2000-167 . TOWN OF QUEENSBURY
742 Bay Road,QQueensbury,NY 12804-59OZ (5�8)761-8201
Community,Development-Building-& Codes- (518) 161-8156
CERTIFICATE OF OCCUPANCY -
C/O Number: 0000167 C/O Date: Thursday, August 10; 20�00
Application Number: 2000,167
Peirmit Number: 2000167
This is-to certify that work requested to'be done as shown by Permit Number 2000167
liar been completed. .
This structure may be occupied as,a Single Family Dwelling
Tax Map Number: 523400-121-000-0015-036-000-0000
Location: FAWN Ln
Owner: SCHERMERHORN CONSTRUCTION CORP.
By Order of Town Board
T OF QU NSBURY
)4j)
Director of Building&Code Eiaforcement'
BUILDING PERMIT
Town of Queensbury, 742 Bay Road, Queensbury,NY 12804
County of Warren (518) 761-8256
VALUE $ 110000 Building Permit No. 2000167
TAX MAP NO. 121 . -15-36
Permission is hereby granted to SCHERMERHORN CONSTRUCTION
Owner of property located at LOT 36 FAWN LANE
in the Town.of Queensbury,to construct or place a SINGLE FAMILY DWELLING
at the above location in accordance to application together with plot plans and other information hereto filled and
approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance.
Owner's Address:
CORP. 43 H HUNTER BROOK LANE
QUEENSBURY, NY 12804
Contractor or Builder's Name:
SCHERMERHORN CONSTRUCTION
Contractor or Builder's Address:
43H HUNTERBROOK LANE
QUEENSBURY, NEW YORK 12804
Electrical Inspection Agency:
COMMONWEALTH ELECTRICAL AGENCY
PO BOX 706
HAGUE, NY 12836
Type of Construction:
SINGLE FAMILY DWELLING
Plans and Specifications:
1536 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE
AS PER PLOT PLAN SPECIFICATIONS
Proposed Use:
SINGLE FAMILY DWELLING
$ 2 PER1t�IT FEE PAID—THIS PERART EXPIRES Ap r i 1 12 2 0 0 2 ..
(If a longer period is required,an application for an extension must be made to the Code Enforcement
Officer of the Town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 12 Day of Ap r i 1 2000
s
SIGNED BY for the Town of Queensbury
Code Enforcement kcer
Application for Permit—Septic Disposal System
Town(?f•Queensbury 742Bay Road Queenrbury-,_NY 12804 (SZ8) 761 8256
1.. OWNER INFORMATION ,ffj/b1l,",►,[�ij�'�gp�
�r
Jw
Office Use
Location of installation: "o :3 ea 'F"V tJ fe.1 LA�j
i
Tax Map No. / J
File Permit No C)fX"3 �J
Fee Paid
Owner's Name: S e_.jn e r vt-%
....._........................................... ._.............................
Address: �3 }1vn-��t 8 tdak ? Aj e
2. ' INSTALLER'S NAME : J Q;-f f PHONE NO. 7?4--la 2-
3. RESIDENCE INFORMATION: (circle year of dwelling,indicate#bedroom(s) and multiply# of
bedrooms with applicable gallons per bedroom to equal total daily flow)
Year of House: No. of Bedrooms x Computation = Total Daily Flow
1980 or older x 150 gaUbdrm =
1980— 1991 x .130 gaUbdrm
1991 —present x 11.0 gaUbdrm
Garbage Grinder Installed yes / no
Spa or Whirlpool Installed yes_ "/ no
4. PARCEL INFORMATION: (circle applicable information&indicate measurements)
To ra by Soil Nature Ground Water Bedrock or Im ervious Material Domestic Water Suppl
Flat sad at what depth ai what depth municipal
o ing loam feet feet- well
Steep slope- clay if well; water supply
_%slope other from any septic-system
depth: absorption is fl:
other
Percolation Test: (To be'completed by licensed professional engineer or architect)
Rate: minute per inch
5. PROPOSED.SYSTEM: For New Construction: -All individual sewage disposal systemsi must be designed by a licensed
professional engineer or architect(unless installed in a Planning Board approved subdivision). Add 250 gallons to the size
of the septic tank and leach field for each Garbage Grinder, Spa or Whirlpool Tub.
