1989-164 a _ r •'-x.r i. . .. a :z"9y_r . ; '..r.ys '.aiIiv:. :Rw+n!hc ._.
y
CERTIFICATE OF +UCCUPANCY
TOWN OF +QUEENSBURY
WARREN COUNTY, NEW YORK
Date a u l y 12 19 —$9
This is to certify that work requested to be done as shown by Permit No. 89- 164
has been completed.
This structure may be occupied as a Aj OF A DUPLEX
L.acs&tion 74 QLJEEM MARY D 7VE
Owner QUEEN VICTORIA ' S GRANT — GUYER. BUILDERS
By Order Town Board
TOWN OF QUEENSOURY
Director of Bldg. tic Code Enforcement
` BUILDING PERMIT r
TOWN OF QUEENSBURY No c
WARREN COUNTY, NEW YORK k==
N
In
is hereby granted to QUEEN VICTORIA r S GRANT - GUYER BUILDERS
1
OWNER of property located at 24 QUEEN MARY DRIVE Street, Road or Ave. %C
in the Town of Queensbury, To Construct or place a 31 OF A DUPLEX
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.
f. OWNER'S Address is
C
119 Dunning Street ,
Ballston Spa , N . Y . 12020
2. CONTRACTOR or BUILDER 'S Name C
H
Self
3. CONTRACTOR or BUILDER'S Address "S
U
SHAN Same
4. ARCHITECT'S Nance
r
S. ARCHITECT'S Address
C
It
R
6. TYPE of Construction — (Please indicate by X)
XX'% ) Wood Frame ; } Masonry I ) Steel I } i�
r
7_ PLANS and Specifications k
No. 42 ' x 26 ' of a duplex as per plot plan , specifications , t F
and application , including septic . `n
B. Proposed use
' OF A DUPLEX
25 . 00 c /o
s126 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES November I 19 89
(If a longer period is required an application for an extension must he made to the BuiIdIM and Zoning inspector of the
town of Queensbury before the expiration date.)
C
11
Dated at the Town of Queensbury this 3 tcb ❑ay of April 19 89
h
r~ t
SIGNED BY for the Town of Queensbury
60Suriding and Zoning Inspector
1.
TO BE COMPLETED BY ss urs• r. r�c7f Cp
Application No . Aee� h
:lawn a/ Q" eendi lerly Permit Issued 19 �� ch 'day
BUILDING and ZONING DEPARTMENT Permit Expires 19 1456
Bay and Haviland Road, R.O. 1 Box 98 Zoning Designation �` '5'>
Queensbury, New York 12801 Variance No .
Site Plan Review No .
Appr ved 1
APPLICATION FOR
BUILDING AND ZONING PERMIT
r * �r * * * * * +r a it +r �r * w * +► * +r w * a +r a ar ar �r * +F �r �r �► +► w +E +f * :{
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 do" 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 . v
P. O. Address 119 DUNNING STREET BALLSTON SPAo NEW YORK 12020 Tel . ( 518) 899-9161
Property Location ¢_ 0244 C o4roev%s �dR`f �l'1�+� Tax Map No .��
Street number or building lot number
Subdivision name (if applicable) QUEM VICTORIA" S GRANT
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS :
W
ew
Name P . O. Address Tel . No .
Name of builder GUYER BUILDERS , INC . Address 119 DUNNING STREET Tole ( 518) 899-9161
Name of plumber U E W1jD Mh9 INCAddress 119 RUNNING STREET Tel . 518 899-9161
Seem
Name of mason GUYER BUILDERS . INC . Address 119 RUNNING STREET Tel . 518 899-9161
NATURE OF PROPOSED WORK : IF 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
FOR DEMOLITION PERMIT , STATE 512E AND * whether interior or corner lot . Show location
LOCATION OF STRUCTURES AFFECTED. ' * of water supply and location and configuration
of septic disposal area .
� � "' " FORMATION RQUIRED BELOW .
4 See
F +eyr^
s��rrrty loot _ t X 1420 ft .
*fidg building ( s) S ze N ft X NIA ft .
ModPROPOSED BUILDING AND USE : of� * Existing buildings ) Lase . N/A
Size of new structure 42-0 ft X 4 t
Foundation-pier/slab/crawl/partial/full * Proposed building , ciiese YLQt property line
(circle one) " S R
Noe of stories (habitable space ) 1 * Front yard 315 ft Rear yard 30+ ft .
