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6493 • CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date Cerk 3)19 0 ?oL This is to certify that work requested to be done as shown by Permit No. fl LYI 3 has been completed. This structure may be occupied asO i "1-;,6''1i; J h- t'vi,(I1 1't. Location "T /kfr7 . . ) : Owner ' " Ct 11 No , — By Order Town Board TOWN OF QUEENSBURY Building 8i Zoning Inspector CREATIVE •'INSTA'• PRINTING. GLENS FALLS. N Y 12801 (3 1 817 9 3-5 6 58 1 ` BUILDING PERMIT s, TOWN OF QUEENSBURY No. 6493 WARREN COUNTY, NEW YORK Iv n PERMISSION is hereby granted to Martin C. Mosher N OWNER of property located at Lot 59 Helen Drive (St. No. 44) Street, Road or Ave. C] in the Town of Queensbury,To Construct or place a One—Family Dwelling N+ at the above location in accordance to application together with plot plans and other information hereto filed and con approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNE R'S Address is R. D. f`3 Glens Falls, N. Y. 2. CONTRACTOR or BUILDER'S Name same • 3. CONTRACTOR or BUILDER'S Address Cr) U1 ct Lo same ' . ol� . m 4. ARCHITECT'S Name � l7 ri H- Cr. 5. ARCHITECT'S Address 6. TYPE of Construction— (Please indicate by X) ( Wood Frame ( ) Masonry ( )Steel ( 1 7. PLANS and Specifications 26 'x58 ' per plot plan, specifications and p No. application submitted including two--car attached garage and sewage system. 8. Proposed Use 5 One—Family Dwelling $5. 00 C/O Paid . $ 143. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 19 81 ~ (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.) W Dated at the Town of Queensbury this 1st Day of August 19 80 SIGNED BY �'v V` for the Town of Queensbury Building and Zoning Inspector • • TOWN .OF QUEENSBURY (Space inside block to lx. filled in by WARREN COUNTY, NEW. YORK ' , Building Inspector) • Application for Application No. , • Permit Issued 19. BUILDING AND ZONING PERMIT Permit Expires. 1fi. %A}1)ing District \ ilI1lc n1 Work., THREE (3) Copies of a PLOT PLAN, Drawn to scale •\l>ll'o‘c•ci by showing the actual dimensions of the lot to be built ItcnnarKs upon, The exact size, and location on the lot of the • building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. / � O � � �` DATE, / Fa 9I�Ir�B� �T �I�IT�Oii6�8IL A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK A d / l /4 ,mo w�r., ANSWER ALL OF THE FOLLOWING. 08610 ? i n r The undersigned hereby applies-for.a- permit.; to do the following work Ou which will be done in accordance•with the .description, plans and.specifi-on ons as may on !�J acations, end such special cditi be indicated the permit. . ,,ir4 —.SN . O N11A01 ha owner of this property i•: . / i (NA'',E) 4DRESS( The person responsible f r_ supervision'of the work insofar as the Building Code and the Zoning Ordinance apply is: (NAME) (P.O.ADDRESS) . ' Name of Builder . . //1 W-'^-:" • e". '• . .Address . ./a's Name of Plumber. • • . . Address ie/in Name of Mason. . : . Address . .� _ ` IAA, Lot Number. .#. . . Unit ' Estimated value of proposed works 7 0 o 0 - "=° . Name,of Village CC 7zJ Name of Street : . VA.t/2,4 Side of street: north 0, east 0, south 0. west g • Nearest Cross Street . . . . . . . . . . Distance from this cross street . . . ./v.7.a, . . :.. . . . . Ft. Property is north • ❑,south.X,east r i.,west. ❑from Cross Street If on Corner, which corner, northeast ❑, 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 le ❑. Addition to.a building. . . One-family dwelling • . ❑ Alteration to a building. Two-family dwelling - ❑ ❑ Demolition of a building. . .-family apartment house ❑ Store building . . . . .cg.-car attached garage I] Other: Accessory Building . One-car detached garage ❑ ❑ Other work. Describe Two-car •detached garage ❑ Private chicken house ❑ Private storage 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, size and setbacks of pro- . ' posed buildings,and the location of all existing buildings. NORTH Show proposed building(s) in'dotted line and existing • .)14111; .twilding(s) in solid liner ' 4. Size of property ��� ft. x ft. Size and use of existing buildings, if any i El W Size of proposed buildingI- ft.x ," ft. Height(from grade to ridge) -.te. . . . • • • • . ft. Front yard -' ft. a 0 ft. and ot� ft. • Side yards • Rear yard L .0 ft. SOUTH If on corner,setback from side street ft.. . Note: All distances are net, as measured from street side • .. . . line to nearest part of.building. • . • . (OVER) . • 7-73-M (cont'd.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safg etc.�2 ✓���"'�� Will any second-hand lumber be used? {'LU If so, for what Material of foundation walls ✓0 ", Thickness Depth of foundation walls below rade 6 D „ y�� C ntinuous foundation? . . �l�-tA Will there be a cellar? . . . . . . . . If so, material of cellar floor . . . .� a Type of roof: Sloped or flat? . . . . . Material of roof / '+ " x y ", spacing //a "o.c., length ce ft. Size, wood studs // Size, floor beams, 1st floor "x /0 ", spacing ✓to. . ."o.c., span ✓IA ft. Size, floor beams, 2nd floor . 2" x ✓ ' ", spacing /�• • ."o.c., span 43 ft. " x ', spacing /.. ft. Size, ceiling beams p g' ✓�p• � •"o.c., span �?. "x ", spacing . . . . . . . ✓. .�. . ."o.c., span ✓...' ft. Siie, roof rafters o beams Exterior finish . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . With what material? Finish of interior walls S If garage is to be attas had, of what material is wall between garage and main building to be constructed? Is there to be an opening between garag�uilding? NU Kind of heating system �,4 Oil burner or coal? j Will a flue-lined chimney be provided? . . . . . Depth of chimney foundation below grade Lv ' i Height of chimney above roof Will there be a fireplace? Depth of fireplace hearth ✓Co ,/ • - Will a toilet be installed �.G, ,_ � Will a kitchen sink be installed an connected to water sy�pply? �Ga/ Water supply (public water supply or pump) V Distance of cesspool from any private well feet Will drainage system be provided with required traps, cleanouts, and vents? AFFIDAVIT Town of Queensbury County of Warren State of New York I swear that to tr,, n4 j of my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are.a true and co.,.'lete statement of all proposed work to be done on the described premises and that all provisions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed work shall be complied with whether specified or not, and that such work is authorized by the owner. /J Sworn to before me this Signature ... Yj...g4.. i�.. . .• 1 . ✓Z.r*f-e. OWNER.OWNER'S AGENT,ARCHITECT,CONTRACTOR day of 19 NOTARY PUBLIC, WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: • • By . TOWN OF QUEENSBURY BUILDING AND ZONING DEPARTMENT BAY AND HAVILAND ROADS RD #1 GLENS FALLS, NEW YORK 12801 APPLICATION FOR A PERMIT TO CONSTRUCTS ALTER OR ENLARGE A SEWAGE DISPOSAL SYSTEM WITHIN THE TOWN OF QUEENSBURY OCCUPANPS NAME ADDRESS --- TELEPHONE 7, 2 - /a S) OWNERS S NAME •�.. ADDRESS /e4, e NUMBER OF BEDROOMS GARBAGE GRINDER?_ LA0 (YES OR NO) TOPOGRAPHY: FLAT ROLLING, STEEPS SLOPES GENTLE SLOPES OTHER NATURE OF SOIL: CLAYS SANDY LOAM, GRAVELS ROCKS, ETC. PERCOLATION TEST WATER SUPPLY: `MUNICIPAL, WELLS OTHER DIAGRAM OF PROPOSED SEPTIC SYSTEM `rp � l ,d , / � OTHER PERTINENT INFORMATION IT IS HEREBY AGREED THAT IF THIS APPLIC)1TION AND PLANS ARE APPROVED, INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL BE MADE IN ACCORDANCE WITH DETAILS SHOWN. DATE SIGNATURE OF APPLICANT >7vi4 2 ' Gr LAKE GEORGE PARK COMMISSION APPROVAL: signature (date) VtatAX/14-> G 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: 7 • 1. Gross floor area / ?2 2 . Type of heat 3. Is the building mechanically cooled? 4 . Percentage of area of windows and doors . "' 7e, A. Over 16% Only 1 . U0 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 . U value of roof n d floors exposed to ambient conditions 2 . U value of exterior walls a .® 3 . U value of glazed area ' 4 . U value of doors � $ 4)‘,2 5 . U value of floors over heated spaces ‘',4,-:--- ""?‘ 6 . R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab 8 . U value of heated basement/cellar walls (above grade) . . e 9 . R value of heated basement/cellar walls (below grade) 10 . Type of insulation r-71:-` `f C. Controls OS 1. Thermostat maximum heat setting D. Duct Systems 1. Is duct system installed in unheated spaces? YES 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 �-- 1 . performance efficiency 9��e a • • • .vr • •, . • • • • 2 . Temperature control setting maximum !/ G. For Swimming Pool Only 1. Maximum heating Li _,.Ca,J..-l'a.CJ..EJ..Ca�J.,.V_,_CA.IJ..�J_/,�:_C :<...).U ��..1,•J_�J.:CJ_.�.,1•••• CA. J.Aa:¢a.la.V...I�,1-1,C�.IJ.CJ...••)_, .J..Ia..),,i J..I)..449.Cad.V_,.4.94.J.A)...J.,9.IJ!,1.-In),AJ..la,l.,t.49.CJ,.Ia 4.1j. ;. THE NEW YORK BOARD. OF FIRE UNDERWRITERS r v ; BUREAU OF ELECTRICITY r 7.`-� 41 STATE STREET,ALBANY,NEW YORK 12207 .)11 Date i L-- i�°�Z .1_4 s `j+'13`1 Application No.on file 4.7+N: a(3-..L3�� A 6 1 s� :.' 1. +A rr .fl THIS CERTIFIES THAT r only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of r i-z�,:yt�_6 11q00 C.'. ti f �N •+e tji Pp�.Z. ... -? :_ 't,.... y -f,: �'"-.9 .,.<F, ".i..o '�j,0M�t,. _ � �1� 7 � _ , 'J rr 5 i` 1.L",r... _...JL= ,1J. C::LI�:�-i,.%�•.y g �,'J'=+:. cr t. . ,• ri in the following location; E Basement -El 1st Fl. 0 2nd Fl. ,L :��: 4 , Section Block Lot ,T i. was examined on r l,: P n i 4 and found to be in compliance with the requirements of this Board. ;�. FIXTURE RECEPTACLES SWITCHES MERCURY FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ;� OUTLETS INCANDESCENT FLUORESCENT ERCUR AMT. K.W. AMT. K.W. AMT. K.W.. AMT. K.W. AMT. H.P. IP ._',6 w:i mot_, a . ' �i DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS '• 'Li SYSTEMS ')i 'AMT. K.W. OIL ' H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET -AMT. WATTS ' f SERVICE DISCONNECT NO. ;.'.1:Ja' S.i'':,` E R V I C E ;- ' AMT. AMP. TYPE METER 1,B'2W 1�'3W 3,B'3W 3,B"4W NO,OFER.COND. OF CC.COND. NO.OF HI-LEG OF A.HI.LEG NO.OF NEUTRALS OF N W. r 1. f r 11 ;,i.l,-1 i4 . 1. i .�; 4•y Ia 1 !/ - . = OTHER APPARATUS: ii `I� .5 L:SLL�' C .9.r E i I� /il^o 4`:tiY 1. O_ J �O C' A'.. ,r 2.. 214 4'I)::), 1 OL:Q...l CC:CC!1 r2 . 1 a tom`.' y.y'y^p Y ril--Z - VI, - -iME r - •-•,.. 7 !5;7,, ' - , ?:. 4 ..- `3 .i�:'.br:'_L.3 .:.ice `••,.a"-:?i? `.. ;' ,A, _ BRANCH MANAGER ,Y ya 'r Per ... ,r, (iv ve iei ii iei 9aYIii iii Y6Y9r♦YYgY 4?YeY ieiv ii ri r.Yv.YAK ieYiY it-v 4Y i?-41 ii-Yr♦Y-ii iii i,e iii ii iii 7.1 Y..i.Yai 9aY7.:i Jr?i iii ii YiYv ii YAP iii ieYeY lei'di-Y,YY.YYezri,,,,Y,,Y-. r ILI COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. _ • TOWN OF QUEENSBURY. Building Department • Inspectors It Date .%- ?cc •-r9c Name �i Location /74'/e;) Permit No. (p `f 9 3 Weather Remarks Excaf,ation . Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill / �.6 Final Survey C� 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 Floors Plbg. Fixtures Gar. Fireproofing L/ Door Closers f/ Chimney Water Meter Inst. Septic Approval • Floors ' Insulation Foundation . Walls ". Ceiling Building Inspector REMARKS • • /L/J .E/ L 217 'Oct TOWN OF QUEENSBURY Building Department Inspectors Reprt Date e—2(-- Name 1� Location .z,),/ Permit No. G 'f 93 Weather Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding. Masonry Veneer \ Rough Plbg. \ Relief Valves Wall Board ,K 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 Building Inspector REMARKS / / Se,4L., L2e / TOWN OF QU•EENSBURy Building Department Inspectors Report Date / c') Name Location den.) . Permit No. q Weather Remarks Excafta ti on Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing l�7 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 Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling 5r wilding Inspector REMARKS TOWN OF QUEENSBURY Building Department Inspectors Re ort Date 7-23—R`a Name 4 9t‹ � Location / 4,/u v LO r Permit No. _,.�`(1 'Weather GRemarks Excaf,ation Footing Forms ✓ Footing & Piers ✓ Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer \ - Rough Plbg. \\_ Relief Valves Wall Board r Ext. Porches 9 Finished Floor Interior Trim Stairs & Railings' Cellar Dr. Tile Concrete Floors I Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling Building Inspector REMARKS 1 9 Az -1/ -�� � - 2 .