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1986-235 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Saga Date April 19 LL This is to certify that work requested to be done as shown by Permit No. 86-235 has been completed. This structure may be occupied as a One-Family Dwelling Location Upper Sherman Ave. Owner Frederick C. Bennett By Order Town Board TOWN OFFQQUUEEENSSBURY Building & Zoning Inspector . BUILDING PERMIT TOWN OF QUEENSBURY No 86-235 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Frederick C. Bennett OWNER of property located at Upper Sherman ave. 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 n approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 10 ro H 1. OWNER'S Address is 7 Knight StPr . Glens Falls, New York n 2. CONTRACTOR or BUILDERS Name o0 same ro n 3. CONTRACTOR or BUILDERS Address same 4. ARCHITECT'S Name �C ro ro M ca 5. ARCHITECTS Address H N H. q 6. TYPE of Construction—Meese indicate by XI ro 1 kwood Frame l 1 Masonry 1 1 Steel 1 1 7. PLANS and Specifications No. 27'x50' per plot plan, specifications and application submitted including sewage system. 0 8. Proposed Use ro One-Family Dwelling ,I,t m $5.00 C00 Paid$ December 1 1g 86 168.00 PERMIT FEE PAID -THIS PERMIT EXPIRES E ro (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the Fo town of Queensbury before the expiration dne.l h' 0 [1 16th DayMay 19 86 w Dated at the Town of Queensbury this ��r _'D� /j ofq Y SIGNED BY /1/vhw `-c • 9' for the Town of Queensbury Building and Zoning lnswecto a) i 7 3 TOWN OF QUEENSBURY S( pare inside block in ix• filled in b, WARREN COUNTY. NEW YORK Building Inspector) Application for Application No. ' Permit Issued 19 BUILDING AND ZONING PERMIT p'•nnil Expires in tuning Distriii - • \ alio- t Work THREE 13) Copies of a PLOT PLAN, Drawn to scale -\i in cod by showing the actual dimensions of the lot to be built - ItcmurKf 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 QUEENE6 / ;2 / - `f - 5, 3 l ( [ uu A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK G�,� ANSWER ALL OF THE FOLLOWING. F/� Mpr 23 1G2(9L) The undersigned hereby applies for a permit to do the following work AM.03 p-aa- which will be done in accordance with the description, plans and specifi- ?I8I911 rt , 2f 3J41616 cations, and such special conditions as may be indica d on the permit. - Relit hrSml- a/U The owner of this propftrt I i __ 1-Q.EQC- 1C.K- rty �jtr iJti&c( ��_'" _.,... �. . . . . 5. . . .4. . LSIAib . IHA;.EI Ir0 ADDRESS) The person responsible for/ supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: 54nel6- INAMEI Ie0 ADDRESS) Name of Builder Q(AC- Address Name of Plumber SA Mse�T� Address Name of Mason J' A/roc, Address Lot Number Unit Estimated value of proposed work S . a..(4, atrt Name of Village �` M /] Name of Street 3ss!'p "4IO A Side of street: north tit, ea%❑, south ❑. west 0 Nearest Cross Street MpLIQ173 HO at) Distance from this -Toss street/T* •• • m l L9S W.- Property is north 0,south Ia.,east Fs,west 0 from Cross Street If on Corner,which corner, northeast ❑, northwest 0. southeast ❑. southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY tg. Construction of a new building. Main Building ❑ Addition to a building. One-family dwelling 0 ❑ Alteration 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 ❑ ❑ 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, size and setbacks of pro- posed buildings,and the location of all existing buildings. NORTH Show proposed buildings) in dotted line and existing buildings) in solid line. s Size of property . .A 40 o It. x T3� -r ft. Size and use of existing buildings, if any fJOA.JE 7c�,I . .7Q.c8•I ft. 141311011 M Size of proposed building .� ft.x Height(from grade tossdoe) e1ft. it Front yard ;50 �• r ft. Side yards . . .en; ft.and ft. 5PS 2MAN B VC Rear yard f gS0 I t 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. IOV ER) 7-73-N • N (cont'd.) BUILDING SPECIFICATIONS. �(J Q Kind of construction: Wood frame, fire safe, etc.' 6.�Q0� . . !. mE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber be used? . . 