1987-843 MIZ
IFICATE OF
CERT
TOWN OF QUEENSSURY
WARREN COUNTY , NEW" YORK
Date
February 12 1991
143
This is to certify that work requested to be done as ahasvt by
Permit N
has been completed.
lling
This structure vmmy be occupied " a
� a two tamilp dwe
Z ocation
44 Rosen Anne Court Queen Victoria's Grant. Model A
Owner Gu er Builders, Inc.
iiiiiiiiii
gy order Town Board
TOVWN OF 'QUE'EN$BURY
Suild7ing ov%tns i� for
H
BUILDING PERMIT �
TOWN OF QUEENSBURY No. 87-843 0
.
WARREN COUNTY, NEW YOR K
N
QUEEN VICTORIA' S GRANT i
PE R M ISSIO N is hereby granted to
44 Queen Anne Court street, Road or Ave.
OWNER of property located at
in the Town of Queensbury, To Construct or place a
of two fam!
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.
ro
so
F2COPNTRACTOR
ERAS Address is Guyer Builders
c
119 Dunning Street w
Ballston Spa . , N . Y . 12020
n
0
ri
or BUILDER'S Name 1
Same
m
c�
CONTRACTOR or BUILDERS Address Same �
rs
4. ARCHITECT'S Name
5, ARCHITECT S Address C
M
ru
�y
6. TYPE of Construction — !Please indicate 6y X1 y
['7
t g Wood Frame l 1 Masonry i t Steel
C
ri
n
7. PLANS and Specifications
No. 29 ' x 561 as per plot plan , specifications and application including
septic system and attached one car garage . MODEL A ,
B. Proposed Use C7
of Two Family Dwelling
$5 . 00 C/O
82 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES _ Ju�-Y 1
(if town of QueensburY required
t,efars the exprut on date.lion for an xtension must ba rnad e to the Building and zoning inspector of the ,i-
9th December 79 87
Dated at the Town of Q.ueensbury this Day of
for the Town of O.ueensbury
SIGNED BY
Building and ZoniM Irspsc _
tor
_ Application No . ; i LL, U ! J
Permit -issued
'
urn ors ns�aer� Expires
el �^+TT Qp{}
BUILOiNG and 2QIVING DEPARTMENT Permit
in9 Desigpi�nat��-lg � i•+ i, 7[7�
3ay and Haviland Road, R.D. 1 Box 98 variance No . ;7V
, ; �'
(�uaensbury, New York 12801 Bite Plan Rev o • {fir _
Approved b �,i,�
Ll
APPLICATION FOR �' 7 as
BOU110ING AND ZONING PERMIT
e rk +r irr +rr ' * rr * at e e it �r � e e s e e it e e * �r a e s * FOLLOW I N(s * * ;: a►
A PERMIT MUST N?1E OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF ing as k which will
The undersigned hereby applies for a Building 'Permit pecificationsto do the lsubmitted, and such
be done in accordance with the description , plans and specifications
be indicated. on the
special conditions as may =
Gu er Bui.lde_rs Inc . Tel . (518a 899-9161
The owner of this property is : New York 12020
P. O. Address 119 IAtrininS Street Ballston Spa , Tax Map No . 12 / � Z
44 Queen Anne Court
Property Location : lot number
Street number or l,ui ldueeen Victoria' s Grant
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK A5 RF]GARDS BUILDING CODES IS :
d. ( 518) 899-9161
RitA and H. Gu er IlI Tel * Now
name P . O. Address ( 518) 899_9161
119 Dunning Street Tel ,
reams of builder Guyer Builders , Inc .Address ree Tel .
Name of plumber Yer rsr c .Addresa 8 ree Tel .
rs , *Address
Name of mason yer
* ZONING INFORMATION :
NATURE OF pR,OPOSED WORK :
Con4truction of a new building * A FLAT PLAN MUST BE PREPARED AND SUBMITTED,
* drawn reasonably to scale and attached hereto ,
A"i.tion to a building * showing clearly and distinctly all bui.ldinga ,
Alteration to a building * whether existing or proposed and. indicate all
* set-back dimensions from property lines . Give
(no change to exterior dimensions)
other work (describe) OOOOOO * street and number or lot number and indicate
* whether interior or corner lot . Show location
DEMOLITIONRMIT , STAT SIZE AND * of water supply and locat
FOR DEMOLITION ion and configuration
PE E S'rRI1ti.`1'URES AFFECTED. � � _. * of septic disposal area .
