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1987-094 I I CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW IfORK February ' . 19 This is to certify that work requested to be done as shown by Permit No. 8 7-94 has been completed. This structure may be occupied as a One -Family i7cae 11n Loocation Gri-f f ing plztce Robert E . Mosber. Owner By Order Town Board TOWN OF QUESNSBvRY Building & Zonling Inspector I BUILDING PERMIT TOWN OF QUEENSBUR.Y No. 87-94 WARREN COUNTY, NEW YORK a PERMISSION is hereby granted to Robert E . Mosher ro rt OWNER of property located at +Griff ing Place 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 a- (D approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1 _ O WNE WS Address is 12 Numan St . Glens Falls , New York rt 2. CONTRACTOR or BUI LOEWS Name to tfi same ~d 3- CONTRACTOR or BUILDER'S Address W same n ro 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction — IPIease indicate by X) S ro n X Wood Frame I ) Masonry ( } steel l ) w* Fj 7. PLANS and Specifications 78 ' x33 ' per plot plan , specifications and application submitted � No. including sewage system and two-car attached garage . rIJ N w 8. Proposed Use ov One-Family Dwelling $5 . oa C/o $ 175 . O17 PERMIT FEE PAID - THIS PERMIT EXPIRES October 1 87 19 (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 30thh Day of March fg 87 SIGNED BY /!1 for the Town of Queensbury Building and Zoning Inspector { ` TO BE COMPLEE� ED BY BLDG . KEPT . Application No . .�. 0W" O/ Q"eejlury Permit Issued 19 T4w[v OF G]UE `sue : . �] I7 y ju BUILDING and ZONING DEPARTMENT Permit Expires 19 i N Bay and Haviiand Road, R . D. 1 Sax 98 Zoning Designation $ F R np7r Queensbury. New York 12801 Variance No. MAR 2 5 198 Site Plan Review No . Appro�yv�ed by . - � BUILDING @c CODE74, pY, APPLICATION FOR f;2 P �. 17 1 r w/rJ O'W 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 : Ri^ 5- a R� 'F,- aslk&ft ■owpow Address 1 ']_ tiT�1A. S'S- �wLEhL A.`.k. �►� • ty1 Tel . 93 �' 4 Property Location : L&' Tax Map No /'1r✓ / 1� / / �- / Stree number or building lot number Subdivision name (if applicable) . ij� fLbA.'fl )h tcxP as THE PERSON R.ESPONSTBLE FOR SUPERVTS ON OF 4JOR1C AS REGARDS BUILDING CODES IS Name P . O . Address Tel , No . Name of builder Address so Tel . 5 Name of plumber 116bo Co p. NOM SNE Address 6.%45f,%Iaw el . .Z.'Ti'� Name o-f mason SARaa�-Q NNN'C bAWA Addressu �,1�•iC s�V R+� R� Tel . 5 2 NATURE OF PROPOSED WORK : ZONING INFORMATION : X.Construction of a new building A PLOT PLAN MOST 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 whether interior or corner lot . :Show location FOR DEMOLITION PERMIT , STATE SIZE AND of water supply and location and configuration LOCATION OF ST CTURES AFFECTED - of septic disposal area . � COMPLETE INFORMA"PIc7N REQUIRED BELOW * Size of property__ [�� ft X ft . Existing buildings } Size �' ft X ft . PROPOSED BUDDING AND USE : CtacL . ll%.A � * Existing buildinq ( s ) Use 1 Size of new structure n+ ft X��ft3 Foundation-pier/slab/crawl/partial/full Proposed building , distance from property line (circle one) � �, Front yard � 7 ft Rear yard 'i} 5 Z ft No . of stories (habitable space) Side yards 1 � ft and 2. Si ft Height (grade to ridge) 3 ft • If on corner , setback from side street ft If residential , now of families No , of rooms ( excluding baths) 1 OCCUPANCY INFORMATION No . of bedrooms 3 PRIMARY BUILDING - No * of bathrooms a 20 _� One family dwelling Primary heating system �lt4k . gL►/b1il"0,;6 Two Family dwelling Type of fuel V40M F -Multiple Multiple dwelling / Number of units No , of fireplaces to be installed p � Permanent occupancy Will a wood stove be installed? 