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1987-547 �I r t I i Ii I I s y CERTIFICATE OF 0CCUPAN C�" 4 TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK r:o,: . 30 , l4 " } Date b 6 1 " � ' - This is to certft that work requested to be done as shown by Permit No. 7_g 47 has been completed. This structure may be occupied as a ONE- FAMILY DWELLING `T Lot 23 Van Court (St. . No . , ;) LA30cation Gregoire Construction Owner By Order Town Board II TOVVW OF QUEENSBURY I Building & Zoning Inspector i BUILDING PERMIT TOWN OF QUEENSBURY No 87-547 � t WARREN COUNTY, NEW YORK z c+ PERMISSION is hereby granted to Gregoire Construction 0 OWNER of property located at Lot 23 Van Court (St . No . ,1065) Street, Road or Ave. Van Howe Estates One-Family Dwelling in the Town of Queensbury, To Construct or place a 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 . O WN E WS A dd ress is 65 Burgoyne Rd rya Saratoga , N . Y . 12866 0 r• rt rn 2. CONTRACTOR or BUI LDE R'S Name � a Same rn rt 3. CONTRACTOR or BUILDE WS Address n i-r f� a 4. ARCHITECT'S Name r-� r C r7r S. ARCHITECT'S Address r W 4 G rD f� "3 E. TYPE of Construction — (Please indirmte by X) rr G ( N wood Frame I 1 Masonry ( } Steel I I r�r rrt rG GO n 7. PLANS and Specifications No- 26 ' x 74 ' per plot plan , specifications , and application including o y septic system and two-car attached garage . r� rAyy B. Proposed Use One-Family dwelling 171 . 00 March 1 , 88 $ PERMIT FEE PAID - THIS PERMIT EXPIRES ' 19� w I I f 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.! F `C Dated at the Town of Queensbury this 18th Day of August 19 87 Q -' - Y SIGNED BY ...•..�^--- for the Town of Queensbury :1 Building and Zoning I nspector / a4 TO BE COMPLETED BY BLDG . DEPT. c� 1 Application No . _Jawn © Queen3hury Permit Issued 19 - BUILDING and ZONING DEPARTMENT Permit Expires 19 i Bay and Viaviland Road, R. D. 1 Box 98 zoning Designation �hh� Queensbury, New York 12801 Variance No . #iVl] 1 � Iy�i] Site 1 Rev ' w o . 0 .0� Ap EIUILDIN & CODE DEPT I APPLICATION FOR lz� / �� � � 6 BUILDING AND ZONING PERMIT L C. o . 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 can the Permit . ' ---......------.......................--------------- The-owner of-this property-is : -___ -_ � P. O. Address Tel . Property Location : 4�7E>R+'y ti. �d ',4Tax Map No . street number or building lot number Subdivision name ( if applicable) THE PERSON RES ONSIBLE FOR SUPERVIS ON OF WORK AS REGARDS BUILDING CODES IS : Name P . O. Address �,L Tel w No . Name of builder G. Address ,�C�,Q" .e�dR .s Tel . ' '�� ' . Gr tz/G Name of plumber Address re Tel . !�r J_@ f* '.1 9n Blame of mason Address Tel - � NATURE OF PROPOSED W RK : * 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 * 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 . * Size of property _� ft X ft . * Existing buildings —Sine eft X ft . * PROPOSED BUILDING AND USE : * Existing buildings ) Use Size of new structure .1.4 ft X _- 4/lft undatz -pier/slab/crawl/partial Proposed building, distance from property line (circle one ) No . of stories (habitable space ) * Front yard 2� r ft Rear yard ft r ft . Side yards Ab ft and rZ.E. Height ( grade to ridge ) iIlya if on corner , setback from side street ft If residential , no . of families No , of rooms ( excluding bathsNo , of bedrooms �f ) * OCCUPANCY INFORMATION _ ,F PRIMARY BUILDING - No . of bathrooms _._One family dwelling Primary heating system Type of fuel Two family dwelling No , of fireplaces to e installed�T * Multiple dwelling Number of units / Will a wood stove be installed? .jaj,p * _,)L -i'ermanent occupancy Transient occupancy Central Air conditioning? ;00*496wow Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch Contemporary Log cabin Other Raised ranch Mansion Duplex * if addition , what will use be? Split level Old style Bungalow Cave Cad Cottage Other * ACCESSORY BUILDING- Row Town House Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE Attached garage/one car/ wo c ap/ ' � ._y__,._•car * * * * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF � Other CONSTRUCTION 'F - dC9 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 fram fire safe , etc . will any second.