1987-942 "la
i 3
CERTIFICATE OF OCCUI',t'�.1'�TCI'
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
{--- , l ✓" Date December 20 19 89
87-942
This is to certify that work requested to be done as shown by Permit No.
has been completed.
This structure may be occupied as a __ of Two Family Dwelling
_.
4 Margaret Drive Queea Victoria ' s Grant
Location
cKvt►er Guyer Builders Inc .
By Order Town Board
TOWN OF QUEENSBURX
B+andind Br r Lima, lnsrmcuw
BUILDING PERMIT
TOWN OF +QUEENSBUR'Y No. s7-942 �
WARREN COUNTY. NEW YORK �
PERMISSION is hereby granted to Queen Victoria ' s Grant
N
r-
Drive
OWNER of property located at 29 Margaret Street, Road or Ave.
in the Town of Queensbury, 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.
1 . OWNER'S Address is Guyer Builders
119 Dunning St .
Ballston Spa , N . Y . 12020 m
2. CONTRACTOR or BUILDERS Name C
Same
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3. CONTRACTOR or BUILDER'S Address
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Same
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4. ARCHITECTS Name
N
5. ARCHITECT'S Address
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S. TYPE of Construction — (Please indicate by X)
CJ
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( Xi Wood Frame I I Masonry ( ] Steel ( 1 G
rc
7_ PLANS and Specifications
N032 ' x 48 ' as per plot plan , specifications and applications including
septic System and attached one car garage . MODEL J
S. Proposed Use
� of 7�ao Family o
rh
4
$9 . U0 July` 1 , 19 88 s
PERMIT FEE PAID THIS PERMIT EXPIRES 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 Queensbury before the expiration date.)
Dated at the Town of Queensbury this 31st Oay off December 19 87
SIGNET] BY __ C /...�C-1��:� for the Town of Queensbury
Building and Zoning Inspector
Application No .
at ��jj -
... won a/ Queens1J"ry Permit Issued 19
BUILDING and ZONINGDEPARTMENT permit Expires 19
Day and Haviland Road, R.D, 1 Box 98 Zoning DesignationW ! ; }
Clueensbury, New York 12801 Variance No. �1 t,;'f A v i
Site Plan Review No ,
Approved by :
APPLICATION FORAloe -
BUILDING AND ZONING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING.
The undersigned he 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 Builderse Inc .
p. r3. Address119 Uuru-iing Street Ballston Spa , New York 12020 Tel . ( 518) 89"161
property Location: 29 Margaret Drive Tax Map No .121 / 4 2
Street number or building lot number
Subdivision name ( if applicable) Queen Victoria ' s Grant
Manama
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES ISa
Richard H. Guyer III ( 518) 899=9161
Name P. O. Address Tel . No .
Name of builder Guyer Builders , Ine .Address 119 Dunning Street Tel . ( 518) 899-9161
Name of plumber Yer sg rs , c •Address r ree Tel ,
Hams of mason Guyer r's , nc •Address g StreeF Tel .
NATURE 9F PROPOSED WORK : * ZONING INFORMATICN
X construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
aaaawwaft
Addition to a building " drawn reasonably* to scale and attached hereto ,
Alteration to a building * showing clearly and distinctly all buildings ,
MMMMMMMM(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 Iota Show location
FOR D914OLITION PERMIT : STATE SIZE AND * of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTED• * of septic disposal area %
* COMPLETE INFORMATION REQUIRED
* Size of property loot pana X 120 ft .
* Existing buildings) Size N1A ft X��ft .
