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1987-946 CERTIFICATE +CDF C. CUPAN Cx1r TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date August 19 19 88 This is to certify that work requested to be done as shown by Permit No. 87� 946 has been completed. of Two Faiully Dwelling This structure may be occupied as a 37 Margaret Drive - Queen Victorla ' s Grant Location Owner Guyer Bu3.lder> , Inc . By Order Town Board T%OWNF OF QUEENSBURY r Building 6 Zonrri . nspector BUILDING PERMIT � TOWN OF QUEENSBURY � No. 87-946 a WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Queen Victoria ' s Grant i OWNER of property located at 37 Margaret Drive Street, Road or Ave_ , in the Town of Oueensbury, To Construct or place a _ } 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. rc 1. OWNER'S Add ressis Guyer Builders Inc . 119 Dunning St . c Ballston Spa , N . Y . *Rjkg:k 12020 0 2. CONTRACTOR or BUI LDER'S Name r• Same p' us cs rt 8. CONTRACTOR or BUI LbE R'S Address 03 Same rt 4. ARCHITECT'S Name w 5. ARCHITECT'S Address `-S 0'R N ry Cb . rr 6. TYPE of Construction — (Please indicate by XI d Ix r I Wood Frame 1 I Masonry i ) Steel ( } N 7. PLANS and Specifications Na 30 ' x 30 ' as per plot plan , specifications and application including septic system and attached one car garage . MOREL C B. Proposed Use OF TWO FAMILY h»- ptil r� E $5 . 00 C/O o $ 75 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES JULY 1 , 19 88 r• (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Oueensbury before the expiration date.l Dated at the Town of 0ueensbury this _31st Day of DECEMBER 19 $7 SIGNED BY ti � G �- Q _ L�° "' for the Town of 0ueensbury Building and Zoning Inspector av aw 5..artaa-uca..... ,car. �rira�a ■ air..' • . Application No . ; nr 0 fs"s' j isd ry Permit Issued 19 ]QUILOING and ZONING DEPARTMENT permit Expires 19 I =; Bay and Haviland Road, R,D, 1 Box 98 zoning Designation Qussnsbury. New York 12801 Variance No. Site Plan Review No . "C Approved by s f' • cfV &PPLICATIQDI FOR L/! ! �' _ , -� e-Vlt S r BU I O I HG AND ZONING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE. FOLLOWING . The undersigned hereby applies for a building Permit to do the following work which will be done in accordance with the description, plans and specifications submittedo and such special conditions as may be indicated on the Permit . The owner of this property ist Guyer Builders , Inc . Poo. address 119 Dww,:dng Street Ballston Spa, New York 12020 Tel . ( 518 ) 899-9161 Property Location: 37 Margaret Drive Tax Map No�Z. 1 /� 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 ISt Richard H. Guyer III ( 518) 899-9161 Name P. D. Address 'Tel . No . Nasty of builder Guyer Builders , Inc .Address 119 Durniing Street Tel ( 518) 899--9161 Name of plumber Y'er 1011deffiv nc .Address n Street Name of mason Wyer rs , nc .AddressStreet Tel . NATURE OF PROPOSED WORK : * ZONING I NFORMAT I GN ]C gQn4trWtion of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED, a4di.tion to a building * drawn reasonably to scale and attached hereto, Alteraticin 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 FOR REM i OF STRUCTMITOHWZ AFFECTED. * of water supply and location and configuration of septic disposal area . * COMPLETE INFORMATION REQUIRED VEE�T . " PLolp size of property 100± p ft X 120 ft . Existing buildings) Size ft X��ft . PROPOSED BUILDING AND USE * Model of Existing building (s ) Use MIA Size of now strut a eft X� ft Foundation-pier