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1987-640 F CERTIFICATE OF OCCUPANCY TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK �2 , 1 'Date 19 87-640 This is to certify that work requested to be done as shown by Permit No, I has been completed. One—Family Dwelling This structure may be occupied as a -_ice L ocarion i Mr . & Mrs . William Baldwin Owner By Order Town Board 'TOWN OF QUEENSBIIRY ooe ow Building& Zoning Inspector 1 T E M P O R A R Y CERTIFICATE OF OCCUPANCY TOWN OF +QUEENSBURY Ii WARREN COUNTY, NEW YORK I Date December 22 , 19 87 This is to certify that work requested to be done as shown by Permit No. 87- 640 has been completed. This structure may be occupied as a one-Family Dwelling i..ocation Ridge Knolls North Rd . Owner Mr . & Mrs . William Baldwin I TEMPORARY C/O ISSUED PENDING ` SIDING AND ELECTRICAL INSPECTIONS By Order Town Board it TOWN OF QUEENSBURY 2' Suildiryt Ql Zoning Inspector . BUILDING PERMIT � TOWN OF QUEENSBURY No. s7-640 WARREN COUNTY, NEW YORK ; d, William Baldwin 1 PERMISSION is hereby granted to I OWNER of property located at Ridge Knolls 'North Road Street, Road or Ave. L„ in the Town of Oueensbury, 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 Oueensbury Building and Zoning Ordinance. 1 . OWNER'S Address is 23 Beech St . Hudson Falls , N . Y . 12839 r• m 8 2. CONTRACTOR or BUILDOR 's Name C+s Robert 'Bergman ~ c�. F-�- .Fy 3. CONTRACTOR or BUILbEWS Address 32 Lincoln St . Hudson Falls , N . Y . 4. ARCHITECT'S Name W O. 4v rn 5. ARCHITECT'S Address 0 H to O 6. TYPE of Construction — (Please indicate by X) ri rt ( 24 wood Frame I I masonry I ) Steel I I pd 6 W 1�- 7. PLANS and Specifications No. 72 ' x 28 ' per plot plan , specifications and application , including too septic system, driveway permit and two car attached garage . B. Proposed Use t7 One-Family Dwelling ro 1 as $5 . 00 CID 19 � $ 17800 PERMIT FEE PAID — THIS PERMIT EXPIRES tJ (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queiensburyr before the expiration date.) FF-4-4 Da of Sept . 87 0 Dated at the Town of Oueensbury this 23rd y y P 7g aq SIGNED BY 4- � %- "- �'t'' fc>r the Town of i3ueensbury Building and Zoning I nspector TO BE COMPLETED BY BLDG . DEPT , Application No . T{JN.- J - `? ti?Otvn 0/ Q"een3t urty Permit Issued BUILDING and ZONING DEPARTMENT Permit Expires 19_ Bay and Havitand Road, R.D. 1 Box 98 Zoning Designation JUL 7 Queensbury, New York 12801 Variance No . Site P 'view No . Site BUILDING 8c (ZODE DEPT ApPr ed APPLICATION FOR 0"T�PP. -- 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 . yam. The owner of-this-property`Ism - _ Mat �' M " G.� l �� ir rff AlDh)IN - P . O . Address Z3 ?= Q rSor p Tei . �{ � '! IS 1 ' GiSe7"Ifi �iS3 � ' ' Tax Map No _ f / Property Location : / �aJ Street number or building lot number Subdivision name ( if applicable) � .kae„s_ THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : I1Q b�rQT L3, l:.fct g M A N �i Z �x N Ili S -� Name P . O . Address Tel rro Name of builder J +j Address � 1 +►rC.L"?�N Name of plumber Address Tel . Name of mason Address Tel . NATURE OF PROPOSED WORK : » 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 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 f t X -Y — 'ft _ Existing building ( s ) Size ft x PROPOSED BUILDING AND USE : * Existing building (s ) use Size of new structure 72, ft x. $' ft Proposed building , distance from property line Foundation-pier/slab/crawl/partial ul p (circle one ) Front yard Q ft Rear yard _ e� ft No . of stories (habitable space ) 2+ Side yards ft and , ft Height ( grade to ridge ) A7,,' ft . If on corner , setback from side street ft If residential , no . of families OCCUPANCY INFORMATION Noo of rooms ( excluding baths) . No . of bedrooms_ _ PRIMARY BUILDING - No . of bathrooms One family dwelling Primary heating system Two family dwelling Type of fuel eoo5}i�,.