1987-859 T Y
i
7 I
t
CERTIFICATE OF OCCUPANCY
f TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date .Tune 24 . 19 88
F37-859
u is to certify that work requested to be done as shown by Permit No.
i
j has been completed.
OF TWO FAMILY DWELLING
j This structure may be occupied as a
{` 16 MARGARET DRIVE QUEEN VICTORIA ' S GRANT
Location
S GUYi":1.2 BUILDERS INC .
f Owner
i
By Order Town Board
i
TOWN OF QUEEN5BLIRY
1
1
Building !9r Zoning Inspector
BUILDING PERMIT �
TOWN OF QUEENSBURY �
No. 8 7-859 a
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Queen Victoria ' s Grant
OWNER of property located at 16 Margaret Drive Street, Road or Ave.
in the Town of Queensbury, To Construct or place a e € Two Family Dwelling
at the above location in accordance to application together with plot plans and other information hereto filed and I
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OwNER'S Address is Glityer Builders Inc . A
119 Dunning Street 0
Ballston Spa , N . Y . 12020 M
2. CONTRACTOR or BUILDER'S Name 1C
n
Same o
rt
a�
w
3. CONTRACTOR or BUILDER'S Address
Same
w
r+
d. ARCHITECT'S Name
S. ARCHITECT'S Address nr
n
oa
6. TYPE of Construction — {Please indicate by X1 r-s
[o
rr
lx } Wood Frame l I Masonry i } Steel i } d
H
F,.
7. PLANS and Specifications G
rc „
No. 31 ' -6" x 39 ' as per plot plan , specifications and applicatlon
Including xVsxig septic system and attached one car garage . MODEL M ,
8. Proposed Use
} of Two Family* �.
+ys
$5 . 04 C/O
$ 96 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES July 1 , 1988
(lf a longer period is required an application #or 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 11th Day
¢o'f� December 19 87
SIGNED BY � G? ." a. for the Town of Queensbury
Building and Zoning Inspector
* TO COMPLETED BY BLDG . DEPT. }
// Application No. (��
own o/ Queen36urraf •`' `.V,
Permit Issued l9 U J '-"
BUILDING and ZONING DEPARTMENT Permit Expires 19 �LJD[`�; {�
Bey and HaviCand Road, R. D. 1 Box 98 Zoning Desi&��
OC'� RIJ7
Queensbury, New York 12801 Variance No
Site Plan RApproved by ��-� �'I ` 7.APPLICATION .FORII 0 / 00
BUILDING AND ZONING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING .CONSTRUGTION . 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 Fanning Street , Ballston Spa , New York 12020 Tel , 899-9161
Property Location : 16 Margaret Drive Tax Map N0 . 121 f 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. Guyer III 119 Ruining Street , Ballston Spa , NY 12020 899-9161
Name P . O. Address Tel . No _
Name of builder Guyer Builders , Ingkddress 119 Dunning Street Tel . 899-9161
Name of plumber , Incikddress 119 LARMIng Street el .
899-9161
Name of mason Guyer Builders , EiZAddress 119 Dunning Street Tel R99-9161
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
* 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 REQUIRXOtBELLQW .
Size of property 100± p tR ft x 120 ft _
* Existing buildings) Sized-ft X � f"
Model M
PROPOSED BUILDING AND USE : of I/M * Existing building ( s ) use NIA
Size of new structure 31 ' -6'ft x 22.ft
Foundation-pier/slab/crawl/partial/full * Proposed building , distance from property line
(circle one )
Nom of stories (habitable space) 2 » Front yard 30 ft Rear yard 30 ft
Height ( grade to ridge ) 25 ' -0" ft . * 'Side yards 15 ft and 15 ft
If residential , no . of families 1 Of 2 * If on corner , setback from side street 30 ft
Noe of rooms ( excluding baths ) 5 OCCUPANCY INFORMATION
No . of bedrooms 2
PRIMARY BUILDING
No . of bathrooms 2 *
Pri ry heating system Electric baseboard * ^ Two wo one
family dwelling r
Typko�f fuel Electric * T family dwelling
No .ppof fireplaces to be installed * Multiple dwelling / Number o£ units
Wil�J a wood stove be installed? ��� Permanent occupancy
*
Transient occupancy
Central Air conditioning? *
* Business
BUILDING STYLE, PRIMARY STRUCTURE Industrial
Ranch Contemporary Log cabin * Other
Raised ranch Mansion Duplex * if addition , what will use be?
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 car/ car
Private storage building
ESTIMATED MARKET VALUE OF * 'Other
CONSTRUCTION
$ 7020](7
INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETEDI
Form $PA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
WILDING SPECIFICATIONS :
Type of construction , wood frame , fire safe , etc . W_dod FFrama
Will any second-hand or ungraded lumber be used? If so , for what? no
Foundation wall material concrete block Thickness 8"
Depth of foundation below grade (to bottom of footing) 4811 Tikiilimi3m
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 portion? sq . ft . -- - Type of use?
Type of roof - sloped/flat/shed/other _ .14ateri.al of roof fiberglass shingles
Size , wood studs 2 Pox 6 Of spacing2 "o .ah . length 8 ft .
Joists ( floor beams ) 1st . floor N/A "X spacing "o . c . span ft .
Joists ( floor beams) 2nd . f'loorll 7 `X " spacing 16 "o . c . span1804"ft .
Overlays ( ceiling beams ) N/A "x " spacing "o . c . span ft .
Roof rafters 2 Pox 1 " spaci g 4" o . c . span ft .
Roof trusses (pre-engineered) spacing��+�� "o . c . span 20 ' ft .
Exterior wall finish Of what material?
Interior wall finish
If a garage is to be attached , describe materials to be used for FIRE SEPARATION :
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?
Will a flue-lined chimney be installed? no Height above roof, £t .
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 N/A to
(A separate application is necessary for any repair or new installation of septic system)
See SIP/E D S permit # 0202525
Town of Queensbury AI D A V I T
County of Warren 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 .
a
SWORN TO BEFORE ME THIS Signature - 0000 _- -;_ _ -�
19 er , owner ' s age t ,.8ran sect contractor
r� day of PATRICIA E. FURPHY
ar^ Notary P::Iakic, µtie of New York.
Qualified in Sch^nectady County
e
Notary Public , W N . Y
G°nrnmiss�on Cxpires pires Sept. 30, 19-
* Or * w * * yt * * tr * * rt fr * * * * * er : *
SPECIAL CONDITIONS OF THE PERMIT :
1253 Square feet living
264 Square foot garage - one stall
!, ` l @ $7 . 00/ 100 or part of
$5 . 00 One stall garage
$5 . 00 C/o permit
Total
ay----_........ -------------------
TOWN OF QUEENSSURY „M
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 .
ANSWER ALL of the following :
1 . Gross floor area 1253
2 . Type of heat Electric baseboard
3 . Is the building mechanically '- cooled ? No
4 . Percentage of area of windows and doors A _ l '
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 value ?
3 . Slab on grade YES NO
a . If YES , what is the R value of insulation around
perimeter of floor ?
4a is basement heated ? YES NO
a . R value of insulation
5 . Type of insulation
so 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. =0 . 04±
3 . R value of glazed area U. =0630
4 . R value of doors R-14 . 9 (U. =60)
5 . R value of floors over unheated spaces 1 NIA
6 . R value of slab edge insulation - unheated slab N/A
7 . R value of slab insulation - heated slaL2 • 5
8 . 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
Co Controls
1 . Thermostat maximum heat setting
D . 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
2 . R value of pipe insulation
F . Service Water Heating N/A
1 . Performance efficiency
2 . Temperature control setting maximum
G . For Swimming Pool only
1 . Maximum heating N/A
.o
Telephone No . ( 518) 899-9161
( applicant ignature )
3 -
}
APPLICATION FOR SEPTIC DISPOSAL PERMIT
Ref : S . P. E. D. S .
DATE 10-19-87 / permit #
New York - 0202525
MODEL M of I /M
LOCATION OF PROPERTY FOR INSTALLATION 16 Margaret Drive
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 , J9 K, L, M
Number of bedrooms (residential only) 2 _ 3 F , G , H
> Total daily flow (compute @ 150 gal per bedroom)
300
Topography: circle one: Fla# Rolling Steep Slope 96 of slope
Soil Nature: circle one: Sand Loam Clay Other / Depth: . 8 ' feet +
Ground Wate= 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 one: Municip Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption NIA feet
* PROPOSED SYSTEM: Septic Tank gal. (minimum size. 1*000 gal.)
TILE FIELD. Each Trench NIA feet / Total system length NIA feet
* SEEPAGE PIT(S) : Number of / Size each feet by feet'
* Size of stone to be used # / Depth or Thickness feet
* * ssr * s * * * * ass * * +rs +r * a * * aR * * aR * * * aRs * rc * ar * ss +rrs
IMPORTANT * See S . P. E. D . S .
...Please...LIST NEW EQUIPMENT TO BE INSTALLED permit & attached
* * * * * * * s * ssss * * * * s * * * at * as * * * * s * * * * * * s * * * * gyp `
(saver)
r
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:
l.) the proposed jocation 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
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.
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plat 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.
I have read the regulatU s above and agree to abide by these and all requirements
of the Town of Queensbury Sanitary Sewage Disposal Ck%Haauce.
Signature of-responsible person:
Date:
Town of Queensbury
Building and Code Department
Bay at Haviiand Road
Queensbury, New York 12801
(518) 79Z-5832
SETTLED ! ' ' l . . . HOME OF NATURAL BEAUTY . . . A GOOD. PLACE TO LIVE
Of Qtdeen -' I "ry
BUILDING and ZONING DEP4RT" X T
Bay and Haviland Read. R.D.
98
Queensbury, New York 12801
SUI L-DING INSPECTOR ' S REPORT
NAME
LOCATION zi!
��^SSrr �, permit No -
Date 4;. e-. ---- ,�* * * * * * * * * * *
* * * * * * * � APPROVED - YES NO
F4�tinglrPler FC7rP[1�
Foundation
waterproofing
sack€ ill
Framing
Roof 1ng
Siding
Masonry "Veneer
Rough Pluming
lief valves
E.xt . porches
Finished Flours
int.erjor Trim
SC-airs & Railin s_���- ---
Cellar Drain T .
e
Concrete Floor
Plbg . Fixture
Gar . Firepro Ping
closers
yrn«ke Dctcc cars
c'h imn ey
I N SU L.AT I ON
Foundation
Floors
Walls
Ceiling � - -�
FINAL ELECTRICAL Ii3�aPECTSOL3`
l3RIVEwA`f APPItOVA
Final. Building Survey�—� �
heduled insp
ection (call when ready )
Next sc
Rernarks-
ui
dsng n pec or
G/t3Ca md�-vl
.. • ws,,�wavcr-�-v ..
MIDDLE DEPART
AGENCY, INC.
r y 1MSPIEC.' rI Data May 203, 1990
~' a approved as being in accord
(Certif ce; that !:e4uipment listed has been y a t 4 S.
with the National Elect f ��applicable governmental. utility and A� I
' kr �, _
Owner.
Guyer Builde Raj
OCCLipant: 2 1l`t3A3i l'y slx ( cerfjf+cate t lee sic ue introduced
and d or alion ios S Ma ih o
Y G Margaret�'�^�.t up' date. 11 ao[Ii Cionet ui IhentI be gull an Ced or and Ai pil made or
1V O Ipa�a be null rnd roitl. and applicnbon For
Location: , _ exiatinq system th�,i{s, oR
���y• q t� Maprchon ahould 7- nufhmul P tly to to is Agency. rt insurance carnet
,1 t. 'ece. Cac l e" > Willi 6 rd Molder of fhIs ceftdicrta ahr7uld nt name Ca hie prof?e Y
VLF (agent or comp#ny) asevi nC ertlTicalion al efeCtricrlequiPmnnS aPProwed
Equipme»r: Service ` Ppli�nces ; /
150 Am.g " as specified:. 1
r Guyer Builde s Jill
119 Dunning Stre . D ' 16-021243
App+lcanr: Ballston Spa ,
.Jown rD� �aeprry �etrt�
BUILDING and ZONING DEPARTMENT
Bay and Hawiland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION �6 �" •! p � r
Date
� Permit Nov �1�Q - --
,�
APPROVED - YES NO
FootIng/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
siding
Masonry Vene
Rough Plumbin
Relief Valves
Ext , Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg , Fixtures
Gar . Fireproofin
Door Closers
smoke Detector
Jhimney
I IN SU LAT I ON
Foundation
Floors
Walls
Ceiling
FINAL ELE TRICAL INSPECTION
DRIVEWAY PPROVA1
Final Buil ing Survey
Next scheduled inspection (Call when ready
Remark.s-
Building Inspector
5/8B and-vl
__Journ o f Q" een st ary
BUILDING and ZCii3ll�ifa CYEF'AFITMiVT
Bay and Haviland Roadq Yark0'12 Box g8
pueensburY, New
01
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION de
permit NO .
DateAPPROVE
* YES No
Footing/Pier Forms
Foundation
Waterproofing
Ba�fiII
L �r r. a nIng
Roofing
Siding
Masonry veneer
L,Ft6ixcjh plumbing
Relief valves
Ext . parches
'finished Flours
Interior Trim
stairs & £tailings --
cellar Drain Tile -------
concrete Floors_ _
E'lbg . Fixtures
Gar . Fireproofing
Door Closers
Smoke Detectors
Chimney
IN SU I.AT I ON
Foundation
Floors
Walls
ce i 1 ing --
FINAL ELECTRICA INSPECTION
ORIV'EWAY AppR()V Lrvey�---��—
Final Building
Next scheduled) Ins p
action (call when ready )
Remarks- 1 A2'�t fir ✓7'!Ga SAL9�r." ,/��
Suil nspector
6/'86 and-vl
� f cc�7 ff
' } �}nran 01 Q,ueF. rrsbury
BUILDING and ZONING DEPARTMENT
Say and Maviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION
Date Permit 'N0
* " " * * * * * * ✓* * APPROVED YES *NO
Footing/Pier Forms
Foundation
waterproofing
Backf ill
Framing
Roof ing
siding
Masonry Veneer
Rough Plumb ng
Relief Valve
Ext . porches
Finished F100
Interior Trim
Stairs & Railin
cellar Drain Tile
Concrete F-10Q�Ps
plbg . Fixtures
Gar . Fireproofing
Door Closers
smoke Detectors
Chimney
INSULATION :
Foundation
Floors
walls
ceiling
FINAL ELECTRIC L INSPECTIONS
DRIVEWAY APPRO
Final Building Survey ---
Next h
sceduled in o
spectin ll when ready )
Remarks-
Sui ding Pecto
6/86 and-vl
BUILDING and ZONING DEPARTMENT
Say and Haviland Road. :R. D. 1 Sox 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME i!s"� . .�" !'fir" p a '°
!� / 4
61
17ATE j PERMIT N0.
SCIL TYPE - San - Loam - Clay -
-1 4yf
Percolation Test fired? YES Re Inch
Percolation rate
TYPE Of SYSTEM:
Absorption field , total length
Length of each tr ch
Depth of trenches
Size of gravel_ --'
SEEPAGE PITS{Numher f)
Size- f t. x _
Gravel size '7Pr 1ze Type
PIPING :
Bldg . to tank —_
Tank to dist . box
Dist . box to fiel / ' t
Openings sealed'? YES PIC Partial
LOCATXON/SEPARA ONS : ft.
Foundation to k
Foundation to bSorptron ft .
Absorption to of line ft-
Separation of pits t'
LC)CATION OF YSTEM ON PROPERTY circle one)
Front - Rea - Left side - Righ side -
CCiK[M�ENNT/SS
le " o oo c
SYSTEM SE APPROVED
U3- i g In actor
01/86 and vl
Jrscun cr� �taeQn3hurs�
BUILDING and ZONING DEPARTMENT
Bay and Hawiland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
Date vy/. _,_.. Permit o .
00' APP VED - YES NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
ROofin
Siding
Masonry eer
Rough Plumb ' ng
Relief Valve
Ext , Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
plbg . Fixtures
Gar . Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATIONa ilp
Foundation
Floors
Walls ._
Ceiling
FINAL ELECTRICAL NSPECTIONJ
DRIVEWAY APPROVA
'(Final Building S rvey
Next scheduled inspection ( call when ready )
Remarks- 1
ry f}C J
it
e
Building spectos`
6/86 and-vl
._.J'ou,n o/ 'Queen szury
BUILDING and ZONING DEPARTMENT
Bay and Maviland Road, R. D. 1 Box 98
Oueensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION
Date Permit No . dl- k 5q
✓ = APPROVED - YES No
Footing/Pier Farms
foundation
aterproofing
Rackfill
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 :
{ /Woundation
/
loors
Walls
Ceiling
FINAL ELECT CAL INSPECTION
DRIVEWAY APPROVAL
Final Building, Survey. ..
Next scheduled inspection (call when ready )
Remarks-
:
Building inspector
6/86 and -vl
ocvn ofeeeens6eert
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, P.D. i Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S /REPORT
NAME
LOCATION G '
Dater �f { Permit No . � � L �-
*r,,," - APPROVED* -* YE * NO �
ting/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext . Porches
Finished Floors
Interior Trim_ - N
Stairs & Railings _
Cellar Drain Tile _�..._.._
Concrete Floors
Plbg . Fixtures - -
Gar . Fireproofinc
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-
Building Inspector
6/86 and-vl
BUILDING DEPT. COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT, WHEN flEQUIRED,
romp-
at DATE y
CITY OR �y,,�,,�,� . L,'
VILLAGE �7� TOINNSHlp Queensbury COUNTY Shrraen
STREET AND NO. OR #16 Margaret I)r1v;e
ROAD AND POLE NO. POLE NO_
BETWEEN WHAT TWO
CROSS STREETS IS
PREMISES LOCATED7 SECTION f BLOCK LOT
OCCUPANT'S BUILDING r. -
NAME OCCUPANCY .
OWNER'S NAME ��lp�-�+� '� _ TEL. #' p�_� t -
AND ADDRESS alt.a.i l . ne 119 3et I77."Ifil
CURRENT
SUPPLIED .' ' c' _ FROM THEIR -. `.7 ~ ./� 4. OFFICE
SUPPLIED
DEFECTS
16UILOINO nr�1MEw ® OLD ❑ IIN6RK NEW ADDITIONAL 1.� REMOVED El
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
ANCH
NUMBER OF OLITLETS L�jtlp R MDTpRS HEATERS RS CIROU"S OFFICE USE
Lame ONLY
t1a" "on 1""ne 't H.PC Wee A.w.G.
OsilnY well Reup•li $sritcll PMWetli Breoket Na TYpw EaCh Na E� me. Gaepe INSPECTIC)N
Opt-
sum
Sub-
be"
in
nitwit
let FL
AW FI.
3sd pl.
REMARKS: LIST OTHER £LECTRfCAL DEVICES NOT SET FORTH ABOVE: DO NOT USE T"IS SPACE.
This appiicatmn is immmincicl to wear the abore-listaal egeipnent to be inspected but if at tints of inspection there is found addi tionel egeipcsent not ahove listed.,
You sine authwiced to make the irspectiae and sdjhrt the fee to raerrar the additional equiptnent, as provided by the applicant.
SIZE OF ELECTRIC SIGN TOTAL
MAINS 150 Awe FEEDERS LAMPS WATTS
CHARACTER EXPOSED GAS TUBE SIGN
OF WORK CONCEALED TRANSFORMERS OF VA
WORK TO BE {NUMBER$ ICAPACITV I
STARTED COMPLETED SIZE OF SIGN
SERVIE OVERHEAD UNDERGROUND MAKER
IENTEI
BUILD ING OF SIGN
IMSpECTIOM REQUESTED *
POSSIBLEON OR A NEAR A5 � �ivbm ready NEW OLD
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES DATE OF 9�21�87
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION
PRINT NAME AND ADDRESS y SIGNATURE
NAME OF � f t{ l �� Inc* x SI APPLICANT
APPL I CANT ■
STREET ADOIt ESS 119 Duml Street TTELEPHONE # 1
CITY OR Pak] I tm Nm Ycwk ZIP 1� LICENSE NO.
POST OFF ICE CODE WHEN APPLICABLE
46 LL (REV. 1/6e) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
February 11 , 1988
M/ E # 88 - 003
MEMORANDUM
TC1s Jexy Goldie
- 0 Baker
FRAM : Richard Morse.,
RE * Queen Victoria rant Phase III
On 2/ 11/ 88 , I spoke with Bill Lathy of NXSDEC , stating the fact
that we had hit water at approximately 9 feet below finish grade
on an area of Queen Victoria Grant . I questioned Bill as to
whether he required modified drawings for this . Bill said that
he would not - we should note it as a field change and r: esize the
- facilities , Picking them up so that we would have 2 foot of
separation 'between groundwater and the bottom of the pits .
I told Bill that there might be some concern or question on the
part of the Town as to changes and modifications of this . Bill
stated that the general drawings on the plans were sufficient to
detail any modifications . However , he said if the Town had any
questions , they should contact him and if they wanted
corroboration , we might have to provide a sketch . I told Bill
that we would fulfill any obligations that the Town imposed upon
US *
The modifications for the following duplex units were given to a
representative of Bob Baker .
Three Duplex Units
Seven 8 * diameter , 5 ' effective depth dry wells would be
required with an invert elevation at 398 , 91 .
Two Duplex units
Five 8 ' diameter , 5 ' effective depth dry wells would be
required with an invert elevation of 399 . 551 .
RSM ; Iag
G'-O DIAMETER
8 - C DEPTH
QUEEN VICTORIA' S GRANT
QUEENSBURY , N.Y.
TO GRADE
REFERENCE DRAWINGS
5 SITE UTILITIES
SEPTIC WATER
VanDUSEN SIEVES
SURVEY PLAN
141IG,18,20
MARGARET' DRIVE
PLOT PLAN SEPTIC SYSTEM
GUYER BUILDERS, INC, QV- IQ
DWN : 4V 9-2$ -g11 Scold , i "= w- 0