-hand olEr ded lumber be used? If so , for wha.t ? � c� Foundation wall material Thickness j' d �� Depth of foundation below grade (to bottom of footi ) Q Will there be a cellar?'Heated or unheated? loor sq. footage 4+5 sq ft will there be a basemezfE? � Will any portion be used as living space? i&Adt.r { If so , what portion? _'�_sq , ft , - - Type of use? Type of roof - slope flat/shed/other Material of roof Size , wood studs g$ X Gi spacing_"o . c . length I f . joists floor beams ) 1st . floor _"%" spacing_ 40' "o . c . span�£t . Joists ( floor beams ) 2nd . loor ;`" X / 0 " spacings"o . c . span Ft . Overlays ( cellxina beams } "X " spacing 7a "o . c , span_ _ft . Roof rafters "x it spacing x ##�o . c . span--at�&;; ft . Roof trusse re-engineere spacing "o . c . span_g.4 ft . Exterior wall f17n'_T'sTT , C}f what material?��. Interior wall finish If a garage is „ o be attached , describe materials to be used for FIRE SEPARATION : Is there to be an offilhing be een 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 abCve roof AOL ft . Depth of chimney foundation below gradef/� ft . Depth of fireplace heart Jam' _ft . �-*'/in , Water supply - vnicipal' r private well SEPTIC SYSTEM _ ce from ANY private well ( including adjoining properties"/G} 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 AI T STATE of NEW YORx 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 -___ ,SIG L_�L--'G__________ /' Owne _ owner ' s agent , aicnirect . contractor - -------+�-�,i''�-day of 19 Notary Public , Warren County , N . Y . SPECIAL CONDITIONS OF THE PERMIT : $3'______ ___......__.................---- 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 : �,{ 1 . Gross floor area/f Z 2 . Type of heat (-rp'i l - 3o is the building mechanically cooled ?. AC t -_ 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 p 3 . R value of glazed area I{. / C! 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 r-� �� 8 . R value of heated basement / cellar walls ( above grade ) 9 . R value of heated basement /cellar walls ( below grade ) 30 . Type of insulation "i .. C . Controls q Q 1 . Thermostat maximum heat setting r' 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 G o 1 . Performance efficiency ii g 2 . Temperature control setting maximum G . For Swimming Pool only 1 . Maximum heating Telephone No . e 7 applicant ' s ignature ) APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE LOCATION OF PROPERTY FOR. INSTALLATION Owner's Name: /�'�►YL. .taP.�%�.'E- Telephone: �j �'` '�►- e� ,G�. Address: +Z=� Installer's Name: Gtw2 G:g Telephone: Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) Topography: circle one: I'Fla.Y Rolling Steep Slope % of slope Sail Nature: circle one: an Loam Clay Other / Depth: feet Ground Water: At what depth? feet Bedrock or Impervious Material: At what depth? _ _ feet Percolation test: circle one: not require required / rate Z min. inch. Domestic water supply: circle one: Aunici-DaU Well Other _ IF domestic water supply is a Well: Separation: Watersupply from Septic absorption 4/ 9 p feet PROPOSED SYSTEM: Septic Tank Zo pp gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench _Jre _ feet / Total system length o2 S'd _ feet SEEPAGE PITS): Number of { Size each feet by feet Size of stone to be used # `- / Depth or Thickness _ _.. feet I M P O R T A N T ...