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1988-255 CERTIFICATE OF OCCUPANCY • TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 001.0-L. v 19 I d r)?0\ Pkei (d`//50 This is to certify that work requested to be done as shown by Permit No. 88-255 has been completed. of Two Family Model. K This structure may be occupied as a 2 Queen Anne Court Queen Victoria's Gran,- Location Guyer Builders, Inc. Owner By Order Town Board TOWN OF QUEENSBURY j//' Building& Zoning Inspector BUILDING PERMIT i yH x x TOWN OF QUEENSBURY No 88-255 WARREN COUNTY, NEW YORK • 0 PERMISSION is hereby granted to Guyer Builders Inc. , N OWNER of property located at 2 Queen Anne Court Street, Road or Ave. in the Town of Queensbury,To Construct or place a of Two Family Dwelling Vo 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. .o Ballston Spa, N.Y. 12020 CD 2. CONTRACTOR or BUILDER'S Name H. n rr Same 0 I-I r• 3. CONTRACTOR or BUILDER'S Address m I-t Same 0 rr 4. ARCHITECT'S Name 5. ARCHITECT'S Address CD CD 0 6. TYPE of Construction—(Please indicate by X) (x)Wood Frame ( ) Masonry ( I Steel ( ) rD O 7. PLANS and Specifications H trr No. 26'6" x 35'7" as per plot plan, specifications and application including septic systemx and attached one car garage. 8. Proposed Use MODEL K of Two Family 0 F-h H $5.00 C/O 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 H. town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 20th Day of May 19 88 CCD SIGNED BY i G a' e for the Town of Queensbury ao Building an Zoning Inspector . ay {J& \.'C.aa4a.aa•r. Z. W..✓v. -Ws .. Ivrre4 v!' WVa_._...:✓✓, Application No. Cl of Queena4ur, Permit Issued 19 M ',G [ N rili BUILDING and ZONING DEPARTMENT Permit Expires 19 q®�(� Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation AP .�8 449 B Queensbury, New York 12801 Variance No. BUILDING CODE DEPT. ,1 Site P an O I -) Appr ved ? ? � ��c.-/ CtO 1r APPLICATION FOR BUILDING AND ZONING PERMIT . K - /m' , * * * * *' * * * * * * * * * * * * * * * * * * * * .* * * * * * * * * * * * *::* 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: 2 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. (50) 699-91b1 Name of mason Guyer Builders, Inc. Address 119 Dunning Street Tel. (516) 699-9161 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 * 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 ploti * Size of property • 100± plan ft X 120 ft. K • * Existing; building(s) Size N/A ft X N/A ft. Model PROPOSED BUILDING AND USE: ff * 'Exist ng"bu lding(s) Use N/A Size of new struc e26'-6"ft X ft * Foundation-pier slab crawl/partial/full * Proposed building, sdistancepfrom property line llan 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) 23'-6" ft. * If on corner, setback from side street 30+ ft If residential, no. of families 1 4of 2 * OCCUPANCY INFORMATION tio. of rooms(excluding baths) No. of bedrooms 2 * 2 * PRIMARY BUILDING - Io. of bathrooms One family dwelling $ei� or Primary heating system Baseboard electric* — This Two family dwelling ones e ormi ei g. 