1986-268 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19
n
1y/I —/ 86-268
Thisis
tocertify that work requested to be done as shown by Permit No.
has been completed.
One-Family Dwelling
This smuturc may be occupied as a
Location Big Bay Road/Hudson River
Kenneth and Diane Tucker
Owner
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 86-268
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Kenneth and Diane Tucker
OWNER of property located at Big Bay Road/Hudson River 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. mPs
1. OWNER'S Address is m RD ll4 Big BayRoad n
Glens Falls, New York >'
0.
2. CONTRACTOR orBUILDEgS Name C
Y•
same
n
3. CONTRACTOR or BUILDER'S Address G
n
C
Pc-
same
n
4. ARCHITECTS Name
5. ARCHITECTS Address p'
w
1/44
6. TYPE of Construction-(Please indicate by XI
w
0.
CIO Wood Frame 1 1 Masonry ( )Steel (
EXISTING CM1P ON PROPERTY 16'x20 TO BE REMOVED.
). PLANS and Specifications3
to
No. 28'x34' per plot plan, specifications and application submitted w
including sewage system.
n
B. Proposed Use
One-Family Dwelling
$5.00 G/0 Paid F)0', 711 17// y7@) 7
$ 140.00 PERMIT FEE PAID -THIS PERMIT EXPIRES January 1 19 8
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the Y
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 3rd Day of June 19 86 0
SIGNED BY ln .012r for the Town of Queensbury w
Building and Zoning Impactor
TOWN OF QUEENSBURY
• WARREN COUNTY , NEW YORK CV1/
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: ,.[V 1. Gross floor area / 90 HAS -/ -
2 . Type of heat h4, j {1//}/-c/L
3 . Is the building mechanically cooled? ///O
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 410 NO
a. Are foundation walls insulated? ® NO
1 . If YES, what is the R value? /p
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 6175)
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 /2 - I
3 . R value of glazed area e a ' L,
4 . R value of doors P I -4
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) 8
9. R value of heated basement/cellar walls (below grade) o
10 . Type of insulation 4�\ 13 tu4SS
C. Controls
1 . Thermostat maximum heat setting 7
D. Duct Systems
1. Is duct system installed in unheated spaces? YES 0
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 3`41
2. R value of pipe insulation
F. Service Water Heating
1 . Performance efficiency _
2 . Temperature control setting maximum lyn o _
G . ForSwimming Pool Only
1 .. Maximum heating pp
Telephone No. 7 /2 - 7?V/
(applicant ' sgnature)
.Down of Queensbury APPLICATION FOR SEPTIC DISPOSAL PERMIT
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury, New York 12801 DATE .?9 / eloo�/ 763 r / y� �L
LOCATION OF PROPERTY FOR INSTALLATION g�r9 Q?C 8c...),I Ra, (-Je*v$ Tc/)S A /
OWNER' S NAME }CekuNe� T I t O'Q !NC ✓/I , Tucker
ADDRESS 802( - RiD4q R,4 S/ iu , TEL 7^7a -7KJ,
INSTALLER' S NAME Some TEL/ TEL 799'71'3Y
Number of bedrooms(residential only) 3
Total daily flow(compute @ 150 gal per bedroom) LAS"p 9 y/
/-----a.
Topography: Flat Rolling - Steep slope - (circle one) % of slope
Soil nature: tip Loam - Clay - Other Depth ft.
Ground water -At what depth? ft.
Bed-rock or impervious material - At what depth? ft.
Percolation - - - -R a '-,.s.r.
Domestic water supply - - Well - Other
Separation Wataissappligi# wall) from SaFFin absarptiea _ ft.
Proposed System: Septic tank (COO gal. ( Minimun size, 1000 gal. )
Tile Field - Each trench _ ft. Total system legnth ft.
Seepage pit(s) Number of 2._ . Size each `a ft X ft
I
Size of stone to be used # 3 D thickness 3ii Sri
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, stream,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 all requirements of The Town of @ueensbury
Sanitary Sewage Disposal Ordinance.
�
///JJJ i
Signature of responsible person � Z
Date jQ9//2242/ 4171
05/86 and/vl
Section II Septic System Inspections:
A. All applications for septic system installation,
alteration or repair, as required by the Town of
Oueensbury Sanitary Sewage Ordinance, shall be
submitted to the Buildina 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.
C. An approved copy of the plot plan shall he
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 Oueensbury Building
Department before further construction.
f N TO BE COMPLETED BY BLDG. DEPT.
/ \ // Application No.
✓own of Quelen lbur• Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires 19 TOWN( OF „j FNIF/1U""
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation nl Ii fN r, (
Oueensbury, New York 12801 Variance No.
+( IS Vl LI L I' I
Site Plan Review Non aaajjj , ,a ,,, ,.r; (.�
Approved by: A.M. /H fWerit rt.a
APPLICATION FOR — 7I8 flpi7.14ym1314j516
BUILDING AND ZONING PERMIT c/0 foc e_
r * w * r * * * * * * • • * * * • * • • • • • * * * * *• * * • • • * • • * *j *
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.,�1 //
The owner of thiso � property riffs: /�emitti ///1 Cl, f K) ivc /[/c KC•/_
P.O. Address BOX C3a- . R00n9 *3: /JAY /cd• Tel. 79o2-7S3V
Property Location: #y &rLy/.'12y / Tax Map No.///2, / I / 9
Street nnLnber or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
, ivcf4 1/4T 771c efly&3 &ii 71a 7r37
Name P.O. Address n/ Tel. No.-‘a
.,
Name of builder yy}(/P )LJ,T c ddress Q*y,� /Q11 Tel. < 2'73-3
Name of plumber ,a a i TucXel�Address Pfty '{5J� t( Tel. 7 ,g
Name of mason jS,npc i inapt.- Address . cy ¢, ,(�-,/_. Tel.
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
V./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
FOR DEMOLITION PERMIT, STATE SIZE AND ** whether interior or corner lot. Show location
LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration
E£CiS1,lwrl �j!� pT/ p (4terp of septic disposal area.
10 Q- -,tt v/ pldtt. V/ pat.- * COMPLETE INFORMATION REQUIRED BELOW.
!Veal) he)c i C Coin p 1r C_ * /I , I`.ft
Size of property c7,3�j Wale ft X ,3_50 ft r
* Existing building(s) Size /4 ft X d[O ft.
*
PROPOSED BUILDING AND USE: * Existing building(s) Use S,a, r -{G /
Size of new structure e78 ft X351ft *
Foundation-pier/slab/crawl/partial l$fl * Proposed building, distance from property line
(circle one) *
No. of stories (habitable space) » Front yard 90 ft Rear yard 7!`� ft
Height (grade to ridge) ft. » Side yards IS p ft ands ft
If residential, no. of families
/ * If on corner, setback from side street ft
No. of rooms(excluding baths) 7 * OCCUPANCY INFORMATION
No. of bedrooms 3 *
No, of bathrooms » PRIMARY BUILDING -
Primary heating system ppp�� �` � , ✓One family dwelling
Type of fuel �@ /62SC•C * —� family dwelling
No. of fireplace to be installed " Multiple dwelling / Number of units
Will a wood stove be installed? yes
" —Permanent occupancy
Central Air conditioning? * Transient occupancy
* _Business
BUILDING STYLE, PRIMARY STRUCTURE * _Industrial
Ranch Contemporary Log cabin * Other
Raised ranch Mansion Duplex * If addition, what will use be?
Split level Old style B}jngflow ,_/ *
Cape Cod Cottage (Othe1')�,rD/N- * ACCESSORY BUILDING-
Colonial Row Town House Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * _Attached garage/one car/ two car/ car
* * * * * * * * * * * * * * * * * * */Private storage builyding�/C'1C o O,
ESTIMATED MARKET VALUE OF Other ,9O rb0 /ej,n,'/+ t
CONSTRUCTION *
Zo�QvD
$
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED(
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, ire safe,etc.
Will any second-hand or e lumber be used? If so, for what? NO
Foundation wall material / /6C/Z Thickness /061
Depth of foundation below grade (to bottom f footing) r/
Will there be a cellar?yec Heated or heated. Floor sq. footage 9 SA_ sq ft
Will there be a basement? Will any portion be used as living space? NO
(If so, what por sq.ft. - - Type of use?
Type of roof - slopedJjflat/shed/other Material, of roof 6S
�`r io iP
Size, wood studs .L "X 0 " spacing /6 "o.c. length it/ ft.Joists(floor beams) 1st. floor 7 "X /o " spacing pa "o.c. span /47/
ft.
Joists (floor beams) 2nd. floor .Z "X /0 " spacing //o "o.c. span /r/ ft.
Overlays(ceiling beams) a "X /p " spacing id "o.c. span /2 ft.
Roof rafters "X /O " spacing /E o.c. spans/ ft.
Roof trussestre-engineerEd) spacing /6 "o.c. span a 9 ft.
Exterior wall finish )/C$' Of what material? `j/'y y�oJ�D
Interior wall finish ' SAPP-I pock_
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? If so will a Fire-rated
door, enclosure, and self-closing device be provided? —
Will a flue-lined chimney be installed? /r5 Height above roof ,L ft.
Depth of chimney foundation below grade _3 ft.
Depth of fireplace hear h ft. in.
Water supply - unici a or private well
SEPTIC SYSTEM Distance 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 AFFIDAVIT 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 st-tement of all proposed work to be done on the described premises and that all
provisions o, 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 BEFO' 5 THIS Signature 727__ 2 �y/7
Owner, owner's a t,arcnstect,contractor
day of . 19
AIL
Notary Public Warre, County, N.Y.
* * * * * * * • * * * * * * * * * * * • • * * * • * * • * * * * • * * * * * * * * * * * *
SPECIAL CO'DITIONS OF T' PERMIT:
By
dQ/R-I //cc/77a)%6 / : ao P1
own of Queen.thiury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road. R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSALSYSTEM INSPECTION
NAME /\Crn tc1.64-c,_.
7 /JI LOCATION Si G, /t/re-Y
//DATE id 6 /Re PERMIT NO. X - .2 GY
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
SEEPAGEAITS{Number of) _ 2
Size- % ft. X /y ft.
Gravel size •ZJ'- 3
PIPING: Size Type
Bldg. to tank 3 /e✓ap /6
Tank to dist. box
Dist. box to field
Openings sealed? NO Partial
LOCATION/SEPARATIONS:
Foundation to tank 9.0 ft.
Foundation to absorption bD ft F
Absorption to lot line ,9 ftt-
Separation of pits AC It.
• ON OF SYSTEM ON PROPERTY(circle one)
Rear - Left side Right side -
• NTS:
SYSTEM USE APPROVED �n`NO ` —
it
Building Inspector
01/86 and vl
-lown o/ Queensturt
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury, New York 12801
SEPTIC/D'ISPOSALL-SYSTEM INSPECTION
NAME !AAJ l uccZ on
LOCATION 81G 15Aa`r- I)9nJ 6A-r6-
DATE (0�/ S4 PERMIT NO. 86 of (g 0
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 of)
Size- ft. X _ ft.
Gravel size
PIPING: Size Type
Bldg. to tank di' 54+40 Put —
Tank to dist. box
Dist. box to field/pit _
Openings sealed? YES NO Partial
LOCATION/SEPARATIcVS:
Foundation to tank ft.
Foundation to absorption _ft.
Absorption to lot line ft.
Separation of pits _ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - Rear - Left side - Right side -
CCMMENTS:
S. .7-A-NIC.+- LIAAG- ro (JC)U5& O.VL/
aI Zo
SYSTEM USE APPROVED NO
ilding nsp tor
01/86 and vl
adll-4 i/n1E6 11s.30
Jorun of Queendbury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR'S REPORT
NAME lienkeaf f theR!
LOCATION Pti Qdki R0°G
Date 7n$ / b` Permit No. $4- dG 5)
* * * * * * * * * * * * * « « * * * * * * *
✓ = APPROVED - YES I NO
Footing/Pier Forms
Foundation
Waterproofing
/Backfill 01K
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
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
ilding Inspector
6/86 and-vl
TOWN OF QUEENSBURY
Building Department
Inspectors Date G//�/�Y
Name .n r rUr
Location Qn�rry 6
Permit No. $6 - Vo 8 eether
Remarks
Excavation
Footing Forms
Footing & Piers I/ A Leif."
Foundation ;~X Fca'NT LAK
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings /////\)1C/c
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
te
Building Inspector
REMARKS
)r4 mN 6E/7" /VAL
TOWN OF QUEENSBURY
Buildiiag Department
Inspeete e Report Date
N.a. 78.721
r, juet v
Location L Z u 64 to
Peroat No. S L..3 6 a Weather
Remarks
FootngiFo
Footing Forms sat atinV
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves /
Wall Board /
Ext. Porches /
Finished Floor /
Interior Trim
Stairs & Railings /
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Car. Fireproofi
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
1411116,44r0..-
Building Inspector
REMARKS
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