5847 - • -,
CERTIHCATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK I? •
1: •
Date • 192
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This is to certify that work requested to be done as shown by Permit No.
has been completed.
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This structure ma be occupied as a
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.
Location
Owner
--9ner&I-'313 (tete'
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By Order Town Board
TOWN OF QUEENSBURY
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Building & Zoning Inspector
CREATIVE ••INSTA- PRINTING.-GLENS FALLS. N Y 12801 15181793-5658 •-
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BUILDING PERMIT ,
TOWN OF QUEENSBURY
No. 5847
WARREN COUNTY, NEW YORK _
George' .Senecal "Builders, Inc
PERMISSION is hereby granted to
OWNER of property located at Lot 77 Helen Drive' •f5 3 Street,Road or Ave.
u
in the Town of Queensbury,To Construct or place a One—Family Dwelling ' . , a
: 1-1
at the above location in accordance to application together with.plot plans and other information:hereto filed.and 4
11
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. N
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1. OWNER'S Address is I
57 Helen Drive
Glens Falls, New York - 1
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2. CONTRACTOR or BUI LDER'S Name ,I S✓
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Same _ N
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3. CONTRACTOR or BUILDER'S Address I N
Same (.
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4: ARCHITECT'S Name
5. ARCHITECT'S Address . _ - , • If I
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6. TYPE of Construction_(Please indicate by X) il
1.
X(X)Wood Frame ( ) Masonry ( )Steel ( ) I. x
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N ' 7..PLANS and Specifications ,j —
• 24 'x74 '' per plot plan, specifications and application
No. submitted including sewage system and two-car attached K
garage i, . . .
8. Proposed Use _ I (1).
One-Family Dwelling
- $5.00 ! Dec.. 1 - 19 79 0
$ 144. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES eN
v 1
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the it
town of Queensbury before the expiration date.] al.
N._
Dated at the Town of Queensbury this 31 St- Day.of MaY 19 79 N. .
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SIGNED BY -324947/.. e iit2420-4) e. i ``. for the Town of Queensbury CD
ildin and Zoning Ins �d+.. •,r IH
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TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY. NEW YORK • Building Inspector)
Application for Application No.
.
•
Permit Issued 19.
BUILDING AND ZONING PERMIT Permit F:xpires. Ig
/.o iii_ic l)istrirt
• \ alue oI 11'nrk.
THREE (3) Copies of a PLOT PLAN, Drawn to scale \i)1"• 'c1 1i
showing the actual dimensions of the lot to be built hciiiar)Gf'
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 QUEENSBURY
RATE REGflVED
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK MAY 3 9/�
ANSWER ALL OF THE FOLLOWING. 6� P.M.
The undersigned hereby applies for a permit. to do the following work p'M'
and ecifi- 7I819i101 1�12)1121314151i
which will be done in accordance with the description, plansspecifi-
and such special conditions as may be indicated on the permit. C/o
The owner of this property is:
.Ge.C.R9.e. . S .rxe.co_1. ak.N.1de:.�s,. . 1.MC. 57 /ee/e,". .L2R1, 2/ .F/ //s,./J :'.. . /�Rd/
(NA.E) (P.O.ADDRESS)
The person responsible for •.supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
.G.e.QRq.e . .A . .3e-t1.ecc,_l �. 5rl l-Fe_l&tv �1 Uzi e-. . .el;et,s. . �\\s, N-`1'•
(NAME) . (P.O ADDRESS)
Name of Builder. . .S'.0 1' Address
Name of Plumber Address
Name of Mason Address
Lot Number. . . . 77. . . . ..Unit Estimated value of proposed work 3 .72.00p
Name of Village . . a.t..3.e�N.�. Th.L).Ry
Name of Street .e-ke->v .�)~-. . !v e— Side of street: north 0, east 121, south O. west 0
Nearest Cross Street 1-N�1 tom.Ri C, ( . .S.fi3::�-ezT Distance Iron! this cross street Ft.
