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8270 C/O Paid CERTIFICATE OF OCCUPANCY F_r TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date May 8 19 8 4: This is to certify that work requested to be done as shown by Permit No. 827 0 has been completed. This structure may be occupied as a �n —T'am i ?�r 17er?ram i nrr Location Lot 54 Helen Drive (Street No. 34) Owner Delwvn and Jean Mulder • By Order Town Board TOWN OF QUEENSBURY - -- r Building & Zoning Inspector • • +4 I• CREATIVE ••INSTA" PRINTING. GLENS FALLS. N Y 12801 1518)793-5658 • BUILDING PERMIT TOWN OF QUEENSBURY No. 8270 err WARREN COUNTY, NEW YORK 1 _ PERMISSION is hereby granted to Delwyn and Jean Mulder OWNER of property located at Lot 54 Helen Drive (St. No. 3 4) Street, Road or Ave. in the Town of Queensbury,To Construct or place a One—Family Dwelling Iv at the above location in accordance to application together with plot plans and other information hereto filed and R� approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 0 1. OWNER'S Address is Whippoorwill Drive Glens Falls, New York 2. CONTRACTOR or BUILDER'S Name fi OKO Custom Homes 3. CONTRACTOR or BUILDER'S Address 9 John Clendon Road Glens Falls, New York o 4. ARCHITECT'S Name ICI) UI N 5. ARCHITECT'S Address • 0 H ;-t 6. TYPE of Construction—(Please indicate by X) (D ( Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications 63 'x4 0' per plot plan, specifications and No. application submitted including two—car attached garage and sewage .system. 0 8. Proposed Use - hJ One—Family Dwelling N• $5. 00 C/O Paid ~ , 171. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 1 • 19 84 t7 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the tD town of Queensbury before the expiration date.) - N -Dated at the Town of Queensbury this 8th Day of Dec ember 19 83 SIGNED BY `"")7/f CGG/- a /6--e 2 ' for the Town of Queensbury Building and Zoning Inspector ' , TOWN OF QUEENSBURY I (Space inside Klock to be filled in by WARREN COUNTY. NEW YORK Building Inspector) A lication for ApplicationPP Permit Issued 19. BUILDING AND ZONING PERMIT .l't rmit Expires. • 19. . Zoning. District . Value o1 N'cn•k I THREE (3) Copies of a PLOT PLAN, Drawn to scale . ' \1)1" 411 by . showingthe actual dimensions of the lot to be built 1te�m,�rKf •upon, Te exact size, and location on the lot of the • building. to be erected or altered MUST BE SUB- , MITTED WITH THIS APPLICATION. •:' ` TOWN OF QUEENSBURY c;1 3- / a/43. „RECEIVE- / in DATE A PERMIT MUST BE•OBTAINED BEFORE BEGINNING.WORK QEC 51983 L--O • ANSWER ALL OF THE FOLLOWING. . - A.M. /70'au -reelltiSi. �OJ�t The undersigned hereby applies for a permit. to do the following.:wot5k ,718192 0 e , , , ,12}3, ,45 6 , which will be done in accordance with the description, plans and specifi cations, andlsuch special conditions as may .be.indicated'.on the permit. .4.4'K/` /C. 0 thcowner of this property is: 6Zt i'VA✓ v'-- Je,1'A3 i /vL�}�• ali. J�'Ageo r c-c-- De i t/G • :A- 72 a (NA••:E) (P.O.ADDRESS) The pep An responsible:f, "supervis}un of the work insofar as the Byjleling:COde and the Zoning Ordinance apply is: (71//Z.G.e" / .—Er.. —4#,k 2 6 f/I/f." s? C.U.Q I/u Yii ,V h ` 2 -t.. NAMEE))° / c- • (P.0 ADDRESS) . . Name of Builder / )` --1, 's` )2 p=1 ? • Address.I`,1"/1 2 11/'01� Ll-_,( Name of Plumber C' "W Address tf Name of Mason. . . . . . . .64144 e' Address °r• • Lot Number. . Unit Estimated value of proposed work f . 16 Ors-VIA Name of Village r t ,V5/j WY _ :y Name of Street /22 •34'1V`�" Mile of,eireet: north' 0, east. .0, Gt X. west 0 �r"I Nearest Cross Street, /��A✓eie// Distance from this �-ross street ' • Property is north 0,south i'- east iTi,west 0 from Cross Street.. If on Corner,which corner,northeast ❑, northwest 0, southeast 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 CI Demolition Demolition of a building. . .-family apartment house D. Store building ❑ . . . ; . .-car attached garage Other: • Accessory Building One-caridetached garage . ❑ 0 Other work. Describe. Two-car detached garage 0 Private chicken house . ❑ Private storage building ❑ • Other: - ING SPECIFICATIONS. Fill in for new building,or addition to existing building, or a change of occupancy. r` 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. . �� . J NORTH SNOW proposed buildings) in dotted line and existing / ' - �egig dr S l uilding(s).in solid line. ( Size of property ft: x ft. Size anduse.of existing buildings, if any F in i 1 m Size Of proposed building 6 3 ft.x 176 ft. Height(from grade to ridge) . .c: ft. L. Front yard5� ft. . .7":47--- , " �( T4el r f Side yards l� it. nd ft. / Rear yard /� ft. SOUTH If o}p 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- (cont'd.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe,etc? Will any second-hand lumber be used??�,,.� If so, for what? 0 Material of foundation walls Thickness .gyp 1� Depth of foundation walls bel w grade ,- ° Continuous foundation?,7 Will there be a cellar? /� If so, material of cellar floor 7CN> Type of roof: Sloped or flat? SC-o.P Material of roof . Size,wood studs `'�" Ems. • ' ",spacing .,96 ' - "o.c., length C • ft. /b ", spacing . /6 "o.c.,span ft.// ° Size, floor beams, 1st floor R--- "x � • , Size, floor beams, 2nd floor . . . . . . . ' x /O ", spacing . . , ; "o.c.,span . . . . . . . . . . . ft. Size, ceiling beams 'x Cr? ", spacing / /6 "o.c., span ft. Size, roof rafters beams x 6 ", spacing . . . . /. .' . . . . ."o.c.,span /,( I ft. Exterior finish 0.6-11 1/0. With what material? Finish of interior walls. . . . . If garage is to be atta hed, of what materials wall between garage and main building to be constructed? Is there to be an opening between garage and uilding? . . . s Kind of heating system 2cc-29ie Will a flue-lined chimney be provided? -.Depth of chitimey foundation below grade Height of chimney above roof Will there be a fireplace? C' Depth of fireplace hearth Will a toilet be installed? Will a kitchen sink be installed and connected to watyx2s upply? f Water supply(public water supply or pump) Distance of cesspool from any private well y__, feet Will drainage system be provided with required traps,cleanouts, and vents? Town of Queenshury AFFIDAVIT County of Warren State of New York I swear that to to M of my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and co.,. lets 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 pertain to the pro work shall be plied with,whether specified or not, and that such work is authorized by the owner. Sworn �� � Sworn to before me this Signature `. NER.OWNER'S AGEm gCHIT CONTRACTOR day of 19 �2'" 1� �t' _ NOTARY PUBLIC.WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: • • • By TOWN OF QUEFNSBURY BUILDING & ZONING DEPARTMENT SEWAGE DISPOSAL PERMIT APPLICATION 1. Owner' s Name E L U'ed 3 2 • Address ZI9hz%9'pc.0,6wi4.c A k 4J Telephone No. 7%2 - c e,, 7f 2. Property locationLd 7- ,S'` • • 3 . -Name •of. .person. or firm responsible for installing- system Telephone No. 792 2-03c) Address 7 /o � Lc=���d,zJ � �' ���zG /Ze.0 _. 4. Number of bedrooms (residential buildings only) 5. - Daily flow gallons/day 6. Septic tank capacity . ,./ei7 ‘) gallons 7. Topography: flat, rolling, steep % of slope ,Ey- "' 8. Nature of soil and depth - ifA/2) (/-d2 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 the Queensbury Sanitary Sewage Ordinance. , Date /c72 a 0 /� i�<%�t'Ld�! /. . , si re of- ap i • 'ems=-Ewe _s On` separate sheet. of paper submit a iagram the ..propo d 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. i.:..,: 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. Gro'ss floor area �4/ 2 . Type of heatGcT=` W- & � • 3 . Is the building mechanically cooled? /d/c0 4 . Percentage of area of windows and doors 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? j 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 f oors exposed to ambient conditions 2 . R value of exterior walls ie.-'/,' 3 . R value of glazed area �C Q" A 0 4 . R value of doors/ 5. R value of floors over heated spaces 6. R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab 8 . R value of heated basement/cellar walls (above grade) ,e-g,S 9 . R value of heated basement/cellar walls (below grade) J 10 . Type of insulation / yee• 6>Z s-' 4 �'7`'j,,e0 J hyf' C. Controls 1 . Thermostat maximum heat setting 7 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 F. Service Water Heating • 1. Performance efficiency 2 . Temperature control setting maximum / b G. For Swimming Pool Only 1. Maximum heating 2Ye,4012-1-k_ Tel N o. 592 2 o.�C7 a ��c4 �,/�Ltz_1� (applicant ' s signatu ) 6,-,,,, -7( `/'F • BUILDING DEPT.COPY OF APPLICATION FORM 46-EL.NEW YORK BOARD OF FIRE UNDERWRITERS. • , FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. . CITY OR 7.. //fc- VILLAGE/ L — > d ✓f G i/' TOWNSHIP j•�/ �,eCi jG//� COUNTY STREET AND NO.OR ROAD AND POLE NO. / =i.L;L i"/U%- POLE NO. BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? / /• %-- � // SECTION U BLOCK `-/ LOT C;(7: OCCUPANT'S �J` BUILDING NAME �L( l r N/,C1 //C,L J)C.. OCCUPANCY / .`f/[ j I A.)11 OWNER'S NAME AND ADDRESS •„. j7'Ll /J(./pfOL'Q//?11C_C ://i /!/L- CURRENT . SUPPLIED BY /42/j,/- FROM THEIR , .- ( f-- � h-7z� OFFICE BUILDING WORK DEFECTS IS NEW.Vr OLD❑ REMODELED ❑ IS NEW* ADDITIONAL❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NNUMBER OF OUTLETS Lamp of Receptaclespres MOTORS HEATERS CIBRCUIT LAMPS CIRCUITS Loca- tion • Ceiling Side Attach't Switch Pendent Bracket No. Type H'P. No. leach a No. A W.G, NO WATTS Wall Recept'Is Each Each Gauge EACH Out- side Sub- base - Base- ment 1st Fl. 2nd FI. • 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 REQUESTED • ON OR AS NEAR AS POSSIBLE NEW OLD ri • • AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. AIIMCANT(0 if/. rL S7?,,1 J / -/1 1 APPLICATION 7 J � ( KC)L' f � STREET ADDRESS . J �!j -` L-L' ..)Cl/i� !1 1) CITY OR - 7 / �`ty� ZIPry / LICENSE NO. POST OFFICE Ll1 f [=".fill � r 77L C S � /'. _ CODE/2 rF / WHEN APPLICABLE A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING TOWN OF"QUEENSBURY Building Department Inspectors Report Date 64/Ti Name .. /%/. 2=—✓ " l Location 2-C/7-,. •ti' / =-�'_fW '- Permit No. (-9'7-- ,%> Weather �.. //4f ]- AJS7 Remarks Excafhation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing \\s/ 1 Sheathing /7 Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board r Ext. Porches L<, . J Finished Floor '` Interior Trim 2% � Stairs & Railings' - r Cellar Dr. Tile Concrete Floors Plbg. Fixtures ) Gar. Fireproofingt Door Closers Lax Chimney ,/ Water Meter Inst. Septic Approval FloOrs Insulation Foundation Walls Ceiling " " 1 7/ /a , ' � �i r Building nspec or REMAR S • Wei'�2. • TOWN OF'QU•EENSBURY Building Department Iwpectocas Date 2-7- Name 64-.e Location ,P. .P.4, ( ' . Permit No. g a 7 Weather Remarks Excat a tion Footing Forms Footing & Piers Foundation • Cement Coat Waterproofing Backfill Final Survey Framingk • Sheathing Roof Felt Roofing Siding Masonry Veneer O j , Rough Plbg. �rl,�` 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 Ceiliri B Ong Insp ctor REMARKS 1 • tg -) L . --fir( • TOWN OF•C UEENSBURY Building Department Inspectors 7ep • Dai 2 '1/J Name t Location /+/ LE' 4 ) (/ - h-d 7 5,`7/ Permit No. "$' a7 o 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 aro, • wilding I[[ispector REMARKS O .K.O.Custom Homes Specifications JOB -:cam-Lco v T -4L73ii k . 47 6 1. EXCAVATION: Bearing soil type ; ,_)-% v �4 r 79 e /,y, iv .i v C r- v: - ,UAPI V ` . — T/e y 7Z "1 2 . FOUNDATIONS: Footings: Concrete c„.20",r/v � Reinforcing �o Foundation wall: Material Govege7r-z--.c�ces Waterproofing: r os,.L. 4:�. ems, r Footing drains 4 Concrete slab: Concrete mix /-d-3 Thickness ,`',4Kciiy. Basement windows: TypeA/i)&.--es,,,,_!.ve.,;) Window areaways Basement entrance areaway /14, Termite Protection ✓ �=�3'�-- v _771,- 3 .: Chimneys: Material ie-• Flue lining �-'��.si Vents: Gas or oil heater 44, Water heater '14, 4. FIREPLACES: , Type - Facing Hearth • Mantel - LL��c7 S 7 z�dZ=' ./�,�a 1-1i %oN '" �.P/G� i�C.� /dt c)o.e 5.. EXTERIOR WALLS: . Wood frame: Grade, size �-� o-�x o, '`o•� Sheathi g %/��` i5/sF •r Building paper }ram Si,( Exposure G Siding Exposure Masonry veneer Exterior painting: Material No. of coats Gablewall construction 6. FLOOR FRAMING: Joists: Grade, size �-o.v5 X Joists :- Grade, size ,/ 2k /,, " D P cam. 7 . SUBFLOORING: � Type, grade, size %z £'00X El-- y s CO/Ci 8 . PARTION FRAMING: � Studs: Grade, size 4.—E=,Q-/-0 r: c 4 z .L, Studs: Grade, size 9 . CEILING FRAMING: Joists: Grade, size mac'�C 6 �i ".7?7— X0 �. 10.ROOF FRAMING: ���`� ak jG 4 �' Rafters: Grade, size 11.ROOFING: . Sheathing: Type, grade Z 2 1 2 ✓� y_5e,,e.A Roofing: Type, grade 3 s- _� Underlay Flashing jZ. /,err�r 12 .INTERIOR DOORS AND TRIM: Doors: Type "Fia's fy L 4-,9A/- Trim: Type, size Cv4" , a: Doors : Type G et,v,t,E Trim: Type, size 4. - �z/z`' • Doors: Type Trim: Type, size Doors: Type Window trim: Type, size Base: Type, size 3. 1/Z " Ceilings: Type, size /1/oiv - Other GG'�s r� � :��� �'�f-!r/d s 13.WINDOWS: • . Wind ws: Type, make, glass, ,L�)G` d c/�� 00�,,�4-6- �vticr -7 7 `-lq,-t o P,9-x�e -c&c. c=7FN 5" • Screens: Type Storms, Type A'ava 14 .ENTRANCES AND EXTERIOR DETAIL: �— . Main entrance door: Type/A-7 -- 9z_ ` /rr i i4-r - 7:'v� �t - Exterior door: Type, location Sneucc- cct - ,�r�cs Exterior door: Type, location Exterior door: Type , location Patio door: Type, location lil,>°ri Garage door: j&,-",' •7- / =[%de ' ao,P 6 . Screen door: % Storm door Shutters: No. pairs Railings: Type A/o,ja Exterior millwork: Grade, species w 15. CABINETS AND INTERIOR DETAIL: Kitchen cabinets: Countertops : Medicine cabinets: Make, mode L v ; /4 NG Other cabinets: f 01)1)11 16 . STAIRS : Stair reads Risers Stringers Handrail Balusters C c`Lt_rr 3 aC, /O 1;/4-/ o2 X /O F. / `/,`? Fyn�:c= / /r.)/AJ tZ`v��JI iK��«ji`�'i'TC, iAde, ?Ph.- ice=/ !4/ 4:`Lj40e4c /74'H4--c0C.< Disappearing : Make, model ///, ,Lizs- 17 . PLUMBING: Fixture Number Location Make Fixture no. Color Valve ' Sink / ./irerir tJ 33 2_ 5 -S ' .# 3cr 2 i Lavatory R3 0/97-70; �e / k/7 Le-'4 e - 52 i :i Water closet 3 .. 0 Bath tub Sir 60: « 0 9=2 <6‘ti Shower 4%7:15" 1 c.:4; Laundry connection: 44v4.43,.?)(dve -/icf /- ooe `�rrsi�re t sic Bathroom accessories:._ZA/L }3 aT p,� ,��97i,��� /4Lcc,w,�,cx_C Water supply: • sy' caw.✓ Sewage disposal: r- / e e-r?" eldje House drains: A/c'- House sewer: f-?vc . Water piping: Sill cocks : . Domestic water heater : Type make, model., capacity 4' 18. HEATING: ' Type: .e:" .L=2!T-„e/c $rC�Iil9ie) Make: `a Controls:l�v�;,vrv� U/1, 19. ELECTRIC WIRING: ' Service: 02on r9 P //.c.,vc 4;e0dIA > + Wiring outlets j1/o Special outlets Lighting fixtures e,4 , .� ' 20 . APPLIANCES : Appliance Make Mfg. identification Size Color "7 ,F 71%3 44-hi i Tom' � 7 %`L7er' 3 . "� !/ 47 3 3 c"_ 1/ 425.:,r�.. i A-A? 703 3 / vd _5-3 81 3r, 21. INSULATION: Location Thickness Material Vapor barrier Floor Wall --i /�'' 4.04 S 41C,Z-.V Ceiling ,e- 3 is •, Y iP4F7r Roof Other - ��Z�.,�e -. 2" Tiv9A-f a Z.?4-z‘,1-6 �ba Other 22. HARDWARE : Make, material, finish 6/ ' ese--T 23. MISCELLANEOUS : Porches /1/DA/c• Garages 47-7-,N-e7) ! ii F«o� G�<-q,a/ . Terraces Walks "9/ Driveway viv�ae4 Other on�'ite improvements - - - ` 7-7=0 oic 5�����t� c r. r e76%tee ) SCHEDULE FOR ROOM FINISHES Floor covering : within the stated contract price is an allowance of $ sco for carpeting, linoleum, or tile installed as indicated below. Any amounts in excess of the contract allowance shall constitute a contract extra and shall be due prior to occupancy. ROOM FLOOR MATERIAL WALL MATERIAL CEILING MATERIAL Entrance all 71?'���" L?�r' L/,vc) Die /n,rz,� - 4f,4►--r=ID Living room J's I`}��EL c7o 0 Dining room Fami l ly room L� �e Powder room r v,•-1 Kitchen L/.49C)46u Laundry Li, �1 u %it 1 Mud room Bedroom hall 0;fixnf'c i� Bedroom no. 1 Bedroom no. 2 Bedroom no. 3 Bedroom no. 4 Bedroom no. 5 , Bathroom no. 1 L/,. ,,,z —d1y :— Bathroom no. 2 Bathroom no.. 3 Wash room Service hall Basement ./fJ� C�N4 Garage Ii 7)!7T ,92.L ►/G[J/, ", Other