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1988-022 • - - ' - - „-. - _ • • • CERTIFICATE OF OCCUPANCY TOWN 'OF QUEENSBURY WARREN COUNTY, NEW YORK April 10 89 Date 19 This is to certify that work requested to be done as shown by Permit No. 88-2'2 has been completed. This structure may be occupied as a One Family Dwelling cLot 112 Honey Hollow Rd. Bedford Close Location Don Maynard Owner . By Order Town Board TOWN OF QUEENSBURY ) • 1,r/, • /!--/'- Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No. 88-22 WARREN COUNTY, NEW YORK o' PERMISSION is hereby granted to Don Maynard Lot 112 Honey Gollow Rd. Bedford Close 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 63 Helen Dr. Glens Falls, N.Y 12801 2. CONTRACTOR or BUI LDER'S Name Same 0 r+ 3. CONTRACTOR or BUILDER'S Address ~ N 0 CD 4. ARCHITECT'S Name 0 N 0 5. ARCHITECT'S Address Pi w a. tzd 6. TYPE of Construction—(Please indicate by X) C H, 0 (x)Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications q fD No. 77' x 56' as per plot plan. specifications and application including septic system and attached 3 car garage. , 8. Proposed Use One Family Dwelling 0 $5.00 C/O 5 225.00 PERMIT FEE PAID —THIS PERMIT EXPIRES August 1, 19 88 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the ty town of Queensbury before the expiration date.) co N F-' Dated at the Town of Queensbury this 29th Day of January 19 88 lag SIGNED BY w/a- for the Town of Queensbury Building and Zoning Inspector )_ • c-� . . TO BE COMPLETED BY BLDG. DEPT. . • . awn. o/ Queenilur Application No. . ' BUILDING and ZONING DEPARTMENT Permit Issued 19 • •. • . Permit Expires 19 • Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation n p 30 TOWN CF QU£dN Queensbury, New York 12801 Variance No. A//Al. rii-,,- (� 111V1. �, Site Plan Review No. �,(/�f�- • U lJ �l Lz illApproved by: JAN 2 9.1988. APPLICATION FOR , ' /All BUlLD1NG & CODE EPT. BUILDING AND ZONING PERMIT . . .4 0'� dio * * * * *' * *- *'..* * * *. *. * * * *. * * * *. * .* .* * * * .* *. * .* .* * * * * *. *:,* . • 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: 172bn )11 jn w� P.O. Address (!� /�G/� T� . `, • Tel. 19"g-3Js2. • Property Location: !L/7/)e(-f /, J//o � v-- r/7 Tax Map No./j5/t' / 7 • / Street number or building lot number Subdivision name (if applicable) LCI/Urd, /DSC ' ' • ' THE PERSON RESPONSIBLE FOR SUPERVISION.OF WORK AS REGARDS BUILDING CODES IS: 1 HOC,. � 4_. �3 /C/1h/; • b;m /; i� '2 S 3 .3z . Name P.O. Address - T• el. No. . Name of builder Address Tel. Name of plumber Address " . • Tel. Name of mason `� Address ' " ' Tel. NATURE OF PROPOSED WORK: * ,Z ONING 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 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 JSO ft X ,..,/D p ft. • * Existing building(s) Size ft X ft. * PROPOSED BUILDING AND USE: * Existing buildings) Use . Size of new structure 7 7 ft X S- ft it * • L oun anon-pier slab/crawl/partial/full * Proposed building, distance from property line (circle one) * * Front yard [� ' ft Rear yard l© f t. No, of stories (habitable space) t Height (grade to ridge) ft. * Side yards" " ' ft and °?5 ft If residential, no. of families * If on corner, .setback from side street ft No. of rooms(excluding baths) ' * OCCUPANCY INFORMATION No. of bedrooms .. . * No. of bathrooms /y * P Y BUILDING - • / * One family dwelling Primary heating stem f T '�/ *'---Two family dwelling Type of fuel , (/ No. of fireplaces to be installed / * Multiple dwelling / Number of units Will a wood stove be installed? �fl� * Permanent occupancy * Transient occupancy Central Air conditioning? ,S Business BUILDING STYLE, PRIMARY STRUCTURE *' ' Industrial '777' Ranch 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- �11? Row Town House *' . Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) . *")/Attached garage/one car/ two car/ .2 car * * * .