__ Multiple dwelling / Number of units No , of fireplaces to be installed © - peanent occupancy will a wood stove be installed? YEA. Transient occupancy Central Air conditioning?_ N b Business BUILDING STYLE, PRIMARY STRUCTURE Industrial Other Ranch Contemporary Log cabin If addition , what will use be? Raised ranch Mansion Duplex Split level Old style Bungalow * ACCESSORY BUT Cad Cottage Other Town House Detached garage/one car/ two car/ car on--La Row car' ( CIRCLE ONE PLEASE ) W Attached garage/one car/ o c * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF Other CONSTRUCTION $ - �r - - - _ - - - - INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET . TO BE COMPLETED : Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . an Rome Will any second-hand or ungraded lumber be used? If so , for what ? - N Q Foundation wall material 5 Thickness jr Depth of foundation (to g (to below grade bottom of footing ) pPff Will there be °a cellar ? Nill Heated or unheated? fidWo4jid Floor sq. footage sq ft Will there be a basement . Will any portion be used as living space ? ( If so , what portion? sq . ft . - - Type of use? Type of roof - slo ed/flat/shed/other D Material of r of � Size , wood studs "X L. - " spacing "o . c length 7 ft , a Joists ( floor beams ) lst . floor 'Z. *'X spacing "o . c . span #. _ft . joists ( floor beams ) 2nd . floor �_„X- ei spacing_""o _ c , span � fL—ft . Overlays (ceiling beams ) ""X " spacing '"o . c . span ft , Roof rafters "'X IN spacin o . c . _span ft . Roof trusses (pre-engineered) - spacing _".o . c , span q ft . Exterior wall finish A f000k n wh at material? W/"lua� Interior wall finish of �^ Y�a It a garage is to be attache describe material to be used for FIRE SFiPARATION - -- 5" own �" of GYP mo�iaj s there to he an opening between rage and dwelli-nig? %ol If so w1all a Fire-rated door , enclosure , and self-closing device be provided? %J AA Will a flue-lined chimney be installed?r� Height a� roof �, ft , Depth of chimney, foundation below grade ft _ Depth of fireplace hearth ft . in , Water supply - Municipal or private we.11 PAV i u&ME VVHiMIIINN I. SEPTIC SYSTEM Distance from ANY private well { including adjoining. properti.es [L( ft . (A separate application is necessary for any repair or new installation of septic system ) Town of Queenshury 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 Signature 30 Owne , owner ' s agent , rct3z Gect , contractor - Notary Public , Warren County , N . Y . * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * It 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 & 1 , Gross floor area d944Q0 2 . Type of heat C� 1"3 , is the building mechanically cooled ? No 4 . percentage of area of windows and doors„ j 0 A . Over 16 % Only 1 . U 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 10 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 " 4 ` 3 . R value of glazed area e 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 $ , R value of heated basement/ cellar walls ( above grade � C� g . R value of heated basement /cellar walls ( below grade ) � Q 10 , Type of insulation E C . Controls 1 . Thermostat maximum heat setting D . Duct Systems_ 10 is duct system installed in unheated spaces ? YES O 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 2 . R value of pipe insulation F . Service Water Beating 1 . Performance efficiency_ j"' G.i7sGiL 2 . Temperature control setting maximum +G . F_ar Swimming pool Only 1 . Maximum heating Telephone No . _/'72" 5- 2= --- ( applicant , s s griature ) amen aexftd&Vy APPI ICAT ON FOUR SEPTIC DISPOSAL PERMIT DATE QT2 49rz 7/ !9 LOCATION OF P ROPE RT,Ya FOR INSTALLATION KJVe� t. t S fC &2Zh Y? 1`�1 0 2Th�-Owner's Name: k4,e" jSA-e -QW1A"' Telephone: Address: V Y Installer's Name: �r CvR m Telephone: Number of bedrooms (residential only) _ Total daily flow (compute @ 150 gal per bedroom) Topography: circle one: Flat ollin Steep Slope % of slope _ Soil Nature: circle one: Sand Loam Clay Other / Depth: feet Ground Water: At what depth? /�63 _ feet Bedrock or Impervious Material: At what depth? _ feet Percolation test: circle one: not required require / rate / 2 min, inch. Domestic water supply: circle one: Municipal Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption A/ o feet PROPOSED SYSTEM: Septic Tank [}© C gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench 4 ` S[;> / feet / Total system length .��+' 0 C0 feet SEEPAGE PITS • u ber of .' each _ eet by _ et Size stone to b�d'�k _ / Depth o ickness _ feet IMPORTANT .._Please...LJST NEW EQUIPMENT TO BE INSTALLED !Drag 13C� X Soo Fr: 7'146 )CrrCZ-A,� (,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 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, the 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 $Z50.00. 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. Signature of responsible person: Date: to "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 ♦ '� QUEENSBURY TOWN OFFICE BUILDING kk ■Ar wtiia rrw'v�e,wrror wo�►ois. �r. �. L 6LCh# rwLLs. tiew �rapx. isei TCL � � li0lntii y# � #i 7S2 . 8C3 ax>�x saex arcs ie z x x xxx 7�r�iNc � IG1i1�/ Aaf DrC1► 7 . 7 /ii . T77 D—PJ V'EWhY PERMIT A,PPLZCANTs ADDRESS to be inspected) r� MAI LXNG ADDRESS _ 2 3 e, The Superintendent of highways . Tow.wk of�� 2t+ces:sbury , has reviewed the application of thre above nas4ed resident to connect a driveway to the Town -road . The following action has' been taken : ( } Preliminary Approval (t0% bee followed by "Final Approval " ) Final Approval Granted , Rejected : Sr i tz a pipe to be usedused ( *i f necessary) 2 DATE : 1 Paul R . Naylor • r Superintendent of Highways Town of Queensbury • Sr1TL90 . r w blam • or mooTtir.AL ArAury w rr ern ti mar ,_ town of Qmeens6ury BUILDING and ZONING DEPARTMENT Say and Haviland Road, R. D. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME `i. � ] G:L.11ri LOCATION S ,,I[,)OC6 S �b OR rr Date / Permit Igo . 7 ✓ � APPROVED - �s8 NO Forms Foundation Waterproofi g Backfill Framing Roofing Siding Masonry Vene r Rough Plumbi g Relief Valves Ext , Porches Finished Floor Interior Trim ` stairs & Bailin _ .= Cellar Drain Til Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION Foundation Floors Walls Ceiling FINAL ELECTRIC L INSPECTION DRIVEWAY APPR AL Final Ptuildin Survey Next schedul d inspection (call when ready ) Remarks- Building Inspe r 6/86 and-vl ._../awn of �ueens6urt� BUILDING and ZONING DEPARTMENT Bay and Haviiand Road, R. D. i Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME L 0 C A T I ON Date / .__ Permit No . ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing iding Masonry Veneer Rough Plumbing Relief Valves Ext , Porches Finished Floors Interior T Stairs & 11i n s 1 b !c^ Cellar Drain Tile Concrete Floors Plbg , Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRIC INSPECTION DRIVEWAY APPROV L Final Building S rvey Next scheduled inspection ( call when ready ) Remark '):> Building Inspector' 6/86 and-vl ��jlGe � a ��owra o� �ueens6urt� JJ `j BUILDING and ZONING DEPARTMENT Bay and Hauiland Road, R. D. 1 Box 98 Uueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Dated `y/� !/Permit No . ✓ = APPROVED - YES NO footing Pier Forms F'oun da t i waterproo ' ng / Backfill Framing RoofinV Siding Masonre r Rough in Reliefes 1:xt . Ps "finishoors Interiim �tairsilingsCellarn TileConcreoors(( PIbg . resJeGar . Froofing_ �_'Door Cs)CSmoke ctors Chimney INSULATION : Foundation Floors walls Ceiling_ FINAL EI ECTRICI L INSPECTION DRIVEWAY APPROVAL ina l Building Survey Next scheduled inspection (call when ready ) Remarks /�E) ervet Building Inspector 6/86 and-vl .� MIDDLE DEPARTMENT INSPECTION AGENCY, INC. 'ry 200 Haddon Avenun,.Collingswood, N.J. 0810a Date November 30, 1987 C V.I.ertcfleg; that the electrical equipment listed has been examined and is approved as being in accord with the National Electrical Code, applicable governmental , utility and Agency rules. ? Owner: William Baldwin Occupancy. Dwelling S Occupant: Same ? Location: Knoll Road North, Queenabury (Warren Co ) NY This cartjlicata covers the olectrlcal equipment and installation inspected this date. If additional equipment should be introduced or alterations made to is existing system this certificate Shall be null and void. and application for Equipment: 99 -0utlets ; 45 Receptacles ; 30-F:Lxturesi inspection should be submitted promptly to this Agency. C +y ,^� ,� e. Holder at [his certificate should present same to his property InSurance carrier Gap Amp . `Service ; 5 Appliances ; Z�PTOtCtive Signal orcompany)asaviderlCeotcenilicationofeleetricalequipmenl approved ' Devices s spacified- li & W Casework S Applicant: Oak Street No , 15 -017252 L lit . Edward , New York 1282$ Farrar Mo. 7W 8L 1-*J 9,itj fF � s� —/ouvn n� ��pQn .�6ur BUILDING and ZONING DEPARTMENT Bay and Haviland Road. R. D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME001 � LOCAT I C N a,ATZ J4 y,r PERMIT No. SOIL TYPE - Sand Percolation Test g `r in CZa Percolation r Min ate P - Min/ nch _�/,•�+ ' TYPE of SYS Absorption f 1d , t Lengthy of eac tre I length h Depth of trenc es Size of graver S S ' T ) �. Gravel size Bldg . to tank Size ype �- Tank to dist. box ,� �► 'c Dist. box to field/ ,. �--� C3penings sea eaa YE NO partial LOCATION/SE ARATIONS : Foundation o tank. Foundation o absorption t' Absorption to lot line ft . Separation ft- LO of ,pits ��ft. c7rii SYSTEM pN pROPE rout Re r - Left side �Ze one) $ : Might siae� SYSTEM USE APPROVED YE NO Build g Insp ctor� 01/86 and V1 f BUILDING and ZONING DEPARTMENT / /,' Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date- /7 Permit Footing/Pies Forms APPROVED - S NO Foundation Waterproof4.11 Sackfill Framing Roofing Siding MaSO Veneer [Yzru'gh Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Raili_ngs Cellar Drain Tile Concrete Floors Plbga Fixtures Gar . Fireproofin Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL IHISPECTION DRIVEWAY APPROVA Final Building Survey Next scheduled inspection [call when ready Remarks- � � ,, era f� 7' 6/86 and-vl Building Inspect r l.��r _J'own a �ueen .s6tarr� 11914 13UILDING and ZONING DEPARTMENT q [y Say and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LCf e '77 40 LOCATION €]ate fe€i' / C37 Permit No . ��" [d 4� ✓ = APPROVED - YES NO Footing/Pier Forms l>loundation mil' Wa<erproo € ing Ss3ck f i l l t.ht"rami ng 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 . Firepraofin Door Closers Smoke Detector Chimney IN S U I.AT I ON Foundation Floors Walls Ceiling FINAL ELEC RICAL INSPECTION DRIVEWAY APPROVAI. Filial Building Survey Next scheduled inspection (call when ready ) Remarks- Building Inspe or 6/86 and-vl LAND P.a�Box 388 �SULTANTS* Skxm Schoolhouse Lane Telephone:i$i81 b68-4 a7a Dennis L.. Dickinson,RL/L.& i c;F] .T f l C,)w Qu ecc n S bucq � .~)cif r ,fr rrkr � 22 1 ~7 � rn i C 5 '7 t-n 4 2 S �C.) jj /``) 0 S�~ /lIIItIIlL141�4�\\ 23 SEP 1987 >to I I 'C OCCIC? � I F-I C, h it NoT Sc 4L L ;a�;. a A. r��► 42 a otar N�r4 tea.. 6a... rg Vo%c-g Alt 4d CD _ (R 2LI" 3o 'r a f #lust. - ;ee ,al.►x 77.a G caw. cl.{S Ts+t+ FD �r�wn v� �ueerrs � urr�t BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME 13 (A4 . VNWr,A LOCATION Date - r �f Permit No . jet- ✓ = - YES Footing/Pier Forms APPROVED YE Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext , Porches Finished Floors Interior Trim y Stairs & Railings "— Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Moor Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECT CAL INSPECTION DRIVEWAY AL' OVAL, _ Final Building Survey Next scheduled inspection (call when ready - Remarks- ji } / ,, t � Building Inspecto 6/86 and-vl