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1989-162 .:_.�,.qa'•'fin' 'ic•f'w'ir.4F" '^3.*"'^►". :.'.ar.: .'^;.. :: ^sA�'.ai -nv.. " ,ii .r . y. .. �. .'�r...,� ,ev . �., . t _ -� ic.'• •[ . . r i 4 CERTIFICATE OF OCCUPANCY I TOWN OF +QUEENSBURY ` WARREN COUNTY, NEW YORK i I Date September 7 lq 89 i This is to certify that work requested to be done as shown by Permit No. 8 9 - 16 2 jhas been c4>mpleted. i This structure assay be occupied as a - - - ' OF A DUPLEX I l Location _-_ 2Q-_ [3 i _RN MARY DRIVE Owner QUVEN Af T n ©R I A ' c GRANT r_ITYER - RLLILDER S j gy Chrder Town Board f 'TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement I Imi BUILDING PERMIT TOWN OF QUEENSBURY No. 9- 162 � WARREN COUNTY, NEW YORK PERMISSION is hereby granted to QUEEN VICTORIA ' S GRANT—GETTER BUILDERS 1 OWNER of property located at 20 QUEEN MAR'Y DRIVE Street, Road or Ave. in the Town of Queensbury, To Construct or place a ' 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_ 1 . OWNER'S Address is 119 Dunning Street � Ballston Spa , N . Y . 12020 t%l 2. CONTRACTOR or Bill LDE R'S Name Self[ "l n �-3 a 3. CONTRACTOR or BUILDER'S Address PINE Same CJM 4, ARCHITECT'S Name S. ARCHITECT'S Address N O 6_ TYPE of Construction — {Please indicate by X) NQ C XX) Wood Frame ( ) Masonry f ? Steel I } Crd 7. PLANS and Specifications No. 42 ' X 26 * -k of a duplex as per plot plan , specifications and application , including septic and driveway . 8. Proposed Use ' OF A DUPLEX 25 . 00 c/o $ 126 _ 00 PERMIT FEE PAID — THIS PERMIT EXPIRES NOVEMBER 1 1g 89 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date,) Cy Dated at the Town of Queensbury this 13th Day of April 19 89 +� SIGNED BY "� � for the Town of Queensbury Building and Zoning Inspector Application Now .Jaaa�a otas�tr� s6asr� Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Havilalnd Road, R.C . 1 Box 98 Zoning Designation - � JV CIF QU Ou~abury. New York 12801 variance No. Site Plan Review No . RFlfwp 50�J14Y App ve : APR 1 ,APPLICATION FOR • jC?.c? P,U I W i NG AND ZGN I NG PERMIT i/ a ar e e *► • w e * it * 0 * * a it +r e * it +M I► a it a i►' • a► it e * it bgP71! Sill► 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 descriptionep plans and specifications submitted, and such special conditions as may be indicated on the Permit . Thal owner of this property is : G[JY'ER BUILDERS TNC ♦ P. O. Address 11 D[.1IQNING S'I'RFET oar T S`Tfl SPA NEW YORK 12020 Tel . 1_5_1�$ G�IA�1 Property Location : 20 'ePOS604 1eAAJLy j2a%44E Tax Map Lao . Street number or buildings lot number Subdivision name (if applicable) QUEEN VICTORIA` S GRANT TUB PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : '12, c�4e►ac� %A, GOytiv. M 114 ��, c� a.k.J�, �r M.c.'sw►�` ri4 tI8 - f3 � 9/41 Name P. O. Address Tel . No . Name of builder GUYER BUILDERS_& INC . Address 119 DUNNM STREET Tole ( 518) 899-9161 Name of plumber Address 119 puNNING ��r Tel . 518 899-�1 1 Hams of Mason _G YER BUILDERS w JNC . Address 119 DUNNING STREET Tel * 518 899-9161 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 FOR DEMOLITION PERMIT , STATE SIZE AND * whether interior or corner lot . Show location of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED. " of septic disposal area , * * COMPLETE INFORMATION REQUIRED BELOW . l8ee * Size of property- t 7C 12 ft . * Existing buildings) S zah ft 3[ N/A ft . of PfmPOSEC] BUILDING AND USE : 1 * Existing buildings) Use N A size of new structure 42-O ft X i t " i Foundation-pier/slab/crawl/partial/full * Proposed building, dSeea nce f� property line an (circle one ) " * Front 'yard �' ft Rear yard 30+ ft NO & of stories (habitable space ) 1 Side yards ft and 15+ ft ,. Height (grade to ridge) 19-6 ft . * If an carnet , setback from side street ft if residential, no* of families - Na. of rooms (excludi the ) 5 - * OCCUPANCY INFORMIATION Lao. of bedrooms 1 �.