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85-674 C/O Paid 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. 8 5-6 7 4 • has been completed. This structure may be occupied as a • Two-Car Garage - Alterations to dwelling Location Rockhurst Road and on Lake George • Owner Leroy Clark - • By Order Town Board • TOWN OF QUEENSBURY Building & Zoning Inspector .-vrr..c ucT ovlNtlur: t:l FNC GGI1 S N Y 1}p01 ISIBIJ93-S6SR - BUILDING - PERMIT TOWN OF QUEENSBURY No. 85-674 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Leroy Clark • O OWNER of property located at Rockhurst Street, Road or Ave. in the Town of Queensbury,To Construct or place a Two—Car Detached Garage/Al -I- to owe.' ling ' at the above location in accordance to application together with plot plans and other information hereto filed and _ x approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is Penns Boro Manor Wormleysburg, PA 17043 • O 2. CONTRACTOR or BUILDER'S Name Gordon Hayes rt 3. CONTRACTOR or BUILDER'S Address Hudson Falls, New York 4. ARCHITECT'S Name 5. ARCHITECT'S Address H 6. TYPE of Construction—(Please indicate by X) O J ( Wood Frame ( ) Masonry ( )Steel ( ) _ ri' Ft 7. PLANS and Specifications 24 'x24 ' detached garage per plot plan, o rt No. specifications and application submitted and alsomo alterations to dwelling - - extend living room, remodel • o ¢ 8.'Proposed Use bath and kitchen. Garage permitted by Var. 1032 granted Oct. 16, 1985 C Two-Car Detached Garage and One-Family Dwelling 1-,$1 $5. 00 C/O Paid $ 2 0. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 1 19 8 (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 15th Day of November 1985 SIGNED BY 6%.N•, �-� for the Town of Queensbury Building and Zoning Inspector/ (/ �r. TOWN OF QUEENSBURY ` .v (Space inside block to be filkMI in br; . WARREN COUNTY, NEW YORK '. : - Building.Inspector),' Application for .,11,)licati'm tiu: - • Iari`n .- `1)iI Is,utyl 9 . BUILDING AND:ZONING.PERMIT ' I'. rmi, i•:pi'rees: . " . . 19 . %..uuin;; l)'%trict ©Ne- Cv py'. %alut. of work f- - f e PLOT PLAN,`•Drawn to scale - AI'Ii)'s,i t•tI hr.: - . showing.the actual dimensions'of the'lot to be built. )(f'IC,.in:u, if, , , upon, The exact size: and location on:-the'lot of the - building to be erected-or altered MUST BE 'SUB- - ' MITTED WITH THIS APPLICATION:. - 6l . . /O;•. 2 G, le c .4�;',, 7"OW1�T O QLTEEI6I5I31JR1C if,a p0` "fh7•EE4.RTtOyVS ///•Z1 j` ' - • ' c% /5. —/-/3 DATE .0 .E A PERMIT 'MUST BE.OBTAINED:BEFORE'BEGINNING:WORK - • . ' .. ANSWER ALL QF THE FOLLOWING. ' .NOV .1 to: . The undersigned hereby applies.for a :permit to do the following work ' A,M •-0 e 00 � which Will.be done in accordance with the description, plans and`specifi= 7]8J9l1oppiii2131415I6 cations, and such speciel conditions as may be indicated on'the permit.. - a a ■_ a *,.a ,© e a I - The.°�''ner of this property is ' . `" � v . . . . h.cgo.y, . .•. . . •al-�•�!G. . . . : >°,n-ns•�_t1ho..l??o-.vto!Z'.I.Woc2vnl e-Gvr_?• P?0PlC. :t: . ..... INA`tE1 - - IP o.ADDRESS) • - . The person responsible:for supervision of the work.insofar:as the Building Code and the Zoning Ordinance apply is;- T R (}e-. Z.- >-;� n��. . . - .4?G. . .0:►214 v -t:• )eve . Le1 3Ell-....... .A'f:` . - . - ' INAMEI - - (P'q ADDRESS) Name of'Builder C c t2 Po /kit 1/ 1'/e S • Address;*. . -. . . . //ud-i o�;%t-l!)• ki.`,���,� . Name of Plumber . Address - Name of Mason Address - Lot Number '`. Unit Estimated value of proposed work$ . .°i `/.�46- - Nameof'Village .( 1-.i.v g'V AO-V . - -` .- Name of Street - 1 a C K h v 4 ..1 T Side of street: north 'O, east ( smith O. west Q Nearest Cross Street • - ' - Distance from this cross street - . . Ft. Property is north 0,south 0.east i i,west' 0 from Cross Street . - . If on Corner,which corner, northeast ❑, northwest 0, southeast ❑, southwest (Designate by.marking with an"X" in the correct space:) ' , _. .. -. NATURE OF PROPOSED WORK OCCUPANCY (Er Construction of a new building. . , Main Building ❑ Addition to a building. One-family,dwelling. ' g Alteration'to a building. Two-family dwelling ':' 0 ❑ .Demolition of a building. - -family apartment house: ❑ ' . Store building . . - 0 -car attached,garage _ 0 - Other: • Accessory Building . `�:� Li v 12N4, One-car detached garage ❑ Cl Other work. Describe:. J Two-car detached garage - '. LT' /�/��i�lOf7c • • � %�i,--44.-, Private chicken house ' - .' 0 Private storage building' 0 1{�`-9 . fa f, 4 yak� S�r�%�f,5 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- NORTH• - posed buildings,and,the location of all existing_buildings. ____il' . Show proposed buildings) in dotted line and existing huilding(s) in solid line. Size of.property .ft. x Sec fig fya'GtD • Plot- PA� ft/ ,. Size and use of existing buildings, it any 1- . . ,y N - W, d r' W Size of proposed building . . . ay. . . R" . . ., .x . • .' h. ' - - Height(from grade to ridge) �� tt.. Front yard " O ' ft. -Side yards f 0 ft.and [t. Rear yard 2 P-4. ft. SOUTH . . 'If on corner,setback from side street ft... . . 7 .- ' Note: All distances are net, as measured from street side - ' line to nearest part of building. - (OVER) 7-73-M ' ice . - (cont'd.). - . .. �. BUILDING SPECIFICATIONS,., ;,;_ Kind;of-construction: Wood frame;fire safe,etc.? Wo.o'6: Fi 6"" •e - • Will any second-hand lumber be use t . ... . H.V. .:. . . If so,.for what) , Material of foundation walls . • . . . 4 u!?-e.b. . . .0tl'.'te. e 1 Thickness Depth of foundation walls belp w grade Continuous foundation?- Will there be a cellar? . . . . .y�: . . . If so,-material of cellar floor tAQ k41.2•cl e. Type of:roof:Sloped or'flat? . . . ..�.�Ve. -:-. ; . .Material of roof ` / Sp.6>t4-vi-!-T - :,5 L .ta4:f; -p . . h Size;wood'studs�-- •�'. ;`. . �' "x r '",spacing � P.. . . � . . o.c.,length :AO,' 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' 77); 4. ", spacing . . . . "o.c.,span .. . . . ft.• Side, roof rafters or. beams "x' ..` /J'- '7 S",'spacing ' ' "o.c.,span : ft, Exterior finish - IA 1.V.114...'.'S.I: t K . . . With what material? Finish of interior walls - Ho If garage;is to be attached,of whit material is wall between'garage,and main budding to:be constructed? - lib Is"there to be an Opening between garage and building? ;. . . ... _ . ... Kind of heating.system 'HP Oil burner or coal? • Will a flue-lined•chimney be provided? Depth.of chimney foundation'below grade . Height'of'Chimney above roof - NO Will•there be a fireplace? TKO. Depth,of fireplace hearth Will a toilet be installed) /VCt ' Willa kitchen sink be'installed and connected to water supply?- Y0 V 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?. :Tow of Queensbury ' AFFIDAVIT County of Warren -_ State of New York - ` ' ' I swear that to tr. Mini my knowledge and belief the statement'contained in this application,together with-due pluti and specifieatiOns sub- mitted, are a true-.and"co.,. lete statement of all proposed work to be done on the described pretnisee and that all provisions of the BUILD IND,CODE,THE ZONING.ORDINANCE,and all other larva pertaining to the proposed work shall oemplied with,whether specified or not, and that such work a authorised by the owner.. . • Swore to before me this • _ - _ . ' ' Signature WNEH.OWNS S AGENT• RCNITECT•CONTRACTOR day of 19' • • NOTARY PUBLIC. 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