1987-818 r .
I
4
4 r
l
1
'14 CERTIFICATE OF OCCUPANCY
i
s TOWN OF +QU'EENSBURY
WARREN COUNTY, NEW YORK
Date August 2 19 90
a
i
This is to certify that work requested to be done as shown by Permit No. 18
I
i
has been completed.
Chie FarAly Dwelling
This structure may be occupied as a
Lacatio15 f Sherman Isle Rd .
George & Elaine 5ereca3
f C)avncr
I
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
i
E
4 BUILDING PERMIT
TOWN! OF QUEENSBURY No. 87-818 �
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to George & Elaine Senecal o
Sherman Isle Rd .
OWNER of property located at Street, Road or Ave. 1
r.a
in the Town of Queensbury, To Construct or place a One Family Dwelling ra
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
Queens Plantation Apt . 3A
Upper Sherman Ave . ro
Queensbury , N . Y . 12801 0
oa
2. CONTRACTOR or BUI LI3E WS Name 1fl
Same
m
l•�
w
N•
3. CONTRACTOR or BUILDER'S Address
fo
cn
CD
ro
n
4. ARCHITECT'S Name
5. ARCHITECT'S Address
[ra
rt
El
8. TYPE of Construction — (Please indicate by X) �
H
i wood Frame ( 1 Masonry ( ) Steel ( ) 0
r
m
7. PLANS and Specifications
No_ 28 ' x 80 ' as per plot plan , specifications and application including
septic system and attached two car garage .
B. Proposed Use
One Family Dwelling
a
m
$5 . 00 CIO
as
$ 122 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES July 1 , 19 88 �•
r
{If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the C
town of Queensbury before the expiration date.)
m
Dated at the Town of Queensbury this 7th Day of December ig 87
SIGNED BY �g'.e2'.-%`L� for the Town of Queensbury
Building and Zoning Irrepector
TO BE COMPLETED BY BLDC . DEFT .
`� Application No * t No
/p[UI7 fl �ueerl3CruM[ Permit Issued 19 I z' i iI I
BUILDING and ZONING DEPARTMENT Permit Ex fires
Bay and Haviland Road, R.D. 1 Box 98 zoning Designation + ]NOV 2 3 19
Queensbury, New YCKk 12801 variance No . _
e site Plan view Noe
1J1�,4. . , "
r
l� Approved 'Y r l p // e "
APPLICATION FOR
*3ULDING AND ZONING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLOWING .
The undersigned hereby applies for a Building Permit to do the following work which will
be done in accordance with the description , plans and specifications submitted , and such
special conditions as may be indicated on the Permit .
----------------------------- ----------______...i....__--___-___
The owner of :
property is -
P. O. Address k'*Ad _ d�J �rb^.r1ly � .![ +% `&ig- Tel . ,
Property Location : �? �Cs►�flN , �+ & Tau Map o . f /
Street number or building lot number (? h �/ / may!' + 1"IZ46A- �• yr •
Subdivision name ( if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK. AS REGARDS BUILDING rCODEE,SL IS -
dr
i7 .. E?,/{.,,
Name t P . O. Address Tel . No .
Name of builder Address Tel .
Name of plumber ` Address Tel .
Name of mason ,gy. 7 Address Tel .
c
NATURE OF PROPOSED WORK : � ZONING INFORMATION :
✓ construction of a new building � A PLOT PLAN MUST BE PREPARED AND SUBMITTED ,
_Addition to a building drawn reasonably to scale and attached hereto ,
Alteration to a building showing clearly and distinctly all buildings ,
(no change to exterior dimensions ) '" whether existing or proposed and indicate all
Other work (describe) set-back dimensions from property lines _ Give
street and number or lot number and indicate
* whether interior or corner lot . Show location
FOR DEMOLITION PERMIT , STATE: SIZE AND * of water supply and location and configuration
LOCATION OF§TRUCTURES AFFECTED . * of septic disposal area .
--! - COMPLETE INFORMATION REQUIRED BELOW ,
Size of property ,I' j C ft X � ft _
Existing building ( s ) Size ft X ft .
