1987-917 r �
% CE,RTIFICA.TE OF �CL31'ANCY
TOWN OF QUEENSSURY
1
WARREN COUNTY, NEW YORK
Date_ March 6 . 19
cJam-'' ' Q0 a-4s1 i [ 87- 917
This is to certify that work requested to be done as shower by Permit No.
has been completed.
3 tr of Two 1�aMfly Dwelling
This sucture may be occupied as a
location 3 Queen Anne Court - Queen Victoria ' s Grant
Guyer Builders Inc .
Owner
f
By Order Town Board
i
TOWN OF +QUEENSBURY
5
I
! Building wzonins inspector
I
i
BUILDING PERMIT �
TOWN OF QUEENSBURY �
No. 87-917 0
WARREN COUNTY, NEW YORK '
r.a
PERMISSION is hereby granted to Queen Victoria ' s Grant y
OWNER of property located at 3 Queen Anne Court Street, Road or Ave-
in the Town of Oueensbury, To Construct or place a J of Two Family Dwelling
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1 . OWNE WS Address is Guyer Builders Inc .
119 Dunning Street rm,,
Ballston Spa , N . Y . 12020 n
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2. CONTRACTOR or BUILDERS Name F
Same VD
ur
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3. CONTRACTOR or BUILDER 'S Address Same '
4. ARCHITECT'S Name
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5. ARCHITECT'S Address n`
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6. TYPE of Construction — (Please indicate by X)
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I Wood Frame ( ) Masonry f 1 Steel I ) eHt
7. PLANS and Specifications
No. 32t x 37 ' as per plot plan , specifications and application including
septic system and attached one car garage . MODEL E
S. Proposed Use
� OF TWO FAMILY DWELLING £
a
B
$5 . 00 }'
$ 96 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES July 1 , 19 88
(if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Oueensbury before the expiration data.)
Dated at the Town of Qlueensbury this 31st Day of December tR 87
SIGNED BY A1A0ZedZffX2 for the Town of Clueensbury
Building and Zoning Inspector 4404t�
'- - TOWN Cr �4 TJy. N:s
lication Noe
..Jow o �eenal esr Permit Issued 19 kw
51.11La1NG and ZZONING DEPARTMENT Permit Expires 19 3Q �
Say and Havil$nd Road R.D. 1 Box 88 Zoning 'Designationk , f
Queensbury. New York 12801 variance Noo
c�
site Plan Review No . BU#L �c �C1EFT•
C-144A.Ca+C /�;Mr'/ Approved by x s
APPLICATION FOR
BUILDING AND ZONING PERMIT '
it +Ilr r w e a �► +r +r +� +r ,w � e it a i1 +M a � a • �► +r +r it • +t' � �r ,n +r * � it � a � sa*
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRICTION . 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) $99-9151
Property Location : flax Map No . 121 / 2
Street number or building lot number
Subdivision name (if applicable) Queen Victoria ' s Grant
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGAMS ]BUILDING CODES Ise
Richard H. a er III ( 518) 899-9161
Tel . No .
Name P. O. Address
Name of builder Guyer Builders , Inc -Address 119 Dunning Street Tel . ( g] 8} $99-9Inc -Address
Name of plumber yer rs , c *Address ng 5treeT Tel . -
Name of mason yer rs , •Address ng ree Tel .
NATURE OF PROPOSED WORK: * ZONING INFORMATION :
Construction of a new building " A P140T 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. .
4ATION REQUssee Pro
,�" loot pNIA f t X 120 f t .
x � building s) Size NIA"'-'ft
Hodel
PFDFOSED BUILDING AND USE : Of Existing buildings) Use NIA --
size �
Size of new strut a 31 ft X ft
Poundaticn-pier slab crawl/partial/full * Proposed buildings st nee �ep Property line
circle one ) ,� Front yard 30+ ft Rear yard 30+ €t
1:Iow of stories (habitable space) 1 * Side yards 15* ft and 15t ft
Height (grade to ridge) 19 b ft • If on corner , setback .from side street ft
if residential , no* of families of 2
No . of rooma (excluding haths )� * OCCUPANCY INFORMATION
No* of bedrooms „ PRIMARY BUILDING
No & of bathrooms One family dwelling �i�t 15e�%Ar
Primary heating system se a ectrlCw -�-� family dwelling ones, I s �s
Type of fuel . Electricity 1
Multiple dwelling / Number of units
No of fireplaces to be installed NQ * Permanent occupancy
W �i. a wood stove be installed? 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 #5uple
Split Level Old style Bungalow "
Cape Cod Cottage Other * ACCESSORY BUILDING- c
Town 'House '� Detached garage/one car/ two car/ car
Colonial Row One car
( CIRCLE ONE PLEASE ) * �AttaChed garage/one car/ two Car/�,�.
* w * * * * * * # * * * * s ♦ w Private storage building
US TI14ATZD MARKET VALUE OF " Other
CONSTRUCTION
iNVoVMATION Ora •BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS $FiEET, TO BE COMPLETED '
Form BPA 4/8+6 md-vl
41JILDING PERMIT APPLICATION CONTINUED -
WILDING SPECIFICATIONS :
Type of construction, wood frame , fire safe , etc * wood frame
Will any second-hand or ungraded lumber be used? If so, for what? no
Foundation wall material concrete Mock Thickness
Depth of foundation below grade (to bottom of footing ) minims
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 par sq. ft . - - Type of use?
Type of roof - sloped flat/shed/other Material of roof Fi�rg ass Shingles
Size, wood studs "X b " spacing"o . c . length 8 fto exterior wails
Joists ( floor beams ) lst . floor NIA ' »X '• spacing "o . c . span N/A ft .
.joists ( floor beams) 2nd . floor Lj' "X ' spacing o . c , span N A ft .
Overlays (ceiling beams ) "'X N spacing 24 '"o . c . span N/A ft .
Roof rafters '"X " spacing�4 o , C . span N/A ft .
Roof trusses (pre-engineered) spacing i�► "o , c . spa 21 =+5'ft .
Exterior wall finish stained Of what material? 5/81" x 4. ' x 8 " texture 111
Interior wall finish pain sheetrock .
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 Jand dwelling? yes If so will a Fire-rated
doorg enclosure, and $elf-closing device be provided? fires
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 WLU-LiCipal
SEPTIC SYSTEM _ 'Distance from ANY private well { including adjoining properties ft .
(A separate application is necessary . for an re air or new installation of septic system)
See S . P. E. D . S . yernu_t # 026252
Town of gueensbury County of Warren A F F I D A V I T --- - 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 .
SWORN TO BEFORE ME THIS Signature
/ Owner, owner ' s gent , arcnicect , contractor
day of 19 �`✓ �M�dM4urIM, romm
all Ilr of now Vwk �
Notary Public , Ift6iPon County, N . Y . � �MaMOri. l& MAU
SPZCXA14 CCWDITIONS OF THE PERMIT :
S* �.
"F 1040 Square feet living
240 Square foot garage - one stall
1280 @ $7 . 00/ 100 or part of
$ 5 . 00 One stall garage
$5000 C/o permit
Total
TOWN OF QUZZNSBURY ,+E+
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 .
&NGWBR ALL of the following = 4-2
x i . Gross floor arear S . F.
30 Type of beat Baseboard electric
3 . Ie the building mechanically cooled ? No
40 percentage of area of windows and doors 13 * 3%
A . Over 16 % Only
1* Ua value of gross area of walla , roof /ceiling and floors
exposed to ambient conditions
Z * floor over heated spaces YES NO
AV Are foundation walls insulated ? YES No
1 * If YES . what is the R value ?
3 * Slab on grade YES NO
As 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
p . Under 16 % only
1 . R value of roof and floors exposed to ambient conditions.
R-38 (U* =0 * 026)
2 . : R value of exterior walls gQ= R-23 * 5 U*0 * 04
3 * R value of glazed area U * =O . 33
4 * R value of doors R-14 . 9 (U* =0a06)
5 * R value of floors over unheated spaces N/A
6 . R value of slab edge insulation .. unheated slab NIA
7 . R value of slab insulation - heated slab 12 * 5 Monsoon
a * R value of heated basement/cellar walls ( above grade ) -N/A
90 R value of heated basement/cellar walls ( below grad* ) N/A
10 . Type of insulation Fiberglass
C * Controls
1 . Thermostat maximum heat setting
O . Duct s stems 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
Be Piping Insulation N/A
1 * Size of hot water or cooling carrying agent pipe
2 * R value of pips insulation
$ * Service Water Heating_ ' • '
1 * Performance efficiency N/A
Z * Temperature control setting maximum. r
G . For Swimming Pool Only
1 . Maximum heating N/A Af
Telephone Was ( 518) 89"161 --
( applicantoG si ature )
x
APPLICATION FOR SEPMC DISPOSAL PERMIT
Ref: S . P. E. D. S .
DATE October 1 / 87 pelt #
New York - 0202525
MODDEL N of �
LOCATION OF PROPERTY FOR INSTALLATION 3 Queen Anne Court
Owner's Names Guyer Builders , Inc . Telephone: ( 518) 899-9161
Address: 119 Dunnim Street , Ballston. Spa , New York 12020
Installer's Name: Guyer Builders , Inc Telephone: ( 518) 899-9151
2 A, C , E, I , it K., L, M
dumber of bedrooms (residential only) 2 3 F , G, H
Total daily flow (compute @ 150 gal per bedroom) 300
Topog apby: circle one: lot Rolling Steep Slope 46 of slope
Soil Nature: circle one: Sand Loam Clay Other / Depths $ ' feet
Cwound Watem At what depth? unkswwn 8 feet +
Bedrock or Impervious Material: At what depth? unknown feet
Peculation test: circle one: nvt require required / rate min. inch.
I3onsestic water supply: circle one: M p Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption N/A feet
* PROPOSED SYSTEM: Septic Tank gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench N/A feet / Total system length N/A feet
* SEEPAGE PIT(S) : Number of / Size each feet by feed
* Size of stone to be used # f Depth or Thickness P feet
sss * sss * s * ss * s * s * sss * ss +ssss �lrs +l� sssssssssss
IMPORTANT * See S . P .E.D.S.
...Please...I.IST NEW BOU13PMUNT TO BE INSTALLED persnit & attached
sss * ssss ,rssssssssssssssssssssssssssssssss maps
(over)
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Section 11 Septic System Inspections
A. All applications for septic system installation, alteration or repair, as
required by the Town of Queesnsbury 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 Proporied .location of the gystem
2.) location and distance to lot lines
3.) 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
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 $250.00.
c. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection way result
in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installation,
alteration or repair of an approved system, a new proposal must be submitted
to the Queensbury Building Department before further construction.
1 bare read the regulations above and agree to abide by these and all requiremeuts
of the Town of +Queensbai ry Sanitary Sewage Disposal +[>rdinance.
Signature of.respoasible person*
Date:
` Y
Town of Queensbuury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
c - i- n 17aa HnUF nrw NLTI ' -- " ■11TY _ _ _ 4 1 nnn PI ArF Tn 1 '
MIDDLE DEPART Akfia6QmXWN AGENCY, INC.
e _
14,11 1PJraPEF r/ oatu March 3 , 1989
Cerrlf[ re; that ipment listed has been-.•'e � an approved as being in accord
with the National Elect plicable governmental, utility an ~y s_ C
Owner. Guyer Builde i p e ZLn
Occupant: Single Fami 1�LC�']
Location: 3 Queen Ann ies, Ql II6 c"Imate it let; uipment and installation inspected this
date. If additlunal uk nt sh be introduced or aifaranons made, to
existing system Ink cCerg be null and vo+d, and application for
Equipment: /8 2 ■ Outlets�+ c tac 1 es ; +��i+nspectwn should �fa su 6m4" p ly to this Agency.
15D iSsei Servi A 7 lances ` �Vu"b� a07der of Ibis of oeT ��lficate ah5i w nt same to hka property Insurance carrier
i] �1 +,, ( g p y) aaevr rtifiCatipn of electrical equiPmeni appravad
as spacif:ed.,.+�
FGuyer Builders ^ V,$
Applicant: 119 Dunning Stree _ — -- 0 . 15 -02034 2
Ballston. Spa, NY 120
t owl
seses Ne- 7W EL 1-9 -
0 .
TOWN OF QUEENSBURY 10
BUILDING AND CODES DEPARTMENT LLL
BAY & HAVSLAND ROADS
QUEENSBURY, NEW YORK 1280+&L
TELEPHONE (518) 792-5832
BUILDING INSPECTOR ' S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATIONColn t
DATE `j �r "� PERMIT
APPROV$D
YES -NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING
BACKFILL APPRC�`AL
ROUGH PLUMBING ,
FRAMING
ELECTRICAL ROUGH—IN
INSULATION: p
FOUNDATION '
FLOORS
WALLS
CEILING r
4.o.FXNAL INSPECTION:
CHIMNEY HEIGHT
ROOFING 17
SIDING
EXTERNAL PORCHESJSTE S
STAIRS—CLEARANCE & AAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS.
FINISHED FLOORS I
GARAGE FIREPROOFING
DOOR CLOSER (S)
SMOKE DETECTOR
y�—
FINAL ELECTRICATyIINSPECTION
FINAL APPROVAL F CONSTRUCTION
A SIGNED CERT FICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISE ARE OCCUPIED;
RE—MARKS.
INSPECTOR
..Jeawn a/ Queerr .it ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
r
BUILDI G I SPECTOR ' S REPOR
NAME
LOCATION +
Date
_/ Permit /N40✓ APPR - YE NO
Footing/Pier Fo
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
masonry Veneer
Baugh Plumbing
Relief Valves
Ext . Porches
Finished FlooA
Interior Trim
Stairs & Rail
Cellar Drain Concrete FlooPlbg . FixtureGar . FireprooDoor Closers
Smoke Detecto
Chimney
INSULATION :
Foundation
Floors
Walls
Ceilinr1din
FINAL L INSPECTION
DRIVEWI.�,,
Final urvey
Next scheduled inspection ( call when ready
Remarks- t� `' rst 'z:-"W-'
Building Inspryfor
6/86 and-vl
_./own o� �ueen3 �ur�
BUILDING and ZONING DEPARTMENT
Bay and Haviiand Road, R. D. 1 Box 98
Queensbury, New York 12801
's
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME
LOCATION /` 65 k�• ,y
DATE W !F "" PERMIT NO. "/ - r
SOIL TYPE - and Loam - Clay -_
Percolation Test Required? YES - O
Percolation rate - Min/Inch
TYPE of SYS
Absorption f eld , total leng
Length of ea.c trench
Depth of tren es
Size of gravel:_
SEEPAGE PITS4N er of)
Size- ft. X f
Gravel maize
PIPING : Size Type?
Bldge to tank ¢i jp '4;- -
Tank to dirt. box + r
Dist. box to fie d/pi tf Lr
'Openings sealed YES NO Partial
LOCATION/SEPA TIONS :
Foundation t tank ft.
Foundation absorptian ft .
Absorption a lot line ft.
Separation f pits ft.
LOCATION SYSTEM ON PROP TY (circle one)
Front - Re r -- Left side - fight side _
COMMENTS :
7
SYSTEM USE APPROVED YES
Ell d g ri e tar
01/86 and v1
awn o/ QMeenahury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION , i 11,✓ ir . ; L .
Late j or Permit No .
✓ = -
Footing/Pier Forms APPROVED YES No
��,�undation
Waterproofing
Backf ill
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
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAV INSPECTION
DRIVEWAY APPROVtIL-
Final Building. Survey
Next scheduled inspection ( call when ready )
Remazks-
i d g Ins eCtor
6/86 and-vl
flott n o/ Q41eer736mry
BUILDING and ZONING DEPARTMENT
Bay and Haviland 'Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME 1� ����
LOCATION
Date Permit No . _� _Lf
✓ = APPROVED - YESOO' NO
Footing/Pier Forms yJ
Foundation
Waterproofing
Ba.c3cfi 11
Framing
Roofing
Siding
masonry Veneer
Rough Pl ing
Relief Va ves
Ext , Porch
Finished Fl rs
Interior Trim
Stairs & Raili
Cellar Drain Ti
Concrete Floor
Plbq . Fixture
Gar . Firepro fing
'Door Closer
Smoke Detec ors
Chimney
INSULATION
Foundatio
Floors
Walls
Ceiling
FINAL ELE TRICAL INSPECTION
DRIVEWAY A PROVALti
Final Building Survey
Next scheduled inspection (call when ready )
Remarks-
Bu lding Inspector
6/86 and-vl
i
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT tL }
SAY & HAVTLAN ROADS
QUEENSBURY, NEW
W PORK 3280iE,.
TELEPHONE (528) 792-5832
BUILDING INSPECTOR ' S REPORT
REQUEST FO SPECTX ON RECEIVED 4
NAME t /
LOCA TTON r/
DATE *�2____�
APPROVED
YES NO
FOOTTNG/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING
BACKFTLL APPROVAL _
ROUGH PLUMBIN&
FRAMING
ELE RICAL ROUGH-TN
SULA TION:
FOUNDATION
FLOORS
WALLS f
FINAL INSPECTION.
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS—CLEARANCE ,& RAILS
PLUMBING FTXTURES/RELTEF VALVE
INTERIOR TRIMIPAXVACY DOORS
FXNISHED FLOOR$
GARAGE FIREPROOFING
DOOR CLOSER (,q)
SMOKE DETECTORS
FINAL ELECTRI AL INSPECTION
FINAL APPROVAat OF CONSTRUCTION
i
A SIGNED CETIFTCATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ,ARE OCCUPIED I
REMARKS:
INSPECTOR
TOWN OF QUEENSBURY fy
BUILDING AND CODES DEPARTMENT
STAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 128 pg._ /f
TELEPHONE (518) 792-5832
BUILDING INSPECTOR ' S REPORT
REQUEST FO INSPRCTION RECETVED____�-
NAME -yam
LOCATION
DATE
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDAT-rQN/DAMP-PROOFING
BACKFILL APPROVAL
�(OUGH PLUMBING
,�AMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FL 0RS
WALLS
CEILING s
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCH$?S/STEPS .
STAIRS-CLEARANo!E & RAXLS
PLUMBING FIX7' #ES/RELIEF's VALVE
INTERIOR TRIM1PRIVACY DOoxS
FINISHED FLOG S
GARAGE' FIREPRpFING �
DOOR CLOSER (q)
SMOKE DETECTORS
FINAL ELECTRIC L INSPECTION
FINAL APPROVAL OF CONSTRUCTION
S
A SIGNED CERT.TPXIC ATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT 13EF04RE
THESE PREMISES ARE OCCUPIED!
REMARKS:
n
7
INSPECTOR
REFERENCE DRAWINGS
ANNE
Ll
ool
5A SITE UTILITIES
SEPTIC 4 WATER
Van DUSE N 4 STEVES
SURVEY PLAN
1,3,5,7,9,11
QUEEN ANNE COURT
PLOT PLAN 4 SEPTIC SYSTEM
GUYER BUILDERS , INC . I GLV- 20
DWN ice! ►o- 2.97 1 Scale, 1 20'- 0