1986-199 4
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK •
3 e1 , Date August 27 198.12
This is to certify that work requested to be done as shown by Permit No. 86-199
his been completed.
This structure may be occupied as a slog-Family Dwelling
Location Lot 54 Willow Road (St. No. 8) The Pines of Queensbury
Ownernartin C. Mosher
By Order Town Board
TOWN OOFF QUUEEEEENN}BURX
d>14
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-199
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Martin C. Mosher
OWNER of property located at Lot 54 Willow Road (St. No. 8) Street. Road or Ave.
the Pines of Queensbury ,y
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. m
an1. OWNER'S Address is 15 Greenway North
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
same
r
0
3. CONTRACTOR or BUILDER'S Address ^
same
r
c.
µ .
4. ARCHITECT'S Name
0
0
0
5. ARCHITECT'S Address
N
z
6. TYPE of Construction—(Please indicate by XI
m'
(xl Wood Frame 1 1 Masonry 1 1 Steel 1 1
7. PLANS and Specifications
30'x56' per plot plan, specifications and application
No. submitted including sewage system and two-car attached
garage.
8. Proposed Use 'd
One-Family Dwelling g
5
$5.00 C/O Paid
143.00December 186H.
$ PERMIT FEE PAID—THIS PERMIT EXPIRES 19
(If a longer rlad is before
an heerlt for extension must be made to the Building and Zoning inspector of the On
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 8th Day of May tg 86
SIGNED BY 11 O-i a- by-,
tt for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY
I Spare inside block In Ixc filled in In
WARREN COUNTY, NEW YORK Building Ineryrtool
Application for t"''""""" No
l u nut Issued 1"
BUILDING AND ZONING PERMIT Pr 'rim Fspire.'
lit to,lrs
THREE 131 Copies of a PLOT PLAN, Drawn to scale \Plfiln"1 Le-
showing the actual dimensions of the lot to be built It"
u pon, The meet size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
rG - C ( �, 4 !I -TOWN OF QUEEN I:'UI '
70 Sr / 9 AT
LgN illy,
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK 1
ANSWER ALL OF THE FOLLOWING. o11Af CV
The undersigned hereby applies for a permit to do the following work AM. I /8&kb p.M,
which will be done in accordance with the description, plans and specifi-
cations, and such special conditions as may be indicated on the permit. "T
I e U f t/CL.
j'fte owner of this property is: / S /) ,
2 ✓ N>,s_, nteACY Plc A1_ aFs V
Th person responsible for supervision of the work insofar as a Building Code and the Zoning Ordinance apply is:
Name of, „i G' Luz X-C- 1/t`-ft ruckicy �GI,LG c--&-
� {NAME) /� • �u� IYO' AODeESSI
I
Builder. -/n (fr27L✓ L.. . . . ' /Yo - . . Address //it±"`✓
Name of Plumber. 'x- ' Address . w
Name of Mason 't-s-`-0 Address
Lot Number �`f Unit Estimated value of proposed work f cf.'0, et_—.O, . -
Name of Village ! }4-4✓>tl ``t/ c? �� act_
Name of Street . . `-" Side of street: north aeast O. south ID. west
Nearest Cross Streetf�t'Tp a-tte. , ip!' x.t. . Distance from this cross street Pt.
Property is north p,south 0,east 5. west ❑from Cross Street
If on Corner, which corner, northeast ❑, northwest U. southeast U. southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
Construction of a new building. Main Building
O Addition to a building. One-family dwelling 0
❑ Alteration to building. Two-family dwelling-family apartment house 0
❑ Demolition off a building. Store building . D
-car attached garage 0
Other:
Accessory Building
One-car detached garage D
❑ Other work. Describe- Two-car detached garage 0
Private chicken house ❑
Private storage building 0
Other:
ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building,or a change of occupancy.
Indicate on the plot plan street Damn,the location and
. size of the property, the location,site and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH Show proposed buildings) in dotted line and existing
huilding(s) in solid line.
4J Size of property 15O it. a . ./�� . . . . ft.
Size and use of existing buildings, if any
1 • S2• ,/�
•
I I w Size of proposed building .
V '�!J' Height (from grade to ridge) `z U ft.
n) Front yard .s. C ft.
Side yards c't7.5 ft. and y 9 ft.
Pnz.e-, 4' r Rear yard 7l1 ft.
SOUTHI If o corner,di setbackncesredo side street ft.-
Note: All distances are net, as eseasend hens steal aide
•
line to nearest part of building.
tovzm
(cont'd.)
BUILDING SPECIFICATIONS.
