7351 c/t^, Pi
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date (-0 C 2 3 1973
. _
1 This51
is to certify that work requested to be done as shown by Permit No. ' -
has been completed.
This structure may be occupied as a op-ymemil )71141
3-.2.7.A Igo 27)
Location
Owner . Ead cat-CiUt
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
CREATIVE ••INSTA• PRINTING. GLENS FALLS. N Y 12801 IS II:11793-88SO
BUILDING PERMIT •
• TOWN OF QUEENSBURY No 7351
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Earl C. Lucci
n
N
OWNER of property located at 27 Helen Drive Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Addition to dwell inq ti
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. n
'N
1. OWNERS Address is 27 Helen Drive
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Ken Collette
3. CONTRACTOR or BUILDER'S Address [v
R. D. #1 Box 455
Hudson Falls, New York
fb
4. ARCHITECT'S Name
1i
N.
fD
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X) _
K )Wood Frame ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications
12 'x14 ' living area and 12 'x16 ' porch per
No. plot plan, specifications and application ¢
submitted. rt.
8. Proposed Use
• O
One—Family Dwelling rr
0
$5. 00 C/O Paid ¢'
$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 1 1982
9 periodrequiredapplicationBuildingZoning inspector of the
(If a longer is an for an extension must be made to the and h.
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 20th Day of May 198 2
•
SIGNED BY Build�dv ��, w for the Town of Queensbury
ing and Zoning Insper
. x
TOWN OF QUEENSBURY - BUILDING DFPARTJ'ENT
R. D. *1 BAY A`:D Y_AVILAND ROADS
GLFNS FAILS, N.FY' YORK
Phone 792-5832
DATE: 1r2/o/b
TO:
Our records indicate that you were issued a building permit
number 73 S / on
for the construction of
Our files show that the required inspections are incomplete.
If still under construction please contact this office for an
extension of your building permit, or if completed please
contact .1s so we can take your card out of the active file.
Next required inspection ,
For all new construction Town Law requires a Certificate of
Occupancy to be issued by this Department before occupancy.
Noncompliance may result in legal action.
To avoid further delay and possible legal action, contact this
office to make arrangements to update your file.
OUEFNSBURY BUILDING DFPARTN'ENT
TOWN OF QUEENSBURY. ' (Space inside block,to be filled in by
WARREN COUNTY. NEW YORK Building Inspector)
. Application for Application No. .�
PP Permit Issued 19. .
BUILDING AND ZONING PERMIT • 1,,,,-n;i( Expires. Ig
%.i,l'iiii. District
‘.:tine „l Work
APP
THREE (31 Copies of a PLOT PLAN, Drawn to scale- Itt�i" (;( •
showing the actual dimensions of the lot to be built
lin Kr
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 QUEENS U€RY
76 — r- 9 0 51 a/sc72
GATE . RECE p U E B
A PERMIT MUST BE OBTAINED. BEFORE BEGINNING WORK MAY 1 91982
ANSWER ALL OF THE FOLLOWING. t`�
The undersigned hereby applies for a permit to do the following.wot k. , . 7181911G111M li 21 3)41516
which will be done in accordance with the description, plans and specifi- " ' , ' + / ' e AAA
cations, and such special conditions as may:be indicated on the permit. G`o 7 tie,
The owner f this roperty is: .
kiii '. .Cr 4,6teex 27./-///6/1(. .13ei ve
(NA'4E) (P.O.ADDRESS)
The person responsible for
supervision of the work insofar as the Buil'ditig Code and the Zoning'Ordinance apply is:
sc/
If (NAME)t) / �
K gA 1.0.11 e77 Address:. : L C) 7'15 5 / . .
Name of Builder �` "�''"•
Name of Plumber ' Address r ,,
�i /dl. ,.+. .Address . ,y! ae. . . /V(Y _
Natne of Maso . ... .n��.�� . •�. . . . . . . . . . . �... .y9 7. ��'
Lot Number VD.Q{ :9.t • . Unit Estimated value of proposed work S /.
ov
Name of Village . . .Qi11.�et / S> G4 ;:
Name of Street . . . .il.E.- .,V/• pRi•l./i Snide c f:�s,treet:,north ❑, east, �, south 0. west ❑
✓Y
Nearest Cross Street . g//V1 1 C%/•)• •�•/�e•`� Distance from this ^ross street
Property is north south CI,east 5,west ❑from Cross Street,.
