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7834 C/O Paid t t.. CERTIFICATE- OF OCCUPANCY TOWN OF QUEENSBURY • WARREN COUNTY, NEW YORK Date July 21 19 k 3 3o/ /a �/ 4.7117 — This is to certify that work requested to be done as shown by Permit No. 7 8 3 4 has been completed. This structure may be occupied as a One—Family Dwelling Location Lot 95 Helen Drive (St. No. 1_71 Paul G m Sokol Owner By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector CREATIVE "INSTA" PRINTING, GLENS FALLS. N Y 12801 1918)793-5658 BUILDING PERMIT TOWN OF QUEENSBURY No. 7834 WARREN COUNTY, NEW YORK b Iv sJ PERMISSION is hereby granted to Paul G. Sokol j G.1 OWNER of property located at Lot 94 Helen Drive (St. No. 17) Street, Road or Ave. In in the Town of Queensbury,To Construct or place a One—Family Dwelling o at the above location in accordance to application together with plot plans*and other information hereto filed and I--' approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is R. D. #1 Spier Falls Road Gansevoort, N. Y. - 2. CONTRACTOR or BUILDER'S Name Same 3. CONTRACTOR or BUILDER'S Address ti O rt' Same ^ 1° tn fi 4. ARCHITECT'S Name • i`r-I (D' H F-1 O (D • j C7 5. ARCHITECT'S Address 1-1J I-1 Y. O 6. TYPE of Construction—(Please indicate by X) (x)Wood Frame ( I Masonry ( I Steel ( ) 7. PLANS and Specifications 30'x56 ' per plot plan, specifications and No. application submitted including two-car garage (under) and sewage system. 8. Proposed Use One-Family Dwelling �o • 0 $5. 00 C/O Paid $ 129. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 1 19 83 (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.) C7 N Dated at the Town of Queensbury this 4th Day of May 19 83 N /� SIGNED BY ��t/IG��v" ,� � (�yyi for the Town of Queensbury Building and Zoning l Rifoector G/ TOWN OF QUEENSBURY I (Space inside block to be filled in by WARREN COUNTY. NEW YORK Building Inspector) . Application for Application pp Permit Issued 19. BUILDING AND ZONING PERMIT l'..l-mit t.xpires. • 19. • Y.4,ieine. District THREE (31 Copies of a PLOT PLAN, Drawn to scale- A.Ppr '•c1 I)y „ showing the actual dimensions of the lot to be built 1tentarKf . 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 QUERN/BM fY 7° — Lic - 'q sl / S'',Y RECEIIVE 0: t)ATE • A PERMIT MUST BE-OBTAINED BEFORE BEGINNING WORK.. MAY 3 1983 ANSWER ALL OF THE FOLLOWING. A.M. r� P.M. . The undersigned hereby applies for a permit. to do the following work .e�`tinol fl'11i213)it _ _e- � . which will be done in accordance with the description, plans and specifi- i ' • cations, and such special conditions as may be indicated on the permit. Q:v �I��v, D The ner of this property is: A+.� S (P.O.ADDRESS) The�rson responsible for •supervision of the work insofar as the Buildilfg:Code and the Zoning Ordinance appv ts: (NAME) • (P.O ADDRESS) // ':' Name of Builder. . ( *.~- . . . C. . • •0:ki,1 Addreaa- ' C�'''r� ' • Name of Plumber. . )O w W.. . . .0 ilaQ-S�. Address -5p;.4- . . j.ts. . . . 6. . . . ENe t_t:a&T S .1y Name of Mason jU~1.-. •(:•'.,-, • •Sow l Address . . . .6 6rt-3.N.-e _ i 1 ` Lot Number. . ....) Unit . . . .4. . . . . . . Estimated value of proposed work S "f to S C00,Qo Name of Village. . wex� 5 v-> . , . ..• - Name of Street : . .HE:t .►1..1 . . Lia., Side of:etreet: north ❑, east. ❑, south "O. west 0 Nearest Cross Street .f_r fit, -i-• . . E. P 'X. Distance from this -rocs street . . .15 00 Ft. . Property is north I!L south El,east f i,west ❑from Cross Street If on Corner,which corner,northeast 0, northwest 0, southeast" C southwest (Designate by marking with an"X" in the correct space.) . NATURE OF PROPOSED WORK OCCUPANCY E: Construction of a new building. • Main Building Ni El Addition to a building. One-family"dwelling Y-` 0 Alteration to a building. Two-family dwelling 0 ❑ Demolition of a building. . -family apartment house ❑. Store building (-3 . . . .