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1987-491 R CERTIFICATE OF C�CCUP.AN CY TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK Date 19 This is to certify that work requested to be done as shown by Permit No. 87--491 has been completed. 'This structure may be occupied as a � one- b'amil ]]welZin Le t,8 7 Mc ormack111[r/�. ot4 )(ouse Estates Location Owner Cra� J Sheila rlattisott By Order 'Town Board TOWN OF QUEENSBURY Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No. 87-491 � WARREN COUNTY, NEW YORK z 0 PERMISSION is hereby granted to Craig & Sheila Mattison OWNER of property located at Lot 87 McCormack Dr . (Courthouse Estates) 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 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. t. OWNER's Address is 51 West Main St , Bainbridge , N . Y . 2. CONTRACTOR or BUILDER'S Name McCormack Industries w N- a CONTRACTOR or BUILDERS Address tT+ 1859 McCormack Dr . cn Queensbury , N . Y . 12801 1-a- 4. ARCHITECT'S Name su rY rt B. ARCHITECT'S Address (a a 6. TYPE of Construction — (Please indicate by XI (+Wood Frame ( } Masonry ( 1 Steel ( i r ra r-r 7. PLANS and Specifications �. No. 24 ' x 36 ' per plot plan , application and specifications including attached two-car garage , septic system . q cS�.9 w B. Proposed Use .-Gy' ..c.-�"" ry One-Family Dwelling d n $5 , 00 C /o 157 * 00 February 1 , $ PERMIT FEE PAID - THIS PERMIT EXPIRES 1988 (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the p town of Queensbury before the expiration date) m I Dated at the Town of Queensbury this 27th pay of July 19 87 Y• F-•+ SIGNED BY for the Town of Queensbury E Building and Zoning Inspector rp r F- F- I-J- 00 OiG TO BE COMPLETED BY BLDG . DEPT . c��JI !/ Application No . 1pwrt O Ueen39"rty Permit Issued 19 BUILDING and ZONING DEPARTMENT permit Expires 19 LLB lJ L IJ 1J Bay and Haailand Road, R. D. 1 Box 98 Zoning Designation 'JULV 2 3 iCjpT Gueensbury, New York 12801 Variance No , 1,70I Site plan Review f9d. BUILDING a CODE; pE,p-r Approved ✓ r8 / APPLICATION FOR FU I LD I NG AND ZONING PERMIT A PERMIT MUST BE OBTAINER 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 . The owner-of-this-property is : co" 6�s,.�l1ys'.& roiserni P . O. Address . riN [ 1�■� 3� * Te1 _('.C'y� (it ' [�'� Property Location : LOT a, Syr ,C {RMIpILK j. ) . L Kfr I?iC- C)fkM{r Tax Map No . / / Street number or building lot number Subdivision name ( if applicable) C ©'V fST &kt?V&e +L5h'"W T C 6e C THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : �� PC Name P . O . Address Tel . No . Name of bu i 1 der AAC4gm. j!'I%(140=Address o l�e�.. '�."..Cl. F Tel . �1 9J .3"Zi '0a 1 Name of plumber6TeVjj_ AGLE " Addressy g am' Tel . "T "�- ,.ca Name of mason 'S� Q �1 Address M i , 9&.9r 'I`e1 �( 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 configuration LOCATION OF STRUCTURES AFFECTED . * of septic disposal area . COMPLETE INFORMATION REQUIRED 'BELOW . * Size of property 1,156 ft X Zg4f ft . Existing building ( s ) Size ft X ft . * PROPOSED BUILDING AND USE : * Existing buildings ) Use Size of new structure 14 ft X�-�ft VNEWFoundation-pier/slab/crawl/partial :+���" * Proposed building , distance from property line ( circle one ) Front yard_ �� ft Rear yard �j�� __ ft No . of stories (habitable space) ,_^_�.�_. * Side yards 4E ft and d40 ft Height (grade to ridge ) _ IL40 ft . If on corner , setback from side street ft If residential , no . of families No . of rooms ( excluding baths ) * OCCUPANCY INFORMATION No . of bedrooms �� PRIMARY BUILDING - Noe of bathrooms i___0ne family dwelling Primary heating systems '" � - Two family dwelling Type of fuel * Multiple dwelling / Number of units Noe of fireplaces to be installed L --- * Permanent occupancy will a wood stove be installed? 1 Transient occupancy Central Air conditioning?� " E'er_ Business BUILDING STYLE PRIMARY STRUCTURE Industrial ,� Other Ranch Contemporary Lag cabin If addition , what will use be? Raised ranch Mansi-on Duplex Split level Cold st to Bungalow Cape Cod Cottage other ACCESSORY BUILDING- Colonial Row Town House _Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) * Y Attached garage/one car/ two car �( car Private storage building ESTIMATED MARKET VALUE OF * Other CC7NSTRUCTIt7N $ �- y �syn. . . . . . . � INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED ? Form BPA 4/B6 and-vl 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 �! 2 . Type of heat aR,IEs� [ ]fAi. 3 , Is the building mechanically cooled ? 4 . Percentage of area of windows and doors A , Over 16 % Only 1 . Up 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 Be Under 16 % Only 1 , R value of roof and flours exposed to a 1entt conditions_ m0,"' zi C7 2 , R value of exterior walls - M� 1.�Z, !' 3 . R value of glazed area 4 . R value of doors ,7 5 . R value of floors over unheated spaces Kam " l 6 , R value of slab edge insulation - unheated slab 70 R value of slab insulation - heated slab S , R value of heated basement / cellar walls ( above grade ) -- 9 . R value of heated basement/ cellar walls ( below grade ) lU . Type of insulation twoI v% rea L 6 co Controls 1 . Thermostat maximum heat setting (p Q D , Duct Systems 1 . is duct system installed in unheated spaces ? go . NO a . If YES , R value of duct installation b . R value of duct in other areas Be Piping Insulation 11 Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F , Service Water Heating 1 . Performance efficiency 2 , Temperature control setting maximum G . For Swimming Pool Only 1 . Maximum heating Telephone No . -��i�_ NL )60t [ plicant ' s signat `re Mccc�Rn►waeK INDUSTRIES T Sarella Street GLENS FALLS, NEW YORK 12801 McCORMACK INDUSTRIES �� 7 Sarella Street GLENS FALLS, NEW YORK 12801 r . APPLICAT1[ON FOR SEPTIC DISPOSAL PERMIT DATE 8 Z LOCATION OF PROPERTY FOR INSTALLATION Owner's Name: e�X& i4zk MATT i ;:!jZ& Telephone: Address: Installer's Name: Ac, CMf[ ►yl Amo 14 /�i�� Telephone: ?5 1 '40 i Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) Topography: circle one: Flat Rolling Steep Slope of slope _ Soil Nature: circle one: San Loam Clay Other / Depth: _ feet Ground Water; At what depth? feet Bedrock. or Impervious Material: At what depth? �--�-�^ �� feet Percolation test: circle one: not require required / rate min. inch. Domestic water supply: circle one: (Municipal .3 Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption _ feet PROPOSED SYSTEM: Septic Tank 1 ____ gal. (minimum size: Iv000 gal.) TILE FIELD: Each Trench feet / Total system length feet SEEPAGE PIT(S) : Number of �:Z / Size each -_j5 feet by �' __ feet Size of stone to be used # �� / Depth or Thickness _ ' feet IMPORTANT ...Please...LIST NEW EQUIEPMENT TO BE INSTALLED (over) �QWn �ueen3t► etrr� MFENT BUILEANG and Z[yId40 UEP{�RTBOX 98 Bay and Havlland New YarOi28l3i . i pueensbury, ` N E 'P REPORT allI �LDING INSPEC�OR { S NAME LOCAT I Oft 14, * Date, 2 * * * * * * * APPROVED - 'YES NO * Footing/Pier Forms Foundation waterproofing - - Backf ill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves `?CExt . Porches 'Winished Floors P*nterior Trim 36tairs & Railings Cellar Drain Tile concrete Floors )&lb,g y F ixture s mar , Fireproofin poor Closers )!Smoke Detector Chimney -IN SULAmTON Foundation Floors walls Ceiling jNAI. EL TRICAL IIdSBECT10I3 DRIVEwAy PPROVAL �rFinal But ding Survey In_s ecCion (tail when ready Next scheduled p n Remarks- Jew // / Building nspector 6/86 and-vl J'ou,n ofueen � bur� BUILDING and ZONING C15PARTMENT Bay ()ee sbury New YorkU128011x 98 BUILDING INSPECTOR ` S REPORT NAME U �! �'✓r?7/C/I f � d' 5 LOCATION Date / 2 Permit NO . * * * 4 * * * i * * * * NO * * * * * * ✓ APPROVED - YSS Footing/Fier Forms Foundation Waterproofing /BacltfiII ` y6,F rami nq / Roofing Siding Masonry Venee y( g�,ucyl plumbing - elief Valves Ext . porches Finished Floors interior Trim Stairs & Railings cellar Drain Tile Concrete Floors plbg . Fixtures Gar . Fireproof in Door Closers Smoke D etector Chimney INSULATION Foundation Floors Walls Ceiling �- FINAL ELECT CAL INSPECTIC7N DR-1VEWAY APPROV _~- Final Building Survey Next scheduled inspection (call � �J1GGeC�� 775-,00,P Remarks- j.,.IAJ / Gt) .lam 72 44o0Aa"457s" 45 �1' t Orr Building Inspector Fi/86 and-vl l own n/ Q41ecn -41 " rlf BUILDING anti ZONING DEPARTMENT Say and Flan+land Road, RX) . 