1987-795 '3 61
n f
f CERTIFICATE +�JF C�C+C ..TI'A TAT ,Y
TOWN OF QUEENSSURY
WARREN COUNTY, NEW YORK
q DateVe
FeUruary 8 Lq 88
. 'This is to certify that work requested to be done as shown by Permit NO. �i 7-- 7 9 5
has been completed.
This structure may be occupied as a of a two f am ilv dw ellin - ---
Locatjon 8 Elizabeth LaneQueen Victorialp Grant Model J
Owner Gu er Builders, Inc.
By Order Town Board
TOWN OF QUEENSSBURY
Building & Zoning Inspector
BUILDING PERMIT �
TOWN OF QUEENSBURY No. 87-795 �
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Queen Victoria r s Grant
,v
1
OWNER of property located at 8 Elizabeth Lane Street, Road or Ave.
in the Town of Oueensbury, 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 Oueensbury Building and Zoning Ordinance.
1 . OWNER'S Address is
119 Dunning Sto f°
m
Ballston Spa , N . Y . 12020 n
C
w
rs
rt
2. CONTRACTOR or BUILDER'S Name o
n
Guyer Builders
3. CONTRACTOR or BUILDEWS Address *1
Same
.Y
a. ARCHITECTS Name
Co
rd
5. ARCHITECT'S Address
N•
N
537
CS'
f9
is
6. TYPE of Construction — (Please indicate by XI
t"
• O7
(x) Wood Frente ( 1 Masonry ( I Steel
m
T. PLANS and Specifications
No 32 ' x 48 ' as per plot plan , specifications and application including
septic system and attached one car garage . MODEL J
8_ Proposed Use
� of two family
0
$5000 C/o
89000 June 1 , 88
EXPIRES 18 �
(lf a [anger period is required an application for an extension must be made to the Building and Zoning inspector of the
town of pueensbury before the expiration date,)
November a
Dated at the Town of Clueensbury this 27tYe Day of �� 87 r,
SIGNED BY i► / '-�� �-, for the Town of ilueensbury
Building and Zoning Inspector
BUILDING PERMIT APPLXCATION CONTINUED
BUILDING SPECIFICATIONS :
wood frame
Type of construction , wood frame , fire safe , ec .t
Will any second-hand or ungraded lumber be used? If so , for what? no
Foundation wall material concrete block 'Thickness 8"
Depth of foundation below grade (to bottom of footing ) toIftini
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 pore„D'�-, sq. ft . - - 'Type of use?
Type of roof {`slloped flat/shed/other Material of roof Fiberglass shir►g eta
Size , wood studs "x 6 spacing 24 "o . c . length 8 ft . exterior walls
Joists ( floor beams) lst . floor NIP' -"'X! spacing "o . c . span N/A ft .
3oists ( floor beams ) 2nd . floor spacing "a . c . span N A ft .
Overlays (ceiling beams ) "X " spacing 24 "o . c . span N/A ft .
Roof rafters 2 "X 11 spacing 4 o . c . span 14 ft .
Roof trusses (pre--engineered) spacing 2 " o . c , span 421ft .
Exterior wall finish stained Of what material? 5 /8" x 4 ' x & ` texture 111
Interior wall finish Pain 11 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 Aand 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 N A ft .
Depth of chimney foundation below grade N A ft .
Depth of fireplace hearth N A ft . in .
Water supply - Municipal or private well municipal
SEPTIC SYSTEM _ Distance from ANY private well { including adjoining properties ft .
(A separate application is necessary for an re air or new installation of septic system)
See S . P . EaD . S . permit # 0262525
Town of ¢ueensbury A F F i D A V j T STATE OF NEW PORK
County of Warren
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 note and that such work is
authorized by the owner .
SWORN To BEFORE ME THIS Signature
Owner . owner ' s a -, arcnxrect, contractor
wa day of Qaa\ja x 19 `i�-q PErLiZIkf3E1 H K. LANDRY �~
c� Notary PPublic. State of Now Y01%
No. 4662001
Rotary J$ubT1q , Warren County , N . Y . Oualif#ed in Saratoga County
C m ifi ion Expires June
3 * ,k •r * • # w W . * • sr * A * x * � * �i r � +� # 1r * * it � • * * A * * w at * • * * + t
SPECIAL CONDITIONS OF THE PERMIT :
1123 Square feet living
240 Square foot garage - one stall
1363 @ $7 . 00/ 100 or part of
_ $ 5 . 00 one stall garage
$5 . 00 C/o permit
Total
'av nz UUr1rJALT1;U nr "
e� / Application No .
' Jvwti , v ' es�Q+►atd6ur� Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires 19 �i
Bay and Haviland Road, R. D. 1 Box 98 Zoning Designa on � LT � ����
Queensbury, New York 12801 Variance No .
Site Plan iew o , spy ' �+ , r
Approved b 09 j!;; ' �r`/r Afoo .�
APPLICATION FOR / �
Eli I l.D I NG 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
wwwwww
Property Location : 8 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. Guyer III IL ( 518 ) 899-9161
Name P . O . Address Tel . No ,
Name of builder GuYer Builders , Inc .Addrese 119 Dunning Street Tel . ( 518) 899-9161
wwwwwww
Name of plumber WyWr ers , nC .Address IL9 LXuinlng :5treet Tel .
Name of mason GGyder builaersq _ .Address L19 DNW=�g Street 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
FOR DEMOLITION PERMIT , STATE SIZE AND * whether interior or corner lot , Show location
LOCATION OF STRUCTURES AFFECTED . * of water supply and location and configuration
of septic disposal area .
COMPLETE INFORMATION REQUIRED BELOW .
s e
* Size of property 100-+ p anp ft X 120 ft .
* Existing building ( s) size ft X-� ft .
,r
PROPOSED BUILDING AND USE : ofl Existing buildings ) Use NIA
Size of new strut a 32 ft X 48 ft
Foundation-pier slab crawl/partial/full * Proposed building, sddiisttee anncep#�m property line
circle one ) * Front yard 30+ ft Rear yard30+ ft
No * of stories (habitable 1?1el?) 1 * Side yards 15+ ft and 15+ ft
Height (grade to ridge ) ft * If on corner , setback from side street ft
If residential , no . of families of 2
No . of rooms ( excluding baths ) �� * OCCUPANCY INFORMATION
No. ,tif bedrooms 2 * PRIMARY BUILDING -
No . of bathrooms 2 One family dwelling This Tbei
7LLl1CLiIfi r
Pr."ry heating system Baseboard electric* - -Two family dwelling one s 6
Type of fuel ElectrlClt Multiple dwelling / Number of units
Lao . of fireplaces to be installed l
Will a wood stove be installed? NO * Permanent occupancy
Central Air conditioning? No * Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
Ranch Contemporary Loq cabin * Other
Raised ranch Mansion Duple .r 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/ car
( CIRCLE LINE PLEASE x.Attached garage/one car/ two car/ one car
* * * * * * * * * * * * * * * * * * Private storage building
ESTIMATED MARKET VALUE OFOther
CONSTRUCTION '*
INFORMATION ON - BUILDING SPECIWAT ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED [
Form BPA 4f 86 and-vl
TOWN of QUEENSSURY
WARREN COUNTY , NEW YORK
&pplication for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE
A permit must be obtained before beginning work .
ANSWER ALL of the following :
� . Gross floor area 1123 S . F .
1 . Type of heat, Baseboard electric
Own
3 . Is the building mechanically cooled ? No
4 , percentage of area of windows and doors 1108%
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 N.Q
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
R . under 16 % Only
1 . R value of roof and floors exposed to ambient conditions.
R-38
2 . R value of exterior walls XXXXMEX R-23 . 5 (U. =0 . 04+)
3 . R value of glazed area U. =Oo3O
4 . R value of doors R-14 . 9 (U• =OmO6 )
5 . R value of floors over unheated spaces iC R-30_
6 . R value of slab edge insulation - unheated slab N/A
7 . R value of slab insulation - Heated slab 12e5
8 . R value of heated basement/ cellar walls ( above grade ) N/A
96 R value of heated basement/ cellar walls ( below grade ) N/A
100 Type of insulation Fiberglass
C . Controls
1 . Thermostat maximum heat setting
D . Duct Systems N/A
le Is duct system installed in unheated spaces ? YES No
a . If YES . R value of duct ,installation
be I. R value of duct in other areas
Be Piping insulation N/A
1 . Sire of hot water or cooling carrying agent pipe
2 . R value of pipe insulation
F . Service Water Heating
le Performance efficiency NIA
2 . Temperature control setting maximum
G . For Swimming Pool Only
1 . Maximum heating N/A
lephone No . ( 518) 899-9161 '� !
