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1985-164 CERTIFICATE OF O C+CUPAN%.. TOWN OF QUEENSBURY m WARREN COUNTY, NEW YORK r Date 19 This is to certify that work requested to be done as shown by Permit No. has been completed. This structure ma be occutAed as a r7 c T' COP", i I y' I? i•'C• 7 1 i ra c-r 1,pcadon T,r• t 1 ^ t err^ .r n,Vc, . - ric' ;= ylor c. i rc� ct - _N" anti n ?7 r- de !I '7 Y'a^icln Owner `r' ; r r l a , ^ �rl rn C.YIASt� By Order Town Board TOWN OF QUEENSBURY r Building & Zoning Inspector CMi ATIVL "fNSTA" •RINTINC. OLEN3 TALL% N Y 41mol es ra»�o-ass BUILDING PERMIT TC.7►'WN OF QUEENSBURY No. $ 5 -164 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Tim chase. H OWNER. of property located at Lot 10 Sherman Ave . and Taylor St . Street, Road or Ave. C 5 St . No . 473 Sherman Ave . - Mountain view Subdivision in the Town of Queensbury, To Construct or place a One-Family Dwellinq 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 P ' 0 . Box 62 Glens Falls , New York L~ 0 cn rl• 2. CONTRACTOR or BUi LDERS Name Same o 0 M C6 3. CONTRACTOR or BUILDER'S Address ,p Same L.i W W rf} 4. ARCHITECT'S Name (D N fit 6. ARCHITECTS Address fo H 'C F—' O 6. TYPE of Construction — {Please indicate by Xi i xl Wood Frame 1 I Masonry ( } Steel 7. PLANS and Specifications 24 ' x42 ' per plot plan , specifications and No. application submitted including sewage system . 8. Proposed Use O One-Family Dwelling ro sv $ 5 . 00 C/O Paid $ 7 0 . 00 _ PERMIT FEE PAID — THIS PERMIT EXPIRES December 1 1g 85 L44 (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.} F—� Dated at the Town of Queensbury this Is•C Day of May 19 85 . SIGNED BY �fUf �+vs r ,fcsc f s? 6f 1 for the Town of Queensbury Building and Zoning Inspec cQt:= TOWN OF +QUEENSBURY rspace inside block to ]w filled i11 b. Building ltt>:prY:t.crl WARREN COUNTY* NEW YORK + pplic:,ti,ll1 .`Mies. Application for P(.1-11„1 1 t filed 19 BUILDING AND I011II16 PERMIT I'vt otil E%pires . l�f /, „ un;: l)i,1r,tl X ., I ,l,• „l Worl. $ Apjj THREE IV Copies of a PLOT PLAN. Drawn to scale r( l T- sho,rrring the actual dimensions of the lo+ to be built upon, The exact some. and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. y a J&. / ;?- -I-OVVN cw tc rprsc' wteelee. C ► �4+ '3 C K v AM► iC11rT + t ; 2 La �' t : �JPERMIT MUST BE OBTAINED BEFORE BE ( N1NGIAJ G `JVORIC �+' ANSWER ALL OF THE FOLLOWING, A-Me 15 141516 The undersigned hereby applies fore permit to do the following work $ 19 `` } which will be done in accordance wilt the descrip+ion, plans and specifi- cations, and such special conditions as may be indicated an the permit. ifr The owner of this property is: TXYV.- ,NP ' E! The person responsibiw for supervision of the work insofar as the 131L?ilding Code and the Zoning Ordinance apply i,= . . . . . . . . . . . . . . (NAME) iP O AOOP ES51 I Name of Builder . ..,-+ , � '"`s� . . . . . . . Address . .�.. ��. Q. X , . �a. .t . . ?4 F^. .�. . . . . . . . . . . . . - Name of Plumber Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - - . . . Name of Mason , - ►- ! . . - Address . . . . - l O Lot Number . . . . . . . - . Unit Estimated value of proposed work t . . . . c . . . . , . . Name of Village . . _ . . . . . . . . . . . . . . . . Name of Street . . . . Ski: (r✓�t`?F—• . `ra Y' ''" Side of street: north ] , east G7 , south � . west [] Nearest Gross Street . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Distance frc.m this ^Toss street Ft. Property is north [3 . south ❑ , east itt , west ❑ from Cross Street If on Corner,..which corner, northeast Li . northwest © . southeast southwest (Designate by marking with an &GX*' in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Main Btt"ing Construction of a new building. one-family dwelling ElAddition to a building. Two-family dwelling 0 Alteration to a building. , . . . . . . -family apartment house 0 Demolition of a building. Store building Q . - . . . - -car attached garage CD Other,. . . . . . . . . . . . . . . . . . . . . . . . . . Accessory Building One-car detached garage � [� Other work_ Describe: . . . . . . . . . Two-car detached garage Private chicken house C] . . . . . . � . . � � � 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. NORT/+ Shaw proposed building(s) in dotted litre and existing t huilding(s) in solid line. G}C� Sine of property 1 .0 t7 ft.. . - ft, x . . . . . . . . . �j Size and use of existing buildings, if any . . . . . . ` . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . wi 2 "{ ft. x . '� . . . . . ft. m "' Size of proposed building . • • • • - Height (from grade to ridge) . . . . . . l t' . . it, Front yard 11 ' ' ' . . " Side vards . . . . .� . . . . . . • ft. and . . . . . . , . . . . ft. Rear yard . . . . . . . . . . . . . . . . . . . . . . ft. s = � . . SOUTH � If on corn streeter, setback from side street . . . . . . . . . . ft_ Nate: All distances are not, as measured from street side line to clearest dart of building- (OVER) 7ool+7 (cont'd. } BUILDING SPECII±ICATIONSw Kind of construction_ Wood frame, fire safe, etc.? Will any second-hand lumber be used? . . . . It,) If so, for what? . . . . . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls . . . . . . . . Cc�, [: i e . , . . . . C r . . Thickness . . . 2 .". , . . . . . - . , . Depth of foundation walls below grade . . . _ . . . . . . . ? . . . . . . . . Continuous foundation? . . . . . . . . Will there be a cellar? , , , 'e S . - - , . , . If so, material of cellar floor Type of roof: Sloped or flat? :r . . , !`AP,P.';: A. Material of roof . . . . , , f?� S.#x 1, r1.1. � . . I . . . . . Size, wood studs . . . . . . . . . . , at . . . . . . . " x _ . . 1-}. . . ", spacing . . . . . . �a . . . . . "o.c., length . . . . �S . . . . ft, Size, floor beams, Ist floor . . . ; .. . . " x . . - . - - , . , - . . . ", spacing . . . . . . i F? . . . . . "o.c_, span . . . . . t .L . . . . . . ft. Size, floor beams, 2nd floor . . . _ , . . . . . , " x . . . . . - - . . . I ", spacing . . . . . . . . . . . . . "o.c., span . . . . . , . . . . . . , #t. Size, ceiling beams . - . - . . . . . . : " a . . , . 6 . . . . . . . - - ", spacing; . . - . . 4 .6 "o.c., span . , . . . l ,;,,_, . . . . . ft. Size, roof rafters or beams , . . . . ' . . . - " x - . . - . . . . _ . . . spacing , . , . . , Z b„ - . . . "n.c., span . . . . . i 'rc . . . . , . ft. . . . . . . . . . . . . . . . . . . • � - • � ll . . . . - . . . - . . . With what material? . . . . . . .fi Exterior finish t:cS t1 Finish of interior walls . . . . . #t\A J . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If garage is to be attached, of what material is wall between garage and main building to be constructed? Is there to be an opening between gara&e and building? . , . . . . . . . . . . . . . . . . . . . . . . . . . . , Kind of heating system - - . . . , ,E �et A: C . . . . . . . . . . . . . . . . . Oil burner or coal? . . , . . . N . . Will a flue-lined chimney be provided? . _ . . . . .Pb- . - . . Depth of chimney foundation below grade . . . .N b Heigh( of chimney above roof . . . . . , _ .P 'C . . . . . . . . . . . . . . . . . . . . . . Will there be a fireplace? - - . , , . . . . N .1� 4 , , , - . , , . . - , Depth of fireplace hearth . , - - - - . . . . . . . . . . . Will a toilet be installed? . . . . . Will a kitchen sink be installed and connected to water supply? . . . . , . . . .` ?".� , , , , , , , , , , , , , , , , , • , Water supply (public water supply or pump) . . . . . . Pu A . . . . . - . . Distance of cesspool from any private well . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . feet Will drainage system be provided with required traps, cleanouts, and vents? . - - - -% r, S ] Town of Queenslxury AFFIDAVITl County of Warren State of New York I swear that to it. ,j @of my know}edge and belief the ststements aenwined in this application, togetber with the jitane and specifications sub- mitted, are a true and oa,., alete statement of all proposed work to be done on the described premises and that an Provisions of the RIIILD- ING CODE, THE 7SC1NiNG fIECF?INANCE, and all outer taw* pertaining to [}trt �nopo"d work 11 be oatnplled with whetherspecified or not, and that such work is authorized by the owner.Sworn to before me this { 44 Signature . . . . . . . . pyyNgq pyyr{ER'S AGENT. gCH17ECT, C411V Tp ACTpp ' . . . . .. . . . day of. ... . . . . . . . !�1 �l. '. l._. . . NOTARY PLIHLi C, 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 11 1 2 . Type of heat 3 . Is the building mechanically cooled ? 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 value7 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 Be Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions� fz�- 2 . R value of exterior walls 3 . R value of glazed area 7 4 . R value of doors 5 . R value of floors over unheated spaces 6 . R value of slab edge insulation - unheated slab ' ? . 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 )_ low Type of insulation 0. 1L ( , � 4 e C . Controls 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 +� an 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 � U 1 . Performance efficiency 2 . Temperature control setting maximum t #t G . For Swimming Pool Only 10 maximum heating Telephone No . �� 3'` . ( applicant ' s signature )signature ) r TOWN OF QIUEENSBURX BUILDING it ZONING DEPARTMENT SEIYAGF DISPOSAL PERMIT APPLICATION ] . Owner , s Name Address ?: C) , Telephone No . 2 . Property location :, ` l {� + W.e i `al, e ' 4 3 . Name of person or firm responsible for installing system. Telephone No . Sen Address 4 . Number of bedrooms ( residential buildings onXy ) 5 . Daily flow. gallons/day 6 . Septic tank capacity GC)C7 gallons ? _ Topography : 1 t rolling , steep % of slope 8 . Nature of soil and depth ,4 9 . If ground water , bedrock or impervious material is apparent at what depth does it begin? fty 10 . Percolation test : A is required H is not required C If required what is the rate minutes/inch 11 . Water supply : unicip�well , other 12 . Type of system proposed : drywell ., , -tile 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_ signature of applicant Can 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 4003361 THE MEIN YORK BOARD OF FIRE UNDERWRITERS I— Md BUREAU OF ELECTRICITY I 4.1 STATE STREET, ALBANY, NEW YORK 12207 August Date 2"'� F 7. �?