1986-137 i
TEMP Cl R A R Y
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CERTIFICATE QF OCCUPANCY
TOWN OF QU SBURY
WARREN COMM, NEW YORK
Dstc Dec. 29 19 i'F,
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'I1t�t is to con* thu work requested to be dare as ahoavn by Permit No.
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1w ban
i lids Mee >W be occupied w a One-Family Dwelling
Lot 12 Cobblestone Drive - Butternut Hill Subdivision
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Victor and Janet Bilodeau
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TEt.POP.ARY CERTIFICATE OF OCCUPA14CY FOR,
30 DAYS PENDING COMPLETION OF FOUNDATION BY Order Town Board
INSULATION. TOWN OF QUSBN8BURY
44
i Building 6r Zoning 1
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CIPLATIV[ "IN/TA" NNNTt". 6LCM IALLS. N V t2401 IS16 I7Sl-66S8
BUILDING PERMIT
TOWN OF QUEENSBURY No 86-137
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Victor and Janet Bilodeau
OWNER of property located at Lot 12 Cobblestone 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 11-112 Regency Park
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Northern Homes Inc.
3. CONTRACTOR or BUILDER'S Address
51 Glenwood Ave.
Glens Falls, New York
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4. ARCHITECT'S Name rt r
rt
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rt
5. ARCHITECT'S Address x
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cn
6. TYPE of Construction—(Please indicate by X) A•
N• t
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(x)Wood Frame ( )Masonry ( )Steel (
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7. PLANS and Specifications
No. 82'x38' per plot plan, specifications and application submitted
including two-car attached garage and sewage system.
8. Proposed Use
One-Family Dwelling
$5.00 C/O Paid
$ 220.00 PERMIT FEE PAID-THIS PERMIT EXPIRES November 1 19 86
(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.)
Dated at the Town of Queensbury this 21st Day of April 19 86
-2 SIGNED BY 1'1X G . for the Town of Queensbury
Building and Zoning Inspector)2P
1
TOWN OF QUEENSBURY
(Space inside block to Ix. lilted in bv
WARREN COUNTY, NEW YORK Building Inspector)
Application for i .‘1'Plicatic►It No. :
i'vrmIt Issued - 19
BUILDING AND ZONING PERMIT 1..,,,i.._. ._.. in
1. ,iiii District ..
One copy of a PLOT PLAN, Drawn to scale ‘1►1►r1 c'1 hY
showing the actual dimensions of the lot to be built kcmai KS'
upon, The exact size, and location on the lot of the . .
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.6 Y.- -5- 1 iv Q bo Lk'/C.- g c.. -rot,,t,N c.-, ,-,1_,,,;PV.F7',..: -•
DATE !-i 8 i":, I ' 1,. ,i. : ,
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK i 'L.,``
ANSWER ALL OF THE FOLLOWING. APR 16 1986
The undersigned hereby applies for a permit to do the following work M. ,Z2 6 / P4IJ
.
which will be done in accordance with the description, plans and specifi- 1 2 3 4 5 6
cations, and such special conditions as may be indicated on the permit. .• •�• • _,., 7 a e s . ,
owner of this property is: CIO(�C
L.-
Thep rape y
VIc-ttc 0..v+4k.. .Za,...4�-(-. .$!!Q.etcoL. lI-11Z (legencPeL., tenf A/lsj . ti$/Ag4/ . .
INA•4E) Ni_AP o A,De DRESS)
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
N.rii,,etr.,. groin c4.j t t. '-R.KeKt A cAI sot r.1. ., . . .S/ &emwaAIP Ge g e Gle. $sells) /t/S /2.80/.
ADDR
Name of Builder.Val 6lJ.C,4.-np.IA. - .A't/e.r p p. isle 5.11 tow Address ie D /P2 4.-5.(le ) l-Y /2 PO
Name of Plumber.The 44ic4✓1 "Retr'rck4,1.S Sf Address sc Ba- St. af,...,:gal, .A1. /Z.iO/.
Name of Mason 7esovr.e!ep tc .cp»3ta C 6. . . . . . . . . . . . . . . . .Address AD it / Fo(t iol LA,errat A1'` /2 Pz 8
Lot Number Z Un't5c 1 /J . . Estimated value of proposed work S MO)4DOO f
Name of Village .TO .K. Pt eioCevi, 1$4) '
Name of Street . .Ca. e,01%,.nG.l r. , t vr� tg.:mac 1.1{ 14-� Side of street: north ❑, east JE[, south ❑. west CI
Nearest Cross Street . .:a e r•c>a- Distance from this 'Toss street . . .Z)C?db / Ft.
Pe
Pro rty is north 0,south 0,east ,„,west 0 from Cross Street
If on Corner,which corner, northeast 0, northwest ❑, southeast ❑, southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
0 Construction of a new building. Main Building
❑ Addition to a building. One-family dwelling El
❑ Alteration to a building. Two-family dwelling El
❑ Demolition of a building. . . . . -family apartment house Cl
Store building 0
.w/'?- .-car attached garage CR
Other:
• Accessory Building
One-car detached garage ❑
Other work. Describe: Two-car detached garage ❑
Private chicken house
Private storage building 0
Other:
ZONING SPECIFICATIONS. Fill in for new building,or addition to existing building,or a change of occupancy.
