Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
1986-676
CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date December 30 19 86 This is to certify that work requested to one as shown by Permit No. 68 o76 has been completed. This structure may be occupied as a ONE FAMILY DWELLING Location LOT 15 ASURE DRIVE (RAINBOW RIDGE) SUE MURPHY Owner By Order Town Board ,. TOWN OF QUEENSBURY Building & Zoning Inspector p BUILDING PERMIT TOWN OF QUEENSBURY No. 86-676 to. WAR REN COUNTY, NEW YOR K PERMISSION is hereby granted to Sue Murphy OWNER of property located at Lot 15 Asure Drive Street, Road or Ave. Section Two Rainbow Ridge 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. 1. OWNER'S Address is 203 B John Burke Apts. Glens Falls, New York c 0 2. CONTRACTOR or BUILDER'S Name n Riverside Building Corp. 3. CONTRACTOR or BUILDER'S Address Riverside Drive Chestertown, NY 0 4. ARCHITECT'S Name ri H 9 5. ARCHITECT'S Address rt fD 7 ri 0 6. TYPE of Construction—(Please indicate by X) ( *Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications No. 24'x44' per plot plan, specifications and application submitted including sewage system. 0 8. Proposed Use 0 One—Family Dwelling w $5.00 C/O $ 77.00 PERMIT FEE PAID—THIS PERMIT EXPIRES May 1 19 87 co (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.) N. QQ Dated at the Town of Queensbury this 9th Day of October 19 86 SIGNED BY a for the Town of Queensbury Building and Zoning Inspector / TO BE COMPLETED BY BLDG. . DEPT. c� // Application No. flown 4Queenibury . Permit Issued 19 S BUILDING and ZONING DEPARTMENT Permit Expires 19 TOWN OF QUEeki5E1.1RY . . Bay and Haviland Road, R.D. 1 Box 98. ' Zoning Designation F • Queensbury, New York 12801 Variance No. a E Ij Site Plan Review No. ktiii 1t ,p.„. O1 _ 9 ' /� Approved by: G t�;7. °C► ��� ,,.. • APPLICATION FOR . • CMG/i I�E' . ?-'2"---X. B s. t ,,, �bJ a s@a : a a@ e a a 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: iee' /��/.4 i� • . P.O. Address .2 o�, G Jpita &i L k' A 6Ica i//5 . ^I-f. Tel �9 ' ,' 7 . Property Location: 0T 4-is— , 4s:_ ¢� D,c,v= J 4c �, -0.s4-,t,7 . • Tax Map No. / /_ Street number or building lot number eq,,,,(,dnr) /Pi I . <, , . . Subdivision name• (if applicable) s it.. P�.s5 L L N-h r l S2 ef, 77r1a . -THE PERSON RESPONSIBLE FOR/ SUPERVISION OF WORK AS REGARDS BUILDING CODES Is: ,JC�,pc` Z7i MU- 1a4io. � .� 1/F G +n�1 st. f CPY `f 77 7 ' Name 1 P.O. Address Tel. No. Name of builder el it4s 44,. 6/1) N6TG Address (<►.r,n.s, .N. iTe4:1 Tel. Y`i yy- te777 Name of plumber )-17taaic- SecdcciL Address • 7Z,u.?.R1� �'-V. Tel. G 23 zy.S-'7 Name of mason N,Lk CI,rib • "Z z Address A&ctici wi-fK # Tel. ( (, - 3 z Y- - . NATURE OF PROPOSED WORK: * .ZONING INFORMATION: XConstruction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED, . • Addition to a building * drawn reasonably to scale and attached hereto, Alteration 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 ' . LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration .. * of septic disposal area.. * ' * COMPLETE INFORMATION REQUIRED BELOW. • • . . . * Size of property ' l6(-," • ft X /Gy ft. * Existing buildings) Size ft X ft. * . PROPOSED BUILDING AND USE: ~`f•4 * Existing building(s) Use Size of new structure 2 L. ft X Y y ft * . . ' . . . . . . . . •,v) Foundation-pier/slab/crawl/partial/ZMP * Proposed building, distance from property line (circle one) * Front yard w'9 ft Rear yard ' "F ft ' ' No. of stories (habitable space) 5v� . - Height (grade to ridge) . . . • ft. * Side yards "? �. ft and Y. ft If residential,` no. of families psi_ * If on corner, setback from side street ft No. of rooma(excluding baths) S. . . * OCCUPANCY INFORMATION . No. of bedrooms •• * . • No, of bathrooms * PRIMARY BUILDING - Primary heating system e'lei. 44s�� * One family dwelling • Type of fuel �'1 ti'T.2-«- * — Two family dwelling Mutp]e de] l ;ng / Numb ofun?.ts - No, of freplaces to be installed i• , w , - Will a wood Move be iri taped?. , —�l�c mallenh raccuj���flGY Central Air conditioning? ' k,o '1'ta3iSdi1L occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE . *' Industrial . nc 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 ). * • Attached garage/one car/ two car/ , car * * * * * * * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF. * Others ' Pill- CONSTRUCTI®N $� L( -s' c * . 4. 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 frame, fire safe,etc. +.U000 riVtti+.1.6 Will any second-hand or ungraded lumber be used? If so, for what? 'O • • Foundation wall material ( m,k 7r hIL Thickness Depth of foundation below grade (to bottom of footing) g' c.iokr {mil- Will there be a cellar? +5 Heated oldgMMID Floor sq. footage / •Sd sq ft Will there be a basement? a Will any portion be used as living space? t (If so, what portion? -i sq.ft. - - Type of use? Type of roof - sloped/flat/shed/others/;,cD Material.•of roof VI," Ep/( Size, wood studs Z. "X ( " spacing Dy "o.c. length S" ft. Joists(floor beams)' 1st. floor 2. "X spacing/(� "o.c. span J� ft. Joists (floor beams) 2nd. floor -' "X b. """ 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) spacing '31 "o.c. span 24 ft. Exterior wall finish U'� S;�: t Of what material? bD,,.4/. "( 7'er-e+..a Interior wall finish '/ ( D Q L 4-1/ j�.t; • If a garage is to be attached, describe materials to be used for FIRE SEPARATION: NI �' Is there to be an opening between garage and dwelling? If so will a Fire-rated . door, enclosure, and self-closing device be•.'provided? Will a flue-lined chimney be installed? kjo Height above roof ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ft. in. Water supply - Municipal or private well fQtv4 („00( SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties / 0° • ft. (A, separate application is necessary for any repair or new installation of septic system) . . Town of Queensbury AFFIDAVIT 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' a.11 . 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. J �/ SWORN TO--BEFORE ME THIS Signature- er, owner's gent,a cnitect,contractor day of 19 . ' Notary Public, Warren County, N.Y. • * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * .* SPECIAL CONDITIONS OF THE PERMIT: . • • • • • • • . • • • By • • 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 /oSq 2 . Type of heat ���-i(2.._ &�. 4-it CI, • • 3 . Is the building mechanically cooled? NQ 4 . Percentage of area of windows and doors IS- 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 k --3g 2 R value of exterior walls 3 . R value of glazed area • 4 . R value of doors " —"f' R-/y �bW • 5. R value of floors over unheated spaces e- /IL 6. R value of slab edge insulation unheated slab ti1f4 - 7. R value of slab insulation - heated slabue • 8. R value of heated basement/cellar walls (above grade) Q�J • 9 . R value of heated basement/cellar walls _(below grade) 4e'.9( 10 . Type of insulation CPS L,r1-11L �,4C2-)IS IL'4 (e4(;,, / 1 • • C. Controls 1 . Thermostat maximum heat setting 5'3 � 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 in other areas • E. Piping Insulation /�4 1. Size of hot water ox cooling carrying agent pipe 2 . R value of pipe insulation P. Service Water Heating 1 . Performance efficiency !e(ver7e, 2. Temperature control setting maximum /Y5"° • G. For Swimming Pool Only 1 . Maximum heating Af /1-- • TelephonefNo. tY' ((")? -) (applicant ' s signat 're) C� • sown Of Quilury APPLICATION FOR SEPTIC DISPOSAL PERMIT BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 DATE ° / /( LOCATION OF PROPERTY FOR INSTALLATION ass,i, sac(,2� OWNER' S NAME SL4c M�.z��7 ADDRESS (Z�T LS) 2 03 e gviti/ i4- ��c��5 'Arils TEL- re" %7e INSTALLER' S NAME � C'L472o' ; TEL 6 6 g- 3 zY Z- Number of bedrooms (residential only) Total daily flow(compute @ 150 gal. per bedroom) 7'S ° Topography•- Rolling - Steep slope - (circle one) % of slope. Soil nature: -and Loam - Clay - ' Other Depth ft. Ground water -At what depth? ft. Bed-rock or impervious material -I At what depth? ft. Percolation test - Not required - Required - -Rate . min-inch. Domestic water supply - Municipal, Well - Other Separation. - Watersupply(if well) from Septic absorption ( Z 2 ft. Proposed System: Septic tank /66o gal. ( Minimun size, 1000 gal. ) Tile Field - Each trench 5 ° ft. Total system legnth 26 .0. ft. Seepage pit(s) Number of . Size each ft X ft Size of stone to be used #° .`n __ ' Depth or thickness � �Z� =t. IMPORTANT! !! 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, stream,pond or wet-lands. Include all dimensions of the system, itself . * * * * * * * * * * * * * * * *. * * * * * * * * * * * * * * * * * * * * * I .have read the regulations on tke reverse side of this sheet and agree to abide by these and all requirements of The Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of responsible person Date //0 05/86 and/vl Section II Septic System Inspections: A. All applicationd 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 proposed location of the system 2) location and distance to lot lines 3) location and distance to structures 4) location and distance to any water 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. Oueensbury Building Department before further construction. • BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. !TEMP.* IDATE I CITY OR /,' 1 }} VILLAGE �_,--4-c l iI-a/If a TOWNSHIP COUNTY U 1' ec-Li_.:' STREET AND NO.OR r— ,, ROAD AND POLE NO. ->.�C./( C. /J C I fry POLE NO. BETWEEN WHAT TWO CROSS STREETS IS / cr,� if �: PREMISES LOCATED? t ppt CI SECTION BLOCK LOT OCCUPANT'S c .� , BUILDING NAME r/tL u rZ,jQ f OCCUPANCY OWNER'S NAME ') - f7 / /- ..�„ _ AND ADDRESS ''r--' 1 I) 1_ )t("i._j / :A I' t;1' i C� /�, . f7i f i., TEL.# 7 ! �' �� �� CURRENT ,{ / SUPPLIED /RBY ,� p,.-c.tom,.(_ I !(?1z_.� FROM THEIR 7/ : i Tl r! ; OFFICE BUILDING NEW�. OLD❑ is NEW .4. ADDITIONAL❑ REMOVED ❑ IS LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No.of Fixtures& BRANCH OFFICE USE NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS 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 ELECTRIC SIGN TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE (NUMBER) (CAPACITY) STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS OF SIGN _ BUILDING INSPECTION REQUESTED . ON OR AS NEAR AS POSSIBLE , NEW ril OLD 111 AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICAT,01 PRINT NAME AND ADDRESS NAME OF J` 1 (/ , 6 X SIGNATURE 7 _. 7 _' c3 APPLICANT I' r_ ' / 7/ I /%OF APPLICANT ''- - f STREET ADDRESS l_ "F`- i it.t TELEPHONE# 1`1 (L., CITY OR / :i ,I-r ( 1,- L/1 COD E I ; t t ::1 WHN SAEP NOIC ABLEPOST OFFICE L' - L.— 46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING J • own o/__ ueeni /ury BUILDING and ZONING DEPARTMENT V.\\ Bay and Haviland Road, R.D. 1 Box 98O . ' Queensbury, New York 12801 „/ NI4-4c BUILDING INSPECTOR ' S REPORT J NAME ( ,, � �r 7er 14 LOCATION \� Date / ja, / ,g/ Permit No. ( (5, -(r)/7(p * * * * * * * * * * * * * * * * * * * * * * * F/ff ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Hackfill Framing (.06-ofing ar ding O/ Masonry Veneer ,Rqugh Plumbing elief Valves C� t. Porches f7' F. ished Floors O , tnt Trim /2� r Stairs & Railings P CI, „ Cellar Drain Tile N. .C9.acrete Floors / Pibg. Fixtures '.,�` lGar. Fireproofing r•, ntf 1/Door Closers /'' PI n, L ke Detectors / \ O Chimney 0 \ 0q L.�N SU LAT I ON: /// Foundation LPioors 0'.14 Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- t / 0 /c t . . ( 6 V CIA6 . Building Inspector 6/86 and-vl . Ccll ( e � tat ii /8 6 i1 Jouin of Queeni //ur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 r* BUILDING INSPECTOR ' S REPORT NAME (A ,e. )llurtt y LOCATION D I IT l S . S Fri d Date /)_/,2 /E. Permit No. �� -(a 76 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing 6p4�J,i n101 1i?�l Y 5,or14 1 offing J Q�' ing 0 1' Masonry Veneer Rp.ugh Plumbing (/Relief Valves D. L/Ext. Porches (,,Finished Floors Q,k erior Trim ,(�� rt+-trtG- �Stairs & Railings ge_ o- 0 Cellar Drain Tile Concrete Floors ',.4 l-bg. Fixtures 0.f� -'Gar. Fireproofing —Door Closers lAl� Smoke Detectors Chimney 1\/1- INSULATION: l.Foundation Floors / \ Walls , / Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call- when ready) Remarks- o sr eP5 (2 STA-1R6 IN. 131r5Tfr, oNt- LA-,U octr Xm pea Po-2 nip E4A-NO A`ja-�'D'1cc t,41/13 Building Inspector 6/86 and-vl c- it n4 /6 3 l/�' ( €- 3a Gam, awn of Queni1urt, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, Nev York 12801 BUILDING INSPECTOR ' S REPORT NAME �Lc rnct r LOCATION L OT � f511/1- pi Date jd/3 /a'6 Permit No. Q ( _� 7 6 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill f 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 1 Door Closers / 1 Smoke Detectors Chimney INSULATION: Foundation Floors Walls S y-1/0A-4i Ceiling ,2- 3' FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- P/-0,4G-Llz2-nW/-,'S X ca W/r0A/14 (4ia /t-Z vu 62 poL at/ ('4- .s "f or i 7-1�+ 6' �, Building Inspector 6/86 and-vl cc7 _lown o� Queenibury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME VU 4,- AU I.0 YL 10(.4k-I LOCATION DATE 'big-7 PERMIT NO. 81- (, 7 G SOIL TYPE -(and Loam Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, al len / Length of e tench Depth trenches S' e of gravel SEEPAGE�PiTS-fNumbey Rf) _ ,1 Size- j' ft. X ?(y ft. Gravel size PIPING: Size Type Bldg. to tank 4 5 (4-240 Pc) Tank to dist. box 2,0 Arc- Dist. box to field/pi " A/c_Openings sealed? YE NO Partial LOCATION/SEPARATIONS: Foundation to tank Foundation to absorption t4-- Absorption to lot line ft. Separation of pits 2.0 ft. LOCATION OF SYSTEM OPERTY(circle one) ront - Rear t si - Right side - COMMENTS: 5ofLs o6Sst-rzLJ Lc7- ) -- f " / 2 --.Ail a's-f earaeouao D per- (/L- ©!C_ run_ S 4-4-PA-6 6- Pc _ SYSTEM USE APPROVED YES NO Building I spe or 01/86 and vl Down of Queenit urc, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME • LOCATION DATE /" / 414PERMIT NO. ( G- G 7 f/ SOIL TYPE - Sand - Loam - Clay Percolation Test Required? YE ti�N� Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each trench Depth of trenches Size of gravel SEEPAGE PITS-fNumber of) Size- ft. X _ ft. Gravel size 1 PIPING: Size Type Bldg. to tank Tank to dist. box Dist. box to field/pit Openings sealed? YES NO Partial LOCATION/SEPARATIONS: Foundation to tank ft. Foundation to absorption ft. Absorption to lot line ft. Separation of pits ft. LOCATION OF SYSTEM •► •ROPERTY(circle one) Front - Rear - reft side - Right side - COMME NTS: Af, K, o-6 cac47/..a.,Le__Q-4 Atc.- SYSTEMMUSE APPROVED YES NO B ilding Inspector 01/86 and vl awn of Queeniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME 5 u LOCATION .--a 7 (3 S ur e 71 Date i / // / c Permit No. (6 _ 6 76 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms I/Foundation Waterproofing Backfill �t 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-- - E gr4L1 t fr-e-h Ci Building Inspector 6/86 and-vl TOWN OF QUEENSBURY Building Department Inspectors Report Date (n (L5'. Name i--( Location t3 s Permit No. A'•o A(u Weather p b- 6 14 Remarks Excatia ti on Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing • Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches Finished Floor / Interior Trim �f Stairs & Railings Cellar Dr. Tile / \ Concrete Floors Plbg. Fixtures !' Gar. Fireproofing / Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling Building Inspector REMARKS AID)-ti(1 ( C-- S« eviOXtO +- C Pi 6 it rk,u6,3- CS C',&Ai -L 'Lc�c�x p YLA-i 1.1 i,c.) SA /1-Lc- C f -u- yt. V-3/tc)( (LC':* W nlGI- p ao U/►i.0 io C9 j— ro uNO) T-roA/ ()u s CZ-en i