Loading...
1989-626 gh ;a'OSFr¢, l-<�i•aL1 -++Lxi=4'_can. k�"'�_:"3a—^,i;'�,acsse0.'r ••?'sae'�iRa.-Y�n'r. -R:: „r<�-^..r..sN:;;� `�+"'�`'�7:...-..wv?us.-rrs .�,. „*%L, -P„ _s.- :r. ras:,a`— .. 4 i CERTIFICATE +aF m0CCUPAN'%C%."%X7 ' TOWN OF QUEENSBURY I WARREN COUNTY, NEW YORK November 2 lq 89 i This is to certify that work requested to be ,done as shown by Permit No. 89-626 r F has been cAmpleted. This structure may be occupied as a a Two Family Location ------ 82 Q1101M Mxar�4 Drive Ovmer Queen Victoria"s Grant-Guyer Builders i3y C?tdcr Town Board TOWN OF QUEENS OURY Director of Bldg. c*c Code Enforcement BUILDING PERMIT m TOWN OF QUEENSBURY No. 89-626 WARREN COUNTY, NEW YORK a t.� PERMISSION is hereby granted to Queen Ifictorha'S Grant I ca OWNER of property located at 82 Quean Alary Drive Street, Road or Ave. in the Town of Queensbury, To Construct or place a 1 A mw9 � a�lt11i13, 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 A:) Ballston Spa, N.Y. 12020 2. CONTRACTOR or BUI LDE R a Name z Self c 3. CONTRACTOR or BUILDER'S Address 0 Same G� d_ ARCHITECT'S Name 5. ARCHITECT'S Address cc ra 6. TYPE of Construction — {Please indicate by X) cii7 KXWood Frame I ) Masonry 11 Steel ; I z 7. PLANS and Specifications No. 321 x 48' a Two Family as per plot plan, specifications, and application. including septic, attached one car garage, and driveway B. Proposed Use A Two Family a� $ 179.00 PERMIT FEE PAID — THIS PERMIT EXPIRES March 1 19 90 � (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the Q town of Queensbury before the expiration date.) ft7 Dated at the Town of 4ueensbury this 8th Day of AuLrust 19 89 k' SIGNED BY for the Town of Queensbury Building and Zon Inspector TO—%V�'N ©F � UEENS13URY ^f' nl- rcArrnN raa rillT ; . . . . . :; II 2cINxrlc PIR)`4IT r late - Nwo C-1 Fee FoLi WILDING AND CULLS Ul :l +rV111t 'T V"e Io4ued 4 SAY and IIAVSLAND ROADS Ali 1 flax 93 OUXE MSAURY, AREIif YORh 12804 Toj . (518) 742-5832 Zxc -204 Lc A 111M IIT MUST U11 OUTAINE: U ULwr*ORE BEGINNING CLINSTRUCTION . NO INSPL'• CTF" S WILL UL: HADE uN'CIL APPLICANT IIAS RECEIVED A VALID BUILDINC PL'• RMIT . All applicable spaces on this application must be completed and the s—;PUature of the applicant Riust appear on the reverse side of this sheet . it 'a * is A * * * * Y` * I: k +Ir * IG i. * * * * yC YC it ok * 1k �c i 7k Ac '* ►t 'rli ik >k � The owner of this property is : Guyer Builder, . IM . P . O . Add r r: s s 1 Hemphill Place Suite 201 _ Ballston Spa . NY 12020 T E L . 518-899-9161 .76 lroperty location 82 Ql)G:4CV4 hdA4R`j TAX MAP NOO IZ1 llas chore been any split of this property since October 1 , 1966 ? / no y z s Akio 7f yes , Planning aoard Review is necossary . SUBDIVISION NAME , IP APPLICAnLE LOT NO0 lobe person responsible for a: upizrvision of work as regards Building Codes is : Richard Hoo Guyer ITT 1 Hemphill Place Ballston Spa NY 12020 518- 99 -9167 NAM4:__. P . O o ADDRESS TEL . NO . Hiatt►+:; of b"ilder Guyer Builders tIn(Address 1 Hemphill Place . Ballston Sya . NY Tv- 1 5118-d29-9 61 t+l: x0a of Plumbor -same lddress -same- Tel -same- Name Of M7a.Son sue` - Addeoss -Saule- 14.'ITURt CN rkP., 00.k:0 InIuurs : MOOtZ► 7 7.0NIIIC, iNFUltr`lP.TLON ( Uitire uaO o4n11J X C:on:: true ciorc of a jkuw building # ;BONING 02SIGNATION OF PROPERTY ^44icion cc a building . PERMITTED PRINCIPAL PEFtMITTED ACCESSORY Clcvt:+cion to ;a r: : cioing ,r REVIEW REQUIRED - PLANNING ROARD ZONING BOARD Ir►o clw,►g� to ,3XCu r L.]a' rl itncn:.� ions ) OC1L9,: r work (" ascribOj d W SITE PLAN REVIEW ll APPROVE0 DATE r.: IeOSS AHLA OrNliO14OwL' D. :: 'Tr( UC'1'UrtE VARIANCE APPROVED DATE 1st floor 1100 sq ft . Remarks : 2nd Floor n/a sq i t . COt*lnl.l TI; 1p41'01.14ATION 1W UI10,1; UVLAA1 . wee )lot Other Floe> ry n/a sq f t . " ..a of l�r ola� rty 100± P an fc x 120 fc . ( n8G cCll .► r or b .i 'S. .21la+: nG } * 1:�.?Gt.:: tincj L'"ullJic �.] t � ] `Ui ..0 n/a 1' ►: TOTAL FLOOR AREA 1100 sq £ t _ * tui::cinaj owilJiriq ( s } u:.: n/a : i4.l or new structure 32 f L X 48 ft, ` taa►stad:. tion-pier slat, cr:►wl /laarci.al/ r'ull Yralao;:ecl l�uilcting , die.c:ana� irow pr.aliurty Linc ;mot rel.: oric: } r Front yard 30+ 1' c rtoar ywrd 30+ ft Nr� . of LCGrie. ila:raaicabla :.lt�►ce } 1 5+ —r c :L aj 15+ Nomooprc tl"loght (Ural►: to riclg" ) 19064';tc ` . lido y:.rds 1C raa::illasnci.� l, no. Qi fzanilics 1 of 2 * It on ci &Knar . �Ao: W"0k Froia 1:itic ucr. wt:c + rt Hoe of roows ! ►:xalr.Ldin+] baths ) 5 0CCUP'.4l1CY INFOR1w1ATICN 140* of br:ctroou►y poly LUILDIIvIC: No. of Laacltrootw:: 2 y Ono faruily dwelling Primary l►u:aci tuj s:yt:cwu+ Baseboar E eetrNow ic -R 1%00 f anvil dwullin� permit for 1 side. only 1°ylw aa£ fuel Electricityw y ] Pe Y lwa . of £ire �lzCc:: cct bo ir►::C;ailuu n a . K%oklt,PIP .lw►slling / NUJRb►ar Of units will :► w►auwi= ;:covQ Lo.. ir►st:allwd? no . L'Crlu«an► ttC oCC4 �:uacy UuA%tr:al Air cotauliciuniracj :} no . "1•r:+nsiur►c racculaar►cy ■ Llusinu5s WILDING STYL.C, PRLmARY STRUCTURE a Industrial l -.►►cl► CGnG.:aul+G�..ry L[an cabin + (]cYacr t;r i::wd ranclL ►a:ansicac► 1]ulal wx IVI f A441 i L iQj% , wheat will u::+a ti,s? Uplic 1QV41 Old style Uut►•, .slow OvAp4r Cott CO&t:age Oct+.= r ACCESSORY aUILDING- Coloniial Uow 'rowtk House ` "-cached cur/ two car/ car ( CIRCLW ONL2' PLEASE 1 ' x Accuch+opu y:ariaQw Dst.t C:a two czar/ c:a ►' w ■ a a ■ r ■ ■ a . . a a w . ■ ■ '■ l►riw:a cL: sLor"90 building : laS. •1' IMA1• t: L] 1{ ARIC1 't' VA1. Ut OF Orwl1 tat C CON ::'YFtUC•rIUN Lw=L 1NFORi'LATION ON BUILDING SPCCIFlCATIONS , ON R.CVCRSE SIDE: OF Til " n1l"•r, '1'O AG COMPLC"rcol Form DPA 10/80 V1 40 BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe, etc . wood frame W111 any second-hand or ungraded lumber be used? If so , for what ? no Foundation wall material concrete block Thickness $" Depth of foundation below grade ( to bottom of footing ) tn3.rIIMR T' 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 portir�}� sq . ft . - - Type of use? Type of roof OR e� flat/shed/other Material of roof iberg ass s 1ng es Size , wood studs..a._"'x 6 as spacing 24 "G . c . length 8 ft . . Joists ( floor beams ) lsto 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 ""a . c , span ft . Roof rafters 2 "x 10 "" spacing 24 o . c . span 14 ft . Roof trus.ses (pre-engineered) spacing 24 "O . c . span 42 ft . Exterior wall finish stained Of what material ? 5f8"x4 ' x8 ' texture Interior wall finish paints 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 it . Depth of fireplace hearth jjLCLft . in . Water suppty - Municipal or private well munici al SEPTIC SYSTEM Distance from ANY private: wellfincluding adjoining properties ri a ft , (A separate application is necessary for any repair or new .installation of septic system) see�R . P ._E D 5 neXndt #0202525 DECLA RATIO N 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 outer laws pertaining to the proposed work shall be complied with , whether specified or not, and that such work is authorized by the owner. Signature - J Owner, owner's agen , chitect , contractor * # * * * * * i* * * * IF * * * * For * * * For * * * * * * * * * it • 't SPECIAL CONDITIONS OF THE PERMIT By ......... ...... APPLICATION FOR SEPTIC DISPOSAL PERMIT Ref : S. P. E. D. S . ]DATE ;f1 _ permit # New York - 0202525 ' MODEL P of LOCATION OF PROPERTY FOR INSTALLATION 82 Queen Mary Drive Ownes's Names Guyer Builders , Inc . • Telephones ( 518) 899-91b1 .. Address. 119 Dunning Street , Ballston Spa , New York 12020 Installer's Name: Guyer Bu lders , Inc Telephone: ( 518) 899-9161 2 A, C , E, Is J, K, L, M Number of bedrooms (residential only) 2 3 F, G , N Total daily flow (compute @ 150 gal per bedroom) 300 Topograpby: circle one: la* Rollins Steep Slope % Of slope Soil Mature: circle one: Sand Loam Clay Other ! Depths . 8 ' feet + Ground Water: At what depth? unknown 8 feet + Bedrock or lmpervioua Material: At what depth? unknown feet perrcola►tioai test: circle ones not require lc required / rate min. inch. Domestic crater supply. circle One: Municip Well Other IF domestic water supply is a Wells Separation: Watersupply from Septic absorption N/A feet * PROPOSED SYSTEM: Septic Task gal. (minimum sizes 1,000 gal.) TILE FIELD: Each Trench. N/A feet / Total system length NIA feet * SEEPAGE PIT(S): Number of / Size each feet by fedt' * Size of stone to be used of / Depth or Thickness feet * ss +ss �rs * s * s * sus * + * s * s * s +s * * ar. s * * +rsss : s * * * * sus IMPORTANT * See S . P.E.D. S . ...Pleas►e...LLST NEW EQUIPMENT TO BE INSTALLED permit & attached sssssss * sss ,� * s * s * s * s * a► * * * ass * * s * * * * * s * * sss map . ,. (over) r ' Section A Septic System Inspections A. All applications for septic system installation, alteration or repairo as required by the Town of Queensbury Sanitary Sewage Ordinance, shall be submitted to the Building Department at least 24 hours before start ; of construction and shall include a plot plan showing: 1.) the rropoised ,location of the gystem 2.) location and distance to lot lines 3.) location and distance to struptures 4.) location and distance to any -*ILter 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 playa 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.gbe submitted to the Queensbury Building Department before further construction. I have read the regulations above and awe to abide by these and aU s egiais^eaaeuts of the Tows of Queensbury Sanitary Sew a Dispwosa�l. Ckxti•,ance_ Signature of.responsible person: - + ' Date. A)c, A �Ge�,ci t► Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury. New York 12801 (519) 79Z-5832 SETTLED 1763 . , . HOME 0F NATURAL BEAUTY . . . A GOOD. PLACE TO TOWN OF QUEENSBUR'Y' BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR SPECTION RECEIVED _ NAME _ LOCATION DATE PERMIT # � Y L APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING . FRAMING ELECTRICAL ROUGH'4-IN INSULATION: r FOUNDATION FLOORS WALLS C ILING CoP' NAZ INSPECTION : CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ TEPS STAIRS-CLEARANC & RAILS_ PLUMBING FIX TU S/RELIEF VALVE INTERIOR TRIM/ RIVACY DOORS FINISHED FLOO S �ARA6E FIREP OOFI NG DOOR CLOSER { f SMOKE DETEC RS FINAL ELECTRI AL INSPECTION { FINAL APPROVAL OF CONSTRUCTION i A .SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED? REMARKS: d7 r-r4 jde�ye; rive I / L//�, I J INSPECTOR MIDDLE DEPARTM ON AGENCY, INC. SIM �CPCC[ lES that October 31 , 1989 18sla .equipment listed has been exa"r {ee aPPro►+ed as being in accord with the National Elect Gr e applicable governmental, utility anb, by as, Owner: Guyer Builders IF' � p � 1 Occupant. Single Fam f� _ �F+ Location: 82 Queen Ma DYI a en ry cerl 11"Ie 1 I riC uipmOrk and installation inspecled this da[e. IT adtliflonal t nt sh be Introduced 0, ells/ationa made to� . Outlets ; 4 l ceptacles , 2Q Fix Cures - n%so`�c�osn should ht�submi Ica � null and void. and a Equipment: , ions ad for 150 Am S e �v @ t* f v uy 10 this Agent i Ce i p p 11 ante s 1 �1 i'� 4 y �+ �.loltler of this oaTtificate on nt same to We A epeoy insurance Carrier ^•1'aq ent or Compli nyi as evi c aRificelion of electrical a4ui enl a as apecdlotl. . phi PProvea Guyer Builde nc --� f Apptfcant: 119 Bunning. Str _ _ _� Ballston Spa, NY l 0- 15 -028819�"-� FOrrrt 170, 703 EL 143 TOWN OF QUEENSBURY BUILDING AND CODES -DEPARTMENT +� HAVILANE ROADS' S?UEENSBURY, NEW PORK 228OS� 111/// TELEPHONE (518) 792-583.2 BUILDING INSPECTOR ' S REPORT RRC)UEST FOR IN P CTION RECEZVED NAME ` 1 LOCATION 2•' DATE �Q�C� `�-;+--J----.._PERMIT # APPROVED FOOTING/PIERS YES NO MONOLXTHIC POUR FORMS FOUNDATTXONJDAMP—PROOFING BACKFXLL APPROVAL ROUGH PLUMD TNG FRAMING ELECTRICAL RObrGH—XN INSULATION: FOUNDATION FLOORS WALLS CEILING (ANAL INSPECTION: vd CHXMNE'Y HEIGHT ROOFING EXTERNAL PORCHES/ EPS STAIRS—CLEARANCE. PLUMBING FXXTUR RA LS VALVE INTERIOR TRIM/ IVAC'YI DOORS FINISHED FIOr? GARAGE FXREF PING DOOR CLOSER ( .SMOKE DETEC RS FXIVAL ELECTR AL INSFECTIp1y FXNAL APPROV, L OF CONSTRUCTION A SIGNED C TIFICATE OF ST BE OBTAINED F M THE BUILDINGCUPANCY DEPARTMET BEFORE THESE PREMISES ARE OCCUPIFs'Df REMARKS: G' f tax r �" � .