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1987-926 i CERTIFICATE OF OCCUPANC Y TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date At, 4 19 19 B9 r . 87- 926 This is to certify that work requested to be done as shown by Permit No. has been completed. � of Two Family This structure may be occupied as a 21 Queen Anne Court - Queen Victoria ' s Grant Ubcation Owner Guyer Builders , Inc . By Order Town Board TOWN OF QUEENSBURY Building b Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No 87-926 � WARREN COUNTY, NEW YORK Q . t PERMISSION is hereby granted to Queen Victoria ' s Grant a l OWNER of property located at 21 Queen Anne Court 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 Oueensbury Building and Zoning Ordinance. m t . DwNE R"s Address is Guyer Builders Inc . fD 119 Dunning St . Ballston Spa , N . Y . *i 90* 12020 ~ n a 2. CONTRACTOR or 8UI LDER'S Name Same ri W Qs m ri 3. CONTRACTOR or BUILDER'S Address sU Same r�r 4_ ARCHITECT'S Name ry 5. ARCHITECT'S Address A G ro so 0 6. TYPE of Construction — (Please indicate by XI ( x} wood Frame ( } Masonry ( } Steel i i n 6 C rt rr 7_ PLANS and Specifications No. 31 ' -6" x 391 as per plot plan, specifications and application including septic system and attached one car garage . MODEL M 8, Proposed Use } of Two Family Dwelling 5 . 00 C /o o 96 . 00 July 1 19 88 ES . 3 Ilf a longer period is required an application for an extansion must be made to the Building and Zoning inspector of the p town of Queensbury before the expiration date.) ,zy W Dated at the Town of Queensbury this 31st December 19 87 Day of �Y SIGNED BY � for the Town of Queensbury Building and Zoning Inspector A00 . TO BE COMPLETED BY BLDG . DEFT . a ■ Application No . dawn oueen36ure� L.a Permit Issued 19 I BUILDING and ZONING DEPARTMENT Permit Expires 19 OCT 937 9 ' Bay and Flaviland Road, R. D. 1 Box 98 zoning Designation +ISa �.7J Queensbury, New York 12801 Variance No . :, k I X 1 77 Site Plan Review No . Approved by : &p APPLICATION FOR e,4 BUILDING AND ZONING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING .CONSTRUCTION . ANSWER ALL OF THE FOLLOWING . The undersigned hereby applies for a Bu3.lding�. Permit to do the following work which will be clone 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 . 899-9161 Property Location : 21 Queen Anne Court Tax Map Na . 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 ITT 119 Dawning Street , Ballston Spa , NY 12020 899-9161 Name P . O. Address Tel , No . Name of builder Guyer Builders , ln9kddress 119 Dunning, Street Tel . 899-9161 Name of plumber > .Address DffW- ng reef Tel . 599-9161 Name of mason Guyer Builders , n'Q adress� 119 Dunning Street Te1 . 899-9161 NATURE OF PROPOSED WORK. : ZONING INFORMATION : X Construction of a new building A PLOT FLAN 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 DEMOLITION PERMIT , STATE SIZE AND * whether interior or corner lot . Show location FOR LOCATION * of water supply and location and configuration STRUCTURES AFFECTED. of septic disposal area . * COMPLETE INFORMATION REQUIRTD BELCtW . * Size of property 10( of £ * Existing buildings) Size Model M * AA PROPOSED BUILDING AND USE : of I/M * Existing building ( s ) Usd Size of new structure 31 ' -6'ft