'I Box 98 oueensbury, New York 12801 SEPTIC ISPO SYSTEM INSPECTION NAME LOCATION ATE I] {f f/ 7 / PERMIT NO . r SCIL TYPE - Sand - Loam - Clay - �� -- Percolatio Test Required? YES NO Fercolation rate - Min/Inch - TYPE of SYS Absorption f i ld , total le gth Length of eac trench Depth of trenc s Size of ,gravel: 4 Ir -- �-' SEEPAGETS�4N e t . - Size- ft- ]C Gravel size Siz T e PIPING : �� Bldg . to tank Tank to dist . bo --- Dist _ box to fi d/PES NC '- artial Openings Seale LOCATION/SEPA TIcus tankC7 ft_ Foundation t absorption ft . Foundation a'bsorp ft. Ab,sorptxOn a lot line t+ Separation of pits ' LpC,ATION SY5 PR circle one} FER Front R ar L ft Sid - Ri bt side CCMMEt3TS ' SYSTEM USE APPROVED Y1✓S guy ing nspector 01/86 and V1 BU1LC3ffVG and ZONING DEPARTMENT Say and Harland Read, R.D . 1 Sox 98 aUeensbury, New York 12801 BUILDING INSPECT CAR ` S REPORT NAME +��Y �e . LOCATION c �z Date r�~� ]2ermit NOV p,PPROVED - YES too Footing/Pier Forms oundation laterprocaf ing 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 Ga. . Fireproofing Door Closers smoke Detectors Chimney IN su I.AT I ON : Fc>un dat ion Floors walls Ceiling FINAL kL TRICAL INSPECTION � - DRIVFWAY, APPRC)VAL Final. Building Surveys �- NexC insp ection (Call when ready) scheduled Retnar ks- G'Building Inspector 6/86 and-vl BOARD OF BUILDING DEPT. COPY 1OE TA SLICAT COPY N FORM BUfLDINCa DE TYORKWHE REQUIRED I.RE UNDERWRITERS. TEMP. iF DATE CITY OR COUNTY ., Vtt LAfaE ;� (,�.. �./�Y"`ti TOWNSHIP STREET AND N01 OR ROAD AND POLE NO BETWEEN�IRFIUl7 TR � r '1+ BLOCK LOT IO �„ /i VJY�.f`t �' ;•�'+.,.��.� �j CADSS ETS Ma. iDf1lSECT1 STRE CrJ PREMISES LOCATE 7' NAME y y BUILDINIG M�^1 OCCAIPANT"S �'h fly OCrCUIsANCY ANDc"MEROS. NAME AODRESS �J'.��,"�p'}�,�1�" 'y�►f`� {� �T.yE�L. # ,y,�(I � FROM THEIR [ V tO """"� OFFICE BY �y� DEFECTS BUILDING NEIM piLO 0 IS NEW LYJI ADDITIONAL © REMOVED LS LIST BELOW ALL EOU1PMENT WHICH YOU INSTALLED No' of FNoun*t a MOTORS HEAVERS raw-TB OFFICE USE NU/Y6ER OF OUTLETS Lamaism Recalrtedaa ONLY �" Side Attadr't S.ttrA resident Br�aeket Ne. Type Ewdr Na eed No. A.W.G. INSPECTION Odlllq 1IIfaN Reals'Is Ode aide Sub• (lase own wtewt Tat fl- 2nd FL 3rd Fin REMARKS: LIST OTHER EL£CTRMGAL DEVICES NDT SET FdRTH ABdVE: 00 NOT USE THIS SPACE. Thrs application is iNtfwrded to coiner the abora-Iisted owipinent to be inepacted but it at time of impaction theta is found additional egaipmeM not above listed, you are aYWaaisd to make dta imPec4on and adjust ttla IM r the iprr to core additional aqurent, M ptoriflesl by the applicant. ELECTRIC SIGN TOTAL SIZE OF LAMPS WATTS MAINS FEEDERS CHARACTER EXPOSED GAS TUBE SIGN VA OF WORK CONCEALED TRANSFORMERS Of (NUMBER) [CAPACITY I WORK TO BE COMPLETED SIZE OF 'SIGN STARTED 5ERYIGE OVERHEAD UNDERGROUND MAKER ENTERS OF SIGN ILDLN 3 OTI ON AS NEAR AASESTED NEW 4L O O S POSSIBLE AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES DATE OF MUST Be FIU-ED IN OR APPLICATION 'MAY BE RETURNED. APPLI _ TlO PRINT NAM RESS ... �y� t _ SIGNATURE f NAME OF ,�t�,/� � ya(�,fyw1 \ 1/ � U i f /'""t e X OF APPLICANT `t•. APPLICANT ' . . - am, STREET AODR ESS _ � �' � "� " TELEPHCINE # � • `�'� CITY 4R r '� ICENSE NO. �;--g�t,I / "1 t ! CODE EN APPLICABLE POST OFFICE e6 EL (stt_v. ,Ies) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPA ATE BUILDING a � o 0 .00• 7Z2 M-,OZ;6/;LO-,f' O 0 I 00'SZ2' = OZ '/-oL0 I y k v v _ � � W V � ey.e�yb��• k yyy ti•