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1987-903 , .+aupAtF =T_ a—c.;++'1yq'rc'•.Fyyr:.• -•u'�'r+wnaar+w +__ .. ., ! w�R ^r - i dj ' k CERTIFICATE OF OCCUPANCY PANCY TOWN OF +QUEENSBURY WARREN COUNTY, NEW YORK Date May 11 , _ 19 E3 3 `)D . [ This is to certify that work Mquested to be done as shown by Permit No. 87- 903 has been completed. This structure may be occupied as a of Two Family Dwelling Location 19 Elizabeth bane - Queen Victoria ' s Graiit Guyer Builders , Inc . Owner By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector t BUILDING PERMIT TOWN OF QUEENSBURY No. 87-903 � WARREN COUNTY, NEW YORK o PERMISSION is hereby granted to Queen Victoria ' s Grant r- f OWNER of property located at 19 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. t . OwNER'S address is Guyer Builders , Inc . 119 Dunning Street Ballston Spa , N . Y . 12020 2. CONTRACTOR or BUILDERS Namert a Same "+ t,• w vs 3. CONTRACTOR or BUILDER'S Address. Gy Same rt 4. ARCHITECT'S Narne 5. ARCHITECT'S Address tG tom] N N N B. TYPE of Construction — (Please indicate by 7{l qr ra r� {x } wood Frame { } Masonry I } Steel I 1 W P� 7. PLANS and Specifications p No. 30 ' x 30 ' as per plot plan , specifications and application including septic system and attached one car garage . MODEL C B. Proposed Use of Two Family dwelling a, 0 0 $5100 C/O � g75 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES July 1 , �g 88 � r N. {If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 'C town of Queensbury before the expiration date.} Dated at the Town of Queensbury this 30th Day of December 39 87 SIGNED BY 5l 6 - ' for the Town of Queensbury Building and Zoning Inspector .. .. JL11 AMM Iy.Ns0sow�1iilY YAN YYYV • ww.• r Application No . w►Z. o /ii'f+n36f/I Permit Issued 19 1 i , BUiLOING Osl d ZONING DEPARTMENT Permit Expires 19 f��� � Say and Haviiand Road, R,D, 1 Box 88 Zoning Design on ►,T 2 „Q 3 Ousensbury, New York 12801 Variance No. Site plan ew dltRiL++Cp" Approved r�7A',-,rrfY .S e ' APPLICATION FOR BUILDING AND ZONING PERMIT Well r y NO NO +r +• 0 * * +r M s e * ON e * 10 iF ONO * e • «r if NO � O IF * * a +► * .� A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTIONN, 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 Jig DunnY ^g Street Ballston Spa , New 'York 12020 Tel . ( 518) 899-9161 Property Location : 19 Elizabeth Lane Tax Map No 121 /±.y 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 III ( 518 ) 899-9161 Name r P . O. Address Tel . No . Name of builder Guyer Builders , Inc .Address 119 Dunning Street _Tel . ( 518) 899-9161 Name of plumber CAiyer BEffiLaerst nC •Address irg vuwmn�g street Tel . Naxos of mason Yer BUITTErso nc •AddressStreet Tel . 899-9161 NATURE OF PROPOSED WORK : ZONING INFORMATION : X Construction of a new building * A PLOT PLAN 14.UST BE PREPARED AND SUBMITTED , noomm Addition to a building * drawn reasonably to scale and attached hereto, Alteration to a building ONshowing 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 DEMOLITION PERMIT , STATE SIZE AND * whether interior or corner lot . Show location FOR DEMOLIT LOCATION * of water supply and location and configuration STRUCTURES AFFECTED. of septic disposal area . * COMPLETE INFORMATION REQUIREDsee p . * Size of property 100t pig €t x 120 ft . Existing building ( s) Size ft 1C 17['ft . Model