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8439 CERTIFICATE OF OCCUPANCY f TOWN OF +QUEENSSURY WARREN COUNTY, NEW Y+ORK Date 19 As �`�� This is to certify that work requested to be done as shown by Permit No. has been completed. _ f kT i { 'N'X�-n This structure may ied as a _ t- LAMation _ F' rickovor Rnac` ( fed Ford C" 1 psm II Pa t%.. — V Owner + e r Y F•r l i � By Order Town 'Board TroWN OF QUEENSBURY Building & Zoning Inspector CMMATIVE "INfTN- ♦AINTINO. GLEN* VAS-" N r tzeal 131 o�T91l Y! BUILDING PERMIT TOWN OF +QUEEN58UR'Y No. _ $ 439 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Stephen P . Sakai OWNER of property located at T [ot 83 Br is kov en Road Street, Road or Ave. in the Town of Queensbury, To Construct or place a One—F am f ly Dwelling at the above location in accordance to application together with plot plans and other information hereto filed and s-i- approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. (D 1 . OWNER'S Address is unknourn �3 b C!] SL 2. CONTRACTOR or BUILDER'S Name ^ .Martin C . Mosher w- 3. CONTRACTOR or B Ui L❑E R'S Address 15 Greenway North rth Glens Falls , New York ti 0 4. ARCHITECT'S Name rt Co � F-I S. ARCHITECT'S Address {'y PV 0 C (D 6. TYPE of Construction --- (Please indicate by XI (X) wood Frame ( ) Masonry ( I Steel l 1 O N O+ 7. PLAINS and Specifications 24 ' x78 ' per plat plan , specifications and No, application sulxnitted including two-car attached garage and sewage system . S. Proposed Use 0 One—Family Dwelling tj (D I $ 5 . UO C/O Paid ' $ 171 . QO PERMIT FEE PAID — THIS PERMIT EXPIRES ]Voy�n�ser 1 19 84 (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.) CI (D Dated at the Town of Queensbury this Clay of Agr ; 1 19 84 - SIGNED BY +�- �-� for the Town of Queensbury q Building and Zoning Inspector 'V �� TOWN O QUEENS' URY iSpace inside block to be tilled in bt WARREN COUN`l'Y. NEW YORK Building IngXRclorl ApplApplication for I' ,',x '`1 , ,�i ,xle " BUILDING AND ZONING PERMIT 1 , ,„t;r E%pirv% \ 011 14 .1 \l'cn'G THREE 13 ) Copies of a PLOT PLAN, Drawn to scale t � ,� ,r„; {•cI hti showingthe actual dimensions of the lot to be built upon, Te exact size, and location on the at of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION, narF TOWN OF �QUEEN5BURY A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK E ea lE 0 u [F= 11 II ANSWER ALL OF THE FOLLOWING. , 419 The undersigned hereby applies for a permit to do the following work / e27 c � which will be done in accordance with the description, plans and specifi- A. cations, and such special conditions as may be indicated on the permit. '7 � g�9�10111 � 31415 � The Ow oC this property is: . . . . . . . . . . . . WA .•cY Wo ADORES51 Th +person responnsibie for supervision of the work insofar as the Sze%)ding Code and the Zoning Ordinance apply is. ;NAMt:I - YP O ;%bb Y Name of Builder . .� :-�• s - -. 7 Address . . . - .ts `? .. ,,:-c - . . . . , . . r Name of Plumber . . . :r2.: max.- x_. Address - r. : . . . . . . . . . - . Name of Mason t " -<.... . . . . . . . . . . . . . . . . . . . . . . . . . Address - . . Lot Number . ., V. Unit - . . . . . - . . . . . Estimated Value of proposed Work $ r �G � . �' 'z .'. . . . . . . . , . . Name of Village . . . . I , . . I . . . . - . . . . . . . . , - . . . . Name of Street ? '� . . . . . . . . . . . . . Side of street : north [7 . east south L3 . west O y� Nearest Cross Street /. L...C. ^ Ae- Distance from this cross street . . • . • . ^--'� '� . Ft . Property is north south 0 , east i i , west © from Grass Street If on Garner, whit corner, northeast L1 , 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 Building Addition to a building. One-Family dwelling l� Alteration to a building. Two-family dwelling 0 Demolition of a building. -family apartment house Score building 0 -car attached garage Other: d d . . . . . . . . . . . . . . . . . . . Ci . . . . . . . . . . . . . Accessory Building One-car detached garage G7 Other work. Describe: . . . . . . . . . . . . • • . • Two-car detached ,garage Private chicken house L . . . - - . . Private storage g • • ' ' a 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- posed buildings, and the location of all existing buildings. NORTH Shaw proposed building(s) in dotted line and existing hYuilding(s) in solid line. Size of property . . . . . / . . . . ft. x , . . . . . . ft. Size and use of existing buildings, if any . . . , • - > # "' Size of proposed building . . . os. `7� . ft. x • . • . ft. Height (from grade to ridge) . . . . . . . , Et. Front yard . . . 4 . . . . . . . . . . . . . . . . . . . ft. Side vards . . . � . . . . . . . ft. and . , . .._ �i . . . . . ft. t�L s L+ ✓ - Rear yard . . . . . . . . . 1�./� . . . . . . . . . . . . . . . . . . . . . ft. so ur A if on corner, setback from side street . . . . . . . . . . . . . . . It. Note : All distances are net. as mrasured from street side line to nearest pare of building. (OVER) (cont'd.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe, etc.? . . . . . . . . . . . . . . . . Will any second-hand lumber be used? ?•r ' . . . . . . . If so. for what? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls . . . .e' V' ': . . ,. � Ft r . . . . . . . . . . . . . . . . . . . . . . . . . . . Thickness . . . . . . . . . Depth of foundation wails below grade _ . . . 4:1c . c? . . . . Continuous foundation? . . . Will there be a cellar? If so, material of cellar floor . . . . f'^ z� �: '�- . . . . . . . . . . . . . . . . . . . Type of roof: Sloped or flat? _ . . = . . . Material of roof . . . . Size, wood studs . . . . . . . . . . . . . . . . . . " x spacing . . . . . . . ,! tw. . . "'o.c., length . . . . . . . .c7 ft. Size, floor beams, Ist floor . . . . . . . . .c* . " x . /. L?- - - . - . . , - . ", spacing , . . . . . . . / . . ''o.c•, span . . _ . . . . /. . . - . ft. Size, floor beams, 2nd floor . . . - . - . - . " x . . . . . . . . . "» spacing . . . . , . . � . "a.c., span . . . . . . . /� - . . ft. Size, ceiling beams x _ spacing o.c-, span . . . . � 5. . .��. ft. Slie, roof rafters or be s . _ k " x . . . : . . . ", spacing "o.c., span . . . .ac' . . �. . . . ft. a Exterior finish . . . . �. �' . . . : vc ! . . . -: �-•='.I ". ': t t '. . With what material? . - . . . . . . Finish of interior walls . . .'/02' . . . v5'f?,<.v ? r . . . . . . . . . . . . . . . . . . . . . . - , - . . . . . . . . . . . . . . . . . , . . . . . . If garage is 10 be atta�c-h/ed, of what material is wall between garage and main buU4ing to be constructed? %�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . Is there to be an opening betty n garage and building? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kind of heating system , , . . -:t` f :z . . . . . . . . . . . Oil burner or coal ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a flue-lined chimney be provided? d • . . • Depth of chimney foundation below grade . . .�1. .` . . . . . . . . . . Height of chimney above roof. . . . . may'. �. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ` r ter , •• Will there be a fireplace? . . . . . . . . . . . . . . . . . . . . . . . . Depth of fireplace hearth . . . . f. ,h, , . . . . , . - Will a toilet be installed? . . _ . . . . . ..� y Will a kitchen sink be installed and connected to water pply? . . . . _ . . . . . . . . . . . . . . . . Water supply (public water supply or pump) . . . . 4 s (_'c "of- frr<-x: . . . . . - . . . . . . . . . . . . . . . . . . . . . . . . . . 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 tt: bda y of my kno+yaedge and belief the auturnents contained in this application, together with the plena and apeclTiratiams sub- mitted, are a true and co.,, lete statement of all proposed work to be done on the described premises and that all of the BUILD- ING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall be compiledan specified or not, and that such work is authorised by the owner. Sworn to before me this Signature .. . . .. . . . . . Y-; . „& . ... . . . . ... . . . . . .. OWNER. OWNER'S AGENT. ARCHITECT. CONTRACTOR day of_ __ _ .. . . .. . . . 19 . . . I40TARY PUBLIC, WARREN COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT: By .. . .. . . . ..... .. .... .. . ..... .. . . .... . . . . . . .... . . .. .. . . . . .. .. . . .... . . . . . .. ...... . . .... . .... ..... . ....... . ._ i TOWN OF QUEENSBURY dL `yet-t v 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 yy � Q 2 . Type of heat C i [� � Y .ti rah 3 . Is the building mechanically cooled ? l .4 . Pe �tcentage of area of windows and doors � �. /t? A . Over 16 % Only 1 . U value gross area of wails , roof / ceiling and floors exposed t ambient condition 2 , Floor over h ated spaces YES NO a . Are found t ! on wall insulated ? YES NO 1 . if YES , what s the R value ? 3 . Slab on grade YE NO a . if YES , what s t R value of insulation around Perimeter o floor ? 4 , Is basement eated ? YES a . R valu of insulation 5 . Type of nsulatlon B . Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions . 2 , R value of exterior walls ` A 3 . R value of glazed area *�►� ;L 4 . R value 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 ) 9 . R value of heated basement/ cellar walls ( below grade ) 10 . Type of insulation „ )0 tAw C . Controls Cr 1 . Thermostat maximum heat setting _ �`} 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 Beating 1 . Performance efficiency Xt) 0 70 2 . Temperature control setting maximum G . For Swimming Pool Only 1 . Maximum heating / Telephone No . ( applicant ' s signature ) TOWN OF OUEFNSBURY BUILDING & ZONING DEPARTMENT SETA?AGF DISPOSAL PERMIT APPLICATION 1 . Owner ' s Name Address Telephone No . 2 . Property location 3 . Name of person or firm responsible for installing system ) Telephone No . Address 4 . Number of bedrooms ( residential buildings only ) 5 . Daily flow Qallons/day 6w septic tank capacity gallons 7 . Topography : flat , rolling , steep % of slope S . Nature of soil and depth J-4 �L � 9 . If ground water , bedrock or impervious material is apparent at what depth does it begin ? ft . 14 . Percolation test : A is required B is not required C If required what is the rate minutes/inch 11 . water supply : municipal , well , other. Ll, z. _ _ 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 k 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 C EENSrBURY Building Department inepeebwe R"Nwt Date G Nesse g^ j1I --- [ oe aliasdoor.2IIII C.J Pernsit Na. ' f VIIea#Mae Remarks Excaoe tion Footin Farms Footing & Hers Fourxda tion cement Coat Water xoofin Bacicfi II Final Serve Fra d n Sheathing Roof Felt Roofin Sliding .elasoIII,nr1111,11: Veneer T470eqrh PI Relief Valves Wall Board Ext . Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr . Tile Concrete Floors PI . Fixtures Gar . Fire rooi'in Door Closers Chimne Water Meter Inst . Septic A royal Floors Founda t ion Xnsulation ,Walls Ce32�+iri "'` Building rnsFactor REMARKS i THE NEW YORK BOARD OF FIRE UNDERWRITERS 4000384 BUREAU OF ELECTRICITY 41 STATE STREET, ALBANY, NNW YORK 12207 Date Au t]a�t 8 , l 9$ 4 Application No. on file Q 5 4 fi 7 7 8 4 A 4 THIS CERTIF1E451 THpLT only the electrical equipment as described below and introduced by the applicant named an the abode application number in the premises of Martin Mosher , Lot 33 , Brick Oven Road , Queensbury , New York in the following location; ® ue Bosemnt ® lst F7. � 2nd FT. out s tde Section Block Lat Svcs examined on 6 I/ 1 `■ 8 4 and found to be in compliance with the requirements of this Board. FIXTURE EPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS � (XJTMS INCANDESCEHIT I FLUORESCENT AMT. I %. W. I AMT. I c W- IAMT. K.W. I AFT. I K. W. AMT, H, P. FR J DRYERS FURNACE MOTORS FUTURE APl4EANCII FEEDERS SPECIAL RRC•PT TIME CLOCKS BELT, UNIT HEATERS MLILT14WTLET DIMMERSSvSfRMS AMT. K. W. OIL H- P. GAS H, P. AMT- Na A. W. G, AMT, AMP. AMT, AMPS, TRANS. AMT. H. P- NCi. CIF FEET AMT.