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1986-084 { C/OPaid CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 19 SN This is to certify that work requested to be done as shown by Permit No. 86-84 has been completed. This structure may be occupied as a ONE FAMILY DWELLING LOT 129 BROOKSHIRE TRACE, SECTION 5 BEDFORD CLOSE Location Owner EDWARD AND SUSAN EARLEY By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector CREATIVE 'INSTA" PRINTING. GLENS FALLS. N'Y 12801 15181793-5658 BUILDING PERMIT TOWN OF QUEENSBURY No. 86-84 � { WARREN COUNTY, NEW YORK n a PERMISSION is hereby granted to Edward and Susan Earley p a OWNER of property located at Lot 129 Brookshire Trace, Section 5 Street,Road or Ave. Bedford ose Dwel ling in the Town of Queensbury,To Construct or place 8 One-Family we ng ny 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 Que$nsbury Building and Zoning Ordinance. m 1. OWNER'S Address is Box 946 Glens Falls, New York CA o , M rr 2. CONTRACTOR or BUILDERS Name n rt H Same c try 0 3. CONTRACTOR or BUILDERS Address ti 0, IDA Same " � 0 r-6 H n aM 4. ARCHITECTS Name N M M n 1 m m 5. ARCHITECTS Address 6. TYPE of Construction—(Plesse indicate by X) M (x)Wood Frame ( ) Masonry 1 )Ste(I l ) I Ki W F� 7. PLANS and Specifications No. 68rx28r per plot plan,', specifications and application submitted including two-car attached garage and sewage system. to 8. Proposed Use ►'' One-Family Dwelling as $5.00 C/O Paid $178.00 PERMIT FEE PAID -THIS PERMIT EXPIRES October 1 19 86 (If a longer period is required an application for an'i extension must be made to the Building and Zoning inspector of the town of Ousensbury before the expiration date,.) Dated at the Town of Queensbury this 31st Day of March 1986 SIGNED BY t(. l�l for the Town of Queensbury Building and Zoning Inspector TOWN OF gUEEN.SBURY (Space inside block to lit. lillval in by WARREN COUNTY. NEW YORK Building Innpsas►H•l Application for A1111licutims No. 1'rrmlt Imued BUILDING AND ZONING PERMIT P1•1-1161 Expiru►.% .._._. Ig. Y.uniul; Il�arii t also nl N'nrk f •� One oOp y of a PLOT PLAN, Drawn to scale A1'1°'""•4I h� — —l am 17�• showing the actual dimensions of the lot to be built It,111:111(f' upon. The exact site. and location on the lot of the . . . . . . . . . . . . . . . . . building to be erected or altered MUST BE SUB. MITTED WITH THIS APPLICATION. zz I OWN O1FrQOEENSBURY • � ililiE � L� A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK rra ANSWER ALL QF THE FOLLOWING. ��if��/L 4�� The undersigned hereby applies for a permit to do the following work ��� Ae- P.M'LJ. which will be done in accordance with the description, plans and specifi. 7�QD ��¢11y y66��112181 �'a I� s � v9a e 1516 e a cations. and such special conditions as may be indicated on the permit. The owner of this property is: MA'AM IP O AUOitissl The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply im .Vkell . . . IHAMEI/ IPO Abonesa). Name of Builder• . 6 A. . . . . .?a L . . , . .Address .��Bk C7���! .6;���l..'�. -4U-5 Name of Plumber ' . .. . . . .Address 4i.VW W.T y. Namf Mason. G Address ! /�C-. . .�. . . . • .��S L , 1 - � Lot Number. .�'�'"! Unit .?d• . , , . . Estimated value of proposed work S . . 1�0!�1.I P!V , . , • , • .. •s. . . • . Naatr of Village ��Iri3u � . . . . . . . . . .. .. .. . . . . . . . . . . . . . . . . . . .. . . . . ... . . . . . ... . . . . . . .. . . . . ... . .. . . . . . . . . . . . . . . . . Nam of kmt O south ®. w . �_ . . .. . . . . Side of street: north ®. am . bst Nearest Cross Streets 1�� r ! .