5682 — „
C/C)
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 13 LA-lk-e_ X/ 197_6
This is to certify that :work requested to be done as shown by!Terrnit No.
has been completed.
It
This structure may be occupied as a 0 :V.)=4-tif (vi't
LOCatiall lc) -
•
owner r4-r Cra
By Order Town Board
TOWN OF QUEENSBURY
' ;/,
Building & Zoning Inspector
CREATIVE 1INSTA• PRINTING. GLENS FALLS N Y 12801 1518)793-5638
BUILDING PERMIT
TOWN OF QUEENSBURY 5682
No.
WARREN COUNTY, NEW YORK
Howard Krantz
PERMISSION is hereby granted to x
O
OWNER of property located at Lot 80 Helen Drive (St. No. 47) 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.
rl-
1. OWNER'S Address is N
Westland Ave.
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Orville Fuller
3. CONTRACTOR or BUILDER'S Address
35 Crownwood Lane
, Glens Falls, N. Y. rr
4. ARCHITECT'S Name o0
CA o
rt.
.
H
O (D
5. ARCHITECT'S Address •
4Zs. C7
v fi
H.
6. TYPE of Construction—(Please indicate by X) } ID
)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
55 'x37 ' per plot plan, specifications and application
No. submitted including sewage system and two-car attached
garage. . o
8. Proposed Use • (D
One-Family Dwelling 1-1
H
$5. 00 C/O Paid
$ 152. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES October. 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 (D
town of Queensbury before the expiration date.) f✓
8th March 79 ~
Dated at the Town of Queensbury this Day of 19
SIGNED BY !v q• for the Town of Queensbury
oning Inspector
TOWN OF QUEENSBURY ( (Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Alication for Application No. .
pP Permit Is:,uc•d _19.
BUILDING AND ZONING PERMIT Permit Expires. lg. . .
7.oiiin.,1 District
• \ aloe nI Work$
THREE (3) Copies of a PLOT PLAN, Drawn to scale -\1'1)""c'c1 by
showing the actual dimensions of the lot to be built kcncaiKr
upon, The exact size, and location on the lot of the •
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION,
2e --- 17/ — . . . . . . . . . . .'3/2./22 • TOI:'''`J OF' QUEENSPLIPY
R rE 0,1 ,11 y IL''' D
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK �� 99�79
• ANSWER ALL OF THE FOLLOWING.
-- The undersigned hereby applies~for a permit, to do the following work 1 A.M. P.M.
which will be. done in accordance with the description, plans and specifi- ,7I8I9I10I11I12)1I2I3I4I5I6
cations, and such special conditions as may be indicated on the permit. . •) h C
• Cf
The owner of this� Property is:.
�� �� /f�i9:, "-5�GfJ.i0.3. /L'L �-Gc��e s j i�s /(J�/Z /
' ' ' { - IP.O.A DRESS)
(NA"El / ,
Th person responsible for '.supervision of hie work insofar as the Building C yle and the-Zoning Ordinance apply is:
. �i.E�v„.L- . ,--„ ,.4 . . . . S. D. 4/I tub Q iJ x,,, , /,�7u.s ' t zz-� AJV /2/
�(NAAM,
ME) (P.O ADDRESS)
Name of Builder. . -�!J.�� . Address
Name of Plumber' • "t Address
•
Name of Mason .S--4-70 - Address
nr Lot Number. . . . .�4- )Unit Estimated value of proposed work 3 . . .
7(tDO 7 6.
1 Name of Village . . . �A.J5,Qi1/?V ` �‘/Leec-/��-�-�-r 'S U a-" )/ ti
Name of Street . . . . /✓./ Prllfe Side of street: north 0, east , south O. west ❑
Nearest Cross Street . # N 7 ,/LIC 45.--7-; Distance from this -rocs street -efC' Ft.
Property is north 0,south F4.,east i i, west ❑from Cross Street
If on Corner, which corner, northeast ❑-, northwest ❑, southeast El, 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 ❑
Store building ❑
• . . .o? . .-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
Z f7//&7uP. is/c7 j Iuilding(s) in solid line.
f`�
Size of property • /0-0 ft. x . . ./. b • • ft
r
Size and use of existing buildings, if any
F tz i
x 4 ,r t m Size of proposed building -S.S ft.x -3/ ft.
Height (from grade to ridge) . . . .....42® � ft. .
Front yard •r 7� t ft.
• Side yards . . . . / 7. . , . . . . ft. and 2( . ft.
Rear yard / 7 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., /,�,�
TXtitrie7Kind of construction: Wood frame, fire safe, etc.?..1: .L��721) .
Will any second-hand lumber be used? /L' U If so, for what /® �I
.6
Material of foundation walls -0 c: Thickness
Depth of foundation walls w grade 6.o ir
Continuous foundation? ., '‘ . . .
