1986-671 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date January 16 1987•..
This is to certify that work requested, to be done as shown by Permit No. 86-671'
has been completed.
This structure may be occupied as`a One-Family Dwelling
Lot 124Biookshire Trace (St. No. 13)
Location
Bedford Close
Owner Joe Roulier, Jr. .,
i By Order Town Board r.
TOWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY No 86-671
WARREN COUNTY, NEW YORK
Joe Roulier, Jr.
PERMISSION is hereby granted to
OWNER of property located at Lot 124 Brookshire Trace Street, Road or Ave.
Bedford Close
in the Town of Queensbury,To Construct or place a One—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.
m
•
1. OWNER'S Address is °
Box 301
Cleverdale, New York
rt
2. CONTRACTOR or BUILDER'S Name
same
3. CONTRACTOR or BUILDER'S Address
same
O
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4. ARCHITECT'S Name
td
rt
O
5. ARCHITECT'S Address °
x
I.
6. TYPE of Construction—(Please indicate by X)
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(x) Wood Frame ( 1 Masonry ( ) Steel ( )
7. PLANS and Specifications
No. 687x28r per plot plan, specifications and application submitted
including two—car attached garage and sewage system.
0
8. Proposed Use 0
One—Family Dwelling 1,1
N•
$5.00 C/O
t7
$ 178.00 PERMIT FEE PAID—THIS PERMIT EXPIRES May 1 19 87
(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.)
Qq
Dated at the Town of Queensbury this 9th Day of /�J�'October 19 86
//SIGNED BY ,.G �� N „%„ for the Town of Queensbury
Building and Zoning Inspector .(ham
TO BE COMPLETED BY BLDG. DEPT. !
Application No.
own of Queens ur
`� � y Permit Issued 19 OF �� ;��'��{
^„ -1
BUILDING and ZONING DEPARTMENT Permit Expires 19 a � '�l'
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation 4'�
Queensbury, New York 12801 Variance No.Site Plan Review No. S P s ri 6rc�ri
Approved by:
A113)411°
APPLICATION 'FOR � i Igor. ,
• e,,Go ,
BUILDING AND ZONING PERMIT `_ __
.*. * .* * # * * * * * .* * * * * * * * * * * * * * * * * * * # * * * * * *;;
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING.
The undersigned hereby applies for a Building Permit to do the following work which will • .
be done in accordance with the description, plans and specifications submitted, and such
special conditions as may be indicated on the Permit.
The owner of this property is: c- f e :/ 0 c , ����
P.O. Address X _ /l -Z,.r, Lc / /�Y /-efi o Te1.,51/f-G le -3.sA'y
Property Location: / /_7 ,//eetf('.c .e-�ac. ,er.,.., r../ Tax Map No.
Street number or building lot number /
Subdivision name (if applicable) /e ." aL__ -
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
Name P.O. Address Tel. No.
Name of builder _, i Address .4 Ca..� Tel. G(6.3 i Vy
Name of plumber ,e 4 ,� Address SB:, �C(Sj. Tel.
Name of mason e,,> ,- Address 4c,r Tel. 751- BA77
NATURE OF PROPOSED WORK: • * ZONING INFORMATION:
V Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED, . .
Addition to a building • * drawn reasonably to scale and attached hereto,
Ali building *
--Alteration to a 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
LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration
* of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
•
. * Size of property property - " ft X ,2o-cr- ft.
* Existing buildings) Size ft X ft.
* _ —
PROPOSED BUILDING AND USE: * Existing building(s) Use . •
Size of new structure G J ft X. ft *
- Foundation-pier/slab/crawl/partialefulL) * Proposed building, distance from property line
(circle one) * V
* Front yard ' G3. ' ' ft Rear yard /O 7 ft
No. of stories (habitable space) * Side yards 'ti'4// ft and ' ". ig ft
Height (grade to ridge) 7 ft. * If on corner, setback from side street ft
If residential, no. of families / '
No. of rooms(excluding baths) ' * OCCUPANCY INFORMATION
No. of bedrooms y , - * PRIMARY BUILDING - •
No. of bathrooms —7 z
•
Primary heating system «�,L' * One family dwelling •
Type of fuel' — * Two family dwelling
* Multiple dwelling / Number of units
No. of fireplaces to be installed / * Permanent occupancy
Will a wood stove be installed? ,th-
Central Air conditioning? ,1/0. * Transient occupancy •
* Business •
•
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
Ranch 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/ t o-car/ , car
( CIRCLE ONE PLEASE ) * '�ttached garage/one car/ two car car
* * * * * * * * * * * * * * * * * . * Private storage building .
