1988-273 ;
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date itAaJ-,W ef,1 /7 9 .
i
This is to certify that work requested to be done as shown by Permit No. 88-273
has been completed.
This structure may be occupied as a - of_th-o family dwelling
Location 20 Queen Anne Court - Model A - Queen Victoria's Grant
Owner Guger Builders, Inc.
By Order Town Board
TOWN OF QUEENSBURY
n)
Building & Zoning Inspector
BUILDING PERMIT 9
TOWN OF QUEENSBURY No 88-273
WARREN COUNTY, NEW YORK o.
PERMISSION is hereby granted to Guyer Builders, Inc. ti
OWNER of property located at 20 Queen Anne Court — Queen Victoria's Grant Street, Road or Ave.
in the Town of Queensbury,To Construct or place a 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.
1. OWNER'S Address is N
ID
119 Dunning . St.
Ballston Spa, N.Y. 12020
n
cr.
2. CONTRACTOR or BUILDER'S Name
Same •
3. CONTRACTOR or BUILDER'S Address
Same rt
4. ARCHITECT'S Name
N
O
0
5. ARCHITECT'S Address
ID
6. TYPE of Construction—(Please indicate by X)
(Xk Wood Frame ( 1 Masonry ( )Steel ( 1
Fi
r-r
7. PLANS and Specifications
No. 29' X 56' as per plot plan, specifications and application .
including septic system and attached one—kxo car garage. — Model A
8. Proposed Use F'h
41 of two family dwelling
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 24th Day of May 19 88
SIGNED BY i' - for the Town of Queensbury
Building nd Zoning Inspector
�] Application No. G
y ✓ouin o f Queen9iury Permit Issued 19 D MIT/ L 1
BUILDING and ZONING DEPARTMENT Permit Expires 19 . i
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation APR,;8198
Oueensbury, New York 12801 - Variance No.
S5,--4;'� , \.._ _ Site Plan Review No. BUILDING & CODE DEPT.
\ --V)-:-- APpro d
APPLICATION FOR
•
EUILDING 'AND ZONING PERMIT- ,4 E
* * ► * * * * * * * * * * * * * '* * * * * . * * * * * * if.. * * . * * * * * * *„*
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
Property Location: - 20 Queen Ann 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. (516) ti99-91bi
Name of mason Guyer Builders, inc.
Address 119 Dunning Street Tel. (518) 899-91b1
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 REQUIRED BELpW.
* 100± see pl f 1 x 120 f t
. .Size of property
_ A * Existingui`bldi:ng(s) Size N/A ft X NSA. ft. ..
Model . .'54''': •,,' :. <., ..
•
PROPOSED BUILDING AND USE: A/J
of * Existing building(s) Use N/A
Size of new struc e 29 ft X 56 ft *' ' ' ' ' ' . . '
Foundation-pier slab crawl/partial/full * Proposed building, distance from property line •
circle one) * see plot pan
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) 17' - 0" *ft. If on corner, setback from side street 30+ ft
. If residential, no. of families l of 2 *
No. of rooms(excluding baths) 2 * OCCUPANCY INFORMATION
No. of bedrooms ' Z *
No. of bathrooms 5 * PRIMARY BUILDING -
rrima heatingsystem Baseboard electric* . one family dwelling This pidr �ei�g,fQr
e of fuel Electricity * Two family dwelling ones e o to
* Multiple dwelling / Number of units
o. of fireplaces to be installed u
Will a wood stove be installed? No * Permanent occupancy
Central Air conditioning? No * Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE *' Industrial
Ranch Contemporary Lo. cabin * a
Raised ranch Mansion Duplex * If addition, what will use be?
---Other
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 $ 0 - * '
INFORMATION ON •BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-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? ' 1no 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 -Cloped 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/Aft.
Joists (floor beams) 2nd. floor -"X `6 -". spacing =-= "o.c. span N A ft. ,• .
Overlays(ceiling beams) "X " spacing 24 "o.c. span N/Aft.
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 # 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
�!��2 �1
--ld:-"'41 /242 '
Owner, owner's gent,arcnitect,contractor
�0 - day of ��� 19 g� ADRIENNE J.PINDER 1
illotary Pblic,State of New York .
Qualified in Saratoga County
Qom - Commission907692
No tax Public,v�� County, N.Y. Expires Oct. 13 1 j
* * *y* * * * " * dui►-* * * * * * * * •* * * * * * * * 9* * * * * * * * * * * * * * *. *.;* _
SPEC.II, CONDITIONS OF THE PERMIT:
. .
1020 Square feet living
264 Square foot garage - one stall '
1284 @ $7.00/100'or part of
•
$5.00 One stall garage
$5.00 C/O permit
Total
•
By •
..A..
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:
•
ANSWER ALL of the following:
•
1. Gross floor area 1020 S.F.•
•
• 2. Type of heat Baseboard electric
3. Is the building mechanically cooled? No
. 4. Percentage of area of windows and doors 10.6%
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 NO
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
. 8. Under 16%. Only
1. R value of roof and floors exposed to ambient conditions_ ..
R-38
2. R value of exterior walls Agax R.23.5 U.=0.04#
• 3 . R value of - glazed area U.=0.30
4. R value of doors R-14.9 (U.=".60) •
•
5. R value of floors over unheated spaces N/A
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 N/A
•
• Telephone No. (518) 899-9161 /41, ,L,JAE: ,
(applicant ' signature) •
•YOlen• Of OliegtitiAne
APPLICATION FOR SEPTIC DISPOSAL PERMIT
Ref: S.P.E.D.S.
DATE 1 0 •/16 ./R7 •/ /. • . Permit # .
New York -. .Q2p2525'
MODEL A of Aij
LOCATION OF PROPERTY FOR INSTALLATION 20 Queen Ann 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: anORolling Steep Slope % of slope
Soil Nature: circle one: Sand Loam Clay Other / Depth: . 8' feet +
Ground Water: At what depth? unkri°1411 8 feet + _
Bedrock or Impervious Material: At what depth? unknown feet . .
• Percolation test: circle one: IG-ot require) required / rate min. inch.
• Domestic water supply: circle one: /c./.h5licipa-DWell 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 S . •
3.) location and distance to structures
4.) location and distance to any'i 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 $250.00.
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may result -
in an immediate work stoppage. I
D. Should unforeseen problems during construction prevent proper installation,
alteration or repair of an approved system, a new proposal must:be submitted
to the Queensbury Building Department before further construction.
•
I have read the regulations above and agree to abide by these and all requirements . .
of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
/� •
Signature of.responsible person: i /� 4
Date; . 4-1y-ES& •
►S ;
Town of Queensbury ..
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
.
m .
tCTTI cn 174 IaW,I,�F AC NATIIpAI AFAIITY . . . A WOO PLACETO ' ' 7 - S S
INTERIM BUILDING PERMIT
PERMIT APPLICANT (..,), •ei2.. &Os, • v.'ae.e_a'
Q�c e�-i CCU
CONSTRUCTION LOCATION aJ s', 6,$ eo :a , /6 � s� � aa 4-2•
EFFECTIVE DATE • %il.'/ ' 02 /9 Er" g2
APPROVED BY Zo
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 ! !
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.•
(TEMP.# (DATE I );-J `
•
CITY OR /`�, 1,.' Queensbury Queensbur TOWNSHIP QLuee sbury COUNTY Warren
STREET AND NO.OR 20 Anne Court
ROAD AND POLE NO. QueenPOLE NO.
BETWEEN WHAT TWO
CROSS STREETS IS 1
PREMISES LOCATED? SECTION , BLOCK 1 LOT L J
OCCUPANT'S BUILDING 1
NAME Buildrs, • 7 OCCUPANCY ),..- \_\.\0 tCkii\---.---x)---,
OWNER'S NAMAND ADDRESSE Guyer I nc•, 119 Dunning Street TEL.# 899-9161
CURRENT ) '
��
SUPPLIEDBY Iv l CO ��`w-- FROM THEIR __1\ - OFFICE
BUILDING WNEW El OLD Ill IS
NEW ® ADDITIONAL❑ REMOVED DEFECTS ❑ •
. LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No.of Fixtures& BRANCH OFFICE USE
NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS
Loot- ONLY
tion I `
Ceiling Bide Recep''t Switch Pendant Bracket No. Type H.P. No. Each No. A.W.G. INSPECTION
Wall Reeep'Ls Each Each Gauge
Out-
side •
Sub-
base
Base
met
1st FI.
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 inspected buh,if at time ofinspecfion there is found additional equipment not above listed,
you are authorized to make the inspection and adjust the fee to cover the additional equipment,'as-provided bqs the applicant.
SIZE OF W ELECTRIC SIGN TOTAL
MAINS 150Amp. FEEDERS LAMPS WATTS
CHARACTER _ EXPOSED GAS TUBE SIGN 1- i 1.
W
OF WORK Rough in cant service CONCEALED TRANSFORMERS OF VA ,
WORK TO BE (NUMBER) (CAPACITY)
STARTED COMPLETED SIZE OF SIGN •
SERVICE OVERHEAD - UNDERGROUND MAKER
ENTERS
BUILDING XXX OF SIGN .
INSPECTION REQUESTED
ON OR AS NEAR AS
POSSIBLE Will call , NEW OLD 17
- AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION) 1 16-87
PRINT NAME AND ADDRESS BuilNAME OFders,
,{^ Inc. X SIGNATURE // J
APPLICANT Guyer Builders, Inc. '`OF APPLICANT 4� %'-'-t /! "'�'t --. l --�--
`'
STREET ADDRESS TELEPHONE#
CITY OR ZIP LICENSE NO,
POST OFFICE CODE WHEN APPLICABLE
46 EL (REV. 1/66) A SEPAIi -EDIP- l5 OST BE FILED FOR EACH SEPARATE BUI6b9719l-61
) MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
�N National Headquarters
��'� 900 Haddon Ave., Collingswood, N.J. 08108
APPLICANT COMPLETES THIS SECTION Date: 5-12-88
caw Town or-C�ian'"iaa Ifni Queensbury County Warren State NY
Location/Address 18 Queen .Anne Court
(If Located in Rural Area - Please Attach Directions) Pole #
Owner Guyer Builders Inc. Permit # Y[ a 72-
Occupied As h 7 . 4 WW-7 . v Building: New® Old❑
Occupant
Work Area in Building (Floor #,etc.):
App. for: Wiring® Service n or: Ready for Inspection:
Fee Remitted-$ Cash n Check n M.O. n Make Payable To: M.D.I.A.
500 750 1000 1250 1500 1750 2000 2250 2500 2750 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. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4, 1 1,/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size
Applicant's
Signature _ - - License # Permit #
T/A 2.yer Tli1derc Mc,. Utility: /k�i /17 0 C� i�' i; .; /=e; //5`
Applicant's Address: 119 Dunning Street (NAME) (OFFICE LOCATION)
(City) 'gall stnn Spn (State) NI (Zip) 12020 Service Request #
Phone # 899--9161 Electrician: Guyer Flinders Inc.
MDIA USE ONLY DATE RECEIVED: ,/ '12 - DATE INSPECTED: J,2 --7,7• Ste'^'
Correct Location: Same as Above! J or:
Red Notice Label IT
Rough Wiring Outlets Surface Unit 1 Oven
al- 5witches f Range a Garbage Disposal
3 () Receptacles / Water Heater / Dishwasher
J—Fixtures Air Conditioner / Dryer
j---0 Amp. Service Equipment - Burner, Wiring &Controls for Amp. Receptacle
Amp. Service Conductors Pump Vent Fans
MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3' 1/2 3/4' 1 11/2 2 3 5 7,/2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Elect. Heat
•
CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECTFEE FEE PAID
❑ RW Progress: Inc. LKD❑ Contractor
I CFT Violation: Work Comp.❑ Inc. ❑
I I L/A • Owner CASH ❑
pi Fee CHK #
L/A
Due MO #
IT IPA Municipal
INV #
Date: Other Side I I Utility Applicant ❑Owner
Cut in Card IT Temp # Date0/;;;;Z"61 1
pi Final # Date INSPECTORS SIGNATURE
APPLICATION FORM NO.250 EL 11/86
r
J4tvJ�vJ Otto vJM\.+J vJ�vJ�vJ J4WV vuJ vJ �J J�WVJ°MVJ • ^MIDDLE DEPARTMENT.INSP,ECTION AGENCY, INC.
900 Haddon Avenue Collingswood N:J 08108
4-. C^£ c- :,flan 3 i,-A a (:.• `a ,,,----,---` yt<,,a y3 :�_, r,^ Dattt May 20, 1990
J'.� /' � ^� _--._�._---�. -�^,. •"'-fit, ti C
s' . G�l.erri1.leg that the electtica equipment listed has been exarnln`ed and is approved as being in accordwith the National ElectricalCode;applicable governmental utility and Agency rules. �� �� Cer: Guyer Builders Ind *� s • M1 Occ'upancy SDweTling }� eupant: Single Family t ) 4 ' '; ; ` > il
Location: 20 Queen Anne Court,( Que'ensbury.2(▪ Warren--Co) s`ceryhcate coveis the:electncal euipment and installation inspected this C
Ca 1 date. If additional egmpiiient should be introduced or alterations made to
�� °� , existing system this`certificate shall tte null and void, and application for
inspection should be submitted promptly to this Agency.
Equipment: 65 Outlets; 30 Receptacles; 20.,,Fixtures, a -''..: -
Holder of this certificate should resent same to his property insurance carrier
150 Amp
Service,, . ppl antes• 2' Vent'Fens (agent orcompany)asevidenceofcertificationofelectricalequipmentapproved
,;
Ct
�� as specified.; r` ' C
':, nt \mil /, C
Guyer Builders nc`-`\ ;� . i ;, 4� C
Applicant: 119 Dunning Street -- -- -'t-� — .- No, 16-032930
L Ballston Spa, NY 12020 . ;:a_, " ' C
TOWN OF QUEENSBURY
BUILDING AND CODES DEPAR;'PMENT
BAY & HAVILAND ROAb
QUEENSBURY, NEW YORK 12801-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR I SPECTION RECEIVED
NAME / , k
LOCATION •iz) 'LL� 1'a/091-. i /5
DATE /,?1�,�� PERMIT #
APPROVED
ey YES 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 I(/f
ROOFING SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS 4/74-
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS R-`CH jA-1- --
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION 6//-/ Yx
FINAL APPROVAL OF CONSTRUCTION
OK TO ISSUE C/O OR C/C `-//--
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
ARRIVE 2;5o ^�
DEPART 3rC7 C7. ///,
INS ECTOR
ELECTRICAL INSPECTIONS
DUPLICATE MUNICIPAL RECORD
Permit No. gg
Owner 71.(4..y --c
Occupant
Location 2 c_.) C
No. Street
..... k('
Town or City State
Installation as itemized on reverse side has been visually inspected pursuant to applicable
codes.
Installed by
Date Inspector
MIDDLE DEPARTMENT INSPECTION AGENCY INC.
FORM NO.18 EL. 900 Haddon Ave.,Collingswood,NJ 08108
ROUGH WIRING OUTLETS H.P.AIR CONDITIONER
OUTLETS WIRING &CONTROLS FOR BURNER
RECEPTACLES H.P.PUMP
FIXTURES K.W.OVEN
AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT
AMP.SERVICE CONDUCTORS K.W. DISHWASHER
K.W.SURFACE UNIT K.W. DRYER
K.W. RANGE AMP. RECEPTACLE
K.W.WATER HEATER FRAC. H.P.VENT FANS
MOTORS H.P. 1/20 1/12 1/10 % '/ % 1/2 1/2 1 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE
APPARATUS
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 /d/,9(j
NAME L////i), 47/1.li
LOCATION ,4lj ����,���� �,� (t
DATE /(>/��C'U PERMIT :it eg149�7-g
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS i
FOUNDATION/DAMP-PROOFING{ 1.
BACKFILL APPROVAL { •
ROUGH PLUMBING
FRAMING
t t
ELECTRICAL ROUGH-IN ,{. d`
INSULATION:
FOUNDATION
FLOORS ;
WALLS •
k
CEILING y 3' " "
FINAL INSPECTION: °
CHIMNEY HEIGHT
ROOFING '
SIDING 'r '�.
EXTERNAL PORCHES/STEPS tr . . -
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIE VALVE
INTERIOR TRIM/PRIVACY ROOKS
FINISHED FLOORS V ;
GARAGE FIREPROOFING tj
DOOR CLOSER(S) f 1
SMOKE DETECTORS ¢
FINAL ELECTRICAL INSPECTION ' .
FINAL APPROVAL OF CONSTRUCTION. . .
OK TO ISSUE C/O OR •C/Ci
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!•
REMARKS:
GJ -
ARRIVE //
v
DEPART`/
INS ECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804- �n�
TELEPHONE (518) 792-5832 fi"l
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME ,6,//-er-e 3 'C
LOCATION 2U 4,(( /,'„,„?_, 5A,/LP p/
/5 )DATE /0/ PERMIT # /D 7]
APPROVED,'
YES NO.
FOOTING/PIERS ;'
MONOLITHIC POUR FORMS /
FOUNDATION/DAMP-PROOFING j' /
BACKFILL APPROVAL i'
ROUGH PLUMBING ; /
FRAMING
ELECTRICAL ROUGH-IN
i"INSULATION:
FOUNDATION
FLOORS r ,`
WALLS ,(?/ - 1/
CEILING AD3c V
FINAL INSPECTION: ;
CHIMNEY HEIGHT
ROOFING 1
SIDING
EXTERNAL PORCHES/STEPS :
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF; VALVE
INTERIOR TRIM/PRIVACY/DOORS
FINISHED FLOORS /
GARAGE FIREPROOFING,'
DOOR CLOSER(S) I
SMOKE DETECTORS /
FINAL ELECTRICAL I SPECTION'
FINAL APPROVAL OF CONSTRUCTION
OK TO ISSUE C/O C/C
A SIGNED CERTIF CATE OF OCCUPANCY MUST BE
OBTAINED FROM T E BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!•
REMARKS:
2ff_._e__L___—
ARRIVE G? �'�/
DEPART9 /
,,, /.
INSP CTOR
• TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR NSPECTION REC IVED
NAME ("'"G`/
LOCATION o �(�� e �� rG`LJ, nC �►\
DATE f/.% /9,r1 PE IT # g
/ APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POU FORMS
FOUNDATION/DAM -PROOFIN •
BACKFILL APPRO L
ROUGH PLUMBING \
FRAMING '
ELECTRICAL ROUGH `•IN
INSULATION:
FOUNDATION
FLOORS /
WALLS ()�!lel•.. C z L
CEILING /
FINAL INSPECTION: '
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/..T,PS
STAIRS-CLEARANCE & :`•ILS
PLUMBING FIXTURE'/RE IEF VALVE
INTERIOR TRIM/PR;'VAC DOORS
FINISHED FLOORS
GARAGE FIREPROO NG
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL ;t NSPECTI
_FINAL APPROVAL O' CONSTRU 'ION
- OK TO ISSUE C/O 411 C/C
A SIGNED CERTIFI ATE OF OCCi''ANCY MUST BE
OBTAINED FROM T ? BUILDING DEPARTMENT BEFORE
THESE PREMISES '"E OCCUPIED!
•
REMARKS:
•
ARRIVE �0
J�
DEPART /lt)
INSPECTOR
TOWN OF QUEENSBURY 4ft/
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND RCA S
QUEENSBURY, NEW YO K 1280�
TELEPHONE (518) 7 -5832 roil
BUILDING I SPECTOR" REPORT C
1 / 9
REQUEST FOR INSPECTION,
??//RECEIVI D/
NAME . %LL/Z//b 1C L�-I//,,L(7 7
LOCATIO 26 /JI�/,!/�i/}.-- i.
, /,c_(%ti�L c
DATE /��/l ,l�j GJ PERMI # (J �,, f2��3
< s
APPROVED
\ YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS I
FOUNDATION/DAMP-PROOFING/
BACKFILL APPROVAL 1
ROUGH PLUMBING 3 ,
?/LFRAMING L
ELECTRICAL ROUGH-IN '
INSULATION:
FOUNDATION
FLOORS
I/ .
WALLS •
CEILING I
FINAL INSPECTION: I
CHIMNEY HEIGHT
ROOFING
SIDING f
EXTERNAL PORCHESISTEPS
STAIRS-CLEARANC & RAILS
PLUMBING FIXTUR S/RELIEF VALVE
INTERIOR TRIM/P IVACY DOORS
FINISHED FLOOR
GARAGE FIREPR FING
DOOR CLOSER(S)
SMOKE DETECTOR
FINAL ELECTRICA INSPECTION
FINAL APPROVAL F CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
•
• n 17
r;/I
r/ r '>! '
kNSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280�
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR I SPECTI�ON,)RECEIVED
NAME / a'!�/
LOCATION " G021,/21f_.
DATE PERMIT # ff d`t
APPROVED
YES NO
FOOTING/PIERS
(2'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:
i -)
INSPECTOR
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 RIECEIVED
NAME 67t,( V VI— 7/'- ' S
LOCATION / V &-er'it /41
DATE S — I —C i PERMIT # g -27
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC`,POUR FORMS
FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL / , ./
ROUGH PLUMBING u 1/I(f v— )4 j j
FRAMING \ i \
ELECTRICAL ROUGH—IN
INSULATION: \
FOUNDATION '!
FLOORS \
WALLS
CEILING t�,
FINAL INSPECTION: \
CHIMNEY HEIGHT 4,
ROOFING Lr ;
SIDING 1' '
EXTERNAL PORCHES/STEPS
STAIRS—CLEARANCE & RAILS
PLUMBING FIXTURES/RELEF VALVE
INTERIOR TRIM/PRIVACY )OORS .
FINISHED FLOORS ``\
GARAGE FIREPROOFING
DOOR CLOSER(S) \
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANC .\MUST BE
• OBTAINED FROM THE BUILDING DEPARTM NT BEFORE
THESE PREMISES ARE OCCUPIED! \
REMARKS:
,its_/ .
( ). ( 0'
`'
/I V----
. y.
INSPECTOR
fawn o/ Queenitur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801 .
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME c.-pr °�':—
LOCATION 1 4/ `�t'Ll E "( f l '
DATE /1i PERMIT NO. �().(�
(
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate --Min/Inch _
I.
TYPE of SYSTEM:
Absorption field, total length /
Length of each 'trench
Depth of trenches
Size of. gravel \
SEEPAGE PI)S4Number of) _ +Size- 4'ft. X '� f
♦ L�
Gravel size
PIPING: \ Siz _ �' Type •
Bldg. to tank ' ' , /A R
Tank to dist. box \ I' d
/"�l
Dist. box to field/ / - -
Openings sealed? CI
,NO Partial
LOCATION/SEPARATIONS: \ ,v _.
Foundation to tank } ,$f�.
Foundation to absorption1`t. 6- ft.
Absorption to lqi line t, ft.
Separation ,.is ft.
LOCATION SYST ON PROPER Y(circle one)
Front - ear ` eft side - Right side -
COMMEN iiit__ 7__ -f-7K .
//./.
a
._,-:e 4 ii 1_ _i- - . . -
,,...... _
i 2 -t Lj - K
SYSTEM USE APPROVED; YES N
B g nspector
01/86 and vl
•
Jown o f Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
S 1pTIC DISPOSAL SYSTEM INSPECTION
NAME
LOCATION l 7. : D
DATE 0-7 a PERMIT NO.
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption"eld, 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 a; \
Dist. box to field/pit \
Openings sealed? YES \NO Partial
LOCATION/SEPARATIONS:
Foundation to (tank \ ft.
Foundation to/absorption \ ft.
Absorption to lot line
Separation of pits ft.
LOCATION OF (SYSTEM ON' PROPERTY(cjircle one) •
Front - Rear\- Left side - Right 'side -
COMMENTS:
blvgia
SYSTEM USE APPROVED YES NO
Build ng Inspector •
01/86 and vl
awn of QueeniLry
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
BUILDING INSPECTOR ' S REPORT
NAME
LOCAT I ON ' O NIA".., t f��
Date 4 / Permit No.W- /0
* * * * * * * * * * * * * * * * * * *• * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Aundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Til •
Concrete Floors
Plbg. Fixtures
Gar. Fireproo'ing
Door Closers
Smoke Detec •rs
Chimney
INSULATION:
Foundation
Floors •
Walls
Ceiling
FINAL ELECT CAL INSPECTION
DRIVEWAY APPR VAL
Final Building Survey
'..Next scheduled inspection (call when ready)
Remarks-
•
Building Inspector
6/86 and-vl
Jown of Queeniurij
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME ,,�
U l2 O
r .
LOCATION Qrz,
•
Date ,j ;gyp/ Permit No. Q a 1
* * * * * * * * * * * * * * * *
* * * * * * *
= APPROVED - YE$ ,/ NO
rooting/Pier Forms
oundation
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 ELEC ICAL INSPECTION
DRIVEWAY APP OVAL
Final Building u vey
Next scheduled inspection (call when ready)
Remarks-
N
Buildin Inspector
6/86 and-vl
QUEEN VICTORIA'S GRANT
QUEENSBURY, NY
B- 0 DIAMETER
5-0 DEPTH
- 2000 ga I
i
12-7 - Orr*
REFERENCE DRAWINGS
5A SITE UTILITIES
SEPTIC $ WATER
VanDUSEN 4 STEVES
SURVEY PLAN
CLEAN OUT
TO GRADE