7061 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date L%1 ` / 19
3 02 2ri
This is to certify that work equeed to be done as shown by Permit No._/ /
has been completed.
� 1
This structure may be occupied as a 'I�/C" /11��-'(` �//mai
Tre, )
Locadon
owner s `J '� ',1 � ...:J <.:5 ��.
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
CREATIVE -'INSTA" PRINTING• GLENS FALLS. N Y 12801 15161793-S83B
BUILDING PERMIT
TOWN OF QUEENSBURY No. 7061
WARREN COUNTY, NEW YORK
Joseph S. Durcan (taken over permit 10-7-81)
PERMISSION is hereby granted to Martin C C. Mosher H- C
. � C
OWNER of property located at Lot 4 6 Helen Drive (St. No. 14) Street, Road or Ave. f� h
in the Town of Queensbury,To Construct or place a One-Family Dwelling o It
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. (D C
1. OWNER'S Address is -
15 Greenway North
Glens Falls, New York o
rt
2. CONTRACTOR or BUILDER'S Namecs
Same
rD
H
m
3. CONTRACTOR or BUILDER'S Address
t7
Same K
N.
(D
4. ARCHITECT'S Name
U-j
• Gt
5. ARCHITECT'S Address
H
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
26'x48 ' per plot plan, specifications and cD
No. application submitted including two-car attached 1i1
garage and sewage system.
8. Proposed Use F'.
One-Family Dwelling
t7
ID
$5. 00 C/O Paid
$1 ?9. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 19 82
. (If a-longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 21st Day of August 19 81
SIGNED BY 5,1 flv p� for the Town of Queensbury
Bull ing and Zoning Inspector�Vyy,�
TOWN OF QUEENSBURY
(Space inside block to Ix• filled in by
WA-'REN COUNTY. NEW YORK - Building Inspectr)
ANAm tion for - Application No. ;
Permit Issued 19.
BUILDING AND ZONING PERMIT Permit Expires. lg.
%nnin2. INstrict.
\aim. nl Work 1
THREE (3) Copies of a PLOT PLAN, Drawn to scale •') I ' `c•c1 I"
showing the actual dimensions of the lot to be built 1tc•mar)CS
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
M9ITTED WITH THIS APPLICATION. -
,. Az / 9,, TOWN OF QUEENSBURY
Q — — �lJ//_ � DATAT E V L� U
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWING. AUG 2 /I 1981 a� P� 1
The undersigned hereby applies for a permit to do'the following work A.M. / 3'f '-2 r P.M.
which will be done in accordance with the description, plans and specifi- 7181911.0)412111213141516
cations, and such special conditions as may be indicated on the permit.
C./6 ) nc _
The own r of this property is:
As i , ?• .
• (NA';E) ( O.ADDRESS)
The person responsible for -supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
(NAME) IPA^`* 0 ADDRESS)
Name of Builder l`% ‘72'1- -4" Address t`_ Y+tic—.
Name of Plumber Address
/ Name of Mason � �`'' Address
61 - Lot Number'1'7 '- Unit Estimated value of proposed work$ .<5:72.; .6-. -.P..`.'�. . . . • • • • • • . . . . . .
1`t Name of Village r ''-/ ..� : �"' `� '
Name of Street A.-/ cc� Side of street: north ❑, east, , south ❑. west ❑ -
Nearest Cross Street ,il-4-'1"'"'"-i-41 `��• Distance from this cross street s- 6 Ft.
Property is north 0,south • ,east c 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
XConstruction of a new building. Main Building
❑ Addition to a building. One-family dwelling
te
Two-family dwelling 0
❑ Alteration to a building. . . . , ,.. . .-family apartment house El
CD Demolition of a building. Store building ❑
-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, site and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH Show proposed building(s) in dotted line and existing
7uilding(s) in solid line.
Size of property / �'� ft. x /' 0 It.
__. .
...
,,,,
Size and use of existing buildings, if any
W lSize of proposed building ft.x 41.6e ft.
Height(from grade to ridge) 6 ft.
Front yard v� ft.
Side yards 44-- ft. and S-- ft.
..4
Rear yard 9 O ft.
SOUTH If on corner,setback from side street ft.. ..
I F 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.? (,„f,,,,t)a-'A—'oC ./��-7"''�
Will any.second-hand lumber be used? 'r) If so, for what?
Material of foundation walls . . . . . ./0. .`. . • • • • • • • • • • • • • • . • • • • • • . Thickness
Depth of foundation walls below grade 6 0 /' Continuous foundation? . . .'.: .4-
Will there be a cellar? 41 If so, material of cellar floor N e-,, e v
Type of roof: Sloped or flat? . . . . u'L Material of roof £.4-,"X.dcr ..c 42447,2z,
Size,wood studs „2• "x 4/ ",spacing . . : . . . /.�. . . ."o.c„length ft.
Size, floor beams, 1st floor oa "x / 0 ", spacing . . ... . ./.a. . . ."o.c., span /.2 (z ft.
Size, floor beams,2nd floor c "x • ./• 0 ", spacing . . . . . .2.6. "o.c.,span /� ft.
