6697 t �! C/O Paid
CERTIFICA'EE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date.' 19
This is to certify that;work requested to be done as shown by Permit No. 6697
has been completed
One—Family This.,structure may be occupied as a � �' � D,wellin 9
l;
Location Lot 61 Helen Drive, (St. N,o. 48)
Owner ,Tank
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
CREATIVE 'INSTA" PRINTING GLENS FALLS N Y 12801 1518)753-5658 - - -
BUILDING PERMIT
TOWN OF QUEENSBURY No. 6697
WARREN COUNTY, NEW YORK•
sv
a
• PERMISSION is hereby granted to Jack Yattaw
OWNER of property located at Lot 61 Helen Drive (St. No. 48) Street, Road or Ave.
in the Town of Queensbury,To Construct or place a On,,—Family nwt1 1 i ng
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 15 Owen Avenue
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Paul G. Sokol
rt•
3. CONTRACTOR or BUILDER'S Address ct H
• R. D. #1 Spier Falls Road
Gansevoort, N. Y. o N
. • cD
4. ARCHITECT'S Name
Co
CJ
fi
N.
C.
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications p
30'x57 ' per plot plan, specifications and
No. application submitted including sewage system
and two-car attached garage.
8. Proposed Use
N.
One-Family Dwelling 'C
$5. 00 C/O Paid cD
164. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 1 19 81 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 19th Day of November 19 80
SIGNED BY 0 d� for the Town of Queensbury
Building and Zoning Inspector 0
TOWN OF QUEENSBURY - (Space inside block to he filled in by
C
WARREN COUNTY, NEW YORK ' Building inspector)
Applicdtiott No.
Application for Permit Issued 19.
BUILDING AND ZONING PERMIT 1,..,..„it Expires. ig
Zoilin District
\;slue 01 Work i •
, .
. ,
THREE 131 Copies of a.PLOT PLAN, Drawn to scale ‘1)1"."`"1 l'Y
showing the actual dimensions of 'the lot to be built ItemarKs"
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
1 , -
MITTED WITH THIS APPLICATION,
/ /
(0
qo - 9 - / ////4, /ed TOWN OF QUEENSBUR t
A PERMIT MUST BE OBTAINED-BEFORE BEGINNING WORK - - - - --- --IE , L-11a [11 ANSWER ALL OF THE FOLLOWING. V ..i 1980 '
The undersigned hereby applies for a permit to do the following 'work
which will be done in accordance with the description, plans and specifi.. A,m; ' P.M.
cations, and such special conditions as may be indicated on the permit. 118191101111121 1.1 21 31 4 1516
'''''_t___,,,,. & All IIIII ILI
The ojEper of this property is: i,... _,..,
. . . .J.ACK. .Yit7r/.4.W 46 C.)W.eyn Pt v. 0 Live:e 115.bklic cre
INA•4E1 IP 0 ADDRESS)
The rson responsible for supervision of the work insofar, as the Build Code and the Zoning Ordinance apply is:
-RD.'J. 5piv--ADDR Fas Rel Caxl.e.smoa.
(NAME) (P 0 ESS) •
Name of Builder. . .?.9.0. .5... .‘51)4. I Address- , I 5e, i,e r FO1/41IS Pdc Gosirte-s-
Name of Plumber. . Sopm 161. .651-Alt-bAg..., Address g 4)g i 006.,..f.te,c. Roi Gavrte3.
Name of Mason pa„..1 ... 56ks) , Address .50,f91, -e...
Lot Number. . .64 Unit 4 Estimated value proposed work S 6 tat:SP
5-r- Name of Village . . . .a*g...2.,..s ,ue of ., •-
4 If?) Name of Street . .4e.......tibi. . .ors., , Side oleireet: north 0, east. CI south 0. west 121
Nearest Cross Street . . . Di•?4-Trt . . .R.i). . . . . . . . . . . . . . . . . . Distance Iron, this ^ross street 46-2)6 Ft.
Property is north 0,south Igl,east 5,west 0 from Cross Street, VV -
lion 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
Si Construction of a new building. Main Building
O Addition to a building. One-family dwelling Pt
0 Alteration to a building. Two-family dwelling 0
O Demolition of a building. . . . . -family apartment house 0
Store building 0
-car attached garage D
Other:
Accessory Building
One-car detached garage El
O Other work. Describe. Two-car detached garage 0
Private chicken house 0 ,
Private storage building 0
Other:
ZONING SPECIFICATIONS. Fill in for new bui ,i :,or addition to existing building,or a change of occupancy.
Indicate on the plot plan street names, the location and
-V. - size of the property,the 1ocatiot, size and setbacks of pro-
NORTHii. posed buildings,and the location of-all existing buildings.
