1986-258 •
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date Sept. 4 19 86
�- I - 37
This is to certify that work requested to be done as shown by Permit No. 86-258
has been completed.
This structure may be occupied as a
One-Family Dwelling
Location Lot 5 Pinion Pine Lane (St. No. 9)
Owner Yvon Grewoire
By Order Town Board
TOWN OF QUEENSBURY
Building dr Zoning Inspector
TEMPORARY
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date August 29 19 86
86-258
This is to certify that work requested to be done as shown by Permit No.
has been completed.
This structure may be occupied as • One—Family Dwelling
Lot 5 Pinion Pine Lane (St. No. 9)
Location
Owner Yvon Gregoire
TEMPORARY CERTIFICATE OF OCCUPANCY By Order Town Board
.a DAY
TOWN OF Q ENS R7)
#1 /' <>AZ.,
Building de Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-258
WARREN COUNTY, NEW YORK
Yvon Gregoire
PERMISSION is hereby granted to
OWNER of property located at Lot 5 Pinion Pine Lane (St. #9) Street,Road or Ave.
Section I Van Howe Estates
in the Town of Queensbury,To Construct or place a One-Family 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 Queensbury Building and Zoning Ordinance.
ro
as
1. OWNER'S Address is 64 Burgoyne Ave. ��yy
Saratoga Springs, NY 18$66
2. CONTRACTOR or BUILDERS Name same
3. CONTRACTOR or BUILDERS Address
to
same r o
• rt
0• to
0
• ro
4. ARCHITECT'S Name • o
o
I O
w• ro
q
5. ARCHITECTS Address x CD
0
m
rn
6. TYPE of Construction—(Please indicate by XI W
rt
I %wood Frame ( 1 Masonry ( 1 Steel ( )
on
7. PLANS and Specificationsn
No. 26t).56t per plot plan,specifications and application submitted rt
H.
including two—car attached garage and sewage system.
B. Proposed Use fr
One-Family Dwelling w
85.00 C/0 Paid
$ 150.00 PERMIT FEE PAID—THIS PERMIT EXPIRES December 1 19 86
(If a longer period is efd an the
nfor to extension must be made to the Building and Zoning inspector of the H
town of Dunnawry before expiration date.) H.
w
Dated at the Town of Queensbury this`'�,t�2,3trd D Day of May 1g 86
SIGNED BY /{'( F-� a.''" p for the Town of Queensbury
Building and Zoning Inspector b
•
TOWN OF QUEENSBURY (Space inside Mork„rl„• lilted ;„h„
WARREN COUNTY. NEW YORK Building Insptal„)
Applicalios for \I'I'litaiion No. •
PO Prrnul knurl It
BUILDING AND ZONING PERMIT PitiiiiI tspirus. In.
boning Divot q�
__. _ \:d nr of Work If w t �1'/fa
One copy of a PLOT PLAN. dawn to wale -\ppr,n.rl iw T/(�t.l.(./T' .
showing So Phial dlmM{ions of the lot to be built Kum:ii et •
epee. The Math dash end location on the IN of the
building to be erected or altered MUST BE SUB,
MITTED WITH THIS APPLICATION.
/ ` 9D_ / — ? S. /5Ji6 TOWN OF QUEEN,' " . ..
- �=L our iiiiE D [ \
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK L.
ANSWER ALL QF THE FOLLOWING. MA 1 , yZO.
The undersigned hereby applies for • permit to do the following work /
which will he done in accordance with the description. plans end specifi-
cations. A 8 Rec./Ks-to
Md such special rMdltiM{ as aey be iadiulsd on the permit. , I, I,r`T'�
The owner of thisq p�ro� perty is: �p '
i/ I«AYEt •/ V a AO[MEes1 •
The pitman rerpoNdie for, supervision f the work insular as the Building Code and the Zoning Ordinance apply is:
C 1C :4?-: ..C`/rn�-j44I-C44-I v. . . . .. 4.t/:. U„Gt!41 1'f' IT ogle ,4t t—t ri 7 Cc
POMO
Name of Builder. . . . fJ,'� Zs fcgvy dress . . &",. ,�, �pte; c ..�c_lPo. �4G?r
Nemed Plumber. . . . . ?"+ . . 1.'< KR!)-F-. . . . . . . .Address
�"
Name of
ofworLotumbeer�. . 0. �U / Euima value proposedS of street: 90 /,,{�71C ci[�u-c 92
k IQI w° c7
4
Name of weer . . . rest: oath O.east O. myth O. wan 0
Newel*Cron Street Distance from this cross street FL
Property is north ❑, th 0,eat ii.wen ❑from Cross Street
If on Carver,which corner.northeast O. northwest O. southeast 0, southwest
(Designate by marking with an "K" in the tonal space.)
•
NATURE OP PROPOSED WORK • OCCUPANCY
RV-Construction of a new building. Main BMBding
❑ Addition to a building. Onr-lsmily dwelling
ira
❑ Altered/In to s building. Two-family dwelling 0
❑ Demolition of a building. . . . -family apanmont hour 0
• Store building 0
2--car attached gunge
Other.
• Accessory Building
One-car detached gauge ❑
❑ Other work. Describe. Twocar detached garage 0
Private chicken hour 0
Private storage building 0
Other:
ZONING SPECIFICATIONS. Fill in for new building,or addition to existing building,or a change of occupancy.
, Indicate on the plot plan tweet names,the locationf and
w
site of the property,the location,aim and hacks of pro-
«oer« posed buildings,and the location of all exiting buildings.
Show proposed building(s) in dotted line end existing
buildings) in solid line. see 0to pLA-0
Sim of propeny y<rc`u-1- It. a It.
Site and use of existing buildings,if any ,n'A
v 2 r
a Q `r L l Site of proposed building Al17. . ft.a ft.
Height(from grade to ridge) . . . •.?-.� ft.
x0 Front yard p 6f�h , ft.
Side yards . . 1O ft. end . . .a.7 ft.
O Rear yard . . .150:i It.
I SOUTH If on corner,setback from street IL
No AU distances eree net. a arw et. red from rtiJel nor
ss:
line to aearnr pars of building.
laws RI
7-73-M
(coned.)
BUILDING SPECIFICATIONS. •
//
Kind of construction: Wood frame,fire oak,etc.' .l"t
Will any second-hand lumber be used? /Ito- II so, for what?
Material of foundation walls Gcwl'1.d4 . KU.%E9 Thickness r
Depth of foundation walls below grade y? sinuous foundation? . Y.65 . . .
Will there be a cellar? . . If so, material of cellar floor . , .0. . . . . . .
Type of roof: Sloped or all 1? eativ Material of roof . re...-"2
Sae, wood studs else-to "a
" spacing IC ., os., length. . �'4 ft.
Size, floor beams, 1st floor . . ..�X-{e "a " spacing LG M "oz.,span (L r ft.
Size, floor beams,4nd fl 4.r . .a. .C Q4. . " a spacing . . . . . /.L. .? . .."os.,span ( (- ' ft.
Size,ceiling beams " x " spacing �e..y. _ . . ."o.c, pan . . kg.,
r ft.
Sue, root rafter;or beam ": " spacing 4 r( "ns.,span . . .4. ft.
Exterior finish . . . . ,tyr ,' . . . . . . . . . . . . With what material? . . . .ea Del(L
Finish of interior walls. . . A. .f
If garage is so attached,ofyrhm m Oro I is was tween prege and main budding to be constructed?
. . . . . . .CSC . . r--41F. . . . . . . . 5/!16 TYPE -K- ) � � � "
Is there to an opening betty n rage and building? . . .V!:5 .67e t2 t ""
Kind of heating system . Oil burner or coal? t
Will a flue-lined chimney be provided?t. . . .Y$5 Depth of chimney foundation below grade $ (
Height of chimney above roof
Will there be a fireplace? . . .ail!49 Depth of fireplace hearth . .a..4•
r
Will a kitchentot be ink be O _
Willtr siuk atinstalled connected to water t ply?
Water supply(public weer supply or pump)
Distance of cesspool from any private well (0 0• e
Will drainage system be provided with required traps,danouss,and vents? . ,? reds/ feet
7
Tawas of Quamhury l AFFIDAVIT
County of Warren
State of New York
linear that to it "apt my kayedge and belief the etassnanw Cassiael la dais epptication,ordain with the yyeaaas sad apnsas4wa soh
wiled, area era and en....data statement of all proposed work to be duty a the downbed psamuss ad drat all row of die BUILD-
ING CODE.THE ZONING ORDINANCE,sod all other lax peruylas to tbs prop/NW work dull he mydyd vide,winos apsslryd a py sod that etch work u authorised by de sae. yy
Sworn to Wore m.thi. ,/.(
Ir. .. ,,,,,` ffiaaadBn . OWNEi1.°Wn/F�N'll'MENT.ARCHITECT.CONTRACTOR
J _.. day a. IIY 1 19. . . .
PUBLIC. W COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT.
•
•
By W"'—
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: (p
1. Gross floor area in-9
2 . Type of heat efte L[A'
3. Is the building mechanically cooled? I NO
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
R- 2 -9-
2 . R value of exterior walls / / .f-
3. R value of glazed area le D..,yy /2 S Q r
4 . R value of doors p i. 76 hr.- .Sd 7
5. R value of floors over unheated spaces /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) /3
9. R value of heated basement/cellar walls (below grade) (?
10. Type of insulation 4.'Jr'
C. Controls p
1. Thermostat maximum heat setting u S
D. Duct Systems
1 . Is duct system installed in unheated spaces? YES N r
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 4
2. R value of pipe insulation E- II
F. Service Water Heating
1 . Performance efficiency
2. Temperature control setting maximum I'{S`
G. For Swimming Pool Only
1 . Maximum heating
Telephone No. 3'47. of 113 applicant ' s s ' store)
awn o/ Queeniturry
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, RD. 1 Box 98
Oueensbury, New York 12801
SEPTIC DISPOSAL PERMIT APPLICATION//
Owner' s Name I LIker/�/.Q .��-/-�/----�-//^/,(aJ-'�t/f11- A7ku/v\ Tel.
Address 2/ O�LL:Intil+r i, 11
Person/Firm installing system y,//ff & ages'
Number of bedrooms(residential only) 3
Total daily flow: (compute @ 150 mal.per bedroom per day)_ Y ri)
Topography: - rolling - steep - (circle one) Decree of slope %
Nature of soils: loam-clay- Lowther- Depth ft.
Ground water-- at what depth? Nr* ft.
Bedrock or impervious material--at what depth? p1 ft.
Percolation Test - f 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 mon) gal.
Tile field- Length of each trench_OLft. Total field,W ft.
Size of stone # Z- I,�
Seepage Pit (s) Number N/' / 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 $250
as provided for in Section 6. 010 of the Town of Queensbury Sanitary
Sewage Ordinance.
vL O--Gif S /
gnature of A licant Date
01/86 and/vl
Septic System Inspections:
A. All application$ 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 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 $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
�TTG' 41 STATE STREET.ALBANY.NEW YORK 12207
Date October 2, 1986 Application,No.onfile 016514-86 A 668274 i
THIS CERTIFIES TNAT
only the electrical equipment ea described below and introduced by the applicant minted on the above application number in thepremises of
Gregoire Ccrlst. Co., Lot 5, Pinion Pine Rd., Glens Falls, New York
4 in the following location: Er Basement C] 1st Fl. ® 2nd n. attic, outside Section Block Lot
SS wm examinedon 8/29/E6 and found to be in compliance with the requirements of this Board.
R%iuKF
BTACIB SWITCHES RXTURES RANGES COOKING NUS OVENS DISH WASHERS EXHAUST FANS
ym.�n
OUlY15 incra FSRM nmmsc i y,p Ma. K.W. AMr. W. ,Mr. K.W. YAr. K.W. MR. N.1,.
28 69 31 27 2 3 fr'
S DRYERS W FURNACE MOTORS a WTURE AIMIANCE RINK MOM RCM TIME CIOCKs. EOt INNT HEATERS MDITI.OUTMJ DIMMERS —
unc al 06 IMv W. /.W.a Anti MI. Mt MN.. TRANS. µT. x.,. SYSTEMS AMt warn ECE
} �a�l�p{CY' His,
€€
I 'Tut 31110
SERVICE DISCONNECT NO.01 S E R V I C E
BURR
Mr. Ms. nilMuttI/Dw I/YW 2119W 3J4W rq.WIW«/C'w- aCC ND. uo.W HI.1EG Di aI[G Mo.amuruu kr.L
r'] 1 200 cb 1 x 1 4/0 1 2/0 3
OTHER AI ARATUS: I
1- gfci
1- spoke det
Elec. Heaters: 3- 2.5 kw 2- 1.0 kw i
4- 2.0 kw E
6- 1.5 kw
= J €
y,R.rch t . Inc. 239 / c
7 Eirch Lane
Glens.Falls, NY 12801 BRANCH MANAGER
1
Per ' I`' •
= This certificate must not br altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their cndentia6.
'— COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIF'1CATE MUST NOT BE ALTERED IN ANY MANNER.
441110 awn of Queenitury
BUILDING and ZONING DEPARTMENT '
Bay and Haviland Road. R.D. I Box 98
Oueensbury, New York 12801x
Clp 1 nfpeot7Jh
BUILDING INSPECTOR' S REPORT
NAME c ve i C
LOCATION La t 3— �ryjoq P .11
Date 8i a / 81f permit No. 8L— 8
4,/ = APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterproofing =-
Backfill
Framing Will
hoofing Ry
Siding
Masonry Veneer NMI
Rough Plumbing
(.Relief Valves Y
I /'Ext. Porches Wm
finished Floors
Interior Trim ram
VEaixs & Railings rum
Cellar Drain Tile �MI
Concrete Floors �
✓ibg. Fixtures
�Zo, Fireproofing
�Up
((' OY Closers raia
Smoke Detectors
Chimney
INSULATION: a)�`
foundation
Floors
Walls
lilting
L ELECTRICAL INSPECTION Ct=-�
inal Building Survey
Next schedulenspection(callnwhen ready)
Remarks- - / 3E) (iegi
r
e I rvt pit -------
Building Inspector
6/86 and-vl
. own of Queensbury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Quee sbu Y New York 12801z 98
BUILDING INSPECTOR' S REPORT
NAME
LOCAI-ION
�
Date p_./ Permit No. $to S8
APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterproofing
Braniigl I�W��r
VF`raming
Roofing _
Siding r �=
Masonry Veneer
Rough Plumbing
Relief Valves ==
Ext. Porches __
Finished Floors __
Interior Trim _
Stairs 6 Railings _
Cellar Drain Tile _
Concrete Floors
plbg. Fixtures
Gar. Fireproofing _
Door Closers
Smoke Detectors _
Chimney ■
INSULATION:
Foundation
Floors
Walls
Ceiling _
FINAL ELECTRICAL INSPECTION _
Final Building Survey
Next scheduled Inspectionlcall when ready)
Remarks- -
Building Inspector
6/86 and-vl
g111:441\ cc77
41Y1$1' .Down of Queenitiury
BUILDING and ZONING DEPARTMENT
Bay and Ouee sbury, New York 12801Haviland Road. R.D. 1 98
BUILDING INSPECTOR' S REPORT
NAME frI
LOCATION 5 Rom, ` '
Datel IA / - Permit No. gto —25
* x * * * * + + * �/+- APPROVED+-*YES+ +NO +
II Footing/Pier Forms _
Foundation _
Waterproofing _
� ����� "
Backfill
/ _
1IIIMI
Framing
Roofing MISSiding
Masonry Veneer _ ,��
N Rough Plumbing
Relief Valves _
Ext. Porches
Finished Floors
Interior Trim _
Stairs & Railings _
Cellar Drain Tile — .
Concrete Floors
Glbg• Fixtures =S
Gar. Fireproofing
Door Closers IIIIIM_
Smoke Detectors all
INSULATION:
Foundation III.Floors _
Walls
CeilingIIIII
FINAL ELECTRICAL INSPECTION III.Final Building Survey
Next scheduled Tnspection(call when ready)
-
Remarks- Q Q r - ^
*tAla Nh%"nW Ol""4
Y
Building Ins ector
6/86 and-vl
H9C5 flown of Queensturs
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury, New York 12801�YQ�c I
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME_ n 2
LOCATION /
DATE C8
�/Z PERMIT NO. �
/ Loam - Clay
SOIL TYPE -ri- Required? YES
Percolatio Inch _
Percolation rate - Min/ �-�
TYPE of SYSTEM: total length
Absorption field,
Length of each trench -_
Depth of trenches
Size of gravel
SEEPAGE PITS{Number o£)
Size- ft. X _____ft. --��
Gravel size Size Typ,
PIPING:
Bldg. to tank -3—
Tank to dist. box --
Dist. box to field/pit NO Partial
Openings sealed?
YES LOCATION/SEPARATIONS:
f t.
Foundation to tank ft.
Foundation to absorption `3
Absorption to lot line ft.
rft.
Separation of pits STEM ON PROPERTY(circle one)
Front -ron _ Right side -
L Lee t side
COMMENT .
NO
SYSTEM USE APPROVED
Building Inspector
01/86 and vl
TOWN OF QUEENSBURY
Building Department
inspectors Date co" IA
Name
Location
Permit No. g a 5 X Weather
Remarks
ExcaSation
FootingForms 0
Footin & Piers
Foundation
Cement Coat
Water roofin
Backfill
Final Surve
Fiamin
Sheati
it Roof Felt
Roofin
Siding
Masons Veneer
Rou•h Pl.. . 11111/
Relief Valves
Wall Board .
Ext. Porches
Finished Floor =
Interior Trim
Stairs & Railin•s Nalis
Cellar Dr. Tile Man
Floors
Pi'• . Fixtures
Gar. Fire•roofin•
Door Closers
Chimne
Water Meter Inst.
Se tic A roval
Floors
Foundation
Insulation Walls
,/j_Ceiling
�e i l ii`nMg'J1
(A/�'� Building Inspector
REMARKS
Nor pi-fr
nn11 Cfp
1
i1-6
g