1988-264 ',fir _ s. .%f�.l`. , ...�. .�I.4t. <. l,y. :` r,•.. `. � ..i . .,ol-...:.c•,:.'"c.:ry: ..•y••y- '
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date November 21 19 8.9
This is to certify that work requested to be done as shown by Permit No. 88-264
has been completed.
This structure may be occupied as a a of two family dwelling
Location 12 Queen Anne Court - Model C - Queen Vtictoria's Grant
Guyer Builders, Inc.
Owner
By Order Town Board
TOWN OF QUEENSBURY
/(/'
ri
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-264
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Guyer Builders, Inc.
i
OWNER of property located at 12 Queen Anne Court—Queen Victoria 'sGrant
Street, Road or Ave.
in the Town of Queensbury,To Construct or place a 4 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.
z
1. OWNER'S Address is D
119 Dunning St.
Ballston Spa, N.Y. 12020
n
2. CONTRACTOR or BUILDER'S Name
ti.
w
Same
to
3. CONTRACTOR or BUILDER'S Address
ri-
Same
4. ARCHITECT'S Name
D
5. ARCHITECT'S Address
(D
0
6. TYPE of Construction—(Please indicate by X)
rt
(X)Wood Frame ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications
No. 30' X 30' as per plot plan, specifications and application
including septic system and attached one—car garage. — Model C
8. Proposed Use
1-h
of two family dwelling ri-
0
a
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.) sZ
ti
Dated at the Town of Queensbury this 24th Day of May 19 88
SIGNED BY for the Town of Queensbury
Building and Wing Inspector
��]] I/ Application No.
.:Joir/ii O� q�ueendbury• Permit Issued 19 D . J WI 1_: 1-:-. ,
BUILDING and CONING DEPARTMENT Permit Expires . 19 4 J
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation • :Ip 2 8.1988
• Oueenslayry, New York 12801 Variance No.
A Site Plan Review o. . .. BLIILDINg.& CODE D� T.
N/ at :)- Appr ved 87 .r�..-e C,O. . ,
APPLICATION FOR
EUILDING AND: ZONING PERMIT ` ,. - _ C. ,ii3O
* * * *. *' * * * * * * *, * * * * .:* * * * * * * * * * * * * * * * * * * * 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, Inc.
P.O. Address 119 Dunning Street Ballston Spa, New York ' 12020 'Tel. (518) 899-9161
Property Location: 12 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, 1nc.Address 119 Dunning Street Tel. (518) 899-9161
Name of mason Guyer Bu lders, inc.Address 119 Dunning Street . Tel. '(518) 899-9161
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
•
X -Conruction of a new building it
st 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 ..
* 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 BE Ele0W.
* Size of'property pganp ft x 120 ft.
G
* Existingbuilding.(s) Size N/A ft X N/A ft;
Model
PROPOSED BUILDING AND USE: of * Existing building(s) Use N/A
Size of new struc e 30 ft X 30 ft *
Foundation-pier slab crawl/partial/full * Proposed building, distance from property line -
* see plot plan
circle one) 2 * Front yard 30+ ft Rear yard 30+ ft. .
No. of stories (habitable space) * Side yards— 15+ ' ft and 15+ ft
Height (grade to ridge) 22' - 6" ft. If on corner, setback from side street 30+ ft
If residential, no. of families 1 of 2
No. of rooms(excluding baths) — * OCCUPANCY INFORMATION
No of bedrooms 2 *
* PRIMARY BUILDING -
No. of bathrooms 2 One family dwellings �� ]lei g_fo_r
P imary heating system Baseboard electric* Two family dwelling ones e o miming
e of fuel' Electricity
*Lae * Multiple dwelling / Number of units
No. of fireplaces to be installed • permanent occupancy
Will a wood stove be installed? No * Transient occupancy
Centra'. Air conditioning? No *
* Business
.
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
* Other
' • Ranch Contemporary Lo. cabin * if addition, what will use' be?
