5612 t ,
i
CE T-M A'TE CJF
OCCUPANCY
TOWN Of Quemssulty
f J}
WARN COUNTY, N eW YtjtK r.
Daae June 6 l9 79
17�is b w cm* dw woeh wed to be do" " sbow►n by Nmit No. 5 612
ham bean mw*im&
Tde 8&ucme mY be ocnqged at a One-Family Dwelling
LOOMiM Lot 70 Helen Drive (Street No. 66)
fllpw GEORGE SENECAL BUILDERS, INC.
BY Order Town Board
TOWN OF QURBNSWRY
of 1
S Building & Zosing
now
CMCATIV[ "INBTA" •ttlNTtN6. GL[Nf PALLS. N T Ilgo1 1l 1117f7-H♦f.� r:.
BUILDING PERMIT
TOWN OF QUEENSBURY No. 5612
WARREN COUNTY, NEW YORK
i PERMISSION is hereby granted to George Senecal Builders, Inc. ^s
OWNER of property located at Lot 70 Helen Drive (St. #6 6)
i
Street,Road or Ave. G�(D
in the Town of Queensbury,To Construct or place a On nn
at the above location in accordance to application together with plot plans and o0w rmation hereto filed and ii)
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
iD
I. OWNERS Addreat is �
57 Helen Dr. m
j Glens Falls, N. Y. a)
I N
2. CONTRACTOR or BUILDERS Name
N.
Same
m
n
3. CONTRACTOR or BUILDERS Address N
Same
I �
{ 4. ARCHITECT'S Name
5. ARCHITECTS Addrom
tt
6. TYPE of Construction—(Please indicate by X) a
O
Wood frame ( )Masonry ( )Steel ( )
N
7. PLANS and Specifications �
301x68' per plot plan; specifications and application
No. submitted including two-car attached garage and sewage
c system.
m
8. Proposed Use
One-Family Dwelling o
$5. 00 C/O Paid I
$ 148.00 PERMIT FEE PAID—THIS PERMIT EXPIRES July 1 193
IN i longer periodrequired application for an extension must be made to the Building and Zoning I
Queensbury
thegyration date.) n9 irg nspector of the
Dated at the Town of Queensbury this 6th Day of December 1978 �
SIGNED BY for the Town of Queensbury
Building and Zoni nspector
i,
TOWN OF QUEENSBURY
(Spare inside block to Ixw filled in by
`:1/AF REN COUNTY, NEW YORK Building Inspector)
Application for `1'I'licat`ml No.
Perm it Issued Pt. .
BUILDING AND ZONING PERMIT I•spites Ft
1(.oin_ District
,Mite• of Work >
THREE 13) Copies of a PLOT PLAN, Drawn to scale \1'I "''•rl l'y • . . • • • . . . . . . .
showing the actual dimensions of the lot to be built Il'''".'i I'` . • • • • . .
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 OUEENSPUtrY
EGL, ll yi ,
DATE IR
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ' .�
i)s..l..t ) Itil8
ANSWER ALL OF THE FOLLOWING. �53 d.� �-e-e r CI
The undersigned hereby applies for a permit to do the following work : 7lglgi10111J12j1,21314J5J69
which will be done in accordance with the description, plans and specifi-
cations, and such special conditions as may be indicated on the permit. A ( n C C/o
The owner of this roperty is: - . .
• . .G.FOR 6E. . ),F-Alke�4. .io. lc/Se R s, �L.ZD. .. . . . .��. // lei .�f. .6 /� i s . r- /.ls . . . .
,NA,„, ,P Cl ADDRESS)
The person responsible( for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
ib
/ (N
(NAME) (P O.ADDRESS)
//
Name of Builder Address
Name of Plumber
/ Address
Name of Mason /f Address
Lot Number. . 7U Unit Estimated value of proposed work$ .7.,V,.d.00.
Name of Village.. . . . a L):22 Nan ..c Cam`/
Name of Street .���`:e__,• .. • t V e, Side of street: north 0, east 0, south 0. west
Nearest Cross Street e._•1.N. P:.1.C._,\S S fie Distance from this cross street Ft.
Property is north 0,south Feast i i, west 0 from Cross Street /
If on Corner, which corner, northeast ❑, northwest ❑, southeast 0, southwests/
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
dConstruction of a new building. Main Buiatiing
Li Addition to a building. One-family dwelling
❑ Alteration to a building. Two-family dwelling ❑
❑. Demolition of a building. . . .-family apartment house ❑
Store building ❑�
g -car attached garage .
