6355 CIO Paid
CERTIFICATE OF OCCUPANCY
TOWN OF QWLWSIlUfty
WARREN COtIlM, NEW y(XW
19
Thin h to oeetifj► dat workmPamd to be done r shown by permit No.
has been d,
IU structure my be died ar a One-F'ATnj 1 V D—pil lincx
1,Crt 74 Fielen Driv
(.. t. No. 59
081 George Senecal. Ptlilders, Inc.
Ely Or&r Town Board
TOWN OF QUESNSBURY
Buddi b Zoning-Inspect
C*CATIV[ "IMiTA" ►"T'" OL[MS FALLS, N T 12001 I3181702d090
BUILDING PERMIT
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK No. 6355
PERMISSION is hereby granted to George Se Uilders, Tnc o
OWNER of Lot 74 Helen Drive (St. #59)Property located at Street,Road or Ave. `Q
fB
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 othm.information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. h
N
1. OWNER'SAddressis 57 Helen Drive
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name M
Ss<me
H
tJ
3. CONTRACTOR or BUILDERS Address n
Same
i
4. ARCHITECT'S Name
I
rt rt
5. ARCHITECTS Address v
z �
ox
(D
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( )Masonry 1 )Steel ( )
w
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(D
7. PLANS and Specifications
28rx66t per plot plan, specifications and
No. application submitted including sewage system
and two-car attached garage.
S. Proposed Use
One-Family Dwelling 0
I
$5. 00 C/O Paid 0
$ 164. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES December 1 19 80
(If a longer period is squired an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.l a
$fD
Dated at the Town of Queensbury
this 2 0th Day of May fg 80
SIGNED BY iv wo W
for the Town of Queensbury
81111ding and Zoning I nsplictor
TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY. NEW YORK • Building Inspector)
•
Alication for Application No.
pp Permit Is:,ued 19. .
BUILDING AND.ZONING PERMIT Permit Expires. 19.
%A minn District
• \ :dile nl \1•crrk,
THREE (3) Copies of a PLOT PLAN, Drawn to scale .\1)1"' `•`I by
showing the actual dimensions of the lot to be built RenizII Kf
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 QUEENSBUrt.
76 -- - / U . . .3.1.1�.\. Ta. ;,_, . . D E luJ E l 1Y E
•A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK: MAY 2 01980
ANSWER ALL OF THE FOLLOWING. A.M. /6I oa P.M.
The undersigned hereby applies for a permit. to do the following work 7I8I9iiO)lljlJ1I2I3I4I5.6
which will be. done in accordance with the description, plans and specifi- C/J a C�� qq�T. � I
cations, and such special conditions as.may be indicated on the permit.
T e owner of thoperty is:. v
.�. . . t�eCc . . • 1:�d:e.(3� .-mac,•. . .�7 ( e-a��. - - . .G.F�-... ( .
(NA`:E) ( .0.ADDRESS)
The person responsible for supervision of the�c. �v _insofar as the Building Code and the Zoning Ordinance apply is:
. . P.. . . -. � : .c.�\ � ��S
(NAME) . (P.0 ADDRESS)
Name of Buildera—
,� '�. . , Address
Name of Plumber Address
Name of Mason • Address
5( Lot Number 7 e Unit Estimated value of proposed work S 7 7,, O 40 O
N0ame of Village . .(��,L�,C_,:.. f,? •" •„;/
Name of Street . . .IA ._._\'�) �-tU--e__ Side of street: north 0, east 0, south O. west 0
Nearest Cross Street .t.: A.` -?f•lC-K f-e e Distance from this -loss street Ft.
Property is north ,south 0,east i i,west ❑from•Cross Street
If on Corner, which corner, northeast X, northwest ❑, southeast L. 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
❑ Alteration to a building. Two—family dwelling
❑ Demolition of a building. . • • • . -family apartment house ❑
Storen building .. , ❑
. '. . . .off. .-car attached garage
Other:
Accessory Building
One-car detached garage ❑
❑ '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, site and setbacks of pro-
posed buildings, and the location of all existing buildings.
NORTH Show proposed building(s) in dotted line and existing
luilding(s) in solid line.
Size of property / aQ ft. x . . . . /i•U. ft.
Size and use of existing buildings, if any
s w Size of proposed building . . . .6. . ft.x . . . .
Height (from grade to ridge) . q)t"/ ft.
. Front yard ' • /5 ft.
Side yards /// ft. and 670 ft.
Rear yard . . 7"I ft.
SOUTH If on corner,setback from side street /-1 C) 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.?. . .Q•�d / f9/
Will any second-hand lumber be used? . .N If so, for what7
rr
Material of foundation walls ./.0.4'.>c.IG,• • • • • • (3•0.c -S • • • • • • • Thickness
Depth of foundation walls below grade . . . Continuous foundation?
Will there be a cellar? .y.'C,5 If so, material of cellar floor S'" CQn C p-eTie
Type of roof: Sloped or flat? .S./c���C?� Material of roof i9.5,/ 42././ s/ f.",j-/z° S
Size,wood studs R.. . . • " x 5' ", spacing /CR ."o.c., length • F ft.
Size, floor beams, 1st floor " x ", spacing /(."o.c., span / . ft.
Size, floor beams, 2nd floor o�. . . . " x ? ", spacing /C,"o.c., span /a ft.
Size, ceiling beams o� " x ", spacing /(fLI ."o.c., span / R ft.
Size, roof rafters or beams . . . . . . . . . . " x Coq..", spacing /(p"o.c., span ft.
Exterior finish With what material?
Finish of interior walls././2/... . . %.'Qo.•7<
If garage is to be attached, of what material is wall between garage and main bui<1ding to be constructed?
//a If
/ e C-cA // 5A.. 7/Q C-
Is there to be an opening between garage and building? . .y.-es
Kind of heating system . .i/.€.CT�./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? Depth of fireplace hearth /
Will a toilet be installed2 7 e
Will a kitchen sink be installed and connected to water supply? . . .
Water supply (public water supply or pump) ./ov3L/:C
Distance of cesspool from any private well feet
Will drainage system be provided with required traps, cleanouts, and vents? . . .ye.S
AFFIDAVIT
Town of Queensbury
County of Warren
State of New York
I swear that to tt• bard my know)edge and belief the statements contained in Ideation,together with lane and specifications sub-
mitted, are a true and co,i. lete statement of all proposed work to be done of escnbed pre . and a provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining; 'posed work : ed with,w e specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature !.
owj . •"NER' ,AR HITE T.CONTRACTOR
day of 19
NOTARY PUBLIC, WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
By
TOWN 'OF QUEENSBURY TOWN OF �� ,,5v. .1V,
WARREN COUNTY , NEW YORK (r)) E. E ,
Application for : ' BUILDING PERMIT IN COMPLIANCE WITH THEM 'VW 8O
STATE ENERGY CONSERVATION CODE
A.M�.� pI����� P.M.
A permit must be obtained before b� l�;l l*.�ltd'7�:4141f141.'16
ASWER ALL of the following:
1 . Gross floor area 22 ,0d
2 . Type of heat •
3 . Is the building mechanically cooled?
4 . Percentage of area of windows and doors /2, 'ii
A. Over 16% Only
1 . Uo value of gross area of walls , roof/ceiling and floors
exposed to ambie t conditions
2 . Floor over heated spaces YES NO
a. Are foundation Falls ins•. lated? YES ' NO
1 . If YES , what is th= R value?
3 . Slab on grade YES 10
a. If YES , what is thr R value of insulation around
perimeter of floo .
4 . Is basement heated. YE' NO
a. R value of i sulation
5. Type of insulation
•
B. Under 16% Only
1 . R value of roof and floors exposed to ambient conditions
3 d —
2. R value of exterior walls /8 � _ 38 /-F fS� •
3 . R value of glazed area /, e
4 . R value of doors /
5. R value of floors overheated spaces /3, /
6 . R value of slab edge insulation - unheated slab /j//f
7 . R value of slab insulation - heated slab V7).-
8 . R value of heated basement/cellar walls (above grade) 424-
9 . R value of heated basement/cellar walls (below grade) 414
10 . Type of insulation {- I het 3L.sS ¢ —S // oc14,
C. Controls
1 . Thermostat maximum heat setting 7
76
D. Duct Systems
1. Is duct system installed in unheated .spaces? YES NO
a. If YES , R value of duct installation 414-
�. R value of duct in other areas'
E . Piping Insulation
1. Size of hot water or cooling carrying agent pipe r//,
2 . R value of pipe insulation
F. Service Water Heating o�
1 . Performance efficiency • 'C=9-5'-/0
2 . Temperature control setting maximum /40 °
G. For Swimming Pool Only •
1 . Maximum heating
Telephone No .
(applicant ' s sig ature)
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
OCCUPANTS NAME ADDRESS
TELEPHONE 9 3 4/0 J--/ OWNER'S NAP E'"(,e C-e ���i7r'rC C
ADDRESS �o v NUMBER OF BEDROOMS.
GARBAGE GRINDER? k )cl) (YES OR NO) TOPOGRAPHY: FLATS ROLLING, STEEP, SLOPE,
GENTLE SLOPE, OTHER
NATURE OF SOIL: CLAY, SANDY) LOAM, GRAVEL, ROCKS, ETC.
PERCOLATION TEST WATER SUPPLY: 1{UUNICIPA WELL, OTHER
DIAGRAM OF PROPOSED SEPTIC SYSTEM
A.-,,
evo
OTHER PERTINENT INFORMATION %Z17/feiV h-s . P sy-
IT IS HEREBY AGREED THAT IF THIS APPLICATION AND PLANS ARE APPROVED,
INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL B P E IN ACCORDANCE
WITH DETAILS SHOWN.
DATE SIGNATURE OF APPLICANT
LAKE GEORGE PARK COMMISSION APPROVAL:
signature)
date �'
•
TOWN OF QUEENSBURY.
Building Department
Inspectors Report .Date 4/'- 7"'F /2
Name
Location 0;; 74 /f6'G'n,V h i
. Permit No. 3 f Weather
Remarks
Excavation
Footing Forms
•
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill //V S
Final Survey
Framing f�
Sheathing
Roof Felt
R^ofinz:?
Masonry Veneer
Rough Plbg. •
Relief Valves
wall Board
Ext. Porches 1.,01
Finished Floor \ /
1, '
Interior Trim
Stairs & Railings, [`-
Cellar Dr. Tile t 1
Concrete Floors 1 1
Plbg. Fixtures
Gar. F ireprao.Eing�
Door Closers
Chimney
Water Meter Inst.
Septic Approval
icons i/ ®‹
FCudation I
Insulation Walis
• • Ceiling
e,
wiac?il�g _P,ector
REMARKS
•
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 9-4 -A/
Name ,TV C!.,0 •
Location 74 /� �ti.�, ,,
Permit No. Co 5-5 Weather
Remarks .
Excat>aton
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing I •
Sheathing
Roof Felt •
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board / N
Ext. Porches :%�
Finished Floor
Interior Trim ,
Stairs & Railings ✓ M f�!��4 �
Cellar Dr. Tile r -4 (i=,(1 •
Concrete Floors C/
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceilin
Building Inspector
REMARKS
•
d
TOWN OF QUEENSBURY
Building. Department
Inspectors Report Date 8S/ /SI()
'f
Name - e12 e t' 7
Location /4/P-yr ,(J, I Zo77
Permit No. (o 3.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 &Railing
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval -
Floors
Insulation Foundation
Walls
Ceiling
, ' wilding Inspector
REMARKS
I
TOWN OF QUEENSBuRY •
Building Department
Inspectors Report Date 7,9- 9O
Name P,r1ecrr /
Location b/w„1
Permit No. 'AT 7`-f sicdP.6'Weather
6 3.5-3 Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
I/ k.---
Backfill
Final Survey
Framing
Sheathing
Roof Felt I
Roofing r�
Siding
Masonry Veneer
Rough Plbg. l�
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 Foundaticuf 'J i
Walls 1/F2./4---
Ceiling '
_ J
Buil ing i spector
REMARKS
•
TOWN OF QUEENSBURY
Building. Department
Inspectors Report Date g—' 7 S®
Name . /L ('ca/
Location ////eoi T ,S?
Permit No. 1 -P-sztaggilf Weather
63-6-5 Remarks
• Excattation
Footing Forms d�
Footing & Piers
'Foundation
Cement Coat
Waterproofing
Backfill •
Final Survey
Framing
Shea'thing
• 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
C Floors •
Insulation Foundation
Walls
Ceiling
•
s. : I
Building Inspector
•
A� REMARKS
•
•
•