+r
PROPOSED BUILDING AND USE * fl � * Existing building (s ) Use _ N/A
Size of new struMr,cle
32 ft X 48 ft "
Foundation-pier crawl/partial/full * Proposed building, sdeeispont parr om property line
one) * Front yard 30+ ft Rear yard 30+ ft
No * of stories (habitable sp 11P ) 1 ft • Side yards + ft and 15+ ft
Height (grade to ridge ) 19 * If on corner , setback from side street ft
If residential, no. of faies�� * oocCUPANCY INFORMATION
Now of rooms ( excluding baths) '
2 Rio o€ bedrooms. * PRIMARY BUILDING
of bathrooms 2 One family dwelling s �l r
(ri.mary heating system se electriTwoc* --�- family dwelling s� rxi,s� '
yps of fuel Electric t * _Multiple dwelling / Number of units
No. of fireplaces to be installed No * permanent occupancy
Will a wood stave be installed ? Transient occupancy �►
Central Air conditioning? No * Business
r
BUILDING STYLE, PRIMARY STRUCTURE „ Industrial
Other
Ranch Contemporary Locx cabin * If addition, what will use be7
Raised ranch Mansion DU le
Split level Old style Bungalow "
Cape Cod Cottage Other * ACCESSORY BUILDING- oar
Colonial Row Town House Detached garage/one car/ two cart
CIRCLE ONE PLEASE .}L
Attached garage/One ccar/ two cart oa7e 1 .
car
( ? * _
* i * * * * * * * ,� * w * w • * Private storage building
RSTINATED MARKET VALUE OF * Other
COMSTRUCTION.49% $ �_ , } . J _ _ �
INFOR14kTION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COM>?LE'PEDI
Form SPA 4/86 sad-vl
WILDING PERMIT APPLICATION CONTINUED
BUILDING SPECIFICATIONS :
Type of construction , woad frame , fire safe, etc .
wood frame
Will any second-hand or ungraded lwaber be used? if so, for what ? no
Foundation wall material concrete knock Thickness $"
Depth of foundation below grade (to bottom of footing ) 4811
RujuuX n
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? mono
( If so, what Fir ' sq. ft . - - Type of use?
Type of roof - sloped flat/shed/other Material of roof Fi r ass shingles'
Size , wood studs . "x 6 " spacing "o . c . length ft . exterior walls
Joists ( floor beams ) lst . floor N/A rr " spacing.."o . c . span N/A ft .
Joists (floor beams) 2nd . floor = �"3C " moo spacing "o . c . span N A ft .
Overlays (cei.ling beams ) "X " spacing 24 "o . c. span N/A ft %
Roof rafters 2 "X " spacing 24 o . c . span 14 ft .
Roof trusses (pre-engineered) spaci.n�g "o . c . span 42 ' ft .
Exterior wall finish stained Of what material? 5 /8" x 4 ' x 8 ' texture 111
Interior wall finish pawn sfWetrock
If a garage is to be attached , describe materials to be used for FIRE SEPARATION :
1 /2 " type "X" sheetrock
Is there to be an opening between garage /and dwelling? 'Yes If so will a Fire-rated
door , enclosure , and self-closing device be provided? yes
Will a flue-lined chimney be installed? No Height above roof 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 imuAclpal
SEPTIC SYSTEM Distance from ANY private well ( includi.ng adjoining properties /A
(A separate application is necessary for an re air or new installation of septic system)
- - See S . P. E. D. S . permit #Tx026252
Town of Queensbury
County of Warren A F F L+ A V 1 T r STATE OF NEW Y4Rx
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 .
6
_--
S{Ai11RlQ TO BEFORE ME THIS Signature
4; owner ' s sq far. rectocontractor
a l �t day of C-t4Hate 19 ?q PAULA CHRISTOPHER
Notary Public, State of New York �•
ouaimed in Schenectady County
No. 4864727
NOtary Public # Warren County, N . Y . Commission Expires iu4y 7 19�V
r t * * i s * • • . w r r s * Or r r r • rt to M * r fr * a w ► r * * * s rr w • * se se i r * r • • .
SPEC4AI4 CONDITIONS OF THE PERMIT
;�.. 1123 Square feet living
240 Square foot garage - one stall
1363 @ $7 , 00/ 100 or part Of
$ 5 OC One stalls
$5 .W C/O perMi-t ;
�. Total.
i
TOWN OF QUEENSSURY
W&RREN COUNTY , NEW YORK
Application for $ BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE
A permit must be obtained before beginning wank .
&*GWXit ALL of the following c
40 gross floor area
1123 S . F.
20 Type of heat Baseboard electric
3 . Ie the building mechanically .coaled ? N°
♦ . 'Percentage of area of windows and doors
. 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 walla insulated ? YES NO
1 . If YES , what is the R value ?
