1988-257 mom.
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date February 5 19 90
This is to certify that work requested to be done as shown by Permit No. 88-257
has been completed.
This structure may be occupied as a of two family dwelling
6 Oueen Anne Court (Model T) Queen-Victoria's Grant
Location
Owner Guyer Builders, Inc.
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By Order Town Board
TOWN OF QUEENSBURY
7/7
Building & Zoning Inspector
4 _ BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-257
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Guyer Builders, Inc.
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OWNER of property located at 6 Queen Anne Court — Queen Victoria's Street, Road or Ave.
Grant
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.
1. OWNER'S Address is
119 Dunning St.
Ballston Spa, N.Y. 12020
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2. CONTRACTOR or BUILDER'S Name O
same
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3. CONTRACTOR or BUILDER'S Address GI
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same rr
4. ARCHITECT'S Name
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5. ARCHITECT'S Address O
1I
6. TYPE of Construction— (Please indicate by X) CD
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Q4 Wood Frame ( ) Masonry ( ) Steel ( )
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7. PLANS and Specifications Model I
No. 31' X 46'6" as per plot plan, specifications Nate and
application, including septic system and attached one-car garage. 7,
11)
8. Proposed Use 9
O
4 of two-family dwelling
ti
5.00 C/O 88
$ 82.00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 1 19
(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 23rd Day of May 19 88
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
11, EL LwriP JA .J. U La 3a+iAi. LF.t.. ,
c, ` // Application No. TOWN t<F u::NG J
Jown of Queeniur y Permit Issued 19 °�� [[ r�- II nn
II]BUILDINGand ZONING DEPARTMENT Permit Expires 19 DJ _. U
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation LAI
Queensbury, New York 12801 Variance No. APR 281988
Site Plan v'ew No.
�°� � DUILDtNG et CODE DEPT.
i,` V - • Appro a/// g 7� ,e
1APPLICATION FOR 0 O
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BUILDING AND ZONING PERMIT ^ /-to
* * * * * * * * * * * * * * * * * * * * * * .* * * * * * * • * * * * * * *re*
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 '
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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: 6 Queen Anne Court ` Tax Map No.____ '�--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. (518) 899-9161
Name of mason Guyer Builders, 1nc.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 REQUIREEDpBE OW.
* Size of.1property 100- plan ft X 120 f t.
* Existing building(s) Size N/A ft X N/A ft.
Model -r7-s * . . . . .. :. . .,
PROPOSED BUILDING AND USE: of * Existing building(s) Use N/A
Size of new struc e 31 ft X 46 t *
Foundation-pier slab crawl/partial/full * Proposed building, distance from property line
circle one) * see plot plan
* Front yard 30+ ft Rear yard 30+ ft
No. of stories (habitable space) 1
Side yards 15+ ft and 15+ ft
�,
Height (grade to ridge) 19'-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. (f bedrooms 2 *
1 * PRIMARY BUILDING -
No. of bathrooms One family dwelling This PPeermit be for
Pri�¢nary heating system Baseboard electric* - -• Two family dwelling ones e o wilding.
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 Lo. 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 $ if n2
INFORMATION ON •BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! .
Form BPA 4/86 and-vl
1-
WILDING PERMIT:APPLICATION CONTINUED - -
-A.
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 •
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Foundation wall material concrete block Thickness 8"
Depth of foundation below grade. (to bottom of footing) 48" minimum •
' Will,there be a cellar?' 'no Heated or unheated? . Floor sq. footage sq ft ..
Will there be a basement? no Will any portion be used as living space?
(If so, what portion? sq.ft. - - Type of use?
Type of roof - sloped flat/shed/other Material, of roof Fiberglass shingles
Size, wood studs , "X 6 " spacing 24 "o.c.' length 8 ft. exterior walls
Joists(floor beams) 1st. floor NA "x " spacing "o.c. span N/A ft.
Joists (floor beams) 2nd. floor : "X -- " spacing _"o.c. span N/A ft. . .
