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1985-654 � r CER'OnFICATE OF OCCUPANCY TOWN OF QUE'ENSBURY WARREN COUNTY, NEW YORK maxDate l�'1 �'nx it 19 This is to certify that work requested to be done as shown by Permit No. has been completed. Dv)p Can "flail structure may be oecu led as a -}? [r :. y° 17I* _ I I inr 12 ; (S"�fX �'iY1�- Location T . 141 � ar � TrI ��J'vcad 2C' ) 1 � Owner By Order Town Board TlD'WN OF QUEENSBURY Building & Zoning Inspector CRE AT,YE "I M'ET A'" VRIRT�NG. GLEN5 FALLS YVI T 12EC, 15�b Ivq 3565E ir CER rnFICATE OF OCCUPA.MOIL TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK I]ate march 3 (3 19 ?o i This is to certify that work requested to be done as shown by Permit Nov 3 W654 has been completed, This structure may be occupied as a Lot 14 Siq ar Piiie Road ( St . 03- ]„dlcation. :i.:;.rtin t. . Mosher Owner ri P-1VPC) A t'.' CE KTI. " IC;ATl_ C?F GX UPAN S'. By Order Town Board FOR 1I ii 'Li' �3C)) JAyIS i'E;iti3� iti[ FIB:. i, k:1_t.C:`;'f•.s C::'.' TOWN OF QUEENSSURY Building & Zoning lAsPect7t - r C#EATI4`C " Nf'r+ '• rA1NiNG. 4 -EMJ fNLr-5 n V 2901 13 �119a-fiY! - . .. - .- t BUILDING PERMIT TOWN OF QUEENSWRY No. 85- 654 WARREN COUNTY, NEW YORK PER MISSION is hereby granted to Martin O - Masher 0 !y Fi OWNER of property located at Lot 1-4 Sugar Pine Road { St - �� • 28 � Street, Road or Ave. rf The Pines Of Queensbury •�"� in the Town of Queensbury, To Construct or place a C3ne-Family Dwelling n 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 Clueensbury Building and Zoning Ordinance. Gn 1 . OWNER'S Address is 15 Gr eenway North Glens Falls , New York 2. CONTRACTOR or BU1 LCIE R'S Name Same r 0 3. CONTRACTOR or GUILE) S Address d F Same .P Cn Cn G 4. ARCHITECT'S Name ri p "t] • N• 5. ARCHITECT'S Address Ib M CO ..CB W 0 W SZ 6. TYPE of Construction — (Please indicate by XI i l Wood Frame ( 1 Masonry ( ) Steel ( 1 F7. PLANS and Specifications34rx60r per plat plan , specifications and ap'plicatio No. submitted including two-car attached garage and sewage roposed Use M Cb One-Family Dwelling e N- $ 5 _ 00 C/O Paid ,c $ 18 5 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES June 1 79 86 (if a longer period is required an application for an extension most be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) F-•� 1� W- Dated at the Town of Queensbury this 13 th� Day of November 85 � SIGNED BY / i /� for the Town of Queensbury Building and Zoning Inspector i OWN OF QUEENSBURY � , ;,tare inside blcxk to lx` lily`tI it, w. `:11ARRE,4 COUN:Ye NEW YORK � l3uilclin� Instae r Lary Application for y ; • I ,, , :,: � , „ r tier Itr BUILDING AND ZONING PERMIT i �r l , hi, r � . . . . . . I41 THREE ( 3 ) Copies of a PLOT PLAN. Drawn to scale showing the actual dimensions of +fie lot to be built J� r " ' upon, The exact size. and location on the lot of *he building to be erected or altered MUST BE SUB. MITTED WITH THIS APPLICATION. r;- rawly OF c�urrlsaui�Y ;,A,F A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWING. 198b 00. a Qe� ' The undersigned hereby applies for a permit to do the following work A M�� 1-"_ P.M. wfiicfi will be done in accordance with +ha description, plans and specifi- 11213141516 try cations, and such special conditions as may be indicated on the permit. � '� 4:"!' r I I 9 � The owner of this property is: J / j{// /j ] I � f / / 1 { I'. s. 1 + `. 'L. /..e.. .). .�� .G~• I. E, �. 1. L �' /', �! I �f.Y- '_"!� { i : .