( applicant ' gnature )
� +J�rf(►lf- ����
APPLICATION FOR SEP77C DISPOSAL PERMIT
Ref : S . P . E . D . S .
BATE September 23 �, $7 pernii.t #
New York - 0202525
MODEL J of
LOCATION OF PROPERTY FOR INSTALLATION 8 Elizabeth Lane
Owner's Name: Guyer Builders , Inc . Telephone: C51$ - $99-9161
.Address: 119 Dunning; Street , Ballston Spa , New York 12020
lastaller's Name: 'Guyer Builders , Inc Telephone: ( 518) $99-9161
2 A, C , E, it J $ K, L, M
Number of bedrooms (residential only) 2 3 F , G , H
Total daily flow (compute Q 150 gal per bedroom) 300
Thy': circle one: Flat Rolling Steep Slope % of slope
Soil Nature: circle one. Sand Loam Clay Other / Dep#h: $ ' feet
Ground Water: At what depth? unkrlolwn 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 ane: QMunicipal 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 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 SS . P. E . D. S .
.,.please...LIST NEW EQUIPMENT TO BE INSTALLED permit & attached
* sir * at * * * * s * a * * ssss * * * a �s * sssss * * * ses * * se * map ,
(over)
Section IT Septic system "Pectionss
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 proposed ,location of the 4ystem
2.) location and distance to lot lines
30 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
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 $2500006
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 thesoe and all requirensents
Of the Town of Queensbury Sanitary, Sewage Disposal oedinance.
Signature of.responsible persons
Dates
Town of Queensbury
Building ,and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 79Z-5832
SETTLED 1763 , HOME OF NATURAL BEAUTY , . . A GOOD- PLACE TO LIVE
awn 0/ Queenj
BUILDING and ZONING DEPARTMENT
Bay and Hawiland Road, R. D. 1 Sox 98
Queensbury, New York 12801
SEPTIC DISPOSAL ,Sr jSTEM INSPECTION
NAME
LOCATION
DATE / PERMIT NO .
SOIL TYPE - Loam - Clay
Percolation est Required? YES -
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption f ' e1d , total Length
Length of a ch trench
Depth of tre ches
Size of grave
SEEPAGE PITS4N er o37 f) /
Size- $-ft. Xft
Gravel size
PIPING : Size Type
Bldg * to tank. -Ziff
f��
Tank to d3 st. box e r
Distw box to fiel / it
Openings sealed? Y S NO Partial
LOCATION/SEPA IONS
Foundation t tank fte
Foundation o absorptio ft .
Absorption o lot line ft .
Separatio of Pits ft-
LOCATION SYSTEM ON PRO ERTY (circle one)
Front - ar - Left side Right side -
COMMENTS
/ c jr
r
SYSTEM USE APPROVED YES NO
4
r� ildi.ng nspector
01/86 and vl
� ��/� _.law► c►� �tteens � etrt�
EtUILDING and ZONING DEPARTMENT
/ Bay and Haviland Road, R. D. 1 Box 98
/ Queensbury, New York 12801
elo
BUIL DING INSPECTOR ' S REPORT
NAME
LOCATION
Date / �(1 Permit No . l
✓ = APPROVED - S NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
k Roofing
kSiding
Masonry Veneer
Rough Plumbing
h"Relief Valves
Ext . Irorches /
V Finished Floors
y,, Interior Trim
ycSStairs & Railings
Cellar Drain 'file
Concrete Floors
yPlbq . Fixtures
}: Gar . Fireproofin _
`y( Door Closers - s
X. Smoke Detectors
Chimney
INSULATION :
Foundation C
Floors f
Walls
Ceiling
FINAL ELECT ICAL INSPECTION
DRIVEWAY AF ROVAL
Final Build ng Survey.
Next schedu d inspection ( call when ready )
Remarks- [ C. a v ArLrA TL> } l,.c / 'L` 1-4_ - ( ekj
L. r
r
uilding Inspector
6/B6 and-vl
rx
MIM OEM
Tndh THE NEW YORK BOARD OF FIRE UNDERWRITERS
4�� ln�l+ BUREAU OF ELECTRICITY
41 STATE SSTREET. ALBANY, NEW YORK 12207
Date Application N"a LJ
on file A µ( y � 7 5 3 4
February12 , 1988 /
THIS CF..RTIPIES THAT 034294 J87 3E
only the electrical equipment as deeeribed bosom and introds4ced by the applicant na+tted on the above appsica"on n"mber in the prreFraiees of
Guyer Builders .#i8 Elizabeth Lane .Queensbury *NawYork
^c
in thefollowing location, ❑ Basement 1st FT. ❑ 3wd Fl. Section Block Lot
was examined on and found to be in compliance with the requirements of this Board.
2J5J$8
TIXTUEE MXTURES MAN COOKING DECKS OVEN 5 DISH WASHERS EXHAUST FANS
RCErTACIYS SWITCHES _
OUTLETS INCANOE5"W FIMONIKENT AMT. K. W- AMT. K. W. AMT. K.W, ANT. K. W. AMT-
16 27 24 12 4 1 4 . 6 4 Fr
DRYERS FURNACE Mt3TOR5 FUTURE ArpUAMCE PEE�DEES S#%Q^jL REC'rT TIPAE CLOCKS �Ly, UNIT HEATERS WJLTI•OUTmT OIA111hum
SYSTEMS
ANT_
AMT. K, W, OIL H. P. GAS H. ►. AMC NO. A. W. G. AMT, AMP, AAIT. AMPS. TRANS; AMT- H. P. "o- ter FEET M WAl"LS
1
1 r 1 E
SERVICE NSOOMNECT NO. OFRTER L 1iW'C 10 S E E V I C
AMT. AMP. TTlE MRlitM. 1 .I 2�W 1 /r 3'w 3 I SW 31 ,I AW IMp. OF CC. cONfY. A. W- G. NO. OF HhLEG F' W G' NO- OF NLUTKALS LITEAL —"
PEK I OF CC. cOND. aF MFLEG
1 2 Q 1 1Jo
OTHER A"ARATUS:
Electric Room Heatera : 3-2 .akw ,,1-1 . 5kw . 2-1 . Qkw, 2~ * 5kw
1-;dl .P . Motor
2- GoFwC . I . -
1- Smoke detector
Guyer Builders Inc * •F �`-�w -
119 Dunning Street c� C
Ballston. SPA .NY . 1202 �y�� $RANCH MANAGER
l
Per
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 BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. -- —
_7.2 o/ Queen .4"ry
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME
LOCATION of-`f 6-V l d
DATE sf PERMIT NO, ( 6 7
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - N
Percolation rate - Min/Inch
TYPE o SYSTEM:
Absorpt on field , total lengt
Length o each trench
Depth of renches
Size of g vel
SEEPAGE PI 4Number of)
Size- f X _ ft.
Gravel size
PIPING : ize Type
Bldg . to tank
Tank to dlst , bo
Dist . box to fief / it
Openings sealed? ES NO Partial
LOCATION/SEPARAT S .-
Foundation to t k ft.
Foundation to sorptian� ft ,
i
Absorption to of lne ft .
Separation of pits ft.
LOCATION OF STEM ON PROPER (circle one)
Front - Rear - Left side - Ri t side COMMENTS :
SYSTEM USE APPROVED Y
BuildIn Inspector
01/86 and vl
0
s BUILDING and ZONING DEPARTMENT
Bay and Hawiland Road, R. D. 1 Box 98
ury New York 12801
C� 79 - .;j
BUIL G INSPECTOR ' S REPORT
NAME
LOCATION
Dat.e Permit No . cS /
✓ = APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterproofing —
Backfill
Framing
Roofing
Siding
Masonry Vene r
Rough Plumb,-in
Relief Valves
Ext . Porches
Finished Floor
Interior Trim
Stairs & Rail ! s
Cellar Drain Ti e
Concrete Floors
Plbg . Fixtures
Gar . Fireproof ' ng
Door Closers
Smoke Detecto s
Chimney
INSULATION :
Foundation
Floors
Walls
Ceiling
FINAL ELE RICAL IN ECTION
RIVEWAY APfROVAL.
/FliiaZ.Building, Survey*
Next scheduled inspection (call when ready )
Remar ks--
e le
Building Insp eclItor
6/86 and-vl
! t� fiNU1LDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. 1 Box 98
Queensbury, New York 12807
BUILDING INSPECTOR ' s REPORT
NAME
LOCAT107N
Date
�� / + � Permz t No ,
footing/Pier Forms - APPROVED - YE NO
Foundation
Waterproofing
Backfili
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Fxt . Parches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg . Fixtures
Gar , Fireproofing
Door Closers
Smoke Detectors
ch-ilmey
SULATION »
Foundation
x
Floors
Walls
Ceiling
FINAL F1 TRTCAL INSPECT2ON
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (tail when ready}
Remarks-
.
n _ _ Building Inspector
_Jowrx v� �ueerxshxtrx�r
BUILDING and ZONING DEPARTMENT
Bay and Haviiand Road, R. D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION
Date f Permit No ,
✓ = APPROVED - YES NO
I�'ooting/Pier Farms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Ven r
ugh Plumbi g
Relief Valves
Ixt , Porches
Finished Floor
Interior Trim
Stairs & Railing
Cellar Drain Tile
Concrete Floors
Plbg , Fixtures
Gar . Fireproofin
Door Closers
Smoke Detectors
Chimney
INSULATION :
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPR VAL
Final Buildin . Survey
Next scheduled inspection ( call when ready )
Remarks-
Building InsiN6 cto
6/86 and-vl AV
I
BUILDING and ZONING DEPARTMENT
Bay and fiaviiand Road, R.C]_ 1 Box 98
Queensbury, New *fork 12801
BUILDING INSPECTOR ' S REPONAME
RTS ✓�
LOCATION
_ //,, �.{ +� ► tr; l' - ' c�^r p
Date-&/ / Permit No .
SOP' = APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
kFraming
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext . Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Pl;bg . Fixtures
Gar _ Fireproofi
Door Closers
Smoke Detector
Chimney
INSULATION :
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection ( call when ready )
Remarks- � rizz- 1^"[,.,,L.- 0 r� .
U's ( /J& 2 - Th k Ca n & D tea'' 41,4--c4�
a iiding I spec r
6/SFi and-vl
..Jour�l o� �ueen36e,ertdf
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. I Box 98
Oueensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME a � ,
LOCATION / 2
Date -t Vel Permit No .
/✓ .APPROVED - YES NO
Footing/Fier Forms
Foundation
Waterproofing
Sackfill
F rami ng
Roofing
Siding
,Masonry Veneer
Rough Plumbing
Relief valves
Ext . Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plhg . Fixtures
Gar . Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION :
Foundation
Floors
Walls
Ceiling
FINAL ELECTRI AL INSPECTION
DRIVEWAY APPB VAL
Final Buildi Survey _
Next se edul d inspection (call when ready )
Remarks-
SuiLd n Inspector
6/8 6 and-vl
._.town 0/ Queen .siur y
BUILDING and ZONING DEPARTMENT
Bay and Havikand Road, R. D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION
Date.����� <e7 � permit No .
So' = APPROVED — YES NO
Footing/Pier Farms
Foundation
waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief valves
Ext . Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Frain Tile
L.eoncrete Floors
Plbg . Fixtures
Gar . Fireproofing
Door Closers
Smoke Detectors
Chimney.
INSULATION -
Foundation—
Floors
walls
Ceiling
FINAL ELECTRICAL IN SPECTIDN
DRIVEWAY APP 0VAL ��
Final Buildlrlg Survey
Next scheduled inspection ( call when ready
Remarks-
&4etz
Building Inspector
6/86 and-vl
{ �/� _ Town a ueens6rsr
BUILDING and ZONING DEPARTMENT
r} 1 Bay and Haviland Road, R.D. 1 Box 98
G� Queensbury, New York 12801
BUILDING INSPECTOR " S REPORT
NAME
LOCATION_
Date ,�, ,✓ _ Permit No .
