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1986-601 CERTIFICATE OF OCCUPANCY. TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK • Date March 20 19 87 3.(4 This is to certify that work requested to be done:as shown by Permit No. 86-601 has been completed. This structure may be occupied as a One-=I+amily Dwelling Location 76 Helen Drive Owner Don Maynard (Philin Jackson) This is a corrected Certificate of Occupancy showing correct street number. By Order Town.Board, TOWN.OF QUEENSBURY Building & Zoning Inspector CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURYt. WARREN COUNTY, NEW YORK Date March 5 .' 19•_87 This is to certify that work requested to be done as shown by Permit No. 56-601 has been completed: • This structure may be occupied' as a ONE FAMILY DWELLING Location 74 HELEN DRIVE"' DON MAYNARD'. Owner By Order Town Board ,�FOWN OF QUEENSBURY �,'° ii/e//1 (f? •� Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No. 86-601 • WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Don Maynard OWNER of property located at 74 Helen Drive 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 ty approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 0 1. OWNER'S Address is 63 Helen Drive Glens Falls, New York w ht a. 2. CONTRACTOR or BUILDER'S Name same 3. CONTRACTOR or BUILDER'S Address same x m cD 0 4. ARCHITECT'S Name rJ CD 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) ( 4 Wood Frame ( ) Masonry ( )Steel ( ) 0 CD 7. PLANS and Specifications I 73'x42' per plot plan, specifications and application submitted No. including sewage system and two—car attached garage. 1-6 8. Proposed Use One—Family Dwelling cm) $5.00 C/O • $ 171.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 1 1987 (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.) Dated at the Town of Queensbury this 19th Day of September 19 86 SIGNED BY 7-n ad "` ' for the Town of Queensbury Building and Zoning Inspecto ed.. - - - TO BE COMPLETED 'BY BLDG. DEPT. {i , // .Application No. i ✓own Of Queendburty Permit Issued 19 -- kAltiN OF QU E.. S9U11. ( _ BUILDING and ZONING DEPARTMENT Permit Expires 19 0 LE 0 C i V 1E ill j Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation j uj, Queensbury, New York 12801 Variance No. .J .,• i U .9 6 Site Plan Review No3 . ��(�� Z. rJ. /35i APProved b k 0 a n Oiii}12j112)3)4r510 . APPLICATION FOR !�ff`` '/� �'," . ' BUILDING AND ZONING PERMIT _ F---__-- ------ .* * # * * * * * * * * * * * * * * .*- * * * * * * * * *. A * A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies for a Building Permit to do the following work which will be done in accordance with the description, plans and specifications submitted, and such special' conditions as may be indicated on the Permit. The owner of this property is: [2)6W1 ,Q(iJ/1A,i!✓ P.O. Address !,/ q //c/r1 oh---) / Tel. 1/3--361612 Property Location: 0 /1/ /�2 , Tax Map No., /, / Seet number or building lot number Subdivision name (if applicable) (J ,0:-irk a - Y i THE PERSON RESSPPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: Name P.O. Address Tel. No. Name of builder Address Tel. Name of plumber ci / ,� ,5/ �;"<Address ' Tel. fi Name of mason l'. .� Address Tel. NATUREUR OF PROPOSED WORK: • * ZONING INFORMATION: !/Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED, Addition to a, building , * drawn reasonably to scale and attached hereto, • Alteration to a buildin * showing clearly and distinctly all buildings, ----1 , . *(no change to exterior dimensions) whether existing or proposed and indicate all Other work (describe) * set-back dimensions from property' lines. Give * street and number or lot number and indicate FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration * of septic disposal area. * • ' * COMPLETE INFORMATION REQUIRED BELOW. * Size of property , )07.) • ft X /5t) ft. • * Existing building(s) Size ft X ft. * PROPOSED BUILDING AND USE: Existing building(S) Use Size of new structure rp ft Xft * . Foundation-pier/slab/crawl/partial * Proposed building, distance 'from property line (circle one) 1.-' * Front yard /AD ft Rear yard �7 ft No. of stories (habitable space) Height (grade to ridge) ,9 ? ft. * Side yards . - ft and /Q ft If residential, no. of families / * If on corner, setback from side street ft No. of rooms(excluding baths) GJ . * OCCUPANCY INFORMATION No. of,bedrooms ' . - 47 No. of bathrooms k. PRIMARY BUILDING - �' * j/One family dwelling Primary' heating system ' ,Cd, Type of fuel * Two family dwelling * Multiple dwelling / Number of units No. of fireplaces to be installed / Will a wood stove be installed? j/6 * Permanent occupancy Central 'Air conditioning? hd * Transient occupancy • * Business BUILDING STYLE, PRIMARY STRUCTURE *. . Industrial Ranch Contemporary Log cabin * Other 7 Raised ranch Mansion Duplex * If addition, what will use be- Split level Old style Bungalow * Cape Cod Cottage Other * ACCESSORY BUILDING- Colonia V Row Town House * Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) * VAttached garage/one car/ two Carl/ car * * * * * * * * * * * * * * * * * Private storage building ESTIMATED 'MARKET VALUE OF * Other CONSTRUCTION $ {ty/Sa, ' * INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BPA 4/86 and-vl I .. BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe,etc. Will any second-hand or ungraded lumber be used? If so, for what? rk) Foundation wall material 4 ,5-,g C,y-C, Thickness Depth of foundation below grade (to bottom of footing) £" Will there be a cellar? y S Heated or unheated? Floor sq. footage sq ft Will there be a basement?Will any portion eb used as living space? fad (If so, what port' ' sq.ft. - - Type of use? Type of roof - oped lat/shed/other Material of roof //46,44W-. Size, wood studs "X l " spacing / G "o.c. length / ft. Joists(floor beams) 1st. floor "X ,/o " spacing /6, "o.c. span /3 ft. Joists (floor beams) 2nd. floor 2 "X /G " spacing / "o.c. span/7 ft. Overlays(ceiling beams) ' "X " spacing "o.c. span ft. Roof—rafter "X--l�/_spa pan�� ft. Roof, trusses(pre-engineered) spacing"o.c. spank ft. Exterior wall finish .5.0 t- C e ' Of what material? Interior wall finish. /j/ S , If a garage is to be at shed, describe materials to be used for FIRE SEPARATION: S/// Kj{ccae__ Is there to be an opening between garage and dwelling? 9Cs If so will a Fire-rated door, enclosure, and self-closing device be provided? BLS Will a flue-lined chimney be installed? c Height above roof ft. Depth of chimney foundation below grade; ft. Depth of fireplace heartLJ, ft. 6 in. Water supply Municipal or private well SEPTIC SYSTEM._ Distance from ANY private well(including adjoining properties ft. (A' separate application is necessary for any repair or new installation of septic system) Town of Queensbury County of Warren AFFIDAVIT STATE OF NEW YORK swear that to the best of my knowledge and belief the statements contained in1this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of'the BUILDING 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. SWORN TO BEFORE ME THIS Signature-_4 1A) Owner, owner's ent,arcnitect,contractor -S day of 19 0� 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: �Q 1. Gross floor area 2 . Type of heat e jee. 3. Is the building mechanically cooled? go 4 . Percentage of area of windows and doors a. 1 ,p A. Over 16% Only 1 . Uo value of gross area of walls , roof/ceiling and floors exposed to ambient conditions 2. Floor over heated spaces YES a. Are foundation walls insulated? YES 1. If YES, what is the R value? 3. Slab on grade YES a. If YES, what is the value of insulation around perimeter of floor? 4. Is basement heated? YES N�}: a. R value of insulation 5. Type of insulation B. Under 16% Only 1. R value of roof and floors exposer to ambient conditions /270 • • 2 . R value of exterior walls t2—L I 3 . R value of glazed area 4 . R value of doors l�7. 1 5. R value of floors over unheated spaces 6. R value of slab edge insulation - unheated slab nA 7. R value of slab insulation - heated slab 011A 8. R value of heated basement/cellar walls (above grade) Sc 9. R value of heated basement/cellar walls (below grade) 10. Type of insulation C i‘�/- /4SS C. Controls J 1. Thermostat maximum heat setting D D. Duct Systems 1. Is duQt system installed in unheated spaces? YES ( N ) 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 3 2 . R value of pipe insulation F. Service Water Heating 1 . Performance efficiency U// 2. Temperature control setting maximum ( D'� G. For Swimming Pool Only 1 . Maximum heating , Telephone No. 2,120�" (applicant ' signature) • awn of Queen3Lry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC/ DISPOSAL PERMIT APPLICATION Owner' s Name llc / ! I/ /14a-1_, Tel. N_3 33Zi Address 10 //.62t4 /fir. • Person/Firm installing system Dd-vei Number of bedrooms (residential only) .� Total daily flow: (compute @ 150 aal.per bedroom per day) (0'06 • Topography: 1✓a)t - rolling - steep - (circle one) Degree of slope % • Nature of soils: sand loam-clay- other- Depth ,g) ft. Ground water-- at what depth? • --- ft. Bedrock or impervious material--at what depth? ft. Percolation Test - Not required Required -Rate ' 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 'anydomestic water supply or shore-line 'of lake, stream, pond on-wetlands. Include all • dimensions of the system itself. Description of proposed system: Septic tank size / j gal. Tile field- Length of each trench 5V ft. Total field it. Size of stone •#:•Z Seepage Pit (s) Number / Size ftX ft. Size of stone# 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. 42/A244'? / . . • Signature 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 Buildina 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 inspection 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 be available.on the construction site. Failure to produce said plot plan at time of inspection -,_ _ _ —nay—re-sult=-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 Queensbury Building Department before further construction. Jown of Queenitur # BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME - `v C`Cn.-e ./i LOCATION d Date v./ D 7 Permit No. t(. - G o1 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing \\I 1,7 Relief Valves Ext. Porches Finished Floors , Interior Trim Stairs & Railings I Cellar Drain Tile ./ \, Concrete Floors ;j \ Plbg. Fixtures ); Gar. Fireproofing Door Closers Smoke Detectors Chimney ' INSULATION: Foundation Floors Walls Ceiling ;, FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL )(Final Building Survey ., / r Next scheduled inspection (call when ready) Remarks- �!2 6 PZA_e r �izC-' 5H Ail IAL%r14oOrD, T I3usi. oiAlc, i- xr+G-esolz rei nl Building I3 sp tor 6/86 and-vl Jown of Queeniburcy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR 'S REPORT NAME A� �x� LOCATION A-fe(4id A( Vb! Date Z/ Z-7/ Permit! No. 2 - d i * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding 4) /1-C4. b S TO Masonry Veneer Rough Plumbing61)La Relief Valves Ext. Porches _ Finished Floors c:d Interior Trim ,! Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney A INSULATION: Foundation Floors Walls f Ceiling FINAL ELECTRICAL INSPECTION ON, DRIVEWAY APPROVAL ;Final Building Survey 2 Next scheduled inspection .:(call when ready) Remarks- i it P1/�-c,&- I z4 i4 4 le- or s J4-h L rit(._ uilding In.pector 6/86 and-vl / i,4 r i Jotun 'of Que 'niturcy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 11 BUILDING INSPECTOR ' S REPORT NAME 1n�A__ (�/n/ Ully LOCAT ON Date, %/ -b�r-Permit;; No. 3 (, _ 6 O I * * * * * * * * * * * * * *li * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation '1 Waterproofing Backfill Framing Roofing , Siding Masonry Veneer ;1 Rough Plumbing ,' Relief Valves LEXZ. Porches Ock Finished Floors , Interior Trim , LS'airs & Railings O r\ Cellar Drain Tile Concrete Floors Plbg. Fixtures /\\ Gar. Fireproofing LBaor Closers a K Smoke Detectors chimney (-,n-Q C3,,(. Ile- .s.1i- , c/ INSULATION: Foundation Floors Walls Ceiling ' FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey z Next scheduled inspection (call when ready) i Remarks- 114/1/452 Building Inspector 6/86 and-vl cc7 I __Awn or Qaeeniturty BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 d Queensbury, New York 12801 BUILDING INSPECTOR ' S; REPORT NAME if fi LOCATION j71- 4-- U•.;-C�- Date)/?t / Permit No. y(, _ (q OI ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation 'I Waterproofing __ Backfill Framing (Roofing riz. (hiding 4/ C 4 Masonry Veneer , �R ugh Plumbing RR lief Valves I OK- "Ext. Porches V //--- ' nished Floors I *J.1_ Lnterior Trim I 0,1( fairs & Railings Spa )' 0, Cellar Drain Tile Concrete Floors I lbg. Fixtures�r. Fireproo ing glE or Closers , e Smsake Detectors 01 T(Q r himney Q � 1�x- � LSULATION: ;Foundation q Floors a.K, Walls / Ceiling FINAL ELECTRIC L NSPE TION 1. �� DRIVEWAY APPRO A t i Final Building Survey Next scheduled inspection (call when ready) 1 Il�s Remarks-0 r� p Jute�j t,/,..,,, .4,0 �i+�z , n,:a p �U-z- Lff1iL r & l? ' i ' .,: . ,„/„.,e_e,d.,, L � 2�,� • Building Inspector 6/86 and-vl _awn o/ Qteeurj BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, NewilYork 12801 • SEPTIC DISPOSAL SYSTEM INSPECTION NAME #6714 LOCATION ! •/( i. DATE // / IX. PERMIT NO. U (.0 - Co Of SOIL YPE - Sand - Loam =i Clay . Percolation Test Required? YES - .NO • Percolation rate - Min/Inch I TYPE of SYSTEM: Absorption field, total length Length of each trench ' Depth of trenches Size of gravel ' _ SEEPAGE PITS{Number of) is 3 Size- .-÷- ft. X (a ft. ' Gravel size - 0-7 PIPING: Size Type Bldg. to tank u1, Tank to dist. box ! h Dist. box to field/pa • Openings sealed? I,NO Partial LOCATION/SEPARATIONS: Foundation to tank 1 / 4) ft. Foundation to absorption ; UO ft. Absorption to lot line '1 '3D ftf' Separation of pits „ /�- ft. '- IOI OF SYSTEM ON PROPERTY(circle one) Front Rear - Left side - Right side - : c NTS: titz 6 ,-3-D-3 ><. -� J\1�% 0 7 �5eCoaee"%/o1 //`1773, Wiz(Sf` SYSTEM USE APPROVED YES NO e,:io�� ,I 1.-:1/:)fl/L3/ Building 'Inspector 01/86 and vl r Lid )1 JL/ 9 :0 4f"(. Jown o f Queeniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME q1L ^� LOCATION <� j1 .`-114_ 61k�l Date ///2-/ / (10 Permit No. U (e of * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill 4). _cbti0 ) x Framing Roofing Siding Masonry Veneer Rough Plumbing r1.11 q'C5) Relief Valves Ext. Porches Finished Floors Interior Trim i' Stairs & Railings Cellar Drain Tile \ Concrete Floors / Plbg. Fixtures - \ / Gar. Fireproofing Door Closers Smoke Detectors / Chimney / INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks— '1Cc,vi tax-a S .�a C le i,i] /6 S� 1�=20 j /tAl?6" Jig Building Inspector 6/86 and-vl I { / . . otun of Queeiurty BUILDING and ZONING"DEPARTMENT Bay and Haviland Road, R:D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME 4 :, ,, • LOCATION /� 3' Date 9 c2 y/ Permit No. O --6-6i * * * * * *. * * * * * * * * ,* * * * * * * * * APPROVED - Y_ESS NO ✓F ooting/Pier Forms -S'e/L.. i i/ F/�oundation IO L terproofing ,; a0 Lackfill 1‘o .' Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches 'I Finished Floors II Interior Trim '! Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures ry Gar.. Fireproofing ' R II s� Door Closers Smoke Detectors 'Iy Chimney / INSULATION: :I ',a,' Foundation :/ '1_ Floors 4{ Walls ti, Ceiling • / FINAL ELECTRICAL INSPECTION Final Building Survey it Next scheduled Inspection(ca11 when ready) Remarks- - 1 2J) ' Building Inspector 1, 5/86 and-vl ;I cl Down of Queeurcy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S' REPORT NAME /0‘4144.4/Z/C, LOCATION 1 I'12)‘„ Date yir / Permit :No. 0 (c,- 6 � V = APPRO E - YES / NO t oting/Pier Forms C Gn I b,ifs Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim 1 Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION , Final Building Survey Next scheduled Inspection(call when ready) Remarks- - I6144173.4-: Building Inspector 6/86 and-vl e to HCLgri STaroT l'fy GAF t FAL-L40 �WA79Kt!k- I ��1_gll 34 e,4 l \ ol A, . D A 1." LOT LikE ��S2d (ACTUAL, LOT" uwt TO VATEr- LINE \ 10 N41X� - LOr UuX — arXlhTlt�W -LI � V-6 La g I � Y& Tj �F, A. 49 APMOVF.D r-/G Og ,a01y 05WW t"'11°tE OK 6A AT A MINI. OF V41 r9IK r-*-1' o"P 6 P>. I�Zii Gs�.L. C�NC�ET� SEirf�c 'f"AIJK Ah NtF�q• !�+'/ F&Igf MILLOr 6a of wKT MtU. `CK, NY oK wuA1- G. r1 5,r c�1GK:ETE 01 K*uf-► k IOic OvY W91- MILXX- 6P , W. 4., LLATIo1,1 AAW L It { Wt-11b W IWAX6 FATAL t&(i4OUTIOW CA! G" Tu ►GK 6F KAvEL I, rA0(lKI WJ(,N UUM, y9ALL 0,9 r4LIAL IW L$.KsN WrrH A MAX. 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