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8536 i CERTIFICATE OF OCCUPA.N'Cnn TOWN OF +QUE'ENSSURY ' WARREN COUNTY, NEW YORK -l9� I This is to certify that work requested to be done as shown by Permit No &5Ma has been completed. )v� This structure may bme octcu ied as a t II Owner By Order Town Board TOWN OF QUEENSBURY i I � _ Building & 'zoning Inspector r CRrcAT1YC 'IMSTR rPINT1NG. 4LENS iALLS N S BUILDING PERMIT TOWN OF QUEENSBURY Na 8536 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Ronald and Evelyn Sheerer 0 Sherman Avenue Street, Road or Ave. � OWNER of property located at Q'' Pi in the Town of Queensbury, To Construct or place a One-Family Dwelling 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. fD f . OWNER'SAddressis Yndiana Avenue Glens Fallsr New York Cn m 2. CONTRACTOR or BUILDER 'S Name SAD same 3. CONTRACTOR or BUILDER'S Address same 4. ARCHITECT'S Name Cb �11 5. ARCHITECT'S Address C tZt • fA 6. TYPE of Construction — (Please indicate by X1 i N Wood Frame ( I 'Masonry ( ) Steel I 1 7. PLANS and Specifications 28 ' x44 ' per plat plan , specifications and No, application submitted including sewage system , 0 B. Proposed Use M one-Family Dwelling F- l� $ 5 . 00 C/O Paid 134 kC $ 91 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES December 1 19 p (it a longer period is required an application for an extension must be made to the Building and Zoning inspector of the (D town of Queensbury before the expiration date,) May 19 84 s 3 Dated at the Town Df Queensbury this f ,� _1S/t� Day of Y q SIGNED BY Yrl4 + J�-�J"�' -� for the Town of Queensbury i Building and Zoning Inspector �� TOWN OF QUEENSSURY ( Space inside block to Ix, filled in br WARREN COUNTY. NEW YORK Building Insprtwicsr) Application for , PP11( a(ion No. P(.1-I111t 1 %_Ntled 19 BUILDING AND ZONING PERMIT I° , '" it P.%Lpires _ THREE ( 3 ) Copies of a PLOT PLAN, Drawn to scale showing the actual dimensions of the lot to be built its r,,.11 l(j upon, The exact size, and location an the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. 00 tD TOWN OP QUEENSE3URY A PERMIT MUST BE OBTAINED BEFORE BEGINNING-, 'WORK � r' �t( IDS U V '` ANSWER ALL OF o THE FOLLOWING. MAY 3 0 19 �� The undersigned hereby applies far a permit to do the following work yp � which will be done in accordance with the description, plans and specift- A,M J "j''" Off'' ' p cations, and such special conditions as may be indicated on the permit. 9$ 1121814 7 � • � . � . r - . • . I . The owner of this property is: At INA':E} 1P O. AUDRESS5 Tttq person T7POnsibi4 for supervision of the work insofar as the/ Building Code and the Zoning Ordinance apply is: no � , , , , � �.�- �� ,Cc'► rat . -1 i 1 � I"R -r! � . , - 1 L! 4' I7 . df _ `�': _ . . •,'t. / r* .t.1.6 , . ilt+ 'f .F,,!j �w!+• ��r .- jNAMEI tP O ADDRESSI � ,{ Name of Builder - �0 11.4 .I . . . tiJ 3. .tr. J. .t . . . . . . . . . . . . Address .-SCL-ttx C- . - . . . . . . . . . . . . . . . . . . . . . . . . . Name of Plumber . . . . . . . `5,a: ► ►.t.4 . . . . . . . . . Address . . . . . Narite of Mason . . . . . . . - . f. C( ) f f 3 . . . . . . . . . . . Address . . . . . . . . . . Lot Number , . . . . . .�.y . . . . Unit . . . . . . . . - - - - Estimated value of proposed work $ . . . .7-C.4t O-i� .o . . . . . . . . . . . . . . . . . . . Name of Village . . L [i .(A eC ,C rt$ :6% l,.e. r )•. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - . . , . . . . . _ . . . . . . . . . . . . . . . . _ . Name of Street . . . #5 h r. r"A. «? . - . .<14 P. lr, t I" tom. . . . . . . . . . . . Side of street ; north 13. east 0 , south O . west 0 Nearest Cross Street e.0 . . . 5 . . . . . . . . . . . . . . . , - - - - . , Distance from this --rocs street f 4�.. 00 . . Property is north © , south 0 , east tX , west I_] from Cross Street If on Corner, which corner, northeast U . northwest 0 , southeast O , southwe5t (Designate by marking with an "X" in the correct space.) NXIFURE OF PROPOSED WORK OCCUPANCY Construction of a new building. Main Building © Addition to a building. One-family dwelling �${ © Alteration to a building. Two-family dwelling C� O Demolition of a building. family apartment house Store building [] - - . - . . - -car attached garage Other: . . . . . . . . . . . . . . . . . . Accessory Building One-car detached garage C� Other work. Describe-. . . . . . . . . . . . . . . . . . . . . . . . Two-car detached garage Private chicken house . . . . . . Private storage building [� . . . . . . . . . . . . . . . . . . Other: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . , . . . . ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building, or a change of occupancy. i Indicate on the plot ,plan street names, the location and {jII size of the property, the location, site and setbacks of pro- NORTH posed buildings, and the location of all existing buildings. proposed building(s) in dotted line and existing b,uilding(s) in solid line. r Size of property . . . .3. 3. J . . . . _ ft., Qj Size and use of existing buildings, if any . . . . . . . . . . . , • - ► { r . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . W d W # Size of proposed building . _ . _ ft, x . . ft. t , . Height (from grade to ridges) .� . . � . . , +� . . . . . . . . . . . ft. t� � . - c Front yard . . . . . . . t - . . . . . . . . . . I . ft. r Side v_ ards . , ,� r0. . . . . . . . . . ft. and . . . . . . . . 49000 Sr7C�' ►" MRrt v� Rear yard ft. sout ►t If on to corner, setback from side street . , from , trees s ft. e Note : All distances are net, as measured from street side line to nearest part of building. savant 7-73 —m (coot'& y BUILDING SpE.CIFICATI0NS4 y� Kind of construction: Wood frame. fire safe, �e,tf.? . . . . . ? ` • K , f z : . . . . . . . . - - . . - • . . . . . . . . . . . . . . . . . . Will any second-hand lumber be used? . Va . . . . . . . If so, for what? . . . . . . . . . . . . . . . . . . . . . . t Material of foundation walls . . . . 412 140 � . . . r. . . . . . . - . Thickness . . LrQ . . . . . . . . . . . . . . . . Depth of foundation walls below grade . . . . . . . . . . . . . . . . Coneous foundation? Will there be a cellar? � "—' . . . . . _ If so, material of cellar floor . . . . ti f ' } '. t . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . Type of roof: Sloped or fif<t? �a.f��4'� . . . . Material of roof . . . . . . Gi S 'ca ih: . . . . . . . . . . . . . . Size, wood studs - . . . . . . . . . . . r x tF V1, spacing , . . . "o.c., length . . . G�' . . . . . . ft Size, floor beams, Ist floor . . . . . oG . . . x . . tG . . . . . . . . . . , spacing, . . . . ,I . . . . . . "o.c-, span . . . . All.`. . . . . , ft. Size, floor beams, 2nd floor . . _ _ . " x . . . . . , - . . . . . "', spacing . . . . , '" . . . . "o.c., span . . . . . €t_ Size, Ceiling beams . . . . . . . . . . . . v " x . . & . . . spacing ,V' dl • - . . o.c., span . Sine, roof rafters or beams . . . . . . . . . . " x . . .y- - ' & _ '=y spacing . . . . . . a .14 "a.c., span . . . . ! . . . - ft_ Exterior finish . . . . . . . . . . . . . With what material ? . . . 44-) , 0<ZL . . . . . . . . . . . . . . . . . . Finish of interior walls . . . . . S ? c ' . . , , . . 1:'i~.. t x � . . . . . . . . . . . . . . . . . . . . _ , . . . . . . . . . . . . . . . . . . . . If garage is to be attached, of what material is wall between garage and main building to be constructed? Is there to be an opening between "rage and building? . . . . , . . . . . . . . . . . . . . . . , , 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kind of heating system . . . . . . . . Ti"''- •'- . . . . . . . . . Oil burner or coal? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . will a flue-lined chimney be provided? . . . . . . . . . . . . . . . Depth of chimney foundation below grade Height of chimney above roof . . . . . . . . . . . . . . . - - - - - . . . . . . . . . • - . - . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will there be a fireplace? . . . . . . . . . . . . . . . . . . . . . . . . Depth of fireplace hearth . . . . . . . . . , . . . . . . . . . . . . . . . will a toilet be installed? . . . . . . . :,r- :�"'ra. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , - . . . . . . . . . . . . . . Will a kitchen sink be installed arid connected to water supply? . . . . . _"'Y . *.°s.. . . , , - . . . . . . . . . . . . . • • - Water supply ( public water supply or pump) _ . . , - . jo, ►..._+?t fII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �Q,j Distance of cesspool from any private well . . . . . . . . . . . . .�+1 e . . . . . . . . . , . . - . . . . . . . . . . . . . . . feet Will drainage system be provided with required traps, cleanouts. and vents? - . . . . .)t ex S. . . . . . . . . . . . . . . . . . . . . . . . . . AFFIDAVIT ! Town of Queenshury County of Warren State of New Stork 1 swear that to u-, bsii of nay knowledge And belief the statements oontained in this application. tofether with the na and specirrcaliaeas stsh mitred, are a true and cv...plete statement of all proposed. work to be done On the described premises and that �hzsbexs � fll ILM- ING CODE, THE ZONING ORDINANCE, and all other laws pertaining`a proposed wo=,cow, complied w or slat, and that such work is authorized by the owner. /„[ 6 Sworn to before me this Signature tt :Ct �, . .. . . . ARCHITECT. . . . . .. .__. _ OWNER. OWNER'S AGENT, s.RCNITECT. CONTRACTOR day of. .. .. . . .. _... ._ 19. . .-. . . . .. . .. . . . . . . . . . .. . . . . N Any PLF13Ltc, WARREN CGUN'ry. N- y. SPECIAL CONDITIONS OF THE PERMIT: . .. .... . . . . . . . . .... . . .._ .. .. .-..... 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 /e%Z 3 2 . Type of heatL 3 . Is the building mechanically cooled ? 4 , Percentage of area of windows and doors f it/ 4%a 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 val a of roof and floors exposed to ambient conditions 2 . R value of exterior walls _- 3 . R value of glazed area 4 . R value of doors 5 . R value of floors over unheated spaces „- - 6 . R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab S . R value of heated basement/ cellar walls ( above grade ) 9 . R value of heated basement /cellar walls ( below grade ) 10 . Type of insulation , • �,� C 5 ---co Controls 1 . Thermostat maximum heat setting Y D . Duct Systems 1 . Is duct system installed in unheated spaces ? YES NO a . If YES , R value of duct installation 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 1 . Performance efficiency 2 . Temperature control setting maximum G . For Swimming Pool Only 1 . Maximum heating Telephone No . ( applicant ' s signature ) TOWN OF OUFFNSSURY BUILDING & ZONING DEPARTMENT SEWAGE DISPOSAL PERMIT APPLICATION 1 . Owner ' s Name I �7* Address Gc� ; � " , "" ' Telephone No . 