1987-929 ._ ,—T ,c'rvw!r•ra..,,r
ISf r
MMMMMM MEN
A
i
CERTIFICATE OF OCCUPANCY
TOWN OF +QUEENSBURY
WARREN COUNTY, NEW YORK
Date May 3 iq t� 9
Ole
This is to certify that work requested to be done as shown by Permit No. 87-929
j has been completed.
# of Two Family
This structure may be occupied as a
l L1CitiOtl 3 Margaret Drive — Queen Victoria ' s Grant
i
Guyer Sunders. Inc .
1 Owner
t
By Order Town Board
TOVYIY OF QUEEI3SBURY
I _
Buildind 6r Zoning Inspector
' BUILDING PERMIT �
TOWN OF QUEENSBURY �
No. 87-929 0
WARREN COUNTY, NEW YORK '•
N
PERMISSION is hereby granted to Queen Victoria ' s Grant i
OWNER of property located at 3 Margaret Drive Street, Road or Ave.
in the Town of Queensbury, To Construct or place a 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.
f. OWNER'SAddressis Guyer Builders Inc .
119 Dunning St .
Ballston Spa , N . Y . *29" 12020
2- CONTRACTOR or BUI LDE R'S Name
Same H.
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O
H
3. CONTRACTOR or BUILDERS Address W
Same
G]
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4_ ARCHITECT'S Name rt
5. ARCHITECT'S Address
w
ti
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6. TYPE of Construction — (Please indicate by X)
r•j
I xl Woad Frame [ I Masonry 11 Steel I I rt
k7
H
Y•
7. PLANS and Specifications
No. 32 ' x 37 ' as per plot plan , specifications and application including
septic system and attached one car garage . MODEL E
B. Proposed Use
OF Two Family Dwelling
r�-
a
$ 5 . 00 C /o ~"
$ 96 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES July 1 , 1988 0
(if a longer period is required an application for an extension must he made to the Building and Zoning inspector of the ftl
town of Queensbury before the expiration date) Iv
E�
Dated at the Town of Queensbury this 31 s t Day of December 19 87 �4
d
SIGNED BY 7 ' /� �L�L — °' for the Town of Queensbury
Building and Zoning Inspector
Ov
TOWN OF QUEENSSURY "Lill
WARREN COUNTYa NEW YORK li
Application fort BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE 1 _
A permit must be obtained before beginning work .
4NOW39 ALL of the following $
Gross floor area1270 S . F.
. Type of heat Baseboard electric
3 . Is the building mechanically cooled ? No
4o percentage of area of windows and doors 13 . 3Z
a . Over 16 % only
1 . U0 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 grads YES = N.Q
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
5 . Type of insulation
R . Under 16 % Only
l . - R values of roof and floors exposed to ambient conditions.
R-38 (U. =0 . 026)
2 . : R value of exterior walls 29M R-23 . 5 U. 0 . 04
3 . R value of glazed area U. =0 . 33
4 . R value of doors R-14 . 9 (U. or-iO .06)
5 . R value of floors over unheated apacea D1'/A
G . R value of slab edge insulation - unheated slab NIA
7 . R valise of slab insulation - heated slab IM
8 . R value of heated basement/ cellar walls ( above grade ) •N A
g . R value of heated basement/cellar walls ( below grade ) N/A
10 . Type of insulation Fiberglass
co Controls
1 . Thermostat maximum heat setting
Q . 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
le size of hot water or cooling carrying agent pipe
2 . R value of pipe insulation
ro Service Water Heating
1 . Performance efficiency N/A
2 . Temperature control setting maximum
G . For Swimming Pool only, NIA
1 . Maximum heating
Telephone woo ( 518) 899--9161
( applicant ' s 14,44nature )
II Application No.
OWN -
Olin OtsQQn.�l+a*r� permit Issued 19 s
DUMOING and ZONING DEPARTMENT Permit Expires 19
Bay and Haviland Road, R.G. 1 Box 98 zoning Designation OCT Z1987
Oueens bury. New York 12801 Variance No.
Site Plan Review No .
Approved by :
APPLICATION FOR
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. Ad4xeoa 119 Dunning. Street Ballston Spa. , New York 12020 Tel . ( 518) 899-9161
Property Location : Street
Margaret Drive Tax Map No .12. 1 ,/� 2
Street number or building lot number
Subdivision name (if applicable) Queen Victoria ' s Grant
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK, AS REGARDS SUIT-DING CODES IS :
Richard H. Guyer III ( 518) 899-9161
Ohms P. O. Address Tel . No .
Name of builder Guyer Builders , Inc Address 119 Dunning Street Tel . ( 518) 899-9161
Name of plumber yer ras •Address ng StreetTel .
Name of siason Guyer BLU15arsj, nc .Address :street Tel .
NATURE OF PROPOSED WDR.K : ,. ZONING INFORMATION
x Coastruction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
wewomoAdrdition to a building * drawn reasonably to scale and attached hereto,
Alteration to a building * showing clearly and distinctly all buildings,
Madwoman,(no change to exterior dimensions) * whether existing or proposed and indicate all
other work (describe) * sat-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 INFORMATIOL3 . REQUISReED �EYyQW .
* Size of property 100_ plan ft r 120 ft .
* Existing building ( ;) Size ft 3G�wft .
Hodel
PROPOSED BUILDING AND USE : -'�
of '' Existing building (s ) Use N/A
Size of new struO'Cle
32 ft X 37 ft
Foundation-,pier cwl/partial/full " Proposed building, distancetplan property line
one ) * see pt an
Now of stories (habitable space) 2 * Front yard 3� wManw,ft Rear yard 30+ wwwft ,
Height (grade to ridge) 21 ' - 6" 5+ ft and 15+ ft
ft . * side yards 1
If reSL40ntial, now of families of 2 * If on corner , setback from side street ft
Nod of xoo" (excluding baths ) * OCCUPANCY INFORMATION
Diod of bedrooms 2 „ PRIMARY BUILDING w
Now of bathrooms One family dwelling ss�� b %Agr
primary heating system Baseboard e ecNNOW — -Two family dwelling
Type of fuel Electricaty mwwww * Multiple dwelling / Number of units
Nq* of fireplaces to be installed * Permanent occupancy
W l a wood stove be installed? moo' Transient occupancy
Central Air conditioning? No * Business
BUILDING 'STYLE, PRIMARY STRUCTURE * Industrial
* Other
Ranch Contemporary La abin If addition , what will use be?
Raised ranch Mansion Duple '
split level old style Bungalow
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Raw Town House * Detached garage/one car/ two -car/ car
( CIRCLE ONE PLEASE ) " .Attached garage/erne car/ two car/ one cap'
* ,� • * * * * * i * * r w s w * * Private storage building
ESTIMATED MARKET
� VALUE OF � crLG� * ether
II COSTRUCTION se OJJ [/
I#WS. M4ATION ON - BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETEDI
Form BPA 4/86 md-vl
$ilILDYNG PERMIT APPLICATION CONTINUED - r
WILDING SPECIFICATIONSS , ' .
Type of construction , wood frame, fire safe , etc . wood frame
W411 any second.-hand or ungraded lumber be used? If sat for what? no
Foundation wall material concrete block Thickness 8"
Depth of foundation below grade (to bottom of footing ) 48" minimum
Will there be a cellar? no Heated or unheated? Floor sqw 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 - sloped lat,/shed/other Material of roof Fiberglass s n es
Size, wood studs "x 6 " spacing_ 24 _"o. c . length 8 fto exterior walls
Joists ( floor beams ) lat . floor NIA - "&X spacing "o . c . span N/A ft .
Joists ( floor beanie) 2nd . floor �—NX7 1 46 sp?acing'W'olo . c . span�E't.
overlays (ceiling beams ) 2 - "x '• spacing 2r+ "o. c . span 16 ft.
Roof rafters 2 Box 1 " spacing 2L► a . c . sp� a i�4 " -3' t .
Roof trusses (pre-engineered) spacing 2 "q , c. span, NIA ft.
Exterior wall finish stained of what material? 5/8" x 4 " x $ ' texture 111
Interior wall finish paw etrock
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 4ind dwelling'? *es If so will a Fire-rated
door, enclosure , and sslf-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 ft .
(A separate application is necessary for an r air or new installation of septic system)
See S . P . E . D. S , permit # 0225 _
Town of Queensbury Co ty of warren A F F I D A V I T •_._. ...,_ ,_ _,._.STATE OF NEW YClRK
un
I swear that to the best of my knowledge and belief the statements contained
in this application , together with the plane and specifications submitted , are a true and
coatp].ete statement of all proposed work to be donekon the described premises and that all
provisions of the BUILDING COVE , THE ZONING ORDINA14CEF and all other laws pertaining to
this proposed work shall be complied with, whether s ecified or not, and that such work is
authorized by the owner ,
F. �--- '
S TO BEFORE ME THIS Signature _ -- _�«-_----!
Owner, owner ' s agent, at, contractor
day o f lf!iLtLit 19 8`7 !k
PAULA CIHRISTOPHER I
Notary Public, State of New York
Qualified in Schenectady County
Notary ,Public , Warren county, N . Y . No. 4664727
Commission Expires July 7 19Z91
w 1i R +ii r ♦ w • _ ,r r w r r t * w w * w s t fr rr * * Mr ,. Mr r re • • r ,r s s rr +ir +ir ,i ♦ # • • •
SFECT?g6 CONDITIONS OF THE FFrRMIT s
rip W
1270 $�Iuale fact288 '.
Square foot gar+ a« Stall
1558 @ $7 *001100Q3 or tart of
600 ale stall S„sorage
NEWEE
S5 UD C10 p"W"
Total
,t
APPLICATION FOR SBPuC DISPOSAL PIf.RMIT
Ref : S. P.E.D.S.
UATS October.,. 9 / 87 d Permit #
New York - 0202525
mom E of L/E
LOCATION OF PROPERTY FOR INSTALLATION 3 Margaret Drive
Owaar's Name: Guyer Builders , Inc . - Telephones ( 518) 899-9161
Address; 119 Dunning Street , Ballston Spa . New York 12020
lnstal ee& Names Guyer Buildera Inc Telepboaet ( 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 150 ,gal per bedroom) 300
TapGaraphy= circle onet Flat Rolling Steep Slope % of slope
SoU Natures circle ones ` Loam Clay Other J Depths' 8 ' feet +
Ground Platers At what depth? unknown 8 feet +
8edrock our Imperwicma "aterials At what depth? unknown feet
ration tests circle ones sxOt req "" required / rate min, inch.
Domestic water supply: circle ones I sc pal Wall Other
IF domestic water supply is a Well;
Saparataoa: Watersupply from Septic absorption N/A feet
* PROPOSED SYSTEM: Septic Tank gal. (minimum sizes 1.000 gal.)
TILE FIELD; Each Trench NIA feet / Total system length N/A feet
* SEEPAGE PIT(S): Number of �+ Size each feet by feed
* Size of stoma to be used * / Depth or Thickness feet
i Mi • i is s �s * * s �s as * * s * as * * �c * s +s +F i s +s +► y► �► i� i� +l� * �s s �s * ♦ i�
11i P 0 R T A N T * See S . P. E. D. S.
...Please...LIST NEW EQUIPMENT TO BE MSTAI.L.FsD permit & attached
* s * : : +ss * s * * * * ,r �sss * * * +rs * ss * * * • es * * sus * ss� se * map.
(Over)
Section R Seetic System Inspections:
As 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 gystem
Z.) location and distance to tat 4pas
3,) location and distance to structures
4.) location and distance to any water supply
SO) size and dimensions of all tanks, distribution
boxes„ tilp fields andlor drywells
ISO No system shalt be covered before inspections and approval by the buildW
Inspector. Failure to comply with this requirement may result in the
uncovering of the system by the installer and a fine of up to $Z50.00.
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may result ,
in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installation,
alteration or repair of an approved system, a new proposal must be submitted
to the Queensbury Building Department before further construction.
I have Wead the regulations above Arid awe to abide by these apd sal requirements
of they Town of QQuacusbury Sanitary Sewage Disposal Clydinance..
Signatures of.responsible person.:
Dates
Town of Queensbury
Building and Code Department
Hay at Haviiand Road
Queensbury, New York 12801
(518) 79Z-5832
MIDDLE DEPARTMEIST oS.FrECTION AGENCY, INC.
yq wtri iue csa _f,yirWood %i:kL "Ics {}
oa►u November I 1939
�l�e �c tlf lQ$ that ttl6 electrical^equipment listed has been examined antf:ls approved as being in accord
With the National Eiectru al Code, applicable governmental, utility and Agency ri]{es.
Dwelling
Guyer Buildera Inc Occupancy: '
Occupant: single Famiky - BsL CO)
[J r �y���n 'Harr Drive, �e ibury .. .(WAL " Ce rtyticate covers f h�}"tlfeCir+G��'EQu�Rm 9nt and �n arallatiOn inspected fms
iacahon: 66 `S �wT dafe, it additrcnai equipment sf auW Ue nzroduced or aild apols mane ra
existing system this cartfficala sft" be null and void, and aPplicahpn for
m spectfon sno uid be su brat tted PMITIP1 Vy fa this Agency. nsurance carrier
105 Outlets,,"��i V °IteCti'p taC leS s 3 ? a[t l3reS t, , Haider of this certificate should y6tsent same to his Property
Equipment: __ _ _. . -
150 Amp Se a 8 Appliances (agent ar company}asaw den�erti fication of e iectrtcnt a"ipmenz approved
as specified.
Guyer Builder' 'r, nc_ a . .
vl
119 Dunning StyQ . 15 -�12533
Applicant: 1 , ;
pinBallstoZZW
n Spa ,
L � a
e....., a,.. rn
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 128066-
TELEPHONE ( 51.8) 792-5832
BUILDING INSPECTOR' S REPORT /
REQUEST FOR INSPECTION RECEIVED (I?f /
NAME
LOCATION G]
DATE
P IT # 2t � }
,APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
F{7 U NDA T IO N/DAMP-PR OGF I NG
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION :
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/ PEPS
STAIRS-CLEARANC & PIA S
PLUMBING FIKTU ESIRELI VALVE
INTERIOR TRIM/PRIVACY Dl9ORS
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.
u ,�,
� f
INSPECTOR
NAAS
MIDDLE DEPART IN AGENCY, INC. 0 1 '
9 _
1 �V'SP. � TA a�k� May 2, 1989
Certifies that #�1�i ulpment listed has been a approved as being in accord
with the National Elect ' f � ► plicabie governmental , utility an S.
Owner: Guyer Builders � p " S
Occupant: Single Pam Q
Location: 3 Margaret a ee t]k1 ( IYfrica+nlow rrC uipmen+ antl ins+analion inspected this
dace_ If #dd{lianaI ul t Oh be In+roduosd or al+e+ations mace to
T existing system Ihl be nidi and void, and app{icelion for
I � ��.k t 1 e tr g Rom(` ��4"I e� F �r inaPection should SLibmitt P tly to this Agency.
Equipment: ! i �i�"Tjt)lY Qolder of this ce ficale sh Id nt sere la hie property inEuranCe carrier
150 AiAp Service gpli L1B$ "r#genrorcomp iiy�se avi i}ication of alectr{cel equipmem approved
an nPeelried.
r Guyer Builder _ SvnuicE 18 $3
Apptfcant: 119 Dunning Stree iO4 15-024247
Ballston Spa , IVY l2
• a
Fa sin AGO. 7ae eL 1-&3
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 2280!&
TELEPHONE (518 ) 792- 5832
BUILDING INSPECTOR ' S REPORT
REQUEST FOR INS ECTION RECEIVED
NAME —}•�.•� . ( _. _
LOCATION _/
DATE PERMIT
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR ORMS
FOUNDATION/DAMP— OOFING
BACKFILL APPROVAL
ROUGH PLUMBING
to 'FRAMING r
ELECTRICAL ROUGH—IN `
INSULATION: s'
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/.STEPS
STAIRS—CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSV'R (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:
el
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT �� ..-y�
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280%,
TELEPHONE (528) 792-5832
BUILDING INSPECTOR ' S REPORT
REQUEST FOR INSPECTION RECEIVED/
NAME ,07
.�
LOCATION
DATE jI�2 C7�I�Yj __ PERM TT #�
APPROVED
YES NO
FOOTINGIPIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBI,
G
FRAMING
ELECTRICAL RO H-IN d
j/INSULATION:
8
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES STEP
ft
STAIRS-CLEARANC & RAVVALVE
PLUMBING FIXTUR S/RELINTERIOR TRIM/P IVACY
FINISHED FLOOR
GARAGE FIREPR FIND
DOOR CLOSER
CS)
SMOKE DETECTO S
FINAL ELECTRIC INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OP OCCUPANCY MUST BE
OBTAINED FROM THE .BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!'
REMARKS:
INSPECTOR
. Owoj Of "eenjl"rfy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. i Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S 'REPORT
NATM1E�—I
LOCATION
Date f Permit NOII,
APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterproofing
ackfill
vooF$ramming
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief valves i
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 III
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey����������
i�Sext scheduled InspectlOn (call when ready )
Remarks-
Buil g Inspector
6/86 md-vl
Jvwn o� �te�en .3heere�
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury. New York 12801
BUILDING INSPECTOR ' S REPORT
NAME � .. r ec
LOCATION
46
Date Permit No . rc
APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext . Porches
Finished Floors
interior Tram
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg , Fixtures
Gar . Fireproofing
Door Closers
Smoke Detectors
Chimney
IN SU LAT I CSN :
Foundation
Floors
walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY AFFROVA1._
Final Building Survey.
Next scheduled inspection (call when ready
Remarks-
Building Inspector
6/86 and-VI
./own o/ Quee4113 " rry
BUILDING and ZONING DEPARTMENT
Say and Haviland Road, R. D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME IrU � ae �
LOCATION 4, � r•' y �x
DATE -� !__S:EL PERM I T NO .
SOIL TYPE - Sand - Loam - Clay
Percolation Test Required? YES - NO
Percolatio\eachench
n/Inch -
TYPE of SY
Absorptional length
Length of Depth of tSize of grSEEPAGE PIf)
Size- t.Gravel. siz
PIPING : Size Type
Bldgm to tank
Tank to dist . box
Dist« box to el /pit
Openings sealed? YES NO Partial
LOCATION/SEPA TIONS :
Foundation t tank ft.
Foundation absorption ft .
Absorption to lot line ft-
Separatio of pits ft-
LOCATION SYSTEM ON PROPER (circle one)
Front - ear - Left side - Ri t side -
COMMENT
f'
SYSTEM USE APPROVED . YES N
B 3ldi g Inspector
01/86 and v1
,_,lptv4n 01 Queen31Ltry
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. 1 Box 98
Queensbury, New York 12801
SEPPTIC DISPOSAL SYSTEM INSPECTION
J NAME i!54. c6 .e"r,e.
LOCATION �*+� ✓►y�6 1 5 3. S: 7 �e 1
��,, ��'' - ------� •----?ram-�+ ,�firr .
DATE A PERMIT NO, Z j_ qgq
SOIL TYPE - 41nd Loarn - Clay -_
Percolation Test. Required? YES - �
Percolation rate - Min/Inch
TYPE of S STEM:
Absorption field , total len h
Length of a ch trench
Depth of tr ches
Size of gran _
SEEPAGE PITS# umber f) _
Size- -ft, 9 ft.
