1987-459 h h
CER.TIF'ICA'TE OF OCCUPANCY
t TOWN OF QUEENSSURY
WARREN COUNTY, NEW YORK
IN bv Y.,
Date November 27 11987
i This is to certify that work requested to be Clone as shown by Permit No. 87--459
has been completed.
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This structure may be occupied an a One-F'amlly I)we ing
Location. II,Lot 19 Lambert Driv y ►-�'"-� 1�
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Owner anlel & Monelle Cott oll
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I By Order Town Board
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"TOWN OF +QUEENSDURY
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Building N Zoning Inspec
Y BUILDING PERMIT
TOWN OF QUEENSBURY � y
No. 87-459
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Daniel A . & Monelle Cottrell
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OWNER of property located at Lot 19 Lambert Drive 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,
1 . OWNER'S Address is
108 John St .
Hudson Falls , N . Y . 12389
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2. CONTRACTOR or BUILDER 'S Name ra
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AJS Enterprises Inc .
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3. CONTRACTOR or BUILDER'S Address �
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4 Amy Lane F
Glens Falls , N . Y . 12801
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4. ARCHITECT'S Name **
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S. ARCHITECT'S Address
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51 TYPE of Construction — (Please indicate by X) '
( YLI Wood Frame ( ) Masonry i ? Steel
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7. PLANS and Specifications m
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No. 50 ' x 26 ' per plot plan , specs€ icattons and application including rt
septic system , driveway permit and tow-car attached garage .
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B. Proposed Use
One-Family Dwelling
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$5000 C /o
$ 115 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES February 1 , 1988
(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.) •.,�
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Dated at the Town of Queensbury this 17 th Day of July 10 87
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SIGNED BY r �° "�" for the Town of Queensbury oe�
Building and Zoning Inspector xwlw�� ,
TO BE COMPLETED BY BLDG . DEPT ,
Application No. TelvirNI r-,
Qateere. A"ry Permit Issued 19 t '?1 :
BUILDING and ZONING DEPARTMENT Permit Expires 19
Bay and I-laviland Road. R.D, 7 Box 98 Zoning Designation ,,,,�UL 101987
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Oueensbury, New York 128()1 Variance No.
2 Site Plan iew No.
jr b BUILDING -& CooE oEP-'`
! Approved _,r Xf
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? J APPLICATION FOR `'04, ' l'• 'P
BUILDING AND ZONING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION , ANSWER ALL OF THE FOLLOWING,
The undersigned hereby applies for a L .ailding 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 Perzait .
The owner of this property is : sr
B. O. Address tmr
Property Location ; 6W%t,=QCJ) 'S_._ L xi 1., , isn .— Og- uAF t� :Z- Tax Map
Street nuimber or building lot number
subdivision name (if applicable) c)42*NC:L Lys � � C+
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : �y
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..�Na e �►��? Q lLI Crate f l �C � /� n- , � L_f�' �s N� (,�„ ��S � � ��``�'' 9 �3
Rama P, O. Address T 1 No .
Name of builder. - "�-� L< - Address Tel .
Name of plumkHar_ l,-rtiSC !e c Address _ F�]-�J 17Ch sr _ �^.1 x Tel . el7 ^�`7
Name of mason 4 .ems Address Tel .
NATURE OF PROPOSED WORK : * ZONING INFORMATION :
Se Construction of a new building * A PLOT PLAN MUST BE PREPA4.ED 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
FOR DEMOLITION PERMIT , STATE SIZE AND * whether interior or corner lot . Show location
LOCATION OF STRUCTURES AFFECTED. * of water supply and location and configuration
* of septic disposal area .
*
* COMPLETE INFORMATION REQUIRED BELOW .
Size of property_ 1 L3 b ft X PCs 2 ft .
" Existing building ( B) Size ft X €t ,
PROPOSE[] BUILDING AND USE :
* N /
* Existing building ( s ) Use
Size of new structure eft X �ft * �
Foundation--pier/slab/crawl/partial/full * Proposed building , distance from property, line
(circle one )
*
Na . of stories (habitablespace ) * Side yards ft and Front yard ft Rear yard , fG
Height ( grade to ridge ) ? ft • * If on corner , setback from side street ~ft
If residential , no , of families
No * of rooms ( excluding baths ) '7 * OCCUPANCY INFORMATION
No, of bedrooms _
No , of bathrooms PRIMARY BUILDING
Primary heating system—tLx _ One family dwelling
Type of fuel�y �--� � � L * Two family dwelling
No . of fireplaces to be installed —� -- * Multiple dwelling / Number of units
Will a wood stove be installed? - c� — » Permanent occupancy
Transient o
Cesizra l Ai occupancy conditioning?
a, * p y
BUILDING STYLE PRIMARY STRUCTURE � Business
,. * Industrial
Ranch Contemporary Log cabin * Other
Raised ranch Mansion Duplex * If addition , what will use be?
Split level Old style Bungalow
Came Cod Cottage Other * ACCESSORY BUILDING-
0 is Row Town House * Detached garage/once car/ two car/ Car
( CIRCLE ONE PLEASE ) * Attached garage/one cart two ca car
Private Storage building
LST" IMATED MARKET VALUE OF ry '" 'other
CONSTRUCTION
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INFORMATION ON BUILDING Sf>ECIFICATIONS , ON Ri�VERSE SIDE OF THIS SHEET , TO BE COMPLETED !
Form SPA 4/86 and-vi
ON
TOWN OF QUERUSEURY
WARRBN , COUNTY , NEW YORK
Application for : BUILDING PERMIT IN COMPLIANCE WXTH THE NEW YORK
STATE ENERGY CONSERVATION CODE
A permit must be obtained before beginning work .
ANSWER ALL of the following :
is Gross floor area.
2 . 'type of heat Qv
3 . Is the building mechanically cooled ?_ Y[j"5rf
4 . Percentage of area of windows and doors
A . Over 16t Only —
1 . U value of gross area of walls , roof/ceiling and floors
Oxxpossd to astbient conditions
2 . Floor over heated spaces YES NO
a . Are foundation walls insulated ? YES No
1 . If YES , what is the R value7
3 . Slab on grade YES No
a . If YES , what is the it value of insulation around
perimeter of floov ?
4 . Is basement heated ? YES NO
a . R value of insulation
5 . Type of insulation
$ . Under 16 % Only
1 . R value of roof and floors exposed to ambient conditions
2 . R value of exterior
3 . R value of glazed area 6L : 1) ] T2, 1'7 ZZ
4 . R value of doors ' } /,�, � `-f�""
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5 . R value of floors over unheated spaces M, t5 o
/�/ j 6 . R value of slab edge insulation - unheated slab I'
M� - "'} 7 . R value of slab insulations - heated slab_ 4Q A
a _ R value of heated bagement/cellar walls ( above grade ) �•��)1j�.;
9 . R value Of heated basemont/cellar walls ( below grade ) - rit,11
la . Type of insulation F7tAkrz (._ �
C . Controls
1 . Thermostat maximum heat setting... �"1 yx
D . Duct systems
1 . Is duct system installed in unheated spaces ? YES
a . If YES , R value of duct installation A3
b . R value of duct in other areas
--- - - - - - E . Piping Insulation .�
1 . Sine of hot water or cooling C rrying agent pipe
.2 . R value of pipe insulation_ v%% A
r . Service water Heatiria
1 . Performance efficiency
2 . Temperature control setting maxjR& mm A LAX::�
G . For swimming Pool Only
he
1 . Maximum
heating
Telephone No .
apple ant ' s si ature )
loom 0441V of C%Ww6wy
APPLICATION FOR SEPTIC 13LSPOSAL PERMIT
DATE (_/NfS� / !
LOCATION OF PROPERTY FOR. INSTALLATION WW(JC" Mj��?�" (y��y��� C_.. ,
Owner's Name: �� e�l� f _ cc }}nakjaE� Z MW7.;A {� *Telephone:
Address: I ----
installer's Name:--Y-art C Telephone.
Number of bedrooms (residential only)
Total daily flow (compute @ 150 gal per bedroom) H .5-
TopograplSys circle one: la Rolling Steep Slope % of slope
Soil Nature: circle one: Loam Clay Other j Depth: feet
Ground Waters At what depth? feet
Bedrock or Impervious Material: At what depth? _ feet
Pea+colation tests circle one: not required required j rate min. inch.
Domestic water supplys circle ones Municipal Weil Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption feet
PROPOSED SYSTEM: Septic Tank ^ c5 xcf:) gal. (minimum size: 1 ,000 gal.)
TILE FIELD: Each Trench (A 7 feet f 'Total system length feet
SEEPAGE PIT(S): Number of j Size each feet by feet
Size of stone to be used # / Depth or Thickness feet
IMPORTANT
..aPle:ase...LIST NEW EQUIPMRNT TO BE INSTA AJM
(over)
�fp QerceQn � eery
� � • BUILDING and ZONING DEPARTMENT
and Road, R-0. i Box 98
Bay and Havil
f Dueensbury, New York 12$Oi
[+� R� PORT SUILDING INSP � GTDR ' S
NAME L-
LOCATION / T
permIt No -
Date /! w I -C-4—
APPROVED - YES L3C7
F'ootiri'4I`Pier Forms
Founda't ton
waterproofing
Back£ill
Framing
Roof ing
Siding
Masonry Ven er �--�-
g,o,agh plumb ng_�_�---
Rel- ief Value' s �---
Ext . porche
Finished Fl o
rs
7ntcrior Tr
Stairs & Rai ings
Cellar T]r �o i.le
,Concrete
plbg - Fixtures
Gar . Fireproof " g
Door Closers
smoke Detec rs
ChimneY
114 suLATI wo
Foundatio
Floors
Wa11s
Ce it i.ng ICAL Ili S'PECTI L3„�
F IN AL ELECTl
RIVEWAY APPROV S eq
anal Building
Next scheduled lnspectiori
call when ready )
Remarks-
Building
Inspector
ro/BE, md-'vl
f BUILDING and ZONING DEPARTMENT
/Bay and Havifand Road. R ,0 . I BOX 98
1 s Queensbury. New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME &� I- �5 v
LOCAT I ONE 7 ;�z / 4 .._
DATE // I� PERMIT NO. [ �SOIL TYPE - Sand - Loam - Clay
N
fired? YES - O
Percolation Test Requ Percolation rate - Min/Inch _ �--- -
7 TYPE of SYSTEM : '
Absorption field total *30 "'
Length of each nch
Depth of trenches
Size of gravel
SEEPAGE PITS4N be of)
Size- ft. X ft.
Gravel size
PIPING : Si a ype
Bldg * to tan
Tank to d i s _ box
Dist . box o field/ fir`
openings ealed? YE NO Partial
LOCATIO /SEPARATI A , ,fto
Founda on to tank C a
F'ounda ion toabsorptio ft .ft.
Absor ion to lot line ft.
Separa ion of pits ON PROPERTY (circle one)
x C}CATIONYSTEL�
Front - ear - Left side - Right side -
COMMENT
SYSTEM USE APPROVED � NO
Building Inspector
01/86 and vl
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QU
01 /BUILDING and ZONING DEPARTMENT
gay and Havi#and Road, R.D. 1 Box 98
LEI- ` Queensbury. New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION
Date Permit No .
* x * * k re * * * ✓vr * APPROVED* -* NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roca f ing
Siding
Masonry Veneer
h Plumbing
Relief valves
Ext . Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile_
Concrete Floors ---
Plbg . Fixtures
Gar . Fireproofin
Door closers
Smoke Detectors
chimney
INSULATION *
Foundation
Floors
Walls
Ceiling
FINAL ELECTRIC L INSPECTION
DRIVEWAY APPRO L
Final. Building rvey
i3exC scheduled inspection (call when. ready )
Remarks-
Building Inspector
6/86 and-vl
Dean n Queen sb+�►'�F
g , toP1Lt),NG and ZpN1NG R fl 1IBox 98
gay and Haviland Road.
(31 j (]ueenstsury, New York 12801
BUILDING INSPECTORS REPORT
NAME
LOCATION
/f ' / Permit No .
Bate
AppROVED* -* YES NO
Footing/pi.er Forms
Foundation
Waterproofing
Backfi.11
Framing
Roofing
siding
onrry Venee
L,Zugh Plumbing
Relief Valves
Ext . porches
Finished Floors
Interior 'Trim
stairs & Railings
Cellar Drain Tile
Concrete Floors
plbg , Fixtures
Gar , Fireproof ing
Door Closers.- -
Smoke Detectors
Chimney
INSULATION s
Foundation
Floors
walls
Ceiling w r-
FINAL ELECTRICAL INSPECTION��_
DRIVEWAY APPROVA
Final Building S r+ueY---- �---�"
Bert scheduled spectinn (call when ready)
Remarks- t
Of
va
Building Inspector
6/86 and-VI
o �eeeensh �er�
6 �UILDING and ZONING DEPARTMENT
gay and Haviland Road. R.D . i Box 98
aueensbury, Flew York 12601
SUILDING INSPECTOR ' S REPORT
NAME
LOCATION
.7 _
permit I3a .
* * * * * * * * * * * * N C>
AFFRfJV ED - YE
otinc�/ ertP�'�'
Foundation
( Waterproofing
Hackf ill
Framing
Roofing
siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext . Parches
Finished Floors
Interior Trim
stairs & Railings
Cellar Drain Tile
Concrete Floors_�_�
F,lhg , Fixtures
Gar . Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION
Foundation
Floors
walls
Ce i ling
FINAL ELECTRICAL INSPECTION _..
DRIVEWAY APPROVS
uruey
Final Building �,----
Next scheduled inspection (call when ready )
Remarks- + A 0
S 1 ing Insp cto
6/s6 md--vl
d flown of Queens6ury
JV� BUILDING and ZONING DEPARTMENT
U Bay and Haviland Road, R.D. 1 Box 9$
I Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
4 NAME -
LOCAT I ON j4 �.� /e
Date ��{� Permit No .
�. APPR(YVED - YE NO
FaotingPier Forms
oundation
y 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 . Fireproofin
Door Closers
Smoke Detector
Chimney
INSULATION
Foundation
Floors
I Walls
Ceiling
FINAL ELE RICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
I
a Next scheduled inspection (call when ready )
k Remarks-
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4
G
J Building Inspector
t 6/86 and-vl
9