20 Property location_ l ca v F' r 5 h cG_;r s , 3 c ► c r, , 3 . Name of person or firm responsible for installinQ system -- } E�c� 1 crI �ts- t' r Telephone No ':? 3 Address 1 is CY r 'a� ► � 1 t f F7 tr y ' eYri % r �_y d Z I r 4 . Number of bedrooms ( residential buildings only) 3 5 . Daily flow A/ 5CJ gallons/day 6 _ Septic tank capacity� gallons 7 . Topography : flag rolling , steep % of slope 80 Nature of soil and depth--- , 9 . If ground water , bedrock or impervious material is apparent at what depth does it begin? ft _ 10 . Percolation test : A is required B is not required C If required what is the rate minutes/inch ll . Water supply .& municipal , well , other 12 . Type of system proposed .& drywell , the field , other 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 Queensbury Sanitary Sewage Ordinance . Date $_ .- s — signature of applicant On separate sheet of paper submit a diagram of the proposed septic system Nith all dimensions , including distance from any structure , distance from property line and domestic water supply , etc . Include all dimensions of the system itself . Form 3 - 82 TOWN OF QUEENSBURY SOLID FUEL BURNING DEVICES ,o PERMIT REGULATIONS NAME S C..�a r(.. Y ADDRESS ' � ]� .�� G'f"' W etc STOVE MAKE & MODEL NEW �� PHONE 1_4 + ca a FREE 'STANDING .W..___. INSERT o O V 2 2 1 . Wood atove natignal 2 . All single Wall steel pine must be 24 oaug!a . or heayj�sr7. VAE;�o 3 . 4 . a 1 i " listed" a i a 5 . Masons Masonacy chimney , f " 6 . Air sPace bletween liner and outer yjall of chimney . 7- - 7 . Chimney flue 2 a o 8 . Chimney extends 340 " above highest point that it passes through the roof , and 2 ' 0" higher than rid 9 . All " fuel chimneys " must maintain 2 " clearance from all combustible . 10 . Storm collar must be used in root penetration of " all fuel" chimne s . All 11 . Wall clearance combustible wall minimum 36 . A. clearance r ducgd b' aced out o -combustibles . B . Brick — Leff facing wall , minimum of I " clearance from non-combustible material . C . Air holes or space below spaced c+ut , non-combustible material top and bottom . 12 . Floor Protection Methods A . Masonar slab 4 "' thick B . Aereated brick on edc ge . C . Special made aabggtos board , D . 24 gauge galvanized sheet metal protruding beyond stave 12 " 13 , Sto+re Pipe Requisites A . 24 gauge blued or black steel , B - 1. C . maximum of 2- elbovLn . D. Damper in ] mi- sect i on of gtnvls_ ,pi,na E , Crimped edges of pipe facing downward and fastened with 14 . Wall Thimble 3 sheet metal screw& per joint . A . 0olid clay or mnf-al thimble with Ventilation hllnl �llz B . Metal or clay thimble surrounded by Blip of brickwork on 411_J�sj 3 tjmQlst d e ofthimble * 15 , Wood Stove Insert A . Close Off fireplac1 a acks . B . Unit must be removable for cleanli C . Place 2 " of sand on old fire lace floor . D . Seal off old damper around new i e chimney insert . 16 . In accordance with the N . Y . S . executive law , Section e , as of January 1 , 1985 _ The issuance of such certificate of compliance shall not be deemed to give rise to any claim or cause of action for damages against the local government or local official for damages resulting from operation or use of such solid fuel burning heating appliance , chimney or flue . 1 PERMIT GRANTED (_/ DATE_ f� / �- FEE $_ lC N . pDENWEISER Fire " Marahal Town of Queensbury TOWN OF QUEENSBURY Building- Department lora�ti�oac r � �.•.— P Remarks iwxcaoa Elan Footing Forms Foot-in & Piers Foundation Cement Coat Water roofin Baclicfill Final Survey F.ramtIng sheathing . RODE Felt Roafi Siding N4RS0nX_y Veneer Rough P3 bg Relief valves Wall Board Bart . Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr . Tile Concrete Floors P21xg. Fixtures Gar . Fire roofin Door Closers Chimney Water Pieter Ins t . Se tic Approval Flocs Insulation Foundation Walls / Ceili Building Inspector REMARKS � f _ TOWN OF QUEENSBURY Building Department pQt +t 2- Fare t rs Lv + S Dw - r� 2.i_ Lacwtios c-� .tn1 'iwr�r.4 Perriaet No. ZA s C-_ ewtbMr Remarks Excat,Ya t on Footing Forms Footing & Piers Foundation Cement Coat Water moofin Backfil l Final Survey Frami sheathing Roof Fel t Roofi.n Siding Masonry veneer Rough PI Relief valves Wall Beard Ext . Porches Finished Floor Tnterlor Trim Stairs & Raili s Cellar Dr . Tile Concrete Floors p_lbq , Fixtures Gar . Fire roofin Door C.Iasers chimney Water Meter Inst . Septic A roval Floors Foundation _ Snsulation I Walla Cei l irs Building 1 spector REMARKS TOWN OF QUEENSBURY Building- Deparltsnout In"Mc " R"wwt Date ;; / ;,o/ Remarks sxca VaLion Foot-in Forms Footing& Piers Foundation Cement Coat Water roafin ' Bat]Irfill Final Surve Frami • Sheathing Roof Felt .Rooffn Siding Maiwonru Veneer Rough PI .Relief Valves Wall Board Sxt . Parches Finished Floor Interior Trim Stairs & Railings Cellar Dr . Tile Concrete Floors pI Fixtures Gar . Fire roofin Door Closers chimney Water Meter Inst . Se tiC APPZoval rFoundoa tleCn Snsulation Ce311 Building Inspector REMARKS TOWN OF QUEENSBU RY Building Department InspedhMs ptepcwt lute Location r4ewe,.s.. AEI ,FT.f ?zt_efee penm t N 3 Wcatber ..-- ",J4 , ReMrxs SxcatYa tson Foot-ing Farms Footing & Piers Foundation Cement Coat waterproofing Ba,C*fi 1l Final Survey- Framing sheathing Roof Fel t Roofing." Siding Maiwortrg veneer Rough plbgo Relief Valves Wall Board sxt . ParchMifq/L�� Finished F Interior T Stairs 6 R Cellar Dr .Concrete FPI . Fixt Gar . Fire roaflh Iaaor Closers Ckinlneg QZ L3 Water Meter Insto septic ApRroval Flraors Insulation Foundation Walls Ceilin Building Inspector REMARKS THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 41 STATE STREET, ALBANY, NEW YORK 12207 • ar Date Feb ar,y 28 , 1985 Application Na. on file 0536 40- 84 A 6 3 7 0 "71 2 THIS CERTIFIES HA t. - :. only Ow electrical egruipnsant as deecribed below and inerodaaeod by the applicant nanaed on the above applicatian number in the prenaieas of Ronald Sheerer , Sherman Avenue . Queensbury , New York in the folloaoing locations L^J Basement ® Iat Ft. ❑ l'nd Fi. Section Block Lot _ was examined an 2 / 1 4 / 8 5 end found to be in compliance with the requirements of this Board. w FIXTURE ACLILS yW1E5 F1XiURlS ZRA C�vlcrHv aEcics OVENS DISH WASHERS E][HAUST FANS OUTLETS NCAMMSCENT FLUORESCENT v AMT. K. W. AMT. K.W. AMT. K. W. AMT. K ►. 9 31 16 $ � 2 Fr - DRYERS FURNACE MOTORS FUTURE A►MLANC0 lEEr1ERS TIME CLOCKS ILL UNIT HEATERS MULTI4WTLET DIMMERSAMT. K. W. OR N P GAS H• PAML No_ A. W. p AMT. AMp$. TRANS. AMT. H. P. SYSTEIrrS AMT. WATT$ 1 Rangif # 6 HO. a1F rEEr 1 D r e l C1 SERwcE NSCONNECT wu. OF 1 Hwr S 410 E R V I C E AMT, AMP. TYPE lQuo.R 1 .t' rW 1 X 8W 3 A 3W �3 X 4W NO, �Cl7ND, OF!4w . CCCNO. No. OF XIAW C*A. MW 6 N0, Or NEUTRALS OF A. W. . 1 AL 20C CA 1 x 1 / 0 1 2 / 0 OTHER A"ARATUS: i - Smoke Detector ._ 1 - 15 amp- GFCIBreaker Electric Room Heaters : 6 - 1 . 5 k . w . = 2 - 1 . 0 k . w . 1 - . 5 k . w . 1 Ronald SheerelrNSP.GCnV.JI.11 FE PAM :Nc iCld�.$31c3 AvenueGlens Falls , New York 12801 Pa _ COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. W isvv 4F / yr' A„F 0