ESTIMATED MARKET VALUE OF * - Other
CONSTRUCTION $ zG�¢o-ePa�
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS: '
Type of construction, wood frame2 Eire safe,etc.
Will any second-hand or ungraded lumber be used? If so, for what? do
Foundation wall material �� r• �� c,. a �„
6�s�/D �.oa/C�e�t /S� Thiel:rt� � �e „ �'
Depth of foundation below grade (to bottom of footing) k_. /� "
/�
Will there be a cellar?"4o Heated or unheated? Citi Floor sq. footage sq ft
Will there.be a basement? �/PS Will any portion be used as living space? ,
(If Po, what portion? _ sq.ft. - - pe of use? ^
Type of rood ST l its/mhod/ot1=e ../A Material• of root '9s rc7-7, ,,. S
Silo, wood etu 1 1 ;,IIx:. of " s.E' tcJng —?s/"o.c. length 4F7 ft.
JoistM(floor bow) Jrmt. ftoo.' .,4 .,. _''x10. " i.� �. _
--:. spac �.�/ ....„o o: s��n,/y..ft,
Joists (floor beams) 2-nd. floor . "X /a " spacing ./Z "o.c. span/5/ ft.
Overlays(ceiling beams) ..1 "X c/ " spacingay."o.c. span/y ft. .
Roof rafters T-- "X " spacing o.c. span ft'.
Roof trusses(pre-engineered) spacing 2cf"o.c. span ?"ft.
Exterior wall. finish ce44 s a/•.. Of what material?
Interior Wall :finish X ' s—< /A . _ .
. If a garage., to ,be atta hed, describe materials to be used for FIRE SEPARATION:
Is there to• be an opening between garage and dwelling? S's If so will a Fire-rated
door, enclosure, and self-closing device be .provided? ' eS
•
Will
a flue-lined chimney be installed? Yes Height above roof ti 3 ft.
Depth of chimney foundation below grade " f . •
Depth of fireplace hearth ./P in. .
Water supply - i or private well .
• SEPTIC. SYSTEM _ Distance from ANY private well(including adjoining properties ft.
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury AFFIDAVIT F I D A V I T STATE OF NEW YORK
County of Warren
. ' .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 Signatur
Owner, owner's agen ,arcniLect,contractor
o-eC day of J/7 19 fC:
•
• Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * .* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT: '
•
•
• By 6P4A5
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 - /—
2 . Type of heat
3 . Is the building mechanically cooled?
4 . Percentage of area of windows and doors
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
5t Type of insulation
4,. Under 16% Only
1. R value of roof an floors exposed to ambient conditions
2. R value of exterior walls , 'r /7, 0
3. R value of glazed area i< - ..3. 0
4. R value of doors Zepe.i
•
5. R 'value of floors over unheated spaces /'
� -
6. R value of slab edge insulation - unheated slab ^
7. R value of slab insulation - heated slab ^
8. R value of heated basement/cellar walls (above grade) J�
9. R value of heated basement/cellar walls (below grade) (.. .
10, Type of insulation /'��' ‘.s C .cs "" /eLe
C. Controls , -
1 . Thermostat maximum heat setting Od ..
D. Duct Systems
1. Is duct system installed in unheated spaces? YES NO
a. If UP , R value of duct installation
b, R value pf duct it otter a.,rooq
E. Piping Insulation
1. Size of hot water or cooling carrying agent pipe
2. R value of pipe insulation 1
F. Service Water Heating
1. Performance efficiency q&C?e2
2. Temperature control setting maximum /YS'a
G. For Swimming Pool Only
1. Maximum heating
Telephonfe No. /,-" CfaZ -3..eVe-J
(applicant ' signature)
awn 4 Queenilury � APPLICATION FOR SEPTIC DISPOSAL PERMIT
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury, New York 12801 DATE 7 / l'/f6
LOCATION OF PROPERTY FOR `INSTALLATION / /��
Y /JioeA.ss/re /e-ract. ,��f,raiL.L„s2.ac....s62//
OWNER'S NAME _.�
____i_t:
ADDRESS - ,; .. . .:
/��c y �a/) e-r o%1 /1/, / -/ TEL T E L ,..s/1f G,'G-.3s'vv
INSTALLER'S NAMEIso ��. s j cce-_sL.�- ,. � TEL
26
Number of bedrooms (residentialonly) y.