* * * * * * * * * * * * * * *' Private storage building ESTIMATED MARKET VALUE OF *' Other CONSTRUCTION $ -- J�) 066 * . • 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. t.in6 ,• /-P4mc Will any second-hand: or ungraded lumber be used? If so, for what? no Foundation wall material 60/7 e k-•de Thickness . ei Depth of foundation below grade (to bottom of footing) 7' . Will there be a cellar? Heated or unheated?) Floor sq. footage / 0 0 sq ft Will there be a basement? ycSWill any portion be used as living space? )1 6 (If so, what portion? fsq.ft. - - Type of use? Type of roof -(iop �'flat/shed/other Material.•of roof 4,5rp4,-1f" t�h i rg/eS .. Size, wood studs "X ! " spacing ! o "o.c. length P ft. // . Joists(floor beams) 1st. floor S.7 "X /, " spacing /,9._."o.c. span ft. Joists (floor beams) 2nd. floor 09 "X f� " spacing /aL "o.c. span ft. OverRooflays raftersl op ing beam") " spacing '/ spacing sp n "1 ft. So%�f 2 9t I1_ a t' 0� ���� Roof trusses(pre-engineered) spacing "o.c. span ft. Exterior wall finish pr (�C t. . Of what material? Interior wall finish/ If a garage i to be attached,, describe materials to:be used for FIRE SEPARATION: � 69 /:;, c. Cicl Is there to be an opening between gar-age. and dwelling? le If so will a Fire-rated door, enclosure, and self-closing device be provided? C.�S- Will a flue-lined chimney be installed? �GS Height above roof 3 ft. Depth of chimney foundation below 'grade 7 ft. . Depth of fireplace hearth 6,2 ft. Oin. Water supply - Municipal or private well fljs vi i- i�,kti i 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 bury AFFIDAVIT STATE OF NEW YORK County off 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 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. i.:-SWORN TO BEFORE ME THIS Signature__ rJ • / D� Own r, owner's age ,arcnitect,contractor day of �67 19 Y Notary Public, Warren County, N.Y. ' * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: ' By TOWN OF , QUEENSBURY• _ l 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: 2 • 1. —53.. Gross floor area ,3 / 2. Type of heat /vosil — eIacf1G Co - 'or /1eaclt" 3 . Is the building mechanically cooled? ' No 4 . Percentage of area of windows and doors /1h Z /d 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 A'-3g . + R-3 0 2 . R value of exterior walls /e Z'p 3 . R value of glazed area .. e - 3,3 4 . R value of doors - 17 r 9 5. R value of floors over unheated' spaces /ll /q 6. R value of slab edge insulation - unheated slab N/1 7. •R value of slab insulation - heated slab N/4 8 . R value of heated basement/cellar walls (above grade) e q/ 9. R value of heated basement/cellar walls (below grade) ie- // 10 . Type of insulation 4e4- /pt,5s. /Odl-vrn C. Controls 1 . Thermostat maximum heat setting Se D. Duct Systems 1 . Is duct system installed in unheated spaces? YES NO a. . If YES , R value of ductinstallation ' b. R value Qt duct in other aream E. Piping Insulation 1 . Size of hot water or cooling carrying agent pips 3 2 . R• value of pipe insulation Nda/C F. Service Water Heating gg 1 . Performance efficiency g 6ty -2. Temperature control setting maximum /6.0 G. For Swimming Pool Only 1. Maximum heating - T�elepphon9 No. 7! $"398e 4Atare-• (applicant ' s signs ) f 0 M iQ?a. fit G.rd �NUn. Gcecneay APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE ' a9 / LOCATION OF PROPERTY FOR INSTALLATION J i ecy / j //j,, Owner's Name: 1D i2-2 67/1�r,/ Telephone: `7 S_ ..? 3.2, Address: _ 6,3 kk,/c h n, Installer's Name: DA-, lc.; 5 AA- Telephone: , / 3 Z Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) Q O Topography: circle one: Rolling Steep Slope % of slope Soil Nature: circle one: Sand 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 oneicipal Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption feet PROPOSED SYSTEM: . Septic Tank /lj p Q gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench feet / Total system length ra.S feet SEEPAGE PIT(S): Number of { / Size each ' feet by P feet Size of stone to be used # / Depth or Thickness — 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. I 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 responsible person: Date: /_ - -- 7? Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD,PLACE TO LIVE • - BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS. . FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. • (TEMP.# I DATE CITY OR ; VILLAGE r J - , `' !l` TOWNSHIP L'L.; [' F'•-; %' y 7 COUNTY /'�,�/;y "\ STREET AND NO.OR 1 // / // ROAD AND POLE NO. /-•d---1)I`?C'G/ / ! /`%'�--' ?' :t ZC�+! /Ie^—� POLE NO. BETWEEN WHAT TWO / . CROSS STREETS IS `.1.> c PREMISES LOCATED? (.-.) ff.-f- '514'1 f�C: •7 F' (2"'5 SECTION BLOCK LOT OCCUPANT'S )""� • , j BUILDING NAME / )nt-, - 1./ E:,i t,y -''?.- ,-. •.( OCCUPANCY - if-- 6,f, // OWNER'S NAME I - - • AND ADDRESS - TEL.# • ^ y,1 f • CURRENT .-. J`'1 r �" ` r SUPPLIED P ' , r .f FROM THEIR ,, /!_)./ ,J f`y./ i 1J OFFICE BUILDING ' . ' WORK DEFECTS IS NEW OLD❑ +.r `IS NEW ADDITIONAL❑ REMOVED ❑ • LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No. Fixtures& BRCH NUMBER OF OUTLETS LampfReceptacles MOTORS HEATERS CIRCUI S OFFICE USE Loca- ONLY lion Side Attach't H.P. Watts A.W.G. Ceiling Wall Reeep Is Switch Pendant Bracket No. Type Each No. Each No• Gauge INSPECTION Out- . side Sub- base Base- ment 1st Fl. 2nd Fl. 3rd Fl. i 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 • BUILDING OF SIGN - • INSPECTION REQUESTED ON OR AS NEAR AS • - POSSIBLE NEW 0 OLD • AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION/. PRINT NAME ND ADDRESS 7 / JJ . NAME OF )A y ='P"7 `i_tr ;7," SIGNATURE "'y�ZJ lt�l!f�Y� APPLICANT ? `)=1 / - • //fr% / ( `<-.. X OF APPLICANT f„r. r < I- ='� ` STREET ADDRESS � ' '��'-``�'"'L _%`Jt ny TELEPHONE# ��/�� 1 J CITY OR /--,� - ZIP i'2 (;J / LICENSE NO. POST OFFICE -'� 1. ���777 CODE ` WHEN APPLICABLE 46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING �''7 F "i.ak� . a,94-19,!.9!,a"!...e.,��-e.!aJ."..1,9.l.�0Ra....1,0l19ti��1:)9,.1.,i.),". .1"i.".e..l•l..1.9i.?.i...191, A,.1"4Ca tia�i.a•¢a9cC.19.-I ".Avo.,y.?,,,a•...•i.��i.!!!..•i.� .n.".11,i.1.ti 191 A,_19?..• �• '-‘: THE NEW YORK BOARD. OF FIRE UNDERWRITERS y 1 , BUREAU OF ELECTRICITY • io �� ,_ . , �41 STATE STREET,ALBANY,NEW YORK 12207 a, !e September 75, 9 awl, t„ a o " i' Date Application No.on file 002 9 55/ -..3;� 8 10 w{ K �, THIS CERTIFIES THAT A i - ? �: only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of o " i�', Don Mavnord Honey Hollow Rd. Inc 112 Queensbur , Mew YCrh dwelling v o .17 ,- 7 outs .do 125 4 o ,' in the following location; ❑,Basement ❑ 1st Fl. ❑ 2nd Fl. Section Block Lot :, �� t1 was examined on and found to be in compliance with the requirements of this Board. _,+ , FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ;i .. �} � OUTLETS ECEPTACLES SWITCHES MERCURY , INCANDESCENT"FLUORESCENT yA1'0R AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. •4 �++ ti sq. a v...., 2 s� A' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BEu UNIT HEATERS MULTI-OUTLET DIMMERS :� SYSTEMS ^«. 11 r: AMT. K.W. OIL H.P. GAS H.P. AMT. .c,1:NOti ro IrAa W.G. • AMT. AMP. AMT. AMPS. TRANS. me. H.P. NO,OF FEET AMT. WATTS :f_ 2 fi1,- E-1 il..0 1ii �' iii'i SERVICE DISCONNECT NO. S E R V rl/ C E �. AMT. AMP. TYPE EQUIP. 1 A 2W lid 3W 3 0 3W 3.0 AW NO.OF CC.COND. A.W.G. NO:OF<Eil-LEG A.W G. NO.OF NEUTRALS A.W.G. 'i �, PER B OF CC.COND.. v a, OF HI-LEG OF NEUTRAL �, 1 '70t3 c b X 4/(1 .j�• `.ru '= F , OTHER APPARATUS:,.._.rfGi �',;�K'>,•, _,:yLr Ej 'C, 3.-'0Moke &'rector ( �� :� 'i 1' sJ v • 1; Don V. i::taynard • r7_ ,;(—!.570‘70-..............1./.2......7 • 1, Czlens 17a is, N Y0�.T_- .2 801 '�,9^ . - BRANCH MANAGER ..:a -' o .. !‹, Per • 4 ; This certificat e...1: te must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be i■dentified by their credentials. . g it-is ?.-ei�, iwriele iele-4,-;.,?'i�?-iAY 7.i-iw'i�.i�?-4;-iA 0 0 ® ® ll ® 0 0 ® ® ® 0 ® 0 ® 0 L' 0 0 s' .-'.;:. r ., COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. gown of Queenurcy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 c / Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME /17(7/ fit✓j2 I LOCATION (7aiv � DateYS / SVPermit * * * * * * * * * * * * * * * * * * * * * * * P' = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbi' g Relief Valves Yt Ext. Porches Finished Floors A Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures X • Gar. Fireproofing �( Door Closers -- A Smoke Detectors -- i Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECT' CAL INSPECTION DRIVEWAY APP'OVAL \ /. 1-Final Buildi Survey • A Next scheduled inspection (call when ready) Remarks- • ///: Building Inspector 6/86 and-vl • _bean o/ Qucnitur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DIISPOSAL SYSTEM INSPECTION NAME 2 132' 'i ,,W?Gg Cf/!/ LOCAT ION // Jam~ & /(a cz-2 � C��a' af C- DATE j--1qI Ft PERMIT O. EX,, 2 SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of _.ch trench Depth of trenches Size of grav-I SEEPAGE PITS-( umber of) Size- ft. ft. Gravel size PIPING: Si,e Type Bldg. to tank Tank to dist. box Dist. box to field/p' Openings sealed? Y. NO Partial LOCATION/SEPARATIONS: Foundation to tan ft. Foundation to ab-orption ft. Absorption to to line ft. Separation of p, ts ft. LOCATION OF SYSTEM ON PROPERT` (circle one) Front - Rear - Left side - Rig' t side - COMMENTS: SYSTEM USE APPROVE YES N ,) 4../--jit Buil g Inspector 01/86 and vl tel' il& sown of Queeniur[ii J ' BUILDING and ZONING DEPARTMENT and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 fl?EP .IC DISPOSAL SYSTEMYS� INSPECTION •IYA E L� / .„6 LOCATION L J/ `/,q 4 yD//ii DATE 5-y/Yr PERMIT NO. HF" c SOIL TYPE -4.- Loam - Clay - Percolation -_t Required? YES - • . Percolation rae - Min/Inch TYPE of SYSTEM: Absorption field total lengt. E Length of each tr-nch 0 Depth of trenches `II/ Size of gravel , a., SEEPAGE PITS*Number .f) • Size- ft. X , . Gravel size PIPING: 'ze Type Bldg. to tank `` VC Tank to dist. box 6 Tp/� Dist. box to field/pi P,r- Openings sealed? • Partial �• LOCATION/SEPARATIO .S: Foundation to tan 16 t. Foundation to abs.,rption 75 f. . Absorption to lot line (O ft. Separation of pigs ft. LOCATION OF SYSTI ON PROPERTY(cir•le one) Front Rear - -ft side - Right sire - • S: „air . "#...„..„,,,-- . i r".-- .„, hid.? ,) SYSTEM USE APPROVED OW NO 9 Bui ding pector • 01/86 and vl cc77 it Jown o f Queeniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME /�� LOCATION / � /Gd,,,i Date ,I/5- / 54 Permit No. * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill pFraming Roofing Siding Masonry Venee, ? iRough 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 ELECTRICA INSPECTION DRIVEWAY APPROVAL Final Building Survey / Next scheduled,inspection (call when ready) Remarks-/ � P )01 W� eft ithdd ��� vti,zws Csia, k 0,41 6d U; i Building Inspector 6/86 and-vl Jown o� Queen.itury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S/MA14 REPORT NAME L0CAT I ON 4/4/X.// Dater 7/ (Kr-Permit No. f� ✓ = APPROVED / NO ting/Pier Forms 0/-y-ci j — /\\. Foundation f Waterproofing Backfill Framing Roofing Siding Masonry Vene:r Rough Plumbin• Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofin•+ Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls \,) Ceiling FINAL ELECT• 'CAL INSPECTION DRIVEWAY APPROVAL Final Buildin' Survey Next scheduled inspection (call when ready) Remarks- \ Building Inspector '�b md- vl _Gr i�p ,Jown of QueerLitury 6,i BUILDING and ZONING DEPARTMENT 1Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 po .e,(J / Id NG INSPECTOR ' S REPORT NA lie4p4fliii LOCATION ze.,?--ll Ci�11G� Date ;� Re Permit No. t� ✓ = APPROVED - YES// NO ,00ting/Pier Forms V Foundation Waterproofing Backfill Framing / Roofing Siding Masonry Veneer Rough Plumbine Relief Valves Ext. Porches Finished Floor. Interior Trim Stairs & Railin's Cellar Drain Til. Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRI .L INSPECTION DRIVEWAY APPRrVAL Final Buildi : Survey Next schedule' inspection (call when ready) Remarks- (r(/ o ou .),,j \- Building Inspe or 6/86 and-vl