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1990-114 •
- • 0
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
• WARREN COUNTY, NEW YORK
Date OrtnhPr 94 19 _9_0
301 .
This is to certify that work requested to be done as shown by Permit No. 90-114
has been completed.
This structure may be occupied as a 1/2 of Duplex
Location 76 Queen Mary Drive
GUYER BUILDERS INC.
Owner
By Order Town Board
TOWN OF QUEENgBURY •
/42-44" cad-t2-
Director of Bldg. & Code Enforcement
• BUILDING PERMIT
4
TOWN OF QUEENSBURY
No. 90-114 z
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to GUYER BUILDERS INC.
ND
OWNER of property located at 76 Queen Mary Drive Street, Road or Ave. ;9
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.
tTi
1. OWNER'S Address is
1 Hemphill Pl—Suite 201 ed
Ballston Spa NY 12020
2. CONTRACTOR or BUILDER'S Name
CI)
Same
•
C
3. CONTRACTOR or BUILDER'S Address -
a)
s✓
4. ARCHITECT'S Name
lD
4
Sv
•s
5. ARCHITECT'S Address
. t
6. TYPE of Construction—(Please indicate by X)
(x)Wood Frame ( ) Masonry ( )Steel (
7. PLANS and Specifications
ND
No. 42'x26' 1/2 of Duplex—'Q Model— as per plot plans, specifications and o
application including septic system. ~'
8. Proposed Use - C
V
lb
1/2 of Duplex
$ 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 o April 19 90
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
TO TM OF QLIEENSI3URY APPLICATION FOR BUI;.. . .. . ..:il] ZONING PERMIT -
1'u t c- n "�� � , 0O
• RL'CLCVC�I `` 0 1
'` --= ';; Rea sewed
.5 r' F y L 9 /'.- ` r� pJ
/ e Fee Paid �' � �/�_ I'�Gr.;f s��
BUILDING AND CODES ul:PARIME 'f Date Iooued . r:1 l 1 5 [L 1 l i? 'a j
DAY and IIAVILAND ROADS RD 1 Dox 93 till 10
• nUEENSBURY,NEW YORK 12804 Pehnw t No. q h- I I L _ - y_ -
Tel . (518) 792-5832 Ext •204 _ - APR 3 1890
A PERMIT MUST Bp OBTAINED BEFORE 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
sinecure of the applicant must appear on the reverse side of this sheet .
* A A A A A * A 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 T E L.(518) 899-9161
•
Property location 74 6AW-J 14 .y DOVE' TAX MAP NO. at / /o /- 999
Has there been any split of this property since October 1 , 1988? / no/.. ,.?y,"7
yes no
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 Spa. NY (518) 899-9161
NAME P .O. ADDRESS TEL . NO. _
Name of builderGuyer Builders,IncAddress 1 Hemphill Place, Ballston Spa Tel (518) 899-9161
Noma of Plumber -same- l.ddress -same- Tel -same--
Name of Mason -same- Address -same- Tel -same-
•
N,'1TuRk OF PROPOSED 60RK: MODEL: "Q" . ZONING 1N1�OkMAT1ON (Office use only)
X Construccior� of a new building • ZONING DESIGNATION OF PROPERTY
_Addition to a building • PERMITTED PRINCIPAL PERMITTED ACCESSORY
Alteration to a building •
^(no changu to exterior dimensions) • REVIEW REQUIRED - PLANNING BOARD ZONING BOARD
•
Ocher work (describu) • SITE PLAN REVIEW 8 APPROVED DATE
CROSS AREA OF PROPOSED, STRUCTURE • VARIANCE N APPROVED DATE •
1st Floor 900 sq ft . • • Remarks: '
•
2nd Floor --- sq f t . N. COmPLETL 11.4yOleM'1'LON Rt)uIlcED BELOW.
(see
Other Floors -- sq ft . • Six.: of property 100'± plotpinft X- -120__ ft.
(not cellar or basement) • Exi::ting building(s) 5i_e n/a .ft: X n/a re.
