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1987-691 i NONE i CERTIFICATE. OF OCCUPANC'IL' TOWN OF QUEENSBURY WARREN COUNTY, NEW Y+ORK V� ! 3 ` Z Cate .«Slip v x .Y s tf3 CL This is to certify that work requested to be done as shown by Permit No. has been completed. CC AM y�y�,,i 1� � This stricture may be nutzt%7m a 4 I,[) -LO Pinion Pine I, nc t . x, c� . 19 ) V'a _, tlawe EF. tates Location Owner C rr= �� e C�n � truut :Lo . By Order Town► Hoard wrOW N OF QUEENSBURY L Building H Zoning inspector I i CRt1 ?IVC "1NlT^-' •I�IM♦IN6- QYEND PALLS. N Y 13�0. {?»13Yl-}4]• _ .- _ 4 BUILDING PERMIT � TOWN OF QUEENSBUR'Y No. 87-691 � WARREN COUNTY, NEW YORK ' c Gregoire Construction 1 PERMISSION is hereby granted to 1 r Lot # 10 Pinion. Pine Lane ( St . No . 19) Street, Road or Ave. OWNER of property located at Van Howe Estates in the Town of Queensbury. To Construct or place a _ One F to l `r riot t '`R 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. K m [2. OWNER'S Address is o 65 Burgoine Road Saratoga : N . 'Y . m n 0 0 CONTRACTOR or BUI LDE R'S Name W Same rat r) f) rr a1- 3. CONTRACTOR or BUILDER'S Address O D A. ARCHITECT'S Name t-' O rt r- 5. ARCHITECT'S Address IG C+ a ro rd r� o 0 r7. TYPE of Construction — {Please indicate by XI ( Wood Frame ( I Masonry ( ! Steel I ? w m rr ro r-� PLANS and Specifications a' 0 N No_ 38 ' x 66 ' per plot plan , specifications and application including .- septic system. and attached two car garage . r+ t S. Proposed use One—Family Dwelling 0 r +S7 v $5000 C /O y 136 1g 88 00. May 1 ' $ PERMIT FEE PAID - T1-i15 PERMIT EXPIRES . (If a longer period is required an application for an exter+sion must be made to the Building and Zoning inspector of the ro town of Queensbury before the expiration date.I l ru 15th October 19 87 Day of . Dated at the Town of Queensbury this y l- SIGNED BY / Z�2' ,- '!'4,'�'/� for the Town of Queensbury Building and Zoning Inspector ro r. w a4 TO BE COMPLETED BY BLDG . DEPT . ID �f / Application No . I ti I11 11` ? lI f1 _Jotvn 0/ Quvel� 3Cru ry Permit Issued 19 E I L�, [� 1 {i L' { ti i BUILDING and ZONING DEPARTMENT Permit Expires g p 1, Bay and Hav+land Road, R. D. 1 Box 98 Zoning Designation! OCT 9 I9V7 Queensbury, New York 12801 Varian Aio . Site an Review o . 1 - ; ?_.` .:; Lx » :E aL' 0r� t7 C,G} �1 - L Appr e$ J F 1 Ar +� 4r ►� L�} V APPLICATION FOR �` 04 0 BUILDING AND ZONING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONS€RUCTION . 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 : - Z �r P . O . Address , zcG 2 �C C C Tel . Property Locat ion . G' F w .[ � Tax Map No . Street number or building lot number Subdivision name ( if applicable) V A e _ef- I /F 5! ZA f� S THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : Name P . O . .Address Tel . No . rr�! _Ja. " 'r Address Cc 7 !7 . �;z�,•-�. �Ce__ c� ,J,ATel . $ * r"`� Name of builcler ,�`--y-"��r..-- ry -- Name of plumber , 2.,�ron . �, .G, s � Address Tel . ��'y2_�_ 4 ,42 1�c7 Name of mason��,,e..ry ,� - � ` 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 " whether interior or corner lot . Show location FOR DEMOLITION PERMIT , STATE SIZE AND * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTEDv of septic disposal area . COMPLETE INFORMATIO/N/ REQUIRED BELOW . Size of property /.� ` `1-- ft X ft . Existing buildings ) Size_. _ ft X ft . PROPOSED BUILDING AND USE : Existing building ( s ) Use Size of new structure r�Q- ft X Or &' ft ound taa pier/slab/crawl/partial/full Proposed building , distance from property line ( circle one ) Front yard & .5� ft Rear yard /� ft Nov of stories {habitable space ) - ft and ft Hei ht ridge )( grade to y � Side yards a g' g' gr g �/' ft . • * if on corner , setback from side street. .