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1987-397 1 ` CERTIFICATE C►F OCCUPANCY TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK ' SOY 3 S1 [ 1 L1ate November 3 , 1987 •This is to certify that work requested to be done as shown by Permit No. 8 7�39 7 has been completed. MiC Fc y�•,n i 1 `� l � This structure may be occup" as a �- e Family Du-0in�; 1Q lrl { Mj;fA S Location Lot # 18 Michae42 Drive OwnerWilliam VanNostrand By Order Town Board 'I`OArN OF QUEENSBURY Building & Zoning Inspector �BUILDING PERMIT ' TOWN OF QUEENSBURY 1-d` No. 87-397 z WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Mr . & Mrs . William Van Nostrand i V 1 OWNER of property located at Lot # 18 Michaels Drive Street, Road or Ave. cc in the Town of Ousensbury, 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 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. t _ OWNER'S Address is Lot # 18 Michaels Drive Sherman Acres l" r Queensbury , N . Y . 12801 2. CONTRACTOR or BUl LDE R S Name leg R+ Tim Chase z a rtci 3- CONTRACTOR or BUILDERS Address N P . O . Sox. 62 Glens Fails , N . Y . 12801 d. ARCHITECT'S Name C" rt rr 5. A R CH ITECT"S Address Co F'- n w B. TYPE of Construction — (Please indicate by X) F 9n ( )o Wood Frame { ) Masonry { I Steel ( I I� G 7. PLANS and Specifications No_ 24 ' x 42 ' one family dwelling as per plot plan , specifications and application ., including septic system c 8. Proposed Use �ry One family dwelling w r-� ti $5 . 00 C/O ty $ MOO PERMIT FEE PAID — THIS PERMIT EXPIRES January 1 , 19 88 ro (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the H town of Queensbury before the expiration date.) . Uq 25th June 87 Dated at the Town of Queensbury thiisd�� DDaayy7 of 19 SIGNED BY // /� C:l r 9Ti for the Town of Queensbury Building and Zoning Inspector , c-�■ TO BE COMPLETED BY BLDG . DEFT . TOWN OF" C..Au EEi d` D� 1 ' „ Applic 1 [2 @ E W tion .._./[iwn D/ Q"eenjl"ry PermitaIssuedo + 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 � JUN l 0 1987 Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation Oueensbury, New York 12801 Variance No. BUILDING & CODE EPT. I q Site Plan Review No . „{ - c-i- 70? � I ea� �7 -- / K7 ApproVed b fi APPLICATION FOR BUILDING AND ZONING PERMIT le e 1140( � A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTIONe 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 , ---------..........................---1 � W12 ____- ---' ___-------- The owner of this property is : T Q S cJ lL' w L3wti. �Js] S�rrsr.� P. O, ,Address Tel . Property Location : 40t k R c 'Tax Map No . Street number or building lot number 6 64 GG 'k Subdivision name (if applicable) THE PERSON RESPONaIEsLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : P. Q� , :✓x �� 6 j ems. L�4 [ I S Na I zF4,0 3 y Name P. O. Address Tel . No . Nami? nf. }5vsi 1r3iar -SMalwn� Address Tell Name of Address Tel . Name of mason c , , � Address Tel . 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 * whether interior or corner lot . Show location FOR DEMOLITION PERMIT , STATE SIZE AND * of water supply and location and configurationC "` � LOCATION OF STRUCTURES AFFECTED. * of septic disposal area . S° K COMPLETE INFORMATION REQUIRED BELOW * cr � Size of property ft X uA ft . Ito` * Existing buildings) Size ft X ftw f�r4, k PROPOSED BUILDING AND USE : " Existing building ( s ) Use Size of new structure .2.�ft. X.9 ft Foundation-pier/slab/crawl/partial ull * Proposed building , distance from property line (circle one) No . of stories (habitable space) * Front yard 5-C) ft Rear yard ft Height {grade to ridge} ft . * Side yards '� c ' f t and J ft _ If residential, no . of families o " t * If an corner , setback from side street No . of rooms (excluding baths ) OCCUPANCY INFORMATION * Noe of bedrooms � � PRIMARY BUILDING - Now of bathrooms I One family dwelling Primary heating system I tecks Type of fuel Two family dwelling Multiple dWolling / Number of units N99 of fi.replac es to be installed .�.:. : * Permanent occupancy Will a wood stove be installed? ry n Central Air conditioning? Transient occupancy* * Business BUILDING STYLEp - PRIMARY STRUCTURE * Industrial Ranch ? Contemporary Log cabin * Other v wed ranch Mansion Duplex * If addition , what will use be . Split level Old style Bungalow " Cape Cosa Cottage Other * ACCE SORY BUILDING- Colonial Row Town House * tached garage/one car/ two car/ car CIRCLE ONE. PLEASE ) * Xe ttached garage/one car/ two car/ car rivate storage building ESTIMATED MARKET VALUE OF * ther CONSTRLIGTIOAT �- - -1 - - - - - - - - - - - - INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE Or THTQ fiFxFETx TO BE cOMPLETEDI 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 Dot T44 2 . Type of heat � ti"G L. 3 . Is the building mechanically cooled ? 0 4 . Percentage of area of windows and doors tb A . Over 16 % Only 1 . U0 �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 value of roof and, floors exposed to ambient conditions_ 2 . R value of exterior walls #y�---`�i 3 . R value of glazed area + 4 . R value of doors r S% 5 . R value of floors over unheated spaces, � � 6 . R value of slab edge insulation - unheated slab N �. 7 . R value of slab insulation - heated slab I\f ) J aw R value of heated basement/ cellar walls ( above grade ) is 9 . R value of heated basement/ cellar walls ( below grade ) � k 14 . Type of insulation Q 0 cu.. C . Controls „ 1 . The-rmostat maximum heat setting 90 D . Duct Systems //^^ 1 . Is duct system installed in unheated spaces '? YES (DO a . If YES , R value of duct installation �� JJ b . R value of duct in other areas E . Pi in Insulation 1 . Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F . Service Water Heating e 1 . Performance efficiency 2 . Temperature control setting maximum Igo G . For Swimming Pool Only 1 . Maximum heating (i Telephone Na . ) Q 3Liq ( applicant ' s signature ) �./'ocvn n� �upens6urr� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 SEPTIC DISPOSAL PERMIT APPLICATION Owner ' s Name_ r m?�; 2; Tel , Address Person/Firm i.nstallino. system , rv� Number of bedrooms ( residential only) Total daily flow : ( compute @ 150 cal . per bedroom per day ) - Topography(. =f1at - rolling - steep - ( circle one ) Degree of slope � Nature of sails : sand- oam-clay- other- Depth ft . Ground water- - at what depth? Bedrock or impervious material- -at what depth? Pe c lation Test Not realuied r Reauired -Rate min/inch , s c at r u Municipal 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 , pondor wetlands . Include all dimensions of the system itself . Description of proposed system : Septic tank size ( gal _ Tile field- Length of each trench ft . Total field ft . Size of stone # .-1 .� - Seepage Pit ( s ) Number /Y f Size_ ( ftX_ '' ftyy Size of stone# V Any contractor , corporation , individual , Etc . , engaged in the construction of a Sanitary Sewage Disposal System , who covers the same before inspection , doves 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 . r 1 S gnature of Ap ant Date 01f86 and /v1 4003361 THE NEW YORK BOARD ,OF, FIRE UNDERWRITERS f E UReAU OF : ELECTRICITY September 9 � :, 198741 STATE: STREET: ALBANY. NEW YORK 12207 Vats Application No. on file I 019165—$7 A 693412 THIS CERTIFIES THAT pray the electrical equipmw#se me.described below and intradtse*d by She Agv7neant n4ur ed an the Isbar.a application number in the premises Of Mr . . & Mr�^s�. William�Cvan NoSt(rrand , Michaels Drive , . Queensbury , NY in the followiro,E location; I xl Basement 3.....! /at Fi. ] FI and Fl. . .. outj!A:Lde '.Section 12 1 Block +7 Lori 8 was examined on 8/ 14/87 and found to be In compliance with the requirements of this Board. gxTL1RE FIXTURES RANGES : COOKING !LOCKS OVENS I DISH WASHERS EXHAUST FANS ACLrx SwICHRs OUTLETS T INCAW1t5CENr I FLlK7et5CtMr I AMI. K. W. wMT. K. W. µ4T- k-W, wMT, K- W. wMT- T N. P. 18 43 21 1 6 . 51 1 fr I I IIRYERS FURNACE #MOTORS FUTURE AMMIANCR M501IRS ISPSCIALRWPT TIME CLOCKS �( . LIMIT HEATERS MUkri-WITMT piMMERS SYSTEMS AMT. K. W. OIL H. P. 4AS 11. F. AMr. - NO. A. W. Cs. AMT. LAM.►. AMT. LAMPS. TRAML• #MMt, H_ r, pp_ of FEET AM7_ WwTt$ i 'hex 3 if 1 SERVICE DiS CT No_- Cw It V I " C E wMr. AMP. 7Y1't M[TER _ I ,e '.1W f JF 7W 8 X 7MAr 7.i' 4W "0. Of CC, CAPIG. Iv. W. G. rq. Car` �Hrt-Lim w, w. G. ..o. of nIELrTRw�s w. w. c. EQUIP. rert . cc»�ro. or NI•LtG os r+turtwL 1 200 cb OTWR A "ATUS: kk #--smoke detector electric heaters 3 '2 . 0 kW '. . .4 1 . 