1986-117 C/6 Paid
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK 4
Date August 19 19 86
This is to certify that work requested to be done as shown by Permit No. 86-717
has been completed.
This structure may be occupied ama One-Family Dwelling
LocationHelen Drive
Don F. Maynard
Owner
By Order Town Board
TOWN OF QUEENSBURY
Building dr Zoning Inspector
TEMPORARY
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date JUly 31 19 86
This is to certify that work requested to be done as shown by Permit No. 86-117
has ben completed.
This structure may be occupied as a One-Family Dwelling
LocationHelen Drive
Don F. Maynard
Owner
TEMPORARY CERTIFICATE OF OCCUPANCY
FOR 30 DAYS By Order Town Board
TOWN OF QUEENSBURY
frfra
./r/ Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-117
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Don F. Maynard •
OWNER of property located at Helen Drive
Street,Road or Ave.
o
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 Queenshury Building and Zoning Ordinance.
14
1. OWNERS Address is 63 Helen Drive
Glens Falls, New York
2. CONTRACTOR or BUILDERS Name
Same
3. CONTRACTOR or BUILDERSAddres,
to
Same
to
4. ARCHITECT'S Name w
5. ARCHITECTS Address
6. TYPE of Construction— Please Indicate by X)
IXI Wood Frame I I Masonry 1 ISteel (
T. PLANS and Specifications
281x70r per plot plan, specifications and application submitted w
No. including two-car attached garage and sewage system. H.
B. Proposed Use Per Site Plan Review No. 21-85
One-Family Dwelling 1
H.
$5.00 C/O Paid
$ 164.00 PERMIT FEE PAID-THIS PERMIT EXPIRES November 1 19 86
III a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Ou ensbury before the expiration date.)
Dated at the Town of Queensbury this ']�� llth Day of �q April 1g 86
///SIGNED BY eh3t a. N for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY
I Spare inside block to Ix' filled in In
WARREN COUNTY. NEW YORK Building Inafxauw)
Application for \ppl. ion No.
Pignut Issued 19
BUILDING AND ZONING PERMIT Pn t spires. lel
7,Puln Uistrili
t„I,I,• it \curl.$ --sin
One copy of a PLOT PLAN, Drawn to scale • \PPn,o,1 by
showing the actual dimensions of the lot to be built it,.„,,„ -
upon The exact sin, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION,
arel
e.
7 / nstr a E 6E-tl sl
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
ANSWER ALL OF THE FOLLOWING. APR 1 1 1986, /f
The undersigned hereby applies for • permit to do the following work efrvel• a� P•M/�
which win be done in accordance with the description, plans and specifi- Ask. sirtida1 2 3 4 519
cations, and such special conditions as may be indicated on the permit. 1i819dh"r.l� i/' •
• o
The owner of thisyrogeny is: / / _a ......
. . . . G..._..c'./".n4r2?.. . . _ .0, . /-frih�a . Or.
IMP _I is 0 ADDRESS'
The person responsi ie for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
5 INNAAMEI 190 ADDRESS)
Name of Builder. . /'Ssp E.r pJJ Address
Name of Plumber. C7/MSire S/J er/A Address
Na
me of Mason ja.As Ca/Lj PA✓( Address
Lot Number Unit Estimated value of proposed work$ q0, 006
Name of Village N ) ion
Name of Street . . .NC/Cr. .Orp ) Side of street: north ❑, south ❑. west ❑
Nearest Cross Street .,E)/'f6`s T.0 Distance fror this -ross street 3Oa Ft.
Property is north ❑,south 0,east [Ewes! ❑from Cross Street
If on Corner,which corner,northeast ❑, northwest 0, southeast Q. southwest
(Designate by marking with an"X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
Ert Construction of a new building. Main Building �.
❑ Addition to a building. One-family dwelling
❑ Alteration to a building. Two-family dwelling 0
❑ Demolition of a building. -family apartment house 0
St02building ❑
L- . .-car attached garage 2
Other . . . .
Accessory Building
One-car detached garage 0
❑ Other work. Describe' Two-car •detached garage 0
Private chicken house 0
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-
xonrH posed buildings,and the location of all existing buildings.
Show proposed building(s) in dotted line and existing
huilding(s) in solid line.