-car attached garage. , ❑ Other: - • Accessory Building • • One-car detached garage ❑ L] 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 I(E.T.A iscJL 5 t liuilding(s).in solid line: • _ Size of property . . . .E.0.0. . . . . . ft. x . '.S-0 ft. -r- Size and use of existing buildings,if any . . t'v..QN.E.. • • • F )- h t .. L. il) illSize of proposed building . .�.U . . . . ft.x .>?'• • • • • it. �. Ii • eight'(from grade to ridge) `� ft. `� T' Front yard It. MSide yards . . . .9. , . . . . . . . ft. and 6k C ft. Rear yard 7 0 ft. SOUTH If op corner,setback from side street ft.. .. Note: All distances are net, as measured from street side line to nearest part of building. (OVER) . ?-73-M ' (cont'd.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe, etc.' 14...)004.. . .(- Rt`n�, Will any second-hand lumber be used? . . . 1 D t If so, for what? Material of foundation walls G C`c�.`- . . \ t.c c..k. Thickness 7 0 i I Depth of foundation walls below grade . . .`v. . .M:c Continuous foundation? .if.S Will there be a cellar? ti.' e‹., If so, material of cellar floor . . . Ct CcS--:c. . . S1,q lfb Type of roof: Sloped or flat? S 1.•0 6�cd. Material of roof •'"'�. ,a C�. t���w . . .5.� Y.S Size,wood studs - "x ",spacing . . . .( :D "o.c., length. . . . ; .• v ft. Size, floor beams, 1st floor ., "x ( (..) ' ", spacing . . , . .1. o "o.c.,span . . . . . I .'S. . . . . . ft. Size, floor beams, 2nd floor a " x p r> ", spacing . . .(�. . . . . . ."o.c., span (.(.. . ... . ft. r ' Size, ceiling beams , . . . . "x . . . . ... . .", spacing t "o.c., span (3 ft. Site, roof rafters or beams c:., "x 1 I) ", spacing ( to "o.c., span . . . .E.3 ft. Exterior finish . . . .V.e :36.Cio... . . 5r.3.:,,c i With what material? . . .4t..1Ad Finish of interior walls. . . . ..�. . . .S I'ee7-Ckc If garave is to be lattached, of what material is wall between garage and n)ain building to be constructed? r S 17 eE„'7it=C L 'b.4(t, 01, c . . . .cc, c.._ ... cJ, Is there to be an opening between garage and building? . . . (�—;Gr- . . .C'c,i-14. . . .5..4 e.-1. .�cd r . Kind of heating system '� e C.1i C` L. Oil burner or coal? ` Will a flue-lined chimney be provided? . .t_.-5 , Depth of chithney foundation below grade . .7 A . C11'.1... . . . . Height of chimney above roof. .(.6.I. . .-(o. . .4 c1/4‘ot3v�-• • :: e Will there be a fireplace? V>i, . Depth of fireplace hearth - Will a toilet be installed? . ( r S Will a kitchen sink be installed affd connected to water supply? ( eS Water supply (public water supply or pump) V,,,..\)\ (_, Distance of cesspool from any private well . . . . n. . . . .we1 1. .).,.. .4'.kc.��. feet Will drainage system be provided with required traps,cleanouts, and vents? YS Town of Queenshury AFFIDAVIT . County of Warren State of New York I swear that to tr, 9e,o'of my knowledge and belief the statements contained in this application,together with the plans and sp•4ftcations sub- mitted, are a true and co.:. lete 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 proposed work shall be complied with,whether specified or not, and that such work is authorized by the owner. y ' r� Sworn to before me this Signature ' lU'"..,-... .•.. M OWNER.OWNER'S AGENT.AFCHITECT,CONTRACTOR ... ... day of `1 + l \ 19..8.3 ..NOTARY PUBLIC, WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: • • By . TOWN OF QUEENSBURY BUILDING & ZONING DEPARTMENT SEWAGF DISPOSAL PERMIT APPLICATION 1. Owner ' s Name ii�� (, Sakai. Address ' ! Telephone No. n'9$-r s33 2. Property location i ati DR C� �� �Ak-4 rJ Y . 3 . Name of person or firm responsible for installing system Di ,,t �. c! Telephone No. -7 4 -j � Address 4. Number of bedrooms (residential buildings only) 4 5. Daily flow (Dp gallons/day 6. Septic tank capacity / cots gallons 7 : Topography: flat, rolling, steep % of slope o1l l • 8 . Nature of soil and depth C 9. If ground water, bedrock or impervious material is apparent at what depth does it begin? ft. 10. Percolation test: A is required B is not required C If required what is the rate minutes/inch 11. 'Water supply: municipal, well, other 12. Type of system proposed: drywell, tile field, 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. e Date 06 n I ' r signature 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 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 I &'&24 • 2 . Type of heat 3 . Is the building mechanically cooled? 00 4 . Percentage of area of windows and doors t 5, 9 1a 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 141 3 . R value of glazed area L, 4 4 . R value of doors I4., I • 5. R value of floors over heated spaces Ott 6. R value of slab edge insulation - unheated slab l- 7. R value of slab insulation - heated slab ‘klio1/4 8 . R value of heated basement/cellar walls (above grade) Ar 9 . R value of heated basement/cellar walls (below grade) ON 10 . Type of insulation 1P\ e' L4 S /M D LAQe ,0 • C. Controls �� 1 . Thermostat maximum heat setting 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 :t • 1. Size of hot water or cooling carrying agent pipeiJi� 2 . R value of pipe insulation e F. , Service Water Heating 1. Performance efficiency ELEC C6hC, 2. Temperature control setting maximum 1 G * e G. For Swimming Pool Only 1 . Maximum heating QQ4-kJ',Telephone No. nQD,1�3 ) ;-0,1 A, (ajiplicant ' s signature) BUILDING DEPT.COPY OF APPLICATION FORM 46-EL.NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. CITY OR VILLAGE TOWNSHIP (L`• _ COUNTY STREET AND NO.OR - ROAD AND POLE NO, j_•i . i t`� _ , POLE NO. BETWEEN WHAT TWO CROSS STREETS IS i' PREMISES LOCATED? %! 1 I--a - SECTION BLOCK LOT - OCCUPANT'S BUILDING NAME OCCUPANCY OWNER'S NAME AND ADDRESS ,J • CURRENT — c ' SUPPLIED ;, ,1 FROM THEIR OFFICE BY i�I FROM NEW❑ OLD❑ REMODELED ❑ • WORKSNEW Cl, ADDITIONAL❑ REMOVED. DEFECTS ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED . No. Fixtures 'BRANCH NUMBER OF OUTLETS LampfReceptacle CIRCUITS MOTORS HEATERS NUMBER OF LAMPS Lace- tion Ceiling Side 't Switch Pendant Bracket No. Type H.P. No- Watts No. A'W.G. I -F M.V. g Wall Recep Recep'Is Each Each Gauge Out- side J ) Sub- base -• � : Base- ,-t --� i 5, ment ,/ - .__ 11 . 1st Fl. ^.'- st '- `! 2nd Fl. .� ,� I )._ "} 3rd FI. 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 y WATTS -rye CHARACTER EXPOSED GAS TUBE SIGN 'r L: OF WORK 1 f CONCEALED TRANSFORMERS OF VA WORK TO BE - (NUMBER) (CAPACITY) STARTED COMPLETED -I SIZE OF SIGN . SERVICE MAKER - ENTERS - OF SIGN BUILDING . ' INSPECTION REQUESTED - -- ONORASNEARAS - n - POSSIBLE - NEW V OLD I I • _ AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS NAME OF ' DATE OF APPLICANT I - - APPLICATION ' ' . _ _ ` I ' STREET ADDRESS J.1 ' } CITY OR ZIP LICENSE NO. POST OFFICE r- - CODE WHEN APPLICABLE 't`.1 a 11 . t. 1 1`..1 - {z '. 46 EL(REV. 1/82) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING : .)..AatixT..1.., tKati,,...«...,��..z... ....t��.....�„.„..�ti��ti�..,i.,. ),tti��,t ..I.Aptt....�a�i.��t...,a.��.���tia4.),.���i�...1.. ....i.".,�,,,,..��..n.�a .,,_..4a.�.a�1a.,ta.,ta�tia,�,tt���a.!....• s 0 THE NEW YORK BOARD. OF FIRE UNDERWRITERS ; r (BUREAU OF ELECTRICITY Cj r k 7, 41 STATE STREET,ALBANY,NEW YORK 12207, sj 1`a . d 51 e ;` 1a a Z� i!a et '�3 Date �'i �—`'t ✓ � `� Application No.on file /� �i,f- , THIS CERTIFIES THAT ;1.