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1987-335 f CERTIFICATE +�F +� CCUPANIY i TOWN OF QUEENSBURY ` WARREN COUNTY, NEW YORK L7at+e Sept . 29 , 19 87 This is to certify that work requested to be done as shown by Permit No.— 87--335 has been completed. tr�8 j rn j� .V XWAU C9 This structure may be occupied as One—Family llin Lot 2 , Van Hurt ( St . No . 4 ) Van Howe Estates Location Uv-CGk (} 1 Y Gregol±te Construe on Owner By Order Town Sward TOWN ()FL +QUEENSBURY } Building N 'toning Inspector T E M P 0 R A R Y CER.TIFICA.TE OF +C3CCUPA.NCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date Sept . 252 19 87 This is to certify that work requested to be done as shown by Permit Nu. 87- 335 has been completed. This structure may be occupied as a Ogle-Family llwell3r�g Lot 27 Van Court ( 5t . No . 4) Van tlowe Estates Location Gregoire Constructlou Owner TEMPORARY C/o ISSUED FOR 30 HAYS By Order Town Board PENDING FINAL Pf.ECLRICAL INSPECTION6 TOWN OF QUEENSBURY Building & zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY � No. 87-335 WARREN COUNTY, NEW YORK 0. m n PERMISSION is hereby granted to Gregoire Construction m rt OWNER of property located at Lot: 27 Van Court ( St: . No . 4) Street, Road or Ave. ' I c n rt in the Town of Queensbury, To Construct or place a _ One—Famlly 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 Oueensbury Building and Zoning Ordinance_ t. OWNER'S Address is 64 Burgoyne Road Saratoga Springs , NY 12866 rY ry 2. CONTRACTOR or BUILDER'S Name 'J same 0 3. CONTRACTOR or BUILDER'S Address ri same ''' rt rt 4_ ARCHITECT'S Name z 0 .c- 5. ARCHITECT'S Address C w a E 6_ TYPE of Construction — (Plasm indicate by X) 01 pn [ Wood Frame { ) Masonry { 1 Steel { cot } r+ Its M m 7_ PLANS and Specifications °J 35 ' x55 ' per plot plan , specifications and application including No- two-car attached garage and sewage system . s. Proposed Use ` One-Family Dwelling I I Y $5 . 00 C/O $ 150 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES Jan . 1 19 88 (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Ousensbury before the expiration date.) 5-; O4 Dated at the Town of Queensbury this ` /9''thh Day of June 19 87 SIGNED BY / ! for the Town of Queensbury r Building and Zoning Inspecto TO BE COMPLETED BY BLDG . DEPT * Application No , v 70Wn 0/ Queenshesry Permit Issued 19 ( `ItaiNTW tt��f C:rLt>1F �5�' BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Haviland Road, R. D. 1 Sox 98 Zoning Designation Oueensbury, New York 12801 variance No . IVA ju 8 1987 Site Plan Review No . y C7r� c r7 Approved I ! BUILDING Ek C;QG3E 'Utr'"f. 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 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 : ir�'� - P . O , Address Tel • © Property Location :_ L 't Tax Map No . / / Street number or building lot number Subdivision name ( if applicable) `�/ THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : Name P , O. Address Tel . No . Name of builder ✓ 1~.dee�AwZ-�t- R Address Tel , F Name of plumber Address Tel . ryQm2 /. " 1' A Name of mason Address Tel �-� D NATURE OF PROPOSED WORK : * ZONING INFORMATION : . KConstruction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMI`l'TED , _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 interior or corner lot . Show location FOR DEMOLITION PERMIT , STATE SIZE AND * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED . ,of septic disposal area . COMPLETE INFORMATION REQUIRED BELOW - if Size of property_ / � ft X 4A- t . * Existing building ( s) Size �ft X ft . PROPOSED L3UILDING AND USE : Existing buildings ) Use Size of new structure eft X jrPt Foundation-,pier/slab/crawl/partial ixl * Proposed building , distance from property line (circle one ) Front yard / £t ft Rear yatr,�d_0 .�} f ft Noo of stories (habitable space) of Side yards� ft and ,-►i b ft Height ( grade to ridge ) _ atj r ft . 