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1987-792 1 CERTIFICATE OF +�Z.JP AN CY TOWN OF QUEENSSURY I WARREN COUNTY, NEW Y+OrRK � 1 Date._ April 28 , 1987- 792 $ � � This is to certify that work requested to be done as shown by Permit Nov k has been completed, f T3.is structure may be occupied ■s a .... ' of a two family dwelling i 4 Uacarion 2 jUizabeth Lane, Queen Victoria's Grant, Adodel I O ,ner Guyer Builders Inc, I By Girder Town Board TOWN OF QUSENSBURY Building &- Zoning Inspector I , } BUILDING PERMIT TOWN OF QUEENSBURY No. 87_792 WARREN COUNTY, NEW YORK cz� PERMISSION is hereby granted to Queen Victoria ' s Grant h OWNER of property located at 2 Elisabeth Lane Street, Road or Ave. r 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 Building and Zoning Ordinance. 1 . OWNER'S Address is 119 Dunning Street rD Ballston Spa , N . Y . 12020 � c N- 2. CONTRACTOR or BUILDER 'S Name rt O Guyer Builders ui 3. CONTRACTOR or BUILDER 'S Address C) Same aHi r* d_ ARCHITECT'S Nance 5. ARCHITECT'S Address n� C� 1-+ N N R� 6. TYPE of Construction — (Please indicate by X) ro r+ (x) wood Frame I ) Masonry ( } steel ( 1 t-� Ilr 7. PLANS and Specifications No_ 31 ' x 46 ' as per plot plan , specifications and application including septic system and two car attached garage . MODEL I S. Proposed Use ''�}OF TWO FAMILY 0 $5 . 00 C/O $ 103 . 017 PERMIT FEE PAID — THIS PERMIT EXPIRES June 1 19 88 0 (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the K town of Queensbury before the expiration date_) }-w Dated at the Town of Queensbury this �� ,27th Day of November 19 87 �c [ SIGNED BY _ ? 4e= for the Town of Queensbury Building and Zoning inspector TOWN OF QUEgNSBURY 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 . AN$MSR ALL of the following : ; . Gross floor area 1040 S. F. Z . Typo of heat Baseboard electric 3 . Is the building mechanically cooled ? No 4 . Percentage of area of windows and doors 14 . 3% A . aver 16 % Only 1 . U. value of gross area of walls , roof/ ceiling and floors exposed to ambient conditions Z . Floor over heated spaces YES No a . Are foundation walls insulated ? YES NO 1 . If YES * what is the R value ? 3 . Slab on grade YES N,4 A * If YES .0 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 l6t only 1 . R value of roof and floors exposed to ambient conditions R-38 (6.=0 . 026) Z . R value of exterior walls MGM R-23 . 5 (U. =0 . 04+ ) 3 . R value of glazed area U. =3 . 30 4 . R value of doors R-14 . 9 (U* =0w06) 5 . R value of floors over unheated * paces )ObV= R- 30 6 . R value of slab edge insulation - unheated slab N/A ? . 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 Co. Controls 1 . 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 . Piping insulation N/A 1 . Size of hot water or cooling carrying agent pipe Z . R value of pipe insulation Ir . Service water Heating 1 . Performance efficiency_ - -N/A 2 . Temperature control setting maximum G . For swimming Pool only 1 . Maximum heating N/A G Telephone No . ( 518) 899-9161 / ( app cant ' s ignature ) APPLICATION FOR SEPTIC DISPOSAL PERMIT Ref : S . P. E. D. S . �ATg October, 2 87 permit # New York -- 0202525 MODEL I of I /M LOCATION OF PROPERTY FOR INSTALLATION 2 Elizabeth Lane Owner's Names Guyer Builders , Inc . Telephones ( 518) 899-9161 MOWN