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87-899 s CER.TIFIC A M OF OCCUPAN C"Y' TOWN OF QUEENSBURY � WARREN COUNTY, NEW YORK Date March 18 , 19 88 This is to certify that work requested to be done as shown by Permit No. £37- 899 w has been completed. This structure may be occupied as a of Two Family Dwelling Location 11 Elizabeth Vane - Queen Victoria ' s Grant Guyer Builders Inc . Owner i By Order Town Board i i TOWN OF QUEENS i Building N Zoning Inspector . ........... BUILDING PERMIT TOWN 4F QUEENSBURY No. 87-899 WARREN COUNTY, NEW YORK o PERMISSION is hereby granted to Queen Victoria ' s Grant n OWNER of property located at 11 Elizabeth Lane Street, Road or Ave. in the Town of Queensbury, To Construct or place a i 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 Gueensbury Building and Zoning Ordinance. ,.o [D t. oWnuER•s Address is Guyer Builders Inc . ro 119 Dunning St � Ballston Spa , N . Y . *itfifi 12020 rt 2_ CONTRACTOR or BUILDER'S Name n Same m 3. CONTRACTOR or BUILDER'S Address i w Same 4_ ARCHITECT'S Name r- tz7 5. ARCHITECT"S ,Address 1-� N w a' re rY 6. TYPE of Construction — (Please indicate by XI N w ( x? Wood Frame I ) Masonry 11 Steel I I 7. PLANS and Specifications No. 26 ' -5" x 35 ' -7 " as per plot plan , specifications and application including septic system and attached one car garage . MODEL K S. Proposer) Use of Two Family Dwelling o, H 6 $5 . 00 C /o � s2 , ao $ PERMIT FEE PAID — THIS PERMIT EXPIRESJuly 1 , fg $8 s r• (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the q-C town of Queensbury before the expiration date.) Dated at the Town of Queensbury this �_ y 29th Day of December 1987 SIGNED BY +'/ /L�./! 1 !� for the Town of Queensbury Building and Zoning Inspector C� Application No. .J't�►wn o/ Que4wnj "ry Permit Issued 19 � l� 7 � . 1 80ILDiNG a hd ZON NG DEPARTMENT Permit Expires 19 Bay and Haviland Road, R.Q. 1 Box 98 zoning Designation nul Ousensbury, New York 12801 Variance No . ;. Site Plan Re 7 ' Approved b An �r e y Oro APPLICATION FOR !J BUILDING AND ZONING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLOWING . The undersigned hereby applies for a Building Permit to do the following work which will be done in accordance with the description , plans and specifications submitted, and such special conditions as may be indicated on the Permit . The owner of this property is : Guyer Builders Inc . P . O. Address 119 Dunning Street Ballston Spa , New York 12020 Tel . ( 518 ) 899-9161 Property Location : 11 Elizabeth LQ= k Tax Map No . 121 /_j 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 N . Guyer III ( 518 ) $99--9161 Name P . O. Address Tel . No . Name of builder Guyer Builders , Znc -Address 119 Dunning Street Tel . ( 518) 899-91+61 Name of plumber yer - Bulldersj, nc .Address jig V=ng street Tel . - Name of mason U'YeY ers , nC .AddressDaE g rye Tel . St NATURE OF PROPOSED WORK : * ZONING INFORMATION : X Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMIT`i'ED , �ewwewwwAddition 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 REQUIREseeD FBE?1C)W * lo Size of property 100± plane