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1987-704 CERTIFICATE OF OCCUPANCY TOWN OF +QUEENSSURY WARREN COUNTY, NEW YOq�-�'f Date September 9 e9 � x I - 9D � 3 -- user "nnvi This in to certify that work requested to be done as shown by Permit No. f J + has been completed. , --. A C) [:� . Pam 91 This structure may be oFcupied as a !- Vo ' T� j Y1..00at7o � ti ' -'i 7G ;_A t7ls L. Al l�f-I.L: (zCd(' "I: 1�7.1� is �• 1c. .7 C.1�iit, L C]wner By Order Town Sward PrOW'N OF QUEENSBURY Building & Zoning inspector t REi4ThV� "�Mlr A" �Afnn NG. GLENS rALL3. M v Nigel fl l4ilf 3-Si5• Al BUILDING PERMIT y 9z TOWN OF QUEENSBURY No 87-704 tz WARREN COUNTY, NEW YORK , C> i PERMISSION is hereby granted to Queen Victoria ' s Grant n~i r r OWNER of property located at 38 Elizabeth Lane Street, Road or Ave. in the Town of Queensbury, To Construct or place a j 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 (lueensbury Building and Zoning Ordinance. t. OWNER'S Address is Guyer Builders Inc . � 119 Dunning St . :z Ballston Spa , N . Y . 12020 a r­4 c} 2- CONTRACTOR or BUILDER'S Name Same tom, a 3 CONTRACTOR or BUILDERS Addren d. ARCHITECT'S Name ca 5, ARCHITECT'S Address oO ti7 r N• N c LY S. TYPE of Construction — (Please indicate by X) M rt ( 30 Wood Frame ( ) Masonry ( } Steel ( } t P ro 7. PLANS and Specifications MODEL E No. 32 ' x 37 ' per plot plan , specifications and application including septic system , attached one car garage and dfiveway permit $. Proposed Use } of Two Family Dwelling o w lw $5 . 00 C/O c s 96 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES May 1 , 19 88 ty E (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the r town of Queensbury before the expiration date.) r- 20th October 87 °° Dated at the Town of Queensbury this ,--y7 Day of 19 SIGNED BY "r / lt2�C k .� / � for the Town of Queensbury Building and Zoning I nspector . iV P+M rrtiN'•r aM1M1rrr � _�.�.� _ _.�_ _�] / Application N4 . - ( t � ieeerelaer� Permit Issued f, BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and HavilanJ Road, R.D. 1 Box 98 zoning Designation OCT ` ., � Queensbury, New York 12801 Variance N cl Site Pi Rev w t3o . l1iL' APPro d 9dtr P � APPLICATION FOR G BUILDING AND ZONING PERMIT it +t +► +► e * +r it +r it * +r +r +t it it r +r �► +r a +r +w +t �r �► � +r' a it ak +r * +► * +� +r �► :>�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 special conditions as may be indicated on the Permit . The owner of this property is : Guyer Builders Inc . P . O. Address 119 Ihsrming Street Ballston 'Spa , New York 12020 Tel . ( 518) 899-9161 Property Location : 38 Elizabeth Lane Tax Map No .121 ,,+ 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. Gu er 111 ( 518) 899-9161 ,Nape P. O. Address Tel . No . Name of builder Guyer Builders , Inc .Address 119 Dunning Street Tel . ( 518) 899--91L61 Name of plumber Guyer rs , c •Address ree Tel . -19 9Name of mason yer rs , C .Addres8 ng ree T81 . 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 , ft�wwwww (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 FOR DEMOLITION PERIlITe STATE SIZE AND * whether interior or corner lot . Show location of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED. * of septic disposal area . * COMPLETE INFORMATION REQUISREDp$O� - * Size of property loot plan ft x 120 ft . * Existing buildings } Sixe ft }C ^ft . Mode PROPOSED BUILDING AND USE : of * Existing building ( s ) Use __ N/A Size of new struc a 32 ft X 37 ft * Foundation-pier slab crawl/partial/full * Proposed building , distance from property line esrcle one} * see pMot plan 2 Front yard 30+ ft Rear yard 30+ ft y No * of stories (habitable space) Side ards 5+ ft and 15+ ft Height (grade to ridge) 21 ' - 6" ft . * If oncorner , setback from side street ft If residential, now of families of 2 Ho * of rooms ( excluding baths) -T OCCUPANCY INFORMATION No. of bedrooms 2 * PRIMARY BUILDING - Di4 . of bathrooms one family dwelling