.- 00000wee MOW
3 . Slab on grade YES N,Q
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
g . Type of insulation
H « under 16 +► Only
1 . R value of roof and floors exposed to ambient conditions,
R-38
2 . R value of exterior walla X0CM R-23 . 5 M =0d04+)
3 . R value of glazed area U. =Oo3O
4 . R value of doors R-14 . 9 (U• =O •O6)
1 l
5 . R value of floors over unheated apace * XIAQNX R
-010 Moo
6 . R value of slab edge insulation on unheated slab N/A
? . R value of slab insulation - heated slab 12 . 5
89 R value of heated basement/ cellar walla ( 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
p . Duct Systems N/A
ftwo
1 • Is duct system installed in unheated spaces ? YES No
a . 61C YES , R value of duct installation
b . . R value of duct in other areas
.-
go pining Insulation N/A
1 . Size of hot water or cooling carrying agent pipe
2 . R value of pipe insulation
1' . Service Water Beating
1 . Performance efficiency NIA
2 « Temperature control setting maximum
G . For swimming Pool Only
1 . Maximum • heating N/A
Telephone No . ( 518) 899-9151
( appli nt ' s si re )
APPL iCATION FOR SEPTIC DISPOSAL PERMIT
Ref : S. P.E.D.S .
"TZ October 7 87 permit #
New York - 0202525
mom J of J/Imo,,'
LOCATION OF PROPERTY FOR INSTALLATION 29 Mar.A ret DtIv�- �•-
Owner`s Names Guyer Bssilders , Inc . Telephones ( 518) 899-9161
Address: 119 Dunning Street , Ballston Spa , New York 12020
Installer's Nassse: Guyer Busilders s Inc Telephones ( 518) 899-9161
2 A* Ca E, Is J , K9 L, M
Number of bedrooms (residential only) 2 3 F , G, H
, Total daily flow (compute 0 160 Sal per b,edroanxl 300
Tapapraphys circle an lot Rolling Steep Slope 9b of slope
Soil Natures circle owes (Saxid"�l Loam Clay Other / Depths: 8 ' feet +
Camund Waters At what depth? Unknown a feet +
Bedrock or Impervious Material: At what depth? unknown feet
F+str+colatiwan teat: circle one: not require required / rate srnin, inch.
Domuestic water stwAys circle an Municipal�Well Other
IF domestic water supply is a Wells
Separation: Watersupply from Septic absorption N/A feet
* PROPOSED SYSTEMs Septic Tauk gal. Guinimuxn sizes 18000 gal.)
71" FIELD: Each Trench N/A feet / Total system length N/A feet
* SEEPAGE PIT(S): Number of / Size each feet by took
* Size of stone to be used # / Depth or Thickness feet
I M P O R. T A N T * See S . P. E.D. S.
.e.Please...I JST NEW EQUIPMENT TO BE INSTALLED permit & attached
s * # * * essseese * e # s * # # # # * ss * s * * * * * s # * s * * * * s * map .
- .
(over)
Sectioa Il Septic Stsctem Inspectioonss
rA. 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:
lJ the propooed .location of the siystem
2.) location and distance to lot Mlles
3J location and distabAaw to structures
43 location and distance to any water supply
$4 size and dimensions of all tanks, distribution
boxes@ the fields anus/or dryweUs
Bs No system shall be covered before inspection and approval by the buildin
Inspector. Failure to comply with this requirement may result in the
uncovering of the system by the installer and a fine of up to $250s00s
Cs An approved copy of the plot plan shall be available on the construction
sites Failure to produce said plot plan at time of inspection may result
in an immediate work stoppages
D. Should unforeseen problems during construction prevent proper installation,
alteration or repair of as approved system, a new proposal must be submitted
to the Queausbury Building Department before further construction.
S have mead the regi"tiwwa abw+ve a;rd a to abide by dress and ,aU requiremera�ts
of the Town of Queansbiwy Sanitay Sewage Dispm W 4dinawce.
Signature of.responsible persons
Dates
- Y
f 1
Town of QQueensbury
Building and Code Department
Say at Haviland Road
Queensbury, ,New York 12801
(518) 792-5832
OF QLIEESEl3RY TMENT
T {JtiVIa COD
SS DEP�
yLDX UAV.I AND ROAD'S 3. 2801
13A & NEB` YORK
�QUEENS.6uR'x' • 518 792�5S32 � S pj�'PCJRT
TELEPHONE xNSI�CXOR
Wxt�xtaG
CTxON
REQUEST FUR NSPE ,
ya
NAML — � _- -
LOCATION PERMIT # �- �" ` p�PPRQVED
DATE �..______— - x�S No
FOOTING/ FOR"ms� ---�
MONOLxT xoN/D P_PMROOF zNG
FOUNDA''l p1I'PROVALL��_
,AC KFI PLUMRING_�_---
ROLTG t3 ,�---�
FRAMING
ELECTRICAL ROUGH-IN
INSULATION = -J--
FOUNDATION r
FLOORS
WALLS - f�
ING TIQN .
t/FIN AL XNSP EIGHT'
CHIMNEY'
ROOFING__---- ~ -�~
SIDING PORCH /STEPS.
EXTERNAL
AIFtS-CLEF1} S RAILS
ARA CSLIEF VALVE
XtURES/RE TCQRs
UMBX F VACY
/////�LEXOR T mIPR
IN2 RS
~
FINISHED F I LcpROOFING �-
G GE
SMOKE DETECTORS ItvSPE ITC TTC ON
CTRICAr' CONSTRUCT2ON_
FINAL ELE OVAL
OF
FINAL APPR
US
_----- or QCCUPAN uST BE:
MENT BEFO
A SRE
'CERTIFICATE 0 LDING .DE PAR
SIGNED FROM THE ARE O
THESE PR CCUPxED-' -`
EMX5ES A
REMARKS :
k
INSPECTOR
u CTIr?ri AGENCY, IN
FAIDDL_E DEPART1rIlE $��
s.3 cur sue,
Date December 19
s approved as being in accord
i ment listed has been exaritined 'Et es.
cdryertif 11t� that >l,e elactriCal equ P
with the National Electri+;ii Code; ppiicable gcr+rernmentai. utility arid. j` �
Pa Dweftl n
Builders - m n ent and installation insl} M0 thin
owner Guyer -. rMa�mat sh wand &P LI ,node to
>It additional
be in[roducsd licagOn for
Occupa, Win >*a�a1y i (1�]e 118ti} l dais. If edditiPnat a4w1M+� eau+ px null and Cy- and aPP
aret ive , 4 , existing sYste ^ rhi c�rN}tt y to this p9is p4
insv�xi4n slw�ld bee rx ina,tfance urner
Loc$teon: 29 'Mar% `�� ;y �,'yd ant eama t4 his wove y�i Me nl aPT+rOMd
r i.elt Vol ;.`� �[ ;•}yplder of this �Iftso h rtiliCati4n 4f+e19GtiriGat e4 A
'� � '.l\es�.`.�. L i �§ ..:. J k �r �-al' L?' venl PT COMP Y1
EQulpent: 50 outlets 6 A,pPliance� as 8Par,t,ed.
