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98-561 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW 'YORK December 22 98 Date 19 98561 This is to certify that work requested to be done as shorn by Permit No. has been completed, d SINGLE FAMILY DWELLING This structure TU 19 uP1 v1 + Location SCHERNERHORN CONSTRUCTION Orwner TAX MAP NO . 1 21 . - 1 5 - 19 By Order Town Board TOWTY OF QUEENSB,,Vrr RY Director of Bldg* do Code Enforcement BUILDING PERMIT TrNf VT n :, , A-nTOWN OF QUEENSBURY No. TAX NAP NO , 121 . - 15 - 19 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to SCHERMERHORN CONSTRUCTION OWNER of property located at LOT 19 PEACHTREE LANE Street, Road or Ave. in the Town of Oueensbury, To Construct or place a SINGLE FAM T•y DWELLI [� 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. aWKW�dnos9l) MASTERS COMMON NORTH QUEENSBURY , NY 12804 2. CONTRACTOR or BUILIXRIS Name SCHERMERHORN CONSTRUCTION 3- col"J'V eft%L &ftos1NORTH QUEENSBURY , NY 12804 i. ARCHITECT`S Name COMMONWEALTH ELECTRICAL AGENCY 5. ARP&T%6:* As HAGUE , NY 12836 6. TYPE of Construction — ('lease indicate by Xi SINGLE FAMILY DWELLING i I wood Frame I I Masonry f 1 Steal i F 7. PLANS and Specifications 1368 SO FT SINGLE FAMILY DWELLING WITH 2 -CAR ATTACHED GARAGE AS PERN°PLOT PLAN SPECIFICATIONS S. Proposed Use SINGLE FAMILY DWELLING 193 September 23 2000 PERMIT FEE PAID — THIS PERMIT EXPIRES , 19 fit a longer period k required an application for arw extmci eon must be made to the Bulldirq and Zoning inspector of the town of oueensbury before the expiration date.l 23 September 1998 Dated at the Town of Gueensbury this Ray of 19 SIGNED By for the Town of Gueenstwry AMMAMMUNC Building and 2aning I Building Pea nit Application Town of Queens$ury - Dept. of Cmmmunay Development, 742 Say Road. Queensbury, NY 12804 [761-8256] BUILDING & CODE ENFORCEMENT Requirements prior to issuance A permit must be obtained before of this permit: PERMIT FILE NO. � ' f beginning construction. No inspections PERMIT FEE P.41D $ will be trade until applicant has received � S Bt7�ll Action )93 a VALID BUILDING PERMIT. All Area I t3se applicants' spaces on this application RECRERTION FEE Fi 91D $ MUST be completed and,the signature 0 Planning Board ACtior; of the applicant must appear on the REVIEWED SI'R ! Subdivision l other Bu#IsFing Insprner pplication farm. 7hw%k Y ,. Recreation Fee Payment Applicant: owner: Address: oLou A Address: 4 0:3 14 P ynl-la r^ g e-ek LN!!:J a Phone # ( ) �� I_ - OG?y Phone # ( S't$_) ? Property Location. �/ Subdivision Name: S� i1'1 oti /✓ r S Tax Map Number tic-tion I L' � � Section Slack lint NATURE OF PROPOSED WORK : ESTIMATED MARKET VALUE: ,mOF� THE -i!' New Building : CONSTRUCTION : $ `� OUP residence / commercial r Addition to Building : residence / commercial OCCUPANCY INFORMATION : Alteration to Building : Primary Building residence / commercial X Single Family Dwelling Residence / Commercial Two .Family Dwelling no change to exterior size Family Dwelling Office Other Work ( describe