Size of property . . . . /P.U. . . . . . ft. x /�� ft.
iti Size and use of existing buildings, if any
F I-
in
a el 0..
( 14 I i 0 ' " Size of proposed building . Pf. . ft.x . . . 7,2. . . ft.
Height(from grade to ridge) a.S -6 ` ft.
2.1 Front yard 3�_ ft.
///��� Side yards 20 1.and f 0 ft
Rear yard A.— It.
7 BOUTH If on corner,setback from side street (t
Note: All distances are net, as m m measured fro street side
line to nearest part of building.
Cove RI
7-73-M
(cont'd.)
BUILDING SPECIFICATIONS, G //
Kind of construction: Wood frame, fire safe,etc.?. . . . ./LL2AT� 'u : r!�?'C.,
Will any second-hand lumber be used? n.V . - II so, for what'
A��['""r
Material of foundation walls t — Thickness
Depth of foundation walls below grade O r Continuous foundation? .V''3
Will there be a cellar? . . y.4e.5-
. . ..,/. . . If , material of cellar floor ay"' 300d ps , Co nc.,-c4
Type of roof: Sloped or flat?4)r t!d aterial of roof . . . Mp it w l I
Size,wood studs nn "x " spacing . . . . . e, "o c,length • ft.
Size, floor beams. 1st floor o� ",spacing . . . . (/�/�� "o c,span . . . . i ft.
Size, floor beams,2nd floor . z� "x ", spacing . . . .lY "o.c.,apart ft.
Size,ceiling beams " x " spacing . "o c, span ft.
Site, roof rafters or beams "x . . . . /0 ",spacing . . . it' - . . -"o.c., span PAri e's ft.
Exterior finish • . . .0 r!? S. p /n With what material?
Finish of interior walls 2 S,Cc f . r '..ky
If garage is to be attached,of what materialis well betwgm garage and main building to be constructed?
0 /Lin h'??9. . . ad..ct . io C et CS
Is there to be an opening hempen rage and building? f
Kind of heating system . .&/.act t.t i 4., Oil burner or coal? . . 71-0
Will a flue-lined chimney be provide? . Depth of chimney foundation below grade 7
Height of chimney above roof,. . y
Will there be a fireplace? Depth of fireplace hearth /O
Will a toilet be installed' . � -
Will a kitchen sink be installed and connected to water sugHly?�. ie5
Water supply(public water supply or pump) . C-J
Distance of cesspool from any private well feet
Will drainage system be provided with required traps, cleanouts, and vents? . . .l�C_S
Town of Queensbury ) AFFIDAVIT
County of Warren
State of New York
I swear that lair. /waif my knowledge and belief the statements contained in this application,together with the plans and spacifica6w bs ru
mitred, area true and ou,.pleis ORDINANCE,
t of all proposed work to be done on t4a desmbbb��sddd she be and that• ,whm of the BUILD-
ING CODE,THE ZONING ORDtNANnE,and all other laws pertaining go lhpFro�wed work she wFli rMibr specified s not.
adtWtash work le authorised Oby theNNCE. �d
�.,.,sra N t,eto.a this Signature Co to bet° met 19 /))/ OWNER WNERS AG ARCHITECT. V
day of tue
NOTARY PUBLIC. WARREN COUNTY. N.Y.
SPECIAL CONDITIONS OF THE PERMIT:
By
TOWN OF QUEENSBURY
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. Gross floor area /// 3 6
2 . Type of heat /fi PG/Z7< L /
3 . Is the building mechanically cooled? N� c-2
4 . Percentage of area of windows and doors
A. Over 164 Only
1. Uo value 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 of roof and floors exposed to ambient conditions_
3 c'
2 . R value of exterior walls IP 2 7
3 . R value of glazed area 2j- 7 , 3
4 . R value of doors
5. R value of floors over unheated spaces
6. R value of slab edge insulation - unheated slab
7. R value of slab insulation - heated slab
8. R value of heated basement/cellar walls (above grade) 2
9. R value of heated basement/cellar walls (below grade) ,2
10. Type of insulation (iWOiv r Cc++2NG^� kA_ /,/
C. Controls p
1 . Thermostat maximum heat setting 7 C
D. Duct Systems —
1. Is duct system installed in unheated spaces? YES �„
a. If YES , R value of duct installation
b. R value of duct in other areas
E. Piping Insulation
1. Size of hot water or cooling carrying agent pipe
2 . R value of pipe insulation
F. Service Water Heating
1 . Performance efficiency
2. Temperature control setting maximum /'/O
G. For Swimming Pool Only
1 . Maximum /heating Telephone No. °29 Cc nt41,2,14614"-C.,
icant ' signature)
flown of Queendtury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, RD. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL PERMIT APPLICATION �J Owner 's Name Don M/%/2/9/4 Tel. 793-3s32
Address & 3 / �en nh /
Person/Firm installing system
Number of bedrooms(residential only) 3
Total daily flow: (compute (0 150 aal.per bedroom per day) /i3 r.) 764
Topography: flat - rolling - steep -(circle one) Degree of slope _%
Nature of soils: pand-loam-clay- other- Depth </Q ft.
Ground water-- at what depth? d/pR/E ft.
Bedrock or impervious material--at what depth?4tA1F. ft.
Percolation Test - Not re�� i a-f Required -Rate Q --$ min/inch.
Domestic Water Supply - Municipal - Well - Other
IMPORTANT!
On a separate piece of paper, submit a diagram of the proposed septic
system with all dimensions; including distance from any structure,
distance from property lines and distances from any domestic water
supply or shore-line of lake, stream, pond or wetlands. Include all
dimensions of the system itself.
Description of proposed system:
Septic tank size fppirgal. /ea)
Tile field- Length of each trench ft. Total field ft.
Size of stone # --
Seepage Pit(s) Number 2 / Size 6.% £tXel_ft. Size of stone# 3
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 Town of Queensbury Sanitary
Sewage Ordinance.
/lip c e
Signature of Applicant Date
01/86 and/vl
Septic System Inspections:
A. All applications for septic system installation,
alteration or repair, as required by the Town of
queensbury Sanitary Sewage Ordinance, shall be
submitted to the Building Department at least
24 hours before start of construction and shall
include a plot plan showing:
1) the proposed location of the system
2) location and distance to lot lines
3) location and distance to structures
4) location and distance to any water supply
5) size and dimensions of all tanks, distribution
boxes, tile fields and/or drywells
B. No system shall be covered before inspecticn and
approval by the Building Inspector. Failure to
comply with this requirement may result in the
uncovering of the system by the installer and a
fine of up to $250.00.
C. An approved copy of the plot plan shall he
available ,on the construction site. Failu-.e
to produce said plot plan at time of inspection
may result in an immediate work stoppage.
D. Should unforeseen problems during construction
prevent proper installation, alteration or
repair of an approved system, a new proposal
must be submitted to the Oueensbury Building
Department before further construction .
a
THE NEW YORK BOARD OF FIRE UNDERWRITERS
• r BUREAU OF ELECTRICITY
41 STATE STREET.ALBANY.NEW YORK 12207 IDate Application.No.on file ' g
':� THIS CERTIFIES THAT2, 1986 007562-86 A 668301 =
• only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
Don F Maynard, Helen Drive, Queenebury, New York
• inthefofowing location: DKBasement ® Inn Fl. a2nd Fl. Outside Section 90 Block 4 Lot 73A
loos examined on and b and to be in compliance with the requirements of this Board. _
2• 86 -
TUR - bl4pg swrtalT xpryp
• DIRIETs { INCANOfSCfM MINIMUM 16 CW. Y.W. MC MU.. F IMr. H.r
1 20 51 27 19 1 1 6.8 3 F
DRYERS RIRNACE MOTORS TUfURE AMIIANty RIMS SPECIAL RK'n TIME awn BRLL UNIT WATERS MIAISOtlfln MIRRORS
.®® at x.P. ® x.r. ® NO. ® .use. ® ,ua. usm TONS. else. x.r. tpa ® w.rn
1 Range 306
•
1 tryer #10
•
• SERVICE DISCONNECT NO.OP 1 HNT S 3010 ! I V I C E
• MIT. us mf METIER is
/)w ,ig TW ]gM rga<c coxo. c No.a xl.uo •w.c. No.or revisal .4,by,G.
