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1987-880 e L I TOWN OF +QUEENSBURY WARREN COUNTY, NEW YORK I Date May 3 , 19 F i 87-880 I This is to certify that work requested to be done as shown by Permit No- 1 has been completed. 4 j One 7c alai ly Dwe ll l.ng This structure may bye occupied a■ a j ., r =iy5�; . Oak Tree CIrcl.e I.00c#ri�Dtt f Pliney Tucker 1 Owner k By Order Town Board TOWN OF QUEENSSURY Building & Zoning lmryxctor r f H BUILDING PERMIT � TOWN OF QUEENSSUR`M"' Na 87_880 WARREN COUNTY. NEW YOrRK .cs w PERMISSION is hereby granted to Fliney Tucker i n OWNER of property located at Lot 154 Oak Tree Circle 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. 1'd ra m t . OWNER'S Address is Sox 425 RD #4 Division Rd . Glens Falls , N . Y . 12801 � n x ro tt 2. CONTRACTOR or BUILDER'S Name Same 3. CONTRACTOR or BUILDER'S Address r 0 Same '* I-� La. ¢ con. lrn ro -C� 4. ARCHITECT'S Name � w 11 I--� H to Fi ro 5. ARCHITECT'S Address 'Cb f] W H l7 t- ;P 6. TYPE of Construction — (Please indicate by X) (x) VVood Frame ( 1 Masonry { I Steel i 1 7. PLANS and Specifications No. 28 ' x 68 ' as per plot plan , specifications and application including septic Sy9tem and attached two car garage . m S. Proposed Use i w One Family dwelling r+ �c $5s00 C/O $ 108 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES Tiny 1 , 1988 (it a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0 town of Queensbury before the expiration date.) 40 Dated at the Town of Queensbury this ��23rdpp /Dayo�f�/� _December ig 8� SIGNED BY � 4[.G� t-G - 400 C�Ci for the Town of Queensbury Building and Zoning Inspector .I TO BE COMPLETED BY BLDG. DEPT. i 0 W N OF C-'4U .:-.N G� Application No . I'Duvrr! O� �Lt eF'►t�E►/l4rL� Permit Issued 19 ' BUILDING and ZONING DEPARTMENT Permit Expires 19 L? � �C � Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation Queensbury. New York 12801 variance No . 33 SfL17 [,C r C Ci f:]FP E site ig view No . .. APPLICATION FOR Iva„ BUILDING AND ZONING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION , ANSWER ALL OF THE FOLLOWING . The undern:kgned 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 : P . O. Address "4 A/ �LtGl ys . � s J 01t r ��-r Ao2 j i,2 Rlal Tel Property Location : � . �: z5`4eZ 4n _k' I "e � ' r��'G Tax Map street number or building lot number Subdivision name (if applicable) +' AC) C) THE PERSON RESPONSIBLE FOR. SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : r K✓ `_` r� _ r tc/ e s .G 7 •C�' ~ r'=.ta , f Name P. O. Address Tel . No . Name of builder _ . - . 5 ,�r _�ddress Tel . s Name of plumber sr;r _ �, ,� �, ., Address i Tel . r r Name of mason= a�:.5 ,� Address NATURE OF PROPOSED WORK : ZONING INFORMATION : Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SIUBMITTED , 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 * of septic disposal area . * COMPLETE INFORMATION REQUIRED BELOW . * Size of property, t K f r €t . * Existing bui dings ) Size ft x ft . PROPOSED BUILDING AND USE : * Existing building(s) Use Size of new structure 29 ` ft Xr0e '5w'ft Foundation-pier/slab/crawl/parti l,! u:a T Proposed building , distance from property line (circle one) * Front yard ft Rear yard ft No . of stories (habitable space) !'3 v * Side yards / ft and ft Height (grade to ridge ) / ft . * If on corner , setback from side street ft If residential, no . of families No . of rooms ( excluding baths ) 46 * OCCUPANCY INFORMATION No. of bedrooms throoms PRIMARY BUILDING No . of ba - -/r �-Zr * -X.-Onefamily dwelling Primary heating system ,�J .� �i y-e �-- Type of fuel * Two family dwelling led rr * Multiple dwelling f Number of units No . of fireplaces to be instal Will a wood stove be installed? * . Permanent occupancy Central Air conditioning?.. AI * 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 Bungalow Cape Cool Cottage Other * ACCESSORY BUILDING- Colonial Row Town House * Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE } * Attached garage/one car/ two Car/T ,/ car * * * * * * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF * `Other CONSTRUCTION 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 constructiono od frame ,, lye safe , etc . . Will apy second-hand or urigraded lumber be used? If so , for what? r1� Foundation wall material f "{' �a � � � Thickness f f Depth of foundation below grade (to bottoi footing) Will there be a cellar?'. _Heated or Qheate Floor sq. footage sq ft Will there be a basement? Ys s Will any portion be used as living space? ( If so , what portion? sq. ft . - - Type of use? Type of roof - (s ope flat/shed/other Material of roof /n Size , wood studs "X spacings-"o . c . length ft. Joists { floor beams ) lst . floor"X r_� ' spacing-"o . c , span .! ft . Joists ( floor beams ) 2nd . floor "x " spacing "o . c . span ft. Overlays ( ceiling beams ) __"X spacing.,�"o . c . span .2 v' ft . Roof ,rafters "x spacing o . c . span ft. Roof trusses (pre-engineered) spacin92'4�."o . c , span .2 g' ft . Exterior wall finish A / sJ y 4> Sr eCrrsry Of what material? Interior wall finish ms If a JC'{"arage is to be attached , describe materials to -be used for FIRE SEPARATION :/ Is there to be an opening between garage and dwelling? f so will a Fire-rated door , enclosure , and self-closing device heerrovided? Will a flue-lined chimney be installed?-` Height above roof rr� ft . Depth of chimney foundation below grade ft . Depth of fireplace hearth 4L t . in . Water supply - Municipal or private well '69?' ,., z , Z2 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 A F F I D A V I T STATE OF NEW YOR.K 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 doneoon 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 Signaturg_: _=� .2' Owner , owner ' s a ent , archxr ectocontractor f� day of �.�""•-�-- 19 r�"� Notary Public , Warren County , N . Y _ SPECIAL CONDITIONS OF THE PERMIT : 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 3 , Is the building mechanically cooled ? , 4 . Percentage of area of windows and doors l � A . Over 16 % Only 10 ri value of gross area of walls , roo cel n� and floors exposed to ambient conditions _ R 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 S , Under 16 % Only i , R value of roof and floors e pried to ambient conditions. 2 , R value of exterior walls 3 . R value of glazed area 4 . R value of doors 5 . R value of floors over unheated spaces iC 64 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 ) 9 , R value of heated basement{/cellar walls ( below grade ) 100 Type of insulation ' A - � � � - C . Controls v 1 , Thermostat maximum heat setting C D , Duct Systems 10 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 insulations F . Service Water Heating 11 Performance efficiency 2 . Temperature control setting maximum £7 ° G _ For Swimming Pool Only 10 Maximum heating Telephone No . apcant sig are e4sw Oarft df aetWA&V APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE c r e,�!, / 45?- �> LOCATION OF PROPERTY FOR INSTALLATION 07` / 5'r + �-rt- c' C/ Owner's Name*, �Y�f tsu +�a. - %cv c fK � }- Telephone: ,7> w5f -3 44� Address; L5 c x �f/.�_S' • '�• •'i` ' r G'/ s ra.� .e°� cam` r /;77 ry Installer's Name: .,.- ,. p� �.� Liza Telephoner Number of bedrooms (residential only) —� Total daily flow (compute @ IS 0 gal per bedroom) Topography: circle one: b9l Rolling Steep Slope % of slope Sail Nature: circle one: 41 , Loam Clay Other / Depth: feet Ground Water: At what depth? A,?o -, a r1 F 2ro� A feet Bedrock or Impervious Material: At what depth? _ JVr,/�, feet Percolation test: circle one: not required required / rate min. inch. Domestic water supply: circle one: Municipal Well Other _ IF domestic water supply is a Well: Separation: Watersupply from Septic absorption feet PROPOSED SYSTEM: Septic Tank ro G° gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench _5 G feet / Total system length feet SEEPAGE PIT(S) : Number of / Size each feet by feet Size of stone to be used # +r / Depth or Thickness feet I M P O R T A N T ...Piease...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 40 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 trust be submitted to the Queensbury Building Department before further construction. 1 have read the regulations above amd agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal CWdinarce. Signature of responsible person: /- v Date: J 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 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY NLG Al STATE STREET, ALBANY. NEW YORK 12207 98 Date MAY 272 1988 Application .'Vo. on file 036571 / 87 A 7 -L � �? THIS CEWrIFIES THAT rion number in the promises of only the eleetrsca equlpment as described below and introduced by the applicant nor+red+ous the above applies pLINEY TL'CKERs LOT 154 OAK TREE CIRCLE li.LDDEN HI1LLS , GLENS FALLS , NEW YORK in thefolloaeing location; EN Basement ® 1st Ft. 0 2nd Ft. t7LiTSIl7E Section 93 Block 5 Lot It"" examined on 5/ 3/ 88 and found to be in compliance roith the requi"ments of this Board. FU[TUREs RANGES COOKING IKCICS OVNs DISH WASHERS EA FANS "XTURE "ACLU SWITCHES INCANDESCENT Fll]ClRESCENT MT. K. W. AMT. K- W. AMT. E K. W. AMMT.K.W. AMT. Y- A M. �. OUTLETS 1 4 . 8 3 'r'R 27 48 23 x5 2 SJIECIAL RECFT TIME CLOCKS am UNIT HEATERS 'MULTI"�T� DIiM1Y1ER5 DRYERS FURNACE 1MOTORS FUTURE AFFIIANCE FERDERS STPSTEMS AMT. WATTS . W. ali 51. P- 4A5 H. P. IJNT, M117. A. W. Cs, AM1T, AMP. AMT. AMPS. TRANS. wMT. M. I. AMT. K NO. OF FEET E R I C E SERVICE DISCONNECT Mo. $ A. w. G. Na- W NEurRAls A- W. METER 1 , 2W T 0 SN s .a sW a A xW No apERcsCONa. of A. 0CIdD_ - or NI-IEG � �-�, � AMT. AMF. Tr►E EM, IIF, 1 2 1 x 4/01 2 /E) 00 Ci3 4/ oTHEE AMARATM ELECT1iIC HEATER6 : - 2 . 0 KW 3- {ri+ G1 Y 4- 1 . 5 'KO 1- SYIIOKI: DETECTOR (� 2- 1 . U IC4 v75 KW PLINEY TUCKJZiR BOX 425 RD #4 DIVISION kOAD BRANCH MANAGER GLENS eAl.' ,S , j4EW YGi2K 12801 239 per to the office of the Board if incorrect. Inspectors may be identified by their credentia This certificate must not be altered in any manner, returnls. - - - COPY FOR BUILDING DEPARTMENT. TH15 COPY OF CERTIFICATE MUST NOT BE ALTERED IN AMf MA ER, - - ✓L„ DffJil [1 �eteel+ 36etrt� BUILDING an ZONING DEPARTMENT Bay and Haviland Road. R.D. i Sox 98 Queensbury, New York 12801 dBUILDING INSPECTOR ' S REPORT NAME / C l a LOCATION e+ , / } I '�'� I3c3te 7 permit No . Y 1 et) APPROVED - YES NG Footing/Pier Forms Foundation Waterproofing Back.fi. 11 Framing Roofing Siding Masonry vene Rough Plumbin V " Relief Valves Ext . Porches Finished Floo Interior Trim Stairs & Railin s ------ Cellar Brain Til --�-- concrete Floors Plbg . Fixtures y, Gar . FireprOO ng Door Closers Smoke Detec rs Chimney INSULATIO ; Foundati. n Floors Walls Ceiling FINAL E ECTRICAL INSPECTION DRIVEWAY APPROVAL 'r lxtal Building Survey J \ ins ection (call when ready) Next scheduled F Remarks- Bu Ins ectar 6/86 and-vl own v/ Q"eenshesry UILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queenshury, New York 12801 SEPTIC DI POSA SYSTEM INSPECTION NAl�lt" LOCATION y..'` / DATE/- ll PERMIT NO - SOIL TYPE - Sand. - Loam - Clay -_ Percolation Test. Required? YES - NO Percolation rate - Min/Inch - TYPE of SYSTEM: Absorption field , total Length �+C� Length of each trench __ _ Depth of trenches 03 __ Size of gra 1 SEEPAGE PITS Number of) Size- ft. X _ ft. Gravel size PIPING : Siz TY e Bldg * to tank y rC Tank to dist . bo _ Dist. box to fie / openings sealed? Y S NO Partial LOCATION/SEPARA'TT Foundation to t i ft- Foundation to a sorp ion 5 Absorption to t lin t - separation of its WCATI TEM ON P OPERTY {circle one Front Rear Left sid - Right side - COMMEIV /' j9 - e Gam / jZ /T[i0`G,/ " � ' / r �� �r}}''' I SYSTEM [3S'E APPRC'ED ESi ?s LSD Build ng inspector 01/86 and vl �� i►"+ �4.•+'own o� �ueen36urr� (�+ BUILDING and ZONING DEPARTMENT r Bay and Haviland Road, R. D. i Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S CT pREPORT NAME LOCATION Date /4 / �Sf Permit No . "! ✓ APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Maso�+nry Veneer &&rough Plumbing Relief ValveW Ext . Porches Finished Flo Interior Tri Stairs & Rai Cellar DrainConcrete FloP1bg . FixturGar . Firepro Door Closers Smoke Detectors Chimney INSULATION * Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next schedule pection (call. when ready ) Remarks- Building Inspector 6/86 and-v1 /owst 01 Queen3hurt� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R . D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ` S REPORT NAME �_,�.�, LOCATION �^ - Date Sf /�7 a' Permit No 1 �d ✓ - 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 INSULATION : Foundation Floors Walls Ceiling FINIAL ELECT CAL INSPECTION DRIVEWAY AP RC)VAL 1 Ftnall Build ng Survey 1 v.�-�c�► ,I LC�. Next scheduled inspection (cal-1 when ready ) Remarks- y ►J IG I t � 11 L L 1-2C. y Building Ins ct 6/86 and-vl _._../nwn a� �tteens6urt�t BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME a LOCATION ZZ0001v -lop TZZ�—A:: Date �/ Permit IVo . Qr1, rf1 ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valve Ext . Porches Finished Floor Interior Trim 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 S rvey Next scheduled inspection ( call when ready ) Remarks- Building Ins ctor 6/86 and-vl _Jowrl o/ Q" eenjg"ry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. I Box 98 dueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME Plw-z�:z I U � LOCATION� �[�.,j CI f �L E-�- ]' i EEC L - Date - / 2:7 Permit No . �1 ,d ✓ = APPROVED YE NQ YFooting/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Perches Finished Floors Interior Trim Stairs & Railings Cellar Drain Til Concrete Floors Plbg . Fixtures Gar . Fireproo ing Door Closers Smoke Detec rs Chimney INSULATION Foundatio Floors walls Ceiling_ FINAL EIECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey. Next scheduled inspection ( call when ready ) Remarks- L Building 11ispector 6/86 and-vl I� o f t �h ' 1 \` 1 ZZ rye v � t;T Tyee e r c i cfe MAP REFERENCE I HEREBY CERTIFY TO HIDDEN HILLS SUBDIVISION EDMUND G. I, (..AURA D. SIPOWICZ MADE FOR RALPH & MICHAEL WOODBURY BY VanDusen & Steves DATED MARCH 26 1986 TROY SAVLNG�, BANK, 1,T',-, FILED SEPTEMBER 22 , 1986 SUCCE'S—Ms AND ASSIGRS IN MAP CABINET A SLIDE 44 LAWYER' 111111'. INSURANCE CORPORATION IHAT Pff', Midf' VjA', MAOE FROM W,j I.C, U;ki� ON Dil: Gp(XJN() '10 RE-CURD ') tA;"I 1;!N' AND A ! i)ll' O B(AJNOA�Ut 'ND ("IN Hi� t'k� THERE /V N, �; 'f� filli'FR 1HAN --0 I'XkIOTIIZED Ll TJ A L I4 Sy Avi!rC A LICENSED L4'.'J St,rP—M'S;T,Ukj 15 A 'IMATTSII C SECTIall 720),SUB-DI/!sICY S,v I'z 13,500 Slp.j� FT. �I— I e�" "t", t4W YWA STATE EDLCITIl." 1y CD`TE'FRY'.r� 1 WIi6I (x i slu"E' L,'uO 'E'R's LE, INDICATED 1CRE(S',51COP Y TNIT L tY11 SLIRVEY WA''MEN D 11 ASCCA Vf�E WjIII TIE EAISIIIIG CODS OF PfiACTI FOR LAOO SOA1111 ADC1111 V, By TIE IZW YOR STATE ASSMAT!all Cr PRWESSID11 bVID 5UTMYMS,SAID CG IFICATIII 'I'LL,11114 OTLY To r—Z TIC FIERSOj TO, m"niE Sy p" lv.-f Il, '? ED U4 1,1.5 BE;VU ionH-.TITLE co Ig;"7 . z 112XI TN I:TUIIIII LISTEI lilElIll, C) 0 < V) MAP OF A SURVEY MADE FOR EDMUND G. 8 LAURA D. SIPOWICZ TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK roll FLEW)(0.0!(STALE DEP"O'VID SCALE I" - 30' DATE : FEBRUARY 29 1988 R VanDusen & Ste ves LAND SURVEYORS,GLENS FALLS,NEW YORK EAl N.Y. STATE LIC. NO. 35617