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? _a • Raised ranch Mansion Duplex Split level Old style Bungalow * . Cape Cod Cottage Other * ACCESSORY BUILDING- Town House * Detached garage/one car/ two 'car/ car Colonial Row one car ( CIRCLE ONE PLEASE ) * X Attached garage/one car/ two car/ * * * * * * * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF * cX� * —Other CONSTRUCTION $ � ci: ad INFORMATION ON •BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS' SHEET, TO BE COMPLETED! Form EPA 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 - sloped flat/shed/other Material.of roof Fiberglass shingles Size, wood studs "X 6 " spacing 24 "o.c. length' 8 ft. exte i/Qr walls Joists(floor beams) 1st. floor N/A' "X " spacing "o.c. span /AA ft. Joists (floor beams) 2nd. floor —"X 10 " spacing 16 "o.c. span12'-4"ft. Overlays(ceiling beams) 2 "X " spacing 24 "o.c. span12'-4'ft. Roof rafters 2 "X 1 " spacing 24 o.c. spanl2'-nt. 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 fand 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 NIA ft. (A separate application is necessary for any repair or new installation of septic system) See S.P.E.D.S. permit fir! 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 __ Owner, owner ent,arcnit:ect,contractor /�� day of 19 5.?fAD ddtei-k-t-P-9' � `e-n ' y Public, StateE J. of PINDER GrXL Notary!'ublic, of New York Qualified in Saratoga County Notary Public County, N.Y. No.4907592 * * * * * * * * * * * * *CriPis§ioQ EXPlGgs,t?of. 18,49.> * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: a, • 1040 Square feet living • 264 Square foot garage - one stall 1304 @ $7.00/100` or part of $5.00 One stall garage $5.00 C/O permit Total • By J TOWN OF QUEENSSURY .Ku WARREN COUNTY, NEW YORK Application for.: BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK • STATE ENERGY CONSERVATION CODE . A permit must be obtained before beginning work. 4$SWU ALL of the following: floor area 1040 S.F. ions 3. Type of heat Baseboard electric 3, ;s the building mechanically .'cooled? No • • 4. Percentage of area of windows and doors 12.33% 4, 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 MO • 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 • B. Under 16% Only • 1. R value of roof and .floors exposed to ambient conditions R-38 . • 2. ;R value of exterior walls 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 apices• $=1g 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/_ 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 1. Maximum heating N/A Telephone No. (518) 899-9161 /� r //P -'d' (ap licant'•s signature) INTERIM BUILDING PERMIT PERMIT APPLICANT (T oy ,e.2. nos : v."��•e;�S CONSTRUCTION LOCATION aJ s', � Z, to is s AV,/( i g ao' aa1 a9 is- EFFECTIVE DATEDATE 02 /9 .S--.p 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 • o Queetbddeni 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 2 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 j 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: not 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 i B. No system shall be covered before inspection and approval by the building. Inspector. Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to $250.00. C. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must•be submitted to the Queensbury Building Department before further construction. • • I have read the regulations above and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. • Signature of.responsible person: • Date: . 4-\y-�s� 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 • • BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. • (TEMP.# (DATE A ' -�• f CITY OR _ VILLAGE ` )`\{: TOWNSHIP i i:- , COUNTY , z• . .( - . STREET AND NO.OR - ROAD AND POLE NO. i. ; {..�_;'? ( POLE NO. BETWEEN WHAT TWO CROSS STREETS IS r PREMISES LOCATED? SECTION BLOCK / LOT OCCUPANT'S BUILDING - NAME OCCUPANCY - OWNER'S NAME,'.