7172 C/O P? :LC,
• CERTIFICATE OF OCCUPANCY
TOWN OF .QUEENSBURY ,, ..
WARREN COUNTY, NEW YORK
'—'S
Date t_::). 19
€3 0 • L) '-- ( -30 . . .
This is to certify that work requested to be done as shown by Permit No. 771:r.32D,
has been completed.
. r , ,...i.
This structure may be occupied as a olk- ,`-`.- ' ��_'s �. �k:).1 �-'. ;- _I(i ti '
. 1 Location T,. .. 71 T7•- 1, :,:en. 7 < 4 E'1 . -
Owner bUt e4n 7,N()9j j .
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By Order Town Board
' TOWN OF QUEENSBURY
1
r� Building'& Zoning Inspector
6
A
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CREATIVE "INSTA" PRINTING. GLENS FALLS. N Y 12001 1518)793-S650 7
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 7172
WARREN COUNTY, NEW YORK -`
PERMISSION is hereby granted to Martin C. Mosher
OWNER of property located at Lot '60 Helen Drive (St. No. 46) Street, Road or Ave.
il
in the Town of Queensbury,To Construct or place a One—Family Dwelling • nrt-
at the above location in accordance to application together with plot plans and other information hereto filed and
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approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is 15 Greenway No.
Glens Falls, New York
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2. CONTRACTOR or BUILDER'S Name
Same
3. CONTRACTOR or BUILDER'S Address
Same
4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( )Steel ( )
CD
7. PLANS and Specifications
54Tx24 ' per plot plan, specifications and
No. application submitted including two—car attached garage
and sewage system.
8. Proposed Use
•
• One—Family Dwelling
$5. 00 C/O Paid o
06. 00 ' PERMIT FEE PAID —THIS PERMIT EXPIRES June 1 1982
(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 4th Day of November 19 81
C7
SIGNED BY c for the Town of Queensbury
Building and Zoning I pector l ,
N.
W
' 'TOWN OF QU-EENSBURY
(Space inside block to be filled in by
WARREN COUNTY, NEW. YORK • Building Inspector) -
• lication Application No.
pP for 1'eritit Issued 19.
BUILDING AND ZONING PERMIT Permit Expires. 1g.
7.uning District
\ aloe (It Work
THREE (3) Copies of _a. PLOT PLAN, Drawn to scale •\1'pi"-ucl hY �'!�' ( / 7
0f(2
showing the actual dimensions of the lot to be built IZyt»arKS
upon, The exact size, and location on the lot of the •
building to be erected or altered MUST BE SUB-
MITTEDid WITH THIS APPLICATION. 111 c' /kcld•I�•I� /yl
`�l n-r`�mG�c� -�/ r TOt31 J OF UEF1`15B.tW\
DATE
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK Q�� � �9 . 111
ANSWER ALL OF THE FOLLOWING. o0
r . �.
The undersigned hereby applies-for e- permit-to do ,the following work A.fv1. �, � � r✓
which will be done in'accordance with the .description, plans and specifi-. 7 . a,(IQ VF. 1j. 3( 4 j 516
A �A'� a,ll fl, 1 ,.7� [� A� I 0 d
cations, and such special conditions as may be indicated on the permit. • /v
he owner of this proper is: "
(NA•'4E) 1 (P.O.AUDRESSI � • • •.. . . . . . . . . . . . .
The person responsibly for :supervision of the work insofar as the Buildiri Code and the Zoning Ordinance apply is:
lei 1v7-1-
,(� (NAME) (P 0,ADDRESS}
Name of Builder. . ''"-'--• Address
Name of Plumber. . '� Address
Name of Mason • Address 5 y.06
I./`, Lot Number r`�� Estimatedue of proposed work 3 42 - -n
J 4 Name of Village . .,,��.//. .--. .//. . . . . . . . ' • ,�
�� Name of Street . .g!S!�-( !• • /1L` Side of street: north 0, east 0, South 0. west X
Nearest Cross Street . '6 ,._ <.-c-T Distance from this cross street t/P Ft.
Property.is north • 0,southeast i i., west. 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast D. southwest
. . (Designate by marking'With an"X" in.the correct space.)
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.NATURE OF PROPOSED WORK • OCCUPANCY
Construction Of a new building. Main Building
❑ Addition to a.building. , .: .. . One-family dwelling
❑ Alteration to a building.
Two-family dwelling ❑
❑ Demolition of a building. -family apartment house E.
Store building ❑
. . . c' -car attached garage Z-
Other:
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Accessory Building
One-car detached garage CI
❑ 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, size and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH Show proposed building(s). in dotted line and existing
building(s) in solid line.' '
Size of property ''' / 612-12 ft. x . ./. '•0. . ft.
Size and use of existing buildings, if any
. . F
U m Size of proposed building- v? ft.x . �F. . • . ft.
Height(from grade to ridge) a d ft.
Front yard ft.
Side yards - /' ft. and /Q ft.
i('Gc l(A4/ faA, Rear yard , '7, ft.
SOUTH If on corner,setback from side street • ft..
Note: All distances are net, as measured from street side
, . - .. line to nearest pare of,building. •
' (OVER) - . .
7-73—M ( .
t~
a
(coned.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.? `71�L-4 u:'
Will any second-hand lumber be used? t_ If so, for what?
Material of foundation walls l '`� Thickness
Depth of foundation walls below grade 6 6 b Continuous foundation? `2/ i
Will there be a cellar? . . Q%---/-'i If so, material of cellar floor '/ f' e-"-vt ,4.
Type of roof: Sloped or flat? ��^ ti Material of roof �� �'� ��
Size,wood studs "x .7 ", spacing / lP "o.c., length ft.
Size, floor beams, 1st floor �` " x ", spacing / "o.c., span lc-;? ft.
Size, floor beams, 2nd floor . . . . . . Z. " x 1 ", spacing / "o.c., span ./ ft.
Size, ceiling beams r✓i,°� „ x ", spacing . . . . . o.? �71. . . ."o.c., span . ' ft.
Size, roof rafters or beams 7316.4.... • . " x , spacing X "o.c., span ft.
Exterior finish g.(1.., ' Z'�� With what material?
Finish of interior walls Va " o5-1-2-4. 4—e c:-jv
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 garage and building?
Kind of heating system . . . .Lt_,:., Oil burner or coal?
Will a flue-lined chimney be provided? ✓�/ Depth of chimney foundation below grade . . . Z.0 "
Height of chimney above roof r� 'l• -.
Will there be a fireplace? 7 Depth of fireplace hearth
Will a toilet be installed? - .�
Will a kitchen sink be installed and connected to wa er 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 tt;-per j of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.1.•fete 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. t `J- u+
�:th-7. „� G
Sworn to before me this Signature
OWNER.OWNER'S AGENT,ARCHITECT.CONTRACTOR
day of 19 .
•
NOTARY PUBLIC, WARREN COUNTY. N. Y.
i
SPECIAL CONDITIONS OF THE PERMIT:
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By
TOWN OF QUEENSBURY V / p
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: l, -7
1 . Gross floor area l / 2- •
2 . Type of heat
3 . Is the building mechanically cooled? N Q
4 . Percentage of area of windows and doors [ Z. 5
A. Over 16% Only
1 . Uo 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 flo rs exposed to ambient conditions
2 . R value of exterior walls 1 - 2C
3 . R value of glazed area l ) 419
4 . R value of doors 1 5 ) S
5. R value of floors over heated spaces
6. R value of slab edge insulation - unheated slab NjJ .
7 . R value of slab insulation - heated slab ki?/4 .
8 . R value of heated basement/cellar walls (above grade)
9 . R value of heated basement/cellar walls (below grade)
10 . Type of insulation Ce LLo1zoll-i --)1 -ar) Sor7-
C. Controls
1 . Thermostat maximum heat setting
D. Duct Systems
1 . Is duct systbm installed in unheated spaces? YES NO
a. If YES , R value of duct "installation
N r
b. R value of duct in other areas ✓
E. Piping Insulation
1. Size of hot water or cooling carrying agent pipe
2 . R value of pipe insulation
F. Service Water Heating D/
1 . Performance efficiency E; ee
2 . Temperature control setting maximum
G. For Swimming Pool Only
1 . Maximum heating
Telephone No. 7 9;,2 — /2.5 0 ` /r(/(. ar✓
(applicant ' s signature)
TOWN OF OUEI_?NSBURY
BUILDING AND ZON:1NC7 DEPARTMENT
BAY AND 2-?sl¢,IDAND ROADS, R.D. 41
GLENS FALLS, NEW YORK 12601
APPLICATION FOR A PERMIT TO CONSTRUCT, ALTER OR ENLARGE
SEWAGE DISPOSALS STEM WITHIN THE TOWN OF C'UEENSBUX Y �/�
OC•CU.PANT?S �Yd�3+'l:E...._ � e," .-� - - _ .. .. —F..DDRr'SS � -- ' ,� ✓ 41,
TELEPHONE 79-2 - /",:z.g 0 OWNER e S NAME .
ADDRESS /3 ! 'm �' nd �f.[-�`! NUMBER OF BEPRC7OMS_
GARBAGE GRINDER? (YES OR NO) TOPOGRAPHY: FLAT, ROLLIN(;, STi EP, SLOPE,
GENTLE SLOPE, OTHER
NATURE OF SOIL: CLAY, SANDY, LOAM, GRAVEL, ROCKS, E°I'+
PERCOLATION TEST - WATER SUPPLY: 6t7NICIPA WELL, OTHER
DIAGRAM OP PROPOSED SEPTIC SYSTEM
G , ` /?- u - ( zS
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
^?ITH DETAILS SHOWN.
