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1987-745 µ 1 „ — i t — s CERTIFICATE E OF OCCUPANCY I TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK 1 I 1 Date lq 1 This is to certify that work requested to be done as shown ivy Permit No. 87- 745 has been completed. i �i This structure may be occupied as a One-Family Dwelling Ljocate0 io Pleasant Lane (Hidden Hills Subdivision ) Owner Tom & Jean Whitman, f j By Order Town Board I TOWN OF QUEENSSURY I 1 i Building QI Zoning Inspector BUILDING PERMIT � . TOWN OF QUEENSBURY � No. 87-745 C> WARREN COUNTY, NEW YORK Tom & Jean Whi tman w PERMISSION is hereby granted to kin OWNER of property located at 80 Pleasant Lane (Hidden Hills) 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. r-3 0 1 . OWNER'S Address is Crandell St . sr Glens falls , N . Y . 12801 ro w 2. CONTRACTOR or Bill LdER'S Name Rich Schermerhorn r+ B w 3_ CONTRACTOR or BUILDER'S Address 1 Windsor Ct . Glens Falls N . Y . cc 0 4. ARCHITECT'S Name N b M ro fU 03 to co Ay S. ARCHITECT'S Address as su m 6. TYPE of Construction — (Please indicate by X) ( Wood Frame ( l Masonry ( 3 'Steel { 1 7. PLANS and Specifications M No. 64 ' x 28 ' per plot plan , specifications and application including septic system, attached two car garage and driveway permit . r• 8. Proposed Use One Fatally Dwelling M $5 . 00 C/o 7g 88 ova $ 108 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES June 1 , llf a longer period is requ€red an application for an extension must be made to the Building and Zoning inspector of the town of Clueensbury before the axpiration data_! Dated at the Town of Oueensbury this 5th Day of November 1987 SIGNED BY for the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG . DEPT . ' �J /r Application No . "W .✓own o/ Q"eens Permit Issued 19 - BUILDING and ZONING DEPARTMENT Permit Expires Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation Queensbury. New York 12801 Variance No . OCT Fr q 7 ��� Site Plan Review No . 4 / Approved by : APPLICATION FOR l �de���G - r�34$1 0 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 . The owner of this property is : /d ,22 a A/ h P . O . Address C , fi n Ae. \1 5Y - CC . v Tel . '75 'J3- S7Y 7 Property Location 60 _ /0) e" a 5 cC Z. cx.AIe- Tax Map No , f / street number or building lot number /} Subdivision name ( if applicable) - 9' '%0eY-1 „+3+ l �S 11" GA c c �- � ' • tA-J 0oe� �s 4 f v THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : Name P . O. Address Tel . No . Name of bu11der r h `j c-, ' vet [A ,AAddress Tel . -7 6 �2V Name of plumlaer Address Tel _ — 7 - Name of mason Address � L - f1 /y Tel . 42? 2 - f $ 4� 6 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-hack 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 � ft X d ft . Existing building ( s ) Size ft X ft . PROPOSED BUILDING AND USE : * Existing building ( s ) Use Size of new structure ft x Foundation-pier/slab/crawlwl/partial Proposed 'building , distance from property line (circle one ) * Front yard ZQ ft Rear yard e, Side yards 1-5ft No . of stories (habitable space) ft and ft � Height ( grade to ridge) g ft . If on corner , setback from side street ft If residential , no . of families_,_L. No . of rooms ( excluding baths ) OCCUPANCY INFORMATION No . of bedrooms 3 PRIMARY BUILDING - No . of bathrooms X One family dwelling Primary heating system �0,-Ss u1cti� elC * Two family dwelling Type of fuel Ck o. S Multiple dwelling / Number of units No . of fireplace'A to be installed A Permanent occupancy Will a wood stove be installed? A/ C7 Transient occupancy Central Air conditioning? &CD 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 Cape Cod Cottage Other ACCESSORY BUILDING- Colonial Row Town House Detached garage/one car/ _car ( CIRCLE ONE PLEASE IrAttached garage/one car two car/ car Private storage building J ESTIMATED MARKET VALUE OF Other x- CONSTRUCTION �- t.6 3PT) - _ _. - - - - - INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , To BE COMPLETED : Form BPA 4/86 and-vl BUILDING PERMIT APPLI+CATI4N CONTINUED - BUILDING SPECIFICATION Type of constructio wood fra e , fire safe , etc . Will any second-handdded lumber he used? If so , for what ? Foundation wall material y Thickness Za Depth of foundation below grade (to bottom of footing ) Ga zCa Will there be a cellar? e : Heated o ubheatee Floor sq. footage sq ft Will there be a basement? Will any portion he used as living space? ,,e ( If so , what porno ? _sq . ft . - - 'Type of use? Type of roof - loped fiat/shed/other Material of roof Size , wood stu _ _lox - (��" spacing.,. "o . c . length :5 ft . Joists ( floor beams ) lst . floor C�a "X ,/ 45� I* spacing /f "o . c . span�/Z/ ft . Joists ( floor beams ) 2nd . floor MIX it spacing "o . c . span ft . Overlays (ceiling beams ) �k "X_ ^_i " spacing JL/ "o . c . span eft _ Roof rafters " X spacing O . C . span ft . Roof trusses (pre--engineered) spacing�"o . c , span / `f' ft . Exterior wall finish cA ,r S Of what material ? Interior wall finish e & • ' ' • -'-- If a garage is to be attached , describe materials to be used for FIRE SEPARATION : � e 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? _A / ,�? Height above roof 21 ft . Depth of chimney foundation below grade ft . Depth of fireplace hearth ft . in . L Water supply - Municipal or private well SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties ' ft . (A separate application is necessary for nanyrlep7air or new installation of septic system) Town of f Warren A F I I D A Y 1 T 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 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 . fJ% /� SWORN TO BEFORE ME THIS Signature - _ - r" __✓ ' _�_ -Owner , owner ' s agent , arcn3-rect , contractor day of '�� L/ • 19 `1,7 Notary Public , Warren County , N . Y . * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * IF 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 CONSERTVATION CODE A permit must be obtained before beginning work . ANSWER ALL of the following : 1 . Gross floor area / 3 % O 2 , Type of heat Ea � 0 L.,�Jo k � I 3 . Is the building mechanically cooled ? �o 4 . Percentage of area of windows and doors / `/ 9 A . Over 16 % Only Y . 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 (ir::D 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 ,�: )) C'. rS' IOLS S B . Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions foo-p _ 9 � 3E' 0 / Z.. " w ,bra. -F-V 2 , R value of exterior walls _ - 2 3 . R value of glazed area • 4 . R value of doors.A r3 y� 5 . R value of floors aver unheated spaces 6 . R value of slab edge insulation - unheated slab / / A 7 . R value of slab insulation - heated slab I 8 . R value of heated basement/ cellar walls ( above grade ) K 9 . R value of heated basement/ cellar walls ( below 9rade ) i5 � / � 10 , Type of insulation jr, b t, c G ct S .5:- C . Controls 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 3 1 . Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F . Service Water Heating 1 . Performance efficiency. <967 2 . Temperature control setting maximum Z!5G& G . For Swimming Pool Only 1 . Maximum heating Telephone No . '� � CJ '�' 7 t/f ( applicant ' s signature ) earn of owomw4vy APPLICATION FOR SEPTIC DISPOSAL PERMIT HATE /O A7 6 / 7 LOCATION OF PROPERTY FOR INSTALLATIONf Owner's Name : %a'rr� �►, T i s7 g N Telephone: 79,3 - 5 7Y .7 Address: C 'ret r7c t 11 �� /"j,L P~ /2 s-n/ Installer's Name* fi i S C {"c, +-tc� e ll CxcQL)cJ ;nc Telephone: �'/ 3 — r13 Number of bedrooms (residential only) . T Total daily flow (compute @ 150 gal per bedroom) X5 0 Topography: circle one: lat Rolling Steep Slope % of slope Soil Nature: circle one: Sand Loath Clay Other / Depth: feet Ground Water: At what depth? feet Bedrock. or Impervious Material: At what depth? _ feet Percolation test: circle one: not required required / rate min. inch. Domestic water supply: circle one: (Municipal Well Other 0 -S7 <� v C.P_ A S l C) V" y IF domestic water supply is a Well: Separation: Watersupply from Septic absorption _ feet PROPOSED SYSTEM: Septic Tank /csd G gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench feet / Total system length feet SEEPAGE PIT(S) : Number of 3 / Size each feet by !?� feet Size of stone to be used # _ 32 / Depth or Thickness 3 f feet IMPORTANT ...Please,...LIST NEW EQUIPMENT TO BE INSTALLED (over) Section II Septic System Ins actions: 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, 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 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: //-V V�P. Date: / z"r;" 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 BUILDING and ZONING DEPARTMENT Say and Haviland Road, R.D. 1 Box 98 reILDI�"6 eensbury, New York 12801 dig ^ .� SPECTOR ' S REPORT NAME z gJ7 �r��? LOCATION / A .�� Date Permit No . ✓ - APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill Franing Roofing Siding % Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs r Railings Cellar Drain Tile Concrete Floors. Plb . Fixtures ar . fireproof ing Door Closers Smoke Detectors Chimney INSULATION : Foundationo Flors Walls Ceiling FINAL ELECT AL INSPECTION DRIvF"T x APP OVAL Final Build g Survey Next schedu d inspection (call when ready ) Rema rks- -!' G. c�" ,f'r&� K.Gs�G+� ���+C �t •'J/r: B in nspecto)r 6/86 and-vl BUILDING and ZC71VIIVG DEPARTMENT Bay and Haviland Road, R-0. 1 Box 98 `7 Queensbury. New York 12801 LDING INSPECTOR ' S REPORT NAME LOCATION L •r� L _ Date z:: / Permit No . ' J fv' APPROVED - YES NO Footing/Pier Forms_ _ Foundation waterproofing Backfill Framing Roofing Siding Masonry Venee Rough PIUMbing Relief Valves Ext . Porches Finished Floors Interior Trirn Stairs & Railings Cellar Drain Tile Concrete Floors Pllag . Fixtures Gar _ Fireproofing Door Closers Smoke Detectors Chimney I N SU LAT I OAT Foundation Floors walls Ceiling FINAL ELE TRICAL INSPECTIOAT T DRIVEWAY APPROVAL Final B iiding Survey Next s heduled inspecCion {call when ready ) Rlemarks,- (,'/i 0C Af'y T��: ��}2L Cxr I sCi ovs Building Inspecta b/86 and-vl �.le�wn o� �ueen i6urc� ✓� BUILDING and ZONING DEPARTMENT f ✓ +i Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 UILDING INSPECTOR ' S REPORT NAM E -'� / '� LOCATION ' ? Date /= e `�f f� �'_ Permit ✓ = APPROVED - Y S NO Footing/Pier Forms �oundation terproofing — ckfiNPlumbin Framin Roofin Siding Masonr Rough Relief Valves Ext . Porches Finished Floors Interior Trim stairs & Railings Cellar Drain Tile Concrete Floors Plbg , Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney I SLfLATION : dation. loa walls r Ceiling FINAL ELECT CAL INSPECTION _ DRIVEWAY APP OVAL Final $uildi g Survey Next scheduled inspection ( call when. ready ) Building nspector 6/86 and-vl eil BUILDING and ZONING DEPARTMENT Bay and HaVifand Road, R- D 1 Box 98 C)ueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION E LOCATION DATE f &e Y PERMIT NO. -- SOIL TYPE - Sand - Loam - Clay Percolation Test Required? YES NO Percolation ra e - Min/Inch TYPE of SYSTEM Absorption fie d , total len Length of each trench