•. . . . . . . . . . , .Distance from'tliis cross street .. /(PC?. . . . . . . . Ft, Property its north ❑,south ❑.east ,west ®from Cross Street , If on Corner,which corner, northeast 13, northwest ❑. southeast L, southwest (Designate by marking with an;"X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Construction of a new building. Main B-11ming ❑ Addition to a building. One-family dwelling ❑ Alteratign to a building. Two-family dwelling ❑ ❑ Demolition of a building. . . . . . . -family apartment house ❑ Store building ❑ . . . . . . . ..car attached garage ❑ Other: . .. .. . . . . . . . . . . . . .. . .. . . . . . . . . . . . . . . . ... . . . . . . . . . . . . .. ... . . . . . . . . . . Accessory Building One-car detached garage C3 0Other work. Describe:. . ... . . ... . . . . . . . . . . . . . . . . . . . . Two-car detached garage ❑ Private chicken house ❑ . . • .. . . .. . . . . . ... . .• . . . . . . . . . . . . Private storage building ❑ . . . . . . . . .. . . . . .. .. I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other: . . . . . . . . . . . . . . .. .. . . . .. . . . . . . . . . . . . . . . . . . . ZONING SPECIFICATIONS. Fill in for new building,or addition to existing building,or a chang*of occupancy. Indicate on the plot plan strest names,the location and size of the property, the location. site and setbacks of pro- NORTH pored buildings,and the location of all existing buildings. Show proposed building(s) in dotted line and existing �✓�-dD/LhA,41 p r � huilding(s) in solid line. /(v0• Size of property . . ... .. it. x . . .� .5. . . . it. Size and use of existing buildings, if any A . . . . . . . . . ... . . .. .. . . . . . . . . . . . . . .. . . Size of proposedbuilding . It.x . ..�Lg. ... ft. f' Height(from grade to ridge) . . . �'Q. . . . . . . . . . . ... it. Front yard . . . . . .5P , . . . . . . .. . . . . . . . �J . . ft. . (po Side yards . . . . . .4 (P r. . ft. and . . .. • '7•�•'••••• ft. 6V&1X)7W �.0. --� Rees yard . . . . . .p 7. . . . . . .. . . . It. MOUTH If on corner,setback from side street . . . .• . • • • . • It. . Note: All disraFeces are.not. as measured frons street side line to nearest parr of buildins. (OVaRI 7-73—M (cont'd.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe,1 11c.?. . .Gl�i4t1.D. . . .���. . . . . . . . . . . . . . . .. . . . .. . . . . . . . . . . . . . . . . . . . Will any second-hand lumber b�ff used? I.4 , 11 so, for what?. . ... . . . . . . . . . . . . . .. . I Material of foundation walls . .t.E/j��ilZj,'�l!.�1�. �. . . . . . . . . . . . . . . . . Thickness . .,f�!l�r�d�-A044� Depth of foundation walls below grade . . . . &. .0. . . . . . . . . . . . . . . . . . . . . . . . . . . Continuous foundation? .ql! S . . Will there be a cellar? •415;1_17. If so, material of cellar floor Type of roof: Sloped or flat? . .�a. � aterial of root Size,wood studs . . . . . ?� . . . . . . ."x . . . . . spacing : . . . .� "o.c., length. . . .�s%ft. `j . Size, floor beams. Ist floor . . . . . "x . . . . . .`d . . . . . spacing . . . . . . . ."o.c.,span .. . .... ft. Size, floor beams, 4nd floor . . . ."x .� . /(. . ", spacing . . . . .'VI/ ` )� . . ."o.c.,span . . . . .,. . . . ft. Size;ceiling beams . . . . . .� r(/ �7. "x (!"'7�11'� �� �,"spucing . . . . ��. . ."o.c.,span . . . .. . �. . . ft. Site, roof rafter;or erns ... . T l -fix �f�✓�!�` y;sltacinR . . . . . "o.c.,spa ..- fl ft. Exterior finish . . CP• .� r' �• •�• With what material? .1�lr!��P, -- . . Finish of interior walls. . .r, . Ago • • • • • . . . • . . . . . . . . . . . . aif rage is to be attached,,of what material is wall between garage and main building to be constructed? • .tir► . . :. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is thert! to be an opening between garage and building? . . . . . . . . . . . . . . . . . . . . .. . . .. . . .... .... .. . . .. . . Kind of heating system . . .� L . C � ??! Oil bunter or coal? . . . . . . . . . . . . . .. . . . . . . . . . . . . . y p �. . . . . . Depth of chimney foundation below grade . . . . . . . . . . . . . . . . Will aflue-lined chimney be wvid�?�. •p • • Height of chimney above roof. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :� � . ' D Will there be a fireplace? . ..q..�l� . . . • • 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 cr •L .... . . . . . . . . .. . • . . . . . . . . . . . . Distance of cesspool from any private well . .L� 7. .J��Q. . . . . . . . . . .. . . . . . . . . . . .. .. . . . feet Will drainage system be provided with required traps,cleanouts.and vents? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Town of Queenshury A"IDAV1T County of Warren State of New York 1 swear that to tr, bvst-uf my knoilJedge anal belief the statements contained In this application,together with the loss"d epwaflawdone sub. mitred, sre a true and or..,. lets statement of oil proposed work to be done on the described premises mad drat a iaw,aa of the BUILD- ING CODE,THE ZONING ORDINANCE,awl all odwr taws pertaining to the prop"/1work be complied wits,wbstber ep@WW or tsar, and tttat such work is audie iced by the a"nor. Sworn to before me this Signature .... ............ .... `y OWNE4 OWNER'S ENI,AIrCHITECT.CONTRACTOR ..... ... . 7% ..... .......dsy of....../f'l�Q��� .............I9..0 ... ............ NOTAny PunLIC. WAngaN COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT% er ............................................................. ............................ ............ �OWn .O� Q ueenigury BUILDING.and ZONING DEPARTMENT. Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 . SEPTIC- DISPOSAlr-PERMIT APPLICATION Owner's Name OWA-0-0 SV64AJ i 0,1544 Te Address SO4- ki - 2l Person/Firm iristallina system_ 9,<LAr A- -rlJ6i Number of bedrooms(residential only) Total daily flow: (compute - @ 150 aal.per bedroom per day)_ IWO Tcpography: flat- rolling' - steep - (circle one) Degree of slope $ Nature ,of. soils: sand loam-clay other- Depth^�ft. Ground water-- at- what depth? ft. Bedrock or impervious material--at what depth?/-`D45_:ft. Percolation Test - Not re (. Required -Rate min/inch. Domestic Water Supply -- Municipal - Well - 'Other IMPORTANT'. On , a separate piece of paper, submit .a diagram of the,-proposed- septic system-with all dimensions; including distance from any structure, distance from property lines and distances from fLEX domestic water supply or shore-line of lake, stream, pond or, wetlands. Include all dimensions of the system its Description of proposed system: Septic tank' size / Qd gal. Tile- field- Leng h of each" trench_6Lft. Total field ,50 ft. Size of stone # _ Seepage Pit(s) Number4C;!/- / Size ftX_ ft. Size of stone#. Any contractor, corporation, individual,Etc. , engaged ' in the construction of a Sanitary Sewage- Disposal System, who covers .the same before .inspection,_ does: not have an approved Permit, or varies from the approved 'application, will be subject to. a _Penalty, of $250. as .provided for in Section 6..010 of - the Town. .of Queensbury Sanitary Sewage'. Ordinance. ft 412 Signature .of Applicant- . • Date i 01/86 -md/vl TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Application- for: BUILDING PERMIT ,IN COMPLIANCE WITH,,.TH,E NEW YORK STATE ENhRGY CONSERVATION CODE A permit must1be obtained before beginning work. ANSWER ALL of the followings 1. Gross - floor area. 2 �d 8 . 2. Type of. heat le_c EJGt�P1 oa, 3. Is the building mechanically cooled? A10 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 . -l: '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 3 . R value .of glazed area .4. R value of doors l �. 5. R value of floors over un ated s - e 6.. R value 'of slab edge insulation - unheated- slab - /v 7.. R value of slab insulation heated slab 8. R value of heated basement/cellar walls (above grade) .9.. R� value .of heated basement/cellar walls (below grade) 10. Type .of insulation ��b c SS �nev�o'lte a ► - 'C. Controls d 1. Thermostat maximum heat setting d_OO D. Duct Systems o 1. Is duct system installed in unheated spaces? YES a a. If YES , R 'value of duct installation b. R value of duct . in' other areas E. Piping Insulation 1. Size of hot 'wat,er or cooling arrying .agent pipe 3 2 . R value of . pipe insulation F. Service Water Heating 1 . Performance efficiency - ! `T�o- 2. �T.emperature control setting maximum G. For Swimming Pool. Only 1. Maximum heating Telephone No. sl� '7�3 - )lUr� .a`•.'. (applicant ' s signatu e) _Jown o/ Queenjbury BUILDING and ZONING DEPARTMENT Bay and Haviiand Road, R.D. 1 Box 98 Oueensbury, New York 12801 SEPTIC DISPOSALSYSTEM INSPECTION NAME E_v/c.y LOCATION DATE -� d —/>G PERMIT NO. SOIL TYPE �and - Loam - Clay - Percolation Test Required? YES <CN9/ Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each trench' r2 Depth of trenches " � Size of gravel_, L SEEPAGE PITS4Number of) ' Size- ft. X ft. Gravel size ' PIPING: Size Type Bldg. to tank It Tank to dist. box Dist. box to field/pit Openings sealed? YES NO Partial LOCATION/SEPARATIONS: Foundation to tank J Z ft. {{{ Foundation to absorption �ft. Absorption to lot line Separation of pits ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear - Left side - Right side - COMMENTS: r SYSTEM USE APPROVED ES NO Building Inspector 01/86 and vl v- p� _loom of QueenjLry o BUILDING and ZONING DEPARTMENT a Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME Ed W a,_ G� y LOCATION 0 7— oZ 7 �UrDO Date 6 -Permit No. ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing c Aackfill Framing ySA �} Roofing Siding Masonry Veneer ;/Rough Plumbing Relief Valves ' Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- m � /,t6 ilne b�WJ�'t%d0 Building Inspector 6/86 and-vl TOWN OF QUEENSBURY Building Department Inspectors Report Date Name--- N e d t,a IQ y Location-_ L. 0 T 1 2�1 ro o K S h .e T r a c P Permit No. 8 to - RL+ Weather Remarks Exca%ta ti on Footing Forms ✓ o, Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plb . Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors Plbqr. 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_ Name Edcuw�- d Ea JeQ Location L..o T J a. j3r o 0 /C s h, r _ P it No. $3 l,,- Weather Remarks Excavation Footin Forms Footing & Piers Foundation Cement Coat Waterproofing Ba ckfi ll Final Survey Framing Sheathing Roof Felt Roofing Siding Masonr2 Veneer Rough Plb . Relief Valves Wall Board Ext. Porches ,or Finished Floor Interior Trim Stairs & Railings ` ` Cellar Dr. Tile f �, Concrete Floorsf PI . Fixture ' _ Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceilin Build * g nspector f REMARKS � A16 Lure& J-6Lt4G CUM bo i w6 Sam 4001744 THE NEW YORK BOARD OF FIRE UNDERWRITERS � d BUREAU OF ELECTRICITY / 41 STATE STREET,ALBANY,NEW YORK 12207 Date 111 ov emb e r b 3 n 1 9 8 7 Application No.on file 7 t, THIS CERTIFIES THAT d 1 only the electrical equipment as described below and introduced by the applicant named on the above application number in the premisev of Edward&suoan Early o Brookahirc Drive 9 Queenbury p NeerYork in the following location; ❑yrBasement �fl 1st Fl. M 2nd Ft. Outside Section Block Lot was examined on 1 1,5/3 7 and found to be in compliance with the requirements of this Board. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT yAppY AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. A 53 28 3 Fir DRYERS FURNACE MOTORS FIXTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K.W. OIL H.P. GAS SYSTEMS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS 1 lang0 .19A P4 Ya V^ 0: Y l SERVICE DISCONNECT NO.OF S E R V I C E o AMT. AMP. TYPE METER 1,9 2W 1 0 3W 3 0 3W 3 0 4W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A•W G. NO. NEUTRALS A.W.G. EQUIP• PER B OF CC.COND. OF HI•LEG OF NEUTRAL __Fr410 210 0 OTHER APPARATUS: 2— C .F.1 Bruac`1kcrG I— SF's1okG Detectors o 0 0 a 0 Brain Pao Mausq Ina- P.O.BCXet 3206 G1enoFallo NevyYor 3 12801, VLJ L BRANCH MANAGERNo ° to 10 Per This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their credentials. e� e� e� e� ® ® e� e� e� eee� ee� e� ee COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 000 `/ p �Z r f G II 1 o�I