6250 /( p,-
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date '-' 14-117e4 19
6.2 This is to certify that work requested to be done as shown by Permit No.
has been completed.
This structure may be occupied as a °FAQ' 1Lk
r #7,
Location 2 5)
Owner kJa., -c_
By Order Town Board
TOWN OF QUEENSBURY
•
'-,12,•% ••,7 •-•
Building & Zoning Inspector
CREATIVE ••INSTA• PRINTING. GLENS FALLS N Y 12801 1518/793-5850
BUILDING PERMIT
TOWN OF QUEENSBURY 6250
No.
WARREN COUNTY, NEW YORK
PERMISSION is herebyJoseph S . Durcan
O
granted to p
Lot 91 Helen Drive #25) ;
OWNER of property located at Street, Road or Ave.
En
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 C7
- approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. Ii
1. OWNER'S Address is R. D. #2 Goggins Road
Lake George, New York
2. CONTRACTOR or BUILDER'S Name
Same
3. CONTRACTOR or BUILDER'S Address
O
Same rr
H
4. ARCHITECT'S Name
ID
N-
N
5. ARCHITECT'S Address C7
1-1r
N.
fD
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( I Steel ( I - - - - -
7. PLANS and Specifications
24 'x70 ' per plot plan, specifications and
No. application submitted including sewage system and p
two—car attached garage.
8. Proposed Use
One—Family Dwelling �.
•
$5. 00 C/O Paid d
$ 140. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES September 1 1980 m�
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 1-1
town of Queensbury before the expiration date.)
• Dated at the Town of Queensbury this 20th Day of February 19 80
- r
.2y SIGNED BY ' for the Town of Queensbury
Buildi and Zoning Inspector'
TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY. NEW YORK Building lnspc ior)
A lication for Application
PP Permit Issued 19.
BUILDING AND ZONING PERMIT I'..,.n.it Expires. Itl.
'inning. 1)istrict
Value nI Work f
THREE (31 Copies of a PLOT PLAN, Drawn to scale ••'PI "`'c1 h •
showingthe actual dimensions of the lot to be built Itemarkc
upon, Te exact size, and location on the lot of the
• building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION,
9 a __ • O - g'C TOWN OF QUEENSc,"c.
.-. .,,,/ n DATEA PERMIT MUST BE OBTAINED. BEFORE BEGINNING WORK FEB 0 1980 '
ANSWER ALL OF THE FOLLOWING. A M ,/�5 oo fee ra d
The undersigned hereby applies for a permit to do the following..work , g g)1 1112I I 1 2 3 4 5 6
which will be done in accordance with the description, plans and specifi-
cations, and such special conditions as may .be indicated on the permit. /d ( wG l
The owner •f this pro is:
ie i 47 1�. /f. . ;� (P.O.ADDRESS)
. . . . .. . .
(NA,:_)
The person responsible for •supervision of the work insofar as the Buildit g:Ccide and the Zoning Ordinance apply is:
(NAME) • (P.O ADDRESS)
Name of Builder �i k --- Address. :
Name of Plumber ' '" ' . Address f
Name of Mason. h%i`.U4- ..-- Address
, Lot Number Ci ( Unit Estimated value of proposed work 5 '7 02 Q
v0 , c.Jd
5µ 1'it- Name of Village . . .t '� . • .' •
5 Name of Street '`'ent �Y' Side af.etreet: north- 0, east• 0, south 0. west CI
Nearest Nearest Cross Street
)2tc.-7.4--)e----t Distance from this -Toss street Ft.
—
Property is north psouth P"east. i,west 0 fr m Cross Street..
If on Corner,which corner,northeast 0, northwest southeast 0 southwest
(Designate by marking with an"X"in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY •
Construction of a new building.gr
Main Building.
Addition to a building. One family dwelling
Two-family dwelling
❑ Alteration to a building. family apartment house D.
0 Demolition of a building. Store building ❑
. . . . .-car attached garage 0
Other: •
Accessory Building
• One-car.detached garage . ❑
El Other work. Describe •
Two-car detached garage
Private chicken house . 0
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,size and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH Show proposed building(s) in dotted line and existing .
l3uilding(s):in solid line.
/ D •
Size of property l ft. x . .(. .II . . . ft.
G (
,---Size-and, o xv lno ul 1 ¢s Wan _--
•
12 - / /
a / m Size of proposed building (/ ft.x � ft.
• Height(from grade to ridge) . a l ft.
Front yard ,;.. ft.
4 . Side yards 3 d ft. and '4 ft.
Rear yard ft.
7 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)
7-73-M •
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: } od Emilie, fire safe,etc.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will any second-hand lumber be used?- If
��`t If so, for what
Material of foundation walls - — / Thickness 1 Q
Depth of foundation walls below grade lv /' Continuous foundation? . .
Will there be a cellar? . . . . . . . . If so, material of cellar floor
Type of roof: Sloped or flat? Material of roof . . . .
Size,wood studs- 'L--•�(c• "x " ",spacing . . . . .L "o.c., length. . . ft.
x ,spacing , :'1 ". ' o.c.,span .
Size, floor beams, 1st floor „ •L•O „ • l.4 ft.
Size, floor beams,2nd floor 2_." x 1, b ", spacing . . . . /. c "o.c.,span . . . . i. . . ... . ft.
Size, ceiling beams "x ", spacing "o.c., span ft.
Size, roof rafters or beams . . . . . . . —. ."x ", spacing . . . .( • � "o.c.,span / 4 ft.
Exterior finish �f With what material?
Finish of interior walls >�� `�-•
If garage is to be attached, of what material is wall between garage and main building to be constructed?
Is there to be an opening between garage building? '
Kind of heating system l?
Will a flue-lined chimney be provided? f ' . Depth of chifiney foundation below grade /
Height"Of chimney above roof '� Y c,
Will there be a fireplace? ti - Depth of fireplace hearth . . . :aL S/ ''
Willa 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 tt nrar of my know,ledge 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 aA provisions 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.
Sworn to before me this Signature NER.OWNER'S AGENT.ARCHITECT.CONTRACTOR
.�- rJ... ........day of 6 6 19
NOTARY PUBLIC. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
By
TOWN OF QUEENSBURY
BUILDING AND ZONING DEPARTMENT
BAY AND HAVIL1ND ROADS, R. D. #R
GLENS FALLS: NEW YORK 12801.
fAPPL CAT [ON FOR A PERMIT TO CONSTRUCT, ALTER OR ENLARGE
AA SEWAGE D:OPOSAL SYSTEM WITHIN THE TOWN OF QUEENSBURY
OCCUPANT°S NAMF, ADDRESS. . .. -.
TELEPHONE OWNER°S NAME ,.,p
ADDRESS NUMBER OF BEDROOMS
GARBAGE GRINDER? (YES OR NO) 'TOPOGRAPHY: FLAT, ROLLING, STEEP, SLOPE,
GENTLE SLOPE, OTHER.
NATURE OP SOIL: CLAY, SEAMY, LOAM, GRAVEL, ROCKS: ETC.
PERCOLATION TEST WATER SUPPLY: Mt3NICIPAL, WELL, OTHER
DIAGRAM OF PROPOSED SEPTIC SYSTEM
UU
OTHER PERTINENT-NFORMAT/ON
csamdazitmaa
sz. .�
:IT IS HEREBY AGREED THAT IF THIS APPLICATION AND PLANS APE APPROVED,
`.INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL BE MADE IN ACCORDANCE
WITH DETAILS SHOWN.
DATE 4-o--Fc--) SIGNATURE OF APPLICANT p
LAKE GEORGE PARK COMMISSION APPROVAL.;
(signature
p
(date)
4/4
TOWN OF QUEENSBURY j
• 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 1� 3'dd 37.
2 . Type of heat =1-ETCT(C
3 . Is the building mechanically cooled? ✓ /c
4 . Percentage of area of windows and doors /EvS 1Hfl'`� /C7 90
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
f�-�jo jN Reo r R ,,,„
2 . _ R value of exterior walls 19 4_ S+tr1iN/i✓l-tS��iNc— ._
3 . R value of glazed area " 11 b 6A45.
4 . R value of doors I U' (
5. R value of floors over heated spaces i' It r0E-4714ASS
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) P. S.57s^TYWii*
9 . R value of heated basement/cellar walls (below grade)
10. Type of insulation f" /3 E .o.L. ss i w .✓F+u-Si C F pt,,/L r'cio;ss SieRefeitm gum,
C. Controls
1 . Thermostat maximum heat setting ,/
D. Duct Systems
1. Is duct system installed in unheated spaces? YES Na
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 gLe-criers — gva-to r. (5,14/072.
2 . Temperature control setting maximum JSOr``
G. For Swimming Pool Only
1 . Maximum heating
Telephone No. (9. 6 Q5'76 Si' i -4,76- 4r,44rc
(applicant ' s signature)
--al"
An lin/in/in An 05‘I5.75%An PIM nin/WM An/5%711‘lin 013K75%lin PIR AR An An 7111%lln An Op lip An lig Tip AIR/lp MR lin An/In An-/W 011‘.711V7 7111k/IR lin/In 01‘.Mk TWARRIK/WAR
F. f..;
THE NEW YORK BOARD. OF FIRE ..UNDERWRITERS
T.., ,,, 7•',1 '' 0 t._,4 BUREAU OF ELECTRICITY - . • - "„
41 STATE STREET,ALBANY,NEW YORK 12207.
Date •
Application No.on file
• •,1- icz...,
A F.i 4 g 7 1
THIS CERTIFIES THAT 'I
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of i
D,12::',.7-:4:3 z2, :'-`2- 7, r--..ic 139. 5:z°,....z:"..1:.7; ,
in the following location; IN Basement Lief,. z 2nd FL z::. •,t El i.d z.'ii: Section Block Lot
. 0
-
• was examined on
i
5/SO/.30
2.9
FURNACE MOTORSand found to be in compliance with the requirements of this Board.
FIXTURE FIXTURES ei
RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS RECEPTACLES SWITCHES
INCANDESCENT FLUORESCENT MERCURYAMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL ‘.:-:!.:
DRYERS4)-
. . 1..'
..-•1)•."
UNIT HEATERS MULTI-OUTLET DIMMERS
4)1.1
-7 1 AMT. K.W. OIL ' H.P. GAS H.P.
4 . AMT. -,. r -
NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS.., .AMT. H.P. NO.OF FEET AMT. WATTS
Ekt..,.. ..) 't..?.
,L 7.-:,--,'\,,,.).72,2. -i'::: . , SYSTEMS
.
A. 1-
SERVICE DISCONNECT, NO.OF :G'.. 1:- f,' ',.;-)0 E R V I C E
METER
AMT. AMP. TYPE EQUIP. 1,2'2W 1 lif 3W 3,ff 3W 3 if 4W NO,OF CC.COND.
OF CC.LF;ND. NO.OF HI-LEG A. .G.
OF HI-LEG NO.OF NEUTRALS
OF NEUTRAL
,.,.
J. ,,,;,i..,%.,, la i,'
) c''''i '' .1-, . „I- ,, ,
-..i ..,,
. 4 ,
< OTHER APPARATUS:
f:';r01 : "..1. .4.;C::''::;r).-e.:` 1_':,3.(..,..-c?.....t..7.c 11.:::Li t a r S : ':,-- 2., .'3
-, 1 ! „--, _, yll 7.' 'cr 4 ...?. r) ".. 1
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::y51'1(10 0 I .?L 1 :3 0 ,. :1 0 Y„19(,5,:.:..,
BRANCH MANAGER .c.
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COPY FOR BUILDING DEPARTMENT® THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
(
TOWN OF QUEENSBURY
Building 3septarik��.�:e�at
Inspectors Report Date (o /`{/$d
Name 4os ep/ dU rGq
Location L o T 9/ fie/en /)f-%✓-e-
Permit No._ ,2.SO Weather
Remarks
Excavation
Footing Forms '
Footing & Piers
Foundation
Cement Coat (2/1/0
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
r i �
Building Inspector
REMARKS
itkej G7 c. ✓ tic,/
•
■ OWN OF QUEENSBURY •
Building Department
Inspectors Report Date 3— ,?/— $o
Name h/,Gcst1
L. p
oca . 4o I 9/ / -fr,,,, P/i<
. Permit No. 6 A 5o 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 6:- /0,LvD
Chimney
Water Meter Inst.
Septic Approval •
Floors '•
Insulation Foundation ' 'n
Walls
Ceiling
. Build ng Insp ctor
• REMARKS
f2e
•
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date y/O
Name,,/2 ,,J •
Location `/e4,',Ll p 0?.71 c..9 l
Permit No. 6,25 a Weather
Remarks
Excat,a Lion
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
,C>(/
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval C
Floors
Insulation Foundation
Walls
Ceilirl
Building Inspector
•
REMARKS
_s / -5-,64
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date
Name /�psrd,e✓
LocationJi+J
Permit No. (a 52 S d Weather
Remarks
ExcaT'ation
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 FOWidation
Walls
Ceiling
Building Inspector
REMARKS
r.e ! 1-43 0 J G //�S
j;
TOWN OF QUEENISBURY
Building Department
Inspectors Report Date ski
Name
Location kA)
Permit No. 0 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
Ceilingkg
'
44w5. Building Inspector
art oc1.4- ® (_ /) _
REMARKS
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t'r u, y!o 1l�i- c�t Y 5 e G�7 /� a(
Pair r `-jO t5`f' Masi are O/V t`r'a>'-I k6, •Ar (,,��>\
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