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6032 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date fil7021 /7' /1 19 SLo 301, /a_ — .--/ 2 This is to certify that work requested to�be done as shown by Permit No. has been completed. This structure maybe occupied as a l5t7vy v i /2 G Location __ ivc own., • By Order Town Board . TOWN OF QUEENSBURY I • Building& Zoning Inspector CR[ATIVC ••INSTA'- PRINTING. GLENS FALLS. N Y 12801 15181793-5656 BUILDING PERMIT TOWN OF QUEENSBURY 6032 No. WARREN COUNTY, NEW YORK ipt • PERMISSION is hereby granted to Martin C. Mosher OWNER of property located at Lot 88_ Helen Drive (St. No. 31) Street, Road or Ave. in the Town of Queensbury,To Construct or place a One—Family Dwelling ti 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 4 Helen Drive n Glens Falls, N. Y. 0 2. CONTRACTOR or BUILDER'S Name N Same n 3. CONTRACTOR or BUILDER'S Address Same 0 rt 4. ARCHITECT'S Name do OD 5. ARCHITECT'S Address lD C7 H 6. TYPE of Construction—(Please indicate by X) < �)Wood Frame ( ) Masonry ( ) Steel ( ) 7. PLANS and Specifications 26 'x64 ' per plot plan, specifications and application No. submitted including sewage system and two-car attached garA gP_ O 8. Proposed Use One-Family Dwelling '. sv $5. 00 C/O Paid < $ 80. 00 PERMIT FEE PAID -THIS PERMIT EXPIRES March 1 19 80 (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.) H H N. Dated at the Town of Queensbury this 16th Day of August 19 79 SIGNED BY r'`/ A G. for the Town of Queensbury Buil"ing and Zoning Inspe or Sat leis (of So TOWN OF QUEENSBURY ) (Space inside block to be filled in by WARREN COUNTY, NEW YORK Building Inspector) Application No. "APplication for Permit Issued • 19. . • BUILDING AND ZONING PERMIT Permit Expires. . 19. . Y.oiiini District \ ulue nl Work,% • THREE (3) Copies of a PLOT PLAN, Drawn to scale •\i'I"""c(1 by showing the actual dimensions of the lot to be built heimu KS' upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION, TOWN OF QUEENSBURY 7D // - y gaff, . /`cAT/ 9 '9 AE0E0dE j A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK AUG 1 51979 ��.,I ANSWER ALL OF THE FOLLOWING. A.M. R_5 — /— p Ny. The undersigned hereby applies for a permit to do- the following work J 7181911011111211121314151fi which will be, done in accordance with the description, plans and specifi- cations, and such special conditions as may be indicated on the permit. L.' •- (�70 The owner of this pro rt is: . �� /, , ... . . - )P.O.ADDRESS) . . . . . INA':El The person responsible for -.supervision of the work:insofar as the the Building Code and theZoning Ordinance apply is: (NAME) \_Cv4 • (P.O ADDRESS) Name of Builder Address Name of Plumber. . . C(./t'``-(-- ' . • • • ' Address Name of Mason `'k-' Address Lot Number. .J?" • • • Unit Estimated value of proposed work S . .10.. .i9,--1-1;0•.' . . • • • • • . • • • • • . Name of Village " a 0�� Name of Street . .� Side of street: north 0, east , south awest El � Nearest Cross Street . . Distance from this r.ross street . . I. .e2 O. a. • • . • • . . • F . Property is north 0,south c ,east i i, west ❑from-Cross Street If on Corner, which corner, northeast 0, 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 ❑ Addition to a building. One family dwelling Two-family dwelling 0 CD Alteration to a building. -family apartment house ❑ ❑ Demolition of a building. Store building ❑ -car attached garage 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, sire and setbacks of pro- posed buildings,and the location of all existing buildings. NORTH Show proposed building(s) in dotted line and existing 1uilding(s) in solid line. Size of'property •.