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6546 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 3-74/1 i 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 :14"- ' 111-nr, frfi( 1N F; _� 1����o i�i )e29)Location owner ) Gt' i n o /L(2 r- By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector CREATIVE "INSTA• PRINTING. GLENS FALLS. N Y 12001 I I8)793-S650 BUILDING PERMIT TOWN OF QUEENSBURY No. 6546 • WARREN COUNTY, NEW YORK • PERMISSION is hereby granted to Martin C. Mosher - rr Lot 89 Helen Drive (St. No.' 29) Street, Road or Ave. OWNER of property located at 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. En 1. OWNER'S Address is ri R. D. #3. Upper Sherman Avenue Glens Falls, New York . 2. CONTRACTOR or BUILDER'S Name same — o• 3. CONTRACTOR or BUILDER'S Address En it rt • co • Z , same o • m 4. ARCHITECT'S Name (D 5. ARCHITECT'S Address (D 6. TYPE of Construction—(Please indicate by X) (X)Wood Frame ( ) Masonry ( ) Steel ( ) 7. PLANS and Specifications 26 'x56 ' per plot plan, specifications and No. application submitted including 24 'x22 ' two—car attached p garage and sewage system. 8. Proposed Use rzj One—Family Dwelling 5 $5. 00 C/O Paid t7 • $l66 . 00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 19 Al (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.) I-,- • 28th August 80 Dated at the Town of Queensbury.this Day of 19 2 c SIGNED BY � �E���z • •��G���. ;, for the Town of Queensbury Buildindand Zoning Inspector r . • TOWN OF QUEENSBURY (Space inside block to lx tilled in by • WARREN COUNTY, NEW YORK • Building Inspector) Application flor Application No. Permit Issued 19. BUILDING AND ZONING PERMIT „it Expires. I l 7.('ning District . \ Ale (1I Work I THREE (3) Copies of a PLOT PLAN, Drawn to scale All)r•'>\NI by showingthe actual dimensions of the lot to be built Ilc'nrar)CS' upon, Te exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. qo _Li _ 3ei //////` TOWN OF QUEENSEUR. . . uf-,. .,,,,-.-7DAi/9 E.)) Illtl��fIII1..,s�1 sFFF�fff' �,,�����1 A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK i;.� -I ANSWER ALL OF THE FOLLOWING. AU17 G J 1980 The undersigned hereby applies for a permit to do the following work 7ig19�1(�11I12�1I2I3I4��'�4 which will be done in accordance with the description, plans and specifi- ,, e . . . , . . _A__a� cations, and such special conditions as may be indicated on the permit. The owner of this property�o is: /J �' p �/ . . ..):14 � l�nJ. . . .&..'. . . . / .,. . . . /�, iu. .7/�- terDR SS) .� r 7 ' f ` (NA''•:E) i / (P.O.ADDRESS) /���/ he person responsible for •supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: (NAME) (P.O.ADDRESS) Name off Builder. . n Address Name of Plumber. . . ':Lr,:-v Address Nathe of Mason. . . , . rtvu Address Lot Number. .•. .7.9'• • Unit Estimated value of proposed work S ./.49. .C(...,;D / Name of Village 7-. Name of street /Z--U--///1+ • • / e-24.-� Side of street: north 0, east . �C� , south �. . west ❑' Nearest Cross Street . .)_!-[—/tom l/_���'., Distance from this cross street - --73 Ft. Property is north 0,south W,east i�,west 0 from Cross Street If on Corner, which corner, northeast ❑, northwest ❑, southeast Q, southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Main Building tr Construction of a new building. One-family dwelling Addition to a building. El lTwo-family dwelling Alteration to a building. -family apartment house ElElDemolition of a building. Store building ❑ . . . .,-? -car attached garage El Other: • Accessory Building —( ` One car detached garage ❑ ❑ Other work. Describe' �� ✓ • Two-car detached garage • ❑ '>/ ° (q61 Private chicken house El Private storage building El 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 Show proposed buildings) in dotted line and existing ii-t ,r_,t 1tuildings) in solid line. / - . . . . ft. x ./ 7 U ft. Size of property . . • • • • • t.G• � Size and use of existing buildings, if any al ta > w Size of proposed building ft.x . . • • • ft.(t. i.:1. --. 1.- -,.. Height(from grade to ridge) Q Front yard D ft. i Side yards IS- ft.and / -2- ft. kt.,Lt.,✓ i,kl.t.,tu Rear yard 7.e ft. SOUTH If on corner,setback from side street ft.. .. Note: All distances are net, es measured from street side line to nearest part of building. (OVER) 7-73®1 _ . -- - .- - (cont'd.) BUILDING SPECIFICATIONS., . Kind of construction: Wood frame, fire safe, etc.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • Will any second-hand lumber be used? If so, for what Material of foundation walls Thickness Depth of foundation walls below grade Continuous foundation? Will there be a cellar? If so, material of cellar floor Type of roof: Sloped or flat? Material of roof Size,wood studs . . "x `/ ",spacing /6 "o.c., length .c ft. Size, floor beams, 1st floor "x ./li' /�•�. , spacing . ."o.c., span /.._;7 ft. Size, floor beams, 2nd floor ,." x / O ", spacing ./6. "o.c., span ft. Size, ceiling beams c�. " x •6 ", spacing /o "o.c., span �.� ft. Site, roof rafters or beams "x • •6 ", spacing /6. . . . ."o.c., span /,..2 ft. Exterior finish ✓� U With what material? — Finish of interior walls /2 Cp ee.., ^`• -r If garage is to be attached, of what material is wall between garage and main building to be constructed? Is there to be an opening between garage and building? . e/ � Kind of heating system . . . ' tt !-c1 Oil burner or coal? y . Will a flue-lined chimney be provided? '7 Depth of chimney foundation below grade . . Height of chimney above roof / ,, Will there be a fireplace? `Z � Depth of fireplace hearth Will a toilet be installed? • (/ Will a kitchen sink be installed and connected to w er supply? 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? Town of Queensbury l AFFIDAVIT County of Warren - .. . State of New York I owear that to th-prof my knowledge and belief the statements contained in this application,ttcether with the plans and specifications sub- mitted, are a true and co.,,plete 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 ouch work is authorized by the owner. %�" r / Sworn to before me this Signature /v j— C.� -,/` „. O R.OWNER'S AGENT,ARCHITECT.CONTRACTOR day of 19 NOTARY PUBLIC.WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: • 7 J `l c- ., .-- /2)(72/6 / ___,,c - lJ rir �Q l 7/ ,....--' By • TOWN OF QUENSBURY BUILDING AND ZONING DEPARTMENT BAY AND HAVILAND ROADS R. D.41 GLENS FALLS, NEW YORK 12801 APPLICATION FOR A PERMIT TO CONSTRUCT, ALTER OR ENLARGE A SEWAGE DISPOSAL SYSTEM WITHIN THE TOWN OF QUEENSBURY OCCUPANT S ADDRESS "4/-46,7 Lafrz aea TELEPHONE - 1.2,5-0 OWNER S NAME .1.4-m-e- ADDRESS 24 X4-1- -'61 ,, NUMBER OF BEDROOMS I( GARBAGE GRINDER? (YES OR NO) TOPOGRAPHY: LA p ROLLING, STEEP, SLOPE, GENTLE SLOPED OTHER. NATURE OP SOIL: CLAY SAND LOAM, GRAVEL, ROCKS, ETC. PERCOLATION TEST WATER SUPPLY: 11UNICIPAL, .LL, OTHER DIAGRAM OF PROPOSED SEPTIC SYSTEM OTHER PERTINENT INFORMATION IT IS HEREBY AGREED THAT IP THIS APPLICATION AND PLANS ARE APPROVED, INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL BE MADE IN ACCORDANCE WITH DETAILS SHOWN. DATE --„,:.2.c.c-- ..ica..._SIGNATURE OP APPLICANT A74,47 Q A-A..-4ti LKE GEORGE PARR COMMISSION APPROVAL: (signature) (date) INSTALLATION OF SEWA(E DISPOSAL FACILITIES WILL BE MADE IN ACCORDANCE WITH DETAILS SHOWN. DATE �'�Z.S'-f4 SIGNATURE OF APPLICANT c'/9'4/S4,i LAKE CEnRrE PARK Cnr4tiSS!ON APPROVAL: • (signature) — (date) yy • J� A v° ,y 1� , 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 .. .. /.0.1)..�?.. .sj:. 2. Type of heat .. :� 3. Is the building mechanically cooled? . © . .. .. .. .. ... 4. Percentage of area of windows and doors . A. Over 16% Only • 1 . Uo 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? OO 4. Is basement heated? YES NO a. R value of insulation .. .. .. .. .... ... . .. . 5. Type of insulation B. Under 16% Only 1 . U value of roof and floors exposed to ambient conditions ... ... .... . . . 2. U value of exterior walls .. . 3. U value of glazed area 4. U value of doors -�� .� . .. . 5. U value of floors over heated spaces , D 9 . .. ... .. .. 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) . .' 9. Rvalue of heated basement/cellar walls (below grade) / . G S' .-. t P ✓� 'v- r/ t 1,mt 7 r11a dae 10. Type of insulation . ../ 'c.F �eZ� � C. Controls LThermostat maximum heat setting D. Duct Systems 1 . Is duct system installed in unheated spaces? YES i10 a. If YES, R value of duct insulation 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 .ram . .. 400 2. Temperature control setting maximum ...4<5"1? G. For Swimming Pool Only 1 . Maximum Heating Telephone No. 7 9 oz — Applicant°s Signature I 1- Tip Mt/WMR RR RIR/R 1R 7JR/R 1RRR/R7R/IS>R AIR RRlillfl lil/JR(iLTil AIR AIR.l✓flm RIR74R7R7i[7{R 11LR7E liL 7111l7111‘71Il RIR 711T75[711l/4R/IR 711l ln/it/✓n/IF/1P{y k THE NEW YORK BOARD. OF FIRE UNDERWRITERS { BUREAU OF ELECTRICITY E] 4"; ii fl 41 STATE STREET,ALBANY,NEW YORK 12207 - Date :.ram..,r,:.d "•! : 1 Application No.on file .L r A :1 r: t�,� 0 k THIS CERTIFIES THAT 0 1 0., only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of , '` . i.: . �..,..1. ...J i - -.. _,tee; ';',_':.-1:C .i GI_.., .3 . ._ .,c',:_i L _ _i.i,C)'..8:1.s• 'T :��.� :` .: :;; 1:; in the following location; :Ail Basement 7E1 1st Fl. ' ❑ 2nd Fl. 1'..:;. ',:-.; 3 Section Block Lot — i.,' was examined on f},�i a` ' and found to be in compliance with the requirements of this Board. y�y `_' ,r- FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT 'Ny�ppp� AMT. K.W. AMT. K.W. _ AMT. K.W.. AMT. K.W. AMT. H.P. • DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL I UNIT HEATERS MULTI-OUTLET DIMMERS 0 6 'AMT. K.W. OILYSTEMS H.H.P.P. GAS H.H.P.P. AMT. NO. A.W.A.W.G.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.H.P.P. NO.OF FEET 'AMT.' WATTS (:" SERVICE DISCONNECT NO.OF ,.,, ;';2 S'',+•12 E R V I . C E 0 MAMT. AMP. TYPE EEQEU�F 1„B'2W 1/B-3W 31B'3W 9,0'IW NO;OFFER COND. OF CC.COND. NO.OF HI-LEG OF HI'LEG NO.OF NEUTRALS OF NEUTRAL 0 OTHER APPARATUS: _ L: i '.'i— ..,7 Li ':1..1Y,1 f= BRANCH MANAGER s-' - Per ' '-i i-aWiTYVcYeY iai-re rich el-di YV(YaTIITUY eerie iVciiYY�V5-47( ells ® riiranininieMinirialie ® Wan riiininninitirtri riri rgrartirand COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED 'IN ANY MANNER. • - TOWN OF QUEENSBURY Building Department Inspectors Report Date I2 -'-/ Name '" � � Location G' sL AP7 Permit No. 4_5-'-Y6 Weather Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing / /0e, 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 Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling Building Inspector REMARKS i u J f TOWN OF'QUEENSBURV Building Department Inspectors Report Date // 6/(-6 Name Location / Permit No. /oc1C 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 Ext. Porches Finished Floor Interior Trim Stairs & Railings. • Cellar Dr. Tile . Concrete Floors Plbg. Fixtures Gar. Fireproofing • Door Closers • . Chimney Water Meter Inst. if - Septic � Approval 1 ice , /� • Floors Insulation Foundation Walls . . . . . . . . Ceiling Building Inspector 9 REMARKS /dog SyP2, • • TOWN OF QU•EENSBuRY- Building Department • Inspectors Re Date ,c —�3^�C Name .��o�r— L.ocation -/eJ l., r 7 o L R1 Permit No. 4,S 4f(A Weather Remarks Excat,ation Footing Forms Footing & Piers Foundation Cement Coat' Waterproofing Ba ckfi l l Final Survey . Framing d� Sheathing Roof Felt Roofing • Siding Masonry Veneer J/ Rough Plbg. Relief Valves / Wall Board • I\ 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 ' Bui ding nspector REMARKS • Wipes: TOWN OF QU•EENSBURY Building Department Inspectors Report Date f-7/d'O Name U-V7'&--/e ��✓✓✓ Location 8 9 j f G l- Z) Permit No. Go 's'dyG Weather • Remarks Excatiation 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 Ext. Porches V Finished Floor Interior Trim , Stairs &Railings /f Cellar Dr. Tile • Concrete Floors / Plbg. Fixtures • Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors ' Insulation Foundation • Walls Ceiling Building spector REMARKS X #,,e9 - ,/ (7,21 -4..= g / _. . , .1,_.,,r_/, 1 J i .._ , ___.. ___-_- /i--:_--:7 i --,__ . , , _ . _ ._42r/4 4 I 1 i y°7/i0.44,-,,b / / 1. / ( , . _ :