1986-253 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date November 7 I986
� I r G- 1— 9'
This is to certify that work requested to be done as shown by Permit No. 86-253
has been completed.
This structure may be occupied as a one-Family Dwelling
L-�-VG VI C ok r4-
Loration Lot 26 Van NpUSLESect'ton I Van Lowe Estates
YvonOt Gregoire e
Owner
By Order Town Board
OWN OF QUBBNSpC
B nin` Inspector .
TEMP 0 R A R '°
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date October 26 I9 86
This is to certify that work requested to be done as shown by Permit No. 86-253
has been completed.
This structure may be occupied as a One-Family
DwellinK
Location Lot 26 Van Court (St. No. 6) Section I Van Howe Estates
Ow1ief Yron Gregoire
TENPORMY CERTIFICATE Or OCCUPANCY
FOR 30 DAYS. By Order Town Board
•—WIN OF QU SB Y RR'
Bui in` • Zoning Inspector
= BUILDING PERMIT
TOWN OF QUEENSBURY No 86-253
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Yvon Gregoire
OWNER of property located at Lot 26 Van Court ( St. No. 6) Street,Road or Ave.
Section I, Van HOwe Estates One-FamilyDwelling
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. OWNER'S Address is n
64 Burgoyne Road 0o
Saratoga, N. Y.
N
2. CONTRACTOR or BUILDERS Name
same
3. CONTRACTOR or BUILDERS Address
same
4. ARCHITECT'S Name rn
m o
n rt
M▪. N
O a,
5. ARCHITECTS Address he it
n
7• 0
ppx �
6. TYPE of Construction—(Please indicate by XI g n
to
1 N Wood Frame 1 1 Masonry 1 1 Steel 1 1 - cd
rt
rt
N
7. PLANS and Specifications
52'x36' per plot plan, specifications and application submitted
No. including two-car attached garage and sewage system.
8. Proposed Use
0
0
One-Family Dwelling re
M
w
$5.00 C/O Paid 0'
f-
$ 178.00 PERMIT FEE PAID -THIS PERMIT EXPIRES December 1 19 86 '<
(if a longer period is required anapplication noc an extension must be made to the Building and Zoning inspector of the ro
town of nuansburyry before the
expiration date.)
Dated at the Town of Queensbury this 20th Day of gMay 19 86
SIGNED BY )1Qcj L.f. /�J, .,j for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY
s I Ihlsce inside Mock Its he billed in Iq
WARREN COUNTY. NEW YORK Building Inapmpw)
Application for A114141.6011 No. •
Priiiiii bawd Ig.
BUILDING AND ZONING PERMIT P,Tatit t:aweos. la.
/.,un,a uiyrin -
• .. -__ s AII,•id (cork$
One copy of a PLOT PLAN. Drawn to nab .apprised in. (Amy: '
showing the astral dimensions of the lot to be built B,9li.Itgr
open, The seen sire, and location on the lot of the
building to be erected or altered MUST BE SUB-
MUTED WITH THIS APPLICATION.
TOWN OF QUEEN
•
'0- I .5//sidG a E 0 Zli '' !
nets J
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK My .�1 tI k. ` Q.
ANSWER ALL QF THE FOLLOWING. 'ti d 3'' PA'le.M.
The wMrsioned hereby applies fer • permit to do the following work r118,19 1'1)11213jIM
which will be deco In accordante with the description, plans and specifi.
satins, earl such special coadltians as may be indicated an the permit. fi
The ownergf this property is:
. ,.off- �rtie4-oi,zt
tas'iti V D ADONIS'
The priors responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: '
MP" y- no aotwstu ' /�
Nuts of Builder. . IMP"
-C-tt -e C4'Y"0' e'OL^^' Address _G.y5-pYL,.Jy�a 4 /Fe-, G (lC�ze*a_
Nuraof Plumber 9A% .�L"al •-<c2.¢. Address ,/ '/p J' •
Naas of Mason <AN.ilCl n Address . .<>4-D`tii 7rrZt 4-!,/.c {.y{S,
,( la Number.'..6.hy>,: 'r}1nn ( Esti tad value of proposed work k lb'l c c 0
`%
",J' Name of Village s" ^- <K `u�/i
Naar of Snell �L.tYY•4. ;% Side of street: north 0, oat 0s south 0. teal 0
Nearest Cease Street . . 1L Distance from this eras street .le C j Ft.
Properly is nosh ❑,south D,col ii,west O from Cross Street
11 an Canter,which comer, nonheast 0, mcnhwest O.southeast 0. southwest
(Designate by marking with an"X"in the correct space.)
NATURE OP PROPOSED WORK OCCUPANCY
® Construction of a new building. Main Building
❑ Addition toe building. One-family dwelling a
❑ Alieratign to a building. Two-family dwelling 0
❑ Demolition of a budding. . . . -family apartment hots 0
Store building 0
. . . . Z. .-car attached garage 131
Other:
Aansory Building
p Odra work. Describe.
One-car detached gang. ❑
Two-tar detached pray • 0
Private chicken house 0
Private storage building 0
Othbr:
ZONING SPECIFICATIONS. Fill in for new building,or addition to existing building,or a change of occupancy.
. Indicate on the plot plan won noes,We location and
sire of the properly, the location,site and setbacks of pro-
posed buildings.and the Imatiem of all.awing buildings.
Show proposed buildings) in dotted line and existing
huildingis) in solid line. ScG plot pw..A
3,1
Size of propeny . C.t ?:. . ft. e It.
Size and use of existing buildings. if any 'n A
i. U4K ,
as
are 2 W 2 `J�' h.
Size of proposed building . . . .5.a h.,i .a
C Height Gram grads to ridge) v1-D s h.
Front yard . . . .a CO' It.
p Side yards 34 . — ft.and . /0 0. h.
7 z Rear yard . fly h.
curs If on corner,setback Iran side street It.
0: Nose: All disnnce,an an. as essasand/nm ein.1 ride
hat so nearest(ion of building.
1ae..1
7-73-m
•
(coned.) .
BUILDING SPECIFICATIONS. / -
Kind of construction: Wood frame, fire safe,etc.?. . .kY az-etf.
Will any second-hand lumber be toed? . . . .nlly�. II so. for what?
Material of foundation walls /s ,Nu Rf3 0 ' Thickness r `
Depth of foundation walls below grade Continuous foundation? ..�/�
Will there be a cellar? . G. . . . t. II ia, material of cellar floor ..G _ p v i
Type of roof: Sloped oellaatTt.?,,rr. /'/ Materialp of roof .. . F..O.-"4
Size,wood studs q,Tt "x O " spacing • /4f "est.,length g' It.
Size,floor beams, 1st floor X/O "x " spacing ...A( "oc.,span .. .(1r� R.
Sire, floor beams.t sad floor . "4/0 "a " spacing . . .,(ti "n.c.,span .. 4.4., 1t.
Sire,ceiling beams • . . .1Af . . x " spacing . . . RYo "o.c.,span . . .au y Is.
Site,roof rafters or besms,I) "a ",spacing . . .tZ y`. "o.c.,span . . .1.1 ft.
F.nterior finish . . . ty. . . . With what material? . . .1///111•L
Finish of interior walls. ..$..,. '
If garage is to be attached,of what materu a all between n and main bat' ding t be cons ad?
-..to ..- n.. . . 5l/y 1$ K
Is there to be an opening hew/ ga! ge end building? `yCb•�—
Kind of heating system . . ...,GC> �rLGE 1/ Oil bonier or coal?
Will a flue-lined chimney be provided? . . . . yeas Depth of chimney foundation below grade
Height of chimney above roof. . ...2 r
Will there be• fireplace? .: rfAl,!/ Depth of fireplace hearth 31
Will a toilet be installed? ® (l,}l '
Will a kitchen sink be installed and connected to ors. s ply?. . ". •
Water supply(public water supply or pump) .
Distance of cesspool from any private well . . . . . . 444 0. feet
Will drainage system be provided with required traps,cleanouts,and vents?
Town of Queensbury / AFFIDAVIT
County of Warren
State of New York ••
I swear that m it ►d to my kao.d.dp aid belief she Wwmau mewined ie this epi tiuum..tptkw with the igen sad--a Sea nuke
mined. en a trio sad w,.,dew .i .aem of ell proposedwee* to be dews on the daubed premises sad diet all Jeweler's*d the BUILD-
ING CODE.THE ZONING ORDINANCE.end all other law.perauly to the proposed work shall be mwplW with,whether npeaUyd sr cot,
sad that mesh week is esbriW by the ewew.
Sion to below aw this
/]. .. .....day of.. /(?^ Ya1 Y OWMfa.OWNkflNlfµl!O{,CONipeC\OII
Wal1C.WAAMM COUNTY. N. Y.
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 CONSERVATION CODE
A permit must be obtained before beginning work.
ANSWER ALL of the following: 7
1. Gross floor area �y�ti/,✓
2 . Type of heat .C(i.t4i
3. Is the building mechanically cooled? ///gyp
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
2. R value of exterior walls 7/ T ['
3. R value of glazed area 1i 47/(.,4 Sn irk i-/-
4. R value of doors ` e, 76 L. S4 1r
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) /.
9. R value of heated basement/cellar walls (below grade) (?
10 . Type of insulation_
C. Controls D
1 . Thermostat maximum heat setting Q c
D. Duct Systems
1. Is duct system installed in unheated spaces? YES C
a. If YES, R value of duct installation
b. R value of duct in other areas
E . Piping Insulation 3/7
1. Size of hot water or cooling carrying agent pipe
2 . R value of pipe insulation 2 -/(
F. Service Water Heating
1 . Performance efficiency
2. Temperature control setting maximum Mica
G. For Swimming Pool Only
1 . Maximum heating
Telephone No. �t,� /(�G� en--1-
(applicant ' s si41fature)
flown o/ Queenibury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road. R.D. 1 Boz 98
Oueensbury, New York 12801
SEPTIC DISPOSAL�B (�� G,
PERMIT APPLICATION—
Owner's Name _ IS� l' .f..d„co Tel.
Address h
Person/Firm installing system j//Fp oteet-/
Number of bedrooms (residential only) 3
Total daily flow: (compute @ 150 aal.per bedroom per day)_ 950
Topography: e - rolling - steep -(circle one) Decree of slope B
Nature of soils: loam-clay- other- Depth ft.
Ground water-- at what depth? prfr ft.
Bedrock or impervious material--at what depth? N/f' ft.
Percolation Test f Required -Rate
emin/inch.
i
Domestic Water Supply Well - Other
IMPORTANT!
On a separate piece of paper, submit a diagram of the proposed septic
system with all dimensions; including distance from any structure,
-distance from property lines and distances from any domestic water
supply or shore-line of lake, stream, pond or, wetlands. Include all
dimensions of the system itself. -
Description of proposed system:
Septic tank size /Ba2 gal.
Tile field- Length of each trench co ft. Total field,W ft.
Size of stone #
Seepage Pit(s) Number 7,(/A_/ Size w ,4_ ftXi/Oft. Size of stone# f •
Any contractor, corporation,//`` individual, Etc. , engaged in the
construction of a Sanitary Sewage Disposal System, who covers the
same before inspection, does not have an approved Permit, or varies
from the approved application, will be subject to a Penalty of $250
as provided for in Section 6. 010 of the Town of Queensbury Sanitary
Sewage Ordinance.
it nt v f-/ i �L
Sig tore of P ppl 'dant Date
01/86 and/vl
\
Septic System Inspections:
A. All applicationd for septic system installation,
alteration or repair, as required by the Town of
Oueensbury 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 he
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.
C7
_/own of Queenih/
urly
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road. R.D. I Box 98
Oueensbury, New York 12801
B ILDING INSPECTOR' S
NAME
rszA
LOCATION 2atze
DateIo/ur / gy Permit No. 6(1 - a53
//���t�''"ryd�Y�J * «-r *APPROVED*-«YES J«NO
«Qoo- t"ing/Pier«Forms
Foundation
Waterproofing
Backfill_
Fuming V aaofing a K
✓iding at:
Masonry Veneer
Rough Plumbing
✓6licf Valves C.
Porches 0•
I fished Floors
�'I/ tier Trim
"S Lairs & Railingsgs+ 0..g�{‹ W"ii
Cellar Drain Tile vatos Jhw..sf Aw°
Coof�crete Floors
{612]}>g. Fixtures
GGJJ�..r. Fireproofing (�
I �Doy r Closers
Kmoke Detectors Q
Chimney
1/fSULATION:
\I(
Foundation
' Floors
Walls J 7
�Ceei/iling L. z .4.TMi 1/01 Szaitjetco
4FINAL ELECTRICAL INSPECTION Final Building Survey l c
l a)s
Next scheduled Inspection(call when ready)
Remarks- - /B // �0
wklaec
Building Inspector
I 6/86 and-vl
Jown of Queenebury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME
LOCATION
II //
Date X//K / 4 Permit No.Be- as
* * * * * * * * * * « * * * * * 1 * * * *
see r: APPROVED - YES NO
Footing/Pier Forms ' _
Foundation _
Waterproofing
Backfill
',Framing Ira
Roofing _
Siding _
Masonry Veneer _
Rough Plumbing _
Relief Valves _
Ext. Porches
Finished Floors WS
Interior Trim ==
Stairs & Railings SI
Cellar Drain Tile �_
Concrete Floors Plbg. Fixtures MIS
Gar. Fireproofing --=
Door Closers ��
c _
Smoke Detectors _
Ni5
ULeT ■
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(cal ready)
Remarks- - 71.714..1 —(, 6t
OAK
I
Building Inspector
6/86 and-v1
tic J' / a /lc q: y(RM
Joan of Queensbury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR'S REPORT
i NAME ele r c
LOCATION Date , I /,' T' Qi i/n � cq-C
Permit No. E0
1 * * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES NO
Footing/Pier Forms I
1 Foundation
Waterproofing _
Backfill
Framing mgO
Roofing
Siding
Masonry Veneer MI✓Rough Plumbing
Relief Valves _
Ext. Porches _
Finished Floors _
Interior Trim _
Stairs 6 Railings _
Cellar Drain Tile _
1 Concrete Floors -_
i Plbg. Fixtures _
Gar. Fireproofing ��
s
Door Closers AIM'
1 -
Smoke Detectors _
Chimney ■
INSULATION:
1 Foundation
Floors
Walls
Ceiling _
FINAL ELECTRICAL INSPECTION Mill
Building Survey
Next scheduled Inspection(call when ready)
Remarks- - D bay /�en ✓'-
~- Qrn.
/ MAL
/! l r
Building Inspector
6/86 and-vl
117a186
y :3a RIM
c7
own o1 Queendbury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
C1. ¶4 Grecs c Call -(-a 'Itsd,. 113. (
I PA
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME V y o h C r-A'Pi
j i i V t
LOCATION do1); rti Oil f iA4
DATE 713• / 31. PERMIT NO. 8 G'an
SOIL TYPE - Sand - Loam - Clay
Percolation Test Required? YES - NO
Percolation rate - Min/Inch -
TYPE of SYSTEM:
Absorption field, total length
Length of each trench
Depth of trenches
Size of gravel_
SEEPAGE PITS-EN-Wilber of) _
Size- ft. X _ ft.
Gravel size
PIPING: Size Type
Bldg. to tank Yf SO
Tank to dist. box
Dist. box to field/pit
Openings sealed? YES NO Partial
LOCATION/SEPARATIONS:
Foundation to tank ft.
Foundation to absorption _ft.
Absorption to lot line _ft.
Separation of pits _ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - Rear - Left side - Right side -
CQ1MENTS:
a /c
SYSTEM USE APPROVE. NO
ding Inspector
01/86 and vl
Jown of Queenslury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM' INSPECTION
NAME lien-4_n Cite
LOCATION 9 G Y�`'
VrfN G0ciMt
DATE / g4 PERMIT NO. A (. - ,S�
SOIL T ' �- Sa - Loam - Clay -
PercolatioYYS st Required? YES
Percolation rate - Min/Inch
TYPE of SYSTEM: ^__
Absorption field, total lengthth Qv)
Length of each trench
Depth of trenches 2 (
Size of gravel_ /1 2
SEEPAGE PITS{Number of)
Size- _ft. X ft.
, Gravel size
PIPING: Size Type
Bldg. to tank Y(/ Yo
Tank to dist. box
Dist. box to field S�P
Openings sealed? 4110
NO Gar
LOCATION/SEPARATIONS:
Foundation to tank roft.
Foundation to absorption 'f ft.'/`
Absorption to lot line ft.t
Separation of pits ft.
• OF SYSTEM ON PROPERTY(circle one)
CP- Rear - Left side - Right side -
•'I TS:
\ ,
SYSTEM USE APP'• it NO
NO
G �
Building Inspector
01/86 and vl
%'Od
TOWN OF QUEENSBURI
Building Department
Inspectam Report Date
Na
Location ga� ' �ilYV
V ti eou,-?
Pent No. Rta - i 6-3 Weather
Remarks
Excavation
FOOtin• Forms —'_
FOotin• & Piers I� t _L
Foundation OP . .c�llr �
Cement Coat
Water•roofin•
'.. Backfill
Final Survey
Pramin•
5heathin•
Roof Felt
Roofin•
Siding
Masonr Veneer
Roush Pla• .
MIMS
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim Min
Stairs & Ratline MIS
Cellar Dr. Tile J ..
Concrete Floors
Pl.. . Fixtures
Car. Fire•roofin• .
Door Closers
Chimne
Water Meter Inst.
Se•tic A••roval
Floors
Foundation
Insulation Walls
- CCeiling
Building Inspector
REMARKS
'II
1
a
a'st
yap,
'S �CC11