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1989-226 CERTIFICATE OF OCCUPA►NC iL I TOWN OF QUEENSBURY ! I I WARREN COUNTY, NEWT YORK i Date A uLrust 8 19 I ' I 'I This is to certify that work requested to be dame sr sl+c+wns by Permit Nu. 89- 225 j ham been completed. i a Two Farm 1y This structure tray be neeupied as a -- 1 Location i Guyer Builders-Queen Yic6atia ` s Grant CNvner By Order Town Board I '4 TOWN OF QUEENSBURY { `Ye Director of Bldg. & 'Code Enforcement �I 4 _ = �- BUILDING PERMIT A TOWN OF QUEENSBURY Na. s -2 6 WARREN COUNTY, NEW YORK r ry . r PERMISSION is hereby granted to f1iiFFii VTi`T17RIA"S 6ii'�1hiT f�YER—Rilil nicne _ 1' fV OWNER of property located at Street, Road or Ave. V rva in the Town of Queensbury, To Construct or place a _ As A Tien EMILY 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. F2. CONTRACTOS NER'S Address is is Dunning Street M lston Spa , K . Y . 12020 s or BUI LITER'S Name C'7 SELF r4, CONTRACTOR or BUILDER'S Address CA AMARCHITECT'S Name S. ARCHITECT'S Address Grp M R1 6- TYPE of Construction — (Please indicate by XI Pn ±x XXI wood Frame l 1 Masonry ( } Steel 7, PLANS and Specifications No. 31 ' x 46 ' S " a two farm 1 y as per plot plan , sped fi cations , and application , including septic electric-MDI , and driveways and attached ne 1'n 8_ Proposed Use e . k A Two Family 25000 c/o PERMIT FEE PAIL] — THIS PERMIT EXPIRES No tenlher T (if a longer period is required an appl ication for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) C Dated at the Town of Queensbury this 8 h aaY of April CSC CGr r for the Town of Queensbury r SIGNED BY fs Building and Zoning inspector TO BE COMPLETED BY BLDG . DFWT . C�-•^��/ ,// Application No . .JDI+VIi LI iRftdElwtt►•+� Permit IssuedlIll 19 "FOWN OF QUEE,NSSuny BUILDING and ZONINGDEPARTMENT Permit Expires 19 FiECCIVE! Say and Haviland Road, R.D. 1 Box 98 Zoning Designation Oueensbury, New York 12801 Variance No . APR " ' I c c' IL Z Site Plan Review No .� — 2 + " Approved b DLDG, CODE DEFT APPLICATION FOR ' ` r 2 5 C BU I l.D I NG AND ZONING PERMIT 0 0 W * a * * 0 • * a * NO iF a NO iF NO iF NO 10 NO O r 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 spacial conditions as may be indicated on the Fermis The owner of this property is : Guyer Builders Inc . ( 518) 899-9161 P. O. Address 119 Dunning Street Ballston Spa , New York 12020 Tel . Prop�arty Location : 2 $ G? L]e*: %J *4 Ar?L%{ j>a4 4L Tax Map No . Street number or building lot number Subdivision name (if applicable) 'Queen Victoria ' s Grant THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK A5 REGARDS BUILDING CODES 899-9181 Richard H . Guyer III 144__ R!►J u1G Na Tel . No * Name P . O . Address Guyer Builders , Inc .Address 119 Duna-i.ng Street Tel . ( 518) 899-9161 Mime of builder ng ree Tel . U&I of plumber yer` i rs , nc .Address Name of ason yer rs , nC .Address g ree Tel . m NATURE OF PROPOSED WORK : * ZONING INFORMATION : X 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 , omommWIFIIIIIIIIIIIIII"Mo (no change to exterior dimensions) * whether existing or proposed and indicate all Other work {describe) _ NO set-back dimensions from property lines . Give * street and number or lot number and indicate * whether interior or corner lot . Show location FOR DEMOLITION PERMI'P , STATE SIZE AND * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED. * of septic disposal area . * * COMPLETE INFORMATION REQUIRED BELOWe * size of property 100# plan lft x 120 ft . * Existing buildings) Size ft x'- NIA^ft . PROPOSED BUILDING AND USE : olfl * Existing building ( s ) Use NIA 1 w Size of new struc a _ft ?C "+` E• ft 1►oundation-pier slab crawl/partial/full * Proposed buildisag , sdestpront par om property line c rcle one ) * Front yard 30+ ft hear yard 3(}+ ft Now of stories (habitable space) � Side yards + ft and 15+ ft Height ( grade to ridge) 1°��- � ft • if on corner , setback from side street ft If residential, no, of families of 2 * OCCUPANCY INFORMATION No , of rooms ( excluding baths ) 5 No. of bedrooms � * PRIMARY BUILDING - Mo. of bathrooms 1 one family dwelling e r Primary heating system se ar a eCtric* ��Two family dwellingonessPlt e Type of fuel ElectriUc tY � * Multiple dwelling / Number of units_ No* of fireplaces to be installed _ * Permanent occupancy Will a wood stove be installed? No * Transient occupancy Central Air conditioning?IIIIIIII, * Business BUILDING STYLE, PRIVAiRY STRUCTURE * Industrial * Other Ranch contemporary Lo cabin if addition, what will use be? Raised ranch Mansion Duple Split level Old style Bungalow * ACCESSORY BUILDING- Cape Cod Cottage Other car Town house * Detached garage/one car/ two car/ Colonial Row one car Attached garage/one car/ two car/ { CIRCLE ONE PLEASE } * �- * Private storage building ESTIMATED MARKET VALUE OF * Other w CONSTRUCTION INFORMATION ON BUILDING SPECIFI+CATIONSr ON REVERSE SIDE OF THIS SHEET , TO BE cOMPLETEDI Form BPA 4/66 and-vl WILDING PERMIT APPLICATION CONTINUED - ~ BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe etc . wood frame Will any second-hand or ungraded lumber be used? If so, for what ? no Foundation wall material concrete block Thickness 8" Depth of foundation below grade (to bottom of footing ) 41314 minimum Will there be a cellar? no Heated or unheated? Floor sq. footage sq ft Will there be a basement? no will any portion be used as living space? ( If so , what porgy, sq. ft . - - Type of use? Type of roof - sloped lat/shed/other Material of- roo—fFiberglass ighlingles Size , wood studs "X 6 " ,spacing 24 "o . c . length 8 ft . exterior walls Joists ( floor beams ) lot . floor N/A "x " spacing "o . c . span ft . Joists ( floor beams) 2nd . floor "X -" s,p;acing��"o . c . span ft . Overlays (ceiling beams ) "X tospacing c4 "o . c . span ft . Roof rafters "X IN spacing 4 o . c . span ft . Roof trusses (pre-engineered} spacing 24 "o . c , span ft . Zxterior wall finish stained Of what material? 5/8" x 4 ` x 8 ' texture 111 Interior wall finish pain s trock If a garage is to be attached , describe materials to be used for FIRE SEPARATION : 1 /2" type "X" rsheetrock Is there to be an opening between garage end dwelling? yes If so will. a Fire-rated door , enclosure , and self-closing device be provided? es Will a flue-lined chimney be .installed? No Height above roof N/A ft . Depth of chimney foundation below grade N A ft . Depth of fireplace hearth N/A ft . in . Water supply - Municipal or private well MLH-Licipal SEPTIC SYSTEM _ Distance from ANY private well { including adjoining properties NTK ft . (A separate application is necessary for any re air or new installation of septic system) e See S . P . E .D . S . hrmit �i` 020252r Town of Queensbury County of Warren A F F I D A V I T STATE OF NEW YORx 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 . a SWORN TO BEFORE ME THIS Signature o4 Owner , owner ' s agdht . arcn3.cect , contractor day of 19 ory ADRIENNE J. PINOER Notary Public, State of New York ualified in Saratoga County Notary Public , County , N. Y . No. 4907592 * A * ♦ to do � *Commission Ex *Pires Out. 1*' s.* SPECIAL. CONDITIONS OF THE PERMIT : 1 `76 " APPLICATION FOR SEPTIC DISPOSAL PERMIT Ref : S . P . E.D . S . Id permit # FATS New York - 0202525 MODEL - ._ of 'S LOCATION OF PROPERTY FOR INSTALLATION 28 Queen Mary Try Guyer Builders , Inc . Telephoner ( 51$) 899-9161 Owners Names Y Addresse 119 Dunning Street , Ballston Spa , New York 12020 ( 518) 899-9161 Installer's Name: Guyer Builders , Inc Telephone: 2 A, C , E, I , is K, L, M Number of bedrooms (residential only) 7. 3 F , G , H Total daily flow (compute (W 150 gal per bedroom) _ 300 Topography: circle one: lot Rolling Steep Slope 9b of slope Soil Nature: circle one: Sand Loam Clay Other / Depth: . 8 " feet + Ground, Water: At what deptb? unknown 8 feet + bedrock or impervious Material: At what depth? unknown feet Pasr~cola►tion testy circle one; riot require required / rate min. inch. Domestic rates supplyr circle one: cipal Well Other IF domestic water supply is a Well: N/A feet Separation: Watersupply from Septic absorption * PROPOSED SYSTEM: Septic Tank gal. (minimum size: 11004 gal.) TILE FIELD: NIA Each Trench NIA feet ' / Total system length ,_ feet * SEEPAGE PIT(S): Number of / Size each feet by fe4W * Size of stone to be used / Depth or Thickness feet * " * 00 * s * * s +► I M P O FtT A N T See $ • P. E.D. S ' ...Please...LIST NEW EQUIPMBNT TO BN INSTALLED permit & attached map . (laver) 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 constructiop and shall include a plot plan showing: 1.) the propoised .location of the gystem 2.) location and distance to lot l4nes 3.) location and distance to structures 4.) location and distance to any ,i fitter 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 $250.000 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. l have read the regulations above and agree to abide by these and all requis•snents of the Town of Queensbury Sanitary Sewagic Disposal Oti{in once. i s Signature of.responsible person, Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12901 (518) 79Z- 5832 SETTLFD 1763 . - HOME 0F NATURAL 8EAUTY . . . A GOOD- PLACE TG TOWN OF QUEENSBURY 1F3VILDIHAVI VS PARTMENT [ / RAY 6 LAND ROADS YORK 1280k TELEPHONE (E . 518) 792- 5832 TE BUILDING INSPECTOR° S REPORT REQUEST FOR INSPECTION RECEI, p NAME �� Jf /✓PLC e LOCATION PERMIT #, -- '-"-- DATE � APPROVED YES NO FOOTINGfPIE S FORMS MONOLITHIC POUR FOUNDA ION/DAMP-PRooFXNG BACKBI APPROVAL ROUGH P UMBING FRAMING ,ELECTRIC ROUGx-IN INSULATIO FOUNDATI FLOORS WALLS CEILING ./'FINAL INSPECT N= CHIMNEY HEIG ROOFING SIDING EXTERNAL PORCHE STEPSSTAIRS-CLEARANCE r S VA dam. PLUMBING FIXTURES Y DOORS VA INTERIOR TRIM/PRIV FINISHED FLOORS. GARAGE FIREPROOFING DOOR CLOSER (S1r S - SMOKE DETECT �- FINAL ELECTRIC L INSPECTION OF CONSTRUOTIO FINAL APPR OVA 3 f A SIGNED CE TIFICATE OF OCCUPANCY T RE OBTAINED F M THE BUILDING DEPARTMEN BEFORE THESE PREIWYSES ARE OCCUPIED! Jill REMARKS = � ! CC f'!,F' j ac f c _ a ✓//` S CTOR _ Inwrr o Q"een3l "ry BUILDING and ZONING DEPARTMENT R. Bay Queensbur'Y' New YorkD128 1 98 - S;EPTIC DISPOSAL SYSTEM INSPECTION 12, NAME L+DCAT I ON �'r� � r l�-L,i .