8720 _l am1, C/a P: t':
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 04-434551-2"14% 19
workn . 7.,
requested
This is to certify that to be done as shown by Permit No.
has been completed.
This structure may be occupied as a ;9lAl\ k\�j
Location olaG1
Owner n1 -.0Yl.\=-.: h^ bA-C1-1FCal<0 pRY_"1zir� �t� r�1. oV*E'r Z- b W kiert
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
CREATIVE "INSTA" PRINTING. GLENS FALLS. N V 12801 (518)793-S6S8
•
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 8720
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Mohican Motel (George and Marilyn Stark)
OWNER of property located at west side Route 9 north Route 149 Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Pool Building
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.
1. OWNER'S Address is Route 9 Box 1944 H-
Lake George, New York 12845
0
2. CONTRACTOR or BUILDER'S Name
N
Wes Vesey
CI
3. CONTRACTOR or BUILDER'S Address o
Mac Arthur Drive
Glens Falls, New York m
4. ARCHITECT'S Name
Iti
N-
5. ARCHITECT'S Address H`
Cr
pi
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( )Steel ( 1
7. PLANS and Specifications ID
62 'x42 ' pool building per plot plan ocr
No.• specifications and application submitted.
oci
8. Proposed Use See Pool Permit 8528
Pool Building o 0
i✓ SJ
i r rt•
(D
$5. 00 C/O Paid
42. 00 H to
$ PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 198 5
• (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.)
Dated at the Town of Queensbury this 24th Day of August 19 84 n7
0
0
SIGNED BY 74e4d a. for the Town of Queensbury
Building and Zoning Inspector l '
TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY, NEW. YORK Building Inspector)
Application for Application No. .
•
�C Permit Issued 19. .
BUILDING AND ZONING PERMIT . Perini( Expires. 19.
"/Amnin!. District
. \ : tm; nt Work _
THREE (3) Copies of a PLOT PLAN, Drawn to scale .\pprok ed by ' .---'(,
showing the actual dimensions of the lot to be built Rciml•)(S'
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
Cl TOWN 0-V OUEENSSIJ `r
• DATE 1Y1
A PERMIT MUST BE OBTAINED_ BEFORE BEGINNING WORK ���•���III ���JJJ !!�� l! �
ANSWER ALL OF THE FOLLOWING. AUG a 'tt iJi34
The undersigned hereby applies fore permit to do the following work A.M: 1-1 G O'14—c P.M.
which will be done in accordance with the description, plans and specifi- 7J8J9�1O1l12)1j2'3)4�5�6
t o 0 0.._t r e � l , ,
cations, and such special conditions as may be indicated on the permit.
C
• The ow er of �e-Y
this p.opert is; .
. . .. (D? ."'d//2 ' y 0---/' ' 4 -} C.e' e, • . .-,? .,/ , fr'�
(NA''E) (P.O.ADDRESS) rJ
The person responsible for supervision of the
work insofar a/the Building
Code and%mil be Zoning Ord' ance apply is:
. . .<-Ce-' 1. . .!(. . ' 9 (N�/�� 1. :��'/��I/ ', -,(--�i`f )7 / /J, /-26/
Ame) (P.O.ADDRESS))
Name of Builder. .C.iJ-4 li Gv P 4` d ass Ol ' ��r j / - ✓ /.�-o90l
Name of Plumber /Ue)'6/ Address
Name of Mason.ICJ Al. , 2" Address . . . . . �� . .i.—Pv/
Lot Number Unit Estimated value of proposed work I • 04 c
Name of Village
Name of Street Side of street: north 0, east 0, south 0. west
Nearest Cross Street /a / "7 Distance from this cross street . g-, •"1/G'�2-774t-
Property is north -a south ❑,east c i, west 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest - ❑, southeast Q. southwest .
• (Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
ig- Construction of a new building. Main Building
❑ Addition to a building. •. . . . . . One-family dwelling ❑
❑ Alteration to a building. Two-family dwelling 0
• ❑ Demolition of a building. • -family apartment house ❑
Store building ❑
-car thet garage ❑
�` p .
_- • Accessory Building
- • One-car detached garage
0 Other work. Describe Two-car •detached garage ❑
31e_ c,; . 0 - ry 'rod/ 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, sire and setbacks of pro-
posed buildings, and the location of all existing buildings.
NORTH Show proposed buildings) in dotted line and existing
•
Ituilding(s) in solid line/0-0 J
Size of property . : y `5P ft. x ft.
0 t; . .
• I-.
Size and use of existing buildings, if any
a m Size of proposed building . . . . • . ft.x • . • . • ft.
Height (from grade to rridge) o9e) ft.
Front.yard 110 ft.
Side yards . . . �i�4! ft. and . . . . 0 ft.
A-/ 1f7" • Rear yard ft.
SOUTH If on 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-N
(coned.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.?. . . . . . .. • • . . ��. . . .'.`fi.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will anysecond-hand lumber be used? /'t If so, for what'
�' e ra ' G-i"t�� thickness !.
Material of foundation walls ' ",J
Depth of foundation walls below grade Continuous foundation?yam- . . .
Will there be a cellar? /2Q If so, material of cellar floor
Type of roof: Sloped or flat? . ...��/0.A T Material of roof 4./3' ..
Size, wood studs " x ", spacing "o.c., length • ft.
Size, floor beams, 1st floor " x ", spacing "o.c., span ft.
Size, floor beams, 2nd floor " x ", spacing "o.c., span ft.
Size, ceiling beams " x ", spacing "o.c., span ft.
Size, roof rafters or beams ", spacing "o.c., sp n . . .A ft.
Exterior finish 44.7Z.�,' . • • 'E.' With what material? t-`...= ' -
Finish of interior walls / y !l/ 1 ,;u
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 and building?
Kind of heating systems`�`, Oil burner or coal?
Will a flue-lined chimney be provided? • Depth of chimney foundation below grade
Height of chimney above roof
Will there be a fireplace? , i Depth of fireplace hearth
Will a toilet be installed ,l)
Will a kitchen sink be installed and connected to water supply? .,
Water supply (public water supply or pump) l •
/,J
Distance of cesspool from any private well C feet
Will drainage system be provided with required traps, cleanouts, and vents?
Town of Queensbury / AFFIDAVIT
County of Warren
State of New York
I swear that to t!: bard my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.a.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 pertaining ,the proposed work hall be corn •ied with,whether specified or not,
and that such work is authorized by the owner. Q� - ��
Sworn to before me this S' ature 2�-4/« 'e
OWNER,OWNER'S AGENT.ARCHITECT.CONTRACTOR
c
day of ����vs 19 `�/
NOTARY PUBLIC. WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
•
•
By
•
TOWN OF'QUEENSBURY
Building Department
inspect rs Date z z
Name 16/70 ci A4',77� -
Location gZ�s'
Perna No . s a• e) -b 7 0.0 Weather
P�� 7 /7r
E6 (2,6. F«.34-t, Remarks
Excat'aton
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey '
Framing •
Sheathing
Roof Felt .
Roofing e:)47:.s\\
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
.-------n , a_ . • ,
• Building spector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date Lo/ S/j)t/
Nome /' X')/L/r24-f
Location / 7`r •L, t;, TC J
Permit No. . air Weather
172a
P 7Z- /I17 Remarks
Excavation
Footing Forms / ,�7
Footing & Piers c,-cr�1:-N
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
Ceili»
Building Inspector
REMARKS
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