L; rr PROPOSED BUILDING AND USE : of * Existing building (s ) Use NLA since of new strut aO ft x_�€t Foundation-pier slab crawl/partial/full * Proposed buildings diisttsee ceot pfrroom property line circle one) 2 * Front yard 30+ OONNONNOft Rear yard 30+ ft Noe of stories (habitable space) Side ards1:+ .ft and 15+ ft Height (grade to ridge ) 22 ' - 6' ft • * if on ycorner , setback from side street ft If residential, no & of families 1 of 2 Noe of rooms ( excluding baths) "^ * OCCUPANCY INFORMATION No* of bedrooms bathrooms 2sssss� * PRIMARY BUILDING - No . One family dwelling This e f r Pr heating system Baseboard e ectric* �-Two family dwelling one s �• Type 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 condi No tioning? NO Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial * Other Ranch contexaporary Lo cabin * If addition , what will use be? Raised ranch Mansion L>uple Split level Old style Bungalow Cape Cod Cottage Other * ACCESSORY BUILDING- colonial Row Town House * Detached garage/one car,/ two car/4car ( CIRCLE ONE PLEASE 3 * _Attached garage/one car/ two car/ 'ate Is Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION $ r,r;, .�l�G!1.�`_ ,., ,.e�����. ON INFORMATION ON . BUILDING SPECIFICATIONS * ON REVERSE SIDE OF THIS SHEET, TO ,BE CL Form SPA 4/86 xod-vl BUILDING PERMIT APPLICATION CONTINUED - J 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 8" Depth of foundation below grade (to bottom of footing ) " mirnirm ,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 so, what por sq. ft . - - Type of use? Type of roof - sloped flat/shed/other Material of roof Fi r ass shi es Size , wood studs "X b spacing 24 "o . c . length 8 ft* exter}`.or walls Joists ( floor beams } lst . floor N/A "'x it spacing "'o . c . spanN/A ft . Joists (floor beams ) 2nd . floor acing span��ft . Overlays (ceiling beams ) 2 '"X •' spacing 24 '"o . C . span 14 ft . Roof rafters 2 "X 10 " spacing �4 o . c . spawn 4 ft . Roof trusses (pre-engineered} spacing 24 "o . c , span N/A ft . Exterior wall finish stained Of what material? 5 /80 " x 4 ' x 8 ' teXture 111 Interior wall finish paint 11246s eetrock If a garage is to be attached , describe materials to be used for FIRE SEPARATION : 1/21 " type "X" sheetr©ck Is there to be an opening between garage -p"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 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 and26252re See S . P . E . D. S . permit �� air or new installation of septic system) Town of Queensbury County of Warren A F F I D A V I T - STATE OF NEW YoRx I swear that to the best of my knowledge and belief the statements contained in this 4pplica tion , 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_ Owner , owner ' s agen , a -- a.tect , contractor day of ��y„ 19 �"7 ELt2ABE7H K. LANdRYI State of � y Notary Publi 48B2DOt New Ynrk Qualified in Saratoga county Notary cIub&ic , Warren count ot; � 6 . 19-- SPECTJIL CONDITIONS OF THE PERMIT : 975 Square feet living 264 Square foot garage - one stall 1239 +@ $7 . 0(}/100" or part of $5oQQ One stall garage �5 . 00 - C/O permit Total TOWN OF QUEENSSURY 44C11 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 . &VON8R ALL of the following : 1 . Gross floor area 975 S . F . 2 . Type of heat Baseboard electric 30 is the building mechanically cooled ? 