� "�►-�-�=�"� PERMIT NO SOIL TYPE - Sand - Loam - Clay - _ �--- Percolat n Test Required? YES - No Peroolati rate - Min/Inch r TYPE Of SYEM � eld , total en t � Absorption Length of eatrench Depth of tren es �- size of gravel f SEEPAGE PITS4N er :Of) Size- ft' X Gravel size p IP IN3G c - B1dg , to tank Tank t4 diet . b t � i. Dist. box to fi NO Partial Openings Beale ' S I,OCATTON/SEPA TICNS = ft Foundation t tank f t . Foundation a'bsorpti f t. Absorption o lot line ft. Separation f pits Y5TEM ON PRI )4RTY (circle one) ypGATI _ -,Right side Front R r - Left side , CC*U4EWTS I 1 - `4� C2 ~ SYSTEM 'USE APPROVE #11 i30 BI Spector 01/86 and vl town o/ Queensl ure&l BUILDING and ZONING DEPARTWIENT Bay and Haviland Road, R.D. 1 Box 98 Oueensbury. New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME L0CRTION DATE PERMIT NO- + c SOIL TYPE - Sand - Loam - Clay - — Percolation Test Required? YES - No Percolation rate - Min/Inch _ TYPE Of SYSTEM: Absorption f ieldk total length Length of each trench Depth of trenches 't size of gravel SEEPAGE PITS4 e' ot) r Size- ft. X _ Gravel size S1ze4 T' PIPING - Bldg . ,�} to -t m%! ��'6 16 c 1 `-' Tank tru N Dist . box to £field/p ` No Partial openings sealed? Y ,r LOCATION/SEPARATIO" • NON £t_ Foundation to tank!Foundation to absc/Orption 4.-ft. Absorption to to line -�fit. Separation of Pi s . Ircle one) LC7CATION S EM CH PROPERTY {c4 Front - ea r eft, side - RightNside - - CCHMENT SYSTEM USE APPROVED YE No( auildin Ins ctor 01/86 and Vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY 5 HAVILAND ROADS Q¢UEENSBURY,r NEW YORK 1280k TELEPHONE (528) 792-5832 BUILDING INSPECTOR' S REPORT REL)UEST FOR INSPECTION RECEIVED_ NAME LOCATION DATE ire c !PERMIT # ,APPROVED YES NO FOOTINGIPIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP—PROOFING BACKFILL APPROVAL ROUGH PZUMBjwG FRAMING ELECTRI CAL R FT IN INSULATION: \Y FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHE /ST9P STAIRS—CLEARAN E ,G RAT --.. PLUMBING FIXT ES,IRELIEF VALVE_ !INTERIOR TRIM PRIVACY DOO}RS�� .FINISHED F RS — GARAGE FIRE OOFING DOOR CLOSER S) SMOKE DETE FINAL ELECTR CAL INSPECTION FINAL APPROV L OF CONSTRUCTION A SIGNED CER IFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS : INSPECTOR BUILDING and ZONING DEPARTMENT Bay and Haviiand Road, R. D- 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME �Q LOCATION Bate lQ 1 . .� 1 /� permit No . -j�Z ✓ APPROVE[) - YES NO Footing/Pier Forms Foundation Waterproofing Backfill gaming Roofing Siding Masonry Veneer t.R6ugh Plumbing Relief Valves Ext . Porches ' Finished Floors Interior Trim Stairs & filings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors 5 Chimney INSULATTON : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROV Final Building Survey Next scheduled inspection {call when ready } Remarks. + r 6/86 and-vl Buil ing Inspe or TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT SAY & HAVILAND ROADS "'EENSBURY, NEW YORK 12804t TELEPHONE (518) 792- 58.32 BUILDING INSPECTOR ' S REPORT .REQUEST FOR INSPECT N RECEIVED NAME.. LOCATION DATE PERMIT # Q APPROVED YES NO FOO NG/PIERS NOLZTHIC POUR FORMS FOUNDATION/DAMP-PR BACKFILZ APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ST S LN STAIRS-CLEARANCE & ILS - PLUMBZNG FIXTURES RELIEF VALVE INTERIOR TRIM/P VACY DOORS FINISHED FLOORS , ' GARAGE FIREPROOPXNG DOOR CLOSER (S) SMOKE DETECTORS FINAL, ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: VrN.SP OR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HA VTLAND ROADS QUEENSBURY, NEW YORK 12809 TELEPHONE (518) 792-5832 U I L DI NG INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION �'" r DATE PERMIT #1 r a � a. . DROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDA TTONIDAMP L�ROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—TN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT i5 ROOFING SIDING EXTERNAL PORCHESfSTEPS STAIRS~CL$ARANCE & RAILS PLUMBING FIXTUR'ESIRELTEF VALVE INTERIOR TRIMJPRIVACY DOORS FINISHED FLOODS GARAGE FIREPROOFING DOOR CLOSERS) SMOKE DETECrORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS . INSPECTOR TOWN OF QUEBNSBURY BUXLDXNG AND CODES DEPARTMENT BAY & HAVXLAND ROADS QUEENSBURY, NEW YORK 1280$. TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSP CTION RECEXVED NAME LQCATXON ��y. 'P —G .a . DATE S� -. I {� 4 �PERMXT # APPROVED YES NO FOOTXNGIPXER.S MONOL.r,THXC POUR FORMS FOUNDA' XON/DAMP-PROOFXNG BACKFX APPROVAL ROUGH P MBXNG FRAMING SLECTRXCA ROUGH-TN . LI�NSULATION. Z-. FOUNDATXO FLOORS -74 WALLS CEILXNG FXNAL INSPECT-TON. r CHXMNEY HEXGHT ROOFXNG SIDXNG EXTERNAL PORCHESI E 'S STAIRS-CLEARANCE RA S PLUMBING FXXTURE /RELX VALVE_ XNTERXOR TRIM/P XVACY S FXNXSHED FLOORS GARAGE FIREPR PING DOOR CLOSERS SMOKE DETECT S ` F'XNAL ELECTRX�'fAL TNS'PECTXON FXNAL APPROVAL OF CONSTRUCTION A SXGNED CERTXFXCATE OF OCCUPANCY MUST E OBTAINED FROM THE BUILDING DEPARTMENT B RE THESE PREMISES ARE OCCUPIED! REMARKS: XNSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES .DEPARTMENT ] a BAY & HAVILAND ROADS / ,(QUEENSBURYe NEW YORK 1280k TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INS B TION RECEIVED NAMEl LOCATION egg DATE PERMIT APPROVED YES I NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATIONIDAMP—PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROU X-IN INSULATION: FOUNDATION FLOORS WALLS CEILING f FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/S ''EPS STAIRS-CLEARANCE & AI1S PLUMBING FIXTURES/RE PEP VALVE INTERIOR TRIM/PRIVAC DOORS FINISHED FLOORS GARAGE FIREPROOFING !` DOOR CLOSERS) SMOKE DETECTORS FINAL ELECTRICAL IN$PECTION FINAL APPROVAL OF CONSTRUCTIO A SIGNER] CERTIFICATE OF OCCUPANCY "MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: INSPECTOR U.&N 11 A DV nD TATLi REFERENCE DRAWINGS: 5 SITE UTILITIES SEPTIC & WATER VanDUSEN & STEVES SURVEY PLAN 0-MODEL ROOF PLAN WILL VARY ACCORDING TO SALE, DRAWING SHOWS ONE STYLE ONLY y Y:" TOWtN OF OUEENSBURY UJAI Zoning Administrst r 26,28,30,32,34,36 QUEEN MARY DRIVE ry i PLAN �C SEPTIC SYSTEM t1YS� gUII� Inc. QV— 35 drawn: KW 4/24%$9a I e 20-0