Septic Tank: gallon(min. size 1,000 gal.)
Tile Field: each trench ft. Total System Length: fl. �`�
Seepage Pit(s): number of size of each: ft by ft
Size of Stone to be used; # / depth or thickness feet
Bed System Size: x
Alternative System: length andlor size
6. HOLDING TANK SYSTEM: (if required)
Number,of tanks: / Size of each: gallons /TOTAL Capacity: gallons
Note: Alarm System-and associated electrical work must be inspected by a Town approved
electrical inspection agency.•
7. SIGNATURE &INFORMATION FOR RESPONSIBLE PERSON(please read)
For your protection,please note that pursuant to Section 136-29 of the Code of the Town
of Queensbury,any permit or approval granted which is based upon or is granted in
reliance upon any material misrepresentation or failure to make a material fact or
circumstance known by or on behalf of an applicant,shall,be void.,
I have read the regulations with respect to this application and agree to abide by these and all
requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Signature of.responsible person Date
7bivn of Queei,tsbuiy z),pt. qrc0,r,,,,,,ilV Vi'Velopillod, 7,12 Hrulp R(wil. 0'rel'shitty, NY 12"�04 17(,)1-82-5(,/
11 U I L D I N G C 0 D R E"N F 0 R C,.I i"A f E'N T
NOTICEReclitirelliclits prior to issmilice ---------
A lm:o-mt9mit toont be oblairted Iyol'oso of this perillit: 11 r-,'RAf17'F'11,r NO.
1,0glortiog
,.Vill too 11111clo until "1717licuot 1111f. received
n VAI{111-) IMILDINO i'r--RMIT. All Arrn i1sc
A17 7 70N P"KE
nliplicnotn' vilisces Oil this t111111;Cott fool
1 1)
t tim-c mus*r be completed "cl.(lie sigo-i I Pkillrillig Poard Action
of(110 itillilientit itillat ollipenr clot the
'ql'lt / NO)d1vinloo (Wit-o-
ilicntioti 1`61111. 7&-A,-,
Rectelitinil Fee I'slyflictit
Addicss: 40nie-C B17;PoV- 1-1,J Address-
I'llotic
Property Loctitiott: Lo V FA-Y,,j L^j
Subclivisiott Nalllc:* s6e- y—mo-r-i Milo Number
—
Scctioll Illock III(
ESTICUMTET) I'VAIMET VAUUE OF THE
x New- ONSI, $ Ila.11LUCTIO14:
A dci Cr 1-3 I C
FRO
AJLL-OrZfl�M.Otl LO U1,11.1-d-IlIg- Pr3-111ary Lill-I-
rT,01clerice FaIT111Y DWISIM,111�1
'rwo vattilly am
no cliavkge to exterior- sizeramily Dwej.l-l-lfq
-rc)v
0 L lie Pork (clescrIbe below) mercantlle. BUILDING AND GODS
manuf acLuring
Other
GROSS AREA.'.tOF PROPOSED STR� mur,-
tl4i? I f ADDITION, what will11 se
Ist; Floor. . . . . . . . . .74,9 sO :rt-- V of- new, ad(-UH-on ):)e7 :
7nd .Floor. . . ... . . rjq. EL.
OLIxer Floors . . . . .. pq- f L
(not utif f-ii-Is lied Cellar or basement--)
ACCESSORY BUILDINGS
UeLrtcltecl Garage 1-, 2 car.
TOTAL FLOOR AREA: 4m SQ. FT. y A t-L-n c I i c d Garage ]., ?, cstr.
Pr.ivaL-e Storage
SIZE OF NOW STRUCTURE! c-oltilliercial Storage 1311.11d1lig
59 rr-FT" X rEUT
rollliclaLi.on Type! LtdAC ej e W 1.1. nil second-hand or ungraded
of' storles.. lumber be tired? If so, for what:?
(lint-0-t--lble space only) Aldo
(grade U-0 rldt-1c) f c t-
t-1111til.,er of fireplaces arid/oT--w-&-0'UrjU0ve (cIrcle., all. W1135-ch a plies)
es)
to be
installed: 0 e,c
<fPorced Hot; Ai-r. / 13aseboard OLlier
Person responsible for supervision of Work as regards Lo building
codes 5.s ScAi P-n&-IAL-6 t•N Cons
Ndfile Addressa Niolle
11113.1der: j 4 _ �- A-s
st .1 "PA 7Y-7--56
1241-c— - I AJ :720-
Electrician: crid the stalement.41V e_-
-
)EC&IRA7110N.- Please sign below ajler-you have cat--fully i
,I*o the best of my knowledge the st-itemeti(s contained in this -Al)plic'llioll, together with the jil.-tris
'111d "ren (ulle Ind collillicte statement or.tit 1),oposed work to be clone on
the described premises and that all provisions Or Ilse 1111ildifig C,'cxlc, the zutlilig ot-dillarice and III
other htvvs pertaining to the propo..;cd work shall be complied will), whellicl- specified or rioted, "fill
timi such work is by the owner. 1--lit-lber, it is ulider-slood flmt lAvc shall svibmit- prior to aCertificate of Occtip.-Itley'olt- ccortil-i", to of Cumpliollne being v-stied, an AS PLAN by
.1 licensed -morveyol-; : I t seal showil qcttll Qc.ltiou of Imoiect of) premises.
mf
--
(owner, owner's agent, architect, ermtractot')
ENERGY CODE COMPLIANCE APPLICATION 7
TOWN OF QUEENSBURY, WARREN COUNTY RF-el,"'k 91, ,
9000-,,HEATING DEGREE DAYS D
APR 0 5 2000
Compliance Methods , PART 5 Acceptable Practice M% 4 1011 -BURY
1&2 Family Dwellings (d8lX.0,
PART 6 Thermal Rating j ,_
1&2 Fdmily Dwellings; Multi-Family
Dwellings ( 3 stories' or less)
PART 4 Design by Component Performance
Commercial Building' s-Hi Rise Residential
*Requires submission of worksheets
APPLIC.A.-N- TIS NAME: PROPERTY LOCATION:
PART 5- METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Flbor Area - 1536 sauare feet
2 . T-v-.,).e of Heat - Electric O}i 1 Gas Other
3 . Is building mechanitdally cooled? Yes � No
Pe=-cerritage of area of windows and doors over 17% Under 17%
5'. R-ITA-LUES FOR INSULATION GIVEN BELOW MiliST CORRESPOND TO R-VALUES AS
S HOWNI ON PLANS SUBMITTED:
a . Roof R
b . Exterior walls R 12
C . Glazed areas R IX
d . Ext-erl' or doors R �1.5
e . Floors over unheated spaces R j F
. Edge of slab or.. grade (heated but I Iding) R
(=. Basement/cellar walls (above grade) R
fi . Bas6ment/cellar walls (below grade) R
. Heating/coo 1 1 na-ducts-piping in unheated space R ;,,je
6 . Ser%rice (domestic) hot water heat inc device
Conforms to minimum efficiency per code Yes No
TEMPERATURE CONTROL MAXIMUM SETTING 140o WILL NOT BE EXCEEDED
App 1_` c)� Date Prone Number
n , s
INSPEC-7OR' S REMARKS:
LUIVINUI)WLALI H LLLo I MAL inrtL,i iUii aLny ital mu
Main Office 176 Doe Run Road t. Manheim, PA 17545 W "
MUNICIPAL CERTIFICATE # ELECTRICAL,APPROVAL
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The conditions following governed the issuance of this certificate, and any certiNate previously issued is
cancelled: - ,
This certificate only covers the electrical equipment and installation conditions as of date, Upon the
introduction of additional equipment or alterations, application shall be promptly made for 'Inspection,
Ins ectors of this Company shall have the privilege of makin ' spections at any time, and if its
p p
rules are violated, the Company shall have the right to r v e thi ' ,cat
DatemmNaff 9 luiil11N4f4lf1/1Nlnlfffllffautfi INSPECTOR +ftltif1it11it11f44t4tii1i11!!!!lIf4IIRif*fiiflftffff44ft4i11 fii♦/,44141fiiiNulfllii4flfit4lf
Member NAP4Af, I.A He
RESIDENTIAL FINAL INSPECTION REPORT
Office No.(518)761-8256 Date inspection request received:
Building&Code Enforcement cz,
Dept.of Community Development Arrive am/pm. Depart
Town of Queensbury Inspector's lniti;s��M—v
742 Bay Road
Queensbury,New York*12804
r-) %
NAME Z::>--J)QSA wy\'�ftAr, PERMIT# 0 0
LOCATION aM==:g DATE
= ec
TYPE OF STRUCTURE
N/A YES NO COMMENTS
Chimney HeightPW'Vent/Direct Vent Location A-
Fresh Air Intake
Plumb Vent through roof
Roof Complete VA
Exterior Finish Complete
hiterior/Exterior Railings 30"to 36' s/
Exterior Handrails,balconies,Ian, 18 in.or more--\
Interior Handrails stairs both sides or more risers
Grade 2%away from foundation.
