1987-895 1 -----------
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
g4
WARREN COUNTY, NEW YORK
l Date FebruarZ 5 , lq £i
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T is to certify that work requested to be done as shown by Permit No. 7- 95
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3 has been completed.
of Two Family dwelling
This structure may be occupied as a
Location 3 Elizabeth bane — Queen Victoria ' s Grant
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Owner Guyer Builders Inc /
By Order Town Board
j TOWN OF QUEENSSURY
Building dr ZoninS Inspector
I
BUILDING PERMIT �
TOWN OF QUEENSBURY �
No. 9 87-895
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Queen Victoria ' s Grant:
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OWNER of property located at 3 Elizabeth Lane Street, Road or Ave.
in the Town of Dueensbury, 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 Dueensbury Building and Zoning Ordinance.
1 . OWNER'S Address is Guyer Builders Inc .
119 Dunning St .
Ballston Spa , N . Y . 12020
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2. CONTRACTOR or BUILDER 'S Name rr
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Same ri
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3. CONTRACTOR or BUILDER 'S Address H
Same
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction — (Please indicate by X)
(X ) wood Frame f ) Masonry ( I Steel I f y
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7. PLANS and Specirfications
No_ 31 ' x 46 ' -6" as per plot plan , specifications and application
Including septic system and attached one car garage . MODEL I
8. Proposed Use �+
of Two Family Dwelling O
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$5 . 00 C/O
$ 82 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES July 1 , 1988 PO
H•
(If a longer period is required an application for an extension must be made to the Buiiding and Zoning inspector of the
town of Gueensbury before the expiration date.)
Dated at the Town of {Q.ueensbury this 29th 'Day of December 19 87
SIGNED BY �4� for the Town of Queensbury ao
Buildingand Zoning Inspector
TO BE COMPLETED BY BLLXim ur:r L . 77
��JJ // Application No .
✓(�w pftf?Bn3Lst[I"� Permit Issued 19 U LJ J
BUILD G and ZONING DEPARTMENT Permit Expires 19 �� tl � Qr} d
Bay and Haviland Road, R.D. 1 Box 98 zoning Designat ' n �+� �v+3
Oueensdury, New York 12801 Variance No .
Site Plan Re w N
Approved by '� ;7/0
APPLICATION FOR t Ci !> s'
BUILDING AND ZONING PERMIT ��` "'' � o
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 .
The owner of this property is : Guyer Builders Inc
P. O. Address 119 Dunning Street. Ballston Spa , New York 12020 Tel . ( 518 ) 899-9161
Property Location : #3 Elizabeth Lane Tax Map No . 121 /.A./ 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 He Guyer III ( 518) $99-9161
Name P . O. Andress Tel . Nov
Name of builder Guyer Builders , Inc -Address 119 Thinning Street Tel . ( 518 ) 899-9161
Name of plumber uyer ers , c •Address g Street Tel . -
Name of mason Guyer BuIlderss nc .Address ng Street 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
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 .
COMPLETE INFORMATION REQUIRED FLOW .
" Size of property 100± Plawp ft X 120 ft .
* Existing buildings ) Size ft x___�'�ft .
Model
PROPOSED BUILDING AND USE : of * Existing building ( s ) Use N/A
Size of new strut e 31 ft x�+6 t
Foundation-pier slab crawl/Martial/full * Proposed building , dist nce from property line
circle one ) * see ptot pan
Noe of stories (habitable space ) 1 * Front yard 30+ _ ft
ft Rear yard 3O+ ft i
Height ( grade to ridge) 191 -6" fte * Side yards ft and 15+
* If on corner , setback from side street ft
if residential , no . of families of 2
Noe of rooms ( excluding baths) * OCCUPANCY INFORMATION '
No. of bedrooms �� * PRIMARY BUILDING -
Noe of bathroomsd one family dwelling Thzs t },e f r
Primary heating system Baseboard c* -a ectri - Two family dwelling one siaM bt nl&Ina .
Type of fuel ElectrlCity * Multiple dwelling / Number of units
NCo of fireplaces to be installed permanent occupancy
Will a wood stove be installed? - * Transient occupancy
Central Air conditioning? Np * Business
*
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
* other
Ranch Contemporary Loci cabin if addition , what will use be?
Raised ranch Mansion Duple
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/ one car
Private storage building
ESTIMATED MARKET VALUE OF Ae * Other
vvv�vvvCONSTRUCTION
INFORMATION ON . BUILDING SPECIF C IONS ■ ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED !
Form BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED
BUILDING SPECIFICATIONS :
Type of Construction , woad 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 ) S" mininxim
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 • sq. ft . - - Type of use?
Type of roof - sloped lat/shed/other Material of root Fi r ass shingles
Size , wood studs "X 6 "" spacing_ 24 ""o . c . length 8 ft . exterior walls
Joists ( floor beams ) 1st , floor _NIA "X _"" spacing. '"o . c . span N/A ft .
Joists ( floor beams ) 2nd . floor _ "'X ' spacing ! - ~boo - c . span N/A ft .
Overlays ( ceiling beams ) "X "" spacing 24 "o . c . span N/A ft .
Roof rafters "'x "" acing o . c . span N/A ft .
Roof trusses (Are-engineered) spacing Z4 '" o . c . spa2 ' --61ft .
Exterior wall finish stained Ofwhat material? 5 /8"' x 4 ' x 8 ' texture 111
Interior wall finish pain s eetrock
If a garage is to be attached , describe materials to be used for FIRE SEPARATION :
1 /21
" 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 ntuni.cipal
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 9 D 4 S . pe.rmu t # 02625 2
Town of Queensbury -
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 ether 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 _= " L-_�
Owner , owner ' s age t -- chil:ect , cont ractor
day
ELtZAB1 TH K. LANDRY
Notary Public. State of NEew York
No. 48620i11
Notary u 7 rc., Warren County, N . Y OkLaiifieo insar<tr.,cga County ,,.ram
.J(;n� T ti, 19—6
SPECIAL CONDITIONS OF THE PERMIT :
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TOWN OF QUEENSBURY
WARREN COUNTY , NEW YORK
Application fors BUILDING PERMIT IN C014PLIANCS WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE
A permit must be obtained before beginning work .
AWaVrbR ALL of the following :
1 . Gross floor area 1O4C3 S . F.
2 . Type of heat Baseboard electric
3 . Is the building mechanically cooled ?
4 . Percentage of area of windows and doors 14 - 3%
A . over 16 % Only
I * U0 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
$ . 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 XKM R-23 . 5 (U. =OX4+)
3 . R value of glazed area Uo -0 * 30
4 . R value of doors R-14 . 9 (U. =0 . 06)
5 . R value of floors over unheated spaces R-30
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 ) NIA
9 . R value of heated basement/cellar walls ( below grade ) N/A
106 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 N/A
2 . Temperature control setting maximum
G . For Swimming Pool Only
1. Maximum heating N/A
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Telephone No . { 518) 899-9161
( applicant ' s s ature )
APPLICATION FOR SEPTIC DISPC"L PERMIT
Ref : S . P. E. D. S .
I]ATS Septe fiber 23 / 87 permit #
New York - 0202525
MODEL I of
LOCATION OF PROPERTY FOR INSTALLATION #3 Elizabeth Lane
Owner's Name: Oyer Builders , Inc * Telephone: ( 518 ) 899-9161
Address: 119 DunninStreet , Ballston Spa , New York 12020
Installer's Name: Guyer Builders , Inc Telephone: ( 518) 899-9161
2 A, C , Es I , J , K, L, M
Number of bedrooms (residential only) 2 _ 3 F , G , H
Total daily flaw (compute Q 150 gal per bedroom) 300
Topography: circle one. Flat Rolling Steep Slope 96 of slope
Soil Nature: circle one*. (Sand Loam Clay Other / Depth. 8 ' feet +
Cjrouad Water: At what depth? unknDwn 8 feet +
Bedrock or Impervious Material: At what depth? unknown feet
Percol,atm" M tesu circle one. noY require required / rate min. inch.
Domestic crater supply: circle one: Municip Well Other
1F domestic water supply is a Well.
Separation.w Watersupply from Septic absorption N/A feet
* PROPOSED SYSTEM. Septic Tank gal. (minimum size: 1 .000 gal.)
TILE FIELD: Each Trencb NIA feet / Total system length N/A feet
* SEEPAGE PIT(S)ee Number of / Size each feet by feet =
* Size of stone to be used # / Depth or Thickness feet
ess * * * * +s » eM * * * * * e► * ateeR * e� * * s +ll * s # i * +� * sss7� saR * # � *
IMPORTANT * See S . P. E . D . S .
...Please...LIST NEW EQUIPMENT TO BE INSTAIAJM permit & attached
s * >rises * * eses * * * * * * * * * * * * * ase * a * elea * * assess * yeele * s map .
(over)
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Section II Septic §Xstem lamections:
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.
IJ 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
So) size and dimensions of all tanks, distribution
boxes, the fields and/or dryweils
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 $250.000
Co 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.
1 Have read the regulations above and agree to abide by these and all requirements
of the Town of Queezudnwy Sanitary Sewage Disposal Ordinance.
Signature of.responsible person.
Date:
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 YORK" BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
41 STATE STREET, ALBANY, NEW YORK 12207
I1ate feblruaryl2 s 1988 Applicatian Na. on file rr1 0 5 1 0
THIS CERTIFIES THAT 002671 /88
only the electrical equipment as deacribed belese and introdueed by the slpplhcant nsnaed on the above application number in the premises of
Guyer Butlers Inc * # 03 QueensbtXy .NewYork
in the following location; Basement ® jar Fl. ® Yrsd Ft. Outolde Sectlonl2 ! Block 4 Lot
was esamined ore 2 /5 /i88 and found to be in compliance with the requirements of this Board.
RXTURE R%TUR'ES RANGES C010MIN i DECKS OVENS DISH WASHERS EXHAYST t�AN3
01"L TS ACtES SvInTCHES INCANaESCENT Fuxxws[Ew Y AMT. K. W. MAT. K. W. T. K-W. AMT. K. W. AMT- H, P.
13 31 20 8 5 1 4 . 6 3 Fr
DRYERS FURNACE MOTORS PJTURE AP}UANCE RtlpRRS SPOCIAL RECOPY TIME CLOCKS WU UNIT PIEATERS MULTI-IXITIW DIRM MI
AMT. IL W_ CHL H. P. GAS H, P. T A. W- G- AMT. AMP. MST. AMPS. TRANS. AMT. H. P. O. 10IF MS AMT- WAttS
NO. t)F fEET
1 #10 l
SERVICE DISCONNECT NO. qP S E R V I C E
AMT. AMP. TYPE ME N 1 .#' RW 1 X ]SV 3 X SW 3 X 4W No' PER CCGiP CC&4o. HG, of HI-LEG OF HI�LL�-G No. of NEUTRALS OF N�I0RAt .�
! 150 1 CB 1 I x 1 /0
OTHER APPARATMIS:
! -41ToP . Motors
3-C . F . C * 1 .
2- Smoke Detector
Electric Room Tfeaters : 5- 2 . Okw. 1 -1 . 5kw, 2- e5'kw
Guyer Builders 'Inc .
119 Du nirtg Street
Ballston Spe .NY . 12020 eRANpf MANAGER
Per
This certificate must not be altered in any manner; return to the office of the 91 if incorrect. inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. as
�.+'"aurn a� �u[�en36tere�r
BUILDING and ZONING DEPARTMENT
Bay and Hawiland Road, R. D. 1 Box 98
el/l Queensbury, New York 12801
I0
BUILDING INSPECTOR ' S REPORT
NAME—
LOCATION
Date _ / Permit No .
✓ = APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterproofing
Backfi~Valves /
i
Framin
Roofin
Siding
Masonr
Rough
Relief
Ext . Porches
Finished Floors y'
Interior Trim � .
Stairs & Railings
Cellar Drain Til
Concrete Floors
P1bg _ Fixtures
Gar . Fireproof ng
Door Closers
Smoke Detect rs
Chimney
INSULATION :
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
RIVEWA'Y APPROVAL '
inal Building Survey
Next scheduled inspection ( call when read
Remarks-
-A/g/
Building Inspector
6/86 and-vl
IQ
BUILDING and ZONING DEPARTMENT
Bay and Maviland Road, R. D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL. SYSTEM INSPECTION
NAME & V ml ie It 0/
LOCATION j2u !" e+i _ U;k Au
ATa.� CrAeaes - _
DATE / 4?o / V<1 PERMIT NO .
SOIL. TYPE - an - Loam - Clay -
Percolation Test Required? YES - <Er
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption fie d , total length
Length of each ench
Depth of trenche
Size of gravel
SEEPAGE PITS#Numb r of}
Size- ^ft. X ft.
Gravel size
PIPING : ANV
S1 Type
Bldg . to tan1/ ro ;r'YC.
Tank to dist !fC
Dist . box to / ^>Openings seaNO Partial
LOCATION/SEFFoundation tft.
Foundation trptio ft .
Absorption tline ft .
Separation oS-ft.
LOCATION OF oN PRO ERTY (circle one)
Front - ett side Right sideCOMMENTS : nr�- 1 I�r�.�
1(3 C/
SYSTEM USE APPROVED YES NO
ing Inspector
01/86 and vl
own oueenybur�
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box g8
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
1�
NAME f
LOCATION 1 `�
Date /r ,' Permit No . ~ eTf
APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterproofing
BackfiII
Framing
Roofing
Siding
Masonry Vene r
Rough Plumbin
Relief Valves
Ext . Porches
Finished Floor
Interior Trim
Stairs & Railing
Cellar Drain Ti e —
Concrete Floor
Plbg . .Fixture _
Gar . Firepro Ping
Door Closer
Smoke Dete tors
Chimney
G3fi SU LAT i 0
Foundatio
Floor,
Walls
Ceiling
FINAL ELECTRICAL INSP ION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection ( call when ready )
Remarks- t � �
� ✓ j Li GL�I� // .1
Building Inspector
6/86 and-VI
f _7. o� �uE�en3fiecr
BUILDING and ZONING DEPARTMENT
I III ,gay and Haviland Road, R. D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME
LflCAT I ON
DATE ��/_' PERMIT NO, I '
SOIL TYPE - Sand - Loam - Clay -_
Percolation Test Required? YES - NO
Percolation rate Min/Inch
TYPE of SYSTEM: /
Absorption field , total lengt
Length of ach trench
Depth of tr nches -
Size of gra I
SEEPAGE PITS umber of)
Size- ft. _ ft
Gravel size
PIPING : Size Type
Bldg . to tank
Tank to dist . box
Disto box to fie d it
Openings sealed S Partial
LOCATION/SEP TIONS :
Foundation tank ft.
Foundation o absorptio ft .
Absorptio to lot line ft.
Separati of pits ft ,
LOCATI OF SYSTEM ON PR ERTY (circle one)
Front - Rear - Left side Right side -
CCMMEN S :
I m eo P11�L ov o f:::�
6
SYSTEM USE APPROVED YES NO
Bui ding Inspect
0IAA,r^rc �-t �
01/86 and v1 � f
// ,,� ✓ �./oeu�r o� �upenatrure�
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R, D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAMEi/� �/ tfi s> A� .7
LOCATION `..._
Date Permit No . � - "I . A
Footing/Pier Forms NO- APPROVED - XES N
Foundation
Waterproofing -
Backfill
Framing
RoafIng
Siding
Masonry Veneer
L- - Ough Plumbing _
Relief Valves
Ext . Porches
Finished Flexors
Interior Trim
Stairs & Railings
Cellar Drain Ti
Concrete Floor
Plbg . Fixture
Car . Firepro Ping
Door Closer
smoke bete tors
Chimney
INSUI,ATIO ;
Foundati
Floors
Walls
Ceiling
FINAL, ELECTR=CAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready )
Remarks--,� Q �y p
Ro (. P6 r F- P44V V) ►ter ,��, �. -+ �# -- '�' fC,
ilding I or
6/86 and-vl
./'own n� �ueen .i6eere�
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION
Permit Noe
✓ = -
FoatingfPier Forms APPROVED YES NO
Foundation
x
Wat+erproo€ing
Back€ill
Framing
Roofing
Siding
Masonry Verge
Rough Plumbin
Relief valves
Ext . Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
4-oLfonorete Floors
Plbg . Fixtures
Gar . Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION *
Foundation
Floors
Walls
Ceiling
FINAL ELECTRI AL INSPECTION
DRIVEWAY APPR VAL
Final Building, Survey
Next scheduled inspection ( call when ready )
Remarks-
6f$r and-vl
Building Inspect
...fUwn 0 �ueeras � ure�
13UILDING and ZONING DEPARTMENT
Bay and Havifand Road, R. Q. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REP+pR ��y✓
NAME 4-
LC3CATIt7N
Date-� f Permit No . Xj `I
✓ =Footing/Pier FormsAPPROVED - YES NO
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Venee
Rough Plumbing
Relief Valves
Ext . Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Ti
Concrete Floors
Plbg , Fixtures
Gar . Fireproo ing
Door Closers
Smoke Detec rs
Chimney
TNSULATION
Foundation _
Floors
Walls
Ceiling
FINAL ELECT AL INSP CTTON
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection ( call when ready )
Remarks-
JiR3 iiding I spec r
6/86 and-vi
C�f .JDu/It O ��lPPrt3l7Gt1'
BUILDING and ZONING DEPARTMENT
V Say and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTORrS REPORT
NAME
LOCATION
Date // / 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
C..eoncrete ,floors
Plbg . Fixtures _
Gar . Fireproofin
Door Closers
Smoke Detector
Chimney
INSULATION
Foundation
Floors
walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection ( call when ready )
Remarks-
Building Inspector
I
_lawn a� �eteer� .f6urc�
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
1
L£7CAT I ON
Date .' Permit No . '
✓ = -
Footing/Pier Forms APPROVED YES NO
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
t-LLOugh Plumbing
Relief Valves -`
Ext . Porches - -
Finished Floors - -
__ _
lnteriar Trim
Stairs & Railings
Cellar Drain Tile
CoriCrete Floors
Plbg . Fixtures
Gar . Fireproofing
Door Closers
Smoke Detectors
Chimney
INSUI4ATION
Foundation
Floors
wa 1. 1 : __
Ceiling_
FINAL HLECTRICA INSPECTION
DRIVEWAY APPROVA
Final Building S vey
Next scheduled inspection {call when ready
Rerna r k;s-
iris" �
Building Snspector y -
6/86 and-vl
._./"own of �eeeenal � cer� _
BUILDING and ZONING DEPARTMENT
Bay and Hawiland Road, R. D. 1 Box 98 rJ P
Clueensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME_
LOCATION
Date+ ' / Permit No . -'
✓ P OVER - YES NO .
t?� Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext , Porches
Finished Floors
Interior Tram
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plug . Fixtures
Gar . Fireproofing
Door closers
Smoke Detectors
{Chimney
INSULATION :
Foundation
Floors
WaIIs
ceiling
FINAL ELECTRIC: INSPECTION
DRIVEWAY APPROVA
Final Building Survey
Next scheduled inspectiQn ( call when ready )
Remarks-
Building Inspector
6/86 and-vl
BUILDING DEFT. COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED.
TEMP. i DATE
CITY OR L..
VILLAGE bury TOWNSHIP bkwy COUNTY
STREET AND NO. OR ._. •—.— .....^ __.
ROAD AND POLE NO. 43 MJMabeth lApe POLE NO.
BETWEEN WHAT TWO
CROSS STREETS IS
PREMISES LOCATED? SECTION BLOCK J LOT
OCCUPANT'S BUILDING
NAME OCCUPANCY
OWNER'S NAME
AND ADDRESS GLIMMrBUildersa InCa • 119 D=Ming Street
7 U R
SUPPLIED
FROM THEIR OFFICE
BSUILDINGDEFECTS
NEW OLD rriORK NEW ,Ib.l ADDITIONAL ❑ REMOVED 0
LIST BELOW ALL EOUIPMEiNT WHICH YOU INSTALLED
NUMBER OF OUTLETS No. of Fixture* S BRANCH
Lace Lamp Reeeptaelse MOTORS HEATERS C1RCU1T8 OFFICE USE
ONLY
lion Side Attach't H.Y. Waeu A W.6.Pwdinp 1M4Ir R,a,a,�,.b switch PeMant Bracket No. Type Each ._Nqp. . Each Na Gauge INSPECTION
Oua
eMe
Sub-
basee
Real
ment
1st FL
2nd Fl.
Srd FI_
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE.
This application is intended to carer the abore•Iisted i ment to be in squ p speetad but ui at nt, of inspection b there is Fey"mi edditionN equipmant nut chore {fisted,
You era authorized to make Me inspection and adjust the Fee to crwor Me additional equipment, as paoritlMl by the appliant.
SIZE OF ELECTRIC SIGN TOTAL
MAINS Amp FEEDERS LAMPS WATTS
CHARACTER EXPOSED GAS TUBE SIGN
OF WORK 9b IT, awyl fiax3dan CONCEALED TRANSFORMERS OF VA
WORN TO 8E (NUMBER) (CAPACITY$
STARTED COMFPLETED SIZE OF SIGN
SERVICE OVERHEAD UNDERGROUND
ENTERS MAKER
BUILDING OF SIGN
INSPECTION REQUESTED
PO SI LE NEAR AS W1* ' cal
.1 � NOW � OLDEl
POSSIBLE i3 �e1Ce-i.i
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATI6N. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS Y
NAME of 7'I �IE�PT' ,% Ica to DATE OF ZZ 1987
'l APPLICATION 2 ,
STREET ADDRESS �119 � Street ..__ ..._ TELEPHONE # �Z61
POSCITT OFFICE Baillistan NY ZIP I M20 LICENSE PLI
. __. .. CODE WHEN APPLICABLE
46 Li- (REV. 1/05) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
CLUEEN VICTORIA' S GRANT
QUEENS BURY, N.Y.
01
C.O.T.G.
42 1
i
ELIZAt3t Irl
8'-0 DIAMETER
9�- 0 DEPTH
)00 qaI.
126.82�
REFERENCE DRAWING: 5A SITE UTILITIES
SEPTIC it WATER
VanDUSEN � STEVES
SURVEY PLAN
C.O.T.G. (CLEAN OUT
TO GRADE)
221
o
NJ
1, 315, 7, 9,11
ELIZABETH LANE
PLOT PLAN E SEPTIC SYSTEM
GUYER BUILDERS INC Qv ..
DWN : *:SA! q• is-871 Scale = I' : 2C(- 0