Loading...
1987-852 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK Dave September 19 l9 90 This is to certify that work requested to be done as shown by Permit No. 5,z has been completed. This structure may be occupied as a _ 'z of a two family dwelling _ Location 28 Queen Anne Court, Queen Victoria's Grant, Model K Owner 'Guyer Builders, Inc. By Order Town Board TOWN OF QUEENSSURY } Building & Zonin nspector BUILDING PERMIT TOWN OF QUEENSBURY � No. 87-852 WARREN COUNTY, NEW YORK tz 0 PERMISSION is hereby granted to Queen Victoria ' s Grant OWNER of property located at 28 Queen Anne Court Street, Road or Ave. I l in the Town of Queensbury, To Construct or place a 11 of two Family at the above location in accordance to application together with plot plans and other information hereto filed and r� r approved and in compliance with the Town of Queensbury Building and Zoning Ordinance_ t. OWNER'S Address is Guyer Builders 119 Dunning St . Ballston. Spa , N . Y . 12020 .o C 2 CONTRACTOR or B UI LDE R 5 Name CCD Same C w n r* 3. CONTRACTOR or SIIILDER"S Address o n Same m w 4. ARCHITECT'S Name w r rF S. ARCHITECT'S Address co 00 ,+C7 C m 6. TYPE of Construction — (Please indicate by X1 fto 00 Wood Frame { I Masonry f 1 Steel f 1 icy fi 7. PLANS and Specifications n O No. 26 ' `6„ x 35 ' - 7 " as per plot plan , specifications and application including septic system and attached one car garage . MODEL K '* 8. Proposed use } of Two Family 0 ti rr, $5 . 00 C 82 . 00 July 1 , 88 a $ PERMIT FEE PAID -- THIS PERMIT EXPIRES 19 =r w Cif a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury 'hafore the expiration date.) r, Dated at the Town of Queensbury this 9th Day of December 119 87 SIGNED BY for the Town of Queensbury Building and Zoning Inspector �� _ 'iL QG . /;•+riaa:.. a:4.V ui uaw.a • Ywr .. Application No . r: • ., ; Down os Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 ' Ll lu ' .l ` �+ �� � � , Say and Haviland Road, R.D. 1 Box 98 zoning Designatio L0 L`:.= ©ueensbury, New York 12801 Variance No . G (�T ` , 31987 Site Plan Rev ' w No Approved by . 13 t NIL, �.� �I<�'_r -r 7- a APPLICATION FOR 91 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 ; #28 Queen 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. Guyer 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 EkITIcters ,, IncoAddress jig DM=ng Ntreet Tel . Name of mason uyer ers , nc -Address g ree Tel . 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 , MMMMMMMM, (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 REQUSREDplo BEIi,OW - " Size of property 100t plan ft X 120 ft . * Existing building ( s) Size ft X�^ft . Model PROPOSED BUILDING AND USE : � !? — * Existing building s ) Use NI Size of new struc a 26 ' -61`ft x. ft " Foundation-pier lan slab crawl/partial/full * Proposed bui.lding , sdiistp Qctep m property line circle one ) * Front yard 30+ ft Rear yard 3Q+ ft Nov of stories (habitable space) 2 Height (grade to ridge ) 231 6„ ft . * Side yards ft and 15+ ft If residential, noo of families of 2 * If on corner , setback from side street ft No . of rooms ( excluding baths ) OCCUPAN[:Y INFr3RMATION � Nov of bedrooms Z * PRIMARY BUILDING - f Now of bathrooms one family dwelling s e f r Primary heating system se ar a ectri& —y-Two family dwelling s�de� ' ��in` . Type of fuel Electricity * Multiple dwelling / Number of units Nov 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 ,� Other Ranch Contemporary Lo 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 ( CIRCLE ONE PLEASE ) * -.Attached garage/one car/ two car/ one car • * * • • . * * AN ,• * * * * * * * Private storage building ESTIMATED MARKET VALUE OF ,, ( CONSTRUCTION $ - �' '_ - - _ - - INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , To BE COMPLETED ! Form SPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe ■ etce 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 ) " minIffyim Will there be a cellar? mo 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 pore ' sq. ft . - - Type of use? Type of roof - sloped flat/shed/other Material of roof Fi rg ass shirxgles Size , wood studs "X 6 spacing 24 "o . c . length d fte exte]C],or walls .joists ( floor beams ) lst . floor N/A "X ," spacing "o . o . span iV1A ft . .joists ( floor beams) 2nd . floor "' X��—" s acing��910 W c . sparXz"17"ft . Overlays ( ceiling beams ) 2 "xfng. 4 ," spacingr+ "o . c . ::f arrl2 -�► f t . Roof rafters 2 "X I " spac 0 . c . sp4 a � "9 � Roof trusses (pre sin 74 "o . c . spa/ t . Exterior wall finish stained Of what material? 5 /8" x 4 ' x 8 ' texture III Interior wall finish paint 172 stleetrock 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 hand dwellingw;l 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. NIA 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 NIA ft . (A separate application is necessary for an re air or new installation of septic system) See S . P . E . D . S . rmit # 02 k252 Town of Queensbury County of Warren A F F I D A V I T STATE a kC NEW YOR 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 Emiecified. or not , and- that such work is authorized by the owner . SWORN TO BEFORE ME THIS Signature _� _-- 1� { Owner , owner " s agent , ar iced , contractor day of 6 & 190 PATRICIA E. FURPHy Platary € li-blic. State of New York Quefrfred in Schenectady county -�'-' ;_J. � -u_.rC fifd�• 4117C748 r�•-�- Notary Public , Wt1n'x`Cf� N . Y . C©mmission Expires Sept. 30, 190,P k t r ■ tr 1k sr sr * _ * * * * * tk � tk tlk ar * yk ,t it dr v► * * w * * * i � � t : at w * w yr ik it ,F it SPECIAL CONDITIONS OF THE PERMIT : 1040 Square feet living - 264 Square foot garage - one stall ] 1304 @ $7 .00/100"or part of $5 *00 One stall garage $5 .00 C/O permit Total By_________________________ . TOWN OF QUEENSSURY ,.K„ WARREN COUNTY ■ NEW YORK Application for. : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STAVE ENERGY CONSERVATION CODE A permit must be obtained before beginning work . awavaA 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 12 . 33 � . Over 16 . Only 1 . Uo value of gross area of walks $ 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 Np a . if YES ,` what is the R value of insulation around perimeter of floor ? Id 4 . Is basement heated ? YES NO a . R value of insulation. 5 . Type of insulation lie Under 164 Only 1 . R value of roof and floors exposed to ambient conditions R-38 2 . - R value of exterior walls XXXW R-23 . 5 U. =OoO4+ 3 . R value of glazed area U. =o . 30 4 . R value of doors R-14 . 9 (U=0 . 06 ) so R value of floors over unheated spaces '14 6 . R value of slab edge insulation - unheated slab NIA ? . R value of slab insulation _ heated slab 12 . 