2f on corner , setback from side street u-ft if residential , no . of families No . of rooms ( excluding baths ) OCCUPANCY INFORMATION No. of bedrooms PRIMARY BUILDING No . of bathrooms �q One family dwelling Primary heating system — * Two family dwelling Type of fuelD ,� Multiple dwelling / Number of units No . of fireplaces to be installed , permanent occupancy Will a wood stave be installed? -Transient occupancy Central.. Air canditioning? Business BUILDING STYLE, PRIMARY STRUCTURE Industrial Other Ranch Contemporary Log cabin * if addition , what will use be? Raised ranch Mansion Duplex split level Old style Bungalow e Cad Cottage Other ACCESSORY BUILDING- Colonxa Row Town House Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) Attached garage/one Car/ wo /__ _^_car Private storage building ESTIMATED MARKET VALUE OF 'Other CONSTRUCTION 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 wood fram fire safe , etc . Will any second-hand or ed lumber be used? If so , for what ? d Foundation wall material C" Thnckness er Depth of foundation below grade (to bottom of foo zn ) pIr Will there be a cellar? Heated or unheated? ' _.-Floor sq. footage �" e3 Oc3 sq ft Will there be a basemenI ? Will any portion be used as living space?- ( If so , -what portion? sq . ft . - - Type of use? Type of roof - s ope flat/shed/other Material of roof Size , woad studs_ "X „ spacing o . c . length ^fir t . Joists ( floor beams ) 1st . floor 47� '"X j spacings -"o . c . spanr _ft . Joists ( floor beams ) 2nd . floor _�_"X_-� "' spacing�__"o . c . span�ft . Overlays ( ceiling beams ) �X ' spa.cing_�r� "o . c . span��_ft . Roof rafters "X to spacing 0 . 01 span ft . Roof trusse pre-engineered spacing"+ o . c . span J_3 J ft . Exterior wall finis Of what maternal? Interior wall finish If a garage is to be attached , describe materials to be used for FIRE SEPARATION :.* 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 f�ft . Depth of firepla th �I ft . f4d in . Water supply Municipal or private well SEPTIC SYSTEM _ nce from ANY private well ( including adjoining properties I d ft . (A separate application is necessary --for any repair or new installation of septic system) Town of Queensbury County of Warren A F I e I 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 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 day of 19 Own , ' s agent rcnzrect contractor Notary Public , Warren County , N . Y . * * * * * Is * * * * * * * * Its * * * * * * * * It * * * At * * * * * * * SPECIAL CONDITIONS OF THE PERMIT : TOWN OFF ¢UEENSBURY 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 :L0 * & 2 . Type of heat 3 . Is the building mechanically cooled ? o ca 4 , Percentage of area of windows and doors Ap 1;2 A . over 16 % only 1 . Uo value of gross area Of walls , roof/ ceiling and floors exposed to ambient conditions 2 , Floor over heater! spaces YES No a . Are foundation walls insulated ? YES NO 10 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 of roof and floors exposed to ambient conditions. R1 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 �~ B . 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 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/ 2 . R value of pipe insulation F . Service Water Heating �F Ga ,/ �/ �/ 1 . Performance efficiency 20 Temperature control setting maximum / G+ G , For Swimming Pool only 1 . Maximum heating ry Telephone No . �� I� applicant ' s s nature ) itaYo a ' " &ttP APPLICATION FOR SEPTIC DISPOSAL PERMYT BATE ----- LOCATION OF PROPERTY FOR INSTALLATION cO`- / G/ ♦. l r V (L Owner's Nam/ ,r e:: -G a Telephone: S Address: 7oZ OLk Installer's Name: ` Le7 Telephone: 2 Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) Tapogx�aphy: circle one: la Rolling Steep Slope %n of slope Soil Nature: circle one: /Sanc9 Loam Clay Other f Depth: � feet Ciround Water: At what depth? ... feet Bedrock or Impervious Material: At what depth? feet Percolation test; circle one: not required required / rate min. inch. Domestic water supply: circle one: unicipal Well Other _ IF domestic water supply is a Well: Separation: Watersupply from Septic absorption ZQ _ feet PROPOSED SYSTEM: Septic Tank /4000 gal. (minimum size: 1,000 gal.) TILE FIELD: Each 'french feet I 'Total system length d feet SEEPAGE PIT(S) ; Number of / Size each feet by feet Size of stone to be used # I Depth or Thickness feet I M P O R T A N T .._.Plea.se...LIST NEW EQIJIPMHNT TO BE INSTALLER (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 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 $2500000 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 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 , off r14eesponsible person: Date. 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 ,/`U own ea Q�eee#2 l4" ry ^y BUILDING and ZONING DEPARTMENT Bay and Haviland Road. R. D. 1 Box 98 1; a o Queensbury. New York 12881 BUILDING INSPECTOR ' S REPORT Ole NAME LOC,AT I ON /�" 10�01aeoq J7 Date�1.