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1987-702 I r I ---------- CERTIFICATE OF O+CCUPA.N%�OY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK APY0 25 %V Date April 25 , lqL'U' 3 rl 11+ia is to certify that work requested to be do�ne as shown by Perm o it N . t E3 7- ; 0 2 has been completed. ` .� C3 {1 'I�J� rY^►1 of two favally ciuerlIng This amGcrure�may ,'b��e occupieedd'�aisf ,a Location -- e} yuee Victoria ' s Grain Model I 'Lly JUil ers n Owner By Order Town Board i TOWN OF QUEENSSURY I � _ Building & Zoning lnspec"w CR[I�TW[ "�H3TJ�" r1R�MTYMG. GI�CNS I+1LL3. N Y *i30i ISli�lf 3•Si Si BUILDING PERMIT TOWN OF QUEENSBURY No. 87-702 � tz WARREN COUNTY, NEW YORK Queen Victoria ' s Grant (Guyer Builders ) PERMISSION is hereby granted to n t- 34 Elizabeth Lane Street, Road or Ave. t OWNER of property located at � i in the Town of Oueensburv, 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 Queensbury Building and Zoning Ordinance. F2CO7NTRACTO 'S Address is Guyer Builders Inc . c: a 119 Dunning Street ro Ballston Spa , N . Y . 12020 rj c R or BUILDER'S Name n rt Same o H }r- w_ a CONTRACTOR or BUILDER'S Address. U° �t w r rt 4. ARCHITECT`S Name w .F 5. ARCHITECTS Address r+a N w Eq Pa v 6_ TYPE of Construction — (Please indicate by X) e/ rt { %Wood Frame { ) Mmonry { } Steel ( ) t su ro rp 7. PLANS and Specifications MODEL X I No 31r x 46 ' 6"" per Plot plan , specifications and application including y septic system, attached one car garage & driveway permit . S. Proposed Use x } two family dwelling o rh 0 5 . 0 C 0 82 . 00 May ! ' 19 88 PERMIT FEE PAID — THIS PERMIT EXPIRES N• (if a longer period is required an application for an extension must be made to the Building and Toning inspector of the town of Queensbury before the expiration data.) t7 20th October 19 87 F, Dated at the Town of Queensbury this Day of t- aq for the Town of Queensbury °4 SIGNED BY Building and Zonang Inspector .000* /gp r Application No . ? . ,lown OtQp►�3 d lerl permit Issued 19 BUILDING and ZONING DEPARTMENT permit Expires 19 _ , � �,. 2 19{{33ey7 Bay and Haviland Road, MOO 1 Box 98 Zoning 'Designation ► ©ueensbury, Now 'York 12801 Variance Site Pl iew No . __ / P� p A,ppro d• eyz y III III r 1 !� APPLICATION FOR BUILDING AND ZONING PERMIT ' ' 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 submittedf and such special conditions-as may be_indicated lanw the`Permit * ..___��___�_________ The owner of this property is : Gu E'r Builders Inc . P . O. Address 119 Dunning Street Ballston Spa , New York 12020 Tel . ( 518) 899-9161 Property Location : 34 Elizabeth Lane Tax Map No . 121 / 2 Street number or building lot nLiulber Subdivision name (if applicable) Queen Victoria ' s Grant THE PERSON RESPONSIBLE FOR SUPERVISION OF 'WORIC AS REf.GAR.DS BUILDING CODES S 9-9161 Richard H . Gu er III Tel . No . Marna P . O . Address Guyer Builders , Inc .pddress 119 Dunning Street Tel . ( 518) 899-9161 Nai>st3 of builder YII n ree Tel . Name of plumber uYE'r rs , c •Address g Name of mason yer Builders , nc .Address g ree Tel . NATURE. OF PROPOSED WORK : * ZONING INFORMATION : X Construction of a new building * A PLOT PLAN MIDST 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 . see* Size of property 100± P ft X 120 ft * Existing bui lding ( s) Size ft X��ft • 746 e " PROPOSED BUILDING AND USE : f Existing building ( s ) Use � jfA Sias of new stru;Call!rycle a 31 ftF _ t * disprncePfram property line 'r Foundation-pier lcrawl/partial/full Proposed building , See of an one ) * Front yard 30+ ft Rear yard 30+ ft No . of stories (habitable space) 1 * Side yards + ft and 15+ ft Height (grade to ridge) 