150 AMP Servi,Pe ;
Guyer Buiidere .,. ne s : i t7 . 15-0217 89
119 Dunning Str s: -
Applicant: NV
Ballston Spa , T
Ialwr N4. 7aa EL f i]
O Q� PE13 DEPAR
SB TMENT
'T ()Ni 3 AND COD gE5
BUILDI G NAVILA AND OADS 12801
.SAY & Nam"' XUy _ 5832
QUEENSBURYr ( 518 ) QRT
TELEPHONE r
If�S- RIOIR' s
pE RECEIvD___!�
CTION ---
REQUEST
FOR IN
CATION / PERM #
APPROVED
DATE
�~ YES NO
F OTINGIpIERS FORMSr- �
MONOLITHIC PO UP PROOFING ��-
FOUNDATIO /V vP'Ll"�--
BACKFI��MBING
ROUGH
FRAMING gOUGH�INf
ELECTRIC
INSVLATI
FOUNDATION-- -_'� ---lJ
FLOORS --�
WALLS ^__1----
L INSrECTION =
NAL HEIGHT__----
CHIMNEY
ROOFING
CHES/S
S rL1ING TEP
r._--=-�------�.�
FOR ILS___
EXTERN CLEANANCE & VALVE
gj
STAIRS FIXTURE$ / LIEF
CY y�ppRS
PLUMBING TRIMIpRIVe� _
INTERIOR F :)ORS
GARAGE FIREPIZ
L SER (s )
F` CIQ . _ 5P
SMOKE DETECTORS E IONCT � _-----'
FINAL ELECTRICALQF CONSTUCR TION_�- �-- � _---
FINAL APPROVAL
.11— - --� MUST BE
OF OCCUPANCY RE
TIFICA BUILDING DEPARTMENT gEFO
A SIGNED FROM TARE OCCUpIED �
05TAIN p�gMISES
THESE
REMARKS :
INSpnCTOfZ
T Uti4
3� pF ��ty Tcl1�$URpEPARTM5NT
ING HA AN NV ROADS 01
Y , Nw YORK 128
BAY 32
QUEE NE [ 51� ) 7g2-'58 x �Ff}RT
TE LEPHO Ii35FEG'ToR S
ECTrON
--
gEUEST FOR I
G —�1
NAME ��----' #�
LOCATION "IT APPROVED
19 r` YES NO
DATE
FOOTING/PIERS OR FORMS:
MaNOLTTHIC _PROOFXNG_�~ �_--
FOUNDA`TION/D
SACKF I LL APPRO
ROUGH pL,UMSING
FRAM TRICAL ROUGH- IN
EL SULATXON
FOUNDATION 1
FLOORS
wALL S
CEILING PECTION '
Fr cHIMNE�t HEIGHT
SRINGS �S____----�
.DING A pOi i~ RAILS f~
EXTERN CLEARANCE BELIEF VALVE
--
SxAIRS- FIXLUgES Y DOORS
PLUM103 TrazMIPR VAC
INxTEgIOR ING�.�
FIE:DF Lp,pRS
Gx RAGE FIREPR
CLOSER ( S
�r pKE DETECT` L INSPECTION
FINAL ELECT
RrC . OF CONSTRUCTION
FINAL. APPROVA �--�MUS SE
OF IOCC PANCY MENT BEFORE
C IFICATE z
A SIGNED pM TARE OCCUPIED'
OBTAINED FR
THESE PREMISES J --
RE,MARKS :
_-- `-' TOR
INSP
4 �aepny �ur�
HtSIL[7ttJCa and ZONING pR D TBox 98
Bay and Havijand Nev York � gp1
aueen5btitry.
BUILDING INSPECTOR ' S REPORT
NAME
LO CAT I ON
per
Date ES No
* * * * * * * * * ✓ - APPROVED
Footin�3/'Fier Forms
Foundation
Waterproofing
acicfill
raining
Roofing
Siding
sonry Veneer
ugh plumb3-rL9
Relief Valves �--
Ext . Porches
Finished Floors
Interior Trim
stairs & Rallint3s
Cellar Drain Tile
Concrete Floors
p1
b9 - Fixtures
Oar . Fireproo€ in
Door Closers
smo3ke Detecto
Chimney
IN SU LATI 01
Foundatio
Floors
walls
Ce it in gLE AL CTRIC II35pECT
F INAL
i1RIVEWP.Y Al'PROVALrv�---�-- �—
ey
Final Buildin8
ready )
inspection ,Gall when
next scheduled lST
.`x"/ T �1
Potkg� 1
� .
g,ailC 3 I s
ector
��rg6 and-vl
7Utvn Of Q14v4'" 3bury
SLSILOING and ZOWNG LIEPARTMV:N-T
Bay and Hatilfand Road. Ft.[7-
C]ueensbury. New York 12$01
SEPTIC DISPOSAL SYSTEM INSPECTION
E- f I lLak j7J
LOCATI
ry _ �� 1
PERMIT NO . � �` r
DATE _L----
Loam - Clay - �—
SOIL TYPE - G ired? YES - NO
r, crcoiation Test ReCN
Percolation rate - Min/Inch _
TYPE of SYSTEM = total length
Absorption field ,
Length o E e- ,h trench
Depth of tre
Size of grave - -
er of)
SEEpA-GE PTTS4 T/ft _ `_ �--
Size- ___f t.