__ r i CURRENT SUPPLIED BY FROM THEIR OFFICE BW DEFECTS SUILDING NEW aOLD❑ IS NEW 0 ADDITIONAL❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED • o.NUMBER OF OUTLETS Lampfxtures R receptacles MOTORS HEATERS CIRCUITS OFFICE USE Lace- ONLY lion Side Attach't H.P. Watts A.W.G. Ceiling 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. • s '� This application is intended to cover the above-listed equipment to be inspected but if at time'of inspection there is found additional equipment not above listed, you are authorized to make the inspection and adjust the'feeao_cover the additit nal equipment"ss provt'4ed by the applicant. SIZE OF i •- -_ 7'"" .-7 .' ELECTRIC SIGN TOTAL MAINS 1 ;(_�,1' " I' ; FEEDERS;' LAMPS WATTS - CHARACTER EXPOSED GAS TUBE SIGN OF WORK )' ) ill( i- :' _ ,--_ y,.,; t-.\CONCEALED TRANSFORMERS OF VA , WORK TO BE' ii (NUMBER) (CAPACITY) STARTED COMPLETED' SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS �`-.w OF SIGN BUILDING INSPECTION REQUESTED - - ONORASNEARAS 1 POSSIBLE I f-_7 j t ' ' -. -' ;{j NEW OLD El AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF j MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATIO9 / '''--'{ , ;f ;---' ./ PRINT NAME AND ADDRESS Q NAME OF I l jr.`:: L' !. '` - L -' r` k` V SIGNATURE f,r f4 � r APPLICANT t OF APPLICANT '�°° r STREET ADDRESS , ( -1' TELEPHONE#• r CITY OR ZIP .. is -r LICENSE NO. ' POST OFFICE .• ' `1 1 '• - CODE '� — WHEN APPLICABLE 46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING, - - , TOWN OF QUEENSBURY • BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- 167 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED //J��/�i(j NAME�/,L_,P I C�-2/C!,rl ( (C if�?i ,6 G2.a_A LOCATION // (J 1€4 9 ��/ �i/4 J DATE /Q1�W9 U PERMIT # cfel 5T15- APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL \ ' ROUGH PLUMBING \ FRAMING \ ' ' " ' I ELECTRICAL ROUGH-IN INSULATION: `FOUNDATION FLOORS . . \ 1 WALLS CEILING �/ FINAL INSPECTION: A CHIMNEY HEIGHT Y • /// ROOFING ,(' 'SIDING • • • 3} d EXTERNAL PORCHES/STEPS • ' ' . . \ STAIRS-CLEARANCE & RAILS _\ J/ PLUMBING FIXTURES/RELIEF VALVE ✓ INTERIOR TRIM/PRIVACY D .FORS FINISHED FLOORS �;, V GARAGE FIREPROOFING ! • \ DOOR CLOSER(S) f' "t V/ SMOKE DETECTORS ,f' ✓ FINAL ELECTRICAL INSPECTION . . . . . . . . Y/ FINAL APPROVAL OF CONSTRUCTION . ' . . Y OK TO ISSUE C/0 OR C/C ,;; A SIGNED CERTIFICATE OF OCCUPANCY MUST BEi OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!. REMARKS: • ARRIVE J 2,0 DEPART IN ECTOR ELECTRICAL INSPECTIONS DUPLICATE'MUNICIPAL RECORD Permit No. Owner Occupant Location 2 __(gyp e P.A._el • N Street e2o.lt,S.._h.1C Y Town or City Statc Installation as itemized on reverse side has been visually inspected pursuant to)applicable codes. Installed by Date ` 't? I < d 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 MOTORS H.P. 1/20 1/12 1/10 '/s '/s % %a % 1/ 1 1'%z 2 3 5 71 10 15 20 25 30 40 50 75 100 MARK NUMBER OF EACH SIZE APPARATUS TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801- Qm TELEPHONE (518) 792-5832 / i : LDING INSPECTOR'S REP Th REQUEST FOR 'INSPECTION RECEIVED /7/c7)99Q NAME , i ,e(., AL{114 LOCATION , -(//,7ot,,jyjy/ DATE 07 4v PERMIT # /JV 55 APPROVED YES NO FOOTING/PIERS 7 MONOLITHIC POEM FORMS FOUNDATION/DAMPPROOFING BACKFILL APPROV)L f' '35 - ROUGH PLUMBING '' x FRAMING !t )( ELECTRICAL ROUGH",IN ' INSULATION: # FOUNDATION ) ! FLOORS t i WALLS f CEILING FINAL INSPECTION: ' CHIMNEY HEIGHT i ROOFING 1 SIDING EXTERNAL PORCHES4V T PS STAIRS-CLEARANCE 'RAILS PLUMBING FIXTURES •ELIEF VALVE INTERIOR TRIM/PRI?''CY DOORS FINISHED FLOORS GARAGE FIREPROOF.%N DOOR CLOSER(S) SMOKE DETECTORS ', FINAL ELECTRICAL NSP.CTION FINAL APPROVAL O/ CON'TRUCTION OK TO ISSUE C/O AIR C/1"', A SIGNED CERTIF CATE 0 ' OCCUPANCY MUST BE OBTAINED FROM E BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCU"IED! REMARKS: ARRIVE A0110,!:°' DEPART /"l/ INSPE/TOR TOWN OF QUEENSBURY BUILDING A D CODES DEPARTMENT ij , BAY & HAVI ND ROADS QUEENSBURY NEW YORK 12:,01- TELEPHONE (518) 792-583? ILDING INSP€CTOR'S REPORT REQUEST OR�INSPECTION �'ECEIVED 7/3b/ O 171/1/ NAME 14 ID , LOCATION � 1, i CI-, DATE 113() \ei(O r PERMIT # Kg- 2,s-s-- 1 APPROVED YES NO FOOTING/PIERS MONOLITHIC POU' FORZr. FOUNDATION/DAMP PROO! ING BACKFILL APPROV. ; ROUGH PLUMBING \ ! FRAMING ; ECTRICAL ROUGH V' 1 INSULATION: L : FOUNDATION LOORS WALLS Z—I .� CEILING -2- 'I.( FINAL INSPECTION: CHIMNEY HEIGHT ` ROOFING t� SIDING EXTERNAL PORCHE'./ST'EPS STAIRS-CLEARANC: & RAILS PLUMBING FIXTUR S/REIEF VALVE INTERIOR TRIM/•"IVAC$1 DOORS FINISHED FLOOR GARAGE FIREPROO ING \\ DOOR CLOSER(S) 1l SMOKE DETECTOR' , FINAL ELECTRICAL i NSPECT 4ON _FINAL APPROVAL O : CONSTR 1TION - OK TO ISSUE C/O O' C/C A SIGNED CERTIFIC;TE OF OCCUPANCY MUST BE OBTAINED FROM THEBUILDING WEPARTMENT BEFORE THESE PREMISES AR, OCCUPIED. REMARKS: 1 //iC � rip . ARRIVE hf / DEPART �_2 INSPECTOR _loran o/ Queeniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYST INSPECTION NAME vim/ . , - /M.( _ M EM,LOCATION ,�)s, DATE v / /� PERMIT NO./�0 -��b SOIL TYPE - .Sand - Loam 7/Clay - Percolation Test Required? YES - NO Percolation r;�te - Min/Inch _ _ TYPE of SYSTEM: f'A Absorption field, total length Length of eac4 trench` Depth of trenches ' Size of gravel SEEPAGE PITS4N` er'of) _ • Size- ft. �•_ ft. Gravel size PIPING: Size- - ype Bldg. to tank ?k /,-.1,d^ G,' Vt-- Tank to dist. box 'k Dist. box to field/pi \„, •Openings sealed?r ;\ YES NO Partial L ll LOCATION/SEPARATIONS: Foundation to tank` ft. Foundation toiabsorption ft. Absorption to/'lot line ft. Separation of pits 4r ft. LOCATIOfOF •, PROPERTY(circle one) Front - Rearl _ de - Right side - COMMENT : " r 7,ez 1,- -1, --T-1, '4, �c � `��avm g ���, '-' �- . /10 ,1 J di, k_. eXa-71/A/A`41r Awo )kA7 5r-F - . .____ SYSTEM USEAPPROVED YES ij Building Inspector • 01/86 and vl Jown o� QueeniLry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 1 ,801 BU LDING INSPECTOR ' S • EPORT NAME //f �� Ajd 5 J LOCATIO 05 -4, a ?lid Date 7 L// To Permi . No. —2 .s * * * * * * * * * * * * * * * * * * * * * * !� = AM•ROVED - YES / NO Footing/Pie Forms Foundation , Waterproofing Backfill Framing Roofing Siding Masonry Veneer / t� Rough Plumbing VP t/ey_ A i Ij , i/ Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors \. Plbg. Fixtures Gar. Fireproofing , Door Closers I Smoke Detectors Chimney INSULATION: I Foundation �e Floors Walls Ceiling 1 FINAL ELECTRICAL t SPECT!ION DRIVEWAY APPROVAL I. Final Building Survey Next scheduled i spection ( all when ready) Remarks- Building Iri e-ctor 6/86 and-vl TOWN OF QUEENSBURY BUILDING.AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280k TELEPHONE' (518) 792-5832 • `BUILDING INSPECTOR'S REPORT / REQUEST FOR INSPECTION RECEIVED 17/7//G (� NAME ` LOCATION p.4 a ° DATE 7 (2/�U PERMIT # rge-d,575— r r. APPROVED YES NO FOOTING/PIERS r: MONOLITHIC POUR FORMS • FOUNDATION/DAMP,rPROOFING )1 BACKFILL APPROVAL • / ROUGH PLUMBING %,• FRAMING ELECTRICAL ROUGH`.1-N INSULATION: FOUNDATION FLOORS WALLS CEILING • • FINAL INSPECTION: CHIMNEY HEIGHT `, ROOFING ' • SIDING EXTERNAL PORCHES/STEPS • STAIRS-CLEARANCE (& RAILS?' PLUMBING FIXTURES/RELIEB VALVE INTERIOR TRIM/PRIVACY BOORS FINISHED FLOORS 7 _ GARAGE FIREPROOFING,. !' DOOR CLOSER(S) f` SMOKE DETECTORS / FINAL ELECTRICAL INS, ECTION • • _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: �i • - r-i • ARRIVE �J `�" fl �/�/�'I� DEPART • v v INSPECTOR TOWN OF QUEENSBURY 0 BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280. TELEPHONE (518) 792-5832 i BUILDING INSPECTOR°S /M/%REPORT, REQUEST FO INSPECTION RECEIVED ,M/11 NAME L/�) P �� / LOCATION f ," Up� ca. d DATE 0I2 e 7 q 0 C; PERMIT # -25-5- I APPROVED • )+ YES NO / FOOTING/PIERS MONOLITHIC POUR FORMS • 4 >. FOUNDATION/DAMP-PROOF:TNG BACKFILL APPROVAL ROUGH PLUMBING :; FRAMING A ELECTRICAL ROUGH-IN ' Y, I 1 . ' . . • . INSULATION: FOUNDATION . FLOORS - '?: . . ' . . . WALLS v, CEILING i;, ' . . FINAL INSPECTION: I ' CHIMNEY HEIGHT . ROOFING ' . SIDING a/. 1 • EXTERNAL PORCHESEPS 't STAIRS-CLEARANCE 4 RAILS •, PLUMBING FIXTURESJ'RELIEFFVALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS , t GARAGE FIREPROOFING i' DOOR CLOSER(S) r/a j. SMOKE DETECTORS N, FINAL ELECTRICAL'`INSPECTION s,' ' FINAL APPROVAL OF CONSTRUCTION • 11 r' 1 A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROMFTHE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! 1, ifr o t REMARKS: 'L©4, eA-�z2+j�12,�, p cr. 0-1-1 A/G5 . '1 THE CONTRACTOR IS RESPONSIBLE F 2 PROVIDING PROTECTIONFROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE ' ARRIVE YES NO DEPART • INSPE TOR Ohi Jown oQ ?u ?Cnitur 'y ems 1S BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 " '<c t '03 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCATION ✓/6 6 .et-24ertJ a/le-rite_ DATE //gy/0 f PERMIT NO. 2 9j -- 2 55 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 PITS{Number of) ,/ Size- ' ft. X R' ft. ,�i) 4? ' S � Gravel size - # 3 PIPING: Size Type Bldg. to tank y G 5/Jo -tern ft<— Tank to dist. box G Dist. box to field/. 4/'` Openings sealed? NO Partial LOCATION/SEPARATIONS: ' Foundation to tank ft. Foundation to absorption t. Absorption to lot line f Separation of pits t. LOCATION OE' SYYS'TEM O1V- PERTY(circle one) Front - R9�r Left side - Right side - COMMENTS vk);4 a ,� SYSTEM USE APPROVED Bui d g I spector 01/86 and vl 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 RECEIVE NAME &/11111. 6ICIV)--- 'l 1_ LOCATION a— "I q y L?,, �yvi v DATE ( a'(' PERMI # eB-�5- ( 4 t APPROVED 1 . l YES NO FOOTING/PIERS / I/// ''MONOLITHIC POUR FORMS • FOUNDATION/DAMP—PROOFING BACKFILL APPROVAL ROUGH PLUMBING p FRAMING k ELECTRICAL ROUGHvIN ' INSULATION: )OFOUNDATION �, FLOORS •c . . �� WALLS . I . . CEILING ', • I FINAL INSPECTION: I CHIMNEY HEIGHT { ,; ROOFING V. SIDING j. EXTERNAL PORCHES/' TEPS STAIRS—CLEARANCE & RAILS PLUMBING FIXTURESkRELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS I 1 GARAGE FIREPROOFING . DOOR CLOSER(S) I SMOKE DETECTORS ' FINAL ELECTRICAL INSPECT ON ' _FINAL APPROVAL OFI CONSTR CTION - OK TO ISSUE C/O OR C/C A SIGNED CERTIFIkATE OF OCCUPANCY MUST BE OBTAINED FROM TIE BUILDING\DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIE !• 1 I • REMARKS: j I f / , \\\\t • • • ARRIVE /Q.' DEPART/Oc s INSPECTOR QUEEN VICTORIA' S GRANT QUEENSBURY, NY 1000000 C. O.T. G.00.000* _I MA REFERENCE DRAWINGS 5A SITE UTILITIES SEPTIC 4 WATER VanDUSEN 4 STEVES SURVEY PLAN 6'- 0 DIAMETER 9'- 0 DEPTH 2000ga1 v 142.g4' C O.T G. � (CLEAN OUT TO GRADE) �38.85, PLOT PLAN 4 SEPTIC SYSTEM GUYER BUILDERS, INC QV-22 DWN ; I&J 12- 15- 07 FScale 1 20' O