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1987-797 97 r._.�a` :` ..!. + i#:.i ;Y�e.�'°i.'h' 3�: . .T. y. �. ,.� . r. "_r�d 7... . 3:;..�� _. 3':.:f _ _ t p CERTIFICATE OF + CU I'� N�'�' TOWN OF QUEENSBURY WARREN COUNTY, NEW 'YORK May ay 5 , 1 19 88 This is to certify that work requested to be done as shorn by Permit No. 87-797 has been completed. This structure may be occupied as a �r4 of a two family dwelling Location l2 Elizabeth Lane, Queen Victoria's Grant, Model L Owner Guyer Builders Inc* By Order Town Board PrO% N OF QUEENSBUIIY Building & Zoning Inspector BUILDING PERMIT �A TOWN OF QUEENSBURY No. 87-797 � z WARREN COUNTY, NEW YOR 'K Cx , PERMISSION is hereby granted to Queen Victoria ' s Grant OWNER of property located at 12 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. r� G m [2:CONTRACTOR 7WNE R'S Address is fa 119 Dunning St . 0 Ballston Spa , N . Y . 12620 w rt 0 or SULLOERS Name F Guyer Builders F as m c� n a CONTRACTOR or BUILDER'S Address Same rr 4. ARCHITECT'S Name r- r., 5. ARCHITECT'S Address t� 11 Y• N c tY M B. TYPE of Construction — (Please indicate by X) r ( IFYVood Frame ( } Masonry l } Steel m y. PLANS and 5peaifications No. 34 ' x 43 ' as per plot plan , specifications and application including { septic system and attached one car garage . MODEL L S. Proposed Use - y } of Two Family Dwelling a s $5 . 00 C/O a $ 75 . 0O PERMIT FEE PAID — THIS PERMIT EXPIRES June 1 , fg 88 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the Eg town of aueensbury before the expiration date.) Dated at the Town of Queensbury this f 27th pDay c+f �/ November 7g $� SIGNED BY _ d ' r / G�CsC Gs�,_,Pc''•� � for the Town of Queensbury Building and Zoning Inspector Ta NX L:LaMrLL rL' u Mz ="&^a . a,. & • . C / Application No . ray .� i- e ;, ,. . - JiG►tUr� b �s�en3bter Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 I Bay and Haviland Road, R. D, 1 Box 98 Zoning Designation ff'; Queensbury, New York 12801 Variance No . OCT Z . . 19vO 7 Site Plan Rev N . Approved b APPLICATION FOR /J r✓rrr tP 3 BIB I LD I NG AND ZONING PERMIT * * 8 r * * * * * * * * * !F 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 : gtLver Builders Inc . P. O. Address 119 Dunning Street Ballston Spa , New York 12020 Tel . ( 518 ) 899-9161 : 12 Elizabeth Lane Tax Map No . 121 / ++ / 2 Property Location 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 Tel . No . N8A►e P . O. Address Name of builder Guyer Builders , Inc -Address 119 Dunning Street Tel . ( 518) 899-9161 Name of pl umber 37er 1 ers , nc .Address 119 jXnviing Street Tel . Name of mason ruyer ers , Inc -Address J_ng ree 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-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 PT f ttEL t X 120 ft ���v * la Size of property Imt pn ^ft . '* Existing building ( s) Size ft X PROPOSED BUILDING AND USE : Moof FIT • * Existing building ( s ) Use N/A Size of new struc a 31+ ft X 43 ft Foundation-pier an slab crawl/partial/full " Proposed ]ouilding , seesptootte from property line c.vrcle one ) * Front yard 30+ ft Rear yard 30+ ft No . of stories (habitable space) 1 Height ( grade to ridge ) " ft . * Side yards 1 —ft and 15+ ft 21 ' -O If on corner , setback from side street ft residential , no. Of families 1 of 2 . of rooms (excluding baths ) �� " OCCUPANCY INFORMATION No. of bedrooms Z * PRIMARY BUILDING - No. of bathrooms One family dwelling This ra e3 r Primary heating system se ar a ectrie -Two family dwelling one s go Type of fuel Electricity 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 Is cabin * If addition , what will use be? Raised ranch Mansion Duple Split level Old style Bungalow Cape Cod Cartage Other " ACCESSORY BUILDING-- .. Detached garage/one car/ two car/ car colonial Row Town House " g one car { CIRCLE ONE PLEASE ) _.X Attached garage/one car/ two car/ * * * * * * * * * r * • * * + * * Private storage building ESTIMATED MARKET VALUE OF * other CONSTRUCTION $ INFORMATION ON - BUILDING SPEC IF AAKONS . ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETEDI Form EPA 4/86 md--vl BUILDING PERMIT APPLICATION CONTINUED - we , 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? rio will any portion be used as living space? ( If so, what portjl sq. ft . - - Type of use? Type of roof - sloped If Material of roof Fi rg ass Shing es Size , wood studs "x 6 VI spacing 24 "o . c , length 8 ft. exterior walls Joists ( floor beams ) 1st . floor N/A "X of spacing "o . c . span N/A ft . JOists ( floor beams) 2nd . floor 2 '•x�(3 -" spacing��+'o , c , spanhT A ft . Overlays ( ceiling beams ) "x spacing 24 "o . c . span N/A ft, Roof rafters 2 " X 1 No spaci' ng 24 o . c . span 12 ft . Roof trusses (pre-engineered) spacing "o . c . span 43 ' ft . Exterior wall finish stained Of what material? 5 /8" x 4 ' x 8 ' texture 111 Interior wall finish paint l72"`sFWMtrock 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 }and dwelling? yes _ 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 NA ft , Depth of chimney foundation below grade N A ft . Depth of fireplace hearth 1V 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 . , S , rmit # 021y1252_ _ Town of Queensbury County of Warren q F F .... p A 11' �I T - STATE OF NEW YpRY{ = 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 . SWORN TO BEFORE ME THIS Signatureowne -'Y; --- -- =____----- - r , owner s ag t , ect , contraetor �a r 2y day o�. hie u( 19 ;� ELJZAgETH K. f�/kfVQFiY Notary Public. State of New York f ' ��"-• Qualifier) in Saratoga County Notary 11 , Warren County , N . Y "� f^nmm. cinr, Fxf rr�t June 3 Fi 1 �g At t IF * R * # # # # tAr ! # R # # 1k # R # ! # # # SPECIAL CONDITIONS OF THE PERMIT : 963 Square feet luring 288 Square foot garage - one stall 1224 @ $7 , 00/100" or part of $5 .00 one stall garage $5 . 00 C/O permit Total TOWN OF QUEENSDURY WARREN COUNTY , NEW YORK Application fors BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work . akNaWgR ALL of the followings �. . 936 S . F . coon floor area 2 . Type of heat Baseboard electric .3 . Is the building mechanically cooled ? 4 . Percentage of area of windows and doors 15 . 9% 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 So Type of insulation 8 . 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 XKXOtK R-23 . 5 U . =0 . 04+ 3 . R value of glazed area U . .0 . 20 4 . R value of doors R-14 . 9 so R value of floors over unheated ,spaces NIA 6 . R value of slab edge insulation - unheated slab N/A T . R value of slab insulation - heated slab 12 . 5 V . 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 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 . Piping Insulation N/A 1 . Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulations F . Service Water Heating 1 . Performance efficiency N/A 2 . Temperature control setting maximum G . For Swimming Pool Only 10 maximum heating N/A Telephone No . ( 518) 899-9161 ( applicant ' -64egnature ) Uf rosfn of APPLICATION FOR SEPTIC DLSPOSAL PERMIT Ref: S . P . E. D. S . DATE September 23 / 87 permit # New York -- 0202525 MODEL aw� of E/L LOCATION OF PROPERTY FOR INSTALLATION 12 Elizabeth Lane Owner's Name: Guyer Builders , Inc . Telephone: ( 518) 899-9161 Address: 119 Rmni a Street , Ballston Spa , New York 12020 Installer's Flame: Guyer Builders , Inc Telephone: ( 518) 899-9161 2 A, C , E, I , J , K, Lp M. Number of bedrooms (residential only) 2 3 F , G , H Total daily flow (compute @ 150 gal per bedroom) 300 Topography: circle one: Flat Bolling Steep Slope 96 of slope Soil Nature: circle one: Sand Loam Clay Other / Depth: 8 ' feet + Ground Water: At what depth? unknOwn 8 feet + Bedrock or Impervious Material: At what depth? unknown feet Percolation test: circle one: not requir . required / rate min. inch. Domestic water supply: circle one: Municip Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption _ NIA feet * PROPOSED SYSTEM: Septic Tank gal. (minimum size: 1,000 gal.) TILE FIELD: Each 'french 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 * sas * * * s * e * s * * :rs �e * se * * ssssayr * * * saFafe � �sssss IMPORTANT * See $ . P .E . D. S . %*.Please...LIST NEW EQUIPMENT TO BE INSTALLED permit & attached s * * * * * * * * * * * ss s * * a * s * * * s * * # * se * e * a * * * * map . (over) Section U 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 Z4 hours before start of construction and shall include a plot plan showing: 1.) the Propoiced ,location of the system 2.) location and distance to lot lines 3.) location and distance to structures 40 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 $250.00. Co An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during, construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. I have read the regulations above and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Dimposal 'OtNnna ce. Signature of-responsible person: Date: x Town of Queensbury Building and Code .Department Bay at Haviland Road Queensbury, New York 1 Z801 (518) 792-5832 SETTLED 1763 . HOME OF NATURAL BEAUTY A GOOD. PLACE To LIVE flown of Q"eenjgury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 'Box 98 Queensbury, New York 12801 8119 INSPECTOR ' S REPORT NAMEJTI 1L J LOCATION Dateic/ Permit. No . �! - // APPROVED - YES J NO Footing/Pier Forms Foundation waterproofing Saekfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Parches ~' Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile- - Concrete Floors _......,._ Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready ) Remarks- i Building Inspector 6/86 and-vl ------------ 4001W504 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY Ft 41 STATE STREET, ALBANY. NEW YORK 12207 l>rete February 2$ ■ 13$$ Application No. on file 034 300/2 i' � 3 THIS CERTIFIES THAT anly the eleCtrieal egtaipnsent wt described below wand introduced bry the applicant nomad an the above appacetiom number in the preneieee of Guyer Builders inc . # 12 Elizabeth T.ane Queenebury , New York !s of two family in thefollowinAlocation; ❑ basement bd let Fl. ❑ 2nd Ft. garage outside Section 12181ock 4 Lot Was erornined on 2- 1 1-98 and found to be in compliance with the requirements of this Board. LI FIXTURE OUTLEETS ACIAS SWNTCNES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS TS NC Mscl"T nuo"SCtlar AMT. K. W AMT. K. w, AMT. K.W. AMT. K. W. AMT. M. ►. — IS � 3 20 3 6 I d . ri 3 gr as DRYERS FURNACE AIOTOM PLITURE "PUARNM P61DEN5 SPECIAL RECW TO"CLOCK$ BELL UNIT HEATERS iAMATI-OUTLET Dye AMT-- K. W_ On M. A_ OAS M. r. AMT. raft. A. W. G. AMT. ^W. AMT. MVS. TRANis. AMT. il. ►. SYSTEMS AMT. WATTS NO. of PEEP . wlryTer B 1 1 SERVICE DISCONNECT No. OF S E R V 1 G E FI AMT, AMP. METEREc"Ap 1 .e 7w 1 X 3Nr 3 .e srww 3 ., P nv Pao. ar CC. cOwU. A. W. NO. Or lati CC. G- r!K / Or rJF HM4EG IWCT. OF NtllTKwlS OF IJwEII Rwl I 150 eb 1 2 /0 1 /C! OTNEE APPARATUS ]�lec . Room Ifeatere : 1 /2o0s 4 / 1 /6 , I / I aOs. 1 / . 5 Motors s 11-4; 3- rfcl 1 - smoke detector 4 was V Guyer Builderar Inc . 1 Ir 119 Dunning, Street Ral.laton Spas. NY 12020 BRANCH MANAGER This certificate must not be ahered in any manner,- return to the office of the Board if incorrect. Inspectors may be Identified by their credemials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 13UILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME I L O C A T 1 O N t°'..�y"r'` Date__/ j)L- 1 Permit Noorll ✓ APPROVED - YES NO Footing/Pier Forms roundation waterproofing Back fi11 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 Detect s _ Chimney SCNSULATION : Foundation Floors Walls Ceiling_ FINAL ELE TRTCAL INSPECTIC7N DRIVEWAY A ROVAL .� Final Building Survey Next scheduled inspection (cull when ready ) Remarks- Buil ng Inspector 6/86 and-vl ._../nwn n/ Q" Cens6ury BUILDING and ZONING DEPARTMENT Bay and Haviiand Road, R.O. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S RETORT NAME LOCATION . Date� I'ermit 10 . _ orb or ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough PlUrRbing Relief Valves Ext , Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors / Plbg . Fixtures Gar . Fireproofin Ducar Closers Smoke Detector Chimney I N SU LAT I ON Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( call when ready ) Remarks- t Building I p ctor 6/86 and-vI atv" o/ Queenig"ry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Datez( _ Permit No . rr � ✓ = APPROVED - YES NO Footing/Pier Forms Foundation waterproofing Backfill Framing Roofing Siding Masonry Veneer LF6ugh Plumbing Relief Valves Ext . Porches Finished Floors Interior Tram Stairs & Railings Cellar Drain Tile Concrete Flours Plbg . Fixtures Gar , Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors walls Ceiling FINAL ELECT ICAL INSPECTION DRIVEWAY AP ROVAL Final Building Survey Next scheduled Inspection ( call when ready ) Remarks- ! /�r►� Silding Inspector 6/86 and-vl .._.sown 0/ Queere3hurt� BUILDING, and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT LOCATION r 9 r Z Date /,r� f Permit No . ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing c..B'Zckfill F rann-ng Roofing Siding Masonry Ve eer Rough Plumb g Relief Valve Ext. , Porches Finished Floor Interior Trim Stairs & Railing Cellar Drain Tile:. , ' Concrete Floors AOF Plbg . Fixtures Gar . Fireproof! Door Closers Smoke Detecto s Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready ) Remarks- Building Inspector 6J86 and-vl own 0/ aeeen36ur BUILDING and ZONING DEPARTMENT ,o Bay and Haviland Road, R. D. 1 Box 9,8 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME ' m LOCATION , f f Date Permit p I�+IcE � . ✓ = APPROVED - NO ooting/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Ven er Rough Plumh7 g Relief Valves Ext . Porches Finished Floors nteraor Trim ---- Stairs & Railings - Cellar Drain Tile - Concrete Floors Plbg . Fixtures Gar . Fireproofing ^- Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRIC L TNSPECTION DRIVEWAY APPRO AL Final Building Survey Next scheduled inspection (call when ready , Remarks- ,or Building Inspector +�/86 md--vl BUILDING DEPT. COPY OF APPLICATION FORM 46-ELe NEW PORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT. WHEN REOtlUIRED. TEMP. ! — DATE CITY OR f VILLAGE Lmimn� na TOWNSHIP STREET AND NO, on �1 y e,t�, 7 COUNTY y ROAD AND POLE NO. # "' jj� 3 4'—,`bet h I BETWEEN WHAT TWO POLE ND- PROSSREMf ES EOCATED? OCCUPANT'S SE TION BLOCK LOT NAME BUILDING OWNERS NAME �ry�. � S {� OCCU NCY PA AND ADDRESS CLrYes 'I.,�,...,•,.+'Iir•s, i so F 119 }+unrxing 'g;tzee,t TEL.# ply p SUPPLIED 161 BY BUILDING FROM THEIR OFFICE IS NEW DIX OLD ❑ WORK f� DEFECTS IS NEW EX ADDITIONAL © REMOVED ❑ LIST BELOW ALL EOUIPMENT WHICH YOU INSTALLED — NUMBER OF OUTLETS No. of Fixtures & -Loea- Lamp Recaplacla BRANCH s MOTORS HEATERS CIRCUITS OFFICE USE riot ONLY Coiling Bich Atteciis Sw fth Pendant Braaket Nw Type H.P. Wattse Wall R eespys OutI Each Wo• Each Ma, A.W.G.Oaa INSPECTION elde 86 ut4 Base- ment Tat Fl. 2nd FI. 3rd Fit REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE, This aPPlieation is intended to corer the above-Iieied a WiPmaMt to be inspected but iF at tine of i You are authorized tp make the iinspectian and adjust tits fee to cover the additional rlsPeehpn the^° is Found additional estuipmant not above I+sxetl, SIZE OF �',ry etlwPment, as Provided by the applicant. MAINS 150 • FEEDERS EL ECTR IC Si GIN TOTAL CHARACTER LAMPS WATTS OF WORK $,Q{j, ONCEA GAS TUBE SIGN " C@ CONCEALED STORK TO BE TRANSFORMERS OF VA INUMBERI STARTED COMPLETED SIZE OF SIGN ICAPACITYI SERVICE OVERHEAD UNDERGROUND ENTERS MAKER IL ING OF SIGN INSPECTION REOUESTEO ON OR AS NEAR AS POSSIBLE NE-Y1! ❑ OLD PRINT NAME ANDD f ADDRESS ❑ AVOID DELAY GIY FULL AND ACCURATE FNFORMATION, ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPOF LICANT C�$IV!aT - si j pyr. s DATE OF xUC. APPLICATION STREET ADDRESS gr ,06� p ! CITY OR TELEPHONE # BT CODE tl POST OFFICE 'fIN] �m.�-zgt S LICENSE PLI �..._-WHEN APPLICABLE 66 EL (Rev. Va$) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING w 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 date , , The new Part 6 farms 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 . Me Grath , engineer for the Codes Bureau , and will be allowed to remain as-built . The remainder of the structures will conform to the evised d wings . { Victor Lefebvre , C . O . E . Town of Queensbury ELIZABETH 125.00 --r-- w %-L-C nIV t-iV I TO GRALE QUEEN VICTORI A' S GRANT QUEENSBURY , N.Y. 2000 qa I . 0 DIAMETER !'-C DEPTH 2,4,6,8,10,12 ELIZABETH LANE PLOT PLAN � SEPTICSYSTEM GUYER BUILDERS, INC QV - 5 CWN;i Q-Z4-87 FS c�le I': 20'-0