Loading...
1987-758 Z 5I� I cERTinc A►.TE of C. .CUP NCY TOWN OF +QUfENSBURY WARREN COUNTY, NEW YORK Date March 14 , 19 88 ` .1 [ "" 87- 758 This is to certify that work requested to be done as shown by Permit No. has been completed. k This structure may be occupied as a One Family Dwelling 1A31CAti� ti .l 3 Hidden Hills Drive f Robert & Judy Guay Owner 4 By Order Town Board t jPrOWN OF QUEENSBURY k Building & Zonins Inspector 1 __� _... .-.-_ ..___ H z BUILDING PERMIT � TOWN OF +QUEENSBURY � No. 87-758 o WARREN COUNTY, NEW YORK t.0 ca PERMISSION is hereby granted to Robert & Judy Guay i M OWNER of property located at Lot 42 Hidden Hills Dr . Street, Road or Ave. in the Town of Queensbury, To Construct or place a One Family Dwelling 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. 0 ai t. OWNER'S Address is 5 Delaware St . 1711 7d Glens Falls , No Y . 12801 2. CONTRACTOR or BUI LDE R'S Name tzl Matthew Clark 3_ CONTRACTOR or BUILDERS Address 10 Sycamore Dr . Glens Falls , N , Y . 12801 4. ARCHITECT'S Name r 0 rt .4� N 5. ARCHITECT'S Addre" YL G. PLO 6. TYPE of Construction — jPlesse Indicate by X} r-' t-r { YVVood Frame l } Masonry l } steel { > c' t$ 7. PLANS and Specifications No. 28 ' x 44 ' as per plot plan , specifications and application including septic system, attached two car garage and driveway permit ' S. Proposed Use One Family Dwelling VD LU B w $ 5 , 00 C/O 101 . 0Q .Tune 1 , 1988 0. $ PERMIT FEE PAID - THIS PERMIT EXPIRES (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the m town of Ciueensbury before the expiration date.I ~ Dated at the Town of Queensbury this 6th Day of November 19 87_ � SIGNED BY _ / �' /G G€ / 4 for the Town of Queensbury RuiIdingand Zoning Inspector TO BE COMPLETED By BLDG . DEPT . ' Ct�� // Application No , !� iCT i fouvn of Queen36ur y permit Issued 19 h BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation p __ . I.'..r. . Queensbury, New York 12801 Varianc o. . }'� �� ✓o site an Revie No / APPLICATION FORad BUILDING AND ZONING PERMIT r 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 : F=a h ' ri P . O . Address ,� L� ,a4 tar G 5 i Tax. Map No Property Location : L � f I DOEr� ILe } �fz 1 1iz Street number or building lot number Subdivision name ( if applicable) I fJ Fd i 1 THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : 7 1 $ - 3 t+ c.a S Tel * N4 . Name P . O . Address Address SY� a Tel . Riu P FS 31E45 Name of builder I1/1 �1i Ti f r u ' I A +� �c Tel . 74q Name of plumber bpl� Rtr +t�xR Address i- IJD �o/- � LA1S Address r - IJi ., e i �- Tel . e�y a - n ,oz_� Name of mason_ } PT"� t t F+ft+) —� `` ' ' NATURE OF PROPOSED WORK : ZONING INFORMATION : t- "' onstruotion of a new building A PLOT PLAN MUST BE PREPARED AND SUBMITTED , Addition to a building drawn reasonably to scale and attached hereto , showing clearly and distinctly all buildings , Alteration to a building proposed and indicate all (no change to exterior dimensions } whether existing or set-bads dimensions from property lines . Give. Other work (describe) 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 f15` ft X rz d ft . Existing buildings) Size ft x — ft . PROPOSED BUILDING AND USE : Existing buildings ) Use � ft - - Size of new structure Z ft X`b * proposed building , distance from property line Foundation-pier t /slab/crawl/parial ul , p ft (circle one) Front yard � 41 ft Rear yard j No . of stories (habitable space) f 15S ft and ft Side yards Height ( grade to ridge ) y � F ft , if on corner , setback from side street_ _ � ft If residential , no . of families I OCCUPANCY INFORMATION No . of rooms ( excluding baths) _ h No . of bedrooms PRIMARY BUILDING - No . of bathrooms . ,One family dwelling Primary heating system o nA Two family dwelling Type of fuelIIII" Multiple dwelling / Number of units �r No . of fireplaces to be installed — * permanent occupancy Will a wood stove be installed? ! `7 Transient occupancy Central Air conditioning? r Business BUILDING STYLE, PRIMARY STRUCTURE Industrial � Other Ranch Contemporary Log cabin if addition , what will use be? "'�isecl Duplex ranch Mansion P Split level Old style Bungalow Other " ACCESSORY BUILDING- Cape Cod Cottage car Colonial Row Town House Detached garage/one car/ two car � car ( CIRCLE ONE PLEASE ) '-rp ttached garage/one car/ tvao car Private storage building ESTIMATED MARKET VALUE OF * ~Other CONSTRUCTION ,rav INFORMATION ON BUILDING SpECIFICATIONSr ON REVERSE SIDE OF THIS SHEETr TO BE COMPLETED ! Form BPA 4/B6 md-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , 6iood fry , fire safe , etc . Will any second-hand or ungraded lumber be used? if so , for what ? /�) c:7 Foundation wall material � Thickness " Depth of foundation below grade (to bottom of footing ) Will there be a cellar? yr-,5 Heated o unheated? Floor sq , footage� y j� sq ft _ _ Will there be a basement? � . 5 will any portion be used as living space? ( If so , what portion? --. sq_ ft , - - Type of use? - .. Type of roof - ope /flat shed other Pita �?� G t +l � rYsd� !i G7 S �+ iNL } '�___.--d' /'r / -- Material of roof Size , wood steac3s� spacing "o . c . length ft . Joists ( floor beams ) lst . floor Z NIXX to PIspacing f6 " -C . spanp3 7 £t . 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 _ .hoof trusses (pre-engineered) spacing -_" o . c . span ft . Exterior wall finish c �-a p l,N p� Of what material ? , r Interior wall finish H F_f-L04 cA If a garage / is to be attached , describe materials to be used for FIRE SEPARATION ; Is there to be an opening between garage and dwelling?_�r'� 5 door , enclosure , and self-closing device be provided? If so will a Fire--rated- --�G Will a flue-lined chimney be installed.? Height above roof --. ft , �- Depth of chimney foundation below grade — ft . Depth of fireplace hearth — ft: in _ Water supply - 01 nicipal,or private well SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties N" ELeS ft . (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury County of Warren A f 1- F I D A V I T STATE: OF NEW PORK 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 Signature �_� --� _ .- - -��'- Owner , owner " s agent; ircnirec. . , contractor day of 19 Notary Public , Warren County , N . Y . SPECIAL CONDITIONS OF THE PERMIT : By 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 : e� 10 Gross floor area 2 , Type of heat C-AS H o ~ (^-'P) �i�- IQ, 3 . Is the building mechanically cooled ? F 4 . Percentage of area of windows and doors Ji43 A . over 16 % Only 1 . U value of gross area of walls , roof / c i. ling and floors exposed to ambient conditions 2 . Floor over heated spaces �YtS NO a . Are foundation walls .i-2%isulated ? YES NO 1 , If YES , what ip-'"the R value ? r 3 . Slab on grade Y NO a , if YES , whit" is the R value of insulation around per imeteie-` of floor ? 4 . Is bas % "ent heated ? YES NO a . ,Rt value of insulation 5 . -'Type of insulation B . Under 16 % only 1 . R value of roof and floors exposed to ambient conditions_ 3K 2 , R value of exterior walls �� � .S7 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 7 . R value of slab insulation - heated slab 8 , R value of heated basement / cellar walls ( above grade ) != J � 9 . R value of heated basement /cellar walls ( below grade ) k �?L 10 , Type of insulation F C , Controls 1 . Thermostat maximum heat setting f 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 . Piving insulation 1 , Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F , Service Water Heating 1 . performance efficiency 3 � 2 , Temperature control setting maximum 1 +¢ c7 G . For Swimming Pool Only 1 . Maximum heating f Telephone No . ( applicant ' s signature ) .mow. of Qe4Md6WP APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE t LOCATION OF PROPERTY FOR INSTALLATION G �a i _ � H l H S A pzt V� Owner's Name: P-06 I -- it :T oDy Telephone: Address. Installer's Name: 1? 14\J f, Ho PAi2 Telephone: r 4't 2 — 42 Z 2-L-- Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) S� Tcspographq: circle one FI Rolling Steep Slope % of slope Soil Nature: circle one• Sa a nd. Loam Clay Other / Depth: � feet Ground Water: At what depth? Na, Afr � feet Bedrock or Impervious Matevial: At what depth? J` feet Percolation testa circle one:( not requires required / rate min. inch. Domestic water supply: circle one: Mu(� nici al- Weil Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption _ feet PROPOSED SYSTEM: Septic Tank ( 0C 0 � gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench S� feet / Total system length 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 E UIPMENT TO BE INSTALLED (over) Section I1 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 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. Co 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. j Signature of responsible persons Date: Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SE `fTLED 1763 . . . HOME OF NATURAL BEAUTY . . A GOOD PLACE TO LIVE fij 14"O"aton 401 Qu ( {I ; BUILDING and zoNING DEPARTMENT Bay and Havifand Road. R.D, i Box 98 Queensbury. New York 12801 BUILDING INSPECTOR ' S REPORT L o C A T I ON .�yy' DatePermit No . �� fV � + APPROVED - YES No Footing/Pier Forms Foundation waterproofing Backfill Framing Roofing Siding Masonry veneer — --- Rough plumbing Relief Valves Ext . Porches `~ Finished Floors Interior Trim x Stairs & Railings Cellar Drain Tile _ Concrete Floors plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors walls Ceiling FINAL ELECTRICAL INSPECTION_` DRIVEWAY APPROVA nal Building S rvey - Next scheduled insP ection (call when ready ) Remarks- to- / /106- Building Inspector 6/86 and-vl MIDDLE DEPARTMENT INSPECTION AGENCY, INC. ' ^ �IQIO ..yHyw_didion Mvmme Colllnyfwaod. PC 08146 N yt_ Date March 4 , 19$$ `. "a roved as being in accord C�er tit i that theelectricai equipment listed has been exarrainec! and Is approved with the National Elect j bode,lapplicable governmental, utility and AgeneY.--es, occupancy: . Uwe i i } ri g owner: Robert Guay r occupant., � e _ y ment an inata flaSi4n insRecled this v r:+ii•"� ry (; } } {''XY m'$ � ricb`Se covers LM e1dGrI�W+�P �nxra5ucad or *iterations made ro Location: Lot# 4 2 H 7 d d e ri `. H i s s Q u e $ b a ry dare. if additional ey..lpmant, ah�yflJ be hcanon for 4. : ,y existing sYztem this CaitNrCaCe sil be null and void, and aPP F ' inspectinn should be suhmitfed DrsrFaptly to th is ^$jency. �' ant same to his property insurance carrier Equipment: - Recep �atrle x2QQ- �tiiilp . S�rVIC� � ? Nddar of this ceftir4cat. snouw pia ni n.em approved ,a .`^. (agant or comPanY)as avldance of dertifYcation CIC aleCtncal ery P as specitied- . N John Jacobson - - " APp►leant: Bo>+. # 2203 ., re:. ,�; No . 15- g1 $784 Lake George , New York 1Z4� � Faenl No 7tpl(f EL 143 CC--�� uperes6etre�f 1 SU1LDtNG and ZONING DEPARTMENT f gay and Haviland Road, R.L7 . 1 8ox 98 ()ueensbury, New York 12801 BUILDING INSPECTOR ' S REPOPT NAME L� I.c mot' .0 Il--5--- — LOCATION nT, 7i _-_l perm Datei.t No . I. f ' q AppROVED - YES NQ Footing/Fier Forms Foundation Waterproofing Backf ill Framing Roofing siding + masonry Venee Bough plumb in Relief Valves Ext . porches Finished Floors Interior Trim stairs & Railings cellar Drain Tile concrete Floors ply - F ixture s Gar . Fireproofing Door closers Smoke Detectors Chimney V/fN SU LATION Foundation Floors I walls � . Ceiling FINAL ELECT CAL IN SPEC ON . DRIVEWAY AP R,oVAL Survey �- Final Bull Next scheduled Inspect (call when ready ) Remarks- � Building spectar 6/Sb and-vl Jnurn o� �upens � ure� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury. New York 12801 BUILDING INSPECTOR ' S REPORT �C NAME } LOCATION r' ! _. APPROVED* -* YES* NO Footing/Pier Forms Foundation waterproofing Backfill ' F rarni ng Roofing Siding Masonry Vex► er Rough Plumbi Relief Valves Ext , Porches Finished Floors Interior Trim stairs s Railings Cellar Drain Tile Concrete Floors Plbg _ Fixtures Gar . Fireproofs g 'moor closers Smoke Detecto S Chimney INSULATION Foundation Floors Walls Ceiling F Ii3AI. EL TRICAL IN SPECTI DRIVEWAY PI'ROVAL Final But ding Survey - — Next scheduled inspection (call when eadY }~ Remarks-- ,a'�S/ 'IZV /3 1 / �F7� C/2rG2 oat �i/t��Yt1/lK ?/ r7 � • � 37� G2dTlrC Building Inspector 6/a6 and-vl _town of Queens1ex ,-ear :ffIC LDING and ZONING DEPARTMENT nti Haviland Road. R.D . 1 Box 98 C)ueensbury, New York 12SO1 SE pISPOSAL SYSTEM INSPECTION LOCATION DATE / - PEWIT NO . SC?IL TYPE a - Loam - clay - 1� est Required? YES - NO Percolation Percolation ate - Min/Inch - TYPE of SYST ° total length Absorption f eld , Length of eac trench Depth of tren es Size of gravel of) SEEPAGE PITS N er t. Size- 13ft. x Gravel size S . Type PIPING : Bldg . to tank Tank to dirt. box L'�. Dist_ box to field/ �` Q partial Openings sealed? Y LOCATION/SEPARATIO S : ft. Foundation to tanr tion ft . Foundation to abs P t ` Absorption to 10 line ft. Separation of p ' ts ON PROPER (circle one) LQCATICSN SY t side Front - ea x Lef t side - Rig CC& MENT SYSTEM USE APPROVED YES f NO r Build ng Inspector 01/86 and V1 JaW4n o/ Qtteen 3 'Mry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTORrS REPORT NAME LOCATION Date •aG/�4�� ermit ItiTc� . ✓ APPROVED - SCE' NO Ming/Pier Forms_ __ . r — �undation L.waterproofing Ljb6ckf 111 Framing Roofing Siding Masonry Veneer _ Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain ±le Concrete Floor Plbg . Fixtures Gar . Fireproof± g Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECT CAL INSPE . ION DRIVEWAY AP ROYAL Final Build. ng Survey Rext scheduled inspection ( call when ready ) Remarks-- 110 Building Inspector 86 md--vl ✓ BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 96 (Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME sr LOCAT I ON �/� *. Date_//j _ jr7 hermit No . APPROVED Doting/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Vene r Rough Plumb! Relief Valves Ext . Porches Finished Floo Interior Trim Stairs & Railin s Cellar Drain Til Concrete Floors Plbg . Fixtures Gar . Fireproo ng Door Closers Smoke Detect rs Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELE RICAL INSPECTION DRIVEWAY A PROVAI. Final Bull ing Survey Next scheduled inspection (Cali when ready ) Remarks-- _ 41d:Lnq Bu Inspector 6/86 md--vl MIDDLE;VERARTMENT.�11 1'ECTI0IlL A¢6 Blf == A- National Headquarters, 900 kHaddon AVe„'6111ngswood. N.J. 08108 Date: 10 7e City, Town or Township County State r`'�w Location/Address LellZr H 1 Q } f 1 L,L. OPLIVE (if Located in Rural Area - Please Attach Directions) Pole # Owner PLO& �' `+�liY "Ly7i1 I� Permit #. Occupied As tYilding: New OldO Occupant Work Area in Building Floor * etc.): for: Wringo Service or: Rea for In `on: Fee Remitted - $ Cash 0 Check El moo. Make"-Payable To: M.D.I.A. $54 7 e; .10" 1t86' 4E00 1750 2a00 S25a 2500 R756 a000 Number of Rough Wiring Outlets Elect. Heat Ir Switches I I I Amp. Service Surface Unit Dishwasher Range Lighting 1. Water heater Air Conditioner Dryer Pump Receptacles Oven Garbage disposal Wiring and Controls for r'Burner Number of Fi ures Amp. Receptacles . Fractional H.P. Vent Fans Other Equipment: MOTORS H.P_ 1/2 3/4 1 1% 2 3 5. 7W 10 15 20 25 30 40 50 75 100 Mark Number of Each Size Applicant's Permit # Signature + License # . . T/A t'3R = �L Utility : NAME (OFFICE L L"A I ApplicanAddress: . .. .,, . .__ icity) [State) flip) Service Request # Phone # d _ Electri 'an: AGo $ ► DATE RECEIVED: DATE INSPECTED: Correct Location : Some as Above Ej or: r. Red Notice Label Rough Wiring Outlets Surface Unit OveA Switches Range -I P ' Garbage Disposal Receptacles Water Heater iishwasher Fixtures Air CondMoner Dryer Amp. Service Equipment Burner, ring Controls far • fliceptacid Amp. Service Conductors Pump Vent Fans FtKsch KP, 1/� 1/1.2 1/10 1/e Its 1/4 1/3 1/2 3/4 1 144 2 3 5 4fj" 10 15 20 25 30 50 5 100 mber ize :500 750 10 u 1z55 1505 1750 Oa 2z55 aSDO 2'{50 "00 Elect. Heat © RW Progress: Inc. LKD Contractor E3 CFT Violation : Work Comp. E - Inc. 0 CASH 0 L/A Owner Fee CHK # Due Q . IPA , Municipal INV # . Dace: Other Side Utility Ow" rAPPIBint kkk Cut in Card [] Temp # Date INSPECTORS SIGNATURE; Final # Date APPLICATION FORM NO. 250 EL 13.786 i I l f I Lo i 's 33 i i I I 3 � m� r t IDDFi-' H ( L 4(- SS ORIVE PLO.T P z...AfA — I +-a T 4 z HIDDEN HILLS SCALE - MATTHFW W . CLAR