slab crawl/partial/full Proposed building , sdiistpancce fro punm property line circle one) 2 * Front yard 30+ ft Rear yard 30+ ft . Noe of stories (habitable space ) + ft and 15+ ft Height (grade to ridge) 22 ' - 5•• ft . * side yards If residential, no . of families If 2 * If on corner , setback from side street ft Moo of rom ms ( excluding baths) 4 __ " OCCUPANCY INFORMATION Moo of bedrooms " * PRIMARY BUILDING — bi of bathrooms 2PIII One family dwelling g r Primary heating system se a ectric" =Two � s�� ��. of fuel ' Electr C t family dwelling �' - * Multiple dwelling / Number of units Now of fireplaces to be installed Permanent occupancy Will a wood stove be installed? 'rl�o Central Air conditioning? No s Transient occupancy Business BUILDING STYLE, PRIMARY STRUCTURE Industrial Ranch Contemporary LOQ Cabin + Other Raised ranch Mansion Duple * If additiono what will use be? Split level Old style Bungalow WON t• td 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 ,r * + r * • • * * w * + . r * * * * Private storage building ESTINATED MARKET VALUE OF * Other COiISTitIJCTION DWOMATION Obi _ BUILDING SPECIFICATIONSr ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETEDI ram SPA 4/86 m3-vi PUILDING PERMIT APPLICATION CONTINUED - WILDING SPECIFICATIONS . Type of construction , wood frame, fire safe, etco wood. fram W,11 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 ) 4861 HarniLM ' Will there be a cellar? ffnO Heated or unheated? Floor sq. footage > ft Will there be a basement? no Will any portion be used as living space? ( If so, what por sq * ft . - - Type of use? Type of roof - sloped flat/shed/other. Material of roof x ass shingles Size , wood studs " 6 " spacing�l _"o . c . length U ft. ex,ter or walls Joists ( floor beams) 1st. floor N/A '„x at spacing "o. c . spanN A ft * 3oists (floor beams) 2nda floor Z six...=" spacing 16 "o . c. span'TZft . Overlays (ceiling beams ) 2 "x " spacing 24 "o . c . span 14 ft. Roof rafters 2 "x 10 " spacing 44 o . c . sgan�4 ft * Roof trusses (pre-engineered) spacing �+ "o . c . span N/A ft . Sxtexlor wail finish stained of what material? 5/8'" x 4 ' x 8 ' texture 111 Interior wall finish Pin s etrock 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 -Und dwelling? des 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 N/A ft . Depth of chimney foundation below grade N A ft Depth of fireplace hearth N A ft . in , Water supply - Municipal or private well municipal SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties N/A fte (A separate application is necessary for an re air or new installation of septic system) See S . P. E . D. S . Ramat # 021252�5 CoupTown of f Warren A F F I D A V I T STATE OF NEW YORK County of Warren I rrwear that two the best of my knowledge and belief the statements contained in this 4pplication , 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 ified or not, and that such work is authorized 1y the owner . f �i To WWORE ME THIS Signature � - -.. Owner , o i s agent , ar teat , contractor Z 1 � day of 'V- 19 $ 7 P+4Ula4 CHfi15TOF'HER 1 Notary Pubbe, State of Now York Qualified in Schenectady County Not4ry Public , Warren County, N . Y . Corp. mission £4864s 7 7 191 SPA , CC> 1pxTI17NS OF THE PERMIT 975 Square feet living 264 Square foot garage - one stall / k rr/+ 1239 p $7 .00I10(]"or part of $5 0 00 One. stall garage C/o permit Total -F TOWN OF Q' UEENSBURY WARREN COUNTY . NEW YORK V ,Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODS . A permit must be obtained before beginning work . ANS&WgiR ALL of the following $ } . Oross floor are& 975 S . F . 