Will there be a cellar? If so, material of cellar floor CsAVC-Ce&! 67
Type of roof: Sloped or flat? . . 4- .�- . . Material of roof ,C/ 7`:- ,/.c0' Ct' /
Size, wood studs c:=2-- " x V ", spacing . . . .r . ."o.c., length 49• ft.
Size, floor beams, 1st floor /
- "x A.. . .", spacing .. ./ "o.c., span . . . ./ . . . . ft.
Size, floor beams, 2nd floor . . . . .c2. . . " x . . . . . ./ . . .", spacing . . .f 6 "o.c., span / 6 fl._`9�
Size, ceiling beams x ", spacing . . . �`�. "o.c., span ft,//2L1-
Size, roof rafters oo�izams . . . . .. . . ' x C ", spacing . .C�- "o.c., span . �2 ft.
Exterior finish . L. .�„�i 4R �� //L1 - -� With what material?
Finish of interior walls cC , . 'J• `-''- T- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If garage is to be attached, of wl tm atftrial is wall between garage and main building to be constructed?
Is there to be an opening bet een garage and bu'Iding? X--",-S
Kind of heating systemL� /.C• � fifJ�OiI burner or coal? �/
Will a flue-lined chimney be provided? • . . Depth of chimney foundation below grade 4 Q
Height of chimney above roof. . . . . C/- 1,
Will there be a fireplace? ".,- Depth of fireplace hearth /6.
Will a toilet be installed?. . . . . . . �
Will a kitchen sink be installed and connected to water ppl ? . . /
Water supply (public water supply or pump) U'2L-/ L_
Distance of cesspool from any private well I / /,A feet
Will drainage system be provided with required traps, cleanouts, and vents? -.
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to tt•j,ej r of my knowledge and belief the statements con ' II m)this application,together with e plans and specifications sub-
mitted, are a true and co.e. lete statement of all proposed work to be ne do the' described premises apt t all frpvuione of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertain' to)th p Bed-work shall be i ied wi 'w they specified or not,
and that such work is authorized by the owner. - 77 /7 —
OWNER.Signature OWN RS AGCHITECT.CONTRACTOR
day of 19 ..-,-
NOTARY PUBLIC. WARREN COUNTY..N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
By .
TOWN OF nU `ENSBURY
BUILDING AND ZONING; DEPARTMENT
BAY AND RAVIL ND ROADSp � RD ..
1 #1 LENS FALLS, 1'g YO- 12801
APPLICATION FOR A PERM TO CONSTRUCT, ALTER OR ENLARGE
A SEWAGE DISPOSAL SYSTEM WITHIN THE TOWN OF ODD ENSIURb/l/
OCCUPANT'S NAM /Dal ..ikjej .T_..� _ ADDRF5, / 4= 4�"` ili
`PELEPRONE J9 2-,'(f OWNER'S N NE_ /
ADDRESS /0 �v& G g7 I �uv 2 1 ..____NUBER OF DED1 OOMS
—7-
GAR3AGE GRINDER?__ / (YES OR NO) TOPOGRAPHY: P'�>a T ROL ONC,STEEP, SLOPE
GENTLE SLOPE, OTHER
--
NATURE OF SOIL: CLAY, ANDY LOAM, GRAVEL . ,:_ : 5, ETC.
PERCOLATION TEST WATER. SUPPLY: MUNICIPAL, WELL, OTHER
DIAGRAM OF PROPOSED SEPTIC SYSTEM
T 0`l `
o°
w.
OTHER PERTINENT INFORMATION
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.
o
DATE 3 7" 7 1' SIGNATURE OF APPLICAT G Ge
LAKE GEORGE PARK COMMISSION APPROVAL:
(signature)
ate
TOWN OF QUEENSBURY
WA_,REN COUNTY, NEW YORE
Application fors BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE
A permit must be obtained before beginning wolck m
R^?:;WER ALL of the following;
1. Gross floor area. . . OOOOO4 ./6 O 0 e 0 • o . • m . lfgep
06aab . obm • • am0 • 0omo0o0a • 000
2. Type of heat. m c.c=�. . . .riel . . . . . f . .f. b //? (LL43e m..�m roW'/t' . .
3. Is the building mechanically cooled?O . . : . O . . . . • 6 .. . .. . O m o • . . . 9 m • • . m O
4. Percentage of area of windows and doors. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
A. Over 16% OnlZ
1. Uo value of gross area of walls, roof/ceiling and floors
exposed to a ambient conditions . . . . OOOOOOOO
. . . . . . . . . O • 0 0 0 0 • • O . O m 0 0 0 0 0 0 • 0 O . 0 0 0 0 0 0 O 0 0 0 .0 0 0 0 m • 0 . 0 0 • • O O 9 O 0 .
