1986-359 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN: COUNTY, NEW YORK
Date October 21 1986
;
Dpe,
This is to certify that work requested to be done as shown by Permit No. 86--359
has been completed.
This structure may be occupied as a One—Family Dwelling
Location Lot 21 Pinion Pine Lane (St. No, 3)
Betty Lou and Charles Wilkison
Owner
By Order.Town Board
TOWN OF QUEENSBURY
/1;66-
tiBuil4ing & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-359
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Betty Lou and Charles Wilkison '
OWNER of property located at Lot 21 Pinion Pine Lane (St. No. 3if Street,Road or Ave.
in the Town of Queensbury,To Construct or place a One—Family Dwelling tri
at the above location in accordance to application together with plot plans and other information hereto filed and rt
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. `V
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1. OWNER'S Address is 7 Haven Lane
Glens Falls, New York
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2. CONTRACTOR or BUILDER'S Name W
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AJS Enterprises, Inc.
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3. CONTRACTOR or BUILDER'S Address
4 Amy Lane
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Glens Falls, New York
4. ARCHITECT'S Name
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5. ARCHITECT'S Address N
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6. TYPE of Construction— (Please indicate by X) oZ 0
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( X1 Wood Frame ( I Masonry ( )Steel ( 1 w
7. PLANS and Specifications
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No. 28'x66' per plot plan, specifications and application submitted
including sewage system and two—car attached garage.
8. Proposed Use 0
One—Family Dwelling
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$5.00 C/O Paid
$ 178.00 PERMIT FEE PAID —THIS PERMIT EXPIRES January 1 19 87
(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.)
N.
. OQ
Dated at the Town of Queensbury this 27th Day of June 19 86
SIGNED BY 74704 0- /(D,Vfor the Town of Queensbury
Building and Zoning Inspector
_ -TO BE COMPLETED BY BLDG. DEPT.
n Application No.
,gown o, Queenibury . Permit Issued 19 . �•,
BUILDING,end ZONING DEPARTMENTTowN OF QLTEN BU Y
Permit Expiress 19 •
.� (G C V Lll U
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation lam)
. Queensbury, New York 12801 • Variance No.
Site P1 view No JUN2 �a
R
. 6 - 3 _ „k/ APprov N.,j • , P.N!.
' Q 7� 912131,,1 . 1eAPPLICATION FOR F � , 1 , 1 ,��. . Q
BUILDING AND ZONING PERMIT . \ 6 �� recce
* * * * .* *. *. .* .* * .* * *...* .*. * * * * . * .'* * * * * * * * *. * *. * * * * * * *:>*
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION: 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: ems. Id t". 1--- nra y/�� 2121//X/�'0 h
P.O. Address 2 TI a(/ ?i-i_ (,. Q/1?? 5�.¢t yr- Tel. 2 2 -c• -�/7
Property Location: Ld � ,),/ �/ d)/,/)/�. 2�j. �Q/?? a Tax Map No.
hr
Street number or building lot nuer.mb
Subdivision name (if applicable). �/1 .,. //) loC ..
THE PERSON RESPONSIBLE'FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
T.5 '' ', ,,`s,._ .-T, , - i. ��,; / 79.E-
7.56 /
Name 0 /n_� P.O. Address /f Tel. No.
Name of builder 9 � ``�P/cfeSAddress , 4, d 4. _Tel. 7y'� -2. G 1
Name of plumber , 7 24 Address q/,�- - Tel. 74/7. -0_)/ '
Name of mason .,P.p Y 41O.S Address ojy-�„ Q/.�,//,o Tel. 6, c/Z - /x/,C,d
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
FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location
LOCATION. OF STRUCTURESAFFECTED. of water supply and location and configuration
. * of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property 2- •ft X, 727c-- ft.
- * Existing building(s) Size • ft X ft. •
PROPOSED BUILDING AND USE: *
* Existing building(s) .'Use '
Size of new structure ,)<- ft X.4n) ft ' • * ' '
Foundation-pier/slab/crawl/partial/E0P * Proposed building, distance from property line
(circle one) *
No. of stories (habitable space) .1_ * Front yard ft Rear yard ���7 ft
Height (grade to ridge) 4 7. ft. * Side yards 7 ft and ,�? 7 ft
If residential, no. of families * If on corner, setback from side street ft
No. of rooms(excludiri�aths) ; * OCCUPANCY INFORMATION
No. of bedrooms
No. of bathrooms ,,. . * PRIMARY BUILDING -
Primary heating s tem {-�`c- ,Q�� * X One family dwelling
Type of fuel 4', -c * Two family dwelling
No. of fireplaces to be installed A9 . * Multiple dwelling / Number of units
Will a'wood stove be installed? G 5 * Permanent occupancy
•
Central Air conditioning? �c * Transient occupancy
* Business •
BUILDING STYLE, PRIMARY STRU TURE *' Industrial
Ranch Contemporary Log cabin * Other ' .
Raised ranch Mansion Duplex * If addition, what will use be?
Split level Old style Bungalow * '
Cape C Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House * Detached garage/one car/ two car/ car
CIRCLE ONE PLEASE ) * A/Attached garage/one car/ two car/ Z car
* * * * * * * * * * * * * * * * * * Private storage building
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 or ungraded lumber be used? If so, for what? 4/0
Foundation wall material ' j y7 C Thickness /' .
Depth of foundation below grade (to bottom of footing) . / —
Will there be a cellar? (.'S0:eated)or unheated?' _Floor sq. footage 2 3&-- sq ft
Will there be a basemen,t? Will any portion be used as living space? /,//4
(If so, what portio ? sq.ft. - - Type of use? •
Type of roof - sloped flat/shed/other Material. of roof' �� ��`����� �+�t.
Size, wood studs "X . (, " spacing / , "o.c. length e ft. (/
Joists(floor beams)' 1st. floor ,) "X /0 " spacing /(� "o.c. . span /5ft.
Joists (floor beams) 2nd. floor d, "X
/d _"
spacing /6.0 "o.c. span /y' ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters "X " spacing o.c. span ft.
Roof trusses(pre-engineer d) spacing,dy- "o.c. span c-,P- ft.
Exterior wall finish C2/06 j O.kOf what material? 5f61-0
Interior wall" finish /;_ -/ ,S'%:e#✓7Z `0 'X .
If a garage is to bei•attached, describe materials to be used for FIRE SEPARATION:
Is there to be .an opening between garage and dwelling? 5 If so will a Fire-rated
door, enclosure, and self-closing device be provided? ye S
Will a flue-lined chimney be installed? 7/S Height abo6e roof ' ft.
Depth of chimney foundation below grade/(o ft.
Depth of fireplace hearth ft.• - i •
n.
Water supply - Municipa)or private well
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties / ft.
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury
County of Warren AFFIDAVIT 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
comple'be statement of all proposed work to be done on the described premises and that all
provisiahs of the BUILDINGiCODE, THE ZONING ORDINANCE, and all other laws pertaining to
the proposed work shalye complied with, whether specified or not, and that such work is
authorized the ow er. •
��S p� Yf5 '5 _;--- .
SWORN TO BEFO E THIS Signature (..-- ,���i_,. ^�f /2//���
Ownerewne.r' agent,arcnicect,caLractor
day f 19
•
Notar Public, Warr County, N.Y. •
SPECIAL CONDITIONS OF T E PERMIT:
•
•
By •
• awn of Queenitury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury, New York 12801
SEPTIC DISPOSAL PERMIT APPLICATION
Owner 's Name
//lei /�,s It Tel. 7P-2 - -V9
Address L . A; c e9.0J P1 .c1f- L L
Person/Firm installing systeir c/i5 S
Number of bedrooms (residential only)
Total daily flow: (compute @ 150 gal.per bedroom per day)_ �Q 4
Topography: flat rolling - steep -(circle one) Degree of slope %
Nature of soils: sand loam-clay- other- Depth ft.
Groundwater-- at what depth? ft.
Bedrock or impervious material--at what depth? ft.
Percolation Test - Not reguired f Required -Rate min/inch.
Domestic Water Supply -Cite cipali) 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 and► domestic water
supply or shore-line of lake, stream, pondorwetlands. Include all
dimensions of the system itself.
Description of proposed system:
Septic tank size / Q6 6 gal.
Tile field- Length of each' trench$? ft. Total field 7 Z2ft.
Size of stone '# Z _
Seepage P um er / Size f t�7 f -� -z e�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. '
ign tune of Applicant
ems- 62/0�
Date
0l/86 and/vl
10n,. 0, w( , . 1...."U,, .
WARREN C'GUNTY , NEW YORK
Application for; . BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY .COI,SERVAT4ON CODE
A permit must be <obtained before beginning work .
. ANSWER ALL of the following;'
1 . Gross floor area C - 2SZ0 '
2 . Type of heat •.. ,1A S T •'l Z _
3. Ia the b.uildin,g mechanically cooled? YES - '1
4 . Percentage of area of windows and doors lt
• A. Over 16% On1Y
1 . Uo value of gross area of walla, roof/ceiling and floors
. exposed to ambient conditions l
•
2. Floor over heated spaces YES NO
a. Are foundation walls insulated? YCS NO
1 . If YES, what is the Revalue?
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. Typo of insulation .
B. Under 16% Only •''
1 . R value of roof and floors expose -to ambient conditions-
. - I 5D —
•„
• 2 . '. R value of exterior walls . 7.19
3-. R value of glazed area e -Z
a
4 . R value of doors . fC- 1.5 . 1
5. Ai value of floors over heated spaces .
6. R value of slab edge insulation - unheated slab V1. ),A
7. R value of slab insulation - heated .slab /a
6. R value of heated basement/cellar walls (above grade)_ Si.
9. R value of heated basement/cel.la•r walls (below grade)
10. Type of insulation
_
C. Controls ; v
1 . Thermostat maximum heat sA'ttiN ' ' 7 ° 12
D. Duct Systems
1 . Is duct systbm installed in unKeatsd space.? YFS , t;c.
A. It YES , R value of� duct installation ,
b. R value of duct, in other areas
E. - piping Lnsulation
1 . Size of hot water or cooling carrying agent pipe
2. R value of pipe insulation
' F. Service Water Heating
1 . Performance efficiency s°1-0
_......__
2. Temperature control setting maximum t `AO'
. G. For Swimming Pool 0nlya~ • ',; ' ,
1 : Maximum heating 'r.
. • ."r` '
Ti; ephone.. No. .� •
i �. ( !Jplicant ' s. signature)
Josvn of Queenitury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S' REPORT
NAME W IL--( SCE
LOCATION 24 P,v0il I1 v+
D ‘ Permit No. �f (o-. 51
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms 1
Foundation
Waterproofing .
Backfill
Framing
',Roofing V
XSiding 1/
Masonry Veneer
Rough Plumbing
)(Relief Valves
' Ext. Porches V
(Finished Floors v
k lnterior Trim V.
7.Stairs & Railings
Cellar Drain Tile
Concrete Floors
X Plbg. Fixtures / Ij
X Gar. Fireproofing \ / f
XDoor Closers \
)SSmoke Detectors ✓ ,
Chimney
INSULATION:
Foundation \ \
Floors i
Walls
v
Ceiling
FINAL ELECTRICAL INSPECTION
41 Building Survey
DLevt WA-' { —Cf -ct6.A td '-Cup:-(— to/2.c?
Next scheduled Inspection(call when ready)
Remarks- -
___- \ 6 .
eed,4_0(
Buil ing Inspector
6/86 and-vl
_awn of Queen J‘ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME l.CjuL ,.,,\
LOCATION 2 i QkAAM" LI'1 4% A.
DATE r /3Q PERMIT NOY6 ; a7
SOIL TYPE Sand Loam - Clay -
Percolation es Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length
Length of each trench
Depth of trenches
Size of gravel
SEEPAGE PITS{Number of)
Size- ft. X ft.
Gravel size '
PIPING: Size Type
Bldg. to tank
Tank to dist. box
Dist. box to field/pit
Openings sealed? YES NO Partial
LOCATION/SEPARATIONS:
Foundation to tank ft.
Foundation to absorption ft.
Absorption to lot line ft.
Separation of pits ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - Rear - Left side - Right side -
COMMENTS:
N, t
SYSTEM USE APPROVED Y S NO
r---1
uil ing I ector
01/86 and vl
C 6 f 1-4 Y`cc�?��D lr� //- 3 S /ten
Jown o f Queenitury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
/A
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME -,` 1 7 �o ei 1l
8 S 6Yi
LOCATION 1-61 1 P; /l ; �oz7 ? n f_
DATE 4%�/Z-D/ � j/
j- PERMIT NO. 0 C.e .—35 7
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length
Length of each trench
Depth of trenches
Size of gravel __
SEEPAGE PITS{Number of)
Size- ft. X _ ft.
Gravel size '
PIPING: Size Type
Bldg. to tank
Tank to dist. box _
Dist. box to field/pit I
Openings sealed? YES /NO Pa tial
/
LOCATION/SEPARATIONS: ii
Foundation to tank ft.
Foundation to absorption ft.
Absorption to lot line ft.
Separation of pits ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - Rear - Left side - Right side -
COMMENTS:
CD-\(-0
�. yw J
)( /),),t41-- 9/3 u A.v
c.
-6-t.„..,
D /) -1 (-,_._ N A-4 lc
_ _ . _
SYSTEM USE APPROVED YES (F),
/. l �-
Bui1diiig Inspg.dtor
01/86 and vl
GQ1l e c( b?/i/36 id ; 3d .
Jown o� QueeniLry
BUILDING and ZONING DEPARTMENT
Bay and Havilarid Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME ,E1I�P ,-{ I Lc)it �- c 14C�r`� 4h
S to'1 (A 5.L1 S„
LOCATION La 1-)/ C
Date 0 1 ff / ,�(p Permit No. ? G - 3 5-1?
* * * * * * * * * * * * * * * * * * * * * * *
V = APPROVED - YES / NO
Footing/Pier Forms t
Foundation
Waterproofing
Backfill
Framing 011‘
Roofing
Siding
Masonry Veneer
Rough Plumbing (4)r
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile \\/,
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing I \
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
(414 /it;-. )
Buil ing Inspector
6/86 and-vl
1 OOP
acc�� //
wn o 2ueeni ur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME - ✓ . -r,
LOCATION &dr, 244 p, rod Au
Date _ q / D c Permit No. (6 -3S 7
* * * * * * * * * * * * * * * * * * * * * * *
,� ✓ = APPROVED - YES NO
V Footing/Pier Forms ('j/}2H-(,,yl__
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.. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
�� �yl_Orn A/G pt-gfe-lLr(��f�M tDVrn,4i OV:
Next scheduled Inspection(call when ready)
Remarks- -
P -a vc v�6-to ion Ti C r_'Kis r IA.(
i-o v ki a ti
Building Inspector
6/86 and-vl
/4Ctiv y
TOWN OF QUEENSBURY
(o µA-5 Building Department
Inspectors Report Date 6/ AIG
Name GJ i k i 561-1
Location L o a` j -;1,f-C— FAA-S
Permit No. 3 (o- 357 Weather
Remarks
Excavation
Footing Forms ',.O
Footing & Piers 1/J ad
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
rf 4.
Building Inspector
REMARKS