PROPOSED BUILDING AND USE :
Existing building ( s ) Use
Size of new structure ft xJ� �t /ti
Foundation-pier/slab/crawl/partly ful Proposed building , distance from property line
(circle one )
Front yard_ ft Rear yard �' x- £t
No . of stories (habitable space) 04"44- Side yards ft and D ft
Height ( grade to ridge ) / ,'� ft . If on corner , setback from side street ft
If residential , no . of families Q/✓
No , of rooms ( excluding baths) /u' " _ OCCUPANCY INFORMATION
Noe of bedrooms -7L9 PRIIJARY BUILDING -
Noe of bathrooms ✓One family dwelling
Primary heating Two family dwelling
Type of fuel * Multiple dwelling / Number of units
No . of fireplaces to be installed permanent. occupancy
Will a wood stove be installed?
* Transient occupancy
Central Air conditioning?—.
onditioning? -.�,- ,� Business
eDING STYLE, PRIMARY STRUCTURE Industrial
Other
h , Contemporary Log' cabin If addition , what will use be?
Raised ranch Mansion Duplex
split level Old style Bungalow
Cape Cod Cottage Other ACCESSORY BUILDING-
Colonial Row Town House ..�� etached garage/one car/ car
{ CIRCLE ONE PLEASE ) * Attached garage/one car/ wo car car
* * * * * * * * * r * * * * * _Private storage building
ESTIMATED MARKET 'VALUE OF � ,Other
CONSTRUCTION $ - L4/; r
" �, - - - - - - - - - - - - -
INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED !
Form BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS :
Type of construction , wood frame , fire safe , etc .
Will any second-hand or ungyaded lumber be used? If so , for what ?
,At
Foundation wall material Thickness
Depth of foundation below grade (to bottom of footing ) yn
Will there be a cellar? Heated or unheated? u,v,F�aRre�Floor sq. footage sc; ft
Will there be a basemen�[�r S Will any portion be used as living space?
( If so , what portion? sq. ft . _ - Type of use?
Type of roof - ope�1/flat/shad/other Material of roof= ,� ,ig �„ cam . _ _ ?
Size , wood studs_ "X 4e spacing /� '"a . c . length � ' ft .
Ioists ( £loor beams ) 1st . floor "X spacing ,'o . c . span-ft ,
Joists ( floor beams ) 2nd . floor "X spacing "o . c . span ft .
Overlays ( ceiling beams ) - "X _ spacing _"o . c . span.!�ft .
Roof rafters "X spacing o . c . span fto
of trusses, Pre- engineer�red) spacing JZ.. " o . c . span4Z ft ,
Exterior wall finish G3 /�'G'2- t C3 O£ what material ? ,e" 5ts4rw z
Interior wall finish
If a garage is to be att 'hedr- describe materials to be used for FIRE SEPARATION :
Is there to b_•e as ening between garage and dwelling?� If so will a Fire-rated
door , enclosure , and self-closing device be provided? t ms;J ,r•-'�
Will a flue-lined chimney be installed? A,�S Height above Troof €t .
Depth of chimney foundation below grade
Depth of fireplace hearth ft . in .
Water supply - Municipal or private well
SEPTIC SYSTEM _ Distance from ANY private well { including adjoining properties ft .
(A separate application is necessary forV any
repair or new installation of septic system )
ff Town of u ry
County of Warrenarren A F F I D A T STATE OF NEW YORK
I swear that to the best of my knowledge and belief the statements contained
in this application , together with the plans and specifications submitted , are a true and
complete statement of all proposed work to be done on the described premises and that all
provisions of the BUILDING CODE , THE ZONING ORDINANCE , and all other laws pertaining to
the proposed work shall be complied with, whether specified or not , and that such work is
authorized by the owner .
SWORN TO BEFORE ME THIS Signature _ �_ P 0 -
Owner , owner ' s agent , archirect , contractor
day of *_�9AZ ,ek 19 "t
Notary public , Warren County, N . Y .
