1985-249 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSSURY
WARREN COUNTY, NEW YORK
on&pa 'CA 135
Date (`CtckId eY 1 l9 " z
ID F � n
This is to certify that work requested to be done as shown by Permit No. F? " T 2
has been completed.
0 lu � 11 Y\
This structure may be Two�r -Am i 1 y kre 1 1. i n g
� � 1( T 1( 1
Location T.ot 1 rhermar. Avenxae�. 1?Cra 4 `91 Fhertrian Fve . i
00fner F"rwin Johnsor /Mi.cbaeI �ters
By Order Town Board
TOWN OF QUEENSBURY
—� Building & Zoning luspector
Y
CREATIVE '�NlTA ' ►RI N'�'�NG GL+-iN5 FAili. N x �2E91 IS IS7�l Y5�}6
BUILDING PERMIT
TOWN OF QUEENSBURY No. 85- 249
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Erwin Johnson/Michael Stern
OWNER of property located at ( S t . No . 4 91 ) Street, Road or Ave.
Mt . View Subdivision
in the Town of Queensbury, To Construct or place a Two--'Famlly 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. µ•
D
1 . OWNER'S Address is 24 Sherwood Ave . D
Glens Falls , New York �
to
0
2_ CONTRACTOR or BUILDER'S Name
Donald Harvey
3. CONTRACTOR or BUILDERS Address CD
1J
RD 41 Fay Road �
Lake George , New York (a
4. ARCHITECT'S Name t`
5. ARCHITECTS Address a L-4
Cn -t•Y �
rt rt
6_ TYPE of Construction — [Please indicate by X) fl
(X ) Wood Frame I ! Masonry I } Steel i I C 11
~ tj
7. PLANS and Specifications
68tx241 per plat plan , specificationsI' '
and
No, application submitted including 'two-car attached garage N m
and sewage systems ( 2 ) W a"
8. Proposed Use
Two-Family Dwelling G
(D
N
$ 5 . 0 0 C/O Paid 0
19 85 b
$ 7 '3 � _ pp _ PERMIT FEE PAID — THIS PERMIT EXPIRES December 1 y
Ilf 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.) I �-
F—"
Dated at the Town of Queensbury this 31 s1 Clay of May 1985 �
rD
SIGNED BY ._ ._.� - + � - for the Town of Queensbury I
f✓
Building and Zoning I nspectorKA.1I�-
u�
TOWN OF QUEENSBURY ( Space inside block to Ix, Illlod in be
WARREN COUNTY, NEW YORK Building Inspec'lot-1
Application for 1'('1-171 {t lsti„eK1 19
BUILDING AND ZONING PERMIT 114 "1-,„ „ Expires - in
' LC311111�� 11 )�+trict _,...
THREE ( 3 ) Copies of a PLOT PLAN, Drawn to scale s ! ,l ,r{ 1� ,•t1 1n
showingg the actual dimensions of the lot to be built !te'ntur)f,S'
upon, The exact size, and location on the loft of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
Ar) "1OWN OF QUEEnnnNFURYATE � � 0 R 9 ����
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK _
ANSWER ALL OF THE FOLLOWING. lvltl � � � 5
The undersigned hereby applies for a permit to do the following work p M. 4p/- G"'j
which will be done in accordance with the descrip+ion, plans and specifi- 11213
4 5
cations, and such special conditions as may be indicated an the permit. a� $� 9 ' � ' s`
The owner of this roperty is.
►cam;-�. i-cf' ' -�= ?n e� . . �►� •- . . . uV,CMa 5-
E':!4►i+ �L.1 f NA NA IP O. Ai70RESSM
The person respo si xte for supervisi�jn Of wo k insofar as the Building Code and the Zoning Ordinance apply is:
III . . . . . . . . . . . .
Id
{P O ADOPiF"I
)NAME}
c�, Name of Builder �•7A"•.Cs e r !� . . . . . Address th . RICANXI . . . . . . .
lneirroName of Plumber . . . . . . . . . . . .
Address
Name of Mason . . . . . . . . . Address . . . . . .
Lot Number . . . `" . . . • • . Unit . , . . . , . . . : . . Estimated value of proposed work S . . . . ` C31 Qb A. . . . . . . . . . -
Name of Village . - $.I� N '�i w . . . . — . . . . - - . . • . . . . . I - - - . . . . . . . . . . . . . . . . . . . . . . . . . . .
Name of Street . -.-��� ` ',t-k4A4 . -% (� Side of street: north , east , south ❑ . wcst ❑
Nearest Cross Street •W .a�T. {.�cabiw > - I. • . . • • • - Distance from this cross street CNt�•.ft--Or'
Property is north [] , south east ii� , west ❑ from Gross Street
If on Corner, which corner, northeastL, northwest ❑ . southeast ❑ . southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
Construction of a new building. OneMain BiLiMing
Tw
Addition to a building. -family dwelling O
0 Alteration to a building. Two-family dwelling
❑ Demolition of a building. -Family apartment hove
Store building
. . .2* . . . -car attached garage 7.
