88-274 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date September 26 19 89
0
This is to certify that work requested to be done as shown by Permit No. 88-274
has been completed.
This structure may be occupied as a 4 of Two Family Dwelling
Location 22 Queen Anne Court Model J Queen Victoria's Grant
Owner Guyer Builders, Inc.
By Order Town Board
TOWN OF QUEENSBURY
/i-
Director of Bldg. & Code Enforcement
BUILDING PERMIT
to
TOWN OF QUEENSBURY
No. 88-274 ts
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Guyer Builders, Inc.
ti
OWNER of property located at 22 Queen Anne Court — Queen Victoria's Grant Street, Road or Ave. ti
in the Town of Queensbury,To Construct or place a I of two family dwelling Ui
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.
c
1. OWNER'S Address is (D
119 Dunning St.
Ballston Spa, N.Y. 12020
ti.
2. CONTRACTOR or BUILDER'S Name n'
Same w
3. CONTRACTOR or BUILDER'S Address G�
h
Same rri-
4. ARCHITECT'S Name
N
5. ARCHITECT'S Address N
a
(D
6. TYPE of Construction—(Please indicate by X)
O
( Wood Frame ( ) Masonry ( ) Steel ( ) h
rr
7. PLANS and Specifications
No. 32' X 48' as per plot plan, specifications, application
includingseptic s stem and attached one-car
p y garage. - Model J
8. Proposed Use
O
41 of two family dwelling
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5.00 C/O
$ 89.00 PERMIT FEE PAID -THIS PERMIT EXPIRES December 1 19 88 N.
ti
(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 Queensburyu this 24th Day of May 19 88
SIGNED BY `�� 222i,a✓ for the Town of Queensbury
Building and Zoning Inspector
TO BE COMPLETED !iY Lli. uLr i. .
�] Application No. 1.1.6 7 Li jjj
✓Dwn, Ot Queen96ury Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires 19 APR 2 81988
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation .
Oueensbury, New York 12801 Variance No. BUILDING & CODE DEPT,
(20) �`-)C Site Plan Review No.
\��� APProvpB b G, 0
V� APPLICATION FOR (/ 9y
BUILDING AND ZONING PERMIT " i '
* ,* * * *• * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *:..e
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, I;- .
P.O. Address 119 Dunning Street Ballston Spa, New York 12020 Tel. (518) 899-9161
Property Location: 22 Queen Anne Court Tax Map No.121 / 4 / 2
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:
Richard H. Guyer III (518) 899-9161
Name P.O. Address Tel. No.
Name of builder Guyer Builders, Inc.Address 119 Dunning Street Tel. (518) 899-9161
Name of plumber Guyer Builders, inc.Address 119 Dunning Street Tel. (518) 899-9161
Name of mason Guyer Builders, lnc.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 all
Other work (describe) * set-back dimensions from property lines. Give
* street and number or lot number and indicate
FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location
of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTED. * of septic disposal area.
• *
* COMPLETE INFORMATION REQUIREDploV BE,L,OW.
e
* Size of property ' 100+ plan ft x 120 ft.
J * Existing building(s) Size N/A. ft X Na ft.
Model
PROPOSED BUILDING AND USE: of .T/T * Existing building(s) Use N/A
Size of new struc e 32 ft X 48 ft
Foundation-pier slab crawl/partial/full * Proposed building, distance from property line
circle one) * see plot plan
No. of stories (habitable spa6ce) 1 * Front yard 30+ ft Rear yard 30+ ft.
Height (grade to ridge) 9' ft. * Side yards 15+ ft and 15+ ft •
If on corner, setback from side street 30+ ft
If residential, no. of families 1 of 2 *
No. of rooms(excluding baths) ""5. * OCCUPANCY INFORMATION
No.( of bedrooms 2 *
* PRIMARY BUILDING -
No.! of bathrooms 2 One family dwelling This Permit },ei for
Primary heating system Baseboard electric* —R-Two family dwelling one stile or Dut��ing.
*Type of fuel Electricity * Multiple dwelling / Number of units
No. of fireplaces to be installed Permanent occupancy
Will a wood stove be installed? No * 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 *
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House * Detached garage/one car/ two 'car/ car
( CIRCLE ONE PLEASE ) * X Attached garage/one car/ two car/ one car
* * * * * * * * * * * * * * * * * * _Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION $ - _ 00o_ *
INFORMATION ON .BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED - r o ',r
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 portion? sq.ft. - - Type of use?
Type of roof -(sloped flat/shed/other Material 'of roof Fiberglass shingles
Size, wood studs 2 "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 _. s "o.c. span N A ft. .
Overlays(ceiling beams) "X " spacing 24 "o.c. span N/A 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" 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 1/ 0202525 •
Town of Queensbury AFFIDAVIT STATE OF NEW YORK
County of 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 TO BEFORE ME THIS Signature �'.� ;_`�- ✓
..
y� Owner, owner's �g�nt,arcnitect,contractor
itL, day of d fi u• 199Y ADRIENNE J.PINDER y\
•
Notary Public,State of NgW yp�
Qualified in Saratoga County
Commission No.
9592
Notary Public.,,,,,,' County, N.Y. R' Qct, 13,19 � ,
* * * * * * "e"W' * * * * * * * * * * ,r *
SPECIAL CONDITIONS OF THE PERMIT:
•,;SE. !I: Square feet living •
; r 1123 ofle Stall
I\
e _
.;,�;•�'�' ware foot gag
i-4 .: 240
/ • 1363
@ $7.00/100o-r tot
5.00
One stall image
•
5.00 C10t
Total _ . ... .
•
• By
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK '
Application for-a . BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE .
A permit must be obtained before beginning work.
• AN§WbR ALL of the following;
;j . 1123 S.F.
9yoss floor area
•
2. Type of heat Baseboard electric
3.. Is the building mechanically cooled? No
4. Percentage of area of windows and doors 11.8%
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 MQ
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
A. Under 16% Only
1. R value of roof and floors exposed to ambient conditions_
R-38
2. R value of exterior walls XXX= 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 $paces X 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 •
D. Duct Systems N/A
1. - Is duct system installed in unheated spaces? YES '. NO
a. .If YES, R value of ,duct installation
b. . R 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
Telephone No. ' (518) 899-9161 4/14-12/11(applisignature)
INTERIM BUILDING PERMIT.
PERMIT APPLICANT (r vy -e2 ERos v,"/�•ep S
CONSTRUCTION LOCATION aJ y, � $ /� is AWE/6 / $, _ ao az) a
EFFECTIVE DATE ,4, / 02 /9
APPROVED BY Z J�
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 OCATION ! !
‘E/
Building & Codes Department
TOWN OF QUEENSBURY
• vg:11.4L OkealAttp
APPLICATION FOR SEPTIC DISPOSAL PERMIT
Ref: S.P.E.D.S.
DATE 10-16787 permit #
New York - 0202525
MODEL J of J/I
LOCATION OF PROPERTY FOR INSTALLATION 22 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:aTIORolling Steep Slope % of slope
Soil Nature: circle one: Sand Loam Clay Other / Depth: . 8' feet +
Ground Water: At what depth? known 8 feet 1-
Bedrock or Impervious Material: At what depth? unknown feet
Percolation test: circle one: �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)
•
ft
•
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 anywrh.ter 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: 1'1 y-
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
•
SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A G00D.PLACE TO LIVE
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
DATE ~��'/ 1
TEMP.#
I
CITY OR
VILLAGE Queensbury TOWNSHIP Queensbury COUNTY Warren
STREET AND NO.OR
ROAD AND POLE NO. 22 Queen Anne Court POLE NO.
BETWEEN WHAT TWO 1 y` _ r�
CROSS STREETS IS SECTION \ ` BLOCK ! LOT
PREMISES LOCATED?
OCCUPANT'S BUILDING ` ` y `
NAME OCCUPANCY \ (:t_�,. ., �\ .c'td•.- d"t
OWNER'S NAME L+
AND ADDRESS Guyer Builders, Inc., 119Du n].rig Street TEL. 899-9161
CURRENT ,.^�� �j� `.,, r\\SUPPLIED 11 ` 1 �y Ug-- FROM THEIR �J 5 - OFFICE
BY l V r� �k, 4 �"
BUILDING v WORK DEFECTS
IS NEW III IS NEW aADDITIONAL❑ REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No.of Fixtures& BRANCH OFFICE USE
NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS ONLY
Loce-
tion Side Attaeh't H.P. Watts A.W.G.
•
Ceiling Wall Reeep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
' Out-
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 be r spected but if at'tirne of inspection there is found additional equipment not above listed,
you are authorized to make the inspection and adjust the-fee-id-Cover the additional equipment,as provided by the applicant.
SIZE OFy - ELECTRIC SIGN TOTAL-
MAINS mp. -FEEDERS: LAMPS
lS0 A --WATTS y• ( i
CHARACTER EXPOSED GAS TUBE SIGN
OF WORK Rough in anti SPrvico CONCEALED TRANSFORMERS OF VA -
WORK TO BE l• (NUMBER) (CAPACITY)
STARTED COMPLETED SIZE OF SIGN
SERVICE OVERHEAD UNDERGROUND MAKER
ENTERS OF SIGN
BUILDING
INSPECTION REQUESTEDON OR AS
n
POSSIBLE NEAR AS Will call when ready NEWill OLD I I
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES • DATE OF -I 6
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. - • APPLICATIO 7 j�;I-T . 7
PRINT NAME AND ADDRESS " ,�'
N �y�; X SIGNATURE
--
APPLICANT Gu'er Builders, Inc. "OF APPLICANT ""F '14-7
STREET ADDRESS 119 Dunning Street TELEPHONE# 090 9161
CITY OR J ZIP LICENSE NO.
POST OFFICE &ly siou Spa, NY CODE/202O WHEN APPLICABLE
46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
MIDDLE DEPARTMENT'INSPECTION AGENCY, INC:—
Iecteicai-Building-Plumbing-Fire Inspections
Labe: /1 �[
SOOF d'BS C� /J r
r .\
Date_ ?`•' ��� fir%
°tie \ t.-'
p - 'I eCtor - ::
T constitutes 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-
aoplication for inspection should
promptly to this Agency.
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR N PECTION RECEIVED
NAME
LOCATION L
DATE 9� PERMIT # q.- (9 17
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/RAMP-PROOFING
BACKFILL APPROVAL 1`
ROUGH PLUMBING
FRAMING `i / •
ELECTRICAL ROUGH-IN
INSULATION: >'
FOUNDATION \ r`
FLOORS ?, /
WALLS
CEILING
' NAL INSPECTION:
CHIMNEY HEIGHT/
ROOFING
SIDING ,/
EXTERNAL PORCHES/STEPS 1/,
STAIRS-CLEARANCE & RA°ILS
PLUMBING FIXTURES/RELI F VALVE 1f
INTERIOR TRIM/PRIVACY DOORS 1/
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
Jown of Queenibur ,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
SEPTIC DISPOSAL SYSTEM INSPECTION
E ✓�/'
LOCATION c -/ �t /.t e l-7 �!l ' J,%-�
l V
.ATE 7 t/V PERMIT NO. M A./714
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 FTS4NuMbe,r of) -"
Size- ft. X f
Gravel size \ (
PIPING: \ Sz _ 4 ,Type .
Bldg. to tank E4, 1
Tank to dist. box ? ., /'/(
Dist. box to fieldC:7
" . /-`"L"
Openings sealed? ��� .NO Partial
LOCATION/SEPARATI NS: °\ „ //'''
Foundation to tank \ ,S f
Foundation to absorption \\s. ft.
. Absorption to l(ot line \ ft.,
Separation • /,. is ft.
LOCATION e' SST ON' PROPER ,y(circle one)
Front - -ears . eft side - Right side -
COMMENI : ' 21, 1-2 y
( ' .
:2„,"/--77-2,.7-77 7 (1/
(_: e nu r .`)-- - - .
L 11
i iii ---/ p.
SYSTEM USE APPROVED/ YES N
B g nspector
01/86 and vl •
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS 1E)..1(
QUEENSBURY, NEW YORK 1280�
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME �/' /�� /�
LOCATION t� CMG �aC T.L!�S? �� -k.71'Z,--yNSL(OLC.J
DATE (n — PERMIT # O j^ -) (
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL :////
C-ROUGH PLUMBING
c,FRAMING iL
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION ti •
FLOORS
WALLS
CEILING
FINAL INSPECTION:\
CHIMNEY HEIGHT
ROOFING , r�
SIDING r4�,
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/REL\IEF 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:
•
•
_ j !
INSPECTOR
TOWN OF QUEENSBURY /l
BUILDING AND CODES DEPARTMENT GZ
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280i-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR IIa1SPECTION RECEIVED
NAME �(Q�/7,)
/�LOCATION , `. <��.�n P�1 C.CiI _�
DATE t, _,3,5 —6j 1 PERMIT # W—A2 i4
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH—IN '
INSULATION: `,
FOUNDATION e
FLOORS `;
WALLS
CEILING
FINAL INSPECTION: c, •
CHIMNEY HEIGHT l'H°.
ROOFING %'
SIDING ''.
EXTERNAL PORCHES/STEPS
STAIRS—CLEARANCE & RAILS `\,
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS'
GARAGE FIREPROOFING
DOOR CLOSER(Sd
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
/
A SIGNED ChRTIFICATE OF OCCUPANCY MUST BE
OBTAINED ROM THE BUILDING DEPARTMENT BEFORE
THESE PR MISES ARE OCCUPIED! •
REMARKS:
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280g-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSS CTION RECEIVED
NAME /Tp j
LOCATION ,yrq
DATE ( 51474 /P/ PERMIT #
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
(ROUGH PLUMBING ( -d/./9
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 OR CONSTRUCTION
k
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
INSPECTOR
•
•
Jown o� Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME 11, ,t.� •
LOCATION `�';&Ll (-1L ' ', i
DATE W / PERMIT NO. .W'(7- A
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 PITS{Number of) •
Size- ft. X ft.
Gravel size
PIPING: , Size Type
Bldg. to tank
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 4 Left side - Right side•,-
COMMENTS: •
• Agettax/
11 •
SYSTEM USE APPROVED YES NO
C
Buildin nspector •
01/86 and vl •
, \ cc�
�� awn 01 QueenJt/
ur/
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
\NAME
LOCATION
Date 6 / t'i Permit No.S3—? t
* * * * * * * * * * * * * * * * * * * * * * *
= APPROVED - YES / NO
Footing/Pier Forms
,4-oundation
.. 4terproofing
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. Fireproofing
Door Closers /
Smoke Detector
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Building nspector
6/86 and-vl
Joan of Queenatur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME -�y6�i dZ-S
LOCATION e_.,3)/ 42v QJe,�
Date ,S / Permit No. ,Fy-ern
* * * * * * * * * * * * * * * * * * * * * * *
10/ = APPROVED - YE5, / NO
Footing/Pier Forms -/�
Foundation
Waterproofing
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. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTR AL INSPECTION
DRIVEWAY APP' IVAL 1
Final Buildin: Survey \
Next scheduled inspection (call when ready)
Remarks- JJ''
Clfeau 0rB`"11._ eefrse. 1304
- t0
Bui'ldi 8 g Inspector
6/86 and-vl
QUEEN VICTORWS GRANT
QUEENS BURY, NY
G. n n1AueTco
REFERENCE DRAWINGS
5A SITE UTILITIES
SEPTIC 4 WATER
VanDUSEN 4 STEVES
SURVEY PLAN
:LEAN OUT
rO GRADE