SPECIAL CONDITIONS OF THE PERMIT :
TOWN OF ¢UEENSBURY
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
2 . Type of heat h-E' �e�ii2-/ G �L•?` % ! � Y* �
3 . Is the building mechanically cooled ? L�
4 . Percentage of area of windows and doors
A . over 16 % Only
i. 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
2 , R value of exterior walls 1
3 , R value of glazed area
4 . R value of doors
5 . R value of floors over unheated spaces s
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 )
10 , Type of insulation
Co Controls c'
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 rE
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 insulations
F . Service Water Heating
1 . Performance efficiency
2 . Temperature control setting maximum 6x:
G . For Swimming Pool only
1 . Maximum' heating
Telephone No _
applicant ' s signatu e )
t�ye frn of QP w4oy
APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE
P
LOCATION OF PROPERTY FOR INSTALLATION , xrll�_l'� �
Owner's Name: V�'rly /�"= r, Vde
Z'77' �- Telephone:
Address: 7j
Installer's Name: it4w, ,,qr / G2 s' Telephone:
Number of bedrooms (residential only)
Total daily flow (compute (P 150 gal per bedroom)
Topography: circle one: Fla Roiling Steep Slope % of slope
Soil Nature*. circle one: Sand ) Loam Clay Other / Depth: feet
Caround Water:. At what depth? feet
Bed*-ock or Impervious Materials At what depth? i feet
Percolation test: circle one: not required required / rate min. inch.
Domestic water supplys circle one: Municipal Well Other
IF domestic water supply is a Well:
Separation: W atersupply from Septic absorption _ feet
PROPOSED SYSTEM: Septic Tank AfOe:;" ^ gal. (minimum size: 1 ,000 gal.)
I
TILE FIELD: Each Tres feet / Total system length -- feet
SEEPAGE PIT(S) ; Number of / Size each feet by feet
Size of stone to be used # J Depth or Thickness feet
IMPORTANT
***Please...LIST NEW EQUIPMENT TO BE INSTALLED
(over)
Section II Septic System Inspections:
A. All applications for septic system installation, alteration or repair, as
required by the Town of Queensbury 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
Z.) 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 $250.00.
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may result
in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installation,
alteration or repair of an approved system, a new proposal must be submitted
to the Queensbury Building Department before further construction.
I have read the regulations above and agree to abide by these andd all requirements
of the Town of Queensbury Sanitary Sewage Dual C*dinauce.
Signature of responsible person: -
Date:
Town, of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD. PLACE TO LIVE
TOWN OF Q
BUILD NG AND
CODES CODES DEPARTMENT 111
.BAY .S HAVFLAND ROADS
QUEEN .BURY: NEW YORK 22"
TELEP NE (518) 792-5832
BUILDING INSPE R' S REPORT
REQUES FO INSPECTION R EIVED 1-7 "7ni n N
NAME
LQCATIO
DA TE O P RMIT #
APPROVED
YES I NO
FOOTI /PI RS
MONOLITHIC UR FORMS
FOUNDATION/ AMF'-PROOFI G
BACKFILL AP VAL
ROUGH PLUMBI G
FRAMING
ELECTRICAL R H-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
At-mINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/ PS _..
STAIRS-CLEARANCE & ILS
PLUMBING FIXTURESIRKLXEF VALVE
...........
INTERIOR TRIM/PRIV DOORS, _
FINISHED FLOORS -
GARAGE FIREPROOFIN
DOOR CLOSERS)
SMOKE DETECTORS
FINAL ELECTRICAL INS ECTI N
FINAL APPROVAL OF CO STRV . , ION
_ OK To ISSUE C/O OR C C
A SIGNED CERTIFICATE OF OCC ANCY MUST BE
OBTAINED FROM THE BU LDING D ARTMENT BEFORE
THESE PREMISES ARE O CUPIEDI
REMARKSr
ARRIVE
DEPART
INSPECTOR
THE NEW YORK BOARD OF FIRE UNDERWRITERSBUREAU OF ELE
;
41 STATE STREET. A BANYGNEWITY YORK 12207 grl '$i
Date F+f r` :} F" k" 3 -� --. rfpplication , . on file , r r: r> _
THIS CERTIFIES THAT
only the electrica equipment " described belorr and inter by the app"cowt nanaed on the eiboar rpplieation number in the prenlimm q f
E:`" 't' rE FF . 1 'i % r }ji .i , . . T �. f T. r. Fr, '. i '•,FF'ritr } ` r . t � k F" " i ` .
in the follartuing location; 0 Basement lat Fl. � 8nd Ft, r . , Section i r ,',Black i Lot
teas examined on X ., T ' P101 ?k . . ? < . and found to be in compliance with the requirements of this Board.
