Loading...
1987-956 o f f CERTIFICATE OF (]CCUPANC,Y' i TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date October 31 19 88 iSDI j This is to certify that work requested to be done as shown by Permit No. 8 7-956 i has been completed. This structure may be occupied as a of To Family Dwelling I LA)cation 34 Margaret Drive - Queen Victoria ' s Grant Guyer Builders , Inc . ovvner 1 By Carder Town Board i j TOWN OF QUEEN5BURY I 3{ a Building & Zonins espector I a BUILDING PERMIT �A TOWN OF QUEENSBURY No. 87-956 � WARREN COUNTY, NEW YORK :> PERMISSION is hereby granted to Queen Victoria ' s Grant N l OWNER of property located at 34 Margaret: Drive Street, Road or Ave. in the Town of Queensbury, To Construct or place a 4 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. s✓ ro t . OWNER'S Address is Guyer Builders Inc , 119 Donning St . Ballston Spa , N . Y . 12020 0 rt O 2. CONTRACTOR or BUILDERS Name " t Same vJ K 3. CONTRACTOR or BUiLDER "SAddrem rt Same 4, ARCHITECT`S Name W H 5. ARCHITECT'S Address W rt ro r-t d B. TYPE of Construction — (Please indicate by X) ro 4X) Wood Frame I ) Masonry f I Steel [ ) 7. PLANS and Specifications Ne. 34 ' x 43 ' as per plot plan , specifications and application including , r septic system and attached one car garage . MODEL L _p 8. Proposed Use H of Two Family . o 4 $ 5 . 00 C /O $ 75 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES July 1 , 19 88 (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) Dated at the Town of Oueensbury this 31st Day of December 19 87 SIGNED BY for the Town of Queensbury Bur rd ing and Zoning Inspector _ � r f / Application Nos, � ' .Jor�n osiQendbesr - ; ` Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 OCT 2 1987 Bay and Haviiand Road, A.D. 1 Box 98 Zoning Designation Ouaensbury, New York 12801 Variance No . Istlx [ k {_` ; �d r Site Plan Review No * Approved by : 'd,2 S� a0 APPLICATION FOR BUILDING AND ZONING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLOWING . The undersigned hereby applies for a Building Permit to do the fallowing 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 . i — .ww4—wwatiw w��w��n.rlii�.wiiw.�—psi--ww—ww—ww.ww—�.—.— -- rrrrwrwrsw+� www www 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 : 34 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 REGARDS BUILDING CODES IS : Richard He +Over 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 Y'er rs , nC •Address 1119 ikuining Street el , k5183 599=�� Name of mason uyer rs , nc .Address =g 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 FOR DEMOLITION PERMIT , STATE SIZE AND * whether interior or corner lot . Show location " of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED, of septic disposal area . * COMPLETE INFORMATION REQUIRED $oE4PW . se * Size of property 100t planpllflitjj x 120 ft . L * Existing building ( s ) Size ft x M ft . PROPOSEDl3UI LOI NG ANp USE : Model F IT - Existing buildings ) Use NIA size of now strP� e 34 ft x 43 ft " Foundation-piercrawl/partial/foil ' Proposed building , dist4nce rom property line le one ) * see plot pan Front yard 30+ _ft Rear yard 30+ ft Noe of stories (habitable sppace) 1 * Height {grade to ridge ) 21 ' -0" ft . * Side yards 15+ ft and 15+ ft of 2 * If on corner , setback from side street * ft I1 residential , no . of families N . of rooms (excluding baths ) 5 T " OCCUPANCY INFORMATION L+�p. of bedrooms * PRIMARY BUILDING - e of bathrooms One family dwelling Th .s e ' f r t Primary heating system baseboard a ectri.C* —X-Two family dwelling QT�e e � Dui ngo + Type of fuel Electricity * Multiple dwelling / Number of units Noe 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 Ranch Contemporary LOQ cabin * Other Raised ranch Mansion QDuple * If addition , what will use be? 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 OFOther CONSTRUCTION � � ;ti . t"_�_ , INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETEDI Form BPA 4/86 and-vl BUILDING PERMIT AkkLICATION CON`i . ..uED - . i 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 $" Depth of foundation below grade (to bottom of footing ) 48of minimum Will there be a cellar? no Heated or unheated? Floor sq. footage sq ft Will there be a basement? no will any portion be used as living space? ( If so , what portion? _sq. ft . - - Type of use? 'type of roof - sloped flat/shed/other Material of roof Fi rg ass shingles Size , wood studs "X 6 spacing 24 "o . c . length $ ft . exterior walls doists ( floor beams ) lst . floor NIA "x " spacing "o . c . span N/A ft . 3oists ( floor beams) 2nd . floor �"X _ spacingT- � 'o . c . span N A ft . Overlays (ceiling beams ) "X do spading 24 "o . c . span N/A ft. Roof rafters 2 "x 1 " spacing+ o . c . span 12 ft . Roof trusses (pre-engineered) spacin—g�► "o . c , span 43 ' ft . Exterior wall finish stained Of what material? 5 /8" x 4 ' x 8 ' texture 111 Interior wall finish Paint 112 sheetrock 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 -Sand 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 „rn,r',ici.pal SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties ft . . (A separate application is necessary for any repair or new installation of septic system) See S . P. E. D. S . pernnlit # 0202525 Town of Queensbury County of warren A F F I D A V I T STATE OF NEW xoRx 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 s ecified or not , and that such work is authorized by theb6wner . SWORN TO BEFORE ME THIS signature�� �..- F� _ _ --Owner , o er ' s agent , rcect , contractor 21tA- day of PAULA CHRISTOPHER Notary Public. State of New York f /1 �Tualifi"ri :n Sctnr.nectady Ccunly Niel ref C"ZI 727 Notary Public , Wa ren County, N . Y . • • * * sr rr s t n * rt * * * * * A ok * it x * * * se it * * R fe sr fr s * # Or Yt tr it !e i SPECIAL CONDITIONS OF THE PERMIT : 63 onebit toot SOXA&C or part 1224 b j {fie pt4al Total TOWN OF QUEENSBURY , L 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 . AMSWZIL ALL of the following : 936 S F +; r 4rosa door area Type of heat Baseboard electric 3 . Ia the building mechanically cooled ? No 4 . Percentage of area of windows and doors 15 . 9Z A * Over 16 % Only 1 . Uo value of gross area of walls , roof/ ceiling and floors exposed to ambient conditions 2 . Floor over heated spaces YES NO a . Are foundation walls insulated ? YES ' NO 1 . If YES , what is the R value ? 3 . Slab on grade YES N'Q AV If YES , what is the R value of insulation around perimeter of floor ? 4 . = s 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 a =0 9 026 2 . R value of exterior walls )ROM R-23 . 5 U. =0. 04+ 3 . R value of glazed area U • =0 . 20 4 . R value of doors R-14 . 9 5 . R value of floors over unheated spaces Xib= N/A f . R value of slab edge insulation - unheated slab NIA 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 C . Controls 1 . Thermostat- maximum heat setting 00 Duct Systems NIA WIN 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 B . POftleing insulation NIA 1 . Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation Fe Service water Heating Ow 1 . Performance efficiency N/A 2 . Temperature control setting maximum G . For Swimming Pool Only 1 . Maximum heating NIA Telephone No . ( 518) 89"161 / ( appl cant ' s sf ature } .r..�drY+li -r r APPLICATION FOR SEPTIC DISPOSAL PERMIT Reft S. P.E.D.S. permit 0 New York - 02025254 MWELL of E L LOCATION OF PROPERTY FOR INSTALLATION 34 JjUrvFaret Ttriy Owner's Name: Guyer Builders , Inc . .: Telephones 518? 899-9161 A4 resss 119 Dunning Street Ballston Spa , New York 12020 Installer's Names Guyer Builders , Inc Telephones ( 518) 899-9161 2 A, C, Es I , J, X0 L, H Number of bedrooms( (residential only) 2 3 g. G, H . . Total daily flow (compute Q 154 gal per bedroom) 3W T+ra q�apl►ys circle ones Tat Rolling Steep Slope 9i of slope. Sail Haturres circle ones (.(Sand--r Loam Clay Other / Depths, 8 feet + Cwvmtsad Waters At what depth? unknown 8 feat + bofteck or lmperwUna Materials At what depth? unknown fact Pwrc�o�Latiaa text: circle ones not require required / rate min. inch. Docweatic water supplys circle oro►et Municip Well Other IF domestic water supply is a Wells Separations Watersupply from Septic absorption N/A feet * PROPOSED SYSTEMS Septic Tank ,gal. (mbumum sizes 10000 ,gal.) TILE FIELDs Each Trench N/A feet / Total ,system length N/A feet * SEEPAGE PIVS)s Number of / Size each feet by feet * Size of stone to be used Depth or Thickness feet * s * s ,sssssss * * * ss * srs �r * * s * ss * s * s * +rs * sssss * IMPORTANT * See S . P.E.D. S. ...Please...LAST NEW EQUIPMENT TO BE INSTALLED permit & attached * +ss * sss �► s * sss �s * ss * * ss * s # * s * sss +s * sssss * ss * map, ' (aver) Section U Septic System Inupectionss A# All applications for peptic system installation, alteration or repair. as required by the Town of Queensbury Sanitary Sewage Ordinance. shall be submitted to the Building Department at leapt 24 hours before start of construction and shall include a plot plan showing: 24) the propooed .location of the watem 2.] location and distance to lot Ones 3J location and distance to structures 4J location and distance to any water supply So) size and dimensions of all tanks`v distribution boxes, tilp fields and/or drywells be No system shall be covered before inspection and approval by the buildis:g Inspector. Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to $250.00. Co An approved copy of the plot plan :shall be available on the construction site. Failure to produce said plot plat► at time of inspection tray result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installatiost, alteration or repair of an approved system,, a now proposal must be submitted to the Queensbury Building Department before further construction. I bave sro" tbs rNagr"tums above: and agree to abide by t a" ail requizeateob at the Town of O. wNmsbury Sanitary Sewage DiMmase3 Ordinance. Signature of.responsible persons Dates r Town *$ Queenpbury Building and code Department Hay at Haviland Road Queensbury, Now York 12801 (518) 792- 5832 4 + Towner MIDDLE DEPARTMENT INSPECTtOM AGENCY, 1NC.900 Fiatldat+ Awn+uO, Calfllt+lii + jN.J. 0610811Dates14 , 1S a3[� that the electrical equipment fisted has been examined and is approved as being in accord livable governmental, utility and Agencyrules- with the National Electrical Code, aPP Guyer BuilderDLO Occupancy rle F :--^ ?Iv r meet and iWoRilation inspecler7 m"sbur" \=!arren CO , r is cergf 1pats edvers the eleGlrlc a! eauoP m7ioduced or alterations made to a,r]t; 1. �i3 �=x'�' 4icat3on for C L1 F� �•(`irLs- x'et :.J I"ll'C7 _ dale If atltlihonaY eiquipmant ahou7tl be Location: OxLsting system this certificate shall ria null and voitl, and app �nsPaCiion an o old be so b mated Promptly to trips is A.yehcy� insuranea carrier _ �C e e ; i T' ;''y'r ur e u � Holder o7 this cerlihcale should Present acme to nie props rtY ",� pu t.l a tr s ; 3 s.3 - (agent Or Cam Pant] as eri doewe O'l earl ilicallon of electrical egUiPment approved Equipirnenf: as spe<Hlad. ; 1�0 t1 Service ; 7 i-q>F1Lances rGuyer 3ui1ders T?�c ,, a+ ;.. - alp . 15 - t� 241G9 App 7fcani: 119 DuzarLl Ile Street' L 3Bailsto-cl S a , .:Y 120 VIUM No, 70"d EL t 4" 10Wli ,3UILD10G and ZONING DEPART Bo" 9g say and Haviland Ro Ypr-k 128o1 ueensbL ry, RR�PflRT V BUI LDING It1SP �C1 Clf2 ' S NAME LO CAT I ON Persni * * Date * * * * * * * * * * _* YES NO A1'FR(DV)yD Footi.q/pS-er Foundation Waterproofing Back.f ill Framing Roof irng Siding MasorL Veneer Rough plumbing__-- - Re1ie-f Valves_____--- `~ F%.t . 1'or GYL e S�----- ..�--�' Frnished F3-C70r5 Inter ... Trim Stairs & Railin[3s Cellar. Drain Tile Concrete Floors ..._-- I'lbg . Fixctures� �-- C;ar • v ireProof in _---- nor Closers Smoke Detectors Chi e'y_----- U I,AT I Oi3 Foundation r,l(0:Yors Walls Ceiling IN 5P'ECTION� F IN AL ELECT C�'L p pFRC)V A - -�- VIRIVR43AY Survey�� -- gir+al Building scheduled i nsPection (call when ready ) e xct Remarks- . I I3uildi Spector �ueeny � ur+e� 10W17 a `t�Y1c DEPARTMeNT BUILDING and ZO13G 1 Sox 98 Bay and Naviland Road, R 0 pueenshury• 'NeW yor 1260A lc BUILDING INSPECTOR ' S iZEPC3RT tdAME LOCATION �.J �1 f! Permit. No . Llat.e fi€a s * * * * APPROVED Footing/Pier Forus Foundation waterproof ing Sackf ill 4,A�&ming gpof i_ng Siding Veneer MasanrY gh Plurnbin9 Relief Valves Ext . Porches Finished l m s interior Stairs & Rallinge Cellar Drain Till Concrete Floors _J g - Fixtures Gar �-----~- _-- Gar . Fireproo in9 Door Closers SmoKe Detec ors Chimney 113 SUT AT-10N Foundati0 Floors Walls Ce it ing INf SPECTT.ON ---- � F•�Al, ELECT P.1C A'D SlRIVEWASu 1�ding Survey �---. Final uled inspection cal] wheT' ready ) i3ext sched jL p ctor ro/86 nd-vl f9own ou �pny , �er+� SOILDING and ZONIN O Rlgpx 9$ Bay and Haviland R GlueensburY, New York } 2$41 gEPTIC DISPOSAL u4SPECTION LOCATION ,_ 9 f PE NO -'�.� �,J Loam - clay . --� -- SOIL TYPE% _ - YES - 110 Percolai:.:Lc i R � xed� percolation rate - Niin/Inekr,! TYPE of SYSTEM! total 3en5tih A]acorPtjon` f ield . each trench Length o enches Depth Of Size of gra el, er of ? SEEPAGE PITS ft. Size- ft. Gravel Size Si�xe Type PTPZt1G a I � - Sldg - to tank. �r Tank to dist . � C/ gist. -boxto fid/PE 13O partial Seale . Opening SEPp+ IONS* d fit. ppCA'rI0I3/ tank Foundation t ft . t absorption ft., Foundation lot line bsoxption t s- pits hole one} n Separatio cN pROPBRTY � � TI0t3 OF SY5'TEM de �N side - Front - Rea -. Left ht C ENTS f ., A ez Sy STEM SE A7'PRC)VE � p,ector s 01/66 Isla ul CAI �+ �t,r.eerrybur+� _ D W'n 7 `Mjr4G oEQA€'T"EN j3u%LDHNG and ZCJ d p1.D . 1 1Bax98 Bay and Viavlland Naewa York i2&f7i ©Deensbu rY. BUILDING INSPECTOR ' S REPORT LOCAT I Ol^3 permit No 41 TL)ai a * * YES too * * * * *rs s APPPROVVM Footing/p1er Forms Foundation Waterproofing aackfill Framing F,aof ing Sidin t4ascrn eneer g,ough gel i.e f Val es ---�-- Ext , Porche Finished Flo s Interior Trim Stairs & pa,ilin s Cellar DrainTil gutconcxete Floors s J( plbg • V ixt Gar . Fireproof irr3 poor closers Smoke Detectors Chimney IL3 SL}LA'TIOt3 c F,o,undation Floors Walls Ce I Iin{3_ INS1}EC'TIOI3_r FI13AL El AP ROVAL 37RIV'EWAY n� Survey Final Build call when ready) insp ection � 13ext scheduled Ale 4AAO, .440 Remarks- �. " vil n9 In ec zr 6�86 �-vl 7,pwn ofTMENT Qeieenahurt� E3UVLC7i1`1G and ZgNiNC C)EPARti sox 98 gay and "ay"and Read, QueensbUry. New Yoorkrk 12801 BUI I_ [7ING INSPECTOR ' S RE.POR� NAME LOCATION / perms-t. Nos •__�_ * * * * * d r * * * No Date * p.PPROVE10 - YES I-o�tiny/Pier' Y'oYms L_._' r6un d a t ion n WaterProof in9 Vackfi11 1•*7raming Roof knq Siding MasonrY �leneer_�_�__ - _--- Ro ugh Plurnbi n9 ----- Relief Valves__ �.� -- I.xt . Porches k inished Floors___-----� Trim_ xnterio& Railings stairs Cellar p-rain Can. rete ^ --- plbg - F z-% r"r f i Gar , -Fireproof " Door Closers Smoke Detector C_h w mneY 114SULP'T7[ON Foundation Floors Walls Ceitkn�y,ECTR Cia- NSBECTIOF] �' If3 AL V)RIVEWAY pPPRO Final Building Survey Next scheduled inaP ection (call vrhen ready ? Remarks-' aui d3-n9 InSp to b/$� and-vl G1 U l � �ueensbu+'�' l f iaw+t d ZpN1NG ! f � BL31+LGtLNCa oad R.p 1 box g8 13ay and Ha�xland R �2s01 ClueensburY f4 ew York 3 ta bRT Q' + REF' �I . q SUI1_DING INSP �CYU�'` , NAME Gilt-�' _ ;pCA-TICAN �} J N'a ' 140 1E)c t * * * * * * * ApPVCOVED YES otint3/pier Fax +s Foundation Waterproofing Fsac7cf ill ,F ram:LnQ Roof ing S j,.d inE3 Veneer �---- ..�-- Nlason 'Qlumbinc3 _ - �_ -- Relief s porches gxt . Finished Floors rl .. I Snter or Trlm - 5tairs & Izailin�3s Cellar gain Tile Concrete Fl.oars P3- • Fi.xtures Gar . viireproof i or closers s SriyC77:.'� DeteCtP ��11INleY' 1:14 Sul-.AT I Foundation Floors Walls Ceiling ECTRICAL TNSPECTXt7l3 I7ItIVEWA gurye9-�---��� Final wilding _--- eduled 2 L,1 text sib j,'Ooo-n V6 J R,etr,arlcs- f ✓ IR ing Inspector Build �,/86 .m,d. vl r Tp�dN OF Q[I CODES DE BUILDING AND CODES DEPARTMENT LAND ROADS BAy & HAVI 12801 QUrEENSBURYr NEW yORK TELEPHONE ( 518 ) 79.2-5832 W iLT UIX; -lNSPrr.CT€3R' S REPORT NSPECTION` RECEIVED �__,� REQUEST PQ�'�� NAME LOCATION IT #. APPROVED DATE YES NO FOOTINGIpIERS FORMS MONOLITHIC POUR FING�� FOUNDATIONIDAMP�PROD BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRT L ROUGH—rN INSULAT N- FOUNDA ON FLOORS WALLS LIN CEILING T Nr 'NAL IN SPEC CHIMNEY HEIG ROOFING SIDING HE STEPS �- �---- -� EXTERNAL Pa RAILS_ ~ STAIRS—CLE RANGE LIEF VALVE PLUMBING IXTURES Y DOORS TRIM1PRIV INTERIO FLOORS FINISH FING� `- -- GARAGE FIREPROO DOOR SER if S ) ----- r� SMOK DETECTORS _ ECTI LECTRICAL ON O� FINAL OF CONSTRUC FINAL PPROVAL up NCY MUST BE CERfirFICATE OF OCCVE RTMENT BEFORE p SIG ROM THE BUILDING D OBTArNE ARE OCCUPTEDi THESE PREMISES REMARKS ImSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY s HAVILAND ROADS QUE£NSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE f(J - PERMITJi Vff�i� APPROVED YE55 I NO FOOTI,VG/PIERS MONOL THIC POUR FORMS _ FOUNDA ION/DAMP-PROOFING BACKFI APPROVAL ROUGH P MBING FRAMING ELECTRICAL UGH-IN INSULATION: FOUNDATIO FLOORS WALLS ILING CPI'NAL INSPECTION: CHIMNEY HEIGHT" ROOFING SIDING i EXTERNAL PORC S/ T S T, STAIRS-CLUEA CEI & �. PLUMBING FI R SIRE VALV INTERIOR TR MI RIVACY RS FINISHED F S GARAGE FI P PING DOOR CIA R { j SMOKE DE EC RS FINAL ELF RI AL INSPECTIO FINAL APP OV L OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY ST BE OBTAINED FROM THE BUILDING DEPARTM BEFORE THESE PREMISES ARE OCCUPIED! ICS: INSPECTOR M A6 EI . NEW YORIC BOARD OF FIRE UNDERWRITERS. gLI1L61NG DEPT. Copy OF APPLICATION FOR ptl I RE D. FILE THIS COPY W lTN BUILOINC+ DEPT. WIi£N R _COUNTY r ' + TOWN SH I � POLECiTY N VILLA K 1LOT STREET OR . . GS1ON ROA0 AND OLE "I Cp7IN PRE ISTR ETS T51l 1LDING CUPANCY 7 ,' 7ED TEL. QA ANTS r 7 (' ! .� _ . T! , ...-OFFI££ OWNER'S NA AND ADORE _ i � i a FROM THEIR _ D£FEC Q REMOVED tyyORK NEW ' ADDITIONAL Q B PPLIEO IS ota ❑ YyIHICt{ 3! dU i STALLED ED BUILDING :--'N£w OUIPMEIdT CR �� OFFICE usE Is LIST BE LOW ALL E MOTORS FIEA7ER'S Le � FI1tReevrt� A.w.G. INSPECTION LeteP Watts No- GauGe NUMBER OF OUTLETS H.P. Nw Eeeh de si AtWK [W ot Switch PeetK B"MI No. Type sash rice[ Downs Wail Races h e�idr bWI re BONI mvI Set FI. 2nd FI. 8rd Ft. Do " USE THE, SPACE. T FORTH ADOVE REMARKS- LOST OTHER ELECTRICAL DEVICES NOT SE Lion I}sare Iz t eddi[;onei equitRnent not •Otore lizled, t to be i[tzpectad h.[t if at sines o1 ; 111 hY the aPPi eheyrrlistad equ;Ptnen AL lionai actump nem. es W'o"' WATTS to eoroT lira t the fr to corer ties adel; .fhK e�lKation 15 intended &nzpection and adi £LEC7RIC AID Y n.. yra eotytoriaad to 1^aiV6 �r FEEDERS VIA SIZE OF ;.p •� .-/ TR^ SIGN }# / r 1 (( EA GAS TRANSFORMERS OF iCAP ACITYI MAINS + j s - . 4uk� CONC£ALEO -} s ( x l i'NUMBefit CH AR ACTEfi' i r_ ° SIZE OF SION Of WO K COMPLETED WORK TO BE . _ MAKER STARTED U N NDER UND OF SIG SERVICE OVERHEAD OLD EN'LEKS f- I ME l.� J } . t. i DATE tNS"P'ECT/ON ^ft A'S TEDF . .r � : . . � OR AS NEAR AS I �,{;' j APPLICATION Possset-E RETURNED. Y BY 61V1NG FULL AND ACCURATE 1NFOR'NIATION. ALL SPACES AVOID DELAY .. /,� „�+ SiGTIATURE OR APPLICATION MAY RE . 'r . OF AFPLICA'NT MUST BE FiLLEO IN D AOORE,gS PRINT NAM Y r„_ {�.,i�" „ . NAME OF TELEPHONE # APPLICANT i 3 f r ; ;s 1'? .C_ +t 1: _r ICEFISE NO. ' ZIP i� - r WHEN APPLICABLE -_ j� ' COOS ' STREET ADDRESS j 1 ` II \ FILED FOR EACH SEPARATE BUILDING OFFICE APPLICATION MUST BE A SEPARATE AS EL (REP. 1E86) _ MARGARET ,.,,_ _ ,_ 87.00' tlo100.00' /000�SHUTOFF, i I I I N 0: R= 25 w '`� a l LOT LOT I L= 3897 QI 31 32 34 33' OT io QUEEN VICTORWS GRANT QUEENSBURY, N.Y C.O.T G. 1250 gal 17' DRIVE �I I N LOT I 36 I 17' O 0 o� N' N t� 100.00' C.O T G. (CLEAN OUT TO GRADE) 6= 0 DIAMETER 8=0 DEPTH REFERENCE DRAWINGS 5A SITE UTILITIES SEPTIC 9 WATER VanDUSEN 4 STEVES SURVEY PLAN 30, 3Z 34,36 MARGARET DRIVE PLOT PLAN SEPTIC SYSTEM GUYER BUILDERS, INC. QV - 12 DWN : } ( p-i3-$ Scale ; I 20' 0