1987-149 1
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Late October 3 Iq $
( - - qa
I
This is to certify that work requested to be done as shown by Permit No. 87-149
I
F
has been completed.
This structure may be occupied as a One--Fauiil.y Dwelling
Lot 47 Queens L"-ne ( St . No * 28 )
Location
i
Owner Stuyvesa3it Development Corp .
i
By Order Town Board
TOWN OF QUEENSBURY
Building 6 Zoning Inspector
1
f
• BUILDING PERMIT
TOWN OF QUEENSBURY
No. 87-149
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Stuyvesant Development Corp . ..
OWNER of property located at Lot 47 Queens Lane ( St . No * 28) Street, Road or Ave. ro
One—Family Dwelling
in the Town of Queensbury, w
To Construct or place a
rt
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.
C
ra
1 . OWNER'SAddressis 1237 Central Ave . o
Albany , New York 12205 tD
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2. CONTRACTOR or BUILDER'S Name
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same
3. CONTRACTOR or BUILDER'S Address
same
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4. ARCHITECT'S Name n rr
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N• .C-
O V
".y
A
F_q M
S. ARCHITECT'S Address
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is as
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6_ TYPE of Construction — (Please indicate by X)
En
rA trs
i Xi Wood Frame { ) Masonry 1 i Steel ( 1 rr
rt z
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7. PLANS and Specifications QQ `
28 ' x66 ' per plot plan , specifications and application o%'o
No. including two-car attached garage and sewage system ,
B. Proposed Use
One—Family Dwelling m
to
r•
$5000 CIO c
$ 178o00 PERMIT FEE PAID - THIS PERMIT EXPIRES Nov . 1 1g 87
ilf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbu ry before the axpi ration date_1
I-y
Dated at the Town of Queensbury this 'y133�t h Day of ,q April 19 87 44
SIGNED BY 1 / J - J� for the Town of Queensbury
Building and Zoning inspector
TO HE COMPLETED BY BLDG . DEPT .
/ Application No . L1L.1 l
OwIZ ¢ E�B�►tdhtsN Permit Issued 19 ■� lp1
BUILDING and ZONING DEPARTMENT Permit Expires l9 MAR 2 0 1%
7
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation
Queensbury, New York 12801 variance No. BUILDING a CODE DEPT.
Site P view No _
J ` L f ApP +Ili I � GAG
APPLICATION FOR CIA
BUILDING AND ZONING PERMIT I f Yee
A PE2MTT MUST BL 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 conaltions as may be indicated on the Permit .
The owner of this ,property is : ,j 7" u y ✓ 4� SA u .r ✓ 4ig lL 0 .+" EA 7" ea R
P . O. Address 43 G' jS' Al -7 - , Q, ,oq L �qV4 46A AIy a!� 46 S Tel . �i►s9 - %73
Property Location : '7► "J � L fi .Al 6 � � I�/ � � 'Fax Map No .
Street number or building lot number /-
Subdivision name ( if applicable) VoQ r✓ . er a.r1 C 57- . 9 7" S
THE PERSON RE*spONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS
oh .k- R 'P9 'V .0s -r '3 sI / a3 ? .y r /� �' )qy' .9 $�9ti' Y ,
Name jj�.,� P . O. Address ly Tel . No �7 7 ,3cz
Name of builders7' v y Ur S 9 nrT .DA". Address I4 37 C.,r� Al-r ieR G /Q ✓+E. ,oO Lhmvyrel . 734
wwwwww
Name of plumber -'^ Address Tel .
Name of mason Address Tel
NATURE OF PROPOSED WDRK : * ZONING INFORMATION :
Construction 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
* whether interior or corner lot . Show location
FOR DEMOLITION PERMIT . STATE SIZE AND * of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTED. of septic disposal area .
* COMPLETE INFORMATION REQUIRED BELOW .
* Size of property / '!3� C ft X 7 ft .
* Existing buildings ) SizeN ft X ft .
