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1988-085 -- • - • • _ -.1 • CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date May 27 19 88 This is to certify that work requested to be done as shown by Permit No. 38-85 has been completed. This structure may be occupied as a Addition- 4 Units Location Rte 9 /5-4L5- c1-7,ef Mohican Motel - George Stark Owner By Order Town Board TOWN OF QUEENSBURY de:7Y— Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No. 88-85 ro WARREN COUNTY, NEW YORK o • PERMISSION is hereby granted to Mohican Motel — George Stark - OWNER of property located at Rte 9 Street, Road or Ave. in the Town of Queensbury,To Construct or place a 4 Units 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 Rte 9 Lake George, N.M. 12845 H. 0 2. CONTRACTOR or BUILDER'S Name A.J.S. Enterprises 3. CONTRACTOR or BUILDER'S Address 4 Amy Lane Glens Falls, N.Y. 12801 4. ARCHITECT'S Name rt co 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( ) Masonry ( )Steel ( ) 0 H. rt 7. PLANS and Specifications m No. 66' x 32' as per plot plan, specifications and application, including septic system. 8. Proposed Use 4 Unit Addition to Motel $5.00 C/0 $ 182.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 1, 19 88 (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 March 19 88 SIGNED BY j G-2-e-% `2• Ag,..e for the Town of Queensbury Building and Zoning Inspector ,cue . // TO BE COMPLETED BY BLDG. DEPT. 5o[vn Oi QueenJburt� APPlication•No. • Permit Issued 19' TOWN Cr QU%:�i'r _ BUILDING and ZONING DEPARTMENT � Permit Expires 19 D al !1 ��y� IL rd Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation ,. G-, c' Queensbury, New York 12801 Variance No. FEB 1988 Site Plan Review No. II lJ t Approved by BUIL.DING4 CODE DEPT APPLICATION FOR , , . , , - # PA-f p- t V7 ONL: c , r,vcLo-p&p - BUILDING AND ZONING PERMIT. * '* * * * * * * * * * * * * * '*' * * * * * * * * * * * * * * * * * * * * * *::* A PERMIT MUST BE OBTAINED' BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies. for a Building Permit to do the following work which will be done in accordance with the description, plans and specifications submitted, and such. special conditions as may be indicated .on the Permit. The owner of this propertyc� is: 7 /24 � (._ / j`:.,/ o;%��j�� P.O. Address �� / L/V/2 - aia cJ2- .)..:*.%, . /2 W Tel. '7?g. —0 Property Location: Sl' ' 7 4r Tax Map No. / / Street number or building lot number Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF.WORK AS REGARDS BUILDING CODES IS:. . /9_75 /VT J Z/. j /iv`Z, g/,/% Z#47,✓v ) g L/X/vj/ GLS /!/r%1,, Y0/L/e / Pc'/ 753 7sJ Name P.O. Address Tel. No. Name of builder / - -:LE ' Address ..5,-7 y�•zs • Tel. 3/1-y-.-e.,r Name of plumber 177. r4,21 .Address 2Z i/14, ^w�� /J, ,—J -5 Tel 77/7-2 X. Name of mason 5�;w/C4,--,<,.z /1(7 7— Address / 1-;t c-A,06 . Tel. •G,�, 7/ . NATURE OF PROPOSED WORK: * ' ZONING INFORMATION: ( Construction of.a new building * A PLOT PLAN MUST BE PREPAX'ED AND SUBMITTED, Addition to a building * drawn reasonably to scale and attached hereto, Alteration to a building * showing clearly and distinctly all buildings, (no change to exterior dimensions) * whether existing or proposed and indicate all Other work' (describe) . * set-back dimensions from property lines. Give _— * street and number or lot number and indicate • FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location LOCATION OF STRUCTURES AFFECTED. of water. supply and location and configuration . * of ,septic disposal area. * * COMPLETE INFORMATION REQUIRED BELOW. * Size of property k9-7 ft X & jc ft. ' * Existing building(s) Size ��A ft X ft. -PROPOSED BUILDING AND USE: * Existing building(s) Use /2JJT/IC., ('o"/ Size of new structure 2.ft * Ali ft X Foundation-pier/sla} craw /partial/full * Proposed building, distance from property line (circle one) * Front , - ft No. of stories (habitable space)_f * yard ZZo ft Rear yard_f" • Height (grade to ridge) /e., % ft. * Side. yards '3 � ft and Z7p?