� . :9 rr ac,uaECs,Y YYY! [Nn •E} The/, person responsiltia For supervision of the work insofar as the wilding Code and the .Zoning Ordinance apply is: . . . {rtAMEI fP 4. npCP E551 Name of Builder . fiYZ t: ' C - . )2 c 4 d -c .I - - Address. . Name of Plumber - Address Name of Mason . . . . . . Address Lotumber .. . .N . . !r . Unit . . . . . . . . . . Estimated value of proposed work S ,ram � , . { Name of Village . • >, . � .Ut c . ■ � �_ L� 4 G � . . . . . . . . . . . . . . . . . . . . . rf R . Side of street north © , east © . south . west Name of Street _ , 1. ./G .L. . . • . G. . t . ; . - J Nearest Cross Street .cc.-" .�±=__, '�,.-rK'c-' . Distance from this cross street C`li. '. i:'.n. 3. �,.,r . c. - . Ft . . `.,-.:"�:� . Property is north 'O , south �• east i] , west 0 from Gross Stre t If on Corner, which corner, northeast Li , northwest El . souttteastsouthu est (Designate by marking with an "X " in ��t�he correct space.) NATURE OF PROP40SED WORK OCCUPANCY Main $uAding Construction of a new building. One-family dwelling © Addition to a building. Two-family dwelling n ❑ Alteration to a building. . . -family apartment house 0 [] . Demolition of a building. Store building FI '�. . . -car attached garage 71 0 t h e r: d . . . . . . . . . . . . . . . . . I - - . . - . . . . . . Accessory Building, Cane-car detached garage ED 0 Other work. Describe: . . . . . . . . . . . . . . . . . . . . . Two-car detached garage Private chicken house 0 . . . . . . . . . . . Private storage building ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building, or a change of occupancy.. Indicate on the plot plant street hates, the location and size of the property, the location, sire and setbacks of Pro- posed buildings, and the location of all existing buildings. uoRTH Show proposed building(s) in dotted line and existing huiiding(s) in solid line. J Size of property . . . �� . . . . . . ft. x . . . ft. Size and use of existing buildings, if any . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c:s . . . . . . up Size of proposed building } ft. Height (from grade to rice) : . . . �- `. . . . . . . . . . Front yard . " . . . . . . • • . . . . . . . . . . . . ft. Side yards . . . . . ./f 0 ft. and - . . . _'. . . . . . . . ft. Rear yard . . . . . . . . . . . . . . . . . . . ft. $OUTM � If on corner, setback frosts side street . . . . . . . . . . ft. Note: All distances are nee, as wsaasatred from street side line so nearest pare of building. (OVER) (cont'd.) BUILDING SPECIFICATIONS,. Kind of construction: Wood frame, fire safe, etc.? . . - c . :' . , . . . :`.! , 2 .'. :--. . i . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber be used? . . .`,,✓,I. F` . . . . . . . . If so, for what? . . . . . Material of foundation walls b �.-?�-< Thtckneas Depth of foundation walls 'below grade , . . r '. . . . . . . Continuous foundation? Will there be a cellar? . . . z /:t a . . . . . . . If so, material of cellar floor . . . f '", , ,;�L.- c. :'. . . , {-?z Type of roof: Sloped or flat? . . . C -: . . . . Material of roof . . . . . la C:.k G . . . . . . . . . . . . . . . . . . . . . . . . . . . . Size, wood studs . . . . . . . . . . . . . . . . . . " x . . .4j . . . . . . . . . . ", spacing _ . . . . . . / . . ."o,c„ length . . . . . . -4 . . . . ft. Size, floor beams, 1st floor . - . . . . : " x f :T . . . . . . . . . ", spacing . . . . . . ?. . . . "a.c., apace » . . , . ✓ :,f,. . . . . ft» Site, floor beams, 2nd floor . . . . . . _1 . . . " x . . Gf' - . . . . . . . . spacing . . . . r^, . . "O.c., span Size, ceiling beams . . . . . . . . r- . a , , . " x . . . . �.: _. . . . . . . . . ", spacing . . . . . . . / . G" . . . "o.c., span ft. Site, roof rafters or beams . . . . . . s- .