89-638 CERTIFICATE OF'; OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date November " 19 89
This is to certify that work requested to he done as shown by Permit No. 89-638
has been completed
This structure may be occupied as a - 3- Two Fnmily
Location _ 66 Que Per Mary Drive
Owner Queen Victoria's Grant
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. 6c Code Enforcement
�bi7:V OP QUELNSI3UP.Y APPLTCATTON FOR Mi... . .. ..ND ZONING PERMIT
ReCiCVC, TA N OF QUEENSBURY
i � �i C� EG�EIVED
f �� P�v�ew v AUG J�� 91$9 l�9
Fee Faid s1 7q
WILDING AND CUBES u1: 1AIIII'Dlf Date Ioaued 15 Z BLDG. & CODE DEPT.
DAY And IIAVILIND ROADS RD 1 Box 93
PUESUSBURY,NEN YORK 1280.1 PeAmit No. _
Tol . (518) 792-5832 Ext •204
'• • • • • • i■ ■ , ■ • • r • • • • • • • • • • • • • • ■ • • • • • ■
A 111:1011T MUST 04 OBTAINCU BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
4:ILL DU MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicable spaces on this application must be completed and the
s4Ppature of the applicant must appear on the reverse side of this shoot .
• It A A A A A A * A * * * * * * * * * * * * A * * * * * * * A * IN
The owner of this property is : Guyer Builders. Inc
P.O. Address 1 Hemphill Place Suite 201, Ballston Spa, NY 12020 TEL. 518-899-9161Yr
Property location ii670QUeej MR2y D210E TAX MAP NO._IZL/,,],_ Mi—
Has there been any split of this property since October 1 , 19887 /,_no
yes uo
If yes, Planning Board Review is necessary.
SUBDIVISION NAME, IF APPLICAnLE 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 518-899-9161
NAME P .O. ADDRESS TEL. NO.
Name of builder Guyer Builders,InmddressZ Hem hill Place Ballston S a NY Tel 518-899-9161
Name of Plumber -see- / Adaross -same- Tel -same-
Name of Mason -same/ Address -same- 'Pal -same-
11ATURE Of PROPOSCD hORK: MOO�c 7 ZONING INFORPIATION (Urfica use only)
X ronstrucciot, of a now buil ZONING DESIGNATION OF PROPERTY
Addition to a building ` PERMITTED PRINCIPAL PERMITTED ACCESSORY_
Altutacion to a Building `
(no eh:mljw to oxcurioc dimensions) • REVIEW REQUIRED - PLANNING BOARD_ ?.ONINC BOARD_
Ocher work (Jascrib.:) ` SITE PLAN REVIEW tl APPROVED DATE
•
CkOSS AREA OF PROPOSEO, STRUCTURE • VARIANCE B APPROVED DATE
1st Floor 1100 ' sq ft . Remarks:
end Floor n/a sq ft . COl•MLETy,iJ1) DlJN1'PlON R1:IUIhE uEWu.
'gee plot
Other Floors n/a sq it . ` size of pcol,urty 100± Pan ft x 120 fc.
(not collar or basomunt) 6aci�cing builJiugl :) Siuu n/a fc % fc.
TOTAL FLOOR AREA_ 1100 sq ft . • Exi ciao builJin,j(::1 uZi n a
izd of new scructura 32 is % 48 ft `
Yow,dacion-pier slab crawl/partial/full ` Proposed building, discancu from pcopurty lieu
(circle one) Front yard 30+ fc Roar yard 30+ ft
Na. of ccories ()wbicabla tpacc) 1 —fc and 15+ ft
11uighe (grade to ridges) 19'6"ft. • Side yards
families l of 2 • If on corner, cutback fro,a side screec 0+ ct
It residuntial, no. of
No. of rooms(uxcludinq bachs) 5 ' OCCUPANCY INFOPJ•IATION
110. of budroo,ms `
2 PRIMARY BUILDING -
No. of bathrooms ono family dwelling
Primary I,uacIng uyscam Base oar ectrFlc -Two family dwelling permit for 1 side only
'lylw of fuel Electricity _Multiple dwelling / Hu:mber of units
No. of firuplacuz to ba installed n/a Pormanm:t occupancy
will a wood Stove bu iducallud? no —rransiuuc occupancy
Cuntral Air c0n41tiun4'149? no ` —Businuss
(BUILDING STYLC, PRIMARY STRUCTu2E , _Industrial
Ocher
much Cont",porary Lon cabin lr rddicion, what will use ba?
Ralsud ranch Mansi&al Oul,lux
uplic luval Old scyla Uu,uj.alow `
04pu Cod Coctarya oc6ar • ACCESSORY BUILDING.
Colonial nOw Town House • _uucachad garage/ono car/ two car/ car
( CIRCLL•' ON1: PLEASE ) • x Accachaa garugu ones ca two Car/.cat
• • • • • ■ • ■ . . • • • • • ■ • —_—PYlvaca scocage building
L+'PIMA1'1•:O MARRE9' VAI.ul2 OF • _Ochac -
0ON9'rkUCT1(JN .
INFORMATION ON BUILDING SPECIFTCATIONS, ON REVERSE SIDE OF TUTS SHEET, TO BE COMPLE'1ED1
Form BPA 10/88 v1
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)
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 porti ? sq.ft. - - Type of use?
Type of roof - sloe flat/shed/other Material of roof fiberglass shingles
Size, wood studs_"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 fr.
Roof rafters 2 lox 1 " .9paTiEng 24 o.c. spa__14 ft.
Roof trusses(pre-engineered) spacing 24 "o.c. span 42 ft.
Exterior wall finish stained of what material? 5/81vx4'x8' texture 1-11
Interior wall finish painted s eetrock
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)
Reg 4 P E D S rmit #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.
Signatures
Owner, owner's agent, ar itecf contractor
SPECIAL CONDITIONS OF THE PERMIT:
By---------------------------------------
BUILDING PERMIT
:n
x
TOWN OF QUEENSBURY
No. 8o-6s8
WARREN COUNTY, NEW YORK
3
PERMISSION is hereby granted to Queen Victoria's Grant
1
OWNER of property located at RR Queen Mary Drive Street, Road or Ave.
in the Town of Queensbury,To Construct or place a aTwo 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 '9
1 Hemphill Place Suite 201 tin
Ballston Spa, N.Y. 12020 Z
.,
2. CONTRACTOR or BUILDER'S Name C]
H
Self 0
9
3. CONTRACTOR or BUILDER'S Address ce
same
9
z
a
4. ARCHITECT'S Name
5. ARCHITECT'S Address
;n
cn
c'
6. TYPE of Construction—(Please indicate by X)
XJ[Wood Frame ( 1 Masonry 1 1 Steel 1 I
C
z
7. PLANS and Specifications C7
No. 32' x48' a Two Family as per plot plan, specifications, and application,
including septic attached one car garage, and driveway.
8. Proposed Use
Two Family
$ 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 w�
town of Queensbury before the expiration date.) „3
Dated at the Town of Queensbury this 9th Day of August 19 89 0
m
SIGNED BY for the Town of Queensbury
Building and Zoning In ctor
vaw� oD �cCrwpus�
APPLICATION FOR SEPTIC DISPOSAL PERMIT
Ref: S.P.E.D.S.
DATE amum4p/ aq_ permit 11
New York - 0202525'
MODEL 4130 of � A�S
LOCATION OF PROPERTY FOR INSTALLATION 66 Queen Mary Drive
Owner's Name: Guyer Builders, Inc. .f.. Telephoner (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) Ann
Topography: circle one: Flat 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: not 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 fedt'
* Size of stone to be used # / Depth or Thickness feet
sssssssssssssssssssssssssssss3.sssssssssss
IMPORTANT * See S.P.E.D.S
...Please...LIST NEW EQUIPMENT TO BE INSTALLED permit & attaches
sssssssssssssssssssssssssssssssssssssssss map.
(over)
Section H 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:
l.) the propoped.location of the §ystem
2.) location and distance to lot lines
3.) location and distance to struptures
4.) location and distance to any--*titer 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 $250.00.
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may result
in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installation,
alteration or repair of an approved system, a new proposal must.-be submitted
to the Queensbury Building Department before further construction.
I have read the regulations above and agree to abide by these and all requirements
of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
l
Signature of.responsible person: "
Date:
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
SFTTI Fn IM _ . _ HOMF AF NATURAL AP',UTY ...A WMPLACE U
r�.�\ MIDDLE DEPARTMENT INSPECTION AGENCY, Mt.
National Headquarters
" 900 Haddon Ave., Collingswood, N.J. 08108
• •
Date: �j_ ei
=Town or T#M=b Qjeenab= County_ Warre1l State NY
Location/Address 66 Queen1,%r Drive
(If Located in Rural Area- Please Attach Directions) Pole #
Owner GUYER W..H.D J s INC. Permit # < f1;
Occupied As _ > + /ell Building: Newts Old[]
Occupant
Work Area in Building Floor #,etc.):
App. for: Wirin P 'Service or: Ready for Inspection:
Fee Remitted-$ Cash❑ Check❑ M.O. ❑ Make Payable To: M.D.I.A.
500 750 1000 1250 1500 1750 2000 2250 2500 2>50 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. 1/2 1/12 1110 1/8 1/6 1/4 1/3 1/2 3/4 1 11h 1 2 1 3 1 5 1 71h 1 10 1 15 20 1 25 1 30 1 40 1 50 1 75 100
Mark Number
of Each Size
Applicant's
Signature License # _Permit #
T/A GUYRR- FATTIDERS, TW'- Utility: IN
Applicant's Address: 11.1) r'nun'tincr I;trw:t (NAME (OFFICE L CATION
(City) RR1lston S-12a (State) NV (zip) 12070 Service Request #
Phone # A94-91(A Electrician:
• • DATE RECEIVED: - ^ DATE INSPECTED:
Correct Location: Same as Above[—] or:
Red Notice Label ❑
Rough Wiring Outlets Surface Unit Oven
t.D Switches Range Garbage Disposal
,116 Receptacles / Water Heater Dishwasher
: Fixtures Air Conditioner Dryer
Amp. Service Equipment Burner, Wiring &Controls for Amp. Receptacle
Amp. Service Conductors Pump ef
4,. Vent Fans
MOTORS H.P. 1/20 1/12 1/10 118 2/6 1/4 1/3 1/2 3/4 1 1 14z 1 2 1 3 1 5 7-h 1 30 15 1 20 25 30 40 1 50 75 100
Mark Number
of Each Size
Elect. Heat Soo 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECT FEE PAID
FE
❑ RW Progress: Inc. ~ LKD❑ Contractor / 04-�
❑ CFT Violation: Work Comp.❑ Inc. ❑ `` J
❑ L/A Owner CASH ❑
Fee CHK #
❑ L/A Due
❑ IPA Municipal MO # ,
INV #
Date: Other Side❑ Utility Applicant ❑ :'
Ownef ❑'
Etin Card ❑ Temp # Date
aInal # Date INSPECTORS SIGNATURE
,rAPPLICATION FORM NO.250 EL 11/86
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY 6 HAVILAND ROADS
QUEENSBURY, NEW YORK 1280&1-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUE R INSPECTION RECEIVED
NAME U
LOCATION
DATE 23 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 PORC#ES/STEPS`,
STAIRS-CLEARASVCE 6 RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOO
FINISHED FTL40ORS
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:
TNRDFCTnR
Jown o/ Queenjiurry
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME
LOCATION Qk�, /Q4k')4
DATE$ a4/� PERMIT N0. Pj" �i—n—
SOIL TYPE - Sand - Loam - Clay -_
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TrPS of SYSTElr
Absorption field,"
Length of each trench
Depth of trenches
Size of gravel_
SEEPAGE PITS{Number of)
Size- _ft. X ft.
Gravel size
PIPING: Size Type
Bldg. to tank /Y' 11 S
Tank to dist. box /� '
Dist. box to field�i''k
Openings sealed? I YES NO Partial
LOCATION/SEPARATIONS:
Foundation to tank _ft.
Foundation to absorption _ft.
Absorption to lot line _ft.
Separation of pits _ft.
