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1986-140 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date July Y 19 0 This is to certify that work requested to be done as shown by Permit No. 86-140 has been completed. One-i'amily Dwelling This structure may be occupied as a Lot 12 Upper Sherman Ave. (St. 461j Location ppuntain View Subdivision Owner Tim Chase By Order Town Board -TOWN OF QUEENSBURY �^ JC ' / �� G✓' (7 Building & Zoning 1or BUILDING PERMIT TOWN OF QUEENSBURY No. 86-140 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Tim Chase OWNER of property located at Lot 12 Upper Sherman Ave. (St.No. 469) Street,Road or Ave. Mountain View 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 1-3approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 9 1. OWNER'S Address is P. 0. Box 62 n Glens Falls, New York m m N 2. CONTRACTOR or BUILDERS Name same 3. CONTRACTOR or BUILDERS Address same o O n 0 0 Y n Iva. ARCHITECT'S Name - C C 'a f C m It H R E so 5. ARCHITECT'S Address N M O' P Oa w 0 6. TYPE of Construction—(Please indicate by X) w ID 0 • IX)Wood Frame 1 1 Masonry 1 1 Steel 1 1 0 co n 7. PLANS and Specifications • 24'x42' per plot plan, specifications and application submitted a No. o including sewage system. c a' B. Proposed Use up One-Family Dwelling 0 0 m 10.00 Liu Paib I al77.00 November 1 1g B6 9 $ PERMIT FEE PAID-THIS PERMIT EXPIRES Y. t- (lf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the .4 town of Oueensbury before the expiration date.) ty E April 86 m Dated at the Town of Queensbury this 21s t Day of 19 r �,l � Qn /� /n� Y. -Wad (.( . l � ❑ SIGNED BY for the Town of Queensbury w Building and Zoning Inspect r TOWN OF QUEENSBURY 'Spare inside Mork to he Idled in by WARREN COUNTY. NEW YORK Bwmding Intpwne) Application for .kl.lslusatiat Na. ' pp gnaw Iwwtl I6 . BUILDING AND ZONING PERMIT R,mit Fspirua. it %,Muni: ll'. ' i One oopy of a PLOT PLAN, Drawn to scale appr,n.rl In V showier Ike maul Nsnassions of the lot to be built Kenos Kf span, The exact slag, and location on the let of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. / a / — /— 7 17/84/ b' &DM/ tone .:i... J.=I1c\S J;I-L.�!.' Dr U/ LS l'7h IU iL� I A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK +�'jsl+ � 1� b �� ANSWER ALL OF THE FOLLOWING. A J/ 86 The andenigeed hereby applies for a permit to de the following work A.M. -2 f � M. which will be done in accordance with the description, plans end specifi• 71e1spgt1J1 11 141* cations, tied such specie' ceeditieas es may be ladicated on the permit. The owner of th�' property is: I �. f . 0 /AA=C . In ill 00 aoofU $ The pennon responsible for supervision of the work insists as the Building Cade and the Zoning Ordinance apply is: ' t‘ I t 11 . IMAMS m /1 nth 14eest ' .. Name of Builder I Ti r" C.Je 'c- Address s 4m Nauss of Plumber , s Address t / Name of Mason Address X. H Lot Number. . . ./. 2,-. . . . Unit / Estimated value of proposed works 'VSe IV?) �U Name of Village . .. .QueCtatr.-ANON/ V NISI of Ssnet .l(,'.0,.. ?4 elm,to fide- Side of street: north a nest 0. south 0. wed C Nearest Cross Street . . .,h /0s Sr' Dinettee from this nos street F Vt. m Property is north 0,mouth w•mast it.west 0 from Cross Street If on Corner,which corner,northeast (3. northwest ❑. southeast 0.southwest (Designate by marking with an"X"in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY a Connrunion of a new building. Man Bolding ❑ Addition to■ building. One-family dwelling 16 ❑ Alteration to a building. Two-family dwelling 0 ❑ Demolition of a building. family *pertinent home 0 Store building 0 -car attached prep 0 Other: Accessory Building 0 One-car detached prep O Other work. Describe. Two-cer detached prop 0 Private chicken house 0 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,site and setbacks of pro- posed buildings,and the locate/in of all existing buildings. Show proposed buildings) in dotted lint end gaining buildings) in solid line. Size of property (0-b.••. h. x . 2 6/1 It. Size and use of existing buildings,if any - e is Size of proposed building . . .Zy. It.a 11 2 A. l\ Height(from grade to ridge) /2 It. �� �,�t Front yard 'J f ,./ It. Side yards a'V h.and 3 x It. 5Aetin14'a1 4✓f. Rear yard /0 I ft 7 sours , • If on corner.setback from side meet I Note: Al! diseoeom ere set. as oosond from tines ride e lose to aearell part of isilding. 'ova.' 7-73-M • • (coned.) BUILDING SPECIFICATIONS. • • Kind of construction: Wood frame,fire safe.etc.? Wa-a o Will any second.hand lumber be um4e .. .&) . . . . . If so, forha wt? Material of foundation walls QS) Q Cifef-e ' Thickness .9" 11/ Depth of foundation walls below grade 1.1 •' Coniinuour foundation?.. .VIA . . Will there be a cellar? . y re, it so, material of cellar floor . Amdeote--fr Type of roof: Sloped or flit? . Size,wood studs ...L.S./.4 "x.9.413 4laterial of roof r)-5-p h i4-1(- spacing "o.e.,length. ..2, • It.Size, floor beams, 1st floor a. -. v " 'pacing ' *o.cspan .. ...e. . .... • .. ... ... h.Size, floor beams. nd floor "x " spacing "o.c.,span ft. Size,ceiling begins 2-. "s ,„„G spacing "o.c.,spari it . ft.Size,roof rafter;or beams 2-. "it Zr " spacing • "o.c.,span )"2.-"-•" fg. Exterior finish T - 1 - 11 With what material? JAM)0 Finish of interior walls 10 My.Vicl gni I • If garage is to be attached,of what material is wall between garage and main bui.lding to he console:Led? ND /Is there to be an opening betweeniaragetand building? JO Kind of heating system K letlf745b Oil bunter or coal? N a Will • flue-lined chimney be provided? Depth of chimney foundation below grade itia Height of chimney above roof rti aN. cg NO Will there be a fireplace? Depth of fireplace hearth Will a toilet be awaited?Will• kitchen sink be installed anhonnected to water tupnly? • Water supply(public water supply or pump) '104 "1 2.•(... • Distance of cesspool from any private well fad Will drainage system be provided with required traps,cleanouts,and vents? V t°.$ Town of Queensbury AYPIDAVIT) County of Warren Stint of New York 0 liner that to to Mt°I my keriededge end bald the sidentsnie condthed le this doplication.toddled with Jr lb,plies as oweiliewiae•nib- tented. ars • true sad wails stataanset of all paponed work se he done therribed premiers sad lbw id1i ef onoenithe BUILD. IN°CODE,THE ZONING ORDINANCE,end ell ether Iowa pordisoind weds Ws wmplied eddy whodest splodged et ea sad IS'suds work it authorised by doe owed. Sworn to laden me ibis Sidman ern.OVHILAI AUNT.ARCHITECT.CONTRACTOR de,of OAL / 19 F G . .. . . Not... IDUOLOC.WACCIN COUNTY. N. Y. SPECIAL CONDITIONS OF INC 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 /On V S 2 . Type of heat ��e1-���t-- �lB 3. Is the building mechanically cooled? NO 4. Percentage of area of windows and doors (trio 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 of roof and floors exposed to ambient conditions V-- 3o 2 . R value of exterior walls 3 . R value of glazed area Z.Z 4. R value of doors IS. (S 5. R value of floors over unheated spaces 6. R value of slab edge insulation - unheated slab M14A 7. R value of slab insulation - heated slab &fa 8 . R value of heated basement/cellar walls (above grade) g 9. R value of heated basement/cellar walls (below grade) 9 10. Type of insulation CP� rcoa cec,d 6cn�d C. Controls 1 . Thermostat maximum heat setting 7 O D. Duct Systems 1. Is duct system installed in unheated spaces? YES NO a. If YES, R value of duct installation a,/w 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 SS etc 2 . Temperature control setting maximum lyo G. For Swimming Pool Only 1 . Maximum heating Telephone No. 793"13411 (applicant ' s signature) Jown of Queenslury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIIC DISPOSAL PERMIT APPLICATION Owner 's Name T,vr- QNASt Tel. 793-0. 