1984-8381 BUILDING PERMIT
TOWN OF QU`EENSBURY No. 8381 .
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Martin C. Mosher
OWNER of property looted at Lot 14 Pine Wood Hollow Road Street,Road or Ave.
Street No. 23
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 0
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1. OWNER'S Address is fa
15 Greenway North :31
Glens Falls, New York
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2. CONTRACTOR or BUILDERS Name
same
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3. CONTRACTOR or BUILDERS Address z
sane o
4. ARCHITECT'S Name
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5. ARCHITECTS Address 0-
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6. TYPE of Construction—(Please indicate by X) 1•'
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1 )Wood Frame ( )Masonry 1 ,)Steel ( 1
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7. PLANS and Specifications 4 0)
2 6 r X 5 0" per plot plan, specifications and Q,
No. application submitted including sewage system
and two-car attached garage.
8. Proposed Use
tine-Family Dwelling o
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$5. 00 C/O Paid
$136. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 1 19 84 .
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the L4
town of Queensbury before the expiration date.)
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Dated at the Town of Queensbury this 5th Day of April 19 84 H
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SIGNED BY , �. N. r�( iYJ for the Town of Queensbury �
Building and Zoning Inswpect&,'
T E M P O R A R Y ,
CERTIFICATE OF OCCUPAN,
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.TOWN OF QUEENO RY
WARREN COUNTY, NEW YORK
June227 19 84
DateThis is to certify that work requested to be done as shown by Permit No. 8381
has been completed.
This structure may be occupied as a One-Family Dwelling
Location Lot 14 Pin Wood Hollow Road - 8 t. No. 23
Martin C. Mosher
Owner
Temporary Certificate of By Order Town Board
occupancy pending final TOWN OF QUEENSBURY
electrical.
Building b Zoning Inspector
'f R4A71VE.."IN TA 1,RIMKf,T44. 6[,M3 {A4L! M +, +' #, is t�ki!#p•4• .. x¢ A a
C/O Paid
CERnFICATE OF OCCUPA NCY
' y ,
wmmm COWM VW VMK
i June 27 19 84
This is to i tut work roquened to be dostC as shown by Pemwit No. 8381
has been P -
This structuire awy be occupied u a One-►Family Dwelling
Loeaaien
own" Martin C. Mosher
By Ckder To" BondTO" OF QUUNSBURY
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DUPLICATE
Cho. Paid
CERn, FICAPM Of OCCIRATA&*vY
TO" 1MAQUIVIS"Y
WARM WARMN CO Y '
June 27 19 844
This is to cett* *at work requested to U alone to sue, by P'*m t No. 83,81
has been co wok"
This structure my be occupied to a one-Family Dwelling
Lot 14 Pine Wood Hollow Road - Street No. 23
Owner Martin C. Mosher
l Order Taws BOOM
TOWN OF QUX040wity
WIN
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CRtATIyt.••N.iTA' rrwNTyp�.,ac,ua Kt44* e►Y.,, a t�.�.. ss,s�� .a,"' �}'., `ac,a^ , ,:r .x+,.,.',:
THE NEW YORK BOARD OF FIRE UNDERWRITERS
4000384
BUREAU OF ELECTRICITY
F_1f 41 STATE STREET,ALBANY,NEW YORK 12207
Date January 15, 1985 Application No.on file 0S4OU664 1�i►6
�. THIS CERTIFIES THAT i#
only the electrical equipment so described below and introduced by the applicant named on the above application number in.thOpf0mis"of
Martin waher, Lot 146 Pilaw Rood Hollow R*ad, Qw0usbur0s Om Tor
in the following location; ❑ Basement ❑ lat Fl. ❑ 2nd n. Section Block Cot
was examined on and found to be in compliance with the requirements of this Board.
12/3184
RXTURR RANGES DO= I DISH WASMRRS I 1IXNAUST PAMS
OUTUlTS MCMACM1 SWRCMRS NCANDESCENT FUlOKESCENT MW AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. I AMT. H.P.
'.w
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25 50 1
3 FR
DRYeRs MWAC I MOTORS Mn MI A MMMI NOON m=awrt Tn1E amn pLL UNIT MRAT�S DIMMieRS
MUM
OIL M.P. GM M.P. AMT. I NO. A.W.O. AMT. AMP. AMT. AMPS. TRANS. AMT. M.P. NO.Ct R1RT -AMT., WATTS
1tomas 11610
S=VICR DISCONNECT NO.OF S E R V 1 C R
AMT. AMP. TYPE I X 41N 1 X 3W 1 X SW 9 X 4W AM= Nc' PECC. A.
NO.OF HI-LEG OF NO.OF NEUTRALS
1 200 CS 1 x 1 4/0
'. OTHER APPARATUS-
1-MI ReaeptaCle
1 SM010 Detector
8).®es, Beaters 3r'1.SkM; 2-1 r 0kvt 2-.95kM; 4-►Skw
MUM C. Carpenter Assoe.fte. 239
P.O. Box 2014 WA MA "ft
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clans bails, vew Teak 12801 - •
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COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATEMUST NOT BE ALTERED IN ANY MANNER.