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1992-006 .--"Jim � �►. +CERTIFICA"I" E OF OCCUPANCY TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK Date r *" ej 19 -c2? 303W - w This is to certify that work requested tp be done as shown by Permit No. 92-006 has been completed. This structure may be occupied as a Singh Family Dwel l igg 14 f.ocation ZO Lynn Avenue Owner __ _ Jahn J_ Tayl n r By Order Town Board TOWN OF QUEENSSURY i Director of Bldg. & Code Enforcement BUILDING PERMIT mmq IW TOWN OF +QUEENSBURY 92-006 ,"` > No. WARREN COUNTY, NEW YORK r 'c 0 PERMISSION is hereby granted to John J . Taylor w OWNER of property located at 13 Lynn Avenue Street, Road or Ave. in the Town of Queensbury, To Construct or place a Single Family Dwel 1 i ng 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. t_ OWNEWS Address is 4 North Oak Street 16C, Hudson Falls , NY 12839 01 2. CONTRACTOR or BUI LDER'S Name v C Sam � U 3. CONTRACTOR or BUILDER'S Address Fes+ W 4. ARCHITECT'S Name I� A 5. ARCHITECT'S Address c fp 6. TYPE of Construction — {Please indicate by XI fJ'! .w. IX I Wood Frame ( ) Masonry ( l Steel 1 } a fL� 7. PLANS and Specifications tQ T No. 1 ,512 sq ft Single Family dwelling as per plot plan specifications and application 4NC S. Proposed Use Single Family Dwelling eCt $ 168400 PERMIT FEE PAID — THISPERMIT EXPIRES January 6 , fy 93 (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date_l Dated at the Town of Queensbury th' 6t>h D y f January 1992 SIGNED BY 7 for the Town of Queensbury wilding and ning I rrapeotor TOWN OF QUTEENSBURY REVIEWED BY : TOWN OF QUEENsuu €i y FEE PAID : esgr PERMIT N V JAN OUILMN(I & CODE DKPT. BUILDING PERMIT APPLICATION A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . NO INSPECTIONS WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT . All applicants spaces on this application MUST be completed and the signature of the applicant MUST appear on the reverse side of his application . * * air ,r * a4 !r * * yr * : yr * * air ,t yr * ,t ,t ,� * � ,► fe ,� ,t at * * * ,t it * ar * dr it * ,t Owner of Property . P . O . Address : 41PHONE %CP Property Location : `/ � � Tax Map Has there been any split of this property since October 1 , 1988 ? Yes No )_ If yes , Planning Board Review is necessary . Subdivision Name , if applicable : Lot No . THE PERSON RESPONSIBLE FOR SUPS ISION OF WORK AS REGARDS TO BUILDING CODES IS : zy NATURE OF ROPOSED WORK : ' ESTIMATED MARKET VALUE OF THE Construction of new building * CONSTRUCTION : $ '7 Addition to building *Alteration to to building * COMPLETE INFORMATION REQUIRED BELOW : ( no change to exterior dimensions ) * Size of Property : / 57c2 ft . x s'p ft . Other work ( describe ) * Existing Building Size : * ft . x ft . * proposed building - distance from GROSS AREA OF PROPOSED STRUCTURE : * property line : 1st Floor 2 ~'� 6� Sqe Ft . /Cis * Front Yard 3Qrft . Rear yard � ft . ^ , , * Side Yards � ft & t . and to ft Sq , Ft . If on corner 2nd Floor �^ tback from side street- {p * f t . Other Floors - -- Sq . Ft , ( not cellar or basement * OCCUPANCY INFORMATION : * TOTAL FLOOR AREA : r/�_ Sq . Ft . * Primary Building - * X One Family Dwelling Size of New Structure : ft , x eft . * Two Family Dwelling Foundation - * Multiple Dwelling/No . of Units Pier/S1a Crawl artial /Full ( Circle One ) * Business * Industrial No . of stories ( Habitable space ) * Other Height ( grade to ridge ) ft . If residential , no . of fames ' es : * If addition , what will use be? No . of rooms (excluding baths ) : 16 No . of bedrooms : No . of bathrooms . * Accessory Building : Primary heating system, ,�.