6834 CERTIFICATE OF OCCUPANCY
TOWN OF +QUEENSSURY
WARREN COUNTY, NEW YORK
natc Lb le 1 9
This is to certify that work requested to be done as ahnwn by Permit No.
has been completed.
This structure may be occupied as a
Jv C3rder Town Board
7%(7WN OF QUEENSBuRy
Building & Zoning Inspector
C Ie(w TV IC •• ry3T+ " pwl"TIMG Gf C"o r^LL% n v i23of
BUILDING PERMIT
TOWN OF QUEENSBURY No. 6834
WARREN COUNTY, NEW PORK
PERMISSION is hereby granted to Robert and Margaret Manney '
OWNER of property located at Upper Sherman Avenue Street, Road or Ave.
and porch)
in the Town of Queensbury, To Constructor place a Addition to mobile home ( living area
at the above location in accordance to application together with plot plans and other information hereto filed and P) 0
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance-
t-S r+'
t- OWNER'S Address is R . D . # 3 (D �
Glens Falls , N . Ye M ::3
W :5
:=5 m
2, CONTRACTOR or BUI LDE WS Name 'C
Martin C . Mosher
3. CONTRACTOR or BUILDER 'S Address
ci
15 Greenway North 0
Glens Falls , N . Y . rD
m
Fi
4. ARCHITECT'S Name
{f!
(D
Fi
AD
6. ARCHITECT'S Address '
C
(b
B. TYPE of Construction — (Pleas* indicate by XI
Cd
( X4 Wood Frame ( ) Masonry ( ) Steel l }
7. PLANS and Specifications 8 t x l 6 t additional living area and 8 r x l2 t porch
No per plot plan , specifications and application _
sukinitted . I-' �
r �
C F'-
8. Proposed Use F'- rt'
n P_
One-Family Dwelling ( additional living area and porch) `n 0
w
Fi rF
M r�
$ 5 . 00 C/o Paid P)
$ low 00 PERMIT FEE PAID — THIS PERMIT EXPIRES _ NoiramYtP�- l 193,.____ cu 0
(it a longer period is required an application for an extension must be made to the Building and Zoning inspector of the O,
FJ-
town of Ousensbury before the expiration date.) F
O
Dated at the Town of Queensbury this 27 th Day of April
SIGNED BY .J� (-� for the Town of Queensbury
Buildingfand Zoning inspector
� y
TOWN OF QUEENSBURY (Space inside block to ht• filletl in bv
WARREN COUNTY* NEW YORK Building Inspc%ctnr)
\I ,Irlic �ti,rn tier.
Application for l3cr-111it Issued 1q
BUILDING AND ZONING PERMIT P4 ,1-116% spires
/timt,u District
THREE 13 ) Copies of a PLOT PLAN. Drawn to scale
ng gthe actual dimrnsians of the la# #o be bull+ I<,• ,}:,,jwi
n, Tlie exact size. and location an the lot of the
dinQ to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. 'TOWN OF QUEENSIRUR`r'
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK APR 21 1981
ANSWER ALL OF THE FOLLOWING. 'A_
The undersigned hereby applies for a permit +a do the following work 7I8191� 11�i2k 11213141516
/ k d G�
which will be done in accordance with the description, plans and specifi- jk Ih + 1 'Vio u r
cations. and such special conditions as may be indicated on the permit.
The qwner of this property is:
ie /,». ?-!� ICJe.t - - .Vy0. 6rG?'a�r'x.0 e - Jtf Al-
. �.
--t• c . . . . . . . . cP o, r,aoassss
The person responsibit: r supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
„��. fY"'t!'4.;C.a-,. . - - - ✓- � AP 4
{NP.1NE}
Name of Builder - r .<.U . . . . . . . Address . . . . . . . . . . . . . . . . . . . . . .
Name of Plumber - . - , . . . - Address . . - - . . . . " . . . . . . . . . . . . . . . . . . . . .
Name of Mason /Z!?f_'7"' -'. . . . . . . . . . . Address - . .,+ 1 . . . . . . . . . . . . . . . . . . . .
Lot Number . . . . . . . Unit . . . . . . . . . - - Estimated value of proposed work S . . . . . . . . . . .
Name of village . . .�'44 4� *:r - ° --i ' . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . . . . . . . - . . . . . . . . . . . . . . . . . .
- . . .
,, y. ,.^,e.tititi,s,✓ . S c- : . • . . . Side of street. north , east ❑ , mouth Cl . west ❑
Name of Street
Nearest Cross Street . . . . . � 2[c.f . , . . . . . . . . . . Distance from this cross street . . . .c G� a? . . . . . . . . . . 1 t.
Property is north ❑ , south d . east C. 1 . west . . from Cross Street
If on Corner, which corner, northeast [3 , northwest , southeast Lam . southwest
('Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
C1 Construction of a new building, Main Bu"ding
One-family dwelling Q
Addition to a building. Two-family dwelling
Cl Alteration to a building. -family apartment house
D Demolition of a building- Store building
- , . -car attached garage C3
Other: . . . . . . . . . . . . . . . . . . . . . . . .
i
Accessory Building
: - . C7
One-car detached garage �
Other work. Descri Two-car detached garitge
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 sianies, the location and
size of the property, the iodation, size and setbacks of pro-
posed buildings, and the locatiaon of all existing buildings.
Kowrr+ Show proposed building(s) in dotted line and existing
Iaudding(s) in solid line.
Size of property . . . . /.-2 � . . . . ft. x
Size and use of existing buildings* if any . , . . . . • . . . . . . .
;49 _8 '"` Size of p�ropo� uilding s? ft. tc .
Height (from eto ridge) . . . . . . . .+�. . G �. . . . . . . ft.
Front yard . . . . . �`+__. �? . . . . . . . . . , ft.
� rz�. �-. ft. end •J .�?•��~. . . . . . it.
Side yards - . . . . . - -
,✓ t I ---- Rear yard . . . . . . . . . . . . . . . . . .i . . . . . . . - . . . . . . ft.
r Gs . . . . . . . ft. . . .
sourw � IL an corner. setback from side sts+eet , , . • . -
. .
Note. All distances are wrg, as maessorurd frotw street side
line to nearest part of building,
(OVER)
(cont'd.)
BUILDING SPECIFICATIONS4
Kind of construction: Wood frame, fire safe, etc.? , + +�� . '� : . . '� `_ rc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will any second-hand lumber be used? . . `. 72rfJ. . . . . . . If so, for what;' . . . . . . . . . . . . . . . . . . . . . . . . .
Material of foundation walls . . . . . . . J7 . ;, �C '�z -c + . . . . . . . . . . . . . . . . . . . . . . . Thickness . . . . _ . . . . . . . . . , . . . . . .
Depth of foundation wails below grade . . . . . . . �r . . . .
Continuous foundation? . . . . . . - . . .
Will there be a cellar? . . �, ? . . . . . . . . If so, material of cellar floor . . . c+- . .�9e ., , , , , , , , , , , , , , , , ,
Type of roof: Sloped or flat? . . . ! rr - _ Material of roof . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Size, wood studs . . . . . . . . . . . . . . . r'. _ . " x . . 1/ . . . . . . . . . . "', spacing �' . . . . . . . '"o.c., length . . . ft.
Size, floor beams, 1st floor . . . . . . . �? . . " x .
" ,,r- . . . . . . . . , spacing . . _ . 4+ . . . . . . '"4,C,. span. ' . . . . . . ft.
Size, floor beams, 2nd floor . . . . . . . . . . . " x . . . . . . . . . . . . . . ", spatting . - , . . . . . . . . . d.C.y span . . . . . . . . . . . _ . . ft.
Size, ceiling beams . . . . . . . . . . . . . . . . x - - - - - - - - . . . . . ", spacing . . . . . . . '"o.c., span . . . . . . . . . . ft.
Size. roof rafters or beams . . '* . . . . . . . . . . . spacing . . . . orF. &V . . . . "o_c., span . . . . . . . !v .%J-�- _ ft.
Exterior finish - L � w + '�c . . . . ! ' !. . . . . . . . . . - , . , . . With what material? . . . . . . . . .
Finish of interior walls . . . . . `� .'; . . . r a �.r._ts_�,� - . . . . . . . . . . . . . . . . . . . . . . . . . v.
If garage is to be attached, of what material is wall between garage and main buiJQing 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? . . . . . . - . . . M . � . . Depth of chimney foundation below grade . . . . . . . . .
Height of chimney above roof . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will there be a fireplace? , - . . . . . . . . . . . . . . . . . . . . , . . Depth of fireplace hearth . - - , , . . . . _
Will a toilet be installed? . .. . . . . . .
. . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . .
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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to tr• Aeyffof my knowlatlee and belief the statements contained in this application, to*etbrr with the plaas and specifications cations stthr
witted, are a true and aosa, ete statement of all proposed work to he done an the described ptermses and that of the $UILD
ING CODE, THE ZONING ORDINANCE* and all other laws pertain' to the proposed work shall be complied � specified or net.
and that such work is authorized by the owner.
Sworn to before me thin Sidnattu+e .. . .. . . . .. . .. . . . . (/✓� .. .. .- .- -. . .--. .--. . .. .
owme , OWNER"i A e T, .iR mlrecT. CONTRACTOR
dayol... . . .. . ... . . .... . . ... . . .. . . .. . . .. . . . ... . . ... . ..19.. .... . .
NOTARY PUBLIC, WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
By .. ...... ...... .. .... .. .. .... ..._... .-.-.-....._. ......................................,..... ............-.--..
TOWN OF QUEENSBURT A44A.4A4Er
Ai Ma H
C
WARREN COUNTY , NEW YORK AW OMW
Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE
ENERGY CONSERVATION CODE
A permit must be obtained before beginning works
ANSWER ALL of the following
r X
1 . Gross floor area r + w w ♦ . r . .� . + + r . + rw + + . . + + • . . , . . . • . . . + : : a + + + . . . . . • • + • . . . + � a . . . . .
2 . Type of heat . . . . . . . a . .rt-:: . . . . . . • . r • . + . . . . . . . . a . . . . . • . . + . . . . • . • + . . • + . . . . r . , r + . . . . . . . . . .
3 • Is the building mechanically cooled ? • . . ...::: : . . . . . . . . . r . . +.+ + • + + + . } • . . . . r . . . . , • . . . . . . . .
4 . Percentage of area of windows and doors . . . . . . + . + , • + . • + a . . . r . . . . . . . . . . . . . « r . . . . . . . . . . . . .
A . Over 16 Only
. Uo value of gross area of walls , roof/ceiling and Floors exposed to ambient
conditions w . . . a . r r a . a . . . . . . . . r r . . + + . + + . . . . . r a , . . . r . a . . r + w . . r . r . r r . . . . . . . r . . . • .
2 . _ Floor over heated spaces YES NO
S . Are foundation walls insulated? YES yo
1 . If PESO what is the R. value ? . . . _ . . . + . . . r . . . . . « « « . . . . . . . . . . + + } . . . . . . . . . .
3 a Slab on gx-^ide YES NO
a + If YF.SO what is the R value of insulation around perimeter of floor? r + . . . . .
. . . . • . . . . r • r . r . • • a . + a . . « r r r . + + . r . . w . r _ r r • . r . } + + . : . } . . . . r . r . • . . . . : r r . • . . . • + + .
4 . Is basement
heated? ��. YES NO
a a R. value of insulation . T . Y W4, 064, 00 • . . . 0, 04640160 . . . . . . . . . . r . 0 ,000 . • • • . r • . . . . . . . .
fr' 16%o Type[' of insulation
U . a a . • . • . • . r r . r . . + . . . . + . • . r . . r , . + . • . r . . . . . . r r r . r + + • . • . • a « • .
B . Under r
-�.G�--., - L�,G •`-''fir
1 . U value • of' roof land 'floors axxposed Ito +ambient rcoad3.tiQa►s . + .�.�='�I0J. . . . . . .
2 . U value of exterior walls • + . .� • . .7. . . . . . . • • + . . , . . .
3 . U value of glazed
+ r + r , ♦ ;efr . • . • . a • • . r Yr . . r r • + r r r
4 * U value of dbarB . } . . . . . • w . . • . . rr"+. rr • + . . . . ww . • aar rraa • • r . . . r . a . r r + r . + rr . . r . r . . . .
S . U value of floors over heated spaces . . . . + . . r . . + + r • + w ww . . . . wr . . . . . . . a . . . . . . . . . . +
6 . R value of slab edge insulation - unheated slab . . • r + . . . 1 . . . r • + . . • • . + war . . . a . . . .
Tr R value of slab - Insulation - heated slab + . . . } . . . . . . . . . . . l + . + . . . . . + . . • . . . . . . . , . .
$ r U value of heated basement/cellar walls (above grade ) . . . • . . • . • • • . . . • . . wr • . . . . . +
9 . R value of heated basement/cellar walls (below grade ) • + . . . . . . . l . . . • . • . . . + . • w . . .
.
10 . Type of :Insulation r . . r . rrr a ra . a . , . + + . . + . + . r . . + . . • . « . . . + . a • a • . + . r + . . • rr rrr
C . Controls
4 . Thermostat maximum heat $$'tti�'��", . . . . . r + r • . r w . . r r r r r r + . ♦ . r r . r r . r r . a r . . r r i r r r r . + r r
Do Duct temus
w Is duct
succt sy stem Installed im unheated
spaces ? YES
ES . ! . a r ► NO
aw If ES R value of duct Insulation
b . R -value o1 duct
in other . . . a + ► r } • } a Y . . . Y r r + } +
areal } r . a . r + w . ! r . r . a w . r , r r . r . . . • • . r • • w w r r . r + + . . . r a
E. Pivina 7�n hot n
r«a..war�
Size � hot water or cooling carrying agent piper . . + . . . . . . . . . . . . . . . . « . . . w . _ , . 10400
2 . R value of pipe insulation wr . . rr . • . . . . l . . } } . . . . . } . . • . . • . r . rr . . • . . w . w + . . . . . . . . . •
Fa Service Water
�Heat
/i�a�,
�rman a tyy iLyY iiNV
MY.
y . . a a . . + + . , r r a . . ! is . , . . r w r l r . r . a r . . + r 1 . r . r . r . + . . . r r r . . . . + r r
2 . Temperature control setting maximum . . . . . . . . . . . . . . . . . . . . r . . a . . . . . . . . ! l . . . } . . . « . .
Go For Swinmina Pool Only
10 t7aX7 MM I7eiL171g • . w . . r • • + . + . . . • . . . • . r . + . r • r . r r . rrr • r r . • . . . r a . + + r r . r r r r . • . . • * . . r «
Telephone No . i 9 �z J z S- e
App'l.toant l s Signature
Ass
TOW OF QUEENSSURY
B,jj Ug- Departmeut
RdP�t DakcI OF � 2�rr �
Naspe
# weather
permit Nw
Remarks
Excavation
Footin Forms
Foot.1n & piers
Founda Lion
Cement coat
Water roofin
Backfill
Final. Surve
Framin
Sheathin
Roof Felt
Roofin
Siding
Masonr Veneer
,Rau h PI
Relief Valves
Wall Board
Ext - Porches
Finished Floor
Interior Trim
stairs & Ra iin s
Cellar vr -
ile
Concrete Floors
pl jr , Fixtures
Gar . Fire roofin
,Door closers
Chimne
Water Metes Inst .
Se tic A roval
Floors
FoUn� r Rn
Insulation Walls
Ceilin
Bui ding In ctor
�� REMARK'S
TOWN OF QUEENSSURY
Building DQeparrtment
1 s Rem Date
Nair
Pcaniit No. Ga
Remarks
Excatga tion
Footin Forms
Footin & Piers
Foundation
Cement Goat
Water roofin
Bacicfill
Final Survey
Framin
ea thin
Roof Felt
Roofin
siding
Masonr veneer
Rough Pz
Relief valves
Wall Board
Isxt . Porches
Finished Floor
Interior Trim
Stairs & Pailin s
Cellar Dr . Tile
Concrete Floors
pabc.FII, Fixtures
Gar . Fire roofin
Door Closers
Chimne
(Water Meter Inst .
Be tic A royal Floors
FoLvida t ion �--- —
Insulation Walls - -�--'-
Ceil,in �-
Building .inspector
REMARKS
TOWN OF QU EENSBU RY
Building Mepartment
Irsrp Oftors Report Date
Name
I oocatien r n�.t .a
Perrsr�t mom j� Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
waterproofing
Bac7cfi 11
Final Survey}
Framing
Sheathin
Roof Felt
Roofing
Siding
masonrti Veneer
Routyh PI b
Relief Valves
Wall Board
Exte Porches
Finished Floor
,Interior Trim
stairs & Railings
Cellar Dr . Tile
concrete Floors
P1 . Fixtures
Gar . Fire roofin Id
Door Closers
Chimne
Water Meter lnst .
Septic Approval
Floors
Foundation
Insulation Walls
Ceilin
Building nspector
REMARKS
TOWN OF QUEENSBURY
BUZIdiug Department
Refit $,late,
Na�a�e
Remarks
FxcaOation
jG'Of.7t2n Farms
Footinc S Piers
Foundation
Cement Coat
Water rvofin
Hack€il
Final Surve
Frami.n
Shea in
Roo€ Felt
Rnofin
Sidin
Masvnr Veneer
Rou h PZ
Relief Valves
Wall Hoard
Ext . porches
Finished Floor
Ynterior Trim
Stairs & Ran s
Cellar Dr . Tile
Concrete Floors
pl Fixtures
Gar . Fire roofin
,poor Closers
Chiume
Water Meter Inst .
Se tic A raval
Floors --�—~-
FOu�
Insulation yw+alls
Ceilin
Sui ding Inspector
pE'MARKS
�ticssF' "vw2r
ll.�-st-�`7.- -�— �. h Cc.A fy �L. t..t.. ... �w "r'ti,.-t-z yr�.c. / ' MOSHE'7
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