> _ ft If residential, no, of families 4If on corner, setback from side street ft No. :of rooms(excluding baths) ` * OCCUPANCY INFORMATION No. of bedrooms / * . No. of bathrooms * PRIMARY BUILDING - Primary heating ,system * One family dwelling !/-"CT`7� ' Two family Type of fuel ei72c','/.'12G:7o,t• - * dwelling No. of fireplaces to he installed �✓ - * Multiple dwelling ./ Number of units Will a wood stove be installed? = i/ * Permanent occupancy Transient occupancy - Central Air conditioning? y • .y G/ 0,-"/7." . a„si^ess . BUILDING STYLE, PRIMARY STRUCTURE Industrial Ranch Contemporary Log cabin * Other • ' - Raised ranch Mansion Duplex * If addition, what will use be? Split level Old style Bungalow * Cape Cod Cottage 0t: er * ACCESSORY BUILDING- 74 Colonial Row Town House * Detached garage/one car/ two car/ _ car ( CIRCLE ONE PLEASE ) * AttachAA garage/one car/ two car/ car * * * * * * * * * * * * * * * * * * Private storage building --. . ESTIMATED MARKET VALUE OF * +Other CONSTRUCTION * - INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BPA 4/86 and-vl ,.aa.. ..:,:..:.�.., .:��.�:.....�... ...:ram..::. BUILDING PERMIT APPLICATION CONTINUED - • BUILDING. SPECIFICATIONS: . • Type of construction, w od frae, fire safe,etc. Will any second-hand o ungraded lumber be used? If so, for what? . �� Foundation wall material 2-F.6����7�. Tf-� 5� 0 Thickness • Depth of foundation below grade (to bottom of footing) G/ =' • Will there be a cellar? ,—Heated 'or unheated? . Floor sq. footage sq ft Will there be a basement ,1J Will any portion be used as living space? (If so, what portion? sq.ft. -, -.Type of use. Type of roof - glope'd;(flat/shed/other . • 'Material.—of—roof <M4,/,21 Size, wood studs 7 "X .( ' " spacing .%, "o.c. length ce" ft. `y0.g '//✓TS:�pS Joists(floor beams) 1st. floor --, "X /o' ". spacing /6 "o.c. ,span ft. Joists (floor beams) 2nd. ' floor "X spacing "o.c. span ft. • Overlays(ceiling beams) "X spacing "o.c. span ' ft. Roof rafters : "X " spacing o.c. span ft. . Roof trusses(pre-engineered) spacing_Ze "o.c. span 2 ft. . • . .Exterior wall finish /"%ter`' P-(a te Of what material? 49420 Interior wall finish If a garage is to be attached, describe materials to be used for FIRE SEPARATION: Is there to be an opening between garage and dwelling? J/,/,,r If so will a Fire-rated door, enclosure, and self-closing device be provided? . ,,:y/>, ' • Will a flue-lined chimney be installed? %' Height above roof ' ft. • Depth .of chimney foundation below grade ,/iiO,ft. Depth of fireplace hearth_1 t. - in*� Water supply - Municipal orite well SEPTIC SYSTEM _Distance from ANY private well(including adjoining 'properties ,/`() ft. (A separate application is necessary .for any repair or new installation of septic system) . Town of Queensbury A A County of Warren FFIDAVITT STATE OF NEW PORK I swear that to the •best• of my knowledge and belief the statements contained in this application, together with the plans and specifications submitted, 'are a. true and complete statement of all proposed work to be done on the described premises and that all provisions of the BUILDING 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. i SWORN TO BEFORE ME THIS Signature '!�Ci�/ ✓`7 / ff�r . r72...oL�,� Qwner, owner's agent,architect,contractor day of 19 • • • . Notary Public, Warren County, N.Y. . _ * * * * * * * * * * * * * .* * * * *• * * * * .* * * * * * * * * * *, * * * * * '* * * * *. * * * SPECIAL CONDITIONS OF THE PERMIT • • • • • • • • By TOWN OF QUEENSBURY 4. 