•
TOTAL FLOOR AREA 900 sq f t . • Existing buildinu(:.) U::.: n a
!;iz,: of new structure 42 ft a 26 ft • '
Voimsd:►cion-pier ® crawl/partial/full ' Proposed building, distance from property 1
inu
(circle one) , Front yard 30+ ft Rear yard 30+ ft
No. of stories (habitable :;pace) 1 ' • Side yards 15+ rc and 15+ fc
Height (grade to ridge) 19.5 • ft• • If on corner, setback from side street 30+ ft
if residential, no. of families 1 -2
No. of roans(excludin'l baths) 5 • OCCUPANCY INFORMATION
No. of bedrooms 1 •
, PRIMARY BUILDING -
No. of bathrooms 1 One family dwelling
i
Primary heating systuu Baseboard Electric • x Two family dwulliny
Type of fuel • Eletricity • Multiple dwelling / Number of units____
No. of fireplaces to be installed 0 '
• Permanent occup;u►cy
Will 4 wood stove kwiii::tallud?. No 'Transient occupancy
Central Air conditioning? No •
Business
BUILDING STYLE, PRIMARY STRuCTUI:E Industrial
Ocher
Rauch Contemporary Lc,n cabin •• if addition, what will use be?
Raised ranch mansion Ouplux.)
split level • Old style Uunualow •
C;.Nu Cod Cottacje Ocher . ACCESSORY BUILDING-
Colonial how Town !louse . Gecached garage/one cur/ two car/ . car
( CIRCLE ONE PLEASE ) ' Attached garage/one car/ two car/ • cat'
• a • • ■ s ■ • • _private storage building
ESTIMATED MARKET VALUE OF • Other
CONSTRUCTION ' •
* ---5��OQQ
1
1NF'ORmATTON ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS CHEET, TO BE COMPLETED!
Form DPA 10/88 vi
• BUILDING PERMIT APPLICATION CONTINUED -
•
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. wood frame
Will any second-hand or ungraded lumber be used? If so, for what? no
Foundation wall material concrete block Thickness 8"
Depth of foundation below grade (to bottom of footing) 48" minimum
Will there be a cellar? no Heated or unheated? Floor sq. footage sq ft
Will there be a basement? no Will any portion be used as living space?
(If so, what portion? sq.ft. - - Type of use?
Type of roof - sloped flat/shed/other Material of roof fiberglass shingles
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 fc. •
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..
Signature i/_
2/
Ow er, owner's agent, arhitect, contractor •
* * * * * * * *• * * * •* * * * * * * * * * * * * * * *. * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
By
Ium 0J atealdtil
19n
t APPLICATION FOR SEPTIC DISPOSAL PERMIT. .o. APR 3 1990
3/30 Jed Ref: S.P.E.D.S.
DATE � ... j, permit #
New York 7 0202525'
MODEL / Q of (Q
LOCATION OF PROPERTY FOR INSTALLATION 76 Queen Mary Drive
Owner's Name: Guyer Builders, Inc. ..• , = Telephone: (518) 899-9161
Address: 119 Dunning Street, Ballston Spa, New York 12020
• Installer's Name: Guyer -Builders, Inc Telephone: (518) 899-9161
2 A, C, E, I, J, K, L, M
Number of bedrooms (residential only) 2 _ 3 F, G, H
.› Total daily flow (compute @ 150 gal per bedroom) 300 -
Topography:-circle one: E 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 c i required / rate min. inch.
Domestic water supply: circle one: acipa)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 - fedt'
* 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-
* *•* * * * * * * * * * * * * * * * * * * * * * * * s * * * * * * * * * * * * * * 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 leastt'4;'- lforeA • ;
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. ►ater 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 $250.00.
•
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may result
in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installation,
alteration or repair of an approved system, a new proposal must.be submitted
to the Queensbury Building Department before further construction.
1 have read the regulations above and agree to abide by these and all requirements
of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
•
Signature of.responsible person:
•
Date:
Town of Queensbury ,
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
•
e�, GnJ17Ra un�G nl,w . nc4IITY . . . A f;;^f]p ^r TO ,
IIVH,..___:_r.
° 's MIDDLE DEPARTMENT INSPECTION AGENCY, INC. /7 ; j
National Headquarters om,/
900 Haddon Ave., Collingswood, N.J. 08108
APPLICANT COMPLETES THIS SECTION Date:3 ap I ., i
1,0
T r. Queenshu ;•' County :ei:ref. State .r
:Y;.Town or�S�ip�fu'p
Location/Address 6 Qtieeu 1:'laty Dt^_t_ve
(If Located in Rural Area - Please Attach Directions) Pole #
Owner : `. R EUILDERGS, INC. Permit # {f t1-/f Li
Occupied As ! (C - �% / //,j - - _ Building: New a Old❑
Occupant J
--,rf" Work Area in Building (Floor #, etc.):
App. for: WiringService Il�r H or: Ready for Inspection:
Fee Remitted-$ Cash In Check I I 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 7,/2 10 15 20 25 30 40 ' 50 75 100
Mark Number
of Each Size
Applicant's •
Signature License # Permit #
T/A (7,11%-Tri. TI, .i .-R , TN1., Utility: YTh1P, C`, /. r, TT': 4(,c
Applicant's Address: 119 D1rr-:nir St_aa (NAME) (OFFICE LOCATION)
(City) 11R-1. I-s- on Sri (State) NY (Zip) 12020 Service Request #
Phone # 899-916i Electrician: GUY i.1 Til lTT_iirRS, TiNC,,
MDIA USE ONLY DATE RECEIVED: J. / '"-) mil DATE INSPECTED: /- ` (; -
Correct Location: Same as Aboven or:
Red Notice Label I
Rough Wiring Outlets Surface Unit / Oven
/-;--Switches / Range / Garbage Disposal
.J r} Receptacles / Water Heater , Dishwasher
t; Fixtures Air Conditioner /
) " Dryer
-. - Amp. Service Equipment Burner, Wiring &Controls for Amp. Receptacle
Amp. Service Conductors Pump ;L Vent Fans
MOTORS H.P. 1/20 1/1211/10 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
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Elect. Heat
CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECTFEE FEE PAID
I I RW Progress: Inc.[ 1'---- LKD I I Contractor I I CFT Violation: Work Comp. ! 1 Inc. I I J
_
1-1L/A Owner CASH
I L/A Fee CHK #
Due MO #
I I IPA Municipal
/•" INV #/�=..- -
rDate: Other Side I I Utility ILL) / Applicant a
Owner
Cut in Card I Temp # Date f' �r /'
,--`.":�f final # C.,,,,f- 7C� j' Date 7--f 0 r INSPECTORS SIGNATURE
APPLICATION FORM NO.250 EL 11/86
TOWN OF QUEENSBURY
BUILDING AND CODES-DEPARTMENT
BAY & HAVILAND ROADS L// 7
QUEENSBURY, NEW YORK 12801-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /04/A)
NAME ,iyee) `/J�(uj -
LOCATION G11� 0
DATE 123Al/yD PERMIT # rJ--//1
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS •
FOUNDATION/DAM PROOFING
BACKFILL APPROVA . •
ROUGH PLUMBING 7 " .
FRAMING "
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS • " \
WALLS Y
• CEILING !0
KEUWAL INSPECTION: \ 11
CHIMNEY HEIGHT \,"�/,i- '
ROOFING
SIDING r \ ' '
EXTERNAL PORCHES/STEPS \
STAIRS-CLEARANCE &RAILS
PLUMBING FIXTURES RELIEF VAOE l�
INTERIOR TRIM/PRIVACY DOORS \
FINISHED FLOORS I v
GARAGE FIREPROOFING
DOOR CLOSER(S) pl
SMOKE DETECTORS1 . �.
FINAL ELECTRICAL INSPECTION \ �-
FINAL APPROVAL OF,9CONSTRUCTION_" •
OK TO ISSUE C/O OR C/C �L
A SIGNED CERTIFICATE OF--OCCUPANCY MUST BE "..
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!•
1
REMARKS _ ___
-77
•
ARRIVE /2 7_-
DEPART I`c7U rkz/i.
r J
INSPECTOR
•
ELECTRICAL INSPECTIONS
DUPLICATE MUNICIPAL RECORD
Permit No.
• Owner C ( -P rl �J C..� 1, dear
•
Occupant �y ,fin
Location 7 CP `�C (X e�1-1 Yl cv i ,
No. Street
ee ,sba v
Town or City State
Installation as itemized on reverse side has been visually inspected pursuant to applicablecodes.
Installed by
�f D o.
/�
Date lO 2 7 Z 5 Inspector
MIDDLE DEPARTMENT INSPECTION AGENCY INC.
FORM No.16 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 N.P. I/20 I/l2 1/I0 % I/ % N 1 11 2 3 5 71 10 15 20 25 30 40 50'•75 100
NARK NUMBER
IF EACH 512E
APPARATUS
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR I PECTION RECEIVD
NAME g,.., ,,,,(.. f
LOCATION �� ` _ /"i
DATE ¶l 30 PERM I # q b— II LI
APPROVED
_ YES NO
FOOTING/PIERS I
MONOLITHIC POUR ORMS
FOUNDATION/DAMP OOFIN!
BACKFILL APPROVA
ROUGH PLUMBING
FRAMING 1
ELECTRICAL ROUGH— / `
INSULATION:
FOUNDATION
FLOORS I
WALLS
CEILING \, I
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING I t
EXTERNAL PORCHES/p'T. S
STAIRS—CLEARANCE I. ILS
PLUMBING FIXTURE 77/RE 4 IEF VALVE
INTERIOR TRIM/PR VAC DOORS
FINISHED FLOORS I
GARAGE FIREPROO LNG
DOOR CLOSER(S) 1
SMOKE DETECTORS
FINAL ELECTRICAL NSPECT IN
FINAL APPROVAL OF1CONSTRU'TION
A SIGNED CERTIFICATE OF OCaUPANCY MUST BE
OBTAINED FROM TH BUILDING 1EPARTMENT BEFORE
THESE PREMISES A 4 OCCUPIED.
i
REMARKS: I
i
0) fZ 1- ' 16AB 1 A-06--
INS ECTOR
. YLC___
TOWN OF QUEENS URY /' ji
BUILDING AND COD DEPARTMEN'/ J
BAY & HAVILAND R DS
QUEENSBURY, NEW RK 12804 ;
TELEPHONE (518) 92.-5832
BUILDI / INSPECT►R'S REPORT
REQUEST FOR INSPECTION RE;•EIVED I 2)q(1 e n�
NAME qi
,,,t',P _f )t::1 l (--l ) �_-R�
LOCATION 7 6 ,c.I' .' —VI ;1i i 2 ! ,N2_ .
DATE g ) Igo 1 Pi' IT # °Kr J l
( 1• APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FOIS /
FOUNDATION/DAMP-PRO F!NG _
BACKFILL APPROVAL
ROUGH PLUMBING , '
(FRAMING
VV ELECTRICAL ROUGH-IN '
INSULATION: t�
FOUNDATION /l�
FLOORS • "
WALLS W • . •
CEILING ,,
FINAL INSPECTION: ;
CHIMNEY HEIGHT f
]
•
ROOFING
SIDING
EXTERNAL PORCHE1/STEP •
STAIRS-CLEARANC,. & RA ,LS
PLUMBING FIXTU••' S/RELIEF VALVE
INTERIOR TRIM/:jRIVACY ("ORS
FINISHED FLOOR'
GARAGE FIREPR•1'FING •
DOOR CLOSERS)
\ .
SMOKE DETECTO•.
FINAL ELECTRICAI. INSPECTIO
_.FINAL APPROVAL 11F CONSTRUC ION "
- OK TO ISSUE C/O(OR C/C
A SIGNED CERTI CATE OF OCC ‘!•ANCY MUST BE
OBTAINED FROM THE BUILDING D2'ARTMENT BEFORE •
THESE PREMISES/ARE OCCUPIED! k,
1 ,
REMARKS:
j _ :`L 51 0r---". ic?„„,...7' //j_ 'Z. iii_ f____ .._
. ,._�r .(5
PA
\\
, _ ,, , ,,,,.__,_____ ,, . _ ,.._ ,,- - ,,
i: 1
, , _,---,
±AL 1 i RAJ=' /,_ / J./J
I
. ARRIVE / ',1
DEPARTII
D Q�`._�-i"1 it pi
R1 ✓.-
INSPECTOR
TOWN OF QUEENSBURY CJ
BUILDING AND CODES DEPARTMENT
BAY & HAVI. 'ND ROADS fL_
QUEENSBURY, NEW YORK 1280k
TELEPHONE 518) 792-5832
•
LDING INSPECTOR'S PORT
. ill
REQUEST F R ,R SPECTION R CEIVE) ' I LI hoh
NAME :L✓ ) SCL�
LOCATION) i �� _ / .' A f �
DATE /?/i / , U PERMIT # d�0-� (A
APPROVED
•
•
YES NO
FOOTING/PIERS
MONOLITHIC POUR ',ORMS
FOUNDATION/DAMP-"OOFING f •
BACKFILL APPROVAI I
ROUGH PLUMBING ' 1 •
I
FRAMING j
ELECTRICAL ROUGH-
NSULATION: '
FOUNDATION f
FLOORS f
WALLS -t ": X
CEILING _ , 3�
"FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING f
SIDING
EXTERNAL PORCHES/S/.•PS
STAIRS-CLEARANCE &' h'ILS
PLUMBING FIXTURES IEF VALVE
INTERIOR TRIM/PRI AC ' DOORS
FINISHED FLOORS
GARAGE FIREPROOF+ G •
DOOR CLOSER(S) •
SMOKE DETECTORS
FINAL ELECTRICAL + SPECTIoN
FINAL APPROVAL OF CONSTRU ,iION
OK TO ISSUE C/O -C/C
A SIGNED CERTIFICATE OF OCC6,PANCY MUST BE
OBTAINED FROM TH' BUILDING a PARTMENT BEFORE
THESE PREMISES 4 E OCCUPIED!•\
REMARKS: j
•
•
•
I _
. ARRIVE
DEPART -S,X
•
• IN ECTOR
TOWN OF QUEENSBURY
BUILDING A D CODES DEPARTMENT
BAY & HAVI&•ND ROADS
QUEENSBURY, NEW YORK 12804
TELEPHONE 518) 792-5832 6,6?,
/y?
B ' WING INSPECTOR'S ' 'ORT�i,/
REQUEST FORU SPECTION RECEIVED : /
/f 9JO
NAME 1 G�/,-[ CI�i��
LOCATION 7, bezAr, ,
DATE 71. j//, PERMIT 9 -/)
APPROVED
i
YES NO
FOOTING/PIERS
MONOLITHIC POUR ':ARMS
FOUNDATION/DAMP-P';OOFING
BACKFILL APPROVAL
)(ROUGH PLUMBING
X FRAMING
ELECTRICAL ROUGH-I ?
INSULATION:
r
FOUNDATION
FLOORS
WALLS
CEILING 1
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/'
STAIRS-CLEARANCE RA\1LS
PLUMBING FIXTURES,' REL\EF VALVE
INTERIOR TRIM/PR r,VACY �,OORS
FINISHED FLOORS
GARAGE FIREPROOFJNG
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL NSPECTIO't
_FINAL APPROVAL 0 ' CONSTRUC 1,N
- OK TO ISSUE C/O IR C/C
A SIGNED CERTIF4 ATE OF OCCUI'NCY MUST BE
OBTAINED FROM T E BUILDING D ';ARTMENT BEFORE
THESE PREMISES -'RE OCCUPIED! ,
REMARK :
A 0 c. -r-1-t q,v !;CAS o,v
Vic-T-t--g_S [A)
or( 17-0 \ U -
Pr ab tl 4 SIOCD -
ARRIVE /
DEPART 2 /() •
INSPECT in.
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518) 792-5882
BUILDING INSPECTOR'S REPORT
•
REQUEST FOR INSPECTION'V RECEIVED .7/ /9d
NAME &/Aiw 1. -h/I /J
LOCATION ,� ,/lC�i._, /a�l./a A1�(-
DATE 7,//f 9) ;j PERMIT Al ,'' 9'6 -1/'`
111
• APPROVED
/ YES NO
• f
FOOTING/PIERS j` 1
MONOLITHIC POUR FORMS I
FOUNDATION/DAMP-PROOFING f
BACKFILL APPROVAL /
ROUGH PLUMBING y. '
A FRAMING Ajjje. ,�, ('`
ELECTRICAL ROU'HI1N $ '
INSULATION: /
FOUNDATION
FLOORS . .F . .
WALLS . . lA I . .
CEILING "z; - s" • •
FINAL INSPECTION: s
CHIMNEY HEIGHT
ROOFING A
SIDING
EXTERNAL PORCHES'/STEPS •
STAIRS-CLEARANIE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLO RS
GARAGE FIREP OOFING�d /
DOOR CLOSER S) b /r
SMOKE DETEO Z'ORS 1 '
FINAL ELECTRICAL INSPECTION' .
FINAL APPRO OF CONS4RUCTION '
OK TO ISSUE
/O OR C/C
A SIGNED C RTIFICATE OF,OCCUPANCY MUST BE
OBTAINED F OM THE BUILDING DEPARTMENT BEFORE
THESE PRE ISES ARE OCCUPIED!
l
REMARKS:
9 I
' ,t ( 1 i
-tj 01 ' l''''' �a
r'- iPARRIVE 1
DEPART a, i c
tP 4 INSPECTOR ,
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
'•UILDING INSPECTOR'S REPORT
REQUEST FOI INSPECTION RECEIVE, 6/'74/96
NAME
LOCATION2.1./fgei
DATE (U/'?)/k) PERMIT # 9(1 //Y
APPROVED
YES NO
FOOTING/PIERS
X MONOLITHIC PO 'R FORMS
4 FOUNDATION/DJ P—PROOFING
BACKFILL APPRe AL
ROUGH PLUMBIN
FRAMING
ELECTRICAL ROUT —IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES . " EPS
STAIRS—CLEARANCE RAILS
PLUMBING FIXTURE', RELIEF VALVE
INTERIOR TRIM/PR 'CY DOORS
FINISHED FLOORS
GARAGE FIREPR00%'INe
DOOR CLOSER(S)
SMOKE DETECTOR'
FINAL ELECTRICAL INSPL TION ..
FINAL APPROVAL ( CONS:'RUCTION
OK TO ISSUE C/O OR C/C
A SIGNED CERTI'ICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILD G DEPARTMENT BEFORE
THESE PREMISE. ARE OCCUP' ED!
REMARKS:
ARRIVE
DEPART
I SPECTOR
N
TOWN OF QUEENSBURY l/
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YO'K 12804.
TELEPHONE (518) 7:2-5832
BUILDIN1, INSPECTOR'S REPORT
REQUEST FO INSPECTION R CEIVED
NAME ,(LA P ���d/
LOCATION (l (.0 ( I '�.Y
74!
DATE l✓ // K l V PERMIT t. go -)
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR Fst' S
FOUNDATION/DAMP-PR0•FING
. ACKFILL APPROVAL n
/ UGH PLUMBING ` Let y ;�/Q�
FRAMING f
' ELECTRICAL ROUGH-I
INSULATION:
FOUNDATION .
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/S1 , PS
STAIRS-CLEARANCE ILS
PLUMBING FIXTURES R:'LIEF VALVE
INTERIOR TRIM/PRI, Ai DOORS
FINISHED FLOORS
GARAGE FIREPROO ING
DOOR CLOSER(S)
SMOKE DETECTOR';
FINAL ELECTRICAL INSPEC''ION
FINAL APPROVAL •t CONST`;UCTION
OK TO ISSUE C/O OR C/C
A SIGNED CERTI. ICATE OF 4?CCUPANCY MUST BE
OBTAINED FROM HE BUILDI DEPARTMENT BEFORE
THESE PREMISE.. ARE OCCUPIED!
REMARKS:
ARRIVE
- 1(
DEPART
INSPECTOR
. own of Queenilury 4N/
BUILDING and ZONING DEPARTMENT 1
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPE TION
NAME Ml.l.l chhs6
LOCATION 1 da \.1,1,thV) 1 !l )?l j
DATE Obi 3/ i I) PERMIT NO. 1 (4
SOIL TYPE - `and - Loam - Cla, -
Percolation -st Required? Y` S - NO
Percolation r:te - Min/Inch
TYPE of SYST
Absorption fi_.ld, total len•th
Length of eac trench '
Depth of trenc es
Size of gravel _
SEEPAGE PITS4N .er of) '
Size- ft. X ft.
Gravel size
PIPING: Si..e Type
Bldg. to tank
Tank to dist. bo
Dist. box to fie ./pit
Openings sealed? YES NO Partial
LOCATION/SEPARATII, S:
Foundation to tank ft.
Foundation to abso m ion ft.
Absorption to lot 1 to ft.
Separation of pits ft.
LOCATION OF. SYSTEM ar PROPERTY(circle one)
Front _:Rear - Lef _ide - Right side -
COMMENTS:
/,(A4 x:4 e,-;_e 4
7I yac 69 cirf/-e-L
• SYSTEM US APPROVED YES lei
/7
Building In- .ector
01/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS Ley
QUEENSBURY, NEW YORK 12801- 446
/TELEPHONE (518) 792-5832 '
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED W�/�Q
NAME
LOCATION 7' 7 £
DATE ; / ! Q PERM I # Qd�//3,/,z/
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC PO - FORMS
X FOUNDATION/D• '•-PROOFINS
I BACKFILL APPRO AL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUG -IN
INSULATION:
FOUNDATION
FLOORS .
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/S 'PS
STAIRS-CLEARANCE & ILS
PLUMBING FIXTURES/R• •IEF VALVE
INTERIOR TRIM/PRIVA- DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INS:ECTIO . .
FINAL APPROVAL OF CO,STRUC A ON
OK TO ISSUE C/O OR C C
A SIGNED CERTIFICAT' OF OCC •ANCY MUST BE
OBTAINED FROM THE B ILDING DEPARTMENT BEFORE
THESE PREMISES ARE "CCUPIED!
REMARKS:
•
ARRIVE / l
DEPART / 1) ?
INSPECTOR
_own of Queenitur y -
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D.t1 Box 98
Quee;s.bury, New York f2801
I
BUILDING/ T
INSPECOR ' S• tREPORT
NAME Ck-'t
LOCATION , / / /(',' •
j
Date /�- // Z) Pe t No.gQ-4/
* * * * * * ,* * * * * * * * * * * * * *.
4 ✓ = APPROVED - YE O
.-' ting/Pier Forms 1 / C..
I•; t+ f
oundation ,i'= 3
Waterproofing .3`; i
Backfill '1`; j/ •
Framing ", /
•
Roofing , .
Siding 1 ki . /
Masonry Veneer` ,€ d
(Rough Plumbing. 1 i jj
Relief Valves ;a : I
Ext. Porches ', t y H
Finished Floors ;; ti f
Interior. Trim i
Stairs & Railings y,J
:ellar Drain Tile Jl •
:oncrete Floors Y
ll�
'lbg. Fixtures t;A
;ar. Fireproofing,-y'
)oor Closers
;make Detectors `
'himney f< \
NSULATION:
'oundation f •
loors i�
ails /, y • •
eiling P .
INAL ELECTRICAL INSPECTION
tIVEWAY APPROVAL 11
Anal Building Survey •
ext sched�+ledl inspec ion call when ready)
:marks- 1 a
,p �)-- . -
t c ik
2 6N wr •
resir are
/4 -i t ^( D
111
i
Building Inspector
QUEEN VICTORIA'S GRANT
QUEENSSURY, NY
7
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ti
0
0 1
/
/
CDT
74
O t rr1t,. _
TOWN OF QUEFNSBU
I u v
1
1 ping A _ini I
� IDat
� 1 I
CLEANOUT
TO GRADE
(C.0.T.G.)
L-IT
78!
'I
130.22'
I
n
1 11-J--
2000 gal..
8'-0 DIAMETER
9'-0 DEPTH
10gNE
REFERE"vC` JRAW!I CGS:
/ S� I'i-E �yl !
t T��
SEP T!C &WATER
✓anDUSEN
SURVEY PLA'.
Q—,� 1ODEL ROOF PLAN WILL VARY
ACCOR-),'G !^ TO SALE, DRAWIi ,,G
SHOWS ONE STYLE ONLY