14 D Transient occupancy Central Air conditioning? "+� " _ Business BUILDING STYLE, PRIMARY STRUCTURE * �Industrial �, Other Ranch Contemporary Log cabin If addition , what will use be? Raised ranch Mansion Duplex Split level Old style Bungalow '" Ca Cottage Other * ACCESSORY BUILDING- Detached garage/one car/ � car Colonial Row Town House car Attached garage/one car/�two car ( CIRCLE ONE PLEASE ) � �.__. . _private storage building ESTIMATED MARKET VALUE OF .Other. CONSTRUCTION ��� �' 7 Aftft ;e /g�q� � s � _ � _ � TNFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE QE 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 . Sa% l> FA ArAe Will any second-hand or ungraded lumber be used? If so , for what ? N Qr Foundation wall material F 1bVIIGC C` w Depth of foundation below � {�`�� Thickness rade (to bottom of footing ) 4t-Fi Will there be a cellar? glib Heated or unheated? Floor sq . footage ---4 s - ft Will there be a basement? Kp Will any portion used as living space ? ( If so , what portion? ...� sq , ft . -- - Type of use? ? ^- .— Type of roof - o e flpt/shed/other Material of roof Ct {ksi Size , wood studs_ ?._ *X4 " s acin r*►L ' p 'I 16 '"o . c , length �_ ft_ Joists ( floor beams ) lst . floor 'C " q, „ Joists (floor beams) 2nd . floor „X—'� spacing 16 " o . c . $pan 9 ft . 0W (,&% 1i '�`1LA35,f 1 Overlays (ceiling beams ) „X X spacing o . c . span ft . / Roof rafters spacing o . c * span ft , ^ -"X _ _" spacing ' co span- �_ft . CTO# C1409kbS ftF TAU5R45� Roof trusses (pre-engineered) spacing ( (,, "Oft c . span $ r ft . Exterior wall finish 14010L%?. , S4b{ U%_ _Of what material :?- + j4 �}-" CL O . GEb ASg Interior wall Finish— �' ��b 9 %44rc <T " C Vr If a ga r ge is to be at ached , desc 1be materials to be used for IRE SEPARATION : •�+F+�R�E � CE r 1,11r1 +�Is there to be an opening between garage and dwellin - " -- g ' ` : 5 f o will a Fire-rated door , enclosure , and self- closing device be provided? a 3 Will a flue-lined chimney be installed? Height above roof— 4 . • MOT cL.p� Cfo "L E £t Depth of chimney foundation below grade ft . Q4 b(,K Depth of fireplac th I ft , + in ®'a•-- �R F Mb• M�T#.1,. V M� . Water supply - unicipal or private well SEPTIC SYSTEM. _ Dis ance from ANY ,private well ( including adjoining properties H' � ft _(A separate application is necessary for any repair or new insta3lation of septic system) Town of Queensbury F� 1 Y► County of Warren A E C T F I D A 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 . 4.,..- SWORN TO BEFORE ME THIS Signature i..