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5504 _ . /t1 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date Algrm 4,2 1971' is is to certify that work requested to be done as shown by Permit No. has been completed. This structure may be occ pied as a 2-) Owner .7 - By Order Town Board TOWN OF QUEENSBURY • Building & Zoning Inspector • CREATIVE ••INSTA•• PRINTING. GLENS FALLS. N Y 12801 15181793-5658 . BUILDING PERMIT TOWN OF QUEENSBURY No. 5504 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Martin Mosher rt OWNER of property located at Lot 41 Helen St. (St. #4) Street, Road or Ave. H' 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 `n approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. n 1. OWNER'S Address is R. D. #3 Upper Sherman Ave. Glens Falls, N. Y. 2. CONTRACTOR or BUILDER'S Name Same 3. CONTRACTOR or BUILDER'S Address Same ti r 4. ARCHITECT'S Name H ID H 5. ARCHITECT'S Address CD Ll) ft' 6. TYPE of Construction—(Please indicate by X) Cr) ( NI Wood Frame ( ) Masonry ( 1 Steel ( ) * qrk 7. PLANS and Specifications A 24 'x64 ' per plot plan, specifications and application No. submitted including sewage system and two-car attached garage_ 8. Proposed Use • One-Family Dwelling • $5. 00 C/O Paid $fin, n0 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 19 79 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) I-' C7 Dated at the Town of Queensbury this 4th Day of October 19 78 SIGNED BY for the Town of Queensbury Buildingind Zoning Inspector L4 TOWN OF QUEENSBURY (Space inside block to be filled in by WARREN COUNTY, NEW YORK . ' Building Inspector) Application for • 1)plication No. P� Permit Issued 19- BUILDING AND ZONING PERMIT Permit Expires. Ig /Amin District \ aim. „I Work$ THREE (31 Copies of a PLOT PLAN, Drawn to scale .\I)I,r„\t•(l by showingthe actual dimensions of the lot to be built ItcrnarKr . upon, Te exact sire, end location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. L/ I d G-k- j l 97 F �{ (v- TO-TOWN OF QUEalssI ,'SS U. �{ / DATE BEGINNING WORK ,' b fllj A PERMIT MUST BE OBTAINED BEFORE � OCT � 1978 ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies for a permit to do the following work A.M. P.M. which will be done in accordance with the description, plans and specifi- 7I819I10I11112)1I2I31415I6 e e & a < < i t & e. a e. cations, and such special conditions as may be indicated on the permit. A The owner of this ruperty is: . '1,4 ,` ,..i . .* . . . . . /g Xi •, G I / Cry". . . (NA''.E) IP O.ADDRESS) The person responsible for •supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: "/ "''' `� • A0.1E) . Name of Builder. . . ��,. •' '- •' •--s"� Address (P.0 ADDRESS) Name of Plumber. . Address Naei-te of Mason. . . . Address 5� Ro Lot Number P Estimated value of proposed work$ . �-'� • i Name of Village -�- Gib✓?s--?. � .''s• , Name of Street . .�,.r. . .rS.� x Side of street: north 0, east , south O. west 0 Nearest Cross Street t• Distance from this cross street ' G D • Ft. Property is north ❑,south ,tg,east [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 of Construction of a new building. Main Building ❑ Addition to a building. One-family dwelling ❑ Alteration to a building. Two-family dwelling CI Demolition of a building. -family apartment house ❑ Store building ❑ . . . -car attached garage Other: • Accessory Building • One-car detached garage ❑ ❑ Other work. Describe: • Two car detached garage Cl Private chicken house ❑ Private storage building El 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, size and setbacks of pro- posed buildings,and the location of all existing buildings. NORTH Show proposed building(s) in dotted line and existing buildings) in solid line. -1,; _. . Size of property / D ft. x �$ ' ft. Size and use of existing buildings, if any ' la 4 w Size of proposed building 4-�a ft.x . . 4. .'. . ft. ' i Height(from grade to ridge) o? D ft. glaFront yard "4/•.c- ft. yards ards o7,5-- ft. and . . . D ft. • ,.C--- ' Rear yard 'D ft. • SOUTH If on corner,setback from side street ft.. .. Note: All distances are net, as measured from street side line to nearest part of building. (oven) 7-73®M (cont'd.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe, etc2 •t•- .L_. .✓� '.-s• Will any second-hand lumber be used? . . 0. . . . . . . . If so, for what Material off foundation walls /O `' , e.i-*� Thickness Depth of foundation walls below grade y Continuous foundation fit Will there be a cellar? If so, material of cellar floor " Type of roof: Sloped or flat? . .� - •1•-. Material of roof . . .�",/4 xi lid .�-� !" Size,wood studs o2 " x ", spacing . . . .,/. .� "o.c., length P ft. Size, floor beams, 1st floor o2 ,"x lea ", spacing / S "o.c., span .. ft. Size, floor beams, 2nd floor " `/� ", spacing / ` . . ."o.c., span / ft. Size, ceiling beams ,.-.!-✓.� -e:=+t--/ ", spacing o/ 171 "o.c., span '.lv ft. Size; roof rafters or beams ...ri�i—4--L.�J x ", spacing e2 •7,/. . ."o.c., span .?. 4. . . ft. Exterior finish . . . . �.�.• With what material? . . .P.--t� _ �.✓ Finish of interior walls If garage is to be attached, of what material is wall between garage and main buialding to be constructed? Is there to be an opening be ween garage and building? ` ' Kind of heating system . . . Oil burner or coal? Will a flue-lined chimney be provide .� . Depth of chimney foundation below grade 4 Height of chimney above roof Will there be a fireplace? Depth of fireplace hearth / m Will a toilet be installed? Will a kitchen sink be installed and connected to water suppl ? - Water supply (public water supply or pump) . . . . . . . . . . . . . . . feet Distance of cesspool from any private well Will drainage system be provided with required traps, cleanouts, and vents? Town of Queensbury l AFFIDAVIT County of Warren State of New York I swear that to th• of my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and co.uplete 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. y Sworn to before me this Signature L7 ) `-2 _' OWNER.OWNER'S AGENT,ARCHITECT.CONTRACTOR day of 19 NOTARY PUBLIC. WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: • • • By TOWN OF QUEENSBURY BUILDING AND ZONING DEPARTMENT BAY AND HAVILAND ROADS RD #1 GLENS FALLS, NEW YORK 12801 APPLICATION FOR t+ PERMIT TO CONSTRUCT, ALTER OR ENLARGE A SEWAGE DISPOSAL SYSTEM WITHIN, THE TOWN OF QUEENSBURY OCCUPANT1 S NAME ADDRESS /e,C_ . 4 5• .... TELEPHONE l�st, G JNERQ S NAME ��1-2 . ADDRESS •' '*(y/ �CLc�ti , _ - NUMBER OF BEDROOMS__' GARBAGE GRINDER? /2,k/ (YES OR NO) TOPOGRAPHY: FLAT, ROLLING, STEEP, SLOPE, GENTLE SLOPE, OTHER Laic „ � . NATURE OF SOIL: CLAY, SANDY, LOAM, GRAVEL, ROCKS, PERCOLATION TEST WATER SUPPLY: PFiUNICIPAL? WELL, OTHER DIAGRAM O1 PROPOSED SEPTIC SYSTEM art --7;? OTHER PERTINENT INFORMATION ,1D2 7C J4.4 /71/ /7;47, IT IS HEREBY AGREED THAT IF THIS APPLICATION AND PLANS ARE APPROVED, INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL BE MADE IN ACCORDANCE WITH DETAIL SHOWN. DATE I/ , / SIGNATURE OF APPLICANT %-A4_16-2: LAKE GEORGE PARK COMMISSION APPROVAL: signature?) TOW OF QUEENSBURY• Building Department Inspectors Report Date 3 //.(/// Name ' / Location ; i: ?' �--/ C�,�= ✓, Permit No. it Weather Per Cent Complete Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat /� f 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 _ y Stairs&Railings 6�� � a • Cellar Dr.Tile Concrete Floors �r Plhg.Fixtures Gar.Fireproofing 4,0=0"- Door Closers Chimney Water Meter Inst. Septic Approval ��f�' Building Inspector \ reA 5 "° L-� REMARKS • TOWN OF QUEENSBURY- Building Department. Inspectors Report Date 7 Name A-1jisAw,- - ' Location . k 53(.- Lc 7- `•W Permit No. .-S o Weather Per Cent Complete Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat - Waterproofing Backfill • .Final Survey f Framing / ()Y Sheathing Roof Felt Roofing Siding • Masonry Veneer Rough Plbg. � (J 4_ Rough Htg. Relief Valves Wall Board Ext.Porches 2\c, 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 TOWN OF QUEENSBURY- Building Department Inspectors Reit Date /j-/-7P Name floc' • Location .//1) Lo/ 49 Vi Permit No. 6-3" it Weather Per Cent Remasics Complete • • 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 /000 REMARKS 6'1 -5-ePLIC TOWN OF QUEENSBURY' Building Department Inspectors Report Date Name h03A'e Location Zak Permit Nos5-cl T Weather Per Cent Remarks Complete Excavation Footing Forms (� _ Footing & Piers Foundation. Cement Coa\ Waterproofing 7)<Ar 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 J nn v1, 1 1a 11 1 S � • t1d S - -Pt) r N 7 7 b )' ' y. < 1° �� 'I