7797 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date oc_f--- 19 C3/
it.p 41_ ,
This is to certify that work requested to be 1e as shown by Permit No. l 7 q 7
has been completed.
This structure may be occupied as a OIV► l (.. (
Location \A 0-cr buL--\- A-6 I TON(2
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
CREATIVE "INSTA" PRINTING.. GLENS FALLS. N Y 12601 1518)797-S636
BUILDING PERMIT
TOWN OF. QUEENSBURY
No. 7797
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to W. Gillette Bird
(Butternut Hill Subdivision) ~'
OWNER of property located at Lot 17 Cobblestone Drive Street,Road or Ave.
rI
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. N•
1. OWNER'S Address is 29 Garrison Road
Glens Falls, New York
•
2. CONTRACTOR or BUILDER'S Name
C. G. Woodbury and Son Inc.
r
3. CONTRACTOR or BUILDER'S Address - O
- rfi
Upper Glen Street H
• Glens Falls, New York
n
4. ARCHITECT'S Name - O
" i77
fD
• w
ri-
5. ARCHITECT'S Address - • 0
ID
�Fd
6. TYPE of Construction—(Please indicate by X) • C
• N
(X)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
32 'x70' plus 24 'x24' two—car attached garage
No. per plot plan, specifications and application submitted
including sewage system,
8. Proposed Use 0
One—Family Dwelling
$5. 00 C/O Paid 14.
$2,48. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 1 19 83
(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.)
• CD
Dated at the Town of Queensbury this 18th Day of April jg 83 F'
SIGNED BY 57X0di for the Town of Queensbury
Bui ding and Zoning Inspect
TOWN OF QUEENSBURY ' • (Spaceinside block to be tilled in by
WARREN COUNTY. NEW YORK • Builds Inspector) .
Application for :____:111::Building
'li` i"" ".
pp missue 19. .
BUILDING AND ZONING PERMIT _ ,�,; .rhi . • 1�. .
i)i )istc•t
• ui• )Fok I•THREE' (31 Copies of•a PLOT PLAN, Drawn to scale- "•' 'ct! ".showing the actual dimensions of'the lot to be built m:� ' •
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
. [)ATE D
A PERMIT MUST BE.OBTAINED BEFORE BEGINNING WORK • I -� . ' APR 1 ,81983
ANSWER ALL OF THE FOLLOWING. . . cr e e ,,p�
: A.NI. a Plio
•
The undersigned hereby applies for a permit. to do thern following.:wok 7I8 1 9 110111112)11213141516
which will be done in accordance with the description, plans and specifi- IS . 8 4 E
cations, and such special conditions as mey..be indicated.on the: ermit. r( ' ' ' / /1 . Gtv
a9 Garr%5J' KO.
The owner of this,pro rty is: • • L (� G_ - j LI
` t�- ) �y.. •
(�t',.tJ�(lS�. M . .b Rv. . . Ict.L�'C.A l tc . . t tlf
(NA•:E) (P,.OvADD SS)
The person responst a for •supervision of the work insofar as the Buildipg:Code and the Zoning'Ordinance apply is:
(NAME) • (P. ADDRESS)'
•Name of Bu ilder c,',�- °'9 '01rv'y Address. , ti . 'S T '
Name of Plumber ' Address
Name of Mason{*—.-1 11.-1 AMir."-.-J. Address
Lot Number. . . U 7. . . . . Unit Estimated value of proposed work S / 3 3 '•
Name of Village . . �. .V . U • , •• .
Name of Street OZ7' `v '� Side of.etreet: north 0, east., 0, south. west`' 0
Nearest Cross Street . .r4. . . �. . Distance from this -ross street Ft. .
Property is north 0,south ,east 5,west 0 from Cross Street
If on Corner,which corner,northeast 0, northwest 0, southeast C southwest
(Designate by marking with an "X" in thecorrect space.) .
NATURE OF PROPOSED WORK OCCUPANCY
. Construction of a new building. • Main Building ?
0 Addition to a building. One-family dwelling
0 Alteration to a building. Two-family dwelling ❑
• ❑ Demolition of a building. . • • . . -family apartment house ❑
Store building • ❑
• -car attached garage [1
Other: '
- Accessory Building •
One-car.detached garage . - . . ❑
Other work. Describe Two-car detached garage ❑
Private chicken house 0
Private storage building 0
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-
. _.]
NORTH posed buildings,and the location of all existing buildings.
Show proposed buildings) in dotted line and existing
• Iiuilding(s).in solid line. `� • - . .
Size of property t-f3/ ft. x '1171 ft
Size and use of existing buildings, if any
'n ` �' .'. ft.
i W ' Size of proposed building.�. . . . it.�
Height'(from grade to ridge) 2 ' ft.
Front yard . . � ft.
Side yards ) " ft. and 117e::P.. ft.
• Rear yard ft.
7 SOUT H ' If of i corner,setback from side street ft..
Note: All distances are net, as measured from street side
• line to nearest part of building.,
(OVER/ '
?-73-1n
. .
(cont'd.)
BUILDING SPECIFICATIONS., ,.._
Kind of of construction: Wood frame,fire safe,etc.?. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will any second-hand lumber be used? 41"-4 i7 If so, for what? Vli
Material of foundation walls . . . . . .C...1)!.... T. -6 Thickness
grade Continuous foundation?
(.._
Depth of foundation waVoi
Will there be a cellar? . . If so, nliaterial of cellar floor .C.„....,'—ilrt-4-51N-4C7-1.-C• . —...—
Type of roof: Sloped oprif. A gC--4et' Material of roof . ..P1-4-07—tioMig. . ...cti.f.rAb.4- .(..;.. . . . . . . . .
Size,wood studs (---3 "x ",spacing . . i "o.c.,length 1 ft.
•
"o i c e--2_, x r ez-- ' i',spaClli . 5,- . .,span t
Size, floor beams, 1st floor " f ft.
Size, floor beams, 2nd floor —L., " x (_—_-t_. ", spacing f , "o.c.,span . .-.t. _,. ... . . . . . ft.
Size, ceiling beams 1.„. ,,x lc ", spacing . . .i "o.c., span j it• ft.
Site, roof rafters or beams —I, "x i C7 ",spacing I Ce. "o.c.,span 3 ft.,
Exterior finish . . . .\i':). -1:7771 --- PIC\13"-tt),Arith what material?
Finish of interior wallr17)(0.'NN).-e%lf..A.,—
If garage is to be attached, of
of what material is wall between garage and main building to be constructed?
• 46 ÷...1.MC' (•-/ -C--• •'7:57tel.)(
Is there to be an opening between garage and building? -1-es .
Kind of heating system . . .-e 1......- ---1-c.., ,,,, Oil burner or coal?
Will a flue-lined chimney be provided? . . .71. .-..c. . . . Depth of chIihney foundation below grade
Height of chimney above roof. .J --K7
( ,_5 r f-- Er
Will there be a fireplace? Depth of fireplace hearth I l'bil
Will a toilet be installed
. --1' .._.c.
Will a kitchen sink be installed and connected to water supply?
Water supply supply(public water supply or pump) .-.K C.).‘N-1(:": -
Distance of cesspool from any private well I ')*c77. 6-7 feet
Will drainage system be provided with required traps,cleanouts, and vents? 112-6:c
AFFIDAVIT
Town of Queenshury
County of Warren
State of New York
I swear that to tl; iskarof my knowledge and belief the statements oontai ad in this application,together with the plans and specifications sub-.
mined, are a true and coa.plete statement of all proposed work to be don on the described sea and..tMt all_provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to p w s be oomph ' with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me his Signature P., I 110K)
197f) OWNER.OWNER'S AGENT.ARCHITE .CONTRACTOR
day of
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 :5 v � 'y
2 . Type of heat C _
3 . Is the building mechanically cooled?
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 floors exposed to ambient. conditions
2 . R value of exterior walls C 9-
3 . R value of glazed area � •
4 . R value of doors ( jr-k-e7
5. R value of floors over heated spaces i q `
6. R value of slab edge insulation - unheated slab
7 . R value of slab insulation - heated slab
8 . R value of heated basement/cellar walls (above grade) 13
9 . R value of heated basement/cellar walls (below grade)
10 . Type of insulation
C. Controls (— -F
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
G. For Swimming Pool Only
1 . Maximum heating
Telephone No. J 7
(applicant ' s signature)
I y
TOWN OF QUEENSBURY '
BUILDING & ZONING DEPARTMENT
SEWAGF DISPOSAL PERMIT APPLICATION _
1. Owner ' s Name
Address L9 C -l.4.(jt4
Telephone No. 79 7_r / _f
2. Property location 11 S 1 1(Lr-..)tYr , L0 - Z )7
3 . Name of person or firm responsible for installing system
Telephone No. /?
5 , 7) 7i /
Address )um. kp
4. Number of bedrooms (residential buildings only)
5. Daily flow gallons/day
6. Septic tank capacity f- -->, J7—j�7( 1J° gallons
7. Topography: GI;?rolling, steep
% of slope •
8. Nature of soil and depth
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, other
12. Type of system proposed: drywell, tile field, 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 provided fo Section 6 .010 of the
Queensbury Sanitary Sewage Ordinance. .\
Date • ( "
J �r
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
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 TOWNSHtt 4Z.Nit , ��� COUNTY \�(�i'Aa•-;M�+-� 14^�
STREET AND NO.OR /j r / //c
ROAD AND POLE NO. / t I p<h+M ie Da. C2:41-'2,v L ( ,y ) POLE NO.
BETWEEN WHAT TWO (ice 11 __ " ` ��
CROSS STREETS IS
PREMISES LOCATED? SECTION BLOCK LOT l
N AME• ANT'S - � 1/44_ BUILDING
j 4J OCCUPANCYOWNER'S NAME
#
AND ADDRESS \Ts?, y � t ^'^e/ t�
( l �5�.t tt-17
CURRENT VV "" q 1_ -yr"l..+
[
SBY UPPLIED \ 17 G t,� F FROM THEIR �y� OFFICE
BISUILDING NEWJ OLD❑ Y REMODELED CI WORK NEWJhJ ADDITIONAL❑ REMOVED FECTS ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED\
No. & BRANCH
NUMBER OF OUTLETS ampfReceptacles MOTORS HEATERS CIRCUITS NUMBER OF LAMPS
Loca-
tion Side Attch't H.P. Watts A-W.G.
Ceiling Wall Recep'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 ASEl
POSSIBLE - • - NEW R. OLD -
r
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME 'ND --- 1 .. 83
NAME OF c a ter"r� ' r„r"►'�y�.r _ DATE OF 4 .��
APPLICANT ,~ Jq �" 'ine=i, { APPLICATION
STREET ADDRES t f � r u- -v= `�
CITY OR L$ J (� CODE 'Zed/ WHEN APPLZIP LICENSE ICABLE
pOST OFFICE 'f e a y
46 EL(REV. 1/82) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
-1n),..vi..",...,),', —,s9C".),i."."h,>",(...mk Av.0 ae."19._-•!..J,. ...), ,`-"iJ.,i.aA.c J"(."-.)..xl.A-3,9[.aal: oq.sta%e.4..„o�"_..)_ �Jlaa[.),.?_..,!."-se[,1a).J...a.?•.a. a?•!.....,1,i."-•?3,1.aa!,)..!
�a0013II7 THE NEW YORK BOARD. OF FIRE UNDERWRITERS
- :',-1.
�, Wit, BUREAU OF ELECTRICITY ,-
41 STATE STREET,ALBANY,NEW YORK 12207 :c
Date October 25 k, 1983 Application No.on file 03046 6 II3 �^
, 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 r
R .; 'YWoodburyork ,,
Lumber Co,, , Butternut Hill Road D Queensbury,o Ne J York
outside r
-.1- � in the following location; ❑BBasement El 1st Ff. ❑ 2nd Fl. Section Block Lot
, was examined on 10/20 f 8 3 and found to be in compliance with the requirements of this Board. 4
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS :
i OUTLETS SWITCHES INCANDESCENT FLUORESCENT VAPOR AMT. K.W. AMT. K.W. MAT. K.W. MAT. K.W. AMT. H.P. %
-,.., 56 76 39 56 1 6 a u 4 Ti
-
Ilk' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS ;`
j' MAT.' K.W. OIL H.P. Es H.P. '�AMT.r!.?n,4NOy .t .W.G. AMT. AMP. AMT. AMPS. TRANS.Cil H.P. NO.OF FEET 'MAT. WATTS i
�: SERVICE DISCONNECT NO.OF S E R V I C E
, MAT. AMP. TYPE METER -10 2W 1,0.3W 311 3W 3If 4W NO,OF CC.COND. A.W.G. NO.OF HI-LEG A•W G• NO.OF NEUTRALS A.W.G. 'i
i EOUIP. PER.0' OF CC.COND. OF HI-LEG OF NEUTRAL
-- 200 CB 1 x 1 350 1 350
< OTHER APPARATUS: '�
-c •r
Elec. Heaters: 2- 2 0 0k w, 12-1.5kw; 2-2. 5k 7; 3- 4 0 Okw; 2-0 75kw; 1- .5kw .
y
- ; Panels: 1�-20 circa 100 amps y
-‹' 2-C C ,
w' 2 Smoke Detector ;
.11
4 r
-- 1r
f David Kobor
121 Hudson St0 239
4 So. Glens Falls , New York 12801 BRANCH MANAGER
Per �°.,, ° : ` ;v,
- 2, 'r
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-(ye(ye..rayye-yen YiYYiY Fe,riV Y�Y Y/YY��'YSY YiY iii-?e YiYYii iii-Te YiY Y6Y YsY Y Y�Y Y� 7's-r?Y Y�Y 747rii'C ie Ye te-eiv'i�"rip"r P'iaY'i41"fivieci�"riirra1-iaY'!sY'i�Y'iii-iiCY�YYAf le'iiii-%ei7�f Y�C
• rnov cI D Pi III rtIRI(r1PDARTMPrIT T411S CAPV flr RPRTIPIPATP MI ICT MAT RP Al TPRPII IN ANV MANAMA -
TOWN OF QUEENSBURY
Building Department
InsPectaae Report • Date �/-' V—Pa
Name •
Location �:£17-'/7 f , y tv6 PA.:-
Permit No. 7 / 7 • Weather
�/27AIS Pe C. 0113, Remarks
Excatiaton
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 J
Ext. Porches
Finished Floor d
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers •
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation FOUndatiDn
Walls '
'Ceiling " '
P7/14-4i1R7-47Ins ector
•
REMARKS
7? \ 9 �CZ P — oL.
•
1
•
„. .
TOWN OF•CEENSBURY
Building Department
Inspectors Report Date /a-Z I`8
Name e I a •
Location B it ff 1 L?T ///LL
Permit No. -7-7 97 Weather
Remarks
Excat)a tion
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing /
Roof Felt /
Roofing /
Siding /
Masonry Veneer
Rough Plbg.
Relief Valves 1 Wall Board
Ext. Porches V 0 i/L
Finished Floor
Interior Trim OK
Stairs & Railings V
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures v
Gar. Fireproofing✓ 0
Door Closers / •()
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling •
Igipt/IC
(Building" nspector
�l WI3L U 11 K fli Ei /6Ai
_ j_ _
• S N PeAG K
/' ¢hi C��t` ,VIiUI
TOWN OF'QUEENSBURY
Building Department .
Inspectors Report� Date g
Name /3 / F..76._)
Location ( v?/5i
. Permit No. 77 t 7 Weather
(61,/ J Remarks
Excavation
- Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey -
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
4,/:
Wall Board
Ext. Porches
Finished Floor
Interior Trim .
Stairs & Railings .
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
.Gar. Fireproofing
Door Closers
Chimney 1/7e .5-U/6 S
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation '
Walls
Ceilin '
• Building Inspector
REMARKS
•
. TOWN OF QUEEN SBURY •
Building Department
Inspectors Report Date •-eal-
Name .ii'r 471.1 Afe.Sr hei'/Z--
Location eet6 4 $JiDi 'a )re._
Permit No. 7777 Weather
•
Remarks
Excaiia tl on
•
Footing Forms •
Footing & Piers
Foundation •
Cement Coat •
Waterproofing
Backfill •
Final Survey.
Framing (DiAc •
Sheathing
Roof Felt
Roofing
Siding J
Masonry Veneer i Rough Plbg. 1 V,))4(
Relief Valves_
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile /,'
Concrete Floors /f
Plbg. Fixtures
Gar. Fireproofing 1P--
Door Closers , 7\
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation ,Foundation
Walls
• Ceiling 4
Building Inspector
REMARKS
TOWN OF ,QUEENSBUR.Y
Building Department
Inspectors Report Date Z
Name ` /Permit No. /q
7707 Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing sZ /C
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 F'oundatio»
Walls
Ceiling
i1 J.n Ins r
REMARKS
/•
TOWN OF QUEENSBURY
Building Depurtnient
R Date S3 nspectors
Name R,
Location R- atnet #' 1
Permit No. -2'7 9 7 Weather
Remarks
Excat}a ti on (CD
Footing Forms `
Footing & Piers V
Foundation �6R/,1, "
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 1
Stairs & Railings/
Cellar Dr. Tile /
Concrete Floors/
Plbg. Fixtures'
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst. •
Septic Approval
Floors '
Insulation Foundation
Walls
Ceiling
• Buil ing Inspector
REMARKS