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1990-070 4 - - ^ •-•*- - ' •4 ) CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date August 2 19 _90 0\ . g\ 5S . This is to certify that work requested to be done as shown by Permit No. 90-70 has been completed. This structure may be occupied as a 1/2 of 2—family dwelling Location 43 Queen Mary Drive Owner Chivp 111111ripr By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement • BUILDING PERMIT y TOWN OF QUEENSBURY No. 9 0-70 z WARREN COUNTY, NEW YORK it PERMISSION is hereby granted to Guyer Builders Inc. I w OWNER of property located at 43 Queen Mary Drive Street, Road or Ave. in the Town of Queensbury,To Construct or place a 1/2 of 2 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 1 Hemphill Place Suite 201 Ballston Spa NY 12020 2. CONTRACTOR or BUILDER'S Name trJ Same 3. CONTRACTOR or BUILDER'S Address t+ trj rn 4. ARCHITECT'S Name Z C) 5. ARCHITECT'S Address Cb CD • 6. TYPE of Construction-(Please indicate by X) n ( XWood Frame ( ) Masonry ( )Steel ( ) CD 7. PLANS and Specifications - No. 42x26' 1/2 of 2-family dwelling as per plot plan, specifications and application �• 8. Proposed Use 1/2 of 2-family dwelling $ 126.00 PERMIT FEE PAID -THIS PERMIT EXPIRES September 21 19 90 (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.) r-+ Dated at the Town of Queensbury this 21st Day of March 19 90 SIGNED BY ��-LGGLZ- for the Town of Queensbury Building and Zonirig Inspector - `-rAPPLICATION FOR Ii.UI;... .... . ..:,1) ZONING PERMIT o �v OF urNs�ur Y _ _ Pate- d A - Rev-Laved I � %�'�ry , Review / OWN ,OF QUEENSBURY , ,, / RECEIVED Alb• • Fee Paid S bo MAR 19 1990 • BUILDING AND CODES iiii,AtTP+I'srr Date Iacued BAY and 11AVILAND ROADS RD 1 Box 93 BLDG. Sr CODE DEPT. • ()UEENSBURY,NEW YORK 12804 Pe/un.i t NO.q o-7 O ,'1_• Tel . (518) 792-5832 Ext 209 * * * . * * • ..I A PERMIT MUST B1 OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS KILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDINC PERMIT. All applicable spaces on this application must be completed and the si ' ature of the applicant must appear on the reverse side of this sheet . * A A A A A * A AAAAAA A A A A A * * A A * A A A, A * * A A 7i' A A A OS The owner of this property is : GUYER BUILDERS. Inc. P.O. Address 1 HEMPHILL HILL PLACE-SUITE 201, BALLSTON SPA, NY 12020 . • 'T E L.(518 899- 16 & Property location 4/3 C C-t:r ) 1/7/ O+QWIr TAX. MAP NO. /21 / (/ • / has there been any split of this property since October 1 , 19B8? /, no S-- yes no ] f yes, Planning Board Review is necessary. SUBDIVISION NAME, IF APPLICABLE QUEEN VICTORIA'S GRANT LOT NO.. . The person responsible for supervision of . work as regards Building Codes is : Richard H. Guyer III 1 Hemphill Place-Suite 201. Ballston Spa: NY (518) 899=9161 • NAME P .O . ADDRESS - TEL . NO . Name of builderGuyer Builders,IncAddress 1 Hemphill Place, Ballston Spa Tel (518) 899-9161 Name of Plumber - -same- Address -same- Tel - -sme-- Name of Mason -same- Address -same- Tel - -same- UATURE OF PROPOSED 1A1:1•:: MODEL: "Q" • 70N1•Ni� INFORMATION (Office use only) • X C.on::cruccioA of a new building • ZONING DESIGNATION OF PROPERTY Addition to a building • PERMITTED PRINCIPAL PERMITTED ACCESSORY Alteration to a building ` ' (no changes to exc . rior dimensional • REVIEW REQUIRED - PLANNING BOARD . ZONING BOARD Other work (de:crib.:) • ` SITE PLAN REVIEW II APPROVED • DATE • r CkOSS AREA OF PROPOSED, STI UC'ruRL' • VARIANCE II APPROVED DATE . '1st Floor • 900 G�slq Remarks:ft . 