5256 T ► 1 '
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date I v ltiCY.g 1977i
' This is to certify that work requested to be done as shown by Permit No. 5?-
has been completed.
This structure may be occupied as a ( ' 74 Wl i ; 1)\AfrC \l
Location ,--IV.. 1-1-'/:c i )( '- .. .,(Jove
r
�'. • C ;vim a re__
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
CREATIVE "INSTA" PRINTING. GLENS FALLS. N V 12801 1518i793-5658
BUILDING PERMIT
TOWN OF QUEENSBURY No. 5956
WARREN COUNTY, NEW YORK
ti
PERMISSION is hereby granted to C. J. Gi 1 morc a
•
OWNER of property located at Lot 44 Helen Street . (St. #10) 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 •
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
CD
1. OWNER'S Address is
2. CONTRACTOR or BUILDER'S Name
Robert Weaver Jr.
r
0
3. CONTRACTOR or BUILDER'S Address '1
6E Manor Drive e+-
Glens Falls, New York 12801
C M
4. ARCHITECT'S Name 0 f✓
Cp
cn
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( }(Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
_ O
No. 72' x 28' per plot plan, specifications and application
including sewage system and two-car attached garage. 171
8. Proposed Use
One-Family Dwelling
6.4
. d
$5.00 C/O Paid
$ 60.00 PERMIT FEE PAID —THIS PERMIT EXPIRES January 1 19 79
(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.) (.0
Dated at the Town of Queensbury this 9th Day of June 19 78
SIGNED BY &, for the Town of Queensbury
ilding and Zoning Inspe or
TOWN OF QUEENSBURY ` (Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application No.ApPlication for •
I'rrmit Issued I9. . t
BUILDING AND ZONING PERMIT Permit Expires. l9.
7.(diiii� District
;i Inc oI \1'ork
THREE (31 Copies of a PLOT PLAN, Drawn to scale \1'1) ""•c1 by
. showing the actual dimensions of the lot to be built Rci>larKf
, 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 • TOWN OF QUEENSBURY
DATE .E 6 E 11 d s ,
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ,/ , •:-..) .
ANSWER ALL OF THE FOLLOWING. tjUi\1 8 1978
The undersigned hereby applies for a permit. to do the following work 1 p�M. (o�°.� F-e�lpp`m.
which will be, done in accordance with the description, plans and specifi- = 71$I9I10I11I12)1.121314I5I6
cations, and such special conditions as may be indicated,on the permit. C`0 % G
The owner of this groperty is: (�• M p y
•
(NA`,EI IRO.ADDRESS)
The per n resporisibie'for •.supervision of the.work insofar as th Building Code and the Zoning Ordinance apply is:
p......,
7'
(NAME) (P.O ADDRESS)
Name of Builder , ` • Address •
Name Of Plumber'. .. .Ci�i1 .VS• :Z..... �l- • Address �1v �ry
Name of Mason
- V - Lf1� - Address t ` '
Lot Number. . . .y i. . . ..Unit Estimated value of proposed work S . 50Jr
t -c)
Name of Village _
•
Name of Street f` `�� S/ Side of street: north 0, east south ❑, west ❑
"P- jC, Distance from this r.ross street - ... . . .q .
Nearest Cross Street � ( � �' ' ' - - . . ' ' Et.
Property is north south ❑,east Li, west ❑from Cross Street
If on Corner, which corner, northeast 0, northwest ❑, southeast D. southwest
. • • (Designate by marking with an "X" in the'correct space.)
NATURE OF PROPOSED WORK - OCCUPANCY . -
Main Bonding
Construction of a new building. One-family duelling •
•
❑ Addition to a building. ❑
Two-family dwelling
❑ Alteration to a building.
ElDemolition of a building. .-family apartment house ❑
Store building ❑
��-ar 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, size and setbacks of pro-
' posed buildings, and the location of all existing buildings.
NORTH Show proposed building(s) in dotted line and existing
I uilding(s).in solid line. ,
Size of property . . .'.I. .bi-. ft. x • • •j• 51:7 • • ft.
Size and use of existing buildings, if any
.. . ..--7. I < ft.x . . .2- . . . ft.
w Size of proposed building
Height (from grade)_ridge) . . ft.
Front yard . . j •67 • ft.
Side yards ft. and ���� ft.
Rear yard ' ( ft.
SOUTH If on corner,setback from side btreet ft.. ..
Note: All distances are net, as measured from street side
, line to nearest part of building..
(OVER) . -
.7-73-M
(coned.)
BUILDING SPECIFICATIONS.,
Kind of constructioCVood franre safe, etc.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will any second-hand lumber be used? •.) 0 , If so, for hat7
Material of foundation walls )1/1/21-- 0 iY i•-. w
pc) L., a Thickness t r
Depth of foundation walls belongrade 7Y 1‘ Cgntipuous foundation?
Will there be a - .r? -0_-__....? If so, material of cellar floor C_ci‘..:Cl — —I f
Type of roof: Slo a ed a flat? Material of roof r___ p I+g(---I--
Size,wood studs 2-- "x
`I ", spacing / , "o.c., length C: ft.
Size, floor beams, 1st floor 2._ ,-, L
" x / — ", spacing / "o.c., span / --3. . . . ft.
Size, floor beams, 2nd floor " x ", spacing "o.c., span ft.
Size, ceiling beams " x ", spacing "o.c., span • ft.
Siie, roof rafters or beams 1— ", spacing 2_‘../ „o.c., span '7—,6 ft.
Exterior finish It. Lii- With what material?
Y\A?:-.1-: ---A-' i Finish of of interior walls ft - 1_
If garage is to be attached, ofE.what material is wall betweAn garage ad main building to be constructed?
(
Is there to be an opening between garage And building?
Kind of heating system . 14-1— v u by) e 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? )0.0 Depth of fireplace hearth
,
Will a toilet be installed2 . y T.— 5
Will a kitchen sink W installed and connected to water supply? L( 11 S
Water supply •ublic_N!..1.liaupply or pump)
Distance of cesspool rom any private well . /V/0— feet
Will drainage system be provided with required traps, cleanouts, and vents? fil 5
AFFIDAVIT
Town of Queensbury /
County of Warren
State of New York
I swear that to ta barof my knowledge and belief the statements contained in thisth ..appIieeTial17tcgçther with the plans and specilicatione sub-
mitted, are a true and co.l.plete statement of all proposed work to be done on,tireclescribed premi , and that all provisio of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the'proposed work s complied with,whethM specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature
OWN .OWNER'S AGENT.ARCHITECT.C N CTOR
day of 19
f
NOTARY PUBLIC, WARREN COUNTY..N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
•
• .
•
By
TOWN OF QUEENSBURY .
BUILDING & ZONING DEPAA`14ENT
BAY & ItAVILAND ROADS R.DhI .
GLENS FALLS, NEW YORK 12801
jj 1 t;4yCONSTRUCT, ALTER E a A .
._ ._._.1. _.�7....a- Y MR 1 1'a....'.f.>,,_.l� �?�(�7[�{.'+ /� +y1 OR I.1 L��.R tf�.�'V
A S'-�.''i.0 lf7.E D.i. l� Osi' SYSTEM ITHIN ETE }
'VI TOWN OF 0UEENS_3URN
ire .!:: T oNE___..._.___�v....__ ._:____ .___..MT.N R°S '@��°ir'L.._._. .:.. :.,..G ,_.LC_my .Lg.=..r_._._.._....._�_a....
U; r�SSILAL —_ 'SW---
NUMBER OF BEDROOMS
GARBAGE GRINDER? —____(TES O ' POGRAPHY: ROLLING, SEEP , SLOPE,
GENTLE SLOPE, OTHER
NATURE OF SOIL: CLAY, SANDY, LOAM, GRAVEL, ROCKS' ETC o
PERCOLATION TEST 7-- . s WATER SUPPLY: (ICIPA1,„ :ALL, OTHER
DIAGRAM OF PROPOSED SEPTIC SYSTEM
r------ .
----2-3=1 .
OTHER PERTINENT INFORMATION .
IT IS HEREBY AGREED THAT IF THIS APPLICATION AND PLANS ARE APPROVED,
INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL BE MADE IN ACCORDANCE
WITH DETAILS SHOWN, t
DATE SIGNATURE OF APPLICANT
LAKE GEORGE PARK COMMISSION APPROVAL:
-ttk4:r,. x.Lax tix c__.._,��._P,.4; ,AAX_AA,.fixzaf),AAA _.1.t?._c :AA..AL.-1,.4..ta4:x. 449,4.4.ti—M14 ca�,:x9.4.J., 4,14na.9,149,1a"zx.9,t4V. ..?n-In.In ..a,1a,ca4444 3,
T
THE NEW YORK BOARD. OF FIRE. UNDERWRITERS
•
BUREAU OF ELECTRICITY
Io p 41 STATE STREET,ALBANY,NEW YORK 12207 r
P.
Date Application No.on file /�
F° THIS CERTIFIES THAT / #r�I,j.� C,I, /°1 h
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
4
r
r
Y
y in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. Section Block Lot
was examined on and found to be in compliance with the requirements of this Board.
r'
7 FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS Al
le OUTLETS4.9 RECEPTACLES SWITCHES
INCANDESCENT FLUORESCENT MERCURY AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. '
I.
Di Y
k
a DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS> SYSTEMS
r
AMT. K.W. OIL ' H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET 'AMT.- WATTS
P.
i
D, SERVICE DISCONNECT NO.OF ' S E R V I C E r
AMT. AMP. TYPE QUIP 1,0'2W 1,B'3W 3$'3W 3,0'4W NO,OPER%COND. OF CC.COND. NO.OF HI-LEG A.OF HI-LEG G. NO.OF NEUTRALS OF A.
NEUTRAL ii
3- T
3,- r
i
Y
>154 OTHER APPARATUS: lii
.5f, P.
3 r
y
li 41
3 T
T
A� p
i
D _ r
i
r
r
a i
r
BRANCH MANAGER I
:,
Per
4
n
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY•
Building- Department
Inspectors Report Date
Name �y-.e -
Location 5i4
Permit No. Weather
Per Cent
Complete Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
• Cement Coat Waterproofing /N�/
Backfill
• _Final Survey rr-C12€4
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
(// 1.\'‘
Rough Plbg.
Rough Htg.
Relief Valves,
Wall Board
Ext.Porches
Finished Floor
Interior Trim 1
Stairs&Railings
Cellar Dr.Tile
Concrete Floors
Plbg.Fixture
Gar.Fireproofing
Door Closers
Chimney -
Water Meter Inst.
Septic Approval
Building Inspector
REMARKS
0
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 9-- - .ZE__
Name td vrr
Location e*f . S/4/ /A/w/U S/
Permit No. 02 .g Co Weather
Per Cent
Complete Itemarku
Excavation
Footing Forms •
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey Framing (f/
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Rough Htg.
Relief Valves t
Wall Board 1'
Ext.Porches
Finished Floor t t
Interior Trim
Stairs&Railings (J
Cellar Dr.Tile
Concrete Floors
Plbg.Fixtures
Gar.Fireproofing 0 I
Door Closers A 2ew,, (/`G,.p
Chimney
Water Meter Inst.
Septic Approval
Building Inspector
REMARKS
D'f go
Dr/ toe II
TOWN OF QUEENSBURY
Building Department '
Inspectors ep rt Date •/��J�y
Nartre /(/lj�et Ci
Location ,4
Permit No. _5 5'G Weather
Per Cent • Remarks
Complete
Excavation
Footing Forms
Footing & Piers
Foundation ,
I. Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
I Roof Felt
Roofing
Siding
Masonry Veneer \..:;
Rough Plbg.
Rough Htg. .
Relief Valves
Wall Board �u
Ext.Porches
Finished Floor !t
Interior Trim
Stairs&Railings t;
. Cellar Dr.Tile
Concrete Floors
Plhg.Fixtures
Gar.Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Building Inspector
REMARKS
.)q)!
TOWN OF QUEENS U".Y
Building Department
Inspectors Report Date /��&/'`��
• /
Name r" 4;'��
Location /,4'/ iu 5j( (o1 t
Permit No. 5 5) Weather
Per Cent
Complete Remarks
Excavation --
Footing Forms t, .l ,l
Footing & Piers L f't -
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
•
Rough Plbg.
Rough Htg.
Relief Valves
Wall Board
• Ext.Porches f
Finished Floor
Interior Trim
Stairs&Railings
Cellar Dr.Tile
Concrete Floors
Plhg.Fixtures
Gar.Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Building Inspector
REMARKS
17Y 1Pb ---PcipP8
, I
3&r.
- 9 (7/
.5 (7 7