Loading...
1987-712 i CERTIFICATE OF CCUP ii ! CY . . . TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date CZ-3 19 411 yl This is to certify that work requested to be done as, shown by Permit No. has been completed. V.1 6v AXK)b This structure Of T Vo E'{=Lfl[1!1 ;J�,�re .w L n t7 Ef! s..oeation 2. 2 Ll LZ-abMhFaAhe Queen Victoria ' s Brant nook i I tt Chvner Bi I tiers By Order Town Board i TOWN OF QUEENSBURY Building & Zoning inspector C IRL+ITIVC "lN ST h" PRINT5e10, 0"MS ih44S. N 'M 12*01 � ftle his].isli BUILDING PERMIT TOWN OF QUEENSBURY No. 87-712 � WARREN COLINTY, NEW YOR K Queen Victoria ' s Grant PERMISSION is hereby granted to OWNER of property located at 22 Elizabeth Lane Street, Road ar Ave, in the Town of Clusensbury, To Construct or place a } of Two 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 Queenshury Building and Zoning Ordinance. 0 F2. 'C7ONTROACTOR I RS Address is Guyer Builders Inc . � 119 Dunning St . Ballston Spa , N . Y . 12020 f r7 0 n or BUI LbER S Name Same p= m ri 3.7ARCHITECTOS RACTOR or BUILDER'S Address rT 4. Name N N CrJ 1� W 5. ARCHITECT'S Address tq v' ro e-r or 6. TYPE of Construction — (Please indicate by X) W 0 Y� t7 ( A Woos! Frame ( ) Masonry I 1 Steel ( 1 r7. PLANS arrd Specifiostiorr.allo. 32 ' x. 37 ' per plot plan , specifications and application including septic system , attached one car garage and driveway permit . roposed Use MODEL C o of Two Family Dwelling r3 Ea X5 . 00 C /O $ 75 * 00 PERMIT FEE PAILS — THIS PERMIT EXPIRES Mai' 1 * 19 $$ w (if a longer period is required an application for an extension must loe made to the Building and Zoning inspector of the ''^d town of Queensburybefore the expiration date.) t=j SD 22nd October 19 $� Dated at the Town of Oueensbury this Day of SIGNED BY ��� for the Town of Oueensbury Zoe 9�f4 Building and Zoning Inspector Application No . moo o vlt -O/ ' ateesaJi"rety Permit Issued 19 !) BUIL04NG and ZONING DEPARTMENT Permit Expires lg Bay and Haviiand Road, R.O. 1 Box 98 Zoning Designation_ i u OCT 2 � 1987 i- Oueensbury, New York 12801 Variance No . Site Plan view No . -- , _ s�E P i " f :. rA, Approved �' /� ,7 P eo %D' 4U' �/ APPLICATION FOR �� U � � IvV BUILDING AND Z©N I NG PERM I T A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLOWING . The undersigned hereby applies for a Building Permit to do the fallowing 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 : Gu er Builders Inc . Poo. Address 119 Dunning Street Ballston Spa , New York 12020 Tel ( 518) 899-9161 Property Location : 22 Elizabeth Lane Tax Map N0 .121 / Ls4l 2 Street number or building lot number Subdivision name (if applicable) Queen Victoria ' s Grant THE PERSON .RESPONSIBLE FOR SUPERVISION OF WORK- AS REGARDS BUILDING CODES IS : Richard H. Guyer III ( 518) 899-9161 Name P. O. Address Tel . No . Nance of builder Guyer Builders , Inc •Address 119 Dunning Street mole '( 516) 899-9161 Name of plumberGuyer rs , InCeAddress ILV DunnIngree Tel . Name of mason yer Bmlclersp n Address g roe Tel . 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. (no change to exterior dimensions) * whether existing or proposed and indicate all Other work (describe) set-}sack 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 REQUIIREDTELw • 100t peen P t x 120 ft . Size of property — NIA ft " Existing buildings ) Size ft X el U PROPOSED BUILDING AND USE : oaf = * Existing building ( s ) Use N/A size of new strut a 32 ft x 37 ft Foundation-pier slab crawl/partial/full * Proposed building , sdeiestpontepf Property line lan castle one ) * Front yard 30+ ft Rear yard 30+ ft Nos of stories (habitable space) 2 Side yards — ft and 15+ ft Height (grade to ridge) 21 ' - 6" ft . * If on corners ser]aack from side street ft If res3.dential , now of families of 2 OCCUPAMI[:Y INFORMATION of rooms (excluding baths) of bedrooms 2 No . * PRiMARY BUILDING - N�p" of bathrooms one familydwelling r P$imary heating system Se ar a ectri.c* -Two family dwelling This �u � T of fuel, _ Electrrcity* �, Multiple dwelling / Number of units N . of fireplaces to be installed * permanent occupancy Willa wood stove be installed? * Transient occupancy Central Air conditioning? No Business 4 * BUILDING STYLE, PRIMARY STRUCTURE * Industrial * rather Ranch Contemporary Lo cabin * If addition , what will use be? Raised ranch Mansion Duple Split level Old style Bungalow Cape Cod Cottage Other * ACCESSORY BUILDING- d. Town House * Detached garage/one car/ two car/ Cox Colonial Row one car Attached garage/one car/ two car/ ( CIRCLE ONE PLEASE } _ Is ,r * * * Is * * Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION DWORMATION ON • BUILDING SPECIFICATIONS ON REVERSE SIDE OF THIS SHEETR To BE COMpLETEDI Form SPA 4/66 and-vl BUILDING PERMIT APPLICATION CONTINUED BUILDING SPECIFICATIONS : Type of construction , wood frame, fire safe , etc , woad frame Will any second-hand or ungraded lumber be used? If so, for what ? 30 Foundation wall material concrete block Thickness 8to Depth of foundation below grade (to bottom of footing) " 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 goIr ' agwft , , Type of use? Type of roof - sloped lat/shed/other Material of roof Fi r ass s ess Site, wood studs "X 6 '" spacing 24 "o , c . length 8 ft, exterior walls Joists ( B e ( floor battrs ) lst . floor N/A ,Fx 11 spacing "'o . c . span N/A ft . Joists ( floor beams) 2nd , floor Z "X' "IQ`", s acing �"o . c , span=' -f�'t , Overlays (ceiling beams ) 2 '"x •" spacing L'+ iso . c , span 16 fto Roof rafters 2 "'x 1 "' spacing 24 o . c . spa a ' --3'1-t . Roof trusses (pre-engineered) spacing 2 "o . c . span N/A ft . Exterior wall finish stained Of what material? 5/8"' x 4 ' x 8 ' texture 111 Interior wall finish pain s etrock If a garage is to be attached , describe materials to be- used for FIRE SEPARATION ; 1 /2" type "X" sheetrock Is there to be an opening between garage -4and 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 N7A ft . " Depth of chimney foundation below grade N A ft , Depth of fireplace hearth N A ft . in . Water supply - Municipal or private well municipal SEPTIC SYSTEM Distance from ANY private well ( including adjoining properties ft . {A separate application is necessary for an re air or new installation of septic system) See S . P, E, D. S , pert nit # 026252e Town of A F F I D A V I T STATE OF NEW YORK ry Warren County off Warren = 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 , ��9'/� $WO1iN TO BEFORE ME THIS Signature G �-*�_r-� ___� _ Owner, owner ' a s " - day of 19 $'► g , arenicect, contractor ELIZABETH K. LANDRY ! Notary Public, State of New York F No. 4862001 >aTotar lic Warren County, N , Ouallfied in Saratoga County Y Commission Expires ,tune 16, 19-W s yr +r yr --i ik +k tlr _ ♦ * : t s y► yt * rr rr r�r yr ,s rt ! srr tt : �r : • tr sr �e * 9r w yr rt : s yt t �r �r # SPECTA4; CONDITIONS OF THE PERMIT ; 975 Square feet living 264 Square foot garage - one stall 1239 @ $7 . 00/100" or part of 5 , 00 One stall garage $5 , 00 C/O permit Total TOWN OF QUEENSSURY 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. , &XgWER ALL of the following & 40 Gross floor area 975 S • F • 2 . Type of heat Baseboard electric 3 . Isthe building mechanically cooled ? Na 4 . Percentage of area of windows and doors 11 . 1% 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 16k Only 1 . R value of roof and floors exposed to ambient conditions,,,,,_ R-38 2 . R value of exterior walls IpfM R . 23 . 5 U* =0„ 04 3 . R value of glazed area U=O . 30 4 . R value of doors R-14 . 9 (U* =0 * 60) L 5 „ R value of floors over unheated spaces A79 6 . R value Of slab edge insulation - unheated slab - N/A T . R value of slab insulation - heated slab 12 • 5 8 . R value of heated basement./ cellar walls ( above grade ) N/A 9 . R value of heated basement/cellar walls ( below grade ) N/1°' lam Type of insulation Fiberglass C . Controls 1 . Thermostat maximum heat setting D , Duct Systems N/A 1 . Is duct system installed in unheated spaces ? YES NO a . If YES . R value of duct installation b . . R value of duct in other areas E . pininci Insulation N/A 1. Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F . Service Water Heating 1 . Performance efficiency NIA 2 . Temperature control setting maximum . G . For Swimming Pool Only N/A 1 . Maximum heating Telephone Noe ( 518) 8991mw9161 ( appl cant ' a s ature ) Owen O APPLICAT1OH FOR SEPTIC DLSSPOSAL. PERMIT Ref : S . P . E . D . S . DATE September 23 / 87 Neunit # w York - 0202525 MC►DEL C of C/K LOCATION OF PROPERTY FOR INSTALLATION 22 Elizabeth Lane Owner's Name: Guyer Builders , Inc . Telephoner ( 518) 899-9161 Address: �_.. 119 Duruaring Street , Ballston spa , New York 12020 Installer's Name: 'Guyer Builders , Inc Telephone: ( 518) 899-9161 2 A, C , E , 11 J , K, L, M Number of bedrooms (residential only) 2 3 F , G , H Total daily flow (compute C 150 gal per bedroom) 300 Topography: circle one: Flat Rolling Steep Slope 96 of slope Son Nature: circle over Sand Loam Clay Other / Depth: 8 ' feet + Cmound Water: At what depth? ►,nknown 8 feet + Bed:rowck. or Impervious Material: At what depth? unknown feet Pwrcolatioo test: circle one: not require required / rate min. inch. Xknueastic rater supply: circle one: Municipal Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption N/A feet * PROPOSED SYSTEM: Septic Tank gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench N/A feet / Total system length N/A feet * SEEPAGE PIT(S): Number of / Size each feet by feet ` * Size of stone to be used # / Depth or Thickness feet IMPORTANT * See S . P . E. D. S . ...Please...LIST NEW EQUIPMENT TO BE INSTALLED permit & attached ,nap , (over) Sections II SeRtic 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 propop:ed location of the system Z.) location and distance to lot litres 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 $25o.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. 1 have read the regulations above and agree to abide by these aad all requirements of the Town of Queetrsbue y Sanitary Sewage Disposal Ckdi..snce. Signature of.responsible person; Date: L 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 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 41 STATE STREET, ALBANY, NEW YORK 12207 Application No. an file . 1 Date THIS CERTIFIES THAT , } only the electrical eq=ipnLent an described helase end Introduced b applicant[ named an the abave 094*Uerstie"n number in the premises of in [hefollowirt,g location: 0 Baseme nt lst Section { Bfacle lot tram examined on T r, I. ; and found to be in compliance with the requirements of this $card. iURE FIXTURES HOPES COCKING DECtiS OVENS DISH WASHERS EXHAUST FANS pxRxTLETS ACIES SWITCHES INCANPtECtNT PLTYPtt' 'thfT PTHER AMT- K. W. AMT. K. W. AMT- K-w- MAT. K.YW. DRYERS FURNACE MOTORS' PItTURR APPLIANCE FEEDERS SPECIAL REC'FT TIMIE CLOCKSL UPNT HEATERS tltkN►TI OUTLET WMYMERS sYSTEMIS AIAT WATTS AMT. K. W. OIL M. P. GAS K P- HALT. PLO. A. W. 0- AMT. AMP. AMT. MAPS. TRANS. AMT. M. P- IITJ. OF FRET I } SERI/FCE DISCONNECT No. OF 5 E ft V 1 C E0. MISTER L+ICL LTP cc. cowo- A. w. G. �, LL'" G rra, PP IJEI/TRA1.S A. W. nt AMT. AIM. TTPE 1 /I T1M 1 X 9M1V S X SLN 3 X AW p A. Or CC. Call HO. CF HI-LEG on IA•LEC. aP MEifttAK EotIRP. OTHER APPARATUS: FL' IT ik { fi! T- ` •r' ' I ?_ BRANCH MANAGER This certificate must not be altered in any manner: return to the offices of the board if incorrect. Inspectors may be identified by their Cr COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. iTp. LL ' awn a/ Q,rseensure BUILE)ING and ZONING DEPARTMENT to ` Ray and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date h�' r�G7? 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 . 'Fireproof! Door Closers Smoke Detecto . Chimney IN SU LAT I OPT Foundation Floors Walls Ceilin FINAL ELECTRICAL INSPECTION_ _ DRIVEWAY APPROVAL Final Building Survey_ Next scheduled inspection ( call when ready ) Remarks- 1 g Inspec or 6/8+6 and-vl >T t _ ."dr e o/ Queej"'JA "ry W BUILDING and ZONING DEPARTMENT t! Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 t BUILDING INSPECTOR ' S REPORT NAME LOCATION Date/ Permit No . ✓ APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Halves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofi Door Closers lr'' Smoke Detecto s Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELEC RICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey „ Next scheduled inspection (call when ready ) Remarks- Buillaing Inspector 6/86 and-vl ._.J'Cr uv►� G►� �te ee rt s 6 u rr�r BUILDING and ZONING DEPARTMENT Bay and Havifand road, R. D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME 0. Yc o LOCAT I ON jgjg i 5 J g _ .- i "► + DATE f _ PERMIT NO , zz / SOIL TYPE - San - Loam - Clay - r Percolation Test Required? YES NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption fief , total leng Length of each rench Depth of trench s Size of gravel_ SEEPAGE PITS#N ex of) Size- _�ft. X _ f Gravel size -Xt PIPING : Size Type Bldg . to tank '�/�- Py G Tank to dist. box Dist_ box to fief / i lyef j•c.'C,�. Openings sealed? YE NO Partial LOCATION/SEPARA IONS : eoo"Foundation to t k ftv foundation to sorption ft . Absorption to 1 t line t . Separation of pots t. LOCATION OF SYS EM ON FROPERTY circle one ) Front Rear - ft side - Rig t side -• COMMENT SYSTEM USE APPROVED YES NO B ildin nspector 01/86 and vl BUILDING a d�ZONING� DEPARTMENT ✓ Bay and Haviland Road, Rt D- 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION 4�7 � i?aLe � " Permit No . ✓ = - Footing/pier Forms APPROVED Y NO Foundation Waterproofing Sac}cfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Rall ' ngs Cellar Drain ile Concrete F1 ors _.. Pl,bg . Fixt es Gar _ Fire oofing Door C.los rs Smoke De ectors Chi ' ey 4L- 3Suli.A ON : Founda ion Floor walls C e i I i eI FINAI, ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( call when ready ) Remarks- i I Buii ding T'nspector G/86 and-vl C 'e c� _7.0.1 a/ Queen 's urtf BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D, 1 Box 98 Clueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME � - LOCATION Date Permit No . ✓ APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Baokfill 4,-F*�r'aming Roofing Siding Masonry Venee �gh Iylumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbcl . Fixtures Gar . Fi .reproofin Door Closers Smoke Detectors Chimney. INSULATION - Foundation— Walls Ce it incl FINAL ELLCTRICAL INSPECTION DRIVEWAY APPROVAL Final Bxailding Survey Next scheduled inspection ( call when ready ) Remarks- i fiui'lding Inspecto (a/86 and-vl IQ BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Sox 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date // /J / &7- Permit No . _���c'�' ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Parches Finished F1©ors Interior Trim Stairs & Railings Cellar Drain Tile Floors _y_ > Plbg . Fixtures Gar . Fireproofing _�, Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Wails Ceiling FINAL E1APROVAL CAL INSPECTION DRIVEWA Finial Bg Survey Next scheduled inspection 7(-cull when ready ) Remarks- I f� �! LA7-C ()Aj - )2,fir-' Plu- .i A4f�T`15. 6- - I o 143 Bang Inspec r 6/86 and-vl C.C.S..-C_C�e.�-•c' �' ,� — f �?. 7 - �'' �--c...,. awn o/ Queee" J iury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, JR, D, 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME + f LOC +ALT I O Date / '2 E:rmit No ,.^ If Z- w * ✓ = APPROVED - YES NO Footing/Pier Forms Foundation waterproofing Backfill Framing Roofing SidingMasonry Veneer cl3ou4 P7 Lmkai Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors g Plb . Fixtures Gar . Fireproof ' g Door Closers Smoke Detect o s Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready ) Remarks- 164 Buil ing Inspector 6/86 and-vl BUILDING and ZONING DEPARTMENT Bay and Haviland Road. R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME ram. LOCATION f� Date f _._ Permit Ncr . - r ✓ - APPROVED - YES NO Footing/Pier Forms Foundation waterproofing Backf ill Framing Roof ing Siding sonry Veneer. _ ugh plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings �r Drain Tile Ap ncrete Floors g . Fixtures Gar . Fireproofi g Door Closers Smoke Detecto Chimney INSULATION : Foundation Floors walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready ) Remarks- Building Inspector 6/86 and-vl � 20w4" D/ Que@rt3hUPY BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R- D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date � , 77 / � Permit No . Xi� � APPROVED - Y NO oting/Pier Forms Foundation waterproofing Backfill Framing Roofing Siding Masonry Veneew Rough Plumbin Relief Valves Ext . 1�orches Finished Floors i Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers. Smoke Detectors Chimney INSULATION - Foundation- Floors Walls Ceiling FINAL ELECT ICAL INSPECTION DRIVEWAY Al OVAL Final Building Survey Next scheduled inspection ( call wizen ready ) Remarks~ s A(eyy� 2 la/p: Building Inspector 6/86 and-vl awn o/ Queenigury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME a ►-G2 �"i f JZ LOCATION z Date/ S7 Perrait No . ' 1I 9 r = APPROVED - YES Footing/Pier Form_ NJ Foundation 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 . Fireproof ' g Door Closers Smoke Detecto Chimney INSUTAATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( call when ready Remarks- Building Inspector 6/86 and-vl BUILDING DEPT, COPY OF APPLICATION FORM 464EL, NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED. F. I1 DATE / CITY ORG Quee„m�,��,..]y.ery VILLAGE 'yis4�•4^'l.saw.rtisaJ � STREET AND NO, OR lime TOWNSHIP COUNTY Warren ROAD AND POLE NO, #22 El-- � th lime BETWEEN WHAT TWO CROSS STREETS is � PREMISES LOCATED? SECTION i BLOCK t LOT OCCUPANTS NAME BUILDING OWNER'S NAME ,,y,., ��'l�.�,..`�, �F 7 OCCUPANCY . : - ydr. AND ADDRESS Guyer bA lde�ra, In co 0 119 �l U DuT7R� Street SUPPLIED BY BUILDING FROM THEIR _ OFFICE DEFECTS IS NEW 1 OLD ❑ IWORK NEW ® ADDITIONAL 0 REMOVE LIST BELOW ALL EQUIPMENT WHICH YOU INSrTALLEd NUMBER OF OUTLETS No. of Flx7ufrr & BRANCH Loa- Grasp Rasaptaclat MOTORS HEATERS CIRCUITS OFFICE USE tion ONLY Coiling W'ow Racw4"t Switeb Few ant Braekat No_ T H.P• Warta A.W,O. all Raotp"N Y'pa Each Na. Each No. Gatlya INSPECTION Out- $low Sutra Baer mstsR lot Ft. 2nd Fl. 8rd Fl. REMARKS: LIST OTHER ELECTRICAL DIE VICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. This aPPlication is intended to co"t the altnnra-}istad equipineat to Ise irypactad but if at timr of i++aPcetian prate is found arlditianN equipment not above listed, you are authorized to make Ma inspection and adjust the Tea to cover the additional equipment, on provided by the applicant. SIZE OF MAINS 150 1 MP& FEEDERS ELECTRIC SIGN TOTAL LAMPS WATTS CHARACTER ��_A}m y_,__. Y� JLCe EXPOSED GAS TUBE SIGN OF WORK �rL�sa �i. Gi#i CONCEALED TRANSFORMERS OF VA WORK TO BE [NtfMBERi STARTED COMPLETED SIZE OF SIGN (CAPACITY} SERVICE OVERHEAD U GROUND ENTERS MAKER 9UiL ENTERS OF SIGN INSPECTION REQUESTED PON OR AS OSSIBLE NEAR AS 1!J 1 W .I1 _ _ y .. �$�„1. when KpAyly NEW � OLD Q AVOID DELAY BY GI VING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS NAME OF 7c�ar,. APPLICANT Builders, Asx,,. OF APPLICATION ,-L@m . =sal _ 7 STREET ADDRESS 119 Street TELEPHONE 899�9161 CITY OR �.StOn ,New York ZIP �j�r�� LICENSE NO. POST QFFICE CODEAIAJfdF,/ WHEN APPLICABLE 46 EL- in". 1/e6} A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING