1988-869 • �,. _ram,,: yr'1.^„ .�!-'i, _ .. ,w .rf;.�;:`"1 4 d :d�P, . •
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CERTIFICATE, OF OCCUPANCY
TOWN OF 'QUEENSBURY
WARREN COUNTY, NEW YORK
Date April 24 19 89
%0) n
This is to certify that work requested to be done as shown by Permit No. AR-869
has been completed.
This structure may be occupied as a § of Two Family Dwelling
Location 14 Queen Mary Drive
Owner Guyer Builders, Inc.
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
•
TOWN OF QUEENSBURYPo
No. 88-869
WARREN COUNTY, NEW YORK oz
PERMISSION is hereby granted to Queen Victoria's Grant—Guyer Builders,Inc.
OWNER of property located at 14 Queen Mary Drive Street,Road or Ave.
in the Town of Queensbury,To Construct or place a of Two Family Dwelling
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 .O
119 Dunning Street
Ballston Spa, New York 12020
H.
2. CONTRACTOR or BUILDER'S Name
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n
SAME H.
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3. CONTRACTOR or BUILDER'S Address
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SAME
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4. ARCHITECT'S Name
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N.
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) n
f )XIVood Frame ( ) Masonry ( I Steel ( )
+�
7. PLANS and Specifications
No. 31' x 46' 6" # of Two family Dwelling as per plot plan, specifications
and application, including septic and attached one car garage.
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8. Proposed Use w
ri
of Two Family Dwelling
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25.00 C/O
$ 145.00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 1 1989
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
rh
town of Queensbury before the expiration date.)
H
Dated at the Town of Queensbury this 9th Day of November 1988
1,1
� n' Te� /"
SIGNED BY �� for the Town of Queensbury
Building and Zoning In pector
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oa
�J D Application No. g0 -s ,9 , 996 K �/G to. 6
Jown -�D�f. - ueenitury Permit Issued J/_ 191< •
BUILDING and ZONING DEPARTMENT Permit. Expires 19 • poor.//g
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation SP -iA/ .bMos 20 (
Oueensbury, New York'12801 Variance No. /2..
_ f R Site Plan Review No. 25 CO •?J .
21 Approved. by: 7. //g g�
•
APPLICATION FOR . . l (�
BUILDING AND ZONING PERMIT . •
.
* * *. * *. * - * * * * * * * * * * * * * * * * * •.* * * * * * * * .* * * * * *;:*
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 description, plans and specifications submitted, and such
.special conditions as may be indicated on the Permit.
The owner of this property is: Guyer Builders, Inc.
P.O. Address 119 Dunning Street Ballston Spa, New York 12020 Tel. (518) 899-9161
Property Location:
14 Queen Mary Drive • Tax' Map No. 121/_iq
Street number or building lot' number
Subdivision name (if applicable) Queen Victoria's Grant
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK. AS REGARDS BUILDING CODES IS:
Richard H. Guyer III . (518) 899-9161
Name P.O. Address Tel. No.
Name of builder Guyer Builders, Inc.Address 119 Dunning Street Tel. (518) 899-9161
Name of plumber Guyer builders, inc.
Address 119.IJunning Street -Tel. (518) B99-9161
Name of mason Guyer builders, inc.
Address 1).9 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 . .
* whether interior or corner lot. Show location ..
FOR DEMOLITION PERMIT, STATE SIZE AND * of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTED. * of septic disposal area. .
* COMPLETE INFORMATION REQUIRED $ElOW.
sce l0
.: : , 100# p
P an ft x 120ft.
. °_* S�i•ze:: of• property �•
`'. '-:*• -Existing'building(s) Size NSA ft X N/A ft.
1 Model * - ' , • - .. -
PROPOSED BUILDING AND USE: of T-T * Existing building(s) Use N/A
Size Of new strut a 31 ft X46 rt *Foundation-pier slab crawl/partial/full * Proposed building,sdistance from property line . -
lan
circle one) * Front yard 30+ ft Rear yard • 30+ ft.
No. of stories (habitable space) 1 ft. * Side yards • 15+ ft and 15+ ft
Height (grade to ridge) '-
If residential, no. of families 1 of 2 * If on corner, setback from side street_30+ ft
No. of rooms(excluding baths) ----75 — * OCCUPANCY INFORMATION
•
No. of bedrooms 2 * PRIMARY BUILDING -
No. of bathrooms 1 One family dwelling This }�e f r
Primary heating system Baseboard electric** Two family dwelling one sde bu ��in$'
Type of fuel Electricity *. Multiple dwelling / Number of units
No. of fireplaces to be installed Permanent occupancy
Will
a wood stove be installed? No * Transient occupancy
Central Air conditioning? No * Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
* OtherV
Ranch Contemporary Lo. cabin * if addition, what will use be?
Raised ranch Mansion Duple . •
Split level Old style Bungalow * .,
Cape Cod Cottage Other * ACCESSORY BUILDING-
•
Town House * Detached garage/one car/ two :car/ car
Colonial Row one car
Attached garage/one car/ two car/( CIRCLE ONE PLEASE ) * �_
* * * * * * * * * * * * * * * * * * _Private storage building
ESTIMATED MARKET VALUE OF * Other '
CONSTRUCTION *
INFORMATION ON .BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! .
Form BPA 4/86 and-v1 . •
•
BUILDING PERMIT APPLICATION CONTINUED - :=-,_',s,.
' 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 8" •
Depth of foundation below grade. (to bottom of footing) 48" minimum '
' 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 Fiberglass shingles
Size, wood studs 2 "X 6 " spacing 24 "o.c. length 8 ft. exterior walls-
Joists(floor beams) 1st. floor N/A. "X " spacing "o.c. span N/A ft.
Joists (floor beams) 2nd. floor to. "X ' spacing .o.c. span N/A ft.
Overlays(ceiling beams) • "X " spacing 24 "o.c. span N/A ft. •
Roof rafters "X " spacing 24 o.c. span N/A ft.
Roof trusses(pre-engineered) spacing 24 "o.c. sp- aann-2'-6'ft.
Exterior wall finish stained Of what material? 5/8" x 4' x 8' texture 111
Interior wall finish paint 1/2" sheetrock
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
1/2" type "X" sheetrock
Is there to.be an opening between garage}and dwelling? yes If so will a Fire-rated - . •
door, enclosure, and self-closing device be provided? yes
.Will a flue-lined chimney be installed? No Height above roof N/A ft.
Depth of chimney foundation below grade -Wit:
ft
Depth of fireplace hearth N/A ft. in. .
Water supply - Municipal or private well municipal
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties NIA ft. , .
(A separate application is necessary for any repair or new installation of septic system)
See S.P.E.D.S. permit 4t 0202525
Town of Queensbury • AFFIDAVIT STATE OF NEW YORK
County.,of Warren
I swear that to the best of my knowledge and belief the statements contained
in this application, together with the plans and specifications submitted, are a true and
complete statement of all proposed work to be done 'on the described premises and that all
provisions of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to
the proposed:work shall be complied with, whether specified or not, and that such work is .
authorized by the 'owner. •
0
SWORN TO BEFORE ME THIS Si nature z! ..
Owner, owner's agent, rcnitect,contractor
o °4 Q day of 19 ADRIENNE J.PINDER
k.
----47ZIA.tite,' --t-itd?A--
• Notary Public;State of New York
Qualified in Saratoga County . .
. Notary .Public, _ son County, N.Y-. No.49075S2 .
Commission Expires Oct.13,19�9
* * * *..* *: * * *. * * * * * * * * * * .* * * * * * * * * .* * * * * * * * * * * * .* * * * *. *
SPECIAL, CONDITIONS OF THE. PERMIT:
•
•
By .
`�rutiti Of Olteliatitne
_,
APPLICATION FOR SEPTIC DISPOSAL PERMIT
• Ref: S.P.E.D.S. .
DATE 10-20-87 / • permit I/
New York 7 0202525'
MODEL ,T of .T/T
LOCATION OF PROPERTY FOR INSTALLATION 14 Queen Mary Drive
Owner's 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 A, C, E, I, J, K, L, M.
Number of bedrooms (residential only): 2 _ 3 F, G, H
Total daily flow (compute @ 150 gal per bedroom). 300
• .. Topography: circle one: ago Rolling Steep Slope % of slope
Soil Nature: circle one: Sand Loam Clay Other ./ Depth: . 8' feet.+
Ground Water: At what depth? unknown 8 feet +
Bedrock or Impervious Material: At what depth? unknown feet
Percolation test: circle one: 61-ot require required / rate min. inch.
Domestic water supply: circle one:_ cipal 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 feet'
* Size of stone to be used # / Depth or Thickness feet
* * * * * * * * * * *•* * * * * * * * * * * * * * * * * * *,* * * * * * * * * * *
IMPORTANT * See S.P.E.D.S.
...Please...LIST NEW EQUIPMENT TO BE INSTALLED permit & .attached
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * map.
•
(over)
Section II Septic System Inspections:
A. All applications for septic system installation, alteration or repair, as •
required by the Town of Queensbury Sanitary Sewage Ordinance, shall •
be submitted to the Building Department at least 24 hours before start
- of construction and shall include a plot plan showing:
1.) the proposed.location of the system
2.) location and distance to lot lines
3.) location and distance to stru5tures
4.) location and distance to any::iilrhter 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 $250.00.
•
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may result
in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installation,
alteration or repair of an approved system, a new proposal must:be submitted
to the Queensbury Building Department before further construction.
•
•
1 bave read the regulations above and agree to abide by these and all requirements
of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
•
Signature of.responsible person:
Date:
•
Town of Queensbury
Building and Code-Department
•
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
••
SFTTI FI) 1763 • . . HOME OF NATURAL BEAUTY . . . A GOOD.PLACE TCi
SELECT BUSINESS FORMS (609) 848-5203
APPLICATION FOR ELECTRICAL INSPECTION
PLEASE BEAR DOWN YOU ARE MAKING (4) COPIES
MIDDLE DEPARTMENT,INSPECTION AGENCY, INC.
c �J National Headquarters
900 Haddon Ave., Collingswood, N.J. 08108
APP�.ICANT I OMI'I.ETES•THIS SECTION,' Date:
X( Town or MEOW QnPPnshnry County Warren State TTY
Location/Address 14 Queen Mary Drive
(If Located in Rural Area -Please Attach Directions) Pole #
Owner GUYER BUILDERS, INC. • Permit # — ��r7 c/
Occupied As Building: . Newt X Old❑
Occupant
Work Area in Building (Floor #,etc.):
App. for: Wiring n Service❑ or: Ready for Inspection:
Fee Remitted-$ Cash n Check ri M.O. n Make Payable To: M.D.I.A.
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Number of Rough Wiring Outlets Elect. Heat
Switches
Lighting Amp. Service Surface Unit Dishwasher Range
Receptacles Water Heater Air Conditioner Dryer Pump
Number of Fixtures Oven Garbage Disposal . Wiring and Controls for Burner
Amp. Receptacles Fractional H.P. Vent Fans
Other Equipment:
MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size •
Applicant's
Signature License # Permit #
T/A GUYER BUILDERS, INC. Utility: NMPC
Applicant's Address: 119 Dunning Street (NAME) (OFFICE LOCATION)
(City) Ballston Spa (State) NY (Zip) 12020 Service Request # '
Phone # 899-9161 Electrician: GTIYFR RTITTflFRS TNC_
.;,P„.:1IPIA USE ONLY . : DATE RECEIVED: DATE INSPECTED:
Correct Location: Same as Aboven or:
Red Notice Label I-I
Rough Wiring Outlets Surface Unit Oven
Switches Range - Garbage Disposal
Receptacles Water Heater Dishwasher
Fixtures Air Conditioner Dryer
Amp. Service Equipment Burner, Wiring &Controls forI .
Amp. Receptacle
Amp. Service Conductors I Pump - Vent Fans
MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size •
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Elect. Heat
•
CORRECT '
CERTIFICATIONS . USE FOR INITIAL VISIT ONLY .NOTIFIED DATE FEE PAID :'.
❑ RW Progress: Inc.❑ LKD❑ .. Contractor
❑ CFT . Violation: Work Comp.❑ Inc. CIfn L/A Owner CASH ❑
(� L/A Fee ' CH K #
Due MO #
n IPA .. _ . Municipal
INV #
•
Date: ' Other Side❑ Utility Applicant ❑❑
y Owner
Cut in Card n Temp # Date
INCPGrTnoc clr;nlATuIRF
�1 .' , /� �� �� , , • , /� N r1 , / / ,i �\ , / �1 /r , '/
(� MIDDLE DEPARTM N AGENCY, INC ,67 7b 1 )
r
: 1. I PEC)7 Dates May 20, 1990' c:
... ' — °yam® .
(�Certlf leD that t .` `r ct yr al uipment listed has been e m r e n'.its approved as being in accord y
r4 with the National Elect d=1 e, plicable governmental, utility an .n es. )
COwner: Guyer Builder .r. c� r�, t. �i :" 73upatcl � . _ C)
Occu ant:Single Familyp� ki: �;F,�•„ �� 44-sue �"
'4` i..diz�`( , t hIS ce ficate eoveis t— le rice uipment and installation inspected this
Location: 14 Queen Mary i ,Qu�v nsFS (WAl..`en Co) `�]4 " "+' o (j
s date. It additional ui 'Meng shag be introduced or alterations made to �. •
_ s existing system thiTc t ica a sail be null and void, and application for
inspection should submitterd pr$'��tly to this Agency.
E ui ment: 65 Outlets; A Sece tacles; 1 e.,.t p e p g v
Q p p �• p� '� �Y„�,j 1' � �0 �Jolder of this ceytificate sh�id�p, ent same to his property insurance carrier
50 Am Servic A antes; V•en F (agentorcomp ny)asevi nc�A ertificatianof electrical equipment approved
as specified. a`' C
7
I—Guyer Builder' 'x c �- r; 3
Applicant 119 Dunning Stree - 'LICE 0. 16-021227 `
L Ballston Spa, NY 12 2$ ,,
Label No.500E
•
MIDDLE-DEPARTMENT.INSPECTION AGENCY, INC.
Electrical-Building-Plumbing-Fire Inspections
' f C�v��Ki crr
Date •4,-�s - .�� �►\ _
_ ,
T' constitut's certification that the
above installation, but not the equip-
ment itself,has been visually inspected
as of this date pursuant to the applic-
able codes. If additional equipment
should be introduced or alterations
made to the existing system or struc-
ture, application for inspection should
be submitted promptly to this Agency.
.. i •
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT //90j7;)
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME /� `� �)
�LOCATION 7 "'/
DATE 4/ 7/ • PERMIT # 0(v
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING /
BACKFILL APPROVAL\ • /
ROUGH PLUMBING \ d'
FRAMING f
ELECTRICAL ROUGH-IN\
INSULATION: s /
FOUNDATION r
FLOORS t� P
WALLS �; p,�
CEILING
/epTkAL INSPECTION:
CHIMNEY HEIGHT t •i
ROOFING
SIDING ri
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS n
PLUMBING FIXTURES/RELIEF VALVE !/
INTERIOR TRIM/PRIVA`CY DOORS i';
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S) •
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION \ / /I/0
FINAL APPROVAL OF CONSTRUCTION '�, l7
•
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE -
THESE PREMISES ARE OCCUPIED!
REMARKS:
Issue O
e/°AC/' 311
INSPECTOR
- -
awn o/ Queeni‘ury
• BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
• Queensbury, New York 12801
. "
•
SEPT C DISPOSAL SYSTEM INSPECTION
' 4
LOCATION/a /, (3'
DATE41/1q / S5 PERMIT NO. it /11e7
SOIL TYPE Sand - Loam - Clay - '
Percolation Test Required? YES - NO
Percolation rate - Min/Inch /
TYPE of SYSTEM: /
Absorption ?ield, total )length
Length of each\trench ./'
Depth of trenches '
Size of gravel: \ I
SEEPAGETITS4Num er/Elf) ' 4
Size- g ft. X ift.
Gravel size -ti-%\
PIPING: / \ Sizei Type
/
Bldg. to tank 1. \ 6 •
Tank to dist. box
Dist. box to field/pit \ 4
Openings sealed? YES \NO Partial
/
LOCATION/SEPARATIONS: \)„,
Foundation/to tank • .,-ele- ft.
f
Foundation to absorption
Absorption to lot line ..el?t.
Separation of pits Y ft.
LOCATI0111 e YSTEM ON PROPERTY(Circle one)
Front db- Left side - Rightside -
CCMMENT .,,
(kb— 1,4--bi'L lik A- 1 6 O
0,
6-fe__,..._ , L31/6----,---f Cub--0,--Qc+L6A----c
SYSTEM USE APPROVED ' LS NO 0 iL)1
k
•
it L
Buiiding In-. "ctor •
01/86 md vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT ^n
BAY & HAVILAND ROADS rAd " ,
QUEENSBURY, NEW YORK 1280�
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 3//6, F' /
NAME J (�(�
LOCATION Ay a,„L(,P,.-n Ir2t 4226,l7-e_
DATE / 9 PERMIT #
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN /
INSULATION:
FOUNDATION \
\ /
FLOORS I
WALLS j/
CEILING '�-%�a L.
FINAL INSPECTION:
CHIMNEY HEIGHT '%
ROOFING
SIDING ',. •`
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE &,:•`RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PR OACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING `t
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL .OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
r
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
k'o4-4--ch
I CTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT ,i/g '/
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR NSPECTION RECEIVED
NAME
LOCATION //N/A (2•�C- i/-z) 7( (-
DATE -/� PERMIT #
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
( 'OUCH PLUMBING
MING •
ELECTRICAL ROUGH-IN '
INSULATION
FOUNDATIO
FLOORS j .
WALLS .
CEILING
FINAL INSPECTIO` :
CHIMNEY HEIGH t .
ROOFING '; • +• •
SIDING
EXTERNAL PORCHES/ta,TEPS
STAIRS-CLEARANCE &\RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY\DOORS
FINISHED FLOORS)
GARAGE FIREPROOFING
DOOR CLOSER(S)•1 °`F•
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION .•
FINAL APPROV)I4 OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!. •
REMAR 3w n
1d14 /1,Wtvr�JJ - 41).
•
60 4t 4 Pe•
•
I PECTOR
.' r2_4--c i <-L- J Z=oo Morn A
TOWN OF QUEENSBURY PM
BUILDING AND CODES DEPARTMENT In)Se(7c..7(C).(/
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FO INSPECTION RECEIVED
NAME
LOCATION I — 16 -
DATE Z Z PERMIT # C
APPROVED
YES NO
FOOTING/PIERS 11-OQ YL S Lt- i3
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
)(ROUGH PLUMBING " f AI RLA-E3V
FRAMING
ELECTRICAL ROUG!J-IN
>SINSULATION:
KFOUNDATION �
FLOORS
WALLS
CEILING
FINAL INSPECTION: \
CHIMNEY HEIGHT \
ROOFING
SIDING �.
EXTERNAL PORCHES/STEPS\,
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF\VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING .
DOOR CLOSER(S) d,
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:
/) fl
11 IN CTOR
C .
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION
DATE /1 �( PERMIT # ( ��j GJ
.// APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
KSULATION:
G FOUNDATION
FLOORS
WALLS
CEILING F
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE .& RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
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:
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS �/
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 2%/--//6
NAME ,
`�LGC.r�/ti'
LOCATION ��y 43. L,CPL�/12 1441A- ,C-9A -52-'
DATE /1-/�J PERMIT # 0('�� 7
APPROVED
YES NO
LE06TING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICALROUGH-IN
INSULATION:
FOUNDATION
FLOORS N
WALLS \ /
CEILING `
FINAL INSPECTION: \
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/ST PS
STAIRS-CLEARANCE RAILS
PLUMBING FIXTURE//RELIEF VALVE\,
INTERIOR TRIM/PRIVACY DOORS \
FINISHED FLOOR
GARAGE FIREP260FING
DOOR CLOSER( )
SMOKE DETE9TORS
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:
ECTO
CLEANOUT
TO GRADE
16
N
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V
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