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1987-916 t . .- ;: .t- .. M .T•' : r: b :, ,'yilx '.'1 ^t'S .'_. :°< a:- '"�.z; - �..s. r . r..:r^. Y i,,,r.,;�,.,: a s r:.. aars2+ a Y .. � � 4 CERTIFICATE OF CDCCUPA.NC'Y' TOWN OF +QUEENSSURY WARREN COUNTY, NEW YORK Date AuFrust 9 19 $ 37- 91 ( This is to certify that work requested to be done as shown by Permit No. has been completed. � of 'L'wo Family This structure may be occupied as a Location 1 Queer Anne Court - Queeii Victoria ' s Grant Guyer Builders Inc . Olmer By Order Town Board TOWN 4F QUEEN'SSURY Building d Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No 87-916 � WARREN COUNTY, NEW YORK a PERMISSION is hereby granted to Queen Victoria ' s Grant I OWNER of property located at 1 Queen Anne Court Street, Road or Ave. i in the Town of O.ueensbury, 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_ 1 . OWNE R'S Address is Guyer Builders Inc . ro 119 Dunning St . Ballston Spa , N . Y . 12020 C r• 2. CONTRACTOR or BUILDER'S Name rt Same G ft W u 3. CONTRACTOR or BUILDER 'S Address 47 Same rt 4. ARCHITECT'S Name r-• 5. ARCHITECT'S Address O m in 6. TYPE of Construction — (Please indicate by X) ro (x I Wood Frame ( ) Masonry I I Steel I ? 0 H 7. PLANS and Specifications rr No. 34 x 43 as per plot plan , specifications and application including septic system and attached one car garage . MODEL L B. Proposed Use } of Two Family Dwelling 0 rn $5 . 00 C /O £ 0 $ 75 . 00k PERMIT FEE PAID — THIS PERMIT EXPIRES July 1 , 19 88 0 (If a Forwger period is required an application for an extension must be made to the Building and Zoning inspector of the � town of Queensbury before the expiration date.) F `C Dated at the Town of Queensbury this 31st Day of December 19 87 t ro ` 7tZr► Q . � �. y r SIGNED BY ..--�- for the Town of IDueensbur � wilding and Zoning I nspector aq TO BE COMPLETED BY BLDG . DEPT . awn No . _.Jf)wn 0/ Qule'e+Yty [�J "► y Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 teMe. Bay and Havikand Road, R.O. 1 Box 98 Zoning Designation Queensbury, New York 12801 Variance Na . � I Site Plan Review No . ^MA)Cr F YL Approved by : 1j4r4.04r>,f ,,Z:�gll�s 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 descriptione 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 :_ / QVAAZ ,4,nwra-' Cawe1" Tax Map No . 121 / 4 f 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 111 119 Dunning Street , Ballston Spa , NY 12020 899-9161 Name P . O. Address Tel , No . Name of builder Guyer Builders , Inc dress 119 Dunning Street Te1 . 899-9161 Name of plumber a Address ng ree Tel . _ 9161 Name of mason Guyer Iders ,, In dress n Street Tel . 899-9161 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 . 4 . 'COMPLETE INFORMATION REQUIRED BELOW . see blot Size of property. 100± p ft X 120 ft " Existing buildings) Size_ U A ft X_.NJA __ft Mode ., r i 4�.. PROPOSED BUILDING AND USE : of I/M * Existing building ( s ) Use N/ A Size of new structure 31 ' -6'ft x,,,3-9 Tt " Foundation-pier/slab/crawl/partial/full Proposed building , distance from property line (circle one ) Front yard 30 ft Rear yard 30 ft . No , of stories (habitable space ) 2 Side yards 15 ft and 15 ft Height. ( grade to ridge ) 25 ' -0" ft * if on corner , setback from side street 30 ft If residential , no . of families 1 OOf 2 No . of rooms ( excluding baths ) 5 OCCUPANCY INFORMATION No. of bedrooms 2 * PRIMARY BUILDING - No * of bathrooms 2 One family dwelling Primary heating system Electric base}aoa rd Two family dwelling rType of fuel Electric Multiple dwelling / Number of units 1No . o£ fireplaces to be installe _ * Permanent occupancy Will a woad 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- Cape car/ two car/ car Detached Colonial Row Town House * garage/one_X, car ( CIRCLE ONE PLEASE } _^Attached garage/one car/ two car/ * * * * * * * * * x * _Private storage building ESTIMATED MARKET VALUE OF "Other CONSTRUCTION $ 70 00() 02 - _ _ INFORMATION ON BUILDING 'SPECIFICATION'S , ON REVERSE SIDE OF THIS SHEET , To BE COMPLETEDI Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED BUILDING 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 black Thickness $" Depth of foundation below grade (to bottom of footing ) 48" Minimum 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 Material of roof Fiberglass shingles Size , wood studs 2 lox 6 ifspacing 2 "o . c . length 8 fto Joists ( floor beams ) lst . floor N/A " x " spacing "o . c . span ft . Joists ( floor beams ) 2nd . floorl l 7 't'x " spacing 16 "o . c . span l8 ' 4"f t , Overlays (ceiling beams ) N/A "X " spacing "o , c * span ft . Roof rafters 2 "X l " spacing 24" o . c . span ft . Roof trusses (pre-engineered) spacing rt "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/Aft , in . Water supply - Municipal or private well municipal SEPTIC SYSTEM _ Distance from ANY private well { including adjoining properties N/A ft . (A separate application is necessary for any repair or new installation of septic system) See S/ P/E D S permit A 02,Q2525 Town of A F F I D R V I T STATE OF NEW YORK eensbury Warren County off Warren 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 , , 1 SWORN TO BEFORE ME THIS Signature 'a'F l -, ............ Owner , owner ' s a6ent . archirect , contractor /rY day of _I ADRIENNE J. PINCWR Notary Public, State of pd4W V6fR Qualified in Sarat No. 49071 � Notary Public , wrent County , N , Y , Commmsion ExpinW OOL la tlt.., SPECIAL CONDITIONS OF THE PERMIT : 1253 Square feet living -- 264 Square foot garage - one stall @ $7 .W/100 or part of S . 00 One stall garage SoOO C/O permit Total By---------------------------------- --- TOWN OF QUEENSSURY "Vo WARREN COUNTY , NEW YORK Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSSUVATION CODE A permit must be obtained before beginning work . AUGVER ALL of the following : 1 . Gross floor area AR vr .3 ,� S . F . 2 . Type of heat Baseboard electric 3 . Is the building mechanically cooled ? NO 40 percentage of area of windows and doors 15 . 9% 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 N.O 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 Be 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 )002KX R-23 . 5 U. =0 . 04+ 3 . R value of glazed area U6 =0 . 20 4 . R value of doors R-'14 . 9 5 . R value of floors over unheated spaces NJA_ 6 . R value of slab edge insulation - unheated slab N/A 7 . R value of slab insulation - heated slab 12 . 5 Be R value of heated basement/cellar walls ( above grade ) N A 9 . R value of heated basement/cellar walls ( below grade ) N/A 1a 'Type of insulation Fiberglass c . 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 - - 1 . Performance efficiency. NIA 2 . 'temperature control setting maximum G . For Swimming Pool Only 1 . Maximum heating N/A Telephone No . ( 518) 899-9161 ( appll. cant ' s ig ature ) APPLICATION FOR SEPTIC DLSPOSAL PERMIT Ref : S . P. E. D. S . DATS gctobert 1 / 87 permit # � New York 02G2525 �� of �� LOCATION OF PROPERTY FOR. INSTALLATION 1 Queen Anne Court Owner's Names Guyer Builders , Inc . Telephones ( 518) 899-9161 Address. 119 dunning Street , Ballston Spa , New York 12020 Installer's Name: Gayer Builders , Inc Telephone. ( 518) 899-9161 2 A, C , E, I , J , K, I,, M Number of bedrooms (residential only) 2 3 F , G, H Total daily flaw (compute Q 160 gal per bedroom) 300 Topography: circle one: at Rolling Steep Slope % of slope: Soil Nature: circle one: Sapid Loam Clay Other ! Depth. 8 ' feet + Ground. Water: At what depth? awn 8 feet + Bedrock or Impervious Material: At what depth? unknown feet POwcalation testuft circle ones not req required / rate pain. inch. Domestic rater supply: circle on cipal Well Other IF domestic water supply is a Well,: 5eparatiaw: 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)s Number of / Size each feet by feed * Size of stone to be used ## / Depth or Thickness feet s +� * s * s * * * * s * s * * * s * saF * * � * * s * s +as * * +s +ss +s * s * • * IMPORTANT * See, S . P .E.D. S. ...Pleaae...LIST NZW EQUIPUE,NT TO BE INSTALLED permit & attached * ss * * s * s * * s * s * s * s * * * * * v * * v * s * * s * * * v * * * * * * map . (over) Section H 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 showingto l.) the proposed ,location of the gystem 2.) location and distance to lot lanes 34 location and distance to structures 4.) location and distance to any water supply S.) size and dimensions of all tanks, distribution boxes, the 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 $260.000 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 A n 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 tLeses wad all requirements of the Torn of Queensbury Sanitary Sewage Xhaposal, Ordinance. Signature of.responsible persons I]ates Town of Queensbury Building and Code Derpa"11 ent Say at Haviland Road Queensbury, New York 12801 (518) 792-5832 c :- n ld*a � 44^LAC nc " A ' r & I1- w ttnr►n 231 Ar-c Vn 4 TOWN Of QUEENSBURY HUXLDXNG AND CODES DEPARTMENT DAY & HASTILAND ROADS YORK I280k- QU,EENSBURY, NEW 7y2-5832 TELEPHONE f BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION -�- NAME Y�-- LOCATION DATE 0 PERMIT # APPROVED YES NO FOOTING/PIERS FORMS MONOLITHIC POUR _PROOFING -~ FOUNDATION/ _ BACKFILL APPRO L ROUGH PLUMBING FRAMING ELECTRICAL ROUGH- INSULATION: FOUNDATION FLOORS WALLS CEILING �r 4,,.1 INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ S , PS PS STAIRS�CLEARANCE RAILS PLUMBING FIXTURE IRELVACYIEF L DOORS INTERIOR TRIM/P FINISHED FLOODS GARAGE FIREPFXNG DOOR CLOSER 1, ) _ ,SMOKE DETEC ORS ION FINAL ELECTR CAL CONSTRUCTION N FINAL APPROVAL OF CON5TRUCTIpN�.�-;r. BE A SIGNED RT I TFCEABUILDINGE OFCpEPARTMENTTBEFORE OBTAINED THESE PREMISES ARE OCCUPIED! REMARKS : J � 1 rjSPEC TOR TOWN Or QOEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK`72' S832U¢ TELEPHONE (518 ) WILDING INSPECTOR' S REPORT � REQUEST FOR INSPECTION RECEIVED Is : 1 — NAME LOCATION In / DA TO PERMIT — APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS^ FOUNDATION/DAMP-PROOFING_ BACKFTLL APPROVAL ROUGH PLUMBING FRAMING ELECTRXCAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL XNSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHE /&TEPS EASES STAIRS-CLEARAN --- -�-- - PLUMBING FIX TU Ea^ +`RELIEF VALVE INTERIOR TRIM PRIVACY DOORS FINISHED F S GARAGE FIREP OOFING DOOR CLOSER S) SMOKE DETEC ORS FINAL ELECTR CAL INSPECTION FINAL APPROV L OF CONSTRUCTXON 1 A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS : J INSPECT AWN OF QUEENSBURY c� TOWN d r BUILDING AND CODES DEPARTMENT BAY ,& HAvILAND .ROADS QUEENSBURY, NEW YORK 12804- TELEPHONE ( 5I8 ) 792- 5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION ]RECEIVED NAME LOCATION D S_ �PERMIT ATE # � APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATIONIDAMP"PROOFING _�� �- BACKFILL A ROVAL &/, OUGH PLUMS G L.o-eRAMING GH-IN ELECTRICAL R INSULATION: FOUNDATION } FLOORS WALLS CEILING FINAL INSPECTION : CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCH"r$`SISTEPS �- STAIRS-CLEARA�vCE & RAILS PLUMBING FIX PRSIRELrEIVACY VALVE INTERIOR OORS TR 'M.I FINISHED F RS GARAGE FIR PROOFING DOOR CLOS (S) SMOKE DET CTORS FINAL ELEC'..Y",RICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE DEPARTMENT BEFORE OBTAINED FROM THE BUILDING THESE PREMISES ARE OCCUPIED ?. REMARKS : fINSPEC I i awn/own of Queen3lury BUILDING and ZONING DEPARTMENT Bay and Haviland Road. R. D. 1 Box 98 oueensbury, New York 12801 BUILDI G INSPECTOR ' S REPORT NAME LOCATION yam. leg Date/ Permit No . _ I ✓ = APPROVED - YES Na Footing/Pier Forms Foundation Waterproofing Backfill i Framing Roofing Siding Masonry Venee j 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 : j Foundation { Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVA Final Building S rvey _ Next scheduled inspection (call when ready ) Remarks- Building In e for 6/86 and-vl BUILDING and 2F.0NING DEPARTMENT Bay and Haviland Road,oueenstwry. Ne yorkii2801 g8 SEPTIC DISPOSAL. SYSTEM INSPECTION NAME LOCATION ` DATE 49 I PERMIT NO . "� " SOIL TYPE r� Loam - Clay —�--�- Percalation `Test Required? YES - NO Percolation rate - N1in/Inch TYPE of SyBT fatal le Absorptior► fie d , Length of each trench Depth of trenc S size of gravel er of SEEPAGE PITS4N �y ft Size- ft. x G�- Gravel ize Size Type P IP ING % �-- Bldg , to tank Tank to d.isto box i 4r Dist. box to field/ S NiC1 Partial Openings sealed? LUCAT3:0t1/SEFARAT NS ft. Foundation to t is ft . do Foundation to a 'sort' ft. Absorption to 1 t line ft. Separation of its RTy (circle one) Sy TEM C" PR4 LOC�ATICri+I y,ght Side Front - Rear - Left side - / COMMENTS % �: *�✓ SysT1224 'USE PIPPROVED YES Bu a g n e for 01/8Ca and vl /own o Queen spurt gU1LDING and ZC)NING DEPAgTMENT Bay and Haviland Road, R.D. 1 Box 98 ()Ueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME r �7 LOCATION Date Permit No * * * * * * * * * y,•* - ApPROVED* -* YES NO Footing/pier FormS _�--- ..y.otmdation Waterproofing Backfill Framing goofing s iding Masonry Veneer Rough Plumbing Relief Valves Ext , Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile concrete Floors Plbg . Fixtures Gar , Fireproofinq Door Closers smoke Detectors chimney INSULATION : Looel Foun dation F100rs walls ceiling FINAL ELECTRS AL INspECTION DRIVEWAY AFPRO rvey Final Building Next scheduled in (call when ready ) Remarks- B 1 Inspector 6/B6 and-vl .Jvturi o� �ueerr � 6ure�t BUILDING and ZONING DEPARTMENT Bay and Hauiland Road, R. D. 1 Box 98 Oueensbury, New 'York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date /+ ' / Permit No * ✓ APPROVED - YE�'�/ NO Footing/Pier Forms i^I' Foundation Waterproofing Backfill Framing Roofing Siding Masonry Vene r Rough Plumbi g Relief Valves Ext . Parches Finished Floors Interior 'Trim Stairs & Railin Cellar Drain T ' a Concrete Floor .� Plbg . Fixture Gar . Firepro Ping Door Closer Smoke Detec ors Chimney INSULATION . Foundatio Floors Walls Ceiling FINAL EL TRICAL INSPECTION_ DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready ) Remarks- Bu lding Inspector 6/86 and-vl BUILDING DEPT. COPY OF APPLICATION FOFW 464ELr NEW YORK 130ARD OF FIRE UNDERWRITERS, PILE THIS COPY WITH BUILDING DEPT, WHEN REQUIRED. TEMP. * DATE CITY Oq VILLAGE Queeme�,k,.,�,�,� �ury . STREET AND ND. OR ��rryy'�,�,,,,��,�,,,,,�,, �,,,,,_�` TOWNSHIP ]$ COUNTYMillirl#'i1 ROAD AND POLE NQ. 1 ` uem � Court CR BETWEEN WHAT TWO POLE NO. PREMS I AT ET :E IEO? OCCUPANT'S £CTION BLOCK NAME BUILDING LOT flWNE R'S NAME11 flCCUPANt:Y .: AND ADDRESS � Duldle.rs, jigDUMAng BIIPPLIED 7E L, # � k BUILDING r . . r FROM THEIR I IS + NEW } OFFICE WORK OLD ❑ IS NEW DEFECTS LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER © REMQtiEO NUMBER OF OUTLETS Ne. of Fixtures A norl L ww RacaPRaelw MOTORS HEATERS BRANCH CIRCUIT'S OFFICE USE Side A ONLY E Coiling Wu1) Rs a�p'Is Switch Pendant Steckel No. TYpa Each N0. Watts A.W. G. Got- Each No, INSPECTION oldis base Brea• mom fat Ph 2nd Pi. 3rd FT. REMARKS: LIST OTHER ELECTRICAL QEV ICES NOT SET FORTH ASO VE: OO NOT USE THIS SPACE_ Thu apphre authorized is intentlsd 10 Cover the alskwe-listed equipnsnT to Ise loop,Icted but if at brae pf in you are autbtrrized to ,make the ikkapaeTrnn and adjust The foe to cover the additional equipment as spe'CTion Mere is found sdditionc SIZE OF Provided 6 the a equipment net above fisted, �� Y PPlicinT_ MAINS t FEEDERS ELECTRIC SIGN CHARACTER LAMPS TOTAL *i� EXPOSED GAS TUBE SIGN WATTS OF WORT In ( WORK TO BE Ce CONCEAL E6 TRANSFORMERS OF STARTED {NUM ;F VA COMPLETED (CAPACITY] SERVICE OVERHEAD S12E OF SIGN ITEORS UNDERGROUND MAKER INSPECTION REQUESTED OF SIGN ON OR AS NEAR AS POSSI BL E HEW © OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION, ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURN EO_ PRINT NAME AND ADDRESS NAME OF APPLICANT DATE OF « - �s.ak,�,s APPLICATION STREET AODR ESS CITY OR a•i7 I�TFT1"TI_�1II f•�►,f TELEPHONE POST OFFICE ZIP . LICENSE NO, CODFaWHEN APPLICABLE de 1 (eEv- va�1 A SEPARATE PLICATION MUST BE FILED FOR EACH SEPARATE BUILDING SUNSOLA P-0. BOX 86, CLEVFRDALE, NY 128ZO (5 1 8) 656.9986 . 656-9956 April 4 , 1989 Queensbury Town Office Building Building and Codes Department. Bay at Haviland Road Queensbury , New York 12801 ATTN : David Hatin RE : Sunsoval Office Addition Permit # 87 - 126 Dear Dave : I would like to request an extension on the permit for our office addition . The Permit Number is 87 - 126 and it currently expires on May 1 , 19890 Please extend this permit for as long as you can . We will also need a written confirmation regarding this extension for our records . Thank you very much . Sincerely , John A . Mason JAM : pah 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