86-097 C/O Paid
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date June 30 Iq 86
This is to certify that wog requested to be done as shown by Permit No. 86-97
has been completed.
This structure may be occupied as a One-Family Dwelling
LocationLot 8 Pinion Pine Lane (St. No. 15) Section I Van Wiling Estates
Yvon Gregoire
Owner
By Order Town Board
./,7TOOWN OF QUEENSBURY n/ I
iedi
Building & Zoning I
BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-97
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Yvon Gregoire O.
OWNER of property located at Lot 8 Pinion Pine Lane (St. No. 15) Street, Road or Ave.
0
in the Town of Queensbury,To Construct or place a One-Family Dwelling
to
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 64 Burgoyne Road
Saratoga, N. Y.
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Z. CONTRACTOR or BUILDERS Name o w
Same ❑ ro
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N.
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3. CONTRACTOR or BUILDER'S Address W
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Same li
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ry
4. ARCHITECT'S Name m
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5. ARCHITECT'S Address 2
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6. TYPE of Construction—(Please indicate by X) v,
3 Wood Frame ( )Masonry I I Steel ( ) P
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7. PLANS and Specifications
681x241 per plot plan, specifications and application
No.
submitted including two-car attached garage and sewage system. t�£y
8. Proposed Use N
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One-Family Dwelling
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$5.00 C/O Paid
$ 143.00 PERMIT FEE PAID -THIS PERMIT EXPIRES November 1 1986
(It 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.)
Dated at the Town of Oueensbury this 8th Day of ,� April 19 86
SIGNED BY //l _t - //` !./, ID for the Town of Queensbury
Building and Zoning Inspector � J
TOWN OF QUEENSBURY (Space inside block In he filled in W
WARREN COUNTY. NEW YORK Building Imryanwl
Application for aN•hdail.m Nth •
Ibnnn Komi le. .
BUILDING AND ZONING PERMIT n „Nlt kaiser. le
/.nuur Iiigri.I
' ..—. _ t:do of tG.rk f
One oopy of a PLOT PLAN. Drawn to scale S1*1 n ,41 Icy la Fi -
rMwin9 the actual dimensions of the lot to be built BruinKr
epee, The enact sip. and location on the lot of the
Wilding to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. /�
G Q _ ! - / /3 /Oq r4 I: WN t ri.._:EN77-1.'1{.-'
OAK lt 6 E d \ E
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK JnLL'
ANSWER ALL OF THE FOLLOWING. APR 3
The enderdgned hereby missilesfoe a permit fo do the following work A.M. I d c— 6 i4l�M.
ne which will be do in accordance with the description, plans end sp oili• 71819 11 $p3)4I5I$
canoes. ad such special conditions as may be indicated on the permit. 1.
The owner of this propertyis: p �/ - c �t� O UC C .
/A .I . ir . . . .,. .N. :/. . � 9d. ll�: Qa;�10 ,-A.o a. f oZ86 G
��yl The person responsible for supervision of the work in oasis the Building Code and the Zoning Ordinance apply is: '
Ai a/ manrrl p� p 0 rrmneasl
01
ig Name of Builder. . . ����.•.�,��s.,',�.-,..Alt:r„y' i Address .i y. B.-lf!?� Ao"c/• .4-%1
Name of Plumber YC��pi�L'� c�r�> Address
Name of Mason. . . . Sr y Address
Lot Number. . . . C. . . . Unit . . . . /. . . . . . . Estimated value of proposed work a /0 B, c c G
Name of Village. . . . . y
Name of Street . . /� 't` ° Side of street: north 0.mat 0.sewb , west O
Nearest Cross Streee . ./S7.0.-t-e.t Distance from this cross street ..A a a H.
Properly is north ❑,south 0.east i I.west 0 from Cross Street
II on Caner,which corner, northeast 0, northwest 0.southeast 0. southwest
(Designate by marking with on"K" in the correct space.)
NATURE OF PROPOSED WORK • OCCUPANCY
123 Construction of a new building. Mahn Building
❑ Addition to a building. One-family dwelling S.
❑ Alteration tea building. Two-family dwelling 0
❑ Demolition al a building. -family apartment hots 0
Store building ❑
. . . .4 . .-car attached gangs 2
Other:
Accessory Building
❑ Other work. Davibe• Oneur clenched page ❑
Two-car detached paage • 0
Private chicken house 0
Private storage building 0
Other:
ZONING SPECIFICATIONS. Fill in for new building,or addition to existing building.or a change of°atupanry.
• •
Indicate on the plot plan sweat names.the lotion and
site of the property, the location.ant and setbacks of pro•
scorer posed buildings,and the location of all misting buildings.
Show proposed building(.) in dotted line and misting
huilding(s) in solid line.
Sire of property .4v 1'1' -d ft. a 2. a 3 6 i h.
Site and use of existing buildings.if any .tbP.9-
m.
YI L 7
a u Size of proposed building .44 K 4l h.a •y-3 0 o N.
Height(from grade to ridge) .g.9 I It.
• Front yard Ce It.
Side yards /5' N.and / ' It.
c e Rear yard /CO It.
PUTS • If on corner,setback from side street It.
.� Nosey Ail dirsasre.see oar. o mwnnd Irmo sired side
line /o'nearest port of building.
'oven'
7-73-M
•
BUILDING SPECIFICATIONS. (coned.)
Kind of construction: Wood frame,fire safe,etc.'
Will any secondhand lumber be used?—.-.!�M'o-oX( If so, for what?
G' `w
Material of foundation walls y�
Depth of foundation walls below grade . L r t ThicknessCo
d
Will there be a cellar? . . I so, material of cellar floor . .C' �'U`fXr minuons foundation? . . .. .. . . . .
Type of roof: Sloped or aH t? .-J-Fe {L; . Material of roof . , Jaq(�N.
S .wood studs 4.2(.6 / " ' � . . . Y
Sim, floor beams. 1st floor ..�.X(0. . . . »a spacing • �F'r "o.c.,span s
" spacing / 6" "ot.,span , . . .. It.
Sue, floor beams.Znd floor . XIU . . . "x " pa /.k'r Ali. B.
Size, ceiling beams . . . 1. "x spacing 1 L` "o.e.,span .. 27..,�j(y.. ft.
Sire, roof rafters or beams . . . . ": " spicing
g . . .^at.,span . .�2` ft.
Exterior finish sprang �.0 -at.,span . .a 7 c
With what material? It.
Finish of interior walla. .J.a
If garage is to be attached,of what material is wall between garage and main building to be constructed?
Is there to be an opening beiweels gyage and building? . ..�err.d�
Kind of heating system .Ii4e4�C
Will a flue-lined chimney be provided? Oil burner or coal?
Defrth of chimney foundation below grade
Height of chimney above roof
Will there be a fireplace? , ,
Will a toilet be installed? •
���' Depth of fireplace hearth
Willa kitchen sink be inndle aH y rpmected to water. gua ply?
Water supply(public water supply or pump) /�".uJ�'"
Distance of cesspool from any private well /O et
Will drainage system be provided with required trap.cleanouts,and vents? feel
Town of Queenshury AFFIDAVIT
County of Warren
State of New York
I menthes w tit mammy kawYdp end belief the staff eatr '
msusd, area °rue and ecaa.a1.Y emwmeni el all Y contained In this esc ibed minimsn,Ypcbw hI,tM
INO CODE.THE ZONING ORDINANCE,W Nt oclwrdy.re� sO b w "^ w d""'rismde�
and Mat_ wmid
Sworn m babas ma doss work is authorised
` - 'by IN raw. lmrYidy m W work and be W dose J�rrm ieelwe adlerf�flad CIO
/"/�'/y�,M,.(.�/���' nNWed elm.wheels
day Of �mlt9 WMFa.OW nS WfNT.M1.W1[CT.CONn11Cig1 ..
NOMNY PUM.it.W 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: L�
1. Gross floor area / C
2 . Type of heat III
P
3 . Is the building mechanically cooled?
