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1987-793 :'%. m •"'T�°`i'=. ':'"' i'Y'e_sa�li� ...`f�'sa�w. -''�@" ^"'+ 7n" 3_�_'f?P+ s qy }.r. .�.+:�..,y.. . .. .. - S r f CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW Y+ORK i Duke March 31 , 19 F38 This is to certify that work requested to be done as shown by Permit No. 87- 793 f has been completed. k This structure may be occupied as a of a two family dwelling JLocation 4 Elizabeth Lane, Queen Victoria's Grant, Model M i Owner Guyer Builders, Inc. �I By Order Town Hoard I TOWN OF QUEENSBURY ]r f Building N Zoning inspector WIN r i i . ... ....__ __.._._.. W Vd - _- BUILDING PERNII TOWN OF QUEENSBURY No. 87-793 a WARREN COUNTY, NEW YORK Queen Victoria t s Grant PERMISSION is hereby granted to i OWNER of property located at 4 Elizabeth Lane Streetr Road or Ave. in the Town of Queensbury, To Construct or place a j 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 Suilding and Zoning Ordinance. C7 yro m ' S:A, 119 Dunning St .pyN Ballston Spa , N . Y . 12020 Wnr�`t1a [2. CONETRACTOR or SUILLIER`S Name Guyer Builders - w rt 3. CONTRACTOR or BUILDER'S Address Same rr 4. ARCHITECT'S Name 6 5. ARCHITECT'S Address F*' rt C7 rrr 6_ TYPE of Construction — {Please indicate by X} a' I} { x} Wood Frame { } Masonry { 1 Steel { 1 7. PLANS and Specifications r t tions and application including No. 31 x 30 as per plat plan , speciftcaMODEL M septic system and attached garage . 8. Proposed Use of Two Family Dwelling Q' ro rt' $5 . 00 CIO .Tune 1 , 79 88 � $ 96 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES PO r {If a longer period is required an application for an extension must be made to the Suilding and ?coning inspector of the N town of ausenoburY before the expiration date_} 27th November 19 87 Dated at the Town of Queensbury this Day of Q , ��'_.c�`�-°"'' � for the Town of Queensbury SIGNED BY Building and Zoning Inspector - TO BE COMPLETED sY tstaxia urrr . raWN OF Application No . ! r ©t�rrtreeeendater Permit Issued 19 DI 1 BUILDING and ZONING DEPARTMENT Permit Expires 19 OCT 9$� Say and Haviland Road, R.U. i Box 98 zoning Designat ` Queensbury, New 'York 12801 Variance No . Site Plan Re ew U!JILr G ��E `J"p C)EP . Approved ,& (2'&C ' APPLICATION FOR BUILDING AND ZONING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING ., CONSTRUCTION . ANSWER ALL OF THE FOLLOWING . The undersigned hereby applies for a Building�. Permi.t 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 Kermit . The owner of this property is : Guyer Builders , Inc . P . O. Address 119 DurwAng Street , Ballston Spa , New York 12020 Tel . 899-9161 Property Location : 4 Elizabeth Lane Tax Map No . 121 / G / 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 . Grayer III 119 Dunning Street , Ballston Spa , NY 12020 899-9161 Name P. O . Address Tel . No . Name of builder Guyer Builders , Ina dress 119 Dunning Street Te1 . 899-9161 Name of plumber _ .dd.ress g ree Tel . Name of mason Guyer Balders ,, n<Address IhxruYing Street Te1 . 