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8576 C/O Paid CERTIFICATE OF OCCUPANCY • TOWN OF QUEENSBURY .WARREN COUNTY, NEW YORK Date Nover her 2 19 $n This is to certify that work requested to be done as shown by Permit No. 8576 has been completed. • This structure may be occupied as a One-Fanny nxer..1 1 i r,a Location Lc'tT Butternut Hill Drive Michael J. Palumbo and Arlene Larson Owner By Order Town Board • TOWN OF QUEENSBURY Building�� �l • � & Zoning Inspector CREATIVE"'INSTA" PRINTING GLENS FALLS. N Y 1280I 13181793-S63R T E M ._P O P P R Y CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date October 23 19 84 This is to certify that work requested to be done as shown by Permit No. 8576 has been completed. • This structure may be occupied as a One-Family Dwellincr Location Lot 21 Eutterni t. }Till Drive Owner Michael J. Palumbo and Arlene Larson TEMPORARY "CERTIFICATE OF OCCUPANCY By Order Town Board FOR 30 DAYS TOWN OF QUEENSBURY r Building & Zoning Inspector CREATIVE "INSTA" PRINTING. GLENS FALLS. N Y 12801 15181793-565B BUILDING PERMIT TOWN OF QUEENSBURY No. 8576 • WARREN COUNTY, NEW YORK - H. o PERMISSION ishereb Michael J. Palumbo and. Arlene Larson y granted.to Lot 21 Butternut Hill Drive c OWNER of.property located at 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 RR #1 Box 1588 Bay Road 0 Lake George, New York • 2. CONTRACTOR or BUILDER'S Name Fi Robert J. Benware, Contractor• CD cD 3. CONTRACTOR or BUILDER'S Address p� 38 Grove Ave. - E, Glens Falls, New York • 4. ARCHITECT'S Name • 1.1 0 5. ARCHITECT'S Address • - nv F-' 6. TYPE of Construction—(Please indicate by X) cI. k )Wood Frame ( ) Masonry ( I Steel ( ) (1) 7. PLANS and Specifications - rf 60'x36 ' per. plot plan, specifications and No.. application submitted including sewage system and H two-car attached garage. F- 8. Proposed Use Ft One-Family Dwelling C (D $5. 00 C/O Paid 164. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES January 1 19 85 (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.) N Dated at the Town of Queensbury this 18th Day of June 19 8 4 5 SIGNED BY /)/ 0, i6te, for the Town of Queensbury Building and Zoning Inspector 67 • • TOWN OF QUEENSBURY (Space inside block to he filled in by • WARREN COUNTY, NEW. YORK Building Inspector) p� IICd��on t®r Application No.1'� 1 i - permit Issued _ 19. BUILDING AND ZONING PERMIT Perini! Expires. lg. %(Hung District \ a l uc; nl \\•ork% . - THREE 13) Copies of a PLOT PLAN, Drawn.to scale '\l'l,,,, h)• A",,< e,-" • —� showing the actual dimensions of the lot to be built Item 11•Kf upon, The exact size, and location on the lot of the - building to be erected or ioltered MUST BE SUB- - MITTED WITH THIS APPLICATION. • l l 4 TOWN OF Qu 'ENsI URY • 4/ - - ../ 5/17/8 DATE RECEllyED A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWING. ,b iy84 The undersigned hereby applies for a permit to do the following work �,,�/C 7 ST vb CO.JC— which will be done in accordance with the description, plans and specifi- cations, and such special conditions as may be indicated on the permit. --A_-s1A-L.-a. -- A a Y , a q The owner of this ppro.ppeertyy is: / rap P /1 Michael J. Palumbo & Arlene Larson Rg 1588 Bay Road, Lake George, NY 12845 (NA`,1E) (P.O.ADDRESS) The person responsible for •supervision'of the work insofar as the Building Code and the Zoning Ordinance apply is: Robert. •J... .Benw re., • C•ontxa.ctox.. . . . . . . . . . .38.Grove. Ave.. . .Glens .Falls.,. .NY. 128.01. . (NAME) r (P O.ADDRESS) • _ Name of Builder same • Address s arae • Name of Plumber - Brian R. 'Meurs Address . County Line Road Name of Mason How and Burch Address South Hartford, NY Lot Number 21• UnitS�-�5-71 Estimated value of proposed work 3 95,000 Name of Village Queensbury Name of Street Butter'nlst.H11.1 .Dr.ive Side of street: north ❑, east 0, south O. west E Nearest Cross Street Ridge Road Distance from this cross street 1)4.00 Ft. Property is north • ❑,south ❑',east i , west. 0 from Cross Street • If on Corner, which corner, northeast ❑, northwest .❑, southeast D. southwest . (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY ' ® Construction of a new building. Main Buitding ❑ Addition to a building. -. : . . • . One-family dwelling CX • . ❑ Alteration to a building. Two-family dwelling • El ❑ Demolition of a building. I .-family apartment house E. Store building ❑ 2 . -car attached garage Other: . Accessory Building • . One-car detached garage ❑ ❑ Other work. Describe Two-car •detached garage ❑ Private chicken house ❑ Private'storage building Cl - 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 �/' ` 2 t U . `/ll Ituilding(s) in solid line. ' a Size of property . . . 193 ft. x .2.33 ft. -\e © Size and use of existing buildings, if any none• • • • F m '` . w • ,J Size •of proposed building 60 ft.x • .36 ft. �y ? Height (from grade to ridge) 26 ft. b" Front,yard . 53 ft. � � Side yards SO ft. and 77 ft. � G0131�11ii5' �//2/' �/ Rear yard 120. ft. / l SOUTH If on corner,setback from side street none ft.. Note: All distances are net, as measured from street side . line to nearest part of.building. (OVER) 7-/3-M • - • • (cont'd.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe, etc.?. . . . .W O o d. ,frame . . . . . . . . . . Will any second-hand lumber be used? no If so, for wha0 8" Material of foundation walls . . . .RO,UX°ed.OQT1er.ete Thickness & 10" Depth of foundation walls below grade 6 Continuous foundation? .yes Will there be a cellar? yes If so, material of cellar floor .po.ur.ed. .concr.et.e Type of roof: Sloped or flat? . .s.lOped. . . . . . . . Material of roof plywood/fiberglass—asphaltsUingles n Size,wood studs 2 "x 6 & 1I spacing �� 16 "o.c., length 8• ft. Size, floor beams, 1st floor 2 "x 10. . • , spacing .12 . . . .&. .16."o.c., span - 16 & 13 ft. Size, floor beams, 2nd floor 2 " x 10. . .", spacing 16 "o.c., span 14 ft. Size, ceiling beams 2. . " x 8 ", spacing 16."o.c., span 13 . ft. Size, roof rafters or beams tr 11S S e x ", spacing 2),).."o.c., span 28 ft. Exterior finish siding — masonry With what material? vinyl — stone j Finish of interior walls. . . S he.tY'O C. • , , . . . , . . . . If.garage is to be attached, of what material is wall between garage and main building to be constructed? X 6 woodframe w/firecode sheehro.o4. . Is there to be an opening between garage and building? . . . . yes Kind of heating system heat pump Oil burner or coal? n0 Will a flue-lined chimney-be provided? yes • Depth of chimney foundation below grade . ,51 Height of chimney above roof 2 t Will there be a fireplace? . . . yos Depth of fireplace hearth . 121" - Will a toilet be installed? yes Will a kitchen sink be installed and connected to water supply? . . .ye.s . Water supply (public water supply,or pump) private well Distance of cesspool from any private well 110 feet 7 Will drainage system be provided with required traps, cleanouts, and vents? . .yes Town of Queensbury : AFFIDAVIT County of Warren - - State of New York V ' I swear that to tee b4 r of my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and co.,.•lete statement of all proposed work to be done on the described premises and that aII provisions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws parts' ' the proposed wor hall be complied with,whether specified or not, and that such work is authorized by the owner. Sworn to before me this Signature OWN WNER S AGENT' .ARCHITECT,CONTR I..day of /9 3 / 19 NOTARY PUBLIC, WARREN COUNTY,N. Y. SPECIAL CONDITIONS OF THE PERMIT: V . • f • • • • • • • By • TOWN OF OUEENSBURY BUILDING & ZONING DEPARTMENT SEWAGF DISPOSAL PERMIT APPLICATION 1. Owner ' s Name m iGN.Aeg_ �A1.V O'16C1 Address v.Zv 15gad�vT k ‘Eo42.&,E ) / / 2 '/- Telephone No. 793 - 5g91O 2. Property location u;TEANo i (-1 ELOPVTIE/tNr 3 . Name of person or firm responsible for installing system R16138 Telephone No. `75 � -/S-(o/ Address 3P ��/ZovE A�� 6)-, 1t/S iLS' , 1 4. Number of bedrooms (residential buildings only) 5. Daily flow 62000 gallons/day 6. Septic tank capacity /000 gallons 7. Topography: flat, rolling steep % of slope 8. Nature of soil and depth IF Toesc11-/z" eo SRnz /i,or4rn-CA.4y O LLo(,) 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, ell, other 12. Type of system proposed: drywell, ile fiel , other 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_p ovided for in Section 6 . 010 of the ,Queensb// 1/ ury Sanitary Sewage Ordinance.LDaterl X j 7 signs e 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 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 22O0 SQ FT• 2 . Type of heat CGA(i2R1_ Y4t(e. - t-1 Etgl- tivY(P 3 . Is the building mechanically cooled? YE SS 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 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 fl ors exposed to ambient conditions_ �2--- 3 2 . R value of exterior walls Ic -v2 3 . R value of glazed area 4 . R value of doors re,— 5. R value of floors over unheated spaces 6. R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab (� rip 8. R value of heated basement/cellar walls (above grade) -;. 9 . R value of heated basement/cellar walls (below grade) 0 10 . Type of insulation C. Controls is 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 /TO° G. For Swimming Pool Only 1 . Maximum heating Telephone No. 764 -/$10/ (applic is 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 j TOWNSHIP <, COUNTY "9,C�.4-;,6ei l�v<<tr.�S�1 vrC Y <`�'�'i7G {�' STREET AND NO.OR ROAD AND POLE NO. POLE NO. • BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION-�4"5'-// BLOCK LOT OCCUPANT'S BUILDING NAME / / /r- v 4'1 oc:) OCCUPANCY L S f r7 /'/C C OWNER'S NAME _ y y��y f / �/ AND ADDRESS /+ }I �.D /Jr 8' . d1 yZ. AKt-'- 66-.%W a(G /Q /2O r$4 CURRENT BYPPLIED T 3/96,4Afl /�970,0? FROM THEIR OFFICE BUILDING !Y WORK DEFECTS IS NEW, OLD❑ REMODELED ❑ IS NEW Fe ADDITIONAL❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No.of Fixtures& BRANCH NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS LAMPS Loca- tion Ceiling Side Attach't Switch Pendent Bracket No. Type H.P. No. Watts No. A W.G. NO WATTS Wall Recept'Is Each Each Gauge 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 BUILDING OF SIGN INSPECTION REQUESTED ON OR AS NEAR AS POSSIBLE NEW ❑ OLD El AVOID DELAY BY GIVING FULL AND ACCURATE rNFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAME OF DATE OF J �/ APPLICANT U R5 r�''—/ � 4 4 APPLICATION J r STREET ADDRESSS 3 ^ hero 0 6 J/ Ii -CITY OR r� !J POST OFFICE (2 �,/ (.�it/S / 4 /•5 /� CODE 2e c WHENAPPLOI'CABLE A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING -Fx.t-`,ia.) . a,La.ta a4)AAAa2,-,i.1.�a,t).. •'_, �),ax ati 4.ta4),0A.a4a,ta,ca��.4atia,,���a..!..ae a.,!-A P,!,), ••aP�a�ao SSi.a atia. aIA'I.A aI .,IJ,1 ,J1I- 4000V7 THE NEW YORK BOARD. OF FIRE UNDERWRITERS ;r Y �' BUREAU OF ELECTRICITY FZ a 41 STATE STREET.ALBANY.NEW YORK 12207 y 34 Date `oce sp U 9 190- Application No.on file 052 4— A 631438 �j 1 8 g THIS CERTIFIES THAT �1�1 Y • only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of r Michael Paamibt 9 nu2zeriautt Hill De,velfpipEonc, Giallo Fa o 4 Neu u Yogtt,Y s in the following location �' ' ®MCoieb r ❑ Basement `❑ 1st Fl. ❑ 2nd Fl. Section Block lei' - was examined on �1�1�'� and found to be in compliance with the requirements of this Board. 'Y .r 4.. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ; G ECEPTACLES SWITCHES G` OUTLETS INCANDESCENT FLUORESCENT MERtuar AMT. H.P. y vwo� AMT. K.W. AMT. _ K.W. AMT. KW.. AMT. K.W: C ,� C- 2 U ��3 31 24 2 2 L'R >- k DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS �- SYSTEMS'AMT. K.W. OIL H.P. GAS H.P.. 1MT.T?: NO} J'p W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT.• WATTS v ., SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. TYPE METER 1.2 2W 1 if 3W 3 AT 3W 3 if 4W NO,OF CC.COND. A.W-G. NO.OF HI-LEG A•W G• NO.OF NEUTRALS A.W.G. � EQUIP. PER 1B' OF CC.COND. OF HI-_LEG OF NEUTRAL QQr Y .5 OTHER APPARATUS: 1 ElEolz ! Datecto , +i-,rysa X 11` C t.© 15 flaws Eicx- Plaa og :, 3-2 0k ; 40 0S ; 3 100kkp 2-.5 Y - . k i' Ed word V o Gat1 ott 7 ' ?-7y - 124 FaoU litmesT Glen° Palls, RIC3i:,"i Wet 12SC1 BRANCH MANAGER Per k )- • . • �CrYYYY ls7l*/letiihstlet1f/mf/ /vi[Y Y74 YY 1'Y•.Y Y YY YY YY'Cc Y'CY YY YY YY YYiYY YY YY YY Y YY.YY YY- Y Y Y 'Y YY- Y Y Y Y •'t Y COPY FOR BUILDING DEPARTMENT-THIS COPY OF CFRTIFICATF MIDST NOT RF Al TFRFn IN ANY MANNER f% TOWN OF•QUEENSBURY Building Department inspectors Report Date le) 7e Name Ja vfs-� l Locate 4 . Permit No. S(ri `7(n Weather 1'�r ,V Z_ ', ;-,L 0 . I ..2 1 emarks Excatiation Footing Forms 4.114 j .40/ -k/S, Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey • Framing - Sheathing Roof Felt Roofing Siding .-' V i Masonry Veneer Rough Plbg. Relief Valves Wall Board '' Ext. Porches ✓t' J✓Finished Floor / v Interior Trim c5J" -Stairs & Railings u 4�-�4 LJA,' 7 t tic Cellar Dr. Tile fkie.9--rQ1I. - Concrete Floors Plbg. Fixtures Gar. Fireproofing -� Door Closers Chimney J Water Meter Inst. • Septic Approval Floors ' Insulation Foundation Walls ' Ceilin geo Building Inspector REMARKS b " 1. 1,�- 5 cm©k� G�`/��'. ®✓ ��� • TOWN OF-QUEENS-BURY Building Department . Inspectors' Report 'Date oC h. Name eh ak t 1)4V4 7 Location n,J; 'i vld r ZI1L._ Permit No. .Fj Weather Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing • Backfill Final Survey Framing • Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. \\) (1.\\ 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 FoundatiDrl Walls ' "Ceilin Building Inspector REMARKS TOWN OF•QUEENSBURY Building- Department Inspectors Report • Date 7 Y Name YYi tic e A( uw g c� Location t?i c'L-4.) v i f-F t t 1_4= . Permit No. Weather Remarks - Excatiation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing ✓ C • Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. ✓ 17-)74: Relief Valves Wall Board Ext. Porches Finished Floor I Interior Trim f Stairs & Railings / Cellar Dr. Tile / Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney / Water Meter Inst. Septic Approval F or's ' Foundation ' Insulation Walls Ceiling " ' ' Building Inspector REMARKS`,4. lL • /' TOWN OF'QUEENSBURY Building Department Inspectors Report Date 5J f8/815 Name alulL7 Location ,Yl'�,'/U D , . Permit No. 1 -s— Weather • E57 6 Remarks Excavation -'----„,Footing Forms Footing&`�' rs_ ��,� 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 - • "Ceilin " - Building Inspector REMARKS J Lt_ r r t.11 II ' ` I tt,l _(; L, .;r •i - , ( - -i it _ 1 1 • • •..I• I r :. I:T1: r L -_'I I 1 1 -1,1 I L.-1 1' L'I i J N •I I I r I I r i. 4 I L! _i,. 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