1988-536 CERTIFICATE OF- OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date August 28 19 90
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This is to certify that work requested to be done as shown by Permit No. 88-536
has been completed.
This structure may be occupied as a Dne Family Dwelling - attached two-car garage
Sherman Island Road
I.neation I 3)/)•N
Owner Paul & Linda Usher
By Order Town Board
TOWN OF QUEENSBURY
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Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY
• No. 88-536
WARREN COUNTY, NEW YORK b
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PERMISSION is hereby granted to Paul & Linda Usher
OWNER of property located at Sherman Island Road Street, Road or Ave.
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in the Town of Queensbury,To Construct or place a Attached two—car garage
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.
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1. OWNER'S Address is
RD#4 — Box 345 — Sherman Island Rd.
Queensbury, N.Y. 12801
2. CONTRACTOR or BUILDER'S Name
Terry USher co
3. CONTRACTOR or BUILDER'S Address
9 Cortland St.
Glens Falls, N.Y. 12801
4. ARCHITECT'S Name to
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) R
( *Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 22'X 22' as per plot plan, specifications and application. w
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8. Proposed Use a
attached two—car garage
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5.00 C/O
$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES February 1 19 89
00
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the N
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 25th Day of July 1g 88
SIGNED BY for the Town of Queensbury -
Building and Zoning Inspector -
TO BE COMPLETED BY BLDG. DEPT. ,
r _q Application No. 174 i 0: r�;iE:": -_. ;-.,�,
�O[(/rf DI Qucui,iiiurjj Permit Issued 19 0 i f '' _` i - r"‘
BUILDING and ZONING DEPARTMENT Permit Expires 19 •
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation S'p - .i) JUL 2o L,,'
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Queensbury, New York-12801 Variance No. i _
Site Plan Review No.
�i�� BUILDING & CODE DEPT,
Approved
APPLICATION FOR �a(s'L, /lr �V c✓YY�
. BUILDING AND ZONING PERMIT e
* * * .* * * * * * * * * * * * * * * * * * * * * * * * *. * * * * * * * * * * ::.*
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.
The owner of this property is: Tok.,u,t, .f'_ LihittIi_ CL / pp-
P.O. Address 4 &0)(. 3 SJ 1'pM) 117
Rd) 59 Tel. 7 2/ O
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Property Location: u +sox3'h- � ekmi{N is-. f�, Tax Map No dye) / , /
Street number or building lot, number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE -FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
j�-e 1-.y W -Lec- - 5 C01 t�..,� ri-p Pees s Aills,,//1Y 713w-/3
Name P.O. Address . Tel. No.
Name of builder I$kr) UKA-ep Address43COR 1- St', gf Tel. 71 7— / 31y-
Name of plumber Address Tel. ---
Name of mason -- Address
® Tel.
•
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
YConstruction 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) ��,r et g,-Q,. * set-back dimensions from property lines. Give
G� C,kfo( 1- H L(1:-e * 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 STRUCTURES AFFECTED. * of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property 1 ;1_.S
ft X aCAD ft.
* Existing building(s) Size 'f ft X 4b 67 ft.
*
PROPOSED BUILDING AND USE: * Existing building(s) Use .p ,cte4i17d.L 1ono.e
Size of new structure ft X Z_ft * .
Foundation-pier/slab/crawl rtia /full * Proposed building, distance from property line
(circle one) *
* Front yard 80 ft Rear yard 3� ft
No. of stories (habitable space) :..1.- Side yards '_;` ft and 6'3 ft
Height (grade to ridge) ft. *
* If on corner, setback from side street '.'+ ft
If residential, no. of families NO
Na. of rooms(excluding baths) NO * OCCUPANCY INFORMATION
No. of bedrooms PO * PRIMARY BUILDING
No. of bathrooms ND *'fN0nne family dwelling
Primary heating system Na * Two family dwelling ,
Type of fuel NO * Multiple dwelling / Number of units
No. of fireplaces to be installed AA)
* Permanent occupancy
Will a wood stove be installed? A/0 * Transient occupancy
Central Air conditioning? NO
* Business . .
