Loading...
1989-708 CERTIFICArM, C►F O CCU,PAMC TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date Apri 1 20 19 90 This is to certify that work requested to be done as shown by Permit No. $9-70$ ham been completed. �"� This structure may �A' a occuPied 0* & 4 M1 two Fami 7 +Y Location E4 Queen Mary Drive r]wncr ' - u i 1 e r s By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Co+c* Enforcement x BUILDINGPERMIT TOWN OF QU EENSBU RY No.s9_7oa `I WARREN COUNTY, NEW YORK i ' s Grant ^� PERMISSION is hereby granted to OWNER of property located at D V Street. Road or Ave. *� a the Town of Qation in a To Construct or place a F m 1 at the above location in accordance to application together with plot plans and other information hereto filed an approved and in compliance with the Town of Queenshury 'Building and Zoning Ordinance. y, OWNER'S Address is 1 Hemphill Place Suite 201 c� c Ballston Spay N . Y . 12020 m 2. CONTRACTOR or 13UILOERIS Name C'7 Self c 3. CONTRACTOR or 6UILOER'S Address LIP Same 4_ ARCHITECT'S Name 5. ARCHITECT'S Address C a 6. TYPE of Construction — (Please indicate by X) .0 c r ;(X) wood Frame ( 1 Masonry i 1 Steel i Y 7. PLANS and Specifications No. 42 ' x 26 ' ]Ie2 a Two family as per plot plan , specifications , and application , including septic and driveway a. Proposed Use A Two RtAXYX)t Family A ri l 1 is 90 S 1 nfy PERMIT FEE PAID — THIS PERMIT EXPIRES P (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 delta.} Dated at the Town of Queensbury thisn1m day of Se tember as 89 for the Town of Queensbury SIGNED BY :auilZoning I ctor '�wI y"N OF QtJFX% N523URY nrr �. IcArrnN FOR ItLII . . . . . :4n znNzwc PrR�IIT y too r'3 TOW N I- ENSBURY ` JiLD ^ gE P ev,i ewe ' . =rvCD RIEEVIEWEI Fee Mid K? t 5 1989 ATE i7a.re Iasued HUI ' ' BLDG. CC]DE DEFT_ AMY and J8AVX1AMjP ROADS RD I BOX 9.3 hlfi . t'aGli`8rul5BLIRY, 1:lr aJ;r 1 sa a,+ Pe.r4l it - sos . rsse� �9a-sesa Ertao4 'r a a ■ ■ W r * . r a • r r ■ r : a r * • a ■ r a ■ • . a . w r ■ r � • A JAC411IT MuS'r Lq OUTAINEU BEFORE BEGINNING CONSTRUCTION . NO INSPLCTIONS >fi' i L.L IiL MADE UN'rI L APPLICANT 11AS RECI=IVED A VALID UVI L.DINC PZRI`tIT . All applicable spaeus on this application lirust be colikpleted and the slfseArt * tom of * the * u }�]iliXu r. mustt a]"tte� r * ° * � Is� * e�e � ° +es side sh� � * yl* e * t * The owner of this Property is : P . O . J►d d r ca s s 1 Hujp .TILL, PLPjrE-SUITE 201 BAL STON SPAV NY 12020 T E L 4 518) 899-�3,.161 gz;P 2 -, i+ r (ca operty location 4 G21 cgo it'-! Inb tis TAX MAP NO . �1 1iw * there been any ::Flit of this property since October la 1988 :' � yes/ no 1 a 1C yes , Planning Board Review is necessary . LOT NO . SUBDIVISION NA" Cm IF APPLICAnLE _ MEM VICIORIA' S GRANT The person rasponsibla for ;;, upasrvision of work as (regards Building Codes is $ Richard He 2gyer III 3 IIemph 11 Place-Suite 201 Balls= NY 518 - 9161 NJ►!+1S P.U . ADDRESS TEL 5181 899-91 tu►Iwri of build�arGuver Bui lders . IncA 1dress 1 HE?nPhill Place , Ballston Tel �' W:•a1Mr2 of plumber -sue- i►K3dro�y -s - �� r'r3dres5„ -same- 'rul -same- _ Nawm of Muson —sa[rlEy— +iATURE Or PPZWOO�CO 1nt RK* MODEL: '•(�•• ?L3N I C' 1 Ni 011rlJ►.'I' IC1M X ConzitruCcior, of a iw++ building r LONIN a DESICNATION OF PkOPCRTY CR7 Ad4iLion to :a PERMITTED PRINCIPAL PERMITTED ACCESSORY AlLur;•Lion to a LuiLding ; 'itEVIE1�J T�C2uIRCD - PLANNING DOARD ZONING BOARD (no clw+l,g+j to .jxc .: rioc alownsiana) GL1,a� r wank l.lar:criia..1 + SITE PLAN REVIEWMr M AppRDVkD DATE^� 6i1iOSS ARIA Ol' L' FlO1, OSSD. !; Tf4UCTU KE VAR ir AVIANCE Y "PROVED DATE lag Floor 900 5q f t . Remarks : 2 nd Floor -- - s q f t . C€kal'Ll:'l`I. Syli'OI:KA7'1GN lal;�seex•i:A laL L4�1 Sic.a Of Pral�urty 10C? - lcyt lntit X 120 FC . GLher Floorsi -- sR rt . 1 aci::tiug l uilJi ,,•] ( s. 1 5i -e n a r ; ( AOL collar or bd .% Q1UunG ) TOTAL 'FLOOR AREA 900 sq f t . + L'xi::ti.r►,] bui1a i.n,J (« ) ut r: n a Cia" taf A4w s:LruCtur.a 42 it # 26 ft ' ---^"— Yrtwla•d:acion-pier •-la Crawl/Lasrti..1/ full ' 1'aaiw::+:ci lauiiasiny , c1i :t:►ns:u irou+ 1+aa11+,aaty Lilwu ICirclw onc: 1 front yard 30+ Cc Roar Yard 30 ft 614• of Atariva (jk"b!r:•bl+j toL)oacol 1 Sid.: yard:: 35+ rc :an,1 lu aighL turad a to ri.dq" j 19 . 5 Et . ` „ It on corners ::ucla:wwlc from s:idu acr,srst 'M+ cc If x4uiaL"ALial, noo ui f"MiLiex " 2 OCCUPANCY INFOP44ATICN %Go of rotarllu {axcludin+y b:•cRs1 � uoo of Iaudrooma 1 ' PRIxhRy rAUILDINC Nee of b:&LlurOoMW 1 Ono famsily dwelling Nri1Ma 'y liawtin=] iiylt:4 �IY �7 Sr'�.fi.7�.0 a x Two r:4UL4.1y1 d%WuliJnL.1 VyP" of Lua1 Eletricity Multiple dw411ing / Number of units�l� Mo. of fir"Laacua: L" UQ i1l::C:a'!. 'Jua— u a Poru"Aunc occupw&cy Will :. wwa.1 sLovu ij1uL:. 11"d? NO � •Crun;:iul,c ra.:ca►ii:.ne'1 QWALr.al hit Co,�.liLiunin,J=' HS] it�sa;inusts QWILDING STYLC, pkjt4ARY CTRuCTui2G In�►usGrial „ OcRcr 116"broh Cont6juspr�r..ry "a C;4uln a if .•dJiGiun , wlwaL will u,:u b"? ""i6s.sil rr6MCIs K+nyic.,L Du ,l.:x uyal.ic IUW41 Old scyl.: luuaky..law . j4CCi:5:01iY 13LiILDIIyG� C:40" Cod CoLt 1;4tj%= OGiwt Colopi�l lira+,! 'iouu tiousa ' U _ cachacl gar:.r]o/onc car/ two o Accuctasa Q"rar]r,/or1Q c"r/ two ( CI ROLL Girl PLI .1: I • r a r ■ • a • a . r r ■ a ■ # liYiV:aGat sGar:ag3 luullcling !¢L^ Y' Ii4ws• l: o rlwwwe.'r vAt. ul_ or � �OcR,rc Coto UT kUCT 100i 1MPMe"OrION ON OUILDING SPr'.CIPTCATIONS , ON PA VERSE 5IDC of Tills 4!!l CTdo 'rO ar COMP LE'rl:D ! _ Hart. (IAA 3 0/B B w.I BUILDING PERMIT APPLICATION CONTINUED BUILDING SPECIFICATIONS : Type of construction , wood framet fire safe , etc . wood frame Will any second-hand or ungraded lumber be used? I € so , for what? no W .w Foundation wall material concrete block Thickness $" Depth of foundation below grade (to bottom of footing ) 48tv rai-n]mum Will there be a cellar? no Heated or unheated? Floor sq. footage sq ft Will there be a basement? -Will any portion be used as living space? ( If so , what portion? _sq . ft . - - Type of use? Type of roof - s flat/shed,/other Material of roof fiberglass shinmles. Saxe , wood studs��-""}[ "• spacing 2 "o . c . length 8 ft . Joists ( floor beams ) 1sto floor nIa "'X '• spacing ."o . cw span ft . Joists ( floor beams ) 2nd . floor n/a ""X '" spacing "Qvc . span ft . Overlays ( ceiling beams ) . n /a lox "" spacing "'a . c , span ft . Roof rafters _fee " X DIM " spacing 24 " o . c . span ft . Roof trusses (pre-engineered) spacing 24 "'o . c . -span v�ft - ( see plan) Exterior wall finish stained Of what material? 5 /89fx 4 'x 8 ' TEXTURE 1-11 Interior wall finish inted 1 /2" sheetrock If a garage is to be attached , describe materials to be used for VIkE SEPARATION ; n a Is there to be an opening between garage and dwelling? n a If SO will a Fire-rated door , enclosure , and salf-closing device be provided? Will a flue- lined chimney be installed ? no fieighc 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 ( includmnq adjoining properties n a ft , (A separate application is necessary for any repair or new installation of septic system) D E C L A RATION 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. 0 ,/Signature Ow her, Owner's agent , arrhAdict , contractor i # # Ik * t lY • # ! * * * s # # * ak # # • * # a ■ * * # * * # # !' # * 1t h R k * * # * R * • SPECIAL CONDITIONS OF THE PERMIT : By- -_- ----------------------- �.. '-------- Yown of QeA4sdAWV r APPLICATION FOR SEPTIC DISPOSAL PERMIT ,/ Ref : S. P. E. D. S . I]ATE '�J ' / Ag perNew York - 0202525 ' MODEL i Gik Of LOCATION OF PROPERTY FOR INSTALLATION � 64 Queen Mary Drive Owner's Name: Guyer Buiilders , Inc . Telephones ( 518) $99-9161 Address: 119 Ihu Street , Ballston Spa , New York 12420 min Installer's Name: Guyer Builders , Inc Telephone: ( 518) 899- 9161 2 A, C , E, I , J , K, L* M Number of bedrooms (residential only) 2 3 F , G , H r Total daily flow (compute Q 160 gal per bedroom) 300 Topography: circle oneaarFlat >R011ing Steep Slope 96 of slope Soil Nature: circle one: Sand Loam Clay Other / Depth: . 8 " feet + Ground Water: At what depth? unknown 8 feet } Bedrock or Impervious Material: At what depth? unknown► feet Percolation teat: circle one: not require required / rate min. inch. Domestic rater supply: circle one: cipal Well Other IF domestic water supply is a Wells Separation: Watersupply from Septic absorption N/A feet * PROPOSED SYSTEM: Septic Tank gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench N/A feet / Total system length N/A feet * SEEPAGE PIT(S); Number of / Size each feet by fedt-' * Size of stone to be used # / Depth or Thickness feet * * * * * * s * * * * * * * * * * * * * * * * r s * s * * * * * * * * * * 0 * * IMPORTANT * See S . P. E.D. S. ...Please...I.IST NEW EQUIPMENT TO BE INSTALLED permit & attachec map . r (over) ar Section U Septic System !as pec#ions: A. All applications for septic system installation' alteration or repair, as required by the Town of Queensbury Sanitary Sewage Ordinance, shall be submitted to the Building Department at least 24 hours before start of construction and shall include a plot plan showing: 1.) the propo$ed .locatiou of the flystem 2.) location and distance to lot lines 3.) location and distance to strup#urea 4.) location and distance to any FWatter supply 5.) size and dimensions of all tanks. distribution boxes, the fields and/or drywalls B. No system shall be covered before inspection and approval by the bualdiag Inspector. Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to $250.00. Co An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must.•be submitted to the Queensbury Building Department before further construction. 1 have read the regulate s above and agree to abide by these and an reguirewents of the Town of Queenabury Sanitary Sewage Drisposa4l Ordinance. Signature of.responsible person: ih Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury. New York 12801 (518) 79z-5832 ' s SETTLF ^ 1715$ . . . HOME OF KATURAL BEAUTY . . . A GOOO. PLACE TO N AGeNrl' . INC. a AP 1990 M1DDt a DEPe41FtTf eotd ri l 23 , 9ca oafs in accord .. approved as being and ,A9eocY , } {e4�lPment listed has beet utility amtned � �� "r 'd ectcY overnmental* �,�rtlft£� that.. . Coc�'e applicable s lectr panr'Y l�lational E . „ } :8 ,47G # s Y j at,nn ,n "s mvi ll s oplith the ;, 's.I x`. "L s r: vb,: w''•` '' '"`� �;a�L�s3quiPmenr an4 In O rerauons made fo Gg fiaanona auu pkrxan �' nutr and Vo;d. and sP9Yicauon sar Jaye" Builder �. Ga) e�i tie o W ner: CT ll]'► le �� i1 t "i 'q$b Wa extsxm4 asxsum inia cert[!'iteA P t1V xo sera Anew Plop's m meoiSuraincePf�ed Sin$ ��rirve sutsrn ant name ton¢nx aPP ant: Ham.. nsPecuon anould [x+ Pd+ G ¢CCUp Of Cam 64 (�y,},eeLR t n Qixttiyxta irroa4on aferocrricaY ea�i'p -i.• �. , .+.� .,i �' a •., > Hotant os Lnrs cg Yi}care snasld as evrdanr-e'. . Location: O Reeeptaalaa `R�j eft— �C�s as4svec t ed ¢ ' .. S5 Outlets ;, APPlt.auces ; EgUiPn''ent: All Se'rvi f L 6$ Buildex e - �x I GuYet Stre ll9 gunning 12 Ballston Svaa NY APPlroant: _ 0000 TM-ENT G Qu CO S6 POP AND B© �LDING V LP`Nr) � O)s 3.2804 nu 13AX N 11ftYr ? 792_ y832 , � R TE PHONE �VID1NG 114SV .Gl4� QED d RN FOR INSPEGTION ��r-- RF'�OFST NAMF pSIT # ppPRO NOD vxAT ON� � XFg ,OATS _--� ,do SR5 0gI1s FOOTINGI POUR ROOFINNG --" '� MONOLITH O DAMP FOtjNpATI JZOVA INSHTION I pN gOI, ps ,WALLS G +( GFILTN p�TION = (" FICHIMNFX HFZGHT SSOOFING IUxNG - `"pC?12Gn �5/ & S ytp-""LVF_---"`� A CL CE 5TAIRSr G FIX UpF/s C I D RS _- - INTFLtI RRLOORS -- FINIH SFD EpgOOFI ppKF NFXCAL I31SF'SURD TTON FINAL+ Tp OVAL OF C BF O h FINAL OF P pAlZTN�T FFORF SIGN ED G EMI LHE BFICATEOCUrLIP ED '• _'--- _ 013TAI PI�FMISES RFKAgg5 �'l1 f7OW►7 of Qtteenjkury BUILDING and ZONING S7E PP RTMENT 98�� �,nn/ Bay and Haviland New Yp D . 1 Box Queensbury 2801 SEPTIC ()SAL. SYSTEM INSPECIION NI LOGS _ f--I / PERMIT t10 -DPITE Loam C:IaY NO SOIL TYPE - Test:, 'Required? YES . Percolation rate _ Min/I 'c nh f Percolation T,Y,PE of SYSTEMO field , total ler th AbsorPtion of each trench Length Depth of .trenctTies �- s ,iravel size of SEEPAGE ' ITS {I3lunber of .' _ ft. X , ft � Size- e Grav size Size ',ryl� !' PIPIi3G x tank 1, 'Bldg ' to Tank to clist . box ' • �--- Dist. boy: to f fie, partial HC) Partial openings sealed? YE LGCA OPI TI i"SEPApLhtION s f t. a dnk Foundation t© tion l , ` ft to .