1989-330 ��':: :':v. ,�.y�,; n � ._pr.x:__j�.•.;^_I '„�- L.��ly ,`.,,�'-r—_:�,r... -,x.,'. ,4..,x�,.'•w^• �.q,.y�.r:a- . ., ,.. . ,�2.r,_`a•F ' 'f#„•,�••'���p•
5f f
CER'TIFI ATE OF OCCUP.AN+ .".4.Y
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
( Dace November 1 iq 89'
This is to certify that work requested to be dame as shown by Permit No. 89� 330
has been compieted.
This structure may be occupied as a _ _ _-„ I/2 a Duplex
Location 44 &A - Y QriYe
,Owner QiueesnVictaria ' s Grant-Guyer Builders
By Order Town Board
TOWN or QUEENSSURY
r JJ T'
Director of Bldg. do Code Enforcement
BUILDING PERMIT �
TOWN OF QUEENSBURY
No.
WARREN COUNTY, NEW YORK n
1
PERMISSION is herebyranted to t J
� QUEEN YIGTAR111 S GRANT
OWNER of property located at 44 QUEEN MY►R.Y $IIIIfc Street, Road or Ave. rs
-�
in the Town of Queensbury, To Construct or place a _ 1=$ A 1-KIPLEX _
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
1 HEMIPHILL PLACE-SUITE 201
BALLSTON SPA , N . Y . 12020 Ac
2. CONTRACTOR or 8Ul LDE R'S Name rrl
GUYER BUILDERS z
3. CONTRACTOR or BUILDERS Address
SAME 3t
to
4. ARCHITECT'S Name
x
--1
S. ARCHITECT'S Address
6. TYPE of Construction — (Please indicate by X)
XX) Wood Frame ( ) masonry I I Steel { } =
m
I'rl
7. PLANS and Specifications s
No. 42 ' x 26 ' 1/2 a duplex as per plot plan , specifications , and
application , including septic and driveway_ -K
8. Proposed Use �Q
H
1/2 A DUPLEX
c/o Incl .
$ _� �. $ PERMIT FEE PAID — THIS PERMIT EXPIRES DECEMBER 1
IIf 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.) b
52
Dated at the Town of Queensburv.Ld Day of MAY 19 89
rn
ae
SIGNED BY for the Town of Queensbury
Building amW46ning Inspector
rr =� r .
'r IZY%VN OF ( UEENS13E.+ RY APri. I CAI' TON FOR TRUE- . . . . . . . . :411 ZONING. PERMIT
�'ec.icvew# N OF OUEE1►rS%3''jP..Y
Review RECEIVED
MAY 1
Fee Feu:
BUILDING AND CA UI ,1'A1'1?g:1*.0 Date I.aaued� BLDG. S, CODE DEPT,
AWAY Jagd NAVXLAMD ROAAS aRD I. BOX 9#3
ral/,R' JWS*URY, 11 M71 YORK 22804 Penrni.t Na 33 G0 -
Ta2 . 1510) 792w5833 Exr -204
A I'CRMT MUST L4 OBTAINr: U BE- 17011E BEGINr1ING CONSTRUCTION . NO INSPECTIONS
WILL 11L MADE UNTIL APPLICAMT IIAS 11.L'• CCIVED A VALID BUI LLIINC PERMIT .
All applicable Spaces on this application Must be coutpleted and the
1x* taucrx of rthe * ;Applicant aBLxs I�* e * r * o * xlls * 4*Q* s * * 1AD * 4 * this
0 *e* .. *
The owner of this Property is : GUYEB BUILDERS Tnc
N 00 . Address 1 HEMPHILL PL.PEE-SUITE 201 BALL.STON SPA NY 12020 T E L 4 518) 829=2161 �
1` raperty location NC.� �r�r� TAX MAP NO . �/ f + '�
Ilan there been any aplit oe this property since October 1 . 1988 ? no
y ex s r etas
It yes , Planning Board Review is necessary .
$UQCjIVISIOW NAmct IF APPLICAnLE �gUEEN VICTORIA' S GRANT LOT Ko . dab
The parson rctspons ! ble for supervision of worX as regards Building Codes is :
Richard H. Guyer III I Hemphill Place Suite 201 llst47n SUQ. ( 518) 899-9161 „_
P . O . ADDRESS TXL . NO .
NAAi 899-9161
Iluaua3 of builder2&er Bui-lders . Inc Acldress 1 HenzXshill Place , Ballston Spa Z'ul 51
Name of Plwalaa:r -Same- T.ddress� -same- Tel .-came''.
NwYFr3 of rwsaan -same- Same— "Past —5i3Lne—
Someone
14ATuRC Or PROPOSWO kl]l.E: : MODEL: .*Q^ ,. Zi1NINl` 1Ni 0it1Ll+ '1' IC1N rUiiia: ax usax oxa211
X C4natruCClOrt of ❑ �:ww building :GO111NC: DE5ICNATIDN OF PROPERTY
AcWiCian to :a bUilalinay PERMITTED PRINCIPAL PERMITTED ACCESSORY
Altair:acian to a l.uilding `
{:aa c1a:a+►gu to a3xca riot uiraa:n:: ions] r RE112EW ftF+�UIRCD - PLANNING BOARDONINc i30Air<D
oclaair wort: (.1e:CriLi�:1 ; SITE PLAN REVIEW APPROVED GATE,
QkOr'SS AREA OV PRtOPOSCD. :; ThUC`1'UKC " VARIANCE Y APPROVED DATE
Inc Floor 900 sq ft . lietaarlcs W
2 nd Floor __y s q f t . ,. COIWJP L.E:T4 . zs#6014MATI ON ItyQU 11O.ED ul;WW -
see
Other Floasrs -- sq Yt . 'ixu Of Proiia: rcy 100 ' 1 plot lnfr. x 120 Ft .
( pat cellar or b.as :saaaxncl kactutiiaq LuilJiyt.i [ 1 Si ::u n a it: X na7rc .
TOTAL FLOOR AREA 900 sq fr. , ' Uxiac i:ig Dui l.lirua (:: 1 Ut.&t n a
cia" of new ucructur.s 42 it 1 26 ft
ltw�aad:. cion-raiaar -laL crawl/pArci.al/ full ` propouN;u Laai.la:ing0 diz:canca: crow l.rQpurty lirtu
ta:iral.s orac. l r Frant yard 30+ fr. Roar yard 30+ tt
Ma . at acacia" (1►a1►ic:.lalax ::f14Ace ) 1�. WWWWP
Si.dQ y:ardu 15+ c c :and 15+ 4 c
11"IghI; turade to ridge: ) 19 . 5 fc . ` x,f an carnar , uucU:ack froao sidta ::ccuuc. +, - ir
le rauiadaantialo now Of f:arnilins T ~ 2 '
moo of ra"am1axxcludinai b1L&t0u1 � 5 w OCCuP NCY INFORMATICiIN
moo at laudraawur 1 • •
PRIM]bliY ta[IILDINC:
Moo of b:.chrtaa" 1 Ono tan"ly dwelling
larilTwory 1tasaciaaaj a:ys:cuta� hr?a3 F1 �+r, � ' ' c * x Tw i:aaaily dwulliny
TY&W 'uf fugal Eletrlclty Kultiplo UwQlliing /" Nuaaber of units�_ +�
mealo at tJexc: alacuz tea lag it:::t:alla:tl
Will :a waaaaal t:t,ovu toes. iau: t:All"oAwb No . !•crtaar►rs:ac aa:t:u(aarwcy
„ •i`san::iu:+ c rauculi:aa,cy
ar:a:ALXial Air Caau41tiuniWg? ND "ginuss
QUILD1NG STYLE, PRI►wARY STRI.ICTU1tC ,. Industrial
W Ochaar
urraah Contwal:c.r..ry L.ce calain lr wddition , W144at Will u::as Lar?