�e �, ?r ,p * Detached Garage - One/Two Car Type of fuel : * Attached Garage - One/Two Car No . of fireplaces to be f6stalled : * Private Storage Building Will a woodstove be installed? : _� * Other Central Air Conditioning : Yes o ( OVER ) BUILDING PERMIT APPLICATION CONTINUED : BUILDING SPECIFICATIONS : Y J„ Y �01 Type o . 'a 'f'r i�ri+ c'f# Ok _ frame , fire safe , etc . Wi 1 T ` aI cbri � ha d" raded lumber be used ? If so , for what ? u Foundat ' go, 11,a,, Material : ("'n ir�� Thickness : , f� Depth of FF nda ion beTowe (grade ( to bottom of footing ) : Will there be a cellar ? G' Heated or Unheated ? L ,!I 'Yyl ed Floor Sq . Footage : � Will there be a basement ? se Will any portion be used as living space ? If So , what portion ? lllllllll Sq . Ft . Type of Use ? Type of Roof : Sloped/Flat/Shed/Other - cSC�f'�('�G ateri aT Sizes wood studs " x 6_" ; spacing ZL 4 , C . y � engt l Joists ( floor beams ) : 1st Floor x ,/00 "' ; spacing o . c . ; span 13 ft . Joists ( floor beams ) ; 2nd Floor '" x ZC? spacing o . c . ; span / ft , Overlays ( ceiling beams ) : " x �— " ; spacing .� 6 - " o . c . ; span ft . Roof rafters : INx , spacing 16 o , c . ; span JZY ft , Roof trusses ( pre-engineered ) : spacing ---" o . c . ; span - ft , Exterior Wall Finish : >,. 2��, �/ � A Of what material ? Interior Wall Finish : - --- If a garage is to be attached , describe materials to be used for FIRE SEPARATION : Is there to be an opening between garage and dwelling? If so , will a Fire- }sated door , enclosure , self-closing device be provided ? Will a flue- lined chimney be installed ? lj/G7 Height above roof ft . Depth of chimney foundation below grade : ft . Depth of fireplace hearth : ft . in . Water supply - Municipal or private well : Ael SEPTIC SYSTEM : Distance from and' private well 0-nc7udirfg adjoining properties : ft . (A separate application is necessary for any repair or new installation of septic system . ) NAME OF BUILDER & ADDRESS : ZS' y,. 2,,g��,,/.... �' NAME OF PLUMBER & ADDRESS : �,r ' ` ' '" '` � 'rS ___PHONE 7 ,+,� 4! � NAME OF MASON! & ADDRESS : PHONE�.z . 3 7 GY Gs NAME OF ELECTRICIAN & ADDRESS : � /ems - / _PHONE � � i PHONE DECLARATION To the hest 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 Taws pertaining to the proposed work shall be complied with , whether specified or not , and that such work is authorized by the own Signature �,. mle ner wner s agent , rc coat ctor ♦! IPECIAE By: Code Enforcement urricer ENERGY CODE COMPLIANCE APPLICATION TOM OF QUEENSBURY , WARREN CO1JNTY - 9000 HEATING DEGREE DAYS CoMPliance Methods: FART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings ( ONLY) PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family dwellings ; Multi - Family Dwellings ( 3 Stories or Less ) PART 4 - Design By Component Performance - Commercial Buildings - Hi - Rise Residential PART 4 & 6 - Compliance Methods Require Submission of worksheets �----- ► PR�R T Y LOCATION PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE : 1 . Gross Floor Area - fS�/z;� Sq . Ft . 