8405 C/O Paid
CERTIFICATE OF OCCUPANCY
TOWN OF .QUEENSBURY •
WARREN COUNTY, NEW YORK
Date n n r r 1 192 5
•
•
This is to certify that work requested to be done as shown by Permit No. 8 4 0 5
' has been completed.. •
•
•
This structure may be occupied as a
This Dwellihng
Location Lot F Lakewood Estates Road (off Pilot Knob Road)
Owner
George S.. Morse
By Order Town Board
TOWN OF QUEENSBURY
•
•
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01`L .�L--� 1,/,(1,'
/ ,`-�� i Syr!tl'Y`
Building & Zoning Inspector
CREATIVE "INSTA" PRINTING. GLENS FALLS. N V 12801 I516)]93-5656
BUILDING PERMIT
TOWN OF QUEENSBURY No. 8405
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to George S S. Morse 10
Off Pilot Knob Road o
,o
OWNER of property located at Lakewood F's1-a tes Road Street,Road or Ave. II
in the Town of Queensbury,To Construct or place a
One-Family Dwelling
tn
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.
0
1. OWNER'S Address is 1 Washington Street �'
Cambridge, New York 12816
2. CONTRACTOR or BUILDER'S Name •
Same
3. CONTRACTOR or BUILDER'S Address
O O
Same rn rt.
I-h
rn
ro
4. ARCHITECT'S Name I-'•
I-1
O
rt (D
• O
5. ARCHITECT'S Address p 0,
Pi• =Pi
6. TYPE of Construction— (Please indicate by X) Q-' cf'
( )Wood Frame ( ) Masonry ( )Steel (X) Log
O
7. PLANS and Specifications fJ,
28 'x36 ' per plot plan, specifications and
No. application submitted including sewage system.
8. Proposed Use
One-Family Dwelling
0
$5. 00 C/O Paid
$ 105. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 1 19 84 "i
(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.) I..,
Dated at the Town of Queensbury this 2 0 fill Day of Apr i l 1984 C7
�q.SIGNED BY Q. 1-1C 1V.e�w for the Town of Queensbury 1--'
Building and Zoning Inspector
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 1508 sq. ft.
2 . Type of heat Electric baseboard
3 . Is the building mechanically cooled? No
4 . Percentage of area of wi1ndows and doors 16.8%
A. Over 16% Only
1. Uo value 'of gross area of walls , roof/ceiling and floors
exposed to ambient conditions 0.0716
•
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? 8.34
4. Is basement heated? YES NO
a. R value of insulation
5. Type of insulation Fiberglas batts, polystyrene. foam
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 .
4 . R value of doors•
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 80°
D. Duct Systems N/A
1. Is duct system installed in unheated spaces? YES NO
a. If YES , R value of duct installation
b. R' value of duet in other areas
E. Piping Insulation N/A
1. Size of hot water or cooling carrying agent pipe
2 . R value of pipe insulation
F. Service Water Heating
1. Performance efficiency, Meet ASHRAE Standards
2. Temperature control setting maximum 140° Max.. .
G. For Swimming Pool Only
1 . Maximum heating N-/A
Telephone No. (518) 677-3130 ( lG
(applir�it ' s signa e)
TOWN OF QUEENSBURY (Space inside block to lx filled in by
WARREN COUNTY, NEW YORK Building Inspector)
A�pPp lication for Application No.
Permit Issued 19
BUILDING AND ZONING PERMIT I'i�rmit Expires. id.
%cniing District
• \ AIR'uc• l Work$
r.
THREE (3) Copies of a PLOT PLAN, Drawn to scale App'::“•(l by
showing the actual dimensions of the lot to be built kc'n,;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.
/ — / ---- 6 -3. 3 „f73/g. TOWN OF QUEEI` SBLIRY
DATE E l�J 6Y II^ E ,y► EE -j
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
ANSWER ALL OF THE FOLLOWING. JR 1 3,1984
' '
The undersigned-hereby applies for a permit. to do .the following work A.M. 7P.M.
which will be done in accordance with the :description, plans and specifi- 7I8I9l1 U)12j1IBI3)4 5IS
e � . ® m � �. a �
cations, and such special conditions as may be indicated on the permit.
(._ .64/ /
The owner of this property is:
George S..Morse 1 Washington Street Cambridge, NY 12816
(NA".)E). (P.O.ADDRESS)
The person responsible for 'supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
Richard S. Morse, P.E. Morse Engineering Quaker Village Glens Falls, NY 12801
(NAME) IP.0.ADDRESS)
Name of Builder Address
Name of Plumber • Address
Name of Mason Address
Lot Number 6 • Unit Estimated value of proposed work S 45,000
Name of Village
Name of Street .I-akew.o.Qd.Estates Side of street: north 0, east2 El, ", south 6. west 0
Pilot Knob Road Distance from ibis crass street Nt•
00
Nearest Cross Street
Property is north 0;south P::,east i i, west ❑from Cross Street
If on Corner, which corner, northeast. L, northwest ❑, southeast D. southwest
(Designate by marking with an"X"in the correct space.)
NATURE OF PROPOSED WORK "OCCUPANCY •
r3 Construction of a new building. Main Building
❑ Addition to a building. One-family dwelling
Two-family dwelling ❑
❑ Alteration to a building. -family apartment house ❑
❑ Demolition of a building.
Store building ❑
-car attached garage ❑
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, sire and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH Show proposed buildings) in`dotted line and existing
Lakewood Estates Road huilding(s) in solid line. '
7
Size of property .32,890.84.sq.fticx cxxxxxxxxxxxftx
Ix LotS Size and use of existing buildings, if any .none
luliii •II
it C m Size of proposed building" 28 ft.x 36 ft.
t, Height (from grade to ridge) . . . .20!9" ft.
o
Front yard IO° ft.
• Side yards 45' ft. and 70' ft.
Rear yard • t ft.
SOUTH If on corner,setback from side street ft..
Note: All distances are net, as measured from street side
line to nearest part,ofbuilding.
(OVER)
7-73-14
A ..
(coned.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire salg, etc.?. . . Log Bearing Walls, Truss Roof
Will any second-hand lumber be used? o If so, for what7
Material of foundation walls Concrete Masonry Units Thickness 8"
Depth of foundation walls below grade 5 Continuous foundation? Yes
Will there be a cellar? No If so, material of cellar floor
Type of roof: Sloped or flat? Sloped Material of roof 1/2" CDX-235 Lb. Asphalt Shingles - 15 Lb. Felt
Size,wood studs 2 " x 4 ", spacing 16 "o.c., length 7e9•I ft.
Size, floor beams, 1st floor NA „x ", spacing "o.c., span ft.
Size, floor beams, 2nd floor 2 " x 8 ", spacing 16 "o.c., span 28 ft.
Size, ceiling beams 2 " x 8 ", spacing 16 "o.c., span 28 ft.
Size, roof rafters or beams 2 "x 8' ", spacing 16 "o.c., span 28 ft.
Exterior finish
Log Stain With what material?
Finish of interior walls. . . . .Log Exterior•Wal1.-.Sheetrock Interior
If garage is to be attached, of what material is wall between garage and main building to be constructed?
N/A
Is there to be an opening between garage and building? . N/A
Kind of heating system . . .Electric.Baseboard Oil burner or coal?
Will a flue-lined chimney be provided? Yes. . • Depth of chimney foundation below grade 5'.
Height of chimney above roof. . 23'
Will there be a fireplace? Yes. Depth of fireplace hearth 4'6"
Will a toilet be installed? Yes
Will a kitchen sink be installed and connected to water supply? . . Yes
Water supply (public water supply or pump) . Well .with.pump
Distance of cesspool from any private well 300' feet
Will drainage system be provided with required traps, cleanouts, and vents? . . .Yes
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to tt, oca i of my knowledge and belief the state • s n :to•. I • :•plica'• together with the plane and specifications sub-
mitted, are a true and co...plete statement of all proposed work . •• done on the d-: d.•. . sea and that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaim .. to the propo:•. we :11 be complied with,whether specified or not,
and that such work is authorized by the owner. `
Sworn to before me this Signature \OWNER.OW.ERS AGENT.ARCHITECT.CONTRACTOR
day of....��/�2 A. l7
Notary PLORtublic, State oTHOMASf New6 -York
NOTARY PUBLIC, WARREN COUNTY. N. Y. Washington County #4722845
Grp,. ►.i�,�t. 3e, pat
SPECIAL CONDITIONS OF THE PERMIT: I��a
•
•
By
•
•
•
TOWN OF OUFFNSBURY
BUILDING & ZONING DEPARTMENT . .
SEWAGE DISPOSAL PERMIT APPLICATION
1. Owner ' s Name George S. Morse ,
Address 1 Washington Street .
Cambridge, New York 12816 Telephone No. 6773351
2. Property location Lakewood Estates - Off Pilot Knob Road
3 . Name of person or firm responsible for in-stall-ina system.
Morse Engineering (Septic Tank & Pump•System) Telephone No. 792-5382
Address Quaker Village, Glens Falls,. New York 12801
4. Number of bedrooms (residential buildings only) 3 .
5. Daily flow 400 • gallons/day
6. Septic tank capacity . 1000 gallons
7. Topography: flat, rolling, steep
% of slope 0 _ 3 •
8. Nature- of soil and depth Fine Sandy Loam
9. If ground water, bedrock or impervious material is apparent at what
depth does it begin? • 0 _ 2,2 ft.
10. Percolation test: A XX is reguired(System approved by NYS Health Dept..
B - is not required
C If required what is the rate minutes/inch
•
11. Water supply: municipal, well, other
12. Type of system proposed: drywell, tile field, other Community Tile Field
Any contractor, corporation, individual, etc. engaged in- the construction
of a sanitary sewage disposal system who covers the same before inspection,
- does not have an approved permit, or varies from the approved application
will be subject to a penalty of $250 as '-pro ided for in Section 6 .010 of the
Queensbury Sanitary Sewage Ordinance. r
' Date ,1 U-7 < rA
signature of a cant
On separate sheet of paper submit a diagram of the proposed septic system
with all dimensions, including distance from any. structure, distance from
property line and domestic water supply, etc. Include all dimensions of
. the system itself.
Form 3-82 •
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL.NEW YORK BOARD OF FIRE UNDERWRITERS., ,_ x
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. •
CITY OR
VILLAGE TOWNSHIP cUeCnSbLUL i COUNTY Warren
i
STREET AND NO.OR
ROAD AND POLE NO. 1'�j`�Cy�t`o 1-StGSy T.�OL 6 POLE N O.
BETWEEN WHAT TWO .
CROSS STREETS IS
PREMISES LOCATED? Off Pilot T nob RC);1cI SECTION BLOCK LOT
OCCUPANT'S BUILDING
NAME Geoff?-` S. 5y101-tie OCCUPANCY
OWNER'S NAME
AND ADDRESS \teom"= 5, Morse I la.ShinCton Street Ca.i b ldee. NY 12216
CURRENT — -
SUPPLIED BY FROM THEIR OFFICE
BUILDINGW
DEFECTS
NEW❑ OLD❑ REMODELED CI IS
NEW L-1 ADDITIONAL❑ REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No. Fixtures&
NUMBER OF OUTLETS LampfReceptacles MOTORS HEATERS BRANCH CIRCUITS NUMBER OF LAMPS
Loca-
tion Side Attch't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Eaeh No. Gauge I F M.V.
Out-
side
Sub-
base
Base-
ment
1st Fl.
2nd Fl.
3rd Fl.
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE.
This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed,
you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant.
SIZE OF ELECTRIC SIGN TOTAL
MAINS FEEDERS LAMPS WATTS
CHARACTER EXPOSED GAS TUBE SIGN
OF WORK CONCEALED TRANSFORMERS OF VA
WORK TO BE (NUMBER) (CAPACITY)
STARTED COMPLETED SIZE OF SIGN
SERVICE MAKER
ENTERS
BUILDING OF SIGN
INSPECTION REQUESTED
ON OR AS NEAR AS
POSSIBLE � '�/ ! I .• l._ / NEW ri OLD
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS
NAME OF DATE OF
APPLICANT C;-,nrr.r, S T"ti•- zr, APPLICATION 7/2f;9,LL
STREET ADDRESS I W sNin%'t'c-7f Strc 't
CITY OR ZIP LICENSE NO.
POST OFFICE C7rn`-t'a'!�+' C'•"V CODE 12?i t WHEN APPLICABLE
46 EL(REV. 1/82) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
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TOWN OF•cV EENSBU RY
Building Department
Inspectors Report Date 7 I7✓,/
Name &-c '. /
Location ',L0;k CA1 c)✓; L
. Permit No. 11t4E$ . Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation / ! / )
Cement Coat / , /
Waterproofing f ( ( /j `-
Backfill ` t
Final Survey•
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg. /
Relief Valves
Wall Board �•.p.
Ext. Porches ,IN
Finished Floor /,-'O4 I N
Interior Trim V
Stairs & Railings i,%F99/<-
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures L.-7
Gar. Fireproofing f/7,4
Door Closers .//j/A
Chimney
Water Meter Inst.
Septic Approval
Floors •
Insulation Foundation
Walls
• 'Ceiling
•
•
C Building Inspector
REMARKS 6 GL L l�%Prr
TT A 14 L Ieci opt *r/NAL /YJ5P
S (h oKe �CT� Tc:•2_ Qom'
•
•
•
TOWN OF QUEENSBURY
Building Department
Inspectors 1;lt Date 7 94--. I
Name / c1
Location s4. &o 0e.;; 5'robs_- i%t
Permit No. X f 0 Weather
Remarks
Excavation •
Footing Forms
Footing & Piers
Foundation
Cement Coat
•
Waterproofing
Backfill
Final Survey
Framing L ( / •
Sheathing
Roof Felt
Roofing •
Siding
Masonry Veneer
Rough Plbg. (a)/
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 I"•- t.
Septic Appr. al
Floors
Insulation Foundation
Walls
'Ceiling
✓ Building Th-spector
REMARKS
TOWN OF•QUEENSBURY
Building Department
Ingsodars R9�oo°�rt Date .1/,�, /i l�
Name /; 7, S G
•
Location -- r9 /_y -.:bf1C 3
Permit No. 8 o.1" Weather
Remarks
Excaf,a tion
Footing Forms
Footing & Piers'
Foundation
Cement Coat
Waterproofing
•
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
• Siding
Masonry Veneer /
Rough Plbg. —11/97X7l. —v,vAFJe- Cove Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
\\*\. /NNN.-' N'
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Wahgs .
• Coiling
•
Building Inspector
REMARKS
TOWN OF'QUEENSBURY
Building Department
Inspectors Report Date 67/o 'yy
Name pn x� p Zit n 2 S c
Location L-� / /<P.wl)r�r� Sry`P _r
Permit No. gip , Weather
Remarks
Excatation
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
'Ceilin
Building Inspector
REMARKS
TOWN OF•QUEENSBURY
Building Department
Inspectors Report Date 7 1/
Name /77i 9 //
Location :2-4 `%'E i rn/> , Ps'!e",i/cic 7/5
. Permit No. 6,7 Weather
Remarks
Excatya tiofl
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
2eda_.,7
Building Inspector
REMARKS
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