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1988-283 CERTIFICATE OF 'OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date March 27 19 89 This is to certify that work requested to be done as shown by Permit No. 83-2.83 has been completed. This structure may be 'occupied as a Motel Addition Sun Room Location V��6 Rte 9 George Stark (Mohican Motel) Owner By Order Town Board TOWN OF QUEENSBURY 2 ,j• (,' Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No. 88-283 WARREN COUNTY, NEW YORK ,o PERMISSION is hereby granted to George Stark (Mohican Motel) _ w OWNER of property located at Rte 9 Street, Road or Ave. w in the Town of Queensbury,To Construct or place a Addition—Sun Room 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 RR 3 Box 3335 n Lake George, N.Y. 12845 Cl) rt 2. CONTRACTOR or BUILDER'S Name W r{ Dave Manella x' 3. CONTRACTOR or BUILDER'S Address ° H• 298 Troy Schenectady Rd. Albany, N.Y. 4. ARCHITECT'S Name rt I- N 5. ARCHITECT'S Address rt m 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( ) Masonry ( ) Steel ( ) 7. PLANS and Specifications a No. 39' x 8' as per plot plan, specifications and application. a, rt 8. Proposed Use ° Addition to Motel — Sun Room zJ $5.00 C/0 31.00 December 1, $ 88 PERMIT FEE PAID —THIS PERMIT EXPIRES 19 (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 24th Day of May 19 88 , � � � SIGNED BY for the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG. DEPT. TOWN OF QUEENSEWRY I-, // Application No. i rp n I P ri it ;...,� _.(iron ofQueeniurj Permit Issued 19 Lz `., -I -_ BUILDING and ZONING DEPARTMENT Permit Expires 19A Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation LefY v i988 Queensbury, New York 12801 Variance No. Site Plan iew BUILDING & CODE DEPT. Appr e • 34' 1/ 5 APPLICATION FOR , BUILDING AND ZONING PERMIT c./0 * * * * * * * * * * * * # * # ; # * # # # # # * # # # # #. # # * # # # # # # # ::.# 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/✓ 96© �,� � is: / �� P.O. Address X , _ , �iJ �� AG �// ,KTe1. .3c / - Property Location: 72-2;f Tax Map No. / / Street number or building lot number Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODF,S. wIS: Name �` P.O. Address Tel. No. Name of builder Side ` Address Tel. Name of plumber Address Tel. Name of mason Address Tel. NATURE OF PROPOSED WORK: * ZONING INFORMATION: Construction of a new building * A PLOT PLAN MUST BE PREPARED 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 fr_om_.nroperty .lines. Give * street and number or lot number and indicate * whether interior or corner lot. Show location FOR DEMOLITION PERMIT, STATE SIZE AND of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED. * of septic disposal area. , * * COMPLETE INFORMATION REQUIRED BELOW. i * Size of property ((70 ft X .S Oft. * Existing building(s) Size ft X ft. * . PROPOSED BUILDING AND USE: *Q Existing building(s) Use Size of new structure ,3y ft X a ft * Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line (circle one) * * Front yard ft Rear yard ft No. of stories (habitable space) * Side yards ft and ft Height (grade to ridge) ft. * If on corner, setback from side street ft If residential, no. of families No. of rooms(excluding baths) * OCCUPANCY INFORMATION * No. of bedrooms * PRIMARY BUILDING - No. of bathrooms * One family dwelling Primary heating system * Two family dwelling Type of fuel / * Multiple dwelling / Number of units No. of fireplaces to be installed * Permanent occupancy Will a wood stove be installed? * Transient occupancy Central Air conditioning? * Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch Contemporary Log cabin * other ' * If addition, what will use be? Raised ranch M ion uplex 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/one car/ two car/ car * * * * * * * * * * * * * * * * * * Private storage building _ ESTIMATED MARKET VALUE OF * Other CONSTRUCTION * $--- /n )-()" INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BPA 4/86 and-vl , % . • BUILDING PERMIT APPLICATION CONTINUED - 'BUILDING. SPECIFICATIONS:, Type of construction, wood frame, fire safe,etc. Will any second-hand or ungraded lumber be used? If so, for what? Foundation wall material Thickness Depth of foundation below grade (to bottom of footing) Will there be a cellar? . Heated or unheated? Floor sq. footage sq ft Will there be a basement? Will any portion be used as living space? (If so, what portion? sq.ft. - - Type of use? Type of roof - sloped/flat/shed/other Material. of roof Size, wood studs "X " spacing "o.c. length ft. Joists(floor beams) 1st. floor "X " spacing "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 "o.c. span ft. Exterior wall finish Of what material? • 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? If so will a Fire-rated door, enclosure, and self-closing device be provided? 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 private 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 AFFIDAVIT STATE OF NEW YORK County of Warren 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" pro osed * � - 1 p �crk- ..hal-1 be -complied-with, whether- specified-or not-,-and--that--such- work- is authorized by the owner. SWORN TO BEFORE ME THIS Signature Owner, own 's agent,arcnitect,contractor day of 19 Notary Public, Warren County, N.Y. • * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: • • By • INTERIM BUILDING PERMIT / PERMIT APPLICANT Aithevw ito . CONSTRUCTION LOCATION6- SG'C-tP EFFECTIVE DATE 5 5;/*4-7-r APPROVED BY • SPECIAL CONDITIONS : This will certify that all submittals for a Building Permit have been received and fee has been paid . During the processing of the Permit , the above named may begin construction per plans submitted . It is the responsibility of the applicant to obtain the Permit from the Building Department, following processing . POST THIS INTERIM PERMIT IN A C OUS LOCATION ! ! • Building & Codes Department TOWN OF QUEENSBURY FILE COPY \g? • . , awn of Quecnur tyy �� y •` BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 •Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME--1‘54:1 ----\&t3- 1 LOCATIONQ Date 3'ag, / & ! Permit No2-S —' 3 * * * * * * * * * * * * * * * * *' * * * * *. * . APPROVED - YES / NO Footing/Pier Forms Foundation ' • • Waterproofing Backfill Framing • s Roofing �,k^ Siding Masonry Veneer t>, Rough Plumbing Relief Valves • Ext. Porches • Finished Floors Interior Trim Stairs & Railings Cellar Drain Tiler Concrete Floors 1 Plbg. Fixtures .' • Gar. Fireproofing Door Closers / Smoke Detect Ors • Chimney INSULATION: Foundation'. Floors . • Walls • • Ceiling / FINAL ELECTRICAL INSPECTION DRIVEWAY 'APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- 00;tr07/ 761c .474 h . • • B 111" Inspector • 6/86 and-v1 7 L L 21fmv �lf, q 11 UrqiT LrM &TH OT�- <'' z E Q— K_ Irv, L 2 L o �U VV/,Aib urn, z/Fr OjVED r - 'G CODES DEPT. 110"M OF QUEENSBURY IEm �) E-CT�o�1 A- � IoF2) 4�5 TC-� rbEr- 10 Qc- r-c— %NJ/ fzj , Lb C.I - �x 8 �� S �K�-- TA(�•T� V�%d� TG v / ...1 AO lbVIC IC �X w i �j. 11x�o mown �,,,,,-"""''"". ...ate...,. �� _ _ a.._..-•r>-+^'----r'^'�"'"..e � ,�`-. •�� - ,,,w�_ _ ��1��y�- � ALL. Z7}►�, �� � gyp• ��, r��sl (71 J 401 �'T A d •P � D o d I K 0 � yam. 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