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8506 . . c/O paid • CERTIFICATE OF OCCUPANCY ,• TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date September 18 19 • • 7' This is to certify that work requested to be done as shown by Permit No. 8 506 has been completed. • This-structure may be occupied as a One-Family Dwelling - Location Lot 20 Cobblestone Drive (Butternut Hill Subdivision) Frank DeSantis Owner By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector • CREATIVE ••INSTA" PRINTING. GLENS FALLS. N Y 128.01 (518)7,93-5658 BUILDING PERMIT TOWN OF QUEENSBURY No. 8506 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Frank DeSantis rr� (Butternut Hill Subdivision) OWNER of property located at Lot 20 Cobblestone Drive Street, Road or Ave. in the Town of Queensbury,To Construct or place a One-Family Dwelling d rn 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. r-t 1. OWNER'S Address is 47 Webster Avenue Glens Falls, New York 2. CONTRACTOR or BUILDER'S Name Valente Construction td t-{ 0 3. CONTRACTOR or BUILDER'S Address Ct' rf- Route 9W Box 167 rr (D N Lake Luzerne, New York n O - G n 4. ARCHITECT'S Name rt O i7 I--'(D r1 5. ARCHITECT'S Address Ch 0 H•C7 C K 6. TYPE of Construction—(Please indicate by X) DI.< t' )Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications 50'x51' per plot plan, specifications and No. application submitted including two-car attached garage and sewage system. 8. Proposed Use 0 One-Family Dwelling c� $5. 0 0 C/O Paid 5 H• 171. 00 $ PERMIT FEE PAID —THIS PERMIT EXPIRES December 1 19 84 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the CJ town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 17th Day of May 198 4 H. �r/A SIGNED BY / l �. a - for the Town of Queensbury Building and Zoning Inspector 8, TOWN OF OUFFNSBURY BUILDING & ZONING DFPARTMENT SEWAGE DISPOSAL PERMIT APPLICATION 1. Owner ' s Name -t 'cn - Address AA : i-u Telephone No. )'940 d 2. Property location JL``4- b i) $ 3 . Name of person or firm responsible for installing system b co/a-ram, Telephone No. 2Cj, c9- �.l Address Le 4. Number of bedrooms (residential buildings only) 5. Daily flower gallons/day 6. Septic -tank- capacity / 6-6+-G ,_„ gallons 7 . Topography: flat, rolling steep % of slope 8. Nature of soil and ,depth J--0,r , E' Sc 61- F C 47 9. If ground water, bedrock or impervious material is apparent at what depth .does it begin? ft. 10. Percolation:.test: A is required B is not required C If required what is the rate minutes/inch 11. Water-:=supply: .- municipal, well, offer CL) C • 12. Type of system proposed: drywell, tile field, other rj''`t, c._gib, Any contractor,, corporation, individual, etc. engaged in the construction of a sanitary sewage disposal system who covers the same before inspection, does not have-an., approved permit, or varies from the approved.,application will be subject. to a penalty of $250. as provided for in Section 6 :010 of the Queensbury Sanitary Sewage Ordinance. Date 122.,eit/ /SP V (1,-,1;:tM / signature of applicant On separate sheet of paper submit a diagram of the proposed septic system with all dimensions, including distance from any structure, distance from property line and domestic water supply, etc. Include all dimensions of the system itself. Form 3-82 �� ( l 7 -cf'_-) TOWN OF QUEENSBURY (Space inside block to be filled in by WARREN COUNTY, NEW YORK ' , Building Inspector) Application for Application No. Permit Issued _19. . BUILDING AND ZONING PERMIT Permit Expires. ►J. %uning District \ ;due of Work.