$5 APPlication No. onfile 08N59"$5 /� (] THIS CERTIFIES THAT A 6 4 5 9 PP 1 only she etectricol equipment as described belaae and 91"rOdnced by the aP fi4r!znt tossed an the above application number in she premises of Tim Chase . Sheiman & Taylor , Queens L ury s I`TewYftkk in thefollowing location. 3' Basement ® lst Ft. ❑ .8nd Fl. Quita de Section Block L.ot was examined an 7/;7, /,$ andfound to be 1n compliance wish the requirements of this Board. FIXLairs TURE ECEPTACLES SWITCHES R](TURES INGkN FLLKIRESCEM RANGES COdKING DECKS OVENS DISH WASHERS EXHAUST FANS M Y A AT. IC. W- AMr. [_ W. AMT. K.W. AMT_ K. W. AMY. H- P. i DRYERS FURNACE MOTORS FUTURE IkM4ANCE FEEDERS SFECL4L RECPT TIME CLC,CKS AMi. K. W, CkL M. P- UNIT HEATERS MULTI-OUTLET p�MyERS GAS H. r, T. SYSTEMS G. AMT. AMP. AMT. AMPS. TRANS. AMT. H, P. No_ Of FEET AMr. WATTS 1 +er o SERVFCE DISCONNECT No. O S E R V I C E AMr. AMP. r TYPE METER romp. 1 ,0 7w 1 A' 3W 3 0 3W 3 A' AW NO. OFPER AF CC. rOND. of «W. pip. ND. OF HI-LE4 G Np. pr NELI'IRALS A, w. G. 200 �, �.. OF NtLaRM _ OTYI A "USe 2/0 - &mke Detector .Electric Heater: 3- 2 , 0 kw - 4- 1 . 0 kw i- 05 Ica Trim (2wise P 0 Box 62 Glens Falls , Necq York. 12801 W BRANCH MANAGER Per r COPY FfJH_BEILLDJiVCL[?FP1aE?,ZMF.XT,.THISCOPY_OF CERTI-FICATE MUST NOT BE ALTERED IN ANY MANNER. µ TOWN IOF QUEENSBURY Building Department _ sROPMt _ Date_ rry �I +tnai No. �7 L. waaatk es ,• „/% � y Remarks Excal>a tion _ Footing Forms T rootlnE & Piers Foundation Cement Coat - water roo..fin -- Backfill Final Survey Framin Shea thin Roof Felt Roofin Siding Masonr Veneer Rou h P1bgA _ Relief Valves Wall Board sxt . Porches _ Finished Floor Interior Trim Stairs & Rail in s _ Cellar Dr . Tile Concrete Floors Pl . Fixtures Gar . Fireproof-in _c_ T.+oor Closers Chimne Water Meter Inst . ,Se tic Approval Floors I Foundation nsulation Walls Ceil-ingr __. [8us =2ng nspector REMARKS TOWN OF +QUEENSBURY Building- peFartment laapectoa'a Repot bate_'' Name Location W er Pernut No. -^ Remarks ` Excavation PootJ. Forms Footin & Piers Foundation Cement coat Water roofin Backfill Final Survey F rami n Sheathin Roof Felt - Poo fin Siding Masonry veneer Rou h PI Relief Valves Wall Board Ext . Porches Finished Floor Interior Trim Stairs & ,Bailin Is Cellar Dr . Tile Concrete Floors pl . Fixtures Gar . Fire roofin Boor Closers Chimne Water Meter Inst . - Se tic A royal Floors Y Foundation _�.. Xnsulat.ion Walls Ceilin ` ? ector Building InsP REMARKS - -110x ; , r Aa"X, TOWN OF QUEENSSURY Building Department inspectors Report Date Name i .lime Pew No. W thex Remarks Exca a ti.on Footing Forms Footin & Piece Foundation Cement Coat Water roofin Backfill Final Survey Frami n sheathin ' Roof Felt Roo fin siding Masonr Veneer Rough Plb - Rel%ef Valves ' Wa l Board - gxt , porches Finished Floor Interior Trim Stairs & Ra.ilin s Cellar Dr , Tile Concrete Floors pl . Fixtures Gar . Fire roofin Door Closers Chimne Water Meter xnst . septic A royal Floors Foun�lotion Insulation Walls ��-- Cellin 0010 '' G•- Inspector Bost sng REMARKS TOWN OF QUEENSBURY Building Department Io".eatars Report Nunn! ' Parrerit NC6 x -'-- / Cep W t6e: Rema rks !_ ExcariYation Footing FormsLAO Footing & Piers Foundation Cement Coat waterproofing Backfill Final Survey Framing Sheathin Roof Felt Roofing Siding Masonry Veneer RdLt h Pl Relief Valves WMXntexiOr ll Board Porches hed Floor NJ Trimrs & Ra.ilin sar Dr . Tilerete Floors p PI 2bq , Fixtures Gar . Fire ro0fin poor Closers Chimne Water Meter Xnst . Septic A royal Floors Foundation Srtsulation Walls Ceiling Building Inspector REMARK'S C f �c J � C7 r. d7 /c' iY7T � F 5i ✓ 0 .) evt- fj � 1 . wtFw �1..