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1989-361 I - - i i + ER'TI 'T - ATE OF OCCUPANCY TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK C f Date l7ecember 12 1989 This is to certify that work requested to be done as shown by Permit No. 89-361 has been completed. I This structure may be occupied as a --- - Is a Single Family Location Owner Ru suer Biel 7dirt._1 Jaen Viclaida ' sGZ-anl_ F k 1 F 1 8y Order Town Sward TOWN OF QUEENSSURY rr Director of Bldg. do Code Enforcement i BUILDING PERMIT TOWN OF +QUEENSBURY No. 89-361 WARREN COUNTY, NEW YORE{ i PERMISSION is hereby granted to GUYER BUILDERS-QUEEN YICJORIA ' S ItiRaNT i i OWNER of property located at 29 QUEEN MARY DRIVE Street, Road or Ave. � in the Town of Queensbury, To Construct or place a 3s A STNG31 E FAMILY _ 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 . OWNE R'S Address is 1 hemphiil Place Suite 201 Ballston Spa , N . Y . 12020 2. CONTRACTOR or BUI LDE R'S Name Self x M 3 CONTRACTOR or BUILDER 'S Address t L Same i 4. ARCHITECT"S Name 5_ ARCHITECT"S Address r u B. TYPE of Construction — (Please indicate by X) C r r j()j Wood Frame ( ) Masonry ( ) Steel I 1 7. PLANS and Specifications No_ 42 ' x 26 ' k a single family dwelling as per plot plan , specifications and application , including septic and driveway. s. Proposed Use A SINGLE FAMILY DWELLING a $ 125. OQ PERMIT FEE PAID — THIS PERMIT EXPIRES — January 1 19 89 r (If a longer period is required an application for an extension must be m rl ade to the Building and Zoning inspector of the �town of Quaensbury before the expiration date.) Dated at the Town of Queensbury this 2nol Day of _ �7Un8 19�__ r SIGNED BY for the Town of Queensbury Building and 2 ni Inspector ���"-` APPI. ICATTON FOR IlUliw . . . , . . :1I1 ZONING I' rRI►IIT y v N [3F' � UEENSi3 URY >'ec.i.eVLd TOWN OF QUEENSBURY ct RECEIVED MAY 2 6 1989 Fee, ra-zd BUILDING AND CODES w :1 ►AI2Tr� r Daze Issued BLDG, & CODE DEP7: BAY and MAVSLAIJD ROADS RD 1 pox 93 pi►rsusAvar. Nma► rORK 1280,E Tel , ( 516) 792-5832 Fxt .204 Mao r r * w w * r w r w + w w • r w r r . r . r ■ w w �; • A 1'I: 1t!-{ IT !`{IJS'l' Ci OBTAINED 1lGI=OItE Lk:CINHINC CONSTRUCTION . NO INSPECTIONS VI LL uL. NADIr UNTIL APPLICANT IIAS RECEIVED A VALID UU- I LDINC PERMIT . All applicable spaces on this ariplication must he completed and the xynga� ture of the applicant Must UP ca. r on the reverse side of this sheet . a # r # ar # A # * W a * A * * * * # * * * # # * * * * * * * * * ae * * * * The owner of this property is : GUYER INITIMEP.S . Inc V . 06 Address 1 HE21PRILL FTNC;E-SUITE 201 , BALLSTDN _SPA . NY 12020 TR L 4 518) 892-91(1 3� 7r2,, iroperty location 42a, dzoeeii1 Md+C-Y Tw-tlim TAX MAP NO . , r�. l llas there been any split of this property since October 1 , 198811 /. no yas l►o If yes , Planning Board Review is necessary * subalv1sIDN wAmc , Ir` RPPLICAnLE - QUEEN VICTORIA' S GRANT LOT NO . The parson responsible for :;, upervision of work as regards nuilding Codas is : Richard H. Over III 1 Hemphill Place Suite 201 Ballston Spa NY ( 51$) 892-9161 - - NA►4E • P . O . ADDRESS TEL . NO . N:.w►e of builderUuyer Builders . IncAddress 1 Hemphill Place , Ballston Spa Tul ( 518) 899-9161 w4 ww of Plwuber Tel -ALFIMA.. N:wxe ofMzason same— !u]clrass -satrle- 'Pr:l -same- Woo l4ATL" Or f11f:Of►00.k:D UdC kr& * MODEL• 11Q01 . ZONINGLNIPURAIATLON ! o-f- ice use on39 X ConaCr4CCior► of a Itav building + LONINC, DESICNATION OF PROPERTY AdALcion to A building ` PERMITTED PRINCIPAL PERKXTTED ACCESSORY � ^ltwc"tion to to Luilding ' jito cl►:.►ir�4 to oxc &zrior climen� ional • REVIEW RE¢UIREO - PLANNING BOARD ZONING HOARD Otli&r ++ark (dascribkal �" SITE PLAN REVIEW # APPROVED DATE C"QSS ^KCA Or PROPOSED. :;T14, UCTUKC + VARIANCE M API'R4VED DATE last Floor 200 sq ft . i Remarks ". i 2 nd Floor --- sq L t . „ CLLgI�LIe'l'l IyYI C31:i1A'1't ON lai;�.?U lleL:U 133 11+�f . % see Other Floors -- sq f t . + Si.Za7 Of Prala� rty 100 ' *- lot lnfc x 120 ft: { net collar ar biss .szuu n c l ~ I::.xi::til►rj U" ilJ.i blq L ::1 rsi .e n a c c x� r' t . TOTAL FLOOR AREA 900 sq ft . • Lxi::til1� lauilJir►►lls: 1 Us.as n a ciza of now ucruCtural 42 it X 26 ft Vucwad:. tion-pior -�lal� crawl/I�arti.ai/ full ' 1`rojso �ct building , +clluc"ncli: iron pr.xlwrcy lino (uirclu orlc) ; Front yard 30+ fc Rear yard 30+ ft Mao of ctorilssi {Ia:►I�iC:wblas cloac,'ta ) 1 i Side yards 15+ et rand + rs sleight (alrada to ridq" ) 19 . 5 ft . If an ccarnQr , cucll:•a:k from side :icruuc ;O—fc Is' no. of ("milieu 1 - 2 tio. bs &Chsl 5 • OCC PA"CY IHFORM&TICN No0 of budroo&uu 1 * PRIMARY GUIL.LIINC - Iwww of a;.tl>«rao�la:: 1 One fauLily dwelling rariwAry la""Ciur,I uyzim :&u is�tte d F.I �r-rJr% ' x T' . a famLly dwelling ,uf fua31^ E etricity _ _ # Multilala Jwulltng / Number of Unit" No* of liruislacu4 to UQ in::t:alla:cl t�1 i'eruwnal►t occunai►cy Will ;. +►wawl ::L' aVa3 Ll►:iC:i1la:Gl mow, No � f '1'ranuiul►C o64cul>:al►cry L':W►ioi•:al ^ir colaulLickall►aj? NQ -- uusinuas OWIL.DING STY", PRIMARY STRUCTUtE Industrial �l,alaClt Cas►t.w�lc.a..ry Lc.n cabin • 4cha:r liaiKoAd ranch lKanaicaa► Qu -01 "K 3 if ,addiCia mt , wra"t will ua:a ball' uptic lowsl old scyla L►u+►y..alow +: ;lh;6u Coo CoLt-ara.: Oclwr # ACCUSSORY UUILDXWG— R:4laniwl l:Qw `J'awa► liause or l+::tachaU g:araago/ona c"r/ two ( CIRCI.Li Osli: PLEASE l orActuchaa gurugw/"ar crar/ two G:ar/ cur • r r ■ • ■ r # • w . r w + a w w lariw:aLa Star:a�j$ builclsng 9SWIMATED MARKC'i' VALUI. of ' Other co« :: rl<ucs' suti . llli"GRMATTON ON UUTLDING SPrCIPrCATTONSa ON =- VVjLc.E SIoI. OF Till$ GHEE ', '1'O no COMPLI~'r=1 Jrurm VPA 10/88 V1 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 ) 48" minix[M Will there be a cellar? no Heated or unheated? Floor sq. footage sq ft Will there be a basement? no Will any portion be used as living space ? ( if so , what portion? sq . ft . . - Type of use? Type of roof - s o a flat/shed/other Material of roof fiberglass shingles Size , wood studs..2�00K..6�" spacing 2 "o . c . length 8ftw Joists ( floor beams ) 1st . floor nra "X spacing "o . co span ft . Joists ( floor beams ) 2nd . floor 121a "x spacing "Q . ce span ft . overlays ( calling beams ) U /a "X " spacing "o . c . span f t . Roof rafters see " X plan " spacing 24 " o . c . span ft . Roof trusses (pre- engineered) spacing 24 " o . c . span YAMLft . ( see plan) Exterior wall finish stained of what material ? 