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1986-055 C/O CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 19 66 This is to certify that work requested to be done as shown by Permit No. 86-55 has been completed. This structure may be occupied as a ot 1=:4, 135 P.rookEhire 5rc.ce ( Sect:_o:; 5 3 -2diorc.1 Clo5e Location Owner By Order Town Board TOWN OF QUEENSBURY . -" /- Building & Zoning Inspector CREATIVE “INSTA- PRINTING GLENS FALLS N Y 12801 15181793-5858 TEMPORARY CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date Sent. 8 19 86 3o. This is to certify that work requested to be done as shown by Permit No. 86-55 has been completed. This structure may be occupied as. a One-Family Duelling Location Lots 134, 135 Brookshire Trace Michael Shea Owner 30 DAY TEMPORARY CERTIFICATE OF OCCUPANCY By Order Town Board TOWN OF QUEENSBURY • _ _._.�.. ,'�, Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No. 86-55 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Michael SheaH. OWNER of property located at Lots 134, 135 Brookshire Trace Street, Road or Ave. Section 5, Bedford Close Subdivision 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 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is Glens Falls, N. Y. 2. CONTRACTOR or BUILDER'S Name r rn 0 G.W. R. Construction Co. , Inc. 'D '* n m rt N• I� o w 3. CONTRACTOR or BUILDER'S Address 0 +- Ui Saratoga Springs, New York b w CD Ui 4. ARCHITECT'S Name o n o a. o Northern Homes o H. • n ID CD 5. ARCHITECT'S Address H Glens Falls, N. Y. 0 0 6. TYPE of Construction— (Please indicate by X) ( Wood Frame ( ) Masonry ( I Steel ( ) - - 7. PLANS and Specifications 32'x70' (3750 sq. ft.) dwelling per plot plan, specifications and No. application submitted including sewage system and two-car attached garage. 8. Proposed Use O One-Family Dwelling w N• $5.00 C/O Paid 281.00 October 1 _ 86 Cy $ 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.) 0 Qq Dated at the Town of Queensbury this 5th Day of March 19 86 SIGNED BY 7' d - for the Town of Queensbury Building and Zoning Inspector 17-4 TOWNi/OF QUEENSBURY (Space inside block to be filled in by WARREN COUNTY, NEW YORK Building Inspector) Alication for Application No. ' �� , l'c•rmit issuer) 19. BUILDING AND ZONING PERMIT I',....„it Expires. 19. %Arnim! District • \ ;due nI Wick THREE 13) Copies of a PLOT PLAN, Drawn to scale , .\I►I"•"(11 l) � showingthe actual dimensions of the lot to be built Itc�l►►:IrKS �// upon, Te exact size, and location on the lot of the ' building to be erected or, altered MUST BE SUB- MITTED WITH THIS APPLICATION. /o? - - .5-- 73- ‘, / 3 S-- .F/e.glv TOWN OF QUEENSBURY ATE A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORKRECEEIVIE B ANSWER ALL OF THE FOLLOWING. 41986y, /� The undersigned hereby applies for a permit to do the following work 9`=�P , 00 /,� which will be done in accordance with the description, plans and specifi- A.M. Is- cations, and such special conditions as may be indicated on the permit. 7ltil? .t11J121,2,3 W t 's p rQ rt s: ��Z O. The owner/es • //6,4• C-�/ASS //�5j ilw, (NA`4E) (P.O.ADDRESS( The person responsible for rvision of the work insofar as the Building Code and the Zoning Ordinance apply is: ,e .�.�s�e" 6777// . . A . . . . . : , ,erg„;,:�Ay. . r (NAME) (P O ADDRESS) Name of Builder 6'�'J.���'' �etisra a_ Address . .59i/�T. �f�' Name of Plumber. . ✓`:70./. SteV tix Address �39/e/•/ 9,4) '7 Name of Mason &,AzG• :• .C(� 5 .e-. • Address . .6"9/ " //6, Ai j✓ Lot Number/.9 -/(3. Unit-- Estimated value of proposed work Sa '�./4Cb Name of Village 42!/. ��S i4ey 44,0 Name of Street . .. 