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1987-701 F CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK 19 This is to certify that work requested to be done as shown by Permit No. 3 7 - U 1 has been completed. 'tom} , 1 t t ' '` 4 e� a f' r",_r. I:iIjP D4i1_ '- t; J This structu�a be occu As shy I,.IOI[ adon Ph xxx �1 Owner By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector CWMATIVC "IMS8 A PIIIIMTIM4. 6L EMS rALLV M V I2901 151 a 1I}]-Sese H r BUILDING PERMIT � TOWN OF +QUEENSBURY � No- 87-701 - WARREN COUNTY, NEW Y©RK ry, PERMISSION is hereby granted to queen Victoria s Grant (Guyer Builders ) OWNER of property located at 32 Elizabeth Lane Street, Road or Ave. 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_ t, OWNER'SAddressis Guyer Builders � 119 Dunning Street Ballston Spa , N . Y . 12020 H C'k 2. CONTRACTOR or, SUI LDERZ Name Same 3_ CONTRACTOR or BUILDER'S Address C) H 4. ARCHITECT'S Name w 5. ARCHITECT'S Address rU tzj Y Ft tV 6' 6. TYPE of Construction — (Please indicate by XI rA ri I Wood Frame I ) Masonry I } Steel ( } N N T 7_ PLANS and Specifications MODEL C No. 30 ' x 30 ' per plot plan , specifications and application including septic system, attached one car garage and driveway perailt . 8. Proposed Use of Two Family Dwelling o - M $5000 C /o $ 75 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES May 1 , 19 88 00 (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Gueensbury before the expiration date.) N. Dated at the Town of Queensbury this 20th Day of October 79 87 �4 m Fs SIGNED BY for the Town of Queensbury zi Building and Zoning Inspector ae TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK Application for ; BUILDING PERMIT IN COMPLIANCE. WITH THE NEW YORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work . ANSWER ALL of the followings IV Gross floor area 975 S . p . 2 . Type of heat Baseboard electric 3 . Is the building mechanically cooled ? No ; . 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 an grade YES NO a . If YES , what is the R value of insulation around perimeter of floor ? 4d is basement heated ? YES NO a . R value of insulation 5 . Type of insulation $ . Under 16 % Only, 1 . R value of roof and floors exposed to ambient conditions. R-38 2 . R value of exterior walls R3C= R . 23 . 5 U. =0., 44 3 . R value of glazed area U=O • 30 4 . R value of doors R-14 . 9 (Uo =0v60) 5 . R value of floors over unheated apaces R=19 6 . R value of slab edge insulation - unheated slab N/A 7 . R value of slab insulation - heated slab 12 . 5 a . 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 Co Controls 1 . Thermostat maximum heat setting Do Duct Systems N/A 1 . Is duct system installed in unheated spaces ? YES NO a . If YES , R value of duct installation b . I. R value of duct in other areas E . Piping Insulation N/A 1 . Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F . Service Water Heating 1 . Performance efficiency N/A 2 . Temperature control setting maximum G . For Swimming Pool Only 10 Maximum - heating N/A Telephone No . Moo= ( 518) 899-9161 ( appl cants si mature ) tv nts �:u�ar , „ r�u as oWw . Lrwc . / Application Nov ; U C {{ < <� _1 �` �' � ! ` �L'Mwll 41its*aId6�r Permit Issued 19 ��, lJ BUILDING+and ZOWNNG DEPARTMENT permit Expires 19 !� C1 f J Say and Hav�i{and Road" R. D. 1 Box 98 Zoning Designa , _ 0 CUT 2 1987 Oueenabury" New York 12801 Variance Nov Site Flan view No . f'- A,pproved ri �` C{ - G'• d r� APPLICATION FOR BUILDING AND ZONING PERMIT it i it tr M +4 a► �► * it �► a it tr IN, * * #F e e it i► * e iF at at it * e it e * 1r ii11 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: 32 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 IS : Richard H. GuveIIvIr III - ( 518) 899-9161 Name P . O. Address Tel . No * Name of builder Guyer Builders , Inc -Address 119 Dunning Street Tel , ( 518) 899-9161 IIIII Name of plumber yer c • rs , nAddress rib StreetTel . Name of mason Guyer Builders , i nc .Address ree Tel . ( 5113) NATURE OF PROPOSED PARK : * 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 SEsee AW . * Size of property 100± plan ft X 120 ft . * Existing building ( s) Size N7A ft X ^ft . Model PROPOSED BUILDING AND USE : Of * Existing buildings ) Use NZA Size of new strqic Ryle 30 ft ]C��ft * _ Foundation-pieracrawl/partial/full * Proposed building , seespfotepfrom property line one ) 2 * Front yard 30+ ft Rear yard 30+ ft No . of stories (habitable space) Side yards ft and 15+ ft Height (grade to ridge ) 22 ' - 6'" ft * * If on corn setback from side street ft If rest"��'ntial, no6 of families of 2 Nov of Zreoms (excluding baths ) 4 " OCCUPANCY INFORMATI+CN Nov OF bedrooms Noo of bathrooms 2 „ PRIMARY BUILDING - One family dwelling s e Primary heating system se ar electric* =Two family dwelling � Type of fuel Electric ty * Multiple dwelling / Number of units No. of fireplaces to be installed Permanent occupancy Will a woad stove be installed? No "` Transient occupancy Central. Air conditioning? No * Business BUILDING STYLE, 'PRIM46RY STRUCTURE * Industrial Other Ranch Contemporary Lo abin If addition, what will use be? Raised ranch Mansion Du le 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 ) * _Attached garage/one car/ two cart one car rr * r * * r ,e w * * * r • * * * * Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION INFORMATION ON - BUILDING SPECIFICATI NSr ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED ! 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 810 Depth of foundation below grade (to bottom of footing) $"" minimuln 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 poXj Type of use? Type of roof - sloped flat/shed/ot.her Material of roof Fiberglass s es Size, wood studs "x +6 "' spacing 24 "o . c . length 8 ft* exter ' or walls Joists ( floor beam ) lst . floor NIA "x '" spacing ""o . c . spanNAA ft . Joists ( floor beams ) 2nd , floor �2—"K�—" spacing �"o . c . spank-ft . Overlays (ceiling beams ) 2 "'X " spacing L4 "o . c . span 14 ft. Roof rafters 2 "X 10 "' spacing 4 o . c . span 4 ft . Roof trusses (Pre-engineered) spacing 2�1 "o . c . span N/A ft . Exterior wall finish stained Of what material.? 5/8" x 4 ' x 8 ' texture 111 Interior wall finish paZn 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 -(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 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 . permit # 026252 Town of Queensbury County of Warren g F F I D A V I T STATE OF-NEW YDRK 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 donelon 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 . v SWORN TO BEFORE ME THIS er , owner ' s agicect, contractor day of k..R ��-yaea_19$ ELZABETH K. LANDRY Notary Public, State of New York No. 4$62001 Qualified in Saratoga County NotaryWarren County, N . Y . '" Commission Expires June 16. 1 S Ln As * w * * w * * * * Is As r f * * * �. _ 975 Square feet living 264 Square foot garage - one stall 1239 @ $7 *00/100U4 or part of $5 00 _ one stall garage $5 .00 C/O permit Total By-------- ------...._---- .- - ------ van MWM of r APPLICATIQN FOR SEPTIC DISPOSAL PERMIT Ref : S . P. E. D. S . RATS September 23 / 87 permit # New York - 0202525 MODEL C of C/K LOCATION OF PROPERTY FOR INSTALLATION 32 Elizabeth Lane Owner's Name: Guyer Builders , Inc . Telephone: ( 518) 899-9161 Address: 119 Thinning 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 Totsl daily flow (compute Q 150 gal per bedroom) 300 Topograpby: circle one: lat Rolling Steep Slope 96 of slope Soil. Nature: circle one: CSand�3 Loam Clay Other / Depth: 8 " feet + Ground Water: At what depth? unkno'wn $ feet + Bedrock or Impervious Material. At what depth? unknown feet Percolation test. circle one: rat equine required / rate min. inch. Domestic crater supply0o 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 I P O R T A N T * See S . P . E . D . S . ...Please...LIST NEW EQUIPMENT TO BE INSTALLED permit & attached map . (over) Section U 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 Z4 hours before start of construction and shall include a plot plan showing: le) 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 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 $Z50.00. 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. 1 have read the regulations above and awe to abide by theare and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of_responsible person: Date: Town of Queensbury .Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 74Z-5832 SETTLED 1763 . . . KOME OF NATURAL. BEAUTY . . . A GOOD. PLACE TO LIVE ._./peon v� �ueen3hur� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.0- 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ` S REPORT NAME �OZ!LZ LOCATION ram- Datef�? Permit No . " ✓ APPROVED - YE NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Vene Plough Flumbin4 Relief Valves _ . �. Ext . porches Finished Floors Interior "Prim Stairs & Railing Cellar Drain Ti Concrete Floors Plbg . Fixtures Gar . Fireproo ing Door Closers Smoke ❑etcc rs Chimney INSULATION Foundatio Floors Walls_ Ceiling FINAL ELECTRICAL INSPECTION mtIVEWAY APPROVAL Final Building Survey _ NexC scheduled inspection (ca]_1 when ready ) Remarks - B i ing Inspector 6/66 and-vl 0o YORK BOARD OF FIRE UNDERWRITERS THE NEW [y /�13UREAU OF ELECTRICITYVORK 1220'? C " * 4l STATr gTREET. ALgAI�fY. NEW 30 .� Ft Application No. on file Dote 67uly 5 r 19 8 8 tiara ntertalrer in the prey THIS CERTIFIES THAT seed tastraetaacetl by tke app 'st nsrrsea Neork Y e � 0 f tW0 2lril�� watt theetactrlcel equi/+ff&ent me deseribb gar }�gth Dens Queensbury r Guyer Builders # 32 12 ��k tot r�, out S ide Section rat i.J lat Fl. ❑ Znd FS. this Board. in the followin8 '1O'cation; '� and found to be in compliance with the requirements ofIFA RILflOES C�gKT eCOCKS OVENS p15HWASHERS EyOATA4lST H. was earamined an W. AaRT- x. ►. R%71IRE5 A AT. K. w- AMT. K.w- AMr. K. 4 'f r R%lilRE ACLES SWITCMS 4CO40tS,CENT FulOttsCENT v ,aa+r. K_W. � 4 . 6 C&WLRTS .3 5 . 8 `Z ts1tlT HEATERS 1YL'LM•TI-a?IFTIES AAVGE Tt�RS SrEC1AL REC'F'R TLME LiR7GK5 BELL SYSSEMS �µT, wATfS FI,IRNACE tdOSORS Ii1TLtRE IIF'FL� AArT. AMP- ,MMr. AAnrs. TRANS. tMT- x. ►. !rt]-# FEET DRYERS AMT. K. W. 04L x. P. GAS 1 I Hat # 1 � v E S E R R A.w. G. Ha. c+r WEUTRA'S GPA•r Wivanir.E S No. OF Na, of cc. COND. tr0. os xr.rEc� GF �wtEG ,� I SIMV KX ENSCOHNRC WATER s X aw s X crr Ct. cOPrra. . ■ � X 'Srw T X 9w sw trtt r I AMr. +'�". 7C 2 TvrE l 150 cb 1 1 1 . 25r 1 / loop 3 / . 5 oTT'1ER AFT+ARA eC Rt7oTt1 �3taStterES : 'J / 2 , 0 r 1 ! l . 5 r / ' 1 4 NlOtO r s 1 -past light 3 -g �ci 1 - sIYlc�k.e ciet motor Guyer BU:Lldess Inc . 239 aRANcIR h%^t4AGER 119 I],unn in g St o 121rS 2 f3 t. ball- on Sp r Per rnannarr return to the Office of the Boo rd if incorrect. Inspectors may be identified by tfreir credential. ER. This cartificate must nat bo oltered in arty CERTIFICATE MUST MDT BE ALTERED IN ANY lAANI'f - -I--- _ .... COPY FOR BUILDING DEPARTMENT. THIS COPY OF �ueensbur� N1S3G D1E.PA�TME�� fh ` .ftJ CA 1,UtiLUING and Z� .a i BOX JIB ✓ f f BaY and Havitand Road. Clueensbury. f3ew York 12801 B1} iLDlt4G INSPEC-r 'DRr ' R PC7R� NAtAE• LC5CAI [ ON No ---- 01 � Permit L3c+ . � * * * * No ySS Footing�rpier Fvr� Foun+lat3 o n Waterproofing gack.f ill F ra;ni.ng goof ing Siding Veneer I+haSonrY Rough Plum --- Relief Valves �� r rr xt . parches Finished Floors Interior Trim Stairs to gailin9s rr ile Cellar Drain �- Conc retie F 0oure ss plb�3 • F ixt Gar . FireProofi g for Closers gmoxe 17e4tcct0 s Chi eY u ,AT IC}i3 Foun dat ion Floors Walls ce i 1 inq ;t{SPEC'TIC113�� Flt3AL EL£C'TRICAL IVEW ApPROV A '• uRAY gur�►eY ��---� Final -Building woes' early) inspection C call tdext scheduleed�l� sui i.ng Ins'pecta 6/$S and-vl peu1! f ..ILDING and ZpI.,� o , R©R} Box 98 Bay and Nawiland Road,a ©ueensbury• N'8' York 1280I SEPTIC DISPOSAL SYSTEM Ca I13SPECT IClN Wrvl N _ AM `i / gv PERMIT NC) . i7ATE _ clay -- -- an `�m a4 -YES Wrest SC:IL *TYPE Rr �ire percolation xate � Minf=nch Percolation TYPE of SYST�la total length AbsorP'tion each Length of each t' , . Depth of trenches ~ - - size of 9 Cave3_ SEEpACE PITS-4 r ',If t Size_ - ' �ze...�. Type----- 7C �+ Gravel size � Si '"PL/Co PIPING : s r OVA -- Bldg * to tan7hox ..Tan k to dirt . 'D.t,_ box to fie fP 140 Paxtial ed' openings seal SEF A `TTON5 % t. LQCATIE7713/ to �- oundat n io akbs absorption ---~� F £t.. Foundation [' lot line __---ftc.. P.bsorl}tran o Vita Separation STEM C7N PROPER Y � Circl one 1,0C,Tlot C3� r ;,eft Sideea Rig},t aide Fxont - CCOMEN TS : 6w4 ]T a- SYSr USE APPRCavED F3ui7 Ing InspeCtWC C13/s S and vl k , ueeresbure (!Afl BUILDING and 707 41NG DE a RTBox T 98 •�'� Say and ensb and K w York 12801 queenst�ury. BUA LDING INSPECTOR ` S REPORT NAME L.00AT I Ori - P e rm l t No - --�-- Date fir * * * * * * * * * * " pppgpVED - YES NO Footing/Pier Forms Foundation Waterproofing $ac fill ing Roofing Siding Masonry Veneer ,.,. p,, ugh plumbing Relief Valves �-- Ext . Porches Finished Floors Interior trim Stairs & Railings Cellar Drains Tile Concrete Floors ,plbg _ Fixtures Gar . Fireproofing Door Closers SmoKe Detectors Chimney Ili SULATI ON Foundat:LOTI Floors Walls Ceiling YN SPECT It7N FINAL ELECTRIC - �--- DRIVEWAY APP"OV Survey Final Building ady ) tyext scheduled i P ection (call when re Remarks"' 41tnqq:� spector 6/$E and-vl �JO�'17 Of uee ►r3tury "J BUILIDtNG and Zot-4t C, DEPARTMENT 98 Day and Ha�iyand w yerkD12801 Queensbury. BUILDING INSPECTOR ' S REPORT NAME c' LOCATION q - /61 I pate Permit t�Ic� . * * * * * �* ' * * YES N0 * * * * APPROVED Footing/pier Forms Foundation W ate rprOO f ing Back.€ ill Framing Roofing Siding masonry Venee Rough Plumbing Relief valves Ext . Porches Finished Floors Interior Trim Stairs & Railings„ Cellar Drain Tile �- concrete F1 Ob r 5 Fixtures Gar . Fireproof ' g Door Closers Smoke Detect rs Chi coney -INSULATION ' Foundation Floors Walls ceiling TRICAL INSPECTI0I`1 ,��-=— F IN AL E C DRIVEWAY APPROV Survey Final Building Next ( call insp action ( call when ready ) i j Remarks_ 1 a j lj Building Inspector 6/$6 and-vl t C� f�} + ._7owre o ueens � u ►' BUILDING and ZOt4%KG DFPARTgox 9S Bay and HW41and N Yorkadv D . I Bo QueensburY• I 12801 P SPECTOR ' S REpoRT BUILDING 'NAME uci LOCAT IO APPROVED 13 Q * * _ YES Footing/Pier Forte Foundation waterproo£ inq Backf ill �ramrnq Roofing Siding Masonry Veneer Rough Plumbing Relief Values Ext * porches Finished Floors Interior Trim stairs & Railings Cellar Drain Tile Concrete Floors - -_- plbg - Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney N SU I_JkTI ON r ~Foundat ion Floors Walls Ceiling INSFECTIO _1--- IRAZ, F, _,ECTRICAL 1)R1VEW1°`y APPRDv kt FInal Building Surve9 Next scheduled inspection call when ready ) '1 kemarks� p � air JF S v Lam--r-r 0 Ai Buildin nsp 6/8� and-vl a � ■u �pn3 � clrt�t l 'f�t' own C't �f �J^ SLJ1�[]1NG and ZfJ{V11�SG OPARTMEfi1T Say and Havriiand Road. R.D. i BOX 98 Queensbury. New york 1280i BUILDING INSP 'EGTTOR ' S REp4RT rl NAME LOCATION v I permit No - ! Date _ * * NO AppROVED - YES Footing/pier FOYMS Foundation Waterproc)f ing Back.f ill Fravuing Roof ing Siding Masonry Veneer -- , pugh plumbingRelief Valves _-----.._----- ._-- Ext Porches Finished Floors Interior Trim Stairs & Railirn3s Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing poor Closers Smo]ce Detectozs Chimney Ilss�r,Arlan� Foundation Floors Walls ceiling IN SPECTId''NN F IN AL ELECTRI V AL i3R.IVEWAY AVP gurVey Final Buildl $ gext scheduled insp ection (call wizen ready) items rIf 4'� 73ui rng InsPector 6/s6 and-vl flown Of Qft BUILDING and ZC)NING DEPARTMENT F3aY Q,eensbury, New Yorl x 98 ( 128 1 BUI LDING.� !IN.iSFECTOR ' S REPORT NAME /�/� f► �.- 1�� LOCATION _ perma-t Nov * * * * * * * * * * AppROVED - YES NO Footing/pier Forms �"und,ation Watqe,rproofing ckf i l l Framing Roof ing siding Masonry Veneer Rough Plumbing Relief Valves E.t . porches FiInished Floors Interior 'Trim stairs & Railings Cellar Drain Tile Concrete Floors plbg • Fixtures Gar , F i reproof in --�-�- poor Closers smoke Detectors Chimney INSULATION Foundation Floors walls Ceiling ELECT CAL IN SPEC'] ION -� FINAL pRI.VEWA''; APPROV Final Building Survey Next scheduled insp action (call when ready? Remarks- , Building Inspector ' 6J"86 and-vl i j C ,pwn O1 BUILDING and ZONING DEPARTL4ENT Say Queensbury, New YorkO 98 i2801 BUILDING INSPECTOR ' S REPORT NAME L� LOCATION 3 I I permit No * Date f 5NO ��-- *II * APPROVED - YE 00t,ing/Pier Forms Foundation Waterproofing Backfill Framing Roofing siding MasonrY Veneer Rough Plumb 9 Relief Valves Ext . porches Finished Floor Interior Trim stairs & Railing Collar Drain Tile_ Concrete Floors Plbg . Fixtures -~~ Gar . FI.eproof in Door Closers smoke Detector Chimney IN Su LAT I ON Foundation Floors Walls Ceiling � . IFXNAL E ECTRICA ID1$PECTIOI3 DRIVEW APPROVAL - Final uilding survey 1,}ext scheduled insp ectton (call when ready Remarks- D Iding Inspector 6/86 and-v1 1UILDING DEPT. COPY OF APPLICATION FORM 46-ELr NEW YORK.BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDINGS DEPT, WHEN REQUIRED. TEMP. fF DATE CITY fy'. bury VILLAGE ;� TOWNSHIP '�f COUNTY STREETANON OR ROAD AND POLE ND # 12 M izabot .1 ICI 0 _ POLE NO. BETWEEN WHAT TWO CROSS STREETS IS SECTION BLOCK / LOT PREMIUS LOCATED? OCCUPANT'S BUILDING NAME OCCUPANCY OWNER'S NAME TEL. # AND ADDRESS R+ii Y77C R 119 T'�* {T*+� �at�+Et 899167 chi ll"C" 6—'- SUPPLIED FROM THEIR / OFFICE BY ryryryry ... BUILDING IWID DEFECTS IS NEW dLD NEW X) ADDITIONAL ❑ REMOVED ® 0 LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No. Of Fixalrse & BRANCH OFFICE USE NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS ONLY tact tYorr Side Atlach't SL kch PrWent Bracket No. Type 6ech Na. Each No. AG'ge INSPECTION Ce4line Watt Recep7s Out- side Sub- base Bar Frrert ftt F1. Znd FI. 3rd FR. REMARKS: LIST OTHER ELEC TR tCAL DEVICES NOT SET FOR TN ABOVE: Dd NOT USE THIS SPACE. This application is intended to coaeF the sbaae4isted equipment to be inspected but if at time of impaction there is fouraol additional equipment not above Bated, you are authorized to make the inspection and adiust the fee to corer the additional equipment. as proaidad by the applicant. ELECTRIC SIGN TOTAL SIZE DF WATTS MAINS FEEDERS LAMPS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE CNUMBERI 1CAPACITY} STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS OF SIGN 6UILQING INSPECTION REQUESTED �1q ON OR AS HEAR AS �.a-a. 'call vhenvagody NEW OLD El POSSIBLE AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS 7 21s 1987 NAME OF � & l # APPLICATION APPLICANT... yy s�^^d� .a.19 DI712i'fk street TELEPHONE # 'egg 161 STREET ADDRESSITY OR ZIP '1 =o LICENSE NO. f POST OFFICE �IrL7C1 �! York CGP WHEN APPLICABLE 46 EL (REV. OU5) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING ELIZABETH LANE TO GRADE) QUEEN VICTORIA' S GRANT QUEENSBURY , NY 8'-0 DIAMETER 9'- 0 DE PTH 2000 ga I REFERENCE DRAWINGS 5 SITE UTILITIES SEPTIC $ WATER VanDUSEN STEVES SURVEY PLAN ELIZABETH LANE PLOT PLAN 4 SEPTIC SYSTEM GUYER BUILDERS INC. QV - 6 OWN jUt q- 2r47 I Scala 1' _ 20'- 0