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6033 a. CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date' OCT: ' 4 7_ci This is to certify that wor requested to be done as shown by, Permit No. has been completed. r This structure may be occupied as a O} -f//?l•`/ <>'J-e/// 3 Location / / : )r7)/l Owner 719 /1""))� /`,1' g/ By:Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector • CREATIVE "INSTA" PRINTING. GLENS FALLS. N Y 12801 I5 1 817 9 7-5 6 58 BUILDING PERMIT TOWN. OF QUEENSBURY No. 6033 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Martin C. Mosher • OWNER of property located at Lot 66 Helen Drive (St. No. 58) 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. 1. OWNER'S Address is 4 Helen Dr. Glens Falls, N. Y. Co m 2. CONTRACTOR or BUILDER'S Name Same 3. CONTRACTOR or BUILDER'S Address Same 0 ..rf 4. ARCHITECT'S Name cn rt- Fi rn N ri- (D f•-' 5. ARCHITECT'S Address - 2 N 0 ' t• C7 t.n ri co 6. TYPE of Construction—(Please indicate by X) . (D ) Wood Frame ( ) Masonry ( ) Steel ( ) 7. PLANS and Specifications 26 'x64 ' per plot plan, specifications and application No. • submitted including sewage system and three—car attached garage. 8. Proposed Use 0 CD One—Family Dwelling )v $5. 00 C/ 0 Paid ~- $ 80. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES i March 1 19 80 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the C7 town of Queensbury before the expiration date.) F-' Dated at the Town of Queensbury this 15th Day of August 19 79 N SIGNED BY �' for the Town of Queensbury Building and Zoning Irfspector TOWN OF QUEENSBURY t (Space inside block to be filled in by WARREN COUNTY, NEW YORK Building Inspector) Alication for Application No. PP ('rrmit Issued 19. . BUILDING AND ZONING PERMIT Penult Expires. . IQ . i:'.ning. District • \ : henI Work.% THREE (3) Copies of a PLOT PLAN, Drawn to scale •\i'i"r„`NI by showing the actual dimensions of the lot to be built Rciu:ii•KS. upon, The exact size, and location on the lot of the • . building to be erected or altered MUST BE SUB- _ MITTED WITH THIS APPLICATION. /� cy/ //' �-- 97.2 TOWNR O�,F QUEENSBURY 9 1 DATE A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK . AUG '1 51979 ��7 ANSWER ALL OF THE FOLLOWING. A.M. 8Pv✓ re-e- rp,M, The undersigned hereby applies for a permit. to-do the following work 7 1 8 1 9 110111112)112131415N e , � , , . e . e which will be. done in accordance with the description, plans and specifi- . . e , )y cations, and such special conditions as may be indicated' on the permit. Cl(7 • T e owner of this property is•. lNA'E) (P.O.ADDRE / /2,A0/ The person responsible for�i `��_su pei of the work insofar as the Building Code and the Zoning Ordinance apply is: (NAME) • (P.O ADDRESS)' Name.of Builder.'. . --.•. . .. . . . . . ._._ . :. . . . . ... . • • ... . .Address Name Of Plumber `'� ' • - Address Name of Mason Address Lot . .Number. �.�U� aEsti�d��of proposed work 3 •y U 0 O O- Name of Village 14,4 Name of Street Side of street: north ❑, east Cl, south O. west Nearest Cross Street Distance from this r.ross street o?02--0 Ft. Property is north 0,south X,east i i, west 0 from-Cross Street If on Corner, which corner,northeast ❑, northwest ❑, southeast ❑. southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY . .. Construction of a new building. Main Building ❑ Addition to a building. One-family, dwelling IF=' ❑ Alteration to a building. Two-family dwelling ❑ El Demolition of a building. -family apartment house ❑ Store building ❑ . . . .-car attached garage SK . . • 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, size and setbacks of pro- posed buildings, and the location of all existing buildings. NORTH Show proposed building(s) in dotted line and existing ' lzuilding(s).in solid line. Size of property . . .'. .t -i • • . ft. x / 7 0 ft �� Size and use of existing,buildings, if any y in s I iLlw Size of proposed building d Z.. . ft.x 4/ ft. Height (from grade to ridge) /s ft. Front yard ' ' 7' ft. • • • • Side yards it ft. and ' /1 ft. Rear yard 61 a 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.; . (OVER) 7-73—M. • (coned.) BUILDING SPECIFICATIONS., lam! Kind of construction: Wood frame, fire safe, etc. 1/. ,L --2 . . .• • •T "''`. . . . . . . . . . . . . . . . . . . . . . . . . . . . . • Will any second-hand lumber be used? `-"Y1-0 f so, for what Material of foundation walls Pa c- Thickness Depth of foundation walls below grade 6 2 ', Continuous foundation? . . . . � y Will there be a cellar? `�� . , If so, material of cellar floor _ Type of roof: Sloped or flat. Material of roof . . . A.e-sg. .,.; n Size,wood studs .. " x V ", spacing . . . ./4v. . . . . ."o.c., len th '• ft. Size, floor beams, 1st floor v� x /0 ", spacing / to "o.c., span /..3 ft. Size, floor beams, 2nd floorY A " x /0 C'spacing . . . . /. "o.c., span . . . . .% ' ft. Size, ceiling beams /✓ 4 " " x ", spacing a- , "o.c., span ?? ft. • Size, roof rafters or beams . .T✓.eu.4e%. . " x ", spacing . . . � .+"Z. . . . ."o.c., span 4, ft. a Exterior finish <r mWith what material? 4-2/6 O Finish of interior walls If garage is tp be atta , off what material is wall between garage and main building to be constructed? . of b Is there to be an opening between garage and building? tl'1.4 • . Kind of heating system . . . . . Oil burner or coal? / Will a flue-lined chimney be provided? .-. J / Depth of chimney foundation below grade 4 0 Height of chimney above roof. . . . . . . . . . . . .a. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .�. . . . . . . . . . . . . . .. . . . . . Will there be a fireplace? .:` Depth of fireplace hearth �� Will a toilet be installed?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a kitchen sink be installed and connected to water 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? AFFIDAVIT Town of Queensbury County of Warren State of New York I swear that to tb bard my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and co.i.•lete 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 . . TOWN OF QUEENSBURY BUILDING AND ZONING DEPARTMENT BAY AND HAVILAND ROADS RD #1 GLENS FALLS, NEW YORK 12801 APPLICATION FOR ;a PERMIT TO CONSTRUCT, ALTER OR ENLARGE A SEWAGE DISPOSAL SYSTEM WITHIN THE TOWN OF QUEENSBURY OCCUPANT°S NAME ADDRESS _ Q L 4 TELEPHONE_ 79 d - / 2 se OWNER'S ADDRESS _ ( -m_NUMB ER OF BEDROOMS GARBAGE GRINDER?_> (YES OR NO) TOPOGRAPHY: FLAT ROLLING, STEEP, SLOPE, GENTLE SLOPE, OTHER NATURE OF SOIL: CLAY, SAND , LOAM, GRAVEL, ROCKS, ETC. PERCOLATION TEST WATER SUPPLY: MUNICIPAD WELL, OTHER DIAGRAM OF PROPOSED SEPTIC SYSTEM c > IJ ;V. OTHER PERTINENT INFORMATION 1.T IS HEREBY AGREED THAT IF THIS APPLICTION AND PLANS ARE APPROVED, INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL BE MADE IN ACCORDANCE WITH DETAILS SHOWN. DATE e/,c/7JsIGNATuRE OF APPLICANT LAKE GEORGE PARK COiM1MISSION APPROVAL: (signature) (date) TOWN Cr VEE;XSMNRY WARREN COUNTY, NEW YORKC Application for: BUILDING PERMIT IN COMPLIANCE WITH TEE NEW YORK STATE ENERGY CONSERVATION CODE A permit must be obtained before,. beginning work. Answer all of the following: I 1. 'Gross floor area 0 l 7,: S - • 2. Type of heat ���V s�.�~c 3. Isthe building mechanlically cool� < �ed7 • iI 4. Percentage of area of Lindoor s sand; doors._/./ o •. A. .. Over 16% only ' 1. Uvalue of o gross areas of walls, roof/ceiling and floors , ;,•-,.:' ••;: ."� �:T exposed to ambient conditions ( ill"' y1P r^ J 5 ,ct o 2. Floor over hearted spaces Yes No a. Are foundations walls, insulated 'Yes No 1. If Yes, what is the R value I PT 3. Slab on grade Yes No /1) • a. If Yes, what is the R villue of insulations around perimeter of floor? ' ' rii � �re"� `� 4. Is basement heated Yes No a. R value of 'insulation . . . 5. Type of insulation Y . Under 16% only I • 1. U value of roof and floors exposed to: ambient conditions. 2. U value of exterior walls 3. U value of glazed area -167 4. U value of doors ' 5. U value of floors ever4heated lbpaces...- o t 6. R value of slab edge insulation-unheated. slab 7. . R value of slab insulation - 1heated slab. . . 8. U value of heated basement/cellar walls (above grade) 9. R value of heated •.basement/cellar wails. (below grade) 10. Type of: insulation. . ��-.� �� S �h ✓ • �td'�-f "� C. Controls J Q 1. ' Thermostat maximumheat setting �i; .�- i D. Duct slystems 1. Is duct system Iinstallac1 iia unheated areas Yee I �� a. If Yes, R value of duct installation b. R value of duct in other areas E. Piping Insulation 1. Siuo of hot water or cooling parrying agent pipe 2. R value of pipe insulation) F. Service water Heating 1 ' 1. Performance efficiency . , 2. Temperature control setting maximum 0WQ 1 \I G. For shimming pool only '• 1. Maximum heating' i 1 I 1 ' I ' S ' np.Thlarscfisc.scmMcm/IR nit WINK>apxJan ng.mJac PIR ilLMWm 7111‘ m nsRmm m lig m7s1.7111WILIUip.)sv*m i.okW./IlkW RIRfimJIIRW.,.� i iY THE NEW YORK BOARD. OF FIRE' UNDERWRITERS T ,y BUREAU OF ELECTRICITY �r_; 41 STATE STREET,ALBANY,NEW YORK 12207 Date L':•. ;.iit?..".-; ,, .I'• r, C• Application No.on file 4 : . .+ A iY -c THIS CERTIFIES THAT 1r.r only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of ra -t ,Y .. - - ,Y ,r. ,Y -< in the following location; 0 Basement 0 1st FL. 0 2nd FL. ,) _,''.'•_":_ Section Block Lot ;J U a was examined on and found to be in compliance with the requirements of this Board. a . _, FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ; OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT MERCURY AMT. K.W. AMT: K.W. AMT. K.W.- AMT. K.W. AMT. H.P. i5' VAPOR ,r. PY- DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS !Y SYSTEMS 7 '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 Y _. . . i� ,��j SERVICE DISCONNECT NO.OF 4i' S,',..' ' E R V I C E ;r., J� AMT. AMP. TYPE EQ��p i,e 2W 1,B"3W 30 3W 3,9'4W NO,OPER gCOND. OF CG COND. NO.OF HI-LEG OF.HI-LEG NO.OF NEUTRALS OF NEUTRAL '�' Y 'r OTHER APPARATUS:1 ' Y- a, L. .` 5.... ';� , U- y 'r ,Y r , ,Y �i >- - Y r Y N ti .. BRANCH MANAGER v- ,r ;Y Per ;Y U- ,y. ,r yr ritrcfrY c•rYilr�t [v�vr�z`r ycStcv[c•�c•���Y [vrm cv i1�1 vc>:[vc�eive m vet At(vet vat Alt vl[1tnfY1ie'tsure[vrvf[cfnrt r COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF-QUEENSBURY Buildnijj Department Inspectors keport Date /0 Name d Location /v 6'6 Ate'j¢ ¢�— Permit No. 6,0 3 3 Weather Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing J Sheathing ' Roof Felt C� 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 4_/ ' Door Closers Chimney Water Meter Inst. Septic Approval Floors . Insulation Foundation Walls • ` ://1/1- 2 Ceiliri Building 1? pector REMARKS X-ICj -e Q I},(4 l f ia� � • TOWN OF QUE S .v• Building Department Inspectors Report Datt , Name '(1`l 0 5 Il C►- Loccation Permit No. (D 0 Wezther Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill L Final Surveil Framing I J Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves ' Wall Board Ext. Porches Finished Floor Interior Trim j Stairs & :Tailing_ i Cellar Dr,. Tile . Concrete Floors Plbg. Fixtures Gar. Fireproofing i • Door Closers Chimney Water Meter Inst. . Septic Approval C97( Floors'1 Insulation FT-t-ndet_Lc Walls 12 "6 SAelAz Bu_l L-"ng .Ins.)2cto_ REMARKS CP„,(4174X(V4.--61 • • TOWN OF UE N I Building- Department hmpedtors ReportLoate Z Name ILI® �aP Location. i oT n �i Permit No. %heather^ • a 33 Remarks Excavation Footing Forms Footing & Piers • Foundation Cement Coat ; ... • Waterproofing ( Backfill • Final Survey �a _ Framing Sheathing Roof Felt 1 Roofing --__�_�_—__�.•_ Siding ' Masonry Veneer —.__ Rough Plbg. Relief Valves Wall Board . i • Ext. Porches 1 Finished Floor Interior Trim 1 Stairs & Railing: 1 ' Cellar Dr. Tile 1 Concrete Floors 1 _ Plbg. Fixtures • Gar. Fireproofing i _ Door Closers 1 `—^ Chimney Water Meter Inst. 1 Septic Approval • i f._r__.•e„__�. Fl o s ' 1 Insulation . 1Y//:ali III E7.211ding I ..s.psctor • REMARKS TOWN OF QUEENSBURY Building Department • Inspectors Report Date' Al`29 Name "74:j 1-- Location 4 A Permit No. ,a a 3 3 Weather Per Cent Remarks Complete • Excavation Footing Forms Footing & Piers C/ 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 4 ido ' do) 2 4'X - /