Depth of trench s ' Size of gravel_ SEEPAGE PITS#N r of) Size- ft. X f Gravel size - PIPING : Size T pe Bldg . to tank Tank to list_ box Dist. box to fie / Openings sealed? YES NO Partial LOCATION/SEPA TIONS ; Foundation to tank ft. Foundation t absorption Absorption lot line t . Sepa tion f pits ft. SYSTEM ON PROPER Y (circle one) Front - Re r - Left side - Ri ht side f SYSTEM USE APPROVE YES NO Building Inspector 01/86 and v1 � �1ry/y/� own o Q"eensbtrrt�l �y - UII.DING and ZONING DEPARTMENT ! y and Haviland Road, R. D- 1 Box 98 Queensbury, New York 12801 f(UJILDING INSPECTOR ' S REPORT NA LOCATION Date "//_ permit No . /�/ ✓' ✓ = - Footing/Pier Forms APPROVED YES NO Foundation Waterproofing B knFraming Roofing Siding M,,��sonry Ilene t.7ough Plumbin Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers � Fr Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRIC INSPECTION DRIVEWAY APPRO L Final. Building Survey y Next scheduled i spection (call wizen ready ) Remarks- 6/86 and-vl 'S lding Inspector ,ry ; G`T ( � + ._.J'Otun o� �ueen3fiurt� BUILDING and ZONING DEPARTMENT lil Bay and Haaifand Road, R. D. 1 Box 98 /y7 Queensbury, New York 12801 � l UILDING INSPECTORtS RE OORT#-,. AME LOCATION dX/ Date /f / Permit. No . � / ✓ = APPROVED - �' NO {,.mooting/Pier F'orrns Foundation Waterproofing Backfill F rasni ng Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Dr3a Tile Concrete Floors Plbg . Fixtures Gar . Fireproofin 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- Building Inspector 5/86 and-vl THE NEW VOMK BOARD OF FIRE UNDERWRITERS 41 STATE STREET CERTIFICATE NO, ALBANYI N . Y , 12207 YOU ARE HEREBY REQUESTED TO INSPECT AND I SSUECERTI FICA TES FOR THE FOLLOWING ELECTRICAL BUILDING PERMIT hQ. UOUIPMENT TO BE INSTALLED BY THE UNDERSIGNED- TEMP. CITY DR _ / r VILLAGE i f."' r k <.,] FI"` 7 /r/ y TOWNSHIP COUNTY ,*�.rr STREET AND NO. OR / ROAD AND POLE NO. POLE NO- p,. , / ._ L:' .,� : .L'"'' - - : #s.+-,. BET'YYE EN WHAT TWO � _ CROSS STREETS IS _._ Ile ! ' ! Y /` / ./ _ _� -..• ;" _PREMISES LOCATEDDt / 4 ! ,L/ SECTION BLOCK 160T ftUPLDPI NG OCCANCY �. OWNER'S NAME j_.,,_•[ / / / ter' AND ADDRESS, : ! �rf -. f/ "YJ f G TEL. Cuffikiff SUPPLIED Al .- 8V Al f{ i f r:y : IA -Ar.� " ,r/ FROM THEIR OFFICE BUILDING DEFECTS 1 WOR K IS NEW LaGI OLD ❑ IS NEri ❑ ADDITIONAL © REMOVE6 ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS hi . of Fixtures Si BRANCH Lora- Lamp Fl ceptods MOTORS HEATERS CIRCUITS OFFICE USE tine ONLY Ceiling Side Attooh't Stastch Prrwlam Bracket Na. Type H.P. No. Watts No. A.W_G. wall R.uap'1. Each Each Gaulle INSPECTION Gut elda Sheads Baer mina let Ff. 2nd Pp. 3rd Pg. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: 00 NOT USE THIS SPACE, This appiican on is intended to corer the above-listed equ iptnem to be inspected km it al time of In$P"I ion there is foie nd u additionel equipment not atwra tested, yo are authorized to me Ice the inspection end adjust the I" to cower the additional equi proem, as prow idad bV the aPPl icant. SIZ OF MAINS ELECTRIC SIGN TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA YNDRK TO BE INUMSERI (CAPACITY} STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD ENTERS UhpERGROUND MAKER BUILDING OF SIGN INSPECTION REQUESTED OR NEAR AS PO NEW OLD POSSIBLELE AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION_ ALL SPACES GATE OF MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION PRINT NAME A D J f1D7ESS NAME OF r! �:l ..� , �%,.. SIGNATURE APPLICANT OF APPLICANT.STREET ADDRESS ADDRESS TELEPHONE #' CITY OR 21P - LICENSE NO, POST OFFICE �' CODES ,^WHEN APPLICABLE 46 EL (REV- 1/6e} A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING