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6612
CERTIFICATE OF OCCUPANCY ". ,TOWN OF QUEENSBURY f WARREN COUNTY, NEW YORK r, Date 5th This is to certify that work requested to be done as shown by Permit No. 6 6".2 has been completed.. ! This structure may be occupied as a Di.' ` '� 4bec �- I i i i Owner RuY)y J. ITosher f By, Order Town Board j TOWN OF QUEENSBURY Building & Zoning Inspector j CREATIVE "INSTA" PRINTING. GLENS FALLS. N Y 12801 1518)793-5658 BUILDING PERMIT TOWN OF QUEENSBURY No 6612 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Ruby J. Mosher OWNER of property located at Leo Street Street, Road or Ave. w 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. OWN ER'S Address is R. D. #3 Glens Falls, New York 2. CONTRACTOR or BUI LDER'S Name Martin C. Mosher r m 0 3. CONTRACTOR or BUILDER'S Address rr R. D. #3. K (D m rt 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) (X)Wood Frame ( ) Masonry ( .)Steel ( ) 0 M 7. PLANS and Specifications 22 'x30 ' per plot plan, specifications and application submitted including existing sewage system. lv No. (This replaces dwelling taken down - see demolition 8. Proposed Use permit #6530 issued 8-15-80) C-J V One-Family Dwelling N- $5. 00 C/O Paid $ 42. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES April 1 19 81 (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 22nd Day of Sept. 19 80 SIGNED BY /� c for the Town of Queensbury Buildi and Zoning Inspe r 8 TOW N OF QUEENSBURY (Space inside block to Ix- filled in by WARREN COUNTY. NEW YORK Building Insp"or) AIleatloo� fog Application No. �� Permit Issued 19. : BUILDING AND ZONING PERMIT Permit Expires. 1q. . %(u,in" District \ aluc• ,)I \\'ork THREE 13) Copies of a PLOT PLAN, Drawn to scale \I'pc'c,k c c1 In showing the actual dimensions of the lot to be built Itc n,:ir)(f u"a, The enact six®, and location on the lot of the . . . . . . . . . . . . . . ... . . . building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. TOWN OF QUEENSBUrZ-Y - . . . . . . . . BED•DATE A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWING. A.M. P.M. Tho undersigned hereby applies for a permit to do the following work L71gI9�10l1112 1 ? 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. The owner f this property is: c • ' • • . • • ' " ' . (P.O.ADDRESS) c� T e.person responsibie for •supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: (NAME) (P.O.ADDRESS) Nameof Builder . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name aif Plumber. .a!Yv\-��. . . . . . . . . . . . . . . . . . . . . . . . . . .Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Mason. � .�-�1.. . . . . . . . . . . . . . . . . . . . . . . . . . .Address . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . Lot Number. . . . . . . . . . . . Unit . . . . . • • • • • • • Estimated value of proposed work$ . 1,5-- 6Go_-e', • • . • • • • • • • . . • Dame of Village . t4 4 . . . . . 02 <<—a �. Cc� . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . t Side of street: north ®, east 0, south ❑. west 1�lAme of Street . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Nearest Cross Street . . • • `t •'• • • • • • • • Distance from this cross street . . . . . . . . . . . . . . . . . . . . Ft. Property is north ®,south 0,east i J,west Prom Cross Street If on Corner, which corner, northeast 0, northwest '1 , southeast D, southwest (Designate by marking with an "R" in the correct space.) NATURE OF PROPOSED-WORK OCCUPANCY . Construction of a new building. Main 13t,>Rding , ❑ Addition to a building. One-family dwelling Two-family dwelling ❑ Alteration to a building. . • • • . . . .-family apartment house ❑ ❑ Demolition of a building. Store building ❑ . . . . . . . .-car attached garage ❑ Other: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accessory Building p I One-car detached garage ❑ ❑ Other work. Describe:. y W'�'• • • • • Two-car detached garage ❑ I Private chicken house Private storage building ❑ P. . . . . �5. 3°. . .$.I.IS��.6. . . . . 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 huilding(s) in solid line. Size of property . . . . . . . ....ICJ . ft. a Size and use of existing buildings, if any . . • . • • • • • .• • • ti H ?) a a�. . ft.x .