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 /Z /
3 . R value of glazed area R - I , c
4 . R value of doors g- 2 . 5 M :1./ -
5. R value of floors over unheated spaces X /3
6. R value of slab edge insulation - unheated slab
7 . R value of slab insulation - heated slab
8. R value of heated basement/cellar walls (above grade)
9. R value of heated basement/cellar walls (below grade)
10. Type of insulation yC-174y,/,
C. Controls
1. Thermostat maximum heat setting
D. Duct Systems
1 . Is duct system installed in unheated spaces? YES NO )C
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
1 . Performance efficiency
2 . Temperature control setting maximum
G. For Swimming Pool Only
1 . Maximum heating
Telephone No. i77 -0G % / 77Y✓
applicant ' s s nature)
_own of Queendb ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road. R.D. 1 Box 98
Oueensbury, New York 12801
SEPTIC DISPOSAL PERMIT APPLICATION
Owner's Name /�,1/714 , iU�6'�Zti Tel. h g- 7-ci 64.i
Address to in.442; Alo--/y`e-- 29e0-c e_ -a-ft-ta :- a- /,2f6G
Person/Firm installing system � e /
Number of bedrooms (residential only) V /U-Ca
Total daily flow: (compute @ 150 aal.per bedroom per day)_
Topography: flat k rolling - steep -(circle one) Degree of slope 8
Nature of soils: sand)(loam-clay- other- Depth ft.
Ground water-- at what depth? ft.
Bedrock or impervious material--at what depth? ft.
Percolation Test - Not required / Required -Rate min/inch.
Domestic Water Supply - Municipal> Well - Other
IMPORTANT!
On a separate piece of paper, submit a diagram of the proposed septic
system with all dimensions; including distance from any structure,
distance from property lines and distances from any domestic water
supply or shore-line of lake, stream, pond or. wetlands. Include all
dimensions of the system itself.
Description of proposed system:
Septic tank size/000 gal.
Tile fieldj( Length of each trench 4'0 ft. Total field_CE 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 provided for in Section 6. 010 of the Town of Queensbury Sanitary
Sewage Ordinance.
/
gnature of Ap licant Date
01/86 and/vl
Septic System Inspections:
A. All applications for septic system installation,
alteration or repair, as required by the Town of
Oueensbury Sanitary Sewage Ordinance, shall be
submitted to the Building Department at least
24 hours before start of constructidn 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 $250.00.
C. An approved copy of the plot plan shall he
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 Oueensbury Building
Department before further construction.
4057381 THE NEW YORK BOARD OF FIRE UNDERWRITERS
= BUREAU OF ELECTRICITY �'7
E. flmr 41 STATE STREET.ALBANY.NEW.YORK 12207 G l_ // / S_
Date SC'pt(IfILJeL' R, 19R6 Applieoeion�Yo.onfi4. 10 026-86 A o667066 =_
H -. THIS CERTIFIES THAT ` B
al- only the electrical equipment as described below and introduced by the applicant named on the above application'washer in the premises of
Grequiii.n.e�� G6G0n5t. Co., Lot 8, Pirlon Pien Rd. , Glens Fd.11s, New York]
in the following IIMtl010 Basement ® 1st Fl. EF and FT. OUtSide Section Bloch Lot
was examined on 6/27/R6 and found to be in comp
liance with the requirements of this Bard. ,
MXTUEE RXTUERS RANGES COOPING Matt OVENS DISH WASHERS EXHAUST FANS
oumm R�ITACUS SWITCHES INCMMXEm-mamma [w vl
sear M1P. I ,Wi K.W. M1i. R.W. M1M!