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 boxesy 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 Disposal Ordinance. Signature of responsible person: Erjj1"¢ Date: Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 1 Z801 (518) 792-5832 SE rTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LWE TOWN OF CUEENSBURY Building DoPartment �'late� Inspectors Report �- C9 � (� Name __.r. Location rz: Peraait bi 'Weather Remarks ExcatYa is on . Footin Forms Footin & Piers Foundation cement cost Water roofin Backf.il l Final survey Framsn Sh thin - Rpo Felt Roofs s ..d . In Masonr Veneer Rou h P - Relsef V ves Wall. Boar rxt . Porch Finished Fl. r Interior Tri stairs 6 Rai x s _ Cellar Drb ile Concrete F ors Pl. . F.ixt res Gar . Fire roofin Door CIO rs chimne _.. Water M ter inst . se tic royal Floors Fots]9� data insula. ion Walls Ceilin Building xnspector REMARKS �� c wn a rte,ensheer ILDING and ZONING DEPARTMENT l B y and Haviland Road. R .D. 1 Box 98 Oueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME_ LOCAT I CNJ 2? DATE I�/ / /° PERMIT NO * 7 SOIL TYPE - Sand. - Loam - Clay Percolation Test Required? 'YES - percolation rate -- Min/Inch TYPE of SYSTEM : Absorption field , total len h„ Length o each trench Depth of renches Size of g vel: SEEPAGE PI .{Number of) Size- f . X _ f Gravel size PIPING : Size Tvpe� Bldg . to tank 7V Tank to dist. x Disto box to fi / Openings sealed? E5 O Partial LOCATION/SEFA I S : Foundation to anlc t' Foundation to abso tion ft . Absorption to lot li a _ft . Separation o pits ft • LOCATION OF YSTEM CN OPERTY [circle one) nt Rea - Left side - Right side S : SYSTEM USE APPROVED YE5 O Building Inspector Dl/86 and vl �7 �vwrr o� '�uP�,,ri3lhurt� G � r �]crJ' 8U1LD1NG and ZONING DEPARTMENT and Haviland Road, R.D. 1 Box 98 Queensbury, New York '12601 111 l ' ILDING INSPECTOR ' S REPORT NAME LUCAT I 0 N / �At�/� �. Date /� / 7 Permit APPROVED* -* YES* /*NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry eneer Rough P1 bing Relief Val es Ext . Porche Finished Flo s interior Trim stairs & Rail ! s Cellar Drain Til Concrete Floors Plbg . Fixtures Gar . Fireproo ng Door Closers Smoke Detect rs Chimney SU L.AT I ON ` Foundatio Floors Walls Ceiling FINAL ECTRICAL INSPECTION _ PRIVEWA APPROVAL_ Final B Ilding Survey Next scheduled InspecCian (call when ready ) Remarks- i /r Building Inspector 6/86 and-VI 614�t I eol BUILDING and ZONING DEPARTMENT tNAME Bay and Maviland Road, R. D. 1 Box 98 Oueensbury. New York 12801 B ILDING INSPECTOR ` S REPORT /fet l r LOCATIONjn Date r /ors / O r� Permit APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing BqPkfill 44raming Roofing Siding m Mas y Venue &ugh Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete 'Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detect S Chimney INSULATION : Foundation Floors Walls Ceiling FINAL EL CTRICAL INSPECTION DRIVEWAY PPROVAL --- Final Building Survey 13ext scheduled inspection ( call when ready ) Remarks- Buildi g Inspector 6/86 and-vl a c� ,q � f74� 7 YI'ow►� oueens6ur yF ' off BUILDING and ZONING DEPARTMENT f (' Bay and Haviland Road, R.D, 1 Box 98 f Queensbury, New York 12801 BUILDING INSPECTOR�' $ REPORT NAME LOCATION f�>z Dalte4, 7 Permit No . * * * * * * * * * *&II APPROVED YES xNO Footing/Pier Forms foundation 4aterproofing �kfili Framing Roofing , Siding ` Masonry Veneer Bough 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 Fc,undation Floors wails Ceiling FINAL ELECTRICAL IN PECTION ) IVEWAY APPROVAL_ Final Building Survey Next scheduled inspection (call when ready Remarks- Bui ding Inspector 6/86 and-vl !'morn v/ Q"eensi"ry r ' + UILDING and ZONING DEPARTMENT ' J00flavy and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 LDING INSPECTOR ' S REPORT AME (✓ �''/d-77 LOCATION � / „� uy - .y Date 9 / / Permit No . ✓ APPROVED - NO Footing/Pler 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 . 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 nspeCC.vr 6/86 and-vl � _lour" o/ Queensgury UILDING and ZONING DEPARTMENT Bay and Haviland Road. R. D. 1 Box 96 ( Queensbury, New York 12801 ' ! BUILDING INSPECTOR ' S REPORT NAME LOCATIOIN070( !4j:U Date /' / Permit No L / �✓ O D - YES No oting/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 Pltg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors. Chimney INSULATION : Foundation Floors Walls Ceiling F IN AL EJLECTRICAL INSPECT101 DRTVEWAY APPR(]VAL --- Final Building Survey Next scheduled inspection (call wh/e..�n ready R e m a r k s- �J /""`--• )g� {� Building Inspector 6/86 and-vl C � t � by