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1986-403 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date November 10 1986 3)1 . L9—I This is to certify that work requested to be done as shown by Permit No. 86-403 has been completed. This structure may be occupied as a One—Family Dwelling Van Court ® St., No.—O.-- Location Owner Yvon Gregoire By Order Town Board OWN OF QUEENSBURY Building/et Zoning Inspector TEMMPORARY CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date October 30 l9 86 This is to certify that work requested to be done as shown by Permit No. 86-403 has been completed. This structure may be occupied as a One-Family Dwelling Lot 25 Van Court (St. No. 8) Van Howe Estates Location Owner Won Gregorie TEMPORARY CERTIFICATE OF OCCUPANCY FOR 30 DAYS By Order.Town Board TOWN OF QUEEI�ISBURY o Building& Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No. 86-403 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Yvon Gregoire Lot 25 Van Court (St. No. 8) OWNER of property located at Street, Road or Ave. in the Town of Queensbury,To Construct or place a One—Family Dwelling o at the above location in accordance to application together with plot plans and other information hereto filed and H. approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. CD 1. OWNER'S Address is 64 Burgoyne Road Saratoga Springs, New York 2. CONTRACTOR or BUILDER'S Name same ar w o O rr M tV 3. CONTRACTOR or BUILDER'S Address 0 "' same CD a Cn rt. C] w 0 4. ARCHITECT'S Name rt m ri • rt tn 5. ARCHITECT'S Address 0 • 6. TYPE of Construction—(Please indicate by X) lx I Wood Frame ( I Masonry ( )Steel ( ) 7. PLANS and Specifications O No. 30'x36' dwelling, 28'x22' two—car attached garage per plot plan, specifications and application submitted including sewage system. 8. Proposed Use H. One—Family Dwelling ty $5.00 C/0 Paid ~' N• $ 143.00 PERMIT FEE PAID —THIS PERMIT EXPIRES Feb. 1 19 87 ova (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 14th Day of July 19 86 SIGNED BY ) C{ a ierfor the Town of Queensbury Building and Zoning Inspector i©�jJ)i TO BE COMPLETED BY BLDG. DEPT. Application No. own of Queen ibur Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 TOWN OF QU ENSF.zu •t" Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation ��° Queensbury, New York.12801 Variance No. i! ')i Site Plan Review No. Da nEGEOVE II-0 b `' ( - ) 91960 cN:e�Approved by: ',JUL � APPLICATION FOR,, �� it.A. � j • �'. ° V-'v- f_t P M .O. BUILDING AND ZONING PERMIT I 4 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. • /J � t The owner of this property is: �47-2PY� ..ii�7 /L� �5 � h P.O. Address �a q / �9 cL2 Tel. (' Property Location: v " at5 /L c. 4. Tax Map No. Jb / ( / Street number or building lot number Subdivision name (if applicable) /7/�-0yjti ,� THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: Name P.O.-� Address Tel. No. Name of builder .jjLe ,�yf/1,.2 Ccr�,�//Address ` 7 ,e,4..q, Tel. OR- 7 -- ,n , 7� Name of plumber . c /sc�e Address G Tel. -___----- Name of mason 'i�Z�.n . jy�Address es 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, buildingAli * _ teraton to a showing clearly and distinctly all buildings, �(no change to exterior dimensions) * whether existing or proposed andtindicate 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. f,�,p a * Size of property . - ft X 1 1 � -. * Existing building(s) Size ft X ft. * * {� PROPOSED BUILDING AND USE: L4"Kn 51` 6- LM t Existing building(s) Use Size of new structure ,36:1 ft X 36,ft * Foundationgpier/slab/crawl/partial/full * Proposed building, distance from property line (circle one) * Front and yard `'re) ft No. of stories (habitable space) * y D ft Rear Height (grade to ridge) 3Q ft. * Side yards A, .b• ft and 4- (g5, ft If residential, no. of families l * If on corner, setback from side street ft No. of rooms(excluding baths) .5( * OCCUPANCY INFORMATION No, of bedrooms * * PRIMARY BUILDING - No. of bathrooms Primary heating system „ae:v K One family dwelling Type of fuel * Two family dwelling No. of fireplaces to be installed 'tom * Multiple dwelling / Number of units Will a wood stove be installed? • * Permanent occupancy Central Air conditioning? - - * Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE , Industrial Ranch Cont rar L * Other. wag * 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/ two car/ car ( CIRCLE ONE PLEASE ) * • . Attached garage/one car/ o car_d$'yC2Z/car * * * * * * * * * * * * * * * * * * ' Private storage building ESTIMATED MARKET