Kind of construction: Wood frame, fire sale etc
Will any second-hand lumber be used? 17'1/' If so, for whaP
Material of foundation walls /0 +.-c d.� Thickness
Depth of foundation walls below grade C' O " Continuous foundation? . . . Zf�;
Will there be a cellar? 2i If so, material of cellar floor . . C { �
Type of roof: Sloped or flat? . ./_1-2 c_.L . Material of roof . . . . /l h
Site,wood studs 2 "x `i ",spacing /Z "o.c.,length ,Q ft.
Size, floor beams, 1st floor or-2 "x !0 ",spacing / . . . ."o.c.,span /sr ft.
Size,floor beams,2nd floor r2. "x / C ", spacing //a . . ."o.c.,span
Size,ceiling beams "x ", spacing /6 "o.c., span ! `1 ft.
Site, roof rafters or beams 2 " x . 7 . ", spacing / "o.c., span /.5 It.
Exterior finish . . . .Y./mt.-L.'
. . .Y/m t .-L /3 r With what material?
Finish of interior walls o •
If garage is to be attached, of what material is wall bet qeqn garage and main bu14ding to be constructed?
6a g .. . ..vLs<. . . .( t4,/ Sh<.�y..Yti
Is there to be an opening between,( '#
� garage and building?
Kind of heating system . . .l+4LT.-e2ar✓ �^
/ -` Oil burner or coal?
Will a flue-lined chimney be provided? / Depth of chimney foundation below grade . . . .
Height of chimney above roof 07 4/t
Will there be a fireplace? hG' Depth of fireplace hearth
Will a toilet be installed'
Will a kitchen sink he installed and connected to wasp'supply' Z w
Water supply(public water supply or pump) 0"
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 1 sa
State of New York
I wear that to ate best of my knowledge and belief the msemente contained in this applicasioo,together with the plans and s acingnsa nse
mitred are a true end complete statement of all proposed work
to be done on the described premises madthat a8 prim.of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other lawn pertaining to the pmpord work shall be compted w th,wMher specified or cot,
and dist such work u authorised by the owner. L
Sworn so before me that Signature � Ct .t<.,bJ (� . .+-a n .ti
WNE OWNS 'x AGENT.eRCNITE .CONTItaCTOR
.. . . .. ........day of 19
NOTARY RVELIC. WARREN COUNTY, N. Y
SPECIAL CONDITIONS OF THE PERMIT:
•
•
By
TOWN OF QUFFNSBURY
BUILDING & ZONING DEPARTMENT
SEWAGF DISPOSAL PERMIT APPLICATION
1. Owner 's Name Lpp /�/�7�..,.� /YL,--¢ w
Address /6- JG`ZjL.0 4.(s .i
Telephone No. 79 z - /�-s'o
2. Property location t--A c-
3 . Name of person or firm responsible for installing system
ir) , (�, ./,..�. Telephone No. 7 9-. - is s-o
Address
4. Number of bedrooms (residential buildings only) .�
5. Daily flow gallons/day
6. Septic tank capacity / <--w-o gallons
7. Topography: flat, rolling, steep
% of slope
8. Nature of soil and depth 0'*'�1_ r
9. If ground water, bedrock or impervious material is apparent at what
depth does it begin? ft.
10. Percolation test: A is required
B is not required
C If required what is the rate minutes/inch
11. Water supply: municipal, well, other P/ -(4j
12. Type of system proposed: drywell, tile field, other /4-14 .604,
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.
/S w Date ,, J �J�'�(„ .g ,� ,r V )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
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 1 2')U
2 . Type of heat abr.-VIAL-
3 . Is the building mechanically cooled? }\ U
4 . Percentage of area of windows and doors ` 2 :6 "to
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 NO
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 wazosed to ambient conditions_
2 . R value of exterior walls Q - Lc)
3 . R value of glazed area 2. 0
4 . R value of doors ICI)
5. R value of floors over unheated spaces
6. R value of slab edge insulation - unheated slab hIA
7. R value of slab insulation - heated slab h\r,
8. R value of heated basement/cellar walls (above grade)
9 . R value of heated basement/cellar walls (below grade)
7
10. Type of insulation ` �cj", px"iui , '� (
l,C. Controls yq 0 ,`
1 . Thermostat maximum heat setting d
D. Duct Systems
1. Is duct system installed in unheated spaces? YES NO
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 S /c
1 . Performance efficiency
2. Temperature control setting maximum t ti'O
G. For Swimming Pool Only
1 . Maximum heating /'n
Telephone No. 722. - /a.S"O VliQA' a 7-1,-0-a-k"''
(applicant ' s signature)
_ .
fit 4057381 THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
��, 91 STATE STREET,ALBANY.NEW YORK 12207
Date October 2, 1986 Application Vo.on file 009640-86 A 668273
THIS CERTIFIES THAT
only the generical equipment as described below and introduced by the applicant named on the above application number in the premises of
Posher Oonstruction CO., Lot 54, Willow St., Glens Falls, New York
in the following location; ® Basement ® in n. 0 2nd Fl. °UtSiGle Section Bloch tat
ices esamined an 8/29/86 andfoundto be in compliance with the requirements of this Board,
BXTUM ACBS switemes BXTU� RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS a
Wl1ESS IIKINLEKENT FnYMEXEm vyCe W. •Mr. E.W. SW.
21 46 20 19 2 2 fr
DRYERS FURNACE MOTORS FUTURE AImuANCE MGM SPECIAL REC•FT TIME CLOCKS EHl UNIT HEATERS sTws ATUsty DTIET DIMMERS
Ner. sea. yaw w61G. IMi Ma. Mgr. AMIa. TERNS. ,,Mr. X.r. MO.Of WT wWr. wlni
1 330 I
a SERVICE DISCONNECT NO-OE S E R V I C e
IMi. MY. 1W1 PERM I AI 2W I/3W 3/SW ).e IW Iq.a CCCa1D. wc. ma OF XI.nG w.G NO.OF mmMLS w.G.
3g MITER nr I CF CC 2aa. GF MLIEGaF XEUIW
3 1 200 oh 1 x 1 4/0 1 2/0
OTHER APPARATUS: Elec, Heaters: 3- 2.0 kw
4- 1.5 kw
2- 1.0 kw
1— gfci 2- .75 kw
1- smoke Elet 1- .5 kw
// /ERA Elec. Co. 239
7 Birch Lane BRANCH MANAGER
Glens Falls, NY 12801
Per (.
This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
flown of Queenabury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME AMSilu
LOCATION Lc)r- SC/ M((,.Cid RV
Date i{/27/—^ Y Permit No. 81a- 19
k * x * *
= APPROVED**YES /
✓ NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing r/
Siding
Masonry Veneer
Rough Plumbing
Relief Valves ✓
Ext. Porches
Finished Floors
Interior Trim fre
t/
Stairs & Railings -
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures ✓
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION: n- ✓
F 'b 6R51.AACA r 1 IAW&
Floors
Walls
Ceiling
FINAL{ ELECTRICAL INSPECTION
,� �
�" Building Survey
/nig- 14-6(/s dr
Next scheduled Inspection(call when ready)
Remarks- -
FLA/& fpu5E
dip 0 ! Wtt- t&G I214+-
Buin ect
6/86 and-vl
QicbCna- /o cq7 B/ --
Jown of Queenebury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road. R.D. 1 Box 98
Oueensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME /r%griAr /belptot
LOCATION LorY'.J ilhaLiW fn�'`
DATE clir)/ gt PERMIT NO. 8141
SOIL TYPE - and - Loam - Clay -
Percolation Required? YES {-so
Percolation rate - Min/Inch -
TYPE of SYSTEM: �Absorption field, total lengtJ
Length of each trench (Q
Depth of trenches
Size of gravel y- —
SEEPAGE PITS{ er of)
Size-
Gray izE
PIPING: Size Type
Bldg. to tank
Tank to dist. box
Dist. box to field/p'
Openings sealed? S - NO Partial
LOCATION/SEPARATIONS:
Foundation to tank /0 ft4—
Foundation to absorption 20ft —
Absorption to lot line ft.
Separation of pits ft.
LO -TION OF SYSTEM ON PROPERTY(circle one)
Rear - Left side - Right side -
• NTS:
X/".
SYSTEM USE APPROVED
Su ing Inspe for
01/86 and vl
TOWN OF QUEENSBURY
Building Department
s Date 4li tSIG
Name fJ ,chcrit
4WcEJ/GL/7/i, K.lD
PQmit No. 4G- 1 99 Weather
Remarks
ExcaOation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill ^
FinalSurvey
Framing " 0�.7 WV
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer fJ
Rough Plbg. V OK—
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
ritAk
Buildi In ctor
REMARKS
pc CmutT►u.5
CniftRU6 raprPrfrits —
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 0£eR!
Name /11O NEB
Location LoOr LO1 ./ lXtl it
Permit No. Weather
? - / 9 Remarks
Excavation y,
Footing Forms
Footing & Piers J hit(
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 Floor-
Plbg. Fixtur- -
_ Car. Firep oofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
"a"N Biding Inspector
REMARKS
"
Wq �
� r