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8393 C/O Paid y � CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 19,i3q 4-1 This is to certify that work requested to be done as shown by Permit No. has been completed. i�/� This structure may be occupied as a101:%13- 'G I�� . Location Lot 7`- e1en4I S'6El tS1=- . \J %Oi I.oca � � � � � PetOwner I G a ��. -�d 1 By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector i CREATIVE "INSTA" PRINTING. GLENS FALLS. N Y 12801 15181793-5658 BUILDING PERMIT TOWN OF QUEENSBURY No. 8393 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Paul G. Sokol Lot 72 Helen Drive .(St. No. 70) w OWNER of property located at 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 1. OWNER'S Address is % Professional Building Systems o Route 9 Glens Falls, New York 2. CONTRACTOR or BUILDER'S Name same cn ti fio 3. CONTRACTOR or BUILDER'S Address rt same O o fD • 4. ARCHITECT'S Name H O • t7 Fi N, 5. ARCHITECT'S Address , ..CD• r. ' A 6. TYPE of Construction— (Please indicate by X) ( Wood Frame ( 1 Masonry ( )Steel ( ) — 7. PLANS and Specifications 26'x60 ' per plot plan, specifications and 0 No. application submitted including sewage system and two-car attached garage. 8. Proposed Use • One-Family Dwelling $5. 00 C/O Paid 64 . 00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 1 19 84 (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 2 6th Day �- a:of April 19 8 4 SIGNED BY `- �L, /V 0 for the Town of Queensbury • Building and Zoning Inspe r I T AN OF QUEENSBURY (Space inside block to lx filled in by p WARREN COUNTY, NEW YORK Building Inspector) Application for Application No. . �� Ycrmit Issued 19. BUILDING AND ZONING PERMIT Permit Expires. 19 7.(Jniii District \ aim. "I \1'c,rk THREE (3) Copies of a PLOT PLAN, Drawn to scale '\1,1 c(•c1 Ica 71-;;//r � �J showing the actual dimensions of the lot to be built R inarKs y upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. 1:///53ed•E TOWN OF QUEENSBURY RECE11VE fil A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK �� � � �� ANSWER ALL OF THE FOLLOWING. !� 0 1 +o do the followingwork A,M.; 7 .m. The undersigned hereby applies for a permit which will be done in accordance with the description, plans and specifI- 7181911.911)12)11 6 o 3 $ 5 I- II Y t 4 d 4 a o cations, and such special conditions as may be indicated on the permit. The caner of this propertyis: 7 viI (NA''E) • IP.O.ADD• ESS) t V 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. . PG-t.L. . . •�=••• • • • ¢h`� ) Address '5 arm C q Name of Plumber $OM lit)... • .Cc:A.\o.t t cs Address Ar /. . . .f e(. .�dic. . .)�oo... . .CHt'td e.c. Name of Mason PA(�L, . • • ••• •Sd kv,i Address Lot Number. . . 1. .1 9-7• Unit i Estimated value of proposed work S - . . . . .8.5-.- •. . . .6.0 4` Name of Village G.[w-t,5•'J,,, ,U� 10. Name of Street . . . :Hr./ DC' Side of street: north 0, east 0, south 0. west t8 Nearest Cross Street . . .D k.Xts--‘• • • •gt) Distance from this cross street --.1Gd Ft. Property is north jg,south ❑,east i 1, west. 0 from Cross Street If on Corner, which corner, northeastves 7scrtrtin. southwest • (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY " XConstruction of a new building. Main Building lJ Addition to a building. : One-family dwelling N ❑ 'Alteration to a building. Two-family dwelling ❑ ❑ Demolition of a building. -family apartment house ❑ Store building ❑. . ...L -car attached garage 0 Other: • Accessory Building . One-car detached garage ❑ ' 0 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 buildings) in'dotted line and existing �1X(. VL building(s) in solid line. . ko Size of property . . ./.. . . . . . . . ft. x 2� ft. • Size and use of existing buildings, if any ' 0 .Q s 5z�- plcr,t y s s' i CL m Size of proposed building . . . . .1.60. . ft.x . .�O. . • • . ft. 6 / �U�. Height(from grade to ridge) (ce' - ft. i Front yard . . Is,.0 ft. Side yards / B t ft. and . . . .2-. .. . • • ft. Rear yard f CC' ft. V 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 7- (cont'd.) BUILDING SPECIFICATIONS., . Kind of construction: Wood frame, fire safe, etc.?. . WOPP. . . - 4-s Ati-A--e._7- ,edar-- Will any second-hand lumber be used? A/0 If so, for what.' - Material of foundation walls . ./0.0.if . .Ceiti. U Thickness /0 ./ Depth of foundation walls below grade 7 -e. Continuous foundation? Will there be a cellar? YE----5 If so, material of cellar floor Ce.et/e.---- i--.4-4e. Type of roof: Sloped or flat? . .5. .0ee.-:6... . . . Material of roof WO-7).° """12-4-7"YE 14-.4/''M4 z_r ,StctifAia-16-5 Size, wood studs 12- "x 4-- ", spacing . /.6. "o.c., length c:5 - ft. Size, floor beams, 1st floor 1 " x l 0 ", spacing JO " "o.c., span I 3 ft. Size, floor beams, 2nd floor 1. " x / 0 ", spacing /O' " "o.c., span . . . . ./. 4—. . . . . ft. Size, ceiling beams 7--" x 6 ", spacing / ' "o.c., span (4 ft. Size, roof rafters or beams 2-"x i 0 ", spacing /6' "o.c., span / 4— ft. Exterior finish rttc_c.4-TO With what material? . W.6.'770. igiq-77-Q4)6' Finish of interior walls /Pt 6-yr a ri 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? Y67S Kind of heating system Oil burner or coal? -e- Will a flue-lined chimney be provided? . . . 3,1,--. ,-- . Depth of chimney foundation below grade E!---0 '- Height of chimney above roof s - P Will there be a fireplace? ••,/6:S Depth of fireplace hearth 1-= 0 Will a toilet be installe& Will a kitchen sink be installed and connected to water supply? )/ 1 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? i Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to tz barof my know,ledge 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 pertaining to the p •i•-•: . work shall be complied with,whether specified or not, and that such work is authorized by the owner. Sworn to before me this Signature atil +WNER,OWNER' A ENT,A C ITE T,CO RACTOR 'Orf‘j 1 t day of ' 19.81 NOTARY PUBLIC. WARREN COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT: • , • By . TOWN OF QUEENSBURY 1; WARREN 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 area 2I4� 4, - J K 2 . Type of heat �`�• -r-c ,C., ' yP Fire, re, , t r Sc r. }�. 3 . Is the building mechanically cooled? No 4 . Percentage of area of windows and doors • /0 • A. Over 16% Only , 1. .. U value of gross area of walls , roof/ceiling and floors exposed to ambient conditions 2 . Floor over heated spaces YES NO a. Are foundation walls insulated? YES NO 1. If YES , what is the R value? 3 . Slab on grade YES NO a. If YES, what is the R value of insulation around perimeter of floor? 4 . Is basement heated? YES NO a. R value of insulation 5. Type of insulation B. Under 16% Only 1. R •value of roof and floors exposed to ambient conditions SA le- / 9 p ie. 2 . R value of exterior walls F 9 3 . R :value of glazed area 2 -. 2 c 4 . - • R value of doors 5 . R value of floors over unheated spaces '// 6. R value of slab edge insulation - unheated slab ` 7. R value of slab insulation - heated. slab.: , • 8 . R value of heated basement/cellar walls (above grade). /: 9. R value of heated basement/cellar walls (below grade) 10 . Type of insulation F/,BIGA5S C. Controls • , 1 . Thermostat maximum heat setting 75 D: Duct Systems 1. Is duct system installed• in unheated spaces? YES NO, a. If_ YES ,' -R. value of duct installation b. R value of duct in .other .areas . E . Piping Insulation ' 1. Size of hot water or cooling carrying agent pipe . :ys., ; 2 R value of pipe insulation d. --1r F. Service Water Heating 1. Performance efficiency /erb 0 2. Temperature control setting max' mum ;/2.6o G. For Swimming Pool Only 1 .: Maximum heating : Telephone No. 7 Qoa - /04 54 ( pplic sign nt ' s ture) TOWN OF QUEENSBURY.. BUILDING & ZONING DEPARTMENT SEWAGE DISPOSAL PERMIT APPLICATION 1. Owner ' s Name 'pott_t_ C-- . S,t6/___ Address (- D . a/54 .5iry-,n ) (dill . " -Ay 5 ft 5 2+ 7 U (Qc,-t.-4.,cvs bum Telephone No. 7 9 Z -./6 .9 e 2. Property locatkn f Or_ ,P-0 4,7shiLl, 3 . Name of person or firm responsible for installing system p,,1, . &. le,. ( -kc s s Telephone No. f- e Address i r 4: Number of bedrooms (residential buildings only) , I- 5. Daily flow ji,o- z6 gallons/day 6. Septic tank capacity /b b U gallons 7. Topography: fla oiling steep % of slope 8 . Nature of soil and depth ok. - (op- 96' 9. If ground water, bedrock or impervious material is apparent at what depth does it begin? c ' g 'o ft. 10. Percolation test: A is required S -e_;;e,c���- .4, B - is not required C If required what is the rate minutes/inch 11. Water supply C---- municipal y well, other 12. 41111 Type of system proposed: drywell, - P . other Any contractor, corporation, individual, etc. engaged in the construction of a sanitary sewage disposal system who covers the same before inspection, does not have an approved permit, , or varies from the approved application . will be subject to a penalty of $250 as provided for in Section .6 : 010 of the Queensbury Sanitary Sewage Ordinance.. .., - Date 1 /� e4 signature of applican On separate sheet of paper submit a diagram of the proposed septic -system.., with all dimensions, including distance from any structure, ';distance from property line and domestic water supply, etc. Include all dimensions of the system itself. ' . _ Form 3-82 • BUILDING DEPT.COPY OF APPLICATION FORM 46-EL.NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. t-- 1 ,7 3 • CITY OR /r VILLAGE f 1 �j��,�_� -f }(, R „ TOWNSHIP COUNTY (A )C (L s. STREET AND NO.OR ROAD AND POLE NO. /J/ (, t„ � � POLE NO. .475 BETWEEN WHAT TWO 1 • CROSS STREETS IS f JJ =y i PREMISES LOCATED? ( X r i 1�( y r�It, J SECTION BLOCK LOT / OCCUPANT'S / BUILDING NAME ��i)L5 /mil!7 R'.'i`_�. OCCUPANCY ( j— ._j(' OWNER'S NAME AND ADDRESS ��`\ _ ) CURRENT /:; SUPPLIED FROM THEIR C. / OFFICE DEFECTS SBUILDINGW NEW `� OLD III REMODELED El IS NEW ADDITIONAL❑ REMOVED :J LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No.of Fixtures& BRANCH NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS LAMPS Loca- tion Ceiling Side Attach't Switch Pendent Bracket No. Type H.P. No. W No A W.G. NO. WATTS Wall Recept'Is Each Each,atts GaugeEACH Out- side • • Sub- base Base- ment 1st Fl. 2nd Fl. 3rd Fl. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed, you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant. _ SIZE OF ELECTRIC SIGN TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE (NUMBER) (CAPACITY) STARTED COMPLETED SIZE OF SIGN SERVICE MAKER ENTERS BUILDING OF SIGN INSPECTION REQUESTED ON OR AS NEAR AS n POSSIBLE NEW I I OLD AVOID DELAY BY GIVING FULL AND ACCURATE fNFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAME OF DATE OF /) APPLICANT >(1' t( �/ �G��.<1-1/ r J '7`t� !` APPLICATION STREET ADDRESS /l /)�� / I`C /j/! -CITY OR . W POST OFFICECODE I HEN APPLICABLE A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING • !il'a74.-IN-1._,.."1,44.4-I e4.a..U_9�J.9!,,A t..1,4.In),../,a."1."V"CJ..9[.1,n",),,i In A-Ana,!.a%J_,149,-A.!?A_ )_-.4a...CS..V_.CO.,•_C.?n4..V.9.l ..-1,el:a".l 9,.!.4c 11,14%-Y.!...AP..�•lJ•�_,"!V.U_.a"!.)-",!•"-4, 400053`j THE NEW YORK BOARD. OF FIRE UNDERWRITERS r BUREAU OF ELECTRICITY "' • � Y -^ SkiIVl 41 STATE STREET,ALBANY,NEW YORK 12207 sY --. Date f ugu s t �. s 1984 Application No.on file. 05 3 413-�' P -- THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of r - Paul Sokol, Helen Drive, Glens tial.ls ,New York r in the following location; L Basement ® 1st Fl. -El 2nd Fl. outside Section Block Lot 6 ,r - • was examined on 8/1 /8 G and found to be in compliance with the requirements of this Board. r . A FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ;�• OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT MERCURY Ore AMT. K.W. AMT. K.W. AMT. K.W.. AMT. K.W. AMT. H.P: r, 'pp 1Y 28 43 29 3 ' p r� :1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS- P -- SYSTEMSv > '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 .I Inge 1,6 y: i 1 :Vf�1T V# 1 0 .. ) SERVICE DISCONNECT NO.OF .L DryerS 9 0 E R V I C E ;r• 17 AMT. AMP. TYPE METER 1,0 2W 1.2 3W 31B'3W 3,B•4W NO,OPER�COND. OF CC.COND. NO.OF HI-LEG OF W.HI-LEG NO.OF NEUTRALS' OF NEUTRAL '� 1 200 CB 1 aP 1 4/0 . 1 2/0 ;r OTHER APPARATUS: 'r 1-15 amps GFCI Breaker 6. r 1 Smoke Detector ;r• ': rr > , T • _: Sam ti7 L�orl�ot�se , �> RD#1 Potter Road 239 . Gansevoort, New York 12831 ? BRANCH MANAGER .;.- .P. r, Y I . Per 5 1 •.', v^'tv 'rill Ye.II ri ® riin Ell EMI Yi'llYYiYYiYYVYiYYV(YeYd?'Tel.'?iii.V.UY.4i'l' 76i.'41.1eYYaYY‘fYeYY‘ rti I eg Eg El In MEM in MIEWESZI arYeYY1YY(Y'47(le 4i.1 I iY 1i :y ' COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBURY, Building Department Inspectors Report Date eh/lAZ Name /1 s�1��1.� ( O a t) c. Location Gar 7 2 AL y'4 I P IZ-- . Permit No. ??? `T 3 Weather cp,do 5-P Remarks Excavation Footing Forms Footing & Piers Foundation � Cement Coat /// Waterproofing Backfill Final Survey Framing • 0/) Sheathing G rL- Roof Felt Roofing Siding Masonry Veneer Rough Plbg. \vf Relief Valves Wall Board Ext. Porches / Finished Floor Y , � \ ! Interior Trim !�' Stairs & Railings, / 11 Cellar Dr. Tile Concrete Floors /- • Plbg. Fixtures // J ec Gar. Fireproofing(_- j< Door Closers Chimney i/ (r , Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling " ' ( Building Inspector RE • TOWN OF QEENSBURY Building Department Inspectors Report Date 6/2lv 2 V Name L- SDlCu c Location /-p kite r),t_ - Permit No. y 3 al 3 Weather Remarks - Exca f)a tl 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 .11 Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Il Concrete Floors j Plbg. Fixtures 11 Gar. Fireproofing 11 Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling Building Inspector REMARKS U15U cyst 11, TOWN OF'QUEENSBURY Building Department Inspectors Report • Date /6 3 Name P uL SoKv cJ L.ocatiaa /e7 y on- 1 soicoc Phir2rc.e r- Permit No. / Weather Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing � (r -1 �— • 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 cots • Insulation Foundation Walls 'Ceiling ' Buing Inspector REMARKS Isy3q - TOWN OF QIJEENSBURY .• . Building Department !• Inspectors Report • Date f f/r.,�" Name .7,7•,;(--e . ii Location / 4/ . Permit No. Weather 13 '73 Remarks 1 Excavation ' • Footing Forms Footing & Piers' t Foundation Cement Coat o !! Waterproofing Backfill I. Final Survey Framing • Sheathing • Roof Felt Roofing !I Siding li Masonry Veneer Rough Plbg. N\' \\4;/". Relief Valves II Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar.Dr. Tile Ii Concrete Floors " Plbg. Fixtures I! Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval I• Floors ' Insulation Foundation Walls • Ceiling'' I Building inspector REMARKS • • • 1 i I -F�2LO 7 ANLEZ 1 120 eulL-01 L.J61 a3&L- li:prz Tj C- -r& -rowm W.6,rw 10ci, 0 ADDITIONS/ REVISIONS THE USE OF THESE PLANS FOR CONSTRUCTION OR A0 OTHER PURPOSE WITHOUT WRITTEN PERMISSION FROM PROFESSIONAL BUILDING SYSTEMS INC. IS PROHIBITEq: DO NOT SCALE THESE DRAWINGS. THEY MAY NOT BE Te. EXACT SCALE. USE ONLY THE DIMENSIONS SHOWN. E BUILDING CODES TO INSURE THAT PLANS AND DETAILS CONFORM TO ALL REQUIREMENTS. THEY SHALL VERJ�Y ALL DIMENSIONS BEFORE OWNER AND CONTRACTORS SHALL: CONSULT APPLIC4Z-nFY PROFESSIONAL BUILDING SYSTEMS DRAFTING APARTMENT OF ANY DISCREPANCIES BEFORE WORK IS PERFORMED. PROCEEDING WITH CONSTRtlCT10N WORK Rtio Stik4,PONSIBLE FOR ANY ADDITIONAL COST OR STRUCTURAL.-IOROBLEMS REXXTING FROM THE FAILURE TO FOLLOW THESE PLANS AND DETAILS. PROFESSIONAL BUILDING SYSTEMS SHALL NOT BE RES. SHEET OF PAF p®r PROFESSIONAL BUILDING SYSTEMS INC. GLENS FALLS N.Y. CUSTOM DESIGNED FOR, PRELIM BY; N., T� FRAMING VWG'S BY: DATE: I - Ww e>4-- I)RAWING NO. I r2(AP ORDER 140.