,9 s of CC.CONa. O{M.uc Of NEUlfel
1. 200 CR 1 x 1 4/0 1 2/0
. OTNIt APPARATUS: 11
ill• .•
• 1- GFCI Electric Heater: 3- 2.0 kw ..es• 1- Smoke Detector 2- 1.75 kw O
3- 1.0 kw a s
3- 1.0 kw S_YN_
2- .75 kw
3- .5 kw �7 ^,
3 Don F Maynard /�f ./� e. ,J
63 Helen Drive Cyr /
Glens Falls, New York 1280a 239 BRANCHMANAGER
• C
Per 1I it .
• This certificate must not be altered in any manner:return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
1 COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIrICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY
Building Department
Report Date
InapectoreName
Location we them--.
Permit No.
Remarks
ExcaOation
FoOtin• Forms
FOOtin• & Piers
Foundation
Cement Coat
Water•roofin•
Backfill
Final Survey
Framin•
Sheathin•
Roof Felt
Roofin•
Sidin•
Mason veneer
Reese p1a
Relief Valves
Wall Board --
Ext. porches
Finished Floor
Interior Trim
Stairs & Ramile•s Sn
Cellar Br.
Concrete Floors
pl.. . Fixtuzes
Gar. closeroofin• ?I MO1��i.. .�
Boor Closers -
Chinos
Water Metert
Se•tic A•• alFirs
Foundation
Insulation Walls
Ceilin
Building Inspector
REMARKS
f� LIrOk.
TOWN OF QUEENSBURY
Building Department
Date
Zsr
Nano /y/.9S'.✓Q�
Location
Permit
•e ks
f2, AL ZNSP u.u ' • _ .4
Exca6atron
Footin• Forms
Footin• & Piers
Foundation -
Cement Coat _
Water•roofin•
Backfill
Final Surve EMIRFramin.
Sheathing
:oof Felt
.afinge At
Siding Ty
Mason Veneer
au.h Pl• •
.elief Valves
v La"
finished Floor r
•Stairs •. ,
Cellar Dr.
Tile
,ncrete Floors
roor Closers
Chimne Inst.
Water Meter
Settle, A. .roval
Floors
Foundation
Insulation Walls
Ceili
Building Inspector
REMARKS
Jown of Queensdury
BUILDING and ZONING DEPARTMENT 1 Box T8
Bay and Haviland Road,
Oueensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME.
LOCATION
DATE �L/
i 7iTIA PERMIT
el?
Tat Mu
Loam - Clay ---�1
SOIL TYPE - Required? YES -v
Percolation T Inch
Percolation ratee - Min/
TYPE of SYSTEM: total length
Absorption field,
Length of each trench ---
Depth of trenches��
Size of gravel
SEEPAGE PITS{Number f) _ ��—
Size- ft. 1 �ft.
Gravel size .�j S.ze Type
Bldg. to tank
Tank to dist. box
Dist. box to field/pit Partial
Openings sealed? YES
LOCATION/SEPARATIONS' ft.
Foundation to tank Oft.
Foundation to absorptionmge
ft.
Absorption to lot line ft.
Separation of pits PROPERTY(circle one)
LOCATION OF SYSTEM ON - Right side -
COO Rear - Left side
Co PI TS:
i x
SYSTEM USE APPROVED YES NO
in Ls tl
8uilding inspector
01/86 and vl
TOWN OF QUEENSBURY
Building Department
Inspedara Report Date '� g
Name So.u5 - it N n
Location t 7.L!of
PamM No. (. -1/— Wathe
Remarks
BxcaOation
FoOtin• Forms
FoOtin• & Piers
Foundation
Cement Coat
Water.roofin.
Backfill
Final Surve
Framin•
Sheathin• _`_ - m
Roof Felt Ca MI;11.1_.•
SidiRoofng
Siding
Mason Veneer
Rou•h pl.. .
Relief Valves
Wall Board
Ext. Porches Wr
Finished Floor
Interior Trim IK
Stairs & Railin• Ala
Dr. Tile
Concrete Floors -_
Pl.. . Fixtures
Gar. Fire.roof n.
Door Closers
Chimne
Water Meter Inst.
