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1987-772 +CERTIFICA.TE OF "O'CUPANCY 1 TOWN OF QUEENSBURY j WARREN COUNTY, NEW YORK I Date: Mareh 140 i4 83 This is to certify that work requested to be dome as shown by Permit No. $]- ] ? 2 has been completed. This structure may be occupied as a i of Two Famlly iocatian �—S Dixon Rd . Owner Irene Fltzgerald 111 1 By Order Town Board f i TOWN OF QUEENSSBURY l Building & Zoning Inspector f i i { I T BUILDING PERMIT TOWN OF QUEENSBURY No 87-772 � + WARREN COUNTY, NEW YORK 0 PERMISSION is hereby granted to Irene Fitzgerald w f OWNER of property located at Lot 3 Dixon Rd . vq Street, Road or Ave. �a in the Town of Queensbury, To Construct or place a Two 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. 1. OWNER'S Address is Glen St . Glens falls , N . Y . 12801 r1 2. CONTRACTOR or BUI LDE R S Name fD Rich Schermerhorn PM1 F- rr N 3. CONTRACTOR or BUILDERS Address aq ro ry 1 Windsor Ct . a Glens Falls , N . Y . 12801 4. ARCHITECT'S Name r 0 r7 w FF1 Address d 1 � 0 ram. struction — (Please indicate by X) IX) Wood Frame ( } Masonry ( } Steel ( } 7. PLANS and Specifications No 100 ' x 27 ' as per plot plan , specifications and application including septic system and attached one car garage ( 2 ) S. Proposed Use 1 Two family dwelling w E� N• • 'C 157 . 00 June 1 , 19 88 ro PERMIT FEE PAID — THIS PERMIT EXPIRES (if a longer period is repuired an a r-u ppxpir ti for to extension must be made to the Building and Zoning inspector of the town of f]ueansburryr before the Expiration date.) � (T9 Dated at the Town of Queensbury this 18th Day of November 19 87 SIGNED BY •,L�"���- "' for the Town of Oueensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG . DEPT . �j Application No . IQ Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19r2/af Bay and Haviland Road, R. D. 1 Box 98 Zoning Designatio Queens ury, New York 12801 � � Variance No . _ r � � � x � �� Site. plan Rev ie No . --- Jf I ` Approved by APPLICATION FOR Il kG I� Y ? ,�i! riE � �/'� "+ /00 EUILDING AND ZONING PERMIT � ,� � ` 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 . The owner of this property is : f wa r ') q Q 44 e� d P. O. Address �r s� 7� . ,mot /e r? ess Tel . S 4; c Property Location : ,a i Lls Ct , / (� - {/� S Tax Map No . Street number or building lot number dC9c:+ iz.TLP1 Subdivision name (if applicable) evt vs THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : Name /J P . O. Address Tel . No . Name of builder /"l-zcf'r+.Address /zz /r 47 Sc r Tel . i;;7 - ?47 --:;r y Name of plumber � 5 c_ i�Q f�/ r3 Address 131 .} Tel . � 2 a - g© 6 2 Name of mason Xe r-Y Address ,c '.1'e Tel . :2P .,7 dYg-C o 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 LOCATION OF STRUCTURES AFFECTED . * of water supply and location and configuration of septic disposal area , COMPLETE INFORMATION REQUIRED BELOW . * Size of property ,JC_S ft x x1s ft - Existing building ( s ) Size ft X ft . * PROPOSED BUILDING AND USE : Existing building ( s ) Use Size of new structure /O [7 ft X Foundation-pi+erf slab/crawl/parti /full ) Proposed building , distance from property line ( circle one ) / * Front yard yo ft Rear yard � it No . of stories (habitable space) �i / ft . * Side yards ye ft and qr ft Height ( grade to ridge ) +� * If on corner , setback from side- street ft If residential , no . of families .9 No . of rooms ( excluding ba hs ) OCCUPANCY INFORMATICN No . of bedrooms --- ----. PRIMARY BUILDING - No , of bathrooms Primary heating system * One family dwelling of fuel �1"i —Two family dwelling Typer`l e. c4- ri r- * Multiple dwelling / Number of units _ No . of fireplaces to be installed p permanent occupancy will a wood stove be installed? ?/ tom,,_ Transient occupancy Central Air conditioning?Y r[/p Business * BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch Contemporary Logcabin * Other Raised ranch Mans-ion y� le up * if addition , what will use b+e? Split level Old style ow Cape Cod Cottage Other * ACCESSORY BUILDING- Col.onial Row Town House * D ached garage/o / two car/ car ( CIRCLE ONE PLEASE ) Attached garag one c / two car/ car * x * * * * * * * * * * Private storage u �lding ESTIMATED MARKET VALUE OF * Other CONSTRUCTION INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , To BE COMPLETED ! Form BPA 4/66 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc .� e Will any second-hand or ungraded lumber be used? If so , for what ? Foundation wall material �! 61,* c- S Thickness 1© Depth of foundation below grade (to bo t footing ) - will there: be a cellar? Yc,� Heated or( unheated? ) Floor sq. footage Zen � Z _ sq ft Will there be a basement? Yc5 will an - be used as living space? ( If so, what portion? _ sqa ft . - - Type of use? Type of roof s coped flat/shed/other Material of roof Size , wood st L '"X ," I(��"'o . c . length ., ft . Joists ( floor beams lst _ floor �spacing"x Jca spacing_z&__"`o . c . span ,3, 5ft . Joists ( floor beams ) 2nd . floor ""x "' spacing "o . c . span ft . overlays ( ceiling beams ) "x fr '" spacing"" o . c . span Awo ft . Roof rafters "' x "" spacing o . c . span ft . Roof trusses (pre-engineered) spacing�i -"O . c . span_-a2—ft . Exterior wall finish C/.',fl Si � •' n cr Of what material ? Interior wall finish Aer r^ If a garage is to be attached , describe materials to be used for FIRE SEPARATION : 5I +'g' i;7,_- ! cJ � rCo r 4 Is there to be an opening between garage and dwelling? Yr s If so will a Fire-rated door , enclosure , and self-closing device be provided? � 5 will a flue-lined chimney be installed? _ , J Height above roof _ - ft . Depth of chimney foundation below grade ft . Depth of fireplace hearth ft . in , water supply - Municipal or private well : , a + rs Ooe ie'" s- kQ f Y SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties ....rZ�ft . (A separate application is necessary for any repair or new installation of sept ' c system) Town of Queensbury A F F I D A V I T County of Warren STATE OF NEW YORK 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 ORDINANCE , and all other laws pertaining to the proposed work shall be complied with, whether specified or not , and that such work is authorized by the owner . SWORN TO BEFORE ME THIS Signature Owner , owner ' s agent , arcn3..rect , contractor day of 19 Notary Public , warren County, N . Y . SPECIAL CONDITIONS OF THE PERMIT : _ __________ 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 : 10 Gross floor area � $ Z 2 , Type of heat 3 _ is the building mechanically cooled ? _ o 4 , Percentage of area of windows and doors fy 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 10 If YES , what is the R value ? 36 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 ,fir ' Aa S� B , Under 16 % Only 1 , R value of roo and floors exposed to + ambient conditions . / 2 , R value of exterior walls_ fC 3 . R value of glazed area 4 , R value of doors ' / 5 , R value of floors over unheated spaces 64 R value of slab edge insulation - unheated slab //L�/fj 7 , R value of slab insulation - heated slabAe A _ S , R value of heated basement / cellar walls ( above grade ) ,*V-4-:�5 90 R value of heated basement /cellar walls ( below grade ); 10 , Type of insulation f rp e {'go- l� OtSS Co Controls 1 . Thermostat maximum heat setting D , Duct Systems 1 . Is duct system installed in unheated spaces ? YES NO1 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 2 . R value of pipe insulation &ZA F , Service Water Heating o/ 1 . Performance efficiency_ 2 , Temperature control setting maximum G , For Swimming Pool Only 1 , Maximum heating / Telephone No , oo� 79, T Y 06 7 `1 ( applicant ' s signature ) 140=4L 4' Aftd&tPV APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE t t?1 ,;2 6— Ss i LOCATION OF PROPERTY FOR INSTALLATION ,�e�-/- 3 Owner's Name: r1i'c. r? e. L . �t?L7 � f a /c-J Telephone: _ 72L? Address: ', �EY7 s f Installer's Name: C,rct Vicl e ( 1 k �C fix. L,+' Ot �� rCe)c4 Telephone: / 9 Number of bedrooms (residential only-) / _`"`-�'� Total daily flow (compute @ 150 ,gal per bedroom) fc o 0 Topography: circle one Fla Rolling Steep Slope "l" of slope _ Sail Nature: circle one and Loam Clay tither / Depth: feet Ground Water: At what depth? _ J;' feet je Bedrock or Impervious Material: At what depth? A feet Percolation test: circle ne not r_—_equ--i--re--d--_--.x-- equired / rate in in. inch. Domestic water supply: circle one:( M ici Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption _ feet PROPOSED SYSTEM: Septic Tank / ' C1© gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench feet / Total system length 3'CAC:� feet S of / Size each feet by feet Size of stone to be used # G^i / Depth or Thickness feet IMPORTANT ...P'Iease...LIST NEW EQUIPMENT TO BE INSTALLED (over) Section II Septic System Ins ectionse A. All applications for septic system installation, alteration or repair, as required by the Town of Queensbury 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 40 location and distance to any water supply 50 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. Co. 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. I have read the regulations above and agree to abide by these and all requirements of the Town of Queensbury Sanitary Selvage Disposal Ordinance. Signature of responsible person: I]ate: Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SETTLED 1763 HOME OF NATURAL BEAUTY . . A GOOD PLACE TO LIVE x � 163 THE NEW YQRK BOARD OF FIRE UNDERWRITERS or %' '�� BUREAU OF ELECTRICITY MAR 61 STATE STREET. ALBANY, NEW YORK $2207Ca �/y "..TGi1 ' i» a Z. *�E. Application No. on file 1 ,)4 7 w79 37 A � � U [y�V 1 2 DateE THIS CERTIFIES THAT only the eleetrical egttlpment as descrAbod beloto and introduced by the applicant named 0 . the aboae aP S ld 'n rtasrrr8ar in the ptwetraLtee of resicience r3upl.ex 1 ,rejrie 13_tegiiraid —Ixon TAd o Lot :3 Queez)"Llry , ".4e;.+ Yorl: lit the following location; EI Hasement !st Ff. ❑ Srtd Ft. 01..1Section Black ,Lot wet examined an 3- 1. 1- 381 and found to be in compliance with the requirements of this Hoard. FIXTURE FIXTU H WA SHE NS RES RANGES COOKING dRCKS OVENS DISH EXHAUST FA OUTLETS ACIES SMtITC*WS HNCAND£SMNT FLUOVESCENT AMT. K. W. AMT. K. W. MAT. K.W. AM►. K- w. 44 DRYERS FURNACE MOTORS FUTURE APVUAM" lEEDERS SPECIAL REC'f'l' TIME CLOCKS ElLL UHIT HEATEES MtUl71-0UTLET DIMMERS SYSTEMS AMT wArrs = AMT. K. W. CNi M. F. GAS �. P. AMT. NO. A. W. G. AAAT. AMP. AMr. AM►S. TRANS. AMr. kl. ►. N('j, QF FEET . - < rye No_ of S E it I C E SERVMCE Ii1540NNECT MEiM No. OF CC. CONo. A. w_ No. aF M-" A, w. 6. No. OF NtuTRALS pF NWE- G. AMT, AMP. TV" E,O1 t X(nv f It 3�{w 3 JF atw a A' 1W K-P Ar of cc, rCb'N' D, OF r�x-L OTHER A"ARATLISt Y, c1x i d } ?r 1-v 3o r C t . BRANCH MANAGER 1+1. 12S33. ,Per This certificate must not be altered in any manner. return to the office of The Board if incorrect. inspectors may be identified by their credentials. ' COPY FOR BUILDING pEpARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. aw+r o �upe►� shur+I�I gU1LDING and ZONING DEPARTMENT Bay and Havitand Road, R,D' 1 Box 98 Queensbury. New York 12801 pUiLDING INSPECTOR ' S REPORT NAME r✓- �„ tp• LOCATION }/ Permit No , �� �.- Date ✓* P.k"PR[7VEL3 - YES NO Footing/Pier Forms Foundation Waterproofing Backf ill Framing Roof ing Siding MasonrY Veneer,,____ Rough Plumbing Relief Va vesJ-- -- Ext . Porch s Finished F1 ors interior Tri Stairs & Rail ngs Cellar Drain Tile concrete Floors plbg . Fixtures Gar _ Fireproofin Doerr Closers Smoke Detectors Chimney INSUI.A I©N Foundation Floors 5owa 11, s� Ceilins3 ICAL INSPECT' FINAI, f:LEC ORIVEWAY AP ROVAL nal Build ng SorveY� -�- ecti.on ( call when r. e dy ) Next scheduled 3n_ p Remarks- /0 eG B ilding inspector _ .fown 01 ` lteen .IL " rty BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 +pueensbury, New York 12801 Do49L-V. K SEPTIC DISPOSAL SYSTEM INSPECTION mWE XJ 4�: J C :-{ d�-m Aj LOCATION rl DATELZ SOIL TYPE - and Loam - Clay Percolation est Required? YES - o percolation rate - Man/Inch - r TYPE of SY TEM: Absorption iela , total le th 3� Length of ea trench Depth of tr+en es Size of g rave 1 �.