below ) Mercantile SEPe7� 1M Manufacturing r Other GROSS AREA OF PROPOSED STRUCTURE : d } st Floor . . . . . . . (o sq , £ 3 If ADDITION , what will use of new, addition be ? : 2nd .Floor . . . . . . . Uy sq . ft . Other Floors . . . . Y sq . ft . ( not unfinished cellar or basement. ) ACCESSORY BUILDINGS : Detached Garage 1 , car TOTAL FLOOR AREA : �,T SQ . FT . W Attached Garage 1 , 2 car Private Storage Bua a.ng SIZE OF NEW STRUCTURE : Commercial Storage Building (d FEET X FEET Other '....ram' Foundation Type : qqy%urtAe, Will any second-hand or ungraded Number of Stories : T' Ijl lumber be used? If so , for what ? ( habitable space only ) ' �7 /Vo Height ( grade to ridge ) : feet TYPE OF HEATING SYSTEM : Number of fireplaces and/ or woodstove ( cl-rclelall which a 1 ' es ) to be installed : /Va/V9 R I PCty* ir_ j 11 / GA Wood orced Hot A / Baseboard / other Person responsible for super��Th7a sion of work as regards top bui.ldin�j codes is : l c_AY1rNCuo/itJr �7 / � Name Addresse Phone Builder : C>G f Plumber : Mason : u3 : Electrician : 9 DE ,4RATION.� Please sign below ip t'r er you have eare#Wy read the statement. To the best of my knowledge 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 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 BUILT PLCrr PLAN by a licensed surveyor; drawn t at show"ng ac location of project on premises. Signature: (owner, owner's agent, architect, contractor) Application for SEPTIC DISPOSAL PERMIT Town of Queensbury Permit No_ Dept. of Community Development T,OAA.)p CD_'I� G�O e e,A7< 1 0 )t" V Building & Codes Office U Fee Paid S 742 Bay Road Queenshury, NY t2804 Location of property for installation: °` Property Owner's Name* *JNA 'c"k �NCPCJJC- p ■ }�...aa 5+ 1�f property Owner's Mailing Address: �� �+ L.4 0, f� 1"�► � � t- N . Installer's Narne: _C 4 9 r Phone # Number of bedrooms (if residential): 3 Total daily flow: rJ°5`y (residential - compute @ 150 gal.Jbdrm_) Topography: V flat, rolling, steep slope 170 of slope Soil Nature: Y sand, loam, clay, othc J depth: f Ground water: at what depth?j!� v= feet / Bedrock or lmpercus Material: at what depth? feet Percolation test: not required, required. [ rate miss. per inch Domestic water supply: V, municipal, well, comer If domestic water supply is a WELL, water supply from any se�.ac absorption is Ja c:X feet. PROPOSED SYSTEM Septic tank: /a' a gallon (minimum size: 1 ,000 gal..) Tile field: each trench feet J Total system len47th: feet Seepage pit(s): number of J size each: ft_ by Size of stone to be used: # e2� J depth or tbickr=ss feet HOLDING TANK SYSTEM: (if required) Number of tanks: Size of eacb.- gallons Alarm system and aaaoeiated electrical work to be br a certified agvx%cy. For your protection. please note that pursumtt d3 SecCion 13S 29 of the Code caf a Town of Qu yn p" d �' Atersppro l graded which is based upon or in granted in rel m2co upon any' mta� or failure try make a Wit...-:st fact or circumatAr►ce known by or an behalf off an acpplicxrnt, shaII be vrai& I have read the re$ttLaticrna with respect to this application and agree to abide b+ stow sad all t"gxur+ementa of the Town of Queenebury Sanitary sewage Di"Poaal pate: . S Signature of responsible person: ^��- L__#— .�_ ENERGY Cc oI7 CC?t pyi APICE APPLICATION � r =_ 5 TGWU OF Qt EENSSUR M r 7rR2Ei CC7fJtITY 9000 HEtVrING DEGREE DA'fS COr�: � l ' � ^. C � �? � t11t7l.'� s : Oy,4 "[ 5 — eAcC *� ptable P � aC� iC ? I"!� tftQGi 1 & 2 Family Dwellings ( only ) PAR ' 6 " - crftermal F_ay`. ti ng - Comoonent Trace Offs l & 2 Farni ly Dwe l lings f Multi-Family Derrell i ncss ( 3 stories or less ) PART 4 * - Des i grt -may Comoonent Pertormance cc>mrne = cia1 Buildings -Hi Rise Resideritial * R.eauire .s submissiorl of worksheets APP° I_. GaLI 'T S NAME : FP_QP ;;—= TY LOCATION : ' Sierrssl.�tdre �s ,r' �''C� _ � lZacc,�r -e '. . - PART 5 ME'TETOD Q - CQ�tr ! PT A�XC 37 ACCE?TAErE FRACTICE ' ]. G ; Css Floor Ar ? a - p SGua- e "Pee " 2 _ 'i:7 '� Q is a a -- C T es C =. C' {� C,S.+S�' n ar � � e c a i'4 l 1 o d 7 Y n S ✓ t'�4 - s d ._g n an a ly cc7a C� a rs .IOver Under 1 j :v FOR =�Sr3'x.,e?TZON G TTJEii S E i_,C7 p 0 MU ?' C:ORI .ESPOND TO R-VrA.TrL3ES A S SrIC;Gii•I OBI PL_:�:`IS 5Uc3k-ST_'T'T_'ED a _ Roof R 3n b _ E:cterior walls - c _ Glazed areas R ► +$ ci _ F.:c.t e r i o r doors g ---���--. loors over unheated spaces R � f _ Edge of slain on grade ( heated buIl. ding ) 1 - Sas ement/cellar walls e gr ade ) R , fc _ Basement /cellar walls ( below grads ) R � J i. _ Heating/cooling- ducts - piping i n unheated space 6 . Se ?'zrice ( domestic ) hot 'water heating device C< ornfarms to mi.nimurrt efficiency per code � Fes , No T TE:SPERATURE CatTTROL tfAXZMLrM SETTT23G 14 04 = WTLL "HOOT BE EXCEEI) ED pp S n u�¢ Date Phone Humt: G} �X �. IL`ISPEc*rOF. ' S REVEARKS : TqW4 of OUP 14 gORCETM1F,NT AL]IL �t}E`N i81 44 1 I4Ati.^L' low,tt'*X'A=' r.Y' 'IVE. �IKA INSpS,r C"xlOtr CEIV S's7 ACT �-- � '- � EK,ptAxttG ___-- pA'TE ucTUSZE B,P,CKFIS+Il',A„�p,�, Ct -- i E qg STR qN I�S13'L SQI,ACTs -- TYP �Ot}NOAT SEp`TIC qR Irl. 0 yCar KGS LyMOING RqN3Gtt Y LEC'TRIC7'.L .----'. �p V Eti tt S G T Cit tSl3 '[ K.E x Gti VEK P L!314Z qqF RC' ti • ExTC OR EIN $ x IyGS pgRCtt ST p E'G RSI,xE E W URNRCE aq RxV c s _. S : FSA �,9 g,WESPA gTNEg' E q RS CAR TE art pE'CEC`E43 847C)t� pf'JUN'QATxgI E PR� `�`� --� C'TP`IC N GE RE .�—�.`_--• `_-----_ P UAti V 7aR_.�I_•..— 1,ALS SITS— �uRVE."I PLAT P ;SSU t i 1 MAP REFERENCE: SHERMAN PINES SUBDIVISION BY MORSE ENGINEERING P.C. LAST REVISED JUNE 7, 1993 FILED IN THE WARREN COUNTY CLERK'S OFFICE ON JANUARY 29, 1993 IN PLAT CABINET A SLIDE 197 all D u sP e .1:1 & Steve s Land Surveyors, LLC 37 Chester Street Glens Falls, New York 12801 (518) 792-8474 New York Lie. No. 50135 "W"10111M ALTERMION ON ADDITION W A SURVEY NAP GEARING A LICENSED LAM SURVEYORS SEAL IS A VIOLATION W SECTION 7206. SUB —DIVISION Z OF Toil NEW YCRR STATE EDUCATION LAW. 'ONLY cNmR6 FROM THE OIRiNAL all T N; SURVEY NARIM WITH AN ORIGINAL OF THE LAD SURVEYORS SEAL SMALL E CMDEND TO M VALID TRUE COPES• "CERWI'.AY1OIS INDICATED oEREW SIGNIFY THAT THIS SURVEY WAS PFOAFD N ACCORDANCE VGTH THE ENS1M0 CODE W PRACTICE FOR LAD SIRYEYa10I4 ADOPTED GY THE NEW YORN STATE ASSOCIATION OF PROFESSIONAL LAD SURVEYCIM SAID CECINTCAIM SMALL " ONLY 70 THE PERSON FOR RMON THE SURVEY 13 PI ARM AM ON HIS IEK" TO THE TITLE COMPANY. GOVERNMENTAL AiNCY AA LDDING NSRTUTON LISTED II WX AND TO THE ASSRSES OF THE LENDING NSIITU7m.' n Map of a Survey made for MICHELLE QUIRK Town of Queensbury, Warren County, New York NO. I DATE DESCRIPTION a N Z-w %fir. .p z Scale 1 "=20' S-1 SHEET 1 OF 1 SHERMAN PINES DWG. NO. 94246-19 I Uj Y— I CV 121-15-19 ] 1 0 RESIDENTIAL FINAL INSPECTION REPORT ofrice No. (518) 761.8255 Date inspection request received: ►�� ' ! �" Building & Code Enforcement Arrive pm Depart Dept. of Community Development lnspector's Initials4 Town of Queensbury 742 Bay Road Queensbury, New York 12MM NAME DATE LOCATIC3AI z'' cL . _ a TYPE OF STRUCTURE ,,..~���— N/A YES NO CON 4Eh7TS Chimney Heightr M Vent/lairect Vent Location Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete interior/Exterior Railings 3W' to 36" Exterior Handrails, bal hies, landing 18 in_ Interior Handrails stairs th stdes 3 or re risers Grade 2% away from faun on 8" clearance to sill plate Gas Valve shut-off exposedlre ator ve grade Gas Furnace shut-off within 3 feet or within line of site Oil Furnace shut-off at en cc to furnace area Furnace/l lot Water Heat operating_—..— — Relief Valve(s) install Headroom, 6 ft. 6 in, on stairs Basement stairs, 6 ft- 4 in- Handrail ex senor stairs both sides more than 3 risers lmenor privacy/true/doors/main entrance 36" Floor Finish Bathroom/Kitchen watertight interior Handrails BalconiesfI.anding 18 in. or more Railing across window in stairwells Smoke Detectors: every level every bedroom outside every bedroom inter connected Z. Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fsreproofmg Garage penetrations sealed Fusncice in selxu-ate room protected (in garage)_ 1,ight ventilation per room___- --- -- Safety glazing 18" or less ftom floor Final Electrical Site YlanfVariance required. Final Survey Plot Plan As Built Septic System layout required__.___.------- Okav to issue C/C (Certif. of Compliance) _-.------ Okav to issue temp. C/O (Certif. of Occupancy) Okav to issue permanent C/O (Certif. of Occupancy) r15YCkQPAst1545 ` 7774wolka - MCT IcC� "l c � � aor Al AYFR t trt cata rsD. .........................u.. ...... q.11C�PAu N° g$7 '� 3.................... .........1. ..� ............. rt .. Nnet...... .. f.. . ... yp 73..... / o u DCatw ls(tng ef�....... ........y._�.. lion CDrts {, ...i.... ............ .... LtC. �' revioutlY i_s lrtstalla �r fj / Cep i4tcate P ❑ €he /9 ,1. °.A•r.�`..1.....T and an'� date. Llp° ' e of th5s cexitCseate, cnndtions as o€or insFee'txoi i its issuanc installation romptlY mad.,�,y tune^ and .... ..,.. vvern ent and shall be p Mans at 1n5C°lled IB uinS % nsper 'L e conditions €nlly ` the el'zc`taiteratian P 51e$e xn€ tnali tilt te. . cainrcuelledsu ac srticv n af af hits�C n�,mmpPa k ....tVlerur ^p- _P.A•. ...... ,is, te o4eAlk 'naveO- ddinnalesallae nxta erso he11Sp� d vxv GENERAL. IN PE � RE �� AP) Town of Queensbury Date inspection request received* Dept. of Community Development Building & Code Kufbrcement MIR,, 742 Bay Road Arrive ea „ liMepart Queensbury, NY 12M4 �spector's Initials PERMIT # N DATE LOCA TYPE OF STRU RECHECK NIA YES NO COWM&EI*TrS i Footings/Piers Monolithic Pour Form Reinforcement in Place far The contractor is providing protection to for 48 hours folio 8 the placement of the concrete. Materials for this purpose on site Foundation/W al'kpOur Reinforcement in Place Foundation/Damppr oofin Backfill APPrOvid pluming Linder Slab Plumbing Vent/Vents in Place Rough glumbin � k,=:H g Ro -In ion Foundation wail' s Int�er0 R- Foundation Walls Exterior R- � ¢ t5 C Floors R. Walls R' Ceiling, R- T> Duct work or piping in unheated spaces R- ---- Proper gent, Attic Vent Framing jack Studsa4caders BracingfBridging Joist Bangers jack Posts/Main Beare Air Infiltration Barrier Fire Separation 1, 2, 3, hour penetration Sealed Fire Wall 2. 3, 4 hour _�-- FirestoPpin '-Z NRE G ERAL PE �F..N_-- Town of Queensbury Date inspection reWesit ram- --- Dept. Of Community Dawelopment Building & Code En-forcement .- D� 742 Bay Read p,�-rive r,s00 Queensbury, NY 12804 Inspects PERMTf` # NCALT: DATE LION: � lF S -LJ C".TURE: RECHECK fA YES NO CONO ENTS i Footingsfpiets 'Monolithic Pour Form Reinforcement in Place The contractor ns a fo ins providing protection thefor 48 hours followin the placement of the concrete. sse on site Materials for this purpo FoundationlWallpour Reinforcement in Place Foundatiory Dampproofm 11 al Pum gV� Slab Plumbing Vent/Vents in Place Rough plumbin we,e� tz�icSES) d Rea - Rough4in L,L ' on 11 _- +L'�L,,A c c-�Mur.�1 irJ RL I � � Q� r Foundation Walls In rior Foundation Walls Exterior R- Floors Walls R- ��~ (:�111ti � r{r1�C7Q- ► l_ Ceiling, R 1�V�✓�c L Duct work or piping in unheated spaces R- ---'.� � v N N proper Vent, Attic 'Vent Franun jack SmdslHeaders _ i A Bracing/Bridging�� ti ( �'�: 1�''+��.'�- 7r f�k%O V JoistHangers Sack pastsfMain Hearn 044„6 P-- 1; AC, t3 (,,r�f�%ZPGVE�.., Air Infiltration Barrier {�' �"C��y ` � IQ t Y'�-- Fire ration l , 21 3, hour G�- 1/ �t V � � penetration Seated �yri Fire Wall 2, 3, 4 hour i— Firestoppm GENERAL INSPEG'?'IDN 1iEPt7E ►' Town of Queensbury Date inspection request r eceinntd= --- DePiL of Community Development Building & Code Enforcement / 742 Bay Road Arrive wpm pepa�rif O ' 1 Queeusbury, NY 12804 ear's Inidids PERMIT # NAME: DATE : LOCATION: Lcvo TYPE OF STRUCTURE: RECHECK. N/A YES No CONRAENTS Foatings/I'iers Monolithic Pour Form Reinforcement in Place The contractor is responsibl or providing protection from g for 48 hours fallowing the place t of the concrete. Materials for this purpose on site Foundation/Wallpow Reinforcement in Place Foundation/DaMpproofin Backfill Approval Plumbing Under Slab Plumbing 'VentfVents in Place Rough plumbin Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Fl+oors R- Walls R_ Ceiling R- Duct work or piping in unheated spaces R- proper Vent, Att V t Frarnin �2 c Jack Stud&Ucadets�� Bracing/Bridgin Joist Hangers jack posts/Main Beam Air hinitration Barrier Fire Separation 11 2, 3, hour penetration Sealed Fire Wall 2, 31 4 hour Firestoppin ® c S VOW ► M %� [:FEVER IL LN PE I(7N RFPURT Town of Queensbury on request -� Date inspecti ��" Dept, of Community Development r' 13nilding & Code Enfareewent 742 Bay Road Arrive Depart Queensbury, NY 12804 Ins pecor's Initials 1-- PERMIT' # DATE LC)CATI N' ��-� TYPE OF STRUC'I' M: RECHECK N/A YES NO CpNQAENTS 1 FootingS/Picrs Monolithic Pour Form Reinforcement in Place The contractor is respo or providing protean 8 t for 48 hours fallowi the P of the '�pncrete. Materials for this on Foundatio Reinforcement ___�--- Foundatio Backfill l Plumbing U r Slab plumbing V tlVents gh Pf Heating Rou -In Insulation Foundation Walls interior R- Foundation Walls Exterior R- Floors R Walls R- Ceiling. R- Duct work or piping in s R_ unheated s �- � �� �x'cer Vent, ent �iQd Ut Gam- firamin L + ' Jack S e tiers Bracing/Bridgin Joist Hangers jack p sts(Main Beam. Air Infiltration Barrier Fire Separation 1, 2, 3. hour Penetration Sealed Fire Wall 2, 3, 4 hour FirestoPl�in GENERAL �N,SPE f N REPORT 1 Town of Queensbury Date inspctio en req re¢eiv uest ! .� —.--- DePL of Community Development Building & Code Enforcement 742 Bay Road Arrive a art Queensburys NY 12004 � In D In s---�- PERMIT # NAME: 6&7 DATE : Y LOCATIC3N: TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS I FootingslPiers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following, the Placement of the con Materials for on site FoundationlWall Reinforcement in PI Foundatio lI Plumbing U r Slab plumbing Vent/Vents in Place Rough Plumbin Heating Rough-In Lusulation 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 lack StudsJHeaders Bracing/Bridgin Joist Hangers Jack Posts/Main Beam Air infiltration Barrier Fire Separation 11 2, 3, hour Penetration Sealed Fire Wall 2, 31 4 hour Firestopping GENERAL I1V�CTI N RE RT Town of Queensbury est received: Dept. of Community Development Date inspection request Building & Code Enforcement "742 Bay Road Depart a amf Queensbury, NY 12804 Arriv am/In ect0es Initials j PE # C_ C l NAME: I7 LO CATION: TYPE OF STRUCTURE: RECHECK. NIA O CONiMENI'S IWOK tings/P"iers 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 FoundationlWallpour Reinforcement in Place FoundatiunfDampproofin Baclftll Approval plumbing Under Slab plumbing VentlVeats in Place Rough Plumbin 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/Bridgin joist Hangers Jack postYMain Beam Air Infiltration Barrier Fire Separation 11 21 3, hour Penetration Sealed_,_____. Fire Wall 2, 3, 4 hour Firestopping_ ....v .�. .x. . .. 1� �Y .i9 R.. .. . .. .. t'.. z 1998 y V 1 i+ovag AAW EE a pp t i a. 74 J f w wu � r 71 f� Jt � I \ I j Jill Jill I c � 'y killo Made #0000-uiiiiiiiiiiniiiiii �ii Lill. Jill ff �, r� C ! 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