5458 r/c,
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date --pea- lithe a0 19 76
-30 I
4-4 1:93 This is to certify that wo requeste to be done as shown by. Permit No.
has been completed.
•
4 ',tr.»
This structure may be occupied as a 6 - G21:1:1Yi - ----"ONA),-e I ILI
Location Lc, '2, i(..?. _
Owner . M rd,sy,
By Order Town Board
TOWN OF QUEENSBURY
- ;
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Building & Zoning Inspector
CREATIVE -INSTA PRINTING GLENS FALLS. N Y 12801 (5181793-5658
BUILDING PERMIT
TOWN OF QUEENSBURY No. 5458
WARREN COUNTY, NEW YORK
su
n
. ct
PERMISSION is hereby granted to Martin C. Mosher
OWNER of property located at Lot 97 Helen St. (St.#13) Street, Road or Ave.
in the Town of Queensbury,To Construct or place a - One—Family Dwelling
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. K
1. OWNER'S Address is
R. D. #3
Glens Falls, N. Y.
2. CONTRACTOR or BUILDER'S Name
Same
3. CONTRACTOR or BUILDER'S Address 0
c1'
Same
x
4. ARCHITECT'S Name (D
' N
CD
(!t
5. ARCHITECT'S Address tt
ID
r1
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications
26 'x48 ' per plot plan, specifications and application O
No. submitted including sewage system and two—car attached
garage.
frzi
8. Proposed Use iy
One—Family Dwelling
t7
$5. 00 C/O Paid
$ 50.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 1 19 79
(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 14 th Day of Sept. • 19 78
SIGNED BY - / " for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY (Space inside block to be tilled in by
WARREN COUNTY, NEW YORK • Building Inspector)
Application for \1►l►lication No.
�� Y p Permit Issued 19. :
BUILDING AND ZONING PERMIT , Permit Expires. 19. .
%('nine District
\ aloe nI \\'nrk,%
THREE (31 Copies of a PLOT PLAN, Drawn to scale -\Pl)r(A ecl by
showing the actual dimensions of the lot to be built Iten,arKS-
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. .
ay
/� _ OWN I(O�F QUEENSBURY
.�. C � ' (/ / /y//DATE / Y n/i R E V Eil V E D
D
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK SF I� ��l�
ANSWER ALL OF THE FOLLOWING. P.M.
7 011`12�1I2�3
M.
The undersigned hereby applies for a permit to do the followingwork
89 t1
which will be done in accordance with the description, plans and specifi- s 1 8 I ,1 0 ` ' `i 1 415`6
canons, sand such special conditions as may be indicated on the permit. A 5-g G t ri L.
The ow/n�er •
�of this property is:
(NA'E)
The person responsible for •su rvision of the work insofar as a Building Code and the Zoning Ordinance apply is:
, ) .sCAZs./ d• ., c L
AME) (P.O.ADDRESS)
Name of Builder /1.—L Address
Name of Plumber 'L'►'` z ' Address
Narne of Mason. . . �"—`•J y f 3 Address _
�� Estimated value of ro sed work f �Si .0.U'47
Lot NumbAr. . . . •9�. . . Unit P Po
Name of Village . iLUA �.4,4-ini 0,4z,z.' 73....". c GC.,C'�ii' 4
Name
g . Side of street: north 0, east 0, south 0. west X
of Street Nearest Cross Street . Distance from this cross street O O Ft.
Property is north ❑,south 4,east L i, west 0 from Cross Street
If on Corner, which corner, northeast ❑, 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 Bunting
0 Addition to a building. One-family dwelling
Two-family dwelling ❑
❑ Alteration to a building. -family apartment house CI
❑ Demolition of a building. Store building ❑
, . . . . c,Z.-car attached garage '
Other:
• Accessory Building
- One-car detached garage El
❑ Other work. Describe• Two-car detached garage ❑ •
Private chicken house El
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, site and setbacks of pro-
- posed buildings,and the location of all existing buildings.
- NORTH Show proposed building(s) in dotted line and existing
'!cc' ``- -�7'' huilding(s) in solid line. .
Size of property . . . . /0. .42. . . ft. x . . � ft
Size and use of existing buildings, if any
P a
tid 9 r-7 m Size of proposed building . . . .?.4�. ft.x . . . . . ft.
