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1986-123 1 c/o Fain CERTIFICATE OF OCCUPANCY • TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date August 6 19S6 2011, , 1L\ . 1 / 14 This is to certify that work requested to be done as shown by Permit No. 86^123 has been completed. This structure may be occupied as a One-Family Dwelling Location Lot 3 Hummingbird Lane (St. No. 8) Mountain view Estates Mlchael Dickinson Owner By Order Town Board TOWN OF QUEENSBURY Aided 1126„it cif Building & Zoning Inspector gaimempolemmeempm TEMP O R A R Y CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date July 30 19 ab This is to certify that work requested to be done as shown by Permit No. 86-123 has been completed. One-Family Dwelling This structure may be occupied as • Location Lot 3 Hummingbird Lane (St. No. 8) Michael Dickinson Owner TEMPORARY CERTIFICATE OF OCCUPANCY FOR By Order Town Board 30 DAYS PENDING FINAL ELECTRICAL. TOWN OF QUEENSBURY BUILDING PERMIT TOWN OF QUEENSBURY No 86-123 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Michael Dickinson OWNER of property located at Lot 3 Hummingbird Lane (St. No. 8) Street,Road or Ave. Mountainview Estates �, 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 w m approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. N• i. OWNER'S Address is 15 Horicon Avenue Glens Falls, New York N 0 7 2. CONTRACTOR or BUILDERS Name George Bolton a CONTRACTOR or BUILDERS Addrs 59 Lafayette St. Hudson Falls, New York r, n o 4. ARCHITECTS Name • tar zw 0 • x 6. ARCHITECT'S Address q w • C N. rl 6. TYPE of Construction—(Please indicate by X) [" I Wood Frame I )Masonry ( 1 Steel ( 1 n' 7. PLANS and Specifications 261x561 per plot plan, specifications and application No. submitted including one car attached garage and sewage system. 8. Proposed Use CO 0 One—Family Dwelling 2 $5.00 C/0 Paid $ 96.00 Nov. 1 PERMIT FEE PAID —THIS PERMIT EXPIRES 19 86 £ (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the m town of Queensbury before the expiration date.) ap Dated at the Town of Queensbury this 16th Day of April 19 86 SIGNED BY )/ a- o for the Town of Queensbury Building and Zoning Inspector P, • TOWN OF QUEENSBURY I,In(e inside hitch U.In lined in by WARREN COUNTY, NEW YORK Budding Inman) Application for .tlg.l,tflime No. • P� Primo twee) I . . BUILDING AND ZONING PERMIT r....i, twin,. l' -3 _ 3 —3 /oninc Digriti a • \aly,b Work I ��l One copy of a PLOT PLAN. Drawn to scale tplo+..oil In (/nenign%1[E showing Eke tactual dtmeesiens of the lot te be built R"nunlf ' epee. The exact ski. end location on the let of the building fe be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. 3 - 3 -3 3 /�.Y A6 TOWN OFI�QUEE�N(s�BL'RY l our I E C In I g LSO al A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWING. MAR 2. 5 t9,4i:1 L Tko uadsrsigtaod hereby applies for • permit fo do the /ogewtag work � .10 Q/ � RM. which will be dem In accordance with the description, plans and **GM- •18/9pr.C1I1!11Qh)4I616 cations. cad such special toadiHcas as may be indicated on the permit. g nj e owner of this property is: -/Q I C .plc<t'IA/fr A-l/C-infra- IHYta oil aDMEEa The Revlon responsib �l L uponifion of the work insofar a the Building Code and the Zoning Ordinance apply is: ' Iowa IPo Aoalleat 711—W `� Names(Builder 6 eO/C L G75/L trv-- Address `Sy G.r re/e7 'a S /1. /7 ' 1---' Name of Plumber '54^`e Address Nagle of Mason S �""'`�m Address Lot Number 3 Unit . . . .3. . . . . . Estimated value of proposed works .`((C [JtU 1": Nasty of Street .. . 7^d�µ. a Lam'421- 4 `ry '-_ Name of Street . . ""� �"'`� Side of street: north O.cost O. amRh O.west 0 ;,II J Natal Cross Street . .11! .I// / W t.L L Distance from this cross street FI. Property is north ❑,south C.east ,west 0 from Cron Street If on Comer,which corner,northeast 0. northwest 0.southeast O,southwest (Designate by marking with an"X" in the correct span.) NATURE OP PROPOSED WORK • OCCUPANCY Construction of a new building. Main Building ❑ Addition to a building. One-lemily dwelling 12Ir ❑ Altentign to a building. Two-family dwelling 0 ❑ Demolition of a building. . . . -family apartment hart 0 Store building ❑ / -car attached prep Other: Accessory Building Oneckr detached prep 0 CI Other work. Describe. Two-car detached prop ❑ Private chicken house 0 Private storage building 0 Other: ZONING SPECIFICATIONS. Fill in for new building.or addition to existing building.or a change of enupsncy. Indicate on the plot plan street names,the location and size of the property,the location.slit and setbacks of pro- posed buildings,and the locums of all existing buildings. Show proposed building(s) in dotted line and existing buildingls) in solid line. Z Size of property 7/2 ft. x /5 / It. Size and use of existing buildings. if any •I. • I: • a' Size or proposed building ZG It y, h.. . . h• Height (from grade to ridge) iif• h. Front yard ?,--- h• Side yards 2 `0 h.and .36 ft. Rear yard 3 A 1t. 7 SOUTH 11 on Comer,setback from side street Is' NoIC All chances w eery is masend/nm Una side liar to eras,part of Wildly. 100010 7-73-M • (contd.) BUILDING SPECIFICATIONS. nn Kind of comlruclion: frame, fire safe,etc.' aJ do V Will any second-hand umber be used, . . . ..N4. . . . . . . lea, for what? Material of foundation walls /d Orrice Thickness Depth of foundation walls below grade t �,Q� Continuous foundation? J Will there be a cellar? If so, materiel ofcellarof floor . . Cr-Lc-wet. Type of roof: Sloped Aar? . 2.�yr.-.`�9'. Material of roof Size,wood studs "x r O' •, spacing ' �6 "o.c.,length V ft. Size, floor beams, 1st floorv& -. "x /0 " spacing /Py "cc.,span .. .,f 3 h, Size, floor beams,/nd floor . . . "x � " sparing "cc..span Site,ceiling beams "x .•7L� " spacing "o.c,span }� ft. Site, roof rafters or beams a "x " D. 4 spacingt . . _ .y. . . . ."n.c..span . . . .?'4... . . . !t. /Tv ieiti•/ . . . . . . . . . . . With what material? Exterior finish . . . ./}'.S. yTam�, � , Finish of interior walls S/'���e .L.e. , If garage is to be attadsed,of what.4 mPterial is all between garage and main budding to be mnstruded? . . . . . . . ./-?¢G. . ./ri to L. .J,ft?a, . . .?yam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is there to be an opening between " " " ' Pl 6 garage and building? Kind of heating system Q/?- /14t 1-'17f Oil bonier or coal? Will a flue-lined chimneybe 'r' provided? - Depth of chimney foundation below de r rE) Height of chimney above roof G!•. Will there be• fireplace? A,to Depth of fireplace hearth Will a toilet be installed' . ' Will a kitchen sink be installed`fatal onnected tow r syypIpiy? t-"f Water supply(public water supply or pump) . . . 14t"tt'ci Distance of cesspool from any private well ___._—_.___— feet Will drainage system be provided with required traps,cleanouta,and vent@ Irl�� Town of Queembury ) AFFIDAVIT O County of Warren State of New York " I swear that to it dyyvf my'mewled",and belled the staertmnw a ,Snd I.this application,norther with theism ed masfytb.s lab- missed. we a owe ad u ,.a*ew steam al all pupa d work so be to described pnn,.n sad that provisions d the BUILD- INO that CODE,THE ZONING ORDINANCE,and all other laws pertain' to work due b•mnNid with,winds palfyd et nth,and Wore wank isetbried by she owner.. 'en)�/..�1_ Sunniso bn me ld Simeon /L Y sat e.4f.1 (� OWNER.OWNtNS AGENT.a11gNT(CT.COMmaCTal NOTARY Nun,e. COUNTY. N. Y. SPECIAL CONDITIONS OF 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 i2 V) I 2 . Type of heat LCZ 121E 3. Is the building mechanically cooled? Vt(r) 4. Percentage of area of windows and doors t5 GLV A. Over 16% Only 1 . Uo valike of gross area of walls , rgzt/ceiling and floors exposed\to ambient conditions 2. Floor over he. - - = YES NO a. Are foundati= s insulated? YES NO 1. If YES, wh. is the R value? 3. Slab on grade/ YES 0 a. If YES,Ahat is the R • - lue of insulation around perimeter of floor? 4. Is basement heated? YES NO a. /R value of insulation 5. ./4/pe of insulation B. Under 16% Only 1. R value of roof and floors expos Ad to ambient conditions b 2 . A value of exterior walls 17- -n 3. R value of glazed area 2 • 1 4 . R value of doors 5 ' 1 5. R value of floors over unheated spaces 6. R value of slab edge insulation - unheated slab )1,14 7. R value of slab insulation - heated slab 1 /A 8. R value of heated basement/cellar walls (above grade) 4_y> 9. R value of heated basement/cellar walls (below grade) 10. Type of insulation C ' C. Controls 7 1 . Thermostat maximum heat setting I C7 V 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 1(1 10 2. Temperature control setting maximum Iy b o G. For Swimming Pool Only 1 . Maximum? heating Telephone No. -172 'ZAN 61�.(.e (applicant ' s signature) Jown 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 ictith61- /Urchl9Ei- fr Tel. 77r E6'J'0 Address / S /,ey( rc1— 7L44--41 6 /- erson irm installing system 6eo/6e //6/-/Ct- Number of bedrooms (residential only) 3 Total daily flow: (compute @ 150 aal.per bedroom per day) h"( S 0 Topography: eat - rolling - steep - (circle one) Decree of slope _% Nature of soils: and loam-clay- 0-other- Depth - ft. Ground water-- at what depth? k (v / A ft. Bedrock or impervious material--at what depth? eft. Percolation Test (- Not required / Required -Rate min/inch. Domestic Water Supply - r 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 I000 gal. Tiff ' 1A * h e£ each-tz BnCtl €t• Ro ta�-f ltiu 'f t. rl-re-ef-Set-En€ # q c Seepage Pit (s) Number J / Size G ftX_ R 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 x , 5lown of Queenalury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME Ok641-(/JSo/V LOCATION u��(f600 6 )220 Date Vic/ p oo6 Permit No. 86 - Ili x * * x * * * * x * * * * * * * * * * * * ✓*_ APPROVED - YES J 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. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION / / Final Building Survey Next scheduled Inspection(call when ready) Remarks- - (2/_C(lUeK Vh2e_40‘ - FuzG- 6o0F , - CLosJrVH00fn - DK To155v 8 c o Gbvof it Co / N4c 6-LirerrticA-'- ,Wn'Gcr,o1/' Building 6/86 and-vl • awn of Queen uhury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR'S REPORT NAME 0ICZNSOg LOCATION RCC IA.IMIa0IS(an Date 05/ ob Permit No. ,(6 - ) 23 * * * * * * * # # * * * # * R * * * ✓ = APPROVED *YES JNO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing ✓ Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches *.- Finished Floors . 1---- Interior Trim Stairs 6 Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures '.--' Gar. Fireproofing I 1.--".."