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1987-752 . s f e i s CERTIFICATE OF CJC+CI..JPAN C JL' TOWN Of QUEENSSURY WARREN COUNTY, NEW YORK I 1 Date January 22 , 19 &8 This is to eertify that work requested to be done as shown by Permit No. s has been completed. CnQ Family Dwellini; This structure may be occupied as a piapje Dr . Hidden hills Subdivision I,,ocsnon SuEian sterling, Owner fBy Order Town Board TOWN OF QUEENSBURY / Building Qr Zoning Inspector i I . r BUILDING PERMIT TOWN OF +QUEENSBURY No. 87-752 WARREN COUNTY. NEW YORK PERMISSION! is hereby granted to Susan Sterling i u, f OWNER of property located at 91 Maple Dr . (Hidden Hills Subdiv . ) 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. c,a m t . OWNER'S Address is 76 Boulevard Glens Falls , N . Y . 12801 rt m �t w 2. CONTRACTOR or BUILDER'S Name Dave Eslinger Uo 3. CONTRACTOR or BUILDER 'S Address Stony Creek, N . Y . A P r 4. ARCHITECT'S Name M � ^t7 F� � rb F-• k7 r— ri 5. ARCHITECT'S Address rn c+. W 6. TYPE of Construction — (Please indicate by X) r rn r• ( 19 Woad Frame I ) Masonry I ! Steel ( 1 7. PLANS and Specifications No. 56 ' x 28 ' as per plot plan , specifications and application including m septic system and attached two car garage . w S. Proposed Use � One Family Dwelling i- c7 ro $5 . 00 C /O "- $ 115 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES Jude 12 1988 (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Clueensbury before the expiration date_) Dated at the Town of Queensbury this bth pay of Axwx November 19 87 SIGNED BY �(�i .�t1 for the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG . DEPT . L Application Now OCTry 1A T ai . ;?Own O f Queen 19"ry Permit Issued 19 O `2 i i 8 BUILDING and ZONING DEPARTMENT Permit Expires 19 Designation i Desg ! !�s, ' :sit. -°t Bay and Haviland Road, R.D. 1 Box 98 Zoning Queensbury, New York 12801 Variance Noe L " Site Plan Review No . Ap/pfrov�d b /� APPLICATION FOR /LC.7r.C.® EUILDING AND ZONING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLOWING , The undersigned hereby applies for a Building sermit and sto do the followionsingtwortedk an d suchwill be done in accordance with the description , p arx special conditions as may be indicated on they Permit _ --i----........... The-owner of-this property is : - V�4- Y ` � �1i\q-tq . Tel r � C r +f '7 "3cx sle urk.�-d & I fir. I �Q P . O. Address �� � Y _ Tax Map No , /�r Property Location : Street number or building lots number 5. Subdivision name ( if applicable} I r + 410 REGARDS BUILDING CODES THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS r 7 � � n �e ura � d Tel . No . Name P . O . Address i rxc Address S � rti, �f Tel . Name of builder�CS� +f L�S� ' �e & t' I I . Tel . Name of plumber.' '�. �1r �` _ ,, .l ■ Address !� 1 hncar y �+ l_ !�-1` Address �� �s c Tel Name of mason. 44X �''C� — NATURE OF PROPOSED WORK : * ZONING INFORMATION : C onstruction of a new building '" A PLOT PLAN MUST BE PREPARED AND SUBMITTED . * drawn reasonably to scale and attached hereto , _Addition to a building * showing clearly and distinctly all buildings , Alteration to a building � (no change to exterior dimensions) whether existing or proposed and indicate al 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_._, LQ V ft X 1 ZS ft - Existing buildings} Size PROPOSED BUILDING AND USE : Existing buildings ) Use J 16 ft 'X. Size of new structure ft ,� property line Foundation-pier/slab/crawl/partial ul Proposed building , distance from p P Y (circle one ) Front yard 50 ft Rear yard y] ft `� ft and ft No _ of stories (habitable space? Side yards I ( cf' ft Height (grade to ridge) u *� rjyro �5 ft . if on corner , setback from side street if residential , no . of families I OCCUPANCY INFORMATION No . of rooms ( excluding baths) (o No . of bedrooms 3 PRIMARY BUILDING - No . of bathrooms !