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1987-934
1 ; CERTIFICATE OF OCCUPANCY i TOWN Of +QUEENSSURY WARREN COUNTY, NEW Y+ORK Elate August 12 1998 E 87-- 934 j Tk►is is to certify that work requested to be done as shown by Permit No. has been completed. } of Two Fayally dwelling; This structure may be occupied as a i i Location 13 Margaret Drive Queer: Victoria ' s Grant l Owner Guyer Builders , Inc . ' Hy Order Town Board TOWN OF QUEEIVSBURY Building Cr Zoning Inspector i { BUILDING PERMIT TOWN OF QUEENSBURY No. 87-934 WARREN COUNTY, NEW YORK o PERMISSION is hereby granted to Queen Victoria ' s Grant r OWNER of property located at 13 Margaret Drive 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. f. OWNER'S Address is Guyer Builders Inc . 119 Dunning, St . ro Ballston Spa , N . Y . 12020 c 2, CONTRACTOR or BUI LDE R 'S Name r7 0 Same w aY 3. CONTRACTOR or BUILDER'S Address °0 Same ri w 4. ARCHITECT'S Name 5. ARCHITECT'S Address WLj W 6. TYPE of Construction — {Please indicate by XI GO tiu rt Ix I Wood Frame I I Masonry I } Steel I } rt 7_ PLANS and Specifications K F,• No. 30r x 30 ' as per plot plan , specifications and application including M septic system and attached one car garage . MODEL C ti S. Proposed Use � of Two Family Dwelling 4 $5 . 00 C /o $ 75 ' 00 July 1 , $$PERMIT FEE PAID — THIS PERMIT EXPIRES 19 o 11f a longer period is required an application for an extension must be made to the Building and Zoning inspector of the N town of Oueensbury before td,e expiration date.) E3 N• F-r Dated at the Town of Queensbury this ,y�31st Day of ,!! December tg 87 SIGNED BY E / �`.�[ nP`r � ,:71 for the Town of Queensbury Building and Zoning Inspector iM PY Mv.�'u'iYi.+Y ilii i.Wi/►� Yii,ii f i .;i . 1 II Application No. isJ �R/I1 OtQ�n36isr# Permit Issued 19 +- BUILDING and ZONING DEPARTMENT Permit Expires l9 (), Bay and Haviland Road, R.D. 1 Box 98 zoning Designation C CT 97 Ousenabury, Now York 12801 Variance No. Site Plan Review No . Approved by a r ' _ ram APPLICATION FOR iJ^GC r 1J �� sad f`- BUILDING AND ZONING PERMIT AN ON 0 ON 0 A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOILLOWING. 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 submittedr 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: 13 Margaret Drive Tax Map No * ____.f�f2 Street number or building lot number Subdivision name (if applicable} ft"emQueen Victoria ' s Grant THE PERSON RESPONSIBLE FOR SUPERVISION of WORK AS REGARDS 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 Wallciers , •Address ree +I'el . Nam of mason Wyer BuliLderso UW7Address JL19 Lxkining streetTel . NATURE OF PROPOSED WORK : * ZONING INFORMATION : ]C Crangtruction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED , Addition to a building * drawn reasonably to scale and attached hereto. Altorartlon 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 DEMOTION OF ON PERMIT O AFFECTED. * of water supply and location and configuration LOCof septic disposal area . * COMPLETE INFORMATION REQUIRED EZi3w . * Size of property 100# pan ft X 120 ft . * Existing building ( B) Size ft X N/A to PROPOSED BUILDING AND USE : del of * Existing buildings ) Use NIA size of new strut a �_ft X '�C3 ft Foundation-pier slab crawl/partial/full * Proposed building, distance .from property line c rcie one} * seep P�-m Now of stories (habitable space) 2 * Front yard 30+ ft Rear yard 3U+ ft . Height (grade to ridge) 22 ' - 6,. ft . * Side yards15+ ft and 15+ ft If residential, no. of families of 2 * If on corner , setback from side street ft Mae of rooms ( excluding baths) * OCCUPANCY INFORMATION Noe of bedrooms * PRIMARY BUILDING ,,Primary beating systemBaseboardZe ectric* — a family dwelling �s r Type of fuel ' Electr�c�ty * Twa family dwelling s T� bio. of fireplaces to be installed * Multiple dwelling / Number of units Permanent occupancy Jowl'will a woo stove be installed? moo * d. Central Air conditioning? No * Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch contemporary Lo abin + Other ' Poised ranch Mansion Duple * 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/ oiae car w rl ♦ t rr r * * w ,r * w ,r w w * * private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION .r; •'Glr'wwwwww _ INFORMATION OV3 DUILDING SPECIFICATIONS , ON REVERSS SIDE OF THIS SHEET, To BE COMPLETEDI Form 9PA 4/86 md-vl PUILDING PERMIT APPLICATION CONTINUED OUJLDING SPECIFICATIONS ; Type of construction, wood frame , fire safaRatca woad frame Will any second-hand or ungraded lumber be used? If so , for what? no Foundation wall material concrete block. Thickness 8 60 Depth of foundation below grade (to bottom of footing ) 4819Ildn ram 'Will. there be a cellar? heated or unheated? Floor sq. footage ,sq, ft Will there be a basement? no Will any portion be used as living space? ( If sop what por _ sq, ft_ - - Type of use? Type of roof - slopebFX6 at/shed/other Material of roof r ass S es Size * wood studs " spacing "o . c . length $ ft. exterior we118 .joists ( floor beams) lst . floor N/A "X spacing •'o . c . spanN/A ft . 3oist.s (floor beams) 2nd , floor —"XC� 10 s aoingX6 ""o . c . span ift. overlays {ceiling beams} 2 "X '" spacing O. C ." span 14 ft. Roof rafters 2 "X 10 " spacin 4 O . C . span. 4 fte 1100f trusses (pre-engineered) spacing+ "'o . c . span N/A ft . Sxterior wall finish stained Of what material? 5/8" x 4 ' x 8 ' texture 111 Interior wall finish painte rock If a garage is to be attached , describe materials to be used for FIRE SEPARATION : 1/2" type ''X" sheetraek Is there to be an opening between garage 4ind 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 municIR2,11 SEPTIC SYSTEM _ Distance from ANY private well # including adjoining properties N/A ft . (A separate application is necessary for an r air or new installation of septic system) See S . P. E. D. S. �rinit # OM2525 Town of Wnry County off 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 opplication, together with the plans and specifications submitted: are a true and complgto statement of all proposed work to be donemon 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 py the -owner . d S'WCWAi TO MWORE ME THIS Signature_ Owner* Owner ' S agentpa� 1LeGt* contractor 105t day of J-v4--+--k1..F_-✓ 19 '7 PAutA C1iRIS7DPHtR !' f? / uearv" Ptsn S. State henectafdy w York. CDunW Qualified in Schenectady Notir Public , Count N . Y . No. 7 7 19ZJ y y�'R ! . Commission alY �xj11f95pires .�C1� SFVdCJJ$ CONDITIONS OF THE PERMIT : I I F , TOWN OF QUEEUSBURY 11chl WARREN COUNTY , NEW YORK application fore BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work . #NONSit ALL of the fallowing : 4 � • Gross floor area 975 S . F . 2 . Type of heat Baseboard electric 3 . Is. the building mechanically cooled ? No 4 . Percentage of area of windows and doors 11 . 1% as Over 16a Only 1 . Uo value of gross area of walls , roof /coiling and floors exposed to ambient conditions 2 . Floor over heated spaces YES NO A . Are foundation walls insulated ? YES NO 1 . If YESt what is the R value ? 3 . Slab on grade YES N.0 a . If YES , what is the R value Of insulation around perimeter of floor ? 4 . Is basement heated ? YES NO a . R value of insulation 5 . Type of insulation p , Under 16 % Only 1 . R value of roof and, floors exposed to ambient conditions. R-38 20 . R value of exterior walls XX= R . 23 . 5 Uv =O„ 04 3 . R value of glazed area U=0 . 30 4 . R value of doors R-14 . 9 (U. =0 . 60) L 5 . R value of floors over unheated gpaces � R=Atwo, 6 . 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 g . R value of heated basement/cellar malls (below grade ) N/A 100 Type of insulation Fiberglass C . Controls 1 . Thermostat maximum heat setting o . Duct Systems N/A 1 . Is duct system installed in unheated spaces ? YES NO a . If YES , R value of duct installation b . d. R value of duct in other areas E . Piping Insulation N/A 1 . Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulations F . Service Water Heating ; ; 1 . Performance efficiencyw N/A 2 . Temperature control setting maximum G . For Swimming Tool Only is maximum heating N/A r� Telephone No . ( 518) 899-9161 ( appl cant ' s 1 ature ) APPIICAMON FOR SEPTIC DISPOSAL PERMIT Fie.£ : S . P. E . D . S . DATE October 2 87 permit # New York - 0202525 MODEL C of C/K LOCATION OF PROPERTY FOR INSTALLATION 13 Margaret Drive Owner's Name: Guyer Builders , Inc . Telephone: ( 518) 899-9161 Address: 119 Dutming Street , Ballston Spa , New York 12020 Installer's Name: Guyer Builders , Inc Telephone: ( 518) 899-9161 2 A, Co E, I , J , K, L, M ,Number of bedrooms (residential only) 2 3 F , G, H Total daily flow (compute 0 150 gal per bedroom) 300 Topography: circle one: Flat >Rolling Steels Slope % of slope Soil Natuwe: circle ones. ( Sand Loam Clay Other / Depth: 8 ' feet + Ground Water: At what depth.? Ur'kM11711 8 feet + Bedrock or Impervious. Material: At what depth? _unknown. feet Percolation test: circle one: not require required / rate min. inch, Domestic water supply: circle one: QM cipall Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption N/A feet * PROPOSED SYSTEM: Septic Tank gal. (minimum size: 19000 gal.) TILE FIELD; Each Trench N/A feet / Total system length N/A feet * SEEPAGE PIT(S); Number of / Size each feet by feet * Size of stone to be used # / Depth or Thickness feet * * ii * ss * ssysak * # * * /caR * s * * * * * s * s * s * sssss * ale * * * IMP © RTANT * See S . P. E. D. S. aaePlease.._LIST NEW EQUIPMENT TO BE INSTALLED permit & ,attached * aa * * s * * * ss * * * * * * * * * * s * * s * * * s * * s * * * s * * * sus * map . (over) k Section II 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 Tropofsed. ,location of the gystem 2.) location and distance to lot lines 3.) location and distance to structures 40 location and distance to any water supply 5.) size and dimensions of all tanks, distribution boxes, tile fields and/or drywells Be 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 $Z50.00. 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 have read the simulations above arced agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage l]iopos l Ordinance. Signature of.responsible person: Date: Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 0 1763 . . . ► OME OF NATURAL BEAUTY . , . A GOOD. PLACE TO k ' ._../noun n� '�ueere .shurc� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. 1D. 1 Box 98 �# Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME r--u LOCATION Date Permit No . ✓ = APPROVED - YES NO Footing/Pier Foz�ns Foundation Waterproofing Backfill Fram.i ng Roofing Siding Masonry VenM Rough Plumb Relief Valv ,XExt _ Porche Finished Fl Interior Tr Stairs & Ra Cellar Drai Concrete Fl Plbg . Fixtu Gar . FireprDoor CloserSmoke Detec Chimney INSULATION Foundation Floors Walls Ceiling 'FINAL E'LEC CAL INSPE,07fON DRIVEWAY APP L Final Building Survey Next scheduled inspection (call when ready ) Remarks- Bu ' in Inspecto 6/66 and-vl OWl7 C1 Q"ee4" 3i ry BUILDING and ZONING DEPARTMENT I Bay and Haviland Road, R,D. 1 Box 98 r7 QueensEury. New York 12861 BUILDING INSPECTOR ` S REPORT NAIVE LOCATION " / Dater ' / _. Permit No . ✓ - APPROVED - YES NO Footing/Pier Farms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves ✓ Ext . Porches Finished Floors __......_ . Interior Trim Stairs & Railings _...^ Cellar Drain Tile Concrete Floors Plbg . Fixtures ✓� Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPRCIVAT Final Building Survey. Next scheduled insye ofkn (call when rea�rdy ) Remarks-- ?:: " I►+e«a �C��ecr�t� jo Bui g In ctor 6/86 and-vl down of Queenjl "ry euyUDING and z0NING DEPARTMENT Bay and Haviland Road, R-D. 1 Box 98 Queensbury. Now 'York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date _ / RCK Permit I3o . i ✓ APPROVED* -*YES* NO Footing/pier Forms _ Foundation waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing_ Relief Valves 2:xt . Parches Finished Floors Interior Trim Stairs & Railings Cellar. Drain Tile Concrete Floors 1�lbq . Fixtures Gar . Fireproofin Door Closers :mr_ e Detector C imney NSUUATION : Foundation Floors Walls V/ Ceiling FINAL ELEC'T`R AL INSPECTION IiRIVEWAY "pROVA.L Final Building Survey__ _ Next scheduled inspection (call when ready) Remarks- ATau ' I rprsp�ecto 6/86 and-vl Q'AU flown o/ QUee" 31"rey BUILDING and .ZONING DEPARTMENT Bay and 'Hawiland Road. R. D- 1 Box 88 Queensbury, New York 12801 BUILDING INSPECTOR ' S 'REPORT NAME LOCATION Date 1 / L! per it No 3q APPROVED� -* YES* /*NO � Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Vene r (tough Plumbin Relief Valves Ext , porches Finished Floors interior Trim Stairs & Railings Cellar- Drain Tile Concrete Floors rlbg . Fixtures Gar . Fireproofing L'.13r) r Closers SM:Mke Detectors Chimney INSULATION : Foundation . Floors Walls Ceiling FINAL ELECTRICAL I "PECTION o IVEWAY APPlROVAL Final Building; 5ury y. Next scheduled insp CLIO (call when ready Remarks- B Inspector G/66 and-vl lawn of Q"eeny1urq BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R-D" 1 Sox 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION �Dalte +f Permit NO . � � � ✓� APPROVE YES NO FoOting/Pier Forms Foundation waterproofing Backfill Framing Roofing siding Masonry Veneer reRough plumbing Relief valves Ext . porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION Foundation Floors walls Ceiling FINS ELECTRICA INSPECTION DRIVEWAY APPROVAL Final Building Survey - Next scheduled inap ection (call when ready ) Remark �, �40 hj it ing I Spector �,f86 and-vl �.-.� -� • _lvcciri o� �upen .sburt� BUILDING and ZONING tDEPARTL4FNT Bay and Haviland Road, R.D. I Box 98 Queensbury, New York 12801 MeUILDING INSPECTOR ' S REPORT NAME LOCATIONJ- 37ate permit N 'I ,APPROVED - YES NO Footing/Pier Forms Foundation waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Ce jar Drain Tile oncrete s . Fixtures pl Door Closers smoke Detectors Chimney IN su l,AT I ON Foundation Floors Walls Ceiling FINAL ELECTRIC L IP75FECTION I]RIVEWAY APPRO Survey Y Final Building ection (call when re dY) Next scheduled s P Remarks, suilding Inspector 6/86 and -vl crwss v Qeeeen3burt� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D- 1 Sox 98 QueenSbury. New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME_ �3 e+ W4 ..►n 1 I S � 3 / g LOCATION DATE 3 a�3 / PERMIT NO . ]f l SOIL TYPE -<iana Loam - Clay Percolation Test Required? YES - Percolation rate - Min/Inch - TYPE of SYSTEM: total length Absorption field , Length of each trench Depth of trenches_ Size of gra el - —~-- �'^ SEEPAGE FIT .{p3umloer o Site- f X ff) Gravel size � • p PIPING : Bldg . to tanx --- Tank to Distm box to fi /pit (sipo Partial openings Beale ATlold/SEPA TI S : ft. Foundation t tank ft. Foundation o abso tion ft. Absorption o lot I- e ft. Sepa,ratio of pits RpFERTY (cirale one) LOCATIONS SYSTEM ON - Right side - Front ^ ar - Left si CcMMENTS SYSTEM USE APPROVED YES Buiidincl Spec/Or ol/86 and vl BUILDING and ZONING DEPARTMENT Bay and Havitand Road, R.D. i Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION � ' ' Late Permit No . APPROVED - YES NO rooting/pier Forms foundation Waterproofing Backfill Framing Roofing siding Masonry veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings cellar Drain Tile concrete Floors Plbg . Fixtures Gar . Fireproofing Door closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls ceiling FINAL ELECT CAL INSPECTIOL3_ DRIVEWAY APP OVAL Final Build ng Survey -- Next scheduled inspection (call when ready Remarks- lei MA0,41 Y 1 7 �Bujiding lnspector 5/86 and-vl �,vwn o�' �ueerz � bure� BUILDING and ZONING []EPARTMEWT Bay and Haviland Road, R.0, 1 Box 98 QueensburY. Mew York 12801 BUILDING INSPECTOR ' S REPORT NAME 9/ LOCATION f l- -Q 4717 Permit No Datelbe' ---1- * * * * * * y/ APPROVED - YES NO ting/Pier Forms F undation waterproofing Backfill Framing Roofing Siding Masonry Veneer .0ugh Plumbing Relief Valves ---�� Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile concrete Floors Plbg , Fixtures Oar . Fireproof ' g Door Closers Smoke Detect s Chimney INSULATION Foundation Floors Walls t Ceiling FINAL EL C'TRICAL INSPECTION DRIVEWAY APPROV -� Final Bu lding survey stion (call when ready ) Next cheduled insPee Remarks- Building In$Pec r G /a6 and-vl BUILDING DEPT. COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED. TEMP+ s DATE .� CITY OR � VILLAGE queens7�,� v�d TOri /�.N I-I&P -.e bury COUNTY Warren STREET AND NO. OR ROAD AND POLE NO. 4zJ"�""'l3 �} Drive POLE No. BETWEEN WHAT TWO i CROSS STR SETS IS PREMISES LOCATED'+ SECTION BLOCK _ LOT BUILDING OCCUPANTS NAME OCCUPANCY - is -t�� p da, y y - AND ADDRESS S yew �a! .Inds f 119 27c:►w g Street � TEL. ISUPPLIED -.rf',./�. :i=.= "`-'�.r +.__�.-- OFFICE BY _ .r -- FROM THEIR _ BUILDING {,% It] REMOVED O IS a New ,1: •OLD © Is NEW NEIN 8J ADDITIONAL Q DEFECTS LIST BELOW ALL EQUIPMENT WHICH YOU. INSTALLED No. at Fhrtlwas 6 ! NUMBER OF OUTLETS La Receptatlms MOTORS HEATERS BRAN me TS OFFICE USE Laaa- ONLY `IO1 Side Attrah t Braekat No Ttpe E,Pd, No Eaph No AOM INSPECTION C@Mkm Wall ReceP7a SvAlch �i Sub- eammi B.a. m.n,e fet FI. and FI 3rd FL REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE' OO NOT USE THIS SPACE. This application is intended to cover the ahora-listed aquipattent la he inspected but K at time of inipaeliorh there is fistind additional ergnipmem not above hated, you are authorized to make the inslpaction and ad1sist the fee to corer the additional equipment, as Pr%rwWI rd by the ePPlicant. S2B OF ELECTRIC SIGN TOTAL x.fV MAINS J FEEDERS LAMPS WATTS" CHARACTER EXPOSED GAS TUBE SIGN OF WORK lRooLlab in and servIceCONCEALED TRANSFORMERS OF VA WORK TO BE INUMBERI (CAPACITY) W STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD JUNDERGROUND MAKER ENTERS OF SIGN BUILDI INSPECTION REQUESTED ON OR AS NEAR AS IyEyy OLD POSSIBLE AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.. LL SPACES DATE OF Pmmftwft .� MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION PRINT NAME AND ADDRESS qV SIGNATURENAME OF !"'"--`-'•>^, APPLICANT OF APPLICANTMe STREET ADDRESS 139 nuvalma Strymot TELEPHONE # CITY ORI< '+fM+f POST OFFICE w Iifa'1 1 o't'rtirt ,! CODE T /.tmarrsr. WHEN APPLICABLE 46 EL IRE v hJn6? A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING QUEEN VICTORIA'S GRANT QUEENSBURY , N.Y. C.O.T. G. - (CLEAN OUT TO GRADE) LLOT OFF 15.00, AA 4 RG,q R Et 6'-0 DIAMETER 8=0 DEPTH ?50ga1 C.O.T. G. g1.84 w Ii �!w 19 �I I I1 pRj\JE REFERENCE DRAWINGS 5 SITE UTILITIES SEPTIC d WATER %tnDUSEN 4 STEVES SURVEY PLAN 13,15,17, 19, MARGARET DRIVE PLOT PLAN A SEPTIC SYSTEM GUYER BUILDERS, INC. Qv- 15 DWN ; A::�v b_ g.g-I Iscale 1'= 20- 0 (-?, q7