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 7R4 2• Type of heat . . /r/G5C7z/� 3• Is the building mechanically. .cooled? ,^ 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. It value of insulation 5. Type of insulation • B. Under 16% Only 1. R value of roof and floors exposed to ambient conditions: 38 2." R value of exterior walls -70 3. R value of glazed area /7— ; ,a 2, , 4. R value of doors' i 5. R value 'of floors over unheated spaces .. . �"� 6. R value of slab edge insulation unheated slab ,�42- 7. " R value of slab insulation - heated slab / S. R value of heated baaement/cellar walls (above grade) /p,1 9. R value of heated basement/cellar walls (below grade) ,it/ 10. Type of insulation > -1' U 7- C. Controls 1. Thermostat maximum heat setting D. Duct Systems 1 . Is duct system installed in unheated spaces? YES O a. If YES, R value of duct installation ✓t b. R value of duct in other areas E. Piping Insulation �. ai�� or ne c watez or cooling carryin agent pipe 2. R value of pipe insulation A//„i F. Service Water Heating 1. Performance efficiency.® 2. Temperature control setting maximum % /g4!7.' G. For Swimming Pool Only 1. Maximum heating '✓/,� Telephone No. eM— 3/ /:37/. pp ica is signature) ..7.1aurlt of QuelizAtry APPLICATION FOR SEPTIC DISPOSAL PERMIT �J DATE 2U :%%.4)/�`7c LOCATION OF PROPERTY FOR INSTALLATION 2 9Oi27 ��� �/�/ ���6 Owner's Name: 9/2_1 Telephone: _2,'2'--e y'p Address: f?vUr /f Installer's Name: S/// /4,y �iv lJC7 2,A/ Telephone: 66 Number of bedrooms (residential only) .- Total daily flow (compute @ 150 gal per bedroom) Topography: circle one: Flat o 11 ins Steep Slope % of slope Soil Nature: circle one: Sand Loam Clay eh r&Z4W,../ Depth: /Q_ feet Ground Water: At what depth? feet Bedrock or Impervious Material: At what depth? feet Percolation test: circle one: not required required / rate min. inch. Domestic water supply: circle one: Municipal el Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption /60 feet PROPOSED SYSTEM: Septic Tank /40a gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench feet / Total system length feet SEEPAGE PIT(S): Number of ;'7 / Size each 6 _ feet by y feet Size of stone to be used # '24.'j / Depth or Thickness feet * * * * * * * * * * * * * * * * * ** * *'* ** * * * *.* * * * * * * * * * * * * IMPORTANT ...Please...LIST NEW EQUIPMENT TO BE INSTALLED * * * * * * * * * * * * * * * * * * * * * * *'* * * * * * * * * * * * * * * * * * (over) Section II Septic System Inspections: A. All applications for septic system installation, alteration or repair, as required by the Town of Queensbury Sanitary Sewage Ordinance, shall be submitted to the Building Department at least 24 hours before start of construction and shall include a plot plan showing: 1.) the proposed location of the system 2.) location and distance to lot lines 3.) location and distance to structures 4.) location and distance to any water supply 5.) size and dimensions of all tanks, distribution boxes, tile fields and/or drywells B. No system shall be covered before inspection and approval by the building Inspector. Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to $250.00. C. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. I have read the regulations above and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of responsible person: .,'�''(` : / ,41-c 'dV/ 17-iar �U Date: Z Town of Queensbury " Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SFTTI_FQ 170 " , HOME nl^ NATIIRAI RFAIITY A rnnn pi Arr Tr) i I\/c Jbwn, Qtteermittry g'i? ' 114 ie ote QUEENSBURY TOWN OFFICE BOILbING , , ±±��1,.