88-091 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
lk Sept. 8th 88
Date 19
This is to certify that work requested to be done as shown by Permit No. 83-91
has been completed.
This structure may be occupied as a One Faiailv Dwellinfz
Location Lot 88 Hidden Hills (St. No. 47)
A & Z Dr.ywall Devellopinent Inc.
Owner
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
k BUILDING PERMIT
TOWN OF QUEENSBURY No 88-91 b
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0
WARREN COUNTY, NEW YORK '
PERMISSION is hereby granted to A & Z Drywall Development Inc. w
I
Lot 88 Hidden Hills (St. No. 47)
OWNER of property located at Street,Road or Ave.
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 RR2 Box 528
Granville, N.Y. 12832 a
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2. CONTRACTOR or BUI LDER'S Name d
n
Same
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3. CONTRACTOR or BUILDER'S Address
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Same m
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
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(x)Wood Frame ( ) Masonry ( )Steel ( ) rt
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In 00
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7. PLANS and Specifications W
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No o a 34' x 64' as per plot plan, specifications and application including •
septic systemand attached two car garage. �j
8. Proposed Use .� F'•
One Family Dwelling
5.00 C/O
115.GO October 1 88 0
'$ PERMIT FEE PAID—THIS PERMIT EXPIRES 19 m
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the hi
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 24th Day of March 19 88
ty
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SIGNED BY 7 f /L��C%!Ci z for the Town of Queensbury
Building and Zoning Inspector f�
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BE..._COMPLETED;BF BLDG. . DEPTl.. ,
/ ,� �_y/
Own vp taeeie lf�ttr�g Application No. .u_ y
Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit 'Expires . 19 MAR 23.188
Bay and Haviland Road, R.D.. 1 Box 98 '._Zoning: Designation
Queensbury, New York 12801 :Variance„No. BUILDING 4cy CODE DEFT.:'
;Site_<P nn, R view 'o. . .
- : ; _- _.
t I� �� . . APP o Q ��v
APPLICATION FOR \f d-10 /
FU I LD I NG AND 7.ON I NG PERMIT ;
A PERMIT MUST -BE;.OBTAINED BEFORE BEGINNI.NG. 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: (< , !( U
P.O. Address / ffA�1� .10T 2 �/C�J� Tel.4g '� C_ .
Property Location C/: �G �50� - � ) lam" //5 lVd - V�/) Tax Map Nb.
Street number .or building lot number( _
Subdivision- name if applicable) . ^ ......r. )6 ' ik
THE PERSON RESPONSIBLEFOR SUPERVISION,,OF.;WORK,AS REGARDS.BUILDING CODES IS:
Name P..O. Address " Tel. No.,
Name of builder Af r ; I� Tel.
na �I�d'��x�r�- "Address .. �t� Z�X ��� si•c:�,�y, s_',�'f
Name of.plumber c I 1�,o. Address � _s'� Psi,a�,� �(s " Tel. /o UZ-/k3 S'
Name of mason �,� �� �5 Address -7P+ , _q q IYl i�l • ✓)/lc )�I Tel. (� �2-
NATURE OF PROPOSED IRK: ZONING INFORMATION:
Construction of a new building = . ,A PLOT. PLAN 14UST BE PREPARED AND SUBMITTED,
_Addition-to" a-=building- '� drawn"reasonably to scale and attached hereto; Z .
_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 Jof property ft X / 2 d r ft.
* 'Existing building(s) Size ft X ft..
PROPOSED, BUILDING .AND USE:
�. *'Existing building(s) Use
Size of new structure t X ft
Foundation-pier/slab/crawl/partial full.:: ' * .Proposed building, distance' from "property line "' ,,:..
(circle one) = '* Front" yard 3 S� ft_ Rear yard 0 ft
No. of stories. (habitable space)__, -*. Side" yards Z 3 ft and �" ' 'ft _
Height (grade to ridge) ft..'::,:•
If residential, .no: of .families "" *" If:on' corner, setback from side street,. ' ft':. :: `:
No. of rooms(excluding baths) ' f�� *: OCCUPANCY_ INFORMATION _
No. of bedrooms �j *; :
No. of bathrooms • `�-'PRIMARY "BUILDING -
Primar heatin s stem family dwelling
y" g y � 0, Two family dwelling
Type of. fuel- (y_; * ..: Multiple dwelling / Number of-units
No. "of fireplaces -to be 'installed__=; .. ] ennanent occupancy
Will a wood stove be installed? * P y
-- *:. Transient occupancy
Central .Air conditioning? " "�(' `- Business
BUILDING STYLE, PRIMARY STRUCTURE` *.' Industrial
' Other .
Ranc '' Contemporary "Log cabin:' * -Tf; addiiion, . what will use .be?