✓ I /`-r ._' /i yet c"�'L t`� �' r INSPECTOR ~ TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS !?UEENSBURY, NEW YORK 12804 r - 2ELEPHONE (516) 792-5832 BUILDING INSPECTORS REPORT REQUEST FOR INSPECTION 14ECEIVED NAME LOCArxoN Q DATE L PERMIT # APPROVED PoorINGI IERS YES No MONOLITHIC ,PrvR, FORMS FOVNDA rION/DAMP- �~ BACFL'P'I ROOFING LL APPROVAL'. ROUGH PLUMBING X PRAMING ELECTRICAL ROUGH-IN ✓.Z'NSLI.*�3'2'ON: � FOUNDATION FLOORS WALLS CE.YLING PINAL INSPEL^T- Cl`IIMNEV HEIGHT ROOFING SIDING EXTERNAL PORCHE /STEPS STAIRS-CLEARAN E PLUMBING FIX RAILS_ INTERIOR ,I RES/RELIEF VAL E F"XNXSHED VACY E' DOORS GARAG FI RS REROOFING DOOR CLOSE,q`(Sy SMOKE DErEOTORs FINAL ELEC2'RICAL F INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED C.ER2?XFICATE OP D OBTAINED FROM THE BUII,DX VC PANCY MUST BE THESg PREMISE'S ARE EPAFtTMENT ,9EFCkR& OCCUPIED! RMURKS XNSP OR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND RC;ADS _ QUEENSBURY, NEW YORK 1280.4t _y. TELEPHONE (518) 792-5832 BUILDING INSPECTORS REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION r DATE APPROVED YES NO FQC)T-r117GfPTERS MONOLITHIC POUR FORMS FOUNDATION/"DAMp' PROOFING BACICFXZL APPROVAL ROUGH PLUMBING E,.�'RAMING � ELECTRICAL ROUGH-IN TNSULAT.rQN: FOUNDATION FLOORS WALLS CEILING FINAL IIVSFECTION: CHIMNEY HEIGHT ROOFING .SIDING EXTERNA 11 L PORCHESfSH'EpS STAIRS-CLEARANCE RAILS PLUMBING FTXTUR /RELIEF VALVE TNTERIOR TRXM/P VACY DOORS FINISHED FLOOR GARAGE FTREPR FTNG DOOR CLOSER ( SMOKE DETEC RS FINAL ELECTRI L INSPECTION FINAL APPROV OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUTLDTNG DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED , REMARKS: IN BC TOWN OF QUEENSBURY BUILDXNG AND CODES DEPARTMENT BAY & HAVXLAND ROADS QUEEN,SBURY� NEW YORK 1280k TELEPHONE (516) 792-58.32 BUILDING INSPECTOR ' S REPORT REQUEST FOR rjVqPECTXON RECE-TVED NAME LOCATION DATE C� - / pER1yIT it �.APPROVED YES NO FC30TING/F'IE'RS -MONOLXTHX POUR FORMS FOUNDATIO DAMP-PROOFING BAg"l A ROVAL LJr6UGH PLUMBS G 4wpl:2A-mXNG ELECTRXCAL R H-XN XNSULATXON. FOUNDATION FLOORS WALLS CEILING FINAL XNSPECTXON: CHIMNEY HEXGHT ROOFING 1 SXDXNG EXTERNAL PORCHES STEEV STAIRS-CLEA)" &r RAILS PLUMBXNG FIXTU ESfRELXEF VALVE INTERIOR TRIM 142VACY DOQRS FINISHED F S GARAGE FXREP OOFING - DOOR CLOSER S) SMOKE DE TE RS FINAL ELECTR CAL tIVSPECTION FINAL APPRO AL OF CONSTRUCTION A SXGNED C RTIFICATE OF OCCUPANCY -MUST BE OBAINED F OM THE BUILDI-VG DEPARTMENT BEFORE THETSE PREM ES ARE OCCUPIED! REMARKS:I &C SI cep S { 7 l t� C 4 INSPECTOR - - - awn o/ �ueerr � 6ur� BUILDING and ZONING DEPARTMENT Flay and Havifand Road, R. D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCAT I ON 5'0 - Sol Ll ( s oar r iXlrx c s ,� HATE $ o`1 e4 / } PERMIT NO. J SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES Percolation rate ,Min /Inch TYPE of SYSTI�!r Abg4orpt10n field,, totwl Length of each trench Depth of trenches Size of gravel SEEPAGE PITS4Ntamber of Size— fte X ft o 4.