2 . Type of Heat - c . ase oard Other 6 ,L7.5p 3 . Is Building Mechanically Cooled ? YES NO 4 . Percentage of Area of Windows and Doors Over 17% Under 17% THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND To R E Q U I R E D THE R-VALUES SHOW ON PLANS SUBMITMI Baseboard 5 . Insulation Values : Actual Shown Elec . Heat Other A . Roof 3 Floors exposed to ambient temperatures R -p B . Exterior Malls R-.wG? C . Glazed Area R D . Exterior Doors R 7 E . Floors over unheated spaces R. F . Edge of Slab on Grade ( Heated Building ) R_ _ G . Basement/Cellar walls (Above Grade ) R H. Basement/Cellar walls ( Below Grade ) R I . Heating/Cooling- Ducts - Piping in Unheated Space R > 6 . Service (Domestic ) Hot Water Heating Device A . Conforms to minimm efficiency per code =Z. YES NO TEMPERATURE CONTROL MAXIMUM SETTING 140• - WILL N" BE EXCEEDED INSPECTOR ' S REMRKS ow TOWN OF QU£ ENSBURY APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # Fee Paid Date : AZI Reviewed B LOCATION OF PROPERTY FOR INSTALLATION : �` 5 :51G Owner ' s Name : ,r4�/1'i'' _ Owner ' s Mailing Address : Installer ' s Name : �/ ,e? z& /Croc//' Phone Number of bedrooms ( if residential ) : Total daily flow ( residential - compute @ 150 gal . per bedroom ) : Topography-Circle One : FTa Rolling Steep Slope % of Slope Soil Nature- Circle One : Sand Loam Clay Other /Depth : Ground Water-At What Depth? Feet Bedrock or Impervious Material -At What Depth ? Percolation Test- Circle One : Not Require? Required/Rate Min , Per Inch Domestic Water Supply-Circle One : unicr~ip Well Other If domestic water supply is a = Separation : Water supply from any septic absorption feet PROPOSED SYSTEM: Septic Tank 1. oc�7c> gal . ( Minimum size : 1 , 000 gal . ) Tile Field : Each Trench _! feet//Total System Length jF91JUE04SBU'RY Seepage Pit ( s ) : Number of / Size each : fto x TMLTe � 1,�I( Depth or Thickness RPJAN 3 19 Size of Stone to be used : # / De p 91 18U11 G1NG & G,©UE HOLDING TANK SYSTEM IF REQUIRED No . of Tanks Sizelof Each Gal . Alamo system and associated electrical work to be inspected by a certified agency. I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the Town of Queensbury sanitary Sewage Disposal Ordinance . SIGNATURE OF RESPONSIBLE PERSON : � � DATE : day at Mawmand "*ado OHiaa Phan* 51&793-7771 Ouownaburl►, Nor York 12001 PAUL K MAYL014 RICHAAD A MISSITA Suy +t+►�wrWnt +H►�Awap 00PUty SU~107tendenr Hrghwars DRIYE1iAY PERMIT T,©WN OF Q��gVAY DATE .. I 'a'@� APPLICANT KAM : -,f c'�G 1' r''� r 1� �r''!�r3 /" J AN � � 1 T. TELEPHONE NO . . ADDRESS TO BE INSPECTED : ,/ //d:� ./ RETURN ADDRESS : 086 . S �` .� f7 Applicant must show exact location and width of driveway( s ) to be connected to the highway by placing stakes at the specified location . The Superintendent of Highways , Town of Queensbury , has reviewed the application of the above named resident to connect a driveway to the Town road . The following action has been taken : STEP 1 : ( ) Preliminary Approval NEED . { ) Slight Swail ( ) Level With The Road ( ) Deep Swail Size Pipe to be used ( if necessary ) ( ) 12" ( ) 15 " ( ) 18" ( ) 24" ( } 36" Preliminary inspection by DATE Approval by Highway Supt , Depty . Supt . After receiving the Preliminary Approval , submit the permit to the Town of +Queensbury , Highway Department upon completion for a Final Approval . STEP 2: ( } Final Approval ( } Rejected DATE : Superintendent of Highways Torn of Queensbury 1011N OF OUEEN58URY 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 745~ 4447 DING INSPECTOR ' S REPORT FINA NSPECTION REQUEST FOR INSPECTION RECEIVED NAME v r1 fw.f L fa �. �r,, LOCATION BATE , G r. PERMiTi ,,� — �_ TYPE OF STRUCTURE � , �)kV L--6c_i Alt,,, RECHECK FIRE MARSHAL APPROVAL ( COMMERCIAL STRUCTURE ) FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL SEPTIC — INSULATION WOQDSTOVE/ FIREPLACE REMARKS APPROVAL CHIMNEY HEIGHT/ OCATION +' N/A YES NO B VENT/LOCATION k PLUMBING VENT x ROOFING SIDING x DECK/ PORCH/ STEPS/IVI VNGS aC RELIEF VALVES x FURNACE/ HOT WATER ERATING )< BASEMENT INSULATI DUCTWORK INTERIOR TRIM/ PR A Y DOORS FINISH FLOORS : BATH/ KITCHEN AT ER GHT X OTHER FLOOR SWEEPA E OTHER FLOG CARPET �c STAIR CLEAR CE/RAILIN n HANDICAPPED/ ACCESS SMOKE DETE _ ORS BATH ANS rC ALL PLUMBING FIXTURES OPERATING n- GARAGE FIRE PROOFING :t✓ "� DOOR CLOSERS v 4 OTHER FIRE SEPARATION FIRE/DEMISE WALLS DUMPSTER SITE PLAN/ VARIANCE REQUIREMENTS FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMMENTS : / f ARRIVE ' `-IU DEPART f� s; `' r Z IN �nwre o� �uee►7s �ur+� t am BUILDING and ZONING DEPARTMENT Bay and Hawiland Road, R.D- 1 Box 98 Queensbury, New York 128()1 SEPTIC DISPOSAL SYSTEM INSPECTION w NAME � LOCATION DATE �/ PERMIT SOIL TYPE - Sand c Loam ft '' Clay Percolation Test Rqu creed? YES, _ NO Percolation rate - Min/Inch TYPE of SYSTEMz Absorption fie total length ' Length of each trench Depth of trenc es ' Size of gravel SEEPAGE PITS4N er of Size- ft. X f Gravel size PIPING : Size 'y e Bldgm to tank Tank to dist. bo L{ r r Distv box to fi d ,it y Openings sealed YES NO Partial LOCATION/SEPA TIONS : Foundation t tank iO ft. Foundation absorption �ft . Absorption o lot line ft. Separation f pits £t. LOCATION SYSTEM ON PROPE (circle one) Front - Re r - Left side - R ht side - CC MMENT ; SYSTEM USE APPROVE YE NO B i Inspector 01/86 and vi ` � 4 or f i J (a TOWN of QUEENS&UR k' lZk JAW 3 0 BUILDING & CODE DEFT. r j _ 1 � Q � i g I f Ir 1 I r� j)rrrl�ru i� + J TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 745- 4447 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED 2h c,I? 2 -it^ NAME LOCATION DATE `� PERMIT # TYPE OF STRUCTURE RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPON IBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FO LOWING THE PLACEMENT OF THE CON RETE . MATERIALS FOR THIS PURPO ON SIT FOUNDATION/WALL POUR It REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLA PLUMBING UNDER SLAB FRAMING : JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN B M HEATING ROUGH- IN VINSULATION : FOUNDATION WA NTERIOR - FOUNDATION W LS EXTERIOR R- FLOORS R_ WALLS R- CEILING - DUCT WORK R PIPING IN UNHEATED SPACES REMARKS : ARRIVE DEPART NSPECTOR BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 een bury. New York 12801 �c,•'-roc..."' ,r�j �-.-,�C.,IE�..� S�EPT,IIC DISPOSAL SYSTEM INSPECTION NAIVE. LOCAT I ON +/ � • _ DATE PERMIT NO. 4 h 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 PITS4Number of) Size- ft. X _ ft. Gravel size a PIPING : Size T e Tn to tank ^^ Taankk to Gist. boss "� _ , ...... Dist. box to field/pit- Openings sealed? YES NO Pa ial LOCATION/SEPARATIONS. Foundation to tank ft. Foundation to absorption ft . .Absorption to lot line ft . Separation of pits —l.,+g�ft. LOCATION OF SYSTEM ON P PERTY (circle tine) Front - Left si - Flight side - C C KMENTS : SYSTEM USE APPROVED YE NO Hui ing Ins ector 01/86 and vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518) 745- 4447 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE D 19 a PE j TYPE OF ST UCTUREy RECHECK APPROVED N/A YES NO j FOOTINGS/`PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONS BLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PUR 0SE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL j : V- ROUGH PLUMBI: PLUMBING VENT/V IN LA E PLUMBING UNDER SLAB � iWRAMING : JACK STUDSMEADRS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MATW BEAM HEATING ROUGH— IN INSULATION : FOUNDATION L INXERIOR R— FOUNDATION WALLS YTERIOR R— FLOORS R— WALLS R— CEILING R_ DUCT WORK OR ING N UNHEATED SPACES REMARKS : ARRIVE 3 s► DEPART �I' INSPVTOR TOWN OF QUEENSBURY � BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 792- 5832 BUILDING INSPECTOR' S RE' T REQUEST FOR INSPECTION RECEIVED NAME LOCATION l Ir1 b DATE — � PERMIT ## TYPE OF STRUCTURE 50 RECHECK APPROVED N/A YESI NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLA E THE CONTRACTOR IS REINSIBLE FOR PROVIDING PROTECTI FRX FREEZING FOR 48 HOURS LL0 THE PLACEMENT OF THE CO RE MATERIALS FOR THIS PURP SE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING �ACKFI L APPROVAL ROUGH PLUMBING PLUMBING VENT/ VENTS ACE PLUMBING UNDER SLAB FRAMING : JACK S711DS /HEADS BRACING/ BRIDGI JOIST HANGERS JACK POSTS / N BEAM FIRESTOPPING WA L L S CEILING FIREWALL HEATING OUCH- IN INSUL ION : FOU DATION WALLS ERIO R- FO NDATIO N WALLS TERIOR R- F OORS R- A LL 5 R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS : k ARRIVE DEPART I LP �R � TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 74.5- 4447 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED_ ,I NAME LOCATION � :13 „ r )3Ijj DATE 1 PERNITcy f TYPE OF STRUCTURE RECHECK APPROVED FOOTINGS/PIERS N/A YE 0 MONOLITHIC POUR FORM REINFORCEMENT IN PLAC THE CONTRACTOR IS RESP SIBLE FOR PROVIDING PROTECTI FROM FREEZING FOR 48 HOURS LLOWIN THE PLACEMENT OF THE C CRET MATERIALS FOR THIS PURP SE SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFIN BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/V ITS IN LACE PLUMBING UNDE SLAB FRAMING : JACK S S/HEADER BRACT /BRIDGING JOI,ST HANGERS JACK POSTS/MA N BE. M HEATING ROUGH- IN INSULATION : FOUNDATION WAL S I ERI0 R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R_ DUCT WORK OR PI ING IN UNHEATED SPACES REMARKS : ARRIVE L4I ,' �U _ DEPART f �� INSPECTOR r 40LOT WN OF Q UEENS B U'R Y Bay at Havifand Road, Queensbury, NY 12804-9725 (518) 792-5832 January 29 , 1992 John Taylor 4 North Oak Street Hudson Falls , NY 12839 RE : Permit #92-006 13 Lynn Avenue To whom it may concern : In reference to your three bedroom Cape at 13 Lynn Avenue , a Certificate of Occupancy will be issued and the discrepancy between the surveyors set backs and the plot plan filed in this office will not have any barring on the Certificate of Occupancy being issued due to the minor discrepancy. DAVID I TINx DIRECTOR Building A Code Enforcement DH : se _ 'HOME OF NATI.IRA1, RFAI ITY . . . A GOOD P( ACE TO LIVE " ,SETTLED 1763