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1986-492 CERTIFICATE OF• OCCUPANCY TOWN OF QUEENSBURY s'WARREN COUNTY, NEW YORK Date February 10 19 87 „--33 ,This is to certify that work requested to be done as shown by Permit No. 86-492 has been completed. This structure may be occupied as a Unit A - Two Family Dwelling Location Lot 5 Upper Sherman Ave. - Burnt Ridge Subdivision. Cobe, Inc.. Owner, By Order Town Board ' , TOWN OF QUEENSBURY 7a1,(6,A_ Ce), 41-01 /74-- • Building & Zoning'lnspector f BUILDING PERMIT TOWN OF QUEENSBURY _ No. 86-492 WARREN COUNTY, NEW YORK 0 Cobe, Inc. °+ PERMISSION is hereby granted to V Upper Sherman ave 5 Upp . OWNER of property located at LotStreet,Road or Ave. � Burnt Ridge Subdivision in the Town of Queensbury,To Construct or place a Two-Family Dwelling at the above location in accordance to application together with plot plans and outer information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is 64 Crandall St. Glens Falls,New York 2. CONTRACTOR or BUI LDE R S Name same wr 0 0 rt rt p rr u, 3. CONTRACTOR or BUILDERS Address Pd W,� a 10 same Q M to W G ::' 4. ARCHITECT'S Name a B W C N w d W H. w 0 d 5. ARCHITECTS Address D m 6. TYPE of Construction—(Pleat indicate by X) ell Wbod Frame 1 )Masonry ( 1 Steel 1 ► 7. PLANS and Specifications 52'x44' per plot plan, specifications and application submitted No. including sewage system. I w E� 8. Proposed Use Fes,', Two-Family Dwelling `< M r $ 10.00 2 C/Os $ 147.00 PERMIT FEE PAID-THIS PERMIT EXPIRES March 1 87 19 (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 14th Day of August 1986 SIGNED BY 4q, iot4460ft4 for the Town of Q ry Building and Zoning Inspector TO BE COMPLETED BY BLDG. DEPT. JO[vr1 o Application No. QIkro Permit Issued 19 ''WN BUILDING?and ZONING DEPARTMENT ��QQEE�lEE3URY Permit Expires 19 FICEIIVIE Bay and Haviland Road, R.D. 1 Box ,i,, Zoning Designation Queensbury, New York 12801 Variance No.Site Plan Review No. AUG 8 1986 • l L l ~ l O - .5— Approv; : .:4 la . �. /5 %�e re,. ° ��Islxa+4#11f2)3/4f516a APPLICATION FOR . + + . a e a , , 0..t U CS BUILDING AND ZONING PERMIT ••* * * * * * * * * * * * * * * * * * * * * * * * • * * * * * * * * * * * * * *.: A. PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies for a Building Permit to do the following work which will be done in accordance with the description, plans and specifications submitted, and such special conditions as may be indicated on the Permit. The owner of this property is: COaE ZA/C. / P.O. Address .(04 C(AklbALL ST , GC..EkIS 'FALLS Tel. 793-.4./S-g8 Property Location: OPPE2 SNE2M.4A1 AVE ' Tax Map No. /2// 411/,1 Street number or building lot number Subdivision name (if applicable) BU,E,VJr /ZGE THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS. REGARDS BUILDING CODES IS: ,eAV CoCOEA/ (¢ ee,4AJ2 4LL ST G 793 -6s88 Name P.O. Address Tel. No. Name of builder 7L4A/ f3EAJ4JETT . Address /-/(JD 5oA/ FALLS Tel. 747- 0/87 Name of plumber ,og'T PALME2. Address /,ijE ST /,/7-AL ei , 6/P&ue yTel. 79 z-Go8O Name of mason /SEA/ STEELE Address _ffA-b LdtX P0�lr) FT ,4,u,+1 Tel. 196- DO 77 NATURE OF PROPOSED WORK: * ZONING INFORMATION: *11 ✓CoURnstruction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED, Addition to a building * drawn reasonably to scale and attached hereto, Alteration to a building * showing clearly and distinctly all buildings, (no change to exterior dimensions) * whether existing or proposed and indicate all Other work (describe) . * set-back dimensions from property lines. Give ' • * street and number or lot number and indicate FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location LOCATION OF STRUCTURES AFFECTED, of water supply and location and configuration * of septic disposal area. * * COMPLETE INFORMATION REQUIRED BELOW. * Size of property /52 ft X Zoo ft. * Existing building(s) Size ft X ft. PROPOSED BUILDING AND USE: * it/o/JE Size of new structure 36 * Existing building (s) 'Use ' ' $Z ft X 44ft . Foundation-pier/slab/crawl/partial/40D * Proposed building, distance from property line (circle one) No. of stories (habitable space) / * Front yard 000 ft Rear yard 74- ft