88-605 a
` CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date /.'tln2Ut'1L 7 19 L
This is to certify that work requested to be done as shown by Permit No. 88-605
has been completed.
This structure may be occupied as a one family dwelling - additthn
Location Cleverdale Road
John & Debbie Skinner
Owner
By Order Town Board
TOWN OF QUEENSBURY
zi)(47,7
Bui1 ng & Zoning Inspector
BUILDING PERMIT
H
W
TOWN OF QUEENSBURY 88-605
No. phi
WARREN COUNTY, NEW YORK
z
0
John & Debbie Skinner
PERMISSION is hereby granted to
OWNER of property located at Cleverdale Road Street,Road or Ave.
V
in the Town of Queensbury,To Construct or place a additnn to 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
RD1 - Box 260 - West Sand Lake Rd.
Rensselaer, N.Y. 12144
2. CONTRACTOR or BUILDER'S Name
Same ty
m
3. CONTRACTOR or BUILDER'S Address En
Same
CD
n
4. ARCHITECT'S Name
5. ARCHITECT'S Address n
CD
N
I-t
a.
6. TYPE of Construction—(Please indicate by X)
( 1 Wood Frame ( I Masonry ( 1 Steel ( )
Iv
a.
7. PLANS and Specifications
No. 12' X 36' as per plot plan, specifications and application
w
8. Proposed Use y a'
a
N.
addition to dwelling
rt
0
5.00 C/O
$ 35.00 PERMIT FEE PAID—THIS PERMIT EXPIRES March 1 19 89
I�
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the I—'
town of Queensbury before the expiration date.)
at)
Dated at the Town of Queensbury thi 29th ay of August 19 88
SIGNED BY s.!f' for the Town of Queensbury
Building and Zoning In..= or
c
_Dawn 0/ Qeiitsiry (7 '-,
BUILDING and ZONING DEPARTMENT d
Bay and Haviland Road, R.D. 1 Box 98 `' ' I
Queensbury, New York 12801 AUG 151988 �
1 v
" � , \, A BUILDING; a cook
(. ) --. sk ; i Approve 35.0.0 3
jeget
\ . APPLICATION FOR l"
\- BUILDING AND ZONING PERMIT �-'
* * * * * * * * * * * * * * * * * * * * * * * * * its * * * * * * * * * * *::.*
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: .14,064 / `,P �,U,
P.O. Address (1. ..01.r-1 ', ,41-_,9 Tel. 6SG-90oz
Property Location: a". ,,4,fy,eC Tax Map No. /4/ /L/ 7. a
Street number or building lot number
Subdivision name (if applicable) .44n '
'ME PE/ �J /
RSON�RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
Name P.O. Address Tel. No.
fName of builder Address Tel.
Name of plumber Address Tel.
Name of mason Address Tel.
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
* TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED,
Construction of anew building
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.
I
* Size of property /7 , ft X cy ft.
* Existing building(s) Size ft X ft. ' •
*
PROPOSED BUILDING AND USE: .
* Existing building(s) Use NGnwP
Size of new strut a /2 ft X 34 ft *
Foundation-pier4sl4 crawl/partial/full * Proposed building, distance from property line
(circle one) *
* Front yard A/5 ft Rear yard fO > ft
No. of stories (habitable space)
Height (grade to ridge) 20 ft. * Side yards 15- ft and yii ft
If residential, no. of families I * If on corner, setback from side street ft
No. of rooms(excluding baths) / * OCCUPANCY INFORAlICN
No. of bedrooms
No. of bathrooms * PRIMARY BUILDING -
Primary .heating system , n„L One family dwelling
'Pape of fuel �,� * Two family dwelling
No. of fireplaces to be installed * Multiple dwelling / Number of units
Will a wood stove be installed? —~" * Permanent occupancy
Central Air conditioning? - * 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 B alow
Cape Cod Cottage * 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 . * Other
CONSTRUCTION *
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED)
Form BPA 4/86 and-vl
GUILGINC PEk4IT APPLICATION CONTINUED - •
BUILDING SPECIFICATION:
Type of construction, wood frame, fire sat e,etc. 6100:� e
Will any second-hand or ungraded lumber be used? If so, for what? /06
irkFoundation wall material .Bever Thickness i?
•
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? , Heated or unheated? Floor sq. footage ,'C7 sq ft
Will there be a basement? AA:-, Will any portion be used as living space?
(If so, what portion? sq.ft. - - Type of use?
Type of roof - gro_p fllat/shed/other Material. of roof 44,z4,(
Size, wood studs Z"X !. " spacing /6 "o.c. length 9 it.
Joists(floor beaus) lat. floor "X " spacing "o.c. span ft.
Joists (floor beams) 2nd. floor "X " .spacing "o.c. span ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters 2 "X /7" spacing /�� o.c. span 9 ft.
Roof trusses(pre-engineered) spacing "o.c. span ft.
Exterior wall finish r Of what material? c46,4-itetiva,v,�,
Interior wall finish q,.as- `�n�
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
Is there to be an opening between garage and dwelling? If so will a Fire-raced
door, enclosure, and self-closing device be provided?
Will a flue-lined chimney be installed? Height above roof ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft. in.
Water supply - Municipal or private well Lq,
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 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 doneeon the described premises and that all
provisions of the BUILDING CODE, '11i1: 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 _ I
Owner owner's agen ,arenitect,contractor
day of 19
Notary Public, Warren County, N.Y.
r * * * * * ,i * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
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 -4716;, 7f'-
2 . Type of heat /JO /1/2 r)/4
3 . Is the building mechanically cooled? 100
4 . Percentage of area of windows and doors
A. Over 16% Only /0"26t
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
2 . R value of exterior walls RZ Z
• 3 . R value of glazed area
4 . R value of doors 3-2
5. R value of floors over unheated spaces 2A>
6. R value of slab edge insulation - unheated slab Lk)
7 . R value of slab insulation - heated slab
8. R value of heated basement/cellar walls (above grade)
9 . R value of heated basement/cellar walls (below grade)
10 . Type of insulation
C. Controls
1 . Thermostat maximum heat setting
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
1. Size of hot water or cooling carrying agent pipe
2 . R value of pipe insulation
F. Service Water Heating
1 . Performance efficiency
2 . Temperature control setting maximum
G. For Swimming Pool Only
1 . Maximum heating
Telephone No. � � '- 7
(applicant ' s signature)
1 MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
) National Headquarters
900 Haddon Ave.,Collingswood, N.J.08108
APPLICANT COMPLETES THIS SECTION Date:6vz5-4,
City, Town or Township QaiF.E.v5 tJ� County �/itsf.'t°. ,rJ State�'✓�✓
Location/Address
✓✓
J (If Located in Rural Area- Please Attach Directions) Pole#
Owner J4)%,t)y-a lji,, , 6,eiA.) Permit # -(i DS
Occupied As 1 5 /1 Building: New❑ Old❑
Occupant
Work Area in Building (Floor #,etc.):
App. for: Wiring Service El or: Ready for Inspection:
Fee Remitted-$ Cash❑ Check❑ M.O. ❑ 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 1,/2 2 3 5 7,/2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size
Applicant's ,
Signature License # Permit #
T/A Utility:
Applicant's Address: (NAME) (OFFICE LOCATION)
(City) a (State) A-x y (Zip) Service Request #
Phone # G -9bPZ
Electrician:
MDIA USE ONLY DATE RECEIVED:
DATE INSPECTED:
Correct Location: Same as Above❑ or:
Red Notice Label El
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 1I/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size
is
Elect. Heat 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
CERTIFICATIONS USE FOR INITIAL.VISIT ONLY NOTIFIED DATE CORRECT FEE PAID
❑ RW Progress: Inc.❑ • LKD❑ Contractor
❑ CFT Violation: Work Comp.❑ Inc. ❑
El L/A , . Owner CASH ❑
❑ L/A Fee CHK #
Due
CIIPA Municipal MO #
INV #
Date: Other Side El Utility Applicant E
Owner
Cut in Card ❑.Temp # Date
El Final # Date INSPECTORS SIGNATURE
APPLICATION FORM NO.250 EL 11/86
INTERIM BUILDING PERMIT
Srr-- 6 oS
PERMIT APPLICANT TJOILA Sk,'nri ,e
CONSTRUCTION LOCATION G'/weKola/c
EFFECTIVE DATE VIn74,///pe
APPROVED BY
SPECIAL CONDITIONS :
'pew rni.4` 74,-7 et-Y1 "Oas-e
017 , _� �. /.e/o.e,� rrn 6'z e Ge1,'1/
237 71-
This will certify that all submittals for a Building
Permit have been received and fee has been paid .
During the processing of the Permit, the above named
may begin construction per plans submitted . It is the
responsibility of the applicant to obtain the Permit
from the Building Department, following processing .
POST THIS INTERIM PERMIT IN A CONSPICUOUS LOCATION ! !
Building & Codes Department
TOWN OF QUEENSBURY
TOWN OF QUEENSBURY
531 BAY ROAD
#� NEW YORK 12804
► TELEPHONEl UEENSBURY� (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTIOON RECEIVED 142 2 7
NAME a , `7-1 17�-e ze_ �._
LOCATION ' ,�4/WC 0:-U
DATE PERMIT# SU - 6 os
TYPE OF STRUCTURE
RECHECK
_FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
_FOOTING FOUNDATION BACKFILL FRAMING
_ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
/
J
APPROVAL
N A YES NO
CHIMNEY HEIGHT/LOCATION r
B VENT/LOCATION
PLUMBING VENT /
ROOFING I
SIDING
DECK/PORCH/STEPS/RAILIN4S
RELIEF VALVES
FURNACE/HOT WATER OPERATING/
INTERIOR TRIM/PRIVACY 000i
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABL
OTHER FLOORS CARPETE
STAIR CLEARANCE/RAILI S
SMOKE DETECTORS /
DOOR CLOSERS
BATHROOM FANS
ALL PLUMBING FIXTU ES OPERATING
GARAGE FIRE PROOF NG
DOOR CLOSERS
OTHER FIRE SEPA TION
FIRE/DEMISE WA S
FINAL ELECTRIC L
OK TO ISSUE C/O OR C/C 1.,'"
COMMENTS:
AI iiii I I)tall
fi -e, - PI 1,11°
7,(?
or A. -
ARRIVE /6 /v
DEPART /0,21) vor v /A..'
IN TOR
TOWN OF QUEENSBURY
Aft
531 BAY ROAD
, NEW YORK 12804
11" w TELEPHONEY (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME ci-Wt7✓`ir�
LOCATION ae06dcA_
DATE i2 7 7- PERMITS i41-44205
TYPE OF STRUCTURE .5'FP
RECHECK
_FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
-ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
-INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS:
SMOKE DETECTORS ,j
DOOR CLOSERS
BATHROOM FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
FINAL ELECT L
OK TO ISSIOR C/C
COMMENTS:
ARRIVE .3%<''(
DEPART J/o 3 x-/i•.
INSPECTOR
TORN OF QUEENSBURY
531 BAY ROAD
# 1 TELEPHONEY� (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION
DATE S 4/fL PERMIT# IF CO-(
TYPE OF STRUCTURE
RECHECK
_FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
/ N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILING '
RELIEF VALVES
FURNACE/HOT WATER OPE" I
INTERIOR TRIM/PRIVACY )OOR
FINISH FLOORS:
BATH/KITCHEN WATEfIGHT \
OTHER FLOORS SWEEpABLE
OTHER FLOORS CAR ETED
STAIR CLEARANCE/RNILINGS
SMOKE DETECTORS
DOOR CLOSERS
BATHROOM FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
,„h
a„.
ARRIVE ADJ-- r
DEPART AO
I C OR
dwN Ei1 '(' /35
T OF QUE BURY
531 BAY ROAD
i a TTELEPHONEY, NEW YORK 12804
(518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME 4may,J ,k/N
LOCATION T (? iiOA 1Jg 6 1e/
DATE 0/92' PERMIT# /
TYPE OF STRUCTURE Z i eUmei
RECHECK
FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
r/FOOTING FOUNDATION BACKFILL t-FRAMING
ROUGH PLUMBING //FINAL ELECTRICAL _SEPTIC
✓INSULATT,ON OD WOSTOVE/FIREPLACE
re:avivav -
REMARKS
APPROVAL
N/A YES%NO
CHIMNEY HEIGHT/LOCATION ✓
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS i
RELIEF VALVES
FURNACE/HOT WATER OPERATING I
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT f`
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS ;
SMOKE DETECTORS
DOOR CLOSERS
BATHROOM FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS: /
mod/ A 9 /SL
•� .
*- 4, Sae e,/
3,44
,e_ xr I G.�17 `mat
� cL/F 'c GTE"
ARRi11E_� ,s r
DEPART /2/Ai
INSP CTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVI D ROADS
QUEENSBURY, EW YORK 1280k
TELEPHONE 18) 792-5832
BU LDING INSPECTOR'S REPORT
/4-/- 7Z
REQUEST FOR I SPECTION CEIVED
NAME �i /i LI
LOCATION /,a f //. .1.
DATE 14/1 V 1/ PERMIT # AP-4 45.
APPROVED
4/2lq' YES NO
FOOTING/PIERS
MONOLITHIC POUR 'FOAMS
FOUNDATION/DAMP— lOOFING
BACKFILL APPROVA .4
M
ROUGH PLUMBING r
FRAMING
ELECTRICAL ROUGH� N
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIpHT
ROOFING F�
SIDING
EXTERNAL PORCHES/STDPS
STAIRS—CLEARANCE & ILS
PLUMBING FIXTURES/RE IEF VALVE
INTERIOR TIM/PRIVAC' DOORS
FINISHED FLOORS
GARAGE FIR4PROOFING
DOOR CLOSE 2(S)
SMOKE DETICTORS
FINAL ELECTRICAL INSPECT N . .
FINAL APPROrAL OF CONSTRU 4 ION
OK TO ISSUEC/O OR C/C
A SIGNED CERTIFICATE OF OCC PANCY MUST BE
OBTAINED FROM THE BUILDING i PARTMENT BEFORE
THESE PREM2$ES ARE OCCUPIED!
REMARKS: 61
- 5?-3,z
ialee aim Øc2 l- <Do_
ARRIVE ; i0
DEPART
INSPECTOR
Jown of Queenatur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME
LOCATION 6 `61,��
Date / �'/ Permit No. }f
* * * * * * * * * * * * * * * * * * * * * * *
✓ = 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
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney r'!Y' k
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
it ing Inspector
6/86 and-vl
4)h'7
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT /� ��07 �p
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /44"-
NAME 7 Ah _5 -2'AV/7ef2
LOCATION C/G.e/e a4
DATE ` a ' PERMIT # -6V5-
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
'FRAMING
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
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
INSPECTOR
_town of Queenskur/
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING ` INSPECTOR' S REPORT
NAME ,S-
LOCATION 5/ ,e 4
Date c - / Permit No. 1S 1f —Ce_
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES /„-NO
Footing/Pier Forms A-,2Z- C/-
Foundation
Waterproofing
Backfill
Framing
Roof' g
Siding
Masonry eneer
Rough Pl ing
Relief Val s
Ext. Porches
Finished Floor's
Interior Trim
Stairs & Railings�`-
Cellar. Drain Tile
Concrete Floors
Plbg. Fixtures ?
Gar. Fireproofing I
Door Closers
Smoke Detectors
Chimney ;
i{
INSULATION: I
Foundation t
Floors I
Walls
Ceiling
FINAL ELECTRICAL [INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
r
Bui i `ors ector
6/86 and-vl L