1240 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. 1240
has been completed.
This structure may be occupied as a One family dwelling
Location Bean Road - Town of Queansbury
Owner Bruce M. Smith
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY No. 1240 x
WARREN COUNTY, NEW YORK "
to
PERMISSION is hereby granted to Bruce M. Smith
OWNER of property located at Bean Road Street,Road or Ave.
�'One family in the Town of Queensbury,To Construct or place a dwelling X
at the above location in accordance to application together with plot plans and other information hereto filed and y
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 01
1. OWNER'S Address is
120650 Country Club Drive
Schenectady, New York
2. CONTRACTOR or BUILDER'S Name
Same as owner
3. CONTRACTOR or BUILDER'S Address
t IS
m
4. ARCHITECT'S Name
Pla
0
fp
A.
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(x)Wood Frame ( ) Masonry ( ►Steel ( )
7. PLANS and Specifications
26x36 as per submitted plans and specifications
No.
8. Proposed Use
dwelling r
e
r
r
9'�� 12.00 "A� e r ,P m f r g
�✓$ • PERMIT FEE PAID—THIS PERMIT EXPIRES 1-1 '7� 19
(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 10th Day of June 19 71
SIGNED BY P
,7gQ for the Town of Queensbury
Buil ngand Zoning Inspector
- TOWN OF QUEENSBURY
... (Space inside block to 1 r f' I I itr.b
WARREN COUNTY, NEW YORK t this c c )i , t
Application for App►ica� ;I ,L. 1 1971
Permit Issued �_,y,�T._ -
BUILDING AND ZONING PERMIT P<..-.DAT .------- 0- pI
7.,,ning 1)istricI
:,int �,':-, ::;�, E :,SPE� TOR
THREE (31 Copies of a PLOT PLAN, Drawn to scale �I'I"'"c'c��l� 1„_ x L UE�NS3UR '
showing the actual dimensions of the lot to be built Ilt n,:,rl .
TQWNOFQ
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. ZI,� —
�lE 7 Z-.•..a,n,► OF QUEENSBUR v
7/ 1t : V
DATE � l
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK / Z y 1� J
ANSWER ALL OF THE FOLLOWING. i Z•oz 4 et'dl G-/6-7/
The undersigned hereby applies for a permit to do the following work �' P.M.
which will be done in accordance with the description, plans and specifi- 1I?IIyI1UllIIFO-Hl3t I6
cations, and such special conditions as may be indicated on the permit. A
The owner of this property is:
.3 g v C E pi, $M / N /2o65,.C„ u-nz.r Ct.cls 9R../ CfHf•:fc7any/ N•Y, / 2_3 0 1
(NA(1E( IP.0.ADDRESS)
The person responsible for supervision of the work insofar as the Building Code And the Zo ing Ordinance apply is:
8 c ,� 5-.All 7 I-1 i.2C� �.. Ce....:re.)- C&u.g eIvE/-}C"E-AlEcra Y N};n ,
�p 1 0. �INA'M(T (P.0.ADDRESS)
Name of Builder 13 R- C€ Al. SA/1 r 14 Address _.r,RH�
Name of Plumber 3c St
t.'C6 iLi• A -r)"l Address ,
Name of Mason B,2J cg Ai, �/-//' 'A Address ,,
Lot Number -- Unit ---- Estimated value of proposed work$ .. ate, `-=° /2 v-t.os,
Name of Village `C4 T Tf/C'1.t LA Y -
Name of Street -5A^1 KoA0 Side of street: north 0, east ®, south 0. west ❑
Nearest Cross Street ./41GHT Of t't%AY (rE AST _k,rs-1) Distance from this cross street f/FT/ Ft.
Property is north 6,south ❑,east El, west 0 from Cross Street
If on Corner,'which corner, northeast IN, 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
K Addition to a building. One-family dwelling JJ
Alteration to a building. Two-family dwelling E.1
.I Demolition of a building. -family apartment house
Store building i]L
L.._s
-car attached garage l
Other:
' Accessory Building
One-car detached garage I—
Ell Other work. Describe Two-car detached garage '
Private chicken house L-
Private storage building ri
Other:
._L;- ?-; '. .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-
NORTH posed buildings,and the location of all existing buildings.
( Show proposed building(s) in dotted line and existing
huilding(s) in solid line.
�RE�'UCAR —SEA q-T7AC'r4EO Skt'Tcf
Size of property ). .
. , ft. x it.
S ft- 4 rra C t-{ ED Size and use of existing buildings, if any -G x3C, CAPPE,P
° 5(� 'TG �l t,/% w rC VND. nil.Q"i. . .U.St`.P Fog ST04,AO,
uiYg <
74 o T t_/i-N.> W Size of proposed building 24 ft.x 36 ft.
Height(from grade to ridge).z°' SIPE- 2.1 ft.
Front yard"`N -5 T /6 ft.
-_ Side yard/ AST citzasFel .16 ft.
Rear yard - NORTH IS 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)
M
(cont'd.)
BUILDING SPECIFICATIONS., - .
Kind of construction: Wood frame, fire safe, etc.? tit;COp '�2Arq.�
Will any second-hand lumber be used? ND If so, for what?
Material of foundation walls . . C okt ize--r c gEp{. Thickness !.Z"
Depth of foundation walls below grade .7'.Nc .7-44 5,Dr • . .O.' a v7.-t .5IP.C. Continuous foundation? >6S
Will there be a.cellaf?.QA,5.-'r1beT . !Cy If so, material of cellar floor C 6I+C_-1CCrE
Type of roof: Sloped or flat? .5z,o(?P&p Material of roof .A5141'14Atr 54(AJ4L0
Size, wood studs Z- "x `( ",spacing /(9 "o.c.,length Sy' • ft.
Size, floor beams, 1st floor . . .Z. "x . . . /p. ", spacing /4, "o.c.,span . . . . i3. . . . . . . ft.
Size, floor beams, 2nd floor "x — ", spacing "o.c.,span — ft. SEE
Size, ceiling beams 2, "x 1 ", spacing . . 2r' "o.c., span . . .26 ft. .-I-,
Size, roof rafters or beams "x b ", spacing . . .2./ "o.c., span ),E,' ft.
Exterior finish i2..2y'"'p°P. .It!i.T..y, !?I,urM:.5.1P.04. . . . . • . . . . . With what material? /} l,t./P1, DEtmi
Finish of interior walls t'A IYELIAIC AKD SN.Ef acsc. 5rrt-rc
If garage is to be attached, of what material is wall between garage and main building to be constructed?
Ksoof> F,ei"IE -"1'14 ,5 fr e-Ptfc
Is there to be an opening between garage and building? . .y.eS
Kind of heating system . /='i ( Q Ai/k Oil burner or coal? s>'L
Will a flue-lined chimney be provided? . . .Y. $ Depth of chimney foundation below grade 3'.!`?'.".'!,`l V."! . .
Height of chimney above roof. 2' A Bo vF_ r i o!t E
Will there be a fireplace? NV Depth of fireplace hearth'
Will a toilet be installed?.)'�5
Will a kitchen sink be installed and connected to water supply? YEs
Water supply(public water supply or pump) I'("le
Distance of cesspool from any private well ./1 c w EC.f_ — 200'/ROM AA Ke feet
Will drainage system be provided with required traps, cleanouts, and vents? .'Y E.5
} STATE OF NEW YORK )SAFFIDAVIT
IOUNTY OF SCHENECTADY)
AGGEMUMGOIEik
I swear that to the best of my knowledge and belief the statements contained in this application,together with the and specifications sub-
mitted, are a true and complete statement of all proposed work to be done on the described premises and that all ' ' of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed work shall be complied ' ,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature prlAt„-e-e..Z2/11
rOWNER, ER'S AGENT,ARCHITECT,CONTRACTOR
2h...ct ."clay of June 19..,TBETTY M. SMITH
x ° Notary Public•State of New York
Y PAproU1ted'In SchenectadyCountyn,NRY PUBLIC, X"w� Av Commission Expires March30,117
SPECIAL CONDITIONS OF THE PERMIT: `
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