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1987-490
T CERTIFICATE CIF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK rrAA 4 Dace Oct . 30 19 87 ! This is to certify that work requested to be done as shown by Permit No. 87--490 has been completed. � t�t� e--tFannx. "On li #n This structure may be r `l LocationocLocationas a 4 Lcd)t 30 is Drive ( L dden Hil ? y } dift Owner R-' c g i'ard den By Order Town Board TOWN OF QUEENSBURY Ad, f ` Building & Ztrnins Inspector f i ;. BUILDING PERMIT � TOWN OF QUEENSBURY No. 87-490 � .z WARREN COUNTY, NEW YORK ;' PERMISSION is hereby granted to Richard Ogden OWNER of property located at Lot 30 Hills Drive (Hidden Hills ) Street, Road or Ave. .sa w in the Town of Queensbury, place a One—Family Dwelling - Ln To Construct or l 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 . O WN E WS Address is 7c1 Y- 2. CONTRACTOR or BUI LDER'S Name n fi5 John Heath Jr . G. cs ao 3. CONTRACTOR or BUILDERS Address R m Box 92 y Whitehall , N . Y . 4. ARCHITECT`S Name t-* 0 x rr 5. ARCHITECVS Address gal W rL o m � x r- N t!� 6. TYPE of Construction — (Please indicate by X) no tV *i f :4 Wood Frame { 1 Masonry l 1 steel I } ro T_ PLANS and Specifications ' No. 28 ' x 42 ' per plot plan , application and specifications $ including one-car attached garage , septic�rystem and driveway permit . a. Proposed Use m I One—Family Dwelling Y• ' C $5 . 00 W $ 96 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES February 1 , 19 88 ti {if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the � town of Oueensbury before the expiration date,) 0G Dated at the Town of Queensbury this 27th Day of July 19 87 SIGNED By for the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG . DEPT . [0j ueens6ur AApplication No . o y Permit Issued 19 JUL 2 219BI BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation BUILDING & CODE DEPT. Queensbury, New York 12801 Variance No . + Site P vie o . /JJy • Jf Apla d L^o A3e CC 1 J1 APPLICATION FORtV4 J� BUILDING AND ZONING PERMIT 717 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 : CG'//� f� 6.sp Ff:;:'' r✓' P . O . Address Tel . 26d�4 / z _ Tax Map No . / L / Property ocat ion : �� Street number or building loot number Subdivision name (if applicable) , �2 C� ei' ^Y' lzl/e c�- THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS % Name P . O . Address Tel . No . C.`41C� ( ,` 7 .- �eG�'� Name of builders '� ,��,.-,+'' �!'-�r�'..?''-' Address��.-a7.� ,gS /'�6 Tel . Name of plmber� ,fir or / Address Tel .,u j Name of mason �' .�'�' , O /9 Address Tel . Z NATII€2.�F PROPOSED Wt7RK : 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 LOCATION OF STRUCTURES AFFECTED . * of water supply and location and configuration of septic disposal area . * COMPLETE INFORMATION REQUIRED BELOW . * Size of property, p A ft X�ft Existing building ( s ) Size ft X ft . * PROPOSED BUILDING AND USE : * Existing building ( s ) Use Size of new structure 4?2—ft X Lott Foundation-pier/slab/crawl/partial/full * Proposed building , distance from property line (circle one ) * Front yard ft Rear yard J ft No . of stories (habitable space ) , * Side yards -ft and X0000 -ft Height ( grade to ridge ) _ /Te5 fto If an corner , setback from side street ft If residential , no . of families No . of rooms ( excluding baths ) * OCCUPANCY INFORMATION No . of bedrooms .j PRIMARY BUILDING - No . of bathrooms * One family dwelling Primary heating system roc. + * Two family dwelling Type of fuel Multiple dwelling / Number of units No . of fireplaces to be installed_Qfo� 4P * Permanent occupancy Will a wood stove be installed? lnLo0- 47 Transient occupancy Central Air conditioning? ✓ Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Other Ranch Contemporary Log cabin * .* If addition , what will use be? 3. sed ranch Mansion Duplex Split level Old style Bungalow Cape Cod Cottage Other ACCESSORY BUILDING- Calonial Row Town House * Detached garage/onb car/ two car/ -scar ( CIRCLE ONE PLEASE } * Attached garage/ n c /� c�i''•--pv� car * * * * * * * * * * * * * * * Private storage bui ding ESTIMATED MARKET VALUE OF * Other CONSTRUCTION 'S INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED1 Form BPA 4/86 and-vl 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 . Type of heat 3o is the building mechanically cooled ? 4 . Percentage of area of windows and doors A . over 16 % Only 1 . 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 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 ? �. Is basement heated ? YES NO a . R value of insulation 5 . Type of insulation B . Under 16 % Only 1 . R value of roof and floo-rs e 5ed to ambient conditions_ 2 . R value of exterior walls fr�•� 3 . R value of glazed area 4 . R value of doors 5 . R value of floors over unheated spaces 6 . R value of slab edge insulation - unheated slab�t'iT. 7 . R value of slab insulation - heated slab X 8 . R value of heated basement / cellar walls ( above grade ) pti 9 . R value of heated baseme n t/ cellar walls ( below grade ) 61Q /-e' 106 Type of insulation // A� �4- e �y?s - C . Controls 1 . Thermostat maximum heat setting D . _Duct Systems__ Y . Is duct system installed in unheated spaces ? YES N`O a . If YES , R value of duct installation b . R value of duct in other areas E . Piping Insu1_ anon 1 . Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F . Service Water Heating 1 . Performance efficiency 2 . Temperature control setting maximum G . For Swimming Pool Only ,. /f i . Max/imuum7 heating Telephone No . Lr� ! ( applicant ' s si nature ) Z //'40 r APPLICATION FOR SEPTIC DISPOSAL, PERMIT DATE 7 _ 'z r92 LOCATION OF PROPERTY FOIE'. INSTALLATION /ram^ /,/JQ�r'e(/ W+/ Ir�� p Owner's Name: /3r/„� 0 Vg�r`�00V Telephone: �'/ 9Z V I �" Address: { c, Installer's Name: Telephone.* Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) L{ .5 2 Topography: circle one: Fla Rollin Steep Slope %u of slope Soil Nature: circle one San Loam Clay Other / Depth: €eet Ground Water: At what depth? feet Bedrock or Impervious Material: At what depth? _ feet Percolation test: circle one: not required required / rate min. inch. Domestic water supply: circle one Munic% ell Other _ IF domestic water supply is a Wells Separation: Watersupply from Septic absorption — feet PROPOSED SYSTEM: Septic Tank 1, fop _ gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench 3`20 feet / Total system length feet SEEPAGE PIT(S) : Number of / Size each feet by feet Size of stone to be used # L"�-� / Depth or Thickness !t feet IMPORTANT ...Please...LIST NEW EQUIPMENT TO BE INSTALLED (over) T THE NEW YORK BOARD OF FIRE UNDERWRITERS �''"" to BUREAU OF ELECTRICITY January ►►pp�+,, / jjJanuaryFj s 1985 41 STATE STREET. ALBANY. NEW� LJ +� � l Date Application ,No- on file THIS CERTIFIES THAT only the eEectrical equipment as described bedose arsd introduced by the appUcant named on the above application number in the premises of Richard Odgen 11i11E1 DrLve Que+enabury , NY One family dwelling X in thefollowing location. 