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8143 C/o Paid. CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date May 3 0 19 _V 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 On a—Pat i l y Dwellinet Location Helen Drive and Dixon Road Owner Don Maynard By Order Town Board TOWN OF QUEENSBURY r Building dt Zoning Inspector CR[ATfYt "kM13TQ!'.PQ1MtAM4• altN'E IAL48, N v �2M01 (S 1•}703•ibS! ! x....�...=..,a:;:,...._.._." _.�....,_.:,., ,: '=o.:a S�. -.�.. .es,•._�.:< ...9< ..:,��.�ui.'�ais�t't...".e,�.,`":��s:,:�......,.,m,..u..,_.,......._,_ 'iv h lL N 4 BUILDING PERMIT TOWN OF QUEENSBURY No. 8143 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Don Maynard -` OWNER of C property located at Helen Drive and Dixon Road Street,Road or Ave. 0 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. �i a 1. OWNER'S Address is 15 HELEN Drive Glens Falls, New York 2. CONTRACTOR or BUI LDER'S Name Satre x M 3. CONTRACTOR or BUILDERS Address I"' M Same n w 4. ARCHITECT'S Name fD a 5. ARCHITECT'S Address C7 N. 9C O D 6. TYPE of Construction—(Plasse indicate by X) ()0 Wood Frame 1 I Masonry ( )Steel ( ) 7. PLANS and Specifications 361x37' dwelling, 22'x28t two-car attached garage No. per plot plan, specifications and application submitted including sewage system. B. Proposed Use One-Family Dwelling to 1 $5. 00 C/O Paid $178. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES May 1 19 84 N (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.) d M F4 Dated at the Town of Queensbury this 6th Day of October 1�0 3 1.,4 w SIGNED BY C for the Town of Queensbury `A Bulfding and Zoning Inspector a TOWN OF QUEENSBURY (Space inside block to be tilled in by WARREN ApplicationCOUNTY, NEW. YORK • , Building Inspector) • for .\I>I)lication No. Permit Is,uc•d - Iq. . BUILDING AND ZONING PERMIT Perini' Expires. . lg. /Awing District . \ aloe nl Work' THREE (3) Copies of a PLOT PLAN, Drawn to scale :\i)I"`etl by c441C, showing the actual dimensions of the lot to be built. Rci>>iiI•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 �6 _ If-� ( ►�1�/�..�. _: . . .:. . . . .: . n I(���, ��pQ+UEE�►y//N]QUEENSBURY ��l� (l l ��� S G� DATE U V L5 V E [1 A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWING. UST 5 15r� • The undersigned hereby applies for a permit to do the following work A M.rf / -(_ S/1 fTO which will be done in accordance with the description, plans and specifi- �� P.M. cations, and such special conditions as may be indicated on the permit. - ?I8I911,�I !:!?I2I3Itn5I6 Thr, owner of this property i`., _ LF/ rn�ClN rj�.d� 5/ / Pp; ve . rz,.f=(NA'tE) (P.O.ADDRESS) The person responsible for •supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: ``(N\\AME) (P.O.ADDRESS) N Name of Builder ‘ 0. 1 1 1� .-'(1`) t-e--� Address Name of Plumber POO YY\ v' A`2.P Address - Name of Mason Address Lot Number Unit Estimated value of proposed work i .,v, � -,6 Name of Village Name of Street AQ\Q. c`\v ' °`� knvii‘J � ,- Side of street: north 0, east (]„ south ❑.west 0 Nearest Cross Street Distance from this cross street Ft. Property is north 0,south ❑,east i i, west. ❑from Cross Street If on Corner, which corner, northeast ❑, northwest ❑, southeast Q, southwest (Designate by:marking with an "X" in thecorrect space.) • NATURE OF PROPOSED WORK OCCUPANCY Construction of a new building. Main Bustling ❑ 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: Accessory Building . One-car detached garage ❑ 0 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 buildings) in dotted line and existing • Ituilding(s) in solid line. . Size of property ft. x ft. • Size and use of existing buildings, if any x m Size of proposed building 3 -7 ft.x . . ft. Height(from grade to ridge) _ ft. Front yard ft. Side yards • ft. and ft. 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—7 3—M • (cont'd.) BUILDING SPECIFICATIONS., . Kind of construction: Wood frame, fire safe, etc.7 \t 00 0 \i g-A hi >' Will any second-hand lumber be used? . . . .Zi. . . . . . . If so, for what7 Material of foundation walls (":0 k 7 C- i"-' '� Thickness .I7'? Depth of foundation walls below grade *- i Continuous foundation? ` Le S Will there be a cellar? t,ro If so, material of cellar floor . . (�?= ... .c. -.4..�= Type of roof:\ to ed or flat? Material of roof .;,,%:A " -}•'•.i 1 -°1�- 1 -_)L'=� '. Size, wood studs P "x 4 ", spacing I L en t "o.c., length: (.� ft. ri Size, floor beams, 1st floor . " x ", spacing "o.c., span (_� ft. Size, floor beams, 2nd floor (9 " x . . .(5 ", spacing I t`&' "o.c., span . . .12. ft. Size, ceiling beams x . . . . ", spacing "o.c., span .1.2�. �� �: . . . ft. Size, roof rafters or beams _ " x ", spacing vC "o.c., span 1� ft. Exterior finish Mw---7r.ot 6� A-pv 7A2"�sIDI}`4vith what material? Finish of interior walls. .i./12 I1 `-,--) • 4 2- "}`- If grage is to be attached, of what material is wall betwe9garage and main buklding to be constructed? . . . `I< .4. . � !(.9'1 �'Itl/ F-1 ae �_o.mi l - --T 0C.-k. '. .2..�--,/.Gn.l1 '.=' � �. 1.' -!. , Pc? ? Is there to be an opening between garage, , and building? . �r. . . 'P 1 � Kind of heating system . .�--1- �- e--1L- Oil burner or coal? I`�'' Will a flue-lined chimney be provided? _ ` � . Depth of chimneyfoundation below de 1 I-f' Height of chimney above roo(f✓. . -- �-� 1 ‘ ,/ 2 IT- CO7` �'✓`�' � .e U 12 ep f` Will there be a fireplace? `I ' Depth of fireplace hearth . .2—« " Will a toilet be installed? -(1.--- --' Will a kitchen sink be installed and connected to water pl- L Water supply (public water supply or pump) . . .? (� Distance of cesspool from any private well 'tom)._ feet Will drainage system be provided with required traps, cleanouts, and vents? L . Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to tr, Ai r of my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, area true and co.i.plete statement of all proposed work to be done on the described premises and that all provisions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed work shall be complied with,whether specified or not, and that such work is authorized by the owner. �) j �,,� Sworn to before me this Signature `C1..G4 b ,C.... WNER.OWNERS AGEN ARCHITECT,CONTRACTOR day of 19 - NOTARY PUBLIC. WARREN COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT: • By . . TOWN OF QUEENSBURYI- . ' WARREN COUNTY , . NEW YORK • Application for : BUILDING' PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work. ANSWER ALL of the following: • . 1. Grass floor area 251 (...0 2 . Type of heat L-ELCT \ r3Le0,LI?-c) • 3. Is the building mechanically cooled? Id.° / OO • 4. Percentage of area of windows and doors 62, / A. Over 16% Only 1. U0value of gross area of walls , roof/ceiling and floors exposed to ambient conditions 2 . Floor over heated spaces YES NO ' a. Are foundation walls insulated? YES NO ' 1. If YES , what is the R value? ' • 3 . Slab on grade YES NO a. If YES, what is the R value of insulation. around perimeter of floor? • 4. Is basement heated? YES NO ' a. R value of insulation . . 5.. Type of -insulation ' . B. Under 16% Only • 1. R value roof and floors exposed to ambient conditions_ • 2 . R value of exterior walls 19 - 3 . R value of glazed area (2_. 4� 4 . R value of doors l '-i' 5. R value of floors over unheated spaces .2 -M • • 6 . R value of slab .edge insulation - unheated slab ;'4\ • 7 . R value of slab insulation - heated slab 1G 8. R value of heated basement/cellar walls (above grade) 9 : R value of heated basement/cellar walls/ (below grade) • 10 . Type of insulation 1etaeaLAGS \\)/ U ?-1---o 1 a = 1 C. Controls �Q0 . 1. Thermostat maximum heat setting D. Duct Systems , 1. Is duct system installed in unheated spaces? YES NO a. If YES , R value of duct installation . b. R value of duct in other areas E . Piping Insulation • %/ 11 • • • 1. Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation V_j F. Service Water Heating v 1. Performance efficiency `Ot7 /0 . 2. Temperature control setting maximum Icy G. For Swimming Pool Only • 1 . Maximum heating Telephone No. --197� 512--- (applicant ',s . signature) • - TOWN OF- QUEFNSBURY0421 BUILDING & ZONING DEPARTMENT `�� ;, SEWAGF DISPOSAL PERMIT APPLICATION • 1. Owner' s Name Dope F. MA7c:/•7% . . Address /-I/(i3 Dr/216. . . lt'�'ec,i. )b,..r,i Telephone No. •79 3 ---3S32 2. Property location 3 . Name of person or firm responsible for installing system (X46 2,i// . • Telephone 'No. • 7�f 'OC1 f' Address ,7,2' 7L'f0 Po. . 4 . Number- of bedrooms (residential buildings only) j. 5. Daily flow .;n©® . gallons/day 6. Septic tank capacity /}Da gallons ' ``ti 7. Topography: ' `fla rolling, steep • slope 8 Nature of soil and depth 5/4.-0' 9. If ground water, bedrock or impervious material is apparent at what depth does it begin? ,,,,,,,Lervue., 0_7 ft. 10. Percolation test: A is required B >_ ' is not required C If required what is the 'rate minutes/inch 11,. Water suppl . municipal,' well, other 12. Type of system proposed: drywell _I tle field, other Any contractor, corporation, individual, etc. engaged in' the construction of a sanitary sewage disposal system who covers the same before inspection, . does not have an approved _permit, or varies from the' approved application will be subject to a penalty of $250 'as provided for in .Section 6 . 010 of the Queensbury Sanitary .Sewage Ordinance. Date ' signature applicant On separate sheet of paper submit a diagram of the proposed septic system . with all dimensions, including distance from any structure, distance from property line and domestic water supply, etc. Include all dimensions of the system. itself. L P7 ,----e.-Q--(-', . • - • . . Form• 3-82 ("-/-. 0 _ /5/ 4 - z ' c 7"o � .. .E`/ 47) . . .• • BUILDING DEPT.COPY OF APPLICATION FORM 46-EL. NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. CITY OR i VILLAGE TOWNSHIP , ; -_, ./.--, k(J-!% •/ COUNTY r-'%r - i STREET AND NO.OR 41 i,.- i )_ i./ I ROAD AND POLE NO, /i / ". 1 /--'t :;� POLE NO, BETWEEN WHAT TWO / !i CROSS STREETS IS r• , ��;'� PREMISES LOCATED? ' / / -.�� . i- SECTION BLOCK LOT OCCUPANT'S -- ./ / BUILDING ' / NAME I- i / i', J'' 'L-,/+`Czl OCCUPANCY .. --,-. �. OWNER'S NAME - / AND ADDRESS 1i .' - // //t--./,//.; 4/, CURRENT .-- • SUPPLIED ,' ` t BY % /' • ••:J FROM THEIR i`. / i., l`7/i/-` OFFICE BUILDING WNEW Er OLD CI REMODELED ❑ IS NEW NEW f ADDITIONAL CI REMOVED DEFECTS ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No,of Fixtures& BRANCH NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS LAMP S Loca- tion Ceiling Side Attach't Switch Pendent Bracket No, TypeH.P. No. Watts No A W.G. NO. WATTS Wall Recept'Is Each Each GaugeEACH Out- / ..-- side Sub- base Base- > / ment / / / `7_-'-.,, 7st Fl. /% 2nd Fl. .;' 3rd Fl. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not at td. you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant. N. SIZE OF ELECTRIC SIGN TOTAL MAINS -- � FEEDERS LAMPS WATTS - CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE (NUMBER) (CAPACITY) STARTED +`f-, / COMPLETED / ,• / SIZE OF SIGN SERVICE - - ENTERS - MAKER BUILDING OF SIGN INSPECTION REQUESTED ON OR AS (� f POSSIBLE NEAR AS / 7 2 - NEW I I OLD I r AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAME OF .' /' 1`. i i / DATE OF APPLICANT --- - —=- APPLICATION -_ / STREET ADDRESS / CITY OR / POT OFFICE ,_ / .i-a • I/!- / '( CODE — • - • WHEN APPLICABLE A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING THE NEW YORK BOARD. OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY (—Vf 41 STATE STREET,ALBANY.NEW YORK 12207 m 'n Date April 2. 1984 Application No.onfile 038771-83 ASI-0772 THIS CERTIFIES THAT only the electrical equipment as dweribed below and introduced by the applicant nomad on the obawP wppReation number in thep ulow a/g Don F. Maynard, Helen Drive, Qveensbary, New York `- in the following location; A Basement [!I 1st Fl. [3 2nd Fl.Outside Section Block Lot 63 i was examined on 3/ 21/84 and found to be in compliance with the requirements of this Band. NtAl w nuomew AMT. K.W. AMT. K.W. AMT. K W.. AMT. K.w.. AMT. 1 RXIIJI E ACLES SWITCHESRANONS OEd(S OUTLETS �= 26 56 22 22 f 4 3 FR OWNS RMNAO M010115 1LITUEE ANWAWCE lEE6EES ALEEC'" T"C ft" ML 1,iWHGATElS A"T40LITINT ° AMT. K.W. Olt M.P. ETAS M.P. t f ff O. AMT. AMP. AMT. AMPS. TRAM. AMT. M.P. NO.OF FEET AA►T. WATTS 1 yer 110 SiM ma 0ISG01 = 11O.OF S LC E It. Y 1 C E r AMT. AMP. TYPE Ep11N 10 2W 1/SW SAX 3W 2,r aW NO-�4CICO"°' Ors NM OF MIAW A W. No.OF NEUTR/ttS w• '� 1 200 CB 1 X 4/0 l 2/Ei OTM ARARATM 2-15 amps GPI Breaker INSP +'CTION F PAID ' Smoke Detectors .� Elec. Heaters: 8-1.0kwj 6-.75kV Don F. Maynard Helen Drive Glens Falls, Now York 12801 39 Y. Pfr' j�Vy✓� JIM COSY FOR IUt tl1i .TF tFICATE A! MANNER. • • TOWN OF•QUEENSBURY Building. Department • Inspectors Report • Date � r� ?/ Name /9 n,,i/ /1.7 � 4�2 d / Location 6 3 Ile!9ti On- . Permit No. / ' s Weather PA/A-L- Remarks Excat'ra tion 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 4-7- Cellar Dr. Tile Concrete Floors y Plbg. Fixtures Gar. Fireproofing f Door Closers Chimney Water Meter Inst. Septic Approval Floors ' Insulation Foundation Walls 'Ceiling " • /2 Building Inspector REMARKS Vci5 • Fi A.a'4G �=L ? `/ 3 TOWN OF QUEENSBURY Building Department J Inspectors R Date 47i� f P,.7 Name 4j� L Location Permit No. / 3 Weather Remarks ExcaOa t on Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey //7- Framing O r' • Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. � v 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 " ) Tl9it1lector REMARKS TOWN OF QUEENSBURY Building Department Inspectors Repeat Date //j 2-2-1 Named/ .,rt Location �lf-2L�7.V Permit No. cY l `i--3 Weather Remarks Excai)aton Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing • Sheathing Roof Felt Roofing Siding X 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 i Po-`T S&&iV/' Water Meter Inst. / gE-Fei?F gUi /I'L_ Septic Approval C-7 Floors Foundation Insulation Walls 'Ceiling kCedri /Buildin Inspector REMARKS /O0 e4v t1,6pGe/A L/ i • TOWN OF•QUEENSBURY Building Department Inipeetcrs Report • Date l� Name /0 -- 71,762f • . Location ,e-1 -;54 t� Permit No. F,4- Weather Remarks Excavation Footing Forms Footing & Piers _ Foundation t. Cement Coat 40' 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 v\ Cellar Dr. Tile Concrete Floors Plbg. Fixtures ' Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors • Insulation Foundation Walls 'Ceiling Building Inspector REMARKS TOWN OF'QUEENS-BURY Building'Department Inspectors Report Date ZZ(2"P Name .,,, Y {f:• -raD Location // AJ _fir&. Permit No. 09- =- i{c- '! Weather 9./q3 - Remarks Exca)ation • 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 — • Building Inspector REMARKS 1 • . . ii 1 VY25 I loop t�taL. �p , 011" WeLL 'Tbctit� ' uELEN I REVISIONS ?pOSE WITHOUT WRITTEN PERMISSION FROM PROFESSIONAL BUILDING SYSTEMS INC. IS PROHIBITED. ALE. USE ONLY THE DIMENSIONS SHOWN. T PLANS AND DETAILS CONFORM TO ALL REQUIREMENTS. THEY SHALL VERIFY R ME�.NSIpNs BEFORE CONSTRUCT 4R ANY OTHER PUG CODES TO INSURE THAT DRAFTING DEPARTMENT OF ANY DISCREPANCIES BEFORE WORKFOLLOW THESE PLAN f �HESE PLANS FOR CONS 10 ExACT SQFESSIONAL BUILDING SYSTEMS RAL PROBLEMS RESULTING FROM THE FAILURE TO AND DETAILS. _...►k .0, 'C4�Ei MP�� %01 _ . _ ft� ►lt nanR ANY ADDITIONAL COST OR STRUCTU SHEET OF I"= 24 PROFESSIONAL BUILDING SYSTEMS INC. GLENS FALLS N.Y. CUSTOM DESIGNED FOR: FRAMING DWG'S BY', PRELIM BY:E-ORDER DATE: DATE. � N0DRAWING