5678 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK d
Date " e �Q
19
This is to certify that work requested to be done as shown by Permit No. �
has been completed.
This structure may be occupied as a
Location n v e S T 73
Owner Mr v-c. :J P ( -u17 ock i Lk
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
CREATIVE "INSTA• PRINTING. GLENS FALLS. N Y 12801 15161793-5658
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 5678
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Mr. & Mrs. Jeffrey Wodicka
OWNER of property located at Lot 82 Helen Drive 3 Street,Road or Ave.
i-h
in the Town of Queensbury,To Construct or place a One—family Dwelling
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.
0
1. OWNER'S Address is ¢
Westland Avenue H-
Glens Falls, N.Y.
2. CONTRACTOR or BUILDER'S Name
George Senecal Builders, Inc.
3. CONTRACTOR or BUILDER'S Address
57 Helen Drive
Glens Falls, N.Y.
4. ARCHITECT'S Name 0
r1
co
Ni
5. ARCHITECT'S Address x
N '
N
CD
6. TYPE of Construction— (Please indicate by X)
Fi
( X Wood Frame ( I Masonry ( I Steel ( )
tD
7. PLANS and Specifications
No. 26x54 per plot plan, specifications and application submi.ted
including two-car attached garage and sewage system
8. Proposed Use
0
One-family Dwelling
rh
$5. 00 c/o pd. �.
$ 1 28 _ 0O PERMIT FEE PAID —THIS PERMIT EXPIRES August 1st 1979
(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.)
2nd March 79
Dated at the Town of Queensbury this Day of 19 l_
SIGNED BY , p (re, , ((.) for the Town of Queensbury k-4
Building an Zoning Ictor
TOWN OF QUEENSBURY (Space inside block to lx filled in by
WARREN COUNTY, NEW YORK • Building Inspector)
• Application for Application No.
Prrmit Issued 19. .
BUILDING AND ZONING PERMIT Permit Expires. . lg. .
i:!,ninC District
\ Ail('uc ni \Work,%.
THREE 131 Copies of a PLOT PLAN, Drawn to scale. \1>1>'''>"'d 1"•
showing the'actual dimensions of the lot to be built Re!>>;!!Ks-
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION,
T O':'.!i N OF QUEENSBURY
3A�� 9 DATE
E G n d
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK Il/iP f 2 1979 '
ANSWER ALL OF THE FOLLOWING. A.M.• $,T ( /'6E tf'p• P.M.
The undersigned hereby applies•for a permit. to do the following work 7I8I9I10I11I12)1I2I3I4I5I6
. which will be. done in accordance with the description, plans and specifi-
cations, and such special conditions as may be indicated on the permit. / po
The owner of this1roperty is:.
7 �/ c� I WO:�-i:c,9 Wesl4 ,v�. . ve.. ... . . .C/ems- ./.-/g./.1s, /v % •
1 /R. / /may ! fL"T�A e . . . . . (P.O.ADDRESS)
The person resp nsibie for . supervision of the wbrk'-insofar as the Building Code and the•Zoning Ordinance apply is:
c,.. q,.. - - ��.ec�\. . . .� Ad.,:�SRS ,. =nc, . . .5..7. ./,//J. ,a,?, Ckfais,F�//s,AU,Y
(NAME) (R.0 ADDRESS),
Name of Builder.S.0�1^�Q-- Address
Name of Plumber ' Address
Name of Mason p ' Address
Lot Number • D a Unit Estimated value of proposed work 3
Name of Village U e.e.t\�Ss. . .c.y
Name of Street 1-VP---.`e-•NI• • •►i•R 1 V - Side of street: north 0, east 0, south 0. west El-
Nearest Cross Street HP.._-i.l�. R•►•C.-\- Distance Iron! this r"ross street Ft.
Property is north 0,south . Qc ,east [], west ❑from Cross Street. .
If on Corner, which corner, northeast U, northwest ❑, southeast D. 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. One-family, dwelling -•
El Alteration to a building.
Two-family dwelling " CI
❑ Demolition of a building. -family apartment house_ D.
Store building ❑
. . . . .'a. . .-car attached garage Xr
. Other:
Accessory Building '" •
. - One-car detached garage " Li
❑ Other work. Describe: Two car detached garage
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 names, the location and
size of the property, the location, size and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH Show proposed building(s) in.,dotted line and existing ,
t.uilding(s).in solid line.
