS
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