19 5 ft • * If on corner , setback from side street ft If residential, no . of families of 2 No . of rooms ( excluding baths) OCCUPANCY INFORMATION No. of bedrooms * PRIMARY BUILDING - Nc� . of bathrooms One family dwelling This p� t J?ne %r P ry heating system se ar a ectric* ^ Two family dwelling one s1[1BI . Tg�of fuel E�11111lectricity 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? No Business * BUILDING STYLE, PRIMARY 'STRUCTURE * Industrial other Ranch Contemporary La cabin If addition , what will use be? Raised ranch Mansion Dupie * split level. Old style Bungalow * ACCESSORY BUILDING- Cape Cod Cottage Other * car Colonial ROW Town House Detached garage/one car/ two -car/ OIle car Attached garage/one car/ two car/ ( CIRCLE ONE PLEASE ) __.�L * * * * # * * * * * private storage building ESTIMATED MARKET VALUE OF * ~Other CONSTRUCTION � � ... INFORMATION ON - BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETEDI Form BPA 4/86 md--v1 BUILDING 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 g" 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 port' _sq, ft . - - Type of use? Type of roof - sloped flat/shed/other Material of roof Fiberglass skiing es Size , wood studs '"X 6 " spacing 24 "a . c . length 8 fto exterior walls Jc►ists ( floor beams ) 1st . floor 1VA "}t No spacing "o . c . span N/A ft . Joists ( floor beams) 2nd . floor _" X • '" spacinc _ "o . c . span N A ft . Dverlays (ceiling beams ) "X _ " spacing 24 "o . c . span N/A ft , Roof rafters "X to spaci g 24 o . c . span N/A ft . Hoof trusses (pre-engineered) spacing 2Z► "o . c . sp-pan 2 * ~6Tt . Exterior wall finish stained Of what material? 5 / 8" x 4 ' x 8 ' texture 111 Interior wall finish pain s eetrock 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 -&nd dwelling? yes If sa will a Fire-rated door , enclosure , and salf-closing device be provided? yes 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 NIA ft . in . Water supply - municipal or private well m. rUcipal SEPTIC SYSTEM _ Distance from ANY private well ( includi.ng adjoining properties NIXft . (A separate application is necessary for an re air or new installation of septic system) See S . P . E . D. S . peernu_t �� 026252 Town of Queensbury _-' - - -•- _ __ County of Warren A F F I D A V I T 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 'cwner . SWORN TO BEFORE ME THIS Signature -- - c da off Owner , owner ' s age �, a;74 iL! ct , contractar y s 19k, ELIZABETH K. LANDRY � t Notary Public, State of New York j zC e� N0. 4862001 Qualified in Saratoga County Notary Warren County, N . Y . Gnrramission Expires June 16. 19L)*K rY �r yr 7Mr ♦ • * w ,r * * * to tt aU yt : ar t sr '" # ,r r► * ,t tt * * * * ,it vt ve yr * s • : * yr * t fr : sr cnrrxea . _Z`I]AInTTIONS OF THE PERMIT : 1040 Square feet living 240 Square foot garage - one stall 1280 @ $7 . 00/ 100 or part of �I $ 5 . 00 One stall garage ►► $ 5 . 00 C/O permit Total TOWN OF QUEENSDURY n Ito 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 . &MSWER ALL of the followings 1040 S . F . Gross floor area 2 . Type of heat Baseboard electric 3 . Is the building mechanically cooled ? No 4 . Percentage of area of windows and doors 14 . 3% as over 16 % Only 1 * U value of gross area of wails , roof / ceiling o 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 S . Under 16 . Only 1 . R value of roof and floors exposed to ambient conditions. R-38 (U .=0 . 026 ) 2 _ R value of exterior walls 3NXICK R-23 . 5 (U . =0a04.0 3 . R value of glazed area U. =0 . 30 4 . R value of doors R-14 . 9 (U. =0 . 06) 5 . R value of floors over unheated s,paces„�„_ R-30 6 . R value of slab edge insulation - unheated. slab NIA 7 . R value of slab insulation - heated slab 12 . 5 so R value of heated basement/ cellar walls ( above grade ) N A 9 . R value of heated basement/cellar walls (below grade ) NIA 100 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 as If YES , R value of duct installation b . -. R value of duct in other areas E . piping insulation N/A 1 . size of hot water or cooling carrying agent pipe, 2 . R value of pipe insulation ro Service Water Heatinq N/A 10 Performance efficiency . . 2 . Temperature control setting maximum G . For swimming Pool OnI�WpNIA 10 Maximum heating / r Telephone Noe ( 518) 899-91+61 •� .-- ( applicant ' s gnature ) APPLICATION FOR SEPTIC DISPOSAL PERMIT Ref : S . P. E. D. S . IIATS September 23 / 87 permit # New York - 0202525 MQDEL I of LOCATION OF PROPERTY FOR INSTALLATION 34 Elizabeth Lane Owner's Names Guyer Builders , Inc . Telephones ( 518) 899-9161 Address: 119 Dunning Street , Ballston Spa , New York 12020 Installer's Name: Guyer Builders , Inc Telephone: ( 518) 899-9161 2 A, C , E, I , J , K0 L, M Number of bedrooms (residential only) 2 3 F , G , H Total daily flow (compute @ 150 gal per bedroom) 300 Topography: circle one: lat Rolling Steep Slope % of slope Soil Nature: circle ones Sand Loam Clay Other I Depth: 8 " feet + Csround Water: At what depth? unkno'wn 8 feet + Bedrock or Impervious Materials At what depth? unknown feet Percolatiou tests circle one; not require required / rate min. inch. Domeatic water supply: circle one: Municipal Well Other IF domestic water supply is a Well: NIA feet Separations Watersupply from Septic absorption * PROPOSED SYSTEM: Septic Tank gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench NIA 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...UST NEW EQUIPMENT TO BE INSTALLED permit & attached s * * * * * * * es �► * s * essssss * * * * ssss * * * * ss * * * * * * gyp , (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 propoped ,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, 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 $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. l have mead the regulations above and agree to abide by these mad all requirements of the Town of Quetmebury Sanitary Sewage Disposal Okx1inance. Signature of.responsible person: Date: Town of Queensbury Building and Code Department Say at Haviland Road Queensbury, New York 12841 (518) 79Z-5832 r SETTLER 1763 . . . MOM OF NATURAL BEAUTY . . . A GOO D. PLACE TO LIVE f � Mourn 01 Queenig"ry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R-0- 1 Box 98 j0 Queensbury, New York 12801 fJ BUILDING INSPECTOR ' S REPORT NAME 4:0CA T I ON [date � �y�/v Permit No . �F 9 ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Bac)�fiII 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 INSPECTION DRIVEWAY APPELOVAL Final Building Survey Next scheduled inspection ( call when ready ) Remarks- i Buildx'ry,T Inspector 6/86 and-vl 40210514 THE NEW YORK BOARD OF FIRE UNDERWRITERS �ta 41 STATE OF ELECTRICITY STREET, ALBANY, NEW YORK 12207 Dose April 28 R 1988 Application No. on file 030329/67 A 714F16 THIS CERTIFIES THAT only the electrical equipment as described below aaad introduced by the applicant named on the above application number in the premises of Guyer Bullderas INc . #34 Elizabeth Lane Queensbury , New York )I of two family in thefollowing location} ��� $trscment ❑ Ist Fl. El2nd Fl. Section Mock Got wasr examined on 4i '$t3 and found to he in compliance "t h the require men to of this Board. FIXTURI FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAYST FANS OUTLETS RECEPTACLES SWITCHES tNCANDESCENT FLUORESCENT AMT. K. W. AMT. K. W. AMT, K.W. AMT. K. W. AMT. H. P- 25 20 4 . 6 4 fr DRYERS FURNACE MOTORS RtTun ^mv ANCE FEEDERS SPECIAL RvvvTj TIMR CLCIcKs I wu I UNIT HEATERS MULTI-OUTLET DIMMERS all H. P. GAS H. r. AIT. A. AMT. AMP- AMT. AWS. TRANS. AMT. H. P. (, TWATTS SERVKX DI Ina. OF I S E R V I C E AMT, AMP. I TYPE % T Jt' '1%N' 1 ./ 3W ] Ar 9'Nr '30 AW N0. SRC`CaNO. Or C.C. -'M, NO, Or HIAX-0 aF-HI LEG NO. OF HEUTRALS OF NEUTRAL 1 15fl clT 1 x 2/0 O OTHER APPARATUS: Else . Room neatens : 3/2 . O s 1/ • 75 P 3/ . 5 1-post ].fight 2-gfci 2-inaoke detectors Guyerbuilders IIN;!',C .�`'•/a" ram+- »-� 114 Dunning Street Bellsttk-a Spas NY 12020 239 BRANCH MANAGER } Per `✓ This certificate most not be akered in any manner, return to the office of the Board if incorrect_ Inspectors may be identified by their credentiols. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ._. Otvn o/ Queen36ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME lw L00V A 57 LOCATION 'u*r4y". 'fS" 3Fo DATE 3 PERMIT NO. SOIL TYPE - an - Loam - Clay - ,I Percolation Test Required? . YES - } Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length ,r Length of each trench Depth of trenchps Size of gravel - SEEPAGE PITS¢Numb r of) Size— s ft. X _ 46X ft. Gravel size W= PIPING : A Sizee. Ty Bldg . to tanS+ ^ , 1,+G.Tank to distc!CDist. 'box to /pit `pioec- Openings seaES N PartialLOCATION/SEPNS :Foundation t ft.Foundation trptio ft.Absorption tlin ft.Separation o t- LOCATION OF PROPEI7TY ( ' rcle one.) Front - earside - R.ight ' de - CCNIMENTS : �,� aC&4--'e� .. .,ram ` _ ,-A SYSTEM USE APPROVED Buil ing Inspector 01/86 and vl awn Queenj i BUILDING and ZONING DEPARTMENT Bay and Havifand Road, R.D. 1 Box 98 Queenshury, New York 12801 q` BUILDING IN5PECT© R " S REPORT NAME�.w a f r E ! f .C... ''�..d> • day` t.Mi -'S=w+'rr t . LOCATION - - Date f � 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 . Fireproofin _ Door Closers Smoke Detector _ Chimney AoT4TSU IjAT I ON Foundation Floors Walls Ceiling FINAL EL TRICAL INSPECTION DRIVEWAY PPROVAIA Final But ding, Survey NexC scheduled inspection (call when ready ) Remarks- Build nspector 6/86 and-vl VV / BLlloIt and/QG DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 �LD I NG INSPECTOR ' S REPORT NAME -- -----.- �i�'" f LOCATION Permit No . ' 'Cj ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill woo aming Roofing Siding Masonry Ven er ugh Plum q _ Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbq . Fixtures Gar , Fireproofin Door Closers Smoke. Detectors chimney IN SUI,ATION : Foundation Floors walls Cc i 1 i nc1 FINAL ELEC I RICAL INSPECTION DRIVEWAY AP nOVAL� Final Build g Survey Next scheduled inspection ( call when ready ) Remarks- FBuildi g Inspector 6/136 rnd-vl ff BUILDING and ZONING DEPARTMENT �i)1 Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCAT ION / Date-�/ Permit No . ! ! I G" = - Footing/Pier Forms APPROVED YES NO Foundation Waterproofing Back£ill Framing Roofing Siding r Masonry Veneer Rough Plumb ' ng Relief va.Lv s Ext . Porche Finished Flo rs - Interior Tri Stairs & Rail ' ngs Cellar Drain ' le L.Xoncrete Floor --- P1Lg , Fixtures Gar , Fireproofin Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ,ELECTRICAL I PECTION DRIVEWAY APPROVAL Final Building Sur ey Next scheduled inspection (call when ready ) Remarks- 6/'86 and-vl Building inspector { f � ' /overt o ueensbUry BUILDING and ZONING DEPARTMENT Bay and hlaviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR rS REPORT NAME L © CATIQfV Date Permit N�io�.t '� ✓ = - Footing/p1er Forms APPROVED YES NO Foundation waterproofing Backfi l l - Framing Roofing Siding Masonry Veneer Rough plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors P1bg . Fix Lures Gar . FireprooEin Door Closers Smoke Detector Chimney INSULATION : Foundation Floors Walls Ceiling FINAL EL CTRICAL INSPECTION DRIVEWAY APPROVAL Final. Building Survey Next scheduled inspection ( call when ready ) Remarks- 6/SEr and-vl ► uil ing Inspector awn a/ Queenjit4rey BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION, Date/ r 4./ <j, Perrnit No . ✓ = - Footing/Pier Forms APPROVED YES NO ' roundation waterproofing LD,arc'kfiII 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 Detector Chimney INSUILATI ON 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 .. J'c+wn 0j 'Quee" 3Exurc�r BUILDING and ZONING DEPARTMENT Say and Haviland Road, R. D. 1 Sox 98 Queensbury. New York 12801 BUILDING INSPECTOR ' S REPORT NAME zAr LOCATION 9 Date /, /a / ` ; Permit No . APPROVED - YES NO Footing/Pier Forms 000� 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 INSPECTION DRIVEWAY APPROVAL. Final Building Survey Next scheduled inspection (call when ready ) Remarks- z�� Building Inspector 6/86 and-vl a f i BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME, LOCATION �S 7 /� //✓ Date fci� % Permit No . / ✓ = APPROVED - YEs/j NO Footing/Pier Forms f 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 INSPECTION DRIVEWAY APPROVAL Final Building Survey* Next scheduled inspection (call when ready ) Remarks- Bulldin spector 6/86 and-vl BUILDING DEPT. COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS CO" ,*V TH BUILDING DEFT, WHEN REQUIRED. CITY pR TEMP. ♦ DATE VILLAGE QL*Manbury �,�,��` , STREET ANO NO OR TOWNSHIP ,�s.au y COUNTY �1 ROAD AND POLE NO ilrwe ikA.J.Jw..M ,friar is PRBETWEEN WHAT TWO POLE NO. SE REE7STED? OCCUPANT'S S CTION BLOCK LOT NAME BUILDING _ OWNERS NAME OCCUPANCY AND ADDRESS 'b,..s 7�sau.L_i. Train , - TEL.PPLID Stir~r- BY # 161 :..,,.. BUILDING FROM THEIR NEW t*"1 OLD ❑ WORK OFFICE DEFECTS ry� - IS NEri �J ADDITIONAL D` REMOVED 0 LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No. of Fixtures & Lotra-ii Lemp Recepteelee MOTORS HEATERS CIRCUITSBRNCH OFFICE USE GifMre Wall Roce�iryst Switch Pendent etsaket Na_ Type H.P.ac No. Warta A W.O. ONLY out- Eeae Na Gasye INSPECTION axle Sub- bees Baat- ment let Fl. and FI. 3rd FI. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: OO NOT USE THIS SPACE. This application id to ma ey to cover the above.iisted equipm ant fa b1 inspected but if at time of i you are authorized to make' a insPaRtian and adjust the fee to cover the additional rlsireCliaJY them is found eddi tional a ui 512E OF y e4mPmvFF%w as provided by the applicant. q PT mt not above listed, MAINS .4 FEEDERS LAMPS ELECTRIC SIGN _ TOTAL + CHARACTER WATTS OF WORK In and EXPOSED GAS TUBE SIGN '��'�'� CONCEALED TRANSFORMERS OF WORM TO BE STARTED VA(NUMBER) (CAPACITY( SERVICE OVERHEA6 COMPLETED SIZE OF SIGN ENTERS UNDERGROUND UI DING " MAKER INSPECTION REQUESTED OF SIGN ON OR POSS BLE NEAR AS 7 NEVY OLD EJ PRINT NAME ANDD ADDRESS AVOID DELAY OIVfNG FULL AND ACCURATE INFORMATION.. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED, NAME OF APPLfCANT DATE OF APPLICATION, STREET ADDRESS CITY OR TELEPHONE POST OFFICE �g'] ] alSl;•rarrZie _ F• YS�T.�.__.�. CODE LICENSE NO, _.WHEN APPLICABLE ae EL (REV. I/S5) A SEPARATE APPLICATION MUST HE FILED FOR EACH SEPARATE BUILDING ELIZABETH LANE TO GRADE) QUEEN VICTORIA' S GRANT QUEENSBURY , NY 8'-0 DIAMETER 9'- 0 DE PTH 2000 ga I REFERENCE DRAWINGS 5 SITE UTILITIES SEPTIC $ WATER VanDUSEN STEVES SURVEY PLAN ELIZABETH LANE PLOT PLAN 4 SEPTIC SYSTEM GUYER BUILDERS INC. QV - 6 OWN jUt q- 2r47 I Scala 1' _ 20'- 0