2 . Type of heat Baseboard electric No 3 . Is the building mechanically Cooled ? 4 . Percentage of area of windows and doors 11 . 1% & a over 16 % Only 1 . Uo value of gross area of walls , roof/ calling 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 ? 4v is basement heated ? YES No - a . R. value of insulation 5 . Type of insulation ri . Under 16 % Only 1 . R value of roof and . floors exposed to ambient conditions,,,,_ R-38 2 . . R value of exterior walls XXM RMo5 U. =QnQ4 3 . R value of glazed area U=Ov3O 4 . R value of doors R-14 . 9 (U. =0 * 61) t 5 . R value of floors over unheated spaces R�* 19 6 . R value of slab edge insulation as unheated slab NIA 7 . R value of slab insulation - treated slab 1205 8 . R value of heated basement/ cellar walls ( above grade ) N A 90 R value of heated basement/cellar walls (below grade ) 'N/A 10 . Type of insulation Fiberglass Co Controls 1 . Thermostat maximum heat setting D . Duct systems NIA 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 Es Piping Insulation N/A 1 . Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F . Service Water Heating t ' 1 . Performance efficiency N/A 2 . Temperature control setting maximum G . For Swimming Pool Only 1 . maximum heating N/A Telephone Ho . ( 518) 89"161 ( applicant ' s K&I aturs ) APPLICATION FOR SEPUC DISPOSAL PERMIT Itef: S . P. E.D. S. PATE QctQ)=r 7 .. permit # blow , of CIK New York ee 0�202525 LOCATION OF PROPERTY FOR INSTALLATION 37 Margaret Drive Owner's Name: MOMM Guyer Builders , Inc . Telephones ( 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 , Ks L, M Number of bedrooms (residential only) 2 3 F, G, H .. • Total daily flow (compute +fSl 150 gal per bedroom) 300 Topowupkv. circle one: lat Rolling Steep Slope 96 of slope Soil Nature: circle one: Loam Clay Other f Depths' V ' feet + Gsoussrl li &tern At what depth? unknown 8 Meet + 8edrabck or Imperwiww Materials At what depth? unknown feet PMe+rcala'tsws tests circle acne: not qre uire required / rate min. inch. Domestic ■rater supplys circle one: Municipal Well Other IF domestic water supply is a Well; Separa►tiwns ''W'atersupply from Septic absorption NIA feet * PROPOSED SYSTEMS Septic Tank gal. (minimum sizes 1.000 gal.) TILE FIELDS Each Wench NIA feet f Total system length NIA feet * SEEPAGE PIT(S): Number of / Size each feet by fea * Size of atone to be used alh f Depth or 'Thickness feet s * ss * * * * * +: s * * * sssssas * * +r * * * esawaFas * ss +s * * s * ss IMPORTANT * See S . P.E.D.S. ...PleaseaeOUST NEW EQUIPMENT TO BE INSTALLED permit & attached ss * * * ess * * * * ss * * * * * * * * * * * * s * ss * +r * * * ses * * map . (over) Soctioss lI Septic Stem imectior st A. All applications for septic system installations alteration or repairo 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: i.) the propo*ed .location of the ilystem 2.) location and distance to got Ones 3.) location and distance to structures 44 location and distance to any water supply S.) size and dimensions of all tanks, distribution boxes, the fields anus/or drywells B. No system shall be cowered 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 $250.00. Co An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. I brave mad the regulations above and agree to +abider by thane and all srequis+emeats of *be Town of Queensbury Sanitary Sewaga ,Disposal Ordinance. Signature of.responsible persons aatet k k Town of Queensbury Building and Code Department Bay at llaviland Road Queensburys New York 12801 (518) 792-5832 1011 MIDDLE DEPARTMENT INSPECTION AGENCY, INC. 9W F4atldwi Air[lnur, Ccdangrwood, HIJ. Galas e�- oaty August 17 , 1988 c�ertlfiez that the electrical equipment listed has been examined and is approved as being in accord with the National Electrical Code, applicable governmental, utility and Agency rules. Owner: Guyer Builders . OccupancW Dwelling Occupant: Same This con4ticate coven ttsa electrical equipment and insta ialion i(isP"100 tnis Location: 37 Margaret Drive , Queensbury ( Warren Cc ) t date. 11 additional equipment eh*UM be introduced or alterations made 1d existing system this carttticato "it be null and void. and application tot inspection shout d " au bmin Rid PrpmptiY to this Agency. Equipment: [O-Outlets ; 30- Receptacles ; 157Fixtures {Agent pr this c Yil lcilits ases sdanpe GtMl ifcal io n of eiectri�equ pment ap Pravd 7 - Appliances , 150-Amp . Service aaap�aied. rGuyer Builders No . 15 - 022267 Appftcant: 119 Dunning Street Ballston Spa , New York 12022 z Frtm H* 74VO REL 1413 �ueenab 'ecr� 1311+1G DEp p�F1-T and ZO 1 Box 98 SUILDINC' ad p B,ay and Haaxland Ro . R ()ueensburY$ New York 128OL B UILDING INSPEC TOR IS REPORT t1AME �� _ LOCH T I ON No FoOtin�3(pier Forms WaterprOOf in -Bac,k f ill ralaxng goo f iflg Siding sonrY Veneer Rea-ief >~xt . porches ✓. v inlsY1C='Ca ,p lours Interior3.1 Stairs &Orri in9�._--f cellar lo,Ors_�- - --'� Ccsncrete in�3 plbg • Fixtures Gar ir,eproof . _---- DC,or closers,_ f_--- STS-0 'e I)etectoxs�_�---- Chirm1e TIC -,VSuLA yox)ndata.on FIOOrs mails C,eitin<3 CAL Iri pFCTxOLI I)Rj.Vtj4Xi' ApYROV e9r--�"~~ Final Bla ldln8 S'vr - �- -� w� - reaCal action 4ca11 Next scheduled. 'I-"V -Remarks4pc7'°Z Ins Dec r a �eseena �ur'� 50 NG f3EQAu�TMEaT 9UiLDfICa and Z.ONitJ+C R ¢ 1 gpx 98 Say and � iav,land Neew ,ark 128d1 QueensburY, SEPTIC pISPa��- SYSTEM INSPECTICIN LpCp,TIot4 J �/� T NO PERMI • �r � pjpsTE .1 `� Clay' Sand � Loam+ YES 140 SoxL :Lon Test Rewired ? pereola _ Niin/Inch Percolation rate xYPE of SYSTEIAz total length_ Ay�sorPtirn field . ---�� th of each tr ench� r-- Lens trenches -�' Depth Qf Size of grave er of) SEEPAGE p7.TS-E ft. ft - - �'��_ -- size_ . r- - - ,.Type Gravel ze Si' e PIPIIIG : tank. Sldg - CO et �—� �- ,Tanx t alo field/P '~Par Dist- pliena.rn3e gealed3 SEp.ARA''TI S ' c�,� ft. Foundation to orPtiean t. Foundation 'tb 1 t line ft- AbsvrPtion t© its 3. , one) separation 0� STEM f�3 PROPE R. qht side �P.rTIOTi OF _ Left side FrOnt � Rear CC,KMEt3Ts f gY STEA 13 SE APPR ED YE Sui ar Inspector pl/g6 xnd VI- O � �ueeens � u'''� tiN� pEPAF� CMEN 5U%L.DING an0 Z©N i Box. 9B d �javlland Road. R Q t2g01 Bay an pueenst)ury. New York Top1 l s B U I I-D ' NG I415PEC R�PpR C U C)C A l i C1 hS �rJ Chi perm1 it Lac 1! * NP.PRQVED * YES NC3 Feot-ing/p ' 'r E.orms elation --' Yarning - — Roo ne Masonr�I Vey�inKoucj }„ P l� F.el ief Valves r:xt - ecl e Floors k in ish Into o Ram ingS Starrs Drain Tile Cella to Elaprs_,»� C0 1xte S-----�' t�li��3 - F roof ing_ Gar r ireP D C3z closers make Det,cctors C h s.mn'- T I aS3 YtySV� r�pundat,iar, FIC,prS yCTION Ceilin�3 R CAL F IIS 5135P AL EI EC �-- �- %)RI.VEW+AY dinS Surve3' �-- -�'�'~~ Fina] 13%1 { ca]-y whet" ready_, lea 1n5�,eGC.i.on t1ex� Sm re� a itetnar��'� • i3uildir'g I r 6/#3F� md_v1 Qceeenstur'Cj nurn 4oepAR-TMENT BU1Li]1NCa and ZdNIQ R 1 Box $$ Bay and Yiaviland Nev' Yo+� 1284i ,aueensburY BUI INSPECTOR + 5 REPORT LDING NAME LOCAT I ON 'No q fDatE' !/* * * * * APPRO'VED NO goofing/�'� er Forms Foundation Wat,er.proof inq Backf i11 V rO,mint3 F'oof in9 siding veneer' r Masonry �.� ---- Rojjqb Plumbing_ -- --- ��-- itelief Valves _-- �- F x t . P o r cb e s------ -" _`. Finished Floors Interior Trj Pa ings Stairs & Tile Cellar [7rain -- concrete F1aor5. --- --- J— 'Plbg - Fixtures __-- Gar . Fireproofing t)oor Closers Smoke uctectors Cni OV St3 J'A r I ON Foundation Floors wal- as Ceiling AL It3SgECTIc7t3_ F IN AL F.LFCTFtT Y �-- ilK.1VEWAY Final Buildingur - re adY ection Next scheduled snap� +- (ie.+narks_ r� B Insp 'tor ull C}ff3F' md`v3 own O Qee ee MENT gU1LD1NG and Zo"4a DEPARTBO% 98 Bay and Hav;land Rand, R-p . S C3ueenSbury. New York 12601 B1Si 1_[7I NG i ldSPEC {' OR ` � REPORT NAME LOCA� i © N � '7 r7 Permit +a . AppROVED - yE5 NO Footing/pier Forms Foundation r" wat.erprpi°f ing Sackfill ,11:1�raming Roof ing Siding Masonry Venee o,sk1c3h plumk>ing Relzef valves V:xt . porches Finished Floors Interior Trim & Railin 5 Stairs TI le Cellar D�ras-n s Concrete Floos Vlbq . Fixtur Gar . Firepr ©finq 17oor Clow^ ;make nete tors Chimney INSUY.AT1 Fo+undati n Floors Walls Ce it inq TION FINAL LECTR=CAL 12.15pEC r— i)KSVEWA A"I"OVA1.��' Final ildin g i� 5urve9�.----� ,,,sled inspectis�n C c+al_l when ready ) Next Schad Fiuiiding Inspector Cj/SC' and-vl Jow►� OteQE+►7e � es+'e� BUILDINGand ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Bax 98 (]ueensUury. New 'York 12$01 gU1LDiIVG 1 SPECTOR ' S REPORT NAME r _ rlr`�17 rr i LOCATION / Permit Lao . Date �- -� * * * * • APPROVED ^ Y"Rs NO Footing/Pier Fo�crns Foundation waterproofing 13ack.fill Framing Roofing Siding MasonrY . Veneer Rough Pl ng Relief Va1v Ext . Porches Finished Floor InteriOr Trim Stairs & Railing Cellar Drain Tile .. Concrete Floors Plbg , Fixtures Gar _ FireProofing Door Closers smoke Detectors Chimney INSUJ. ATIOK Foundation Floors walls Ce i 1 ing -�..� FINAL ELECT ICAL INSPECTION DRIVEWAY APPROVSurvey - Final Building call wmom hen redY1 Next scheduled ins/pecrtion C �� Ap Remarks- 3 r ! ' r* 4 8 iiding Inspector 6JSFs and-vl � A _Joeu►r 401 Q444veprshury 13U%LD(NG and ZONING DEPARTMENT Bay and Havifand Road . R . D . t Box 98 /alfj E Queensbury. New York 12801 j !f `f BU 1 'LD { NG INSPECTOR ' S REPORT ar� J NAME LOCAT I ON Date ? f�� -� `� Permit140 APPROVE YES 1•'oating/pier Forms �nc3ation Watergroaf1 13ackfiII _ Framing Roof ing Siding Masonry veneer Rauyh Plumbing Relief Valves Porcli es Finished Floors Interior Trim stairs & Rail ' g _ ddd Cellar Drain ile� Concrete Fla rs v1bg . Pixtur S . Gar . F` irepro - ing Door closers Smoke Detectors (,h imney INSUI ATION Foundation I'laors Walls Ceiling FINAL 1•:I ,CCTRTCAL INSPECTION DRIVEWAY APPR" Survey Final Building ilex--t cjtiedL, led inspection ( call wheci ready ) Remarks- Building lw.pecto.r �,/Bf, and-v' 1 _ lc�av►1 vuerrrrsiurt BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME: -- j f..( (fPr LOCAT i }ON Date f -2, T Perma t No . APPROVED* -* YES * NO looting/Pier For-ms /Foundatioil Waterproofing 13ackf ill F rami ng Roofing Siding Masonry Veneer RouyYr Plumbs-ng Belief Valves 17X U . 13orch es Pir7ished Floors interior `Prim :stairs & Mailings Cellar Drain Tile , Concrete Floors 1'lbq . Fixtures Gar . Fireproof ' 9 Door closers Smoke Detecto s Chimney INSUTATION s Foundation Floors Wails ceiling_ FINAL Fj ECTRICAL INSPECTIC)N DRIVEWAY APPROVA Final Building Survey Next scheduled insp,ectlon ( call when ready ) Re pia rks- Huilding Inspe or 1 BUILDING and ZONING DEPARTMENT f Say and Havifand Road. R. D. i Sox 98 Queensbury. New York 128011y Z2?4/ ~ j / L BUILDING INSPECTOR ' S REPORT NAMEX I I o LOCATION Date /_„ Permit No . x APPROVED YES NO noting/Pier Fortes o,uixdation waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim stairs & Filing Cellar Drain T! concrete Floor Plbg . Fixture -� Gar . Firepro Ping Door Closer Smoke Detec ors Chimney INSULATION - Foundatio Floors wails Ceiling FINAL ELECTRICAL INSPECTION _ DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( call when ready ) Remarks- : 1'�. Building Inspector awn a� �u �urrsc� urr� BUILDING and ZONING DEPARTMENT Bay and 'Hav[4and Road. R. O . 1 'Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION � G ' permit NO . [ + Date n 7 / APPROVED YES No (�YootingfPier Forms Foundation Waterproofing nackfill Framing Roofing Siding Masonry Veneer Rough plumbing Relief Values asxt . Vorches Finished Floors Interior 'Prim stairs & Railings Cellar Drain Tile Concrete Floor's p1bq . Fixtures Gar . Fireproof * ng Door Closers .Smoke Detect rs Chimney INSULATION ! Foundation Floors Walls Ceiling FINAL l" ECTRICAL. LtiSPECTION �- DR T,Vz'WAY APPROVAL Final Building Survey Next scheduled inspectlon { call ready ) when Remarks- _ Sui l.ding Ir3spector 6/R6 rnd -vl BUILDING DEPT. COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED, TEMP.a• DATE CITY OR f r_ ,. 1 VILLAGE ;-(,-J (.,,• t7" OUNTY STREET AN OR ROAD AND POLE NO. POLE NO- BETWEEN WHAT TWO CROSSSTREETS IS PREMISES LOCATED? dd SECTION ' BLOCK LOT OCCUPANT'S BU DING NAME ANCY Z f f OWNER'S NAM0 AND ADDRE i__,�_ •;' .. #� SUPPLIED FROM THEIR - OFFICE SUPPLIED DEFECTS is BUILDING - NEW,O OLD ❑ Is NEW ADDITIONAL ❑ REMOVED El LIST BE LOIN ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS Ll tp Naceptidw MOTORS HEATERS CIRCUITS OFFICE USE L� ONLY cautnip t Side Atbwwt H-P. Wade A.W_G. won ReospIs Switch Pendent Bracket No. TYpe Each N'a` Each N10. Gauge INSPECTION ou "dw .Ida � been na nREMA RKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE, This application is intended to cover the abovr listed equipment to be inspactad but if at time of inepeetion there is found additional equipment not abova listed, you are authorized to make the inspocdon and adjust the fee to corm 7M additional equipment, w proridad by the applicant_ SIZE OF L ELECTRIC SI ON TOTAL MAINS FEEDERS LAMPS WATTS OF RA TER e'"til ; POSED GAS TUBE SIGN �^# ONCEALED TRANS FORMERS Of VA WORK TO BE (NUMBER] (CAPACITY) STARTED COMPLETED 512E Of SIGN SERVICE OVERHEAD UN ROUND MAKER ENTERS OF SIGN ILDI NG INSPECTION REOUESTSO pr ON OR AS NEAR AS POSSIBLE a { + _->:. > �`-. NEW OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES DATE OF r MUST BE WLLED IN OR APPLICATION MAY BE RETURNED. APPLICATION PRINT NAM - ND ADDRESS ` , I y; j // �yI' SIGNATURE NAME OF � I-; +�"4 Tf .�% E L-.� GIS � f I !'1� OF APPLICANT 1 '1 r STREET ADDRESS ! r lir �r /r�� r ~j '.". TELEPHONE #, Ir _� I CITY OR ,}1' /. ... j __.__.-� ZIP LICENSE PITY OFFICE 4 CODE WHEN APPLICABLE 46 EL (REY. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING 8� 0 DIAMETER .9' 0 DEPTH LOT 33 w1 3 SHUTW MARGARET QUEEN VICTQRWS GRANT QUE-ENSBURY, N.Y. Vito REFERENCE DRAWINGS 5A SITE UTILITIES SEPTIC B WATER VpDUSEN 4 STEVES SURVEY PLAN 0 it 3303St37,39,41,43 MARGARET DRIVE PLOT PLAN 4 SEPTIC SYSTEM GUYER BUILMS, INC. Q.V-17 DWN �-� t Scale : I y W o