6403 -p
N,41z
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK -
Date Qe-r7t-I51 19 2/ _
• This is to certify that work requested to be done as shown by Permit'No:67'
has been completed.
This stricture may be occupied as a 00 ile(2....TIT 1/1"2-tly.'='"4, 14e7/0 f
Location al3 Al-.67-;e7A1'"1Jt 31)
•
Owner CA.cly-
.•
By Order Town Board
• TOWN OF QUEENSBURY
_ - •
•
Building & Zoning Inspector
CREATIVE "INSTA• PRINTING. GLENS FALLS. N 0 12801 1518)793-S6513
BUILDING PERMIT
TOWN OF QUEENSBURY No. 6403
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Joseph S. Durcan
c-I
OWNER of property located at Lot 93 Helen Drive (St. No. 21) Street, Road or Ave. En
o
(D
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 to
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
C7
1. OWNER'S Address is R. D. #2 Goggins Road
G, . F.,, i N. Y.
a/te 6eu.-5e
2. CONTRACTOR or BUILDER'S Name
Same
3. CONTRACTOR or BUILDER'S Address
Same
4. ARCHITECT'S Name
rn o
c - rr
5. ARCHITECT'S Address o W
O
•
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6. TYPE of Construction—(Please indicate by X)
II
( )4 Wood Frame ( ) Masonry ( ) Steel ( ) H-
7. PLANS and Specifications 28 'x70' per plot plan, specifications and
No. application submitted including sewage system
and two-car attached- garage.
8. Proposed Use
One-Family Dwelling O
cD
$5. 00 C/O Paid
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$143 _ 00 PERMIT FEE PAID—THIS PERMIT EXPIRES January 1 19 8 0 1-.
(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.)
CJ
Dated at the Town of Queensbury this 2 0th Day of June 19 8 0
1-1
SIGNED BY �(/eP
.�, for the Town of Queensbury
111
�d and Zoning�Inspector(
To-Wki OF QUEENSBURY - it (Space in de block to he filled in by
WARREN COUNTY. NEW YORK
� � " 4-Building Inspector)
' Application for ''''►``� '`�
��'entiuit 1suaKl 19.
BUILDING AND ZONING PERMIT I')•rmit 1•:.hires. '�.
J I %.uihin� District
/ ?/ Q O. \:)Inc.01 Work,S
THREE (3) Copies of a PLOT PLAN, Drawn to sceie .\1 m,)))(s'
showing the actual dimensions of the lot to be built
upon, The exact size, and location on the lot of the. .
• building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. • / .
? � /`Gq/ TOWN OF QUEENSBUK
9 JJJ DATE RIEGEpwE �IIi
MUST BE OBTAINED BEFORE BEGINNING WORK port ._J
A PERMIT �ttV��,
ANSWER ALL OF THE FOLLOWING. - _ _ / J 11 -- iyt(0
The undersigned hereby applies for a permit to do the` following work A.M. .P.M:
which will be done in accordance with the description, plans and specifi �71819t10I11I12)11213141516. i
cations, and such special conditions as may .be indicated on the permit.
_.. .1nG.C�bs—i ÷ �aN4. c..�
The owner of this pro rt is:
:,{it�llc�` (P.O.ADDRESS)
The person responsible for •supervision of the work insofar as the Bulldi;lg:Code and the Zoning Ordinance apply is:
_ (NAME) • (P.O ADDRESS) • • •
Name of Builder. . • - `',^--- Address: , _
Name of Plumber /)‘".-r'-1^- CtSAP..--A_ Address
Name of Mason _ Address
Lot Number
7,.3 Unit Estimated value of proposed work S . "7 Q ,Q ° °r u G
Name of Village 9' ...:,-:`.e.:t-...L....en l , • .
Name of Street . . . .l cA. - Side cif:street: north ❑. east, Cl,south 0. west i
f
Nearest Cross Street . .7
Distance From this -rocs street ) a t.
�-��-��•wG '
Property is north 0,south /`),east ii,west 0 from Cross Street,
If on Corner,which corner,northeast 0, northwest ❑, southeast C southwest
(Designate by marking with an"X" in the irorrect space.)
NATURE OF PROPOSED WORK OCCUPANCY
Pr
Main Building
Construction of a new building. One-family dwelling '"
0 Addition to a building. Two-family dwelling ❑
CDAlteration to a building. . . . . . . .-family apartment house ❑
El Demolition of-a building.
Store building 0
-car attached garage p
Other:
• Accessory Building
• One-car detached garage 0
❑ Other work. Describe- Two-car detached garage 0
Private chicken house 0
Private storage building ❑
Other:
ZONIN 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
lutilding(s) in solid line.
Size of property / ° d ft. x 17 6 ft.
_ 1..
Size and use of existing buildings,if any ,
�"� i
.
0
II ;- W Size of proposed building . . . .p• • • • ft.x . .70• • • • ft.
T , Height'(from grade to ridge) . ft.
Front yard •576 ft.
Side yards •1 .Y ft. and / .Y' ft.
} Rear yard E. ' ' ft.
