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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. m o O rt rt Z. CONTRACTOR or BUILDERS Name o w Same ❑ ro w H 0 N. 0 3. CONTRACTOR or BUILDER'S Address W p ro Same li 0 o o• r ry 4. ARCHITECT'S Name m rt m m rt O et r 5. ARCHITECT'S Address 2 0 r 6. TYPE of Construction—(Please indicate by X) v, 3 Wood Frame ( )Masonry I I Steel ( ) P frzi 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 ( F( One-Family Dwelling co $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 \ ciN, II i 7 1I � Q j