010 , •2nd Floor --- sq f t . , COmPLETE Ira•1 ohmi'1'lON 1c QuinED UELLW. see Other Floors -- sq ft . • Size of props.rty .100'± plotpine_t x 120 lc. (not cellar or basement) • Existing building(::) Size n/a ft: X n/a fc. TOTAL FLOOR AREA_ 900 sq f t . Lxi::ti►►g buildirj (u ::) Use n a size of new structure 42 ft a 26 ft ' Vound:,cion-pier ® crawl/partial/full ' Proposed building, distance from property line (circle one) . Front yard 30+ fc Roar yard 30+ ft • No. of Stories (habitable :.•pact) 1 • Side yard:: 15+ ft and 15+ fc Height (grade to ride ) 19.5 fc. . If on corner, setback from side street 30+ ft If residential, no. of. families 1 -2 No. of roorns(excluding baths) 5 ' OCCUPANCY INFORMATION No. of bedrooms 1. , PRIMARY LUILDINC - No. of bathrooms 1 One family dwelling Primary heating] systeul Baseboard Electric : x Two family dwullinu Type of fuel Eletricity multiple dwelling / Number of units_.____ No. of fireplaces to be installed 0 ` Pcruwncne occupancywill awood ::cove be installed? No .• 'Transient occupancy Central Air conditioning? No business t BUILDING STYLE, PRIMARY STRUCTURE • Industrial - • * Ocher lunch Contemporary Lon cabin • w if addition, what will use be? . I wised ranch rt:&ns.en (Dul,lex) Uplic level Old style Uunyelow * . Cepu Cod Cottage Ocher - . * ACCL•'SSORY h UILDINC-. Colonial Roll Town !louse ' betached garage/ono car/ two car/ car ( CIRCLE ON PLEASE ) ' Attached garage/on::—car/ two car/ • cur MMMMMM r * a • ✓ ■ * * * * • _Private storage building E5'1'IMATI:D MARKET VALUE OF • Ocher CONSTRUCTION • S �1 ' INFOre4ATION ON BUIL I-NC—SP C ICATTONS, ON REVERSE SIDE OF 'PHIS SHEET, TO BE COMPLC'rEDI Form !IPA 10/88 vl . w BUILDING PERMIT APPLICATION CONTINUED - 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,mall material concrete block Thickness 8" Depth of foundation below grade (to bottom of footing) 48" 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 - s oped flat/shed/other Material of roof fiberglass shingles Size, wood studs 2 "X 6 " spacing 24 "o.c. length 8 ft. • Joists(floor beams) 1st. floor n/a "X " spacing "o.c. span ft. Joists (floor beams) 2nd. floor n/a "X " spacing "o.c. span .ft. Overlays(ceiling beams) n/a "X " spacing "o.c. span fc. Roof rafters see "X plan" spacing 24" o.c. span ft. • Roof trusses (pre-engineered) spacing 24 "o.c. span Vary ft. (see plan) Exterior wall finish stained Of what material? 5/8"x 4'x 8' TEXTURE 1-11 Interior wall finish painted 1/2" sheetrock If a garage is to be attached, describe materials to be used for FIRE SEPARATION: n/a Is there to be an opening between garage and dwelling? n/a If so will a Fire-rated door, enclosure, and self-closing device be provided? Will a flue-lined chimney be installed? no Height above roof ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ft. in. Water suppLy - Municipa] Or private well Municipal SEPTIC SYSTEM Distance from ANY private well(including adjoining properties n/a ft. (A separate application is necessary for any repair or new installation of septic system) DECLARATION 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. d Signature � Ow er, owner's agent, a itect, contractor * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: By •L _ . • • S10011:. atigt1441 APPLICATIQr 01 jR �1 SAL PERMIT RECEIVED 3 .MAR 1.9199°' Ref: S.P.E.D.S. DATE lb permit # BLDG. & CODE DEPT. New York - 9202525' MODEL I of MINI o f{R LOCATION OF PROPERTY FOR INSTALLATION 43 Queen Mary Drive Owner's Name: Guyer Builders, Inc. •.• Telephone: (518) 899-9161 Address: _ 119 Dunning Street, Ballston Spa, New York 12020 • Gu er Builders, Inc : (518) 899-9161 Installer's Name: y Telephone. 2 A, C, E, I, J, K, L, M Number of bedrooms (residential only) 2 _ 3 F, G, H Total daily flow (compute @ 150 gal per bedroom) 300 Topography: circle one: Flat Rolling Steep Slope •% of slope Soil Nature: circle one: Sand Loam Clay Other / Depth: . 8' feet + Ground Water: At what depth? unknown 8 feet + Bedrock or Impervious Material: At what depth? unknown feet . Percolation test: circle one: (ot require) required / rate min. inch. Domestic water supply: circle.one: Municipal Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption _ N/A feet * PROPOSED SYSTEM: Septic Tank gal. (minimum size: 1,000 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 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *,* * * * * * * * * * * IMPORTANT * See S.P.E.D.S. ...Please...LIST NEW EQUIPMENT TO BE INSTALLED permit & attached * *•* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * map. • • (over) 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 urs.4kefore st_ • ; • of construction and shall include,a.plot plan show g: ` "'""` ''�` '} ` r t. 1.) the proposed,location of the system 2.) location and distance to lot lines 3.) location and distance to structures 4.) location and distance to any it►ater supply • 5.) size and dimensions of all tanks, distribution boxes, tile fields and/or drywells B. No system shall be covered before inspection and approval by the building. : . Inspector. Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to $250.00. • C. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved-system, a new proposal must:be submitted to the Queensbury Building Department before further construction. • I have read the regulations above and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. • • SignatureP of.res onsible person: /'�'L // Date; . 3"1�1" • Town of Queensbury Building and Code Department • Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 • • • • SETTLED 1763 . . . HQig QF NATURAL BEAUTY . . . A GOOD.PLACE TO ' • . 7- (,,,,_.. ., ``. MIDDLE DEPARTMENT INSPECTION AGENCY, INC. 7 i ) National Headquarters 900 Haddon Ave., Collingswood, N.J. 08108 . APPLICANT COMPLETES THIS SECTION Date: tigi4 Town or 7c a r'I aiW t;uRPnsh iry County Warren. State NY Location/Address 43 Queen Mary Drive - (If Located in Rural Area-Please Attach Directions) Pole # . Owner GUM BUI1Jam. Dr, Permit # �-✓O ' r. Occupied As C, r v (e - C`r ti.7Building: Newl Y1 Old❑ Occupant Work Area in Building (Floor #,etc.): App. for: Wiring 0/Service - or: Ready for Inspection: Fee Remitted-$ Cash❑ Check ri M.O. n Make Payable To: M.D.I.A. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Number of Rough Wiring Outlets Elect. Heat Switches ' Lighting Amp. Service ' Surface Unit Dishwasher Range Receptacles Water Heater Air Conditioner Dryer Pump Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner' Amp. Receptacles Fractional H.P. Vent Fans . Other Equipment: MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 Pk 2 3 5 71/2 10 15 20 25 30 40 50 75 100 Mark Number - of Each Size , Applicant's Signature License # i- - Permit # T/A GW PEI RRS, TNl. Utility: t 1Si f' ---�l - /: /./..5Applicant's Address: 119 Thinning Strc++�t (NAME) (OFFICE LOCATION) (City) Rail tnr spa (State) 1 (Zip) 12O C3 Service Request # 0 V Phone # 899--9161 Electrician: C-13vrN. NITURt S, PT.', MDIA USE ONLY DATE RECEIVED:. (0 — 11- c-Ir) DATE INSPECTED: Correct Location: Same as Above I I or: Red Notice Label n Rough Wiring Outlets - Surface Unit / Oven /;3—Switches / Range I Garbage Disposal 0 5---Receptacles l Water Heater J _Dishwasher /; Fixtures Air Conditioner / Dryer. )Amp. Service Equipment Burner,Wiring &Controls for Amp. Receptacle Amp. Service Conductors Pump I ..--3 Vent Fans MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1P/2 2 3 5 7'/2 10 15 20 25 30 40 50 75 100 Mark Number of Each Size 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Elect. Heat CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECTFEE FEE PAID ❑ RW Progress: Inc.'( LKD❑ - . Contractor ❑ CFT ' Violation: Work Comp.❑ Inc. ❑ . n L/A ' Owner CASH ❑ Fee CH K # n L/A . Due MO # I—I IPA • Municipal - i 1 I N V #•,63 < > Date: Other Side❑ Utility App(ieant -❑ Owner - - ❑ Cut in Card n Temp # .. Date !/)�%� .�-�2 5�_�..�_; / Ein I # Date — �;� INSPECTORS SIGNATURE • I a (,; G7 c2_ , 6 / . � APPLICATION FORM NO.'250 EL 11/86 - - . ' „° "..D ”` MIDDLE DEPARTMENT INSPECTION AGENCY, INC-. • i — )J National Headquarters - { /// . • 900 Haddon Ave., Collingswood, N.J. 08108 r/ •;.J';%: • ,APPLICANT COMPLETES THIS SECTION Date: ; �f ifil . r P-.1• St-RI: - County "` .�� State 1 City,Town or Township. �.._. ,,r' ' _ i'; s ._�a, (41 Location/Address - Qis ;r- =s i'k3r5 .) zvf . • (If Located in Rural Area - Please Attach Directions) Pole # Owner '") 'E —' -4_. ?i`'a ia= , - - Permit # Occupied As - Building: New[ :,I Old! I Occupant • Work Area in Building (Floor #,etc.): App. for: Wiring❑ Service 1-1 or: • Ready for Inspection: ' Fee Remitted- $ Cash n Check I I M.O. n Make Payable To: M.D.I.A. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Number of Rough Wiring Outlets Elect. Heat Switches Amp. Service Surface Unit Dishwasher Range Lighting Water Heater Air Conditioner Dryer • Pump Receptacles Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner Amp. Receptacles Fractional H.P. Vent Fans _ • Other Equipment: MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100 • Mark Number of Each Size Applicant's ' Signature License # Permit # T/A i")vFr7 PE-1 ' i'3r:, -11,37.. Utility: N•.1:TC"- (NAME) (OFFICE LOCATION) Applicant's Address: 1.11 a"rnT “.7 : '•r -t (City) Pal 1,,<^' `r`4 (State) N1 (Zip)- 12020 Service Request # Phone # c`'=--Q1(`g Electrician: el -J. a i TiT;T8, rNC,,, MDIA USE ONLY DATE RECEIVED: DATE INSPECTED: Correct Location: Same as Above fl or: - ' Red Notice Label I I : . Rough Wiring Outlets Surface Unit Oven - ' Switches Range • Garbage Disposal . Receptacles "Water Heater Dishwasher Fixtures Air Conditioner -Dryer Amp. Service Equipment Burner,Wiring &Controls for Amp. Receptacle _ Amp. Service Conductors Pump • Vent Fans MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4- 1 11/2 2 3 5 71/2 10 15 20 25 30 40 ' 50' 75 100 Mark Number of Each Size _ 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 ' • Elect. Heat • CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE COFEECT FEE PAID I I RW Progress: Inc.I I LKD I - Contractor • - ' ❑ CFT Violation: Work Comp.❑ Inc. ❑ CASH I I L/A . - Owner - Fee CHK # 7 L/A - Due MO # n IPA Municipal , • INV # pli Date: - • - Other Side I I Utility. - OOwneoant ❑❑ Cut in Card I 1 Temp # Date INSPECTORS SIGNATURE I I Final # Date APPLICATION FORM NO. 250 EL 11/86 4Gp° M 8NT'S CQPV ELECTRICAL INSPECTIONS DUPLICATE MUNICIPAL RECORD Permit No. Owner G,..Ce:c_y Occupant Location if 3 G2 M.ca..v r— tr Town or City State Installation as itemized on reverse side has been visually inspected pursuant to applicable codes. Installed by Date „,ip No. Inspector MIDDLE DEPARTMENT INSPECTION AGENCY INC. FORM NO.18 EL. 900 Haddon Ave.,Collingswood,NJ 08108 ROUGH WIRING OUTLETS H.P.AIR CONDITIONER OUTLETS WIRING &CONTROLS FOR BURNER RECEPTACLES H.P.PUMP FIXTURES K.W.OVEN AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT AMP.SERVICE CONDUCTORS K.W. DISHWASHER K.W.SURFACE UNIT K.W. DRYER K.W.RANGE AMP. RECEPTACLE K.W.WATER HEATER FRAC. H.P.VENT FANS MOTORS H.P. 1/20 1/12 1/10 %6 %6 % %3 1/2 3/a 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100 MARK NUMBER OF EACH SIZE APPARATUS Label No.500E - d I. MIDDLE DEPARTMENT INSPECTION AGENCY, INC. Electrical-Building-Plumbing-Fire Inspections Date ?'.� 40.1 ■►_ t__ f,.. i‘MIliwkiw o ,.��% •1,_�_ onstitu es certification that the above installation, but not the equip- ment itself,has been visually inspected as of this date pursuant to the applic- able codes. If additional equipment should be introduced or alterations made to the existing system or struc- ture, application for inspection should be submitted promptly to this Agency. . TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY- & HAVI 'ND ROADS QUEENSBURY, 'NEW YORK 12804• TELEPHONE 18) 792-5832 BUILDING INSPECTOR'S PORT REQUEST FOR SPECTION RECEIVE NAME __ '. L- - LOCATION If 0.MA- a {2(Us--- DATE 2/31 `th PERMIT # (40 7a APPROVED YES NO 1 FOOTING/PIERS r . MONOLITHIC POUR 'FORMS ' FOUNDATION/DAMP-PROOFING BACKFILL APPROVA± I • ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-SW 17 INSULATION: FOUNDATION FLOORS \, / WALLS \ 1 CEILING \ 1 FINAL INSPECTION: I CHIMNEY HEIGHT ROOFING i', SIDING 1 \ EXTERNAL PORCHES/4 S - STAIRS-CLEARANCE ILS _ PLUMBING FIXTURES RE `IEF VALVE INTERIOR TRIM/PR ACY\DOORS FINISHED FLOORS GARAGE FIREPROOFING `+ DOOR CLOSER(S) SMOKE DETECTORS ' \ FINAL ELECTRICAL . SPECTIiN ' A FINAL APPROVAL OF CONSTRUCT ON ' MI A SIGNED CERTIFI o' TE OF OCC& ANCY MUST BE OBTAINED FROM THE BUILDING 0 PARTMENT BEFORE THESE PREMISES A/'E OCCUPIED! } • REMARKS: l�45 o 40 ml(4——4L1 . L LPL--e 1 • �,` NSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804. TELEPHONE (518) !�792-58 f4/2 41L BUILDING INSP CTOR'S REPORT/ !/ REQUEST FOR INSPECTION RECEIVED b6 NAME 9J.(,l a l�,( �(j h A ,• jj LOCATION i0 ,{ 4 /C/f-:,, DATE ra/ // c��/ ERMIT # 0-70 I) APPROVED YES NO 8 FOOTING/PIERS MONOLITHIC POUR FORMS ,l FOUNDATION/DAMP-PROOFNG . ,f BACKFILL APPROVAL �1` / ' ROUGH PLUMBING ' /. FRAMING ELECTRICAL ROUGH-IN i' INSULATION: FOUNDATION FLOORS /I) . . ,/-- WALLS j .