1987-915 11 Id
r v M
L
CERTIFICATE OF OCCTJPAN(.�.1.Y
TOWN OF QUEENSSURY
WARREN COUNTY, NEW YORK
Date May 31 , 19 83
This is to certify that work requested to be done as shown by Permit No.
B7-9 1 s
has been completed.
This structure may be occupied as a of Two Family Dwelling
Location �+3 Elizabeth Pane — Queen Victoria ' s Grant
Owner Guyur Builders , lne .
By Order Town Board
TOWN OF QUEENS$URY
Building r6► Zoning Inspector
�- BUILDING PERMIT �
TOWN N OF QUEENSPVR i No. 87-915 �
WARREN COUNTY, NEW YORK '
N
PERMISSION is hereby granted to
Queen Victoria ' s Grant:
k
OWNER of property located at 43 Elizabeth Lane Street, Road or Ave.
in the Town of Queensbury, To Construct or place a h 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.
m
1 . OWNER'S Address is Guyer Builders Inc .
C
119 Dunning St . n
Ballston Spa , N . Y . 12020 ¢
ri
2. CONTRACTOR or BUI LDER °S Name
Same
rl
Sis
a CONTRACTOR or BUILDER'S Address R
Same
4. ARCHITECT'S Name
W
r
5. ARCHITECT'S Address
P'+
ts'
4>v
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t"
6. TYPE of Construction — iPlasse indicate by XI
ro
1 14 Woof! Frame I I Masonry 1 ] Steel ( )
7, PLANS and Specifications
No_ 26 ' -6" x 35 ' -7t' per plot plan , specifications and ap*11cation ,.�.
including septic system and attached one car garage . MODEL K ❑
8, Proposed Use
� of Two Family Dwelling �
0
$S . 00 C /O F''
$ 82 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES July 1 , 19 88 �c
(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 date_) F.
N
W
Dated at the Town of Queensbury this 30th Day of /December 19 87
SIGNED BY for the Town of Queensbury
_.
8u1ld1ngand Zoning Inspector
Application No.
✓Old o1" c "*&nji"ry Permit Issued 19 ,
BUILDING and ZONING DEPARTMENT Permit Expires 19 � �L y J
Bay and Haviland Road, R. D. 1 Box 98 Zoning Designati ; L n T `�
Queenabury, New York 12801 Variance No . (CCT 2
Site Plan Rev w N .
Approved b f ' P -77, dV
APPLICATION FOR
EU I LD I NG 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 descriptian , 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 Bunning Street Raliston Spa , New York 12020 Tel . ( 518 ) 899-9161
Property Location : 43 Elizabeth Lane Tax Map No . 121 / 4 / 2
Street number or building lot number
Subdivision name ( if applicable) Queen Victoria ' s Grant
T13E PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS :
Richard H. Guyer III ( 518 ) $99-9161
Name P . O. Address Tel . No .
Name of builder Guyer Builders , Inc .Address 119 Dunning Street Tel . ( 518) 899-9161
Name of plumber GUyer i rs , nc .Address ng Street Tel . -
SITUT
Name of mason Dyer rs , nc •Address , StreetTel .
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
FOR DEMOLITION PERMIT , STATE SIZE AND of
interior or corner lot . Show location
* of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTED.
of septic disposal area .
* COMPLETE INFORMATION RE;�UIIREDpPEE .
se
" Size of property 100- plan lft X 120 gt ,
* Existing buildIng ( s) Size ft x--w7x, ^ft .
Mode
.�
PROPOSED BUILDING AND USE . ;l-� * Existing buildings ) Use NIA
Size of new struc a 26 ' -6'Tt x ft '�
Foundation-pier slab crawl/partial/full Proposed building, di see splotepfrom property line
lan
circle one ) 2 ,� Front yard 30+ ft Rear yard 30+ ft
No . of stories (habitable space)
Height ( grade to ridge ) 23 '—6„ * Side yards 1 ft and 1 + t
9 q ft . If on corner , see tback from side street ft
If residential, no * of families of 2
No. of rooms ( excluding baths ) 4 — * OCCUPANCY INFORMATION
No. of bedrooms 2 * PRIMARY BUILDING
Now of bathrooms One family dwelling iss d Stt'y,e r
s
Priosary heating ystem se r e ectrl& "C TWO gamily dwelling one in .
,4rpe of fuel ElectriEl.ty * Multiple dwelling / Number of units
Now 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- car
Colonial Row Town House * Detached garage/one
car/ two car/ oT1e car
( CIRCLE ONE PLEASE ) * _Attached garage/one car/ two car}
* * * # ,� * „ „ s. * * • * * * * * Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION
s =��'�?