•
• Size of property • /66 ft. x . . . . /Ydd. . . ft.
Size and use of existing buildings, if any
�7
s • w Size of proposed building oC - • . ft.x . . .i.'Y• - ft.Height (from grade to ridge). .;2 7 _ ft.
Front yard //0 ft.
• • Side yards R3 . ft. and 23. . ft.
Rear yard 99 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) .
7-73-M .•
(cont'd.)
BUILDING SPECIFICATIONS., \\ ,'
Kind of construction: Wood frame, fire safe, etc.?. .V�.1(
.0.0.t7 . ./744 Arn.e,
Will any second-hand lumber be used? . /."N10 If so, for what?
Material of foundation walls .lb`.'.X Leo.1. £e!!Y7e42.17. . 1-(.).(= '(5 Thickness
Depth of foundation walls below grade Continuous foundation?
Will there be a cellar? .y...e-S If so, material of cellar floor .4/" `Oa._C. ./C.)UA
Type of roof: Sloped or flat? Material of roof
Size,wood studs "x I ", spacing /t ."o.c., length ft.
Size, floor beams, 1st floor " x /() ", spacing / ) "o.c., span / 3 ft.
Size, floor beams, 2nd floor 2 " x /6.", spacing l(o "o.c., span /4/ ft.
/
Size, ceiling beams c� "x C '.", spacing /6 ."o.c., span / V ft.
Siie, roof rafters or beams 2 " x ", spacing /Co."o.c., span / `' ft.
Exterior finish . . .lCC)a.D „ With what material? GC� . . . . . . .
Finish of interior walls. . //2. . . .'
If garage is to be attached, of what material is wall between garage and main building to be constructed?
. . . . . . ./.... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Is there to be an opening between garage and building? . . -
Kind of heating system . ,EIC'.0 TF1.%C Oil burner or coal?
Will a flue-lined chimney be provided? . Depth of chimney foundation below grade
Height of chimney above roof a I
Will there be a fireplace? >` S Depth of fireplace hearth /
Will a toilet be installed?. .j!t=.S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will a kitchen sink be installed and connected to water supply? >'013
Water supply (public water supply or pump) . ./9.0.(3,4/.C
Distance of cesspool from any private well feet
Will drainage system be provided with required traps, cleanouts, and vents? t_.S
AFFIDAVIT
Town of Queensbury
County of Warren
State of New York 2
I swear that to th bar of my know,ledge and belief the statements contained in.this app ical lion,together with the•plans and specifications sub-
mitted, are a true and co.e.p lete statement of all proposed work to be done on;.t}15/described premise rsnd yll provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE, and all other laws pertaining to the'proposed work shal in with,whethe ified or not,
and that such work is authorized by the owner. /
Sworn to before me this Signature
OWN OWNS 'S E . R HI CT,CON RACTOR
7 day of.... -7z, 19..- j
NOTARY PUBLIC. WARREN COUNTY,.N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
•
By
;.�„
}i F :4 PV J ill 1. • n )i
CA A LO + e'01 A :.:.Riii_1_ S.' gyp•O rQNS A841 CS p ALTER C. ENLARGE
A SEWAGE IS OSA. / -YSTE r/ WITHIN THE ilmzcffiyi.DDRE-,`SS_
TOWN OF CUE N Y'
SI3UR
r :.'. .t,.s S. f,s','A '1 /.�/ i 5:. h2cy .�.....,_
TEL aPHONE O WNER9 S NAMELV1/2 ,.
ADDR ESS NUMBER OF BF.DROMS
GARBAGE M INDER?,,,A/O (YES OR NO) TOPOGRAPHY: FLAT, ROLLING, STEEP, SLOPE,
GENTLE SLOPE, OTHER
NATURE OF SOIL: CLAY, SANDY, LOAM, 'RAVEL ROCK, ETCo
PERCOLATION TEST WATER SUPPLY: P� TICT.PAL, WELL, OTHER
DIAGRAM OF PROPOSED SEPTIC SYSTEM
/000
&N.
` .
O I Ert PERTINEN INFORMATION
IT IS HEREBY AGREED THAT IF THIS APPLICATION AND PLANS ARE APPROVED,
INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL B t:i DE IN ACCORDANCE
WITH DETAILS SHOD°JN
DATE CY//'7 SIGNATURE OF APPLICANT
LAKE G 2 PARK COI SSI.ON APPROVAL
TOWN Of ,21,TEENS3URY •
WAXXFJN COUNTY, NEU YORK
:,, 011. t,io.n Vox. PERMIT IN COMPLIANCE WITH TB11,,, NV1 YORK
S,T7.,,,TE : IFIRGY CONSERVATION C )tfl
Vil 00 li (..) r tr A plfxmit moot', bv„, obtained before bi,(Jinning uorko
the followingp:
7 1 ., 3r.'4.-”1.-7-; ?:),*0<It -a 5;e A,. 0. . . . ., ,3',.3 9429P0 A 9' •II(44 . 4 gra G 9/ . c. 04. 43 ,40n co .o .a .pao ,, 0nomc0o
x r
,-',7 . 1.',',7 P t C. 4Ct le;-.1 4:, ,. : a oto . , "6„. .carie,./.0, to 4100 03 •• or, 00Zoot0molota. , o0r otJeoct
/Ail
thv bs,?„iIdiAg mi chanifluily cooIed?. . . . , n0Pa0c0t00000000 , o0 ,, 0voocaa
l 9%
4 . l'it-zvo.zt.;Tigre o eoz. b. af . . .
windows aAd dooro . ,v4, . . . . . . . . . . , . . . . . . . . .
A . Ove,Ix' Af.S 0.42/y
/, U0 VAiW Of grolas area .of vallo, roofickLnq and fl,:,lova
,,,otp,cl.st, to amblAnt condi:tlows; 0 , - 00 0 00o0000000000000 . 0G00000
o 4 0 4 0000 OT 49 moo 0000 t 0o• vo. 000s. o Door;
'2 , Pl▪or w-i'e .:' 1.teat -d„,epels YV,N.
--,,, ...•
. Ars V,o/Jndation rv,(<11s inanlated ,----- YES NO
I. Xj!' YES , cohAt N.,„eck a ves - e;? . . .—. . . . . . . . . „„ - -
• on graae YiEl!:,1 . W.N.,
A„ Tf Y'VASt, what ie, t ,R vala.P1,,,pf involIation areuzd per'i6e,,x
rpf Ci.-:72vIr? ,„ . , G . , o-?. , o- . . , - . .
_ yo . , . . . 0 . 0 . . 0 ., . . . o . , 3o . . , Go . . ..I .,
4IeD 16 baaament hst .-', ..VP YES
a . ' R value .1. inawaa.tion. . . . . . . . . . . . . . . . . 900900945 ,.090999
3 . T.spe ov ,-;:111, 1t;
- ' _ _,,, —4 . . . . . . . . . , . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
isi V.i 11.64r:ey . .6`1 oril7:c•,
a , U value ,of :..roak &DA tioary expoged t6 ambient conditionv . . . ,
4, 0o 414, ..44003a ow oa on on re0couo 0 ..un , 040048940040910 moo: 00 .. 00o 00000
Uva/ue of glazed area. . . . . . . t . .3 .0/. . . . . . . . . . . . . . . . . . . . . . . .
U valtim 1'o' doorsow . . 0000 . G . . . 04G4W.7. 00 . . 00000000010000
Gt."1/4 erirb
sx U value of fle=zfl; aver 0,C* 40......"44 spocess . 0 . 000644o00* . . .. Go0 . . 0* .
ik valtie ,of :flab adge ininilation - uollaate'd slab—Goo . . . Go . -
7. 'a value of 81ab ingoAation - heated ,;.iiab„, . . . . ,4446k . . .. . . . _
At/m '' .1.11iAl p.e. 1-1.:!.tat bawneo.t/,:.?allar walla ta,bove gradel „ A .
11,eatet baa.avintisc.,50,kav wills tbetow gvad0o , . }$2.
-5 -iiy.0. Ty..15::1 of i.q.atlitation o or;iget. ,QA.1.1, m Yot7 0 o o 0 7en oY40t0 anzoa000
C. Con-,t'rol 0
X. ThOrMIStat m2lximvo heat r.2,, inc . 07.5. 0000000000 . 000 , . 0000 0 .
C. t:113,:t SvIi.)tmr.:
10 Iff, 4utt sy'ym invzall.ad in %,Inhont.i,..d apae1.4-erg YES No •
. a . If YEG R value oE ,:,1,10ta ...!-1,,vtitalaktio1k. 000000* 0 . .
