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1987-603 • .. �.rY, ,�;rr'i.•4tit"� 1 ' • C .. •. r 'i i •y',, ry vt""F: e + w{ i r 4 TEMPORARY CERTIRICATE OF OCCIIVIPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date December 22 14 87 This is to certify that work requested to be done as shown by Permit No, 87-603 has been completed. This structure may be occupied as a One Family Dwelling Location Lot 20 Pinion Pine Lane m Van Howe Estates Owner Gregoire Construction By Order Town Board TOWN OF QUEENSBURY Building 6 Zoning Inspector "A CERTIFICATE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date Dec. 31, 1987 This is to certify that work requested to -be done as shown by Permit No. 87-603 has been completed. This structure may be occupied as a One-Family Dwelling Location Lot 20 MoM Pine (St,, No, 14) Gregoire Construction Owner ? By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector > BUILDING" PERMIT TOWN OF QUEENSBURY No 87-603 WARREN COUNTY, NEW YORK110 ci 0 PERMISSION is hereby granted to Gregoire Construction N OWNER of property located at Lot 20 Pinion Pine Lane Street,Road or Ave. C:) 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. n 1. OWNER'S Address is 64 Burgoyne Road o Saratoga, N. Y. n �o 0 2. CONTRACTOR or BUI LDER'S Name cn Same ri a c� rt H. 3. CONTRACTOR or BUILDER'S Address O 0 C t-' w o 4. ARCHITECT'S Name rt N O O C7l � 5. ARCHITECT'S Address m H. rt O iv 0 rt ID e-d 6. TYPE of Construction—(Please indicate by X) W (x)Wood Frame ( ) Masonry 1 1 Steel ( ) (Uro 7. PLANS and Specifications No. 34' x 48' per plot plan, specifications and application including septic system and attached two car garage. o m 8. Proposed Use I One—Family dwelling Y- $5.00 C/O 150.00 April 1, 88 F 19 (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.) oa Dated at the Town of Queensbury this 11th Day of Sept' 19 87 SIGNED BY for the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG. DEPT. Application No. Permit Issued 19 TOWN OF Q9JMSNS8L)2-Y BUILDING and ZONING DEPARTMENT Permit Expires 19 il --3 N 0 W. N Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation . Queensbury, New York 12801 Variance No. /--\ -Sr X1987 Site P n Review o.✓ P Appr e C% APPLICATION FOR BUILDING AND ZONING PERMIT A PERMIT MUST- BE -OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies for a Building Perml-L' to do the follbwlng _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.— ----------------------------------------------------------------------7----7------------:------ VV The owner of this property is: ev� P.O. Address Tel- J-4 Property Location: Tax Map No. Street number or bu:Ll'd-,Lng lbt number -si-.Iva,1 Z7 Subdivision name (if applicable) g'fr THE -PERSON,,RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: Name P.O.&:ALdd6ess Tel. No. Name of Address ul- 4r Address el- Name of plumber � - Name of maso-"r� Address Tel. NATURE OF PROPOSED WORK: ZONING INFORMATION: —)e--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- Interlor or corner lot. Show location FOR DEMOLITION PERMIT, STATE-SIZEAND: -, _ - - - LOCATION OF STRUCTURES AFFECTED.- of*',�7ater supply and location and configuration of septic disposal area. COMPLETE INFORMATION REQUIRED BELOW Size of property '__�_' ft X ft. Existing building(s) Size -dy2y-k- ft X ft. PROPOSED BUILDING AND USE: Existing buildings) Use Size of new structure IFI/ ft XyFft . . . . . . . Foundation-pier/slab/c a:awl/partlaio!5v Proposed building, distance from property line (circle one) No. of stories (habitable space) Front yard ft Rear yard ft Height (grade to ridge) C2_� ft. Side yards -ft and 1-7-0- t ft If residential, no. of familiesif on corner, iietback from side street ft No- of rooms(excluding baths) OCCUPANCY INFORMATION No- of bedrooms I/ . . . ' PRIMARY ,BUTLDING No. of bathrooms 09,-- - _one family dwelling Primary heating system Two family dwelling Type of fuel �K't�2' — No. of fireplaces to b6' installed / Multiple dwelling / Number of units Will a wood stove be installed? Ale '-Permanent occupancy Central Air conditioning?— 'Vo Transient occupancy Business BUILDING STYLE, PRIMARY STRUCTURE Industrial Ranch Contemporary Log cabin Raised ranch mansion Duplex * If addition, what will use be? . . . . . . . . .. Split level Old style Bungalow * Cottage Other ACCESSORY BUILDING- <Eolonta Row Town House Detached garage/one car/ two car/ car CIRCLE ONE PLEASE Attached garage/one car/ ;t`w­5_c_a__ 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 construction wood Eire safe etc. Will any second-hand . lumber, be:used? if, so, for what? Foundation wall material Thickness Depth of foundation below grade (to bottom of footlng) , Will there be a cellar? Heated or unheated? loo3� sq. footage q ft Will there be a basement?_,.