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1985-435 1 a CERTIFICATE OF ,.,...+'+ CUPAl` IIIIiI' r TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Datc T)._ 19 This is to certify that work requested to be done as shown by Permit No. I has been completed. This structure may be occupied as a On E'-T' <I Tr i 1 S' C' � cugsar Pine Rn! ,. ( Ft. . ? n . ^ 3 ) �:� � i. nc s c ' uec nsf r � Nation Owner By Order Town Board 7oWN OF QUEENSDURY - i i Building !V Zoning II , CREATIVE "'�M1yT Y�" P'A�NTIHG. G�-ENS FN1.1.5 M Y YYtfO � ISlb�i'P S-5 LL56 CERTIFICATE CJF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK E L�ate .vr�r a 19IS 'Phis is to certify that work requested to be dare as shown by Permit No. has been cotnpleted. �1 This structure may be occupied as y ' Location By Order Town Board 1E '� Q(�► LEI l 1 CC1�}2 C1 TOWN OF QU'EENSBURY Building 6 Zoning' Inspector a O REIIT�Va "�N ET h" ►RINr�NG. pLENS FRLLS. M Y IiEOY IS�E1�f 3-SSSE 4 BUILDING PERMIT TOWN OF QUEENSBURY No. WARREN COUNTY, NEW YORIK sn PERMISSION is hereby granted to Martin C . Mosher r- OWNER of property located at _ Lod log g Sugar Pine Road ( St . # 23 ) Street, Road or Ave. The Pines of Queensbury in the Town of Queembury, To Construct or place a One—Famll"yr Dwelling at the above location in accordance to application together with plot plans and other information hereto filed and 0 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. m ID 1 . +OWNER'S Address is 15 Gr eenway North M Glens Falls , New York 2. CONTRACTOR or BUILDERS Name Same rr o r.l. a CONTRACTOR or BUILDERS Address w O co Same N CJJ w G �J] 4. ARCHITECT'S Name 1 F3 b f4 N- S. ARCHITECT'S Address F4 � M- (D 0 rJ) L11 B. TYPE of Construction — IPleese irMicate by Xl V-' K:) I .8 wood Frame I 1 Masonry [ } Steel [ 1 0 m 7_ PLANS and Specifications � 26rx64t per plot plan , specifications and application submitted including two-car S No. attached garage and sewage system . ,� a S. Proposed Use � �I V Cane-Family Dwelling 01 C �- N• � $ 50 00 C/O Paid cnrC $ 164 . 00 PERMIT FEE PAIR — THIS PERMIT EXPIRES p+i=�kmrh 1 o 0 IIf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the irD town of Queensbury before the expiration date j r. I-�• � Rated at the Town of Queensbury this 14 th Day of August 19 $ 5 c SIGNED BY G.ft; t40 'for the Town of Queensbury 8uildIng and Zoning Irtmpector TOWN OF QUEENSBURY ISpace inside block to ltt• killed in by WARREN COUNTY, NEW YORK Building lnspcacu*r) kppApplication for ,cril it ,1%su 1'c�rtt, it l%%t}rrl 19 BUILDING AND hUNING PERMIT ['1 '11161 Expire% off . Yluun� S)R%iritt THREE ( 3 ) Copies of a PLOT PLAN, Drawn to scab �� y,, ,� e•cl I t' .—�. showinq the actual dimensions of the lot to be built it,•r,,:I, Kir upon, The exact size. and location on the lot of the building to be *reefed or altered MUST BE SUB- MITTED WITH THIS APPLICATION. TOWN OF QUEENSS ¢ f;vY DACTC A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK a ANSWER ALL OF THE FOLLOWING. (cE t] The undersigned 'hereby applies for a permit to do the following work A-Me which will be done in accordance with the description, plans and specifi,, T1819 �1�I�2 cations, and such special conditions as may be indicated an the permit. " • ' ` 040 The owner of this proper y i L_ } ,7�'z.•o .-a�a c z . . . . . t` . G G, L c Aobb%s" c�1L' G.{G. � cz•�i.- - }NP :F! The person responsibie for L� supervision of the work insofar as the Bu lding Code and the Zoning Ordinance apply i%: Lafit' . . . . !� '` e c..t: . , - - . . . . " . . . - . . - y ? }NAME}? ? IP o DORESSt Name of Builder - - - 7 �� �'.:�` . . - . . : . " . . . Address - . - - -i ce . . . . . . . . . . . . . . . . . . . . . . . . Name of Plumber - Address . . . . . . . . . . . . . . . . . . . . . . . . . . _ Name of Mason - Address . . " . . . . Lot Number . ;V 114. . . . . Unit . . . , - . . . . - . . Estimated value of proposed work f " �1`�•.