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1987-840 L CERTIFICATE OF "CCUI'ANCY TOWN OF QU'EENSSURY i WARREN COUNTY, NEW YORK i Date July 16 19 9Ci This is to certify that work requested to be done as shown by Permit No. 2 4 b has been completed. i This structure may be occupied as a _ % of a two family dwelling i Location 50 Queen .Anne Court, Queen "Victoria's Grant, Model I Guyer Builders, Inc. Owner �i By Order Town Board TOWN OF QUEENSBURY J r r l Building dr Zoning Inspector k {1 1 BUILDING PERMIT R4 TOWN OF QUEENSBURY tz No. 87-840 p WARREN COUNTY, NEW YORK Queen Victoria ' s Grant r�- PERMISSION is hereby granted to � OWNER of property located at 50 Queen Anne Court: Street, Road or Ave. in the Town of Oueensbury, 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 aompllance with the Town of Queensbury Building and Zoning Ordinance. 1 . OWNER'S Address is Guyer Builders Inc . 119 Dunning Street Ballston Spa : N . Y . 12020 n 2. CONTRACTOR or BUILDER 'S Name o Same �. t+s w 3. CONTRACTOR or BUILDER'S Address eft Same rt d, ARCHITECTS Name t.n 5. ARCHITEAWD CT'S Address fD ro 6. TYPE of Construction — (Please indicate by X) p ( x) Wood Frame I I Masonry ( I Steel ( i c rY 7. PLANS and Specifications No. 31 ' x 46 ' -6" as per plot plan , specifications and application includi g deptic system and attached one car garage . S. Proposed Use of two family dwelling `o 4 $5a00 C /O i $ 82 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES July 1 , 1988 41� llf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the � town of Queensbury before the expiration date.} Dated at the Town of Queensbury this 9th Day of December 19 87 SIGNED BY zneze � - "' � for the Town of Queensbury Building and Zoning Inspector , yh J e / Application No & i ' ' t� � ._.+�'e7�wlz [J fs�'+ert l6ee►� Permit Issued 19 � , `�►87 QQ L BUILDING and ZONING DEPARTMENT Permit Expires 19 CT 2 68y and Haviland Road, R.D. 1 Box 98 zoning De signat " n Queensbury, New York 12801 Variance No . -,, lia t .`- ; E. Site Plan Rev ew - ��,�Vv °+ Approved b APPLICATION FOR. � gill 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 - 50 Queen Anne Court 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 III ( 518) $99-9161 Name P . O. Address Tel . No . Name of builder 'Guyer Builders , Inc -Address 119 Dunning Street Tel . ( 518) 899_9161 ( 1516)Name of plumber yer � rs , nc .Address g StreetTel . Name of mason Guyer rs , c •Address ng tree Tel . NATURE OF PROPOSED WORK : ZONING I NFOR,MAT I ON : X Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED , Addition to a building " drawn reasonably to scale and attached hereto: Alteration to a building * showing clearly and distinctly all buildings , (no change to exterior dimensions ) * whether existing or proposed and indicate all Other work (describe) set-back dimensions from property lines . Give Id * street and number or lot number and indicate " whether interior or corner lot . Show location FOR DEMOLITION PERMIT , STATE SIZE AND * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED. * of septic disposal area . * COMPLETE INFORMATION REQUIIREDBye p$o . " Size of property loot p a ft X 120 ft . * Existing building ( s) Size ft x �ft . PROPOSED BUILDING AND USE : �Ofl � + Existing building (s ) Use NIA 46 ' - 4 Size of new struc a 31 ft x .t Foundation-pier slab crawl/partial/full * Proposed building , seeesplot p-Lanm property line circle one ) Front yard 30+ ft Rear yard 30+ ft * Nom of stories (habitable space) 1 Side yards`+ ft and 15+ ft Height ( grade to ridge ) 191 -6" ft . * If on corner , setback from side street €t If residential , no . of families of 2 No. of rooms (excluding baths ) " OCCUPANCY INFORMATION rJo. of bedrooms _ „ PRIMARY BUILDING Flo . of bathrooms One family dwelling 4ss� t y"inr primary heating system aa se r a ectric* -Two family dwelling i > i� Type of fuel Electrxci. Multiple dwelling / Number of units Noa of fireplaces to be installed " p * Permanent occupancy Will a woad stove be installed? NO Transient occupancy Central Air conditioning? No * Business BUILDING STYLE, PRIMARY STRUCTURE ,. Industrial Other Ranch Contemporary Lo caYain if addition , what will use be? Raised Mansion Duple Raised Split level Old style Bungalow Cape Cod Cottage Other " ACCESSORY BUILDING- d car Colonial Row Town House * Detached garage/one car/ two car/ Attached garage/one car/ two car/ one car ( CIRCLE ONE PLEASE ) * �_ Private storage building ESTIMATED MARKET VALUE OF � * Other CONSTRUCTION / / , INFQFiMATION Oil $UILnTNfia SPECIF� �Nsr ON REVERSE 'SIDE OF THIS SHEET , TO BE COMPLETED ! Form SPA 4/86 md9 vl s - - h3UILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe . eta . wood frame Will any second--hand or ungraded lumber be used? If so , for what ? no Foundation wall material concrete block. Thickness $" Depth of foundation below grade (to bottom of footing ) IFLininxun Will there be a cellar? 'no Heated or unheated? Floor sq. footage sq ft Will there be a basement? no Will any portion be used as living space? ( If so, what port " sq . ft . -- - Type of use? Type of roof - sloped flat/shed/other Material of roof Fi- rg ass shingles Size , wand studs "x 6 " spacing. 24 "o . c . length S ft . exterior walls Joists ( floor beams ) lst , floor N/A "X _" spacing •'o . c . span N/A ft . Jo-is ts ( floor beams ) 2nd . floor �"X " spacing "o . c . span N A f t Overlays ( ceiling beams ) "X to spacing 24 "o . c . span N/A ft . Roof rafters sox Ifspacing 4 o . c . span N/A fto Roof trusses (lpre-engineered) Spacing 2 "o . c . sp� ar�i 2 ` .6'ft . Exterior wall finish stained Of what material? 5/$" 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 SEPARATION : 1 /2" type "X" sheetrock Is there to be an opening between garageJand dwelling? yes If so will a Fire-Fated 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 NIA ft . Depth of fireplace hearth N A ft . in . Water supply - Municipal or private well 7T117n?cipal SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties ft . (A separate application is necessary for an repair or new installation of septic system) See S . P . E . D . S . yer=t,i # 0202,5255 _ Town of f Warren A F F I D A V I T STATE of NEW YORK County of Warren 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 s ec . fi d or no , and that such work is authorized by the owner . SWORN TO BEFORE ME THIS Signature ------ --_ _ ----- wner , owners a ent , a - nr radar - 9 rx3�it day •f O ' '�-�` 1 h r� 4 PATRICIA Y P F4ntary P: �Ulic, State tee of of New York Notary Public , iifis..o.�co., � N Y Qc sl i; a !n Schenectady County - 4717048 * * * * ♦ * * * * . * * * * * * * +Ea+hrnkss�Arsn +Ex,pireds SYrptie3{tY 1'II.f:Se" �r * * ,r * �r * ,► �r t * r * s ,t r r SPECI" CONDITIONS OF THE PERMIT : a By------- ------ TOWN of QUEENSBURY .ells WARREN COUNTY , NEW YOrRK #application for : BUILDING PERMIT IN C014PLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work . AN40SR ALL of the following : j . 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 . 3% A . over 164 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 wails 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 ? 4 . Is basement heated ? YES WO a . R value of insulation 5 . Type of insulation E . Under 16 ♦ only 1 . 8 value of roof and floors exposed to ambient conditions _R-38 (U. =0 .02L 2 . R value of exterior walls M£ OM R-23 . 5 (U. =O .O4+ ) 3 . R value of glazed area U. =O . 3O 4 . R value of doors R-14 . 9 M =0. 06) 5 . A value of floors over unheated spaces R-30 6 . R value of slab edge insulation - unheated slab N/A 7 . R value of slab insulation - heated slab 12 . 5 Mennen 8 . R value of heated basement/ cellar walls ( above gradoI N A 90 R value of heated basement/cellar walls ( below grade ) N/A 100 Type of insulation Fiberglass C . Controls 1 . Thermostat maximum heat setting D . Duct Systems NIA 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 T. Size of lint water or cooling carrying agent pipe 2 . R value of pipe insulations To Service Water Heating ; 1 . Performance efficiency NIA 2 . Temperature control setting maximum G . For Swimming Pool Only ew 1 . M&XjmUjsL heating NIA Telephone No . WWWWWWWWO /L ( 518) 899-9161 applica is signat APPLICATION FOR. SEPTIC DISPOSAL PERMIT Ref : S . P . E .D. S . DATE September 29 / 87 permit # -" New York - 0202525 4 MODEL L of J/I LOCA 7ON OF PROPERTY FOR INSTALLATION 50 Queen Anne Court Owner's Name: Guyer Builders , Inc . Telephone: ( 518) 899-9161 Address: _ 119 Durming Street , Ballston Spa. , New York 12020 Installer's Name: Guyer Bu: lders , Inc Telephone: ( 518) 899-9161 . _r- 2 A, C , E , I , J , K, L, M Number of bedrooms (residential Daly) 2 3 F , G, H Total daily flow (compute @ 150 gal per bedroom) 300 Topography: circle one: Flat Rolling Steep Slope % of slope Sail Nature: circle one: Sand Loam Clay Other / Depth: 8 ' feet + Ground Water: At what depth? ul,,I, ` 8 feet Bedrock. or Impervious Material: At what depth? unknown feet Pe:roolation test: circle one: aot require required / rate min. inch. Domestic water supply: 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 stone to be used # / Depth or Thickness feet s s s s * * s s s s * * * * * * * * * * * * * s * s * * * * * s s s * * * s s s IMPORTANT * See ra . P .E .D . S . ...Please...LIST NEW EQUIPMENT TO BE INSTALLED permit & attached * * * * * k7k # # * * * * s * sa +l a s sssss * s * sss * * * map . (over) Section II 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 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 5.1 size and dimensions of all tanks, distribution boxes, the 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 $250.000 Co An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an in work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. I have read the regulations above and agree to abide by these a =d all requArements of the Town of Queensbury Sanitary Sewage XMasposal Ordinance. Signature of.responsible person: Date: Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SETTLED 1763 . . , HOME OF NATURAL Fr 4UTY . . . A GOOD PLACE TO LIVE TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILA D ROADS QUEENSBURY. YORK I2$ 0 TELEPHONE { $ ) 792-5$32 BUI ING IF3SPECTOR, S REPORT REQUEST FOR I SPECTION RECEIVED I NAME LOCATION PERMIT #( DATE APPROVED YES NO FOOTING/PIERS MONOLITHIC POL1 FORMS FFORMS FOUNDATIONI DAM ROOFING BACKFILL APPRO L__,�--- ROUGH PLUMBING FRAMING ELECTRICAL ROU -IN INSULATION: poUNDAT,T ON FLOORS WAL T.S CEILING FINAL INSPEC'TIO ✓ CHIMNEY HEIGH ROOFING SIDING v S EPS EyXTERNAL PORCH S/ b/• & RAILS_�� STAIRS-CLEARAN S RELIEF VALVE .----- PLUMBINC FIXTU INTERIOR TRIMI I ACY DOORS FINISHED FLOORS GARAGE FIREPROO NG DOOR CLOSER (S) SMOKE DETECTORS SpECTXO FINAL ELECTRICAL ONSTRUCTION�_ FINAL APPROV'P R C/C ORORO ISSUE C/O A SIGNED CERTIF CA OF OCCUPANCY MUST OBTAINED FROM HE B ILDING DEPARTMENT BEFORE THESE PREMISE ARE CUPIEDI REMARKS : ARRIV-E r I .. / 6 DEPAR _INSPECTOR AGENCY. INC. D 'rf�— ' Jf ) MIDDLE DEPART Q IVUSPEC DateHay 20, 1990 '[ approved as being in accord Certif ivg that I tQi uipmant listed has 4aean e a $, with the National EW& piicable governmental, ut' RY an 1 Guyer Builder p red Shi# owner: S Lusle YAM 0 ufpmeM and cna%ehlallec irons ry � rynca5e r be inlFoduced tK aneratiMs merle is Occupant: 50 Queen AM uft'O ``+�L date- H r ddixianai u5 t be nun and vofd, and ePPlicaSion for + existing system thi io [.6GA[tOf'f: non should Wbmltt P Y this wg411MY tam1e!s � � Ynspeo ant e■me la Pis P* Gal insurance carver Ace �AL�� older of Shia oe iCaUlrfh rtilivatia"OfeSNlricaS Muipment epprsYwed �gr,Ifp/r18nt: 'so outlets ; APP i�.a�aaes ; egentarcom Yleaerl 150 AMP SerVi ea sperAned. F'Guylr CE o,663 C1 . } -{12441b 119 DuenixtS S tre q,ppl+cant: Ballston SPi1e � �' TOWN OF QUEENSBURY PH BUILDING AND CODES DEPARTMENT .BAY & HAVILAND ROADS (WEENSBURYr NEW YORK I280* TELEPHONE (518) 792-5832 BUli)pING INSPECTOR' S RFPORT REQUEST FO PECTXON REC IVE NAME I,OCATSON QQ ,//']] ,,��yy STATE PERMIT �y C� + `�2�— L 1 APPROVED ! YES I NO FOOTING/PIERS MONOLITHIC POUR IIFOPMS FOUNDATION/DAMP�PROOFING Y BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH'rX �ySNSULATION & }` FOUNDATION FLOORS WALLS CEILING FINAL INSPECTIOXw CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ BPS STAIRS-CLEARANCE RAXLS�_ PLUMBING FIXTURES LIEF VALVE INTERIOR TRIM/PRt2� CY DOORS FINISHED FID7' RS t - GARAGE FIREPROOF NG - DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL NSPE ION FINAL APPROVAL O CONST UCTION ox To ISSUE C/O R C/C A SIGNED CERTXF CATS OF CCIPANCY MUST BE OBTAINED FROM HE BUILDIN DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIE ! REMARKSt ARRIVE, INSPECTOR TOWN OF QUEENSBURY • BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280k TELEPHONE (518) 792-58.32 BUILDING INSPECTOR' S REPORT REQUES R INSPECTION RECEIVED _ NAME LOCATION ,� r j -�►�' -- DATE 7 PERMIT #..ElL ello APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL =:. VGH PLUMBIN l MI NG ELECTRICAL ROUG -IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PO CHES/.STEPS STAIRS--CLE RANCE & RA !A -- PLUMBING IXTURES/RELIEF `,V LA E INTERIOR/TRIM/PRIVACY DOORS FINISHEp FLOORS GARAGE FIREPROOFING DOOR CL'QSER (S) SMOKE DL TORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED ? REMARKS.: J .r ZT INSPECTOR _ TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK I28O4- TELEPHONE (5I8) 792-58.32 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME - LOCATION ram, [� ! f ,{ DATE l I PERMST 3 �fj APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DP-PROOFING BACKFILL AFP AL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH N INSULATION FOUNDATION 1p 1. FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES1,!jTEP STAIRS-CLEARANCE PAX PLUMBING FIXTUR /RELIEF LVE INTERIOR TRIM/ IVACY DOOR FINISHED FLOO S GARAGE FIRE OOFING __....._ DOOR CLOSER S) SMOKE DET TORS FINAL ,ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUS�vBE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: 9` .INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK I2804- TELEPHONE (518 ) 792--5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME �y LOCATION s 7�, DATE S ) '� �� PERMIT # cS / .APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP—PROOFING B CKFILL APPROVAL tooOPOUGH PLUMBING FRAMING ELECTRICAL ROUGH—IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCH S/ST S STAIRS—CLEARA E & LS PLUMBING FIXT RES/REL F VALVE INTERIOR TRI /PRIVACY RS -- FINISHED F VS GARAGE FIRE OOFING DOOR CLOSER S) SMOKE DETEC ORS FINAL ELECTR AL INSPECTION FINAL APPROV'A OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS : INSPECTOR ,_J+cscrin o� �ueen3�ur� BUILDING and ,ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Sox 98 Ouerenabury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME C r1,�qq LOCATION DATE '- PERMIT NO, 4 1 ` � �7 SOIL TYPE - Sand - Loam - Claw Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field , total length Length of each trench Depth of tvenches Size of gr vel_ SEEPAGE PIT {Number of) Size- ft x ft. .� Gravel size PIPING : ize Type Bldg . to tank Tank to gist . Dist. box to fie /fit Openings sealed? YES No Partial r LOCATION/SEPARF><T ON�K* Foundation to t k d ftm Foundation to sorpti 6p ft. Absorption to of line ft. Separation of pits ft EOCATION OF Sr STEM ON PROPYRTY (circle one ) Front - Ream- Left side - Right side - CCMMENTS : I ��q-�"i�' fit_.. �S -r- 1�• r-�t'`,�r.5 cxc, - es e v !A ^j n c� Imo, SYSTEM USE APPROVED YES NO Building Inspector 01/86 and vl .�laitvn o� �ueen,il�ure� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, ,New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date A� Permit No . "o ✓ - APPROVED - YES No Footing/Pier Forms Foundation Waterproofing y[ Sackfill 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 in Door Closers Smoke Detector Chimney INSULATION : ,(Fo,an elation loors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL_ Final Building Survey Next scheduled inspection (call when ready ) Remarks- B iiding ns ctor 6/86 and-vl l` Qleeenjlury / (-%C/ BUILDING aOdZONING DEPARTMENT Bay and Haviland Road, R. D. i Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME all LOCATION '/�! C'� , DatePermit -7- Na . ✓ =G-••1"ootinc3fPier Form APPROVEDs - 1' No Founder ion Waterer fing Backfill Framing Roofing Siding Masonry Venee Rough Plumbing Relief Valves 2.x t . Porches Fillished Floors Interior Trim Stairs & Itaili s Cellar Drain le� Concrete Flo S _ 1'I tag . F i,ctu s Gar . Firep ofing Door Clos s Smoke De ctors Chimney INSULAT ON - Pounda .ion Floor Walls C_eil in FINAL F.I.ECTRTCAL INSPECTION I)RIVEWAY APPROVAL Final Building Survey Next scheduled inspec �eion (tali when Remarks- ready ) Building specto 6/86 and-vl r awn ©/ Queen3hury BUILDING and ZONING DEPARTMENT Bay and Havifand Road, R. D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCAT I ONy-� MCI �, i� O p ,, 2z �,-sue DATXE PERMIT NO. A SOIL TYPE and Loam - Clay -_ Percolation Test Required? YES - NO Percolatkon rate - Min/Inch TYPE of SYSTEM*. Absorption field $ total length Length of each trench Depth of trenches SEEPAGE TS ENvmb r ,p _ ._........... S±ze or gravel f j size- ft. x €t, . Gravel size PIPING : / Size Type Bldg . to tank. Tank to dist. box _ _ & � Distm box to fie f!� Openings sealed /YES' NO Partial r LOCATION/SEPA STIONS ; Foundation tgdtank Foundation absorptio ft , Absorption a lot line ft . Separatio of pits ft. LOCATION SYSTEM ON PR Y ircle one ) Front - ear - Left side - ght side - COMMENT SYSTEM USE APPROVER YES Bui in Inspector 01/86 and vl BUILDING DEPT_ COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED. TEMR M DATE f . . CITY OR Warren �$}Jt.1L'y TOWNSHIP ��J COUNTY STREET AND NO. OR ROAD AND POLE NO, 50 QLumn A'le Court POLE NO. BETWEEN WHAT TWO CROSS STREETS IS s PREMISES LOCATED? SECTION / ..r f BLOCK G/ LOT OCCUPANT'S BUtLOING NAME OCCUPANCY . NS AN6 DDRESSE Miyer ftAlders, ,Haag. f 119 lotwm' ngr Street � TEL. # 89"16 . CURRENT _ SUPPLIED _ �_ j BY . ,r FROM THEIR f ' OFFICE BSUILDING ii(IEW EX OLD ❑ $WORK NEW ADDITIONAL ❑ RDEFECTS EMOVED E] LIST BELOW ALL EOUIPMENT WHICH YOU INSTALLED Ne_ of Fixturaa & BRANCH NUMBER OF OUTLETS Loea• Lamp Rrcrptsc#w MOTORS HEATERS CIRCUITS OFFICE USE tion ONLY Cril(ng SiW Atuc4't Switch pe am 6riliCkat No. T • H'P' No. Watts Ns. A•W.G.wall Recap'!a YP Eaek Each Gauge INSPECTION aus- skN Sob belle Maori In FI. 2nd Ft. Srd FI. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. This appf(cati on m intended to corer the shove-listed equ ipmen/ to be inspacted but if at time of inspactiun there is fou rid additional equipment not above listed, YOU are authorized to make the inspection and adjust the ire to cover the additional s ui q pment, as Provided by the applicant. SIZE OF ELECTRIC SIGN TOTAL MAINS ' FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK RpigWiim and service CONCEALED TRANSFORMERS OF VA WORK TO BE INUMSERI (CAPACITY$ STARTED COMPLETED SIZE OF SIGN SERVICE OV£RHEAO UNDERGROUNDIIINTEHS MAKER BUILDING 23M OF SIGN INSPECTION REQUESTED 1 POSSIBLE NEAR q5 W-U readY NEW ❑ OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED_ PRINT NAIVE AND ADDRESS wJay NAME OFP �r B7'{ Jla' err, I;1 . DATE OF 9 29� T 8 APLICANT 119 4 11 pp APPL i CAT ION � STREET ADDRESS. pgnp pla street y161 YELEPHONE # y CITY OR zip LICENSE NO, POST OFFICE �y',,��q�..¢ CODE ��� WHEN APPLICABLE <c E� (REV. 1/85) �i41�'L TR3fl LIST BE FILED FOFS�3EPARATE BUILDING REFERENCE DRAWINGS 2000 ga I CLEANOUT TO GRADE 8� O DIAMETER 9'-0 DEPTH QUEEN VICTORIA' S GRANT QUEENSBURY , NY. SA SITE UTILITIES * FIELD CHECK DIMENSION 1� ,56 QUEEN ANNE�COURT ( I PLOT PLAN & SEPTIC SYSTEM GUYER BUILDERS, INC • QV- 27 DWN : irSM id. 1-87 1 Scale : I 2V-0