6614 p • ,A1
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW. YORK
Date "CVO' 7.;;2-
•
This is to certify that work requested to be done as shown by Permit No.
has been completed.
This0)(1-ei. . 1141 El structure may be occupied as a 1
Location (rA•-•- 7 p(01,* (, - J .
Owner crOii- -c; -c -11--er-.M-iu-:-.--St-141
By Order Town Board
TOWN OF QUEENSBURY
A
• 1): - '
Building & Zoning Inspector
CREATIVE -INSTA PRINTING. GLENS FALLS. N Y 12801 15181793-5658
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 6614
WARREN COUNTY, NEW YORK
•
PERMISSION is hereby granted to George Senecal Builders, Inc.
(St. No. 61)
OWNER of property located at Lot 73 Helen Drive Street, Road or Ave.
O
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 N
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. Cl)
N
1. OWNER'S Address is 57 Helen Drive a
r, P
Glens Falls, N. Y. H
2. CONTRACTOR or BUILDER'S Name F'-
Same sz
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3. CONTRACTOR or BUILDER'S Address
Same
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4. ARCHITECT'S Name
5. ARCHITECT'S Address C�
rt
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6. TYPE of Construction—(Please indicate by X) (D
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( )Wood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and Specifications II
26 'x54 ' per plot plan, specifications and 1-'
No, application submitted including two—car attached m
garage and sewage system.
8. Proposed Use
One—Family Dwelling
$5. 00 C/O Paid O
$ 150. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 1 19 81
(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.)
F-'
Dated at the Town of Queensbury this 2 2,nd Day of September 19 8 0
t7
SIGNED BY /er-Zeoti - "/ for the Town of Queensbury
Building and Zoning Inspector "5 - H
N.
•
•
TOWN OF QUEENSBURY (Space inside block to Ix filled in bv
WARREN COUNTY, NEW YORK Building Inspector)
Application for Application' I'ertnit Issued 19. .
BUILDING AND ZONING PERMIT '',.l-mii Expires. . 1g.
i:"' in. District
• \ :due "I Work,
•
THREE (31 Copies of a PLOT PLAN, Drawn to scale \i'1'r"`cd h`•
showing the actual dimensions of the lot to be built kct„at 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 QUEENSBU .'�
G — �, I� �i�2/9 o DATE REG E � V E -\ .
A PERMIT MUST BE OBTAINED .BEFORE BEGINNING WORK •
SE I-) 2, 21980 0 at, (
ANSWER ALL OF THE FOLLOWING.. . . SS f 'ems
A.M.
P.M.
The undersigned hereby applies'for a permit, to. do the following workt , '71g19pp.1112111213141516
which will be. done in' accordance with the description, p p /
cations, and such special conditions as may be indicated on the permit. c /-6' / i-tc .
T owner of thi roperty is:. L
v
. .'.�-a Rcke. .��N.�.ccN\� .l �.a .��,s, ��c. 5�� 1�e:��. `�.c�.. .�.1e�5 s`��\\s,. . � .
(NA':E) (P.O.ADDRESS)
The rson responsible for supervision of the work:insofar as the Building Code and'the Zoning Ordinance apply is:
(NAME)
Name of Builder... .SCG..'t" '0,-- Address
Name of Plumber • r' - - Address
•
Name of Mason Address
Lot Number V 3 Unit Estimated value of proposed works 7 a t 0 0 O.
S�4 Name of Village 001 uz•,e/V .a U. .y.
t` Name of Street /ACAkN(DP-i V'F Side of street: north 0, east pl, south O. west 0
Nearest Cross Street /./,Cf '/v iC/\ Distance from this r.ross street Ft.
Property is north 0,south ❑,east i i, west 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast Q. 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
Two-family dwelling ❑
❑ Alteration to a building. . • . . , . .-family apartment house ❑
❑ Demolition of a building.
Store 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
• luilding(s) in solid line. si�E 5iac e�+cK
,:m,..-r ai5-7i /rovco7 //g-
. . Size of property /OCJ ft. x ft.
Size and use of existing buildings, if any
F
s w Size of proposed building . . (2•6• ft.x . . . . . 7./. ft.
Height (from grade to ridge) ft.
Front yard RD ft.
• Side yards . ft. and ,23 ft.
Rear yard /2 .c) ft.
SOUTH If on corner,setback from side street ft..
Note: All distances are net, as measured from street side
line to nearest parrot building.,:
(OVER) .
7-73-M
(cont'd.)
BUILDING SPECIFICATIONS., \ /
Kind of construction: Wood frame, fire safe, etc.' t D•2 /9/77 e-
Will any second-hand lumber be used? At If so, for what2
Material of foundation walls ./.e- . .)</6::.. • •(ea-2 e J./. /3/0C KS Thickness
Depth of foundation walls below grade J Continuous foundation?
Will there be a cellar? . . .Y . . . . . . . If so, material of cellar floor h!". .CQn.......7�-
Type of roof: Sloped or flat? . .S'Z0p •2. Material of roof ./". S.!°//9A-7. .�Sff/N.C�44.S
Size,wood studs
"x 'Y ", spacing �(,=, "o.c., length ft.
Size, floor beams, 1st floor " x F", spacing /6, "o.c., span /a ft.
Size, floor beams, 2nd floor 62" x spacing (•.,"o.c., span /a ft.
Size, ceiling beams 2 " x td ", spacing /Co"o.c., span /2 ft.
Size, roof rafters or beams a " x ", spacing / "o.c., span ft.
Exterior finish, )/u i tf._.• . ACC/l.0-/.:-/C". With what material?
Finish of interior walls. . . 62 . .sfl.eeTiC 4'
If garage is to be attached, of what material is wall between garage and main building to be constructed?
(/1/f F//Cr~ !/ 5ke.er./C2ci
Is there to be an opening between garage and building? .)/.C,-S .
Kind of heating system ,�,ee..%{/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? '/�S Depth of fireplace hearth
Will a toilet be installed?.*.e5
Will a kitchen sink be installed and connected to water supply? . ..y.e.S
Water supply (public water supply or pump) . ./°4. •./ C
Distance of cesspool from any private well feet
Will drainage system be provided with required traps, cleanouts, and vents? ; _5
AFFIDAVIT
Town of Queensbury
County of Warren
State of New York �
I swear that to tt. A, 1 of my knowledge and belief the statements contained in'thj e`application,toga •th the plans and specifications sub-
mitted, area true and co.a.plete statement of all proposed work to be done on Life described premt a that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining 4/¢roposed work`p,hal mplied with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature .... ..`
W ,O AG .ARCHITECT.CONTRACTOR
g D2 day of.... '�PT-/r/t re./ 19. .0
NOTARY PUBLIC, WARREN COUNTY..N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
SP
X •
By . . .
� m
TOWN OF QUEENSBURY
BUILDING AND ZONING DEPARTMENT
BAY AND HAVILAND 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
CC°CUPANT°S NAME AbDRESS
n
TELEPHONE v _ MN ER'S NAME , Q 9e S ,66E-C8.-/ ( ���' - 1�1C•
ADDR ES i /f/ T,, /.5 .t.A,,z /__W NUMB ER OF B EDROOMS i/
GARBAGE GRINDER? "/Q (YES OR NO) TOPOGRAPHY: FLAT, ROLLING, STEEP, SLOPE,
GENTLE SLOPE, OTHER
NATURE OF SOIL: CLAY, , LOAM, GRAVEL, ROCKS, ETC.
PERCOLATION TEST WATER SUPPLY: MUNICIPAL, WELL, OTHER
DIAGRAM OF PROPOSED SEPTIC SYSTEM
rf
OTHER PERTINENT INFORMATION
IT IS HEREBY AGREED THAT IF THIS APPLIC_-:TION AND PLANS ARE APPROVED,
INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL AADE IM ACCORDANCE
WITH DETAILS SHOWN.
DATE "`) d SIGNATURE OF APPLIC
LAKE GEORGE PARK COMMISSION APPROVAL:
signature
(date)
. . . .
t. ,.
7.:
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----..4 • ,Mk/TAM BIR.7111‘111‘MR/WRIT Ati‘/MUIR MR Mt JIM.RR Ift/11R MR MR.7T/T./IV Algt 711a/ILK AR igl.MUIR MR/11JR.MR MR Mk MR RR RP flp/IR AV RR Jilg iip/15$/11R,AA MR Tip lin 711R 7IK%MR/111T
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--c UNDERWRITERS THE NEW YORK BOARD. OF FIRE i
BUREAU OF ELECTRICITY 0
41 STATE STREET,ALBANY,NEW YORK 12207 0
'1.1'",7.1.7: 014
Date :i'...:'..11,:`,' `.!2,:, ,..:j!, Application No.on file P. c,)A [7; n ,2 :,).,-,
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 ,0 ,..-
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4,
4:: •••< ''. j:i..::''sE(•3 1.7; 4.::.!._,/''L ':_';',....•21..,-:-.-..,'::.:.`,:::. .:-..1:,:''`. , ,, 11-. _:::?, .-J.•1 1:: .2 ;::::
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. .' .in the following location; 111 Basement El 1st Fl. 0. 2nd Fl. •1Z.....;L-:67_.c..AI'. Section Block Lot
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-;• was examined on P and found to be in compliance with the requirements of this Board.
:3:1
'....._: .
.. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENT FLUORESCENT 'COY AMT. K.W. AMT. _ K.W. AMT. K.W.. AMT. K.W. AMT.
6-) :' ''',%, ! '''' ''". 'i 2 1! 2
-,--
4.<, 4
c-, 4 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
.:" . SYSTEMS -- ,'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
•: , . 0 ::;-;
:.- ..:'-..-.•/:,--,-- ' -,:,- ., .
• .,
SERVICE DISCONNECT NO.OF R V I C E
METER
4 AMT. AMP. 1.2 2W 1,0'3W 3,0'3W 3,0 AW NO,OF CC.
OF AeC,?D.P•ID. NO.OF HI-LEG A.W.G. • NO.OF NEUTRALS A.W.G.
.. TYPE EQUIP. OF HI-LEG OF NEUTRAL
. - .. c , ; - c 7 q ,'4, '-',. '•4 7);,..
. ,
:',-":-- J.. `_:2,01.) ;,,L, :1). • 4-, ..... •-
..- . OTHER APPARATUS:
:.<, :! •-',;.-:',..7....."' :_e"
..1 ..! ,'Id: T3)r•-.'„LI
4
.-; D:7„.. —0`,-,7L-', •.,...'.,;-:'
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:::;--f-_:,.(2, F.:'...7 -77,7-,7_170:7•7f7,',-,7'.--7•27,\T iri-' 7
' 7 -11 -PiP.O'D
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2..c..i
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. -, Mil ‘ .7 ''._i57."‘:" - • . ,„ ..,..
,:,:;',!? 1.:-._:. !...1„;:•_,:zi.,...-....1'+:.:::'r ve. , .--
BRANCH -MANAGER
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Per - ---- - • ---,
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COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF•QU•EENSBURY
Building Department
Inspectors'Report Date 1/,-/9—g/
Name - /
Location • 40/ 7 3 /174),e /�
. Permit No. 6, (a l'j- Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat-
Waterproofing (� _
Backfill7- 1
Final Survey _\
Framing , \,
Sheathing
Roof Felt6 (
_
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 j •
Gar. Fireproofing t
Door Closers `/`
Chimney
Water Meter Inst:
Septic Approval
Floors '
Insulation •
Foundation "
Walls
Ceiling '
Building Inspector
REMARKS
y
c� f��e, �`va
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date It-. a4
Name a cl /_
Location
Permit No. 6 6/ ' 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 \1
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
Building Inspector
REMARKS
/doC7a4"/
boa ,/cc_
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date //—t - Rt�
Name ce,E)r n, /
Location L e/ 7.3 Ale,t.w
Permit No. (o /Li- Weather
Remarks
Excatia ti on
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing �• � •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg. a '
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile -.J
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers L
Chimney
Water Meter Inst.
Septic•Approval
Floors
Foundation
Insulation J
Walls ar ✓/�
Ceiling 1/
Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 5- 22-1
Name cefilecaJ
Location L e f -73 . l 0,49
Permit No. G/al/ Weather
Remarks
FooiFo !��
Footing Forms oa
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill r/ v
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 f
< A/2
Building Inspector
REMARKS