PROPOSED BUILDING AND USE :
Existing building ( s ) Use
Size of new structure -? S ft X44 ft
Foundation-pier/slab/crawl/partial/full *, Proposed buildings, distance from property line
(circle one ) q
Now of stories (habitable space) 7 bwo * Front yard C� ft Rear yard / I ft
Height (grade to ridge)
.3 wm. ft . " Side yards ft and ya d _ ft
If residentiale no. of families cpPA/' F * If an corner , setback from side street ft
No . of rooms ( excluding baths) " OCCUPANCY INFORMATION
No. of bedrooms F C G/ R * PRIMARY BUILDING -
No . of bathrooms
Primary heating system .oE7'447C 7 'A142 * One family dwelling
Type of fuel A; Z 4='0,'r+2 I L+, * Two family dwelling
+d c��u" F * Multiple dwelling / Number of units
No . Of fireplaces to be Instal3a
Permanent opcUpartcy
Will @1 Wood stove be installed? A
central Air conditioninq? * Transient occupancy Business
BUILDING STYLE, PRIMARY STRUCTURE Industrial
Ranch Contemporary Log cabin * Other '
Raised ranch Mansion Duplex If addition , what will use bed
Split level Old style Bungalow
Cape Cod Cottage Other * ACCESSORY BUILDING-
alonia ROW Town House * Detached garage/one car/ two cage/ car
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car .car
* * * * * * * x * * * * * * Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION ,
INFORMATION ON BUILDING SPECIFICATIONS . ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETEDI
BPA 4/66 md- vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS :
Type of Constructiont wood frame , fire safea etc . ele�)40 oo � Oe RJK Z
Will any second-hand or ungraded lumber be used? If so , for what ?
ri ,,pc�Foundation wall material ''d eowe_ lsLod.. d �s Thickness �+ / a u�'
Depth of foundation below g�rade (to bottom of footing ) _ . rGl EsX r
Will there be a cellar? Va Heated or unheated? Floor sqo footage sq p
Will there be a basement? �, Will any portion be used as living space? �-�-
( If so , what portion? sq. ft . - - Type of use?
Type of roof - sloped/flat/shed/othergA •kr- Material. of roof �- Lk
Sizet wood studs���"'}Cs spacing_ �I ,�C '"o . c . length ft . y
Joists ( floor beams) Is t . floor I#X " j
/ G spacing / "a . c . spar/.3 f t .
Joists ( floor beams) Ind . floor p * spacing "o . c . spanj3ft .
Overlays (ceilin beams ) /1f "".Xi " ,spacing "o . c . span ft.
Roof rafters t
Roof trusses (Pre-engineered) spacing As o . c . span. ft . '
Exterior wall finish -.�iCs ,�1 � Of what material?
Interior wall' finish 5 d! 21 4!!�- 4&� 7- ca Gz- c
If a garage is to be attached, describe materials to be used for FIRE SEPARATION : r
Is there to be an opening between garage and dwelling? If so will a Fire-rated
door , enclosure , and self-closing device be provided? X AO!F S
Will a flue-linbd chimney be installed? 4.s Height above roof ft .
Depth of chimney foundation below grade,v ft . . " --
Depth of fireplace hearth / ft . ..-in ,
Water supply - Municipal or private well c/ A*�
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
Warren
County off Warren
swear that to the best of my knowledge and belief the statements contained
In this application , together with the plans and specifications submitted , area 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 witho whether specified or not , and that such work is
authorized by the owner .
SWORN TO BEFORE ME THIS Signature
day of 19 owner ' s agent , arena.rect, contractor
Notary Public , Warren County , N . Y .
,► sr ae * it * et : sr sr * : t * dr * * sr ie fr * * t rr � * * +r * * * * � � * * * * * dr it rt
SPECIAL CONDITIONS OF THE PERMIT :
By
1
TOWN Ov QUEENSBURY
WARRZ;w C6UNTY , NEW YORK
Application for : BUILDIXG IyERM ? T 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 -------- _0�? 3 6 j 6$ Q Ip�-4-
2 . Type of heat 4�' Q- 7" s210
3 . Is the building mechanically cooled ? h/es
4 . Percentage of area of windows and doors lq p P1p; G 5C 26:
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 floorr ?
4 , Is basement heated ? YES CiD
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 '1 - f y'
3 . R value of glazed area 1f - ICJ
4 . R value of doors
Be R value of floors over unheated spaces -
6 . R value of slab edge insulation - unheated slab
7 . R value of slab insulation - heated slab
B . R value of heated basement/cellar walls ( above grade ) t�2 - //
9 . R value of heated basement /cellar walls ( below grade/
10 . Type of insulation Jt'
C . Controls d
1 . Thermostat maximum heat setting ' -
D . _Duct Systems
10 Is duct system installed in unheated spaces ? YES NO
a . If YE5 , R values of duct installation �✓�/,+��
b . R v41U $ Of duct in Other arvai1 ��--
E . Piping Insulation
1 . Size of hot water or cooling carrying agent pipe
2 . R value of pipe insulation
F . Service Water Heating
ImpPerformance efficiency
2 . Temperature control setting maximum
G . For Swimming Pool Only
1 . Maximum heating
Telephone iNo . ` `�- "+ 3 ,+ A "
( plicant ' s signature )
.`J�•a. • o Fp � +� • ► APPLI CAT ION • FOR SEPTIC DISPOSAL PERM I T
#V1i V1NG and ZC► VWM CW VARTMEWT
Bay or+c HavilanCS Road. R D. 1 'Box 98
Ouee^esbury, Sklar► York 12801 PATE 1. .
LOCA1 ] CAN OF PROPERTY FOR 1NSW- LLATION '�t � � �/ � � N` 5 ZA9 N �
OWNEW S NAME 6 r7- U Y v� SAoVr P
ADDRESS / 3 ,�.e ivr,eAL � U .6 /"7 1 A Al
INSTALLERtS NAME ?i9aJ Vr A L tJ $ /YA TELWS+�~ � /S �
Number of bedrooms ( residential only)
46
Total daily flow ( compute @ 150 gal per bedroom) G , .0
Topograg)ay : Flat - Rolling - steep slope - (circle one) % of slope
Scil r►ature0 5ar�d Loam - Clay - Other DeP ft .
Ground water -At what depth' A1 A ft.
Red-rock or impervious material - At what depth' '�� � ft-
o
Percolation test oo<Ncot r'equire�- Required - -Rate nlnr inch.
Domestic water supply unicipal - Well - Other
Separation - Watersupply ( if well ) from Septic absorption'► ft .
"proposed System : septigc tank /.07 gal * ( 'Hinimun size . 1000 gal . )
60 ; t . Total systewl 1eor
ar. th gzg7 Sly ft .
See, ace pit ( s ) Nun-Lber of size each ft X ft
Fi � ,e of stone to be -L; sed # 2. Depth or thickness 2 ft .
IMPORTANT ! !
on a separate piece of paper , submit a diagram of the proposed system
with all d mentions shown ; including distance from any structure *
distance from ,property lines and from ANY DoY.EsTic wATER suPP'jy or
shore - line of lake . streamopond or vet-lands .' Include all dimensions of
r
the systerl , itself .
r: r %. e r. EreE : . G6 t.f . f : S £ 3; KC C
t0 c ?- i C-7 1 v -1 tdt F c cy d G ? I recuirer:cntt cf 77rc Tvvn 01f Crrecnatury
Ordi r, ance . .� Vat:--4 ' ,c.1 .EA/!
✓'
CZnr, Gt :. rr Or rrF nr, t '_ f. ZF � + rr� ar: /9
go �
05/ ee pd /vl
Section ? I septic Systr+.tr� rrss
A ' alteration
ratiicat re fear septic" system installatj,, ,
& hens ury a repair, as reauired by the Torn of
Gueensbury Sanitary Sewage Ordinance, shall be
4. fitted to the Hufidina Department it least
Z4, hours oefore start Or construction and shall
include A plot plan showing►:
1 ) they proposed location of the system
1' 3 1Qcatio�a and distance to lot linens
3 ) location and distances to structures
4 ) location and distance to any Water supply
5 ) size and dimensions of all i
tile he fields and/or d tanks , distribution
ryrwslis
a . T:a system shall be covered before r
approval by the Building in pectarin Failure to
did
comply Off with this requirement m reemu in then
uncovering of the stystem by the .installer and a
fine up up to 5251� . GQ. - '
C • An approved copy of the plot plan shall two
avai "abbe ore the construction si ter. Failure
to produce said plot plan at tirue of ]PAIlecticirx
may result in are ix�med.iate work ,et�, f Ins`
a - Should unforeseen _
Prevent proper irsstallat3oti,lual teratfan e�rtion
repair of an approved system , a new proposal
trust be 's bmitt6d to the Oueensbury Buildinv
GePart'r, ent before furtt, er construction .
r 'r
r
urn s
Date
1 s ector
r
+ x above T constitut s certification that tyre
meat itself.installation . b equip
+ s been visuallyt ins e p
as of this date pected
able codes, if pursuant to iflonal the applic-
should be infrodudced or equipment
made to the existing System alterations
t e s application for insection should
z be submitted
' .� Z promptly to this Agency.
. Ioavr+ of Que¢rrsbury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road. R.D. 1 BOX 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
1
NAME
LOCATION
-3C7 / permit No . c� Lk
Bate
APPROVED - YES 130
Footing/pier Forms
Foundation
waterproofing
sackfill
Framing {
Roofing
Siding a
Masonry 'Veneer
Rough plumbing
Relief Valves
Ext . porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar. Drain Tile
Concrete Floors
p1bg , Fixtures
(;ar . vireproofin
Locar Closers
Smoke Detectors
chimney
I N SU I.AT I ON
Foundation
Floors
walls
Ceiling
FINAL ELECTRICAL INSFECTI0L3 �.
i]RIV SWAY APPROVAL urveY� �------
Final Building
d ins ection (callten ready )
Next schedule ,p
Remarks- ' �n
l
Building Inspe' r
6/86 and -vl
.Jaurn of QC4een3bur+yi
�r BUILDING and ZpNl1lVG DEPp�RT1yYE1VT
gay and Haviland Road. R.D_ 1 Box 96
i Queensbury. New 'Fork 12801
ram. REF" ORT
} I LI? ING INSPECTOR ' S
el ,»?�
(SAME.
crv+,. fM.tX s
LOCATION
Date_ .c ...fu- - Permit I3cr . �{ ,
YES NO
APPROVED -
Footing/Pier Forms
Foundation
Waterproofing
Backf ill
Framing
Roofing
siding
Masonry Veneer
Rcaugh Plumbing
Relief Valves
Ext . Porches
Finished Floors
Interior Trim , ✓ --
Stairs & Raili-ngs
-- �---
cellar. Drain Tile — --
concrete Floors
l lbg . Fixtures �—�--
(;ar , Fire.roofing
Door Closers
Smoke Detectors
Chimney
INS"UJ ATIC]N
Foundation
Floors_
walls
ceiling �-
FINAL ELECTRI L INSPECTION
l]RIVEWAY APPR AL
Final Buildin Survey
ready
Next scheduled inspection ( Gall when
RemarksC 'Ac"�'.)PVL_ o cot i Cck�Q
INN
4` 4 'j,
Building Ins e for
G/B6 mr3-VI
�owrt v� �ueens � urt�
BUILDING and ZCliN1NG DEPARTMENT
Bay and Havitand Road , R .D. 1 Sox 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCAT i O
Date permit NO . 7K/ q
I
APPROVED* -*YES* NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roof ing
Siding
Masonry Ven er
Rough Plumbmng
Relief Valve
Ext. Porches
Finished Floo s
Interior Trim
Stairs & Raili s
Cellar Drain Ti
Concrete Floors
Plbg , Fixtures
Gar . FirepmOfi
Door Closers
Smoke Detecto
kChimney
NSUI ATIC}N :
✓ Foundation
Floor
x
waIIs
CeiliI
FINAL V:Lk RI CAL INSPECTION
DRIVEWAY FROVAL
Final Bull ng Survey - —
Next scheduled inspection (Call when ready )
Remarks-
r
r'
v Building Inspector
C /SFr and-VI
if BUILDING and ZONING DiEPARTAAENT
Say and Haviland Road. R.D . i Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME 't Cx'`I< U�Sl1h/�� L- tI Grl 27PMfrM L_
Jr
LOCATIOhI
Date — / . Permit
k * * * * * * y * APPROVED YES NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
XF rami ng
Roofing
Siding
Masonry Ven er
ARough Pluxnks ' 9
Relief Valve
Ext . Porches
Finished Floo s
Interior Trim
Stairs & Ratlin s
Cellar Drain Til
Concrete Floors
Plbg , Fixtures
Gar . Fireproofi
Door Closers
Smoke Detector
Chimney
INSULATION :
Foundation
Floors
Walls
Ceiling
FINAL ELE TRICAL INSPECTION --
DRIVEWAY PPROvAI.._
Final But ding Survey
i
Next schedu ed inspection (call when ready )
Remarks-
Building In pect r
6/86 md--vl
_Joeun o/ Queenshury
BUILDING and ZONING c)EPA.RTMENT
Bay and Haviland Road, R. D. 1 Box 98
Queensbury, New York 12891
BUILDING I NSPECTCIR. ' S REPORT
NAME Gr rs+ f 'r s' a
LOCATION a•a•' a I'
Date / 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 & Railings
Cellar Drain Tile
Concrete Floors
Plbg . Fixtures
Gar . Fireproofi g
Door Closers
smoke Detector
Chimney
INSULATION :
Foundation
Floors
Walls
Ceiling
FINAL ELECT ICAL INSPECTION
DRIVEWAY APP OVAL
Final Building Survey
I3ext scheduled inspection ( call when ready )
Remarks-
Building Inspector
6/86 and-vl
'J
BUILDING�NG and ZONING DEPARTMENT
Say and Haviiand Road, R. D. 1 Box 98
Queensbury. New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME
c �c = zi
LOCATION `
DATE � �` PERMIT NO.
SOIL TYPE - Sand - Loam - Clay
Percy tj:n Test Required? Y - NO
Percola ion rate - Min/Inch
TYPE of S TEM:
Absorption field , total ength
Length of ea h trench
Depth of tren hes
Size of gravel
SEEPAGE PITS-(N a of)
Size-- ft. X ft.
Gravel size
PIPING * Si T
]Bldg . to tank
Tank to dist . x
Disto box to field t
openings se ed? Y S 13O Partial
LOCATION/S PARATIONS
Foundatio to tank �-�ft'
Foundatio to absorPtior t .
Absorptio to lot line ft .
Separatio of pits ft .
LOCATION TEM ON PROP TY (ci.rcle one)
Front ear Left side - ' ght side -
CCMEN S
SYSTEM USE APPROVED YES NO
Suitmignspector
01/86 and vl
.._.Down o� �ueens �+.sre�
BUILDING and ZONING DEPARTMENT
Bay and Havi#ant] Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT /�
NAME Z G'�Ss'ic G,+``.d'e /;
LOCATION
Data Permit No .
✓ APPROVED] - YE NO
ootxng/Pier Forms
idation
0.A
a te'rproof ing
ackfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext . Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tiie
Concrete Flexors
Plbg . Fixtures
Gar . Fireproofi g
Door Closers
Smoke Detector
Chimney
INSULATION
Foundation
Floors
walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready )
Remarks-
-6
Building kagpector
6/86 and-vl
THE NEW YORK BOARD OF FIRE UNDERWRITERS �
FA Y . BUREAU OF ELECTRICITY
41 STATE .STREET. ALBANY, NEW YORlK 12207
Date November 17 ,
1qa7 Application ,Yrn, on file
THIS CERTIFIES THAT 008307/87 A �} 74
only she electrical equipmwnt as Fleecrib."ir below aasd inG oft iy sly a +I'� �.f
Y appllicwn.t named on the above app"ca"Oft ++camber in the ps+ernises of
St ingloc location
Development . 47 Queens Lane ,
in tlse foflotoing location: 7�. +Glenxl Falls P New York
Basement 'at Ff. ❑ .Tnd Ff.
teas examined an Oltta:id : Section 90 Block 9 Lot
IO/23/87 a'Rdfa++nd to be in compliance toith the requirements of this Board. 46
FIXTUlE
OUTLETS ECHTACtES SWITCHES Ct NXTURES NGES INCANats Ni FLUORESCENT CKAMT. 0 plCKS OVENS DISH WASHERS EXHAUST I:ANS
n V AMT. K. W. AMT. K. W. AM T. AMT. K. W.
2 6 fy] � 9 ,�� � K.W- A/Y{T- H. P.
DRYERS FURNACE A40TORS 3 FR
'�M7. K. W- CKt N- P. CAS H. P. FUTURE AftUANCE FEEDERS S►ECIAL ItEC'1T TIME CLOCKS
S*UAMT- No. A- W- G. n,Aar. TRANS. UNIT HEATERS IMSYST rMS p _
AMP. AMT- AMPS, AN SYSTEMS
l Ranlge #6 AMT. H. P, NO. OF FEET AALx. wAm
SERVICE DISCONNECT No_ or I
AMT. AMP. rrPE METER S E
EQUIP. 1 ,0` 2W 1 ,f aW :) x sW a M AW No of CC. CCllva- R V 1 C E
PEK x OF C COCi�lO, NO- DF HI-lEG A. W. (i,
200 eb OF M 0- NO of NEuTRAL9
� 4/Q
OTHER APPAlATL15; 2�0
Electric Room Heaters - 3 — 2 . O KW
4 _ 1 . 5 Kw _
G . F. C . I 2
I — 75 KW
- Smoke Detector
StluYv+esant Development ME
1237 Central Avenue (� 9 iim
AlbsnY. New York 12205
BRANCH 'MANAGER
This [ertificWe must not be Offered in any manner; return to the Office of the per
Board if incorrect. Inspectors may be identified by their c►edenfiOls. �-
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MIDST NOT BE ALTERED IN ANY MANNER,
� I
vwrr o� �ueen3 urn �-��.�
BUILDING and ZONING DEPARTMENT
ay and Haviland Road, R.D. 1 Box 98 �
Queensbury, New York 12801
LDING INSPECTOR ' S REPORT
v
NAME
LOCATIO/N/�,/, QG-f �//
Datezr1 o Plerml* t No . e //z f}
= APPROVED - NO
G.� oot l ng/Pier Farms
Foundation
waterproofs g
Backfi ll
Framing
Roofing
Siding
Masonry Venee
Rough Plumbin
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Rails s
Cellar Drain T le
Concrete Floo
Plbg . Fixture
Gar . Firepro ing
Door Closers
Smoke Detect rs
Chimney
INSULATION :
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey.
Next scheduled Inspection (call when ready)
Remarks-
Building Inspector
6/86 and-vl
BUILDINCa D (CATION FORM 46-EL, NEN1 Y ,
HIS COPY WIT. BUILDING DIE YAlm U Nt
e r
DATE � ,r" r
C17Y OR r'� - _
VILLAGE f — ,!' L: '' /� ! 1. ..� TOWNSHIP..j... . . - !.= .,,/ ` COUNTY
STREET ANO NO. OR ,,/
ROAD AND POLE NO, ppLE NQ,
BETWEEN WHAT TWO --- s' - f 'r
CROSSSTREETS IS r ,. J" f / / /r=ljt:� �'." f1% i: ' SE �+ % L T PREMISES LOCATED? ex
OCCUPANT'S BUILDING - .
NAME OCCUPANCY
OWNER'S NAME �r7--� _
ANO ADDRESS . -- . e'er G� lIr 1/� ' S A N T F�"��.' lf.L-- �,�'. f'-� .f�9� 1'.:- f✓T` TEL.
�VPI(i6'Tiirt y
B PFLIEDA,: / fi ��^ fj l'f' .R / 1f�/G' - .�!'+ fi i.f..1 FROMTHEIR '' �~ eb r' •1. !j OF` I"C E/
BUILDING �11�^^,� WORK �} ' {� pEF£GTS
IS NEW„!�I OLD ❑ IS I iAiA A060TIONAL L.J' �/ /A'E1110 tED
LIST BELOW ALL EQUIPMENT WHICH YOU INSTAL LEE)
& BRANCH
NUMBER OF OUTLETS LLwny Fl o pt�icloo MOTORS HEATERS CIRCUITS OFFICE USE
Laeor ONLY
tion Skle Atleoh't H_P. 'YMet4 A.W.G.
Coming Ro,apyr Switch Pe/Went S.epket No. Type Each Ha Each No. DMA INSPECTION
Skis
Su
ns
Bear
mash
let Ft.
2nd Ft.
ard F1_
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE T"IS SPACE.
This application is intended to cower the above-listed equipment to be inspactwd but if at time of irtsf a %ion there is fount/ additional equipment not above hsted,
You are as thorired to make the irtgpecNon and adjust the Ip to Cover the additional equipment, as provided by the applicant. ••- •-,_
SIZE Of E L£CTR IC SIGN TOTAL
MAINS FEEDERS LAMPS WATTS
CHARACTER EXPOSED GAS TUBE SIGN
OF WORK CONCEALED TRANSFORMERS OF - - -•— VA
WORK TO BE [NUMBER) ICAPACITV)
STARTED COMPLETED SIZE OF SIGN
SERVICE OVERHEAD UNDERGROUND MAKER
ENTERS
BUILDING OF SIGN
INSPECTION REQUESTED "
ON OR AS NEAR AS
POSSIBLE - NEW. OLD �J
AVOID
PRINT
DELAY GIVING" FULL Ash �CfU RAT � j INFORMATION- ALL SPACES �I E OF
CAT IN_
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
LL + / --CI +r
PRINT NAME. AND ADDRESS
NAME OF �a XSIGNATUR
APPLICANT J OF APPLICA
Y �r ]
STREET ADDR T PHONEam
CITY OR �+=�/} ! .! y f� - ZIP LICENSE NO.
POST OFFICE '" d ' l' '�'' '" CODE 4"%" WHEN APPLICABLE
46 EL (REV- 1/(56) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
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VC7nDus +e'n & Sfe VeS
LAND SURVEYORS . GLENS FALLS . NEW YORK
N. Y. STATE LIC, N04 35617