Property is north 0,south ®,east i],west 0 from Cross Street
If on Corner, which corner, northeast 0, northwest ❑, southeast D. southwest
(Designate by marking with an "X" in the correct space.)
. .NATURE OF PROPOSED WORK OCCUPANCY
tgl Construction of a new building. Main Building
❑ Addition to a building. . . One-family,dwelling
ElTwo Two-family dwelling D.
Alteration to a building. c
❑ Demolition of a building. . • • . • . -family apartment house ❑
Store building ❑
. . .2 . . .-car attached garage • g
• Other:
• Accessory Building
One car detached garage . ❑
❑ Other work. Describe• •
Two-car detached garage
Private chicken house D.
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•st names, the location and
. size of the property, the l on, size and setbacks of pro-
posed buildings, and thVl alion of all existing buildings.
NORTH Show proposed buildirig(s) in dotted.line and existing
Iuilding(s).in solid line.
. Size of property /4 6. . . • ft. x /76• • ft.
Size and use of existing buildings, if any
e
F-411 V))
s w Size of proposed building . . . . .2•y • ft.x 76/ ft.
Height (from grade to ridge) . - . 2 7 ft. .
Front yard 4/J- ft.
Side yards
13 ft. and ' /3 ft.
Rear yard in/. . . 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.?.WOO 2)• . •FR erne--
Will any second-hand lumber be used? N.C3 If so, for what?
Material of foundation walls /d. . K /.0'. . .(.. %».e/s..1 T. /3..0(.11-5 Thickness
Depth of foundation walls below grade 5 Continuous foundation?
Will there be a cellar? . CS If so, material of cellar floor . N. CIa M.J.0 a e�`e
Type of roof: Sloped or flat? . S/G/Je 7 Material of roof 6OO.h/9-.L?`.-• .S.h.i/tJ. /es
Size, wood studs "x /", spacing /Go "o.c., length • al ft.
Size, floor beams, 1st floor 2 " x F-", spacing /ep"o.c., span /F?. ft.
Size, floor beams; 2nd floor 2. " x P. spacing "o.c., span /a ft.
Size, ceiling beams 2 " x ", spacing /6 "o.c., span l R. ft.
Size, roof rafters or beams 2 " x 6 ", spacing /Ga "o.c., span ft.
Exterior finish / ..R.50/.Jite. • • Si2i/21G With what material?
Finish of interior walls. . eta?. . . ............
If garage is to be attached, of what material is wall between garage and main building to be constructed?
Is there to be an opening between garage and building? . X�
Kind of heating system £Ir 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? .yie-S Depth of fireplace hearth , /
Will a toilet be installed?
Will a kitchen sink be installed and connected to water supply?
Water supply (public water supply or pump) . .
Distance of cesspool from any private well 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; b r of my knowledge and belief the statements contained in`thit application,togethe ith the plane and specifications sub-
mitted, are a true and con.plete statement of all proposed work to be don�on jthe described i€nyses that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining the proposed w tk sh tl mplied with whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature ...
0 N .OW ERl GENT ARCHIT CT.CONTRACTOR
,F0 day of a l?
NOTARY PUBLIC. WARREN COUNTY. N. Y.
SPECIAL.CONDITIONS OF THE PERMIT:
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By
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-:, THE NEW YORK BOARD. OF FIRE 'UNDERWRITERS
BUREAU OF ELECTRICITY '
p..:..-' 41 STATE STREET,ALBANY,NEW YORK 12207
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• Date Application No.on file A
THIS CERTIFIES THAT
only the electrical equipment as described below and ir,ttoduced by the applicant named 013.the above application number in the premises of
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"( -•..0'.'..".'11.:4_..0:C” ''
in the following location, El..Basement 0 1st FL 0 2nd Fl. , Section Block Lot
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was examined on and found to be in compliance with the requirements of this Board. ."
