1986-639 CERTIFICATE l OF - OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date . . December 30" 19 ..86
This is to certi that work requested to be done as shown by Permit No. 86-639
has been .completed: 43
This structure may be occupied as a r,. One—Family Dwelling
Lot ambert Drive (St ' 7
Bridget aid Mark.Haskell
Owner
t
By Order:Town .Board
if
TOWN OF QUEENSBURY 1!
Building '& Zoning Inspector
•
BUILDING PERMIT
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TOWN OF QUEENSBURY
No. 86-639 ji N.
WARREN COUNTY, NEW YORK _ 1 a
. 11 rt
PERMISSION is hereby granted to Bridget' and Mark Haskell i a
Z
OWNER of property,located at Lot 10 Lambert Drive (St. No. 27) Street,Road or Ave., x
Oakwood's Subdivision
in the Town of Queensbury,To Construct or place.a One—Family Dwelling w
cn
at the above location in accordance to application together with plot plans and other information hereto filed and _K.
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. I ro
1. OWNER'S Address is 19 Windy Hill
Ballston Lake, New York
2. CONTRACTOR or BUILDER'S Name AJS Enterprises, Inc.
1
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3. CONTRACTOR or BUILDER'S Address O
4 Amy Lane 11 o rt
Glens Falls, New York - j o
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' 1 o w
4. ARCHITECT'S Name o' C
G rt
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5. ARCHITECT'S Address - ' ~'
N. 4'
CO (D
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6. TYPE of Construction—(Please indicate by X) =
0
(x)Wood Frame ( ) Masonry ( )Steel ( ) - I •
I N
V
7. PLANS and Specifications 11
No. 28'x66' per plot plan, specifications and application submitted I
including two—car attached garage and sewage system. Ili . m.
8. Proposed Use 11 0
One—Family Dwelling - N
4
$5.00 C/0 I .
C
F,
$ 101.00 PERMIT FEE PAID—THIS PERMIT EXPIRES April 1 - 19 87o
cra
(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 26th Day of" September - 19 86
SIGNED BY - L
� ` d t 6 - for the Town of Queensbury it
Building and Zoning Inspector G I!
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1
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TO BE COMPLETED BY BLDG. 'DEPT. •
•
s-�ow�+ o ueendlter� Application.No.*
Permit Is •13UILDINOand ZONING DEPARTMENT Issued. 19 a Bsc:'r
Permit Expires 19r� : �_'-.- (Jr
Bay and Haviland Road; R.D. 1 Box 98. Zoning. Designation {� ri
g i � •.� � �;
Queensbury, New York 12801 Variance No..
site Plan Review No. 4 IAt,'u 22 } u �`i
Approved by Q /'` p.-ili.
APPLICATION FOR a 101112 1 2 8 1 B 1.
BUILDING. AND ZONING 'PERMIT. - •
::* :* * *,..* *. ..*. * *- * * * e .* * * *..* * ;* * * * *: *:>*....,* .ir * *-* * * * * * :'* *:;*
A PERMIT.MUST BE OBTAINED BEFQRE BEGINVING 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 submitted, and such.
special conditions as may be indicated on the Permit
The owner of this property is: )-r'�!`.e ` / . .S )AY
P.O. Address /9 ��/i�► y I/ 4 Tel. OP99- S�"2 a.
Property Location. A' �� . .., -, /)QA%-a0 Map.No. 3
Street number or•building lot number _An "U jj"L
Subdivision name (if applicable). ( c X'Li/Q n 5
THE PERSON RESPONSIBLE -FOR SUWERVIIsjQN-9F...WORK.AS BUILDING CODES IS:
4,7 l.. _
. Name P.O.° Address ' Tel. No. .
Name of builder - 5$ e Address Tel.
Name of plumber GT—, . . Address Tel. ` . •
Name of mason S�� � Address .
Tel
NATURE OF PROPOSED WORK: * ZONING INFORMATION
.Construction of a new building : _ .*-A :PLOT. PLAN MUST-BE PREPAetED AND SUBMITTED,
Addition to a building *. drawn reasonably:.to scale and attached hereto,
Alteration to a building. . * showing clearly and distinctly all buildings,
(no c.hange to exterior dimensions)' * whether existingor
-- Other work (describe) � .. proposed and indicate all -
*_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
LOCATION OF STRUCTURES AFFECTED. * of:water :supply .and .location:and configuration.
. : , . * of. septic disposal area..