Height ( grade to ridge ) 19-6 ft . * Side yards -+� ft and 15+ ft
He .residential, no . of families * If on corner , setback from side street ft
No* of rooms ( excludix the) 5 * OCCUPANCY INFORMATION
No. of bedrooms 1 * PRIMARY BUILDING -
Noe of bathrooms - One family dwelling .
Primary heating system BASEBOARD FT •FYTRI' X q family dwelling
Type of fuel �TRIC�� * Multiple dwelling / Number of units
Noe of fireplaces to be installed 0 * Permanent occupancy
Will a wood stove be installed? NO
- * Transient occupancy
Central Air conditioning? NO wwweeeee
Business
*
BUILDING STYLE,, PRIMARY STRUCTURE * Industrial
* other
Ranch Contemporary L;2122
'P If addition , what will use be?
Raised ranch Mansion
Split level Old style
Cape God Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House * Detached garage/one car/ two car/ car
{ CIRCLE ONE PLEASE } * Attached garage/one car/ two car/ car
Private storage buildings
.
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION $
55K
INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF TKIS SHEET , To BE COMPLETED !
Form BPA 4/86 md-vl
t
i.
BUILDING PERMIT APPLICATION CONTINUED
BUILDING SP'ECIFIC.ATIONS :
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 (tea bottom of footing ) 48" MiNIM(JM
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 portion? sq . ft . - - Type of use?
Type of roof - lope flat/shed/other Material of roof FIBERGLASS
Size , wood studs "X 6 IN spacing 2 "o . c . .length 8 ft. exterior walls
Joists ( floor beams ) lat . floor N/A"R It
Spacing "o . c . span ft .
Joists ( floor beams ) 2nd . ,floor 2 "7[ 10 " spacing 16 "o . c . span ft .
Overlays (ceiling beams ) "X IN
spacincl ., 24 "o . c . span ft . SEE PLAN
Roof rafters "X to spacing 24 o . c . span ft.
Roof trusses (pre-engineered) spacing 24 "o . c . span ft .
Exterior wall finish STAINED Of what material? 5/8" x 4 ' x 8 ' TEXTURE III
Interior wall finish PAINT ITP SHEETROCK
If a garage is to be attached , describe materials to be used for FIRE SEPARATION : N/A
Is there to be an opening between garage and dwelling? If so will a Fire-rated
door, enclosure , and self-closing device be provided?
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 N A ft .
(A separate application is necessary for any repair or new installation of septic system)
See S PE D S Permi L gQ202525
Town of Queensbury County of Warren A F F I D A V I T STATE OF NEW YaRx
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 specAfied or not., and that such work is
authorized by the owner .
,r
SWORN TO BEFORE ME THIS Signature __- ___
g __.._ —y..s.
O251/3wwner , owner ' s agent , a cn c�el nz actor
day of 19
III, MOM
Notary Public , o y, N. Y . rL`� ryge`04AMe lst. 13. 7�
* # * # # * # # * * # * * * ! # * # * # AN Or * IN # * # # # # # IN at * ♦ ! # IN # IN
SPECIAL CONDITIONS OF THE PERMIT :
TOWN OF QUEENSBURY
WARREN COUNTY , NEW YORK
Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE
A permit must be obtained before beginning work .
ANSWER ALL of the following :
1 . Gross floor area _. -
, 2 . Type of heat Baseboard electric
3 . Is the building mechanically cooled ? No
4 . Percentage of area of windows and doorsC?.__- c� �
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 ? v'�ti_.•� �1��`�
3 . Slab on grade YE� 40
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
B . Under 16 % Only
1 . R value of roof and floors exposed to ambient conditions.
R.
2 . R value of exterior walls R-20
3 . R value of glazed area c�
4 . R value of doors R-14 . 9
L
s . R value of floors over unheated spaces R=IA
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 Fiberglass
C . Controls
1 . Thermostat maximum heat setting /
Vlq
D . Duct Systems N/A
1 . Is duct system installed in unheated spaces ? YES
a . if YES , R value of duct installation
b . . R value of duct in other areas
E . Piping Insulation_ _ N/A
1 . Size of hot water or cooling carrying agent pipe
2 . R value of pipe insulation
F . Service Water Heating
1 . Performance efficiency N/A
2 . Temperature control setting maximum
G . For SwimmingPool Only
1 . Maximum heating N/A
Telephone No . ( 518) 899-9161Z C.
