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1986-065 C/O Paid • CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK • Date__ 19 (:-.)90 This is to certify that work requested to be done as shown by Permit No. 86-65 has been completed. This structure may be occupied as a One—Family Dwelling Lot 29 Cobblestone Drive (Butternut Hill Subdivision) Location Owner Henry Chase • By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector CREATIVE "INSTA" PRINTING. GLENS FALLS. N T 12801 IS 181793-S658 BUILDING PERMIT TOWN OF QUEENSBURY No 86-65 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Henry F. Chase OWNER of property located at Lot 29 Cobblestone Drive Street, Road or Ave. (Butternut Hill Subdivision) X 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. �y 1. OWNER'S Address is 11B Hunter Street Glens Falls, New York 2. CONTRACTOR or BUILDER'S Name same .. r o rt 3. CONTRACTOR or BUILDER'S Address rt m 1/40 same • n • o rt o' 0 4. ARCHITECT'S Name CDNtn rt 0 cn 0• m a' • ty 5. ARCHITECT'S Address n ▪ H. H. to m H• 0 6. TYPE of Construction— (Please indicate by X) (x)Wood Frame ( ) Masonry ( ) Steel ( ) O 0 7. PLANS and Specifications 33'x74' per plot plan, specifications and application w No. submitted including two—car attached garage and sewage system. 5 8. Proposed Use ty One—Family Dwelling fD • N. 0 $5.00 C/O Paid °Q $ 164.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 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 14th Day of March 19 86 SIGNED BY C1,e Lp/ for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEENSBURY (Space inside block to lx• filled in by WARREN COUNTY, NEW YORK • Building Inspector) Application for Application No. .• PP I'c•rmit Issued BUILDING AND ZONING PERMIT h•t•tttit Expires. Ifl. %unlit;: District \aloe cal Work T;;.".•..�+-E31-Copies of a PLOT PLAN, Drawn to scale \l)l"ru""l 1w 19 showing the actual dimensions of the lot to be built Ilci»a1'Kf upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. , 1 f j //, oa 7 ..3 /y j TOWN OF QUEENSISURY DATE A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK f (�?vEE 11 fE f ANSWER ALL OF THE FOLLOWING. �• The dersi ned"here "b-�a dies for a erinit�-io-as-fhe followir, -work--=-- - —= — _ 1___;4,` i �} � 8P— v ,, 1J which will be done in accordance with the description, plans and specifi- I AM.; 1 . P:Mo cations, and such special conditions as may be indicated on the permit. ,°11{3IP14YI213)4l5I6. Y e �. v a e Leas The 9wner of this ,perty is: ?y. E. : - . .HEN .CPt . . . . //B.1u:4rez. .g-rez .7 �c ri. . s kcs -y -%5o1 INA"•4E) (P.O.ADDfS NESS) The son responsib •for •supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: . . Eyya /-. C,"14St (NAME) IP 0 ADDRESS) . Name of Builder. .).- Ji cz` . . F .cesr Address Name of Plumber. /�.. F.- "�. , . ._ . • H Se— Address Name of Mason f72/ eisC Address Lot Number any Unit Estimated value of proposed work$ 1 •y.�© Name of Village . j :Gf£pl.)8E.aa y Name of Street e02.C4. TOY9.C. . DntyE Side of street: north 0, east ❑, south 0. west A Nearest Cross Street 4u?r m( /i/fit'. . Dr'&s E Distance from this cross street . „Roc) Ft. Property is north 0,south A,east i i,west 0 from Cross Street If on Corner, which corner, northeast ❑, northwest 0, southeast 0, southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK , OCCUPANCY jg Construction of a new building. Main Building . ❑ Addition to a building. One-family dwelling X 0 Alteration to a building. Two-family dwelling ❑ ❑ Demolition of a building. -family apartment house O. Store building 0 no" -car attached garage 0 Other: • Accessory Building • • One-car detached garage 0 Other work. Describe: Two-car detached garage gi 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- posed buildings,and the location of all existing buildings. NORTH Show proposed building(s) in dotted line and existing • Eu eitu•r-mu, °2tve' J huilding(s) in solid line. 'i— Size of property a DO ft. x . .21O ft. Size and use of existing buildings, if any F ?T `.1 N w t i 6F. Size of proposed building . . • • • • ft.x Ti ft. n Height(from grade'to ridge) , c 6, ft. co ) ft. Front yard Side yards ' q ft. and e1 ft. Rear yard 1/./ It. 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., Kind of construction: Wood frame, fire safe, etc.) L?QO f ✓'4r7r Will any second-hand lumber be used? N6 If so, for what) Material of foundation walls e3c:? .46444e4C Thickness . . ,Q`' Depth of foundation walls below grade ,7 FT Continuous foundation? Will there be a cellar? yes If so, material of cellar floor . .CO.I.?I2e.TE = _- Type of roof: Sloped or flat? . .�LOP.�"Q Material of roof . 19SP/M4-7— Size,wood studs "x C ",spacing /6 "o.c., length 7 efR:" ft. Size, floor beams, 1st floor a,. "x /Q ", spacing ��. . '/ .". . . ."o.c., span I 1 '+((,. , ft. Size, floor beams, 2nd floor a. " x t°l7 ", spacing "o.c., span /..5V-45 ft. Size, ceiling beams a�.. "x ", spacing . A'V "o.c.,span .Zrr--- ft. Site, roof rafters or beams . . . . . ."x , spacing . v� o f "o.c., span .A ft. Exterior finish .0.14f1112'.ZS,. .&2iC�y.'d:-I?J.9w.0x.&51/bJWith what material? . ee0/9-'_ Finish of interior walls. . .sf '-L'T1" '(" If garage is to be attached, of what material is wall between garage and main building to be constru ted? X Gtt �✓7. 2 ,.114 . . CQvJ t'o. o17.t�.•f..5'F1,�eracw,!�'ui!?i''2gia%0. .e.DX f9sJD.�fl22 .a(.'C.tr a'-Irz9dte"SDe Is there to be an opening between garage and building? )/ 43 Kind of heating system . . . .a-7='! Oil burner or coal? Will a flue-lined chimney be provided?.ii/l.�S Depth of chimney foundation below grade . . .� .F.T. . . . . . . Height of chimney above roof. . .a--6 Will there be a fireplace? . . ./.VQ' Depth of fireplace hearth Will a toilet be installed? /YES ' Will a kitchen sink be installed and connected to water supply? . .)15 Water supply (public water supply or pump) . .. . .4'i7H air►P Distance of cesspool from any private well /00. F. 1 . M1f • feet Will drainage system be provided with required traps, cleanouts, and vents? . ./ Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to tr bard my knowledge and belief the statements contained in this apppli n,together with the am and specifications sub- mitted, are a true and co.,.plete statement of all proposed work to be do proms an provisions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertaining the p sea k a p' with,whether specified or not, and that such work is authorized by the owner. Sworn to before me this Signature �,J 0 ER.OW R'S T.ARCHITECT.CONTRACTOR day of /24 G1`- 19'. . NOTARY PUBLIC. WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: • • • • • •• 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 /77 Sq )►-`j. 2 . Type of heat 'Lt-C:Tete_ /? ifs--10�4 3 . Is the building mechanically cooled? AUC3 J 4 . Percentage of . area of windows and doors lj %� A. Over 16% Only, _ -lam=U valii-e of g-r-os-s area of eaails , roof/ceiling and--floo-r's-- 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• ------ _--- -- 3 . R value of glazed area R• 7e / _..--- — ---4. R value of doors �� - -- 5. R value of floors over unheated spaces J'�33 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) 00 9. R value of heated basement/cellar walls (below grade) 00_ 10 . Type of insulation 1IC{6a2P. S& --C277/1 }0►L1,r7j /1� //aNE C. Controls 1 . Thermostat maximum heat setting 80 , D. Duct Systems 1. Is duct- system installed in unheated spa-ces? 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 /VA 2 . R value of pipe .insulation /)4 F. Service Water Heating 1. Performance efficiency See_ k1"TA-LthcD obey 1 2 . Temperature control setting maximum /ys°, G. For Swimming Pool Only 1. Maximum heating NA Telephone No. 772—a92%r .. ., ( pp icant ' s signature) awn of Queenit urty BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL PERMIT APPLICATION Owner ' s Name /lam /L �i�l,-4c Tel. 742- �a1%/ Address //L3 f� ayn. S'n?ez� 6G ,S / i4S7 N/ /2�f 2% CGl3i3LES?U,JE- Li?• . Person/Firm installing system. H�V2 /-� �/�3� . . Number of bedrooms (residential only) -TyrZ Total daily flow: (compute @ 150 gal.per bedroom per day) 4/50 Epp • Topography: flat - rolliri - steep - (circle one) Degree of slope 3 % Nature of soils: sand-loa)clay- other- Depth L/ ft. Ground water-- at what depth? 1LJ4. ft. Bedrock or impervious material--at what depth? ft. Percolation Test - Not required / Required -Rate min/inch. Domestic Water Supply - Municipal - itiTell - 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 j dimensions of the system itself. Description of proposed system: Septic tank size/Can gal. so 'a 00 Tile field- Length of each trench ft. -Total field� ft. Size of stone i3t04. 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 for in Section 6. 010 of the Town of Queensbury Sanitary Sewage Ordinance. —,.e.v _ `iJii / 0 igna re of Applicant Date 01/ 6 and/vl :i-tl-st.1•0•V_9--x9 9?-",��(,��.AL a"/..k9(J_��- A-9!A,tat� 9)-.9,-]%dte,,t(.�1/.A-•,--A-" `9(,,t ��),". 9Z--%1" a9.l1..i,-', )�.la9J:J.,i..Q:a"!,?.) !•!-—S•i�•(-9?.)�t 1h-"�...1i?"i 19i.�9.�,i °t. 9., E ' K THE NEW YORK BOARD. OF FIRE UNDERWRITERS Vb "&S.' 1 tLi BUREAU OF ELECTRICITY :.4, t p February 18 D 1988 41 STATE STREET.ALBANY,NEW YORK.12207 i; 7 Date Application No.on file 00 v545 86 r 11 r s A. THIS CERTIFIES THAT •. ' only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of . ; Henry Chas 29 Cobblestone Drive Queenobury, Neel York • residence �; V v . V outside 54 5 11.27 ,,,,, in the following location; ❑ Basement ❑ 1st Fl. 0 2nd Fl. Section Block Lot was examined on 3-24-87 and found to be in compliance with the requirements of this Board • . ' FIXTURE ECEPTACLESI SWITCHES FIXTURES - RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS �; OUTLETS INCANDESCENT-FLUORESCENT I4RjgjY AMT. K.W. AMT. . K.W. AMT. K.W. AMT. K.W. AMT. H.P. 37 28 51 1 6 8 3 . fr 7.1 �' DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS 74 it•� ILI ''' : AMT. K.W. OIL H.P. GAS H.P. MIT. NO. A, '.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. N�SYSTEMS FEET AMT. WATTS M �; SERVICE DISCONNECT NO.OF S E R V I C E ✓ tom. AMT. AMP. TYPE METER 1 J,2W 1 Jr3W 3,R'3W 3.0 4W NO.OF CC.COND. A.W:Gr, NO.OF HI-LEG A.W G. NO.OF NEUTRALS A.W.G. EQUIP• PER OF GC COND. OF HI-LEG OF NEUTRAL !�, 1 200 oh X - `.�- 'd• OTHER APPARATUS: • •::. ` • �.. 1-60: mp best p p • A 1-g2ci d 4oii oke detector HI 4- i — <� f; a; Henry Chase 239 • . 113 Hunter St. BRANCH MANAGER Glens D'aU, NY 12801 . Per ,' F, • This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their credentials. • Li-41-41.-41-re're're're*re're"(e're Yrsr•rsr'iirYeYe're"/AY-re.iteYe.re're.itr,%e,,A\,?at'6sCIe.ie're're ie.ie\711`:r\;.iaY7tY`ie'%e'itC ie•iii_it,•rN"ie'Ce af-,t;^;t, re-itP'tii;4.•,.;..,.,,:4. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. awn o f Queenibur j BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME CA/ C/ /4-5 LOCATION .. �27 �Q,v rn,- Date / f , -/_g 7 Permit No. -In * * * * / * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing KBackf ll ) 'raming F raming Roofing Siding Masonry Veneer 7,Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings k Cellar Drain Tile Concrete Floors Plbg. Fixtures \ / Gar. Fireproofing / Door Closers Smoke Detectors Chimney / INSULATION: / Foundation �J Floors I Walls / Ceiling J FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- Buil ing Inspector 6/86 and-vl // 1 0 cc77 _town oi Queenibury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME CAG(S� Agl LOCATION 7 /it f l�i// CvIOW<(ri kir/ DATE / Z / Z 7PERMIT NO. SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each trench • Depth of trenches Size of gravel SEEPAGE PITS-ENumber of) Size- ft. X ft. Gravel size PIPING: Size Type Bldg. to tank Tank to dist. box _ Dist. box to field/. ' Openings sealed? NO P tial LOCATION/SEPARATIONS: Foundation to tank ft. Foundation to absorption ft. Absorption to lot line ft. Separation of pits ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear - Left side - Right side - COMMENTS: SYSTEM USE APPROVED. NO 60////3 Building Inspector 01/86 and vl cc77 � �G�U%/-'iGG awn o f Queenitury • 'BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME / " C/ 4 LOCATION .162-- ��2 DATEIje/,lri ,g6, PERMIT NO. cf SOIL TYPE /////- Sand - oam - Cl. - Percolation Test Re••_ :r-. . OP NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length A7® Length of each trench ge4%.7ra6 Depth of trenches Of Size of gravel q- ( SEEPAGE P TS{Number of) Size t. X _ ft. Gra e ize PIPING: Siz Type Bldg. to tank Tank to dist. box Dist. box to field/pit Openings sealed? YES Partial LOCATION/SEPARATIONS: Foundation to tank ft. Foundation to absorption _ ft. Absorption to lot line ft. Separation of pits ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear - Left side - Right side - COMMENTS .4/Le, SYSTEM USE APPROVED YES NO Building Inspector 01/86 and vl _Down of Queen.iur/ BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME / rt LOCAT I ON �� ��- zd�h DATE //la�/ �S PERMIT NO. 3 CoS� SOIL TYPE( - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each trench Depth of trenches Size of gravel SEEPAGE PITS{Number of) Size- ft. X ft. Gravel size PIPING: Size Type Bldg. to tank 4 fl( Tank to dist. box Dist. box to field/. ' Openings sealed? NO Partial LOCATION/SEPARATIONS: Foundation to tank 1,y°') ft. Foundation to absorption _ ft. Absorption to lot line ft. Separation of pits ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear - Left side - Right side - COMMENTS: SYSTEM USE APPROVED YES NO (..(.44473 Building Inspector 01/86 and vl &° y ii kc TOWN OF QUEENSBURY Building Department InaPoctora4roct Date 64 )116+ Name C_ F4/r Location Lc u i Permit No. — CS" Weather Remarks Excatia tion Footing Forms - Footing & Piers - Foundation Cement Coat Waterproofing Backfill ..j(' 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 6/0112) Building Inspector REMARKS .BIZ—�c -0 itaw4 Arc-4 TOWN OF QUEENSBURY Building Department Inspectors Report Date gill / -Co Name(,j�-•�V14 C IA A-S — Locatioa LcDT— 2-1 ,i cf-r-rt,k,vcfrr Permit No. (7 6- Gs Weather Remarks Excavation Footing Forms 1/ ( [(-- Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing • Sheathing Roof Felt / Roofing Siding '•, / Masonry Veneer Rough Plbg. ;/ t,, 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 Ce ' in Building Inspector REMARKS 10 oEi 19