1988-874 y t f
-e
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date June 30 19 89
L;t5
This is to certify that work requested to be done as shown by Permit No. '8-R74
has been completed.
This structure may be occupied as a of Two Family Dwelling
Location 15 Queen Mary Drive
Owner Guyer Builders, Inc.
By Order Town Board
TOWN OF QUEENSBURY
i i' :Lr ; 4-
Director of Bldg. do Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY w
No. 88-874
WARREN COUNTY, NEW YORK •
PERMISSION is hereby granted to Queen Victoria's Grant-Guyer Builders,Inc.
'• 1
OWNER of property located at 15 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.
.O
1. OWNER'S Address is fD
119 Dunning Street
Ballston Spa, New York 12020
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2. CONTRACTOR or BUILDER'S Name (J
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SAME
3. CONTRACTOR or BUILDER'S Address rt
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SAME
4. ARCHITECT'S Name =
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5. ARCHITECT'S Address cD
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6. TYPE of Construction—(Please indicate by X)
X Wood Frame ( 1 Masonry ( )Steel ( ) In
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7. PLANS and Specifications
No. 28' x 50' of Two Family Dwelling as per plot plan,specifications, Tz
and application, including septic and attached one car garage.
8. Proposed Use r
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z of Two Family Dwelling
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25.00 C/O o
$ 133.00 PERMIT FEE PAID -THIS PERMIT EXPIRES June 1 19 89 M
(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
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Dated at the Town of Queensbury this 9th Day of November 19 88
SIGNED BY \/ ,o L 4/ / \.- ) for the Town of Queensbury
Building and Zoning Inspe 'or CD
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- Tii tip C.VMY1..$ltL G�z�° �Y' ..e Q
/ Application No. !m. p
✓own o� Queendbur y Permit Issued - 19
BUILDING and ZONING DEPARTMENT Permit Expires 19
Bay and Haviland Road, R.D. .1 Box 98 Zoning Designation F('st.rv.,i 1 Qom, `�
Queensbury, New York 12801 C Variance No. nn
qq Site Plan Review No. (7)..41- Li . 2
Appr by: co
APPLICATION FOR / /58
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: 15 Queen Mary Drive Tax Map No. / // V/ 997
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 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 REQUIRED BELOW.
se plot
* Siz& of property 100± plan ft X 120 ft.
_ Existing building(s) Size N/A ft X N/A ft.
Model * - ,
PROPOSED BUILDING AND USE: of ""
Existing building(s) Use N/A
Size of new struc e 28 ft X 50 ft *
Foundation-pier slab crawl/partial/full * Proposed building,
sdistpancepfrom
property line
circle one) lan
* 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) 17-0 ft. If on corner, setback from side street 30+ ft •
If residential, no. of families 1 of 2
No.' of rooms(excluding baths) 2 * OCCUPANCY INFORMATION
No. of bedrooms 2 *
* PRIMARY BUILDING -
No. of bathrooms 1 One family dwelling Thiss hermit ui fgr
Primary heating system Baseboard electric* family dwelling l n in
Type of fuel Electricity * Multiple dwelling / Number of units
No. of fireplaces to be installed OPT. Permanent occupancy
Will a 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 Duplex
Split level Old style Bungalow *
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * X Attached garage/one car/ two car/ one car
* * * * * * * * * * * * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF * !Other
CONSTRUCTION *
$
INFORMATION ON •BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/66 and-vl
•
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. wood frame
Will any second-hand or ungraded lumber be used? If so, for what? no
•
Foundation wall material concrete block Thickness 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 TYPE A
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 ft.
Joists (floor beams) 2nd. floor Ng, "X 10 " spacing 16 "o.c. span ft. .
Overlays(ceiling beams) 2 "X 6 " spacing 24 "o.c. span 12 ft.
Roof rafters 2 "X 8 " spacing 24 o.c. span 12 ft.
Roof trusses(pre-engineered) spacing 24 "o.c. span 34 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-land 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/Aft.
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 AFFIDAVIT
County of Warren 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 specified or not, and that such work is
authorized by the owner.
Ze////7/
SWORN TO BEFORE ME THIS Signature
p Owner, owner's agent rcnitect,contractor
day of kaglidtelta9 0 ADRIENNE J.PINDER
Notary Public,State of New York
Qualified in Saratoga County
No.4907592
Notary Public, . . COmmisaiora Expires Oct.13,19_3
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
•
•
•
•
By
• S of ate/MAI
APPLICATION FOR SEPTIC DISPOSAL PERMIT
Ref: S.P.E.D.S.
DATE 10-20-87 / permit # •
New York - 0202525'
MODEL J of I/J
LOCATION OF PROPERTY FOR INSTALLATION 15 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: :Cot require required / rate min. inch.
Domestic water supply: circle one: acipal 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
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 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 water 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 $250.00.
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may result
in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installation,
alteration or repair of an approved system, a new proposal must:be submitted
to the Queensbury Building Department before further construction.
•
I have read the regulations above and agree to abide by these and all requirements •
of the Town of Queensbury Sanitary Sewage Disposal Ordinance. •
Signature of.responsible person:
Date: .
•
Town of Queensbury •
Building and Code Department
•
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
•
•
SFTTI EQ 1763 . . . HQ_. E OF NATURAL ¢EAUTY . . . A GOOD.PLACE TO
StLtl.I tlu11Vt»ru RIVIJ luv.) onry.icv.i
1—.-- APPLICATION FOR ELECTRICAL INSPECTION
PLEASE BEAR DOWN YOU ARE MAKING (4) COPIES
r"` MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
Cam "
National Headquarters
900 Haddon Ave., Collingswood, N.J. 08108
.PF .; T:.,1 ,P TE$'T I cm Date:
Town or XX Queensbury County Warren State NY
Location/Address 15 Queen Mary Drive
(If Located in Rural Area- Please Attach Directions) Pole #
Owner GUYER BUILDERS, INC. Permit # e--��7 el
Occupied As Building: NewIX I Old❑
Occupant
Work Area in Building (Floor #,etc.):
App. for: Wiring❑ Service❑ or: Ready for Inspection:
Fee Remitted-$ Cash n 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
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 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: WPC
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.
t a..
.•,,,MPI,/ •USE QNL1f. " 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 11/2 2 ' 3 5 71/2 10 15 20 25 30 40 50 75 r100
Mark Number
of Each Size
i
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Elect. Heat
I CORRECT •
1 CERTIFICATIONS. USE FOR INITIAL VISIT ONLY.. NOTIFIED . •DATE FEE PAID.
• � CORRECT
❑ RW Progress: Inc.❑ LKD Ti . Contractor .
❑ CFT Violation: Work Comp.❑ . Inc. ❑ CASH ❑
1-1L/A Owner Fee CHK #
n L/A Due • MO #
n IPA Municipal INV #
Date: Other Side El utility AppOwnlerant ❑❑
Cut in Card ❑ Temp # Date
INSPECTORS SIGNATURE
•
C/ MIDDLE DEPARTMENT 1N PECON AGENCY, INC. Q Q 1�
goo-Hadd"anAvenue-uo ngswood�w08108 u U 1
' '/� :INSPECT:' �1'`=: oats May 20, 1990
�lCertlf leg that t ejec r ce e uipment listed has b nee ie amine an s approved as being in accord
with the National Electra a� o e, ,applicable governmental, utility and.Agency'`ru:les.
8. J(J 7 ..=3' y
and t� �.. .pe,, +g _zT l¢ \ )
CvA
,g,
Owner Guyer Builders, Inc,4741 ,^ � ri p� =ter ccupan y = Dwe' ling*, I' Occupant:Single Family y / ;s ^� 3` r Fyn. _ }aP °"` p ti`�trw�..6, t�'�;. I'-kr..n;,,. - ,_ It Location: 15 Queen Mary,=, zi , Queensb�t �(Warren-Co ,-)�i's4certjficate atwers Itc@klectricel.Qquipment and installation inspected this( ,. date. If additional egwpittentfshthtd be introduced or alterations made to
ti s existing system thi carltlica;e ail be null and void, and application far�'h n inspection should be submitted prom tly to this Agency.Equipment: 80 Outlets;1,4Q $ece tac les; 2Uq pp. 1�re CF'Iolder of this ce tificate sh Jld, r ant same to his ro arty insurance carrier150 Amp Service' Appliances; 1 Vent 'an gagentorcomp ny)asevidence`�t ertificationofelectricalequipmentapprovedas specified. t
( ' N-.,,,,.........._
rE� E Guyer Builder n -71-_ •
\ 119 DunningStre '1 s ' 16-022850
Applicant: %4.' NO.
Ballston Spa, NY 12 C\
nwa new n n an ‘...-;:-
Form No.703 EL 143
_
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 6,-aS—Ssci
NAME
LOCATION 17
DATE C - 3 o-3 1 PERMIT #
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN ' •
INSULATION: •
FOUNDATION
FLOORS
WALLS
CEILING
(,-FINAL INSPECTION:
CHIMNEY HEIGHT •
ROOFING v
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS 1/-
GARAGE FIREPROOFING
DOOR CLOSER(S) ` c/
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION .. ' • •
FINAL APPROVAL OF CONSTRUCTION ' • ' •� /
ti
11
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!.
REMARKS: l tErO� q2Y 41.•'IAG / 1 4.e--
•
INSPECTOR
MIDDLE DEPARTMENT 1NSPEgTION AGENCY, INC.-
Electrical-Building-Plumbing-Fire Inspections
{�
500LF dte'B5 /� -'c 1 -Q r V
Date
T e
I s ector
T constitutes 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 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 1280-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECT ON RECEIVED S-/7 /
NAME � ��C---
LOCATION
DATE ` ' PERMIT #
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL
ROJIGH PLUMBING \
MING
LECTRICAL ROUGH—IN
NSULATION: r
FOUNDATION "f
FLOORS (-)
WALLS (,• I ,/CEILING �L �'
FINAL INSPECTION: I v
CHIMNEY HEIGHT 7
ROOFING l n`., ' '
SIDING j
EXTERNAL PORCHES/STEWS `s; '
STAIRS—CLEARANCE & RAILS \
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS '`.
FINISHED FLOORS 't,
GARAGE FIREPROOFING `'
\
DOOR CLOSER(S) , `;
SMOKE DETECTORS I \
FINAL ELECTRICAL INSPECTION `:
FINAL APPROVAL OF CONSTRUCTION . '
1
A SIGNED CERTIFIC ITE OF OCCUPANCY MUST BE
OBTAINED FROM TH BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
11
frY
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS 111./1
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
+ NAME
LOCATION .Sly' 1 /1'02,
DATE ( 5-7 —11 PERMIT #
• APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
•
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL'\ +LOUGH PLUMBING \ jl/r S f U. /1 / ,)V`
ELECTRICAL ROUGH—IN
INSULATION:
FOUNDATION r-
FLOORS
WALLS \ °I
CEILING
•FINAL INSPECTION: i/.o
CHIMNEY HEIGHT s`
ROOFING /
SIDING
EXTERNAL PORCHES'/STEPS
STAIRS-CLEARAN cE & RAILS,
PLUMBING FIXTUES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOQRS
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:
i
l INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS .
• QUEENSBURY, NEW YORK 1280-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR ZPECTION,:EIVED
NAME G6--ci
LOCATION / .--(-,gyp may. - �/�� 1, ,,
DATE ✓ /� PERMIT # IT -7V r%�
• APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
•
F9UNDATION/DAMP-PROOFING
OKFILL APPROVAL
f'OUGH PLUMB NG Al
LFRMING T
ELECTRICAL ROUGH-IN
INSULATION: \\ /
FOUNDATION \ r
FLOORS \ ;'`
WALLS \ /
CEILING \„ /
FINAL INSPECTION: /
CHIMNEY HEIGHT ; /
ROOFING \ ,7
SIDING V
EXTERNAL PORCHES/S/IEPS
STAIRS-CLEARANCEf& RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/P IVACY\�ORS
FINISHED FLOOR
GARAGE FIREPR FING \
DOOR CLOSER( ) >;
SMOKE DETECT RS \
FINAL ELECTRI AL INSPECTION \.
FINAL APPROVA OF CONSTRUCTION;
A SIGNED CER .IFICATE OF OCCUPANCY'
MUST BE
OBTAINED FR011 THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!'
REMARKS:
"if✓/ Y
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
LOCATION -�% /6 7
r �
DATE 4 PERMIT '(S �f
APPROVED
YES NO
FOOTING/PIEhCS
NOLITHIC POUR FORMS S4
FOUNDATION/DAN!P-PROOFING f
BACKFILL APPROVAL !
ROUGH PLUMBING �1
FRAMING
ELECTRICAL ROUGH-IN /
INSULATION:
FOUNDATION /
FLOORS /
WALLS ✓ �,
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING I
SIDING f
EXTERNAL+PORCHES/STEPS \
STAIRS CLEARANCE & RAILS4,
PLUMBING FIXTURES/RELIEF `VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOK1E 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 I SPECTION RECEIVED
NAME / fJ7/
LOCATION /5— ) (6p�✓ � U
DATE /1 9 PERMIT # (Pj
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL !r
(.ROUGH PLUMBING j -X4+Jj2/i :1jc - y ( 1
FRAMING ,J
ELECTRICAL ROUGH—IN >y
INSULATIO\N:
FOUNDATI N s
FLOORS ,t
WALLS
CEILING
FINAL INSPECTION \ 4
CHIMNEY HEIGHT \'N.
ROOFING
SIDING A I
EXTERNAL PORCHES/STEPS\•, '
STAIRS—CLEARANCE & RAILS
PLUMBING FIXTURES/RELI F VALVE
INTERIOR TRIM/PRIVACYOORS',,
FINISHED FLOORS
GARAGE FIREPROOFING ."
DOOR CLOSER(S) J
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
•
.own oil Queenibur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC� DISPOSAL SYSTEM INSPECTION
NAME / li',G
d,,e/11
LOCATION /cj (:.u,2.c'in) I27 /
DATE_'? '/"I/(�q PERMIT NO. 0 P --0/-
t /
SOIL TYPE -'Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch 5I
TYPE of SYSTEM: \ •
Absorption field, 'total length /
Length of each trench ' /
Depth of trenches \
Size of gravel 1 //
SEEPAGE )TS umW of) ' ,:
Size- ` ft X 7 ft 1/ ,:ze 1
Gravel size.„. / ,. yzW11
PIPING: Size Type
Bldg. to tank ' .24' 2 L,
Tank to dist. box ,y c\ V.
__
Dist. box to field/ .'' L `', ii
Openings sealed? , -ES) NO Partial
1
LOCATION/SEPARATIONS: .'.
Foundation to tank '";, ft.
Foundation to absorption ,,ft.
Absorption ta:'lot line ft.
Separation of pits ft.
LOCATION BF`SYSTEM ON PROPERTY(circle one)
Front - Rea - Left side - Right 'side -
COMMENTS: 7' .
'F
r
SYSTEM USE APPROVED ;YE , NO
✓ =J
Building Inspector
01/86 and vl
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 .(-1147-e/e-
LCCATION
DATE /74./- PERMIT #
APPROVED
YES NO
‹..FOOTING/PIERS
v MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
,( BACKFILL APPROVAL
ROUGH PLUMBING.
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS \
WALLS .
CEILING
FINAL INSPECTION.:
CHIMNEY HEIGHT\
ROOFING
SIDING
EXTERNAL PORCHES/STqPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIFF VALVE
INTERIOR TRIM/PRIVACr'DOORS
FINISHED FLOORS •
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL CF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE..
THESE PREMISES ARE OCCUPIED!
REMARKS:
•
s.r
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 -e 2)
LOCATION G(��
DATE //-2 t PERMIT # 4P1-6' Z�
APPROVED
YES/NO
‘TING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING /
FRAMING
ELECTRICAL RO GH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCH S/STEPS
STAIRS-CLEARA CE & RAILS
PLUMBING F URES/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 BEFO E
THESE PREMISES ARE OCCUPIED!
REMARKS:
INSPECTOR
QUEEN VICTORIA'S GRANT
QUEENSBURY, NY
QUEEN
1 00.00'
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0 GRADE)
8'-0 DIAMETER
9'-0 DEPTH
0
DRIVE
, I SHUTOFF ,
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9°I C.0.T.G.
REFERENCE DRAWINGS,.
5 SITE UTILITIES
SEPTIC & WATER
VanDUSEN & STEVES
SURVEY PLAN
Q-MODEL ROOF PLAN WILL VARY
ACCORDING TO SALE, DRAWING
SHOWS ONE STYLE ONLY