Loading...
1989-832 ,. CERTIFICATE �7F C O CIM'AN C JL ' TOWN Of +QUEENSOURY WARREN COUNTY, NEW YORK �j (� -] i late June 5 19 9Q C_J-- II I q r �r J This is to certify that work requested to be done as shown by Permit Noe 89-$32 has been completed- This structure may be occupied sus a fwo Family Location 60 Queen Mary Drive Owner GUYER BUILDERS , INC . By Order Town Hoard TOVVN OF QUEENSDURY Director of Bldg. 1k Code Enforcement BUILDING PERMIT x TOWN OF +QUEENSBURY No. 89_832 WARREN COUNTY, NEW YORK o r✓ PERMISSION is hereby granted to Street, Road or Ave. OWNER of property located at 6O .ueen Mary Uri ve ' b in the Town of Queensbury, To Construct or place a X6 of �M�O FaIS71 1 W 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 >7 Ballston Spa , NY 12020 c �c 2. CONTRACTOR or BUILDER 'S Name W C r SAME m cowl 3. CONTRACTOR or BUILDER'S Address Cal 4. ARCHITECT'S Name 6_ ARCHITECT'S Address rn 0 c rd Ira 6. TYPE of Construction — (Please indicate by X) oj (XKWood Frame I ) Masonry i t Steel i t �C J. 7. PLANS and=Aannad1znPri K ! CD No ' one side of two-family as per applications plot plan fications . S. Proposed Use Df Two- Family MODEL R $ 151 , 00 PERMIT FEE PAID — THIS PERMIT EXPIRES Ma 1 , 1990 0f a longer period is required an application for an extension must be made to the Building and Zoning inspector of the before the expiration date.} .--i town of Clueensbury r Dated at the Town of Queensbury this 24th Day of October 19 89 * for the Town of Queensbury SIGNED By Ir urlding and Zonl I ector Id �'N OF � iJEL- NSI3URY Ar >� [. icn�• rnN FOR {iui :. . � . . . . . .:� [x znNT. Nc" ri: ftr`1tT rLFee .i.ev ved {jUIL.BING MD CODES U131ART IEN'T vatr� 7bbraed� _ __ DIY and tjAVXJaAND ROADS RD 1 DOAC 93 Pr nr.t NO . ()UEXN5BURY, NEiJ yORK 12d0.1 To.! , ( s1B ) 792-5832 Exs -204 -* * ■ t ■ w * s i r ■ r w r r ■ r ■ • ■ r ■ w a w . ■ r r w ■ + �, A IsERMIT muS'{' G1� OBTAINED BEFORE BECI C( INC CC1NSfi1tUCTIl7N , No INSP1zC'fIONB 13L tiIACiG L1N'I' IL Arl' (. ICAH[T { (ASication lAilustLID UUILDINC bc colrinletcdPandltha All applicable space a an this alsP si ppature of the a Y-) l icant must appear . , n ttic reverse sick of this 5 �cet . y� w YG gc x w s is * w yc is k fY 7t ak � is tk er Builders , Inc . "rile owner of this property is : Guy NY 12020 TEL , ( 518) 899-9161 !o 1 Hemphill Place S ite 201 , Ballston Spa , d P . O . Addross TAX MAP NO . 1�_/ ��{� location -c a t i o n 1p0 Gtua£rd Mp,r}.y UR.S11''rc Property no tlas there been any :split oc this property since October 1 + 1 $ BR ? yus LLo If yes . Planning BOard Review is necessary . LOT NO . SUBDIVISION NAMEr IP APPLICABLE Q WEN VICTDRIA' S GRANT00 .l"ho person responsible ror suNurvision of Work as regards Building Codes ' as Richard H. Guyer III 1 hill Place Suite 201 Ballston S NY TE Le NOW —.�.� P . O . ADunu: s NA14L Ballston SI>a .NY TOL( 518) 99- 1� ti�ame of builder_Ginaer Builders IIncAddressl Hemphill PI ACC- " Tel -4 ^=�- _same- rddress —sarr�e- tl:+raa of PlumberAddC" NunLe or ii.ason —same— — — t,k►TURk or1'i:Ui'OSL'D WORK * Model R ZONING 1N144014u driom ( Office usr� on111 . . ZONING OCSICUATION OF PROPERTY j _ ronx:Gructiosh of a ituw buildiorj # PERMITTEDpRINCIAAL PE[tMITTEA ACCK-:SS0RYWWWWWWWWWWWWWW �A4i-4iCi.on to a Buildingif ALGue"cion to a 1.uildinrs . "REVIEW REQUIRED — PLANNING U04hRD ?.4NINC pOARD Iola cl&;m+ g4 to .axcwrfor cliwv'n'.. ion:af • SITE PLAN REVIEW APPROVED DATEw Ucl�isr work 1►3a:crilua:) ... : VARIANCE N , APPROVED C1ATE _ CKOSS AUCA 411" :: "rl4UC'1UitE w Remarks : lst Floor 900 sq ft , and Floor --- sq f t . COl"Ik'(.I:"i"I S�ll'Ol:1iA'L'LOt1 1cLrruilcl:D 1sL L4�1 . see pl t --- sq r t . + : IZQ of propucty 1�l P an rt x 12t3 1 t Other QlaorS 2 ( :s] ss: u n a rc x, nrc . L'atirGingl L]ur l.3ai4. ( not +Cellar Cr b4 a .aurc� ntl w TOTAL FLOOR AREA 900 sq f t . kxi i::C ,►g nuilailk6j i ;; 1 U:wi n a :: ixs " e new UGrucGura 28 fc ]► 5{] ft ` lfraLa+,d:acion-Dior -�)-s cr:s.rl/L�arti..1/ rull * vs:QLaor:urS Duilu►ing , c(i::Cancu frout VCOL4urcy lingz Rcits=lu or►e front yard ' + ft Ra:.ar y:ardr,�� �ft Nu . of near irMo {!Lc►fai C:.tai.x ::taiiCLi 1 _ 1- Silo yard" 15 + f G ants 15 ' + i t 11ui+clhG (c2racl3 t4 ridqu ) 17 ft • 19 an Cornaro uUttl"C1c from aid" scruaci� c It rQaJWdunti.aL , no . cif f:aaiii+sa Nos of roo►Rs ( Qxcludinrl t"thal,,2 �,��. +* OCCUPANCY { N�{1rhWT LON 1409 of faun= ., pitlFlAltY ALIIL.DINi: - N000 of bacitroom:: One fan►ily dwelling L•rilaary jj,,ati«gs L:yl;L;wm& se ectric x 'i'wa tily duuliiny pernrit for one side vy,1w of foal Electricit�r _ � eaultii�l.s clWellir►c3 / Number of units NO0 of fir"LA "Cua to la%= in::Gal1uc(� _ S'fttlM1:anGs4LL occurias�cy Will a wu+a.s UUOV0 tm-* i'lutallud"'_ no � •1•rr:ar►::iucwt ouCuLsac,cy CoALt"I Air COg��LiGicar►ing •�� �� ; LiuSlnusa WILDING STYLE, PRLMARY STRUCTURE � Inclu�trial O+chr:r 116+LL+o1L CosLCwuL:c+r:.ry LGn Cabin if "addiciung tldiw will uu+:: ' Ii.aiuwa ranch tl;ansi4E► ul' `+ ; apliG luv.:l Old >cylo uugL�aa raw . ACCESSORY Car Cod COGL:Lgyd OClwr r L1s:t.�1C1l2scl �j:ariL�jG�� ?� 1g1 two CiJr/mm� :►� C`aloni:al l:ow •lawn 1lausa { CI (LCLI:' QNk PLkl►.�.>+ 1 X�ACIL&Ch43i1 eJ:aria , is 411�2 CiLi' two CiaL/��� ��CiJLL . r w ■ r r ■ w a . r a r r R ■ ■ 'r L�ri.vata £Gar:aga ALLi ing 11A1. UE +Ok' + Orhar INFORMATION ON OUrLOI1NC 5PF.C'CPrCATIONS0 ON Rr:'VERSE: SIDii OF THIS �Fll-k'T, TO BE CGIiF'i.E7'(:O ! Form nPA 20/88 v2 20 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 ) 48to Will there be a cellar? no Heated or unheated? n/a Floor sq. footage n a scl ft Will there be a basement? no will any portion be used as living space ? n a ( If so, what portion? sq . ft . - - Type of use ? Type of roof - <Zo a flat/shed/other Material of roof fiber ; ass s `ng� es=types A Size , wood studs '" X 6 "" spacing 24 ""c . c . length $ ft . Joists ( floox beams ) 1st . floor n/a ""X "" sp "+OPC . span ft . Joists lfloor beams ) 2nd . floor n a *"X "" I; Zo '"o . c . span ft . overlays ( ceiling beams ) 2 ""X •" spacingn 12 ft . Roof rafters 2 "" X "" spacing 24 a . c .Roof trusses (pre-engineered) spacing 24 "oft _ Exterior wall finish strained Of what material? 5181sx4lx 8 ' texture 1-11 Interior wail finish Painted 1 /2" sheetrock If a garage is to be attached , describe materials to be used for FIRE SE;PpARAT'ION ; 1 /2" type "x" sheetrock s 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 ntla ft . Depth of chimney foundation below grade n a ft . ` Depth of fireplace hearth n a ft ..in I 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) D E C L A R A T I O 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 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 Owner, owner's agent, a itect, contractor SPECIAL CONDITIONS OF THE: PERMIT : r 41AYOWM of QeMM6 APPLICATION FOR SEPTIC DISPOSAL PERMIT Ref : S. P.E. D. S . ]DATE 10 -2o-�q / permit # ._�.— New York 0202525' 14ODM ft of N RIR LOCATION OF PROPERTY FOR INSTALLATION 60 Queen Mary Drive O Guyer Builders , Inc . - �.• Telephone« ( 5183 899-9161 Owner's Narsses . Address: 119 Dunning Streets Ballston Spa , New York 12020 Gu ye Builderss Inc Telephone: ( 51$) $99-9161 Installer's Name. Y 2 As C , Es Is is Ks Ls M Number of bedrooms (residential only) 2 3 F' s Gs fl • Total daily flow (compute Ci 150 gal per bedroom) 300 Topography: circle arse: lat Rolling Steep Slope % of slope $Oil Natmwe« circle one. Sand Loam Clay Other / Depths . 8 ' feet Ground Water: At what depth? _ UnknOwn 8 feet + Bedrock or Impervious Matezjal« At what depth? unknown feet pawcolation test: circle one: not require required / rate mire. inch. I3omestic water supply: circle one. Mu:xicipal�Well Other IF domestic water supply is a Well: NIA feet Separation: Watersupply from Septic absorption * PROPOSED SYSTEM: Septic flank gal. (minimuru size: Is000 gal.) TH.E FIELD: Each Trench NIA feet- / Total system length N/A feet * SEEPAGE PITS)« Number of / Size each feet by feet' * Size of stone to be used # / Depth or Thickness feet as # saKse s * aee +s * * * , s * as * apses * s * te * raRss # �sas * ssesse I M P O R T A N T * See S . P.E.D. S . ...pleame.,.LIST NEW EQUIPMENT TO BE INSTALLED permit & attached ssssssss * ssassss * * ssss * * sus * e * s * ss * * * * * * * s :pap . (over) 4 Section li Septic System Inspections: A. All applications for septic system installation, alteration or repair, as required by the Town of Queensbury Sanitary Sewage Ordinance. shall be submitted to the Building, Department at least 24 hours before start of constructions and shall include a plot plan showing: le) the Propoised ,location of the Rystem 2e) location and distance to lot Dues 3s) location and distance to strup-tures 4.) location and distance to any �1pmer supply 5e) size and dimensions of all tanks. distribution boxes, the fields and/or drywells Be 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 $ZS0e00. Ce An approved copy of the plot plan shall be available an the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage, De 