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8012 2 C/O Paid) �b CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date March 29 1984 This is to certify that work requested to be done as shown by Permit No. 8012 y { has been completed. This structure may be occupied as a c n c_aF r,irrm i_1 a DI,k7c'1 1 i r cr Location Lot 36 Butternut ternut. Hill Drive Owner Alexander and Gretha Certain By Order Town Board TOWN OF QUEENSBURY j Building & Zoning Inspector CREATIVE "INSTA" PRINTING. GLENS FALLS. N Y 12801 1519)793-5658 4 BUILDING PERMIT TOWN OF QUEENSBURY No. 8 012 m WARREN COUNTY, NEW YORK w ., sz PERMISSION is hereby granted to Alexander and Gretha Certain OWNER of property located at Lot 36 Butternut Hill Drive Street, Road or Ave. ¢ Butternut Hill Subdivision in the Town of Queensbury,To Construct or place a One-Family Dwelling n 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. W 1. OWNER'S Address is C] 27 Hillview Avenue m n Fort Edward, New York sy H- 2. CONTRACTOR or BUILDER'S Name Hilton A. Tallman ti 3. CONTRACTOR or BUILDER'S Address R. D. #3 w Saratoga, New York 12866 °1 4. ARCHITECT'S Name rt N ri S✓ 5. ARCHITECT'S Address ri H- F-' 6. TYPE of Construction—(Please indicate by X) (X)Wood Frame ( ) Masonry ( I Steel ( ) (D 7. PLANS and Specifications 73 'x38 ' per plot plan, specifications and No. application submitted including two-car attached garage and sewage system. 8. Proposed Use 0 One-Family Dwelling $5. 00 C/O Paid $ 178 . 00 PERMIT FEE PAID —THIS PERMIT EXPIRES February 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 town of Queensbury before the expiration date.) C7 N Dated at the Town of Queensbury this 2 9th Day of July 19 83 H H. : �SIGNED BY tY�vu �� for the Town of Queensbury Building and Zonin Inspe TOWN OF QUEENSBURY (Space inside block to lx filled in by WARREN COUNTY, NgEW. YORK Building Inspector) lication for Application No. PP Permit Issued _19. . BUILDING AND ZONING PERMIT Permit Expires. 19. /Awing District \ aim. of Work.$ THREE 131 Copies of a PLOT PLAN, Drawn to scale .\1'1".o d by showing the actual dimensions of the lot to be built_ Ilcniair►GS' upon, The exact size, and location on the lot of the . building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. TOWN OF QUEENSBURY 5-24 — c IL 2- -) 1g-cl 183 RECEI v DATE A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK jut_ `2 9 1983 F��r d ANSWER ALL OF THE FOLLOWING. 3 P.M. The undersigned hereby applies for a permit. to do the following work 7181911®Il 11211121314151� which will be done in accordance with the description, plans and specifi- e cations, and such special conditions as may be indicated on the permit. . /,t . A.G The owner of this p�roperty is: �' L' CO�1 �( f/ a.bi A,e vi 61.,,t. ";,, p ( . t--. -1 rt i 7 / Li- ����r / :'{w6,, (V(c/. INA...E) (P.O.ADDRESS) 1-her/soli respop ibie for 'supervision of the work insofar,as the Building Code and the Zoning Ordinance apply is: L - r7-, /A.I,./.. �f n'P. ? • �) 6ei ikty 1i;c:r by `; - k'f. . . (NAME) (P.O.AD RESS) f `S Name of Builder / ! /:�d it `'`/, la:l L4,1 '`; Address .i 1% . .v%s•;�!';1 c- AI' )?.,(,/ J(9 L•i -(�0 v'- 11.0 f-- Address (C f I- rs;Cam ( I2;t 5 �'V J- Al . . Name of Plumber �� r c It / /�4 L I-li:,=,- Address Name of Mason �� � � 1 (- cp Lot Number. . . . .'.:>. : . . . Unit Estimated value of proposed work S . C' . °� Name of Village . . . .-"4.'.