If on Corner,which corner,northeast 0, northwest ❑, southeast.southwest
(Designate by marking with an "X in the-correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
El
Main Buiitding
Construction of a new building. One family.dwelling
Addition to a building. Two-family dwelling
El Alteration to a building: .-family apartment house ❑
El Demolition of a building. Store building
-car attached garage ❑
Other:
• • • Accessory Building ❑
// One-car.detached garage .
A -Other work. Describe: /1 X• /'Y• • •/14`5 Two-car detached garage • El
Private chicken house a
�� �� � "� 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
huilding(s).in solid line.rr��
Size of property . . . . . I70. . . . . ft. x . ./i, ft.
l7o / Size and use of a is ing buildi s, if any
I.- _ y . . x .
< ,l ft.
m mproposed building . ./c ft.x
e � Site Of
[ID Height(from grade to i e) • 0 ft.
r Front:yard p ft.
Side yards
G l�] ft. and . . . . . . . . . . . . ft.
,^yp ft.
Rear,yard • / 1 'V?
SOUTH - If oft 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.?. . 6000C . •� ���
Will any second-hand lumber be used? . . 'nib• • • • If/�sso, for what?
Material of foundation walls . . . . .��/)2�'11`�� �C a /. At5 Thickness . /U //
Depth of foundation walls below grade . . . .4'& / Continuous foundation?
Will there be a cellar? if so, material of cellar floor 1/
Type of roof: Sloped or flat? ./O,o. Material of roof .�a.SP/181 . .
A "x ", spacing .1,�0 "o.c., length 87 • ft.
Size,wood studs
Size, floor beams, 1st floor . . . . . . "x lb
", spacing. "o.c.,span . . . . . . . . . ft.
Size, floor beams, 2nd floor
" x ", spacing "o.c., span ft.
Size, ceiling beams "x • • • • (p ", spacing /La "o.c., span . .c2 V ft.
Side, roof rafters or beams . . . . "x Go ", spacing /(p "o.c., span . . ... . ., . ft.
. . . -
Exterior finish LDi- Loc- With what material? ./22 2(50I1J./.. /
Finish of interior walls. . . . .
d17.g.1:. .4,‹oc -
If garage is to be attached, of what material is wall betwge garaage and main building to be constructed?
Is there to be an opening between garage and buildin ? .�l�//7
Kind of heating system g Oil burner.or coal? . ./Il//9
Will a flue-lined chimney be provided? . /1 Depth of chimney foundation below grade y�
Height of chimney above roof eoev
Will there be a fireplace? . Depth of fireplace,hearth
Will a toilet be installed? PlfC)
Will a kitchen sink be installed and connected t wa;er supply? . NO .
•
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? /(/9'
AFFIDAVIT
Town of Queensbury
County of Warren
State of New York
I swear that to tr. bard my knowledge and belief the statements contained in this mpplicatio, -__•ther with the plater and specifications sub-
mitted, are a true and co.,.pp lete-statement of all proposed work to be done on the desert. • p • see and that all rovisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed_w' k 11 complied wi nether specified or not,
and that such work is authorized by the owner.' f
Sworn to before me this Signature • •. e -'
OW' R. •• NER' AGENT, IT CT•CONTRAC
day of 19
NOTARY PUBLIC,WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
•
•
•
•
•
•
By
TOWN O`F QUEENSBURY
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 11 3 y
t .
2 . Type of heat Ey„ECT2
3 . Is the building mechanically cooled? No
4 . Percentage of area of windows and doors Hz,
A. Over 16% Only
1. Uo 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
2 . R value of exterior walls f—f3
3 . R value of glazed area
4 . R value of doors
5. R value of floors over heated spaces /109
6. R value of slab edge insulation - unheated slab Whig
7 . R value of slab insulation - heated slab /l/A
8 . R value of heated basement/cellar walls (above grade) /y/f9
9. R value of heated basement/cellar walls (below grade) /yc/A
4
10 . Type of insulation F JTFF6r s
C. Controls
1. Thermostat maximum heat setting 1
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 k
1. Size of hot water or cooling carrying agent pipe _ley-
2 . R value of pipe insulation
F. Service Water Heating
1 . Performance efficiency
2 . Temperature control setting maximum N/74
G. For Swimming Pool Only
1 . Maximum heating
( Telephone No. '/y3-26 (applica is ature)
•
•
•
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL.NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. c.- !
l
CITY OR
VILLAGE TOWNSHIP Qc,l l- :=�„j•;K i-i,•' �.I COUNTY f y),ti! ; l-At.
STREET AND NO.OR
ROADANDPOLENO. 1! )-) i--1_ .� i :/ Iv POLE NO.
