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1987-791 CERTIFICATE OF O►CCUPAN C"%JL7 TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK Date October 16 lq&8 87- 791 This is to certify that work requested to be done as shown by Permit No. has been completed. One—Family Dwelling This structure may occupied as a Lxocation rux 7 Pinion Pine Lane Owner Gregoire Construction By Order Town Board TOWN OF QUEENSBURY Building & Zoo na inspector BUILDING PERMIT TOWN OF QUEENSBURY No. 87- 791 � WARREN COUNTY, NEW YOR K o ` PERMISS#ON is hereby granted to Gregoire Construction o .rr i OWNER of property located at Lot 17 Pinion Pine Lane Street, Road or Ave. Van Howe Estates One Family Dwelling in the Town of Queensbury, To Construct or place a 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 Queenshury Building and Zoning Ordinance. G7 f. OWNER'S Address is 64 Burgoyne Ave . Saratoga Springs , N . Y . 2. CONTRACTOR or BUILDER 'S Name o Same rt ri C C] 3. CONTRACTOR or BUILDER 'S Address N a 4. ARCHITECT'S Name t-' 0 5. ARCHITECT'S Address C rr Ax � 0 ro o I.A. E o 6. TYPE of Construction — (Please indicate by X) O rj) .rt ao (X ) 'Wood Frame 11 Masonry i k Steel 1 1 N b rt 0 M ro 7. PLAINS and Specifications � L- as No. 42 ' x 57 ' as per plot plan , specifications and application including septic system and attached two car garage . 8. Proposed Use One Family Dwelling $ 5 . 00 CIO $ 171 . DO PERMIT FEE PAID — THIS PERMIT 'EXPIRES dune 1 , XX Zg8$ �a (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Que insbu ry before the expiration date.) Dated at the Town of Queensbury this 25th Day of November 19 87 r� SIGNED BY _ 6er .�C�2`/..I:.�'' for the Town of Queensbury 8uFidirig and Zoning Ireactor TO BE COMPLETED BY BLDG . DEPT . E tc. rv.•. : .: .. r., r: , . • ,, flc1 ■ Application No . ; ' I own O/ Queel�tigury Permit Issued 19 � s ` i'3 L ! � l BUILDING and ZONING DEPARTMENT Permit Expires 19 S NOV Bay and Haviland Road, R.D. 1 Box 98 zoning Designation u 2"` r5 ��� Queensbury, New York 12801 variance No . II �4rY1 ,. _ F r Site P1 view i f Appro ' y 1 1 APPLICATION FOR FU 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 : 00 sty r� rr/ P . O . Address - Tel w .4ro a / -'✓ h7 Property Location : Tax Map No . / / Street nm0fiber or b lding lot number Subdivision name ( if applicable) ,_ �� Cam';-- /'7 Lf W� ram ` / J�i f THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : Name P . Q. Address .t� Tel . No . Name of builder ddress 4, "l&, raf:: c r ! Name of plumbs Address Tel . ' � d Name of mason Address Tel . NATURE OF PROPOSED WORK : ZONING INFORMATION : Construction of a new building A PLOT PLAN MUST BE PREPARED AND SUBMITTEDt _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 . Size of property �ft X ft . Existing building ( s) Size �a ft X ft . PROPOSED BUILDING AND USE : * Existing building ( s ) Use Size of new structure V a ft XjX ft Foundation-pier/slab/crawl/partial/4nug:�;1 Proposed building , distance from property line ( circle one ) Front yard ft Rear yard ft Noo of stories (habitable space a�j_ft .�_ ft * Side yard s _ , - -ft and 3 w^ Height ( grade to ridge ) 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 3 y One family dwelling Primary heating system _� r AFL * __Two family dwelling Type of fuel C �� ,� Multiple dwelling / Number of units No . of fireplaces 0 be installed_ � >r ermanent occupancy Will a wtood stove be installed?