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1987-892 SP"'-C. fj r ._. ti �r w5 { r 4 • �I CERTIFICATE OF OCCT._.TI'ANCY TOWN Of +QUEENSBURY WARREN COUNTY, NEW YORK Date June 16 19 8S +:jD� This is to certify that work requested to be done as shown by Permit No. 8 has been completed. } of Two Family Dwelling This structure may be occupied ar a Location 26 Margaret Drive Queen Victoria ' s Grant Owner Guyer Builders By Order Town Eloard TOWN OF QUEENSBURY - Building d Zoaia'g�-Inspector BUILDING PERMIT TOWN OF QUEENSBURY Na. 87-892 z WARREN COUNTY, NEW YORK -C N PERMISSION is hereby granted to Queen Victoria ' s Grant r- 26 Margaret Drive l OWNER of property located at S 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. ro m t _ OWNER'S Address is Guyer guilders Inc . c 119 Dunning St . Ballston Spa , N . Y . 12020 r 2. CONTRACTOR or BUI LDER'S Name W m Same y w 0 3_ CONTRACTOR or BUILDER'S Address rr Same 4. ARCHITECT'S Name t.� m �i ua S. ARCHITECT'S Address 0 rn r-t ty n 6. TYPE of Construction — (Please indicate by X) ( A Wood Frame ( ) Masonry ( ) steel ( 1 7. PLANS and Specifications No. 32 ' x 37 ' as per plot plan , specifications and application including ^*' septic system and attached one car garage . MODEL E a 8. Proposed Use } of Two Family Dwelling c, J� $5 . 00 C/O 96 . 00 Jul 1 87 $ PERMIT FEE PAID - THIS PERMIT EXPIRES y ' 19 � (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the N town of Ousensbury before the expiration date.) F. N. Dated at the Town of Queensbury this 28th Day of December 19 87 Q4 SIGNET] BY E _ ► .'7� -rt for the Town of Queensbury Building and Zoning Inspector _ .. I Application No . i � ` afwn ereer+ s�itsryF Permit Issued 19 I L� �} DWLDiNG and ZONING DEPARTMENT Permit Expires 19 °-' L � CT 2 1987 Bay and Haviland Road, A.D. 1 Box 98 Zoning Designation Queensbury, New York 12801 Variance No. s-)EP r Site Plan Rev N � t*� e Approved b / 7'/�'� s' APPLICATION FOR / r BUILDING AND ZONING PERM I T 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 : 26 Margaret Drive Tax Map No .121 / 4 / 2 Street number or building lot number Subdivision name (if applicable) Queen Victoria ' s Grant THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK. AS RFZARDS BUILDING CODES IS . Richard H . Guyer III ( 518) 899-9161 Name P . O. Address Tel . No . Name of builder Guyer Builders , Inc -Address 119 Dunning Street Tel . ( 518 ) 899-9161 Name of plumber Guyer rss C *•Address1T9 UMUBTFg Street Tel . ( 518) 599mmm9161 Name of mason Guyer ray c •Address ng ree Tel . - NATURE OF PROPOSED WORK : ZONING INFORMATION : x Construction of a new building " A PLOT PLAN MUST BE PREPARED AND SUBMITTEDo 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 linen . 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 p$ �O • * Size of property 1pp± plan ft X 120 ft . * Existing building ( s) Size ft X N7X —ft - Mode PROPOSED BUILDING AND USE : ofl * Existing building (s ) Use N/A Since of new stru®racle 32 ft X 37 ft Foundation-pier crawl/partial/full * proposed building, sdistt#nncepfrom property line As one) Front yard 30+ ft Rear yard 30+ ft Non of stories (habitable space) 2 Height (grade to ridge) 21 ' - 6" ftv side yards ft and 15+ ft setback from side street ft If residential, nom of families of 2 * If on corner , se No. of rooms (excluding baths ) --6� " OCCUPANCY INFORMATICN Nos of bedrooms 2 * O * PRIMARY BUILDING No. of bathrooms One family dwelling ��},,� s g r P ry heating system se r e ectriC' -�- family dwelling one sMgk Y ' T�of fuel _ Electricity * Multiple dwelling / Number of units No. 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- Colonial Row Town House * Detached garage/one car/ two car/ one tax Attached garage/one car/ two car/ ( CIRCLE ONE PLEASE ) * _ * r * * w r IN r * rt * * * * * Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION � A--f" r z INFORMATION 00 BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET, TO SE COMPLETED1 Form SPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - s 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 'Mock 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? n'o Will any portion be used as living space? ( If so, what por _sgafto - - Type of use? Type of roof - sloped flat/shed/other Material of roof Fiberglass shingles Size , wood studs "X 6 it spacing^ 24 "o . c . length 8 ftw exterior walls JoistsEfloor beams ) 1st . floor N/A +X Is spacing "o . c . span N/A ft . Joists ( fl000r beams) 2nd . floor �2—"X -" spacing r6 "o . c . span�l 6t't . Overlays (ceiling beams ) 2 "X 6 " spacing 24 "o . c . span 16 ft. Roof rafters 2 "X 1 spacis,g-24 o . c . spear ?+ ' -31t . Roof trusses (pre-engineered) spacing 24 "o . c . span N/A ft . Exterior wall finish stained Of what material? 5/$" x 41 x 8 ' texture 111 Interior wall finish pain sFigetrock If a garage is to be attached , describe materials to be used for FIRE SEPARATION . 1 /2" type "X" sheetrock Is there to be an opening between garage 4End dwelling? yes If so will a Fire rated door, enclosure , and self-closing device be provided? es Will a flue-lined chimney be installed? No Height above roof NIA ft . Depth of chimney foundation below grade N A ft .' Depth of fireplace hearth N A ft . in . Water supply - Municipal or private well mxuiicipal SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties NIX ft . (A separate application is necessary - for an re air or new installation of septic system) See S . P . E . D . S . pernat # V216252 - --- - — -- Town of Queansbury County of Warren A F F I D A V I T STATE OF NEW YORK I swear that to the best of my knowledge and belief the statements contained In this application, together with the plans and specifications submitted , are a true and complete statement of all proposed work to be done - on the described premises and that all provisions of the BUILDING CODE: , THE ZONING ORDINANCE , and all other laws pertaining to the proposed work shall be complied with, whether specified or not, and that such work is authorized by the owner . SWORN TO BEFORE ME THIS Signature �� owner , owner ' s agen ,�rect, contractor day o f �� C l9$�- +` '�, Fti het e. "-r' H#,i trf: teYI: of a:VV Yrt;k / liG��c , Warren County, C,ymrniss'snn Expalified in aestlune County * rr * ,M ,Ir sR * r * , * : * r � rr * � * ,� * it ,e * � * * * * * w * * * • * * ,� * s * � ,A � ,rr r 1270 Square feet living 288 Square foot garage one stall 1558 @ $7 . 00/100 �'7 or part of $5 . 00 One stall garage $ 5 • 00 C/o permit Total By TOWN OF QUEENSB&UCtY 14EIN WARREN COUNTY , NEW YORK Application form BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work . AA gWXR ALL of the following & 1 . Gross floor area 1270 S . F . 2 . Type of heat baseboard electric 3 . Is the building mechanically cooled ? No 4 . Percentage of area of windows and doors 13 - 3% 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 No as If YES , what is the R value of insulation around perimeter of floor ? 4 . Is basement heated ? YES NO a . R value of insulation 5 . Type of insulation S . 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 gg= R-23 . 5 U. 0 . 04 3 . R value of glazed area 4 . R value of doors R-14 . 9 (U. =D . 06) 5 . R value of floors over unheated spaces 9/A 6 . R value of slab edge insulation - unheated slab N/A 7 . R value of slab insulation - heated slab 12 . 5 q . R value of heated basement/ cellar walls ( above grade ) N A 9 . R value of heated basement/cellar walls (below grade ) NIA 10 . Type of insulation Fiberglass Co Controls 1 . Thermostat maximum heat setting D . Duct Systems NIA is Is duct system installed in unheated spaces ? YES NO a . If YES ■ R value of duct installation bs R value of duct in other areas E . Piping Insulation N/A is Size of hot water or cooling carrying agent pipe 2s R value of pipe insulation' F . Service water Heating 1 . Performance efficiency NIA 2 . Temperature control setting maximum G . For swimming Pool only i, Maximum heating N/A Telephone No . ( 518) 899-9161 IMMMMMMM ( applicant ' s signature ) A.PPLICATI+DN FOR SBPTIC DLSPOSAL PERMIT Ref : S . P. E . D . S . DATE September 23 / 87 permit # New York - 0202525 MODEL E of LOCATION OF PROPERTY FOR INSTALLATION 26 Margaret Drive Owner's Name: Guyer Builders , Inc . Telephone: ( 518) 899-9161 Address: 119 Dunning Street , Ballston Spa , New York 12020 Installer's Names 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 ones. ( Flat Rolling Steep Slope 96 of slope Soil Nature: circle one: Sand Loam Clay Other J Depth: 8 ' feet + Ground Water: At what depth? unknown $ feet + Bedro -k. or Impervicma Material: At what depth? unknown feet Percolation test: circle one: not require required / rate vain. inch. Domestic rates :reapply: circle one: tUlunicipall Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption NIA feet * PROPOSED SYSTEM: Septic Tank gal. (minimum size: 1,000 gat.) TILE FIELD: Each Trench N/A feet / Total system length N/A feet * SEEPAGE PITW: Number of / Size each feet by feet * Size of stone to be used # / Depth or Thickness feet IMPORTANT * See S . P .E. D. S . ...Please..AAST NEW EQUIPMENT TO BE INSTALLED pernAt & attached * s * * * * * * se * * * * * * s * * * * se ► * * * * s * ss * ss * * s * s * map . (over) Section U 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: 1.) the proposed ,location of the Mystem 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 B. No system shall be covered before inspection and approval by the building Inspector. Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to $250.00, 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 the and all requirements of the Town of Queensbury Sanitary Sewage Disposal Okitinance. 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 0F NATURAL BEAUTY . . . A GOO 0. PLACE TO LIVE MIDDLE DEPART AGENCY, INC. p } May 20 , 1990 Certffiez that le Vi,equipment listed has been exa ' a ern approved as being in accord with the National Elect ,,applicable governmental, utility andN S. Owner: Guyer Builder 0 �4 f p we Occupant: Single Fam 0 2� Margaret tsC ` F0 rgficate t Ise tic uipment and inatallahon inspected this Location g 'n�bb • date. H additional ul nt sh be introduced or Alterations made to Equipment: r60 Outlets ; D e C8O le8 *�[ QQJJ poGtisting n atom tni cIIIa be null and void, and application for 7 5 inspect ion Shouldato 01%9 P nI to mit his Pr . 'w �j�^i older of this ce ificato aMpGld of same to his property insurance carrrer 150 Ae1ty Service ra1�3I7 �.i*lices ; L t lagent or come v)Ra evidonc rtiNoasion of alectrical equipment approved speciiled.� y� FGuyer Builders � L '18� 3 Q , 1fx-024251 AppNcenr: 119 Dunning Sere _ __. ___ Ballston Spa , ICY 1 Forest 1/a. 7D3 EL 1-03 owre o QueQnil urty BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 88 Queensbury, New York 128ol BUILDING INSPECTOR ' S REPORT NAME LOCATION Date / Permit No . ✓ = APPROVED Footing/Pi.er Forms - YES NO Foundation Waterproofing Backfill )OFraming Roofing Siding Masonry veneer Rough Plumy3ing Relief Valdes Ext . Porches Finished Flo rs Interior Trim stairs & Raili gs Cellar Drain Ti e Concrete Floors Plbg . Pixtures Gar . Fireproofin Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRI AL INSPECTIO DRIVEWAY APPR AL Final Building Survey f Next schedul nspection ( call when ready ) Remarks- ' 6/86 and-vl Building Inspector .ulC►4Vrt p� �'�!'[�173Cr1"ltt� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. i Box 98 QUeensbury, New York 12801 BUILDING INSPECTGIR " S REPORT NAME LOCATION �^ Date � _ / y Permit No . Footing/Pier Forms - APPROVED - YES No Foundation waterproofing I3ackfi I1 Framing Roofing Siding Masonry Veneer Rough Plumbs-ng Relief Valves E:xt . Porches Finished Floors Interior 'Trim Stairs & Railings Cellar. Drain Tile Concrete Floors lbg - Fixtures Gar _ P1irepro0fing Do(-jr Closers . make Detectors Chimney INSULATION - Foundation Floors Walls Ceiling FINAL FILECTRI AL INSPECTION DRIVEW1 APPR VAL - Final Bufldin Survey Next scheduled inspection ( call when ready x i3ui Ans 6/86 and-vl —/orun o� �ur'�'naburr� 8UItDING anfl ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Sax 98 Clueensbury, New York 12801 BUILDING INSPECTORS REPORT NAME LOCATION Date ,,,���ffe Prmi � No . Footing/Pier Farms APPROVED NO YES Foundation Waterproofing g a�,.It f 111 L..F'raminq Roofing Siding Mas my Ven r ugh P'lum,bin Relief Valves Ext . Porches Finished Floors Interior Trirn Stairs & Railings Cellar. Drain Til Concrete Floors Plbg • Fixtures Gar . Fireproo ing LR-Jr.) r Closers :;make Detect rs Chimney INSI.]I.ATIoN : Foundation Floors Walls Ceiling FINAL ELF, CAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- G/E3E; and-vl8 i440-r TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT � . ,BAY & HAVSLAND ROADS QUEENSBURY, NEW YORK 22601- TELEPHONE (5I8) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEXVEP C4"- � NAME 40: r s LOCATION DATE 4 At h P IT # - Sl? APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FO FOUNDATION/DAMP-PROD ING BACKFILL APPROVAL -- _....� ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: t FOUNDATION FLOORS WALLS XEILING '-'FSIVAL .INSPECTION: CHIMNEY HEIGHT ~ ROOFING SIDING EXTERNAL PORCHES/STEPSi . STAIRS-CLEARANCE & RA �LS PLUMBING FIXTURES/RE7.,2EF VALVW y/ INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL X$SPECTION FINAL APPROVAL OF 'CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: 1� oko ,eeovf INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURYt NEW YORK 3. 280k TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE ,I - /G PERMIT / APPROVED YES NO FOOTING/PI'ERS MONOLITHIC POUR FORMS FOUNDATIONIDAMP—PROOFING BACICFILL APPROVAL ROUGH PLUMBS FRAMING ELECTRICAL ROU —IN INSULATION: FOUNDATION FLOORS WALLS � ,/r CEILING d/FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTEROVAL HES/S PS STAINCE & ILS PLUMXTURES/ IEF VALVE INTEIMIPRIVAC L+OORS FINIOORS _ GARAPROOFING DOORf S)SMOKTORS FINAL CAL INSPECTIONFINAL, L OF CONSTRUCTION A SIGN D CERTIFICATE OF OCCUPANCY MUST BE OBTAIN FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!' REMARKS: I PECTOR C� BUILDING and ZONING, DEPARTMENT C/I Bay and Mawiland Road, R.O. 1 Box 98 Queensbury, New 'York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION /� t Date I� +/ � /� Permit No . * * * ■ x � r * * * � * s. * * ,r * ,'ter" *' �{f ✓ = APPROVED - YES NO Footing/Pier Farms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer i }C Rough Plumbing Relief Valves Ext . Porches -' - - Finished Floors Interior Trirn Stairs & Railings Cellar Drain Tile 4- .. oncrete Floors Plbg . Fixtures Gar . Fireproofin Door Closers Smoke Detector Chimney INSULATION : jWoun da t ion a✓ Floors Walls Ceiling FINAL ELE RICAL INSPECTION DRIVEWAY APP VAL _ FI-nal Building Survey Next scheduled inspection ( call when ready ) Remarks- r{' � /L W4 1-*-v `71A-e" EViri In-Spector 6f86 and-vl flow" 01 Queenjl ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date // a{L7/�._..�_ Permit No . ' I, - � c�q ✓ = APPROVED - 'YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Venee I.F�ugh Plumbin Relief Valves Ext , Porches Finished Floor Interior Trim Stairs & Rail! s Cellar Drain Ti e Concrete Floors Plbg , Fixtures Gar . Fireproof ' ng Door Closers Smoke Detect rS Chimney IN SU LAT 1 t]N Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTIO DRIVEWAY APPROVAL. Final. Building Survey Next scheduled Inspection (call when ready ) Remarks-- `r Buildin nsp kct:0.r 6/86 and-vl 16+� _._..lrrtun o/ Queen .shureaf r � 'BUILDING and ZONLNG DEPARTMENT I r � Bay and Naviland Road, R. D. i Box 98 1 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION he Date //r d // ermit No . ~U 7z;;;n w w * � � r r * w � rr r ,� * W + * ■ a ✓ = APPROVED - YES ' NO Footing/Pier Forms ,.Vouiidation !� Waterproofing Backfill Framing r Roof.}ng S id in`c Masonry` Veneer�� _ ..._. Rough P1,umbing _ Relief V Ves Ext . Porch s Finished F1 ors Interior Tri Stairs & Railx gs Cellar Drain T ' e Concrete Floors Plbg , Fixtures Gar . 11ireproof n Door Closers Smoke Detec rs Chimney INSULATION . Foundatio I,` 1 00 rs Wa 11 :4 Cei1 inc} FINAL E ICAL INSPECTION DRIVEWAY APPROVAL Final Building, Survey Next scheduled inspection ( call when ready ) Remarks- Building Inspector 6/86 and-VI �./acun a� �eteen3hurt� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTORS REPORT NAME. LOCATION Date / hermit No . 0 / ' cis' + APPRCYVED - YE NO �oting/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Fini.shod Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Pllbg . Fixtures Gar . Fireproo ing Door Closers Smoke Detec ors Chimney INSULATIO Foundatio Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready ) Remarks- Bui ding Inspector 6/86 md--vl BUILDING DEPT. COPY OF APPLICATION FORM 46-EL, NEW Y.ORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT, WHEN REQUIRED. P- * DATE CITY OR �-y �„, t,. ••• VILLAGE Qm� msbury TOWNSHIP QUeerAmbbry COUNTY Wgwrm STREET 00. OR ROAD ANAD POLE NO. M ftWgx"tr DrIye POLE ND BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK r LOT OCCUPANT'S BUILDING NAME OCCUPANCY B NAME AND ADDRESS Guyer PTItfYx! Im e s 11.9 Umirdna SLLYew TE L. # 161 ` SUPPLIEb gY FROM THEIR OFFICE BUILDING _ NEW ® OLD ❑ rs NEW .4._1 ADDITIONAL D REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS Levine Receptacles MOTORS HEATERS Fixtwwwa; at BRAN OFFICE USE Loos, ONLY fw I2 Ec � aw;COMM � IIP P4 Srrill Pesdent Brecket NaTYp+ h Na E No. INSPECTION Out- sub. uata Baer torte 1R FL Said FI e�lrl R. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. This aT.r+stion is intended to corer the above-listed equipment to be inspected but if st time of inapeetion Ihiev* is fours additional equipment not ahova liatid, you are antbartmal to awake the inspection and adjust the fee to darer the additional equipment, as provided try the applicant. SIZE Of ELECTRIC SIGN TOTAL MAINS150 _ FEEDERS. LAMPS WATTS CHARACTER y` EXPOSED GAS TUBE SIGN OF WORK Rcalgi in rvIce CONCEALED TRANSFORMERS OF VA L BE MUMBERI ICAAPACiTY1 COMPLETED SIZE OP SIGN OVERHEAD UNDERGROUND MAKER OF SIGN ON REQUESTED ON OR AS NEAR AS Will 7 .r.a y NEW OLD Q AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES DATE OF MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION e3.T213 87 PRINT NAME AND ADDRESS NAME OF ���a,,�. V SIGNATURE APPLICANT •u a BuIl erss Inc• �.r X OF APPLICANT STREET ADDRESS 119 ��i� Street � +�l�TEE1LEPHONE ilk 89"161 CITY OFFICE Ballston � f York ZIP CODE 'Ire1V1��� WHEN APPLICABLE 40 EL (Rev_ I/as) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING February 11 , 1988 M/ E 488 - 003 MEMORANDUM TO : Je"cy Goldie ,. B'ob Baker C r FROM : Richard Morse... .'� \. RE : Queen Victoria rant Phase III On 2/ 11/ 88 , I spoke with Bill Lamy of NYSDEC , stating the fact that we had hit water at approximately 9 feet below finish grade on an area of Queen Victoria Grant . I questioned Bill as to whether he required modified drawings for this . Bill said that he would not - we should note it as a field change and resize the facilities , picking them up so that we would. have 2 foot of separation between groundwater and the bottom of the pits . I told Bill that there might be some concern or question on the part of the Town as to changes and modifications of this . Bill stated that the general drawings on the plans were sufficient to detail any modifications . However , he said if the Town had any questions , they should contact him and if they wanted corroboration , we might have to provide a sketch. I told Bill that we would fulfill any obligations that the Town imposed upon us . The modifications for the following duplex units were given to a representative of Bob Baker , Three Du lex Units Seven 81 diameter , 5 ' effective depth dry wells would be required with an invert elevation at 398 . 91 . Two Duplex Units Five 8 ' diameter , 5 ' effective depth dry wells would be required with an invert elevation of 399 . 551 . RSM : 1ag r .. --. mmom r MARGARET LOT rl W, 22 2 G' r � QUEEN VICTORIA' S GRANT QUEENSBURY, N.Y. ow � �� ' M T FF 'D Im LCT 24 I 26' DRIVE A - I ' � � I LOT I I 26 1 I I I 22 0 OH W W zo ro r .n+ C.O.T. G. No c REFERENCE DRAWINGS 5 SITE UTILITIES SEPTIC # WATER VanDUSEN 4 STEVES SURVEY PLAN 6-0 DIAMETER 8'•0 DEPTH (CLEANOUT TO GRADE) 22 ,24, M, 28 MARGARET DRIVE PLOT PLAN 4 SEPTIC Mnfil GUYER BUILDERS, 14C. Qv- i I DWN : J::�J 9-2�-lf'i Sco'Ee = 1".20-0