5 8 . R value of heated basement/cellar walls ( above grade ) N A 90 R value of heated basement/cellar walla ( below grade ) NIA 200 Type of insulation Fiberglass Co MMMMM controls 1 . Thermo St & tL maximum heat setting Do 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 NIA 1 . size of hot water or cooling 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 .. NIA Telephone How ( 518) 899- 9161 ( apslicarrrt ' s sign ure ) APPLICATION FOR SEPUC DISPOSAL PERMIT Ref : S . P. E. D. S . DATE �CrrzhP�.. l / 87 permit # MUDEL K of C/K New York - 0202525 ` LOCA71ON OF PROPERTY FOR INSTALLATION 28 queen Anne. Court Owner's Name: Guyer Builders , Inc . Telephone: ( 518 ) 899-9161 Address: 119 anuning Street , Ballston Spa , New York 12020 lastaller's Name: Guyer Builders , Inc Telephone: ( 518) 899-9161 2 A, Co E, it J , K, L, M Number of bedrooms (residential only) 2 3 F , G, H Total daily flaw (compute @ 150 gal per bedroom) 300 Topouraphyrom circle cane: lot Rolling Steep Slope % of slope Soil Nature: circle one. Sarni Loam Clay Other / Depth: 8 feet + Ground Water: At what depth? unknown S feet + Bedrock or lmpexv1cm= Material: At what depth? unlmown feet Percolation test; circle one: oat require required / rate min. inch. Doumstic crates" supply: circle one: cipal Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption N/A feet * PROPOSED SYSTEM: Septic Tank ,gal. (minimum size. L000 ,gal.) TILE FIELD: Each Trench N/A feet / Total system length N/A feet * SEEPAGE PIT(S): Number of / Size each feet by feA * Size of stone to be used # / Depth or Thickness feet s * * s * e * * ssss * * +see * * �sssrss * • s ,s * * s * * ss �sssss �s7s IMPORTANT * See S . P. E.D. S . ...Please..eLIST NEW EQUIPULKHT TO BE INSTALLED permit & attached * ss �s * * r * * * * * • * sass * * * * s * s * * ss * * * e * * ss * * ss * 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: l.) the proporped .location of the system 2.) location and distance to lot lines 34 location and distance to structures 4.) location and distance to any water supply S.) size and dimensions of all tanks, distribution boxes, tile 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 $250.00. Co An approved copy of the plot plan shall be available on the construction sI te. 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. I have read the regulations above and agree to abide by tbeas a" all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of.respousible person: Date= ' y Town of Queensbury Building and Code Department Say at Haviland Road Queensbury, New York 12801 (518) 79Z-5832 c ; n ime< a unue ne uwrIMOAI ar . 41rw A r_nnn OP ♦rR rn i TOWN OF QUEEN SBURY BAY G ,AND CODES DEPARTMENT z BAY & HAvXL AND RyGORK I280& QUEE+IVSBURYBURYP NEW TELEPHONE � ) 792^5$32 { BUILDING INSPECTOR' S ; REPORT FtES?UEST FOR Ih�SPECTION RECEIV,OD� NAME EE bACATXON rJ Q PERMxp # DATE 7 APPROVED aI YES NO FORTING/PIERS FORMS MONOLITHIC POU pOUNDATION/DAM PROOFING BACKFILL APPROL� ^-'ROUGH PLUMBING PLUMBING FRAMING ELECTRICAL ROUG =�IN INSULATION: S FOUNDATION ' FLOORS ' WALLS CEILING f FINAL INSPECTION : dd /�. CHIMNEY HEIGHT ROOFING SIDING TEPS �- EXTERNAL PORCHES/ �- STAIRa^-CLEARANCE RAILS- -�- PLUMBING FIXTURES ELIEF VALVE INTERIOR TRIM/PRI CY DOORS FINISHED FLOORS GARAGE FIREPROOF G� DOOR CLOSER (S) " SMOKE DETECTORS TON �- - FINAL ELECTRICAL I SPIN _ FINAL APPROVAL OF ONST U TIO - OIC