1990-047 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date e_t-c)-6-m, 19 4/0
This is to certify that work requested to be done as shown by Permit No. 90-47
has been completed.
This structure may be occupied as a 1/2 of Two Family Dwelling
Location 45 Queen Mary Drive
Owner Guyer Builders, Inc.
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
x
TOWN OF QUEENSBURY. -0
No.. 90-47 .. - z
19RRENCOUNTY, NEWYORK
PERMISSION is hereby granted to GUYER BUILDERS, INC.
OWNER of property located at 45 Queen Mary Drive _ Street, Road or Ave. i''
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 Hamphill Place
Suite 201'
Ballston Spa, NY 12020 . _
2. CONTRACTOR or BUILDER'S Name C
m
1-1
3. CONTRACTOR or BUILDER'S Address
1-1
4. ARCHITECT'S Name
5. ARCHITECT'S Address ;
A .
6. TYPE of Construction—(Please indicate by X) C
m
m
- - z
(X)Wood Frame - ( ) Masonry ( .)Steel - ( )
7. PLANS and Specifications • _ -C
No. 32' x 48' 2 of two family dwelling with attached1 car garage, septic
system and driveway- as per applciation,- specifications & plot plan. m
8._Proposed Use .
_ - 2 of'Two family dwelling, - Model J
re.
' $ _. 179.00 PERMIT FEE PAID —THIS PERMIT EXPIRES -September 12 19 90 , -n
(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 th• 12th Day of. March 19 90 =
SIGNED BY -( " ) for the Town of QueensburyBa04ng and Z ing Inspect° - m
r
r
,.y
. a�
t
;• TAB N1{,OF Q[IEENSI3URY APPIICnTION for. l�ul;........ {D ZONING PERMIT ,;;
. • Da•tc-
•
F.ee.i.eved i 41 ./ lob ` . \1 :,,75 L� c
;� - --� Reviewed , 1 ��� V-/- .• �`
•
" . 1 Al ;I W N OF QUEEI §R: ,
Fee Pa.t. ., r1( ,h?'- , RECEIVED
BUILDINC AND CODES Eff uIPARTI Date I4aued
DAY And IMVILAND ROADS RD 1-Box 9a MAR 0 5 1990
, (1UEENSBURY,NEW 'YORA 12804 - -- Pe uni t No.q0-�•-1 _
Tel 792-5832 Ert 204 - • . . • _ _
' *'•'a a' * ` a * a a I * a * a ■ a, a a a a a ■ a a a ■' a. a , a a ■ OOOO a ' a;
k- PERH.IT 'MUST B14 "OBTAIN1U, UEI'ORE BEGINNING CONSTRUCTION- NO INSPECTIONS - -
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDINC PERMIT. , •
All applicable spaces on this application must be completed and the
sipAaturc of the applicant must appear on the reverse side of this sheet .
a * a * x * * a * a * a a * a a a * * * * * * * * * a * * * a * a: * * * *
The owner ,of this property is : Guyer Builders. Inc.
►1.O. Address 1 Hemphill Place Suite 201, Ballston Spa, NY 12020 TEL. 5187_899-9161
• j,-roperty. • locution 45 C?l)6E4 Ii R. `DR�JE TAX MAP�NO. 121 /1L/9Q9\
:'Has there been any split of ? -- --
y p tthis property since October 1, 1988 . `-7,--no •
-
� lC yes, Planning Board Review i.s necessary. yes no
U8AIVLS.ION. NAME, IF APPLICABLE Qt)EEb.1 Vic:Too*cE. GRA•tJT LOT NO. 33
; '1'h.e person responsible for supervision of work as regards Building Codes is:
Richard H. Guyer III 1 Hemphill Place, Ballston Spa, NY 12020 518-$99-9161
, NAN.L•' P .O. ADDRESS TEL. NO.
Name of builder Guyer Builders,Ing ddress 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-
I T.URk OF PROPOSED Iry01:K: NUWF . 1 •. ZONING INFORMATION (Office use only)
; X Conacruccion of a new building • ZONING DESIGNATION OF PROPERTY
„Addition co a building • PERMITTED PRINCIPAL PERMITTED ACCESSORY
Alteration to a building a k
lno change to axc.:rior dimensions) • REVIEW REQUIRED PLANNING- BOARD ZONING BOARD
Uchasr work (JoFcrib.:1 • SITE PLAN REVIEW #_ APPROVED DATE
(CROSS ARL•'A or PROPOSED, STRUCTURE • VARIANCE II APPROVED DATE
let .:Floor •
1100 •• sq ft . Remarks: • • .
2nd; Floor • n/a sq t t . • COMPLIa4. ip1yOlimATION la:Wild:AL ul"Wl1.
"See plot •
4O r thc 'Floors' n/a sq ft . • Situ of property 100± P an tt X 120 ft.
;(not cellar or basement) Existing building(..) Sipe n/a cc X it.
w.
TOTAL FLOOR AREA 1100
sq f t . • UXi:Cing buildinu(::) Use n/a
'44 of new structure 32 ft a 48 ft •
iVuwad.+tion-pier eM crawl/partial/full * Proposed building, distance from property line •
(circle one) • Front yard 30+ ,
04.-of etories (habitable space) 1 y ft Rear yard 30+ ft
: n-- • Side yards + r t and 15+ et
I L rC l (cjradu to ridge) 19 6 ft. • If on corner, setback from side street 3 0+ ct
lt; =rosidential, no. or families 1 of 2
NNd oo
N1 . _of -rss(cxcluding baths) 5 • OCCUPANCY INFORMATION \.
0. _of budroouu •
K10.• of b:►chroow:: . .PRIMARY BUILDING -
•
0*imary heating syurem Baseboard Electric • One family dwelling •
"1 w of fuel Electricity . 1rTwo family dwullinu permit for 1 side only
Yl a Multiple dwelling / Number of units
wo.• of firoplacus: to ba installed n/a
IW 11 'a woad stove be installed? no • • 1'aras:cncnt occupatacy
K.u►ts:.l Air conditioning:' no •
• 'Transient occupancy
_:` Business •
[t WILDING STYE, PRIMARY STRUCTURE •• ' Industrial
t1 nalk Contemporary Lan cabin . Ocher
tttas:ad ranch Mansic+n Dul�l :x . le :addition, what will uWa be?-
14hlit 'level Old style bungalow .
iCapu Cod Cottage Ocher • ACCESSORY BUILDING- .
colonial how Town House . Uecached garage/ono cur/ two car/ car •
- - CCM= ohg PLEASE ) • x Attached garugeone cam two car/ • car
-a a s a a a a a a a ■ a a a a ■ • p•r•ivate storage building ---
L;;d.'1'IMA'lED MARKET VALUE OF • Ocher
_CONSTRUCTION • •
.#NP'OI MATTON ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED:
Form APA. 10/88 vl
BUILDING PERMIT'APPLICATION CONTINUED - .
•
BUILDING SPECIFICATIONS:
Type ofc'ti t'ruction, wood frame, fire safe,etc. wood frame
Will any sedond-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: allar?' mino 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 portio ? sq.ft. - - 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. span714 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 - 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
•
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 /II
Owner, owne s agent, arc tect, tractor
•
* * * * * * * * * * * * * * * * * * "* * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
•
•
•
•
By
•
- .
gyn. ( atetwAine
APPLICATION FOR SEPTIC DISPOSAL PERMIT
3/1 90 Ref: S.P.E.D.S.
DATE earisav permit #
New York 7 0202525'
MODEL 7:11111/of All11111313'
LOCATION OF PROPERTY FOR INSTALLATION 45 Queen Mary Drive
4=.
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: :c51: E, 1 3) 899:J,916 2A K, L, m
Number of bedrooms (residential only) 2 3 F, G,
Total daily flow (compute @ 150 gal per bedroom) 300
Topography: circle one: alb Rolling Steep Slope % of slope
Soil Nature: circle one: Sand Loam Clay . Other / Depth: . 8' feet +
Ground Water: At what depth? unkriwan 8 feet +
Bedrock or Impervious Material: At what depth? unknown feet . .
Percolation test: circle one: (jiot require) required / rate min. inch.
Domestic water supply: circle one:qtIt_inicipaiDWell 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
1,814NadsFactutia,Ntgent* * * * * * * * * * * * * * * * * * * * * * * * * * * * * map.
RECEIVED
• MAR 0 5 199°
BLDG. & 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 leasttg,holuziptificnAtiot
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"_iyater supply
5.) size and dimensions of all tanks, distribution
boxes, tile fields and/or drywella
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 $250.00.
•
•
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may result `
in an immediate work stoppage.
• D. Should unforeseen problems during construction prevent proper installation, •
alteration or repair of an approved system, a new proposal must:be submitted
to the Queensbury Building Department before further construction.
•
I have read the regulations above and agree to abide by these and all requirements . .
of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
•
Signature of.responsible person: •
Date: •
•
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
• SFTTLED 1763 . . . HOME OF NATURAL. BEAUTY . . . A GOOo.PLACE TO
°,.....,�.:1 ,2 MIDDLE DEPARTMENT INSPECTION AGENCY, INC. ,..
s D '• .=)
,.....,,... National Headquarters
900 Haddon Ave., Collingswood, N.J.08108
APPLICANT COMPLETES THIS SECTION 3,4410 Date: ,�,' �"=`T.r •
1
•
fir, Town or awefisfisl'j3 gl. v� ut7 F County Warren:re. State NY
Location/Address 45 Queen Itz7Jry Drive
(If Located in Rural Area - Please Attach Directions) Pole # +
Owner GUYER BUILDERS. INC.. I Permit # - , I
Occupied As Building: New XI I Oldn
Occupant - -
Work Area in Building (Floor #,etc.):
App.for: Wiring n Service n or: Ready for Inspection:
Fee Remitted -$ Cash n 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
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 1'/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 f` T P2 PUTT rai:'. s, ;i:, Utility: 'WPC
Applicant's Address: 11q 4i,e:1rsA:sa- ,r-'3-e- •;,! (NAME) (OFFICE LOCATION)
(City) Pn11-z'tx Spsa (State) NY (Zip) 1 f( 9fi Service Request #
Phone # :99_91 ')1 Electrician: C1 ER ITI RS, I
MDIA USE ONLY DATE RECEIVED: DATE INSPECTED:"
Correct Location: Same as Above n or:
Red Notice Label I I
Rough Wiring Outlets Surface Unit Oven
'Switches Range _ Garbage Disposal
Receptacles Water Heater Dishwasher
Fixtures Air Conditioner Dryer
Amp. Service Equipment Burner, Wiring &Controls 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 CO RECT FEE PAID
RW -Progress: Inc.❑ LKD I I Contractor
❑ CFT Violation: Work Comp.❑ Inc. ❑
I L/A Owner CASH ❑
n L/A Fee CHK #
Due MO #
I I IPA Municipal
INV #
Date: Other Side El Utility Applicant
Owner El
Cut in Card _ n Temp # Date •
Final # Date INSPECTORS SIGNATURE
I IAPPLICATION FORM NO.250'EL 11/86 -
/
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
-
QUEENSBURY, NEW YORK 12804- tri2TELEPHONE (518) 792 5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /%;?5/9 )
NAME ��,/.L/-t4. ,,4 LW)J
LOCATION /76-- ,_774/Od i G(/� ' /A.,
DATE /0/26/9Z) PERMIT # 947_1 7
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING I
BACKFILL APPROVAL 1
ROUGH PLUMBING, 1
FRAMING J
ELECTRICAL ROUGH-IN f
INSULATION:
FOUNDATION N
FLOORS
WALLS . \ 1.
CEILING \'I
FINAL INSPECTION: a
CHIMNEY HEIGHT , \,
ROOFING I ', /
SIDING f .�A d EXTERNAL PORCHES/S EPS \ ✓
STAIRS-CLEARANCE &RAILS V
PLUMBING FIXTURES,'RELIEF 'VALVE
INTERIOR TRIM/PR1��VACY DOOR: I//
FINISHED FLOORS 1 d
GARAGE FIREPROOFING N ✓,
DOOR CLOSER(S) • /I
SMOKE DETECTORS!
FINAL ELECTRICAL INSPECTION . .. . ",, y/,
FINAL APPROVAL OF CONSTRUCTION V?
OK TO ISSUE C/O OR C/C n, f/ -
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
O
ARRIVE 6/ �
DEPART! `V
IN ECTOR
ELECTRICAL INSPECTIONS
DUPLICATE MUNICIPAL RECORD
Permit No.
Owner
Occupant
Location ! J S.1GL4-e e _-Qt-r
• No. Street
Town or City State
Installation as itemized on reverse side has been visually inspected pursuant to applicable
codes.
Installed by
No.
Date Pc) Inspector
MIDDLE DEPARTMENT INSPECTION AGENCY INC.
FORM NO.18 EL. 900 Haddon Ave.,Collingswood,NJ 08108
ROUGH WIRING OUTLETS H.P.AIR CONDITIONER
OUTLETS WIRING &CONTROLS FOR BURNER
RECEPTACLES H.P.PUMP
FIXTURES K.W.OVEN
AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT
AMP.SERVICE CONDUCTORS K.W.DISHWASHER
K.W.SURFACE UNIT K.W. DRYER '
K.W. RANGE AMP. RECEPTACLE
K.W.WATER HEATER FRAC. H.P.VENT FANS
MOTORS M.P. I/20 1/12 I/10 %a 1/e '' 'A I/2 '/ 1 11/2 2 3 5 71 10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE
APPARATUS
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS /J y��J
QUEENSBURY, NEW YORK 12804• fT/9 l
TELEPHONE 518) 792-5832
ILDING INSPECTOR'S ' :i'ORT
REQUEST FOR INSPECTION RECEIVED i
NAME .d .eA 4 edAA
-y,�
LOCATION 't pJ in? [t
DATE 1, ' 010 PERMIT • 96 47
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POU` FORMS
FOUNDATION/DAMN—PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING1
FRAMING
ELECTRICAL ROU —IN
XINSULATION:
FOUNDATION j '•
FLOORS
WALLS /( __ / 6: _
CEILING ' 'I • l' 7
FINAL INSPECTION: `� r
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES, STEPS
STAIRS—CLEARANCE' & RAILS
PLUMBING FIXTUR:11' RELIEF VALVE
INTERIOR TRIM/Pr' ACY DOORS
FINISHED FLOOR- 1
GARAGE FIREPR•iFI iG
DOOR CLOSER(S)
SMOKE DETECTO'S
FINAL ELECTRIC'i INS"; CTION
FINAL APPROVAL OF CO ';.TRUCTION
OK TO ISSUE C/o OR C/t
t
A SIGNED CERY FICATE O" OCCUPANCY MUST BE
OBTAINED FROei THE BUILDING DEPARTMENT BEFORE
THESE PREMI A S ARE OCCU", ED!
REMARKS:
ARRIVE ,( i/ : ,J 1".//
DEPART ! /
( INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT IL;BAY & HAVILAND ROADS f:QUEENSBURY, NEW YORK 12801- .;-
TELEPHONE (518) 792-5832 ==r
BUILDING INSPECTOR'S REPORT
/ l
REQUEST F 0�ii// INSPECTION RE EIV��ED 5/ 7(i /7(
NAME -' t i "( C/c�D/. ,� ///
LOCATIO 7 r i a I7. Jj, ii-ti
�
�R ,l
h
DATE t 5/1/'�%Q PERMIT # !' ( kl
jh rF APPROVED
i YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS]
FOUNDATION/DAMP-PROOFING ?t '
BACKFILL APPROVAL 1 i ' '
ROUGH PLUMBING ' f '
FRAMING ;d
ELECTRICAL ROUGH-IN ' : ` f .. .. ' ' .
INSULATION: i
FOUNDATION
FLOORS . . i f . . ' . . .
WALLS ;1 i .
CEILING ' .1 .
FINAL INSPECTION: ..h,-
CHIMNEY HEIGHT v
ROOFING j
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE ;'& RAILS
PLUMBING FIXTURES/R4IEF VALVE
INTERIOR TRIM/PRIVACY, DOORS
FINISHED FLOORS/ t;
GARAGE FIREPROOFING V,,
DOOR CLOSER(S): V.
SMOKE DETECTORS 't'1
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL,!OF CONSTRUCTION . ' .
OK TO ISSUE C/O OR C/C n• -
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPXED!•
r
REMARKS: s}
F
ARRIVE ///Ar /
l
DEPART I/ / 2 i,i' ,
7 INSPECTOR
awn 4 Queeni‘ury
BUILDING and ZONIING DEPARTMENT
Bay and Haviland1Road, R.D. 1 BOX 98
Queensbury,/New York 12801
SEP C DISPOS. SYSTEM INSPECTION
NAME ,/,� it
-/
LOCATIOAl :55i 4 Quth ajitctr-
7
DATE - /0 / qo I�PERMIT NO - 4)1
SOIL TYPE "Sand >= Loam j Clay -
Percolation Test;Required? YES - NO
Percolation rate - MinlInch
TYPE of SYSTEM: /
Absorption field total length
Length of each trend '
Depth of trencher ' .
Size of gravel
SEEPAGE PITS{Numer,"of)
Size- 7' ft X ft. (✓ ,S*,..— .
Gravel size ,
PIPING: f Size ,, Type
Bldg. to tank &‘ c?E a6
Tank to dist. bo �f �'‘ 3�?!? ,�.
Dist. box to fief L p.it '9" 50p_- d‘,
Openings sealed? j<YES NO Partial
LOCATION/SEPARAT 1��NS:
Foundation to tank ft.
Foundation to absorption ft.
Absorption to apt line ft.
Separation 'of Bits '1 f .
LOCATION OF SYSTEM ON R ER circle one)
Front - Rear -JLeside - Right side -
COMMENTS: I E,
' &Leieg a/nr-I
P !.
• gedi a aloffiriv4 GYM' S
SYSTEM USE APPROVED • �' 0,
_ L i
ui ing Inspector
01/86 and vl
•
cc�� 7 /h
awn o/ Q ,..,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME PJ�1./Apri .60(Iii )
00 lLOCATION -�J)� tain't 27airli ,(L
DATE 05/(I41/ G0 PERMIT NO. 90 .-/1'J
F
SOIL ,TYPE - Sanld - Loam - Clay -
Percolation Teat Required? YES - NO
Percolation rate - Min/Inch _
TYPE of SYSTEM:! '
Absorption field, total length
Length of eachtrench/
Depth of trenches *
Size of gravel { I
SEEPAGE PITS{Nunber /of)
Size- ft. X<. ft.
Gravel size
z
PIPING: 4 Siz T e i
Bldg. to tank /Tank to dist. boic
Dist. box to fiend/pit
Openings sealed?f YES NO Partial
t
LOCATION/SEPARAlIO,IS:
Foundation ,to trank4 ft.
Foundation to abso ption ft.
Absorption to Plot line ft.
Separation of 6pits 's, ft.
LOCATION OF SYSTEM ON, PROPERTY(circle one)
Front - Rear a- Left side - Right side -
COMMENTS: c
6644-1444UM\'
4
LWIENki 1 t
•
< t,
10
YA+ ,
, .
Dig '7) 7
SYSTEM 'USE APPROVED 1 0
`.3
Cl
Building Insp ctor
•
01/86 and vl
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
Q,RECEIVE* a��7
4U1-fLL K ed
NAME 1./� /J
LOCATIO .4 r¢ �
DATE 1J -{(�/y(ii
PE' 'IT # " `d -47
APPR VED
YES NO
k .FOOTING/PI 'S p
MONOLITHIC ':OUR FORMS
FOUNDATION/0 P-PROOFI G
BACKFILL APP"OVAL
ROUGH PLUMBIi
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING ‘,
FINAL INSPECTION,
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL POR,HE /STEPS
STAIRS-CLEA''NC & RAILS
PLUMBING FI TURE /RELIEF VALVE
INTERIOR T'IM/PR VACY DOORS
FINISHED F •ORS
GARAGE FI'EPROOFI G
DOOR CLOS;R(S)
SMOKE DETI CTORS
FINAL ELEC RICAL INS ECTION ' "
_.FINAL APPR•VAL OF CO STRUCTION
OK TO ISS E C/O OR C C
A SIGNED CERTIFICATE •F OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE P'1MISES ARE OCC PIED!
REMARKS:
i
i I
AR'i� t fj
�'�'D ''ART
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT (/).7
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280 •
TELEPHONE (518) 792-5832 .
BUILDING INSPECTO 'S REPORT
REQUEST FOR INSPECTION RECE VED f,,, /9v
NAME f/ U,,AOL, 41,!� t,J� -
LOCATION /, -jG3- ol�G( ,i2 � .•
DATE L- i -/,Cl/6 PERM # ��"�4/7
l APPROVED
YES NO
FOOTING/PIER'
,MONOLITHIC POI ' FORMS
FOUNDATION/DAM'-PROOFING %
BACKFILL APPRO AL •
ROUGH PLUMBING Zii1GL "
FRAMING •
ELECTRICAL ROUGH- N •
INSULATION:
FOUNDATION
FLOORS "
WALLS
CEILING
FINAL INSPECTION: I
CHIMNEY HEIGHT
ROOFING ‘ 1
SIDING 11
EXTERNAL PORCHES/ST
i STAIRS-CLEARANCE & LS
PLUMBING FIXTURES/RK,l EF_ VALVE
INTERIOR TRIM/PRIVACI�DOORS
FINISHED FLOORS I
GARAGE FIREPROOFING
' \
DOOR CLOSER(S)
SMOKE DETECTORS \ .
FINAL ELECTRICAL INSP CTI N
FINAL APPROVAL OF CON' TRU TION
A SIGNED CERTIFICATE /OF OC&JPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE 0 CUPIED.,
I l
1
REMARKS: i I
\ .
,
.162r0- 5d624) 4 .
•
INSPECTOR
TOWN OF QUEENSBURY /41/11
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
1
REQUEST FOR IN PICTION RE IVED
NAME
b2 ,
LOCATION
DATE 7.
PERMIT # l�
APPROVED
,' YES NO
tl -'
FOOTING/PIERS fl
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL';] •
ROUGH PLUMBING 6 .
FRAMING
ELECTRICAL ROUGH-IN ti
/INSULATION: �1 I
R(FOUNDATION (9/,l Z f fr#LTI/�-L �C
FLOORS. { . . •
WALLS A t
CEILING td �Y
FINAL INSPECTION: \; r
CHIMNEY HEIGHT t
ROOFING I
SIDING
EXTERNAL PORCHES/STEPS
r.,
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/R 'LIEF VALVE
INTERIOR TRIM/PRIVY'CYDOORS
FINISHED FLOORS. / 1
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS ,l
FINAL ELECTRICAL L'NSPECTION •
-FINAL APPROVAL OF!CONSTRUCTION
- OK TO ISSUE C/O /OR C/C te.
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM 7HE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED! \}
REMARKS: 2ABM AI Ips i O t OFFbUAADA-1-10Ar
►-a a I AJS PG-e-rr r\ -
Po u R(AJG frt.-0 0 R.__
ARRIVE `// d�j hj
DEPART 6 l%/6
• INS ECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280 •
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME GU�(��� f
LOCATION L 0 -L(5 Q /'14 / 7f22
DATE 3/L 5/90 PERMIT # `7 O "y 7
APPROVED
y YES NO
FOOTING/PIERS 1
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFINGVI
BACKFILL APPROVAL
ROUGH PLUMBING f` ,
FRAMING •
ELECTRICAL ROUGH-IN 47,
INSULATION:
FOUNDATION
FLOORS. 1. j
WALLS [`I . •
CEILING PJ 1
FINAL INSPECTION:'
CHIMNEY HEIGHTr,
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANdE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TR)TM/PIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S) 1 •
SMOKE DETECTORS A
FINAL ELECTRICAL INSPECTION
_FINAL APPROVAL OF CSTRUCTION
- OK TO ISS E C/O OR C(C
A SIGNE/ CERTIFICATE )DF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESEREMISES ARE OCCUPIED!
REMA KS:6/ i/trp /V cN �.
�l h t
A-il-fn 4.69 /0TW6 l g• WOD�
ARRIVE 5:c
DEPART / (�
• I SPECTOR
QUEEN VICTORIA'S GRANT
QUffJMIRY, NY
rENSBUFRy
��'EIVED
MAR 0 51990
UJI. & CODE DE
pT
-- --
MAIO
160.00' _ _ — —
110,
THIS SEPTIC SYSTEM IS
LOCATED NEAR THE INSECTION
QUEEN MARY DRIVE ! MARGARET DRIVE
SEE MORSE ENGINEERING DWG S
REFERENCE DRAWINGS:
'6Q 00.
SHUTOFF
,
/
i All �e
,
,
/ i
_ _30'
49 \T
2000 gal.
8'-0 DIAMETER
9'-0 DEPTH
1 10208'
S
/
i
t /
/
t 1 /
t '
t
1 -TOWN of a
Zoning AdMin sty
1
SITE UTILITIES
SEPTIC & WATER
VanDUSEN & STEVES
SURVEY PLAN
i
MOXL : 45,47,49,51,53,55
QUEEN MARY DRIVE
y�
PLOT PLAN & SEPTIC SYSTEM
GUYER BUILDERS, Inc.
Bit drawn: KW 2/28/90 Fcale: 1" = 20'-0
1
QV-32