Foundation-pier/slab/crawl/partial/full * Proposed building , distance from property line (circle one ) ft No . of stories (habitable space ) 2 * Front yard 30 ft Rear yard 30 Height ( grade to ridge) 25 ' -0" fte * Side yards 15 ft and 15 ft * If on corner , setback from side street 30 ft If residential , no * of families 1 Of 2 Noe of rooms ( excluding baths ) 5 * OCCUPANCY INFORMATION tof bedrooms 2 PRIMARY BUILDING - o. of bathrooms 2 * one family dwelling 4rimary heating system Electric baseloarci * =Two family dwelling Type of fuel Electric Multiple dwelling / Number of units No . of fireplaces to be installed * Permanent occupancy Will a wood stove be installed? � * Transient occupancy Central Air conditioning? Business * BUILDING STYLE, PRIMARY STRUCTURE. * Industrial * other Ranch Contemporary Log cabin If addition , what will use be? Raised ranch Mansion Duplex 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 CONSTRUCTIONF - INFORMATION ON BUILDING SPECIFICATIONS . ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED ! Form BPA 4/86 and-vl 's BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc .y Wood 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 ) 48 mirMnum Will there be a cellar? no Heated or unheated? Floor squ footage sq ft Will there be a basement? no Will any portion be used as listing space? ( If so , what portion? sq. ft . - - Type of use? Type of roof - sloped/flat/shed/other Material of roof fiberglass shingles Size , wood studs 2 "x 6 It spacing o . � . length 8ft . Joists ( floor beams ) 1st . floor N/A "X spacing "'o . c . span ft . Joists ( floor beams ) 2nd . spacing 16 "o . c . spanl814"ft . Overlays (ceiling beams ) N/A "x "' spacing "o . c . span ft . Roof rafters 2 " x 10 of spaci� ng 24" o . c . span ft * Roof trusses (pre-engineered) spacing �t "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 ft . Depth of chimney foundation below grade N A ft . Depth of fireplace hearth N/A ft . in . Water supply - Municipal or private well. M=icipal 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 S P E . 0 Town of Queensbury q F F I D R 11 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 specifiers or not , and that such work is authorized by the owner . Y SWORN TO BEFORE ME THIS Signatur _ - __ _ �--__-_ - Owner , owner ' s ag t , rcnitect , contractor ,ALL clay of 19 7 N ry y , N . Y . * * � w 2% * * * * * * * : * * * * : * * * * * * * * ,► SPECIAL CONDITIONS OF THE PERMIT : 1253 square feet living 264 Square foot garage - one stall. @ $7 , 00/ 100 Or part of $ 5 * 00 one stall garage $5 . 00 C/0 perm:Lt Total BY________________........________......_ TOWN OF ¢UEENSSURY WARREN COUNTY , NEW YORK Application fore BUILDING PERMIT IN COMPLIANCE WITH THE NEW YOR1C STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work . ANSWER ALL of the followings 1 . Gross floor area 1253 2 . Type of heat Electric baseboard 39 is the building mechanically -~cooled ? No 4 . Percentage of area of windows and doors.Ft 1 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 ? 4o is basement heated ? YES NO a . R value of insulation s . Type of insulation s . Under 16 % OnIX 1 . R value of roof and floors exposed to ambient condition s R-38 2 , R value of exterior walls R . 