LOCATION IT L�t1p3�W1
* RED
CO�+IPLETE INFORMATION100*DsTelTip gt X! 120 ft .
" Size of property ft x �N7A-^ft .
* Existing building ( a) size _ .�..�
Model
pROFOSED BUILDING AND USE * of f�� * Existing building {s ) use line
29 ft X Is nee frrnom Property
Sias of new strut a artialjfull * Proposed bui.lding , S� t p 30+ ft
Foundation-pi.er slab crawl/p * 3p+ ft Rear yard
c rcle one) I * Front yard_ .--�--ft and 15+ ft
No . of stories (habitable space) ft * ,� Side yards ft
O" ft . It
If on corner , setback from aide street
Height (grade to ridge) 17 ' of 2OCCUPANCY
INFORMATION
if residential, no . of familiesO�.�2
No * of rociMS (excluding baths), ._�-
No. Of bedtGotata * PRIMARY }BUILDING -
One family dwelling s
Nam of abathrooms Se ar a ectrie* -M-Two family dwelling
� srej e r
Primary heating ELeCtxitit 'Number of
Type Of fuel * Multiple dwelling /
* Permanent occupancy'
No , o fireplaces to be installed Transient occupancy
Will a wood stove be Installed?�^ * Business
Central Air conditioning?
* Industrial
BUIWING STYLE, PRiMARY STRUCTURE other
01 Ranch Contemporary LID cabin * If addition , what will use ]oe?
Duple
Raised ranch Mansion Bungalow
slit level Old style Other * ACCESSORY BUILDING= two carf_ � Car
Cape Cod Cottage * Detached garage/one car/ one car
w Town Rouse two tax/
colonial �► - Attached garage/one car/
{ CIRCLE ONE PLEASE ) e building
* * a * * • * * * * * * * * �4Private storage
* w * WOOther
ESTIMATED MAyT VALUE O 47
F
CorzsTRVCTION $ y! � _ _ 5rt
INgoBMATIOri ON . gUILDING SPECIFICATIONS *
ON REVERSE SIDE OF THIS SHEET $ TO BE COMPLETEDI
Fora SPA 4/86 md-vl
bUILDING PERMIT "PLICATION CONTINUED
13UILDING SPECIFICATIONS *
Type of Construction# wood frame , fire safe, etcft wood frame
Mill any second-hand or ungraded lumber be used? If so , for what ?
no
Foundation wall material COnerete block Depth of foundation below Thickness 8,.
grade (to bottom of footing) " m# ni ,ro,,.,
Will there be a cellar? 'na
Will there be a basement? nO "eated or unheated?
Will an Floor sq.living
space?te sq ft
( If sg• what por . y portion be used as livin Type of roof - sloppedsq• f t ' ` - Type of use?
Size yid lot/shed other Material of roof Fi r
• stud8X (a " s acin f', 8Ss S nA es
.joists f floor be l' g 24 'b . c . length 8 ft. exterior walls
ems ) 1st . floor N/A ,.x 1,
Joists (floor beams ) 2nd . floor 4 �•,yr ;, , � go spacing "o . c . span N/A ft .
Overlays (ceiling beams ) lox ., sPacing span N A ft .
Roof rafters 2 ,� g, sPacing 2f# too
, c . span N/Aft .
}C 10 space'g 4 o . c . span 14 ft .
Roof trusses (pre-engineered) spacing 1
F. Ktarior wall finish stained c' - c - span 42 ft .
Interior wall finish pain s et oCk of t material? 5 /8" x 4 ' x 8 ' texture
111
If a garage is to be attached describe materials to be used for FIRE SEPARATION .
1111 IIIIIIIIII1 /2" type '"�" sheetrOck
Is there to lee an opening between garage Rand dwellin es
door, enclosure, and self-closing device be g?
-- -- If so will a Fire-rated
Will a flue-lined chimney be installed? provided? es
Depth of chimney foundation below � Height above roof N A
grade N A ft .' ft .
Depth of fireplace hearth N A ft , in .
Water supply - Municipal or private well SEPTIC SYSTEM Distance from ANY munxCipal
CA separate a private well (i,ncluding adjoining properties
IN
application is necessary for an re air or new installation of septic $y,st )
See S . P . E. D. S . rrnit , Cl2ty3252
Town of Queensbury
County of warren A F F I D A, V I T
STATE OF NEW YORK
= swear that to the best of my knowledge and belief the statements contained
in this application , together with the
complete statement of all Plans and specifications submitted , are a true and
Provisions of the BUILDING CODE * THE work to be done -on the described premises and that all
the ProPosed work shall be compli d with,* whetherpspE• iffed and aor notll e aldwthatrsuchIng to
authorized by the owner .
SWORN TO BEFORE ME THIS Signature
day of6 � lg dwner, owner ' s agent■ rc tect, contractor
/ PATRICIA E . FURPHY
too;.-iry iP:_bhr;, State of New York j
a Lwmgwy rublic , Warr,+ n..f •— U Ihficd in 50N..r;ectady County
y N. Y . ts ; i ,'' Ce38
# # # rk # t s # NO _ nt No # NO * # w ; C5►m 5pi s;yor*Er ri: 5 :*14 31, V 17* +k * it * Or fk Or .t * s rt ON. NO. No. sr fe
SPECX11L CONDITIONS OF THE PERMIT: k
or
By
TOWN OF QUEENSBURY
WARREN COUNTY * NEW YORK
application fur : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YQRK
STATE ENERGY CONSERVATION CODE
A permit must be obtained before beginning work .
ANSWER ALL of the fallowing :
1 . Gross floor area3020 S .F .
1 . Type of heat Baseboard electric
3 . Is the building mechanically 0001e47 No
40 percentage of area of windows and doors 10 • 6
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 value7
3 . Slab on grade YES NQ
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
so Type of insulation
Be Under 16 % Only
1 . R value of roof and floors exposed to ambient conditions.
R-38
2 . - R value of exterior walls (. R 23 5 U =O 04t
3 . R value of glazed area U . =0 . 30
4 . R value of doors R-14 9 (U 6O)
5 . R value of floors over unheated spaces
6 . R value of slab edge insulation - unheated slab NIA
7 . R value of slab Insulation - heated slab 12 . 5
s . R value of heated basement/ cellar walls ( above grade ) N A
9 . R value of heated basement/cellar walls ( below grade ) N/A
10 . Type of insulation Fiberglass
C . Controls
1 . Thermostat maximum heat setting
D . nu^ct Systems NIA
10 Is duct system installed in unheated spaces ? YES NO
a . If YES * R value of duct installation
b . IR value of duct in other areas.,-
--E . Piping Insulation N/A
1 . Size of hot water or cooling carrying agent pipe
2 . R value of pipe insulatioA
g . Service Water Heating
1 * performance efficiency NIA
2 . Temperature control netting maximum
.-
Go For swimming Pool Only
1 . Maximum heating N/A
Telephone No . ( 518) 899-9161 00
applicant ' s s na
e
APPLICATION FOR SEPTIC DISPOSAL PERMIT
Ref: S . P. E. D. S .
DATE September 29 /87 permit #
New York - 0202525
MODEL A of A/J
LOCATION OF PROPERTY FOR INSTALLATION 44 Queen Arnie Court
Owssees Name*. Guyer Builders , Inc . Telephones ( 518) 899-9161
Address: 119 Dunning Street , Ballston Spa , New York 12020
Installer's Dame. 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 @ 160 gal per bedroom) 300
Topography: circle one lat Rolling Steep. Slope of slope
Sail Nature: circle one: Sand Loam Clay* Other / Depth: $ ' feet +
Ground Watesr. At what depth? unknown 8 feet +
Bedrock or Impervious Material: At what depth? unknown feet
Percolation testa circle erne: ntrt requires required / rate min. inch.
Don"MUc water supply: circle one: Municipal Well Other
IF domestic water supply is a Well;
Separation: Watersupply from Septic absorption _ NIA feet
* PROPOSED SYSTEMS Septic Tank ,gal. (minimum size: 1,000 gal.)
TILE FIELDS Each Trench N/A feet / Total system length N/A feet
* SEEPAGE PIT(S): Number of / Sine each feet by feet `
* Size of stone to be used #k / Depth or Thickness feet
I M P O R T A N T * See S . P . E . D . S .
...Please...LiST NEW EQUIPMENT TO BE INSTALL.EL! permit & attached
ssssssssssssssss # # s # s # # s # ss # # * # # # # # # s * * # s map, .
(over)
Sections II Septic SxStem 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 Z4 hours before start
of construction and shall include a plot plan showing:
l.) the propo$ed ,location of the system
ZJ 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, the fields and/or drywells
Be No system shall be covered before inspection and approval by the building,
Inspector. Failure to comply with this requirement may result in the
uncovering of the system by the installer and a fine of up to $Z50.00.
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.
1 bave read the regulations abowe and agree to abide by these and all requirements
of the Town of Queensbury Sanitary Sewage Disposal Ckdinance.
Signature of.responsible person:
Late:
4
a
Town of Queensbury
Building and Code Department
Hay at Haviland Road
Queensbury, New York 12801
(518) 79Z-583Z
SETTLED 3763 . . v HOME OF NATURAL BEAUTY " A GOOD. PLACE TO LIVE
TpwN OF Q
rENSBURYIvi
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
3280!t-
QUEENSBURY,
EW YOR'
TELEPHONE 5 18 ) 792- 5832
W I L.LIINIG INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION
PERMIT #
DATE ��_� j APPROVED
YES NO
roOTI NG/PIERS
MONOLITHIC PQU FORMS �-
FOUNDA'T'ION/DAMP-I` OFING .. �-
BACKFILL APPROVAL
ROUGH PLUMBING
7<'RAMING
H,I.ECTRICAL ROUGH-IN
INSULATION :
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION
CHIMNEY HEIGH
ROOFING
SIDING
EXTERNAL PO CHES/STEPS
STAIRS-CLE NICE & . RAILSPLUMBING F -
XTURESIRELTEF
L
INTERIOR VRIMIPRIVACYDOORS
FINISHED PWOR5
GARAGE F REPROOFING
DOOR C LO43ER (S)
SMOKE DrTECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNEP CERTIFICATE OF OCCUPANCY MUST BE
OBTAIN FROM THE BUILDING DEPARTMENT BEFORE
THESE OMISES ARE OCCUPIED !
REMARKS :
INSPECTOR
/�"1 .�`��a .J'c►euraf o� '�ceeens � urs�l
13UILDING and ZONING DEPARTMFNT
Bay and Haviland Road, R.D. 1 Box 98
. Queensbury, New York 12801
f
BUILDING I NSPECT47R ' S REPORT
NAME
L0 CAT ICAN G71z:5�7 _ C1+� � sl � rf,1i ,r�
Date / 4 Permit No .
APPROVED - YES NO
C.�oting/pier Forms
roundation
Waterproofing
I3ackfill
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
Ce i 1 ing_
FINAL El ECTRICAL II35PECTION� __�
pRLVEWAY AppROVAL
Final Building Survey�
Next scheduled inspection ( call when ready )
Remarks- �
Bui ing I s c r
6/g6 and-V1
t
i
I' ecQenshKr w f
QWII 171
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury. New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME
LOC,AT II
DATE �,� � / PERMIT NO .
" f"' 7 _"� f
SOIL TYPE - Sand - yo,am - clay -
Percolation Test Required? YES :, No
Percolation rate Min/Inch
TYPE of SYSTEM: +�
Absorption field , total leoth
Length of each trenchIII y
Depth of trenches
Size of gravel:_ ---
SEEPAGE ITS-(Numb,
Size_ ft. X � --r
Gravel size _ T
PIPING : Sim (
Bldg . to tank '
Tank to distv
mistw box to f ' ld/pit J
Openings seal ? YES NO Partial
LOCATION/SE RATIONS :
Foundation o tank. ft.
Foundation ,ito absorption
Absorption to lot line
separatio# of pits t�ft
LION SYSTEM, ON _ PROPERTY (circle one)
Front - Rea Left side - Right side
COMMENT
i
` I
SYSTEM USE APPRCN OYIENO�
Building Inspector
01/86 and v1
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEEmsBURY, NEW YORK 128 [J!E-
TELEPHONE ( 518 ) 792-5832
BU I LDI N(; INSPECTOR' S REPORT ,
REQUEST FOR I7fy
TTON R+ECETVED
NAME _ f �^
LOCATION
r '
DATE _ �/ PERMIT #� �` y
L ,,�. �
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR F. S ;_ _
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
t,,j"NSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION :
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES STEPS
STAIRS-CLEARANC & RAILS
PLUMBING FIXTU S/RELIEF V VE
INTERIOR TRIM/ RIVACY DOORS
FINISHED FLOG S
GARAGE FIREP OOFING
DOOR CLOSER { }
SMOKE DETEC RS
FINAL ELECTRI AL .INSPECTION
FINAL APPROV OF CONSTRUCTION
A SIGNED CER 4FICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
INSPECTOR
�xreen36 �.ere� '�
flown Of i
gl}f -[)ING and Z
Beq and HavCiN1fVG Cif=F'ARTgox 98
Hand Road, R.D.
pueensburY, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME_LOCATIVol
ON � S:
PERMIT NO .
DATE
SOIL TYPE - Sand - L Cl
oam - ay NO
Percolation Test Required? YES
Percolation. rate - Min/Inch
TYPE of SYSTEM: total lengt
nbr,orpti f
on �---
i,ength of each trench_
n th of trenches Si a at grave]
PITSE�1 �'r oft
SEE GE f t. X
Size - Type
..�----
Grave size S ze
PIPING -, y
Hld9 - to%,\tank
Tan'c to dustw pox
tzo field/p t Partial
Dist. box ES 13O
Openings s'e�led?
1,0CATIG13/SEFA I S ' f t.
Foundation to It to a s ption f t.
Foundation Absorption to t - ne
ft.
its circle one)
Separation of STEM CU ROPERTY
LOCATIM OF _ Right side
x,Eft si
Front - Rear _
CCMMENTS :
K
SYSTEM 10SE APPROVE') YES Cam'
Bu di g Inspector
Ol/SE' and vl
�ou.,n a� �eeeenabeire�
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury. New York 12801
BUILDING INSPECTORtS REPORT
NAME x
LOCATION zel,? —
_C� 'uz
a
Date' / Permit No
* * * #oe APPROVED - S NO
Footing/Pier 'Forms
Foundation
Waterproofing
Sackfill
Framing
Roofing
Siding
Masonry Veneer
Rough plumbing
Relief Valves
Ext , Porches
Finished Floors
interior Trim
Stairs & Railings _
Cellar Drain Tile_
Concrete Floors
Plb, , Fixtures
Gar , Fireproofing
Door Closers
Smoke Detectors
Chimney
INS,UTATION
Foundation
Floors
walls
Ceiling
FINAL ELECT AL INSPECTION���DRIVEWAY APP OV
Final Build ng Survey
ection (call when ready )
NexC ache uled insp
Remarks-
Spectorjai Spector
+�,J8fi and-vl
0 �
_ lotun a/ Queenshuray
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION
Date / Permit No .
✓ = APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry 'Veneer
Rough Plumbing
Relief Valves
Ext . Porches
Finished Floors
Interior Trim kl
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg . Fixtures
Gar . Fireproof Ing
Door Closers
Smoke Detectors
Chimney
INSULATION :
t
foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection {call when ready )
Remarks--
f
Building Inspector
6/86 and-vl _ . .
QUEEN CpUR1
6-0 DIAMETE
8-0 DEPTH
QUEEN VICTORLA S GRANT
QUEENSBURY? N.Y.
A I A I I
REFERENCE DRAWINGS
5A SITE UTILITIES
SEPTIC WATER
VonDUSEN STEVES
SURVEY PLAN
42144
QUEEN ANNE COURT
PLOT PLAN 4 SEPTIC SYSTEM
GUYER BUILDERS, INC. QV' 26
DWN; 14F4 o-l-al Scole- 1% 20' 0