1988-879 CERTIFICATE,' OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date NaY 23 19 89
3/3\ t 0\- 140'
This is to certify that work requested to be done as shown by Permit No. 88-L79
has been completed.
This structure may be occupied as a z of Two Family Dwelling
Location 17 Queen Mary Drive
Owner Guyer Builders, "inc.
By Order Town Board
TOWN OF QUEENSBURY
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Building & Zoning inspector
BUILDING PERMIT
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TOWN OF QUEENSBURY
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No. RR—R74
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Queen Victoria's Grant— Guyer Builders,Inc. Iv
OWNER of property located at 17 Queen Mary Drive Street, Road or Ave.
in the Town of Queensbury,To Construct or place a z of Two Family Dwelling 10
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.
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1. OWNER'S Address is
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119 Dunning Street
Ballston Spa, New York 12020 1-6
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2. CONTRACTOR or BUILDER'S Name
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SAME cn
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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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a.
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) •
XQ Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 42' x 26' # of Two Family Dwelling as per plot plan, specifications,
and application,including septic.
8. Proposed Use
H.
i of Two Family Dwelling �
20.00 C/0
$ 120.00
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
town of Queensbury before the expiration date.) o
Dated at the Town of Queensbury 9th Day of November 1988
N.
SIGNED BY ? ' A /;r for the Town of Queensbury
Building and Zoning I*,spe
H
H
H.
. 'ID; '+ COMPL.t.:VIJ !! J ISLW. ui'+YI. . ' .
c-7 �' / Application No. " 1 �
✓own o QueenJOur Permit Issued - 19 � .
..BUILDING and ZONING DEPARTMENT Permit Expires 19
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation
.Queenabury,'New York 12801 Variance No." Pe/Iv-'v . 116 Cgi
Site Plan Review No. • CO .��o0
121-L1�fcq. Approv y: rJ 0
APPLICATION FOR • � /-/ "
BUILDING AND. ZONING PERMIT ykU/
*'* * * *. * * . * * 4 * * a * * * * * '* * * * * * * * * * * * * * * * * * * *D* .
. 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. •
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Tha owner of this property is: GUYER BUILDERS, INC. i`
P.O. Address 119 DUNNING STREET BALLSTON SPA, NEW YORK 12020 Tel. (518) 899-9161
Property Location: 17 Queen Mary Drive Tax Map No.1 / / I
. 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: .
. Name P.O. Address Tel. No. '
dame of builder GUYER BUILDERS, INC. Address 119 DUNNING STREET Tel. (518) 899-9161
Name of plumber GUYER BUILDERS. INC. Address 119 DUNNING STREET - Tel. (518) 899-9161 .
Game 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 . .
FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location
LOCATION OF STRUCTURES AFFECTED. ' of water supply and. location and configuration
•* of septic disposal area.
. *
, -,. COMPLETE INFORMATION REQUIRED BELOW. •
(see
.. : ::.Size :of iproperty� ± t X 120
odel ;�. :.:. :
;,Ex st `n9.building(s) size N/Aft X N/A ft. .
M . .
'PROPOSED BUILDING AND USE: Q
of IQ -Existing building(s) Use . N/A
Size of new structure 42-Oft X 26- t
Foundation-pier/slab/crawl/partial/full * Proposed-building, distange from property line
( bee riot Plan
circle one)
No. of stories (habitable space) 1 * Front yard 30+ ft Rear yard 30+ ft.
Height (grade to ridge) 19-6 ft. * Side yards 15+ ' ft and 15+ ft
If residential, no. of families 1-2 * If on corner, setback from side street 30+ ft
No. of rooms(excluding baths) ` 5 ' * OCCUPANCY INFORMATION
No. of bedrooms 1 ,* PRIMARY BUILDING -
No. of bathrooms 1 One family dwelling
Primary heating system BASEBOARD Fi.F�(;TRI'C. X Two'family dwelling
Type of fuel ELECTRICITY
No. of fireplaces to be installed 0 _ * Multiple dwelling / Number of units
Will a wood stove be installed? NO * Permanent occupancy
Central Air conditioning? • NO * Transient occupancy •
* Business
BUILDING STYLE,- PRIMARY STRUCTURE * Industrial
Ranch Contemporary Log_cabin * Other '
Raised ranch Mansion Duplex * If addition, what will use be?
Split level Old style ungalow *
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car .
x . * * * .* * . * * * * * * * * * * * * _Private storage building
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ESTIMATED MARKET VALUE OF * Other '
CONSTRUCTION $ 55K * . •
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INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! .
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Form BPA 4/86 and-vl
WILDING PERMIT APPLICATION CONTINUED -
WILDING 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"
pepth 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 - lope flat/shed/other Material..of roof FIBERGLASS SHINGI•FS
Size, wood studs "X 6 " spacing 2 "o.c. length •8 ft. exterior walls
Joists(floor beams) 1st. floor N/A"X " spacing "o.c. span ft.
Joists(floor beams) 2nd. floor 2 "X 10 " spacing 16 "o.c. span ft. •
Overlays(ceiling beams) "X " spacing_..24 "o.c. span ft. SEE PLAN'
Roof rafters "X " spacing 24 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 111
Interior wall finish PAINT 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? 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 N/A ft. 0
Depth of chimney foundation below grade 7717t.
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
tun of Queensbury AFFIDAVIT
STATE OF NEW PORK
'ounty of Warren
I swear that to the best of my knowledge and belief the statements contained
n this application, together with the plans and specifications submitted, are a true and
:omplate statement of all proposed work to be done 'on the described premises and that all
Nrovisions of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to
he proposed work shall be complied with, whether s•ecified or not, and that such work is
authorized by the owner. / . . ..
MORN TO BEFORE ME THIS Signature_,'
__ _ - --a
�� Owner, owner's agepf,arcnitect,contractor
dayf/�e�L � '� 19 o0
ADRIENNE.1.PINDER
Notary Public,State of New York
• Qualified in Saratoga County
No.4907592
+,otary Public,(eilAtiftWixelleei
Commission Expires Oat.13,19,
* * * * * * * * *, * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * . ,
i ..
;PECIAL CONDITIONS OF THE PERMIT:
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By
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• Of Oliarageni
APPLICATION FOR SEPTIC DISPOSAL PERMIT
Ref: S.P.E.D.S.
DATE 10-20-87 '. permit #
New York - 0202525'
MODEL M of M/T
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LOCATION OF PROPERTY FOR INSTALLATION 17 Queen Mary Drive
Owner's Name: Guyer Builders, Inc. j:..•: 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: all0Rolling 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: (t requir� required / rate min. inch.
Domestic water 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. (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
* * * s * * * * * * * * * * * * * * * * * * * * * * * * * *.* * * * * * * * * * *
IMPORTANT * See S.P.E.D.S.
...Please...LIST NEW EQUIPMENT TO BE INSTALLED permit & attached
* *1* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * map.
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(over)
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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 gystem
2.) location and distance to lot lines
3.) location and distance to structures
4.) location and distance to any itIZ.ter 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.
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I have read the regulations above and agree to abide by these and all requirements
of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
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Signature of.responsible person:
•
Date:
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Town of Queensbury
Building and Code Department
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Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
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SFTTI Fn 1763 . HOME OF NATURAL 13IsAUTY . . . A G00D.PLACE TO '
SELECT BUSINESS hUKMS (bll ) 84tl-72U.3
APPLICATION FOR ELECTRICAL INSPECTION .
PLEASE BEAR DOWN YOU ARE MAKING (4) COPIES •
'; 1;/':, - MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
.... 1 National Headquarters
- - 900 Haddon Ave., Collingswood, N.J. 08108
'APPLICANT CQMPLETES-Ns SECTIQN, Date:
`2Ei, Town orb Q eensbnry County Warren State NY
Location/Address 17 Queen Mary Drive •
(If Located in Rural Area-Please Attach Directions) Pole #
Owner GUYER BUILDERS, INC. Permit # ,cis- 5'7`I
Occupied As Building: Newrrl Old❑
Occupant -
•Work Area in Building (Floor #,etc.):
App. for: Wiring❑ Service❑ or: Ready for Inspection:
Fee Remitted- $ Cash❑ Check n 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
Water Heater Air Conditioner Dryer Pump
Receptacles
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 1 142 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: NMPC
Applicant's Address: 119 Dunning Street (NAME) (OFFICE LOCATION)
(City) Ballston Spa (State) NY (Zip) 12020 Service Request #
Phone # 899-9161 Electrician: GUYER BUILDERS, INC.
• ';.MDIA USI'r ONLY DATE RECEIVED: DATE INSPECTED:
Correct Location: Same as Above n or:
Red Notice Label n
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. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1'/z 2 3 5 742 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size
Elect. Heat 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
RRECT
CERTIFICATIONS USE FOR INITIAL'VISIT.ONLY NOTIFIED DAjE COFEE FEE PAID -
❑ RW :.': Progress: Inc.❑ LKD[1 Contractor. : •
❑ CFT Violation: Work Comp.❑ Inc. ,❑,
1-1 L/A - Owner CASH ❑
Fee CHK #
n L/A Due
L] IPA _ -,. Municipal MO #
• INV #
Date: Other Side El - Utility • Applicant ❑Owner
Cut in Card ❑ ,Temp # Date
— INSPECTORS$ICNATc111
J'f°VJ•r�_,,, V v i ticr.'Vctil VclMvcol%,y"TrvJ a.,c ek,=2. `C/' 9cY'PFvciagw.,c7aFVJizFvcfm•.5,..,— v+ikvc, v
MIDDLE DEPARTMENT INSPECTION AGENCY, INC. Gi1
900 Haddon Avenue Collingswood N J:08108 `
:; Data May 18, 1989 C
QE`m
rtlf icg 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 rules,
Guyer Builders Inc ' `Occu anc Dwellin
Owner: y p Y g
Single Famil •;
il
' Occupant: g Y, = '.i i
Location: 17 Queen Mary;Drive ° Queensbury r(Warren.Co}•• i s certficate^covers the.electncaequipment and Installation inspected this N-`,;` date. If additional equipment;shoutd be introduced or alterations made to
existing system this certificate shall be null and void, and application for,�. °�D' ',� inspection should be submdted promptly to this Agency.i Equipment: 59 Outlets, ,30 Receptacles; 12,;Fixtures;�, �; ,. ,a-.t. _; r,:•.,i,__;Holder o1 this certificate a elect present same to his property insurance carrier 150 Amp Service; \7 App'lianceS (agent orcompariy)asevidenceofcertificationdlelectricalequipmentapproved
S,. as specified.
%3,
Guyer Builders In ^ l t r p-,:= v , �� ,?,
Applicant: 119 Dun• ning Streef~„a ,,,. .. As �'� No. 15-021648
Ballston Spa, NY , 12020 , i C
N+•'t..e 0cl.N0,1.a'0,-.. 0 r1 l00 0r1......1+,1 .r.cu ,. 10t1 ,....., +..-.. r1►41bnko+4.n,,.A( `WIIck
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 S'—
NAME
d�. ,may/
LOCATION it-7 a� (I(�37 /,7a DiLGCJ�Q_
DATE 5--�3—j>9 PERMIT # — d / 7
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING r-- .
ELECTRICAL ROUGH—IN ' '
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING ' • • •
�INAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING i-
EXTERNAL PORCHES/STEPS l✓'
STAIRS—CLEARANCE'& RAILS. f�
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS I/
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S) L 9
SMOKE DETECTORS d/
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:
'
INSPE-TOR
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MIDDLE DEPARTMENT INSPECTION AGENCY, IN' -
Electrical=Baild*ig•Plumbing-Fire Inspections
Labe, eL404��
500F 8/85 % c
7
Date • "� � '1►
ector`, i,
T constitutes certification. that the
above installation, but not the equip-
ment itself, has been visually inspected
as. of this date pursuant to the app.lic-
s', able codes. If additional equipment
should be introduced or alterations •
made to the existing system or stuc-
tune, application for'inspection should
be submitted. promptly to this Agency.
•
Jocun of Queensbury
: BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
' Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME , .L.,{, , )
LOCATION /7 F/cJ p a u,--
17/DATE_ 4 PERMIT NO. ?(�-(/7Uy
SOIL TYPE - Sand - Loam - Clay - /
Percolation Test Required? YES - :NO
Perc_ation rate - Min/Inch _
`\\ r
TYPE of\SYSTEM: f
Absorption field, total length/
Length of 'each trench ;/
Depth of trenches' I '
Size of gravel
SEEPAGE,i,. TS4N$inb j of) '
Size- " -ft. X\. ft. ,, -eerA
Gravel size ,5 • ,y
PIPING: \ Sir Type
Bldg. to tank \ PVC
Tank to dist. box \ / ' 7
Dist. box to field •s 1, /�
Openings sealed? YES \ NO Partial
LOCATION/SEPARATIONSt: `Z,
Foundation to tank/ `\ ft. •
Foundation to abso°rption \ ft.
Absorption to lot1 line `�ft.
Separation, of pi Zs • • ft.
LOCATION YSTEM ON. PROPERTY(clrcle one)
Front - Rear Left side - Right side -
COMMENT . r •,
1
1 •
A
i
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SYSTEM USE APPROVED I ES/ NO
Building Inspector
01/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT n/�
BAY & HAVILAND ROADS 1� II
QUEENSBURY, NEW YORK 12801- fi TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME �v
LOCATION f 7
DATE 47 -/O `7 PERMIT # �j f'9
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING'
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN .
6,2gSULATION:
' FOUNDATION
FLOORS
WALLS
CEILING 3g!/? .
FINAL INSPECTIOI :
CHIMNEY HEIGHT\ 1L.
ROOFING ` 1
SIDING s''
EXTERNAL PORCHES-%' TEPS
STAIRS-CLEARANCE &i,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'iTHE BUILDING DEPARTMENT BEFORE
THESE PREMISES\ARE OCCUPIED!•
REMARKS:
IN 'ECTOR
TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT /7/7
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR IIfNSPECTION RECEIVED
NAME //""id /.�J �0(J
LOCATION U /
�j
DATE — 4 PERMIT # a p p�
`g7f
APPROVED
YES NO
FOOTING/PIERS,
MONOLITHIC POUR FORMS
FOUNDATION/DAMP,—PROOFING
B.ACKFILL APPROVAL
!/ROUGH PLUMBING
(„/1RAMING x}.
ELECTRICAL ROUGH—IN'.,
INSULATION: ?, fr
FOUNDATION �•
FLOORS t J`
WALLS
CEILING '
FINAL INSPECTION: \
CHIMNEY HEIGHT \
ROOFING \
SIDING
EXTERNAL PORCHES/STEPS
STAIRS—CLEARANCE & RAILS
PLUMBING FIXTURE,'/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSERI(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION 1
A SIGNED CERTIFICATE OF OCCUPANCY MU T 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 INSPEC ION RECEIVED
NAME . 7
LOCATION /! „Cer�v
DATE p C PERMIT # ��(J 1�
APPROVED
YES, NO
FOOTING/PIERS�/
C,MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING,
FRAMING
ELECTRICAL ROUGH,-IN
INSULATION:
FOUNDATION • /f
FLOORS
WALLS ' ,'
CEILING
FINAL INSPECTION: J;,
CHIMNEY HEIGHT /
ROOFING /
SIDING ,J
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:
1L/0-71)S\--41114-< &)-0--e/
I SPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUES F R INSPECTION RECEIVED '3_2 -P
NAME ,12'(i
LOCATION l O /1-Alel.7
DATE 3 -0 PERMIT # D cor-'�w—i CI
42
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPRO A�
✓ROUGH PLUMBING •/ A '
FRAMING
ELECTRICAL ROUGH-IN
INSULATION
FOUNDATION I
FLOORS \\
WALLS
CEILING
FINAL INSPECTION:',;
CHIMNEY HEIGHT k'{,, r
ROOFING
SIDING ;,
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE &/RAILS
PLUMBING FIXTURES/RELIEF\VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING ,.
DOOR CLOSER(S) „9j
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL/OF CONSTRUCTION
II
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
el-,4-i.;)
INSP CTOR
J 1
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 , / [ 4) /1-4
DATE 'y(7i>/VC PERMIT # Er- (,rf9
L ( APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
XFOUNDATION/ 47e NG / !/
XBACKFILL APPROVAL !f, f/
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION: i
xFOUNDATION 3
FLOORS �� �'
WALLS
CEILING
FINAL INSPECTION: T
CHIMNEY HEIGHT " /
ROOFING
SIDING
EXTERNAL PORCHES/STEPS,;,
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURESS/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS,'
GARAGE FIREPROOFING
DOOR CLOSER(S)/
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION _
FINAL APPROVALfOF 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 ' ff
NAME -_- (� �7-
LOCATION U/// 4!1-6/..../.7)/2 A2r/1
DATE // - 5?() PERMIT # f ,/e/
APPROVED
YES NO
SOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVA
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN 1
INSULATION: /
FOUNDATION
FLOORS \
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & LS
PLUMBING FIXTURES/ LIEF VALVE
INTERIOR TRIM/PRI CY DOORS
FINISHED FLOORS
GARAGE FIREPR FING
DOOR CLOSERS
SMOKE DETEC�ORS
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:
CO,C4
INSPECTOR
QUEEN VICTORIA'S GRANT
QUEENSBURY, NY
-- -- -- -- -- -- --------- --
QUEEN
r
23'
24'
I
I
0
0
I
23'
MA RY
M
I " 1� '-�L--j I I 111"j" �-mj
I
I
I I
I I
LOT LOT LOT
I 23 i O i 21 19
1 1 00.00' I
� � (100.00'
-T -- -- fi— — — -t — —
' ' I
I '
C.O.T.G.
(HNOUT
TTGRADE)
8'-0 DIAMETER
9'-0 DEPTH
to
DRIVE
I
SHUTOFF ,
1 r
, r
r
Wr
r
r
LOT 3;
15 r
I ,
, r
r '
gl
IT) �-!
of
1
24'
I D
I
21'
1 LOT
17
Lo
I
II
I 1 1
2000 gal
C.O.T.G.
REFERENCE DRAWINGS:
S SITE UTILITIES
SEPTIC & WATER
VanDUSEN & STEVES
SURVEY PLAN
Q-MODEL ROOF PLAN WILL VARY
ACCORDING TO SALE, DRAWING
SHOWS ONE STYLE ONLY