BETWEEN WHAT TWO
CROSS STREETS IS -
PREMISES LOCATED? )4 i- r r� ,2l - Y �+ ! t "�('.t') SECTION BLOCK LOT --;/
I
OCCUPANT'S BUILDING
NAME /l��l�t OCCUPANCY '
OWNER'S NAME _4
AND ADDRESS
CURRENT - •
-
SUPPLIED -BY 1 Ya f-� }j` FROM THEIR
/\ 1 l�...;=?;r ,l, >1.t�i �� !. )�+,1 � r-7)l_ L S OFFICE
BDEFECTS
SUILDING NEW OLD❑ REMODELED El IS
NEW 51 ADDITIONAL REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH LAMPS
Lamp Receptacles CIRCUITS
Loca-
tion Side Attach't H.P, Watts A W.G. WATTS
Ceiling Wall Recept'Is Switch Pendent Bracket No. Type Each No. Each No. Gauge NO. EACH
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 REQUESTEDON OR AS POSSIBLE NEAR AS ❑ OLD 1-1
/ !) 1 �' / � 4/ ( NEW�-
./
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
•
NAME OF - .. - - DATE OF
APPLICANT J- PAS f i — %.i' APPLICATION i --i f l
•
STREET ADDRESS - / • j'I/`l/-1"
CITY OR . , f j ZIP r LICENSE NO.
POST OFFICE : ( L- i-Al - /--t!L.(, /'/ - CODE + h-<;) I WHEN APPLICABLE
A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
A.A. _A. A. • /,J.I1..0 a 1 As, ,1./J_A.
Y --
THE NEW YORK BOARD. OF FIRE UNDERWRITERS = _
,- �I BUREAU OF ELECTRICITY -_
c 41 STATE STREET,ALBANY,NEW YORK 12207
lye 0046 ,' 3"7 ' _
Date k t?-1C: -a ' ` Application No.on file .�fi A �4 r
T THIS CERTIFIES THAT a
k, only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
S F P. C J LUCC i 5 `y 7 !l le zIL ii r.i VC?:9 Q1,3.'anoba %, 1:10K9 York r
in the following location; El. ` ` r
' Basement 0 1st Fl. El 2nd Fl. Section Block Lot Y
-. was examined on wY i`).7/2'3 and found to be in compliance with the requirements of this Board. . .
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS .. _
-- t OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT MERCURY AMT. K.W. MAT. K.W. AMT. K.W.. AMT. K.W. AMT. H.P: Y Z
it..
VAPOR
7 j' 0 -
DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS - 'Y
SYSTEMS
'AMT. K.W. OIL H.P. GAS H.P. AMT. Na A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET 'AMT.- WATTS 'Y �
.r -
r
gJ. (7 1�'9-Y -
SERVICE DISCONNECT NO.OF - S E R V I C E r
AMT. AMP. TYPE EQUIP. 1,9'2W 1.2 3W 3.W 3W 3,9'4W NO.OPER iCOND.METERI Nppp,,�ggppp EU A.W.G.
— I-OFy60T �N7.�IL'� �OFA HFIE OF NEUTRAL `
\vV Y
T ^
— . OTHER APPARATUS:
Y
.
— r 23:
- _'.1'1.C.:�e.."1'.C4' 7 3 l t9 Fi ci t 4,e...H`-i e 2— c 5 I-C.0 7
C
— E IC:11 C 0 LI I'C.'C i ..71,. !•37,"‘.:7 :::,
G!l<�@t:', {',"I ,..'t u-' , r'-' rpw `ty'ra',6.f. L2 80 I. C_BRANCH MANAGER
_ Per-- / >�-
Y c
_ -1 '� ® 0 ® 0 ® ® ® I1 ® `-- -fY�YY�YYi --
-- COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. -
•
•
TOWN OF•QUEENSBURY
Building Department
Inspectors Report Date //7 '2/ ,'-'
Name L4No z t✓ :Nd"i
Locatio® 7 a 4f> A) �f;
. Permit No. 7 % Weather
Remarks
Excat•7a torf'
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 c„7,'' •-! l
Finished Floor
Interior Trim I \\J
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
TOWN OF QUEENSBURY-
Building- Department
Inspectors Report Date 7 /? 62-
Name ✓�'a <
Location
Permit No. ''Y.i V Weather
Per Cent
Complete•
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat i4agJ
Waterproofing
Backfill
_Final Survey
Framing r�
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
Taef (Z4/
Buildingctor
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 6- - �
Name .�_ ! ccV,
Location 2 7 / id j>8
Permit No. 11 51 Weather
Remarks
Exca(ia tion
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
J 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
Build ng Inspector
REMARKS
1
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