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1986-409 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY • WARREN COUNTY, NEW YORK Date March 17 19 87 se 17._ I • This is to certify that work requested to be done as shown by Permit No. 5'6-409 has been completed. One—Family Dwelling This structure may be occupied as a Lot 76 White Pcine Road Location French Mountain Enterprises, Inc. Owner . By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector • TEMPORARY CERTIFICATE OF OCCUPANCY TOWN. OF QUEENSBURY WARREN COUNTY, NEW YORK Date March 16 1987 This is to certify that work requested to be done as shown by Permit No. 86-409 has been completed. - This structure may be occupied as a OneFamily Dwelling Lot 76 White Pine Road - The Pines of Queensbury Location French Mountain Enterprises, Inc. Owner TEMPORARY CERTIFICATE OF OCCUPANCY FOR 30 DAYS. By Order Town Board TOWN OF QUEENSBURY ?A'* Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No. 86-409 WARREN COUNTY, NEW YORK • PERMISSION is hereby granted to French Mountain Enterprises, Inc. OWNER of property located at Lot 76 White Pine Road — St. No. 7 Street, Road or Ave. 1-1 in the Town of Queensbury,To Construct or place a One—Family Dwellingco 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 RD #1 rGr Lake George, New York N• 2. CONTRACTOR or BUILDER'S Name rt same •d r• 3. CONTRACTOR or BUILDER'S Address m same H 0 4. ARCHITECT'S Name - r 0 rt 5. ARCHITECT'S Address cn 5rt • H• rt zro' o 6. TYPE of Construction—(Please indicate by X) • 'b H. v (x) Wood Frame 1 1 Masonry ( 1 Steel ( 1 7:1 0 w 7. PLANS and Specifications No. 28Tx54' per plot plan, specifications and application submitted including two—car attached garage and sewage system. 8. Proposed Use 0 One—Family Dwelling rro $5.00 C/O Paid $ 157.00 PERMIT FEE PAID—THIS PERMIT EXPIRES Feb. 1 19 87 t:J (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.) H Dated at the Town of Queensbury this 15th Day of July 19 86GQ SIGNED BY /Ol44.0 4, /0J-e_. for the Town of Queensbury Building and Zoning Inspector/,Q� - TO BE COMPLETED BY BLDG. DEPT. R "Y- c� // Application No. gown o/ Queenibur . T MN OF QUE:E:NSEILM Permit Issued 19 _ t� BUILDING and ZONING DEPARTMENT Permit Expires 19 [ 0Q, E. El V 1� Bay and Haviland Road, R.D. 1.Box 98 Zoning Designation v j Queensbury, New York 12801 Variance No. r -"'8 Site Plan Review No.' - (� ¢ � U� d A /6 2 — Ee E(` 6, Ap y• 1819 h11 N213I4151F APPLICATION FOR _ (d i;.w 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: F/z6vv-h( rb—AA r l/�[_ P.O. Address • d -( ,L t chrieed "/fix/, Tel. �6.1s; C1L-r 70 . 4/IGTE !� St.11 1 -- 7C Property.Location: C� Tax Map .No.�O /. � / Street number or building lot number Subdivision name (if applicable) ,,4'45 6+ aitt 0 Walked THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: J_ P.- T� - . 7 ( LC '1d1 Name P.O. Address' i • Tel. No. Name of builder 1.41,Aik.c Address Tel. Name of plumber Address Tel. Name of mason Address 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, ---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 AFFECT• ED. of water supply and location and configuration . * of septic disposal area. * ' * COMPLETE INFORMATION REQUIRED BELOW. * Size of property ./q[) ft X 1.f77 ft. * Existing building(s) Size iiMft X ft. * PROPOSED BUILDING AND USE: * Existing building(s) Use ' ' " • ' - _• •ew structure o/d ft X ,j * Foundation pier/slab/crawl/partia ./ i * Proposed building, distance from property line (circle one) No. of stories (habitable space) * Front yard ' ft Rear yard ft '°'!i Height (grade to ridge) °�Z• ft. * Side yards AO ft and 3 ft If residential, no. of families * If on corner, setback from side street ft No. of rooms(excluding baths) * OCCUPANCY" INFORMATION No. of.bedrooms . * No. of bathrooms * PR`� BUILDING - VefitA ...—Dne family dwelling Primary heating system �lY2--- r°C.= �i Type of fuel � * Two family dwelling No. of fireplaces to"befinstalled ' * Multiple dwelling / Number of units Willa wood stove be installed? �v * Permanent occupancy Central Air conditioning? �iS * Transient occupancy * Business BUILDING STYLE, PRIMARY STRU TUBE Industrial. Ranch Contemporary Log cabin * Other Raised ranch Inansmon Duplex * If addition, what will use be. 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 ) * L./Attached garage/one car/ two car/ 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 frame, fire safe,etc._ i. /r Will any second-hand or ungraded lumber be used? If so, for what? 40 • Foundation wall .material _6/1A _& Thickness 1,0 Depth of foundation below grade (to bottom of footing) 81 Will there be a cellar? 55 Heated or Floor sq. footage - sq ft Will there be a basement'? Will any •.- ion be used as living space? Aram (If so, what portion? sq.ft. - - Type of use? Type of roof - pe3/flat/shed/other Material 'of roof ] 1"i1 Size, wood studs 2_ "X " spacing t "o.c. length 6- ft. Joists(floor beams) 1st. floor GI, "X /Q " spacing /6, "o.c. span /f ft. Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft. Overlays(ceiling beams) ' "X / " spacing /',( "o.c. span 15 ft. Bonf.Lta - "X " spacingWit. Roof trusses(pre-engineered) spacing "o.c. spank ft. . Exterior wall finish i,1"142 Of what material? e `a,v, Interior wall finish G c ' - ,If a 'garage i to be attached, Aescribe materials to' be used for FIRE SEPARATION: 54. 'G • 5‘p. Is there to be an opening between garage and dwelling? e ; If so will a Fire-rated door, enclosure, and self-closing device be provided? / � S Will a flue-lined chimney be installed? Height abo e roof ft. 1 Depth of chimney foundation below grade ft. Depth of ft. in. Water supply or private well • ,� SEPTIC SYSTEM 'Distance from ANY private well(including adjoining properties /v,4 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 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 AI' ,�� Own/ , owner's agent,arc irect,contractor day of 19 Notary Public, Warren County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: • • • • By WARREN COUNTY , NEW PORK Application for ; BUILDING PERNIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY .CON$ERVATION CODE 4 A permit Oust be obtained before beginning work. S ANSWER ALL of the followings 1 . Gross floor area '2_ '2D5 ' S' 2 . 'Type of heat . 0 Cill'T 9 vv,A,p . 3 . Is the building mechanically cooled? - 7i- ,(e 1,b_:5 _ i • 4 . Percentage of area of windows and doors . , -,, `? . A. Over 16% Only 1 . Do value of gross area of walls , roof/ceiling and floors exposed to ambient conditions _ 2. Floor over heated spaces YES . NO a. Are fountation walls insulated? , YES NO 1 . If YES, what ii the R value? a 3 . Slab on grade Y}5 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 expose to ambient conditions -- j 0 ' 2 . R value of exterior walls - - n . 3. R value of glazed area 70 1 0 4 . " R value of doors- L5,0 5. R value of floors .over heated spaces 6. R- value of slab edge insulation - unheated slab ?. R value of slab ,insulation - heated—slab Y1 . 8. R value of heated basement/cellar wells (above grade)___. 9. R value of heated basement/cellar walls (below grade) K 10. Type of insulation ti ,0i--ca:-„ C_,- C. Controls 1 . Thermostat maximum heat -setting o D. Duct Systems 1 . Is duct systVm installed in unheated apace? YFS t;t� a. If YES , R value of duct installation_, b. R value of duct in other areas I E. Piping Insulation 1 . Size of hot water or cooling carrying agent pipe 2. R value of pipe insulation F. Service Water Heating 1 . Performance efficiency 761 2. Temperature control setti.ng' maximuw ) Ler)4 G. For Swimming Pool Onlyii• , ',t. ' 1 . Maximum heating •r +--- ", �• /' Ti'4 ephonp.. No. •_ • '� I. / 4- t i(�al�plicant ' a `signature) / :;C-=-'•"'b -z <_^ :..v..:.rw�"ir:z- �r.--c -: >--sa.. .-e<�-e.,-r•—�,-r-,--4--.. .......... ._. . • awn of QUeen3tury BUILDING and ZONING DEPARTMENT • • Bay and Haviland Road, R.D. 1 Box 98 • Queensbury, New York 12801 _ SEPTIC DISPOSAL PERMIT APPLICATION• Owner 's Name Ftekpvcq Ti bt-c ,c3a7 Address --1:� re ill Yr Person/Firm installing system. • P (n} • Number of bedrooms (residential only) Total daily flow: (compute @ 150 gal.per bedroom per day) �D Topography: 40- rolling - steep - (circle one) Degree of slope % Nature of soils: sand-loam-clay- other- Depth A44 ft. Ground water-- at what depth? AJ,4- ft. Bedrock or impervious material--at what depth? 144 ft. Percolation- Test - Not required / Required -Rate /VA • min/inch. Domestic Water Supply - Municipa - Well - Other IMPORTANT! On a separate piece of paper, submit a diagram of the proposed septic system with all dimensions; including distance from apy structure, distance from property lines and distances from any domestic water supply or shore-line of lake, stream, pond orxwetlands. Include all dimensions of the system itself. • Description of proposed system: • Septic tank size WO gal. Tile field- Length of each trench-SD ft. Total fieldo2SO ft. Size of stone # Seepage Pit (s) Number " - / Size ftX • ft. Size of stone# 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 providedfor in Section 6. 010 of the Town of Queensbury Sanitary Sewage Ordinance. r • & ' / 41/ / / S 'gnature f Applicnt Date 01/86 and/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 4?50. 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. Jown of Queenturj BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME lik i cx) —�"C�, {�' f E h.t"' LOCATIONa Date �' �7 Permit No. F6- a 7 * * * * * * * * * * * * * * * * * * * * * * * k' = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves �Ext. Porches-Hp C pe �ry�j�' • Finished Floo 71' Interior Trim j/tairs & Railings Q,rL Cellar Drain Tile C9ncrete Floors LeIbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors bchimney 02,47, 1:4_164 INSULATION: Foundation Floors Walls Ceiling 6/FINAL ELECTRICAL INSPECTION 7 fji� (/ DRIVEWAY APPROVAL I' Final Building Survey Next scheduled inspection (call when ready) Remarks- 07,6 Building Inspector 6/86 and-vl 17c7 Jocun o� Queenitury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME �A r114..-4.4Ct4 r�4/! LOCATION 1 -d f J //I/Jire_ AA Date l i v / Permit No. 0 —t o y // = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing 0.15 i'L-c1--00„j Roofing Siding Masonry Veneer '' •&Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim2\1/::\\ Stairs & Railings 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 Survey Next scheduled inspection (call when ready) Remarks- / ! c / t: / /11):7 B ilding In pectd/f 6/86 and-vl V Jown of Queenilury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME Mthi/ , �A ) LOCATION Gaile-ft) Date /( 0 / Permit No. 0 � 1401 = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill x Framing Sam ;(jLL,I u) 4/20 Roofing Siding Masonry Veneer I\Rough Plumbing Pakq'ild 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 FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remark - Lu •) ' iAc /a muly3 add,-V-1 oz�P �=� ,, , � �/ Oa( di.f c okaP 114-0 .S 01640 ) ds Ae dui NA /41- 0-c vu JoCK6 e dod i nsa crth 46-0 Ofe-tu./ / 9.0_,A3 Building Inspector. 6/86 and-vl awn o/ Queenilury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION "111 NAME C9 L„� I f IA C LU LOCATION (A 8 4 *7 tv rl 14-1-0-4 DATEzt�Y �' `OI / PERMIT NO. ,Q ,.,z% SOIL TYPE -("an}l- Loam - Clay - PercolatioA-Tt Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each trench 17 (o �} Depth of trenches -2- i Size of gravel ? - SEEPAGE PITS{Number of) Size- ft. X ft. Gravel size PIPING: Size Type Bldg. to tank Li- Tank to dist. box tr 7(J-, Dist. box to field/pit Openings sealed? YES ) NO Partial LOCATION/SEPARATIONS: Foundation to tank H ft. Foundation to absorption i'/- ,,ZTft. Absorption to lot line '5e-jf1' Separation of pits ft. ION OF SYSTEM ON PROPERTY(circle one) - Rear - Left side - Right side - ENTS: n arcs, iT7c�V � LL_(_((j�� )3_0,1 VI-� /1 >‹. SYSTEM USE APPROVED ES NO 4 7 Building Inspector 01/86 and vl 4(. YU 140' Q o EC P2 P ° r Ho S r f � 14' i-1 o: i 140` S 7(,' 4 Lo" E P iTE I I tjE ic)o.D I Ijsc ALSANENE ® 10 5455 n .. a-n��aa.�o JI APIVAFfV rvrrM MAD[ IN U.