1988-263 .. 0j n S. 4 '. - ..
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i
CERTIFICAT
E OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date July 9 19 90
(").)
, 6\ t )No./)._....... )\(if
This is to certify that work requested to be done as shown by Permit No. 88-263
has been completed.
This structure may be occupied as a pf two family dwelling
Location 10 Queen Anne Court - Model K - QuantaVictoria's Grant
Owner Gutaer Builders, Inc.
By Order Town Board
TOWN OF QUEENSBURY
/) 7L/114,. ...„-------
Building & Zoning Inspector
d
_ 'a BUILDING PERMIT
TOWN OF QUEENSBURY • b
No. 88-263
WARREN COUNTY, NEW YORK
ti
PERMISSION is hereby granted to Guyer Builders, Inc. ti
10 Queen Anne Court-Queen Victoria'sGrant
OWNER of property located at Q Street, Road or Ave.
co
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 !0
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
119 Dunning St.
Ballston Spa, N.Y. 12020 n•
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2. CONTRACTOR or BUILDER'S Name
Ai
to
Same
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3. CONTRACTOR or BUILDER'S Address
Same
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4. ARCHITECT'S Name
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DA
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) shy.
( Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications 0
No. 26'6" X 35'7" as per plot plan, specifications and application
including septic system and attached one-car garage - Model K
8. Proposed Use
two family dwelling
ti
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 Q ury this 23rd Day of May 1988
SIGNED BY / for the Town of Queensbury
Building and Zoning Inspector
+v LL %.vi•.ZuLi a+u ra. u.I d ....c..
TOWN OF QUEENS:3�;,.
// •Application No.
,Iowa of Queeniur, Permit Issued 19 ki L \V yy}
BUILDING and ZONING DEPARTMENT Permit Expires 19 ll
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation •
i 28 ¢JU(�
Queen$bylry, New York 12801 Variance No.
\ Site Pia Re 'ew No. BUILDING 8( CODE-MT-T.
\-� 1-,-a1r, Appr e
APPLICATION. FOR
BUILDING AND ZONING PERMIT — 6-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: 10 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, 1nc. Tel. (51B) 899-9161
Address 119 Dunning Street
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
* 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 BELOW.
see lot)-
* Size 'of .property 100± plane ft X 120 ft.
K * Existing building(s) Size N/A ft X N/A ft.
Model * • . .
PROPOSED BUILDING AND USE: g'-7l ' * Existing building(s) Use N/A
Size of new struc a 26'-6'ft X ft * ' •
Foundation-pier slab crawl/partial/full * Proposed building, distance from property line
30
circle one) * see plot plan
2 * Front yard + ft Rear yard 30+ ft.
No. of stories (habitable space) Side yards 15+ ft and 15+ ft
*
Height (grade to ridge) 23'-6" ft. If on corner, setback from side street 30+ ft
If residential, no. of families 1 of 2 *
No. of rooms(excluding baths) -4 * OCCUPANCY INFORMATION
No. of bedrooms 2 * PRIMARY BUILDING -
No.'of bathrooms l
One family dwelling This ppeermit. bei for
Primary heating system Baseboard electric*• Two family dwelling one slow o timing.
Type of fuel Electricity * Multiple dwelling / Number of units j.
No. of fireplaces to be installed Permanent occupancy ;
rill a wood stove be installed? No *• Transient occupancy
Central Air conditioning? No
*
Business .•
(UILDING 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 *
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? 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 -i`lopeo9flat/shed/other material .of roof Fiberglass shingles
Size, wood studs 2 "X 6 " spacing 24 "o.c. length 8 ft. extei,4r walls
Joists(floor beams) 1st. floor N/A' "x " spacing "o.c. span //A ft.
Joists (floor beams) 2nd. floor —2—"X 10 " spacing r6 "o.c. sipanI2'-4"ft.
Overlays(ceiling beams) 2 "x " spacing 24 "o.c. span12'-4 ft.
Roof rafters 2 "x 1 " spacing 24 o.c. spanl21-9ft.
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 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 -' o(G , , _ -- -
_ Owner, ownZleer' ent,arcnitect,contractor,
/,2 day of 4, I) 19 8g ADRIENNE J. PINDER
j Notary Public,State of New York
Z -4/":1-1-11- 1! Qualified in Saratoga County
i/�lC� No.4907592 •
Notary Publ L en County, N.Y.Commission Expires Oct. 13, 192I
* * * * * * * *h * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
;sue
1040 Square feet living
• 264 Square foot garage - one atoll
1304 • @ $7.00/1004or part of
$5.00 One stall garage
•
5.00 C/0 perulit
• Total •
By
c TOWN OF QUEENSSURY
---a "K"
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.
+ ang ALL of the following: .
•
. 4, 9;oss floor area 1040 S.F.
. 2. Type of heat Baseboard electric • .
3. Is the building mechanically.;cooled? No '
.
4. Percentage of area of windows and doors 12.33%
A. Over 16% Only
1. Uo value of gross area of walls, roof/ceiling and floors .
exposed to ambient conditions
2. Floor over heated spaces YES NO
a. Are foundation walls insulated? YES NO
• 1. If YES, what is the R value?
3. Slab on grade YES N,p-
• a. If YES-,. what is the K value of insulation around
perimeter of floor?
4. Is basement heated? YES NO
a. R value of insulation 0
5. Type 'of insulation
#. Under 16% Only
1. R value of roof and . loors exposed to ambient conditions
R-38
• 2. •R value of exterior walls XX R-23.5 U.=0.04+
3. R value of glazed area U.=0.30 •
4. R value of doors R-14.9 (U=0.06)
`
5. R value of floors over unheated spaces R=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) -Na__
. 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. K' value of duct in other areas
E. Piping Insulation- N/A
. 1. Size of hot water or cooling carrying agent pipe
2. R value of pipe insulation •
F. Service Water Heating • •
1. Performance efficiency N/A • .
2. Temperature control setting maximum
G. For Swimming Pool Only N/A
1. Maximum• heatinq
•
%.r./ .
Telephone No. (518) 899-9161
(applicant'. signature)
INTERIM BUILDING PERMIT
PERMIT APPLICANT vy .e,2 Foos, &v,'ae.e_S
CONSTRUCTION LOCATION aJ y, Cam, 8, to, :a " .�S/i/6 8 aoi aa', as, Q I- ---�z�-, ccm.c
EFFECTIVE DATE • �j�2.'/ 02 /9
APPROVED BY Z
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
• %Yawn. of Que1,41401/
APPLICATION FOR SEPTIC DISPOSAL PERMIT
Ref: S.P.E.D.S.
DATE 10-16-87 / permit #
New York - 0202525
MODEL K of K/C
LOCATION OF PROPERTY FOR INSTALLATION 10 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: ago 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: Cot require required / rate min. inch.
Domestic water supply: circle one: Municipal Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption — N/A feet
* PROPOSED SYSTEM: Septic Tank gal. (minimum size: 1,000 gal.) •
TILE FIELD: Each Trench N/A feet / Total system length N/A feet •
* SEEPAGE PIT(S): Number of / Size each feet by feet'
* Size of stone to be used # / Depth or Thickness feet
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
IMPORTANT * See S.P.E.D.S.
...Please...LIST NEW EQUIPMENT TO BE INSTALLED permit & attached
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * map.
(over)
Section II Septic System Inspections:
A. All applications for septic system installation, alteration or repair, as
required by the Town of Queensbury Sanitary Sewage Ordinance, shall •
be submitted to the Building Department at least 24 hours before start
of construction and shall include a plot plan showing:
1.) the proposed,location of the system
2.) location and distance to lot lines -
3.) location and distance to structures
4.) location and distance to any•whter 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 $250.00. •
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may result
in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installation,
alteration or repair of an approved system, a new proposal must.be submitted
to the Queensbury Building Department before further construction.
- c
I have read the regulations above and agree to abide by these and all requirements
of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
•
Signature of.responsible person: ,•
•
Date: • 1-1/1-
•
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
•
SETTI.'7,', 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD.PLACE TO LIVE
.'',D<..;ex MIDDLE DEPARTMENT INSPECTION AGENCY, INC. ,I.,,,,7L..,)
National Headquarters •
900 Haddon-Ave., Collingswood, N.J. 08108 •
APPLICANT COMPLETES THIS SECTION Date: 5--12 88
'OR;Town or r s1ail QUeenSbUry County Barrett State NY
Location/Address 10 0U8en Anne Court
(If Located in Rural Area-Please Attach Directions) Pole # 11
Owner GUYer. b"';.:llder'S ZIC. .-- " Permit # G.-03
Occupied As :3, ( ., - -- v tl-: i�/ Building: Newl .. Old Ell
Occupant
Work Area in Building (Floor #,etc.):.
