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8401 BUILDING PERMIT TOWN OF C UEENSBURY No. 8401 WARREN COUNTY,NEW YORK PERMISSION is hereby granted to George and Marilyn Stark (Mohican Motel) OWNER of property located at west side Route 9 north of Route Street,Road or Ave. 149 w in the Town.of Queensbury,To Construct or place a 7 Unit Efficiency Apar tmerits M 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. Qs 1. OWMERS Address is 37 Glenwood Ave. r Glens Falls, New York L< 2. CONTRACTOR or BUILDER'S Name IX Wesley Veysey 0 N• a 3. CONTRACTOR or BUILIDER S Address 61 MacArthur Drive Glens Falls, New York o rt M 4. ARCHITECTS Name v 5. ARCHITECTS Address 0M �Fl to rt N © W 6. TYPE of Construction—(Plesse indicate by X) w1-h N (3Q Wood Frame 1 )Masonry 1 )Steel ( ) O rtG 7. PLANS and Specifications mrtM28 'x98 ' per specifications and application No. submitted including septic system which will o� be Department of Health approved. 8. Proposed Use 7 Unit Efficiency Apartments in Motel Complex $5. 00 C/O Paid Per Unit = $.35.00 c 200. 00 � $ PERMIT FEE PAID—THIS PERMIT EXPIRES November 19 84 H; (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?J 1•h ►-h Dated at the Town of Queensbury this 23rd Day of April 1984 n ` :3 SIGNED BY for the Town of Queensbury Building and Zoning Inapector 1< b ct TOWN OF QUEENSBURY (Space inside block to Ix. filled in bv WARREN COUNTY, NEW YORK • Building Inspector) Application for Application No. . Pp Permit 1s,uc'd 19. BUILDING AND ZONING PERMIT Permit Expires. lg. 7.oniii4,4 District . ) _. . \ aluv of Work/ THREE (3) Copies of a PLOT PLAN, Drawn to scale '\I'► 0 c•d b G showing the actual dimensions of the lot to be built. ItymarKc upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. I 1iR]��I<.1P.Y 3 q — 7 -3 .Y/hi / 'fOWI�I OF C4L1EE DATE D A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWING. P R 219 The undersigned hereby applies for a permit,to do the following work f43,-L`e f which will be done in accordance with the .description, plans and specifi- A'M 1011`12�1) 3 �, ,16 e � cations, and such special conditions as may be indicated on t e permit. 7�8I . ° _I ' i The owner of this property •s: r /(Moh;call Morel RECIEAVE �, . ��67�d 1' Pia.C/./t, )--. . . s'- -._..t'�"'✓. . . . . . . . . . . .33 G/e,v oJ� .,,. 6:ic- (NA'4E) (P.O.ADDRESS) The p so respgnsible fo) • supervision of the work insofar as the Building Code and t e Zoning Ordinance apply is: . '.., Vejs� c," "'A •/NA E) ) Name of Builder. .‘1 Shy:. . /4/5-:e/. . ... ... . . . . . . . . . .Address .S'..4-)— Name df Plumber. . .,�je- '1-. Address Name of Mason. . . . •i-4% �y Address ® e .6?y1?� . P Unit . . . �i n. . . . . . . Lot Number � Estimated> value of proposed work I .--..---,,. . . .-. . ��. �,. Name of age a'1 At-- 0-i4.e'�' -d o,ey Name of Street . . . ", ? Side of street: north 0, east 0, south O. west A' Nearest Cross Street e€/' // Distance from this cross street . . . 1 ;'4 Ft. Property is north !:i,south ❑,east Ti, west 0 from Cross Street If on Corner, which corner, northeast 0, northwest 0, 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 r ❑ 7-Other: ' c /4,1-7r /47t • 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, site and setbacks of pro- NORTHposed buildings, and the location of all existing buildings. Show proposed buildings) in dotted line and existing • huilding(s) in solid line. Size of propertyy ��ft. � ft. - Size and use of existing buildings, if any i c/A,/�,✓� m Size of proposed building . .cf . . . ft.x . . ... ... . . . ft./WO/0 Height(from grade to ridge) !,� ft. Front yard ft. Side yards . . C . . ft. and ft. r ft. Rear yard . . � • •/oP� SOUTH ` If on corner,setback from side street ft.