Gravel size cSize 'type
p IF':LNG :
Bldg _ to taa -•`L�
Tank tp dist . b [
}pox to f eld/p t - 0 partial
Dist- , d?
openings Sea
L ATION /S ARATIC N S ; 3� ft.
to tank 4r f t
oundatio absorption
pundati n to ft .
+{pbSOrpt n to lot line <7 1 t.
Separat on of pits One)
YSTEM ON Pr�OP�RTY Side
• CATI I Left Side - Righ
F'ron t
CCMS" EN S : ulrtc�
.i+'s
SE APPROVE YES N
SYSTEM U
Bui ding I Spector
tor
ma vl
�u ee rr � � u►"'� �
pW11 Of N{NG )EPARTMEN
BUILDING and ZCf R.D . i Box 98
Bay and Haviland Roa York i2801
{]ueen5bUCY, NeW
BUILDING
INSPECTOR ' S REPORT
NAME
LOCAT I ON riq t4 ,
perms t NO ,
Oa E9 APPROVED
-* �S uD
Faoti.ngi'"1'ier Forms
Foundation
y�a,.teYproo f ing
Bacltf ill
gaming
Roof ing
Siding Veneer
Masonry
Valves
�,rgough Plumbing
Ael1e Faxc'hes
EXt . s oor
Finished Fl -
Interior
Stairscellar Drain Drain 'Tile
Concrete Floors
Plbg - F i.xtur e s
Gar - Fi.reproof i 9
voor Closers
Smak.e Detecto S
Chimney
114 SULAT-10K
Foundation
Floors
Walls �_f. .�-�--
Ceiling I I135PECRI013�_�
F I13 A3a EL EC x
�
ApyR[7VA'L ---�
DRIVEWAY Survey
Final Buildin8
call when Ready)
inspection
ext scheduled
Remarks` "Pl1.
n
Ins for
6/86 md,yl
JO f t n .1 `+a[ tit cie I'i 3 i "r ry
BUILDING and ZONING DE[3 RTMEt T
/y Bay and Haviland Road, IB o
QueenSbury. NewYork ,
0 /1
il'�' SPECTOR t S REPORT
BUILDING
NAME
LOCAT I ON d/3" rev
�r . ,
Permit l`3 * *
Datre '7' " * * * « * * * *
APPROVED - YES NO
Footing/Fier Forms
Foundation
waterproofing
aackf a11
-
Framing
,Roofing
Siding
14asonry Veneer�
Rough Plumbing�-�-
Rel ief Valves .�
Ext . Parches
Finished Floors
interior Trim
Stairs . Railings
Cellar Drain Tile
,,96'ncrete
rs
Plbg . Fixtures
Gar . Fireproofing
Door Closers
Smoke Detectors
Chimney
IN raU LAT I ON =
Foundation
Floors
walls
Ceiling ICAL INSPECTION �.
FINAL ELECT
L7RXVSVAY AP RO'VAL
Final Building Survey - -
Next ac'heduled iT�sP
ectlon (call when ready3
R.ema rkSs
B
l ing Inspector
6/g6 and-vl
BUILDING and ZONING DEPARTMENT
I Bay and Haviland Road, R. D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION
Crate f/ /� Permit No .
✓ = APPROVED - YES NO
Footing/Pier Forms
foundation
Waterproofing
( Backfill
Framing
Roofing
Siding
Masonry Venee
Rough Plumbing
Relief Valves
Ext . Porches
Finished Floors
Interior Trim
Stairs & R/nT
Cellar Dra
Concrete F
Plbg . Fixt
Gar . FirepDoor CloseSmoke Dete
Chimney
INSUI TIO
}{ Foundati n
Floors
Walls
Ceiling
FINAI. E ECTRICAL INSPECTION
DRIVEWA APPROVAL
Final Bu lding Survey
Next scheduled inspection ( call when ready )
Remarks-
Build ng Inspecto
fn1`f3G m�1—vl
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LDING and ZONING
} Bay,annd Haviland Road, R. D.DEPARTMENT
8 Box
Queensbury, New York 12801�
BUILDING INSPECTOR ' S REPORTO
NAME
/
LOCATION ` ?
r
Date ///�'/ _ Permit Now
✓ = APPROVED - YES NO
Ce noting/Pier For�
foundation '\
Waterproofing
Hackfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext . Porches
Finished Floors
Interior Trim
_...
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plug . Fixtures
Gar . Fireproofing .
Door Closers
Smoke Detectors
Chimney
INSULATION :
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTIC7N
DRIVEWAY APPROVAL
Final Building Survey
I
Next scheduled inspection ( call when ready )
Remarks -
Building Inspector
BUILDING DEPT. COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT. VIIHEN REQUIRED.
7EMP. 0 DATE
CITY OR
VILLAGE ' 1� :. )'_ it �, y . e
1 TOWNSti7P f� % ,I ..- r...� COUNTY f'7�
STREET AND NO, OR
ROAD AND POLE NO. / i '`'
BETWEEN WHAT TWO POLE NO.
CROSS STREETSrs 7 ..
PREM E
OCCUPANT'S SECTION BLOCK LOT
NAME BUILDING
OWNER'S NA OCCUPANCY
A AND DORE "".a- pe . +
IIJ I 1 i
BStYUIPPt SUPPLIED
i� k_ },Il I� �7 TEL. # - ,% . ..: +,y' " t�
BUILDING . FROM THEIR
OFFICE
IS NEW OLD !_1 WORK DEFECTS
IS NEW ADDITIONAL D REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU IN TALLER
NUMBER OF OUTLETS No. of FIjv urea A
Loea- Lamp ReolPtaGes MOTORS HEATERS BRANCH
OFFICE USE
tion
Calling 8400 1 Ar p t Swihfi Rndant Bracket No. Type H.P. warm A-W.ti. ONLY
Due Each No. Eezh No. Gaulw. INSPECTION
eidr
s..h-
ka.e
Boar
rn+nt
Ist Fl.
2nd FI
Srd Fl.
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE:
PO NOT USE THIS SP E.
Tk+s application is intended to Cover the aborWAisred equipment to 6e ingp tad but it Of time of i You are +uthorizad to make the impaction and adjust the I" to Cover Ike additional equ�pmenx, as proerded6Y �'o aPPsimm .additiorlel
SIZ equign pen Nav l not ■ e list
E DF th
MAINS � . FEEDERS ELeCTR ICA$1 TOTAL
CHARACTMFS
OF RXE (�''`kFIDTUBE WATTS
SIGN
WORK TO BE � r v. III COONCEALED GAS TRA NSFO RM E RS OF VA
STARTED COMPLETED INLIMBER1 (CAPACITY)
SERVICE OVERHEAD SIZE OF SIGN
ENTERS UND GROUND
i I MAKER
INSPECTION REQUESTED OF SIGN
ON OR AS NEAR AS
POSSlBtE i ..i.�fi NEiN
AVOID DELAY BY GIVING FUEL AND ACCURATE INFORMATION. ALL SPACES OLD
MUST BE 'FILLED IN OR APPLICATION MAY BE RETURNED. DATE GF
PRINT
NAME OFF ;1LND A,/q RE S {f.?-1 APPLICATION
APPLICANT== '1 / �..._r'"[ f '711 ( yr' � � �G,� SIGNATURE
OF APPLICANT
STREET ADDRESS t [..-f f -- € .I� s' �i / ; / f '�e ..:']
_TELEPHONE # il-•� {- j���
ITY
POST OFFICE CODE No.
.
zip IC ENSE NQ.
EN APPLICABLE
46 EL (REV. I/a6) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
QUEEN VICTORIA'S GRANT
QUEENSBURY, NY
2000ga1,
I
1
LOT
21
W�
Q
�t
SHUTOFF 1
105.06
MARGARET
8� 0 DIAMETER
9'- 0 DEPTH
CLEANOUT
TO GRADE
._ 102.00 .._ .,.. 110.00`
_ T
DRIVE
REFERENCE DRAWINGS
5 t; 5A SITE UTILITIES
SEPTIC 4 WATER
VonDUSEN 4 STEVES
SURVEY PLAN
21, 23125,2 029, 1
MARGARET DRIVE
VGG
T PLAN 4 SEPTIC SYSTEM
YER BUILDERS, INC. av- 16
N ; 4q o, ,1-87 Scole : 1"- 20`-0