LOCATION Ali-$YSTEM ON PROPERTY(circle one)
Front - Rear/- Left side - Right side -
SYSTEM USE APPROVED YES ,14NO l
Building inspector
O1/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME �_tI4,4 c.YQiCi n
LOCATION �y ja QZa, (,.�l^Jne,
a
DATE -( -S� 6 / PERMIT N Frf?^6 3 X
APPROVED
YES INO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
31GSULATION:
,,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:
*INSECTOR
TOWN OF QUEENSBURY e
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS J�
QUEENSBURY, NEW YORK 128OL l�f
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 9-S--
NAME
LOCATION �P Q
DATE PERMIT N
APPROVED
YES INO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFIL.L 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 CLOSERS)
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 6 HAVILAND ROADS
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION
DATE PERMIT #
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-TROOFZNG
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/S%EPS
STAIRS-CLEARANCE ,4 RAILS
PLUMBING FIXTURE/RELIEF VALVE
INTERIOR TRIM/PAIVACY DOORS
FINISHED FLOOR
GARAGE FIREPROOFING
DOOR CLOSER( )
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 6 HAVILAN ROADS
QUEENSBURY, NEW
W YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR N PECTION RECEIVED__
NAME
LOCATION //
DATE 1®" 14
PERMIT #
—""--"�— APPROVED
YES I NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
�
R09,GH PLUMBING
[fxAMING
ELECTRICAL ROUGH-IN
INSULATION: `
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RA*S
PLUMBING FIXTURES/RELI)W VALVE
INTERIOR TRIM/PRIVACY DbgRS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DET*CTORS
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:
r 'J�
I SPECTOR
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
DATE _ ,('� S -!T� PERMIT k �
APPROVED
YES NO
FOOTING/PIARS
MONOLITHIC POUR FORMS
FOUNDATION/D P-PROOFING
BACKFILL APPROVAL
.ROUGH PLUMBIN
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT _
ROOFING
SIDING
EXTERNAL PORCHES STE�S
STAIRS-CLEARANC & RAITLS
PLUMBING FIXTU S/RELtEF VALVE
INTERIOR TRIM/ RIVACY D�DORS
FINISHED FLOO S
GARAGE FIRE P OOFING
DOOR CLOSER )
SMOKE DETECkORS
FINAL ELFCTRICAL INSPECTION N
FINAL APPROViL OF CONSTRUCTION'S
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
1
N.CP R!`T!1
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT n
BAY & HAVILAND ROADS ry ,i✓�
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518) 792-5832 0_pt -o i_oQ
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 10
NAME
9
LOCATION YN
DATE _/O - PERMIT N
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFI
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
6
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
Al
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY 6 HAVILAND ROADS
QUEENSBURY, NEW YORK 12809.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FO SPEC RECEIVED
NAME
LOCATION /
DATE ( C PERMIT N
APPROVED
YES I NO
FOOTING/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:
IAPECTOR
REFERENCE DRAWINGS:
QUM VICTOMA'S GRANT 5 SITE UTILITIES
SEPTIC & WATER
GUE1t7JSBlMY, NY �
VanDUSEN & STEVES
SURVEY PLAN
Q—MODEL ROOF PLAN WILL VARY
_ ACCORDING TO SALE, DRAWING
_ SHOWS ONE STYLE ONLY
Q tiR TOWN OF QUFFNSBURY
�' BUILDING
N CODES DEPT.
REVIEWED BY
'D�y ' DATE ArY7
MARY
00, �
95.00•_ t`
� t
SHUTOFF t t
t � t
i I i I t t
oci i io: t
3i I i3 tt
20` 1O
_ 25' 25' titi
/ 1 —
� I
O I f
O
0 0
1 ► GB
60
LDT
1 6 2 I ` LOT
i i 64
� t i _ I'4
124.12' —
(C.0.T.G.)
CLEANOUT
TO GRADE
(C.O.T.G.)
2000 gal.
MODEL : 58,60,62,64,66,68
QUEEN MARY DRIVE
8'-0 DIAMETER
9'-0 DEPTH PLOT PLAN do SEPTIC SYSTEM
GtTym HIIII", Inc. QV-38
drawn: KW 7/5/89 Scale: 1' = 20'-0