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6785 C/O Paid CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK -Date (5 "" ✓s 19 � This is to certify that work requested'to be done as shown by Permit No. (476 c has been completed. . This structure maybe occupied as a 1 Location /(, - /ei )Y;t Owner Mafr-'629 -//19°SAW"- _ By Order Town Board TOWN OF QUEENSBURY • { Building & Zoning Inspector '• 1 CREATIVE "INSTA" PRINTING, GLENS FALLS, N Y I2801 1518)793-5658 BUILDING PERMIT TOWN OF QUEENSBURY No. 6785 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Martin C. Mosher OWNER of property located at Lot 47 Helen Drive (St. No. 16) Street, Road or Ave. in the Town of Queensbury,To Construct or place a One—Family Dwelling rl- 1 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. 1. OWNER'S Address is 15 Greenway North Glens Falls, N. Y. m n 2. CONTRACTOR or BUILDER'S Name Same 3. CONTRACTOR or BUILDER'S Address • Same - r' r1 4. ARCHITECT'S Name • O O IH 5. ARCHITECT'S Address :? F✓ rnIZ) fi 6. TYPE of Construction—(Please indicate by X) (D (x)Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications 54x24 per plot plan, specifications and application No. submitted including two-car attached garage and sewage system. O 8. Proposed Use CD 1 One-Family Dwelling P H $5. 00 C/O Paid '< $ 108 . 00 PERMIT FEE PAID -THIS PERMIT EXPIRES Oci-obE r 1 19 81 C7 (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—+ 1-1 N. Dated at the Town of Queensbury this 30th Day of March 19 81LLI SIGNED BY r' ,Z%• of r1.1 for the Town of Queensbury Building and Zoni Inspector F TOWN O QUEENSBURY (Space inside block to be filled in by WARREN COUNTY, NEW YORK • Building Inspector) . Application for Application No. o°� Permit Issued 19. • BUILDING AND ZONING PERMIT Pt..l•mit Expires. • lg. . . 7,niinL District , . \ ulue nl Work$ • THREE (3) Copies of a PLOT PLAN, Drawn to scale A1'pro" `'c1 by showingthe actual dimensions of the lot to be built 1tc'm,11•Kf' upon, Te eiutat size, and location on the lot of the . . . . . . . . . . . . . ..... . . . building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. • TOWN OF QUEENS ;-:- DATEH I. P A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK MAR 3 01901 ANSWER ALL OF THE FOLLOWING. o1 C�t The undersigned hereby applies for a permit to do the following work A.M. i{3 l�-e P.M. which will be done in accordance with the description, plans and S eclfl-p 7I8I9I10I1.1112I1I2I3I4I5I6 e A • • . • . • • a , a cations, and such special conditions as may be indicated on the permit. G16 ! pc. . The owner of this property is: / (NP E) O.A Rg, S51 The rson responsible for -supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: . . . ti �..-.J. . .6. . . . . . �f � tHAME) (P.O.ADDRESS) Name of Builder Address Name of Plumber '-`--. Address 6Name of Mason c.5 k."`" Address r�—t� • ``° / 1 Lot Number. -r�'1i� • • • • Unit Estimated value of proposed work fS . Name of Village�/. .G�/.�:JkJ . . . . r- Name of Street . .,g . . A...h4.4..1.-ems Side of street: north 0, east 0, south 0. west 0 Nearest Cross Street . . . . r4.cam," Distance from this cross street '/ Ft. Property is north 0,south %,east 5,west ❑from Cross Street If on Corner,which corner, northeast ❑, northwest ❑, southeast ❑, southwest • (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Main Building Construction of a new building. One family dwelling ❑ Addition to a building.• Two-family dwelling Cl ❑ Alteration to a building. -family apartment house CI❑ Demolition of a building. Store building ❑ -car attached garage ❑ Other: Accessory Building One-car detached garage 0 0 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, site and setbacks of pro- posed buildings,and the location of all existing buildings. • NORTH Show proposed building(s) in dotted line and existing f -y fr . huilding(s) in solid line. Size of property /D Q. ft. x / e ft. es /.... . Size and use of existing buildings, if any i N l �. �z ft.x . . .f . . ft. _ m Size of proposed building . . • - Height(from grade to ridge) c� . ft. Front yard yS ft. Side yards D ft. and ; ft. Rear yard Q ft. SOUTH If on corner,setback from side street Note: All distances are net, es measured from street side line to nearest part of building. (OVER) (cont'd.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe, etc.' 't-'"—AL-- �-� '-� Will any second-hand lumber be used? . . .`All If so, for what? Material of foundation walls /© (�, Q �' Continuous foundation? . . . ......it r-./ Thickness Depth of foundation walls below grade 'y a. �• Will there be a cellar? '-� If so, material of cellar floor Type of roof: Sloped or flat? .�4-, Material of roof Size,wood studs o2 x ", spacing / 4 "o.c.,length .6 ft. Size, floor beams, 1st floor x ", spacing / 4 "o.c.,span /_ ft. Size, floor beams, 2nd floor .2 "x 4?/ ", spacing / "o.c., span . . . . ./..... . . . ft. Size, ceiling beams A• " x • • Y' ", spacing / . . . ."o.c., span / Q. . . . ft. Size, roof rafters or beamsc_ A "x • • 4 ", spacing . . . . . ./. . ' . . ."o.c., span . . . . . . /2, . . . ft. Exterior finish • creL,-e�+��� With what material? �/2- .. Finish of interior walls If garage is to be attached, of what material is wall between garage and main buiding to be constructed? " ....C. . Is there to be an opening between garage and building? Kind of heating system . . . . Oil burner or coal? Will a flue-lined chimney be provided? s-0"-/ Depth of chimney foundation below grade 6 D " Height of chimney above roof r Will there be a fireplace? Depth of fireplace hearth Will a toilet be installed? e- Will a kitchen sink be installed and connected to water supply? Water supply(public water supply or pump) 1-.-c- -el--, 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 th,b 'rof my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and coo,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 such work is authorized by the owner. Sworn to before me this Signature OWNER.OWNERS AGENT,ARCHITECT.CONTRACTOR day of 19 - NOTARY PUBLIC. WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: • By • Xet-r di/7 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 / e2 d' 2 . Type of heatfo ��- — GrJt� sTvve- 3 . Is the building mechanically cooled? /*"O 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 Yf'S , 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 v 1ue of roof and floors exposed to ambient conditions 2 . U value of exterior walls . . Cal 3 . U value of glazed area ' � -- 41P 4 . U value of doors ' `" 01' 08 5 . U value of floors over4heated space' 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. R value of heated basement/cellar walls (below grade) ;� 10 . Type of insulation . ./ V/:�c/4/. . / C. Controls �� 1 . Thermostat maximum heat setting D. Duct Systems 1. Is duct system installed in unheated spaces? YES CNO) 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 2,04 2 . R value of pipe insulation F. Service water Heating 1. Performance efficiency . . . e*7.tWr. trip d 2 . Temperature control setting maximum. . ./mod G. For Swimming Pool Only 1. Maximum heating. . . . elf d -----ter TOWN OF QUET:NSBURY BUILDING AND ZONING DEPARTMENT BAY AND H.AVILAND ROADS, R. D.01 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 NAME ADDRESS TELEPHONE 7 9,1 - /o?.-O OWNER°S NAM ADDRESS /5� .c �/ NUMBER OF BEDROOMS GARBAGE GRINDER? (YES OR NO) TOPOGRAPHY: FLAT ROLLING, STEEP, SLOPE, GENTLE SLOPE, OTHER, NATURE OP SOIL: CLAY, , id9Y LOAM, GRAVEL, ROCKS, FTC. PERCOLATION TEST WATER SUPPLY: ( 3NXCIPAi) WELL, OTHER DIAGRAM OF PROPOSED SEPTIC SYSTEM OTHER PERTINENT INFORMATION IT IS HEREBY AGREED THAT IF THIS APPLICATION AND PLANS ARE APPROVED, INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL BE MADE IN ACCORDANCE WITH DETAILS SHOWN. DATE ► /0 — EP/ SIGNATURE OE APPLICANT , C . LAKE GEORGE PARR COMMISSION APPROVAL (signature) (date) --! - t�at.J_.:.at4at._C:"...tA)..CJ,.t.S. C,_l 49.1.e-±-1tSJ.0..)_ _tlatlJ",1..gt_V_t¢.In.,..A.J_t.Ce.!..!n".J,.•.I. .V.t..).n.t4.t._i.."."CJ_txlt.0 t.I4.9.C?t/..1"-!,4t.Cat.C,lt.Cats)_t.IJJ/J.t!.at.C.,A1..,,n.,,,1at J.t�lati. i ' `," u '; '' THE NEW YORK BOARD OF FIRE UNDERWRITERS r '=i BUREAU OF ELECTRICITY • 'Y =- 17 41 STATE STREET,ALBANY,NEW YORK 12207, `,t �a Date ?• a va. APPlication No.on file �'ni:i. :��: �. , w e� ,G,<� r, . ., :� _ THIS CERTIFIES THAT -_ only the electrical equipment'as described below and introduced by the applicant named on the above application number in the premises of ..Yr__.,f...,?-'S.. !'L0L3.-6,::7s'D rY ..::.C::kai:., 7-1):;:-...vc.:,, •. ;_. il`li -. D J.l-.. .j:. _ ain the following location; ❑ Basement --❑ 1st Fl. —❑ 2nd Fl. Section Block Lot '� •7 was examined on v and found to be in compliance with the requirements of this Board. ,�� . j ._,d�-i..) i -• > FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ;� * RECEPTACLES SWITCHES ' OUTLETS INCANDESCENT FLUORESCENT IN•ler AMT. K.W. AMT. K.W. AMT. K.W.. AMT. K.W. AMT. H.P. .11 `I!. •1 i 1 T O 2') `1 r� r == '3/43 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS r 31 •AMT. K.W. OIL ' H.P. GAS H.P. ,AMT. _ NO. ,A.W.G. AMT. AMP. AMT. AMPS. TRANS.. AMT. H P. SYSTEMS AMT. WATTS 'B j NO.OF FEET __ SERVICE DISCONNECT NO.OF -• S -'-`-' E R V I C E = 7AMT. AMP. TYPE METER 1,9'2W 1 A'3W 3,Br 3W 3,0'4W NO,OPER gCOND. OF CC.COND. NO.OF HI-LEG OF.HI--L G. NO.OF NEUTRALS OF NEUTRAL ' it y 0-d PO "rr 1 .i!: 'i: C. `c 9 '7 L''1 '� OTHER APPARATUS: } �' . ..C __C' .'"J:�,`? d7 :._53: • ,.-'• .d .,. • ,:o: -`, �i o r• °/ o_ `l l ,,0 �,"' 'T ) ® =_ • ;T 0 Mil 7.721(., • Y b / ' 14.,'J . ,1'�7 tL'..!l :-.1e' .ti.)..._,J-1.'- ' . :1: )' ! L�. J : :I `:`!: I: -,i I!:.' BRANCH MANAGER : , r / fi 'i ` Per _ = -GY I'Y YY'CY YY YY YYYY Wiii-4YYeYYI YiYYwY14YYwYY4YYeYYeYYeYY YY Y'/YY YY`CY YY YYYY YY YY YY YY YYYY YY YY YY YY YYYY YY YY YY YY- YYY YYeY YY YY YY YY YY"YY YY COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBURY Building Department Inspectors Report Date 7/!„�,'/.R/ Name . ' f Location // G n==R9/ D, Permit No. 6'7 Sl A 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.VC Septic Approval Floors Insulation Foundation Walls Ceiling Buil ' g Inspector REMARKS TOWN. OF'QUEENSBURY Building Department Inspectors It . Date 4- Name / _ Location e1 o N ) .k { r ''7 Permit No. 6,-) Sty' 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. ' Septic Approval Floors Insulation Foundation ' Walls �D Ceiling Building Inspector REMARKS - TOWN OF QUEENSBURY Building Department Inspectors Rzirt Date 4 -.h6'3-9r/ Name A.ae Location y„' _� Permit No. • �-7 d?S Weather Remarks Excat>ation . Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill ' Final Survey Framing �l Sheathing ` Roof Felt Roofing Siding Masonry Veneer ' Rough Plbg: . Relief Valves Wall Board. Ext. Porches Finished Floor Interior Trim Stairs & Railings 11(\\ 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 TOWN OF QUEENSBURY Building Department Inspectors Report Date 327 8 Name A',pS/two • Location pa • Permit No. ,e,� ' Weather �o Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat• Waterproofing ✓ Ba ckfi ll 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 Coilin Building Inspector REMARKS TOWN OF QUEENSBURY Building Department Inspectors R..,. Date c?/7--8/ Name Ad Locatjot, Permit No. l�tan)�/c i< Weather 7 Ys Remarks Excayia ti on Footing Forms ./b Footing & Piers 0 Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves _ 1(\\ Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing !V+ Door Closers Chimney Water Meter Inst. Septic Approval FlOors Insulation Foundation Walls Ceilin : C r Building Inspector REMARKS G / J� y‘e 30 , �(J