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
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3. CONTRACTOR or BUILDERS Address
22 Lincoln St .
Hudson Falls , N . Y . 12839
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4. ARCHITECTS NameCL
rrt`
R. r_J
111 CT
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5. ARCHITECT'S Address m
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6. TYPE of Construction — (Please indicate by X) c m
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(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
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$5 . 0u 1—
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$ 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
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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