INFOP14ATION ON BUILDING SPEC I _ CAT ONS . ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETEDI
Form SPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED owT
BUILDING SPECIFICATIONS :
Type of construction , woad game , fire safe, etc .
wood frame
Will any second-hand or ungraded lumber be used? If so , for what ? no
Foundation wall material concrete block Thickness 8"
Depth of foundation below grade ( to bottom of footing ) $" 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 port, ryl* sq. ft . - - Type of use?
'type of roof - sloped flat/shed/other. Material of roof Fiberglass shingles
Size , wood studs "x fi '* spacing 24 '"o . c , length 8 ft. exter,. 5r walls
.joists ( floor beams ) lst . floor N/A 09X " spacing "o . c . span r+llA ft .
.joists ( floor beams ) 2nd . floor �-"x���" spacing�� '*o . c . spar��'ft .
Overl.ays ( ceiling beams ) 2 "'X $4 spacing 24 "1a . c . sparr12 � -oft .
Roof rafters 2 "X 1 " spacing 24 c . c . sp�2pan-`1t .
Roof trusses (pre-engineered) spacin�q " o . c . s �00 ft .
Exterior wall finish stained of what material? 5/86' x 4 ' x 8 ' texture 111
Interior wall finish pa—xn sTpeetrock
If a garage is to be attached , describe materials to be used for FIFE SEPARATION :
1 /2" type "X" sheetrock
Is there to be an opening between garage Land dwelling? 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 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 Municipal
SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties IT7K ft .
(A separate application is necessary for an re air or new installation of septic system)
_ See S . P . E . D . S . permit # 026252� _
Town of Queensbury County of Warren A F F I D A Y i � i T `I' STATE OF NEW XORK
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 Bather 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 _ - _''eoler4s
, -'--�=�------- -
Owner, agent . a cf ji;Z;ct , contractor
day ofS&Q` ELIZABETH K. LANDRY
Notary Public. State of New York I '
No. 4862001
Qualified in Saratoga County
Notary pub -ie� Warren County, N . Y . f rrmm .,s nr, Expires �,�,e i B, 19_'�'�
w r ,► * r * * * * * * * ,v * * * * * r w ,s * * * * ,� * yr * * w * at * * * yt • : w w * * * * *t
SPECIAL CONDITIONS OF THE PERMIT :
1040 Square feet living
264
Square foot garage - one stall.
1304 @� $7 . 00/10C)'4 or` -- part of
[f $5 . OQ Chne stall garage
-- $5 . 00 C/o permit
Total
$y....... .............____......._
TOWN OF QUEENSDURY
POKE,
a.
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 .
ANSWER ALL of the following :
3 . Gross floor area 1040 S " F '
20 'Type of heat Baseboard electric
3 . Is the building mechanically cooled ? NO
4 . Percentage of area of windows and doors 12 . 33%
A . Over 16t 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,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
Be Under 16 % Only
1 . R value of roof and floors exposed to ambient conditions.
R-38
2 . R value of exterior walls XXXWX R-23 . 5 U . =0 . 04+
3 . R value of glazed area U. =0. 30
4 . R value of doors R-14 . 9 (U=0 .06)
L1,
5 . R value Of floors over unheated J% paces ,�=19
5 . R value of slab edge insulation - unheated slab N/A
7 . 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 walls (below grade ) N/A
10 . Type of insulation Fiberglass
Co 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 . I. 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 Beating
1 .� Performance efficiency N/A
2 . Temperature control setting maximum
G . For Swimming Pool Only
14 Maximum heating N/A
cv
Telephone No . ( 518) 899-9161 d
( applicant ' s si ature )
APPLICATION FOR SEP17C DLSPOSAL PERMIT
Ref: S . P. E. D. S .
I)ATE September 23 / 87 permi t #
MODEL K of C/K New York - 0202525
LOCATION OF PROPERTY FOR INSTALLATION 43 Elizabeth Lane
Owner's Name: Guyer Builders , Inc . Telephone: ( 518 ) 899-9161
Address: 119 Dunning Street , Ballston Spa , New York 12020
Installer's Name: Guyer Builders , Inc Telephone: ( 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 Q 150 gal per bedroom) 300
Topography: circle one: Flat Rolling Steep Slope % of slope
Soil Natmoe: circle one: Sand Loam Clay Other / Depth. 8 " feet +
Ground Water: At what depth? unknown 8 feet +
Bedrock or Impervious Material: At what depth? unknown feet
FNuftcolation test: circle one: not require required / rate min. inch.