• Overlays(ceiling beams) "X " spacing 24 "o.c. span N/A ft.
Roof rafters "X " spacing 24•. o.c. span N/A ft.
. .Roof trusses(pre-engineered) spacing 24 "o.c. span42':-6'ft.
Exterior wall finish stained Of what material? . 5/8" x 4' x 8' texture 111
Interior wall finish paint i/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
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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 MT/Tit.' .
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 -
provisionsof 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.
a ��
SWORN TO BEFORE ME THIS Signature_ -- .
Owner, owner's a9it,arcnitect,contractor
�� day of 19 S`d AD Owner,
J.PINDER
Notary Public,State of New York .
Qualified in Saratoga County '
No..4907592
Notary Public, County, N.Y. Commission Expires Oct. 13, 192 '
* * * * * * * *. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * .
SPECIAh CONDITIONS OF THE PERMIT: .
` :a.r., �: 1040 Square feet living
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`; ' 240 Square foot garage " one. stall .
1280 •
@ �7.0OI100 or part of
5 00 One stall garage
$
$5.00 C/0 pest
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,. Total . ..
,.'� ;
1,,
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By
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.
AN8W811 ALL, of the followings
4. Gsose floor area 1040 S.F.
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2. Type of heat Baseboard electric
3. Is the building mechanically.r•.cooled? No
4. Percentage of area of windows and doors 14.3%
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 NP
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
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5. Type of insulation .
b. Under 16% Only
1. R value of roof and floors exposed to ambient conditions_
R-38 (U.=0.026)
2. R value of exterior walls )8.1400C R-23.5 (U.=0.04+) •
3. R value of glazed area U.=0.30
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4. R value of doors R-14.9 (U.=0.06)
5. R value of floors over unheated spaces iibilfiCX R-30
6. R value of slab edge insulation- unheated slab N/A
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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
p.. 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
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F. Service Water Heating ' •
1. Performance efficiency N/A
- 2. Temperature control setting maximum
G. For Swimming Pool Only
1. Maximum heating N/A
(518) 899-9161 G,'
Telephone No. ��
P
(applicant' signature)
•- allown. of alealdrene
APPLICATION FOR SEPTIC DISPOSAL PERMIT
Ref: S.P.E.D.S. .
DATE 10-16-87 permit # .
New York - 0202525
MODEL I of I/J
LOCATION OF PROPERTY FOR INSTALLATION 6 Queen AnneCourt
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: Cot require required / rate min. inch.
Domestic water supply: circle one: Municipal)Well Other
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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)
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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
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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.
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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: . A-��' �
Town of Queensbury
Building and Code Department
Bay at Haviland Road .
Queensbury, New York 12801
(518) 792-5832
SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LIVE
INTERIM BUILDING PERMIT
PERMIT APPLICANT ( Y v y .e/2. ' nos. a3,"44,eS
Q0{ e CC U
CONSTRUCTION LOCATION 021 ") 6, 8, 'o :a .ts��ib. g ao aa,
EFFECTIVE DATE • /��2:'/ . 02 /}
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 ! !
Building & Codes Department .
. TOWN OF QUEENSBURY
�nrn'mer,�6 7 /i'& -�
i' .) MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
` National Headquarters
900 Haddon Ave., Collingswood, N.J. 08108
It's -- APPLICANT COMPLETES THIS SECTION Date: 5-3.2 88
giy, Town or"h4t-',:riaril Queensbary County Warta State NY
Location/Address 6 Queen Anne Court • -- .7_ -7,, ,'
(If Located in Rural Area - Please Attach Directions) Pole # -
Owner Giryer Bu11ders inc. Permit # b R -c1.5"'?
Occupied As -� I K e/c- _-(21 Ut, (/ - Building: Nevv Old
Occupant
Work Area in Building (Floor #,etc.):
App. for: Wiring® Service a 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 11k 2 .. 3 5 71/2 10 15 .20 25 30 40 50 75 100
Mark Number - -
of-Each Size
Applicant's _
Signature License # P rmit #
T/A Guyer Builder's c. Utility: /LJ` t` c'� fc- - /7 5
Applicant's Address: •119 D h tree (NAIVE) FFICE LOCATION),t
(City) Ballston .Spa (State) 'T: (Zip) 12020 Service Request # -
Phone # 99---9161 Electrician: Gayer Puilders Inc. -
MDIA USE ONLY 7 -
DATE RECEIVED: , f' 3� y' DATE INSPECTED: j,� f r ;;
Correct Location: Same as Above n or: -
Red Notice Label n - - -
Rough Wiring Outlets Surface Unit /Oven '
:i' Switches /Range] - / Garbage Disposal
G�'(-) Receptacles - ,Water Heater - - - / Dishwasher- -
n ,.:2- Fixtures Air.Conditioner - /- -Dryer
/e- Amp. Service Equipment Burner;Wiring &Controls for - • Amp. Receptacle
Amp. Service Conductors Pump 2._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 -
500 750 1000 1250 1500 1750 2000.2250 2500 2750 3000
Elect. Heat -
CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECT
FEE PAID
I I RW Progress: Inc.14..'"----- LKD❑ Contractor - OC.
❑ CFT Violation: Work Comp. f❑ Inc. ❑ Li~") ' CASH ❑
n L/A - Owner Fee
P1 L/A CHK #
Due MO #-
n IPA Municipal
i
INV # /{--,�7=)
Date: Other Side CI 0;-) f /lApplicant CI. _ ``- �. �. Owner I-
,
Cut in Card Temp # Date ill ,77
7 -- F s ` f�tIS FC O SDI NAiu E
L }naf# : f r: . v. t Date /' y3 . ;�. j_; r -
APPLICATION FORM NO.250 EL 11/86 _
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BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS. -
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.-
'TEMP.* I DATE I g& '2\
CITY OR r C. '' - j i a.
VILLAGE t ' ,1'.t%' - , -,i j!) _-
(, .>'i ,-/ TOWNSHIP �,t t.1 t '! ,r i.Y. - . 7,` , L.-`1 COUNTY t.(._,fir;•,; -. . .`"1-
STREET AND NO.OR ,, / r_ r-
ROAD AND POLE NO. re --r ( ,I. f i_f' „1 POLE NO.
BETWEEN WHAT TWO - ii 11 CROSS STREETS IS I `Q PREMISES LOCATED? SECTION I i�, BLOCK LOT C{OCCUPANT'SA BUILDING I. 1- tl..Y ) f -•{}
NAME _ OCCUPANCY ..x
•OWNER'S NAME( _ - ;i `-c'"TEL.# C_--, V/ .
AND ADDRESS i i f f; - `+r:.. . ' , r i . . i }:' ).: i/ _): l_ , -'../ t.� r..
CURRENT , t
SUPPLIED (V
-
BY \0./F\\ \..J nkt24 -�.+--* FROM THEIR (--� -- ,� OFFICE
BUILDING NEW❑�`l OLD❑ IS
NEW U ADDITIONAL❑ REMOVED ❑
. . LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& BRANCH
Lamp Receptacles MOTORS HEATERS CIRCUITS OFFICE USE
Loot- - - ONLY
Lon Side Attach't H.P. Watts IA.W.G.
Ceiling Wall Recap% 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 equip''Vent 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 fee to cover the additional,equipment,as provided by the applicant.
SIZE OF ) —� f' .--: `ti ELECTRIC SIGN TOTAL .
MAINS ; ; ice;' Q'; f_ FEEDERS LAMPS WATTS
CHARACTERS N _ EXPOSED GAS TUBE SIGN - '
OF WORK •' i f -. - A - 1 A '1, .� 1 i. ' CONCEALED TRANSFORMERS OF '4, f_j -VA
WORK TO BE t (NUMBER) (CAPACITY)
STARTED COMPLETED SIZE OF SIGN
SERVICE OVERHEAD UNDERGROUND MAKER '
ENTERS
BUILDING OF SIGN
INSPECTION REQUESTED -
ON OR AS NEAR AS! , f
POSSIBLE •• . --.j {! j j i} C-aL.-/... ' l.C._:.<: `_ .1 f
NEW 0 OLD
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES i DATE OF - '
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. , ,. •` -) J
APPLICATION ')
PRINT NAME,AND ADDRESS /" -` /��
NAME OF ( .� i V SIGNATURE 6 { `J�/
APPLICANT S .-)t f`. _- _ :I 1_i _ . 1 .L /X OF APPLICANT4- '`;F 6 / '--'f {- J, r/t/
STREET ADDRESS--/ r' - ' Y-1? f? i ., i'. / -°- TELEPHONE# -
CITY OR l l .j.`_. ZIP f' LICENSE NO. C �'
POST OFFICE ---? , . _--y , •,• -`):"; rJ 1 r/ CODE ' - - WHEN APPLICABLE
. 46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
k �1�JM.. JMVJ ,.+J VJ vJ.4VJ4...J vJ V V V J NJJM4Vt-fal
K1 (� G
MIDDLE DEPARTMENT.INSPECTION AGENCY, INC. i1 f7 -�s�t.Y/
900 Haddon-Ave ue Col(Ingawood N.J 08108 e
t.r• -,, .it 't 'I l§•.j o,`p',�-r. ,' -�"^�.� . ,,:,y
? •%2 .g%`.i---'�._._.h,, a.`I, i r"''*i 7.7 ~ ` Y Date May 20, 1990 C
, Qertlfleg that the3electrjcal equipment listed has been exert-titled'and4 s approved as being in accord
with the National Electrical Code; applicable governmental, utility and Agency rules. C
tilt{ ! 7'^7`s•s t 'T' y rr'+
Owner: Guyer Builders<Znc ,t F;\ ti = , ti, r y Occupancy ,\Dwelling
Occupant: Single Family 1 ( ' use ,fir' '.9 t n--- ,,i ,,-a` 'q I '� =3 it
l4 I i.a i..•.. '1 I , y r r P .s,.� .{11 .c:.cr •s d
iLocation: 6 Queen Anne Gourt_, Q eensbury (War-renccCO) `NYrhis'ertjficate covers the lectncal quipment and installation inspected this
4 ,-, date. If additional equipment should be introduced or alterations made to ij'.
?a\ 1 existing system this certificate shah be null and void, and application for C
Equipment: 82 Outlets; l4R Rece tacle• 22MFixtures nspectionshouldbesubmittedpromptlytothisAgency.
p y,v?;;,t:..�+ - _ ,�,;f Holder of this certificate should present same to his property insurance carrier `_
150 Amp Service, £6 Appliances; 2 Vent Fans ragentorcompariy)asevidanceot`certificationof electrical equipment approved_ as specified.„/ / • C
Guyer Builder's eet \ .7A�„z sa '', �- T S C
Applicant: 119 Dunning Street ;_`` ---_`_ ' -�-• '"1 ;.��=`NO. 16-031516
L Ballston Spa, NY 12020 zx. --- C
l,,1 •�� n� � 1+r1e �1 � � l+/ !+ /, !, 0. ..1, .a.0,curo� /, l, .4.l, ,1 r1 ,1aN.e.1, . ,r1 /.a. �•
•
TOWN OF QUEENSBURY A
BUILDING AND CODES DEPARTMENT �
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FO I SPECTION REC VED '' f
-1 qC)
NAME _ icj
4".-Le_.-e'
LOCATION /0 �/� _ (71
DATE /�Z��/9�-C PERMIT # 88 ' n
. J f
fAPPROVED
, YES NO
FOOTING/PIERS ,'1 .
MONOLITHIC POUR' FORMS ;' `
FOUNDATION/DAM1-PROOFING
BACKFILL APPROVAL a
ROUGH PLUMBING
FRAMING Fvr
ELECTRICAL ROUGH-IN /
INSULATION: 9r'
FOUNDATION F
FLOORS h /
WALLS ‘
CEILING tr,
FINAL INSPECTIONv
CHIMNEY HEIGHT
ROOFING \ 1
' SIDING ‘ /
EXTERNAL PORCHES,/STPS r''
STAIRS-CLEARANCE\&RAILS L'/U/.�1'"..
PLUMBING FIXTURESa ELIEF VALVE �
INTERIOR TRIM/PR RACY DOORS
FINISHED FLOORS /\ I%
GARAGE FIREPROOFING, '�
DOOR CLOSER(S)/ \ t/
SMOKE DETECTOR'S
FINAL ELECTRIC4 INSPECTION f/
FINAL APPROVAIj OF CONSTRUCTION �/'
' ' �r
A SIGNED CTIFICATE OF OCCUPANCY MUST BE
OBTAINED F OM THE BUILDIN DEPARTMENT BEFORE
e
THESE PREM./ISES ARE OCCUPIE t
r
REMARKS: i
*l Au;.,)7.t i;- Z- v(-CC,o 121 Li tics i
PM itITILS)-:--la i3L- 00,t)-1:: f e-Jat) _ .
•
01L ,i) fSSC/& CV 61_ .
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INSPECTOR
MIDDLE DEPARTMENT INSPECTION AGENCY INC..
Electrical-Building-Piumbing-Fire Inspections
SOOF�d
Lace;g_ 62. )4
•
Date
e
l ector.
T constitutes certification that the
above installation, but not the equip-
ment itself, has been visually inspected
as of this date pursuant to the applic-
able codes. If additional equipment
should be introduced or alterations
made to the existing system or stuc-
ture, application for inspection should
be submitted promptly to this Agency.
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT .
BAY & HAVILAND ROADSIlii
QUEENSBURY, NEW YORK 12804- ,
TELEPHONE (518) 792-5832
BUILDING INSPECTOR' /REPORT
REQUEST F INSPECTION RECE VED /,2/�99 9 z
NAME _ ///
LOCATIO 6 4
W/7,47(ii-t e7I-v
/
DATE //2Q//' PERMIT # Be- j
// APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FO S
FOUNDATION/DAMP-P OOFING
BACKFILL APPROVAL
ROUGH PLUMBING / 1 .
FRAMING
ELECTRICAL ROUGH-IN
LASULA TION: I .\
FOUNDATION /
FLOORS / \,
WALLS R-f C�' 1, Ad,_... __.
CEILING /LL-- `5 N' ----
FINAL INSPECTION:
CHIMNEY HIEIGHT \
- - ROOFING I
SIDING 1
EXTERNAL/ PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBIN. FIXTURES/RELIEF VALVE
INTERIO TRIM/PRIVACY DOORSi
FINISHER FLOORS
GARAGE FIREPROOFING
DOOR C OSER(S) \l
I
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:
•
•
•
10-'C ..../)
I/
.1.:17-P-Ltt.„4„----
v i
INSPECTOR
TOWN OF QUEENSBURY n AM
BUILDING AND CODES DEPARTMENT 1-j'�
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST R INSPECTION RECEIVED /[J V
NAME 1LI ,l..,lc( QA�
LOCATION (a 6)Lj_ j K-N- `' -
DATE I aI 0,( t0 PERMIT # e iU-26-7
APPROVED
YES NO
FOOTING/PIERS '.
MONOLITHIC POUR ''ORMS I
FOUNDATION/DAMP-PROOFING /!'
BACKFILL APPROVAL .'
ROUGH PLUMBING \ r
r
RAMING ,�uJ\
ELECTRICAL ROUGH-IN /
INSULATION: ° r
� 1
FOUNDATION 1, I
FLOORS
WALLS k /
CEILING v
FINAL INSPECTION: *'
CHIMNEY HEIGHT ,r \
ROOFING ( y.
SIDING F
EXTERNAL PORCHES/STEPS V
E�i
STAIRS-CLEARANC & RAILS'o
PLUMBING FIXTUR'S/RELIEF''VALVE
INTERIOR TRIM/PRIVACY# DOORS
FINISHED FLOD,*S
GARAGE FIREP COFING
DOOR CLOSER(g')
SMOKE DETEC/ORS
FINAL ELECTRIfAL INSPECTION
FINAL APPROV L OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
INSPECTOR
awn ot Queenibur y
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D.'1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME6-,,yer-
,
LOCATION (LJ Q n N.;
Date Igo/57 Permi /No. gg-�5''.1
* •* * * * * * * * * * * * * * * * * * * * *
✓ - .1•PROVED - YES / NO
Footing/Pier Fo
Foundation
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. Fireproof.ng I
Door Closers
Smoke Detecto s I
Chimney l I
INSULATION:
Foundation
Floors
Walls / 9
Ceiling • / I
FINAL ELECTRICAL INSPECTIION
DRIVEWAY A PROVAL 1
Final Buil ing Survey
Next scheduled inspection ' all when ready)
Remarks-
/,'20 =
1
---.i - or
4 _
_Jouin o� Queenjburj0'
es i`' n rt$
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801 /02'V3-
t .03
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME PJ,-/72
LOCATION
DATE //gLJ2 0 f PERMIT NO. (9 —25 1
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)
Size- ,Q ft. X R' ft. za p''
Gravel size ly t( - '3
PIPING: ' Size, Type
Bldg. to tank y-6 Spe -o�a.Pvc,
Tank to dist. box
Dist. box to field/r '
Openings sealed? 44WP NO Partial
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)
Front - R r - Left side - Right side -
COMMENTS
SYSTEM USE APPROVE° l
Bui d I spector
01/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280�
TELEPHONE. (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FORK INSPECTION RECEIVED
NAME li Gl y�,y �L�s
LOCATION / �L af'A//
DATE 11 - ?1 PERMIT # 0
APPROVED
YES NO
FOOTING/PIERS:.
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL /
DO �,UGH PLUMBING �y, /C! 4/
FRAMING yr
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING _
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VAL[',E
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION \,
/i
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
V41--
fil(
INSPECTOR
Jown o/ Queeni1urf1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME Aei-O/T.-2
2
LOCATION / � 6 .
Date (L`-/ / (5.? Permit No. �' 5-7
* * * * * * * * * * * * * * * * * * * * * * *
APPROVED - YES / NO
Footing/Pier Forms
,undation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneei\
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproof' g
Door Closers
Smoke Detectors
Chimney
INSULATION.
Foundatio
Floors
Walls
Ceilin•
FINAL LECTRICAL INSPECTION
DRIVEW.Y APPROVAL
Final luilding Survey
Next scheduled inspection (call when ready)
Remarks-
i diJI sn pector
6/86 and-vl
_louin of Queeniar1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME 677/��
LOCATION 06 el/4_
Date 5'/S / Permit No. Crlfre; 1
* * * * * * * * * * * * * * * * * * * * * *
= APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill 1
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 ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Building I ctor
6/86 and-vl
C.O.T. G.
QUEEN VICTORIA' S GRANT
QUEENSBURY, NY
i
8`- 0 DIAMETER
9'- 0 DEPTH
2000gai
142.94'
REFERENCE DRAWINGS
5A SITE UTILITIES
SEPTIC 4 WATER
VanDUSEN 4 STEVES
SURVEY PLAN
C O.TG \
(CLEAN OUT
TO GRADE)
��
2
PLOT PLAN 4 SEPTIC SYSTEM
GUYER BUILDERS, INC QV-22
DWN; Imo/ 12-15-07 Sca1Q 1"= 20`-O