DATE ` 4,1-1/- / 9 ,39/ SIGNATURE OF APPLICANT % 2-,,✓ 6
LAXE GEORGE PARK COMMISSION APPROVAL:
(signature)
ti THE NEW YORK BOARD. O F FIRE
�a.�a,1-1,,1-1,���� .aa,,�a,�,1-1,��•i.l.,�- ,1-1, ..1,�a As_..�a tip.•i-In)•,�a tia•,�)_.,-a..-a•�)..•�a.�a.�a�a�a�a..14•,-)AP.•�".a,�a• •
E UNDERWRITERS
.' 4000334BUREAU OF ELECTRICITY
71) 41 STATE STREET,ALBANY,NEW YORK 12207
jDate October 20 D 1982 Application No.on file 507 61B a82 A 59278 6 • A
.<, THIS CERTIFIES THAT /�1 1eY
1 only the electrical equipment'as described below and introduced by the applicant named on the above application number in the premises of
-.,, Martin Mosher, lot 60 Helen Drive, Queen'bury, New York -
1 in the following location; ❑`:Basement El1st Fl. El2nd Fl. outside Section Block Lot
•1; was examined on and found to be in compliance with the requirements of this Board.
1, .O l3 2
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS 0
RECEPTACLES SWITCHES My�ERCURY
OUTLETS INCANDESCENT FLUORESCENT POp AMT. K.W. AMT. K.W. AMT. K.W.. AMT. K.W. AMT. H.P.
24 43 27 24 2 F O
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS
BELL SYSTEMS
* 'AMT. K.W. OIL ' H.P. GAS H.P. AMT., NO. A.rW.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET -AMT. WATTS
✓ L' EGA E.se,�l!'V
SERVICE DISCONNECT NO.OF 1 ii-Va s S 1t'�-1-"E R V I C E
AMT. AMP. TYPE METER
1,9'2W 1,R'3W 3,B"3W 3,B'4W NO,OPERt%COND OF CC.COND. NO.OF HI-LEG OF.HIrLEG NO.OF NEUTRALS OF NEUTRAL
i 4/0 t1
. 2/0
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tOTHER APPARATUS:
. Elec.Rocli1 Heateris :3- .5,2-1.0,4-.75,3-.5 kow.
k l-Smoke detector 0
1-15 amp G.12.1. breaker
0
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.
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g William C. Carpenter • 1111117-257,4:2->
5 HD# 2 Twin Mt. Drive
Glens Falls, New YorL 120311
BRANCH MANZR
,Y
Per �_� ;Y
vr Ili Av1Stv[v[v \* 11/lil Mit aY[sAiVilei tvicvnvryoivfletNvvt.va[viWIlit aft Au vet Nat vet vat vet\ri at vlb uvl ittleVitt UJ%if lanai v rvitrvitninillnitt '1
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF'QUEENSBURY
Building Department
Inspectors Report Date 7 Z 7_�Z
Plane ,�', l�
L.ocataon .'rfr, G'
_ . Permit No. 1 I .1 Weather
•
Remarks
Excatja ti on
Footing Forms
Footing & Piers CIA)
Foundation
Cement Coat 4".A1
Waterproofing
Ba ckfi l l /1f7$7-/)
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer ;;/::\
Rough Plbg.
Relief Valves
Wall Board /
Ext. Porches r.''
Finished Floor -
Interior Trim
Stairs & Railings V (,
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. FireproofingL
Door Closers
Chimney V 0,
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation '
Walls
Ceiling'
- 2:4 •ZO
• • - Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date
Name
Location % ,i �� �';� � 1.2),c .
Permit No: 7/ rl 7_ Weather
Remarks
Excalia ti on
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg. V di
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr, Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimne
Water Meter Inst.
Se tic A roval
Floors
Insulation Foundation
Walls
Ceilin
Buil•ing nspector
REMARKS
TOWN OF olUEENSBURY
Building Department
tf� r Date /-/2 -52
Name O
Permit No. ?/7a weather
Remarks
Excavation
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
Stairs & Railings
Cellar Dr, Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofin
Door Closers
Chimney
Water Meter Inst.
Se tic A roval
FlOors
Insulation Foundation
Walls
Ceiling
Building ector
REMARKS
TOWN OF QUEENSBURY
Buileling Department
Inspectors Repeat Date /` 7-8/
del 1 p.5A`er
t � Ga R
Permit No. 7/ 7 a We th er
Remarks
Excat'tation
. Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry' Veneer
--'\
Rough Plbg.
Relief Valves /
Board
Ext. Porches /
Finished Floor /
Interior Trim // \\.
Stairs & Railings �\
Cellar Dr. Tile /
Concrete Floors \—
Plbg. Fixtures f
Gar. Fireproofing . ___.__.,.o
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation FoUndatiOn
Walls ' _
Ceiling
1......)
B ilding Inspector
REMARKS
4 i_5--t-len 4c .
L.y'
21 r .Aox
..4-,
. 16.
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TOWN OF QUEENSBURy •
•
Building Department
Inspectors Report, Date f f — - ,
' Name /`'J,44
Location 'tn
Permit No. 7/ r/ 7- Weather
•
Remarks
•
ExcaVation
Footing Forms 1 .-
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
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval .
Floors
Insulation. Foundation "
Walls
Ceilin
•
eet _
Building Inspector
REMARKS
•
MARTIN a MOSHER •
15 GREEN WA NORTH
GLENS FALL NY 12801
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