8193 C/O Paid
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY,, NEW YORK
Date Marc 2 19 8 5
This is to certify that work requested to be done as shown by Permit No. 8193
has been completed.
This structure may be occupied as a Pd_dition to motel (4 units)
Location Route 9 north of Exit 20 11
Tom and Irene Jones — Fxit120 Motel
Owner
1, By Order Town Board
i TOWN OF QUEENSBURY
L Building & Zoning Inspector
CREATIVE "INSTA" PRINTING. GLENS FALLS. N Y 12801 15181793-5658
._ - . ' BUILDING PERMIT - _
TOWN OF QUEENS�URY No. 8193
•
WARREN COUNTY •
, NEW YORK - 1-3
0
PERMISSION is hereby granted to Tom and Irene Jones (Exit 20 Motel)' x '
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OWNER of property located at Route 9 north of Exit 20 Street, Road or Ave. N r{'
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in the Town of Oueensbury,To Construct or place a Addition to motel (4 units) el
at the above location in accordance to application together with plot plans and other information hereto filed and' - --it
approved and in compliance with the Town of Queensbury Building and.Zoning Ordinance. N
1. OWNER'S Address is • CD
581 Glen St.,
Glens Falls, New York -
' 2. CONTRACTOR or BUILDER'S Name '
-
Valente Construction
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3. CONTRACTOR or BUILDER'S Address -
rt
'_ Route 9N Box 167 m
• - Lake Luzerne, New York 12846 to
4: ARCHITECT'S Name -
. O
K
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5. ARCHITECT'S Address _
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6. TYPE of Construction- (Please indicate by X). _ • tV
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( 4 Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications -
20'x60' per plot plan, specifications and application
No. submitted including sewage system.
8. Proposed Use - -
Motel (4 units added)- . ¢
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•
$5. 00 C/O Paid rr
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116. 00 PERMIT. FEE PAID —THIS PERMIT EXPIRES May 1 19 84 --•
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(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of-the •
,a d-
town of Queensbury before the expiration date.) v 0
0
Dated at the Town of Queensbury this 27th . Day of October 19 83 rr
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SIGNED BY ��Gib 0 , for the Town of Queensbury
Building and Zoning Inspector ed
TOWN OF QUEENSBURY (Space inside block to Ix filled in by
WARREN COUNTY, NEW YORK Building Inspector)
•
A Iication for Application No.
PP Permit Issued 19.
BUILDING AND ZONING PERMIT Permit Expires. - 19.
Zoning District
• • \ aloe f1 Work'
THREE (3) Copies of a PLOT PLAN, Drawn to scale '\i)1"."'`•c1 l)• .e
showing the actual dimensions of the lot to be built Izciu irKf'
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION., •
3 ( I "'" 2. G f 01 .2 Sics3 TOWN OF QUEENS-BUR''
DATE RECE111('. 1 ri
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
ANSWER ALL OF THE FOLLOWING. OCT .0 19 3
The undersigned hereby applies for a permit to do the following work A.M. 7' (�1.1 124160 P.M. .
which will be done in accordance with the description, plans and specifi- 7I8I911101 1I12)1I2I3I4I5I6
cations, and such special conditions as may b a indicated on the permit.
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The owner of this property is:
7-6 al i :„2-9,tr,,,icr - ,,;c _- S S i Gl ace S^ - 6-,Lcs:.� 4 .
(NA' E) (P.O.ADDRESS)
The person responsible for -supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
`I/J�✓i,c-'C_ ihN CCU t` -- /6 �d /-.2. (..(.!2tr ryiv�.s l'U•-.l e. .
(NAME) IP 0 ADDRESS) z.p` ,��
Name of Builder /94- Address /67 _
Name of Plumber 'D "V I ✓1 Address ;' 4< , / c4 0,' f`t1,.
Name of Mason r (-- ut Address 0 t---) (6 7 1----e— ? -4-._I__,_""
Lot Number C--I-.? U'tiiT Estimated value of proposed work 1 . . ,c . (1v-0
Name of Village 10 k-('s • ' . ZAAKCi '
Name of Street ��'t Side'of street: north ,Er, east El, south ❑. west El
Nearest Cross Street �'�' / S Distance from this cross street /f .c> ° " Ft.