-- Door Closers (/ Smoke Detectors v Chimney INSULATION: Foundation Floors/ Walls Ceiling F�INAL ELECTRICAL INSPECTION (/Final Building Survey Next scheduled Inspection(call when ready) Remarks- - Fi vi&-Pto o ( C Lo.L r i o ox t1'+W U,uSACC f=G124Lss- Pitt/\o Doe re Building�� oT I 6/86 and-vl 1 : 2-0 f ill -.own of Queenetury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION E hticLael lDi Cki a5017 L. L,er3 kb/ ,hn, ;n3Lieet 4 DA - 1 /f4 PERMIT NO. ,q f - !21 SOIL TYPE Sand Loam - Clay - 1 Percolation st Required? YES ay Percolation rate - Min/Inch _ , TYPE of SYSTEM: Absorption field, total length Length of each trench Depth of trenches Size of gravel j SEEPAGE PITS{Number of) 'Z li Size- (p ft. X ft. Gravel size ' PIPING: Size Type Bldg. to tank cur Ye? a Tank to dist. box Dist. box to field-' Openings sealed? NO Partial LOCATION/SEPARATIONS: Foundation to tank jcift. Foundation to absorption a:+ft. Absorption o lot line p ft. Separation o sits r� ft. LOCATION ua ON PROP.r-TY(circle one) Front - Le side Right side - CO4MENT. SYSTEM USE APPROVED il NO , Building Inspector 01/86 and vl TOWN OF QUEENSBURY Building Department inspectors Report Date 502-M Name DICK' AJ So A! Location S tatai (Alio 8l Et9 /1124.- Permit No. 86:0 - I al3 Weather Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey � C.��9 Framing - Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. 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 Insulation Foundation Walls _Ceiling L uild_ng Inspector REMARK$ TOWN OF QUEENSBURY Building Department G Ioyeetara Report /�Dat/e/�-�/�3o M1 to \\ Name 1)%cp<p.Uso4J Putt ..� J Locative R. l ,MM�O PermitNo. 46 —/23 Weather Remarks Excavation Footing Forms Footing a Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. ✓ ' 0,K 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 Ofrri yr Building Inspector REMARKS TOWN OF QUEENSBURY Building Department Inspectors Report Date 7/ir/g-` Name guilbtoSon Location Mumma /6 burn L.4.iib Permit No. }L- i a) Weather Remarks Exca.Yatlon Pectin. Forms Footin• & Piers ial g- Foundation rairall Cement Coat no Water•roofin• . Backfill Final Surve ��fau/S,,; Fraud Shea thin. : - -B Roof Felt -�. Roofin• Sidin• Mason Veneer Rou•h Plb• . Relief Valves Wall Board Ext. Porches _ �_ Finished Floor Interior Trim Stairs & Railin•s Cellar Dr. Tile S Concrete Floors Pl.. . Fixtures Gar. Fire•roofin- hir Closers Chime SIMS Water Meter Inst. Se•tic A• •roval Floors Fo ndatiOn Insulation Walls -� Ceilin. • Building i spector REMARKS TOWN OF QUEENSBURY Building Department Inspectors Report Date 3h/46 Name i) `ud.J Location Id✓MMIAAP lii40 Permit No. lyA h&c Weather _ / a 3 Remarks Excabation Footin• Forms Footin• & Piers Foundation Cement Coat Water•roofin- Backfill Final Survey Framin• • Shea thin. Roof Felt Roofin• Siding Mason Veneer Rou h Plb Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railin•s Cellar Dr. Tile =- Concrete Floors P1•• . Fixtures _� Gar. Fire•roofin• Door Closers Chimne Water Meter Inst. A Se•tiC A.•roval Floors Foundation Insulation Walls Ceilin• r.. • J ' Building nspector REMARKS ri 440vo Po✓n March 28, 1986 Mr. Michael Dickinson 15 Horicon Avenue Glens Falls, N. Y. 12801 Bat Mountain View Estates Lot 3 Qusenebury (T), Warren County Dear Mr. Dickinson: The subdivision nap approved April 3, 1975 showed tile fields as the only means of sewage disposal for the above subdivision. It is acceptable to this office that dry walls be employed, provided that it is done under the direction of the Qusensbury Building Department and in accordance with the New York State Department of Health standards. Very truly yours, BSF/mh Brian S. Fear, P.B. District Health Director cc: Building Inspector Que.ensbury Town TOWN OF ausstast111Y gEBEIYE 10 MAR '31 1986 P.M. __- 7El wk....,.,. k 9 I .l y �y .JC A i 1 J U 5C ' I I Jt I vr.4 o 1 P •1 is ' 1 o �9 F- 31(-1 - I \ , lye0 1 /O l ul ,a2( ' I to