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1987-710 CERTIFICATE +CIF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK rctn3 act I94g Date � r, This is to certify that work requested to be done as shown by Permit No. has been completed. This structure u Eed�a l..ocation 18 . 1: I .i ZiAbetii Litli lfyE� ni `.' j c_ tVr .:3 � '.11i bkultdfn CNMer =ix_:c iilc c.rsa By Order Town Board TOWN OF QUEENSBURY r . _ Building & Zoning Inspector 66Cw TIVC "4NSTw /NINTiNG. Gc ENS F^ELS. N v •2000 [S 1*1 7S=-Sasa A BUILDING PERMIT TOWN OF QUEENSBURY No 87-710 - WARREN COUNTY, NEW YORK PERMISSION is hereby granted to queen Victoria ' s Grant f OWNER of property located at 18 Elizabeth Lane Street, Road or Ave. I in the Town of Queensbury, To Construct or place a i 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. A 1 . OWNERSAddressis Gtiyer Builders Inc . 119 Dunning Street Ballston Spa , N . Y . 12801 r n rt 2. CONTRACTOR or BUILDER 'S Name 4 rs Same m m 3. OONTRACTOR or BUILDER'S Address rt w D r-r 4. ARCHITECT'S Name cc r�1 5. ARCHITECT'S Address n~i w ro rt 6. TYPE of Construction — [Please indicate by XI C w 4 Wood Frame f } Masonry I } Steel I I ro 7. PLANS and Specifications No. 31 ' x46 ' 6" per plot plan , specifications and application including r� septic system, attached one car garage and driveway permit . 0 8. Proposed Use MODEL I we w of Two Family Dwelling � r �c t7 $5 . 00 CIO � 19 88 $ _ 82 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES y 1 ' I I f a longer period is required an appIi cat!an for an extension must be made to the auiId1ng and Zoning inspector of the town of Queensbury before the expiration data.! aq Dated at the Town of Queensbury this 22nd Day of October 19 87 SIGNED BY �'+� J�G�=/� ? �C. - for the Town of Queensbury Building and Zoning Inspector "Irxe Application No. .,Ja�uv+t oti'er� 3��er•� Permit Issued 19 "k 4J l � I • BUILOiNG and ZONING DEPARTMENT Permit Expires 19 IJ t. � 1937 LL Bay and Haviland Road, R.D. 1 Box 98 zoning Designation Queensbury, New 'York 12801 Variance _ Site Pl n Rev. ew �r Appro (AMb / Ive'APPLICATION FOR r � BUILDING AND ZONING PERMIT r iF * iY * * 0 * * * * * * * 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 : 18 Elizabeth Lane 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 899-9161 Richard H . Guyer III Tel . No . Name P . O. Address Name of builder Guyer Builders , Inc -Address 119 Dunning Street Tel . ( 518) 899_9161 Name of plumber yer erg; nG .Address ng Sffrree Tel . Name of mason uyer rs , nc -Address g NATURE OF PROPOSED WORK : * ZONING INFORMATION : X. Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED , " drawn reasonably to scale and attached hereto , Addition to a building Alteration to a building * showing clearly and distinctly all bui.ldi_ngst (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 REQUREDp$ 1lOo * Size of property 100± plan ft x 120 ft . * Existing buildings) Size ft X -ft - * PROPOSED BUILDING AND USE : Model r * Existing buildings ) Use NIA 46 ' - " size of new stru021recle 31 ft �t �n Foundation-pier crawl/partial/full * Proposed building , seespJs]tepanm property line one) 1 * Front yard 30+ ft Rear yard 3p+ ft No . of Stories (habitable ) pace ) ft . * Side yards + ft and 15+ ft Height ( grade to ridge ) * if on corner , setback from side street ft if residential , noo of families Of 2 No6 of rooms (excluding baths ) �� * OCCUPANc:Y INFORMATION No4 of bedrooms ` * PRIMARY BUILDING - No. of bathrooms One family dwelling tem se Th - s � i de Uelij". f r Px merry heating sys a �- ectric* I_Two family dwelling 0 $ �� Ty� of fuel Electricity * Multiple dwelling 1 Number of units No . of fireplaces to be installed No * Permanent occupancy Will a wood stove be installed? Transient occupancy NO sk Central Aix conditioning? * Business +� BUILDING STYLE, PRIMARY STRUCTURE * Industrial * Other Ranch Contemporary La cabin If addition : what will use be? Raised ranch Mansion Duple Split level old style Bungalow Gape Cod Cottage Other * ACCESSORY BUILDING- , '� Detached garage/one car/ two car/ car Colonial Row Town House c One car Attached garage/one car/ two car/ One ( CIRCLE ONE PLEASE ) * _ x._ �e * * * * * * * ,� • • * + + * * Private storage building ESTIMATED MARKET VALUE OF Other CONSTRUCTION INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET . To BE COMPLETEDI Form SPA 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 $" Depth of foundation below grade (to bottom of footing ) 481W If i iII1l m Will there be a cellar? �no Heated or unheated? Floor sq. footage sq ft Will there be a basement? no Will any portion be used as living space? ( If so, what porn ' ? sq. ft . - - Type of use? Type of roof - sloped flat/shed/other Material of roof Fi rg ass s ' ngles Sire , wood studs "X 6 spacing 24 Ilo . c . length 8 fto exterior walls Joists ( floor beamms ) lst . floor N/A "x "" spacing-. " c . span N/A ft . Joists ( floor beams ) 2nd , floor �""x - o . '" spacing �'"o . C . span N A ft . Overlays ( ceiling beams ) "'X "' spacing 24 "o . c . span N/A ft . Roof rafters '"x '" spacing 24 o , c . span N/A f t . Roof trusses (pre-engineered) spacing s '"o . c , spay�2 ' -6Tt , Exterior wall finish stained Of what material? 5/$" x 4 ' x 8 ' texture 111 Interior wall finish psin s etrock 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 ft , in . Water supply - Municipal or private well municipal SEPTIC SYSTEM Distance from ANY private well ( including adjoining properties ft , (A separate application is necessary for an re air or new installation of septic system) See S . P . E . D. S . pernit �f 02E 2 Town of Queensbury County of Warren 14 F F I ll a V I -� STATE OF NEW PORK 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 . G _ SWORN TO BEFORE ME THIS Signature ,.2_ _ _ Owner _, owneres -agent .�itect, contractor- ^ Ss3 . daY of� 4 1918 l ELIZABEfH K. LANDRY � " KtoterY Puibo ic4 torte of New York, f Notary( Pub l e•, - arren County, . Y . > [ mis ion in Saratoga County •._.___..__,,____� Commission Expires .tune 16, 19 * w t► • it * • r * . r * * ,► * * a * +rr * * yr rt * * * * * a► rr * : OF ,r rie * * ,► * * w r ,r # s a SPECIA14 CONDITIONS OF THE PERMIT : 1040 Square feet livirxg 240 Square foot garage _ csne stall 1280 @ $7 . QU/ 100 or part of 1 $ 5 , 00 One stall garage _ $5 . 00 C/O permit Total By I} I ff TOWN OF QUESNSBURY 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 . &XfiVZR ALL of the following x • • Gross floor area 1040 S . F . 2 . Type of heat Baseboard electric 3 . Is the building machanically cooled ? No 4 . Percentage of area of windows and doors 14 . 3JG A . Over 16 % Only 1 . U value of gross area of walls , roof / ceiling and floors a exposed to ambient conditions 2 , floor over heated spaces YES NO a . Are foundation wails 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 p , under 16 % OnlY 1 . R value of roof and floors exposed to ambient eonditionu� R-38 (U. =0 . 026) 2 . R value of exterior walls 3NXKK 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 6paces R-30 6 . R value of slab edge insulation - unheated slab N/A 7 . R value of slab insulation - heated slab 12 . 5 $ . R value of heated basement/cellar walls ( above grade ) N/A 90 R value of heated basement /cellar walls (below grade ) N/A 106 Type of insulation Fiberglass C . Controls le 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 . pining Insulation N/A 1 . Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation .- re Service Water HeatinS 1 . Performance efficiency NIA 2 . Temperature control setting maximum G . For Swimming Pool Only N/A 1 . 14aximum heating ( 518) 899-9161 Telephone No . r ( applicant ' s s azure ) APPLICATION FOR SEPTIC DISPOSAL PERMIT Ref : S . P . E . D. S . IIAT$ September 23 87 permit # New York 0202525 MODEL I of LOCATION OF PROPERTY FOR INSTALLATION 18 Elizabeth Lane Owner's Name: Oyer Builders , Inc . Telephones ( 518) 899-9161 Address: 119 ]i' i ping Street , Ballston Spa , New York 12020 Installer's Name: Guyer Builders , Inc Telephone: ( 51$) 899-9161 2 A, C , E , I , J , K, L, M Number of bedrooms (residential only) 2 _ 3 F ' G, R Total daily flow (compute (W 150 gal per bedroom) 300 Tcrpograpby: circle one: Flat Rolling Steep Slope % of slope _ Soil Nature: circle one: Sand Loam Clay Other / Depth: $ ' feet + Ground Water: At what depth? unknown $ feet + Bedrock or Impervious Maternal: At what depth? unknown feet percolation testa, circle one: aot require required / rate min. inch. Domestic water supply: circle one: cipalWell 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 FIT(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...Y.IST NEW EQUIPMENT TO BE INSTALLED permit & attached * ssaes * ss * sss * * * ss * * sus * * * saRss * sse * s * * ssss map , (over) Section U Septic System Inspections: A. All applications for septic system installation, alteration or repair, as required by the Town of Queensbuty 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 50 size and dimensions of all tanks, distribution boxes, the 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. co An approved copy of the plat 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. 1 have mead the regulations above and agree to abide by these and all require --emts of the Town of Q■ eensb ury Sanitary Sewage nisposal CWdinauce. Signature of.responsible person. Date: k Town of Queensbuey Building and Code Department Bay at Haviland Road Queenebury, New York 12801 (518) 792-5832 SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LIVE _ low#! O/ Q"eej" j1"ry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R-DC 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL /SYSTEM INSPECTION NAME 1�7r mil/ !� fcoI� 5 r�. ------ LOCATION �c�rL uy►i S / S ,y�rin�� DATE J F I PERMIT NO._� 'J SOIL TYPE - San - Loam - 'Clay - Percolation Test Required? YES ATO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field , total length Length of eacigtrench Depth of trenc s Size of gravel) SEEPAGE PITS4Numb of) Size- _ 'ft. X _ ft . Gravel size ` PIPING : 3. a y + Type Bldg . to 'tank do ��e^ Tank to dist. box " Dists box to field/ openings sealed? YE O J Partial LOCATION/SEFARgs ON S : Foundation to ank f t. Foundation to sorption t . Absorption t lot line f Separation pits ft• LOCATION OF SYSTEM ON PROPERTY (circ1e one) Front e r - Left side - Right side - CCb1MENT SYSTEM USE APPROVED YES NO B ildin nspector 01/86 and v1 4001054 THE NEW YORK BOARD OF FIRE UNDERWRITERS V A BUREAU OF ELECTRICITY r Fta 41 STATE STREET, ALBANY, NEW YCRK 12207 ^� ALpr1l 11 s 1988 Application .Yo. On file 030611 /87 � 2 3 2 4 Bate _ THIS CERTIFIES THAT �o� nurPPber fn the n""A of � orFly the electrical egufptnent ae cleecribecl belo a and 1n#rvM�4ced by the RlppliCawt tuRnsed on she above aPPI r o tWO f SMIly Guyer Builders INC . # 18 Elizabeth Lane QueensburyR Now York '# c outside 12181ock 4 Lot m in thefoflowing location; ❑ Basement Ise Ff. ❑ 2nd" FI. Sectiora thaa erantined on 3-25-88 and found to be in compliance with the requirw. rtts of this Board. PIXTURE FIXTURES RANGES CUF7KiNO DECKS OVENS fMSH WXSHERS EX1iXUST FANS WITCMES CUTLRTS PTACLES S IWCANDRSCEMT FLLIGRESCENT V AMT, K. W- AMT. X. W. AMT- K.W. AMT. K. W. AMT. PI. ►- 2S 16 4 12 DRYERS FURNACE MOTORS FUTURE AFPUANCE FERVORS SPRCIAL REC'PT TIME CLOCKS RiEll UNIT HEATERS MtllTl OUTLRT DIMMERS srsTRMS AMT WATTS MAT. K. W. OIL N. P, GAS N. P, N 1. PIG. A. AMT. AMP, AMT. AMPS. TRACES, AMT. N. R NO.CtF FEET I e $ 1 ,L 1 SERVICE CH ONt1Ei:T s1w, OF S METER w7. aP cC. COP1G. A, w.G A. W. G. aG. OF 14EUTRALS AMT. AMP. tyn RpIRF, 1 .r #W 1 A 3w S X 9w ] 1P 4W PER # OF CC. c xw. PIO. of NI-LEG pc HI-LEG OF 1 150 cb 1 X 2 /0 OTHER APPARATUS: Elec . Room HEaters t 4 /2 ; 0 R 1 /1 . 5 s 2/ . 5 Motors : P, 1-smoke detector a c Guyer Byilders INC & 119 AunnLng Street 239 Ballston Spas NY 12020 BRANCH MANAGER Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credeMiak. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. � '"r 4967 _Down o/ Q, eceens eery +l�v " BUILDING and ZONING DEPARTMENT Bay and Hawikand Road, R.O. 1 Sox 98 fly Queensbury, New York 12801 `_.''I ( / BUILDING INSPECTOR ' S REPORT NAME &�Lw J LOCATION 16f, y} Dates / _ Pernnit No . �,—f#� �— J�f I✓ s APPROVED - YES NO Footing/Pier Forms Foundation waterproofing Sackfill Framing Roofing Siding Masonry V neer _ Rough PI ing� Relief Val es _ Ext . Parch Finished F1 rs Interior Tri stairs & Raili. gs Cellar Brain Ti e Concrete 'Floors P1bg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney IN SU I.AT I ON Foundation Floors walls Ceiling FINAL ELECT ICAL. INSPECTIONr DRIVEWAY APP OVAL Final Building Survey Next scheduled insP,ection ( ca11 hen ready) Remarks— r rig inspector 6/8+6 and-vl BUILDING and ZONING DEPARTMENT Bay and Hawiland Road, R. D. i Box 98 Queensbury, New 'York 12801 BUILDING INSPECTOR ' S REPORT NAME 4 , ^ LOCATION Date 01 Permit No . ✓ = APPROVER - YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Ven +er Rough Plumbi g Relief Valves Ext , Porches Finished. Floor Interior Trim Stairs & Railin Cellar Drain Til Concrete Floors Plbq . Fixtures Gar . Fireproo ing Docir Closers Smoke Detc - ors /Khim<icy N S U I.AT I ON oundatiO 2'loors Walls Ceii inq FINAL EL CTRICAL INSPEC ION DRIVEWAY PPROVAL Final Building Survey -� Next 4cheduled inspection ( call when ready ) Rennarks- Muilding Inspector /E3f� mci-vl / C � ..� ,r��f ' _Jc+uvrt o� �tteenshurr� ,�hr D BUILDING and ZONING DEPARTMENT ' Bay and Haviland Road, R.O. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME r LOCATIONcv� �f �f Date / Permit No . � l � /t�f ✓ = 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 6 �SUI,ATION Foundation Floors Wa11s Ceilin(l - FINAL ELECTR AL INSPECTION i)RIVEWAY APP VAL Final Buildi g Survey Next scheduled inspection ( call when ready ) Remarks- /' 14 /000 Cod/ qcot E3ui ing In n{1! ) 0 BUILDING and WINING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 ©ueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION r/ Date /�50167C> Permit No . Q ✓ -Footing/pier APPROVED _ YES NO Foundation Waterproofing Bac fill raming Roofing Siding Ma_ my V eer ough Plum ing Relief Valv s Ext . Porches Fin ishc�cl Floo s Interior Trim Stairs & Railin s Cellar Drain Til Concrete FTcars Plbg . Fixtures Gar . Fi. reproofin Don Closers Smoke Detector Chimney INS11IATTON : Foundation rloors Walls ceiling FINAL ELE TR=CAL INSPECTIpN DRTVEWAy PPRUVAL Final Tiia ding Surve}r Next acloeduled inspection (cal_1 when re Remarks- ady ) �f86 and Building Inspector - vl OUILOING and ZONMG f]EPARTM NT f�IJ - Say and HaV+tand Road. R. L7, 1 Box 98 QUeensbury. New York 128o7 BUILDING fNSPECTORIS NAME REPORT LOCATION ~� z / Date ,// � ��_,�' I'G x'1211, t N. FaOLing/Pier fiorms APPROVEL) - 'YES O F'OU17 C13 Ilan Waterproofing Backfill Framing Roofing Siding MasonrY Veneer Rough Plumbing Relief 'Waives h:xt . Marches rinished Floors Interior Trim Stairs & kaixings Cellar Drain Tile concrete Floors Mlbg , Fixtures Gar . Fireproofing Door Closers Smoke ,Detectors Chimney INSULATION , FlOundation F] clays Wails Ceiling FINAL ELECT CAL INSPECTION DRIVEWAY AP OVAL Final. Bull ing Survey -^_~ Next scheduled inspection {call When ready)Remarks- Buildin Inspector G/86 md,v BUILDING and ZONING DEPARTMENT Say and Haviland Road, R. D. I Box 98 Queensbury, New York 12801 BO ILDING INSPECTOR ' S REPORT NAME LOC,ATION� y�/} Date =Fran ting/pi eY- Fc3rmsd APPROVED - YES NO Foundation Waterproofing Backfill Franing Roofing Siding Masonry Veneer 1X0,ugh Plumhing 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 APPROVA Final Building S rvey - � Next schedued inspect l ion (call when ready ) Remarks- Building Inspectr3r 6/8fi and -vl -.-+'+awn Q� �uPen .flyurt� BUILDING,, and ZONING DEPARTMENT Bay and Hauifand Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECT©RFS REPORT NAIVE LOCATION Date,rt] /+,r /� Permit No . Fo tin = APPROVED - YES * r g/Pier Farms NO to4oundation Waterproofing v�ack £ill Framing Roofing Siding Masonry Venee Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Til Concrete Floors Plbg , Fixtures Gar . Fireproo ing Door Closers Smoke Detec rs Chimney INSULATIC)N ; Foundation Floors Walls Ceiling FINAL F.LEC3 RICAL INSPECTIt7N DRIVEWAY APPROVAL Final Building survey Next scheduled inspection {ca1L when ready} Remarks- 6f86 and-vl Building Inspector aU/" o/ Quee4nj6ur r BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION c Date Permit ✓ = APPROVED Doti ngyPi er Forms APPROVED Foundation Waterproofing $ackfill 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 APPROV Final Building Survey Next scheduled inspection ( tali when ready ) Remarks- 6/86 and-vl i r $uildin Inspector BUILDING and and ZONING, DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME 67,0 A- OF LOCATION r, Date 40 f Z Permit No . OOP' = APPROVED - YES NO Footing/pier Forms Foundation Waterproofing Backfill Framing Roofing Siding iHasonry Veneer Rough Plumbing Relief valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Til Concrete Floors Plbg . Fixtures Gar . Fireproo ing Door Closers Smoke Detec ors Chimney INSULATION Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( call when ready ) Remarks- Building Inspect 6J86 and-vl BUILDING DEPT. COPY OF APPLICATION FORM46-EL; NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WIT" BUILDING DEPT. WHEN REQUIRED. TEMP- CITY OR y VILLAGE _ TOWNSHIP � COUNTYwbrx Roan AND POLE Iwo_ �#�1$'rTKUzabeth Lane BETWI�w WHAT TWO POLE NO, CROSSSTREETS IS PREMISES LOCATED? ECTtON BLOCK LOT NAME OCCUPANT'S BUILDING _NAME OCCUPANCY - r OWNERS NAME AND ADDRESS Guyer B TLide1"1RP Ince 109 d-na Street . - TEL. # U Y SUPPLIED 6Y ; A ... FROM THEIR � L. ,� - OFFICE BUILDING -,�' � IS ��' NEW ® OLD Q WORK f DEFECTS IS NEW XD ADDITIONAL Q REMOVED El LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS Lamp R Ip�l« MOTORS HEATERS BRANCH Lgce- CIRCUITS OFFICE USE t"'O11 � ONLY Ceiling Sbte Attach"t Switch Iss Kim I Bracitat No. H.P. Watts A W.G.Wait RaarlYll Type Each He. Each No. Gauge INSPECTION Din- side Sub• ba Beer ment let FI. Znd FI. 8M PI. REMARKS! LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DD NOT USE THIS SPACE. This application is intended Io cover tare abmya-listed aqu ipment to be in spected but if at time of inylae there is rid additional equip You we wthorixed to make the inspection and adjust Me lea tv toyer the additional equipment, as providedd by the applicant. . ment not above listed. SIZE F MAINS FEEDERS ELECTRIC SIGNLAMPS TOTAL WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK inCONCEALED TRANSFORMERS OF WORK TO BE VA (NUMBER) STARTED COMPLETED SIZE OF SIGN (CAPACIYYI SERVICE OVER UNDERGROUND ENTERS MAKER BUI DING 49 Ww OF SIGN INSPECTION REQUESTED t*s PPOSSRBLE NEAR AS Will I CA y re — _ �.A .i i: ky NEW ❑ 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 DATE OF dllirs, Inc APPLICATION t,�,� STREET ADDRESS 119 DAW14108 � TELEPHONE # 899!e! ee W CITY OR POST OFFICE jlyr<'} 'I aFrzet ZIP LICENSE NO. 1YiGI/.ai CODE 32�(= WHEN APPLICABLE 46 EL (REV. r/aIf) 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