Raised ranch Mansion Duple .
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• $_,��t *
INFORMATION ON .BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!.
Form EPA 4/86 and-vl
. . . .
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. , . • ." . . . • . • . ._ .
. . • , . ' . .
' . .
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.. '.BUILDING PERMIT APPLICATION CONTINUED - . . . . ' , . • • •
. . :
BUILDING SPECIFICATIONS,
- . .. • , . ..... .. , ._., ,..,
• , ,...,..
. .,
. - .
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- Type'ofconstruction, 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) . 481!
-Willthere: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.ofroof 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. spanN/A ft.
Joists (floor beams) 2nd. floor —2---"xTO-Th spacing 16 "o.c: spanI2--ft. ... . . . .
Overlays(ceiling beams) - 2 A'x ETi spacing 24 "o.c. span 14 ft. . .. -
. .
Roof rafters 2 "X 10 " spacing 24 o.c. -siTa—In4 ft.' . .
. .•
. . .
. .
.- Roof trusses(pre-engineered) ' spacing 24 "o.c. span N/A ft. . .
Exterior'wall' finish . stained ' Of what material? ' 5/8" x 4' x 8' texture' lll
Interior wall finish paint. i/4" 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-land 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 TiTirTet.- ..
Depth of fireplace hearth .N/A ft. in.
. . .. .
Water supply. Municipal or private well municipal 1 '. ' . .
' SEPTIC SYSTEM Distance froM ANY private welI(including adjoining properties NIA 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 . .
AF .FIDAVIT 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, area true and . . - .
complete statement of all proposed work to be done on the described premises and that ill . .
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
//f /21
authorized, by the owner. ' • -
, .
. . .
c,
. .
SWORN TO BEFORE ME THIS Signature i ,-i !;2,m__2r__ . • . •
Owne;IrLer's ag t,architect,contractor
/5 ,
• day of 49 19 ‘ .. .
•
ADRIENNE J. PINDER , - .
) . . . . . .
. 21(-41/e2---- - Notary Public,.State of New York .•
• Qualified in Saratoga County .
- •
, • • . No.4907592' • • • - •
, Notary Public jrier--r-eR County, N.Y. Commission Expires Oct. 13, 195..V • .
a * * * * * *1-* * *CiTlai * * * * * * * * * * * * * * * * * * * * * * * * * * * *. * * * * # .,,,,,„.
, ...,...,. ,..........„ , ..._ . .. . •
SPECIWCONDITIONS,OF THE PERMIT: :- . . . . . •
. .
--7- 7frzT,y..,0 • .
975 Square feet living . •
- .
264 Square foot garage - one stall . ... . . i
i . 1239 @ $7.00/100clor part of
. .\
/ • •
• $5.00 One stall garage .. .
. •
$5.00 WO permit
•
.. .
Total •
,..,'..iA',-, • -._ . . •
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..ils 5tc.t.-.,?• _. .
.. . ,. :_-- • , • . -
, ... .
.„ . . .
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By
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' . •'• ••••• ' . . .. . ..• -
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• .. . _ .:. ..... . .. „ •. • . . . •. .
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• . . •
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TOWN OF. QUEENSBURY "C"
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§WZR ALL of the following: .
. Gross floor area 975 S.F.
•
. 3. Typo of heat Baseboard electric
3.. Is the building mechanically'•; cooled? No
4. Percentage of area of windows and doors 11.1%
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 - -
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 KK2OX R.23.5 U.=0.,04
3. R value of glazed area U 0.30 •
4. R value of doors R-14.9 (U.=0.60) •
5. R value of floors over unheated spaces g�19
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. Al 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
(applican ' signature)
girl& Of Olteakigani
APPLICATION FOR SEPTIC DISPOSAL PERMIT
Ref: S.P.E.D.S. _ -
DATE 10-16-87 / permit 4/ .
New York - 0202525.'
MODEL V'- of K/C .
LOCATION.OF PROPERTY FOR INSTALLATION 12 Queen Anne Court
Owner's Name: Guyer Builders, Inc. Telephone: (518) 899-9161
Address: 119 Dunning Street, Ballston Spa, New York 12020 V
Guyer Builders, Inc (518) 899-9161
Installer's Name: y Telephone:
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: CEMPRolling 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: (t 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 stru5tures
4.) location and distance to any'Cvhter 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: . --,17/7(
Date: .4`14--
•
Town of Queensbury
Building and Code Department
•
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
•
4 .
SETTLED 1763 . . . HOME QF NATURAL BEAUTY A GOOD.PLACE TO ':
INTERIM BUILDING PERMIT
PERMIT APPLICANT c,y -e2 Ei2os . v."��•e.�S
Qa.tesi cem-c
CONSTRUCTION LOCATION a1 y, ( $, �� �a .�r;� �� .Pc;) .aa.) ay •I- -n-c
EFFECTIVE DATE %a.'/ . 02 /9
APPROVED BY •
SPECIAL CONDITIONS :
This will certify that all submittals for a Building
Permit have been received and fee has been paid .
During the processing of the Permit, the above named
may begin construction per plans submitted . It is the
responsibility of the applicant to obtain the Permit
from the Building Department, following processing .
POST THIS INTERIM PERMIT IN A CONSPICUOUS OCATION ! !
. . z/e2 . . . . . .
Building & Codes Department
TOWN OF QUEENSBURY
e
MIDDLE DEPARTMENT INSPECTIDN AGENCY, INC. -�-National Headquarters
900 Haddon Ave., Collingswood, N.J. 08108
APPLICANT COMPLETES THIS SECTION Date: 5-12-83
NY
Town or 'K4 fC E' S'k ry County �'a ren State
Location/Address 12 Queen '1e Court
(If Located in Rural Area- Please Attach Directions) Pole #
Guyer Builders Inc. r
Owner Permit # d
Occupied As - / i; -- ::. ./-.r (,/ - Building: NewE Old'
3 f
Occupant
Work Area in Building (Floor #,etc.):
App. for: Wiring 0 Service[I or: Ready for Inspection:
Fee Remitted-$ 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 11/2 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 ( tyt r Rti11r�(lens Trfra Utility: /V,' Y' t C./ Z"Jf' , JX /f •_
Applicant's Address: 119 r i o Str 'eL (NAME) (OFFICE LOCATION)
1u
(City) P4411,tar; SDP (State) .:31T (Zip) 12020 Service Request # P-.0 /�/
Phone # 899-9161 Electrician: Guyer Puilders Inc.
MDIA USE ONLY ti r" t' - -`1_- - s '
DATE RECEIVED: /f - a=--fe) --� ' DATE INSPECTED: ' '
Correct Location: Same as Above n or:
• Red Notice Label n
__\ Rough Wiring Outlets /Surface Unit / Oven
)-"Switches / Range I Garbage Disposal
1-7 65 Receptacles /Water Heater • / Dishwasher
::)Fixtures Air Conditioner / Dryer
,/ r';-- ) 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 Ph 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
i
❑ RW Progress: Inc.FE-"'`-~ LKD❑ Contractor <" E=-' -=' r' C)C
❑ CFT Violation: Work Comp. ❑ 1�
❑ Inc.
n L/A Owner CASH El
n L/A Fee • CHK #
Due MO #
n IPA Municipal INV #
r.-� f / Applicant n
Date: Other Side❑ Utility �1--=�'' ❑
Owner
h! !1 i
Cut in Card Temp # Date i_i/
." ;:.y 9 =? ,-:::',2 .-�� 7 w INSPECTORS SIGNATURE
i.� FPfial # s �J r^ Date f -,-7-� ' 0, '
APPLICATION FORM NO.250 EL 11/86
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
NATIONAL HEADQUARTERS:
900 Haddon Ave., Collingswood, N.J. 08108 (609) 858-4400 -
•
DELAWARE NEW JERSEY •
1815 Newport Gap Pike. 1030 Kings Highway North 1525 Cedar Cliff Dr.
Marshallton, Del. 19808- -- Suite 310 Camp Hill, Pa. 17011
(302) 999-0243 - Cherry Hill, N.J. 08034 (717) 761-5340
(609) 667-9200
203 N.E. Front Street 1542 Bristol Pike
P.O. Box 306 350 Grove Street U.S. Route 13
Suite 105 Rear Entrance Grove XXII Corner Bensalem, Pa. 19020
Milford, Del. 19963 Bridgewater, N.J. 08807. - (215) 244-1919
(302) 422-5729 (201) 526-0880
(302) 856-2218 Route 19, North
26 S. State Street P.O. Box 136
Hackensack; N.J. 07602 Wexford, Pa. 15090
MARYLAND (201) 487-5373 (412) 931-3028
(412).935-1558
Milford Professional Bldg. Route 9
3610 Milford Mill Road Marmora, N.J. 08223
Baltimore, Md. 21207 (609) 390-1940 VIRGINIA
(301) 922-1122
3076 Shawnee Drive
Burch Oil Co. Bldg. . NEW YORK Winchester, Va. 22601
E/S Route 5 (703) 667-8484
Charlotte Hall, Md. 20622 - 803 Utica-Street
(301) 645-2219 . P.O. Box 145
(301) 884-4547 Oriskany, N.Y. 13424
(315) 337-3480
Washington Co.
Office Bldg., 460 State Street
33 W. Washington Ave. Suite 308
Hagerstown, Md. 21740 - Rochester, N.Y. 14608
(301-). 791-3.190 (716) 454-5191
Hitch Bldg-. Room 203 243 Margaret Street •
636 S. Salisbury Blvd. Plattsburgh, N.Y. 12901
Salisbury, Md. 21801 _ (518) 563-2835
(301) 749-0641
PENNSYLVANIA
Room 301 Main Street
Court House 121 W. Tenth Street
Elkton, Md. 21921 Erie, Pa. 16501
(301) 398-5200 (814) 452-4604
Routes 404 & 662 18 N. Wyoming Ave.
Wye Mills, Md. 21679 • _ Room 204 •
(301) 822-8300 Kingston, Pa. 18704
(301) 758-0958 (717) 288-4906
NOTICE TO APPLICANTS: Final inspection and approval may be required by law before electrical current may be energized for use of
occupants. The Agency undertakes to provide inspections until final certification is granted if such requests are made within 120 days
from date of the last inspection. Upon expiration of 120 days from the date of the most recent inspection, all duties and obligations
owed by the Agency shall be deemed completed, and all fees paid by applicant shall be deemed consideration for services performed. No
further inspections shall be undertaken by the Agency without filing of a new application, and the payment of relevant inspection fees.
No final certification shall be implied or inferred without issuance of a duly executed certificate.
The Agency in accepting application for inspection cannot assume responsibility for unavoidable delays in inspection.
"100 YEARS" PROTECTING THE CONTRACTOR AND THE CONSUMER. -
•
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS. .
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. �} 1t its`
3 TEMP.f 'DATE I " ^ )1 U� l
CITY OR {�,��,�
VILLAGE Queensbury TOWNSHIP QueeX1Wbury COUNTY 4' rren
STREET AND NO.OR
ROAD AND POLE NO. 12 Queen Anne Court POLE NO.
BETWEEN WHAT TWO
CROSS STREETS IS
PREMISES LOCATED? SECTION I �� 1 BLOCK 1 LOT
OCCUPANT'S BUILDING 1 -
NAME Inc., 7 OCCUPANCY \ D--- ,t�•" f(-to.(,J1/4s,
OWNER'SND ADDRESSNAME Builders, In119 Dunning Street TEL.# 899-9161
AND Guyer
CURRENT ^ -
BYPPLIED '� �,_ d `;�A-�� ` FROM THEIR 1 OFFICE
yl1-a ' i' .� .
BUILDING WORK DEFECTS'NEW® OLD❑ IS NEW a ADDITIONAL❑ REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No.of Fixtures& BRANCH OFFICE USE
NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS
Lam- ONLY
•
tion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recap'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 t\ a 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 fee to coveriel additional-equipment,a provided by the applicant
SIZE OF ELECTRIC SIGN TOTAL
MAINS 150 Amp_ FEEDERS LAMPS WATTS
CHARACTER t1 • EXPOSED GAS TUBE SIGN _ -, !
OF WORK Rough
h 1inand S'pririre ',CONCEALED TRANSFORMERS OF VA :
WORK TO BE - (NUMBER) (CAPACITY)
STARTED COMPLETED SIZE OF SIGN
SERVICE OVERHEAD UNDERGROUND MAKER
ENTERS
BUILDING XX3C OF SIGN
INSPECTION REQUESTED - n
-ON OR AS NEAR AS RI
--{{�]��}} [[''' _((�� NEW 1 1 OLD 111
AVOIDazt
V DELAY BY GIVING F(I�CXND A-C T NFIIRN(ATAIYALL SPACES - DATE OF n- ` 9
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATIO 10-16-8
PRINT NAME AND ADDRESS !=:�' f
NAME OF '�..�ry s(SIGNATURE f!N.f r�// `
--� APPLICANT Guyer Builders, Inc. /e OF APPLICANT' �f ✓'`,"1 a-
STREET ADDRESS TELEPHONE#
CITY OR - - ZIP LICENSE NO. •
POST OFFICE CODE WHEN APPLICABLE -
46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
•
'''Pf:-.77‘‘..,4‘....... ...A.,4....“....—...m,4‘.,LA....,togt v Le tidil.‘, N., "tx 'l,(Ask,t.1 km/afaakni•Vs‘,ciatiNtk,o"7"\—la'7.1.: tf...‘r/
( MIDDLE DEPARTMENTINSIECTION AGENCY, INC. ff-aqe/
...,,,-01;ii.:A4-iiii*-44,,,,va.:,..x......
e• „:„.,,,,- ...._:- 7 - -'--- -'")•(1.-te." -,
g-;';".-,-::: ... Date November 9, 1989
C) ..
listed has be.........,
tertifir5 that thOelect(ieated'uipment n dxarrii.tied'ET;Qs approv'ed as being in accord
ei
( with the National Electria(doSe':ia15-plicable_governmental, ,utility aridlitpcyIirs.
ii,/41 r(p.':',",,,\ 4,!,:l tyln4.0. Pli' ..4.*:`.. D\ if V I)
f; Owner: Guyer Builders Ac-, t,-,..".:AA, ,,Y-.3.; ..?;.: ,,'.•:- ,„1,-,0cdupw)cy:Vi.,we An -..-A
-- \,....A „liv-,/ ..;k ;4* ''",Ai Lil
Single Fam4yil 0 U'' .'"4' 4.....q.,,,,,,,,: -'.'i,3 td-1 i*,,::P.ii;21LI.,„.‘4,1 —
P
Occupant:
J , - F,,,
C Location: 12 Queen Ante .oRrt, QiieensbUrp4 AiMP4i srlil NY.........__it_,i-LLCrtificate e'O;iiir, ttireleciriclAquipment and installation inspected this C
't VA 11)'' \ ' date. If additional equifikentishOtild. be introduced or alterations made to 1
existing system th4 cart-Ocala 4.91) be null and void, and application for
(P E q u i pme nt: 80 Outlets; 40, 13.ecept\ac les; 20,Eixtureskim inspection should sdbmitt9d pptly to this Agency. .
\ '' \ g kg:',":3 v^c ma,ri g _ ,solder of this ceitificate sh9Uld,Kesent same to his property insurance carrier 1)
150 Amp Servi0; \B Appliances (agent or co7 y)as evilencal ertification of electrical equipment approved
\:b \ as specified. e
I -,,„1„, \
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.... /„4,-r•
-,//.„,*
I
-.,*.i, •,.., ......_ ,.------
C Applicant: I—Guyer Buildersinc.>-_ ZCI.------ oks ..,...,----..4,...7
_ q.-a brii tr,,,6 i s a,.....- ,,,.f,--,-;,
119 Dunning S tree t'-'-..,,-,7-nkr,,,,,..., -----------„, No. 15-029119 C.
( LBallston Spa, NY 12020 ,11M7M.r. '''''''''
. )
.1 .n. ck. .0-1 n. "Ink il 61 .11 ,11‘1•4 Lail 1-1 ".Ck c-1. ,C,C131,40,r\n sa 4 i",‘14. 101. ‘"\ Ant-UtOr.‘"\ g‘sakian g4ZaA .1:;,.-, ..j.. is..
.I4%......."
Form No.703 EL 1-83 -
twnes .14OhIJScc��Do o Queen91urcy -
BUDING and ING DR
Bay IL and HavilandZON Road, R.D.EPA 1 BoxTMENT 98 �07:5��
Queensbury, New York 12801
.03 .
SEPTIC DISPOSAL SYSTEM INSPECTION `
NAME /� 2
LOCATION ;' C?��//tJ ,
DATE //g'`/i 0' 'PERMIT NO. Q' -- 4
SOIL TYPE - San -Loam - Clay; -
Percolation est Required? YES - NO
Percolation rate - ,Min/Inch
j
}
TYPE of SYSTEM: i`
Absorption field, total leng h
Length of each trench `, •
Depth of trenches • ,/
Size of gravel / •
SEEPAGE PITS{Nuinber of) :' '
Size- 2 ft. X R' ft. g+ eg.„ e
Gravel size t q - #`3 1 .
PIPING: Size Type
Bldg. to tank y G ,'o4, -;a-Pvc_.
Tank to dist. box 6=� 'I .
Dist. box to field/. 4( "
Openings sealed? 443r4P. NO Partial
t
a
LOCATION/SEPARATIONS: , ,
Foundation to tank j` 1 ft.
Foundation to absorption ' t.
Absorption to lot line ; f
Separation of pits t. -
LOCATION OF EM ERTY(circle one)
Front - R r - Left side -Right side -
COMMENTS
4,
d
c
1
r1
i
I;. i
SYSTEM USE APPROVED elp
'+
Bui d I Spector
1
ti •
01/86 and vl
,t .
MIDDLE DEPARTMENTlumbmgTIO AGENCY,oN
Electrical-Buil/d�ing,
Labe ien Alf
SOOF d785 /
• 11 Ali,
Date
‘WallIPP‘
ector
T constitutes certification not the equip-
ment
at the
t above installation,has°been visually inspected
itself, pursuant to the applic-
as of this s If p additional equipment
able codes introduced or alterations
should be existing system or stuc-
made to the inspection should
t b application for this Agency.
be submitted promptly
TOWN OF QUEENSBURY `v
BUILDING AND CODES DEPARTMENT � e
\ BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- j4n^
)' V �
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED CI, --00,z-r-N'�'
NAME
LOCATION 1 1 l•-..)i 1 4 .
DATE q - 4) PERMIT # S^
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN '
G-INSULATION:
FOUNDATION
FLOORS
WALLS j.' 1' -
•
CEILING i - `, • L-/
FINAL INSPECTION: .\
CHIMNEY HEIGHT , ;'W
�;
ROOFING Y •
SIDING
EXTERNAL PORCHES%STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRI�M�/PRIVACY DOORS
FINISHED FLCIORS
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:
0.1
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT 41t1( '
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST j R INSPECTION RECEIVED
NAME �LOCAT2.1....g.i
DATE 1, (2)1C1--;--Z//61/1?.‘2-4.
IS Al: PERMIT # - ,,j to
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL,
1OUGH PLUMBING \
XRAMING i ----'
ELECTRICAL ROUGH-IN\ ''
INSULATION: `'a
FOUNDATION
r
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:
/ -IPr l rr-- /l-
;S i , 1 J(\
' /f
1
s:'
�r
�,
1 'i I
I INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS ?fn..
QUEENSBURY, NEW YORK 1280�
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT •
REQUEST FOR INS ECTION RECEIVED
NAME / A_
LOCATION /d, l 7,ue Owl
DATE 6 __aS -W-q PERMIT # ( -ec-�6 J
• APPROVED
YES NO
FOOTING/PIERS
t,-f(ONOLITHIC POUR FORMS-
FOUNDATION/LAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS \ '
CEILING
FINAL INSPECTION: VA
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 APPROVA OF CONSTRUCTION',
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
•
INSPECTOR
Jown of Queenitury •
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
, BUI++L.. D-- ING INSPECTOR ' S REPORT
NAME +'
LOCATION . I3 QL CAL
Date l42-2,/ C, Permit No.
* * * * * * * * .* * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill •
Framing
Roofing 7f
Siding
Masonry Veneer °. ��
o ugh Plumbing L .2-R i /` )
Relief Valves
Ext. Porches 4, r •
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 ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
•
Buitdin spector •
6/86 and-vl
Jouin of Queenitur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME - ��
ç ,.sole 1/-
LOCATION OS
Date /b9 //g4i Permit No. (f p4
* * * * * * * * * * * * * * * * * * * * * * *
✓ = 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 Detectors
Chimney
?0INSULATION:
)QFoun dation !�
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPRI AL
Final Buildin: Survey
Next schedu ed inspection (call when ready)
Remarks-
i ding In ector
6/86 and-vl —
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS /2,
rl
QUEENSBURY, NEW YORK 12809-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR// �INSPECTION RECEIVED
!
NAME K/���c )
LOCATION �4 (/ /I n - -X
DATE //'��� 2 PERMIT # 11 f' G.�9
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING _
ELECTRICAL ROUGH—IN '
INSULATION: i
FOUNDATION `+ s'
FLOORS
WALLS ,CEILING
.
FINAL INSPECTION: 1, r"
CHIMNEY HEIGHT 1
ROOFING ✓
SIDING /
EXTERNAL PORCH.'S/STEPS ✓
STAIRS—CLEARANCE & RAILS ✓
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING c
DOOR CLOSERS) 1"‹;-
SMOKE DETECTORS ✓
FINAL ELECTRICAL INSPECTION '.
FINAL APPROVAL OF CONSTRUCTION
A SIGi. ID -( '..c 'IFICA:r _ 7II�: isr
OBTAINED FROM THE EJ..LDING :. ...,PARThENT BEI )RE
THESE PREMISES ARE OCCUPIED!
REMARKS:
INSPECTOR
.awn of Queeni4ur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME ��
LOCATION /eg L(��� 6 -
Date ( ( / Permit No. Wg-A,CI
* * * * * * * * * * * * * * * * * * * * * * *
�� sr = APPROVED - YES / NO
"Footing/Pier Forms (/'
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Venee
Rough Plumbing
Relief Valves �---
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railing.
Cellar Drain Ti, e
Concrete Floor-
Plbg. Fixture:
Gar. Firepro.fing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls /
Ceiling
FINAL ELEC CAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
n
Vu' n Inspector
P
6/86 and-vl
COTG
O
00_
QUEEN VICTORIA' S GRANT
QUEENSBURYl NY
REFERENCE DRAWINGS
5A SITE UTILITIES
SEPTIC 4 WATER
VanDUSEN 4 STEVES
SURVEY PLAN
B'- 0 DIAMETER
9-0 DEPTH
2000gai v
142.94, �
C O.T G �
(CLEAN OUT
TO GRADE )
�T
2
PLOT PLAN 4 SEPTIC SYSTEM
GUYER BUILDERS, INC QV-22
DWN ; 144 ►2- l5-87 Sca1Q 1 20' 0