Other: . . . . . . . . I - -
. . . . . . . . . . . . . . . . . . - Accessory Building
One car detached 711
garage
0 Other work. Describe: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Two-car detached garage
Private chicken house
Private storage building 0
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 building(s) in dotted line and existing
�7 t7 huilding(s) in solid line,
Size of property . . . .V7 0. . - . . . . it. x ft.
Size and use of existing buildings, if any • .
tom} Size of proposed building . . ? , , . . Ft. x . . . . . . . ft.
t.
Height (from grade to ridge) . . . . . -�.`�. • • . . . . . . . II
Front yard . . .I P.Q. `+s•: . . i SQ . . . . . . . . . . . . . . . . . . ft.
Side yards . . .`l- �*�. . . . . . . . ft. and . . . .?. S. . . . . - . ft.
*-i '�" +►-i Qe'1 `JE �- Rear yard - - 140 . . "'` . .Il��. - . . . . . . - . . , . . . . . It.
SOUTH If on corner, setback from side street - C - fit. . .
Note : All distances are net, as measured from street side
line to nearest part of building.
(OVER)
•�.7
f ��71 ,�.7 M
BUILDING SPECIFICATIONS4
Kind of construction: Wood frame, fire safe, etc.? , , . �?+?�? . - . �`- r. . . . . . . . . . . . . . . . .
Will any second-hand lumber he used? . . . . . . �'X:) . . . . . If so, Fc what? . . . .'��. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Material of foundation walls . . . .1.C� 'A . . . . .�,�i4 �- - - . . �-QV, •-�. . . . . . . . Thickness . . . .^~!. . . . . . . . . . . .
Depth of foundation walls ow grade . . . _ _7 S . . . . . . . . . . . . . . . . . Conti uous foundation? . , , . . . . . . .
Will there be a cellar? . . . . . F :`-t . . If so, material of cellar floor
Type of roof: Sloped or flat? . . . ���� � . . . . . Material of roof . . . . .
Size, wood studs . . . . , - : . . . . . . 2 x . . 4 . . . . - . . . . . . spacing . . . . . { �Cd . . . . . . "o.c., length . . . . . ft.
Size, floor beams, Ist floor . . . . . . . . .� . " x . . j b - , spacing . . . . . I.�iO. . . . . ."a.c., span . . . . . :+ . . . . . . ft.
Size, floor beams, 2n�L floor . . . . . . . . . " x . . Q . . . . . . . . . . " spacing . . . . . � . , . . . "o_c_, span r .il, z. . . . . . ft.
Size, ceiling' beams ` , ► EZ ^ x . . . . . . . . . . . . . . ", spacing +�- "o_c., span. 3 ..•. . . . . ft.
Site, roof rafters o� pbeams {�. -� x . . . . . . . . . . . . . .ti ", spacing . . . , - hJ � . , . ./"n.c., span . . . . !I!]!rI+} . _ . . . . ft.
Exterior finish . . .1� I k'.f(� . ! 1_I.IFta! . . . � . . . . , _ . . . . . I . With what material? . . - V.Ika t-
Finish of interior walls . - . . M f. r ? t . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. .
If gara a is be attached, of what material i all between gar a and to in buUding to be constructed?
Is there to be an opening between guru e a d building? . . . . . . �. . . . . . . . . . . . . . . . . . . . . .
Kind of heating system _ . . . E4j&rR 9e Oil burner or coal ? . . . r . . . . . . . . . . . . . . . . .
Will a flue-lined chimney be provided? INO Depth of chimney foundation below de . . . . . AIAQ . . . . .
Height of chimney above roof . . . . . . . , I . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will there be a fireplace? . . . . . . . . . . . . . . . . . . . . . Depth of firep ce hearth . . - - - . . . . . . . . . . . . . . . . . .
Will a toilet be installed? . . . . . �� . . . . . . . . . . . . . . . . . . . . . . . . . - . . - , , . . . . . , . . . . . . . . _ _ . . . . . . . . . . . .
Will a kitchen sink be installed and connected to wjr jay' . . . . '
Water supply (public water supply or pump) . . . f+ - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Distance of cesspool from any private well . . . . . . - . . . /�` ! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . feet
Will drainage system be provided with required traps, cleanouts, and vents? . . . . . . . . . . . . . . . . . . . . . . . . 4 .
Town of Queensbury AF'F'IDAVIT
County of Warren
State of New York
I swear that to tf: b.Ur of my kno►oodae and belief the statements cumn ed in 'a appl' with the Plans and specifications sub.
mitted, are a true and co �. lete statement of all proposed work to be on a that a of the BUILD-
ING CODE, THE ZONING ORDINANCE, and all other laws pertains to the s com ed whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature ` . . . - . . --
CYWNER. OWNER' AGENT, ARCHITECT, CONTRACT014
dayof . . . .... . ... . . ... . ._ . . . _ ._. . __. . . .. . . ._. . . 19. . . . . .
. . . .. . ... . . . . . . . . .. . . .
NOTAnY 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 :
im gross floor area
2 . Type of heat A
3 , 1-9 the building mechanically cooled ? jo
ft
o
4 . Percentage of area of windows and doors
A . over 16 % only
1 . U 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 of roof and floors exposed to ambient conditions_
2 . R value of exterior walls 1L. - 4q P
—
3 . R value of glazed area b AWEZt'1O] !RN±22
4 . R value of doors ail
J` 5 . R valu se of floor
� over unheated spaces Z"�_,.,
6 . R value of slab edge insulation - unheated slab
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 )
100 Type of insulation 4%SOS
C . Controls p
1 . Thermostat maximum heat setting
D . Duct Systems
10 is duct system installed in unheated spaces ? YE IAINO
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 carry. agent pipe N
2 . R value of pipe insulation ►
F . Service Water Heating A
1 . Performance efficiency Ak
2 . Temperature control setting max ' um L'
G . For Swimming Pool Only
i . Maximum heating
Telephone No . /'nomI
( applicant ' signature )
1
TOWN OF QUEFNSBURY
BUILDING & ZONING DEPARTMENT
SEWAGE DISPOSAL PERMIT AP F ICATION
1 . Owner ' s Name a ,� d»4wa C."bWC
Address [� N, �.�.►,1 Q
" elephon+e No . "'r'Q 'L - *Q
2 . Property location
3 . Name of son or firm responsible for installing system
R
t4kc%- 4L,.,jf,� A, ey Telephone No . � q - Cll
.Address
4 . Number of bedrooms
// ( residential buildings only)
5 . Daily flora gallons/day
6 _ Septic tank capacity /�oc? C gallons
7 _ Topography : flat , rolling , steep
% of slope:
so Nature of soil and depth ] IN SO
9 . If ground water , bedrock or pervious material is apparent at what
depth does it begin?
T
10 _ Percolation test : A is reguired
B is not required
C If required what is the rate minutes/inch
11 . Water supply : municipal , well , �other
- VLS- I Pam.
wow�
12 . Type of system proposed : rywell ',) the field , other
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 .
Date '"-
slggnature applicant
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
TOWN OF QUEENSSU RY
lnep.etwe Repawt Dat"e��� .
Westluw
Powsak No*
Remarks
,Exaatkat=an
Footin Farms
Footin & Piers
Founda t.ian
Cement Coat
water roofin
Backfill
Final Surve
Framin
sheath!
Roof Felt
Rao fin
si.din
N,asojrLrt2Veneer
Rou h Pl
Relief Valves
mall Hoard
.sxt . Parches
rinished Floor
Interior Trim
Stairs 6 Railin
Cellar pr . Tile
Concrete Flaors
P.L F . Fixtures
Gar , Fire roofin
Door Closers
Chimne
e r Inst .
roval
Floors
Insulation Walls -
Ceili
Su.il,ing Inspector
REMARKS
Lam-
THE NEW YORK BOARD OF FIRE UNDERWRITERS M
400 384 BUREAU OF ELECTRICITY
41 STATE STREET, ALBANY, NEW YORK 12207 �+ n {� Q
ia�te {},� b,�r 3 Application No. on file A 6 51 V V 9
THIS CERTIFIi TRATU ' 198 090�54-F35
only the electrical equipment as described wss and is traduced by time applicant nomed on the above application aumber in the promises of
E . Johnson. Upper Sherman Avenue , Queensbury , Now York )
in thefolloaoinil location; 4c1 Basement L J Ist FY. J Sand FY. gpg�g fAutg3 �]g Section Block Lot
was examined on 10/2 /65 and found to be in compliance with the req"irerrLents of this Board.
FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
CUTLETS INCANCIESCEPat FIYONE'SCENT y AMT. K. W. MtT. K. W.
16 64 28 16 4 Fr .
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL EECFT TIME CLOCKS �, UNtT HEATERS MULTI.4UTLET DIMMERS
AMT, K. W. OIL H. P. GAS H, P. AMT. NC+. A. W. G. AMT. AAUP. AMT. AMPS. TRANS. AMT.. H. P. O. of
NO. STMS AMT.• WATTS
FEET
2 d yera 3010
SERVICE WStypNNECT NO. OF S E R V I C E
METER
AMT. AMP. TYPE lOINP. 1 X ZW 1 1 3W 3 X 3W ]Jt 4W NO`- 'D PERCe•Ci]ND. OF CC. COG'ND. No, or HI•lEG #•HI'I C NG. of NEUTRALS OF F NITRAL
- OTHER APPARATUS:
2 - C . F . C . 3 . as Electric Heaters : 6- 2 . 0 k . w.
2- 4 . 5k.w . - water Heater 8- 1 . 5 k.w .
2- Smoke Detectors 6- . 75 k .w.
2-- 1 . 0 k .w .
William Gatrpenter F Inc .
P . O . Box 2014 239
Glens Falls , New 'York 12801 BRANCH MANAGER
Per
+COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MARINER.
TOWN OF C EEMBURY
Sriildins- DepnrtMeat
n F ---'
ReMarks
' ExcaVat on
Footin Forms
Foot in & Piers
Foundation
Cement ,Coat
Water roofin
Bachfill
Final Serve
pram-In
w,r. heathin
Roof Felt d t
Roof 1n K
Sid in
' Masonr Veneer
Rath I'I
R .
Relief valves
Wall gpard 10 s
'�10
,Rxt . Porches _
Finished Floor
Interior Trim '
Stairs & in Is11 , nor E 'a- qr
Cellar pr , Tile
Concrete Floors
P.1 Fixtures
Gar . Fire roofi
Door Closers
ChimneMeter Ingt -
Water
Se tic
a royal
Floorss
F,�yu,ldatidn �.�----�.�--
xnsu].ation Wa3la
Ceiliri
Build xn
Inspec tcrr
REf4"K5
III-
TOWN OF Q,UEENSBURY
Building- DOP&rtmeat
D&W
Name
Peranit Na. errther ��.---
Re.marks
gxca at on
FooCin Farms
poolt.1rig Piers
Foundation
Cement Coat
Water roC�fin
pacicfill
POW Zia Surve
Frnjnx n
,Sheathin
hoof Fel t
Roo In
Sidin
r4asonr Veneer
Rota h Pl
,Relief Valves
Wa11 Board
Ext . Porches
Finished Floor
Interior Trim
Stairs & Railin s
Cellar Dr , Tile
Concrete Floors
P1 . Fixtures
Gar . Fire raofin
Dcx7r Closers
Chimne
Water Meter Xnst .
Se tic A roval
Fl ors
F ndation — —
Insulation W 31s
Celli
w." lc7 ij� ctar
-' Building Jz11
REMARKS
TOWN OF +QUEENSSUR'Y
Building Department
ln"mwtwa Repwt D tc MaNsm e ' r
PeramR No. Wca mr
Remarks
Exc"a tion
FootIna Forms
Pootina 4 Piers
Foundation
Cement Coat
water raofin
Baclkfill
Final Serve
Framing
Sheathing
Roof Felt
Roofin
Siding
Masonry Veneer
Rough PlREI
Reldof Va3ves
Wall Board
Ext , Porches
Finished Floor f
Interior Trim
Stairs & Railings
Cellar Dr , 'Tile
Concrete F.Loors
loll
PI , Fixtures
Gar . Fireproofing _
Door Closers - -
Chimne
Water Meter Ins t _
Septic Approval lo
Floors
Foundation
ort
Insulation walls . _
Ceil,in
Building Inspect
REMARKS
TOWN OF QUEENSSURY {
Building Department
l"Pecto" Report., _ Date M6Lw;2 4;e -?,5� �.
Namme 057/z / y
�.+�czioa C
Remarks
ExcalM tion
_ FootlnZ Forms
Footin2 & Piers
Y Foundation
T Looe
Cement Coat
Water roofin
Backfill i e ..L l� cSo e
Final Survey
Framingj
Shea thin
_ Roof Felt
Roofl n
siding
Masonryveneer
_ Rough Plbgw
Relief Valves
Wall Board
Ext . Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr . Tile
Concrete Floors
PI . Fixtures
Gar . Fireproofing
Door closers
Chimney
Water Meter Inst .
Se tic A2,pxoval
Flooxs
Insulation Foundation
-
walls
Ceil.in
Builri rfgr Inspecto�
REMARKS
TOWN OF Q►I EE14SBIJpY
Building Department
N lta�,ceR
ame�Ca�tios
l"a'anit NZ Weather
Remarxs
ExcatYa t on
Footin Forms
Footing6 Piers
Foundation
Cement Coat
=Surve
Roofin
Sidin
MMSOnXV Veneer
Rou h Pl
Relief valves
Wall Board
�Ext . Porches
Finished Floor
Interior Trim
Stairs & Railin s
Cellar pr . Tile
Concrete Floors
Pl . Fixtures
Gar. Fire roofin
Door Closers
Chimne
Water Meter Inst .
Septic 1# roval
i
Floors
Insulation For�I 4 t i+on —"
Wells
CeIl in�J
Building rnspec br
RONARKS
call
03
NOW
r r r
ESL
t71