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1987-845 .. ty7:- S ,' 'hA'. `.vtw_bs, �". :r. , • . .f� T: >v, . T � aA k CERTIFICATE OF OCCUPA.NC�'' TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date i C a s 14 This is to certify that work requested to be done as shown by Permit No. . has been completed. T%is structure may be ,occupied as a of a two family dwelling Location 40 Queen Anne Court , Queen Victoria's Grant, Model I Owner Guyer Builders, Inc. By Order 'Town Hoard TOWN OF QUEENSSURY r � i r Building & ZoM4 Inspector l BUILDING PERMIT r TOWN OF QUEENSBURY No. 87_845 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Queen Victoria ' s Grant -p- OWNER of property located at 40 Queen V*im:kmxta*s Street, 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 Building and Zoning Ordinance. M t. owNER s Address is Guyer Builders Inc , n 119 Dunning Street Ballston Spa , N . Y . 12020 03 2. CONTRACTOR or BUI LDE R'S Name Same � W 0 rt 3. CONTRACTOR or BUILDER'S Address I+ Same 4. ARCHITECT'S Name .O K rD rD S. ARCHITECT'S Address ' fb b 6. TYPE of construction — (Please indicate by XI H r-r (X ) Wood Frame ( ) Masonry i ) Steel I I 7. PLANS and Specifications No. 31 ' x 46 ' -6" as per plat plan , specifications and application includ3. __ . septic system and attached one car garage . MODEL 1 0 r-h a. Proposed Use , � OF Two Family Dwelling 6 YT1 iv 9 $5000 C /O 82 . 00 JULY 1 , 19 88 $ PERMIT FEE PAID — THIS PERMIT EXPIRES (it a larger period Is required an application for an extension must be made to the Building and Zoning inspector of the sp town of Queensbury before the expiration date.) r- 9th December 79 '�' •+" 87 Dated at the Town of Queensbury this 7, Day of SIGNED BY f Gg.c".,C- � +°t-�' for the Town of Queensbury Building and Zoning Inspector A ?, y; permit ssueaLCIFNG ar+d2Perntit Expires19 armed Ha�viland Road. R.D. 1 Box 98 zoning Designa on ' l � ,U (]uaensbury, New York 12801 variance No . * p , Site Plan Re i wOCT 19G7T Approved b - APPLICATION FOR ]BUILDING AND ZONING PERMIT it +r a rr +► +r i► � +� a ar it a it �► +F ,�► * ar * ar * * ,e * +r it w' e e it aF it +r i► +� aE it : �r A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLOWING . The undersigned hereby applies for a Building Permit to do the fallowing work which will be done in accordance with the description , plans and specifications submitted, and such special conditions as may be indicated an the Permit . The owner of this property is : Guyer Builders Inc . P. O. Address 119 Dunn ing Street Ballston Spa , New 'York 12020 Tel . ( 518) 899-9161 Property Location : 40 Queen Anne Court Tax reap 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 III ( 518) 899-9161 Name P . O. Address Tel . NO . Nance of builder Guyer Builders , Inc .Address 119 Dunning Street Tel . ( 518) 899-9161 Name of plumberGuyer BuilderSo nc .A,ddress nSStreet Tel . Nacre of mason.0000 uyer zs , nc .Address g StreetTel . NATURE OF PROPOSED WORK : * ZONING INFORMATION : 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 , ,woommmmm (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 LiEIAW . * size of property loot pianp ft X 120 ft . * Existing building ( s ) Size ft X� ^ft . PROPOSED BUILDING AND USE : Model f � * Existing building ( s ) Use N/ 45 ' - Size of new strut a 31 ft X t Foundation-pier slab crawl/partial/full * Proposed building , gdeisttanceot