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1989-360
_ . :.a . h... r - ._ r... ::Rt.,^..r..ry,*n:..;.'..�,re•cs,�8•�^PKDfwI�IY��.r, c. 1-r'�+�y,�r^�' eur ..p�z. • _�. . .:rr;Y,.,,ya-errr.. V CERTIFICATE OF OCCUPANCY TOWN OF +QUEENSBURY WARREN COUNTY, NEW YORK Date September 22 19 89 This is to certify that work requested to be done as shown by Permit No. 89.3fia __� has been completed. This structure may be occupied as a 46 S f tug 1 p Fami i y �. l ovation 97 [liieen 'Lary nrive Downer _.,_ nlfi:jur• Hill lrinrc.Qjmoan yjctnr+ a ' q Arartt ByOrder Town. Board TOWN OF QUEENSSURy f ; Director of Bldg. do Code Enforcement w BUILDING PERMIT � TOWN OF QUEENSBURY No. WARREN COUNTY, NEW YORK I t_. k N PERMISSION is hereby granted to G11YFR RIIII DERS. QII�FH. VTCIO IA ' S GRANT � OWNER of property located at 27 QUEEN MARY DRIVE Street, Road or Ave. in the Town of Queensbury, To Construct or place a Afi SA 7NC1 IF EANII Y 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. t. OWNER'S Address is 1 Hemphill Place Suite 201 Ballston Spa , N . Y . 12020 rn 2. CONTRACTOR or BUILDER 'S Name K'S O Self 3. CONTRACTOR or BUILDER 'S Address N Sallie 4. ARCHITECT'S Name 5. ARCHITECT'S Address C rn r*f x 6. TYPE of Construction — (Please indicate by X) Wood Frame ( ) Masonry { I Steel { ) �C l= 7. PLANS and Specifications rM No_ 31 ' x 42 ' k a single family dwelling as per plot plan , specifications , �' and application , including septic , attached one car garage , and S. Proposed Use dilveway SINGLE FAMILY � a Vf H $ 15IM00 PERMIT FEE PAID — THIS PERMIT EXPIRES January 1 f — (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the R11 town of Queensbury before the expiration date.) -rk A 3 Dated at the Town of Queensbury this 2nd Day f June 19 89 ,-rc SIGNED BY for the Town of Queensbury uildingand Zoni Irrspec'tar r , TOWN OF Qt.IEL• NS]3LJIZ APPI. ICAT rC]hI r©tt t1Ur .. . • . . , - . ,in znNxrrr PERMIT M Pare - 9co055 RevieAoed lor Fy7e.,I jo MAY 2 1989 ' Fee FwZd WILDING .AND CODES UCPARDT.N"r vcue 1-44eed BLt)Q. a CODE DEPT: AAY and )iAVILAJWD ROADS Ro J Iiox 9a f?IJISAfSBLIRY, NE1a1 YORA 12SO4 peAM-t.t NO . Tel . f5.18) 792-5832 SYC •204 .. 's ■ r r ■ r w w a w • w ■ ■ w ■ w ■ w r ■ + ■ w r ■ w w . ■ ■ ■ ■ ■ • +, • A 13,mu-11T I6IUST Liq OBTAINED UE { ORE SL'• GINtIING CONSTRUCTION . NO INSPECTIONS VILL BE I`IADI+ UNTIL APPLICANT I1AS RECEIVED A VALID UCILDINC PERMIT * All applicable spaces on this application must be completed and the ti •+ npaturc of the applicant must UP car on the reverse side of this sheet , as * W A N * * is * x a * k * * ak * * * * * * * * * * * * * * * * ar '* * i ar The owner of this property is : Guyer Builders , Inc * 1' . O . Address 1 Hemphill Place Suite 201 , Ballston Spa , NY 12020 OWWWWWWW�T E L . ( 518 ) 899-9161 3�fr 1+ roperty location 21 T� 01eltl MART " 241 Je TAx MAP NOr 121 /�— iias there been any split of this property since October 1 , n0 y +a8 , .. o 110 If yes , Planning Board Review is necessary/ - SUBDIVISION NAME IF APPLICABLE QUEII3 'V'ICTORIA' S GRANT LOT NOr _, � •i'ho person rusponsil3lo for supervision of work as regards Building Codes is , Richard He Guyer III 1 Hemuhill Place Suite 2010 Ballston Spa NY 518) 899-9161 14.A141r P . O . ADDRESS I TNL . NO , game of builderGuyer Buildexs , IncAddress 1 Hem2hi11 Place , Ballston SoaTul( 518 ) 899-91661 i"wo of Plu,uber -same- 1.ddress_ -same- Tel -same- ri1a of M..san -same- Addro5 -same- Tel - - Won 14ATURE or PwPos.CD 'wilr. ; Model S + ZONING LN1 U[01,! TLQN usaJ onIU ) X Canamrucciora of :a skew buildiriq + ZONING DESIGNATION OF PROPERTY Addition co Ea boil.ling r PERMITTED PRINCIPAL PERMITTED ACCESSORY MANEENEWAlcur"Lion to a 1:uilding PREVIEW REQUIRED - PLANNING HOARD ZONING BOARD Coto clw,aqu to axcuriar cii,naln« ionsl Liclaair work ialaascriir.rl " SITE PLAN REVIEW Y APPROVED DATE or 1: iaOSS AitL' A O1' 1' 14OL' OwL: D. :; 'rrtUL:'1' UftC r VARIANCE I APPROVED DATE ■ Rasuaarks : 1St Floor 900 sq it . a 2 nd Floor ---- sq f C r „ COKPLl:TL . IA -%0144A0L'1Oti I'L1=c ,u 1 L' AAJ , seL p-Lag 1sL:L Size of PrOVurty 100t plan fu x 120 ft , Other Floors '_— sq it . + 1;xi;;Gi,ac� ]uuilJi,w] { s~1 5i�u n a c4 xrC - { not C0611 " r or ba *Qyu snc. I „ TOTAL FLOOR AREA 900 a f t • r Lxir:ci,sg la+.il.ain►y (s: l U�u n a pia., oe new :;tructur.s 31 it x 42 it s"uarrdanon-Ysier/::laL� cr:awl/parCi.ai/ Cull r k"ro1w;:.:ci tauilrsinc3 : clakCanc,s cra,u l�r.alxsaty line (uirClW 0n4 ) * Front y:ard� 30+ CC ROAC yard 30+ ft i64�r of atorian (Iwlait:.bly ::lloiacc) 1 .--�—�— err c r Side y;arda 1"J'+' CC and il"Isht (grade to ridq.: ) 191 6ar ft . + 'cc It rauiduntial. no. o f millub 1 - 2 + If an CGrnwr , ::uW:..:k lras side ::crucac Hoe of bathal � OGCuPANCY INFOP41ATION lia, at Iaudroauas 24 Home + Prnyz,ay isUILDING Has of D;A"LrQQ6*U 1 OnQ garuily dwelling lartuury ww:►cigig Uys:tu $uwa and Electric * x •L'wo i4j"Ly duu3.linLj fiypw Uf fua:l Eletricit r M1a1ti1+1+s alwialling / Number of units�r awr of firula].ac"4 Cu bu instialla:d n a 1'grsa.ariuitt aca:up:ancy Will cA wuu.i atovu in::t:allua{? no * '1'r:an:;iurat Uuculiaiac'/ Cwntr:.l Air co,aalitiuniru,I:a no i3us+inuss {IU11wDING STYLC, PRIMARY STRUCTuial! ,. Inalu::crial +G3c hu r lwackt Contsuai:Gr..ry Lee cabin AV 3t ..ddition, wiarat will u::u k+u7 R*Ai w:d ranch MJn;a,icaaa DOAA-01 .:x " aplit IQVel Did xcyle: L,uaay.alow " C.:}+u Cod Catt:aga OcI&U:r + ACCESSORY UUILDING-- L`olani�al 1:ow 'louse tsousa "-cachaa gotr6i6go/ana cur/ two " r/ car { CIRCLL ONU PLeASE I • X Actuchva cj;.,r,paciu/aalai ciar/ two • * * ■ ■ ■ IN n • . ■ ■ r ■ w r ■ * larlw" C" S"C490 k►uilcLiRg , L"STIMATVD MARK. r*J& VALUE OF + Ochasr IMForo"OrION ON DUlL OINC SPECIFICATIONS . ON RE42RSE SIDS. OP 'rills .`.f1L:L•`T, 'PO Be COMPLET1:Ol Fora FPA 20/88 V1 ..,w BUILDING PERMIT APPLICATION CONTINUED - BLliI.aIIVG SPECIFICATIONS * Type of construction , wood frame , fire safe, etc . wood frame W111 any second-hand or ungraded lumber be used? If so , for what ? - no Foundation wall material concrete black Thickness 8 Depth of foundation below grade ( to bottom of footing ) 48 m1111mun= 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 - sloped/flat/shed/other Material of roof fiber lass s les Size , wood studs 2 " x 6 spacing "o . c . length a ft . Joistz ( floor beams ) 1sto floor n/a "X " spacing "o . c , span ft , Joists ( floor beams ) 2nd . floor n/a "X " spacing "o . c , span ft . Overlayrs ( ceiling beams ) nla "X spacing "o . c . span ft . Roof rafters n/a "x "spacing 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 1- 11 Interior wall finish painted 1 /2" sheetrock If a garage is to be attached , describe materials to be used for HIRE SEPARATION : 1 /2" type "x" sheetrock Is there to be an opening between garage and dwelling? yes - if so will a Fira-rated door , enclosure , and self-closing device be provided? yes Will a flue-linad chimney be installed? no Height above roof ft,� Depth of chimney foundation below grade n a € t . Depth of fireplace hear thnLjgLft , in . Water supply - Municipal or private well Municipal SEPTIC SYSTLM _ Distance from ANY private: well ( including adjoining properties ft . (A separate application is necessary for any repair or new installation of septic system) D E C L A R A T 1 O N 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 ar not, and that such work is authorized by the wner, Signature Owner, owner's agent, ar i ect, contra for w • r w « r . w +s . ■ x * : * . * ■ : • * : * w • ,r � w x w r r * * w * r * r . . . . . s SPECIAL CONDITIONS OF THE PERMIT : TOWN OF QUEENSDURY WARREN COUNTY , NEW YORK Application fort 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 . Crona floor area See Elan 20 Type of heat Baseboard electric 36 Is the building mechanically cooled ? Na 4 . Percentage of area of windows and doors See Part 6 A . Over 16 % Only 10 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 ? CLJE NO 1 . If YES , what is the R value ? See Part 6 3 . Slab on grade YES N.Q a . If YES . what s the R value of insul around perimeter of floor ? See Plan 4 . Is basement heated ? YES NO a . R value of insulation n a so Type of insulation Polystyrene Y . tender 16 % Only 1 . R value of roof and floors exposed o ambient conditions R-38 2 . R value of exterior walls () 3 . R value of glazed area . 23 4 . R value of doors R-14 . 9 5 . R value of floors over unheated spaces 6 . R value of slab edge insulation - unheated slab N/A 7 . R value of slab insulation - heated slab 12 . 5 s . R value of heated basement/cellar walls ( above grade ) N A 9 . R value of heated basement/cellar walls ( below grade ) N/A 10 . Type of insulation Fiberglass C . Controls 1 . Thermostat maximum heat setting NIA 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 10 Size 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 Pool Only 1 . Maximum heating N/A 4 Telephone No . ( 518) 899-9161 I.. / / ( applican ' signature ) APPLICATION FOR SEPTIC DISPOSAL PERMIT Ref : S. P.E. D. S . DATE 5 jzeq � per k York - 0202525 ' MODEL !' S of wr 'Sl�S LOCATION OF PROPERTY FOR INSTALLATION 27 Queen Mar' Drive Ownees Name: Guyer Builders , Inc . ` .. Telephone: ( 518) 899-9161 Address: 119 Dunning Street , Ballston Spa , New York 12020 - Installer's Name: Guyer Builders , Inc Telephone: ( 518) 899-9161 2 At Co E, I , it K, L, M Number of bedrooms (residential only) 2 _ 3 F , G, H Total daily flow (compute @ 150 gal per bedroom) 300 Tapagpraphy: circle one: lit Rolling, Steep Slope of slope Soil Nature: circle one: Sand Loam Clay Other / Dep#h: . 8 ' feet + Geound Water: At what depth? unknown 8 feet + Bedrock or Impervious Material: At what depth7 unknown feet Percolationtest: circle one: not require required / rate min. inch. Domestic rater supply: 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. (mxmmum 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 feet' * Size of stone to be used # / Depth or Thickness feet * s * s * * s �seas * * vsss � �sse � * * * ss * rs � ssss * ass * * * +s IMPORTANT * See S . P. E. D. S . ...Please...LIST NEW EQUIPMENT TO BE INSTALLED permit & attached map ,. (over) Section li Septic Sxstem Inspections** A. All applications for septic system installation, alteration or repair. as required by the Town of Queensbury Sanitary Sewage Ordinances shall be submitted to the Building Department at least 24 hours bef♦oft%016 of construction and shall include a plot plan showing: 1.) the proposed ,location of the system 2.) location and distance to lot lines 3.) location and distance to structures 4.) location and distance to any -*uter supply* S.) 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. 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. Do, 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 con*truction. 1 have read the regulations above and agree to abide by tlaeae and all requirements of the Town of Queensbury Sanitary Sewage Disposal C* i.,a. cea, Signature of.responsible person: �Y y4 Town of Queensbury Building and Code Department Hay at Haviland Road Queensbury, New York 12801 (518) 792-5832 t r SETTLED 1763 . . . HOME OF NATURAL BE .. , , TY . . . A GOOD. PLACE Tf A♦i��7��, CERTIFICATE OF INSURANCE ISSUE DATE (MMIDIVYY) 10/3/88 PRODUCER g Ary9=cyi 1.leIGbO11Z' 1S1Ca THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS ].2], Wall Ste EXTEND RIGHTS UPON THE CERTIFICATE HOLDER_ THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW P 0 Box 953 Schenectadyi NY 12 3 01-09 5 3 COMPANIES AFFORDING COVERAGE 372-561a COMPAN CODE 3340 SUB-CODE LETTER Y A The Auutolr ob:Lls Imsumnoe CO . of HartfOrd, CT COMPANY INSURED LETTER The Aetna Casualty & Surety Coo COMPAY Guyer Builders ,* Inc * LETTER C J119 Dunning Street COMPANY pAAI s ton Spa p NY 12020 LETTER D COMPANY 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 NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR DATE (MMIDD)YY) PATE SMMIDDIYYI ALL LIMITS IN THOUSANDS GENERAL LIABILITY Renewal Of GENERAL AGGREGATE $ 2,v000s A g COMMERCIAL GENERAL LIABILITY C0136924 10/1/88 10/1/89 PRODUCTS COMPIOPu AGGREGATE $ 22 OW4p CLAIMS MADE g OCCUR. PERSONAL & ADVERTISING INJURY S 1p(=i OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $ lip L wo FIRE DAMAGE (Any one lire) S l )0r0 MEDICAL EXPENSE (Any One person) $ 7J AUTOMOBILE LIABILITY Renewal of COMBINED 1 A x ANY AUTO FJ390995 10 f-I /88 10 /1 /p,p SINGLE S ! -1-J �/ ! i✓ u7 LIMIT ALL OWNED AUTOS BODILY SCHEDULED AUTOS I S (Per person) HIRED AUTOS BODILY NON-OWNS❑ AUTOS INJURY S (Per accident) GARAGE LIABILITY PROPERTY $ DAMAGE EXCESS LIABILITY Rermwal of � EACH AGGREGATE DCC RRENGEB b VN31W TTA XS41 556 10/ V88 10/1/ $9 � OTHER THAN UMBRELLA FORM �p�,, _�1 WORIKER'S COMPENSATION Renerwal Of C't -� J p STATUTORY AND 379 1013AB 1Q//1/ 8T $ Iwo {EACH ACCIDENT) EMPLOYERS' LIABILITY S 5Wi (DISEASE—POLICY LIMIT) S 1,(' i (DISEASE—EACH EMPLOYEE OTHER DESCRIPTION OF OPERATIONMOCA>I'10NWVENICLES/RESTRFCTIONSISPECIAL ITEMS CERTIFICATE HOLDER CANCELLATION Building & Zoning Dept. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE TO11on of Queeasbuxiy EXPiRAy-TION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO Bay & Havl1and Road MAIL IJU DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE RD #Iv BD]C 96 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR Querensibl,kL7s N7 128030 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPNES£I'JTATIVE UbkjACORD 25-5 [3/Aiy TlE1N 1d TOWN OF QUEENSBURY BUTLDTNG AND CODES DEPAR2%MEN7t BAY & HATiTLAND ROADS LTEL?UEEN.SBURY, NEW YORK 2280� EPHONE (5.28) 792-5832 .BUILDING 'INSPECTOR ' S REPORT REVU&ST FOR /INSPEC'TSON RECZ_rVZD NAME LOCATTON ` DATE C7_c r P�`RMIT # '9- 3�a > APPROVED FOOTING/PIERS YES NO MONOLITHIC POUR FORMS FOUND4TT0N/D,gMP-PROOFING BACKFILL, APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL RO GH-TN TNSULATTON.. ---- FOUNDATION ---- FLOORS WALLS f EI.L.C`NG INA�* TNSPECTTON: CHIMNEY HEIGHT ROOFING -- STDING EJ�'TERNAL PORCHESfST S + STAI'RS-CLSARRlNCE RA LS PLUMBING FT$TURE --� INTERTOR TRI /REL F VALVE ----_ �!/P IVACY "---- v FINISHED ----- GARAGE FTREPR DOOR CLOSER ( ) FING SMOKE DETE RS FINAL ELECfi CAL INSPECTION FINAL APPR AL pF CONSTRUCTXO A SIGNE CERTIFICATE OF OBTATNB FROM THE .BUILDINOGCCOUPAN MUST BE THESE PREMISES ARE EPARTENT BEFORE OCCUPIED! i REMARKS': r i f TOR TOWN OF QUEENSBURy BU-rZDING AND CODES DEPARTMENT BAY & HAVX.Z,AND ROADS OUEENSBURY, NEW YORK -Z2,80& y, TELEPHONE (518) 792-5832 —f 1 BUILDING INSPECTOR ' S REPORT REpUEST FOR XNSPECTIO117 RECESVED_— 5 _ NAME r LOCATION DATE �t PEI3IT ## APPROVED FOOTING1jbXERS YES NO MONOLX2'HIC POUR FORMS FOUNDATIONfDAMP—PROOFING BACKFXLL APPROVAL ROUGH PLUMB,rA/G FRAMING ELECTRICAL ROUGH—IN L- - ivsuLATION, FOUNDATION FLOORS WALLS P CEILING — FINAL XNSPECTIONc CHIMNEY HEIGHT Ile ROOFING SIDING r EXTERNAL PORCH S/STEPS STAIRS—CLEARA CE 6 RAILS PLUMBING FIX2TRES/RELIEF �,—VH SNTERXOR TRIp7/PRXVACY DOORS FINXSHED FLQORS GARAGE FIREPROOFING DOOR CLOSERS) _ SMOKE DE2'ECTOR S FXNAL ELECTRICAL INSPECTION FXNAL APPROVAL OF CONSTRUCTION A SIGNED CERTXFXCATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: i f r I f i I f INSPECTOR TOWN OF QUEENSBURY BUrLDING AND CODES DEPARTMENT SAY & HAVILAND ROADS QUEENSBURY, NEW YORK 22804, TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR XNSPECTppN RECErVBD NAM.0 -- - ---_.__ LG7CATIaN " ) G' DATE PERMIT # 3 APPROVED FOOTING/PIERS YES NO MONOLITIiIC POUR FORMS FOr'NDATZOlV1 DAMP-PROOFING BACKPXZL APPROVAL ROUGH PLUMBrNG ELECTRICAL ROUGHATN INSULATION: q FOUNDATIaN FLOORS WALLS CEXLING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/S PS STAIRS-CLEARANCE RAILS ` PLUMBING FIXTUR (RELIEF INfiER"R TRIM/ RIVACY Liao ALVE FINISHED FLO S GARAGE FIRE OOFING DOOR cLasE (s) - SMOKE DET TORS FINAL ELEC CAL ZNSPECTros FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF CUPA OBTArN2?D FROM THE BUILDI� DEPARTMENT BEFORE THESE PRENX SES ARE, OCCTJPSED± REMARKS. INSPECTOR --/aura a� `gC�ee+n►�hurt�t BUILDING and ZONING DEPARTMENT Say and Hav€land Road, R. D. 1 Box 9 8 Queensbury, New York 128UT 8 LDING INSPECTOR ' S REPORT NAME LOCATION per' Date APermit / * * No . -� Footin APPROVED � * * � } " "9/Pier F�rms `- YES NO Foundation Waterproofing Backfill Framing Roofing Siding Masonry veneer Rough Plumbing Relief Valves Ext , Porches Finished Floors Interior Trim l Stairs & Railings f Cellar Drain Tile Concrete -� - Plbg , Fixtures -�-� Gar . Fireproofin- g Door Closers Smoke Detectors Chimney INSULATION, Foundation Floors Walls Ceiling FINAL ELECTRI AL INSPECTION DRIVEWAY APP VpI` -- - -_ Final. Builds ---�_ g Surv+ey Next scheduled inspection (call when ady ) Remarks- )U.ar'_ JCS k4b4eds aS7d> F Buil Ing I 6/86 and-vl ector `__ _ -- own o/ Queenshurt BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. i Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME rI x_ e �: � LOCATION / DATE PERM IT SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES Percolation rate - ~y - Min/Inch TYPE of SYSTEM: L Absorption fields total length Y Length of each trench If Depth of trenches '% Size of gravel SEEPAGE PITS{NI of) Size- ft. x `- Gravel size fF PIPING : Bldg. to ts}I�f n S �p Tank to list . box ! f Dist. box to fieldf`yit --- OPenings sealed? YES NO p-777 artial LOCATION/sE.PARATI S . Foundation to t Foundation to Absorption to 1 orption ft. t line ft. Separation of is LOCATION of Sy £t. EM ON PROPERTY (circle one} Front - Rear - Left side COMMENTS : - Right side SYSTEM USE APPR.00vEb E NO Bui.l zng Inspector 01/86 and vl I i TOWN OF QUEENSBIJRY BUILDING AND CODES DEPARTMENT SAY & HAVILAND ROADS I2804 QUEENSBURY, NEW YORK TELEPHONE ( 518 ) 792- 5832 BUILDING INSPECTOR' S REPORT ! REQUEST FOR I SPECTION RECEIVED NAME LOCATION DATE �/ i (J ram. PERMIT # APPROVED YES NO FOOT NG/PIERS OLrTHIC POUR FORMS FOUNDATION/DAMP—PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL UGH—IN INSULATION- FOUNDATION FLOORS WALLS CEILING . FINAL INSPECTION : f' CHIMNEY HEIGHT i ROOFING SIDING PS EXTERNAL PORCHES/S STAIRS—CLRARANCE I.LS ---�— PLUMBING FIXTURE RE EF VALVE INTERIOR TRIM/PR VACY IRS FINISHED FLOORS GARAGE FIREPR ING DOOR CLOSERS) Y SMOKE DETECTO SINSPECTION FINAL ELECTRIC FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED? REMARKS f lc �" IN PECTOR TOWN OF QUEENSBURY BUTLDING AND CODES DEPARTMENT DAY 6 HAVXLAND ROADS QUEENSBURY� NEW YORK 1280ld- + TELEPHONE (518) 792-5832 f BUILI]ING INSPECTOR ' S REPORT REQUEST FOR TNBPECTTON RECETVED_:2__LL2 I NAME — — LOCATION ,� Ll DATE j 4 �S FERRMTT # APPROVED Y, Na FOQTXIVG/PTERS �s MONOLITHIC POUR FORMS FOUNDATION/DAMP—PROOFING—�— BACKFTLL APPROVAL &--� 0UGH PLUMBING FRAMING ELECTRICAL RD(]GH—.TN INSULATION. FOUNDATION FLOORS WALLS CETLxNG FTNA L TNSFECTION: • CHIMNEY HEIGHT ROOFTNG SIDING EXTERNAL PORCHES/ EPS STAIRS—CLEARANCE/S TLS PLUMBING FIXTURS/R TEE• yALS�E INTERIOR TRSM/pRIVACI ; DOORS FINISHED FLOG GARAGE FIREP PING Id DOOR CLOSER ( ) .SMOKE DETECT?RS FINAL REECTR-TCAL INS`— p-e,CT—TtjN �^ FINAL APPROVAL OF CDNSTRUCTSON A .SIGNED CERTTFTCATE OF OBTAINED FROM THE BUTLD.T� DEPARTMENT BEFORE THESE PREMISES ARE OCCUPTEDI REMARKS. i { r f r f r� s INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILANE ROADS S?UEENSBLTRY, NEW YORK 1280+I TELEPHONE (518) 792-58 32 + BUILDING INSPECTOR t S REPORT REQUEST FOR TNSPECT.ION RECESVEI7 p NAME —7- LOCAT ION DATE / - PERNXT # APPROVED FOOTXlVG/PIERS YES ivo MONOLITHIC POUR FORMS FOUNDATZONI P-PROOFTNG BACKFTLL .APPROVAL ROUGH PLUMBrNG FRAMTNG ELECTRICAL ROUGH-TN L lz*sULATION: C �'OUNDATTON FLOORS WALLS CETLTNG FINAL TNSPECTTON: CHIMNEY HEIGHT ROO-FXNG STRING EXTERNAL PORCHES/ST, STAIRS-CLEARANCE ,fir PLUMBING FIXTURES/R LIF I VALVE INTERIOR TF2IM/PRYVA Y QpRS FTNTSHE LD FLOORS p GARAGE FIREOOFTNo DOOR CLOSERS) LL # - SMOKE DETECTpRS FINAL ELECTRICAL TN PECTI-02v FINAL APPROVAL OF Cf.NS'TRUCTro1v r` A SIGNED C $RTIFTCAT OF OB2ATNED FROM OCCUPANCY Bz THE BUI`LD_rNG DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: /f i ItvSP EG'TOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY S HAVILAND ROADS '2UEENSBURY,. NEW YORK 22il TELEPHONE (518) 792_5832 BUILDING INSPECTORPS REPDRT REQUEST FOR INSPECTION .RECEIVED NAME LOCATION DATE +' 7-^�-__—�PE RMIT' E Qq APPROVED L SaCFOTING/PXERS YES f so MONOLITHIC POUR FORMS POUNDATSON/DAMP_PROOFSNG BACKF2LL APPROVAL ROUGH PLUMB.TNG FRAMING RLECTRICAL ROUGH-IN INSULATION: FOUNDATION FIRS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING ' SIDING EXTERNAL PORCHES/ST PS STAIRS-CLEARANCE & PLUMBING FIXTURES JRAILS INTERIOR TRIM PR RELIEF EVE FINISHED FLOORS ACY GARAGE FTRE'PROO ING DOOR CLOSERS) - SMOKE DETECTOR FINAL ELECTRXCA INSPECT?ON 'FINAL APPROVAL F CONSTRUCTXO-N A SIGNED CERTIF1rCATE OBTAINED FROM T)j'E OF OCCUPANCY MUST BE THESE PREMISES AREBOC U IED E�'ARTMENT BEFORE REMARKS: INSPECTOR, �` MIDDLE DEPARTMENT INSPECTION AGENCY,:;1�:; NatlonHeadquarters 900 Haddbro td;,4Colliingswooicl I J. D81(}8 - y` . • Date: Town or �� y �� County_�1�f State � Location/Address 2 Wive 7 (If Located in Rural Area - Please Attach Directions) Pole # Owner. GUMWIM132MM imm Permit # Occupied As r ( c- , I A � � Building: New , � Qid Occupant Work Area in Buildin Floor #, etc. ) : for: Wirin Service or: Ready for Inspection : Fee Remitted - $ Cash Check F M.O. O Make Payable To: M,D. I.A. Number of Rough Wiring Outlets Elect. Heat aaa Aso 110001125012506147501 z000 zzao zsoa z�so a000 Switches Lighting Amp. Service. Surface Unit Dishwasher Range Receptacles Water Heater Air Conditioner Dryer Pump Number of Fixtures Oven Garbage Disposal Wiring and Ccintrots Amp. Receptacles Fractional H.P. Vent Fans Other Equipment: M OTORS H.P. 1/2 1/1 i/10 1/8 If6 .1 I/a 1/2 8/4 1 l+h 2 3 5 7ifx 10 15 2e 25 30 4U 50 75 100 mber ize t'a [, man e..M. License # Per it # Utility: r• -- � f r` nt's Address: 119 � tk NAME F CE L CAT 3 * (State) �1Y (Zi ) �p Service Request #Electrician: r: DATE RECEIVED: DATE INSPECTED: f Cr7 rr Correct Location * Same as AboveED or: Red Notice Label Rough Wiring Outlets Surface Unit =for Oven C>Switches Range1 Garba ge Disposal Receptacles Water HeaterDishwasher Cw Fixtures Air ConditioneDryer . Amp. Service Equipment Burner, Wiring Amp. Receptacle Amp. Service Conductors Pump / Vent Fans 1/201 1/i2 11/10 lf$ 1/Fr 1/4 1/3 1/2 3f4 1 lb$ 2 35 7ilz 10 15 20 25 30 4p 50 T5 leo of Each Siz+a - _ - - • - , ;z•,^. . Elect. Heat sac 750 loco xzso isaa i�so z000 22so zaoo z�sa a000 Him RW Progress: Inc. ®' LKD 0 Contractor J © CPT Violation : Work Comp. � Inc. Owner CASH 0 0 L/A C� LIA Fee CHK # Q IPA Municipal Due MO # INV # . Date: Other Side Utility C"D Applicant OwnerED Cut in Card Q Temp # Date Date INSPECTORS SIGNATURE APPLICATION POrRM NO. 250 EL I1/86 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