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98-476 i CERTIFICATE QF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY. NEW YO'RK October 14 98 `J ✓`�� Late t9 98476 This is to certify that work requested to use done as shown by Permit No. i . has been completed, SINGLE FAMILY DWELLING This structure ma be occupied as a -- -rL-2 PEACHTREE LANE L ati SCHERMERHORN CONSTRUCTION Owner TAX MAP NO . 121 . - 15 - 2 2 By Order Town Sward ,. 'rOW14 OF QUEENSBURY ..r Director of Bldg. do Code Enforcement BUILDING PERMIT VALUE $ 90000TOWN OF QUEENSBURY No. TAX MAP NO . 121 . - 15 -- 22 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Street. Road or Ave. OWNER of property located at in the Town of t]ueensbury, To Construct or Place a 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. OYVNER"S Address Is CORP . 79 MASTERS COMMON NORTH QUEENSBURYr NY 12804 2. CONTRACTOR or BUILDERS Name SCHERMERHORN CONSTRUCTION 3, CONTRACTOR or BUILDER'S Address 79 MASTERS COMMON NORTH QUEENSBURYr NY 12804 4. ARCHITECT'S Name COMMONWEALTH ELECTRICAL AGENCY fS. PC BOX5706 HAGUEr NY 12836 6. TYPE of Construction — ;Pieria indicate by it1 SINGLE FAMILY DWELLING } VVood Frame f 1 Masonry [ } Saes 1 1 [7. P ANS and Speoificetiom 128£� SQ FT SINGLE FAMILY DWELLING WITH 2 -GAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS proposed Use SINGLE FAMILY DWELLING 156 AugluSt 6 l9 2000 $ PERMIT FEE PAID - THIS PERMIT EXPIRES (If a longer period k required an appllcetioa for an extension must be mule to trio Building sad ton" inspector of the tows of [tueensbury before the expiration date.} 6 Day of AuguSt 1998 Dated at the Town of Queensbury this 19 S. for the Town of Quetnsbury SIGNED BY eluildiip and e,nina Impecew Building Permit Application Town of Qid+G'E'1ZS'bu y - Dept. of Community Devetapment, 742 Bay Road, Queensbury, NY 12804 f761-92561 BUILDING & CODE ENFORCEMENT D� Requirements prior to issuance of this permit: PERMIT FILE NO. ..._ _ A permit must be obtained before {� beginning construction. No inspections PERZMIT FEE PAID $ will be made until applicant has received Z.m-big Board ` ct io a VALID BUILDING PERMIT. All Area 1 Use RECREA77ON FEE 0AID $ applicants' spaces on this application / Y MUST be completed and, the signature 0 Pl ming ,Board Aar REVIEWED BY. C of the applicant must appear on the SPR 1 Subdivision 1 C nher Building Insprcror ka"lication form. ?> . w� Recreation Fee Payment r^ Applicant. ric Qeor ONA (% Ck04ropi C6A5tr,xj.on.JCc Owner: Address: *93 oV Hvn le. cig ry e k L AI • Address: Phone # ( 51f3 _) .79'S _ - d b??_Y _ Phone # ( -----) - - Property Location: Lo ;' a a h 7tl'e E. j, /V . ,� Tax Map Number Subdivision Nae. 56 & r��''+s�ey Number— Subdivision Section Block i ,nt NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE 9 New B�u : CONSTRUCTION : $ � ' o � _ncsca resldenE / commercial Addition to Building _ residence / commercial OCCUPANCY INFORMATION : Alteration to Building : Primary Building - residence / commercial K Single Fancily Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Family Dwelling office other Work ( describe below ) Mercantile , Manufacturing AUG Other GROSS AREA OF PROPOSED STRUCTURE * If ADDITION , what will use lst Floor . . . . . . . . / $ sq . - of new, addition be ? : sq . ft . ii Other Floors*.* . . itsq . ft . { Cj,/ ( not unfinished cellar or basement ) ` ` • ACCESSORY BUILDINGS * Detached Garage 1 , 2 car TOTAL FLOOR AREA : /o2 $S SQ * FT * Attached Garage 1r 2 car Private Storage Bui g SIZE OF NEW STRUCTURE : Commercial Storage Building other {�►� FEET x QA FEET Foundation Type : OooAl ' wide' Will any second- hand or ungraded Number of Stories : / lumber be used? If so , for what ? ( habitable space only) M&Z4f)� Height ( grade to ridge ) : / 6 feet TYPE Olt' - BEATING SYSTEM : Number of fireplaces and/ or wroodstove ( circle all which a 1 es ) to be installed : u c it Comas`] Wood orced Hot Ai / aseboard / Other person responsible for supervision of work as regards to building codes is : CVXa jrAJ ns JCA+ b + Name ` Addresss phone Builder : Plumber : 5 Mason : I)a L Pywldc✓ i '7`J — �3_?__C -- Electrician • 119 0& e DECL.ARA77ON: Please sign below after you have carefully read the statement. To the best of my knowledge the statements contained in this application, together with the plants 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 noted, and that such work is authorized by the owner. Further, it is understood that Uwe shall submit prior to a Certificate of Occupancy or Certificate of Compliance being issued, an AS BL - PLOT' PLAN by a licensed surveyor; drawn to scale, show' ac location of project on premises. Signature: (owner, wner's agent, architect, contractor) Application for SEP�/r��CommunityTIC DISPOS .�.I..� PERMIT' Tawas of Case ty �� Permit NO. Dept. of Community Development ,� Building & Cues Office fAIP 742 Bay toad Pee Paid $ Queensbruy, NY 12804 Location of property for installation: e e. !A. Property Owner's Name: 4SCJ*1 E r M @ C r +MCA,) ails � , O rjO Property owner's Mailing Address: 42 Installer's Name: st:., r Y A Q, r a rr'-kj rc+ . Prone # .�u � Number of bedrooms (if residential): Total daily flow: (residential. - compute @ 150 gal./bdrm.) Topography: flat, rollinp1 steep slope '70 of slope Soil Nature: )e sand, loam, clay, other f depth: Ground water: at what depth? feet / Bedrock or Itnperu:cus Material: at what depth? _ feet Percolation test: _Y not required., required [ rate min_ per inch ] Domestic water supply: �_ municipal, well, comer If domestic water supply is a WELL, water supply from any secdc absorption is feet. PROPOSED SYSTEM Septic tank: _AIW gallon (rrdru num size: 1 ,000 gal.) Tile field: each trench feet I Total system _=ath: feet Seepage pit(s): number of / size each: ft. by ft. Size of stone to be used: 9 / depth or thick feet HOLD NG TANK SYSTEM: (if require Number of tanks: Size of each gallons Alarm syxeaxn and associated electrical wmk to be inspected by a certified Y For your protection, plane note that pursuant to Section, 136-29 of the Code of -be Town of QoWMbury, ally permit or approval granted which is beard upon or is granted in reliance upon any xmaterSaA misrepresertiLtion or far1urre to make a material fact or cucuraaataanca known by or on behalf of an applicant, shall be voiL I have read the regulations with respect to this appb and on req u r� of the Town of Qh�bury Sandary Sewage Durposal Ordinance- 5 QW Signature of responsible person: EtTE:R.GY Coo CC7tSQL ==`LriCE APPLICATION TOWN OF QCJ � GC7SeaC7P_ 'r , WARREZI COUNTY 4000 r ,F, AT : NC I] CC', Rc » DAYS CC7ii. � 7C@ methods : rn ' 0 -r � s rLCca _ bl Prec� wcs Method - I & 2 F cmlly Dvaellings ( only ) PART 6 * _ Thermal Rating - COM.Donent Trade offs l & 2 Farally Dwell i ngs ; Multi -Family Dwetllirxas ( 3 stories or less ) PART ¢ � — D3 es igrc by Component Performance COMme = cla. l Hulldings=Hi pi.se Res 1 dent .ia j * Reauiw es submission of worksheets aPPcr� T s rrA.u : ` PRCP'ERTY LOCATION : ,!� PART 5 METHOD Oc COMF' ?T SRC M BY ACCEP'T'.rI.Br E pRAC .r^. IC: C`sA CSS Floor Ar=.A SC,Lt ?` E Le3i T'v_" �' Of Heat 0 ; kr Gas [} tnor NO • r-S 'C.�'LId. E' L" I f 5 ~ —`v"?_T UcS FOR 't:dS'JL,e?TiO�7 GT SE;i SEA C3: F MUST COR ZZSPCUD TO R-ViALUES AS SZMC ;-%L! ON PI kNS SLiE4j1-? ITTEL3 : b _ Exterior walls !? L9 C _ Glazed area 's a _ Exterior doors _ r loos oven Unheated spa -= ces p f _ Edge of slab on grade ( heat © d bcxilding ) 'P r3 _ Basement/cellar walls ( above c-. a.de ) F� 4 h _ sasement/ cellar walls ( below g�adA ) p l _ Heating/cooling-ducts -t:) Lpizzg * n unheated space Et 6 _ Se' r�-vice ( domestic) hot •water• hezti =g device Cc) nfcarms to minimum efficiency par code Fes No ==L= ERATUFCE CONTROL MAX-MMUZ-S SE:=XITG 1400 WILL NOT BE EaXCEE JED App l ign to Date Phone Number k4SPEC'I' RrS RSMIARKS : i TowN OF QUEENSBURY BUILDING 6• CODE ENFORCEMENT 742. BAY ROAD QUEENSBURY NY 12004 ( ! (518) 761-8256 ARRIVE : ._., DEPART : FINAL INSPECTION REPORT - RESIDENTIAL DATE IN5P CT ON REQUEST KCEIVED : NAME LOCATION BATE !/ �� PERMIT i TYPE OF STRUCTURE FOOTINGS FOUNDATION BACKFILL FRAMING _ ROUGEi PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTOV'E OR FIREPLACE N A YES NO MNEI HEIgHT/B ..VENTIMEIGHT.. PLUMBING T R f1AF T N G iEXTERIOR N S 1F ! ' K O T S ,L. INGS } RELIEF_ _V, ,tdE , VA E T W R OP G E PR V Y DOORS W TKRTIGHT TE 5 PA E H CAR ETE jSTAIR CLEARANCEYBAILINGS SMOKjg S RA2:HROOM FANS I T S EOUt4,DATIPNSU T N GARAGE F 00 NG i DOOR CLOSERS FINAL ELECTRICAL S TE AN VA AN R A SURV Y T PL N IC To IESUE. CJO OR C C I i MAP REFERENCE: SHERMAN PINES SUBDIVISION BY MORSE ENGINEERING P.C. FILED IN THE WARREN COUNTY CLERK'S OFFICE ON JANUARY 29, 1993 IN PLAT CABINET A SLIDE 197 h tM A #-v - ..- an D u s e & Steve s Land Surveyors, LLC 37 Chester Street Glens Falls, New York 12801 (518) 792-8474 New York Lie. No. 50135 COMMON ARCH 77C77 UW7N=Z[D ALIERATM OR ADDITION M A S PIVEY YAP SARNIO A LI 04M LAID SLR\EYORS TEAL R A VIDLA7ION OF SEC110Y 74OR. SO -MUM $ OF YK NEW YORN STATE EDUCAIM LANK' 'ONLY DOM FROM 7K ORDgAL OF TIN ARRIEY MAOffD WM AN ORIMAL OF 7IE LAND SURVrV01Pi SAL WALL DE CCNISDFRED TO SE VALID 7RLE C01141V •CIDRNIGTIMS INDICATED NflEIDI S NY 7NAr TN6 SURVEY WAS PREPARED IN ACCOMANCE WM THE ONSITNo CODE w PRAcnoE FOR LAND SURVEYORS ADOPTED BY TIE NEW YORN STATE AS7013AlIDN CF PROFERIONAL LAID SIRREYORS. SAID CEROFTATIONS 94AL RUN ONLY 70 IRE PERM FOR NNDM THE S AN O PREPARED, AND ON NS WIDMF To TIE WU CMVMY. OOVMMENTAL AOEHOY AND LIDOW N"11XI ON LISTED IEREDN. MD M THE AMOM OF TM Lr]ON00 Kffff UOON.• Map of a Survey made for RICHARD HILLER Town of Queensbury, Warren County, New York elf NEWS NO. I DA TE DESCRIPTION Scale 1 "=30' S-1 SHWr 1 OF 1 HILLER DWG. NO. 94246-22 TOWN OF QUEENSBURY j gUILDING S COUPE ENFORCEMENT 742 BAY ROAD QUEENSBURY NY 12804 (518) 761-8256 ARRIVE : ��.!. DEPART , ' , IN FINAI. INSPECTION REPORT - RESIDE" AL DATE INSPECTIO^yN� �REQUEST RECEIVED : NAME LOCATION C F PC kATZEJF� DATE / Y PERMIT # �_y-lT'f� TYPE OF STRUCTURE i � r� vZNI 7- C �C-�P►R .I FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLVMBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE _ N YES N4 CHIKHEY UEjqUTLB V G PLUM �QOFING EXT E igg FINISH PS LIN I V VES { x i 9FURNACEZROT WAT9aP NG R1 IVA R 1FXHISH S 13ATH/EITCHEN W 1 OTHER FLOO SWEE OTHER OORS 1;PF-wrEd STAIR LEARANCE/ !X.IJjN S F SMOKE c o F HC FOUN A U A F P DOOR S S L CT C L SITE A VAR ANN SU V Y OK ISS C 1 i COMMONWEALTH ELECTRICAL INSPECTION SERVICE, INC. [,r Main Office 357 Elwyn Terrace — Manheim. PA 17545 p ' 7 7f v MUNICIPAL CERTIFICATE{ - ELECTRICAL APPROVAL Panel Board No. ... ... .. ... .... ... Cert. 5 9 9 14 Cut-in Card No, . . .... ....,,,.-- Owner ..,..e?� Zr ?��i�ILu�/E`.Ner d[..... Occupant . .. . . .... . . . . . . .- ....... .. .................. . . . . . ... ......................,,,, . .,. ... . . . .............. Location .. � GY. s -1..a�.,,P4`r-.�7.+F7.. � /� _?z-&�� ................ .. . . . . ... .. I �f , Installation Consisting of � . . D Gtl�.. . ..FA . . . . . '+4.? tl��--.-/ ✓�U/9 5 /!. '�- Installed By ...e .t. o+ e..>0#?e Lic. sk,-,-. . - . .-. The conditions following governed the issuance or this certificate, and any certificate previously issued is cancelled: — This certificate only covers the electrical equipment and installation conditions as ui date- Upon the introduction of additional equipment or alterations, application shall be Promptly made for inspection. Inspectors of this Company shall have the privilege of ma eember ns an time, and tl' its y rules are violated, the Company shall have the right to revok t t c Date . . . : .':..1.. !� ' ................. INSPECTOR ...,... .... ..............,-.. . ... ... . . ---- " F.P,A.. I.A.E.I. RESIDENTIAL FINAL INSPECTION REPORT Office No. (518) 761-8256 Date inspection request received: Building & Code Enforcement r" Dept of Community Deweiapment Arrive m Depart Town of Queensbury Inspector's Initials 742 Bay )Road Queensbury, New York 12804 NAME Yl PERMIT # LOCATION DATE TYPE OF STRUCTURE N/A YES NO CONOAEN'E'S Chimney Heightr'B" Vent/Direct Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30" to 36" Exterior Handrails, balconies, landing 18 in- or more interior Handrails stairs both sides 3 or more risers Grade 2°/n away from foundation 8" clearance to sill plate Gas Valve shut-off exposed/regulator 18" above grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at en to furnace area Furnace/liot Water er ating Relief Valve(s) in led a6 ft. in. on t s 6 in- il s both sides more than 3 risers Interior p acy/trim/doorshnain entrance 36" Floor F' Bathroo tchen watertight Interior drails Balconies(Loanding 18 in. or more Railing across window in stairwells Stroke Detectors every IF ' I every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation l3tJ 1. 1p N ►+�f�1 t � - 3/4 hour fire door/door closer C-C*30% V% }sNEP�, 1)►�� (-Garage fireproofing VR*Z6 1 � Lcr�� �1 Garage penetrations sealed UD7t i GoRa3E� Qi p Furnace in separate room protected (in garage) 1t- Light ventilation per room Safety glazing 18" or less from floor Final Electrical Site Plan/Variance required Final Survey Plot Plan As Built Septic System layout required Okav to issue CIC (Certif. of Compliance) Okay to issue temp. C/O (Ccrtir of Occupancy) Okay to issue permanent C/O] (Certif. of Occupancy) 1 GENERAL ZNS CT Iff REFQRT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay .Read ` } Queensberry, NY 12844 Arrive a� �—�_._ part r n�spector's Initlail NAME: ' PERMJT # LOCATION: DATE TYPE Of STR CTUgLr- RECHECK NIA YES NO CCIMNII3NTS Focsringsl'Fiers � Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing, for 4$ hours following the placement of the concrete. Materials for this purpose on site FoundationfWallPour Reinforcement in Place FoundationlDaunPp n Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbin C i ng Rough-in ation 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 PostsfMain Beam Air infiltration Barrier Fire Separation 1, 2, 3, hour. _ Penetration Sealed Fire Wall 2. 3, 4 hour. Firestopping. GENERAL INAPEGTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enferoemeut 742 Bay Road " ,c1 Queensbury, NY 12804 Arrive am/pm Depart pm Inspector's Wtials NAME: PERMIT # tv LOCATION: j C3 BATE " 1 j TYPE OF STRUCTURE: RECHECK N/A YES NO CCIMMIENTS FaatingslF'iers Monolithic Four Farm Reinforcement in Place The contractor is responsible for providing protection from for 48 hours fallowing laceme of the can Materials far this an site Foundation/Wallpo Reinforcement in PI Foundation/Dampp n 13ackfxll Approval Plumbing Under Slab Plumb_ingVent/Vents in Place "t 4ftff 'fir Plumbin Heating Rough-In Insulation Foundation Walls Interior R- Foundaton Walls Exterior R- Floors " R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, 'c Vent ing Jack Studs/Headers Bracing/Bridging ,foist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour. Firestapping TOWN OF QUEENSBURY BUILDING A CODE ENFORCEMENT 742 Bay Road QueensburY MY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name .� Location �"Date 14[ Permit # SOIL TYPE: Sand- aam-Clay- Resul is of Percolation Test- ( if applicable ) Rate- Minute/ Inch TYPE OF SYSTEM: ABSORPTION FIELD : Total Length ` Length of each trench Depth of trenches Size of stone SEEPAGE PITS : umber-� ft . Size - x Stone siLa ype PIPING: Bldg , to Tank to . - Box <r - Dist . Box to Field/P Openings Sealed? Yes No artial LOCATION/SEPAR,ATI S :/ G;7 feet Foundation to Tank Absorption feet Foundation to -- � feet Separation el Pits Yes, No Conforms as per Plot Plan LOCATION OF :SYSTEM ON PROPER ( circle e Front - Rear - Left Side - Right Side Middle Fr t - Middle Rear COKMEMTS: C".)K SYSTEM USE APPROYEU - OES NO ' Departed : Building Inspector srrR ysiIMtie 4...�1Y nan�r ell1 till III tYJr .Al 3 o S47 r ��'S tom• 14/ /041 k + � AUG 3 199 0 as v A �G � Jill 4i: F; /!3`ar ° aC_�i �`j r FT�C3 o ap♦�r 197fill A�w It ?�GI� kL p r A r M 1 �» ^ Jill:JJJ -L►41�E�__' _ .5. V i ' U} rr yrr Vill If VV Pill JA76 /` // ill � _ .. � rI �4. � f 'y , • < f rl i , _ _ ' VVJJJV GENERAL VS69PEC77O REPORT Town of Queensbury Dept. of Community Development Date inspection request received.: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive am/pm Depxr# 0 ` ` amlpzn lnspectoes (initials NAME: .` PERMIT # LOCATION: DATE TYPE OF STRUCTURE. RECHECK NIA YES NO COMMENTS Footings/Piers ! Monolithic Pour Form Reinforcement in PI The contractor is ble to providing protection m ing for 48 hours followin the placement of the concrete. Materials for this on site Foundation/Wallpo Reinforcement in Fo tion/Dam it Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough 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- 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. 37 4 hour Firestoppin h VII 1 � GENER.ML WS'PECTIG►1 REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bey Road [�f Queensbury, NY 12804 Arrive Depa "wpm , I<n9 or�S initiab NAME: PE # �/ 6::0 LOCATION- DATE TYPE aF STRu RECHECK N/A ,NO CGaWENTS tings/mcrs 1 Monolithic Pour Form _ Reinforcement in Place The contractor is responsible or -- providing protection from fineezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Darnpproofin Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing, Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Fioors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framin Jack Studs/Headers IL 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 Firestoppin