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1987-901 l , .;.,. �, ., ngr.,.,...tic'�.'t:�'q.iK9•:�gi+'.u-,��:"_5='_:�'=� r i, ..:;. � {� . ,`�� � 'fS' .p" fg"''.w �.. , _ ;� :r r..y x . ..CERTIFICATE OF +iQCCUPAN+CY TOWN Of +QUEENSBURY s WARRENCOUNTY, NEW YORK i Date April 25 , 19 88 I F This is to certify that work requested to be done as shown by Permit No. 87-901 ` has been cotnp1ete4 of Two Family dwelling This structure may be occupied as a i { Location. 15 Elizabeth Lana - Queen Victoria ' s Grant OwnerGuyer Builders Inc . By Order Town Bawd PFOVVN OF QUEENSBURY 1 Building d Zoning Inspector I BUILDING PERMIT TOWN OF QUEENSBURY � No. 87-901 � WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Queen Victoria ' s Grant tit ' I .F. OWNER of property located at 15 Elizabeth Lane Street, Road or Ave. in the Town of Queensbury, 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. cs m 1 . DWNER*S Address is Guyer Builders 119 Dunning St . Ballston Spa , N . Y . 12020 rI', rT Q 2_ CONTRACTOR or BUILOER "S Name Same . to 4'7 ry 3. CONTRACTOR or BUI LDER'S Address � Same ,Y 4_ ARCHITECT'S Name In Cx1 H 5. ARCHITECT'S Address N rr ro rt 6. TYPE of Construction — (Please indicate by X) t m Wood Frame { 1 Masonry { ) Steel ( Y 7. PLANS and Specifications No. 32 ' x 48 ' as per plot plan , specifications and application including "a septic system and attached one car garage . MODEL A o Mn 8. Proposed Use y of Two Family Dwelling o $5 . 00 C/O 88 $ 82 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES duly 19 ,1S a (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the m town of Clueensbu ry before the axpi rat!an d ate.I Dated at the Town of Queensbury this 29th Day of December 19 87 0 04 SIGNED BY /^� a . �..��2. j for the Town of Queensbury Building and Zoning Inspector TG7 SE i L7Ml'l.� 'L'x:Ll rss n1.a �+ . J / Application No . aw.j 40 QW04" 36ary Permit IssuedMamma 19 ti 1S L L'_1 BUILDING and ZONING DEPARTMENT Permit Expires 19 j " Bay and Haxiland Road, R. D. 1 Box 98 zoning Des 0 gna �i. ' Ousensbury. New York 12801 Variance No. Site Plan Rev ew o . lit < Approved by I" �e - dt� q d rry,�/r C S APPLICATION FOR l /Gr��� BUILDING LD I NG AND ZONING NG PERMIT rt ' �'" ll 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 . --- Tha' owner of this property is :_ _Guyer Builders Inc P. O. Address 119 'Dunning Street Ballston Spa , New York 12020 Tel . ( 518 ) 899-91+61 Property Location : 15 Elizabeth Lane aaaa Tax Map No .121 2 Street number or building lot number Subdivision name ( i£ applicable) Queen Victoria ' s Grant THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARD'S BUILDING CODES IS : Richard H. Guyer III - ( 518 ) 899-9161 Nam P . O. Address Tel . No . Nam of builder Guyer Builders , Inc -Address 1l9 Dunning, Street Tel . ( 518) 899-9161 Name of plumber 06yder Buxlders2 nc •Address jig uuraling Street Tel . aaaaName of mason uyer rs , nc •Address ree Tel . 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 PERMIT , STATE SIZE AND * whether interior or corner lot . Show location FOR DEMOLITION LOCATION OF * of water supply and location and configuration STRUCTURES AFFECTED. of septic disposal area . * COMPLETE INFORMATION REQUIRED $� - s e p1l * Size of property loot P an ft X 120 ft . - — * Existing building ( s) Size ft X �ft . Mod AM PROPOSED BUILDING AND USE : ofl * Existing building (s ) Use aaa_ NIA Size of new strut a 32 ft X 48 ft Foundation-pier slab crawl/partial/full * proposed building , dist nee from property line c�.rcle one) * see ptot plan Nov of stories (habitable a e ) Front yard 30+ ft Rear yard 30+ ft #3 1 ,� Side yards 1+—ft and 15+ ft Height ( grade to ridge) I� ft * * if on corner , setback from side street ft If residential , no. of families 140. of rooms ( excluding baths ) OCCUPANCY INFORMATION Nois of bedrooms 2 * PRIMARY BUILDING * of bathrooms 2 One family dwelling IS en*� beiyA . fr�r Primary heating system se r e ectric* =Two family dwelling D M]tTii� Type of fuel ElectriC] ty Multiple dwelling / Number of units No. � of fireplaces to be installed Permanent occupancy Will a wood stove be installed? No NO * Transient occupancy CC Moral Air conditioning? 