& . . . ft. �' Size of proposed building . . . • • • Height(from grade to ridge) . . • • • • • �` ft. IFront yard . . . . . . . . . . . . . . . . . ft. �J Side yards . . . . . . . . . Z . . ft. and . . . . . d. . . . . . ft. � `c o �`' Rear yard . . . . . . . . . . . . . ../.0 . . . . . . . . . . . . . . . . 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®M (cont'd.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe, etc.?. . . . a,>-'9-1-• • • • • • • • • • • • • • • . . . . . . . . . . . . . . Willany second-hand lumber be used? . . . . .y? . . . . . If so, for what. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls . . . . . . .14,7 1,. . . • •eArn-1i1f. • • • • • • • • • • • • • Thickness . . . . . . . . . . . . . . . . . . . . . Depth of foundation walls below grade . . . . . . . . . . . .. .6. . . . . . . . . • . • • . . • • • . . Continuous foundation? . . . . Will there be a cellar? . .y'?�:• . • • • . . If so, material of cellar floor . . . . . .eXI", d. . . . �. . . Type of roof: Sloped or flat? .�t�. . . . Material of roof . . . . . . .h.k.�r. . ... . .�. . . . . . Size,wood studs . . . . . . . . . . . . . . . .a�. ."x .�. . . . . . . . . . .",spacing . . . . ./.4/. . . . ."o.c.,length. . . . . //.. . . . . ft. Size, floor beams, lst floor . . . . . . . . . . "x • •�0 . . . . . . . . .... spacing . . . . . . ."o.c., span . . . . . . ft. Size, floor beams, 2nd floor . . . . . . . . . . .. x . . . . . . . . . . . . . . .", spacing . . . . . . . . . . . . . ."o.c., span . . . . . . . . . . . . . . ft. Size, ceiling beams . . . . . . . . . . . . . . :9. " x .. . .6 . . . . . . . . . .11, spacing . . . . . ./. .6. . . . ."o.c., span . . . . . .//. ft. Siie, roof rafters o beams . . . . . . . . . 02." x . . . 6. . . . . . . . . .", spacing . . . . . ./6. . . .19o.c., span . . . . . . /. . . . . ft. Exterior finish . . . . . . . . . . . . . . . . . . . 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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . Kind of heating-system . . . . Oil burner or coal? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a flue-lined chimney be provided? . . .L/2A. . . . . . . . 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 tow ter supply? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Water supply(public water supply or pump) . . .., c�c,c/.c�LcrrJ. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 it,-brj'of my knowledge and belief the statements contained in this application,together with the plans and specificationa sub- mitted, are a true and complete statement of all proposed work to be done on the described prendoes 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. Sworn to before me this Signature .............. �/.... ..-.... ....................................... NER:OWN S AGENT.ARCHITECT.CONTRACTOR .......................................day of..................................................19........ ....... ... .. .. . ........ . . .......................................... NOTARY PUBLIC, WARREN COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT: ��Y ............ '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 I . Gross floor area .. ® fir. . .. ..®. . . .. .... . . . 2. Type of heat .: �G .�� n Q c�. . . . . . . .. .. . . ... .. .. .. . .. . . . . .. . .. .. . .. .. .. .. . .. .. . . .. . .. . . . . . 3. Is the building mechanically cooled? �'... . . ... . .........;. . •... .... .. .. .. .. .. ... ... . . 4. Percentage of area of windows and doors. .. .. ..... . ... .. .. .. ... . .. .. .... ..... . . . A. Over 16g Only 1 . Uo value of gross area of walls, roof/ceiling and floors exposed to ambient conditions ... ... ... . . .. . ... .. . .. ... .... .. . . . . ..o . .. .... .. .. . ... ... . .. .. .. .. . ... • •.'o • ••.• • o.. ... .. . . ..• . . . o. •... .o . . . ... .. ..a... .. . . .. . . .• .. .. •. .. . .e •. ... ... . .. 2'., Floor over heated spaces YES NO a. Are foundation walls insulated? YES .PTO 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? . ... . . . •.•....o... ... .. ... . . .... . ... .... .•.. .. . ..• .... .. .... .. ... . ... •.. .... .o. • . .• 4. Is basement heated? YES NO a. R value of insulation . .. . .... . .. ...... ... . ... . .. .. .. .. .. .. .... .... .... .. . 5• Type of insulation ... • . •. .. • .. . ... .. .... . .o........ . . .... ..... .,• o. . .. .. .. •. .. . B. Under 16% Onl 6C_ O U value of roof and floors exposed to ambient conditions ....... ... ... ... . ... . . . • o s.. .o ......, . ..• • .. . .•. .. • ... ..... ..... .• o.. .... .....• ....... ... .. ...... .. . . . , 2. U value of exterior walls .'.. . i . . .. .. ... ..... ...... . . .. .. . ... ... .... . ... .. .. . 3. U value of glazed area. ;.44.—..<9.... ... ... ... ... .. .... . ..6 ... .. .. . .... . .. .. . !t. U value of doors .. ... .... . 5. U -value of floors over heated spaces .... . .... ... .. . . .... .. .. .... .. .. ... .. .. .. . . 6. R value of slab edge insulation m unheated slab .. .. ... . .. .. .. . .. . • .. ... ... . .. .. 7. R value of slab insulation - heated slab .... .. ... .. .... . ..... .. ... .. .. .. .. .. ... 8e U value of heated basement/cellar walls (above grade) .. ... . .. . . ... . . . .. .. .. .. .. 9. R value of heated basement/cellar walls (below grade) .. ��.... . .... .... .. .. L ✓(�F.r ;— ®. rJ1e of insulation . . . o o.. .. .o. • v..o....o . �.• •. . . ......• .. . •• .. •.• ...• .. C. Controls a i . Thermostat maximum heat setting... .. -,............. .. .... .... .. . ... . ...... .. ... D. Duct Systems 1 Is duct system installed in unheated spaces? YES a. If YES, R value of duct insulation ..... . ...... . b. R value of duct in other areas ...............4 . . . . .... ... .. . . ,. . ,. .. ., .. .. . E. Pi insg Insulation Size of hot water or cooling carrying agent pipe. .. . � ... ... .. . ... .. ....... .. .. 2. R value of pipe insulation . ... .. .. .. .... ... . ..... ... . ... .. ....... .. ...... .. .. .. P. Service dater Heating i . Performance efficiency ... ...., ..... ... ,...... .. . .. ...... . .. 2. Temperature control setting maximum ....... ,1.'��'.'.�... ......... .. .... .... . ... .. . .. G. For Swimming Pool Only 11aximum Heating .. .. .... .. ..... .. .. ......... .. ... .. ... .. ... .. .. .. .. . ... ... Telephone No. /�• - � ic t Signatiiz�o 4pt o TOWN dUEENS►BURY Building- ®epartmeint, Inapectem Report Date /0 Name Locatiml/� J v�l l�inl i il� Permit No. Weather_ Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill 1, 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 6 ljjs) �O TOWN OF QUEENSBURY- Building Department Inspectors Repo{t Datee—, nc Nae os { Location Permit No. -- (y Cn l,2- 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 1-011 Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Ar Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling, 1/ Building In pector REMARKS TOWN OF QUEEINSBURY Building Department Inspectors Repprt Date /o - - 0h Name dam, Location �, S Permit No. Loth Weather Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Ba ckfi l l 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 Ccilin Building Inspector REMARKS TOWN OF QUEENSBURY Building Department Inspectors Report page 9 ho Name blatri h M d.sh e h Location'LnV-, SSG, e."-rl-,d n 6 Pesenst No Weather C9 C9 a- Remarks ExcaVa t on �7scit Footing Forms 0-0Imo' 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 Plb . Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation ' Walls Ceiling . . f' Building Inspector REMARKS 1 vakil-Y rj IDO" THE NEW YORK BOARD.' OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ` �ke 41 STATE STREET,ALBANY,NEVV YOFtK 12207 Date eceiWbe r 17,1 80 Application No.on file THIS CERTIFIES THAT t only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of Ma n Most -r Uppok Sherman Avanue,' ueensbury, New York in the following location; ❑ Basement ET Ist Fl. ❑ 2nd Ft. out side Section Block Lot was examined on 11 15/80 and found to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT M R"'CUR AMT. K.W. AMT... ,K.W. AMT. K.W. AMT. K.W. AMT. H.P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'Pi TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET dIMMERS SYSTEMS 'AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT., AMPS. TRANS. NO.OF FEET 'AMT.- WATTS I NOT 'l0 SERVICE DISCONNECT NO.OF S E R V. -I. C E 'AMT. AMP. TYPE METER 10 2W 1 0 3W 3,0'3W 3;0'4W NO:OF CC COND. A.W.G. NO.OF HI-LEG A.W G, NO. NEUTRALS A.W.G. EQUIP. PER 0 OF CC.COND. OF HI-LEG OF NEUTRAL OTHER APPARATUS: . S'0lk,e -11e'4C0Ct0r El°.'.Cta:ic Heaters: 2- 1.5 Ki.,T 1- . 75 Ml 01 W`111inm Carpenter RD #2 Twin Mt. Drive 239 . Glens Falls, New York 12801 BRANCH MANAGER Perk COPY FOP BUILDING DEPARTMENT. THES COPY OF CERTIFICATE MUST Ndt BE ALTERED IN ANY MANNER. tv17 1 \J i I AJ L