Indicate on the plot plan street names, the location and
• size of the property, the location, site and setbacks of pro-
NORTH posed buildings,and the location of all existing buildings.
Show proposed buildings) in dotted line and existing
(------..—.._ • Iluilding(s) in solid line.
Size of property / ,/0/f) //Z ft. x/.901(Z g..3T$.3.'..
o _ Size and use of existing buildings, if any fii' J
(O N
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in
II e LO+I Z W Size of proposed building . . . .4.?• . . ft.x . 3 t3 ft.
Height(from grade t ridge) 3`r ' ft.
Front yard of ft.
.N N''
Side yards 10110 Co' ft. and . . .&2 ft.
..- Rear yard / Z / ft.
I SOUTH If on corner,setback from side street
ft.
Note: A11 distances are net, as measured from street side
line to nearest part of building.
V (OVER)
7-73-M •
(cont'd.)
BUILDING SPECIFICATIONS.. ,,-ll
Kind of construction: Wood frame, fire safe,etc.?. . )oCA. 1ta.wt,.e
Will any second-hand lumber be used? NO If so, for what?
Material of foundation walls Pao reet Co.nare-.-te Thickness B "
Depth of foundation walls below grade (o " Continuous foundation?
Will there be a cellar? Ye$ If so, material of cellar floor V eabare- e
Type of roof: Sloped or flat? Vore Material of roof . .P1 y.u?ooa.Q .Gtet'G(. .Aker./44*5 5%i:�9/e
Size,wood studs Z. "x ", spacing /6" "o.c., length $ ft.
Size, floor beams, 1st floor 2 " x /¢ ",spacing !to, "o.c.,span /3 ft.
Size, floor beams,2nd floor 2 "x /e, ", spacing /lam "o.c.,span /`/i ft.
Size,ceiling beams Tr., se5 x ", spacing 2 y II "o.c., span Z7 1 ft.
Siie, roof rafters or beams "x ", spacing "o.c.,span ft.
Exterior finish 1-0961 s" 'I" With what material? .Yz X 4. . GeilA.,r'
Finish of interior walls. . .D.r .14.,
If garage is to be attached, of what material is wall between garage and main building to be constructed?
2 X. . .. ...c.s. .&/.98.P're..Code. SA ce t're)c-k
Is there to be an opening between.garage and building? . . .Yee 5
Kind of heating system . . 4-t':ANm.-17e. .8a'5e6 r.°( . . . . . Oil burner or coal? 0/!
Will a flue-lined chimney be provided? Ye 5 . Depth of chimney foundation below grade 6
Height of chimney above roof. . .3
Will there be a fireplace? . . Yes Depth of fireplace hearth Zii 11
Will a toilet be installed? - Ye 5
Will a kitchen sink be installed and connected to water supply? Ye s
Water supply(public water supply or pump) Alwu p
Distance of cesspool from any private well /COS ,/ feet
Will drainage system be provided with required traps, cleanouts, and vents? Ye
Town of Queensbury / AFFIDAVIT
County of Warren
State of New York
I swear that to tr, iva i 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 all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed work shall be complied with,whether specified or not,
and that such work is authorised by the owner. hei4,si
lO. e s A.L. c..R.... .. . �.
Sworn to before me this • Signature r 7,.........4
OWNER.OWNER' AGENT.ARCHI EC .CONTRACTOR
day of 19. ....
/?— G
NOTARY PUBLIC. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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By
awn of° Queenihurj
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL PERMIT APPLICATION
Q
Owner' s Name t Tel. 793- 8Zd
����'�� av>c� Sp��e p 1 �D4�,ea.�
Address /1- Ji2 i erc ea,rk / yofs . 61ev,s tai/5 ) N.Y' /Zee'/
Person/Firm installing system. 5. 6 0- It.A.sl' CL # Se)14s
Number of bedrooms (residential only) 3 Lott /Z BvterM,,t/oI
Total daily flow: (compute @ 150 gal.per bedroom per day)_ Vc°
Topography: fla . - rolling - steep - (circle one) Degree of slope %
Nature of soils: sand-loam-clay- other- Depth $ ' ft.
Ground water-- at what depth? � / ft..
Bedrock or impervious material--at what depth? ft.
Percolation Test - )Not reguired)/ Required -Rate min/inch.
Domestic Water Supply - Municipal - Well - Other
IMPORTANT!
On a separate piece of paper, submit a diagram of the proposed septic
system with all dimensions; including distance from any structure,
distance from property lines and distances from any domestic water
supply or shore-line of lake, stream, pond or. wetlands. Include all
dimensions of the system itself.
Description of proposed system:
Septic tank size /too'gal.
Tile field- Length of each trench 6,0 f t. Total field 300 �f t.
Size of stone # I
Seepage Pit (s) Number / Size ftX ft. Size of stone*_
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 .far in Section 6. 010 of the Town of Queensbury Sanitary
Sewage Ordinance.
77-0214-1-1.— rT .
711/6 `7-/5/86
Signature of Applican Date
01/86 and/vl
Septic System Inspections:
A. All applicationd for septic system installation,
alteration or repair, as required by the Town of
Oueensbury Sanitary Sewage Ordinance, shall be
submitted to the Buildina Department at least
24 hours before start of construction and shall
include a plot plan showing:
1) the proposed location Jof the system
2) location and distance to lot lines
3) location and distance to structures
4) location and distance to any water supply
5) size and dimensions of all tanks, distribution
boxes, tile fields and/or drywells
B. No system shall be covered before inspection and
approval by the Building Inspector. Failure to
comply with this requirement may result in the
uncovering of the system by the1installer and a
fine of up to $250.00.
C. An approved copy of the plot plan shall be
available=on the construction site. Failure
to produce said plot plan at time of inspection
may result in an immediate work stoppage.
D. Should unforeseen problems during construction
prevent proper installation, alteration or
repair of an approved system, a new proposal
must be submitted to the Oueensbury Building
Department before further construction.
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 'no 3
2 . Type of heat Oi 1 got(A)dI- e.v- boa.reA
3. Is the building mechanically cooled? NO
4 . Percentage of area of windows and doors /3. 6 ?o
A. Over 16% Only - t No r..,».Letior+ 7,,,,v1a..+1.,•,
1 . Uo value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions Uo . . //9
2. Floor over heated spaces YES Q•)
a. Are foundation walls insulated? YES NO
1. If YES, what is the R value?
3. Slab on grade YES :7
a. If YES, what is the R value of insulation around
perimeter of floor?
4 . Is basement heated? YES
a. R value of insulation
5. Type of insulation F; 9/a,45 t- aeaobc.coo
B. Under 16% Only
1. R value of roof and floors exposed to ambient conditions
2 . R value of exterio walls
3 . R value of glazed a ea
4. R value of doors ‘
5. R value of floors` ove, unheated spaces
I
6. R value of slab edge insulation - unheated slab
I
7. R value of slab insulation - heated slab
8. R value of heat: • basemen 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 OQo
D. Duct Systems
1. Is duct system installed in unheated spaces? YES CI: )'
a. If YES , R value of duct installation
b. R value of duct in other areas
E. Piping Insulation
♦i
1. Size of hot water or cooling carrying agent pipe el/
2 . R value of pipe insulation ,€--Z
F. Service Water Heating
1 . Performance efficiency 88,6
2. Temperature control setting maximum /(pt °
G. For Swimming Pool Only
1. Maximum heating i149.
Ala rile rn go•x.e-5 ) Li c,
Telephone N o. Oe rut iitc
(applicant ' s signatu )
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T/own of Queenibur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.O. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME GiLeD 16A- U
LOCATION G 6et
Date 01/ VC. Permit No. 84 - 37
* * * * * * * * * * * * * * * * * * * * * * *
APPROVED - YES / NO
Footing/Pier Forms
Foundation I
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing P/-,
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar.. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
()LAW- a L: Prto 0rCr v& ro
13 / - i&, I - -ciOWt, r3ox( w(olil
ig -
113 t SeAci- a wiz CitnA-6
Build ng Inspecto
5/86 and-vl
_town of Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME l3rLo 4)L/ W
LOCATION 6in6itJOT ' J f t (—
DATE 7/b ! St,P E RM I T NO. t0 — 13 7
SOIL TYPE - .'- Loam - j -
Percolation Test Required? YES (NO')
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length 25,0
Length of each trench , 51.) 1
Depth of trenches 2 If-30 "
Size of gravel
SEEPAGE PITS4Numb of)
Size- ft. X
Gravel size
PIPING: Size . Type
Bldg. to tank
Tank to dist. box
Dist. box to field/pit
Openings sealed? YES NO Partial
LOCATION/SEPARATIONS:
Foundation to tank /O ft.
Foundation to absorption 70 ft.
Absorption to lot line ft.
Separation of pits ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - ltio Left side - Right side -
COMMENTS:
pg- t,v 10(9 l/T-
I` vA't9i4--T-ro./A 'T5 eALT
•
•
C/ftciv P& rnr) er,v4
T CO tit- a f e1.b
SYSTEM USE APPROVED YES 04111
B ilding Inspe or
01/86 and vl
ecitrbfAivr-
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date G foliv
Name gilo P4 A-c1
Location e T-t 2-GAR46 5ro.v4r-
Permit No. f1 - 11 Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation 4
Cement Coat
Waterproofing
Backfill
Final Survey
Framing ✓(
Sheathing /\'Cc6
Roof Felt
Roofing
Siding
(C/ --
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
Wa1
Cefning
11, ' Building Inspector
REMARKS
T-ooko %n-(,
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 5/is/s
Name it o n Z-4 C!
Location Lo r /z a rT u r J L,t(--
Permit No. ;fly-J 3 7 Weather
Remarks
Excavation
Footing Forms I c..
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Shea thing
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
B i1 'ng Inspector.
REMARKS
WAJOtT-1If 4(JIL
1 2. 5 Ai& 506