6676 .
ii
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY :
WARREN COUNTY, NEW YORK .
Date 11 A-711,p'-4 :' ( 19
��
This is to certify that''.work requested to be done as shown by;!Permit No. ( -(7 çD
I
has been completed.
Thu structure may be' occupied as a ON' - ' (T ll''3 f __ x ((1,1iik-
iC
Location ^) r '-. -'( - . -7 '7 (/ e i"Ii i`i o. 5 0)
Owner exy9 .:5? e Ih G C1 1 By Order Town Board
. TOWN OF QUEENSBURY
r,i
/ ' Building & Zoning Inspector
,. I.CREATIVE "INSTA" PRINTING. GLENS FALLS. N Y 12801 I518)79)-5858 -
II
BUILDING PERMIT
TOWN OF QUEENSBURY No 6676
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to George Senecal Builders, Inc. u.
OWNER of property located at Lot 62 Helen Drive (St. No. 50) 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.
O
ri
1. OWNER'S Address is 57 Helen Drive
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name (D
Same ~'
tb
3. CONTRACTOR or BUILDER'S Address F'
Same n
cn
4. ARCHITECT'S Name `
H
5. ARCHITECT'S Address
L�
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cnrt
rt,
6. TYPE of Construction—(Please indicate by X) ' rn'
N'
ti
(X)Wood Frame ( ) Masonry ( )Steel ( ) O i
(D
Ul (D7. PLANS and Specifications (z)
34 'x54 ' per plot plan, specifications and
No application submitted including two-car attached 0
garage and sewage system. N.
8. Proposed Use - (Cl
One-Family. Dwelling
$5. 00 C/O Paid
$150. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 1981
(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.) W
Dated at the Town of Queensbury this 2 9th Day of October 19 8 0 `-<
SIGNED BY �� '( , o-ze % ' for the Town of Queensbury
Building and Zoning In ctor
•
W
TOWN OF QUEENSBURY t (Space inside block to be filled in by
WARREN COUNTY. NEW YORK • Building Inspector)
Apnpnlication for Application No. :
PP 1'rrmit issued 19. .
BUILDING AND ZONING PERMIT I''•'-mit F1xpires. FE .
ia,tiin_ District
• \ alnc „I Work
THREE (3) Copies of a PLOT PLAN, Drawn to scale \i'i"•"\t•c1 by
showing the actual dimensions of the lot to be built Renlai•Ks
•
upon, The exact size, and location on the lot of the •
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
TOWN OF QUEENSBLir:",
90 _g- 6a to— a. $ -?o R CJC E II V E
DATE
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK OCT 2 �31900
ANSWER ALL.OF THE FOLLOWING. A.M. /5 5.6-1- J�-° �.M�
The undersigned hereby applies•for a permit: to do- the following work 7I8191IO111J12)1I2I3I4I5J6
which will be done in •accordance with the description, plans and specifi- - -cations, and such special conditions as may•be indicated on the- permit. Lk /VtG Iu c c(p
The owner of this property is:
.Gec�r�c�.�. . ,.-e".cc(NA �� t.�a VA--e_.\.5.i. \. .. . .59 \\Q—.•\�c\'hc-- G L-es. .�-�.\�S�K. 1.
•E1 (P.O.ADDRESS)
The person responsible for ,supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
• • • ` '
•
•(NAME) • (P.O ADDRESS)
Name of Builder. . . . .SCst•_.•v9. — . . Address
Ct. Name of Plumber' t . . Address
L7 O Name of Mason - Address
Lot Number. .Co• Unit Estimated value of proposed work S 7*.D k5 C' 4
Name of Village . . Q.U2_,e_. A-7-, ��-Y
Name of Street . \:E'--n-•".—.--- .R.l V e-- Side of street: north 0, east 0, south ❑, west
Nearest Cross Street \* _.\.�. \C-K . • •-\.ce.e_T• • • • • • Distance from this Bross street Ft.
Property is north 0,south (21,east i i,west ❑from•Cross Street
If on Corner, which corner,•northeast ❑, northwest ❑, southeast h. southwest
(Designate by marking•with an "X" in the correct space.)
NATURE OF PROPOSED WORK , OCCUPANCY
Construction of a new building. Main Building
❑ Addition to a building. One-family dwelling --
❑ Alteration to a building.
Two-family dwelling • ❑
❑ Demolition of a building. . • • • . .-family apartment house ❑
St building ❑
. . . . .-car 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
Iuilding(s):in solid line.Size of property ' /O//��J ft. x /0 O ft.
Size and use of existing buildings, if any
F
231 ft.x
i w Size of proposed building '(/ ft.
Height (from grade to ridge). . . c2C.)• . . ft.
Front yard X/ 9 ft.
• Side yards . . . . . . . .,2.c3
. . ft. and .&23. . . ft.
Rear yard 75 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. SD— g„,_,
Will any second-hand lumber be used? NO If so, for what7
Material of foundation walls /'1x.!(.o.u. . e.en2 e/L1%. . /UC.its Thickness
Depth of foundation walls below grade 5 Continuous foundation?
Will there be a cellar? .yes If so, material of cellar floor 4i� C'OOC/e./Q,
Type of roof: Sloped or flat? .S'/C)./J e.. Material of roof . . . • . • • . • . . . • . . .
Size, wood studs 2 "x " ", spacing /6 "o.c., length • ft.
Size, floor beams, 1st floor a2 " x /0 ' ", spacing /( "o.c., span ft.
Size, floor beams, 2nd floor 2. " x /0 ", spacing /C4, "o.c., span /? ft.
Size, ceiling beams 2 . " x G ', spacing /Ca"o.c., span / ft.
Size, roof rafters or beams 2 " x CP ", spacing /C,'"o.c., span ft.
Exterior finish .6.'�• .(L Q !a?A • .Sl.Z "& U With what material?
Finish of interior walls r/ " 5/L.eer.RO C K
If garage is to be attached, of what material is wall between garage and main building to be constructed?
/2" fil�e.c i/. . . ./t.ee. c
Is there to be an opening between garage and building? . . y.eS
Kind of heating system k/./.C7'-A./C 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? yes Depth of fireplace hearth /
Will a toilet be installed?.
Will a kitchen sink be installed and connected to water supply? )/- S
Water supply (public water supply or pump) . 7 C
Distance of cesspool from any private well feet
Will drainage system be provided with required traps, cleanouts, and vents? . . .y..-e.S
AFFIDAVIT
Town of Queensbury
County of Warren
State of New York
I swear that to It.yea 0 of my knowledge and belief-the statements contained in ' a lication r w,ith the plane and specifications sub-
mitted, are a true and co.n.o lete statement of all proposed work to be done o ascribed p t add that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to sed wor al complied with,whether specified or not,
and that ouch work is authorized by the owner.
Sworn to before me this Signature
�J Q n W�} R, ENT.ARCHITECT,CONTRACTOR
2o day of..0 1 19.
NOTARY PUBLIC. WARREN COUNTY..N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
•
By
TOWN OF QUEENSBURY
BUILDING AND ZONING DEPARTMENT
, BAY AND 1-IAVILAND ROADS RD #1
GLENS FALLS, NEW YORK 12801
APPLICATION FOR A. PERMIT TO CONSTRUCT, ALTER OR ENLARGE
A SEWAGE DISPOSAL SYSTEM WITHIN THE TOWN OF QUEENSBURY
C :C UPANT9 S NAME ADDRESS
TELEPHONE ONNER'S NAME C i 9e 2 a.LJ ./YaaesyC...:.
NUMB ER OF B EDROOMS 6/
. GARBAGE GRINDER?.ivO (YES OR No) TOPOGRAPHY: FLATS ROLLING, STEEP, SLOPE,
GENTLE SLOPE, OTHER
NATURE OF SOIL: CLAY, SANDY, LOAM, GRAVEL, ROCKS, ETC.
. PERCOLATION TEST WATER SUPPLY MUNICIPAL, ELL, OTHER
DIAGRAM OF PROPOSED SEPTIC SYSTEM
OTHER PERTINENT INFORMATION
.T IS HEREBY AGREED THAT IF THIS APPLIC:-.TION AND PLANS ARE APPROVED
9
INSTALLATION IO OF SEWAGE DISPOSAL FACILITIES WILL SA_. IN ORDAN
WITH DETAILS SHGWN.
/7'74-
DAT F. Q 51GNATURE OF APPLICANT
LAKE GEORGE PARK COMMISSION APPROVAL: ___
(date)
)
A.A.A.A.A.A.A.A.AAAAAA A. AAA, V/ • 9 9 9J, 9 • AV/. IL/. • •L. 9.1 I A". A A A A.. A.
THE NEW YORK BOARD. OF FIRE UNDERWRITERS
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BUREAU OF ELECTRICITY
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1 3.•. 41 STATE STREET,ALBANY,NEW YORK 12207.
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' • '•;-<, Date i ...1,,,..,::_E;.:-; ,',./.., ,, 2...19 „:11 Application No.on file 4...‘d I C...n)--D"g, A '7'
..‹, THIS CERTIFIES THAT
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;,• -‹. only the electrical equipment.as described below and introduced by the applicant named on the above application number in the premises of
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=.0 in the following location; p Basement iri 1st Fl. li:j 2nd Fl. ,:- 1•1:-.,,3--:/..r:1;,:•,, Section Block Lot - '
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• ,j was examined on and found to be in compliance with the requirements of this Board.
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-i 4 FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS '>--
.--. OUTLETS RECEPTACLES SWITCHES MERCURY
INCANDESCENT FLUORESCENT VAPOR AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P: •
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; '•(. '''''.Cl. „Le.„ -,
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DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS ,)- -
' SYSTEMS ......:
, .4 '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
e : :'C 7 '1 . :,--.. -
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SERVICE DISCONNECT r NO.OF R V I . C E
-cl METER •
..<I AMT. AMP. TYPE EQUIP. 1,0 2W 1,fr 3W 3 13'3W 3)21 4W NO,OFpEiCiCOND.
OF Ae''.16S.ND.- ' NO.OF HI-LEG A.W.G.
•
OF HI-LEG NO.OF NEUTRALS
OF NEUTRAL
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OTHER APPARATUS:
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!.ipi. ; '.::,;::..;',/ '.'...r.-Y::i:. ...12.2.'1:„..0 71.
Per BRANCH MANAGER
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COPY FOR BUILDING DEPARTMENT. TB-US COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. .:: • ;-
•. , .....,
. .
•
TOWN OF QUEENSBURY
Building Department
•
Inspectors Report Date 8/':y5/
Name 7. C
Location ,E.LC EX.1
Permit No. G Ca'7(o Weather
Remarks
Exca' ation '
Footing Forms
Footing & Piers
Foundation
Cement Coat 1-1/4 -/ /AJiP
Waterproofing f
Backfill (
Final Survey
Framing •
Sheathing d:7) 7LC:-\
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
•
Relief Valves
Wall Board
Ext. Porches •
Finished Floor OK
•
Interior Trim
Stairs & Railings p
Cellar Dr. Tile -
Concrete Floors e
Plbg. Fixtures. .(94
Gar. Fireproofing Lift- _
Door Closers
Chimney Olt
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls _
Ceilin
Buil ing Inspector
REMARKS
®
s •
r
•
TOWN OF QU•EENSBURY
Building Department
Inspectors Report Date (9-( -8/
Name 5-elt7ef'r4
Location_ ,['„
Permit No. 6 Weather
• Remarks
Excaiiation .
Footing Forms
Footing & Piers
Foundation
Cement Coat •
Waterproofing r/
Backfill 1
Final Survey
Framing . .
Sheathing
Roof Felt
Roofing
Siding •
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches 0
Finished Floor O b I
Interior Trim OK
Stairs & Railings (9
Cellar Dr. Tile
Concrete Floors •
Plbg. Fixtures 0 lc
Gar. Fireproofing o tc
Door Closers
Chimney
Water Meter Inst.
. Septic Approval
Floors 4)6(
Insulation • Foundation •
Walls
Ceiling
• f(40-eetriA,D.
Building Inspector
REMARKS
/11 �� c
Fiior ifo-v5&:7
Fzge p/ t:.
LI
TOWN OF QUEENSBURY
Building Department
Inspectors Report bate '7r/,:f0 %.,j
Name
Location /7 sit;=R/ DP-- or (i 2
Permit No. [h(/ (p Weather '
•
Remarks
Excatra t on
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
"N\,.,\)
Roofing
Siding
Masonry Veneer \�Rough Plbg.
Relief Valves l
Wall Board
Ext. Porches
Finished Floor !4y' Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing v ��
Door Closers
Chimney J ,,^^
Water Meter Inst. �,.Septic Approval rl.�!
Floors
• Foundation
Insulation Walls _
Ceilin
Buil ing In ector
REMARKS
liC9(f-ee/
/ ?jam ()4;
•
•
TOWN OF•QUEENSBURY
Building Department:
•
• Inspectors Report Date (^?_‘ ^a/ _
Name
Location • 7, .,M ' //,7 6 a :(sr Ala.6 o)
. Perinit No. (0 76. Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat .
Waterproofing
Backfill > s;
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer /'
Rough Plbg. </e�v/,Div, , .54`i/f
Relief Valves PILO f ik , 7114;�
Wall Board � G
Ext. Porches
Finished Floor ,e /y 64
Interior Trim .e• Mr��s4 `jam,
Stairs & Railings
Cellar Dr. Tile
Concrete Floors •
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval •
Floors
Insulation
Foundation
Walls
Ceilin
•
Building„Inspector
•
REMARKS
6 e deretu ,6x 13c
•
•
TOWN OF QUEE SBU Y
Building Dpa?tment
Inspectors Report Date -5 (' ('/
Name '01
Location U 1: ?. �� 2-
Permit No. to Weather
Remarks
Excat)a 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 J
Water Meter Inst.
Septic Approval
FlOors
Insulation Foundation
Walls
Ceiling
Buildin9' Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
• Inspectors Report Date /2 z-J-•
SD
Name epJec- r
Locative z J
. Permit No. tp(b`)(0 Weather
Remarks
Excat>ation
Footing Forms
Footing & Piers ,77
!?urc✓1 �p5T-
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
d •
Building Inspector
•
REMARKS
iP
Q
ck
Yo�
Pam'/