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3624 rt CERTIFICATE CIF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Dade 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 ocy 45 L vocation Owner t 1"lC--+ In Y�1o5' '-'�' By Order Town Board TOWN OF QUEENSBURY } Building & Zonings lnapeetur CRCRTIYC "INST 1. PAIN TIHG GIEHS PALLS My 42001 1919)991-5658 " BUILDING PERMIT TOWN OF QUEENSBURY No. 3624 WARREN COUNTY* NEW YORK o r to to PERMISSION is hereby granted to Martin Co Mosher ►f OWNER of property located at Heinrich Circle Lot #119 Street, Road or Ave. in the Town of Queensbur y, To Constructor 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. F2. CONTRACTO ER'S Address is C'S R . D . # 3 Upper Sherman Avenue •. H G ens F lls New 'Fork " R or BUI LDE R'S Name Martin C . Mosher 3_ CONTRACTOR or BUILDER'S Address t11 Same m 4. ARCHITECT'S Name ^C iL '1 - tt► 5_ ARCHITECT'S Address t -r F+• u� 6, TYPE of Construction — (Please indicate by X) I k I wood Frame I ) Masonry 11 Steel I l 7. PLANS and Specifications No. 26tx62t per plot Iblan , specifications , application submitted including sewage system and 2 car attached garag ft 8. Proposed Use One family dwelling $5400 c/o paid February 1 19_�i� $ 46 w0O 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 Queensbury before the expiration date.0 Dated at the Town of Oueensbury this 1 7tk1 Day of Ju1Y 19 75 ley SIGNED BY + for the Town of Queensbury Building arbd zoniloffil Inspector TOWN OF QUEENSBURY ( Spacr irl�idf h1cwk Ire lx• till, It III Ir WARREN COUNTY, NEW YORK Building InsprKtorl Application for \ pI 'Ii( 4' tisrll .( l. I's'} 1` Ilf ISNIled _ 14 BUILDING AND ZONING PERMIT I'r T mil Fxpirvs 12 iu .ii ; rl. Distrito . Elrr r ,i 11 : u V $ THREE 13 ) Copies of a PLOT PLAN, Drawn to scale + ; I"I'" x rl hti showing the actual dimensions of the lot +o be built I. i11.1rW upon, The exact size, and location on +he lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION, f JI}�1� �(Gf= r�I UcENS8UPY h I]: pTt � FPS L"r, A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK uL ANSWER ALL OF THE FOLLOWING. -`"� The undersigned hereby applies for a permit to do the following work A.Me � POW which will be done in accordance with the description, plans and specifi- ?I � . I :711213}4J5,16 ca+ions, and such special conditions as may be indicated on the permit. T , caner o this property is: r f NA'rt E} .^ RO AD RESSI T e person ressp--on''sihie for supervision of the work insofar as the Building Cade and the Zoning Ordinance apply i, : INAMEI O AI}6REES�!j Name of Builder . . . . . .�*+. . :-. . . . . . . . .. Address . . . . , ..�.-� . Name of Plumber . , . . . . . . . . . . Address Name of Mason - - . . - - . . Address . . Lot Number . . .,c". e'- - . Unit . . . . . . . . . . . . Est iinated value of proposed work f .' .mil AW AV r r Gg 0- . . 1 Name of Village . . . . . .+?ltl�, j7,.s � . t Name of Street . . l!�'� �'"�! 4 + . . ,-,tt .,��� - . . . . . . . . . . Side of street: north { east ❑ , south ❑ , west ❑ Nearest Cross Street 4 1 . . . . . . Distance frf,rn this ^ross street Property is north ❑ , south ❑ . east i➢Si , wetit from Cross Street If on Corner, which corner, northeast ❑ , northwest Cl . southeast Lam . southwest (Designate by marking with an "X" in the correct space. f NATURE OF PROPOSED WORK OCCUPANCY tt Construction of a new building. Main BuRding 0 Addition to a building. TwoDoe-family dwelling l� Alteration to a building. . . . . i-family apartment house tv dwelling O [1 Demolition of a building. -f Store building c7mz . . -car attached garage Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . l e , . . . . . . . Accessory Building One-car detached garage C © Other work_ Describe: . . . . . . . . . . . . . . . . . . . . . . . . . . . Two-car detached garage Private chicken house . . . . . . . . . . . . . . . . . Private storage building 1� 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., size and setbacks of pro- posed buildings, and the location of all existing buildings. Show proposed building(s) in dotted line and existing auilding(s) in solid line. Size of property . . !!W40 . . . . . . . ft. x . . 4414!7 . . . . ft_ Size and use of existing buildings, if any . . at "' Size of proposed building x ft- Height (from grade to ridge) . . . . . / . . . . . • • • . it. Front yard . . . ft. Side yards ft. and . . . . p c 5✓. . . . ft. t. Rear yard . . . . . . . . . . . . . .