( One family dwelling Primary heating system _Two family dwelling Type of fuel II—Multiple dwelling / Number of units No . of fireplaces to be installed y permanent occupancy � Will a wood stove be installed "' Transient occupancy Central Air conditioning? Business BUILDING STYLE, PRIMARY STRUCTURE Industrial _ Other Ranch <:Cont„^temporary Log cabin If additions what will use be? Raised ranch Mansion Duplex Bungalow Split level Old style Bun`1 * ACCESSORY BUILDING- Cape Cad Cottage Other car Town House Detached garage/one car/ two car/ Colonial ROW car ( CIRCLE ONE PLEASE ) Attached garage/one car/ two car * * * * Private storage building ESTIMATED MARKET VALUE OF ~Otd her CONSTRUCTION $ _ ro 19 (mil]_ _ _ _ _ _ _ _ _ _ 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 , word frame , fire safe , etc . r C/tl Will any second-hand or ungraded lumber be used? If so , for what ? �7 Foundation wall material Thickness ' Depth of foundation below grade (to bottom of footin } Will there be a cellar? SHeated or unheated? loot sq . footage ft Will there be a basement Will any portion be use as living space? ( If so , what portion? sg . ft . - - Ty3ee o- use? Type of roof - slop d/flat/,,sh+ed/other Material of ra r Size , wood stud IS sj spacing o . c . length Joists ( floor beams ) ist _ floor "X spacing ''o . c _ Tspan / ft . Joists ( floor beams) 2nd . floor---1 "}� sp c ng ..cs . pan�ft . Overlays (ceiling beams ) Z '+}{ +' acing "o . c span�ft . Roof rafters"X spacing O . C . span�t . Roof trusses (pre-engineered} aci '+ I� '�J o . c . span ft . ,- Exterior wall finish ve / r Of what material? j`T � Interior wall finish ! I' �� , If a garage i to be attached , des r materials to be used for FIRE SEPARATION : EA Is there to a an ope ing 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? r Height bo roof, ft . Depth of chimney foundation below grade , / Iff ft . Depth of fireplace hearth ft . in . Water supply Municipal or private well SEPTIC SYSTEM i ance from ANY private well ( including adjoining properties Ate $ ft _ (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury County of Warren A F F I D A V I 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 Bather 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 y,7 er owner ' s agent , arcnrL - , contractor day of l9 Notary Public , Warren County , N . Y . SPECIAL CONDITIONS OF THE PERMIT _ 23y 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 2 . Type of heat_ � ! f'C +r 1 G 3 . Is the building mechanically cooled ? /V0 — CJ 4 . Percentage of area of windows and doors��l��_ A . Over 16 % Only 1 . Uo value of gross area of walls , roof / ceiling and floors exposed to ambient conditions 2 . Floor o r heated. spaces YES NO a . Are fo dation walls insulated YES NO 1 . if Y what is the R ue ? 3 , Slab on grade YE [► a . if YES , what is e R value of insulation around perimeter of oox- - 4 * is baseme heated ? YES NO a . R alue of insulation 5o ype of insulation B , Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions. cnc,'F R - -3 a J� Iratsv - 2S 2 . R value of exterior walls 3 . R value of glazed area 11 3 • 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 Be R value of heated basement/ cellar walls ( above grade ) 9 . R value of heated basement / cellar walls (below grade ) 10 . Type of insulation Co Controls P 1 . Thermostat maximum heat setting C? 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 1 . Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F . Service Water Heating � � G7�a 1 . Performance efficiency 2 . Temperature control setting maximum G . For SwimmingFool Onl 1 . Maximum heating p Telephone No . _ ` � { v 3 ( plicant ' s signature ) /r . y� o "eZW&OP APPLICA77ON FOR SEPTIC DISPOSAL PERMIT DATE LOCATION OF PROPERTY FOR IN t'STALLATION / /Aja/e oet 4r4 rl/ Owner's Name : 15 ,4 60* r4 S*c r- 1j )444 Telephone: _ � 43 Address: 7 0 20pu 4 e UC4 e Installer's Name: �L,, ar..Ij, jc CZA1 4XIW6 -- Telephone: Number of bedrooms (residential only) _3 _ Total daily flow (compute @ I50 gal per bedroom) Topography: circle one at Rolling Steep Slope % of slope Soil Natures circle one: Sand oam Clay Other / Depth: M feet Ground Water: At what depth? � feet r Bedrock or Impervious Material: At what depth? , feet Percolation test: circle one' ne not required required / rate min. inch. Domestic water supply: circle one: icipal Well Other IF domestic water supply is a Well: Separation: Watersuppiy from Septic absorption _ ► ( & feet PROPOSED SYSTEM: Septic Tank l0O0 _ gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench feet / Total system length � feet SEEPAGE PIT(S) : Number of 4L / Size each 7— feet by feet Size of stone to be used # / Depth or Thickness feet IMPORTANT ..,Please.**LIST NEW EQUIPMENT TO BE INSTALLED (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 $250.00. C. 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 Queensbur-y Sanitary Sewage INsposal Ordinance, Signature of responsible person: Date: Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SE 'CTLED 1763 . . . HOME OF NATURAL BEAUTY A GOOD. PLACE To LIVE joly" O/ BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. Q. I Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAMEGa f JLOCATION % Late Perms t No . - 7y /Z ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Venee Rough Plumbin Relief Values :xt . Porches Finished Floo s Interior Trim Stairs & Raili gs Cellar Drain Ti e Concrete Floors Plbg . Fixtures ar . Fireproofi or Closers Smoke Detecto s Chimney I N SU IAAT I ON Foundation Floors Walls Ceiling FINAL I'LE TRICAL INSPECTI DRIVEWAY PPROVAL _ rxal B11f ding Survey Next sche uled inspection ( cal when ready ) Remar s- ..���Ir�._ Building Inspector 5/86 and-VI �. +n n� �uPens6ur I BUILDING and ZONING DEPARTMENT 1 Bay and Haviland Roast, R, D, 9 E)ox 98 / r Queensbury, New York I28ol BUILDING INSPECTOR ' S REPORT NAME LOCATION Date * * * '- -- ' Permit Footing/Pier ✓ - APPROVED Foundation F4Y`[rL5 YES No Waterproofing Back fi.l I Framing Roofing Siding MasanrY Venee Rough Plumbin Relief Valves Ext . Porches Finished FlborS Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg , Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney, INSULA,TI ON Foundation FloorS Walls Ceiling FINAL ELECTRI AL INSPECTIfJN DRIVEWAY APPR VAL Final Buildin Survey Next scheduled .ins pection Remarks- (call when ready ) Building I Spector 6/86 and-vl �JL Dorn o� �ueerr.i6ure� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL !SYSTEM INSPECTION NAME �---7y��tre1t.�' LOCATION DATE / /!/! /r2. PERMIT NO. SOIL TYPE - Sand - Loam - Clay _ _.... Percolation Test Required? YE _ NO Percolation rate - Min/Inch TYPE of SY gm; Absorption field , total ength Length of ea h trench Depth of tree hes Size of grave SEEPAGE P' ITS{N er of) Size- to X ft. � 7 Gravel size PIPING : Bldgo to tank Siz # � Tank to dist . x Dist* box to field Openings sea d? YE NO - Partial LOCATION/S ARATIONS ; Foundation o tank to Foundation o absorption ft. Absorption to lot line ft . Separation of pitsC�� t. - SYSTEM ON PROPERTY (circle one) n e r - Left side - Right side TS : SYSTEM USE APPROVED DES NO Duildi g Inspector 01/86 and vl �r9 .JOwn o/ 'Quee" .3 "ry BUILDING and ZONING DEPARTMENT Bay and Havifand Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME 9 ti,,r��.J� LOCATION t Date /// i Permit No . ✓ = - Footing/Pier Forams APPROVED YES NO Foundation Waterproofing Backfill. Roofing Siding Masonry Vance Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile `— Concrete Floors Plbg _ Fixtures Gar . Fireproo ng Door Closers Smoke Detec rs Chimney INSULATION Foundatio Floors Walls Ceiling FINAL ECTRICAL INSPECTION DRIVEW APPROVAL Final uilding Survey Next scheduley^d� inspection (,c/a/ll� when ready/) Remarks- Building Inspector 6/86 and-vl � � �QWIt f/� �LePF/73fJils*t� `rc 1 00 1 BUILDING and ZONING DEPARTMENT 3 ^ Bay and Hauiland Road, R,D] I Box 98 Queensbury, New York 12601 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date / a / Permit No . ✓ = APPROVED - YES NO ting/Pier Forms ql�t y Foundation - Waterproofing Backfill Frav�i ng Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext , Porches Finished Floors Interior `Prim Stairs & Railing, 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 readyr ) Remarks-- ! BuiI g =nspecter 6/86 and-vl .Down o� '�tteerr3heire4f BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. I Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME dt LOCATION Date __. Permit No . ✓ = - Footing/Pier Forms APPROVEL) YE NO selloundation aterproofing Backfill Framing Roofing Siding Masonry V eer Rough P1 ' ng_ Relief Valve Ext . Porches Finished Floo Interior Trim Stairs & Railin Cellar Drain Tile Concrete Floors Plbg , Fixtures _ Gar . Fireproo.fin Door Closers Smoke Detector Chimney INSUI ATTONv Foundation Floors Walls Ceiling FINAL ELEC RICA,L INSPECTION DRIVEWAY A ROVA Final Buil ing Survey Next scheduled inspection ( call .when ready ) Remarks- . Building inspector 6/86 and-vl ._J'accrrt a� �tteens �ure� BUILDING and ZONING DEPARTMENT Say and Hawiland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING IN�S�PPECTOR ' S REPORT NAME ' LOCATION ---.� �'��+�bh�� � c E�Gz� 1'/1S Dat -Z�l Pe mit NO , * * * * * * * * * * * * * * * * #/ APPROVED - NO Mting/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 INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICA INSPECTION DRIVEWAY APPROV L Final Building, Survey V I __._� Next scheduled inspection {call when ready ) Remarks- y Building Inspector 6/86 and-vl .� MtDDL*, PARTM.ENT MWECTIOU AGENCY,- "" . National Headquarters .. - y; GIWHaddon Ave., Collingswood, N.J. 08108 / � Date ,/jr�J" a� 7-A ty, Town or Township ►' � Q aR f tic. �+�;/��"^ 4 146S County 1�/�.F� State ocation/Address •� S I�ed1P L� IlI �s - (if Loca d in Ru Afea - Please Atta irec ' nsy Pole # r rJ - + 7+ e's17 ; x+ rmiPermitOccupiedwne .As @� • 3_ Permit . NewfflOWED Occupant L lf Ir ' ork Area in Building Floor #, etc.) : for: Wiring Service or: :' Ready for In eo#ion: Fee Remitted h ED Check M.O: El d Make Payable To: M.D.I.A. 750 ooa 1250 15ep Sb 2 ?7 225a 60 2500 27 30011 Number of Rough Wiring Outlets Elect. Heat , r Switches , dip A 5e Sur# gti Dishwasher Range Lighting ' . eteK.. ater Air Conditioner � _Dryer Pump Receptacles ' Nurn r of Fix ores ------f n• =+ ' c:. d'arbage Wiring and Controls Pqr- -- _— Burner ' R ptsdes= ' Fr Donal H.P. Vent Fans Other Equipmen r MOTORS H.P. 1/2 1/1 1/10 1/8 1/6 1/4 L/3 1/,2 3/4 yh 2 . 3 � 0- ',h le 1 2D 25 30 44 5D 75 100 Mark Number - „ of Each Size , SAPPatura s - Lice �L# _.�Parrylit. # T/A I Ity: Applicant's Address d - mmmmmmm .E ._ o .✓ H Ic L a AS[rG (City) [SCa (Zipi SeIII Request # Phone # DATE RECEIVED: ' ''w. • . - DATE INSf7ECTED: Correct Location : Same as AboveE3 or: `` Red Notice Label � Rough Wiring Outlets Surface Unit- Cden " Switches Ran t aria Olsposai Receptacles Water Heater - bishwaslI Fixture Air Gann' loner' Dryer Amp. Service Equipmen Burner; Wiring &-Controls or 6&ffade Am . Service Conductors Pump Vent Faris MOTOR'S H.P. 1/'20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 142 2 3 5 7+h 1 15 24 25 30 50- T5 � 1CO Mrk Number ofa Each Size .Sop 1 7s0 I I*Go 1 1*s0 I 1Spp I 17Sol 2254 ¢Sop 2750 3000 Elect. `Heat IleRW Progress: Inc. [�. LKD �- Contractor CT Violation: Work Comp. © . ;pc. _ do L/A ' Owner CASH C] L/A Fee CH K # _ Du _. IPA , e Md #k II - INV # Dater Other Side0 Utility ' Appi l fit,. net; Cut in Card C] Temp # Date, , '' :. > , r i - aNSP15CT13FiSSIGN0kruRE Final # Date APPLICATION FORM NO. 25 EL 11"/B .. - . . - •. - - - - . L07 40 � L0 T 43 � LD T 44 SLMM IT WLy t!� 5.83 "21' f( E 2D'12.L 4"8'A56' L`J,,:TEy P F,L '� — 5TERL!! AutAwa •v _ P LDT F'L n k) Fas v-, oas , OATS A0V*OVRo BY *AWMO MYM"A A..wAsm..: s to *449