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5725 _ /1) - • CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK • _ Date t-.:OLE.a "S 19 This is to certify that work requested to be done as shown by Permit No. c;717)--- c has been completed. 04,46/ ain4 This structure may be: occupied as a Location fIT11 fl , . Owner leC)- ccf-y: \r"f By Order Town Board TOWN OF QUEENSBURY - -- -- - --------------- ----- ------ ------- --- Building & Zoning Inspector • CREATIVE "INSTA• PRINTING. GLENS FALLS. N Y 12801 1518)793-5658 BUILDING PERMIT TOWN OF QUEENSBURY No. 5725 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to George and Gail Gore ., OWNER of property located at Lot 81 Helen. Drive (St. NO. 4 5) Street, Road or Ave. G� 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 O approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is 1106 Regency Park Glens Falls, N. Y. • H 2. CONTRACTOR or BUILDER'S Name Lee Horning Construction 1-1 3. CONTRACTOR or BUILDER'S Address 361 Maple St. Hudson Falls, N. Y. 12839 4. ARCHITECT'S Name rt George Kurosaka, Jr. rt. 00 1 I—' 0 o 5. ARCHITECT'S Address ct-CD 206 Glen Street z m Glens Falls, N. Y. e i C7 A. K 6. TYPE of Construction—(Please indicate by X) N C- (X)Wood Frame ( ) Masonry ( 1 Steel ( 1 7. PLANS and Specifications No. 70 'x24 ' 6" per plot plan, specifications and application submitted including sewage system and two-car attached o • garage. . 8. Proposed Use ID One-Family Dwelling N- $5. 00 C/O Paid $ 102 . 00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 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 O town of Queensbury before the expiration date.) F-' Dated at the Town of Queensbury this 16th Day of April 19 79 �q SIGNED BY /J J, G ��`�'.'��� i�2J for the Town of Queensbury Builds g and Zoning Inspecfor . • TOWN OF QUEENSBURY (Space inside block to Ix. filled in by WARREN COUNTY, NEW YORK ' Building Inspector) Application for Application No. Perm It ItiNtled . 19. BUILDING AND ZONING PERMIT Permit Expires. . 1g 7.oilitt . District • \ aim. o1 Work I THREE (3) Copies of a PLOT PLAN, Drawn to scale .\1)1d bY • showing the actual dimensions of the lot to be built RcularKs- upon, The exact size, and location on the lot of the • building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. / 4/./. /7/. TOWN OF QUEENSBURY --ii - --. A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK APR 17 19/9 ANSWER ALL OF THE FOLLOWING. A.M. .M. The undersigned hereby applies for a permit to do the following work 7 181911-0114.11,2_,J1-NlIfl516 which will be done in accordance with the description, plans and specifi- nit L__e_A.._ cations, and such special conditions as may be indicated on the permit. 4- , •A _ . Tcp.)270ner of this prIrty,is: . . , // INA'4E) (P.O.ADDRESS) The person responsible for .supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: }, K , t.- 0 -o,114-•%(.. E I'( AA Arcn.:‘ t--4v1A 54,-Les 0\i‘f • , (NAME) (P 0 ADDRESS) Name of Builder. .‘-g4.‘k-.1P.T.-!-:.\!1'. ... . ................'FLIP/Address -3(01 tik A- '(-- • Ks 1:--, &.1 • 4—....___ __ c.....___. s...„ Name of Plumber t-j'-- L..— Address Name of Mason c....._-__ ,--- 1...,..._ , Address Ae Lot Number. t ‘, Unit Estimated value of proposed work S SC) .(-19 .i, • "1, e Name of Village . . is,r1V Name of Street R0,-6-4 ‘1::=°. . Side of street: north 0, east 0, south O. west 0 Nearest Cross Street .....1).0<./).PA. .. .7? Distance from this cross street '\ '' 0 0 Ft. Property is north 0,south 0,east i.--), 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 ' gl....._ Construction of a new building. . Main Building Li! Addition to a building. , . . One-family dwelling , X, CI Alteration to a building. Two-family dwelling 0 El Demolition of a building. -family apartment house 0. Store building [j] • . -car attached garage 0 . . Other: ' • Accessory Building - • • . One-car detached garage Li 1-,:i Other work. Describe- • Two-car detached garage 0 Private chicken house El . - - Private storage building 0 • ' 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- NORTHposed buildings,and the location of all existing buildings. Show proposed building(s) in dotted line and existing huilding(s) in solid line. _ _ 1 0 Size of property . . : /0.6. . . . . . . ft. x / , ft. Size and use of existing buildings, if any r. 4%; \ 0 L- ,, •i Ite11.) \ Q ' . w \IL ' ( Size of proposed building 7 0 ft.x . .7%V. idle. . ft. Height(from grade to ridge).. . . .1-7, (.0 of ft. Front yard S-12 ft. 4 --<--i/IV-:-4 Side yards / ''...--1 a ft. and if<- ft. / i' 1,.. I Rear yard ?s ' ft. SOUTH If on corner,setback from side street ft.. Note:NOte: All distances are net, as 'Pleasured from street side • • line to nearest part of building. (OVER) .: . , . 7-7 3-M . . . , . . . . . „ . . (cont'd.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame,,fire safe, etc.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . Will any second-hand lu -- = • sed? ^i f so, for what' Material of foundation walls ,e i_o GK at®E 7`) Thickness 10I4 Depth of foundation walls below grade n Cont' uous foundation? . . . . Will there be . • ..r? V 6S If so, material of cellar floor it,on /Ve---, e—ro " Type of roo : loped or flat? 07 J Material of roof . .S 4.4 t Size, wood stiles r ,i, " x • •4 Id ", spacing !1 ,;. . ."o.c., length C ft. Size, floor beams, 1st floor . . . .v.. "x f 0 ", spacing ®�i "o.c., span 11 ( fl ft. Size, floor beams, 2nd floor t t. . . x (O eg ,� ", spacing e 0 -`' "o.c., span e1 ,6 ft. Size, ceiling beams -tl ' x • frjj �i.:jt?.v.?�Y7, spacing "o.c., span ,4g 6 ft. Size, roof rafters or beamsp x V l Lv ��, spacing ( "o.c., span 7 t( ft. Exterior finish L.W.tijt�l.1?-,r4,.,-.,:'�� With what material? . 00 • Finish of interior walls (9 1,9,3 Pr'',. -N If garage is to be attached, of what ma erial is wall between garage and main b • ding to be constructed? e q �jt•.9 rfk /�j ei --arr'dig CJ °Lis'.<.x-7.Derear`. Is there to be an opening between garage and building? ! • Kind of heating system . . `, ale--- Oil burner or coal? .�. Will a flue-lined chimney be provided? . .Y } / . Depth of chimney foundation below grade Height of chimney above roof.\.j� d e i Will there be a fireplace? .: . . r� . Depth of fireplace hearth '� Will a toilet be installed? ,6 `/ Will a kitchen s' s••-.' ailed and connected to water supply? Y - Water supply sublic wate supply or pump) . Distance of cesspoo from any private well J'id feet Will drainage system be provided with required traps, cleanouts, and vents? . . .`6.5 Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to tt be r of my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and co.i.plete 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 work shall complied with,whether specified or not, and that such work is authorized by the owner. A Sworn to before me this Signature A 0 ER.OWNERS AG ARCHITECT.CONTRACTOR day of 19 , NOTARY PUBLIC, WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: t` • By TOWN OF QUEENSBURY WAAREN 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' E=. 2. Type of 11°.at* V4. 4500 :004, 40001, 000hOOMOOV0000 ,. ,- 00h00 ,0000O0000 • D00000000 3. Is the building mechanically 61 4. Percentage of area of windows and doora . . . . . /. A. Over 16%. Only 1. U0 value of gross area of wens, rooficeiliag and floors eupcsed to ambient C. 630000 Shee • ta 0000 O • e) . 00 0011 0 • 0000 • 01 . to Oh 001, 0 (90 • 0 9 , • 61 • ) ,DOn 2. Floor over heated spaces 1MS NO a. Are foundation walls isulated? YES NO 1. If YES, what is the R 3. Slab on grad YES NO a. If YES, what is the R value of insulation around Perimeter of flO0r7000e0e0000mooao0nopoeilloaeoaoipaeon000oefoos. Ocono , 4. Is basement heated? YES MO a. R value of 5. Type of Bo Under 16% Onlm 1. U value of roof and floors ewposed to anbient conditions . . . . 2 U value of euterior 3 U value of glaned aZGah. 0041% 00000000606000ho004d00h0000WOWO e 6 4. U value of doors ," A00 .1 G. 1, 44066666004 64, 606 we 446060 .660q6664406. 6064 6 5. U value of floors over heated 6. R value of slab edge insulation - ilicented 7. P. value of slab insulation - heated 8. U va/ue of heated basement/cellar walls (above grad 9. R value of heated basement/cellar wall (below grade) . . P . 10. Type of C. Controls -- 1. Thermostat manimum heat D. Duct Systems 1. Is duct systom installed in unheated scaces? YES NO a. If YES, R value of ,:luct b. R value of duct in other E. Piping Insulation 1. Size of hot water oz cooling catrying agent pipe . . . . . . . . 2. R value of pipe F. Service water Beatinc 1 1. Performance efficioncy. . . . . . . . . . . . . . . . . . o . . . . . . . . . , . . , fOr1, 00 2. Temperature control setting G. For Svimminv Pool Only 1.---i4asimum heating.. 0 004' 000000160 64600 6 ,7001, 0 600000 6, 120v ono . . AtMe 1.1.11111116614_ • . TOWN OF OUEENSBURY BUILDING AND ZONING DEPARTMENT • BAY AND HAVILAND ROADS RD #I GLENS FALLS , NEW YORK 12801 APPLICATION FOR A PERMIT TO CONSTRUCT, ALTER OR ENLARGE A SEWAGE DISPOSAL SYSTEM WITHIN THE TOWN OF OUEENSBHRf OCCUPANT S NAME �o �W , A��C_T���EADDEstES S I T l TELEPHONE -23-6`1o1 OWNER'S NAME SM E ADDRESS NUMBER OF BEDROOMS GARBAGE GRINDER? (YES OR NO) TOPOGRA 'H�Y: s`+'I.- ROLLONG,STEEP, SLOPE GENTLE SLOPE, OTHER NATURE OF SOIL: MAY, SAS'+�DY, LOAM, GRAVEL, ROCKS, ETC PERCOLATION TEST 1,1- 1,giiA.TER SUPPLY 2 UN!CIPAL, WELL, OTHER- DIAGRAM OF PROPOSED SEPTIC SYSTEM i G I 1.0 a( -. -0 4- S r f A/ 12 rzax '1pcsa GAL, i/s„rr� OTHER PERTINENT INFORMATION e,. - tl.W.0e.#2 ci 2 O`l'✓_ IT IS HEREBY AGREED MAT IF THIS APPLICATION AND PLANS ARE APPROVED, INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL BE MADE IN ACCORDANCE WITH DETAILS SHOWNa DATE 4-6 ?y . SIGNATURE OF APPLICANT rru I LAKE GEORGE PARK COMMISSION APPROVAL: (signature) dre 9 c2 S 1 n •' • • •AJ. A • A/), AA ` .A.0 AAA • • • •'. • • IY THE NEW YORK BOARD. OF FIRE UNDERWRITERS Y 0 BUREAU OF ELECTRICITY 41 STATE STREET,ALBANY,NEW YORK 12207 " Date Application No.on file •,Y T k THIS CERTIFIES THAT Y .r k, onlythe electrical equipment'as_described below and introduced bythe a licantnamed on the above application number in thepremises of ,Y PP PP � 04 k in the following location; .111 Basement E 1st Fl. E 2nd Fl. ` .•--=- °- ' Section Block Lot py was examined on .. 4 ! r' , .. and found to be in compliance with the requirements of this Board. rY •_, FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ; OUTLETS - INCANDESCENT FLUORESCENT MERCURY VAPOR AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P: ,Y G rY .T Y 6 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS r SYSTEMS '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 t: SERVICE DISCONNECT NO.OF S E R V I C E Y ..<1 AMT. METER 1.0 2W 1.0'3W 3..if 3W 9,9'4W NO,OPERC,gCOND. OF CC.COND. NO.OF HI-LEG OF HI-'L G NO.OF NEUTRALS OF N UTR'AL ')- iY �1 Y OTHER APPARATUS: ,Y •r ,Y !- ._. --: . ,-. .' ,. .T _ Y_ - ,y ._ ," Y Y 9" 'Y ,- rY 9- IY rY rr .Y V- BRANCH MANAGER ier it Y Per Y rr y CYYYYYYY YYYY YYYY YY YY YY YYYY YY YY YY YY YYYY YYYY YYYY YY YY YY YYYY YYYY YYaY'YY YY YY YY YY`CY YY YYYY YY YY YY YY Y YY YY -Y`CY YY YY YYYYYY YY Y` COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OFSBuy. Suiiiling. Department Inspectors Report Date_ 9- 10--72, Name , G e 0 Y1 �. Location • krz, _ —" Permit No. 5 7'� 'Weather Remarks Excavation Footing Forms iT Footing & Piers _ f -_ Foundation Cement Coat Waterproofing Backfill Final Survet? Framing - Sheathing Roof Felt Roofing f Siding Masonry Veneer Rough Plbg. •f/ Relief Valves Wall Board ) Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors 1 Plbg. Fixtures Gar. Fireproofing ! / _ Door Closers Chimney Water Meter Inst_ L i Septic Approval Floors 1 Insula-tion � ?C'r.t L Falls • Eu_lrng Insa.-r_tor REMARKS TOWN OF QUEENSBURY Building Department Inspectors Report Date 0—2 Name Location j4/y/ate Permit No. j 7 a S Weather Remarks Excata ti on Footing Forms Footing & Piers Foundation Cement Coat l iiL,7414 Waterproofing Backfill Final Survey /S2 Framing / Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings /1\4 Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers / .At �in.(S.r t' h Chimney t'J Water Meter Inst. Septic Approval Floors Insulation Foundation ' Walls Ceilin G (2 Building Inspector REMARKS • TOWN OF QUEENSBURY Building Department Inspectors Report Date e7- /:" 7 9 Name Location /77,e/eit) Permit No. .-37r25 Weather Remarks ExcaVation 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 FlObrS ' Foandatirm Insulation walls Buil ing Inspector REMARKS • • TOWN OF QUEENS-BURY Building Department Inspectors Report Date 4' /J 4//?Y- Nash (e ;.. � t7 e Location Ld7 �"/ We/ei, Dfr- e //a. c.Q c) Permit No. S 7 a 3 Weather • Per Cent • Complete Remarks Excavation Footing Forms Footing & Piers (12 � Foundation Cement Coat • Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Rough Htg. f�J Relief Valves Wall Board Ext.Porches Finished Floor Interior Trim /J Stairs&Railings Cellar Dr.Tile Concrete Floors Plhg.Fixtures Gar.Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval - Building Inspector REMARKS e e Aar n i/1, C a rt-irg a rd)-- t � �'2©E'E27'� �r+•��E r _O 74 Ix,, NE -IV 2E►s�+�tG. Co•tt�w�ttc _....� 1 ¢ f! GOT � & t e« >, of L��l2GtZ #nf �ict1N 235 ►v»GE Rt4'►.� Rs 1/riN k� �swl C4LtSr.. N?027 Mid r?s tuko ow GEORGE KUROSAKA, .lR CONSULTING ENGi , E? �QS 44C M STREET QL:EN'3 1�A1L3 N. Y. t 290 t