5 /8"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 - Municipal or private well Nhunici al 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) DE +CLARATIoN To the best of my knowledge and belief the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall be complied with, whether specified or not, and that such work is authorized by the owner. Signature ..fC Ow er, owner's agent, a stect, contractor • !' * * It R * •' R * * * * * * * * * * * Yr 1t R * * Yr * Mf ,f * * t R * * Yi * * 1R k * * * * * SPECIAL CONDITIONS OF THE PERMIT : $y.... ___................_______________.. 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 See Plan 2 . Type of heat Baseboard electric 3 . Ia the building mechanically cooled ? No 4 . Percentage of area of windows and doors See Part 6 A . Over 16a Only 1 . Uo value of gross area of walls , roof/ ceiling and floors exposed to ambient conditions See Part 6 2 . Floor over heated spaces YES A . Are foundation walls insulated ? YE NO 1 . If YES , what is the R value ? See Part 6 3 . Slab on grade YES No a . If YES , what s the R value of insuleround perimeter of floor ? See Plan WIN 4 . Is basement heated ? YES NO a . R value of insulation n 5 . Type of insulation Poj"t3Mene 8 . Under 16 . only 1 . R value of roof and floors expose to ambient conditions. R- 38 2 . R value of exterior walls COOO R f) 3 . R value of glazed area 3 . 23 4 . R value of doors R-14 . 9 L 5 . R value of floors over unheated spaces $=79 6 . R value of slab edge insulation - unheated slab NIA ? . R value of slab insulation - heated slab 12 . 5 B . R value of heated basement/cellar walls ( above grade ) N/A 90 R value of heated basement/cellar walls ( below grade ) N/A Jos Type of insulation Fiberglass -- Co Controls 1 . Thermostat maximum heat setting N/A D . Duct Systems NIA 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 . Sias of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F . {Service water Heating 10 Performance efficiency„ NIA 2 . Temperature control setting maximum G . For Swimming fool Only 1 . Maximum heating AiIA e Y'! 1lphane No . ( 518) 899-9161 ( applican ' signature ) APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE York - 02025 MODEL. _ dp Q of LOCATION OF PROPERTY FOR INSTALLATION 29 Queen a" priy� Owner's Name: Guyer Builders , Inc . Teleplaoaes ( 518) 899-9161 Address: 119 Du ring Street , Ballston Spa , New York 12020 Installer's Name: Guyer Builders , Inc Telephone. ( 518) 899-9161 2 A, C , E, I , .39 K, L, M Number of bedrooms (residential only) 1 / 3 F , G , H Total daily flow (compute Q 150 gal per bedroom) ISO Tapograaphy: circle" one: Flat Rolling Steep Slope % of slope Soil Nature: circle one: Sand Loam Clay Other / Depth: . 8 " feet + Ground Water: At what depth? mown 8 feet + Bedrock or impervious Material: At what depth? unknown feet Percolation test: circle one: not require required / rate min, inch. Domestic water supply'e circle one: Municipal 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 N/A feet * SEEPAGE PIT(S) : Number of / Size each feet by aaaae� feelt, * Size of stone to be used # / Depth or Thickness feet IMPORTANT See S . P. E.D . S . ...Please...LIST NEW EQUIPMENT TO BE INSTALLED permix & attached. map , (over) Section ll Septic System Inspections: A. All applications for septic system installation, alteration or repair, an required by the Town of Queensbury Sanitary Sewage Ordinance. shall be submitted to the Building Department at least 2.4 hours xis of constructions and shall include a plot plan showing: l.) the proposed ,location of the gystem Z.) location and distance to lot lines 3J location and distance to struptures 4.) location and distance to any *%%ter supply 5.) size and dimensions of all tanks, distribution boxes. tile fields and/or drywells Be No system shall be cowered before inspection and approval by the building Lnspector. Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to $2600000 Co An approved copy of the plot plan shall be available on the construction site. Failure to PPMice 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 constructions l have read the regulations above and agree to abide by these and all requWaments of the Town of Qu3.•"a. sbury Sanitary Sewage Disposal 4+dinaace. Signature of.responsible person: t L �7 Date: Town of Queensbury Building and Code Department Say at Haviland Road Queensburys, New York 12801 (518) 792-583Z SETTLED 1763 . . . HOME Of NATURAL BEAUTY . . . A Gann PLACE TO �►#: I ��e CERTIFICATE OF INSURANCE ISSUE DATE (MMIDDIYY) PRODUCER L7.�, /3/88 Hequernbourg A'enc p Mnc a THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS 121 Wall Ste NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, F G Box 953 EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW SchmeptilldVi MY 12301..09 3 372r COMPANIES AFFORDING COVERAGE 3 f � 5�J r7 t�0 SUB-CODE LETRTERNY CODE 331�i A The FiSY Automobile SLlmnae Go. Of Hartford,, CT INSURED ^1,� ETTERNY B The Aetna Casualty x�-: Suretwy Coo Guyer Bullders y Inc • COMPANY C 119 Dunning Street LETTER Ball„q ton. $Fs y N Z2020 LCOMPAN ETTER Y D COMPANY E LETTER 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 EFFECTIVE POLICY EXPIRATION TR POLICY NUMBER DATE (MM/DDlYY) DATE (MMIDDIYY) ALL LIMITS IN THOUSANDS +u GENERAL LIABILITY Renewal. ©f GENERAL AGGREGATE $ 2 000 A X 'A✓COMMERCIAL GENERAL LIABILITY C0 6 p D y 'p �� Z /0 /]y/Jp V V ZDf,�i{,7 JO PRODUCTS-COMPIOPG AGGREGATE $ 2y W0y CLAIMS MADE X, OCCUR. PERSONAL d ADVERTISING INJURY S 1 (' ^ y>OWNER'S $ CONTRACTOR'S PROT. EACH OCCURRENCE $ I,OrQyO-�y FIRE DAMAGE (Any one Fire) $ 1ti/V,I y MEDICAL EXPENSE (Any one person) $ 51 A AUTOMOBILE LIABILITY Ren(BIiITiIl of /� /pp -� /p,p COMBINED SINGA X ANY AUTO FJ390995 x,('.�f �1.I' 88 1.0 /1/ 89 LIMIT LE ALL OWNED AUTOS BODILY SCHEDULED AUTOS INJURY S (Per person) HIRED AUTOS BODILY NON-OWNED AUTOS INJURY $ (Per accident) GARAGE LIABILITY PROPERTY S DAMAGE EXCESS LIABILITY RenevaI Of; EACH AG GREGATE B X UNBR LIA XS4755.56 1011A8 1011189 s 5,v0 00,v s 5s pOQv OTHER THAN UMBRELLA FARM WORKER'S COMPENSATION j{'Renerwal of /� /p p -I /'-I Jp STATUTORY A �3 r 9 10/ 3 8 10/ 1/ 89 S � 002 (EACH ACCIDENT) AND EMPLOYERS' LIABILITY $ 5co s (DISEASE—POLICY LIMIT) OTHER $ 100y (DISEASE—EACH EMPLOYEE DESCRIPTION OF OPERATIONS/LOCATIONSfVENIC4ESI"ESTRICTIONSISPECIA4 ITEMS CERTIFICATE HOLDER CANCELLATION BuIldi 1,g & 'Zoning Dept , SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Talon of Qusensbuxy EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO Bay & Havl2and Road MAIL DAYS DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE .IM I# Ip BOX 96 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR Queenldbri7131'y NY 12801 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED R6PRESSNTATIVE rM i ACORD 25-S (31") I , T M Is" Wits MIDDLE DEPARTMENT .INSPEgTIQN AGENCY, INC. 90p Haddon Awrnim catlliipswallyd: fi[Aw, 08100 �r 0 s Date Decembe r 12 , 1989 Certificz that the electrical equipment listed has been examined and is approved as being in accord with the National Electrical Code, applicable governmental, utility and Agency riles, Owner: Guyer Builders Inc Uccupancy.' :.Dwellit g -7 occupant: Single Family ` I (1. / ; a Location, 29 Queen Mary Drive , Queen bury (Warren �io) cer dole, 41 additional equipetent'shauld be introduced ed o Ilalteraho sem de do existing system this carttlicale shall be null and void, end application for pp outlets ;� p 2/rye F inspection should tre submitted preleptly to this Agency. LAqpplocant: C17778r71. V© EiQ Receptacles ,> 20 'F �'K` ur bra 9 Holder of this certificate should 0"ani same to nis property insurance carrier 15O Arng Service ' 7 Appliances {agent or company) eaevidanoaKNeertificationafele cruel equipment approved ph as specilFed. ` rGuyer Builders Inc ;s 119 Dunning Street No . 15-030071 Ballston Spa , NY 12020 �j . - . Form No. 7W eL 1-" --.— TOWN oV QUEENSBURY ,BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS - 16) QUEENSBURY, NEW YORK 1280& TELEPHONE (518 ) 792-5832 BuI LDING INspECTOR' S REPORT REQUEST FOR I SPErTION RECEIVED NAME LOCATION -y p DATE / Cr PERMIT APPROVED YES NO FOOTING/PIERS MONOLrTHIC POUR FO FOUNDATION/DAMP'PROO ING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ST PS STAIRS-CLEARANCE & I PLUMBING FIXTURES/ LI VALVE INTERIOR TRIM/PRIV CY D RS _ FINISHED FLOORS GARAGE FIREPROOFS -- DOOR CLOSERS) SMOKE DETECTORS FINAL ELECTRICAL I PECTIO - FINAL APPROVAL OF ONSTRUCT. ON ✓ A SIGNED CERTIFIC TE OF pCCU NCY MUST BE OBTAXNED FROM TH BUILDING DE RRTMENT BEFORE THESE PREMISES A E OCCUPIED! REMARKS: r SPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILANE ROADS / �' QUEENSBURYy NEW PORK 12809- TELEPHONE (518) 792- 5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR I.�1a TXC7 RECEIVED , NAME LOCATION DATE /Q PERMIT # APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR RMS FOUNDATION/DAMP-P OOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELETRICAL ROUGH-IN ULA TION: FOUNDATION FLOORS WALLS i CEILING FINAL INSPECTION: CHIMNEY HEIGHT t ROOFING SIDING EXTERNAL PORCHES STEPS STAIRS-CLEARANC & RAILS PLUMBING FIXTU ES/RELIEF LVE INTERIOR TRIM PRIVACY DCHJRS FINISHEb FL SSIlk GARAGE FIRE OOFING DOOR +CLOSER S) SMOKE DETECTORS FINAL. ELECTR,�L`CAL INSPECTION FINAL APPRO AL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING .DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!' REMARKS : r e INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME -- "f�f,K`-� LOCATION DATE 'L PERMIT # APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATIONfDAMP-PROOFING BACKFILL APPROVAL GH PLUMBING FRAMING ELECTRICAL R GH-IN INSULATIrN: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL FORCHE /ST S STAIRS-CLEARAN E & LS PLUMBING FIX ES/REL F VALVE INTERIOR TRI /PRIVACY RS FINISHED F PS GARAGE FIR ROOFING DOOR CLOSE (S) SMOKE DET CTORS FINAL ELEC ICAL INSPECTION ' FINAL APPR VAL OF CONSTRUCTION A SIGNED C RTIFICATE OF OCCUPANCY MIDST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIEDI REMARKS: tit kw. INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280¢ TELEPHONE (518) 792-58.32 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED�� NAME LOCATION DATE l�l [� / j PERMIT # APPROVED YES NO FOOTINGfPIERS MONOLITHIC POUR FORMS FOUNDATIONfDAMP ROOFING BACKFILL APPROVA Rf7UGH PLUMBING RAMING ELECTRICAL ROUGH-I INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: i CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHESf TEPS TAIRS-CLEARANCE & RAILS PLUMBING FIXTUR SfRELIEF VALV INTERIOR TRIMf IVACY DOORS - FINISHED FLOOR ' GARAGE F 1-REPR FI NG . DOOR CLOSERS SMOKE DETEC RS FINAL ELECTRIC L INSPECTION FINAL APPROVA OF CONSTRUCTION A ,SIGNED CERTX*XCATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!' REMARKS: INSPECT' R TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY. NEW YORK 1 28U+I TELEPHONE (5I8) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME.L OCATION rQ �I Q lA 9 0..-yr�.,. DATE /�-/ - `/�' PERMIT #� APPROVED YES NO FOOTING/PIERS [/MONOLITHIC POUR FORMS FOUNDATIONIDAMP-.PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL. ROU -IN INSULATION: FOUNDATION FLOORS WALLS CEILING14 FINAL INSPECTION.: CHIMNEY HEIGHT r ROOFING SIDING EXTERNAL PORCHES/STE _ STAIRS-CLEARANCE & RATLS PLUMBING FIXTURES/ LIEF VALVE INTERIOR TRIM/PRIV CY .6,po:RS� FINISHED FLOORS GARAGE FIREPROOFX�kG DOOR CLOSERS) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OCONSTRUCTIO { A .SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM TkE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: S ECTOR ._./sawn o/ Queens6urry BUILDING and ZONING DEPARTMENT Bay and Ha►riland Road, R. D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCAT Ij DATE „%7 f "l PERMIT NO. V-01W SOIL TYPE - Sand - Loam - Clay Percolation Test Rgquired? YES -"ZNO PerCOlatian rate - Min/Inch _ TYPE of SYSTEM : Absorption field, , tota'-1 ler4th Length of each trench ! r' Depth of trenches Size of gravel SEEPAGE PITS#Number 7ofSize- ft. X Gravel size - PIPING : i �T pe Bld to tank � � g - Tank to dist. bass Disto boss to fie d/pit Openings sealed YES NO partial LCCATTON/SEPA TIONS : Foundation to tank ft. . Foundation t absorption ft . Absorption t lot line ft. Separation o pits fto LOCATION OF SYSTEM ON PROPERTY (circle one) Front - Rea - Left side - Right side - CCMMENTS : f SYSTEM USE APPROVED YES N Building Inspector 01/86 and vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12809- TELEPHONE (5181 792-58.32 BUILDING INSPECTOR' S REPORT REQUEST FOR f!JS ECT20N RECEIStED NAME G `� LOCATION p DATE f - / �' PERMST # APPROVED YES NO FOOTING/PI ftS MONOLSTHSC PgUR FORMS FOUNDATIO N/DA14P—PROOFING BACKFILL APPROVAL L,W15UGH PLUMB2NG FRAMING ELECTRICAL ROUGH—IN q. INSULATION,- FOUNDATION FLOORS WALLS CEILING f FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCH /STEPS', STAIRS—CLEARANCE & RAIL PLUMBING FIX RES/RELIEF"•, VALVE INTERIOR TRI PRIVACY DOL3TiS .FINISHED FLO RS GARAGE FIRE OOFXNG DOOR CLOSER S) SMOKE DETE RS FINAL ELECTR CAL INSPECTION FINAL APPROV L OF CONSTRUCTION A SIGNED CER . FICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: r c C Y XNSPECT0R TOWN OF QUEENSBURY 13UILDING AND CODES DEPARTMENT ^ I3AY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280!& TELEPHONE (518) 792-58.32 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTXO�fN RECEXVED _ NAME L0CATXON IA 0 LJ l l DATE PERMXT {/ APPROVED YES INO FOOTXNG/PIERS MONOLITHXC POUR FORMS FOUNDATXO NI DAMP—PR ppFX NG BACKFXLL APPROVAL ROUGH PLUMBXNG FRAMXNG ELECTRXCAL ROUGH—XN L,�tNSULATXON: C oPOUNDATXON FLOORS WALLS CEILXNG FXNAL XNSPECTION.\ CHXMNEY HEIGHT ROOFXNG p pqpqpqp 4 i SXDING EXTERNAL PORCHES/SWOPS STAXRS—CLEARANCE & f RAILS PLUMBXNG F3XTURES,PRkZXEF VALVE_ INTERIOR TRIM1p4VACY., DOORS FXNXSHED PL0Ol2!�4 lk GARAGE FIREPR FINE DOOR CLOSERS SMOKE DETEC RS FINAL ELECTRX AL INSPECTION FINAL APPROV L OF CONSTRUCTXON A S2GNED C RTXFXCA TE OF OCCUPANCY MUST BE OBTAXNED FROM THE BUXLDXNG DEPARTMENT .BEFORE THESE PREMXSES ARE OCCUPXEDI REMARKS: XNSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUF.ENSBURY, NEW YORK I280& TELEPHONE ( 518) 792-5$32 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME & or LOCATION DATE r� 67 _/�'�_ PERMIT ,# APPROVED YES I NO pOTINGIPTERS MONOLITHIC POUR FORMS FOUNDATIONJDAMP—PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ,ELECTRICAL ROUGH—I INSULATION: FOUNDATION FLOORS WALLS CEILING l ~ FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING ,EXTERNAL PORCHES/STE , STAIRS—CLEARANCE & ILS PLUMBING FIXTURES/ LIEF LIVE INTERIOR TRIM/PRICY DOOR FINISHED FLOORS GARAGE FIREPROOF NG _..—..... .. DOOR CLOSER (S) — SMOKE DETECTOR _ FINAL ELECTRICA INSPECTION FINAL APPROVAL F CONSTRUCTION A SIGNED CERT FICATE OF OCCUPANCY MUST BE OBTAINED FRO THE BUILDING DEPARTMENT BEFORE THESE PREMIS ARE OCCUPIED: 5 REMARKS: INSPECTOR SELECT BUSINESS FORMS (609) 849-5203 APPLICATION FOR ELECTRICAL INSPECTION PLEASE BEAR DOWN YOU ARE MAILING (4) COPIES MIDDLE DEPARTMENT INSPECTION AGENCY, INC. National Headquarters 900 Haddon Ave., Collingswood, N.J. 08108 • moms s Date : S Z'4 Town or 'h3iilrYr}a Qtleesrsbuy County rren State Location/Address (If Located in Rural Area - Please Attach Directions) Pole # Owner f'[TYER B11JIDERSO INGe Permit # ��/ �fr � Occupied As Building: New Old Occupant Work Area in Building Floor #, etc. ) : A . for: Wiring 0 Service = or: Ready for Inspection : Fee Remitted - $ Cash Check © M.O. 0 Make Payable To: M.D. I.A. Soo F54 1400 1250 15D0 1 +�54 2000 2250 2500 2454 31100 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 H.P. 1/2 1/12 1/10 1/B 1/6 j 1/4 1/3 1/2 3/4 11 1 1ya 2 3 5 7'h 10 15 1 20 25 30 1 40 50 75 100 Mark Number 0f Each Size Applicant s License # Permit # Signature T/A BUILDMSp INC Utility : NMPQ Applicant's Address: 7l9 Dunning Street (NAME) O ICE L CATION (City) Ballston S=?tli, (State) NY (zip) 12020 Service Request # Phone # 899-9167 Electrician : GUYER BUII.D103 INC * a + DATE RECEIVED: DATE INSPECTED : Correct Location : Same as Above 0 or: fled Notice Label 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 H.P. 1/2fl 1/12 1/10 "a 1/6 1/4 1/3 1/2 3/41 2 3 5 71h 10 15 20 25 30 4O 5fl 75 100 Mark Number of Each Size 1444 1250 1500 1�50 2000 2250 25D4 2�50 300D El Spp ]50 act, Heat 4' t K . F� INITIAL V18IT.C�iLA!• _ NOTIFIED DATre � P��� FEETAI4. . RW Progress : Inc_ LKD Contractor [] CFT Violation : Work Comp. 0 Inc. CASH L/A Owner Fee CHK # Due Q IPA Municipal NO Applicant Date, Other Side 0 Utility Owner Cut in Card Q Temp # Date QUIT VICTORIA'S GRANT QUEEN MARY DRIVE REFERENCE DRAWINGS: 5 SITE UTILITIES SEPTIC & WATER VQnDUSEN & STEVES SURVEY PLAN Q—MODEL ROOF PLAN WILL VARY ACCORDING TO SALE, DRAWING SHOWS ONE STYLE ONLY 2000 gal MODEL : 25,27,29,31,33,35 QUEEN MARY DRIVE PLOT PLAN do SEPTIC SYSTEM GVYER BUII=, Inc. drawn: KW 5/24/89 1 Scale: 1" = 20'-0