5576 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
iLADate I (1'13 19-7
3 / —/, y-/-s
This is to certify that work requested to be done as shown by Permit No._
has been completed.
This structure maybe occupied as a L�/ GY' 4y% /'-
P6 f/
Location
Owner 6(0,
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector •
CREATIVE "INSTA" PRINTING, GLENS FALLS. N Y 12801 IS 18)793-5658 F.
✓��_, BUILDING PERMIT
TOWN OF QUEENSBURY
No. 5576 ``�
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WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to George P. Senecal II
OWNER of property located at Lot 69 Helen St. (St. #6 4) Street, Road or Ave.
F'F
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. -
1. OWNER'S Address is 57 Helen Street
Glens Falls, New York
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2. CONTRACTOR or BUILDER'S Name rf
Same - rn
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3. CONTRACTOR or BUILDER'S Address fD
Same
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4. ARCHITECT'S Name fi
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X) 0
(X)Wood Frame ( ) Masonry ( )Steel ( ) rj
N-
7. PLANS and Specifications - - -
24 'x74 ' per plot plan, specifications and application
No.submitted including two-car attached garage and sewage
system.
8. Proposed Use
One-Family Dwelling
$5 . 00 C/O Paid
$ 1 34 . 00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 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
town of Queensbury before the expiration date.)•
Dated at the Town of Queensbury this 14th Day of November 19 78
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SIGNED BY N/OLPL (12. for the Town of Queensbury
Bu ding and Zoning Inspector
I OWN OF QUEENSBURY (Space inside block to Ix filled in by •
WARREN COUNTY, NEW YORK Building Inspec tor)
Application for - ,''I''ic''tion No.
Permit I..uc•(1 I'i-
BUILDING AND ZONING PERMIT I•.,,,ire, IS(
71,1111)_ I)'.tricI
\ ; IIlc /)I \\.f1rl. .
THREE 131 Copies of a PLOT PLAN, Drawn to scale \i'l"'c d iw . . . . . . . . . . .
showing the actual dimensions of +he lot to be built Rt•tiloi`• . . . . . . .
upon, The exact size, and location on the lot of +he
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
7 TOWN OF QUEENSBURY
iti c3tiv R IT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK 1 NOV 1 3 1978
ANSWER ALL OF THE FOLLOWING. l A.M. 13 GJ oo >p M F tee' M.
The undersigned hereby applies for a permit to do +he following work 7I8I9IiOI11I12)1I2I3I4I5I6
which will be done in accordance with the description, plans and specifi-
cations, and such special conditions as may be indicated on the permit. �/d ( ,,,e,
T e owner of this r operty is: —
• . c� S�f��.cc� 3-'7 /fie/c='v . .fen c•.;. . .G.%rn1.s. . .FA FA/Ls. .
(NA',E) :P0 A DRE k
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
_ (NAME) (P 0.ADDRESS)
Name of Builder. . . , -.t om-, Address
Name of Plumber ✓ Address . .
Name of Mason ✓ Address . . . .
Lot Number. . .. ... . Unit Estimated value of proposed work$ ex., 77, G 0 0.
) (hkName of Village �.Cv e.,?...NIS .b v t. . '
Name of Street .1., \+?-k e- Side of street: north 0, east 0, south ❑. west 0
Nearest Cross Streett,he...%ti.R. K Distance from this cross street Ft.
Lam Property is north ",south M,east i i, west 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest El, southeast 0, southwest ,
(Designate by marking with an "X" in the correct space.) .
NATURE OF PROPOSED WORK OCCUPANCY
Construction of a new building. Main Bang
❑ Addition to a building. One-family dwelling
12
❑ Alteration to a building. Two-family dwelling ❑
❑. Demolition of a building. . .-family apartment house ❑
Store building . ❑�,/
. . .a. . .-car attached garage L`7
Other:
Accessory Building
• One-car detached garage ❑
❑ Other work. Describe Two-car •detached garage ❑
Private chicken house 0
Private storage building 0
Other:
ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building,or a change of occupancy.
Indicate on the plot plan streeternes, the location and
size of the property, the location, sire and setbacks of pro-
NORTH posed buildings,and the location of all existing buildings.
Show proposed buildings) in dotted line and existing
building(s) in solid line.
a Size of property U�1 ft. x /�C,�• • • ft Size and use of existing buildings, if any
F I
m Size of proposed building 21 ft.x 7 V ft.
Height(from grade to ridge) ft.
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Front yard / ?\ ft.
Side yards /3 ft. and '3 ft.
Rear yard 'L/ 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)
(cont'd.) '
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe. etc.?. . N. C.. ' . . 'tNt.�--
Will any second-hand lumber be used? VO If so, for what7 •
Material of foundation walls . 1.CY!.X A.''t Ceme.i,• • .C3kc c.t-S Thickness
Depth of foundation walls below grade 3 Continuous foundation?
Will there be a cellar? . .y.-e.5. . . . . . . If so, material of cellar floor . '/.'.'. . .C'o r,�C.rz.�:a-
Type of roof: Sloped or flat? .5<<?Re .. . . . . . Material of roof . .' .f)..c:,`.Y . . `ice s U ch.e.S ,
Size,wood studs r�. " x L/ ", spacing l Cam,."o.c., length S ft.
Size, floor beams, 1st floor rf(. " x /U ", spacing /c."o.c.,span /A ft.
Size, floor beams, 2nd floor a " x / ", spacing "o c., span /9 ft. •
Size, ceiling beams " x ", spacing / "o.c., span !3 ft. •
Site, roof rafters or beams " x d', spacing /Ce,"o.c., span ,/(ry ft.
•
Exterior finish .4'Jor.f=?�i.c_.K.'s. . .(\1\k.: SUtvi1.-c. . .S•ta�[►�. C5_With what material?
Finish of interior walls. . . . l 1.�...I. . . . .S - ....N p,o C K
If garage is to he attached, of what pa,aterial is wall between garage and main bui,leing to be constructed?
F% R-z l=<z V.).._�3:›c,.v..)-- D-.---c c t.0 c_, ic.
Is there to be an opening between garage and building? . :�. .
Kind of heating system \ l .C:�- \ pV.'[NP 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? '`e 5 Depth of fireplace hearth /
Will a toilet be installed? y-e S
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Will a kitchen sink be installed and connected to water supply? x.-e..5
Water supply (public water supply or pump) . . . .f).L f:.1.1.(.
Distance of cesspool from any private well feet
Will drainage system be provided with required traps, cleanouts, and vents? >/( S
Town of Queenshury AFFIDAVIT
County of Warren ss.
State of New York
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I swear that to the best of my knowledge and belief the statements con .ip 64 in:this application,tout vai the plans and specifications sub-
mitted,
are a true and complete statement of all proposed work to bet+die 'tithe deacnbee.prer�i awl''that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE.and all other laws pertain' _ +JtIie proposed otshal e�tnpliad with specified or net,
and that such work is authorized by the owner. i � �/
Sworn to before me this Signet - .. . ..�✓.. .. ✓�riA.�7� ,
„ N .0W GENT.ARCHITECT.CONTRACTOR
day of.. ' 9 . •
NOTARY PUBLIC. WARREN COUNTY, N. Y.
SPECIAL CONDITIONS-OF-THE PERMIT: - — —
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By •
TWO O Or () EE iSRUttY
r s I.z.DI tea ;• J ZONIM; DEPARTMENT )
J'PLI ti.JAT.LiI FM A P E RP T:•1. .t,,ti•; rp g ,,,1 Ak,1CT•y is:..%�t O �':i..tj.k. W s'
A SEWAGE l GE i :..•:�C c1.'j t. `'`ter «1} d I Tow F. 03..) ,:q Y 0
J L�.1.s..�- � WITHIN �..i i J�i 1 ! I...:J3 :Yl.. 1_
OCCUPANT'S NAME ADDRESS
TELEPHONEOWNER'S I'7�'�A�3 � CR , '
ADDRESS S 7 / A,/S7 NUMBER OF BEDROOMS
GARBAGE, GRINDER?..41/1.2 __.,YES OR NO) TOPOGRAPHY: FEAT, ROLL NG,STEEP, SLOPE 9
t N SLDPE, OTHER.�m
NATURE OF SOIL: CLAY, SANDY, LOAM,. , ROCKS, ETC
PERCOLATION TEST WATER SUPPLY: 'MUNICIPAL, WELL, OTHER.
DTAcM OF PROPOSED SEPTIC SYSTEM -
/17/1
OTHER PERTINENT INFORMATION
IT IS HEREBY AGREED THAT IF THIS APPLICATION AND PLANS ARE APPROVED,
INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL BE E IN ACCORDANCE
WITH DETAILS SHOWN
SATE1/1/2 77 SIGNATURE OF APPLICANT r_e7_ -_. ..
LAKE GEORCE PARK COMMISSION APPROVAL: _ �a
A) A�.G.0 _AASAAAAa AA.AA AAAAAAAAAA 6AAA,tiA,A4.-1•-..IJ..CA.C.3,A.A_CA,4—'_.Aa AA AA AA_CJ..A�_C)..C.,_,AA,..)., ,i.-0-4.I1,4-1-CJ.AJ..AJ_•44.94.a-.ICJ_i_C.4.4 AJ..I)4 ..444.4 .444,...,.CY
THE NEW YORK BOARD. OF FIRE UNDERWRITERS `Y
BUREAU OF ELECTRICITY
F'" 41 STATE STREET,ALBANY,NEW YORK 12207
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ii< Date Application No.on file -
THIS CERTIFIES THAT
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onlac, y the electrical equipment'as described below and introduced by the applicant named on the above application number in the premises of
ill
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.' in the following location; ❑ Basement El 1st Fl. ❑ 2nd Fl. •. - Section Block Lot
• , was examined on _ 'C: , and found to be in compliance with the requirements of this Board. ;>-
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ;a
C OUTLETS RECEPTACLES SWITCHES mEacuaY
�, INCANDESCENT FLUORESCENT VAPOR AMT. K.W. AMT. K.W. AMT. K.W.. AMT. K.W. AMT. H.P.
: ,a
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS,
c SYSTEMS
4 '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
tr„, SERVICE DISCONNECT NO.OF ._. S..,''`- E R V I C E
..- METER 0 AMT. AMP. TYPE EQUIP. 1�0'2W 1 W 3W 3.i'3W a e IW Na OF CC.COND. A.W.G. NO.OF HI-LEG A.W.G. NO.OF NEUTRALS A.W.G. 'a
PER.0' OF CC.COND. OF HI-LEG OF NEUTRAL ',>
ill OTHER APPARATUS:
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BRANCH MANAGER
M .`
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Per
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erv-4FY.Yvil, ® ® ® ® Nortir 0niztiEszsm ® ri ® minormizi risztorri 0
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
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TOWN OF QUEENSBURY •
Building- Department
Inspectors Reportr ,t41 f 5 Date '/-
�C f
Name lee ,,, '� /
Location . ,fie/ l' A /evi�
Permit No. 6 f la Weather
Per Cent
Complete Remarks
Excavation
Footing Forms
Footing & Piers
Foundation (%)
-
Cement Coat Th
Waterproofing
Backfill •
_Final Survey
Framing e)(//,
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
Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date
Name
Location ' / i/f' ) /
Permit No. !i g /6 Weather
Per Cent • Remarks
Complete
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill f i
Final Survey !d r
Framing . L� (J
Sheathing
Roof Felt
• Roofing
Siding
1\4asonry Veneer /C.
Rough Plbg. �' ��
Rough Htg.
. Relief Valves
Wall Board \e/r.
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
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date //27`,.
Name /
Location //A -"-
Permit No. S 5 7(n Weather
Per Cent •
Complete Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat ,�r
Waterproofing
Backfill ��
Final Survey C� I
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
Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date j/,. / / 1'
Name '
Location i A
Permit N/y �'-, . .- •% Weather (-i U /
96 Per Cent .
Complete Remarks
Excavation
Footing Forms
Footing & Piers !�'� ,��ii
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding 1
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 r7 t_
Building Inspector
REMARKS
TOWN OF QUEENSBURY •
Building Department
Inspectors Report Date //S
Name 5e/...,ecit
Location A/E/-Ai _X i ' 6 '
Permit No. 5-5-7(o 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 \\c
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
7 Building Inspector
REMARKS
%)y /Uej/