&OUTN If op corner,setback from side street ft.. ..
Note: All distances are net, as measured from street side
line to nearest part of building...
(OVERT
7-73-M . .
I —
•-� GO
(cont'd.) I
BUILDING SPECIFICATIONS., i
Kind of construction: Wood frame.fire safe,etc.) I
Will anysecond-hand lumber be used? . . . .i?R.e If so, for what)
C+,p-4.GN.c`4 :•a • thicknes
Material of foundation walls
Depth of foundation walls below grade t., c Continua
Will there be a cellar? -Lj, , If so, material of cellar floor .e.. . . , ! sl
Type of roof: Slued or flat?(J Material of roof - /��
2,- x f� ",spacing 1 „ol
Size,-wood studs"
,.x / 4, ",spacing ..,, I "a
Size, floor beams, 1st floor :�• I
Size, floor beams, 2nd Fl x
,',spacing , . ..%
„
Size, ceiling beams ec ", spacing /4
.x
Site, roof rafters or beams 2 'x . . Ca ",spacing 1 4 ",
Exterior finish • • • . • I . • • • • With what material?
Finish of interior walls
If garage is to be attached, of w at materia is wall between garage and main building to be
• . . .� . :-- .. . � �.' I
Is there to be an opening be een.garage and building? . . .
Kind of heating system � � ,Oil burner or coal? . . .
l
Will a flue-lined chimney be provided? . , . Depth of chithney foundation b
Height of chimney above roof y
Will there be a fireplace? ., " Depth of fireplace hearth
Will a toilet be installed) . # ' "
Will a kitchen sink be installed and connected to water supply? . . .
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?
AFFIDAVIT ' .
Town of Queensbury
County of Warren _ - —
State of New York _ - - -
I swear that to tr, b i of my know)edge 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 prennses and"that all_prow' ions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed work shall be complied with,whether specified or not,
and that such work is authorized by the owner.
Signature ture . --ef 6 �t�4-r e;
Sworn to before me this "'
OWNER.OWNERS AGENT.ARCHITECT.CONTRACTOR
'-. L.I. day of 19.., ..c3
NOTARY PUBLIC. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
•
By
?" 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 / o U
2 . Type of heat
3 . Is the building mechanically cooled?
vll
4 . Percentage of area of windows and doors / 1.,r
A. Over 6% Only
1 . Uo • lue of gross area of walls , roof/ceiling and floors
expose. to ambient conditions
2 . Floor over he= ted spaces YES NO
a. Are foundat .n walls insulated? YES NO
1 . If YES , wh: is the R value?
3 . Slab on grade YES • O
a. If YES , what is the R . lue of insulation around
perimeter of oor?
4 . Is basement he. ed? YES NO
a. R value or insulation
5. Type of ins lation
B. Under 16% Only
1 . R value of roof and floors exposed twyo, ambient conditions
2 . R value of exterior walls Gam— •
3 . R value of glazed area 2 , l . CI
4 . R value of doors - ` cP
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 ( Rove grade) a
9 . R value of heated basement/cellar walls (below grade)/
l JCCt�4
10 . Type of insulation �) v //. � � '• C1
C. Controls
o
1 . Thermostat maximum heat setting /S
D. Duct Systems
1 . Is duct system installed in unheated spaces? YES 0
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. �� e
1 . Performance efficiency
2 . Temperature control setting maximum
G. For Swimming Pool Only A)/
I1 . Maximum heating 4-
Telephone No . //
(a,- olicant ' s signature)
TOWN OF QUEENSBURY
BUILDING AND ZONING DEPARTMENT
BAY AND HAVILAND ROADS, R.D. 41 •
GLENS FALLS, NEW YORE 12801
APPLICATION FOR A PERMIT TO CONSTRUCT, ALTER OR ENLARGE
A SEWAGE DISPOSAL SYSTEM WITHIN THE TOWN OF QUEENSBURY
OCCUPANT'S NAME ADDRESS
TELEPHONE 6 i Sr7 61 OWNER'S NAME
ADDRESS a .' 2 i'%'f NUMBER OF BEDROOMS
GARBAGE GRINDER?. (YES OR NO) TOPOGRAPHY: FLAT, ROLLING, STEEP, SLOPE,
GENTLE SLOPE, OTHER
NATURE OF SOIL: CLAY, SANDY, LOAM, GRA EL, ROCKS, ETC.
PERCOLATION TEST WATER SUPPLY: MUNICIPAL, WELL, OTHER
DIAGRAM OF PROPOSED SEPTIC SYSTEM
•
•
OTHER PERTINENT INFORMATION
IT IS HEREBY AGREED THAT IF THIS APPLICATION AND PLANS ARE APPROVED, .
INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL BE MADE IN ACCORDANCE
WITIi DETAILS SHOWN.
DATE. 14._!f i-c' _ SIGNATURE OF APPLICANT ��•� -�
LAKE GEORGE PARK COMMISSION APPROVAL:
(signature)
•
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'.1.1: A 'a / ' I.. AA / A AAA). A A AA Al. AA A JAAAA AAA/
,Y
' THE NEW YORK BOARD. OF FIRE UNDERWRITERS
,Y
BUREAU OF ELECTRICITY ;Y
�,.,-. 41 STATE STREET,ALBANY,NEW PORK 12207 ' 'Y
Date 1 CCIP.1%5('-'i:' ?-6 ? ei;. Application No.on file �: 1�,.. _.f:• A r r- 1(-�7 .Y
`� : 1 „'' r
�, THIS CERTIFIES THAT ` • ° '' ;T
-< only the electrical equipment'as described below and introduced by the applicant namedon the above application number in the premises of %.
j Giaeif, ('ya. r .,u Y ., c_ S'- 'f.: ' 1 .: L%;:} '�1 r+ :, , 't: `: j• ';, T
t.-, t . _. .'r a a 6-7 t. c2°.4,t-_. c.._"C'_ ! , _C,Cs 7 ..a.C _ IS-
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in the following location; El Basement ❑°1st Fl. ❑ 2nd Fl. 0 II!'C` -C-1t Section Block Lot
• was examined on ; }11/r,0and found to be in compliance with the requirements of this Board. 1) .
1,
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ;r
-< RECEPTACLES SWITCHES MERCURY y
OUTLETS INCANDESCENT FLUORESCENT VAPOR AMT. K.W. AMT. K.W. AMT. K.W.. AMT. K.W. • AMT. H.P.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS r.
:�' 'AMT. K.W. OILYSTEMS H.H.P.P. GAS H.H.P.P. AMT. NO. A.W.G. AMT. AMP. AMT. -AMPS. TRANS. AMT. H.H.P.P. NO.OF FEET 'ANT. WATTS '�
<' a r�.v�.r 'n r i 'r
.
r"<, SERVICE DISCONNECT NO.OF 4- ;:..E '- S "--L;E R V I C E --
r
AMT. AMP. TYPE METER 1,B'2W I,B'3W 3,B'3W 3IB'4W NO:OPERC.gCONO. OF CC.COND. NO.OF HI-LEG Of.HI--LEG NO.OF NEUTRALS OF NEUTRAL Y
-C, U-
-'<1 �-.'D'.. ,e] ).. -� .r. /it Y
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=G OTHER APPARATUS: ,r
<' j ,.17.1 .. i , !.A:(-1... .. - 1 II.. l-'y`_,. e ._ i' n �Y
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•1 ti C112:11--=. 1-7: D1.11-:.C2 P 1.1 777.570 ;. '.
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I _awn l 7.b?.,_.,L.1 o'N-. T'• E:r.:1 .y -.:1:-. 11_2,`i'�' i BRANCH MANAGER
Per . .
/
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-y-,rr-'-.__.Y-.i' _.__._-.i'_•-i'_.i'-.i'_.__Y_.'?_'?_:'_'..____._' --'iY`CY`YYYY-`C-YY____\-•-cy'i'"_.______._ -__._:_1'Y YY Yy-_':._.___._-Y •. •
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date -_.7,,c a!% !
Name ) C1'iz C, -A/
Location X E7•r" 93 L E Ai D
Permit No. 7f, Weather
(9q0Y Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat �f 10 A- L_
Waterproofing
Backfill /OS P'r
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 \v
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
Building Inspector
REMARKS
•
•
•
,TOWN .OF QUEENSBURY
• Building Department
Inspectors Report Date �'-
Name��� 'at
Location We fe,u •1 . Ln`r g•
Permit No. (n Li- 0 3 Weather
• Remarks
Excatation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
. Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough P1bg.
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
/goo 52a,
. .e ph`�
•
TOWN OF QUEENSBuRy
Building- Department
Inspectors Report Date 7/o y/2 O
Name 4-05 e,, G /�a 1-cL J'a
Location 1_o `l` j Z' P%e/1 L)J- v
Permit No. (r, t� Weather
Remarks
Excaation -
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg. I�C
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures -
Gar. Fireproofing \\\,,
Door Closers l
Chimney
Water Meter Inst.
Septic Approval -
Floors •
Insulation FOUndatiori
Walls
Ceiling
Je)
Bui1diing Inspector
REMARKS
•
. TOWN OF QUEENS-BURY.
Building Department
Inspectors Report Date 7`/,9—
Narne J)a,v,-q,r)
Location Ax
Permit No. CO `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
Ceilin
Building.Inspector
REMARKS
TOWN OF SgU .
•
Building Department
Inspectors Report Date tee--l.J a6
Name /Dian' Al
Location L q J 9? /J'e/ .ST r2
Permit No. (P Z/Q 3 Weather
Remarks
Excavation
Footin Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill •
Final Survey
Framing I
Sheathing _
Roof Felt ti _
Roofing I
Siding I _
Masonry Veneer
Rou.h Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim '. _
Stairs &Railings '.-.
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar.• Fireproofi.g
Door Closers
Chimney
Water Meter Inst. 1
Septic Approval
f F1CC 8
IFoundation
Insulation Walls
I 'Ceii_in
l .
Betiding Ins; _..tcr
REMARKS
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