L-
( applicant ` s s gnature )
t
APPLICATION FOR SEPTIC DISPOSAL PERMIT
`—ld Ref : S . P. E .D. S .
DATZ r�w.rrwe� / permit #
New York 0202525 '
MODEL l `s of --- '�
LOCATION OF PROPERTY FOR INSTALLATION _ 94 Qj m x;;r n jxua
Owner's Namet Guyer Builders , Inc . *••' Telephones ( 518) 899-9161
Address: 119 Dunning Street , Ballston Spa , New York 12020
Guyer Builders IncTelephones ( 518) 899-91b1
Installer's Name:
2 A, C , E, I , is K, L, M
blumber of bedrooms (residential only) ' 3 F , G , H
• Total daily flow (compute @ 15a Sal per bedroom) 300New
Topography: circle ones lat Rolling Steep Slope % of slope wom
Soil Hature: circle ones Sand Loam {Clay Other / Depth: . $ ' feet +
Ground Water: At what depth? nsril wu $ he feet +
Bedrock or lmnpervious Materials At what depth? unknown feet
Percalaticm Mast: circle one: not require required / rate min. inch.
Domestic water supply: circle one: M scuxar pal Well Other
IF domestic water supply is a Well:
Separation; Watersupply from Septic absorption N/A feet
* PROPOSED SYSTEM: Septic Tank gal. (minimum size. 1,000 gal.)
TILE FIELD; Each Trench N/A feet / Total system length NIA feet
* SEEPAGE PIT(S)s Number.' of / Size each feet by felt'
* Size of stone to be used # / Depth or Thickness feet
IMPORTANT * See S . P. E.D. S .
...Please..AJST NEW EQUIPMENT TO BE INSTALLED permit & attached
* * * ss * sasss * * * * ss * ss * sss * ss * * * * :enssssssss map .
(over)
r
Section U Septic System Ins ectionss
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:
IJ the propooed ,location of the §ystem
2.) location and distance to lot lases
3.) location and distance to structures
4.) location and distance to any '-Water supply
5.) size and dimensions of all tanks, distribution
boxes, the 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 $250.00.
Ce An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may result
in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installatioup
alteration or repair of an approved system, a new proposal mustlbe submitted
to the Queensbury Building Department before further construction*
i have read the r+egulatums above and agree to abide by these and all requiremAmts
of the Towu of Queensbay Sanitary Sewage Disposal Ordin a=cve
Signature of.responsible person:
Date. _
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12sol
(518) 792-5832
a
p -- TTLED 1763 . , , HOME OF NATURAL 13EAUTY . . . A GOOD. PLACE TG
- — _ AGENCY, INC- ^I t+� ev
MIDDLE DEPARTNI n
gm aid', _
_.; { fusp �ar#y " . watt, July 19t 1989
�7r approved as being in accord
(��rtllE� that ld t a�.equ,pment listed has been +exa e,� a., S.
with the National Elect applicable governmental, utility and Q dY
T w min
Guyer Build
pruner: � ami � � tla� AI Ic uipment and inala5lat+on inspected tNS
�f. s Ingle ,�s�_ ceryiicete be introduced or aneranons made io
pccupa n a dale. I1 additional equi5� enl ail de null and void, and aPPacat Lon for
24 ` "een Tt� ",,. � exiatin4 system shill eer4Wica
LClCat1C7R; n a this his Pr .
,i 77--�� inepec5ian Should� submi55gt1 P n��� to his propartY insurance carriar
f'• � � tkl Sh tAificahan 01 electrical equipment approvad
fl ec et�C ac le$ i �, y (agent or company) as evldan
EquipMent: 10fl outlets ; 4. 7 ^zt>p faeces as specified'.,
150 Amp Serva �lf /
rGvyer Builder ~ C: vvia '.r "~ D 15 -
Dunni 023202
pppllcant: 119 n SZtY 17 '
�Aa1lstQn Sisa ,
Cne� No. TW EL I-"
f}F QUEENSBURYQ
er 3 CODES DEPARTMENT
BUILDING AND J
T3t1IL l�
BAY & fiAVx F NW YYORK I28D
QUEENS ONE ( 518 ) 7r92-5832
TELEPHONE pOR'I
Bul.1DING INSPECTOR' S RE
REQUEST
FOR xNSPECTION R�cxvn�_--------
NAME ------
LOCATION r �JPERMIT # 1
] � _ APPROVED
DATE - ` "- YES NO
1
�---- �_--
FOOTING/ pPIERS OUR S
_—�
MONOLITHIC p_ ROOFING ----- �
FdTTNDA'X'xO PRpVA
BACKFIL T
ROUGH PLUMBING
FRAMING OUGH- l -� --�"-
ELECTRICAL R -----
INSOLATION = r_� ----
FOUNDATION
FLOORS
WALLSCEID ['
xNG
AL INSPECTION : .. Q'
(W CHIMNEY HEIGHI`,_� ---- _-- - y' ------
ROOFING _ -�- ✓
SIDING CFIE5/
III I3 NA CLgpRANC & IF
A_� I E
STAr S/R PI,UMBING FIXTU ti
TRIM/ RIVACY
INTERIORO S �
FrNrSHED FLO ---- --�
GARAGE pIRE
p pC,PING_ - ----- z _--
DOOR CLC}SER ) _-
ORS'~N C :rON
MOICE DETE IN57' C xON
FINAL ELECTR LAOF CONSTRUCTION
APPRO
FI NATy
,�` pCCUPANC3C MUST BEFORE
SIGNET? CE I THE SELL OF DEPARTMENT
A ly IT3E
OBTAINED F PREMISES ARE OCCUPSEU r
THESE
REMARKS :
rNSPECTOR
UEEI'4s,,,,'Fc''f TMENT' �
TU1L DG 4D CODES D P :L
HUILDI HAVIUAND ROADS Ay
HAY NEW YORK 5832
QUEENSgUl2X , ( 518 ) 742
TELEPHONE BUxLD-iNC -INS'P'EC'TGR�
EC ESVEr7��%-
FOR INSPECTION
RE4GEST
pit
NAME r J
LOCAT_TON PERMIT
} l APPROVED
DATE 1 YES NO
FOOTSNG/P]:ERS FORMS_-- ----� �
P `�--
ri3dNOLI TIONIDAM OUR p_PROdFING
ViOtI
13AC K S T� APPROVAL
FOUL PLUMBING
UMBINO�_� --^�""���1�- -�--s-
dUG _---�-
F SCTRICAMING- - OU�`I
INSULATION :
FOUNDATION
FLOORS
WALLS_----�J
I,/FNALE ING ECT20 IN
T
CHIMNEY HEIGH ��- -
ROOFING.------�--
SIDING PORCHSSIS'TEL'S _- ---_ '11
EXTEpNAL & "ILS AL,V"' N
STAIRS�CL URES/RELIEF
PLUMBING TRIM/PRIVACY DOORS
INTERIOR FLOORS JAA
GARAGE D ZR RFI _ --- -`"�--^ �
DOOR CLOSER (5 ) _
SMOKE DETECTORS rNSPECTION_____�
FINAL ELECTRICAL �ON5TRUOTTON_�_---
APPROVAL OF { ,ter--- -��'-_.
FINAL �_�- BE
-
�~ T OF OOCCUPANCYMUST BEFORE
DEPATzTMENT
CERTIFIA BUIELDING
A SIGNED FROM TH PIED r
dSTAINUEPREMISESr, A E OCCU
"THESE
_ INSPECTd
creer� sbPAr
�,p ttpre +j
` .
nd ypt4lNG DePAF{TM6fST
BIJtLS7tt1G a Ft.G, 1 gox 98
Bay and "I"ursd NOW ork 12801
pueensbury.
S'EPT I C D I SPO
SAL. 'SY STE'1^!4 I I'SSPEC N I ON
:3 I.MAT ION
!PEWIT NO . t
DATE �I , _ Clay -3C}
Sa d Loaixs
SOIL "sYFE gequ'ired? YES
Percolation mes _ Mis/Inch _
Perc+ola+ti.on rat
,TYPE of SYSTEM* d , totari l ersg th
pbSOrP'tion txe cl)
Length Of 'each
Depth of trenches
size of gxave3
O }
SEEPAGE FITS-(13umbI 0
Site- ft. T
Gravel size S1,s c
p Ip ING
Bldg - to tank
to d 0 St . x �--=-
Iank field/pit h Partial
Dist. box to d? YES
Openings seal
.OP,TJON/SEF jkP,mlcvs : ft.
t tank
�,oundatian absoxPtlon --ff :
Foundation t lot line
Absorption pins one)
Separation YSTEM 01 PRoI V (circle
Left side - Ri..h't side
�r„�,miors �' ,
Front - hear �_
CC.IMMENTS =
YE /•
APFROVEI7 S
�
Sy STEM USE _r
f
Bu i,'J8 ing
nspector
of/ero rad vl
-NSB
TOWN OF QUE OVESUDE
PARTMENT
BUILDING AND CODES DE
BAY & HAVILAND ROARS 22sok-
ENSBORY . NEW
gUE PORK "',f/ /
TELEPHONE ( 51.8 ) 792,5832 f
sUII_DxrG -INSPECTORS REPORT
RE�3UEST FOR INS? CTICIN RECrVEI7
LOCATION
PERMIT #
DATE APPROVED
YEs NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/ p_pgOOFING
BACKFILL APP VAL
11
ROUGH PLU'l- 108k.
FRAMING OUG
ELECTRICAL R
"LATION=
FOUNDATION y
FLOORS
WALLS
CEILING
FINAL INSPECTION=
CHIMNEY HEIGHT
ROOFING { •
SILTING STEP
EXTERNAL POR HES/ ��—
STAIRS�CLEARANCE & RAI
—_
XTURESIREL
EF "LIVE
PLUMBING VIM1PR-TVACYrDOOR" --
INTERl - <
FINISHED
GARAGE ,F�LrREPROOFING�_�-----^—
DOOR CLbSER (S)
SMOKE OETECTORS
FINAL E CTRICAL INSPECTION
FINAL PROVAL OF CONSTRUCTION��.
CERTIFICATE OF OCCUPANCY MUS
A SIGNE T BE
D
OBTAINED FROM THE BpEDD"EPARTMENT BEFOR
THESE PREMISES ARE
MINE
REMARKS :
INSPECTOR
�...�'
ti
•r 4L OF QvEE235 S DEPARTMENT �'3ta NG AND CODE-`'
BVILL�I 14AV'L�AN�W YpRK J. 80
QVEEN5BtJIR 5832
TVLEPHONO i518 ? 792~
G"iClR' 5 �,PDRT
CTION
REQUEST FOR IN ✓'
NAME _
L�ATION PE1zMxT # APP ROVE
o
DATE s.� YES
FoOTINGIp cE S FORMS G
MO �-
NoLITHI �'_PR N
FOUNDATIONr p
ILL APP'RoVAL
BA GH
PLUMBING , _-- ---�
U
,EL CITNRGICAL GH-IN
INSULATION :
FOUNDATION
FLOORS
FJALts --'
,Er LING eT � �1
FINAL INSPE
CHIMNEY HEIGHT__-- -�`
ROOFING
SIDING PISTE _ ---
AL & Ls
Ex ExTERN ELIEF VALVE��
STAIRS-CLE AX sr
P�MBING / ACC' DOO
INTERIOR TRIM ED FLOORSS
-----
FINISH IRE3'R FING
F -- --_ --���—
GARAGE
E
DETECTORS xNSF N
FINAL ELECT, LA OF CONS'TRVCTIO r_ -- --- -
FINAL APPROVA � T B
�"S E
OCCUPANCY BEFORE
SIGNED
CERTIFICATBUILDING DEPARTMENT
ISES ARE DCC Will
OBTAINED v THESE PROM
LJPIED
REMARKS:
INSPECTOR
OF QUEEl3 E5�DEPARTMENT l
BQI�LDxNG AND pTD ROADS �28Dg
IK
QuEENS13 RXI�A 51 )X 92_ 5832
Q Ff7R"�
TELEPHONE �} i3�I.�' 1145mC''T0'11
TION
RES2DEST F�DR INS E
NAME
LOCATION ON
p}PPR vFD
NO
�j XES
DATE
FOOucoDATTO
INGI IC IS FORMS
LxTH NIDAMP-PR
F` pPPRaVAL
gpUK FDDMBxMG
FRAMING ga[1GF3-INELECTRIC _
SU p'TI°xN NDA
IJ
WALLS
CEILING
E INSPECT
FINAL IMNEX HEIGB
ROOFING
EI I
g�TEh' �A C-E_E`ARAN�C LS
& R rEF VALVE
Sf
STAxRS" FIX Tu E ACX DOORSPLD gaIoR TRI1X tSRIV
INT''INISHED FLQ. ._ROOF .TN-G"�
GARAGE FIRE S 1 --- "
Q KE DET CIA L INSP STRDCTIQN_
FINAL AP C aVAL aF CONS
130
OCCuFANCN gNT VeFORE
A SxGNE CERTIFICATE
THE 8�C�xPXED !El'ARTM
0BTAxN REMISES ARE
THESE
REMARKS
INS
gC TOR
i
ti4Y3 C3F QUEEI3SBURY
td xNG AND CODES DEPARTMENT 1 1
BUILD ROADS
BAY & SAVILANNEW YORK 1280
QJJFFNSBURY . ( SI8 ) 792- 5832
TELEPHONE opT
,,l,Dl INSPECT(3R' S R
SPF:C ION RECEIVED„.' �
REQUEST FOR IN
NAME t
LOCATION G� PERMIT #
L-r APpROVEII
DA YES ,NO
FOOTXN61pTE1:'S �}RMS_�
MONOLITHIC POUR F FING_� ---�
FOUNDATION/DAyp_PROO
VAC Xr ILL AP
P
R
O
V
A
L -�
ROUGH PLU,piBIN
FRAMING AL ROUG �IN
EL£CTR ON :
INSU
FOUNDATION
FLOORS
WALLS
CEILING
FINAL IN y HEIGHT
CHIMNEY HEI
ROOFING
SIDING PS/S EPS --
EXTERNAL ORCHE RAIL ---
S ,TAIRS-CLEARANCE RELIEF VALVE�� _---
PLUMBING FIXTUR IVACY DOO S_1
INTERIOR TRIM/
FINISHED FLOO FING�----
ARAGE FIREP
G �.._---
ARA CLOSER (
SMOKDOORE DE E OR INSP~- E�N_
F'INA L
ELPlC - C L OF CONSTRUCTION
FINAL APPRO
OCCUPANCY MUST �SORE
A SIGNED
I THE GNED CERTIFICATE OF
DEPARTMENT
OBTAINED FROM
'S ARE OCCUPIED ;
THESE PREMISE
REMARKS :
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAD, a HAVILAND ROADS I28Q
OUEENSBURY0 NEW YORK
TELEPHONE ( 518 ) 792-5832
BUILDING INSPECTOR' S REPORT
PXQUEST FOR I SF,ECTION RECEIVED
NAME - -- � ,.,Yt/
LOCATION �!
PERMIT #
APPROVED
DATES- - yES NO
jTYNGIpIERS
MONC?LrTHIC POUR FARMS
FOUNDATIQNID �'�PROOFING�-�
BACYCFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
rNSv TION
FOUNDATION
FLOORS
WALLS
CEILING TIO
FINAL INSPEC
CHIMNEY FiESGr4T - -
ROOFING
SIDING RC ESIST PS
EXTERNAL PO
NCE & RI
STAIRS-CLEARr RESIRELIEF VALVE
PLUMBING Fr VACY DOORS� �--'�
INTERIOR TR MIPRI
FINISHED R ORS PFtC7C1E ING
GARAGE FIR
DOOR CLOSE (S )
SMOKE DET.E TORS
E�ECTR'TCAL INSPECTION��-
FINAL OF CONSTRVCTrON f --
FINAL APPRO�'AI'
U CPANCY MUST BE
A SIGNED CERTIFTHE TE OF BUILDING IEPARTMENT BEFORE
OBTAINED FROM OCCUPIED9
THESE PREMISES ARE
REMARKS =
INSPECTOR
flown o/ Queen y6ury
BUILDING and ZONING 'DEPARTMENT
Bay and Haviland Road.
Yo D12 BOX 98
Queenshury, New
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME
C
LOCATION
DATE / PERMIT NO .
SOIL TYPE - Sand - LoaM - Clay -
Percolation Test Required' YES - NO
Percolation rate - Min/Inch _
TYPE of SY TEM: a length
Absorption field , t h
Length of ea h tr c -
Depth of tre
Size of grave .�-- ---- - "�_'
SEEPAGE PITS Aber )
Size- ft_
-�-
Gravel size ;size Type
PIPING :
Bldg . to nk
Tank to 41 bo --
Dist . box Field/pit Partial
Openings se e+3-
YES NO
LOCATION/SEPA T ONS : ft.
Foundation to t s sorption ft
'Fo-unaatlon to ft.
Absorption to pt line fto
Separation of pits
LOCATION OF STE14 ONPROPERTY (circle One)
Front - Rea
Left side - Right side -
CANTS :
No
SYSTEM 10SE APPROVED YE
B n Insp for
01/86 ma vl
SELECT BUSINESS FORMS (609) e4a-5203
APPLICATION FOR ELECTRICAL INSPECTION
PLEASE BEAR DOWN YOU ARE MAKING (4) COPIES
l�
�* MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
^ � National Headquarters
900 Haddon Ave„ Collingswood, N-J. 08108
APPLICANT r
Date : �� c.
OM Town or 1EKJEKKiXi le4%1Sb r-Y County Warren 5zaze
Location/Address Drive
( If Located in Rural Area - Please Attach Directions) Pole #
Owner C.UYER BUILDERS , INC .
Permit #
Occupied As Building : New ® Old F-I
Occupant
Work Area in Building Floor #, etc. ) :
App. for: Wiring 0 Service 0 or: Ready for Inspection
Fee Remitted - $ Cash Q Check f� M-O. ED Make Payable To : M, D. I.A.
Number of Rough Wiring Outlets Elect. Heat soo 750 1ao0 125a 1500 1T5o 20aa xx5a xs00 2750 5aa0
Switches
Lighting Arnp, Service Surface Unit Dishwasher Range
Receptacles Water Heater Air Conditioner Dryer Purnp
Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner
Amp. Receptacles Fractional H.P. Vent Fans
Other Equipment:
MOTORS H. P. 1 /2e 1/12 1/10 1/a 1/6 1/4 1/3 1/2 3/4 1 l n 2 3 5 7112 1i1 15 2D 25 3D aq 50 75 1W Mark Number
of Each Size
Applicant's
Signature License # NIiPC Permit #
T/A imiyUL-MULDIMS INC Utility :
Applicant's Address: 11 nR Street [NAME> i[3FFICE LOCATION)
(City) - Ballston Spa (State) NY (zip) 12020 Service Request #
Phone # 899-9161 Electrician : GUYIER BUILDERS INC .
GATE RECEIVED:
DATE INSPECTED:
Correct Location : Same as Above [] or:
Red Notice Label 0
Rough Wiring Outlets Surface Unit Oven
Switches Ran Garbage Disposal
Receptacles Water Heater Dishwasher
Fixtures Air Conditioner Dryer
Amp, Service Equipment Burner, Wiring & Controls for Amp. Receptacle
Amp. Service Conductors Pump Vent Fans
MOTORS H.P. 1120 1112 1/10 1/8 1/6 1/4 113 1/2 3/4 1 11(z 2 3 5 73z 1D 15 Mark Number 2D 25 30 40 54 75 iIX]
of Each Si i
Elect. Heat Soo 750 1000 1250 L500 1750 2000 2250 2500 2750 3000
CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATECORRECT
FEE FEE PAID
0 RW Progress : Inc. 0 LKD Contractor
0 CFT Violation : Work Camp. 0 Inc, F1 0
Q L/A Owner CASH
L/A Fee CH K #
IPA Due
Municipal MO #
INV #
Date : Other Side 0 Utility Applicant 0
Owner
Cut in Card 0 Temp # Date
REFERENCE DRAWINGS
5 SITE UTILITIES
QUEEN VI IA' S G SEPTIC 4 WATER
Van DU S E N $ S TEVES
QUEENSBURY , NY
SURVEY PLAN
0-MODEL ROOF PLAN WILL VARY
ACCORDING TO SALE, DRAWING
SHOWS ONE STYLE ONLY.
8`- 0 DIAMETER
9=0 DEPTH
CLEANOUT
/ r...�,.. r........ ...»....... tiF.w..., .......,.,.,,.� .....a.... .,....�.,... .....r.._W .......... .�._....,_ .....�.,... ........... _.......,,.�.. .rrlrw.. ......... ......r.... .r...... _...__•_
TO GRADE ...
129.55'
2000 gal.
/ 3./e
\3rO' LOT M ! _L__
2� /6 0
4
a,
v, 4
2� �o o I
O 0`
Co. 1�
` N 0
129! e _
Sh
pp
j
10
MARY
TOWN F QUEENSBURY
\ Zoning Admi is
�Sr7�i.=.Z4f
QUEEN tRY DRIVE
PLOT PLAN SEATIC SYSTEM
Yf-a gu, LDERS ► I"C.
is kale; { _ % 0