00. . . . If so, for what' I®tl Material of foundation walls CE.il't 'C �CK" thickness Depth of foundation walls ow grade 3 Continuous foundation? s /85 Will there be a cellar? ''eS If so, material of cellar floor .P (.t ea10E-E-eiF Type of roof: Sloped or flat? 5 t_oP6{l Material of roof t—v .o0 J . Size,wood studs a` "x . . . .ter " spacing I (a ,( " .c.,length I I Ift. Size, floor beams, 1st floor . . . . . .i�f . "x Io ",spacing I6 " "oc.,span f,7 ft. Size, floor beams. 2nd floor ads. . ." xif spacing I6 f It I "o c ,span �(A({ ft. "A ", spacing aT "o.c., span I + . ft. Size, ceiling beams ��++ / Site, roof rafters or beams a' x�(( (o - ", spacing �� "o c,span . . . . 15'Ao.?. . ft. Exterior finish k3/3 /CC"I?Vvt/\L With what material? (/.JJJy4- Finish of interior walls. . . . . S.'. . .J., 40K-7- - . - h :"hedr.d what material is wall between garage and main building to be constructed? Is there to be an opening between reg and building? riL% Kind of heating system E T4 C- Oil burner or coal? Will a flue-lined chimney be provided? S yC� Depth of chimney foundation below grade a' Height of chimney above roof. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Will there be a fireplace? or....- Will Depth of fireplace hearth Will a toilet be installed?. .. . . . . . . .'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a kitchen sink be installed and connected to ter supply. Water supply(public water supply or pump) romp Distance of cesspool from any private well 1 D o y�'S feet Will drainage system be provided with required traps,cleanouts, and vents? Town of Queensbury i AFFIDAVIT County of Warren State of New York I swear that to tc hearo(my knordedae and belief the statements contained in this application,tocether with the plans and specifications sub- mitted, a0 i are a tree and pleORDIstatementNANCE, all pro t e r work to be done n the proposed shell e and that low' r of the BUILD- ING CODE,THE ZONING byhe and all other laws pertaining b the work shell be complied ,wM whether specified or not. and that such work is authorized by the owner. � Sworn to betto[�`m his [�j'� y� Signature c ` ` -- / day of "'w-11�Sr--. 19.gC OWNER.OWNER'S A ENT,ARCHITECT.CONTRACTOR NOTARY PUBLIC. WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: • • A d l' I \ i , 4 By 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 ;1 7/ 34. CiC 2 . Type of heat -E'C't(G 3 . Is the building mechanically cooled? lV0 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 q /C6-fLfrJ(a ' �' • 2 . Floor over heated spaces YES NO a. Are foundation walls insulated? 2 O(I 1 . If YES , what is the R value? 3 . Slab on grade YES 0 a. -If YES , what is the R value of insulation around perimeter of floor? 4 . Is basement heated? (55b NO - II a. R value of insulation Il 5. Type of insulation II e(-1L455 B. Under 16% Only 1. R value of roof and floors exposed to ambient conditions R. s 2 . R value of exterior walls 3 . R value of glazed area t , 4 . R value of doors 5. R value of floors over heated spaces 6. R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab B. R value of heated basement/cellar walls (above grade) R- (I 9 . R value of heated basement/cellar walls (below grade) 10 . Type of insulation (136 e Cs AS 5 C. Controls �D 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 installation b. R value of duct in other areas E . Piping Insulation 1. Size of hot water or cooling carrying agent pipe R value of pipe insulation F. Service Water Heating 1 . Performance efficiency 2. Temperature control setting maximum / {o � G. For Swimming Pool Only 1. Maximum heating Telephone No. igMcct,21 j,Lg akd' C . (applicant ' s sig ature) TOWN OF QUFFNSBURY BUILDING & ZONING DEPARTMENT SEWAGE DISPOSAL PERMIT APPLICATION 1. Owner' s Name G(L.EDEQ-ICVL C . eo -- n �.4 hT fT _ CALLS � 1- 1//flt.E+-�S CALLS Telephone No. nf4:13-iOS ' 2. Property location (L 43 (1JE 1111 Namem of person or firm responsible for installing system KiLI,4BLe se„cr{L SEIZ-v 'C� Telephone No. 9Z-Z41C Address (aCE,JS CU_t 4. Number of bedrooms (residential buildings only) I Li 5. Daily flow Cont, gallons/day 6. Septic tank capacity l 000 gallons 7 . Topography: �.�r steep % o s ope 8 . Nature of soil and depth twONj i 9. If ground water, bedrock or impervious material is apparent at what depth does it begin? 