� G' P. G . •. . ` " . . . . . . . . . . . . . . . . Name of Village ._: . + c_- C:�:w.z.1�. ,t ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . r era - e- . . . . Side of street: north 0 . east O., south ❑ , west ❑ Name of Street . . . . . L�'.�L-� . . . 9t�....L.,•a.-�.:-•. " . . . . - . . . . " - tall Nearest Cross Street �Z4ivf r� is .. _. - . �i •.. _' 4•t� <.. Distance from this cross street . . . . . . . . , , . . . . . Ft. Property is north 0 , south ❑ , east i i , west from Cross Street If on corner, which corner, northeast V , northwest ❑ , southeast 0 - southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Construction of a new building. Main BvAding LJ (� Addition to a building. One-family dwelling �! Two-family dwelling i� Alteration to a building. Family apartment house Demolition of a building. Store building 0 . ..car attached garage Other- - . . . . . - - . . . . . . . . . . 4 . . . . . . . . . . . . . . . . . . . . . . I Accessory Building ❑ One-car detached garage Other work.. Describe: . . . . . . . • . . . . . . . . . . -Two-car detached garage 0 Private chicken house 0 . . . . . . . . . . . . . . . . . . . . . . . . . Private storage building M Other: . . . . . e . . . _ ­ . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 locatione size and setbacks of pro- posed buildings, and the location of all existing buildings. rtoeere� sh,dw proposed buildings) in dotted line and existing huilding(s) in solid line. Size of property . . . .c Smarr . . . . - [t. at . - . . . .. . . .. . . It. _-._._. Size and use of existing buildings, if any . . . . . . . . . . . { . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . "} Size of proposed building . . . ' . . ft. x ft. Height {from grade to ridge,) . . . . . :�� . . . . , . . . . • . ft. Front yard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ft. Side yards . . . . - . tea' ft. at+d . . . . .�. . . . . . . ft. Rear yard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ft. sourtit If on corner, setback from side street . . . . . . . . . . . . . . . ft. . " . Note_ All distances are net. as ntaesurod from street side lute to nearest (cart of buildis,a. tovm") 7-73_M (cont'd-) BUILDING SPECIFICATIONS, Kind of construction. Wood frame, fire sat etc-? . d - " - . . z .w r"-t . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber be used? . . . . . . If so, for what? . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . / G ' .y-dd r� . . . . . . . . . . . . . . . . . . . . Thickness Material of foundation walls . . . . . • • • - . . - - . . . . . . . . . . Depth of foundation wal below de - - • . . ? .ram . - ; • Continuous foundation? - ...,r . - "°' . Will there be a cellar? . . . , . . . If so, material of cellar floor . . . . !?� �. x . . G�ati ;� c � �.; � -r . . . . . . Type of roof: Sloped or flat? . . . . . Material of roof . . . . . Lt` Size. wood studs . . . . . . . . . . . . . . � . . " x . . `� . _ . . . . ", spacing �,� . . . . . "O.c., length . . - - - . . . . . ft. Size, floor beams, Ist floor , . . . . . , ,,,� x . . -/ .r . . . . . . . . . ", spacing . . . . � . Ge . . . . . "O.C., span . . . . . c� ' . . . . . ft. Size, floor beams, 2nd floor . . . . . - " x - . . J. . . . . . . . . . ", spacing . . . . . . .�. . . . . "o.c., span . . . . . . .`!r . - - . . ft. Size, ceiling beams . . . . _ . . ?.a... . . " x - - - - - - - - - - - - - - ", spacing - - - .2-wV- "o.c., span . . . .r::z ./7. . . . . . ft. Site, roof rafters or b arcs 7�" c c o-a. . - " x . . . . . . . . . . . . . . . ", spacing . . . . c7 -1! , . . . . "rs.c., span ft. Exterior finish - . . . '—Y°• �[ // • • With what material? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Finish of interior walls , . - - i':: . `. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IF garage is tort'/ye� attacheyy{�, of what material is wall between arage and main building to be constructed? L- Is there to be an opening be w ten garage and building? . . !�x -: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kind of heating system . . .�' ..c.