6332 `C/O Paid
-
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Dace October 1 if 0
3011 ia
This is to certify that work requested to be done as shown by Permit No. 63 3 2'
has been completed.
This structure may be occupied as a One—Family Dwelling
Location Lot 86 Helen Drive (St. No. 35)
Owner Xp r t i n C jvf n G 11 p r _
By Order Town Board
TOWN OF QUEENSBURY
- Building & Zoning Inspector
a a��/ C/a S� „r )2 /Cla P-/6aFC y l z/ia /ci) 1.
CREATIVE "INSTA" PRINTING. GLENS FALLS. N Y 12801 1318)793-3658
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 6332
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Martin C. Mosher.
' sy
OWNER of property located at Lot 86 Helen Drive (St. #35) Street, Road or Ave.
rt
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.
0
1. OWNER'S Address is R. D. #3
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
same
3. CONTRACTOR or BUILDER'S Address
same o
c rt
rl
• co
(51
4. ARCHITECT'S Name
=t�
Oi (D
(D
5. ARCHITECT'S Address
.11
N.
' 'C
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( )Steel ( ) )
7. PLANS and Specifications 3 6 'x28 ' per plot plan, specifications and
Noapplication submitted including two-car attached garage
and sewage system. o
m
8. Proposed Use
One-Family Dwelling
N•
N
$5. 00 C/O Paid
$178 . 00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 1 19 80
(If a longer period is required an application for an extension must be made tothe Building and Zoning inspector of the
town of Queensbury before the expiration date.) F,•
Dated at the Town of Queensbury this 8 th Day of May 19 8 0
SIGNED BY e i�' � - for the Town of Queensbury
Building and Zoning Inspector
.c) 5,.
®,�®�,0 QUEENSBURY � � �
4
TOWN OF (Space inside block to lie filled in by •
WARREN COUNTY. NEW YORK • Building Inspector)
Application No.
Application for Permit Issued 19.
BUILDING AND ZONING PERMIT 1'''1•mi' Expires. 151
/Amine District
\'aloe of Work%
THREE IVCopies of a PLOT PLAN, Drawn to scale \i,ln•„�c•cl by
1` 11�`II
showing the actual dimensions of the lot to be built
gr
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. R E
.- c •�'. ='-0
-- - � ,
DATE ! t '{ I
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK L
ANSWER ALL OF THE FOLLOWING. MAY 8 1980 . j
The undersigned hereby applies for a permit, to do- the following work 1 M. 3
which will be. done in accordance with the description, plans and specifi- 718191101111121112131a1516
cations, and such special conditions as may be indicated on the permit.
The owner of this property is:.
(NA''E) / IP.O.ADDRESS)
The person responsible for •supervision of the work:insofar as the Building Code and the Zoning Ordinance ap Iv.is:
/ �� (NAME) 4AhDES. . .. . , .
,
Name of Builder. *r"1 .c ^^'- Address =.5-61aLt.,
Name of Plumber-. . .•. . . . .-.54.4.14—' - • Address . . . .jQ.--fi -4,
Name of Mason ' Address . . . ,,` ms, e
O -6. . Unit Estimated value of proposed work 3 86t4R 0 c)c' (' 30 o Scj.l r.
Lot Number. . . . . - 1 P P l• E
Name of Village .7a.--4- tip' s f `_C 4.41--/- e-t4--44t,.`i
I Name of Street . . /4 • . i(. -c...-- Side of street: north 0, east ,', south 0. west ❑
Nearest Cross Street ..Sy'• Distance from this •r.ross street �s`0 0 Ft.
Property is north 0,south Iti,east ii, west 0 from Cross Street'
If on Corner, which corner, northeast L,, northwest ❑, southeast (.'southwest
(Designate by marking'with an "X" in the correct space.)
NATURE OF PROPOSED WORK . OCCUPANCY
Main Building
*0- Construction of a new building. One-family, dwelling
❑ Addition to a building. Two-family dwelling ' 0
0 Alteration to a building. -family apartment house ❑
0 Demolition of a building. Store building ❑
Z.-car attached garage
Other:
Accessory Building
One-car,detached garage ❑
❑ '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-
NORTHpose.d buildings, and the location of all existing buildings.
Show proposed. building(s) in dotted line and existing
• • Imilding(s).in solid line.
Size of property • /0 U ft. x /7 0 ft.
).:‘,
--�.e Size and use of existing buildings, if any
F
i
_ W Size of proposed building . . ‘• • • ft.x . a d7. • • ft.
J Height (from grade to ridge) ft.
4► ��o ft.
Front yard
Side yards AC- ft.,�aynd /L - ft.
Rear yard / ft.
. �Lt-,✓ Dr SOUTH If on corner,setback from side street ft.. .
Note:
o Anlel adriessttapnacerst•
oafreb un g measured from street side
et, asm
i
(OVER) • .
7-73-N
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.?. . .aa I . •V✓1• „4--
Will any second-hand lumber be used? --)1/19 If so for whae
Material of foundation walls Thickness
Depth of foundation walls below rade Ser O ' Continuous foundation? . .'74//�
Will there be a cellar? . . . If so, material of cellar floor . . .
Type of roof: Sloped or flat? . 4. Material of roof .4 Gf. .
Size, wood studs .02 " x 11 ", spacing /6 "o.c., length i ft.
Size, floor beams, 1st floor .02 "x /Q ", spacing / . . . ."o.c., span /`/< ft.
Size, floor beams, 2nd floor -1-- " x . / 0 ", spacing / $ "o.c., span /V ft.
Size, ceiling beams
p; x
" .6. ", spacing 4 . "o.c., span ,f T ft.
Size, roof rafters or beams cR" x , ", spacing / 4. . . ."o.c., span / V ft.
Exterior finish . . . • •✓f!4-s/
With what material?
Finish of interior walls /12. & ,S'•st.c.-c.V- t
If garage is to be attached, of what material is wall between garage and main building to be constructed?
Z "
Is there to be an opening between arage.and building? 7Le'
Kind of heating system . . . . . . Oil burner or coal?
Will a flue-lined chimney be provided? . . ® Depth of chimney foundation below grade . . . .6 O. .'.•. . . . . .
Height of chimney above roof �� r
Will there be a fireplace? eat Depth of fireplace hearth
Will a toilet be installed
Will a kitchen sink be installed and connected to water sup ly?
Water supply (public water supply or pump) �(J
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 Lb na of my knowledge and belief the statements contained in this application,together with the plane and specifications sub-
mitted, are a true and co.i.plete 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
ingthe proposed work shall be complied with whether specified or not,
and that such work is authorized by the owner. ''vt�.; C--'
Sworn to before me this. Signature
OWNER.OWNER'S AGENT.ARCHITECT,CONTRACTOR
day of 19
NOTARY PUBLIC. WARREN COUNTY..N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
By .
TOWN OF QUEENSBURY
BUILDING AND ZONING DEPARTMENT
BAY AND HAVILAND ROADS RD #1
GLENS FALLS, NEW YORK 12801
. APPLICATION FOR A. PERMIT TO CONSTRUCTS ALTER OR ENLARGE
A SEWAGE DISPOSAL SYSTEM WITHIN THE TOWN OF QUEENSBURY
cCCUPAN•JT 9 S NA1.9E ADDRESS
TELEPHONE 7 9 oz - s o OWN FR9 S NAME . >yi ,c u
ADDR ESS,7j .? ��.�..�,✓ -. J. _ NUMBER OF BEDROOMS
GARBAGE GRINDER?_-)20 (YES OR NO) TOPOGRAPHY: FLAT ROLLING, STEEP,, SLOPE,
GENTLE SLOPE, OTHER
NATURE OF SOIL: CLAY9 SANDY LOAM9 GRAVEL ROCKS9 ETC:
PERCOLATION TEST WATER SUPPLY: 6UNICIPAL) WELL, OTHER
DIAGRAM OF PROPOSED SEPTIC SYSTEM
4 ac1,
OTHER PERTINENT INFORMATION
7.T IS HEREBY AGREED THAT IF THIS APPLICATION AND PLANS ARE APPROVED,
INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL BE MADE IN ACCORDANCE
WITH DETAILS SHOWN.
DATE Q - fO SIGNATURE OF APPLICANT , 4. C
LAKE GEORGE PARK COMMISSION APPROVAL:
(signature)
�.'-(date)
• . l
.
TOWN OF QUEENSBURY.
Building Department
•
Inspector" R Date �9-��RO
Name /-e 75-17 7—'
Location /�1 lv.r.i " /L �'- '
Permit No. Z Weather
• Remarks
Excaf,ation
Footing Forms
Footing & Piers
Foundation
Cement Coat ("e / /
Waterproofing (�
Backfill
Final Survey •
• Framing
Sheathing
Roof Felt
Roofing
•
Siding
Masonry Veneer
Rough Plbg.
Relief Valves _c
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
it-r.e-d r-�rcr
•
�-�-
s' Y �
TOWN OF QUEENSBURY
Building Department
Inspectors ReP/ Date c-/2— r)
Name �/as ' ,—
Location 7d cs4r /,en/
Permit No. 6 33 Weather
Remarks
Excaation
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 ,' J
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval 4 //-2.
Floors
Insulation FOUndation
Walls
Ceiling
Bui ding Inspector
REMARKS
TOWN OF QUEE,,,SBUR,Y.
Building Department
Inspectors Report Date Rd
Name .
Location /,,, ff'rr'/-nf
Permit No. 3 Weather
Remarks
Excaation
Footing Forms
Footing & Piers •
Foundation I —, •
Cement Coat ___ I •
Waterproofing I _
Backfill
Final Survey
Framing
Sheathing ___J
Roof Felt
.1
Roofing
Siding
Masonry Veneer L
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor _
Interior Trim
Stairs &Railings
Cellar Dr. Tile
Concrete Floors I ,
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst. j!
Septic Approval
I F lCcrs I
FO?Ind f.tJot; •
Insulation
Walls
ICeiliri:;
Building Ins•'i�.:-tor
REMARKS
' NOF 1- 1 QUEENSBURY
Building Department
lnapectora Rep Date
Name iil?54 l £ -.
Location . /�P42,.�
Permit No. Weather
t-On6 (3 3 Z 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 & Raili ;s
Cellar Dr. Ti1..
Concrete Floo,,s
Plbg. Fixture
Gar. Fireproofing •
-Door Closers
Chimney -
Water Meter Inst.
Septic Approval •
Floors
Foundation
Insulation Walls
"Ceiling
Bui ding l spector
REMARKS