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1986-146 h CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK 3/�� Date 19 - s ' 'a_^ �".This is to certify that work requested to be done as shown by Permit No. 86-146 has been completed. This structure may be occupied as a One-Family Dwelling Lot 24 Sherman Island Road - Southern Exposure Subdivision Location Thomas and Mary Fitzgerald Owner By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector TEMPORARY CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date Sept. 26 1986 This is to certify that wprk tepuestgl to be done as shown by Permit No. 86-146 has been completed. This structure may be occupied as a One-Family Dwelling LocationLot 24 Sherman Island Road Thomas and Mary Fitzgerald Owner TEMPORARY CERTIFICATE OF OCCUPANCY FOR 30 DAYS. By Order Town Board r TOWN OF QUEENSBURY 7gald 'DJ an Building & Zoning Ins tor BUILDING PERMIT TOWN OF QUEENSBURY No. 86-146 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Thomas and Mary Fitzgerald OWNER of property located at Lot 24 Sherman Island Road Street,Road or Ave. Southern Exposure Subdivision One—Family Dwelling in the Town of Queensbury,To Construct or place a at the above location in accordance to application together with plot plans and other information hereto filed and w approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. to 7 1. OWNERS Address is w' 10 Foster Ave. Glens Falls, New York 2. CONTRACTOR or BUILDERS Name rtH. same N go w n o. 3. CONTRACTOR or BUILDERS Address a same m w o 4. ARCHITECT'S Name 0 rt o N P • N r1 5. ARCHITECTS Address d 9 o w w n w w Y 6. TYPE of Construction—(Please indicate by X) C O ✓ a M I Wood Frame 1 1 Masonry 1 )Steel I ) H o H. 0 P.,7. PLANS and Specificationso• 281x531 per plot plan, specifications and application submitted No. including one-car attached garage and sewage system. B. Proposed Use 0 0 One-Family Dwelling $5.00 C/O Paid H. $ 136.00 PERMIT FEE PAID—THIS PERMIT EXPIRES November 1 1986 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of OueenmuIY before the expiration date.) Dated at the Town of Queensbury this 2 9„dDen^y of April 7g 86 SIGNED BY M U - for the Town of Queensbury Builds nd Zoning Inspector B TOWN OF QUEENSI3URY Space inside block to Ix, lillyd in be WARREN COUNTY. NEW YORK Building Inspector) Application for \ppb canon No. • pt.imii l„1,d , It BUILDING AND IONING PERMIT I i ,,ii Expires. III /ouult Oistnet . • \elm• lot Work$ One copy of a PLOT PLAN. Drawn to scale Appnnrd by showing the actual dimensions of the lot to be built Rrnl:nKr upon, The exact silo. and location on the lot of the . . . building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. -avublC 15a — l — L . /7 . . . . . *tilt igb r I� ATE ^� Lam! V v i A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK J'kl1 Atit I 1986 loth ANSWER ALL QF THE FOLLOWING. A.M. The undersigned hereby applies for a permit to do the followingwork P.M.which will be done in accordance with the description, plans and secifi- 71P191 11121314161n6 J. cations, end such special condition as may be indicated on the permit. d get fy/.C7 K '��/y a .4 aJ The owner of this grope y is: 71110mAs. K. . .iMArt.L {.T,. . I-.I+aCslEtzr�lD ll7oSEe. . •,PE, .N. G• Iv 0 a. FuDNEs51 The person responsible for 1su�pe!rvision+i of the work insofar as the Building Code and the Zoning Ordinance apply t TThD!?IF. S. . .t2. . F t 7eafk . lro 1oS t. . A-UE. . (7i4ivs. .cr�ls. a.0. ����--yy�� • INAME) le0 ADORESSI /� Name of Builder. flOfnes-15 .e• f".F tP&LD Address . Fba}6R. ,IeUY. . .CJ•.�'l• s4. . Name of Plumber 11 re vII Address Name of Mason. . RJtA elide 141QT> Address 1 .c. Boc. . n4.Q. . *�A.•.sei$,_�•f Lot Number. . . .�'Ir4 . . . . Unit Estimated value of proposed work$ . a0.y DO©Name of VillarC r� Name of Street Sh2MAJc ). RA_a,t Side of street: north ❑, out ❑, south ❑. west Nearest Cross Street ,,reSksGE Vuk).TSIAr10.t.COKIrriler. _CD Distance from this cross street . .l(.PR4 F4-- Ft. Property is north fig,south 0,east ii,west ❑from Cross Street if on Corner,which corner,northeast O. northwest ❑. southeast D. southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Construction of a new building. Main Building LJ One-family dwelling kr Alteitio tabbdinn. Two-family dwelling 0 ❑ Alterationel tof building. . . -family apartment house 0 ❑ Demolition of• building. Store building ❑ 1 -car attached garage ❑ Other: Accessory Building One-car detached garage ❑ ❑ Other work. Describe' Two-car detached garage Private chicken house 0 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, sire and setbacks of pro- posed buildings,and the location of all existing buildings. NORTH Show proposed building(s) in dotted line and existing to e t n t 10 building(s) in solid line. Size of property $'fl 07 ft. x PLCSQ ft. iZi CIL Size and use of existing buildings, if any . . .A)/Ac, wN .- GG iMa . . :J. . . . It. Size of proposed building �-g It.x Height(from grade to ridge) alc, ft. 2 Front yard Lap. .t. .Qrt H ft. 1.E Side yards . . .231. (a. . h. and . . .ftt. (o. . . . ft. Rear yard . . . .(1.�'. . O e, It. SOUTH If corner,setback from side street . . .��� ft. Note: All distances are net, asmcarurvd from street side line m nearest part of building. (ovary 7-73-m (cont'd.) BUILDING SPECIFICATIONS. Kind of construction: Wood frame,fire safe,etc.' Ida DOO F¢A-mt„ Will any second-hand lumber be used? . . .Pc). . . . . . . If w, for what' Material of foundation walls . . .C.O.CKJZE+L. thickness .'n I t. .PCc C ED Depth of foundation walls below grade . . . .10 I Continuous foundation? Li . Will there be a cellar? .t.i CS� �,�If no, material of cellar floor . .COO Type of roof: Sloped or flat? . . tcp& . ... Material of roof . .LAJLtp. KR4N:IE.I.P.t-f.t:wood ., le1Qn)F'/q Sh `11 Size,wood studs . . . "x ", spacing i4 "o.c., length S. , ft. .7' Size, floor beams, 1st floor 2 "x . . .LAD " spacing ( b " I d s ann o c.,span . ./ . . .4. . . . ft. Size, floor beams,2nd floor 2 ."x . . . VD " spacing YV "oc ,span . . .I.N e 9 n t ft. Size, ceiling beams "x " spacing "oc,span ft.Site, roof rafters or beams 4.gut,. . ."x " spacing 2+1tt "n.c., span /LQJI ft. Exterior finish :it.A)b't %J((,@... . t.LO • With what material? W..0450 Finish of interior walls. . .1]'atl.W A.LA-, If garage is to be attached, of what material is wall between garage and main budding to be constructed? . . . /here 44. . LNn between ulding . .,.,- heed PaYL Is there to be an opening between garage and building? . . . .L1 ES Kind of heating system . . . rI fS�pI L Oil burner or coal? Will a flue-lined chimney be provided? . . . ./♦3.0. . . . • Depth of chimney foundation below grade Height of chimney above roof Will there be a fireplace? Uo Depth of fireplace hearth Will a toilet be installed' . N iet ' • Will a kitchen sink be installed and donnected to water supply? ..p Li r_s 1^U?�Water supply(public water supply or pump) L,JdJ. . 0C.- - .QUA-BYE$vQ Distance of cesspool from any private well . . . n(pLOCYI feet Will drainage system be provided with required traps, cleanouts, and vents? . .IL Lg Town of Queensbury / AFFIDAVIT f County of Warren State of New York I swear that to is h f fof my know)edae and belief the statements contained in this application,together with the • . and Wedges:.: sub- 'tted, ere a true end m.,.,,Ieta statement of all proposed work to be done on the de cribed premises and that of the ,tILD- ING CODE,THE TONING ORDINANCE,and all other law.pertaining m the ripcord work shall be complied whether " .or cos, end that such work is authorised by the owner. ,�J / / /� Sworn to before me this Sienna* /..4 R(jk I[Ld— /i'r 4' . . .. a.S. . HERS AGENT.ARCH! . 0 C BE day of _. _ . ._. 19 / NOTARY PUBLIC. WARREN COUNTY. N. V. 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: A q 1. Gross floor area t Z 0 2 . Type of heat �w S C • Un ell O0- c 3 . Is the building mechanically cooled? A/C) c� 4. Percentage of area of windows and doors /D , 2 9c..? 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 a posed to ambient conditions_ de--3S 2. R value of exterior walls R-/9 O 3 . R value of glazed area i -k 3,Z /e_/� l C//f 5PhL5 . b/ Ca2- 4. R value of doors 5. R value of floors over unheated spaces R-/T 6. R value of slab edge insulation - unheated slab A) //4 7. R value of slab insulation - heated slab /v//¢ 8 . R value of heated basement/cellar walls (above grade) A////� 9. R value of heated basement/cellar/ / wallsn (below`grade) /J///} 10. Type of insulation /',rye.fq[0.5 5 r1 ,0/ii,- ! Ao rn C. Controls / o 1. Thermostat maximum heat setting So D. Duct Systems 1 . Is duct system installed in unheated spaces? YES 0 a. If YES , R value of duct installation b. R value of duct in other areas E. Piping Insulation 3// ei 1. Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation j-Z F. Service Water Heating q /o 1. Performance efficiency /y 2. Temperature control setting maximum /HO e G. For Swimming Pool Only � 1 . Maximum heating�i] q A/ 10 Telephone No. /498- 5S'L/ / /C,9U..-c (applicant ' s sig ure) • sown o/ Queendtury BUILDING and ZONING DEPARTMENT Bay and Haviland Road. RD. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL PERMIT APPLICATION ^�,� Owner ' Name I LloMd V .1- ef2C&W Tel. lit-SSP7 r/Eu/ � nusFLOT 5,tai n LfIN/J Address I YO �Fr /W� �JExA 1-aclis A)•4 . 550( Person/Firm installing system E . &i-LtlSU-4 GbnS Number of bedrooms (residential only) 7j 12np(cM Total daily flow: (compute @ 150 cal.per bedroom per day) 4-(GO Topography flat - rolling - steep - (circle one) Decree of slope % Nature of soils: loam-clay- other- Depth B ft. Ground water-- at what depth? t 9- ft. Bedrock or impervious.material--at (A�w�nhat depth??,,�GG2/�. ft. Percolation Test - of reaui e/ O gi' -R ilD V1 0r min/inch. Domestic Water Supply Munpe - 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, pond or wetlands. Include all dimensions of the system itself. Description of proposed system: Septic tank size (000gal. Tile field- Length of each trench4lft. Total field (Rft. Size of stone # 2 Seepage Pit (s) Number /1/40m/ 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. Signature of App Yil Cant Date 01/86 and/vl Septic System Inspections: A. All applications for septic system installation, alteration or repair, as required by the Town of Oueensbury Sanitary Sewage Ordinance, shall be submitted to the Building Department at least 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 he 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 Oueensbury Building Department before further construction. all`Q �77///d/s%rc ) e m fown o/ Queenilury BUILDING and ZONING DEPARTMENT Bay and Haviland Road. R.D. 1 Box 98 Dueensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME oevvio F1 P2..I 1 CI-411 LOCATION Loc. ay SylcrwrW1 Z_ Date Tic /JG Permit No. gG _/'/#(« * F * * * * * * * * * * * * * * * * * * * = APPROVED - YES J NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer \ Rough Plumbing Relief Valves Ext. Porches N Finished Floors . Interior Trim N Stairs 6 Railings N Cellar Drain Tile Concrete Floors \ Plbg. Fixtures Gar.. Fireproofing Door Closers Smoke Detectors Chimney 1/INSULATION: `L Foundation .'boors 'Walls 6VF 1/Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - Building Inspector 6/86 and-vl 1 ) / 41�° flown o/ Q eensbury 1/4�o BUILDING and ZONING DEPARTMENT Bay and Havi)and Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR'S REPORT NAME TIN e Pet al FIT7-1eral I LOCATION t_6r 01.1 Skm,ma'w l Roc', '�oc', Date £ /3o/A6 Permit No. Vs,— (7` x e * {/{ * * * * * *_ APPROVED - YES ./ NO Footing/Pier Forms Foundation Waterproofing gackfill I./Framing 0.K Roofing Siding Masonry Veneer /Rough Plumbing Q,K. 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 —(1:1\ Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - W Building Inspector 6/B6 and-vl ai3D - 3;&O TOWN OF QUEENSBURY Building Department Inverters Report Date 5r'-23• re Name "C ya�¢ra/.'I • Location 5 itrn4 4 -TS ere ' Permit No. 8LL I'IL Weather Remarks Excai'ation Footing Forms Footing 6 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 6 Railings Cellar Dr. Tile Concrete Floors /)(\\ Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. a ' Septic Approval e `3 w -- Floors Foundation Insulation Walls Ceiling IiA Building Inspector REMARKS` '' Ln/n fended .401_ D—f;t:sricy —&- ' °'� TOWN OF QUEENSBURY Building Department ', . Inspectors Report Date 7 to Name IC#2'n o— Fiji 'iciest/ ' Permit sil� istAAM ' Permit Na G . (( (, Weather Remarks Excavation /y n Footing Forms ✓ 1'OU �7 +� Footing & Piers Foundation buntit-na4f Cement Coat Waterproofing 3:!5 PH 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 �i Cellar Dr. Tile Concrete Floors i• Plbg. Fixtures f Gar. Fireproofing ' Door Closers / 1 Chimney Water Meter Inst. Septic Approval Floors Foundation Insulation Walls Ceiling � Bui di irg/ L. Inspector REMARKS 5ou1&ieetu EAPoski L SuBOli)'slon C2 LAnr7S c>-? cog€r}-E NADE_ ey t2amonO 5 63ucleucq P Pizo� & Nf ID() f� L a g IJ � J � 4 / vex e 57_/- ecK to' o p 1 4 — fDoo 6AL. 7X,tei _ N .9 s 0 ' �L3' / rs P Reo FogGD -I Go