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1986-527 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date December 18 19 86 This is to certify that work requested to be done as shown by Permit No. 86-527 has been completed. This structure may be occupied as a One—Family Dwelling Location Lot 9 Upper Sherman Ave. (Sherman Acres Subdivision Owner Kim Oahn Nguyen By Order Town Board TOWN OF QUEENSBURY Building &Zoning Inspector ==� BUILDING PERMIT TOWN OF QUEENSBURY No. 86-527 WARREN COUNTY, NEW YORK+ ', p 1 Kim Oanh Nguyen PERMISSION is hereby granted to OWNER of property located at lot J-Upper Sherman Ave. Street, Road or Ave. (Sherman Acres Subdivision) in the Town of Queensbury,To Construct or place a One-Family Dwelling - U at the above location in accordance to application together with plot plans and other information hereto filed and p approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is 46 Schuyler St. Ticonderoga, New York 2. CONTRACTOR or BUILDER'S Name Wm. Davidson Davidson Const. o rt 3. CONTRACTOR or BUILDER'S Address 1° 197 Sherman Ave. Glens Falls, New York rt 4. ARCHITECT'S Name m 5 0 5. ARCHITECT'S Address CD 6. TYPE of Construction-(Please indicate by X) rat B X p ( 1 Wood Frame ( ) Masonry ( I Steel ( ) 0 n 7. PLANS and Specifications 64')(28' per plot plan, specifications and application submitted w No. including two car attached garage and sewage system. cr. 8. Proposed Use One-Family Dwelling 0 0 CD $5.00 C/O 94.00 March 1 87 N $ PERMIT FEE PAID-THIS PERMIT EXPIRES 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.) t 7 Dated at the Town of Queensbury this 28th Day of August 19 -86 SIGNED BY ///CL 1„2- for the Town of Queensbury Building and Zoning Inspector (45 TO BE COMPLETED BY BLDG. DEPT. awn No. f Jown of Queen 34ur Permit Issued 19 j TOWNOF . �a �' I,J�'iLa'���.�F"t BUILDING and ZONING DEPARTMENT Permit Expires 19 (f� V `� � Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation ri) `, j (-E Queensbury, New York 12801. Variance No. a „�, C Site Plan eview AUG I 9,1 ;�a APprov t1 i c � P.M. APPLICATION FOR 7I `9i1'v11 �1 ):115� 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: k M C)? 1J I- 36 vi -0 u e� P.O. Address �- �� v �j"— -�_Lo ►��`�oV h �1= ��'�0 Tel. s �• G733 Property Location: L4) r *kg vet° Tax Map No. 11(7 7 / 7 Street number or building lot number Subdivision name (if applicable) S f‘,1 a-guk A-,,&) �-C THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: De L IM - y t p s b.� 2���y� w cal o-> — (-kct. N.A r-3 .1 'L Ug y t+J'.'i -101-2 Name P.O. Address Tel. No. Name of builderD.A0%-9SL,-. C a l Address T`t.,,,..„ti 1s . - Cuz- t s S Tel. 19 3-331-4 Name of plumbeA Address SWuN..e.a Av - (,l iS -`1,S Tel. Name of mason G-CIAA ,1- Address Tel. NATURE OF PROPOSED WORK: * ZONING INFORMATION: Lonstruction 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 j /O. S 7 ft X �F 7 ft. * Existing building(d) Size J„eft X ,- 3 ft. PROPOSED BUILDING AND USE: /' * Existing building(s) Use Size of new structure W ti ft Foundation-pier/slab/crawl/partial full * Proposed building, distance from property line (circle one) * Front yard ft Rear yard ft No. of stories (habitable space) * Side yards ft and ft Height (grade to ridge) ft. * If on corner, setback from side street ft If residential, no. of families 1. No. of rooms(excluding baths) * OCCUPANCY INFORMATION No. of bedrooms n * * PRIMARY BUILDING - No. of bathrooms rL .t c , ne family dwelling Primary heating system � ,ck. r' * Two family dwelling Type of fuel �c`T^t_c- * Multiple dwelling / Number of units No. of fireplaces to be installed — Will a wood stove be installed? N-p * Permanent occupancy * Transient occupancy Central Air conditioning? N-0 * Business BUILDING STYLE, PRIMARY STRUCTURE Industrial *. . Other ("_Ranch Contemporary Log cabin * If addition, what will use be? Raised ranch Mansion Duplex Split level Old style Bungalow * Cape Cod Cottage Other * ACCESSORY BUILDING- Colonial Row Town House * Detached garage/one car/ two car ( CIRCLE ONE PLEASE ) * 7-c4ttached garage/one car/ two ca / car * * * * * * * * * * * * * * * * * * 'Private storage building +ESTIMATED MARKET VALUE OF * Other CONSTRUCTION INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BPA 4/86 and-vl ' BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe,etc. c ME Will any second-hand or ungraded lumber be used? If so, for what? '�p Foundation wall material /b/1 `\J l ocjc Thickness � Depth of foundation below grade (to bottom of footing) l 7 ! • Will there be a cellar? -Heated or unheated? Floor sq. footage sq ft Will there be a basement? V.