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1987-713 I CERTIFICATE OF OCCUPANCY I TOWN OF QwUEENSSURY WARREN COUNTY, NEW YORK i DateMarch 29 , 19 88 3 I This is to certifythat work requested to be done as shown $�� �' req by Permit No. 1 has been completed. I This structure may be occupied as a of Two Family Dwelling ILocation 20 Elizabeth Inane _� ...�� .. _.... . _. Guyer Builders , Inc . owner 8y Order Town Hoard i'OWN OF QUEENSBUItY i f C'' f Building & Zoning inspector 's BUILDING PERMIT TOWN OF +QUEENSBURY No 87-713 WARREN COUNTY, NEW YORK o PERMISSION is hereby granted to Queen Victoria ' s Grant OWNER of property located at 20 Elizabeth bane Street, Road or Ave, r in the Town of Queensbury, To Construct or place a of Two Family Dwelling l 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 Gu er Builders Inc . 119. Item ding St . Ballston Spa . , N . Y . 12020 2. CONTRACTOR or BUILDER'S Name ro ro Same C F • n rt 3- CONTRACTOR or BUI LDER'S Address O i tsx us 4'3 4. ARCHITECT'S Name H W r7 5, ARCHITECTS Address. N 4 tz7 6. TYPE of Construction — Mlease indicate by XI l N• N p7 I it wood France I ) Masonry 11 Steel I I rt 7. PLANS and Specifications r w No 32 ' x 48 ' per plot plan , Bpecifications and application including rou septic system, attached one car garage and driveway permit . B- Proposed use iKaDEI, J of Two Family Dwelling H $5 . 00 c/a E ti $ 89 . 00 PERMIT FEE PAIL] — THIS PERMIT EXPIRES M �3' 1 ' 19 88 w (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the µ town of Queensbury before the expiration dateJ Dated at the Town of Queensbury this 22nd pay of October 19 $ 7 r SIGNED BY for the Town of Queensbury Building and Zoning Inspector TU U G tl1rlYLr 'i't ll nx !]LLha. u�i' i . J / Application No . ,.. own 01 Qt e&P, t ,3 "r La Permit Issued 19 {l `�' ` ) ; � ' { BUILDING and ZONING DEPARTMENT Permit Expires 19 `J �' ] l� Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation r �� 0CT 2 1987 ©ueensbury, New York 12801 Variance N F,. 'Site P v ;. ) r - Appravey 4 �v APPLICATION FOR DG I LD I NG AND ZONING PERM I T �"" ^'• `'`d1" 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 Tal . ( 518 ) 899-9161 Property Location : 20 Elizbeth Lane Tax Map N0 .121 / ' / 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 , Ine .Address 119 Dunning Street Tel . ( 518 ) 899-9161 Name of plumber yer i rs , nC .Address fig Street Tel . Name of mason Wyer W11ders , nc .Address 8 ree Tel . 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 LOCATION OF STRUCTURES AFFECTED. * of water �tpply and location and configuration of septic disposal area . * * COMPLETE INFORMATION REQUIIREDp$�DF. OW . * Size of property 100± plan ft X 12o ft . * Existing building ( s) Size ft X--N -ft . PROPOSED BUILDING AND USE : Model I of * Existing building (s ) Use NIA Size of new stran ut a 32 ft X 48 ft Foundation-pier slab crawl/partial/full Proposed building, Seeisttanncepfrroom property line circle one ) * Frant yard 30+ ft Rear yard 30+ ft Noe gaf sgtories (habitgable 1Spa69,e) 1 Hei ht ( rade to rid e ) HJ ft . ,► Side yards�l + —ft and 15+ ft If residential, no . of families * If on corner # setback from side street 7wft Noe of rooms ( excluding baths ) OCCUPANCY INFORMATION No. of drooms 2 bathrooms 2 PRIMARY BUILDING - No. One family dwelling This e f r Primary heating system se e ectric* T , family dwelling Q s � • Type of fuel Electricity No. of Fireplaces to be installed * Multiple dwelling / Number of units Permanent occupancy Will a wood stove be installed? No + Transient occupancy Central Air conditioning? No * * Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Other Ranch Contemporary LoC3 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 s * * * * * * * �► * * * * * * Private storage building ESTIMATED MARKET VALUE OF * .Other CONSTRUCTION INFORMATION ON - BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET. TO BE COMPLETEDI Form EPA 4/86 and-vl Y 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 11 Foundation wall material concrete block Thickness 8" Depth of foundation below grade (to bottom of footing ) 8" mininum 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 por �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 Joist.s ( floor beams ) lst . floor N/A "'x " spacingY y"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 NIA ft . Roof rafters 2 "x " spaci�4'+ O . C . span 14 f t . Roof trusses (pre-engineered) spaci.ng4 "o . c . span 42 'ft . Exterior wall finish stained Of what material? 5 /8" x 4 ' x 8 ' texture. 111 Interior wall finish pain s eetrock If a garage is to be attached , describe materials to be used for FIRE SEPARATION : 1/2" type "X" sheetrock Is there to be an opening between garage land dwelling? yes if so will a Fire-rated door , enclosure , and self-closing device be provided? yes Will a flue-lined chimney be installed? No Height above roof N/A ft . Depth of chimney foundation below grade N A ft . Depth of fireplace hearth N A €t . in . Water supply - Municipal or private well Municipal SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties NIK ft . (A separate application is necessary for an re air or new installation of septic system) See S . P . E . D . S . perms t ## 026252 Town of Queensbury County of Warren A F F I D A II I T STATE OF NEW YORIC 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 s eci AP or not, and that such work. is authorized by the owner . SWORN TO BEFORE ME THIS Signature Owner , owner ' s agent rcnirect, contractor day of 19 ^, "1 EL1ZA$ETH K. LAfVDRY Notary Public, State of N!ew York No. 4BB2001 Notary Warren County, Qualified in Saratoga County Commission Expires .tune 16, 19.7v at at a * at * w w * w w It w It sr * M w t * tr : sr • • • It w w # • * r SPECIAL CONDITIONS OF THE PERMIT : 1123 Square feet living 240 Square foot garage - One Stall 1363 @ $7 . 00/ 100 or part of $ 5 .00 One stall garage $5 . 00 C/O permit Total $y-- .......... ____________________ TOWN OF QUEENSBURY „XF WARREN COUNTY , NEW YORK Application fors BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work . Al *WZR ALL of the following : � . Grossfloor area 1123 S . F . 2 . Typo of heat Baseboard electric 3 . Is the building mechanically cooled ? No 40 percentage of area of windows and doors 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.Q a . if YES , what is the R values 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 XXXM 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 &,paces jjkM� 6 . R value of slab edge insulation - unheated slab NIA 7 . R value of slab insulation - heated slab 12 . 5 8 . R value of heated basement/ cellar walls ( above grade ) N A 96 R value of heated basement /cellar walls ( below grade ) N/A 100 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 . , R value of duct in other areas E . Piping Insulation N/A 10 Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation V Service Water Heating 10!' Performance efficiency N/A 2 . Temperature control setting maximum G . For Swimming Pool Only 1 . Maximum heating N/A .r Telephone No . ( 518) 899- 9161 ( applicant ' s si afore } APPLICATION FOR SEPTIC DISPOSAL PERMIT Ref : S . P . E .D . S . I]ATS _ September 23 / 87 permit # New York - 0202525 MODEL J of LOCATION OF PROPERTY FOR INSTALLATION 20 Elizabeth Lane Owner's Name: Guyer Builders , Inc . Telephone: ( 518) 899-9161 Address: 119 Dunning Street , Ballston Spa , New 'York 12020 Installers 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 Q 150 gal per bedroom) 300 Topogrraipbg: circle one: lat Rolling Steep Slope % of slope Soil Nature: circle one: Sand Loam Clay Other / Depth: 8 " feet + Groumd 'water: At what depth? unknOwn8 feet + Bedrock or Impervious Uaterial: At what depth? unknown feet Peecolatiion test: circle one: not require required / rate min. inch. Domestic water supply-. circle one: icipal Well Other IF domestic water supply is a Fell: Separation: W atersupply 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 It +ltss * s s * sasssts # sss * * �i # # * * s * +rRMt # * * si * # * �cacs I U P 0 R T A N T * See S . P. E.D . S . ...Please...LIST NEW EQUIPMENT TO BE INSTALLED permit & attached map . (over) Section 11 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 propoped ,location of the gystem 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 yields and/or drywells B. No system shalt 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. Co 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. l have mead the regulations above and agree to abide by these and all requiuremueatss of the Town of Queensbury Sanitary Sewage Disposal Ord: ante. Signature of.responsible Berson: Date: Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SETTLED 1763 . . . HOME OF NATURAL REALITY . . . A GOOD PLACE TO LIVE own 0/ �ueens �ure� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME . LOCAT ION J�css2 i 5 �yj" ram + DATE 46- 9 / PERMIT NO. SOIL TYPE - San - Loam - Clay - Percolation Test Required? YES NO Percolation rate - Min/Inch TYPE of SYSTEM; Absorption field , total length Length of eac trench Depth of trench s - Size of gravel_ SEEPAGE PITS#Numb of) Size- �ft. X ft . Gravel size =, • PIPING : ize .. _ Type Bldg . to tank - 6 +' - 4,, C� Tank to dirt . box am -;7600G Dist . box to field it y "' "Pdl&rc_. Openings sealed? YE NO Partial LOCATION/SEP•A IONS ; Foundation to ank ft. Foundation to absorption ft . Absorption t lot line ft . Separation f pits t LOCATION O SYSTEM ON PROPERTY ircle one ? Front ar - Left side - Right de COMMENT SYSTEM USE APPROVED YES NO B ildin nspector 01/86 and vl 4001054 - THE NEW Y© RK BOARD OF FIRE UNDERWRITERS � . BUREAU OF ELECTRICITY F-ta Al STATE STREET. ALBANY, NEW PORK 12207 I Date April 11 . 1988 Application .Vo. on file 030614/87 THIS CERTIFIES THAT otsly the electrical equipmsent as described below and introduced by she applicant •lamed on the abose appUwetiion b i pre number n the mises of Guyer Builders #201I��ILlislabath Lane Queensbury . New 'York. ;I two fandly dwelling � . , in thefollowing lo Elcation; Basement INIst Ff. ® 2nJ Fl. outside Section121 Block 4 Lot was examined on 3.25.88 andfound to be in compliance with the requirements of this Board. RxTURE FIXTURES RANGES COokllt4 PECKS CJVENS DISK WASHERS EXIiAUST FANS RCEFTACIES SWITCHES ANT. K, w. ANT. K. w. wAnT. K.w. AMr. R. w. ANT. N. ►. rs DUT4ET5 INCANDESCE Nt FLIA7RESCEPrr v SS 17 32 26 12 5 I . 6 4 frF DRYERS FURNACE MOTORS FUTURE A/'M.MNCE FEEDERS SFLG.AL R!C'r'I TIME CECtCkS EEII t►NIT HEATERS M $STEMS � AMT. K. W. 04L N_ P. GAS N. r. AMr. No. w. w. G. ANT. AM►. ANT, Anus. TRANS. MhT. N. ►. N4. OF FEET ArAT. wwrrs � 1ANIT I Ile I1 =_ SERVICE IXSCONNECT NO. S E R v 1 C E WATER ND- C7F CC, CaIVD. k w. "0- Gi MI•LEG A. w, G. NO. OF NEUTRALS Ur fe:L RAL AMt_ AMP. TY►E *Culp. 11'X Tw 1 X 3w 3 Ar 3w 31' AW pER 8 CfF CL. C�D. C7► N41EG 150 cb 1 x 2/0 1 /13 orttER wFrwRATu lee . Room Heaters : 4/2 * 09 1 /1 - 5 . 2/ 1 . 0 . 2/ . 5 - motors : I 1-gtci 2-smoke detectors Guyer Builders luc . 119 Dunv4ng Street Ballston Spa . HY12020 BRANCH MANAGER p4r _ This certificate most not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials_ 9 COPY FOR. BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. we ] BUILDING and ZCsIVINCs DEPARTMENT ! � Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 �J BUILDING INSPECTOR ' S REPORT NAME LOCATION Date j7 jg+ /&_ Permit No * ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Sackfill Framing Roofing Siding Masonry Veneer Rough Plumbi Relief Valves Ext . Parches 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- fi+'EJ $a�pf.� ,R�� 4^15 A(a n mac. r' uil i.ng Inspector 6/86 and-vl � U _..,/own a� �iteensbure� BUILDING and ZONING DEPARTMENT Bay and Haviiand Road, R. D. 1 Box 98 Queensbury, New York 12601 BUILDING INSPECTOR ' S REPORT NAME LOCATION ,120dV Date,�2?__ Permit NO . - / ) 255 I✓ APPROVED - 'YES NO Footinq/Pier Forms Foundation waterproofing Sackfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . E'orches Finished Floors Interior Trim Stairs & Railings Cellar Brain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors cbimney S LI I ,FAT I C3N Foundation Floors Walls Ceilinq FINAL uLECTRI AL INSPECTION DRIVEWAY APPR VAI Final Buildi g Survey Next scheduled inspection ( call when ready ) Remarks- / y JJ 7tl� /el- , It 1'L' O M'T I Y 1 'a Building Inspector G/86 and-vl 40 O BUILDING and ZONING DEPARTMENT Bay and Haviiand road, R. D. 1 Box 98 Queensbury. New York 12801 BUILDING INSPECTOR " S REPORT NAME LOCATION Date L'L� r� Permit No . ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Irorctses Finished Floors Interior Trim Stairs & Railings Cellar Drain 'File Concrete Floors Plbq . Fixtures Gar . Fireproofin Door Closers Smoke 4De Khimne oundation NSSJI A Floors Walls_ Cei1in FINAL L INSPECTIONDRIVEWAL Final Survey. Next scheduled inspection ( call when ready ) Remarks- 7 ZI �/ ' Kuliding Inspector 186 and-VI 0-1 ` CiW�t C1 QflP'PI"t3b [tMf� BUILDING and ZONING DEPARTMENT !vJ Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Permit No ✓ = APPROVED - YES NO Footing/Fier Farms Foundation Waterproofing Sackfill Zli�arning Roofing Siding Masonry Veneer CH,sonjTi Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Conorete Floors Plbg . Fixtures Gar _ Fireproofi g Door Closers Smoke Detector chimney INSULATION : Foundation Floors Walls Ce it inch F' INAI, ELECT CAL INSPECTION DRIVEWAY APPROVAL Final Building Survey. Next scheduled inspection ( call when ready ) Remarks- ; din Inspe G/66 and - vl BUILDING and ZONING DEPARTMENT f 7 , Bay and Haviland Road, R. D. 1 Box 98 I u Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date //'/:a / Permit No . F2 - ✓ = 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 INSULATION Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROI -- Final Building Survey Next scheduled inspection (call when ready ) Remarks- / Suildin Inspector 6/86 and-vl BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME ./ 7�,, 1-y LOCATION 4 Date/�/ - Permit No . r? "/�' 71 = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer LAtough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim stairs & Railings Cellar Drain Til Concrete Floors Plbg . Fixtures Gar . Fireproof ng Door Closers Smoke Detect rs Chimney INSULA'T'ION Foundation Floors Walls_ Ceiling FINAL ELECTRICAL INSPECTIi7N DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( call when ready ) Remarks- el Building Inspector 6/86 and-vl �lvwn o� �ueerYs6terc� BUILDING and ZONING DEPARTMENT Bay and Hauiland Road, R.D. 1 'Box 98 Queensbury, New York 12801 BUILDING INSPECTORtS REPORT NAME LOCATION_�C.� f7' � mate%fj/ / permit No . GF% I/L� too' = APPROVED - YES NO Fa�oting/Pier Farms b+ undat.ion W terproo£ing u'Backf i ll Framing Roofing Siding Masonry Veneer Rough Plumbi Relief Valves Ext , Porches Finished Floor Interior 'Trim Stairs & pail , s Cellar Drain Ti e Concrete Floors Plbg , Fixtures Gar . Fireproofi Door Closers Smoke Detect s Chimney INSULATIO Foundati Floors Walls Ceilin FINAL ELECTRICAL INSPECTIO DRIVEWAY APPROVAL _ Final Building Survey Next scheduled inspection (call when ready ) Remarks- Building inspector 6/86 and-vl atu" v/ Qm ee rn s b ce r y BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R- 0. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME ( ;:," zz LOCATION / CY//z Z 0014 ,,. ,____ Date G' /C permit No . �� I ✓ = APPROVED - YE NO � ng/]Pier Forms Foundation Waterproofing Backfill Framing Roofing siding Masonry Veneer Rough Plumbing_ Relief Valves Ext . Porches Finished Floors Interior Trim Stairs 6 Railings Cellar Drain Tile concrete Floors Plbg . Fixtures Gar . Fireproofi g Door Closers Smoke Detecto s Chimney INSULATION : Foundation Floors Walls Ceilings FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready Remarks- el Building Inspector 6/86 and-vl BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME .4 LOCATION ,� f Date . "._._ Permit Pao . APPROVED - YES O 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. INSULATION Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey. Next scheduled inspection ( call when ready ) Remarks^ Building In or 6/86 and-vl BUILDING DEPT. COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING, DEPT. WHEN REQUIRED. TEMP p DATE . CITY VILLAGE ',b^a'.ur J ( I .R'�]^3irri 3 STREET AND No an ,ggrs,�^s �..q �,,�.�L,,�,aa.,��, y TOWNSHIP COUNTY ROAD AN POLE NO. #20 ElIzAtL eth yQaac BETWEEN WHAT TWO POLE NO. CROSS STREET& lS PREMta LOCATED? 3LOCK LOT OCCUPANTS BUILDING NAME OCCUPANCY , OWNER'S NAME AND ADDRESS QuVer &Idersf Inc.e 119 � g Street _ TEL. 8� 161 SUPPLIED91w I BY l _ FROM THEIR �r - OFFICE BUILDING WORK tt--1I DEFECTS IS NEyrX] OLD is NEW ' ADDITIONAL l_i REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED _ NUMBER OFHOUTLETS Lamp xtures 41k R lieaptades MOTORS HEATERS BRANCH Lome- CIRCUITS OFFICE USE tiun ONLY dHinp Side Srriod� Pa Plot Bracket Na. Type H.P. Na_ Wms A.W.+O. Each Evols No, Get** INSPECTION Ode Suw bass r t rREMA RKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABC VE: DO NDT USE THIS SPACE. This application is intended to corer the above-listed equipment to be inspected but it at time of inspection there is found additional equipment not above listed, you we authorised to make the inspection and adjust the fee to cover the additional aquipment, as provided by the applicant. IZE F MAINS ELECTRIC SFGN TOTAL FEEDERS LAMPS WATTS CHARACTER �,�7 EXPOSED GAS TUBE SIGN OF WORKafth in Ce CONCEALED TRANSFORMERS OF VA WORK TO BE (NUMBER) ICAPAC I TVI STARTED CfMtPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND ENTERS �y�y MAKER lLOING 1= OF SIGN INSPECTION REQUESTED ON! OR AS FOSS BLE NEAR AS W 1'1'f call wben l�l 4"i�.J. �=a1Ci.i N£-W Ij OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION, ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED, PRINT NAME AND ADDRESS NAME OF APPLICANT 171r"W 'Re ers T111 DATE OF > >f APPLiCA7 Pori STREET ADDRESS 'l]I itvrtina K.'r1'Yaadat TELEPHONE # _ 89IG1 CITY OR ZIP � rr}}��yrr�� LICENSE NO,POST OFFICE CODE —iidLfs� WHEN APPLICABLE 46 EL (REV. 1le5l A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING REFERENCE DRAWINGS �___.1 CLEANOUT 2000ga1 TO GRADE 9=0 DIAMETER 9' O DEPTH QUEEN VICTORIA S GRANT QUEENSBURY , N.Y. 5 SITE UTILITIES SEPTIC WATER V°nDUSEN STEVES SURVEY PLAN 18, 20, 22 , 24, 26, 28 ELIZA13ETH LANE 11 PLOT PLAN $ SEPTIC SYSTEM GUYER BUILCERS, INC. QV - 7 DWN ; 40(� �, ?,�, � Scale : I"- 20`-0