Height (grade to ridge) /7 ft. * Side yards Z� ft and (,6 ' ft If residential, no. of families Z * If on corner, setback from side street Aliq ft No. of rooms(excluding baths) 9 . * OCCUPANCY INFORMATION No. of bedrooms S; * No. of bathrooms 2- * PRIMARY BUILDING - Primary heating system ELEL TO/44L * f one family dwelling Type of fuel ELEG, * o family dwelling No, of fireplaces to be installed U * ultiple dwelling / Number of units Will a wood stove be installed? * Permanent occupancy Central Air conditioning? /va �� * Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial <110 Contemporary Log cabin * Other Raisedranch Mansion Duplex * If addition, what will use be? Split level Old style Bungalow • * Cape Cod Cottage Other * ACCESSORY BUILDING- AO,u E Colonial Row Town House * Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car * * * * * * * * * * • * * * * * * * * ' Private storage building ESTIMATED MARKET VALUE OF * _Other • • • • ' CONSTRUCTION' $ /ZOO OOI * INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE ;OF THIS SHEET, TO BE COMPLETED! Form BPA 4/fir. ma-v.1 BUILDING PERMIT APPLICATION CONTINUED - BU.ILDINGSPECIFICATIONS: Type of construction, wood frame, fire safe,etc. WO o a P, .A, E Will any second-hand or ungraded lumber be used? If so, for what? 410 Foundation wall material Coitle. /3 Lo c.K • Thickness /O it Depth of foundation below grade (to bottom of footing) (2'6_' Will there be a cellar? 'F5 Heated or unheated?J _Floor sq. footage Z O Sq sq ft • Will there be a basement? ties Will any portion be used as living, space? /Jo (If so, what portion? sq.ft. - - Type of use? Type of roof - sloped/flat/shed/other 42 SLMaterial••of roof Asp4.LT SHi+UGieS ovee Sjg"PLy Size, wood studs 2.. "X Co " spacing Z 4-"o.c. length 8 ft. . Joists(floor beams) 1st. floor 2. "X /o spacing IC, "o.c. span 13-8 ft. Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft. Overlays(ceiling beams) 4 "X " spacing "o.c. span ft. Roof rafters "X " spacing o.c. span ft. Roof trusses(pre-engineered) spacing Z4 "o.c. span 36) ft. Exterior wall finish /J,¢j U4A L Of what material? Wov'/) S/D/A/(; Interior wall finish S/fEET OGK If a garage is to be attached, describe materials to be used for FIRE SEPARATION: Is there to be an opening between garage and dwelling? If so will a Fire-rated door, enclosure, and self-closing device be provided? Will a flue-lined chimney be installed? AL o Height above roof ft. • Depth of chimney foundation below grade ft. Depth of fireplace hearth ft. in. Water supply - Municipal or private well SEPTIC SYSTEM Distance from ANY private well(including adjoining properties> SOO ft. (A separate application is necessary for any repair or new installation of septic system) Town of 'Queensbury County of Warren AFFIDAVIT STATE OF NEW YORK I swear that to the best of my knowledge and belief the statements contained in this application, together with the plans and specifications submitted, are a true. and complete statement of all proposed work to be done on the described premises and that all provisions of the BUILDING 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 ,/7'tiee.o. Owner, owner's agent,arcnitect,contractor day of 19 Notary Public, Warren County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: • • • • • • 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: -q 1. Gross floor area 2O S / T 2 • 2 . Type of heat L E C• • I 3 . Is the building mechanically cooled? A/v. 4. Percentage of area of windows and doors /57 `O A. Over 16% Only 1 . Uo value of gross area of walls , roof/ceiling -arid 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 F /-9 ,3 . R value of glazed area . 0.0 4 . R value of doors /5: 1 5. R value of floors over unheated spaces e// 6. R value of slab edge insulation - unheated slab AA 7 . R value of slab insulation - heated slab . 8. R value of heated basement/cellar walls (above grade) /4 9. R value of heated basement/cellar walls (below grade) A//A 10. Type of insulation FI 3 Eel CAS S • C. Controls 1 . Thermostat maximum heat setting 7.5-°F D. Duct Systems 1. Is duct system installed in unheated spaces? YES I0� 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 ,/zn 2. R value of pipe insulation • F. Service Water Heating 1. Performance efficiency 2. Temperature control setting maximum G. For Swimming Pool Only 1. Maximum heating Telephone No. 7q3` GPM?) /22C- Atpplicant ' s signature) 1 • • sown of Queen1ury APPLICATION FOR SEPTIC DISPOSAL PERMIT BUILDING and ZONING DEPARTMENT • Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 DATE 8 / 8 /8 LOCATION OF PROPERTY FOR INSTALLATION S'WE, 4, iJ ,4LE OWNER'S NAME neE._ -Luc. ADDRESS 64 C k (-L �� �� TEL- 74) 3 ^G Cab INSTALLER' S NAME 5A SL.) EEL ( TEL Y Number of bedrooms (residential only) Total daily f low(compute @ 150 gal per bedroom) -7S-0 Topography: Flat Rolling - Steep slope - (circle one) % of slope Soil nature: San)- Loam - Clay - Other Depth ? ZO ft. Ground water -At what depth? > /8 ft. Bed-rock or impervious material - At what depth? >. 3 0 ft. Percolation test -03-ot required- Required - -Rate "4 5- min-inch. Domestic water supply -Cunicipa9- Well - Other Separation - Watersupply(if well) from Septic absorption ft. Proposed System: Septic tank /2-SO gal. ( Minimun size, 1000 gal. ) S3' °3/8 .. ,C gc Tile Field - Each trench i$' ft. Total system legnth aahn ft. Seepage pit(s) Number of . Size each ft X ft Size of stone to be used # ' Depth or thickness / '8 " ft. IMPORTANT! ! On a separate piece of paper, submit a diagram of the proposed system with all dimensions shown; including distance from any structure, distance from property lines and from ANY DOMESTIC WATER SUPPLY or shore-line of lake,stream,pond or wet-lands. Include all dimensions of the system, itself. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * .* * * * I .have read the regulations on the reverse side of this sheet and agree to abide by these and aZZ requirements of The Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of respcnsible person C - &c (A.P.a.4 • Date 63/V9C 05/86 and/vl Section II Septic System Inspections: • A..- All applicationd for septic system installation, alteration or repair, as recuired by the Town of Oueensbury Sanitary Sewage Ordinance, shall be submitted to the Buildina Department at -least 24 hours before start of construction and stall include a plot plan showing: 1) the proposed location of the system 2) location and distance to lot lines 3) location and distance to .structures 4) location and distance to any water supply • 5) size and dimensions of all tanks, distribution boxes, tile fields and/or drywells B. .No system shall be covered before inspection and ' • approval by the Building Inspector. Failure to Comply with this requirement may result in the uncovering of the system by the installer and a . fine of up to $250.00. C. • An approved copy of the.plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. , D. Should unforeseen problems during construction • prevent proper installation, alteration or repair of an approved- system, a new proposal • must be submitted to the:Queensbury Building Department before further construction. \A ' 4/(5 _Down of Queensbury ! ��k BUILDING and ZONING DEPARTMENT / Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 /2.&- /Ai 9&crt a a-- BUILDING INSPPECTOR ' S REPORT NAME LO — S. G i, LOCATION CI026 5,0Z ti1/} lv c2 Date .2 Y /_ 7 Permit No.* * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Plumbing j Aii_� n�pi}i 9 bk Relief ValvesA-p&-A--r-6-ritlitrafb Ext. Porches Finished Floors Interior Trim Stairs & Railings . Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: ....'N\N/N Foundation �,.. (Floors (9I Walls Ceiling r4,1. FINAL ELECTRICAL INSPECTION ,�Z Dt VEWAY APPROVAL 4 Building Survey Next scheduled inspection (call when ready) Remarks- 5"u" w.h IT A- �C I ' '61/1//,21) Building Inspector 6/86 and-vl . . . I -.Down of Queniur y BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 i BUILDING INSPECTOR ' S REPORT NAME / LOCATION 4 ,- 4c4(44d GNP Date ).'z / y Permit No. 3 (p - 72_ * * t * * * * * * * * * * * * * * * * * * * Fe ✓ = APPROVED - YES / NO ing/Pier Forms Foundation Waterproofing Backfill Framing Roofing .14iding Masonry Veneer _il05 ,_ be Rough Plumbing {� N belief Valves Vallves �}p�� U Ltxt. Porches et DK. Az �FFiinished Floors 0,r Interior Trim O .� �tairs & Railings . -) 0.1; Cellar Drain Tile Concrete Floors Flbg. Fixtures r( u--C�1 U Z. Car. Fireproofing /ti( • L-Door Closers c,-d�� "� l't7moke Detectors • (2`himneyv-;L�� /�l�'F- ✓✓I€ULATI ON: ✓Foundation \ D f/' Floors y c ff ` (3 0- ' 6,K Walls,eil ing F'� INANAL ELECTRICAL INSPECTION P DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Sc Remarks,- i 4:42'- ic A- , he/10 Building Inspector 6/86 and-vl Jown of Queniur, eBUILDING and ZONING DEPARTMENT 4c175 Bay and Haviland Road, R.D. 1 Box 98 /4/�'1f� Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME C0VJ, � LOCATION ( --ti p,nbg-S) ft A/Ar _ Date itl/? /g'6 Permit No. 3.6- ' c[). * * * * * * * * * * * * * * * * * * * * * * * io/ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim " Stairs & Railings Cellar Drain Tile Concrete Floors • Plbg. Fixtures ;Y1' Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors X Wails it- J Gi 611 I(//1P0 y2.44-2.►zi LPL r/ (Ceiling 1Q-35F- it FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- • Building Inspector 6/86 and-vl awn o f Queeniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME LOCATION Date I D / Z 1 Permit No. y6 _ 9z * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing 1/ 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 DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- • Biiildin Inspector 6/86 and-vl • Ca 1 t_zzi 13046 1/2n9 _Joiurt o f QueenJ‘ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME Co e . LOCATION 1-0 / J G(�p DATE /d /( /J6 PERMIT NO. ?(o %2- SOIL TYPE - Sand - Loam - .Clay - Percolation Test Required? YES - NO • Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length 7300 Length of each trench Y6-6- O A-C OAAA Depth of trenches ?-4 " - Size of gravel 1. SEEPAGE PITS{Nuinber of) Size- ft. Gravel ze PIPING: Size Type Bldg. • to tank `.( �Jj �� Tank to dist. box Lf PGr Dist. box to field/pit .4 P Openings sealed? NO Partial • LOCATION/SEPARATIONS: Foundation to tank /0 ftt-- Foundation to absorption 70 ft,ic� Absorption to lot line jp ft•.- . Separation of pits fit.. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - ear - Left side - Right side - COMMENTS: - cik/ ��, .. Zs-0 G T� VAC SYSTEM USE APPROVED YES) NO 1 Bui ding Ins ecto 01/86 and vl Loi-S cb ef4' . - 0 " -2200 Q J/ e,, 9 /„,,O/d 6 % m1 hAr: Down of Queenibur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME C a 6 g - "p,.c_ LOCATION 10 j- 5 G{ ler sA e,-h,ci- j4- Date qIaA/ $(o Permit No. (D - `, 2. * * * * * * * * * * * * * * * * * * * * * * * APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill )4 Framing V' Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings / . Cellar Drain Tile . Concrete Floors Plbg. Fixtures y' 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- - ibi.ceae ..... r--e 4,,...„, (/ 4,,Z t' / Xiv407-)cc2i, br/1,/ /2)/t/(2Y!,4;2 Building Inspector 6/86 and-vl gilt l P. sown o/ QuQeniburcy 9:�� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME e. C a b LOCATION 607- Date /// / ' Permit No. pig - 171�Y * * * * * * * * * * * * * * * * * * * * * * * = APPROVED - YES / NO Footing/Pier Forms Foundation 1erproofing ✓. Lckfill �� Framing 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- - Building Inspe or 6/86 and-vl awn of Queeniurj BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME ,L LOCATI ON n Img_5t .6.21,f44,d /UL Date ujfz / Permit No. yc, 92_, * * * * * * * * * * * * * * * * * * * * * * ooti n4411111PormsV = APPROVED - YES / NO ®� Foundatio Waterproofing Backfill Framing 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 f,•: Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - (C%r) /iAIL ) Building Inspector 6/86 and-vl — SUiAJT ReZJGE 0,3 E -LAC Lor 5- )upLEi zoo 4'- ? Lor i�LA U I``_ 30 1 i. • /� (JpioE2 S�EZM,4n/ AVEkIUE ,e. S 62° 36'-40"E —>- /52.0o / -SP. a« 000 r�� I �o i S ul nk' ' 30 400T.1- 4,1 \ i z }` W 52 0 Y 1 O ---1l 0 N E. p ��p o Z g.o�,AS 3; N N zG' > " oN —� I&' _N o 6 L)NES co 53'e 1_ 1101 N. N 318 Ti Lc FiEL2j ' I Z SO GAL TAM( ( V 1--, .- -bisT213uTio,J 13o3( 321 2o' Y '-e• Al 6,2°-36=40" lit/ /52.00' 4'