Property is north p4,south ❑,east i i,west ❑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 ❑
Alteration to a building. Two-family dwelling ❑
• ❑ Demolition of a building. -family apartment house ❑
Store building ❑
-car attached garage ❑
• Other:
. /YlJtd.'.n5. .Se'AT7c
Accessory Building Li(( u r One car detached garage
l] Other work. Describe �� Two-car detached garage ❑
3 V(�. tr s'S Cf r Q n 7 9c t Private chicken house ❑
t �j Private storage building ❑
(>a. l 3Other:
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, sire and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH Show proposed buildings) in-dotted line and existing
•
• , lees l;uilding(s) in solid line.
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Size of property. / � ft.'x 7 ft.
-�S�sh,s I
.t,u4 Nam"' I Size and use of existin buil in , if any .�3'.`( t.5•'. . •
- - - -
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In
G� w Size of proposed building . . , `- ft.x rO 4 ft.
Height(from grade to ridge) f S` ' ( y ft.
\ Front yard ( • -,3,•,c„-i. ei,f.3r2:rrJ�e cas-ft.
Side yards 8 ft. and ft.
Rear yard 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 S .
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.?. . . . W i:4 T�` ..
Will any second-hand lumber be used? If so, for what
cy—
Material of foundation walls f'�'-0 8- `r Thickness `r
Depth of foundation walls below grade '`f Continuous foundation?
Will there be a cellar? /'''' If so, material of cellar floor
Type of roof: Sloped or flat? S LVcrip Material of roof T l o'2 c j4' e — /' jam 'A
Size,wood studs . - "x 6 ",spacing /C "o.c., length e• ft.
G i,
Size, floor beams, 1st floor �. . . . "x ", spacing r "o.c., span / ft.
Size, floor beams, 2nd floor - " x ", spacing ----. "o.c., span --- ft.
Size, ceiling beams l-- " x ", spacing r "o.c., span ftl-t'Lus S
�
Siie, roof rafters or beams — 2
� - . "x . .� .� ", spacing "o.c., span j, ft.
Exterior finish ''"i2..4--0`'/-c_ ' 1 P eel With what material?
Finish of interior walls. . . . . . . .•.$`u-?:'L' • • • •.. . . ^•!..... . . . . . . . • • • • • •
If garage is to be attached, of what material is wall between garage and main budding to be constructed?
Is there to be an opening between garage,and building?
Kind of heating system . . . .e____,--c.,„,,....4-7z4
C.- Oil burner or coal?
Will a flue-lined chimney be provided? . 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? 1 ' ,
Will a kitchen sink be installed and connected to water supply? a
Water supply(public water supply or pump) pq•-&.P:•i..k.C., • •ti-04 A111''1., f
Distance of cesspool from any private well feet
Will drainage system be provided with required traps, cleanouts, and vents? . . . .j/.te —
Town of Queensbury AFFIDAVIT -
County of Warren
State of New York '
I swear that to tt 1td�i of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are.a true and co.:.plete statement of all proposed work to be done on the d : ribed premises and that all rovisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the pro..: .1 work s plied wi whether specified or not,
and that such work is authorized by the owner. [ti^�`R�/ / (JjJ/
Sworn to before me this Signature
O"NER•OWNER'S AG T,ARCHITECT,CONTRACTOR
day of 19
NOTARY PUBLIC. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
By
TOWN OF QUEENSBURY
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:
1. Gross floor ' area
2 . Type of heat
3 . Is thebuilding mechanically cooled? 3
4. Percentage of area of windows and doors A. Over 16% Only '
1. Uo value of gross area of walls , roof/ceiling .'an_d 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 exposed to ambient conditions
r� O - r4S.