Raised ranch ' •Mansion Duplex .;
Split level Old, style' Bungalow ''`
Cape Cod.' Cottage Other ..ACCESSORY BUILDING-
Colonial,, -' Row: -. Town House'.
ouse :'.``. Detached garage/one car/ twc car
( CIRCLE ONE PLEASE,,)' ^ ''* Attached garage/one car/, wo 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
BUILDING PERMIT APPLICATION CONTINUED
BUILDING SPECIFICATIONS:
Type of construction, wood frame, f ire, safe,etc. �)��C�-�((j���t�_—
Will any second-hand or ungraded lumber be 'us'ed? if so, for what?
Foundation wall material' Thickness l�1
Depth of foundation below grade to bottom of footing)
.Will there be a cellar? Heated or unheated? Floor sq. footage sq ft
Will there be a basement? , S Will .any portion be used as living space? N 0
(If so, what por sq.ft. - - Type of use?
Type of roof --(-_slope lat/shed/other " lz Material, of roof T S' G' �- :/f
Size, wood studs � "X(o s acin
�_ � p g ]r,; o.c. length �ft.
Joists(floor beams) 1st. floor m "X ro�" spacing "o.c. span ft.
Joists (floor beams) 2nd. floor "X. " spacing "o.c. span ft. -
Overlays(ceiling beams•)-} "X " spacing "o.c. span ` ? � Jf�.SC�s�•-`
Roof rafters "X spacing o.c. span ft.
Roof trusses(pre-engineered) spacing,? "o.c. span ft.
Exterior wall finish ' ' J ✓ Of what material? v� i ST'
Interior wall finish
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? r S If so will a Fire-rated
door, enclosure, and self-closing device •be.provided? 7 e; ,e,
Will a flue-lined chimney be installed? ' Height above roof ft.
Depth of bhimney' foundation below grade N ft.
Depth of fireplace earth t. in.'"
Water supply- - unicipal,' 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 A- F F :I. _D . A V I T STATE OF NEW YORK
ry
County off Warren 4darren
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 donelon the described premises and that all
provisi ns of .the BUS LDING CODE, . MiE, ZONING ORDINANCE, and all other laws pertaining to
the propsed work s all be complied with, whether specified or not, and that such work is
authorize ; by the otner.
SWORN TO BEFORE Ml� THIS Signature_
r Owner, owner's agent,arcnir-ect,contractor
day of 19
Notary Publicf Warren County, N.Y.
SPECIAL CO ITIONS OF THE PERMIT:
1 ,
Y---------------------------------------
�f � I G 1.� 5'Tr crU/o
(/ 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: I
1. Gross floor area
2 . Type of heat ED ~
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
5. Type of insulation
B . Under 16% Only
1. R value of roof and floors exposed to ambient conditions
2 . R value of exterior walls �5 y
3 . R value of glazed area
4 . R value of doors
5 . R value of floors over unheated spaces �2
6. R value of slab edge insulation - unheated slab �A
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 7 2
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 �5 vlo
2 . Temperature control setting maximum f `t
G. For SwimmingPool Only
Y
1 . Maximum heating
Telephone No 5/ x) 2�
(applicant ' s signature)
APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE
LOCATION OF PROPERTY FOR INSTALLATION LOY gam-
Owner's Namei . b—7 K �
_ yw /l /) i� ,�,�ph7`4,fTelephone:G5 / F�) �ly21 SJ
Address: �j Z /3� ,�1 /4) y
Installer's Name: f' -rrj,;��,/ );/1,2lT Telephone:
JL17 l%', r�1v 7
Number of bedrooms (residential only) _
Total daily flow (compute @ 150 gal per bedroom) C�
Topography: circle one: Flat
Steep.Slope % of slope
Soil Nature: circle one:- Sad Loam Clay .Other / Depth: feet
Ground Water: At what depth? feet
Bedrock or Impervious Material: At what depth? _ feet
percolation test: circle one: not required . required / rate min. inch.
Domestic water supply: circle one: =unicipa )N eil Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption _ feet
PROPOSED SYSTEM: Septic Tank J 0CDC) gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench � feet / Total system length %.�� feet
��SEEPAGE'PIT(S): Number of / Size each feet by feet
C� Si' ze of stone to be used # / Depth or Thickness 2 oe feet
IMPORTANT
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
(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 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 $250.00.
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may result
in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installation,
alteration or repair of an approved system, a new proposal must be submitted
-to the Queensbury Building Department before further construction.