11 eirement ff lat Fl. ❑ Brad Fl- Section Block Lot was examined on and found to be in compliance with the requirements of this Board. fWTURE FIXTURES I RANGES ICOOKINO DECKS OVENS I NSH WASHERS EXHAUST FANS OUTUTS ECE"ACLES SWITCHES �NCJITK7ESCENT rttJOtESC£NT AMT. K, w, AMT- K. W. AMT. KW I AMT. I C w. AMT. I H. P. 18 31 15 18 1 4w6 3 1 fr DRYERS FURNACE MOTORS RJTUEE APMANCE FEEMRS SEECIAI.EEC'fT TIME CLOCKS I SELL UNIT HEATERS WA I tET DIMMERS SYSAMT. K- w- On H, P. GAS H. P. 16MT. S- AMT- H. P. NO. OF $al AMT- WATTS 1lowlgla 1 r er 1O SERVICE DISCONNECT No. of S E R V 1 C E AMT. AMP. TM 1 ,Yr sW I A aw 9 X Sw S.e iw AM" No- F�CONo. oP cc C +D. �N]- dP HbLEG -Hwj. , r1o, <W �rtuTtALt pF iF EAAL o CIO 1 1 —T 40EEdl r4laiiifft Heaters : 3/2 * Ow 1 / 1 . 1s 2/ 1 . 0 , 2 / o75 3- ct 1- detector John Heather RDI Box 92 WhitehalIg NY 12887 : BRANCH MANAGER Per This certificate must not be altered in any manner, return to the office of the Board if incorrect. Inspectors may be identified by their credsMiols. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. r; BUILDING and ZONING DEPARTMENT 4 Bay and Hawiland Road, R.D- 1 Sox 98 Queensbury, New York 12801 r �C�� 4 tJ BUILDING INSPECTOR ' S REPORT NAME L O CAT I ON Date149 r / _ Permit No _ APPROVED - YES NO Footing/Pier Forms Foundation waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim - - Stairs & Railings Cellar Drain Tit Concrete Floors Plbg . Fixtures Gar . Fireproo ' ng Door Closers Smoke Detect rs Chimney INSULATION : Foundation Floors Walls Ceiling FINAL$ ELE TRICAL INSPECTION — DRIVEWAY APPROVAI. Xinal Building Survey ---.. � Next scheduled inspection (c,ayll wh n ready ) Remarks- / / U Building Inspector 5/86 and-vl ._ /own of �ueens � eere� BUILDING and ZONING DEPARTMENT Bay and Haviland Road* R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S ) REPORT NAME ChG*et/ (� -'�f t✓t �.�+��" LOCATION �'' a Date= �rPermi t Na . * * * * * * * * * *soe APPROVED YES NO Footing/Pier Forms --� Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief valves Ext , porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney N SU LAT I ON Foundation Floors walls Ceiling FINAL ELECTRICAL INSPE T DRIVEWAY APPROVA; ,_ Final Building Survey Next scheduled insppectian (call when ready) Remarks- - Buildi nspector 6/86 and-vl �eai � _JDW�n D/ Quee" 39"rry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R .D. i Box 98 Oueensbury, New York 12801 EPTIC DISPOSAL SYSTEM INSPECTION NAME LOCATION T t r f I DATE PERMIT NO , SOIL TYPE - Sand - Loam - Clay - percolation Test Required? YES - O Percolation rate - Min/Inch TYPE of SY: ldr Absorption e total V " Length of ea h trench Depth of tre hes Size of grave SEEPAGE PITS{ er of Size- ft. _ f Gravel size PIPING : S z Type Bldg * to tank p _ Tank to diet . box Jf/ Dist. box to fiel Openings sealed? NO Partial LOCATION/SEPA IONS : Foundation to kt- Foundation to bsorption t . Absorption to of line ft . Separatio its ft. 1X)CATI S S ON PROPER (circle one ) Front - ear aft side - Ri ht side - CCaEIMEt3TS :� ! t A11V SYSTEM USE APPROVEDYES., NO Bu ' ding Inspector O1/86 and VI Cam. ._./own 01 �ueens � ure� pf©� BUILDING and ZONING DEPARTMENT Bay and Haviland 'Road, R.D. 1 BOX 98 oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION n Date/ ermit No . � APPROVED - YES NO Footing/Pier Forms Aproundation Waterproofing Backfi.11 gaming 3 Roofing Siding Masonry Veneer ugh Plumbin475iR lief 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 Cei1Ing FINAL 'ELECT AL INSPECTION DRIVEWAY APPROVAT. Final ;building Survey Next scheduled inspection (call when ready) Remarks- e-D6 q13 oe C� CIO . Bui ing Inspector 6/86 md--vl Ow � n O Q"ee" Jtlury r BUILDING and ZONING DEPARTMENT Bay and Haviiand Road, R.D. 1 Box 98 Queensbury, Now York 12801 5UILDING INSPECTOR ' S REPORT NAME orl LOCATION /� Date Permit NO . f "i o * * * * re * * * * * * * • * * * * * it +► . scNO "PROVED Footing/Pier Forms , Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief 'Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar grain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors walls Ceiling F INAI, ELECTRICAL INSPECTION DRIVEWAY APPROVAL -- Final Building Survey I3ext scheduled inspection ( Call when ready Remarks- Sui ding Inspector g/86 and-vl BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 CI JJ Queensbury. New York 12801 f � BUILDING INSPECTOR ' S REPORT NAME. LOCAT I ON Date J /?�7�yG-1/ perfmi t No . `7 APPROVED NO Meooting/Pier Forms Foundation Waterproofing Backfill Framing Roofing siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Rail.in Cellar Drain Ti e_ Concrete Floor Plbg . Fixture Gar . Firepro ing Door Closers Smoke Detec rs Chimney INSULATION Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION URIVEWA.Y APPROVAL Final Building Survey Next scheduled inspection (call when ready Remarks- ` Bui ding Inspector 6/86 and-vl BUILDING DEPT_ COPY OF APPLICATION FORM 46-ELF NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT. WI•IEN REOI.IIRED, ; /' 1 { A DATE r TEMP. � . Joe COUNTY ir'-.`'�' ��" CITY OR TOW'NS1i5P• r. VILLAGE POLE Ill,iiiiiiiiii STREET AND NO. OR S.rI�{ 1 f•' ! !r" ! ROAR ANQ POLE NO. .'� BLOGK LOT PC}IEM $TRL ETST+S QI BI,IILDfNG � NAME •• . � �' B PPLIEpi 1 It.} r" ,f'^ 1 +� J"t ARK �A,p4YT1 ONAL ❑ REMOV EO ❑ 1 IS NEW SUYLDING NEW 1�"` OLD ❑ YS LLIED LIST BELOW ALL Ef]UiPMElVT WHICH YOU INST BRANCH OFFICE USE . LLarap R"Pfaelr MOTORS HEATERS CIRCUITS ONLY NUMBER CYF OurLETS A_W.c. INSPECTION M.P. N4. E� No. Gals"n'en sum Attwd-ft III Frudwo stock" Cailinp Na YyP• Each Qua skN Sub- bomb Baar moot {et FL. 2nd FR. $.d FI- OO NOT US£ THIS SPACE- R EMAR KS: LIST OTHER ELECTRICAL DEVICES NOY SET FORTH ABOVE I ant to Lea in6Peeted but if at time of irKPeetion thatie K fat^d additional equipment not abovr listed, Itsted eqf� P+'n �y nt, a provided by [he ePPli�ant. This Xyphoalien if mlended xo aavatr the atwve- TOTAL Von we wlheri:ed to make the i�ypecgen arK1 adlusl lfla Fee [o collar t11e rddrno,wlELECTRIC SIGN WATTS q �r LAMPS SIZE OF ,, E MAINS EXPOSED OAS TOR SIGN VA CONCEALED TRANSFORMERS OF ICAPACITYY CHARACTER INUMBERI OF WORK EO SIZE OF SIG WORK TO BE N STARTED UNDERGROUN MAKER SERVICE OVERHEAD N,_ OF SIGN ENTERS lL 1 r� NEW p OLD INSPECTION REQUESTED _ yr„ ON OR AS NEAR AS +' pDSSR ASCUsA A^TE OF ION MUST BE AVOID FILLED INGIVING APPLICATION MAY BE RETURNEpT10N. ALL SPACES 'SIGNATURE ? PRINT NAM AldfjIADDRE SS..:- "' .�• / . �.► OF APPLICANT - _. WMI NAME OF r _ F9 APPLICANT TELEPHONE {'k # � ^ .� ,! / 1 zip LfCENSE NO. STREET ADDRESS r )F" }.?V �-^ f..--' �} Ir. CODE k �_� — —WHEN APPLICABLE C[TY OR /' A f - f"� POST OFF-ICE M" - RATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING ae EL tREv. Ilse) A SEPA f � r LA J �x t 135' E . ,I, .L _. � " � I I ,l t ■ t j r