1987-914 ....:. -vimw-Y.. .�-s'A^_ w•,a¢x —. y,y ..._.: • .�, r.,. r •-rx :•s . .:z. L ,.,-F,�X: ..-
dd
1 `
Y
CERTIFICATE OF OCCUPANCY
TOWN OF +QUEENSSURY
WARREN COUNTY, NEW YORK
May 31 , 88
Date 19 _
This is to certify that work requested to be done as shown by Permit No. 8 i- ` 14
1
has been completed.
This structure may be occupied as a of Two Family Dwelling Y y
LAipeation 41 Elizabeth Lane - Queen Victoria ' s Grant
f
Guyer SuIlders , Inc .
Owner
By Order Town Board
i
i OrOVVN OF QUEENSHURY
D1,4 Z/
Building & Zoning Inspector
i
I
I
I
i
BUILDING PERMIT �
TOWN OF +QU EENSBURY No. 87-914
WARREN COUNTY, NEW YORK
r�
PERMISSION is hereby granted to Queen Victoria ' s Grant a
OWNER of property located at 41 Elizabeth Lane Street, Road or Ave_
in the Town of Queensbury, To Construct or place a 6, of Two Family Dwip 1 1 ; ng
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 Clueensbury Building and Zoning Ordinance.
nu
t. OWNER'S Address is Guyer Builders Inc . �
119 Dunning St .
Ballston Spa , N . Y . 12020 0
2- CONTRACTOR or BUI LDE R'S Name w_
m
Same
w
3. CONTRACTOR or SUi LDER'S Address r�
Same
#_ ARCHITECT•$ Name
A
r
5. ARCHITECT'S Address N
W
cY
rt
S. TYPE of Construction — (Please indicate by X) It03
Q
ro
{K } Wood Frame I Masonry ( ) Steel I }
7. PLANS and Specifications
No. 30 ' x 30 ' as per plot plan , specifications and application including
septic system and attached one car garage . MODEL C - o
rn
S• Proposed Use
� OF TWO FAMILY
$5 . 00 C/O
75 . 00
$ PERMIT FEE PAID - Thll& PERMIT EXPIRES July 1 , .I988
(If 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.) ~`
r•
d
December Dated at the Town of Queensbury this tyy-�30th Day of 19 87 qq
SIGNED BY /r / 6 _ for the Town of Queensbury
Building and Zoning Inspector
ilJ DCI 1rVi4GiiYi7:+ir ari aa.r...rvr rw • r
Ag // Application No. # ` ;
1�►a. QItf�@It� 61tI' t Permit Issued 19 ., J + '
BUILDING and ZONING DEPARTMENT permit Expires 19 UL
Bay and Haviland Road, R,D. 1 Box 98 zoning Designati %,T 193r
Oueenabury, New York 12001 Variance Ni r-->
Site Plan Rev No . `.". ' " �; •} ; L+
/p Ne'o
Approved by : �yrv�rr' 1� 'V
APPLICATION FOR
BU I W I NG AND ZONING PERMIT
r 0 * it a * 0 * it * * * * +r it �► +r a► w it it +r +r �r e * +r ii it ar ar s s e * � it a :�•
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 an the Permit .
The owner of this property is :_ gLiy r Builders Inc . -
p , q, Address 119 Dunning Street Ballston Spa , New York. 12020 Tel . ( 518 ) 899-9161
Property Location : 41 Elizabeth Lane Tax 'Map N0 .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 He Guyer ITI ( 518) 899-9161
Name P . O . Address Tel . No .
Name of builder Guyer Builders , InceAddress 119 Dunning Street Tel . ( 518) 899-9161
Name of plumber Guyer Duillcters2 C •Address ng SfreeE Tel . -
9161
Name of mason Guyer IkIllc1ers , ncrAddress ree Tel , -
NATURE OF PROPOSED WORK : * ZONING INFORMATION :
X Qonstruotion of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED ,
Addition to a building * drawn reasonably to scale and attached hereto ,
Alteration t0 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
* of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTED .
of septic disposal area .
*
* COMPLETE INFORMATION REQUIREL7 $E�W .
* Size of property 100± PTAp ft x 120 ft .
* Existing building ( s) Size ft X�� �ft
Mode
PROPOSEL3 BUILDING AND USE : Of l * Existing building ( s ) Use N/A
Size of new strut laba
aft X•_,_aQftFoundation-pier scrawl/partial/full * Proposed building , distance from property line
castle one ) * see plot plan
Noe of stories (habitable space) 2 * Front yard 30+ ft Rear yard 30t ft
height (grade to ridge ) 22 ' - 6" * side yards 5+ ft and 15+ ft
g g ft . If on corner , setback from side street ft
If residential, no . of families of 2
No* of rooms ( excluding baths ) 4 * OCCUPANCY INFORMATION
No* of bedrooms * PRIMARY BUILDING -
No . of bathrooms 2 One family dwelling
Primary heating system Baseboard a ,ectric* =Two family dwelling ohe, g "� `���`
Type cif fuel Electricity * Multiple dwelling / Number of units
Nor Of fireplaces to be installed * Permanent occupancy
Will wood stove be installed? No Transient occupancy
Centra;L Air conditioning? kk No * Business
BUILDING STYLE, PRIMARY STRUCTURE Industrial
Other
Ranch Contemporary Lo cabin if addition, what will use be?
Raised ranch Mansion Duple
Split level Old style Bungalow
Cape Cod Cottage Other ACCESSORY BUILDIN+G-
Colonial Row Town House * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * _Attached garage/one car/ two car/ o car
w * * * * rr w w w * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF',Cfi * Other
CONSTRUCTION '
$ .�_ - �
INFORMATION ON , BUILDING SPECIFICATIONSr ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETEDI
Form $PA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
allILDING SPECIFICATIONS ,
Type of construction , woad 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 ) 4 E" RUXUBnim
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 par,; ' ? sq. ft . - - Type of use?
Type of roof - sloped lat/shed/other. Material of roof Fiberglass s g es
Size , wood studs "X 6 spacings_"o . c . length 8 ft . exter ' or walls
Joists ( floor beams ) lst . floor N/A "X " spacing "o . c . spanN/A ft .
Joists ( floor beams) 2nd . floor �-"x��" spacing—T6--"o . c . span'='ft .
Overlays (ceiling beams ) 2 inx spacing 24 "o . c . span 14 ft .
Roof rafters 2 "x 10 " spacing 24 o . c . span 4 ft .
Roof trusses (pre-engineered) spacing "o . c , span N/A ft .
Extarior wall finish stained of what material? 5/8" x 4 ' x 8 ' texture 111
Interior wall finish pain 5 etrock
If a garage is to be attached , describe materials to be used for FIRE SEPARATION .
1/2" type "X" sheetroek
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 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 uninic1pa.1
SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties NIA ft .
(A separate application is necessary for an re air or new installation of septic system)
See S . P. E . D . S . permit ;rig 026252 * T _
Town of f Warren A F F T D A V I i STATE OF NEW YORK
County of Warren
I swear that to the best of my knowledge and belief the statements contained
in this 4lipplicati.on , 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 Signature
r , owner s agen , a izect , contractor
d
0�� rrtr day o f7 3i � 19 �[ EUZAB ETH K. LANDRY
Notary Public, State of New York j
No. 4862001
:1 Lana Qualified in Saratoga County
!io>}:ary iC , Warren County , Fx�rirn. .! i ; nr iC9
# # # # ! # # # # # # # • # # # # # # # # # # # tr # # # ilk # # # # # # # # # # # # # # t 7k #
SPUCTAb COt4 ITIONS OF THE PERMIT :
975
Square feet living
264 Square foot garage one stall
1239 @ $7 . 00/100'�'l or part of
5 . 00 One stall garage
----- $5 . 00 C/O permit
Total
" TOWN OF QUEENSBURY r*c^
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. .
ANSWER ALL of the following :
1 . Gross floor area 975 S . F ,
2 . Type of heat Baseboard electric
3 . Is the building mechanically coaled ? No
4 . Percentage of area of windows and doors 11 . 1%
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 ?
4v is basement heated ? YES NO
a . R value of insulation
s , Type of insulation
Be Under 16 % Only
1 . R value of roof and floors exposed to ambient conditions_
R-38
2 . R value of exterior walls A R . 23 . 5 U. =0n04
3 . R value of glazed area U=O * 30
4 . R value of doors R.-14 . 9 (U. =0 . 60)
s . R value of floors over unheated spaces R=19
6 . R value of slab edge insulation - unheated slab N/A
7 . R value of slab insulation - heated slab 12 . 5
8 . R value of heated basement/ cellar walls ( above grade ) N/A
9 . R value of heated basement/ cellar walls ( below grade ) NIA
10 . 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 insulation
F . Service Water Heating
1 . Performance efficiency N/A
2 . Temperature control setting maximum
G . For Swimming Pool Only_
1 . Maximum heating N/A
Telephone No . ( 518 ) 899^9161 e�
( applicant * s si nature )
APPLICATION FOR SEPTIC DISPOSAL PERMIT
Ref : S . P . E . D. S .
DATE September 23 I 87 permit #
New York - 0202525
MODEL C of C/K
LOCATION OF PROPERTY FOR INSTALLATION 41 Elizabeth Lane
Owner's Name: Guyer Builders , Inc . Telephones ( 518 ) 899-9161
Address: 119 Dunnins Street , Ballston Spa , New York 12020
lastaller's Name: Guyer Builders , Inc Telephone: ( 518) 899-9161
2 A, C , E, I , J : Ks L, M
Number of bedrooms (residential only) 2 3 F , G, H
Total daily flow (compute Q 150 gal per bedroom) 300
Topograpbyo circle one: Flat Rolling Steep Slope 96 of slope
Sail Nature: circle ones Sand Loam Clay Other / Depths 8 ' feet +
Ground Watered At what depth? unknown 8 feet +
Bedrock or Impervious Material: At what depth? un1mown feet
PexvAAation test: circle one: not requi required / rate min. inch.
Domestic water oupply: circle one: Municipal W ell Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption N/A feet
* PROPOSED SYSTEM: Septic Tank gal. (minimum size: 1 ,000 gal.)
TILE FIELD: Each Trench 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
IMPORTANT * See S . P. E . D. S .
»..Please...L1ST NEW EQUIPMENT TQ BE INSTALLED permit & attached
map .
(over)
Section 1I 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:
IL the propo$ed .location of the gystem
Z.) 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 $Z50.00.
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 tbese and all requirements
of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Signature of.responsibie person:
Date:
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 79Z-583Z
SETTLER 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOO. PLACE TO LIVE
4001054 THE NEW YORK BOARD OF FIRE UNDERWRITERS M
�``� BUREAU OF ELECTRICITY
to 41 STATE STREET, ALBANY. NEW YORK 12207
Date June 8 , 1988 Application No. on file yy �
THIS CERTIFIES THAT O 4 16 2 4 / Q B A 7 f` 54 q `'y
3
only she electrical equiprn arst a describedi�ete,e Oilsntradsaced by the .ppltcwns named an the abases applicw[aLarF nerrwsber in the prerPsises of
Guyer Builders iNco # 41 Elixal Lane cueenskauryr mew Yarkl,,, tII , family
in the ollowin location; garage C3Llts?' f C IE
f g ❑ Basement '� rat 1w'l. � 2nst Fl. smetian.�. 2lir�rcYe 4 Lot
waa examined on 5 � 2 7, 8 8 and found to be in compliance with she requirements of this $ew.rd.
FIXTURE EffACIEL SWITCHES FIXTURES RANGES COORINGI DECKS CSVENS N DISH WASHERS EXHAUST FAS
OUTLETS INCANDESCENT RUCRESCIEW AMT, K. W. uwT. K. W_ a T. K.w, I AMT. K. W. All H. P.
1s 28 25 51
4 . 6
DRYERS FURNACE MOTCIRS FUTURE AFFUANCR FEEDERS SFECTAL REC'FT TUNE CLOCKS I Ell I UNIT HEATERS I MULTI-OUTLET DIM AWM
AMT. K. W. OAK H_ P. GAS M. P. T. %% G. AMT. AMP. AMT. AVI TRANS. STSI'EARS AMr. WATTS
PIM OF FEET
SERVICE WSCONNECT NO. Of S E It C, V I C E
AMT. AMP. TYM T 0 2W 1 X 7W 7 X SW S 0 4W �• OF
CC. OF CC. COhW. NO. OF HI-LEG OF-F0 Q.W.
No- Or MEUMAIS OF ih EUAAL
1 150 Cb 1 x 2 / 0
OTHER AFFARATU& E l eC . ROOM fl e a t it a 3 / 2 . 0 P 1 / l e 5 i 1 / 1 . 2 5 r 1 / 1 . O r
Motora is 4 / fr P 11%
1 - poat light
2 , gfci
1 - smoke detector
Guyer Builders Inc .
119 Dunning St o
Ballston Spa , "JY 12020 239 BRANCH MANAGGR
Per
This certificate must not be akered in any manner. return to the office of the Board if incorrect. Inspectors may be identified 6y their credentials.
COPY FOR BUILVING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT 5E ALTERED IN ANY MANNER.
BUILDING and ZONING DEPARTMENT
Bay and Mavfland Road, R.D. 1 Box 98
Oueensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
1+3
LOCAL' ION7;4, tA,,\
Date ) / Permit NO .s () —C[_
✓ = APPROVED - 'YES NO
Footing/Pier Forms
Foundation
waterproofing
Backfill
Framing
X Roof Ing
7t Siding
MasonrjFlo
r.
Rough g
Relief
7CExt . P
;( FinishrsInteri
Stairs & Rail gs
Cellar Drain T le
Concrete Floors
Plbg . Fixtures
Gar . Fireproof ' g
Door Closers
Smoke Detect rs
Chimney
INSULATION
Foundatio
Floors
walls
Ceiling
FINAL E ECTRICAL INSPECTION _
DR A APPROV
Z,Fft'ial B iiding Survey
Next scheduled Inspection (Call when ready )
Remarks-
000
Building Inspector
6/86 and-vl
.JOW01 v/ Queep1J1 eery
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. 1 Sox 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
'G
�f
LOCATION f
_ �
Date 4 Permit No .
r = APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterproofing
8ackfill
y Framing
Roofing
Siding
MasonrI
ee
Rough in
Reliefes
Ext . Ps
Finishoor
Interiim
Stairsiling
Cellarn Tile
ConcreloorsPlbg . resGar . FroofingDoor CsSmoke ctorsChimne
INSULATION :
Foundation
Floors
Walls
Ceiling
FINAL ELECT CAL INSPECTION_ „�
DRIVEWAY APP OVAL
Final Build g Survey.
Next schedu ed inspection ( c l when ready )
Remarks-
4
uil ga:Trnsph6tor
6/86 and-vl
._,Jown o� �ueena � eert�
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 96
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME -�
LOCATION 4leT , }
Date Permit No .
✓ = APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valve
Ext , Porches
Finished Floo s
Interior Trim
Stairs & Rsilin s
Cellar Drain Til
Concrete Floors
Plbg . Fixtures
Gar . Fireproofing
Door Closers
Smoke Detectors
Chimney
IN SULAT I Orgy
Foundation
Floors
Walls 4 '
Ceiling
FINAL ELE RICAL INSPEiCT N-
DRIVEWAY PPROVAI
Final Bui ding Survey
Next scheduled in P.s P.pection (c ll when ready )
Remarks-
Bui ding Inspector
6/86 and-vl
/ f ?l7wn 0/ Q14eFIi3 l2Py
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D, 1 BOX 98
{Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME--ooze
LOC.AT I ON /
Date 'oe Peymit No .
APPROVED - 'YES NO
Footing/Pier Forms
Foundation
Waterproofing
Back
flll
1 ng
Roofing
Siding
Masonry Veneer
ugh Plumbing
Relief Values
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 ELECTRIC INSPECTION —
DRIVEWAY APPRO A?•��
Final Building Survey
Next scheduled inspection (call when ready )
Remarks.
rnc �r
Building in eGtor
6/86 and-vl
._.lnu.n v�' �ueana+fyure�
13UILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. 1 Box 98
Clueensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION_
/��5 _ Perm-it No . ' 1 1714
✓ = -
Footing/Pier Forms APPROVED YES NO
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing��
Relief Valves
Ext . Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
l�ncrete > rrs
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-
Building n ctor
6/86 and-vl
_.Journ n/ Q" eeni6ury
Bu1LDiNG and .ZONING DEPARTMENT
Bay and Haviland Road, R. D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME rrc.sez1E"Q 64e z� j6lf`'C t....Qr- .r
LOCATION �v�'. yrrs�h}-5 3,3, 3.577" y/` Sr _'3
DATE 476c) f_ PERMIT NO qf `/
SOIL TYPE San - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field , total length
Length of each trench
Depth of trenc es
Size of gravel_ _
SEEPAGE PITS{N er of)
Size- _{ ' fto X ft .
Gravel size
PIPING : Size Type
Bldgo, to tank �+- 4' �!�✓C
Tank to dxsto box v
Dist* box to fi d/pi y " 64 ,.�C.
Openings seale ES NO Partial
OCATION/SEF TIONS :
Foundation tank ft.
Foundation o absorption £t.
Absorption to lot line t.
Separatio of pits f .
LOCATION F SYSTEM ON PROPERTY (c ' rcle one )
Front ay Left side - Flight side -
COMMENTS :
�jSys 1 d 77 I5-
I � JtL J'epl<< 4 + �"T'•e"� ,/�iWr 7S Jam' _ ✓�.+ +
-
SYSTEM USE APPROVED YES NO
Building Inspector
01/86 and vl
l ot<iI1 D/ Queenshury
&I BUILDING and ZONING DEPARThAENT
Bay and Haviland Road, A .D. 1 8ax 98
f Queensbury, New York 12801
BUILDING INSPECTOR ' S RESORT
NAME
LOCATION
Date
���G ��� Permit N04
✓ s APPROVED - YES NO
footing/Pier FoMIys
Foundation
waterproofing
Backf ill
Framing
Roof ing
Siding
Masonry Veneer
jkRough Plumbing F4
Relief Valves
k.xt . Porches
Finished floors
Interior Trim
Stairs & Ra.ili s
Cellar Drain le
e5e-o�ncrete Flo s
111bg , Fixtur s
Gar . Firepr ofing
Door Close s
Smoke Det tors
Chimney
'7' IN Su I+AT I
y. a undati
eloors
Walls
ceiling
FINAL EI.VFC:TRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection fcal. l when ready )
Remarks- eV
Cdinq
n Insp ' tor
C %HFi mr9-vl
_../otu,rt O� �ue8st3hfere�
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.0 . 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION "
Date //r / f ermit No .
✓ = APPR(YVED - YES NO
Foo ing/Pier Forms
undation
Waterproofing
Backf±11
Framing
Roofing
Siding
Masonry Veneer ,.
Rough Plumbing
Relief valves
Ext . Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Til
Concrete Floors
Plbg , Fixtures
Gar . Fireproof ng
Door Closers
Smoke Detect rs
Chimney
I N SU I.A,T I 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
awrl o/ QUeeolit "ry
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. 1 'Sox 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME rf
LOCATION i � + youDate rl? / .__ Permit No . I /
APPROVED - S NO
Lpi5ating/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext . 'Porches
Finished Floors
Interior Trim
Stairs & Railing
Cellar Drain Ti e
Concrete Floors
Plbg . Fixtures
Gar _ Fireproof ng
Door Closers
Smoke Detectors
Chimney
INSULATION :
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION_
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call wtsen ready )
Remarks-
Building Inspector
6/86 and-V1
BUILDING DEPT. COPY OF APPLICATION FORM 4B-EL. NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT. WHEN REOUIRED-
TBfIN' tr 0AtE
CITY
VML rOWNS"11P ry �� COUNTY
VILLAGE GE
S ET AND NO. OR #43 E '{ +.lam Beth lame
ROAD AND POLE NO. POLE Mo-
BETWEEN WHAT TWO
CROSS STREETS IS
PREMISES LOCATED? SECTION BLOCK LOT
OCCUPANT'S BUILDING
NAME OCCUPAAICY
OWNER'S NAME r BT{�� Disyn-InW
AND ADDRESS ""7'� x • : j 19 ---- — �a-t�ee� TEL. �99�9161
CURRENT
SUPPLIED . .BY _ FROM THEIR OFFICE
DEFECTS
Is
NEW OLD El (WORK NEW ADDITIONAL ❑ REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS Laamp ReXA es MOTORS HEATERS. CIRCXXVS OFFICE USE
LLo ONLY
Ition Side con" rV"II p op'Ie Swirtah P..�a■w.e B..ek r No, Tree M.P. Ne. � Ile. �� INSPECTION
Out-
Bub.
bean
Bat►
anam
1st Fl.
2nd Ft.
8nd Fl.
REMARK$: LIST OTHER ELECTRICAL pEV10ES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE.
This application is intended to corer the above-listed etpsipm mt to ba inspMud but if at rinse e1 i.epeetio.a der* is f4WW additianel O4uiprnent not aMva listed,
rou are authorized m make the irapection and adjust the IM to cover the additkmai rquipnywf, as Ittoei I by dae applicant.
Sl2E OF y �I'+s . ELECTRpC SIGN TOTAL
MAINS ��1y,��.,�+,��yy�� FEEDERS LAMPS WATTS
CHARACTOF WORK ER A*+ • 3-L CONCEALED CAS TIME TRANS SIGN
FORMIERS OF VA
WORK TO BE fNLiABERI iCAPACITYI
STARTED COMPLETED SITE OF SIGN
SERVICE OVERHEAD UNDERGROUND MAKER
ENTERS OF SIGN
B UILDING
INSPECTION REQUESTED
ON OR AES #TEAR ASr2ftLet NEW O OLD El
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES 21 19�87
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION `�Y p
PRINT NAME AND ADDRESS
ANEOFP�PL CANT �� ders �1'�L-♦ x SIGNATURE
of 1 OF APPLICANT
STREET ADDRESS 119 PmplM gtgeet TELEPHONE
CITY OR Ba 7 III-�.1• f�.,o S �, York CCODE '� ''�(]'�[� LNiEN AIrLICABLE
POST OFFICE `'',y,.y 20
46 EL {RE , 1/861 A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
QUEEN d VICTCRIA'S GRANT
QUEENSBURY, NY.
CO-T.G.
i CLEANOUT
TO GRADE)
.1� _ NMEMO
100. SC/
cU /
18' _4--
LCT 1
33
Lu
cr
3 'D
lm N
1 � M
SHUTOFF 1
105.00' 1
ELIZABETH
0
i
2000 gol
102.001
08 52
i
O
7 LOT
� I
1 (V 1
1 1
►02.00/ 1
LOT
41 I
m
� 1
1
92.00
LANE
C.O.T. G.
i
LOT
I 43
I
REFERENCE DRAWINGS
S SITE UTILITIES
SEPTIC E~ WATER
VanDUSEN $ STEVES
SURVEY PLAN
8'- 0 DIAMETER
9'- 0 DEPTH