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1987-474 e CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 19 _ This is to certify that work requested to be done as shown by Permit No. $7-474 has been completed. RETAIL STORES This structure may be occupied am aqrsv '-' �. LADCALrion 1,RF C�C1NT C(7M dN5 RTF 9 RFTWFEN 149 F. FXTT 2❑ Owner eJVU11.XX L & M INVESTORS By Order Town Board TOWN OF QUEENSDURY ILBuilding & Zoning Inspector I - 1 f wSMI I +CERPnF'ICATrE, OF OCCUPANCY TOWN OF QUEENSBURY j I l WARREN COUNTY, NEW YORK E �� June 19 ty 89 1{ i� I This is to certift hat work requested to be done as shown by Permit No. 87-474 1 II has been completed. This structure may ;; be occupied as a Retail Store LocationFgehc�onfias -1 Fieldcrest i Owner L & NI [ifibr"at ins I i By Order Town Board ,TOWN OF QUEENSBURY I Director of Bldg. & +Code Enforcement f i CERTIFICATE OF OCCUPANCY TOWN OF QUEENSSURY I j WARREN COUNTY, NEW Y©RK I i D&te July 28 - - lq 89 i i This is to certify that work requested to be done as shown by Permit No. 8 7-4' 4 � has been completed. j -',is stun may be occupied as a Retail Store I I.ocstion French Mountain Commons - Re tabok Store I i OwnerL & M Investors i By ('order Town Board I TOWN OF QUEENSBURY I Director of Bldg. & Code Enforcement I . .Py. II i MEN- k 4 I ; CERTIFICATE OF OCCUPAM..0 I! TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK j pate_ May 31 14 I 4 4 This is to certify that work requested to be done as shown by Permit No. $7-4Z4 has been completed. fThis structure may be occupied as a Rpta i 7 SbarR 1 Owner L & M Investors By Order Town Board i TOWN of QUB8N38URY { l � I Director of Bldg. do {Code Enforcement I CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date Ma v 31 19 A9 This is to certify that work requested to be done as shown by Permit No. 87"474 has been comple". This structure may be occupied as a Retail Store Location Stam #2 Evenr-h amommns Owner L & M Investors By Order Town Board TOWN OF QUEENSSURY *7C 121; Director of Bldg- & Code Enforcement --------- -- CERTIFICATE OF 0CCUP.ANl%0m.`fAjLr TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date �.oveiaber "' 3 �� 87 This is to certify that work requested to be done as shown by Permit No. 87-474 has been unnpicted. This structure may be occupied as a Re t o ;. I Store # 3 Location French Mountain Commons - r: Ce . 9 Owner L & M in.ve5tors By Order Town Board TOWN OF QUEENSBURY C. Joe BuildfivS & Zoning inspector CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date January 1 "2 , 19 88 This is to certify that work requested to be done as shown by Permit No. 8 7_4 7 4 has been completed. This structure may be occupied as a Retail Store # 2 Location French. Mountain Commons - Rte 9 Lake George Rd . L & M Investors C)vvner By Carder Town Board TOWN OF QUEENSBURY G Building & Zoning Inspector i CERTIFICATE OF OCCZ...TI''.ANC`j'L' TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK i j January 12 , I9 SS Davei k This is to certify that work requested to be done as shown by Permit No. 87-474 C I has been completed. i i Retail Store # 3 This structure may be occupied as a French Mountain Commons - kte 9 Lake George Fed . j anon OwnerL & v Investors I 1 By Order Town Board I TOWN OF QUEENSBURY i Building & Zoning Inspector i r i l NONE CERTIFICATE OF OCCUPANCY � TOWN OF +QUEENSBURY WARREN COUNTY, NEW YORK l Date ,,Tanury 12 , 19 88 I This is to certify that work requested to be done as shown by Permit No. 87' 474 has been completed. f This structure may be occupied as a Retail Store #d French Mountain Commons - Rte 9 Lake George Rd . i mation Owner L 'M Inver tors By Order Town Board TOWN OF QUEENSBURY 001 l i jBuilding d Zoning Inspector f 's f i CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Dade January 12 1900 This is to certify that work requested to be done as shown by Permit No. 87-474 has been completed. Retazl Store 45 This structure may be occupied as a French Mountain Commons - }ate 9 Lake George Ref . l..ocation Owner L & M Investors By {Order Town Board �r TOWN OF QUEENSBURY Building & Zoning inspector 4 ' 1 l I CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY j WARREN COUNTY, NEW YORK January 12 , 19 88 1 E This is to certify that work requested to be done as shown by Permit No. 87-474 1i has been completed. I This structure may be occupied as a Rota S r ore 5 French Mountaln Commons - Rte 9 Lake George Rd . t..ncation L & M Investors Owner I I By Order Town Board i TOWN OF QUEENSBURY i Building dr Zoning Inspector f f I CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY j WARREN COUNTY, NEW YORK i i Date June 30 19 89 This is to certify that work requested to be dome as shown by Permit No. 87-474 I has been. compleaed. This atructur+e tray be occupied as a Retail Store l,ocatioru French Mountain Commons - Phalseraft 1 Omer L & Al Investors 1 { By Carder Town Board l 'ro %N OF QUEEMBURy Director of Bldg. & Code Enforcement k a .. . .-•-_ .-- .oxy.�. .. . ,. � .. -..- �' . . ....--I.y, _ may.. 'Ti,CT}f � _ � .. T.2'`e4. ,r T.y.�... CERTIFICATE OF (DCCUPAN'CY TOWN OF +QUEENSBURY WARREN COUNTY, NEW YORK Date February 27 _ _ lq 88 This is to certify that work requested to be done as shown by Permit No. 87-474 ham been completed. This structure may be occupied as a F? Pt g 0 Rtnrip l.aocation Oneida Store French Mountain Commons Owner L do 1\1 Investors By Order Town Board TOWN OF QUSBNSBURY Director of Bldg. do Code Enforcement AINMI COMPLIANCE TOWN OF +QUEENSBURY WARREN COUNTY , NEW YORK Date_ August 29 lq sss s7-474 This is co certifY that work requested to be done as shown by Permit No. T has been completed. This structure maY be occupied as a. Location Store # 5 L & M Investors French Mountain Commons Owner E y Order Town Huard This C /C is not for occupancy Only to state that building is TOWN OF +QUEENSSURY in compliance with code* bath store must apQiy for Certificate of occupancy Director of Bldg. do Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 87_474 � WARREN COUNTY, NEW YORK 0 PERMISSION is hereby granted to L M Investors French Mountain COMMOLs w OWNER of property located at Rte 9 Between 149 & Exit 20 r - P P tY Street, Roa or Ave. .c- in the Town of Queensbury, To Construct or place a Clnt7 Pt Storesat the above location in accordance to application together with plot plans and other information hereto file and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. t. OWNE R"S Address is P . O . Box 602 r Lake George , N . Y . 12845 'x r+ 2. CONTRACTOR or BUN LDE R S Name - . ro an Same �* 0 n v 3- CONTRACTOR or BUILDER 'S Address 4. ARCHITECT'S Name 7rs rt h t0 ze ro a 5. ARCHITECT'S Address ry fD W U F+- r rt G'S 5. TYPE of Construction — (Please indicate by XI r- I } Wood Frame ( } Masonry i } Steel ( } .tea n m 7. PLANS and Specifications No_ 801 x 260 ' & 80 ' x 225T per plot plan , appllCatlon and specifications rt as per Site Plan Review No . 46--86 including septic system, o S. Proposed Use CvmmercR,al - Outlet stores � w n rt rr o +t $5 . 00 c /o 0 995000 February 1 , 88 *P� $ PERMIT FEE PAID - THIS PERMIT EXPIRES 19 Vt r (lf a longer period is required an application For an extension must be made to t h a Building and Zoning inspector of the town of Queensbury before the expiration date.) r rt Gr] of rr a- " Dated at the Town of Queensbury this 23rd pay July 1987 ro SIGNED BY for the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG , DEPT. //� Application No . LICf/IT O uc'r�'/Is6re[!' Permit Issued 19 l : 3 ,^ A ; c BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation 'ff Oueensbury, New York 12801 variance No . L r Site Plan Review o . r ' � E` ''i p 1 s� Approved by : JJLL 1 $ jt I APPLICATION FOR E.11Ll3iNG" C,C7DE L] FU I LD I NG 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 : P. O. Address ! !/G' J� G+ G' L er r '� e� r� �� e`�f.,f J .2 <r� ¢ s - Tel . _ �. Property Location : r Z , r. IYce r .� t, / yam " - -u,,� L' {e +'Y � AeA •✓ Tax Map No . Street number or building lot number Subdivision name ( if applicable) �r"Oe , rr l +. ,' '� ca 4F .r v + '., [ rsr ws, •. e4 A THEE, PER20N RJESPONSIBLE ,/�_+OR SUPERVISION �OF WORK ..kS RGARnS j3j ' ,�jJIN •eODE.9 , ;;. !'sryrfON +kb+" '/ ` r r��d/ acfdfV "' .'dam ✓ ..Fdf er . l t -e S r Name P . O. Address Tel . No . Name of builder 4 ! Address Tel . l'{i' -. r f cee T Name of plumber Address Tel . Name of mason — �'T� rAddress Tel _ NATURE OF PROPOSED WORK : .ZONING INFORMATION : i '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 �`' / '� ft X ft _ Existing building ( s ) Size ft X ft * x- PROPOSED BUILDING AND USE : _... 2 �,t; Existing building ( s ) Use Size of new structure ? }�=ft X:;?- 01'rft " Foundation-pier slacrawl/partial/full Proposed building , distance from property line rcircle one ) op / Front' yard j&&r ft Rear yard ft No . of stories (habitable space ) Height (grade to ridge ) t y ft . Side yards d. ¢ ft and td ft If residential , no , of families * If on corner , setback from side street ft No . of rooms ( excluding baths ) OCCUPANCY INFORMATION No. of bedrooms^ e No . of bathrooms I /p - + i PRIMARY BUILDING •- Primary heating systemria,oe family dwelling Type of fuel t } Two family dwelling Multiple dwelling / Number of units No . of fireplaces to be installed Permanent occupancyWill a wood stove be installed? Central Air conditioning? � ancient occupancy lr' Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch contemporary Logcabin * Other Raised ranch Mansion y Duplex if addition , what will use be? Split level Old style Bungalow Cape Cod Cottage Other e0*& ,AP,* e.2tei$ �l,CCESSORY 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 $ o Cy'GyG INFORMATION ON BUILDING PECIFICATION.Sr ON REVERSE SIDE OF THIS SHEETr TO BE COMPLETED ! Form BPA 4/86 and-vl 0 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 : G� 10 Gross floor area +� �/.�+1 e=ln 2 . Type of heat_ 3 , is the building mechanically cooled ? 4 , Percentage of area of windows and dooms�/ 4o � A . Over 16 % Only 1 . Uo value of gross area of walls , roof / ceiling and floors o- exposed to ambient conditions / -r A` T�,,/ C f d ;7a 7C'* t rt c t 1-v r r 2 , Floor over heated spaces YES NO a . Are foundation walls insulated ? ES NO 1 , If YES , what is the R value ? �47 3 . Slab on grade onESSj NO a , If YES , what zs the R value of insulation around perimeter of floor ? A2 -4-. is basement heated ? YES �NC7 / ,q a . R value of insulation 5 , Type of insulation jr'It B , Under 16 % Only Y. R value of roof and glee exposed to ambient conditions_ 2 , R value of exterior walls Z-7 3 . R value of glazed area 4 , R value of doors (G 5 . R value of floors over unheated spaces_ +" ---- 64 R value of slab edge insulation - unheated slab 7 , R value of slab insulation - heated slab. 062 8 . R value of heated basement / cellar walls ( above grade ) 9 . R value of heated basement/ cellar walls ( below grade ) ,.44W 10 , Type of insulation nnnnnn '� � ,O nr Co Controls 1 . Thermostat maximum heat setting D , Duct Systems 1 , Is duct system installed in unheated spaces ? YE NO a . If YES , R value of duct installation f b . R value of duct in other areas Con 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 I" 2 . Temperature control setting maximum G . For Swimming Pool Only 1 . Maximum heating" Telephone No . +� 2 pplic is gnature ) 1wm ea m of" tw&f'y APPLICATION FAIR SEPTIC DISPOSAL PERMIT DATE LOCATION OF PROPERTY FOR. INSTALLATION 544iro m J 3S,0� Zo � Ze-2r�'l .I Owner's Name : Telephone: Address: Installer's Name: Telephone* Number of bedrooms (residential only) _ Total daily flow (compute @ 150 gal per bedroom) i Topography: circle one: Flat Rolling Steep Slope $O of slope _ /Q _ Soil Nature: circle one• and Loam Clay Other / Depth: /.S feet Ckound Water: At what depth? ge, ,Y�� 06 et Bedrock or Impervious Material: At what depth? _fir_ i' feet Percolation test: circle one: not required require / rate min. inch. Domestic water supply: circle one: Municipal Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption _ feet PROPOSED SYSTEM.: Septic Tank /�/+�-� _ gal. (minimum size: 1 ,000 gal,) TILE FIELD: Each Trench feet / Total system length feet SEEPAGE PIT(S) : Number of ?o / Size each feet by feet f,+cll Size of stone to be used # / L / Depth or Thickness // feet IMPORTANT ...Please...LIST NEW EQUIPMENT TO BE INSTALLED (over) Sow" of i� ¢er� y urc� BUILDING and ZONING DEPARTMENT Say and Haviland Road, RrD. 1 Sox 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPOR4 NAME �EI:' / ' ��Il �GAE LOCATION C .47 Date 12 � ��_ Permit No F.' APPR ED NC7 Footingi/Pier orms Foundation Waterproofing Sackfill Framing Roofing Siding Masonry veneer Rough Plumbing Relief valves Ext . Porches Finished Floors Interior Trim Stairs & Railing Cellar Drain Ti Concrete Floor Plbg . Fixtures Gar . Fireproo ' ng Door Closers Smoke Detect rs Chimney INSULATION Foundatio Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next sch eduled inspection (call rah Inready ) Remarks- WYr.� � �F �, 1 f ICI /r v" L lding Inspector 6/86 and-vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEI,VE+D /Q NAME LOCATION DATE _PERMIT #_27 "S7I APPROVED YES NO FOOTINGIPIERS MONOLITHIC POUR RMS FOUNDATION/DAMP- PING BACKFILL APPROVAL )O20UGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION : CHIMNEY HEIGHT ROOFING SIDING EXTERNAL POR HES/STEPS STAIRS-CLEA NCE & RAILS PLUMBING FI TURESIRELIEF VALVE INTERIOR IM/PRIVACY DOORS FINISHED RS GARAGE F EPROOFING DOOR C ER (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 OCCUPIEDf REMARKS: jj INSPECTOR TOWN OF QUEENSBURY e51 BUILDING AND CODES DEPARTMENT e .lo / BAY & HAVILAND ROADS QUEENSBUZZY, NEW YORK 12801 TELEPHONE (518 ) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED—q �� NAME LOCATION 7 C DATE — 149 PERMIT #�� APPROVED YES NO F ONG/PI ERS NOL ONOLTTHIC POUR FORMS FOUNDATIONJDAMP—PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STA.XRS—CLEARANCE & LS PLUMBING FIXTURES/R IEF VA VE INTERIOR TRIM/PRIV Y DOORS FINISHED FLOORS GARAGE FIREPROO NG DOOR CLOSERS) SMOKE DETECTO FINAL ELECTRIC INSPECTION _ FINAL APPROVA OF CONSTRUCTION A SIGNED C TIFICATE OF OCCUPANCY MUST BE OBTAINED ON THE BUILDING DEPARTMENT BEFORE THESE PRE ISES ARE OCCUPIEDI REMARKS INSPECTOR �,/owre a� �ueenshure� BUILDING and ZONING DEPARTMENT Bay and Hawiland Road. R.D. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT LOCATIONC Date 1 Permit No . 7 ` APPROVED* -*YES* NO Footing/Pier o t,,06undation Waterproofing c.�ack f i l l Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior 'Trim Stairs & Railinc;s Cellar Train Tile�� Concrete Floors Plbg . Fixtures_Gar . Fireproofing;" Door Closers u Smoke Detectors Chimney INSLTLA'TION Foundation Floors malls Ceiling FINA ELECTRICAL INSPECTION L DRIVEWAY APPROVAL. Final Building, Survey Next sct►eduled inspection [call when ready ) Remarks-- gui g I ector +6/86 and-vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT .BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280+I TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR SPECTION RECEIVED NAME Y H v 4:r� �. LOCATION e Cwr DATE PERMIT # / APPROVED or `f- l CGS YES NO FOOTING P ERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING r SIDING EXTERNAL PORCHES/STOPS STAIRS--CLEARANCE RAILS o PLUMBING FIXTURE RELIEF VALVE'_ .INTERIOR TRIM/P4VACY DOORS FINISHED FLOORS' _ GARAGE FIREPRC3pFING G� _ DOOR CLOSERISJ 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: J/ tl INSPECTOR TOWN OF QUEENSBURY Ate, BUILDING AND CODES DEPARTMENT BAY 6 HAVILAND ROADS QUEENSBURY, NEW YORK 12802- TELEPHONE (518 ) 792-5832 BUILDING INSPECTOR' S REPORT RE]guEST FOR INSPECTION RECEIVED NAME L0CATTON /r/_y Q 44_ 3 (` DATE 'fa "/ ! 7S PERMIT # r� (� APPROVED F G e 1 &ES' I NO FOOTING/PIERS ' MONOLITHIC POUR FORMS FOUNDATIO /DAMP-PROOFING BACKFILr PROVAL t ROUGH PLUMB NG FRAMING ELECTRICAL RO H-IN LYINSt1LATION: FOUNDATION FLOORS WALLS CEILING (,FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING .EXTERNAL PORCH /STEPSs STAIRS-CLEARAN E & RAI PLUMBING FIX RES/RELIEF' ALVE INTERIOR TRI /PRIVACY DOO FINISHED F RS GARAGE FTR ROOFING DOOR CLOSE (S) SMOKE DET TORS FINAL ELEC ICAL INSPECTION FINAL APPR VAL OF CONSTRUCTION A SIGNED ERTXFSCATE OF OCCUPANCY MUST BE OBTAINED ROM THE BUILDING DEPARTMENT BEFORE THESE PR ISES ARE OCCUPIED! REMARKS: • / f f ♦ /'.�(�J /fff/ �/ rI� 4/// i / INSPECTOR TOWN OF QUEENSBURY � BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS +/ ' (I QUEENSBURY, NEW YORK 378D TELEPHONE (518) 792-5832 BUILDING INSPEJ=R' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION x DATE PERMIT #_ [5 - 7 APPROVED I YES I NO FOOTIN /PZxRS MONOLITHIC .POUR FORMS FOUNDATXONIDAMP- PROOFIN BACKFILL APPROVA ROUGH PLUMBING FRAMING ELECTRICAL ROUG IN INSULATION: FOUNDATION FLOORS WALLS CEILING V FINAL INSPRcTIOII: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS _ PLUMBING FXXTURES/RELIEF VALVE_ / INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER (S) J 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 OCCUPIEDI REMARKS: f ce 47 f INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT.' ,BAY & HAVILAND ROADS � � py•��' ,,-r".�IJ QUEENSBURY. NEW YORK 128016 TELEPHONE (528 ) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE ERMIT APPROVED / YES NO FOOTING/PIERS MONOLITFP C POUR FORMS - FOUNDATI /DAMP-PROOFING DACKFILL A PROVAL ROUGH PLUMBYNG FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: IN CHIMNEY HEIGHT ROOFING - f SIDING EXTERNAL PORCHES/STE ; S STAIRS-CLEARANCE & RAXLS PLUMBING FIXTURES/RizxrF V VE INTERIOR TRIMIPRIVIlCY DOORS FINISHED FLOORS GARAGE FIREPROOF G _.... .....� DOOR CLOSER (S) f �, SMOKE DETECTORS; 1 FINAL ELECTRICALJINSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT" BEFORE THESE PREMISES ARE OCCUPIEDI REMARKS: t ,r L le r f . INSPECTOR * THE NEW YORK BOARD OF FIRE UNDERWRITERS F, ti. l � _t I BUREAU OF ELECTRICITY -7 �J7 L/ } 1 41 STATE STREET, ALS 7i rANY, NEW YORK 1220 Application ,No. on file } _I } r, / < .j +1 ! r Date I f' I '1 [Si: FC ,fir I 'a " 'i l T1,41S CERTIFIES THAT only the eiectrics! eguiprraant as described below and istro dsscsd by Cho appiEcsnt named on rho alaeras appiicatislrs number iar the pre rrafsea aJ ;. ;;r yi' } ,TF '. { T . i'[- ti :; Eti S,i :' in Lhe foilerwinEl iocatiora; 1� Basement �` lot 1, B+K+ FI• �ct� Block Lot -11 r ;j -. } } '-� t, , be in compfiancc with the reaTuirementa of this $card. was exarnined on anal found to FIXTURE FIXTURES RANGES COCWINGORCICS 011ENE DISH WASHERS EXHAUST FANS OVTtETS ACLES SWITCHES IMCANaESCENT FIUaRESCEN7 OTHER AMT. K. W. AMT. K- W. AMT. K.W. A T. K. W. AMT, H. P- } LI -.. C ai .� ; I IF- DRYERS L FURNACE MOTORS RMM APPUANiCE SEEDERS %PMAt RECTT TIME OLACOCKS pauLy, UNIT HEATERS M TI-ISttFIET DIMMERS SYSTEMS AMT- K. W_ OIL N. ►. GAS H. P. AMT. HO. A. W. G. AMT, AMR. AMT. AMPS. TRANS- AMT. H. P. NO. /E{T AMT. WATfS F SERVICE DISCONNECT NO. OF S E R V t C E METRR rdl-.Y- OF CC, COMB. A. W- G. NO. OF HI-LEG A. W. G- NO- OF NAUTILUS A. W. TR AMT. AMP. TrPE MUM 1 JI 2W 1 �e 3VM S .I 3W 3 0 AW PER aw Or CC. Como. OF HI-LEG Or NEUTRAL OTHER AMARATM k.zTT I VI T E'lfFtt3C `�r ". F'�t:' I: I irl f{ {3 f - ` , }+} 'i ■. t BRANCH MANAGER This certificate must not be ahered in any manner retum to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR SUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ' - THE NEW Y4RK BARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 41 STATE STREET, ALBANY. NEW YORK 12207 Application No. on file _ 'i Hate ;'. r- 14J F- IPi1-1R „ r ; •{ R ':: . THIS CERTIFIES THAT only the electrical equiprment as dsseribed 8slass and ln[roduced by the epplicauat rseaaed an the at►ove applicationnumber in Cho pne»sises of r + Iat f n'r `, . i . % Section Block LotI, u '# in thefollowing location; LBasernent Fl. 2nd Fl. seas examined on z 1 "% E' t T I e- . 19 8 �y arsd found to be in compliance with the requiremersts of this Board. PIxT71111E pXTURES RANGES CO OKING DECKS OVENS DISH WASHERS EXHAUST FA1+lS C+UTLRTS ACIES SWITCHES INCANDESCENT FLUORESCENT OTHER MAT. K- W. ART. K- W. DRYERS FURNACE MOTORS FUTURE Ap DANCE FEEOEES SPECIAL RECtri TIME CLOCKS UNIT HIEATlRS s STEIMS T ART. K- w. M W P- GAS H. P. AMT. NO. A. W. G. AMr- AMP. ART. AMrS- TRACES, ART. R, F_ ��. ( T ART. WATTS I r SERVICE. WSGDNNECT NO- OF S E R V 1 C E No. aF ce. eoNo- A w. NO. of Ny-LEG A• W 1 ,- Nf7. of NEUTRAL: A. W_ G. ART.. {AMP. TXnnPE � T Jr' �W T X SW 3 1 SW 8/ AW PER x VF CC. OF MR-IECs } OF NEUTRAL x.y t OTHIM APPARATUSa E ': TI I V4,\TER Its- -:Tree : : . . , . BRANCH MANAGER ,larr 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. THE NEW PORK BOARD OF FIRE UNDERWRITERS , {�' BUREAU OF ELECTRICITY 41 STATE STREET. ALBANY, NEW YORK 12207 Application .Va. on file r_I I r ;I .. Date V. f' T F' : u l I.7 THIS CERTIFIES THAT I'1 it"3 I T .N" , 87 -I ! .{ only the electrical equipment as described below and introduced by the sppdicarat rsaFrs1stl art the above application nwmber in the premises of L iu `i ' r' .;1Y'.: T ' �Lr `T . ; - c +} Y ro1 ' F: `1 ,�—•`�� . `i . in the folluwinA location; Basement Rat F7» LJ 2nd F'l. Section Black Lot was cxamined on , I ';I: q, f 7 } r3 � ') and found to be in compliance with. the requirements of this Board. FUTURE H ES XTIJR RANI3E5 COOKINOOR"S OVENS FISH WASHERS EXHAUST VANS OIUTIETS E''TACLES SWITCHES I tSCENT F4U�tE5CEw7 OTHER AMT, K. W. AJMT. K- W. AMT, K-w. ANT, K. W_ AMT. H- F. r- .� •-x } -�L1 DRYERS FURNACE !MOTORS FUTURE A#MEANCE PRIMERS SPI43 #EC'F E 'T TIME CLOCKS EL UNIT HEATERS MLRT&OUTLET DIMMERS SYSTEMS OOL H_ P. GAS H- P_ AMT_ NO. A. W. G. ANT. AMP, AMT- AM►S. TRANS. ANT. H. P. No. OF NET ANT, WATTS t r SERVICE DISCONNECT ND. OP S E R V I C E METER NO. OF CG. CGND- A.W. NG. OF HI-LEG A. W. G. NO. OF NEUTRALS I E. G- AMT. Air. t7PE EOUM. OO 7W I A' 3w 3 Ar 3w 3 A' 4w nHR * OF ff. CF HI-LEG TRAL 1 3 I II,i� IF f. OTHER APPARATUS: 14, 1l V A 7111 R rT l; 1+Il i '4rulpV Fir i t, ; +-i '.? ?� ] r.r BRANCH MANAGER 7_ Y1.I :FOR'-; E Per i This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their cre entiak. COPY FOR BUILDING DEPARTMENT. T"IS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER, ' THE NEW YORK BOARD OF FIRE UNDERWRITERSI- 1f �, ;, BUREAU OF ELECTRICITY dS STATE STREET, ALBANY, NEW YORK 12207 Date ,4pplicetion ,'40. on film _ a F' IF 'IPIF [{ %� !. Ic , l !1 c, :, rir .'I E THIS CERTIFIES THAT only the electrical eguiprraent se cl eacribed below and introduced by the eppliv ar►t Hamad on the ebaae eppilcetion na*mbar in the pretnisres of an the following [ocutwn; I�I Bwee»Lant lot !. �Sn�el �'l. SectionBturk Lot toes examined on - .Y�. T 1 i G and foaand to be an compliance with the requirements of this Board. FIXTURE ACLES FIXTURES RAN" COOKING DWCK5 OVENS DISH WASHERS EXHAUST FANS SWITCHES OUTLETS IHCANt1ESCENT FLUONSCEW OTHER AMT. K. W_ AMT. K. W. AMT, K.We AMT. K. W. AMT. H- ►. DRYERS FURNACE MOTORS rUTURE APPLIANCE ISMINS SPECIAL RRCTT TIME CLOCKS BELL U MT HEATERS MULTI-DUTM DIRRUMM eee�AMT. K. W. OIL H- P. OAS H, P. AMT. NO- A. W. Co. AMT. AMP. AMT. AMPS. TEWSS- AMT. H. P. NO. OF MET AMT. WATU 1 F SERVICE DISCONNECT NO. Or S E R Y 1 C E AMT, AMP. TYPELMi, 1 .�' 7W 1 1e IVY 3 X 9w 3 Je 4W PER CC. OF CC COO'Np. UiO. OF HI-LEG OF NILEOG NO. OF NEUTRALS �NWEIJ RAL L cl 1 1, POi I OTHER APPARATU& F TT - I F' I. F ! -WE Fyv-^r\ rl+ ' ? rI ] L; BRANCH MANAGER Per 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. um mm COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANMER. TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURYt NEW YORK 12801- TELEPHONE (518 ) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FO INSPECTION RECEIVED NAME LOCATION DATE PERMIT f S / ' ter'` APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATIONIDAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL RO H-IN INSULATION: r' FOUNDATION FLOORS WALLS ' CEILING FINAL INSPECTION: CHIMNEY HEIGHT - -- ROOFING SIDING EXTERNAL PORCHES/S S ,STAIRS-CLEARANCE & ' ILS _.. PLUMBING FIXTURES/Rt IEF VALVE INTERIOR TRIM/PRIVIYC DOORS FINISHED FLOORS GARAGE FIREPROOFING _) DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL y. NSPECTI�O FINAL APPROVAL OF CONSTRUCTI N A SIGNED CERTIFICATE OF OCCUPA Y MUST BE OBTAINED FR6M THE BUILDING DEPAR ENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS : iv INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS -� QUEENSBURY, NEW YORK 1280k TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR,, l PELT ON/ RECEIVED NAME �` � LOCATION DATE PERMIT #—� / ,APPROVED YES NO FOOTINGIPIERS MONOLITHIC POUR FORMS — FOUNDATXObfk!DAMP—PROOFING _ BACKFILL APPROVAL ROUGH PLUMBANG FRAMING ELECTRICAL RO H—IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTIONr CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES STEPS, STAIRS—CLEARANC d RAI� --.. PLUMBING FIX TU S/RELIE VALVE INTERIOR TRIM/ RIVACY DOORS FINISHED FLOG S - GARAGE FIRED FIND DOUR CLOSER ( ) SMOKE DETEC RS FINAL ELECTRI AL INSPECTION FINAL APPROL' L OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS : le 110 .INSPECTOR or- TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY� NEW YORK 2280 — — TELEPHONE (5I8) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSP CTION RECEIVED NAME LOCATION DATE - E O �'� PERMIT # A APPROVED YES NO FOOTING/PIERS MONOLITH POUR FORMS FQUNDATIO AMP—PROOFING BACKFILL A ROYAL ROUGH PLUMB G FRAMING . ELECTRICAL ROU IN TNSULATSON: FOUNDATION FLOORS WALLS CEILING �NAL INSPECT ION: CHIMNEY HEIGHT ROOFING 1� SIDING jr r EXTERNAL PORC , S/STEPS�_ STAIRS—CLEARANCE & RAILS __ PLUMBING FIXTURES/RELIE sVAF LVE INTERIOR TRIM/PRIVACY DOARS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER (S) SMOKE DC ECTORS FINAL ELEGRICA.L INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS:`] / cl V4 p A { INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 0" 7 � 41 STATE STREET. ALBANY. NEW YORK 12207 40 / _C Date Rpplicariarr :Ya. are fire .-yi•t r y THIS CERTIFIES THAT r ' r.k°} r r VI 1 . 3 ? .} j .l only the electrecol egusPmwnt as described below a" intrar tsced by the applicant manned on the above application number in the premises of '. Tr .;: kT . ? . + rfr� :; ri1 in thefollowin,g location; ❑ Basement Q lot Fl. ❑ Ynd Ff. Section Block Lot was exarnined on •� C r '% •:x�' 19 £, . and found to be in compliance with the pl' requirements of Chia Board. OUTURE PTAGLES SWITCHES FIXTURES RANGES ODCtCLNGI IH9CR5 OVENS DISH WASHERS RXHALlST FANS OUTLET$ NCANDESCfM FLUORESCENT OTHEn AMT. K. W. ,MAT. K. W. AMT. K-W, AMT. K. W. AMT. N. P. 47 ri r S; DRYERS FURNACE MOTOR'S FUTUfaE APPLIANCE FEEDERS SPECIAL ERUPT TIME CLOCKS BELL UNIT HEATERS MULTI.OU1'LEI Dom, AMT. K, W. C t N. P. GA$ M. P. AMT. Na. A. W. O- AMT. AMP. AMT. AMPS- TRANS. ^mT. H. P. SYSTRMS AMi, WATTS No. OP FEET r. SERVICE DISCONNECT NO. OF S E R V I C E AMT. AMR TYPE METER 1 JR' 2W 1 0 3W 3 X 3W 3.0 4% N4. Clr CE. EONb. A W. G. PER � Or C:C. C01VD. Na- OF FFI-IEC. Of•W•� NCI. e7A NFUT1lALS OF NEU RA4 OTHER APPARATUS: r% TT M r xN EI..rpc ' r4r' : . : s t Try rir ' r iTr' r{ ►#r.*.T [ # : : .r # . �, r . i? , 1 } ' : r !k•:.;r aI id i r BRANCH MANAGER Psr 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. TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS j2UEENSBURY, NEW YORK 1280& TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST P'OR INSP CTION RECEIVED NAME LOCATIO /N �^ �r /-� DATE /n ~per-3-Cf /' PERMIT - APPROVED YES I NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING. BACKFILL APPROVAL ROUGH PLUMBING FRAMIN ELECTRI ROUGH-IN INSULATIO . FOUNDATIO FLOORS WALLS CEILING k/tINAL INSPECTION: CHIMNEY HEIGHT -- ROOFING^ SIDING EXTERNAL PORCHES STE STAIRS-CLEARAN �& RA S PLUMBING FTX ES/RELIE VALVE INTERIOR TRX�KIPRIVACY D RS FINISHED FL6ORS 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: 4e a�s 0 ram INSPECTOR TOWN OF QUEENSBrURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 32806F TELEPHONE (518 ) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST F R INSPECTION RECEIVED NAME its LOCATION DATE joe;, ZC— Lf ' [ PERMXT # yam_ APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATIONIDAMP—PROOFING BACKFILL PPROVAL ROUGH PLU BIND FRAMING ELECTRICAL \OUGH—XNINSULATION:FOUNDATI FLOORS WALLS CEILING FINAL INSPECTIO CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES TEPS STAIRS—CLEARANCE RA PLUMBING FIXTURES E EF VALVE INTERIOR TRIM/PRIV DOORS FINISHED FLOORS GARAGE FIREPROOFI DOOR CLOSERS) SMOKE DETECTORS FINAL ELECTRICAL NSPECT N FINAL APPROVAL OF CONSTRU ION A SIGNED CERTIFICATE OF OCC ANCY MUST BE OBTAINED FROM THE BUILDING D ARTMENT BEFORE THESE PREMISES ARE OCCUPIED ? REMARKS : ,/ INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRIC:fTY 41 STATE STREET. ALBANY, NEW YORK 12207 'q Date 'Ti..NFY, '! ApplicutionNo. onfile {-' ]; r � � THIS CERTIFIES THAT TVI away the e&ctricol eyasipment as dascribad beloso elnd inter by the eppUA"mt n*matf on the' eboae appliicatien number in the premises of in thefolloeeing location; Q Basement let Fl. ❑ 2nd FT. See tion Block Lot urea sxamiracd an and found to be in compliance aoith the requirements of this Beard. FIXTURE FIXTURES RA04MS 1COOKING DECKS I OVENS IDISH WASHERS EXHAUST FANS OUTLETS 000WTACLISS1SWITCHESINCANDE EMT SCENT ftUMESC OTHER AMT. K. W. A.W. !C. W- AMT. K.W. AMT- K. W. +AMT. H. P. k I � + f �I1 1 rlFl i E DRYERS FURNACE (MOTORS NUTUITE AFMIANCE IEEDERS SNICIAL EEC'►T TIME CLOCtCS KLL UNIT HEATERS MULTI.OUTLET DUAMERS OIL H. P. GAS H. P. AMT. NCy, A. W. O" AMT, AMP. AMT. AMP$, TRANS. AMT. H. P, SYSTEMSAM7. WATTS NO, OF NET r SERVICE MSCOiNNEC.'T No. OP S E R V I C E AMT. AMP, Mbt 110 ?W1 1 0 3W 3 0 SW 3 .1 AW 1 "y' PER xc0N '' Ce CC, FOND. NO. Or l41.11* { C' No.. Or NEUTRAL OF NE' G.' OTHER APPARATUS: is\ TT I'd VETECTr:R BRANCH MANAGER Per Y r This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12809% TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE PERMIT i APPROVED YES I NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUN TION/DAMP—PROOFING BACKPVLL APPROVAL ROUGH PLUMBING FRAMI ELECTR CAL ROUGH—IN INSULA ON: FOUND TION FLOOR WALLS '. CEILIN FINAL INSPECTION: CHIMNEY HEIGHT ROOFING r' - SIDING EXTERNAL PIORCHESIS'TEPS .STAIRS- CLEARANCE & RAILS PLUMBING PI URESIRELIEF VALVE INTERIOR TRI P TVACY DOORS FINISHED FLOG GARAGE FIREPR NG DOOR CLOSERS) SMOKE DETECTORS FINAL ELECTRICAL. XAfSPbrTXON. FINAL APPROVAL .-OF CONS RUCTION A SIGNED CERTIFICATE OF 016,PUPANCY MUST BE OBTAINED FROM' THE BUILDINGtPEPARTMENT BEFORE 11 THESE PRENT$FS ARE OCCUPIED REMARKS : • Y i INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS +' T BUREAU OF ELECTRICITY dl STATE STREET, ALBANY. NEW YORK 12207 ft hate ^: I . z ' ffpFlictrtiort .NO. onfele + C i: l '� .j , r .: , THIS CERTIFIES THAT I' i . 10( 1 T only the electrical equipment as described helanv and introduced by the applicant named on the above application number in the prem"" pf in theMlowing krcation; ❑ Basement E3 Pat Fl. ❑ 2nd Ff. Section Block Lot was examined on I .f . . and,fa"Y"i to be in compliance with the requirements of this Board. RXTLtIRE MIXTURES RANGES COOKING 01I I OVENS I DiSM WASHERS EXHAUST FANS OUTLETS RSCEPTACLII SWITCHES aNCAMNSCENT Puaast6C9W OTHER AMT, K. W. AMT, K. W- AMT- K.w, APT- K. w. APT- H, T. DRYERS FURNACE MOTORS PUTURE APPLIANCE fEEpERS SPECIAL RII TIME CLOM I I UNIT HEATERS I MULTI.OUTLET DIMMERS AMT. K, W. OIL H. P. GAS H. F. AMt, NO. A• W, G. APT. AMP. APT. AMPS- TRANS. APT. H. P. OF SYS�T AAIT. WATTS I SERVICE DISCONNECT No. or S E R V I C E APT, AMP. TY►E *CAW. 10 RW 1 „r 9w 9 X 1W 3 X 4W N6- MRR�CONb. OT CC COiJb. N4. OF HHEG PaCi. Oi NEUTRALS aF NWEIJ R I AL OTHER A"AEATUSe TF I #: S '. I '". V r `. i.' 4:,: ; # 1 " F' BRANCH MANAGER Per f_ This certificate must not be offered in any manner; return to the office of the Sward if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER, TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280& TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION PFCETVED NAME LOCATION DATE PERMIT ## 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: fr CHIMNEY HEIGHT 1 - — ROOFING SIDING EXTERNAL CHES/STEP,S STAIRS-CL ARANCE tr RATLS PLUMBINGIF.IXTURESIRELAEF VALVE INTERIO TRSM/PRIVACY bOORS FINISHyD FLOORS GARAGA� FIREPRODFING DOOR CLOSERS) SNOK.E 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 QUEENSBURY .BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280& TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INS EC ION R CEIVED NAME LOCATION ` DATE v� ERMIT1 (J - �i^ APPROVED YES NO FOOTING/.PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PRooFlNG BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION; is CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORC RSISTEPSIN STAIRS-CLEA41VCE & RAIL PLUMBING FI TURFS/RELIEF VALVE INTERIOR T M/PRIVACY DOOA4q FINISHED F ORS GARAGE FI EPROOF.TNG��..� DOOR CLOfR (S)�.��SMOKE DECTORSFINAL ELECICAL INSPECTIONFINAL APPRAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED.' REMARKS: INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 128011" TELEPHONE (518 ) 792- 5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR ZNSPECTIO RECEIVED NAME `� � LOCATION DATE eS�/ PERMIT # APPROVED YES Imo r FOOTING/PIERS f MONOLITHIC POUR FORMS ' FOUNDATIONIDAMP—PROOFING a,r BACKFILL APPROVAL ROUGH PLUMBING_ FRAMING ELECTRICAL ROU(7H—IN INSULATION: FOUNDATION FLOORS r WALLS CEILING SNAL INSPECTION. u "CHIMNEY HEIGHT ROOFING SIDING EXTERNAL POR ES/STEPS STAIRS—CLEA NCR & RAIL _ PLUMBING FI TURES/RELIEF ALVE INTERIOR T IM/PRIVACY DOO FINISHED LOORS GARAGE F EPROOFING DOOR CLO ER (S) SMOKE D TECTORS FINAL EL TRICAL INSPECTION FINAL AP ROYAL OF CONSTRUCTION A SIGNED RTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPXEDI REMARKS : INSPECTOR TOWN OF QU EENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVTLAND ROADS QUEENSBURY, NEW YORK 1280q TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR SPECT�ON, RECEIVED � s NAME LOCATION DATE Q APPROVED YES N1J FOOTING/PIERS rr MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN .INSULATION: FOUNDATION FLOORS WALLS CEILING INAL INSPECTION. CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ TEPS STAIRS-CLEARANC . & RAILS PLUMBING FIXTU S/RELIEF VALVE INTERIOR TRIM/ RIVACY DOORS FINISHED F S GARAGE FIRE OOFING DOOR CLOSE S) SMOKE DETE TORS FINAL ELECT ICAL INSPECTION FINAL APPRO� AL OF CONSTRUCTION z 4 A SIGNET? CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 41 STATE STREET4 ALBANY, NEW YORK 12207 1 - note s Y ! r -. Application ,Yo. on fife . 1 . ' a TI4IS CERTIFIES THAT i 'r•: "i f .' I only the electrical equipment as described below and irstroehieed by the offlVaieant named on the above application number in the promises of in the foflawind location; ❑ Basement Ist Fl. ❑ 8nd Ff. Section Block Lot NIt14KW examined on . 1 I - t and found to be in compliance with the requirements of this Board. NXTVRS ACLIS SWITCHES FIXTURES RANGES COOKING OEM$ OVENS DISH WASHERS EXHAUST FANS OUTUTS 114CANDES0EN7 FLUORESCENT I OTHER AMT. K. W. AMT. K. W. AMT. K.W. AMT K. W. A AT. K P- DRYERS FURNACE MOTORS F rum AMWANCR FEEDERS S►IGAL MC"HT TIME CLOCKS Still UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K. W, Olt H. F. GAS el- P- AMT. NO. A. W. G. A AMP. AMT. AMPS. TRANS. AMT. H. P. SYSTEle115 MT- AMT. WATTS NO. OF iEE1 SERVICE O NOCT NO. OF S E R V I C E AMT- AMP. TMMr, 1 ,e' 2W 1 0 3W 3 I" sw 3 / aW RCPcoma. OF C COi46. NO. OF HI.LEG o• W. w0. CM NEUTRMS A.Or 1'E1tTatiAL OTHER AF}ARATM I 'i � i r.: ':, i .'': : 4 !] f so � y BRANCH MANAGER Per 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. TOWN OF QUEENSBURY BUILDING AND CODES ,DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1 280& TELEPHONE (518 } 792- 5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME iY e Y , �'r� `z`.••..: (— C'%'�"y' `r'c9 ' LOCATION zeze DATE L5� PERMIT # APPROVER YES i NO 1 FOOTING/PIERS MONOLITHIC POUR FORMS C P06NDATIONfDAMP—PROOFING BACKFILL APPROVAL ROUGH PLUMBING ,FRAMING ELECTRICAL R GH—IN INSULATION: FOUNDATION FLOORS WALLS dc CEILING FINAL INSPECTION: ' f CHIMNEY HEIGHT — — ROOFING SIDING EXTERNAL PORCHES/S3' S STAIRS—CLEARANCE & , ILS PLUMBING FIXTURES ELIEF VALVE _.. INTERIOR TRIM/PR VACY , DOORS FINISHED FLOORS GARAGE FIREPR PING DOOR CLOSERS SMOKE DETEC RS FINAL ELECTRI AL INSPECTION FINAL APPROV L OF CONSTRUCT-TOM A SIGNED RTIFICATE OF OCCUPANCY MUST BE OBTAINED ON THE BUILDING DEPARTMENT BEFORE THESE PR MISES ARE OCCUPIED! REMARKS: ' r' INSPECTOR TOWN OF QUEENSBUR.Y BUILDING AND CODES DEPARTMENT BAy & HAVILAND ROADS QUEENSBURy. NEW YORK I2804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUE T OR .INSPECTION RECEIVED NAME OCA L TION DATE T PERMIT # APPROVED YES,r NO Loj pOTING/PIERS i ^✓ ,eL5 MONOLITHIC POUR FORMS FOUNDATION/DAMP—PROOFING BACKFILL AP VAL Loo-ROUGH PLUMB.I FRAMING ELECTRICAL ROU —IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ TEP STAIRS—CLEARANC 4& RA2 PLUMBING FIXTU S/RELIE VALVE INTERIOR TRIM/ RIVACY RS FINISHED F S GARAGE FIRE OOFING DOOR CLOSER S) SMOKE DETE TORS FINAL ELECT CAL INSPECTION FINAL APPRO L OF CONSTRUCTI0 A SIGNED CERTIFICATE OF OCCUPAN MUST BE OBTAINED FROM THE BUILDING DEPART' N'.T' BEFORE THESE PREMISES ARE OCCUPIED! REMARKS. r INSPEC OR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT SAY & HAVILAND ROADS QUEENSBURYe NEW YORK 1280,4 TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INS PE TZON RECEIVED i NAME LOCATION DATE PERMIT' # APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATIONJDAMP-PROOFING BACKFILL APPROVAL to*I?OIJGH PLUMBING ,4/, RAMING ELECTRICAL R6GH—IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAZ, .INSPECTION: CHIMNEY HEIGHT 6 ROOFING k SIDING EXTERNAL PORCHES/ST STAIRS—CLEARANCE & I& PLUMBING FIXTURES/JELIxVALVE INTERIOR TRIM/PRIVACY D S FINISHED FLOORS +' GARAGE FIREPROOF NG DOOR CLOSER (S) -- SMOKE DETECTOR- - FINAL ELECTRICAD' INSPECTION FINAL APPROVALF CONSTRUCTION A SIGNED CER2'SFSCA TE OF OCCUPANC MUST BE OBTAINED FROM THE BUILDING DEPAR ENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: INSPECTOR TOWN OF QUEENSBURY BUILDINGC AND LODES DEPARTMENT BAY 6 HAVILAND ROADS QUEENSBURY, NEW YORK 12801E TELEPHONE ( 518 ) 792~5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION ,4iECE v,�D NAME LOCATION / t� c�7 /91 s Yl-J /■ DATE PERMIT #1 `Y APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DP—PROOFING _............ BACKFILL APPR VAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—IN INSULATION: f" FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCH /STEPS_ _ STAIRS—CLEARAN E & RAILS PLUMBING FIXT RES/RELIEF LVE _ INTERIOR TRI /PRIVACY DOOR FINISHED F RS GARAGE FIR ROOFING -- — — DOOR CLOSE (S) _ SMOKE DET TORS FINAL ELEC ICAL INSPECTION FINAL APPR VAL OF CONSTRUCTION d. A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE .BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED:' REMARKS: INSPECTOR 000 THE NEW PORK BOARD OF FIRE uNDERwRrrERS �. BUREAU OF ELEC'TRICTTY this AU Hngo*vwpn� has inspected and found to ith the electrical code so comply w far as completed. RESIDENCE o.SERVICE I �REMARKS, Nt]ZEc-Above aPPCo is not a permit far the '. Only eke aan r v VORU ct txnn THE NEW YORK BOARD OF FIRE UNDERWRITERS i BUREAU OF ELECTRICITY �{ F 41 STATE STREET, ALBANY, NEW YORK 12207 Date . '- F' - I! . . ! Application No. on file THIS CERTIFIES IPIES THAT }.; '} }' } away the electrical equipment as described below and introduced by the appilica—t nonsed on the aboeae appilention number in the premise's of in the foilowin lg location; © Basement ❑ "ilst f i. ❑ Snt[ F7. Section Stock Lot cans examined on }� ! .�'� F�' } ' f'', � � } ' " si ' � and found to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANOWS COOKING DECKS OVENS DISH WASHERS EXHAUST FANS CIURETB BPT1l .,t'T.R§ SWITCHESOC 0HC�4N09$CENt Fe1,b11E7CEW ETHER AMT. K. W. AMT. K. W. AMT. K.W- MtT- K. W. &%T. M. P. i DRYERS FURNACE MOTO" FUTURE AT WANCE FEEDERS SPECIALREC'PT TIMECUXKS I WU UNITHEATERS MUITE-0UTtl, DIMMERS OIL H_ P. ,GA5 H. P. AMT. ND. A. W. G. AMT. AMP. AMT. Amps- TRANS, AMT. w ►. SYSTEMS�T AMT. I WATTS wV"s DISCONNECT ND. iDF S E R V I C E AMT- AMP. TYPE KP.RR 11' 7W 1 X 31M 3 X 3w 3 X' 4W '" 65%[ 1 . OF C CONP- NO, CF HI-Iti3 0 H"006 NQ, OF NEUTRALS OF NEIRRA4 OTHER AMARATUS: h l f ? 1J, 11F % i f F; ! " BRANCH MANAGER per- This certificate must not be altered in any manner; return to the office of The Board if incorrect. Inspectors may he Identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. i TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY HA VILAND ROADS QUEENSBiURY, NEW YORK 12809- TELEPHONE (518 ) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPEC IC7N CEIVED NAME LOCATION __ f/ elf DATE �, /� 2 JJ lje� PERMIT # 5.� ` APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP—PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGHS XN INSULATION: FOUNDATION i FLOORS WALLS CEILING FINAL INSPECTION: X CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/,STEPS STAIRS—CLEARANCE ,'& RAILS PLUMBING FrxTURES/RELIEF VALVE INTERIOR TRIM/PAIVACY DOORS '.. FINISHED FLOOR 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 Cwe Z y INSPECTOR !!! 1 TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY. NEW YORK 12809 - TELEPHONE ( 518 ) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR, yINSPECTION RECcEI V�E,D_� NAME LOCATION d / )` . �c9 .9a t l9[> •-� 7 DATE � PERMIT #, - /r APPROVED i YES NO FOOTING/PIERS MONOLITHIC POUR F S FOUNDATION/DAMP—PR FING BACKPILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—IN INSULATION: FOUNDATION FLOORS WALLS ILING NAL INSPECTION: CHIMNEY HEIGHT ) ROOFING SIDING EXTERNAL PORCHES/ST S STAIRS—CLEARANCE & IL5 PLUMBING FIXTURES/ LIEF VALVE INTERIOR TRIM/PRIV CY DOORS FINISHED FLOORS GARAGE FIREPROOFI G DOOR CLOSER(S) SMOKE DETECTORS Coor FINAL ELECTRICAL NSPECTION FINAL APPROVAL O CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: / 3 f t V INS ECTOR i -.- TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12809 TELEPHONE (518 ) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVEDjz.� - NAME �...`ae" •!+. :/-1�--� �C�v't'^71Y'i'7'f,r j,7 r''o"rJ�--_7 LOCATION ! DATE - PERMIT # 47 APPROVED :YES NO FOOTING/.PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACPCFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROW H-IN FOUNDATION i+ ` ✓� FLOORS WALLS CEILING FINAL INSPECTION: ' CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES St PS STAIRS-CLEARANC & ILS PLUMBING FIXTU SIRE EF VALVE INTERIOR TRIM/ RIVACY BOORS FINISHED FLOO S ` GARAGE FIREP FING — DOOR CLOSER ( ) _ SMOKE DETEC ORS FINAL ELECTR AL INSPECTION FINAL APPROV L OF CONSTRUCTION . A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT .BEFORE THESE PREMISES ARE OCCUPIED! REMARKS, Cie vj� pot Icy �3 v , 4.e JZ - a3c Ccr oz-,ic7 ur k -2 3 cat rc rs n INSP TOR TOWN OF QUEENISBURY BUILDING AND CODES DEPARTMENT /,? y BAY & HAVSLAND ROADS /�- QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792--5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTII}ON RECEIVED_�.Z 24 NJIME , ,, . �J �,s� .d l ��YI L►Sr U LOCATION' DATE G PERMIT # zel APPROVED YES NO : V"'FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL AP VA ROUGH PLU.MBI FRAMING ELECTRICAL ROU -IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAIL PLUMBING FIXTURES/RE EF LVE -INTERIOR TRrM/PRIVAC DCJD FINISHED FLOORS GARAGE FIREPROOF2 DOOR CLOSERS) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL 7F CONSTRUCTION A SIGNED CE IFICATE OF OCCUPANCY MUST BE OBTAINED FIR M THE BUILDING DEPARTMENT BEFORE THESE PREM SES ARE OCCUPIED! REMARKS: INSPECTOR awn o/ Queenshurry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 ,off Queensbury, New York 12801 � !! 11✓ BUIL, DING INSPECTOR ' S REPORT NAME 1f__� LOCATION Date � � Permit No . ✓ = APPR � Ei7 - 'YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer ( ugh Plumbin Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Rail ' gsy Cellar. Drain ile Concrete Flo rs 4'lbg . Fixtu es Gar . Fireprpofing Door ClosexIs Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION 4)RIVEWAY APPROVA14 Final Building Survey Next scheduled inspection (call when ready ) Remarks- Building I pector '86 and-vl BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 I � BUILDING INSPECTOR ' S REPORT NAME j- Z " LOCATION_ c� Date _/ Permit No * L17 /: ✓ - APPROVED - YE✓ NO Footing/Pier Forms_ '%e _ - ✓ Foundation Watorpvoo f ing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar. Drain Tile Ve6oncrete 3a x'lbg . Fixtures__ Gar . Fireprootrin Door Closers Smoke Detectors Chimney IN SUT ATION : Foundation Floors_ walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready ) Remarks- Building Inspector G/86 and-vl { // F BUILDINGtand ZONING DEPARTMENT Bay and Havikand Road, R. U. 1 Box 98 Clueensbury. New York 12801 BUILDING INSPECTOR ' S REPORT NAME aj LOCATION ON rr Datecr_,o 7/ — Permit No , APPROVED - y No (�6otiny/Fier Farms Foundation waterproofing Backfill Framing Roo f in Siding Masonry Ve er Rough Plumb * g Relief Valves Ext . Porches Finished Floors Interior Trim stairs & Railings F Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing _ Door Closers Smoke Detectors — Chimney INSULATION Foundation Floors Wall s Ceitinxl FINAL VLIsCTR CAL INSPECTION DRIVEWAY APPR VAL - -- Final Buildin Survey Next scheduled inspection ( tali when ready ) Remarks- 74 . 17 C.F Building Inspector 6/86 and-VI i BUILDING and ZONING, (DEPARTMENT Bay and Havifand Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT DI NAME `�, f1f 7" 8 � 'yr &�� LOCATION �l, ,.y/� Date ✓f (� Permit No . /✓ - APPROVED - " S NO r oating/Pier Forms — . Foundation waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbin Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Dour Closers Smoke Detectors Chimney IN S U I,AT I ON Foundation Floors Walls Ce i l i ncl FINAT. E:LECTRICA INSPECTION DRIVEWAY APPROV L rvey Next scheduled inspection ( call when ready ) .^r Remarks- <1 building Inspector GfE3Fi rncT-vl 6UILDING and ZONING DEPARTMENT y and Nauiland Road, R.D. i Box 98 // Queensbury, New York 12801 UILDING INSPECTOR ' S op NAME ez;Z� LOCATION Date!_ ,_/ � Perrnii NO . rl y 7 APPROVED* -* YES* NO L.F�ooting/Pier Forms Foundation waterproofing Backfill Framing Hoof ing 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 Detect rs Chimney zNsui.ATIc�N Foundation Floors walls Ceiling FINAL ELECT TCAL INSPECTION _ DRIVEWAY AFI? ROVAL�_ Final Building Survey Next scheduled inspection {call when ready ) Remarks- . IPA 1 I'"�G✓'�` , f RI J,,/ff� A009�0- i di In p ctor 6/86 and-VI awn fi BU1LI]ING and ZONING DEPARTMENT ay and Haviland Road, R-Cl• I Box 98 Queensbury. New York 12801 LL7I NG INSPECTOR ' S REPORT NAME LOCATION C a / perinIt Nov O APPROVED NO ting/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Vex► er Rough Plumbi Relief Valves Ext . porches Finished Floors interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors plbg . Fixtures Car . Fireproofin Door Closers Smoke Detectors Chimney INSULATION Foundation Floors Walls Ceiling FINAL ELECT CAL INspECTION DRIVEWAY AF OVAL�� Final Build Survey Next scheduled Inspection (call when ready ) Remarks- r Building Ins ctOr 6/g6 and-vl f �r+ ! .Jauvn o� �uQenshurt� BUILDING and ZONING DEPARTMENT 1 ay a Haviland Road, R.D- 1 Box 98 0Qu ensbury, New York 12801 UILDING INSPECTOR ' S REPORT NAME dzg LOCATION i]at /& Permit No . _ J ' `7=! , APPROVED* -* YES* NO kgooting/Fier Forms Foundation Waterproofing — Back£ill 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 . Fireproofin Door Closers Smoke Detector Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELE TRICAL INSRECTIO DRIVEWAY PPROVAL Final But ing Survey _.....__ _.— !Next scheduled inspection (call when ready ) Remarks- i f: ux g I P c 6/86 and-vl /Y7 f � y j jj _ /own ouQens6urr� BUILDING and ZONING DEPARTMENT y and Haviland Road, R. D. i Box 98 Queensbury, New York 12801 U ( B LDING INSPECTOR ` S REPORT NAME LOCATIONta Date I / Permit NO _ �vPP C7VED - E NO doting/Pier Farms Foundation Waterproofing Back€ill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbrg . Fixture S Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELE TRICAL INSPECTION DRIVEWAY A ROVAL - - Final Building Survey Next Scheduled inspection {call when ready ) Remarks- Building Inspector 6/S6 and-vl +� BUILDING and ZONING DEPARTMENT d Say and Havifand Road, R . D. 1 Sox 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME '1� �r7� �' rJ9! - ?�r'�i�` ✓' LOCATION ,,/,e Date'�� '/�'!/_ Permit No . APPROVED* -*13i� * /*N* 1oating/Pier Forms Foundation Waterproofing I3ackfill 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 . Fireproof ! g Door Closers Smoke Detecto s Chimney INSULATION Foundation Floors wallsng- FINAL EIS RICAL II3SPECTIL7N _ DRIVEWAY APPROVAL ,_ Final Building, Survey Next scheduled inspec. Ition (call when ready ) Remarks- ,'1 12 I3uildin Inspector €+/B6 and-vl 3 , BUILDING and ZONING D'EPARTMEN Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME I3 �V I✓rr+' C00( 4 LOCATION I?txtf/q / permit Now * *�* r * * * * *APPROVED NO *Pose � APJ2R 4S'ooting/Pier Forms Foundation Waterproofing I3ackfili E7raming Roofing Siding Masonry veneer Rough Plumbing Relief valves Ext . 'Porches Finished Floors interior "Prim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg , Fixtures Gar , Fireproofing Door Closers Smoke Detectors Chimney INSULATION Foundation Floors Walls Ceiling_ FINAL El CTRICAL INSPECTION 9RIVEWA APPROVAL Final Building survey Next scheduled inspection (call when ready ) Remarks- trT`ttc+ ! Building Inspect" EJ8G and-vl _Joteirr o� Queerrstert� BUILDING and ZONING DEPARTMENT Say and Haviland Road, R . D. 1 Sox 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME A LOCATION Date // ) /,.— Permit No o * * * * * * * * * * * * * * * * * * * * * * * po' J APPROVED - YES No l7ooting/pier Fa / 110o nation waterproofing I3ackf i 11 Framing Roofing Siding Masonry veneer Rough Plumbing Relief Valves 3,xt . 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 EI ECTRICAL INSPEC ION I DRIVEWAY APPROVAL Final Building Survey ^ I � Next scheduled inspect on . (call when ready ) Remarks- ► Ipr W L_-CJ}�4 d� _!� 1 Qom} X . � © 1:- r�.�Q,�iJ �► �+` .- '�--'?