8"clearance to sill plate�_
Gas Valve shut-off exposed/regulator 8"above grade�_
Gas Furnace shut-off within 30 feet or 'thin line of site
OilFurnace shut-off at entrance to Earns e area
Furnace/Hot Water Heater operat
Relief Valve(s)installed
Headroom,6 ft.6 in.on stairs Y
Basement stairs,6 ft.4 in.
Handrail exterior stairs both sides more than 3 rXers
Interior privacy/trim/doors/main entrance 36"
Floor Finish V/
BathroomMitchen watertight _
Interior Handrails Balconies/Landing 18 in.or more
Railing across window in stairwells
Smoke Detectors:
every level
every bedroom A'
outside every bedroom
inter connected
Bathroom fans
Plumbing fixtures
Foundation insulation
3/4hour fire door/door closer
Garage fireproofingV/—
Garage penetrations sealed V
Furnace in separate room protected(in garage)
Light ventilation per room
Safety glazing 18"WorX fln
s or �,e�d
Final Electrical
Site Plan/Variance requi
Final Survey Plot Plan :J�
As Built Septic System laybuf required__
Okay to issue C/C(Certif.of Compliance)
Okay to issue temp.C/O(Certif of Occupancy)
Okay to issue permanent C/O(Certif.of Occupancy)__j
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GENERAL INSPECTION REPORT
(518) 761-8256
Town of Queensbury
Dept of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804. Arriveector's Depart
Insp Initi
NAME:(( l U�fV� � PERMIT#
LOCATIO : _ —DATE:
TYPE OF STRUCTURE: —
RECHECK
NIA YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form
Reinforcement in Place
The contractor is responsible for
providing protection from freezing
for 48 hours following the placement
of the concrete,
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing VentlVents in Place
Rough Plumbing _
Heating ugh-In
,,--.-t .
_I on.- - '
Foundation Walls Int rior R-
Foundation Walls Exterior R-
Floors R- % i
Walls R- A ✓l
ceiling R- !?213 t.•r
Duct work or piping in 1
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridgin
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2,3, hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
j l./ jyj}[� r--'- ` ,-its=:•
s
GENERAL REPORT : -
( 518 ) 761-8256
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,N1' 12$04. Arriv�am/pm Depart m
Inspector's lnitia
OACATION:Sz"-
����� i�t DATE PERMIT 4
GUa TY�»
TYPE OF STRUCTURE: ��Yl
RECHECK T
N/A YES NO COMMENTS
Footings/Piers —�1
Monolithic Pour Form
Reinforcement in Place
The contractor is responsiblt
r
providing protection from fring
for 48 hours following the pemenof the concrete.
Materials for this purpose on s
Foundation/Wallpour
Reinforcement in Place
- Foundation/Dampproofing
Backfill Approval /
Plumbing Under Slab
Plu ng VentlV�nts in Place_
ugh Plumbing �
Heating Rough-In
Insulation
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R
Ceiling R-
Duct work or piping in
unheated spaces R-
Pro ent, Attic Vent
Vx&ning
Jack Studs/Headers
Bracing/Bridgin
Joist Hangers
Jack Posts/Main Beam,"'
Air Infiltration Barrie
Fire Separation 1,2,3,hour
Penetration Sealed
Fire a112,3,4 hour
,,We opping P- Ca
OF QtJE4EMS4w..*URY
-CODE ENIFORCEMEN-V
742 Rca_V R"c-16
MY 12SO4
SEPTIC DISPOSAU SYSTEM INSPECTION
Name
Loca -tiord - �+
Date s::�::Z_ e r-m i -t
SOIL -TYPE San
San Loam-Cl a_v-
Re-sul -ts of Pevc_-olla -tiran Tes-t-
( 1 -F applicable ) Rate-Minu-te/inch
TYPE . OF SYST-Em=
ABSORP-FYON VXEUD= -Fatal L
Length o-F each trench
Depth o-f -tr-enches 7
Size of stone
SEEPAGE PY-US : Number—
Size -F-t . x _t
S-tane- si .-.-e
PIPIENG: S ' ze Type
Bldg - - to Tank
Tank- -ta Dist - Box
Dist _ Box to Fie-ld/
Openings Se-aled ? es No Farb a
Founda-tion to -rank /t feet
Founda -tion 7to Absor-p. i on -Feet
Separation o-f PI is e-7t
L.. Con-farTns as pei- P-lo-t P1 an
un ---I_Y6 SNa
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,S D(AN£TER AND MISCELLANEOUS SNAIL IIAItUNEK+DS. AL
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VL'CETATI ON TO REMAIN EXCEPT AS ACOVIREO Fos(COtISTPUCTION
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5-I. 5-2. 5-31. SELECTIVE Ttt]Nl71 NG Nil.(.RE DONE 70 ENISANCE jf SITE PLAN 8 UTILITIES Nam`
APPEANANCE ON SONE LOTS. (EXISTING DEAD Oil DAIIAGED TREES WILL BE .� A S. �y
.v REMOVED). NO ADDITIONAL PLANTINGS WILL III.DONE BY DEVELOPER rr•o
EXCEPT AS SMCWii ON SIGN DETAIL. Te.+at O+..r.eu Ceu+t .t�an+�-stele et v..rvn
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GENERAL INSPECTION REPORT ,
(518) 761-8256
Town of Queensbury `
Dept.of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY,12804. Arrive3 . MAI Depart
Inspector Inspector sinit*ala
ial
NAME; PERMIT# - f C7
LOCATI : DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers I
Monolithic Pour Form_
Reinforcement in Place
The contractor is re nsible r
providing protection m ng
for 48 hours following a plac ent
of the concrete.
Materials for this purpose o site
Foundation/Wallpour
Reinforc nt in A ce
Fou tion/Dampproo g
X,Kckfill Approval
Plumbing Under Slab
Plumbing VentlVents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior -
Foundation Walls Exterior -
Floors R
Walls R
Ceiling R
Duct work or piping in
unheated spaces R
Proper Vent,Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1,2, 3,hour
Penetration Sealed
Fire Wall 2,3,4 hour
Firestopping
GENERAL MSPECTION REPORT'
Town of Queensbury
Dept.of Community Development Date inspection request received:
Building&Code Enfomement
742 Bay Road
Queenabury,NY 12804 Arrive am/pm Depart 3-'--4bun/
Inspector's Initials
PERMIT# -- I&/
NAME:
LOCATION: P�k-OAJ LAI DATE :
TYPE OF STRUCTURE:
RECHECK
N/A YES COMMENTS
Footings/Piers
Footin
Monolithic Pour Form
Reinforcement in Place
The contractor is nsibl
providing protecti fromffil.Z.-Izo*
for 48 hours folio g the placem t
of the concrete.
Materials for this on ite
Foundation/Wal ur
Reinforcement in Place
Foundation/Dampproofin
Backfill Approval
Plumbing Under Slab
Plumbing VenYVents
Rough Plumbing
Heating Rough4n_
Insulation
Pl
ace s s p p f
onsible from
fi. 'in
m w
g the plac e .I
0 It
purpo n e
,po fin
V Plumbing
Foundation Walls Interior R-
Foundation Walls Exterior R-
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Scaled
Fire Wall 2, 3, 4 hour
Firestopping I t