2 . R value of exterior walls
3 . R value of glazed area Val._ Ct Z
4 . R value of doors 1 c 3
5. R value of floors over unheated spaces 2_, c
6. R value of slab edge insulation unheated slab
7 . R value of slab insulation — heated slab
8. R value of heated basement/cellar walls (above grade)
9 . R value of heated basement/cellar walls (below grade) •
10. Type of insulation
C. Controls J
1. Thermostat maximum heat setting
D. Duct Systems
1. Is duct system 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. Size of h'ot water or cooling carrying agent 'pipe
2 . R value of pipe- insulation F. Service Water Heating
1. Performance efficiency
2 . Temperature control setting maximum G. For Swimming Pool Only
1. Maximum heating
Telephone No. ai;‘---0‘1' a—sr r' •
- la ' cant ' s signature)
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f; , � THE NEW YORK BOARD, OF FIRE UNDERWRITERS
1, BUREAU OF ELECTRICITY 'Y
1; 41 STATE STREET,ALBANY,NEW YORK 12207 ii
Date y 1 84 Application No.on file ii ��f �'i�n • /� 620659
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 ;Y
4 Tom 6 Irene 3vhe n tot 9 Quecnobn D Usv YoTk. ;r.
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:<‹: in the following location; ❑ Basement 0 1st Fl. ❑ 2nd Fl. oue + e Section Block Lot
91-1
,i • was examined on and found to be in compliance with the requirements of this Board. r .
FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
s= �� OUTLETS INCANDESCENT FLUORESCENT MVAP�O�RY AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. ,
f.3 j,
it q 9% 90 1% 5 i><n
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS :1?-
4 '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 "u'�'T. WATTS
:; ;r
�; SERVICE DISCONNECT NO.OF S E R V I C E
�� AMT. AMP. TYPE METER 1,.0.2W 1,B 3W 3.E 3W 3,0 4W NO:OPERC.e,COND. OF CC COND. NO.OF HI-LEG OF.HI LEG NO.OF NEUTRALS OA.
EN W.
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_' 1, V '1 Ir T 1 7 1 /fl 1 9/0 ;v
4 OTHER APPARATUS: ,y
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-(1 ;PI" 7717( 0‘7 :10
' Valente Coot cf�io
2<' Old 3togG Road 'I
!( BRANCH MANAGER ,v •
r<; Lake LIMO 0 5 Viou "�✓r�� `128- 6 ,i . .
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IYYY YY YY YY1YY YY YYiYY YY YYYYFYeYiYYiYY4YY - -.rYY YYIYYsYY YY YY YYYY YY VI'YY YY YY YY YY.VI Y'i Y'i YY'CI;Y?Y',YY YY'Cr Y Y Y'Y FY YY YY`CY Yti Y'i?'r yy-fY
COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
•
•
TOWN OF•QU•EENSBURY
Building Department
Inspectors Report Date /c/1
Name O/1/ I c'AJP v tt
Location X-fA Z ) / b7 �. P 9
Permit No. Pi 93 Weather
D /1 e MOOD/ e-,b Remarks
Excatta tion
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. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
• Insulation Foundation
Walls
'Ceiling
Building Inspector
REMARKS
1 Ca u �
TOWN OF QUEENSBURY
,Building Department ,+
Inspectors Report ate 2 1 C► Y
Location
Permit No. 3 Weather
Remarks
Excavation •
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry_ Veneer �j t1
Rough Plbg. ( i
- 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
loors '
Foundation
Insulation Walls
• eilin ' '
.tom!/
B % ding Inspec or
REMARKS •
TOWN OF QUEENSBURY
Building Department
Inspector: Dat /
Name
Location (1%
Permit No. l c 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. Fireproofing
Door Closers
Chimney
Water Meter Inst. NN
Septic Approval
Floors
Foundation
Insulation Walls
'Ceiling
•
B ilding Ins ector
REMARKS
•
• TOWN OF QUEENSBURY
Building Department
Inspectors Report Date l j` 1 —f 3
Name
Permit 1Vo. • Weather
Remarks
•
Excavation \
Footing Forms /, 1
Footing & Piers ,0IV Qvi/
Foundation C /Yd),(T1 a /
' Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt /
Roofing
Siding
Masonry Veneer
Rough Plbg.
7
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
• uilding In pector
REMARKS •
Valente Construction
• �p� ��IVlpu
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Route 9N Pride and Workmanship is
Lake Luzerne, N.Y. 12846 the Foundation of Our Homes Phone (518) 696-2689
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Valente Construction
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Route 9N Pride and Workmanship is
Lake Luzerne, N.Y. 12846 the Foundation of Our Homes Phone (518) 696-2689
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