FE 26 46 23 26 I 1 1.6 3 fr
El DRYERS FURNACE MOTORS WNW AMANCE MOMS SPECIAL'RCPT. DM COCKS W UNIT HEATERS MUIIiOUMR DIMMERS
� 8 MIT. .WJ. Mali NM[ TRANS. Mir X.I. NO.OF MRT 4w[ WArn
ra 1 alW idrvex llq
SERVICE DISCONNECT NO.OF S I R �p V I C I
TYPEIMT. Mr. E It 3W 1/3W "I3W S/M' TC a1.cjCONo. - Cr.ucano. M.a HI.LEO Ot MIEb Xo or NEUnAu 01-1tVAMIf
- 1 200 cb 1 x 1 ' - 4/0 1 2/0
OTHER ANAtATUS:
1- 5 ton- heat pump
1- gfci
__ - 1- srroke det
ERA E1ec Co. 7jt p5/y -P r
7 Birch Lain? U "� ( /
Glens Falls, NY 12801 BRANCH MANAGER
la
Per 1 -. __
v This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their credentials. x
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
-Ova-
TOWN OF QUEENSBURY
Building Department
Inspects Repott_c_ Date
Nome
Location Wat6er�--.
Pant No,
Remarks
ExcaVa lion
Footin• Forms
Footin• & Piers
Foundation
Cement Coat
Water•roofin•
Backfill
Final Surve
Framin•
Shea thin.
Roof Felt A
Roofin• alVir
Siding
Mason Veneer
Rel•e Val .
Relief Valves
Wall Board A�a
Ext. Porches "sic
Finished Floor ,`►` 11:�
Interior Trim Oraii���
Stairs & Railin•s 0s ;
•
Cellar D . Tile _
Concrete Floors
Pl.. . Fixtures Pa Ma
Gar. Fireeroofin.14420111
Door Closers IWA.
Chimne
Water Meter Inst.
Se•tic A• •roval
Floors
Foundation
Insulation Walls
CeeJilin
a YY" 7iL'r
Building Inspector
REMAR1 OI r
P.
ok
bla, l2r (0
jt
Olin- et DA-d.
flown o/ QueeniLur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTI
MAME
LaATION
DATE I5 `t PERMIT NO. (16
SOIL TYPE - - Loam - Clay -
Percolation Te- Required? YES
YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length 4.'D
Length of each trend —
Depth of trenches
Size of gravel_
SEEPAGE PITS{Number of) _
Size- ft. X ft.
Gravel_size ' Size Typ
PIPING: SGI �
Bldg. to tank N
Tank to dist. box
Dist. box to field/pit
Openings sealed? YES NO Partial
LOCATION/SEPARATIONS: t
Foundation to tank t.
Foundation to absorption fft.
Absorption to lot line —ft.
Separation o ne)
Is + ION OF SYSTEM ON PROPERTY(cr
ron) - Rear - Left side - Right side -
:. r NTS:
A 05124 N Lc(t
• 7C' S`_ e
SYSTEM USE APPROVED N•
Bui ding ' n iector
01/S6 and vl
TOWN OF QUEENSBURY
Building Department
ieyectora RePeR
Date S't
Name
Location
Permit No L^—"1-7 Weather
Remarks
Excavation
Footin• Forms
Footin• B Piers
Foundation
Cement C•.t
Water•roofin•
Eackfill
Final Survey r��
Framin•
Shea thin.
Roof Felt
Roofin•
Siding
Masonr Veneer Al!
Rona, Pl•' •
Relief Valves
Wall Board
Ext. Porches 11,—
Finished Floor
Interior Trim
Cellar Dr. Tile IMO
MN:.r. Fire•roofin•poor Cl =_
osers -
Se•tic A• •roval
FlOors
Foundation
Insulation Walls
Ceilin/
LA Building Inspector
REMARKS
I cfrek- rope
TOWN OF QUEENSBURY
Building Department
inspectors Report Date X 9, KG
Name G re olre
Location
Permit No. B(e- 91 Weather1
Remarks
Excatation
Footin• Forms r ��' +
Footin• & Piers WPM �iS
Foundation
Cement Coat
Water•roofin•
Backfill
Final Surve
Framin•
Sheathin•
Roof Felt =_
Roof in•
Siding Masonr Veneer �-
Reuse
MIAS
Relief Valves Mina
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railin•s
Cellar Dr. Tile
Concrete Floors
Pin . Fixtures
Gar. Fire•roofin•
•
Door Closers
•
Chimne
Water Meter Inst.
Se•tic A••roval
Floors
Foundation
Insulation Walls
Ceiling
//// r
/, nn/YS .
Building Inspector
REMARKS
I
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II
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