TO ISSUE C/O OR C/C CUPANCY MUST BE A SIGNED CERTIFIC E OF � DEPARTMENT BEFORE OBTAINED FROM THE pCUPT]�Dl THESE PREMISES AR k REMARKS : ARRIVE� r�? DEPAR"'�- - XNSPEC R TOWN OF QUEENiSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS ' QUEENSBURY, NEW YOR 1280'4& TELEPHONE ( 518 ) 79 -5832 BUILDING NSPECTOR"S REPO} REQUEST F,SaR^ PEC'T ON RECEIVED ` NAME LOCATION PERMIT DATE # APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FO FOUNDATION/DAMP 'PR PING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN X NSULATION: FOUNDATION FLOORS WALLS CEILING FINAL _INSPECTION : CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/S PS ,STAIRS-CLEARANCE & ILS_��,.__�. PLUMBING FIXTURES IEF VALVE INTERIOR TRIM/PRI AC DOORS FINISHED FLOORS GARAGE FIREPROOF NG DOOR CLOSERS) SMOKE DETECTORS FINAL ELECTRICAL NSPEC ON FINAL APPROVAL O CONST CTION A SIGNED CERTIF CATE OF CUPANCY MUST BE OBTAINED FROM HE BUILDS DEPARTMENT BEFORE THESE PREMISE ARE OCCUP Di REMARKS: I PECTOR MIDDLE DEPART fl . I N AGENCY, INC. r� °° � c�e0��96 f omit3 May 200 1990 if ,r . {�Qrlf �lg that #e � epu�pment listed has been exafn�4r#eC� an approved as being in actor with the National Elect Ge� i�, applicable governmental , utility and Ag@nCy 1 s. ti�`��e11 ing Guyer Builder a P } Owner: ! s ram' s ,f I . u, ment and instailadon insPaCted this Oocupanr. Single f of ce tkticate E6rb If ♦kacpic P /� .ryp may, k Q� l7s dare. if eaaitlonal e4uf'kentjah be lntrgducad or erterahons made to �oCafiorr' LS1 queen Anri 4u?.�y}- a ea;sting system tnis rIc+��ee be null ana paid. ar,a apphca4,an for '.: , in sPeCtion should be sobnuttatl P by t4 this i his PY + :- g ant same t0 his prnPa Fly ins Carve+ Outlets 0 Rece ta.cles �. F I:jL.Ir0 >: 'Flokda+ of tnls canificata snquw Equiprnenr: 60 P ' l en �ainli 4.� �= [agent Of tom Pany) as aridane aniSicaSO n Ol a keatt leak aq JI Pmans aPPrO�ad 150 AmP Servic ApPliances ; as aPacitlad. FGuyex Builders ` ; ; {; k ' s �Kt° p ] 6-U2297 $ 119 Dunning Stree ' -," Appimant: pty 120'�YL? Ballston SPa , Penn Me. 7w E1. 7J7 T01114 OP QuEENSBURY ,BUILDING AND ROADS CODESDEPARTMENT PAy s, Hp1VILAND yORK 1280� QUSENSBURY. E ? g2- 5832 gTELEPHONE BUI,_,DING INSPECTOR' S REPORT PXjUEST FOR INSPECTION RECEIT✓ED NAME LOCATION Sr �i ► .r_!/�. � OJ' PERMIT #`� DATE APPROVED yes NO FOOTINGIPIERS MONOLITHIC POUR FORMS��� �--�- FOUNDATIONIDAMP_pROOFING B rFILL '.APPROVAL GH PLE*BING AMING X. ! ELECTRICAL 1R di7GH�XN INSULATION: FOUNDATION FLOORS ' WALLS CEILING FINAL INSPECTION : CHIMNEY HEIGHT ROOFING SIDING AL FORCHESISTE Ea{TERN __�---- XTE w-CLEARANCE &STAIR LI VALVE _---- -.-- PLUMBING FIXTURES/ INTERIOR TRIMIPRX Cy D ----- FINISHED FLOURS GARAGE FIREPROO NG DOOR CLOSERS) SMOKE DETECTO INSFECTION FINAL ELECTRIC FINAL APPROVA OF CONSTRUCTION CE TIFICATE OF OCCUPANCY MUST BE �y SIGNED THE BLrXLDING DEPARTMENT BEFORE OBTAINED F M OCCUPIEDi THESE PREM SES ARE REMARKS : IN PECTOR \&\ �r v u ee" j "r p • -low►' °' \ and ZUS'1ft3G CIEPAFiTftiAES�ST St1ILDVWC 1 Box 98 Bay and Haviland S' Y©rV12801 Queensbury. LyI {,f] Ii1G INSP �CTC7f2 ' S 121uPOf2T NAME L C7 C A-T I C3PS / � pexrna-t No . . I�a���--------- * APPROtV�i7 - YES 13C7 Foatin�}/I'1er Fot-rt+s `V Foundation -- WaterprO"f in9 Backf ill Framing Roof in9 Siding er --- Masonry ��e in9._------ go.ugh, Fl es Belief 'Ja Ext . Forch s Fini qrsshed >rr m� Interior ings_�---- 5tairs & Fta� ile Cellar Drain Concrete Floq s Flb9 • Fixtures Gar . FireFroofi 9 poor Closers SmoKe Detectors Chimney INSULATION - Foun da't ion Floors Walls Ge_ iling RICAL INSPECT, FINAL E1 EC ROVA llItIVSWK1 gurney Final Building lyext scheduled n inspecCiv call when ready ) Remarks_ Bui din Inspector �g� and-Vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS RK I2$Cl QUEENSBURYr gw YO$ 2-5$32 TELEPHONE t BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME r LOCATION PERMIT # DATE (o -- APPROVED YES NO FOOTINGIPTERS FORMS MONOLITHIC POMP-PROOFING���- FOUNFATIONI DAM BACKFILL APPROVAL SOUGH PLUMBING ,FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS_ PLUMBING F L IXTURESIREIEF VALVE E INTERIOR TRIMIPRIVACY DOORS - FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL I SPECTION FINAL APPROVAL OF ONSTRUCTION Y A SIGNED CERTIFIC TE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES AR OCCUPIEDI REMARKS : INSPECTOR ,Jatun a/ Qmee► jtursy BUILDING and ZONING DEPARTMENT Bay and Havil and Road, R. D. 1 Box 98 Queensbury, New York 12601 BUILDING INSPECTOR ' S REPORT NAME .r U U +LtyG� LOCATION Date/ Permit NO . ~ iSeJG' ' APPROVED* -* YES* NO `L'tooti.ng/Pi.er Form Foundation Waterproofing Backfill Framing Proofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext , Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION _.._ DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( c:� ll vhezi ready ) Remarks- . Buildin Inspector 6/$Es and-vl _ Town o/ QieeenA� eere� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, RX), 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME /� LOCATION _ 17ATE _ /G' I PEW ti I T NO SOIL TYPE Sand Loam - clay YES NO Percolation Vest Required+ Percolation rate - Min/Inch _ TYPE Of SYSTEM: Absorption f field , total length Length of each trench . pepth of trenches Size of gravel SEE PAGE P ITS413usnbper of) Size- t'' f • X Gravel size Sze T5 e i PIPING : Bldg . to tank. Tank to dist. boxy Dist. box to f ielyd/ No Partial Opersi.ngs sealed?p, Ed. LOCATIaN/SEPARts.TIONS s ft Foundation to tank. tie ft . Foundation absorp ft Absorption lot in t. Separation k7f pits RTY (circle one) LOC.ATj:oN SYSTEM f7I3 Right side Front - R ar Lef Side Ccr4MENT S :1 i i SYSTEM USE APPROVE *d20.njnspectOr B QI /86 mcl vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT f] BAY & HAVILAND ROADS T/7J QUEENSBURYr NEW YORK 1280k TELEPHONE (518) 792- 5832 BtJ I LDI NG INSPECTOR' S REPORT REQU T FOR INSPEC ON RECEIVEDS NAME " LOCATION �y r DATE PERMIT # APPROVED YES I NO FOOTING/PIERS ko�M0N0L.ITH2C POUR F S FOUNDATION/DAMP—PR PING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL. ROUGH—IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/.S E.PS _ STAIRS—CLEARANCE RAILS ..... PLUMBING FIXTURE /RELIEF VALVE_ INTERIOR TRIMIPR VACY DOORS FINISHED FLOORS GARAGE FIREPR FIND DOOR CLOSER (S) — SMOKE DETECT S FINAL ELECTRIC Z. INSPECTION FINAL APPROVA OF CONSTRUCTION A SIGNED CE TIFICATE OF OCCUPANCY MUST BE OBTAINED F OM THE BUILDING DEPARTMENT BEFORE THESE PREPYISES ARE OCCUPIED! REMARKS: ! INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVTLAND ROADS QUEENSBURYr NEW YORK 1280i� TELEPHONE (518) 792-5932 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED / NAME y640 �- LIX:ATIONr DATE PERMIT # �12- APPROVED YES NO FOOTING/PIERS MONOLITHIC POUFORMS FOUNDATION/DAM PROOFING BACKFIL.L APPROVAL }ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION= ,CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE &' RAILS PLUMBING FIXTURES RELIEF VALVE_ INTERIOR TRIM/PRWACY DOORS FINISHED FLOORS : GARAGE FIREPROOFING DOOR CLOSER (S) SMOKE DETECTORS' 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: INSPECTOR _..lawre o� �upE'h' � � urc� BUILDING and ZONING DEPARTMENT Bay and Havifand Road, R.D. 1 Box 98 Queensbury, New York 128o1 SEC DISPOSAL FJ+9 SYST INSPECTION NAME r LOCATIONikJ DATE fo - / fPEPMIT NO . �- SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES 'NO' Percolation rate - Min/Inch TYPE of SYSTEM: Absorption Field , total length Length of each trench Depth of trenches Size of gravel SEEPAGE PITS-(Number of) Size- fto X _ ft: Gravel size PIPING : Size Type Bldgv to tank e Tank to dist . box / Dist* box to fielo/Pit Openings sealed? :' YES No Partial e LOCATION/.'�+. EPA RA67I ON S : Foundation to flank. ft. Foundation to :-absorption ft . Absorption to+ lot line ft , Separation of pits ft. LOCATION OF SYSTEM ON PROPERTYfcircle one) Front - Rear - Left side - Right side COMMENTS SYSTEM USE APPROVED YES NO Buildi inspector 01/86 and V1 BUILOING DEPT, COPY OF APPLICATION FORM 464EL, NEW YORK BOARD OF FIRE UNDERWRITERS, FILE THIS COPY WITH BUILOING DEPT. WHEN REQUIRED. TEMP. .0 DATE CITY OR VILLAGE .1sbury TOWNSHIP Qwmnsbury COUNTYn STREET AND NO, OR _ ROAD AND POLE NO. 28 Cyr. Ame 'CC1uL'YL POLE NO. BETWEEN WHAT TV40 , CROSS STREETS IS PREMISES LOCATED? SECTION . s% BLOCK LOT OCCUPANT'S BUILDING NAME OCCUPANCY - AND OWNER'S NAMEisma it TEL. # LT9 ""' 161 GtIy�.0 8i1�.C�JC>ES* Inc* ,,�� ��.9 �IainQ S �.-- CURREN SUPPLIED i _ FROM THEIR -- OFFICE BY Zi 3.: BUILDING ""NEW Ex OLD ❑ Is NEW S NEW -91 ADDITIONAL Q REMOVED ❑ LIST BELOW ALL EOUIPMENT WHICH YOU INSTALL ED NUMBER OF OUTLETS Lla� of ecaptFixtuas B MOTORS HEATERS BRANCH OFFICE USE Lamp Reaepneiaa Lod- ONLY tion Skis tt Aaeh't H.P. Watts A.W.G. Ceiiirrp Wall Recep'b SVAWh Pendant Braekat No. Type Each No. Each No. Gauge INSPECTION Out- side Sub bow Bass- mant 1st Fl. 2nd PI_ 3rd Fi. REMARKS; LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. This application is intended to corer the above-listed equipment to be inspected but if at time of Irispecti on there is found additional equipment not abewe listed. You are authorized to make the Inspection and adjuat the fae to Cower the additional equipment, ss provided by the applicant. SIZE OF ■A,�..,�,, ELECTRIC SIGN TOTAL PAIP MAINS 150 a FEEDERS LAMPS WATTS CHARACT WORK ER � im and EXPOSED GAS TUBE SIGN CONCEALED TRANSFORMERS OF A VA WORK TO BE (NUMBER) (CAPACITY) STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS BUILDING OF SIGN INSPECTION REQUESTED ON OR AS POSSIBLE NEAR A5 win q �T 1 � NEW O OLD AVOID DELAY BY GIVING . „„ FYLULLLrPAND�ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAYBE RETURNED. PRINT NAME ANO' AODR£SS NAME OF DATE OF APPLICANT APPLICATION1 ,y^�_-yf ��pp * e 1'I.TR.�iGI� STREET ADDRESS CITY OR .,. spy �f;[��T[E�LEPHONE # POST OFFICE 4 Cbrk COOS 1�'= WHEN APNP O. l6. 'a ae EL (REV. 1165) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING 8=0 DIAMETER 9'-0 DEPTH CLEANOUT TO GRADE c y�o QUEEN VICTORIA'S GRANT QUEENSBURY , KY nc�. REFERENCE DRAWINGS 5A SITE UTILITIES SEPTIC $ WATER VonDUSEN 4 STEVES SURVEY PLAN