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6288 C t':7.1 4 el CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date Ott" ;9:7 l9 CI This is to certify that work requ ted to be done as shown by Permit No.has - has been completed. /.1\ u ry This structure may be occupied as a A rn3,9 Location :71 S n.-. e„ f;) Owner (s B-L4 ct,f'-< 331 C_. _ _ • • By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector CREATIVE -INSTA PRINTING. GLENS FALLS. N Y ?Zeal (518)793-585e BUILDING PERMIT TOWN OF QUEENSBURY Na 6288 WARREN COUNTY, NEW YORK fD n o. PERMISSION is hereby granted to George Senecal Builders, Inc. OWNER of property located at Lot 55 Helen Drive (St. 0 3 6) Street, Road or Ave. . 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 td approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. N• H 1. OWNER'S Address is (p 57 Helen Drive - K Glens Falls, N.Y. - H 2. CONTRACTOR or BUILDER'S Name Same 3. CONTRACTOR or BUILDER'S Address Same ,•. rt U) rt cn 4. ARCHITECT'S Name • 01 O• (D 1 • H (D 5. ARCHITECT'S Address • ri H. O 6. TYPE of Construction—(Please indicate by X) Ix)Wood Frame ( ) Masonry ( )Steel ( 7. PLANS and Specifications 28 'x64 ' per plot plan, specifications and application No. submitted including two-car attached garage and sewage O system_ - 8. Proposed Use One-Family Dwelling w H $5. 0"0 C/O Paid 160. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 1 19 80 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the (D town of Queensbury.before the expiration date.) N. Dated at the Town of Queensbury this 16th Day of April 19 R 0 `Q SIGNED BY f �L I/�.L �:� for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEENSBURY (Space inside block to lx filled in by WARREN COUNTY. NEW YORK Building Inspector) AppiicationApplication for Permit Issued 19. . BUILDING AND ZONING PERMIT Permit Expires. 19. . i. n`iin_ District \ aloe of Work.$ • THREE (3) Copies of a PLOT PLAN, Drawn to scale •\1'I ""'c1 by showing the actual dimensions of the lot to be built Remark,- 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 Or QUEENSEUrc. DATE ia: A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK APR 161980 f ANSWER ALL OF THE FOLLOWING. A.M.- I11S`=G i c fief/ 'P M. The undersigned hereby applies•for a permit.:to do the following work 1 718191113111112111213141516 which will be done in accordance with the description, plans and specifi- I . cations, and such special conditions as may•be indicated on the permit. ek /I't.C. The_owner of this aroperty is: (NA''E) (P.O.ADDRESS) The person responsible for •.supervision of the work:-insofar as the Building Code and the.Zoning Ordinance apply is: (NAME) ' (P.O ADDRESS)' Name of Builder Address Name Of-Plumber. - • Address • Name of Mason Address Lot Number ��� •Unit Estimated value of proposed work 3 . .F.: 2o0CJ r Name of Village . . 0 �e 'i_ t& Name of Street C/.-e.L• . • D i •U•f- Side of street: north 0, east 0, south 0. west 0 Nearest Cross Street e /, 1 ./..C.K. . . St'-re .7 Distance from this, ri-oss street Ft. Property is north ❑,south $.,east i i,west ❑from-Cross Street If on Corner, which corner, northeast L, northwest ❑, southeast N. southwest • (Designate by marking with an "X" in the correct space.) • NATURE OF PROPOSED WORK OCCUPANCY Construction of a new building. Main Builting ❑ Addition to a building. One-family dwelling ❑ Alteration to a building. Two-family dwelling ❑ El Demolition of a building. . • . . . -family apartment house ❑ Store building ❑ -car attached garage ❑ • Other: a c: .9M.e/. e..Qk,Jd f' . 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 • huilding(s).in solid line./5c, Size of property 7i �• • . ft. x . lam' ft • Size and use of existing buildings, if any s W Size of proposed building . . c2' . . ft.x . . . �. - ft. Height (from grade to ridge). • . . /7 ft. . Front yard ft. • Side yards /Zr? ft. and 3 L/- ft. Z CO Rear yard - ft. SOUTH If on corner,setback from side street 3 V ft.. .. Note: All distances are net, as measured from street side ' - line to nearest part of building.: . • (OVER) - 7-73-M . (coned.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe, etc.?.CL±C='-L) Will any second-hand lumber be used? !�-f C) If so, for what2 Material of foundation walls /0 �i e/22 ,L 7. •A/CC •K-S Thickness Depth of foundation walls below grade Continuous foundation? Will there be a cellar? . ./i'3 If so, material of cellar floor . . C'C)/l>.C... Type of roof: Sloped or flat? . ,57(c=p •'_D Material of roof ./-S/7J&CC /f 54� i' q/�'.s Size,wood studs �• • • " x '� ", spacing / . ."o.c., length • 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 4 ", spacing "o.c., span / a ft. Size, roof rafters or beams " x ", s cing / ."o.c., span ft. Exterior finish /�(�c I. I • •L C•CO .5i 2•/ C�-- i wharf material? Finish of interior walls . . . X eC T.2O.0 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 . . C/e c r /.C. . .`—ec / 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? y� s Depth of fireplace hearth / Will a toilet be installed? ` .S Will a kitchen sink be installed and connected to water supply? . .�Y` 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? . . .y7e3 Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to th- , c of my knowledge and belief the statements contained:is plication,together withlthe plans and specifications sub- mitted, are a true and co.n.p lete statement of all proposed work to be done. described premises and that all provisions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertaining, roposed w rk shsll)be mplied with,whether specified or not, and that such work is authorized by the owner. Sworn to before me this Signature .. ... ' ?� day of. nf4,/ NER,OWNE A T.ARCHITECT. ONTRACTOR ... :1 Signature NOTARY PUBLIC, WARREN COUNTY..N. Y. --- -SPECIAL CONDITIONS-OF THE-PERMIT: - • • By .. TOWN OF OUEENSBURY BUILDING AND ZONING DEPARTMENT BAY AND HAVILAND ROADS, R. D. 41 GLENS FALLS, NEW YOlLK 12801 APPLICATION FOR A PERMIT TO CONSTRUCT, ALTER OR ENLARGE A SEWAGE DISPOSAL SYSTEM WITHIN THE TOWN OF OUEFNSBURY OCCUPANT°S WANE ADDRESS TELEPHONES9 ly OWNER'S NAME C I C� RUC. ADDRESS NUMBER OF DROOMS lY GARBAGE GRINDER? /V( (YES OR NO) TOPOGRAPHY: FLAT, ROLLING, STEEP, SLOPE, GENTLE SL©T OTHER NATURE OF SOIL: CLA LOAM, GRAVEL, ROCKS, FTC. PERCOLATION TEST WATER SUPPLE.': WELL, OTHER DIAGRAM OF PROPOSED SEPTIC SYSTEM 01966 OTHER PERTINENT INFORMATION IT IS HEREBY AGREED THAT IF THIS APPLICATION AND PLANS ARE APPROVI), INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL JUDE IN ACCOTDANCf WITH DETAILS SHOWN. / DATE Q SIGNATURE OF APPLICANT MAKE GEORGE PARK COMMISSION APPROVAL: ��.an�ature • . Rte TOWN OF QUEENSBURY Building Department Inspectors Report Date a/2G /90 Name Location La f-67— A /) 7 Permit No. .2 S.Q Weather Remarks ExcaTation • Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey yam; Framing , r� Sheathing ' Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches / Finished Floor • Interior Trim Stairs & Cellar Dr. Tile • _ Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors ' Insulation Foundation ' Walls Ceilin Building Inspector • REMARKS I • • TOWN OF QUEENSBURY• Building. Department Inspectors Report Date 11 / 'cSU Name_ (e(i Location-°rS-.,T NP,%e„ .5fi • Permit No. (A a 4 R Weather Remarks Excavation Footing Forms Footing &Piers Foundation Cement Coat Waterproofing ' Backfill Final Survey Framing Sheathing Roof Felt • Roofing • Siding Masonry Veneer Rough Plbg. 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 . Floors ' • Insulation Foundation ' Walls Ceiling )--JC Buil i.ng Inspector REMARKS • b Lse_ i4u TOWN OF QUEENSBURY Building Department Inspectors Report Date — 2C_ Ad Name • Location �A 4, i k hT• ' Permit No. (r, a 8 8 Weather Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. 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 Floors Insulation Foundation Walls �j% Ceiling (�' Building ,hpector REMARKS • TOWN OF • ENSUn. • Building a.b neat Inspectors Report Date 46r'.-2-- 5263 Name ru / Location /,S f,,J Permit No. a SI Weafrhe; Remarks Excajiation • Footing Forms ,� /1 �w-'/ Footing & Piers I s, Foundation 1 Cement Coat — Waterproofing j Ba ck.f i l l ; _� Final Survey 1 Framing 1 Sheathing 1 Roof Felt f _ Roofing • Siding Masonry Veneer 1 Rough P1bg. 1'- Relief Valves {r [�//P Wall Board Q Ext. Porches Finished Floor Interior Trim Stairs &Railings I Cellar Dr. Ti - I Concrete Floors Plbg. Fixtures Gar. Fireproofi j • Door Closers Chimney 1 _ Water Meter Inst. + Septic Approval 1 • I i lcorS 1 I Founde tin„ Insulation Wells iceiiii -5f -Building • REMARKS