• % . . . . . . . . . . . . . . . . Oil burner or coal? . - . . . . . . . Will a flue-lined chimney be provided? . . Depth of chimney foundation below grade . ! P. Height of chimney above roof . . . . n� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f� Will there be a fireplace? . . Depth of fireplace hearth . . . . . .e. . . . . . . . . . . . . . . . . . . . . . . . Will a toilet be installed? . . Will a kitchen sink be installed and connected tow ter 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 @wear that to tb• A4rrof my knowbodse and belief the statements contained in this sppiicatim, together with the ptisiiIe and sp eci8eadoaa salt mitted, are a true and am"Plete statement of all proposed work to be done an the described pmusiea and that am }r of the BUILD- ING CODE, THE ZONING ORDINANCE. and all other laws pertsining to the proposed work shall be oompliad wit& w� speciEsd or noR and that such work is authorised by the owner. 1 Sworn to before me this $ianaturc -. . . .. . /� ... . . . . . .cdd ' . ..-./ yi -t- .2_-4C:.. .. . ... . . . .. .. .... . . . N R. OWNER'S AGENT. ARCHITECT. CONTRACTOR _. . . . . . . . . . .. . . . ... . . .day of. .-. . . .--. . ... .. .. . . . .. . .. ... . .. . . . .. . . 19. . . . . NOTARY PUBLIC. WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: _ By .. . . ............ ........ .............. ......................................................................... .� iJ r, .w WARR9N CGUNTY , NEW YORK Application fora SUILDING PURNIT IN COMPLIANCE WITH THE NEW YORK STATR xR+ XXGY . Co0iEAVATION CODE A permit m"at be obtained befara beginning work . ANSUMS ALL of the followings l . Grose floor area 1 2 c 20 1'yps of heat � � L 3 . Is the building mechanically tooled ? _ 4 . Percentage of area of windows and door * J4 ,� A . Over 16 • OniY 1 , uo value of gross arse of walls , roof/ceiling and floors exposed to ambient conditions 2 . Floor over (seated spacom YES NO a . Ara founid & tion walla insulated ? YES NO 1 , If YES , what is the R value ? 3 . Slab on grade YES NO AV If YES , what is the R value of insulation around perimeter of floor ? * . Is basement heated ? YES NO a , R value of insulation 5 . Type of insulation 8 . Under _ 16 % Only 1 . R value of roof and floors: expcysed ambient conditions 2 . R value of exterior walls � 19, 44 3 . R value of glazed area . � :, a , R value of door * _ 5 . R value of floors over heated spates 6 . R value of slab edge insulation -- unheated slab y � 7 . R value of slab insulation - lseated slab —� . B . R value of heated basement / cellar walls ( above grade ) Te, . 9 . R value of heated base*isnt / cellar walls ( below grade ) low Typu of insulation s 7 07 � '...-- c . ContKols 1 . Thermostat maximum heat setting D . Duct Sxstems 1 . Is duct system installed in unheated spacep7 Yrs r. o a . If YES , R value of duct installation be R value of duct in other areas E . piping Insulation 1 . Size of hot water ' or cooling carrying agent pipe 2 . R value of pijpw insulation F . Service grater Rfeating 1 * performance efficiency S 2 . Temperature control setting enaxid►uas,���� G . For Swiniming pool Only • .; ' �. Maximum heating "+ ( al; plicant • s signature ) _� f BUILDING & ZONING DEPARTMENT SEWAGE DISPOSAL PERMIT APPLICATION 1 . Owner ' s Name t-'r e' Address / Telephone No . 7 �2 — 2 , Property location s _ / 0 �7 c 6EA- . *- Itl 3a Name of of person or firm responsible for installing system Telephone No . 07 9 .�4? Address vn� 4 . Number of bedrooms ( residential buildings only ) 00V 5 . Daily flow ( gallons/day 6 . Septic tank capacity / r"7 Q 0 Q z Z, gallons 7 . Topography : flat , rolling , steep % of slope 3a yy, 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 12 . Type of system proposed : dry-well , the field , other ,• ,r � ,,*. 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 $ 250 as provided for in Section 6 . 010 of the Queensbury Sanitary Sewage ordinance . % ..` . �% � Date r l G' l r . +ZI / t�� r 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 0�- `jC] x - T~! �A�.F ,►" [ l G 1 . 4000384 THE. NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY �ind SS JOHN STREET, NEW YORK, NEW YORK 10038 R]I Date December 2 6 r 1, 985 Application No. on file �. rj— R r} � 1�F iG. n V757 THIS CERTIFIES TpH�AT+µ�py� ��da�� pia ��r�,� �p f�fy N€O`3 i! al t-+u�S�C S. U y demgribed be&r a d 9 t god 3{1 bydhe noic ne m reed �i+cation n"vnb¢r in the Premifies of 11gar YIn a r LIBSIZS�Iir r in thefollowing location; Basement E:T Ist Ff. l C2nd Ft. Outside Section Block Lot was examined on 12 / =3,. fb5 and found to be in compliance with the requirements of this Board. FIXTURE FIXTURESRANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS A OUTLETS ECEFTACLES SWITCHES VNCAN6ESCENT FLiIOR£uCENT m4A AMT- K_ W. AMT. C W. AMT. K.W. AMT. K. W. AMT. H_ P. - ssF as 35 a 3 r w BELL MULTI-OUTLET DIMMERS DRYER 5 FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECPT TIME CLOCKS UNIT HEATERS SYSTEMS --- AMT. K. W. OIL M. P. GAS H. P. AMT. NO. A. W. G. AM[. MVP. AMT. AMPS. TRANS. AMT- H. P. NO OF FEET AMT. WATTS .ang 1 Dry e3 .3 # 10 SERVICE DISCONNECT NO. Of S E R V 1 C E. AM[. AMP. TYPEMETER 1 ,AI' 4W 1 �$ 3W OO 3W 3 ,e' iW NO. OF CC. GONp. A. W, G- Nq. OF HI-LEG A•W• G. No. OF NEUTRALS A. W. �'- EOUIP. PER �B' aF CC. omD. Or,HI-Led C.1F NELLTRAL 1 200 CB 1 x 1 yo OTHER APPARATUS. 1- GF'C1 Eeletrlc Beater : 3 - 2 . 0 kw _ 1 - Smoke: Detec'tar 2 -- 1 . 5 kw 2 - 1 . 0 kw - 3 - . 75 kw vd1111am C carpenter ASSOS lrxrc Glens Falls , New York 1. 26C GENWAL MANAGER Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be idenTifilsd by their credentials. MM NER. COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MAN _._. .. TOWN OF QUEENSBURY Building Department Name Permitt Now IS' 14 ' - eSYF-�3 6 weftdww / '/ Ae0000r L .h JJ5)P Remarks FootjVj Forms Fcotinq & Piers Foundation Cement Coat watftSEmooffingr Sachfi.Il Final Survey 4 CZ jvrt rrawipg Sheathing Roof Felt Roofi.n Siding ma*qnry Veneer Rough Pl Relief valves Wall .board Vxt . Porsches Finished Floor Interior Trim Stairs & Railing Cellar Dr . Tile Concrete Floors Pl . Fixtures Gar . Fire roofin Door Closers chimney water Meter Xnst . Se tic Approval Picsors Insulation Pp Dunda tion Walls Ce3l3r1i Bui ding Inspector RErrARKs TOWN OF QUEENSBURY Building Department Ia a Repoet Date ZU Zz Par.ait No. Ir- 5- - :::4 Remarks Exca:>4t ' on Footing n Forms Footing & Piers Foundation Cement Coat Water roofin Bacicfi33 Final survey Framing Sheathing Roof Felt Roofin Siding Masonry veneer RCau h Pl Relief 'Valves Wall Boaird Sxt . Porches Finished Floor interior Trim Stairs & Railings Cellar Dr . Tile Concrete Floors P3 . Fixtures Gar . Fire roofin Z)oor Closers Chimne Water .Meter Xnst * septic Approval AO Floors _._._. 2nsu3ation Foundation Walls _ Ce "liri a•• '" fA 1 q �_ B .ilding .inspector REMARKS IGL4R?7lyG A40SYfm? rQIEIVS�Nyry T2 # le Y �{i I I l i i TOWN OF QUEEMSBURY eulila:ng- Dopsrtment tee■p,ecrtars. ResrarR Dace, r o � I I - �'S'" Name * 0W_�__ C perunit NoA. - 4 Weatbpw Remarks 8xcatYa Lion Food Forn%S Foot-in 6 Piers Foundation cement Coat Water roofin ,$aClCfill Final SurVey Framin Sheathin Roof Felt Roo.fing Siding Masonry Veneer Rough P.Ibwaw Relief Valves Wall Board Ext . Porches Finished Floor Interior !`rim Stairs & -Railings Cellar Ar0 Tile Concrete Floors _ pjkg . FIxtures Gar . Fire roofi ngjj7 Ot '�. poor Closers Chlzmne FQ1 r=► l�lf" 11C ►VE Water Meter Xnst . - Se tic AeprOval Flocsrs Foundation Xnsulation Walls "-- Ce3l Building Inspector REMARKS TOWN OF QIJEENSSURY Building- Department ln■Pacbma Rapaet Dakim �J` Neste L.acartiw� Peeanit Noy. *,7� Wewther � AWE E'xca0pa tion .Footing Forms Footing & Piers Foundation Cement Coat Waterproofing BaC1tfi11 Final Survey Framin Shea thin Roof Fel t Roofin Siding Masonry Veneer Rough Pl Relief Valves wall Board ext . Porches Finished Floor Interior Trim Stairs ew Rallingsl Cellar Dr . Tile Concrete Floors Plbg . Fl.xtures Gar . Fire roo in Door Closers Chimney Arater metelexnsta Se tic Approval Floors .Insulation Foundation Walls Ceilin Bui rain Inspector ,REMARKW