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1985-105 T' ,^ � c CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN +COUNTY, NEW YORK Late U 4 44 s r'VZ g 19 This is to certify that work requested to be done as shown by Permit No. has been completed. This structure tray be occupied a VV 2q Location �' Owner Sy Order Town Board TOWN OF rQUEEKSBURY r ` ,µ r Buildj�Lg 6 Zoning Inspector CRCATIYC ''INSTA "CNS FYII.4'!'- M v Ii�6+ 19+�1�o'�-'I6!■ CERTIFICATE OF OCCUPANCY TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK Date T= tlrrit t 14 g� 4rc�� This is to certify that work requested to be done as shown by Permit No. has been completed. �e C''r, e —r 'I �is structure ` iA GMIYAC>c — 3 I,c,t ? C Fvc air ore Pr i vc F+,e p i_nleS 0f r iu luENC-. n S;1- r Location �- Owner l i r t y i:7 a. .' m nr p e r �* C e r t .3 By Chder Town Board Cr--C'ti'- c'.. 3`' c=.. > T' . I )r7s.Y!t�'s tT? rjI �E-+ I f''C YJ- C� t� �i �, TC}W N OF QUEEP3SBI3ItY . }yj�J "A - rat hear t mi Build in '& Zoning Inspector C RC1t TIVE "IM;Tx PRIM TI'MG. G�ER5 PA4L5. R r Q4O1 1l Yww9lS 456 .. ... .. BUILDING PERMIT TOWN OF QUEENSBURY No. 55 105 WARREN COUNTY, NEW YORK , PERMISSION is hereby granted to Martirt C . Mosher OWNER of property located at Lot 104 Sycamore Drive Street. Road or Ave. � rt rr in the Town of Queensbury, To Construct or place a One ] Ann -l- � Inci P- 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 O.ueensbury Building and Zoning Ordinance_ t. OWNERS Address is 15 Greenway North 4 Glens Falls , New York. rtr " +-i 2. CONTRACTOR or BUILDER'S Name same 3. CONTRACTOR or BUILDER'S Address same a rt O ` 4. ARCHITECT'S Name �o' Cl7 C] 5. ARCHITECTS Address O l'f flY CJ l't 6. TYPE of Construction — {Please indicate by X) C CD (x) Wood Frame I ) masonry i I Steel ( 1 ?_ PLANS and Specifications 321x60 ' per plot plan , specifications and No. application submitted including two car attached garage and sews e s stem . 8. Proposed Use 0 Cane-Family Dwelling M $ 5 . 00 C/O Paid 5 15 0 . {] 0 November 1 19 8 5 PERMIT FEE PAID — THIS PERMIT EXPIRES (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of O.ueensbury before the expiration date.) SU � Dated at the Town of Queensbury this l l t 39 85h day of April F r- c r r �- for the Town of Queensbury SIGNED BY �— � Building and Zoning Inspector TOWN OF QUEENSBURY ISpace inside block u, lxa hik- l in b% WARREN +COUNTY. NEW YORK Building I1tsltctiinr} Application for ''` pi it a` i`m N Ala P rnssE 1%.ued 39 BUILDING AND ZONING PERMIT Pi -rmh Expires / inns lli�trir� ''` THREE 131 Copies of a PLOT PLAN, Drawn .to scaly \ i s� s, t ,. [ [I by showingg +he actual dimensions of +he lot to be built upon, The exact size, and location an the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. DATE TOWN tat, c::JENSBLTRY A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK F. 10 V E ANSWER ALL OF THE FOLLOWING. ID The undersigned hereby applies for a permit to do the following work At- 1"( 0 1305 which will be done in accordance with the descrip+ion, plans and specifi- AMi : l Sri a,a PAW cations, and such special conditions as may be indicated on the permit. ,7181911(41 11� 1 1� 3f 15� $ Ty�hrowner of this property is: t �y 1 /%`a . �;...C's.r' ..i'C..-^L..L. Q ASi'D f+fE5s1 fN P' C) The Ilerf/s�oRn, ryye--sponsibiefffor su}/p.�ervision of the work ins ofar%/$sue the Building, Code and the Zoning Ordinance apply is: /.' ✓. Ys'`f✓.U,'L.'r. N'. `�" r �,1.'fZ"'�'.. 'y-..- ., /'.` • ` 1`L'�:C-! . . . . . _ . . INAMEy `...� !P O AOPPES^ok Name of Builder . /`.�:� 'r`t �- C.(;� . . . .hr��,,�4r Address . . . . . ..,aZy.: a[, ..c..-•. . . . . . . . . . . . . . . . . . . . . . . . . Name of Plumber . z i.-.c._.. Address Name of Mason , t . �.,c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . sti a Lot Number . Q Unit Estimated value of proposed work f o(:�Fz�' . . ' ' 4 . . . . . . . . . . . . Name of Village . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Street +t- t-�- ^ - - Side of Street : north ❑ , east Q , south Q . west Nearest Cross Street - `� a� L �• . . . . . . . . . . Distance from this ^ross street . . . r�'G J. . . _ . . . . . . F . Property is north $. south ❑ , east [i , west ❑ from Gross Street If on Corner, which corner, northeast ❑ , northwest ❑ , southeast ❑ , %outhwest (Designate by marking with an "X" in the correct space.} NATURE OF PROPOSED WORK OCCUPANCY 1 Construction of a new building. Main Bua#ding ❑ Addition to a building. One-family dwelling ❑ 0 Alteration to a building. Two-family dwelling -family apartment house 0 ❑ Demolition of a building. Store building 0 ❑ -car attached garage Other: . . . . Accessory Building One-car detached garage ❑ Other work. Describe: . . . . . . . . . . . . . . . Two-car detached garage `E- ] Private chicken house K g • • - • • " " " " ' " " " " " ' Private storage building Other-. . . . . . . . . . . q . . . . . . . . . . . . . . . . . . . . . . . . . ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building, or a change of occupancy. Indicate on the plot plan street namest the location and size of the property, the location. site and setbacks of pro- posed buildings, and the location of all existing buildings. NORTH Shoe, proposed building(s) in dotted line and existing huilding(s) in solid line. ` Size of property /�s � :��, . . . . . ft. x . . 1' i. c�? , . . ft. Size and use of existing buildings, if any . . . . . • • • • r � . . . . . . . . . . . . . . . . . . "' Size of proposed building . . . :�4, . . ft. x a. .�. . . . ft. Height (from grade to ridge) . . . . , . G? . . . . . . . . . . ft, Front yard . , , . . . '? ,[ J . . . . . . . . . . . . . . . . . . . . ft. }� Side vards . . . . . . . . . ft. and . . . `7 .3. . , . . . . . ft. � ,- LPL ft L Rear yard . . . . . . ,c ft' soluTN If on corner, setback from side street. . . . • . . • . . - ft. Noce: All distances are set, as measured from street side line to neoresg part of building. ;QVSR1 7 .,, try 3 .,.?Ml (cont'd.) BUILDING SPECIF'ICA.TIONS. Kind of construction : Wood frame, fire safe, etc.? . . Vi c` °-yam . . h ? F" . . . . . . . . . . . . . . . . . . Will any second-hared lumber be used? . . - !?-:G . . , . . • . If so, for what? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls . . . . . . . . . . . . . . . . . . . . . . . Thickness . . . . . . . . . . . . . . �f Depth o[ foundation wails below grade . . . Cra .G.9 ". . . . . . . . . . . . . . . . . . . . . . _ . Continuous foundation. Will there be a cellar? . . . . . . . • . If so, material of cellar floor . . . . :5''. . . . !k� L r..