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1985-039 t CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Cate 'Imne '1f 19 This is to certify that work requested to be done as shown by Permit No. has been. completed. This structure may be occupied as a ok'!G"fYbm l fy Location !Lc* It L 'P inC V40 +06 H0110W Road &t . t4d . 104 IAskr + am a I+t+"h6r Clwner By CTrder Town Board TCIWN OF QUEENSDURY Building Sr Zoning Inspector r � C REAYfV£ "IN9TA PRINTING. GLEMi •ALLS. w • � YiOf ISf S7�43Si Si rc' f- 1n }- f'' l7 to r.? v CERTIFICATE OF OCCUPANCY TOWN OF QUEENSSURY , WARREN COUNTY, NEW YORK Date �unr r 19 =� This is to certify that work requested to be done an shown by Permit No. r has been completed. This structure may be occupied as a ` r c- -P r 1 5' P%,Tc- 11 inn Location Let 1 1 ?' i3) e Vc' r-d FTo ! 1 c c. r 3c? C t~ E et ZTC . !? owner t By Order Town Board TOWN OF QUEENSBURY ) Building & Zoning Inspector R CNCAT1VS 'YMSTA" "WAITING. GLLMS FALLS. M * 12601 ISoelTf 3-sees { BUILDING PERMIT TOWN OF QUEENSBURY 85-39 No. f WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Martin C . Mosher a ( St . No . 10 ) sL+ OWNER of property located at Lot 11 Pine Wood Hollow Road Street, Road or Ave. � rt- r'- 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 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1 . OWNER'S Address is 0Co 15 Greenway North Queensbury , New York m i-{ 2- CONTRACTOR or BUl LDE R'S Name Same 3. CONTRACTOR or BUILDER'S Address O Same rt w 4. ARCHITECT'S Name rT1 fD S. ARCHITECT'S Address 0 I� 6. TYPE of Construction — (Please indicate by X) " {x} Wood Frame { ) Masonry { I Steel { l 0 W 7_ PLANS and Specifications {7, 28 ' x62 ' per plot plan , specifications and application No- submitted including two-car attached garage and sewage system . 8. Proposed Use One-Family Dwelling ad $ 5 . 0 U C/o Paid $ 9 ' 00 PERMIT FEE PAID — THIS PERMIT EXPIRES October l 79 85 N_ w {If a larger period is required an application for an extension must be made to the Building and Zoning inspector of the RC town of Queensbury before the expiration date_} Dated at the Town of Queensbury this .7 th Day of .March 79 85 @ /} H SIGNED BY V -j ,? for the Town of Queensbury q Buil ing and Zoning Inspector i TOWN OF QUEENSBURY :.Space inside block tor) he fill(.,) io b WARREN COUNTY. NEW YORK Building Insprctorl �I,i,lir ,ti Application for r,,, NO .Tip 1'c�e•,t, it ls,tu*+tl It?' ' BUILDING AND ZONING PERMIT l' , „ �, ENI-Fires %'r3s , � r,� l3�strict 4 alai• . .I `�'n,'L { THREE 13 ) Copies of a PLOT PLAN. Drawn to scale ] CA 11V showing the actual dimensions of the lot to be built Itr',,,:, , lCF upon, Tito exact size. and location on the lot of the building to be erected or altered MIDST BE SUB- MITTED WITH THIS APPLICATION. T �/ //(( -OWN /�S}r C]J`lr-:Ergc!ES1. f J A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies for a permit to do the following work XMV which will be done in accordance with the description, plans and specifi- 71819�q� � � � . 141516' cations, and such special conditions as may be indicated on the permit. Th owner of this property y's: C.. _ — . / Y'1.--E'er-^rL. -dic..A-.^ . , ,%�✓���G-�..f-'.Yx.G. L'S-:'.� '. .� G•t;-[:,G.+.:r-.y„'-,�-y.e!�.c+y,-- (P U A01!4ds) N A- rc_! The person responsibie fors supervision of the work insofar as the BttiIding (�PCode and the Zoning Ordinance apply is; f iVAM E! . O ,4tJDpESSI ZU_ x . Address . ........ j r :� , c_.__. . . . . . . . . . . . . Name of Builder . . . - Name of Plumber . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . . . . . Name of Mason . '' K, - . . . . - Address . 16 Lot Number , :96/ //. . • . Unit . . . . . , . . . . . . Estimated value of proposed work S .Lc_ c ,.t r � � Name of Village . �: 'a'?-s7.-;�!c-•. , . . . . . . . . . . . . . . . . . . . . . . . . . Name of Street • {-i t- "� 4 '� ` sue . . . . Side of street: north ❑ . east ❑ . South 0 . west Nearest Cross Street Distance frc,m this rress street . . . . �'r ±�- ' . . . . - - . . . Ft . Property is north , south CI , east i i , west ❑ from Cross Street If on Corner, which corner, northeast V . 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 BuRding 0 Addition to a building. (Jae-family dwelling © Alteration to a building. Two-family dwelling Q � Demolition of a building. -family apartment house Store building I� � -� - -car attached garage Q Other: . . _ . . , , _ Accessory Building One-car detached garage El Other work. Describe- . . . . . . . . . . . . . . . . . . . . . . . . . . Twa-car detached garage Q Private chicken house 71 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Q - � � � ' ' ' 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 atr+eet mates. the location and size of the property, the location, site and setbacks of pro- posed buildings, and the location of all existing buildings_ Show proposed building(s) in dotted line and existing ttuilding(s) in solid line. Size of property . /. cs"C. . . . . . • . ft. x . .� - GX� .7. . - ft. Size and use of existing buildings, if any . . . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . # "t Size of proposed building . . � � . . ft. x . . , .� . . . ft. FiEE i Height (from grade to ridge) . . . . . . ! . . . . . . . . . , . . f6 1 Front yard -- . . . . . . . . . . . . . . . . . . . . ft. Side yards , . . - - - 1� - -� ft. and . . . Rear yard . . _ . . ! G" . . . . . . . . . . . . . . . . . . . . . . ft. SOUTH If on corner, setback from side street . • . . . • • . . . • • • ft, 7 Note : A11 distances ore net, as measured from stree! side line to nearess part of building. (OVER) 7-73_4K (cont'd. ) BUILDING SPECIFICATIONS. Kind of construction: Wood frame, fire safe, etc.? . - .. . . . . . . . . . . . . . . . . . ill any second-hand lumber be used? . `✓' I•r} If so, for what? . . . . . . . . . . . Material of foundation walls . . . . . . . . . . . . . . . . . . T hirkness . . . . . Depth of foundation wails below grade z2 , r . . . . . . . . . . . . . . . . . . . . . . h- - . .f, Continuous foundation? . . Will there he a cellar? If so, material of cellar floor '. . . . .! r .-4.< r Gt . . . . C r .- } / S Type of roof: Sloped or flat. Material of roof . . 4ZV/ 'z.C.t-e,. . . .�- Size, wood studs . - - - - . . . . . . . . . . . : . " x . ,Cv- . . . . . . . . . . . ", spacing . . . f°.zv . . . . . . ""ox., length . . . . c�. . . . . . it. Size, floor beams, 1st floor . . . . . . . . .a�Z . " x . /. a . . . . . . . . . "", spacing . . . . r! 6 . . . - . "o.C., span . . . . ./, ` r. . . . . . ft. Size, floor beams, 2nd floor x . . . . . . . . . . . . . . . ", spacing . . . . "o_c., span . . . . �2_ c� . . . . ft_ Size, ceiling beams . - - . . . . . . , . " x . spacing . . . . . . . . . . . . . . "o.c., span . , . . . . . . . . . ft. Site, roof rafters ctr .beams . . 2.:'c'F. ?•.":' " x . . . . . . . . . . . . ", spacing . ""o.c., span . . . . . . . . . ft. Exterior finish . . . . . With what material ? . . . . . . . Finish of interior walls . . . . . !r? .' t t :f w-:cam • . . • . . • . . . . If garage is to be attached of what} aterial is wall between garage and main building to be constructed? �$ _ `. . �7�-c '. . _t ' r-.rC.,a- r4 ` . . . . . . . . . . . . . . . . . . . . u . . . . . . . . . . . . . . . , , . . . _ . . . . . . . Is there to be an opening between garage and building? . . . . . .? . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kind of heating system . . . . . e:,4-e. +' r ! .r . . . . . . . . . . . . . . . Oil burner or coal? . I . . . . . . . . . . , , , Will a flue-lined chimney be provided? ` `'"'` . . - • Depth of chimney foundation below grade . . . .GN G . ... . . . . . . Height of chimney above roof r . . Will there be a fireplace? . . . . . . . . . . Depth of fireplace hearth . . . . . . . Will a toilet be installed? . . . . . . . . . . . . . . . . . . . . . Will a kitchen sink be installed and connected to wat supply? _ yt s ' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Water supply (public water supply or pump) . . . , oo". - . . . . . . . . Distance of cesspool from any private well . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . feet Will drainage system be provided with required traps, cleanouts, and vents? . . . . . . . . . . . . . . . . . . . . . . . . . . Town of Queenshury � A"IDAVIT County of Warren State of New York I swear that to it-. my kno%%Aedge and belief the statements contained in this application, together with the plans and specifications suh- mitted, are a true and oa.,. lete statement of all proposed work to be done on the described pre usee and that all Provisions of the BUILD- ING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall he complied with, whether specked or not., and that such work is authorized by the owner. K_ Sworn to before me this Signature . . . . x^ - .- . '.. . .. . . . . . . . ....? c t !.--. .. . .--. . . . OWNER. OWNER'S AGENT, ARCHITECT, CONTRACTOR dayof . . . .. . . . . ... . .. . . . . .. .. . .. . . . .... . . 19. . . . . . NOTARY PUBLIC, WARREN COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT. By .... .. . ..... . ... ... . . . . .... . . . .... . . . . .. .. . . . .. .. . . . ... .. . . .. ...... . ... .. . .. . . . . . 0 UfCX BUILDING & ZONING DEPARTMENT 5E'WAGE DISPOSAL PERM- IT APPLICATION 1 . owner ' s Name Address 1 Telephone No . 7 2 _ Property location 3 . Name of person or firm responsible for installincr system <11 _e Telephone No . Address 4 _ Number of bedrooms ( residential buildings only ) 5 . Daily flow gallons/day 6 . Septic tank capacity r' fig--:�_r gallons 7 . Topography . flat , rolling , steep % of slope iaL� 8 . Nature of soil and depth ( .• -•�.. c � 9 _ If around water , bedrock or impervious material is apparent at what depth does it begin? ft , 10 . Percolation test : A is required g is not required C If required what is the rate minutes/ inch 11 . Water supply : municipal , well , Other � ,zn : , •+ - -h:. 12 . Type of system proposed : drywell , the 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 �- '�S signature or 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 WARREN COUNTY , NEW YORK Applications for = 00ILDING PERMIT IN COMPLIANCE WITH THE NEW YORK S TATt ENKRG Y aCON SE RV AT ICrN CODE A permit must be obtained before beginning work . ANSWX R ALL of the followings I . Gross floor area. 29 16ype of heat c: 1-e 3 . Is the building mccharsically cooled ? /VO : 4 , Percentager of area of windows and doors vl� /� • �A . Over 16 % Only 1 . Uo value of gross area of walls , roof / ceiling and floors exposed to ambient corsditi ns 2 . Floor over heated spaces YES 0 A . Are founl9ation walls insulated ? XG NC] 1 , if YES , what is the R valuer ? 3 , Slab on grade YLS NO a . If YES , what is the R value insulation round perimeter of floor ? 4 . Is basement heated ? YES 140 a . R value of insulate 5 , Type of insulation B . Under 1 +6 % Cnly 1 . R value of roof and floors exposed to ambient conditions 2 . R value of exterior walls lr g 3 . R v3 lue of glazed area I 4 . R value of doors 5 , R value of floors over heated spaces b _ R value of slab edger insulation - unheated slab _ 7 . R value of slab insulation - lseated slabr- 6 , R value of heated basement / cellar walls ( above grade ) ,Q;. ly 90 R value of heated basement / cellar walls ( below grade ) , �- ,� 100 Type of 1 n a u l a t i o n -r e3xr cs faS.S woaj wgU-Is a '4:>bLkr" fbc+ l" C , Contxols 1 . Thermostat maximum heat setting U0 'Duct sxstems 1 . Is duct sysstlem installed in unheat4d spaces ? Y� KC a . If YES , R value of duct installation be R value of duct in other areas E , Piping Insulation (/ 's 14 size of hot water or cooling carrying agent pipe Z 2 . R value of pipe insulation F , Service Water heating 1 . Performance efficiency q '� ` '� tr i! t � 2 . Temperature control setti.ng maximum G . For Swiriming Pool Only 'b 10 Maximum heating. ... T r � c p h G n @ . N a , � � 2 �l �'�'� -�► � ' � � 5��� G `L. L.�v vl r /� 1 L-'F--.,Z�12-L- s ( a,j3pli can t ' a signature ) 4000384 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY , 41 STATE STREET, ALBANY. NEW YORK 12207 e� Date Tune l9 ■ 1.985 Application No. on file 079828- 85 A 6 4 '3 01 C THIS CERTIFIES THAT applicant arrsed an she Whams application number in thepreLRsisea of only the electrical equr"parsers[ es deaeri� 'behnO and sntrode�ced by the appl rT Martin 14881 or , Pinewood Hollow. 4ueensbvlry � �iH=ta York ll in Lhe follosceraa location, ® Basement Iat Ft. ❑ 2rLd F1. Outside Section Black Lot in t efollirwi an and found to be in compliance with the requirements of this Board. 6 r l 2 r 8 5 RANCiEg COOK me DECKS wQ1�Is o15H Hp1ASHE1t5 EXHAUST FANS FIXTURES N7CTURE ACLES SWITCHES INCA.MUE SCENT FWGRESCew AMT. K. W. AMT. K. W. AMT. K.W. AMT- K. w. HALT• H. ONTI.ETS 20 30 19 18 2 UNHT HEATERS ��TI-04iliT {MiMMERS DRyERs FURNACE MOTORS PLJTURE APPLIANCE FADERS SPECiAI REC'1•T TIME tXOCEfS EHL SYSTEMS AMT.' wwTTs AMr. K. W. OIL H. P. GAS H, P. AMT. NO, A. W. G. AMT, AMP. AMT, AMPS. TRANS. AMT. H. P. IiCI. OF HI@7 �" 1 ryes 3#1C► = S E R y 1 C E SERVIC,�1'c DISCONNECT NO. CIF A. w. G. Nb. OF NELIrRALs A w. G. METER NO, OF CC.. COND. A. W, G. NO. OF HIAEG OF HI-LEG OF NEUTRAL AMt. AMP. TYPE EQUIP. 7 AI '2w 1 �R Sw 9 L' SW ]A 4w PER H OF CC. COr16. .� � 4r0 1 � r� 1 200 CB l x OTHER APPARATUS: � . Smoke [Detector Electric Hestert 3- 2 ♦ U l- 15 2- l Riri asap G . F . I . ReeeptaCle • 5 4- 1 ♦ 0 kw 3- . 75 kw - M r William C Carptentlerr ASSOC Inc 239 p 0 Box 2014 BRANCH jKANAGER r Glens Falls , New York 1280I. f Per NOT BE ALTERED IN ANY MANNER. COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST Of ,�fEt4SSUW11Y ��� D�,F'arto�+esut Bu�il+dlas � � Refit�---___...-.-�--- 140 'NlatisR � NO k f� . 8xcat7ation ` orI �, F Footin & piexs Foot i n Founaation Coat a rt roof i n dd Framin --�� Sheathin Roo Felt Roof in Siciin9 Veneer asonr �-g u alves el wazz Roaxa Rxt . Fps Nod Floor S]7e 01 Inter to, Bailin Stair Pro 'Bile ��� ��- Cellar e 'Floor s .� exE' Fixtures Pl�l s+ roofin ,�.. i� Gar *` irea Clos�.rS �.r �pocr�r r� l/w - y�atex Meter ©�� o �-----^-_�.--� x s Se tic - F lI �--� Fouxaaatior► yea l�� xnsulation Ceilln r^� _�-- c or III 4 n9 x nsPe �/na TOWN OF QUEENSBURY Building, Department Name /71"Cr3 -y-V Ilf., --S/ UwAdi= 44= yr- Pesrmit No. 'Weather Remarks E'xcat7a tion Foo ti ng Forms Footing & Piers Foundation Cement Coat waterp.rooffingr Backfill Final Survey Framing Shea thin Roof Felt Roofin Siding Masonry Veneer _ Rough Pl Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Ral2ln ss Cellar Dr . Tile Concrete Floors Pl . Fixtures NL Gar . Fire roo n Door Close _ Chimney Water Meter Inst . Se tic Approval - lours Insulation Foundation Walls Colling Buildsnq Xnspector REMARKS wro � u,.naissbmww oyes U� Na. -- =' Remarks Exeaation potin FOTIfI: Footin + piers Foundation --�� dement Coat Water roofin �- --'� Back-i 11 Final Surve Framix, Sthi n Roof Felt IIIIIIIRoofin �--- --�� siding M.Sonr Veneer Rou h Plb Valves Relief rd Wall, Porches Rxt NIP �--�- pinish Floor ---^~'��~ teri or xn Bailin s �� Stairs Dr • ,iil'e cellar Floors crate Con Fixtures P1 roof Gar * pire �--- �� Door closers Chism1ie r xnst • Mete f� Water roves] ,,Se tic_ --�~ F10o1s ram - Fobs tion Walls �. ---��..�--- - xnsula ,_ems Building xnsPectc,r ,�srs�Ks s t TOWN OF QUEENSBURY Building Department napectma Datc � � Name +� Penait Na. Wcatha_ ^-r leyIII Remarks 8xcatYa tion Footl. Forms Footi.n & Piers Foundation cement Coat Water roofin Ba cicfill Final Survee Framin Shea thin Roof FeI t Roofin Siding Masonr Veneer Rota h P3 Relief Valves Wall. ,Board i:xt . po,rches Finished FlOOr Interior Trim Stairs & Railin s Cellar Dr . Tile Concrete Floors pl Fixtures + G,ar . Fire roofin Door closers chimne Water Meter Snst . Floors _ Found& tian _.._ Insulatlon Walls cei l i]n Building Inspector REMARKS &Z4fMAF C. MOSHER 1'6 OPXENAA4; NORM GLENS FAUS'r NY 12801 1 c+ + O O f 4 i' S nr` T [y n cad 14