Address: 119 Dunning Street , Ballston Spa , New York 12020 lnstaller's Name: Guy Builders , Inc Telephones ( 518) 899-9161 2 A, C , E, I , J, Ky L, M Number of bedrooms (residential only) 2 3 F, G, H r Total daily flow (compute Q 150 gal per bedroom) 300 Tapography: circle one: lat Rolling Steep Slope 9b of slope Soil Nature: circle one: Sand Loam Clay Other / Depths 8 ' feet + Ground Water; At what depth? unknown 8 feet + Bedrock or Impervious Material: At what depth? unknown feet Percolation test: circle one: not require required / rate min. inch. Domestic water supply: circle ones Munk pal Well Other IF domestic water supply is a Wall: 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)s Number of / Size each feet by fee4 * Size of stone to be used / Depth or Thickness feet • sssss * * * s * * * * r * * * s * * s * aksa * * * s * e * saFss * * * s IMPORTANT * See S . P. E. D. S . ...Please...LIST NEW E.QUIPMUNT TO BE INSTALLED permit & attached map (over) Section U Septic System Inspectionsi 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. l.) the propo,aed ,location of the System 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 tine of up to SZ50.00. Ce 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 is an immediate work stoppages. D. Should unforeseen problems during construction prevent proper installation, ss alteration or repair of a approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. I have read the regulations above anal agree to &bide by these a" all requireaieuts of the Tara of Queeasbury Sanitary Sewage Disposal Ordinance. Signature of.responsible person: Dates k Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12901 (518) 79Z-583Z c n hJn&A = nC W ► Y11881 MPAIr7Y 6 Gnnn 01 Ara vn 1 ��1�' �`t�wn c+� �ueens6ure�l BUILDING and .ZONING DEPARTMENT ay and Haviland Road, R. D. i Box 98 Queensbury, New York 12801 iLDING INSPECTOR ' S REPORT NAME LOCATION Date 7 - / Permit No . (, pj ✓ = APPROVED - YES NO Fasting/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 Stroke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELEC RICAL INSPECTION DRIVEWAY A ROVAL _ Final Build ng Survey Next scheduled inspection ( call when ready ) Remarks- Bu di Inspector 6/E36 and-vl 4001054 -Mdh THE NEW YORK . BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 41 STATE STREET, ALBANY. NEW YORK 12207 E � 7511 ] "� Date Februaryl2 , 1988 Application N % ]onfile A ri IJ 1 5 1 l � THIS CERTIFIES THAT only the electrical equipment an described below and introd"ced by the applicant rse+reed on the Oboae ORPI"tion number in the Pnemieee of Guyer Builders Inn v * #2 Elizabeth Street .Queenlsbury~New'York �ry 121 4 in the following location, El Besement LJ ,Tr. lat Fl. ❑ d ,FT. Out side Section Block Lot was examined on _ ondfoe.nd to be in cornplience with the requirements of this Board. s f9xTURE RXTURRS MAIY40M COOKING BECKS OYEMS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACLlS SWITCHES YNCANCIESCEnI7 fLA1GIKE5CEN7 AMT. K. W. AMT. K. W. AM7. K.W, AMT. K- W. AMT. H. P. 12 27 18 !+ 1 4 . 6 3 Fr c m DRYERS FURNACE MOTORS PUTUM AFPUANCE FEEDERS SPECIAL It%VP'T TIME CLOCKS UNIT HEATHS MULTL MTLET DIMMERS AMT. K. W. CU H. P. oAs M. P, A. A. W- O- AMT. AMP. AMT 11 . AMPS. TRANS. AMT. . P. N�OF MET AMT. WATTS 1 Dryer 10 1 11 10 SERVICE DISCONNECT NO. OP S R R V 1 C E AMT_ y AMP. T1'Pe 1 x 2W 1 .e 3W S X 9W ] ,e aw ' PPe OF lt AtCGNh. Gf cc C0.71M6. No. Of HI-LEG OF MI LEG MO, OP MELRRAiS OF P"U RAL 1 15ta CE 2 /0 1 D OTHER APTARATUS: 1-kn . P . motor 1- Smoke Detector Electric Room Heaters : 4-2 .Olcw , l-1 , 5kw .2— . 5kw Guyer Builders Inc . 119 Chinning Street Ballston Spa , 12020 ` BRANCH MANAGER Pet This certificate must not be altered in any manner. return to the office of the Board if incorrect. Inspectors may be identified by their credentials. o COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. i I r � 1 .Jeaeun o Quee►7 � 6tort�l BUILDING and ZONING DEPARTMENT �} f Bay and Haviland Road, R .D. I Sox 98 Queensbury, New York 12801 SEPTIC DjISPOSAL SYSTEM INSPECTION NAME LOCAT I CNri {•/ �j (� ) DATE 7 PERMIT NO. SOIL TYPE - sand - Loam - Clay -_ Percolation Test Required? YES - NO Percolation rate - Min/Inch _ TYPE of SYST Absorption fiVh l length Length of eac Depth of trenSize of graveSEEPAGE PITs4 ) Size- ft. . Gravel size PIPING : ize Type Bldgv to tank Tank to dirt . box Dist. box to field it y� Openings sealed? ES ITIC�I Partial LOCATION/SEPPARAT ONS V Foundation to k f t* Foundation to sorpt ' on ft . Absorption to lot lin ft . Separation o pits ft- LOCATION OF YSTEM ON ROPERTY (circle one) Front - Rea - Left Sid - Right side CCMMENTS AlCo C?v C L Li SYSTEM USE APPROVED YES NO Bui ding Inspect 01/86 and vl � ��� � y BUILDING and ZONING DEPARTMENT Bay and Haviland Road. R. D. I Box 98 (]ueenshury. New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date Permit Na . APPROVED - YES NO booting/Pier Forms Foundation waterproofing I3ackfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves ":xt . Porches Finished Floors Interior 'Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg , Fixtures Gar . Fireproofing Door Closers Smoke Detectors Ch ' mney Le SULATION : Foundation Floors Walls Ceiling_ FINAL EI.ECTR CAL INSPECTION DRIVEWAY "P L Final Building Survey Next scheduled inspection (call when ready ) Remarks- Bui ding ins ector 6/86 and-vl p st,�err3 [� ur /G1 BUILDING and ZONING OEPARTMENT Bay and Haviland Road, R.O. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME - LOCATION C", a � �p Date Permit No APPROVED YES NO Footing/Pier F rms -- Foundation Waterproofing Backfill Framing Roofing Siding Masonry veneer t,olGugh Plumbing Relief valves Ext . Parches Finished Floors Interior Trim Stairs & Raiti S - Cellar Drain le Concrete Flo s _.�...-. Plbg . Fixtur s Gar . Firepr ofing Door Close s Smoke Det tors Chimney IN SULATI Foundati n Floors Walls Ceilin FINAL LECTRICATL INSPE T.10N DRIVEWA APPROVAL Final Building Survey - - Next scheduled inspection ( call when ready ) Remarks- L.0 I� `+� +� ilding 'ter 5/86 and-vl .,._/uwn o1 Queenstury OUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S F2EPORT' ✓ NAME r�— LOCAT 1 ON No G#-, p� zmit . CL /^�! APPR+pVEI] - YES NO Footing/Pier Forms Foundation Waterproofing Sackfill XFraming Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railin _ — Cellar Drain T e Concrete. F1oo s Plbg . Fixtur s Gar . Firepr offing Door Close s smoke Det ctors Chimney IN SU T N Foundat on Floors Walls Ceiling FINAL ELECTRSCAL INSPECTION DRIVEWAY APPROVAL Final Building Survey i3ext scheduled inspection ( call when ready ) Remarks- 000 Vt j-r i 6 L A-1._ 6G ,4 vas' l :c�r-t H ilding I spec r f 1']lflJ'1 C1I.� E'BI? 3fJ�tI't " � + J ► r BUILDING and ZONING EIEPARTMENT l I`,0 Bay ,and Haviland Road, R. D. i BOx go Oueensbury. New York 12801 BUILDING INSPECTOR ' S REPORT NAME ✓ .•/ � : ----�,G� LOCATION Date �r � / Permit No . APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backf ill Framing Roofing Siding �Ma onry Veneer gh 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 FLE TRICAL INSPECTION DRIVEWAY PPROVAL Final Buil ing Survey 13ext scheduled inspection (call when ready ) Remarks- Building Inspector 6/86 and-vl flown of Q"een36ury BUILDING and ZONING DEPARTMENT Bay and Maviland Road, R.D. 1 Box 98 Queensbury. New York 12801 BUILDING INSPECTOR ` REPORT NAME LOCATION ]late 1 / '8 rmit Now . * * * r * * * * * * PROVED* -* YIE5 *NG r = f.,p6b' ting/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 , Fireproof ' Door Closers Smoke Detecto Chimney INSUIYATION Foundation Floors Walls Ceiling FIN EL TRICAL INSPECTIO . DRIVEWAY APPROVAL�� Final Su lding Survey Next sc eduled inspection (call when ready) Remarks Building In ecttor 46/86 and-VI BUILDING DEPT, COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF F1RE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT, WHEN REQUIRED, TEMP. CITY OR •���y.�,M� V4LLAGE � TOWNSHIP Qwbinmbury COUNTY STREET AND NO. 6 OR .s ay, T L� �,,� ROAD ANO POLE NO. Elizabeth Yabeth � POLE NO. BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED7 SECTION r BLOCK LOT OCCUPANT'S BUILDING NAME r OCCUPANCY ODE TEL. # �i q A ADDRESS &LtId a TT� i19 tmAng Street SUPPLIED FROM THEIR _ OF F%CE BY Iip1. �y BUILDING DEFECTS •;NEW I, OLD ❑ Is NEW Lj► ADDITIONAL ❑ REMOVED LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No. ofRecce tactnw; fs MOTORS HEATERS BRANCH OFFICE USE NUMBER OF OUTLETS Lerryi Reapgcles ONLY Locer floe Side Attach't H.P. Warn A.W.G. Coiling WINN Repp'Is S1°'iWh Pandent Bracket No. Type Each No- Each No. GOMM INSPECTION Got- eitY Sub- base Beee- mant Ila Ff. Znd Fl. and FI. REMARKS= LIST OTHER ELECTRICAL DEVICES NOT S£T FORTH ABOVE: QO NOT USE THIS SPACE. i This application is intended to cover the ahove4isted vital pmant to be inspected but if at time of inspection there is fouwd edditiorial equipment not above listed, you are authorized to me Ice the inspection and sidjnst the fee to cover the additional equipment, m provided by the applicant. SIZE OF C�afgy�s ELECTRIC SIGN TOTAL MAINS 150 p"pe FEEDERS LAMPS WATTS CHARACT TUBE SIGN OF WORK ER In and servIce CONCEALED ED GAS TRANSFORMERS OF VA WORK TO BE {NUMBER( (CAPACITY) STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER 6UENTERS OF SIGN ILQIN INSPECTION REQUESTED ON OR AS NEAR A5 POSSIBLE MEW OLD El AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST Of FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS Al �a�pl NAMEOF CANT 1Arj= L$j]dg2'aPTracr _ APPLICATION DATEOF SqDtg"ks @r 21 , 1987 STREET ADDRESS 1AS puzuLingr $tit TELEPHONE # 89"161 LICENSE NO. CITY ORPOST OFFICE BA%11 93tC9^I -Q+VM- { CQQE + 020 WHEN APPLICABLE I na EE {REV. 1155) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING REFERENCE DRAWINGS: 5A SITE UTILITIES SEPTIC � WATER VanDUSEN B STEVES SURVEY PLAN ELIZABETH QUEEN VICTOR I AI S GRANT QUEENSBURY I N.Y.