ft x 120 ft . * Existing building ( s ) Size ft X��ft . PROPOSED BUILDING AND USE : f -�- % Existing building ( s ) Use N/A Size of new struc a 26 ' -6"Yt x 5 ft Foundation-pier slab crawl/Partial/full * Proposed building , disc nce from property line circle one ) * see plot pan Now of stories (habitable space) 2 * Front yard 30+ ft Rear yard 15+ ft Height (grade to ridge ) ' * Side yards- ft and 15+ ft 23 6" ft . if on corner , setback from side street ft g g w If residential , now of families of 2 No . of roams (excluding baths )! * OCCUPANCY INFORMATION No. of bedrooms. * PRIMARY BUILDING - Noe oV bathrooms One family dwelling �sgeqj }7P3 �r�r Pa na y heating system se ar a ectri& -Two family dwelling $ 7�' C Type of fuel Electricity * Multiple dwelling / Number of units Now of fireplaces to be installed * Permanent occupancy Will a wood stove be installed? No Transient occupancy Central Air conditioning? No * eee� * 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 BUILDING- Colonial Row Town House * Detached garage/one car/ two car/CIRCLE ONE PLEASE X One car Attached garage/one car/ two car/ { ) * , _ * * * At „ * * * * ■ * * * * * * * Private storage building ESTIMATED MARKET VALUE OWTIO " Other CONSTRUCTION � INFORMATION ON . BUILDING SPEC ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETEDI Form SPA 4/86 md-wvl BUILDING PERMIT APPLICATION CONTINUED - s 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 $" 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? no Will any portion be used as living space? ( If so , what port.• sq. ft . - - Type of use? Type of roof - slo;D" x flat/shed/other Material of roof Fi rg ass s ' ngles Size , wood studs 6 spacing 24 "o . c . length 8 ft . exte �r walls s ) 1 3oists ( floor beamst . floor N/A mix us spacing "o . c . spanly/ ft . Joists ( floor beams ) 2nd . floor "7C�� � " spacing 1*o . c . smaanT7"-4s'ft . Overlays (ceiling beams ) 2 NIX 6 Itspacing 24 "o . c . span12 ' -4 ft . Roof rafters 2 " X " spacing 4 o . c . spani'2 ' -9�4it . Roof trusses (Pre-engineered) spacing g+ "o . c . span ' ft . Exterior wall finish stained Of what material? 5 /8 x 4 ' x 8 ' teacture III Interior wall finish pain 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 &nd 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 £t . in . Water supply - Municipal or private well municipal SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties NIX ft . (A separate application is necessary for any repair or new installation of septic system) See S . P . E . D. S . permit # 0202525 Town of A F F 1 D A V I T STATE OF NEW YORK eensbury Warren County off 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 not , and that such work is authorized by the owner . SWORN TO BEFORE ME THIS Signature_ Owner , owner ' s a K.e !� eect , contractor .; _day of �t,_� �� .�� 11 -1 EL12ABETH 9U Notary Public. State of w York No. 4862001 = Qualified in Saratoga County Notary Warren County , N . Y . Commission Expires June 16. 19 r w * * * a s a * * * * * * * * * * yr r * t * * # r s * * • * * * * * * r SPECIAL CONDITIONS OF THE F£RM 4_ 1040 Square feet living 264 Square foot garage - one stall 1304 @ $7 . 00/ 1C)Q2f or part of $5 . 00 _ One stall ,garage $5 00 C/O permit Total _.______________-----_____ TOWN OF QUEENSBURY }IKiR y 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 . ANSWER ALL of the following . 10 Gross floor area 1040 S . F . 2 . Type of heat Baseboard electric 3 . Is the building mechanically cooled ? No 4 . Percentage of area of windows and doors 12 ` 33 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 S . Type of insulation p . Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions. R-38 2 . R value of exterior walls )qPQW R-23 . 5 U. =0 . 04+ 3 . R value of glazed area U . =0 . 30 4 . R value of doors R-14 . 9 (U=0 . 06) ti; 5 . R value of floors aver unheated spaces LIC) 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 90 R value of heated basement /cellar walls ( below grade ) N/A 10 . Type of insulation Fi-berglass 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 E . Piping Insulation N/A 1 . Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F . Service Water Beating 1 . Performance efficiency N/A 2 . Temperature control setting maxiMUM G . For Swimming Pool Only 1 . Maximum heating N/A P Telephone No . ( 518) 899-9161 ( applicant ' s gnature,) . ...Ilff►f�i �i�a6i►Z� ` APPLICATION FOR SEPTIC DISPOSAL PERMIT Ref : S. P. E. D. S . DATE Septeriber 23 I87 permit # New York - 0202525 MODEL K of C/K LOCATION OF PROPERTY FOR INSTALLATION #11 FAlizabeth lane Owner's Name: Guyer` Builders , Inc . Telephone: ( 518) 899-9161 Address: 119 Durming Street , Ballston Spa , New York 12020 Installer's Name: Guyer Builders , Inc Telephone: ( 518) 899-9161 2 A, Cm Es I , Js Ks Ls M Number of bedrooms (residential only) 2 3 Fs G, H Total daily flow (compute @ 150 gal per bedroom) 300 Tgwgrapbg.a circle one** ( Flat Rolling Steep Slope g5 of slope Soil Nature: circle one: Sand Loam Clay Other J Depth: 8 ' feet + Ground Water: At what depth? urlknown 8 feet + Bedrock or Impervious Matte: At what depth? unknown feet Percolation test: circle one: not requirc�l required / rate rain. inch. Domestic crater supplyan circle one: Municipal Well Other IF domestic water supply is a Well: Sparatioa: Watersupply from Septic absorption N/A feet * PROPOSED SYSTEM: Septic Tank gal. (minimum size: i,000 gal.) TILE FIELD: Each Trench N/A feet { Total system length N/A feet * SEEPAGE PIT(S): Number of J Size each feet by feet * Size of stone to be used # / .Depth or Thickness feet IMPORTANT * See S . P.E .D . S . sssPleasesssLIST NEW EQUIPMENT TO BE INSTALLED permit & attached # # # # # # # # # # # # # # # # # # # # # * # # # # * # # # # # # # # # # # # # # map . (over) Section Il 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 proposed ,location of the gystem 2.) 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 $2500000 Co An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during, construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. I have read the regulations agave and agree to abide by these and all requ w ements of the Town of Queezusbury Sanitary Sewage Disposal 4diaauce. Signature of.responsible person: Date: Town of Queensbury Building and Code Department Bay at Haviland Road Qu.eensbury, New York 12801 (518) 792-5832 SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD. PLACE TO LIME _Jc� w►► u� Qu PeM yur+� NT BUILDING and ZONING DEPART$MV% Bay and Haviland Road. R.D. 96 oueensbury. Now York 12601 13U3 LD 1 NG 1 NSPECTCIR ' S REPORT NAME � Ly? 2 t(1CA I ON II La. ite 3 ! ? permit Noe No WED r YES F ooting/Pie ]C FOrli7 Foundat ort Waterpro ding Backfill Framing ROof ing Siding Masonry Vene Rough YlumbIn Relief Valves s:xt . 1'c,rches Fi.nislzed Floors Interior 'Prim Stairs• & Railings ,Cellar Drain Tile Cosicrc to Floors I31bg . Fixtures Gar . Fireproof ! ](Jae7c� r C1er5 �rs !3�R 5mc3kc° Detector C'tiiinneY zz� : ur�`rzora : Faux;ci�xtion� I•'loors Wa114 �— (:e3 4 1. ]. iY(J FINAL ELL.C'IRICFLL 1L35FECTICIN 171LIVEWAY AP RUVAL F ina I Iiuildi survey ins ecticin (call when ready ) hex— cjjedujed P 1 f v_Wo g rnspe for C : IIIA, IrnI-vl ►P+�'n 1 D£PARTFI�eN3 [� 8U11-Q�tdG and Z.d Road - 1 0Qx 98 ay pl►d Havflain Road, 12801 queensl3ury. New York � � S, REPORT BUiLOING INSPECTOR NAME r / , LgGAT i ON �r ��.�.�� 14 Date * APPROVED Footing/pier Forces Foundation Waterproof ing J gackf i11 Framing Roo€ ing Siding Masonry V neex Ptoug Plan+ ix►�3 ��� �..�-� Relief Val s Ext . Porche Finished Trp s Interior ��. 1 i 9 s_�--� stairs Drain IT! a CellarFloors ConGrete Plb9 . Fixtures Gar . Fireproofing or Closers Smoke oetecIror, Chimney ars sU r..AT1 ara Foundation Floors 1 Walls Ceiling LECT CAL Il3SPECTION FINALwill IMM, DRIVEWAY ?ClVAL vie-ly Final Fuild S SureY fed ins4ecC� (call whir► x early Next Sc Psui ld 9 I sp c kor 6/RE' and-Vl _Jott�rr j Qi "venit ur y 13UILDtNG and ZpNING 0EPAR1'mFNT Bay and Haviland Road. R.[3- l Box 98 Queensbury, New York 12801 �f BUILDING INSPECTOR ' S REPORT NAME LOCATION Date? c2 � Permit !�� * * * * * * * * * * APPROVED - 'YES NO Footing/Fier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough plumbing Relief Valy s Ext . Porches Finished Floor i Interior Trim Stairs & Railing Cellar Drain Tile Concrete Floors Plbq . 'Fixtures ; Gar . FireProofing Door Closers Smoke DeteCtors Chimney INSULATION : Foundation Floors Walls Ce i 1 inr7 FINAL E:LrC.T CAL INSPECTION_ DRIVEWAY AP RC}V Final "Build ng Survey Next scheduled when ready } inspection (call. Remarks- ^wilding Ins Ctor 6 /86 and-VT 40010 4 THE NEW YORK BOARD OF FIRE UNDERWRITERS � BUREAU OF ELECTRICITY tS 41 STATE STREET, ALBANY, NEW YORK 12207 f Date ]February 26 . 1988 Application Vo. on file /� THIS CERTIFIES THAT 002667/SS A r � � J 5 vJ iar.l>^ the elaetrfcal srflorlpnsent �tl descritn�elEl oR� intM?dnCad by the gyswfieant named on the aboae applieatian number is. the pnernimm ip'f Guyer BuIldern Inc . # 11 klIzabeth Lane Qlleensbury . New York, 4�4 of two raml .y in thefeFliowing location; ❑ Basemerst lst Fl, Snd Ft. outSlde Section 121Block Lot was examined anand found to be in cornpliarwee with the requirements of this Board. 2-I i--BS FIXTURE EPTAmM sMrRCHES FIXTURES RANGES COMING DECKS OYEIMS CLASH WASHERS EXHAUST FANS �ITLET'S NCANDESCENI FIUORESCENT AMT. K. W, AMT. K. W, ANT. K.W. ANT. K. W. 16 25 23 11 5 1 4 . 6 DRYERS FURNACE MOTORS FUTURE AFPUANCE FEEDERS SPECIAL EE6'P7 TIME CLOCKS am UNIT MATE" 1MULmAwn T � ANT. K. w, aL H. P. 4A3 N. P. ANT. hLO. A. W. G. AMi. NM►, AW AMPS. TRAN'i. �w�nT. n. P. SYSTEMS , T_ watts tU 1 SER%VK a DISCONNECT NO. CIP dryer3 o E R Y I C E AMT_ ,uM►, TYPE 1 ,r 2W 1 /' aIW 3 .r 3W 13.w4w I "a cwPERCe,COND. NO. OF HI-LEG A, W. Cr. W4. 8r NEUTRALS 4f/1Etl0- cW HI-EEGs 1 0 50 cb 1 1 x 2 /0 OTHER APPARATU& tlec . Room Heaters ; 4 /2 . 0s 1 / 105W 2 / 05 � Notors : 11 - 3--gfcS 1.3moke detector Guyer Builders INc e 119 Dunning Stteet d BRANCH IMANAGan liallaton Spas New York 12002 Per This certif"icou most not be ahered 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, IN SE ! cca�rr �r ...Joann n� �ueerl' ,3burt� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R-0- 1 Box 98 i ©ueensbury. New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION WE ! OCAT ION Qut en 01,769 ins l Y en fl t iTE PERMIT NO . . IiOIL TYPE - an - Loam - Clay _ --- ercolation Test Required? YES ercolati,on rate - Mi.n/Inch - ?'YPE of SYSTEM : #absorption elde total length uength of e c trench epth of tre ches ize of grave EEPAGE PITS{N er of) size- ft. XX fta gavel size IPING : 5iz Type ldg - to tank PAC 'Tank to list . box d �ist . box to field/ openings sealed? NO Partial LOCATION/SEPARATI S : ` Foundation to t k ft. ; Foundation to sorption ft- AbSorption to of line ft- separation of pits ft• L+C7CATION OF YSTEM ON PROPE Y (circlre one ) Front - e - Left side - Ri ht side -- COMMENTS : a�*�► �rca� ��rs � I i SYSTEM 'SSE APPROVED YES NO ding Inspector Oi/86 and vl Sri c� ace " e4j _ /i� to r r 0 F BUILDING and ZC3N'NG 'DEC) . ISAE 9 � gay and a Haviland Rod , R .D . Sox 6 [ Quecf)sbury. New YOrk 126p1 Si} 1 LDSNG StISPECTOR ' S REP (]RT NAME -----�--------- �� � eft-�', LocA 1 1ON r� `7 permit NO Y YES NC> font ing/ Pier 'F'orTt's 1:ouncia t itae� Laa�erprc�c' � in9 l�ackf i 1. 1 J� ramintJ lzcaca f i ny Veneer ----- 12t��ic3l� 1'1 umY3ing, -- 1te. Li.et Values i:x t . I'o r cYt c s r _ .._--.- riot 'trim rINjLle le Cellar In Cone re rc 1'lc�ors 5'1 lat3 - I•' i x to r e ��_.__._—_�- __--- Car L•" rreprnc --- -. smoke Detectors ' C'himi�ey i l ,r.•rx ON Faualdation i' lnars wa 1 1.�_�__ Ce i l ini3_ 2 zT.0 U INSPECTION p'PP RUV A'L V)KlVFWAY dinP� Survey p ,lntl 13ui1 teduleci lwillectiosr [cal. 1 when ready ) next "i Resnarlcs_ L ,I �l3ui. idinrS ineE"=r' r �� f /E3ii filf�'-L' � �UW►; UPPARTM�f3f d ZO V41NG an R $Ox g!d auy�DsNG oad, R.'0 'Bay and VAawlland New York 1280 Oueensbury. V31.11 LC7 1 f1G I fSS P ECG OR ' S [2�pOl?�i L4CA } [ ON per 'Dame * * * * * *r .* � * EtOV F'D 3E5 P3,er Forms lotion Wterproof in9_�----- L3ackf ili 17 t am'- Roo£ in9 Siain�3 _�-- Maspt'rY __- ut31` I'lum�'�ng.._------ -- ge 1 £ Valves -- }sxt - vorches d Floors }, in ishe � -.�-- Inte rSca& Trim liar Drain Tile rote Tr looz _� Cc>no Fixtures p1 roof in'E3 . — -_--- _--- Gar I iree}I or Closers ' + �' olcr-'• 1]e'�cct.or5 ' chimney II3 SU J T+.T I OR Fow-Ld'ation Wa l Is pFCT�Ot3 ceiIinC3_ TRSC3�L It3S F SN AL F I EC l3ltrV EWA•`l pYYRO'V Surv'a�� Final gui] dinL ll ready) ,ith e n I gGti-on � Next scheduled 3n51P a Rema r'ks_ i a din`anspe for r' )16 { ueerat " ry r rp w n o if �G I BUILDING and ZONING Box (tod. R.D- i gg Bay and Haviland Clueensbury. NO'6*4 York 12801 14 BUILt? TNQ INSPECTOR ' S REPORT NAME L. G �' LocAT I ON ` ! / permit No . Date APPROVED - YES NO Footing/Pier Forms bundation Waterproofing gack£ ill vF ram i.n9 Roofing Siding Masonry Veneer Rough Plumbing._ �- ,elie £ valves Ext . Porches Finished Floors Interior Trim Stairs Railings Cellar Drain 'rile Concrete Floors Vllbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION Foundation F1oorS walls Ceiling FINAL ELECTRI AL INSP'ECTI0N�� --- DRIVEWAY APp V AL Final Auildi g surveys—� � � inspection (call when r,e :t�ty5 Next scheduled iten}artc5- 's I / i f � or j B i n 1. 6/66 and-vl a do u¢er� 3 t ` " rV vcun n ePASTMENT BU{LOyNG and ZC31�ffNG cOa DR U 1 Box 98 gay and Navi{and New York 12801 pueensbury. N BUILDING ING INSPECTOR ' S RbPORT NAME LoCAT 1 ON 4 �z b p�erml- � NO , �"_-____ * * * * O * * _* YES NO * * * * * * * * * AppTtO'JED Footing/pier Forms Foundation W aterPr00f ing Ba "fill Framing goofing Siding Masonry Veneer _-- gough plumbin�3 f Valves Frel ie porches Ext • e d F lours ----- --_ Finish Interior ----__� — Stairs Railin9s_ Cellar Drain Tile__» Concrete Floors plbgx Fixtares roof in9� -- Gar * F irep ---- _-- Door Closers Smoke Detectors Chimney INSuS r,TION Foundation Floors Wails ceilin(3 C CAr INSPECTXDI3�- FINAL PR PI A Finall 'L�---�~�� _-� -- 1)RIV ding Survey ` Buis Next scheduled 3nsp action Ccall when ready Remarks_ f 1 � g,ailding Insp ector 6/f36 and-vl C� QIAeen9bea+� ✓p 1A°' n o AING DEPAVIT"E13T Bu1LWoG and ZC3 good R`01.l BOX 98 Bay and Hav[land Roa280t w pueensbury. New +cork 13LfILDINGI�t"d�SPECTOR + S REPORT �.1AME 1 OCAT I Old D3Fe * * * * 601 ppp'ROVED5 � Footir►g/Pier Foxes Foundation W aC erprOof in9 Bacx f ill Framing goof ir►9 s i.dinCJ ----� Masonry Veneer�� � �.--- .-- lief Valves ---� EXt • porches Finished Floors -----Stairs gailin9s Cellar Drain 'Tile Concrete Floors p1Y�3 • E' ixtuxes Ga,r . Fi.reproofin for closers 5molce Detectors Chimney It3SULR'TIO14 Fouridation Floors malls Cei.li-n`3 T CAL is PECTI.ON FINpj, p`i'YROVA 13R1V'EWN'Y Survey Final ]3uildkn8 ady ;;- t scheduled inaP ecticrn call when re t4e Remarks uax s auildin9 Inspector 4 peirte+� szcra} 9Own p7 C1'EPAPITiJIT SUMOMG and Z0131NG O 1 Box 98 aaV and Kaviland Fioad' GlueensburYit New Yark 12801 a ,IfICDING INs �, �C-t` pFt ' S REPC7RT NAME ,rr'%i'V LOCATION �y q r pr�rm�t tyo . * * * * * « Date �-- / NOP&PFLOVED yES ta.n9/P3 �r Forms . ous�da roof ing , y�aterp till Framing Roof ing siding 14asonrY veneer r .� ..- pi.ough pluml�ing�� „. - -- r~ � �- „�-•. ," Relief Valves ' Lxt . l' ir►isYsed �-lours ', interior 'trim Stair =, Railings Cellar Drair{ ril COTILcreto ors plbg , Fixtures Gar . Ilireproo ing Door Closers Smvk+� [3wte:c rs CYz imn'=Y II3 Slli.A'TI Ot3 Foundation L IoorS Wally Jill Yty SPEC'�if1'N�,��. Ce it ing ` F IN AI.+ l•:L C'1'RIC p�L l 8uildin8 8u"C'y lna -- .1 ►1 r Inspect call wh` Next scheduled 07 ,. AM i4 t c tc r Building Insf' e g/96 and-vl . own of Queprrs �► u�`y BUILDING and ZpNING DE PA R*Box 98 Bay and b r+d NeW York 12601 Queensensbury. BUILDING INsPECIOR ' s REPORT NAME IrOCA'T I ON 17ate�f /I Permit Nc7 . �� * * * * * * * * * / E* * APPROVED Y NO 6*ting/pier Forms Foundation Waterproofing Bac'kfill Framing Roof ing Siding Masonry Venee Rough plumbing} Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings cellar Drain Tile Concrete Floors plbg . Fixtures Gar . Fireproofing Door Closers smoke Detectors Chimney IN SIl LAT I ON Foundation Floors Walls ceiling CAL IN SPEC �1014 -- FINPJJ ELECT DRIVEWAY APPROV IS rvey � —�—�- Final Building Next scheduled insp action (call when ready) Remarks- Building Inspector 6/66 md'vl BUILDING DEPT. COPY OF APPLICATION FORM 46-ELe NEW YORK BOARD OF FIRE UNDERWRITERS. FILE TFIIS COPY WIT" BUILDING DEPT. WHEN REQUIRED, TEMP. s DATE CITY ORerms++yy���� [ $L��,���,y`' VILLAGE Q1. 'iAyy�7zy�+7 � a.4.. TOWNSHIP "�-- - " - " '- " COUNTY STREET AND NO ORe valmm ROAD AND POLE O. #11 Mambo` `: POLE NO. BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATEDT SECTION BLOCK ?` LOT OCCUPANT'S BUILDING .. ... ... __._._ _..._ NAME OCCUPANCY OWNER'S NAME ANDADDRESS CURRENT BBYPPLIED FROM THEIR OFFICE DEFECTS IF ISUYLDIIiG RK NEW fY5 OLD I�3 I REMOVEDNE ADDITIONAL 0 REMOVED ❑ 4� LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS Lar p sompta Ik BRAN ntp Recaptacla MOTORS HEATERS CIRCUITS BRANCH OFFICE USE Lacy ONLY tion Side Attech't H.p. Wstim A.W.G. Ceiling Sift Ream," $teftch 11MIeM Brecka No, Type Eash No. Each No. Gauge INSPECTION Sidi Sub- bMA Base- ment 1st Fl_ 2nd Fl_ 3rd Fl. REMARKS: LIST OTHER ELECTRICAL. DEVICES NOT SET FORTH ABOVE: 00 NOT USE THIS SPACE_ This application is in tensed to corer the aba $hued amuipm ant to be inspec gad bpt if at time of inspection there is found eddii ional equipment not above listed, you are authorized to make the inspection and adjust the fee to corer the additional equiprrsant, as prorided by the applicant. SIZE OF ISO ELECTRIC SIGN TOTAL MAINS a FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE (NUMBER) (CAPACITY) STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS BUILDING OF SIGN INSPECTION REOUEST£D PO OR LE NEAR AS Will � wtum ready NEW ❑ OLDEI POSSIBLE eILLJ. AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED, PRINT NAME AND ADDRESSNAME OF DATE OF ♦ Ian APPLICANT— �r Y� yf'�sa'a^ i + APPLICATION }m*,= 21 , `9©7 STR E E T ADDR ESS 119 Dumm� Street TELEPHONE * 8"009161 CITY OR aeustmi pp!s New York ZIP = LICENSE NO. POST OFFICE # COD.'! WHEN APPLICABLE ae EL (REv. alas) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING CLUEEN VICTORIA' S GRANT QUEENS BURY, N.Y. 01 C.O.T.G. 42 1 i ELIZAt3t Irl 8'-0 DIAMETER 9�- 0 DEPTH )00 qaI. 126.82� REFERENCE DRAWING: 5A SITE UTILITIES SEPTIC it WATER VanDUSEN � STEVES SURVEY PLAN C.O.T.G. (CLEAN OUT TO GRADE) 221 o NJ 1, 315, 7, 9,11 ELIZABETH LANE PLOT PLAN E SEPTIC SYSTEM GUYER BUILDERS INC Qv .. DWN : *:SA! q• is-871 Scale = I' : 2C(- 0