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of proPerty l 0 0 ft X ?J 7 ft.
* Existing building(s) Size ft X ft.
PROPOSED BUILDING AND USE:
G * Existing building(s) Use
Si of new:structure ? ft X r5,ft e • • •
(ndation pier/slab/crawl/partial/full_ * Proposed building, distance from propetty line
• (circle one)
No. or stories (habitable space _ * Front yard ft Rear .yard / ft
Height (grade to ridge) / ) ft. * Side yards ft and ft
If residential, no. 'of families / * If. on corner, setback from side street . .- ft
No. of rooms(excludin baths) -(n * OCCUPANCY - INFORMATION
Na. of bedrooms
No. of. bathrooms * PRIMARY BUILDING
Primary heating system `�,�L'7<<'je * One .family dwelling .
'type of fuel ' i�c tj.f� * Two family dwe'11ing
No. offireplaces to be..installed O`. * Multiple dwelling] Number of units
Will a wood Stove' be installed? //lU .*. Permanent occupancy.
Central Air• conditioning? 011� '' • * Transient .occupancy
* Business '
BUILDING STYLE, PRIMARY STRUCTURE * Industrial ' .
• - 1 Contemporary Log cabin * Other
'Raised ranch Mansion Duplex * 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 ) * 7-Attached garage/one car/ two .car/ car.
* * * * * * * * * * * * * * * * * * Private, storage building
ESTIMATED MARKET VALUE OF * Other 0 _
CONSTRUCTION $-__&.Q6 +r
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl
ate _.
BUILDING PERMIT APPLICATION-CONTINUED - -
BUILDING SPECIFICATIONS
Type of construction, wood_ frame fire safe-,etc.
Will anyy second-hand or ungraded lumber be used? If so, for what? �j/v
Foundation wall material e / / '.�
��'f C!�(�p O/Q('J - Thickness , .,�e . - .
Depth of foundation below grade (to bottom of footing) ' ‘-'
Will there be a cellar? p5 Heated or eated Floor 'sq.`footage 22 .3) sq ft
Will- there' be a basemen ? Will.:..any onbe used as living space? •
(If so, what portion? - sq.ft. - -,.Type of-use?
Type of :roof _ ope• flat/shed/other ;:Material:of roof %� �� ' S�.�, , �i
- Size, wood studs "X ( , " spacing / , "o.c. .length ( '. ft.
Joists(floor beams) 1st. floor .,:)._' "X /a " :spacing ,_� "o c.� span /Sift.
Joists-(floor beams) 2nd. floor ` "g " .
. spacing -. "o.c. span ft.
Overlays(ceiling beams) , "X ",' spacing "o.c.. span ft.
Roof rafters "X " spacing o.c: span ft.- : -
Roof trusses(pre-engineered) s cing "o:c. s ft. '
: Exterior wall finishIt mat . .
Of- what material? �/�,)c-/
Interior'wall finish / 3 i , ,. 1-0 e --
If a garage ,ie be. d,tache describe •materials .:to be used for FIRESEPARATION:
• r ° . .: ? -
Is there to be an opening between:garage and dwelling? yeo✓. If so will :a' Fire-rated
door, enclosure, .and self-closing device be provided? ,'- P_..:5
Will a flue-lined chimney be. installed?, //4). Height.aboKe roof - - ft.
Depth of chimney foundation below grade ` .ft.
Depth of fireplace :earth ft'. °- in:--
Water supply - unicipal •r private well
SEPTIC SYSTEM pis ance from ANY private,.well(including adjoining properties %�p ft.
(A separate application is necesary for any repair or new: installation of septic system)
Town of`:Queensbury . -. p
County of 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 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. ..... -. _
SWORN TO.BEFORE ME THIS, • Signature__ __ _-' ,Q ..
Owne , weer. s•.age t,architect,con ractor
day of 19
•
Notary Public, Warren County, N.Y..
* * * * * * * * * * * it * * * * * * * * .* *_ '*:*' * * * *. *•_* * * * * * *• * * .* * * * * * *. *
SPECIAL CONDITIONS. OF THE PERMIT: .
By .
Jown o�: �ueenlb.ur
BUILDING and ZONING DEPARTMENT =
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury,New York 12801
• SEPTIC DISPOSAL PERMIT APPLICATION
Owner '-s. Name 14>-l` ]'� / ?6.S/wI/ Tel.