( any portion be used as living space? (If so, what portion? sq.ft. Type of use? r "X 4 Type of roof - sloped flat/shed/other Material.-of roof Size, wood studs 11x spacing Z;� "o.c, length ft. . Joists(floor beams) lst. floor spacing 11 o.c. span _2ft. Joists (floorbeams) 2nd. floor ��­x spacing Ile.c. span-_ft. Overlays(celling beams)�'x 11 spacing �,O.C. span ft. Roof rafters 11 11 spacing_o.c. span ft. Roof trusses re-eng-Lneere spac-Ing ;Lf "o._c_._span_,9_/, ft. Exterlok wall finish of what material? Interior wall fi-nishV If a garage is to be ;iatItached, describe materials _tobeused foi, FIRE SEPARATION:w��� - I Is there to be an opening b6tween garage and dwelling-,', �e If so will a Fire-rated -`1*10­1-- door, enclosure, and self-closing device be proVIded? '�,_-' Will a flue-lined chimney be installed? Height above roof -Z ft. Depth of chimney foundation below grade Depth of fireplace hea:kth in. Water supply - Municipal or private well SEPTIC SYSTEM Distance- from ANY private- well(Including adjoining properties /aO ft. (A separate.,applIcatlon is necessary for any repair or new installation of septic system) Town of Queensbury County of Warren A F F .1 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 -I 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___ c ------------- O er, owner's age arcnxr-ect,contractor day of 19 Notary Public, Warren County, N.Y. SPECIAL CONDITIONS OF THE PERMIT: By--------------------------------------- �rurx o �ite�ia APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE J LOCATION OF PROPERTY FOR INSTALLATION Owner's Name: Telephone: Address: Installer's Name: �Z- ec yL �� Telephone: /n - U/ 3 X Number of bedrooms (residential.only) Total daily flow (compute @ 150 gal per bedroom) —� Topography: circle one: Qfja Rolling Steep Slope % of slope = Soil Nature: circle one: Cand)Loam Clay Other / Depthc _ feet Ground Water: At what depth? ` feet Bedrock or Impervious Material: At what depth? — feet Percolation test: circle one: not require required / rate min. inch. Domestic water supply: circle one: Municip Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption — l�� feet PROPOSED SYSTEM: Septic Tank 1,4a gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench ] 6 feet / Total system length . feet SEEPAGE PIT(S): Number of / Size each feet by feet Size of stone to be used # f 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, tile fields and/or..drywells = B. No system shall be covered before inspection and approval Eby 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 responsibleperson: Date: 1 ell 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 TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Application for: BUILDING PERMIT--I-N--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 A. Over 16% Only 1 . U 0 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. I=f 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 16% Only B. der:Z'��u of roof 1. u of roof and floors exposed 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 6. 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) ( 2 9 . R value of heated basement/cellar walls (below grade) 10 . Type of insulation C. Controls q 457 1 . Thermostat maximum heat setting D.- Duct Systems 1. Is duct systeminstalled in unheated spaces? YES 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 insulatio"ni. F. . Service Water Heating 1 . Performance efficiency 2- Temperature control setting maximum G. For Swimming Pool Only Y. Maximum heating Telephone No. applicant ' s sl ature) BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. [TEMP.# DATE CITY OR VILLAGE y TOWNSHIP,2", ,e- COUNTY Wr STREET AND NO.OR I-) POLE NO. ROAD AND POLE NO, 22 12 h Ll BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT OCCUPANT'S BUILDING NAME \11 VQ Al C' ey xe OCCUPANCY OWNER'S4AME TEL.# AND ADDRESS ------E - - r -->-? co, CURR NI SUPPLIED BY �4,/ A co v., FROM THEIR OFFICE BUILDING WORK DEFECTS Is NEW, ] OLD E] Is NEW El ADDITIONAL[I REMOVEDEJ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No.of Fixiures& BRANCH NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS OFFICE USE Loca- ONLY tion coiling Side Attech!t Switch Pendant Bracket No. Type H.P. No. Watts No. A.W.G. INSPECTION Wall Recep'ls Each Each Gauge Out- side Sub- base Base- meat 1st Fli 2nd Ff. 3rd Fl. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed, you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant. SIZE OF ELECTRIC SIGN TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE (NUMBER) (CAPACITY) STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS BUILDING OF SIGN INSPECTION REQUESTED ON OR AS NEAR AS ,POSSIBLE NEW OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF 24 MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. 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