8354 _ - C/O Paid .
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date June 6 1984
A ei)i ,--1 .... .....; ,
This is to certify that work requested to be done as shown by Permit No. 8354
has been completed.
This structure may be occu ied as a Apartment over two-car attached
lf'1C g--1"• q garage
Location Route 9 north of Route 149
Owner George and Marilyn Stark - Mohican Motel
By Order Town Board
• TOWN OF QUEENSBURY '
v-
Building & Zoning Inspector
CREATIVE "INSTA" PRINTING. GLENS FALLS. N V 12801 IS I81793-5658
''' BUILDING PERMIT
TOWN OF QUEENSBURY '-
No. 8354
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to George and Marilyn Stark (Mohican Motel) G�
N
OWNER of property located at west side Route - 9 north of Rt. 14reet, Road or Ave.
H- (D
Garage/Apartment G Attachedara e A
in the Town of Queensbury,To Construct or place a Two—Carg / P P.) A�
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. a
rfr fy
1. OWNER'S Address is Ohl
37 Glenwood Avenue i H-
Glens Falls, New York 1-c
rn
2. CONTRACTOR or BUILDER'S Name (1-
Wesley Veysey n
3. CONTRACTOR or BUILDER'S Address
61 MacArthur Drive
Glens Falls, New York oo
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4. ARCHITECT'S Name H-
�'
O a
1-hCD
5. ARCHITECT'S Address 0 0
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6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame . ( ) Masonry ( )Steel ( ) -
7. PLANS and Specifications
24 'x28 ' per plot plan, specifications
No. and application submitted.
8. Proposed Use
•
Two-Car Attached Garage with apartment -
-N-rfr
!y
$5. 0 0 C/O Paid H
59. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 1 1984 pi rr
rt
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the Di Dl
town of Queensbury before the expiration date.) -1 n
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Dated at the Town of Queensbury this 16th. . Day of March 19 84
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SIGNED BY /1 Ct CLc � ., for the Town of Queensbury pDi
Building and Zoning Inspector • W
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I. 1�
TOWN OF QUEENSBURY •
(Space inside block to he filled in by
WARREN COUNTY, NEW YORK • Building Inspector)
Application for Application
No.
Permit Issued 19.
• BUILDING AND ZONING PERMIT Permit Expires. ►g.
'liming District
\ alnc: of \\'orkj
THREE (31 Copies of a PLOT PLAN, Drawn to scale -\1'1 tt"('c1 by .
showing the actual dimensions of the lot to be built flc•ni:tr►..r
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. I
R.,
t„r`�1VN OF I,�IeENSB€.).,
I 4 Li
) -J r, r - •� •� DATE RECEAVE . fiA PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
ANSWER ALL OF THE FOLLOWING. MAN 1 5 1984
The undersigned hereby applies for a permit. to do .the following work A.M.
O$ do � (f,M
which will be done in accordance with the description, plans and specifi- 73;3 p 4° ji21,� 1
cations, and such special conditions as may be_ indicated on the permit. ' 8' '� ` ` I "1a tI I6
The owner of this pro rty is:
wiz/02/ •
• INA'. 1
The person r spopsibie for/ supervision of the work insofar as the Building/C��nddt zoning Ordinance apply is:
. . . . .L'1. e 3..e . . . I .•�i/ S:Pi'' / �/�' . . /. G�i,J' . .�r .
N ) 4P.0 ADDRESS) �/
Name of Builder. . .A/ 147 U. . Address .���✓ i%//?C✓//"7 I' .C. O -
Name of Plumber 5-d`�� Address
Name of Mason. . Gli✓7Zg- Address 149(7;
Lot Number Unit . . . . . . .
Estimated val of proposed work S </ 0 '
Name of Village. . . • • • C •a .
Name of Street Side of street: north 0, east 0, south awest
Nearest Cross Street .R - / 7 Distance from this cross street ./ 'pd Ft.
Property is north i',south ❑,east Ti., west 0 from Cross Street
If on Corner, which corner, northeast '0, northwest ❑; southeast D. southwest
(Designate by marking with an "X" in the correct space.)
. NATURE OF PROPOSED WORK OCCUPANCY `
Construction of a new building. • Main Building
Addition to a building. One-family dwelling ❑
❑ Alteration to a building. Two-family dwelling El
El Demolition of a building. -family apartment house ❑
Store jNilcling .I
. . . -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-
posed buildings, and the location of all existing buildings.