• . . . /•0 0. • • ft. x /7 ' ft. Size and use of existing buildings, if any 1- N 0 o • W Size of proposed building 6 ft.x 6' */ ft. \l • • Height (from grade to ridge) ft. 410 Front yard ft. • Side yards /a ft. and /7- ft. • . • Rear yard O D 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 safe, etc.? 10 A.---A_".— y....4 a.,..,,,, Will any second-hand lumber be used? L2-2-12 If so, for what? Material of foundation walls . . . . r it.4.4-4.A.-i.- 611-€4e.Z.,.../ Thickness J3" . Depth of foundation walls below rade 6 a ' Co tinuous foundation? Will there be a cellar? If so, material of cellar floor I./ * Type of roof: Sloped or flat? Material of roof . . ./4 4 0.1.,..ii...67-. . . Size,wood studs " x g ", spacing ./ "o.c., length es4"• ft. Size, floor beams, 1st floor ..Z "x ./ e ", spacing / ‘ "o.c., span / .? ft. Size, floor beams, 2nd floor ,=-2 " x / :0 ", spacing /‘ "o.c., span /-? ft. Size, ceiling beams .L.i..4-61.4..z., " x ", spacing rz.? V "o.c., span . . . .*e. .44. ft. Size, roof rafters or beams ..7:A.4.t..4.g.i. . " x ", spacing -.4 9 „o.c., span 4"2-", -? ft. Exterior finish " 7 147ci With what material? -744744-/e, Finish of interior walls If garage is to44e attached, of what material is wall between garage and main building to be constructed? /.•7- " 05 14-C-f.. -- ) Is there to be an opening between garage and building? L742 • Kind of heating system . . Ce....f-c.- 4-4..-c../ Oil burner or coal? Will a flue-lined chimney be provided? - -0 Depth of chimney foundation below grade 6 e " Height of chimney above roof. . . . . 57?./. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . Will there be a fireplace? Depth of fireplace hearth /‘ Will a toilet be installed?. . . . . . . . . . . . . . . . . . . . . . . . .--- ,.../ Will a kitchen sink be installed and connected to water supply? , Water supply (public water supply or pump) . . 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 tti bc-a-Tof my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and co.A.plete statement of all proposed work to be. done on the described premises and that all provisions of the BUILD- ING CODE,THE ZONIN ORDINANCE,and all other laws pa taming to the proposed work shall be complied with,whether specified or not, G 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 TOWN OF QUEENSBURY BUILDING AND ZONING DEPARTMENT BAY AND HAVILAND ROADS RD #1 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 I1A1.4E ADDRESS �O TELEPHONE 7 9.4- i.A s-o OWNERQ S NAME U ADDRESS y l . NUMBER OF BEDROOMS 4/ GARBAGE GRINDER? > (YES OR NO) TOPOGRAPHY: ROLLING, STEEP, SLOPE, GENTLE SLOPES OTHER _ J.- NATURE OF SOIL: CLAY,ANDY LOAM, GRAVEL, ROCKS, ETC. PERCOLATION TEST WATER SUPPLY: GIUNICIPAL)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 d- /'- 7 q SIGNATURE OF APPLICANT %S.,( J22 ✓ LAKE GEORGE PARK COMMISSION APPROVAL: (signature) (date] TOWN OF QUEENSBURY b 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 Va...` . .. . S :. . . 2. Type of heat .. .. .. . . 3. Is the building mechanically cooled? ./Y 0. . .. .. .. .. ... �j . / 1�. Percentage of area of windows and doors Scapt a $ 4 , v A. Over 16% Only 1 . U0 value of gross area of walls, roof/ceiling and floors exposed to ambient conditions . .. . . .. ... .. . . ... . .. .. .. .. .. . .. .. ... .. 2'... Floor ove heated spaces YES NO a. Are fo dation walls insulated? • 0 1 . If what is.the R value? ... .... 3. Slab on .grade NO a. If YES, what is the value of insulation around perimeter of floor? 1t. Is basement heated? YES 0 a. R value of in lation .. .. .. .. .... .... .. . 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 6A. E P'- .. . 3. U value of glazed area ' !t. U value of doors LC.. . U V .. ... . .. . 5. U value of floors over heated spaces / 6. R value of slab edge insulation - unheated slab ' Y ,/ CV 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) N 1 10. Type of insulation . .. .. C. Controls 71C 1.Thermostat maximum heat setting D. Duct Systems 1 . Is duct system installed in unheated spaces? YES NO a. If YES, R value of duct insulation �y b. R value of duct in other areas i 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 .. ., . . ... . . .. . 2. Temperature control setting maximum ° .: G. For Swimming Pool Only dI' k'1 . Maximum Heating / Telephone No. I 1,.2 l 2_. V 'Z4aC• . *--7-)A.A.av1/4_, Applicant's Signature .je.1.17,1,., _. J..V..J..,1. ..l).AJ..!C�.V..l'J._1,(-1c.\kJ.A,..CJ.A)..CJ..Q_,.C..S..l,_",i4!. _l1ti,.._C"J.KS..IJ.,kJ..IA.I.\_..IA tiJ_..l_AJ_�a,!.J..tiJ_.lJ_ A3,.l),.la._l'a.".la•1..1,..)k),,,,A A.),A A A-t•.,AA. THE NEW YORK BOARD. OF FIRE UNDERWRITERS '• BUREAU OF ELECTRICITY �' 41 STATE STREET,ALBANY,NEW_YORK:=12207' -(' Date Application No.on file AA � y ,,' S. .J 4, THIS CERTIFIES THAT 7 --, Ionly the electrical,eq uipm y t asidesccribed,below{and introduced by.the.applicantnamed on,the'above;dpplica"tionnnumber in the premises of 1 in the following location; ,❑-Basement Er 1st Fl. ❑ 2nd Fl. Section Block Lot I was examined on - and found to be in compliance with the requirements of this Board. ,•c FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS w OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT MERCURY �' - VAPOR AMT. K.W. AMT. K.W. AMT. K.W.. AMT. K.W. AMT. H.P. 4' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS j SYSTEMS - 1 'AMT. K.W. OIL ' H.P. GAS H.P. AMT.n �r NO ,A.W.G_.r• AMT. AMP. AMT.:1 AMPS. TRANS. AMT. H.P. NO.OF FEET .AMT.' WATTS �; SERVICE DISCONNECT NO.OF S E R V I C E 0 i AMT. AMP. TYPE METER t i•2W 1 1,B•3W 3%3W 3,0'4W NO,OF C.COND. A.W.G. NO.OF HI-LEG A• G• NO.OF NEUTRALS A.W.G. ..i EQUIP. PER.0' OF CC.COND. OF HI-LEG OF NEUTRAL -( 0 -<1 OTHER APPARATUS: 0 • 1 ..N, ' r:'i`?0 L,"3 ;''1S'pp L, e`y trg' A 4 1 4, 0 .1 y 3 ilif.:,l.i• __alik vi . ?.r:1.t.t-Yi" /7 ., i7 + ''US1 V: .. `•-a a a ?-2 ..C. BRANCH MANAGER 0 4 Per I'YYYYYYYYYYYYYYY YYYYY YYYYYYY Y Y YY YYY YY YY YY YY Y Y YYY Y Y Y Y Y Y AwinErigingenanginiwAtilinA COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. • TOWN OF QUEENS•BURY . • Building Department Inspectors Report Date ?"/D PC) Name /id .e r Location © 1 Permit No. (tv‘,3 ':� Weather Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing />- -la 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 P/ Chimney • Water Meter Inst. Septic Approval Floors • Insulation Foundation ' Walls Ceiling Building Inspector REMARKS 44 C • • TOWN OF QUEENSBURY Building Department Inspectors Report Date Name Al& Location �p 4P -- I4/AJ . Permit No. 3 a: Weather • Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing �(r� 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 5-7 /9. 1 B ildiiiNZnspector REMARKS • • • TOWN OF QUEEMS3URY. �ua�di Department Inspectors Report • Date /F 7fr Name Location ,e.� • . love 4C8 Permit No. 6Q ; Weadtew Remarks Excaation 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 i . Cellar Dr. Tile Concrete Floors Plbg. Fixtures I Gar. Fireproofing Door Closers ( _ Chimney Water Meter Inst. Septic Approval - FlOO s Fc:_'ndaticn j Insulation j j�11.s Ceilinc 1 • Building Ins.p3ct- REMARKS / 2d .7!�- TOWN OF QUEENISSURY. Building Department lnspecr{� Report Fate Va :/ ta 7! Name h at-1 j n C, /2/65/j e` Location 1- a T }`�� Jf e /Jf; Permit,No. to o 3 2. 'Weather Remarks Excavation Footing Forms Footing & Piers I Foundation Cement Coat Waterproofing Backfill Final Survey Framing. I Sheathing Roof Felt Roofing Siding Masonry Veneer .� Rough Plbg. Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney 1, _ Water Meter Inst. ! Septic Approval Fc: 2da t:i j Insulation �— :: I Eu_l ding Inspo.ctor REMARKS H I 1 I I I 0 - I 0 ir . , • /r'• „ [ . S,g/iXt; - t -° gee- . ,l. L. (_704