1988-256 i •'- _ {••' ,_ _ •..� ,��). ^if sue: K :;f . ii, " .. ^ e
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date October 24 19 90
30
This is to certify that work requested to be done as shown by Permit No. 88-256
has been completed.
This structure may be occupied as a pc5 Two Family Dwelling (Model C)
Location 4 Queen Anne Court
Owner Guyer Builders Inc.
By Order Town Board
TOWN OF QUEENSBURY
/,i,;//Ij(;;
I Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-256
WARREN COUNTY, NEW YORK o
PERMISSION is hereby granted to Guyer Builders Inc.
OWNER of property located at 4 Queen Anne Court Street, Road or Ave. i'
V
in the Town of Queensbury,To Construct or place a of Two Family Dwelling
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'SAddressis 119 Dunning. Street
Ballston Spa, N.Y.
CD
2. CONTRACTOR or BUILDER'S Name CD
Same
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3. CONTRACTOR or BUILDER'S Address 0
w
Same
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4. ARCHITECT'S Name
0
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5. ARCHITECT'S Address
fD
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6. TYPE of Construction—(Please indicate by X)
(x)Wood Frame ( ) Masonry ( )Steel ( 1
O
7. PLANS and Specifications rr
No 30' x 30' as per plot plan, specifications and application including
septic system and attached one car garage. MODEL C
Nw
8. Proposed Use
O
2 of Two Family DWelling
H
O
$5.90 C/0 w
$ 75.00 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.) ty
(D
Dated at the Town of Queensbury this 20th Day of May 19 88
H.
0
04
SIGNED BY �� for the Town of Queensbury
Building and Zoning Inspector
. VVt'ir us .s =i 1"1.✓V• ✓✓i i
TOWN OF QUE NS
// Application No. r,1
" DOWn 0/ Queeniurt� permit Issued 19 0 M [ U E : 1 1
BUILDING and ZONING DEPARTMENT Permit Expires 19 �'.)
Bay and Haviland Road, R:D. 1 Box 98 Zoning Designation 2 8 1988.
Oueensbury, New York 12801 Variance No.
Site Plan .•- view No. BUILDIC�G a .CODE OE:1
2- . Appr e„ ;� ,o ow • ce. 4. pz
l . . . APPLICATION FOR t; ,n
BUILDING AND ZONING PERMIT ' • = • 6:' C •
* * *.- * * * * * * * * * * *. * * * * * * ,* * * * * ,* * * * * *- * * * * * * *;,* ;
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; .4 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.
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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, inc.
Address 119 Dunning 5treet Tel. (518) 899-9161
•
NATURE OF PROPOSED WORK: * ZONING INFORMATION: •
X Consuction of a new building *
tr 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 . -
LOCATION OF STRUCTURES AFFECTED. * of water supply and location and configuration
of- septic disposal area. •
• *
*,.COMPLETE,;INFORMATION REQUIREDpBEEIOW.
' ' ' *' 'Siz.e' f property 100± plan ft x 120 ft.
• C ::*• .Existing building-Cs) Size N/A ft X N/A ft. .
Model--C am: , *;-. . . • '• • .
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
circle one) * - see plot plan
2 * Front yard .30+ ft Rear yard 30+ ft.
No. of stories (habitable space) Side ands 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) "47 * OCCUPANCY INFORMATION
No. of bedrooms 2 * PRIMARY BUILDING - .
No. of bathrooms • 2 One family dwellingg rtT11 ei for
Primary heating system Baseboard electric*• Two family dwelling one spade oI miming.
Type of fuel Electricity * Multiple dwelling / Number of units
No. of fireplaces to be installed permanent occupancy
- ill a wood stove be installed? No
Transient occupancy �f
Centra'. Air conditioning? No * Business
BUILDING STYLE, PRIMARY STRUCTURE *- Industrial f .
* Other •
' Ranch Contemporary Los 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
,r. * * * * * * * * * * - * * * * * * * _Private storage building
ESTIMATED MARKET VALUE OF * Other - '
CONSTRUCTION *
• INFORMATION ON .BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! .
Form SPA 4/86 and-vl___ - - • _ ---__ .
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'BUILDING. PERMIT APPLICATION CONTINUED -
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BUILDING SPECIFICATIONS. • . • . . , ,. . - ... .
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Type Of'construdion, ,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 .bp'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 - loped?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 -NIA''''X " spacing "o.c. spanN/A ft.
Joists (floor beams) 2nd. floor 7-7ux710-u spacing176 an"o.c. sp -72--ft.' . • .
Overlays(ceiling beams) 2 - ux -177 spacing 24 "o.c. span 14 ft.
Roof rafters 2 "x 10 " spacing 24 o.c. Tira-In4 ft. . ' ,--
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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 7171ft.' . . • . . .
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Depth of fireplace hearth N/A ft. in. . .
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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
. .
County of Warren ' A -FFIDAVIT •
-- STATE OF NEW YORK . .. • •
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• 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 : • •
authorizedby the 'owner. ' . . •
. _ •.. . ,
SWORN TO BEFORE ME THIS . SignatureZ4/61/d ' . ,
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Owner, owner's Agent,arciutect,contractor
,5' "/ day of 404/ 19 FF' • . .
- ADRIENNE J.PINDER •
Nolary Public,State of New York .
• ep fri_.,( f.z__- . .Qualified in Saratoga County ..
. No.4907592 .
Ncrtary Public, aLL en County, N.Y. ' Commission Expires Oct. 13, 1927
* a * * * * Feir * * * * * * * * * * * * * * * * * * *. * * * * * * * * * a *- * .. a.-.a ..: , .
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SPEC4A14,-CONDITIONS OF THE PERMIT: • . • . ,.
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. .. ____ _ • . . ,975 Square feetAiving . •
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• 264 Square foot garage - one stall • . i
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1239 • @ $7.00/100Clor part of .
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$5.00 One stall garage
$5.00 0/0 permit
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Total
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INTERIM BUILDING PERMIT
PERMIT APPLICANT r; (_)y ,ei2 Egos . v,'��,e.�:S
CONSTRUCTION LOCATION a15', Cam, $, 'o .'a ��i6 i s 'J aa, a9
EFFECTIVE DATE • /��2.'/ 02 /9'
APPROVED BY J
SPECIAL CONDITIONS :
This will certify that all submittals for a Building
Permit have been received and fee has been paid .
During the processing of the Permit, the above named
may begin construction per plans submitted . It is the
responsibility of the applicant to obtain. the Permit
from the Building Department, following processing .
POST THIS INTERIM PERMIT IN A CONSPICUOUS OCATION ! !
Building & Codes Department
. TOWN OF QUEENSBURY
TOWN OF QUEENSBURY "C"
WARREN COUNTY, NEW YORK
Application for: BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE
A permit must be obtained before beginning work.
AD1W>~R ALL of the following:
;. Gross floor area 975 S.F.
. 2. Type of heat Baseboard electric
3. Is the building mechanically. cooled? No
4. Percentage of area of windows and doors 11.1%
A. Over 16% Only
1. Uo value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions
2. Floor over heated spaces YES NO
a. Are foundation walls insulated? YES NO •
1. If YES, what is the R value?
3. Slab on grade YES - •' .NO
a. If YES,. what is the R value of insulation around
perimeter of floor?
4. Is basement heated? YES NO
a. R value of insulation
5. Type of insulation •
S. Under 16% Only
• 1. R value of roof and floors exposed to ambient conditions
R-38
2 . , R value of exterior walls EX$NX R.23.5 U.=O„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 -19
6. R value of slab edge insulation - unheated slab N/A
7. R value of slab insulation - h'eated 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
Tplsphone No.
(518) 899-9161 ,A?"
(applican ' signature)
�i�t m Of aeakidifity
APPLICATION FOR SEPTIC DISPOSAL PERMIT
Ref: S.P.E.D.S. •
DATE 10-16-87 / • permit #
New York - 0202525
MODEL C of K/C
LOCATION OF PROPERTY FOR INSTALLATION 4 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: G 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: 6-ot require�c i 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 •
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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 water 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.
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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.
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Signature of.responsible person:
• Date: .4'1 4—
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 G00D.PLACE TO LIVE
•
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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.# " DATE :'t 'r I
CITY OR r / J j l
i•: .i ? , ? �'. ---'/ _.TOWNSHIP i i-J ?� ` _, a�' _ �..J _1'
VILLAGE ? i i+' � ' • t
STREET AND NO.OR
ROAD AND POLE NO. ,# L 'i i i_. ___ 'i a ,' ..COUNTY ' _'
POLE NO.
BETWEEN WHAT TWO .
CROSS STREETS IS
PREMISES LOCATED? SECTION . .—. BLOCK - LOT • '✓
OCCUPANT'S BUILDING ,
• NAME ,OCCUPANCY -
OWNER'S NAME' _ �� �s TEL <<(- .
AND ADDRESS( ;)t _1('!' Ir - r .a t�, i �'i „ -i '� F -/C. f/ / �1
__
CURRENT •
SUPPLIEDBY FROM THEIR - - - OFFICE
BSUILDING NEW OLD El SORK NEW Ell ADDITIONAL❑ REMOVED DEFECTS ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
Fixtures&
NUMBER OF OUTLETS LampfReceptacles MOTORS HEATERS BRANCH CIRCUITS OFFICE USE
Loca- ONLY
lion Side Attech't H.P. Watts A.W.G.
Ceding ' Wall Recep'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 to be inspected l ut if at time of inspectbtj tttere 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 Willie applicant.
SIZE OF 1 - ---. 1- - ELECTRIC SIGN TOTAL
MAINS ( ~; _; (� f,_-.;,{ FEEDERS- ' " - • LAMPS WATTS
'CHARACTER`•, i • EXPOSED GAS TUBE SIGN
OF WORK! :i j( _ Ai i , J_J CONCEALED TRANSFORMERS OF VA
WORK TO BE (NUMBER) (CAPACITY)
STARTED - COMPLETED SIZE OF SIGN
SERVICE OVERHEAD UNDERGROUND MAKER •
ENTERS l;
BUILDING i_ OF SIGN
INSPECTION REQUESTED
ON OR AS NEAR AS, / • ; •
POSSIBLE Ii? if F .1' i, ['•, - ' L., - -- '. .i'. i..i ,r" NEW El OLD I I
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES - DATE OF 1, ; -l :' }
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATI _ • ,i c—'
PRINT NAME/AND ADDRESS r" A./ L
NAME OF i i i� '` l ,: SIGNATURE / Vic% f --
APPLICANT � - ,• --"/i- X OF APPLICAIILT
J i
STREET ADDRESS--. " ' ( / , • - I % i -,f f -" ' TELEPHONE# C.S. i= '7 l
r r- ! _ .."1! / ZIP i (..:;J' _LICENSENO.`.✓' .
CITY OR L��,-�'i i f r r I � —.
POST OFFICE r .f i . _'qf.'' '�'`�_l;-L r' / CODE/_=' WHEN APPLICABLE •
46 EL (REV. 1/66) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
TOWN OF QUEENSBURX- '
BUILDING AND CODES DEPARTMENT " "
BAY & HAVILAND ROADS X)/
QUEENSBURY, NEW YORK 12801. I
TELEPHONE (518) 792-5832 .
BUILDING INSPECTOR'S REPORT
REQUEST FOR��jjINSPECTION
(RECEIVED /D f/0)
NAME ..e9,, i ./94.A„
LOCATION ./1 1410 �tiJ 1��1/K.P. �j
DATE /1J/;�4/94 PERMIT •# ( f OJ,�((j
/ APPROVED
YES NO
FOOTING/PIERS \ / •
MONOLITHIC POUR FORMS j•
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL ,
ROUGH PLUMBING \ . I.
FRAMING t;. . . ( ' . .
ELECTRICAL ROUGH-IN '\ I /'
INSULATION: 1, C
FOUNDATION \ F'
FLOORS
WALLS ,` 1,, . . . . .
CEILING i ,l . . .
•
jumkr„ INSPECTION: ° •
CHIMNEY HEIGHT '
ROOFING
SIDING - t F/
EXTERNAL PORCHES/STEPS t
STAIRS-CLEARANCE & RAILS 1/'
f
PLUMBING FIXTURES/RELIEF` VALVE
INTERIOR TRIM/PRIVA'CY DOORS
FINISHED FLOORS \
GARAGE FIREPROOFING jam.
DOOR CLOSER(S) 1 Cam,,.
SMOKE DETECTORS i; . ';,' 1/
FINAL ELECTRICAL INSPECTION \, .
FINAL APPROVAL OF ;CONSTRUCTION'a, • 4i�
OK TO ISSUE C/O OR •C/C \ -.- ---
A SIGNED CERTIFICATE OF OCCUPANCY\MUST BE
OBTAINED FROM THE: BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
�GN CJ ����2'�
REMARKS: ��
f,,L-0 i f�( (�"A I �i1/ --�---
A i l:// ^
ARRIVE j-c.� S ) '•` "1
i
DEPART / ' /' /
INSPECTOR
ELECTRICAL INSPECTIONS
DUPLICATE MUNICIPAL RECORD
Permit No.
Owner Cm_`.'r,
Occupant /�
Location Z --1 e �4 d ---k2
No. ll Street
{ ecSYl (k rr
Town or City State
Installation as itemized on reverse side has been visually inspected pursuant to applicable
codes.
Installed by
No.
Date � / Fv Inspector
MIDDLE DEPARTMENT INSPECTION AGENCY INC.
FORM NO.18 EL. 900 Haddon Ave.,Collingswood,NJ 08108
ROUGH WIRING OUTLETS H.P.AIR CONDITIONER
OUTLETS WIRING &CONTROLS FOR BURNER
RECEPTACLES H.P.PUMP
FIXTURES K.W.OVEN
AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT
AMP.SERVICE CONDUCTORS K.W.DISHWASHER
K.W.SURFACE UNIT K.W. DRYER
K.W.RANGE AMP. RECEPTACLE
K.W.WATER HEATER FRAC. H.P.VENT FANS
•
MOTOR„N.P. 1/20 1/12 1/10 % '/c % %a 'h '% 1 11/2 2 3 5 71 10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE
APPARATUS
TOWN OF QUEENSBURY 1‘ ) /
BUILDING AND CODES DEPARTME �`���
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S ' .`'ORT
REQUEST '.'R INSPECTION t E VED I : 6 ,
NAME i— ' ' / A I`Je'
air
LOCATI.# /4 riff / / ("-!?.
DATE 71490146 6 PERMIT # gl—)
APPROVED
YES NO
FOOTING/PIERS 1
MONOLITHIC POUR ORMS e
FOUNDATION/DAMP—*ROOFING Y
BACKFILL APPROVA$, A.
ROUGH PLUMBING n
FRAMING IJ
ELECTRICAL ROUGH—$N ?/
NSULATION:
FOUNDATION ;f
FLOORS $ fit
WALLS
CEILING i y .fh x
FINAL INSPECTION: h
ti
CHIMNEY HEIGHT 4
ROOFING
SIDING r -
EXTERNAL PORCHES/STE'S
STAIRS—CLEARANCE & . LS
PLUMBING FIXTURES/ EL EF: VALVE
INTERIOR TRIM/PRI CY "'OORS
FINISHED FLOORS
GARAGE FIREPROOFI G
DOOR CLOSER(S)
SMOKE DETECTORS f
FINAL ELECTRICAL I SPECTIO `.
_FINAL APPROVAL OF ONSTRUCT ':'N
OK TO ISSUE C/O O C/C
A SIGNED CERTIFIO4TE OF OCCUPA'4CY MUST BE
OBTAINED FROM TH BUILDING DEP' 'TMENT BEFORE
THESE PREMISES A E OCCUPIED!
A
REMARKS:
/ (L --&
„.___
.. ' 011
ARRIVE ,�/ /
DEPART__ !W /
INSPE. OR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS J/ ,G
QUEENSBURY, NEW YORK 12804
TELEPHON (518) 792-5832
ri)/72
BUILDING INSPECTOR'S '' PORT
REQUEST R INSPECTION RECEIVE '' ;Vi%
NAME j�/p�
LOCATION _/1,4ee‘e,,,,, e9,;r,A1,,, Cry
DATE //Gr PERMI ' # ,pf-,z56
APPROVED
YES NO
FOOTING/PIE'S
MONOLITHIC !OUR FORMS
FOUNDATION/4' P-PROOFING ;f
BACKFILL APPt'OVAL
AROUGH PLUMBI k
x FRAMING x
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTIO ,:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHE" `.TEPS
STAIRS-CLEARANC 4. RAILS
PLUMBING FIXTURES RELIEF VALVE
INTERIOR TRIM/PRI';ACY DOORS
FINISHED FLOORS ; !
GARAGE FIREPROOI
DOOR CLOSER(S) \
SMOKE DETECTOR'`
FINAL ELECTRICA INSPECTION
_FINAL APPROVAL 'IF CON't'RUCTION •
- OK TO ISSUE C/S, OR Cl \
A SIGNED CERTIIICATE O \OCCUPANCY MUST BE
OBTAINED FROM THE BUILD G DEPARTMENT BEFORE
THESE PREMISE. ARE OCCUP ED!
REMARKS:
ARRIVE
DEPART
INS`CTOR
Down, oi Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York%12801
• }'
t.
SEPTIC DISPOSAL SYST ., INSPECTION
NAME �� �d inns
LOCATION imr,2n,
___,
DATE k. / 7/ GJ ()PERMITrNO. ` —1��ff
SOIL TYPE - Sand 4 Loam Clay -
Percolation Test Required? YES - NO
Percolation rate -'IMYn/Inch
i 1
TYPE of SYST
Absorption fild, It{otal length
Length of •eac4� trench'
Depth of trenches i
Size of gravel j`{ ;' _
SEEPAGE PITS4N er,`of)
Size- ft. Xi _J_ft.
Gravel size j '/ ti
PIPING: z,1 S� r,
ize ype
Bldg. to tank ��i.
Tank. to dist. bosh
Dist. box to fietd/pig '/
Openings sealed?: i'� ,ES NO Partial
LOCATION/SEPARATI Sf:
Foundation to ;hank t 4:_ft.
Foundation to,,abso ` tion ft.
Absorption to/lot life ft.
Separation ofr pits Vi ft.
LOCATIOroF 7'. :-:.. 4 , PROPERTY(circle one)
Front - Rear;- hde - Right side -
COMMENT : I
aliMili 1 K �%�)5 i-:
if
/ \ '•
01
IIA / : , //i--" \
//ini) M 0 ri7" 'h eXfitti/ -
SYST ' USE .APPROVED YES,J •
Building Inspector
01/86 and vl
_town of Queenilury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTO' ' S REPORT
NA, E CLti 5/),(1
J
LOS A TION � G? t',(om /1/I
Dat- Lj/12� U Pe t it No. -9-g5---(10
if
* * * * * * * * * * * * * * * * * * * * *
✓ APPROVED - YES NO
Footing.`'ler Forms
Foundati:.
Waterproo,ing
Backfill
Framing
Roofing
Siding
Masonry Vene:.r ; )
Rough Plumbinl i4i1,- 4- 6/6 h.
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railing•.
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRIC INSPE ' ION
DRIVEWAY APPROV'.L
Final Building Survey
Next scheduled inspection call when ready)
Remarks-
/ /
Building Inspector
6/86 and-vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280i •
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED �/)
NAME �k ) L.-G/Z«2C/l�
LOCATION
DATE ? PERMIT # d91.�SL
APPROVED
•
YES NO
FOOTING/PIERS
OLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING t
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING •
ELECTRICAL ROUGH-IN ' • •
INSULATION: •
FOUNDATION
FLOORS .
WALLS . . . .
CEILING
FINAL INSPECTION:.
CHIMNEY HEIGHT
ROOFING ,
SIDING •
EXTERNAL PORCHES/STEPS •
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS rI
GARAGE FIREPROOFING
DOOR CLOSER(S) i
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
_.FINAL APPROVAL OF CONSTRUCTION
OK TO ISSUE C/O OR C/C
A SIGNED CERTIFICATE!,OF OCCUPANCY MUST BE
OBTAINED FROM.THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!'
REMARKS: , \
tI )
•
t
ARRIVE 11
DEPART '" D /q 1
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT /)�,�'j
BAY & HAVILAND ROADS ////�'
QUEENSBURY, NEW YORK 1280�
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST INSPECTIONRECEIVED 4 ,0Q1/V/
NAME Z( !`��i%(s:J ,
Le____.)
LOCATI Q CAeLizit
DATE k,IP /96 PERMIT d 608 - za
\, r APPROVED
9 YES NO
FOOTING/PIERS
MONOLITHIC POUR FO S I
FOUNDATION/DAMP-PRO ING °
BACKFILL APPROVAL
ROUGH PLUMBING .
FRAMING .
ELECTRICAL ROUGH-IN '
INSULATION:
FOUNDATION
FLOORS
WALLS .
CEILING .
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/ST PS
STAIRS-CLEARANCE & ILS
PLUMBING FIXTURES/RtLIEF VALVE_
INTERIOR TRIM/PRIVACY DOORS
.FINISHED FLOORS •a
GARAGE FIREPROOFING
DOOR CLOSER(S) 'p
SMOKE DETECTORS .
FINAL ELECTRICAL INS ECTION" -
FINAL APPROVAL OF COI1STRUCTION '1+ .
I t.
r
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BALDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED! k
REMARKS: (6X'2o d-- nm t[m F;17T fN,,,3
?
THE CONTRACTOR IS -RESPONSIBLE FOR PROVIDING
PROTECTION FROM FREEZING FOR 48 HOURS
FOLLOWING THE PLACEMENT OF THE CONCRETE.
. MATERIALS FOR THIS PURPOSE ON SITE 7,
ARRIVE YES NO
DEPART •
•
INSPECTOR
�J c s -c-
_lown of Queeniu4"� 'u1 .""
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801 /02:y3"
l 03
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME e/1� It l .
LOCATION -/c2
DATE //�/0 PERMIT NO. 'Prj--"c:2-6 4
SOIL TYPE - San ‘. Loam - Clay -
Percolation est Required? YES - NO
Percolation rate -1Min/Inch
TYPE of SYSTEM:
Absorption field, total length
Length of each•trench
Depth of trenches
Size of gravel
SEEPAGE PITS-Number 'of) - •
Size- ,Q ft. X R' ft.
Gravel size s - ia°3
PIPING: ' Size Type
Bldg. to tank .y s 6 �'Q,Q -Pc a Pr/L
.Tank to dist. box 6 ,/
Dist. box to field/. 1 4" ./
Openings sealed? GTO NO Partial
.
LOCATION/SEPARATIONS: ,
Foundation to tank t, ' 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
Uh, a; y
•
SYSTEM USE APPROVE1 e
•
Bu d I spector
01/86 and vl
C.O.T.G.
0
02
QUEEN VICTORIA' S GRANT
QUEENSBURY, NY
REFERENCE DRAWINGS
5A SITE UTILITIES
SEPTIC 4 WATER
VanDUSEN 4 STEVES
SURVEY PLAN
6'- 0 DIAMETER
9 0 DEPTH
2000gal
1 22.941
C O.T G.
(CLEAN OUT
TO GRADE)
�38.85,
♦
s
PLOT PLAN 4 SEPTIC SYSTEM
GUYER BUILDERS, INC QV" 22
DWN ; kWi2- ►S-Si ScaIQ i'�= 20� 0