FIXTURE EPTACUS SWITCHES FIxn,IM RANGES COOKING COCKS OVENS DMSN WASHERS EXHAUST FANS
OUTLETS INCANDESCENT FWaRESCENT OTHER AMT. K, W. AFT. K, W. AMT. K-W" AMT. K. W. AMT. N. P.
DRYERS FURNACE MOTORS FUTURE ALMUANCE FEEDERS SPECIAL*1VPT TIME CLOCKS NlLL UNIT HEATERS IMATIWOUTLET DUAMER$
SYSTEMS
AFT. K. W. OIL N. P. GAS N. P. AFT. Na. A. W. G. AFT. AMP. ,AFT, AMPS. TRANS. AFT. N. P. NO. OF FEET AFT, WATTS ,
y 1 5
l
'SERVICE DISCOrI+IFSECT No_CW S E R V I C E
AFT. AAUP. TYPE ►INTER t X 4rV e X Sw s M 3w s,e' aw HO. crt cc. wND. A. w. G Na. c✓f Nr.tta A,w. G. NO, OF NEUTI�a�e A. W.a-
AMT". PEE w Or CC. COND. or Nt•LEa OF NEUTRAL
OTHER APPARATUS:
LL
4P IL
i
F kI r : - 1 F.
DRAWN MANAGER
41
r 44
Per
This certificate must not be altered in arty manner, return to the office Of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER,
flawrt of eteerts �etre !
BUILDING and ZONING 'DEPARTMENT
Bay and Haviland Road. R.D. 1 Sox 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION
Dat jq Permit.. No
APPROVED YES NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext , Porches
Finished Floors
Interior Trim
stairs & Railings
Cellar Drain Tile
Concrete Floors
plbg . Fixtures
Gar . Fireproofin
Door closers
Chimney
INSY LATION
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
T
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready
Remarks-
fit:?
wild ng Inspecto
6/66 and-VI
{� BUILDING and ZONING DEPARTMENT p y�
Bay and Haviland Road, R.D. 1 Box 98 1�
Clueensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAMED
LOCATION
Date / Permit No .
APPROVED - YES NO
Footing/Plev Forms
Foundation
Waterproofing
Backfill
raining
Roofing
Siding
Masonry Ve eer _
- ARough PI ing
Relief Val s _...
Ext . Porche
Finished Fl rs
Interior Tri
Stairs & Rail ' gs
Cellar Drain le
Concrete F1 r
Plbg . Fixtu es
Gar . Firep oofin
Door Clos s
Smoke Det ctors
Chimney
INSULATI N :
Foundat n
Floors
walls
Ceilin
FINAL ECTRICAL INSPEC ION
DRIVEWA APPROVAL
Final Building Survey
Next scheduled inspection (call when ready )
,� //�
Remarks- Y %.%'An� 77 ) d
Building41nstor
6/86 and-vl
/ BUILDING and ZONING DEPARTMENT
1O Bay and Haviland Road, R. D. 1 Box 98
Oueensbury, New York 12801
SEPTIC DISPOSAL/ SYSTEM INSPECTION
NAME
LOCATION"-`~���'�
DATE f ' '1,6Z PERMIT No. 6
SOIL TYPE - Sand - Loam - Clay - fl
Percolation Test Required? YES _ NO
Percolation rate - Min/Inch
TYPE of SYS
Absorption f i d , total leng h
Length of each trench
Depth of trench s
Size of gravel
SEEPAGE PITS{Numb Of)
Size- ft. X _ ft.