899-9161 NATURE OF PROPOSED WORK : ZONING INFORMATION : X Construction of a new building A PLOT PLAN MUST BE PREPARED AND SUBMITTED , Addition to a building * drawn reasonably to scale and attached hereto . vddvdd�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 lotm 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 REQUIFWD BELQW . * Size of property 100 $1a lotft x 120 ft . * Existing building ( s) Size N/A,_ft x �ddddd -ft . Model M PROPOSED BUILDING AND USE : of I/M * Existing building ( s ) Use NIA Size of new structure 31 ' -6'ft x 3�'ft Foundation-pier/slab/crawl/partial/full * Proposed building , distance from property line (circle one ) * Front yard 30 ft Rear yard 30 dddvft No . Of stories (habitable space) 2 Side y ards 15 ft and 15 ft Height (grade to ridge ) 25 ' -0" ft • * if on corner , setback from side street 30 ft If residential , no . of families 1 Of 2 OCCUPANc:Y INFORMATION No . of roams ( excluding baths ) 5 Novo of bedrooms 2 PRIMARY BUILDING - No ,1of bathrooms 2 one family dwelling PPrr ary heating system Electric d - Two family dwelling e of fuel Electric No Multiple dwelling / Number of units Nod of fireplaces to be installed No * Permanent occupancy Will a wood stove be installed? * Transient occupancy Central Air conditioning? Business BUILDING STYLE, PRIMARY STRUCTURE Industrial * other Ranch Contemporary Log cabin If addition , what will use be? Raised ranch Mansion Duplex Split level old style Bungalow Cape Cod Cottage other ACCESSORY BUILDING- Town House * Detached garage/one car/ two car/ ear Colonial Row car Attached garage/one car/ two car/ { CIRCLE ONE PLEASE ) * _X._. * * * * * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF * _Other CONSTRUCTION 00 Z0 �U - - - " - - - - s ,. 0 INFORMATION ON BUILDING SPECIFICATIONS ■ ON REVERSE SIDE OF THIS SHEET, To BE COMPLETED ! Form BPA .4/66 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 $„ Depth of foundation below grade (to bottom of footing ) 480$ I111nimaNn 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 sea , what portion? sq, ft . - - Type of use? Type of roof - sloped/flat/shed/other .1aterial of roof fiberglass shingles Size , wood studs 2 Pox 6 "' spacing 2 ""oll length 8 ft. Joists ( floov beams ) lst . floor NIA ""x spacing "o , c , span ft , Joists ( floor beams ) 2nd . floor l ! '"X spacing 16 ""o ll span l8 ' 4 "f t . ' Overlays ( ceiling beams ) NIA 'x "' Spaci '"ng o , c , span ft . Roof rafters 2 ""X 1 '• spacing 24"" o , c . span ft . Roof trusses (pre-engineered) spacing 7 ""o . c , span 20 ' ft . Exterior wall finish Of what material ? Interior wall finish If a garage is to be attached , describe materials to be used for FIRE SEPARATION : 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? Will a flue-lined chimney be installed? no Height above roof ft . Depth of chimney foundation below grade N Aft . Depth of fireplace hearth NIA ft . in . Water supply - Municipal or private well municipal SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties N/A^ ft . (A separate application is necessary for any repair or new .installation of septic system) See S/PIE I3 S perm r # 0202525 Town of Queensbury _.._..- County of Warren A F F I D A V 1 T I T 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 other laws pertaining to the proposed work shall be complied with, whether specified or not , and that such work is authorized by the owner . SWORN TO 'BEFORE ME THIS(yStoll SignaturY _ --'7 f- - -- __ _ ,l `! wCl�� 19 t c7 yry Owner, owner ' s "ag_e�n , arcnitect , contractor d day of I PATRICfA E. FURPHY i Notary Pl , blic, State of New York Qualificwj in .?c;iz;,ect:dy County Notary Public , W . . Y . Z7170 i;0 * * * � * � r ,r � _ � � * * * * * * * CiP�t��ok �PiS�$�e+eliYt i� �9Jfrl* * * ,r ,r * �r * * * * • * * s. ,r SPECIAL CONDITIONS OF THE PERMIT : 1253 Square feet living ,Square foot garage - Drys stall Pei 6�r @ $7 .(gyp/ 100 or part of Mill 'OO (hie stall 8�oge S $5 CIO perwit Total B3'....................________ .......... // Application No . { �, Wn Z7► i��+e►s36ssr+ Permit Issued 19 E } � BUILDING and ZONING DEPARTMENT Permit Expires eay and Haviland Road, R.U. 1 Box 98 Zoning Des gnato OCT 1 g 1987 Oueensbury, New York 12801 variance No . Site Plan Re new o . BUILT:TNG & CODE DEpT Approved b *' (; � w 41 APPLICATION FORS /7a�S =p In BUILDING AND ZONING PERMIT 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-Permnte __________________ .___--.----_- The owner of this property is : gj&er Builders Inc . P . o. Address 119 Dunning Street Ballston Spa , New York 12020 Tel . ( 518 ) 899-9161 Property Location : 2 Elizabeth Lane Tax Map No . 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 111 ( 518) 899-9161 Name P . O. Address Tel . N© . Name of builder Guyer Builders , Inc .Address 119 Dunning Street Tel . ( 518) 899-9161 nnnnnnTI Name of plumber yer 1 rs , nc .Address re Tel . - Name of mason yexFEI.Ldersx *Address ng ree a Tel . NATURE OF PROPOSED WDRK : * 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 lanes . 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 p TEW . see o * Size of property 100r+ Plan ft X 120 ft . * Existing buildings ) Size ft 7C �ft * t4ode PROPOSED BUILDING AND USE : ofl t * Existing building ( s ) use N Size of new strut a 31 ft X 468 �9t Foundation--pier slab crawl/partial/full * Proposed building, dist ace from property line circle one } * see p Ot plan * Front yard 30+ ft Rear yard 30+ ft No . of stories (habitableS acre ) 1 ft . Side yards��+�ft and 15t ft l Height ( grade to ridge ) If on corner , setback from side street ft If rssidential , no * of families 1 of 2 AN Noe of rooms ( excluding baths ) * OCCUI' CY INFORMATION Now of bedrooms Z — * PRIMARY BUILDING -- No . of bathrooms One family dwelling This Primary heating system se ar a ectric* =Two family dwelling one s + e i 6u i y Type of fuel Electrrclt * Multiple dwelling / Number of units !� No . of fireplaces to be installed * Permanent occupancy Will a mood stove be installed? No Transient occupancy Central .Air conditioning? No * Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial �, Ot he r Ranch Contemporary Lo cabin If addition, what will use be? Raised ranch Mansion Duple On * 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 • * * * * * * * * # * * * + fi* ✓*� * Private storage building 'ESTIMATED MARKET VALUE OF Ad4ea I` * "Other CQNSTRUCTION �� Paz FtMATION ONBUI]�NG SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED ! SPA 4/86 and-vl k WILDING PERMIT APPLICATION CONTINUED BUILDING SPECIFICATIONS : Type of construction , woad frame , fire safe , etc . wood frame Will any second-hand or ungraded lumber be used? If so , for what ? no Foundation wall material concrete block Thickness 8" Depth of foundation below grade (to bottom of footing ) " minimxua 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 fla e t/shed/other Matrial of roof_ Fiberglass r ass shingles ,. .._._r Size , wood studs "X 6 to spacing 24 "o . c . length 8 ft, exterior walls Joists ( floor beams ) Ist . floor^"x of spacing.19o . c . span N/A ft . .joists ( floor beams } 2nd . floor ''X "' spacing "o . c . span N Aft . Overlays ( ceiling beams ) '"X spacing 24 "o . c , span N/A ft . Roof rafters '"x It spacing 24 o . c . span N/A ft , Roof trusses (pre-engineered) spacing Z+ "o , c . spa r Exterior wail finish stained of what material? 5 /80" 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 SEPARATIONt 1 /2" type "X" sheetruck 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? y9s Will a flue lined chimney be installed? No Height above roof NIA fte 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 weli ( 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 A F F I D A V I T STATE OF NEW YORx I swear that to the best of my knowledge and belief the statements contained in this application , together with the plans and specifications submitted , are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the BUILDING CODE , THE ZONING ORDINANCE , and all other laws pertaining to the proposed work shall be complied with, whether specified or not, and that such work is authorized by the owner . SWORN TO BEFORE HE THIS Signature =f_ ------- ,.f) r,e owner ' s agent , a c�ct , contractor If day o f +�-u' � 1 - P,C � r.�elY � p, '; ry y !ic• S-Cute of [Sew York in Schenectady Caurnty NOtary+ Public , y, N . i 4717048 i # * k * • ! ak fi * 7k vk M # 71t [}ppilRfti916if9Nfl Espivos fpeW, , l��k•• • sr ! * f ik s x t sr t ! t f f ar * N ik 7r SPECIAL• CONDITIONS OF THE PERMIT : �V i.Y1$ 1�p Square feet 240 Square foot garage one stall -Qr 1280 @ $7 .00I100 or pit of S .UO one stall &image $5 p0 wo pelt Total ____________________________ TOWN OF QUEENSBURY „M„ 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 following : 1 . Gross floor area 1253 2 . Type of heat Electric baseboard 3 . Is the building mechanically - cooled ? No 4e percentage of area of windows and doors_ R I % 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 NO a , If YES , what is the R value of insulation around perimeter of floor ? 4m 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 Uo =Oe04t 3 . R value of glazed area U* -10 * 30 Wee 4 . R value of doors R-14 . 9 (Ev =60) 5 . R value of floors over unheated spaces ` N/A 6e R value of slab edge insulation - unheated slab N/A 7 . R value of slab insulation - heated slaju2l • 5 P , R value of heated basement/ cellar walls ( above grade ) N/A 9 . R value of heated basement/cellar walls ( below grade ) N/A 10 W Type of insulation Fiberglass Co 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 be R value of duct in other areas - Be Piping Insulation N/A 10 size of hot water or cooling carrying agent pipe 2 . R value of pipe Insulation.- F . Service Water Heating N/A 1 . Performance efficiency 7 . Temperature control setting maximum G e For Swimming Pool Only N/A 1 . Maximum heating Telephone No . ( 518) 899-9161 { applicant " gnature ) Own APPLICATION FOR SEPTIC DISPOSAL PERMIT Ref : S . P . E.D . S . DATE 10-19-87 permit # New York - 0202525 MODEL M of I/M LOCATION OF PROPERTY FOR INSTALLATION 4 Elizabeth Lane Guyer Builders , Inc . Telephone* ( 518) 899-91h1 Owners Name. p Address: 119 Durming Street , Ballston Spa , New York 12020 -- Guyer Etiildexs , Inc Telephone: ( 518) 899-91b1 Installer's Name: p 2 A, C , Es I , 3 , K, L, M Number of bedrooms (residential only) 2 _ 3 F , G ' H ` Total daily flow (compute @ 150 gal per bedroom) 300 Topography: circle one: Fla# Rolling Steep Slope 5b of slope Soil Nature: circle one: Sand Loam Clay Other / Depth: . 8 ' feet + Grad Water: At what depth? ur1km'� 8 feet + Bedrock or Impervious h3aterial: At what depth? unknown feet P'ercolatioat test: circle one: not require required / rate min. inch. Domestic water supplya circle one: Municipal Well Other IF domestic water supply is a Well: Separation: Watersuppiy from Septic absorption � N/A feet * PROPOSED SYSTEM: Septic Tank gal. (minimum size: 1,O00 gal.) TILE FIELD: Each Trench N/A feet / Total system length N/A feet * SEEPAGE PIT(S) 4. Number of / Size each feet by feet' * Size of stone to be used. # / Depth or Thickness feet IMPORTANT See S . P . E .D. S . ...Please...LIST NEW EQUIPMENT TO BE INSTALLED permit & attached * * * * ss * ss * * * * * s * * * sssa * s * * ss * * * * # s * * * * 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 Propo{sed .location of the f4ystem 2.) location and distance to lot lines 3.) location and distance to structures 4.) location and distance to any -.wt►ter supply 5.) size and dimensions of all tanks, distribution boxes, tile fields and/or drywelis 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. I have read the regulations above and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ot9d1naaace. Signature of.responsible person: Bate: . Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 M SFTTLEV 1763 . . - ^ &AE OF NATURAL RF A GOOD PLACE TO L IVF -, ► � f c7our4" o/ Queensl "ry s BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 121101 BUILDING INSPECTOR ' S REPORT NAME LOCATION ' Date .31.�V Perrni- t No . ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing hoofing 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 ELECTRICIAL INSPECTION DRIVEWAY APPRO .� Final Building Survey* Next scheduled inspection (call when ready Remarks- Bui ding Inspector 6/86 rnd-vl _Jowr� v/ Quee.as ury BUILDING and ZONING DEPARTMENT 0 Bay and Naviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date Permit No . r ✓ = APPROVED - YES NO Footing/Pier Forms Foundation waterproofing Backfill Framing ARoofing $,,,Siding , ..' Masonry Veneer Rough Plumbing XRelief Valves Ext . Porches d' Finished Floors ;<In terior 'Prim ,Stairs & Railings Cellar Drain "file Concrete Floors APlbg . Fixtures e%Gar _ Fireproofing &<Door Closers 1 smake Detectors Chimney INSUTATION - Foundation Floors Walls Ceiling y`FINAL ELEC"TRI AL INSPECTION DRIVEWAY APPR VAL Final Buildi Survey Next scheduled inspection (call when ready ) Remar}}ks- _ l f ' tt C. �} ir I J � L 1ailL iir1 l r( , Uir-. 12r /� 1� r4lr�e' f Building Inspector 6/86 and-vl ' mdh THE NEW YORK - ,BOARD OF FIRE UNDERWRITERS21 4001054 13UR$AU OF ELECTRICITY / a 41 STATE STREET, ALOANY, NEW YORK 1220-7 Date February12 , 1958 Application No. on file � � � � � � ��y#V THIS CERTIFIES THAT 03404/87 only' the eUrtrfcol egtelpment w oleorcniL' ed fiegase, and sntnad"ced by [ha eppUcarai narmad on the ab~ n.c . , #4 Elizabeth Lane aplslicatlon nwaaber in the Promises of Guyer Builder I r�3ueeaE<bury ,t3ewYork , afollow se location; ❑ Bament ® nd Ise Fl. ❑ 2 Ft. zou.ta lde 121 4 � examined an stock Lot St �J /g and,jound to he in compliance w Section ith the ""ire»ten.ts of this Board. T r �TACus SWITCOmS FIXTURES RANGES OUtfr Ts AnMr IHCANMSCErt7 r1tlaREaCErYT CdS?K1NR6 w- OVENS DISH WASHEfaS EXHAUST FANS —. K. w- K.AnMr- K. AtiMr- t.w. AAMr. R. W. A MT- 19 31 25 14 5 = ` DRYERS FURNACE moTORS FUTURE AMUANCE FRllilil SFEGAL TIME CLOCKS 1 2t ` 4 Gr AMT. K, W. .w� H, a. GAS H. v, AMT, �+o. •. w. tlEhMrERS A1UlT1�C3UTILM► OVAAMM SYSTEMS EE. f I NO, Cw FRET ^ MT• WATTS 1 ,#1Q 1 SERVICIE DISCONNECT "o. OF AMT. T 1 C iwI rpMBr E R V E AhMr. TMEOIA►. 1..1' 7W 1 „e' 3W 3 /' 3W 9, -' eW NLf, ar CC. COriP- A W. RER .Y Or CC. Cv7NP, rMr.1- CMI a+iMtG afi•M NP.t]s M4tMlr11A13. OF 1iIRM 1 15O CB OTFIORR AMARATU& 1 2/O 3.--iiIi .P . Motor 2. G . ,H ,CI , I- Smoke Detector -- Electric Room Heaterts : 4-2 * 0kut02-1 *35kvs2- ,5kw Guyer Builera , iunc . 119 Dunning Street Salletan Spa , 12020 � ,r� o'` 3 q BRANCH MANAGER This certificate must not be altered in any manner; return to the office of the Board if incorrI Inspectors map be identified by their credentiah, WINE — COPY FOR BUILDING DEPARTMENT'. THIS COPY OF CERTIFICATE MUST NOT%%:2E ALTERED IN ANY MANNER. �f0 Q _Down oueens6ur ! BUILDING and ZONING DEPARTMENT 11 gay and Haailand Road. R. D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME _ LOCATION - DATE ss��� PERMIT NOW SOIL TYPE Sand - Loam - Clay - { Percolation Test Req uired? YES - NO Percolation rate - Min/Inch I - TYPE of SYST j Absorption fi Id , total length j Length of eac trench [depth of tren hes - Size of gravel SEEPAGE PITS4N er of) Size- ft. X ft . Grave, size PIPING : ize Type Bldg . to tank Tank to dirt . box D!St. box to field i Openings sealed? S Partial LOCATION/SEPARATIONS Foundation to tank ft. Foundation to absox mo ft . Absorption to lot 1 ne ft. Separation of pits ft. LOCATION OF SYSTEM PRO RTY (circle one) Front - Rear - Left side - ight side - CC MMENTS : SYSTEM USE APPROVED YES NO I Bui ding Inspect 0 m� 'i9Cfe Jci / - 01/86 and vi �f2✓�'.,�,,�'C�.�-,ter�-._ QUIVen3ficer e/` + BUFLDfNG and ,ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BU11- DING INSPECTOR ' S REPORT NAME Y LOCAT I ON_ Z3ate Peermit No , Pee = APPROVED - YES NO I�'ootiny/Pier Forms Foundation. Waterproofing Backf ill framing Roofing Siding Masonry Venee Rough Plumbing _ Relief Valven F:xt . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors _....__ Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors C.h ' coney IKSULATION ,. Foundation Floors Walls Ceiling_ _ FINAL EI.EC RICAL INSPECTION DRIVEWAY A ROVAL Final Building, Survey Next scheduled inspection ( call when ready ) Remarks- `�L G� r` ' t i €3ui ding Ins actor G/8G and-vl doe awn v/ Queen36urcy r BUILDING,, and ZONING DEPARTMENT r •���^^^ "'' Bay and Haviland Fioad, R. D. 1 Box 9a Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION —� ter Date Permit Now r Y r P` ' '5 i� APPROVED -- YES NO Footing/Pier Forms .Foundation Waterproofing Backfill Framing Roofing I Siding Masonry Veneer Laugh Plumbingy� Relief Valves — Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofi g Door Closers Smoke Detecto s Chimney INSULATION , Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTI N - DRIVEWAY APPROVA, Final Building Survey Next scheduled inspection (call when ready ) Remarks- JZ o - ilding or 5/86 md,vl y 1 .._/orate v/ Quee" Jig try BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT ✓ � NAME r LOCATION I�' (4 02- /!I-j�5 &-7-/4 Date-`-"f Permit No . sr ,t * * rY * * x r * � * * it et * fF ■ at �r x ✓ = APPROVED - YES N0 Foot--Ling/Pier ForIriS 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 , Fireproof ` ng Door Closers Smoke Detec ors Chimney INSULATI Foundat ' n Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled Inspection ( call when ready ) Remarks- �I JZ+(x (� /� 4G 0 iv/ Sul L�o uke, s B46ildIng I spec r Gft36 and--v]. t✓ 1 (,, ` ,j/Jj otu►7 D +QueerrJ I cerY BCJII-DING and ZONING DEPARTMENT �J f� Bay and Havifand Road, R . D. 1 Box 98 Queensbury, New York 12801 BUILDING I NS PEC TOR ' S REPORT NAME � LOCATION Date Permit No . ✓ = APPROVED - YES NO Footing/Pier Farms foundation Waterproofing Backfill Framing Roofing Siding Ma-sonry Venee ug17 131umbing Relief Valves Ext . Porches Finished Floors Interior 'Trim Stairs & Railings Cellar Drain Tile _ Concreto Floors P-1bg . Fixtures Gar . fireproofing Doer Closers c rwuke Detectors c�himr� ey INsuLA'I'ION : Foundation L Ioars Wa1. ls Ceiling FINAL RLECT CAJ:4 INSPECTION _ llRI VEWAY APPROVAL Firxal Building Survey Ntxc scheclu .leci inspection ( call when reaeiy) Remarks - - 13tiyilding Inspector 6/86 mc3-v1 L7 `tBUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queenssbury, New York 12801 BUILDING INSPECTOR ' REPORT NAME—%.�.0 r trnr G - LOCATION ' Date rmit No . � ✓ = APPROVED - YES NO Ling/Pier Forms Foundation Waterproofing Backf ill. Framing Roofing Siding Masonry Ven r Rough Plumbi g 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 AP ROVAL Final Build ng Survey Next scheduled Inspection ( call when ready ) Remarks- Building In ector 6/86 and-vl I i { TOWN OF QUERNSBURY i BUILDING & CODE ENFORCEMENT 742iSAY ROAD QUEE14SBURY NY 12804 ( 516 ) 745-4447 1 5` ARRIVE : DEPART ' INSP : FINAL INSPECTION REPORT R£SIOEHTIAL DATE INSPECTION REQUEST RECEIVED i NAME LOCATI DARE P RMIT I !_ TYPE OF S RUCTURE FOOTINGS FOUNDATION BACK ILL FRAMING ROUGH PLUM NU SEPTIC I SULATION FINAL ELECT ICAL Y7OODSTOVE R FIREPLACE N A Y & O CHI EY H IG B V T E G LU DING V N ROOFING EX.TER.I R FI I FfiC FOR H ST PS N S RELIEF VA V S F RNACE HOT WA E O T G INTE I R R M R VA Y OORS FINIS F OORS • BATH K T HE WAT R G OTHE F RS SWEE A LE OTH R rLOOR CA E ED STAIR CL ARAN E RAI I US SMOKE ETEC S j A H M N PLU B N FI T S j FD NDA ION INS A ION GARAGE FIRE ROOFING i Up OR C $fiR5 1 ! FINA ELECTR CAL i SITE PLAN VARY NCE RE ' FINAL SURVEY N 1' OK O SSU R C C 1 L 4 ' Cr BUILDING DEPT. COPY LOF APPLICATION FORM 46-E Lv NEW YORK BOARD OF E THIS COPY WITH BUILD NG DEPT. WHEN REQUIREpIRE UNDERWRITERS. TEMP. • DATE .` ,r�• "� •--..'. CITY OR �bur� COUNTY VILLAGE TOWNSHIP STREET AND NO. OR #4 1J I sbet:h lAwe POLE NO_ ROADAND POLE NO. BETWEEN WHAT TWO CR OSS ST R£ETS IS SECTION Z BLOCK LOT PREMISES LOCATED 7 OCCUPANT'S BUILDING .F NAME TT��.,�,,, �y OCCUPANCY .. - . AND ADDRESS E {Mier BuIlderas .iL =ie s 119 Duming 'S' �' f T£L. # . �1�7�. y StsPPI I CURRCED f:: - � '- ` � ' FROM THEIR t�-.- x `-?%'- �' � OFFICE BY �—'�(' DEFECTS BUILDING �;' NEW f914 OLD ❑ V IINS'fRK NEW I..__'P� ADDITIONAL REMOVED ❑ �l LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No. of Flxtums & BRANCH OFFICE USE NUMBER OF OUTLETS Lamp Reaaptadee MOTORS HEATERS CIRCUITS ONLY Loea _ twn Side Attach"s EP Na. Es No. Qaw,,pGa INSPECTION Calling Sidewall Rasa h't Switch Pendant Bracket No, Tvpa Out- alda Mehl Beea- ncwct let FI. 2nd Fl. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT STET FORTH ABOVE: DO NOT USE THIS SPACE. This application is intended to corer the abore-listed equipment to be inspected buI iI et time of irscpir"inn there is found additional equipment not above listed, you are authorized to make the inspection and adjust the fee to corer the additional equipment, as prorrided by the applicant. ELECTRIC SIGN TOTAL SIZE OF I FEEDERS LAMPS WATTS MAINS CHARACTER EXPOSED GAS TUBE SIGN OF mar a.f," ' CONCEALED TRANSFORMERS OF VA WORK TO BE (NUMBERI (CAPACITYI STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS OF SIGN ILDING INSPECTION REQUESTED ON OR AS HEAR AS W1.11 c*13 vt3en ready NEW E:1 OLD POSSIBLE AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS DATE OF seaaeal-srmber 211. ig$7 NAME OF 141{1 v 1 �• APPLICATION �� APPLICANT a 11G& „ORLnV street TELEPHONE # }� STREET ADDRESS zip LICENSE No. CITY OR Ba St#, Spay NY GDDE WHEN APPLICABLE POST OFFICE <a E� {REV. 1/65) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING ELIZABETH 125.00 --r-- w %-L-C nIV t-iV I TO GRALE QUEEN VICTORI A' S GRANT QUEENSBURY , N.Y. 2000 qa I . 0 DIAMETER !'-C DEPTH 2,4,6,8,10,12 ELIZABETH LANE PLOT PLAN � SEPTICSYSTEM GUYER BUILDERS, INC QV - 5 CWN;i Q-Z4-87 FS c�le I': 20'-0