- only the electrical equipment mment as described below and introduced by the applicant named on the above application number in the premises of r y in the following location; �' t eft; 162 9 . f g ❑ Basement ❑ 1st Fl. ❑ 2nd FL. Section Block, Lot r was examined on 9 7* and found to be in compliance with the requirements of this Board. , r. _ 79'20 c r _,, FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ; -ECEPTACLES SWITCHES MERCURY ;= -1' OUTLETS INCANDESCENT FLUORESCENT VAPOR AMT. K.W. AMT. K.W. AMT. K.W.. AMT. K.W. AMT. H.P. - _ a if r•tiz 23 sa .J �arya i ''''-n ,Y -- V T C DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS .T ,d AMT. K.W. OIL H.P. GAS TRANS. AMT. H.P. NO.OF FEET 'AMT.SYSTEMS ` WATTS '1- SERVICE DISCONNECT NO.OF S E R V I ' C E 4 — �, AMT. AMP. TYPE EQUIP 1.B'2W 1,B'3W 3,B'3W 9,B'4W NO,OF C COND. OF CC.COND.TER ' NO.OF HI-LEG OF.HI.G.LEG NO.OF NEUTRALS OF N W. 'C -" )- ,C s-,`L e4 fr^q y. b OTHER APPARATUS: - CTI#�,1Y�/y, F " c,—J'' .Mi^'ate Rv;,-.!r a e1.7.aLr,'0 r 'Z.,' ff"IR` a e j J3 1 c alb' E u 7 11 ,l d i -�c 1 T ' +w. ,.,I�,C - S I e(10�1, "e d i 1.9v„ L U J o,:--3— .G y` —. l9 j✓ !o'e 5 1Z-7 i3 .,r , rr ,YP 775,.° , _‘••-_- `�'.��"13OVC'O`.%`'ty� L'7 �t��251!ty )3 r� ',�v,,, , — - BRANCH MANAGER µ • Per `�. __ ,v.---/.� ,Y, r y I'YaYYiY`4Y`4?Y�Y ileV i'e iii Yis?YiY fl Yes'YV"Ye'i'eYi'e Y•YYeYl'eY ie''ieYWrYiY ili iii iii 4Y YiYYiY iSi ilbYiikYYeY 4-1 TisYYiYY yV iii i'e YlY ili YaY 4Y.4—i'e'?W YiY YiYYikY YAirYaiYre 7s' re la COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENS BURY Building Department Iowa:tortReport Date 7—f -,'$3 Name Location Permit No. 3`h Weather p" Remarks Excatation Footing Forms, Footing & Piers Foundation Cement Coat Waterproofing Fnalll Survey Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches Finished Floor r Interior Trim Y Stairs & Railings f(' Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers r/ Chimney Water Meter Inst. Septic Approval ^_ Floors Insulation Foundation Walls Ceiling ui dAng Inspector REMARKS IE D hum.. . TOWN OF QUEENSBU Y Building Department Inspectors Report Date 7% -, 5 Name Permit LocationN GF- �'' ` ��'14t' Jb� 7�• Weather / 74 L 2 A s' Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing N\ Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings 445f �w Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers k/ ,�,�{j' l(r Chimney �t- Water Meter Inst. Se tic A roval Floors Insulation Foundation Walls Ceilin B i din nspector REMARKS Al Eb S „ 00its a71 TOWN OF QUEENSBURY Building Department Inspectors Report Date Name Sr A-4)2.. . Locution/7 ,fir= 2) /o7_ Permit No. 74 f 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 '17,/17///". 4 Building Inspector REMARKS • TOWN OF QU•EENSBURY Building Department Inspectors Report Date .6 Name 5t AP)/ Locatiom Permit Na 7 ��p- Weather Remarks Excatia t 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 Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing /I/ Door Closers Chimney Water Meter Inst. �� Septic Approval 1.--<R.r, 77,4L - •- 774 f,` Floors Insulation "Foundation - Walls Ceiling Building Inspector ector REMARKS TOWN OF QUEENSBURY Building Department Inspectors Report Date ,j��'8 Name eea,s'g Location /'7` / A/ �&, . Permit No. • I X 3"'1 Weather Remarks Excastation • Footing Forms Footing & Piers Foundation �� /, . Cement Coat �-����"" ,c 5�.y". O . Waterproofing f/< 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 \) \i/- Concrete Floors I _ Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Fl ooz`s Insulation Foundation Walls ' • Ceiling 6e-e----‘ 4"---!-'-e6-2) 1.7 Building Inspector • REMARKS TOWN OF QU•EENSBURY Building Department Inspectors Report Date 5—1% Name 'fro ' i ocationJ7/4/L7 v 7 ' Permit No. 7e q Weather Remarks Excavation Footing Forms � C /E' Footing & Piers // C+24 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 ,//2LA----414/&61/C226 Building Inspector REMARKS • • • • . . • t t • •••••, • _ 10- Awe)at# • C? 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