Height(from grade to ridge) /I' ft.
Front yard - ‘--4---- ft.
Side yards c $ft.and cj--- ft.
Rear yard cf. a2 ft.
SOUTH If on corner,setback from side street ft.
• Note: All distances are net, es measured from street side
line to nearest part of building.
(OVER)
7-73—M • _ .
(cont'd.)
BUILDING SPECIFICATIONS., •
Kind of construction: Wood frame, fire safe, etc.? ��i'�-t� • ✓/
Will any second-hand lumber be used? . . .. . . . • • • • • If so, for what?
Material of foundation walls /�' s�i�!-r-�. Thickness
Depth of foundation walls below grade 0 Continuous foundation?
Will there be a cellar? . . If so, material of cellar floor r L%
Type of roof: Sloped or fla ? . Material of roof . . . A/1.7`
Size,wood studs " x 47'e ",spacing -/la. . ."o.c., lengt ft.
Size, floor beams, 1st floor " x / e ", spacing ..‘. . ."o.c., span . . . . ft.
Size, floor beams, 2nd floor " x / d ", spacing / 6 "o.c., span . . . .,/... ft.
Size, ceiling beams ", spacing "o.c., span . . .�4:4:7 ft.
Size, roof rafters or beams . . . ", spacing "o.c., span ft.
Exterior finish 721Lv With what material?
Finish of interior walls /Z2
If garage is to be attached, of what material is wall between garage and main budging to be constructed?
Is there to be an opening between garage and building?
Kind of heating system . Oil burner or coal?
Will a flue-lined chimney be provided? 'f . Depth of chimney foundation below grade
Will
chimney above roof
f r "
Will there be a fireplace? (�`f' Depth of fireplace hearth . . . . !�
Will a toilet be installed?
Will a kitchen sink be installed aid connected to w 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 swear that to te,,•}Argrof my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and coo,plete statement of all proposed work to be done on the described premises and that an_provisions of the BUILD-
ING 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
OWNER.OWNER'S AGENT.ARCHITECT.CONTRACTOR
day of 19
NOTARY PUBLIC. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
•
• By •
TOWN 01.7 QUEEl'4SBURY
M_g` .{_!.'NG & ZONING DEPARTMENT
OLTE ENs[] RY' TOWN OFFICE WILDING
. A`--c' „'ViL Ni) iROADS, R.
D. 41
GLENS :i,Li1.,:3, NEW 3'OAK 12801
APP TCf4" ION WI A PERMIT TO C'NSTRUCT 4 ALTER OR ENLARGE
A SE`r'ACE'. DlSPOSi,L SYSTEM WITHIN THE TOWN OF CUEi:.NSBTJR?
1 7.1.5.°s='ANT S NAMF �i`• /1G4/ 1a 3T}i;i�y�i�+ _ _ .
`fiEt�EP ONEo 79�- F/4..�-o OWNERS v NAME or e_2._ � �_ _ _
,„DD R Ess _ .97.. p t ..,. '._....._._ __.__.®_.__._ _.__,_NUMBER .OF BEDROOMS J
1_3AR E3.A,GE GRINDER`,'. Lp (YES OR NO) .TOPOGI APHYn FLAT , 110LLING, STEEP
SLOPE, GENTLE SLOPE, OTHER. , ' _ ..._ _ .._a_._P_._..__..._..._._._.._._., __.__.._..__. _____ __d_
?4.q��?°"g1_RyEhOF `SOILS CLAY SANDY, LOAM. GRAVEL, K,T f:'..TC. q_y.___..'').4 p{�_...�__m.�.��
A:,Y1CO•LATIOW TES - _ .� .as_r....,,....... _...m.. 1 A B l SUPPLY° djatli6 IC.f!.A')"fJ .o a��ELL_. O! E
I
D r.Af ,, AM OP PVt:DK GPtP o t,PIS ;c .Y'S` Mr
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. L ^ €7. GrAce.,
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OTHER PERTINENT INFORMATION
Casswereaasesoaimes•twr.nese....ea.as sa aa weft.tserso. sox. am.** -sm. aft-.
IT IS HEREBY AGREED THAT IF THIS APPLICATION AND PLANS ARE APPROVED
INSTALLATION O1 SEWAGE DISPOSAL FACILITIES WILL, DE MADE IN ACCORDANCE
WITH DETAILS SHOWN.
DATE..,.._ 9— /4(- 7 SIGNATURE OF APPL:ECM T 12-2 sr
.,,AK GEORGE PA IK COMMISSION APPROVAL;
TIDE, NEW YORK BOARD. OF FIRE UNDERWRITERS ,Y
BUREAU OF ELECTRICITY ,...
41 STATE 'STREET,ALBANY,NEW Y,ORK.J12207 1y
Date Application No.on file A
THIS CERTIFIES THAT ;r
j, only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of ,Y•
41
1 r
fr
0, in the following location; 0 Basement 0 1st Fl. 0 2nd Fl. - ' ,.. Section Block Lot ',
; was examined on . and •found to be in compliance with the requirements of this Board. �4
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
�i OUTLETS RECEPTACLES SWITCHES MERCURY
�, INCANDESCENT FLUORESCENT Maier _ AMT. K.W. AMT. K.W. AMT. K.W.. AMT. K.W. - AMT. H.P: ,
01
: Y
{ 1T
IY-DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT-< . TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS 't
AMT. K.W. OIL H.P. GAS H.P. AMT. .NO. _ A.W.G. AMT. AMP. AMT. :AMPS. TRANS. "AMT. H.P. NO.OF FEET "AMT. WATTS '
-0 .. _ _ T_Z i
_ . . . . r,
�i SERVICE DISCONNECT NO.OF S E R V . I C E
AMT. AMP. TYPE METER EQUIP. 1,0.2W 1 2 3W 3,B'3W 3,0.4W NO.OF CC.COND.
PER.B' A.W.G.
OF CC.COND. NO.OF HI-LEG A.�''�•G.
OF HI-LEG NO.OF NEUTRALS A.W.
OF NEUTRAL '•
91
OTHER APPARATUS:' 1. - -.
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S .T
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BRANCH MANAGER .Y
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COPY FOR BUILDING DEPARTMENT: THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date /2.—/1-7-
Nanv. �47e u f^
Location kdo LU 7t _97
Permit No. SK Weather
Per Cesst •
Complete Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
FramingLi el
�//,''
Sheathing
Roof Felt ff
Roofing
Siding
Masonry Veneer
Rough Plbg.
Rough Htg.
Relief Valves f
Wall Board
Ext.Porches
Finished Floor
Interior Trim
Stairs&Railings ,tiD Zu,5 4
Cellar Dr.Tile C t/ 54-,A,s I ,Ff1
Concrete Floors
Plhg.Fixtures
Gar.Fireproofing ���— ���� ( �fp rrek,' (�y
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Building Inspector
REMARKS
Ac, r— %,1\1"Ni\
(5�w/e • 1Jd 'l
TOWN OF:Q•UEENSBURY
Building. Department
Inspectors Re ort Date r'/ _/- 71
Name L77/ 5 ce k
Location ././5. k n 1 17 Lai 9 7 •
Permit No. S Weather
(Per Cent
Complete Remark.
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
_Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Rough Htg.
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 \
Building Inspector
REMARKS
gi4c1*/
�
lc TOWN OF QUEENSBURY •
Building Department
Inspectors Rep Date /G—26_7J
Name •j�'Yjs
' Location L n !-7 N-,GAHJ
Permit No. .551.5-1 Weather
Per Cent
Complete Remarks
Excavation
Footin: Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
_Final Survey IMPIEF__ a
Framing MIMt.1111M
Sheathing
Roof Felt
Roofing
Sidin: --
Masonry Veneer
Rou•h Plb:.
Rou:h Ht:. --,
Relief Valves -111.1MIR
Wall Board -_-,
Ext.in Phed o =�=
Finished Floor
Interior Trim ---L
Stairs&Railings -Wrill.11 \'•
Cellar Dr.Tile -
Concrete Floors
Plh:.Fixtures •
Gar.Fire.roofin:
Door Closers
Chimne
Water Meter Inst.
Se.tic A'.royal /
Building Inspector
REMARKS
`
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