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641 -'I 6 61 i 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. 641 has been completed. This structure may be occupied as a Dwelling (new addition & alterations) Location Rockhurst Road - Cleverdale - Town of Queensbury Owner Fred H. Alexy By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No. 641 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Fred H. Alexy OWNER of property located at Rockhurst Road-Cleverda le Street,Road or Ave. in the Town of Queensbury,To Construct or place a Addition & alterations to building 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 P. O. Box 52 - Cleverdale, New York 2. CONTRACTOR or BUILDER'S Name Owner 3. CONTRACTOR or BUILDER'S Address CrI 0 • 4. ARCHITECT'S Name r m Owner 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) (X)Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications No. as per attached drawing B. Proposed Use Dwelling $ 10.00 PERMIT FEE PAID-THIS PERMIT EXPIRES May 1, 19 70 (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 14th Day of November 19 69 SIGNED for the Town of Queensbury u ing a oning nspector cirri'-� ( g-/(f ) M TOWN'`OF�C UEENSBURY (Space inside block to be tilled in be WARREN COUNTY, NEW YORK Building,lns3Jctor) Application for Application No. / �1 Permit Issued /'2i ' . . .` t. . . 1(1 '/ BUILDING AND ZONING PERMIT Permit Expires ,� /, 19 76 7.uning District 1. /. due of Work S . . C "r THREE (3I Copies of a PLOT PLAN, Drawn to scale '\11""`c'c1 by j/d showing the actual dimensions of the lot to be built Iten,ark'. eA ,,-.,_. . . .„ upon, The exact size, and location on the lot of the % �� ti building to be erected or altered MUST BE SUB- �� // MITTED WITH THIS APPLICATION. < <i TOWN C- R ..72EpNS U, Y DATE D � !3 n �, re A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK /e u] U ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies for a permit to do the following work ` 1 c,1 „,. , P.M. ` which will be done in accordance with the description, plans and specifi- , ''i , .' ; ; i;�,1 6 cations, and such special conditions as may be indicated on the permit. A The o ner of this ropert is: cD f}1.. ,9 X" "t9, go/ ,�z cr V6 . (NA.'E) (P.O.ADDRESS) The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: (NAME) (P.O.ADDRESS) Name of Builder Address Name of Plumber / Address Name of Mason Address AO Lot Number Unit Estimated value of proposed work$ '" Name of Village . . . cLEV6,,6As,�L - Name of Street . . .Jr7Z!f WT 0 '` Side of street: north ❑, east south A❑, west 0 Nearest Cross Street . 4 Distance from this cross street . . �.�� Ft. Property is north ' ,south i), west 0 from Cross Street If on Corner, which corner, northeast ❑, northwest ❑, southeast ❑, 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. c One-family dwelling .� 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 ❑ "i!' Q 0 Other work. Describe:. . . . C�. e, Two-car detached garage ❑ Private chicken house Cl Private storage buildin ❑ Other: f�% 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- NORTH posed buildings,and the location of all existing buildings. Show proposed building(s) in dotted line and existing eit Y eoof—r ttuilding(s) in solid line. Adak Size of property ft. x ft. Size and use of existing buildings, if any W i cSil." < f W Size of proposed building ft. x ft. OW ill Height (from grade to ridge) ft. Front yard ft. s Side yards ft. and ft. Ill'- Rear yard ft. TH 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., 1 Kind of construction: Wood frame, fire safe, etc.?. . . . .N/Dp�• � �-�?��& Will any second-hand lumber be used? / J If so, for what2 Material of foundation walls CZ)4/C., 01-IOCK Thickness Depth of foundation walls below grade 4 - Continuous foundation? ./' 5. . Will there be a cellar? /f ,On, If so, material of cellar floor CO.�/c, Type of roof: Sloped or flat? . . . .6L�./1.) Material of roof . . . ..8 /(-. th‘' Size, wood studs 2� "x '( ", spacing /6. . . ."o.c., length I L0 ' ft. Size, floor beams, 1st floor .. . "x . . ./(..) ", spacing / 40 "o.c., span /3. --D'4..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 "2—" x /4.9 ", spacing /40 "o.c., span . . .V44/..4=:-S. . . ft. Exterior finish . . . . . . . .G /r:O40 ��%�i44 With what material? Finish of interior walls -5/1 T 2c If garage is to be attached, of what material is wall between garage and main budging to be constructed? Is there to be an opening between garage and building? — Kind of heating system I/or )4(e. Oil burner or coal? . . . .Q/e. ._ Will a flue-lined chimney be provided? ,<"Q 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? • Cx(s j /Ai,' Will a kitchen sink be installed and connected to water supply? Water supply (public water supply or pump) '4 .C?&0.4-41.g Distance of cesspool from any private well feet Will drainage system be provided with required traps, cleanouts, and vents? y6-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•• •,. applicatio , ,,_4.4 - 'th the plans and specifications sub- mitted, are a true and complete statement of all proposed work to be done ,, I..,,sed s, Ym•escn, pre,,,: • that all provisions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertaining , , . :' plied with,whether specified or not, and that such work is authorized by the owner. �/ /� Sworn to before me this Signature .- • N •,OWNER'S AGENT, R ECT,CONTRACTOR day of 19 NOTARY PUBLIC. WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: 0‘j 161) ks9P12-\, 1 4196 NO 9 _____2 7:7 —`1 Ott ° 1NSPECjOR Bo- & 1�toseugl ION . • By 6.6'f 34.,to . I`' i� �--� 8cv4,, ,?DDD7iGar5 t sty: `'� .-----�`a LAB' �r,.. • - __ 6 I ex/51714 o Esc ay, NI_ � Co I e • v i) 00 i ,� I co/tic • • 1.._--- 1MratO 6_D"t 1 I I t f -Aeo ED Aoce-'// . S,y'.:. 31 46 i Aid 22.8 VE® TOWN COay�ZNSc3U 4 19 69 1---_ N0� � NOV 1 219,, ' EGTOR ONING BUILDING of QUEENSBURY h" { n=a i0 Tfl t 'a - '4*s/ c6- O F.E t2 4'% /4'XY? '—/1GSv ._ Cl6YE£ ' ce. -ithf //A/69 • f