-74 . /, '9 - Note: All distances are net, as measured from street side . . line to nearest part of building. (OVER) 7-73-M (cont'd.) BUILDING SPECIFICATIONS., Kind of construction: a-a••d fram a fire safe, etF.?. . . . . . • • • • • • • • • . • • • • • • • • • • • • • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber 'e used? ` 6— If so, for what Material of foundation walls �� 7 �o /" Thickness Depth of foundation walls below grade Continuous foundation? Will there be a ce r? If so, material of cellar floor . . . . . . . . . . . Type of roof: Sloe or flat? Material of roof . ./5-Yr•. ../1T110(/ J 1(_. Size, wood studs c . " x ", spacing 11.0 "o.c., length. . . oai ft. Size, floor beams, 1st floor `oc�. . . . " x . .d0 ", spacing . . . /0 "o.c., span B' ft. Size, floor beams, 2nd floor " x ", spacing "o.c., span ft. Size, ceiling beams ", spacing "o.c., span ft. Size, roof rafters or beams . . . . c��fl�'' spacing t . "o.c., span ft. Exterior finish � �nn ., With what material?_ - Finish of interior walls. . .t:ryt, •ii If garage is to be attached, of what material is wall between garage and main building to be constructed? Is there to be an opening between garage and building? Kind of heating system . . ` r"/0--• 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? Will a kitchen sink be installed and connected to water 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? Town of Queensbury AFFIDAVIT County of.Warren - _" . State of New York I swear that to it ykir r of my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, area true and co.a.p lete statement of all proposed work to be done on the described premises nd that all provisions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the uCposed ork shall complied with,whether specified or not, and that such work is authorized by the owner. Sworn to before me this Signature / OWNER. IER'S AG NT, RCHITE T,CONTRACTOR day of 9/42...�/.. ` 19 (VJ NOTARY PUBLIC. WARREN CCOUNTY, 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 - g_ 0 2 . Type of heat �" lQ, •Ofg- �flrr_ i 3 . Is the building mechanically cooled? ye.,5 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 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 /6 . 7 2 . R. value of exterior walls ye -,/ 7- 3 . R value of glazed area 4 . R value of doors 5. R value of floors over unheated spaces 62 6. R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab 8. Revalue of heated b seje t/cellar walls (above grade) 9. R value of heated b eme t/cellar walls (below ' grade) 10 . Type •of insulation —/i ass AA/ C. Controls 4 1 . Thermostat maximum heat setting 90 D. Duct Systems 1. Is duct system installed in unheated spaces? YES 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. ? 2O - (applic is s 'Pi u Pre) _% TOWN OF QUEENSBURY BUILDING & ZONING DEPARTMENT SEWAGE DISPOSAL PERMIT APPLICATION 1. Owner ' s Name 6Fo2F�,, (.5-!A-'l L Address 3 ') 67(e4A'j erm4 # -t& G _ ,E' Telephone No. 2. Property location sN /,` 6'k - J ro bZe L /e-1- 9 3 . Name of person or firm responsible for installing system rd24-itthe...... ec.Js e-y - �0,ski c Telephone No.. 6 s (" 9w Address gr -4.__ fl elk /s—C. Gr(e/l) f�/6 c iffy /2'2 a 1 LA) 4. Number of -bcdrooms (residential buildings only)? 5. Daily flow SO-1 GAL.reit 071Lfr7sallons/day 9'00 "5-0%64-` 6. Septic tank capacity c::::51 CrIpi, GAL ' 7-a G_ gallons 7. Topography: flat, rolling, steep % of slope F( -t . ' 8. Nature of soil and depth 'S/ -/J(7 L��15�v 9. If ground water, bedrock or impervious materl is apparent at what depth does it .begin?4,0,4J ��'/- 9J/ �r � f/tt. !�� 10. Percolation test: A ��// is required B phis not required C If required. what is the rate 0-6-..minutes/inch 11. Water supply: municipal wel , other 12. Ty pe of system proposed: drywell, ile 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 pr vided for in Section 6 . 010 of the Queensbury Sanitary Sewage Ordinance. Date 6/l%/U 7 ' / �---. / s nature of pli nt 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. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. CITY OR. / VILLAGE A--, .r. - 7/-1 •_ '-j)/, � TOWNSHIP COUNTYC�,1,/,/�1 (/.(, - STREET AND NO.OR )! ,-/ / ROAD AND POLE NO./�r- J POLE NO. BETWEEN WHAT TWO - CROSS STREETS IS l PREMISES LOCATED? i' ,O /L4..(7-/ kr--I //(/ SECTION BLOCK LOT OCCUPANT'S • // BUILDING ,. /_/ NAME //�/1;-. • l';; //,4 :' OCCUPANCY �-- •�/1�.,> �,/rv',J. OWNER'S NAME J / AND ADDRESS ///�tl. 7'/.27 - `�I ) CURRENT - SUPPLIED /)/BY r-` > FROM THEIR OFFICE BUILDING - \.) WORK DEFECTS IS NEW,J OLD❑ REMODELED ❑ IS NEW ❑ ADDITIONAL Ill REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH LAMPS Lamp Receptacles CIRCUITS Loca- tion Side Attach't H.P. Watts A.W.G. WATTS Ceiling Wall Recept'Is Switch Pendent Bracket No. Type Each No. Each No. Gauge NO. EACH 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--theable-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 I 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 �� r% . / POSSIBLE Y4 / f^r> /% O..i.'/J 4/73,-t/:'l NEW OLD ^ e AVOID DELAY BY GIVING FULL AND A CURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. • NAME OF > /) / DATE OF APPLICANT / !L I'i / ! !9"-1 t- G. /_./ /APPLICATION / r STREET ADDRESS �--' J/fig'/ _---"% / ! / i- / CITY OR ZIP LICENSE NO. POST OFFICE CODE WHEN APPLICABLE A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING TOWN OF QUEENSBURY Building Department Inspectors Report Date -/ •3/i 7 '71, Name cYt a c ti ✓►tip^ r7 L Location . Permit No. 7 y® / Weather Remarks Excatia tion Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill • Final Survey Framing 1 - • • 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. j Septic Approval Floors ' Insulation Foundation Walls • 'Ceiling 2 Building Inspector REMARKS TOWN OF QU•EENSBURY Building Department Inspectors Report Date ��'��1: y Name G-?'04 - �. �) /'4�t// (/' a 7G�li�t/ Location C) Permit No. -2 Lk) ( Weather ' G t 1/4( Remarks ExcaVation� Footing Forms . Footing & Piers Foundation Cement Coat Waterproofing BackfiIl Final Survey Framing • Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board / ' Ext. Porches /� C� /711-t/i7 /)7'/eV Finished Floor Interior Trim ✓ c�'.7i<, Stairs & Railings���, Cellar Dr. Tile Concrete Floors i Plbg. Fixtures G� e..)/ Gar. Fireproofing //M Door Closers /�/j,,/� Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation ' Walls Ceiling -7 ��l j,�✓ .��"' GAG �. 1��/GG+� Inspector � �2A— "Z' 1- REMARKS ..C//f/G.c,?O ' Ptek- lGe� � z7/9, L,U,9. TOWN OF'QUEENSBURY Building Department i Inspectors Revert ®ate 6 4�1/ ��5( • Name �� •S +'zr (dl-c"< � /f, J more Location U . Permit No. TV() / 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. 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 . S (fie--e_ • TOWN OF QUEENSBURY .Building Department/ Inspectors Report Date 'l -' 4147 Name /%/l' f//179 7 l Location ' Permit No. /9d (2 I Weather Remarks Excatra tion Footing Forms Footing & Piers 67:2 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 ()I/77—T, TOWN OF QU•EENSBURY Building Department Inspectors Report Date 1 fl/ /A'7 Name YrlOh ,cco->, l'licTe / - STash Location f Permit No. Sf i-f D ! 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