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7567 „, CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date Gl' 19' � 36/, 42-r- ' - �.577 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 ” `e,_:.'./'*/4( ''-`,-/" i�f///?G Location 2? l �/ � owner 17 � '` l s:%q By Order Town Board TOWN OF QUEENSBURY c` Building 6 Zoning_Inspector CREATIVE "INSTA" PRINTING. GLENS FALLS. N♦ 12801 1518)793-S636 BUILDING PERMIT TOWN OF QUEENSBURY No. 7567 • WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Martin Mosher ri St. No. 23 r+ OWNER of property located at Lot 92 Helen Drive Street, Road or Ave. 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. CD �i 1. OWNER'S Address is 15 Greenway North Glens Falls, New York 2. CONTRACTOR or BUILDER'S Name Same cnti 3. CONTRACTOR or BUILDER'S Address rt o • rt Same t.) w 4. ARCHITECT'S Name (D H , (D CJ Fi 5. ARCHITECT'S Address - I-'- C OD 6. TYPE of Construction—(Please indicate by X) ()i Wood Frame ( ) Masonry ( 1 Steel ( ) 7. PLANS and Specifications 30'x56 ' per plot plan, specifications and No. application submitted including two-car attached garage and sewage system. o 8. Proposed Use fD One-Family Dwelling H $5. 00 C/O Paid t7 $164. 00 PERMIT FEE PAID —THIS PERMIT. EXPIRES April 1 1993 0 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 30th Day of Sept® 19 82 `Q SIGNED BYfor the Town of Queensbury Bui ing and Zoning Inspector V II"- TOWN OF QUEENSBURY (Space inside block to be filled in by WARREN COUNTY, NEW YORK • Building Inspector) . Application for .kpplication No. Permit Issued • 19. BUILDING AND ZONING PERMIT Permit Expires. 19. . /„nine District \ aloe nl Work ` THREE (3) Copies of a PLOT PLAN, Drawn to scale .\1'1 n-nk ecl hY .Cam v showingthe actual dimensions of the lot to be built Iteimirkr upon, Te erect size, and location -on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. • . c�*i��Y' / TOWN OF QUEr.N5BF.51?Y � d _. � _ �-L, 4 .0. 9.�P:� ten, � n - �DATE I;a Ii „I L 1 A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK L I 1F ANSWER ALL OF THE FOLLOWING. eon .0 19 The undersigned hereby applies for a permit to do the following work A.M. -tee - 0 tO,�.. which will be done in accordance.with the description, plans and specifi- 718I9I10��1j12 1)213)4,516 cations,. end such special conditions as may be indicated on the permit. 1 i�� The owner of this property is: j L /�'La k e„) �'L.,4--l„c��., --J/..r/!}�/i..zcc� C�.. _ ,—_- - T. • (NA•'E( �� (P.O.ADDF�ESS). J T to person responsihie, for -supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: Z. ..✓• (NAME) IP" ADDRESS) Name of Builder. . J�'L!k!� ,/ fv`'/`"" '(-- Address '-4 Name of Plumber �/ ( t �-)`'A`-.."_4 "' Address �-'/ +-4- Address Nathe of Mason /�"�l`�.Gs-'✓ ` p� � Lot Number / ' Unit Estimated value of proposed work$ .ZD. 6.—��1. r Name of Village . v a G trc`L'`���c,. < • • Name.of Street - /_„-ce .�•-.�• ./LY'I LA.-U Side of street: north 0, east 0, south O. west X , 1.1(5 Nearest Cross Street : -L.A.4.--c--L• :4/i7%ZC...L/�. . . Distance from this cross street / 4‘.---'---° Ft. Property is north 0,south east c i, west 0 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 * Construction of a new building. Main Building (l Addition to a building. One-family dwelling X. Two-family dwelling• CI Alteration to a building. -family apartment house CI[) Demolition of a building. Store building 0 d-car attached garage ❑ Other: Accessory Building • . One-car detached garage ❑ Other work. Describe: • Two-car detached garage • ❑ Private chicken house 0 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 sd-_� w y'- Ituilding(s) in solid line. Size of property /Gc---a ft. x . . /Z.0. . . ft. - i r( Size and use of existing buildings, if any F _ 4la Size of proposed building . . . . r.2.Q. ft.x ‘-.S 4 ft. Height(from grade to ridge) 7ft. Front yard Side ft. Side yards ic--4--- 7 me ft. and d ft. Rear yard ft. souTH If on corner,setback from side street r Note: All distances are net, as measured from street side l line to nearest part of building. (OVER) 7-73—N (cont'd.) BUILDING SPECIFICATIONS., / Kind of construction: Wood frame, fire safe, etc. f�14-'''L L• !/'Z-‘._' Will any second-hand lumber be used? . .VI- D If so, for what Material of foundation walls . . . . . ./d . . . . . ✓. .L• =L Thickness . Depth of foundation walls grade Continuous foundation? . . '2C4� Will there be a cellar? . . . If so, material of cellar floor y mm �/weicsZu Type of roof: Sloped or flat. v CA!-A.a-r. . . . Material of roof 0a!�Z( . . . . .. rr<-%c +�, Size,wood studs "x y ", spacing . . . . . . /.4--. . ."o.c., length ft. Size, floor beams, 1st floor "x / 0 ", spacing 4 . . . ."o.c., span ./-4---- ft. Size, floor beams, 2nd floor " x / D ", spacing . . . . . . /. 4-2. . ."o.c.,span /33--- ft. Size, ceiling beams c. " x 6 ", spacing / 6. . ."o.c., span /.— ft. Size, roof rafters or beams c."x . .67P ", spacing / 6 . . ."o.c., span /4 ft. Exterior finish / X 4 • • • • /9,-.4 With what material? Finish of interior walls �/a " c `u"G- 1',-e.b 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 betty en gars a and building? '1�' . Kind of heating system . . . . Oil burner or coal? Will a flue-lined chimney be provided? . . .7 Depth of chimney foundation below grade 6.6' ' Height of chimney above roof .P Will there be a fireplace? `Z � Depth of fireplace hearth /Z- n Will a toilet be installed ,..,.___-G Will a kitchen sink be installed an connected to water-n supply? , Z r� Water supply(public water supply or pump) l /�-+�(--r.--1 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-be of my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and complete 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. `-�h- "�-✓ v1�f�'�* Sworn to before me this Signature ` OWNER.OWNER'S AGENT,ARCHITECT.CONTRACTOR day of 19 NOTARY PUBLIC. WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: • • By • MARTIN C. MOSHER TOWN OF QUEENSBURY 9-2 15 GREENWAY. NORTH GLENS FALLS, NY 12801 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 ������ 2 . Type of heat J L -c7ca4C 3 . Is the building mechanically cooled? • NO 4 . Percentage of area of windows and doors ICeI (o 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? 4 . Is basement heated? YES NO a. R value of insulation 5. Type of insulation B. Under 16% Only 1. R value of roof and floors exposed to ambient conditions 2 . R value of exterior walls ' 2 --20 3 . R value of glazed area 1 (a 4 . R value of doors l ' • , )S 5. R value of floors over heated spaces 6. R value of slab edge insulation - unheated slab N l,9 • 7 . R value of slab insulation - heated slab P1. - 8 . R value of heated basement/cellar walls (above grade) 9 . R value of heated basement/cellar walls (below grade) 10 . Type of insulation z�4Y?6°X)41) C. Controls ,\O 1 . Thermostat maximum heat setting D. Duct Systems 1 . Is duct systtm- installed in unheated spaces? YES NO a. If YES , R value of duct installation X/1 - 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 c 2;1 . Performance efficiency 2 . Temperature control setting maximum • 144 0v G. For Swimming Pool Only 1 . Maximum heating Telephone No. �/ 9-t- /� -a, J ✓moo �C�s (applicant ' s signature) 7 9 MARTIN C. MOSHER 15 GREENWA1 NOR7I GLENS FALLS, NY 12801 • TOWN OF QUEENSBURY BUILDING AND ZONING DEPARTMENT BAY AND HAVILAND ROADS RD 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 a S NAME ADDRESS TELEPHONE '7 9�- /a,�-o OWNER'S NAME �J� ADDRESS /vr,2i�. NUMBER OF B EDROOnMS GARBAGE GRINDER? 12 (YES OR NO) TOPOGRAPHY: FYAT ROLLING, STEEP, SLOPE, - GENTLE SLOPE, OTHER NATURE OF SOIL: CLAY,SANDY LOAM, GRAVEL, ROCKS, ETC. PERCOLATION TEST WATER SUPPLY: 6iNICIPA. WELL, OTHER. DIAGRAM OF PROPOSED SEPTIC SYSTEM • %a--& OTHER PERTINENT INFORMATION IT IS HEREBY AGREED THAT IF THIS APPLICXTION AND PLANS ARE APPROVED,- INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL BE MADE IN -ACCORDANCE WITH DETAILS SHOWN. DATE 9-�0 SIGNATURE OF APPLICANT C • .� LAKE GEORGE PARK COMMISSION APPROVAL: gnature • P 3D (date) —.S 4a Atia . . . . . . . . I I . . . . . . . . . . . . . . . \.. I /tI. I,c -<• 4000532 THE- NEW YORK BOARD. OF FIRE UNDERWRITERS a _= -<I BUREAU OF ELECTRICITY- a Y -(I July 25 v 33 41 STATE STREET,ALBANY,NEW Y,ORK 422O.7p �' Date Application No.on file "Z 6` Y • ' THIS CERTIFIES THAT 1. only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of Y <; Martin Mosher, Hek n Street , Glens :Falls , New York , 1 ,r ' in the following location; ❑ Basement ❑ 1st Fl. ❑�2nd FL Section Block Lot r �' ' 1 was examined on 7/2 0/8`i and found to be in compliance with the requirements of this Board. ;Y . 4 FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ;: —` �� OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT MERCURYVAPOR AMT. K.W. AMT. K.W. AMT. K.W.. _ AMT. K.W. AMT. H.P. : 4 1 30 4y nI0 3 6 . 7 2 Fr. .P. — Y =<' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS 'r SYSTEMS ;<: 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 T i c WATTS '� .a�w il-i= 7 C y - SERVICE DISCONNECT ' NO.OF "' S ° E R V I C E ;� I AMT. AMP. TYPE METER ,1 Al"2W 1 0 3W 3.0 3W 3 if 4W NO,OF CC.COND. A.W.G. NO.OF HI-LEG A.W.G. NO.OF NEUTRALS A.W.G. EQUIP. PER B OF CC.COND. OF HI-LEG OF NEUTRAL Y I It '.‹. 1 2.00 GB 1 7- x 4/0 12/0 'r — ,Y 1 OTHER APPARATUS: Y - -(I _ .r -CI 2 G I C 4' :u OZ e detector ;Yt _ 1 'T G <I — ,Y — . Sam e,7. CorhouSS �> t ''<; i ansevouttt , New York 12831 BRANCH MANAGER 1 _'' t ; r; r _. ,cI Per '>- 4 U- U- Y"Y YY YY �YY Y Y • • Y Y • .Y lit lr!_i.ccot ft mf/is lilt11Y tt vit vet 1*!littvet anlini/SW Virf SfY 1I1 Ii �lit Mit lft wet%snff Artvat V[lit tit Mi[ut 4" COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. • • TOWN OF QUEENSBURY Building Department Inspectors Report Date Name ' Location 9? Permit No. 7S to 7 Weather /,tL' Z A/S,P Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat ,/ Waterproofing „/". Backfill Final Survey Framing ,/ . Sheathing `\ Roof Felt / \ Roofing / \ Siding Masonry Veneer Rough Plbg. `, J Relief Valves Wall Board / • Ext. Porches Finished Floor p,/ / )< Interior Trim f..�/ C � Stairs & Railings e)/�4:7 Cellar Dr. Tile ,. Concrete Floors /jam /�(0 ^^ Plbg. Fixtures /� .4E i Gar. Fireproofing% z'_ Door Closers . 2/7 Chimney,�p jr in i1/i Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceilin • Building nspector REMARKS TOWN • F QUEENSBURY Building Dpavttuent _ Date £2_"> 4c3 NAM! 1n4 � Location c',10+. 9 7- l Ka dJ l 9� , Permit No. 7`(Q 7 Weather • Remarks Excaiation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing s (I' • Sheathing Roof Felt Roofing Siding - Masonry Veneer - fi Rough Plbg. ✓ r` ' 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 j Founda tibn 1 Insulation Walls Ceiling -77 • . ' � ✓W,• . • Buis ing Inspector r REMARKS TOWN OF'QUEENSBURY Building Department Inspectors Report Date/ 3 ti 2/— ? Name ee? J ,��' Location 44r Permit No. i S"(n-? Weather Remarks Excatva tion 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 Ceiling Building spector REMARKS j-�i -(2/"4GLL ,liLLf1�� • TOWN OF QUEENSBURY Building Department ma's R Date .9~2 J-- Named 1 We/yid f Location 419 C c4 f yvJ Permit No. � Weather gg � Remarks Excatia tion / Footing Forms " ' c Footing & Piers - Foundation Cement Coat 1� 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 Ceiling ///- . /1 (7-?-,--e3a" Building Inspector REMARKS MARTIN C MOSHER f6 GREENWAY, NORTH GLENS FALL$ NY 7280? 1f /b 00 J,