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1987-844 i S i CERTIFICATE OF OCCUPANCY TOWN OF QUEEN56URY WARREN COUNTY, NEW YORK (� Date January 15 19 90 'i'his is to certify that work requested to be done as shown by Permit No. 87-844 has been completed. This structure may be occupied as a k of a two family dwelling Location 42 Queen Anne Court - Queen Victoria ' s Grant - Model J Owner Guyer Builders , Inc . n COMITION ( By Order Town Board This C/O is issued with the condition ] TOWN OF QUEENSBURY that the upstairs will not be used as habitable Lspace and any finishing off of this area will require a separate building , r r pmen i t ?� Director of Bldg. & Code Enforcement i 1� I ILLLL .. ._ .. . _. .. ._._..__.._ . . ... . ._ ._ _ ..._.. ._.. .._... . .. . ..W. . ... . _.. .. _._..._... . _ram .. . � .. . BUILDING PERMIT � TOWN OF QUEENSBURY No. 87-844 WARREN COUNTY, NEW YORK ." PERMISSION is hereby granted to Queen Victoria ' s Grant. N OWNER of property located at 42 Queen Anne Court Street. Road or Ave. in the Town of Queensbury, To Construct or place a i 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, .o a✓ T. OWNER'S Address is N Guyer Builders Inc . 119 Dunning St . w Ballston. Spa , N . Y . 12020 n rt 2. CONTRACTOR or BUILDERS Name O �-t Same w ui c� 3. CONTRACTOR or BUILDER'S Address ' { Lu Samert 4. ARCHITECT'S Name J`- rU .O 5. ARCHITECT'S Address 1= CD ro 6. TYPE of Construction — (Please indicate by X) jb n ) Wood Frame [ ) Masonry ( ) Steel I i C rt rt 7- PLANS and Specifications No_ 32 ' x 48 ' as per plot plan, specifications and application including septic system and attached one car garage . N. 8. Proposed Use o } of two family dwelling 'A" 0-3 o $5 . 00 C/O 89 . 00 $ PERMIT FEE PAID — THIS PERMIT EXPIRES July 1 , 19 88 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queenshury before the expiration date.) ra N Dated at the Town of Queensbury this 9th Day of December 19 87 av SIGNED BY V24 ( iL] for the Town of Queensbury Building and Zoning Inspector A�W. lU t{� [ 171rSY1.C'lL` L] nS auL++a . agar ► . C�. Application No . OWn O/ Qit,tevnJiurJ4 Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 �L k' Hay and Haviland Road, R. D. 1 Box 98 zoning Designation CT 2 9, 1987 +Ousensbury, New York 12801 Variance No . Site Plan Rev No . Approved b + y � APPLICATION FORS, s`•� 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 Permit . The owner of this property is : Guyer Builders , Inc P. O. Address 119 Dunning Street Ballston Spa , New York 12020 Tel . ( 518) 899-9161 Property Location : 42 Been Anne Court Tax Map No .121 / 4 2 street number or building lot number Subdivision name ( if applicable) Queen Victoria ' s Grant THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : Richard H . Gu er III ( 518) 899-9161 Name P. O. Address Tel . NO . Name of builder Guyer Builders , Inc .Address 119 Dunning Street Tel . ( 518) ' 899-9161 Name of plumber yer ers , nC .Address JLIV Duming 5treet Tel . Name of mason 'Guyer rs , nc .Address ngStreet! Tel . CAW 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 lot number and indicate FOR DEMOLITION PERMIT . STATE SIZE AND whether interior or corner lot . Show location * of 'water supply and location and configuration LOCATION OF STRUCTURES AFFECTED. of septic disposal area . * COMPLETE INFORMATION REQUssREDpYOE OW . * Size of property 100- plan ft x 120 ft . " Existing building ( s) Size NIA ft X�� ft . Model TrK PROPOSED BUILOINC, AND USE : Of * Existing building ( s ) Use NIA Size of new strPCIRCle 32 ft x 48 ft ' Foundation-piercrawl/partial/full Proposed building , sdistancepploo lum Property line one ) * Front yard 30+ ft Rear yard 30+ ft No * of stories (habitable s a e) 1 Height (grade to ridge ) ft , Side yards ft and 15+ ft If4residential, noo of families * If on corner , setbackfrom side street ft Na . of rooms ( excluding baths ) OCCUPANCY INFORMATION No of bedrooms 2 PRIMARY BUILDING No& of bathrooms 2 * - Primary heating system One family dwelling one s y[a I r fnr Baseboard a ectrie* --�--� family dwelling U"; Y Type of fuel Electricity * Multiple dwelling / Number of units No. of fireplaces to be installed * permanent occupancy Will a wood stove be installed? NO Transient occupancy Central Air conditioning? No * Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Lot cabin * Other Ranch Contemporary If addition, what will use bet 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 { CIRCLE ONE PLEASE ) _,}_Attached garage/one car/ two ear/ 2n'e car ,e w * s +e : * * * ,r w * * * *� �► * '� Private storage building ESTIMATED MARKET VALUE OV , Other CONSTRUCTION INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETEDI Form SPA 4/86 and-vl .n 'y 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 80 " Depth of foundation below grade (to bottom of footing ) 8'" Minimma 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 - slope! �Ilx d fiat/shedjother Material of roof ,Fiberglass s les Size , wood studs 6 " spacing 24 '"o . c . length 8 fto exterior walls Joists ( floor beams ) 1st . floor NIA '"X to spacing "o . c . span N/A ft . .joists (floor beams ) 2nd . floor "X _.___"' spacing R "'o .O . C . span N 7Aft . Overlays (ceiling beams ) "'X to spacing 24 "o . c . span N/A ft . Roof rafters 2 ""XFT11 spacing Zt+ o . c , span 1 + ft . Roof trusses (pre-engineered) spacing 2 "'o . c . span 42 'ft , Exterior wall finish stained Of what material? 5 /8" x 4 ' x 8 ' texture 111 Interior wall finish paint 172 ons eetrock If a garage is to be attached , describe materials to be used for FIRE SEPARATION : 1 /2" type "X" sheetrock Is there to be an opening between +garage -+and dwelling? yes If so will a Fire-rated door , enclosure , and self-closing device be provided? yes Will a flue-lined chimney be installed? No Height above roof N/A ft . Depth of chimney foundation below grade N/A ft , Depth of fireplace hearth N/A ft . in . Water supply - municipal or private well """"''' cipal SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties £ t . (A separate application is necessary . for an re air or new installation of septic system) --- See S . P. E. D. S . permit # 0201252� Townn of Queensbury County of Warren A F F 'I D A V 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 , r SWORN TO BEFORE ME THIS SignatureKo�;7 _ _0� t-t- 19 Owner , a agen . a hirect, contractor /k{ day of PATRICIA E. FlyRA1e Notary f utlic. State of New York ` ct c'eitsdy county Notary Public , 'Wui-rer--� VN . Y . 471 ".'C?F' Ribrsp ♦ r t * * w * ,v * , * * * * * * * cwrWiSW. 4 `- *� * * * * * * * * * * • * * ♦ • * • SPECIAL CONDITIONS OF THE PERMIT : aye_______________________ TOWN OF QU99NSBURY Ilium WARREN COUNTYa NEW YORK application for $ BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work . "SWUM ALL of the following : f' 1123 S . F. ,t . oae floor area • � ors 2 a Type of heat Baseboard electric 3 . Is the building mechanically cooled ? No 4e percentage of area of windows and doers A . Over 16 % Only 1 . Uc value of gross area of walls , roof/ceiling and floors exposed to ambient conditions 3a floor over heated spaces YES NO a . Are foundation walls insulated ? YES NO 1 . If YES , what is the R value ? 3e Slab on grade YES N•p ae If YESt. what is the R value of insulation around perimeter of floor ? 4 . Is basement heated ? YES NO ae R value of insulation 5e Type of insulation a . Under 16 ♦ Onnly 1 . A value of roof and floors exposed to ambient conditions_ R--38 3e R value of exterior walls_ XXK= R-23 . 5 3 . R value of glazed area U. =0v30 mmmmmm 4e R value of doors R-14e9 M =0 * 06) 5e R value of floors over unheated a,paces - 6e R value of slab edge insulation - unheated slab N/A 7 . R value of slab insulation - he 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 r 106 Type of insulation Fiberglass Ce Controls 1 . Thermostat- maximum heat setting De Duct Systems N/A le Is duct system installed in unheated spaces ? YES No ae - If YES , R value of duct installation be . R value of duct in other areas Ee Piping Insulation N/A le Size of hot water or cooling carrying agent pips 2e R value of pipe insulation Fe Service Water Heating- N/A le Performance efficiency - . 2e Temperature control setting maximum . Go For Swimming Pool Only 10 maximum heatingmmmimm"mmo N/A APO Telephone map ( 518) 899-9161 or It ( applicant ' s sign Lure ) ,' r APPLICATION FOR SEPTIC DISPOSAL PERMIT Ref : S . P. E. D. S . BATE September 29 / 87 permit # MODEL J of J/A New York - 0202525 LOCATION OF PROPERTY FOR INSTALLATION 42 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 Number of bedrooms (residential only) 2 3 F , G, H Total daily flow (compute 0 250 gal per bedroom) 300 Toporgraphy; circle one: lat Rolling Steep. Slope % of slope Soil Nature: circle one*. (Sand Loam Clay Other / Depth: © ' feet + Ground .Water: At what depth? known 8 feet + Bedrock or Impervious Material: At what depth? unknown feet Percolation teat: circle one: not required! required / rate min. inch. Domestic water a:grply: circle one: Municipal Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption N/A feet * PROPOSED SYSTEM: Septic Tank gal. (minimum size: 1.000 gal.) TILE FIELD: Each Trench N/A feet / Total system length N/A feet * SEEPAGE PIT(S): Number of / Size each feet by feet * Size of atone to be used # / Depth or Thickness feet s * +sss * * * ssasss * ,rsaR * ar * * * ssasss * *. sssasaGs * :ta * I Y P Q R T A N T * See S . P. E. D. S . ...Pleaae...L LST NEW EQUIPMENT TO BE INSTALLED permit & attached 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: l.) the propoped ,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 dryweiis 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 $250.00. C. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during_ construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. l have read the regulations above and agree to abide by these and all requiremamts of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of.responsible person; Date: Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SETTLED 1763 . . . HOME OF (NATURAL BEAUTY . . ' LACE To LIVE J� MIDDLE DE DARTI .M AGENCY, INC. �,t F 1 so EMI • . �M M" rd^ a u. Datu May 20a 1990 Certif Iez that ,e ui ment fisted has been ezarini� ' Q P an approved as being in accord with the National Elect r;� applicable governmental, utility andAgency S. Owner., Guyer Builder +� iJ � DwMar tag Occupant: Sfngle Famt ; C2 �F7 Qu��� 14 t �� s cerw4cale thZVectric ulpment and installation inspected this Location_ s rY Cate. It additional equi ant sh be introduced or alterations made is existing system this O - icata be null end void, and application for Equipment. 95 Outlets ; � Ce tacles ; 3,fiS;1{i�. ,}X1* ti Ci4 ' ,n specr,on should be submitted tl to this 7L� �IC�j" i$SS� N P t phis property , 150 Amp Sera j,c App1 �CGa � k ys � tler of this ceratieaUs ettpulC tit same to his insurance rarner (agent or coetparhy)as"idenc ilication of electrical oq ui pment ap proved as spacrtiad., // ,.. Guyer BuIlder Applicant: 119 Dunning S trfee ' � C E oil'$ $ 3 �8allaten Spa , NY 12 � � ' 16-031018 Color Fa.t■t no. Yps EL r-sa TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT /�) �� BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804 TELEPHONE (518 ) 792-5832 ' /� BUILDING INSPECTOR ' S REPORT C� REQUEST FO NSPECTION R /Ej, IVED ! !LI f NAME G� 7 LOCATION DATE 1 I Q, IS�PERMTT #_ ff �` APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP- ROOFING BACKFILL APPROVA ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-I INSULATION: FOUNDATION FLOORS WALLS ddd CEILING (,pfNAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/S EPS - STAIRS-CLEARANCE RAILS_ PLUMBING FIXTURE /RELIEF AL.VE INTERIOR TRIM/P IVACY POO FINISHED FLOOR GARAGE FIREPR PING DOOR CLOSER ( ) L ,. SMOKE DETEC ORS FINAL ELECTR CAL INSPECTION ✓ FINAL APPROV L OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY ST BE OBTAINED FROM THE BUILDING DEPARTM NT BEFORE THESE PREMISES ARE OCCUPIED ! REMARKS: �' INS ECTOR TOWN OF QUEENSBURY f] ,BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS f l QUEENSBURY, NEW YORK 1280S% f TELEPHONE (518 ) 792-5832 BuiLDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE PERMIT # APPROVED YES NO FOOTING/PIERS MONOLITHIC POU FORMS FOUNDAT.TONIDAMP ROOFING BACKFILL APPROVA ROUGH PLUMBING 1" y� FRAMING / ECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION CHIMNEY HEIGH ROOFING SILTING EXTERNAL PO CHES/STEPS STAIRS-CLE NCE & RAILS PLUMBING F XTURES/RELIEF VAL INTERIOR RSMIPRIVACY DOORS FINISHED LOORS GARAGE F REPROOFING DOOR C ER (S) SMOKE D TECTORS FINAL EL TRICAL INSPECTION FINAL AP ROYAL OF CONSTRUCTION A SIGNE CERTIFICATE OF OCCUPANCY MUST BE OBTAIN FROM THE BUILDING DEPARTMENT BEFORE THESEMISES ARE OCCUPIED! REMARKS : w } i INSPECTOR Qur'ens � ure� BUILDING and ZONING DEPARTMENT Bay and Haviland Road. R.D. i Box 98 . 0ueensbury, New York 12801 BLfILDING INSPECTOR ' S REPORT NAME , LOCATION ela , q 7 Datef�r� Permit No . * * * * * * * * * ✓* � APPROVED YES NO C,,,pi5oting/Fier Forms roundation Waterproofing Uackf ill Framing Roofing Siding Masonry veneer Rough Plumbing Relief Valves Ext . porches Finished Floors interior Trim Stairs & Railing --- -- Cellar Drain Ti Concrete Floor -� Plbg , Fixture Gar . Fireproo ing Door Closers Smoke Detec rs chimney INSULATION : Foundation Floors Walls ceiling. FINALELECTRICAL INSPECTION_ _..� DRIVEWAY APPROVAi Final Building Survey_ Next scheduled inspection (call when ready ) Remarks- f„ Hui ing jlllsp=ct r 6/86 and-vi ._.J'ousri o� '�eeeens8tsre�I BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCATION 41 _ DATE PERMIT NO* -2 - SOIL TYPE - Sand - Loam - Clay _ Percolation Test Required? YES - NO 'Percolation rate - Min/Inch - TYPE of SYSTEM: Absorption field , total lengt Length of each trench Dkpth of trenches Sia` a of grave]_ SEE GE PITSNumber of) Site fte X _ ft- — Grave size PIPING : S ' ze Type Bldg . to \tank 1. Tank to d-14st . box Dist, box t,o field/p t Openings sealed? ES NO Partial LOCATION/SEPARAy! I S : Foundation to to fto Foundation to a S ption ft . Absorption to t ne £t. Separation of its ft . LOCATION OF STEM ON ROPERTY (circle one ) Front - Rear - Left Si - Right side - COMMENTS : SYSTEM USE APPROVED YES 4dull � ,B Inspector 01/86 and vl �Je9wrr o� �u�errs6ure� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury. New York 12801 BUILDING INSPECTOR ' S REPORT NAME '. . ,ne::2 LOCATION Date r a / Permit Noe * * * * * * * * * * * F *; y APPROVED - S NO Footing/Pier Forms Foundation Waterproofing Hack.fili 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 AL INSPECTION DRIVEWAY APP OVAL Final Build ng Survey_ Next ache uled inspection ( tall when ready ) Remarks Hui i g I specter 6/86 and-vl '� - _ lorcrst 4 Queen -' Ll4rry BUIl.t)ING and 7-ONING DEPARTMENT Bay and Havifand Road, R. Q. 1 Box 9B C]ueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME � . ,/ L O C A T I O N rr/rt rnDatc Permit * * * * * * • * * +� * �* AFPRCJVED* -* YES * * Nb Footing/Pier Far-ms Fousidation waterproofing Backfill Framing Roca f ing siding Masonry Veneer Rough plumbing Relief Valves l.xt . Porches Pisa isltied Floors Interior 'Prim Stairs ti Railings Cellar Drain Tile Concrete floors Plbg . Fixtures Gar , FireVronfing D,or Clusors � mokc Detector, chimney INSUI ATICAN i �oundatinn l' l.00rs Walls ce i 1 i ng�____»___� FINAL F:I.EC'TRIC:AL INSPL:CTIDN�_ I)RIVEWAY APPROVAL Filial Building Next scheduled inspection (call wizen ready ) Remarks- iuilding Inspector G/86 and-vl own oueen3��sre� NT j3UILDING and ZONING DEPARTMF 98 Bay and Mavifand Road, R.D- 1 Box Oueensbury, New York 12601 EPTIC DISPOSAL SYS- EM INSPECTION 1VlVvVE - LOCATI PERMIT NO. —' DATE _ SOIL TYPE - sand - Loam - Clay ------ percola ion Test Required? XEs - 130 Percolat on rate - Min/Inch TYPE of S 'T� p l sorptI field , total leng th Length Of a ch trench Depth of tr ches Size of gran of) SEEPAGE PITSF �r ft. fto Size- Gravel size 6iZ ig PxP ING Bldg . to tank. x, v, Tank. to dist. box Mist. box to field Jpt ; Openings sealed? Y w NO Partial 4 =,pC,P,,TIO'N/SE'PP.F.f�.TI�fS �r Foundation toabsorption4 Foundationlot ot . Absorption line pbsorp SeparatiO OX pits 013 PROPERTYE,RTY, (circle one) LOCATICIN SYSTEM Right side Front - ea Left side CCIMMEN T� J f SYSTEM L3SE APFRDVED OEI. , NO ! Building inspector 01/86 and vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT iQ BAY & HAVILAND ROADS pUEENSBURY, NEW 5 83Y�q��5832RK 0� TELEPHONE BUILDING INSPECTOR' S REPORT REQUEST FOR INSPE ION RECEIVED NAME _ LOCATION PERMIT # DATE APPROVED YES NO FOOTINGIPIERS MONOLITHIC POUR FORMS FO UNDAT IO N/DA MP-PROOFING BACKFILL APPROVAL ROUGH PLUXBTNG FRAMING ETL.ECTRICAL OUGH-IN LIIIIIIINSULATION: y. FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION. CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STE. -----�- ,STAIRS-CLEARANCE' & RA.LLS PLUMBING FIXTEOES/RELIEF VALVE^ INTERIOR y TRI PRIVACY ZRS_ FINISHED F IRS GARAGE FIR ROOFING DOOR CLOS (S) SMOKE DE CTORS FINAL ELE ICAL INSPECTION_T� FINAL APP OVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING .DEPARTMENT .BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: i INSPECTOR BUILDING DEPT. COPY OF APPLICATION FORM +46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED. TEMP_ ft DATE ': CITY OR VILLAGE TOWNSHIP Queensbury COUNTY Warren STREET AND NO. OR /,+ryry 1�,�, /s,,,��,,,, ROAD AND POLE NO. 42 Amie yytwt BETWEEN WHAT TWO POLE NO. CROSS STREETS IS PREMISES LOCATED? SECTION BLOCKf LOT OCCUPANT'S BUILDING NAME OCCUPANCY OWNER'S NAME s, rnc• s y 1 19 � Street TEL. # 89"16 , AND ADDRESS Builders, CURRENT SSUPPL IED � ,J j-;_� FROM THEIR OFFICE Is BUILDING DEFECTS li.EW UO OLD O I RK NEW ICI f�I ADDITIONAL ❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS Li. of Flaitrree & BRANCH Lout- nrp Rae•ptYtdes MOTORS HEATERS CIRCLIITB OFFICE USE ANLY tiep Side Attoch"t H,P, Water A.W.G. C'il Wall Recap'ls Switch Pendant Braeket No. Typ• EaelY Nn_ Erdt No. Geupe INSPECTION Out- skim S basis seat let FI, 2nd FI, 3rd FI_ REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. This applica 4ion is intended to cover the above-Listed equi pmanx to be inspected bat if at time of inspection there is found addi tion�al erlu ipment not above Iiatad, Ynu are authorized to make the inspection and adjust the fee to Cover the additional mquipYnern, M provided bV the applicant. SIZE OF C�n ELECTRIC SIGN TOTAL MAINS .as,/ �a FEEDERS LAMPS WA TTS CHARACTER in . ..r.�.r..3 EXPOSED OAS TUBE SIGN OF WORK ��Y� CONCEALED TRANSFORMERS OF VA WORK TO Of INUMBERI ;CAPACITY) STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS BUI f . OF SIGN INSPECTION REQUESTED ON OR AS POSSIBLE NEAR AS �Fii.W y .1 call vhen reAdy ❑ Q NEW OLD ------------ AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION, ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS NAME OF Inc.Guyer PPLICANT F .Li iS: OATS OF APPLICATION 22"7 ty APPLICATION +s _ STREET ADDRESS 119 Wnn 'a "Strut 89"161 TELEPHONECITY OR # POST OFFICE B&13A[.m �+s�,,,,�1 NowYork ZIP113cla= LICENSE NO. COO WHEN APPLICABLE d6 EL (REv, Yfa6S Ai 'SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING V 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 5 forms are attached to the plans for type "A jI* building . The first few buildings have party wails 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 evised d wings Victor Lefebvre , e _ a . E . Town of Queensbury QUEEN �ovRc A ►l Alf- 6� C DIAMETER 8'-0 DEPTH QUEEN VICTORIA'S GRANT QUEENSBURY? N.Y. 1000gol REFERENCE DRAWiN6S 5A SITE UTILITIES SEPTIC i* WATER VonDUSEN STEVES SURVEY PLAN 42,44 QUEEN ANNE COURT PLOT PLAN 4 SEPTIC SYSTEM GUYER BUILDERS, IINC• QV' 2ro DWN ; J&4 o-i_gZ ,scale- 1% 20= 0