ThIsg�y�j Ue 'y r Primarx, 4040ating system se ar a ectiic* - Two family dwelling DSLitilL 1i�� Typ"f fuel ElectriCit * Multiple dwelling / Number of units Now of fireplaces to be installed No * Permanent occupancy Will a wood stove be installed? Transient occupancy Central Air conditioning? No � Business BUILDING STYLE., PRIMARY STRUCTURE * Industrial * Other Ranch Contemporary Lo cabin If addition , what will use be? Raised ranch Mansion Duple split level Old style Bungalow " Cake Cod Cottage Other * ACCESSORY BUILDING- colonial Raw Town House * Detached garage/one car/ two car/ car Attached garage/one car/ two car/ one car ( CIRCLE ONE PLEASE } * �_ ' Private storage building ESTIMATED MARKET VALUE OF * 'Other CONSTRUCTION INFORMATION ON . BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THI SHEETr TO BE COMPLETED ! Form SPA 4/86 md-vl MILDIN+G PERMIT APPLICATION CONTINUED i WILDING SPECIFICATIONS .TYPO Of of construction, wood frame , fire safe, etc . wood franne Will any second-hand or ungraded lumber be used? If so, for what? no Foundation wall material concrete block Thickness g" Depth of foundation below grade (to bottom of footing) " minimum Will there be a cellar? ` O Heated or unheated? Floor sqa footage ft Will there be a basement? no will any portion be used as living space? ( If so, what por ' ' sq, ft . - - Type of use? Type of roof - sloped flat/shed/other Material of roof fi rg ass s ' n_Ales Size , wood studs ".X 6 '" spacing_ 24 ",a . c . length 8 ft, exterior walls Joists ( floor beams ) 1st . floor N/A • "x " spacing "o . c _ span N/A ft . Joists ( floor beams) 2nd , floor ' 2 $9 X"-�{� 11s acing�I6"o . c . spank == to Overlays (ceiling beams ) 2 "X " spacing 24 "o . c . span 16 ft. Roof rafters 2 "X 1 " spaci g 4 o . c . s�p air �'+ ' -Ttt . Roof trusses (pre-engineered) spacing � "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 -land dwelling? yes If so will a Fire-rated door : enclosure , and sralf-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 NIA ft . Depth of fireplace hearth N A ft . in . Water supply - Municipal or private well municipal SEPTIC SYSTEM Distance from ANY private wellfincluding adjoining properties ft . (A separate application is necessary for an re air or new installation of septic system) See S . P . E . D. s . permit �# 02252 Town of Queensbury County of warren L{A F F I Q A V I T _ - -- -' STATE OF NEW YOR 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 donelon 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 withe whether specified or not, and that such work is authorized by the owner , O SWORN TO TC7 BEFORE ME THIS Signature _ Owner, wner ' s ' ag - rcnizect , contractor ,:1-4& day of FuzABETH K. LANDRY Jp Notary PuNbo, St S ate of Navy York f 01 - biotar Pub C , Warren count fit Qualified in Saratoga County y, Commission Expires June 16, 15kr SPECI;LL CONDITIONS OF THE PERMIT : 1270 Square feet living 288 square foot garage - one stall 1558 @ $7 .00/100F�l or part of �5 , 00 One stall garage $5 , QO C/O permit Total TOWN OF QUEENSBURY *+E*• 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 . AL 5WXR ALL of the following : 1 . Gross floor area 1270 S . F. 2 . Type of heat Baseboard electric 3 . Is the building mechanically cooled ? No 4 . Percentage of area of windows and doors 13 . 3Z A . Over 16e Only 10 ua 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 NQ 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 S . Type of insulation B • Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions,_ R- 38 (U. =0 . 026 ) 2 . dR value of exterior walls gQ= R-23 . 5 U . O . 04 3 . R value of glazed area U • =U • 30 4 . R value of doors R-14 . 9 (U. =0 .06) 5 . R value of floors over unheated spaces 9/A 6 . R value of slab edge insulation - unheated slab N/A 7 . R value of slab insulation - hp satedslab 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/A 100 Type of insulation Fiberglass Co Controls 10 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 . Pieing 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_ N/A 2 . Temperature control setting maximum G . For Swimming Pool Oniy 1 . Maximum heating N/A 4- / Telephone No . ( 518) 899-9161 1�} ( applicant ' s si nature ) APPLICATION FOR SEPTIC DISPOSAL PERMIT Ref : S . P . E. D. S . JDAT,g September 23 / 87 permit # MC?DEL E of New York - 0202525 LOCATION OF PROPERTY FOR INSTALLATION 38 Elizabeth Lane Owner's Name: Guyer Builders , Inc . Telephone: ( 518) 899-9161 Address: 119 Dunning Street , Ballston Spa , New York 12020 lastaller's Name: Guyer Builders , Inc Telephone** ( 518) 899-9161 2 A, C , E, I , J , K, L, M Number of bedrooms (residential only) 2 3 F, G, H Total daily flow (compute @ 150 gal per bedroom) 300 Tbpographyp circle onea Flat Rolling Steep Slope % of slope Soil Nature: circle one: Sand Loam Clay Other / Depth: 8 ' feet + Cerro nd Water: At what depth? unknown 8 feet + Bedrock or Impervious Irlaterial: At what depth? unknown feet Percolation testa circle one: not require required / rate min. inch. Domestic waiter supply: circle one: Municipal Well Other IF domestic water supply is a Wella Separation: Watersupply from Septic absorption N/A feet * PROPOSED SYSTEM: Septic Tank gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each 'Drench NIA feet / Total system length NIA feet * SEEPAGE PIT(S)a Number of / Size each feet by feet * Size of stone to be used # / Depth or Thickness feet I bd P O R T A N T * See S . P.E. D. S . ...Please...l..IST NEW EQUIPMENT TO BE INSTALLED permit & attached map (over) ti V Section II Seutic 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 Z4 hours before start of construction and shall include a plot plan showing: Is) the proposed ,location of the gystem Zs) 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 Be 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 $Z50.00. Cs An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. Ds Should unforeseen problems during construction prevent proper installation. alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further constructions I have read the regulations above and agree to abide by these and all reganarememats of the Town of Queensbury Sanitary Sewage Dixposal Ck%Uuance. Signature of.responsible person: Date: Town of Queensbury Building and Code Department Say at Haviland Road Queensbury. New York 12801 (518) 792-5832 SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD. PLACE TO LIVE 4001054 THE NEW YORK BOARD OF FIRE UNDERWRITERS to BUREAU OF ELECTRICITY 41 STATE STREET. ALBANY, NEW YORK 12207 Dote October 6 . 19 8 8 Application ,Yo. on file / 87 THIS CER'TIMES THAT c y �jy �qp� �•�' � A 7 2 g S 9 5 �UG11y$rdee t BtXf 1c7e1•st Inc .r. 3 �'." ZMtb�►�l� t3n`B Stu Bns 1! n . 1+1 V&Wsora !�t ��1I dwelling in tkefolloeeing loeatian; Q Basement rat n19R . EN 2nd Fl. Seeetiora�"� 2 1 Bleack4 Lot utas examined on —'� 7""' and found to be in coma iance with the+PI requirements of this Board. F1XTURE ACLES SvnrCHES FIJKTURES OUTLETS RANGES Dp+pttlN4 DECKS OYENS DISH WASHERS EIfMAUST FANS fNCwNfJlSCE Nf FlIPC711ESCtNi y AM7_ K. W. AMT. 18 35 25 13 5 DRYERS FURNACE MOTORS FUTURE APPUANCE M---S SPECIAL REC'P1 TFME CIRlCKS REat UNIT HEATERS MUtTF OUTLET pIMAt1ER5 AMT. K. W. on N. P. GAS N. P AMT. rap, A W, G, wMT. AMI. lAtT. AMPS. TRANS. AMT. N. P. SYSTEMS AMr. wA1Ts NO. �OF fEET SER'V10E DISCONNECT NO.OF MIEVER S E R Y I G E AMt. AMP, TV" EQUM. I X 2w NO. OF CC, COND. A. W- G. NO, eSF N41EG A. W. G. l 150 P!R ar a cc, conk. OF Ni-L&c Na. OF NtunALs OF Ned, NAt pane 1 2 / 1 / 0 OTHER A►FARATUS: 1-saddle fans Eelc . Water Heatelrr 1 - 4 . 5 3 -gfci receptacles 2 -smoke detector Dlaposal : 1 -fr Guyer Builders Inc . 119 Dunning St . Ballston Spa , NY 12020 :33 � I/ BRANCH MANAGER Pcrr n,. 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 BUILI1NG DEPARTMENT. TEAS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. �®"'O" BUILDING an �ueen36ur ZONING DEPARTMENT Bay and Haviland Road, R. 0- I Box 98 Queensbury, New York 12801 � AF*1qAp ► Q� LDING INSPECTOR ' S REPORT NAME { �J j �c `�2/1/\ LOCATION - Date Footing/P.ier Forms ✓ - APPROVED - yES *NO POundata.on --�--,� Waterproofing Dackfill Framing. Roofing Siding Masonry Veneer Rough Plumb- ng 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 Wal'Is Ceiling FINAL ELECTRIC INSPECTION DRIVEWAY APPROVAx Final Building Survey ~' Next scheduled inspe,ctlon Remarks- [� / Ccall when ready ) Mom, Cle1 6/86 and-vl ding Inspe x BUILDING and ZONING DEPARTMENT Bay and HaVifand Road, R. D. 1 Box 88 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME ,�• 8A LOCATION Date y o't7 Permit No . Footing/Pier Forms T APPROVED - YES NO Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar brain Tile CQn`.- nr-wi-ete Floors Plbg , Fixtures Gar . Fireproofi Door closers Smoke Detector Chimney INSULATION ,* Foundation Floors Walls Ceiling FINAL .'ELECT GAL INSPECTI DRIVEWAY APP OVAL Finial Buildi g Survey Next scheduled inspection {c l when ready ) Remarks-- Building Inspector f+/85 and-vl ../own o� �ueer+ .s6ur� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Sox 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME ,f � . LOCATION ' Date 7 'G�/ Permit No , 17,- "10:1 ✓ APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Sackfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Flours Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing D00Y Closers Smoke Detectors Chi ey tJLATION : Foundation Floors Walls AC Ceiling _ FINAL ELECT ICAL INSPECTION DRIVEWAY AP R.OVA.1� Final Build ng Survey Next scheduled inspection (call, when ready Remarks-- dA Build g p tor ' 6/86 and-vl Musa o/ Queenjlue BUILDING and ZONING DEPARTMENT ay and Haviland Road, R. D. 1 Box 98 OueensburY, New York 12801 LING INSPECTOR ' S REPORT NAME LOCATION Of hate--= —* /'i Permit No _ -�� * * * * * * * * * * * * * * * * * * * * Footing/Pier Forms ✓ APPROVED - Y S NO Foundation Waterproofing Bac fill raming Roofin Siding Masonry neer G."Affagh Plum . ng Relief Valv -- Ext . Porches Finished Floor Interior Trim_ Stairs & Railings --- Cellar Drain Tile ~ Concrete Floors ~ Plbg . Fixtures Car . Fireproofing Door Closers Smoke Detectors chimney IN S[ILA TI ON : Foundation Floors Walls Ceiling FINAL ELECTRIC L INSPECTION DRIVEWAY APYRO AL -' Final Building Survey Next scheduled inspection (call wh Remarks- en ready) 4RUg I actor +f86 and-vl ../awn �� �eeeer� shser� BUiLDING and ZONING DEPARTMIENT Bay and Hawland Road, R.D. 1 Box 98 QUeensbury, New York 128Q1 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCAT ION Vtr,.� 15 2 yr C DATE 3 .2 ' / ► PERMIT NO .— © SOIL TYPE - an Loam Percolation Test Required?Cl ay y" Percolation rate Y - Minflnc TYPE of SYSTEM : .Absorption fiel to l length Length of each n Depth of trenches Size of gravel_ SEEPAGE PITS{N er f} � - Size- ft. �• f W _ f Gravel sizeyc PIPING : S Bldg * to t nk ze`' Type Tank to d ' st. box vC. Dist. bo to field /pit - b✓G .— opening sealed? ES N Partial LOCATZ N/SEVIARATIONSo Found tion to tank Faun Lion to t' absarption f Abso Ption to lot line f Sepa ation of pits f t LOCA 10" OF SYSTEM ON PROPERTY (Ci cle one ) Front ear Left side - Right ide - COMMENTS : y i LoL'n. �S�Qf cG. �- Li.9tv+F-iG{o -�L ✓2"^".�.^i� SYSTEM USE APPROVED Bui1 ing Inspector 01/86 and v1 80ILDING and ZONI"G [)EPA I38y and Haviland �RTMEIVr Queensbur Raad, R. p. p Box 98 Y. New York I28p1 E3UILDING INSPECTOR ' S NAME; REPORT LOCA T' I ON � DateZ * * Permit No . 11 ` 70 * * * * Footing/pier Forms ✓ AT�PI2oVED - YES Foundation No WaterProofinST � a Rackfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valve Esct , Porches Finished Floc s Interior Trim Stairs r Railin s Cellar !]rain Til Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : F'aundation P'l oo r,s Walls Ceiling FINAL ELECTRICA INSPFCTIoN " 'VEWAY APP'ROV L ' Final Building Survey Next schedules in spection Remarks- (call when rea,Y) 5/ 6 8 Suildin erector mc3-v l uwin o/ ueensfiurs BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 QueensburY, New York 128f11 BUILDING INSPECTOR ' S REPORT NAME LOCATION Da to � -{ Permit Footing/Pier Farms APPROVED - YES NO Zk1bundation Wa t��rproof ing LJWckfiII Framing. Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Filings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar , FireProofin Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL PLECT CAL INSPECTION DRIVEWAY AP ROYAL -- Final Build ng Survey F Next scheduled inspe - ti (call Remarks- when ready) Building Inspector 6f86 and-vl _Jacvn o� �,�eerz� 6urt� 8UILDING and ZONING DEPARTMENT Bay and Havlland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date Permit Now C Footing/pier FormsAPPROVED YES NO Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer laugh Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detector Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELE TRICAL INSPECTION DRIVEWAY A PROVAI` Final Building Survey Next scheduled inspection (call when ready} Remarks- 6J8fa and-vl Building Inspector �./e7wn o Queensurr�r BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. p. 1 Box 98 +Queensbury, New York 12801 BUILDING INSPECTOR * S REPORT NAME 10, LOCATION Dates /rir / Y / Permit No . I ` 0 � ✓ = APPROVE ting/Pier Forms .Foundation Waterproofing Backfill Framing Roofing Siding Masonry Venee 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 ELECT AL XNSPECTION DRIVEWAY APPROVAL Final Building Survey Next schedul d spection all when ready ) Remarks Su ng Inspector tad-vl BUILDING DEPT. COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS. F1LE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED. TEMP. CITY OR {y. ,�,� VILLAGE *++ Qmmnwbry' COUNTY Warren TOWNSHIP STREET AND NO. OR ROAD AND POLE NO. BETWEEN WHAT TWD POLE Nd- PRECM STSR EOCATED? OCCUPANT'S SE T14N QLOCK LOT NAME BUILDING OCCUPANCY flAND WNERB !NAME T�. y �ry 1f�..�.3 t� {�--y��! i1� ' CAE. DRESS cG 1V��C bulbs* I A 119 ai.WLi.I'� Street TEL # 89"161 SUPPLIED BY / BUILDING FROM THEIR _ OFFICE ' IS NEW OLD ❑ WORK �-p DEFECTS IS NEW 1$ ADDITIONAL © 14EMOVED LIST BELOW ALL EQUIPMENT WHICH YQU INSTALLED NUMBER OF OUTLETS Lrrip lictaalaa MOTORS HEATERS BRANCH Lam' Rap CIRCUITS OFFICE USE dOn ONLY CaNinp Attaah't witch went Bracket No. watts A.W.G. Wall Recap b Type E N� Such hlo. as"" INSPECTION Otit- wide Sub- Panama Baer mans Tat FI. 2nd Ft. 8rd FI. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE, This application is intended to corm the abora-Ilstad 'agpipment It. be I y00 are authorized 10 make the i nspacion Psd but i at Lima Of Iriepe0ti0n there is found additional agYjpment not iM}Ma Ilctad, rlspaction and adjgst the fee to ctwN flea addl`tlonal ui SIZE OF 11 II��//�I '09 Pment, as prOvitlad by the applicant. MAINS y,Jy `'.. FEEDERS ELECTRIC I6s TOTAL h CHARACTER WATTS OF WORK '�1 In =3d servIce EXPOSED GAS TUBE SIGN CONCEALED TA A NSFORM E PIS OF VA WORK TO BE STARTED COMPLETED NUMBER)SIZ£ OF SIGN ICAPACITYi SERVICE OVERHEAD UNDERGROUND ENTERS DI MAKER B IL INSPECTION REGUESTED OF SIGN ON OR NEAR AS POSSIBLE LE cal }..Rwhen OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION_ ALL SPACES MUST Be FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS NAME OF ,yy� ��$A DATE OF +.�' ras_tamTvra* APPLICANT �ZS 2 tll 7 77 APPLICATION s"- - -- 1�-1 i 1TLl! STREET ADDRESS li9 � Stet TELEPHONE #' �I61 CITY OR Ballston �7,. .y� POST OFFICE +aF+aPl* L!!. CODE ''^`" LICENSE NO, EN APPLICABLE 46 EL (REV- 1re5) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEP RATE BUILDING ELIZABETH (CLEANOUT TO GRADE) QUEEN VICTORIA' S GRANT QUEENSBURY , NY. 1 A k i C' 8'-0 D 9'- 0 D 1 2000 qal REFERENCE DRAWINGS 5 SITE UTILITIES SEPTIC WATER VanDUSEN STEVES SURVEY PLAN 1 ELIZABETH LANE I PLOT PLAN 4 SEPTIC SYSTEM GUYER BUILDERS, INC, QV - 8 D W N fir.! : fii 5; .1 1 2 r �_