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
4111100
* Other
Contemporary Log cabin * If addition, what will use be? 6Ll�a jf.�
ft ised ranch Mansion Duplex .
Split level Old style Bungalow * ,
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House * Detached garage/one car/ tw car/ car
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two carp_ car`
* * * * * * * * * * * * * * * * * * - Private storage building
ESTIMATED MARKET VALUE OF * Other • •
CONSTRUCTION � t •[- .ate *
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 saf e,etc. . LAio oj
Will any second-hand. or ungraded lumber be used? If so, for what? •
/
Foundation wall material Co tvCiu{t Thickness a F& be y- ,:
Depth of foundation below grade (to bott m f footing) if Ft
Will there be a cellar? toR0 Heated or unheate Floor sq. footage sq ft
Will there be a basement? No Will any portion be used as living space? Na
' (If so, what por_..•n? 6LD sq.ft. - - Type of use? NO
Type of roof - slope, flat/shed/other - Material,-of roof 5A4Zis.feS
Size, wood studs . "X " spacing Kt' "o.c. length 3) ft.
Joists(floor beams) 1st. floor "X " spacing "o.c. span ft 6Q
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.CA,C9J
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters "X " spacing o.c span ft.
Roof trusses(pre-engineered spacing 2/ "o.c. span , ft.
Exterior wall finish goo- t l 411,J • .. Of what material?, jP%
► Nla.' ,
Interior wall finish PIOA/e O !Z Ske-?fRock •
If a gaage is tQ be attached, describe materials -pp be used for FIRE SEPARATION:
al-chti 0-1-01 /i o r-e la/a it
Is there to be an opening between garage and dwellingWAVD If so will a Fire-rated •
door, enclosure, and self-closing device be provided?
Will a flue-lined chimney be installed? Ala 'Height above roof ft.
Depth of chimney foundation below grade ArYwP. ft.
Depth of fireplace hearth AO ft. in.
Water supply - Municipal or private well
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties Q ft.
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury AFFIDAVIT STATE OF NEW YORK
County of Warren
•
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 c 1 '( ��%Owner architect co(07.4jya..,-D
owner's a entg ractor
day of 19
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * .* * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
•
•
•
By
INTERIM BUILDING PERMIT
PERMIT APPLICANT �, (A—Zg/e
CONSTRUCTION LOCATION r_/L1. 1/„ c '
EFFECTIVE DATE -7 j
APPROVED BY � �
t_12,A
SPECIAL CONDITIONS :
This will certify that all submittals for a Building.
Permit have been received and fee has been paid .
During the processing of the Permit , the above named
may begin construction per plans submitted . It is the
responsibility of the applicant to obtain the Permit
from the Building Department, following pr - cgssing .
POST THIS INTERIM PERMIT IN A CO SPICU S ZOC ONE! !
ui - ing & Co es Department
TOWN OF . QUEENSBURY
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
. � � ,i.
ITEMP.# ; r (DATE/ I f� tl'
-
CITY OR ^','
t LAJ' ��
VILLAGE t TOWNSHIP �-}`' 7JJ t ' COUNTY '-f-;11•'-` --- , •
STREET AND NO.OR li:_# ,...1 .. . , .�; `�i h £'a.. .�s
ROAD AND POLE NO. ' POLE NO.
BETWEEN WHAT TWO r- j / _ ' r'°•
CROSS STREETS IS i i ,:i4 1-1.l . f 71. 0;,14i/I f'/-.cf. '" //� i
PREMISES LOCATED? rf SECTION } BLOCK LOT
OCCUPANT'S �'- / (// BUILDING `
NAME J tl L.i C 1.(_(/.'.t"k OCCUPANCY �(r sf (c. !r,I (,,?,�;:iti' ... ✓r�/'(,�I •
OWNER'S NAME — + ( / / j' -
ANDADDRESS VO. t.{{. tl S/•.Pk •r,1.. k/i'(n;-- 1.: 1�./. TEL.# j.j, _. f L! fo
CURRENT -
SUPPLIED 11%i' r'"c),r, t.,I-
BY FROM THEIR r-1 ( IL!: OFFICE
BUILDING_.i 1r'.' '. { { ,_ WORK f -( ,�, DEFECTS
IS - '; n,5. NEW L_.N OLD❑ W.,.. i=' IS NEW ti ADDITIONAL / REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No.of Fixtures fL BRANCH
MOTORS HEATERS CIRCUITS OFFICE USE
NUMBER OF OUTLETS Lamp Receptacles ONLY
Loea-
Lon Side Attach't H.P. Watts A.W.G.
