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1987-111 c CERTIFICATE OF OCCUPANCY TOWN Of +QUEENSBURY WARREN COUNTY, NEW YORK Date JL`L11 l = 19 it This is to certify that work requested to be dons as shown by Permit No. 8 7- 1- has been completed. This structure may be occupied as a One-Fa silt' Dwelling s Location Lot 24 VnTi Court ( St , No . 5) Owner Gregoire Construction By Order 'Town Ploard TOWN OF QUEENSD /i r Building & Zoning Inspector ti i T E M P 0 R A. R Y CERTIFICATE C.]F C3CCL7PANCY TOWN OF +QUEENSBURY � WARREN COUNTY. NEW YORK Date, June 26 . 151EZ_ i i This is to certify that work requested to be dome as shown by Permit No. i has been completed. This structure may be occupied as a One-Family Dwelling 1 Location Lot 24 Van Court ( St * No . 3) Gregolre Construction i Owner TEMPORARY CERTIFICATE OF OCCUPANCY FOR 30 DAYS e By prder Town Board TOWN OF QUEEN3$URY Building 6► Zoning Inspector i \ i BUILDING PERMIT TOWN OF QUEENSBURY Na 87-111 WARREN COUNTY, NEW YORK c, PER MISS10N is hereby granted to Gre dire Construction M ro ot� 0 OWNER of property located at Lot 24 Van Court ( St DIP . !J) a Street, Road or Ave. CD One-Family Dwelling in the Town of Queensbury, To Construct or place a o 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. r7 1 . OWNER'S Address is 64 Burgoyne Ave . a Saratoga Springs , New York p 2. CONTRACTOR or BUILDER'S Name same C r m o � rY 3. CONTRACTOR or BUILDER'S Address rc N 0 _P� same ro a� a� 4_ ARCHITECT'S Name M rK m rt m cn n rr 5. ARCHITECT'S Address a 0 a a L.+ 6. TYPE of Construction — (Please indicate by X) ( 1 Wood Frame ( Masonry f I Steel f } 7. PLANS and Specifications 64 ' 8"x34 ' per plot plan , specifications and application submitted. , � No. including two-car attached garage and sewage system. w 8_ Proposed Use One-Family Dwelling ~r- �c ro $5 . 00 C /O I- $ 189 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES November 1 ig 87 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Q.ueensbury before the expiration date.) Dated at the Town of Queensbury this 3rd Day of - April ig _ 87 SIGNED BY i - f�✓ Ge�wr� for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEEsNFE-- C� // TO BE COMPLETED BY BLDG . DEFT . Lj Jason ouperr3hur Application No . Y Permit Issued 19 { MAR 311987 BUILDING and ZQNiNG DEPARTMENT Permit Expires 19 Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation 6UILDING & CODE DEPT* Queensbury, New York 12841 variance No . r Site Plan Review No . ito ,�rr mb 174 Approved by , APPLICATION FOR ' -f f G� too 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 : G' e7 P . O. Address Tel . 6,'CI -d4t,,/3 Property Location : 00cr� ver�* ecre�7` Tax Map No . / Street number or building lot number Subdivision name ( if applicable) THE PERSON RFSPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : Name P . O. 9Adclress Tel , No . Name of builder f . Address �f � Tel . Name of plumber ....._ ddress '' Tel . .Z Name of mason wo Address Tel . Q 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 522E AND a whether interior or corner lot . Show location of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED_ of septic disposal area . COMPLETE INFORMATION REQUIRED BELOW!. Size of property ft X ft . Existing building ( sl Size fsj& Kft X ft . PROPOSED BUILDING AND USE : Existing building s ) Use Size of new structure ft ft foundation-•pier/slab/crawl/partial/full Proposed building, distance from property line (circle one ) ,� Front yard `Q p ft Rear yard ft No . of stories (habitable space ) Side yards ft and ,`{ & ft Height ( grade to ridge ) ca. ft . If on corner , setback from side street ft If residential , no . of families No . of rooms ( excluding baths ) OCCUPANCY INFORMATION No . of bedrooms T'o No . of bathrooms PRIMARY BUILDING - One family dwelling Primary heating system Two family dwelling Type of fuel E2.Z,s No . of fireplaces to be installed _ * Multiply dwelling / Number of -units Will a wood stove be installed'-l' J ,e fig• _Permanent occupancy 'fr ,� Central Air conditioning? Transient occupancy _ ,cy Business BUILDING STYLE, PRIMARY STRUd#FURE Industrial Ranch Contemporary Log cabin Other Raised ranch Mansion Duplex If addition , what will use be? Split level Old style Bungalow ` C Cottage Other ACCESSORY BUILDING- Colonial Row Town House Detached garage/ono car/ two car car ( CIRCLE ONE PLEASE ) * Attached garage/one Car/ two ca car Private storage building ESTIMATED MARKET VALUE OF Other CONSTRUCTION $ _ -�+_ d ° t.. . . . . . . . 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 , od fran fire safe , etc . Will any second-hand or ungraded lumber be used? If so , for what ? G' Foundation wall material Thickness /G' /r Depth of foundation below grade_A to bottom of footing ) 6 0 rr ' Will there be a cellar? Heat or unheated? Floor sq. footage sq ft Will there be a baseme ? L Will any portion be used as living space? ,: ' ( If so , what portion_? sq . ft . - - Type of use? Type of roof - slope /flat/shed/other Material of roof Size , wood studs "X_,L " spacing "o . c . length Y ft Joists ( floor beams.) lst . floor "Xj&." spacings"o . c . span. �ft . Joists ( floor beams) 2nd . floor —"X. g2..." spacing e C "o . c . span IV Overlays ( ceiling beams ) X.'" spacing pZ '"o . c . span :Z £t . Fjz> -,. r rs `"X to spacing o , c . span Et . Roof trusses (pre-engineere spacing 2A "o . c . span .2<. ft . Exterior wa sh of what material? Interior wall finish If a garage is to be attached , describe materials to be used for FIRE SEPARATION : #y011 oi 0' kLLf r1Dz.L Is there to be an opening between garage and dwelling? �- If so will a Fire-rated door , enclosure , and self-closing device be provided? Will a flue--lined chimney be installed? Height ve roof , ft . Depth of chimney foundation below grade r� ' ft . Depth of fireplac th .�ft . in . Water supply - unicipa or private well 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 F F I D A V I T STATE Or NEW YpRK 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 _''- � � Own , e s agent rcn�tct, contractor day of 19 Notary Public , Warren County , N . Y . * * * * * * * * * * * * * * * * * * * * * * * It * * * * * It It 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 * f 1 . {Gross floor area ]� 2 . Type of heat G" 3o is the building mechanically Cooled ? 0/V_cJ 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 i. R value ofrroof and floors exposed to ambient conditions_ 2 . R value of exterior walls 3 . R value of glazed area r ri /rf 4 . R value of doors 5 . R value of floors over unheated spaces_ I\ 6 . R value of slab edge insulation - unheated slab — ' 7 . R value Of slab insulation - heated slab Be R value of heated basement/ cellar walls ( above grade ) 9 . R value of heated basement /cellar walls ( below grade ) r / 10 . Type of insulationC . Controls 1 . Thermostat maximum heat setting D . Duct Systems 1 . Is duct system installed 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 � G._ 2 . R value of pipe insulation- F . Service Water Heating / 1 . Performance efficiency 2 . Temperature control setting maximum W4' G . For Swimming Pool Only_ 1 . Maximum heating Telephone No . applicant ' s si ature ) 4404 own if "etw4ty APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE LOCATION OF PROPERTY FOR. INSTALLATION Owner's Name: . *k / 4 r7r�f/L Q Telephone: Address: Am Installer's Name: �� _ Lp '4Lt�£c GF+ Telephone: l Number of bedrooms (residential only) T __ Total daily flow (compute @ 150 gal per bedroom) Topography: circle one: 60 Rolling Steep Slope % of slope Soil Nattn'e: circle one: an Loam Clay Other / Depth* feet Ground Water: At what depth? feet Bedrock or Impervious Material: At what depth? _ — � r� feet Percolation test: circle one: o equired)nt required / rate C min, inch. Domestic water supply: circle one: unici a Well Other IF domestic water supply* is a Well: Separation: Watersupply from Septic absorption feet PROPOSED SYSTEM: Septic Tank gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench +QT_ feet / Total system length O i `O feet SEEPAGE FIT(S) : Number of p_ / Size each feet by feet Size of stone to be used # oZ / Depth or Thickness ` feet IMPORTANT ...Please...LIST NEW EQUIPMENT TO BE INSTAI .&D (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: l .) 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. I have read the regulations above and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage U4sposal O disance. Signature of responsible person: Z�7Y1, i Date : Town of Queensbury Building and Code Department Bay at Haviland Toad Queensbury, New York 12801 (518) 792--5832 SETTLED 1763 , 1 . HOME OF NATURAL BEAUTY A GOOD. PLACE To LIVE and ZONING t0 " Bay and Hav" NING I)EP "4'rME T �Quaert aY. Neay a. R. Q 80, 98 sbur � York yg NAMEU I L rj F NC F NS AEC ToR R EAOR T TIpN ,- 40 * * *.g . perms Fodatian Forms APPRC)VL7 Waterproof-In`�'---��� YES No x arning Roofing Siding onzy veneer Rezj Roughp aExtl es inI Porches Finished 5 t tars l000r Tr2.7t1 rs Cellar & ziings FtD xaConc iieeFIoossGr . ixture 000r Closers eAroofzng C�ntrieyke oetectors xNSfJLATx poundation pz oors Wa].I s Ce t 2 i nq PTIVA2 EL crRrc DR AL AL INSPC`TICrN ai APpRQVA FIn Buii.dinig 5urve3' Next Schedule` inspe,, ti Remarks- on CcaIJ - he,, read, 6 /86 rnd-V1 -i -tding xn ec s (3(J11- DI1WG c7Cf C uE'IP/ 1 f17(� Ray and 1y ZONING pEf4F TMh y r Havi►and RoadEN QueensburY, New , R. L71 1 ox 98 York 80, SEPr7C [)IS e IbpLi S rsr INSPEcr7«4 LocArloN G � - r DATE ~~r�`� -- Iva � � s�xr TYPE °'pe-roola Sand 1/ zo e,r�olatio tion �'es RegU am _ Clay n rate red ? TYPEMxn/xnc �� ND Ab torP nY Length 'OE'Pth o�f each tz ch al l ength Size o tr'enches SE PAGR gx ,avel '~�--���� ` ~_ 41,1111 size. PITS4wG;i �'�--�� Gravel rt, $ld to it: Tan bidis T p bo.)cf"'i'"s�7 in gs t field/ hDCAT2D ND -" Po N/S �A Paxtial Eo Pound to RA ONS : Undatio tan / Absorptlon to to absorT�t%onft- Paratian o lot line rce� fit. LOCATXCR '� s itsP-ront ON Curlew ear p�4�$RTY fit. �^y sine fcixo �e on ) Right side _ e ` 1,9 C© .SYSTEM USE APPROVE NO 8u 131 g1n s OI/86 and Vl 1'eotor f &Ull'DING and Quee" %dztjr $ey and Havila cGNrn►G DEPARrMLtzNr ©ueensbury. NeQyd. R.D. 1 Box 9r9 York 12(907 NAME BUILDING INSP ,ECrp+R r $ REP,), , r e L, OCA r I ON o %S d 7. Date � � � �!r> C6Pc4 k 7- oa tdang. er Farms ~ �* AP RQV Wa :e Lion p EI7 _ yES as ,k f j Oo,fznc NO ck Fix x F'xami n g Roofing Siding tlaSonr�u9h p Veneer Re) . 3Lunlring" ---�.- Jef VaZvrss — � F x t . parch es znishag F,Oars S� terior 1,r - airs & conCxet 'a 1 ]- e Fl o0 s oa bg fizxtyres Doo Care reproo tang os er Chz�e Detecto Y rs nvsUr,ATzprv _ poLlndation v P-1 oo z-,S FINAL ELZ: Tc Rx(2A______ v I)RTVEWAY APpRo A- zls ECTIory Flna ] I3utldln Survey I+ext scheduled inspeCti�n Rernarkn, (call when re$dy 6/86 mcl�vx -Lding I'e'Ctox ILDING ana ZONING DEPARTMCNr Bay and Haviland Road, . D. I Box 98 R oueensburY. New York i 7 801 LDING INSPCTCIIp ' S NAME REPORT d cv r LOCATION I Date 7/ i7 Permit No , � ounc2ation er FOr ✓ AP PROVE,) *_ *'YES * NO w1a terpr,�Oing Back> . naming oOting Siding P "onry Ven eer rzAgh Plumbing RelzeF Valves Ext . Porches Finished Ploors Interior Stan2"rim ---- -��Yy�L ---� Cellar _- Concrete Flours Plbg . -Fixtures cGa-ro Firepro4-fing Closers coke Detectors xrnney xNSUI,Aq•xQN , �`'c�un c3a t ion P rs Walls ceiling FINAL '�:LECTRICAL INSP8cTr0U DRIVEWAY APPROVALFirlal L^~ Building Survey"` u@SCt schedU Resnark _ led lnsPectlon (call when Gin. '72 /85 mr3-S,l Building -Inspector- ! "w7ow► '7' Qu ee+n s �"a r v _ nd Zf7NYNCa pB,D . A Box 98 BUtiLC]1NG a oad p . 1 Bay and Haviland R York 12801 Queensbury, New BUILDING INSPECTOR ` s REPORT LOCAT I ON No P.PFROVED - YES Footing/ dyer 'Forms Foundation Waterproof in9 aackfill R �( F rami ng Roof in9 Siding --- Masonry Veneer _ Rough plumbing '~ xRelief Valves ~- Ext . Porches Finishes Floors Interior "Prim �- stairs , Railings_ -�- -- - � Cellar Drain 'Tile --�- Concrete Floors----'�'�� Plbg • 'Fixtures Gar . Fireproofing ---- � �.�-- Door Closers_----- ---� Smoke Detectors_ _--- -- �-' himneY z�ys�I.ATIar� = Foundation Floors Walls Ceilin5 INS-PECTION r FINAL y;LECTRICAL wavE41Al AFPRCIV AI �-- Finnl Building Survey �1ext scheduled inspection (call when ready guildinq In Rector Fa/Sf' and-vl �orur,� a,! �ue,pns6,urr 8[11LfJlhlG and 'ZONING DEPARTMENT Say and Haviland Road, R. D. I Box 98 oueensbury, New York 128p7 BUILDING INSPECTOR ' S REPORT NAME LOCATIQfV� Date o . c7 * * * �*� Permit No . I r ,/ Footing/Pier Forms ✓ APPRfJVED * * # Foundation YES No VWaterpr�,fing gackfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Val ves Ext . Porches Finished Floors Interior Trim CeI Stairs Raiting5 `_ --- lar Dram Tile con Crete Floors Flbg , Fixtuzes Dar . Fireproofine� Closers Smake Detectors Chimney INSULATION ; Foundation Floors Walls ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scl2eauied inspection Remark:- (call when ready) 6/86 rrrd-vx I) ui ding nsp 6UILl7fhfG and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 88 QueensburY, New York 128171 BUILDING INSPECTORS REPORT NAME LOCATION DatePe-vrnit N. . Lje bC7t-xn ,/1 - AF'.PIa.OVEj} g/piper Formsy/"`��rFf�+ `_ Y Foundation . S NO Waterproofing Backfill Framing Roofing Siding Masonry Veneer .Rough plumbing -` Relief valves Ext . Parches ~-- Fin .ished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fivepyoofing Door Closers Smoke Detectors Chimney LNSUT ATIDN : Foundation FlGC)rS Walls Ceiling FINAL ELEC'TRJCAL INSPECTION DRIVEWAY APPROVAL FInai 8uflding Survey Next scheduled inspection Remarks- call when ready) 6/86 13 lui ding Ins --- md-vl - Or �g�f � �r�eens �eere�r " l BUILDING and ZONING DEPARTMENT Gr Bay and Haviland Load, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION L o T s v40n L'"vcd . Date ,///d / Permit No . ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Sack f i.l l Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves East . Porches Finished Floors Interior Trim ""— Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INTSUTP ATION Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTIONi DRIVEWAY APPROVAL, -- Final Building Survey Next scheduled inspection ( call when ready ) Remarks- Building nspector 6/86 and-vl `-_ � �� 'ti.. __ J �_ \ ` V' �. �� ��' V ��� -ti f J� 1 i .,� ,I i' st ti �, �� �: f � � � 4 u `. tI� \ �f � gF �� �r '� � ,� o � t, `� dfF -�-t r ' Ca i