�. . . . " x r . spacing . . . . . . , /. G - , ,,o.c., span . . . . /_ 3�+. . . ft. Exterior finish :%"'-: . . .,: '. L. ' " :-;I— . . . . With what material ? Finish of interior walls . . . . If garage is /to be attached, of what material is , all between garage and main buijding to be constructed? OL Is there to be an opening between garage and building? . . . . . . .�! . . . . . . . . . . . . . , . . Kind of heating system . . . . . . . . . . . . . . . . . Oil burner or coal? . , - . _ . . . . . . . . . . . , Depth of chime foundation below Will aflue-lined chimney be provided? � . . ; ; p chimney grade Height of chimney above roof , . . . . " . -� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ Will there be a fireplace? . - . , 4 � . . J Depth of fireplace hearth . . ,1 - '. . . . , . , . , . . , , . . Will a toilet be installed? , - - ` . . . 6 .� ! . . . . . . - . , . 1 .. . . . . . . , Will a kitchen sink be installed and connected to water Supply? . . - . `:, ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Water supply (Public water supply or pump) . . . . , , . . 4 4 .� c r . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 ss State of New York I swear that to the best of my knowledge and belief the atatemonts ooetained in this application, to4ather with the plans red airs es ertfetts strb- mitaed are • true and Dora statement of cell proposed work m be dance an the delrlribed preraaaee atad thrt al of the SIJILD• ING 86DE, THE Z€}NING ORDINANCE, and all other Laws pa mine w the proposed work aFull be r"otepliad � or �, sad tint such work is authorized by the owner, rta r Sworn to before me thin S f ) ) }— C } > L u 46a.ttu a .. . . .. . . .:. . .. ...� .-::. L . r� OWNER. OWN¢R'S AGENT, AftCHMCT. CONTt1ACToR .. . . .day of. . .. .. .. NOTARY PUBLIC, WARREN COUNTY, SPECIAL CONDITIONS OF THE PERMIT: Sy .. .. ...... ...... ........ ........ ..... .. ...... ........ .. ............ . ..... ................................ WARREN COUNTY , NEW YORK Application fors BUILDING PXRM1T IN COMPLIANCE WITH THE NEW YORK STArx UNRRGY . CONSERVATION CODE A permit most be obtained before beginning work . ^NSY# R ALL of the followings 1 . Gross floor area /w wwr�.rw 25 Type of heat r 3 3 . Is the building mechanically cooled ? 1TJ 4 . Percentage of area of windows and doors 4C A . Over 16 % Onl 1 . Uo value of gross area of walls , roof /ceiling and floors exposed to ambient conditions 2 . Floor ever heated spaces YES NO a . Are founrri3ation walls insulated ? YES NO 1 . if YES , what is the R value ? 3 , Slab can grade YLS 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 8 . Under 16 % Only 1 . R value of roof and floors e " osed to ambient conditions 2 . R value of exterior walls L� C' 3 . R value of glazed area 4 . R value of doors � �a r .�.ww�rTw.w 5 . R values of floor ■ over heated spacers 6 . R value of slab edge insulation owunheated slab v} 14 7 . R value of slab insulation - Heated slab yA B . R value of heated basoment /' cellar walls ( above grade ) _ 9 . R value of hosted basement / cellar walls ( below grader €� "ice 100 Typo of insulation je" .r..,,,ti.. C . Controls 10 Thermostat maximum heat setting D . Duct Systems 1 . Is duct syst* m installed in unheated spacep ? YFS t. 0 a . If YES , R value of duct installation Y) ,/ b . R value of duct in other areas MONSOONS E . Piping Insulation 1 . Size of hot water ' or cooling carrying agent pipe 2 . R value of ,pipe insulation re Sarvnco Water Heating 1 . PerEarmance efficiency 2 . Temperature control setting maximum-, Ito . G . For Swimming Pool OnlyA • *Cv TM 1 . Maximum heating TeAephonP - No . r` 1" / .5-e + y. � �"JQs fir.:.' L " .• .�� "+ } ( applicant ' s signature ) TOWN OF ()UEFNSBURY BUILDING & ZONING DEPARTMENT SEF?AGF DISPOSAL PERMIT APPLICATION 1 . owner ' s Name ) l -- ( / , L �, XL , .Address Telephone No * i .1 ,s . 2 . Property location 3 . Name of person or firm responsible for installing system \ — r Telephone No . Address 4 . Number of bedrooms ( residential buildings only) 5 . Daily flow 6000 gallons/day 6 . Septic tank capacity /r G` -.14 gallons 7 . Topography : flat , rolling , steep % of slope / C1 7 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 B is not required C if required what is the rate minutes/inch .� 7 11 . Water supply : municipal , well : other _✓ . � � L £ -- 12 _ Type of system proposed : drywell , tile field , other Any contractor , corporation , individual , etcw 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 . Dade 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 . // �C1 � Form 3 - 82 � y0 ' T.Le F ; eIW iiiiiiii�I III Jill 111 4°s7381 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 41 STATE STREET, ALBANY. NEVI§)l@R !? Date Aril 3 , 1986 Applicatiore N". on file 657763 THIS CERTIFIES THAT only the eilectricat equipment as described beloss and introduced by the applicant nomad an the abort application number in the prerrsisas of Wsher Construct.ion , Sugar Pine Boad , Glens Falls , Now 'York in the following 145,t , ,86 �1 Basement lot Fl. ED 2nd Fl. Outs:'de Section Black foot#14 was examined on and found to be in compliance with the requirements of this Board. HXTURRt RXTUIIES RANGES COOKING DECKS OMENS DISH WASHERS EXHALKT FANS OUTLETS 211CWTACIlS SWITCHES INCANDESCENT I FLOOMSCENT AMT. K. W. AMT. K. W. AMT. K.W. AMT. K. W. AMT. . H, P. 23 48 126 23 3 FEt DRYERS #Up"ACE MOTORS MMM APMANCE MI SPECIAL RMkJOT TIME CLOCKS I W.,, UNIT HEATERS 1PAULT143UM111 DIMMERS AMT. K. W. OIL H. P_ OAS H. P. AMr. . 6. AMT. AMV AMT.T AMWS TRANS. AMr. H. P. �M AMT, WAM 10 1 #10 SERMHx DWOOON"N= NO. OP S E R M I C E AMT. AMP/ I TYM 1 -M 7'W 11' 3W 3 0 3W 3,e' •w NO. Or- C, COND.Ar q, C WCCo. Y. NO. Or wtea Of. W G.. NO. OF NEUTRALS OF IE+UIII OTHER AlFARATM-. 1- GFX= 1— qmke Det F.l > 1C F 8t 3'�]�` 2+yM5 L\E'err $' {}e •Y� ( 9 • .J L . 2— 2 . O Kowa 3 1 . 5 Kowa T 2- 1 . o KoTYa Glons Falls j !Iew York 12801 BRANCH MANAGER „ 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- TOWN OF OUEENSSURY Building Dep&TtmOut n&I NI '&j;SLjjL 0CM lEittifip PIP No. AI44. 1 Jl!"S +I��Tf Remarks ,Excaoa to on Focati Forms Footin & Piers Foundation ,Clnt Coa t Water roofin Sscxfill Final Survey Frainin I ea thin Roof Felt Rol Siding Masonry 'VBneST Rou h P1b Relief valves wa11 Board Ext . porches Finished Floor � Ynterior Trim Stairs & Railin Is Cellar Dr . Tile Concrete Floors PI . Fixtures Gar . Fire roofin Door Closers Chimne Water Meter Inst . Se tic A roval Floors —�-- Foundation �. Insulation wade.: -----�— Cl _ -- Sui3di g Inspector REMARKS OV T ti+ A' /fa ,3rs tr'AA�.r TOWN OF QUEENSBURY Building Department Date Naaawa '� Loaatim Perit No. S 5 W m estlsar Remarks Excar,�a Lion Footin Forms Footin IG Piers Foundation Cement Coat waiter roofin gackfill Final Surve Frami Sheathin Roof Felt 22oofin ,Siding Masonr veneer Rou h Pl Relief valves wall Hoara Perches Finished Floor Interior Trim Stairs & Railin s Cellar Dr . Tile Corxcrete Floors Pl Fixtures Gar . Fire roofi poor Closers Chimne water