Ceiling Nat Ret�p'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
out-
!f
Sub-base l'� 1.'k / a/ '(
Base- .
ment
fl �,1 a4 .
1st FI. -rd;,- r--
2nd Fl.
3rd Fl. •
•
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE.
This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed,
you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant. '
SIZE OF ELECTRIC SIGN TOTAL
MAINS • FEEDERS LAMPS WATTS •
CHARACTER EXPOSED V GAS TUBE SIGN k ;
OF WORK • CONCEALED TRANSFORMERS OF, VA
WORK TO BE ! '. ,.,.... (NUMBER) (CAPACITY)
' STARTED .`�- COMPLETED - SIZE OF SIGN ' •
SERVICE OVERHEAD UNDERGROUND - MAKER
•
ENTERS •
OF SIGN ('''
BUILDING - . • • ,
INSPECTION REQUESTED r - .-
ONORASNEARAS
POSSIBLE .14 NEW OLD
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES -DATE OF F t:=1 l 1
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. - APPLICATIf�V / / /'` r `' ".,
PRINT NAME A D ADDRESS • "" `'
ANAME OF PPLICANT Pc. U L C19 -e- • X SIGNATURE C�Uwe ,, 4_, _
„OF APPLICANT //
STREET ADDRESS Pi r [3,..,'l 'A �'�'�'f 'Ilni {"S - /fir f TELEPHONE# 79 —1 V?o
CITY OR ''i+ /�• i 11 %r }t - ZIP f ,11 )i LICENSE NO.
POST OFFICE ) / ' ' t t . - -J CODE I -t' �'f _WHEN APPLICABLE
46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
/410 2- 2
REQUEST FO INSPECTION RECE VED
NAME re ".. 4,JG&-'/7J jZr'�Y i
LOCATION . 4,27, nz77,,piJ `CJ. .k.
DATE ,/1I V I c) PE IT # 2/7 S�C�
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APPROVED
( ?h,6/X L IJ.I'/1..� �/61..(6'lam- YES NO
FOOTING/PIER• 1
MONOLITHIC POUR FORMS /
FOUNDATION/D'' P-PROOFING •
BACKFILL APPROVAL r
ROUGH PLUMBING ' /
FRAMING /
ELECTRICAL ROUGH-IN
9
INSULATION: 1
1
FOUNDATION
FLOORS 's
WALLS 1, .
CEILING 1
FINAL INSPECTION:
CHIMNEY HEIGHT /
ROOFING
SIDING ✓
EXTERNAL PORCHE STEPS •
STAIRS-CLEARANoE RAILS
PLUMBING FIXTU:'ES?RELIEF VALVE
INTERIOR TRIM/•RIVACY DOORS
FINISHED FLOORS \
GARAGE FIREPR4.FING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRIC'L INSPE TION 1//r:-/
_FINAL APPROVAl OF CONS RUCTION
- OK TO ISSUE C 0 OR C/C ,
A SIGNED CER IFICATE OF .00CUPANCY MUST BE
OBTAINED FRO THE BUILD G DEPARTMENT BEFORE -
THESE PREMI'.ES ARE OCCnUP ED!