V
FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OFIUXTTLUERTES ECEPTACLES SWITCHES
INCANDESCENT FLUORESCENT MERCURY AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. S
• ' ''. .., ,
I-k DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
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• SYSTEMS
AMT. K.W. OIL H.P. GAS H.P. AMT. No. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. AMT.- WATTS
t(r< NO.OF FEET
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• SERVICE DISCONNECT HOOF R V .. I C E
--( METER
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OF
• AMT. AMP. TYPE EQUIP. 1 if 2W 1.13'3W 3 If 3W 3,E1 4W NO.OFpEiCi OFCOND. W.G.
CC.COND. NO.OF HI-LEG NO.OF NEUTRALS HI-LEG OF NEUTRAL
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-i< OTHER APPARATUS:
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BRANCH MANAGER
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COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST,NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date L/
Name en2ec
Location 4 r k '7
Permit No. S 7 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
Floors '
Insulation Foundation
Walls
Ceiling
�r r
Buil ing Inspector
REMARKS
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TOWN OF QUEENSBURY
Building Department
Inspectors Report Date ! —IF-Pe).
Nam Se,W.t,c 1 . .
Location 77 ,d,ir de>J
Permit No. Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing .
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough P1bg.
Relief Valves
Wall Board
Ext.' Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing y®'
Door Closers �� _ .44 ,z#/
•
Chimney
Water Meter Inst.
Septic Approval
Floors
•
Insulation Foundation
Walls ' •
"Ceiling
/401 '
Building Inspector
REMARKS
OWN OF UEENSBURY .
Building Department
•
•
Inspectors Report Date q f /7 7
Name G-e . e
• Location /I 1 eh Or.
. Permit No. -/1 Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Masonry Veneer
Rough Plhg. i!
Relief Val:-es
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. 0/11.
Septic Approval ii
• ;. cors
Fcundation i
Insulation Walls j
Ceiling' j
• Building In..pector
•
REMARKS
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TOWN OF QUEENSBURY •
Building Department
Inspectors Report Date -%y
Name __,c7e,A7reo..
Location AZ,c Apo
Permit No. 5-P)f7 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. a/ o/
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
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TOWN OF QUEENSBUR1( .
Building Department
Inspectors Report Date , /1!( '
Nate S-e i2 4 C
•Location Ler 777 )J i4frl Pi
Permit No. `f', Weather
Per Cott • •
•
Complete Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing Il li
Backfill l�
Final Survey
Framing
Sheathing j
•
Roof Felt
Roofing i,
Siding
'Masonry Veneer
Rough Plbg.
Rough Htg.
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•
Relief Valves ii
Wall Board
• Ext.Porches
Finished Floor
Interior Trim
Stairs&Railings
. Cellar Dr.Tile
Concrete Floors
Plhg.Fixtures 11
Gar.Fireproofing
•
Door Closers
•
Chimney
Water Meter Inst.
Septic Approval
Building Inspector
•
REMARKS •
•
•
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TOWN OF QUEENSBURY
Building Department �-
Inspectors Report Date. �T2- ' 77
Nam a /// I!
Location (tee t• 77 Air'4- i ,%�=P
Permit N , l Weather I.
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+��4j Per Cent • (!
50 / / Complete Remarks
II
II
Excavation .I....--- I!
Footing Forms iI
Footing & Piers i - 1
ice- ._
Foundation jI
Cement Coat -
Waterproofing ii
Backfill
Final Survey j!
Framing i!
Sheathing j
Roof Felt i
Roofing i
Siding ii
.Masonry Veneer i;
Rough Plbg. ii
Rough Htg. :'
Relief Valves i
Wall Board - I!
Ext.Porches j;
Finished Floor \ j
•
Interior Trim i
Stairs&Railings i!
. Cellar Dr.Tile • II
Concrete.Floors
P1hg::Fixtures I
Gar'.Fireproofing i
Door Closers i
Chimney • !, .
Water Meter Inst. - j
Septic Approval / -'/et\-'
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. Building Inspector
REMARKS
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