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1987-799 j fY i CERTIFICATE +DF OCCUPANCY TOWN OF QUEENSBURY f WARREN COUNTY, NEW YORK i Date March 4 , 19 88 This is to certify that work requested to be done as shown by Permit No. 87- 799 i has been completed. This structure may be occupied as a of a two family dwelling i Location16 Elizabeth Lane, Queen Victoria's Grant, Model C I OwnerGuyer Builders, Inc. I By Order Town Board I PrOWN OF QUEENSBURY i Building & Zoning Inspector I i BUILDING PERMIT TOWN OF QUEENSBURY No. 87_799 � WARREN COUNTY, NEW YORK PERMISSION is hereby granted to QUEEN VICTORIA ' S GRANT r OWNER of property located at 16 Elizabeth Lane Street, Road or Ave. in the Town of Queensbury, 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. f. OWNER'S Address is 119 Dunning St . Ballston Spa , N . Y . 12020 m m 2_ CONTRACTOR or BUILDER'S Name C Guyer Builders r�nr 0 r• 3. CONTRACTOR or BUILDER'S Address � Same c� w 4. ARCHITECT'S Name rt 6. ARCHITECT'S Address tT1 6. TYPE of Construction — (Please indicate by X) N rr ( 30 wood Frame I ) Masonry I f Steel i ) CD rr 7. PLANS and Specifications r m No. 30 ' x 30 ' as per plot plan , specifications and application including CD septic system and attached one car garage . MODEL C S. Proposed Use � OF TWO FAMILY DWELLING 0 r7, $5 . 00 C /O 75 . 00 June 1 , £ $ PERMIT FEE PAID — THIS PERMIT EXPIRES 19 88 0 lif a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) 9 r Dated at the Town of Queensbury this 27th Day of November 19 87 rD L _ / ro SIGNED BY f/ / GG t� sue- � - .i 7 for the Town of Queensbury Building and Zoning Inspector 0 iv a,c, ti .urara.cac u a o uv. uc c a Application Na . -A, v _. " ....�oC� qlov. O/ 96p&" A"ry Permit Issued 19 BUILDING &MI ZONING DEPARTMENT Permit Expires 19 , Bay and Haviland Road, R.D. 1 Box 88 Zoning Designation ,, Queene�bury, New York 12801 Variance No. Q ,,T 21987 Site Plan Review No . 11 :,gyp. ell- Approved by : / APPLICATION FOR .00k / ZZY BUILDING 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 ; Guyer ,Builders Inc P. O. Address 119 Dunning Street Ballston Spa, New York 12020 Tel . ( 518) 899-9161 Property Location ; 16 Elizabeth Lane Tax Map No 121 / 4 /. 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. ( u r III ( 518 ) 899-9161 e N&=& P . O. Address Tel . No . Menke of builder 'Guyer Builders , Inc .address 119 Dunning Street Tel . ( 518) 899-9161 Name of plumber er BM1Wrsv HW7AddrsssStreet Tel . ( 518) 899�91151- Namm of mason Guyer EUTTCLerss ncCoAddreSs IL9 15diming 5freetTel . 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-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 . See * g * COMPLETE INFORMATION REQUIRED P -JO x , * Size of property 100± jp ft X 120 ft . X . * Existing building ( s) Size ft x ft . PROPOSED BUILDING AND USE ; r�of1 * Existing buildings ) Use NIA size of new strut a 30 ft X..32-ft * _ dM Foundation-pier slab crawl/partial/full Proposed building , diet nce from property line crrcle one) * + see pfot pan Noo of stories (habitable space) 2 * Front yard 30 ft Rear yard 30+ ft Side yards 15+ ft and 15+ ft Height (grade to ridge) 22 ' - 6" ft , »of 2 * If ©n corner , setback from side street ft If residential, no . of families No * of rooms ( excluding baths )---4 * OCCUPANCY INFORMATION No. of bedrooms 2 * No * of bathrooms 2 PRIMARY BUILDING — Primary heating system se ar a ectric* One family dwelling on This k ba far * —�Twa fama.ly dwelling t�rLe Dtii3 ng• of fuel Elects=city * Multiple dwelling / Number of units of fireplaces to be installed Permanent occupancy WTI a wood stove be installed? NO * Transient occupancy Central. Air conditioning? No Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch Contemporary Lo cabin * Other Raised ranch Mansion Duple ,. If addition , what will use be? split level Old style Bungalow Cape Cod Cottage Other * ACCESSORY BUILDING- colonial Row Town House * Detached garage/one car/ two car/ oar ( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ one car ,► r * w w r * * wr w * r a * * w * * Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION ? - =-- - INFORMATION ON . BUILDING SPECIE CATIONS , ON REVERSE SIDE OF THIS SHEET , To BE COMPLETEDI Form SPA 4/86 and-vl DUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of constructions 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 $" Depth of foundation below grade (to bottom of footing ) $" min ya m 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 scat what parsq. ft . - - Type of use? Type of roof— sloku�X6 lat/shed/other. Material of roof Fi r ass shingles Size , wood studs " spacing 24 "o . c . length $ ft* exter ' or walls Joists ( floor beams ) lat . floor NIA "X " spacing "o . c , spanN/A ft . Joists ( floor beams) 2nd , floor ��"X�=" spacing 16 so o. 0 span�iftw averlays (ceiling beams ) 2 "X 6 to spacing 24 "o . c . span 14 ft. Roof rafters 2 "X 10 " spacing 4 o . c . span 4 ft . Roof trusses (pre^engineered) spacingg "o . c . span NIA ft . Exterior wall finish stained Of what material? 5 /$" x 4 ' x $ ' texture ill Interior wall finish paInt 172 sTWetrock 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 Jand dwelling? ,ts _ If so will a Fire-rated door# enclosure , and self-closing device be provided? yes Will a flue-lined chimney be installed? No Height above roof NIA 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 NIA ft " (A separate application is necessary . for an repair or new installation of septic system) See S . P. E . D. S . perrdtT # 1�020215r25 _ Town of f Warren A F F I D A r I T STATE of NEW YORK County of Warren I swear that to the best of my knowledge and belief the statements contained in this 4pplication , 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 . SW+L]RL3 TO BF,f'ORE ME THIS Signature ______ Owner , o er ' s agent rcnlrectscontractor _,,2Lr�t� day of'g 9 !j�1 ELIZABETH K. LANORY NoisrY Aiwa- 9622001 Nrw Mok allw ied in .R.ar. a Notary liQ,._Warren County, N. Y . " •'"• ' .� tr r t + rr r ,� * * _ * * * * * * * * * * r * sr * * • w * e * * � • * � Yr � ,� t w sr * * * tr s r 975 Square .feet living 264 Square foot garage - one stall 1239 @ $7 . 00/ 100"or part of $5 . 04 One stall garage $5 . 00 _ C/O permitOr 111 Total TOWN OF QUEENS $ URY smell 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 . &USNER ALL of the following a 1 . Gross floor area 975 S . F . Type of heat Baseboard elechantric 3 . Is the building mechanically cooled ? No 4 . Percentage of area of windows and doors 11 . 1X 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 8 . Under 16% Only, 1 . R value of roof and floors exposed to ambient conditions. R--38 2 . R value of exterior walls MCM R . 23 . 5 U. =O 04 3 . R value of glazed area U=O * 30 4 . R value of doors R-14 . 9 (U. =Oo6O) 5 . R value of floors over unheated spaces R''l9 6 . R value of slab edge insulation - unheated slab NIA 7 . R value of slab insulation - heated slab 1205 S . R value of heated basement/ cellar walls ( above grade ) NIA 9 . R value of heated basement/cellar walls ( below grade ) N/A 106 Type of insulation Fiberglass Co Controls 1 . Thermostat maximum heat setting U . 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 . Pipinq Insulation NIA 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 Only 1 . Maximum heating NIA volsphone No . ( 518) 899-9161 ' - ( appl cant ' s gnature ) APPLICATION FOR SEPTIC DISPOSAL PERMIT Ref : S . P. E. D. S . DATE September 23 87 permit # New York - 0202525 MODEL C of C /K LOCATION OF PROPERTY FOR INSTALLATION 16 Elizabeth Lane Owner's Name: 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 , K, L, M Number of bedrooms (residential only) 2 3 F , G , II Total daily flow (compute (W 150 gal per bedroom) 300 Topography: circle one: Flat Rolling Steep Slope 956 of slope Soil Nature: circle one*. (Sand Loam Clay Other / Depth: 8 ' feet + Cround Water: At what depth? urlkn"" 8 feet + Bedrock or Impervious Material: At what depth? unknown feet Percolation test: circle one: not require required / rate min. inch. Domestic water supply: circle one: Municipal Well Other IF domestic water supply is a Well: Sepairation: Watersupply from Septic absorption N/A feet PROPOSED SYSTEM: Septic Tank gal. (minimum size: 1.000 gal.) TILE FIELD: Each Trench 13/A feet / Total system length N/`'''' feet * SEEPAGE PIT(S): Number of / Size each feet by feet -` * Size of stone to be used # / Depth or Thickness feet * s +s * s �ss �s * * s * * * * * i * i * as * * * * a� * * sale * a1c �Ir �les +IFIk * leas * IMPORTANT See S . P . E . D . S . ...Please...LIST NEW EQU PMENT TO BE INSTALLED permit & attached * * * s * s s * s * s * s * * s s s s s s ae s s s * s s s * * * * * s * * * * s * map . (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: l.) 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 54 size and dimensions of all tanks, distribution boxes, tile fields and/or dryw ells 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 $250.00. 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. 1 have read the regulations above and agree to abide by these and all requirements of the Town of Queensbauy Sanitary Sewage Disposal Os%Unance. Signature of.responsible person: Date: w Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SETTLED 1763 . . . HOME 0F NATURAL BEAUTY . . . A GOOD. PLACE TO LIVE M 0D1054 THE NEW YCIRIC BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 41 STATE STREET, ALBANY, NEW YORK 12207 s r �yy 38 t a gppfication No. on fife � ! � � V Pate "iATCh 97 , 198S 034302 /87 THIS CERTIFIES THAT the �t nanredoAs ilae above aPPiicat� nunsber in the prerrsiees � is an+Iy the electrical equiprnant me described below and itstroo..�- by alvPH — eeyrxsbxxr r . Nell `POI?c 7- of two famEly - � C`;uyE>x BuildersIxxc . # 16 `"i.`]-izat,eth Lane `�'►x outside Section Bloch 4 Lot Fl- irt thefolloteing location; Rese"twnt Ise lrl. nd FY. 77 ryry ]� anti fe"rLd to be in compliance with the regwiremenION" this Board. was examined on IIXHAUST FANS FIXTURE"5 RANGiES COCMIWG DECKS OVENS DISK WASi1ERS FIXTURE AMT. K. W. AMt- ATACLAS S+YMITCT#ES NCANtiE.SCENT FE4�IIESCENT y AM►, K, W. AMT. K. W- AMT. K.W. tal►TLETs 4 . 5 3 fx I5 -15 22 11 4 WATI-OUTUtT OIIMIiRRIq`i tiJTURE AfM1AMCE fEEBERS SfEC1AL REC'IK TIME COCKS RRL LIMIT NEATERi SYSTIMS DRYERS r FURNACE MOTORS NO. Of FEET u�r. wArts AMT. K- W. pl N. P- M" N- P. AMt. No. AA W. 6- AM�T- ^Me.ang AMT. AMPS. TRANf. AMT. H. F. e T 1 ?� . R V I E No. Of S E A. w. �. No. of NtuneAl.s SERVKZ 01SgONNECT MINTERA N' No. or MAEc — AMT. AMP. T� EOUM. 107W, � ,+r sw a w' aW s.IN aw No. oFPEE'xi or cc. c�+o- or �n.ttc .� OTtIINII APPARATUS: 2/1 . 5 c7ec . Rooxu ,lestezr : 2 /9_ . 0t 3- fC1 - j, _. Sill{i ri.tc d.eteCtor G1 zye 33 c1e�S IxxC . � � BRANCH MANAGER 11� aunuirrF� T ;+ iz s3al.l�x[eaxt Spa , z•.eF� orr: Prr This certificate must not be altered in any manner; retu3�11r3jjjrj�11! ME rn to the office of ►fie Board if incorrect. Inspectors may be identified by their creden►iak. a�i Ct]PY Fi}ft BUILDING DEPARTMENT. 7fifS COPY OF CERTIFICATE I+AUST NOT BE ALTERED IN ANY MANNER. _f r� o� �e.� eenShutr't� -k[DA G and ZONING DEPARTMENT fr. Say and Ha�iiand Road. R. Q. 1 Box 98 �J 4ueensbury, New York 12801 8LJI LD I NG I NsPECTOR ' S REPORT NAME 1 . C4 '04 LOCATIO 2 Date �- /� Permit No APPROVED YES NO � Footing/Pier Forms Foundation waterproofin+ Bacicfill \ Framing Roofing Siding Masonry V heer _ Rough PI bing_ ._- Relief Val es Ext . Porch Finished Flo rs Interior Trim Stairs & Raj-I ! s Cellar Drain Til concrete. Flc'> ars Plbg . Fixtures Gar . Fireproofing Doc) r closers Smoke Detectors Chimney INSUILATION : Foundation Floors walls ceiling FINAL ELECTRICAL INSPECTION ti 6RIV'EWAY APPROVAL Final Baiiiding Survey S Nex scheduled inspection ( call when ready ) t Remark:s- sup u � f ' r F3uilding Inspector G/86 and-vl ��� fJ �c�J. II J ._.Jown o �ueeny6ure�t BUILDING and ZONING DEPARTMENT Bay and Haviland Road. R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION �TL NAME ` ' ie 's'✓ �ditS�'` c� +z� � r-c LOCATION DATE er fOAPERM T NO. +3 SOIL TYPE Loam - Clay - percolation Test Required? YES - Percolation rate - Min/Inch _ TYPE of SYS .� Absorption f eld , total leng Length of ea trench Depth of tren hes Size of grave - - SEEPAGE PITS4 er a Size- -ft, t. Gravel size Site Type PIPING : Bldg . to tank _ ^ Tank to disc. o Disto box to fie d/pit C/ Openings s led? YES NO Partial LOCATION EPARATI S : Foundat ' n to tan} fto Founda on to absor tion ft . Absorp ion to lot li e f t. Separ tion of pits ft. LEA ON CF SySTM4 ON PROPERTY (circle one) Fran - Rear - Left si e - Right side C TS : cJ f! SYSTEM USE APPROVED S O B i1Sin Inspector ol/86 and vl BUILDING and ZONING. DEPARTMENT " Stay and Haviland Road, R.O. 1 Box 98 Queenshury, New 'York 12801 BUILDING INSPECTOR ' S REPORT NAME 4 LOCATION 0041 Date -sa-c.•..— Permit No . � — ✓ = APPROVED - YES NO ]'Doting/Pier Forms Foundation Waterproofing Back f i l l framing Roof ing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porchos finished Floors OK Interior `trim ; ta .irs & Riilings Cellar [gain 'Fife _ C oncI tote 1' l (}C1rS _ YT I'll}rJ . Fixtures r . Pi roproo ! irr� l l7rrsrr t ' lu�.� � rr. _ _ timvkt• [ gel a •; t car:; Z,4N :;lII .A I' Is)N VOW ICLII. ion Wa I Is __- - Ceiling FINAL HI ECT IC AL TNSPECTIDN I)RIVEWAY AP ROVAL Final Building Survey Next scheduled inspection (call when ready ) Remarks- (, { �^ Pao ') I L) rf C') UA iz /0 — JAI PIZG--0 ra u5 t� Building Inspe for G/86 and-vl � /� _ fow�r v Queen3hury /f fi BUILDINGS and ZONING DEPARTMENT Bay and Haviiand Road, R. D. i Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT %%t _ r,,,,,, 5 U V --- NAME LOCATION 2 �. Date?�� �� Permit APPROVED - YES NOf' Footing/Pier Forms Foundation waterproofing Backfill Framing Roofing Siding Mas my Veneer ugh Plumbing Reliefq Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Til Coricrete Floors Plbg . " Fi.xtures Gar . Fireproof ' ng Door Closers Smoke Detecto s Chimney INSULATION : Foundation Floors Walls Ceiling_ FINAL EI•ECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when readyl Remarks- , Building nspec 6/86 and-vl is itr Queenyhurc 1 / rr11 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12501 BUILDING I NSPECTO'R ' S REPORT NAME LOCATION Gf:✓��C' „/ �7.-7 -T Date 1//G� -/Q- — Permit No . J! APPROVED - YES NO Footing/P1er Forms Foundation WaterVroofing Backfill Framing Roof ing siding Masonry Veneer Stough Plumbing --•- Relief Valves Ext . Porches Finished Floors Interior Trim Stair3 & Railings Cellar Drain Til Concrete Floors Plbg . Fixtures Gar . VireProo ing Door Closers Sinc,3ke Detec ars Chimney INSUL.ATIO Foundatio L" loors Walls Ceiling FINhL F:I CTRICAL IL3SF'ECT10t4 - - DRIVEWAY PPROVAL Final Sul ding Survey Next scheduled inspection ( call when ready ) Remarks- I3ui ldin I 'Lspect+or 6/86 rnd-vl _.J'own o� '�tseeny6ur� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Sox 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME. LOCATION Date 1 L �_ �_,_ 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 'file Concrete Floors Plbg . Fixtures Gar . Fireproofs g Door Closers Smoke DetectO s Chimney INSULATION Foundation Floors Walls Ceiling FINAL ,EjEC RICAL INSPECTION_ DRIVEWAY AP OVA Final Building Survey ready ) Next scheduled inspection (call when. Remarks- Buil ng Inspector 6/86 and-vl 7o"In 4► itQert Shure BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D . 1 Sox 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME uV1 gb� LOCATION 44� of -ir� Date ® 17� /� Permit No . APPROVED - YES / NO Footing/Pier Forms Foundation aterproofang {{ Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext , Porches Finished Floors Interior Trim. Stairs & Railin s� Cellar Drain Tile Concrete Floo s Plug . Fixtur s Gar . Firepr ofing Door Close s Smoke Det CtOrs Chimney INSIJJ.ATI N Foundat on Floors Walls CeiIin FINAL f. ECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey ---- Next scheduled insp ection (call when ready ) Remarks- Building In ector 6/SFa and-vl /ocvn ofueen36esre � BUILDING and ZONING DEPARTMENT gay and Haviiand Road, R. D. 1 Box 98 � Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME f r _ } LOCATION �j Dat�/�G� a!_--L- Permit No 47 j '"!/ m t APPROVED - YES NO yFooting/Pier Forms Foundation waterproofing Back€ill Framing Roofing Siding masonry Vene r Rough Plumbi g Relief Valves Ext . Porches Finished Floor Interior Trim stairs & Railin s Cellar Drain Til Concrete Floors Plbg . Fixtures Gar , Fireproofing Door Closers Smoke Detectors Chimney INSUI.ATION : Foundation Floors Walls Ceiling FINAL ELECTRI AL INSPECTION DRIVEWAY APPR VAL Final Buildin Survey Next scheduled inspection (call when ready ) Remarks- 1146� I I I Building Inspector 6/85 and-vl BUILDING DEPT. +COPYIOE A LICA I-I CopYO T gl {ILD NG VEP- WHEN REOUIREpIREUNQERWRIXERS. F. DATE rf f TE}IIP. is ' Tri/�TEi�II !'Y busy COUNTY CITY OR ((�����{�'{.,urY TDyyNg}y1P ��{{ VILLAGE �{�`^�—� ! POLE NO. STREEY ANR NO. OR �'iI� ES�.�wi9�t�1 ROAD AND POI£ NO. BLOCK LOT BEYW££N WHAT TWO ECTION PREM SEYREE�YE62 BUILDING Wit. -. _ . . '� OCCUPANT'S OCCUPANCY 7EL. # ��� ..- ' NAME •�C...�. y 41'y � S` � f OWNER'S NAME �� '[lyli l[�s� �liCes J,..i7 OFFICE AND ADDRESS �` - �j FROIM TFtE1R - - � DEFECTS Q SUPPLIED WORK �+� REMOVED BY IS NEW Lq_ ADDITIONAL ❑ BUILDING ,�EW OLD CJ IS LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLEDBRANCH OFFICE USE No. of Fixtures St MOTORS HEATERS ClRCU1TS ONLY NUMBER OF OUTLETS Lease Reeaptaees A.W-Q- INSPECTION Lour H-P. No- No, Gaups icon Side Aifaoh't Swiach I0 nil Braekat No. TyW Each Cealinp Wall Reeeet'ls Gkit- slide Srxb• bass Been Mart tat FI. and Fl, 304 Fl. DO NOT USE THIS SPACE. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE; ecxion share ix iourrd additienel aquipment not son" listed, above-listed equipment to lse irYiPe'itmo but if at time of Prop the applicant, eM, as Provided by This application is intended to cuu er the TOTAL you are *Ulhorized to nia ke the inspection antl adjust the Fes to cover the addrtronal eWrG IC SIGN WATTS LAMPS SIZE OF }s FEEDERS MAINS i EXPOSED GAS TVA£ SIGN VA LnY CONCEALED TRANSFORMERS OF {CAPACITY! CHARACTER In aridiNUMBERI OF WORK WORK TO BE COMPLETED SIZE OF SIGN STARTED UNDERGROUND MAKER SERVICE OVERHEAD v y x OF SIGN ENI EDIN Aj►at. OLD INSPECTION REQUESTED N E1/i1 p ON OR AS NEAR AS 16U ryl1 L POSSIBLE AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN DR APPL1�CAyT 10N RETURNED.1 7 PRINT NAME AND ADDRESS DATE OF e3�s+ E�>fiJ�+ 'L � • APPLICAT M ION •e 1 NAME OF S F�'e` APPLICANT TELEPHONE # street •s q� LICENSE NO. STREET ADDRESS ,L ,lii,7 WHEN p.PPLICAALE Tom, ,� CCODE ---•— CITY OR POST OFFICE t . 4e E4 (REV. M1lnsl p SEPARATEP1PPLiCAT10N MUST BE FILED FOR EACH SEPARATE BUILDING Date : Nov 23 , 1987 * +' Re : Guyer Builders , Queen Victoria ' s Grant The Energy Code Part 6 , revised , and Party wall detail , revised , has been re- submitted this dater , The new Part 6 forms are attached to the plans for type "A. j " building . The first few buildings have party walls as per original plans . These were reviewed with Mr . Mc Grath , engineer for the Codes Bureau , and will be allowed . -to remain as- built . The remainder of the structures will conform to the evised wings . Victor Lefebvre , C _ O _ E . Town of Queensbury REFERENCE DRAWINGS EL IZ/-BE TH E-C DIAMETER 6'-0 DEPTH QUEEN VICTORIA S GRANT QUEENSBURY , N.Y. L1 NE 31' 5A SITE UTILITIES SEPTIC � WATER VanDUSEN �, STEVES SURVEY PLAN II ELIZABETH LANE �I PLOT PLAN SEPTIC SYSTEM GUYER BUILDERS, INC. QV - 6 D W N I' 2C'- 0