?.
Show proposed building(s)' in dotted line and existing
Q
huilding(s) in solid line.
: . Kt '
' \
_;. 'Size of property . /DO, ft. x c24#7-e- ft.
70
c).
40 ,
v.4 Size and use of existing buildings,if any
I,: _ I-
in u, ,
i 4
is
)-.. • la S ze of proposed building . . .30. . . ft.x . .5-.7. . . . ft.
Height(from grade to ridge) . . .cAl ft.
I gill 9 Front yard 10 ft.
n
/
Side yards 1/45- ft. and (1 v ft.
• ife.kn P Rear yard /0 3 , ft.
• SOUT H 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)
7-73-M
, , .
- -
(cont'd.)
• BUILDING SPECIFICATIONS 4
A
Kind of construction:Wood frame, fire safe,etc) (A-binak "KG474-11,e_.
Will any second-hand lumber be used? YA o If so, for what?
•Material of foundation walls . -1.01. .C.0.-accc .... . .b1.0.cl.<—. thidtness JO"
Depth of foundation walls below,grade . . .(0 Continuous foundation? .1-c.5
al 1 I
Will there be a cellar? . 4.V-5.. . . I. . . . If so, material of cellar floor -r coNlcce,Ve._
Type of roof: Sloped or flat? . . . 1.Qp:er-k., Material of roof -06-bP IVAI 1—
Size,wood studs a. - "x 4 ",spacing I Co "o.c.,length 8 - ft.
Size,floor beams, 1st floor ., , "x s fro ,",spacing .. ,../19. . . . .."o.c.,span i - ft.
Size, floor beams,2nd floor . .. .9,. . . . ."x I b ",spacing i to ., "o.c.,span 1 ft• .
Size,ceiling beams et, "•x ,(6, ",spacing I 10 "o.c.,spazi I ( ft.
Size,roof rafters or beams 9•• % "x to,' -t_ex.iftj'. e?.",spacing ' t 6 "o.c.,span . . . 91 .?i-:. ft.
Exterior finish . . .C411C.C50-1 ,_, . . FN 1`.S.:1.2ax-Ar.L.A.Sjd i-(tiVith what material? . . . .
• Finish of interior walls et....t.CoCk. __ 4
If gage is to be attachedf w at m terial is wall between garage and main building to be constructed?
Is there to be an opening between garage and building? t)D.Eve_
Kind of heating system '-e....ttc_A-t",k., Oil burner or coal? 4-7 g.Y.1 ee
Will a flue-lined chimney be provided? ,.1. . .r17..2. . . . . . . Depth of&idiot*/foundation below grade
i fl
Height of chimney above roof. . . . .i D.
• Will there be a fireplace? A-)s--"C 5 Depth of fireplace hearth A '
Will a toilet be installed?. :. . . . It—5
Will a kitchen sink be installed an connected to water supply? . . . .C.A,C5
Water supply(public water supply or,pump) fix..,1)i cc. .tocb-e r
Distance of cesspool from any private well .......,____---,. feet
• Will drainage system be provided with required traps,cleanouts,and vents? . . . 1...6f.,5.
AFFIDAVIT
Town of Queensbury
• County of Warren
State of New York
I swear that to tr. iiiiTof my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are • true and coa.plete statement of all proposed work to be done on the described premises and that all ' • ns of the BUILD-
• ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the propoaed work shall be complied • whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this • Signature PakLe, 4 . -A-4- ,Th
OWNER.0 ER.„AGENT.ARC CT.CT.CONTRACTOR
-----diy Of - ---— -
NOTARY PUBLIC.WARREN COUNTY. N.Y.
•
SPECIAL CONDITIONS OF THE PERMIT:
0 c—cl
•
2,06 ---- / 3 f • • - .
e;---:'-/-----------------:'7:-j it 7 .
,
By
•
TOWN OF QUEENSBURY
BUILDING AND ZONING DEPARTMENT
BAY AND HAVILAND ROADS, R. D. #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_sles.,KYiarpc ADDRESS
TELEPHONE OWNER'S NAME sam
NUMBER OF BEDROOMS:/
- - GARBAGE GRINDER? MC YES-OR-Nar-TOPOGRAPHY: LAT LLING,TSTEEP,
SLOPE, GENTLE SLOPE, OTHER_:t2ke- 101 - /-n
i00
NATURE OF SOIL: CLAY, 60i) LOAM, GRAVEL, ROCKS, ETC.
PERCOLATION TEST/9, TrN;1-N WATER SUPPLY: OSTICIFil WELL, OTHER
DIAGRAM OF PROPOSED SEPTIC SYSTEM
57 ) 6"
- F
"D ,
ki;:c1Nft•eM 4 g"•LAv.
