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1987-449 Y l 5 CERTIFICATE OF O(O.DC _I FANCY TOWN OF QUEENSBURY WARREN COUNTY. NEW YORK r- V Date October 219 This is to certify that work requested to be done as shown by Permit No. 67-449 has been completed. structure may ou ' as Oise—Family F3we 1 ing This s!* .� an'Ptrt un Lot 14 Pi:tion Pine Lune ( St . No . 94) anon gb I are construction i By Order Town Board TOWN OF QUrE'ENSBUR.Y j Building 6 Zoning Inspector i s P OR'"}tA ii Y CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY i WARREN COUNTY, NEW YORK October 19 , o17 Date 19 This is to certify that work requestedto be done as shown by Permit No. 87 449 has been completed. This structure may be occupied as a 0)ie-Rair.i_1y 1.Uwu1ling Location i..ot 14 Pinion Pine Lane ( ut . itio . � 4 ) red uirey Can� rructican Owner Liii J 11, i By Order Town Board Y' J.t A1 . Eul1' M: 1GA1 , 'I`OWN OF QUEENSSURY I Building $ Zoning Inspector i i CITE A TIVE -IMST A'- FMANTIM6, 6L ENS FALLS. M V !zoo is 1 W;70]�5434 BUILDING PERMIT TOWN OF QUEENSBURY No. $7-449 �. WARREN COUNTY, NEW YORK a PERMISSION is hereby granted to Gregoire Construction e 0 t OWNER of property located at Lot 14 Pinion Pine Lane (St . No . 24) Street, Road or Ave. r 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. 1 _ OVYNER'S Address is 64 Burgoyne Rd . Saratoga , N . Y . 12866 c� M ra 2_ CONTRACTOR or SU1 LDE R'S Name o rl same t� 3. CONTRACTOR or BUILDER'S Address 0 m same H C n rt r 4. ARCHITECT'S Name 0 S. ARCHITECT'S Address r co w r* r B. TYPE of Construction — (Please indicate by X) E to I� { wood Frame { ) Masonry { ) Steel { I O (D Y f10 O 7. PLANS and Specifications rrt Fck sv w No. 24 ' x 68 ' per plot plan , specifications and application submitted °" @ including sewage system and two-car garage . p B. Proposed Use ro One-Family dwelling N $ 5 . 00 C /O a m $ 143 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES February 1 19 88 1 (If a longer period is required an application for an extension must he made to the Building and Zoning inspector of the g town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 15th Day of July 19 87 SIGNED BY :1 ....E'er- 7C.� for the Town of Queensbury Building and Zoning Inspector Oo TO BE COMPLETED BY BLDG . DEPT . �j / Application No . - /nw►� oueendhuMl Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 raWN Chi= 0.` ULE+N4k- Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation Oueensbury, New York 12801 Variance No . ��"�d Lh LI LL1I Site Plan Review No . ( � �L\ Approved b JUL 131987 (7` APPLICATION FOR BUILDING Bc CODE DEFT. EU I LD I NG AND ZONING PERMIT � 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 : C Lam -- / � P . O. Address CTe a Tel . � 10F �I. e 6 44? Property Location : ax Map No . / Street numbeje or bcu�ild g lot number Subdivision name ( if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK. AS REGARDS BUILDING CODES IS : Name P . O. Address Tel . No . r, Name of _builder �r,vcarAddress f � t.. r�,-s,.�re �g12 � c 'el -� .{ 'ti f " 4 - ---- Name of plumber aJ2_. Address Tel . r,,r37 — ' d Name of mason Address Tel . NATURE OF PROPOSED WRK : ZONING INFORMATION : e< 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 lest number and indicate. whether interior or corner lot . Show location FOR DEMOLITION PERMITr STATE SIZE AND * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED. of septic disposal area . * COMPLETE INFORMATION REQUIRED BELOW . Size of property Gz�ft x�ft . * Existing buildings) Size �'crr-R ft x ft . * PROPOSED BUILDING AND USE : * Existing building ( s ) Use Size of new structure �y ft Foundation-pier/ slab/crawl/partial * Proposed building , distance from property line (circle one ) ' e yy Front yard 9 � ft Rear yard ft No * of stories (habitable spacy ) KAIV T ft Height ( grade to ridge ) 26'- F f ft . * Side yards e street ft ft and _ If residential , no . of families / If on corner . setback from side No . of rooms ( excluding baths ) " OCCUPANCY INFORMATION No. of bedrooms *No . of bathrooms PRIMARY BUILDING - �- �- * One family dwelling Primary heating system * Two family dwelling Type of fuel__ No . of fireplaces be installed r * Multiple dwelling j Number of units Will a woad stove be installed . /1/d * _...-Permanent occupancy * Transient occupancy Central Air conditioning? * Business BUILDING STYLE PRIMARY STRUCTURE * Industrial Ranch Contemporary Log cabin * Other if addition , what will use be? Raised ranch Mansion Duplex Split level Old style Bungalow Ca e Cod Cattage Other * ACCESSORY BUILDING- 2 Row Town House * Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) * Attached garage/one car/ wo ca�rr_ �1 _car * * * * * * * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION INFORMATION ON BUILDING SPECIFICATIONSr ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETEDS Form BPA 4/86 and-vl 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 ZZ90 2 . Type of heat a-z � 3 . is the building mechanically cooled ? rid f I 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 r r 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 Be Under 16 % Only 1 , R value of roof and floors exposed to ambient conditions 2 . R value of exterior walls. /q 3 . R value of glazed area J� 1 4 . R value of doors / � f 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 -- 8 . R value of heated basement/ cellar walls ( above grade ) f� 9 . R value of heated basement /ce/llar �w,a/lls ( below grade ) r 10 . Type of insulation C . Controls c� a 1 . Thermostat maximum heat setting D . Duct Systems �-- •, 1 . Is duct system installed in unheated spaces ? YES &T> a . If YES , R value of duct installation b _ R value of duct in other areas E . Piping Insulation � � r 1 . Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F . Service Water Heating r 1 . Performance efficiency Fa 2 . Temperature control setting maximum_ G . For Swimming Pool Only 1 . Maximum heating + r n, .q rr Telephone No . 5 / " L.' !G' pplicant ' s s3 oGrture ) ,y. .f0..4,V AP^PLICA77ON FOR SEPTIC DISPOSAL PERMIT DATE Z,/ Z LOCATION OF PROPERTY FOR INSTALLATION jr_` eelr ��+'` r[ �Y .Q Owner's Name: p ,dry Telephone* r am t� Ga y Address: _ G- r{ � +�,Gy Iry eve- r l r Installer's Name: �"G "-a. elephone: / 90 T Number of bedrooms {residential only) 3 F Total daily flow (compute @ 150 gal per bedroom) Topogrraphy: circle ones lat Rolling Steep Slope 90 of slope Soil Nature: circle one: (S7 Loam Clay Other / Depths feet Gwound Water: At what depth? feet Bedrock or Impervious Material: At what depth? _ feet Percolation test: circle one: no=required required / rate W-92Tmin. inch. Domestic water supply: circle one: Municipal ell Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption IQ 4n feet PROPOSED SYSTEM: Septic Tank e27404:3 gal. (minimum size: 1 ,000 gal.) r TILE FIELD: Each Trench .50 feet / Total system length r24 O feet SEEPAGE PIT(S) : Number of / Size each feet by feet Size of stone to be used # 4 / Depth or Thickness ,` feet I M P O R T A N T ...Please...LIST NEW EQUWMENT TO BE INSTALLED * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * (over) .Jcrcvn a� '�ueens �urt� BUILDING and ZONING DEPARTMENT Bay and Haviland Road. R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME �, y L0CATI0N QX Date permit No . ✓ =Footing/Pier Forms APPROVED YES NO Foundation Waterproofing Backfill Framing Roofing S-iding Masonry Ven er Rough Plumbi g Relief Valves Ext . Porches Finished Floor Interior Trim Stairs & Railing Cellar Drain Tile Concrete .Floors Plhg , Fixtures Gar , Fireproofin Door Closers Smoke Detectors Chimney INSULATION Foundation Floors Walls Ceiling FINAL ELEC CAL INSPECTION D IVE'WAY AP ROVAI�� anal Build g Survey Next scheduled InspectI., (call when ready Remarks- 6l85 and-vl Building spector j �! -�' ..Jc�u�ri o� �eteer7s �ure�r r� BUILDING and ZONING DEPARTMENT 1 Bay and Havifand Road, R. D. 1 Box gS Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCATION DATE o Z I —z PERMIT NO . SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - Percolation rate - Min/Inch TYPE of SY TEM: Absorption field , total lengrtJ Length of a ch trench Depth of tr nches Size of grav 1 SEEPAGE PITS umber of) Size- ft . ft Gravel size ,o PIPING : iz Ty e f Bldg . to tank Tank to dirt . bo - - --- Dist . box to fiel Openings sealed? ES O Pa tial LOCATION/SEPARATI Foundation to t k (i t. Foundation to a sorpti n ft . Absorption to of line ft. Separation of its ft. I' ' OF STEM ON PRO RTY (circl�e one) Fron - Rear - Left side - ight side - TS : SYSTEM USE APPROVED YES NO Bui ng Inspector 01/86 and vl �l�b / n a'� �ueens6urr� BUILDING and ZONING DEPARTMENT 111 y� Bay and Haviland ,Road, R. p. 1 Box 98 qf"T/y- Oueensbury. New York 12801 BUILDING INSPECT€] R ' S REPORT NAME LOCATION Date ? / / Permit. No ✓ = - Footing/pier Farms APPROVED YES NO Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . porches .Finished .Floors Interior Trim Stairs & Railings Cellar Drain Til Concrete Floors Plbg , Fixtures Gar . Fireproof g Door Closers Smoke Detect s Chimney C.G^Z'�I S U I.AT I ON Foundation Floors t<al1. s J,A!,'e'i I i n 9 FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Filial Building Survey Next scheduled inspection (call when ready) Rena r ks- 6/$6 and-vl Building Inspector eyl 7 / BUILDING and ZONING DEPARTMENT J/ 40 Bay and Haviland Road, R.D. 1 Box 98 ` Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME �TION J r Permit No . 2O - Footing/Pier Forms. APPROVED ES NO �undation t,,4fa terproo f ing �f i 11 Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves _..... _. Ext . Porches Finished Floors Interior Trim Trim - "y Stairs & Railin Cellar Drain Ti e Concrete Floor Plbg . Fixture Gar . Firepro ing Door Closer Smoke Dete ors Chimney INSULATION Foundatio Floors Walls Ceiling FINAL .ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey pp Next scheduled inspection (call when ready) Remarks- 6/85 and-vl Building Inspector ,/�,„,q � 1 ._./Overt G►� �L[Pk'I1 .f (� ttrr� y ! BU4LDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCp� TION Ica ! � a A/' Date" f /�' Permit No . ✓voting/Pier Forms APPROVED Y NO Foundation waterproofing Sackfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext , Porches Finished Floors Interior Trim Stairs & Railin Cellar brain a "' Concrete F1 s Plbg . Fix res -- Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVA �, ,_ Final Building Survey Next scheduled inspection (call when ready Remarks- 8ui an Inspector 6/SFi and-vl j � xBUILDING and ZONING DEPARTMENT Bay and Haviland Road, R_p, 1 Box 98 ` uLeensb,,rNewk 12801 �! v ' �l p jQ I UIL . REPORT E n ��`! Date / Permit No . ' e- oati.ng/Pier Forms ~ APPROVED - NO Fou.n da t ion waterproofing Sackfill 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 I SPECTION DRIVEWAY APPROVAL Final, Building Survey Next scheduled inspection (call when ready) Remarks- 0) 5/86 and-vl Building I spector INEEN BUILDING DEFT. COPY IRE UNDERWRITERS. THIS COPY WITH SUt DING DEPT. WHEN REQUIRED f P. ft WkTE J VICITY .' j c• J - TY,R stlllP , +`• •1' I-J P COUNTY STREET AND NO. OR POLE NO, ROAD AND POLE NO. i - BETNfEEN WHAT TWO BLOCK L07 �i� CROSS$TRE ETS IS SE TION PREMISE T£D BUILDING OCCUPANT'S f _ �, .f:. N f.- OCCUPANCY F y NAME ;/' . t....�. 664E R'S NAM r TEL. AND ADDRESS ; a. �_• r" ti" �•{ :^ .•+ / ' t.L SUPPLIED , f FROM THEIR y - e_ OFFICE By DEFECTS BUILDING ��--1i YMC]RK REMOVED 0 IS NEW ® OLD iJ IS NEW ADDITIONAL LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED of fixtusae It MOTORS OFFICE USE N4 NUMBER OF OUTLETS Lernp Raceptaelw MDTORs HEATERS CIRCUITS ONLY H.P. Vh" NM A.W.Q. INSPECTION Sion CaYini Wall R+raP'h W m Swih Peta Brae nt ka t No. Type Each N4' EachGw/oa Out- side save Brie mat 1st FI. xnd FI. 9td Fl. REMARKS-. LIST OTHER ELECTRICAL DEV ICES NOT SET FORTH ABOVE. DO NOT USE THIS SPACE• .1 ant to be inspected but it at time of inspection them is found additional atlu+pme t not. abore Iistad, This Ay1r"lth do K to make IO cower t on and aAuw the lo4 to coeK the addtional equipment, a► Provided by the apph"nt. you ore authorized to mske the inspaatr ELECTRIC SIGN TOTAL WATTS SIZE OF LAMPS MAINS PEEPERS EPOSED GAS TUBE SIGN TRANSFORMERS OF VA CHARACTER CONCEALED Of WORK INUMBERI ICAPACITYI WORK TO BE COMPLETED SIZE OF SIGN STARTED SERVICE OVERHEAD UNDERGROUND MAKER ENTERS OF SIGN iLDING INSPECTION REQUESTED El OLD i ON OR AS NEAR AS NEW POSSIBLE AVOID DELAY BY GIVING FULL AHD ACCURATE INFORMATION. ALL SPACES DATE OF � „ f/ MVST BE FILLEO IN OR APPLICATION MAY BE RETURNED. APPLICATION 1 0 , PRINT NAME AND ADDRESS *I/' SIGNATURE r NAME OF .r '� __ r - .r _ r �• OF APPLIC APPLICANT..�� TELEPHONE # STREET ADDRESSZIP LICENSE NO, CITY OR _ :Z r� y �:: ; r•' r; i'{r,� CODE '`��+�F' —WHEN APPLICA$LE POST OFFICE F^ w [J as EL (REV. I/aG) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING 1 ' f � f I 0 4 i l � I 41 1y. tl�A f i]J I ti i