~ Gravel sire PIPING : S3. a Ty Bldgll, to tank + � Lt[ S Tank to disc . box Dist. box to fic+]yd/ t12 Openings sealed?,;' YES NO , artial 3. LOOaAfI`I ICJ6ir1S : !` etZen ank ft. Foundation to= absorption ft. Absorption t�7 lot line ft. Separation n � pits ft. rAnt - (- 4YSTEM ON PROPERTY (circle . one) Re - Left side - Right side - CC ENTS NiM , _ Wl .0l 7/ V "L SYSTEM USE + 'PROVELI YES NO i T ~7 _ G Building Inspector 01/86 and vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT �-- BAY & HAVILAND ROAD. QUEENSBURY, NEW YORX 12804- TELEPHONE (518) 792-5832 BUILDING INSPEC"IOW S REpORT REQUEST FOR INSPECTION RECEIVED�4 �- NAME LOCATION 'GATE ' # PERM-TT APPROVED YES NO FOOTXNG/PIERS li49ONOL HIC POUR FORMS r FDUNDA ON/DAMP-PROOFING BACKFI APPROVAL ROUGH P BING _ FRAMING ELECTRICAL UGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION • CHIMNEY HEIGH ROOFING SIDING EXTERNAL PO CHESS S STAIRS- RANCE & Lg PLUMBING IXTURES/REL F VALVE_ INTERIOR TRIM/PRIVACY OORS FINISHE FLOORS" GARAGE IREPROOFING DOOR C BR(S) SMOKE ETECTORS - " FINAL E ECTRTCAL, INSPECTION FINAL PPROVAL OF CONSTRUCTI A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT . BAY & HAVILAND ROADS �I1 QUEENSBURY, NEW YORK 1280& TELEPHONE (516) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVRD--S---7�A__A_ NAME LOCATION �y �t ,Poe r DATE - _PERMIT APC] f � icy APPROVED YES NO FOOTING/PIERS MONOLITHIC A,POUR FORMS FOUNDATION/ P-FROOFXNG ,PACKFILL APP VAL ROUGH PLUMBXN FRAMING ELECTRICAL ROUG -.rN XNSULATXONr FOUNDATION FLOOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PO CHES/STE STAIRS-CLE RANCE & RA " S PLUMBING XXTURES/RELI, F VAZVE INTERIOR R2M/PRIVACY ORS FINISHED FLOORS GARAGE REPROL7FING - DOOR C SER (S) SMOKE D TECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICAT& OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS INSPECTOR TOWN OF QUEENSBURY BUTLDXNG AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORIC I280& TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR XNSPECTXON RECEIVED NAME �- LOCATXON eA DA TE - J 4:Z, =V y PERMXT /# APPROVED YES NO POOTXNG/PIERS r' 60NOZXTUXC POUR FORMS ✓FOUNDATION/DAMP-PROOFXNG ,/ BACRF'XLL APPROVAL f ROUGH PLUMBING FRAMXNG ELECTRXCAL ROUGH-XN ,/YkSULATTON": /FOUNDATION FLOORS WALLS CEILXNG FINAL XNSPECTXON: CHXMNEY HEIGHT ROOFING STDXNG EXTERNAL POF2CHESfSTEPS STAXRS-CLEARANCE & RAILS PLUMBXNG FXXTURESjRELXEF VALVE XNTERXOR TRXMfPRXVACY DOORS FTNXSHED FLOORS GARAGE FXREPROOFXNG - DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTXON - FINAL APPROVAL OF CONSTRUCTXON A SIGNED CERTIFXCATE Or OCCUPANCY MUST BE OBTAINED FROM THE BUXLDXNG DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS; XNSPECTOR - TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK I28ok TELEPHONE (528) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME_ 1L t L,OCA TION DATE - ` 1 ` PERMIT # - APPROVED YES O !L-VbOTXNGI PI ERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING - BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING r FINAL INSPECTION: CHIMNEY HEIGHT ROOFING f SIDING EXTERNAL PORCHES/STE STAIRS-CLEARANCE & .2� PLUMBING FIXTURES/RLLIAF VALVE INTERIOR TRIMIPRIV CY DO,ORS FINISHED FLOORS GARAGE FIREPROOF NG DOOR CLOSER ( YFXCOlXVSTRUCTXON. SMOKE DETECT FINAL ELECTRICANSPECTION FINAL APPROVAL A SIGNED CERTI ICATE OF OCCUPANCY ML7ST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISE ARE OCCUPIED: REMARKS: P . I INSPECTOR : . MIDDLE DEPARTMENT INSPECTION AGENCY; INC. r National Headquarters 900,Haddon Ave., Collingswood, N.J. 08108 APPLICANT C • Date: 8-4f .It, Town o Onsmanbury County � State Location/Address " (If Located in Rural Area - Please Attach Directions) Pole # Owner 1=: Permit Occupied As I !Sg, - Building; New NeWIX1 0ld [71 Occupant Work Area in Building Floor #, etc. ): for: Win Service or: Ready for Inspection : Fee Remitted - $ Cash 0 Check M.Q. F-1 11Make Payable : M,D, I,A_ Number of Rough Wiring Outlets Elect. Heat Soo 750 1000 12so tsao x75o 2aaa 225a 2saa 27sa 30a0 - 'i Switches Amp. Service Surface Unit Dishwasher Flange Lighting Water Heater Air Conditioner Dryer Pump Receptacles Oven Garbage Disposal Wiring and Controls for Burner Number of Fixtures Amp: Receptacles Fractional H.P. Vent Fans Other Equipment; MOTORS H-P. 112 1/12 1/10 1/8 1 1/6 1/4 1/3 1 1/2 3/4 1 2 $ 1 5 1 7112 10 1 15 1 20 1 28 1 30 1 40 1 50 1 75 1 100 Mark Nurnber of Each Size Applicant's - Signature License # permit # T/A _ �� 1 � Utility: . , Applicant's Address . 1 9 DWaNtm (NAME) (OF FICE LOCAT IO NP (City) 1Mstia4m SW (State) (zip). Service Request # Phone # Electrician : GUM DATE RECEIVED: DATE INSPECTED: 47 -,/ 4 - Correct Location : Same as Above or: Red Notice Label 0 Rough Wiring Outlets Surface Unit Ouen .�-- G> Switches Range { Garbage Disposal .+� Receptacles Wafer Heater Dishwasher v' Fixtures Air Conditioner j 'Dryer - 'rZ t--�j Amp. Service Equipment Burner, Wiring & Controls for Amp. Receptacle Amp. Service Conductors Pump Vent Fans ,MOTORS H.P. 2120 1/12 1/to 1/8 1/5 1/4 1/3 1/2 3/4 1 1 2 3 5 17Y21 10 15 20 25 30 46 50 75 too Mark Nui,,rr of Each Sixa 500 750 ta011 125a 1500 1750 2000 2250 2500 2750 3000 Elect, Heat RW Progress : lnc.t�fw LKD n Contractor fl CFT Violation : Work Comp. Inc, 0 CASH �] L/A Owner Fee CHK # 0 L/A Due MO # [_f IPA Municipal Date: Other Sided Utility OPI$cant Cut in Card Q Temp # Date e . Final # Date ECTO . S R5 p.PPL1CPITlOhi i=O nM fVl7. 250 Er 11/66 3a REFERENCE DRAWINGS: 5 SITE UTILITIES SEPTIC & WATER VanDUSEN & STEVES SURVEY PLAN (C.O.T.G.) 74,76,78,80,82,84 QUEEN MARY DRIVE PLOT PLAN do SEP*nc SYSTEM GUM BM=s V.,... /0 ! S/3/89 1 Sca I a: 1' - 2V-0