Meter Inst . Sept C A royal Floors ,Foundation �. Trisulation walls �----� Ceilirfg i da nspecto REMARKS TOWN OF +QUEENSBURY $nilding- Department inspe sawn 5 $3J Nazon ram. L�acatiwa E •c• Perna t Na. - CD Weadwr- Remarks ExcatYa Lion Footin Farms Footi & Piers Foundation Cement Coat water in Backfil.l Final serves Fraud Sheathin Roof Fat t Roofin Siding Masonry Veneer Rou h PI Ilk Relief Valves Wall Board Sxt , Porches Finished Floor Xntariar Trim Stairs & pail! s Cellar L1r . Tile Concrete Floors PI . Fixtures Gar . Fire roofin D00Y Closers chimne Water Meter Inst . Se tic A PrOval Floors Foundation Insulation Walls ei13 Build ` SnspectOr REMARKS AoI a mos"ER 16 GREENKAY, JVORny GLENS RAL" NY 12801 lot 0 07 r . ry TOWN OF QU EENSBU RY Building Department bmwaetars Ropwt Dater_ . o Oki Per rmst Na. 6 Weather - Remarks Excatm tl on Footing Forms A Footing & Piers Foundation Cement coat Water rooifi.n Backfill Final Surve Fraud n sheathing_- - . Roof Felt Roof-in siding Masonr Veneer Rou h Pipgo Relief Valves wall Board Ext . Porches Finished Floor Interior Trim stairs & Railin s Cellar Dr . Tile Concrete Floors Plbg , Fixtures Gar . Fireproofing - poor Closers chimney _. hrater Meter Inst . .Se tic Approval Floors Insulation Foundation Walls ........................_. Ceilin uslding Inspector REMARKS r TOWN OF QUIEENSSURY Building- Depnrtment lumpeckwo Report Date _ / / Cm Names �.- LAwatieft Pernit No* Weather, Rem3 rks Sxca*>a Lion Footing Forms Footing & Piers Foundation Cement Coat waterproofing BaGxfill Final curve Framing Shea thin Roof Felt Roof i n Sidin Masonry Veneer Rough Pl Relief Valves Wall Board Ext . Porches Finished Floor Interior Trim NL Stairs & Railings Cellar Dr . Tile Concrete Floors Pl . Fixtures Gar . Fireproofing. Door Closers chimney Water Meter Snst . Septic Appx0val Fzo�rs ' _ Xnsulation Foundation Walls Celli Buil,ding l'nspector REMARKS BUILDING DEPT. DOPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDEPWRITERS. FILE TM IS COPY WITH BUILDING DEPT. WHEN REQUIRED, x TEMP. DATE r CITY OR ' VILLAGE TOWNSHIP ,p{ (.,(,��{,�r-Y. /i ..r ems) Oro COUNTY/ 4 �.Mv/' STREET AND NO. OR ROAD AND POLE NO. POLE AID BETWEEN WHAT TWO CROSS STREETS IS _ P M SE T } '+' ECTION BLOCK LOT OCCUPANTS .. BUILDING NAME - OCCUPANCY . h, OWNER'S NAME AND ADDRESS J TEL.CUMIR # SUPPL 1 E D -l� SY � I-5 FROM THEIR '^ r-- OFFICE BSUILPING NEW I ryr OLD 1J is NEW ,'ADDITIONAL REMOVED ❑ Y� LIST BE LOW ALL EQUIPMENT W"1CH YOU INSTALLED NUMBER OF OUTLETS Ny,o flew,poM MOTORS HEATERS OFFICE USE Lowe- I ONLY ainrrr SWall R�y Swltidp Wssdant Bracket wo TYPE Each No Ea�A No Oawi INSPECTION out- side Sub- bbs" Basa- Inrlt tat Ft. 2nd Ft. and Ft. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE_ This appl.wHan is intended W corer the above-Noted aquipmant to M ins paw:trd but if at timr of irsp 4 tion Mere is found additional oquipmeM not aborr IiaMd, you are authorised to make Uwe inspection and adjust the low to cover the additional equipivo nt, as provided bV the mpplicant. SIZE OF ELECTR IC SIGN TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE INUMBERI ICAPACITYI STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS evIL ING OF SIGN INSPECTION REQUESTED ON OR AS NEAR AS POSSIBLE Li NEW OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESSNAME OF ) /,,r^�• APPLICATION p STREET ADDRESS r "' } TELEPHONE # Z7'�}11 47 CITY OR • /� � '7 / ZIP f '} /..rQ { LICENSE NO, POST OFFICE " ✓.�-1r CODE flCS WHEN APPLICABLE ns EL- IREv. tracts A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING