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1987-671 4 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Dade Heceinber 14 , 1967 8 7-G 71 This is to certify that work requested to be done as shown by Permit No. has been completed. One Famiiy Dwelling Thisrc etnactur may be occupied as a Location 1YT-G 20 Hidden Hills Drive Owner Sohn meat' BY Order Town Board TOWN OF QUEENSSURY / Building & Zoning Inspector r ... l i � l ------------ j T E M P O R A R Y +GATE CIF OCCUPAN rCY CERTIFICATE I TOWN OF +QUEENSBURY k WARREN COUNTY, NEW YORK Date December 11 , lq 37 i g7 --G73. + This is to certify that work requested to be done as shown by Permit No. i I has been completed. I This structure may be occupied as a One Family Dwelling — Lot 20 Hidden Hills Dr . Location John Heath (.''ironer Temporary C / O issued for 30 Days gy [ der Town Board pending Final Electrical . TOWN OF +QUEENSSURY i j BuRding & Zoning lnapwtor I BUILDING PERMIT TOWN OF QUEENSBURY � A No. 87-67 ! WARREN COUNTY, NEW YORK z C} PERMISSION is hereby granted to John Heath w OWNER of property located at lot 20 Hidden Hills Street, Road or Ave_ j' N in the Town of Queensbury, To Construct or place a One—Family Dwelling o 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. t. OWNER"S Address is Box 92 RD 1 Whitehall , N . Y . 12887 x ro 2. CONTRACTOR or BUILDERS Name p' rt Same 3. CONTRACTOR or BUILDER 'S Address 4_ ARCHITECT'S Name r 0 rt tv a 5. ARCHITECTS Address N• is Ca. m 6. TYPE of Construction — (Please indicate by x) F-G f x} Wood Frame ( ) Masonry ( } Steel 7. PLANS and Specifications No- 28 ' x 64 ' per plot plan , specifications and application including Septic system and attached one car garage c� . S. Proud Use to One Family dwelling w $5 . 00 CIO tj $ 96 ' 00 PERMIT FEE PAID — THIS PERMIT EXPIRES May 1 } 19 88 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the w town of Queensbury before the expiration date.) cry Dated at the Town of Queensbury this 8th Day of October 1987 SIGNED BY - / / GL C L..; _ et C' '✓ for the Town of Queensbury Building and Zoning Inspector �Oe. f To BE COMPLETED BY BLDG . DEPT . � Application No . TOWN t::a * ;?own ©/ Queen31"ry Permit Issued 19 "-'r ! h . ` r I ? `IV1 ii N BUILDING and ZONING DEPARTMENT Permit Expires19 � � ��,) 1� L3 � $ Bay and Haviland Road, R. D_ 1 Box 98 Zoning Designation SEP 24 1007 Oueensbury, New York 12801 'Variance No . /f Site Plan ew No 11 Approved . a'1 - +/+j/, � � �j► t APPLICATION FOR / ' f 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 . __ ___- -�/-- f _ The owner of-this property Ti s _ C! /� P . O. Address �c� i' G TE/ .� �-.G� ii. ,.°. 40!0G , - z- `'y ram Tee .ram 5- Property Location : A "%/ z 4f- Tax Map Street number or building lot number Subdivision name ( if applicable) J 1 � ` "' e: � 4!1 THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : Name P . O. Address Tel . o . L ` Address ,� 2 GC' / .cx/p ;-A! G Tel . /:;v Name of builder / �z/ s� r Name of plumber_ Ji Address // Tel . r Name of mason NATURE OF PROPOSED WORK : ZONING INFORMATION : Construct , Construct-ion of a new building A PLOT PLAN MUST BE PREPARED AND SUBMITTED 6W4 _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 _ <a� ft X '� ' £t . Existing building ( s ) Size ft X ft . rt PROPOSED BUILDING AND USE : * Existing building ( s ) Use �f t Size of new structure F £t X Foundation-pier/slab/crawl/partia /full Proposed building , distance from property line (circle. one) Front yard �/ 2 o ft Rear yard ft No . of stories (habitable space) Side yards -!a ft and ft Height ( grade to ridge ) / /..h ft . if on corner , setback from side street ft If residential , no . of families ^ OCCUPANCY INFORMATION No . of rooms ( excluding baths ) No. of bedrooms _ PRIMARY BUILDING - No _ of bathrooms One family dwelling Primary heating system Two