6212 CY(: 1:'F:; `5
s CERTIFICATE OF OCCUPANCY ..
TOWN OF QUEENSBURY . i
WARREN COUNTY, NEW YORK ,
Date • , ' , ,i;30 196
i,
is is to certify that work requested to be done as shown by Permit No.
th3()
_
has been completed.
Oil n T
This ' K::: :-IT'' , .2714,,;(4•1
structure may be occupied as a /
Owner , I, t: _c jcp-1,', ch Dawip ,,
_ __ .. . .
By Order Town Board
TOWN OF QUEENSBURY
. _
pi
,j ; r) 9i,{ 4:: • i- I.--;/. ,
Building 6 Zoning Inspector
CREATIVE “INSTA" PRINTING. GLENS FALLS. N Y 12801 (810)798-5658
toir 3' BUILDING PERMIT
TOWN -OF QUEENSBURY
No. 621 2
WARREN COUNTY, NEW YORK
•
PERMISSION is hereby granted to Joseph S. Duncan
OWNER of property located at Lot 52 Helen Drive (St. No. 30) Street, Road or Ave. O
N
in the Town of Queensbury,To Construct or place a One—Family Dwelling 1-0
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.
1. OWNER'S Address is S✓
R. D. #2 Goggins Road 1-1
Lake George, New York
2. CONTRACTOR or BUILDER'S Name
Same
3. CONTRACTOR or BUILDER'S Address
Same ti
0
art
rt
4. ARCHITECT'S Name • tP
tV
O M
• m
(D
5. ARCHITECT'S Address p
' v CJ.
Cf
6. TYPE of Construction—(Please indicate by X) O
(X Wood Frame ( ) Masonry ( 1 Steel ( )
7. PLANS and Specifications
28 'x70' per plot plan, specifications and application
No. submitted including two-car attached garage and sewage
system. t
8. Proposed Use A�
One-Family Dwelling
$5. UU
$ 110. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 1 19 80 N '
(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 12th Day of December 1979
SIGNED BY /� )- for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY . (Space inside block to be filled in by
WARREN COUNTY. NEW YORK Building Inspector)
Application for Application
Permit Issued 19.
' • BUILDING AND ZONING PERMIT l'erntit Expires. lg. . ' .
•
71ie5inp. District
Valli(' 01 )Work,j
' \l1,1•„�c�<I by .
THREE (3) Copies of a PLOT PLAN, Drawn to scale - ',lip 1i,`11 Kf
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. ' •
C/�/y ^� 7 TOWN OF OUE GN S II`i
• / 6) — 1 1 — S f� l L:J ' ` DATE 7 RECE111 + ,
A PERMIT MUST .BE OBTAINED BEFORE BEGINNING WORK DEC 1l 19(9 o
ANSWER ALL OF THE FOLLOWING. A.M. //�0 ��f"✓f'•M.. `
The undersigned hereby applies for a permit to do the following-work.' . . • 7lglgj10�11'12�hl2I3I4�b�6
which will be done in accordance with the description, plans and specifi-
•
cations, and such special conditions as may be. indicated on the .permit. 01 .i /VC
The owner this ra rt is: Al
(NA'.El IP O.ADDRESS)
The person responsible for •supervision of the work insofar as the Buildiltg,Code and the Zoning Ordinance apply is: r,2g
• ME) - (P.O ADDRESS)
•Name of Builder �c-'�` Address ' .
Name of Plumber -.-vt• . • • Address
Name of Mason. -'`a j Address ✓ -�
�`� � Lot Number u�-
nit . . .2 49 O Estimated value of proposed work s . . .£. . .p. p. .CZ'a d•
Name of Village
Name of Street 9 •.„,.....Q-4,--.-i-v5, ,:f7 .
� 1 �-&• • ` Dri Snide of:street: north 0, east p, south 0. west 0
G ' Ft.Distance from this -ross street . ._ b.3Nearest Cross Street ., . .°7 � ✓�"o _ ,/.
Property is north p3,south, ❑,east 5, west 0 from Cross Street,.