--- ft If residential , no * of families / No . of rooms ( excluding baths ) �, r OCCUPANCY INFORMATION No . of bedrooms 3 � PRIMARY BUILDING - No . of bathrooms - One family dwelling Primary heating system J Two family dwelling Type of fuel Multiple dwelling / Number of units Noo of fireplaces be installed"-L. Permanent occupancy Will a wood stove be lnstalled? / Transient occupancy Central Air conditioning? Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Other nch Contemporary Log cabin * If addition , what will use be? Raised ranch Mansion Duplex 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 ) * Attached garage/one car/ wo ca * * * * * * * * * * * * _Private storage building 11 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 . Will any second-hand o d lumber be used? If so , for what ? i Foundation wall material LSeleg&ek Thickness / 4 Depth of foundation below grade ( to bottom of footing ) p `� Will there be a cellar? a Heated or unheated? t Floor sq, footage 1 c } 4 sq ft Will there be a basemeK, � Will any portion be used as living space? o ( If so , what portion? sq . ft , - - Type of use? +---•--_.. _. ���� Type of roof - slope flat/shed/other Material of roof z size , wood studs " X (v spacing 14 "o . c . length — .__f ✓ -� Joists ( floor beams ) 1st . floor "X " spacings '"o . co span ft . Joists ( floor beams ) 2nd . floor "X " spacing "o , c , span ft _ Overlays ( ceili beams ) '"x_ " spacing" o . c , span % ft , Roof rafters ae7 ti spacing. }x O.C . span ft . Roof trusses (pre- engineered) spacing " o . c . span ft . Exterior wall finish Of what material ? Interior wall finish if a garage is to be attached , de ribe materials to be used for FIRE SEPARATION : c � Is there to she apeping beeen garage and dwelling? If so will a Fire-rated door , enclosure , and self-closing device be provided? � r Will a flue-lined chimney be installed? Height above roof �27 ft . Depth of chimney foundation below grads ;7J4�ft , Depth of firepla earth__ _/ ft , { in . water supply - Municipal or private well SEPTIC SYSTEM _ ce from ANY private well ( including adjoining properties +/'Q 0 ft . (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury rl A F F I D V I T County of Warren 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 _. -e , owner ' s agent , nitect , cantractor day of 19 - r Notary Public , Warren 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 : / 1 . Gross floor area. 2 . Type of heat T *- C r 3 . Is the building mechanically cooled ? 4 . Percentage of area of windows and doorsu 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_ r r L> ,�1 J 2 . R value of exterior walls / '� / /9 3 . R value of glazed area �QIo / [� 4 , R value of doors / 1 t 5 . R value of floors over unheated spaces ' l 60 R value of slab edge insulation -- unheated slab 7 . R value of slab insulation - heated S . R value of heated basement/ cellar walls ( above grade ) ! 9 . R value of heated basement / cellar walls ( below grade ) 1 10 . Type of insulation C , Controls r � � 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 , Plj2lng Insulation � r 1 . size of hot water or cooling carrying agent pipe_ 2 . R value of pipe insulations F , Service Water Heating 1 , Performance efficiency 2 . Temperature control setting maximum _ ll'�A5 ,�___, G , For Swimming Pool Only 1 . maximum mmr �heating Telephone No . ✓' C / v y �z�i rs - "L•. - ZA2::� applicant ' s sig Lure ) APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE LOCATION OF PROPERTY FOR INSTALLATION Owner's Name: / Telephone: S Address: --1�.t y# � �' G' C L •1'� Z ' c� _ C - Installer's Name: ^- fely�x C�r%v 'Telephone: Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) _ L-f Ae:;-d Topography: circle one: Flat Rolling Steep Slope % of slope _ Soil Nature: circle one: an Loam Clay Other - - / Depth: _ feet Ground Water. At what depth? ,�/rQ feet Bedrock or Impervious Material: At what depth"? _ feet Percolation test: circle on : not requiredrequired / rate tyinin. inch. Domestic water supply: circle one: Municipal Well Other _ IF domestic water supply is a Well: Separation: Watersupply from Septic absorption �IC'� © • feet PROPOSED SYSTEM : Septic Tank GEC G gal. (minimum size•. 1 ,000 gal.) TILE FIELD: Each Trench h rvC' feet / Total system length feet SEEPAGE PIT(S): 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 Ovdinance, shall be submitted to the Building Department at least 24 hours before start of construction and shall include a plot plan showings 1.) the proposed location of the system 2.) location and distance to lot lines 3.) location and distance to structures 40 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. 1 have react the regulations above and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of responsible persons 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 �! - Joturr n� �eeeens6esr� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury. New York 12801 i BUILDING INSPECTOR ' S RE 6RT NAME LOCATION p7� /Gf �� /•y•'/ y-'7� r r �z� - Date�/r-f�/ Permit No . APPROVED - YES NO 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! Door Closers Smoke Detector Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELE TRICAL INSPECTION J�RJVEWAY FPROVAL final But dint; Survey* Next scheduled Inspection (call when ready ) Remarks-- r Buil Inspector 6/86 and-vl J+3wn u� �+�eerrs � ulrt� BUILDING and ZONING DEPARTMENT Bay and Haviland Road. R. D. 1 Sox 98 Clueensbury. New York 12801 SEPTIC pISPOSAL SYSTEM INSPECTION z NAME _ LOCATION 10 DATE 1 ! PERMIT NO . SOIL TYPE - Sand - Loam - Clay - Percolati Test Required? YES NO percolati rate - Min/Inch TYPE of SY EM: Absorption eld , total 1 gth Length of ea trench Depth of tree es Size of gravel_ SEEPAGE PITS4N er D — size- ft. X _ t. Gravel size Size T PIPING -. C-- Bldgo to tank Tank to disc . bo Dist. box to Pi d/YES NO a t a — openings seals LOCATTON/SEPA TIONS : f t. Foundation t tank Foundation t absorption t . Absorption o lot line Separation f pits to ION OF SYSTEM ON PROPERTX (circle one) ront Re Left side - Right side - TS : Ile SYSTEM 'USE APPROVE aE '� � Building inspector 01/86 and vl TOWN OF QUEENSBURY BulkIding- Department Lumpecums Repeat Date Jam,. f � rt� vtA- r dammjj d 10 t.46+rcrA t� Pearnnit No. ''' - Ira' Weatlrex Remarks Sxca;;`a t z on ------ Foot'ing Forms Footing & Piers Foundation Cement Coat Atater roofin - Backfill Final Surve pramlEff sheathin ,Roof F l t Roofln sidin Maso r Weer -3.orj" h P3 Relief Val s wall Board Ext . Porches Finished Floor rnterior Trim stairs & Rani s Cellar Dr . Ti e Concrete Floo s Plbq . Fixturgis Gar . F-IrMroqSfinz ,poor Closer Chimne water Meter rnst . Se tic A r val Floors Fourecle ti0 rnsulativn walls - Ceiling _.._ Building inspector REMARKS _Jaw�t a� �uee +zStrur� 6UiLDING and ZONING DEPARTMENT Bay and Havitand Road, R.D- i Box 9B oueensbury. New York 12801 BUILDI G INSPECTOR ' S 'REPORT NAMEG,�'t �',f LOCATION f 6Le Date1 ' 2 '` Permit No . x - - ,r NO �✓ APPROVED - YES footing/Pier Forms Foundation waterproofing Backfi- 11 Framing Roofing Siding masonry* Veneer Rough Plumbing Relief valves Ext . Porches finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors P1bg , Fixtures Gar . Fireproof ' g Door Closers Smoke Detecto s C'h imn ey )dN S U I.AT I ON Foundation Floors walls Ceiling_ FINAL EI ECTRICAL IN SPE ION DRIVEWAY APPROVAL Final Building survey on CCail when ready ) Next We du inspe � � Remarks. -,L7 4 vf� f3u i Id ng I s ctor 6/gF, and-vl Cc''�] /�/ �Journ tij QueQns6cxry €3UILDING and ZONING DEPARTMENT ay and Haviland Road, R . D- 1 Box 98 f Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME Date /r /��-1/� L3 / Permit No . " fir 1 yv APPROVED - YES NO Footing/Pier Forms undation aterproofing oe 'Rck f i 11 Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches � Finished Floor Tnterior Trim _ Stairs & Raili gs Cellar Drain Ti e Concrete Floors Plbg . Fixtures Gar . Fireproofin Door Closers Smoke Detectors Chimney IN SUI.ATION Foundation Floors Walls Ceiling FLNAL ELECTR AL INSFEC ON � DRIVEWAY APP VAL Final Buildi 8 Survey Next scheduled inspection ( call when ready ) Remarks- Soil ` ng Inspector 6/86 and-vl F f��e" � ._../Davit 0/ Quee jlury 6/� BUILDING and ZONING DEPARTMENT ry and Haviland Road, KID. i Box 98 ueensbury, New York 12801 r ' U iNG INSPECTOR ' S REPORT ACME ,✓ LOCATION fit"'- /�/7 / "`r•Y C� Date // Permit No . '' APPROVED - NO f.�l 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 Til Concrete Floors Plbg , Fixtures Gar . Fireproo ' ng Door Closers Smoke Detect rs Chimney INSULATION : / Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection Ccall when ready ) Remarks- f AOF B i an Inspector 6/86 and-vl � 1449 C BUYLL71NCa and 24M111NG DEPARTMENT !4' l Bay and Havitand Road, R. D. 1 Box 98 4ueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date ,/d%f t / c , 7 Perm-it Nov , � �' ✓ = APPROVED - NO L-^F�boting/Pier Farms 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 ng Door Closers t Smoke Detect rs chimney INSULATION : Foundation Floors Walls ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( call when ready ) Remarks- ~} c. Building I pest r 6/86 and-vl BUILDING DEPT. COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT, WHEN REQUIRED. TEMP. I► DATE CITY OR VILLAG TOWNSHIP COUNTY STREET AND NO. OR ` ROAD ANO POLE NO �r'"J T�.j {} y.t_ Y'! t[P POLE NO. BETWEEN M454AT TWO ~� CROSS STRE€T$ IS PREMISES LOCATED} SECTION BLOCK LOT OCCUPANT'S I BUILDING NAME 'r �-^ OCCUPANCY OWNERS NAME TEL. # AND ADDRESS LVOWNENT SUPPLIED V FROM THEIR OFFICE BY �—IDEFECTS (BUILDING NEW OLD Q (WORK NEW 0 ADDITIONAL 14-❑ REMOVED 0 LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No. a? Fixtuecaptea 8 MOTORS HEATERS BRANCH OFFICE USE NUMBER OF OUTLETS Lannp Reoapteelas ONLY Leta BeA Silo Atlaeh't H.P_ Watsa A.W.G. Oaillnq yr� Recep'la SSwlxh F«rdrre Brwytet Na. TIIW Each Na. Each No. Gauge INSPECTION Out- plan Sub- MIND- mom let F1. 2nd Ft. 3rd Fl. REMARKS-. LIST OTHER ELErCTR(CAL DEV ICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. r This aPPl iwtion is intended to corner the ahova•listed equipment to be inspected but if at time of Inspection there is found additional equipment oat above listed, you we as thanzad to make the inspection and adjust the fee to cover "fie addi ti anal equipment, as Provided bV the appi i"wi t. Size OF ELECTRIC SIGN TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE iNUMBERi iCAPACITYI STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS OF SIGN BUILOI INSPECTION REQUESTED ON OR AS NEAR AS NEW OLD POSSIBLE AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES DATE OF MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION PRINT NAME AND ADDRESSf ? � y�..�y NAME OF EJA /I lT ! � �„" 1 Y I /^. SIGNATURE iZ .yy�,• r /"�. C. _e fe `•.'"E-,� APPLICANT t�" ' aL"1"Yty`• OF APPLIGAN7._,,.+�t' ,�,. - -�� STREET AOCIRESS 1: '� e1j,/ AI Cf+ �J `! '��`�1 TELEPHO.E # �— +�-+k e.. •� CITY OR ZIP / c�yr/ LICENSE POSY OFFICE c 19 CODE I� WEN APPLICABLE as EL (REv IlaO A SEPARATE APPLI ATION MU4 BE FILED FOR EACH SEPARATE BUILDING YVON GR.EGOIRE Rn # 6 BURGOYN'E ROAD SARATOGA SPGS., NY 12866 T a� or