1986-457 CERTIFICATE. OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date Hay 2 6 19 87
3 VLe_....\___e)
.
This is to certify that work requested to be done as shown by Permit No. 86-457
has been completed.
This structure may be occupied as a One—Family Dwelling
Location Lot 24 Michael's Drive (St. No. 24) Sherman x1rres
Brian Berkery
Owner
By Order Town Board
TOWN OF QUEENSBURY
CAed(>/A51;
Building L&Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY 86-457
No.
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Brian Berkery
ed
OWNER of property located at Lot 20 Michael's Drive (St. No. 24) Street, Road or Ave.
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 Ft
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is 61 Briwood Circle
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Robert Weaver
r� r
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3. CONTRACTOR or BUILDER'S Address • rt
117 Gansevoort Road o
South Glens Falls, New York X
(-)
4. ARCHITECT'S Name l w
to
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rt
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5. ARCHITECT'S Address
.. C
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6. TYPE of Construction—(Please indicate by X) cn
G
(X)Wood Frame ( ) Masonry ( )Steel ( 1 w
7. PLANS and Specifications
H. o
24'x34' per plot plan, specifications and application submitted o
No.
including sewage system.
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8. Proposed Use
One—Family Dwelling -
d
m
$5.00 C/O Paid
$ 91.00 PERMIT FEE PAID —THIS PERMIT EXPIRES Feb. 1 19 87 ata
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 30th Day of /� July 1g 86
SIGNED BY C/Ga a- �/ for the Town of Queensbury
Building and Zoning Inspector
' TO BE COMPLETED BY BLDG. DEPT.
� Application No.
,oum oi Que 'flJI,ura� Permit Issued 19
BUILDING and ZONING DEPARTMENT — OWN OFiS®€.Jf?l'
Permit Expires 19
Bay and Haviland Road, R.D. 1 Box Zoning Designation 4 ..• 4' ECIE [IV gi B
Queensbury, New York 12801 Variance No. ..;4
Site Plar. View No. JUL2 4 I G G/
0- 6 . • ,�
l Apgrovr 5 by; A.M. § �`� E�.61.
APPLICATION FOR / i 71819p. 141i2(3)401
/� � -�. - _..._. 6 d f P d f f Q 0
BUILDING AND ZONING PERMIT ��° � �
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *:;*
c.
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING.
The undersigned hereby applies for a Building Permit to do the following work which will
be done in accordance with the description, plans and specifications submitted, and such
special conditions as may be indicated on the Permit. .
114-2/. •
The owner of this property is: e i a'' Il) 6.:42-.
P.O. Address if! , ttG e,t't."r.7 Q. 1KC,L1 Tel.:"? V. 6 7 7
Property Location: Let- a d V 1 ei- A- j . 1 Lit Tax Map No.
Street number or building lot number 65/ `j 6
Subdivision name (if applicable) CSH VUTA4-3 ( CP.2S — S C j IO,L) `
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUTLDING CODES IS:
`� U I ) 7) C,i- S1_uoo?7 lei) S('F - j' . /R/
Name � P.O. Address Tel. No.
Name of builder �`Z(1-U•`L ' Address Tel. ci 2 /8/ s-
Name of plumber, t,' 12_1.0 )S 5_ Address Tel. ?? L. S Z 7Q
Name of mason i✓3t1401.._el Address Tel. "7 f, .z / S' / S�
NATURE OF PROPOSED WORK: * ZONING INFORMATION: •
:Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
Addition to a building * drawn reasonably to scale and attached hereto,
Alteration to a building * showing clearly and distinctly all buildings,
(no change to exterior dimensions) * whether existing or proposed and indicate all
Other work. (describe) * set-back dimensions from property lines. Give
* street and number or •lot number and indicate
,TOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location
LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration
* of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
is A SilleS
* Size of property/yo ivo ft X 14S•f /55 ft.
* Existing building(s) Size ft X ft.
*
PROPOSED .BUILDING AND USE:
* Existing building(s) rUse
-Size of -new structure -2-4- ft X-64-ft * ' ' ' ' _
Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line
(circle one)
,No. of stories (habitable space) d) * Front yard ft Rear yard /® ft
;Height (grade to ridge) b ft. * Side yards 3Fj ft and ft
If residential, no, of families '* If on corner, setback from side street ft
'No. of rooms(excluding baths) 4- * OCCUPANCY INFORMATION
-No. of bedrooms • 2.-
No. of bathrooms P * PRIMARY BUILDING -
Primary heating system s€cZ�Lc r� * One family dwelling
.,'Type of fuel L$.ci F!`� * Two family dwelling
No. of fireplaces to be installed (� * Multiple dwelling / Number of. units
Will a wood stove be installed? E * —
Permanent occupancy
Central Air conditioning? CI * Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
* Other
�Ranch Contemporary Log cabin * If addition, what will use be?
2aised ranch Mansion Duplex .
Split level Old style Bungalow *
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House * ' Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car
* * * * * * * * * * • * * * * * * * *----Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION $ _(91
•
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BFA .{/flf. mJ-vt •
LI) -
BUILDING SPECIFICATIONS:
Type of construction, wood fram , fire safe,etc. . _
•
Will any second-hand or ungraded lumber be used? If so, for what? GU v • •
Foundation•wall material, Thickness i1
Depth of foundation below grade (to bottom of footing 4_ f
Will there be a cellar? Heated or unheated? Floor sq. footage sq ft
Will there be a basement?)/2 5 Will any portion be used as living space? Ci p
(If so, what portion? sq.ft. - - Type of use?
'Type of roof - Elope flat/shed/other Material. of roof , ' r= I/a'r.6'CAP :S SHIA)6Ls
Size, wood studs '- "X " spacing ) / "o.c. length Ft. ft.
Joists(floor beams) let. floor '? "X R. " spacing_ ' C9 "o.c. span ) 'ft.
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) "X (s " spacing , G "o.c. span j -a- ft.
Roof rafters ' , "X ' " spacing f (, o.c. span / _ft.
Roof trusses(pre-engineered) spacing "o.c. spa'n ft.
Exterior wall finish eL>/b..20c;17 Of what material? 7 _ / 1 /
Interior wall finish oC,-k
If a garage is to be attached, describe materials to be used for FIRE'SEPARATION:
Is there to be an opening between garage and dwelling? If so will a Fire-rated
door, enclosure, and self-closing device be provided?
Will a flue-lined chimney be installed? MC-3 Height above roof ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hn. th ft. in.
Water supply Municipal r private well
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties ft.
(A separate application is necessary for any repair or new installation of septic system)
Tawas of Queensbury AFFIDAVIT STATE OF NEW YORK
County of Warren
I swear that to the best of my knowledge and belief 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 ORDIN E, and all other laws pertaining to
the proposed work shall be complied with, wIpther sp cifi d or not, and that such work is
authorized by the owner. •
SWORN TO BEFORE ME THIS Signature_
Owner, owner's agent,arcnxtect,contractor
21 day of 19 '�� "
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * ,* * * * *. * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
•
By tiOn 1
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 : -- J 0c1 -4--
.
2 . Type of heat ' Q.:1—
---sue Z `2..
3 . Is the building mechanically cooled? �,1ic,
4 . Percentage of area of windows and doors
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 yIalue of Noof and floors exposed to ambient conditions_
1LP0-L= ' = cD 4
2 . R value of exterior walls e-\ cc
3 . R value of glazed area 7
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
8. R value of heated basement/cellar walls (above grade) D//
9 . R value of heated basement/cellar walls (below grade) eft'
10 . Type of insulation p i 6 2.-e. Gt..A SS e. IO 4-- LO
C. Controls
1. Thermostat maximum heat setting F
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 7V
• 2 . R value of pipe insulation �---
F. Service Water Heating
1 . Performance efficiency
2 . Temperature control setting maximum l (/ C
G. For Swimming Pool Only
1 . Maximum heating
------VX)
Telephone No. IC ( 1 b-�-'1
(applicant ' s signature)
-0
Lc ( 1317(ct+Pr£LS -DP_► t/£
.oum °/ Qucen3lury APPLICATION FOR. SEPTIC DISPOSAL PERMIT
BUILDING and ZONING DEPARTMENT �.
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury, New York 12801 DATEZ3 /j- cy C
LOCATION OF PROPERTY FOR INSTALLATION La c ao Vt�1IC_tyl9-tZS DelV�
OWNER' S NAME N2_ (� ��� �
ADDRESS( ( 1(oioc C aC4.4,
INSTALLER' S NAME 10 to inla ( e.: TEL
Number of bedrooms (residential only)
Total daily flow(compute @ 150 gal per bedroom) 3 DV
Topography Rolling = Steep slope - (circle one) % of slope
Soil natur s Sand Loam - Clay - Other Depth ft.
Ground" water -At what depth? .�-- ft.
Bed-rock or impervious material - At what depth? — ft.
Percolation test - Not. required - Required - -Rate 1, 7 a?�,.,, . min-inch.
Domestic water supply - Municipal - Well - ,Other •
Separation - Watersupply(-rf—well) from Septic absorption ft.
Proposed System: Septic tank /9 0 -gal. ( Minimun size, 1000 gal. )
)( Tile Field - Each trench ) ft. Total system legnth /,rQ ft.
Seepage pit (s) Number of ----- . Size each ft X - ` ft
Size of stone to be 'used .# - Depth or thickness " 2 ft.
IMPORTANT! '.
On a separate piece of paper, submit a diagram of the proposed system
with all dimensions shown; including distance from any structure ,
distance from property lines and from ANY DOMESTIC WATER SUPPLY or
shore-line of lake, streain,pond or wet-lands. Include all dimensions of
the system, itself .
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * -
I have read the regulations on the reverse side of this sheet and agree
to abide by these and all requirements of The Town of Queensbury
Sanitary Sewage Disposal Ordinance.
Signature of responsible person %X
.f r
05/86 and/vl
w�
•
•
•
Section II Septic System Inspections:
A. All applications for septic system installation,
alteration or repair, as required by the Town of
pueensbury Sanitary Sewage Ordinance, shall be
submitted to the Building Department at least
24 hours before start of construction and _shall
include a plot plan showing: -
1) the proposed location of the system .
2) . location and -distance to lot lines
3) location. and distance to structures -
4) location and distance to any water supply
5) size and dimensions of all tanks, distribution
boxes, tile fields and/or drywells
B. No system shall be covered before inspection and •
approval by the Building Inspector. Failure to
comply. with this requirement may result in the
uncovering of the system by the ,installer and a
fine 'of up to $250.00.
C. An approved copy of the plot plan shall be
available on the construction site. Failure
to produce said plot plan at time of inspection
may result in an immediate work stoppage.
D. Should unforeseen problems during construction
prevent proper installation, alteration or
repair of an approved system, a new proposal
must be submitted to the Queensbury Building
Department before further construction.
•
•
•
y/br%1. aW0 of Qtieenihliry
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
/D /L Qi 45 6-11
BUILDING INSPECTOR ' S REPORT
NAME e
LOCATION L it a a 1j J t-e� .5 ,Oy,
Date(' a o / Permit No. (y(9
* * * * * * * * * * * * * * * * * * * * * * *
APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Left. Porches CV(
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing r
Door Closers
Smoke Detectors
Chimney \\
// \\
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
43-)
Bui23ing Inspector
6/86 and-vl
JoWn of Queeniurty
' BUILDING and ZONING DEPARTMENT
�l(n)-, Bay and Haviland Road, R.D. 1 Box 98
��/ Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME1<Fie,!
LOCATION 20 i icr fry/41 S DYLI U�-
Date 2 /V/ Permit No. (p -1K7
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing •
)(Roofing �f
)(Siding Oir
Masonry Veneer
Rough Plumbing
)(Relief Valves C2,(`
XExt. Porches
xFinished Floors �a
)(Interior Trim 0)
AStairs & Railings . ®,r
Cellar Drain Tile
Concrete Floors
APlbg. Fixtures Odd.
) Gar. Fireproofing
)`Door Closers
`Smoke Detectors
XCh imn ey
INSULATION:
XFoundation I_
tors Ock`
Walls
Ceiling 0
&FINAL ELECTRICAL INSPECTION P tc
DRIVEWAY APPROVAL
)(Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
6
Building Inspector
6/86 and-vl
Jown of Queeniurj
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME /1.„419,— •
LOCATION �e) J 1NG4 4:Li_
Date q /7-/ r Permit No. 86 - i{ 57
* * * * * * * * * * * * * * * * * * * * * *
Or = APPROVED - YES / NO
Footing/Pier Forms 1
Foundation
Wa erproofing
ckfill •
raming g ( g-c)
Roofing
Siding
sonry Veneer
though Plumbing atc
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures .
Gar. Fireproofing
Door Closers
Smoke Detectors 7
Chimney \
INSULATION: /
Foundation / .
Floors
Walls •
Ceiling •
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
c.4,),4aai-vs
41-
get ,,vn i7�ti --U
d t- --a()
•
•
Building Inspector
6/86 and-vl .
)Ola61-44-- / /9 cis
Jocun of Queen i4ur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
?,,- if 7.,-r;_ 1 OA-vim. Le.“-
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME On/&1i\ I3-e N k cif
LOCATION Zfi v�-0 Ati G.fi_&L `_5/i
DATE 7/ y PERMIT NO. Vo'g5 /
SOIL TYPE - and Loam - Clay -
Percolation t Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM: 7
Absorption field, total length
Length of each trench/ .57)f
Depth of trenches 2
Size of gravel_ 9 _
SEEPAGE PITS-ENumber of
Size- ft. X ft.
Gravel size
PIPING: Si e T pe
Bldg. to tank 1 / v O
Tank to dist. box 11
Dist. box to fiel. pi. l Z'7 / (a
Openings sealed? YES NO Partial
LOCATION/SEPARATIONS:
Foundation to tank ft.
Foundation to absorption ft.
Absorption to lot line ft.
Separation of pits ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - Rea - eft side - Right side -
COMMENTS: Ii2 644A...„(
\ //7
6 SYSTEM USE APPROVED NO
Lutiti
Building -nspect r
01/86 and vl
_Jown of Queenitury • '
BUILDING and ZONING DEPARTMENT .
Bay and Havilarid Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME B �Ur� ).„2"Lif,,,,i,_(
•
LOCATION /or 0 /0j L � Al
Date lc / / Permit No. gp -�fs1
* * * i
//* * * * * * * * * * * * * * * * * *
✓ =. APPROVED - YES / NO
Footing/Pier Forms i
Foundation
!Waterproofing • OK
t/l�ackfill otr,
.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- -
V`
454:
. Building Inspector
6/86 and-vl
Jown of Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME 14%,"
l a /-
LOCATION G`,.� ZC .
Date Et7 Permit No. 3 - Lf `i
* * * * * * * * * * * * * * * * * * * * * * *
mQ,fl9 POu K = APPROVED - YES / NO
Footin•.Pier Forms , 04‹
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- -
t4 1 b
212/tA )
Buil ing Inspector
6/86 and-vl
- t
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