% THREE (3) Copies of a PLOT PLAN, Drawn to scale '\1'1"-11e'd by A-4,-4 , *61' showing the actual dimensions of the lot to be built itc•niark5• upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. . - C, I„icF: IOltlfi�l �F NSEtiJRY e—/-- —5—_ i i• .?,l 51 /6/) ATE REOME Y1, A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK 1:,, ��--, ANSWER ALL OF THE FOLLOWING. `V.,, I b •"`J8f�' �,�17(o Co-. �wC, The undersigned hereby applies for a permit to do the following work P.M, which will be done in accordance with the.description, plans and specifi- ,7181911011112)11213141516 _ . _ . . cations, and such special conditions as may be indicated on the permit. ,. �V . (. . Thew.,. er of thiscpypert,•,is; . '—�=rtj7/7i 4i W ,SA J7.S 7 '—)• /2--1Jz (NA"-'E) (P.O.ADDRESS) The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: (NAME) (P 0.ADDRESS) Name of Builder.c.1:0 v n1"- -- J15" Address. 2(er i'3 `'r 1 6 7 6/1 ,2-- 614 7-4h-`"-"`--- Name of Plumber 6 'e-5 C t;art- Address -7 G�•f- S-7L- ramC1�'` c -e Name of Mason. . ?`� (-1gA-c''12: f Address 2G9t� a(- /` ) C'� (-,- ( --- Lot Number. .�� Unit • Estimated value of proposed work S q b�-6 Name of Village ,`-'—' Q `-I- Name of Street . .0* 6 t c-'., � �4 Side,of street: north P; east 0, south 0. west 0 Nearest Cross Street 7(.a U ^Be Distance from this cross street Ft. Property is north ],south ❑,east i i, west. ❑from Cross Street If on Corner, which corner, northeast -❑, northwest ❑, southeast ❑, southwest . (Designate by marking with an "X"-in the correct space.) NATURE OF PROPOSED WORK -•OCCUPANCY Construction of a new building. Main Building Addition to a.building. One family dwelling De • ❑ Alteration to a building. Two-family dwelling ❑ ❑ Demolition of a building. -family apartment house ❑ Store building ❑ -car attached garage P Other: • Accessory Building One car detached garage ❑ Other work. Describe Two-car •detached garage ❑ Private chicken house • ❑ Private storage building ❑ Other: ZONING SPECIFICATIONS. Fill in for new building, or, addition to existing building, or a change of occupancy. Indicate on the plot plan street names, the location and size of the property, the location, size and setbacks of pro- - posed buildings,and the location of all existing buildings. NORTH Show proposed buildings) in dotted line and existing • lluilding(s) in solid line. . 2:(c�� g e s ft. Size of property '. ��� ft. x ( a Size and use of existing buildings, if any l .` N ,' I' ' / L; , W Size of proposed building S�' ft.x -- ft. i ,0 _ 6S . 7 Height (from grade to ridge) '� ft. If0 ft. `..,-5-• G Front.yard . - / J-) �Ii L Side yards ' - ft. and (~ u ft. • // l ft. CYOJJ 2 S' N,_l_ )(241-- Rear yard f SOUTH If on corner,setback from side street "-- ft.. . Note: All distances are net, as measured from street side line to nearest part of.building. (OVER) , • 7-73-M . r 4 (coned.) BUILDING SPECIFICATIONS., - Kind of construction: Wood frame, fire safe, etc.?. . . . . .•.•` - . • .`�" Will any second-hand lumber be used? ,U17 If so, for what? Material of foundation walls 0,0''`-C- - Thickness Depth of foundation walls below grade - Continuous foundation? . .)/a—S.-. . yC If so, material of cellar floor C2''"� T Will there be ? cellar? // - - Type of roof: Sloped or flat? . . . .S�c.i�c.7. . . . . . Material of roof . . . . . . ..-u . -:g: . .�.,!i'r1':.,. ». .% . i Pdistiv „ x ' . . . . Size, wood studs ", spacing J "o.c., length. . .c . .• ft. f ' Size, floor beams, 1st floor �- " x ", spacing �� "o.c., span %`7'' ft. Size, floor beams, 2nd floor - " x / C) ", spacing /' "o.c., span /c/' ft. Size, ceiling beams " x . . (o ', spacing /'' "o.c., span /S/ ft. Siie, roof rafters or beams . ' x ", spacing /G "o.c., span /S/ ft. Exterior finish (3/it/& el_opRop-p p r "` With what material? i n it Finish of interior walls. . . . . . . . . . ... . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If garage is to be attached, of what material is wall between g rage and,main building to be constructed? ,L r /IU. y �' /' <C/ ' n ,c-/4 , Is there to be an opening between garage and building? .4%-c.) Kind of heating system 1 ram'_-f-(L`C. Oil burner or coal? Will a flue-lined chimney be provided? . . jC 6—j . Depth of chimney foundation below grade . i_ Height of chimney above roof 3 6 r Will there be a fireplace? . . . ,V. -5' Depth of fireplace hearth / Will a toilet be installed? - y Will a kitchen sink be installed and connected to water supply? . . .y.L75 Water supply (public water supply or pump) tom:,vie/ Distance of cesspool from any private well f L feet Will drainage system be provided with required traps, cleanouts, and vents? X AFFIDAVIT . Town of Queensbury County of Warren State of New York I swear that to tl: bea r of my knowledge and belief the statements contained in this application,together with the plans and specifications sub- . mitted, area true and co.L lete statement of all proposed work to be done on I described premises and that all provisions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to proposed wor .,shall m1i with,whether specified or not, and that such work is authorized by the owner. t a Sworn to before me this Signature OWE ER yNER' AGENT.ARCHITECT,CONTRACTOR day of 19 • NOTARY PUBLIC. WARREN COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT: • By 9 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 6racr47Z,IC 3 . Is the building mechanically cooled?' 4 . Percentage of area of windows and doors A. Over 16% Only 1 . Uo t,alte 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 B. Under 16% Only 1. R value of roof and floors exposed to ambient conditions 2. 3D 2 . R value of exterior walls 3 . R value of glazed area (Z It 4 . R value of doors c?_.( u , 3 5 . R value of floors over unheated spaces • 6. R value of slab edge insulation - unheated slab • i 7 . Revalue 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 dudt 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. �j��`Z � �y ��:� -,7 (applicant' s signature) • BUILDING DEPT.COPY OF APPLICATION FORM 46-EL.NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. CITY OR VILLAGE -_: ur 1 TOWNSHIP ! J-_...,.:. - COUNTY t_�` };' .'•.� STREET AND NO.OR • _ _ ROAD AND POLE NO. - -";�- , %_1,! POLE NO. BETWEEN WHAT TWO CROSS STREETS IS ) / .ter,/2, , r PREMISES LOCATED?... l.�'I, _ Cr `�'/r`-• r:�44 L/4:-.4-- SECTION BLOCK LOT OCCUPANT'S_,,._ r BUILDING NAME -- ! OCCUPANCY OWNER'S NAME AND ADDRESS / 'r` = , I _ •'-- --- 16 CURRENT SUPPLIED FROM THEIR OFFICE BUILDING WORK DEFECTS IS NEW❑ OLD❑ REMODELED ❑ IS NEW ❑ ADDITIONAL❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH LAMPS Lamp Receptacles CIRCUITS Loca- tion Side Attach't H.P. Watts A W.G. WATTS Ceiling Wall Recept'Is Switch Pendent Bracket No. Type Each' No. Each No. Gauge NO. EACH Out- side Sub- base Base- ment 1st Fl. 2nd Fl. 3rd Fl. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed, you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant. SIZE OF ELECTRIC SIGN TOTAL MAINS _ ._) '" FEEDERS • LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK ) ._ CONCEALED TRANSFORMERS OF VA WORK TO BE _ (NUMBER) (CAPACITY) STARTED - -' . COMPLETED SIZE OF SIGN SERVICE MAKER ENTERS OF SIGN BUILDING INSPECTION REQUESTED ' _ ON OR AS NEAR AS (� POSSIBLE _• , NEW I I OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED._ NAME OF i. / '_ APPLICATIONDATE OF APPLICANT - STREET ADDRESS - -CITY OR ZIP ; 4 LICENSE NO. POST OFFICE !� . ., _-" CODE l - WHEN APPLICABLE L. A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING • A:AA,.J..AJ..C1-AA A1.AJ.AJ.�AJA AJ.A.IN-L�.lJ..l1n.lm4CJ_11J..U.1LJ_�cU_�4l..lJ.f.CJ..I,l_.lJ..IJ. e.1....l'JJ_C3._U._l��.C��A���l��._��7•_l ,�IJ..l3..A.A.AJ.fAJ_•!EJ_..CJ_�.C)_.��...mo..,,C"..1.1/.a.l��.CI�I_.- --4.. L ,<' y 40f2 02 THE NEW YORK BOARD. OF FIRE UNDERWRITERS r -( iY -< BUREAU OF ELECTRICITY ,r 1 p d 41 STATE STREET,ALBANY,NEW YORK 12207 'T -- - August 24, 5 935 052939.-34, ,T - Date Application No.on file A 6 / 5q 2 F. � 11 Y'� 6'S,{, Y — THIS CERTIFIES THAT �T' only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of >- _ T `.. Frank DC: ✓Wntl.L3, Butternut Pali!, Queensb�3ry, Ne York ;r -6 Outside 2D ''� • = in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. Section Block Lot ,Y _ 'r was examined on , 1 2L . and found to be in compliance with the requirements of this Board. r . IL.)J T . FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ;i OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT MERCURY VAPOR AMT. K.W. AMT. K.W. AMT. K.W.. AMT. K.W. AMT. H.P. ,Y T 4 26 42 21 21 3 Fr -- - CA DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS 'a - — .' 'AMT. K.W. OIL H.P. GAS H.P. MAT. NO. A.W.G. MAT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO. •OF FEET •AMT.SYSTEMS ' WATTS ' 1 Dryer 3#10 Y .. Y SERVICE DISCONNECT NO.OF _. L{t%J'. S 1.'.tt) E R V I C E Y _ ._ 'AMT. MAP. TYPE METER 1,B'2W 1 i'3W 3.0'3W 3,B'4W NO,OPERCKCOND. OF CC COIJD. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUT W.RAL '1' ,Y �Y �, 1 200 GB 1 4/0 1 2/0 -;Y ' 'T ' OTHER APPARATUS: 'Y A- .Y 'T Smoke ,r .<1L'1ect..is Neater: .3- 2.0 kw 1- .75 w , Y 49 0 5 .°s, 2- a 5 ,Y -� 3- 1.0 kw A.- - `- 9.5 kw A- - i• ,..ro ,c.,hem'„. v- �Q oq�)O Oo-p,•y O Op I- 1 -LPerry 9 Old Stage Road 239 ' Lake r e £,u L3 iZCt y New York k /2846 BRANCH MANAGER r • 'T ,Y 'T Per 'Y .T friev YvrYvriei,eie ev iic ierii Yi-iYii iii ii ieiviviwi ieiii iii YaY rev ivu Yvrieli C rii iiiwriii ric iii-tivi YYvYiY'iti i-:Yii iiixY�Y iii iii iii YdiY ii-4Y 4i iii i-ie 7'' COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBURY Building Department Inspectors Report Date 9/7 J d Name Fr at/, /S n S a T i 'S Location Lc 7 D ( n LA/ e c t e %)L—- Permit No. ?c'O 6 Weather Ft y\JAL Remarks Excavation Footing Forms Footing & Piers n Foundation ( (.) / o ',(t Cement Coat % (/ Waterproofing Backfill • Final Survey Framing • Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches L-� r /f j \\\ Finished Floor Interior Trim 1/- Stairs & Railings/1'�u%�✓' I . Cellar Dr. Tile L.," Concrete Floors Plbg. Fixtures Gar. Fireproofing ( , Door Closers ✓ �n��� Chimney .✓ (0/U/ Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling ' • B i1 i Inspector REMARKS /e�rh�� cn o/LC-OC ed.7'U,� 4` 4'.� • • TOWN OF•QU••EENSBURY Building Department / Inspectors Report Date 9 /0/27 Name F12-iv/L /2--SA,,)r7.S/(Jz!-/P., Location_:i1fr /,�• ( Permit No. c..SO(o Weather Remarks Excat'ation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey • Framing • Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval '✓ Floors Insulation Foundation Walls • Ceiling Building Inspector REMARKS v�. • TOWN OF'QUEENSBU RY Building Department Inspectors Report Name jDi 4)V 7 Location,:tsF "o 0 //i 4 . Permit No. gh o(. Weather Remarks 'Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing • Backfill Final Survey Framing �� • Sheathing • Roof Felt Roofing Siding Masonry Veneer 4 Rough Plbg. Relief Valves N, Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing / Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation ' Walls Ceiliri -/) Bui7 ng Inspector REMARKS TOWN OF QUEENSBURY Building Department Inspectors Report Date .172/572 Name_ �,4 a,77s Location 1 -62 O Permit No. F S rti (r Weather Remarks Excat7a ti on Footing Forms Footing & Piers - Foundation t/ ©/C Cement Coat C Waterproofing Backfill Final Survey Framing • Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches I Finished Floor Interior Trim / Stairs & Railings Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling Building Inspector • REMARKS �� TOWN OF QUEENSBLJRY Building Department Inspectors Report Date ? Name t aI(-Al F' . , Location 6 a T Te oz 4 bjii L b,,, Permit No. - 6.- Weather yob 6-6( Remarks Excatia ti on Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing • Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. j Septic Approval , FloOrs Insulation Foundation Walls Ceilin • v Building Inspector REMARKS Y , Valente Builders, Inc. +rL�:11a�l �u+iln.�� t Route 9N Pride and Workmanship manship is Lake Luzerne, N.Y. 12846 the Foundation of Our Homes Phone (518) 696-2689 f ,®/ ,_,d ,n / • ( s'""ti•) strii -yy X S e: