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983 • • 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. 983 has been completed. This structure may be occupied as a Dwelling Location Glen Lake Rd. • Owner Howard Ormsby By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY o No. 983 a WARREN COUNTY, NEW YORK a PERMISSION is hereby granted to Howard Ormsby OWNER of property located at Glen Lake Rd. Street,Road or Ave. in the Town of Queensbury,To Construct or place a Dwelling 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 Same 2. CONTRACTOR or BUILDER'S Name Same 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) (X)Wood Frame ( I Masonry ( )Steel ( ) 7. PLANS and Specifications No. 26' X 36' As per plot plan. 8. Proposed Use Dwelling $ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES April 30, 19 71 (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 14 Day of October, 1g 70 SIGNED BY / ' for the Town of Queensbury ` Building a Zoning Inspector TOWN OF QUEENSBURY (Space inside block to be filled in by WARREN COUNTY, NEW YORK Building Instor) Application for Application No. y Permit Issued I'i BUILDING AND ZONING PERMIT Permit Expires Ill Zoning District Value of Work S THREE (3) Copies of a PLOT PLAN, Drawn to scale ''I'I'° 'c•cl by showing the actual dimensions of the lot to be built kcmarl.s 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 QUEENSBURY /6/// 0 E D E 13 l!IE . E 1 A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK /a F- -/Pik ANSWER ALL OF THE FOLLOWING. / Ci CT 1 `' 70 The undersigned hereby applies for a permit to do the following work A.M. F.I . - which will be done in accordance with the description, plans and specifi- 7 1 8 1 9 11011Al2I 1I2 h 3 f i 5 6 cations, and such special conditions as may be indicated on the permit. A The owner of this priQperty,is: /(J ,, �7E1 (P.O.ADDRESS) ,� The�p�erson respOsi, for rvision of the work ins r the.Buildi g de an the Zoning Ordinance apply is: ,lJ _ >,. (NAME) (P.O.ADDRES Name of Builder Address Name of Plumber Address Name of Mason Address Lot Number /; Unit Estimated value of proposed work$ . . /I,r D.'z"V Name of Village . . . s-�:dC '<'1 S zI-0/` Name of Street �'' i� 1��z�'$iiie of oft et: north ❑, east ❑, south 'st 0 4LJ .li Nearest Cross Street �� Distance from this cross street -2-" r' Ft. Property is north 0,south ❑,east ri, west 0 from Cross Street If on Corner,which corner, northeast ❑, northwest ❑, southeast El, 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 ❑ Alteration to a building. Two-family dwelling ❑ ❑ Demolition of a building. %.I ?�f• -family apartment house ❑ .�� A O re building ❑ ,.;!,.1 \Si -car attached garage ©� C� IS' er: 01, '. • . . . 0• • • • • • •• + C�� Accessory Building CD Other work. Describe a 1:0�C One car detached garage ❑ ;i Two-car detached garage ❑ O` Private chicken house ❑ :�..'. . Oft ��- . 1 Private storage building El '� ..(Q Other: ,7 , 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, site and setbacks of pro- NORTH posed buildings,and the location of all existing buildings. Show proposed building(s) in dotted line and existing huilding(s) in solid line. Size of property ft. x ft. Size and use of existing buildings, if any A� I- I- U, U, m Size of proposed building . Lf ft. x -' 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, as measured from street side line to nearest part of building. (OVER) (cont'd.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe, etc.7 G"1i.D 71 Will any second-hand lumber be used? If so, for what7 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? 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. Size, 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 building 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 premises and that all provisions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertain' to a proposed wor shall mplied with,w ther specified or not, and that such work is authorized by the owner. Sworn to before me this Signature .. . ... ..... . .. -- OWNE:,0 NER'S AGENT.ARCHITECT,CONTR TOR day of 19 NOTARY PUBLIC, WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: By I / l ----' - II V / , N k• '1 61 IN • t•\ „ tN • i i 1 , i ‘-... "----..---- ----r...__..... ...._.- , S17-- • '' ) \ 1 oc., 1 4 1910 i DAVIL-,--------- - , BUILSIOG 8, ZOS\IING INSPECIOR . 'TOWN OV QUEENSBUTI 7.) I i I . -,