pfarom Property line cIrcle one) * Front yard 30+ ftlRear yard 30+ ft Nd . Of stories (habitable l9�ac�e ) 1 ft . * Side yards 15+ ft and 15+ ft Height (grade to ridge) if on corner , setback from side street ft if residential , no. of families I of 2 No . of rooms (excluding baths ) * OCCUPANCY INFORMATION NO* of bedrooms * PRIMARY BUILDING �+ of bathrooms One family dwelling This PeA%yngr Primary heating system e ar s a ectric* `Two family dwelling I to � Of fuel Electricity' * Multiple dwelling / Number Of units of fireplaces to be installed * Permanent occupancy will a wood stove be installed? NO Transient occupancy Central Air conditioning? N000mw� * Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial * {Other Ranch Contemporary L.o cabin If addition , what will use be? Raised ranch Mansion Duple Split level Old style Bungalow Cape, Cod cottage Other " ACCESSORY BUILDING-Colonial ROW Town House * Detached garage/one car/ two car/ car Attached garage/one car/ two car/ one car ( CIRCLE ONE PLEASE ) * _ '.7i * * * # * * * ,� * r * • . * ,r * r * Private storage building . ESTIMATED MARKET VALUE OF Other CONSTRUCTION $ _� - �?° INFORMATION ON -BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SliEETr TO BE COMPLETED ! RM Form SPA 4/B6 and-vl DUILDINGx 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" minitium 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 flat/shed/other Material of roof Fiberglass shingles Size , wood studs `"X 6 '" spacing 24 '"a . c . length 8 ft* exterior walls Joists ( floor beams ) 1st . floor N/A "X is spacing_ ti"o . c . span N/A ft . Joists ( floor beams) 2nd . floor „Xnospacing "o . c . span N/A ft . Overlays (ceiling beams ) "X is spacing 24 "'o . c « span N/A ft . Roof rafters "X In spacing 4 o . c . span N/A ft . Roof trusses (pre-engineered) spacing "a . c , spa 12l ' 6Tt . ,Exterior wall finish stained Of what material? 5 /84" x 4 ' x 8 " texture 111 Interior wall finish pain s etrock If a garage is to be attached , describe materials to be used for FIRE SEPARATION : 1 /2 00 type "X" shee Crock 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 # (726252� Town of e A F F I D A V I T STATE OF NEW YORK Warren n County of 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 ecified or not, and that such work is authorized by the "owner . d SWORN TO BEFORE ME THIS Signature -_____-- ,.9 Owner, owner ' s agen rcnirect , contractor ^day of e 19 5� I'ATWCIA F FURPh'Y notary P: `.:•!ic• �tle �f iVevr York Quai+i;t:, In schonectady County Notary Public , W N . Y . 471704B * * w * r * a r * * * * * * * * * *cWrWs4on*Exjlre* Sept * *' * * w * * * rr * * w : * * ♦ s SPECIAL. CONDITIONS OF THE PERMIT : . 1040 Square feet living 240 Square foot garage - one :tall l 1280 @ $7 .00/ 100 or part of `a $5 . 00 One stall ,garage $5 . 00 C/O permit Total T TOWN OF QU99NSDURY WARREN COUNTY , NEW YORK application fors BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work . aM$MBA ALL of the following : Gross floor area 1040 S . F . 2 & Type of heat Baseboard electric 3 * is the building mechanically cooled ? No 4 . Percentage of area of windows and doors 14 . 3X A . Over 16 % Only 1 . U0 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 N,Q a . If YES , what is the R value of insulation around perimeter of floor ? 4 . Is basement heated ? YES No a . R value of insulation 5 . Type of insulation 4 . Under 162 only 1 , R value of roof and floors exposed to ambient conditions,,,,: R--38- (U. =0 . 026) 2 . R value of exterior walls_ 3CK R-23 . 5 (Um =0 . 04+ ) 3 . R value of glazed area '{. o =0 * 30 4 . R value of donors R-14 . 9 (U. =0.06) 5 . R value of floors over unheated spaces )Ubo= R-30 6 . R value of slab edge insulation - unheated slab NIA 7 . R value of slab insulation on heated slab 12 . 5 So R value of heated basement/cellar walls ( above grade ) N A 9 . R value of heated basement/collar walls ( below grade ) N/A to . Type of insulation Fiberglass 'k Co Controls i . Thermostat maximum heat setting 00 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 so Pipins Insulation N/A 1 . Size of hot water or coaling 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 only 1 . Maximum - heating N/A Talepbone Ito . ( 518) 899-9161 ( applicant ' s signs re ) f APPLICATION FOR SEPTIC DISPOSAL PERMIT Ref : S . P . E . D . S . ]DATE September 29 / 87 permit # New York 0202525 MODEL I of I/M LOCATION OF PROPERTY FOR INSTALLATION 40 Queen Anne. Court 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, I , J, K, L, M Humber of bedrooms (residential only) 2 3 F 2 G, H Total daily flow (compute 4 160 gal per bedroom) 300 TcWw4p ►pLy: circle one: lat Rolling Steep. Slope % of slope Soul Nature** circle one. Sand Loam Clay Other / Depth: 8 ' feet + Coxm3nd, Water: At what depth? unknown 8 feet + Bedrock or Impervious Material*. At what depth? unknown feet Percolation test: circle one: not required required / rate ruin. inch. Domestic water supply: circle one: Municipal 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 +1 • i # * ss * � # * ss * # * sass * * * * +1 * * +si * +� * . at * # sas * sss �e IMPORTANT * See S . P . E . D. S . ...Flease...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 24 hours before start of construction and shall include a plot plan showing: 1.) the proposed .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 S.) size and dimensions of all tankss 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 $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 the and all regpirements of the Town of Queensbury Sanitary Sewage Edupaeal lniance. Signature of.responsible person: Date: L Town of Queensbury Building and Code Department Bay at Havilan,d Road Queensburys New York 12801 (518) 792-5832 SETTLEv 1763 . . . HOME OF NATURAL BEAUTY . . . A GO PLACE TO LIVE TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT q � BAY & HAVILAND ROADS QUEE'NSBURYr NEW YORK 12809- TELEPHONE (518) � 792-5832 BUILDI INSPECT[] 4S REPORT REQUEST INSP ON IVED_,tt 7- Ci NAME LOCATIy} DATE P RMIT #f�( APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR ORM FOUNDATXONfDAMP-- R ING BACKFILL APPROVA ROUGH PLUMBING FRAMING ELsCTRICAL ROUGH INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL I NSPEU^TI CHIMNEY HEIG T ROOFING } SIDING EXTERNAL PO CHE /STEPS STAIRS-CL NC 6 RAILS PLUMBING F XTUR S/RELIEF VALVE _ Lr INTERIOR IM/P VACY DOORS FINISHED JfLOORS - GARAGE F EPROO NG DOOR C ER (S) SMOKE DE ECTORS FINAL EL ICAL I SPECTION FINAL APP A ONSTRUCTION 0K TU I S C/o C/C A SIGNED CERTSF.TCA OF OCCUPANCY MUST BE OBTAINE FROM THE ILDING DEPARTMENT BEFORE THESE FE2EMISES ARE CUPS 1 REMAR S: i ARRIVE DEPAR '7 /��(_ INSPECTOR MIDDLE DEPART AGENCY, INC. 7 `_C ` ` Date May 200 19910 �Cerri€its that "�• uipment listed has been e`xa� an approved as being in accord with the National Elect plicable governmental , utility and cy S. Owner: Guyer Builder occupant SLUSIM FSML � ... LOCK#IiQn: 40 Quee'A. �l,AY1 > 9 cart'ficare t I ipment and Installation inspected this date. ff tldOitlOnal �q�M lrh be iAtrOd"o&d or alterations made to C ry,. ex ing system ens/ 4ceifa be null and void, and application for E(Y!/iprrren#; 4 Q ��1eC$ �+•1es 1t in lion should t,b ■ubmltt p ly to this Agency. _ V Molder of this wSi'Meate Id nt same to his property insurance "Mar '1g0 .Amp Servic Appr aaaes L S (agent or comp yl asevid�nC ification of aMmtricai equipment app rowed m apaCit led. f f r Guyer Builder �# `- ,4pp#rcan#: O . 16�Q262fl2 L Bwllston spg, HY 12 TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT SAY & HAVILAND ROADS QUEENSBURYr NEW YORK 1280k TELEPHONE (518) 792--5832 BUILDING INSPECTO ' S REPORT REQUEST FOR PECTION REC IJE ig 0 NAME LOCATION DATE P IT # .� APPROVED YES INO FOOTING/PIERS MONOLITHIC POUR F S FOUNDATION/DAMP-PR F NG BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS. WALLS I - CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHE /ST S STAIRS-CLEARAN & LS PLUMBING FI SIRE EF VALVE INTERIOR TRIM/ VACY ,DOORS FINISHED FLOOR GARAGE FIREPR PING DOOR CLOSER (S) SMOKE DETECTO FINAL ELECTRICA INSPECTS FINAL APPROVAL F CONSTRU ION OK To ISSUE C/ OR C/C A SIGNED CERTI ICATE OF OCC PA MUST BE OBTAINED FROM HE BUILDING FARTMENT BEFORE' THESE PREMISE ARE OCCUPIED! REMARKS.: ARRIVE `_ ` 3� DEPART _ sue. INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HA VILAND ROADS QUEENSBURY, NEW YORK I2809- TELEPHONE (5I8) 792-5B32 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED _ NAME LOCATIO'v J �_)_ J p -r iy j .. rw._SL CC- DATE / - ,..`PERMIT APPROVED YES I NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/D P-PROOFING BACKFIL,L, APPR VAL �� { L'' OUGH PLUMBING - L--�1?AMING ELECTRICAL ROUG -IN INSULATION: FOUNDA TION FLOORS WALLS J CEILING FINAL -INSPECTION: i CHIMNEY HEIGHT J ROOFING SIDING / EXTERNAL PORCHES/ TEPS STAIRS-CLEARANCE & RAILS : PLUMBING FIXTURE /RELIEF YKALVE INTERIOR TRIM/P IVACY DOORS FINISHED FLOOR G !!?AGE FIREPR FIND DOOR CLOSERS SMOKE DETECTO S FINAL ELECTRIC L INSPECTION FINAL APPROVAL OF . CONSTRUCTION A .SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT $EFORE THESE PREMISES ARE OCCUPIED! REMARKS: SPEC TOR BUILDING and ZONING DEPARTMENT Say and Waviland Road, RID, 1 Box 98 Oueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCATION v ry r DATE I ! CTZS PERMIT NO SOIL TYPE Sand Loam _ Clay Percolation est Required? YES - Np Percolation rate - Min/Inch TYPE of SYSTEM ; Absorption field , total length Length of each trench Depth of trenche s Size of g vel SEEPAGE ,ENumbpr ag} Size- f X. � ``x' Et . Gravel size .� PIPING :. Si e Bldgv to tank `l� (� T Pe Tank to diet. bo � - Dist. box to €iel pi r� Openings sealed? S NO Partial LCCATTON/S.EFARATICNS ; Foundation to tank €t . Foundation to absorptio �gt . Absorption to lot line f�},rft. Separation of pits €t. LOCATION STr ON PROP TY (circle one ) Front - Rear Left side - ight side - CQMME ,Nr�TS/; It J4 SYST-EM USE APPROVE4ding NO BI s ector 01/86 and vl -✓o�'++ a� �ueen36urt� BUILDING and ZONING DEPARTMENT Bay and Havitand Road, R. D. 1 Box g$ Queensbury, New York 12801 BUI DING INSPECTOR ' S REPORT NAME LOCATION Date" I?e rmi. t No - Footing/Pier Forms APPROVED YES NO Foundation s waterproofing Backfill Framing Roofing i1 Siding Masonry *Veneer Rough Plumbing 1 Relief valves Exta Porches Finished Floors Interior Trim Stairs & Railin Cellar Drain Ti e Concrete Floors Plhg . Fixtures Gar . Fireproof ng 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- 44 45 - 1 7Building ns ctor 6/86 and-vl 2J0'11 o/ Qu,eenafiutcy BUI! DING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box gg Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME � 3 s - C/C� '� • LOCATION ? f tT�r Date /� Permit No . Al� cting/Mier Fo► mssAPPROVEDYES undation Waterproofing Hackfill Framing Roo €ing Siding Masonry Veneer Rough Plumbing Relief Valves i.xt . Porches Finished Floors Interior 'Prim :stairs & Mailings Cellar Drain 'file Concrete Floors 1'lbg , Fixtures Gar . Fireproofing Donr Closers Smoke Detectors chimney INSULATION : Foundation / Floors WaIIs Ceiling_ FINAL E:I IiCTRIC7�L INSPECTIf.7N DRIVEWAY APPROVAL Final Building Sur ey Next ;clieduled insPec ti .n ( call when ready ) 9&f-0 All5 G &m-i tC)A/ - /4-c�-S 0 RD I3uil ing inspect -"--�-- 6/86 and-vl 13U'LL ING and ZONING DEP,ARTMV-N T Bay and Havifand Road, R, D, I Box 98 Queensbury, New York 12801 B !1 ] LDfNG INSPECTOR ' S REPORT NAME --------- �-���ram. LOCATION 4/C) Date / Permit No . / XFooting/I'i er Forms APpR7VL•;L} - YE Foundation No Waterproofing I3ackf i 11 Framing R00fing 5-iclirrg Masonry Aleneer hough I'l umbinq Relief Valves 1:x t . Parch t ; Pi.nishec3 floors Interior Trim .`, taus --- & Railings Cellar Drain 'file Concrete ploc3rs 111bg • Fixtures ~- 'Gar . I"ireproofing 0004r Clc]sers Smoke Detectors Chi mn ey INS(.II.ATION Foundation Floors Walls Ceiling FINAL I;I fiCTI27 AL INSPECTION DRIVEWAY APPRov "L ~ Final Building Survey Nex- - t- scliedlaI d inspection (czll when ready) 6;OZ&X�a/V5 A4AI- I3ua ldj ng IrisFaec for G/£3r; I7TC1 -vl TOWN OF QUEENSBURY BUILDING AND CODES DEFARTMENT BAY & HAV.ILAND ROADS g2Uf-E'NSBURY, NEW YORK 2280I TELEPHONE (528) 792-5832 BUILDING INSPECTORtS REPORT REQUEST FOR /XNSPECTION RECEIVED ,r/ NAME _•�?'/r / _n� LOCATrON rt r DATE IT ,# _8 Syr APPROVED ,,+ POOTTNGfPrERS YE NO MONOLrTHIC POUR FORMS -rOUNDATTO DAMP-PROOFSNG BACKFrLL A ROVAL ROUGH PLUMB G FRAMING ELECTRICAL ROU -IN rNSULATrON: FOUNDATXON FLOORS WALLS CHI-LING FrNA.L SN.S.+PECTION: CHIMNEY HEIGHT ROOFING SSDrNG EXTERNAL PORCHES/ TEPS STArRS-CLEARANC & RAXLS - PLUFSBSNG FIXTUR S/RELIEF VALVE --INTERIOR TRrM/ RIVACY DOORS FINISHED FLOG GARAGE FIREPR PING DOOR CLOSER (S SMOKE DETEC RS FINAL ELECTRrC L INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTrFICATE OF OCCUPANCY MU7 BE OBTAIN-6D FROM THE BUTLD_rNG DEPARTMENT BEFORE THESE PREMISES ARE OCCUPrE'D: REMARKS: ` I SPECTOR �.fi°�wrx ©� �uee►r 3 h BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Sox 98 QueensburY, New York 12801 SEPTIC DISPOSAL SYSTEly INSPECTION NAME LOCAT I()N DATE PERMIT No, SOIL TYPE - Sa 7 Percolation Tea - Loam - Clay - Percolation rate Rer3uired ? YES - NO�' ` - Min/Inch TYPE of SYSTEM: - Absorption field , t tal lengt Length of each tx'enc Depth of trenches pp Size of gravel_ SEEPAGE P-TTS{slumber of Size- ft. X -�-_ Gravel _ f to size PIPING : Bldg& to tank a Type Tank to dist . box Dist. box to field openin s it 9 sealed YES N Partial LOCATION/SEPARA ONS : Foundation to ank Foundation to t- Absor of line ptlon t f . Separation f lot lnee ft LOCAT.TON pits ft. SYSTEM- Os P1'OpERTY {ci cle one) Front - ar Left CCNMENTs side - Right S ' de , ram r SYSTEM USE APPROVED YES nul di g inspector 01/86 and vl v BUIt (,�IIVC, and ZONING OEPARTIUIENT Bay and Haviland Road, R. Q. i Sox 9$QueerlsburY, New York 72801 B (JILDING INSPECTOR ' S REPORT NAME L OCA T I ()N ` Data `/ - ' / Permit NC) . Footing/pier ✓ µ APPROVED * Fouriclation F`�rms _ YES NO wa t e rr�rcaa ri rty I�ackriil Framing Roofing Siding Masonry Veneer RourJII I l u-mbi ng Relief Va.1ves Parches F'i n ish0cl F-hors Interior Trim St_uir, & Raili. ngs Cell ,Ar Dx-airz Tile Concrete Floors Plbg . Fixtures Gar - Pi reproof ' Door Closers Smoke Deto tar �imn0V -INr1r.ATI C)N : founcl e F1oo ration Fior3 ; WaI ] s -- Ctt i I inrj —_ k' ztIAL IILEC: RICAL INSPE:C'TION I]RIVEWAY APPROVAL --- -__ Final Building Survey yy~""� " �— Nesct scheduled inspection ( Reinarks - call when ready } i TiuFdiciin d Inspector t;/t3Fi mcl -v ] gvf+ nrbuc bepT. Cope of: APPLICATJeIJwf M , 6 ;, FILE THIS Copy Wf r 6RlrLDJllf NEw 1'OJ# T- WFIE �ARp f fRE G DEP OF CNry DR JY �eatlrRea, �'r�►of=+tw�frreS VILLAGE f"L.,..�._ 'TE,Mp STRE£TAND 'L''sRB *,,,� DATE ROAD AND POLE Ned. CRASS STREETST Sys �u.'4+1� rt P'REMfSE A7MT•S COUNTY ' . TE � N�l1P' AONDNADO ESEyftr POLE Nb, E TNON BGNLDANG $LDCNC „r EJPPL ! �I OCCUPANCY _ . . _ LOT �8P J.�.� � ._. is sJ `. t . . TFL. NEW � .N s . . FROM T!'NEIR OLD ,WORN LJST BELOW ALL Is NE OPPICE 70 Loce hIUMeER OF OUTLETS Na pN P EQfJ1PN1ENT• WHO H � AL CiLl ADDITION DEFECTS air Slde L nl; Renip � 1 C1tJ 114 S7 ALLECx REMOVED Q OINt. WaI1 Reesp.{a SWitµ 'laMrda+lt Mph RS HEATERS $R side B+aeker No. T M.A. 'C1Rt`1J17'g OFPfCE Sub- Each No. Each hlo. AG,aW�. 'ONLY USE o" INSPFcTforu emot mept I* Tat Fr. 2r1d Op. 3rd Ff. REMARKS: LIST OTHER ELECT R NCAL DEVICES NDT SET FDIq TN A$OVE: This aP'Aliearrun is in Ten ZE or eI" are authpt" ed xo Rnaka the nspoeffpn�ole heve lIs" equiPm DO NOT USE THIS SPACE, 512E MAINS nd adlust the f ant o kra insPecx IC,e�. e+' to toy,yt. Kf hui iN at time of C.N .�V eddiiionaf _ i e is ecund KDTO Be Rough In $[+ FEEbERSE Ekec ncsoO1I I'�Nr16Y herappl""t. +dd,hoMl rqulPrne of not above Nsted STARTED .ce XPOSED LAMPS TOTAL SERVICE CONCEALED f'RS TUBE SIGN ENTERS OVERHEAD TRANSPO WATTS CGwsPL ETED INUMSERI RMERS OP Bub C-r UNpERGROUND rN OA A N REO "SI'ZE OF SIGN VA gpoftl$;{ NEAR SE'STED ICAPACfTYI MANtER OF S{GN AVOID DE LA V g Y f RJJVTb NAME AIVU A VII G FULL AN vAME O •'ACCURATE INFO NEW 4PPLICANT RMAT76N. ALL SPACES M OLD E] UST BE fiILLEO IN TREFT OR APPL ICA rNON M ADDRESS 'N AY TV OR --- � DATE OF BE RETURNED• IST afifilcE APPLlcariON EL (REV. I/ug/ S TELEPI'IOANE # p EPARA r E qPF LJCATiCIJV coDE � E Ll-IEI ANO ARtJST BE F+LED FOR EACH J 3EP RATE BtJ+LUI��, Date : Nov 230 1987 Re : Guyer Builders , Queen Victoria ' s Grant The Energy Code Part 6 , revised , and Party wall detaill revised , has been re- submitted this date . , The new Part 6 forms are attached to the plans for type "A J " bullding . 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 ve ised wings . Victor Lefebvre . C . Q . E . Town of Queensbury QUEEN VICTORIA S GRANT QUEENSBURY , N.Y. QUEEN ANNE FT It i 96.t2 SHt ID m W C.4 CCVRl 24' J N REFERENCE DRAWINGS 5A SITE UTILITIES SEPTIC $ WATER VonDUSEN i STEVES SURVEY PLAN 38,40 QUEEN ANNE COURT PLOT PLAN SEPTIC SYSTEM GUYER BUILDERS, INC. QV-25 DWN: k�Aj t0-!_07 Scale: 1 2U-0