Se.tiC A..roval
Floors
Foundation
Insulation Walls
ilin• IL
Wig
Buildi Inspector
hoc C0UAtT165 - (RA frG-KS)
REMARKS
roCTIM U O V S
Oi/t La�S MOt
�otsr (dAA16CIL S -i3nsnA1btir`
W/ ul-Erte I v n iGA rED
y advr L.Ruvnn.q nor
14eta Poo P..
TOWN OF QUEENSBURY
Building DepartmentInspectors Reim* (��
Date y.2el ' ur
Name '/ i—T3C- x`. n a rd
Location t/, jw
Permit No. X6 I 1 Weather
Remarks
ExcaOation
Footin• Forms
Fortin. & Piers
Foundation
Cement Coat �„s,
Water•roofin•
Backfill Ad i -
Final Survey
Framin• •
Sheathin•
Roof Felt
Roofin•
Siding
Mason Veneer
Roush P1••. 111111
Relief Valves 1111111
Wall Board INES
Ext. Porches
Finished Floor ina
Interior Trim es
Stairs & Railin•s
Cellar Dr. Tile
Concrete Floors
P1.• . Fixtures
Gar. Fire•roofin•
Door Closers
Chimne
Water Meter Inst.
Se•tic A••roval
Floors
Foundation
Insulation Walls
Ceiling
7
Building Inspector
REMARKS
AWiz" 2:30
TOWN OF QUEENSBURY
Building Department
Inapeetoa Report Date /23/$6
Name P -ScriS_ 000M�w,v4110
Location riaci p24Vt—
Permit No. (o - I I17 Weather
Remarks
Excapatron
Footin• Forms W ICTI ii ° O .
Footin• & Piers Ws III F • ,r6
Foundation
Cement Coat
Water•roofin•
Backfill
Final Surve
Framin•
Shea thin.
Roof Felt
Roofin•
Sidin•
Mason Veneer
Rod.h P1•• .
Relief Valves
Ext Porch _-
Ext. Porches
Finished
__
Innirior Floor _.
Interior Trim
Stairs B Railin•s -=
Cellar Dr. Tile
Concrete Floors
allaralli
P1.• . Fixtures
Gar. Fire•roofin•
Door Closers
Chimne
Water Meter Inst.
se.tic A••roval
Floors
Foundation
Insulation Walls
eilin•
Bu di Inspector
REMARKS
Ffrf
TOWN OF QUEENSBURY
Building Department
Impeetersort ate
Name ///A �,a25
Location D2.
Permit No. XG- Ill Weather
Remarks
Excadation
Foot in Forms
Footins Piers
Foundation
Cement Coat
Water roofin
Backfill
Final Surve
Framin
Shea thin
Roof Felt
Roofin
Siding
Mason Veneer
Rou h Plb .
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs S Railin s
Cellar Dr. Tile
Concrete Floors
Plb . Fixtures
Gar. Fire roof in
Door Closers
Chimne
Water Meter Inst.
Se tic A royal
Floors
Foundation
Insulation Walls
// • Ceiling
`^'" Building Inspector
REMARKS
AM/ _lown ot QueenJ6uME
(/%/BUILDING and ZONING DEPARTMENT
/ Bay and Haviland Road, R.D. 1 Box 98
v Oueensbury, New York 12801
SEPTIC, DISPOSAL�1 SYSTEM INSPECTION
NAME ,4i c/%' Jo
LOCATION /J4 6,A/ 9t
DATE 6,67/[ Io PERMIT NO. PI - Ili
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length
Length of each trench
Depth of trenches
Size of gravel
SEEPAGE PITS{Numb of)
Size- (? ft. X,p-_�¶ ft.
Gravel size - `r
PIPING: Size Type
Bldg. to tank
Tank to dist. box
Dist. box to field/pit
Openings sealed? YES NO Partial
LOCATION/SEPARATIONS:
Foundation to tank _ft.
Foundation to absorption _ft.
Absorption to lot line ft.
Separation of pits _ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - Rear - Left side - Right side -
CCMMENTS:
3,e 2� 1z�
t t6
SYSTEM USE APPROVED YES NO
it f „,,Lt
Building Inspector
l
01/86 and vl Qi