-1.f v'. A _tV _I-1 I' ,�..,,�� Name of Street 1w' i-— 3, i't`'\ 1•\;•-\- Vt-+ 'r•'•-• Side of street: north 0, east r1, south ❑. west 0 Nearest Cross Street Distance from this cross street Ft. Property is north 0,south ❑,east [-I, west 0 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 " Lti Construction of a new building. Main Building / ❑ Addition to a building. . One-family dwelling gy 0 Alteration to a building. Two-family dwelling ❑ Demolition of a building. -family apartment house ❑ Store building ❑ • -car attached garage ❑ • Other: ' Accessory Building . . One-cardetached 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, site and setbacks of pro- posed buildings, and the location of all existing buildings. NORTHproposed Show building(s) in dotted line and existing � i huilding(s) in solid line. ,r ft. x J. c:� ft. . -I I' Size of property -1, Size and use of existing buildings, if any f- - - I- i � m Size of proposed building . . . ./. • • . ft.x :5 0 ft. � Height(from grade to ridge) •::40 ft. Front.yard . . • 0�_.� ft. l Side yards t '- ft. and ' C' ft. l /0 COft. Rear yard i ' 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 (cont'd.) BUILDING SPECIFICATIONS., - 1 -, & (---y• ' -Q__ .• -.--,-- Kind of construction: Wood frame, fire safe, etc.?. . . . . . .L.*:-: .`. .....(--. . . . . . . .`,". .'.(.'. 7:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber ke used? , I If If so, for wha0_ ...--,..,, Material of foundation walls 4--)ti CY c.:- -1-. C1G 1,*1 C`,. 45'-:' . .....'-.4.?-::.'. .I.-.'::, Thickness ,',) Depth of foundation walls below grade e Continpous foundation? p'----"7 Will there be a cellar? v.e.._,3-: If so material of cellar floor C-.t? ......r.- ,-.:-( , ,Type of roof: Sloped or flat? .f. . .1.^.1iA)-!-.1: -. .''e I. Material of roof C `,--;fit tz---V1-_ i r b Qs/9 0 K Size, wood studs :2- " x 4 4 ", spacing "o.c., length ci • ft. Size, floor beams, 1st floor .;,!-' >,, /0 ", spacing /4 "o.c., span /"t'• ft. Size, floor beams, 2nd floor ;2- " x / 0 ", spacing /6, "o.c., span /X- ft. Size, ceiling beams " x ,Ix't-'.s.=.--'5 . . '', spacing ,.' "o.c., span ft., Size, roof rafters or beams 1 "x I it' ,.1,.'i-, ,":, ", spacing • ( "o.c., span ft. Exterior finish . .1Th'-::',.o.;:i•c TI.--,,,—. .'5.1....(.,-c.,.. . ?:fr4,t(:).-3.--.P),:iT,. With what material? Finish of interior walls - i- .:S A ,-,-,.:,_.1. ).-4-•. ,-/— / If garage is to be attached, of what material is wall between garage and main building to be constructed? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .''--.". .-.ct--c'A-).-.-. .;--• t,.,..!..i: .1.--)--.-Y---. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is there to be an opening between garage and building? C( . Kind of heating system ,_ 7 _ Oil burner or coal? Will a flue-lined chimney be provided? . . . )(--i---. -S. . . . . Depth of chimney foundation below grade 63 Height of chimney above roof Will there be a fireplace? X.--c-1 _. 47- 1-Depth of fireplace hearth 5 Will a toilet be installed? k/,..---,-5. • S Will a kitchen sink be installed and connected to water supply? -1.2"--- Water supply (public water supply or pump) Distance of cesspool from any private well % /06 ( feet Will drainage system be provided with required traps, cleanouts, and vents?AFFIDAVIT Town Town of Queensbury County of Warren State of New York I swear that to ti: barof my know)edge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and coa.plete statement of all proposed work to be done on the described premises and that all provisions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertaining tç the proposed work shall be complied with,whether specified or not, and that such work is authorized by the owner. / /)z 74„;; , Sworn to before me this Signature / OWNER.OWNER'S AGENT,ARCHITECT.CONTRACTOR day of 19 NOTARY PUBLIC, WARREN-COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT: . . . - , • • • . • . . • — -. , „--- . __„-- --__ i _-•• . By • 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 j K-'Z ' 2 . Type of heat fr i-�:c.+V G c, - 3 . Is .the building mechanically cooled? • No 4. Percentage of area of windows and doors i.5 ; .. /o • A. Over 16% Only 1. U 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 a. If YES , what is the `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 ex osed to ambient conditions • 2 . R value of exterior walls `` , q 3 . R value of glazed area /� / ° .� 4 . R value of �,.doors ! -- ' 2 /-3 5. R value of floors over unheated spaces 13 6. R value of .slab edge insulation - unheated slab • 1/0,111e, . 7. R value of slab insulation - heated slab 14Q )., e 8. R value of heated basement/cellar walls (above 'grade) /Yo.A(c. 9 . R value of heated basement/cellar walls (below grade) /'10/V€ 10 . Type of insulation 1I1)),(2-lrL a.-SG C. Controls 1 . Thermostat maximum heat setting ',i_ • D. Duct Systems • 1 . Is duct system installed in unheated spaces? YES • 6.-6!---)- . 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 k(o /\1 _ . 2 . R value of pipe insulation l 6 (q . F. Service Water Heating 1. Performance efficiency . 2. Temperature control setting maximum • G. For Swimming Pool Only ``// 1. Maximum heating (\ N6 Telephone No. g�- al •�:,/t ./��/�� (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 TOWNSHIP i COUNTY STREET AND NO.OR - ROAD AND POLE NO. POLE NO. BETWEEN WHAT TWO CROSS STREETS IS .. PREMISES LOCATED? SECTION BLOCK LOT .J , OCCUPANT'S .i": - i BUILDING NAME 1""r L..(?),•• , , c •,-- OCCUPANCY OWNER'S NAME • AND ADDRESS CURRENT SUPPLIED BY FROM THEIR OFFICE BUILDING WORK NEW t OLD CIS ` ' ❑REMODELED ❑ NEW , ADDITIONAL REMOVED ❑ IS LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No. Fixtures& BRANCH NUMBER OF OUTLETS LampfReceptacles MOTORS HEATERS CIRCUITS NUMBER OF LAMPS Loca- tion Side Attach't H. . Watts A.W.G. Ceiling Wall Retep'Is Switch Pendant Bracket No. Type Each NO• Each NO• Gauge I F M.V. 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 n POSSIBLE NEW I I OLD • AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS • NAME OF /- DATE OF APPLICANT VVl ' �- dt t�') L-..- APPLICATION STREET ADDRESS t- I CITY OR 'a'+ ii I ZIP LICENSE NO. POST OFFICE i -r.+I;:' i! +-i v f (. N• CODE WHEN APPLICABLE 46 EL(REV. 1/82) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING .. !cAti4-.1a9AaNaylJ. -,Y.I.. ...l )_,,•.IJ•i.,.•Aa•4..),ta .� .a•1.a9i.".. •1l.0.i.. tla•tian.>").-J.•f.a•!4.9 ,.•1�•14..9.lJ,•.l tC�n,,i. •94.. ti�.9.Ca.�.).,•!,,.•.a•449.1. •�J•.!,.P.I,19i.a•••JQ•i.).G.",)_t-In-I•P_•!.,4i •. ill �a'f-�e THE NEW YORK BOARD. OF FIRE UNDERWRITERS -0 - BUREAU OF ELECTRICITY y F. 41 STATE STREET,ALBANY,NEW YORK 12207 'P - •r7C..I 9`-ape. 'i" () ,4 t,.,r , 0q9 r:'Y,-�'`1—,c36 y 'r Date - Application No.on file `� /� :�f f ,T ._ !•<, THIS CERTIFIES THAT ;r - 1 only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of .r - �, )_.'. IA.-4 _.._"L.63(..C..: ;•..._;1„i,•:r_�„D 'sit:J7191'G lr J:4ri': __',..7 L,i.) ._ P ''? ell yr. `, -? ._.:: 1)-a; in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl.' Section Block Lot .r •�; was examined on P_-r r 8 a and found to be in compliance with the requirements of this Board. • ; i !,, ..._'; r..-: r• IA; FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ;i RECEPTACLES SWITCHES �` OUTLETS - INCANDESCENT FLUORESCENT MERCURY AMT.' K.W. AMT. K.W. AMT. K.W.. AMT. K.W. AMT. H.P. ,s '• ' 1C' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS ,>• ;. SYSTEMS 4 'AMT. K.W. OIL H.P. GAS H.P. AMT. •:114O_,.-r ;,A'.,W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET .AMT. WATTS , P; SERVICE DISCONNECT NO.OF S E R V I C E '.: MAT. AMP. TYPE METER l,e•2W 1,B'3W 3,B'3W 3,0'IW NO,OPERC.e,COND. OF CC.COND• NO.OF HI-LEG OF.HI--LEG NO.OF NEUTRALS OF EN UTRAL '•. - -0 'C' ,Y • ,V, OTHER APPARATUS: i' 'i G :; '` l.0 - ,r -� i' ,.4 - “-.,,. !..0 lillil :::\-.i., .-:-:::: il.'i. s y p ,, ., BRANCH MANAGER ,.• - ; Per : .. CYYY'CYYYYYYY`CY Y Y`YY` 'C YYYY`CYYY YY YY YY Y Y `CY YY`CYYY YYYY YY YYCYI Y `C`/Y'i YY �YY '1'CiiYYi Y Y Y Y'/' Yr YY Y'YY Y' 'f i Y i"i Y Y'Y Yi Y Y'iY YY YY YY Y'i Y'%'col---('i Yam Y- - COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 4 TOWN OF'QUEENSBURY Building- Department Inspectors Report Date ;' 4 Name Location . '7 if7- b/� Permit No. Q/)Z Weather 5Remarks • Excavation c`1 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 24:?: Interior Trim Stairs & Railingsr c7i Cellar Dr. Tile Concrete Floors Plbg. Fixtures / GV'K Gar. Fireproofing Door Closers Z Chimney' v oK • Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceilin B ilding Inspector • REMARKS TOWN OF•QUEENSBURY Building Department • • Impeders Report Date //'"C - 63 Name C,6 :.-cJs/ Location 1>Rt Permit No. R© /a Weather • Remarks Excavation Footing Forms Footing & Piers Foundation • Cement Coat Waterproofing Backfill Final Survey Framing • Sheathing I// 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 • • TOWN OF sCIVEENSBURY Building Department Inspectors Report Date /C?//q/ ` Name (7 t=i2`�. r Location Cyr v_.z—,.5 A e t>)Y=— . Permit No. / Weather Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey � Framing l:/ • Sheathing • Roof Felt Roofing Siding Masonry Veneer Rough Plbg. L- 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 TOWN OF QUEENSBURY Building Department • inspectors Report Date /D iy/ .;;? Name Location R q 7e12/l/ut E /G.L Permit No. gD/at Weather 01 Remarks Excavation - Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey / O +� Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. 6 • 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 uilding Irspector 1 REMARKS • TOWN OF'QUEENSBURY • Building Department Inspectors Report Date 8 ` • Name Its Location 1av'77. '2% Jzdt'Ji/1'/ 41> Permit No. Pi,9/ , Weather Remarks • Excavation Footing Forms / Footing & Piers �/ e,F,4R,14� - .<2.77.----4) Foundation Cement Coat l • Waterproofing 1„7"-- 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. Plhg. Fixtures Gar. Fireproofing Door Closers Chimney . Water Meter Inst. Septic Approval • Floors Insulation Foundation , Walls • Ceiling Building Inspector • REMARKS TOWN OF QUEENSBURY Building Department Inspectors Report Date $ Name 6 eR ,,�✓ Location 2,07- .76 eilraleWee r Permit No. 80/A Weather Remarks Excalia 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 I Stairs & Railings ( ' Cellar Dr. Tile \N Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling Building Inspector REMARKS l� l"� � f �-� ' ' %'t/-L �� � , to D' it 1 T %o i e ty- 5Y vie,-- I c., e;o le(_. Gfs l e_ a 2°- 1 ,.,_ , r ! i " , ac lee'v ( )CICS t' ' 6Q410...' ........"."............"iti !1•*, . ; 4()T,Q ,--- ):Til : r JfL ;15 : j I ) ,1 I ,1I .'/ifs- l i ! ! - - "- i. / tix,e4WUat Page No. of Pages \ • BILL THREW EXCAVATING . . R.D. #3, Box 260 . GLENS FALLS, NEW-YORK 12801 . Phone 793-3781 - - PROPOSALS BMITTED TO PHONE DATE c E/e7 A 21 i � / 7� STREET f/J`(� ` JOB NAME - • CITY, STATE ZIP CODE Nr1 1 AL7 � •JOB LOCATION /,+,L /'A-N -O 0 s� Eiv s �i�i-k s x/ V. • _ . ARCHITECT DATE OF PLANS JOB PHONE. • Aid ? /9g . - We hereby submit specifications and estimates for: i°rj,0 PrR TV i..I1''1i� r 7 - i 5'c4.T a �� � • 3 I a�.,_ _ J• _.._ -. . /9 jlif F : • • . t , , 1 A i 1,4('-.) • • lill r 1rupurP hereby to furnish material and labor — complete in accordance with above specifications, for the sum of: dollars($ ) Payment to be made as-1 lows: J% All material is guaranteed to be as speci-ed All work to be mpleted in a workmanlike _ manner according to standard practice .Any alteration or deviati rom above specifics- Authorized - tions involving extra costs will be cured only upon written orders, d will become an Signature " extra charge over and above the tmate.All agreements contingent upon st'kes,accidents or delays beyond our-control caner to carry fire,tornado and other necessary insurance. Note:This proposal may be -. Our workers are fully cove by Workmen's Compensation Insurance. withdrawn by'us if not accepted within days. - Arrptann. of Frn custtl—The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized Signature - to do the work as specified.Payment will be made as outlined above. . Date of Acceptance: Signature / / • FORM 118-3 COPYRIGHT 1960- Available from/ /Inc.,Groton,Mass.01450