1986-079 G/C7 Paid.
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY •
WARREN COUNTY, NEW YORK
Date JUly 14 19 �o
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1
This is to certify that work requested to be done as shown by Permit No. 86-!9
has been completed.
This structure may be occupied as a One—Family Dwelling
Location Lot 13 Sugar Pine Road (St. No• 26)
Owner
Martin C. Mosher
By Order Town Board
— TOWN OF QUEENSBURY I''-
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;,/ is
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Building & Zoning Inspector
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Ivc INSTA PRINTING GLENS FALLS. N V 12801 1518179.3-S658
TEMPORARY
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date July 11 19 86
This is to certify that work requested to be done as shown by Permit No. 86-79
has been completed.
One—Family Dwelling
This structure may be occupied as a
Lot 13 Sugar Pine Road (St0. No, 26)
Location
Owner Martin C. Mosher
TEMPORARY CERTIFICATE OF OCCUPANCY ISSUED
FOR 30 DAYS By Order Town Board
TOWN OF QUEENSBURY
.0 e If JJ/,.VI/'1 1
Building & Zoning Ins a for
} BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-79
WARREN COUNTY, NEW YORK rt
PERMISSION is hereby granted to
Martin C. Mosher �' A
0
-OWNER of property located at Lot 13 Sugar Pine Road (St. No. 26) Street, Road or Ave.
m
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.
1. OWNER'S Address is 15 Greenway North
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
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Same m rt
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3. CONTRACTOR or BUILDER'S Address o
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Same °R
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4. ARCHITECT'S Name 0
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( 1 Masonry ( )Steel ( 1
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7. PLANS and Specifications
No.
62'x36' per plot plan, specifications and application submitted
including two—car attached garage and sewage system. r•
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8. Proposed Use •
t7
One—Family Dwelling
$5.00 c/O Paid Q4
$ 192.00 PERMIT FEE PAID—THIS PERMIT EXPIRES October l 19 86
(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 28th Day of March 19 86
SIGNED BY G for the Town of Queensbury
Building and Zoning Inspector e/i
TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
AIication for Application No.
Pp 1 crmit Issued 19. .
BUILDING AND ZONING PERMIT Permit Expires. 19.
7.4ininp. District
. \ ;chic• of Work,$
•
THREE (3) Copies of a PLOT PLAN, Drawn to scale API"`" In•
showing the actual dimensions of the lot to be built Itc'uiar)(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.
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DATE3
is.d
FA PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK M,<a,)i, . 7 1986 6d.,
ANSWER ALL OF THE FOLLOWING. I tit �- (- rmg4
The undersigned hereby applies for a permit to do the following work '1 2®83 (516
which will be done in accordance with the description, plans and specifi- `` " 6. °�e a ° 8'
cations, and such special conditions as may be indicated on the permit. -\-l`11 0
L" wner of this property s:
'7 nn ,� / ��J/12'G--a--- -L2 /vr /,�i�u Iv✓L ��-. ,Zcl�:Ali✓ G•(--�L,rj�IC,cvScvy
!/ lN4/�Gv� • G ` E) "IP:0.ADDRESSt J
Thee person responsibir for •supervision'of the work insofar as the Building Code and the Zoning Ordinance apply is:
� (NAME) (P 0.ADDRESS)
Name of Builder ' "j 11-4--7( ✓'20---o---/,"`..-t-- Address. -74,-1�
Name of Plumber, w,. Address "-�
Name of Mason. . . i� i Address . . ,�w""P •
(-'
J( Lot Number. . . P P t �. . . . . . Unit Estimated value of ro osed work S /O.Q. G�,,--0
7 G Name of Village c t -� �,- 4�-C4u
,K y Name of Street ��.���•'L- /�-�'',-v `�'!-� Side of street: north 0, east 0, south O. west
Nearest Cross Street . . 1--71- --(2• •it-A.:L.,) Distance from this cross street 02 O0 Ft.
Property is north • ❑,south g,east i i, west- 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast ❑, southwest
(Designate by marking with an "X" in the correct space.)
•
NATURE OF PROPOSED WORK OCCUPANCY
gConstruction of a new building. Main Building
❑ Addition to a building. One-family dwelling
❑ Alteration to a building. Two-family dwelling
51
❑ Demolition of a building. -family apartment house ❑
Store-building ❑
• . . .cam: -car attached garage El
. Other:
Accessory Building
One-car detached garage ❑
0 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, site and setbacks of pro-
posed buildings, and the location of all existing buildings.
NORTH• Show proposed building(s). in'dotted line and existing
( e-/ L� 2 i hhci building(s) in solid line. .
Size of property /3 ft. x 1 ft.
Size and use of existing buildings, if any
1
N 6
0 • W Size of proposed building . . . . ....... . ft.x ft.
Height(from grade to ridge) aS ft.
Front yard
S-O. ft.
Side yards �. d ft. and ft.
ti Rd - Rear yard 6, d ft.
6
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-M .
(coned.)
BUILDING SPECIFICATIONS., •
Kind of construction:Wood frame, fire safe, etc.'
Will any second-hand lumber be used? �/ � If so for what7
Material of foundation walls / " 6(.4rv.Lfivc.- .- `1L" Thickness
Depth of foundation walls below grade . . t Continuous foundation? . . . .
Will there be a cellar? . . If so, material of cellar floor 2/ /c-cji- •
Type of roof: Sloped or flat? Material of roof
Size, wood studs " x `// ", spacing "o.c., length. . . ,. X. . . . . ft.
Size, floor beams, 1st floor . . . . . . . . . " x /a ", spacing l . . . ."o.c., span ft.
Size, floor beams, 2nd floor . . . . . ..a. ." x /D ", spacing /6 . . . ."o.c., span ft.
Size, ceiling beams " x • •6 ', spacing / "o.c., span / ft.
Siie, roof rafters or beams " x ", spacing / "o.c., span / / ft.
pp
Exterior finish / Y�-�n1�� 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 and building? -
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Kind of heating system . . . . Oil burner or coal?
Will a flue-lined chimney be provided , 3464/ Depth of chimney foundation below grade
Height of chimney above roof
Will there be a fireplace? Depth of fireplace hearth ! ' "
Will a toilet be installed?
Will a kitchen sink be installed and connected to p5ater 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?
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to tt ua r of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, area true and co.,.pp lete 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 to the proposed work shall be complied with,whether specified or not,
and that such work is authorized by the owner. l—yJ,�,
Sworn to before me this Signature / / Y�`w
OWNER.OWNER'S AGENT,ARCHITECT.CONTRACTOR
day of 19•
NOTARY PUBLIC. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS-OF THE PERMIT:
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By
` TOWN OF QUEENSBURY
/b C J
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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 ,„2,S7S- y- .
2 . Type of heat �(PG/mi)
3 . Is the building mechanically cooled?
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?
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
' 2 . R value of exterior walls I'- 2.„ )
3 . R value of glazed area I2 7s- ‘
4 . R value of doors P 1 3 ;'
5. R value of floors over unheated 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)
9. R value of heated basement/cellar walls (below grade) S
10. Type of insulation ( LL4'7VS (7i i/j, '7 / 7 -fir- / x r
C. Controls p,
1. Thermostat maximum heat setting 7--S-
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
/ rr /
1. Size of hot water or cooling carrying agent pipe % y
2 . R value of pipe insulation
F. Service Water Heating
1 . Performance efficiency
2. Temperature control setting maximum /7Q �YI's
G. For Swimming Pool Only
1 . Maximum heating • ,
Telephone No. /79,72- - / ..d L/ '"/ „-ri • `71 u^,
(applicant ' s signature)
TOWN OF QUEENSBURY
' BUILDING & ZONING DEPARTMENT
SEWAGE DISPOSAL PERMIT APPLICATION
1. Owner' s Name ,,A �J it/ $
Address /,`", l(-- .
Awl) 1,(.4)-1 )j - Telephone No. 7 � /2.S�U
2. 'Property location' *Act /� ,L A,, � _v A--mac.
3. Name of person or firm responsible for installing system
G/L `/-yt 4,1 Telephone No.
Address ‘„.. -71..in, 4
4. Number of bedrooms (residential buildings only) / _
5. Daily flow gallons/day
6. Septic tank capacity / _1 gallons
7. Topography: flat, rolling, steep
% of slope V��
8 . Nature of soil and depth
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 4_,{ 4___?_4„.
12. Type of system proposed: drywell, tile field, other 720,e2 -f„,,,. ,,z_./'
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 $2-50 as provided for in Section 6 .010 of the
Queensbury Sanitary Sewage Ordinance.
Date A") Q/?�`�v 7 /(r 6 >2) /l/_ ,� d , )n., -ez--Z.,,
signature of applicant
On separate sheet of paper submit a diagram of the proposed 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.
`
Form 3-82 -`S,0 1 -kL F"'6�' .0
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`; 4fl5738 '4
THE NEW YORK BOARD. OF FIRE UNDERWRITERS
�: BUREAU OF ELECTRICITY
4, Fair STATE STREET,ALBANY,NEW YORK 12207
1...v
Date : i�'.�7t ��1l-K r 8, 1986 Application No•on file 006372-36 yR
.ei, THIS CERTIFIES THAT ••
' only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of �,!
1
Martin. Mosher., Lot' 13, Sugar Pine Rd., Oua'ensburv, New York '-.
in the followinglocation ' g `�gt,, O11tSi ^�❑ Basement ❑ 1st Fl. ❑ 2nd Fl. Section Block Lot .•ii,
7/11/ 6
was examined on and found to be in compliance with the requirements of this Board.
Sb
FIXTURE ECEPTACLES SWITCHES FIXTURES MERCURY _ RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS :
OUTLETS INCANDESCENT FLUORESCENT VAPOR AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. .1,
23 61 26 22 1 3 rr
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS ..-
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. - AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. N�OF FEET AMT. WATTS --
'3
.1- "c:Eliy .3ii-r3
i t t 3 1.0
S SERVICE DISCONNECT NO.OF E R V I C E
AMT. AMP. TYPE METER �"2W $'3W 3$3W 3,e'4Wc NO.OF CC COND. A.W.G. NO.OF HI-LEG A.W G. NO.OF NEUTRALS
L �
A.W.G. `i
mum.P• PER b" OF CC.COND. OF HI-LEG OF NEUTRAL
120a ? 1 /t� 1 /
cil
OTHER APPARATUS:
1— gfci
1- moke det
R1 ectric Heaters 2. G-- 1 e 5 kw
6- 1.0 1--,:,.i '
2- 2.0 kw , 'i.
;e
1
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EPA ElL }rIC /1 �a.. /J •'i.
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Glens Falls, NY 12901 . BRANCH MANAGER
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' Per
This certificate must not be altered in any manner;return to the office of the Board if, incorrect. Inspectors may be identified by their credentials. ''.
latvtuliiMit% Willi/iftUrni[vulitiilivtvtiirvt iuJailoi tnMvlic %It lilt 1st uct ii/ItIwtAlitnFtvtuuttuliiURIWiv[viiihAltIntwvFrwer , ,
• COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
c�77 I2v164 s )-o J5
Jouin o Queeni ur y
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME AS L
LOCATION Lcrr' /3 S0 CN
Date 7//c) / "c Permit No. 8(,9 - 77
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors r-Set-,5�ZOcf1 !�
Interior Trim
Stairs & Railings l�
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar.. Fireproofing y'
Door Closers // i✓
Smoke Detectors
Chimney X
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
4:uilding Survey
Next scheduled Inspection(call when ready)
Remarks- -
16410 /4A-AID PAW
5 oert.l- rt-c.90 rZ C0 c/-6 .A-i d 0A/
• hVed
(///::41
Building Inspec or
6/86 and-vl
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 5 S
Name Wier
Location `', �-r-e
Permit No. f lo-`7 q � � D�Veather
Remarks
Excafra ti on
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 0 i lc
t
Floors
Insulation Foundation.
Walls
Ceiling
(47)64-1,
Building Inspector
REMARKS
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TOWN OF QUEENSBURY
Building Department
Inspectors Report Date q Z �
Na
me Al OS i
Location Lam:r i 5:)&Al Pi,V&
Permit No. or 7 y Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey (
Framing �.
Sheathing 6•I-CO k
Roof Felt
Roofing
Siding r�
Masonry Veneer '�
Rough Plbg. 11
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
r1 Ceiling
Jr. r
v?/
Buil ng nspector
REMARKS
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Do -
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TOWN OF QUEENSBURY
• Building Department
•
Inspectors Report Date ilzifr,6
Name 4/Iit'7 /tjQS b--tZ-
L.ocation ,0 7/3 5 ifj /iL I Jf 4//
Permit No. -7 1 Weather
Remarks
Excatia ton
Footing Forms
Footing & Piers •
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey }! j
Framing ti (� •
Sheathing ef760111
Roof Felt
L)rli
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
• wilding Inspector
REMARKS
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JiAlj.
O4.:1
Tb C%/ r� -G— O.J o-O
•
•
TOWN OF QUEENSBURY
• Building Department
•
Inspectors Date :A�/05*Z�
Name ✓ W:?�9.i
Location 5mil.,;,4PCPm<E
Permit No. PL /biA/ Weather •
-'7 / Remarks
Excafia tion
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
•
Building Inspector
•
REMARKS
ZZ