RC-0136-2018 F �
TOWN OF QUEENSBURY
742 Bay Road, Queensbury,NY 12804-5904 (518)761-8201
Community Development - Building & Codes (518) 761-8256
CERTIFICATE OF OCCUPANCY
Permit Number: RC-0136-2018 Date Issued: Thursday, January 3, 2019
This is to certify that work requested to be done as shown by Permit Number RC-0136-2018
has been completed.
Tax Map Number: 266.1-1-10
Location: 1743 RIDGE RD
Owner: Jennifer Ball
Applicant: Jennifer Ball
This structure may be occupied as a: Single-Family Dwelling w/gas FP 1,850 sq
Garage 576 sq. ft. By Order of Town Board
Cross Ref P-SP-41-2018 TOWN OF QUEENSBURY
Issuance of this Certificate of Occupancy DOES NOT relieve the (--- 9 4
property owner of the responsibility for compliance with Site Plan,
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
vu_a TOWN OF QUEENSBURY
i ,.... _4 7 }
742 Bay Road,Queensbury,NY 12804-5904 (518)761-8201
=� - Community Development-Building& Codes (518) 761-8256
BUILDING PERMIT
Permit Number: RC-0136-2018
Tax Map No: 266.1-1-10
Permission is hereby granted to: Jennifer Ball
For property located at: 1743 RIDGE RD
In the Town of Queensbury,to construct or place at the above location in accordance with application together
with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform
Building Codes and the Queensbury Zoning Ordinance
Tvne of Construction
Owner Name: Jennifer Ball Single Family-New $260,000.00
Owner Address: 253 Pickle Hill RD Total Value $260,000.00
Queensbury,NY 12804
Contractor or Builder's Name/Address Electrical Inspection Agency
Northeastern Designs
150 Selfridge RD
Gansevoort,NY 12831
Plans&Specifications
Single-Family Dwelling w/gas FP 1,850 sq.ft.
Garage 576 sq.ft.
Cross Ref.P-SP-41-2018
$ 1,705.00 PERMIT FEE PAID -THIS PERMIT EXPIRES: Saturday,July 6,2019
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiratio date.)
Dated at the To of Qu sb y 6,2018
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SIGNED BY: for the Town of Queensbury.
Director of Building&Code Enforcement
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}_ Office Use Only c�
;.` Permit#:�� 1 c�
PRINCIPLE STRUCTURE PERMIT
APPLICATION Permit Fee:$
Toim of Queensbury
TRec Fee:$
742 Bay Road,Queensbury,NY 12804 Oa�
P:518-761-8256 www.aueensburv.net Invoice##: 0,-)-33
Project Vocation: O qQ
Tax Map ID#: -.�' 66� /4_/® Subdivision Name:
*TOWN DD.RESOLUTION 86-2013: $850 recreation fee for new dwelling units: single family,duplexes/two-family,
multiple family, apartments, condominiums,townhouses, and/or manufactured & modular homes, but not mobile
homes. This Is In addition to the permit fee(s).
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CONTACT INFORMATION:
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o ADI�Iicant: APRry\ 2 20a6
Name(s): ,TE-1110-FI,; B&C TQv AI C)-- rij I
Mailing Address, C/S/Z: Z3 P-k' zir hZa 12 P
Cell Phone: (6719- ) ,Ao 3 Land Line: ( )
Email: 6jbG V€?Aoca ,oce"
Prirnary Owner(s):
Name(s):
Mailing Address, C/S/Z: �-'
Cell Phone: ( ) Land Line: ( )
Email: w
Contractor(s):
Business Name: (Jo EP14 i? 5AAaP ) Pi3A mcaTlEfl,5TCizH DE,5 c;/Y5
Contact Name(s): 'T0C, "'5IAP-eE
Mailing Address, C/S/Z: i.ia 5E1-4ZT06E 49 6}N5060XT , 14 y I;Z631
Cell Phone: ( S1 ) :30 - 05 43' Land Line: ( )
Email: B<S13f �� r
Arch itects)/Engineer(s):
Business Name: V'OAHK -TFUCY C,4`rcff'�eC 7> WfCHIH5 C-116,T 1 ECIL,IM& (Enalte-E4)
Contact Name(s): e/i"W t IZ . Lug,' POU
Mailing Address, C/S/Z: W1 HAV TM11 0 1&MP Ouccl&u r Y, f4 V I q
Cell Phone: ( 511� ) Ud- '415-/ Land Line: ( )
Email:
Contact Person for Building & Code Compliance:
ar= 5NM2r'
Cell Phone: (Y f 3 ) 36 l 050' Land Line: ( )
Email: ,ioc,51,c,,rpei/4 �hQ- �I•co��
Town of Queensbury Building&Code Enforcement Principle Structure Application Revised February 2017
PK"OJECT INFORMATION:
TYPE: Commercial A. — Rc ,icletitial
WORK CLASS:
Single-Family Two-Family _Multi-Family(#of )
_Townhouse Business Office _Retail _Hotel/Motel
Industrial/Warehouse Garage(#ofcars ) Other(describe )
'STRUCTURE SQUARE FOOTAGE: , GARAGE SQUARE FOOTAGE:
1ST floor: � 11 floor: 76
2nd floor: 2nd floor:
3rd floor: Total square feet:
4t"floor:
Total square feet:
ADDITIONAL PROJECT INFORMATION:
1. Estimated Cost of Construction: $ A0�600°a o
2. Proposed use of the building: P-e�eJepce-
3. If Commercial or Industrial, indicate the name of the business:
4. Source of Heat (circle one): Gas Oil Propan Solar Other:
(Fireplaces need a separate Fuel Burning Appliances&Chimney Application, one per appliance)
5. Are there any structures not shown on the plot plan? YES < xplain:
6. Are there any easements on the property? YES NO
7. SITE INFORMATION:
a. What is the dimensions or acreage of the parcel? 3 Peres
b. Is this a corner lot? YES N09
c. Will the grade be changed as a result of the construction? YES NO
d. What is the water source? PUBLIC PRIVATE ELL
e. Is the parcel on SEWER or a PRIVATE SEPTIC system? 9Hv+=r .5cP4y C-
Town of Queensbury Building&Code Enforcement Principle Structure Appication Revised February 2017
169 Haviland Road
Queensbury, NY 12804
Hutchins Engineering Phone: (518)745-0307
Fax: (518)745-0308
December 27, 2018
Town of Queensbury Building Department
742 Bay Road
Queensbury NY 12804
Re: Jennifer Ball, 1743 Ridge Road — New Home Construction
Tax Map ID: 266.1-1-10, SP 41-2018
Our office prepared site planning documents in for the referenced residence and we have
visited the site numerous times throughout the construction process.
The on-site wastewater system installation was inspected by our office on August 29, 2018 and
was found to be installed in general conformance with the approved plans. A record drawing of
the system as installed is attached.
In addition, we have inspected the site work for the parcel. The site work, including the
stormwater management practices, have been installed in general conformance with the
approved plans. Final landscaping is anticipated to be completed in the springtime, consisting
of the topsoiling and vegetation establishment.
Please contact this office should you have any questions or comments, thank you for your
assistance with the project.
Best Re.. es,
AS BUILT
Lucas W. Dobie, P.E.
Cc. Jen Ball iig F72o19I
TOWN Cr
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Vi c,• o Vb • 2) 15
G.Thomas Hutchins, P.E.
ADSORPTION FIELD
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