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87-311 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date November 9 19 87 This is to certify that work requested to be done as shown by Permit No. has been completed. This structure may be occupied as a One-Family Dwelling Upper Ridge Road north of Sunnyside Road Location Owner Kip and Sean Grant By Order Town Board TOWN OF QUEENSBURY /`� i J//",'./ J/ /Y / Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No. 87-311 WARREN COUNTY, NEW YORK Kip and Jean Grant PERMISSION is hereby granted to a. OWNER of property located at Upper Ridge Road north of Sunnyside Rd. Street,Road or Ave. rD 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 n approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. rt 1. OWNER'S Address is Ridge Road Queensbury, NY 2. CONTRACTOR or BUILDER'S Name Hilltop Construction b 3. CONTRACTOR or BUILDER'S Address rt RD #1 Box 308A Hudson Falls, New York 12839 a; (D 4. ARCHITECT'S Name 7y 0 CD 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) ( 1)Wood Frame ( 1 Masonry ( )Steel ( O 0 7. PLANS and Specifications tD 65'x28' per plot plan, specifications and application w No. including sewage system and two—car attached garage. 8. Proposed Use CJ One—Family Dwelling 4 r• $5.00 C/O ao $ 129.00 PERMIT FEE PAID—THIS PERMIT EXPIRES January 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 town of Queensbury before the expiration date.) Dated at the Town of Queensbury this ,, Q 2nd Day of June 19 87 SIGNED BY 77,4 a. Aea.ytJ for the Town of Queensbury, Building and Zoning Inspe TO BE COMPLETED BY BLDG. DEPT. Application No. TOWN OF QUE_ Own of Queenitury Permit Issued 19 [a 1VJ _..� BUILDING and ZONING DEPARTMENT Permit Expires 19 1 �J �� Bay and Haviland Road, R.O. 1 BOA .• Zoning Designation Oueensbury, New York 12801 Variance No. MAY 2 71987 Site Plan Review No. se -. I — Approve by BUILDING & CODE DEPT. elf�' w.-&-� r I`r APPLICATION FOR � �*,�, ( , ,O BUILDING AND ZONING PERMIT Z.0 1 of 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 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 • Jpropert/y� is:�/ DC TTe1 t. Gran't, P.O. Address I e�f e. / 1®Q U �J bevld �'9Da� e/�7�/� LJ Q`,g �,a le Tel. /7 'orb�i Property Location: !�ldce. &a� 6'Jeas FRIA Tax Map No. / Street number or building lot number , >ubdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS ARDS BUILDING CODES IS: f/1II* dog?i. 1 Mr/ & y JQg, Nad5o/7 Fl1s 79:0,33F Name P.O. Address Tel. No. dame of builder . �� � ST Address Tel. 'ame of plumber i Address Tel. 'ame of mason Address Tel. ATURE OF PROPOSED MARK: * 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 slot number and indicate 'OR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location .00ATION OF STRUCTURES AFFECTED. of water supply and location and configuration * of septic disposal area. * * COMPLETE INFORMATION REQUIRED BELOW. * Size of property 46-0 ft X 07G ft. * Existing building(s) Size ft X ft. * . . . 90POSED BUILDING AND USE: * Existing building(s) 'Use dze of new structure. f t X 0b'f t * 'oundation-pier/slab/crawl/partial igEMP1 * Proposed building, distance from property line (circle one) ////* Front yard o. of stories (habitable space) s f� /SO ft Rear yard ft eight (grade to ridge) ft. * Side yards ,« ft and /e Q ft f residential, no. of families / * If on corner, setback from side street ft o. of rooms(excluding baths) 40 * OCCUPANCY INFORMATION o. of bedrooms 3 * o. of bathrooms al * PRIMARY BUILDING - rimary heating sys em /)et2? 0� * X One family dwelling ype of fuel etoctri ' * Two family dwelling G o. of fireplages to be installed iVO * Multiple dwelling / Number of units ill a wood stove be installed? A/Q * Permanent occupancy entral Air conditioning? Ne * 'transient occupancy * Business UILDING STYLE, PRIMARY STRUCTURE * Industrial anch Contemporary Log cabin * Other aised ranch Mansion Duplex * If addition, what will use be? plit level Old style Bungalow * ape Cod.) Cottage Other * ACCESSORY BUILDING- olonial Row Town House * ' Detached garage/one car/ two can car ( CIRCLE ONE PLEASE ) * �( Attached garage/one car/(wo EA)/ car * * * * * * * * * * * * * * * * * Private storage building :STIMATED MARKET VALUE OF * Other 'ONSTRUCTION $ /,/„ U00 • VFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! 'orm FIFA . /flr. ma-vI • BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe,etc. WOO(,{ - ' a/71e Will any second-hand or ungraded lumber be used? If so, for what? N Foundation wall material eonCre/e Thickness (j a Depth of foundation below grade (to bottom of footing) (Q Will there be a cellar? Heated or unheated? • Floor sq. footage sq ft Will there be a basement? ve.s Will any portion be used as living space? MO (If so, what portion? / sq.ft. - - Type of use? Type of roof - =lope flat/shed/other Material. of roof Oha/y- Size, wood studs "X 7 " spaci /(p"o.c. long " ft. Joists(floor beams) 1st. floor "X " spacing '�,- "o.c. span /3 ft. Joists (floor beams) 2nd. floor "X�" spacing i� "o.c. span /3 ft. Overlays(ceiling beams) "X " spacing "o.c. span -eft. Roof rafters cc "X " spacing SL? o.c. span /(aft. Roof trusses(pre-engineered) spacing "o.c. span ft. Exterior wall finish 49o(, Of what material? "ed tt. Interior wall finish 6/haerroG If a garage is to a attach d, describe mat rials to be used for FIRE SEPARATION: 4/8 " +i recoIe- tSheefrc Is there to be an opening between garage and dwelling? ye If so will a Fire-rated door, enclosure, and self-closing device be provided? S Will a flue-lined chimney be installed? A/O Height above roof ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ft. in. Water supply Municipal or private well Vet, ✓a� we// SEPTIC SYSTEM _ Distance from ANY private ll(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 of Warren 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 d 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, owne(AV'V-41-15efe4.- .44t" s agent,arcnitect,contractor day of 19 Notary Public, Warren County, N.Y. * * * a a * * * * * * * * * * * * * * * * * *, * a a * . * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: N • 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: 1. Gross floor area 9,3 SB . ' /6 /V Liff-414 2 . Type of heat (; 'vet cSv u re e- !tea{p fir (foreCl A0 e be.) 3 . Is the building mechanically cooled? !Y� 4 . Percentage of area of windows and doors 4.7, KM 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 /L5'lt 3 . R value of glazed area 4, 9 /c 4 . R value of doors % 5 . / �, '. 5 . R value of floors over unheated spaces /1V4 6. R value of slab edge insulation - unheated slab /WI 7. R value of slab insulation - heated slab /1n 8. R value of heated basement/cellar walls (above grade) 4 /0 9. R value of heated basement/cellar walls (below grade) "g/a 10. Type of insulation / pQ/ys'� rer, C. Controls oD 1 . Thermostat maximum heat setting 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 22,, 4 1. Size of hot water or cooling carrying agent pipe (I/ 2. R value of pipe insulation F. Service Water Heating 1. Performance efficiency 2. Temperature control setting maximum !ye* G. For Swimming Pool Only 1. Maximum heating Telephone No. (5/8) 79.42-e g ee4L _J.. (appli ant ' s signature) awn of Qurcniiiiry APPLICATION FOR, SEPTIC DISPOSAL PERMIT BUILDING and ZONING DEPARTMENT ,r Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 DATE / p?(P LOCATION OF PROPERTY FOR INSTALLATION Q/��e,-- 40aCil , /eTZS //s OWNER' S NAME )' Q Jean Cron.t. ADDRESS R/GC e l�G�ad e/e'75 ficilts TEL INSTALLER ' S NAME, 44//1-OJ 6,/757 , 00. • TEL 79Y'03,31 Number of bedrooms (residential only) • Total daily flow(compute @ 150 gal per bedroom) iti+d Topography: Flat -(iolling)- Steep slope -(circle one) % of slope Soil nature: Sand - Loam - Clay - Other ra Ve C Depth la ft. Ground' wate•r -At what depth? ft. Bed-rock or impervious material - At what depth? ft. Percolation test - Not required - Required - -Rate min-inch. Domestic water supply - Municipal Well Other Separation - Watersupply(if well) from Septic absorption ft. Proposed System: Septic tank /ppp gal. ( Minimun size, 1000 gal. ) Tile Field - Each trench 60 ft. Total system legnth .46O ft. Seepage pit (s) Number of NONE. Size each ft X ft Size of stone to be used # ,3 Depth or thickness ft. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * IMPORTANT ! ! On a separate piece of paper, submit a diagram of the proposed system with all dimensions shown ; including distance from any structure , distance from property lines and from ANY DOMESTIC WATER SUPPLY or shore-line of lake, strea-m,pond or wet-lands. Include all dimensions of the system, itself . * * * * * * * * * * * * * * * * * * _ * * * * * * * * * * * * * * * * * * * I have read the regulations on the reverse side of this sheet and agree to abide by these and a1Z requirements of The Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of responsible person 20,Ltly 05/86 and/vl awn of Queenihur y BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME LOCATION antlet Date /� � / $�-- Permit No. id- * * * * * * * * * * * * * * * * * * * * * * * i� = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding /r Masonry Venee, Rough Plumbing Relief Valves Ext. Porches V"- Finished Floors 1/ Interior Trim ✓ Stairs & Railings i✓ Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofin• I Door Closers Smoke Detector- Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELE TRICAL INSPECTIIN DRIVEWAY •PPROVAL final Bu lding Survey Next scheduled inspection (call when ready) Remarks- ✓/ faro d e /to'e )1 Building Inspe or 6/86 and-vl 61) c'�111 awn of Queenilurf/ BUILDING and ZONING DEPARTMENT I Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME .4 /e22, 7 f LOCAT I ON I ,,f/h Date 9/, /17 Permit No. Pi- ..5// * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill /framing t- �ti C e K Roofing Siding Masonry Veneer /Rough Plumbing 7 7. /' / e Relief Valvs Ext. Porche- Finished Flo. s Interior Trim Stairs & Raili ,gs Cellar Drain T , e Concrete Floors Plbg. Fixtures Gar. Fireproofi►. Door Closers Smoke Detecto Chimney -.INSULATION: Foundation Loors ' l'SS 50N 'PenuEt) Walls ceiling (Lag rt K FINAL EL: TRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- Building Inspector 6/86 and-vl _/own of Queen Jur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 SEPTIC DISPOSAL SY STEM INSPECTION NAMED/0t€ 0-tr/ Ck40/ LOCAT ION ,o /1W DATE? /u/ 7 PERMIT NO. 7"(. /I SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each trench Depth of trenches Size of gravel SEEPAGE PITS{Number 'f) Size- ft. X Gravel size PIPING: S= Type Bldg. to tank Tank to dist. box Allik Dist. box to field/p' Openings sealed? Y S NO Partial LOCATION/SEPARATIO, S: Foundation to tan kt. Foundation to abs,rption f' . Absorption to to / line ft. Separation of pi f+s ft. LOCATION OF SYSTA ON PROPERTY(circle one) Front - Rear - Left side - Right side - COMMENTS: ��/1/( , WM di rt•� Cah/711 /a� 7,y/ 7y a, / /l t , c,/ , 07 /'' A)/t u 4 //r� �� SYSTEM USE APPROVED YES NO i /41/I Building 'nspector 01/86 and vl _loom of Queen.iur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOS L SYSTEM INSPECTION NAME (,,rval4/ LOCATION ` � igi// ��ll DATE 7 / (// (''''''7PERMIT NO. t7`&// SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, otal length Length of each tr_ ich Depth of trenches Size of gravel_ SEEPAGE PITS{Numbe of) Size- ft. X _ t. Gravel size " PIPING: .ize Type Bldg. to tank Tank to dist. box Dist. box to field pit Openings sealed? YES NO Partial LOCATION/SEPARA'IONS: Foundation to .:nk ft. Foundation to . .sorption ft. Absorption to of line ft. Separation of .its ft. LOCATION OF S STEM ON PROPERTY(circle one) Front - Rear Left side - Right side - COMMENTS: C 5( 0K, SYSTEM USE APPR7 YES NO K Buil ' g Spector 01/86 and vl frilli 11l awn of Queen Jtur, M ` BUILDING and ZONING DEPARTMENT (. Bay and Haviland Road, R.D. 1 Box 98 i,i , Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME � ,, ,/, LOCATION��`� ifi�9'�i/ z- ,,�., ,' DATE 7/f/( 7PERMIT NO. f7-31/ km, - SOIL TYPE - Sand - LoamClay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length 2-�® Length of each trench 5-0 Depth of trenches t 4/ Size of grave _ / SEEPAGE PITS{N ber of) Size- ft. X ft. Gravel size PIPING: S ze Type Bldg. to tank Tank to dist. box &I-7 Dist. box to field • ,' Openings sealed? NO Partial Ob LOCATION/SEPARATION . iLf Foundation to tank d ` ft. Foundation to abso••tion )3"-ft. Absorption to lot ine ft. Separation of pit- t. LOCATION SYST ON PROPERTY ircle one) Front - ear - Lft side - Right side - COMMENTS '1Ili/ 0° l.►. e • n �•I1 ` fiP) 1ir S p n,,y2 )7. / C, .1. i _l_. __i /--- -7-0/il u PC)/1 /16";/ le 3 e SYSTEM USE APPROVED YES Building Inspector 01/86 and vl Jown o f Queen ilurcy i.( A, BUILDING and ZONING DEPARTMENT /� i C r Bay and Haviland Road, R.D. 1 Box 98 0 1 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT JAarX/11- ID L1000�4 19ya Ze*_ Date 4474/ff7 Permit No. 17-.3// * * * * * * * * * * * * * * * * * * * * * * * ✓ = 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 LINSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- 1v ZV1111 1N�� J Al 1 - 7'j Building I spector 6/86 and-vl Jouin of Queen 3lur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 BUILDING /OR' S REPORT G NAME l . G/i%G ti.` LOCATION * L, „O Date (Q / (1" Permit No. 5/` 3// * * * * * * * * * * * * * * * * * * * * * * * 0- = APPROVED - YES / NO Oot Pi Forms �' Foun tion 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 j Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- pa-7-e/vo'l (Aril, „,74,,,,,,,,,,,,,/ ,(, /9z___, /ce,,,,,,...,,,,,,,,,z_,:, , cs '''-* - Building Inspector 6/86 and-vl ��� awn o/ Queenitury F `t 0BUILDING and ZONING DEPARTMENT f. l r Bay and Haviland Road, R.D. 1 Box 98 I5 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME Ki p Gk4 kirr LOCATION G p v, (� cl f ` 1 t- d Date &/ja /f Permit No. ic1 3// * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES,7 O .Footing/Pier Forms I 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 INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- 1��....emeez,e0640 Qtte_g/f ",/)7, 2. e 74,t_ `Bui ing Inspector 6/86 and-vl