1986-072 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date _ _ cc) _
3 of. — I - 3 5
86-72
This is to certify that work requested to 'be done as shown by Permit No.
has been completed.
One—Family Dwelling
This structure may be occupied as a
Location Lot 7 PinionH
Pine Lane (St. No, 13) Van owe 3-2]statec
Owner Yvon Gregoire
By Order Town Board
TOWN OF QUEENSBURY
• _
;- 27
Building & Zoning Inspector
CREATIVE -INSTA•• PRINTING. GLENS FALLS. N Y 12801 13101793-5688
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 86-72
WARREN COUNTY, NEW YOR K
PERMISSION is hereby granted to Yvon Gregoire C
OWNER of property located at Lot 7 Pinion Pine Lane (St. No. 13) Street, Road or Ave.
Van Howe Estates Subdivision
in the Town of Queensbury,To Construct or place a One—Family Dwelling o
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. m
1. OWNER'S Address is 64 Burgoyne Road
Saratoga Springs, New York
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2. CONTRACTOR or BUILDER'S Name 0 rt
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3. CONTRACTOR or BUILDER'S Address to
• 0
same rt 'd
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address 0 •
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6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
64'9"x28 per plot plan, specifications and application
No. submitted including two—car attached garage and sewage
system.
8. Proposed Use H
N•
One—Family Dwelling
ty
$5.00 C/O Paid
$ 171.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 1 19 86
(If 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 Queensbury this 25th March 19 86
,, �®� Day of
SIGNED BY Cvtif/J/ a, for the Town of Queensbury
Building and Zoning Inspector ea.)
TOWN OF QUEENSBURY
(Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building lnnpctsiir)
Application for .‘Ill)licutica) No. •
Perini' Issued • 19• .
BUILDING AND ZONING PERMIT PI•)•)„i) Expires. 17.
%Amin: District
• - %;Ilul• lit 11'in•k f
One copy of a PLOT PLAN. Drawn to scale •%I'll)•ulcc'cl by
showing the actual dimensions of the lot to be built Item;u•kf
upon, The exact size. and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
90 - / - ? . . - . Va'! S(p TOWN OF QUEENSBURY
DATE
G.
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK D
ANSWER ALL OF THE FOLLOWING. 1 ,
The undersigned hereby applies for a permit to do the following work198
7C- Pj11 M-
which will be done in accordance with the description, plans and specifi- kiti•
cations. and such special conditions as may be indicated on the permit. 181.11 1'1 112,3)4151
The owner of this property is: a -
Y V® �' ; '; 6 &..,c,"c , A2 ,,. 4.--rt: :„.
• ,-y �iP D.ADDRESS) r
•
The person responsible for •supervision of the,,work insofar as the B7ilding Lode and the Zoning Ordinance apply is:
(NAME) r )P O ADDRESS)
Name of Builder. . . . 2° .ip.`s� .'° ii
l t`; 1W1)7 Address . ( . �` 1- e ; p r4-v,;-/kt ' 1°-: - t •
Name of Plumber. . .f CD\\.!• .•per.., r ; ., , , , , , . .Address 1
Name of Mason. �1~(rt -L. . ..� `----r Address ..�^ •-''L4;-�e-
Lot Number 7 Unit licnnc.(�?nn.A..L . Estimated value of proposed work f . . . .el.a�`le • r 1 �" J
13 Name of Village ,
Name of Street . . 4-.nil ,lam' .!, i -C , •,; , , �`� ;, , , . Side of street: north 0. east 0, south O. west 0
Nearest Cross Street . . Ct?e1 ,...,�.. . . . . . . . . . . . . . . Distance from this cross street . . . .; :.-<- . . , Ft. .
Property is north ❑,south ❑,east i e,west 0 from Cross Street ;f� •
If on Corner, which corner, northeast 0, northwest 0, southeast 0, southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
RI Construction of a new building. Main Building
0 Addition to a building. One-family dwelling a
❑•
Alteration to a building. Two-family dwelling 0
❑ Demolition of a building. -family apartment house 0
•
Store building 0
. . .-car attached garage .0
, Other:
• Accessory Building-
' • One-car detached garage ❑
C7 Other work. Describe: Two-car detached garage 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 occupancy.
- Indicate on the plot plan street names, the location and
size of the property, the location,site and setbacks of pro-
NORTH posed buildings,and the location of all existing buildings.
Show proposed building(s) in dotted line and existing
T —?237- f3uilding(s) in solid line.
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I
---Z )-" Size of property ft. x It.
CC vx• ' ',_., y?,ti , tfiii Size and use of existing buildings, if any
W "',!,*(: Say 1I t & t !� l9 (I
�. Size of proposed building ft.x . -7 2 ft.
`&-`-' ``, Height(from grade to ridge) ft.
Front yard ft.
• C- G 1 Side yards ft.and ft.
I D If t 3 Rear yard ft.
SOUTH If on corner,setback from side street ft. .
Note: All distances are net, as measured from street side
line to nearest pars of building.
7 •
(OVEn) -
7-73—M
•
(cont'd.)
BUILDING SPECIFICATIONS..
Kind of construction: Wood frame, fire safe, etc. '°
Wilt any second-hand lumber be used? . . . . . .r . . . . If so, for what '
Material of foundation walls � 1 :1-0c Thickness . . . r�
Depth of foundation walls below grade �t Continuous foundation?
Will there be a cellar? . . If so, material of cellar floor c1°a-\,(. .Zni;•- 7
Type of roof: Sloped or f1at? . .tC -• • • . . Material of roof
Size,wood studs Axe; , 1"x ", spacing 4.PI "o.c., length d ft.
Size, floor beams, 1st floor . i. ). . . "x ",spacing /‘" "o.c.,span . . f (1-Ael fr. ft.
Size, floor beams,4nd floor J X /f . . . "x ",spacing a, ° ? "o.c., span . ,/. . At(! `/. . ft.
..a�Si-�t 4 4 "x ", :
Size, ceiling beams . . . spacing . . : "o.c., span . . 0•�t' ft.
Site, roof rafters or beams . . ft-t•twr,14,-; . y. "x ",spacing . . 4 ,.'.. . . . ."o.c.,pan ft.
Exterior finish . . . . .�. � '' d:� ` With what material? `L1� '
Finish of interior walls., .t `t : �•f: r„"'.tew
If garage is to be attached,of what material is wall between gatyjfige and main)buiJding to be constructed?
�.� :':��,= .�. . Plr: �''�:�:L".f.;f_�'l,::. . .s:.-.L'�-7 7=.6:`�:..t�...l'st:l' `.
Is thera'-to be an opening between gara e and building. . . . . �f 1
Kind of heating system 4db:4.P t'f Oil bunter or coal?
Will a flue-lined chimney be provided? ,otk•,Cr . Depth of chimney foundation below grade
Height of chimney above roof
Will there be a fireplace? Depth of fireplace hearth
Will a toilet be installed? -" _
Will a kitchen sink be installa and connected to water supply? 2 tL
. Water supply(public water supply or pump) . . . .;, 4-12e e=0 .
Distance of cesspool from any private well feet
Will drainage system be provided with required traps,cleanouts, and vents?
Town•of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to is hap(w(my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and c*..:. fete statement of all proposed work to be done on the described premises and that all�visintu of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed wok shall be oomplied with,whether specified or not,
and that such work is authorised by the owner.
Sworn to before me this Signature 4. /'),:`61
OWNER.OWNER'S AG NT.ARCHITECT.CONTRACTOR
day of 19
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 a.6s•1n.iP,c.."(1:• '(" •
3 . Is the building mechanically cooled? s--sti,
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 NOf.
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
rarer
2 . R value of exterior walls 9
3 . R value of glazed area �. .�
4. R value 'of doors 2, .
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 I
8. R value of heated basement/cellar walls (above grade) re--) -3
9. R value of heated basement/cellar walls (below grade) •
10. Type of insulation •
C. Controls . 0 •
1. Thermostat maximum heat setting
D. Duct Systems
1. Is duct system installed in unheated -spaces? YES (O
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 47 *4
2 . R value of pipe insulation
F. Service Water Heating
1 . Performance efficiency •
-
2. Temperature control setting maximum 14)06
G. For Swimming Pool Only ------_
• 1 . Maximum heating
•
12/
Telephone No. trt U9s
(applicant ' s s gnature)
Jocun o� Queen 3turty
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL PERMIT APPLICATION
40'
Owner ' s Name -^-t -60 Tel.cl® a 0 ,'
Address 3 S;A.¢ Cz e,- �eize7
Person/Firm installing system.
Number of bedrooms (residential only) .
-67
Total daily flow: (compute @ 150 gal.per bedroom per day)
Topography: flat ,( rolling - steep - (circle one) Degree of slope %
f
Nature of soils: sand)(loam=clay- other- Depth 46 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 N.e gal.
Tile field- Length of each' trench,cO ft. Total fieldalt.
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.
S 'gnature of Appoficant Date
01/86 and/vl
�41-.\. ^\1?.L,)Y{1°(.a r i..s d !a(.�ti.,j90!-?-9�.,�1,.}_C,U/,)h".".a9i ib 1,!.:Ati_°Carl:?./.)?!.. ..s'/.1f{.. "."..!_,),•(.".?"r..c•i;1.•,..! '.(• [ i.!. i...'..1/.)i.' (.'Ri '..‘" ':.t
�073��. THE NEW YORK BOARD OF FIRE UNDERWRITERS 'li
S BUREAU OF ELECTRICITY " � ::-
i -'; TIr 41 STATE STREET.ALBANY.NEW YORK 12207
i; Date July 10 1986 Application No.on file 000025-66 A 3 6 '-
'r THIS CERTIFIES THAT
K only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
;• Gr goim Construction Coos Pinion Pine Rd., Clans Falls, Nei York .
!• in the following location; El Basement El 1st Fl. Q 2nd FLjutSj(3a Section Block Lot 7
: was examined on 6/9 86 and found to be in compliance with the requirements of this Board.