Size,ceiling beams 19x 6 ", spacing . . . . . ./. 6 . . ."o.c., span / y ft.
Site,roof rafters or bea ,02•"x �o ", spacing /‘ "o.c.,span / / ft.
Exterior finish i With what material?
Finish of interior walls /- , �` ""
If garage is to be attached, of what material is wall between garage and main building to be constructed?
Is there to be an:opening between aragCand building? �/''�� '
Kind of heating system Oil burner or coal? /
Will a flue lined chimney be provided? .yy./�
Depth of chimney foundation below grade o O "
Height of chimney above roof T "
Will there be a fireplace? Depth of fireplace hearth
(
Will a toilet be installed? 9 V -�j,
Will a kitchen sink be installed and connected to water supply? /"ee
Water supply(public water supply or pump) t
Distance of cesspool from any private well feet
Will drainage system be provided with required traps,cleanouts, and vents?
AFFIDAVIT
Town of Queensbury
County of Warren
State of New York
I swear that to th-berrof my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and complete statement of all proposed work to be done on the described premises and that all 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
/4c-e: ! /MAR77N C MOSHER
TOWN OF QUEENSBURY
'I5 GREENWAY, NORTH
WARREN COUNTY , NEW YORK GLENS FALLS, NY 12801
CApplication 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 1'G.E3 1 0
2 . Type of heat GL" S� r)�I �-•
3 . Is the building mechanically cooled? NO.
4 . Percentage of area of windows and doors 1 C .
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 exposd to ambient conditions
2 . R value of exterior walls 2°0
3 . R value of glazed area 2. • cj
,4 . R value of doors 1 S I 15
5. R value of floors over heated spaces \
6. R value of slab edge insulation - unheated slab N/147
7 . R value of slab insulation — heated slab A1/4 P
8 . R value of heated basement/cellar walls (above grade)
9. R value of heated basement/cellar walls (below grade) 5+ .'
I 10 . Type of insulation (--) ;"-g-G L-/Q s S
C. Controls o
1 . Thermostat maximum heat setting
D. Duct Systems
1 . Is duct syst'em installed in unheated spaces? YES NO
a. If YES , R value of duct installation
b. R value of duct in other areas
E. Piping Insulation 1
1 . Size of hot water or cooling carrying agent pipe N/ 11 •
2 . R value of pipe insulation PlA •
F. Service Water Heating
1 . Performance efficiency
2 . Temperature control setting maximum / aC,
G. For Swimming Pool Only
1 . Maximum heating
Telephone No. --?°\ .?- - 12, S() Li
(applicant ' s signature)
MART1NC MOSHER
TOWN OF QUEENSBURY / 3 ORENWA):NORTH
BUILDING AND ZONING DEPARTMENT GLENS FALL% NY 12801
BAY AND HAVILAND ROADS, R. D.01
GLENS PALLS, NEW YORK 12801
APPLICATION FOR A PERMIT TO CONSTRUCT, ALTER OR ENLARGE
A SBWAGE DISPOSAL SYSTEM WITHIN THE TOWN OF QUEENSBURY
OCCUPANT'S NAME_ ADDRESS /4.7` 0.47/
TELEPHONE 7 9,2- /-26----o OWNER'S NAME
ADDRESS. /6 . NUMBER OF BEDROOMS
GARBAGE GRINDER? )2.. (YES OR NO) TOPOGRAPHY: FLAT, ROLLING, STEEP, SLOPE,
GENTLE SLOPE, OTHER,
NATURE OF SOIL: CLAY, 4:1, LOAM, GRAVEL, ROCKS, FTC.
PERCOLATION TEST WATER SUPPLY: MUNICIP , WELL, OTHER
DIAGRAM OF PROPOSED SEPTIC SYSTEM
OTHER PERTINENT INFORMATION
IT IS HEREBY AGREED THAT IF THIS APPLICATION AND PLANS ARE APPROVED,
INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL BE MADE IN ACCORDANCE
WITH DETAILS SHOWN.
DATE ce--- c72 /—_,/ SIGNATURE OF APPLICANT
LAKE GEORGE PARK COMMISSION APPROVAL:
(signature)
(date)
'`'`_.4; AniknomnatnauscistiannKnangtmiRivillktIlIVIRCRIRIIIMIlllmncmmmmmmngcmm cm /pviivipBpmmmmmmmmrsirsmm mmmm
r., -. /-'?i,13 009.II.1 THE NEW YORK BOARD. OF FIRE . UNDERWRITERS =
,_`% BUREAU OF ELECTRICITY -
1 ' 41 STATE STREET,ALBANY,NEW YORK•12207. ''
' Date (;t)%'�7!L �' �. � Application No.on file �� (;C rya d A ,, 0 -1 d'I' ,1 1
THIS CERTIFIES THAT
�! only the electrical equipment.as described below and introduced by the applicant named on the above application number in the premises of
i:1 ,I:,s GS�D�'t' r ' •cctuaD _.?: kind:.n D'E nu'c.;� ..1��1:1L_r.�'ble�;', yco cyaL7.
in the following location; El Basement :-.'0 1st Fl. ❑ 2nd Fl. CA..:'-0Uc1e Section Block Lot
f':1'I was examined onh''y J,a 82 and found to be in compliance with the requirements of this Board. -
i FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS :-
i,'- OUTLETS ECEPTACLES SWITCHES� INCANDESCENT FLUORESCENT MERCURY 'AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. - AMT. . H.P.
'' ' A'''I3 C5.J . 2: 2.3 L 3 ..2 L,o ;p.
L1 j y
,c+ DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS gj 'T
BELL SYSTEMS
•1 '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
: 1 SERVICE DISCONNECT NO.OF li LL%d-,!" S `ii'.0 .; E R V I . C E
AMT. AMP TYPE METER �,2W 3W 3,9'3W 3,9'4W NO,OF CC.COND. A.W.G. NO.OF HI-LEG OF W E NO.OF NEUTRALS A.W.G.
�' EQUIP. PER,B" OF CC.COND. HI-LEG OF NEUTRAL _
'C!; :';�it C) '� . -✓ h t MIS,' - '1 n'' ,,
CCi OTHER APPARATUS: iN
-C' t.,:lCv a :.o iA y-F . ..»i o, . ui D4` ,odyJ"1 oV� J o 75,e o5 aovio
. _
d l' '7a.) Go0 I VP %oi(2 i ,r
-CI ,
Y
Y
t.-:.:, 1 MIN ,P
1 y±h� ,:'d2'..)1.1.iC; mod.:,:-,'i_ i_°S- --
;Pda1�LE9L3 1'i 1 a 3 Mao �iI'OS'�i !�.i 'ir�`y BRANCH MANAGER
' Per -
- '(Y : minor AMIN11/cvc 1f(111y[grI[1/r litclflif(1/r fir Millet IL WNW 116 Mt 1fl1,21 11I]itL Millar 1iu vluvue,f(la 1rnsul nry l!t"C1 i nrnf/\"+ni.tvllit.litttenrrll,' -
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
•
•
TOWN OF'QUEENSBURY
Building Department
Inspectors Report Date -- G7 r
Name ,7>tl f f 4t d
Location yji /41.
Perinat No. rf n (n I eather
Remarks
Excatia tion
Footing Forms •
Footing & Piers •
Foundation
Cement Coat
Waterproofing
Ba ckfi ll
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board /
Ext. Porches L/
Finished Floor
Interior Trim
Stairs & Railings / Q6
Cellar Dr. Tile
Concrete Floors.
Plbg. Fixtures
Gar. Fireproofing 0fk**7
Door Closers 671‹
Chimney
Water Meter Inst.
Septic Approval
Floors c/ Ok
Insulation Foundation V/n
Walls
Ceiling"
- Building Inspector
•
•
:REMARKS '
Aa
•
TOWN OF QU'EENSBURY
Building- Department
•
Inspectors Report Date/ —7 /
Name (�i it ii? .
Location ,Q t '
. Permit No. 7®( 1 Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat' •
Waterproofing
Backfill
Final Survey •
Framing •
Sheathing
Roof Felt
Roofing
Siding •
Masonry Veneer / J—
Rough Plbg. P,o7/ U
Relief Valves
Wall Board '
Ext. Porches •
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors '
Plbg. Fixtures
Gar. Fireproofin•.
Door Closers
Chimney •
Water Meter Inst.
Septic Approval
F1OOrs . •
InsulationFoundation
Walls
•
Ceiling
a--;c7:411.4"3
,Building Inspector
•
REMARKS
•
TOWN OF QUE NsBURY
Buildai.g partnnent
Inspectors Report Date A?- 2 -' r /
N A�d/�<'� ,pd �Di,re-Ct.„. l-0
Location .2.4 r- 4 Z,)
Permit No. `70 Weather
Remarks
Excatra ti on
Footing Forms
Footing & Piers
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 14/7
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing _
Door Closers
Chimney
Water Meter• Inst.
Septic Approval
Floors
Insulation FOtindation
Walls
Ceiling
Building Inspector.
REMARKS .
/ ,/QQ c i
TOWN OF QUEENSBURY
Building Department
•
Inspectors Report Date
Name .
Locates /e) 44 , 1 ,tJ
Permit No. 7 3 (1 !Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill •
Final Survey 7
Framing / �
7\?'
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
a
• Buil ing Inspector
REMARKS
/0.`3 G.
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 8/0/
Name /77o
Location Zer".):ir /9'6 Zr_=Al
Permit No. 1 : , . Weather
/ J
o f Remarks
ExcalYa ti on
Footing Forms / e` ;
Footing & Piers
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 2`
Plbg. Fixtures
Gar. Fireproofing
Door Closers /
Chimney
Water Meter Inst.
Septic Approval .
Floors
Foundation
Insulation Walls
Ceiling
-1/57
Buildi Inspector
REMARKS
`�G ��'l '`i jj ` M4RlN C. MOSHrR
1 !GREFNWY,AlNOR1"
OLENSOLL4 NY 12801
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