1990-112 Y
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date October 24 1990
950\
This is to certify that work requests to be done as shown by Permit No. 90-112
has been completed.
This structure may be occupied asa 1/2 of Duplex
Location -,5 C neen Mary Drive
Owner Guyer Builders Inc.
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 90-112
WARREN COUNTY, NEW YORK 1-
PERMISSION is hereby granted to GUYER BUILDERS INC.
OWNER of property-located at 55 Queen Mary Drive Street, Road or Ave.
in the Town of Queensbury,To Construct or place a 1/2 of Duplex
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 Drive-Suite 201
Ballston Spa NY 12020
td
2. CONTRACTOR or BUILDER'S Name
Same t"
CJ
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
C
(b
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X) N
( Wood Frame ( ) Masonry ( I Steel (
7. PLANS and Specifications TQ Model
F-+
No. 42'x26' 1/2 of Duplex as per plot plans, specifications and application
including septic system.
8. Proposed Use
1/2 of Duplex ro
$ 126.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 5 ,19 90
(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 5th Day of April 19 90
SIGNED BY �d'� for the Town of Queensbury
Building and Zoning Inspector
"'::T N OF QUEENSI3URY APPLICATION FOR . BUIi..,...-. ..ND_ZONINC PERMIT
• Pate.-
. 1/1
. iil • ., •
,; Rec;ieved
. . •
,...,:,:,,, !.. .. ;;� Reviewed r/ q' • .
6 - ' ' .
. . . - - Fee Fi \$ �I, ��
IJILDINC AND CODES U1:PARTP+Iit'rf Date Iooued ' ''
DAY.and NAVI L.4ND ROADS RD 1 Box 93 - -n, V i'N 'i' i j `,s'v(l ;r : i!k
nUEENSDURY,NEW YORK - 12804 Penm i t No. D- 1 1 a _ •
Tel . (5181 '792-5832 Ext •204 _ f APR 5 J '
A' PERMIT MUST UI OBTAINED BEFORE BEGINNING CONSTRUCTION.-,-NO^,INSP1 CTJONS.
• )''ILL BE MADE UNTIL' APPLICANT IIAS RECEIVED A VALID BL'ILDINC PERMIT.
All applicable spaces on this application must be completed and the
s.ipuature of*the*applicant*m must appear*o* the reverse sided of this*sheet*
,,-„The owner of this property is : GUYER BUILDERS. Inc.
---P.O. Address 1 HEMPHILL PLACE-SUITE 201, BALLSTON SPA, NY 12020 T E L 4 518) 899-9161
Property location 55 Calf ^MAI DS TAX MAP NO.____
- IIas there- been any split of this property since October 1 , 1988? / no
. yes ILO if yes, Planning Board Review is necessary. '
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 Sna..NY (518) 899-9161
NAME F .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-
:'.,1V1TURk OF PROPOSI=D hORK: „Q„ • ZONING INI�OIMATION (Office use only)
MODEL:
X Construcciors of a new building • ZONING DESIGNATION OF PROPERTY .
Addition to a building ` PERMITTED PRINCIPAL PERMITTED ACCESSORY
Alteration to a building • ' •
(ice change to exc.:rior dimensions) • REVIEW REQUIRED - PLANNING BOARD ZONING BOARD
Ocher work (describe) • SITE PLAN REVIEW U APPROVED DATE -
•
' ''LItOSS AREA OF PROPOSED, STRUCTURE • VARIANCE II APPROVED DATE •
•1st Floor 900 sq ft . • Remarks: - •
�.2nd Floor --- sq ft . • COa•IP(.ET1;:•It11'01JM'1'iON lc 'juiltED uEL011.
(see
' ,Ocher Floors sq ft . • S1ze of property 1001t plotpinic x 120 ft.
_(-not cellar or basement) • existing building(s)(..) Sic.: n/a is X nfa rc.
•
-
TOTAL FLOOR AREA^ 900 sq f t . • L'xi::cing building(::) U:au n a
..,.:- izs .of new structure 42 ft a 26 ft •
;`_lrul.3+cdation-pier ® crawl/partial/full ' Proposed building, distance: from property line
(circle one) 4 Front yard 30+ ft Rear yard 30+ ft
Na. of stories (habitable space) 1 _ • Side yards 15+ ft and 15+ fc
. .ileight (grade to of
19.5 fc. • If on corner, setback Troia side street 30+ cc
l f residential, no. of families 1--2
No. .of rooms lexcludin'l baths) 5 • OCCUPANI:Y INFORMATION •
Uo. of bedrooms 1. a•
PRIMARY BUILDING -
No. of bathroom:: 1 One family dwelling
Primary huacing system Baseboard Elprtric •
x 1ao family dwelling
Nype uf, fuea Eletrieity Multiple dwelling / Number of units-___
No. of fireplaces to be installed 0 . ' 1'eruwncue occupancy
Wi11 a wood :acovel be installed? No ' Transient occupancy
' .Central Air conditioning? . No • Business
WILDING STYLE, PRIMARY STRUCTURE •' Industrial
Ocher
Nanch Contemporary t,C,n cabin • if addition, what will use: be?
:::Ratised ranch - Mansic+n
oul,lux .
.Jplie level Old style Uunuulow •
,-',Calms COO. Coet:ni.: Och r ' ACCESSORY BUILDING-
Colonial Row Town House • Letached garage/one car/ two car/__ear
- - ( CIRCLE•' ONE PLEASE ) • Attached garage/aid car/ two cot/ _Car
* • * • * * ■ ■ a • a * * a * . * ■ • Pri• vate storage building
ESTIMATED MARKET VALUE OF • Ocher
CONSTRucTIUN •
-;`-INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 10/88 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 - s oped 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/g "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 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)
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.
Signatureyse,/,
►�y�-��
Ow er, owner's agent, ai�hitect, contractor
a * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
•
By
awn of Queadottni
'- iY
APPLICATION FOR SEPTIC DISPOSAL PERMI
ll I ;; ,;
APR 3 . 1990
5/3a `w • Ref: S.P.E.D.S. .
DATE permit #
New York - 0202525'
MODEL - Q of gig
LOCATION OF PROPERTY FOR INSTALLATION 55 Queen Mary Drive
Owner's Name: Guyer Builders, Inc. ..• . Telephone: (518) 899-9161
Address: 119 Dunning Street, Ballston Spa, New York 12020
Guyer 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: I 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: Municipa�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
* 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 leasf2i24`ouriLJY e4ore staaril •
•
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•kiater 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 $250.00.
•
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may result
in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installation,
alteration or repair of an approved system, a new proposal must:be submitted
to the Queensbury Building Department before further construction.
•
I have read the regulations above and agree to abide by these and all requirements .
of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
a l�
Signature of.responsible person: i,
•
Date: , I
•
Town of Queensbury .
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
•
•
•
•
•
SETTi_En 1743 . . . HOL3F OF NATURAL BEAUTY . . . A GOOD.PLACE Tr.
e
MIDDLEDEPARTMENTINSPECTIONAGENCY, INC. �! _y' National Headquarters
900 Haddon Ave., Collingswood, N.J. 08108
APPLICANT COMPLETES THIS SECTION Date:3Ib(I' Q
'L°=iSX Town or To"uvaslaip L 'een b]A iJ County Warren State L?L
Location/Address 55 Queen Mary Drive
(If.Located in Rural Area - Please Attach Directions) Pole #
Owner GU t EUT 31DS 5 IN Permit # ��n— 1 :'L.
Occupied As ' i " Cr(� �' C v,.-1 r I•
c / Building: New® Old I I
Occupant
Work Area in Building (Floor #,etc.):
App. for: Wiring Ilj/tervice l'or: Ready for Inspection:
Fee Remitted-$ Cash n Check I I M.O. n Make Payable To: M.D.I.A.
500 750 1000 1250 150011750 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 1 142 2 3 5 742 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size ,
Applicant's
Signature License # Permit #
T/A Pry , 1l1TT 1. R?S_ Mr. Utility: 'NNW..
Applicant's Address: 1 i C) f 1f117 2ZC, S$r'PPf (NAME) (OFFICE LOCATION)
(City) +iy.1 1:3tOn S (State) 1•h (Zip) i 707,n Service Request # C
_
Phone # 899— /1_6 Electrician: (!JY1 P TftTI 1-TRq, pr.
MDIA USE ONLY DATE RECEIVED: �i G� �'
(7- ( 7 G% DATE INSPECTED: Gi Al- fc--_j
Correct Location: Same as Above I or:
Red Notice Label I J
Rough Wiring Outlets Surface Unit Oven
Switches Range Garbage Disposal
Receptacles _ Water Heater Dishwasher
Fixtures Air Conditioner Dryer
_I5 U 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 1 142 2 3 ' 5 742 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.n LKD I I Contractor
ElCFT Violation: Work Comp.❑ Inc. ElJ
I L/A Owner CASH ❑
L/A Fee CHK #
Due MO #
n IPA Municipal
., INV #
//
Date: Other Side❑ Utility �c�.�� Applicant I I
Owner El(.
Cut in Card n Temp # — Date , f
G' INSPECTORS SIGNATURE
1 .. Filial
Il # 1>. ��l Date - /�- 7r1
APPLICATION FORM NO. 250 EL 11/86
TOWN OF QUEENS-BURY
BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS /7)7
QUEENSBURY, NEW YORK 12804•
TELEPHONE (518) 792-5832 .
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 1� �9D
NAME &Litt d- di i
LOCATION t '5" ,/A QJ„J )7ha 4)/IL
DATE , U/�/ 9�J PERMIT .# � 9�..l/,
/" • APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL ;'
ROUGH PLUMBING '
FRAMING \ i
ELECTRICAL ROUGH-IN
INSULATION: \ '
\
FOUNDATION j
FLOORS `
WALLS \ . .1
. . .
CEILING \ • •`
l6 FINAL INSPECTION: 1CHIMNEY HEIGHT \ I M 4-
ROOFING \
SIDING 'a,/ . . . . . • L---
EXTERNAL PORCHES/STEPS f
STAIRS-CLEARANCE & RILLS ,/V/4-
PLUMBING FIXTURES/R 'L}EF VALVE t/
INTERIOR TRIM/PRIVAAY �QORS �-J
FINISHED FLOORS 1� i-�'
GARAGE FIREPROOFING \ • r/
DOOR CLOSER(S) I 1/7-
SMOKE DETECTORS t 0./ -.
FINAL ELECTRICAL INS ECTION N. v
FINAL APPROVAL OF CO2JSTRUC IONr . Gr
OK TO ISSUE C/O OR .C'C 10 f�
A SIGNED CERTIFICATEOF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
1
REMARKS: ' l U , (4L41 PiLP�
4
�nt'T � t ✓ram" 601— ��
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,......_________ ..
..
ARRIVE (21
DEPART /"ZS ///
�' / �...�-
ELECTRICAL INSPECTIONS
DUPLICATE MUNICIPAL RECORD
Permit No.
Owner 'z (� e (/ /0 c e i 2/'
Occupant
Location v�tti p e frk /44 G g•-
No. Street
C e Ns b Lc,v
Town or City State
Installation as itemized on reverse side has been visually inspected pursuant to applicable codes.
Installed by
G o.
Date / — 2 y ` 6 Inspector
MIDDLE DEPARTMENT INSPECTION AGENCY INC.
FORM NO.18 EL 900 Haddon Ave.,Collingswood, NJ 08108
ROUGH WIRING OUTLETS H.P.AIR CONDITIONER i
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 H.P. 1/20 I/l2 1/10 % 'I % 'h '/: % 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 PA_
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280A.
TELEPHON (518) 792-5832
BUILDING INSPECTI' 'S REPORT
REQUEST '� INSPECTION :2OEIVED 4. ilO A;
NAME / � �/ /
LOCATION %`
DATE 57140 PE' IT #Go // 2-
APPROVED
YES NO
FOOTING/P RS
MONOLITHIC POUR FORMS
FOUNDATION DAMP-PROOFING
BACKFILL A^'ROYAL
ROUGH PLUMBNG
FRAMING
ELECTRICAL R UGH-IN '
4J INSULATION:
FOUNDATION
FLOORS ' n
WALLS / /F
CEILING 3 F
FINAL INSPECTI4N:
CHIMNEY HEIGH
ROOFING
SIDING 0
EXTERNAL PORCHE'•/STEPS
STAIRS-CLEARAN & RAILS
PLUMBING FIXTU'ES/RELIEF VALVE
INTERIOR TRIM/PRITVACY DOORS
FINISHED FLOOR.
GARAGE FIREPR..FING
DOOR CLOSER(S)
SMOKE DETECTO"S
FINAL ELECTRICA' INS ECTION
FINAL APPROVAL OF CO ``STRUCTION
OK TO ISSUE C/o OR CA
A SIGNED CERTIFICATE OP OCCUPANCY MUST BE
OBTAINED FROM THE BUILb NG DEPARTMENT BEFORE
THESE PREMIS.'S ARE OCCU IED!
REMARKS:
ARRIVE/
DEPART � `5 0 '
0. 7 ' �
1 INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILANDIROADS
QUEENSBURY, NE YORK 1280i-
_Jf/
TELEPHONE (51. ) 792-5832 �/
BUI DING INSPECTOR'S REPORT
REQUEST FOR IN'.PECTION RECEI ID d°/4/I4a
NAME 4.[ eA., a /0,44
LOCATION > �p�t� i) /La,,
DATE 6P14`//,‘IP PE• 'I T # 9:0-l/a,
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR ORMS
FOUNDATION/DAMP-'•ROOFIM
BACKFILL APPROVA Li
PLUMBING
FRAMING
ELECTRICAL ROUGH- N
INSULATION: I
FOUNDATION
FLOORS
WALLS 1
CEILING
FINAL INSPECTION: '
CHIMNEY HEIGHT
ROOFING 1
SIDING
EXTERNAL PORCHE:/'TEPS
STAIRS-CLEARAN• & RAILS
PLUMBING FIXTU/ES/'ELIEF VALVE
INTERIOR TRIM/,+RIV'CY DOORS
FINISHED FLOOR.
GARAGE FIREPR•vFING
DOOR CLOSER(S)
SMOKE DETECTO•'S
FINAL ELECTRICA ' INSPECTION
_FINAL APPROVAL bF CONS 'UCTION
• OK TO ISSUE C/i) OR C/C
A SIGNED CERTI ICATE OF •CCUPANCY MUST BE
OBTAINED FROM , HE BUILDI G DEPARTMENT BEFORE
THESE PREMISES ARE OCCUP D!
1.
REMARKS:
I
i
I
5.
ARRIVO JJ,
0
DEPART, ' do
/ IN ECTOR
TOWN OF QUEE 'SBURYii:017______„
BUILDING AND COTES DEPARTMENT
BAY & HAVILAND 'OADS
QUEENSBURY, NEW YORK 12804•
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST OR INSP:CTION RECEIVED II njV(����
NAME c.x. (A, , (J
LOCATID f--e7 LI / i< / -' _
DATE ,'c/2()/c D i PERMIT •# 61 6/ I I2
APPROVED
,1 YES NO
FOOTING/PIERS 1. I
MONOLITHIC POUR FORMSif
"FOUNDATION/DAMP-PRObFING
BACKFILL APPROVAL ‘ I
KEOUGH PLUMBING ),Uck 4I 'f
FRAMING `,
ELECTRICAL ROUGH-IN ' "
INSULATION:
A
FOUNDATION
FLOORS •
.
WALLS , . . . . .
CEILING I \ . . "
•
FINAL INSPECTION: I \
CHIMNEY HEIGHT
ROOFING t . . \\.
SIDING
EXTERNAL PORCHES/STEPS\,
STAIRS-CLEARANCE /& RAILS
PLUMBING FIXTURE'/RELIEF VALVE
INTERIOR TRIM/PRVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S) f
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION \
FINAL APPROVAL OF CONSTRUCTION . . .
OK TO ISSUE C/O OR C/C , -- --
8 '1
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THEIBUILDING DEP RTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
,
REMARKS:
('ram ( to
't Go eP e C�/1: 11
I
ARRIVE
DEPAR'j' 7) C t//(-2 .
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 INSPECTION RETCEIVED /j1 " 1Aj'
NAME 4t�fiei . 1� /s.�
•
LOCATION �:5 '(/ f/if /` g / V
DATE c'//0. 1 PE RMIT # ck;//�2.
APPROVED
IS NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOF NG
BACKFILL APPROVAL
ROUGH PLUMBING( _fjiY2 9,',„4/i/ )‹'
FRAMING . .11
O
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS j
WALLS I
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING 1
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RA LS
PLUMBING FIXTURES/RD IEF VALVE
INTERIOR TRIM/PRIVAC DOORS
FINISHED FLOORS tr
GARAGE FIREPROOFIN 1
DOOR CLOSER(S) A
SMOKE DETECTORS 1,,
FINAL ELECTRICAL I SPECTION
FINAL APPROVAL OF .'ONSTRUCTION
OK TO ISSUE C/O O C/C
y
A SIGNED CERTIFI ATE OF OCCUPANCY MUST BE
OBTAINED FROM T E BUILDING\DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED;!
REMARKS: �
�� 1�5T �canJ 0 lI
Cc) PPiG2 ,kT-Elt
ARRIVE
DEPART Q
NSP TOR
nn �'. // Ili
_locun d/ Queeniur// \
BUILDING an91,ZONING DEPARTMENT
Bay and Havil °nd Road, R.D. 1 Box 98
Queensb ry, New York 1280
SEPTIC DISPOS ,L SYSTEM INSPE TION
NAME cAL„u , , (,buzo .
LOCATION ,�} (,I�O�f `v
DATE 6/ /90 PE IT NO. C)0/ ( j 2- i
/ ',
1!
SOIL TYPE - Sand - Loam - Cla ;-
Percolation Test Required? Y S - NO
Percolation rate - Min/Inch 1
il
TYPE of SYSTEM:
Absorption field, total len gth
Length of each trench
Depth of trenches '
Size of gravel h I
SEEPAGE PITS{Number o ) 1 . •
Size- ft. X f ..
Gravel size ik I
PIPING: iJe . Type
•
Bldg. to tank j;
Tank to dist. box 1V
Dist. box to field/pit '/',
Openings sealed? YES 'k NO Partial
jt}ii
( F'
LOCATION/SEPARATIONS: '
Foundation to tank ft.
Foundation to absorption '' ft.
Absorption to lot lire ft.
Separation -of pits 1' ft.
LOCATION OF SYSTEM QN PROP' RTY(circle one)
Front - Rear .- Left'fside - Right side -
COMMENTS: I'
1 1
-Le--4 .
SYSTEM USE A.r ROVED YES 0
1 /
. B ' tding 14aspector
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 NSPECTION RECEIVED kO/*U P,1
NAME }(J /
LOCATIO C( �I d`( 4
DATE / 6 PE IT # 97)"
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR • ORMS 9
FOUNDATION/DAMP— ROOFING
BACKFILL APPROVA
ROUGH PLUMBING
FRAMING IA I
ELECTRICAL ROUGH—I
INSULATION:
FOUNDATION , //
FLOORS I ' . . . .
WALLS
CEILING '
FINAL INSPECTION: 1
CHIMNEY HEIGHT J '
ROOFING t • %
SIDING •
EXTERNAL PORCHES/STEPS‘
STAIRS—CLEARANCE & RAIL``
PLUMBING FIXTURE/RELIEF VALVE
INTERIOR TRIM/PR2VACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S) !
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION It
FINAL APPROVAL OF CONSTRUCTION \; ' '
OK TO ISSUE C/O OR1.C/C .
A SIGNED CERTIFICATE OF OCCUPANCY�MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS: l �
(r) (.° •
i
a
ARRIVE ADEPART `'�� INSPECTOR
i.
CC77 //
_ _lown of Queenabur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
r'
I
i02/-
EPTIC DISPOSAL: SYSTEM INSP -CTION
•
\lAME Cu iY i
--12 )47,t,
L.00AT I ON J
)ATE 5/ /I RIi1 --I I C 2--
1/ 0z
SOIL TYPE - Sand - itoam - C 'ay -
Percolation Test Riquired? t YES - NO
Percolation rate - Al
in/In..,
TYPE of SYSTEM:
Absorption field, total ength
Length of each treich
Depth of trenches )
Size of gravel
'SEEPAGE PITS{Numbe • )
Size- ft. X 't.
Gravel size
PIPING: Size Type ?
Bldg. to tank
Tank to dist. box
'Dist. box to fiel./;'it
Openings sealed? 'ES NO Partial
,
LOCATION/SEPARAT,i ON' :
Foundation to t. k ft.
Foundation to sorp ion ft.
Absorption to yot lie ft.
Separation of its ft.
LOCATION OF SYSTEM 0 PROPERTY(circle one)
Front - Rear Left de - Right side -
1COMMENT 11 "
,o /I
f
1
r
i
SYSTEM USE APPROVED dfflli NO Ae
00,1
iA%O
Building' ' a tor
01/86and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT •
BAY & HAVILAND ROADS
jj QUEENSBURY, NEW YORK 1280i
I. TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED j2/.0.f
NAME _�'GIAA'�p ./j
LOCATION,.. _�,t�e JL
DATE ,S`/d/9U PERMIT # d-,/,4 ,
11 APPROVED
4 YES NO
I
/6OOTING/PIERS
MONOLITHIC POUR 1FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN '
INSULATION: .\ 7
FOUNDATION - \
FLOORS i.
WALLS 1..
CEILING .A .j
FINAL INSPECTION: 14
CHIMNEY HEIGHT • a
ROOFING 14 11
SIDING • '1
EXTERNAL PORCHES/STEi'S - '
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/R4LiIEF VALVE
INTERIOR TRIM/PRIVACY\DOORS
FINISHED FLOORS
i
GARAGE FIREPROOFING
DOOR CLOSER(S) 1 I
SMOKE DETECTORS ,f .
FINAL ELECTRICAL INSPECTION -
g
_FINAL APPROVAL OF CONSTRUCTION
OK TO ISSUE C/O OR C/C g - '
A SIGNED CERTIFICATE OF OCCU ANCY MUST BE .
OBTAINED FROM THE BUILDING D PARTMENT BEFORE
• THESE PREMISES ARE OCCUPIED!.
REMARKS: /' '�
44
by 53- Gaerve-: Dfret-5-- .
ARRIVE -
DEPARZ j 13a
I PECTOR
s• 111
own o/ Queen96urcy
BUILDING and ZONING DEPARTMENT,
Bay and.Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801 •
SEPTIC DISPrOSAL SYSTEM INSPECTION
NAME_
LOCATI I i
DATE cj-�/ v 1ERMIT N . q.0 l 1 9-
SOIL TYPE - Sand - Loamy- Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length
Length of each tr, nch
Depth of trenches
Size of gravel .
SEEPAGE PITS4Nuinbeis of)
Size- ft. X 1 ft.
Gravel size
PIPING: 1 ' Size Type
Bldg. to tank
Tank to dist. box ALL
a�
Dist. box to field/pit
Openings sealed? ;i'YES NO Partial
LOCATION/SEPARATIQNSq,
Foundation to tank F ft.
' Foundation to absorption ft.
Absorption to lot line\ ft.
Separation 'of pits ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - Rear -Left side - Right side -
COMMENTS:
2•
ii
C� U„
SYSTEM USE APPROVED YES tic?
{ Building Inspector
01/86 and vl
QLTM VICTORIA'S GRANT
QUMISBURY, NY — — —
ogy
co�,
Ole
E
00
ooNN
,
oo.
� n
\ p /
THIS SEPTIC SYSTEM IS
LOCATED NEAR THE INSECTION
QUEEN MARY DRIVE do MARGARET DRIVE
SEE MORSE ENGINEERING DWG 5
i
i' —-- 2000 gal.
--4/— -
' i
8'-0 DIAMETER
9'-0 DEPTH
REFERENCE DRAWINGS:
5 SITE UTILITIES
SEPTIC & WATER
VanDUSEN & STEVES
SURVEY PLAN
Q-MODEL ROOF FLAN WILL VARY
ACCORDING TO SALE, DRAWING
SHOWS ONE STYLE ONLY
DRY
I
`6 .0,
1 I
1 ' /
SHUTOFF Y
l_-
l ri
/
a
0
N
O
O_
3� '1 49 �r
31 /
70.08.1 NJ
� 1
1 / /
i
I /
100,
� 'APR 3' 1
• � \ j � 1990
` \
N\ N\ .�� MODEL : 45,47,49,51,53,55�
QUEEN MARY DRIVE
PLOT PLAN do SEPTIC SYSTEM
\ \ GUYER BUILDERS, Inc. QV-32
\ �� drawn: KW 2/28/90 Sca I e : 1' = 20'-0