'G?49/ce71' . . . .4' 4.444 .tr�� eSide of street: north ' 0, east T( south 0. west 0 Nearest Cross Stree4,(1 �17��1p Distance from this cross street . . . .2Ge)/ Ft. Property is north th ❑,east i i,west ❑from Cross Street If on Corner, whicze corner, northeast U, 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 Cl Addition to a building. One-family dwelling ❑ 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 ❑ 0 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- NORTH posed buildings,and the location of all existing buildings. Show proposed buildings) in dotted line and existing huilding(s) in solid line. r ( Size of property . �4 . • • ft. x . . .2d • • • ft. Size and use of existing buildings, if any . . .Agemii..• • 17, T) i---- -72A 7e ft. r ( 14, W Size of proposed building ft.x / - Height(from grade to ridge) . a, ft. • Front yard /Pe �-. ft. ri ,, I // ' // t' Side yards ,lam = ft. and //c - ft. /O��/I %I �.f Rear yard &'(2 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. • (OVER) 7-73-M . (cont'd.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe,gtc. d ilie/Q,Y€ .'t•4- z4 Will any second-hand lumber be u ? d If so, for what Material of foundation walls . . . ite. .O/F'/C Thickness Depth of foundation walls be ow grade Continuous foundation? Will there be a cellar? . i- If so, material of cellar floor . . . ,( '4'_ t j Type of roof: Sloped or flat? . .54444 Material of roof . . .Alf I ) %1,IT,—.).W. 9P/ • Size,wood studs . . . "x 6 ", spacing /6 "o.c., length • ft. Size, floor beams,1st floo � . "x . /� ", spacing /la "o.c.,span ft. Size, floor beams,2nd flop-I . i2 .0. ."x 42 ", spacing lei, "o.c., span ft. Size, ceiling beams "x ", spacing "o.c.,span ft. Site, roof rafters or beams • "x ", spacing "o.c.,span ft. Exterior finish . . .ce,:me�� d With what material? Finish of interior walls jG f� If garage is to be attached, of what mat ial is wall between garage and main building to be constructed? ilk g ` e. Is there to be an opening betty en garag,and branding? . . Kind of heating system . /"!,/1 Oil burner or coal? Will a flue-lined chimney be provided? Depth of chimney foundation below grade Height of chimney above roof Will there be a fireplace? .: .9 Depth of fireplace hearth . ./�1 Will a toilet be installed? Will a kitchen sink be installed and connected to water supply? . . .Z5 Water supply (public water supply or pump) . . . .,arf6/�.- / Distance of cesspool from any private well /4' /t1/ feet Will drainage system be provided with required traps, cleanouts, and vents? . Gl. Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to it J ig t of my knowledge and belief the statements contained in 's pplication,together with a plane specifications sub- mitted, are a true and co.i. lete statement of all proposed work to be done on described premises and t all uions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the p sed work shall be own ed bath specified or not, and that such work is authorized by the owner. Sworn to beforezthis // C ✓ Signature ...... .. . ........... .......... © WN R S ENT A CFlITECT.C NTRACTOR day of 19'D 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.J/z . ANSWER ALL of the following: ei4 1. Gross floor area 37.61.0r ,- 2 . Type of heat ejgd , W 7-144V/ 3 . Is the building mechanically cooled? '✓Z7S• 4 . Percentage of area of windows and doors /ZA- 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 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 o roof and floors exposed to ambient conditions 2 . R value of exterior walls , -,20- 3 . R value of glazed area A[2-47 � 4. R value of doors /e t i%e/ ,4 '- 2. a 5. R Value of floors over unheated spaces A'-A-9X- 6. R value of slab edge insulation - unheated slab i(Jor�- 7 . R value of slab insulation - heated slab ,4' €. 8. R value of heated basement/cellar walls (above grade) 9 . R value of heated basement/cellar walls (below grade)ROSVI 10 . Type of insulation /M:e9l.5.$ C. Controls O ��� , 1 . Thermostat maximum heat setting D. Duct Systems 1. Is duct system installed in unheated spaces? YES a. If YES , R value of duct installation b. R value of duct in other areas -- E. Piping Insulation ./ // I/4 1. Size of hot water or cooling carrying agent pipe '/ - 2 . R value of pipe insulation-7(AvAg F. Service Water Heating 1. Performance efficiency 2 . Temperature control setting maximum G. For Swimming Pool Only 1 . Maximum heating Telephone No. Q2 214_ (app is t ' ignature) • Jown of QueenJhury BUILDING and ZONING DEPARTMENT • Bay and Haviland Road, R.D. 1 Box 98 . Queensbury, New York 12801 • SEPTIC DISPOSALL PERMIT APPLICATION Owner ' s Name 0,1,4// G.ii-,•dam. L;c�iUST a,•.,.2,euC'- Tel. 9 Address /7 /:54/- /3.5-- iF `€2/ .1)-5F• 6,G'ffu ie,:ef/Air. Person/Firm installinc? system. . • /<• eCr/uS/ -�ivG • Number of bedrooms (residential only) 9.86,OS. Total daily flow: (compute @ 150 gal.per bedroom per day) c 9e 9,Q/ Topography:(lat) rolling - steep - (circle one) Degree of slope % Nature of soils: sand ether- Depth K7 ft. Ground water-- at what depth? /f ft. Bedrock or impervious material--at what depth? ,/Q,r,1' ft. Percolation Test - Not required / 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 any domestic water supply or shore-line of lake, stream, pondor' wetlands. Include all dimensions of the system itself. Description of proposed system: Septic tank size /eko gal. Tile field- Length of each trench ,Oft. Total field29O ft. Size of stone # Seepage Pit (s) , Number / 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 provide. ' 2r in Section 6. 010 of the Town of Queensbury Sanitary Sewage ard • ance. A 4 I I/i • • 2/27/6 Signatu . e App ' cant Date 0 : 6 and call- c dh1G78 G // Jown of Queenar, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME hi 16Lq ,.1 3 A eci LOCATION Lv T AV 13td04sA; e T,"zct DATE y i�(,/ C, PERMIT NO. S 6 7 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 Depth of trenches Size of gravel SEEPAGE PITS*Number of) Size- ft. X ft. Gravel size ' a PIPING: Size 'N/ Type Bldg. to tank j,, Tank to dist. box _ •/ ,\ / Dist. box to field/pit Openings sealed? YES O Partial LOCATION/SEPARATIONS: Foundation to tank / ft. Foundation to absorption/ ft. Absorption to lot line - ft. Separation of pits jr ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear - Left side - Right side - COMMENTS: Pe_ - CJVC12— f„( a4e SYSTEM USE APPROVED400 NO (,(AAAJ6/)3 Building Inspector 01/86 and vl awn of Queenitur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME ./ LOCATION ( 3 `7 ,f�QL la (CD C/US DATE 0/ PERMIT NO. 8 Ip 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 Depth of trenches Size of gravel SEEPAGE PITS4Number of) Size- ft. X ft. Gravel size PIPING: S'ze Type Bldg. to tank Tank to dist. box _ Dist. box to field/pit Openings sealed? YES NO Partial LOCATION/SEPARATIONS: Foundation to tank ft. Foundation to absorption ft. Absorption to lot line ft. Separation of pits ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear - Left side - Right side - COMMENTS: �L-- (,tfs go-0-7 Ai g 660 goQ,U s ? P ,,� st 4 rs 'j L—L�► S'tf-©c/L1 t -na-sc� A.f�1I- rT 1l1�f tid V - Ot Z t1.12-6-z-02- iv' 61- 12) Nqs',04( SYSTEM USE APP OVED Y S NO / r Building I,fispecto 01/86 and vl awn 0f Qucenitur, BUILDING and ZONING DEPARTMENT' Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL S YSTEM INSP CTION NAME e ` t S2 •L---LOCATION �� c i DATE yc---, 6, PERMIT NO. ( - `J 5 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 Depth of trenches • Size of gravel SEEPAGE PITS4Number of) • Size- ft. X _ ft. Gravel size PIPING: Siz //type Bldg. to tank Tank to dist. box _ ,1 Dist. box to field/pit r`r Openings sealed? YES// NO artial LOCATION/SEPARATIONS: Foundation to tank • ft. Foundation to absorption ft. Absorption to lot line ft. Separation of pits ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear - Left side - Right side - COMMENTS: /^ r , 4 ',,, , • b1L6 IAA-' ' 1- - -- St- a / , 1 �' i, ` ' 0....6_,,p_Lt. � ., SYSTEM USE APPROVED Y 4.1e, NO / ,1_, ' (411&"-i._ ..i.,. Bus :in• Inspe or ' 01/86 and vl Jown o/ Queenihur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTICg DISPOSAL SYSTEM INSPECTION 1 NAME 'Y1ICiteteI (S)1eq LOCATION �U j" / 3 y )31-ao k5h i r.e rl ci.0-e, DATE (7) C) / Y(o PERMIT NO. $(, -. 5 SOIL TYPE an - Loam - Clay - Percolation est Required? YES a Percolation rate - Min/Inch TYPE of SYSTEM: ( t- Absorption field, total length , OD, Length of each trench 5 O 4- _ Depth of trenches a ` Size of gravel ' j SEEPAGE PITS{Number of) Size- ft. X ft. _ Gravel size PIPING: Size Type Bldg. to tank 1/4 ' O Tank to dist. box _ Dist. box to field/pit Openings sealed? YES NO Pa ti LOCATION/SEPARATIONS: Foundation to tank /2 t. Foundation to absorption 0 3 ft. Absorption to lot line 3Q{ft. Separation of pits ft. LOCATION • TEM ON PROPERTY(circle one) Front - r4110 Left side - Right side - COMMENT c'12-- a-ele- 0( Ai- frfri-- ft,ite.: D- 50K "i —ecg ) vii,j- a 1/4 ej t.._ ‘7)4._ 4E1(..ZAI -/45111- SYSTEM USE APPROVED YES NO T /4"7-- -- , Building Inspector 01/86 and vl TOWN OF QUEENSBURY • Building Department • Inspectors Report • Date /17 0 iZ Name Location r..(!./lrKL.d. . -cam Permit No. X6 - (-S Weather Remarks Excat7a t1 on Footing Forms Footing & Piers Foundation Cement Coat . Waterproofing Backfill Final Survey 7 Framing / 11,:-P-c r .3 `f i Sheathing Roof Felt Roofing Siding • Masonry Veneer /- • Rough Plbg. ti 2v Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile \ Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers ,l Chimney 1 Water Meter Inst. +� Septic Approval Floors Insulation . Foundation Walls • Ceiling • Building Inspector REMARKS 4 � ( t ) j dad 11�r� ..rih ,�1rv12 v �. ,�. ,�� � -i7, ilLe-e pi-aiog4 3/Lc- TOWN OF QUEENsBURY • Building Department • Z4 Inspectors Report Date -2-���C'y Name C_ (k) )2 C, if 1 Location r % 3 ,Lsa C Lo S b Permit No. Weather F — 5- 5 Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing t/ °lL Backfill �Q f T 63A-cic I.C.- 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 't Door Closers Chimney Water Meter Inst. \Y, - Septic Approval Floors Insulation Foundation Walls Ceiling tea II, Building nspector REMARKS W. 4CCS - 6 0 j/i/� U,vpn nUN cat-UUr io PO C vL ./1-( 2-4OO TOWN OF QUEENSBURY • Building Department Inspectors Report Date :5/(6/ Name - - _;3,1 c� a Location I-o r /3 Sr ieI-- it,) C ios Permit No. 51.5 - 5-5 Weather Remarks Excavation Footing Forms ;� �� �i�.D `two( 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 r \ Interior Trim / \ Stairs & Railings r `\ Cellar Dr. Tile / ` Concrete Floors Plbg. 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 5' / G Location o7 Riasi//,z Permit No. ce —sS Weather / 20)3V TV — Coeyrie-- Remarks Exca f,a ti on Footing Forms /� 0,17: Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing • Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board / :17/7 /'. Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors Plbg. Fixture Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling Building Inspector REMARKS S' ir\ EA iSE'D rotzc,t, ClosE I. PeoposEJ E Pic- 6o/ .I;LS4STEVK / , F j o c—41 ( /± . V \ - 10° / le/ 3 tam' l - ,300 / • • >"I