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5747 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date A_b Jc " . 19 7/ This is to certify that work requested to be done as shown by'' Permit No. 11 has been completed. , AThis structure may be occupied as a 0 _'1 v`rn'�1'\ •\ U f\`\ Location :71 c(,e� -NE _ Owner -Q f\ r� By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector CREATIVE "INSTA" PRINTING, GLENS FALLS. N T 12801 IS I8I793-5658 BUILDING PERMIT TOWN OF QUEENSBURY No. 5747 WARREN COUNTY, NEW YOR,K PERMISSION is hereby granted to Thomas Jenkin (St. No. 49) Lots 78 and 79 Helen Drive 5 OWNER of property located at Street, Road or Ave" P ` to in the Town of Queensbury,To Construct or place a One—Family Dwelling ca 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. h'• 1. OWNER'S Address is 27 Bonner Drive Glens Falls, New York • 2. CONTRACTOR or BUILDER'S Name • Martin C. Mosher 3. CONTRACTOR or BUILDER'S Address L-1 4 Helen Drive 0 rt Glens Falls, New York •4. ARCHITECT'S Name co • 5. ARCHITECT'S Address C, (D • F-' (D' w 6. TYPE of Construction—(Please indicate by X) d (X)Wood Frame ( ) Masonry ( )Steel ( ) • N. (D 7. PLANS and Specifications - 28 'x54 ' per plot plan, specifications and No. application submitted including sewage system and 24 'x24 ' attached garage. 8. Proposed Use One-Family Dwelling 0 $5. 00 C/O Paid $120. 00 .PERMIT FEE PAID —THIS PERMIT EXPIRES November 1 19 79 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the !v town of Queensbury before the expiration date.) " N Dated at the Town of Queensbury this 24th Day of April 1979 C7 SIGNED BY for the Town of Queensbury (1), Buildin and Zoning Inspcto ef. TOWN OF QUEENSBURY (Space inside block to Ix• filled in by WARREN COUNTY, NEW YORK • Building Inspector) Application for Application No. N� Permit Issued 19. BUILDING AND ZONING PERMIT Permit Expires. • 19. . • - Zoning District , • \aluc of Work THREE (31 Copies of a PLOT PLAN, Drawn to scale .\l,l,r"ecl IW showing the actual dimensions of the lot to be built Iten,:n•K1 . upon, The exact size, and location on the lot of the . . building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. -7 TOWN OF�n QUEEMNSSURY �� ` '7�_ ! . . `DAT9. 7 / DEVE..1 1/ E 1 4,0_,..,...,,., A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK APR 2 J. 1979 ANSWER ALL OF THE FOLLOWING. �e "`I •P 5°L C-l° I vIC • The undersigned hereby applies for a permit to do the following work J 9 J10111112p 11213 J 41516. which will be done in accordance with the description, plans and specifi- • al La Ala ail A I cations, and such special conditions as may be indicated on the permit. A gwner of thispro�y'�y is: ,. 1 fuga `J�0J a? 7 C-riL .�. . . . . �1. . .7 (C �r-�-f .II , �(NA ,E.) IP.O.ADDRESS) . The rson responsible7� for •••supervision of the work insofar�� as the Building Code nd the Zoning fOrdinance apply is: � /` t4.Gl�✓ �j /`ytif a��c.t, Xd��,L /cLr�i • ADDRESS) . ✓ s . (NAME) Name of Builder.�.-/tf<n Address Name of Plumber. . . 1----_ - Address _ Name of Mason. . ` Address Lot Number.7.‘, . Unit 57. Estimated value of proposed work$ .ct.. 0 ---t7 - Name of Village, a--c-v)'+.'. . .,-I . . L_c J . . .ice Name of Street i - -' r- �-iu- .'. . `.1-. •44'«"'"'�4`' i e of street: north 0, east X south ❑. west 0 Nearest Cross Street -.J. { • Distance from this cross street '�/ 0 Ft. Property is north 0,south X,east [1, west 0 from Cross Street - If on Corner,which corner, northeast 0, northwest ❑, southeast 0, southwest (Designate by marking with an "X" in the correct space.) • NATURE OF PROPOSED WORK OCCUPANCY X Construction of a new building. Main Building X. E Addition to a building. One-family dwelling El Alteration to a building. Two-family dwelling El 0 Demolition of a building. -family apartment house ❑ Store building • -car attached garage El Other: • Accessory Building One-car detached garage • El[i Other work. Describe. `�' `� `' ` Two-car detached garage ❑ 2,74 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, site and setbacks of pro- posed buildings,and the location of all existing buildings. NORTH Show proposed building(s) in dotted line and existing )4/-4_,LlA4.1 ,jy, % Ituilding(s) in solid line. Size of property c:,Z P--6' ft. x /7 0 ft. • Size and use of existing buildings, if any ' "' Size of proposed building . . .?e • ft.x ` • • • • ft. i -7-1-r---‘77t-a--f-,. ... . Height(from grade to ridge) ` P ft. Front yard cS � ft. I Side yards 0 ft. and .0ft. Rear yard ® 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.? ��J' . ''• • v ���tn-c-.. Will any second-hand lumber be used? . . .7vf?. . . . . . . If so, for what? Material of foundation walls . . Thickness Depth of foundation walls below ade � Continuous foundation? . . .- Will there be a cellar? . . . If so, material of cellar floor Type of roof: Sloped or flat? . . .C... Material of roof . !C Size,wood studs "x `/ ", spacing /t . . ."o.c., length ft. Size, floor beams, 1st floor a2 "x /0 ", spacing « `/ span ."o.c., s . . . . . . /. '{ ft. Size, floor beams, 2nd floor it7Z " x / Q ", spacing . . . /. .6 "o.c., span . . . .. . . . . . ft. Size, ceiling beams c x T A-: ", spacing . . . . ."o.c., span ft. Size, roof rafters or beams "�"x / ", spacing 6 n"o.c.,span / la ft. Exterior finish 5r walls . �- Cam ,✓ With what material? . . ..�'✓.o.,c1 Finish of interior walls Ifg garage is to b9 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 . . . Oil burner or coal? Will a flue-lined chimney be provided? . \ ca/ . Depth of chimney foundation below grade . ..C' Height of chimney above roo .� Will there be a fireplace? Depth of fireplace hearth • Will a toilet be installed? Will a kitchen sink be installed and connected to er supply? 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? Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to th•b rof my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and complete statement of all proposed work to be done on the described premises and that aprovisions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pe fining to the proposed work shall be complied with,whether specified or not, and that such work is authorized by the owner. Sworn to before me this Signature ... .. ✓ �' ��c OWNER.OWNER'S AGENT.ARCHITECT.CONTRACTOR day of 19 NOTARY PUBLIC.WARREN COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT: • • By • TOWN OF ©UEENSS ;U?tY Wh'�REM COUNTY, NEW YOR" Application for: BUILDING PERMIT IN COMP LtZANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work. ANSWER ALL of tha following: 1. - Gross floor d'1r�a• o o a a 4 n o e • • o m e • • u m e o o 0 w • 0 0 0 0 0 • O • 0 0 0 e • e o o. a a_o • • • 0 0 0 • O 2. Type of heat. . . O / • O m • . O O a O •,0 4 0 0 0 e 4 U 0 0 0 0 4 0 0 0 0 0 0 0 0 0 O 4 4 m 0 . O U • 0 0 0 0 0 0 30 IS the building rzech n iclet11 COOL a(11.17 0 0 0 0 OY 0 0 0 0 • 0 0 0 0 0 0 0 0 • • @ • 0 0 4 e Percentage of area of windows any t 'r��� ,m • n . �� 7� a . @ @ @ . . • m tl m m 4 • e • A. Over 16% Only, • I. Uo value of gross area .of walled roof/ceiling and floor exposed to ambient conditions. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . • • 0 0 0 0 0 • • O II 0 0 4 0 a 000 0 a • 0 • 0 a m 0 0 0 0 0 e 0 0 0 0 0 O O 0 0 • 41. e 0 • • • • • @ • • O 0 0 0 0 0 2. Floor over heated spaces YES NO a. ere foundation walls insulated? YES NO • 1. If YES, ghat is the R � � �a o . @m • . @ • @ea .,m . ea . o . • . @@ 3. Slab on grade YES . NO " a. If YES, what i , the R valise of insulation aroundperimeter of floors 0 . 0 0 00 m o m a 0 . c m m e a e s e o • o a o 0 a 0 40 04 0@ 0 0 • • 0 0 • 0 0 m@ 0 e 4. Is basement heated? YES NO a. a value of .k�a Lio o n • m o n a o o e 0 o c o • a + o o n a m m o • 0'u • o • • 0 0 0 0 5e Type of •in SUlat .Oaa0o00o • mo o • oog00000 oOo • • 000u a'o0ia0 • O • • 0000 B. Under 16g.% Only 1e U value of roof and floors •enoosed to ambient conditions. . . . • 0 0 % 0 Odra 0 0 0 0 • O O 0 0 • 0 00 0 e • 0 0 0 a • • 0 0 0 i• • 0 0 0 • a 0 0 0 0 0 0 4 0 0 0 0.0 0 0 0 0 0 0 • O 22 U value of aactc U o wa1 4-; o a c m • a o o n'�o wp �s o a a o u a o 0 • •a o o a • • o e 0 3" . U value of g'p aze uZ w�6?:@ e o a 0 4 0 0 0 0 0 0 0 0 oe0 o e a o a o • . o.o . • i o • 0 o r o O 3• U VethlIS Of ClOO o a • 0 0 0 0 • a • 0 o S e 0-0 0 0 • 0 3, . 0 n 0 a 3 o e a a. 0 0 a0 0@ 0 0 0 0 0 0 0 5. U value of floors over heated w�ace� a. 4m .Ropa7�'a ., am • mm@m ,, m • a /J/�/p°'}^/� • e 6• R value of :?lab edge insulation unheated �d.'`3'.��• a @ a-o'o"a a tl o @ • 7. R value of slab insulation - heated �1a • • • •�.m a m • . a m m e S. U value of heated basement/Cellar walls (above: grades) 024•. o 9. R value of heated s< Mont/ 'a I. loar walls Cbel.ow. grads) o e'a o-a o e 10. Type o roJ Jtaru + �5.00 •U gtl .i Off • •00a • 3 ® • O O�ri~�V a • OOOOO . C. Controls q ry} c a Thermostat . . 1• heal+mos at m�M.•10r•um hea d�^' 5L is 6��0 O +G @ 9 R O O e@ • O Q� O i O 0 • 0 O /A O 0 • O • D. Duct Systems 14 Is duct system installed iia unheated spaces? YES NO • a. If YES, R value of ,ZILIct installation OOOOOOOOO o'o. . . a .* • s b 4 P. Value of duct in other areas OOOOOO • e • • • o OOOO • a • O • • o •• O • E. Piping Insulation 1. Size. of hot eater or cooling carrying agent pipe 2. R value of pipe insulation • F. Service water Heating 1. Performance efficiency g 2. Temperature control- setting maximum Ze/0 G. For Swimming Pool Only 1. Maximum heacing. . . . em . @ . eao . a . . • . . @ . @ • . @m . m . m . w .e .@@ • . . • . . @@ • • • . rtf " • • - t , $‘!1 OICZC..E101 no1:too/lqqA " Yagyir4 -3TATa ;•• T re lava J'itelog A • 4p:titre/fel tit* to 1L41 414W4041 oI 04020 to orgy' . 1 _ . . CL,Moov yliAr4AsAeom paikiked *lit AI .t • ' 1AA *:oe04-mtv irgo.lo to oprotootri101 310.—fitAtr! .A 10 ,S,%* 11*02# to osartv ' " . , . — ano/Ittoev Jarldie es hooey". • , • of* sa* • 04Oott64,404411 Magi ov lx- ottotit appaisser40 sus .s • 0,11 *4 left 41? Pi oz , :Ear - o4stio no • 1 erfI 144,11, ,say 11 .* , 10 .t.b40.,At,fr *aekstaltAd el • : to tvIalt A • , , ao,Oefo.,o1,4 "!-41p soeTAT , /21'013...'01 1140#.°2 6- •• 411 , . styInv • OUACV V nlf.**b • 444,00 to ositv Aphle, dolitt to oplia',1: .54 • - I > L 4.1a to OofAvg .t - 1t14,1toAftsdA,$414$14#0 tivoolise V .4 • > „ . . - )44X tO tteLitv X .f - . • . . , „' to ogle, .01 - . - . .ent-$4** 4044 Woo4040 4404404:001114 . ** 411 4.411114440111.111141114. 41$ aphdajjOili . . 40 • •••••••••••••••••••,401.0Mitela a . .40 ea• .40011. One 01114.1.110 - IMP . ..R•oss41441444040•41101is000410rnso AMMMIMPAS iiss* utm44041•144460*.0,00,0111*400 •••••'40•-ivisksc,e,•••••••••••••••••••••••••••• • TOWN OF QUEENSBURY BUILDING AND ZONING DEPARTMENT BAY AND HAVILAND ROADS RD # 1 GLENS FALLS, NEW YORK 12801 APPLICATION FOR A PERMIT TO CONSTRUCT, ALTER OR ENLARGE A SEWAGE DISPOSAL SYSTEM WITHIN THE TOWN OF QUEENSBURY OCCUPANTa S NAME ADDRESS of`7 • TELEPHONE ERQ S NAME ?Ai Li 7A r� .�✓ ADDRESS 7ff - 7 9 4,L4,-,J L I" 1 NUMBER OF BEDROOMS Vf GARBAGE GRINDER?‘71-0 (YES OR NO) TOPOGRAPHY: rkl)LROLLING, STEEP, SLOPE, GENTLE SLOPE, OTHER NATURE OF SOIL: CLAY, SANDY, LOAM, GRAVEL, ROCKS,, ETC. PERCOLATION TEST WATER SUPPLY: MUNICIPAL;, WELL, OTHER DIAGRAM OF PROPOSED SEPTIC SYSTEM 7 -79 - OTHER PERTINENT INFORMATION IT IS HEREBY AGREED THAT IF THIS APPLICATION AND PLANS ARE APPROVED, INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL BE MADE IN ACCORDANCE WITH D ETAI LS SHOWN. DATE SIGNATURE OF APPLICANT LAKE GEORGE PARK COMMISSION APPROVAL: �ignatu� date TOWN OF QUEENSBURY • Building Department lOspectors Report . Date (r)),7 h 7 Name /-7 7 if— Permit No. _6-'7 47 Weather h I Per Cent •IRemarks Complete Excavation Footing Forms Footing & Piers .(71' Foundation Cement Coat Waterproofing :Backfill Final Survey I'Framing Sheathing ,,Roof Felt Roofing i,Siding Masonry Veneer / Rough Plbg. Rough Htg. Relief Valves Wall Board Ext.Porches " Finished Floor Interior Trim II Stairs&Railings Cellar Dr.Tile Concrete Floors Plbg.Fixtures Gar.Fireproofing Door Closers 1. Chimney - Water Meter Inst. :! Septic Approval Building Inspector REMARKS _PO/ ;1 .1 • TOWN OF QUEENSBURY Building Department Inspectors Report Date 7 /2-` 7� Name drh` of-52 ; h / Location M fcc&.yl L ct7�7 Permit No. 5 ) 14.7 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 Rough Plbg. / 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 V Building Inspector REMARKS /tee •/ / e, a;(4.? i TOWN OF QUEENSBURY Building Department Inspectors Report Date Nam:. f'i1n<1 Location A/A,r, Lv% 7 8 -r)7 Permit No. .-'7 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 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 Building Inspector • REMARKS • • OWN. OF 'QUEENSBURX • Building Department Inspectors Report 4e/r Date Nam:. %s' Location • Ar Permit No. ,6—') /f 'J 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 Rough Plbg. / 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 u B Building Inspector REMARKS ' , TOWN OF QUEENSBURY Building Department; Inspectors Report Date % "' 71 Name L-771. ep- . Location 1 '4w) Permit No. Weather �j Per Cent " Complete Remarks Excavation Footing Forms Footing & Piers t/ Foundation Cement Coat Waterproofing Backfill Final Survey Framing 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 Plbg.Fixtures Gar.Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval 3/7: //j. • • Building Inspector REMARKS 1\NJ / r°4k, k) . --, ( ' t , .. 6; c /\\ 1 tq \ ./ -