Gravel size
PIPING : size Type
Bldg * to tank 4y7 G
Tank to dist , ox & a ��✓G
Dist . box to field 'Y t' ✓�
Openings se ed? NO Partial
LOCATION/ PARATIONS :
Foundati to tank ft-
Foundat ' n to absorptio ft .
Absorp on to lot line ft.
Separa ion of pits ft.
LOCAT ON OI"' SYSTEM ON PRO ERTY (circle one)
F'ron - Rear - Left side Right side -
C NTS :
'Pe Se�rj �c #
co.ngec-/t�a s ►/�" ary yr-yr -s r`�
c ac 7-.:,
SYSTEMS USE APPROVED YES NO
Building Inspector
01/86 and vl
�Juw►r c►� '�r«r�n .shurc�
PIUILD%NG and ZONING DEPARTMENT
Stay and Haviland Road , R . D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION
Date � /G1 /c�� Permit
APPROVE-D - YE NO
}`opting/Pier F rms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Val VeS
Ext . Porches
finished Floors
Interior 'Prim
Stairs & Raili gs� ___ _.........
Cellar Drain 'ile
r-. Oncr+ete Fl rs - -
Plbq * Fixt es
Gar . Eire , oofing
Door Clos rs
Smoke ne ectors
Chimney
IN SUI,11T ON :
Foundat on
Floors
Walls
Ceiling.
FINAL F.I.ECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
i3ext scheduled inspection (call when re/ar�dy )
Remarks- ( ' ,/VG+ � '+`- .
Iluilding iru;p.._ctor
.Jaeurr o� �ueens6ure�r
BUILDING and ZONING DEPARTMENT
Bay and hlaviland Road, R. D . 1 Box 98
Queensbury, New York 12801
BUI ZD1NG INSPECTOR ' S REPORT /
NAME !
LOCAT 1 CANS
Gate /`r'� / Permit No .
✓ = APPROVED - 'YES NO
FootingfPier Farms
�ridatir3n .
Waterproofing
Backfill
Framing
Rooting
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext . Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
E'lbg . Fixtures
Car . Fireproofing
Door Closers
;make Detectors
Chimney
IN S U I.AT I ON
Foundation
Flexors
Wa I I :i
Ceiling
FINAL ELECTRICA INSPECTION
IRRIVEWAY APPROVAL
final Building, Survey
lext Scheduled inspection ( call when ready
.emarks-
Build ' ny Ir3Spector
/86 and- vl
�.Iivwn a� �eeeerts�aer�
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING/ I�NSPECTOR ' S REPORT
NAME
LOCATION ,r '�,�y ��� � r
Date •e j / Permit No . III �
✓ = APPROVED - S NO
4M1,oting/Pier Forms
Foundation
Waterproofing
Backfill
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 . Fireproofs g
Door Closers
Smoke Detector
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-V1
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HA VX LAND ROADS
QUEENSBURY, NEW YORK I2901-
TELEPHONE (518) 792-5832 _�-
BUILDING INSPECTOR ' S REPORT
REQUEST FORM SPECTION RECEIVED
J_. +�+���
NAME /�.L AZ
,��
LOCATION �1 u/f2iza2ta
DA TE '7 9 P IT # r' —I
APPROVED
YES ND
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PR FING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
EILING
[./FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING Z -
EXTERNAL PORCHES/ST PS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/ ELIEF VAL E
INTERIOR TRIM/PRI ACY DOORS 6'
FINISHED FLOORS
GARAGE FIREPROOF NG
DOOR CLOSER (S) C'
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL O CONSTRUCTION _
A SIGNED CERTIF CATE OF OCCUPANCY MUST BE
OBTAINED FROM T E BUILDING DEPARTMENT BEFORE
THESE PREMISES OCCUPIEDf
REMARKS ;
e C/ l
INSPECTOR
NIEW
ORK
BUILDING DEPT. COPY OF T�LIC WITH BUILD Le DE TYWHEN BOARD
OFD IRE UNDERWRITERS,
DATE
CITY OR QLu"ms, '=f TOWNSHIP amummallCOUNTY
VILLAGE
STREET AND Ni OR ,�'� ��t �l� PO
ROAO AND POLE NO.
BETRIEEN FIAT TWO SECPION - BLO19K LOT
CCRROSSSYRF'€Ts IsOCCUP t
BUILDING
ANTS V y1 A OCCUPANCYNAME ,-
OWNER'S NAME /y am t� /�lIIYB ,t,c�..r 119 � Stre" " TEL. i ' ' i -h
AND ADDRESS �'+"�.►`��' Bu� F` 'F
OFFICE
S7,)PPLWD FROM THEIR
BY 11F[',1�,I[ REMOVED
E
�1 y NEW ® ADDITIONAL REfMOVEO
BUILDING NEW'P 1 OLD IS
IS
LIST BELOW ALL EQUIPMENT WHICH YO INSTALLED
BRANCH OFFICE USE
Na of Flalhtlsa 5 IiIIDTORS HEATERS CIRCUITS ONLY
NUMBER OF OUTLETS LAND awmpeeefee
Leaear „A iNSPECT1aN
two Sids AtNI Ser�ath pmµ do Bracket Ne Two En flesh
Coo" 11FeN Rae+P'1a
Oalt-
IM9
si
bass
now
list FL
FI
SId FL
DD NOT USE THIS SPACE. ,
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE:
appernd but if at ome Of inwa IIlsn dae*a "s fosnd additional +wipmans not above listed,
Ttws apofi "i ilia io"oded io cove• the abo+r+ ho&d e�gaipnaant Vp be I ae � by tho &PIl i t
Yuu are a17tltarisell m awake the inaPaedan and acli db fee m cowl the addltian.l Tupil tent• TOTAL
ELECTRIC SIGN WATTS
SIZE i� a FEEDERS LAMPS
EXPOSED GAS TUBE SIGN VA
CHARACTER • C CONCEALED TRANSFORMERS OF
W OF ORKRenigh in INUMBER! (CAPACITY)
WORK TO BE COMPLETED SIZE OF SIGN
STARTED
MAKER
SERVICE OVERE HAD UNDER[iROIIND
OF SIGN
ENTERS
MS'PEGTION REQUESTED Nay OLO
POSSIBLE NEAR AS �g,L,�. 1RiiiWs 17
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES DATECAF7lON
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS �/ SIGNATURE
ME OF
NA F �4,a,1 T e�+,a's 'Ieyw• OF APPLICANT
PP ALICANT
TELEPHOME *
STREET ADDRESS zip LICENSE NO.
CITY OR nal 1 IaTalrt li1'St CD012 7(tIMHEN APPLICABLE
POST OFFICE F
4e TL (R"- lip! A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
Lxu
RESIDENTIAL AND 'COMMERCIAL CONTRACTORS 1 19 DUNNING STREET
gALLSTC]N SPA. NEW YdRNC 12020
(518) 899.9161
January 3 , 1989
Town of Queensbury
Bay at Haviland
Queensbury , NY 12801
This is a request for extensions on the building permits listed below .
', hank you for your consideration .
3 , 10 , 11 , 15 , 23 , 26 , 49 and 51 Margaret Drive
1 , 3 , 5 , 7 , 9 , 11 , 1.3 , 15 and 17 Queen Anne Court
19 , 21 , 23 , 26 , 28 , 30 , 32 , 34 and. 36 Queen ,Anne Court
38 ,40 , 42 , 44 , 46 , 48 , 50 , 52 , 54 , and 56 Queen Anne Court
Sincerely ,
Richard H* Guyer II I
QUEEN VICTORIA'S GRANT
QUEENSBURY, N.Y.
CLEAN OUT
TO GRADE
-.. 99.
M
Mq RGA RF T
6-0 DIAMETER
9=O DEPTH
2000901
pR\\JE
VN
v
1�
REFERENCE DRAWINGS
5 SITE UTILITIES
SEPTIC ( WATER
VonDUSEN t STEVES
SURVEY PLAN