REMARKS: I1ZC_e U .,) n ,- ' f/14..1 ii\/
143
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•
. ARRIVE • 1 I
DEPART
INSPECTOR
awn o/ Queenilurcy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME US( I /_
LOCATIONs4 mAi ISL. a/so
Date Vti. / O Permit No. S36
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
)(Framing Cj IAJN-I (—
Roofing
Siding •
Masonry Veneer
Rough Plumbing
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 / /
Floors / \
Walls
Ceiling \
FINAL ELECTRI AL INSPECTION \
DRIVEWAY APPRO AL
Final Building Survey r
Next scheduled inspection (call when ready)
Remarks- al✓ Q UI Q:-‹ Al Lei 1 Z
J,A-,A Sc U ate-- G a s op s m-'`'s
iat_pi)
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Building Insp-.tor
6/86 and-vl •
auin 4 Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
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NAME • iG./I f� �•-J�L
LOCATION 5i•kiiif):t•ti-NA ' I:S.[ `(:• - !t'i 'i'('i
• Date 7/if / °-c--- Permit No. g',5;"51i
* * * *1* * * * * * * * * * * * * * * * * * *
✓/_= APPROVED - YES / NO
)!Footing/Pier Forms 1�.'ti.;1;\rn ;,,_. .t.------
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding •
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings -e./ 0)
Cellar Drain Tile
Concrete Floors i \40
Plbg. Fixtures I
Gar. Fireproofing
Door Closers , ` ��
Smoke Detectors ®r (/
Chimney
INSULATION: 1
Foundation 1 '
Floors
Walls
Ceiling
FINAL EL CTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
•
Next scheduled inspection (call when ready)
Remarks- cWPM—
OD kAggr 14141
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Build n I s e for •
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ERMISSION FROM NORTHERN HOMES INC. IS PROHIBITED.
THE USE OF THESE PLANS FOR CONSTRUCTION OR ANY OTHER PURPOSE WITHOUT WRITTEN PIONS SHOWN.
DO NOT SCALE THESE DRAWINGS. THEY MAY NOT BE TO EXACT SCALE. USE ONLY THE DIMES PLANS AND DETAILS CONFORM TO ALL REQUIREMENTS. THEY SHALL VERIFY ALL DIMENSIONS BEFORE PROCEkDING WITH
OWNER AND CONTRACTORS SHALL: CONSULT APPLICABLE BUILDING CODES TO INSURE THAW DISCREPANCIES BEFORE WORK IS PERFORMED.
CONSTRUCTION WORK AND SHALL NOTIFY NORTHERN HOMES DRAFTING DEPARTMENT OF NL PROBLEMS RESULTING FROM THE FAILURE TO FOLLOW THESE PLANS AND THE DETAILS AS OUTLINED IN THE
NORTHERN HOMES SHALL NOT BE RESPONSIBLE FOR ANY ADDITIONAL COST OR STRUCTURA
NORTHERN HOMES CONSTRUCTION GUIDE.
CONSTRUCTION GUIDE
fERENCE DETAIL NUMBERS
REVISED
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TOM OF QUEENSDURY
NORTHERNHOMES
GLENS FALLS, N. Y.
CUSTOM DESIGNED FOR: btS
I... 0 61.4 L.-
PRELIM BY: FRAMING DWG'S. BY:
DATE: Os1 .)UL`( a07$) DATE:
DRAWING NO. ORDER N0. V
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THE USE OF THESE PLANS FOR CONSTRUCTION OR ANY OTHER PURPOSE WITHOUT WRITTEN PERMISSION FROM NORTHERN HOMES INC. IS PROHIBITED.
DO NOT SCALE THESE DRAWINGS. THEY MAY NOT BE Tf) EXACT SCALE. USE ONLY THE DIMENSIONS SHOWN.
OWNER AND CONTRACTORS SHALL: CONSULT APPLICABLE BUILDING CODES TO INSURE THAT PLANS AND DETAILS CONFORM TO ALL REQUIREMENTS. THEY SHALL VERIFY ALL DIMENSIONS BEFORE PROCEEDING WITH
CONSTRUCTION WORK AND SHALL NOTIFY NORTHERN HOMES DRAFTING DEPARTMENT OF ANY DISCREPANCIES BEFORE WORK IS PERFORMED.
NORTHERN HOMES SHALL NOT BE RESPONSIBLE FOR ANY ADDITIONAL COST OR STRUCTURAL PROBLEMS RESULTING FROM THE FAILURE TO FOLLOW THESE PLANS AND THE DETAILS AS OUTLINED IN THE
NORTHERN HOMES CONSTRUCTION GUIDE.
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