3Y Address gL4 I7- LIPP(r 4r4104414i^ Acre. , -n^efrtsLLtft Person/Firm installing system ONAS . f C' Number of bedrooms(residential only) 3 Total daily flow: (compute @ 150 aal.per bedroom per day) 4S0 Px?rd"f Topographv: 111) - rolling - steep -(circle one) Decree of slope % Nature of soils: sand loam-clay- other- Depth 9-0 ft. Ground water-- at what depth? ft. Bedrock or impervious material--at what depth? ft. Percolation Test 'Not required) Required -Rate min/inch. Domestic Water Supply MunicipalTWell - 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, pond or wetlands. Include all dimensions of the system itself. Description of proposed system: Septic tank size !0oo gal. Tile field- Length of each trench ft. Total field ft. Size of stone # Seepage Pit (s) Number 2 / 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 provided for in Section 6. 010 of the Town of Queensbury Sanitary Sewage Ordinance. S gnature of Applicant Date 01/86 and/vl TOWN OF QUEENSBURY Building Department Inspectors / 4. Name Date �Inspectors Report (( • Location £-** a (4 AAa-, • Permit No. /yto ,/ Weather Remarks Excavation Footin Forms Footin a Piers Foundation Cement Coat Water roofin Backfill Final Survey Framing Sheathin Roof Felt Roofin 0.r Siding Mason Veneer Rou h P1 • Relief Valve O f. Wall Board v t Ext. Porches D Finished Floor Interior Tr m O Stairs a Railrngst/ D.Y Cellar Dr. Tile Concrete Floors Plbg. Fixtures (/ My tvAThQ Car. Fire roofin Door Closers Chimne Water Meter Inst.t/ h(r1 .71157ALLEr\ Septic Approval Floors Foundation Be,< Nor,ig54�fr Insulation Walls �J_ Ceiling L(4 46 Building Inspector REMARKS / - n ren- _town of Queenilury BUILDING and ZONING DEPARTMENT Bay and Haviland Road. R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME G ttCIi S t LCCATION 249T (2- UPPa Sit4,t'1ai DATE 051 8b PERMIT NO. 86' 074o SOIL TYPE an Loam - Clay - _ Percolation T>st Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, to ngth Length o£ ea ench Depth renches ' e of gra SEEPAGE PITS{Number of) -� Size- 1K"-ft. X 'r ft. Gravel size - *3 PIPING: Size Type Bldg. to tank Pvt. Tank to dist. box a(Jr/`(..- Dist. box to field/.'- y PVC- - Openings sealed? CP NO Partial LOCATION/SEPARATIONS: Foundation to tank /nft. -J-- Foundation to absorption _ft. Absorption to lot line ft. Separation of pits ?n ft. LOCATION • SYSTEM ON PROPERTY(circle one) Front - - Left side - Right aide - CQRdENTS: SYSTEM USE APPROVED NO .' • AMR:ill ladiCLIOL Hui ding Inspec .r 01/86 and vl NM% 7a &U& !tux TOWN OF QUEENSBURY Building Department Inepeeta<r Report Date 4"; `F{c Name 7'l,11 I'6449-4• Linden u PPS S eig Permit No. Sr(a - Pit Titter Remarks Exca.ation FootingForms Footin & Piers Foundation Cement Coat Water roofin Backfill Final Surve Sheathin Roof Felt Roofin Sidin Mason Veneer Rou h Plb . Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railin s Cellar Dr. Tile Concrete Floors pl . Fixtures Gar. Fire roofin Door Closers Chimne Water Meter Inst. Se tic A roval Floors Foundation Insulation Walls Ceiling Building Inspector REMARKS TOWN OF QUEENSBURY Building Department Impoetors Report Date s ?Location mifivranninr. G Perna Pte_ vi—t° — w�awe Remarks ExCAOation Footin• Forms Footin• & Piers ,� Foundation A Cement Coat WOE' Backfill Final Surve Framin• Shea thin• Roof Felt Roofs • Sidi • Mason Veneer Rou.h Pl .• • Relief Valves Wall Board =• Fin Porches -. Finished Floor Interior Trim -- Stairs & Railin•s ISM Dr. Tile —_ Concrete Floors Ga.. . Fixtures �� Gar. Pire•roofin• poor Closers Chimne Water Meter Inst. Se•tic A••roval Floors Foundation. Insulation Walls Ceilinn- • Buil.ing Inspector REMARKS U AAc�- A � As PrlAtrroutivertoA/4,A-TrAit off Serroef 2---/6 ` f r-poriv&rdair I TOWN OF QUEENSBURY Building Department tweeters Report Date j//4 ' Name i/At C 144s6- ' Location VY2 tt SB 4na+A✓ -V(rLor /a ' Permit Na t t t4. Weather 86 _ iyo/ Remarks Excavation / Footing Forms I/ Footing a 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 Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Foundation Insulation Walls G�''-, Ceil"iinng GB it ing Inspector REMARKS 7-K[ce hien4s i f `b tfrib QM-A'S tip,�-1to,it IA/4 - i P a , ('pox (� 2 Gor s g.(,S rH 2-St 7'93 - 23yy ( 0 6`Xg to /U r ce ), 5ep4;c 9.> /0 a yZ Sa /oo Vsg4+. aY 020 3a 75 / 41.`a� r`rL hot r U f®e R She m As, /7/,z