-Will any portion be used as living space? N O (If so, what portion? sq.ft. - - Type of use? Type of roof oped)flat/shed/other Material of roof Size, wood studs -"X c, " spacing "o.c. length y, t. 6' Joists(floor beams) 1st. floor "X /, " spacing Me "o.c. span t. Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft. Overlays(ceiling beams) "X " spacing "o.c. span ft. Roof rafters "X " spacing o.c. span ft. • Roof trusses(pre-engineered) ( .spec' g ,,V-/no.c., span c9 f't: Exterior wall finish c l two- Of w at material? ; Inter or-Wall finish If a garage is to b attac , describe aterials to be used for FIRE SEPARATION: \� If Lam, VZb Is there to be an Aning between garage and dwelling? Li�s If so will a Fire-rated door, enclosure, and self-closing device be 'provided? "rS Will a flue-lined chimney be installed? `--Height above roof ;,,Depth,pf,chimney foundation below grade ft. Depth of fireplace hearth`--- Water supply - Municipal or private well VA.At.HNe t,k QAL' SEPTIC -SYSTEM -foistance from:.ANY private.well(including adjoining properties ft. (A separate application ls•.necessaryfor_any .repair or new installation of. septic system) Town of Queensbury AFFIDAVIT STATE OF NEW YORK County of Warren 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 lUJILDING 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 AP‘0 -0.427-k Owner, owner's agen ,'arcnicect,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: 1. Gross floor area 1\/`li ( S i "- 2 . Type of heat G� T 3 . Is the building mechanically cooled? O 4. Percentage of area of windows and doors A. Over 16% •Qnly • 1 . Uo value of gross area of walls ,. roof/ceiling and floors. exposed to-4,ambient conditions _L 2 . Floor over heated�s,�paces YES NO • a. Are foundation n�,,,'a°lls insulated? YES NO . 1. If YES', w air IN the R value? 3. Slab on grade YES NO • a. If YES,,, hat is the'.R vaNue of insulation around perimeter of floor? 4. Is b cement heated? YES NO -N\ a. R value of insulation 5 Type of insulation B. Under 16% Only 1. R value oroof and floors exposed to ambient conditions • 2 . R value of exterior walls - vc 3 . R value of glazed area - ' P-- • 4 .' R value of doors — ! 7'' �— 5. R value of floors over unheated spaces . ' 6. R value of slab edge insulation - ""heated slab 7 . R value of slab insulation - heated slab 8 . R value of heated basement/cellar walls (above grade) r`r� 9 . R value of heated basement/cellar walls (below grade) 10 . Type of insulation If SS • C. Controls I 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 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 ' C� Telephone No. 'applicant ' s si nature) • Jocun„o/ Queeni1ury APPLICATION FOR SEPTIC DISPOSAL PERMIT BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 DATE EV / LOCATION OF PROPERTY FOR INSTALLATION OWNER' S NAME n cc, ) ADDRESS (4) S(1�� u LcK-) S. \ TEL S b &- -(/ INSTALLER' S NAME TEL Number of bedrooms (residential only) z Total daily flow(compute @ 150 gal per bedroom) 3� ' Topography: 4RIP Rolling - Steep slope ,- (circle one) % of slope Soil nature41110- Loam - Clay - Other Depth ' ft. Ground water -At what depth? • Bed-rock or impervious material - At what depth? ft. . Percolation test ►- requed' Required -Rate min-inch. Domestic water supply Well - Other Separation. - Watersupply(if well) - from Septic absorption • ft. Proposed System: Septic tank `O gala: .(: Minimun _size, 1000 gal. ) '01-- Tile Field - Each trench KS ft. .Total system' legnth 7O ft. • 113 Seepage pit(s) Number off Size each Size of stone to be used. # Depth or thickness D---' 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 responsi.ble person Date ___En 05/86 and/vl Section II Septic System inspections: • A. All .applications for septic system installation, alteration or repair, as required by the Town of Queensbury Sanitary Sewage Ordinance, shall be submitted to the Buildina Department at least f 24 hours before start of construction and shall 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. �1.30Pin JoJowl' of Queen.itur1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 fie; hsreL:7 i 694 fay G /6 BUILDING INSPECTOR ' S REPORT NAME l\1` r M5(4 )/ h LOCATION L 7` 7 Z.1rp ar sA Date /a /26, Permit No. 8 ( _ ; rJ * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves xt. Porches o,k Finished Floors Interior Trim L,Stairs & Railings I (2,k Cellar Drain Tile Concrete Floors Plbg. Fixtures I/Gar. Fireproofing Q,K� c..f?bor Closers Q.K, Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling LRTNAL ELECTRICAL INSPECTION �7,Y DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- Building Inspector 6/86 and-vl G4 ii4e442 / 2- f l“ awn wn of Queenitury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801• �f / H S(17. BUILDING INSPECTOR ' S REPORT NAME fsM7 ,c% 1.4.Nrc-n LOCATION Lot" 7 u i per Sh cp. t� Date / 2//e /X- Permit No. Zf � -3-27 * * * * * * * * * * * * * * * * * * * * * * * = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing • Roofing \I\ ding 04 Masonry Veneer Rough Plumbing //Relief Valves O rt t. Porches Ajh 1-14Enished Floors 0/c • �t erior Trim ra K Stairs & Railings (30 hAr 4,,z4 zl Cellar Drain Tile Concrete Floors Plbg. Fixtures , G Fireproofing nw7- bJrt.<</'� yD000r Closers 4h5/505 (Smoke Detectors /j)t Chimney Ne/� j/INSULATION: LFoundation r-.,sw® J,o,�r 0_� Floors LWa Il s f rt yo 2 • Ceiling FINAL ELECTRICAL INSPECTION 7:1--/ DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- n E-1. 614 f 7)..Stm • ///11/15 Building Inspector 6/86 and-vl _ LAri o/ Queenilury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPO(SAL SYSTEM INSPECTION NAME mil)�t�l LOCATION Q k1 A l j > �(° l DATE () / �l PERMIT NO. 3 (c — S � SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each trench/ t( Depth of trenches Z Size of gravel 7--- SEEPAGE PITS4Number of) Size- ft. X _ ft. Gravel size BIdING: Se/ Bldg. to tank Tank to dist. box I/11 7 2/(,, Dist. box to field/fir. // Openings sealed? .'AYES NO Partial LOCATION/SEPARATIONS: / Foundation to tank Foundation to absorption 2j) ft. Absorption to lot line Separation of pits ft. ON OF SYSTEM ON PROPERTY(circle one) (Front Rear - Left side - Right side - OMMENTS: c-Zru SYSTEM USE APPROVED %YES NO , 6-u-Abit,u Building Inspector 01/86 and vl Jocun o/ Queenatury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT u NAME /ft//ADI/L)ZIA LOCATION G;, JV9-- 60y0„,41vp Date / (�/ cU Permit No. s-5,�7 * * * * * * * * * * * * * * * * * * * .„ I/ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill <Framinq Roofing Siding Nlarsonry Veneer .._Rough Plumbing Otk. Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers V Smoke Detectors Chimney INSULATION: I Foundation Floors % Walls / Ceiling f FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- Buil ing nspector 6/86 and-vl u b` 4 A ca c7 1�7` _awn o/ Queenihurti Win BUILDING and ZONING DEPARTMENT Oil Bay and Havilarid Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR'S REPORT' I NAME �� u e ti 614 chm-) LOCATION Lot j11p -C.v• ��� Date jb / Xt Permit No. $6 - jj v^� * * * * * * * * * * * * * * * * * * * * * * * V = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing/ Backfill Framing Roofing Siding Masonry/Veneer � Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim s Stairs & Railings Cellar Drain Tile Concrete Floors S /' • .. Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: /n Foundation Floors Walls • Ceiling • FINAL ELECTRICAL INSPECTION Final Building Survey • Next scheduled Inspection(call when ready) Remarks- - C- /1)1:- �l�yu✓t/@?� /00 • L4/9140 Building Inspector 6/86 and-vl Jocun o� Queeniur, BUILDING and ZONING DEPARTMENT Bay and Havilarid Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME 1 uI •e v1 ( Qa O c S LOCATION 01- 7 S Date 1 / / 6 Permit No. g(,-c * * * * * * * * * * * * * * * * * * * * * * * i� = APPROVED - YES / NO Footing/Pier Forms Foundation kWaterproofing XBackfill 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- - /14r Buildin nspector 6/86 and-vl �U t-7:5 // g/q .own of Queenibur/ BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION 5/,7,( /0 4/ / v Date 91/./ ,4 Permit No. B_ s�1 * * * * * * * * * * * * * * * * * * * * * * * 00/ APPROVED - YES / NO Fp�o ""t�ang/Pier Forms GFoundation 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 / Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - i ,Z-- / Building Inspector 6/86 and-vl Jown of QueeniLry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME D 4 (NI iA e� ) y / LOCATION Ceo-mid Datee u/ 0 Permit No. 3 6 -S 27 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES /,NO noting/Pier Forms I f Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim r Stairs & Railings // Cellar Drain Tile / Concrete Floors Plbg. Fixtures , Gar. Fireproofing IN Door Closers / \\ Smoke Detectors Chimney l INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - i A O4Lt.( A Bu1lall'ig Inspector 6/86 and-vl 5CALE; IIi zo' TAX MAP. _ SECT`IOAI : 121 _ _ AROA LOT �] LAWds OF: K1M OANN d&vyBN 4to 5cHvyLEz 5-r TicoNdeaogA,_ N.Y. IZ883 _ I i o _ o I i ''AT MS' DAVIGSON C0MSTILVGT101J Avlvsr 19 I9ato o�snab�+p+ box Mnaksrt� _ 40 lao.5 SHERMA .N . AVENUE. ___ __