—/ %( • CEILING j /' `-'* '. FINAL INSPECTION: CHIMNEY HEIGHT ROOFING .): SIDING ,i EXTERNAL PORCHES/S *PS STAIRS-CLEARANCE SAILS PLUMBING FIXTURES: R ,LIEF VALVE INTERIOR TRIM/PRIVA DOORS FINISHED FLOORS , GARAGE FIREPROO'ING DOOR CLOSER(S) , SMOKE DETECTOR FINAL ELECTRICA INSPE ION .. . .. ' FINAL APPROVAL ; F CONST'UCTION OK TO ISSUE C/ OR C/C '\ A SIGNED CERT/FICATE OF it CCUPANCY MUST BE OBTAINED FRO THE BUILDI G DEPARTMENT BEFORE THESE PREMIS S ARE OCCUPaED!' { 11 REMARKS: 1 ARRIVE /( i^L v* ////lf") ' DEPART (c� G'�j INSPECTOR _town ofe Queen96urcy BUILDING and Z e) NING DEPARTMENT Bay and Havila d Road, R.D. 1 B. 98 Queensbu, , New York 1280 ;i SEPTIC DISPO.AL SYSTEM INS"ECTION /i / / NAME L.C-' t V (L.(i''u LOCAT I 0 41) INIEFT-(—,,- b. DATE 6/J�/ /�3 iERMIT NO. 96 ivr� '1 r SOIL TYPE - San. Loam - flay - Percolation Testy Required? YES - NO Percolation rate - Min/In4h - TYPE of SYSTEM: Absorption field total length Length of each tench Depth of trenches ' Size of gravel_ 1 SEEPAGE PITS{Numb ) • Size- ft. X t. Gravel size PIPING: a/ Size Type Bldg. to tank Tank to dist. box Dist. box to field1 .,it • Openings sealed? 1'ES NO Partial • LOCATION/SEPARAT ON : Foundation to ta'k ft. ' Foundation to absorp''on _ ft. Absorption tort lin'- ft. Separation 'of Fits ft. LOCATION OF STEM ON J•ROPERTY(circle one) Front - Rear Left si:6,e - Right side - COMMENTS: \ . ,1 / he // Z4 - t, e U 0 SYSTEM L APPROVED YES N a B i ding Inspector 01/86 and vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 6'/f/�Q NAME ith(,(/,�/,e,( ` .60. LOCATION 4/ /44,(e/i. )f'!n G(.t.� !i) L DATE .�1 96 PERMIT # 9�J - 70 APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING r V FRAMING r ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION OK TO ISSUE C/0 OR C/C A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!" REMARKS: ARRIVE 0 1 GiPr //(034( DEPAR S INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 1/41t/ BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280� TELEPHONE (518) 792-5832 . /INSPECTORt 1 BUILDINGS REPORT • REQUEST INSPEd TION 7LED )/Z. CP(1 21 . - < LOCATIO 10 ( diet f / DATE 4 2, /t O PERMIT #,' go, r i APPROVED YES NO FOOTING/PIERS 0NOLITHIC POUR FORMS 1 gtzOUNDATION/DAMP PROOFING BACKFILL APPROVAL 1 )(ROUGH PLUMBING( itOk,g_`3LA_ 1C FRAMING ELECTRICAL ROUGHIN INSULATION: r FOUNDATION I FLOORS ii j . . . WALLS } / . CEILING FINAL INSPECTION:; if CHIMNEY HEIGHT E I ROOFING • , SIDING - EXTERNAL PORCHEB/STEPS STAIRS-CLEARANch' & RAILS . PLUMBING FIXTU ES/RELIEF VALVE INTERIOR TRIM/PPIIVACY DOORS FINISHED FLOORS '. GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS 1. FINAL ELECTRICAL INSPECTION' r FINAL APPROVAL OF CONSTRUCTION • - - OK TO ISSUE C/O OR .C°/C • A SIGNED CERTIFICATE 5'OF OCCUPANCY MUST BE OBTAINED FR M THE BUILDING DEPARTMENT BEFORE THESE PREMI ES ARE OCCUPIED! c, . . REMARKS�I7YC ti t c4- W i ����(_ i-s-r ►✓ 0A'1/u-•S K, �� r P6',6x- (,t/A-i 1 ),v6-3 1 s r • \ r'----- s, 4,\ . , ARRIVE Arr // C DEPART `L-S9 ,`.dwie, I,SPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS WI\ QUEENSBURY, NEW YORK 12804. TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED / 5/b//96 NAME RLLL QA St l LOCATION 4.1 iix. �l � ° DATE 2 Z qZ) PERMIT # / -70 IAPPROVED r YES NO FOOTING/PIERS ? t6 MONOLITHIC POUR FORMS 1 FOUNDATION/DAMP-PRkFING , BACKFILL APPROVAL j r0 )( ROUGH PLUMBING �( FRAMING 1 / \, ELECTRICAL ROUGH-IN .f . . . . INSULATION: 1 FOUNDATION ;I FLOORS . WALLS 1 . . . . . CEILING 9 f FINAL INSPECTION: e r CHIMNEY HEIGHT ROOFING ; SIDING 'V I . . . . . EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFIN DOOR CLOSER(S) SMOKE DETECTORS 1 FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF/CONSTRUCTION- OK TO ISSUE C/O OR C/C --- A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM T!lE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! I REMARKS: \\ 2 1 I . ir ARRIVE . ho -7# DEPART I INSPECTOR TOWN OF QUEENSBURY i1772'1_ • BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804. • TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAMEl.�j�41- LOCATION / l , l-it> *2/J9 h r/�y�J DATE 47�Q/� PERMIT it J 9 2 — / APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS /`/FOUNDATION/DAMP—PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—IN ' INSULATION: FOUNDATION i1 FLOORS WALLS M1 CEILING FINAL INSPECTION CHIMNEY HEIGHT :" 5, ROOFING u` SIDING EXTERNAL PORCHES/STEPSJ'' STAIRS—CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S)CLOSER(SPel SMOKE DETECTORS} FINAL ELECTRICAL'INSPECTION FINAL APPROVAL ,OF CONSTRUCTION - OK TO ISSUE CAO OR •C/C A SIGNED CERTIFICATE OF OCCUPANCY MUST BE � �.1 OBTAINED FROM THEE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!. 9 / REMARKS:' • • • ' ARRIVE ? , r , DEPART i, N�• .` (` INSPECTOR ?fkl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801. TELEPHONE (518) 792-5832 BUILDING INSPECTOO2°S REPORT REQUEST F. INSPECTION REC IVED/�7 ��/i1 NAME ..�I,. _ I _ LOCATION/ arl / 4l DATE // ,� / 6 PERMIT ( D p L '1 I APPROVED • s .Y YES,' NO FOOTING/PIERS A t/ 'MONOLITHIC POUR P S ' FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL `, _ ' ROUGH PLUMBING ". FRAMING ELECTRICAL ROUGH-ITV .`. ' ' INSULATION: I FOUNDATION FLOORS 'f ' • . . . . . . WALLS g . . . . . . . CEILING . ... FINAL INSPECTION:` t1 CHIMNEY HEIGHT ROOFING 3 SIDING EXTERNAL PORCHS/STEPS r., STAIRS-CLEARAN E & RAILS,, PLUMBING FIXTURES/RELIEFt,.VALVE INTERIOR TRIM/PRIVACY DOOOS FINISHED 'F FLOOR` , GARAGE FIREPRqOFING ;, DOOR CLOSER(S4 `$i SMOKE DETECTO S '{.. FINAL ELECTRICAL INSPECTION ''`.. ' FINAL APPROVAL F CONSTRUCTION', . . . . .. I ': A SIGNED CERTIF4 CATE OF OCCUPANCY MUST BE OBTAINED FROM �f1E BUILDING DEPARTMENT BEFORE THESE PREMISES RE OCCUPIED!• '!` I Sz REMARKS: t0 THE CONTRACTORjIS RESPONSIBLE FORjPROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE bLACEMENT OF THE CON ,RE7E. . MATERIALS FOR ;-°3'HIS PURPOSE ON SITE ' ARRIVE :2; -r 1 YES NO DEPART 3: LI/ 1 • a i • Ma\%) • INSPECTOR QUEEN VICTORIA'S GRANT QUEENSBURY, NY CLEANOUT TO GRADE (OWN RECENE©SBURN BLDG. � COOE OE� DRIVE TOWN OF QUEENSBURY Zoning. Administrator - io/3o/�9 Ao REV DATE �� Q-Q MODEL ON 41-43 DESCR IPT VON REFERENCE DRAWINGS: 5 S!TE LIT! L! T ! E S S E P T 1 & WAT--- R VanDUSE.N & STEVI-S SURVEY PLAN Q—IMODEL R00t PLAN NiLL VARY ACCORDING TO SALE, DRAWING SHOWS ONE ST'(Lt OivL ( i 1250 gal --- 6'-0 DIAMETER 8'-0 DEPTH 37,39,41,43 MODEL_ : QUEEN MARY DRIVE PLOT PLAN &SEPTIC SYSTEM GUM BUILDERS, Inc. QV— 3� KW �� - 20'-0 DWN CK drawn: KW 9/11/89 Scale