Domestic water supply: circle ones Municipa-I 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 feet -`
* Size of stone to be used # / Depth or Thickness feet
+s * +ts * +� * * sva" * * * s * Bess * � ress +saR * ale * * as * +s "sv * a * ass
IMPORTANT * See S . P .E . D. S .
...Please...LIST NEW EQUIPMENT TO BE INSTALLED permit & attached
* * * * * * * * * * * * s * ssss * * * * * ssssssss * sssssssss map .
(over)
Section 13 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 proposed .location of the system
2.) location and distance to lot lines
3.) location and distance to structures
4.) location and distance to any water supply
5.) 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.
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 read the regulations above and agree to abide by these and aU requirements
of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Signature of.responsible person:
Date:
ti
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
SETTLED 1763 . . . HOME OF NATURAL BEAUTY , , , A GOOD- PLACE TO LIVE
4001054
THE NEW PORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
tet 41 STATE STREET, ALBANY, NEW YORK 12207 /[Date June 8 r 1988 .Application :Yo. on file 0 0 16 2 5 I f 8 8 A F� T l 'may?1 r1 6 4
THIS CERTIFIES THAT
only the electrical equipment at described below and inter by the t na an eb Gabor ap ILCer" n�r Be .CT"a of
Guyer Buildeva 043 Elizabeth Laney c,�ueen ury , 0w for
Y
in the foilowing location; ❑ Basement ❑ lat Fl. ❑ Rnd M. Sectionl 2 1 Block 4 Lot
was examined an 5 . 2 7 �8 8 anal found to be in compliance with the requirements of this Board.
FIXTURE RECEPTACLES SWITCHES RXTURES RANGES COOKIPl4OECKS OVENS DISH WASHERS lXMAUST FANS
CKIT ITS INCAMMSCEW FLUORESCENT AM7. K. W. AMT. K. W. AMT. K,W. AMT. K_ w_
16 2E 23 lI
a DRYERS FURNACE MOTORS PUTURE APPUANCE PRIMERS SPECIAL RECOPY TIME CIOCtLS BELL UmT HEATERS MULTI-OUTLET nLuueRS
AMT. K. W. 09L H. P. GAS H. P. No. Al AMP. AAV. AMP. AMPS, TRANS. AMP. H. P. SYSTEMS AMT. WATTS
No. OP NMI
—I—lue r T I I -- I . L
SERVICE DISCOPINECT No. OF S E R V I C E
T. AMP. r+aE L w rw L I' aW a x aW a A 4W Na. os AccCeCaND. OF CC. CGOivD. NL7. C F Hr-IEG o1 A.rW� NG. Os Ntu7RALs O►PAU �L
I 150 ob I x
OTHER APPARATUS: f
L�E`G" . Roommeiaters : 4l2 . 4F 1 / 1 . 5r 2 / . S
motors s 13�
3=vgfCi
1 --smokes ciet�+ctor
Guyer Builders 2no .
119 Dunning St *
Ballston Spar MY 12020 239 BRANCH MANAGER
Per
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
._ /'Ouse o/ 'Queereslury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION
JJJ r3► ,y p
Date/ Sae Permit No .
✓ = APPROVED - YES NO
Footing/frier Farms
Foundation
Waterproofing
Backfill
Frami ng
Roofing
Siding
Masonry Verse r
Rough Plumbin
Relief Valves
Ext . Porches
Finished Floor
Interior Trim
Stairs & Railing
Cellar Drain Tile
Concrete Floors
Plbg . Fixtures r
Gar _ Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION :
Foundation
Floors
Walls
Ceiling
FINAL EL TRICAL INSPECTION
DRIVEWAY APPROVAL
Final B ilding Survey
Next Teduled inspection (call when ready )
Remar
ui ding Inspector
6/86 and-vl
{ ���� �Qlflli <7� �LR BB►'t 3 +b rt l'!�
Fc•�l /'J, BUkLDING and ZONING DEPARTMENT
�[ Bay and Haviland Road. R. D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
Date,A//_q___/ Permit No . S: 0
* * it 1r ,r r4 * * * �t �k �t �t * sk * 1! * * 4 * ,► ek
✓ = APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterproofing
Bao,kfill
raming
Roofing
siding
SMas my Veneer
R6ugh Plumbing
Relief Valves
Ex t . 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 ELE TRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready )
Remarks- /
K ) �sf� u iwd ete eve e
Suilenginsp4ecto
6/86 and-vl
Down o� '�ureer+ sf+ ure�I
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION .10 x
Date A6'°S� / � i_ Permzt No .