��bsc rP Foundation �ft. / Absorption to, lot line � ty Y Tn(cCi separation o Pit rcle oriel side �AT ION OF s P - YSTF1 R 1 Front - Rear - Left sid 4 SYSTEM USE ABPRC)V'ED YES . O F3u i ld ng inspector Dl/S� 'md vl TOWN OF QUEENiSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QuEENSBURY, NEW YORK 2280k yt�-��`/ TELEPHONE (518) 792-5832 �_--- BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME ,rr LOCATION / Lv C DATE �.;,.,�,'� PERMIT #�"�`�7� a APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR Fc�Rms FOUNDATION/DAMP-PROOFING BILL APPROVAL��_ ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN r SULATIDN: 6'� FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING ` 4 EXTERNAL PORCHES TEP"S STAIRS-C.LEARANCE1 & RAILS PLUMBING FrXTUR _ S/RELIEF VALV INTERIOR TRIM1 *XVACY DOORS FINISHED FLOORS 11 GARAGE FIREPROPFING DOOR CLOSER {S)'l SMOKE DETECTO12S FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!' REMARKS: PECTOR TOWN OF QUEENSBURY , BUILDING AND CODES DEPARTMENT } llf BAY & HAVILAND .ROADS pUEENSBURY, NEW YORK 12804. {y ` TELEPHONE (51 $) 792-5832 t BUILDING INSPECTOR ' S REPORT REQUEST FOR SPECTION RECEIVED NAME LOCATION T - - - DATE �/"7 �/f� PERMIT {� APPROVED YES NO FOOTINGIPIER�q MONOLITHIC P?, R FORMS FOUNDATION/I�AMR-PROOFING , - BA CKFXLL APPROVAL L9¢0UWH PLUMBING _--- AMING ELECTRICAL ROUGH-2W INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCERS/STEPS � STAIRS-CLEARl NCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR T1�IM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL, APIOROVAL OF CONSTRUCTION A SIGNEX7 CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE 4 , THESE PREMISES ARE OCCUPIEDI REMARKS. INSPECTOR � Q�+iI3 QF CODES u DEPARTMENT ,3j j j LD 'G A D ROADS 1,2 8O xN !t 8 HAVS N gOA Ew YORIC 5832 AY EssousX ( 5j.8 ) 792- R, pQRT TE x,,EPHONE -,lp-119G IidSFEG � DE5T IN gECExVE FOR --� Rr:tQ NAME pBRMx7` # Et7 LaCAT ,O �. APPR No DATE YES FOOTxNGI X Ic pOZ]Ft' FORMSIN�1--�'�r�� �- �'Op10LSTH SN/DAMPW O FODNDITAPPROVAL RTNGO p 'UM FRAMING gQLJGH 1:14 ELECTRICL SN TXON FOTJNDATION FLOORS �--� W'I CEILING PECT7ON FI CHSpINEY HEIGHT FZOOFING P SSUIN'G-�`'rpCJgCH]ES STEPx -�--�' E?C`PEkAI' NCEtXTU s� LS t7ALVE ISTAIRSIIIII.P wm x NG�x RI VACY OO INTERIOR FRIAO .5 �.� FINISHED PR FING GE FIRE GARS'' CLOSER C� DOOR I)ETSCTbRS INS�N '�N SMOXE TRIG A Of' coNSTRDCTION FINAL ELEC FINAL App ST gE CEgTI CATIF 3710 BGOF xpCC D AKTMNT $EFORE Fx OM THIS OBTA NED GNED F xSES ARE OCCUE'IED . THEIR pREM MARS 1, � k CTOR S ' I (�UEEIaS rV010A OF DEPARTMENT AND CO TlES PAR B19111MING ROADS BAY & HpVII.ANI7 RSW YORK 12SO QuEENS73URY, ( 518 ) 792-5832 TELEPHONE �ZgSP�L"iOR , S �pUR'f ON RECEIVED xNSPFCTI REQUEST FOR NAME LOCATION PERMIT� r APPROVED DATE ' � YES NQ FOOTING PA pOR,MS�� --~ MONOLITHxC • P P_PROOFING� FOi7NDATIQN VAL BACKFx OI7GH p uMBx FRAMING H�IN ELECTRICAL RO INSULATION = FOUNDATION FLOORS wALLS CgILINCSPECT7ON : FINAL HEIGHT Cgxt+INEi' HE ROOFING SIDxNGAL PORC SIST' EXTERNAL CE & F VALVE STAIRS~ RESIN RS PLUM82NG F x M/pRIVACY INTERIOR RS -Tv-,SUEDF EPROQk xNGGARA � GE DOOR C LO P S SMOKE EIF NSCTRX L TR V--TI 7 FINAL Er 000NS FINAL APP20VAL �-_----- -- 5T 13E TE OF OCCUPANCY MU BEFORE CERTIFxCA Bul DxNG DEPARTMENT ALA GNED FROMTHE xED0 F,RE,MISES ARE OCCUP PEMARKS . C INS ECTOR i TOE 14 OF (QUEE13SB'JRy BUILDING AND CODES DEPARTMENx BAY HAVIZ' ND YORK Z2SOsb QUSENSBURY . � 52$ } 792-5832 TELEPHONE INO INSPECTOR 5 ?'EFORT �I� c_ '1 �aECTION REQUEST FOR INS LOCATION �L"' c, pERMIT # APPROVED DATE ��--x� r� YES NO ~— FaQTrNG!PrERS P R FORMS MONOLITHIC P_FROOFING�� FOUNDATIO PRO ''A L--� BACKFILL ROUGH PLUMBING F IRA M'ING ROUGH N ECTRICAL E4;SUrLXTTON FOUNDATION FLOORS CEILING p NOTIOTI -�- FIN C HIMNEY HEIGHT ROOFING~ SIDING pORG!!ES arTEPS � �r--- EXTERNAL RAILS� ~ STAIRS-CLEARANC SIRELIEF VALVE PIx1MBING FIXTU RI`7ACY DOORS , INTgRIOR TRIM! FINISHED FIB S OOFTNG,��-�--"�'� GARAGE FIRED r-- -� DOOR CLOSER �-- pETEC RS zNS� p�t]N IS II RUCTION FINAL E� Q AL o COITSx -- -- '- _ OCCUPANCY A SI~- gXy ST BE CERTIFICATE ERTIFICA�UI07..FF ' DEPARTMENT BEFORE; OB q+AINED PROM THEE OCCUPIED ! THESS PREMISES ARE: Will REMARKS INSPECTOR T ( 1VN Or DEPARTMENT BUILDING AND CODES & ,HAV I LAND ,ROADS � 2g0 SAYCTEENSSURY : NEW PORK TELEPHONE f5187 792_ Sg32 DING INSPECToRq S P'EpoR'T roN REQUEST FOR INS.P � NAME LOCATION �, PERMIT #� ED APPROVED DATE YES NO FOOTINGIPIERS FORMS MONOLITHIC POUR PROOFING FOUNDATION/DAM �-- gACKFXi L APPROV "~~~, gouGg PLUMBING RAMxNG UGH— ELECTR CAL FtO XNSULA LION FOUNDA FLOc7'RS WALLS CEILINGIS I*XON = FINAL I ry H GHIMEJEY HEIGHT ROOFING SIDING PORCH /.STEPS �-------- E.XTERB S RAI VALVE STAIRS�CLEARANRESIRELXE ' PLUMBING F, PRIVACY D INTERIOR TIZ I R5 �--- FINISHED GJU"Gr FIRE ROOFING DOOR CLOSE (S'S ~~�� _----- SMOKE DETF ICAT ITO ISSPEC'�IGTIL)N_"-�- FINAL ELEC ON ,CONSTRU ,FINAL APPRO AL E OF OCCUPANCY MUST BE A SIGNED CFgTxF ICA BUILDING DEPARTMENT BEFORE OBTAINED FROM THE PIED! 'THESE PREMISES ARE OCCU REMARKS ' 16 INSPECTOR TOWN OF QUEENSBUREPARTMEN`1 BUILDING AND CODER BAY & HAVILAND ROADS 1280sb �I QUEENSBURYr NEW 5 8 ) 7g2_5t2s TELEPHONE BUILDING INSPEC.TOR' S REPORT REQUEST FOR INSPECTION RECEIVED I NAME � LOCATXON t' Cal IT ## DATE % f 3 PERM � APPROVED YES NO FOOTING/PIERS MONOLXTHIC FOUR FORMS FOUNDATXON/DAMP—PROOFING + � BACKFILL APPROVAL r SOUGH PLUMBING 'I FRAMXNG ELECTRICAL ROUGH-XN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SXDING ,EXTERNAL PORCHES/STEPS STAIRS—CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR .,k+RIMIPRXVACY DOORS FINISHED jPLOORS GARAGE FIREPROOFING DOOR CyOaER (S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTXOIV FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE ILDING DEPARTMENT BEFORE OBTAINED FROM THE BU THESE PREMISES ARE OCCUPIED! REMARKS : i l lVSPECTOR flown o/ Queenslurry BUILDING and ZONING DEPARTMENT Bay and Waviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAMES �• w •C�, LOCAT I ON �y -Q- - DATE $ 9 q / 1 PERMIT NO . SOIL TYPE - Sand - Loam - ClaY Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Abs N an field , total /e3nLengf each trench_ Depth trenches r Size of gravel _ SEEPAGE P iTS4'Nl ber o ) Size- ft.- x Gravel size `r / PIPING : L �� Size fTyp� Bldg . to tank — Tank to dist. box List* box to fie / 3. ' Openings sealed? YES NO artial LOCATION/SEPARA IONq%i Foundation to k ft- Foundation to bsorptilc n ft . Absorption to at line ' . ft . Separation of pits ft. LOCATION ,C-PE' YSTEM ON PROBERTY (circle one) Front - Re - Left side -``.Right side - CCMMENTS -- - �y f SYSTEM USE APPROVED YES NO Building Inspector ol/86 and vl MIDMILE DEPARTMENT INSPECTION ,A4GMNCY. INC. �--y } National Headquarters_ ,- 900 Haddon Ave., Collingswood, N.J. 08108 a {gate: f jam, Town or __. ili� County `' State Location/Address ( If Located in Rural Area - Please Attach Directions) Pole # Owner. WAIMM$ INC• Permit # Occupied As . ` u+ _ 'rr f Building: New'rWj Old© Occupant Work Area in Building Floor #, etc.) : App. for: ! $%firing LL Service or: Ready for Inspection : Fee Remitted - $ Cash ED Check M.O. -'] Make Payable To: M.D. I.A. soo 1 750 1 loco lx5o 15oo 1750 2000 22so 2ao0 27SI 3000 Number of Rough- Wiring Outlets Elect. Heat Switches Amp. Service Surface Unit Dishwasher Range Lighting '_ Water Beater 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 F{,P,- 1/2 1/12 1/10 1/8 116 1/4 1./3 1/2 3/4 11 1 1 1Nx 1 2 1 3 1 5 1 74¢ 10 1 15 2D 25 1 30 1 40 1 54 1 75 1 1,00 Mark Number of Each Size Applicant's - . . Signature License # Pe It # T/A 3;1I�13g. �� Utility : x . f ApplicanVs Address:. 11. (NA I CATION) (City) lballgatwift fikm (State} I'f (zip) 121M Service_ Request * Phone # asg!A Electrician - I DATE RECEIVED: - DATE INSPECTED: 7ROedNotice ation : Same as Above 0 or: Label 0Rough Wiring Outlets Surface Unit Oven Switches Ran / GarbageDisposal Receptacles J Water Heater / Dishwasher ,�2 . 5 " Fixtures Air Conditioner Dryer Amp, Service Equipment Burner, Wiring & Controls for Amp. Receptacle Amp. Service Conductors Pump. Vent Fans MOTORS H.P. 1/20 1/12 1/10 1/8 7 1/4 1 2/3 112 3/4 10 1 15 1 24 1 25 1 a0 1 40 1 50 1 75 10D Mark Number of Each Size Sao 756 looa lxso lsoo 1750 2000 225a 2aoo 2750 aaao Elect, Heat RW Progress: Inc, LKD 0 Contractor Q CFT Violation : Work Comp. Inc. 0 `+ CASH '� L/A Owner Fine CHK # �f L/A - Due MCI # 0 IPA Municipal INV # C. _ . APPlicant Date- Other Side 0 Utility Owner Cut in Card Temp # Date # I SIGN ATUFt final Date r P.PVLICA-rION 06RIM NO. 250 EL 11106 QMN VICTORIA'S GRANT molow, MY (C.O.T.G.) 2000 gal 8'-0 DIAMETER W -0 DEPTH REFERENCE DRAWINGS: 5 SITE UTILITIES SEPTIC & WATER VanDUSEN & STEVES SURVEY PLAN Q-MODEL ROOF PLAN WILL VARY ACCORDING TO SALE, DRAWING SHOWS ONE STYLE ONLY CLEAHOUT TO GRADE. (C.O.T.G.) 58,%62,64,66,68 QUEEN MARY DRIVE POT PLAN is SEPTIC SY, M ow Full i b e. dram: W 7/5/8f e .20-e