Other:
Accessory Building
One-car detached garage ❑
❑ Other work. Describe garageTwo-car detached 0
Private chicken house ❑
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•nantes, the location and
size of the property, the location;sire and setbacks of pro-
NORTH posed buildings,and the location of ll existing buildings.
Show proposed buildings) in dotted line and existing
Iluilding(s) in solid line. �/ll h
a Size of property . . . . /. �V t. x . . .lo�.�J. . • . ft.•
Sizeanduseofexisting buildings, i:fa.
anyw "'
m Sizeofproposedbuilding . . . . . ft.x ........................ .....................
. . . .(o.�. ft.Height(fromgradeto ridge) ft.Frontyard �/aft.SideyardsQ $t. an c7�CQ ft.
_ Rear yard 7L..3. ft.
SOUTH If on corner,setback from side street (3 63. . ft.. •.
Note: All distances are net, es nee®stared from street side
line to nearest part of building.
(OVER)
•
._.-,_,..-._- - _. .._ .. . ._ __._. .,_...._.._.._..._� ._{_.
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe. etc.?.
Will any second-hand lumber be used? NO If so, for whae
Material of foundation walls /6. x .7 . . . Thickness
Depth of foundation walls below grade 5 / Continuous foundation?
Will there be a cellar? If so, material of cellar floor 4/ ReTe,
Type of roof: Sloped or flat? . .6'./0./J C.d. . . . Material of roof ,../9 Re-!.19.4 T. . //:/.t
Size,wood studs 2. " x IV', spacing /( "o.c., length • S> ft.
Size, floor beams, 1st floor " x 16 N", spacing Cd'o.c., span ft.
Size, floor beams, 2nd floor " x /6 spacing / 1"o.c., span /R ft.
Size, ceiling beams " x X t", spacing ./ "o.c., span /42 ft.
Size, roof rafters or beams x /6 4", spacing /6"o.c., span ft.
Exterior finish 7 .0V-. ./2/9/7--e—/L,) With what material?
Finish of interior walls. . .1/2././. . . 7/ROC/
If garage is to he attached, of what material is wall between garage and main building to be constructed?
//,?/' t A- 4_ s
Is there to be an opening between garage and building? ye
Kind of heating system .,E.-/e.c 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? ye--..3 Depth of fireplace hearth
Will a toilet be installed2 -y-e_s
Will a kitchen sink be installed and connected to water supply? . .
Water supply (public water supply or pump) . . .7J(..j./34
IC
Distance of cesspool from any private well feet
Will drainage system be provided with required traps, cleanouts, and vents? .
AFFIDAVIT
Town of Queensbury
County of Warren 2 ss.
State of New York
I swear that to the best of my knowledge and belief the statements contained in Ii on,together with the ;6,, said specifications sub-
mitted, are a true and complete statement of all proposed work to be done on premises tbz 4„.11 proviskens of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the work shall .. *th,whetherpcifiedor not,
and that such work is authorized by the owner.
Sworn to before me this Signature
wNER •. • - A _ T. ,RCH1 CT.CONTRACTOR
day of 19
NOTARY PUBLIC, WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
•
•
• •
•
By •
• •de •
TOWN OF QUEENSBURY
BUILDING & ZONING DEPARTMENT
QUEENSBURY TOWN OFFICE BUILDING
BAY & HAVILAND ROADS, R. D. #1
GLENS FALLS, NEW YORK 12801
APPLICATION FOR A PERMIT TO CONSTRUCT, ALTER OR ENLARGE
A SEWAGE USPOSAL// ��,�SYSTEM WITHIN THE TOWN OF QUEENSBURY
OCCUPANT' S NAME(,•er ,lam(n�/7i,frAi /c/�d S, %,14--ADDRESS `1-'7 /-k /ems
TELEPHONE.2. OWNER' S NAME
TDRESS NUMBER OF BEDROOMS, c _��.
GAp AGE C3d1', FR7.V __.=_ (YES OR NO) TOPOGRAPHY: FLAT, ROLLING, STEEP SLOPE,
GEN`1 ; SLOPE OTHER
NATURE -'')F SOIL CLAY SANDY, LOAM, GRAVEL, ROCK,' ETC._ •
�-_,
PERCOLAT' O'! TF,.T_ ;- WATER SUPPLY: MUNICIPAL, WELL, OTHER
DIAGRAM OF PROPOSED SEPTIC SYSTEM
4ak,IDu°
6-
OTHER PERTINENT INFORM':.ON
- z �..=a,ot.
IT IS HEREBY AGREED THAT IZ THIS APPLICATION AND PLANS ARE APPROVED,
TNSTALLAa 7011 'OF SEWAGE DISMAL FACILITIES WILL E ADE IN ACCORDANCE
WITH DETAILS SHOWN.
DATE _ -1 7YSIGNA'IUR.E OF APPLICAN
LAKE GEORGE PARK COMMISSION APP1'OVAL:.r.� ,, u' ...���,�..�•-�_ „ae
Il
TOWN OF QUEENSBU Y
Building Department
1.
Inspectors Report ��'"� / Date t 7--.orf— 9
Name /i'/e` --
Location . .4..e! A 7 AVe ,4)
. Permit No. STD I Weather
Per Cent Remarks
Complete
•
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing •
Backfill 11L°.-7
.Final Survey
Framing
Sheathingi
Roof Felt
Roofing
Siding
•
Masonry Veneer
Rough Plbg. ''
Rough Htg.
Relief Valves
Wall Board •
Ext.Porches
Finished Floor
Interior Trim
Stairs&Railings
Cellar Dr.Tile
Concrete Floors
Plb .Fixtures
Gar.Fire roofin
Door Closers
Chimne
Water Meter Inst.
•
Se tic A roval
• q
Building Inspector
REMARKS
slfllrszar
TOWN OF QUEENSBURY-
.
•
Building- Department
Inspectors Report Date $
Name
Location
Permit No. (e)(0_ Weather
Per Cent
•
Complete Remarks
Excavation
Footing Forms
• Footing & Piers
Foundation
Cement Coat
Waterproofing •
Backfill •
Final Survey
Framing
Sheathing
.\\\\
Roof Felt
Roofing
Siding •
Masonry Veneer i
Rough Plbg.
Rough Htg. y'
Relief Valves •
Wall Board
Ext.Porches -
Finished Floor
Interior Trim
Stairs&Railings
•
Cellar Dr.Tile
Concrete Floors
Plbg.Fixtures
Gar.Fireproofing
Door Closers
Chimney
Water Meter Inst. ,_.,)
&_
Septic Approval
-51"e1L‘)
Building Inspector
/ RiEMARKS
/QX vl s'Y^ C,
TOWN OF QUEENSBURY-
Building Department
Inspectors Report Date / -2 9 75
Name —SE' ecc' /,
Location :t�o/ti'r✓_S�
Permit No. 5(/ Weather b
Per Cent
Complete . Remarks
Excavation
Footing Forms ,
Footing & Piers it
Foundation
Cement Coat
Waterproofing
Backfill f,
• .Final Survey ' •
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer .;
Rough Plbg.
Rough Htg.
Relief Valves
Wall Board
Ext.Porches �I
Finished Floor
Interior Trim
Stairs&Railings
Cellar Dr.Tile
Concrete Floors
Plbg.Fixtures II
. Car.Fireproofing
Door Closers -
Chimney
Water Meter Inst.
Septic Approval
r
Buildings Inspector
REMARKS
ii
TOWN OF QUEENSBURT
Building Department
•
•
Inspectors Report Date /2.
Name -
Location . ��ti/ J//k L o 70
Permit No. /e 4..t7�"'S /2--Weather
Per Cent
Complete . Remarks
Excavation `
Footing Forms G� /� /� ,.
Footing & Piers (�!/
Foundation•
•
Cement Coat
Waterproofing • ''
•
Backfill .
• _Final Survey 11
Framing •
Sheathing
Roof Felt
Roofing I,
Siding
Masonry Veneer'
Rough Plbg.
•
Rough Htg.
Relief Valves
Wall Board
Ext.Porches
Finished Floor
Interior Trim
Stairs&Railings /.\ /V-r:r. •
Cellar Dr.Tile
Concrete Floors
Plbg.Fixtures
Gar.Fireproofing
Door Closers •
Chimney
Water Meter Inst.
•
Septic Approval
✓ Building Inspector
REMARKS
•
.1
it
11 •
ae ass i
4