-C . Type of roof: Sloped or flat? . !? Material of roof ?��: . . . . Size, wood studs . . . . . . . . spacing . . . ./.G . . . , . . . . a.c., length . . . , . '- . . . . . ft. Size, floor beams. Ist floor . . . . . . . . . " x d . . . . . . . ", spacing . . ./. .6. . . . . "o.c., span . . . - /. . . . . . . ft. Size, floor beams, 2nd floor . . . - , , . . . " x . !'. L? . . . , . . . . , . ", spacing _ !' . ". . . , . . "o.c., span . - - - �t . � . . . . . ft. size, ceiling beams . . . . . . . . . . . . . . . . . . 1'�.+ . `r . - . - , c: " x . . ", spacing ✓ ' "o.c., span ft- Siie, roof rafters or beams . . . . . . - , . z. ' x . . r ' . . . . . . . . . ", spacing /. o.c-, span . . . . P g Cis . . . . . . .• . . . . . . . . . . . . .� ��. ft. 'f. 2 '< !r,' � , �/s n ac.:' e�'. . - "�h what material ? Exterior finish . . . - 2- jx r Finish of interior walls , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If garage is to be attac#iecj, of what material is wall between garage and main buj4ing to be constructed? Is there to be an opening between garage and building? . . . ? mot- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kind of heating system . . - - L .c _- . . . . . . . . . . . . . . . . . Oil burner or coat? . . . . . . . . . . , . . . . . . . . . . . . . . . , Will aflue-lined chimney be provided? . . ?071. ,'"'� . . . . . Depth of chimney foundation below grade - . 441. 4r'. . - . . . . . . . Height of chimney above roof. , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . Will there be a fireplace? Depth of fireplace hearth . . / Cv. . : . . . . . . . . . . . . . . . . . . . . . . . Will a toilet be installed? , . . . . . . � ` . . . . . . . , . . . . Will a kitchen sink be installed and connected to waAer 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 tr b�i of my knowledge and belief the statamento contained in We application, together with the dance and apecdications sub, milted, are a true and w,a. lete statement of aA proposed work to be done on the described pretntaes and that an Provisions of the BUILD- ING CODE, THE ZONING ORDINANCE, and all other laws pertairtixta to the proposed work s}us[l he oampllied with. whether specified or nit, and that such work is authorized by the owner. Sworn to before me this Signature ♦. " ` . ..- -. 1'�-"'' '. . . / '.`[:fi::�'`:`"�S.C.- :E.�-''... . . ... . . .. .. bWf1ER. OWNER'S AGENT. ARCHITECT. CGNTRACTC7R dayof. ... . . ... . .. .. . ... . . . ... . ... . .. . . . . . . . __.... _ 19. . . . . . µ0TARY PUBLIC- WARREN C*UµTY, N- Y. SPECIAL CONDITIONS OF THE PERMIT: By . . .. .. . . . .. . . .. ... . . .. ... . . . . . . . . . . . . . . . . .... .. .. ... .. . ... . . . . ... . 'v n is �,T i � ii L:, s : , ,- i : u 1': Y +`�*-•r[��ry,�-� WARREN COUNTY , NEW YORK Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENXRGY . COBEERVATIGN CODE A permit must be obtained before beginning work . ANSWER ALL of the followings 1 . Gross floor area 1 C7 2 . wyps of heat 3m is the building mechanically cooled ? 3 4 . Percentage of area of windows and doorsfl A . over 16 % OnIX 1* U0 value of gross area of walla , roof / ceiling and floors exposed to ambient conditions 2 . Floor over heated spaces YES NO a . Are fourMation wails insulated ? YES NO 1 . if YES , what is the R valus7 3 . Slam on grade YES NO Am If YES , what is the R value of insulation around perimeter of floor ? 4 . Is basement heated ? YES NO Am R value of insulation 5 . Type of insulation 8 . Under 16 % Only 1 . R value of roof and flours expos d to ambient conditions 2 . R value of exterior walls 3 . R value of glazed area 4 . R va lue of doors 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 s . R value of heated basement / cellar walls ( above grade ) y� 9 . R value of heated basement / cellar walls ( below grade ) lo . Type of insulation c . Controls 1 . Thermostat maximum heat setting D . Duct Systems 1 . Is duct sy+ st* m installed in unheated spaces ? YES r: c� a . if EYES , 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 !! eating 1 . Performance efficiency 2 . Temperature control setting maximumPtUD � . G . For Swimming Pool Only NM 1 . Maximum heating - •-+fir-.-- V.r T v I e p h o n p No . $ e ti ( aj ) pIicant ' s signature ] l LJWLu 1.J 1' tilt' i' IV : t5V iti1 BUILDING & ZONING DEPARTMENT SEWAGE DISPOSAL PERMIT_ _APPLICATION 1 . Owner ' s Name Address / [ G Telephone NO * 2 . Property location � L-4" ` 3 . Name of person or firm responsible for installing system Telephone No . Address 4 . Number of bedrooms ( residential buildings only ) 5 . Daily flow gallons/day 6 . septic tank capacity/G G' G gallons 7 . 'Topography : flat , rolling , steep % of slope 8 . Nature of soil and depth 9 . If ground 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 11a water supply : municipal , welle other Lt 4--. 6 , 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 QueensburyfSan/ itary Sewage Ordinance . ! Date / r rf'', - signature of applicant on separate sheet of paper submit a diagram of the proposed septic system tance from any structure , distance from with all dimensions , including dis property line and domestic water supply , etc . Include all dimensions of the system itself . Form 3 - $ 2 � �� � THE NEW YORK BOARD OF FIRE UNDERWRITERS 4000384 BUREAU OF ELECTRICITY 41 STATE STREET, ALSANY. NEW YCRN 12207A64674 ' Tvd Application No. on file 0 8 2 6 9 fi -^ 8 3 Date �septe�aer 5 i 1 8 Fplocati r T15 CERTIFIES THAT by the applicant nomed am the above application nuatiber in she preauws of Sonly the electrical equipfnt as described below and introdetced � 104 a camtar� yt7x' IveI Que{rt'risbury . !Jew York got �i .Iosher Cont . sue' section Block in the fallowinE location; Basement 1st Fl. 2nd Ff. Out 8 is3e and found w be in compliance with the requirements of this Board. was examined on $ } L i3 5 lSVENS 4iSN W ASHER5 EXHAUST FANS FIX?l1RES RAT1liE8 t?OOKING DECKS pXTURE �TACLES SWITCHES INCAWDES�CENT F►tlgtESCtNT v AMT. F W. MAT. K. W MAT. K.W. MAT. %. W. AMT• H. P ouTLM 3 4 46 37 33 1MAIAn OUTLET WMUIIERs Eu.L urxT HEASERs SrsruMs �" wRNAtE irWTORS FUTURE AMMWANCE FEEDERS gPEC1AL REC FT TAME BLOCKS TRAHS• AMT. H. P NG.Of FEET uwT. WATTS DRYERS fq. w W. G. AMT. AMP. MAT. lWMF5. y MAT. K W. AMT. .., nclC 3 # Fs rt r me 3 # � V 1 C E S E R A W.MST" G. taG. aF NFUT*AtS w,w. c.. SERVICE DESCOIII iE NO- OF t X 7W t X sW 3s 0 2W 3 0 AW No.oFPE cGNa. of `cc COND. rxa. OF HhtE6 fjF NI-LEG OF HEtITRAI y. MAT. MAP. TV" RMAP. .y f Ne 200 O►HER APPARATUS: 1 - GFCT 6: 3.E- ctric f�P2L�t�r : 3 ' 105 kW 2 - 1 , 0 kw . . 2 — Smoke t`e=1+ wc'i:G+Y 4 - 1111125 TAW 3 — 2 , 0 kw 2 , 5 ka .� 113. 1an, carpenter Assoc Inc p 0 Bees 2 D 14 BRANCH MANAGE R Fa11s r NPW York1 � {'.x {� �. PK =. pmn PY FC1R SUILDIN DEP/4R TMEIIIT. THIS CDPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANN TOWN OF QUEEMSBUR'Y $uiIding Department Report Date 2:z;69:A5:: lf Location z4 Peculit No. c js�� t d 5, r Weather s_. Remarks � ExcatYa tion - I Footing Forms Footing & Piers Foundation Cement Coat Water raof3n Back€iIl Final suZI Pramixncr Sheathing Roof Felt Roofin siding mason.ru Veneer OF Rough Plblge Relief valves Mall Board Ext . Porches Finished Floor Interior Trim stairs & Railings Cellar Dr . Tile Concrete Floors P21>90 Fixtures Gar . Fi xrooffln Dear Closers ie Chimney Water Meter Inst . Se tic A roval Floors Foundation _Insulation _ walls Building Inspector REMARKS �_��-- TOWN OF QUEENSSURY Building Departnnent Inspectors Report Date - ! I l 1 Y r Nance ✓LTA Z.ocation Lr>7 Iv s�yr.*w► „j2a,C L1 .i Pernat No. OR i o '~ Weather Remarks 8xcatYa Lion Footing Forms _ Footing & Piers Foundation Cement Coat Waterproofing BacKfi l l _ Final Surve ------ Framing - Sheathin Roof Felt _ Roof-in - Siding _. Masonr2 veneer Rough P2bgs Relief Valves Wall Hoard Sxt _ porches _. Finished Floor Interior Trim Stairs & Railings _ Cellar Dr - Tile Concrete Floors plbq , Fixtures Gar . Fire roofin . Door Closers ChImnezi _.-. Water Meter Inst . _ S'e tic AP&Droval Floors Insulation Foundation ._ Walls Ceilin BuiZa,lnqr Inspector REMARKS 07 UQ ..._- � TOWN OF CUEENSBURY Building Department Kamm "or 14r Perms NCO. - ! Wexatfer Remarks Excat}a tion Footing Forms Footing & Piers Foundation Cement Coat Water roofin j Bacxfill Final Surve Framing _ sheathing Roof Felt Roofin Si din masonry Veneer Rough PJby . Relief valves Wa24 Board Ext , Porches Finished Floor Interior Trim stairs & Railin s Cellar Dr , Tile Concrete Floors PI . Fixtures I Gar . Fire roofin Moor Closers r Chimney Water Meter Inst . _ septic ApgroVal Fl Oors Founda tl6n Insulation Wails Ceilin 8uIldi nspector REMARKS TOWN OF QUEENSBURY Building Department Luvecta m l Awart ©Ate Nacre �-r,<a-A - i.c►cr►tim► � o i �'b y s v r � .�.. n .� s cam.- . pe rnak No. JI �+Ly� '1�4'retther Remarks Excavation Footiny Forms -' Footing & Piers Foundation Cement Coat waterproofing Backfill Final SUrvey Framing Sheathin ,goof Felt Roofing Siding Masonry Veneer Row h Plb . ,Relief Valves Wall Board Ext . Porches Finished Floor Tntersor Trim Stairs & Railings Cellar Dr . File Concrete Floors PI , Fixtures Gar . Fire roofin Door Closers Ch.imne Water Meter Tnst . Se tic Ap roval Floors Foundation Tnsulation Wa Ii 's Ceiling Building Snspector REMARKS YC7 'NIIIII OF , EE1�SB1�'�Y g�ild's�a� p'e'gsstMesrt f pstG� we Ropcwt or PlrilamC Rom' Fke� 43 s" ExcatYa tion pOOtin Forms Footin & pierS Foundation cement Coat 1111111111111111 water rOOfin Backfill pinal Surve Framin Shea thin RIf Felt Roofr�--�'�~ Sidmn veneer ,4asonr ri pm -�' Rau Ives �a Relief rd - 12 Boa Ext e porches Finishea Interioor r Trim & Railin s Stairs Dr _ Tile Celli-- OorS con cre to pl Fixtures Fire xoc,fin Gar . I r Closers �-� - chimne watex deter Inst tic Aerva 1�OOx � Se p.oundation Lion wal s Insula CeiI C Building Spector RFmp,RKS i i i JIk 3 1 4 i t \ i 1 i i I!� E g #Wei .w rs*43" MbIGN :tt mN33vo ss kehaw v Nuuv