�'z Az� 'e/ Owner owner ' s agent , arcnYrect , contractor - day of 39 Notary Public , Warren County, N . Y . SPECIAL CONDITIONS OF THE PERMIT : By---`-- '� ---- -- --------------- r TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NV, STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning wo, ANSWER ALL of the following : 1 . Gross floor area '� ST0A "Y O Sey (LIVWaLEIkta<b .X" 2 . Type of heat KJW - <; kS rwlP* rr. A. ' �3Q1�►i�.G.E , bUL�E ] _ 3 . Is the building mechanically cooled ? S" S AC PA tK ke'r, —_ 4 . Percentage of area of windows and doors } if .07 J t Over 16 % Only Uo value of gross area of walls , roof/ ceiling and floors osed to ambient conditions 2 . Floor over ted spaces YES NO a . Are foundat walla insulated ? YES _ .► NO 1 . If YES , wha is the R value ? .•►� 30% Slab on grade YES N a . If YES , what is the of insulation around perimeter of fl 4 . Is basem eated ? YES NO aw alue of Insulation Type of insulation B . Under 16 % only 1 . R valu of roof a floors exposed to ambient conditions _ _RReoF �Al� IC >.00Q - �,efr[ �.Iw4,+i't ',9 = • ' 2 . R value of exterior walls A= 20MI rl 3 . R value of glazed area 13ft T 4 . R value of doors�rc... lb �+ � 1T • j 5 . R value of floors over unheated spaces l 6 . R value of slab edge insulation we unheated �sylab 7 . R value of slab insulation - heated slab R. - S . R value of heated basement/ cellar walls ( above grades ) A 9 . R value of heated basement/ cellar walls ( below grade ) 1L /s 100 Type of insulation A14%IV I%AF^ti S "s a0Rfty tb - T*kP&%:t 1%*.a fol►�og )a- WALA4 C . Controls 1 . Thermostat maximum heat setting $ r.1' a � - D . Duct_ Systems 1 . Is duct system installed in unheated spaces ? YES NO AV if YES , R value of duct installatlon la A6 --.�, �,.��_ -,., .., , b . R value of duct in other areas ' }1 p E . Piping Insulation f 1 . Size of hot water or cooling carrying agent pipe / 2 . R value of pipe insulation 141 - F . Service Water Water Heating 1 . Performance efficiency p4.R rn16WFaSp4C3 K1 ►�► rCfYiGl+filluC"� WIiJ1�PPED 2 - Temperature control setting maximum I � , G . For Swimming Only 1 . Maximum heating iA Telephonb NoZa� C_ . / 0 ( applicant ' s signature ) APPLICATION FOR SEPTIC DISPOSAL PERMIT BUILDING anal ZONING DEPAitTMENT Say and Haviland Road, R.D. 1 Box 98 I Queensbury. New York 12801 DATE J / 2-q IP7 LOCATION OF PROPERTY FOR INSTALLATION _ '! oT .1 f � � � . � � ���� 1l��GRIFFIwc, PL, OWNER ' S NAME P. - � KC.'aeV.7 � . � 405 ' kZPP ADDRESS I 2 ► ,. N '�- -• + [wt.EF1i5 l�.Ltw-3 �1 `1' • 1 �01 TII 93— 1 (b32 INSTALLER ' S NAME sit 1.)p9T9Q TEL. Number of bedrooms ( residential only ) Total daily f low ( compute @ 150 gal per bedroom) 50 C"ft AbLa a Topography : Flat - Rolling - Steep slope - ( circle one ) % of slope Soil nature : Sand - Loam - Clay - Other Depth 'U1NKK%+*N ft . Ground water -At what depth ? H 046 ft . Bed-rack or impervious material - At what depth? M A ft . Percolation test Not required - �Re uzr�e~d� -Rate S %X1►,CHf.b rein- inch . Domestic water supply Municipal - Well - other Separation - Watersupply ( if well ) from Septic absorption ft . Proposed System : Septic tank 10+esa gal . ( Xinimun size , 1000 gal . ) c. wCs a �: ` C> ru `? Tile Field - Each trench grft . Total system legnth ft . Seepage pit ( s ) Number of Size each ft X ft Size o . stone to be used r Depth or thickness 5Tb - ft , 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 . strea-m , pond or wet - lands ,' Inv I de all dimensions of the system , itself . � svm SIkT- .L OF GLD4 . P3�. A14 .l hcvc 1' caa` t lic Y' c ;.,[ L. � � '+. +�' 7i .c 0 -n 'f i^ e`- 21C T` .c' E 2GI�: Of th2. £ r1 G'� 4 CY (�e: QGY^ 6 to abide by there and a7Z rcauirements of The Town of Queensbury Sanitary Sewage llisk osaZ G� �cre . All .SiC7rGtzAre of rE5 C7Yfii lZo_ pereo1� �'� UfJt�fi 7 l� "• � " � x 05/ 86 and / vl a i Section II Septic Systarn Inspections : Ae All appliaationd for septic.+ system installation , alteration or repair , as required by the Town of Oue+ensbury Sanitary Sewage Ordinance , shall be submitted to the Buildina Department at lea" 24 hours 1, efore start of construction and shall_ include a plot plan showings 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 Be 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 theoinstaller and a fine of up to $ 250 . 00 . Ce An approved copy of the pleat 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 Buildina Departinent before further construction , r f r I , ------------------- 27S•0' TG' 4,45T a �xs .�tCHa,E•.C. i � .c.�.ees� © cO/L/o oz ! vF ca�vE/+r 1h /G, 87 .2 . 3G SQ.IFT Q •�! 7r cr j 2. 94 ' `=ee�i fa�ai.� .s i¢ ,o J✓- s9.39-57 ; W L�E.EL7 .E'.EF�'.eFNC�• - • 7',E,f'T ,Ba,e1N'G .�'�.SuxT.f'• � M,4�' ,�'�"F�".�EtVC.E OR d =* " - Tt7� sC+rt .?r!'A.+a Of �'.4`,2T DF L.AtVVS G+F 4 "m ,3b"- .ems©r/AcWWAI F/NCH uYr S/ .SA G �.t , /,s�'c. . aozC .2T je% r oslxz-oe sAAID. a474'0 J[1NF /S,, 197/ t1/ATAL/ ,J rVlas.�.�',e AFRCOZA77aAl R 47-9" .Haag ACUI C'c�u� 7,Fe � !lam W.CMO.4C.r pT17. .5 ,/ JG ,/f3►8G G8/�4 To IS / 1AACIV IAI 4.6- �feC . r # V t A � �f'Cl,eY�'Y cy .�fifAf� ay- MA L A.A40 S d� CC]LI LTEQ. g:� cC. C7.QMA G K /Q © i3 J=. ,e T I eaSr4�rE , s iC .v.s•� n I-ION0 sueve.vF"S ,SC„yy,�"•' / "� 5•G►� .�i`.ECT/O.N'•' !!.� .B.G c+ GK� ! L c7T � /• f •i'E-�'1.�.�f¢F,� 4,, r'.Fc3G . . VVOVA rA I0IV" 01 Queen3bury BUILDING and ZONING DEPARTMENT 45401 Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' SS, yREPORT NAME LOCATION Date Permit No . APPROVED* -xYES* xNO 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 ELECT CAL INSPECTION DRIVEWAY APPROVA�� ,p t al Building Survey Next scheduled insp etion�(/calyl�when ready ? (Remarks- l Building Insp ctor 6/86 and-vl _70Wn Uj Queen3fl " ry BUILDING and ZONING [?EPARTMENT Bay and Haviland Road, R- D. 1 Box 98 Queensbury, New York 12801 BUILDING INS:) P CTOR ' 5 REPORT NAME C . A LOCATION Date Z / permit No . --- T APPROVED - YES NO Footing/Pier Forms Foundation waterproofing Backfill Framing -� Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches l/ Finished Floors Interior Trim Stairs & 'Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing +� Door Closers Smoke Detectors fr' Chimney INSULATION : Foundation Floors Walls_ a.1 ing TRIC INSPECTION DRIVEWAY APPROV L r p Final Building urvey Next scheduled inspection ( call when ready )/ Remarrkss-`�' f r r Ar jo�r C (0 e�rtl ^ Building Inspector 6/66 and-v L 4000532 THE NEW YORK BOARD. OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY to 41 STATE STREET. ALBANY, NEW YORK 12207 Date Deceraber 29 , 1988 Application ,Vo. on file 028831 /87 THIS CERTIFIES THAT A 7 3 f; ,5 7 6 only the electrical equipment as +described below and intradsAc"d by the appliedme named am the above eppllcation number in the prensisee ctr Robert Mosher 5 Criffing Place Glens FAlls , New York in. the following location; garage ❑ Basement 0 lot f7. � Snd Fl. Section Block Lot was exornined on 12,13,88 andfaund to be in compliance with the requirements of this Board. FIXTURE ECIF?ACU:S SWITC7tES HI FIXTURES G pUTLET6 RANI CCAMT. i6 DECKS OVENS blSf1 MtASf1ER5 EXHAUST FANS CANDESCtNT Pu,IGNaesCtrar AMr, K. W. AMT. K. w. AMT. 58 5759 50 S 1 r DRYERS FURNACE MOTORS FUTURE AFlUANCE FlIll SFECIAL REt'!T TIME CROCKS dELI UNIT t#ATEIf tM'USTi-OVTLET p pERS AMT. K. W- QiL M. P. GAS H. P. AMT W, AMT. AM►. AMT. AMPS. TRANS. AMT. N. P. SYSTEMS 1 Pr NCI. aF FEET wMr weirs SrD /3 2r3 SERVICE DISCONNECT No, CIF S E R V I AMT, AMP, METE! C E K` ltriJlF. I .e' 2w 1 X 9'av s/r 9W 3„e aw Ua0- PPR�CCMaO, ar CC COGNIn. PaL1. OP II*-UEG of"MIL G NrS. oP NEUTRAIS w. w. G. 1 200 anal 1 x O of NEUTRAL OTHER AFFARATUS: Motors. : ima/c 2 . S ton , 1--&/c 1 . 5 ton 2--smoke detectors D:Lsposal : 1 -�fr Sam W . Corhouse 11 a Patter Rd . y GaTxa+evoort , i+iq 1283 x BRANCH MANAGER Par This certificate must not be altered in any manner; return to the office of The Board if incorrect. Inspectors may be identified by their credentials. _— �_ COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. _/C7�urI� t)� �4t�c�R3 +6�Efre�r BUILDING and ZONING DEPARTMENT Say and Haviland Road, R- D, 1 Box 98 Queensbury, New York 12801 SEPTICy�!DISPOSA SYSTEM INSPECTION NAME LOCAT I OBI DATE / PERMIT" NO. 11- gq SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES NO Percolation rate - Min/Inch TYPE of SYST Absorption fie . d , total le th Length of each trench Depth of trenc s Size of gravel_ Z� SEEPAGE PITS4N er of Size- ft. X _ f Gravel size PIPING : Size Type Bldg . to tank Tank to list , box �y Dist. box to fie Openings sealed? ES O Partial LOCATION/SEPA IONS : Foundation to ank ft. Foundation to absorption ft . Absorption to lot line ft. Separation o pits ft , ON OF YSTEM ON PROPERT (circle one) ENTS : Rear - Left side - Rig side - SYSTEM USE APPROVED Y Building nspector � �,-� �� � �,� � ,►v�fry,- �, 01/86 and vl keel , awn of Queenjt " r 1/ l v BUILDING and ZONING DEPARTMENT q Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT 2 / NAME � '�� LOCATION / Dale-_ / / Perinit No ✓ = APPROVED - YES NO: Footing/Pier Forms 1Z Foundation ' Waterproofing Back£ill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . porches Finished Floors Interior Trim Stairs & Railing's Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar _ Fireproofing Door Closers Smoke Detectors Chimney toe�N SULATI ON : Foundation Floors Walls Ceiling F'INAI, EI,ECTRI AL INSPECTION DRIVEWAY APPR VAL Final Building Survey. Next scheduled inspection ( call when ready ) Remarks- Building Inspector 6/86 and-vl BUILDING and ZONING DEPARTMENT Bay and Haweland Road, R- 0, 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME 4�9 rr LOCATION DateZ Permit No . ` Lj r = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Vene LAk6ugh Plumbin - Relief Valves Ext . porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile _ Concrete Floors Plb9 - Fixtures _ Gar . Fireproof! Door Closers Smoke ,Detector Chimney INSULATION Foundation Floors Walls Ceiling FINAL ELEC RICAL INSPECTION DRIVEWAY A PROVAL Final Buil ing Survey Next scheduled inspection ( call when ready ) Remarks - Building i Inspector 6/86 and-vl -5701", n/ Qeteerr .sbury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. Q. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCATION DATE Cry f PERMIT NO. S::� ) —C? SOIL TYPE - Sand - Loam - Clay - Percolation Test Required-> YES - NO Percolation rate - Min/Inch TYPE of SYSTEM ; Absorption field , total length Length of each trench Depth of trenches Size of gravel_ SEEPAGE PITS#Number of) Size- ft. x _ ft. Gravel size PIPING ; Size Type Bldg . to tank AV a �PfIG -,.7- ; Tank to list _ box List . box to field/pit Openings sealed? YES NO Partial LOCATION/SEPARATIONS : Foundation to tank. ft Qfe-, - Foundation to absorption. ft , Absorption to lot line ft. Separation of pits ft. LOCATION OF SYSTEM OS1 PROPERTY (circle one) Front - Rear - Left side - Right side - COMMENTS : C -V( t SYSTEM USE APPROVED YES Buil ng Inspector 01/86 and vl �oetfn v� '�ueen� 6ure�r BUILDING and Z0NING DEPARTMENT Bay and Nawiland Road, R. D. 1 Box 98 Queensbury. New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION /c' �, Date lCl Permit No , ✓ =Footing/Pier m APPROVED Fors - YES NO Foundation waterproofing Backfill gaming Roofing Siding MasonrY Veneer ARough Plumbing Relief Valves Ext . Porches Finished Floors Interior 'Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofin Door Closers Smoke Detector Chimney INSULATION Foundation Floors Walls Ceiling FINAL ELECT CAT, INSPECTION DRIVEWAY AP RO'VAL Finial Build ng Survey Next scheduled inspection (call when ready) Remarks- �14A4-1.,V(p /4142orr+0 p IS (.ct&tlf� POMS—, �p A+ S '�&z CrTGu.1 I S A40 7" Bui ding Inspec r 6/86 and-vl 110,r0 I'vuR / a�/ �ueen ,�6ttre� BUILDING and ZONING DEPARTMENT f� +/ Bay and Haviland Road, R.D. 1 Box 98 ![ Qu+eensbury, New 'York 12801 � BUILDIN+G INSPECTOR * S REPO RT NAME LOCATION Date /G y f ' Permit No . - Footing/Pier Farms APPROVED S NO Foundation Waterproofing Sackf i.l l (,.Framing Roofing Siding Masonry Veneer L.;ugh Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofi Door Closers Smoke Detecto Chimney INSULATION : Foundation Floors Walls Ceiling FINAL EL CTRICAL INSPECTION DRIVEWAY APPROVAL Final Bu lding Survey Next schedulleddInspectivn ( call when ready ) Iternar s-tD Building Inspec 6/86 and-vl �vwri a� �ueer� s6ure� UPLOING and ZONING DEPARTMENT Jy ay and Havil and Road, P. D. 1 Sox 98 ' J Queensbury. New York 12801 BUILDING INSPECTOR " S REPORT T ON 4714 D e / Permit No . _ �C = - _F_oo��tin APPROVED YES g/Pier Foams NO -3'Goundation Waterproofing Backfill Framing Roof ing Siding masonry Veneer Rough Plumbing Relief Valves Exto Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain rile Concrete Floors Plbg - Fixtures Gar - Fireproofing Door Closers Smoke Detectors Chimney �1Vundat ION Foundation aors Walls Ceiling -- FINAL ELEC ,'TRICAL INSPECTION DRIVEWAY APPROVA Final Building Survey Next scheduled inspection (call when ready} Rema rks- d ng Inspector 6/86 and-vl 0/ ueens6urt� i + BUILDING and ZONING DEPARTMENT Say and Haviland Road, R. D. 1 Box 98 OUeensbury. New York 12801 BUILDING INSPECTOR ' S REPORT hIAME F:�< LOCATION Date / / Permit Nc) , X: ✓ = * * � Footing/pier Forms APPROVED - YES N4 