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1990-046QUEEN VMORIA'S GRANT a1EENSSURY, NY .01 160� -- / — — / THIS SEPTIC SYSTEM IS LOCATED NEAR THE INSECTION QUEEN MARY DRIVE do MARGARET DRIVE SEE MORSE ENGINEERING DWG 5 � I 000, i c O � A --- ---- 2000 gal. .8'-0 DIAMETER J ,1 30' , 0 3/ / / / / / / REFERENCE DRAWINGS: 5 SITE UTI`MES SEPTIC & WATER �anDUSEI & STEVE S, SURVEY P'LA!! 160.00 SHUTOFF / / / / / / �T / TOWN 4F QUEENS URY i Zoning AdministWor Datea f i ' AWN OF QUEENSBURY D MAR 0 5 690 BLDG. & CODE DEPT. 7 45,47,49,51,53,55 MODEL QUEEN MARY DRIVE PLOT PLAN & SEPTIC SYSTEM GUM BUII.DERS, inc. QV-32 drawn: KW 2/28/90 Scale: 1" = 20'-0 , , � . CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date , 1. _ 19q! ?oi, This is to certify that work requested to be done as shown by Permit No. 90-46 has been completed. This structure may be occupied as a z of Two Family Dwelling Location 47 Queen Mary Drive Owner Guyer Builders, Inc. By Order Town Board TOWN OF QUEENSBURY 4 LLY(1 A/ T( .2 Director of Bldg. & Code Enforcement BUILDING PERMIT x TOWN OF QUEENSBURY No. 90-46 WARREN COUNTY, NEW YORK c PERMISSION is hereby granted to GUYER BUILDERS, INC. ,.. rr OWNER of property located at 47 Queen Mary Drive Street, Road or Ave. 1-1 in the Town of Queensbury,To Construct or place a 2 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 1 Hemphill Place Suite 201 Ballston Spa, New York 12020 2. CONTRACTOR or BUILDER'S Name rrr1 H r 3. CONTRACTOR or BUILDER'S Address m V) V F•M 4. ARCHITECT'S Name 5. ARCHITECT'S Address V 6. TYPE of Construction—(Please indicate by X) ,p C rD (X)Wood Frame ( I Masonry ( ) Steel ( ) O 7. PLANS and Specifications Cu No. 32' x 48' 2 of Two Family Dwelling with attached 1 car garage, septic system and driveway as per application, specifications and plot plan:` 8. Proposed Use z of Two Family Dwelling MODEL J 179.00 September $ PERMIT FEE PAID —THIS PERMIT EXPIRES 12 19 90 O —h (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 this 12th Day f March 19 90 a SIGNED BY for the Town of Queensbury Buildi g d Zoning Ins'e or ff) TQ vI OF Q IJEENSBURY APPLICATION FOR I3UI,... . .. ..:;n ZONINC PERMIT + • Rec:,i.eved I�utc- ReAC{`j 1l ' l 5 ., Reviewed C-,l I► 625 6.i • �-� Fy 10- . 1�1 q. /� Fee. Fa•i. S 119 / .. ..� BUILDING AND CODES LI:I'ARTr+1 ff Date Iaoued BAY and IIAVILAND ROADS RD 1 Box 93 • ()UEENSBURY,NEW YORK 12804 Pe mat-t No.Q©-4c _• MAR 0 5 I=U Tel . (518) 792-5832 Ext .204 _ 1 • • • • A PERMIT MUST B11 OBTAINED BEFORE BEGINNING CONSTRUCTIONBLia' RWICIOI$ WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDINC PERMIT. All applicable spaces on this application must be completed and the • sinature of the applicant must appear on the reverse side of this sheet . a a A A A A A A AA * A * * A A A A A * * A * * * * A * * * A A * A A * * - • The owner of this property is : Guyer Builders, Inc. P.O. Address 1 Hemphill Place Suite 201, Ballston Spa, NY 12020 TEL. 518-899-9161 Property location 47 QuEEt4 M.aaq URWE TAX MAP NO. 121 /1L/999 Has there been any split of this property since October 1 , 1988? / no yes Ito If yes, Planning Board Review is necessary. SUBDIVISION NAME, IF APPLICABLE G?oWaxl 1 G bR1A'5 GR,aar LOT NO. 3'a) The person responsible for supervision of work as regards building Codes is : Richard H. Guyer III 1 Hemphill Place, Ballston Spa, NY 12020 518-89$--9161 NAME P .O . ADDRESS TEL. NO. Name of builder Guyer Builders,Inwddress 1 Hemphill Place,Ballston Spa,NY Tel 518-899-9161 Name of Plumber -same- Address -same- Tel -same- Name of.Mason -same- Address -same- Tel -same- NATURE OF PROPOSED WORK: MO4E1- 7 ; ZONING INFORMATION (Office u-se only) . X Construction of a new building • ZONING DESIGNATION OF PROPERTY Addition to a building • PERMITTED PRINCIPAL PERMITTED ACCESSORY Alteration to a building • lno change co exterior dimensions) • REVIEW REQUIRED - PLANNING BOARD ZONING BOARD Otliet work (describe) • SITE PLAN REVIEW if APPROVED DATE • CROSS AREA 01•' PROPOSED, STRUCTURE VARIANCE N APPROVED DATE • • 1st Floor 1100 • sq ft . • Remarks: • 2nd Floor " n/a sq I t . • COmPLt''i .IFlFORJ4A'1'ION IN:nUIItE UELLH1. 'Pee lot Other Floors n/a sq f t . • Size of property 100± p an ft: X 120 ft. loot cellar or basement) • Existing building(::) Si::e n/a ft: X ft. TOTAL FLOOR AREA^_ 1100 sq f t . • Existing building(s) Use n/a Sire of now structure 32 ft a 48 ft • lloandation-pier ,crawl/partial/full • Nropo:aed building, distance from property line (circle one:) • , Front yard 30+ ft Rear yard 30+ ft N . of stories (habitable :.•pace) 1 15+ ft and 15+ it height (grade to ridge) 19'6"—Ft. • Side yards If on corner, setback from side street 30+ ft 1f residential, no. of families 1 of 2 • No. of rooinx(excluding baths) 5 • OCCUPANCY INFORMAT1CN no. of bedrooms • . 2 2 • PRIMARY GUILDING - No. of bathrooms One family dwelling Primary heating system Baseboard Electric , • Two family dwelling permit for 1 side only Type of fuel. Electricity multiple dwelling / Number of units • No. of fireplaces to be insc4lled n/a _permanent occupancy Will a wood stove be installed? no • Transient occupancy Central Air conditioning? no • • Business BUILDING STYLE, PRIMARY STRUCTURE Industrial Ocher lanch Contemporary I;Gn cabin r if addition, what will use be? liaised ranch mansion ETlex'",) :1p1ic lwvel Old style Bungalow Calms Cod Cottage Ocher • ACCESSORY BUILDING.. Colonial- l:ow Town House • -Detached garage/one cur/ two car/ car ( CIRCLE OW PLEASE ) • x Attached garagutone car' two car/ _cae • • • • ■ • a • • a • ■ • r • • • • Private storage building , ESI'!'IMATI:D MARKET VALUE OF • Ocher CONSTRUCTION • INFORMATION ON BUILDING SP(:CIPTCATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! ._ Form APA 10/88 vl • NMI �. •• 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 cllar? 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 '.porti'o ? .- sq.f t. - - Type of use? Type of roof - slope, flat/shed/other Material of roof fiberglass shingles Size, wood studs 2 "x 6 " spacing 24 "o.c. length 8 ft. Joists(floor beams) 1st. floor n/a "X " spacing "o.c. span ft. Joists (floor beams) 2nd. floor n/a "X " spacing "o.c. span ft. Overlays(ceiling beams) n/a "X " spacing "o.c. span ft. Roof rafters 2 "x 10 " spacing 24 o.c. span 14 ft. Roof trusses(pre-engineered) spacing 24 "o.c. span 42 ft. Exterior wall finish stained Of what material? 5/8"x4'x8' texture 1-11 Interior wall finish painted 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 ft. Depth of chimney foundation below grade n/a ft. Depth of fireplace hearth n/a ft. in. , Water supply - Municipa] 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 DECLARATION 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. Signature b/ s Owner, owner agent, atZhitect, contractor * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: By ui•w1t. o fOltai dig APPLICATION FOR SEPTIC DISPOSAL PERMIT • • //I 90 .. % . Ref: S.P.E:D.S. Permit #DATE � / � � p . New York 0202525' MODEL'S OM of 313" LOCATION OF PROPERTY FOR INSTALLATION 47 QnPen Mary Drive Owner's Name: Guyer Builders, Inc. Telephone: (518) 899-9161 Address: 119 Dunning Street, Ballston Spa, New York 12020 Gu er Builders, Inc. .- (518) 899-9161 Installer's Name: Y Telephone: 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: d 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: not require 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 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * IMPORTANT • * See S.P.E.D.S,. ...Please...LIST NEW EQUIPMENT TO BE INSTALLED permit & attached * * * * * * * * * * * * * * * * *•*.*•*.* * * * * * * * * * * * * * * * * ma a � `CF QUFENSBURY p. RECEIVED MAR 051990 . .. ,ju. & CODE DEPT. (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 leas 2t�o seb _fore,-s1,411. • - of construction and shall include a plot plan showing. ` 1.) the proposed,location or the §ystem 2.) location and distance to lot lines 3.) location and distance to structures 4.) location and distance to any' ►ster 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 $hall be available on the construction site. Failure to produce said plot plan at time of inspection may result V , in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, _ alteration or repair of an approved system, a new proposal must:be submitted to the Queensbury Building Department before further construction. • • I have read the regulations above and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. • • Signature of:responsible person: Date: . • • ,, .. Town of Queensbury • Building and Code Department . • • Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 i • SETTLED 1763 . . . 1191.1E OF NATURAL BEAUTY . . . A GOOD.PLACE TCi r d°`""r�� �'"�,�'\ MIDDLE DEPARTMENT INSPECTION AGENCY, INC. -- j National Headquarters 900 Haddon Ave., Collingswood, N.J. 08108 APPLICANT COMPLETES THIS SECTION �;j r ;gate :=� 1..i y.-.. Q,., Warren � y;Town or 1a/n'slull � � County �� �' State i Location/Address 47 QueenMary Drive �� t'r (If Located in Rural Area - Please Attach Directions) Pole #__ Owner t INC. _ Permit # Occupied As Building: Newt- Old Occupant Work Area in Building (Floor #,etc.): App. for: Wiring❑ Service I I or: Ready for Inspection: Fee Remitted-$ Cash n Check n M.O. 1 1 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 71k 10 15 20 25 30 40 50 75 100 Mark Number of Each Size Applicant's Signature License # Permit # • T/A 1111, i; 2 c i ij)Ei S5 INC. Utility:?'?}'-11r. Applicant's Address: 119 T)!1 ri-in St-rf-,, (NAME) (OFFICE LOCATION) (City) Pe l 1 st:'S Sr (State) NY- (Zip) 12020 Service Request # Phone # Fig -a1 iV) Electrician: GTWFB 1::I11T TIFYg5 ITC,, MDIA USE ONLY; • DATE RECEIVED: DATE INSPECTED: Correct Location: Same as Above I I or: Red Notice Label I 1 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 75 100 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 ❑ RW Progress: Inc.❑ LKD I 1 Contractor CFT Violation: Work Comp.❑ Inc. I I n L/A Owner CASH L/A Fee CHK # IPA Due MO # • Municipal INV # Applicant n Date: Other Side I I Utility Owner 1 1 Cut in Card n Temp # Date Final # Date INSPECTORS SIGNATURE APPLICATION FORM NO.250 EL 11/86 - TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT , BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804. TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST Fe' INSPECTION RECEIV D W/„(/f�1 NAME !LQ�C(�,, LOCATION _ ,'!1 ,��1-6.6�4.r /f?/Z1 J1 -DATE /ill Cf)' PER T # 90 , 6 APPROVED r�, YES NO FOOTING/PIERS MONOLITHIC POU' FORMS FOUNDATION/DAM' PROOFINe BACKFILL APPROV' ROUGH PLUMBING FRAMING ELECTRICAL ROUGH— INSULATION: FOUNDATION FLOORS WALLS CEILING Y FINAL INSPECTION: CHIMNEY HEIGHT ROOFING f SIDING Lr EXTERNAL PORCHES/STE' STAIRS—CLEARANCE & '•I S PLUMBING FIXTURES/RILIIF VALVE INTERIOR TRIM/PRIVA Y ►eORS FINISHED FLOORS GARAGE FIREPROOFINI DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL IN'PECTIO +� FINAL APPROVAL OF CI'NSTRUC ON OK TO ISSUE C/O OR /C �- A SIGNED CERTIFICA OF OCCU'ANCY MUST BE OBTAINED FROM THE :UILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: ARRIVE o.2(r 07—o /(1 DEPART :a� J � INSPECTOR • • MIDDLE DEPARTMENT INSPECTION AGENCY, INC. Electrical-building-Plumbing-Fire Inspections ----- ---- ---- _ _ �l 01 I • 4. A, .,Date - 1 '' _ Ell._ vim 11:xi ... VI -aft_ I` -cto �j ��• #• . 1 T -� constitutes certification that the above installation, but not the equip_'. ment itself, has been visually inspected as of this date pursuant to the a able codes. If additional a ui p ent '. should be introduced or alterations made to the existing system or strums ' ture, application for inspection should _be submitted promptly to this Agency. I - a , TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTIONI�ff RECEIVED /1f�f D NAME £/L L W 4/6u a LOCATION ��41 1 , .A.-,, `�}'l�./� DATE J 1/QO PERMIT #` �%0 • APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN ('INSULATION: FOUNDATION v FLOORS . ✓\WALLS �( _1 0� - . ,�, . )(CEILING •I'Z: J. FINAL INSPECTION: t, CHIMNEY HEIGHT - ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS , FINISHED FLOORS d, GARAGE FIREPROOFING ti'" DOOR CLOSER(S) :, • SMOKE DETECTORS FINAL ELECTRICAL INSPECTION ' ' ' i th,, FINAL APPROVAL OF CONSTRUCTION . rr. . OK TO ISSUE C/O OR C/C r` A SIGNED CERTIFICATE OF OCCUPANCY MUST BE � OBTAINED FROM THE BUILDING DEPARTMENT' BEFORE - THESE PREMISES ARE OCCUPIED! I . • REMARKS: r. ; ARRIVE • •• DEPART f°4-5 • NSPECTOR • : awn o/ Queeni4ur, BUILDING and ZONING DEPARTMENT Bay and,Haviland Road, R.D. 1 Box 98• Queensbury, New York 12801 j 4• SEPTIC DISPOSAL SYSTEM INSPECTION NAME ari1�1 LOCATIO / . DATE ti / iqO. PERMIT NO./ --' SOIL TYPE - Sand - Loam Clay - Percolation Test Require? YES - NO Percolation rate - Min/ " ch - TYPE of SYSTEM: Absorption field;; tots}: length Length of each trench Depth of trenches' .11 • Size of gravel 1 / SEEPAGE PITS4Nuinbej a'f) Size- ft. X _ “)t. Gravel size '-i PIPING: Size Type Bldg. to tank , Tank to dist. box t Dist. box to field4pit.. Openings sealed? IYES1, NO Partial r• 1a LOCATION/SEPARATIONS: Foundation to tank t ' ft. Foundation to abs`.forpti 5 _ ft. Absorption to lot` line ' ft. Separation -of pits ft. LOCATION OF SYSTEM 0 PRO ERTY(circle one) Front - Rear - I side I Right side - COMMENTS: j I \' ' . ..077-.53" I P $ 1 \ . 1 i • SYSTEM USE APPROVED YE N) • 6 .• nii B i in / nspector 01/86 and vl awn of Queeniur, L/) BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 • SEPTIC DISPOSAL SYSTEM INSPECTION NAME Al_wiek r.0 LOCATION 41'7 ,ZLpY4?:W(/t T DATE f/Mei `fd ;PERMIT NO. gn-1,�� SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch • TYPE of SYSTEM: Absorption field,? total length Length of each trench• . Depth of trenches\ r' Size of gravel V SEEPAGE PITS{Numbec of) Size- ft. X ttt ft. Gravel size . PIPING: i S]�z� TYJ( Bldg. to tank /•�( Ill/ Tank to dist. box Dist. box to field/pi Openings sealed?•! YE NO Partial LOCATION/SEPARATIONS: Foundation to tank ft. ' Foundation to absorption, ft. Absorption to lot line ft. Separation 'of l pits , ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear -'Left side Right side - COMMENTS: Lirr-Ead �� � tans- /144/ ,ti SYSTEM USE APPROVED E NO • • Building n pector 01/86 and vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT T BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804. TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT;' REQUEST OR INSPECTI Of14 REC IVED43&) A- NAME f ' AJ . LOCATIO I L I 1 DATE PERMIT # APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ,g//// OUGH PLUMBING P1FRAMING `ELECTRICAL ROUGH-IN ' INSULATION: FOUNDATION FLOORS ), WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT t ROOFING t, SIDING EXTERNAL PORCHES/STEPS % !,•/ STAIRS-CLEARANCE & RAILS i PLUMBING FIXTURES/RELIEF VALVE k INTERIOR TRIM/PRIVACY DOORS '{' FINISHED FLOORS is GARAGE FIREPROOFING ;j DOOR CLOSER(S) '0 SMOKE DETECTORS FINAL ELECTRICAL INSPECTION ' ,'�' FINAL APPROVAL OF CONSTRUCTION ` OK TO ISSUE C/0 OR C/C „i ; A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENTBEFORE THESE PREMISES ARE OCCUPIED!' :, 7. fi REMARKS: F 4 ( 'i 1 ARRIVE )3 t I DEPAR $ apP, I SPECTOR 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 RECEIV D ��L9,�0 NAME _cc 4iJct ' i ,c- LOCATION ! 417 AeQ' '/(1vf / �C DATE / �(J PERMII # ✓ �b APPROVED YES O FOOTING/PIERS A-- MONOLITHIC PO+R FORMS / V FOUNDATION/D -PROOFING BACKFILL APPRO' AL ROUGH PLUMBING FRAMING ELECTRICAL ROU -IN ' INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHE STEPS STAIRS-CLEARANC '& RAILS PLUMBING FIXTUR ./RELIEF VALVE INTERIOR TRIM/PT VACY DOORS FINISHED FLOORS; '' GARAGE FIREPROOt iNG DOOR CLOSER(S) SMOKE DETECTOR'. - FINAL ELECTRICALIIN'PECTION FINAL APPROVAL 8: C• STRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BU DING DEPARTMENT BEFORE THESE PREMISES ARE OC UPIED! REMARKS: 1.40 d 5E1 5 NSPECTOR TOWN OF QUEENSBURY ,/ BUILDING AND CODES DEPARTMENT 11j( BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REP RT REQUEST R INSPECTION RECEIVED/L ' U NAME ,( /' • . LOCATION - (_ {. DATE / ' PERMIT # q c--.1 2) APPROVED l • YES NO FOOTING/PIERS MONOLITHIC POUR FORMS - FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL l 1' ROUGH PLUMBING FRAMING r ELECTRICAL ROUGH-INA V INSULATION: N '.' , K FOUNDATION QOm_ �,'�'l.'+,t��'f�'•' '` FLOORS. WALLS `y I. CEILING 1I FINAL INSPECTION: 'i J CHIMNEY HEIGHT ?; / ROOFING - ' SIDING AK EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF\VALVE INTERIOR TRIM/PRIVAC// DOORS l FINISHED FLOORS i. GARAGE FIREPROOFING' i • DOOR CLOSER(S) SMOKE DETECTORS /� i FINAL ELECTRICAL INSPECTION '; .FINAL APPROVAL OF CONSTRUCTION - OK TO ISSUE C/0 Oar.C/C JJ A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM TH BUILDING DEPARTMENT BEFORE THESE PREMISES RE OCCUPIED! f REMARKS:0 �ro4 M ot.l I J i 060 F/U.flp 'r p� :�i/ o__ , �L�C iAsP�-co)f 2 -6-21:, / ,_ I Li rai kiia f—L-o o 2 ARRIVE /0:,5 DEPART //'/ v INS CTOR el/i/ TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280i - TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME GU 1 re LOCATION L0 1 Z ? 44(y�2 DATE 3//5/Qo PERMIT # -(D -14 6 f a APPROVED .j, , YES NO FOOTING/PIERS MONOLITHIC POUR FORMS XFOUNDATION/DAMP-PROOFING BACKFILL APPROVAL t/ / ROUGH PLUMBING ; FRAMING ELECTRICAL ROUGH-IN R$ INSULATION: i 1` FOUNDATION FLOORS. ;i. ' WALLS ,f CEILING FINAL INSPECTION: j CHIMNEY HEIGHT j ' ROOFING SIDING EXTERNAL PORCHES4STEPS STAIRS-CLEARANCE RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIhACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS/ 3 FINAL ELECTRICAL /INSPECTION " FINAL APPROVAL o CONSTRUCTION • - OK TO ISSUE C/O/OR .Ca/C A SIGNED CERTIFICATE?jOF OCCUPANCY MUST BE OBTAINED FROM/THE BUILDING DEPARTMENT BEFORE THESE PREMISE'S ARE OOCUPIED! REMARKS: ` 5 P. 2)-(2 1({ (a-? I0c71',3 Loo6� s Solc�— r r r eD ,-Of4/. s 18 too- ARRIVE 3�(TO • DEPART 3-/ 0 • IN PECTOR