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1987-115 F -�. CERTIFICATE OF +�LJI'.t�N+C�' TOWN OF +QUEENSBURY WARREN COUNTY, NEW YORK Date JUNE 25t 1987 i This is to certify that work requested to be done as shown by Permit No. Y 7 115 i has been. completed. This structure may be occupied as s firs e-Fars i_l y I}we l l in g Location Eldridge Road Wtliiam J . Desbi-ons Owner By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector I k BUILDING PERMIT TOWN OF QUEENSBURY No. 87-115 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to William .7 . Desbiens Street, Road or Ave. w OWNER of property located at E1dri d e Road p, One—Farad Dwellin in the Town of Queensbury, To Construct or place a at the above location in accordance to application together with plot plans and other information hereto filed and ty m approved and in compliance with the Town of Queensbury Building and honing Ordinance_ 03 Cr r• 7OWNER;4S7Address is 7 Butternut Hill Drive fp o� RD #1 Queensbury , New York 12801 2. CONTRACTOR or BUf LOER'S Name Town and Country Cons t . tt7 3. CONTRACTOR or SUILDER'S Address H Route 196 Hudson Falls , New York 12839 �W m �t z a 4. ARCHITECT'S Name I -r. 5. ARCHITECT'S Address rPLANS struction — (Please indicate by X1 l Wood Frame { ) Masonry ( ) Steel ( T � t 1 Specifications24 ' 3 per plot plan , specifications and application submitted including sewage. system . 4 t.e One-Family Dwelling a4 1 $5 - 00 CIO November 1 i987 $ 77 a 00 PERMIT FEE PAI [7 — THIS PEfiMIT EXPIRES (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.l April 87 Dated at the Town of Queensbury this 3rd Day off, p 19 / " G!. /vim for the Town of Queensbury SIGNED BY Building and Zoning Inspector 4� 3r. /:- -1 ' -7 / ls r _ . TO BE COMPLETED BY BLDG . DEP'.C' TC)WN OF QUIEZi` 50". � c Application No . 11YJ1 _7o"In a/ Q"ee►73i "ry Permit Issued 19 ry � BUILDING and ZONING DEPARTMENT Permit Expires 19 s MAR 1.17V7V Bay and Haviland Road. R.D. 1 Box 98 Zoning Designation ' Queensbury, New York 12801 Variance No . � _ UILDIl+iG �,k C�f,�E D Site Plan Review No . ?� tp ,T r , .• p1"" 0 / 7.OD' Approved y : i old �rc APPLICATION FOR PUILDING AND ZDNING PERMIT I - - go * 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 : 07 P . O. Address '� L' / f Tel . ;;? Property Location -�- Tax Map No , ez? Street number of building lot number Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS 13UILDING CC)L7�S Z 01 Name / P . O . Address Tel _ No ✓ Name of builder,, r i a �ddres To Name of plumber T 3 Address v, f^ Tel . Name of mason Address Tel . - y �6 NATURE OF PROPOSED WORK : ZONING INFORMATION : x0Construction 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 lanes . 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 ft K _ ft . * Existing building ( s) Size ft X ft _ PROPOSED BUILDING AND USE : Existing building ( s ) Use Size of new structure ft R ft Foundation-pier/slab/crawl/partial/full Proposed building , distance from property line (circle one ) * Front yard ft Rear yard lZ _ ft No . of ,stories {habitable space) _- r _ ft and i ft f * Side yards Heigllt- ( grade to ridge ) �3� ft - * If on corner , setback from side street ft If residential , no . of .families No * of ( r�esoms ( excluding baths ) * OCCUPANCY INFORMATION No . of �hedrooms PRIMARY BUILDING - No . of bathrooms * One family dwelling Primary heating system Two family dwelling e of fuel 'I'yl� * Multiple dwelling / Number of units No . of fireplaces to be installed © permanent occupancy ,cl Will a wood stove be installed? Q * J/ *, Transient occupancy Central Air conditioning? b Business 14.0 F l Z V BUILDING STYLE, PRIMARY STRUCTURE Industrial � Other Ran Contemporary Log cabin If addition , what will use be? sed 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 * * * r * * + * * * * Private storage building ESTIMATED MARKET VALUE OF * other CONSTRUCTION INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED ! Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . .. r'�� J � Will any second-hand or ungraded lumber be used? If so , for what? Foundation wall material [ Thickness Depth of foundation below grade (to bottom of footing ) Will there be a cellar? -,, -Heated or unheated?�rr,�rrjr�,S,f door Sq . footage / �r- �sq ft Will there be a ]easement? _Will any portion be used as living space ? ( If so , what portion? sq . ft . - - pe o use? Type of roof - sloped/flat/shed/other $' aterial of roof s Size , wood studs " X '• s acin y P g e5' "o . c . length ft . Joists ( floor beams ) 1st . floor �•'X " spacing "o . co spanL�ft . JOlsts ( flOOr beams ) 2nd . floor "x spacing "o . c . span ft . Overlays ( ceiling beams ) lox " „ spacing O . C . span ft . Roof rafters _ fix " spacing o . C . span�ft . Roof trusses (pre-engineered) spaci c !_ e+ „" O . c . span-;2" e ft . Exterior wall finish lofX > A Of what mate ial? Interior wall finish If a garage is to be atta e , des ribs a r ' is 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? _102og> _ Height 'Above root ft , Depth of chimney foundation below grade ft % Depth of fireplace hearth ft . Water supply - Municipal or private well SEPTIC SYSTEM Distance from ANY private w*41oinCluding da joining properties ft , (A separate a is system) p application is necessary for any repair or new installation of septic system) Town of Queensbury County of warren A F F I D A V I T 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 _ wn_ oer ' s agent . archit,ect , contractoy day of 19 Own 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 2 . Type of heat /�= �L t- ',�/' C 3 . Is the building mechanically cooled ? Oe 4e Percentage of area of windows and doors lCJ A . Over 16 % Only 1 , U value of gross area of walls , roof / ceiling and floors exposed to ambient conditions 11 2 . Floor over heated spaces YES a . Are foundation walls insulated ? YES ONO 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 0 a . R value of insulation 5 . Type of insulationJ _ _ / � ✓ � a , Under 16 % Onl 1 . R value of roof and floors exposed to ambient conditions. 2 . R value of exterior walls _ 3 . R value of glazed area /> 4 . R value of doors S/r"' r"/ G' 5 . R value of floors over unheated spaces� r-- 6 . R value of slab edge insulation - unheated slab 1 7 , R value of slab insulation - heated slab 8 . R value of heated basement / cellar walls ( above grader 9 . R value of heated basement / cellar walls ( below grade ) 10 . Type of insulation or t77 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 . Piing Insulation 1 . Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation Af /`- '" F . Service Water Heating 1 . performance efficiencyy C� 2 . Temperature control setting maximum G , For Swimming Pool Only 1 . Maximum heating Telephone No . fa icant ' s signature ) APPLICATION FOR. SEPTIC DISPOSAL, PERMIT DATE LOCATION OF PROPERTY FOR INSTALLATION _%;e- ?- Owner's Name: 12000F 7-. 5 Telephone: Address: Installer's Name: _gym C.�S! �r'� Telephone: L f_ Number of bedrooms (residential only) �_ J Total daily corn?flow (compute @ 150 gal per bedroom) Topography. circle one: V'laty Rolling Steep Slope $o of slope _ Soil Nature. circle ones an5V Loam Clay Other / Depth: feet Ground Water: At what depth? feet Bedrock or Impervious Materials At what depth? feet Percolation test: circle one:tSiot require required / rate min. inch. Domestic water supply: circle one M inu cip� Well Other _ IF domestic water supply is a Well: Separation: Watersupply from Septic absorption _ feet PROPOSED SYSTEM: Septic Tank /G70 G7 gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench feet / Total system length ' s b _ feet SEEPAGE PIT(S): Number of / Size each feet by feet Size of stone to be used # / Depth or Thickness _ r feet IMPORTANT ...Please...LIST NEW EQiIIFMENT TO BE INSTALLED (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 Be 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 $2500000 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 CktUmance. Signature of responsible person: 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 GOOD. PLACE To LIVE THE NEW YORK BOARD OF FIRE UNDERWRITERS � 4208090 BUREAU OF ELECTRICITY T gf 41 STATE STREET, ALBANY, NEW YORK 12P-0 Date July 27 , 1987 Application ,Va. on fileO10980_g7 A 689895 THIS CERTIFIES THAT only the electrical oquW' meat as deecribeel beiaw amd introduced by the applicant nomad an the above eppt"tion number in the pwarnism Dr V6 Deabiena (Davenpprt) Eldridge Rd . , Queenabury , NY in the following [acationi ❑ Basement ❑ lat Fl. ❑ 8n.d ,F7. Section Bloch Lot zM was examined on 6/29/87 and forend to be in compliance with the regquirementa of this Board. lIXTURE EITACUS SWITCHES FIXTURES FLANGES CooKING DOCKS GIVENS GUSH WASHERS EXHAUST FANS tIL1 T INCANDESCENT I rLUCMESCENT AMT. K- w- AMT. K. W. AMT. K-w. AMT, K. W. AMT. H. P. 3 fr D*Ypfts FURNACE MOTCIRS PUP AF}UANCE MWORS S ALROCPTJ TIME CLOCKS EEII UNIT HEATERS MlSYST UTIRT DYYIMIERS SYSTEMS AMT. K- W. OR H. P. GAS H. R_ AMT. NO. A. W. 6- AMf. AMP. AMT, AMPS- TRANS, AMT. H. R. NO. OF FM AMr. WATTS range 13,76 1 hwr 3# io SERVICE DISCONNECT tIO, OIT ry'er 03010 E R V I C E AMT. AMP. TTPE �Ip. 1 .0 2w I .r• sW a AT sW 3 0 Aw '"D Of CC,rcoNo. OF cc E&D. Ho. of HI iEa �^ HMAEG �- oR NEurRwis OF i4LmiAI 1L 200 ch 1 xc 1 4 0 OTHER AMARATUS: 4 g f c;L 1—evnoke detector electric heater 2 1 . 5 kw 2 160 kw 1 . 75 kw 2 2 . 0 kW "flown & Country DonEtt . RR 2 $t • 196 ( IMANCHLA"NAGERFort Edward , NY 12801 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified bls. 1 COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. BUILDING and ZONING DEPARTMENT Bay and Havifand Road, R.D. 1 'Box 98 ' 0"bury, New York 12801 BUILDING INSPECTORS REPORT NAME -------- L O C A T I ON $"�9 Date '"— jar permit No . �ZF' �L� APPROVED - YES NO Footing/Pier Forms Foundation waterproofing Backfili 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 . Fireproof' g Door Closers Smoke Detecto Chimney INSULATION : Foundation Floors walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAz Final Building Survey Next scheduled inspection ( call when ready ) Remarks- f.{t 11 �Ltr? cp Building Inspector 6/86 and-vl BUtLOING and ZONING DEPARTMENT Bay and Haviland Road, R.D_ 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME eQJ oiQ~ LC3CAT I CNJ ! ' DATE �/ E RM I T NO . SOIL TYPE - a - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field , total length Length of each trench Depth of trenches Size of gravel ^ ^-' SEEPAGE PITS4Number of) Size- ft. X f�r'� - - ._.. . . . Gravel, siz ✓'~ PIPING : Siz@ Type Bldg . to tank - .. Tank t0 d3.St. box Dist . box to field/pit Openings sealed? NO Partial LOCATION/SEPARATIONS : Foundation to tank f ft. Foundation to absorption -2 0 ft _ � Absorption to lot line ft,,pp Separation of pits f LOCATION OF SYSTEM ON PROPERTY ( c ' rc a one ) Front - Rear - Left side - fight id - COMMENTS : ID0064e, IAA SYSTEM USE APPROVED ES N Su lding I spector 01/86 and vl � own o/ Quee►asErurey BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Sox 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME OA 1Jif,- a 1% M T' LOCATION19 () � � � 4/ )7%70 ,r^ Date Permit No . a 2 _ l � "7 ✓ = APPROVED - YES No FootingfPier Forms Foundation Waterproofing Bade f i l l x Framing Roofing Siding Masonry Veneer XRough Plumbing p v Relief Valves Ext . Porches Finished Floors interior Trim Stairs & Railings Cellar Drain Tile Concretes Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smrake Detectors Chimney INSULATION Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey I " 5ce-*� LLtm ! 0Al, Next scheduled inspection. (call when ready Remarks- ilaing Ins to 6/86 and-vl _./trwn D� �l[e�Pns6urr� BUILDING and ZONING DEPARTMENT Bay and Haweland Road, R. D. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION � � 0/ 124'r`v 6 41- u2 • L7ate Permit No . ✓ = APPROVED - YES NO F�,oting/Pier Forms Foundation 'Cwaterproofing '[Sackfi 11 Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs 6 Railings Cellar Drain Tile Concrete Floors Pibg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney SNSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION I]RIVEWAY APPROVAL Final Building Survey .. Next scheduled Inspection ( call when ready) Remarks- Suit ding Insp ctor /R� and-vi . 2awo, 0/ Queendh,ury BUIL[]ING and ZONING DEPARTMENT Bay and Maviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME /dt"3 � LOCATION 11, rI C,T C 40 Date /',/ p7 Permit No ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing ackfill Framing Roofing Siding Masonry veneer -" Rough Plumbing Relief valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plhg . Fixtures Gar . Fireproofing Door Closers W Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINIAL ELECTRICAL INSPECTION. - DRIVEWAY APPROVAL Final Building Survey- � Next scheduled inspection ( call when ready ) Remarks- fI Build Inspector --•_._� 6/86 and-vl _Jrxte.,rr ©� �ur�ex� s6urt�I BUILDING and ZONING DEPARTMENT Say and Haviland Road, R. Q. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME Lflrr► . �40 56r LOCATION ff �� Cfri t CYdt Date i5 / Permit No . Footing/Pier Farms APPROVED - Y S NO Foundation Waterproofing Backfill Framing Hoofing Siding Masonry Veneer Rough Plumbing Relief Valves ,h Ext . Porches Finished Floors interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors P.lbg _ Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSUI.AT=C)N Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION IIRIVEWAY APYR(IVAL Final Building Survey Next scheduled inspection ( call when. ready ) Remarks- I 1j 6/86 rnd-vl Building Inspector ti i 1,s v I I ' I b I f I �