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8860 TEMPORARY CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY II WARREN COUNTY, NEW YORK Date February 22 . 19 85 This is to certify thIVat work requested to be done as shown by Permit No. 8860 has been completed!' This structure may be occupied as a One—Family Dwelling Location Lot 23 Pine Wood Follow Road (Street No. 5) Owner Martin C o Mosher TEMPORARY CERTIFIIfCATE OF OCCUPANCY FOR 30 DAYS I By Order Town Board TOWN OF QUEENSBURY • Building & Zoning Inspector C/O Paid ii CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date March 29 1985. This is to certify that work requested to be done as shown by Permit No. 88 6 Q has been completed! This structure may be occupied as a One—Family Dwelling Location 1 Lot 23 Pine Wood Hollow Road (Ste No0 5) Owner Martin C o Mosher By Order Town Board TOWN OF QUEENSBURY /-4 .� Cam_ ' _ Building et Zoning Inspector f REATIVE •'INSTA• PRINTING GLENS FILLS_ N Y 12801 15181793-S65B v BUILDING PERMIT TOWN OF QUEENSBURY No. 8860 WARREN COUNTY, NEW YORK F1,y4 1a W PERMISSION is hereby granted to Martin C. Mosher rt• (St. No. 5) - H• • OWNER of property located at Lot 23 Pine Wood Hollow Road 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 o approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. • CD 1. OWNER'S Address is 15 Greenway North Glens Falls, N. Y. 2. CONTRACTOR or BUILDER'S Name Same 3. CONTRACTOR or BUILDER'S Address - 0 Same tv ro 4. ARCHITECT'S Name • - .CD I,,! O 0, 5. ARCHITECT'S AddressCri " x 0 6. TYPE of Construction—(Please indicate by X) 0 (Q Wood Frame ( ) Masonry ( )Steel ( ) ;U O 7. PLANS and Specifications 0-1 26 'x54 ' per plot plan, specifications and No. application submitted including sewage system and two-car attached garage. 8. Proposed Use One-Family Dwelling '$5. 00 C/O Paid . o $ 136. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 1 -19 85 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the - 1'1 town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 2nd Day of November - 19 84 SIGNED BY 0 .82d.-i for the Town of Queensbury (p Building and Zoning Inspecto��� I ' f TOWN OF QUEENSBURY (Space inside block to lx' filled in by - WARREN COUNTY, NEW YORK Building Inspector) - Application for Application No. : PI' Permit Issued 19- NOotDING AND ZONING PERMIT Pa.,-,„it Expires. ' I11. . . /.(iili„. District , • • \ a l u°• n1 Work I THREE (3) Copies of a PLOT PLAN, Drawn to scale .\I>I -1 (Al by /'2—✓� ( 2 r ,0- ) . showing. the actual dimensions of the lot to be built Remar)3 • upon, The exact size, end location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. . • TOWN OF QUEENSBURY q 6 — 5— — a -3 L/2,,-(2, / - /9.f : [2E0E11E ' DATE .-d' A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK . NOV 1984, ANSWER ALL OF THE FOLLOWING. :/1W P/)) >✓ ' p,M The undersigned hereby applies for a permit to do the following work 71M,1€}11)12�1�2j3�4�5I6 which will be done in accordance with the description, plans and specifi- cations, and such special conditions as may be indicated on the permit. The owner of this property is: ,� / J / (NA-'E) (P.O.ADDRESS) - he person responsible for / -sppervision�work insofar as the Building Code and the Zoning Ordinance apply is: • f (NAME) ��jj�� (P.O.ADDRESS) Name of Builder jl ----x j e- ' ---4'U Address - Name of Plumber. . . t.!3'_- Address Nitrite of Mason Address Lot Number ...`, Unit Estimated value of proposed work S 27:1, C—ti- , --C2 - Name of Village . . . . -t-4c'. e U.-ch- -. Name of Street . . . - Syr 1-'`•- v G nW. . Side of street: north 0, east ❑, south )1(west ❑ Nearest Cross Street . ,__X. .;z•/i-:• -7.)(-a [. re,ilc a,. keit• Distance from this cross street 00 Ft. Property is north ❑,south ),east i 1,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 ❑ Alteration to a building. Two-family dwelling ❑ ❑ Demolition of a building. -family apartment house ❑ Store building -2-car attached garage ❑ • Other: • Accessory Building - • One-car detached garage ❑ ❑ Other work. Describe: Two-car detached garage El Private chicken house ❑ Private storage building El 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 luilding(s) in solid lil Size of property �� ft. x.741D `'7D.S-,ft. Size and use of existing buildings, if any ' . 0 13 I w Size of proposed building ' (; t� `-'� ft. Height(from grade to ridge) ft. Front yard .�0 ft. I �f � � ft. J Side yards /d ft. and v GU O-c� C1-GCr�- ) Rear yard /& 0 ft. - SOUTH If on corner,setback from side street ft.. .. 1,9,--?/1: Note: All distances are net, es measured from street side line to nearest part of building. (OVER) ' 7-73-m • (cont'd.) BUILDING SPECIFICATIONS.' Kind of construction: Wood frame, fire safe, etc.? - Will any second-hand lumber be used? If so, for what? Material of foundation walls . . . . Thickness Depth of foundation walls below grade . . . . 6. Continuous foundation? Will there be a cellar? e./.-- If so, material of cellar floor Type of roof: Sloped or flat? Material of roof Size,wood studs ._2_ x .4.7 ",spacing /6 "o.c., length 4/. ft. Size, floor beams, 1st floor x ", spacing /6 "o.c., span ft. Size, floor beams,2nd floor, " x 0 ", spacing "o.c.,span /2 ft. Size, ceiling beams "x ", spacing a Y. / "o.c., span ft. Site, roof rafters or beams ILIA-/C•2 "x ", spacing "o.c., span . . . . . . . . ft. Exterior finish . . With what material? Finish of interior walls If garage is to be attached, of what material is wall between garage and main bukletting to be constructed? I. 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? . . . / Depth of fireplace hearth /6 6/-ca Will a toilet be installed? Will a kitchen sink be installed and connected to watv 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 tee aof my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and complete 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 1144---Z OWNER.OWNER'S AGENT.ARCHITECT.CONTRACTOR day of 19 NOTARY PUBLIC. WARREN COUNTY. N.Y. • SPECIAL CONDITIONS OF THE PERMIT: • • • • By 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 • L O 2 . Type of heat 3 . Is the building mechanically cooled? + �4 . Percentage of area of windows and doors A . Over 16t Only 1 . Uo value of gross area of walls , roof/ceiling and floors exposed to ambient conditions • 2 . Floor over heated spaces YES NO a. Are foufl ation 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 ' 2 . R value of exterior walls 3 . R value of glazed area � Z 4 . R value of doors ) , 1‹ • 5. R value of floors over heated spaces 6 . R value of slab edge- insulation - unheated slab ; • • 7 . R value of slab insulation - heated slab V)Jlj . B . R value of heated basement/cellar walls (above grade) 9 . R value of heated basement/cellar walls (below grade) g 10 . Type of insulation ���5-d�DA51 PR'5P'o . C. Controls 1 . ' Thermostat maximum heat setting '7 0o D. Duct Systems • 1 . Is duct systbm installed in unheated spaces? YES , ro a. If YES , R value of duct installation . P/,q, 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 S�v 2 . Temperature control setting maximum 1 �-® G. For Swimming, Pool Onlys'^ .3.2 ' 1 . Maximum heating F . • • 4. • •• • Te a ephone.. No. 79- - /�.S C7 • '� 1. • • •; - ti (a;pplicant ' s signature) ' r • TUWLN U1' QU1. .i JbUitx BUILDING & ZONING DEPARTMENT SEWAGE DISPOSAL PERMIT APPLICATION 1. Owner ' s Name 0yxj,,,J � ti Address Telephone No. 7 �Z 2. Property location ?9,( 2„ ; ,� 3 . Name of person or firm responsible for installing system Telephone No. 'J y Z - /_2,�d Address N_Svb-vm1 4. Number of bedrooms (residential buildings only) 5. Daily flow s(,) gallons/day 6. Septic tank capacity ./ G� gallons 7 . Topography: flat, rolling, steep % of slope 8 . Nature of soil and depth (D4L,,,,,67 9. If ground water, bedrock or impervious material is apparent at what depth does it begin? ft. 10. Percolation test: A is 'reauired 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 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 provided for in Section 6 . 010 of the Queensbury Sanitary Sewage Ordinance.Date // / g`/ (_1/ signature of applicant 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. FILEJHIS COPY WITH BUILDING DEPT.WHEN REQUIRED. TEMP.# DATE CITY OR VILLAGE TOWNSHIP � // pp COUNTY ,fR• ROAD STREET AND NO.NO ` ' 'y,�� �, �/_V.,f_ POLE NO. ROAD AND NO. �l +�// 'ti7a�`'Z BETWEEN WHAT TWO CROSS EMI STREETS SLOCATED? E Sfi y l���T�,� SECTION -7 BLOCK jam LOT S PREMISES LOCATED? 0d1 r1?/r OCCUPANT'S BUILDING NAME OCCUPANCY cz5. j, x 14 i��./, 1^9 OWNER'S NAME ' TEL.# 9� AND ADDRESS /( � ��� CURRENT SUPPLIED yam/ •� ," - ! FROM THEIR C/JO,t OFFICE • IS NEW NEW Mr... / �O/LD❑ ��J IWS NEW // NEW ADDITIONAL D /REMOVED DEFECTS ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED • No.of Fixtures& BRANCH OFFICE USE NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS Loca- ONLY 'flan Side Attach`t H.P. Watts A.W.G. Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION Out- side Sub- I: - 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 j 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 OVERHEAD UNDERGROUND MAKER ENTERS BUILDING OF SIGN INSPECTION REQUESTED ON OR AS NEAR AS (� POSSIBLE NEW ` I OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NA E AN ADDRESS NAME OF �/ � /cl �1�..t �'� DATE OF } I �r tom/ APPLICANT f�`'� APPLICATION I I " / �A ! ,ems STREET ADDRE /../ / I�2. Q TELEPHONE# 79 J / CITY OR /` } `t�� F�/ ZIP tG�/ LICENSE NO. POST OFFICE , ' '�j CODE WHEN APPLICABLE • 46 EL(REV.1/84) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING �, 4 0 -, THE NEW YORK BOARD. OF FIRE UNDERWRITERS .r y : ii BUREAU OF ELECTRICITY � -, 41 STATE STREET,ALBANY,NEW YORK 12207 i' Date I tl n Application No.on file ' 8 3 3 7 1 i THIS CERTIFIES THAT !' ;y '"1: only the electrical equipment'as described below and introduced by the applicant named on the above application number in the premises of :r ,y I 'Y -<, E1Ttt' No@hc��� Piuot.©sd o11oca 3oed£ O penobu fl �c�:� Ir s�'�''s ,y in the following location; `� Basei.ment0 1st Fl. � 2nd Fl. OViit�� ,�fr Section Block Lot 3 :rP y • was examined on siii/5 , and found to be in compliance with the requirements of this Board. . FIXTURE FIXTURES MERCURY RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ; �. OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT AMT. K.W. AMT. K.W. AMT. K.W.. AMT. K.W. AMT. •H.P. '" •24 4 4 30 'i v�J 1 3 'L''s 'r . �I a . ( P - �' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS .r 0 'AMT. K.W. OIL .aik H.P. , GAS i�H.P. AMT.Ys NO. W.G. AMT. AMP. AMT. .AMPS. TRANS. AMT. H.P. NO.OF FEET -AMT.SYSTEMS • WATTS 'Y • �' I .'.S Lrr::ZSLS to t�",t 2) - G 1. 1��� 7�s .It.4�0 Y ii4, SERVICE DISCONNECT NO.OF 1 ),?,St-r2 fi'S W E, R V I C E AMT. AMP. TYPE METER �;4W �.3W 3,EY 3W 3)2(4W NO,OF CC.COND. A.W.G. NO.OF HI•LEG F W G• NO.OF NEUTRALS A.W.G. 'i EQUIP. i PER B' OF CC.COND. OF HI-LEG OF NEUTRAL 'Y 10 a zg 2 410 2 2/0 l� Y -Cl OTHER APPARATUS: I v cap, ELoeO Reaccer�so ©200� -��, 2 1a5? ; E - o0 g 3-o75 ; 1'o51.7,E r 1 !i - ,r 4.0 �' tiil1 inD RtCm. cti r Ac�J©ca o _. a( :S U O O Moil 2014 r-✓� ,� ' G `a New y9 19801 BRANCH MANAGER• � r c Per o II : izf YaYYiYYiVieYY�Y•iiiYYeYYtYYAP YiYYiYYi?YiiYYAYYlYY4YYiYYeY?ei-ieYeYlYYAY ile-(4`C YiYYeYeYYaYYeYYVrYeYeYaYYgYYaYYiYYaYYiYYaYYgYYi'r?iC ie'r'eYii.'V?eliiii' Y al'YiY ie^ieYiY rii iit - tsnov CAD QL in nIMdinconoTILACNT -rum rnov nF PFRTIFICATF MI IST NAT RE ALTERED IN ANY MANNER. TOWN OF QUEENSBURY Building Department Inspectors Report Date 3 Name /91477/1/ /!'last:may - Location L•&rca,3 p4b1AIDa Pe-- Permit No. (7 d Weather Remarks l , Excat)5 tion Footing Forms ( v( ) .` Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing • Sheathing Roof Felt Roofing �t Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches ✓ csl�i/ Finished Floor Interior Trim Stairs & Railings ,/ (QA--- Cellar Dr. Tile Concrete Floors _ Plbg. Fixtures "� Gar. Fireproofin Door Closers 4 Chimney Water Meter Inst. - Septic Approval Floors • Insulation FOUndatiOn Walls Ceiling 21-0,/e s� -Building Inspector REMARKS Srn 7`ec� l - QL rtet- TO 41.464J — 1 qa -/ Z Sb TOWN OF 'OUEENSBURY cC 5TA�--- Building Department Impeders Report Date -2J 9✓ t ' Name L.0 Ili / .'2 w __ O o I.'c, � in '5G Location i o l ? Jo i 4,H, '3rsr, MQ'7 .J . Permit No. '5'S p Weather OD G IO :41$f• Remarks Excafia t on 3® D k Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing • Sheathing Roof Felt , . - Roofing i/(yl✓ \ / Siding _,/ , /� \ P Masonry Veneer Rough Plbg. / Relief Valves + � / Wall Board !iI `7 / Ext. Porches ✓_f ' Finished Floor Intserior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors Plbg. Fixtures ✓' Gar. Fireproofing ,iJ# .S r41 Af 5 Door Closers too' p% Chimney Molt; Water Meter Inst. Septic Approval • Floors Foundation Insulation Walls Ceiling • liGCL/13?- J v. Building Inspector REMARKS l G�ol L 0-e-"u ^/ - (5,W74-- 13d-Y (?2- -a0`G. /It 0') 2) \" 1,/,. TOWN OF QUEENSBURY Building Department Inspedom Rem Date r`e�W 'K Name /1/11.'//01� Loral ,dV Z Pi kJ e c, Z- .4t tJ Permit No. TlY (0 0 Weather Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing • Sheathing Roof Felt Roofing Siding Masonry Veneer A 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 C...---77/279<--- Floors _ Insulation Foundation Walls Ceiling r G 2..� Building Inspector RE RRKKS . •��— / -07-611-7-/ 70 G f 4 ? ,a7. ce•a.- 4.� /i d- 712oti TOWN OF Q •EF SBURY Building Department Inspectors Report Date ///.3o /0 L./ Name M -, 7T'i) /)'j,�,1-A/c/7— Locat ! 3 / air JD��✓J ,//,�/ Permit No. �� G c7 1 Weather Remarks Excatation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey A Framing f ff • 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 l 6:6/1 • TOWN OF•QUEENSBU RY Building. .Department • Inspectors Report Date '1/0 d a /'8 71 • Name /y/2 —T«vJ /77o, Location ,�z t r� //0,r . Permit No. .,1u df( Weather s( (Q O • Remarks Excatva 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 'Ceilin • Building Inspector • • REMARKS MARTIN C. MOSHER 15 GREENW4Y, NORTH GLENS FALLS, NY 12801 � a,