-----�-� SEEPAGE PITS4 Size- to x t , el size TyP PIPING : Saz Bldg * to tank �--- Tank to dist . b Dist . box to f ' 'lafY NO Partial openings Seale LOCATION/SEP RATICUS : fi fto Foundation a tank tiont- Foundation to absoxp t Absorpt . ia to lot lane ft Separata of pit rs oPE (circle one) I�OCATI t side R ght side Front. CCKMEN C) P CIc T fu 1� �t 7� ~ l30 �• r 00 SYSTEM USE APPROVE YES N0 Bu li ding nspector Ol/86 and vl BUILDING and ZONING DEPARTMENT BE and Haviland Road, R. D. 1 Box 98 Clueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT p NAME / LOCATION T _ f L /rIi(/GAG/ Date Permit No , ✓ = APPROVEI] - YES NO Footing/Pier Forms Foundation Waterproofing Back£ ill Roofing Siding Masonry Vene r ugh Plumbin Relief Valves Ext . Parches Pinished 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 ELECTRI AL INSPECTION DRIVEWAY APP VAL Final Buildi g Survey �~ Next schedul d inspection ( call when ready ) Remarks- Building Inspector G/86 and-vl C /oWrt a�Feer� 3httrr�t J � � BUtLOING and 70NING DFPARTMENT 1 fi1 Bay and Haviland Road* R.D . 1 60x 96 ( Queensbufy, New York 12801 '3 BUILDING INSPECTOR ' S REPORT NAME � •'J LOCAT ION` Pe rill i t No * __------- Date. * * * * * It * * * * 13U * *APPROVED - YES velooting/pier Forms un dat ion � terproofing \Xackf ill "Framing Roofing Siding Masonry Veneer Rough Plum ' n9 Relief Valve - --- Ext . porches Finished Floor Interior Trim Stairs & Rai.li3719 Cellar Drain Tile concrete Floors Plbq • Fixtures Gar . Fireproofin Door closers Smoke Detector chimney INSULATION ' Foundation Floors Walls ceiling -�' FINAL F Ec RICAi INSPECrIONJ DRIVEWAY A PROVAL Final g,tilding Surve'1'� �- _ schedule ection (call when ready ) Next d insP Remarks- Suil ing Inspector 6/B6 and-vl BUILDING DEPT, CO1' OF APPLICATION FORK446-EL, NEWYORK BOARD OFF RE UNDERWRITERS. FILE HIS COPY WITH BUILDING DEPT- WHEN REQUIRED, TRW.* DATE E. u , r 5 l v ! TOWNSHIP COUNTY d=6 la r' STREET AND Nip. OR ROAD AND POLE NO. i I BETWEEN WHAT TWO _ ' ! CROSS STREETS IS + / /^ /� ECTloN BLOCK LOT OCCLMvANT'S 3' i'_ C� �i I"JILDING ? Lj 1� 44 � � NAME L <.�ii �.- t'OWN !• f C-1 OCCUPANCY +"S -7 AND A M MANERESS F i 1 A'"'i I''�G fC '-4 f' r7 f" /' ,,r �^ tT,ECL. #q`—.r .!'� 5T " i/' ram'. �- .. SUPPLIED PPLIED � 44 rr-� Y,.t ,,�•• FROM THEIR e5 L +G- /"P' 5 f""' OFFOcE A10 �'1 DEFECTS y—I BUILDING I m cnp14 O IYMORK NEW L�1 ADOMTiONAL Q REMOVED L�7 __ IS NEW LIST BELOW ALL ECIUIPMENT WHICH YOU INSTALLED Nu. aiI Fiaaerea ♦6 MOTORS HEATERS BRANCH OFFICE OFFICE USE NUMBER OF OUTLETS LaswP Rrcaptades ONLY Lien Sk" Attaubwl Bracket Na TYPO Eidi No. Es h Na 't'S3� INSPECTION Well Radp'b PMdlnt Ottt- sida Sub- bate Bran inane tat Fl. Znd Fl. 3rd Fl. DO NOT USE THIS SPACE- REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: This applicaxion is intended to cover the alrore-Iisted equipment w he Irnspeeted but it a[ time of inspection theve is found eddits mal OW'Pnent not above listed, you are audwtized to make the inspection and adjust the fee to corer the addinpnal equipment. N provided by the applicant. TOTAL ELECTRIC SIGN WATTS SIZE OF FEEDERS , LAMPS MAINS EXPOSED GAS TUBE SIGN VA CHARACTER COhRCE CONGEALED TRANSFORMERS OF OF WORK ICAPACITYI lNt1MB E R I WORK TO BE COMPLETED SIZE OF SIGN STARTED SERVICE OVERHEAD UNPERGROUND MAKER ENTERS OF SIGN SUt DI INSPECTION RE DUE STE0 OLD ON OR AS NEAR AS NE'W POSSIBLE AVOID DELAY BY GIVING FULL AND ACCURATE IFiFORI TION. ALL SPACES DATE OF MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATIO PRINT NAME #NO AODR SS J' - SIGNATURE NAME OF ,� k - / . . OF APPLICANT.- - "--' ...—.._ APPLICANT_.005 or TELEPHONE # STREET ADORE" CITY OR - _ r--� f / ,Y-r ZIP 1f� �` LICENSE NO. POST OFFICE J CODE L! WHEN APPLKr.4BLE AS EL (ITEM. +lac) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING