1989-626 r
CERTIFICATE OF "OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date November 2 _14 89
This is to certify that work requested to be done as shown by Permit No. 89-626
has been completed.
This structure may be occupied as a 4. a Two Family
Location R2 Queen Mary Drive
Owner Queen Victoria"s Grant-Guyer Builders
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. do Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 8 9-6 2 6
z
WARREN COUNTY, NEW YORK P
PERMISSION is hereby granted to Queen Victoria's Grant
i
w
OWNER of property located at 82 Queen Mary Drive Street, Road or Ave. c
in the Town of Queensbury,To Construct or place a Q A Two Family
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
Ballston Spa, N.Y. 12020
t�
2. CONTRACTOR or BUILDER'S Name Z
Self
O
3. CONTRACTOR or BUILDER'S Address151*
rd
SamePci
4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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LND
6. TYPE of Construction— (Please indicate by X) t�iy
tr-
KX‘iirood Frame ( 1 Masonry ( 1 Steel ( 1 Z
7. PLANS and Specifications n`7
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No. 32' x 48' 2 a Two Family as per plot plan, specifications, and application.
including septic, attached one car garage, and driveway
8. Proposed Use trl
2 A Two Family
NIA
$ 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
town of Queensbury before the expiration date.) 171
Dated at the Town of Queensbury this 8th Day of August 19 89
SIGNED BY for the Town of Queensbury
Building and Zoo ng Inspector
TO N OF QUEE•NSI3URY APPLICATION POR hUI;.. . .. . .:d) ZONING PERMIT
Pate -kw() 4 \4 `'/i( ,
-- Rec,i evc�t
ri'ice---: Reviewed % �'
--e ' ' // 2 5 ° l i ,t1'L'
"� Fee Poi• $
1�r7�� '11 --'V,
BUILDING AND CODES in PARTHENf Date Jeoued ‘ 4 k
AY and IIAVILIND ROADS RD 1 13ox 93 c� 7,
PUEENSBURY,NRW YORK 128041 Pennu t No. e / 'g"�‘ _ t$ ' '.k;.;_ � �
Tel . (518) 792-5832 Exc 204 �Ct
lt
A PERMIT MUST L'11 OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPUCTAIIS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID UUILDINC PERMIT.
All applicable spaces on this application must be completed and the
siripature of the applicant must appear on the reverse side of this sheet .
a A A is A * * A * A * A A A A A A A A * * A * * * * * * * * * * or * * * *
The owner of this property is : Guyer Builders. Inc,
P. O. Address 1 Hemphill Place Suite 201, Ballston Spa, NY 12020 TEL. 518-899-9161 t1. l
Property location $2 QU>;£1J t✓lQRy DR toe. TAX MAP NO. 121 /J/999
Has there been any split of this property since October 1 , 1988? / no
yes no
if yes , Planning Board Review is necessary.
SUBDIVISION NAME , II' APPLICABLE LOT NO.
The person responsible for supervision of work as regards Building Codes is :
Richard H. Guyer III 1 Hemphill Place, Ballston Spa, NY 12020 54-899-9161
NAME P .O. ADDRESS TEL. NO.
Name of builder Guyer Builders,Inalddress 1 Hemphill Place,Ballston Spa,NY Tel 518-899-9161
Name of Plumber -same- Address -same- Tel -same-
Name of Mason -same- Address -same- Tel -same-
*
AATuRE OF PROPOSED WJRK: Moo“. 7 • ZONING INFORMATION (Office use only)
X Construction of a new building • ZONING DESIGNATION OF PROPERTY
Addition co a building ` PERMITTED PRINCIPAL PERMITTED ACCESSORY
Alteration to a building .
(no change co exterior dimensions) • REVILE REQUIRED - PLANNING BOARD ZONING BOARD_
Ocher work (describe) • SITE PLAN REVIEW U APPROVED DATE
CROSS AREA OF PROPOSED, STRUCTURE • VARIANCE II APPROVED DATE
1st Floor 1100 ' sq ft . w Remarks: • •
2nd Floor n/a sq i t . „ COmPt.L"1'l: Iplt•ORmATION kE(WIRLQ eCLOW.
'See plot
Other Floors n/a sq ft . • Size of property 100± Plant:: X 120 lc.
(not cellar or basement) ' Existing building(;;) Size n/a cc X rc.
TOTAL FLOOR AREA 1100 sq f t . Existing building(s) use n/a
:.•iGal ui new :structure 32 is x 48 ft *
►•'oandacion-pier crawl/parci.al/full ' Nioposed builuiny, distance from property line
(circle o,►u) * Frontyard 30+ I c Rear ft
No. of stories (habitable space) 1 , yard 30+
Height (Trade to ridge) 19'6"-tt, • Side yards 15+ ft ..na 15+ cc
if residential, no. of families 1 of 2 • If on corner, setback from side street 30+ it
No. of rooms(excluding baths) 5 . OCCUPAI•Jt:Y INFORMATION! .
uo. of uedroaus 2 , PRIMARY BUILDING -
No. of bathrooms 2 • One family dwelling
1 riuury heating ;,y..ce►m Baseboard Electric • -3 -,1,wo family dwulliny permit for 1 side only
Typo of fuel Electricity • Multiple dwelling / Number of units
No. of fireplaces to be installed n/a Permanent occupancy
Will a wood stove be installed? no ' •
Cenetal Air conditioning? no • Transient occupancy
• business
UUILDING STYLE, PRIMARY STRUCTURE Industrial
butt► Contemporary Lon cabin . Other
liaised ranch M:rnsic+„ Uu1•la;x . It addition, what will use be?
split level - Old style Uu,►ai..low .
C..pu Cod Cottage Ocher • ACCESSORY OUILDINC-
Colonial hOW Town 11ousB • Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) • x Attached garageLtane car> two car/ car
• • • • • • • • • ' • • • r • • • • Private storage building '
ESTIMATED MARKET VALUE OF * Ocher
CONSTRUCTION ,- ti- �� ° ► .
1,jt.. ,6
ti
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BC COMPLCTLDI
Form APA 10/88 vl
• •
BUILDING PERMIT APPLICATION CONTINUED - .
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. wood frame
Will any second-hand or ungraded lumber be used? If so, for what? no
Foundation wall material concrete block Thickness 8"
Depth of foundation below grade (to bottom of footing) 48" minimum
Will there be a cellar? no Heated or unheated? Floor sq. footage sq ft
Will there be a basement? no Will any portion be used as living space?
(If so, what portiot? sq.ft. - - Type of use?
Type of roof - slope. 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 ft.
Roof rafters 2 "x 10 " spacing 24 o.c. span 14 ft.
Roof trusses(pre-engineered) spacing 24 "o.c. span 42 ft.
Exterior wall finish stained Of what material? 5/8"x4'x8' 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:
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/aft.
Depth of fireplace hearth n/a 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)
see S.P.E.D.S. permit #0202525
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
Owner, owner's agen , chitect, contractor
* * * * * * * * * * * * * * * * * * * * * * * * * * ,* * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
By
.Journ of Vtieral4ftne
APPLICATION FOR SEPTIC DISPOSAL PERMIT
Ref: S.P.E.D.S.
DATE ainalt 8/4/ a9 permit 1/
New York - 0202525'
MODEL S 3. of la 3/5
LOCATION OF PROPERTY FOR INSTALLATION 82 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: 00110Rolling Steep Slope `Yo 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: Cot require required / rate min. inch.
Domestic water supply: circle one: Municipal 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 feet'
* 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 & attaches
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 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 least 24 hours before start .
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 water supply
5.) size and dimensions of all tanks, distribution
boxes, tile fields and/or drywells
B. No system shall be covered before inspection and approval by the building
Inspector. Failure to comply with this requirement may result in the
uncovering of the system by the installer and a fine of up to $250.00.
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may result
in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installation,
alteration or repair of an approved system, a new proposal must:be submitted
to the Queensbury Building Department before further construction.
I have read the regulations above and agree to abide by these and all requirements
of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Signature of.responsible person: / /
Date: / A \Ct c1
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION/ yv A7C6y__j__ >_
DATE f/J/ eq PERMIT # rJ,
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
,PTNAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS GARAGE FIREPROOFING �/_r�+�i tJz„,-/ -d
DOOR CLOSER(S)
SMOKE DETECTORS
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:
cv; / /2(/ .. U'����
c. /�e, ,�r„�
a
INSPECTOR
Late ;
SOOF d.85 j�J/0,2 afrn
Date__ _ i 1 -
I ector /0,0' _ _T - constit. es certification that the
above installation, but not the equip-
•
ment itself, has been visually inspected
as of this date pursuant to the applic-
able codes. If additional equipment
should be introduced or alterations
made to the existing system or stuc-
ture, application for inspection should
be submitted promptly to this Agency.
r
TOWN OF QUEENSBURY r-) `CJ��j
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR IN P CTION RECEIVED
NAME /z/
LOCATION den
DATE 4/3/ q PERMIT # f19-
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
ILING
NAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS 1/1r,
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS }f
GARAGE FIREPROOFING
DOOR CLOSER(S) X
SMOKE DETECTORS
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:
vei e 4'tip C4/-'7
/31 e
rt
INSPECTOR
TOWN OF QUEENSBURY m
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS cLg
QUEENSBURY, NEW YORK 1280i
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION c) Q 2 , Q� O ts2
DATE - -D- -'%'c\ PERMIT# 'f ( 3'c
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
/INSULATION:
FOUNDATION
FLOORS
WALLS )<` Cr
CEILING p ' - ,
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
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:
L..
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INSPEC OR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS R
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION r�. (7) L5 ��"C iY, \ C"71.A. IaUr
DATE Gj PERMIT #
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING 1.1
FRAMING j-O
ELECTRICAL ROUGH—IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS—CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
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:
Q024-(4-rOALSP/110.6-- -
IN ECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS // 7'?
QUEENSBURY, NEW YORK 1280i
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR,)p1SPECTION RECEIVED
NAME
LOCATION 40'C%? t %//CL
"--
DATE 9.—/( PERMIT #
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING
BAC,KFILL APPROVAL � 1
UGH PLUMBING
MING ��//
ELECTRICAL ROUGH—IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS—CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
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:
5tad , Ire '4 °-vI /NOW40/1
INSPECTOR
Jown of Queen3Lry
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION ,
NAME AA-A i�,-k-
LOCATION 50 - 5-LI Q .,-N Lv. Q,t-A-Q-Q,
DATE" q / } PERMIT NO. rg- ;J
L...,:----2‘,.7•
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
I
TYPE of SYSTEM: /
Absorption field, total le n d
Length of each trench
Depth of trenches ,
1
Size of gravel
SEEPAGE PITS4Number of) _
Size- ft. X ft.
Gravel size
PIPING: • L Size Type
Bldg. to tank /' f 7 I i/ S - 4--
Tank to dist. box � I. •
Dist. box to field/,•. , -
Openings sealed? , YES NO artial
LOCATION/SEPARATIONS: PP /
Foundation to tank ft.
Foundation to absorption ft.
Absorption to lot line ft.
Separation of pits ft.
LOCATION OF_SYSTEM ON PROPERTY(circle one)
Front - Rear'- Left side - Right side -
COMMENTS:
yjti 7Ct/•43. -4/
.7‘;'/- -(17
iki ._,6 ---1, , fr, -F 7,-,-,., -)
--- ----
r `� �,
;1
__(---
/� . , 0
. - ; .4,..„ . /67
1/ 4
I��; 'i `/(' 7i - 7 '7
SYSTEM USE APPROVED YES NO
ir
,/f _
Building Inspector
01/86 and vl
TOWN OF QUEENSBURY Q
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280i
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED - 3 -�R
NAME
LOCATION
DATE Cr- p� � -S', PERMIT # C<2
APPROVED
YES NO
FOOTING/PIERS
/1!ONOLITHIC 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/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
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:
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT 190 r-v-\
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 'C)
NAME _
LOCATION %� �` `(� '� -01 ,(
DATE — --V9 PERMIT # 1 '1 6 c
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING �-1-
FRAMING
ELECTRICAL ROUGH—IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS—CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
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:
4'
rl
INSPECTOR
TOWN OF QUEENSBURY 4/,a/±e-
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280i
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED -I
NAME
LOCATION P ,r‘ ii
DATE - j vc- `j PERMIT # Cloak,
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
/FOUNDATION/DAMP-PROOFING
/BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
,/fNSULATION:
/FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
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:
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280i
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION �"
DATE S-`- I Z 1 PERMIT #
APPROVED
YES NO
DOTING/PIERS
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/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
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:
tiA/: 7;?,„/L
INSPRCTIJR
( MIDDLE DEPARTMENT S E, t9dNJ TION AGENCY, INC. p .9_ , 4,
enue,900 Haddoe44 at a , ,08108
,,k: ,.� ; i ' . , Date October 31, 1989 y
Certlf itg that the electrical equipment listed has been exam r ed a -,' approved as being in accord
with the National Electii al Code, applicable governmental, utility and Ageney es. \
Owner: Guyer Builders c � ry , '�. a A u anq "6Dt• • '
Single Fam , 1 °' ' '' 4
82 Queen Ma Drive, Q eensbury=�.( orea o) , ov$ C
Location: s""certificate s th�alectnc uipment and installation inspected this
C, {, '. date. If additional uI mentish i @� p be introduced or alterations made to
4, existing system this cer9ficat�e °1` be null and void, and application for
Equipment: 80 Outlets; 0' Receptacles; 20 Fixtures nspectionshouldthsubmntgdp�Ea tlytothisAgency.
E 150 AmpService *Appliances i> a E b a ". ,i{,J i%j Ysiolder of this certificate shptitd,r'.`-ent same to his property insurance carrier \
sy f 4.�..o a.. Tagent or compeny)as avidrnce•[ertitication of electrical equipment approved J
' • as specified.. n' e
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a w r, C
Guyer Bui lde`r+13°,.Inc �' C
C 119 Dunning Stre HI , "ll t �"-
Applicant: 4, -- ;� O. 15-028819
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Ballston Spa, NY 1202Oz t,. .a '' C
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