1988-270 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date October 23 19 89
SO
This is to certify that work requested to be done as shown by Permit No. 88-210
has been completed.
This structure may be occupied as a '2 of two family dwelling
Location 14 Queen Anne Court - Model J - Queen Victoria's 'Grant
Owner Guyer Builders, Inc.
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY No 88-270
WARREN COUNTY, NEW YORK
N
PERMISSION is hereby granted to Guyer Builders, Inc.
OWNER of property located at 14 Queen Anne Court — Queen Victoria's Grant Street, Road or Ave.
in the Town of Queensbury,To Construct or place a z 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.
m
1. OWNER'S Address is
119 Dunning Street •
Ballston Spa, N.Y. 12020
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2. CONTRACTOR or BUILDER'S Name A�
to
Same
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3. CONTRACTOR or BUILDER'S Address rrtt-
Same
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4. ARCHITECT'S Name
ID
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DA
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) rt-
(X)Wood Frame ( I Masonry ( ) Steel ( )
7. PLANS and Specifications O
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No. 32' X 48' as per plot plan, specifications and application
including septic system and attached one-car garage. - Model J
8. Proposed Use
ee
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3 of two family dwelling
sz
5.00 C/O
$ 89.00 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 Queensbur this 24th Day of May 19 88
SIGNED BY for the Town_ of Queensbury
Building and oning Inspector
TO LL CuR LiaL'L bx ilusara. L d.',.. ,
c7 t . Application No. TOWN CF �"i`Ti :_7 •
-oivn of Queeai4urf/
Permit Issued 19 � � t d tl� L, ' i: ?
BUILDING and ZONING DEPARTMENT Permit Expires 19 1 i.!
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation APR 28 ig8
Oueensb ry, New York 12801 Variance No.
���� `yy\ Site Plan Review No. [BUILDING a CODE DES!'.
\� Appro d 9
,ate y moo.
APPLICATION FOR •
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 specificartions submitted, and such
special conditions as may be indicated on the Permit. ' .00.
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: 14 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, lnc.Address 119 Dunning Street Tel. (516) 899-9161
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 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 BEI,AW.
* oll
Size of property 100± planee e ft X 120 ft.
J * Existing building(s) Size N/A ft X N/A ft.
Model ,I/Y * .
PROPOSED BUILDING AND USE: of * Existing building(s) Use N/A
Size of new struc re 32 ft X 48 ft
Foundation-pier slab crawl/partial/full * Proposed building, distance from property line
circle one) * see plot plan
1 * Front yard 30+ ft Rear yard 30+ ft.
No. of stories (habitable space)19'6" * Side yards 15+ ft and 15+ ft
Height (grade to ridge) ft• * If on corner, setback from side street 30+ ft
If residential, no. of families 1f *
No. �of rooms(excluding baths) OCCUPANCY INFORMATION
No. of bedrooms 2 *
* PRIMARY BUILDING - •
Not of bathrooms 2 One family dwelling This rmit hei for
Primary heating system Baseboard electric*• —A Two family dwelling one side of 6u1�aing. '
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
car
( CIRCLE ONE PLEASE ) * X Attached garage/one car/ two car/ one
* * * * * * * * * * * * * * * * * * _Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION qq *
INFORMATION ON .BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl
} t
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 port? 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 4A. " spacing = "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- a..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 -Writ;
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 A F F I D A V I T 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 __o4 ' _ _
Owner, owner ent,arcthitect,contractor
/5 day of 4198E ADRIENNEJ.PINDER t
e Notary Public,State of New York
Qualified in Saratoga County
No.4907592
Notary Public, County, N.Y. Commission Expires Oct. 13. 1 q,
* * * *• * * * 1/ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * .
SPECIAL CONDITIONS OF THE PERMIT:
1 .
,..t' •.i; •
,.1Iii
:� •f ,,;0 1123 Square •feet living
240 Square foot garage - one. stall
• 1363 @ $7.00/100 or part of
,,
5.00 One stall garage .
$5.00
CIO permit
•
• • Total •
• By
TOWN OF QUEENSBURY „J„
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.
• 40141IEa ALL of the following:
1123 S.F.
9;aes 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 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
a. Under 16% Only
1. R value of roof and floors exposed to ambient conditions_
R-38
2. R value of exterior walls matiax R-23.5 (U.=0.04+) •
3. . R value of glazed area U.=0.30
4. R value of doors R-14.9 (U.=O.06)
•
5. R value of floors over unheated spaces likiatiX 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 N/A
Telephone No. (518) •899-9161
(applicant s signature)
ti ✓:10% j QgL
D
APPLICATION FOR SEPTIC DISPOSAL PERMIT
Ref: S.P.E.D.S.
DATE 10-16-87 / permit #
New York - 0202525
MODEL J of J/I
LOCATION OF PROPERTY FOR INSTALLATION 14 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: (ot require required / rate min. inch.
Domestic water supply: circle one: Municipal We11 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
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * a * * * * * * * * * *
IMPORTANT * See S.P.E.D.S.
...Please...LIST NEW EQUIPMENT TO BE INSTALLED permit & attached
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * map.
(over)
• K�
•
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-weter 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:
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832 •
•
a '
SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD.PLACE TO LIVE, •
INTERIM BUILDING PERMIT
PERMIT APPLICANT ( v� ,ei2 �i2os. v.."��e.�S
Qa{u-i amp
CONSTRUCTION LOCATION aJ 9, � $ ea, is �/6 g .24", 'aa, :ay
EFFECTIVE DATE • %2.'/ 02 /9 � 7
APPROVED BY •
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 ! !
Ze/ . .
Building & Codes Department
TOWN OF QUEENSBURY.
i . MIDDLE DEPARTMENT INSPECTION AGENCY, INC. f `.;)
National Headquarters '�
900 Haddon Ave., Collingswood, N.J. 08108
APPLICANT COMPLETES THIS SECTION - Date: 5-12-88
en NY
Town or Queenabu County War State
Location/Address IA -tamer Anna Court
(If Located in Rural Area - Please Attach Directions) Pole #
Owner �erBuilders Inc. Permit # d 7,270
Occupied As i v' 1 } I Building: Nevv171 Old]
J 7
Occupant
• Work Area in Building (Floor #,etc.):
App. for: Wirings I Service FE 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. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 7V2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size "
•
Applicant's •
Signature - License # Permit #
T/A Guyer Builders .Inc. Utility: f"- . J'jkf ; i`" ;. ;`-' /1
Applicant's Address: 119 &mar; Street (NAME) (OFFICE LOCATION)
(City) Ballston Spa • (State) x (Zip) 12020 Service Request #
Phone # 899 9161 Electrician: Guyer Builders Inc.
MDIA USE ONLY DATE RECEIVED: --) (
,---IFDATE INSPECTED: i" ' ,'
--Correct Location: Same as Above n or: '
Red Notice Label n •
Rough Wiring Outlets Surface Unit ( Oven
,) Switches { Range / -Garbage Disposal
.4,/t'� Receptacles •
i Water Heater - / Dishwasher- .
t---C2-1 Fixtures Air Conditioner • • • - / Dryer
/ -c) Amp. Service Equipment Burner, Wiring &Controls for Amp. Receptacle
Amp. Service Conductors Pump ..4-.. 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 71/2 10 15 20 25 30• 40. 50 75 100
Mark Number '
of Each Size
II Elect. Heat �500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 .
•CERTIFICATIONS • USE FOR INITIAL VISIT ONLY NOTIFIED DATE CO FEE CT FEE PAID
'
❑ RW Progress: Inc.I----- ~ LKD❑ ' Contractor ,(^ •` ):�-, {=:-,: , 0`>
El CFT Violation: Work Comp.❑ Inc. ❑ ''- •
n L/A Owner " CASH ElFee CH K #
ri L/A • Due MO #
n IPA • Municipal -.
- • <'- I'NV'# r",(! e.J
Date: Other Side❑ Utility L-P-'= Applicant 0
•Owner
Cut in Card • n Temp # • ' - Date rrl fr .
7,1
I —INSPECTORS SIGNATURE
final # ', /.rt i ..I r{ >_,,. Date ;,'` .7:- .
APPLICATION FORM NO.250-EL 11/86
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
- )TEMP.# 1 DATE I �� .��y i �.�,.'
CITY OR
VILLAGE Queensbury TOWNSHIP Queensbury COUNTYWarren
STREET AND NO.OR
ROAD AND POLE NO. 14 Queen ate Court
POLE NO.
BETWEEN CROSS STREETS IAT SNO 1 1 1....9
'°`}
PREMISES LOCATED? SECTION ' BLOCK 3— LOT l
OCCUPANT'S • BUILDING 1 ('{
• NAME OCCUPANCY ` )L�l r-0 _(S Mr`L
OWNERS NAME Builders,.
I T TEL.# r} n G
AND ADDRESS Guyer .Builders,. +e c•, 119 Dunning Street 899.9161
CURRENT
SUPPLIED BY '` l l�l (��; -1/40\-S ^INi V-__ _\\_l,- FROM THEIR . ref 1 ❑
, OFFICE
WORK BUILDING NEW ❑ IS II OLDNEW ref)
ADDITIONAL❑ REMOVED
. LIST BELOW ALL EQUIPMENT.WHICH YOU INSTALLED
& BRANCH
NUMBER OF OUTLETS LampfReceptaFixturcles MOTORS HEATERS CIRCUITS OFFICE USE
Loot- ONLY
tion Side Attaeh't H.P. Watts A.W.G.
Ceiling Wall fiktta is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
Out-
side
Sub- •
base
Base-
ment
1st R.
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 but if at time of inspection there is found additional equipment not above listed,
you are authorized to make the inspection and adjust the fke to cover the additionai`equipment,as provided by the applicant.
SIZE OF /� '- ---..-:`•��( _ \I ELECTRIC SIGN TOTAL
MAINS 150 '� - - '-FEEDERS LAMPS WATTS
CHARACTER EXPOSED GAS TUBE SIGN
OF WORK .. 'Rough ` '� and Service CONCEALED 'TRANSFORMERS OF ? ; -VA
WORK TO BE (NUMBER) (CAPACITY)
STARTED COMPLETED SIZE OF SIGN
SERVICE OVERHEAD UNDERGROUND MAKER
ENTERS OF SIGN
BUILDING XXX
INSPECTION REQUESTED n
POSSIBLE NEAR AS, Will call when ready NEW OLD I I •
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATIOtttVVV 10--16�8�}
PRINT NAME AND ADDRESS
X SIGNATURE //
NAME OF �"• -1' "' It •""'1.'"
APPLICANT Cuycr E 371der2, Zia OF AP,PLICANT�'
•
STREET ADDRESS - TELEPHONE#
CITY OR ZIP LICENSE NO;
POST OFFICE CODE_ WHEN APPLICABLE
j],O 77,��?? rreett 8t.�9-9161
46 EL (REV.1/86) A 11PA �APPLI A ION MUST BE FILED FOR EACH SEPARATE BUTLDJNG -,
Vial-t~rf- 4'=.2. IN' 'Ir)fV)C
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 )?r -?-21E
LOCATION IC -6-4e-
DATE /(27, PERMIT (# d 2z
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL ,I
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION '
FLOORS
WALLS
( ? INS
NAL
NAL INSPECTION: \ II
CHIMNEY HEIGHT `,
ROOFING r' \ Gr-
SIDING if `h
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAI_LS
PLUMBING FIXTURES/RELIEF VALVE Vr
INTERIOR TRIM/PRIVACY DOORS ✓
FINISHED FLOORS j/
GARAGE FIREPROOFING v
DOOR CLOSER(S)
SMOKE DETECTORS V
FINAL ELECTRICAL INSPECTION 1/ /
FINAL APPROVAL OF CONSTRUCTION ;V/
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
I C,�
NiSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT / ..,
BAY & HAVILAND ROADS �
QUEENSBURY, NEW YORK 1280�
TELEPHONE (518) 792-5832 �
BUILDING INSPECTOR'S REPORT
REQUEST FOR NSPECTION RE IVED
NAME ( b 7'Y4 S'
LOCATION//,�� /`l `� Yr. G%�f •
DATE ! �' clr PERMIT # 7o
APPROVED
•
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS r
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
NSULATION: •
FOUNDATION
FLOORS t'•
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 F,TREPROOFING
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 & HAVILAND ROADS A/72
QUEENSBURY, NEW YORK 12801.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INS ECTION RECEIVED
NAME % .?X 2
LOCATION 1 // C jy2-e
DATE ,(9- ?/ PERMIT I C1 (- rg 7O
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BA KFILL APPROVAL
L-RpTIGH PLUMBING i
IFRAMING
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/I
OBTAINED FROM THE BUILDING DEPARTMENT/B FORE
THESE PREMISES ARE OCCUPIED! 71V/g1
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
NAME r,/`/W'� - vi
LOCATION / /fl �� �(2ne-
DATE 7 /Z/A. PERMIT # 0 ` 2(�
• /APPROVED
YES NO
F I-NG/PIERS I
ArONOLITHIC POUR FORMS S 1,,•4' I) iv
FOUNDATION/DAMP-PROOFING '��_
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING '
ELECTRICAL ROUGH-IN •
INSULATION: /
FOUNDATION \ //•
FLOORS /
WALLS 1
CEILING /
FINAL INSPECTION: /
CHIMNEY HEIGHT ;r
ROOFING /
SIDING ;1/
EXTERNAL PORCHES/STEPS ,
STAIRS-CLEARANCE& RAILS,.
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS,
FINISHED FLOOR
GARAGE FIREPROOFING
DOOR CLOSER
SMOKE DETECT S
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:
10.' -
vim•
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR SPECTION RECEIVED
NAME /
LOCATION / /Gi 1- i ( -7-'4``-� I rI-i)A
DATE r/'C7(2 --�f PERMIT # s j' 7O
•
! APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL A
/ )1.
(ROUGH PLUMBING //,,r 4{41 ,e d 1 �
FRAMING h>
ELECTRICAL ROUGH-IN -"
INSULATION:
FOUNDATION
FLOORS
WALLS
•
CEILING '; I.
FINAL INSPECTION:
CHIMNEY HEIGHT �`
ROOFING r \
SIDING e \
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
1
FINISHED FLOORSy
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS •
FINAL ELECTRICAL INSPECTION '',
FINAL APPROVAL OF CONSTRUCTION
•
A SIGNEDICERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
•
INSPECTOR
•
•
awn of Queenahur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME
LOCATION ."ry 4-7 Lf et"
DATE -/1-/�' i PERMIT NO. �(Y-
L
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 PI'S4Nuinber of) 1-7
Size- <, ft. X61 ft,. 'AGravel size , ;. 4) —
PIPING: Si �( Type /
Bldg. to tank k.
z� ,,-' „/jt !!/V
Tank to dist. box
Dist. box to field/pitG--
Openings sealed?.,' YES\ (NO Partial
LOCATION/SEPARATIONS:
Foundation to :tank _ (3 ft..
Foundation toabsorption ,{ft.
Absorption toi lot line 'ft.
Separation�of pits -7,cq ft.
LOCATION,OF ?SYSTEM ON PROPERTY(circle one)
Front -'Rear" Left side - Right side -
COMMENT �
-7,722, / //. j/c.
i
r L1
L tI
SYSTEM USE APPROVED; YES NO/
• Bu%ld-ing Inspector
01/86 and vl
911111A
J,�D Jown of Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME
LOCATION / -/6 6.,rLDh,10 C6/X7LO Ct
Date-J / b Permit No.
* * * * * * * * * * * * * * * * * * * * * * *
b' = APPROVED - YES / 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 Detector
Chimney
oundationn dat ion
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks---1 ti,1 to
c/6 .�J / C/ 1
/0"/
Building Inspector
6/86 and-vl
Jown of Queen4ur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME
LOCATION `y/
Date (tea / Permit No. FE,diD
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YE / NO
Footing/Pier Forms 1
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. Fireproofin•
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECT' CAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
r
' 15
U
10,111
uildinganspector
6/86 and-vl
QUEEN VICTORIA'S GRANT
QUEENSBURY, NY
8- 0 DIAMETER
5-0 DEPTH
2000 gal
130.24'
REFERENCE DRAWINGS
5A SITE UTILITIES
SEPTIC j WATER
VanDUSEN 4 STEVES
SURVEY PLAN
CLEAN OUT
TO GRADE
M \ �
\ n0
(js-4� � -,?,
I