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1987-690 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK LJat E' r 7 I 1 , ,L/�■�(.��' 19 /y►.� This is to certify that work requested to/-.be done as shown by Permit No.._ has been completed. ( 7 ram IN.(`'1y'{ This structure may b ,«�,Lipied ib i Z� Y L�L"11 { 1 V Art Location * C' 'v cz)N8 AV Owner By Order Town Board 7rC1WN OF QUEENSBURY Building & Zoning Inspector MM L`Mf ^71VW" INSTA rRIMTfNO, O"ftS WALL{ M V tzmal y BUILDING PERMIT � TOWN OF +C,, UEENSBURY No. 87- 690 z WARREN COUNTY, NEW Y©RK 0 PERMISSION is hereby granted to Gregoire Construction „o 1 Q6 OWNER of property located at 18 Pinion Pine Lane Street, Road or Ave. 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. 1 . OWNERS Address is 64 Burgoyne Road Saratoga , N . Y . 128 QrQ r• n 2. CONTRACTOR or BUILDER'S Name ro rn Same w rt �t G 3. CONTRACTOR or BUILDER'S Address � rot N• 0 4. ARCHITECT'S Name r- 6- ARCHITECT'S Address co b N• O tom• 0 G. TYPE of Construction — (Please indicate by 7C) O ro r�• ( wood Frame l i Masonry ; ) Steel ; 1 rD r 3. PLANS and Specifications ro No. 42t x 461 per plot plan , specifications and application including septic system and attached two car garage . S. Proposed Use One-Family Dwelling o m rn In $5 . 00 I O $ 143900 PERMIT FEE PAID - THIS PERMIT EXPIRES May 1 , 19 8$ � (If a longer required an a h g period is r e expiration far an extension must be made to the Building and Zoning inspector of the ro town of Queensbury before the expiration date.) k-• Dated at the Town of Queensbury this y 15th Dray of October 1987 SIGNED BY / r�c� C° f . �� for the Town of Queensbury Building and Zoning I nspector TO BE COMPLETED BY BLDG . DEPT . � Application No , f _J own 0/ Queel" 31"ry Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 OCT 7 �� Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation Queensbury, New York 12801 Variance No . ;, !;�.•,; - , �; )k: : Site Plan view No f � , #AD ' � d Approve y.,; LI/�7 !'G L.. _ APPLICATION FOR BUILDING 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-af this property i s -_---- X ------` ...... P . O. Address yam, . c� c t " �- Tel . Property Location : �� / .c r�+GY* r�� + "► ' Tax Map No , ./— Street number or building lot number subdivision name ( if applicable) V ,4 e� Wt� THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK. AS REGARDS BUILDING CODES IS : Name . O Address Tel . No . Name of builder x�st -c• �. Address Lc .t<-t ,ram °e 3ir_� �- Tel , -' Wx � 7� Name of plumbs 1�� r � ' , Address Tel . '7 Gi' `a '/'y7 Tel . ---- Name of mason �,t`".s�, � Address NATURE OF PROPOSED WORK : ZONING INFORMATION : kConstruction 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 whether interior or corner lot . Show location FOR DEMOLITION PERMIT , STATE SIZE AND * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED . * of septic disposal area . * COMPLETE INFORMATION REQUIRED BELOW _ y ��� * Size of property .. �'" `� ejt- I ft K ft . Existing buildings ) Size .,----- ft X ft . PROPOSED BUILDING AND USE : * Existing buildi_ng ( s ) Use Size of - new structure 49 ft X ft oundatior -pier/slab/crawl/partial/full Proposed building , distance from property line rV� (circle one ) * ft Rear yard F _ _ y * Front yard �� ' d ft No . of stories (habitable space ) ft and ft * Side yards Height ( grade to ridge ) tr ft • If on corner , setback from side street.-•--- ft If residential , no . of families _ No . of rooms ( excluding baths ) * OCCUPANCY INFORMATION No . of bedrooms_ ? * PRIMARY BUILDING - No . of bathrooms ��✓ . - * -One family dwelling Primary heating system 0Z * Two family dwelling Type of fuel Multiple dwelling / Number of units No . of fireplaces to be stalled / Perma1e,nt occupancy will a wood stove be installed? Transient occupancy Central Air conditioning? Business BUILDING STYLE PRIMARY STRUCTURE Industrial --• Other Ranch Contempera. Log cabin If addition, what will use be? Raised ranch Ma Duplex Split level Old style Bungalow Cape Cod Cottage Other ACCESSORY BUILDING- Colonial Raw Town House * Detached garage/one car/ two car/--- car ( CIRCLE ONE PLEASE ) Attached garage/one car/ two car/ c cax * * * * * * * r * * _Private storage building ESTIMATED MARKET VALUE OF * Other * CONSTRUCTION $ rr h �y Gn p•'% d _ L -'.1 - - - - - - - - - - - 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 , od fram fire safe , etc . Will any second-hand or ungraded lumber be used? If so , for what ? .� Foundation wall material k?J'L_Gr5'''1, - fJ' r!� Th 3.0�C.n eSS Depth of foundation below grade (to bottom of footing ) (dam Will there be a cellar? _2 Heated or unheated? Floor sq. footage A G� CT -sq ft Will there be a basement? will any portion be used as living space? VzeT ( If so , what portion? sq . ft . - - Type of use? Type of roof - slope /flatfshed/other Mater-,al of roof Size , woad studs" X_Za _ " spat ing_ZAI=.. . C . length { f Joists ( floor beams lst . floor " X�" spacing^ ZI "o . c . span 1.4 ft . Joists ( floor beams ) 2nd . floor "X�" spacing 44 r1o . c . span.,/Z,� _£t . Overlays ( ceiling beams3�, "r' �"X__ rye` _" spacing "o , c , spanft . Roof rafters "X� -" spacing O . C . spank ft . Roof trusses (pre-engineered) spacing " o . c . span ft . / Exterior wall finish � .T Of hat material ? Interior wall. finish If a garage is to be attached , describe materials to be used. for FIRE SEPARATION : Is there to he an opening between garage and dwelling? 2 if so will a Fire-rat'ad door , enclosure , and self-closing device be provided? —'-Will a flue-lined chimney be installed? plC,,.a . Height Bove roof ft . Depth of chimney foundation below grade �l_ -"—ft . Depth of fireplace hearth_ Ift . L in . Water supply ��� ci���� p� al`ror privat e well SEPTIC SYSTEM Distance from ANY private well ( including adjoining properties /.,t4 e7 €t . (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury F F 1 T n 1 V 1 T T County of Warren A D ► 1 1 I 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 complete statement of all proposed work to be done on the described premises and that allprovisions of the BUILDING CODE , THE ZONING ORDINANCE , and all other laws pertaining to the proposed work shall be complied with, whether specified or not, and that such work is authorized by the owner . SWORN TO BEFORE ME THIS Signature __ __ �f__ �•€... __Gt" "L-- _� ________ �y Owne Vner ' s agent , cnitect , con tractor � day of ft /j 19Y / 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 ;/ ram 1 . Gross floor area 2 . Type of heat ; --Ze 1 :: � r cx ^47_ r 3 . Is the building mechanically cooled ? tk� 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 / 3 . R value of glazed area . / 4 . R value of doors3 ! 5 . R value of floors over unheated spaces ��::-Z / r �--� 6 . R value of slab edge insulation - unheated slab ---� 7 . R value of slab insulation - heated slab -- s . R value of heated basement/ cellar walls ( above grade ) 9 . R value of heated basement /cellar walls ( below grade ) to o Type of insulation C . Controls R 1 . Thermostat maximum heat setting D . Duct Systems 1 . Is duct system installed in unheated spaces ? YES a . If YES , R value of duct installation b . R value of duct in other areas E . Piping Insulation rf 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 / 4 Telephone No . � � Z. e�' 4p ( applicant ' s sign ure ) APPLICATION FOR 'SEPTIC DISPOSAL PER Mrr DATE LOCATION OF PROPERTY FOR INSTALLATION e,e Owner's Name. /j&-r"�r\ti- �� "Z'..LL-- Telephone.� Address: b 7 �� ., p �r�- - _ ef- Installer's Name: [ CC �a �+� it" 'ttG .r.Telephone: Number of bedrooms (residential only) . 3 Total daily flow {compute (,w I50 gal per bedroom ) Topography: circle one: lat Rolling Steep Slope 90 of slope Soil Nature: circle one San Loam. Clay Other / Depth: _ feet Ground Water: At what depth? _ �� feet Bedrock. or Impervious Material: At what depth? feet Percolation test: circle one: 6 not required required / rate 1/ys min. inch. Domestic Water supply: circle one: unicipal Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption of [^ feet PROPOSED SYSTEM: Septic Tank ts,Cr_ ,gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench -cl feet f Total system length e,;Z GT e" feet SEEPAGE PIT(S) : Number of / Size each feet by feet Size of stone to be used # / Depth or Thickness feet I M P O R T A N T ...Please...IAST NEW EQUIPMENT TO BE INSTALLED s s * * * * * * * * * * * * * * * * * * * * * s * * * * * s s s * s s s s s (over) Section Il Septic System Inspections: A. All applications for septic system installation, alteration or repair, as required by the Town of Queensbury 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, the 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. co An approved copy of the plot plan shall be 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 Queensbury Building Department before further construction. I have read the regulations above and agree to abide by these and all requirements of the Town of Queensbur-y Sanitary Sewage Disposal Ordinance. Signature of responsible person: 'L. Date: Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SE fTLED 1763 . . . HOME OF NATURAL BEAUTY A GOOD PLACE TO LIVE � Stf_Jt�u�n v� Qctet�nsurl� Jr 13UILDING and ZONING DEPARTMENT Bay and Haviiand Road, R.D. 1 'BOX 98 Queensbury, New York 12801 ` BUILDING INSPECTOR ' S REPORT NAME LOCATION Date =/%' /_ Permit Now r > l � CG Z ! { APPROVED - YES No Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Values Ext . porches Finished Floors Interior Trite Stairs & Railings Cellar Drain Tile Concrete floors Flbg . Fixtures Gar . Fireproof ' 9- Door Closers r Smoke Detect rs Chimney INSULATION Foundatio Floors Walls CeiI inq F INAL I•:LECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( ca5. 1 when ready ) Remarks- {Ve a Izr SSc�'G 6,"j `,T- r w !! f r} F3 1 Inspector 1 0 f �ueert3hurr r� Q Oeun O� BUILDING and Z(]NING DEPARTMENT ay and Haviland Road, R•D• i Box 98 Queensbury, New York 12801 BU LD I NG INSPECTOR ' S REPORT ME LOCATION Date!'! -/6 Fol:: permit NO . .— * APPROVED YES *NO Footing/Pier Forms Foundation Waterproofing - Backfill Framing Roofing Siding Masonry Ve eer Rough P1 ng Relief valy ExL . Porches Finished Floo s interior Trim Stairs & Raili gs Cellar Drain T! e Concrete Floors Plug , Fixtures Gar _ Fireproof! Door Closers Smoke Detector Ch ' ey SULATI ON : !.- Foundation Joe f5 Floors Walls m Ceiling FINAL ELF, RICAL INSPECTI DRIVEWAY PFROVAL Final But ding Survey l^Rext scheduled inspection (call wlxen ready ) Remarks- 1 3v Ce ! "y Bull g Inspector 6/86 and-vl awn o/ �ueens6.s .-car BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R, D_ 1 Box 88 +Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME F dt`12 C W LOCATION Date Permit No . ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Back£iil I+7 Framing Roofing Siding Masonry Venee ,b Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fi reproof in Door Closers Smoke Detector Chimney INSULATIONr Foundation Floors Walls Ceiling FINAL EL TRICAL INSPECTION DRIVEWAY APPROVAL Final B lding Survey Next scheduled inspection ( call when ready ) Remarks- Building Inspectors 6/86 and-vl / /J/,7 • BUILDING and ZONING DEPARTMENT P' Bay and Ha►riland Road, R, D. 1 Box 88 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCATION / ,f DATE / PERMIT NO. Lca 95> SOIL TYPE - Sand - Loam - Clay - / Percolation Test Required? YES - NO . Percolation rate - Min/Inch TYPE of SYS Absorption fa, ld, total lenglth Length of eac trench +' Depth of tren hes Size of grave SEEPAGE PITS#N er of) Size- ft. X ft . -- Gravel size PIPING : Si Type Bldg . to tank Tank to dist , box Dist . box to field/ Openings sealed? E NO Partial LOCATION/SEPARATIONS : Foundation to tank ft. Foundation to absor tion K1- ft. Absorption to lot ne ft. Separation of pits fte fiC]N OF S'YS ON PROPER (circle one) Front /- Rear - L ft side - Rig t side - TS y _ - d 4 SYSTEM USE APPROVED Y r Suil 3ng Inspector 01/86 and vl l BUILDING and ZONING DEPARTMENT ay and Na bu Road, Fr_ D. 1 Sox 98 Queensl�uryry, New York 12801 BUILDI e BUILDING IIJSPECTOR S REPORT NAME LOCATION Date f»> Permit NaJ ✓ = APPROVED - YES NO F''oo .ing/Pier Forms F ndation aterproofing 3ackfill Framing Roofing Siding Masonry Ve er - --- Rough Plumb ' ng Relief Valv s - Ext . Porches Finished Floo s Interior Trim Stairs & Railin s Cellar Drain Til Concrete Floors Plbg . Fixtures Gar . Fireproofs g Door Closers Smoke Detecto s Chimney INSULATION : Foundation Floors Walls Ceiling FINAL Pi CTRTCAL INSPECTION DRIVEWAY APPROVAL Final Su lding, Survey Next scheduled inspection ( call when ready ) Remarks- z Fsuilding Inspector and-vl _.✓vtver +v� �ueerrshur•e� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME "7"G 4 r. /J c LOCATION Date-�/ Permit No . ( fa i fib ✓ = APPROVED - YE No Doting/Pier Forms Nk Foundation Waterproofing I3ackfi11 framing Roofing siding Masonry Veneer _ Rough Plumbing �_ u Relief Valves Ext . Porches Pinished Floors Interior Trim :stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers_ Smoke Detectors Chimney INSUTAATION - Foundation Floors Walls Ceiling_ FINAL EI•GCTRYC INSPECTION DRIVEWAY APPRO AL Final Building Survey Next scheduled inspection (call when ready ) Remarks- I3uiIdi Wgy inspector 6/86 and-vl aivn 01 Q" eenjzury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME r LOCATION Date / / /QF _ Permit No . ✓ APPROVED - YES NO , Footing/Pier Forms 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 NSPECTI! DRIVEWAY APPROVA14. Final Building SYArvey. Next scheduled inspection (call when ready ) Remarks- Building Inspector 6/86 and-vl /own o Queen .s6ur BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 f Queensbury, New York 12801 F ' BUILDING INSPECTOR ' S REPORT NAME LOCATION ,,! .; Date /87 Permit. No . ✓ = APPROVED - YE NO Ming/Pier Forms Foundation waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough P1 Ing Relief Valve Ext . Porches Finished Floor Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION Foundation Floors Walls Ceiling FINAL FLECTR CAL INSPECTION DRIVEWAY APP OVAL Final Buildi g Survey. Next scheduled inspection ( call when ready ) Remarks- Building Inspector 6/a6 and-vl BUILDING DEPT, COPY OF APPLICATION FORM 46-ELe NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED. . ■ DATE d CITY D VILLAGRE f TOWIMSHI COUNTY STREET AND NO. OR POLE NO. ROAD AND POLE NO. ! BETWEEN WMAT TWO r CROSS STRFETS IS SECTION BLOCK LOT PREM S LOCATED? r _-- OCC[1PANT'S '! OCCUPBUILDANCY NO . NAME 1./ f OCCVPANCY j . EWS NAME AN a ADDRESSCURmmmv TEL. SUPPLIED FROM THEIR OFFICE BY BUILDINGIS NEW OLD Q IWSORK MEW C� ADDITIONAL ❑ REMOVED LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED Na. arf Fitttw.t BeBRANCHOFFICE USE NUMBER OF OUTLETS Lome Rocuptaolss MOTORS HEATERS CIRCUITS ONLY S:s1. wvstft A.W S Patdat *eekat NcType Each e,don Atteowt INSPECTION OeiN+N eraJl Rlrespi Owl- side Sub" 4w nwomt Bre- lot FL Srtd FI 9rd FR. MEN L---- REMARKS: LIST OTHER ELECTRICAL DEVICE'S NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. This appaics ion is intended to cuvar the above-tistad squipsnant to be inspected but it at time of inspection [hare is found additional equipmartt not above listed. you are authorized to make the inspection and adjust the toe to oovr the additionat equipmern, as provided by the apttlicant. SIZE OF ELECTRIC SIGN TOTAL MAINS FEEDERS LAMPS WATTS EXPOSED GAS TUBE SIGN CHARACTER CHARA CONCEALED K TRANSFORMERS OF VA OF WDRK TO BE INLVMRBERI ICAPACITYI STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS OF SIGN ING INSPECTION REQUESTED ON OR AS NEAR AS NEW OLD 0 POSSIBLE AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES DATE OF MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION PRINT NAME AND AD_GR SS + /''' 1! giCiNATURE NAME APPLICANT k,3/�L �y, r.- I kr (,� ^C—y�`[?J''} S�,sF�^.+, A OP APPLICANTC. } L'. f •+F C PCs {" ,L/. t .G STREET ADDRESS _l p 4_ ' -�� �+f— 'ttim d TELEPHONE # 900, CITY OR -y.� ZIP LICENSE NO. POST OFFICE Gam. +.� ' < rI�'2 t o iF +s-�t- CODE��� WHEN APPLICABLE as EL (REV.. I/ee) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING oe 30 4^' el , 40 z.=