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1987-897 i a T a i + ERTITWATE OF OCCU AN+��' TOWN OF QU'EENSBURY WARREN COUNTY, NEW YORK Date March 18 , 19 33 This is to certify that work requested to be done as shown by Permit No. 87-897 has been completed. This structure may be occupied as a of Two Family I +ocatiotu 7 Elizabeth Lane — Queen Victoria ' s Grant der Guyer Builders , Inc . By Order Town Board ProWrN OF QUEENSBURY r Building & Zoning Inspector BUILDING PERMIT � TOWN OF QUEENSBURY No. 87-897 � WARREN COUNTY, NEW YORK 4 PERMISSION is hereby granted to Queen Victoria ' s Grant k OWNER of property located at 7 Elizabeth Lane Street, Road or Ave. t in the Town of Queensbury, To Construct or place a j of Two Family Dwelling at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance, o m t. OWNER'S Address is Guyer Builders � 119 Dunning St . c Ballston Spa , N . Y . 12020 0 2. CONTRACTOR or BUI LDE R'S Name Same. v� G'+ r•t 3. CONTRACTOR or BUILDER'S Address Same 4. ARCHITECT'S Name V rn S. ARCHITECT'S Address ~ N- cs ps ts m rt 6_ TYPE of Construction — (Please indicate by XI r m (X ) Wood Frame ( I Masonry ( I Steel 7. PLANS and Specifications No. 34 ' x 43 ' as per plot plan, specifications and application including septic system and attached one car garage . MODEL L B. Proposed Use k� o } OF TWO FAMTL"Y DWELLING ~' 0 $5 . 00 C/O $ 75 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES July 1 , 1988 � �c (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Oueenstwry before the expiration datej Dated at the Town of Queensbury this Moe Day/of December 19 87 SIGNED BY G� %�" f�t � for the Town of Queensbury Building and Zoning Inspector /E/r� TO BE COMPLETED BY BLDG , DEPT . // Application No . ti3w yi " 5OA!►t Permit Issued 19 d __ `` BUILDING and ZONING DEPARTMENT Permit Expires 19 lJ t; hj , .� Bayand Haviland Road, R. D. 1 Box 98 Zoning Desi i n �� I Queensbury, New York 12801 Variance N . L+T 19$ ' Site Plan vie No . Approved APPLICATION FOR BU I i D I NG AND ZONING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLOWING . The undersigned hereby applies for a Building Permit to do the following work which will be done in accordance with the description , plans and specifications submitted, and such special conditions as may be indicated on the Permit . The owner of this property is : Guyer Builders Inc P . O . Address 119 Dunning Street Ballston Spa , New York 12420 Tel . ( 518) 899-9161 Property Location : 7 Elizabeth Lane Tax Map No . 121 / 4 / 2 Street number or building lot number Subdivision name (if applicable) Queen Victoria ' s Grant THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : Richard H . Gu er II1 ( 518 ) 899-9161 Name P . O. Address Tel . No . Name of builder Guyer Builders , Inc -Address 119 Dunr- ng 'Street Tel . ( 518) 899-9161 Namur of plumber Guyer muliErs ,, IncmAddress ng Street Tel . - er rs , nc .Address StreetTel . ( 518 ) bqq-qTur� Name of mason Y 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 * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED. * of septic disposal area . COMPLETE INFORMATION REQUIRED PEE W . " size of property 100t p 'anP ft x 120 ft . L Existing building ( s ) Size ft X� NIA^ft . Model PROPOSED BUILDING AND USE : of F/T . * Existing building (s ) Use N/A Size of new struc e 34 ft x 43 ft Foundation-pier slab crawl/partial/full " Proposed building, dist#nce from property line csrcle one ) * see pot p an 1 * Fxont yard 30+ _ft Rear yard 30+ ft No . of stories (habitable space) * Side yards 1 + ft and 15+ + Ott Height { grade to ridge ) 21 ' -O " ft . If on corner , setback from side street If residential , no . of families 1 of 2 Noe of rocr s (excluding baths ) 5 � * OCCUPANCY INFORMATION Noe of barooms -- ,�a OF One BUILDING - No . of throoms One. family dwelling Thjy s nerYlLi ei S for Primary heating system Baseboard e ectric* one sIKYe o bullaing . „ J�Two family dwelling Type of fuel Electricity * Multiple dwelling / Number of units Noe of fireplaces to be installed Permanent occupancy Will a wood stove be installed? No No Transient occupancy Central Air conditioning? Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch Contemporary Loa cabin * Other 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 ) * _X`Attached garage/one car/ two car/ One car Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION INFORMATION ON - BUILDING SPEC A -� ON REVERSE SIDE OF THIS SHEET, To BE COMPLETED ! Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - ~ 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 ) " ICLlrli6Rttli 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 ' o sq . ft . - - Type of use? Type of roof - sloped flat/shed/other Material of roof Fi rg ass shingles size , wood studs ''x 6 to spacing 24 "o . c . length 8 fte exterior walls Joists ( floor beams ) 1st . floor N/A "x it spacing "o . C . span N/A ft . Joists ( floor beams) 2nd . floor -"X���'" spacing r6 "o . c . spanN A ft . Overlays (ceiling beams ) "x " spacing 24 "o . c . span N/A ft . Roof rafters 2 " x 1 " spacing 24 o . c . span 12 ft . Roof trusses (pre-engineered) spacing 24 "a . c . span 43 ' ft . Exterior wall finish stained Of what material? 5/8" x 4 ' x 8 ' texture 111 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 garageJand 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 rmm-ricipal SEPTIC SYSTEM Distance from ANY private well ( including adjoining properties ft . (A separate application is necessary , for an re air or new installation of septic system) See S . P . E . D. S . perm-t # 020252 Town of Queensbury County of Warren A F F I D A V I T STATE a iC NEW YOR ___ 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 s ecified or not. , and that such work is authorized by the 'owner . 0 SWORN TO BEFORE ME THIS Signature _ _r. _ -Owner , owner s agen r - xxLect , contractor �"5rzs day of� `s x _ 19�s + EUZABETH K . LAN h {votary Public, State of Ne York j No, 4.862001 Qualified in Saratoga County Rotary` p,-y _ � Warren County , N Commission Expires June 16. I9_ ' • at # sr s 711 s. se sr * se ! at k * It s. • * # : ,t w * It It SPECIJ,Lh CONDITION'S OF THE PERMIT : 963 Square feet living 288 Square foot garage - one stall 1224 @ $7 .04/100"or part of �5 . 00 One stall garage 5 .00 C/O permit Total By---------------------------------------- y TOWN OF QUEENSSURY "Ve WARREN COUNTY , NEW YORK Application for = BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STAVE ENERGY CONSERVATION CODE A permit must be obtained before beginning work . AV8WZR ALL of the followings - to Gross floor area 936 S . F . 2 . Type of heat Baseboard electric 3 . is the building mechanically cooled ? No 4 . Percentage of area of windows and doors 15 - 9% A . Over 16 % Only 10 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 an 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 8 . Under 16 % only 1 . R value of roof and floors exposed to ambient conditions R- 38 U . =0 . 026 2 . R value of exterior walls XKXX'K R-23 . 5 U. =0 . 04+ 3 . R value of glazed area U. =0. 20 4 . R value of doors R-14 . 9 5 . R value of floors over unheated spaces NIA 6 . R value of slab edge insulation - unheated slab N/A 7 . R value of slab insulation - heated slab 12 . 5 s . R value of heated basement/ cellar walls ( above grade ) NIA 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 1 . Is duct system installed in unheated spaces ? YES No a . If YES , R value of duct installation b . IR value of duct in other areas E . Piging 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 fool Only 1 . Maximum heating N/A Telephone No . ( 518) 899-9161 ( applicant ' s gnature ) APPLICATION FOR SEPTIC DISPOSAL PERMIT Ref : S . P. E . D. S . DATE September 23 / 87 permit # New York - 0202525 MDDEL L of E/L LOCATION OF PROPERTY FOR INSTALLATION #7 Elizabeth Lane Owner's Name: Guyer Builders , Inc . Telephone: ( 518) 899-91+61 Address: 119 Dunning Street , Ballston Spa , New 'York 12020 Installer's Name: Guyer Builders , Inc Telephone: ( 518) 899-9161 2 A, C , E, I , .79 K, L, M Number of bedrooms (residential only) 2 3 F , G, H Total daily flaw (compute @ 150 gal per bedroom) 300 Topography: circle one:: Flat Rolling Steep Slope % of slope Soil Nature: circle one: Sand Loath Clay Other / Depth: 8 ' feet + Ground Water: At what depth? unkr'0` 8 feet + Bedrock or Impervious Material: At what depot? unknown feet PerrcolaUen test: circle one: not require required / rate min. inch. Domestic water supply: circle one: Mur►icipal�Well Other IF domestic water supply is a Well: Separationow 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 FIT(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...LLST NEW EQUIPMENT TO BE INSTALLED permit & attached * * * * # # * s # # # s * # ss * * # * * # * * # # # # # ae * s * s * # # # # # # 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: 1.) the propo$ed .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 $250.00. 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. l have read the regulations above and agree to abide by these and all requirements of the Town of Q►ueezmdxuy Sanitary Sewage Disposal Clydinance. Signature of .responsible person. Date. a Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD. PLACE TO LIVE ,owls Q/ Q"eeli .3 +E ry BUILDING and ZONING DEPARTMENT Say and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME i v LOCA I- 1 oN a Date ! ? / c' Permit No . 'r - rq Footing/Pier Forms Foundatiotk Waterprru, fing i3acktill F rand jig Roof i rig Siding Masonry Veneer Rough P1urnbing Rel _Let Valves E.xt _ Porches F i.nic, nccd PIcaors - .Interior Trim Stairs & Railings Collar Drain Tile concrete Floors Plbg . Fixtures Gar _ Fireproofing k'J)C'')0J' C'lo,ork nS Slnok� Detcictors C:hinueey INSUI .ATTON Foun clat ion rIoors _ Wu11v Ce FINAL INSPECTIONZ DRIVEWAY APPROVAL ..�.... .._. Final Building Survey Next c chcc3uled inspection ( call when ready ) Gv y oil ;p- 5 - 11 13u 1 r g InspE tt>r 6/t36 and -vl _./awry ar� �ueens � ur� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Sox 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME 4r ram .+ LOCATION Date/ Pormit No . ✓ APPROVED - YES ND Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry V neer _........ .._J - T Rough Pl ing Relief Val es Ext . Porche Finished Flo s Interior Trim Stairs & Railin Cellar Drain Tile Concrete Floors �bg . Fixtures Gar . Fireproofing Sao"r Closers Smoke Detectors Chimney INSULATION Foundation Floors Walls Ceiling FINAL EL TRICAL INSPECTI( „r- DRIVEWAY 'kPPROVAL� Final Building Survey Next scheduled Inspection ( call when ready Remarks0C ok, 0 Bui nglInspector 6/86 and-VI _Jott�n o� �ueens � ur� BUILDING and ZONING DEPARTMENT Bay and Havifand Road, R. D. 1 Box 98 Aq Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME UOCATION Datete��Ws�/ Permit Ivo . � 'l - / ✓ = APPROVED - YES ND Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Ven er Rough Plumbi g Relief Valve. Ext . Porches Finished Floo s Interior Trim Stairs & Railin s Cellar Drain Til Concrete Floors Plbq . Fixtures Imp- Gar . Fireproofing Door Closers Smoke Detectors chimney INSUTATT.ON : Fo un ria t i on Floors Walls Ceili" FINAL 1:Lf,C ICAL INSPECTION DRIVEWAY AF ROVAL Final Building Survey Next scheduled in:spectlon ( call when ready ) Remarks- Building tlispector 6/86 and-v1 mdh THE NEW YORK BOARD OF FIRE UNDERWRITERS � 00 054 BUREAU OF ELECTRICITY 41 STATE STREET, ALBANY, NEW YORK 12207 Date Februaryl2 , 1938 Application ,Yo. on file A 70535 z, THIS CERTIFIES THAT 002669 /88 only the electrical equipment as described below and introeMuced by the applicant nduv ed an the above apravotion n"ntfier in the premises of Guyer BuildersTne sp f7 Ellmabeth. 'Lanes, Queensbury ,NewYork in thefollowing location: ❑ Basement 1st Fl. ❑ 8nd Fl. garage/Outalde sectiopt21 stock 4 Lot was exansined on 2 / f88 end found W be in compliance with the req"Irernents of this Board. FIXTURE FIXTURES I RANGES COOKING DECKS OVENS I DISH WASHERS EXHAUST FANS OUTLETS ACLES SWITCHES INCANDESCENT FLUORESCENT y AMT. K. W. AMT. K. W. MAT. K.w, AMr. 15 23 20 9 6 1 4 . 6 3 Fr DRYERS FURNACE MOTORS FUTURE APPLIANCE PEEDERS SPKIAL RECWT TIME CLOCKS NEU KNIT HEATERS MLKTI-OYTLET DIMMERS SYSTEMS 01L H. P_ GAS H. P. AMT_ NO, A. w_ O- AMT_ AMP. MAT. M1PS. TRANS. AMT. H. P, NO CW pug AMT. WATTS IL 1 010 1 SERVICE DISCONNECT NO. of er AUE R V I C E AMT. MAP, TYPE. 1 0 '2w 1 1 9w 3 �' Sw 8 A' 4w No' cr PER.-CDND- OF cc Ccco-MD PK3. DF H4LEG OF NI'LEG 'HMO. oP NEUTRALS GF F EU RAL i� 1 150 CB 1 1 2 /0 1 2ff1 �t OTHER APPARATUS: 1 -'+SH .P . motor 3- G . PeC . I . 1- Smoke Detector -- Electric Room iieaters : l- 2 .QKW ,4--1 . 5KW , l-1 * DKWE1- . 5KW Guyer Builders , Inc . om 119 Dunning Street J R 7 _ Ballston Spa ,N"Y , 12020 BRANCH MANAGER Per _ This certificate muss not 6e altered in any manner, return to the office of the Board if intarrecf. Inspectors may he identified by 'Thar cradaMials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. awn o/ Queen36urty BUILDING ano ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 0ueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCAT I ON aW_g eft ilit DATE PERMIT NOW SO= TYPE - (Eari - Loam - Clay Percolation Test Required? YES - Percolation rate - Min/Inch TYPE of SYST Absorption fie i3 , total length Length of each each Depth of trench Size of gravel_ SEEPAGE PITSo(Numb r of) Size- F ft. X _ ft. Gravel size 'I .3 PIPING : ize Type Bldg . to tank _ 6 '.✓YG Tank. to dist. box Y� Dist , box to field/ ' t 37yrG Openings sealed? NO Partial LOCATION/SEPARA IONS : Foundation to ank ft. Foundation to absorption ft. Absorption t lot line ft. Separation pits / t. LOCATION OF SYSTEM ON PROPERTY circle one ) Front - Re - Left side - Right side - CCUKENTS : br a / T�.g 1141( ys y SYSTEM USE APPROVED YES NO arlaing inspector 01/86 and v1 f _ Ja94VPI 0/ Queen .fhury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 / Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Dat / % Permit No . Ui I * w w w * w • w w „� w w * * * * * w w * w �r ✓ APPROVED - YES NO Footing/Pier Forms foundation Waterpraofing Backfill Pnaming Roofing :aiding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior 'Prim__ Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar , Pi reproof ng Door Closers Smoke Detect rs Chi " ev Ile'I.nT I ON Foundation floors Walls C Ceiling t FINAL F.1 .ECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey !Next scheduled inspection (call when ready ) Remarks- Jiulld ng Inspector BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Sox 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date f `T? rmit No . _ 0qj� ✓ = APPROVED YES NO 1'ootincl/Pier Forms Poundation waterproofing Back £ ill 2'raming �. Roofing Siding Masonry Veneer + _.�2aucph Plumbing Relicsf Valves Ext . F'orcl7es Finished floor,; Interior 'Trine Stairs & Railings i. Cellar Drain 1' l Concrete Floors Plbg . Fixtures Gar . Fireproo ing Docer Clasers Smoke Deter ors Chimney INSI]LA'I'I0 Poundati floors Walls Ceiling FINAL 1 I •EC'TRICAL INSPECTION DRIVEW APPROVAL Final Building Survey Next scheduled inspection (call when ready ) Remarks-- I ilding Inspe for r� /llf, mr1 -t'1 f i Sol own o/ Queenizury BUILDING and ZONING DEPARTMENT Say and Haviland Road, R. D. 1 Sox 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME y LOCATION Late 4x / *J_ Permit No . , -u= _ ✓ = APPROVED * r Footing/Pier Forms - YES NO ia--�Undation Waterproofing Hackfill KFraminq Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs e ]Zailiny Cellar Drain T ' - Concrete Floo s Plbg - Fixtur s Gar . Firepr fillg Door Closer Smoke Dete tors Chimney INSULATI Foundati n Floors Walls Ceili.n FINAL LECTRICAL 1NSP13CTI4N DRIVE AY APPRoVA Final Building Survey Pp _ Next scheduled Inspection { calf whin re .acly )� Rema rk:s - B 1 n P or 6/86 and vl BUILDING and ZONING DEPARTMENT Bay and Haviland Road, RE). i Box 98 Queensbury. New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION' Permit Nc7 . ` q j Footing/Pier Fo = APPROVED - YES No ` Foundation Waterproofing ` Backfill Framing Roofing Siding Masonry Veneer Rough Plumhing Relief Valves Ext . Porches. Finished Floors Interior Trim Stairs & Railin s Cellar Drain Tile Concrete Flocs S - -- Plbg . Fixtur s Gar . Fire,pr ofing Door Close s Smoke Det tors Chimney INSULATI Foundati n Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( Cali when ready ) Remarks- 6f8Fi and-vl Pui` oding Inspector - awn a� +Queen s6urtat BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. I Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION �j Syr Late . - Permit No . t APPROVED - ES Footing/pier For NO ms Foundation Waterproofing Sack€ill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Values Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Til LOencrete Floors Plbg . Fixtures Gar . Fireproof ' ng Door Closers Smoke Detect $ Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Filial Building Survey Next scheduled inspection ( call when ready) Remarks- - ■ .rLr�'�/ Building Inspector 6/86 and-vl f BUILDING and ZONING, DEPARTMENT Bay and Havitand Road, P. D. 1 Box 98 Queensbury, New York 12801 BUILDfNG INSPECTOR ' S REPORT NAME LOCATION Date Permit No . _Jjjgq * * * * * * * * * * * ✓ =Footing/Pier Forms APPROVED � YES / NO Foundation Waterproofing Rackfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext - Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg - Fixtures Gar , Fireproof ' ng DOOr Closers Smoke 'Detect s Chimney INSULATION : Foundation Floors Walls Ceiling FINAL F CTRICAL INSPECTION DRIVEWAY APPROVAL Final Bu lding Survey Next scheduled inspection (call when ready ) Remarks- 6/85 and -vl Building inspector �GiLf/I7 O� �LlPPI7 .3bKI't� . 13UILDING and ZONING DEPARTMENT Bay and Hauiland Road, R.D. I Box 98 e('' Dueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT FLAME LOCATION j //' ,,.•� bate r eo') Permit No . r 'Otin = APPROVEE) - YE NO g/Pier goXWW Foundation Waterproofing Backfili Framing Roofing Siding Masonry Ven er F Rough P1 bi g Relief Val es EXt . Porche Finished Flo s Interior 'Prim \�"-- S to i r:; & 14,a i l in Cull.A rm 13r,t its '1' i 1 _ _ _ _•-- - .- Ccrnc>;'utu (i01 L' . Door Sn1 rk+ Chilruluy Foundation Floors --- __ Walls Ceiling------"_-' � � FINAL ELECT 1C L. INSPI-X70PION DRIVEWAY APPRO AL � 1 Final Building Survey Nc'xt scheclulc' c! irrt:Rert [un cc1111 wllc• Ic rr+rrcly _. Rem irks, Building Inspector 6/86 and-vl BUILDING DEPT. COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED. TEMP. # DATE VILLACE STREET AND NO, OR �1-} TOWNSHIP COUNTY ROAD AND POLE NO. 17 l th Lane ii BETWEEN WHAT TWO P EMI L ETSis ETF aOCC POLE NO_ NAME ECTIdN �/ BtdCK f BUILDING LOT DWIVER°S MIAME OCCUPANCY A AND ADDRESS SUPPLIEDTEL, # BUILDING _ FROM THEIR IS - NEW ' ... WORK - OFFICE OLD Q IS NEW Fm DEFECTS LIST BELOW ALL EOU IPMENT WHICH YOU INSTALLED NAL Q REMOVED OUTLETS Of NUMBER OF O No. Pixlm ui 8 P� Lamp Rooepl[4las MOTORS HEATERS BRANCH Side A Coming Side R t 8nIRCUITS OFFICE USE Switch Pandang leke# Na. Type M.P.H.P, ONLY om G. Out, Each No Each No. Qa+�me INSPECTION aide bome SEW mant Tn FI. 2nd Fl. 3rd FI. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE; 00 NOT USE THIS SPACE. T OS Vp are owthtaf n is into n,A�pQt=O GOVBf The a6a[p-lis[pd ayuiPmant to be inspotted bug if t'pd tam Ire ineper; an and ■diluit tha /ee xp Layer Ma at Iima ai ini/aicxion [hare ii {aa iddigional equiPmem not ebPva listed, S12E OF +dditio ial equipment, as Provided 4V the appliCint. MAIMS 1,50a ELECTRIC SIGN CHARACTER FEEDERS LAMPS TOTAL OF WORK EXPOSED OAS TUBE SIGN WATTS WORK TO BE CONCEALED TRANSFORMERS OF STARTED {NLIM$ERi VA .- SERVICE COMPLETED SIZE OF SIGN iCAPA I ENTERS 'OVERHEAD UNDEROROUNO UI DING MAKER rNSPECTiQN REQUESTED OF SIGN DIY dR AS NEAR AS POSSIBLE LL W LD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION- ALL SPACES MUST BE FIL LED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS NAME OF APPLICANT DATE OF Yq 7 �yy APPLICATION STREET ADDRESS AJ,.7 ,�T]br �!�.�. CITY OR _' _TELEPHONE POST OFFICE �$]„�mfg-~ ^ ltsd +v ,ZIP CODE � WHEN ALICENSPp CABLE <a E (REV. 1/05) 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