� 0 E SOUTH If on corner, setback from side street . . . . . . . . . . I . , ft. . . Nose: All distances are net, as measured from street side line to nearest pare of building. (OVERY T OVR4 OF 0UEENSB'J4 Y BUILDING ZONING DEPT. QUEENSBURY TOWN OFFICE BUILDING BAY & HAVILAND ROADS 9 RD#I GLEN' S FALLS , NEW YORK + :'�.tiol APPLICATION FOR A PERMIT TO CONSTRUG's ER . , ALTER OR ENLARGE A SEWAGE DISPOSAL SYSTE.IA WITHIN THE TMVN OF QUZENSV� OCCUPANTS NAJAE ADnREss F- iP ONE 17 ga- Nate FDD 4 �L:: .}Mali` I./�.�4✓� LrYv} V.""�" jai iU`'+ .1[.KY 077 ..� 1.:LFRLf1Jt'ri �..,�..... ,...... ,,..,.... A GARAGE GRINDER? ( YES OR NO) AOTOPOGRAPHYFLAT ,FLAT , ROLLING, STFEP SLOPE , GENTLE SLOPE , OTHER. -- NATURE OF SOIL : CLAYv SAANDY, LOAfAq GRAVEL , ROCK , ETC . PERCOLATION TEST WATER SUPPLY* vOlUNICIPAL , WELL , OTHER DIAGRAM OF PROPOSED SEPTIC SYSTEM _ - - . OTHER PERTINENT INFORMATION IT IS HEREBY AGREED THAT IF THIS APPLICATION AND PLANS ARE APPROVED , INSTALLy►T iOiv OF SEWAGE DISPOSAL FACILTTIES WILL BE MADE IN ACCORDANCE WITH DETAILS SHOWN PERMIT FEE IS S5v00 Data SIGNATURE OF APPLICANT TOWN OF QUEENSBURY Building Department Inspectors Report Date_ ze' — Name Location ��! f / Permit No. WeiLt er Per Cent Complete 1Ren wrks Excavation Footin Forms Foutin & Piers Foundation Cement Coat Waterproofing Barkfill Fins! Survey Framing Sheathing 2IMasonry lt Veneerlbt .alvesrdches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors Plh . Fixtures Gar_ Fireproofing Door Closers Chimney Water Meter Inst. Se tic A roval Building Inspecter R ARKS THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 41 STATE STREET, ALSANY, NEW YORK .12207 ter DateIIJI 'm am r Application No. on file A a . THIS CERTIFIES THAT fi only the electrical equipment as described below end introduced by the applicant natrted on than abI application number in the premise of 3ST� ' v x �..Ty`�.' .. ` i':. 4''tl �.? :zrK 4r y c;''Ji ,. I in the following location; L3 Basement 0 lot Fl. ❑ 2nd Ft. I i" x' q w :Section Block Lot was examined on - .%? 010 ,� and found to be in Compliance with the requirerrtenta of this Board. FIXTURE FIXTURES ti RANGES COCKIHDRCKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT y AMT. K. W. AMT. K. W. AMT, K.W. AMT. K. W. ANT. H. P. DRYERS FURNACE MOTORS FUTURE: AFFUANCE FEEDERS SPIECIALREVII71 TIME CLOCKS I BELL JUNIT HRATERS M MTI-GYTtEt DYNM,ERS ANT. K- W. OIL H. P. GAS H. P. AMT. NO. A W, G. T. AMP. ANT. AMPS. TRANS. AMT. H. P. SYSTEMS .AMT. WATTS NO. OF FEET SERVICE DISCONNECT NO. OF S E R V 1 C E AMT. AMP. TYPE METER 1 Jr 1'W 1 ,II $1N 3 /F' 3W 3 X JM! NO, 'DFPERC,R,COND. CIF CC W. NO. OF HI-LEG O N LM NO. GF NEUTRALS Of NELI G. OTHER APTARATUS: ... .' t3 x'e ' „r.r ra' v }� A .� .i• .'. #"'X': !..;[ ;}.. t'.�.1' L.. . _" a:`ts ✓' ,dL e ..3 . x � TOWN [OAF {{�QUEENSE3URY 1E G IS li OCT 8 1915 .� P.M LI BRANCH MANAGER Per COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN . ANY MANNER. TOWN OF QUEEN.SBURY Building Department Inspectors Report Date o Name Location Permit No. 2kLf Weather Per Cant Complete Remwrka Excavation Footing Forms Footing & Piers Foundation Cement Coat Water roofin Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding ALasenry Veneer Rough Plb . Rough Ht . Relief Valves Wall Board F:xt. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors Mg. Fixtures Gar. Fireproolinli Door Closers ChimnC Water Meter Inst. Se tic Approval B ilcEimg 1,napecter REMARKS TOWN OF QUEENSBURY Building Department Inspectors Report Date /g'- 70� Name F ovation Aw Pertnit No. ¢��� Weather 4- - Per Cant Complete RerAmirks Excavation Footing Forms Footing & Piers Foundation Cement Goat Waterproofing Baekfill Final Survey Framing Sheathing Roof Felt Roofing Siding Afasonry Veneer Rough Plb . Rough Ht . Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors Plh . Fixtures. Gar. Fireproofing Door Closers Chimney Water Meter Inat. Septic A22roval 8niidirtz Inspector REMARKS sr� � TOWN OF QUEENSBURY Bull ding Department Inspectors Repot Date__' Name Location Perna?t No, Weather Pe Cent Caan*let* 1Renwwrks Excavation Footin Forms Footing & Piers Foundation Cement Coat Water roofin Backfill Final Surve Framing Sheathin Roof Felt Roofing Sidin Masonry Veneer Rou h Plh Rough IIt Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors Mg. xtures Gar. Fire rooFin Door Closers Chiron Water Meter Inst. Se tia A roval BuildSrna Inspector REMARKS