— � Transient occupancy Central Air conditioning? '`pkee Business BUILDING STYLE, PRIMARY STRUCTURE Industrial Other Ranch �_ Cti ntem or Log cabin If addition , what will use be? Raised ranch Mansion Duplex Split level Old style Bungalow Cape Cod Cottage Other '" ACCESSORY BUILDING- Colonial Row Town House Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE } Attached garage/one car/ wo ca .2 ___ car * * * * * w v * * * * * * * _Private storage building ESTIMATED MARKET VALUE OF Other CONSTRUCTION INFORMATION ON BUILDING SPECIFICATIONSt 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 ed lumber be used? If so , for what ? �! Foundation wall material 4 ickness Depth of foundation below grade (to bottom of footing ) 440 y Will there be a cellar ? Heated or unheated? Floor sq. footage ,2 ",2 sq ft Will there be a basemen ? _Will any portion be used as living space? aYier ' ( If so , what portion? sq. ft . - - Type of use? Type of roof s ape flat/sed/other Material of roof Size , wood studs "X {i_ h" spacing"o . c . length . Joists ( floor beams ) lst . floor 07- "X—ZA ...,_." spacings 4 "o . c . span -ft _ Joists ( floor beams ) 2nd . floor 9 " X_,, ' spacings"'o . c . span_„, -ft . Overlays (ceiling beams ) NIX "' spacing '"o . c . span. ft . Roof rafters "'X Or spacing O . C . span ft . Roof trusses (pre-engineered)/ spacing +( "o . c . span_ -ft . Exterior wall finish Gib L - Of what material ? Interior wall finish er If a garage is to bg attached , describe materials to be used for FIRE SEPARATION : Is there to be an opening betweenjAgarage and dwelling? If so will a Fire-rated door , enclosure , and self-closing device be provided? Will a flue-lined chimney be Installed? Height ve roof ft . Depth of chimney foundation below grade K . ft . Depth of fireplace hearth-____/ ft . O'F in . Water supply - Municipa or private well SEPTIC SYSTEM _ Dis ance from ANY private well ( including adjoining properties /6 6 ft . (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury A F F I D A V I T County of Warren 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 all provisions 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 er , owner ' s _agent , a+!`ct�xrect , contractor day of I Ae 19 Notary Public , Warren County , N . Y . * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT : 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 1 eZS2 2 , Type of heat . G � e7--Ie '�- 3 , is the building mechanically cooled ? .-0 4 , Percentage of area of windows and doors A . Over 16 % Only 10 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 16 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— `. ef 36 2 . R value of exterior walls 3 . R value of glazed area �j // 4 , R value of doors /'[ / r 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 80 R value of heated basement/ cellar walls ( above grade ) 91 R value of heated basement /cellar walls ( below grade ) , 10 , Type of insulation C , Controls 11 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 /r 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 Fool Only 1 . Maximum heating Telephone No . J d l �G �' .fi /�,�62 ,4i^ Tappl ! cant ' s si�fnature ) df QeZW&t*y APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE LOCATION of PROPERTY FOR INSTALLATION Owner's Name: off- Telephone: Address: Installer's Name: r �Gcrw � _ Telephone: Number of bedrooms (residential only) .3 _ Total daily flow (compute @ 150 gal per bedroom) Topography: circle one: la Rolling Steep Slope 91i of slope Soil Nature: circle onet/ SancV Loam Clay other / Depth: feet Ground. Water: At what depth? feet Bedrc+ck or Impervious Material: At what depth? _ feet Percolation test: circle one: not require required / rate min. inch. Domestic water supply: circle one Municipa Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption 4/ feet PROPOSED SYSTEM: Septic Tank /jP OjO gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench ' ot 0 feet / Total system length A- Dd feet SEEPAGE PIT(S) : Number of / Size each feet by feet Size of stone to be used # _ _ / Depth or Thickness _ � Z feet IMPORTANT Please...LIST NEW EQU PMENT TO BE INSTALLED * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * (over) Section II 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 Z.) 