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1990-071 ,17 CERTIFICATE,' OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK • Date �('�(1�1 P1r) 2L 19 9 70\ \CA This is to certify that work requested to be done as shown by Permit No. 90-71 has been completed. This structure. may be occupied as a 1/2 of 2-fnmil.y dwelling Location 41 Qtnepn Nfary llrier� Owner Guyer Builders Inc. By Order Town Board TOWN OF QUEENSBURY 2-) „__ Director of Bldg. & Code Enforcement • BUILDING PERMIT lv TOWN OF QUEENSBURY Na 90-71 WARREN COUNTY, NEW YORK 0 PERMISSION is hereby granted to Guyer Buildres, Inc. OWNER of property located at 41 Queen Mary Drive Street, Road or Ave. in the Town of Queensbury,To Construct or place a 1/2 of 2—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 NY 12020 2. CONTRACTOR or BUILDER'S Name td Same 3. CONTRACTOR or BUILDER'S Address trJ C/] z cD 4. ARCHITECT'S Name • I. F-+ m 5. ARCHITECT'S Address Cb O 6. TYPE of Construction—(Please indicate by X) (x)Wood Frame ( ) Masonry ( ) Steel ( ) Cb 7. PLANS and Specifications t.� O No. 42'x26' 1/2 of 2-family dwelling as per plot plan, specifications and application. t 8. Proposed Use 1/2 of 2-family dwelling $ 126.00 PERMIT FEE PAID —THIS PERMIT EXPIRES September 21 19 90 vq (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.) Dated at the Town of Queensbury this 21st Day of" March 19 90 SIGNED BY / ://,77. . for the Town of Queensbury Buik)irrg-and Zonin Inspector • roWN OF Q UEENSE yr Y AI'PLICA`l'T(lN FOR IiUT;... . .. +D ZONING PERAIIT Pare- . pri 0 . . R c c..L v ed . I W W1 OF QUEENSBURY - RECEIVED ;;e Rein ewed i �'Z.� ,k'� Fy ' MAR 19 1990 Fee vFa,id BUILDING AND -CODES UI:PAtTPiEmr ,Date. I44ued � BLDG. CODE DEPT. DAY and IIAVILAND ROADS RD 1 Box 93 ,l ,P • (IUEENSDURY,NEW YORK 12804 Pehm•i t NO. v/�(b--.1 I _ Tell . (518) 792-5832 Ext •204 A PERMIT MUST B1l OBTAINED BEFORE BEGINNING CONSTRUCTION . NO INSPECTIONS Ii'ILL BE MADE UNTIL APPLICANT IIAS RECEIVED A VALID BUILDINC PERMIT. All applicable spaces on this application must be completed and the ' sipuature Of*the*a1Apli* Aa>At*mu ap*ear*on the *eve*se- s1*e*of f this*sheet . *The owner of" this property is : . GUYER BUILDERS. Inc. 31�,a P.O. Address 1 HEEMPHILL PLACE-SUITE 201, . BALLSTON SPA, NY 12020 T E L 4518) 899-911661 (Property •location 0QUE6.) - move,y OQ/06 TAX MAP NO., /Z/ / '/ Has there been any split of 'this property since October 1 , 1988? ' • /, no yes no I P{ If yes , Planning Board Review is necessary. 912' SUBDIVISION NAME , IF APPLICABLE QUEEN VICTORIA'S GRANT LOT NO. The person responsible -for supervision of work as regards Building Codes is : Richard H. Guyer III 1 Hemphill Place-Suite 201, Ballston Spa:.NY (518) 89979161 NAME P .O. ADDRESS TEL. NO. Name of buildexGuyer Builders,IncAddress 1 Hemphill Place-, Ballston Spa Tel (518) 899-9161 Name of Plumber -same- Address . -same- Tel -same-- -Name of Mason '-same- Address -same- Tel -same . NATURE OF PROPOSED hORK: MODEL: "Q" - • ZONING IN1:OItMATION (Office use only) X Con::truccior� of a new building • ZONING DESIGNATION OF PROPERTY • Addition to :a building • PERMITTED PRINCIPAL PERMITTED ACCESSORY Alteration to a building • , (no change to exterior aimensions) • REVIEW REQUIRED PLANNING, BOARD ZONING BOARD Ocher work (describe) SITE PLAN REVIEW ff APPROVED DATE CROSS AREA. O1•' PROPOSED, STRUCTURE • VARIANCE I1 APPROVED DATE d 1st Floor 900 sq ft ,e_ 1 ` • Remarks: 2nd Floor --- sq f t . I r „ C0mPf.E'I'L.It11•'OIMMATiON kl;jUilcED UI:L(iN. (see Other Floors -- sq ft . • Size of property 100'± plotpinft X 120 ft. (not cellar or basement) ' Existing building(::) Si_e n/a ft X n/a rt. TOTAL FLOOR AREA^ 900 sq ft . • Existing building(s) Us.: n a :.size of new structure 42 ft a 26 ft • t'oundacion-pier ® crawl/parci;,l/cull • Proposed building, discanee from property line (circle one) ir Front yard 30+ ft Rear yard 30+ ft No. of stories (habitable space) 1 ' • Sid.: yards . 15+ ft and15+ cc Height (grade to ridge) 19.5 ft. • If on corner, setback from side street 30+ cc 1 f residential, no. of -families 1 -2 No. of rooms(excluding baths) 5 • OCCUPANCY ' INFORMATION . No. of bedrooms ' 1. • • No. of bathrooms 1 . PRIMARY DUILDINC - • Ono family dwelling I'riuury heacilag systeumBaseboard Electric • OTwone family dwelling Type of fuel Eletricity • Multiple dwelling / Number of units No, of fireplaces to be installed 0 Peru►anent oecup:u►cy Will a wood stove be i1►stalled? No • 'Transient occupancy Cantr:al Air conditioning:' Ng r - Business BUILDING STYLE, PRIMARY STRUCTURE •• Industrial Ocher Ranch Contemporary Log cabin if addition, what will use be? Raised ranch Mansion OupleZ) Uplit level Old scyle Bungalow - Cape Cod • Cottage Ocher • ACCESSORY 1lUILDINC- - Colonial ' !cow • 10wnn House * Detached garage/one cur/ two car/ . car . ( CIRCLE ONE PLEASE ) • Attached garage/one car/ two car/ - . cur • r • r ■ • r • a • • ■ a a r • • • Private storage building , ESTIMATED MARKET VALUE OF • Ocher LONSTRUC'TION , ---21�CQQ • •_ INFORMATION ON BUILDING SPECII'ICATIONS, ON REVERSE SIDE OF THIS SHEET, '1'O BE COMPLE'I'EDI Form DPA 10/88 vi BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: • Type of donstruc tion, wood frame, fire safe,etc. wood frame Will any second-hand or ungraded lumber be used? If so, for what? no 8" Foundation wall material concrete block Thickness Depth of foundation below grade (to bottom of footing) 48" minimum Will there be a cellar? no Heated or unheated? Floor sq. footage sq ft Will there be a basement? no Will any portion be used as living space? (If so, what portion? sq.ft. - - Type of use? Type of roof -(sloped)'flat/shed/other Material of roof fiberglass shingles Size, wood studs 2 "X 6 " spacing 24 "o.c. length 8 ft. 1 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 see "X plan" spacing 24" o.c. span ft. Roof trusses (pre-engineered) spacing 24 "o.c. span vary ft. (see plan) Exterior wall finish stained Of what material? 5/8"x 4'x 8' 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: n/a Is there to be an opening between garage and dwelling? n/a 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 ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ft, in. . Water supply - Municipal or private well Municipal SEPTIC SYSTLM •_ 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) . r 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. /� ,/ / �7 Signature T V Ow er, owner's agent, a�c contractor * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: By • d ` � �wiv `:rr I�UEEiVSRUAI�IbRECEIVED APPLICATION FOR SEPTIC DISPOSAL PERMIT MAR 191990 - - BLDG. & CODE DEPT. : S.P.E.D.S. . 3 l(o� L� : Ref DATE permit # New York. 02.02525' MODEL or Q of garQ�Q i LOCATION OF PROPERTY FOR INSTALLATION 41 Queen Mary Drive Owner's Name: Guyer Builders, Inc 4..• 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 Q 150 gal per bedroom) 300 Topography: circle one: Flat 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: (ot require 1 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 fee't' * Size of stone to be used # / Depth or Thickness feet * * * * * * * * * * * * * * * * * * * * * * * * * * * * * #.* * * * * * * * * * * IMPORTANT * See S.P.E.D.S. ...Please...LIST NEW EQUIPMENT TO BE INSTALLED permit & attached * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * map. • (over) • • • •Section II Septic System Inspections: A. All applications for septic system installation, alteration or repair, as required by the Town of Queensbury Sanitary Sewage Ordinance, shall be submitted to the Building Department at least 441.40e€5r tirt • ; of construction and shall include a plot plan showing: 1.) the proposed,location of the §ystem 2.) location and distance to lot lines .. . 3.) location and distance to structures 4.) location and distance to any Avhter 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 $250.00. • C. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must:be submitted to the Queensbury Building Department before further construction. I have read the regulations above and agree to abide by these and all requirements . of the Town of Queensbury Sanitary Sewage Disposal Ordinance. ,77W Signature of.responsible person: �l Date: . 4 lei-9 0 • • Town of Queensbury .. Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 • • • • • •• c§TTI Fa 1763 . . . HQ18E OF NATURAL ¢EAUTY . . . A G00D.PLACE TC. • "......w...` MIDDLE DEPARTMENT- INSPECTION AGENCY, INC. i �' National Headquarters ; 900 Haddon Ave., Collingswood, N.J. 08108 :_ /&51!:/-.; APPLICANT COMPLETES THIS SECTION • Date G.ty Town or takitiatrriX 4z=<`'3=u a • County War—Dell State - ' Location/Address 41 Queen ]k1r' ''rive • . (If Located in Rural Area - Please Attach Directions) Pole # f. TV0ISt 1< r:�'yr.C: w�� /af' i l Owner ay1_�. u , .v,e Permit # Occupied As - Building: Newn Old • • Occupant ` •_ Work Area in Building (Floor #,etc.): App. for: Wiring n Service n or: Ready for Inspection: Fee Remitted -$ - 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 11h 2 3 5 71/2 10 15 20 25 30 40 50, 75 100 . Mark Number .. - of Each Size . Applicant's . • Signature_ INC. License # Permit # T/A •',? Fs;` st %3J,ti _.1)- is I Utility: %T.'iL_j Applicant's Address: 119 1':i6ie T.`3' S - -t=L (NAME) (OFFICE LOCATION) NY. (City) Ba1-c 3tO1i SDa (State) N . (Zip)" 1202'=' - - Service Request # Phone # 89 .tx Electrician: M..0 :L ,� _�c3 z`' MDIA USE 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 _- - , V 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/z 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 COFEECT FEE PAID I I RW Progress: Inc.❑ LKD I I Contractor ❑ CFT Violation: Work Comp.❑ . Inc. ❑ n L/A .` Owner •Fee CASH ❑ I—I L/A CHK#- Due I I IPA ‘,..), - Municipal MO # INV # Date: Other Side❑ - Utility • Applicant H• Owner Cut in Card - n Temp # Date Final # Date INSPECTORS SIGNATURE APPLICATION FORM NO. 250 EL 11/86 • - APPLIcANT'§ CQQPV - - ~ 1.1MIDDLE DEPARTMENT INSPECTION AGENCY, INC. ---- National Headquarters 900 Haddon Ave., Collingswood, N.J.08108 _ 41y0 APPLICANT COMPLETES THIS SECTION Date: Ankinift C ►Town or Vir±'f a' bur- County Warren State NY Location/Address 41 Queen r nry Drive (If-Located in Rural Area - Please Attach Directions) Pole # 67 ) Owner GUM BUILDERS, INC. 4.` Permit # L II Occupied As S +r �` . ,R-I • I y Building: . Newt ' t Old . Occupant Work Area in Building (Floor#,etc.): App. for: Wiring F7r.Service la or: Ready for Inspection: Fee Remitted-$ Cash n Check❑ M.O. ❑ 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 7'/2 10 15 20 ' 25 30 40 50 75, 100 Mark Number . of Each Size Applicant's Signature License # P rmit # T/A GiJ ? BUILDERSg INC. Utility: 'UPC C�(&,ei'' / c; a..5 'Applicant's Address: 119 Dunning Street (NAME) (OFFICE LOCATION) (City) Ballston Spa (State) NY (Zip) 12020 • ___ Service Request # Phone # 899�-9161. Electrician: G_ F R BUILDERS, INC. MDIA USE ONLY DATE RECEIVED: r'/ - r i DATE INSPECTED: ( - G/ / C) Correct Location: Same as Above❑ or: Red Notice Label n Rough Wiring Outlets • Surface Unit / Oven --,bSwitches / Range • I Garbage Disposal Receptacles / Water Heater ) Dishwasher /,Fixtures Air Conditioner / Dryer • / 5)Amp. Service Equipment Burner, Wiring &Controls for Amp. Receptacle Amp. Service Conductors Pumpent 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 CORRECT CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE FEE FEE PAID • ❑. RW Progress: Inc.[!]/ LKD❑ • Contractor ❑ CFT Violation: Work Comp.❑ Inc. ❑ 73 ❑ L/A. . " . Owner CASH ❑ Fee CHK # ❑ L/A `- Due n IPA '-- Municipal MO # INV # /G.s c Date: Other Side❑ ' - UtilityU :/) Applicant Owner Cut in Card _'� .1 1 ❑ Temp # Date 1 - G‹. � nal # & (l %,�`' ,2. -A � INSPECTORS SIGNATURE Date APPLICATION FORM NO.250 EL 11/86 - - - • , TOWN OF QUEENBURYS BUILDING AND CO ES-bEPARTMENT13121 BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804, TELEPHONE (518) 792-5832 . BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVEb 1 z#571 V 0 NAME Stutpk. £ A LOCATION 41 , `�Q e,;, TiQ` / ,F DATE /()/p,(o/q) PERMIT/'# 90- 4/ APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS y . ' / FOUNDATION/DAMP-PROOFING '` • I . BACKFILL APPROVAL i / ROUGH PLUMBING • ;; • • I FRAMING f /`' ELECTRICAL ROUGH-IN ' A / INSULATION: I FOUNDATION I rJ FLOORS WALLS CEILING f )(FINAL INSPECTION: CHIMNEY HEIGHT i ROOFING ' ( if SIDING 11 ' ' ' ' EXTERNAL PORCHES/STE S j/` STAIRS-CLEARANCE & ILS Y/ PLUMBING FIXTURES/RELIEF VALVE 1 INTERIOR TRIM/PRIV CY 1DOORS FINISHED FLOORS y GARAGE FIREPROOFI G ", DOOR CLOSER(S) 1 SMOKE DETECTORS •••\ ' . v FINAL ELECTRICAL NSPECTTON FINAL APPROVAL 0 CONSTRUCTION . . . d 2 OK TO ISSUE C/O R .C/C --- -- A SIGNED CERTI ICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING!;DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!. REMARKS: , Cs ARRIVE / 9 �!I/ gi,a4J . DEPART INSPECTOR ELECTRICAL INSPECTIONS ' • DUPLICATE MUNICIPAL RECORD Permit No. /� Owner A.\/ L,(� (,t I 1 c. Occupant / 1n Location £'' ( \ (.- e.e_An Y`MCA r V No. 1r Street LI P,eVLkb (LV' Y own or City State Installation as itemized on reverse side has been visually inspected pursuant to applicable codes. Installed by q r � ����' \ J N o� Date ! n a" L! — � � C�s� /h Inspector MIDDLE DEPARTMENT INSPECTION AGENCY INC. FORM NO.18 EL. 900 Haddon Ave.,Collingswood, NJ 08108 1 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 f' K.W.WATER HEATER FRAC. H.P.VENT FANS MOTORS H.P. 1/20 I/12 I/10 % % % % 54 Y. 1 1% 2 3 5 71/2 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 144',/ ' QUEENSBURY, NEW YORK 12801. �� TELEPHONE (518) 7 2-5832 BUILDING INSPECTOR'S REPORT / REQUEST FOR INSPE TION RECEIVED ��,31 CJU NAME LC�1Zc, 4LLt�—�, LOCATION GIl ;'�A.w `12 I J,L /i2 DATE /3 • ) A PERMIT # i • APPROVED YES NO FOOTING/PIERS f MONOLITHIC POUR FORMS l FOUNDATION/DAMP-PRO FING f BACKFILL APPROVAL \ I • ROUGH PLUMBING C • FRAMING \ ELECTRICAL ROUGH-IN A l ' X INSULATION: \ I FOUNDATION FLOORS ‘ l • . WALLS • g_-(W CEILING '1 ' FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ST' PS STAIRS-CLEARANCE & RAIL . PLUMBING FIXTURES RELIE ' VALVE INTERIOR TRIM/PRI, ACY D RS FINISHED FLOORS i GARAGE FIREPROO ING DOOR CLOSER(S) SMOKE DETECTOR FINAL ELECTRICA INSPECTION .FINAL APPROVAL F CONSTRUCTIO OK TO ISSUE C/ OR C/C A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FRO THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: 2 upcita A M U.S J B 6 0Y 1 A-LC©,J`/ �-D (Q /31-- -ALL -rim • ARRIVE JP11LkL---- DEPART 7 :`4- NSPECTOR TOWN OF QUEENSBURY BUILDING AND CODS DEPARTMENT BAY & HAVILAND • ADS , QUEENSBURY, NEW YORK 12804 TELEPHONE (518' 792-5832 BUI DING INSPECTOR'S RE:SRT REQUEST OR IN t•ECTION ECEIVED i fd1GO gf9L - NAME (/]Pi fl LOCATI04t/ _ / . )/L/ a /n- DATE d /6 14 :p PERMIT # (J ,U- 'V APPROVED YES NO FOOTING/PIERS 1 MONOLITHIC POURRFORMS FOUNDATION/DAMP PROOFING BACKFILL APPRO VtlL ROUGH PLUMBING d/"/ FRAMING ELECTRICAL ROUG -IN ' . ' ' . . INSULATION: FOUNDATION t FLOORS . . . WALLS CEILING FINAL INSPECTION.' CHIMNEY HEIGHT . ROOFING . SIDING EXTERNAL PORCHE ' ST BPS STAIRS-CLEARANCE & t')ILS PLUMBING FIXTURE" -`ELIEF VALVE INTERIOR TRIM/PR ` °CY DOORS FINISHED FLOORS .( GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS l 1 FINAL ELECTRICAL i SP. CTION FINAL APPROVAL OF;+CON•TRUCTION - OK TO ISSUE C/O .'• C/e A SIGNED CERTIFI ATE O" OCCUPANCY MUST BE OBTAINED FROM TIE BUILDING DEPARTMENT BEFORE THESE PREMISES IRE OCCU•"IED! REMARKS: I. I i • , ARRIVE c 21- pp .4 DEPART 3 r) �k INSPE!, )R TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & NE ROADS QUEENSBURYBURY,, NEW YORK 12804- TELEPHONE (518 792-5832 BUI )ING INSPECTOR'S REPO' REQUEST FOR I SPECTION RECEIVED 641/40 NAME ,S6Q14- 6 '4-j LOCATION //I ( �(lL� m/GC1 DATE 0 PERMIT # !J -- / APPROVED YES NO FOOTING/PIER MONOLITHIC P UR FORMS FOUNDATION/D, P—PROOFING BACKFILL APP OVAL ! ROUGH PLUMBI G 1 FRAMING . d � ELECTRICAL ROUGH—IN ' INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTI ' : CHIMNEY HEIGH ROOFING SIDING EXTERNAL PORCH /STEPS STAIRS—CLEARANC & RAILS PLUMBING FIXTUR /RELIEF] VALVE INTERIOR TRIM/PR VACY D ORS FINISHED FLOORS GARAGE FIREPROOFI G DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL INS.EC ION FINAL APPROVAL OF CO !RUCTION OK TO ISSUE C/O OR C/10 A SIGNED CERTIFICATE • OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE oCC 'IED! REMARKS: �S' 1 ARRIVE � _ �1 DEPAR I ! ' �' d 6% INSPECTOR ) Ok-- / _town o Queeni ur y J BUILDING and ZONING.DEPARTMENT Bay and Havil.nd Road, R.D. 1 Box 98 Queensb ry, New York 12801 SEP -F DISPO.AL SYSTEM ,'NSPECTION NAME _/,� (..) r�. 1. . - f /_'�5 LOCATION Ifir ��i�,c,-,/ DATE 6 hi go PERMIT NO. /O --6 1l SOIL TYPE - Sane - Loa - Clay - Percolation Tes Requi ed? YES - NO Percolation rat - Min Inch _ i TYPE of SYSTEM: Absorption fiel; , to 1 length Length of each Itrenc • Depth of trenches ' ' Size of gravel ! SEEPAGE PITS{Number of) ' Size- ft. Xi- ft. Gravel size 1 PIPING: ;, '; Size Type Bldg. to tank i Tank to dist. b Dist. box to fie\d/pit Openings sealed? . YES NO Partial LOCATION/SEPARA IONS: Foundation to t 9k ft. Foundation to stibrption ft. Absorption to 'otline ft. Separation of it ft. LOCATION OF S STEM ON PROPERTY(circle one) Front - Rear Left side - Right side - COMMENTS: 4. , : ' i((e Pik 21 g e ' 0 1-0 e,e' O Co v0G2 i SYSTEM US APPROVED YES )VO milis A.4I ui Bl.ang Inspector 01/86 and vl TOWN OF QUEENSBURY filiti BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS: QUEENSBURY, NEW YORK 12804• TELEPHONE (518) 792-5832 BUILDING/INSPECTOR'S REPORT REQUEST F9 INSPEG'TIO/RECEIVED{�rj�(10/96 Il?Z NAME l /�.G�;j . /l /4-C'd� j LOCATION �,� 1" T�- )b(l.e,o�/� i. DATE OP/Q0 PERMIT # 6110-11 APPROVED I YES NO FOOTING/PIERS Iri MONOLITHIC POUR FARMS I • FOUNDATION/DAMP—P OOFING4' • . BACKFILL APPROVAL , ROUGH PLUMBING 1 1 • FRAMING ELECTRICAL ROUGH—I2'J . 1. INSULATION: �_1 FOUNDATION o- . . . FLOORS . WALLS A . . . . . CEILING )' * • * ' FINAL INSPECTION: r4 CHIMNEY HEIGHT j' ROOFING SIDING t' EXTERNAL PORCHES, TEPS STAIRS—CLEARANCE) I RAILS PLUMBING FIXTURES µRELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS 1 GARAGE FIREPROOFIN, DOOR CLOSER(S) SMOKE DETECTORS • . 3 FINAL ELECTRICAL INSPCTION FINAL APPROVAL' OF CON TRUCTION " OK TO ISSUE CEO OR C/ --- ., A SIGNED CERTIFICATE OO OCCUPANCY MUST BE OBTAINED FRAM THE BUI ING DEPARTMENT BEFORE THESE PREM SES ARE OCCFPIED! REMARKS: /7(7_4., L I I I/ 7,44, - e. tc •- /ij7 itfillokr . ARRIVE )I*4 DEPART 1 // + : INSPECTOR QUEEN VICTORIA'S GRANT _ QUEENSBURY, NY DRIVE LDT CLEANOUT TO GRADE TOWN OF QUEENSBURY Zoning Admimstrat Date j��`JCj89 ADDED Q-Q MODEL ON 41-43 DESCRIPTION REV C:„E KW ml REFERENCE DRA'N!NGS: 5 S!TE UIT! L! TIES JET T!C & WATER VanDUSE^' & STEVES SUR'✓EY PLAN �—MODEL ROOD PLAN �' U VARY ACCORDING TO SALE, DRAUv'!NG JHov"s ONE STYLE ONLY 1250 gal --- — 6'-0 DIAMETER 8'-0 DEPTH-- MODEi_ : 9,41,47 tiIARY PLOT PLAN & SEPTiC SYSTEM GUYER BUILDERS, Inc. dr:-jan: KW 9/11/89 1 Sccie: 1" = 20'—' QV-31