2. Floor over heated spaced YES NO
a. Are foundation4 walls insulated? YES NO
Y
1. If TES, what is the R value?. . . . . . . . . . . . . . . . . . . . . . . .
3. Slab on grade YES NO
a. If YMS, what isthe R value of insulation around perimeter
oJ.f floor? . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 . Is basement heated?
p YES NO.
a. R value of insulation• OOOOOb000OOOOO . O . • R . 0 ♦ 00 • 000 . 00000
5 . Type of insulation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
B. Under 16% Only
1. U value of roof and floors expose, to ambient conditions. . . .
♦ • 0 • 0 0 0 • 0 0 • • . .' O 4CI4 VO IJ 0 .040041.q g
�� adif O O a 0 0 a 0 • 0 O • 0 0 0 0 . 0 0 0 0 0 0 0
Sib V value o` anterior WWllB O A9 o gn4 O. 0 . 0 0 0 . O O . b 6 b O 0 O O 0 O O O O 6 O •
30 U value of glazed area. 0000O0OA • . . 0 . . OO 0000 . 0OO . m O . . • OO . 00
v
4 U value of doors , . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . .
50 U value of floors over heated spaces. . . . . . . . . . . . . . . . . . . . . . . .
6. R value of slab edge insulation - unheated slab. . . . . . . . . . . . .
7. R value of slab insulation -- "heated slab6 . • 9 • • . . m . • • m . m . 6 . . ,
S, U vales of heated basement/cellar walls r above grade . . . .
9. R v�sl'sne of heated baneme try/cellar walls {below grz+de3 . , ..4 �
10. p� / insulation. . ..
Epp' �y y c3 �lv y l�'��75 (/�)
Type of insu a4S�on. .o 0 . . v00 OPOs 9 •� COG O6Om ,�` rdol
C. Controls py�
/ Y 1. Thermostat maximum heat y q�Qtjyc.ing 0 0 O 0 O O . O . O • 0 O 0 b O . m O O O O ■ O G . O O O
/
D. Duct Systems
1. Is duct system installobd1:4-11....e--
tea o : is Y1 S NO
n6 if 'YES, R al.ue of t;1 iss:;allati.xsnm . .. . . . • . o • . „ m . b . . 6 ., ..
b. R v'a9 axe of duct in other 'areas . . . . . . . . . . . . . . . . . . . . . . . . . .
M. Piping Insulation
1. Sine of/ hot water
insulation. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . „ .
orcooling carrying. agent pipes. . . . a . ., . . .
2 . R. value Cif pipe
.. Service water featin
3 .l�VPerformance eff iy eucy 6 • v C m .. m . 0 6 0 .. C • 0 • O . . 0 0 • b 0 0 .. b 0 • W a 0 > .. 0 0
2, Temperatere cot t.:.c 1. setting srtaxiszse:m. m m . . . . .. b . . . . . o . .. . . O . . .
,.:,.. so' Swi.itnztincj' PoolOrt.lo
1 . naxirn7.tlm 114ie.t•f P!g . a , o aoma00 e c _ 4)00 b • 00 ., c . 0a0 . b0 . 0 o .. o
i
TOWN OF QUEENSBURY
Building- Department
Inspectors Report Date C �'
Name 1ya •'.r1.1
Location .71_.,,e .0d.7
Permit No. _, g Weather U
Per Cent
• Complete Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing --►�
Backfill
• .Final Survey t:
Sher atlung �1���,�.
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 63/(1,'
Chimney
Water Meter Inst.
Septic Approval
l
Building Inspector
REMARKS
./
TOWN OF QUEENSBURY
Building Department
Inspectors Report / Date 6-
1 -,--,07
Name ( Krc►T� ,Ll/t>K
Location �, ) A/e 4/
Permit No. S'CO Weather
Per Cent
Complete Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
•
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing N
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
l' Q � i
TOWN OF QUEENSBURY.
Building. Department
Inspectors Report Date
Name , �//A ( Kr �,T L)
Location rt-A4,,, s4
Permit No. 6-4,, 8 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
5...."; /4/
Btilding Inspector
REMARKS
TOWN OF QUEENSBURY•
.
Building Department
Inspectors Report Datel,
Name ���v 0 . - q.tifi�l
Location Lo-f Q J/er/,.2„
Permit No. S'(Q 8 Z Weather
Per Cent
Complete Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat Waterproofingi C)/‹..„
Backfill !J/
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 1
Gar.Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
%e•
Building Inspector
REMARKS
.� � , /
TOWN. OF QUEENSBURY
Building Department
Inspectors Report Dates
Name
e>ZArr
Location , /, Cf /4/ v: -
Permit No. 8 2_ Weather
Per Cent
Complete Remarks
Excavation
Footing Forms //<''
Footing & Piers
Foundation iJ
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