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1987-076 -------------- CERTIFICATE OF OCCUPANCY TOWN OF QUEENSSURY f WARREN COUNTY, NEW YORK Date June a lq 87 This is to certify that work requested to be done as shown by Permit No. 87_7 'P hss been C4DMP1eud. This structure may be occupied as a _ one—Family Dwellirzg Location ;�)kQ Eldridge Road wtll.lam J . Desblens kKini ) Owner By Order Town Board TOWN OF QUEENSBURY Building gi Zoning Inspector r BUILDING PERMIT TOWN OF QUEENSBURY R7-76 • WARREN COUNTY, NEW YQRK PERMISSION is hereby granted to Wm T Desbiens �{ ; a a CJ ro OWNER of property located at Eldridge Road Street. Road or Ave. on r• in the Town of Queensbury. To Construct or place a one-Family Dwelling m uo 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 . 0 4ER•S Address is 7 Butternut Hill Drive Glens Falls , New York aC� 2. CONTRACTOR or BUI LDERAS Name Town and Country Const • p t rs CIA N• t ao 3. CONTRACTOR or BUILDER'S Address Rte . 196 o �I.J Hudson Falls , New York CIA r4, ARCHITECTS NameARCHITECT"S Address t CA i r7- TYPE of C:nst=ruction — ase indicate by X) ( x ( ) Masonry ( ) Steel I ) n --. PLANS and Specifications +� 24 ' x62t per plot plan , specifications and application submitted No- including sewage system and two-car attached garage . 'b w Per Variance No . 1207 c S. Proposed Use (^S one-Family Dwelling 1�`7♦� E $5e00 C /O a' $ 800 0 ) PERMIT FEE PAID - THIS PERMIT EXPIRES October 1 19g7 (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of ameensbury before the expiration date.) Dated at the Town of Queensbury this , 20th Day of March 19 87 SIGNED BY for the Town of Queensbury wilding and Zoning I ....1 TO BE COMPLETED BY BLDG . DEPT . j ►1 Application No . _/+� " 0/ Qu�e'enihrt,i[► y Permit Issued 19 TOWN OF Q;UEE.4NSLDUa:tf BUILDING and ZONING DEPARTMENT Permit Expires 19 ; �"ti Bay and Haviland Road, R .O. 1 Box 98 Zoning Designation <" > . O e> ( Lr� E0 M Clueensbury, New York 12801 variance No . e'SA � � Site Plan Review 1*0 � / I _ ✓ ' �' / ` ; F'ppr BUILDING CODE DEPT. APPLICATION FOR. BUILDING 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 . S The owner of this property is / ' �7 C J P . O . Address Z-'' Tel [L ".G Property Location : Q. �� Tax Map No .� /� reet number or building lot number Subdivision name ( if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS 15UIIODINC CODES IS : .+� �/ Name P . O . Address ,�c ,/� Tel . Nov Name of builder tJ .f!/!� G,tY.i *00 J�Gs,� ddress /�y� �/� r� �Tel .�/" � /�-' ' Name of plumber Address Name of mason Address NATURE OF PROPOSED WORK : {{ Q 'a( Construction of a new building L,rc�� � l JJ� �`" SUBMITTED , _Addition to a building 111 """"""' ��,, 1 f -ached hereto , Alteration to a building P �G' I buildings . (no change to exterior dimensions ) Indicate all Other work (describe) QC p lines . Give ��7 ► �' d indicate FOR DEMOLITION PERMIT , STATE SIZE AND ; ` � 7w location LOCATION OF STRUCTURES AFFECTED . nfiguration * * ft . * y ft . PROPOSED BUILDING AND USE : * E . tea Use Size of new structure ^£t X X"2' ft Foundation--pier/slab/crawl/partial/full * Proposed building , distance from property line ( circle one ) * Front yard �[a ft Rear yard ft No . of stories (habitable space) ' Side yards ft and ft Height ( grade to ridge) /6 ft . * If on corner , setback from side street ft If residential , no . of families / No . of rooms ( excluding baths ) * OCCUPANCY INFORMATION Now of bedrooms ,� PRIMARY BUILDING - No . of bathrooms ,' ;" One family dwelling Primary heating system /`� ,vim, �;�r/ G *' Type of fuel — * Two family dwelling No . of fireplaces to be installed * Multiple dwelling Number of units / Will a wood stove be installed? Permanent occupancy TransienCentral Air conditioning? * Business occupancy Business BUILDING STYLE, PRIMARY STRUCTURE Industrial nch 4-� Contemporary Log cabin * Other Raised ranch Mansion Duplex » if addition , what will use be? 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 ca car * * * * a * * * * * * * * * * * * _Private storage building ESTIMATED MARKET VALUE OF Other CONSTRUCTION INFORMATION ON BUILDSNCi SPECIFICATIONS , ON REVERSE SIDE OF THIS 'SHEET , TO BE COMPZ.ETED ! Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . Will iany second-hand or ungraded lumber be used? If so , for what ? Foundation wall material Thickness �4p Depth of foundation below grade (to bottom of footi�g) Will there be a cellar? Heated or unheated? !l/1✓ Floor sq. footage / ,[a te _ �.sq f t Will there be a basement? �5 Will any portion be used as living space ? Aooeo ( If so , what portion? _sq . ft . - - T/ype f use? Type of roof - sloped/flat/shed/other Sl�s Material of roof Size , wood studs_ ," X spacing "o . c , length ft . Joists ( floor beams ) lst . floor �rox spacing_„Z "o . c _ span /0;� ft , Joists ( floor beams) 2nd . floor "X " spacing "o . c . span ft . Overlays ( ceiling beams ) "X " spacing "o . c . span ft . Roof rafters "}� � l spacingwo . c . span �ft . Roof trusses (pre-engineered) s ci Ir " o . c . span r7�t Exterior wall finish `ex Of hat material Interior wall finish If a.9Srage is to be attar d , descr ' be ateria 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? e+s Will a flue-lined chimney be installed? 000�4 Height above roof ft . Depth of chimney foundation below grade ft . Depth of fireplace hearth ft . an . s Water supply - Municipal or private well SEPTIC SYSTEM _ Distance from ANY private well ( including ad!olning properties /' ft . (A separate application is necessary for any lr�epair or new installation of septic system) Town of f Warren A F F I D A V I T 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 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 -_ Fr Owner , owner en t , arch].Cect , 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 : 1 . Gross floor area /�Q[ � `' 2 . Type of heat e. 3 , is the building mechanically cooled ? 00000OV4� 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 NCJ 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 CIO a . R value of insulation l � 5 . Type of insulation. ' QYS? 1PS- B . Under 16 % Only 1 . R value of ,raLof and floors exposed to ambient conditions r 2 . R value of exterior walls e<m 3 . R value of glazed area ,+ 4 . R value of doors 5 ee J 5 . R value of floors over unheated spaces ,p _____ _ 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 ) 9 . R value of heated basement/'cellar walls ( below grade ) 10 . Type of insulation C . Controls 1 . Thermostat maximum heat setting 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 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 . +�� If ' �/'1y' � � �f icant ' s signature ) %AM OlWft Jf APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE _ 00 13 LOCATION OF PROPERTY FOR INSTALLATION / .5�� Owner's Name : LrL' _ Telephone: Address: 2f �+ Installer's Name: Telephone: i Number of bedrooms (residential only) _ Total daily flow (compute @ 150 gal per bedroom) Topography: circle one: la boiling Steep Slope % of slope Soil Nature: circle one: and Loam Clay Other / Depth: feet Ground Water. At what depth? feet Bedrock or Impervious Material: At what depth? _ feet Percolation test: circle one: not required required / rate min. inch. 1� Domestic water supply: circle one: uni sepal Well Other _ IF domestic water supply is a Well: Separation*. Watersupply from Septic absorption _ feet PROPOSED SYSTEM: Septic Tankef 4 G2 gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench feet / 'Total system length e!5;_(:D— feet SEEPAGE PIT(S) : Number of / Size each feet by feet Size of stone to be used # / Depth or Thickness feet IMPORTANT _..P'lease...LIST NEW EQUIPMENT TO BE INSTALLED * * * * * * * * * * * * s * * * * s * * * * * * a s * * * * * * a s * s * s (over) Section II Septic System Inspections: 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 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. I have read the regulations above and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal. Ordinance. Signature of responsible person: C Date: 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 GOOO, PLACE TO LIVE `DD BUILDING and ZONING DEPARTMENT J . 15 Bay and Haviland Road, R.D. 1 Box 98 3 ` ❑ueensbury, Now York 12801 BUILDING INSPECTOR ' S REPORT NAME_ k1 m,,� a5 LOCATION• At:-�1144 r f c - Date � �3 -/ �_ Permit Noe �+ 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 Tile Concrete Floors Plbg . Fixtures Gar _ Fireproofing Door Closers Smoke Detectors Chimney INSULATION Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAt. Final Building Survey Next scheduled inspection (call when ready ) Remarks- 1,12 611,0 00 lee, '� f Building Inspector 6/86 and-vl _ /oeun 01 'Queensiurry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME <?- i eigg LOCATION c; ►..4 y1 e.w he t p 4r� Y-t j l"O- Idr-. d5<. Ado DATE / PERMIT NO. + SOIL TYPE -- - Loam - Clay - 7�an Percolation t Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field , total length o4 1 Length of each trench Depth of trenches 2- M- �!ry Size of gravel_ :SEEPAGE PIT ofiz €t. X _ ravel size PIPING : Size Type Bldg . to tank _ ►11 i ,Q Agile Tank to dirt. box A-/ Y Dist. x to f field/pat w Opening sealed? E NO Partial LDCAT "CLd/ P� TxON5 ; Foundation tank. f / ft. Foundation [] absorption Absorptio t lot line ft . - Separati o pits ft. LOCATIO OF S EM ON PROPERTY (circle one ) ran Rear - eft side - ht si - CCMME S : -7'AA.rsG * ) A-,/ �� ',� ,,,, �d / o an d -�� D- 13r x Vc) n4-6►r Zan SYSTEM USE APPR VED 7YE NO ZA Bui ding Tn" 9.pe or 01/85 and vl � / �f W W A N � A t r 0 � y 41 1 m m {a p .o 1 � 3 � � I 1 � Q ,} D t�/�r y 7 1 _Jose" 0/ Q"eensbury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R, D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME W rh D_► , 2 LOCATION Date_ / r _ Permit No . _ [7 �1 �► (0 APPROVED - YES NO Footing/Pier Forms Foundation waterproofing Back£ill Framing Roofing Siding Masonry Veneer X Rough Plumbing a Relief Valves Ext , Porches Finished Floors Interior Trim_ Stairs & Railings Cellar Drain 'Pile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSL)LATION : Foundation Floors walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Fislal Building, Survey Next scheduled inspection (call when ready Remarks-- nui 4dingnspector 6/66 and-vl 7oty n O/ Q"ce " 31 " MIV BUILDING and 70NING DEPARTMENT Bay and Maviland Road. R.D. i Sox 98 pueensbury. New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION cirr 1 r ° Date /S / ��+ Permit Tao . -- 4 "7 * * * * * * * * * ✓* * * * YES NO APP RC)V ED Footing/Pier Forms )(F oun da t io n Ka t erproof ing �. ackfill Framing Roofing Siding Masonry Veneer Rough Plumbing _�_,_�—•-----� -- Reiief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors 6'lbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney IN SU I.AT ION Faun dat icon Floors WaL l I s Ceilinq FINAL KLECTRICAL YN SPECTY Tom—.-- DRIVFWAY APPROVAL Final Building Survey Next scheduled snap ectisrn (call when ready ) Remarks (hd t Funding Inspector Ei/85 and-vl ._.I'owrt o� '�ueen � �urc� BUILDING and ZONING DEPARTMENT Bay and i-iaviland Road. R-D. 1 Box 98 pueensbury. New+ York 12801 BUILDING INSPECTORS REPORT NAME LOCATION ate , y _7/ Permit No . 9r y ' APPROVED - Y " NO +�[ Booting/Fier Forms G Foundation Waterproofing Backfill Framing Roofing Siding Masonry veneer Rough Plumbing Relief Valves Ext , Porches Finished Floor's Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Ilk Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECCRICAL INSPECTION_ DRIVEWAY APPROV"T Final Building Survey _ en ready ) Next scheduled inspection (call wh Remarks- . Building Inspector 6,/66 md-vl flown o/ Queen3i "ry BUILDING and ZONING DEPARTMENT Bay and Hauiland Road, R.D. i Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME �I- -*��, {- Al LOCATION !' LIB [ l� ►��_ r . _ — Date Permit No AP VD 'YES NO �CFooti_ng/Pier Forms _ Foundation waterproof in Backfi l l 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 INSUI ATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL _ Final Building Survey Next scheduled inspection (call when ready3 Remarks- �]� � f WCL A I lip 04 Building Inspector 6/86 and-vl BUILDING DEP•f. COPY O THIS APPLICATIO COPY N FOR 46 NG NEW YORKWHE BARD OF IRE UNDERWRITERS. TEMP. CITY OR t COUNTY VILLAGE 1/"'/ ..^yT-�:.> TOWNSHIPS r` 3 ^�=--./' STREET AND NO, OR ` POLE NO. ROAD AND POLE NO. CROSS STREETS Is •'" y�r ,r PREMISES LOCATED'+ .-�'rf �+"� "` W f IY SECTION .'� BLOCK / LOT BUILDING -.-'.3 OCCUPANT'S OCCUPANCY NAME OWNER'S NAME / r .. AND ADDRESS �•f < r= Cf !�.- f r'.. ..�` TEL. # �/''1r". .- �I"�" Ji• CU N JE . SUPPLIED ���%f„r r�„ +'^" �,.- .�I",f,:-J•' /���;�'a ,f��f� :E`..''�i` FROM THEIR �"'" .r OFFICE BY .� • DEFECTS BUILDING I—{ WORK i5 f4EW �_y OLD LJ IS NEW ADDITIONAL 0 REMOVED •ice' LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No. of Fixtures & BRANCH OFFICE USE NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS ONLY Loco• H.P. Walla A.W.G. tion Side Attach't No, Typo No. No. Gauge INSPECTION Ceiling Wall Ro~'Ia Switch perxlent Braeket Eech Each Out- side Sub- BASIN meat tat FI. 2nd FI. Std Fl. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: 60 NOT USE THIS SPACE. This application is intended to cover the above•I isted equipment to be "pecti d but if at time of inspection there is found additional aquipment not abcave listed. you are au chor ix ed to make the inspection and adjust the fee to cover the additional equipment, M pros ided by the applicant- ELECTRIC SIGN TOTAL SIZE OF FEEDERS LAMPS WATTS MAINS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA W WORK TO BE (NUMBER} (CAPACITY) STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS OF SIGN fLOING I ON OR AS NEAR AS NEWNSPECTION REQUESTED OLD POSSIBLE AVOJO DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAYBE RETURNED. PRINT NAME AND ADDRESS , DATE OF NAME OF -7ANT "� r - :' ,..+r�' F APPLICATIONAPPLI .y / ..!'" TELEPHONE STREET ADDRESS ,ITY OR /�,j F ZIP / Id LICENSE NO. ppp POST OFFICE � x "`.f r"' !Y~ ter CODE,/ f'"�+�.�/1 YM1IFiEN APPLICABLE 4e EL (REV. des) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING