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1987-798 4 Add- : y A CER.'TIFICATE +C]F kj%...CUPANCY I TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK � Marcie 31 , CS, do Date 19 87 - 793 ,4 Twhis is to certify that work requested to be done as shown by Permit No. [ { has been completed. I ` This structure may be occupied as a of a two family dwelling i I,ocatiott 14 Elizabeth Lana Queen Victoria's Grant, Model K Owner Guyer Builders, Inc. By order Town Board TOWN OF QUEENSBURY Building dr Zoning Inspector { l E i BUILDING PERMIT � TOWN OF QUEENSBURY No. 87-798 WARREN COUNTY, NEW YOR K PERMISSION is hereby granted to Queen lrictoria r s Grant 1 OWNER of property located at 14 Elizabeth Lane Street, Road or Ave. fi in the Town of Queensbury, To Construct or place a a€ 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. .O 1 . OWNER'S Address is 119 Dunning St . Ballston Spa , N . Y . 12020 7-r O 2. CONTRACTOR or BUILDERS Name ri Guyer Builders m c� 3. CONTRACTOR or BUILDER'S Address N Same 4. ARCHITECT'S Nerve H S. ARCHITECT'S Address bd Ps04 N cr' 6. TYPE of Construction — (Please indicate by XI IX ) Wood Frame 1 1 Masonry I l Steel { } ps m 7. PLANS and Specifications No. 26r -6"x35r - 7 " as per plot plan , specifications and application includi gg septic system and attached one car garage . MODEL K B. Proposed Use V } of two family dwelling 0 $5000 c/o 82 . 00 June 1 , 19 88 0 $ PERMIT FEE PAIL] - THIS PERMIT EXPIRES 0f a longer pxricd is required an application for an extension must be made to the Building and Zoning inspector of the � town of Queensbury before the expiration dated °^C Dated at the Town of Queensbury this ,27th Day of / November 19 87 SIGNED BY 7 / /� L rt�' for the Town of Queensbury Building and Zoning Inspector . TU J:jZ.: LI ,ter-L4WW as a,wa..r . C� / Application No. 11 .� � 4 j .Joiw=re ti eteeridt "r$f Permit Issued 19 Ij l� 3 i� t SUiLDIWG and ZONING DEPARTMENT Permit Expires 19 Bay and Ha►+iland Road, R.D. 1 Box 98 Zoning Designation uT Queenabury. New York 12801 Variance No . � . ; . � . _ s �r P [ _ site Plan Re ' ew ' Q . ° •,/,/ Approved A6 10 �,. p f► 77• f� 9. � APPLICATION FOR ,,e. �+l BUILDING AND ZONING PERM I T A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTIONI, ANSWER ALL OF THE FOLLOWING . The undersigned hereby applies for a Building Permit to do the following work which will ion , plans and specifications submitted. and such be done in accordance with the descript special conditions as may be indicated on the Permit . -_��____________________..____ Wift The owner of this property is : Guyer Builders Inc . 119 Dunning Street Ballston Spa , New York P . O. Address 12020 Tel . ( 518) 899-9161 Tax Map No . 121 /�} 2 Property Location : 14 Elizabeth Lane 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 . Nacre P . O . Address Guyer Builders , Inc .Address 119 Dumming Street Tel . ( 518) 899-9161 Name of builder y n ree Tel . Name of plumber uyet l ers , nc .Address 8 _ Nam a e of mson yer rs , n'c .Address ng 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 let 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 $E'r . * Size of property 100± Pganp ft x 120 ft . * Existing building ( $) Size ft X---N7W'fIt * PROPOSED BUILDING AND USE : deb-� * Existing building s ) Use N/ A Size of new struc e 26 "61!ft x ft g Foundation-pier slab crawl/p artial/full Proposed building , seespliCeplanm property line circle one) * Front yard 30+ ft Rear yard 3Q+ ft Now of stories (habitable 3 rpa6ce) 2 ft . * Side yards 1 + ft and 15+ ft Height (grade to ridge ) '� * If on corner , setback from side street ft If residential , no . of families of 2 No . of rooms (excluding baths ) " OCCUPANCY IAIFOR[�TION Noe of bedrooms PRIMARY BUILDING - N of bathrooms One family dwelling s e r P imary heating system se ar a ectric* =Two family dwelling � s%P%i TYWe of fuel_ Electricityy * Multiple dwelling / Number of unitsl�� Nc4, of fireplaces to be installed * Permanent occupancy Will a wood stove be installed? No * Transient occupancy Central Aix conditioning? No Business BUILDING STYLE, PRIMARY STRUCTURE » Industrial other Ranch contemporary Lo cabin * If addition , what will use be? Raised ranch Mansion Duple Split level Old style Bungalow 11 Cape, Cod Cottage father * ACCESSORY BUILDING- Town House * Detached garage/one car,/ two car/ car Colonial Row one car Attached garage/one car/ two cox/ ( CIRCLE ONE PLEASE ) * - i- * Private storage building ESTIMATED MARKET VALUE OF �2 �..� * ~ Other CONSTRUCTION - - �� "`�- INFORMATION ON BUILDING SPECIF��NS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED ! Form BPA 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 $" Depth of foundation below grade (to bottom of footing ) 8" mininim Will there be a cellar? no Heated or unheated? Floor sq. footage sq ft Will there be a basement? nO Will any portion be used as living space ? ( If so, what port ' sq. ft . - - Type of use? Type of roof - sloped flat/shed/otherMaterial of roof Fi r ass shingles Size , wood stud "}C 6 goA spacing 24 "o . c . length 8 ft. ext Dr walls .joists ( floor beams ) 1st . floor N/A "X spacing "o . c . span� ft . .joists ( floor beams) 2nd . floor spacings so . c . ssp��ft . Overlays (ceiling beams ) 2 "x 6 is spacing 24 "o . c . span12 ` -4 ft . Roof rafters 2 six " spacirag 24 o . c . spun '2 ' -`9�1t . Roof trusses (pre_engineered) spacing "o . cw spa f � Exterior wall finish stained Of what material? 5/$" x 4 ' x 8 ' texture ill 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 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 NIA ft . Dsptfa of chimney foundation below grade N A ft . Depth of fireplace hearth N/A fte in , water supply - Municipal or private well nnuricipal SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties NIA ft . (A separate application is necessary for an re air or new installation of septic system) See S . P . E . D . S . pera t # 026252 Town of Queensbury } F F I D A V T County* of Warren STATE OF NEW YORK 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 rather 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_ si 4s-t- -=r Owner, owner ' s agent , enicect , contractor day alg $� ELIZABETH IC- LANDRY Notary Public, State of New York ) ' No- 4862001 Ovalified in Saratoga County Notary -ic, Warren County, N . Y . s ♦ a yr • - * , w • * * * * w * * �r * * * * * * : * * r w Is * w * * * • r +r * * • SPECIAL, CONDITIONS OF THE PERMIT : 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 TOWN OF QUEENSSURY 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 . ,U146WER ALL of the following : 1s Gross floor area 1040 8 ' F ' 24 Type of heat Baseboard electric 3 . Is the building mechanically cooled ? No 4 . Percentage of area of windows and doors 12 . 33% 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 00 a . If PESO, 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 • =U • 30 4 . R value of doors R-14 . 9 (U=OwO6) ti^4 5 . R value Of floors over unheated spaces i3=1f3 - 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 90 R value of heated basement/ cellar walls ( below grade ) N/A 10 . Type of insulation Fiberglass C . 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 . 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_ NIA 2 . Temperature control setting maximum G . For Swimming 'Pool Only11 NIA 1 . Maximum - heating dd- Telephone No . ( 518) 899-9161 MdWdddMMMO ( appl cant ' s signature ) APPLICATION FOR SEPTIC DLSPOSAL PERMIT Ref : S . P . E. D. S . DATE September 23 / 87 permit # New York - 0202525 MLIDEL K of C/K LOCATION OF PROPERTY FOR INSTALLATION 14 Elizabeth Lame 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 , is it K, L, M Number of bedrooms (residential only) 2 _ 3 F , G, H Total daily flow (compute Q 150 gal per bedroom) 300 Tapograph3r. circle one.* ( Flat Rolling Steep Slope % of slope Soil Nature: circle One: Sand Loam Clay Other / Depth: 8 ' feet + Garound. Water': At what depth? mow' 8 feet + Bedrock or Impervious Material: At what depth? unknown feet Percolaticm test: circle one: not require required / rate min. inch. Domestic water supply: circle one: Municipal W ell Other IF domestic water supply is a Well: Separations, 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 NIA feet * SEEPAGE PIT(S) . Number of / Size each feet by feet * Size of stone to be used # / Depth or Thickness feet * * * * * * s * * s * * * ys ssiss * * fit * * s * s �► is * * * * ss +lKs * yeas * IMPORTANT * See S . P. E.D. S . ...Please...LIST NEW EQUIPMENT TO BE INSTALLED permit & attached map , (over) Section II Se2tic System Inspections: As All applications for septic system installation, alteration or repair, as required by the Tows* 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 j4ystem 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 Be 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 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 agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage 17i gxmal c*dinance. Signature of.responsible person: Date: 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 SS r Iowa oueea3#urn 10 BUILDING and ZONING DEPARTMENT Bay and Havifand road. R-0- I sox 98 ()ueensbury. New York 12801 BUILDING INSPECTOR ' S REPORT 011ie NAME •� i LOCATION 011 Date sm —I i = Permit NO * APPROVED* - YES NO Footing/Pier Forms Foundation Waterproofing Ba+ckf ill Framing ROO f in g 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 ELEC`1'RICA INSPUCTION DRIVEWAY "FROV Final Building Survey Next scheduled inspection (call when ready Remarks- 13 i. lding Inspector 6/86 and-vl RE y 400le54 THE NEW YORK BOARD OF FIRE UNDERWRITERS ' BUREAU OF ELECTRICITY F— to 41 STATE STREET, ALBANY, NEW YORK 12207 Date April lit 1988 Application No. on file 034301/87 A 4112323 THIS CERTIFIES THAT I only the electrical equipment as described below and intradaaced by the app4Ucaeat named Ora the above application member in the premieee of Guyer Builders lue . ,# 14 Elizabeth Lane Queensburyt, New York It of two familyMe � in the following location; ❑ Basement EM Ise Fl. ❑ 2nd Ft. outside Section 12-1 Block 4 Lot was examined arc 3--25--88 end found to be in complionce with the requirements of this Board. FIXTURE CEFTACtES SWITCttES E FIXTURES RANGES COOKING DECKS ©YETIS DISH WASHERS EXHAUST FANSOUTLETSINCANLIESCENT FLUORESCENT AMT. K. W. AMT. K. W. AMT. K.W_ AMT. K_ W. AMT. H. P. 16 25 23 11 5 1 4 . S 4 fx DRYERS FURNACE MOTORS FUTURE AFFUANCE MEOERS WIX3AL R.EC'rT TUNE C40CK3 RB.t UNIT HEATERS MUITI-OUTUFT DIMMER$ SYSTEMS AMT. wwrrs AMT. K. W. OIL H. P. GAS H. P. T. 1'10- A. G. AMT. AMP. T. AMPS. TRANS. AMT. H. P. No. or MET 1 1 w 9 1 SERVICE DISCOIMiECT irO. OF S E R Y I C E AMT. AMP. TYPE META 1 JP TW 7 /f 3M! J X 3M! J 1 4W NO. OF CC- CPNn. A_ w. G NO. OF HI-LEG A. N. G. NCI. CIF NEUTRALS A. W. G- . PER / Of CC. GCM+Itt. OF HI-LEG OF NEUTRAL 1 150 eb 1 x 2f0 1/U n OTHER AMARATUS: Elece Roam REatere : 4/2 . 0e 1 / 1 . 5e 2 / . 5 Motors : V, _ ,� 3-gfai 1-&Mok.e detector : e i Y Guyer H ilders IbTc . 7 _ 1 119 Dunning Street 239 I Ballston Spa . NY 12020 BRANCH MANAGER PCr = This certi#icate mast not be altered in any manner;; return to the office of the Board if incorrect. inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ^ _ �+auv►x au¢ere3 +ure� f 41d U1LDING and 4ZONING DEPARIWENT Bay and Havifand Road, R.D. 1 Box 98 Queensbury, New Work 12801 SEPTIC DISPOSAL SYSTEM INSPECTION __ L,pCAT ION DATE /- / PERMIT ND . �- •� Loam - Clay SOIL TYPE � � fired? YES Percolation Test 'Requ Inch Percolation rate - Min/ TYPE of S TE : AbsorptionM field , total lengL Length of e h trench Depth of tre ches Size of grave SEEPAGE PITS-( er of) Site- ft �ft Gravel size Size TYPe PIPING : Bldg . to tank Tan1c to di st . box to fie / ' t Dist . boxy Partial ppenhngs sealed"' Y Y OCP,TION/SE£IA TIONS : ft. ,Foundation to tank do ft . Foundation t absorp ft. Absorption o lot line ft. Separation f Pits PRO ERTY (Circle one) LOCATION O SYSTEM ON Front - R ar - Left side - Right side - CCtRMENTS 6 / SYSTEM USE APPRO'+1ED f Bu spector 01/8ro and vl '07 4 �0� !crud of Que4enjlr� rt� I lFBIIU11-DING and ZONING DEPARTMENT R + Say and }lavifand Road, R.D. 1 Box 9$ Glueensbury. New York 12801 BUJLDING INSPECTOR ' S REPORT NAME It LO /I LOCATION Date !�'r Permit N01 j, f.__q _ APPROVED AYES NO � rooting/Pier Forms Foundation Waterproofing I3ackfiII Framing Roo f in g Siding Masonry 'Veneer Rough Plumbing Relief Valves rxt . Porches Finished Floors Interior Trim Stairs & Railings cellar sprain Tile Concrete Floors Vllbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors C'h ey SuI.ATION x Foundation Floors Walls Ceiling FINAL EI.EC'T'RICAL LSSPECTIOP7 DRIVEWAY APPROVAL Final Building Suxjvey Next scheduled ins inspection (call v+hen ready ) Remarks- � 6 Jc (2a, U f Clfl e2 0 -- �2n LAof to U-S Building Insl7e or 6/85 and-vl � uPen f6cere awre of BUILDING and ZONING DEPARTMENT Bay and Hauiland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT PA o'-S L V -- NAME x LOCATION Date A C/ Permit NO * �� ` / 7 d APPROVED 'YES NO Footing/Pier Forms Foundation waterproofing 13ackfil l Framing Roofing Siding Masonry Veneer 4pdugh Plumbing Relief Valves i:xt . Porches finished Floors Interior 'Prim Stairs & Railings Cellar Drain 'file 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- r l ///V(, g (z lF�uilding nspec 6/86 and-vl � f iun v/ Queen .fhury BUILDING and ZONING DEPARTMENT ) JCV Bay and Haviland Road, R. D. 1 Sox 98 U f Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date /' r / } � Permit Noy . /•" = APPROVED - YES NO Forms Foundation Waterproofing Backfill Fraxnin Roofing Siding Masonry V eer Rough Plum ing Relief Valv S Lxt . 1�orche Finished Flo rs Interior "Prim Stair , & Rail ' g Cellar Drain T e Concrete Floor — Plbg . Fixture f F Gar . Firepro fin Door Closer Smoke Detec cars Chimney INSULATIO Foundatio � E'lc�ord Walls Ceiling FINAL F.L�CTRICAL INSPECTION DRIVEWAY A PRAVAL Final Building Survey _ Next scheduled inspection ( call when ready ) Remarks- ! , 6 Building' Inspector 6/86 and-vl ._..town O� �ueert3 +burt� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. i Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION •+ ' /� `L Date / �i PermitNo , �7d 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. ELECT CAL INSPECTION DRIVEWAY APPROVAL. Final Building Surveys Next scheduled inspection ( call when ready ) Remarks- Buildin Inspector 6/86 and-vl fluty r aj Queerrsbury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R,D, 1 Box 98 Queensbury, New York 12801 BUILDING IN5PECTORrS REPORT NAME y^ LOCATION Bate IU'v Permit No . #+ - APPROVED - YES No Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief valves Ext . lsorches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION Foundation ti Floors Walls Ceiling FINAL ELECT ICAL INSPECTION DRIVEWAY AP ROVA'L Final Build ng Survey Next schedule inspection (call when ready ) Remarks- Building Inspector 5/86 and-vl BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R_A. 1 Box 98 � Glueensbury, New York 12aoi BUILDING INSPECTOR ' S REPORT NAME LOCATION Date/'U' r Permit No . ✓ = APPROVED - YES No Y-F'ooting/pier Farms Foundation Waterproofing Backfill Framing Roofing Siding rf Masonry Veneer Rough Plumb! g Relief valves1 Ext . Porches Finished Floor Interior 'Prim stairs & Railings Cellar Drain Til`10 Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION * Foundation Floors Walls Ceiling FINAL, ELECTRI AL INSPECTION DRIVEWAY APPROVAL Final. Buildin Survey Next scheduled inspection (call when ready Remarks- Building Inspector 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. 11' DATE CITY GR ,y�,�,�,,�,,� bury VILLAGESTREET AND NO. OR TOWNSHIP 'r-+�'+ ^,T COUNTY ROAD AND POLE NG. AU Jai abeth IA IR POLE NO. BETWEEN WHAT TWO CROSS STREETS IS a SECTION BLOCK LOT- PREMISES LOCATED - OCCUPANT'S BUILDING - NAME y �y rraa,,.�..�.,,,,,O3�CCUPANCV OWNER'S NAME � Tatty der,$ ! �s # 119 SAMst.++M Street TEL_ # AND ADDRESS CURRENT SUPPLIES] - FROM THEIR OFFICE BY BSUILDING NEW OLD ElWSORK NEW 1�-�.YJ�77 DEFECTS ADDITIONAL ❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OVTLETS Lamp RecaptwAm MOTORS HEATERS CIRCiU1TS of Fi*wmai & BRANCH OFFICE USE Loer ONLY tsar Side AttscWt H.P. Watts A.W.G. Ceiling v"II pl�eP•E Switch Pendant Bracket No- Typa Each No. Esch No- Gam INSPECTION Out- side Solt hap Barr ment Set FL xnd FI. We! Ft. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. This application is intended to cavar the above-listed equipment Io he inspected but if at time of inspection Mery is fou rtd additional equipment not above listed• You are authorized to make the inspection and adjust the lee to cover the addi ti onai equipment, as provided by the appl ieant_ SIZE OF ELECTRIC SIGN TOTAL MAINS 150 Awa FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE (NVMBERI (CAPACITY) STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS OF SIGN B 1 ING INSPECTION REOUESTED ON OR AS NEAR AS i .,y,�.,,� NEW OLD El POSSIBLE �11�� AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS ! gyp NAME OF DATE OF '' i�l,�,AR}�fh„�._Y 219 1987 APPLICANT � p..DI�s ie 'a APPLICATION p STREET ADDRESS 119 � Street TELEPHONE # �'.�1�31 CITY OR y- ZW LICENSE NO. POST OFFICE W istrr Son -, York. CODE 1 WHEN APPLICABLE ae E� (REV. +IBn) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING _ Date ; Nov 23 , 1987 Re : Guyer Builders , Queen Victoria ' s, Grant The Energy Code Part 6 , revised , and Party wall detail , revised , has been re- submitted this date . , The new Part 6 forms are attached to the plans for type "A J " building . The first few buildings have party walls as per original plans . These were reviewed with Mr . Mc Grath , engineer for the Codes Bureau , and will be allowed . to remain as-built . The remainder of the structures will conform to the vised d wings . Victor Lefebvre , C . O . E . Town of Queensbury REFERENCE DRAWINGS EL IZ/-BE TH E-C DIAMETER 6'-0 DEPTH QUEEN VICTORIA S GRANT QUEENSBURY , N.Y. L1 NE 31' 5A SITE UTILITIES SEPTIC � WATER VanDUSEN �, STEVES SURVEY PLAN II ELIZABETH LANE �I PLOT PLAN SEPTIC SYSTEM GUYER BUILDERS, INC. QV - 6 D W N I' 2C'- 0