23 . 5 U. =0 . 04± 3 . R value of glazed area U . =0 . 30 4 . R value of doors R-14 . 9 M =60) s . R value of floors over unheated spaces N/A 6 . R value of slab edge insulation - unheated slab N/A 7 . R value of slab insulation - heated slal:2 • 5 8 . R value of heated basement/ cellar wails ( above grade ) N/A 90, R value of heated basement/ cellar walls ( below grade ) N/A ion Type of insulation Fiberglass - C . Controls 1 . Thermostat maximum heat setting + D . Duct Systems N/A 1m is duct system installed in unheated spaces ? YES NO a . If YES , R value of duct installation 44 b . IR value of duct in other areas E . Pining Insulation N/A 1 . Size of hot water or coaling carrying agent pipe 2 . R value of pipe insulationi Fol service Water Heating N/A 1 . Performance efficiency 2 . Temperature control setting maximum G . For Swimming Pool Only N/A 1 . Maximum heating Telephone No . ( 518 ) 899-9161 :Z:4 nt ' s gri 9 ure ) iiiiiiiiiiiiiiiiiiiililiiilllllllllllllllllllllllllllllllllliiiiiiiiiiiiiijiliiiiiiiiiililllllllllllillillilillillillilI - --7 _ 9 � ►►��+Kcv, l�tc• IJY1[1DLE XKCxLQ DEPART " - '_ July 19 , 19 89 - , , 11 �Gx o��� in accord "$! yt _ - . .. _..", approved as being ;equipment listed has been exd s. tt�t�e$ that i-N overnmental , utility arti A �C+ .' Cer q applicable 9 -iY With the National 'Elect = G tetl this er Build r 4r iPnygni and Insf B7lad aHe ai anS�^atl'a 10 or Cux1 A3 raYml !f �- } ' O carySic ni B1 ant jxh n.It and v i5.introduC and aPl�iicaxron fPr owner: S iJ17Lle �+ Oaaa t e r date. 44 additional picaMa Agency oCCIJ X7afit- �'-1. �' ex iahnfl sYslem thl thy to this A9 insurance carnet n 1 (`xyg E+(7 s•-= +� y p$ in Spaclwn sfiaulrl qe aubmitiaC P ant same fa his PrdPe, rowed L OC Btf(]rl. G t "f .T'Y# fr %i4Ytlaf al ihls GBRiliCata ahgWld ni{iCalion of BleGfricBl equlDmBnl aPP S(] Outlets ; 4Zej; t c3ances� }° � R. L [ assPacnad p'nyiasevia w Equipment: 1) , > t ��p . 150 A,, FGuyer Builder 119 Dun', StNY 12 gppflaar»t. � Ballston TO�V�13 OF QUEENSBURY 13UXLDING AND CODES DEPA-1: E BAY & HAVIIAND ROADS I280%- 17UEENSBURYr NEW YORK TELEPHONE ( 51s ) 792-5832 W Icy-jjjG INSPECTOR' S REPORT FOR INSPECTION RECEIVED RES2UEST _� -- NAME T,OCATIO��N{{ �� /�(} _ PERMI'T # DATE f__-+!-=---"�"� APPROVED YES NO OTINGIPIERS MONOLITHIC POU FORMS FOUNDATIONIDAMP , PROOFING BACKFILL APPROVAL -~--- ROUGH PLUMP.+ING FRAMING ELECTRICAL ROUGH-IN INSULATION -* FOUNDATION FLOORS WALLS CEILING TION = �- rNAL INSPEC CHIMNEY HEIGHT ✓, ROOFING SIDING PORCH ISTEPS a ----�- EXTERNAL & RX17L STAIRS-CLEARAN ESIRELIEFALVE,_� PLUMBING x^RrM PRIVACY DOOS__---- INTERIOR RS FINISHER F OOFING -�' GARAGE FIREP DOOR CLOSER ) 3., SMOKE DETEC ORS L INSPECTION FINAL ELECTRI A OF CONSTRUCTION p'INAL APPRO�'A FrCATE OF OCCUPANCY MUST BE SIGNED CER7 BEFORE SrGNED FROM THE BUILDING DEPARTMENT OBTAINED OCCUPIED ! TFiESE PRE["MrSES ARE REMARKS °�� f „ IN PECTOR T0 1 114 0-F QU o BUILDING AND CQDr"ES D DEPARTMENT E BAY �& HAVILAMEW ND RQYORK 2280116 QIJEENSSURY • 5].8 ) 792 � 5832 TELEPHQNE BUILDING xNSPECrrop S FtEPt]RT BUILD REQUEST FOR IN PECTION REGEIVED��__ NAME LOCATION PERMIT # -- DATE APPROVED YES" NO FOOTINGIPIERS MONOLITHIC FOUR FORMS FOUNDATION/DAMP~PROOFING BACKFILL APPROVAL ROUGH PLtdgxNG FRAMING GH_ IN ELE TRICAL ROU ULATION = FOUNDATION ` FLOORS WALLS CBIL G FINAL INSPECTIO CHIMNEY HEIGHT ' ROOFING SIDING STEPS .EXTERNAL PORGHE 6 RAILS STAIRS-CLEARAN ES/RELIEF VALVE PLUA4BING FIXT PRIVACY DOORS INTERIOR TRI RS FINISHED FLd ppFING_ GARAGE FIRE AIR C T.,OSER S ? ,�--�-�-�--�- DETE TORS SMOKE ,l CAL INSPEC'TIf7N_�� -� FINAL ELEC _R#L CONSTRUCTION A _�1--- FINAL APPROVL OF OCCUPANCY MUST BE FORE A 5IGNED CERTIFICATE UIOF jjvG DEPARTMENT OBTAINED FROM THE OCCUPIED , THESE PREMISES ARE REMARKS ` IN EJR Towt4 OF QUEENSBURY i BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY , NEW YORK I2844- TELEPHONE ( 51. 8 ) 792,5832 BUILDING INSPECTOR' S P"ORT REQUEST FOR INSPECTION RECEXVED.---- NAME LOCATION PERMIT # � ,DATE APPROVED YES NO FOOTING/PXERS MONOLXTTTIC POUR FORM FOUNDATION/DAMP—PROOFING TTACTCF XLL APPROVAL TROUGH PLUMBING'* FRAMING L ROBGH—IN ELECTRICA INSULATION: FOUNDATION FLOORS WALLS CEILING TION FINAL INSPEC3 CHIMNEY HEIGHTS ROOFING r . SIDING EXTERNAL PORCHESIg ELd -------�--- RAILS�— STAIRS^CLEARANCE RELIT PRIM/ VALVE PLUMBING FIXTUpR�VACY DOORS ZN2ERIOR FINISHED FLOORS GARAGE FIREPR ING DOOR CLOSER (S) SMOKE DETECTO S ELECTR ICA INSPECTX[7h1 FINAL VA OF CONSTRUCTION F FINAL .T NA L APPRO L ICATE OF OCCUPANCY MUST BE A SIGNET] CERT E BUILDING DEPARTMENT BEFORE OBTAINED FROM H PREMISES OCCUPIED ! THESE ' REMARKS = 4PECTOR 1 ! BU4t.DING and ZONING QEPARTMENT gay and Haviland Road " R -0 . 1 Box 98 ' ()ueensbury, New York 12801 BUILDING 1 NSPECTOR ' S REPORT LOCATION Permit. Nc, . APPROV1:11 - 'YES NO ting/Pier Forms 1'•c7unc3atiost wa tc rprno f ing Back f i l l vraminq lioof inq ,iicling mzksonry Wrreer ktoucjh Plumbinq ]relief valves 1"xt . Porches 1- inis'ly d Floors interior 'Prim _stairs & Railings Cellar Drain Tile coricrete F10Ora_ 1'lbg - Fixtures Gar . FireProof. inq Door Closers Smoke Detectors Chimney 1 A"P I ON c�undation Flaor a walls, ccilinq_ _ FINAL 3:1 [,CTRWA[ It3SP7 C"PIO>1._�_ I)RjVF.WAY APPROVAL Survey Final Build '" t1ex lied'-" led in;sp ection (Call when ready ) Remarks- Si ling 1 r�`;17t c, for of Q" eerjshuraf ✓ " B01LDlNG and ZONING DEPARTMENT Bay C]eensbu y. New York� 12801 98 BUf LDING INSPECTOR ' S REPORT NAME LOCATIONQ.- t.r �� Date /` �� permit No . / * * * * * * * * * * * * * * �,•` * APpROVED - NO to, Doting/pier Forms foundation Waterproofing Backfil l Framing Roofing Siding Masonry Veneer Rough Plumrnbing Relief Valves t,.xt . Porches Finished Floors Interior Trim Stairs & Railings ,Cellar Chain Tile Concrete Floors p1bg . Fixtures Gar . Fireproofin Door Closers Smoke Detectors Chimney T N SU LAT I ON Foundation Floors Walls Ceiling_ F IN Al, El ECTRIC L INSPECTION�� �.. DRIVEWAY APPRo AL �urvey Final Building Next S�ch�eduled insp action (call when ready) Remarks- Y Building InsPector 5/86 and-vl `Inw►n of Q"ee► JIdAry BUILDING and ZONING DEPARTMENT Bay and Haviland New oadl, R-EYYork 1 Box 98 Queensbury. SEPTIC DISPOSAL- SYSTEM INSPECTION NAME _ LOCATION MATE . do 1 PERMIT NlO « ! SL— � SOIL. TYPE and Loam - Clay fired? YES - N percolation est ReM n/Inch percolation rate Ti of SYSTEMS total lengt Absorption field , Length of a ch trench Depth Of tre ches Size of grave SEEPAGE PITS-W er of) Size- _£t« Gravel size Size T 'ple pIPxNGS f/G ,Bldg . to tank ,Irad, G Tank to diet. box Dist. box to £ fie d/PiS NO partial Openings sealed LOCATION/SEPA TONS . ft. Foundation t tank ft . absorption Foundation 'E lot line ft' Absorption o f t« Separation f pits y (cir LOCATIOI3 cle one) SYS OI3 TEM PROPE side - Front - R r - Left side g CCMMENTS : 17 SYS'S.