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1988-868 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date \iimist . 31 19 89 aD\ I This is to certify that work requested to be done as shown by Permit No. •fig-ghti has been completed. This structure may be occupied as a of Two Family Dwelling Location 3 queen Mary Drive Owner Guyer Builders, Inc. By Order Town Board TOWN OF QUEENSBURY `c- ., Director of Bldg. & Code Enforcement BUILDING PERMIT . H TOWN OF QUEENSBURY No. 88-868 • WARREN COUNTY, NEW YORK 0 PERMISSION is hereby granted to Queen Victoria's Grant — Guyer Builders, Inc. , r; OWNER of property located at 3 Queen Mary Drive Street, Road or Ave. in the Town of Queensbury,To Construct or place a of Two Family Dwelling `O at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is 119 Dunning Street Ballston Spa, New york 12020 ro 2. CONTRACTOR or BUILDER'S Name 0 r• SAME rt 0 3. CONTRACTOR or BUILDER'S Address SAME n - w 4. ARCHITECT'S Name rt. co 5. ARCHITECT'S Address t✓ CD n 6. TYPE of Construction—(Please indicate by X) Xis Wood Frame ( I Masonry ( ) Steel ( ) p n 7. PLANS and Specifications - No. 31' x 46'6" z of Two family dwelling as per plot plan, specifications, and application, including septic and attached one car garage. rD 8. Proposed Use m 0 of Two Family Dwelling N 25 ty $ 149.00.00 C/0 H. PERMIT FEE PAID —THIS PERMIT EXPIRES June 1 19 89 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) nu 0 H, Dated at the Town of Queensbury t 9th Day of November 19 88 I I� GJ o SIGNED BY J�rJ/ice '' 4 for the Town of Queensbury m Building and Zoning inspector 0 H. H. H • w . i's.'a. - s © p , _ // Application No. 0 ��J G • 1� 5own'o Queen96ury Permit Issued // = 19Y0 12,, . BUILDING and ZONING DEPARTMENT Permit Expires 5 19 ( jp� Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation 10• Queensbury, New York 12801 Variance No. , ei.i.T 11 g 5 (/7 Site. Plan Review No. / J cc - Approv y: C 0 APPLICATION FOR l6 g BUILDING AND ZONING PERMIT a * * * *• * a . * * * * * .* * iv * * * * * -* * * * * .* * it. * * * * * * * * .* *I:* A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER AL"L 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: 3Queen Mary Drive Tax Map.No. 121/� 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 sunders, inc.Address. 119 Dunning Street. Tel. (518) 899-9161 Name of mason Guyer Builders, inc.Address 119 Dunning Street Tel. (518) 899-9161 NATURE OF PROPOSED WORK: * ZONING INFORMATION: • X Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED, Addition to a building • * drawn reasonably to scale and attached hereto, • Alteration to a building * showing clearly and distinctly all buildings, (no change to exterior dimensions) * whether existing or proposed and indicate all Other'work (describe) * set-back dimensions from property lines. Give * street and:number or lot number and indicate - . * 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 REQUIREDplaE�,OW.,. 100± pgan . ft x 120*'. ft. _ _ - Sze. of property *' 'Existing`'building(s) Size'N-A ft X- -•-N/A. - f t Model -t=r= *, -., ,.,•=: ;.; -: : :•_ PROPOSED BUILDING AND USE: of * Existing building(s) Use N/A • Size of new struc e, 31 ft X46t Foundation-pier slab crawl/partial/full * Proposed building,sdistanc from property line. an circle one) * Front yard 30+- ft Rear yard 30+ ft. No. of stories (habitable space) 1 Side yards - 15+ ' ft and 15+ ft * Height (grade to ridge) 19'76" ft. If on corner, setback from side street 30+ ft If residential, no. of families 1 of 2 * No. of rooms(excluding baths) l ' * OCCUPANCY INFORMATION . No. of bedrooms 2 * PRIMARY BUILDING - No. of bathrooms 1 One family dwelling This he f r Primary heating system Baseboard electric** Two family dwelling one side° bu y&iT1 Type of fuel Electricity *. Multiple dwelling / Number of units No. of fireplaces to be installed permanent occupancy Will wood stove be installed? No * Transient occupancy • - Central Air conditioning? No * Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial * Other 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- Colonial Row Town House * Detached garage/one car/ two -car/ _ car Attached garage/one car/ two car/ one 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 COMPLETEDI Form BPA 4/86 and-vl . AUILDING 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 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 "X 6 " spacing 24 "o.c. 'length 8 ft• exterior walls . Joists(floor beams) 1st. floor N/A. "x " spacing "o.c. span N/Aft. Joists (floor beams) 2nd. floor to- "X 1 spacing - •o.c. span N/Aft. ' 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. sppani2'-6'ft. Exterior wall finish stained Of what material? ' 5/8" x 4' x 8' texture 111 Interior wall finish paint 1/Z" 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 N A 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 N/A ft. (A separate application is necessary for Any repair or new installation of septic system) See S.P.E.D.S. permit # 0202525 Town of Queensbury County. of Warren AFFIDAVIT STATE OF NEW YORK . 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 peci ied or' not, and that such work is authorized by the *owner. 0 SWORN TO BEFORE ME THIS Signature /711.---) . p�p Owner, owner's agent;arcnitect,contractor Ot day of �� 9 DO ADRtENNEJ.PiNDER • diAi_::6, ' � : Notary-Public,State of New York � C L / tluatified in Saratoga County NotaryPublic, = Y. • No.4907592 ""'""„""`'""�`' Commission Expires Oct.13,19-V * * * * * * * * *, * * * * * * * * * * * .* * * .* * , * * * .* * * * * * it * * * * '* * * a *' * * - SPECIAL CONDITIONS OF THE PERMIT: . • • / - {' ' By . • S:111n Of QuealAni APPLICATION FOR SEPTIC DISPOSAL PERMIT Ref: S.P.E.D.S. DATE 10-20-87 : /. permit # New York - 0202525'. MODEL E of L/E LOCATION OF PROPERTY FOR INSTALLATION 3 Queen Mary Drive Owner's Name: Guyer Builders, Inc. ti.• 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: arl,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? unlmown feet. Percolation test: circle one: Cot 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 structures 4.) location and distance to any 40Zter supply 0 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 $250.00. C. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must:be submitted to the Queensbury Building Department before further construction. I have read the regulations above and agree to abide by these and all requirements . - of the Town of Queensbury Sanitary Sewage Disposal Ordinance. • • Signature of.responsible person: 0 Date: Town of Queensbury Building and Code Department • Bay at Haviland Road . Queensbury, New York 12801 (518) 792-5832 • • CGTTI Sn 17AI WIMP AF .14TIIB41 RF4UTY . . . A GOOD PLACE TCi ' IP°~�o MIDDLE DEPARTMENT INSPECTION AGENCY, INC. - ✓Y `1 �.m�. ) National Headquarters 900 Haddon Ave., Collingswood, N.J.08108 APPLICANT COMPLETES THIS SECTION - Date: -2#LT-`:% (s /, Town or b'©wm ` Oueensbury County Warren State NY Location/Address 3 Queen 11-try Drive (If Located in Rural Area - Please Attach Directions) Pole # Owner GUYER BUILDERS, INC. - Permit # '' '- '.. t r. �' Occupied As ti / vi �:(•e:- "t -ram• .- ('-i Building: New Old Occupant • r Work Area in Building (Floor#,etc.): App. for: Wiring H" Service or: Ready for Inspection: Fee Remitted-$ Cash n Check n M.O. n I 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. 1/201/121/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11k 2 3 5 742 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: • i, k •` —1 Applicant's Address: 119DLSIniag Street (NAME) (OFFICE LOCATION) - (City) P t11 st-on Spa (State) NY (Zip) 12020 Service Request # . Phone # 899-9161 Electrician: GUYER BUILDERS, INC. • MDIA USE ONLY DATE RECEIVED: (_.:." '1 DATE INSPECTED: 2 Correct Location: Same as Above' f or: Red Notice Label: n _ - "Rough Wiring Outlets Surface Unit - / Oven r ••'Switches / Range I Garbage Disposal j-i/` Receptacles /Water Heater / Dishwasher 9 Fixtures Air Conditioner j Dryer / 1— 'Amp. Service Equipment Burner,Wiring&Controls for Amp. Receptacle Amp. Service Conductors Pump / Vent Fans MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 7,4 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 • CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECTFEE FEE PAID - El RW Progress: Inc. &.j LKD CI Contractor • _ ❑ CFT Violation: Work Comp.❑ Inc. ❑ _ . . • n L/A Owner CASH CI (� L/A DueFee CHK # MO # El IPA . Municipal •INV # . Date: Other Side ElUtility Applicant CI - Owner- n Cut in Card I Temp # ,Date �/L r r Y INSPECTORS SIGNATURE pi Final # Date APPLICATION FORM NO.250.EL_11/86 . SELECT BUSINESS FORMS (609) 848-5203 APPLICATION FOR ELECTRICAL INSPECTION PLEASE BEAR DOWN YOU ARE MAKING (4) COPIES ` iC)1") MIDDLE DEPARTMENT INSPECTION AGENCY,, INC. National Headquarters 900 Haddon Ave., Collingswood, N.J.08108 'APPLICANT COMPLETES,THIS SECT'QN Date: City, Town or QueenSbUry County Warren State NY Location/Address 3 Queen Nary Drive • (If Located in Rural Area- Please Attach Directions) Pole # Owner GUYER BUILDERS, INC. Permit # Occupied As Building: New[XI Old El Occupant •Work Area in Building (Floor #, etc.): App. for: Wiring Ti Service Ti or: Ready for Inspection: Fee Remitted-$ Cash[-1 Check n M.O. Ti 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 1P/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 V Electrician: GUYER BUILDERS, INC. ►+P ' e A Q!L'Y ; "{ DATE RECEIVED: DATE INSPECTED: Correct Location: Same as Above Ti or: Red Notice Label Ti Rough Wiring Outlets I 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. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1'/2 2 3 5 7'/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 = • •- FEE PAID ❑ RW - Progress: Inc.Ti LKD Ti • Contractor • ❑ CFT ' Violation: Work Comp.Ti Inc. Ti [� L/A Owner CASH ❑ ❑ L/A Fee CHK # Due MO # Ti IPA Municipal • INV # Date: Other Side • Utility •• Applicant Ti Owner ❑ Cut in Card 1-7 Temp # Date • - • . •• -. ..,moo Gr•.-..go c �n n-ri MID[ E DEPARTMENT INSPECTION AGENCY,INC" Electrical-Building-Plumbing-Fire Inspections Labe �`` 500E a 55 V Date_ -11N11 — I ector • T constitutes certification that the I " 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 stuc- ture, application for inspection should be submitted promptly to this Agency. 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 NAMEo LOCATION 3 0 LpucO,-- 1 Iri DATE 3 d -' / PERMIT # APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DDMP-PROOFING BACKFILL APPROVAL 1. ROUGH PLUMBING r` FRAMING ELECTRICAL ROUGH-IN.`^ INSULATION: FOUNDATION \ A FLOORS WALLS CEILING /INAL INSPECTION: \ CHIMNEY HEIGHT iA / /1/4- ROOFING a D� SIDING ' t„ EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS /1/ PLUMBING FIXTURES/RELIEF VALVE y( INTERIOR TRIM/PRIVACY DOORS '✓�'� FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(IS) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION i FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: • NSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT / ✓✓✓✓ )V7 BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280$ TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME -(/ /� LOCATION � -4, , 72 DATE `[9 -F-g PERMIT I r f APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP—PROOFING CKFILL APPROVAL OUGH PLUMBING MING /ti' ELECTRICAL ROUGH—IN INSULATION: FOUNDATION FLOORS WALLS �F CEILING a4 FINAL INSPECTION: \ CHIMNEY HEIGHT \ ROOFING N% SIDING " / EXTERNAL PORCHES/STEPSr STAIRS—CLEARANCE & RAID, PLUMBING FIXTURES/RELIEF",VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS ,l GARAGE FIREPROOFING DOOR CLOSER(S) I 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 12804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME f�.yfLL • LOCATION /l- 3 CPuep"ze ,-e(- ./(3 , DATE /7/ PERMIT- ✓ 1 1 • ���/// APPROVED YES . NO. • FOOTING/PIERS MONOLITHIC POUR FORMS • FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING • FRAMING ELECTRICAL ROUGH-IN • (t INSULATION: FOUNDATION - \ FLOORS WALLS r . /7 • CEILING t ,r �� X FINAL INSPECTION: R, i • CHIMNEY HEIGHT ROOFING SIDING - EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & "RAILS PLUMBING FIXTURES4RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS ;7 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 I Down of Queeniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME � v r LOCATION ( - T -7 - '-� -1/ DATE 5 /62{-. PERMIT NO. U O "ffW 7 SOIL TYPE Sand/ - Loam - Clay - Percolation equired? YES - NO .Percolation rate\- Min/Inch - TYPE of SYSTEM: 1 Absorption field,\\ total length Length of each trench Depth of trenches Size of gravel SEEPAGE PITS{Number of) _ Size- ft. X \, ft. Gravel size PIPING: ' Size Type Bldg. to tank ,,4-6 ,, Tank to dist. box \ & Dist. box to field/ it, (2 ' Openings sealed? . ES NO' Partial LOCATION/SEPARATIONS: '`� Foundation to tank ; , ft. y! ��. fyf'' Foundation to absorption 's ft. �v? �J Absorption to lot liner` \ ft. w Separation of pits RI \ ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear - Left/side - Right side - COMMENTS: J� t -'--a ,..4 . ///'11--e- �L r- 7.