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1987-473 I { CERTIFIC ►TE OF OCCUPANCY i TOWN Of QUEENSBURY i WARREN COUNTY, NEW YORK Nov j. Date November 17 , 19 7 i F3 ?-473 j This is to certify that work requested to be done as shown by Permit No. ; has been completed. This structure may be accu OTte-Famil T tr elfin ' IGCI Y iLotxkfi Bidden Efil s I7r It ve kHidden Hillsubdiuisivn l..oeadon Robert Williams Owner By Order Town Board I _ WN OF QUEENSBURY Building & Zoning I pector BUILDING PERMIT TOWN OF +QUEENSBURY No. 87-473 tm z WARREN COUNTY, NEW YORK ;a Robert Williams u PERMISSION is hereby granted to I t.n 1 OWNER of property located at Lot 26 Hidden Hills Drive Street, Road or Ave. J Hidden Hills Subdivision in the Town of Queensbury, To Construct or place a Qne—Family Dwe 7 7 i n g 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 o 1510 105C Lake St . Catherine rr M Wells , Vt . 05774 r7 2_ CONTRACTOR or BUI LI]E R'S Name FJ- P . J . Tucker Enterprises ua 3. CONTRACTOR or BUILDERS Address 22 Lincoln St . Hudson Falls , N . Y . 12839 r x a 4. ARCHITECTS NameCL rrt` R. r_J 111 CT xW 5. ARCHITECT'S Address m w x c w c' I� 6. TYPE of Construction — (Please indicate by X) c m r C7 (X ) Wood Frame ( ? Masonry I ? Steel I 4 C � to 7. PLANS and Specifications N„- 35 ' x 60 ' per plot plan , specifications and application including septic system, two-car attached garage and driveway permit . 8. Proposed Use ro One Family Dwelling I w w $5 . 0u 1— �c $ 178 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES February 1 , 1988 �y (If a conger 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.) F~-+ F-•- Dated at the Town of Queensbury this 23rd Day of July 19 87 t74 SIGNED BY 6S �`'-e� t'1 for the Town of Queensbury Building and Zoning I nspector / /� TO BE COMPLETED BY BLDG. DEPT . // �/ Perm-it No . 7otvn o ueerrihur it Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 L Il Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation Queensbury, New York 12801 Variance No . / Site Plan Review No . JUL 171987 Approve by : . 1 J APPLICATION FOR BUS, I#-DlN�/ �ok. DEPT BUILDING AND ZONING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLOWING . The undersigned hereby applies for a Building Permit to do the following work which will be done in accordance with the description , plans and specifications submitted , and such special conditions as may be indicated on the Permit . ...........______-------------___ ...........-....--......................__.... .......... ___ The Owner of this property is : 6elc✓ P _ O_ Address �+� (a ��. ke, Jt CsCILJ/1t-1n t'., e 1 05, 2 29 Te1 . 0. b) ! � 3lrs Property Location : j(4b + d (o HjcA e .-i IH0.11 JJN 6 hf/ S/G" Tax Map No f /� Street number or bu lding lot number rr ff f , v Subdivision name ( if applicable) `P '7j' 4) 44 THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : Name P . O. Address Tel , No . Name of _ builder ) Ert c7r , 'ses Address ,�)�;LNticdSan�//y Name of plumber i Address i " Tel . F1 Name of mason Address 47 ` —Tel . ti NATURE OF PROPOSED WORK : ZONING INFORMATION : Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED , _Addition to a building drawn reasonably to scale and attached hereto , Alteration to a building showing clearly and distinctly all buildings , (no change to exterior dimensions) whether existing or proposed and indicate all Other work (describe) * set- back dimensions from property lines . Give * street and number or lot number and indicate whether interior or corner lot . Show location FOR DEMOLITION PERMIT , STATE SIZE AND * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED* of septic disposal area . * COMPLETE INFORMATION REQUIRED BELOW . )) Size of property I () s Aft X I �� ft _ Existing building ( s) Size,...LJA t X ft . PROPOSED BUILDING AND USE : * Existing building ( s ) Us Size of new structure �-�J____ft X Q Foundation-pier/slab/crawl/partial ull Proposed building , distance from property line (circle one ) * �~ Front yard ft Rear yard ` ft No . of stories (habitable space) __ * Side yards ft and Q C) ft ) Height ( grade to ridge ft . * If on corner , se ack from side street ft If residential , no . of families nr4w No . of rooms ( excluding baths ) r7 * OCCUPANCY INFORMATION No . of bedrooms PRI RY BUILDING - No . of bathrooms , /p e family dwelling Primary heating system 4�r+ _ Two family dwelling Type of fuel_ FY? No . of fireplaces to be installed _ * Multiple dwelling / Number of units Will a wood stove be installed? * Permanent occupancy -- -- * Transient occupancy Central Air conditioning? NJ Business BUILDING STYLE, PRIMARY STRUCTURE Industrial Other Ranch Contemporary Log cabin * Raised ranch Mansion Duplex * If addition , what will use be? Split level old style Bungalow Cape Cod Cottage Other ACCESSORY BUILDING- olonial Row Town House Detached garage/one car/ two car/ car CIRCLE ONE PLEASE } * Attached garage/one car/ two car/�- ✓z car' * * * x * * * * * * * * * * Private storage building _ ESTIMATED MARKET VALUE OF Other CONSTRUCTION - � - _ _ _ - - - - - '� INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , To BE COMPLETED ! Form BPA 4,/86 and-v1 if x 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 t � 2 , Type of heat +6- lCc T A/ or3 , is the building mechanically cooled ? rj + Percentage of area of windows and doors A . Over 16 % Only i . 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 insu ated ? ES S O I . If YES , what is the R value ? 3 , Slab on grade YES 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 t\ e �. . S6 � � c¢ �h ^,y Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions f 2 , R value of exterior walls 3 . R value of glazed area �I 4 . R value of doors 5 . R value of floors over unheated spaces 60 R value of slab edge insulation - unheated slab 79 R value of slab insulation - heated slab a , R value of heated }casement/ cellar walls ( above grade ) T� 9 . R value of heated basement /cellar walls ( below grade ) 10 . Type of insulation C . Controls 1 . Thermostat maximum heat setting D . Duct Systems 1 , Is duct system installed in unheated spaces ? YES a . If YES , R value of duct installation b . R value of duct in other areas E . Pij2ing Insulation 10 Size of 'hot water or cooling carrying agent pipe 2 . R value of pipe insulation F . Service Water Heating t-A 1 . Performance efficiency Er_=5 C 2 . Temperature control setting maximum G . For Swimming Pool Only 1 , Maximum heating Telephone No . ( a plican signature ) qtmm *a4t, 0fQ4WW,;qfV APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE / LOCATION OF PROPERTY FOR INSTALLATION ��1, 4 X/c4, A V Owner's Name : r43 ej r 1lc, V ~J% Tele phone: — Address: _I 1� � �Q �{ '7 h� �7r� �� GTC{ ri -�75 Vy Installer's Name: ] 4►�1fGC( 1 `}P� Telephone: 7�{ / p� Number of bedrooms (residential only) LI Total daily flow (compute @ 150 gal per bedroom) S rs Topography: circle one: Flat olling Steep Slope % of slope lL7 a?3 _ Soil Nattme: circle one: Sand Loam Clay Other / Depth: _ feet Ground Water: At what depth? feet Bedrock or Impervious Material.: At what depth? �� �/� feet Percolation hest: circle one: not required equired / rate min. inch. Domestic water supply: circle one Municipal Well Other _ IF domestic water supply is a Well: Separation: Watersupply from Septic absorption _ /13 feet PROPOSED SYSTEM: Septic Tank JrOCC,> gal. (minimum size: 1 ,000 gal.) 'PILE FIELD: Each Trench ` feet / Total system length P 55 O feet SEEPAGE PIT(S) : Number of / Size each feet by feet Size of stone to be used # _ � / Depth or Thickness feet IMPORTANT ...Please...LIST NEW EQUIPMENT 70 BE INSTALLED (over) 4164836THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY � to 41 STATE STREET, ALBANY , MEW YORK 12207 Date 6 . 1988 Application No. on fife 020621 /87 A 1 A `I 7 4 THIS CERTIFIES THAT only the electrieai equipment as described be lepw an4 I t by he aylsrlywsct med on the above appliention number in the prensises of Robert Williama 26 Hiddenhills Sub iv�n ue s❑ur , NY � single family Lry�1 outside 93 5 26 in thefallowing location; ® Basement L"! let Ft. ® 8nri Fl_ Sectlan Black Lot Was examined on 11-17-87 and found to be in compliance with the requirements of this Board. ;= NXTURE rTACLES SWITCHES RXTURIIS RANGES 000KINGDECKS OVENS DISH WASMERS EXHAUST FANS QUTUTS MCEINCANCNESCFNY FLUORESCENT AMT. K. W- ANSI. IS, W. AMT. K-W- AMT, K. W. AMT. N. P. 27 46 28 25 2 4 fr Gill ERS FURNACE MOTORS FL?fURE AFMIANCE IEEDERS SPECIAL RK'HT TIME C117CKS Rpl UNIT HEATlRS ►WLtLTI CYU7LET p1AlU4kER5 ANl7. K. W- dl H, P. GAS H, P. AMT. NO. A. W. G. AMT- AMP. AMT- AMPS. TRANS. AM►. M- P. 51rSTEMS AMT. WATTS .... NO. OF FEET rang 1 HW 30 SERVICE DISCONNECT 1 aryer SP I U E R V 1 C E AMT. ANW. TYPE MRTRR 1 X 4W 1 X SW 3 X 9W 3�' 4w - CC. COND. A. W. G, pre, OF -Wo A. W. G. NO. OP NEUTRALS A. W- a. El0lllf. PER AV OF CC. COND. OF MHEG OF NEUTRAL '[�11 y�F200 cb * x 4/0 D HR$fC4"TUS: 2-amoke detectors E:iec . Room nesters . 3/2 . 0F 4/ 1 . 75 . 3 / 1 . 5P 5 / 1 . 0 , 2 / o75 s PJ Entarprosed 239 22 Lincoln St . BRANCH MANAGER Hudson Palls , 14Y 12839 1 Per This certificate must not be akered in any manner;; return to the office of the Board if incorrect. Inspectors may be identifibd by their credentiak. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION/ Dat f P permit No . h = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry le eer Rough Plaun ' ng Relief Val s Ext . Porches Finished Flo s Interior Trim - — Stairs & Raili s Cellar Drain Ti Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors —� Chimney. INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL NSPECTION DRIVEWAY APPROVAL � Fkdo l Building Survey Next scheduled inspection ( call when ready ) Remarks-- _ 1Y41f -�I Y? cj f ' Bu ' ding Inspector 6/86 and-vl a j 'fva _Jntur� o/ Q84evnj miry (! �J BUILDING and ZONING DEPARTMENT ay and r-laviland Road. R. D. 1 Box 98 Oueensbury, New York 12801 SEPTIC DISPOSAL SYSTFJ\1 INSPECTION NAME LOCAT I ON r�7- cG� ..• � ,may DATE /f / ( 'I PERMIT N06 SOIL TYPE - Sand - Loam - Cl y Percolation Test Required? YES - NO Percolation rate - Min/Inc TYPE of SYS Absorption fi Id ? Iota length ���_` Length of eac trench Depth of trenc es - Size of gravel_ SEEPAGE PITS*N er £ } Size- ft. X Gravel size PIPING : Si a Type Bldg - to tank t,r[. Tank to list_ bo R4 Dist , box to fi Id Openings seale YES NO artial LOCATION/SEPA TINS ; Foundation to tank. ft. Foundation to absorption ft . Absorption t lot line ft . Separation o pits ft. LOCATION YSTEM ON PROPERT {circle one } Front - ar Left side - Rig t side - CCIMMENT s ,f SYSTEM USE APPROVE4inga N Snspector 01/86 and vl f our+n o ' Qkeesrshesry r� N BUILDING and ZONING DEPARTMENT "I 1I J it Bay and Naviland Road. R. D. 1 Box 98 Oueensbury, New York 12801 • BUILDING INSPECTOR ' S REPORT NAME ` G{/'' I LOCATION �Ce' Date / �� Permit No . ✓ = * Footing/pi APPROVED Footing/pier Forms YES NO Foundation waterproofing Backfill 41�iaming > Roofing Siding Masonry Veneer 44%6ugh Plumbing Relief Valves Ext . Parches Finished Floors Interior Trim ; Stairs & Raili.ngs r' Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofin Door Closers Smoke Detector Chimney INSULATION : Foundation Floors Walls A Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVA Final Building Survey Next scheduled inspection (call when ready Remarks- so, 6/86 and-vi s Building Inpector own o� �upen .s � urt� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME IF •5r- r i 5 .c.� „ �--• L.O+CAT ION Qrf , rJ Datel er Permit No . 0 ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill 'f`'raming Roofing Siding Masonry Vene r dough Plumb! Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railin s _ Cellar Grain T ' e W Concrete Floor Plbg . Fixture Gar . Firepro fing Door Closer Smoke Detec Ors Chimney INSULATION Foundatio Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( call when ready ) - - Building Inspector .. _ _ ..� 6/86 and-vl ~ awn n d/ BUILDING and ZONING DEPARTMENT Bay and Havdand Road, R. D_ 1 Box 88 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT t NAME LOCATION ! W f Date-� Permit No . _ _ Gr r - �+✓ ✓ = - Footing/Pier Forms APPROVED YES NO %ppoundation L►14a,�rproof ing ckfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings, Cellar Drain Tice Concrete Floors Plbg . Fixtures Gar . Fireproofing "— Door Closers_ Smoke Detectors Chimney "-" INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICSL INSPECTION . _ DRIVEWAY APPROVAL. _ Final Building Survey Next scheduled inspection ( call when ready) Remarks- Building Ins ctor 6/86 and-vl own o/ Queens "ry BUILDING, and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 96 Queensbury, New York 12801 01Kd - 41l1 jlv BUILDING INSPECTORS REPORT NAME VtJ 1/1 LOCATION— [ Z'GCr ;. t Date YS / 3 Permit No . e So' = APPROVED - NO y6r o tin P] er Forms ` Foundation Waterproofing Backfill Framing Roofing Siding Masonry Vene Rough Plumbin Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & RailingiN Cellar Drain 'Tile Concrete Floors Plbg , Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECT CAL INSPECTION DRIVEWAY A ROYAL Final Buil ing Survey Next scheduled inspection (call when ready Remarks- Bui i g ctor 6/86 and-vl "'wn of QueenJtury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R-d. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT C A T I O 7 b`a�eJ2c G Date -J� *f Permit No . / i✓ = APPROVED - YES O !/Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Jdor Stairs & Railings Cellar brain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofi Door Closers Smoke Detect s Chimney INSULATION - Foundatio Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVA Final Building Survey Next scheduled inspection (call when ready ) Remarks- 1 JB3ullding I spe for 6/86 and-vl f V�f I 1IA t 40 4 407