1A¢/ ft. 10. Percolation test: A ✓ is required B is not required C If required what is the rate minutes/inch 11. Water supply: municipal, Cgc) other I 12. Type of system proposed: drywell, ile field other a CO 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 Queensbury Sanitary Sewage Ordinance. , ,, (L,, .. ,, {1 /.n� Date a/�/d C �i1-+ ^^�^' 0. signature of a Plicant On separate sheet of paper submit a diagram of the proposed septic system with all dimensions, including distance from any structure, distance from property line and domestic water supply, etc . Include all dimensions of the system itself. Form 3-82 cotree( #1, /ri t, Jouirt of ueenshtry !WILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 // Oueensbury, New York 12801 (io ReinsDecti en BUILDING INSPECTOR' S REPORT NAME t-V2c( Bewtie �" — LOCATION D e -/ 87 Permit No. * * * * * * * * * * * * * * * * * * * * * * * Of/ = APPROVED - YES NO Footing/Pier Forms _ Foundation Waterproofing Backfill _ Framing _ Roofing _ Siding _ Masonry Veneer _ Rough Plumbing Relief Valves '- (Fit. Porches -- Finished Floors Interior Trim W an I/ WMCellar 6 Railings SI Cellar Drain Tile Concrete Floors Plbg. —__ Garreptroof __ Gar. Fireproof ins Door Closers Smoke Detectors ui Chimney �■ INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL _ Final Building Survey Next scheduled inspection (call when ready) Remarks- Building Inspector 6/86 and-vl ofir flown of Queendtury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, NGv+ York 12801 BUILDING INSPECTOR' S REPORT NAME e LOCATION u P? S"i(,LA an �/ Permit No. X�' -- ft.-0 92* a t ! * * * * * * * * * a a * * * * * * * V = APPROVED - YES NO Footing/Pier Forms _ Foundation Waterproofing Backfill Framing O. IIIII lkoofing �7 Masonry -=_ Rough ry Veneeri Rough11111 ei Plumbing -_Ma ).Relief rchess tiro Porches s all'g� 4inished Floors I Gfnterior Trim �� - LStairs & RailingsIMO Cellar Drain Tile =_�p Concrete Floors rile l'61bg. Fixtures Closers ors h! 1Gar. Fireproofing l.d'oor C Closers FA (Smoke Detectors < __ 'Chimney (Pm ) - R. \INSULATION: 4 l i ionWill Floors tras Ceiling (-Wails Mr t( FINAL ELECTRICAL INSPECTION marieffim ,DRIVEWAY APPROVAL IIKAI 4PF Inal Building Survey . Next scheduled inspection (call when ready) Rem s- D Building Inspector 6/R6 and-vl GcuQiLei flown of Queeni4ur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTIONr�- NAME Fr el //1en& Tr cncc LOCATION G fp'e` '✓' epr n-ar• DATE fJ/7-/ Q6 PERMIT NO. O6O- 3J SOIL TYPE - Sand - Loam - Clay - _ Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length 2-j O Length of each trench TO Depth of trenches tub' - - Size of gravel_ Z SEEPAGE PITS{Number of) Size ft. t GraV ze PIPING: Size Type Bldg. to tank _ GUC- Tank to dist. box UC- Dist. box to field/ it% PVC- Openings sealed? YE NO Partial LOCATION/SEPARATIONS: Foundation to tank BOO ftt- Foundation to absorption 7 n Absorption to lot line _ft. .© IL Separation of pits _ LOCATION OF SYSTEM ON PROPERTY(circle one) Front - - -ft side • 'ght side - CCMMENTS: SYSTEM USE APPROVED YE Building Inspec r 01/86 and vl C alh0cr# /01 .2 8/Xc y0-rei ✓own Of Queen Jlury BUILDING and ZONING DEPARTMENT Bay and Haviland Road. R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR 'S REPORT NAME 1� Y eel)eH Ck nnern LOCATION u Date 6 aa/ Permit No. li * • * * * * * * * * * * * * * * * *�. Footing/pier Forms ✓ = APPROVED - YES NO Foundation WaterBackfilli offing Framing Roofing _ Si ding 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 /(Ioundation -- Foundation Floors Walls -��� Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL _ Final Building Survey _ MIN Next scheduled inspection (call when ready) Remarks- OAK h•7. /a/ . 9, 3, 3 Building Inspector 6/86 and-vl 300 K✓5ngco 4-Gpots c sr own 0 Queenibury BUILDING and ZONING DEPARTMENT co Bay and Haviland Road, R.D. 1 Box 98 CJ Oueensbury, New York 12801 BUILDING INSPECTOR 'S REPORT NAME LOCATION ir) Date (Q Oro_ Permit No. _ �35 * * * x x * * * * * * ♦ * * * * * * * * ! Tooting/Pier Forms✓ — PROVED - yEg / NO f Foundation JV�\ Waterproofing Backfill raming Oe Roofing Siding M4sonry Veneer L-ftCugh Plumbing ol< Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings 7 Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls I Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - lVo falsO6crioas to phTL- - 3aGagaer 13fM LO IU6 / s U P. IAl50Gtr/i-B a,s,,54[; zap Building Inspector 6/86 and-vl iA 4 r 4