Total daily flow(compute @ 150 gal per bedroom) . 'o-z--
Topography- Flat oiling - Steep slope -(circle one) % of slope
Soil nature Sand Loam - Clay - Other Depth ft.
Ground' water -At what depth?. ft.
Bed-rock or impervious material - At. what depth? ft. -
Percolation test - Not required - Required - -Rate min-inch.
Domestic water supply unicipal Well Other
Separation - Watersupply(if well) from Septic absorption ft.
Proposed System: Septic tank /aTrj--gal. ( Minimun size, 1000 gal. )
Tile Field - Each trench N5G ft. Total system legnth , s"-o ft.
_ , 1z ac t X ft
Size of stone to be used # , Depth or thickness ft.
IMP* *OR*TANT* '* ! !* * * * * * * * * * * .* * * * * * * * * * * • * * * * • * * * * * *
On a separate piece of paper, submit a diagram of the proposed system
with all dimensions shown; including distance from any structure ,
distance from property lines and from ANY DOMESTIC WATER SUPPLY or
shore-line of lake, strea-m,pond or wet-lands. Include all dimensions of
s
the system, itself..
* * * . * * * * * a *, * * * * * * * * * * * *"*. * * * * * * * * * * * * * *
I have read the regulations on the reverse side of this sheet and agree
to abide by these and aZZ requirements of The Town of Queensbury
Sanitary Sewage Disposal Ordinance.
Signature of esponsible. person
Date 9 .z‘ ri
05/86 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.# DATE I
CITY OR -
VILLAGE TOWNSHIP , ,i" COUNTY . -y" /
STREET AND NO.OR >
�p•
ROAD AND POLE NO. _- - '-
` " POLE NO.
BETWEEN WHAT TWO
CROSS STREETS IS
PREMISES LOCATED? '�•�' _.- - _ - .-;/ L. SECTION BLOCK LOT •
OCCUPANT'S ;-} BUILDING
NAME -- OCCUPANCY - .-
OWNER'S NAME _ — __ _
AND ADDRESS . ..'�� TEL # - : -
CURRENT ,/ • ;' -
SUPPLIED -.','`' - - - FROM THEIR - � OFFICE
BY �.: . _ ham. -
BUILDING / /, ' WORK DEFECTS
IS NEW❑�. OLD❑ IS NEW rj" ADDITIONAL❑ REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No. Fixtures&
NUMBER OF OUTLETS LampfReceptacles MOTORS HEATERS BRANCH CIRCUITS OFFICE USE
Loca- - ONLY
lion 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 ELECTRIC SIGN TOTAL
MAINS FEEDERS LAMPS - WATTS
CHARACTER EXPOSED GAS TUBE SIGN '
OF WORK CONCEALED TRANSFORMERS OF VA
WORK TO BE f (NUMBER) (CAPACITY)
STARTED -_..may-- ' ,- COMPLETED,.'/ 1 ': SIZE OF SIGN
SERVICE OVERHEAD UNDERGROUND s. MAKER
ENTERSF„% OF SIGN
BUILDING
INSPECTION REQUESTED
ON OR AS NEAR AS
POSSIBLE NEW -'s OLD PI
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF
•
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION
PRINT NAME AND ADDRESS'
NAME OF r SIGNATURE S----
APPLICANT ---- sa OF APPLICA-----
STREET ADDRESS -- - - - - TELEPHONE# - - ' -- •
CITY OR ZIP - LICENSE NO.
.,.POST OFFICE .- -- . .;�-.. . / �' CODE t '=''- WHEN APPLICABLE
46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
awn of Queeni4ur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
•
NAME /!� / (Q 12c64•svi_eze//gv..e4;:,_,
LOCATION `.2 sz
Date l////_f Permit No. 3'1,-(,11
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES I NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
t•--giding r� 0 14-3 No(- 0.05e) rpt
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
L.-Finished Floors 0,1(
Leriterior Trim .yd t ead. &„) OK
L. 4rtairs & Railings
Cellar Drain Tile
Concrete Floors
Vlbg. Fixtures 0,/4
Gar. Fireproofing
Cjpoor Closers
("Smoke Detectors - asks
himney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Bui_cing Inspector
6/86 and-vl
•
i1 cc77
� Jown of Queeniurcy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME f ,
C.
LOCATION /J /oZ r/
�G 7 y�-' �--'UGC
Date ✓ 7r / / Permit No. (a --6/71
* * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
•
✓Roofing D r •
/Aiding 9v-iu 6e-m n `L •
Masonry Veneer
Rough Plumbing
' elief Valves v, k,
L.Zxt. Porches p,K
L'nished Floors ,)
Q V
t/Interior Trim �' a4pnt/.ei,
rY.v
LBrairs & Railings` ` 4 i su
Cellar Drain Tile
Concrete Floors
1,1bg. Fixtures (ilia) 4: ,yr, .k c,r
fir. Fireproofing Q,k
LA5toor Closers
-3fioke Detectors i � ,Qe �(
Cb-imney A11,9�r) - 5'a4 Prr ib Rf2
A/INSULATION:
LfOundation C.9,k
•
Floors - ,
Walls •
Ceiling Q 11 �'
FINAL ELECTRICAL INSPECTIO 7-y
DRIVEWAY APPROVAL
)(Final Building Survey
•
Next scheduled inspection (call when ready)
Remarks- / + /11-0
Ire:
___x (f-o-zce j, --_,e1;,,,,,e ,
16---"-Pria;,--1 /Aaeegi /ze412. e-ey.
et/i2-6
Building Inspector
6/86 and-vl
c cc��
•-2-1'I0G _own of Queniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION �0r /i�`74 ` i-oaS5Airfe. I/-a.e .
Date j of 9 /8,4 Permit No. y6, — 1, 11
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing4 1 2 / 1)<:'
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 APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Re_ell zc,lc ot i-ou9J 1 plb9.1:1 .
6W let S%y l i,-S
ffitzs/v____p
/4,4 J G
Building Inspector
6/86 and-vl
cecil 'Q 4 1,)-/Lf// 6 . : ad Cn7
Jown of Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME \ a R 0 u 1'I Re t--
LOCAT ION 1 cT I a y 13 t- od S h c h Q %Jac,e_
DATE !' 11/0k2 Y PERMIT NO. )( - (o 7/
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM: pcf (
Absorption field, total length
Length of each trench c6 Q 6,0 c 6�
e___ GO
Depth of trenches l
Size of gravel ..
SEEPAGE PITS{Number of)
Size- ft. X ft.
Gravel size
PIPING: Size Type
Bldg. to tank ((u deAD
Tank to dist. box
Dist. box to field/�
Openings sealed? NO Partial
LOCATION/SEPARATIONS:
Foundation to tank /0 ft.
Foundation to absorption -O ft.
Absorption to lot line 3a ft!'
Separation of pits ft.
LOCA sN OF SYSTEM ON PROPERTY(circle one)
4111110, Rear - Left side - Right side -
" I ENTS:
Ia GI,tin C Dal-rQGtO.--
111171/4C:::\ '
SYSTEM USE APPROVED NO
40
L Y
12
Build in spector
01/86 and vl
Down of Queenur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR '' S REPORT
NAME90-6
LOCATION /),-- y 3iroo k //c5:2_
Date / / ,?Ooermit No. ?'6—/rJ/
* * * * * * * * * * * * * * * * * * * * * * *
i/ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
raming SE1' / '55mer7'_
Roofing
Siding
Masonry Veneer
dough Plumbing Q j 7
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 APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
(id
Building Inspector
6/86 and-vl
/bf a3 /Le e q :sv 11-01 —J//� ,Q
- �
awn of Quenaur y•
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
BUILDING INSPECTOR ' S REPORT
NAME �
i_vitje, o u11 r
LOCATION / / ,,6rUU6311 ) 1--c I ra u
Date / / 1/f/ Permit No. (.e 7
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Woundation dV
Waterproofing
XBackfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim I
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
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- fl
(9/1_/ • ' 1 / '10
1ui ding Inspector
6/86 and-vl
Jouin o f Queeniur y
BUILDING and ZONING DEPARTMENT •
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION rwo W 1`i-_1 h+(- I 2A-e&
Date (DAY Permit No. vc-61
✓ = APPROVED - YES I NO
Footing/FicrPyormo (7t*n} -i �?
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 N'+,,
Gar.. Fireproofing '
Door Closers
Smoke Detectors
Chimney `4
INSULATION: 1
Foundation /
\
Floors /
Walls !
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
r0TIA1,9 UUZOr C D4 NO ®T146
f Af5P6c=riclu iPoSS i
fP 00 -ikt WIT-4 U or (ills P&c ►0J
Buil ing Inspector
6/86 and-vl
c /6k /74, Jl d7/z`t
Jown o/ Queenilury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME o e
LOCATION L0 1-do `S 1,,
N�SS�
at+e J6/') /YC Permit No.
* * * * * * * * * * * * * * * * * * * * * * *
i� = APPROVED - YE / NO
?(:Footing/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 ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
Building Inspector
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