1988-275 •
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date August 18 19 89
)- '0\ tra..o -- '14\
This is to certify that work requested to be done as shown by Permit No. 88-275
has been completed.
This structure may be occupied as a of two family dwelling
.,ration 24 Queen Anne Court - Model I - Queen Victoria 's Grant
Guyer Builders, Inc,
Owner
By Order Town Board
TOWN OF QUEENSBURY
1/
Building & Zoning Inspector
•
BUILDING PERMIT . .
TOWN OF QUEENSBURY
- No. 88-275 o
WARREN COUNTY, NEW YORK
ti
PERMISSION is hereby granted to Guyer Builders, Inc. i I
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OWNER of property located at 24 Queen Anne Court - Queen Victoria's Grant Street, Road or Ave. ' I
rn
in the Town of Queensbury,To Construct or place a 4i of Two Family dwelling
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. IO
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m
1. OWNER'S Address is .
119 Dunning St. -
' Ballston Spa, N.Y. 12020 N
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2. CONTRACTOR or BUILDER'S Name •
IL
Same
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3. CONTRACTOR or BUILDER'S Address W
rt
Same
4. ARCHITECT'S Name
10
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) p
. q
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Wood Frame ( ) Masonry ( )Steel ( 1 rt
7. PLANS and Specifications
No. 31' X 46'6" as per plot plan, specifications and application
including septic system and attached one-car garage. - Model I �y
8. Proposed Use•
V -
of two family dwelling
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LC
5.00 C/O
$ 82.00 PERMIT FEE PAID -THIS PERMIT EXPIRES December 1 19 88
(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.) -
Dated at the Town of Queensbury this S�� h' ' Day of May 1g 88
SIGNED BY / for the Town of Queensbury
Building and Zoning Inspector
Application No. D L- Li 1;1' L'. 1 :
n 9� Queenihur47 Permit Issued 19 ` �'
AG and ZONING DEPARTMENT Permit Expires 19 APR 2 81988
,id Haviland Road, R.D. 1 Box 98 Zoning Designation :
Jueensbury, New York 12801 Variance No. .. BUILDING & CODE DE T,
Site Plan •-view .10
. r, Appr. ed /// 27
\ APPLICATION FOR • ' L1�
BUILDING AND ZONING .PERMIT
* * * * *• * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *„*
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING.
The undersigned hereby applies for a Building Permit to do the following work which will
be done in accordance with the description, plans and specifications submitted, and such
special conditions as may be indicated on the Permit.
The owner of this property is: Guyer Builders, Inc.
P.O. Address 119 Dunning Street Ballston Spa, New York 12020 Tel. (518) 899-9161
24 Queen Anne Court Tax Map No. 121/ 4 / 2
Property Location: Street number or building lot number
Subdivision name (if applicable)
Queen Victoria's Grant
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
899-9161
Richard H. Guyer III Tel. No.
Name P.O. Address
Street Tel. (518) 899-9161
Name of builder Guyer Builders, Inc.Address 119 DunningStreet Tel. (518) B9y-y161
Name of plumber Guyer Builders, lnc.Address 119 Dunning
Name of mason Guyer Builders, inc.Address 119 Dunning Street Tel. (518) 899-9161
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
X Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
Addition to a building * drawn reasonably to scale and attached hereto,
Alteration to a building * showing clearly and distinctly all buildings,
(no change to exterior dimensions) * whether existing or proposed and indicate
s. Gall
Other work (describe) * set-back dimensions from property
* street and number or lot number and indicate
* whether interior or corner lot. Show location
FOR DEMOLITION PERMIT, STATE SIZE AND * of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTED. * of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BElot!
• * Size of property 100± planeee ft X 120 ft.
1
* Existing building(s) Size NSA ft X N/A ft.
Model -VT-
BUILDING AND USE: of * Existing building(s) Use N/A
Size of new struc e 31 ft X46 t * distance from property line
Foundation-pier slab crawl/partial/full ** Proposed building,see plot plan
circle one)No. of stories (habitable space) 1 * Front yard 30+ ft Rear yard 30+ ft
Side yards ' 15+ ft and 15+ ft
Height (grade to ridge) 19'-6" ft. * If on corner, setback from side street 30+ ft
If residential, no. of families 1 of 2 •
*
o. of rooms(excluding baths) ! 5 * OCCUPANCY INFORMATION
No. of bedrooms 2 * PRIMARY BUILDING -
�'No. of bathrooms 1 One family dwelling This -permit ei for
Primary heating system Baseboard electric* - TTwo family dwelling one s�de o but��in$•
Type of fuel Electricity Multiple dwelling / Number of units
No. of fireplaces to be installed No * Permanent occupancy
Will a wood stove be installed? Transient occupancy
Central Air conditioning? No * Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
Other
Ranch Contemporary Los cabin * If addition, what will use be?
Raised ranch Mansion Duplex
•
Split level Old style Bungalow * ACCESSORY BUILDING-
ColonialCape Cod Cottage Other car
Town House * Detached garage/one car/ two car/
Row X Attached garage/one car/ two car/ one car
*
( CIRCLE ONE PLEASE )
* * * * * * * * * * * * * * * * * * _Private storage building
ESTIMATED MARKET VALUE OF
* Other
CONSTRUCTION $^ (J/4�D
INFORMATION ON .BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA. 4/86 and-vl
a'
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 porti. .? sq.ft. - - Type of use?
Type of roof - sloped/flat/shed/other Material of roof Fiberglass shingles
Size, wood studs "X 6 " spacing 24 "o.c. length 8 ft. exterior walls '
Joists(floor beams) 1st. floor N/A. "x " spacing _ "o.c. span N/A ft.
Joists (floor beams) 2nd. floor - "X spacing . ' "o.c. span N/A ft.
Overlays(ceiling beams) "X " spacing 24 "o.c. span N/A ft.
Roof rafters "X " spacing 24 o.c. span N/A ft.
Roof trusses(pre-engineered) spacing 24 "o.c. span42:=6' t.
Exterior wall finish stained Of what material? 5/8" x 4' x 8' texture 111
• Interior wall finish paint 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 N/A ft.
Depth of chimney foundation below grade N/A ft.'
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
Town of Qbury AFFIDAVIT STATE OF NEW YORK
County. off Warren
I swear that 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.
SWORN T _z__ ____ . .
O BEFORE ME THIS Signature
Owner, owner's ent,arcnitect,contractor •
day of 19 20 ADRIENNE J.PINDER
Notary Public,State of New York • ) '•
Qualified in Saratoga County •
d1526(..A..8, y. commission 907592
Notary Public, Count N.Y. Pines Oct. 13, 19.
* * * * * * *i * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * _ .
SPECIAL CONDITIONS OF THE PERMIT:
1r
: • �,a ,4�;; • 1040 Square feet living
ia, ,4ti�N.. •
• :.•-,. •• 240 Square foot garage - one stall
.
1280 @!__________
$7.00/100 or part of
$S.00 One stall garage •
5.00 C/O Permit •
.�':. Total
By
"I"
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Application for: BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE . . . • . .
A permit must be obtained before beginning work.
AN,§WER ALL of the following: .
4. Grose floor area 1040 S.F.
. 2. Type of heat Baseboard electric
3. Is the building mechanically cooled? No
4. Percentage of area of windows and doors 14.3%
A. Over 16% Only
1. Uo value of gross area of walls, roof/ceiling and floors
exposed to ambient conditions
2. Floor over heated spaces YES NO
a. Are foundation walls. insulated? YES NO
• 1. If YES, what is the R value?
3. Slab on grade YES N•p
a. If YES.,• what is the R value of insulation around
perimeter of floor?
•
4. Is basement heated? YES NO
a. R value of insulation .