1 have read the regulations above and agree to abide by these and all requirements
of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Signature of responsibleperson: �� ''z. %- - r
Date: 'lq `yrJc �
Town of Queensbury
Building and Code Department
' Bay'at Haviland Road
Queensbury, New York 12801
(518) 792-5832
Jown of QueenjLry
elz BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME �_z
LOCATION-11w.,
Date�ay / 8'$_ Permit No.-��—�-1
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES NO
Footing/Pier Forms
XFoundation
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
401NSULATION:
Foundation
Floors
Walls_
Ceiling
FINAL ELECTRICA INSPECTION
I)RIVEWAY APPROVA
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
4w� die
lding Inspector
6/86 and-vl
2 Jown of QueenjLry
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME T lJ t3
LOCATION �� lJ1®ID4V Ali-c.S P12 _
Date Permit No. -
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES NO
kFooting/Pier \orms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railin
Cellar Drain le
Concrete Fl rs
Plbg. Fixt res
Gar. Fir roofing
Door Clo ers
Smoke D tectors
Chimne
INSULA ION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTIO
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
716
uilding Inspector
6/86 and-vl
c
Jown o/ QueenjLry
jc>/ BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12101
BUT
INSPECTOR ` S REPORT
NAME
LOCAT I ON` � /
Date/ _ Permit No. ���
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES NO
Footing/Pier Forms ;
Foundation
Waterproofing
__Backfill
Framing
Roofing
Siding
Masonry Ven er
Rough Plumbi g
Relief Valves
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railing
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofin
Door Closers
Smoke Detector
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELE TRICAL INSPECTION
DRIVEWAY A PROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
U � �
Building Inspector
6/86 and-vl
J Queeni'lury
own of
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME 5�i 91-'21
LOCATION <V
Date $ /_ Permit No.
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES j% NO
--voFooting/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 ELECT CAL INSPECTION
DRIVEWAY APP OVAL
Final Buildin Survey
Next scheduled inspection (call when ready)
Remarks-
Building Inspector
_Down of QueenjLry
ldp BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
L O C A T I ON-op
Date4tc 7Lmit No. '
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterproofing
ZBa fill
raming
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofin
Door Closers
Smoke Detectors
';Ch' y
SULATION: i -
Foundation L ,� L
�r
Floors
Walls
Ceiling
FINAL ELECTRI AL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
1
�Bui ding Inspector
6/86 and-vl
7own of QueenjLry
BUILDING and ZONING DEPARTMENT
ay and Haviland Road, R.D. 1 Box 98
9 Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION A/
Date 187 Permit No. -9
* * * * * * * * * * * * * * * * * * * * * * *
✓ = 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
Ch
!/INSULATION:
Foundation
Floors LL Op
Walls
Ceiling _ V
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- _
Fo
r
Buil g Inspector
6/86 and-vl
Jown of Q keenilury
BUILDING and ZONING DEPARTMENT
/,v,4 Bay and Haviland Road, R.D. 1 Box 98
lUd Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME 4-
LOCAT I ONYl 74
DATE_Z,a/jj PERMIT NO.
SOIL TYPE - C- Loam - Clay -
Percolation Test Required? YES O
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption fVeld, total le
Length of ea h tre
Depth of tr es
Size grave
SEEPAGE P TS4N er of)
Size- ft. ft.
Gravel s ze -ar-
PIPING: Size Type
Bldg. to tank
Tank to dist. box
Dist. box to field it
Openings sealed? S NO Partial
LOCATION/SEPARATI NS:
Foundation to to k ) " ft.
Foundation to a sorption a_ft.
Absorption to 1 t line ft. dd
Separation of its , f
LOCATION OF 5Y TEM ON PROPER Y ircle one)
Front - ear Left side - Ri ht side -
COMMENTS:
SYSTEM USE APPROVED YES NO
Birilding Ins, ctor
01/86 and vl
Jown o f Queenilury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
f�/I Queensbury, New York 12801
;Z/BUILDING INSPECTOR' S REPORT
NAME 1q- 14, � 1
LOCATION QS( 00
Date/ Permit No.
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - S�E1 NO
Footing/Pier Forms PG
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Venee
Rough Plumbin
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fir eproofin
Door Closers
Smoke Detector
Chimney
INSULATION:
Foundation
Floors
Walls
CeiliI
FINALICAL INSPECTION
DRIVEOVALFinalg Survey
Next scheduled inspection (c when ready)
Remarks-
.
;r
\ Building Inspector
and-vl
Jown o/ Queenitury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
(� Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME 2
LOCATION
Date -�� /(r(Y Permit No.
* * * * * * * * * * * * * * * * * * * * * * *
= 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 & Railin 1/
Cellar Drain T' e
Concrete Floor
Plbg. Fixture ✓
Gar. Firepcc fing
Door Closer
Smoke Detec ors f
Chimney
INSULATION:
Foundatio
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-CA11 W�l QIRA� Lc"
Bui ct fding Insp r
6/86 and-vl
Jown of Queenilury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
a
NAME-L � L L
LOCATION •
Dateq / Permit No. �
* * * * * * * * * * * * * * * * * * * * * * *
APPROVED - YES / NO
Footing/Pier Forms
Foundation /
Waterproofing
Backfill
Framing
Roofing i
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 ELECT AL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
4
Building ns ector
6/86 and-vl