OTHER PERTINENT INFORMATION L527re 1.6 ‘17-
I Lo •/./
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IT IS HEREBY AGREED THAT IF THIS APPLICATION AND PLANS APE APPROVED,
INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL BE MADE IN ACCORDANCE
WITH DETAILS SHOWN,
DATE SIGNATURE OF APPLICANT_PatLe
LAKE GEORGE PARK COMMISSION APPROVAL
(sfaiature)
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THE NEW YORK BOARD. OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
41 STATE STREET,ALBANY,NEW YORK 12207 .)-- .,,i.-,•
t-:.• 4' Date A p?.'!i?1. 2 , 3 981 Application No.on file 404263-3:4
r:, 4 A 5 6 2 1 3 6 „... .....
0 1 THIS CERTIFIES THAT • ',.: :=F••
•_-
1'7.;) -<, '): •:-='
only the electrical equipment'as described below and introduced by the applicant named on the above application number in the premises of
a t c , Lot ili-Y5 1 Vic'1..i.c3E.2 :02,Tivia .0,l.,.)Fts 12o 2.le , Ne‘,.--3 7 07,21:
,A1
4 in the following location; :LI Basement El 1st Fl. P 2nd Fl. C1421"-:`2'.148 ' Section Block Lot
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• 1 was examined on 3/97 in ra and found to be in compliance with the requirements of this Board. . .)..-
.>" .
1}4.
.).-
.-..i ...‹, FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS
RECEPTACLES SWITCHES •
-I ''..‹, OUTLETS INCANDESCENT FLUORESCENT MERCURY MAT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. MAT. H.P.. ,)- "7
1
A,_-,,!.!
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS
BELL SYSTEMS
'AMT. K.W. OIL ' H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. MAT. AMPS. TRANS. AMT. H.P.
''.'•-•' r-1: NO.OF FEET MAT. WATTS
1 T):.'Re',.' 'hi Ti 0 . • 1
. 'Y-- _-.7•
: SERVICE DISCONNECT NO.OF L " 1 AC '3.; E R V I C E •
' 6-
METER
1 AMT. AMP.
TYPE EQUIP. 1.0 2W 1 0 3W 3 0 3W 3 ft 4W NO,OFpEiCirCOND.
OF Ae :C01,1D. NO.OF HI-LEG A.W.OF G.HI-LEG NO.OF NEUTRALS
OF NEUTRAL
I A-
'AI
'7I 9 no., r-.1 1 :z... 1 4/0 1 2/0
,xt .1... ,-...,...: ...-q_.
OTHER APPARATUS: .>.-
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7_7,2.e f..1 tri c Her : L.- 2 .0 7,T11
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rl VICI,E1:30.17002'_.'7,:., Koz-o 1,:o1::?tz 2-2(3 31 BRANCH -MANAGER .1
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Per ...I ,,
'...-17.:: 'I-1,1-1,??T y y y y 7,ri-I-7-7ri,i-7-i-i-i-VI-T i-i,i-Te i-i-ri-i-1'i-T i-Vi-Vi-Vi-i-i-T,i-i-i-i,cri,i-i,T‘i,i-i,T,'T-I-T i-Vi-i•i-r,i-i,"ci i-i i-ii-Vil T-Vi-i-i-i i-i,-5,i-ii-7-1-7,ri,i-"?i-i,i-i,i-7--ri i-i--i-i- F-2,
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. .-: • , t:
TOWN OF-Q. .UEENSBUItY .
Building Department
Inspectors •R Date 7 -6-8/
Name a . f1U)
Location �� -'
. Permit o• 66 97 Weather
•
Remarks
Excattation.
Footing Forms .
Footing & Piers
Foundation
Cement Coat
Waterproofing \
Backfill \ %/
Final Survey
Framing i
Sheathing /
Roof Felt / •
Roofing ; \ :
Siding // -
Masonry Veneer
Rough Plbg. V /a �_
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
FlOdrs '
' InsulationFoundation
Walls MEW '
. • Ceilin•
Buil.ing spector
REMARKS •
TOWN OF QUEENSBURY
Building Department
Inspectors Report • Date
Name �a &/ (Q aw )
Location /N 1_a cpl •
Permit No. G 4; 9 7 Weather
Remarks
Excatation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey �'�7<ss.:_j
Framing L
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 '
Foundation '
Insulation
Walls ' "
Ceilin
Building Inspector
REMARKS
.
/ 3d 7`
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date
/� 7/
Name Q LCl/
Location
Permit No. -7()(n 11 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
5
uilding Inspector
REMARKS
. -i0 eq
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