If on Corner, which corner, northeast 0, northwest 0, southeast 0. southwest
(Designate by marking with an "X"in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
It
Main Building
Construction of a new building. One-family, dwelling Ig
. ❑ Addition to a building. Two-family dwelling 0
0 Alteration to a building. . .-family apartment house ❑
f 1. . . . . . ❑
❑ Demolition of a building. Store building
. . . .1. . .-car attached garage
Other:
Accessory Building ❑
One-car,detached.garage 0
❑ . Other work. Describe •
Two car detached garage 0
Private chicken house
Private storage building • 0
Other:
ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building,or a change of occupancy.
k .
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
(, huilding(s).in solid line. ,---'
Size of property
8 o ft. x I --5 ft.
Nr 'Size and use of existing buildings, if any
1\\\ c w•
'Size of proposed buildingV.S.O ft.x . .�_ • • . . ft.
• Height(from grade to . . . •.•
L/ ft.
Front.yard ft.
r i Side yards . . .f. • • • •';�
. . ft. and d ft.
-"if �� s;r�:,. .Rear yard . 6-5 ft.
sou- • If op 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: Wooc____Lk_anie, fire safe,etc.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
•
W used?' If so, for wh 0
. . .F. . (?�r?-�,,, Thickness . .; C am'
Material.of foundation walls . . . .l. � •X•I. .(..,....K..
Depth of foundation walls below grade . . :Cal' Continuous foundation?
Will there be a cellar? � If so, material of cellar floor . . . . . . . .
Type of roof: Slowed or flat. Material of roof :
Size,wood studs
-`,- "x Ce ", spacing . I. "o.c., length V- • ft.
spacing 1.-k, "o.c., span . . /.3.Z. . . . . . ft.
Size;floor beams, 1st floor . . . . ._.- _. ."x l p gPa
iss• oor
" x ", spacing "o.c., span ft.
Size, ceiling beams... . • • • • • • „x • • •L••0- ", spacing . . . I... . . . . . ."o.c., span r Z ft.
Side, roof rafters or beams
„x ", spacing . . . .1. .(,Q.. . . . . ."o.c., span / ft.
Exterior finish . . . • -6r.- a
� °i-- �'.„--.,, With what material? . ..
Finish of interior.walls. . . /--. . . . .G.'''`� • • c-, -e-
If garage is to be attached, of what material is wall between garage and.main bui.ldin to be constructed?
•• Is there to be/�n opening be weep garage and building?
Kind of heating system 'mill,bur tmr.ox-coal?
Willa flue-lined chimney be provided? . . . . . . . . . . Depth of chimney foundation below grade
Height of chimney above roof L.
Will there be a fireplace? . , - Depth of fireplace,hearth
Will a toilet be installed_?. . . .. . r
Will a kitchen sink be installed and connected to water supply? . .
Water supply(public water supply or pump) .
Distance of cesspool from any feet
Will drainage system be provided with required traps,cleanouts, and vents? Q
AFFIDAVIT
Town of Queensbury
• County of Warren
State of New York
I swear that to trr va r of my knowledge and belief the statements contained in this application,together with the plats and specifications sub-
mitted, are a true and co.,. 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 pertain to the proposed.work shall be complied with,whether specified or not,
and that such work is authorized by the owner. a �� --vt—
Sworn to before me this Signature OWNER.OWNER'S AGENT,ARCHITECT.CONTRACTOR
day of 19
NOTARY PUBLIC, WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT: -
•
•
•
• By .
TOWN OF .QUEENSBURY
BUILDING AND ZONING DEPARTMENT
BAY AND HAVILAND ROADS, R o D® #1
GLENS PALLS, NEW YORE 12801
APPLICATION FOR A PERMIT TO CONSTRUCT, ALTER OR ENLARaF:
A SEWAGE DISPOSAL SYSTEM WITHIN THE TOWN OF QUEEN SBURY V�
OCCUPANT e S NAME ADDRFSS S�
T1 LF.PHONEF_ ( G 5 E C 2 OWNER'S NAmr 4 6 --�--
7�DT�FtES or' �__ L1" rU BER OF BEDROOMS
CARBA(;E GRINDER? (YES OR MO) TOPOGRAI?IIY: PLAT, POLLI,TO, STFr'P, SLOPE ,
GENTLE SLOPE, OTHER
NATURE OF SOIL: CLAY, SANDY, LOAM, GRAVEL, ROCKS, ETC,.
: '..F?CoLPITTON TEST 'v.'ATER SUPPLY: MUNICIPAL, 'P LL, Off'}IFR
DIMIRAN OF PP.OPOSPD SEPTIC 6YSTFS
o
Z,
OTHER PERTINENT INFORMATION
IT IS YIE'PI Ey AGREED TWIT IF THIS APPLICATION AND PLANS ARE APPROVED,
KNSTPLATIoN OF sm GE DIt—OSrL F.I CXY IPIFS WILL BE WIDE IINNN .f,CCORDIANC •,
A,. ;Ty x f .
SIGNATUPF OJ APPLICANT , ?.
cropc17 DAM COMMISSION APPROVAL: -
s" (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
•
2 . Type of heat
3 .. Is the building mechanically cooled? /1/es
4 . Percentage of area of windows and doors
A. Over 16% Only
1. U value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions'
2. Floor over heated spaces YES NO
a. Are foundation walls insulated? YES NO
1. If YE-S_, what is the R
3 . Slab on grade ' YES �.ti NO
a. If YES, what is the``R:�va� ue of insulation around
perimeter of floor? �`�
4 . Is basement heated? i' YES ' NO
a. R va?.ue of insulation
1/ 5. ' Type of insulation '
B. Under 16% Only
1. R value of roof and floors exposed to ambient conditions=
2 . R value of exterior walls i2_16z
3 . R value of glazed area
4 . R value of doors /2
5. R value of floors over heated spaces R — ,3- '3
6. R value of slab edge insulation - unheated slab ,e/l
7. 'R value of slab insulation - heated slab AU/
8. R value of heated basement/cellar walls (above grade)
9. R value of heated basement/cellar walls (below grade)
i
10. Type of -insulation S' rd /d4,l pckg.r7'(4.--)
'
C. Controls
1 . Thermostat- maximum heat setting dam—
D. Duct Systems
1. Is duct system installed in unheated spaces? YES NO
a. If YES, R value of duct installation /V AJ /1*
b. R, value of . duct in other areas
E. Piping Insulation
1. Size of hot water or cooling carrying gent pipe
2 . R value of _pipe._ insulation
F.'' Service Water. Heating, d
1 .1, Performance efficiency .
2. Temperature control setting maximum '
G. For Swimming Pool Only
1.,' Maximum heating /�
Telephone No. 6. Co Sr� Gz' �✓ � -�"
(applicant ' s signature)
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date
Name j2G,M< J
Locati6n /-/eJ - :)4
Permit No. „1/d Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation _
Cement Coat
WaterproofingBackfill7i>1-014/
Final Survey
Framing
Sheathing
Roof Felt
Roofing
0/<
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 -V—
Door Closers
Chimney
Water Meter Inst. .
Septic Approval
Floors
Insulation Foundation '
Walls
Ceiling
Building Irector
REMARKS . 0
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date L3= s
Name__2>il 0ti
Location e/,, j Lot'S) aSt. #- 3
Permit No. 6 a /c2 Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey �f
Framing
Sheathing `J
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves f
Wall Board /
\\\ -
Ext. Porches /
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile /
Concrete Floors t'
Plbg. Fixtures
Gar. Fireproofing
Door Closers -
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
)4?
Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
� o
Inspectors Report Date /-/l
Name
•
Location k4 J .f�!-
Permit No. G, c2 Weather
Remarks
Excaria ti on
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing •
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg. ///K\\:
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'
•
Buil i Inspector
•
•
REMARKS
•
•
He
/u t •
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date /2—/ ,-
Name ..26. rr f/
Location "..fr/so,t.,rA' Lod 5
Permit No. / /a Weather
Remarks
ExcaTja 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
Cellar Dr. Tile _
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling '
Build g Inspector
REMARKS
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