14i aiw►il rnracla Man ic.t� Du •1ux '
mlialit l.sval Old scyla: uu4u1.4laW '
l:i0" Cod Cott:at#.a Otlk"r # ACC9;;SORY uuruoxwcw
Colani:al lihow •raw:k douse Lwtachaal ej:aruala:/orio crar/ two czar/ car
( CIiLCLi: ONC PLEASE ; i ACt4aClV6%d g"riagw/aatiat cwr/ two
• ♦ • a w w R w • * • ■ • 1'riv:aco $tara9aa building
Lrr `1• INAi` I: Li MJ!► RKL ":• VA1. Ul OF �wOtha: r
Cold W rkucarxuN (y��
INPGfWA'�`TQN ON WILDING SPFCIFICATTONS . ON REViYRSE: SIOI: DF @'#1iS .�.11L'1'"F. '1+O be C0t1RL.E'P1:A1
Form APA 10/99 Vl
w... �.
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 $ "
Depth of foundation below grade ( to bottom of footing ) 4$" nLLniTRJM
Will there be a cellar ? no Heated or unheated? Floor sq. footage sq ft
Will there be a basement? n0 Will any ,portion be used as living space?
( If so , what portion? sq . ft . - - Type of use?
Type of roof _ s o ad flat/shed/other Material of roof fiberglass shingles
Size , wood stud -"X " spacing 2 "o . c . length d ft
s �
.foists ( floor beams ) 1st . floor tea "X " spacing "o . co span ft .
.foists ( floor beams ) 2nd . floor n/a 'oX spacing "case span ft .
Overlays ( ceiling beams ) n/a "X " spacing "a . c . span fc .
Roof rafters Beg '. x ,flan " spacing 24" o . c . span ft .
Roof trusses (pre- engineered) spacing 24 " o . c . span y r ft . ( see plan)
Exterior wall finish stained Of what material ? 5 /$' X 4 ' x 8 ' TEXTURE 1-11
Interior wall finish painted 1 /2" 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? n a 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 ft .
Depth of chimney foundation below grade ft .
Depth of fireplace hearth ft . in .
Water supply - Municii7al or private well Municipal
SEPTIC SYSTLM 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)
DEC LA RATION
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 ail
other laws pertaining to the proposed work shall be complied with , whether specified
or not , and that such work is authorized by the owner.
s
Signature /� ////
Ow er, owner's agent , arcFhitect, contractor
YI * * a * • It A * * * * # * * M # Y /! Y * Y R * R # # # * * * R # Y # * R R R !r * * * R
SPECIAL CONDITIONS OF THE I}ERmi,r :
BS'__________ _�_
TOWN OF QUEENSBURY
WARREN COUNTY . NEW YORK
Application fora BUILDING PER14IT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE
A permit must be obtained before beginning work .
&Monza ALL of the following $
1 . areas floor area__ SEE PLAN
3 . Type of heat Baseboard electric
3 . Ia the building mechanically+ cooled ? No
40 percentage of area of windows and doors �SEA PART 6
A . Over 16 % Only
1 . Uo value of gross area of walls , roof /ceiling and floors
exposed to ambient conditions SSFF FART H
2 . Floor over heated spaces YES N ��+,
a . Are foundation walls insulated ? (tK NO
1 . if YES , what is the R value ?
3 . Slab on grade ca KQ
a . If YES , what is the R value of insulation around
perimeter of floor ? SEE PART 6
4 . Is basement heated ? YES NO /
a . R value: of insulation
5 . Type of insulation SEE PLAN
B . Under 16 . Only
1 . 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 area LOW E GLASS
4 . R value of doors R�14 . 9
5 . R value of floors over unheated apaces R=l9
6 . R value of slab edge insulation we unheated slab N/A
• 7 . R value of slab insulation - h'eated 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 ) NIA
10 . Type of insulation Fiberglass
Co Controls
1 . Thermostat maximum heat setting N/A
D . Duct Systems N/A
1 . Is duct system installed in unheated spaces ? YES NO
a . If YES , R value of duct installation
b . . R value of duct in other areas
E . Piping Insulation N/A
1 . Size of heat water or cooling carrying agent pipe
2 . R value of pipe insulation
F . Service Water Heating
1 . Performance efficiency N/A
Z . Temperature control setting maximum
G . For Swimming Pool Only
1 . Maximum heating N/A
Telephone Noe ( 518) 899-9161
( applicant ' signature )
APPLICATION FOR SEPTIC DLSPOSAL PERMIT
5 ►? Ref : S . P.E.D. S .
VATS / permit. #
New York - 0202525/
MODEL 4� dW of 4
LOCATION OF PROPERTY FOR INSTALLATION 44 !Jueen Mary Drive
Owner's Names Guyer Builders , Inc . .,• Telephone: ( 518) 899-9161
Address: 119 Dunning Street , Ballston Spa , New York 12020
Installer's Name:
Guyer Builders , Inc Telephones ( 518) 899-9161
2 A, C , E , I , J , K, L, M
Number of bedrooms (residential only) amp 3 F , G, H
Total daily flow (compute @ 150 gal per bedroom) d1W 150
TbpographVe circle oases lat Roliirsg Steep Slope '1G of slope
Soil Natum: circle one: Sand Loath Clay Other / Depths , 8 ' feet +
Ground Water: At what depth? unknown 8 feet +
H+adrock or Impervious Material: At what depth? unknown feet
Percolation test: circle ones ssot require required / rate mitts. inch.
Domestic water supply: circle one: Nl p Well Other
IF domestic water Supply is a Well:
Separation: Watersupplyfrom Septic absorption N/A feet
* PROPOSED SYSTEM; Septic Tank gal. (minimum sixes 1.000 gal.)
TILE FIELD: Each Trench N/A feet./ Total System length N/A feet
* SEEPAGE PIT(S): Number of / Size each feet by felt'
* Size of stone to be used # / Depth or Thickness feet
s * * sass * * ar * �rss +ssssss �s * * * s * * ss * sssssss * * * *
IMPORTANT * See S . P. E. D. S .
...P'lease...LIST NEW EQUIPMENT TO BE INSTALLED permit & attached
sass * s * * s * ss * * * s * ss * * * * sass * sass * * * * * * s * s map ,
P
(over)
Section Q Septic system� Inspections:
A. All applications for septic system installation, alteration, or repairm as
required by the Town of Queensbury Sanitary Sewage Ordinance, shall
be submitted to the Building Department at least 24 hours be •.*kP
of construction and shall include a plot plan showing:
Upmbft
l.) the propoped .location of the j4ystem
2.) location and distance to lot lines
3.) location and distance to struptures
40 location and distance to any *titer 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 inswler and a fine of up to ;250.00.
C. An approved copy of the plot plan shall be available on the construction
site. Failure to PIRMuce said plot plan at ti=e of inspection may result
in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installatione
alteration or repair of an approved system, a new proposal must.ibe submitted
to the Queensbury Building Department before further construction.
I have read the regulations above and age to abide by these +end all require is
of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Signature of.responsible person: "
Date: 5 `✓ % `
51
Town of Queensbury
Building and Code Department
Bay at Havila.nd Road
Queensbury, New York 1280l
(518) 792-5832
R
t
SETTLED 1763 . . . HOME 0F NATURAL BEAUTY . . . A 0000, PLACE TG
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, 5 8) YO�2-S83 0q4
TELEPHONE
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEIVED ,
NAME A, Z ;
LOCATION
DATE ���___� PERMIT —
APP.ROVED
YES NO
FOOTINGIP.IERS
MONOLITHS POUR FORMS
FOUNDATIO DAMP-PROOFING
BACKFILL A ROYAL
ROUGH PLUMB NG
FRAMING
ELECTRICAL R GH-IN
INSULATION: %;
FOUNDATION
FLOORS
WALLS
�AyL I NG
AL .INSPECTION:
CHIMNEY HEIGHT ice'
ROOFING w
SIDING
EX ERNAL Pd CHESIST S Y
�[ Y STAIRS-CL,�RANCE & RAILS
PLUMBING. 'F'IXTURESIREL F VALVE ,
INTERI'Of:t TRIMIPRIVACY OORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER (S)
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 :
J INSPECTOR
INC-
MIDDLE pgPAFtTMgoo
ON AGENCY, INC. - �
toe
� Date October 313p 1989
-B ed appresved as being in acIth4s
{lCert�#Lehi that Se 44 rr.i al equ+pment listed has been exam es.
with the National Ekectr'- Ca .e, applicable governmental, utility acid PY �
iaelCl i S
pa
Guyer Builders Vic. . " ...
pwner: y f
Single "f f i S le rlc uipment and installation inspecfjCCUpEI!'tt: T" a yl h �i�'] cery}ir..a7E nt sh be introduciac x alle(aSxan.a/due en 14a ElI• a al'I `{ tlate. 41addlt4anal u4 ca a be null and void, antlapPlicaip�affOn_ �4 Q exislinQ system thi C% sty to thisAQency.
inspec[lon SheUld bh SllC mitt p n7 same to h4s property insuranc�C taC 1E8 j e+t F •+ � p ' -[d chfer of this ca SlSficase an mmeal"Irical aquiPmenf a
Equipment: E1 1t�e & � }; � ri € .- Q � R a Bonn or compBnY) esa itllMC
Equip 01311aucea as Specitled ,
150 Amp Service ;
-:.:
Guyer Buildex fs Inc vi b s:: R. Q . 15 -028449
119 Dunning, 5ti46t; .
gpptfaant: Ba11aton Spa , NY
MAIO
Pewya vent 7rH K1 t-R1
TOWN N OF QUEEN SBURY
BUILDING AND
CODES DEPARTMENT ! /
,ROADS
HAY & HAVILANEW ,LURK 128Q� � J
QUEENSBURY, NEW
? 92- 5832
TELEPHONE C518 )
E,",_LDING INSPECTOR' S REPORT
REQUEST FOR IN PECTION RECEIVED_�__�
NAME
LOCATION PERMIT
DATE _.L- APPROVED
YES NO
FODTINGIpTERSUR FORMS
MONOLITHIC DAMP_PROOFING
FOUTTL3ATIt3LN�I PROVAL
BACKFILL i.
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH—IN
INSULATION :
FOUNDATION
FLOORS
WALLS
FILING
NAL INSPECTION :
CHIMNEY HEIGHT
ROOFING
SIDING
PORCHE STEPS
EXTERNAL & RAILS _�_�----
STAIRS—CLEARANC SIRE
INTERIOR
TRM
RIOR LIEF VALVE --�--
PLUM
LNG I RIVACY. DOORS
INTE S
FINISHED FO�FING
GARAGE FIREPs
DOOR CLOSER (q )
SMOKE DETEC�RS rN_._ S—PEC2ION__ -- ~—
FINAL ELECT14IG4AL
APPROVA �—
FINAL OF CONSTRUCTION �---
S BE
IFICATE OF OCCUPANCY MUST
A SIGNED CE THE BUILDING DEPARTMENT BEFORE
OBTAINED FR ARE OCCUPIED !
THESE PREMI E5
REMARKS -
INSPECTOR
TOWS OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
SAY & HAVILAND ROADS
ORK Y28f?+I
QUVENSSURY, 5$ ) 792-5 28
TELEPHONE
32
BUILDING INSPECMR"5 REPORT
REQUEST FOR INSPECTION fiECEIVED
NAME
LOCATXON �
g, Ov PERMIT # �—
DATE �---�— APPROVED
YES NO
,FOOTING/PIERS
MONOLITHIC POUR Piq�pING
BACKFLL APPROVAL
BpyCKFILL ,
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH—IN��_
INSULATION: ' . �'
FOUNDATION
FLOORS ✓
WALLS
CEILING
FINAL INSPECTION=
CHIMNEY HEIGHT
ROOFING
SIDING TEPS ..�---
EXT]sRNAL PORCHES
STAIRS—CLEARANC & RAILE�—�—
SIIEf" , VALVE
PLUMBING FIXTU S/R9L ACy Dc7(3RS
INTERIOR TRIM/
FINISHED F FING
GARAGE FIRE
DOOR CLOSER ( )
SMOKE DETEC IRS
FINAL ELECTR AL INSPECTION
FINAL API L OF COPTSTRUC3'ION
A UpANCy MUST -BE
SIGNED CEJ `TIFXCA$UILD7NGCDEPARTMENT BEFORE
OBTAINED FROM T
THESE PREMISES ARS OCCUPIED:
REMplRKS :
INSPECTO
TOWN Or QUEENSBURY
BUILDING AND CODES DEPARTMENT
SAY & HAVILAND ROADS I28Q
QUEENSSURY, NEW YORK
ar
TELEPHONE (518 ) 792-5832
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION
y PERMIT �f
DATE APPROVED
YES NO
FOOTINGf pI 'SUR FORMS
PROOFING
FOUNDATION/D _ L
BACKFILL APPRO __-
4,,-ROUGH PLUMBING
L�F=RAMING
ELECTRICAL ROUGH'
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSpDCTION = ,
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCH /STEPS
STAIRS�CLEARAN E & RAILS
PLUMBING FIXT RESIRELXEY
PRIUACYDOORSL
INTERIOR TRI IRS -
FINISHED F
r,ARAGE FIRE OOFING
DOOR CLOSER. S)
SMOKE DETE ORS INSPECTION
FINAL ELECTR CAL
FINAL APPROV L OF CONSTRUCTION
SIGNED CE TIFICATE OF OCCUPANCY MUST BE
A
SIGNED DEPARTMENT BEFORE
OBTAINED FR M THE BOCCUPIED
THESE PREMI ES ARE
REMARKS :
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT -
BAY & HAVILAND ROADS
ORK 3280 I}•'
QUEENSBVRY , SEW 5 8 ) 792_ 5832
TELEPHONE
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION PERMIT #
DATE --- APPROVED
YES NO
FOOT I NGI P I ERS
t,XDNOLITHIC POUR :FORMS_-----��
FDUNDATION/�DAMP.�PR'OOFTNG---^� "-�
BAC KFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION = ,.
CHIMNEY HEIGHT r
ROOFING
,SIDING
EXTERNAL PORCHES/ST S
STAIRS-CLEARAU NCE ESI ELIE VALV
PLUMBING F IXIPRI CY DOORS
INTERIOR TRIM/ -
FINISHED FLOI S
GARAGE FIREPROOF G
DOOR CLOSERS)
SMOKE DETECTORS
FINAL ELECTRICAL I pp TIT TION
FINAL APPROVAL OF
T BE
A SIGNED CERTIFICATE
0 BUILDING T7EPAR'T'MENTBEFORE
OBTAINED FROM THE
THESE PREMISES ARE OCCUPIED !
REMARKS :
INSPECTOR
TOWN OF QUEENSSURY .
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, 5� ) yORK 2804
TELEPHONE {
32
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEIVED
�- /
NAME
Or '>' t
LOCATION
�7_`J,�= PERMT2'
FATE
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS -
FOUNDATION/DAMP-PROOFTNG��
BACKFILL APPROVAL.
ROUGH PLUMBING
FRAMING
,ELECTRICAL ROUGH-I "
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SITTING
EXTERNAL PORCHE STEPS I LS�
STAIRS-CLEARAN
PLUMBING FIXTU ES/RELIEF VA VE
INTERIOR TRIM PRIVACY DOORS \I .,_.-
FINISHED F S
GARAGE FIRE OOFTNG
DOOR CLOSER S)
SMOKE PETE ORS �-
FINAL ELECTR CAL INSPECTION
FINAL APPRO L OF CONSTRUCTION --
A SIGNED CE IFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED :
REMARKS:
I
INSPECTOR
TOWN QUEENSBURY
BUILDING AND CODE ROADS DEPARTMENT
BAY &
QUEENSBURY, NEW YORS�_ 5832U
TELEPHONE (5I8 )
BUILIDING INSPECTOR' S REPORT
REQUEST FOR NSPECTION RECEIVED
NAME IACATION PERMIT # .
may ��l
DATE APPROVED
YES NO
TSNG/PIERS
MONOLITHIC POUR FORMS
FOUNDATIONIPAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBI)VG
FRAMING
ELECTRICAL ROUGH-IIIN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING. , RCHES/ TEPS
EXTERNAL PO
STAICLEARANCE+1
RS- RAILS �-
PLUMBING FIXTUR SIRELIEF HALVE
INTERIOR TRIMI#RIVACY DOORS
FINISHED FLOG SFING
GARAGE FIREP
DOOR CLOSER ( RS
SMOKE DETEC
FINAL ELECTRI AL IIJSPECTION
FINAL APPROV L OF CONSTRUCTIONOF OCCrjpANCy BE
A SIGNED CE TI CATE BUILDING DEP RTMENTTBEFORE
OBTAINED FROM FHE
THE49B PROMISES ARE OCCUPIED !
REMARKS =
F
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK I2809.
TELEPHONE (518 ) 792- 5832
BUILDING INSPECTOR ' S REPORT
REQUEST FOR/ INSPECTION RECEIVED..
NAME
LOCATION v
DATE PERM T #_
APPROVED
YES I NO
FOOTING/PIERS
MONOLITHIC POUR FORMS j
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
MING
ELECTRICAL R GH-IN r
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
,SIDING
EXTERNAL PORCHES/S PS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/ ELIEF VA VE
INTERIOR TRIM/PRI CY DOORS
FINISHED FLOORS
GARAGE FIREPROOF G
DOOR CLOSERS)
SMOKE DETECTORS
FINAL ELECTRICAL NSPECTION
FINAL APPROVAL OF CONSTRUCTION
L
A SIGNED CERTIFICATE OF OCCUPANCY MUST RE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES .ARE OCCUPIED?
REMARKS:
lit �
INSPECTOR
MIDDLE DEPARTMENT INSPECTifl#II ASENCY, INC.
National Headquarters �
900 Haddon Ave., ColFiingswood, N.J. 08108
Date: ,S .
Town or JOIS10111M County State 'my
Location/Address
(If Located in Rural Area - Please Attach Directions) Pole #
Owner JjLtmPermit
Occupied As Building: Neww Old 0
Occupant
Work Area in Building Floor #, etc.)..
App. for: Wiring Service or: Ready for Inspection :
Fee Remitted - $ Cash Check M.O. Make Payable To: M.17. I.A.
bQQ 750 IOQQ 1250 150Q 175a 2000 225a 25QQ 27SQ 36Q0
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 7
Amp. Receptacles Fractional H.P. Vent Fans
Other Equipment.
MOTORS H.P. 1/2 1/12 1/10 1/8 1/fi 1/4 1/3 1/2 3/4 1 1'h 2 $ 5 74x 10 1 15 20 1 25 1 30 40 54 1 75 1e0
Mark Number
,of Each Size
Appl i can is
Signature License # Permit #
r ,
T/A GUMWINIZINWO Xw. Utility : L '
Applicants Address: 1�s;;s. .� ■. f `r. At1"'°d r " r4l_ '
(City) - Mt (State) (Zip) Service Request # -
Phone # Electrician.
DATE RECEIVED: DATE INSPECTED - a
Correct Location : Same as Above [] or:
Red Notice I�albel �
gh Wiring Outlets Surface Unit Oven
1puSwitches Ran Garbage Disposal
dd 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. 1/20 1/12 1/10 1/a 116 1/4 1/3 1/2 3/4 1 1% 2 3 5 7�/z 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size
50Q 750 lOQQ 125D 15OQ 1750 2dQ4 2250 264Q 27ifQ 3QaQ
Elect. Heat
d
RW Progress: Inc. LKD Q Contractor r c Coto :d • !'r
CFT Violation : Work Comp. Inc. i
O CASH
Owner Q L/A Fee CHID #
Due
IPA Municipal ,
ApplPcant �]
Dam ; Other Side � utility Owner f—J
Cut in Card 0 Temp # Date . }
e-
-, INSPECT ' S5JUNATURE .
'Final # 4c Date IF,/ ' =�. I►
A PLY A IiFd7at7r: 1st7f �37,r' 6.
QUM VICTORA's GRANT
Gum49BURY, NY
TOWN OF QUEENSBURY
.04000pp— - aaal-Aw
Zoning Administrator
Date
� r r
8
C
N
IURY
REFERENCE DRAWINGS:
5 SITE UTILITIES
SEPTIC & WATER
VanDUSEN & STEVES
SURVEY PLAN
Q—MODEL ROOF PLAN WILL VARY
ACCORDING TO SALE, DRAWING
SHOWS ONE STYLE ONLY
38, 40, 42, 44, 46, 48
QUEEN MARY DRIVE
PLOT PLAN do SEPTIC SYSTEM
GUM BUERS, lug. 1 36
ILD
drawn: 5/16/89 Sca I e : 1" = 20'-0