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 P d. d car Colonial Row Town House * Detached garage/one car/ two ca CIRCLE ONE PLEASE � garage/One grt one Car aa�Attached rae/one car/ two car/ { ') * " * * * * * * * * * * r * rr * * * * * Private storage building ESTIMATED MARKET VALUE OF,� * Other CONSTRUCTION INpORHATION ON - BUILDING SPECI CATION 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 block Thickness $" Depth of foundation below grade (to bottom of footing ) mininuun Will there be a cellar? no Heated or unheated? Floor sqo footage sq ft Will there be a basement? no will any portion be used as living space? ( If so, what p X sq . ft . - - Type. of use? Type of roof - sloped Elat/shed/other Material of roof Fiberglass shingles Size, wood studs "X 6 spacing 24 "o . c . length $ ft , exterior walls Joists ( floor beams ) lst . floor NIA "X "' spacing "o . c . span NIA €t . Joista ( floor beams ) 2nd . floor "'X���"' s acing rl-66 o . c . span N A ft . Overlays (ceiling beams ) "x of spacing 4 "o . c . span NIA ft . Roof rafters 2 "X " spacing 24 o . c , span 14 ft . Roof trusses (pre-engineered) spacing��+ "o . c . span 421ft . Exterior wall finish stained Of what material? 5/$" x 4 ' x $ ' texture lI1 Interior wall finish paan s eetrock 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 -and 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 Muicipal 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 . permit # 026252 Town y f Warren A F F I D A V I T STATE OF NEW YORK County of 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 tine 'owner . .�,G/ SWORN TO BEFORE ME THIS Signature __ �f - __- Owner , er ' s age -�ctICOntractor r*y�`day of `� 19` { EL'IZA13ETH K . LANURY Notary public. State of {+iew York y` rile. 4$6200'1 ' Q.t+aiified in Saratoga CnuntY l.' c , Warren County, N. Commission Expires June Notaryub 76. 19� r rr re * s r * r * * * * * * a► r *• * aT * • ,s * • * * * * � * * * ,� * * at * * tit * ,r s w * ,s SPECIAL CONDITIONS OF THE PERMIT ; 1020 Square feet living 264 Square foot garage - one stall 1284 @ $7 . 001100" or part of $5 . 00 one stall garage. $5 .00 CIO permit Total Y . .......... 11 M1 rr . TOWN OF QUEENSBURY i1 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 : Is Gross floor area 1020 S .F . 2 . Type of heat Baseboard electric 3 . Is the building mechanically cooled ? No 4 . Percentage of area of windows and doors 10. 6% A . Over 16 % only Y . 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 ? 4 . Is basement heated ? YES NO a . R value of insulation 5 . Type of insulation B . Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions. R-38 2 . R value of exterior walls XtQ= H * 23 . 5 U. =0 . 04t 3 . R value of glazed area U. = 0 . 30 4 . R value of doors R-14 . 9 (U. = ` 60) 5 . R value of floors over unheated spaces WA 6 . 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 heater] basement/cellar walls ( below grade ) N/A 100 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 . - . 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 N/A 2 . Temperature control setting maximum G . For Swimming Pool Only 10 Maximum heating N/A Telephone No . ( 518) 899-9161 ( applicant ' s gnature ) APPLICATION FOR SEPTIC DISPOSAL PERMIT Ref : S . P . E . D . S . DATE Setpember 23 87 permit # New York - 0202525 MODEL A of A/J LOCATION OF PROPERTY FOR INSTALLATION 15 Elizabeth Lane. Owner's Names 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 @ 150 gal per bedroom) 300 Topogu-aplsyC circle one: Fiat Rolling Steep Slope % of slope Soil Nature: circle ones Sand Loam Clay Other / Depths $ ' feet + Ground Water: At what depth? unknown 8 feet + Bedrock or Impervious Material: At what depth? unknown feet Pwnrcola►ticn test: circle one. not require required / rate min. inch. Domestic water supply: circle one: Municipal Well Other IF domestic water supply is a Wells Separation: Watersupply from Septic absorption i NIA feet * PROPOSED SYSTEM: Septic Tank gal. (mirximum size: 1,{f©U gal.) TILE FIELDS Each Trench N/A feet / Total system length N/A feet * SEEPAGE PIT(S)s Number of / Size each feet by feet * Size of stone to be used # / Depth or Thickness feet s * * * s * s * * * s * * * s s * * * * s s • * * s s s s * s * * s * * e s * s IMPORTANT * See a . P . E . D . S . ...Please...LIST NEW EQUIPMENT TO BE INSTALLED permit & attached ss * ss * s * * * * s * * * * ees * * s * asssssss * * * ssss * map . (over) Section 1I S!Wtic System Inspections: A. All applications for septic system installationgo 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 propoised ,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 aad agree to abide by these and all requimmestu of the Tows of Queensbury Sanitary Sewage Disposal C+riin nce, Signature of.responsible person: Date: L 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 GOO ^ PLACE TO LIVE BUILDING and ZptdlNG DEPAR Sox T ! Bay and Haviland Road. R.D. 98 pueensbury. New York 12801 l3ViLDiNG INSPECTOR ' S REPORT NAME LOCATION /e' !f Date ` � �/` '" Permit I3o . + ' * * * * * * * * NO AP'F'ROVED - YES Footing/Fier Forms Foundation Waterproofin Sackfill Framing Roof ing Siding - Masonry veneer Rough plumbLng Relief valves - Ext : Parches Finished Floors ✓ Interior 'Trim Stairs & Railings Cellar Drain Tile ----- - Concrete Floors - F'1'bg - Fixtures.__ Oar . Fireproofing Door Closers Smoke Detectors chimney IN SU I.ATI ON Foundation Floors Walls ceiling v FINAL ELECTRICAL INSPECTION t)RIVEwhy NPP;tOV 8 ruey Final Building Next scheduled i sPection (call when ready ) Remarks- S ld g InsPector 6/86 and-vl 4001054 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY F�Ca 41 STATE STREET. ALSANY. NEW YORK 12207 Lace 2 ruSl`* } * 1}ate Application No. onfile 002665 /88 A 7 J 9 1 1 9 THIS CERTIFIES THAT only t1Le electrical equipment ae described below and Introduced ed by the ajVx1icame named an the above appficatiwa number in the premises of Guyer Builders Inc . # 15 Elizabeth Lane Queenabuty . New York: 3�4 of two family in thefoliowing location; ❑ Basement Qj let Fr. ❑ 2nd FT. outside section 121 Block G l at - s roan examined on 2- 11-83 andjound to be in compliance with the requirements of this Board. � x FIXTURES RANGES ICOOKING DECKS I OVENS DISH WASHIMMM EXHAUST FANS HXTURE acePTACI!S SWITCHOS CUTLETS INiCANOES{'ENY FLLK.aESCENT AMT, F. W. A T. E. W. AMT. cw. AMT. It. W. AMr. H. P. 1.3 26 20 10 3 1 4 . 6 fr DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERSSPECIALRECO"I TIME CLOCKS I MU jumir#wATws MUtTI,OUTIET 0101EAi{!RS 'S SYSTEMS - AMT. C W. OIL H_ P. GAS H. P. AMT. NO. A. W. G. AMT. AMF. AMT_ AMPS. TRANS- AMT. H. P. Itr3. 'Cf FEET AMV WATTS �3*e f3 1 SERVICE DISCONNECT NO. of S E R V I C ! AMT. AMP. TY}E METLR 1 X 7W 1 1 3w 3 1F' gw 3�" ♦W NG. CMF Cc. co"a. A. W. G. NO. OF HI-LEG A. W. G. No. OF NE4TRAIA A. W. G. EOt1M. PER x OF cc. comoU OF NAM OF NEUMAL � 1 150 c#r 1 4 /44 � OTMER APPARATUS- Elec . loom Heaters : 3/2a0 , 1 / . 75 , 3/ . 5 Motors 2-g'Ici 'c 2-swoke detectors ZZ x Guyer Builders Inc . 239 119 Funning Street BRANCH MANAGER Ballston spat New York 12020 � Per = This certificate must not be altered in any manner; return to the office of the Soord if incorrect. Inspectors may be identified by their credentials. — COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ./crurn a Queenslurty BUILDING and zONING DEPARTMENT Bay and Havlland Road. RX). i Box 98 Queensbury. New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME " LOCAT I{7N ✓ �� rrr [�r c '-nrt .._ rr�..DATE ! I PERMIT NO. f1 solL TYPE - - Clay Percolation Test Required? YES 130 Percolation rate - Min/Inch TYPE of SYSTEM : Absorption f field , total length Length of each trench Depth of trenches size of gravel SEEPAGE PITS4N er Of) size- ra f t. X _ Gravel Size 3 Size Type PIPING : idldg - to tank tua Tank. to dirt . box Dist_ box to fief Pit NO Partial Openings sealed? YES LOCATION /SEPARATION f t. Foundation to tan ft . Foundation to ab rpt n ft. Absorption to 1 line Separation of its -fit ft " LOCATION OF S STEM ON PR ERTY (circle one) Front Rear - Left side Right side - Cr*9MENTS : SYSTEM USE APPROVED S NO g ldi inspector 01/86 and V1 BUILDING and ZONING CIEPAFITMENT "r 1 BaY Queensbury, NewYorkR.O.' 28011 x 98 BUILDING INSPECTop, ' 'S REPORT NAME ' LOCATION 1 J --- I -� / j Permit No Date w * * * * * * * a *,''' APPROVED YES I3C7 footing/Pier Forms poundation Waterproofing 1Sackf i l l rraming Roofing Siding Masonry Veneer -�- �- pough Plumbing 4 IN Relief Valves ,,.,,t , Porches 1 finished FloorS�� �- Interior Trim stairs & Railings Cellar Drum Tile Concrete Floors 111bg . Fixtures Gar . I'i reproof ing 17oor Closers Smoke Detectors Chimney {,c FoundationNSuI ATION Floors Walls ceiling_ -�- FINAL E UCTIi1CA IIVSPIrCTIflI1 � DRIVEWAY AYPROVAb�-•-�- „ Final Building Su rvey Next wcleeduled insp ection call when ready Buiidi ector G/86 and-vl r v BUILDING at-id ZONft1G DEPARTMENT Bay and HaVlland Soad. R.O . 1 Bax 98 oueensbury, New York 12BOA BUILDING INSPDC' OR ' S RFPORT NAME {�pCAT I ON I � r fermi NCo - * * APVROVED k * Nr Icootinq/Pier Fcar_ms I'r,�un da t io n waterpr00fing 13acKf ill F rax��-ng Ixoaf ing fy�,sonrY Veneer ou<7h F umbin`3 ---. - -- Iteiief Va ves Finished I'3- Intcr :�-or 'lri .stairs & Rail i �s Cellar Drain Concrete Floors rlbg . Fixtures Gar . F i reproof in9 Door Closers Smoke Detectors Chimney. INSUTATION t Foundation 1.•1oors Walls ceiliVIC7_ CAL Ii3 FFC 'Iif3f1 FINTii, 'CrV EWA 47t7VAL f3EL3VY AT' ,rurvey �----- �- -- Final I3uilc ing Next 4cheduled insP ect Lon (ca I Wwhen ready ) Remar lcs- n r — I C443 � ec for C,ff3�, rnc'1—*rl V �uee ►n9 �" u�'� J,Ourn of DEPAi�TMENT 5LyyCD1NG and ZONING 1 Box 98 Bay and Fiaviland Road. Queensbury, New York 12801 BUII_QIi.1C INSPECTOR ` s REPORT ,,'►L NAME LOC,AT I ONDat�e No p el -7 permi-t No pPPR.OVED Footing/pier orms Fotynaatic'an W aterpr Oo f ing sackf ill Framing goof ing siding Masonry Veneer_---- Rough P3_um'bin9�_--- gala-af Valves Ext . Porches Finished Floors Interior 'trim Stairs a RailIngs Cellar Drain 'Tile Concrete Floors P1bg - Fixtures__ Car - Fireproof Ing_ ._---- Door Closers---- stno-ke Detectors Chimney IN S7jLj%Tl N Foundation Floors walls Ceiling I-NSPECTIONF TN pa E�LECTRI �____ S7AIVEWA'i XYPAdVAL Building Survey Final Next scheduled insP ectidn (call when ready } gemarks� nspector Building Fi/g� and-vl f(� Q�g�nyrur awn • DEPARTMENT BUILCHNG and 7ONtNG Bay and Haviland Road. R.D. t Box 98 OueensburY, New York i284t B U I L.G'tX NG i N5 ¢ EG tOft < 5 REPORT NAME LOCATION ,, f V or AFPFtOVED* `_ r NO Footing/Pier Forms Foundation r Ovate rproof inc3 Backf ill Framing Roofing Siding �lMasonry 'Veneer 4,f pra,ac�h Plumbing �- elief Valves �- Sxt, . porches Finished Floors interior Trim stairs & Railing$ Cellar Drain Tile Concrete Floors plbg . Fixtures Gar . Fireproof ng Door Closers smoke Detect rs Chi.mneY -LN SULAT1ON round atio Floors Walls Ceiling >`CTRICAY' II3SPECTI ...�- FII PI}ROV A Dg,IV E'WAY Final auilding gurney action call Next scheduled InsP where ready Remarks- guilda.ng Inspector 6/86 and-vl _f0"/" o/ Queens esry BUILDING and ZONING DEPARTMENT Bay and Haviland Road. R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCAT I ON /r + Permit No . Date APPROVED* -* YES* NO Footing/Fier Forms 4y6undation Waterproofing Backfill Framing Roofing Siding asonry Veneer k,ugh Plumbing Relief Valves - Ext . Porches Finished Floors Interior Trim stairs & Railings Cellar Drain Tile Concrete Floors P�++lbg . Fixtures Gar _ Fireproofi g Door Closers Smoke Detector Chimney IN SUL.ATI ON Foundation Floors Walls Ceiling FINAL ELECTR 'CAL INSPECTION _ DRIVEWAY APPR WAL Final Building Survey I3ext scheduled inspection (call when ready ) Remarks- Building Inspector 6/86 and-vl flown 01 Quee4" d1tsrV BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 ©ueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION L1ate Q f / Permit N+o . y" APPROVED - YES NO opting/Pier ForTns Foundation Waterproofing Backfili 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 _ Fireproof ' g 'floor Closers Smoke Detecto s Chimney INSULATION : Foundation Floors Walls Ceiling FINIAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey i Next scheduled inspection (call when ready ) Remarks- Building Inspector 6/86 md- vl BUILDING DEPT_ COPY OF APPLICATION FORM 46-ELe NEW YORK BOARD OF FIRE UNDERWRITER'S. FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED, TEMP. * OATIE . CITY OR ■�r VILLAGE � ry TOWNSHIP Queensbury COUNTY ROAD AMC) POLE NO_ Vsfo E'Sc J=abeth lAuipe POLE NO BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION '�/ BLOCK ''� LOT OCCUPANT'S BUILDING .. . NAME OCCUPANCY ,t . OWNER'S NAME AND ADDRESS ti C�@L$ Inc e * 11 treet SUPPLIED BY FROM THEIR Rry \. y OFFICE Is BUILDING - DEFECTS NEW p-i OLD C� ISORK NEVY IeJ, ADDITIONAL © REMOVED 10.1 LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS CH �e p pecep�es MOTORS HEATERS BRA CIRCUITS OFFICE USE Loca, tion ONLY Calling Skis Atuawt Switch PerWent Braeket Ne. Tyyw Hill Nis.No. Watts Na. A W.p• INSPECTION Wall Recep'b Eaeh Each also" Out- side Sub- base -------------------- Base, went let FI. ;nd FL 3rd FI. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS 'SPACE. This application is intended to cover the above-hpled equipment to be inspected but if at time of inspection then is found additional equipment not above listed, You are authosizad to make the inspection and adjust the he to cover the additional equipment, m provided by the applicarn. SIZE OF ELECTRIC SIGN TOTAL MAINS ' 50Aop � FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORNserviceCONCEALED TRANSFORMERS OF VA WORK TO BE (NUMBER) (CAPACITY) STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS UILDING OF SIGN INSPECTION REQUESTED ON OR AS POSSIBLE NEAR AS POSE Wrs 71 can a q „ben r.�..�d NEW © OLD AVOID DELAY BY GIVING lFUL�L AND ACCCi-URR►A;TEL INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS +f f yayD NAME OF r 'Elgin C At^fL DATE OF tS epteembei '" 2y. 1987 APPLICANT '� e1 APPLICATION i' ! STREET ADDRESS 119 Trna;,gStr+6et TELEPHONE CITY OR y,.,,.,� �pv�.,�. u +I.,,. ZIP6 LICENSE NO, POST OFFICE t- � s''E'�! L YCJr.'�C— CO OE � WHEN APPLICABLE <a EL (REV_ 1Inc) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING QUEEN VICTORIA' S GRANT QUEENSSURY, N.Y. CLEANOUT.�•- TO GRADE Q'-0 DIAMETER 6-0 DEPTH REFERENCE DRAWINGS 5 5A SITE UTILITIES SEPTIC � WATER VanDUSEN g STEVES SURVEY PLAN 13,15,17,19 ELIZABETH LANE PLOT PLAN C SEPTIC SYSTEM GUYER BUILDERS, INC DWN ' *jAj q_7+-81 I Scale , I"= 20'- 0 Qv- 2