5973 1_'/n P—;
•
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK f
Date Oe'A:t:.- I9
jai Q /'g2 • 6)? .77-.)
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
'41P 4/9
Owner
By Order Town Board
.. TOWN OF QUEENSBURY
Building N Zoning Inspector 1
CREATIVE "INSTA" PRINTING. GLENS FALLS, N Y 12601 (5181793-S6S6
BUILDING - PERMIT
TOWN OF QUEENSBURY
• No 5873
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to James Lauricella ,
C4,
OWNER of property located at Lot 84 Helen Drive 51-4-36/ Street,Road or Ave. P.)
in the Town of Queensbury,To Construct or place a ' One—F ami ly Dwelling cn
at the above location in accordance to application together with plot plans and other information hereto'filed and tl
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is V • 0
(D
2. CONTRACTOR or BUILDER'S Name
Richard Chase
3. CONTRACTOR or BUILDER'S Address
Regency Park Apts.'
Glens Falls, N. Y.
cn
4. ARCHITECT'S Name rt' co
Robert Gerald Price PE • az,
4x
• w (D
5. ARCHITECT'S Address - CI
6. TYPE of Construction—(Please indicate by X) (D
( ) Wood Frame ( ) Masonry ( )Steel (
7. PLANS and Specifications
36 'x56 ' per plot plan, specifications and
No. application submitted including sewage system
and two-car attached garage. 0
8. Proposed Use
One-Family Dwelling
5
$5. 00 C/O Paid
$ 120. 00 V PERMIT FEE PAID —THIS PERMIT EXPIRES January 1 :1980
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the CD
town of Queensbury before the expiration date.)
I-,
Dated at the Town of Queensbury this 12th Day of June 1979 LQ
•
SIGNED BY --0-424-xt - for the Town of Queensbury
Buildirfdand Zoning Inspector
TOWN OF QUEENSBURY LTpace inside block be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for ion No.
pP ssued 19. .
BUILDING AND ZONING PERMIT xpires. Ig.
I)istric l
1\`cork,$THREE l3) Copies of a PLOT PLAN, Drawn to scale •cl by
showing the actual dimensions of the lot to be built. -
. upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
h TOWN
QUEENSBURY
E
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK - [2 , , _ -c� DDANSWER ALL OF THE FOLLOWING. 11 �
The undersigned hereby applies for a. permit to do the, following work A M. P M,
which will be done in,accordance with the :description, plans and specifi- 71819110111112111213)Q1516
cations, and such special conditions as may be.indicated on the permit. al ' ' '
The owner of this property is: . A
-,.. ti/4-ni e l�.6-li1 I C Ira E q / /t,,• 6k. ., 6/0N s Rit ,. /!,. . . .
(NA`4E) IP:0.ADDRESS)
The rson responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
r 37 � ew-- V)v
(NAME) ( (P.O.ADDRESS) ,
•
Name of Builder. . .. '- �_1"•c�."' .--"i ."•`''• :.. . • • • • •Address
NName of Plumber Address
Name of Mason t l l l. . Address
e. Sr- W3�
\ Lot Number. . . . G. . . . Unit Estimated value of proposed work S Pj o o d —
Name of Village
Name of Street l`>Lw Q i '• , Side of street: north 0, east ,�,, south 0. west ❑
\\V Nearest Cross Street Distance from this cross street 76' 65 Ft.
�� Property is north ❑,south ®,east. i i, west 0 from Cross Street
If on Corner, which corner; northeast 0, northwest ❑, southeast ❑. southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
w Construction of a new building. Main Building
0 Addition to a.building. One family dwelling
Two-family dwelling 0
❑ Alteration to a building. family apartment house ❑
El Demolition of a building.
Store building El
a.-car attached garage
Other:
Accessory Building
One-car detached garage ❑
❑ Other work. Describe Two-car detached garage ❑
Private chicken house ❑
Private storage building CI
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
14) ( .t'J Y . huilding(s) in solid line. . . -
Size of property / OP ft. x . . . i. 2. . . . ft.
t Size and use of existing buildings, if any
:. I-
it uj m Size of proposed building o� C' ft.x 'Si., ft.
'IIti. Height(from grade to ridge), a: ft.
Front yard 3 g ft.
Side yards / Z) / ft. and 1 4 ft.
Rear yard , l Q 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) ,
•
7-73-M
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.?. . . • • e.d. ...• • • .. • • • • • • •
Will any second-hand lumber be used? /—U If so, for what'
Material of foundation walls S ' 0 G a r tad C.t. l/S Thickness E.Depth of foundation walls below grade
/a -c-t, Continuo s foundation? . . .6! S. .
Will there be a cellar? . . . .'r.e,$ If so, material of cellar floor Lf " ��7 A/c rr
Type of roof: Sloped or flat? 57 0, e Material of roof r _.ss ,e- S'
Size,wood studs
, . . . "x rI ", spacing /G "o.c., length S ft.
Size, floor beams, 1st floor 6L " x / O ", spacing / "o.c., span . .✓. ./. 2.•. . . ft.
Size, floor beams, 2nd floor a.. . . ." x • • •/ d ", spacing ./G . . . ."o.c., span . . ./.y}.//. . . . ft.
Size, ceiling beams c2. . . . . " x . . . . 6 ", spacing /G. . . ."o.c., span . .!. /. . . . . ft.
Size, roof rafters or beams "x t; ", spacing /G "o.c., span . . 0 .6 ft.
Exterior finish . . . .!gu/'.7•/,%U,-,11-, ,S•-,�--ti. . . 13f:t4-L. . With what material?
Finish of interior walls. . . . ... . .•S.f, .e.?-6.-. p.c--./ -.:'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,. .
If garage is to be attached, of what material is wall between garage and main building to be constructed?
'e Cf" J ?." — e S A e�t,,-0 c/C.
Is there to be an opening between garage and building? . . . . ./C/.&.7 0 o aV'
Kind of heating system I�.i:e. •c:6--.,•-- Oil burner or coal? -
Will a flue-lined chimney be provided? . . .../.1/./2. . . . . . Depth of chimney foundation below grade
Height of chimney above roof. . . . . . . . :
Will there be a fireplace? ‘( S Depth of fireplace hearth
Will a toilet be installed? . ... . . . .\! . .5. . . . . . . . . . . .'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will a kitchen sink be installed and connected to water
supply?
pply? . . . .1 S
Water supply (public water supply or pump) ID t c cc/.7J- e(J-
D istance of cesspool from any private well feet
Will drainage system be provided with required traps, cleanouts, and vents? 1f '' S
Town of Queensbury AFFIDAVIT ,/
County of Warren
State of New York •
I swear that to tr..,bra i of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.n.•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 rk sh ll be co plied with,whether s ified or not,
and that such work is authorized by the owner. b
Sworn to before me this Signature / Gv - -... •� �
OWNER,OW ER'S AGENT,ARCHITECT,ONTRACT R
day of 19
NOTARY PUBLIC, WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
By
TOWN O1 nUEENSBURY
BUILDING AND ZONIN( DEPARTMENT
BAY ANT) IIAVILAND ROADS, R,D o R1
(LENS FALLS, NEW YORK 12801
APPLICATION FOR .A PERMIT TO CONSTRUCT, ALTER OR ENLARCE A SEWACE
DISPOSAL SYSTEM WITHIN THE TOWN OF OUEENSI3URY
OCCUPANT'S NAT `��?��� r, �,( ADDRESS / fir.
TELEPHONE OWNER'S NAME s.-5,-/45e
ADDRESS NUMBER OF BEDROOMS 7
rARBA(E (MINDER? •• A-0 (YES 6R NO) TOPOrTRAPHY: FLAT, .; STEEP,
SLOPE, .ENTLE SLOPE OTHER
NATURE OF SOIL: CLAY„C!ANDY, LOAM, TRAVEL, ROCKS, ETCo
PERCOLATION TEST WATER:•SUPPLY: • M[TNICIPAL?, WELL, OTHER
DIA(TRJ\M OF PROPOSED SEPTIC SYSTEM
•
'• f � T
OTHER PERTINENT INFORMATION _ /,45re 61e 2ei.- ln�
' r
IT IS HEREBY AGREED THAT IF THIS APPLICATION AND PLANS ARE APPROVED,
INSTALLATION OF SEWArE DISPOSAL FACILITIES WILL BE MADE IN ACCORDANCE
WITH DETAILS SHOWN. -
DATE�� � 0
S IrNATURE OF APPLICANT ‘Pa.
LAKE CEORr:E PARK COMMISSION APPROVAL:
(signature)
(date)
Applit-v5ttion If!rort AS„ DINCT
STi'LTS' PMBRC.;,7
A parP3,t
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w THE NEW- YORK BOARD. OF FIRE UNDERWRITERS
1
BUREAU OF ELECTRICITY ,y
�, �, 41 STATE STREET,ALBANY,NEW YORK 12207 'Y
io
Date :"• . ' Application No.on file . /� ?' r
: THIS CERTIFIES THAT ;r
r.2, only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of Y
' 'T i
ii,ii: in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. •
Section Block Lot
,r,
' was examined on ., , ,, ,- and found to be in compliance with the requirements of this Board. ;a
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10, FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS r
1 OUTLETS ECEPTACLES SWITCHES M NCUNY
�; INCANDESCENT FLUORESCENT y1POR AMT. K.W. AMT. K.W. AMT. K.W.. AMT. K.W. AMT. H.P. .�
�' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS 'r
SYSTEMS ,ii
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS.Ira H.P. NO.OF FEET AMT.. WATTS 'Y
�, SERVICE DISCONNECT NO.OF S E R V I C E ;T
� AMT. AMP. TYPE METER 1,0'2W 1.0'3W 3,B'3W 3,0'4W NO,OPER gCOND. OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OFA.NEUTRAL r
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-Ci OTHER APPARATUS: - I
:. ; - INSPECTION~FEE A g Y
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"` BRANCH MANAGER
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COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
•
• TOWN OF UEENSBURY
Building Department
Inspectors Report Date /0-Il -
Name Z/t/�. r7,
Location . ,fr
. Permit No. ,' 73 Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing •
Backfill
Final. Survey /
Framing • /11o1
Sheathing
Roof Felt
Roofing •
_ling f !
Masonry Veneer
Rough Plhg.
Relief Valves
Wall Board
Ext. Porches -
Finished Floor
Interior Trim
Stairs & Railings '•. -
Cellar Dr. Tile
Concrete Floors
Plhg. Fixtures
Gar. Fireproofing /
Door Closers
Chimney
Water Meter Inst.
Septic Approval
FlOorS
•Foundation "
Insulation
Walls
Ceiling
Building Inspector
REMARK'S
•
-
•
- TOWN OF QU v
Department
Inspectees Report g 3ate ��3 117
Name ernes 1-G - ( .C>ha,s-e- azei/
Location L-O7`- 8 v Ate/�ri /)�^i i/e -
Permit No. /3 VVe.mier
•
Remarks
•
Excavation
_ Footing Forms
Footing & Piers --�
Foundation i •
Cement Coat
Waterproofing
' Backfill _.—
Final Surveil
Framing
Shea thing
Roof Felt •
Roofing
Siding
Masonry Veneer f �_
Rough Plbg, i _ _
Relief Valves
Wall Board
Ext. Porches ^;,A
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
• Concrete Floors
Plbg. Fixtures I
Gar. Fireproofing
;Door Closers
Chimney
Water Meter Inst,
Septic Approval, L/
FAOors
F'c: '2da tic.
Insulation
.1e_! 5?
•
Eu l Ing- Insr; ctor
•
REMARKS
TOWN OF QUEENSBURY
Building Department
I .
Inspectors Report Date •f /— 79
Nam:' .-710 re 46 r+►.,e;S L a Gt r i e e 1 I-A).
i .Location ' Are/ 25i—
Permit No. 58 '/R Weather
Per Cent • Remarks
Complete
Excavation
Footing Forms
• Footing & Piers
Foundation
Cement Coat
I; Waterproofing
Backfill
Final Survey
Framing 1, f
Sheathing
Roof Felt
• Roofing '�..
Siding
Masonry Veneer
Rough
Rough Plbg.
Rough Htg.
Relief Valves
Wall Board
Ext.Porches
Finished Floor
Interior Trim
Stairs&Railings
Cellar Dr.Tile
Concrete Floors
Plhg.Fixtures
Gar.Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
—57 /4/
Building Inspector
REMARKS
i
TOWN OF QUEENSBURY
Building Department
InspectorsAt eport. Date 7/2 7 y
Name " .
Location y/o./..fv ? --
Permit No. 7 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 Htg.
Relief Valves
Wall Board
Ext.Porches
Finished Floor
Interior Trim
Stairs&Railings
Cellar Dr.Tile
Concrete Floors
Plhg.Fixtures
Gar.Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Building spector
/ REMARKS
le,/iy //
TOWN OF QUEENSBURY .
Building Department
Inspectors Report Date a.. "
Name �la a L--ct(4 i C G II I,
' Location —: ��aa
Permit No. /i 8 `7 3 Weather
Per Cat Remarks
Complete
Excavation
Footing Forms
Footing & Piers
Foundation
CementCoat 7//
Waterproofing
roofing
Backfill ,1-1'-- I � \ _
_Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Rough Htg.
Relief Valves 'ti.
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
1'44e
Building Inspector
REMARKS
� v
TOWN OF QUEENSBURY •
Building Department
Inspectors Report Date (7.43/
Name
' Location /.r ' ��' ,� /,D/-; /_)
Permit No. _y-if /3 Weather
Per Cent
Complete Remarks
Excavation -
Footing Forms G�
Footing & Piers ���
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
Finished Floor
Interior Trim
Stairs&Railings
Cellar Dr.Tile
Concrete Floors
Plbg.Fixtures
•
Gar.Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
4,4
wilding Inspector
REMARKS