VALUE OF * ' Other CONSTRUCTION * $ Lz.O..ema 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, ood fra fire safe,etc. Will any second-hand or ungraded lumber be used? If so, for what? Foundation wall material` �fC�iy� e Thickness (r POG((L61) • Depth of foundation below gra (to bottom of footing) Sr Will there be a cellar? Hdaeed or unheated? Floor sq. footage /7/1-( 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 - ope %flat/shed/other Material.'of roof Size, wood studs ,0"6 "X " spacing g"'o.c. length `6 ft. Joists(floor beams) 1st. floor P X .2,"X " spacing (I:- "o.c. span (4 ft. Joists (floor beams) 2nd. floor 2x/9'X " spacing /4 "o.c. span/6- ( ft. Overlays(ceiling beams) "X " spacing "o.c. span ft. Roof rafters "X,1101, spacing /C o.c. span ft. Roof Roof trusses(pre-engineered) spacing "o.c. span ft. Exterior wall finish Of what material? Interior wall finish 4 `34 If a garage is to be attached, describe materials to be used for FIRE SEPARATION: Is there to be an opening betwee garage and dwelling?eve 'If so will a Fire-rated door, enclosure, and self-closing device be provided? Will a flue-lined chimney be installed? Height a ve roof ft. Depth of chimney foundation below grade ft. Depth of firepl earth Water supply - Munici or private well SEPTIC SYSTEM Distance from ANY private well(including adjoining properties /c) o ft. (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury AFFIDAVIT 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 jertaining 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__ Own , owner's agent,a cnitect,contractor day of __.7HV.95 , JJ Notary Public, Warren County, N.Y. * * * * * * * * * * *• * * .* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: • • • awn o` QU1U APPLICATION FOR, SEPTIC DISPOSAL PERMIT BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 DATE /�/___Ige. LOCATION OF PROPERTY FOR INSTALLATION OWNER' S NAME _L ern_ ADDRESS �o 8 • TEL 5 7-- - 3 INSTALLER' S NAME A . ff4.L* _- TEL Number of bedrooms (residential only) 3 Total daily flow(compute @ 150 gal per bedroom) q SO Topography: C at Rolling .- Steep slope -(circle one) % of slope • Soil nature: Sand. = Loam - Clay - Other Depth ft. • Ground' water -At what depth? 1(4_ ft. . Bed- ock or impervious material At what depth? ft. Percolation test - Not require. - Required. - -Rate min-inch. • Domestic water supply - unicipal Well - Other - Separation - Watersupply(if well) from Septic absorption /Y(fr ft. • Proposed System: Septic tank f o oc gal. ( Minimun size, 1000 gal. ) Tile Field - Each trench ) ft. Total system legnth �ode '/ ft. Seepage pit (s) Number of . Size each ft X ' ft Size of stone to be used .# ? Depth or thickness * � / ft. 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, strea-m,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 Queensbury Sanitary Sewage Disposal Ordinance. Signature of responsible person /..z-eP 7'c If • , / cl 05/86 m /vl 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, 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. • rF auin of QU1U APPLICATION FOR. SEPTIC DISPOSAL PERMIT BUILDING and ZONING DEPARTMENT !� • Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 DATE / / Igo • • LOCATION OF PROPERTY FOR INSTALLATION • OWNER' S NAME ilmn ADDRESS // 2 n ,� �v IJ /2,c4 . TEL 574 M.3 . INSTALLER' S NAME J, ff4.L* _- TEL • Number of ,bedrooms (residential :only) .., .,3 . Total' 'daily "f low.(compute @ 150 . gal ;per .bedroom). 4/.CD. Topography: 44W . Rolling - Steep slope - (c,ircle one) % of slope • Soil nature: and Is Loam . - Clay. -Other Depth ft. Ground water -At what depth? 444. ,ft. • : Bed-'rock or impervious material =At, .what depth? • -ft. . Percolatiorv<test - Not require- Required -; '-Rate min-inch. . Domestic water supply.• unicipal e : Well - Other' . Separation ' .Watersupply(if, well) from Septic absorption /'f/f} ft. Proposed-System: Septic- tank root gal:( Minimun size, 1000 gal.) Tile Field - Each trench yO ft. Total system legnth ,Zoo ft. ' . Seepage .pit (s) Number of ' . . Size each ft X ' ft Size of stone to be used #_ ' 2. Depth or thickness " ,, ft. 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, strea-m,pond or wet-lands. Include all dimensions of F , 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 Queensbury Sanitary Sewage Disposal Ordinance . Signature of responsible person Ø7/ 'L t 05/86 m /vl 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 f 7j7 2 . Type of heat _4221,42 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 YES NO a. Are foundation walls insulated? YES NO 1 . 