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 requiremeaats of the Town of Queensbury Sanitary Ser Disgosaal 4diaaace, Signature of.responsible persons -- ' Z Date: ,y ` Town of Queensbury Building and Code Department Bay at Havilaud Road Queensbury. New York 12801 (518) 792-5832 .r SETTLFn 1763 . . . HOME OF NAT+ ' ^ BEAUTY . . . A GOOD. PLACE TC. f. A TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT -BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12802- TELEPHOXZ1E (528) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR I PECTTON RECEIV D NAME J r aCATZON,,,rr DA TE R! PERMIT # L 4 APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR F S FOUNDATXON/DAMP-PR FXNG ,BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDAT3pN FLOORS WALLS CEILING FINAL INSPECTION. CHIMNEY HEIGHT ROOFING G,.r SIDING EXTERNAL PORCHES/STEP STAIRS-CLEARANCE S RAT PLUMBING FIXTURES/RELI VALVE_ INTERIOR TRIM/PRIVACY RS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER (S) SMOKE DETECTORS_ FINAL ELECTRICAL INSPECT ON FINAL APPROVAL OF CONSTR CTI OK TO ISSUE C/O OR C/C ! C) _ r A SIGNED CERTIFICATE OF�CCUPA Cy MUST BE B OBTAINED FROM THE UILD G DEP TMENT BEFORE THESE PREMISES ARE OCCU XED! REMARKS: q j i i ARRIVE INS ECTOR rp MIDDLE DEPART IV t N AGENCY, INC. 11 b ✓ y1� � � � � y� Datoo curie 4 , 1990 >zrtcfie� that Lead uipment listed has been ex it*,- an approved as being in accord a plicable governmental, utility and A+,gancy S. with the National Elect 1C 9 w:.. Owner: Guyer Builde P occupant: Single Fsni C! 64 Queen HA �r�k►e a roryficate [ty�r iecir c uipment and +n Of 61ton inspectad sh's Location. 111� !� date_ 11 atlditlonal aq ui n7 'eh be iniroducstl or siterations made to existing system this iclLa be nul# and Void. sno &ppiica[1on ear x.}iry.t: ,$ ' mspacsipn ancultl bs suLmittad R lY to 7tl�is +�ybncY. 62 Outlets ; 8 ece�rtacles ; M T3 � �''�i ��s �( f11 J?f178nt: rider of tnia cegiTicste en4' 61 nt $ame to nle property +neitrance Carr+�a 150 Amp Servi2.ces PP1 ZgrtG Lsg 4n � Sapent Ofcorri�RnYl ss�yi iTicatlon of blectriesl eoukpmen[ap¢ r F Guyer Buildcr a r 3l �G :8 `- G� '': Applicant: 119 punning Str 16-033503 Ballston Spa, !7Y 1 sr..... Nn 7en !t 1A, 3 .Jvcvn o � ,� '�uee►rs�ur BUILDING and ZONING DEPARTMENT Bay and Hawiland Road, R. D. 1 Box 98 Queensbury, New York 12801 SEPTIC ISPOSAL SYS INSPECTION OME _OCAT I ON L5 ' ATE PERMI � — ;OIL TYPE - Sa d 2 - Lo -- Clay - 'ercolation Te t Requ ' eda YES ! 'er finch colation ra e - `�� - Mi ( 'YPE of SYSTEM: y ; 6bsorption fiel to al length jength of each rent i 1ePth of trench s , 'ize of gravel :EEPAGE PITS4N— er of) j ;i.ze- ft. X ft. 1-ravel size `IPING : size B ldg . to tank e ank to diet . box Dist. box to fief_ -it Venings sealed? ES NO Partial 1JOCATION/SEPARATIO 'oundation to tank 'oundation to abso ft. Lion ft . Lbsorption to lot i e separation of pit ft. OCATION OF' ft . SYST ft . PROPERTY one )ront - Rear - Le t s de - Right side - CHMENTS,: � r - '/ J 3YSTEM USE APPROVED YES Bull ng Inspector 31/85 and vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & 74AVXLAND ROADS QUEENSBURYr NEW YORK 2280�& TELEPHONE (528 792-5832 BUILD NG INSPECTO ' S REPORT REQUEST FOR INS CTION REC VED- . NAME / LOCATION DATE PE IT # -!Z -- APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FO S FOUNDATION/DAMP-PR FI G BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH�IN INSULATION: FOUNDATION FLOORS Loe WALLS 3 CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHESIS S STAIRS-CLEARANCE ILS PLUMBING FIXTURES RE EF VALVE INTERIOR TRIM/PRI AC DOORS FINISHED FLOORS GARAGE FIREPROOFI G DOOR CLOSERS) SMOKE DETECTORS FINAL ELECTRICAL I SPECK" N FINAL APPROVAL OF ONSTRU TION A SIGNED CERTIFI TE OF OC PANCY MUST BE OBTAINED FROM THE BUILDING EPARTMENT BEFORE THESE PREMISES A OCCUPIED!. REMARKS: i INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 2280!1- TELEPHONE (528) 792-5832 BUILDING INSPECTOR' S REPORT REQUES OR INSPECTION RECEI D NAME t 4or LOCATION DATE PERMI !(� -Ltqa2�= __ APPROVED YES I NO FOOTING/PIERS MONOLITHIC PO U FORMS _ FOUNDATIONIDAMP PROOFING BACKFILL APPROV _ ROUGH PLUMBING FRAMING ELECTRICAL ROUGH- N ' INSULATION. FOUNDATION FLOORS WALLS CEILING FINAL .INSPECTION: CHIMNEY HEIGHT ROOFING .SIDING EXTERNAL PORCHESIST S STAIRS-CLEARANCE & ILS _ PLUMBING FIXTURESIR IEF VALUE INTERIOR TRIMIPRIVA DOORS FINISHED FZ400RS - GARAGE FIREPROOFING _.......... DOOR CLOSER (S) � . SMOKE DETECTORS -- FINAL ELECTRICAL INS ECT ON FINAL APPROVAL OF CO STR TTON A .SIGNED CERTIFICAT OF UPANCY MUST BE OBTAINED FROM THE B ILDIN DEPARTMENT BEFORE THESE PREMISES ARE CCUPIE 1 REMARKS. THE CONTRACTOR IS ESPONSI LE FOR PROVIDING PRCY2ECTION FROM EEZING R 48 HOURS FOLLOWING THE PLA EMENT OF THE CONCRETE . MATERIALS FOR THI PURPOSE N SITE !� 'YES NO ARRIVE � � J�''� DEPART ~ INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURYr NEW YORK 128 06¢ TELEPHONE (516) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED'^ y�+^Qr/y"(,3 NAME LOCATION DATE PERMIT {i � �e APPROVED YES I NO FOOTING/PIERS f h MONOLITHIC POUR F S FOUNDATION/DAMP-P PING BACKFII.L APPROVAL "' (ROUGH PLUMBING FRAMING ELECTRICAL ROUGH- INSULATION.- FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/S P STAIRS-CLEARANCE & LS --- __.......... ... PLUMBING FIXTURESIR IEF VALVE INTERIOR TRIM/PRIVA DOORS FINISHED FLOORS GARAGE FIREPROOFIN DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL I SPECT N FINAL APPROVAL OF ONSTR TION A SIGNED CERTIFI ATE OF OC PANCY MUST BE OBTAINED FROM T ,BUILDING PARTMENT BEFORE THRSE PREMISES RE OCCUPIED!' REMARKS: �SC*t ` gip) P. LIC AJ5 INSP TOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVXLAND ROADS QUEENSBURY, NEW YORK 1280k TELEPHONE (5I8) 792-5832 BUILDING INSPECTOR ' S REPORT REQUES NSPECTION RZECEX D� NAME LOCA TS DATE PE # q APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR F RMS `- F OUNDATIORI DAMP-PR OFS G BACKFILL APPROVAL DeOUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PDRCHE /STEPS _ STAXRS-CLEARANC & RAID - PLUMBING FIXTU S/RELIEF VAL VE XNTERSOR TRIM/ XVACY D S -- FINISHED FLOOR GARAGE FXREPR FSNG DOOR CLOSER (S) SMOKE DETECTO FINAL ELECTRXCA INSPECTION FINAL APPROVAL CONSTRUCTS[? OK TO ISSUE C/O OR C/iC A .SIGNED CERTIF CATE OF OCCUPA CY MUST BE OBTAINED FROM T E BUILDING DEP TMENT BEFORE THESE PREMISES RE OCCUPIED! REMARKS: n 6 DEPART ✓ � G INSPECTOR __town o� �uPen .i6urtf BUILDING and ZONING DEPARTMENT Bay and Naviland Road. R.D. 1 Box 98 ©ueensbury, New York 12801 SEPTIC DI P SAL SYSTEM INSPECTION NAME , v LOCAT I DATE PERMIT NO..yrp�� SOIL TYPE - Sand - Loam - C1ay - -e Percolation Test Required? YES - No Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field . itotal length Length of each tar�nch Depth of trenches Size of gravel ~ T" SEEPAGE i?ITS-(Numb#0r of ) Size- ft. X ft. Gravel size - PIpING : ; Size Type Bldg _ to tank Tank to list. box Dist. boa: to field/gi.t Openings sealed? Is NO Partial LOCATION/SEPARATIONS Foundaticin to tank ft. Foundation to absc ti ft . Absorption to lot ine Separation of pit i fte LOCATION OF SYS ON PR ERTY (circle one ) Front - Rear - ft side - Right side - CC�IMENTS GL.-r.rE SYSTEM USE APPROVED YES Building nspector 01/86 and vl TOWNOF Q BUILDLD ING ANDD CODES DES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURYP NEW YORK 1280.+ TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR PECTION RECEIVED NAME LOCATION lee eq(/e DATE / ��} PERMIT # APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS �UNDATION/DAMP-PROOFING BACKFSLL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: 1-1 FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/sTEPS STAIRS—CLEARANC40 & RAXLS PLUMBING FIXTU,VES/RE=-VP VALVE INTERIOR TRIM,,0!RrVACY DOORS FINISHED FLOOdkS GARAGE FXRE.P,4OOFxNG DOOR CLOSERS) SMOKE DETEgTORS FINAL ELECTJ;�CCAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CZRTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIEDI REMARKS: INSPECTOR i TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT LAY & HAVILAND ROADS QUEENSBURYo NEW YORK 1280$- TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED ZI� NAME LOCATION DATE (i PERMIT # APPROVED YESA NO tF TINGIPTERS MONOLITHIC POUR FORMS FOUNDATION/DAMP—PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—IN INSULATION.- FOUNDATION FLOORS'' WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES PS STATRB—CLEARANC & ILS PLUMBING FIXTU ES/R IEF VALVE INTERIOR TRT PRIVAC DOORS FINISHED F RS GARAGE FIR ROOFING DOOR CLOS (S) SMOKE DE T CTORS FINAL ELEC ICAL INSPECTION FINAL APP OVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPTED? REMARKS: D u' 2 t Ok M/�.[�� [J INSPECTOR Jc►t�n o� �aeen.� hetr� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 r• Oueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCAT I ON r p DATE ! -' �-- PE I T NO. Sl �._ SOIL TYPE - Sand Loam — Clay - Percolation 'Vest quired? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: j Absorption fief tatai length Length. of each ench Depth of trenc es Size of grave SEEPAGE PITS4 C?r Of) Size- ft. f x ft, T Gravel size - PIPING % ;. Size Type Bldg . to tanik Tank to dist'. box Dist_ box t4 field/pit Openings seAled? YES NO Partial LOCATION/SE,AR2s TIONS : Foundation to tank ft, Foundation dto absorption ' ft. Absorptionto lot line i ft. Separation of puts ft. LOCATION 011 SYSTEM ON PROPEE2TY (circle one) Front - Rehr - Left side - Right side - C NTS F SYSTEM USE PROVED S NQ i nspectar 1/86 and vl * � MIDDLE DEPARTMENT INSPECTION AGENCY, INC. `-- r National Headquarters - 900 Haddon Ave., Collingswood, N.J, 08108 SECTION _ 4. . Date : Town or !I{! County-2111111CMIX.Statelff Location/Address (If Located in Rural Area - Please Attach Directions) Pole # Owner C.Ury '!M"m f4 _ s Permit # Occupied As Building. New© OIdQ Occupant Work Area in Buildin Floor for: Wiring 0 Service 0 or; Ready for Inspection : 4 Fee Remitted - Cash Check M.O. 0 Make Payable To: M.D. I.A. Number of Aough Wiring Outlets Elect. Heat soo asa laoo 12sa 15oo rasa x000 22So aeon xaso 3ooa Switches _.. Lighting_ Amp. Service Surface Unit Dishwasher Range Receptacles Water Heater Air Conditioner Dryer Pump Number of Fixtures 'Oven f3arbage Disposal Wiring and Controls for Burner Amp. Receptacles Fractional H.P. Vent Fans Other Equipment: MOTORS FI.P, 1/2 1/32 1/10 1/$ lf5 1/4 . 1/3 1/2 3/4 1 l�Jx 2 3. 5 7siz 10 1 15 20 1 25 36 40 1 58 1 75 too Mark Number of Each Size Applicant's- Signature License # Permit # T/A " IGEOM ) M . r .� � Utility : Applicant's Address: ,.. ' .�, (OFFICE L CATION (City) tEat lf>edl...+ _' (State) SIX _ (Zip) - Phone # Service Request # Electrician ■ DATE RECEIVED: DATE INSPECTED: Correct Location : Same as Above or: Red Notice Label 0 Rough Wiring Outlets Surface Unit Oven Switches ion Garbage Disposal Receptacles Water Heater Dishwasher Fixtures Air Conditioner ! Amp. Service Equipment Burner, Wiring & Controls for Amp. Receptacle Amp. Service Conductors Pump Vent Fans MOTORS H.P. 2/20 1/12 1/10 1/e 1/6 1/4 1/3 1/2 3/. 2 1ah 2 3 5 171411 10 11151 20 25 30 40 150 75 10D Mark Number of Each Size Elect. Heat Soo Aso loon I2%n isaa i�so xoao xxsa seoa xaso Sono 0 RW Progress: Inc. 0 LKD �_] Contractor © CFT Violation : Work Comp. Inc. ED [] L/A Owner CASH E3 O L/A Fee CHK7 # 0 Due !PA Municipal MO # _ Y INV # Dame: Other Side 0 Utility owner Gut inCard Temp # Date [] Final # [date PECTORS SIGNATUR - ; _ • _ ..: me,µ APPLICAFICIN FO RfN NO, 2-5 EL i 1/$6 QUEEN VICTORIA'S GRANT QUEENSBURY, NY QUF�xT / / 58 (C.0.T.G.) --/ 2000 gal 8'-0 DIAMETER 9'-0 DEPTH REFERENCE DRAWINGS: SITE UTUTIES SEPTIC & WATER VanDUSEN & STEVES SURVEY PLAN Q—MODEL ROOF PLAN WILL VARY ACCORDING TO SALE, DRAWING SHOWS ONE STYLE ONLY TOWN OF QUEFNSSUAY I 0� &' Zoning Administrator Date � --z3 CLEANOUT TO GRADE (C.0.T.G.) MODE'_ : 58,60,62,64,66,68 QUEEN MARY DRIVE D'_OT PLAN & SEPTPC SYSTEM GUYER BUILDERS, Inc. QV-38 drawn : K' ;, 7/5/89 1 Sca i e : 1" = 20'-0