Address �QT /0 / , /-r- 71-. . A-1 s()G;>) 6-0 d5'
• Person/Firm installing system (/155
Number of bedrooms(residential. only) • 3
Total daily flow: (compute @ 150 gal.per bedroom per.day)_ 5V,,$-a
Topography: rolling steep -(circle: one) Degree of slope 1}
Nature of soils, and loam-clay- other- Depth _ft.
Ground •water-- at what depth? ft.
Bedrock or impervious :material -at what depth? ft.
Percolation.Test - Not required: / Required -Rate min/inch.•
Domestic Water Supply Municipal Well Other
IMPORTANTi:
On a separate piece of paper, submit a diagram of the proposed septic .
system with all dimensions; including distance from any structure,
' distance from property lines and distances frdm a domestic water
supply or shore-line of lake, stream,. `pond.or.wetlands. Include all
dimensions of the system itself.
Description of proposed system;"`
Septic tank size )Q gal..
Tile. field- Length of. each• trench ft. Total fieldj$97 ft.
Size of stone 'i. .3 -.
Seepage Pit(s) Number ._ / Size ftX ft. Size of stones •
Any contractor, corporation, individual,Etc. , engaged in the
construction of. a Sanitary Sewage Disposal System, who covers the
same before inspection, does not have an approved. Permit, or varies
from the approved application, will be subject to a Penalty of $250
as provided for in Section 6. 010' of the Town of Queensbury Sanitary
Sewage Ordinance.
1-5r * /-ifs
Sign ture of Applicant
Date
01/86 and/vl
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Application for: BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE- ENERGY CONSERVATION CODE .
A permit must be obtained before beginning work.
ANSWER ALL of the following:
1. Gross floor area 1�32,
2 . Type of heat /-e°G71r
3. Is the building mechanically cooled? l/(/ O
4.. Percentage of area of . windows and doors . /2, 2_
A. Over 16% Only
1. _ Uo value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions.
2. Floor over heated spaces YES NO
a: -Are foundation walls insulated? YES NO.
1. If YES, what is the R value?
3. Slab on grade YES NO
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
' B. Under 16% Only
1. R value of roof and floors exposed to ambient conditions:
R - 3o
2 . R value of exterior walls - / !
3 . R value of glazed area dq
4. R value of doors J /5 I
5. R value of floors over, unheated spaces
6. R value of slab edge insulation unheated slab •/1/ //
7. R value of slab insulation - heated slab /tfi
8. R value of heated baeement/cellar walls (above grade)_
9 . R value of heated basement/cellar walls (below grade)
10 . Type of insulation //Q 174.&?1-L
C. Controls . b
1. Thermostat maximum heat setting 7
D. Duct Systems
1. Is duct system installed in unheated spaces? YES -. ... NO
a. If YES, R value of duct installation
b. R value of duct inother. areas
E. Piping Insulation
1. Size of hot water or coolingcarrying agent pipe
2 . R value of pipe insulation
F. Service Water Heating 1. Performance efficiency V 4
2. Temperature control setting maximum /$4
G. For Swimming Pool .Only
1. Maximum heating -
Telephone No. 2 s - Zc T �, `"� 5 -• fiS'145 ;r
(a licant ',s si nature)
Jowl! o f Qneni .uy
BUILDING and ZONING DEPARTM NT
Bay and Haviland Road, R.D. 1 Box 98
oueensbury,New York 12801
SEPTIC/ DISPOSAL PERMIT' APPLICATION
Own is Name _-4-,' Q 7'' I0%/d( 46f )41/ Tel. (J 9- �i�Z.•
,
Address ck7 /O - / vh ��r rr () irlrJ D dS'
Person/Firm installing system 655' C/ )-z2
Number of bedrooms(residential only) 3
Total daily flow: (compute @ 150 gal.per bedroom per day)_ sV5Z
Topography: a - rolling - steep -(circle one) Degree of slope %
Nature of soils: and loam-clay- other- Depth ft.
Ground •water-- at what depth? ft.
Bedrock or impervious material--at what depth? ft.
Percolation Test - Not required / Required -Rate min/inch.
Domestic Water Supply Municipal Well Other
IMPORTANT!
On a separate piece of paper, submit a diagram of the proposed septic
system with all dimensions; including distance from any structure,
distance from property lines and distances frdm eat domestic water
supply or shore-line of lake, stream, pond or• wetlands. Include all
dimensions of the system itself.
Description of proposed system:
Septic tank size 1 Jo. gal.
Tile field:- Length of each' trench ft.-, Total field ft.
Size of stone '# ���
Seepage Pit(s) Number / Size ftX ft. Size of stoneO
Any contractor, corporation, individual,Etc. , engaged in the
construction of a Sanitary Sewage Disposal System, who covers the
same before inspection, does not have an approved Permit, or varies
from the approved application, will be subject to a Penalty of $250
as provided for in Section 6. 010 of the Town of Queensbury Sanitary
Sewage Ordinance.
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Sign ture of Applicant •
Date
01/86 and/vl
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BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
(TEMP.# (DATE I /(/ (�,:7
y�`^PE (•y v f' e,h -- ,i sf_ti TOWNSHIP COUNTY 1i f k F/� /i7
STREET AND NO.OR I ! 1 /1 -�'-""
ROAD AND POLE NO. f , )(j'f�J '. % 4/1 k / POLE NO. a :
BETWEEN WHAT TWO g �✓
CROSS EMI STREETS S S f3 it'' Li 11 t 4 / BLOCK / LOT r��PREMISES LOCATED? (� �\ 11 ;,� SECTION d "
OCCUPANT'SA / _ �' / BUILDING
NAME /1/4. �,r�� • OCCUPANCY . /1I f%. ' f` d i //
OWNER'S NAME _ ((j /
AND ADDRESS � ;h- -71 e TEL.#
CURRENT 1'_
SUPPLIED !! ` 1 f, / -, /...--.
1
BY �?'(// 0ff.r l.�/ of � I,,',/,./.v�)( FROM THEIR f� ( t%i j /—Cl/�) OFFICE
BIS NEW
`,NEW J[ OLD❑ WORKSNEW... ADDITIONAL❑ REMOVED DEFECTS ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No.NUMBER OF OUTLETS f Fixtures MOTORS HEATERS BRANCH OFFICE USE
Lamp Receptacless CIRCUITS
Loca- ONLY
tion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
-
Out-
side
Sub- _ _
base
Base-
ment
1st Fl.
2nd Fl. • .
3rd Fl. ,
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE.
•
This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed,
you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant.
SIZE OF i ELECTRIC SIGN TOTAL
MAINS FEEDERS LAMPS WATTS
CHARACTER j EXPOSED GAS TUBE SIGN
OF WORK .7-eONEEAteb TRANSFORMERS OF VA
WORK TO BE
() (NUMBER) (CAPACITY)
STARTED ' {J �(i3 COMPLETED SIZE OF SIGN
SERVICE OVERI9EAD UNDERGROUND MAKER
ENTERS BUILDING fN•-. OF SIGN
INSPECTION ON OR AS NEAR AS STED ,, .// (- ' �� —
POSSIBLE G/j; t NEW 1 1 OLD ❑
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AN/D ADDRESS _ i
NAME OF .J. - / ', �/,� ,..
APPLICANT N,J C._,; f']�1 ,r"/'_:[s`'�`'/ $;.; ."-s.-/C DATE OF �,� )-�/j / .
i APPLICATION r - > -` �-
�,1 ., l f /
STREET ADDRESS / ''./.�h% ,r •-// TELEPHONE$k -'�f�� �1 fJ!
/ �
CITY OR ram, ,/ffr ZIP / LICENSE NO.
POST OFFICE ',, /t.-%/.i ' .<" ,./ COD4i y 7,- WHEN APPLICABLE
46 EL (REV.I/ae) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING .
C a l/-'( / i le 6 �� /
_bean f Queensbury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
G.lo
BUILDING INSPECTOR ' S REPORT
NAME I)r, S-e fi Host e
LOCATION
M01,1101 L 7- /o /-� ..� tiT 0)
Date 011_2 /lc Permit No. 86 --439.
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
toofing
\ic
Lding
Masonry Veneer
Rough Plumbing
'lief Valves (9,
Ext. PorcheJ dd
tlnished Floors C7 /
f terior Trim • 0,r
L'Eairs & Rams
Cellar Drain Tile
Concrete Floors
bg. Fixtures
kr. Fireproofing
for Closers d
tmoke Detectors Iae
Chimney
WINSULATION:
Foundationf Z) d �
A-M (^ovvn.frTru u��tTCniO
Walls
Ceiling
FINAL ELECTRICAL INSPECTION rep-y
DRIVEWAY APPROVAL ✓�
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- �l
/, ot; 1-iFnyr /
Building Inspector
6/86 and-vl
Lu (( '' id / 18 c- 7; ?6 /kw/
_Down o/ Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury, New York 12801
SEPTIC
/I DISPOSAL SYSTEM INSPECTION
NAME M CO-t< /-1 l.5 h e. 17
LOCATION L_G r /0 L)n,I Q 14-- D h.
DATE ioJa3/ Jle PERMIT NO. F6 - 6 ,
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length r' V
Length of each trench;) o,, 60/ (me 20i
Depth of trenches 'al '
Size of gravel 17 2
SEEPAGE PITS{Number of) •
Size- ft. X _ ft.
Gravel size '
PIPING: Size Type
Bldg. to tank 'yU(
Tank to dist. box
Dist. box to field/ •' ---
Openings sealed? YES j NO Partial
LOCATION/SEPARATIONS:
Foundation to tank /0 ft.
Foundation to absorption ' Oft.
Absorption to lot line ip ft.4-
Separation of pits ft.
LOCATION YSTEM ON PROPERTY(circle one)
Front - Rear Left side - Right side -
COMMENT .
f r.cgy 7.O 4/ job 3/A
Ni;\ (/\1
SYSTEM USE APPROVED (1"--ED NO
0,/1/7/73
Building Inspector
01/86 and vl
L �.o iv//
/0/7 // r�etiob/J
_lown of Queenjburey
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME A 5
l
LOCAT I ON l(, y> �l.vr f r d, L—/0
DATE /LJ/)7/ Po PERMIT NO.
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length Z 0 0
Length of each trench /\-55
Depth of trenches ' " '
Size of gravel
SEEPAGE PITS4Nuinb.e-r—of`)—' ___-,
-�--
Gravel size '
PIPING: Size Type
Bldg. • to tank 'e-( Ste{-L-LQ
'Tank to dist. box
Dist. box to field/pit
Openings sealed? O� Partial
LOCATION/SEPARATIONS:
Foundation to tank ft.
Foundation to absotion ft.
Absorption to lot li'rie ft.
Separation of pits ti ft.
LOCATION OF SYSTEM ONE ROPERTY(circle one)
Front - Rear - Left 'ide - Right side -
COMMENTS:
SYSTEM USE APPROVED YES• QIO
•
Building Ins ect r
01/86 and vl
(2_ a f l d /b/i i/8/& a1
7orvn of Queeniilury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME 4367 mall'_ Ha5.
LOCATION
161 /D ,La /2;,-/- /)/ .
Date /e) /./S/j Permit No. o(o - (, 3 7
* * * * * * * * * * * * * * * * * * * * * * *
Pr = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill (
)(Framing `aZp ,J OF'
Roofing
Siding
Masonry Veneer
Rough Plumbing 0 1`
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing k
Door Closers \ •
Smoke Detectors
Chimney
\
INSULATION:
Foundation / \
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- ,/ /�e //
' x j
Y/11
3u -
64 2
Building Inspector
6/86 and-vl
PAA
Jown o f Queeniur, •
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT 16I,1
�C, n
NAME A l _ ( �4s j
LOCATION Lo -r-- /C /Am r6
Date 5� / oU Permit No. g G- (a 3-9
* * * * * * * * * * * * * * * * * * * * * * *
APPROVED - YES / NO
ootin•• Pier Forms 6.40.11 3, <fl.-JN
Foun.a ion
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches \l
Finished Floors '•
Interior Trim `O . ' !
Stairs & Railings
Cellar Drain Tile
Concrete Floors /
Plbg. Fixtures •� \\
Gar. Fireproofing
Door Closers
Smoke Detectors i
Chimney
INSULATION:
Foundation
Floors •
Walls
Ceiling
• FINAL ELECTRICAL INSPECTION
Final Building Survey : -
•
Next scheduled Inspection(call when ready)
Remarks- -
•
•
LeVnal,;(j&2)
. Building Inspector
6/86 and-vl
...awn o/ Queenilury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
4
NAME n 0—CL*cs t b
LOCATIONviA-� i_ „4-
Date /' (0 Permit No. G.. Cv3
* * * * * * * * * * * * * * * * * * * * * * *
10/ = APPROVED - YES / NO
✓Footing/Pier Forms Ls
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 724''
Plbg. Fixtures . .
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- - k Ya 6 -__
r1
Bui ding I pector
6/86 and-vl
y � .
I
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ff� s¢
•
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