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 - 31 2 . R value of exterior walls / / 7 3 . R value of glazed area , 3 4 . R value of doors ,�. 2 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 S . R value of heated basement/cellar walls (above grade) ) ) 9 . R value of heated basement/cellar walls (below grade) 10 . Type of insulation A e-CA. a/// lla C. Controls v 1 . Thermostat maximum heat setting o s D. Duct Systems 1 . Is duct system installed in unheated spaces? YES i9 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 Y 2 . R value of pipe insulation F. Service Water Heating 1. Performance efficiency 2. Temperature control setting maximum /yfD o G. For Swimming Pool Only 1 . Maximum heating . Telephone N o. s applicant ' s s ature) c ro/ a 3/ Y // ; V° Jown of Quenii4ur1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 / Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME )/ii CI (73 Y � O 1r 1 4CATION LGr 1 /4h Comer Date /6/3o/ 86, Permit No. yG _.&i 03 i� = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing 4 Roofing -L.Siding Masonry Veneer Rough Plumbing / -,&Relief Valves .. Ext. Porches f .A Finished Floors ✓, ,&_Interior Trim ✓ 'LStairs & Railings ✓ Cellar Drain Tile Concrete Floors Plbg. Fixtures , Gar. Fireproofing Door Closers .A.Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- Q /e e� - • 1 z a,p Al a_cy h c11 , L() 01 AJ/1/44-4A-_,) -the • 71"? d Building Inspector 6/86 and-vl Jown of Queenibur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME Car& G 0 LOCATION O) s �� JO Date ?/110/_ p Permit No. $(a —L63 ✓ = 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 �/ N Smoke Detectors Chimney KINSUI,ATIOI Foundation Floors Walls ( A � � • Ceiling CIk FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - • Building Inspector 6/86 and-vl GJ� awn o/ Queeniburcy I BUILDING and ZONING DEPARTMENT IV" Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME 7}4-4-- LOCATIONn ,---- r ,e/YV Zer4j--"- Date _' / V Permit No. s26 - `03 * * * * * * * * * * * * * * * * * * * * * * = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Ban�kfill /n/ L- naming ,. ( ehr ) ®,( Roofing Siding Masonry Veneer ough Plumbing G�� Q, Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures \\1\ . Gar.. Fireproofing / Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) 11-4 Remarks- - _ //e. D L,, ili 7OItrurit/3.- 101- A-e4 PI /1-e1916/ "_mil - Building Inspector 6/86 and-vl 9.5 Jocun o/ QueeniLry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCATION ( („0.. L. r.2 r DATE c</.T"l✓/ '# PERMIT NO. A' - 1103 SOIL TYPE Sand - Loam - Clay - Percolation t Required? YES " Percolation rate - Min/Inch -- TYPE of SYSTEM: Absorption field, total length GOD Length of each trench ,5O Depth of trenches Qt Size of gravel 9- SEEPAGE PITS{Number of) Size- ft. X ft. Gravel size PIPING: Size Type Bldg. to tank g& ® Tank to dist. box _ Dist. box to field/pit Openings sealed? YES NO Partial LOCATION/SEPARATIONS: Foundation to tank 0, ft. Foundation to absorption eft. Absorption to lot line 6D ft. Separation of pits -- ft. L ION OF SYSTEM ON PROPERTY(circle one) ront Rear - Left side - Right side - ENTS: F r' • SYSTEM USE APPROVED NO • _ (11MVI_ AA1;1/1}\ Building Inspector 01/86 and vl cal Jown of Queeniur1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 .e.-e.c.e 5 a- ., t . '1 /r 7 (J' 6 BUILDING INSPECTOR ' S REPORT NAME ytia G r-e J0 Y 1 LOCATION Le)Date -�'( / � '� Permit No. gto— U3 * * * * * * * * * * * * * * * * * * * * * * * = APPROVED - YES. / NO v 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 f Plbg. Fixtures / N\ Gar.. Fireproofing / Door Closers / Smoke Detectors / \N Chimney J INSULATION: I Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - Building Inspector 6/86 and-vl I? 6 • s •8 3' P 3�3. \�.,�PR.PosE:� \,-•- /4 •8 3' 03' 3. \\ . age•bo• • ; 1'I \ � • 2 41.893°A. \`'t\ M --- N•a3;o3. 1 • b £ • , 4 16 ` • �(., �� i .40- 37,8gs0.'- 1 . ‘ 11 Col c4 i A-83' 03 • 04 ,151. I0 4, �, di', 2o'w‘OC y '_�-�3.'a3 w — v y) r, \_..„.,) Lc} ®//S Q' • S" 44'9�q! '2s q88°� 27.40c, o v� � 0�- .ol / • .v / h�i ZI ��k• 30 i �s / h N 4� tt.,,*: _____ . ' ( e ,,,,,,,:, i- .›,• ‘ ___,.z ••-- ______._ ...... . .. __-_-,_ ________,„ ..-- •,. ,,%.t ,,, , - _... „..,.,.>. ____ . • .,...., ,.,... A.,. ,, „„, • ,.... . , ,., c) z_- ,,,/,•,, t.zt,,,.ke.., 4 ,,/4. n; /7-e / I b& r ,..,I,;,.f.'- •• F 7 .z /,--1,7.,_ • ...-. 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