���J� � Permit No * ✓ APPROVED - YES 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 . Fireproof ' g Door Closers Smoke Detecto s Chimney INSULATION : + Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION .� DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready Remarks- �^ C o e A ey I ccy Build g s Ctor 6/86 and-vl ,r _Jvwn a/ Queens6ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road. R. D. 1 Box 98 "{ R !Vr_" Oueensbury, New York 12801 � R SEPTIC DISPOSAL SYSTEM INSPECTION NAMEel LOCATION 9X5� DATE / PERMIT NO . df. SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YE " - NO Percolation rate - Min/Inch TYPE of SYSTEM:Absorption field total gth /V Length of each A nch t Depth of trench _ — Size of gravel__ SEEPAGE PITS4Numbe ) Size- ft. X t. Gravel size - P IP ING : S T � Bldgv to tank _ Tank to dist . Dist . box to f ' ld/ Openings seal ? ES NO Partial LOCATION/SEP RATIONS : Foundation o tank ft. Foundation o absorption Absorption to lot line t. Separatio of pits t. SYSTEM ON PROPERTY (circle one) ont - ar - Left side - Right side - CCIKMENT SYSTEM USE APP ED YES O *t Build in % ector 01/86 and vl �8 �aeep3b �.sl'+� own of EPAFITMEt1T 1�1I!� �1' flBUILD%MG and Zpid{NG D Bay and t2g0, Haviland Road. R-1k i 98 aueensbury, Ne'N York I LpIMCI INSPECTOR ' S REPORT E LOCATION .,OCATION A' perm* o * * * Date # * * * * * * + * * * * * * * * ✓ = ,ppFt(7VEL} - YES No Footing/ Pier Forms Foundati-on Waterproolf ing Backf ill Framing Roof Inc Siding Masonry Veneer Rough plumbing_)---- Relief valves Ext . Porches Finished Floors interior Trim Stairs & Railings Cellar Drain File Concrete Floors plbg - Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney "'�SU LAT I ON A Foundation Floors Walls Ce i l ing F iN AL ELECTRICAL I13 SPECTIC/33�_._—� nRY�>•w�Y ArrRa�AL Final Building SuryeY heduled insp eetion (call when ready) 14ext se Remarks' 7 �* Ya Build ng Inspector 6f86 and-vl vec.n ofrteer+ ybure� 4� Sll1f Df1VG and ZONIN. DEPARTMENT / Say and Havfland Road-YorfsD- I Sox 98 Queensbury. New 01 'B lJ ILDIN6 INSPECTOR ' S REPORT NAME etc LOCAT ION �� Permit. No Date,ZL� 0,.e � APPROVED - YES Footing/pier Forms Foundation Waterproofing By�ckfill t,.�^rami ng Roof ing Siding Nf sonry Veneer ough plumbing Relief Valves Ext , Parches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors plbg • Fixtures Oar , Fireproof ' g Door Closers smoke Detect s L.oeRimneY -LN gp LATION Foundatio Floors walls Ceiling -� FINAL EL INSPECTION TION DR-LvEwAY APPROV Final Building Su r�eY � pleat scYiaduled insp action (call when ready ) Remarks- �.-ti ,�, ` ID auilding Inspector 6/g6 and-vl 1� flown of Q"eens1 ary r � BUILDING and ZONING DEPARTMENT s Bay aee sbury. New York 12801x 98 BUILDING INSPECTOR ' S REPORT el e NAME '� f LOCATION gate, Permit No . l ' * * * * * * * * * loo' * APPROVED ^*YES NO Footing/Pier Farms Foundation ,Kwaterproof ing y Backfill Framing Roofing Siding Masonry 'Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors interior Trim stairs & Railings cellar Drain Tile concrete Floors PIbg , Fixtures Gar . Fireproofing Door closers smoKe Detectors Chimney INSULATION T Foundation Floors walls Ceiling FINAL ELECTRICAL I135PECTION - pR,-1VEwAY APPROV Survey — Final Building tnapection Next scheduled Gail when ready) Remarks- Tiding Inspect 6/86 and-vl Id f I to tq , +^) v �ueenshur� ,(�/' BLfILDING and ZONING DEpAgTIENT d Bay and Hawiland Road. R.D. I Bar 98 l� (:)ueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME Permii. APPROVED - YES NO 'Footing/pier Forms ' Foundation Waterproofing BackfilI 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 Smoke Detectors Chimney INSULAT'ON , Foundation Floors Walls Ceiling FINAL ELFCTRICAL INSPECTIC7 DRIVEWAY AFPROVSurve}T .��— ~ - Final Building next wh scheduled insp action (call en ready) Remarks- f � � c/ Building Inspector ro/8fs and-vl BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. i Box 98 Queensbury, New York 12801 BUILD�yING INSPECTOR ' S REPORT NAME LOCATION L c+ T a '7 Vah C�e e-fA Date (n 11S / A"7 Permit No . ✓ = APPROVED - yvs NO Footing/Pier Forms © o je Foundation Waterproofing Back.fill 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 Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready Remarks- Building Inspector 6/86 and-vl oP 4PNp S \ �P l 475�9r '� s z`AF.P`P� 1`Y 1 P `Px` PE•C Po, 7