8192 •
C/O Paid
•
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date March 26 - 1985 5 ,
This is to certify that work requested to be done as shown by Permit No. 8192
has been completed.
This structure may be occupied as a Motel Unit for Living nuarters
Route 9 north of Fxit 20
Location
Owner Tom and Irene Jones — Exit 20 Motel
By Order Town Board
TOWN OF QUEENSBURY
C.:2_1/(y /
Building & Zoning Inspector
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CREATIVE "INSTA" PRINTING. GLENS FALLS. N V 12801 15181793-5858
_, BUILDING PERMIT
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TOWN OF QUEENSBURY Na 8192
WARREN COUNTY, NEW YORK
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PERMISSION is hereby grantedto Tom and Irene Jones (Exit 20 Motel)' 5
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OWNER of property located at Route 9 north of Exit 20 Street,Road or Ave.
in the Town of Queensbury,To Construct or place a
One Unit Motel (living quarters) n
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. N
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1. OWNER'S Address is
581 Glen St. m
Glens Falls, New York
to
2. CONTRACTOR or BUILDER'S Name
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Valente Construction
3. CONTRACTOR or BUILDER'S Address
0
Route 9N Box 167 CD
Lake Luzerne, N. Y.
4. ARCHITECT'S Name •
0
5. ARCHITECT'S Address
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6. TYPE of Construction— (Please indicate by X)
( Wood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and Specifications t=1
22 tx24 ' per plot plan, . specifications and P,
No. application submitted. '(Will use existing septic) rl-
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8. Proposed Use
Motel Unit for Living Quarters
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$5. 00 C/O Paid •
26. 00 4
PERMIT FEE PAID—THIS PERMIT EXPIRES May 1
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the F�
town of Queensbury before the expiration date.) LQ rt.�.
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Dated at the Town of Queensbury this 27th Day of October 19 83 o
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SIGNED BY ~�qCs%C/J a• +�'1 y� for the Town of Queensbury r
Building and Zoning Inspector N
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TOWN OF QUEENSBURY - BUILDING DFPARTYENT
R. D. *1 BA) A`:D Y.AVILAND ROADS
GLFNS FALLS, NFV' YORK
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Phcne 792-5832
DATE: )0/4!rn
TO: / jrt_w_a
Our records indicate that you were issued a building permit
number '3 f ? on
for the construction of rl G
Our files show that the required inspections are incomplete.
If still under construction please contact this office .for an
extension of your • building permit, or if completed please
contact is so we can take your card out of the active file.
Next rewired inspection
For all new construction Town Law reauires a Certificate of
Occupancy to be issued by this Department before occupancy.
Noncompliance may result in legal action.
To avoid further delay and possible legal action, contact this
office to make arrangements to update your file.
OUEFNSBURY BUILDING DFPARTMENT
',
TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY, NEW YORK ' • Building Inspector)
Application for Application No.
�p Permit Issued 19.
BUILDING AND ZONING PERMIT Permit Expires. 19.
%c,nin;. District ,
• \ aloe c,f \1'cirk
THREE (3) Copies of a PLOT PLAN, Drawn to scale i I Y v
showing the actual dimensions of the lot to be built helm!O"
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
• MITTED WITH THIS APPLICATION. .
TOWN OF QUEENSBURY
G - I - 'a.L0 . /0/a 313.3 RE (0 -E, IV 14 uN
DATE
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK , OCT Z 01983 2l:
ANSWER ALL OF THE FOLLOWING. AAA. 4 4d P.M.
The undersigned hereby applies-for a permit to do the following work 7 g 91Q1%211`213141516
which will be done in accordance with the description, plans and specifi- • a 1° 1 ■ J°
cations, and such special conditions as may be indicated on the permit. • t h c - C 1 .
The owner of thisprooperty is:
r- ,\ c -,v ,"' '-Zs/Ltd / & i) cT, dz__ 9 -ag,
(NA`4E) (P.O.ADDRESS)
The person responsible for -supervision of the work insofar as the Building Code
'�and, the.Zoning Ordinance apply is:
' ��o t.::l--. V p�h�.'''cil-E Qji.-( 7 G;•.? -ay.�•<-- l.24 Z:s/ts-4--L-• 10•-� P
(NAME)
(P 0 ADDRESS) '�•� e
Name of Builder ()Pi L-Pi'fir' j` 1—r • Address Rom.�i 16- 7 - Ci--fu ez- _
Name of Plumber '`` Address --'
Name of Mason ' ' ''Lem • U49/('-`4"lZr7- Address :6 t( 1iz'7 (14- c-'-k- (-40-A`44-1---`"-®
Lot Number Unit Estimated value of proposed work 3 t21 `' `'
Name of Village
Name of Street Side of street: north 0, east 0, south 0. west 0
Nearest Cross Street Distance from this cross street Ft.
Property is north ❑,south a',east 5, west. 0 from Cross Street
If on Corner, which corner, northeast 0, northwest ❑, southeast 0, southwest
(Designate by marking with an"X" in the correct space.)
• NATURE OF PROPOSED WORK OCCUPANCY
Construction of a new building. Main Building
. g One family dwelling El
to a building. - Two-family dwelling ❑
El Alteration to a building. -family apartment house ❑
0 Demolition of a building. Store building ❑
-car attached garage - ❑
Other:
• Accessory Building
One-car detached garage ' ❑
Other work. Describe `'` ' Two-car detached garage ❑
t <Z. •Z (; `2� ,,,(., g p�,o-a,— ' - Private chicken house ❑
`., 4 s Private storage building ❑
,� k �,ty , . r6� 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, site and setbacks of pro-
posed buildings, and the location of all existing buildings.
NORTH
Show proposed buildings) in'dotted line and existing
•r (�� lzuilding(s) in solid line...//
Size of property . . / •T• • • • • • . ft. x 767) ft.
L-�5es*7,5 I
i27b , 14(r"•' : Size and use of existing buildings, if any
m ie. m Size of proposed building ZZ ft.x . .2 • . • . ft.
�`f
y �-�•-- -1 Height (from grade to ridge) / ? ft.
w I.._ _ i 1 Front yard - ft.
2 c • Side yards - ft. and ,.. ft.
Rear yard S 1 /'s.eL"2" (/. 1''2-.'.--- -2 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) .
?-73-M •
(cont'd.)
BUILDING SPECIFICATIONS., - -
Kind of construction: Wood frame, fire safe, etc.. . . .[ ""•P. • . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will any second-hand lumber be used? ' If so, for what2
Material of foundation walls v''4/1_--_-s0 C-ti`0,-/'"'., Thickness eS" •
Depth of foundation walls below grade �� Continuous foundation?
''
Will there be a cellar? l •, If so, material of cellar floor
Type of roof: Sloped or flat? . . . . C(J,�� . . • . Material of roof ''3 %- -r �3�/0— •
Size,wood studs x ", spacing 407 "o.c., length 49" ft.
Size, floor beams, 1st floor " x / ", spacing /' "o.c.,,span f•'( ft.
Size, floor beams, 2nd floor x ", spacing "o.c., span- - ft.
Size, ceiling beams " x G ", spacing . . .,/' . . . . . . ."o.c., span '=� ft.
Size, roof rafters or beams . . .2.r- "x ",�ssppcinng l 6 "o.c., span �`Z' ft.
Exterior finish ./� 6' `�'"'-" e .. • • • Wild what matert �
Finish of interior walls. . . . . . . . . . .. . . . . . . . L . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If garage is to be attached, of what material is wall between garage and main buiylding 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? ,--_' Depth of chimney foundation below grade
Height of chimney above roof
Will there be a fireplace? r1 Depth of fireplace hearth
Will a toilet be installed? y 4.-5
Will a kitchen sink be installed and connected to water supply? ,/ c.-3
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? y crs. ;
Town of Queensbury / AFFIDAVIT
County of Warren
State of New York -
I swear that to tt-bra r of my know,ledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are.a true and co.i.•fete statement of all proposed work to be done on the descri remises and that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed rk hall be mpl'ed th,whetthh specified or not,
and that such work is authorized by the owner. � ` ^
Sworn to before me this Signature
OWNER,0 HERS AG NT,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 ��r
3 . Is the building mechanically cooled?
4. Percentage of area of windows and doors
A. Over 16% Only
1. U 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. I•f 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_
/
2 . R value of exterior walls
3 . R value of glazed area f�. �Z
4 . R value of doors ✓�� 3
5. R value of floors over unheated spaces -�( ?
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
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 hot 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. 6 c -��0 �.
(applicant 's signature)
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h 1)001487 THE NEW YORK BOARD- OF FIRE UNDERWRITERS :•
� BUREAU OF ELECTRICITY 'y
I 41 STATE STREET,ALBANY,NEW YORK 12207 '
i' Date May v Application No.on file 0�S 7 4 8
0,' ,, THIS CERTIFIES THAT - ,T
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of Y'
Thomas C. Jones, Lake Geprge Road, Glens Falls s New York ,r
in the following location; ❑ Basement aa❑ 1st Fl. ❑ 2nd Fl. outside Section Block Lot
was examined on and found to be in compliance with the requirements of this Board. ;•
_ S/17/8�a ;:
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' FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT MERCURY
- VAPOR AMT. K.W. AMT. K.W. AMT. K.W.. AMT. K.W. AMT. H.P. !l
-Y 'T
51 I 7 Fr. '
i MULTI-OUTLET y
- DRYERS FURNACE MOTORS' FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS DIMMERS r•
SYSTEMS Y
'AMT. K.W. OIL ' H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. MAT. AMPS. TRANS. MAT. H.P. NO.OF FEET AMT.' WATTS ,Y
4 1 rango 66
.
,r
• SERVICE DISCONNECT NO.OF S E R V I C E '!!
AMT. _AM_P. TYPE EQU P 1,9'2W 1,if 3W 3 f 3W 3,9'4W NO:OPER ZCOND. OF CC.COND. NO.OF HI-LEG OF HI•LEG NO.OF NEUTRALS OF NEUTRAL 'r
lY i 4s ti r
1 . 100 CB 2 x 1 4/0 1 2/0
,; y OTHER APPARATUS:
j i
ELECTRIC ROOM A'TERS o 3- 1.5 kw,p 1- .5 kw
1- Smoke detector T•
- >
1- 15 amp GFCI Breaker •
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Nelson Lindstrand
' Glens Falls , New York 12801
BRANCH MANAGER
s :•
Per • i-
• 4- COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
P
TOWN OF•QU•EENSBURY
Building Department Inspectors Report Date / / r7C/
Name
Permit No: 3`1/2_ Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey 0__1^
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'
Foundation
Insulation Wa11s
•Ceiling • •
Oc.›
• wilding In pector
REMARKS •
OWN OF QUEENSBURY Building Department
Report Date GI / - r3
t
77 s o7z-77
ion
emit No. /1 9 Z Weather
Remarks
Excatya Lion �.q
Footing Forms (52
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
P1bg. Fixtures
Gar. Fireproofing
Door Closers .
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation '
Walls
Ceilin "
B ilding Ins ector
REMARKS
,
Valente Construction
.•.,�o �r.._��CIllliu��
Route 9N Pride and Workmanship is
Lake Luzerne, N.Y. 12846 the Foundation of Our Homes Phone (518) 696-2689
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