•
5. Type of insulation
B. Under 16% Only
1. R value of roof and floors exposed to ambient conditions
R-38 ('U.=0.026) •
•
2. R value of exterior walls 10.00,0C R-23.5 •(U.=0.04+) •
3. R value of glazed area U.=0.30 '
4,. R value of doors R-14.9 . (U.=0.06)
•
•5. R value of floors over unheated spaces 44440C R-30
6. R value of slab edge insulation - unheated slab. N/A
7. R value of slab insulation - heated slab 12.5
8. R value of heated basement/cellar walls (above grade) N/A
9. R value of heated basement/cellar walls (below grade) N/A
10. Type of insulation Fiberglass
C. Controls -
1. ' Thermostat maximum heat setting
P. Duct Systems N/A
1. Is duct system installed in unheated spaces? YES NO
a. If YES, ' R value of duct installation
b. K value of duct in other areas
E. Piping Insulation N/A
1. Size of hot water or cooling carrying agent pipe
2. R value of pipe insulation
F. Service Water Heating •
1. Performance' efficiency N/A : ` . ::.•
2. Temperature control setting maximum
G. For Swimming Pool Only
1. Maximum. heating N/A
"4,e_eVj
Telephone No. (518) 899-9161
(applican ' signature)
✓iwlt o Oiteme‘trne
APPLICATION FOR SEPTIC DISPOSAL PERMIT
•
• Ref: . S.P.E.D.S. •
DATE 10-16-87 / . . permit #
New York. - 0202525
MODEL I of J/I
LOCATION OF PROPERTY FOR INSTALLATION 24 Queen Anne Court
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:(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: 16-ot 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 & attached
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 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: d,
,r
Date: ���-gg .
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832 0 i
•
1
SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD.PLACE TO LIVE
INTERIM . BUILDING PERMIT
PERMIT APPLICANT.
T vy ,ei2. nos . �v�4,1,e,e_.5
CONSTRUCTION LOCATION a) y, 6, $, eo is •w�i g, ao, as 1 a9 n c
EFFECTIVE DATE %2../ 02 FS /9 s
APPROVED BY /1
SPECIAL CONDITIONS :
This will certify that all submittals for a Building
Permit have been received and fee has been paid .
During the processing of the Permit, the above named
may begin construction per plans submitted . It is the
responsibility of the applicant to obtain the Permit
from the Building Department, following processing .
POST THIS INTERIM PERMIT IN A CONSPICUOUS ()CATION ! !
Building & Codes Department
TOWN OF QUEENSBURY
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
t' - TEMP.# DATE I ) d•I/(�
CITY OR
VILLAGE Queensbur"y TOWNSHIP QUeenSbUrY COUNTY Warren
STREET AND NO.OR f• A
•
ROAD AND POLE NO. - 24 AnneCourt neCourt POLE NO.
BETWEEN WHAT TWO
CROSS STPREMI ESREETS LOCATED? SECTION iIS1+ a"\ BLOCK I a. LOT -� -'
OCCUPANT'S , BUILDING d , -- `/
NAME OCCUPANCY I j_ 11. `;,0\�. (,_; &rrJat_`'
OWNER'S NAME Builders,
Inc.,
,�
•AND ADDRESS Guyer Bua lders, Inc•, 119Dunning Street TEL.# 899-9161
CURRENT
SBYUPPLIED \ ��;�I` ��v ` FROM THEIR -1-�� t OFFICE
BUILDINGI {V SNEW/U OLD❑ •WORK NEW El ADDITIONAL❑ REMOVED DEFECTS ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No.of Fixtures& BRANCH OFFICE USE
NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITSONLY
Loca-
tion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
Out-
i
1 side
Sub-
base
Base- .
ment .
1st Fl.
2nd Fl.
3rd Fl.
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE.
This application is intended to cover the above-listed equipment to b'e.inspected`-but if_at time of inspection there is found additional equipment not above listed,
a
you are authorized to make the inspecttonranil'adju`st the,fee to cover the additional equipment,as provided by the applicant.
SIZE OF ``a - ELECTRIC SIGN TOTAL
MAINS 150 A • FEEDERS LAMPS • WATTS
CHARACTER -
, EXPOSED GAS TUBE SIGN
OF WORK Pn7'3g'} in'•nni1 se 2CP, CONCEALED TRANSFORMERS OF - • '' !VA .
' WORK TO BE C� (NUMBER) (CAPACITY)
STARTED COMPLETED SIZE OF SIGN
SERVICE OVERHEAD UNDERGROUND MAKER •
ENTERS BUILDING OF SIGN
X'Yj�
INSPECTION REQUESTED
ON OR AS POSSIBLE NEAR AS ra11 when ready - .
NEW OLD
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF
, MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. • APPLICATIO r^ . 10-1 UI -
PRINT NAME AND ADDRESS -
r f
NAME OF SIGNATURE y`�f ��r�J ".�:%
APPLICANT e� Builders,ers� Inc. "OF APPLICANT - - F - -c-1,'
STREET ADDRESS 119 Duming Strcct TELEPHONE# 99-9161
CITY OR ZIP LICENSE NO.
POST OFFICE - • CODE WHEN APPLICABLE •
Aston Spa NY 12020 -
46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING• - .
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
Electricai•Bulraing-Plutiibing-Fire Inspections
Label
500F B/B5
_Date__ . 1 __ p
I ,ector_
TI constitu 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-
Lure, application for inspection should
be submitted promptly to this Agency.
`
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR N PECTION RECEIVED
NAME 7,1Z2
LOCATION 6?-1 2. Cy r
DATE 3-4_ Y/ PERMIT # Q-y�-
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBIN, �99// //
L L.•
MING / t,, , ei/� " ,(4: Ai40f
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 V
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORSi
FINAL ELECTRICAL INSPECTION ✓�
FINAL APPROVAL OF CONSTRUCTION lI'
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 1280�
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED ��/,11
/NAME ( c '
(
LOCATION 6/ /,. / o/ v1!�r�I `-7-,I o e
DATE `s 7/ 7 [[[/-.0 PERMIT # r t
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS •
CEILING
L.P NAL INSPECTION:
CHIMNEY HEIGHT
ROOFING (,/
SIDING (/
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE f/
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS l/
FINAL ELECTRICAL INSPECTION l%
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 (1�
QUEENSBURY, NEW YORK 1280i )
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED )_J 1
NAME
LOCATION
DATE PERMIT # -�
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC' POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION: /
FOUNDATION I
FLOORS 1 ,y
WALLS -- L 1 •
CEILING
FINAL INSPECTI N: i
CHIMNEY HEIGHT
ROOFING
SIDING p `\,
EXTERNAL PORCHES/S2'EPS
STAIRS-CLEARANCE &' RAILS
PLUMBING FIXTURES'RELIEFk VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S) ; k
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:
SPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280�
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT �
REQUEST FOR INSPECTION RECEIVED 7 �—Si
NAME
LOCATION (2k
DATE 7— ._S-9 PERMIT #
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL
TROUGH PLUMBING
cRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS 1
WALLS
CEILING '\
FINAL INSPECTION: \1
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:
VeefX ay/ 0106-- /co -
ift/ki Ioi t'°j Pv
7
INSPECTOR
.own of Queen.slur,
BUILDING and ZONING DEPARTMENT ,
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York, 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME (-)
LOCATION l y Jz/ `4-t"Lt e -7 g/ ' '
DATE._ ( PERMIT NO. 4-(12.--Ls'
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate,- Min/Inch/
TYPE of SYSTEM:
Absorption field,;total length
Length of each trench
Depth of trenches '',
Size of gravel__
SEEPAGE 77S4Number ,of) _
Size- ft. X f, .
Gravel size
PIPING: / Siz _ 4 Type
Bldg. to tank box/
Tank to dist. boxy' /l f/f
- Dist. box to field/ /-` e--'
Openings sealed?' YES 1, ,,NO Partial
,
LOCATION/SEPARATIONS:
Foundation to tank T-;''Foundation to/absorption .
Absorption toff lot line .
Separation 'ts .
LOCATION -SYST ON PROircle one)
Front - ear - eft side - Right\side -
COMMEN ��.( 1,
,:i_77-1 -P 7
L
i" 7/7( ,
•
`�ert) L _5- -
z 2. - t K .
i Li - -4
SYSTEM USE APPROVED;" YES N
B g nspector
•
01/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS (/
QUEENSBURY, NEW YORK 12801.
TELEPHONE (518) 792-5832 ,;27
BUILDING INSPECTOR'S REPORT
REQUEST FOINSPECTION RECEIVED
NAME GU,eA-)
,
LOCATION
/ 41_,Pe4 )4,?,<X-, ------
DATE (5/3/ PERMIT
APPROVED
YES NO
FOOTING/PIERS
t M6:NOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL •
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN '
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING •
FINAL INSPECTION:\
CHIMNEY HEIGHT \
ROOFING t,
SIDING ti
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE &,+`RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS 1,,
GARAGE FIREPROOFING
DOOR CLOSER(S) `•
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
i
FINAL APPROVAL OF CONSTRUCTION
l
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE •
THESE PREMISES ARE OCCUPIED!
REMARKS:
•
INSPECTOR
TOWN OF QUEENSBURY /2-727
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR IN PECTION� )RECEIVED
NAME { 'C .�/l)
LOCATION 6/4/4IC
DATE `5,4G, l0 ? PERMIT #
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL A
(-ROUGH PLUMBING �L
FRAMING -�� -C47-
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS ,'
WALLS
CEILING
FINAL INSPECTION: '1
CHIMNEY HEIGHT
ROOFING ;r
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:
// '
jut:21
INSPECTOR
Down of Queenitur,
BUILDING and ZONING.DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
• Queensbury, New York 12801
SE TIC DISPOSAL SYSTEM INSPECTION
NAMEriAb
.L
LOCATION '4-22(4 (-12taa.-1 ,L l , '
DATE 1r l / PERMIT NO. agt5'
is
SOIL TYPE - Sand - Loam - Clay /
Percolation Test Required? YES - N0
Percolation rate - Min/Inch -
1, /1
• TYPE of 'SYSTEM: /. Absorption,field, total length
Length of 'each- trench I
Depth of trenches ✓' •
Size of graveI'ta, /
SEEPAGE PITS*NuMber of)/ .
Size- ft. X _f ft.
Gravel size '_ /
PIPING: '° Size Type
,,f
Bldg. to tank �d
Tank to dist. box
Dist. box to field/pit
Openings sealed`? YES „ NO Partial
LOCATION/SEPARATIONS:
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:
x afitta,t/
• Ck OA
01121-4 - •
SYSTEM USE APPROVED YES NO
•
Build in nspector •
01/86 and vl
\D awn o� QueenJtury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME Jrl A f),
oaaksu
LOCATION D.\4-
Date l9 / `k-k Permit No. " XIS
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms ,.
4 Foundation
Waterproofing A
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures ,
Gar. Fireproofin
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
/46
Building Inspector
6/86 and-vl
_/ocun of Queeniur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queens bury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME -(�,e`�
LOCATION pc ,
Date ,S /S. / mit No. �j�',Ar/c
* * * * * * * * * * * * * * * * * * * * * * *
V.- APPROVED - YE , I NO
`
Footing/Pier Forms L7
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Vene
Rough Plumbin!
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproof' g
Door Closers
Smoke Detectofs
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Cl� , °64' 69111. T004(
1' ?
Bui'ldi g Inspector
6/86 and-vl
QUEEN VICTORIA'S GRANT
QUEENS BURY, NY
REFERENCE DRAWINGS
5A SITE UTILITIES
SEPTIC 4 WATER
VonDUSEN 4 STEVES
SURVEY PLAN
CLEAN OUT
TO GRADE