App. for: Wiring F1 Service[f or: Ready for Inspection:
Fee Remitted-$ 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 V
of Each Size ,
Applicant's - ' . "" -
Signature License # rPern)it #
T/A Guyer F.:111C13rS 11.C. - Utility: 1 �,i,7%.) / /E" s r / /XS-
'
Applicant's Address: 119 3l g Street (NA E) (OFFICE LOCATION)
(City) ' -F+4 (State) NY (Zip) 12020 Service Request # „ K t:=�
Phone # 899-9161 •
Electrician: (473T/X 3 iilda_a- The,.
MDIA USE ONLY DATE RECEIVED: r }-� t- - DATE INSPECTED: 2- I f.
Correct Location: Same as Aboven or: V - •
Red Notice Label n
Rough Wiring Outlets Surface Unit / Oven
/ 7 Switches / Range / Garbage Disposal
7 Receptacles / Water Heater / Dishwasher
,_?_-ti-`:;Fixtures ' Air Conditioner /.Dryer
; Amp. Service Equipment Burner,Wiring &Controls for r 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 71/2 10 15 20 25 SO 40 50 75 100
Mark Number .
of Each Size
Elect. Heat 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
CERTIFICATIONS USE FOR INITIAL VISIT ONLY ' NOTIFIED DATE CORRECT
FEE PAID
❑ RW Progress: Inc. LKD❑ Contractors r t :
El CFT Violation: Work Comp.I I Inc. El " `
n L/A Owner V ' CASH ❑
•
Fee CHK #
n L/A • Due
1-1IPA. Municipal MO #
i . NV # 't i1r`'
Date: Other Side El ' Utility �...�,( pplicant
Owner ❑
Cut in Card 1-7 Temp # Date7-1
i, f`� st I `
�- r � ,>• I ' INSPECTORS SIGNATURE
I T •
Final # 2 .:f , „LI Date jar- `—• r.t,r_-/ ✓
• 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.
ITEMP.# IDATE
CITY OR COUNTY E�arren
VILLAGE Queensbury TOWNSHIP Queensbury
STREET AND NO.OR
ROAD AND POLE NO. 10 Queen Anne Court POLE NO.
BETWEEN WHAT TWO 1y
•
CROSS STREETS IS SECTION i'�— BLOCK LOT \J
PREMISES LOCATED? i /I 1 ,
OCCUPANT'S BUILDING 1 ^ \`' r(1,-� "
NAME OCCUPANCY d�
OWNER'S NAME ' TEL.#
AND ADDRESS Guyer Builders, Ic., 119 Dunning Street 899-9161
CURRENT
SUPPLIEDBY 1� .C��._ f`p 1 I\ .�. - FROM THEIR , V, OFFICE
BUILDING v WORK DEFECTS
IS NEW v OLD❑ IS NEW IA ADDITIONAL❑ REMOVED ❑
. LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No.of Fixtures& BRANCH OFFICE USE
NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS OCEY
Lose
tion Side Attech't Watts .W.G.
Calling Wall Recep'ls Switch Pendant Bracket No. Type H.P.h 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 inspected bunf at time of inspection 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 by the applicant.
SIZE OF ELECTRIC SIGN TOTAL;
MAINS • 150 Amp. FEEDERS LAMPS ' WATTS S ;
CHARACTER . EXPOSED GAS TUBE SIGN
OF WORK Bough in and service -`'` CONCEALED TRANSFORMERS OF VA
WORK TO BE - (NUMBER) (CAPACITY)
STARTED COMPLETED SIZE OF SIGN
SERVICE OVERHEAD UNDERGROUND MAKER
ENTERS CC OF SIGN
BUILDING �
INSPECTION REQUESTED •
PON OR AS OSSIBLE NEAR AS Will call
when ra 4 NEW OLD
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF O
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATIP J f1016,87
•
PRINT NAME AND ADDRESS SIGNATURE / //-''
NAME OF (��� OF APPLICANT / tea/ '/ .' ••,�# -....-
STREET Guyer Builders, Inc'
STREET ADDRESS CO y n TELEPHONE#
CITY OR �7 DE i2�12V LICENSE NO. •
WHEN APPLICABLE
POST OFFICE B?.l1 5'tflt'1 Secs- NY
46 EL (REV. 1/86) - A SEPARATE AP,PLICATION MUST BE FILED FOR.EACH SEPARATE Brill,y �OT
ieiP-VJ•~0•tfJh•VJ "km,' N.JN•VJ4•VJ•C•, \a J s•V tfIrravo v JWVJillRmJw•v JlO u
CMIDDLE DEPARTMENT-RINSPECTION AGENCY, INC.
900 Haddon Avenue Collingswood N J 08108
[t•
' ,f� .-- r..,:lt..'J�Jr-----' ` r �, Date May 20, 1990
., -. ' .
- Certlf leg that the,electrtical equipment listed has been examined and:�is approved as being in accord
with the National Electric I Code, applicable governmental, utility and Agency rules. C
( I : ;y• '' " , : ;\ ' O -- 2(o3
(ti Owner: Guyer Builders Inc Y i ;•rr ,.;P .� ,� Occupancy , Dwelling \ U C
Occupant: Single Family f i t .m ) " ..,
c Location: 10 Queen Anne]Cour't,? Queensbury =(War`ren-Co) is-certlficate covers the electricalequipment and installation inspected this C t ::� date. If additional equipment ishoutd be introduced or alterations made to
'!•jt t`. '`, existing system this certificate shelf be null and void. and application for
�� inspection should be submitted promptly to this Agency. C
c Equipment: 74 Outlets; 3}7 'Receptacles; 20,,Fr xtures,J $`Holder of this certificate should present same to his property insurance carrier
150 Amp Service, .y6 Appliances, 2 Vpi ent Fans '(agent or company)asevidenceof+certification of electrical equipment approved 1
as specified.,
a ;�, e
C �. ' ,,/ C
I
C' Applicant: EGuyer Builders ` `w' a '119 Dunning Street - `�-4 m NyO. 16-029118
•
1 Ballston Spa, NY 1202f3't= •:7r,„yr ", �- C\
Form No.703 EL 1.83
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHON (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FO' INSPECTION RECEIV ;•' f/5/,`/(J
NAME /.iy,,
LOCATION ,/'y /„LLf 2 t7
DATE 7/ 9U PERMI # 0 0 %1
!
APPROVED
YES NO
FOOTING/PIERS '•,
MONOLITHIC POU". FORMS i
FOUNDATION/DAM• PROOFING/
BACKFILL APPROVAL I
ROUGH PLUMBING j
FRAMING I
ELECTRICAL ROUGH IN I
INSULATION:
FOUNDATION
FLOORS f
WALLS f •
CEILING I
XFINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING 1 '
SIDING
EXTERNAL PORCHES/S•.EPS
STAIRS—CLEARANCE 61 •AILS
PLUMBING FIXTURES R' LIEF VALVE
INTERIOR TRIM/PRI AdY DOORS ✓
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S) I ✓✓
SMOKE DETECTORS'
FINAL ELECTRICAL INSPEC ON
FINAL APPROVAL 0 CONSTR. CTION
- OK TO ISSUE C/O l►R C/C
A SIGNED CERTIFICATE OF O( CUPANCY MUST BE
OBTAINED FROM T'E BUILDINL, DEPARTMENT BEFORE
THESE PREMISES RE OCCUPI �!
REMARKS:
(771 T tfl9li
ARRIVE 07)
� I
DEPART
• INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280k
PI
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST OR INSPECTI ECEIVED q i
NAME
1nJ ��&( .
/ ebit,
LOCATIO / � 0i
DATE ]�-7/1/gC� PERMIT/# 8e3—�03
j J / • APPROVED
,l YES NO
r
FOOTING/PIERS F ,
MONOLITHIC POUR FORMS I
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL ;
ROUGH PLUMBING f
FRAMING ,•
ELECTRICAL ROUGH-IN11 I
INSULATION: a
FOUNDATION
FLOORS . . . f . . f
WALLS 1 • i
CEILING j j $ '
FINAL INSPECTION: 11
CHIMNEY HEIGHT /
ROOFING 11'
SIDING j1
EXTERNAL PORCHES/ TEPS
STAIRS-CLEARANCE &RAILS
PLUMBING FIXTURE /RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS __
GARAGE FIREPROO INGI
DOOR CLOSER(S) -,
SMOKE DETECTOR k
FINAL ELECTRICAL INSPETION' '
FINAL APPROVAL O CONSTRUCTION
- OK TO ISSUE C/O IOR .C/C
A SIGNED CERTIF CATE OACCUPANCY MUST BE
OBTAINED FROM T E BUILDING DEPARTMENT BEFORE
THESE PREMISES RE OCCUPIED!
REMARKS:
\\ .
•
r- j
ARRIVE /1' O
DEPART /00
INSPECTOR
if /exOkits
Jown of Queenilurcy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98 �o?:y�
Queensbury, New York 12801
03
SEPTIC DISPOSIAL SYSTEM INSPECTION
NAME .(7k,.%l.,i
LOCATION -/X //
DATE /g1IIi PERMIT.,NO. p -P,03
SOIL TYPE - San - Loam ,- Clay -
Percolation est 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 PITS4Number of) j_
Size- gi ft. X ir_ft. r
Gravel size
PIPING: Size Type
Bldg. to tank y-6
a Pvc�
Tank to dist. box 6 `!�T
Dist. box to field/ 1 NO Partial
Openings sealed? iNaiiN
LOCATION/SEPARATIONS;
Foundation to tank ( ft.
Foundation to absorption t•
Absorption to lot line f
Separation of pits,/ t•
LOCATION OF EM/ ERTY(circle one)
1
Front - R r - Left side - Right side -
COMMENTS , /,
U ki/ 'a `ti
i
SYSTEM USE APPROVED ,
Bui d I spector
01/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS /1141( r
QUEENSBURY, NEW YORK 1280i
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST R INSPECTION RECEIVED
NAME
LOCAT ON
DATE PERMIT #
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
1//):UGH PLUMBING L'
MING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION t
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:
/ /
•
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT p____Jrn
•
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT •
REQUEST FOR INSPEC ION RECEIVED p 7 F-9
NAME ✓ �!�� (II�J
LOCATION //e) L „ C 9 /
DATE - PERMIT # S �S 6 3
APPROVED
YES NO
FOOTING/PIERS
1„.F1ONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBT\G
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION ,•�
FLOORS \
WALLS
CEILING \ /
FINAL INSPECTION:' /
CHIMNEY HEIGHT ,.F
ROOFING r'
SIDING <
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIX1URES/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:
•
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION %l/
DATE �� ?�S l PERMIT # c- --9 7,J
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
(/ROUGH PLUMBING a,,,,L ,{ a'
FRAMING 4�
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:
n )
INSPECTOR
Jown o/ Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME
r ale a/5
LOCATION ia4 ae4g,A 4,,,-1
Date ,3/ /W Permit No.. FK'e(p.3
* * * * * * * * * * * * * * * * * * * * * * *
✓ = 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
>OINSULATION:
QFoundation v
Floors
Walls
Ceiling
FINAL ELECTrICAL INSPECTION
DRIVEWAY AP'ROVAL
Final Buil.ing Survey
Next scheduled inspection (call when ready)
Remarks-
idil
i ding In ector
6/86 and-vl
_Down of QUQCJFU,J
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME z l
LOCATION Jp ,✓, 624v4e., C•_
Date / Permit Noa' ,,3
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED Y S / NO
oting/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railinvs
Cellar Drain T'le
Concrete Floor_
Plbg. Fixture•.
Gar. Firepro• ing
Door Closers
Smoke Detect•rs
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
,J1)
uilding Inspector
6/86 and-vl
C. O.T. G.
�o'N
00
QUEEN VICTORIA' S GRANT
QUEENSBURY, NY
REFERENCE DRAWINGS
5A SITE UTILITIES
SEPTIC 4 WATER
VnnDUSEN j STEVES
SURVEY PLAN
6'- 0 DIAMETER
9'- 0 DEPTH
2000gai
�14.94'
C O.T G
(CLEAN OUT
TO GRADE)
4 ^�'
�r
2