Gravel size
PIPING : ize T pe
Bldg . to tank
Tank to dist . box
Dist. box to field
Openings sealed? ES 0 Partial
LOCATION/SEPPARA IONS :
Foundation to ank e fte
Foundation t absorption t ,
Absorption lot line
Separation f pits ft.
1t)CATION SYSTEM ON PROPERTY (circle one)
Front - e r - Left side - Right side -
{CCHMENT
SYSTEM USE APPT{O'�E YES
i
Building Inspector
01/86 and vl
�ocu►r C+� �ueen .sfrurr#
BUILDING and ZONING DEPARTMENT
Bay and Havifand Road, R. D. 1 Box 98
Queensbury, New York 12801
BUTLDING INSPECTOR ' S REPORT
NAME
LOCATION ��"� a/.h--d'�,!"/•/ �"'" "
Date _ r Permit No .
✓ APPROVED - YEy� NO footing/Pier rms n
'oundation
Waterproofing
I3ackfiII
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext . Porches
Finished Floors
Interior Trim —`
Stairs & Railings
Cellar grain Tile
Concrete Floors
Plbg . Fixtures
Gar . Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION
Foundation
Floors
Walls
Ceiling
FINAL EIECTR CAL INSPECTION
DRIVEWAY APPROVA
Final Building Survey
Next scheduled inspection ( call when ready )
Remarks-
<7 47
f
Building In ctor
6/86 rnd-vl
lat
9y � 1; /
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R- D, 1 Box 98
Oueensbury, New York 12801
BUILDING INSPECTORS REPORT
NAME
LOCATION
Date
�" Permit No .
'Footing/Pier Farms ✓ APPROVED - 'YES NO
dation
Waterproofing
I3ack£iII
Framing
Roofing
Siding
Masonry Vene
Rough Plurnbin
Relief Valves
Ext . Porches
Pirtished Floors
Interior Trim
:Stairs & Railing
Cellar Drain Tile
Concrete Floors
Pl bg . Fixtures
Gar . Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION :
Foundation
Floors
Walls
ceiling
FINAL, PI EC'TRICAL �NSP.ECTION
DRIVEWAY APPROVAL
Final Building Survey
Text scheduled inspection (call when ready )
Remarks-- 100`� t -Irz�el /--
J
6/65 and-vl
nuIlding inspector
I ��� .Jnwn o� �ueens6ur�
BUILDING and ZONING DEPARTMENT
YL
ay and Haviland Road, R. D. 1 Box 98
Queensbury, New York 12801
DING INSPECTOR ' S REPORT
NAME �..crcGj _
LOCATION
Date=�' r ..� Permit No .
✓ = APPROVED - 'YE NO
�"oting/Pier Forms
Foundation
Waterproofing
Baukfill
Framing ,
Roofing
Siding
Masonry Ven er
Rough Plumb! g
Relief valves
Ext . Porches
Finished Floors
Interior Trim
.....
Stairs 6 Railings
Cellar Drain Til
Concrete Floor _
Plbg . Fixture
Gar _ Firepro fing
Moor Closer
Smoke Dete tors
Chimney
INSULATI
Foundati n
Floors
Walls
Ceiling
FINELY, ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready )
Remarks-
Building In pector
6/86 and-vl
�Jorvri o Q"een5 Urvy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
��►, Oueensbury, New 'York 12801
BUILGIIN INSPECTOR ' S S REPORT
NAME
LOCATION
Date 5 / Permit. No ,
✓ = R -
Footing/Pier Forms APP ED YES No
Foundation
waterproof ' g
Backfill
Framing
Roofing
Siding
Masonry Veneer --
Rough Plumbing_
Relief Valves - --
Ext . Porches
Finished Floors
Interior Trim
Stairs & Raili gs
Cellar Drain ile _
Concrete Floo s
Plbg . Fixture
Gar . Firepro frog
Door Closers
Smoke Detect rs
Chimney
INSULATION :
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAI.
Final Building, Survey
Next scheduled inspection. (call when ready )
Remarks-
Buz in Inspector
6J86 and-vl
.7
r j.
Ta