R valwA. 9:6 du-ct ir, ‹..tt,e.'2:' mtt,:aq . . . . . . . . . . . . . , , , , ., . . . . . , .
:z.% Pipl.?v:Y Inimi.atiorii
...„_,,......,.......,,.._..,_______.....
1. Sixe ef Ilt_ vatax eir cooiing z.7arryinq vigeD.t pipk4. 000)0 , . . . . .
2 , P. vc§Itis of pipe inatx.lation. . . . . . . . . . . „ . . . . . . . . . , , , . . . . .
r, IF,'.ervie wa,tx:r Hed,tiog
1. Porf‹.pirmia.nvIN of ix'1":els'a VI C Y 0 4 4 Le 0 0 4 4 9 4- 4 ,, a oo0ocan a o oAo opoo00 , ” , . 9 5 b•
r, T Vri f.j. ?. ,'b t ra. , r: > . o 0 . 61 gote. o . o0Go . G . - , .
P4:..f.- •.t,c-frviL ..-?.0,1 noic,).
TOWN OF QUEENSBURY
Building- Department
Inspector, yRep�rt Date J'�"_
Name
Location deb` &I , /v S•
Permit No. -j(d 7 S' Weather
Per Cent
Complete Remarks
Excavation
Footin• Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing —
Backfill war
.Final Survey
Framing
Sheathing
Roof Felt
Roofing
Sid in:
Masonry Veneer
Rot'.h Plbg.
Roush Ht:. BIM
Relief Valves
Wall Board MIA
Ext.Porches
Finished Floor
Interior Trim
Stairs&Railings
Cellar Dr.Tile 411111nr
Concrete Floors '
Plh:.Fixtures _/�J
Gar.Fire.roofin: t- _11-_
Door Closers
Chimne
Water Meter Inst.
Se.tic A A..roval
Building Inspector
REMARKS
•
TOWN OF QUEENSBURY • •
Building Department
Inspectors Report Date
Name. _�C-/���c
Location ' 9 Jt
Permit No. ,(p Weather
Per Cent •
Complete Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing 1
Roof Felt , !J
Roofing
Siding
Masonry Veneer
Rough Plbg.
Rough Htg. NRelief 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
Building Inspector
REMARKS
/4 z/s�J
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 1 76
Name (19 ) 4 e-A
Location
Permit No. ,c(r 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 1
Rough Plbg. ;� JJ
Rough Htg.
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
Building Inspector
REMARKS
4
TOWN OF Q'UEENSBURY
Building Department
Inspectors Report Date . S- 75--
Name
Location / //rt
Permit No. VP 7 3 Weather
Per Cent
Complete Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
_Final Survey
Framing .67-7/('
Sheathing
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
Plhg.Fixtures •
Gar.Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
/C1
/„\/,)
Building Inspector
REMARKS
where 4:71 )i �' e_
TOWN OF QUEENSBURY
Building. Department
Inspectors Report Date 04-c i-»_ �
Name SC',.i e c,/ -
Location /,��/t, � � Y i� '
Permit No. (v 7X Weather
Per Cent
Complete Remarks
Excavation
i Footing Forms
Footing & Piers
Foundation
Cement Coat If
Waterproofing
Backfill ,‘. '( �.9
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Rough Htg. 1 -
Relief Valves \
Wall Board
Ext.Porches
Finished Floor
Interior Trim
Stairs&Railings
Cellar Dr.Tile
Concrete Floors
Plhg.Fixtures
Gar.Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
1 -
Building Inspector
REMARKS
TOWN OF-QUEENSBURY
Building Department
Inspectors Report Dat --
Name c .sec - tL)a `I G�,a74
Location ra4) /n 2
Permit No. Weather
Per Cent
Complete Remarks
Excavation
Footing Forms
Footing & Piers L� Cjt ,/
Foundation
Cement Coat
Waterproofing % -
Backfill
• _Final Survey
Framing
Sheathing /f
Roof Felt
Roofing
Siding / •
Masonry Veneer / 1
Rough Plbg.
Rough Htg. ,r
Relief Valves
Wall Board
Ext.Porches I
Finished Floor
Interior Trim
Stairs&Railings
Cellar Dr.Tile
Concrete Floors
Plbg.Fixtures
Gar.Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
itYBuilding Inspector
REMARKS
Qs
>tl