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4166
4 CERTIFI Uju (�►C+ UPAN ' TOWN OF QUEENSSURY 4 WARREN COUNTY, NEW YORK z> Date ' ' ' 19 t This is to certify that�wo k requested to be done as shown by Permit No. has been completed. L= This structure may be �occu Led as a Location Il ,4ILA Owner By Order Town Board TOWN OF QUEEENSBURY I Building & Zoning Inspector i • CREATIVE "IMS7A PRINTING Cn4E M5 FALLS M Y 12e9 aieoaa'a o�6 BUILDING PERMIT TOWN OF QUEENSBURY No. 4166 WARREN COUNTY, NEW YORK , PERMISSION is hereby granted to J2,rG ryfta f t Biti 1 d &Ira Tnr OWNER of property located at Lot 2 Dixon Road Street, Road or Ave. O in the Town of Oueensbury, To Construct or place a One=Family Dwelling t j au at the above location in accordance to application together with plot plans and other information hereto filed and "ft c+ approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. G 1 . OWNER'S Address is 77 Main Street C South Glens Falls , New York ly u 2. CONTRACTOR or BUI LIDE WS Name 1--# Same n 3. CONTRACTOR or BUI LDE WS Address Same t-* a C+ 4, ARCHITECT'S Name X S. ARCHITECT'S Address a fsi• 6. TYPE of Construction — (Please indicate by X} 17* Wood Frame I } Masonry i I Steel 4 1 7_ PLANS and Specifications No. 421 x 481 per plot plan , specifications and application m submitted including sewage system and 2-car attached garage B_ Proposed Use One-Famlly Dwelling "{ $5 . 00 C/O Paid s 52 , 00 PERMIT FEE PAID — THIS PERMIT EXPIRES Februar 1 19T7 +-'- (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.) Hated at the Town of Queensbury this 1st Day of July 1976 SIGNED BY 'lt.� �e2 ... .ulaCJ for the Town of Queensbury Building and Zon nng lnspdX*i* I ' I r •r '1 tt , f � rf • I . m t • ty t •f 1 (l 4• TOWN OF QUEENSBURY ,..Space inside block tib he filled in b. WARREN COUNIry, NEW PORK Building lnspot•ctnr) Applic .itioti Ni Application for Pi r,r+ ir is-,tied . 19 BUILDING AND ZONING PERMIT P, •, ,wt Expires i (l 4111U Distriri THREE ( 3 ) Copies of a PLOT PLAN, Drawn to scale � ; showing the actual dimensions of the lot to be built p ,`maI KS upon, A* exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION, d ��s+arr�Yt or �' i. . . . . . . f .Tt A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK - ANSWER ALL OF THE FOLLOWING, A,M, yp` mlfk The undersigned hereby applies for a permit to do the following work +l5 $ 9 {•� 1 2 3 4 which will be done in accordance with the description, plans and specifi- cations, and such special conditions as may be indicated on the permit. The ownerjop this/ gperty is; / r- ;Z - r . .f' , 'C? ti---• 'P/.r -/j71,.,+C. ,..r'C.�!/L, ,/ ./ �? , ,/,Z-C7 . . . . . .��s'7' �'' ,9r"r 't3%; . :..5. a - . 4'��./r!s ..'`/%G � 1P O ADDRESS1 The person res nsibia for supervision of the work insr+far as the S-uf�i ',++ C"�arle and the Zoning Ordinance apply iti= tH�} • W 0 A0ESS! xe �-- Name of Builder , �7., p [ 2y�r cz 2 t ? T. �C . Address f . Name of Plumber .L 'rH`'C�� . . . . . . . . Adrirv.s /F�7!L"6�r'G'�' - . !4f Name of Mason , /1. / . . . . . Address~ Estimated ti-aloe of proposed work S aP4; , oye' r. . . Lot Number . . .? Unit . . . . . - . . . . p P Name of Village . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . Name of Street �' /.tr '� '• . � . . . . . . . . . . . Side of street : nwirth ©, east ❑ , south JR. west ❑ Nearest Cross Street . . 4'? � r . . . . Distanct fit :=„ thls rr�ss street . . - . . . . . ` }`t . Property is north ❑ , south 0 east `FA west ❑ from Cross Street If on Corner, which corner, northeast fie northwest 0 . Southeast (Designate by marking with an "X" in the correct sl)ace.i NATURE OF PROPOSED WORK OCCUPANCY Main Building Construction of a new building. one-family dwelling Dq� Q Addition to a building. -rwo-iamily dwelling Q © Alteration to a building• fainily apartment house 71 Q Demolition of a building. Store building a . . Q� -car attached garage Q C3ther Accessory Building One-car detached garage �- [] Other work. Describe: . . . . . . . • , . . . . . . . . . Two-car detached garage Private ubicken house t.� . . . . . . . . . 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, site and setbacks of pro- posed buildings, and the location of all existing buildings. NORTH Show proposed buildings) in dotted line and existing huilding(s) in solid line. ��. Size of property , . , , . ,/" d d - ft. x . . . . !�+`i�' . . ft' Size and use of existing buildings, if any . v W Size of proposed building . . . . 7 .a�. f ft. x . . . ft. Height (from grade to ridge) . f lte3;' , r . . , . . . . . , . . ft. Fronk yard . . . . . . . .'`�.��. . . . . . . . . . . . . . . . . ft. Side yards . Ar. . ft. and . . . . 5 . . . - ft. T> f d 6V Rear yard . . . . . . . . . . . . . . . . . . . . . . . . . ft. TM ru o If on router, setback from side street . . - • • • . . . . • - d ft. Note: All distances are net, as measured from street side /I line to nearest par$ of building. COVER} 7 -73 —M ruv BUILDING SPECIFICATIONS.. Kind of construction. Wood frame, fire safe, etc.? . r� � �'� ?. , f.7,1 i M ` o Will any second-hand lumber be used? . . . . . N.C? . . . . . . If so, for what? . . : . Material of foundation walls . . . . .454 r? A;' C . . . . . . . . . . . . . . . . . . . . . . . . . . Thickness . . 5? . ,`". . . . . . . . . . . . . . Depth of foundation walls below grade . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Continuous foundation? . . . . . . Will there he a cellar? . . . .,I If so„ material of cellar floor 4r::�--',.•'. . . . . . . . . . . . . . . . . Type of roof: Sloped or flat? . . Material of roof . . . . . . 6 . . . . . . . . . . . . . . . . . Size, wood studs . . . . . . . . . . . . . . . . . q:;2 , " x M '�. , . . . . . . , , , spacing . . . . , . . . . /� . "o.c., length . _ . . . . . . . . . . . ft. Size, floor beams, Ist floor . . . . . . . . . �: VIP , )F . . . . , . . , , . . . ", spacing . . , . . . . . . . ,t"GS , "o.c., span . . . . . . . Size, floor beams, 2nd floor . . . , . . . . . , . " x . . , , . . . . . I . . . . . ", spacing . . . . . . . . . . . . . . "o.c_, span . . . . . . . Size, ceiling beams x a - . . . . . . . . . . . . . ", spacing "o.c., span . . . . . . . . . . Sise, roof rafters or beams . ./ . $ '�t . . . . . . . ", spacing . . . . . . . .% . , o,c., span , , . . ? i . , , . ft. Exterior finish . , , f G �� . . . . *�1 G7 r. .¢i! . r - - - - - - - - With what material? . . .19 z . . . . . . . . . . . . . . . . . Finish of interior walls . . . . �5 f G:Z: 2 , . .!C'r C., _.< . I . . I . . . . . I . If garage is to be att shed, of what material is wall between garage and main building to be constructed? 9 ely 44 . � J ,r . e'.c a . -. .a z r _, . . . . . . . . _ _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is there to be an opening between garage and building? I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Lind of heating system . . . . . . . . . . . . . . . . Oil burner or coal? . , , , , , . Will a flue-lined chimney be provided? ' t . S. . . . . . . Depth of chimney foundation below grade T. . . . , . . . . ' . Height of chimney above roof . . . ?�G?r� v�; n . 1 4 .e - r. Will there be a fireplace? . . . . `' Depth of fireplace hearth . . . . 47: ` Will a toilet be installed? . ? 5T" 5 . . . . . . . . . . . . . . . '. . , . . . . Will a kitchen sink be installed and connected to water supply? , ` . _ _I` . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Water supply (public water supply or pump) . . - . . d' ./. � . _ _ _ Distance of cesspool from any private well . . . . . . ` . : . . . . . . . . . . . . . . . . . . . . . . . . . feet Will drainage system be provided with required traps, cleanouts, and vents? . . . . :M5 . . . . . . . . . . . . . . . . . . . . . . . . . . . Town of @ueensbury AFFIDAVIT County of 'Warren State of New York I swear that to tr: ,p,,ra j d, of my knowAedge and belief the statements contained in this application, together with the plans and specifications sub- mitte are a true and co.ielete statement of all proposed work. to be done on the described premises snd that all �ov� of the BUILD- ING CODE, THE ZONING ORDINANCE, and sal other laws pertaining to the proposed work shall be complied wild, whether wed or not, and that such work is authorised by the owner, /nj Swam to before me this Sigttwtnre � . •�/ O W,N,.�E�R 4WN£R'S AGENT; oo1R; 114 ECT. Co1,VyTRAC bR day of. 19.. . . .... / — O` NOTARY pUR"C. WARREN (COUNTY, N. Y, SPECIAL. CONDITIONS OF THE PERMIT., 8y .. . ... . ... .. .. . . . . ... . . . . . . . _. THE NEW YORK BOARD- OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY R 41 STATE STREET, ALBANY. NEW YORK 12207 7 _ y�v� Date SQL"C ::' :."!•`', .�.� `�`'. o :�^3 r .. Application No. an file � � THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the appls'catet naPreed an the abvae applicationna»aber ire the prermisea of , I J :. i ;+t {1L?!"< `,', i,;%4e^ :"i.s! 1: Li'C' V .44^-' 4d w" L4', � . ilk , c1 s in the following location, iBasement Ist Fl, ❑ $red Fl. Section Sock Lot was examined an '441 and found to be in compliance with the regrsirements of this Board, FIXTURE FIXTURES RANGES COOKIN14 DECKS OVENS DISHWASHERS EXHAUST FANS OUTUETS ECLWTACI S SMTCHES INCANDESCENT FLLIOEEt.CENT v AMT- K. W. AMT. K. W. AMT. K-W. . AAST. K. W. AMT. DRYERS FURNACE MOTORS APPUANCE VI�dERS SPEGTAL REC'PT TIME CLOCKS RILL UNIT HEATERS M 9Y5T�HM5� I>IMlNERS AMT. K. W- GIL H. P. GAS H. P, T. q We AMT. AMP. AMT- AMPS- TRANS. AMT. k f Is SERVICE DISCONNECT NO.OF S E R V I G E METER NA�NNINNNC?. # CC. CGND, A. W. G. NO. # HNEG A.W. G- Np_ 4F NEUTKALS A- W. G. T. AMP. TYPE aiwir. 10 2W 1 0 3W 3 A 3W 3 0 4W PER % # CC. CGND. # HI-LEG OF NEUTRAL ..F 'e�y r .,".. !.r ib !S k OTHER A}PARATUS: �' 1 ,. .. 'd.' ?". F'!' :1:i , i 'i:.° :+i '4' CT3K:' ':a ,S•r *;i . % BRANCH MANAGER F A COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATg MUST NOT BE ALTERED IN ANY MANNER. TOWNOF +CCU EEN!BURY BuildinS Department pate a --- Ins7pect+ars '#i.cp+stt s 7 � , Name tt+osn C er Permit No. per.Cant Remarks Complete Excavation Footin Forms Footin & Piers Foundation Cement Goat Water mofin Backfill Final Surve Framing Sheathing Roof Felt Hoofing Sidin fllason Veneer Rau h Plh . Rou IT 1lt Relief Valves Wall Board Ext, Porches Finished Floor interior Trim Stairs & Railin 9 Cellar Dr. Tile Concrete Floors lslh . Fixtures Gar. Fire roofin Door Closers Chimn Water Meter lnst, Se tic A royal Sw atting Impactor t REMARKS " P.A Al Towt,4 OF C�1;3EENSBUR'�, Departmen IL plate-;-�� 111111111 Inspectors R Nam(" W eatlt to p No. Per-cent - C,pmpleta Excavation Foot'sn Forms Footin & piers Foundation Cement Coat Water roafinl Baekfill Final Surve ; Frarnin j Sheathin Roof Felt Roof in Sidin Afasonry Vencer Ron It Plh Rau h Ht Relief valves W all Board Ext. Porches Finished Floor Id Interior Trim Stairs & Railin s Cellar pr. Tile Concrete Fleors Plb . Fixtures Gar- Fire roolin Door Clesem Ghimne stet Meter I Se No A royal $uilditts I�sPacLOY REM RKS IroWN OV: QUEENSBURY Building Department J Pate Inspectors RcF Y Name Location Weather permit No. per Cent F1.errkarlfs Complete Excavation FcOfIn Forms Footing & Piers Foundation Cement Goat Water roofin Baekfill Final Survey Framin Sheathing Roof Felt Roofin Sidin ltfasonry veneer Rou h P1h . Ron h lit Relief Valves Wall Board Fx.t. porches Finished Floor Interior 'Trim Stairs & Railin B Cellar Dr. TLIe Concrete Floors Plh Fixtures Gar. Fire roofin Door Closers Cytimn Water Metal Lnot- Septic A royal Inspector REMARKS TOvvt4 OF QUEENSBURY Building UePf.rtrnent I] to " j,"spectors Report .G Name ..� Locatias W eatlser�, Permit No• f�a --�` per Cent Comvlete Excavation Footin Forms Footin & Piers Foundation Cement Coat Water roofin BarkfilY Final Survey Framing Sheathin Roof Felt Roofing Sidin masonq veneer Ron h Plh r �- Tfouhut . Relief Valves Wall Board C.x,t_ porches Finished Floor Interior Trim Stairs & RaiYin Cellar Dr. Tile Concrete Floors PYh . Fixtures Gat• Fire rooftn fJodr Closers Cytlmn Water meter loot- Se tic A roval p�ildioq' 1,.P'ector Rp'RKS { TOWN CIF QUEENSBURN Building pepartt+neot Dater - Istapectcw* Reps Name Location W eadter Permit No. Per Ce"It Ram# Complete Excavation Foatin Forms f Footing & Piers Foundation Cement Chat Water roofin Backfill Final Sur+ F'raodng Sheathin hoof Felt jtoofin Si.lin SlasonrY Veneer Rau h Plb . Rou it I-It Relief Valves Wall Board Ext. Porches Finisbed Floor Interior Trim Stairs & Railin Cellar Ur_ Tile Concrete Floors Pih . I+'ixtures Gar. Fire roofin Door closers Ghimn Water mete, lit' Se tie A, royal $u4fdina Inspector R�,NLP.RKS '�,�'# III C7 [ 'S r !4 t �.-r '$ �+S +�`� �► � 3 A � �"„ � �,.<:T 7 . i 4v( a .5" a to 6• s CFO/