7768 CIO Paid
CERTIFICATE OF OCCUPANCY
TOWN OF QUK*$9URY
WAMN COUNTY, t*W y0jW
__ er_tember
Tide is to car toes w►a& nquamd so be done w shots by Permit No._.- 7 7 6 8 -
bM been
+e ram► be as a one-Family Dwelling
Route 9L, Dark Day on Lake George !�
ck"M William Doetzer
BY Or&r Town bond
f�
TOWN OF QUUNSDURY #
I ■r
Bundiag bxMag hapecur
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CNtATIVS "INSTA" rN1NT/N6. 6LCN{ FALLS. N T 13{O1 If/•13f3-{{fi
ism_::sue.-............xu.w,....U. -......
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 7768
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to William Doet z er G
O
lD
OWNER of property located at Route 9L, Dark Bay on Lake George Street,Road or Ave. rt
*N
(D
fi
in the Town of Queensbury,To Construct or place a One-Family Dwelling
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER$Address is 93 Montcalm Street
Lake George, New York 12845
2. CONTRACTOR or BUILDERS Name
OKO Custom Homes
0
a
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3. CONTRACTOR or BUILDERS Address (D
9 John Clendon Road %D
Glens Falls, New York
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4. ARCHITECT'S Name N
_ bd
W
5. ARCHITECT'S Address tsC
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6. TYPE of Construction—(Please indicate by X) yC'
M
()d wood Frame ( )Masonry ( )Steel ( ► G�
M
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ti
7. PLANS and Specifications �
321x72' per plot plan, specifications and ra
No- application submitted including two-car attached garage
and sewage system.
8. Proposed Use
one-Family Dwelling b
0
0
1
$5..00 C/O Paid
$164. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES NoVember l 19 83 ,
(if a longer period is required an application for an extension must be made to the Building Zoning and Zoni ~inspector of the
town of Queensbury before the expiration date.)
tj
Dated at the Town of Queensbury this 4 th Day of Apr it fg 83 M
SIGNED BY S—r4 for the Town of Queensbury
Building and Zoning Inspiletor
TOWN OF QUEENSBURY
(Space inside block to lx• filled in by
WARREN COUNTY. NEW YORK Building Inspcckw)
Application for A)►1►licrti<n► No.
Permit Issu/dl
BUILDING AND ZONING PERMIT 1�� mit Expires 1 19 .
r19
Zooms Uistrici _
THREE (3l Copies of a PLOT PLAN, Drawn to scale ‘1)1►r„A►•,1 by 'f�dt07
showingthe actual dimensions of the lot to be built kcnru)(S'
upon, Texact size, and location on the lot of the
building to be erected or altered MUST BE SUB- .
MITTED WITH THIS APPLICATION.
�
' t 2 /illi * Y ,/`�� TOWN�1OF� �QUEENSBURY
4;77 -- ' - U .f f DATE 1� Y/ L1YIVE D
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK APR 4 983
ANSWER ALL OF THE FOLLOWING. 4 �
/ i°
The undersigned hereby applies for a permit to do the following workA.M. 11213141516
�
which will be done in accordance with the description, plans and specifi- 7I8I.
cations, and such special conditions as may be indicated on the permit. Ai C'X7
Thowner of this prope ts:
14 4,/./? j. Z)o&--:--7--2. ,3 /ro.v7-t,41 S7- e" 41;i541;i5e4-e-, :/-
(NA,EI P.O.IADDRESS)
The,Arson responsible for supervision of the work in far as thuildipg.Code and the Zoning Ordinance apply is:
,rd/Gc.c-- ��c.c_—Ze ,Zi LJ e' , . Ce•40i Al 7 tiles 0. �3) Z.
A‘'''‘)
�,� INA El fPP 0 ADORE
Name of Builder/2 2 s�b`1 C? Addres�/0/1� �vew 'ell 1./C'/.2 /
Name of Plumber,, -i �¢?'��- Address
Nettie of Masont\k&.Iv Lefwer Address . . . . .es.---
Lot Number. . . . . . . . . . . Unit Estimated value of proposed work t/2.s/L
Name of Village . 4/:7 -.1,4111-5.0
Name of Street . . . . . .9 -- .091i. . .. . .61Y Stade of,*treat: north east. CI, sotith 0. west CI
Nearest Cross Streee/'J.71E
r .7" Arm /r!1 Distance from this ^ross street Mo /. . . . . Ft.
Property is nwrth g south 0,east ,west 0 from Cross Street
If on Corner,which corner, northeast 0, northwest 0, southeast ti 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
❑ Alteration to a building. Two-family dwelling 0
❑ Demolition of a building. -family apartment house ❑
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 0
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,sire and setbacks of pro-
NORTH posed buildings,and the location of all existing buildings.
---� — "= Show proposed buildings) in dotted line and existing
E 9G. l�uilding(s) in solid line.
t•
Size of property 7qv,/.G.9. . . . . . ft. x e97.7�"'6
. 3
ft
44,
Size and use of existing buildings, if any Q
N N
(cont'd.)
1
BUILDING SPECIFICATIONS..
Kind of construction: Wood frame, fire safe,et .?. . .al. . . .4"6. . . f). . . ./ ,--elW.4-7-.-. . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . .
Will any second-hand lumber be used? . A../0 If so, for what)
Material of foundation walls 4.e—0 C.-/C.S Thickness /0 ?f
Depth of foundation walls grade Orel 17— Continuous foundation?)17. . . .
Will there be a cellar? . . . .6-7:-.-",c.-,. . . . If so, material of cellar floor . ...t.,C.g4
),16w
Type of roof: Sloped or flat? ---/C- OPeZ) Material of roof . :. '#‘9,011-77 .`.• /-/-7Ati<r-(---4-
van* i
Size,wood studs ..?-.-Y.I.e.,. . . !7c4-X-.V."x ",spacing A a-V "o.c.,length 41.7" • ft.
Size, floor beams, 1st floor 2.-. "x /0 ",spacing . . , /.6 "o.c.,span . . ./ f.. . . . . . ft.
Size, floor beams, 2nd floor 2._ -x /2-, ", spacing /4P. "o.c.,span /P'` ft.
Size, ceiling beams 2 "x F ", spacing . . . Z6:. "o.c., span ./.4.7 ft.
Site, roof rafters or ams . . . . . .4,.. . . " x (53. -#--.2.y.../.2.",spacing . /6 "o.c.,span ft.
Exterior finish . .4-.X..4.... ,., 7- Aix t--
7
With what material?
Finish of interior walls f 2.-= . .,Die If garage garage i§ be atucked, of what materialriAwall between garage and main building to be constructed?
/F --.1 R --.---.C.exo.d.-,. . ,..i/et
Is there to be an opening between garage and building?
Kind of heating system . . .&7414-F. ./C........ Gil-burner-or-coal?
Will a flue-lined chimney be provided? -eS Depth of chifimey foundation below grade yd.--
Height of chimney above roofV cg Zfr) er
Will there be a fireplace? . . .4 Depth of fireplace hearth
7
Will a toilet be installed?. ... . . . .4":". . . . . . . . . . . .'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will a kitchen sink be installed and connected to-xater supply? . . . .
Water supply (public water supply or pump) . 1,1/2/.4L e.-.F-2). . . 1A-1.4,- .._4,
Distance of cesspool from any private well ..a.ePt- 1 feet
Will drainage system be provided with required traps,cleanouts, and vents?
AFFIDAVIT
Town of Queensbury
County of Warren
State of New York
I swear that to tr. aw,..ruf my knowledge and belief the statements -• • •• •• this application,together with the plans and specifications sub-
mitted, are a true and co.,.plete statement of all proposed work, .'i the described premises and t allp3wi.iona of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws • • • . proposed work shall be no • hether specified or not,
and that such work is authorised by the owner. - <
Sworn to before me this Signet 11111..--
OWNER.0 ER'S ENT.AR HITECT.CONTRACTOR
day of. 19
NOTARY PUBLIC, WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
TOWN OF QUEENSBURY
,
WARREN COUNTY , NEW YORK .*1c:lQe.'t2err
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 2144
2 . Type of heat 1q, -
3 . Is the building mechanically cooled? 1•10
4 . Percentage of area of windows and doors fig . 1
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
. !R 3C) F\ear `R I9
2 . R value of exterior walls 7 Sr
3 . R value of glazed area k .(13
4 . R value of doors "R ,dk -
5. R value of floors over heated spaces NV
6. R value of slab edge insulation - unheated slab Lo
7. R value of slab insulation - heated slab tv
8. R value of heated basement/cellar walls (above grade) N//Qi,
9. R value of heated basement/cellar walls (below grade)-
_ __
10. Type of insulation )F ,rj!A &RA A CkyimAk/1,,4,
C. Controls
1. Thermostat maximum heat setting 1.1.411
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
2. R value of pipe insulation
TOWN OF QUEENSBURY
.luWARREN COUNTY , NEW YORK oetZeV-.
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 1144
2 . Type of heat 1\QL
3 . Is the building mechanically cooled? NO
4 . Percentage of area of windows and doors 04 . 91
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 7 S
3 . R value of glazed area k. t3
4 . R value of doors "R1It
5. R value of floors over heated spaces ‘Nl/
6. R value of slab edge insulation - unheated slab l®
7. R value of slab insulation - heated slab to
8. R value of heated basement/cellar walls (above grade) N/fir}
9. R value of heated basement/cellar walls (below grade) h(�/,1
10. Type of insulation tjt gLIIJL4
C. Controls �
1. Thermostat maximum heat setting 12.
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
2. R value of pipe insulation
TOWN OF QUFFNSBURY
BUILDING & ZONING DEPARTMENT
SEWAGE DISPOSAL PERMIT APPLICATION
1. Owner ' s Name WILLIAM E . DOETZER
Address 93 Montcalm Street , Lake George, New York 12845
Telephone No.668-5845
2. Property IocationNorth side Route 9-L, 700 ' East of Top 0 ' The World Re
3 . Nane of person or firm responsible for installing system
Telephone No.
Address
4. Number of bedrooms (residential buildings only) 4
5. Daily flow 600 gallons/day
6. Septic tank capacity 1000 gallons
7. Topography: flat, rolling, steep
% of slope 10%-
8 . Nature of soil and depth0 ' -2 ' fine grey sand ; 2 ' -6 ' medium grain brown
sand
9. If ground water, bedrock or impervious material is apparent at what
depth does it begin? Rock over 6 ft. ; Water - 31+
10. Percolation test: A is reauired
B is not required
C If required what is the rate 4 minutes/inch
11. Water supply: municipal , well, other Well
12. Type of system proposed: drywell, tile field, other Pressure/ fill systE
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 a rovided for in Section 6 . 010 of th
Queensbury Sanitary Sewage Ordinance
Date March 16 , 1983
sign ture of applicant
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
TOWN"OF QUEENSBURY
Building Department
lawman* Report Date yy1.ByA
Name_426 7: _,,.
Locat on .�i41E.i' BR y ir?/
Permit No. .7`7 (o I Weather
F ,' /\J,4 :77-X/57P--- Remarks
ExcaOation
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 ,C
Interior Trim �'
Stairs & Railings Q<
Cellar Dr. Tile
Concrete Floors /
Plbg. Fixtures LJ/Qte<
Gar. Fireproofing,
Door Closers
Chimney 0,e Z[-724 s "(0<""
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
'Ceiling
Building Inspector
REMARKS
3/10,tzle 14 9?
- �-- �
TOWN OF QUEENSBURY
Building Department
Inspectorss Report Date 8—2 ,.st.
NameLocation
Permit lD.4� k '
No. �gg
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
7/7:7e-
Buil ng Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 7'--a'8.3
Name .0.400 -7--,Z
c R
Location 47 ,9c J�14 s.k •e3�Y
Permit No. Weather
7-7 7i Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
FinalSurvey
Framing (7,4c-
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg. ✓_P 7IC 1,
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. ,f
Septic Approval //
Floors
Insulation Foundation ,
Walls
Ceiling
Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date €3•3
Name
Location L Jam. Js.9'Y
Permit No. 11 7 Weather
Remarks
ExcatM ti on
Footing Forms
Footing & Piers
Foundation e
A,
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
Foundation
Insulation
Walls
Ceiling
i,
Buil•in. nspector
REMARKS
Pdok
TOWN OF QUEENSBURY
Building Department
Inspectors !glad. Date 4-Z®-$3
Name 1:)4.40h ‘r.
Location Rt . 9�,
Permit No. 17 Go Weather
Remarks
Excat'a ti on
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg. (t,lktt r S(41
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
\\\;
Cellar Dr. Tile
Concrete Floors r
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors 1 :
Insulation Foundation ! ' el
(
Walls 1
Ceiling
Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 1"V-0.2
Name
Location Pr—FL p,4g.t, S.4
Permit No. 'l (o A Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation v4,14.441 # FI c) ,e ms
Cement Coat Flt 1 e ray 5/PPS Tv
Waterproofing 6,t,QDea e,
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
Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date V
Name �•
Location Qq,
Permit No. T-7 6 g Weather
Remarks
Excatra ti on
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing i
Backfill i/ pj(-- 61od..44.1,941.,Fe.041..
Final Survey 7-715S rel 6R,Abc..)
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
Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 44-
Name Pr)E72 R
Location D A-Zk Af334 fi
Permit No. 7A9 Weather
,4/ A)tc7- ce9 Remarks
Excavation
Footing Forms /�-
Footing & Piers V/ '�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
1\/:
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
4
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
ffetraVr-ett&J
Building Inspector
REMARKS
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