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 Z . 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 a . Under 16 % Only, 1. R value of roof and floors exposed to ambient conditions_ R-38 Mosses- 24 . R value of exterior walls IRXM R . 23 . 5 u. =D 44 3 . R value of glazed area U=O & 30 4 . R value of doors R-14 . 9 (Ue =0 . 60) s . R value of floors over unheated spaces g=79 6 . R value of slab edge insulation an unheated slab N/A 7 . R value of slab insulation we heated slab 12 . 5 Be R value of heated basement/ cellar walls ( above grade ) N A 9 . R value of heated basement/cellar walls ( below grade ) N/A lU . Type of insulation Fiberglass C . Controls 1 . Thermostat maximum heat setting D . Duct Systems N/A 1 . Is duct system installed in unheated spaces ? YES NO a . If YES . R value of duct installation b . . R value of duct in other areas Be 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 officiency N/A 2 . Temperature control setting maximum G . For Swimming Pool Only 1 . Maximums. heating N/A Telephone No . oftownw( 518) 899-9161 ( applicant ' s signature ) APPI.ICAT70H FOR SEP13C DISPOSAL PERMIT Ref : S . P . E .D. S . DATE September 23 / 87 permit #i New York - 0202525 MODEL C of C/K LOCATION OF PROPERTY FOR INSTALLATION 19 Elizabeth Lane Owner's Names Guyer Builders , Inc . Telephones ( 518) 899-9161 Address: 119 Dunning Street , Ballston Spa , New York 12020 Installer's'Name: Guyer Builders , Inc Telephones ( 518) 899-9161 2 A, Cs E , Is J , K , Ls M Number of bedrooms (residential only) 2 3 F , G, H Total daily flow (compute @ 150 gal per bedroom) 300 Topcgrapkv. circle ones. lot Rolling Steep Slope 9f+ of slope Soil Nature: circle ones Sand Loam Clay Other / Depth: 8 ' feet + Caround Watem At what depth? 'Own 8 feet + Bedrock. or Impervious Material: At what depth? unknown feet Percolation test: circle one: vat require required / rate wain, inch. Domestic grater sulsply: circles one: Municipal Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption N/A feet * PROPOSED SYSTEM: Septic Tank gals (minimum size: 1,000 gals) 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...LIST NEW EQUIPMENT TO BE INSTALLED pernd.t & attached +r * * a * * a * * ar * * * a * * ssssr * arsss * ssrssarrssssssas * map, (aver) Section II Septic System Inspections: A. All applications for septic system installation. alteration or repair, as required by the Town of Queensbury Sanitary Sewage Ordinance, shall be submitted to the Building Department at least 24 hours before start of construction and shall include a plot plan showing: 1.) the propo$ed .location of the gystem ZJ 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 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. ce 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 a0ree to abide b3 the and all requnnei ,entg of the Town of Queensbury Sanitay Sewage Disposal Ca finance. Signature of.responsible person: Date: Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury. New York 12801 (518) 792--5832 SETTLED 1763 . , . HOME 0F NATURAL 8EAUTY . . . A GOOD- PLACE TO LIVE 400IQ54 THE NEW YORK BOARD OF FIRE UNDERWR4TERS �t8 BUREAU OF ELECTRICITY 41 STATE STREET. ALBANY. NEW YORK 12207 Date May 170 19 8 R Application 41 on file THIS CERTIFIES THAT 002663 /8 €3 A, 71 1; 63 4 3 onlythe er rice! eq+Fipment as deacri+berl 6aL Gow and introduced by she appi"int rarmsad on the abose appffeation number in the preaniaes of Guyer ]Builders 2Nc . # 19 Elizabeth Lane Queensbury , New 'York g^� h of two .�atni Iy in thefollowin,g location, Basement lwt FY. 2nd Ff. outside 121 was examined Section Bfol 4 Gat Join 5- 6 - 88 and found to be in compliance with the requirements of this Board. RXT U"I'L RE ACLES Sgf17CHl5 RXTURES RANGES CW.IICING CRCKS OVENS bISH WASHERS. E}CHAUST FANS CMJTE�is INCAN0E5CENT FLUORESCENT pry +� AMT, K, w. AMT. K_ W, AMT. K.W. AMT. 2 1CY 28 5 3 5 l • 5 f! fr DRYERS FURNACE !MOTORS PUTURE UMIFIIANCE FR"4RS SPECIAL 111i TIME CLOCKS tUNrc HEATERS MULT44UITLEI AM7. K. w. dL H, P. ON" H. P. AMT. -EL1 SYSTEMS ENMMERS No, w. W, G. ,unr. ww�P. wnnr, wwirs. TRANS. wrr�r. H. P, �wvr. ww7n NO. Idf FEET 8 1 SERVICE DISCONNECT MNE7R�tt 5 E R V 1 C E wMT. wtiw. TYPE nal I x xw P x aW a t' . a AT aw I No OF Cc. tallo. w w. o. No. cIF Hi-Lrrt A. W. a. 1 15 b c b PER J' l of cc. callo. of HI.tgG No. of NE�r+ws OF irniwL 4 / 0 OTHER AFFARATtK: EleC . Room Heaters : 3 / 2o {lr 1 / loS , 1 / 1o25r 3 / 100 , 3 / . 5 Motors : 114 1 --past llght. 2 -gfel 1 -smoke detector Guyer ider :x Inc . 119 Dunning site Ballston Spa , NY 12020 239 BRANCH MANAGER Per i s This certificate must not be offered in Cray manner; return to the office of the board if incorrect. Inspectors nxty be identified by their credentiak. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE AL.TERIEp !N ANY MANNER. „_,town a� �eteQre36eer+r� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 oueensbury, t4eww York 12801 BL} I LD I NG INSPECTOR ' S REPORT NAME LOCATION Date��� Permit APPROVED - YES NO Footing,/Pier Forms Foundation Waterproofing Backfill Framing ✓ Roof ing Siding -� MasonrY Ven r Rough Plumbin Relief valves Ext . Porches Gr Finished Floors Interior Trim y,/ stairs & Railings cellar Drain Tile Concrete Floors L,r” Plbg - Fixtures Gar . Fireproofin Door Closers Smoke Detectors ; Chimney INSULATICN Foundation Floors walls Ceiling FTNAI. ELECTRICAL INSPECT'ON - DR-LVEWAY APPROV Final Buildin,8 Survey action (call whim ready ) Next scheduled In �cc7� Remarks-- Off. !?-#Ac6 y 1 li 1 8 iIding Inspector 6/86 and-vl 1 cc-'y� AL _.Down o/ yQ" eenstr/ ary BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME iLOCATION ( !/ c_fr�rr s`u.C f►/t'cc .� 1^J+c' Cir r PATE i .zn / & PERMIT NO . � � ` 4?0 � ; SOIL TYPE. Loam - Clay - { Percolation Test Required? YES " Percolation rate - Min/inch TYPE of SYSTEM: Absorption field , total length li Length of each trench Depth of tre hes Size of grave SEEPAGE PITS-fN er ofI Size- C7 ft. X �f2 Gravel size 3 PIPING : ize Type Bldg * to tank . 4 Tank to dist . box { 'PPsG Dist , box to field/ t Openings sealed? YE NO Partial LOCATION/SEPARA ONS : Foundation to k ft. Foundation tea kasorption ft . Absorption t lot line ft. Separation o pits C ft. LOCATION OF SYSTEM ON PROPS TY (circle one) Front - Re - Left side - ght side - COMNSENTS : 7e,� SYSTEM USE APPROVED S NO 8 ld 109 Inspector 01/86 and V1 � t � BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R-0- 1 Box 98 Queensbury, New York 12801 13UILOING INSPECTOR ' S REPORT NAME LOCATION Date !/ Permit No . APPROVED* -* YES * * ND Footing/Pier Forms Voundation Waterproofing Itack € ill Praming ktoo f i n g Siding Masonry VC1tzeer ]tough plunikAng� :"" IteliGf Valves Pxt . Porches finished Floors Interior Trim :stairs & Uailings Cellar Drain 'file Concrete Floors' P1tx] . Fixtures i;ar . >•' i rr-r +roof in�l _.,_ - - --- Door 4�p Du t 'Loll 110110y_. . — _ — — — _ b'Icx-) r :: Wa 1 I s J � C'e 11 i tic] FINAL I•;l I?c:"St1CA 4 INSIIECTIQN DRIVEWAY Al 'KUVAL i h tnal bullc111 _Survey Next ;;eheclule �l fn€�peCr un (c :111 wlic/t�'s ruucty ) fZemcx r ks— ~ prto t1I U � t-i (.1/) JZ /3 yea tlrouS l llSf £fT" IONS Building Inspc tar BUILDING and ZONING DEPARWENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12601 BUILDING INSPECTORS REPORT s NAME �/ r LOCATION - Date J S �L / y^Q Permit NO - APPROVED - YES No Footing/Pier Forms Foundation waterproofing Hack£ i11 ]gaming Roofing siding Masonry Veneer ugh Plumbing Relief Valves L.xt , Porches Finished Floors Interior Trim stairs & Railings Cellar Drain Tale concrete *Floors i r1bg . Fixtures . - Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION Foundation Floors _. Walls Ceiling_ FINAL F.I ECTRICAL INSPECTION ' DP,IVEWAY APPROVAL - Final Building Survey -- Next scheduled inspection (call when ready ) Remarks- I3uiI Inspector 6/86 and-vl 'Queiensh " ry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 C Queensberry, New York 12Ba1 BUILDING INSPECTOR ' S REPORT NAME LOCATION ✓ / - Permit NO -42 Date �✓ APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing BackfiII Framing Roof ing Siding Masonry Veneer ;•ugh Plumbing Relief Valves Ext . Porches r inished floors Interior 'trim stairs & Railings Cellar Drain Tile Concrete Floors Plbq . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSUI.A'TTON : Foundation Ploors Walls_ Ceiling FINAL ELE 'RICAL INSPECTION _ DRIVEWAY APPROVAL Final Building Survey. _ Next scheduied inspection (call when ready ) Reina r ks- 13ui ding Inspector 6/86 md--vl � 014P y�f� _JOwn o� eteertsb T f r l f3UILDiNG and Zc71d1NG L7EPARTkAEN T Bay and Havkland Road , R.P. i Box 98 C]ueensbury, New "fork 1260' BU I UI) I NG INSPECTOR ' S, REPORT NAME LOCATION Q No . Date ermit f - APPROVED - YES NO Footing/Pier Forms da t ion Waterproofing �e3ackf i11 Framing Roof ing Siding Masonry veneer��---- - --__ /Rough Plumbing Relief Valves Ext , Porches Finished F100rs -interior T r Xrn---%"-.--`— Stairs & Railings Cellar Drain Tile Concrete Floors Pl7og . F fixture s� �� Gar . Fireproofing - Door Closers_ -- smoke Detectors chimney -INSULATION Foundation Floors Walls ceiling FINAL ELE ICAL IN SFECTICll1 J DRIVEWAY APPROV Final Building survey Next scheduled inapectian (call when ready ) Remarks- 11 i �4 Building Inspector � 6/g6 and-vl ,7own 0 QLlp8I73 h !f ►' 6 BUILDING and Z0N11NG DEPARTMENT Bay and Haviland Road D 1 SOX 98 QueenSbury, few york12801 BUILDING INSPECTOR ' S REPORT NAME e u �'0ez LOCATION / Z- Permit Lao . Date rG� 2 is G-/�___., � * * * * * * * * * * ✓* * APPROVED - YES NO �uDating/Pier Forms ndation Waterproofing 8ackf ' l Framin Roofing Siding Masonry ve eer,__________. Rough plumb " g Relief valves _ Ext . Porches Finished Floors Interior Trim Stairs & Railin Cellar Drain T e� ---~— Concrete Floor plbg . Fixture Gar . Firepro Ping Door Closer Smoke 'bete tors Chimney INSULATI Foundati n Floors Walls Ceiling FIN AL EL IN SPEC'TIc7L3____ .... _-... DRIVEWAY APPROV Survey Final Building when ready ) Next scheduled insp ection Ccall Remarks- ; i ` Inspector 13ui ding 6/86 and-vl fOW4" a/ Queenji "ry 6t►ILDING and ZONING DEPARTMENT Bay and Havi#and Road, R. Q. 'I Box 98 Clueensbury, New York 12801 BUILDING INSPECTOR ' S,. r REPORT / LOCAT I ON� Date41-1 .. Permit No * APPROVED - NO Footing/pier Forms Foundation waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plurnhing Relief Valves _. Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION Foundation Floors Walls Ceiling FINAL ELECT ICAL INSPECTION DRIVEWAY AP ROVAL Final Bull g Survey Next scheduled inspection (call when ready ) Remarks , .. Building inspector 6/86 and-vl ._.!pain o� �etpen3 � e,� re� BUILDING and ZONING DEPARTMENT Bay and Haviiand Road, R.D. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECTORtS REPORT NAME (,{ LOCATION Date / ermit No . ' q+ � 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 C llar Drain Tile ncrete Floors plbg . Fixtures Gar . Firepr00fin Door closers --- smoke Detector Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVA Final Building Survey Next scheduled inspection (call when ready ) Remarks-- EYujldl-ng Inspector 6/8C, and-vl BUILDING DEPT. COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT, WHEN REQUIRED. y,,.��� _ s DATE CITY OR -.._. VILLAGE TOWNSHIP ..... Queenabury COUNTY Warren STREET AND NO. OR ROAD D POLE O. #19 M zabe a ' • lam POLE No. BETWEEN WHAT TWO CROSS STREETS IS Pf1EMISES LOCATED? SECTION BLOCK ` LOT OCCLIPANT'S BUILDING NAME �y OCCUPANCYOWNEROS �1 _ AND ADDRESS E 'r Dm f_e'C"s,, M1C e , IL19 ."t �rP.' `it TEL_ ,�k .. �16i LUIF'IFFN SUPPLIED - OFFICE FROM THEIR - BY 1�p'1 �1—II IBLhILDING NEW ® OLD © 88 NEW M ADDITIONAL ❑ REMOVED LJ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED of F* a BRANCH NUMBER OF OUTLETS NLMNO Reap"Wkss MOTORS HEATERS CIRCUITS OFFICE USE Leca ONLY Sion Side Aifreh't H.P. Watep A,W.G, Oamno YPnnM Remp'k Swiash Pendent Bracket No, Two Eaeb Nei. Each No. Gnpa INSPECTION Ou16 Bub- beat Bar meat tat f Wpp! Fl. Srd Fl. REMARKS: LIST OTHER ELECTRICAL DEVICE'& NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. This appliiatien in intended in cover the abwa-listed owipment to be inspected box K at tints of inspection there is feund additional acmipment not abowt listed, you are authorized to make the inspection and adltiat the baa to corer the additional @ Wiprnant, as provided by the applicant. S12E OF I50 ,Amp ELECTRK: SIGN TOTAL MAINS i1efY• FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE INUMBERI (CAPACITYI STARTED COMPLETED SIZK OF SIGN SERVICE OVERHEAD UNDEFI= ND MAKER ENTERS Jba�3 OF SIGN BUILDING INSPECTION REQUESTED ++" � � 6N O+$� HEAR AS W.1..f..I. CaU litienready NEW El OLD 0 AVOID DELAY BY GIVI NO FULL AND ACCURATE INFORMATION. ALL SPACES - DATE OF rtl. MUST RE FILLED IN OR APPLICATION MAY BE RETURNED_ APPLICATION 21 a 987 PRINT NAME AND ADDRESS NAME OF A pfypPLRc APPLICANT APPLICANT 89" STREET ADDRESS 119 DunnI- g Street TELEPHONE # 161 CITY OR E&Uu +� Now ZIP � LICENSE NO, POST OFFICE * - -- COPE WHEN pPPLMCABLE AS EL (Rev. l/se) A SEOARAT= AD4I_ICATION MUST BE FILED FOR EACH SEPARATE BUILDING QUEEN VICTORIA' S GRANT QUEENSSURY, N.Y. CLEANOUT.�•- TO GRADE Q'-0 DIAMETER 6-0 DEPTH REFERENCE DRAWINGS 5 5A SITE UTILITIES SEPTIC � WATER VanDUSEN g STEVES SURVEY PLAN 13,15,17,19 ELIZABETH LANE PLOT PLAN C SEPTIC SYSTEM GUYER BUILDERS, INC DWN ' *jAj q_7+-81 I Scale , I"= 20'- 0 Qv- 2