�, fl art' "' l ' xl�; , BAY AT HAVILAND ROAD QUEENSBURY, NEW YORK, 12801 TELEPHONE: (518) 792-5832 TO: The Building Department Town of Queensbury FROM: N. W. Bodenweiser, Fire Marshal DATE• S1/4/44(C' SUB: Certificate of Occupancy �'�iR ' 1�Name: 1 �GG�1,. L Address: 9 It is the opinion of this office that the above named premises has complied with all sections of the N.Y.S . Fire & Building Code regarding fire prevention 00 igrr6113,(/-e;/V N. W. Bodenweiser Fire Marshal SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LIVE 3° 174 -°z 5 cc77 // 71.44. � Jocun o/ Queensbury �� �� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 0/2 e A BUILDING INSPECTOR ' S REPORT NAME/��//C/rr/G'AYN v ' G LOCATION / Date; / Permit No. O1��0� * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing 7/ Siding Masonry Veneer Rough Plumb'ng Relief Valve. f//�• Ext. Porches Finished Floo s Interior Trim Stairs & Raili gs Cellar Drain T le Concrete Floors a� Plbg. Fixtures Gar. Fireproofi Door Closers Smoke Detecto Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELEITRICAL INSPECTION DRIVEWAY A •ROVAL Final Building Survey } Next scheduled inspection (call when ready) Remarks- o4- K / 1=<1-0/ ui din Inspector 6/86 and-vl 'U., Jotun of QueQniurj BUILDING and ZONING DEPARTMENT )0, Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 (fiL SEPTIC DISPOSAL SYSTEM INSPECTION NAME jd-GC',l1/.�'I LOCATION 2'd.Q_ DATE 67�1:71/fifer PERMIT NO. �F-�S SOIL TYPE - Sand - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total leng Length of each trench Depth of . enches Size of gr.,vel SEEPAGE PIT•{Number of) _ 3 Size- (j ft. X `j f . Gravel size s .3 PIPING: Size Type Bldg. to tank y. aQvc. Tank to dist. bo . 5I " PVC Dist. box to fie 0/pit 4" Openings sealed? YES NO Partial LOCATION/SEPA•,TIONS. Foundation to tank /$ ft. Foundation t. absorptio. . 6 ft. Absorption • lot line — ft. Separation of pits ,/ ft. LOCATION OF SYSTEM ON PROP. RTY(circle one) Front - Re•ir - Left side +•fight side - COMMENTS: sus 4 o/ezdvec 'V obitlek fi•Ltx )--a( 6?- /4 0/2 'e, f'-1 Sec p a/Vet-- SYSTEM USE APPROVED Bu 1din Inspector 01/86 and vl 4 Jown of Queen iurf BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME � b 14( a 4 n-i LOCATION r. - Date 41i / Permit No. 1 ,o1,5—' * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry eneer Rough P1 '.ing Relief Val -s Ext. Porches Finished Floo.s Interior Trim Stairs & Railin•s Cellar Drain Ti!: Concrete Floors Plbg. Fixtures Gar. Fireproof,ng Door Closers Smoke Detec .rs Chimney INSULATIO : ,XFoundati• ):Floors ' c j c'i ?7 61J /Walls -11 :- $Ceilin% FINAL ELECTRICAL INSPECTJ0N DRIVEGOY APPROVAL Final wilding Survey Next scheduled inspection (call when ready) Remarks- frL o )2S IA) CO .NdpL64 rill Li Building Inspecto 6/86 and-vl l ,/�jown o1 Q ec n i urcy 1-I fl BUILDING and ZONING DEPARTMENT �/0 Bay and Haviland Road, R.D. 1 Box 98 q° Queensbury, New York 12801 ILDING INSPECTOR ' S REPORT NAME M l?,„Q'//CJ ,rno LOCATION „5 L�l/ /gL?d� . Date -`y-f/yy Permit No. SPOLS * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / ND Footing/Pier Forms Foundation Waterproofing Backfill taming 1� Roofing Siding Maso�ry Veneer LRd gh Plumbin• e/ Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofi g Door Closers Smoke Detecto's Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- \ 11 uilding Inspector 6/86 and-vl W.I GRAHAM EXCAVATING _ ��\1 1=-) .� C W.A.Graham Excavating • RD 1,Box 408A Wood Rd. 39 N 1857 Hudson Falls,NY 12839 Phone 747-9758. D G "K5" DATE TO CUSTOMER ORDER NO. SALESPERSON VIA TERMS: j QUANTITY DESCRIPTION PRICE AMOUNT To whom it may concern - on 5-5-88 at Mohican Motel on Rt. 9 , 3 regular drywell covers were replaced by 3 traffic drywell covers. • 0,,,ehl ORIGINAL 61Ai � T PEOo JT �1 L E VATIC4J AMR Z q4,r_ E LE VAT t C*J f T 7 I 0l Z e' FOW le - FLE Y, 4CALF M REVISION$ T DATE IZ/a ICKO AP. VO TITLE L ro By I DATE 1OFS e •N IV OOTEs ALL l U'j'�f� 4R. 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