� � w PRIMARY BUILDING -- toow of bathrooms one fancily dwelling Primary heating system RRnAQn F'[ .FY•"i'uTC X Two family dwelling Type of fuel E FY':T'RIf,ITY * Multiple dwelling / Number of unite Na. of fireplaces to be installed C7 * Permanent occupancy Will woad stove be installed? NO Transient occupancy Central Air conditioning?. NO * Business * BUILDING STYLE, PRIMARY STRUCTURE Industrial „ other Ranch contemporary Lo ab2F * If addition, what will use be? Raised ranch Mansion Duplex Split level Old style unga aw Caps 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/ car x * * * * * r * w ,r w w w • * * * * Private storage building ESTIMATED MARKET 'VALUE OF " Other r CONSTRUCTION � 55K INyORMATION ON BUILDING SPECIFICATIONS* ON REVERSE SIDE OF THIS SKEET. TO BE COMP"mireL Pots SPA 4/66 and-vl Ei1=A04NG PERMIT APPLICATION CONTINUED - WILDING SPECIFICATIONS : : . Type of construction , wood frame , fire safe, atc . WOOD FRAME Will any second-hand or ungraded lumber be used? If sa , for what? NO Foundation wall material CONCRETE BLOCK Thickness 8" Depth of foundation below grade (to bottom of footing) 48" MINIMUM Will there be a cellar? Na Heated or unheated? Floor sq. footage sc; tt ' Will there be a basement? Na will any portion be used as living space? (If so, what porti ? ___sq o f t . - - Type of use? Type of roof - lope flat/shed/other material, -of roof FI Sisee wood studs "X 6 '" spacing 24a, c . length 8 ft. ext+er or walls Joists ( floor beams ) lat . fluor N/A"X " spacing "o . c . span ft . Joists (floor beams) 2nd . floor 2 WX 10 " spacings"o . c . span ft . Onrerlays (ceiling beams ) "X " spacing _ 24 "o . c . span ft . SE.E PLAN Hoof rafters "X it spacing 24 c . c . span ft . Roof trusses (pre-engineered) spacings"o . c . span ft . Exterior wall finish STAINED Of what material? 5 /8" x 4 ' x 8 ' TEXTURE 111 Interior wall finish PAINT 1 2"' SHEET ROCK If a garage is to be attached , describe materials to be used for FIRE SEPARATIONS N/A is there to be an opening between gars dwelling? If so will a Fire-rated door, enclosure , and self-closing dev c b provided? k Will a flue- need chimney be installed Height above roof NIA ft . Depth of chimney foundation below grade ft . Depth of fireplace hearth N/A ft * in % Water supply - Municipal or private well KJNICIPAL SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties (A separate application is necessary for any repair or new installation of septic system) See S . P. E. D. S . ft r #020255 5 rousxty off Warren rows of ury 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• Ln this application, together with the plans and specifications submitted, are a true and =o lste statement of all proposed work to be done •on the described premises and that all ,rovtsions 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 Authorised by the owner . SWORN TO BEFORE ME THIS Signature _.,�C�__ -------- Owner* owner ' s age n.: , cni."ct, contractor day of 19 G�'7 ADRIENNE J. PINDER Notary Public, State of Now Yotic Qualified in Sa No. 490 ,2 a ioeenty .40t&ry Public County, H. Y . 'Commission Exp�ir" OOL 13, 1a� SPECIAL CON -TTIONS OF THE PERMIT : TOWN of QUEENSSURY 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` S e-' --- 2 . Type of heat Baseboard electric 3 . Is the building mechanically cooled ? No 4o percentage of area of windows and doors ce- Prs'(L - {o 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 e BS NO 1 . If YES , what is the R value ? �? f 3 . Slab on grade ES 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 so Type of insulation.)bL ' t [' � To Be Under 16 % Only ie R value of roof and floors exposed to ambient conditions. R-38 2 . R value of exterior walls R-20 3 . R value of glazed arear. ~4 a 4 e R value of doors R-"14 . 9 S . R value of floors over unheated spaces R=1 6 . R value of slab edge insulation - unheated slab N/A 7 . R value of slats insulation - heated slab 12 . 5 8 . R value of heated basement/ cellar walls ( above grade ) N/A 9e R value of heated basement /cellar walls ( below grade ) NIA 10 . Type of insulation Fiberglass C . Controls „r/ 1 . Thermostat maximum heat setting /L� D . Duct Systems N/A 1 . Is duct system installed in untreated 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 1 . Performance efficiency N/A 2 . Temperature control setting maximum G . For Swimming Pool Only 1 . Maximum treating N/A Telephone No . ( 518) 899-9161 ( applicant ' s s gnature ) t APPLICATION FOR SEPTIC DISPOSAL PERMIT / Ref : S . P.E. D. S. DATE �' / permit ,1# New York - 0202525' MODEL _ —Q of � C LOCATION OF PROPERTY FOR INSTALLATION 20 Queen Mary Drive owner's Name** Guyer Bullders , Inc . �.. • Telephone( ( 518) $99-916Name** Address: 119 Dunning Streets Ballston Spa , New York 12020 lnstaller"s Name: Guyer Builders , Inc Telephone: ( 518) 899-9161 2 A, C , E, I , is K, L, M Number of bedrooms (residential only) ( 3 F, G , H • Total daily flow (compute ® 160 gal per bedroom) 300 TcpaWraphy: circle one: Flat Rolling Steep Slope % of slope Soil Nature; circle one** ( Sand Loam Clay Other / Depth: , 8 feet + Gsouad 'Water: At what depth? mown 8 feet + Bedrock or Impervioua Material: At what depth? unknown feet Percc"tion test: circle one: not require required / rate min. inch. Domestic rater amply. circle one: Municipal Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption NIA 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 PIT(S): Number of f Size each feet by fed W * Size of stone to be used # / Depth or Thickness feet IMPORTANT * See S . P. E.D . S . ...Plemm...LIST NEW EQiUiPMENT TO BE INSTALLED permit & attached * * * * * * * * ss * * * * * * * * * * * * * * * * * * * s * * * * * * * * * * * map . a (over) Section II Septic System Laspections: A, All applications for septic system installation. alteration or repair, as required by the flown of Queensbury Sanitary Sewage Ordinance. shall be submitted to the building Department at least 24 hours before start of constructions and shall include a plot plan showing: l.) the propoped .location of the gystem Z.) location and distance to lot limes 3.) location and distance to structures 4.) location and distance to any .*kter 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 $260.000 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 installatioa, alteration or repair of an approved system, a new proposal mustrbe submitted to the Queensbury Building Department before further construction. I have read the regulatums above and agree to abide by tbesra and aeil requirenreartW of the Town of Queenabury Sanitary Sewage Maposal Ckrdinance. Signature of.responsible person: Date: Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SE TTL. ED 1763 . . . HOLE 0F NATURAL 6EAUTY . . . A GOOD. PLACE TG CERTIFICATE OF INSURANCE ISSUE DATE (MMIDDIYY) _ �oJ31t�a PRODUCER uezriboI,' rg. Agency., Inc . THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATSON ONLY AND CONFERS NO RIGHTS THE CERTIFICATE HLDER. THIS CERTIFIATE DES 121 Wall Sts EXTEND OR ALOTER THE COVERAGE AFFORDED BY THE POLICIES BELOWOT AMEND, P 0 Bcoc 953 Sohanectady, NY 12 3 01-09 5 3 COMPANIES AFFORDING COVERAGE COMPA 3 7 2--S�il LETTER Y A The ELutoa'gcbJae T.nsusanee Co . of Hartford, CT CODE 3340 SUB-CODE INSURED LETTER Y B The Aiatna Casualty & Surety Co . '1 ,� COMPANY Wyer Bu 2dars = Tnc • LETTER C 119 Duren mg Street Bal l aton Spel, NY 12020 ETTERNY D COMPANY LETTER __ _ ..........., ._ _____ ________V.-..-ter..-.....�...-.,-...- �_ .._..-.........-..._.....�� COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ALL LIMITS IN THOUSANDS TR DATE (MMIDDIYY) DATE (MI DIYY} GENERAL LIABILITY %newal of �ry �1 p© GENERAL AGGREGATE 3 '2=Qgp.0 A x COMMERCIAL GENERAL LIABILITY C013692h ZU/1/SS 1()/.1/89 PRODUCTS-COMPIOPG AGGREGATE $ 2, 00p* CLAIMS MADE ,'� OCCUR. PERSONAL & ADVERTISING INJURY $ 1, u j OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $ IS 0000 FIRE DAMAGE (Any ene lire) $ l w, ,p MEDICAL EXPENSE (Any one person) $ 5, AUTOMOBILE LIABILITY ,Renewal ,Of COMBINED .ALX ANY AUTO FJ390995 10/ 2/88 ]•4/I VJ LIM TLE S ALL OWNED AUTOS BODILY •4 INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accidem) GARAGE LIABILITY PROPERTY DAMAGE $ EACH AGGREGATE EXCESS LIABILITY Renewal of . . .. . . . . . B x [J T.TA xS475556 10/1A8 101:1189 �5.*000a $ 5, Q00r OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION Renewal Of STATUTORY . /379 1012A8 10 ],�+`,8c9' $ 3,00,1 (EACH ACCIDENT) AND 1 500, (DISEASE--POLICY LIMIT) $ EMPLOYERS" LIABILITY $ 100i (DISEASE—EACH EMPLOYEE OTHER DESCRIPTION OF OPERATIONSILOCA"ONS/VfEHICLEWRESTRICTIONWSPECIAL ITEMS l CERTIFICATE HOLDER CANCELLATION Bu lr3ing & Zoning Dept& SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Town of Queenabury EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO Bay & H%vwl3v nd Road, MAIL ,W DAYS WRITTEN NOTICE TO THE CERTIFICATE: HOLDER NAMED TO THE .ED #1, Box 98 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR IQ.ueenabury.9 NY 12801 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVEHm m1Pr1IU RATION 1988 TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT ,HAY & HAVILAND ROADS QVEENSBURYIII, NEW YORK 1280& TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR NSPECTION RECEIVED NAME LOCATION} / r DATE `7 LG' .HERMIT .APPROVED YES i NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATIONIDAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL R GH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING ANAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PO CHESIST S STAIRS-CL NCE & LS PLUMBING XTURESIRE F VALVE INTERIOR XMIPRIVACY IRSFINISHED, FLOORS - GARAGE If-TREPROOFING DOOR C.T.�Iu^ER (S} SMOKE LYETECTORS 1 FINAL ELECTRICAL INSPECTION ` FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPINDI REMARKS: / } INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS _}''�1 QUEENSBURY, NEW YORK 12804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED__ S-- . 1 I n� NAME s ■ f L.00AT2ON DATE 55--- I PERMIT APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN �NSULATSON: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING F EXTERNAL PORCHES STEPS STAIRS- CLEARANCE. & RAILS PLUMBING FXXTURAS/RELIEF V yVE_ INTERIOR TRIMIPRIVACY DOORS FINISHED FLOORS - GARAGE FIREPROOFING DOOR CLOSERS) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280k TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME G.t" LOCATION DATE - I f - PERMIT # 7 f APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FO NDATIQNIDAMP-PROOFING B KFILL APPROVAL UGH PLUMBING MING ELECTRICAL RO H-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/S PS STAIRS-CLEARANCE ILS PLUMBING FIXTURES R IEF. VALVE INTERIOR TRIM/PR VAC DOORS FINISHED FLOORS iit - GARAGE FIREPR ING DOOR CLOSER (S) SMOKE DETECTO S FINAL ELECTRIC L INSPECTION FINAL APPROVAT4 OF CONSTRUCTION ­ A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIEDI REMARKS: jrASPECT ©wn nieseenscere� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D_ 1 Box 98 Oueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME t -- LOCATION DATE 47 /wj / S�47 PERMIT NON J` r SOIL TYPE - Sand - Loam - Clay 14 Percolation Test Required? Y S - NO Percolation rate - Min/Inch TYPE of SYSTEM:, Absorption field , total ength Length of each trench Depth of trenches ' size of gravel T SEEPAGE PITS4Nuinbex of) Size- ft. X Gravel size PIPING : Size Bldg6 to tank Tank to list. x Dist* box to eldjpib. Openings seal d? YES ! NO Partial LOCATION/SE RATIONS : Foundation o tank ft. Foundation to absorption fto Absorption to lot line fto Separation of pits ft- LCOCATION SYSTEM ON PROPERTY (circle one) Front. - Rehr - Left side - Right side - C CMM'ENT S : r �rez V4�z� SYSTEM USE APPROVED YES NOS Building Inspector 01/86 and vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURYy NEW YORK 22804• TELEPHONE (51 8 ) 792-5832 Bli I LU ING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED.. NAME LOCATION �4P DATE PERMIT # APPROVED YES NO FOOTING/PIERS NOLITHIC POUR FORMS FOUNDATION/DAMP—PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH�IN INSULATION: `s FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STE STAIRS—CLEARANCE & I PLUMBING FIXTURES/ LIEF yVALVE INTERIOR TRIM/PRI CY DOOIRS FINISHED FLOORS GARAGE FIREPROO NG DOOR CLOSERS) SMOKE DETECTO FINAL ELECTRIC INSPECTION FINAL .APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST E OBTAINED FROM THE BUILDING DEPARTMENT B ORE THESE PREMISES ARE OCCUPIEDI REMARKS. INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVTLAND ROADS QUEENSBURY, NEW PORK I280-qn TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT-7 REQUEST FOR INSPECTION RECEIVED- NAME t LOCATION DATE ,L,7 PERMIT APPROVED YES NO FOOTING/PIERS MONOLITHIC POU FORMS 1,,�06UNDATION/DAMP- ROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION,- CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/S EPS ,STAIRS-CLEARANCE RAILS' PLUMBING FIXTURES RELIEF VALVE INTERIOR TRIM/PR ACY DOORS FINISHED FL(7ORS GARAGE FIREPROO IV DOOR CLOSERS) SMOKE DETECTORS FINAL ELECTRICAL NSPECTION FINAL APPROVAL OF CONSTRUCTION ig A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT .BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: INSPECTOR TOWN OF QUEENSBURY n BUILDING AND CODES DEPARTMENT BAY 6 HAVILAND ROADS QUEENSBURY. NEW YORK 1280k TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE PERMIT # _ APPROVED YES NO OOTINGIPIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING f FINAL INSPECTION: ' CHIMNEY HEIGHT ROOFING ,SIDING EXTERNAL PORC SISTE STAIRS-CLEARAiVCE & RA S PLUMBING FIXVURESIRELIE VALVE _ INTERIOR TRMIPRIVACY S FINISHED FJ�OORS GARAGE FXl$EPROOFING DOOR CLOSER (S) 4 SMOKE DEFECTORS FINAL ELECTRICAL .INSPECTION FINAL APPROVAL OF CONSTRUCTION . A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT .BEFORE THESE PREMISES ARE OCCUPIEDL REMARKS: INSPECTOR SELECT BUSINESS FORMS (509) 849-5203 APPLICATION FOR ELECTRICAL INSPECTION PLEASE BEAR DOWN YOU ARE. MAKING (4) COPIES MIDDLE DEPARTMENT INSPECTION AGENCY, INC. . .,.., National Headquarters 900 Haddon Ave., Collingswood, N.J. 08108 . . s • Clate :G�=� r��� MIXTown or i"s i,4� Queens County Warren State NY Location/Address en Mary Drive ( If Located in Rural Area - Please Attach Directions ) Pole # Owner_ 2 M BUILDERS 2, INC Permit=New12qoidC:] Occupied As BuildinOccupantWork Area in Suildin Floor #, etc. ) : A . for- Wirin 0 Service = or- Ready for InspectionFee Remitted - $ Cash I] Check M.O. 0 Makeayaeo : . . . . 500 75011000112501 5500 1750 x000 22go 2500 2750 3000 Number of Rough Wiring Outlets Elect_ Heat Switches Amp. Service Surface Unit Dishwasher Range Lighting Water Heater Air Conditioner Dryer Pump Receptacles Oven Garbage Disposal Wiring and Controls for Burner Number of Fixtures Amp. Receptacles Fractional H.P. Vent Fans Other Equipment. ` MOTORS F-I..P. 1 /2 1/12 1/10 1/9 116 1 1/4 1 1/3 112 1 3/4 1 142 2 1 3 1 5 1 742 10 1 15 1 20 j 25 1 30 1 40 50 1 75 100 Mark Number of Each Size Applicant's Signature License # Permit # T/A GUYER ILDERS s—INC * Utility : Applicant's Address : 11g DUpn =pZ Street (NAME (OFFICE L )CATION) (City) Ba 1st n Ste_ (state) NY (zip) 12020 - Service Request # Phone # 899-9161 Electrician : GU= WILDERS , iMDIA USE ONLY DATE RECEIVED: DATE INSPECTED : Correct Location : Same as Above L..j or : Red Notice Label Q Rough Wiring Outlets Surface Unit Oven Switches Range 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 FI ' 1/20 1R2 1/10 1/8 1/6 1/4 1f3 kf2 3/4 1 lbx 2 3 5 74z 10 15 20 25 30 40 50 75 300 Mark Number of Each Size goo T50 lOOO 1250 1i00 1 +�50 2000 2250 2504 xfg0 3040 Elect, Heat CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECT FEE PAID FEE RW Progress : Inc. [] LKD F1 Contractor CFT Violation : Work Comp. Inc. CASH L/A Owner Fee CH K # L/A Due MO # Q IPA Municipal INV # ant Date: Other Side I� utility Owner r 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