✓ = -
Footing/Pier Forms APPROVED YES J NO
Foundation
waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext . Porches
Finished Floors -'—
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete F.J�
Plbg . Fixtures
Gar . Fireproofing
Door Closers
Smoke I]etectors
Chimney
INSPEATION :
Foundation
Floors
Walls
Ceiling
FINAL ELECTRI L INSPECTION
DRIVEWAY APPRO
Final Building urvey
Next scheduled inspection (call when ready )
Remarks-
11 4nuiinggpector
6/86 and-vl
,J't�uvat o� �ue¢rr36urt�f
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road. R. D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME [�Yu,01e& 451PS7: I',r /r`iC
LOCATION
DATE V;Z9 SqV - PERMIT NO. �7 /�
SOIL TYPE San - Loam - Clay -
Percolation Test Required? YES - N �
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field , total length
Length of each trench
Depth of trenches
Size of gravel
SEEPAGE PITS{Number )
Size- ��ft. X �_f
Gravel size
PIPING : ize Type
Bldg _ to tank - La
Tank to di.st, box ✓
Distw box to fiel pit '�dC
Openings sealed? E5 NO Partial
OCATION/SEPARA IONS :
Foundation to k f t.
Foundation to bsorption ft .
Absorption to lot line ft .
Separation of pits ft.
LOCATION OF STEM. ON PROPER circle one )
Front ear Left side - Righ side -
COMMENTS :
i
SYSTEM USE APPROVED YES NO
Building Inspector
01/86 and vl
./own Cr� �tte�en � hur�
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION
Date fU / ' ti Permit No .
* * � it * * * * t ✓* !,� * W * � . x * * * � �
LP( S"citing/Pier Foxing APPROVED - ]tE5 NO
Foundation
Waterproofing
Sackfill
F rami n[�
Roofing
Siding
Masonry Ven er
Rough Plumb g
Relief Valve
Ext , Parches
Finished Floor
Interior 'Prim
Stairs & Railin
Cellar Drain T ' e
Concrete plop s --
Plbg . Fixtur s
Gar . Firepr fing
Door Closer
Smoke Dete tors
Chimney
INSULATl
Foundati n
Floors
Walls
Ceiling
FINAL E CTRICAL INSPECTION
DRIVEWA.y A PRGIVA,L
-Final Building Survey
Next sche$uled inslrectian (call wbert ready )
Remarks-
6/86 and-vl
i
Building Inspector -
f r OU/6*1 ,o upens6urtdt
r q f BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION /
Date / Permit No .
✓ = APPROVED - YES NO
]'Doting/Pier Forms
Foundation
Waterproofing
I3ackf-111
Praming
Roofing
Siding
Masonry Venee
Y`Rough Plumbin
Relief Valves
Ext . Porches
Finished Floo S _
Interior Trim -
stairs & Raili s
,rr^^CCe�e--l- lar Drain Ti e
C....�oncrete Floors
Plbg . .Fixtures
Gar . Fireproofing
Door Closers
Smoke Detectors
Chimney
I N S LI L,AT I ON
Voundation
Floors
Walls
Ceiling
FINAL FIECTRICAL INSPECTIO
DRIVEWAY APPROVAL
Final Building Su vey
Next schedniled in pection call when ready )
Remarks-
Bui ding Insp for
G/86 and-vl
�] / I
...laavn rr/ uepns6ttrt�
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road. R. D. I gox 88
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION
G
Date G'/ Perm '
✓ = APPROVED - ' .Es NO
Foo� ing/Pier Fox'm5
L. undation . . .
Waterproofin.q
Back£ill
Framing
Roofing
Siding
Masonry Ven er
Rough Plumbi g
Relief Valve
Ext . Porches
Finished Floor
Interior Trim
Stairs & Railing "'-
Cellar Drain Tile_
Concrete Floors
Plbg . Fixtures
Gar , Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION :
Foundation
Floors
Walls
Ceiling
FINAL ELEC RFCAL INSPECTION
DRIVEWAY A ROVA
Final Bull ng Survey
NexC scheduled inspectic�n ( call when ready )
Remarks-
/ f I
Building Inspector
Fa/86 ind-vl
`�'�'ee�+36ttrt�r
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. 1 Box 98
CI{{�� Queensbury. New York 12801
1C) 4BUI /L• D•INfG INSPECTOR ' S REPOR
T
NAME
LOCATION (�
Date [ Permit P1o . ^
✓ APPROVED - YES NO FootingJPier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding 7C
Masonry v eer
Rough P1 . ng
Relief valy
Ext . Porches
Finished Floo
Interior Trim
Stairs & Railin
Cellar Drain Til
Concrete Floors __.�....