NORTH Show proposed building(s) in dotted line and existing
Ituilding(s) in solid line.
Size of property S ..7 •reeS x ft.
PSO S-J,
7Size and use of existing buildings, if any
y ��rose., l� j co- / �/
Ill
0 •
CA'
yW Size of proposed building . .a�r.g. • . • ft.x . .c.Q. . • . ft.
Height(from grade to ridge) /' ± ft.
•
I / Front yard , 5 ft.
o"1t V '/Ca .11• Side yards . ..r<J C2 ft. and ft.
Rear yard . `a eY 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 .
Ey-
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction. ood fram , fire safe etc.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • • • . • • • •
Will any second-hand lumber be used? . . )Vt If o, for}vhat?
Material of foundation walls . . . .C2/?C... . . . V rozr "" / Thickness "
Depth of foundation walls below grade �ls,/ Continuous foundation?
Will there be a cellar? NO Ifs , material of cellar floor
. , �� ?. . . Material of roof .4".. . .c.� enC 3'
Type of roof: Sloped or flat? �. . � �• • � •�� � / p. � J
Size, wood studs • • - "x ", spacing . . . / . ... . . . ."o.c., length p • ft. A/T`*°�
Size, floor beams, 1st floor 2- . . " x . . . ./.d.. . . . . . . .", spacing . . . /.e. "o.c., span 42 ft.
Size, floor beams, 2nd floor " x ", spacing "o.c., span ft.
Size, ceiling beams " x ", spacing "o.c., span y ft.
Size, roof rafters or beams /a�—. " x �j ", spacing /6 "o.c., span /p ft.
Exterior finish &e) CG?�• • • �• • �3c " " L • • • With what material? -
Finish of interior walls �c
If garage is to be attached, 9f w at material is wall >.!�.cr�r�L..
��✓l. r b9tween g rage and main,builling to be copstructed?�
. . . . . . . . . . 2.G.; .,�/n� e.0./e. e- . .iv, - . . c/f r.. .i✓C
Is there to be an opening between garagg and building? . eS
Kind of heating system . . . . . .e Oil burner or coal?
Will flue-lined chimney be provided? . . .NO . 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? ✓/es
Will a kitchen sink be installed and connected to water supply? Ye '
Water supply (public water supply or pump) d'°%'�/'j/
Distance of cesspool from any private well 44 rile Ae- feet
Will drainage system be provided with required taps, cleanouts, and vents? y12
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to tt MI-of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.a.p•lete statement of all proposed work to be done on the described premises and that 11 provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the propo wor hall be co ply with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature
OWNE ,OWN AGENT.ARCHITEC .CONTRA OR
day of 19
NOTARY PUBLIC, WARREN-COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
By
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:
1 . Gross floor area 0-2•y9Q Sj" •
2 . Type of heat At-), ( ,r'P C',n 4 rC�,
3 . Is the building mechanically cooled?' �� q,r.
4 . Percentage of area of windows and doors/ - I
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 B
3 . R value of glazed area mi=,'i5 e _
4 . R value of doors /J J ;—
•
5. R value of floors over unheated spaces p1
6 . R value of slab edge insulation - unheated slab
7 . _IL r-a-1ue bf 5«b-1n-su].-a--±on heated -1 b
8 . . R. value of heated basement/cellar walls (above grade)\x
• 9 . . Revalue of heated basement/cellar walls (below ' grade)'
10 . Type of insulation ��/".4e-i7/oA6 mar/ wcs/X• dr/�rnr,7el
C. Controls hr8 ,as /w�.�ot �� 60,727,s..
1 . Thermostat maximum heat setting �e} '
D. Duct Systems
1. Is duct system installed in unheated spaces? YES
a. If YES , R value of duct installation
b. R value of dudt in other areas
E . Piping Insulation
1 . Size of hot water or cooling carrying agent pipe
2 . R value of pipe insulation
F. Service Water Heating •
/
1 . Performance efficiency 66
2. Temperature control setting maximum ..?0 0 '
G. For Swimming Pool Only
1 . Maximum heating
Telephone No. ;)J�f- F-3("7 .
(applicar ' s siriate)
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL.NEW YORK BOARD OF FIRE UNDERWRITERS. •
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
CITY-OR- /
VILCAGE?�,/%i.: .�-r �),„_,,,,_,._`•/i/ (i TOWNSHIP COUNTY/`/f.0 i"`-_/`
STREET AND NO.OR
ROAD AND POLE NO, f
f 7%, i„--/-., i i ,I%'I'i�'>(f
4�-f- 9 POLE NO.
BETWEEN WHAT TWO . -
CROSS STREETS IS ' i j • -
PREMISES LOCATED? /„.--_,
/ (2(1 /v,-'/• ' O-1 LJ','- �`%C/ SECTION BLOCK LOT
OCCUPANT'S D / BUILDING
NAME ( 0.;ice.,.:% " `2 7n r- /iv, OCCUPANCY
! /i cif,/ "
OWNER'S NAME ] / / � ! /---„,
_ ��
AND ADDRESS \I r`/,11,7 _) 7 (://9ef,i/�i//i/ ✓4le C �" " -/ iT �/�
CURRENT '
SUPPLIED �' / —
BY 4/..,-�?i-- il'_. t�/_i_;t _ //- FROM THEIR — OFFICE
SUILDING . NEWJ OLD CIREMODELED ElSORK NEW ADDITIONAL ElREMOV D DEFECTS ❑
LIST BELOW ALL EQUIPMENT-WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH LAMPS
Lamp Receptacles CIRCUITS
Loca-
tion l •
CeilingSide Attach't Switch Pendent Bracket No. TypeH.P. Watts A W.G. , WATTS
Wall Recem% Each No. Each No. 'Gauge NO. EACH
Out-
side /.�1 /
Sub-
base
Base-
ment
1st Fl. 07 / - -
n
2nd FI. 29 7/
3rd Fl.
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: r DO NOT USE THIS SPACE.
This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed,
you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant.
SIZE OF ELECTRIC SIGN TOTAL
MAINS SOT% �2.7 FEEDERS LAMPS • WATTS
. CHARACTER EXPOSED GAS TUBE SIGN
OF WORK j,t. - , , , ,„„/„,„, / CONCEALED -TRANSFORMERS OF VA
WORK TO BE -i•,-, - •\, /i (NUMBER) (CAPACITY)
STARTED '" ' - - COMPLETED SIZE OF SIGN
SERVICE MAKER
ENTERS •
BUILDING OF SIGN
INSPECTION REQUESTED
ON OR AS NEAR AS
POSSIBLE _ NEW [II OLD
• AVOID DELAY BY GIVING FULL AND ACCURATE rNFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. '
NAME OF /. •
DATE OF // i
APPLICANT �r� '�' �, IY i;' APPLICATION :J �'4/��
jj// -' 1 /
STREET ADDRESS (-,---.,/ !F�'%% ' �''✓ - '
•
CITY OR / / A / ZIP LICENSE NO.
pOST OFFICE��'�1�1 /' G i� CODE f �/ -WHEN APPLICABLE
A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
TOWN OF QUEENSBURY
Building Department
Inspectors Reps Date / 61 W `f
Name /)'.OG I Efl--1/ /1-1-0 7'e CI
Location 12T- 2
Permit No. x_3 Weather
Grf'v o / G /VI�/ Remarks
Exca lon f L�
Footing Forms
Footing & Piers
Foundation _44{1/1 P JZ
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 & Railings17/ az<
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. FireproofingL
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Foundation
Insulation Wa115
'Ceiling
Building Inspector
REMARKS�.AR
0,4 G7/LLO C� %�C C2�G( 'c� t 2- oX
07/4/geriee/Amr-,,,, z(j-iii _
6,/6,/ ,
g3S `f
TOWN OF•QUEENSBURY
Building Department
Inspectors Date °`�//�t� 4/0/Name ,/4 C_s ,/ i;17o c
Location c
. Permit No. �' g3Sy Weather
4p7- a/T P �/,(,�' emarks
Excatiation f �`f 6L``��
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Ba ckfi ll
•
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg. E� t
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
TOWN O Q FU•EENSBURY
• Building Department
Laspectors 4 ate J
23 d
Name .ry �
Location
. Permit No. Y3 Weather
Remarks
Exca$aton
Footing Forms
Footing & Piers ClifiN
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
r
Bu.ildin Inspector
REMARKS
/
1