`EM USE AP pgOVED 'YES NO Build ' g inspector Q1,,/86 rnd vl .Down of Qtteern .31 "ry BUILDING and ZONING DEPARTMENT Bay ,and Naviland Road. R. D. i Box 98 Queensbury. New "York 12801 BUILDING INs PECTOR ' S REPORT NAME LOCATION r Peri NO Date {�v ±�-- - mt * * * * * * * * *j/* * APPROVED - YES NO Footing/Pier Farms Foundation waterproofi Backfill Framing Roofing Siding Masonry veneer Rough plumbing Relief Valves Ext . porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete VJAW�`s V)lbq . Fixtures Gar . Fireproof ' n9 17oc� r Closers ms�ke vetecto s Chimney INSLSLATION : Foundation Floors Walls Ceiling FINAL ELECTR AL INS PECTIdN %)ItjvEwAY APPROV Final Building Survey -- -�= e/c�trion (call when ready ) Next scheduled In Remarksrr- } p,pQr� I�GAcZ11� Hui ding In ector 6/86 and-VI BUILDING DEPT. COPY OF APPLICATION FORM 46-E L. NEW PORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED. CITY on m"wt+V TEMP. iR DATE VILLAGE Q sbur.a TC�YVNSHIP bury COUNTY T STREET AND NO. OR Zl Quo n �'F'' Amie ROAD AND POLE NO. C� Court POLE NO- BETWEEN WHAT TWO CROSS STREETS IS PREMISES LDC TED SECTION f BLOCK LOT OCCUPANT'S BUILDING NAME q �+y OCCUPANCY ' OWNER�S NAME AND ADDRESS a yer WURders, Imes 119� tea Dmnl Stree TEL. #CURRENT SUPPLIED - - FROM THEIR OFFICE SUPPLIED BUILDING WORK .�-+t� DEFECTS IS NEW OLD © IS NEW L'R ADDITIONAL ❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED BRANCH Fixturialat NUMBER OF OUTLETS Limp Rsceptaviss MOTORS HEATERS CIRCUITS OFFICE USE Loee ONLY tion Side Atlech't H.P. Wexts A.W.G. C/ilinRR Walt Reap'la Swiuh Pendant Bucket Me. TvPa Eeob No- Each No. Gauge INSPECTION ' Out- side bBUeee Bess• mart 1st FL 2nd FR. Sell Fl. REMARKS: LIST OTHER ELECTRICAL OE V IC ES NOT SET FORTH A13OVE: DO NOT USE THIS SPACE.. This application is intended to cover the above-Iisted equipment lobe inspected but it at times of inspection there is found additional equipment not abovs listed, you are authorized so make the inspection and adjust the fee to cover the additional equipment, as provided by the OPPI icon - SIZE OF ELECTRIC SIGN TOTAL MAINS 150 Ama. FEEDERS LAMPS WATTS TUBE SIGN OFAWORK ER i. +� $ Ice CONCEALED ED OAS ALED TRANSFORMERS OF VA WORK TO BE SNUMBERl (CAPACITY$ STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS OF SIGN BUILDING INSPECTION REQUESTED ON OR AS NEAR AS NEW OLD POSSIBLE AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND � ADDRESS NAME OFAPPLICANT_._.3a.� �-l- "♦Y--� APPLICDATE ATION & �y 7 STREET ADDRESS 10 37E1EM XM Street TELEPHONE # 89970J�1'�.t11. POST OFFICE �'� CODE L.2= WHEN APp LICENSE PO. LICABLE (CABLE 46 EL (Rev. 41851 A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING �q 4 , a, 0 OOP 0 O o �s oe QUEEN VICTORIA'S GRANT QUEENSBURY, N.Y. ANNE f f f LT f f 3.5 8'-0 DIAMETER 9'- 0 DEPTH �T 0 o 35' �yof ,y5 100, looll M 87.71' 2000 9a I 1000, .101 120.0� .r- REFERENCE DRAWINGS SA SITE UTILITIES sEpfIC A WATER Von©usEN 4 STEVES SURVEY PLAN