=% I SYSTEM USE APPROVED /(YE 8 O / 1 r Buil ng nspector 01/86 and vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS �1 QUEENSBURY, NEW YORK 12804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED S NAME LOCATION l (I( P e n-) cY r /Lk,_e DATE S -/0 ->% PERMIT # APPROVED YES NO FOOTING/PIERS / 1/FIONOLITHIC POUR FORMS ►/J FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING ' FRAMING ELECTRICAL ROUGH-IN INSULATION: / FOUNDATION FLOORS WALLS f 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) 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 //441 QUEENSBURY, NEW YORK 12804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED S y 5 NAME i, LCi7_0. (.1� LOCATION _2) Q l,l ,(2_Q_r) YI'\GL J. jtLA�- DATE 5 - S -O I PERMIT # 6 6 -ZS G Y APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL .-ROUGH PLUMBING FRAMING \ r` ELECTRICAL ROUGH-IN, INSULATION: FOUNDATION r. FLOORS WALLS / CEILING if ',, FINAL INSPECTION: '+ CHIMNEY HEIGHT ROOFING f SIDING / EXTERNAL//PORCHES/STEPS STAIRS-Q"LEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIq5R 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: t ,ref lfr , I_ 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 NAME �- Ca_ylit_13 LOCATION T61-?if,/kti-71-A/ • DATE (2i/f PERMIT # ( ' L� l` APPROVED • YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUG!h-IN • / INSULATION: . FOUNDATION FLOORS 1\ WALLS CEILING FINAL'INSON: CH EY H ROOFING ' '� ) SIDING �, 1 EXTERNAL PCB ' TEPS • STAIRS-CL}' RANC/E' & RA'TLS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING , . DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION` FINAL APPROVI�L OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! • • REMARKS:` J Ii`•rs, ! [,� J N -J t I Ado atl 5— C�e��11- 14/5P6( -C65)/� .. rs INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT n/� BAY & HAVILAND ROADS �V � QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED a-17 NAME �� LOCATION 3 (x L( .0 DATE J 2"'7 -5-r PERMIT # APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP—PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ' ELECTRICAL ROUGH—IN ( INSULATION: f (/FOUNDATION � ,a FLOORS WALLS CEILING ,,/ FINAL INSPECTION: rr'' CHIMNEY HEIGHT'. ROOFING SIDING ,bp EXTERNAL PORCHES/STEPS STAIRS—CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSERS) SMOKE DETEOTORS FINAL ELECTR±CAL INSPECTION FINAL APPROVAL OF CONSTRUCTION }' A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!' REMARKS: ` / l; ,f It INSPECTOR t _Down of Queeniurij BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 • SEPTIC DISPOSAL SYSTEM INSPECTION NAME cy /2. LOCATION .4 6� �'/ /0>AR DATE /, 4 / ' PERMIT NO. U g (Y/4' SOIL TYPE - qand-. - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of\SYSTEM: Absorption field, total length Length of each trench / ,,�`. Depth of t enches ' //', , ZII ) L?_. Size of gravel' / SEEPAGE PITS{Nuinber of) / Size- ft\X ft./ Gravel size \ .f / PIPING: / Size i, Type • Bldg. to tank / '1 - 7/L- Tank to dist. box/ Dist. box to field/pit Openings sealed? \YES N _:jO_ Partial LOCATION/SEPAR,A,rr ION Foundation to 1tank \ ft. Foundation to,absorp ion ft. Absorption to lot lin ft. Separation off pits \ ft. LOCATION OF/SYSTEM ON PROPERTY(circle one) Front - Re_ar - Left side - Right side - COMMENTS: r • CJ G /1 ,7.. 1I•' . 'IUS- /l4,r, :�or�-v7 f/l/ , lC«�. �z 11° IL .4 SYSTEM USE APPROVED YES NO 11/K. BuilBi n-g Ins p ector 01/86 and vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR I��ii S ECTION RECEIVED AK-4 NAME /i __4', e/1-) LOCATION / F/_e_�rC2 G�_6,1/' DATE ��; ir JJ PERMIT # ,g l r APPROVED YES AO L,Ne6ING/PIERS ✓ MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLU BING FRAMING ELECTRICAL OUGH-IN INSULATION: / FOUNDATION / FLOORS / WALLS CEILING FINAL INSPECTION: \ CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/S, E" STAIRS-CLEARANCE;& RA S PLUMBING FIXTURDS/RELIk VALVE INTERIOR TRIM/P/RIVACY D ORS FINISHED FLOORS GARAGE FIREP OOFING DOOR CLOSER(S) SMOKE DETE TORS FINAL ELECT ICAL INSPECTION FINAL APPR VAL OF CONSTRUCTION,, A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: 64 cu 4,4 I✓ INSPECTOR r� rJ ' i r ; REFERENCE DRAWINGS, S SITE UTILITIES SEPTIC & WATER VanDUSEN & STEVES SURVEY PLAN Q-MODEL ROOF PLAN WILL VARY _ — — — -- — — ACCORDING TO SALE, DRAWING SNOWS ONE STYLE ONLY MAR.Y 8' 0 DINER 9' 0 DEPTH