Foundation Waterproofing BackfiII Framing Roofing Siding onry Veneer ugh 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 INSPECTIou DRIVEWAY APPROV Final Building Survey Next scheduled inspection (call- when ready) Remarks- and-vl Building Inspector 6/86 .Down o� '4k''u"+'Q+►�s�,ur� BUILDING and ZONING DEPARTMENT Day and Haviland Road. R.D. 1 Box 98 OUeensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME ,r LOCATION Date Perin No . Footin Forms APPROVED g/Pier Fo NO Foundation Waterproofing Backfill Framirxg Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Pl' bg . Fixtures Gar _ Fireproofing Door Closers Sm©ke Detectors Chimney INSULATION : Foundation Floors Walls Ce it in+g FINAL ELECTRICAL INSPECTION DRIVEWAY APPROV Final Building Survey Next scizeduled inspection {call when ready Remarks- x ,Ole 67 if 6186 and-vl Building Inspector -� BUILDING,D�kPT. COPY OF APPLICATION FORM 4+6aEL, NEW YORK BOARD OF FIRE UNDERWRITER'S, FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED. TEMP. # DATE _ I CITY ORG �, IJ E N5 VILLAGE TOWNSHIP COUNTY STREET AND NO. OR +� ROAD AND POLE NO. L.GF +1G,r ,. G POLE N BETWEEN WHAT TWO - y i N lb CROSS STREETSIS i • '1� �'V ikvig „�r �+ �+!' '� 5 BLOCK t.OT f # PREMISE$ LOCH T$Di' iY f1 1 T1 TfG. .l i __- gE�TICSN NAME NTS A y ,,.,�` �+ BUILDING !+ . � �F*�f . "Ci�, �.1'�t .F . rS KE R OCCUPANCY OWNER'S NAME aND ADDRESS I►1rfE I V Ml.N Sz-� G EN 5 A 1.t_4t .� rEL. # " _ to 3 SUPPLIED ' BY t ", FROM THEIR l _ L� Id. �.,.�,. S OFFICE BUILDINGS WORK DEFECTS IS �NEWU OLD ❑ IS NEW >a ADDITIONAL ❑ REMOVED LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUNIpERC7 " . " LETS No. of Flxturaa & BRANCH Leer F4!?T Lam. Racaptaeldo MOTORS HEATERS CIRCUITS OFFICE USE Non ONLY Ceillnp "1 N # Sviieph Paaidant Bradeat No. Type H.P. Na. Wif4 Na A W.G. Each Each fiatpa INSPECTION ,Out, eMe - Bub- h Rafe Bye YOMt let 2nd Ft. k. ` 8rd F1. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: - DO NOT USE THIS SPACE. This applis:ation is intended to cover the abpve-lisled aquipsnent to be insprctW tart If at. times of I rupection there is found additignal equipment not above listed, YOU are aotlsxi=ad to make the inspaetion and adjust the fee to covet the additional equipment, as pnovidad by the applicant. MAINS F JD T R[C SIGN TOTA L FEEOERSLAMPS WATTS CHARACTER ETUBE SIGN OF WORK CTRANSFORMERS OF VA WORK TO BE BERI ;CAPACITYI STARTED COMPLETEDOF SIGNSERVICE OVERHEAD UNDERG OUNBEN`E�S �,} CSIGN INSPECTION REQUESTED ON OR AS NEAR AS �1 POSSIBLE NEW OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES E OF MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. DATE N PRINT NAME AND ADDRESSLIC� ,ram, APP L CANT [� R "• A fy '� �, "+.{+�}f"� �, ' SIGNATURE / ■R�a [''+� OF APPLICANT , L�� •� STREET ADDRESS "' ' ■ 40k,VA' 'J f. '���J•�'�s ��'Y. i„t,�,7� ►'sI�. TELEPHONE # � +r �. � � 6 302� CITY OR �—„� LAN '�� � .`+M ZIP 12 � d LICENSE NO. ST dFFICE 11 1"� t CODE WHEN APPLICABLE _C (REV. 1/66) A SEPARATE APPLICAtION MAST BE FILED FOR EACH SEPARATE BUILDING 1 tit M Rid 1 - i j i y v J Q+a,►Z. 91, -Raw • v i r+1%.`• _ r swsn Ni 't M �IsSU R� D MOM WW • F. = F1NIS14 4� � E4EY*T1oN5 SNovttA ?0 1t�tC1.UD�.. �, o.. -TaP art.. 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