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1986-160 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK 3 Date June 25 19 U6 56-160 This is to certify that work requested to be done a shown by Permit No. ha been completed. Tim Chase Thu structure may be occupied a a Lot 13 Upper Sherman Ave. (St. No. 467) Mt. View Subdivision Location Tim Chase Owner By Order Town Board TOWN OF QUEENSBURY Building & Zoning Insf II' BUILDING PERMIT TOWN OF QUEENSBURY No. 86-160 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Tim Chase OWNER of property located at Lot 13 Upper Sherman Ave. — St. No. 467 Street,Road or Ave. -e Mt. View Subdivision H. in the Town of Queensbury,To Construct or place a One—Family Dwelling 0 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. 10 1. OWNERS Address is P. O. Box 62 Glens Falls, New York 2. CONTRACTOR or BUILDERS Name same 3. CONTRACTOR or BUILDERS Address same rt O• m z � o La 4. ARCHITECT'S Name m TIml J N S et N 5. ARCHITECTS Address • Pie 0 H0 E 9 N N 6. TYPE of Construction—(Please indicate by X) 0• p a ° ( , Wood Frame ( )Masonry ( 1 Steel I ) H.• ` H. 1. PLANS and Specifications 24'x42' per plot plan, specifications and application submitted Na. including sewage system. 8. Proposed use One—Family Dwelling 0 Pms $5.00 C/O Paid $ 70.00 PERMIT FEE PAID—THIS PERMIT EXPIRES November 1 19 86 B (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the `G town of Queensbury before the expiration date.) E m Dated at the Town of Queensbury this 23rd Day of April 19 86 H. op SIGNED BY for the Town of Queensbury Building and Zoning 1 TOWN OF QUEENSBURY (Spare inside block to he lilted alb by WARREN COUNTY, NEW YORK • Building,Inylnmwl Application lot .`I'1'li'alim. No. • Ib Issued Ie. . BUILDING AND ZONING PERMIT Purina Expires. HI. /.nine Ilistrin _-- - \:dies. ill \t,wk$ One copy of a PLOT PLAN, Drawn to scale .\PIu„%nil by - showing the anal dimensions of the lot to be built R,nunegt epee. The wet also, and location on the Mt of the building to be erected or altered MUST BE SUB. MITTED WITH THIS APPLICATION. lad - f- 7 / E TOWN QC I' U3=v` A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK U ANSWER AU.QF THE FOLLOWING. APR 2 2 1986 The ..designed hereby applies for • permit to do the following work AM. 7S: Pg1 OP.M. which will be done M accordance with the description, plans and specifI. 1 2 3 4 6 6 unean, aad such epoch! notations as may he medicated on the permit. ?I8I9 • I rl•i• I •1' The owner of thisprop.ny is: a C!0 /.VG(_: / " Cti Vtaa , 8o% t, 2 . (J) uSFiq//z. /F Jy , L.4.0 / . in..., 110 attend' The person responsible for supervision of the work insofar as she Building Code and the Zoning Ordinance apply is: • I. h u el .t . s . I,am.l ie0 aenlleal � / Noma of Builder .� l !•!'�.��!'` . z Address 7�' 0 , $e x 6 Yet G leIVJ Y /,i�. Name of Plumber t I Address ' t Rune of Mason Addressy ( u Lot Number /-3 Unit Estimated value of proposed work t y.1-i.077) Name of Village. .. .Q R.ev.N-i 034 de Name of Street .. .tetepC1' 5I,c,'' ,, ns� AO e. Side of sweet: north V.teat O. south O. was O Nearest cross Street /r O y/Pg- Si- Distance from this troy stet . . ..Sdz ' vs. Property is north O,south 9,east ii,west ❑from Cross Street • if on Caner,which corner. northeast ❑, mhnhwnt 0.southeast O. southwest (Designate by marking with an"X° in the correct space.) • NATURE OF PROPOSED WORK OCCUPANCY a Construction of a new building. Main B.Rdtg 0 Addition to e building. One-family dwelling ❑ Alterman to u building. Two-family dwelling ❑ Demolition of a building. . . . -family apartment holm 0 Store building ❑ -car attached garage 0 Other: • Accessory Building One-ear detached gangs 0 Q Other work• Describe. Two-car detacched garage 0 • 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 numee.the location and site of the properly,the location,cis and..backs of pro ao.r, posed buildings,and the location of all existing buildings. _ Show proposed building(s) in doted hce and (aiming ch t-./ s/ huildingis) in solid hM. Site of property /0 0 ft. a -2C7-0 ft. IC S Site and use of calming buildings,if any x r s " (T ] 4 v Sired proposed building .. . aZ.'l.. . het a . . 'f:a. . . . It. Height (from grade to ridge) /Z het ' /3 Front yard ib ft. Side yards a 0 h. end .. . .3.%' ft. uwee S let'riii n) Rear yard .7J / It. Wien • If on corner,setback from side street le. Noir All disl.acn err all, di ..oared free Heald side One to seeress!earl of►uddug. 'ova,' 7-73-M • • (coned.) BUILDING SPECIFICATIONS. Kind of construction: Wood frame,fire lido etc.? a.1.000 kJ Will any second-hand lumber be used? . . . . . If so. for what? Material of foundation walls Be.;Ific.1--i:- ?QC )24,--0 Thickness * /f Depth of Inundation walls below grade 6 Continuous foundation? . .14 s . . Will there be a cellar? . y C5 II so, material of cellar floor 00 ilA9fieir Type of tool: Sloped or flat? .. Malarial of roof 10./.1.44it Size,wood studs " spacing • / no.c.,length • ft. Size,floor begins, In floor "a " spacing / "oz..span / . ft. Sire, floor bairns,Ind floor A " " spacing "0.c span ft Size,ceiling burs " " spacing . "o.c., span /.e., . ft. Sim. roof rafters or beams 2- "x ".spacing /4 /e,_ . 1a. Exterior finish 7- With what maierial? 1'41-4 Wog n Finish of interior walls Pet.e.it4ff If garage is to be attached.of what material is wall between garage and main building to be constructed? /YU Cf Is there to be an opening between.prage end building? WC) Kind of heating system .Sft Ott.C- Oil burner or coal? . .nia Will a flue-lined chimney be provided? . Depth of chimney foundation below gad* . . Heighi of chimney above root Will there be a fireplace? ma Depth of fireplace hearth wk./ Will a toilet be installed? * Will a kitchen sink be installed and connected lowlier supply? Water supply (public water supply or pump) f . /.1.Co. • Distance of ceupool front any private well feet Will drainage system be provided with required imp,cleanows,and vents? > Town of Queenshury AFFIDAVIT County of Warren Slit. of Now York • I sour Jut to it ivira my lutowdedge and SIM the EIRONOIRS arstabied is this application.trarthor wkk the plane and speolinsnate nals- Initial, ars a nue And so....ilne satamant of all proposed work to be dens ua bad menses sod dais all provisos of aka BUILD- THE ZONING ORDINANCE.end al other law.pansisiste le werk be whin voltorde operdlied er sod that emelt week is saUtonassl by dr etreen ING CODE. Sworn IN before NM AY Rif•IMIN• . ' day ,apt ci-."6 R GINNER'S AGENT.MACNITICT.CONTRACTOR •ORLIC.WAMPUM COUNTY, N. Y. SPECIAL CONDITIONS OP 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 /0722 5% 't'�- 2 . Type of heat 3 . Is the building mechanically cooled? Nei 4. Percentage of area of windows and doors I /-clo 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 R-3o 2 . R value of exterior walls 2- 3. R value of glazed area 4 . R value of doors lst IS . 5. R value of floors over unheated spaces 6. R value of slab edge insulation - unheated slab NIW 7. R value of slab insulation - heated slab NiA 8. R value of heated basement/cellar walls (above grade) 2 9. R value of heated basement/cellar( walls (belowl grade) Q 10. Type of insulation OQ1t eCoa-c Yec 1 ,te,rq C. Controls 1. Thermostat maximum heat setting 706 D. Duct Systems 1. Is duct system installed in unheated spaces? YES NO a. If YES , R value of duct installation N`'H 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 $Syo 1 . Performance efficiency 2. Temperature control setting maximum i40 ' G. For Swimming Pool Only 1. Maximum heating ^ Telephone No. 7�3- J-34 { l ,--0-- _ (L (applicant ' s signature) flown of Queenalury BUILDING and ZONING DEPARTMENT Bay and Haviland Road. R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL PERMIT APPLICATION Owner' s Name Twv NWSe Tel. 193 )-3Lry Address LA it 13 LOPer skec-"A'` IA"C , CiJN2rvtblbL.,Rt Person/Firm installing system Number of bedrooms (residential only) Total daily flow: (compute @ 150 aal.per bedroom per day)_ 9"0 1erdry Topography: e - rolling - steep -(circle one) Degree of slope 8 Nature of soils: sand loam-clay- other- Depth 10 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 Ctlunicipal 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 km) gal. Tile field- Length of each trench ft. Total field ft. Size of stone # Seepage Pit (s) Number J / Size 4, ftX ft. Size of stone# 3 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 $250 as provided for in Section 6. 010 of the Town of Queensbury Sanitary Sewage Ordinance. Signature of Applicant Date 01/86 and/vl I •4003361 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY [lit 41 STATE STREET.ALBANY.NEW YIIRK 46 12206 7 • Bate July 1, 1986 Application No.on file UUtl1J F{ A 663674 j THIS CERTIFIES THAT s only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of S Tim Chase, Upper Sherman Ave., Cueen&lacy, New York - tutside section 121 Block 1 Lot13 3 to the following locatbtu3/0 Basement U 1st FL 0 2nd Ft.was examined on o'1 and fou nd to be in compliance with the requirements of this Board. P. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS oulatS EICNTACIIS SWITCHES iNCMOISCfN1 m1OIItSCIN7 sofAMT. F.W. /MT. K.W Mit. K.W. Mn. eW Mn, H. 17 46 21 2 fr DRYERS FURNACE MOTORS MUSE MIMIC!NEREID SIEOAI RECR DMA CLOCKS gm UNIT HEATERS tM TI.CUI� DIMMERS AMi. C.W. 011 X.•. cI5 M.,. /.M _ NO. 11.W.af MMI. MM. ANI. M1R. TEANS.`W.i. NIT .M. w/.ns tOR 'J3d1`l g. SINVICE DISCONNECT NO.OP S E R V 1 C E MITI P.O. f c(MO w u rq.a xlitc .c. NO.OF N(UTsus AMT. MO. till vamp. 1/tW 1/M' se 3W 3/tW nncc e of At O of Ml.no1 OF M MU 1 200 cb 1 x 1 4/0 i OTHER APPARATUS Electric Heaters: 3- 2.0 kw 1- gfci 4- 1.5 kw 1- stoke detector 3- 1.0 kw Water Heater: 1- 4.5 kw 2- .75 kw I 2-59 ��` iv i Tim diase P.O. B C 62 BRANCH MANAGER _ Glens Falls, NY 12801 Per L- This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. c 0�ldi� �rU6 P TOWN OF QUEENSBURY Building Department �" / Impeders Report Date 440/ b Name C �3$ Location 4i Fcn n".,tl-:a“ o,Wre- PPe�eriod No. for /3 Weather p - C 6- / /s4 Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing ✓ Sec. 1 ,(e,,,D Sheathing Roof Felt Roofing � O,K Siding I./ 0 LK Masonry Veneer Rough Plbg. Relief Valves ✓ 0,1C We.rer w ok' O r& Wall Board /// O,K Ext. Porches ✓� 0. : Finished Floor ✓7•p,r� Interior Trim V I) r Stairs & Railings,/ ry rt Cellar Dr. Tile Concrete Floors Plbg. Fixtures 7-0/LET n/ ZN61,4uaa',. Gar. Fireproofing tt/� Door Closers l(l( Chimney Water Meter Inst. Septic Approval Floors I ' Insulation Foundation J Nn, e�nN pL Walls LCCeeeiiling CA^✓nU3 Building Inspector REMARKS 0-cl-t^ -i 0Am icd govs1 • TOWN OF QUEENSBURY Building Department lnspe tan Rupert Date 034 Name Location 1-nr /3 fl& frit sa t ,w Perron No. - I IWeatherWeath ' ��� (413'trio)! Remarks • Excapation Footing Forms 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 Interior Trim ✓ Stairs & Railings v Vrts-Fj L-Lo6J Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval ✓ GJC Floors Insulation Foundation Walls Ceiling JBu 1 'ng Inspector REMARKS /tooCi.4L MA/It (J. ,fiok -rim Pert n rti 5;A-,ns 41-Att&,nu,.ets G�o A-99+to — -/ou/n o/ Queenitury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME CNA-Se— LOCATION Wait 5ge-If- AA//AvE DATE (/ /y 66 PERMIT NO. 1p-((p 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 PIPING: Size Type Bldg. to tank Tank to dist. box Dist. box to field/pit Openings sealed? YES NO Partial LOCATION/SEPARATIONS: Foundation to tank /0 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 - COIMENTS: PArtn TA C SYSTEM USE APPROVED ES NO Hu ding Inspe t 01/86 and vl ZorClos&sr1?i w.Mr• IZa- TOWN OF QUEENSBURY Building Department humemen Report Date 6/51; Name CM 45 Location Si nww A-te Permit No. 2r6 -/bo Weather Remarks Excapation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey ��yy Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. ✓ b. r. 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 Ceiling w '•P� Building Inspector REMARKS TOWN OF QUEENSBURY Building Department Invades Revert Date $/((/$"C Name nit C,J*fl Locatiaa for (3 UPPE-x_ S't4&044,46 Permit No. RG-i Go Weather Remarks Exca.ation Footing Forms Footing & Piers Foundation i/ Q Cement CoatWaterpro / Backfillofing y Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves \ Wa11 Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors }\ Plbg. Fixtures \\L Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling (.7P Buictor Rn REMARKS 1Jevit-/roW'.PIC- 4sPtki-rRou.uvi nuu4l417uGa✓ P N ! rJ 9rt-&v! II- tie ,4''rf onm, 3en,Th TOWN OF QUEENSBURY Building Department Memnon Report Date 1/7-$/e'Co Name TIM CliASl Leanne 4i T l 3 v NOG2 St( 4...AA/ Permit No. cll.- / (ae) Weather Remarks ExcaigiFo on ✓y 0. r Footing oot Footin Forms 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 & RailingsX 1 Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceili 41am tar- H l Bui Ding Inspector REMARKS I gx (6 rvorttJS-j ,tro(' MOO 402 - - No eda 60 7,V65 IL � rt) 7.diPicx Ec C)r.itwrllS , N Q, i2c/ 713 � yY / J , ' ccX� a�ti� ` II Vy a,51. aJX ..- IC vK s �• T'� �y � � �0 38 '1 a-' aa�R ; N�75 2 Sf if ieninn. /'eve .