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS: EXHAUST FANS
OUTLETS ECEPTAClES SWITCHES INCANDESCENT-FLUORESCENT MERCURY - •
-1 %wog AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
1 23 56 29 21 2 1 fi a8 3 f
j DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS SELL UNIT HEATERS MULTI-OUTLET DIMMERS
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. . H.P SYSTEMS
AMT AMT. WATTS
NO.OF FEET
1 rangy 3,r 3 .
'I dry r 7,00
SERVICE DISCONNECT NO.OF S E R V I _ C _ E
AMT. AMP. TYPE METER 1�.4W 1%3W 3 0 3W 3%4W NO.OF CC.COND. A:W.G. NO. HI-LEG A•W G• NO.OF NEUTRALS A.W.G. '
EQUIP. PER 0 OF CC-COND. OF HI-LEG OF NEUTRAL
1 200 cb 1 x 1 4/0 1 2/0 ,c.
OTHER APPARATUS:
Water I eater: 1- 4.5 ki,i Electric Heaters: 3- 2.5 kw
`1` cfci 2- 2 a 0 ]er-i
1- stroke detector 4- 1.75 kw :
2- 105 kr
1- 4O0 k'
ti
TA F'ie t c C o . � 5"..-.,..—J-12...--7::.:
7 Brch ne a b 17
BRANCH MANAGER
Glens Li Falls, NY 12801
Per i -I`"'I
=s This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identifiedlbyf their credentials.
3 Y7 Cr it er c'i i'i iY i r Ti i'i Y'r're f'r i Y.Cr YY C'i i' Y'i 'i YY i' Y'i 7'i VI'i'r i'i v'7.YY!'r x 7 C'r r'i I i i i'r iY i Y i'i i 9 Y'i iY i'i i'i i'i "i(i l i ii i r i i i'i 1 7-7 .•r ;"1'
cl
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. •
PAA
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date (0! / /F t
Name 12-4. 6 co r r2J
Location 7 PIsv wit)J P IA✓L-
Permit No. at - -z Weather
fi.A/A-Z__ N 5 69e-e.r4 v AI Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt •
Roofing /
Siding /'
-)1/,
Masonry Veneer /i
Rough Plbg.
c—Relief Valves
Wall Board ,✓'
F,.- Ext. Porches
✓Finished Floor
1/Interior Trim `J
l� Stairs & Railings
Cellar Dr. Tile
Concrete Floors v�
r Plbg. Fixtures
i/ Gar. Fireproofing
e Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Foundation
Insulation . Wa11s
Ceiling
ui ding Inspector
5/A01117, D &c o r-(s) —C9(C -
REMARKS
OW- ion- i 7r!4 9- C Jo
TOWN OF QUEENSBURY
• Building Department
•
Inspectors Report • Date V/ifqName h
Location G1,gf 74-
Permit No. g to - ?2- Weather
Remarks
Excat)a tion
Footing Forms
. Footing & Piers
. Foundation
Cement Coat
. Waterproofing
Backfill
Final Survey
Framing . •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
•
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile •
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers .
Chimney
. Water Meter Inst.
Septic Approval ( /crl2
Floors
Insulation . Foundation
Walls
Ceiling
Building Inspector .
REMARKS
TOWN 'OF QUEENSBURY
• Building Department
•
Inspectors Report Date
Name
Location ///
Permit No. b(o- 7 2 Weather
Remarks
Excatia ti on
Footing Forms
Footing & Piers
Foundation
Cement Coat
. Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves 1�
Wall Board \ /'
Ext. Porches
Finished Floor y'
Interior Trim r
Stairs & Railings ,y` `�
Cellar Dr. Tile /`
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst. r
Septic Approval t J, `
Floors
Insulation Foundation
Walls
Ceiling
Building Inspector
REMARKS
. 0 X
•—thAtcs err-
TOWN OF QU•EENSBURY
Building Department /;, /1_, (C
Ai
ors Report Dat ._
Name
Location I 1 P i i.O?vTr •
Permit No. — Z Weather
Remarks
Excafia ti on
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board \ /
Ext. Porches
Finished Floor • /
Interior Trim
Stairs & Railings \
Cellar Dr. Tile •\
Concrete Floors
Plbg. Fixtures / \
Gar. Fireproofing / .
Door Closers /
Chimney E \ •
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation •
Walls
Ceiling
die4
114144 Building Inspector
P
9 C
0..pa ey
REMARKS
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TOWN OF QUEENSBURY
Building Department
Inspectors Report 7 Date 9/23AG
Name /V�� .JL o r 26-
Location 7 / 1ip,J PiN&
Permit No. 67 6 - 7 a Weather
Remarks
Excaf,a ti on
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey - ,
Framing ( �L ,
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer O L_
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Y:\
Door Closers
Chimney f!
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
Building In pector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 3 VC('
Name 6 rt-G c r�
Location ..ci, ;,,.. P�-►�e ►�— n/,D' �
Permit No. Weather
Remarks
ExcaVa ti on
Footing Forms
Footing & Piers ✓ Otti(
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
Building Inspector
REMARKS
i
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1
3
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