- WATTS l R nge b SERVICE DISCONNECT NO, Of I HIJT 0 10 E R V 1 C E AMT. AMP. 77PE METER 1 A' 2W 1 F 9t1N # X 3'Y4 ]..!' I'W NO, OF Cr. COND. A. W. G. NCI, CIF HI-LEC, A- W, G. NO. OF NEUTRALS EQUIP. PER 0 OIF CC.COME)_ OF H4LEG OP NEUTRAL OTHER APPARATUS: 1 - 20 amp GF1. Breaker 1 Smoke Detector Elec . Helaaer : Rwl . 5kw ; 4 - 1 . 0kw ; 3 - . 75kw ; 2- 2 . Okw ; 1 -- 2 . 5kw - �William C . Carpenter Assoc . Inc . P . U . Box 204 3 Glens Falls , New York 12801 BRANCH MANAGER + per E COPY FOR BUILDING DEPARTMENT. THIS OPYOF CERTIFICATE MUST NOT BE ALTERED IN ANY MAl11NER. TOWN OT C EENSSURY Building Department [wpeckwo Rat DaRc Name / Permnt No. r5' S� � � Wes#hcr Excavation kootfpg Forms Pooting & Piers Foundation Cement Coat water r Tln Baahfill Final survey F,tamin Sheathing Roof Fel t Roofin Sidin Masonry Veneer Rough PI Relief valves Wall Board Sxt . Porches Finished Floor rnterior Trim " Stairs & Raili s Cellar Dr . Tile Concrete Floors p2bg. Fixtures Gar . Fireproofing Door Closers Lw - Chimne Water Meter Inst . septic A roval FlaOrs Insulation Foundation wails Cei.l i n Building Inspector REMARKS qe ! _ / TOWN OF QUEENSSURY Building Department luspockers Repot ate --- N.ne Pe nmit tva. 3 weather Remarks E atson n Forms n 6Piersation t Coat Water Prooriling Backfill Final Survs Framin Sheathin Roo€ FJillelt IIIIIIIIIIIIIIIIRoof-In Siding Masonriv veneer Rough Pl Relief valves Wall Board Sxt . porches Finished Floor Interior Trim Stairs & Rallin s Cellar Dr . Tile Concrete Floors PI . Fixtures Gar . Fire roofin Door Closers Chi Water Meter Znst . Se tic APproval Floors Foundation Insulation Walls Caillina Bui di Inspector REMARKS TOWN OF QUEENSBURY Building- Department 10"Peeler# Repm t ]Date i:� 12 Wam. Pernik No. H 3 y -- Weather Remarks ExcarYa tlon Footing Forms Footing 6 Piers Founda tIon Cement Coat Water roofin _ .elar.Jcfill Final survey Priumdrig sheathing Roof Felt Roofin Sidi Masonry Veneer Rough P2bg Relief Valves Wall Board Ext . Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr . Tile Concrete Floors Pl . Fixtures Gar , Fire roofin Door Closers Chimney Water Meter Inst . Se tic Approval Floors rrs Insulation Foundation Walls I Ce C` Bui.Idingr XnR�ctor ��jj REMARKS BUILDING DEPT. COPY OF APPLICATION FORM 46-EL. NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH SUILOING DEPT. WHEN REQUIRED. yx Y CITY OR VILLAGE TOWNSHIP,: r' , _ . COUNTY ""�iJh STREET AND MO, OR ROAD AND POLE NO, d.,,�, �, � - +y1 Y „�y POLE NO BETWEEN EFTS TWO "'---—'r !�• — CROSS STREETS IS y�� / JC'.".ef.� PREMMES LOCATED? j T-. ,.,�_.^y .fir SECTION __ BLOCK LOT OCCUPANT'S ..�. BUILDING NAME ,,r��. �; OCCUPANCY11 OWNER'$ NAME d4 --- r ,r AND ADDRESSCUR �P SLIPPL I ED � ! BY ,". - ^'i .w *� FROM THEIR t;t`{' � OFFICE BUILDING RK DEFECTS IS NEW O!D ❑ REMODELED ❑ !'Y$O NEW ADDITIONAL ❑ REMOVED ❑ LIST BELOW ALL EOUIPMENT WHICH YOU INSTALLED Lose NUMBER OF OUTLETS No. of Receptacles;F' & MOTORS HEATERS CBRANCH IRCUITS LAMPS Lam tion Ceiling Sid# Att#ch't Switch Pendent Bweck ex Na. T H. P• W#tls A.W.G. WATTS Wall RaeapYb: YW Eadt No. Each No- Gauge ND. EACH Out- sida Sub- beast Base- rn�dF art! FI. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE TNIS SPACE. This application is intended to cower the above-listed equipment to he inspected but it at time of i nipthemt is found additional equipment not above Bated, You ese auth orixed to make the inspect fee to and adjust the f to cover the additional equipment, as provided ded by the applicant, SIZE OF ELECTRIC SIGN TOTAL MAIMS FEEDERS LAMPS WATTS CHARACTER EXPOSED OAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE INUMBERk STARTED COMPLETED SIZE OF SIGN iCAPAiClTY] SERVICE ENTER$ MAKER It-DIN OF SIGN INSPECTION REQUEST ON OR AS NEAR AS �. POSSIBLE NEW OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED_ NAME OF DATE OF APPLICANT,( l f' -s ✓ '�%i,v �i,,.L APPLICATION -.r STREETADDRESS CITY OR �z ; f.y3 "y ,ZIP LICENSE NO, POET OFFICE I'"3 CODE _( _WHEN APPLICABLE A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING