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88-579 • CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date October 18 1988 This is to certify that work requested to be done as shown by Permit No. 88-579 has been completed. This strut re may be occupied as a Two Family Dwelling • 419 Ridge Rd. Owner Paul & Jennifer Hayes By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector 1-3BUILDING PERMIT TOWN OF QUEENSBURY No. 88-579 WARREN COUNTY, NEW YORK O-> PERMISSION is hereby granted to Paul & Jennifer Haycs OWNER of property located at 419 Ridge Rd. Street,Road or Ave. tv LND in the Town of Queensbury,To Construct or place a Two Family DWlling 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 417 Ridge Rd. Glens Falls, N.Y. 12801 2. CONTRACTOR or BUILDER'S Name John Hughes CD 3. CONTRACTOR or BUILDER'S Address 375 Bay Rd. pa Glens Falls, N.Y. 12801 to 4. ARCHITECT'S Name 5. ARCHITECT'S Address aq CD 6. TYPE of Construction—(Please indicate by X) a' (X)Wood Frame ( ) Masonry ( 1 Steel ( 7. PLANS and Specifications No. Two Family Dwelling as per plot plan, specifications and application including spetic system and attached two car garage. 8. Proposed Use Site Plan REview #13-88 . Two Family Dwelling m� $10.00 C/O $ 164.00 PERMIT FEE PAID—THIS PERMIT EXPIRES Mnreh 1, 19 R9crq (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 Quee this 12th Day of August 19 RR SIGNED BY � ` for the Town of Queensbury Building and Z ing Inspector f . c'� TOWN or QUE(_.NStlgiY _/awn of QueaiI,sirij f f2 rzi rp rl till 1? ` '_, BUILDING and ZONING DEPARTMENT U `3 `' `' ' '1 Bay and Haviland Road, A.D. 1 Box 98 -- AUG 9 98 Queensbury, New York 12801 / �� �� i�l�� 11Ut� 1JQ S BUILDING & CODE EPT. �" App n . .�.2�. D/ (o l74 - s APPLICATION FOR TWO .0--/o` BUILDING AND ZONING PERMIT t * * * * * * * * * * * * * * * * * * * * * * * * * * ** * * * * * * * * * *::* 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 e done in accordance with the description, plans and specifications submitted, and such pecial conditions as may be indicated on the Permit. he owner of this property is: r,9-v,,, fee ,�i, 4e,4 /IAyQ. s .O. Address ilr ,7 i ; 'i P. , ' . 7, e..)� 1��f//$ /J)% ,;.a c-e Tel. -)PS? -!>//? roperty Location: �/ 9 ,c-?r 1{;e� / C'/ �'/ ., ;:.3/ .s�1, i.1 . -,•,; Tax Map No. / / Street number or building lot number ubdivision name (if applicable) HE PERSON RESPONSIBLE FOR SUPERVISION OF3WORK AS REGARDS BUILDING CODES IS: Name / P.O. Address Tel. No. ame of builder ,J'0,4;r,,, /_.7-'. a Address Tel. j y,1•/2o - ame of plumber ,S'�- fi,,,j,;,y r a Address 6�„v.c�.-«,r-r „e S. Tel. 4)..3"1 7 0 ame of mason ;(.'�.,,., t%,, i„,..,.,, Address ,Iv ,>_ ; f-70,-- ,,,„,,__, e Tel. ATURE OF PROPOSED WORK: * ZONING INFORMATION: Construction of a new building * TWO PLOT PLANS 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 OR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location . ()CATION OF STRUCTURES AFFECTED. of water supply and location and configuration * of septic disposal area. * * COMPLETE INFORMATION REQUIRED BELOW. * Size of property /,5 ft X _- c-i ft. * Existing building(s) Size ft X ft. ROPOSED BUILDING AND USE: * Existing buildings) use ,�/ ize of new structure ft X ft * oundation-pier/slab/ partial/full * Proposed building, distance from property line (circle one) * o. of stories (habitable space) ! * Front yard f, ft Rear yard,,_3 7 ft eight (grade to ridge) i{ ft. * Side yards ,4 ft and ft f residential, no. of families O * If on corner, setback from side street ft o. of rooms(excluding baths) i, * OCCUPANCY INFORMATION o. of bedrooms Li * PRIMARY BUILDING - o. of bathrooms 4/ rimary heating system ,_/ * One family dwelling • *' Two family dwelling • ype of fuel Multiple dwelling / Number of units o. of fireplaces to be installed a,&; * . P ill a wood stove be installed? >, * Permanent occupancy entral Air conditioning? ,, * Transient occupancy * Business U1LDING STYLE, PRIMARY STRUCTURE *' Industrial aanch. Contemporary Log cabin * Other ' If addition, what will use be? aised ranch Mansion Duplex plit level Old style Bungalow * ape Cod Cottage Other * ACCESSORY BUILDING- olonial Row Town House * Detached garage/one car/ two car/ car, ( CIRCLE ONE PLEASE ) * Attached garage/one car/ t.yo car/ 7' 0 car * * * * * * * * * * * * * * * * * _Private storage building ?STIMATED MARKET VALUE OF . * Other !ONSTRUCTION * $-JJ.2..4 C-a .. NFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! 'orm BPA 4/86 and-vl • BUILDING PERMMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe,etc. Will any second-hand or ungraded lumber be used? If so, for what? Foundation wall material ,' , ,,<-�rw. ,.Thickness f ' /u Y Depth of foundation below grade (to bottom of footing) ?''i Will there be cellar? ye Heated or unheated? vA,46,1-9, 1loor sq. footage sq ft Will there be a basement? _____Will any portion be used as living space? QA , (If so, what portion? sq.ft. - - Type of use? Type of roof - sloped/flat/shed/other Shred Material. of roof ,gsp),,,r Size, wood studs a "X , " spacing "o.c. length 1=.'eft. Joists(floor beams) 1st. floor .1 "X , " spacing span /.1 ft. Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft. Overlays(ceiling beams) "X " spacing "o.c. span ft. Roof rafters "X " spacing o.c. span ft. Roof trusses(pre-engineered) spacing J4, "o.c. span /. ft. Exterior wall finish v ; ., �� Of what material? Interior wall finish If a garage is to be attached, describe materials to be used for FIRE SEPARATION: d+'r .�.,•' Is there to be an opening between garage and dwelling? If so will a Fire-raced door, enclosure, and self-closing device be provided? w s will a flue-lined chimney be installed? '-c> Height above roof ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ft. in. Water supply - Municipal or private well 41 vwic,00,/ • SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties ft. (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury AFFIDAVIT STATE OF NEW YORK County or Warren I swear that to the best of my knowledge and belief the statements contained in this application, together with the plans and specification, submitted, are a true and complete statement of all proposed work to be doneion the described premises and that all provisions of the BUILDING 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 authorized by the owner. SWORN TO BEFORE ME THIS Signature__ .. er, owner's agent,arcnitect,contractor day of 19 I Notary Public, Warren County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: • By •r 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 //01/ L7 - 220 7 2 . Type of heat klEcrxic ,, 3 . Is the building mechanically cooled? No 4 . Percentage of area of windows and doors 11, Z l ccyy 0 A. Over 16% Only 1 . U 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 exposedA6o3ambient conditions 2 . R value of exterior walls " Z5-- 3 . R value of glazed area /l 3.3 4 . R value of doors R /9• '7 P� Zf- 5 . R value of floors over unheated spaces , � 6. R value of slab edge_ insulation - unheated slab N/? 7 . R value of slab insulation - heated slab /V /T 8. R value of heated basement/cellar walls (above grade) 41,4 9 . R value of heated basement/cellar walls (below grade) N AL 10. Type of insulation l;.be,'C'9 Lai f -14 f e' a.rn C. Controls �Do 1 . Thermostat maximum heat setting D. Duct Systems 1 . Is duct system installed in unheated spaces? YES 017) 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 0 F. Service Water Heating 1 . Performance efficiency 43,a 2 . Temperature control setting maximum 14.0 G . For Swimming Pool Only 1 . Maximum heating Telephone No. applic ' s signature) APPROVED • 0 tvtt. of aiesad'l VU DAT APPLICATION FOR SEPTIC DISPOSAL PERMIT ZONING& DLDG CODES DEI'f. Witt Of QUEL141/UitY DATE'. A'fl • 00 O / 'C LOCATION OF PROPERTY FOR INSTALLATION 4j//9 /2/4p /jjQ,//, 6(en f /// Owner's Name: /!,` /7/4 s Telephone: 7 PeF"- f/2 _ Address: //rf /C�P /2 ae/4,/J.(1., G/e/zi /c// /✓ /.26P-D/ Installer's Name: - ' �^ — Telephone: 77k.. 6,/i eJ Number of bedrooms (residential only) _ 41 Total daily flow (compute @ 150 gal per bedroom) _ al, OO Topography: circle on : Flat Rolling Steep Slope % of slope _ Soil Nature: circle on . Sand Loam Clay Other / Depth: feet Ground Water: At what depth? feet Bedrock or Impervious Material: At what depth? _ feet Percolation test: circle one: .no required , - equired / rate min. inch. . Domestic water supply: circle on Municipal Well Other : IF domestic water supply is a Well: Separation: Watersupply from Septic absorption feet PROPOSED SYSTEM: Septic Tank /'00 gal. (minimum size: 1,000 cal.) TILE FIELD: Each Trench 5-O feet / Total system length feet SEFPAGE PIT(S)- Nd imbe. of---,9------/—S.i4.4-e44c-14 fverby feet Size of stone to be used it 2 / Depth or Thickness _2 "J feet * * * * * * * * * 45 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * IMPORTANT ...Please...LIST NEW EQU1PMLN'1"11O BE INSTALLED * * * * * * * * * * * * * * * * * * * * * * * * * * * * 44 * * * * * * * * * * * (over) r r • Section II Septic System Inspections: A. All applications for septic system installation, alteration or repair, as required by the Town of Queensbury Sanitary Sewage Ordinance, shall be submitted to the building Department at least Z4 hours before start of construction and shall include a plot plan showing: 1.) the proposed location of 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 the installer 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 Queensbury Building Department before further construction. 1 have read the regulations above and agree to abide by these'and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of responsible person: , Date: • Town of Queensbury Building and Code_Department • Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 • I • '1 1• -I Is, II TOWN OF QUEENSBURY "._------ BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST F7 INSPECTION RECEIVED /. ' - !,_,j , L` NAME _l%c,C!_-C1,' 7/GZ ,e.cZ-' 7 LOCATION `,/ 61 DATE !,' -/�/- , `� PERMIT # �,�' �5 `� APPROVED YES NO FOOTING/PIER MONOLITHIC PO FORMS FOUNDATION/DAM PROOFING BACKFILL APPROV ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-I INSULATION: d�t FOUNDATION / FLOORS WALLS 1, 1 CEILING "iNAL INSPECTION: CHIMNEY HEIGHT ROOFING 4 10 SIDING !� EXTERNAL PORCHES/ST .`S ''4,, I/` STAIRS-CLEARANCE & ''ILS V PLUMBING FIXTURES ='ELIEF VALE i0 INTERIOR TRIM/PRACY DOORS FINISHED FLOORSi y" GARAGE FIREPR.t:'ING V DOOR CLOSER(S,,` k SMOKE DETECTS S J FFINAL ELECTRI •L INSPECTION ,FINAL APPROVA OF CONSTRUCTION `' A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OB41'AINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: -5 ae CA. rmiltil ,. 7 e /er -' /(-1 CN/ (ti('' Sp re I /Or r,. INSPECTOR or a Jotun of Queensbury BUILDING and ZONING DEPARTMENT /� Bay and Haviland Road, R.D. 1 Box 98 Ai ` Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION /' • NAME /iZ a. / (~�/ G1 --a--' LOCATION -4/7 / .�CC:,, DATE �"r .'�0 PERMIT NO. L"�, "�S ` SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of\SYSTEM: Absorption field, total length (011 Length of 'each trench j0 Depth of trenches i- Size of gravel 0 '9.., SEEPAGE PITS{Ntimber of) Size- ft. X ft. Gravel size PIPING: Size Type Bldg. to tank 9 MK Tank to dist. box 1 1 Dist. box to field/pit 4M Openings sealed? (! NO Partial LOCATION/SEPARATIONS: Foundation to tank (' ft. Foundation to absorption 11) ft,. Absorption to lot line iQ ft. Separation of pits ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - ear Left side - Right side - COMMENTC^.-- y La (( II jiiS�r (011i ` ' ? _�\ 040 $ x \'', I SYSTEM USE APPROVED `+ j O $ I� fit..er f Bui d Y.Y Inspector 01/86 and vl w 4 c-7 Jown of Queenitur 1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME ,' (1. / 44 - '_? LOCATION ( // �j-e��` Date -. >/, 1- Permit No. j- -, 1/9 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NW' oting/Pier Forms �/ Fdation V4 (Waterproofing 1— Backfill Framing Roofing Siding Masonry Vene r Rough Plumbin Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney \ 1 INSULATION: Foundation Floors Walls / Ceiling __ , FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (cal when rea y) Remarks- i t O-, 1 U��1 L46K6WIL/ 6PFle i • Building Insp_ or 6/86 and-vl