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6021 CERTIFICATE OF OCCUPANCY r TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 19 — Thu is to certify that work requested to be done as shown by Permit No. has been completed. This structure may be occupied as a J - = r Locstiott - - Owner _ :r By Order Town Board TOWN OF QUEENSBURY P Building & Zoning Inspector CREATIVE "INSTA'- PRINTING. GLENS FALLS. N V 12801 1518)793-5658 BUILDING PERMIT TOWN OF QUEENSBURY No 6021 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Joseph S. Durcan OWNER of property located at Lot 111 Heinrick St. (St. #11) Street,Road or Ave. O En (D in the Town of Queensbury,To Construct or place a One—Family Dwelling d, 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. . CJ 1. OWNER'S Address is R. D. #2 Goggins Road n Lake George, New York w 2. CONTRACTOR or BUI LDER'S Name Same 3. CONTRACTOR or BUILDER'S Address Same 4. ARCHITECT'S Name r O rt I;n H F-' 5. ARCHITECT'S Addressu 1- H H \VT FJ. F.J. '6. TYPE of Construction—(Please indicate by X) (] (X)Wood Frame ( 1 Masonry ( )Steel ( ) CA rt 7. PLANS and Specifications No. 321x32 ' per plot plan, specifications and application submitted including two-car attached garage and septic 8. Proposed Use One-Family Dwelling 0 m $5. 00 C/O Paid `-Ili$98 . 00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 1980 )v (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the H' town of Queensbury before the expiration date.) d Dated at the Town of Queensbury this 10th Day of August 19 79 fD N SIGNED BY / for the Town of Queensbury N Builcling and Zoning Inspe or W r TOWN OF QUEENSBURY ' ,Space inside block to Ix- filled in by WARREN COUNTY, NEW YORK Building Insfx-ctor► Application for \;)p11cat1on No. ,`-- Pcrtnit I.,U('d BUILDING AND ZONING PERMIT I'� rmit }:xpireti: ,� i:(,r'rin_- District THREE (3) Copies of a PLOT PLAN, Drawn to scale showing the actual dimensions of the lot to be built 1:cmar)(S upon, The exact size, and location on the lot of the - building to be erected or .altered MUST BE SUB- MITTED WITH THIS APPLICATION. "T t,,., 91�I�lsl�(tf�(riloi;sl�w A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK 'W.d ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies for a permit to do the following work which will be done in accordance with the description, plans and specifi- cations, and such special conditions as may be indicated on the permit. ❑' p Y The owner of this property is:, kur18SNB3fj0 _40 NM01 (NA`AE) F O.A DR The person responsibicrfor supervision of the work-insofar as the Building Code and the Zoning Ordinance apply is: (NAMEI .1P.0 ACDRE. . . . . . .SSI. . . . . . . . . . . . . . . . . . , . . . Name of Builder. . . I. . .'. . . . . . .-. . . . . . . . ..... . . . . . Address . . .: . . . . ... . . . . . . . . . . . . . . . . . . . . . . . Name of Plumber. . . . .". . . . . . . . ... . . . . . . . . . : : . . . . .Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Mason. . Z9 . . . . . . . . . ez�� . . �a-- . . . . . . . . . : . . ... . . . . .Address . . . . . . . . . . . . . ..: . . . . . . . . .U s U.. . . . . . . .� - l�Lot Number. . . . . . . Unit . . . . . . . . . . . . Estimated value of proposed work 3 . . . . . . . ante If Village . .u-/ems. ffi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P. , . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4amc?'of�treet .040-e . . . . . . . . . . . . . . . Side of street: north ❑, east ❑, south ❑, west ❑ Nearest Cross Street . . . . . ?:F.. . . . . . . . ... . . . . . . . Distance from this cross street . . . . . . . . . . . . . . . . . . . . Ft. Property is north P11 south ❑,,east ii, west '❑from Cross Street If on Corner,which corner, northeast ❑, northwest ❑, southeast D., zouthwest (Designate by marking with an 'A" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Construction of a new building. Main Building Na ❑ Addition to a building. One family dwelling ' ❑ Alteration to a building. Two-family dwelling ❑ ❑ Demolition of a building. - . - . . .-family apartment house ❑ Store building [� . . . - - . .-car attached garage [�► Other: _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accessory Building One-car detached garage ❑ Other work. Describe:. . . . . . . ... . . . . . Two-car detached garage ❑ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Private chicken house Private storage building .`. . . . . . . ... . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . Other: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c ZONING SPECIFICATIONS. Fill.in for new buil ng, 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- NORTH a 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 x ft. Size and use of existing buildings, if any . . . . . . . ... . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . WW w i o Size of proposed building . . .,3'. . ft.x . . . . . ft. Height (from grade to ridge) . . . -4/. .. . . . . . . . . . . . ft. Front yard . . . . ft. Side vards . . . . . . . . . . . ft. and . . : . . . . . . ft. Rear yard .,: -.�f b'. 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) (cont'd.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe, etc.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber be used? . . 14�. . . . . . . . . If so, for what?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls . . . . . Thickness . 7 C?. .��. . . . . . . . . . Depth of foundation walls below grade . . . .Li . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Continuous foundation? . . . Will there be a cellar? . . . . . If so, material of cellar floor . .f. .". . � `•. . . . . . . . . . . . . . . . . . . . Type of roof: Sl�o�ed or flat. . . . . . . . . . : Material of roof E'J• ... . • • • • • Size, wood stud"s . . . . . . . . . . . . . . . �Z2 "x .`/�. . . . . . . . . . . .", spacing . . . . . . .. . . ."o.c., length. . .f. �. •. . . . . ft. 1 Size, floor beams, 1st floor . . . . . . . . . "x . . . .!d. . . . . . . .", spacing . . . . A � ft. '`. . . ."o.c., span ' . . . . P >3.�. . Size, floor beams, 2nd floor . . . . . .. x . . . !.c. . . . . . . .... spacing . . . "o.c., span Size, ceiling beams . . . . . . . . . . . :�7 . . . . .. x . . . . . . . . . . . . . ', spacing . . ./. �,. ."o.c., span . . 4. ft. Size, roof rafters or beams . . . . Z. . " x . . . . . •4c.• • . . • • •", spacing . . J "o.c., span . ./. .�. . . . . . . ft. Exterior finish . . . . • -pd`"� Z• • • Gi '� • • • With what material? .. . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . Finish of interior walls. . . � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . If garage is to be attached, d-what material is wall between garage and main building to be constructed? `. . . . . . .3 :�k;:i.-R . . : C".'__Q.sL'. . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is there to be an opening between garage and building? . . .`1'Lp. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . Kind of heating system . . .d'd ..... . . . . . . . . . . . . . . . . . . . . . . . . rrrer-emsr c-oal?- . . . . . . . . . . . . . . . . . . .; . . . . . . . . . Will a flue-lined chimney be provided? . . ! 3 Depth of chimney foundation below grade . ..l . . . . . . . . . . . Height of above roof. . . . ' .1,6.`'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . Will there lie a fireplace? . .,. . . . • • • • •,• • • • • • • Depth of fireplace hearth . . . . : . . . :: . . . . . . . . . . . . . . . . Willa toilet be installed?. ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .'. . . . . . . . . . - Will a kitchen sink be installed and connected to water supply? . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . • . . . . . . . Water supply (public water suPPlyP) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Distance of cesspoo, romanj=Ypri 'e~-•d1;� • • • • • . • • . • • • • • • .. . . . . . • • . . . . 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 tt bd,r of my knowledge and belief the statements contained in this application,.together with the plans and specifications sub- mitted, are a true and coa. lete 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 oi•not, and that such work is authorized by the owner. Sworn to before me this Signature .................. . L��AGENT. AR A ...HITEC' "!CONTRACTOR . ............. ...... f YJNER, WNER'S AGENT,ARCHITECT,CONTRACTOR .............. .......... ............day of..................................................19.. .. .... . ...... ...................... .......... ............ .. .... . .. . .. NOTARY PUBLIC,WARREN COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT: 1 r r• By ...... ......................................................:..................... ............ TOWN OF QUEENSBURY BUILDING AND ZONING DEPARTMENT BAY AND HAVILAND ROADS, R. D. #1 GLENS FALLS, NEW YORK 12801 APPLICATION FOR A PERMIT TO CONSTRUCT, ALTER OR ENLARGE A SEWAGE DISPOSAL SYSTEM WITHIN THE TOWN OF QUEENSBURY OCCUPANT'S NAPE ; %�°�'.z.. ADDRESS TELEPHONE �r ' � - ONE %R'S NZ120 ADDRESS �� � . , / NUMBER OF BEDROOMS- GARBAGE GRINDER? '` (YES OR PTO) TOPOGRAPRY': FLAT, P.OLLIMr., STPEP; SLOPE , GENTLE SLOPE, OTHER NATURE OF SOIL: CLAY, SANDY, LOAM, GRAVEL, ROCKS, ETC. t— PERCOLATION TEST V'ATER SUPPLY: IMTICIPAL, WELL, OTI?FR. DIAGRAM OF PROPOSED SEPTIC SYSTEM I ' �Qa OTHER PERTINENT .INFORMATION IT IS HEREBY AGREED THAT IF THIS APPLICATION APTD PLANS ARE APPROVED, INSTALLATION OF SM7AGF DISPOSAL FACILITIES WILL BE MADF IN ACCORDANCE WITH DETAILS SHOIN. DATE SIGNATURE OF APPLICANT -9 LAKE GEORGE PARR COMMISSION APPROVAL: (signature (date) 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 .. . . .: .. . . .. . . .. . .. . .. .... .. .. . ... .. .. . .. .. .. . .. . .... . . . . .. .. . .. . . . . . . c 2. Type of heat f:�`.: •• .• •. .. . .. , ..e .. . .... . .e .. e. .. • .. .. • ... . .. . .. . •.. . .. . . ... • .. 3. Is the building mechanically cooled? ... . .... . ........ . . .... .... .. .. .. .. .. ... ... . . 4. Percentage of area of windows and doors ... . . ..®.. ....... . .. .. .: ... . .. .. . ... . .... . . . A. Over 16g On2Z 1 . Uo value of gross area of walls, .roof/ceiling and floors exposed to ambient conditions ... ... . .. .. .. .... .. . ..... .... ... . .. ... . .. . .. . .. .. e ... ... ... .. .. .. . . .. e •. . • •.•. . •e. ... •. e .... . .. •. ... . .......• e• •• .v.. •.. • . •s . e• •• .• •• e e • .• •• ... ..•• e 2'.' .. Floor over heated spaces YE5 NO a. Are foundation walls insulated? YES S10 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 . U value of roof and floors exposed to aQlLient conditions .. .... . ... ... ... . ... . . . . .... .. . . . .... . 9.. . .. . ... ... ... . . 3. . ... . ... .... .. . ..•... ... ..... . .. .. . • . . 2. U value of exterior walls /�j ®4�r�.@... . .... ... . . ... a. .. . ... ... .. .. . ... .. .. . ��6/ 3. U value of glazed ared 0 .o4ji •.. . . e . ... ..... . ... .... ... .. .. . ... . ... . . .. . 140!.4• U value of doors .. ... ... . . ...o .. ... ... .. ... ... . . .. .. . ..e .. .. . .. .. . ... .• •• . 5. U value of floors ove4aeated spaces . e.. .•. .8 6 o 4 .. .. .. .. . . .. .... .. .. .. . .. .. .. . . 6. R value of slab edge insulation - unheated slab .. . . ... . .!:: . . . . .. . .. .... .. .. 7. R value of 81ab•insulation - heated slab ..e. ..... .. .. .�v.�'1. .. ... .. .. •. .. . , ,.. 8. U value of heated basement/cellar walls (above grade) .. ..'v A ... . . . .... .. .... 9. R value of heated basement/cellar walls (below grade)c.'..... V.A e . .. .. ...0 .. .. 10. Type of insulation . .. a .. . .��': . . `C .. . . ,. .,.... .�e. . :.b.�. . .. .. ... .... .. C. Controls /�/7 V. hermostat ma}rimum heat .Setting•.. •o.f.�..e.. .o.o.e.• .... ..ee .e • .ousa ...es ..eee D. Duct S stems 1 . Is duct system installed in unheated spaces? YES Tdf0_� a. If YES, R value'of duct insulation .. ... ... . . ... ..... ... .. ..... .. .. .. .... .. . b. R value of duct in other areas .. o...... . . . . .... .. . .. . . �.... .. .. ..:. . E: Pi .ihi Insulation Size of hot water or cooling carrying agent pipe. .. . . ... , ,l.�a. ... ... .. ... .e ., ... 2. R value of pipe insulation . ... . . .... .. . . ... . .... ..•e . .... �.i/.,«-... ... ..... .. .. .. F. Service Water Heating Performance efficiency ... . .... . . . .. ... ..ee . e ..._.. .. . . .. ...... . .. . ;.. .. :.. ... .. . 2. Temperature control oetting maximum �' .s e s �� .• ..• .. .....s e .. a..• ...e • •.o ... + G. For Sidming Pool Only . 24aximum Heating .. • . .. .. . o .e.. •. ...X/yo O 4'/. .e. . e.e • . .e. e...e e . e.e .. .• •• .. • ..e .e e Telephone No. 1 3 � 3 Applicant°s Signature A THE NEW Y®RK BOARD. OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 41 STATE STREET,ALBANY,NEW YORK 1220.7 Date Application No.on file THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of in the following location; ❑ Basement ❑ lst Fl. ❑ 2nd Ft. Section Block Lot was examined on - and found to be in compliance with the requirements of this Board. FIXTURE RECEPTACLES SWITCHES FIXTURES MER URY RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT VAPOR AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. T. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS 'AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS, TRANS. AMT. H.P. SYSTEMS AMT- WATTS NO.OF FEET SERVICE DISCONNECT NO.OF S E R V I C E AMT AMP TYPE METER 10 4W 10 3W 3 0 3W 3,0'4W NO,OF CC.CO ND. A.W.G. NO.OF HI-LEG A.W G. NO.OF NEUTRALS A.W.G. EQUIP. PER A' OF CC.COND. OF HI-LEG OF NEUTRAL OTHER APPARATUS: BRANCH MANAGER Per COPY FOR BOIL®IIVC DEPAItil4AENT. THIS COPY OF CERTIFICATE A�d&�ST IVOT BE ALTERE® III A6`IY MANNER. TOWN OF QU ENSBUPY Building Department Inspectors Report Date Location Permit No. G a 0 �� 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 Building Inspector REMARKS TOWN OF QUEENSBURY Building Department Inspectors Report Date J--'- Name /��9.��,:,✓ Location iur�cf L,1 L I Permit No. U Oaf 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 Ht . Relief Valves Wall Board Ext.Porches Finished Floor Interior Trim Stairs&Railings Cellar Dr.Tile Concrete Floors Plb .Fixtures Gar.Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval BuildiNg Inspector REMARKS TOWN OF QUEENSBURY Building Department Inspectors Port Date_J �3 Name (Location AW Permit No. k6 a, Weather. Remarks Excaia ti on 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 p Cellar Dr. Tile t ;ry Concrete Floors Plbg. Fixtures Gar. Fireproofing X 1 Door Closers Chimney Water Meter Inst. Septic Approval Floors ' Insulation Foundation ' Walls Coilin Building .Inspector REMARKS A) /( /iy/7 t TOWN OF dUUNSBURY Building Department Inspectors Report Date Name r Location L Permit No. (20,21 Weather Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat r� Waterproofing 0 Backfill Final Survey Framing Sheathing Roof Felt Roofingr Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & •Railings Cellar Dr. Tile Concrete Floors Plb . Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceilin Plk� Building pector REMARKS _57, �� �