5 : . , kw .. 2 1r . kw kw 1-smoke detector : ? . . I•' . . .I 'L1R1 . CYlaS2 BRANCH MANAGER PO Box 62 Glens Falls', NY 12801 This certificate must not kIa altered in any manner) return to the 'off ire of the 8aard if incorrect. Inspectors may be identified by chair credentials. ��1 ,lown 01 Qmeen3iury .;(,�Q BLOLDING and ZONING DEPARTMENT • ii" _, Bay and Haviland Road, R.D. 1 Box 98 ueensbury, New York 12801 "I. BUILDING INSPECTOR ' S REPORT b� NAME •� L/e^i '/ �r LOCATION 1/ r1ti2?00N7 Date �'� Perm / ✓ = APPROVED - YES 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 Ti Concrete Floor Plbg , Fixture Gar , Firepro ing Door Closersjr I Smoke Deter rs Chimney NL INSULA,TIO Foundatio Floors walls Ceiling FINAL EL CTRICAL INSPECTION DRIVEWAY APPROVAL Final Building, Survey Next scheduled inspection ( call when ready ) Remarks Suildin Inspector 6/86 and-vi Jown o Queen36ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D, I Box 98 Queensbury, New York 12801 BUILDING INSPECTOrRO S REPORT NAME LOCATION Date; /_permit tarn . v' 9 ✓ = APPROv.ED - YES NO Footing/Pier Forms Foundation waterproofing Back£ill Lo Irrar ing Roofing Siding Okh Masonry Veneer Rough Plumbing Relief valves Ext . Porches Finished Floors Interior Trim T Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproo ng Door Closers Smoke Detect s Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready Remarks- ____ Building Inspector � J 6/86 and-vl BUILDING and ZONING DEPARTMENT Bay and Havifand Road, R.D. 1 Sax 98 pueensbury, New York 12801 BUILDING INSPECTOR ' S REEPPOOr,R�T, NAME /7' •�ri�40-000 0 LOCATION 0- �+ IZ Date Permit Now OPP ✓ - APPROVED - YES / NO Footing/Pier Forms Foundation waterproofing Backfill eraming Roofing Siding Masonry 'Veneer Wugh 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 I PECTIUN� DRIVEWAY "PKuv Final Building Survey. Next scheduled lnspe+ction (call when ready Remarks-0 r Building Inspector 6/86 md-vl J7 BUILDING and ZONING DEPARTMENT } Bay and Haviland Road, R. D , 7 Box gg 1 Oueensbury. New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCATION !9 , DATE �/ PERMIT NO. � �/ SOIL TYPE A - Loam - Clay Percolatiost Required? Percolation rate - Min/Inch �^ TYPE of SYSTEM: Absorption field , total length Length of each trench S1r Depth of trenches yi r —_`.` Size of gravel'_ � ^ SEEPAGE PITS4N of) Size- ft. X _ t . Gravel size ' PIPING : S Tape Bldg _ to tankI or Tank to dirt. box Exist_ box to field Openings sealed? YES NO artial LOCATION/SEPARATIONS : Foundation to tank ft. Foundation to absorpt n t , Absorption to lot li Separation of pits ft , LOCATION STEM PROPERTY (circle one ) Front - Left side - Right side - COMMENTS : G� s SYSTEM USE APPROVED YES Building Inspector 01/86 and vi ._./acun o/ Qu ee n j i"P t BUILDING and ZONING DEPARTMENT Bay and Haviiand Road, R.D. 1 Box 98 +Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date IrD / / < Permit No . ✓ APPROVE PPRDV YES NO cil Footing/Pier Forms k Foundation Xwaterproofing A Backfill Framing Roofing Siding ` Masonry Veneer .._._.43 Rough Plumbing _ Relief valves__ Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofi Door Closers Smoke Detectors Chimney INSULATION Foundation Floors Walls Ceiling FINAL ELECTRICAL' NSPECTION DRIVEWAY APPR7%r Final. Buildin Survey Next scheduled inspection (call when ready Remarks- oc, tA.1 A-C�L­ 5 -�:JI4a✓ID �I k L- Gl 77 A T r ca'r-l.0 fo �'va.� T`0 rz6- tc1�'q� PNA Lr C4 r*"rt .rfl(o 13 Building In pector 6/86 and-vl �� Jvwn oueQr� �6ur� I I BUILDING and ZONING DEPARTMENT Bay and Haaifand Road, R. D. 1 Box 98 Oueenshury, New York 12801 BUILDING INSPECTOR ' S REPORT NAMEer _ G'' LOCATION 4aT I 11 i h G' a / Is I Al {. Date `/� 'Permit No . �� rL ✓ = APPROVED - YES NO FootingJPier Farms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves East . Porches Finished Floors Interior Trim Stairs & failings Cellar Drain Tile Concrete Floors Pibg . Fixtures hL Gar . Fireproofing 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- Ai 40 Building Ilygpedtoy 6/86 and-vi CONSTRUCTION TIM CHASE P. 0. BOX 62 GLENS FALLS, NY 12801 TELEPHONE (518) 793-4862 i i i I - I f I I / a I II k � � 1 cd I,bCC I i f i ;L oz I i J 7JC+ of ✓ ! i iJ 1.iC l� E'1�'t�j �jL1 �Q,. i