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 $254.00. C. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D* Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. I have read the regulations above and agree to abide by these and all requirements of the Torun of Queensbury Sanitary Sewage Disposal C)tdinance. Signature of responsible person: Hate: _/ZZGZ r Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New 'York 12801 (518) 792-5832 SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . A GOOD. PLACE TO LIVE TOWN OF QUEENSSURY ' ' I 23UXLDXNG AND CODES DEPARTMENT BAY & HAVILAND ROADS C UEEIV.SBURY, NEW YORK 128 01 TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REf?U Is R INSPRCTION RECE, VHD !NAME LOCATION DATE /Q,I /dp�• PERMST # F7~ APPROVED F002'ING/PIERS YES NO Mo2vOL-T2TRIC POUR RMS FOUNDATION/Damp-p FING y_ BACKFILL APPROVAL ROUGH PLUMBING --.. FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING K.FINAL INSPECTION: CHIMNEY H9.r4G'HT ROOFING SIDING EXTERNAL PORCHE /STEPS STAIRS-CLEARAN & RAILS ' PLUMBING FIX ES/RELIEF VATi~- VE -rXTRRIOR TRI PRIVACY DOORS FINISHED F RS GARAGE FIRE ROOFING t^"f DOOR CLOSE (,S) SMOKE DE T TORS FINAL ELEC ICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE' OF O$�"AINED FROM THE BUI OCCUPANCY ,MUST BE THESE' PRRMISRS ARE OC�p EDVG IJEPARTMENT BEFORE RE'Mr'!RIGS r Tim) [LA!�r Vp kl. . �-relc et NSPECTOR o7l 4000532 THE NEW YORK BOARD OF FIRE UNDERWRITERS Ft,t BUREAU OF ELECTRICITY 41 STATE STREET, ALBANY, NEW YORK 12207 AI .'E1L'It LTBt ► 1988 Application No. onfile [] THIS CERTIFIES THAT 007399 / 88 A 7 I ? � 7 only the electrical equipment we described below quad iastred"ced by the alpplicang named on the eboae apapaceptsan number &a she pnernieen of Ivan Gresgori.e Pinion PineGiens Trans , New York in the following location, 2 Basement lag Ff. I�f_2nd FT. out s Ide Section Block Lot 9 wan examined on and found to be in compliance with the requirements of this Board. FIXTURE OUTLETS RECEPTACLES SWITCHES FIX Fines IS RES R/►N6E5 CDCWIN DECKS OVENS DISK WASHERS EXHAUST FANSIMCA ENT MDESCEW FLJ0ftR$ MAI K. W. AMT. K_ W. AMT_ K.W. AMr, K. W, AMT. M. F. 23 36 29 21 2 3 fr DRYERS FURNACE MOTORS FUTURE APPUAHCE IE112IRRS 51ECIAL REC•FF TIME CWCKS SM UNIT HEATERS MULTI-OUTLET p AMT. K. W. OIL M_ V OAS H. F, NO. A. AMr. AAW AMT, Amps. TRANS. AMr. H. F. SYSTEMS IIII OP INET AMT. WATTS 1 SERVXX piSCONNECT mum o S E R �^ V 1 C E AlNT. AAV+, TM ' 1 Xyv Z 1 X 9W 3 X 8hV 3 X IW - PER +,COND. OF CC COND. FMJ. ce M AEG OF W, G. Mo. OF NEUTRALS OF 1iEUr1I'Al 1 200 cb 1 x 4 / 0 2 / 0 OTHER APPARATUS: 3 _g fc i 1 -smoke detector '..t' ar=1 W , Corhouse 11. Potter Rd . Gansevoort e NY 12831 239 BRANCH MANAGER Per This Certificate must not be altered in any manner; return to the office of the Board if incorrect, Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. TEAS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ©tun t]� �iteen .i�urc�I BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D, 1 Box 88 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCATION DATE / PERMIT SOIL TYPE - and Loam - Clay -_ Percolation Tes Required? YES - NO Percolation rate - Min/Inch _ ,f TYPE of SYSTEM: Absorption f ld , total lengt Length of eac trench ,n2 Af Depth of trenc es r Size of gravel_ SEEPAGE PITS{N er of) Size- ft . X ft. Gravel size PIPING : rize Type Bldg . to tank " tpllrC Tank to rust. box _ - .Ady . „ Dist. box to field/ t yrK w Openings sealed? YE NO Partial LOCATION/SEPARAT ONS : Foundation to t k / ft. Foundation to sorption ft. Absorption to at line f Separation of pits ft. LOCATION OF STEM ON PROPE TY (Circle one) Fran - Rear - Left side - side - COMMENTS SYSTEM USE APPROVED YE Buftd g Inspector 01/86 and vl ..Jouiri o Queer" s urry BUILDING and ZONING DEPARTMENT Bay and Havifand Road, R.D. 1 Box 98 �F dueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME ,�J LOCATION Date' (a / Permit Nom ! A l ✓ APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Ve er Rough Plumb ng - __ Relief Valve Ext . Porches Finished Floo Interior Trim Stairs & Railing Cellar Drain Tile Concrete Floors Plbg , Fixtures Gar _ Fireproofing Door Closers Smoke Detectors- Chipiney 4jiffULATION : Foundation Floors Walls Ceiling FINAL ELECTR CAL INSPECTION DRIVEWAY APP OVAL Final Buildi g Survey L Next schedul d inspection ( call when ready Remarks- I3uiIdl CAIrspect 6/86 and-ul BUILDING and ZONING DEPARTMENT `/ ✓ Bay and Havifand road. R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME �vds.ir LOCATION Date, Permit No _ -CL- ✓ - YESr Fo APPROVED NO ring/Pier Forms i/ I, 4 ounda tion Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough }lumping Relief Valves Ext . Porches Finished Floors Interior Trim - Stairs & Railings Cellar Drain Tile Concrete floors Plbg . Fixtures Gar . Fireproof ' g Door Cliase'rs Smoke Detec to s Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELE RICAL INSPECTION DRIVEWAY A PROVAL Final Btail ing Survey Next scheduled inspection (call when ready ) Remarks- - i Bu ' lding Irnsp for Ei/E3F, and - VI _ /ocvrr of Queens ury -1 j BU ING and ZONING DEPARTMENT ay an Haviland Road, R. D. 1 Box 98 /p ensbury, New York 12801 U i LD I NG INSPECTOR ' S REPORT NAME G .. "..,. LOCATION ,� J G')�c / / .G' Datevt / Permit No , - ✓ = APPROVED - NO �Footing/Pier Forms Foundation waterproofing Backfill Framing Roofing Siding Masonry Venee Rough Plumbin Relief Valves Ext . Porches Finished Floors Interior 'Prim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar _ Fireproofing Door Closers Smoke Detectors Chimney INSULATION Foundation Floors. walls Ce i 1 i n<1 FINAL r:LLCTR CAL INSPECTTDN DRIVEWAY APPROVAL Final BiI i lding Survey Next scheduled inspection ( call when ready ) Remarks Building Vnspector 6/86 and -vl. BUILDING DEFT. COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF RE UNDERWRITERS. LE THIS COPY WITH BUILDING DE PT. WHEN REQUIRED� TEMP- • DATE Jre t CITY OR TOWNSHIP COUNTY VILLAGE STREET AND NO.OR POLE NO. ROAD AND POLE NO. BETWEEN WHAT TWO GROSS STREETS IS SECTION BLOCK LOT PR MUSE TED? OCCiRANT OCCUPANCY NO _ OCCUPANCY OWINER"S 19 G- f 4�l {rC.r TEL. # '#I ter AND ADD K" / con ENT SUPPLIED FROM THEIR � OFFICE BY DEFECTS BUILDING IlyGRK IS EW OLD © IS NEW ® ADDITIONAL O REMOVED LIST BELOW ALL. EQUIPMENT WHICH YOU INSTALLED No. of Fixtuara i1 BRANCX OFFICE USE NUMBER OF OU m TLETS Lap Raoeptaelep MOTORS XEATE RS CIRCUITS ONLY Loee SWIM Attow* INSPECTION CeiinE W11m ReogPhs Sw+Kh Pemlellt Bracket Na. Type Each Np. Eadp No. Gpeppe Oast side Sn4 be" aaepat Iat FL 2wtd FBI Sall FI_ REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THfS SPACE, This appliiatipn is intended c w tt+a abGve-Inta'd egtupment to he inspected but iI at time of inspection [hare is found addiiiafil egnipman( net above listed, you ere au them Mad to ake the inspection and adjust the I" to cor the additional aquipanant, m praeided by the applicant. m er ELECTRIC SIGN TOTAL ` 5tZ LAMPS WATTS INS FEEDERS MA CHARACTER EXPOSED GAS TUBE SIGN VA OF WORK CONCEALED TRANSFORMERS OF {NUMB E R i {CAPACITY F WORK TO BE COMPLETED SIZE OF SIGN SYARTIED SERVICE OVERHEAD UNDERGROUND MAKER ENTERS OF SIGN ILDUIK INSPECTION REQUESTED ON OR AS NEAR AS NEW � OLD POSSIBLE ,,,r AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES DATE OF ra1f.f fI MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION T---'! PRINT NA1W�R AND ADDRESS SIGNATURE / '.r NAME OF f }""�? (rf 0 / j' Q ♦ L+O 7"7 S,� �+"l �OP APPLICANT APPLICANT�-+✓ TELEPHONE er [" 1 STREET ADDRESS YIP LICENSE NO- CITY OR COST OFFICE ry CODA �+3 WHEN APPLICABLE is a � {Rev. t/ael A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING r gGSs � � w () lit 15V rae0 .ti