Plbg . Fixtures "'-
Gar . Fireproof ' g -
Door Closers
Smoke Detecto s
Chimney t
INSULATION :
Foundation
Floors
Wa ] Is
Ceiling
FINAL ELE TRICAL INSPECTIO
DRJYL y PPROVAI��
tPT'nal Bui ding Survey
Next scheduled. inspection { 1 when ready
Re ma r ks-
Huildin Inspector
S/86 and-vl r
cc--��1% I
._..lawn o/ 'Queenj "ry
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. 1 Box 98
Queensbury. New York 12801
BUILDING INSPECTOR ' S REPORT
NAME 16 4
LOCATION i
17ate___ _...KJKI Permit No .
✓ = APPROVED - YES NO
Footing/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 . Fireproofing
Door Closers
Smoke Detectors
Chi y
&Pk9GLLATI ON :
Foundation
Floors
Walls
Ceiling
FINAL ELECTRIC INSPECTION
DRIVEWAY AF'PRO AL
Final Building Survey
Next scheduled inspection (call when ready )
Remarks- a�Sd rp�u,F-max lla nr V.�
e 11ye
i ing Inspector
6/86 and-vl
BUILDING DEPT. COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT, WHEN REQUIRED.
P. atr DATE —
CITY OR /� �.aea�
VILLAGE Q
T Tawmsmlp uee b -zy COUNTY
STREET AND NO. OR 0 41 Enzabeth T
LE sro
ROAD AND PO NO. POKE NO.
BETWEEN WHAT TYIIO
CROSS STR E ETS IS lL !
PREMSSES LOCATED? SECTION BLOCK f LOT
OCCUPANTS BUILDING
NAME OCCUPANCY -AND ADDRESSE Q13ier B1.23lcleYB P I,T1C e ! 119 DimmingStreet TE L. # ' 9161-
CURREFfi
SUPPLIED - FROM THEIR OFFICE
SUPPLIED
�ry 1-1
BUitD1NO NE 'SLR IVWDRKDEFECTS
S OLD Q W �NEI ADDITIONAL I_I REMOVED Q _MMT_I LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
Pam of FhrltRee B BRANCH
NUMBER OF OUTLETS Laep Raeaptads MOTORS HEATERS CIRCUITS OFFICE USE
Lone. ONLY
t{atI 86" Aumbot dt H.P. vest Ra A.W.G_
DtBktp WWI R+ow"Ill Swlt Pew N daM Btatket e. Typa Each No, Each No- G*uw INSPECTION
Out-
eitle
Sub-
he"
Beer
meat
7si Ft.
Zod Ft.
3ne FI_
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE.
y
This application is intended to sever the ab s fisted equipment to be iagpacted but if at time of inspection there is found additional equipment not above tilted,
you are "Ibotaed to make the irsspecfion and adjust the fer to cww the additional epuipmenta a provided by the applicant.
SIZE OF ELECTRIC SIGN TOTAL
MAINS 150 Al a FEEDERS LAMPS WATTS
CHARACTER ,,,,,,,,,..��11 E%POSEO GAS TUBE SIGN
OF WORK $,,.,�te�� ay�,. In and ce CONCEALED TRANSFORMERS OF VA
WORK TO BE (NUMUERI (CAPACITY)
STARTED COMPLETED SIZE OF SIGN
SERVICE OVERHEAD UNDI;BGRDUND MAKER
ENTERSC
BUILDING OF SIGN
INSPECTION REQUESTED
ON POSSIBLE HEAR AS Wr y y call ,,.y,_, n reedy NEW � OLD
AVOID DELAY BY GIVING FULL AND ACCURATE tNFORMATION. ALL SPACES DATE OF
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION
PRINT NAME AND ADDRESS
MAMTURE
SCANT w`'.T" '�'�' • "' OF APPLICANT
STREET ADDRESS 119 Dunning Street
+{ +t��TrtEE+rLrya,E�nPtHONE # �161 ,
CITY OR '� ",L'ai +tip �D ZIP i.f 0= LICENSE NO.
POST OFFICE CODE WHEN APPLICABLE
as EL. (REv. 1/436) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING