1988-073 . _
• CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date May 27 88
19
G. \
This is to certi that work requested to be done as shown by Permit No. 88-73
has been completed.
Motel - Mohican Motel Addition 6 Units
This structure may be occup4d as a
161+.5CA-OL
Rte 9‘ La-ke George Rd.
Location
Owner George Stark
By Order Town Board
TOWN OF QUEENSBURY
Building 6 Zoning Inspector
BUILDING PERMIT .,
TOWN OF QUEENSBURY
No. 88-73
•
WARREN COUNTY, NEW YORK o
PERMISSION is hereby granted to Mohican Motel
Rte 9 Lake George Rd.
OWNER of property located at Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Addition — 6 Unit Motel
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 George Stark 0
Rte 9 Lake George Rd. H•
Lake George, N.Y.
2. CONTRACTOR or BUILDER'S Name o
rt
A. J. S. CD
3. CONTRACTOR or BUILDER'S Address
4 Amy Lane
Glens Falls, N.Y. 12801
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4. ARCHITECT'S Name rt
m
Iv
5. ARCHITECT'S Address x
fD
CD
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QQ
6. TYPE of Construction—(Please indicate by X)
iV
( )Wood Frame ( ) Masonry ( )Steel ( ) '
7. PLANS and Specifications
No. 104' x 28' as per plot plan, specifications and application
a
(existing septic system) rt
8. Proposed Use p
Addition to existing motel
rt
O
$5.00 C/O H.
$ 236.00 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 Oq
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 16th Day of March 19 88
SIGNED BY `�-Cil� L( . � for the Town of Queensbury
Building and Zoning Inspector 4,re
TO BE COMPLETED BY BLDG. DEPT.
�] / TOWN OF'QUEENSc2URY.
,Down ot Queen3bur 4 • ApplicationmI No. D
• Permit Issued 19 �` � � CI. BUILDING and ZONING DEPARTMENT 'Permit Expires. 19' I
Bay and Haviland Road, R.D. 1 Box 98 . Zoning Designatio MC lam` - • FEB 5_ 198. -Queensbury, New York 12801 Variance.No. . /
• Site Plane Review No. BUILDING A c®DE O Pie
' Approved by: l/� J 6'.`
1 G?iPPLICATION FOR t �'d
Dew
BUILDING AND ZONING PERMIT ' • .old 510
. * * * * * * *. * * * * * * -* *. * * * * •.*: *-'* * *' * 4* * * * * * * * * * * * *:,*
^
' . 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 property is: %j l-�i06-1: �y .
P.O. Address , 9 J 9 /• 1..--/if s .CAL / Tel.'
Property Location: /97 ?j.S' . Tax Map No.
Str't number or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF. WORK.AS REGARDS BUILDING CODES IS: 7 (5---7j
.47 Z- /7/)—//, L=75:s /v✓eli ' X2p 4 i %z S /-r .F`),,,44 yf /'
Name P.O. Address Tel. No.
Name of builder. 5'9 22 Address ' ?•,9-,y7 Tel. , 7
Name of plumbers 7 J %Z Address J. ,Se i P.-t-3 .,,.,Jimmy,,yin/(Tel• 7 /7 -Z y-7 C0 '
Name of mason 1;t4 /l4-7 51 1-Address 14 .l/ G.4 , ,Nw Y0,z/e Tel. 7,
NATURETU OF PROPOSED WORK: * . ' ZONING INFORMATION:
1, Construction of a new building * A PLOT PLAN MUST BE PREPARED AND 'SUBMITTED,
V'ddition 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
S/7- S 5 ,� / 4 / * of septic disposal area.
,OC-.4%iej/I 9 tr ,D e2: ,lf7i/ ' * COMPLETE INFORMATION 'REQUIRED BELOW.
* Size of property /fir if' ft Xft.
* Existing building(s ' Size c�i'ft X , ft,
PROPOSED BUILDING AND USE: • * Existing building(s) Use ' /yJc9i-7 - O,"%T.,
Size of new structure y04/f t X ', "ft
Foundation-pier/slab /partial/full * Proposed building, distance from property 'line
(circle one)
No. of stories (habitable space) / * Front yard /CO ft Rear yard 73 ft
Height (grade to ridge) ft. * Side yards ,, ft and ,/ Q `�< ft
* If on corner, setbac
k from side street Aft
If residential, no. of families
No. of rooms(excluding baths) & * OCCUPANCY INFORMATION
No. 'of bedrooms *
No. of bathrooms * PRIMARY BUILDING -
Primaryheatingsystem y — * One family dwelling
Type of fuel �cc/�/c'.�r� * T family dwelling
No. of fireplaces to be installed * 9C Multiple dwelling / Number of units ]
Will a wood, stove be installed? �
3 / * Permanent occupancy
Central Air conditioning? , * Transient occupancy
/y�� Rui::ess
BUILDING STYLE, PRIMARY STRUCTURE *• _ Industrial
Rarc Contemporary Log cabin • Other
Raised ranch Mansion Duplex * If addition, what will use be?
Split level Old style Bungalow
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial ' Row Town House * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * Attached garage,/6ne car? two car/ car
* * * * * * * * * * * -* * * * * * * Private storage building
ESTIMATED MARKET VALUE OF * +Other
CONSTRUCTION $ *
INFORMATION ON BUILDING SPECIFICATIONS, ON R. ::`RSE SIDE OF .HIS SHEET, TO BE COMPLETED!
i/ \
Form EPA 4/86 and-vlG - )( /S �r
BUILDING PERMITAPPLICATION CONTINUED -
z
BUILDING, SPECIFICATIONS:
. Type pf construction, -wood frame, fire safe,,.etc. / /9 j,/�///7
:Will or ungraded lumb.er' be used? If so, for what? �.,vl '
J � .
Foundation wall material 't'rd / Thickness <7 P
Depth of foundation .below grade (to bottom of footing) .
Will there be a cellar? J,SJn Heated or unheated? Floor sq; footage • sq ft
Will there be a basement? -,,vim Will.any portion be used as living space?
(If so, what portion? sq.ft. .-. -.Type of 'use?
Type of roof - . . /flat/shed/other ; Material. of roof
• Size, wood stud •- "X .� " spacing /6 "o.c. length F:..,./ .ft.!
Joists(floor beams— ) 1st. floor 7 "X ,,-, " ;spacing /c., "o c. span /'Zft.
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_),i/ "o.c. span Z6 ft.
Exterior wall finish 0)47 1 V j •hz7Wj1J. Of what material? /4450
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? %.1 r If so will a Fire-rated
door, enclosure, and self-closing device be -provided? - I1/4,:/4 -
Will a flue-lined chimney be .installed?:' ' Height 'above roof • ' ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft: - in.- ' - - .
Water supply - Municipal or�rivate we . , '.
SL?T1C SYSTEM _ Distance from ANY private well(includingadjoining�- g properties /� ft..
(A separate application is necessary: for any.,repair or new installation of .septic system)
Town of Queensbury
County of Warren A F F. -I D A .V I T 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.
SWORN TO BEFORE ME THIS .,.Signature 7 - 4/ b"T�;72 "' fge5't;:Sy�- iu e-. -
OWner, owni .'s agent,arcnitect,contractor
day of 19 .
Notary Public, Warren County, N..Y.. . -
* * * * * * * * * * * * * * * * * * * * * * *. * * * * .* * * * * * * * * * * * * *. * * * * *
SPECIAL CONDITIONS OF THE PERMIT: ' -
•
•
- - By .
•
1 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 /9Z '
2. Type of heat 2.� Cps/C
3. Is the building mechanically cooled?
4. Percentage of area of windows and doors'
A. Over 16% Only
1 . . U - '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 )0. - ("
3. R value of glazed area , Zc ,
4. R value of doors Z7-- ,Lf '
5. R value of floors over unheated spaces iC- Z43'-
6. R value-of slab -edge insulation - unheated slab Af/
7. R value of slab insulation - heated slab /
8., R value of heated basement/cellar walls (above grade) i
9. R value of heated basement/cellar walls (below grade)_th
10. Type of insulation //,'�2,z72lCS
C. Controls o
1. Thermostat maximum heat setting 75�
D.. . Duct Systems
1. Is duct system installed in unheated spaces? ES 1 '
a. If YES, R value of duct installation Ai
b. R value of duct in other areas /`fe
E. Piping Insulation
/
L. Size of hot water or cooling carrying. agent7
� pipe !.7
2 . R value of pipe insulation
• F. Service Water Heatin /
g
1. . Performance " efficiency
2. Temperature control setting maximum / -iO
G. For Swimming Pool Only
1. Maximum heating A
Telephone No. a' /6/ /ii," .
(,applic :t ' s signature)
•
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
- (TEMP.* (DATE I
CITY OR
fi
VILLAGE ' . 1� 4�- /!` a TOWNSHIP � COUNTY ( / �'. fI�-.�. �..� l r�l el f//��.�f/Y `.v'"2..'�..F
STREET AND NO.OR '? / r <)
ROAD AND POLE NO. - i' 7 POLE NO.
BETWEEN WHAT TWO
CROSS STREETS IS
' PREMISES LOCATED? SECTION BLOCK LOT .
OCCUPANT'S 14 f • /0' p "// BUILDING d1;,- / -
/ j
NAME I',/6 l'r f ( 622'/I !' / !/ j f? - OCCUPANCY /7,4 � / 1 -',/-7/ 5'
OWNER'S NAME f'-' ' �/ f �' ` /
' AND ADDRESS,/,',.--(�)f / if-e 714 f" , k TEL.# �f
CURRENT f� !J . -
SUPPLIED el J �' 2/�t y�/i' -'' -
BY ,."V/ �(� '-+its/ /�' 6 /v: 91.-i.<./ ' FROM THEIR OFFICE.
BUILDING !r WORK DEFECTS
IS NEW I, OLD❑ IS- NEW .� ADDITIONAL IllREMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No. Fixtures&-NUMBER OF OUTLETS Lampf MOTORS HEATERS
Receptacles BRANCH
OFFICE USE
Lam- - ONLY
tion Sida Attach't H.P. Watts A.W.G.
Ceiling Wall Reeep'Is Switch Pendant Bracket No. Type Each No. Each - No. Gauge INSPECTION
Out-
side
Sub- -
base
Base-
ment
1st FI.
2nd Fl. '
•
3rd Fl.
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: 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 -71 ELECTRIC SIGN TOTAL
MAINSF .% -' `� /'o?( ,// FEEDERS-y//2. LAMPS WATTS
CHARACTER • EXPOSED GAS TUBE SIGN
OF WORK • r^',�"' -'r.D TRANSFORMERS OF VA
WORK TO BE '� r'! (NUMBER) (CAPACITY)
STARTED ` �'/� COMPLETED - SIZE OF SIGN
SERVICE OVERHEID f • UNDERGROUND MAKER
ENTERS OF SIGN
BUILDING
INSPECTION REQUESTED '
ON OR AS NEAR AS
POSSIBLE J {
s'( i NEW ` I OLD �,
AVOID DELAY BY GIVING FULL AND ACCURATE I FORMATION.ALL SPACES DATE OF j Z.o.-•'t�).' -
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION -- /)-,' /`�-
PRINT NAME A 41 p D_RESS� ,- f j r SIGNATURE f' /.�/ ll
NAME OF ' �y-__ ? /"` G ^' !'I,, 7'
APPLICANT //\ +,J •---i f': .�i -'�/ d"1% — "//- 0%OF APPLICANT-'f-:'/ " "'r>' Z.; K'.j
STREET ADDRESS I' t %f f '>7
��� • .,�( TELEPHONE# / -) 2)Cf
,.s- f
CITY OR /r../7t7 ,.l"'f 7<'" ZIP 1 f/ LICENSE NO.
POST OFFICE .y 1 -*'' CODE/�i (- WHEN APPLICABLE
46 EL (REV. 1/66) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
Own D Gt Beni ;�k L E
r tit -
QUEENSBURY TOWN OFFICE BOILbING '
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: 120�
SUB: Certificate of Occupancy
;0 Name: ls�I? -l.9w `'�
Address: elk ?
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
)1/1/
N. W. Bodenweiser
Fire Marshal
SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LIVE `4
3° -z r,-,
iv)� awn
wn o/ Qucenihury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
0/4 ./.4,1-4/02,
BUILDING INSPECTOR ' S REPORT
•
NAME / ® G,4, / /7O7G
LOCATION 9
Date.i / 98 Permit No. n--13
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing I/
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches //
Finished Floor. �/
Interior Trim of
Stairs & Railinls
Cellar Drain Til •
Concrete, Floors
Plbg. Fixtures t/
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRISAL INSPECTION
DRIVEWAY APPRO AL /]
Final Building Survey ✓
Next scheduled inspection (call when ready)
Remarks- elk re,rc`
Iui din Inspector
6/86 md-vl
A�/ /��� gown o Queenitur,
14 BUILDING and ZONING DEPARTMENT
V Bay and Haviland Road, R.D. 1 Box 98
rYork 2 Queensbury, New 1 801
BUILDING INSPECTOR ' S REPORT ��j `/
NAME 4 S —f' / e/eGA} (--- .41
LOCATION 47 c7
Date] / /yr Permit No. 0 {J /-3
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
-aming i/
Roofing
Siding
Mas��my Veneer
LR6ugh Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detec ors _
Chimney
INSULATION.
Foundation
Floors
Walls
Ceiling
FINAL E ECTRICAL INSPECTIQI
i.
1RIVEWA .PPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- C) (4441-‹ 4- 61:1- 2.ci,L 4
f-Oki i ,71 ByPodL
• ;r"`1
// ;,,z/- - --.7 ---
17/(
Lie,„(---
Building Inspector
6/86 and-vl
_bean or Queensbury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION 5p
Date3 4 Permit No. # 73
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier -orms
Foundation
Waterproofing
Backfill ,r
1Framing ?•' /� /�
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Raili gs
Cellar Drain tile
Concrete Flo. s
Plbg. Fixtur s
Gar. Firepr-.ofing
Door Close s
Smoke Detectors
Chimney
INSULATI• :
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks/ c r f
J /' 61
, ,it'i �,J`JAL)/, v�..rfl f 6
det.d
Building Inspector
/A6 and-v.l
\\')\.
Down of Queens‘ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME 4 X �4�C 1�7 (4-3--,)
0 a cam../ �
LOCATION eA 9
Date 3//( / Permit No.
* * * * * * * * * * * * * * * * * * * *lIF* * *
i✓ = APPROVED Y EsS•;/ NO
?OFooting/Pier Forms A
Foundation f
Waterproofing
Backfill
Framing
Roofing
Siding Z
Masonry Veneer
Rough Plumbing
Relief Valves
•
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTR CAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
ii . I 'b (,..Z(lic
bic [.. ,
I '
Building Inspector
6/86 and-vl
� Jocun o� Queeni4urc/
4 BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING
� INSPECTOR' S REPORT
NAME 4 �1 .. ATire
LOCATION f�..,
1.14
Date i /g/ Permit No. W. ri3
* * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - Y / NO
(Footing/Pier Forms i
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Vene-r
Rough Plumb ng
Relief Valve.
Ext. Porches
Finished Floo
Interior Trim
Stairs & Railin•_
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECT' CAL INSPECTION
DRIVEWAY APP°OVAL AIM
Final Buildi g Survey
Next scheduled inspection (call ,when ready)
Remarks-
12), 76
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Building I Spector
6/86 and-vl
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