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1987-898 .`n. ,.• �S^;ri�""'iS"."c"54. .Z"�:$sert^.,�.�. .;,N'r arr+r, a,q�..v.�„-.�,�� ; . .j���..a<- � . .- _ t .c.. fir, ,r+F-.--r . f I + 1� I 1 CERTI FICATE CDF f%.3XCCU FANCY TOWN OF QUEENSBURY 1 WARREN COUNTY, NEW YORK I I � i Date March 18 , 19 SS 1 This is to certify that work regNmmted to be clone as shown by Permit No. 87 -898 I has been completed. # of Two Family Dwelling This structure may be occupied asa = 00 4 Elizabeth Lane — Queen Victoria ' s Grant Lce OwnerGuyer Builcierss Inc . i i By larder 'Town Board i TOWN OF QUEENSBURY 57.�e�0-4 ee�®r-4 for I Building 6 Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No 87-898 WARREN COUNTY, NEW YOQRK PERMISSION is hereby granted to Queen Victoria ' s Grant 1 OWNER of property located at 9 Elizabeth Lana Street, Road or Ave. in the Town of Queensbury, To Construct or place a }L 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. m m 1 . OWNER'S Address is Guyer Builders Inc . 119 Dunning St . Ballston Spa , N . Y . 12801 n 2. CONTRACTOR or BUI LDER"S Name p~i y Same w �-i W 3. CONTRACTOR or BUI LDE WS Address R Same 4_ ARCHITECT'S Name t3J F-+ r• 5. ARCHITECT'S Address yLNi M m rt L� 6. TYPE of Construction — {Please irdicats by XI M ( X) 'Wood Frame Masonry Steel I } i. PLANS and Specifications No. 30 ' x 30 ' as per plot plan, Specifications and application including septic system and attached one car garage . MODEL C 0 S. Proposed Use eN of two Family Dwelling, o su R F� $5 . 00 C/o $ 75 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES July 1 , 1c1 88 0t a longer period is required an application for an extenslon must be made to the Building and Zoning inspector of the town of Gueensbury before the expiration date.) Dated at the Town of Queensbury this 29thDay of December 19 87 SIGNED BY 24� for the Town of Queensbury Building and Zoning Inspector 'I MO LAMUl"JAI awn a/ Qenjz"ry Application No , , , Permit Issued 19 801L61NG and ZONING DEPARTMENT Permit Expires 19 4 t. Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation # 4 !� � . Clueenshury, New York 12801 Variance No , �` � jeT 2 49p7 Site Plan Re w o . I' r IF o Approved " ' - APPLICATION FOR L " /~ctt3 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 During Street Ballston Spa , New York 12020 Tel . ( 518 ) 899-9161 Property Location : 9 Elizabeth Lane Tax Map No 12�±�F 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 ( 518 ) 899-9161 Diame P. O. Address Tel . No , Name of builder Guyer Builders , IncoAddress 119 Dunning Street Tel . ( 518) 899-9161 Name of plwnber Guyer ENJI .Ecterss C .Address 119 1WHII street . Name of mason Wyer TRAIcTeirs , nC •Address 119 Dunning StreetTel . NATURE OF PROPOSED WORK : * ZONING INFORMATION : X construction of a new building " A PLOT PLAN MUST BE PREPARED AND SUBMITTED , Addition to a building * drawn reasonably to scale and attached hereto . Alteration to a building " showing clearly and distinctly all buildings , (no change to exterior dimensions) * whether existing or proposed and indicate all Other work (describe) * set-back dimensions from property lines . Give * street and number or lot number and indicate * whether interior or corner lot . Show location FOR DEMOLITION PERMIT, STATE SIZE AND LOCATION OF STRUCTURES AFFECTED . * of water supply and location and configuration * of septic disposal area . * y COMPLETE INFORMATION REQUIRED s p$Ei,OW . e o * Size of property 104± pTS ft X 120 ft , * Existing building ( s) Size 141A ft PROPOSED BUILDING AND USE : Model � * Of * Existing building (s ) Use „NZA Size of new strut e eft x ft Foundation-pier slab It * Proposed building . sddiistanncc Pfrolanm property line circle one ) 2 , Front yard 30+ ft Rear yard 30F+ ft No . of stories (habitable space) Side y ards�� ft and 15+ ft height (grade to ridge ) 22 ' - 6'" ft , * If oncorner , setback from side street ft If residential, no . of families of 2 No. rgCF rooms ( excluding baths ) ` " OCCUPANCY INFORMATION No. of bedrooms so. of bathrooms 2 ,w PRIMARY BUILDING ow Pr3mary heating system se a ectriC" one family dwelling Vas �j t.,ei fQr Type of fuel Electricity * �T family dwelling s 6ul &Q. No. of fireplaces to be installed Multiple dwelling / Number of units will a wood stove be installed? Permanent occupancy Central Air conditioning? No * Transient occupancy �. Business BUILDING STYL_E, PRIMARY STRUCTURE * Industrial Ot Ranch Contemporary Lo cabin * her ]Raised ranch Mansion Duple * 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 ONE PLEASE ) * _Attached garage/one car/ two car/ One Car * * * * Al Al * * * All * * * * * * * * Private storage building ESTIMATED MARKET VALUE 12 OF * Other CONSTRUCTION INFORMATION ON - BUILDING SPECIF A IONS , ON REVERSE SIDE OF THIS SKEET, TO BE COMPLETEDL Form SPA 4/86 md-vl y i ' BUILDING PERMIT APPLICATION CONTINUED WILDING SPECIFICATIONS Type of constructi.can , 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 ) mini.na 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 tiy ? sq. ft . - - Type of use? Type of roof - slopped Material of roof Fiberglass shingles Size , wood studs "X 6 " spacing 24 "o . c . length 8 f .* exter ' or walls Joists ( floor beams) Ist . floor N/A "X spacing "o . c . spanNAA ft . .joists ( floor beams) 2nd . floor �•'}C�-" sacing -"o . c . span�' 'ft . Overlays ( ceiling beams ) 2 "X '• spacing �4 "o . C . span 14 ft . Roof rafters 2 "X 10 " spacing 4 o . c . span 4 ft . Roof trusses (pre-engineered) spacing�4 "o . c . span N/A ft . Battsrior wall finish stained Of what material? 5 /804 X 4 ' x 8 ' texture 111 Interior wall finish pain sheetrock 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 Rand 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 mLuiic:ipal SEPTIC SYSTEM _ Distance from ANY private well { including adjoining properties N7X 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 Queensbury County of Warren A F F I D A V I T STATE OF NEW YORK 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 . �. / a _ SWORN T'O BEFORE ME THIS Signature _____ __ -t_ --_--__ owner, owner agen' s , ar tea contractor day off s "s tee ( 19 _ ELIZABETH K. LANDR Notary public 4 torte o York f New t; Notary1 c , rren Count , N. Y . Qualified in paresSara u County Y Commission Expires June 16, 18$� # R * w w w * " * * w ,► * w w * * * * * * w w * w w w w * # ♦ rr ,k * w w * w w sr w w * w w caonrar rfWnTmYflu4 Ct'f.! /S..HFi PFR�r''m • .. -- --- 975 Square feet living 264 Square foot garage - one stall 1239 @ $7 . 00/100" or part of $5 .00 One stall garage $5 . 00 C/O permit Total top APPLICATION FOR SEPTIC DISPOSAL PERMIT Ref ; S . P. E. D. S . DATE September 23 87 permit # MODS of C/K New York - 0202525 LOCATION OF PROPERTY FOR INSTALLATION #9 Elizabeth Lane Owner's Name: Guyer Builders , Inc . Telephone: ( 518) 899-9161 Address: 119 DunninE Street , Ballston Spa , New York 12020 Installer's Name: Guyer Builders , Inc Telephone: ' ( 518) 899-9161 2 A, Co E, I , J, K, L, M Number of bedrooms (residential only) 2 3 F, G , H Total daily flow (compute Q 150 gal per bedroom) 300 Topography: circle one: Flat Rolling Steep Slope gfi of slope Soil Nature: circle one: Sand Loam Clay Other / Depth: $ ' feet + Ground Water: At what depth? unk"n 8 feet + Bedrock or Impervious Material: At what depth? unknown feet Perk tioa test: circle one. not require required / rate min. inch. Domestic rater supply: circle one: Munfcipall Well Other IF domestic water supply is a Well: Sep�arsa#ion: Watersupply from Septic absorption _ N/A feet * PROPOSED SYSTEM: Septic Tank gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench N/A feet f 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 I Ad P O fie. T A N T * See S . P . E. D . S . ...Please...LIST NEW EQUIPMENT TO BE INSTALLED permit & attached at # * s # IG * �sss * * * * ss * s +n lk * aR * * aRaGass * # * s * * sr< # * map . (over) i< 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,lsed .location of the system 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 $.254.00. 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. l have read the regulations above and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ckxlinance. Signature of.responsible person: Date: Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury. New York 12801 (518) 792-5832 SETTLEQ 1763 . . . HOME OF NATURAL. BEAUTY . . . A GOOD- PLACE TO LIVE TOWN OF QUEENSBURY ••ct, . 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 . ANGNSR ALL of the following : 1 . Gross floor area 975 S . F . 2 . 'Typo of heat Baseboard electric 3o le 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 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 5 . 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 NX=X R . 23 . 5 U. =0 04 3 . R value of glazed area U=O . 30 4 . R value of doors R-14 . 9 (U. =1 . 60) 5 . R value of floors over unheated apace8 9 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 ) N/A 10 . Type of insulation Fiberglass Co, Controls 1 . Thermostat maximum heat setting D . Duct Systems N/A 10 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 I . Performance efficiency hLA 2 . Temperature control setting maximum G . For Swimming Pool Only 1 . Maximum heating N/A Telephone No . ( 518) 899-9161 ( app icant ' s azure �?otfl/J 0/ +QLtE'E'I7jz "I 'R BUILDING and ZONING DEPAnTMENT Bay and Haviland Road, R .D. 1 Sox 98 Queensbury, New York 12801 BUILDING INSPECTOR " S REPORT NAME � Q�s �knn LOCAT LON gFV Date`3 f7 /��� Permit No . �D ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Watt= rproo £ ing Back £ i11 Pranii. ng Roof ing Siding Masonry Ven er Rough Plumb 11 g 12elic f Valve_ Ext . P<Drches Finished Floor_ IntQrior Trim Staic-L; �: Railirxg :a Cellar Draxn Tile Concrete Floors L'lk7g _ Fixtures Gar . Fireproof ` ig Closers - `.amc3ke Detect s Ch iinsl ey_ _ I14SUEAT ICAN Pouncl atiron F10C7rtz wa11 _ Cri i 1 i nc1 P I NAL ELECTRICAL INSPECTION i)RIVEWAY APPROVAL Final Building Survey Next _scheduled inspection (call when ready ) ketila rrks - i Bu g Inspe ktor {i/f1Ei mci -vl, ' .�pwn o� `�arfeer� s� +ur� E UJI,PING and ZONING DEPARTMENT Bay p1l1d Haviland Road, R.O. 1 Bax 98 X, f 0 Oijeensbury, New York 12801 � %7 BUILD INSPECTORtS REPORT NAME LOCATION Date.- / 4�q / Permit No . jej �cs * yk * * * * * * * ft k * * * * * * * * Yf * * +k ✓ = APPROVED - Yr,S NO Footing/Pier Forms Foundation W4terproofipg Baekfill Framing Roofing Siding Masonry Venpor Rough Plµ gbipg Relief valvva Ext . Porohea Finished Plpors Interior Trim Stairs & Raailings Collar Drain} Tile Cqncrete FIDOTs Plbg . Fixtures Gar . Fireproofing ,t.�or closerm Smoke Detectors Chimney INSULATION a Foundation Floors Walls Ceiling FINAL ELECT#t- AL INSPECTION DRIVEWAY APF9 VAL,. .. �.. Final Suildip Survey rI Next schedu} pd inspection (Call whfn ready Remarks- pl`tG R1}ilcl ng Inspe!q �or 6/86 and-vl ,' _fowsr o/ 'Queen3hury BUILDING and ZONING DEPARTMENT Say and Haviland Road, R. D. 1 Box 98 �} Queensbury, New York 12801 �, ff BUILDING INSPECTOR ' S REPORT NAME LOCATION Date` — Permit No . ✓ APPROVED - 'YES Np Footing/Pier Forms Foundation Waterproofing Sackfi11 Framing VRoofing KSiding Masonry Veneer Rough Plumbing XRelief Valves Ext . Parches Finished Floors klnterior Trim XStairs & Railings Cellar Drain Tile _ Concrete Floors i:Plbg . Fixtures XGar . Fireproofing VDoar Closers hSmoke Detectors Chimney. INSULATION - Foundation Floors Walls Ce i l ing) FINAL ELECTRIC INSPECTION I)RIVEWAY APPROVAL Final Building Survey [• Next scheduled inspection ( call when ready ) Remarks- WA { i t 1 ){:I _ wilding Ins ctor GjE36 mc3- vZ 40010'5 THE NEW YORK BOARD OF FIRE UNDERWRITERS Me BUREAU OF ELECTRICITY Ft 41 STATE STREET, ALBANY. NEW YORK 12207 Date February 26 . 1988 Application PI on file 002668 /88 i } Q �j �, `] THIS CERTIFIES THAT A 1 V 9 0 5 f only the electrical agrsipament am do"Abed below and introduced by the appaci s named on the above application m"asber in the prernfeee of � Guyer Bu1l.ders Inc . #9 Elizabeth LaneAQueensburyo New York 31 of two faml.ly in the folla..aing location; ❑ Basement ® r..Is€ Ff. Snd P7. 6*uts: de Section, 12 1$lorlr 4 Lot s wee examined on 2 11--88 and found to be in compliance with the requirements of this Board, a FIXTURE FIXTURESI RANGES 1000KING DECKS I OMENS DISH WASHERS EXNAuST FANS OUTUFrSRECIBITTACIRS1 SWITCHES 04CANDI FLUIOKSCEN7 AMT. K. W. AMT. K. W. AMT- K.W. IN7. K_ W_ AMT, N. P. 15 25 22 11 4 1 4 , 6 3 Er DRYERS FURNACE MOTORS RfTURE APFUANCE FEEDERS SFECIM REC'PT TIME CLOCKS ESL UNIT BEATERS MULT&0UTLET AI K. W. OIL H. P_ GAS N. P. T, NO. . 6. AMT. AMP. AMT, LAMPS- TRANS. AMT, rI, /. SYSTEMS AMT. WATTS NO. or FEET er } SERVICE DISCONNECT No_ or S E R V I C E AMT. AMP. TYPE *MAP. •e 2W 1 Z 3W 3 X 3W $F +W ' #PER CCONb. # CC cONo. Nib, OF NI-IFG pF MIlE s No. op NEUTRALS O R S 1. 15:0 cb 1 X 2 /C3 1 /p z OTHER APPARATUS: Elec . lROOM Heaters : 2 /2 . Oo 2/1 . 50 1 / 1 . 250 21 * 5 110torlt : 1 a �-gfCi 1-smoke detectors US Guyer Builders Itic . 119 Dunning 'Street BRANCH MANAGER Balaton. Spar New 'i*'orlc12C12[3 Per This certificate must not be oltered in any manner, return to the office of the Board if incorrect. inspectors map be identified by their credentich. COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. �J'own o� �uern � 6urtar BUILDING and ZONING DEPARTMENT Bay and Hawiland Road, R.D. 1 Box 98 Oueensbu►y, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION WE. I'l; ygielt iF GCAT I ONuQu e eft J tc it r osy ?` p %TE as I PERMIT NO. OIL TYPE - an - Loam - Clay �- ereolation Test Required? YES - •ercolation rate - Min/Inch :'YPE of SYSTEM: Lbsorption field , total length 4ength of each trench depth of trenches ' 41 size of grave]:_ 3EEPA+GE PITSZ er of) 3ixe- .jg t X fto gavel size - PIPING : Si a Type Bldg . to tank Ga /^'YG Tank to disc . box 6 ' Y� :Dist . box to field Openings sealed? No Partial LC+CATION/SEPARATI S : ] Foundation to t ft. Foundation to a orpti ft . Absorption to t line ft. Separation of itsft . LOCATION�OF' ,S STEM ON PR ERTY (circle one ) Front e - Left side Right side - CCMMENTS : ., fcs /rri .y yo L.!411�s' SYSTEM USE APPROVED YES NO /00� iW Ming Inspector 01/86 and vl ec� /r �� �( �j � _ lvurrr o�' �upen .shurc� BUILC7ING and ZONING DEPARTMENT E Bay and Haviland Road, R- D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION f doe Date Permit No * ✓ - - ]'noting/Pier Forms APPROVED YES NO foundation waterproofing Backfill Praming Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished 'Floors Interior 'Prim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing _ Door Closers Smoke Detectors C imney NSULATIoN : Fro un da t ion Floors Walls Ceiling FINAL ET ECT ICAL INSPECTION- DRIVEWAY AP ROYAL Final Build ng Survey. Next scheduled inspection ( call when ready ) Remarks- Building Inspec 6,l86 rnd-vl BUILDING and ZONING DEPARTMENT Bay and Havi)and Road, R. D. I Box 98 Oueensbury, New York 1 2801 B (iILDING INSPECTOR ' S REPORT NAME 1 OCA T ION Date Permit � --,c- No . --- 1L ,r r * * ;t ,r Poatinc3/pi e - APPROVEL7 r Farms _ YES NC3 F'Ounda t ior) I Waterproof ' 13ackfi l 1. Framing Itoafing Siding Masonry Veneer ugh Plumbing Relief Valves I?xt . Porches Pinished Floors Interior Trim .stairs & Railings Cellar Drain Tile Cartcrete Floors I'lbg • Fixtures Gar . Fireproofin Door Closers Smoke Detector. ['h i mn ey INSULATION : Faun dat !on floors Walls Ceiling FINAL L;I ECTRTCAL INSPECTION DRIVEWAY APPROVAL Final Building Survey —� Next 5chleduled in Remarks - spection ( call when ready ) 4filding Inspe for t rr+r, m 3 -v7 7i'J S f/" ci can �a/�/� (,/��J� /// BU1LDING and ZONING DEPARTM EN �,' Bay and Haviland Road, R. D. 1 Sox 98 ©ueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date ,f'/ n r7�Y Permit No . Footing/Pier Forms ✓ = APPROVED? NOXES V. FeSe ndation Waterproo€ing Backfill }warning Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior. Trim Stairs & Railing. Cellar Drain 1`i Concrete Floors Plbg , Fixtures Gar . Firesproo ing Door Closers Smoke Det.,ct= rs Chimney INSULATION - Foundation Floors Walls Ceiling FINAL EL CTRICAI INSPECI'IpN DRIVEWAY APPROVA[ Final Building Survey Next scheduled lnspecCinn (call whoik reaely )� Remaa rk:s- f F 8 i n A ea r 6/86 and-v2 �f MEOW .�./ticv+rt o� �ueen� 6tert� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date/ Permit No . FA - 1Cff Footing/Pier Forms APPROVED _ YES NO Foundation WatezProofing Backf ill Framing Roofing Siding Masonry Veneer Rough Plumbing elief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofi g Door Closers Smoke Detect, Chimney INSPECTION : Foundation Floors Walls Ceiling FINAL ELEC RICAL INSPECTION DRIVEWAY A PAOVA, -� Final Build ng Survey Next scheduled inspection (call when ready ) Remarks- B"i edung Inspector 6/86 and-vl BUILDING and ZONING, DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME Lee LOCATION 47 ' r "Z Date 11 L /� Permit No . " � - b I/+ APPROVED Footingfpier, Forms - S NO Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves East . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproof! Door Closers Smoke Detecto Chimney INSULATION : Foundation Floors walls Ceiling FINAL ELEC CAL INSPECTION DRIVEWAY APPRQNALL_` Final Building Survey --- Next scheduled inspectiean (call when ready ) Remarks- 6/86 and-vl Building spector . `own v� '�iceen36ecrr�r eUILDfNG and ZONING DEPARTMENT Bay and Haviland Road, R. D- 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date � 2 / permit No . e 0 unn APPROVED - YES NO ing/pier Formsdation Waterproofing LA-ackfiii Framing Roofing Siding Masonr eneer Rough P1- ing Relieft Val s Ext . P�rche Finished Flo rs Interior \'Tr.im Stairs & l .yl gs Cellar Drain Concrete Fl rs Plbq ' Fixtu es Gar . Fire p oofing Door Clos S Smoke Det ctors Chimney INSULATI N : Foundat ' On Floors Wails Ceilin FINAL LECTRICAL INSPECTION DRIVEW Y APPROVAL Final B ildIng Survey Next scheduled inspection (call �,rl-yen ready) Remarks- Euzlding Inspector 5/86 and-VI .�../©wn a� �ueensfs +urt�t BUILDING and ,Z4NJN(3 DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12a0i BUILDING INSPECTOR ' S REPORT NAME 20 LQCA T I Q '�'-'��",�d.-��.- 1' Date7r _ / Permit mooting/Pier Forms ✓ PROVED - yE N Foundation Waterproofing Backf ill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Flo... Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg , Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECT-TON DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready ) Remarks- 1111111, Oil, Building InspECtor �— 6/8Fi and-vl r BUILDING DEPT. COPY OF APPLICATION FORM 46fLO NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED. P. DATE CITY OR VILLAGE #�esry STREET AND NO, OR ��'"`'��77 TOWNSHIP CUUNTY , ROAD AND POLE NO. 09 �a.BETWE thIr . . . CROSS 'STREETS la� POtE ND. REM S S TE CICCIIPANT'S NAME SECTION BLOCK /f LOT BUILDING OWNER'S NAME OCCUPANCY AND ADDRE� 1� }riarrex yy pp �,��� _ . . Cupwrlr * 1 .3 s+tdlliLa��t'9¢ sOjL`r' t TEL # SUPPLIED BY f L 1 BUILDING FROM THEIR _ IS OFFICE NEW OLD WORK ��----II IS NEW � AdbI TIONAL � DEFECTS U t�l ST BELOW ALL EQUIPMENT WHICH YOU INSTALLED REMpVEO NUMBER OF OUTLETS No. of Fixtures B, Loan- Larnp Reieaptsdes MOTORS CIRCUITS OFFICE USE tiort HEATERS Coiling Wall Side Reds Switch Fondant Bracket No. Type ONLY Each Na. W'e[a A.W.G. Out- Eac1. No. Goodie INSPECTION side Sub- Bar numt at Fi. Ynd FI_ $rd FI. REMARKS: LIST OTHER ELECTR ICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. This appfication is intended to cover the abavrii sted aquCho I" to you are authari=ed to make the � M' inspac tad but if at time f in 'on and adjuax rho lea ea cover the additional aProvided inspectionthere is Found additional equipment not ebave listed, SIZE 4F �1 equipment, as prowidetl by the aPplicent. MAINS 150 Ample FEEDERS ELECTRIC SIGN LAMPS ea TOTAL CHARACTER .s��� WATTS OF WORK � iI s.ita. �rVICI a EXPOSED GAS TUBE SIGN WORK TO BE CONCEALED TRANSFORMERS OF STARTED VA SERV _ COMPLETED [NER! (CAPACITY) ENTERS OVERHEAD UNDERGROUND SIZE OF SIGN ENTERS BUILDING MAKER INSPECTION REQUESTED OF SIGN ON OR AS NEAR AS POSSIBLE MM i�.'f 1 �ii.i,.f. NEMY � OLD Q AVOID DELAY By ADDRESS GIVING FULL ANp ACCURATE INFORMATION, ALL SPACE PRINT NAME AND S MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAME APPLICANTDATE OF a APPLI AT4ON STREET ADDRESS �.1 7 ,may srv+if'e Street CITY OR �� _ TELEPHONE 'P OST OFFICE +T�XS.L"t(n SO�s New York ZIP 7. LICENSE NO. 4 .Tw _ CODE J.� WHEN APPLICABLE ab EL (REV- 11e5) 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