✓ = APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterproof ing
Back fill
FraminAValves
Roofin
Siding
M onr
augh
ReliefExt . P
Finished Floor
Interior Trim
Stairs & Railing
Cellar Drain Tile
Concrete Floors
Plbg . Fixtures
Gar . Fireproofin
Door Closers
Smoke Detectors
Chimney
INSULATION :
Foundation
Floors
Walls
Ceiling
FINAL �.LECTR CAL INSPECTION
DRIVEWAY APPR 'PAL
Final Building Survey
Next scheduled inspection ( call when ready )
Remarks—
�tflylb
Building Inspector
6/86 and-vl
�./r�sarr o� �ireensEsurt�
BUILDING and ZONING DEPARTMENT
Bay and Hawiland Road, R. D . 1 Box 98
Queensbury, New 'York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION
DatejJLZ hermit Na . ' _ J
✓ = APPROVED - 'YES NO
ZFi66ting/Pier Forms er
Foundation
Waterproofing
Backfill
Framing
Roof i ng
Siding \.
Masonry Veer
Rough P1umbai'g
Relief Valves /
Ext . Porches
Finished Floors
Interior 'Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbq . Fixtures
Gar . Fireproofin
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-
Building Inspector
6/R6 Tmd -ul
BUILDING DEPT, COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING 0EPT. WHEN REQUIRED.
TEMP A
CITY ORG �y,�_�,_ Warren
VILLAGE i]aL�1 rL,,�� TOYMNSHIP ��""'�+ COUNTY ee6L
STREET AND NO. OR Lay, .
lane
ROAD AND POLE NO. POLE NO.
BETWEEN WHAT TWO
CROSS STREETS IS
PREMISES LOCATED? SECTION -" ." BLOCK tl LOT
OCCUPANT'S BUILDING
NAME OCCUPANCY
OWNER'S NAME 7 7q ��yy p ,� +�
AND ADDRESS � II�u ' [ ers P �s B 119 D nT-�g Street - TE L. # 899w"716i f,-
CURRENT
SUPPLIED
B _ .",i FROM THEIR Y �:" OFFICE
BDEFECTS
SUILQING ;.r' NEW 1_4 OLD 0 iv NEW 93 ADDITIONAL ED 1p REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No.. of Fixtume & BRANCH
NUMBER OF OUTLETS Lamp Raceptacles MOTORS HEATERS CIRCUITS OFFICE USE
Loon ONLY
Hm Side Attach'; H.P. No. Watts No. A-WG' INSPECTION
CeliMtp Wait RaoWOO Switch Pan ant Breokrt No. TYPa Each Each Gaope
Out-
Sulk-
bawas
How
mint
In F1,
2nd PI
3rd FL
REMARKS= LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: D8 NOT USE THIS SPACE.
This application is intended to curer the atlova-listed equipment to be inspec tad but if at time of inspection there is found additional equipment not above listed,
you are authorized to make the inspection and adivat the Ire to auver the additi anal equ ipmanL as Provided twv she applicant.
SIZE OF ELECTRIC SIGN TOTAL
MAINS 150 a, FEEDERS LAMPS WATTS
CHARACTER Quo CONGEALED GAS OF WORK
TRANSFORMERS OF VA
OF WORK In ,�
WORK TO BE tNUMSER) [CAPACITY1
STARTED COMPLETED SIZE OF SIGN
SERVICE OVERHEAD UNDERGROUND MAKER
ENTERS OF SIGN
BUILDING
INSPECTION REQUESTED
ON OR AS NEAR AS
POSSIBLE NEW OLD
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION, ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESSNAM 7 1
APPLE ANT 7Q13mr ��. LIl1� .8 T�"— APPLICATION a�ySep p+ er 21,. 1987
STREET ADDRESS ��. l!'iti'1]3,y�� ir'� TELEPHONE # ^L61
CITY OR ZIP # .�flt�yn�.. LICENSE NO.
POST OFFICE 11 7� 1g - SM. ]� CODE il.NEf.�f WHEN APPL ICASLE
Aa EL (REV. 1/e5) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
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