family dwelling Type of fuel_ „ f Multiple dwelling / Number of units No'o of fireplaces to be installed Permanent occupancy Will a wood stove be installed? Transient occupancy Central Air conditioning? „ Business � NG STYLE, PRIMARY STRUCTURE Industrial * Other nch Contemporary Log cabin If additionp what will use be? Raised ranch Mansion Duplex Split level Old style Bungalow Cape Cod Cottage Other ACCESSORY BUILDING- Cape garage/bUT::>nqI two car/ car Colonial Row Town House car Attached garage/ two car/ ( CIRCLE ONE PLEASE ) � * * x * * * * * * * * * * _Private storage ESTIMATED MARKET VALUE OF Other CONSTRUCTION QC9 INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED : Form BPA 4/86 Ind-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . � �i-a Will any second-hand or ungraded lumber be used.? If so , for what ? + Foundation wall material +� Cp c , y��?7 � Thickness S� Depth of foundation below grade (to bottom of footing ) Will there be a cellar?5�Heated or unheated? ,, yfi�Floor sq. footage sq ft Will there be a basement . mill any portion be used as living space ? a4- - C" 2 ( If so , what port ' ? sq . ft . - - Type of use? Type of roof - sloped flat/shed/other Material . of roof r f Size , wood studs 7 "X " spacing 1 & " o . c . length ft . , Joi is ( floor beams ) lst . floor _ 7 „X� ©-" spacing / ,bra "o . c . ft . Joists ( floor beams ) 2nd . floor NIX 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_,Ly."o . c . span , 4Fo''ft . Exterior wall finish / Of what material? Interior wall finish If a garage is to be attached , describe materials to be used for FIRE TAN : Is there to be an opening between garage and dwelling? If so will a Fire-rated door , enclosure , and self-closing device be provided? Will a flue-lined chimney be installed.? Height above roof ft . Depth of chimney foundation below grade ft . Depth of firepla=ce th ft , in . Water supplyr-...y.- al or private well SEPTIC SYSTEM _ 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 County of Warren A F F I D A V I T STATE OF NEW YORK I swear that to the best of my knowledge and belief the statements contained in this application , together with the plans and specifications submitted , are a true and complete statement of all proposed work to be done on 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 SignaturC_ -,��� �'--------------------------- er , owner ' s agent , arcnmT ect , contractor day of 19 Notary Public , Warren County , N . Y . * * * * * * * * * . * * * * * * * * * * * * * * * * * * * * * * * * * * * IN SPECIAL CONDITIONS OF THE PERMIT : 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 : / r 1 . Gross floor area J � / 2 . Type of heat L�-�S /�" /' �,r•�v,.. 3 . Is the building mechanically cooled ? /v c9 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 ? 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 _ 2 . R value of exterior walls f4r-- U l 3 . R value of glazed area 12 Z d - -- 4 . R value of doors d d/ 3 S . R value of floors over unheated spaces 6 . R value of slab edge insulation - unheated slab ,/r7 7 . R value of slab insulation -- heated slab- $ . R value of heated basement/ cellar walls ( above grade ) A'/ /e4;� 9 . R value of heated basement / cellar walls ( below grade ) /&' / 10 . Type of insuIationY C . Controls 1 . Thermostat maximum heat setting_ r ------ D . Duct Systems 1 . Is duct system installed in unheated spaces ? 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_ �t;L.., 2 . R value of pipe insulation F . Service Water Heating 1 . Performance efficiency. p 2 . Temperature control setting maxi/mum G . For Swimming Pool. OOnl / 1 . Maximum heating. r1 r Telephone No . ell�_ 3 ( applicant , s signature ) APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE LOCATION OF PROPERTY FOR INSTALLATION Owner's Name: �t]Ltlr �^�''f'� Telephone: ,j 40p, J Z3 Address: / ,r fi+✓ r /� ' 5 '�'v''� / /� drrF' Installer's Name& et6.V &400,o . oe / Telephone: Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) �� Tvpcgp*aphy: circle one: Flat Rolling Steep Slope of slope Soil Nature: circle one: 6and Loam Clay Other / Depth: feet Ground Water. At what depth? Z feet Bedrwa,ck or Impervious Materials. At what depth? feet Percolation test: circle one: not required required / rate min. inch. Domestic water supply: circle one: Municipal Well Other IF domestic water supply is a 'Well: .,ry Separation: Watersupply from Septic absorption _ �/yF feet PROPOSED SYSTEM: Septic Tank _A"O _ gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench 6'AP feet / Total system length G,GOeP feet SEEPAGE PIT(S): Number of / Size each feet by feet Size of stone to be used # _ / Depth or Thickness � feet I M P O R T A N T ...Please...IIAST NEW EQUIPMENT TO BE ]INSTALLED (over) 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 24 hours before start of construction and shall include a plot plan showing: 1 .) the proposed location of the system Z.) 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. I 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: Dater Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SETTLED 1763 HOME OF NATURAL BEAUTY . . A GOOD PLACE TO LIVE j/} eeeeresur t ai /Y7 7owti O Ef' +kRTMENT fG� I f { BUILDING and ZOt_4jN DE PAR Box 98 ay and t{aviland New York 12801 Queensbury. CIO au , L. [7 t NG INSPECTOR S REPOS2T NAMES r , , .-7 �.ems.-✓!' 'r Lo C A.Ti ION 47 .7 ijt No *Date * APPROVED - YES No I poring/1'1er Forms l.oundation Waterproofing Back f i 11 Framing 0o f i.ng Siding Masonry Veneer �-- Rough Plumbing --- laelief Valves �_�__ --- t . porches - nfished Floors ter io r Tr i m _--- Stairs & Rai-1 inC3S___ --- Cellar Llrain Tile ---� Floors___---- pncrete "^�lg . ar . Fireproofing t�ch Closers Detectorsimney INSULATION Foundation Floors Walls ceilinq_ IC INSPECTION -- r --- F IN AL EI ECT RIVEWAY A PROVA -- - �al But frig Survey doled inspection � call when ready ) Next sc Rernarks- BHA "" fL 8ui1 }nq Inspector G/86 and-VI J"otcirt of Qt4eenit " ry MENT j3UtLDING and ZC1r14h1a DE�ARTgox 98 Bay and Hayiland R w Yo kD12801 aueensbury. BUILDING INSP CTOR ' S REPORT NAME 1, ocAT I ON }+ f rt f f Permit No * f ' i Date Ir - * * * * * * * '` * * }/* = * PPPRCFVED - YES NO Footing/pier Forms Foundation waterproofing , Sacic£ ill Framing Roo£ ing Siding _ Masonry Veneer Rough P bing.__-__-------. �--- Relief V Ives`_,..___- ---�.�- Ext _ porc es Finished F c)ors Interior Tr Stairs & Rai ng] e Cellar Drain �---- Concrete Floors Plbg . Fixtures___ Gar _ Fireproofing Door Closers Smoke Detectors himney tc� N SCS LAT ION * Foundation �rFf�loors �Tr`io� TIs l� it in'3__-- INSPECTIOI3 FINAL ELECT RA DVt7.v WAY APP ()V survey ~- Final Buildi S Next schedul ed insp ection (call when rQadY3 Remarks- Building Inspect 'r 6/86 and-VI I �eteeres � u►'+e� 6L34LL1fNG and Z01SlNG D Box 96 BaV and fiavifandi Boo w York 12eoi QueensburV, i t NSP C� ` REPORT it- DING I AME I.00AT l ON /! j � permit No - DateIk * * * * * * * rr APPRC)UED YES No Footing/pier Forms Foundation WaterProolinq 9a kf ill C,oi raming Roof ing Siding T4asonry Vene r�- — - _------ tw gy Plumbin Relief Valves -- --- -_ `�-_-�_ Ext . porches Finished Floors Interior Trim Stairs & Railin main 'T e Cellar Concrete Floor V17003 , Fixture Gar . F ir'eprpo ing Door closers Smoke Detec rs Ch i rnn ey i14 SU L,AT-I ON FoundatiOrk ploors Walls Ceiling FINAL, FLE 'R7CFsL iNSPEC'I`IQ gR1VEWAY A pAOVAL Final Bull ing survey Next scheduled insP ction a Ccall when ready) Remarks_ wilding inspector 6/86 and-vl � ✓pWli U� Et�k' Rlt �� lll 1 4 BUILDING and ZONING DEPARTAAENT L gay and Haviland Road, R.D. 1 Box 98 / ] ()ueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION LOCATI44 ry PERMIT Nom f ' i DATE f - clay R � SOIL TYPE t9nd Loam t Required? YES percolati.o - Min/Inch Percolation rate - TYPE of Sy STEM= total lengt Absarpti.on f �hltrench Length Of Depth of tr nches Size of gra 1 � ----� -�- SEEPAGE -PITS Number ) Size- fto X Gravel size Size Type pIpING : 0 to tank w Tank to dist_ bo _ 1� V. Disto box to f iel / r�S NO partial openings sealed? L0CAT3:(7N/SE'PA I fto Foundation to ank ft. . -roundation to absori __�ft . Absorption t lot linne ft. Separation f pits Ty (circle one) { SYSTEM PfftoP rent Re r - Left Side ght side - TS : i SYSTEM USE APPROVED YES NCS Boil n9 Inspector 01/86 and v'k _ JojVn o �ueens �ure� 51JILDING and ZONING DEPARTMENT Bay and Haviland Road. R. D. 1 Box 98 Queensbury. New York 12801 BUILDING INSPECTOR ' S REPORT NAMECj1,� LOCATION �" +r Permit NO , APPROVED - YES NO Footing/Pier Forms Foundation "Waterproofing s f Bacxfill 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 . Fireproofin Door Closers Smoke Detectors Chimney INsuLATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPCTION E DRIVEWAY APPROV'�ly Final Building Survey Next scheduled inspection {Call when ready ) Remarks- Build ng Inspector 6/86 and-vl ! �� . .Je;rwn o� �ueen.fbulr�r BUILDING and ZONING DEPARTMENT y and Haviland Road, R. D. I Box 98 Queensbury, New York 12801 a17L0 ING INSPECTOR ' S REPORT NAME Date A45p Permit / No . ✓ = - Footing/Pier Forms "PROVED YES NO �undation Waterproofing Sackfill Framing Roof ing Siding Masonry veneer Rough Plumbing Relief valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproof ' g Door Closers Smoke Detecto s Chimney INSULATION Foundation Floors Walls Ceiling FINAL ELEC CAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( call when ready ) Remarks-- / 44 6/$6 and-vl Building nspector. FILE THIS COPY WITH BUILDING DEPT. WHEN REOUIRED. BUILDING DEPT. COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS. CITY OR TAR DATE VILLAGE STREET AND NO. Ok4 TOWNS"IPA � - r 1,, ROAD AND FOLK NO. ,.y r ? ' ff , / f - �.r r'� " COUNTY F- r r': -'A,( BETWEEN WHAT TWO PRREMi�StR'EETS�S EO? Fr _ OCCUPANTS r • • NAME TION B K LOT BUILDING 4119 OWNERS NAME OCCUPANCY $SY PLIED r/t .�•'A : .�,�F 4, ./r dr f"'.r TEL. # !fw Why „t ✓rGi � I! �_ BUILDING - FROM THEIR[ f�-� IS �yry� OFFICE NEW 4�' OLD ❑ WORK �,�,�-- !S NEW L� Apdf T10NAL DEFECTS LOST BELOW ALL EQUIPMENT WHOCH YOU INSTALLED REMDveD ❑ LAUNDER OF OUTLETS No. of FOxw tat 6 LionLove LAI Reeeptecye MOTORS HEATERS BRANCH CIRCUITS CaYirq W� R�t Switch ArMIeM Bracket No. Type Wxeq OF ONLY SE X.P. Out. Each Nrti Each No. '",�;D* skit INSPECTION sub Best moot tat Ff. 20111 Fl. 3rd FO. REMARKS: LOST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE, DO NOT USE THIS SPACE, This epplic4tflM is intended to cIma, the YM are ewthor;ted to mike dw i ahDYe-IsTed equipment to be inspected but if at time of i SIZE OF and edjwst the Ise to coaar t/r additional wi rapsetfon thew is found addiNond MAINS a4 Prttent, as CroYidsll by the opok ent, e9w�Finatll not above listed, FEEDERS ELECTRIC SIGN CHARACTER LAMPS TOTAL OF WORK El(PDSED OAS TUBE SIGN WATTS WORK TO BE CONCEALED TRANSFORMERS OF STARTED IIVUMBER) VA SERVICE OVERHEAD COMPLEE TD SIZE OF SIGN (CAPACITY) ENTERS I O UNDERGROUND MAKER IIVSPECTlREOUESTEd OF SIGN ON SI A N POSSOBLE S AR AS AVOID DELAY BY GIVING FULL AND ACC URA7E INFORMATION. ALL SPACES NHM El OLD El MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME DATE OF NAME OF pDDRESg APPLICATION .r .. APPLICANT J SIGNATURE 7 / OF APPLICANT STREET ADDRESS .+e"A CITY OR OFFICE L..!'/F/ tl,+'.-� al..t ,/f" � '0 ,. TELEPHONE ZIP 7 __�--------- •o' --- CODE LlCEi� WHEN APPLICABLE 46 EL (REV. 1Ie6) A SEPARATE 'W APPLICATION MUST BE FOLEE) FOR EACH SEPARATE BUILDING 141LLS 0 H IWDJ H 1 LL S LbT 2D - [UT H r ST sc—lOf y) , 11lwKiOM! ��' OkTi «AJM tKa.