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5898 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date &° 19 301 -f - This is to certify that work request to be done as shown by Permit No. 5-2:?)? has been completed. This structure may be occupied as a alle-4n9(7 4e,1€ Location Owner Llie Moe/ce• _ By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector A. 1 CREATIVE "INSTA PRINTING. GLENS FALLS N Y 12801 15181793-S658 vv -1 BUILDING PERMIT TOWN OF QUEENSBURY No. 5898 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Jeffrey Bachand OWNER of property located at Lot 53 Helen Drive (St. #32) Street, Road or Ave. in the Town of Queensbury,To Construct or place a One—Family Dwelling 1-1 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. t a 1. OWNER'S Address is 33 Bonner Drive a Glens Falls, N. Y. 2. CONTRACTOR or BUI LDER'S Name John P. Matthews 0 rt 3. CONTRACTOR or BUILDER'S Address cn R. D. #1 Lake George, New York CD 4. ARCHITECT'S Name N CJ . Fi • C 5. ARCHITECT'S Address. (D • • 't • • 6. TYPE of Construction—(Please indicate by X) (X)Wood Frame 1 ) Masonry ( ) Steel ( ) 7. PLANS and Specifications No. 56 'x34 ' pe� plot plan, specivications and application o submitted including two—car attached garage and sewage o system_ 8. Proposed Use pi One—Family Dwelling t7 $5. 00 C/O Paid 120. 00 January 1 80 $ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the F' town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 21st Day of June 19 79 SIGNED BY. • /�' �' ;�� for the Town of Queensbury Building and Zoning Inspector a or TOWN OF QUEENSBURY • (Space inside block to be filled in by WARREN COUNTY, NEW YORK ' . Building Inspector) AnIication for Application No. �M Permit Issued 19. BUILDING AND ZONING PERMIT P,•,•mit Expires. • (g ranting District • \ dine nl Work THREE (3) Copies of a PLOT PLAN, Drawn to scale , '`''\l'1"""cl ('V• showing the actual dimensions of the lot to be built Ityn,arKf' upon, The exact site, and location on the lot of the • building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. 7 TOWN OF QUEENSBURY 6/4/}9:oArg. ' ' ' ' ' I] IE 0 ..-E 11 V E 3 A PERMIT MUST BE.OBTAINED BEFORE BEGINNING WORK i i jti 2 rii949I ANSWER ALL OF THE FOLLOWING. 3' 1'Y-P The undersigned hereby applies for a permit- to do the following work A.M. which will be done in accordance with the description, plans and specifi- 7.I8IU�l0,11112I i I £I£ I I I of cations, and such special conditions as may be, indicated.on the permit. A. . . The owner of this property is: - resta C h et n ci - . . ,73 8 (NA',1E) (P.O.ADDRESS) The person responsible for sii�pervision'of the•work insofar as the Building Co and the Zoning Ordinance apply is: 0/ /12ir`!t444. lick,///2r,6 /%V C / j1/ ,-✓'/�1te (VA/ME) � IP.O.ADDRESS) ���� • Name of Builder. . ... ..�/�Fi�?2f{ Mr, i 'T /LC Address "Pt/ . r.M..i( Fier Name of Plumber Address Name of Mason Address Lot Number. . . .,. .3. . . . Unit Estimated value of proposed work s =�� 4 a Name of Village . . . .ePvM 4<" 1 4Name of Street . . . . f' 4/ 4 P' ` Side of street: north 0, east 0, south 8!west ❑ Nearest Cross Street . . . ./7t.ha . ./-( Distance from this cross street ,/4.--)/1 Ft. Property is north ' 0,south Q east i i., west.. ❑from Cross Street If on Corner, which corner, northeast ❑, northwest • ❑, southeast ❑, southwest • (Designate by marking with an "X'' in the correct space.) NATURE OF PROPOSED WORK .OCCUPANCY LW Construction of a new building. Main Building ❑ Addition to a building. . . . One-family dwelling ©� Two-family dwelling • ❑ 0 Alteration to a building. family apartment house D. ❑ Demolition of a building. Store ❑ building -car attached garage ❑ Other: Accessory Building One-car detached garage 0 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 buildings) in dotted line and existing • / 1`�t xCV jed,A4 huilding(s) in solid line. Size of property '' SO ft. x . . . /.g.12 . . . ft. Size and use of existing buildings, if any . . //0 i , m Size of proposed building . . . SP. . ft.x 3Y ft. Height(from grade to ridge) o?v ft. Front.yard JO ft. Side yards `S ft. and V'O , ft. • Rear yard • !) 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) jt . 7-73—M 0 I. • -!y s (coned.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe, etc.7 14/06 M b" e- , pli Will any second-hand lumber be used? . . . . 4/.d If so, for what 19- 4 /1 YC a(� Material of foundation walls ictivC 4'674 Thickness Depth of foundation walls below grade 7/ Continuous foundation? .104 Will there be a cellar? . . . !1t 5 If so, material of cellar floor 0 -veers Type of roof: Sloped or flat? . . . . .5 r r Material of roof /9f '!f ci Size,wood studs 2.-• • • • " x �� spacing r 4o.c., length ,S• ft. Size, floor beams, 1st floor 2- "x , spacing !/o "o.c., span ly ft. Size, floor beams, 2nd floor '2._ • • -" x fv ", spacing /fr "o.c., span /if ft. Size, ceiling beams Z " x & ", spacing "o.c., span A-L ft. Site, roof rafters or beams 2. " xx.6.7id`S5 ", spacing "o.c., span ft. Exterior finish itildi ,e/ 77 With what material? AVe. Finish of interior walls 11/2'• • • •�%"'' 4 /24/ If garage is to be attar ed, of what material is wall between garage and main building to be constructed? qy/. . de . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is there to be an opening betwgAn garage and building? . . . .�4--1 Kind of heating system , i/AltA i 2 Oil burner or coal? � i Will a flue-lined chimney be provided? Q . Depth of chimney foundation below grade . . , o � 6Height of chimney above roof 3 -lb ,� Will there be a fireplace? e1 Depth of fireplace hearth Will a toilet be installed?. . . Il .i Will a kitchen sink be installed and connected to water supply? /is Water supply (public water supply or pump) . . . f L- Distance of cesspool from any private well /v feet Will drainage system be provided with required traps, cleanouts, and vents? . . ./f .S AFFIDAVIT �/ Town of Queensbury County of Warren State of New York I swear that to tt i i of my knowledge and belief the statements contained in this application,together with the plane and specifications sub- mitted, are a true and co.,.p 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 pertaini to the proposed wor shall be complied with whether specified or not, and that such work is authorized by the owner. / "/"�e,',4c�/] _ �1�v�. Sworn to before me this Signature OWNER.0 NEWS AGE TN nRCHITECT,CONTRACTOR day of ciVr17/ 19.. /./ NOTARY PUBLIC, WARREN COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT: • • By s 3 TOWN OP ni1EENSBURY BUILDING AND ZONING DEPARTMENT BAY AND ITAVILAND ROADS, R o D o#1 GLENS FALLS, NEW YORK 12801 APPLICATION FOR A PERMIT TO CONSTRUCT, ALTER OR ENLARGE A SEWAGE DISPOSAL SYSTEM WITHIN THE TOWN OF OUEENSBURY OCCUPANT`S NAME 4.gt^ty Sekg9 ADDRESS 33 , dwivAlt D� TELEPHONE W 3-33 S r OWNER'S NAME 5,9 v►1 b .� ADDRESS NUMBER OF BEDROOMS GARBAGE GRINDER? ND (YES OR NO) TOPOGRAPIt'': FLAT. ROLLING, STEEP, SLOPE, GENTLE NTLE SLOPE,: OTHER _ NATURE OF SOIL: ' CLAY, SANDY LOAM, GRAVEL, ROCKS, ETC. . PERCOLATION TEST WATER SUPPLY: CTc ) WELL, OTHER DIAGRAM OF PROPOSED SEPTIC SYSTEM !aw 1AL sv OTHER PERTINENT INFORMATIO � 2e may- zj 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 DATE_ 6/44 y SIGNATURE OF APPLICANT .` Airr4 LAKE GEORGE PARK. COMMISSION APPROVAL: (signature) (date) 'J 5 a� il 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 2300 2 . Type of heat'. . . cOAK.'"Lk. d;Te2IL PpsrnP 3. Is the building mechanically cooled ps 4 . Percentage of area of windows and doors" A. Over 16% Only 1 . Uo value of gross area of walls, roof/ceiling and floors exposed to ambient conditions 2 . FloorO over heated spaces YES N a . Are foundation walls insulated? ES 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 (5) a. R value of insulation 5 . Type of insulation yk FUR B. Under 16% Only 1 . U value of roof and floors exposed to ambient conditions . V 2 . U value of exterior walls yL- /9 3 . U value of glazed area ooi�."3 4 . U value of doors t `/ 5 . U value of floors over heated spaces 6 . R value of slab edge insulation - unheated slab 7. R value of slab insulation - heated slab 8 . U value of heated basement/cellar walls (above grade) e-J) 9 . R value of heated basement/cellar walls (below grade) 10 . Type of insulation. . .�19 lfm C. Controls 1. Thermostat maximum heat setting D. Duct Systems 1. Is duct system installed in unheated spaces? 04 NO 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 lye G. For Swimming Pool Only 1. Maximum heating \-4,l-s,A),.'.,',A),Aa/.J_!.). .)_..l J.),A.C,..i,) 4,.).,—, 1.�/.a.CJ_,!, ,_CJ__CJ./.)./.1,.l 1,,!....1.,.1,-1,4-4,!-J..I J..I, ,i,J..C,..,_CJ..C,4,I,J_/,1,{_ %.a. ••�.3_,%4'4,.J.%1,'.J,%a,,.CJ.,%1"/.\./,.LA!_A/.,M,."....,,l.),/.J./.,. i' . - 41 ,Y -<, THE NEW YORK- BOARD. OF FIRE UNDERWRITERS -,; t BUREAU OF ELECTRICITY.' - - _<' -_ 41 STATE STREET,ALBANY,NEW YORK 12207 -t, ' ,l', Date r� �,y..,: Lc. T,d'1`w;:y Application No.on file 1 ,,,,1 _'�• - -, " THIS CERTIFIES THAT f s " _ • 1. only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of r , . '.1:,,:.w., r 7:,._.-I:Vil...i :) ,.Lim_..,.'i2 ._._,.�. 4 „ t�'?.2„= ._: �f:_1Y%'7.-:•"..J ,_a f.. .. _, „":'r'.• '1 in the following location; ;❑ Basement ❑ 1st Fl. ❑ 2nd Fl. n(;i�1': Section Block Lot „ ,C was examined on i,„ and found to be in compliance with the requirements of this Board. ' - , .1 i 4` .{' FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS :C OUTLETS ECEPTACLES SWITCHES MERCURY INCANDESCENT FLUORESCENT o AMT. K.W. AMT. K.W. AMT. K.W.. AMT. K.W. • AMT. H.P: 'Y -, .,1 :i <,t; - ........_. r 4 DRYERS - FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS '>l 4 '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 �i -AMT. AMP. TYPE METER 1.Z 2W 1,B 3W 3 0 3W 3111 4W NO,OFFECC CCOND. OF A.C.W. NO.OF HI-LEG OF HI-.LEG NO.OF NEUTRALS OF•NEUTRAL -<, OTHER APPARATUS: -<, a.... Ai ' T._. ' / ' ..,,- - _ .-1."Yf.: ,,.a ^,1 , t. uJ . . i ._. 2.2.7h 1"2C ' '+�J,1 2-1. ., • ..,vr, ' , av ,e.ti.. a----,u7 _< <...yj 4 =C� ir-,,,,, ,_ -21 al', '.^-` i c- ',7.' „ +.- - .[;',0.k BRANCH MANAGER, Per • CYYYYYYYYY.YY YYYYYY YY YY YYYY.YYYY•YY YYYYYY YY YY YY YY YY YY YY YY'CrYY Y.r YY YY YY YY YY Y Y YY YY YY YY'Cr Y'1 YY YY YY Y YY YY YY YY YY YY YY'Cr Cr Y.,YY COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NoT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBURY. Building Department • Inspectors Report Date 9 Za4. Name Location An A w eN Permit No. 5 `1$ Weather- Remarks Excavation Footing Forms (T • Footing & Piers Foundation Cement Coat • Waterproofing Backfill f ^^ Final Surveil • Framing Sheathing Roof Felt Roofing ( / Siding 7/11 Masonry Veneer Rough Plbg; Relief Valves Wall Board Ext. Porches `�. Finished Floor Interior Trim Stairs &Railing: 1 Cellar Dr. Tile Concrete Floors Plhg. Fixtures Gar. Fireproofing Door Closers Chimney 1 Water Meter Inst. Septic Approval Floors 1 FInsulation `''-nd`tic.� [alls f Ceiling • f i Cai�_ding .Tn.sncctor REMARKS --ram /u'es, TOWN OF UE M u .Y• Building- Department Inspectors Report rate, 4/ 7 Name Ye re1- q a q►� Location Ld T"S5 H e l e Permit No. ,- ,Y.9 Weatirrx� Remarks Excaation Footing Forms Footing & Piers 1 Foundation ' Cement Coat Waterproofing 1 Backfill j Final Surveu Framing 1 Sheathing Roof Felt Roofing 4-- Siding Masonry Veneer 1 Rough Pl bg. 1 • Relief Valves 1 Wall Board ' Ext. Porches Finished Floor Interior Trim Stairs & Railing: Cellar Dr. Tile Concrete Floors P1bg. Fixtures Gar. Fireproofing * � Door Closers _^ Chimney Water Meter Irat- ! _ Septic Approval F r Co;_s N 7. Fc0.'_rdati::' Tdt Insulation r— i ales Cei..;i c: j Building I...s.r cto- REMARKS • Thy, WelAIS) �yi/ol er. id ��z:j TOWN OF QUEENSBURY Building Department Inspectors Report/ Date 7e Name M.4.:.e e2�j , a c k Location Ale/PA.) /—O t S Permit No. ,' 9 Y 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 Plbg.Fixtures Gar.Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval BuNing Inspector REM RKS TOWN OF QUEENSBURY Building Department Inspectors Report Date " z" Natn<m ,L�� Cra(41 a t. - .T:e4roi Location Ne�v, 21-) Permit No. s 8 9 R Weather Per Cent • Remarks Complete Excavation ' Footing Forms Footing & Piers Foundation - Cement Coat ' Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer f Rough Plbg. /� __� )\:' g Rough Htg. v Relief Valves Wall Board i 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 r/ 'Iding inspector REMARKS I � TOWN OF QUEENSBURY Building Department Inspectors Report ' Date Name �/ %f�e e)s ' Location Permit No. Sk 9 p 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 Plbg.Fixtures • Gar.Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval roc e Building Inspector / r / REMARKS 97/5fr / ^� b earvt // y'Cc�- `QG S � ��GiSJ` �tI^i-R� ) / U muSfi r • • TOWN OF QUEENS-BURY • • Building Department Inspectors Repo t,f Date h — '! -./� Location ,6 Permit No. 6'$ 7 R Weather Per Cent • Complete Remarks Excavation / Footing Forms /7 1 Footing & Piers ~4 // • 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 Inspector • REMARKS ya.Nl "'nd 3 nWM 71 J 1 ' 1 � J 1 t V