�'-- i ;vim i'�'�'•c.'i""E � �'. t3uilding Ins tar 6/86 and-vi _.lou�xt a� �ueen3 � ur[� BUILDING and ZONING DEPARTMENT Bay and Haviland Road. R. d • 1 Box 98 Queensbury, New York 12801 10 BUILDING INSPECTOR ' S REPORT NAME LOCATION �,}p� p Date / / permit No . U ` APPROVED 'YES NO Footing/Pier Forms l7youndat ion Waterproofing 13ackf111 Framing Roof ing Siding Masonry Vene Rough plumbin Relief Valves Ext . Porches Finished Floors interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors P1bg . Fixtures Gar . Fireproofing Door closers Smoke 'Detectors Chimney INSULATION Foundation Floors Walls ceiling. FINALEJECT ICAL INSPECTION - --- RIVEWAY AP ROVAL� Builds g survey Next scheduled Inspection (call when ready ? Remarks- O'r/ 004 / "• `�/ Buil ing Inspector 6/86 and-Vl ,_.lvtun n� �uee� sbuert� BUILDING and ZONING DEPARTMENT Say and Haviland Road. R.D. 1 8ox 98 Queensbury, New York 12601 BUILDING INSPECTOR ' S REPORT _0 NAME eAZAYjcMl� LOCATION �rf Date t'' 0" Permit 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 s Railings Cellar Drain Tile Concrete Floors Plbg , Fixtures Gar . Fireproofing Door Closers smoke Detectors Chimney IN SU LAT I ON Foundation Floors Walls Ceiling �' ' INAL ELECTRICAL IL35PECTICli3_ - DRIVEWAY APPROVAL Final Building Survey Next scheduled Inspect (call when ready ) Remarks_ ,3C e' r'/2 � /'/`/'/9 WbJA16 Building Inspector 6/86 and-V1 i Mourn O� �eec+en3lrur� BUILDING and ZONINGDEPARTMENT Bay and Haviland Road. R-D. i BOX 98 Queensbury. New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME: /G�LI� �� C �' i '�'c �ItJ�s LOCATION ' �/ rj DATE ,r 0A PERMIT NO. _� SOIL TYPE - Sand - Loam - ClaY - Percolation Test Required? YES - N Percolation rate - Min/Inch _ TYPE of SYST Absorption fie d , total leng Length of each ench Depth of trench size of gravel SEEPAGETShNumb of Size- UP ft_lm& f yD Gravel size PIPING : Size Type Bldg . to tank '/•� 1� Tank to disc. bo GJ Disto box to /pig Openings seale YES NO artial LOCATION/SEPA TIONS : Foundation t tank ft. Foundation o absorption ft'r Absorption to lot line f t,# Separatio of pits ft. LOCATION SYSTEM ON PROPER (circle one) Front - ear - Left side - Ri t side COMMENT w. SYSTEM USE APPROVED XES NO Bull ng Inspe tar Ol/SG and vI {J�" ,� �Q tLIIY! Q� �'u BQ Ii 3 G► f.�r I'!� f1 lql BUILDING and ZONING DEPARTMENT and Maviland Road, R.D. 1 Box 98 QueenstaurV. New York 12801 TIC DISPOSAL SYSTEM INSPECTION LOCATION DATE /v/�' 1.1f PERMIT NO .� 6 ! r SOIL TYPE Sand - vam Clay - Percolation -- equi.red? YES - NO Percolation rate - min/inch _ TYPE of SYS Absorption fi ldr total len Length of eac trench ----�— Depth of trenc es size of gravel SEEPAGE PITS#N er of) Size_ ft. X _ Gravel size PIPING : Size Type Bldg . to tank Tank to +dirt . bo Dist, box to fi Id/pit partial Openings Seale ? YES NO LOCATION/SEP RATIONS : ft. f Foundation o tank Foundation Icto absorption Absorptiory to lot line ft. Separation of pits LOCATION k SYSTEM ON PROPERTY (circle One) Front - #ear - Left side - Right !s:!d CCt+1MENTS a SYSTEM USE APPROVED YES NO i Building Inspector s i 01/86 and vl r 1 i flown Of Qcteenil ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. i Box 98 Queensbury, New York 12801 BUILDING _I,NrSPECT,.,OOR ' S REPORT NAME LOCATION- Date permit, No ./.P/� 7 � APPROV* - YES NO Footi.ng/Pier Forms oundation Waterproofing Backfill Framing Roofing Siding Masonry venee Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Rallin Cellar Drain T ' e _ concrete Floor Plbg . Fixture Gar . Firepro ing Door closers Smoke 'Deter ors Chimney INSULATION Foundation Floors Walls Ceiling FINAL ELE TRICAL INSPECTION DRIVEWAY A ROV Final. Building Survey Next scheduled inspection Ccall when ready* Remarks-- Building Inspector 6/86 and-vi Own n/ Qtteenshur BU1l PING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S /fREP /C�3RT� NAME/ L ' /1Z� l LOCATION Date permit No * APPROVED - YES NO ,oVooting/Pier Forms A..Foundation Waterproofing Backfill F rasning Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim. Stairs & Railings Cellar Drain Tile Concrete Floors P1bg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney IN SULAT ION : Foundation Floors Walls Ceiling FINAL ELECTRIC L INSPECTION DRIVEWAY "PR AL Final Building Survey Next scheduled inspection (call when ready ) Remarks- CO d & B i ding in pec r 6/86 rnd-vl burn +n� �eeeend�ure� BUILDING and ZONING DEPARTMENT Bay and Naviland Road, R.O. 1 Box 98 Queensbury, New 'fork 12801 BUILDIN INSPECTOR ' S REPORT NAME f LOCATION Date? / Permit Na . / r/ 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 Nsoncrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers 1 Smoke Detectors Chimney INSULATION : Foundation Floors walls Ceiling FINAL ELECTRIC L INSPECTION DRIVEWAY APPROVAL j Final Building Survey Next schedule* inspection (call when ready ) £ Remarks- Bu ding Inspector 3 6/86 and-vl a w1t or/ uee,ns1ur ` �J BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New 'Fork 12801 BUILDING INSPE`C7ORRtS REPORT NAME LOCATIONa e�ri Date� Permit Noe * * * * * * * * ► ✓* * * * * * * *ES* APAPPROVEDNO ooting/'Fier Forms Foundation {{ Waterproofing S Sack.f i i l 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 IN SU I.AT ION Foundation Floors Walls Ceiling FINAL ELECTRICAL IIVSPECTIC»3� DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready ) Remarks- i 'i`: ��• � r' t 1 31f- f t4 i Building InspeCtor 6/86 and-vl ---•_-. _ A Cc�� j } _ IV" a ueens � urr BUILDING and ypN'NG DEPARTMENT jl , � Bay and Haviland Road, R.U. 1 Box 96 Queensbury, flew York 72801 BUILDING INSPECTOR ' S REPORTdoor ry NAME ,r} LOCATION 0I ""7 d/r — Permit i\Io Date APPROVED - YES Footing/pier Forms Foundation waterproc)fing ; �ackfi11 G Framing Roofing Siding --- Masonry Verieer 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 IN15UI.A`riIO'r`f Npoundation Floors walls Ceiling FINAL ELECTRICA INSPECTION I)RIVEWAY APPI�OV Survey Final Building Next scheduled inspection (call when ready) Remarks- 1 � 8uilding Inspector 6/86 and-vl flown of ;_ cera3[ai"ry BUILDING and ZoNtNG DEPARTMENT Say and }isviland Roa Yo�i28 ox 98 4ueensbury, New BUILDING INSPECTOR ' S REPORT NAME }r�.r, ,/ a, LOCATION f Q' ) permit No . DateC> YES NO APPROVED Footlrkg/pier Forms Foundation Waterproofing , %Backf i l l Framing Roofing Siding Kasonry veneer Rough Plumbing Relief valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Ti concrete Floor plbg . Fixture Gar . Firepro ing Door Closer Smoke Detec ors Chimney INSLILATICN goundation Floors Walls Ceiling IK$pECTIQ1s FINAL Fg,�TRICAL DRIVEWAY APPROV Survey Final Building Next scheduled inspection (call when ready Remarks- iBul ding Inspe r l 6/86 and-vl 4 '. , own o� �,I,sQen ytsurt� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. i Box 98 Queensbury, New York 12801 BUILDING INSiPECTOR " S REPORT NAME / LOCAT ION ei Date / Permit No . 4 * * * APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Sackfill Framing Roofing Siding Masonry Veneer +dough Plumbing Relief Valves Ext , Porches Finished Floor's 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 INSpECTICN DRIVEWAY APPROVAL Final Building Survey -� IFext scheduled i when read nspection {call y ILemarks- 6-5 i Building Ins for 6/86 and-VI �p,Wii 4 101 l3pler` BU%LOING and ZoNiNG DEPAFiTMEt3T bay and }iaviland Road. R-D- 1 Box 98 aueensbury. New York 12801 BUILDING INSPECTOR ' S REPORT NAME T- LOCATION 5�/I perm III it No . ?II - q �- prate * * * * * 00/ * +` * NO APPROVED - YES Footing/pier arms Foxmdation waterproofin )CBackfill Framing Roofing Siding Masonry Veneer Rough plumbing Relief Valves Ext . Porches ginished Floors Interior 'Trim Stairs & Failing Cellar Drain Ti concrete Floor plbg . Fixtures Gar . Fireproo n9 Door closers Smoke Detect s Chimney INSULATION : Foundation Floors walls ceiling FINAL EI,EC'TRICAL INSPECTION DRIVEWAY APPROV rvey Final Building i Next scheduled inspection eady (call when r ' Remarks- Building Inspector 6/86 cnd-vl _ j Q,� ,eenj1fArY 701VII BUILDMG and ZONING DEPARTMENT 1 gay and Haviland Road, R-D, 1 Box 98 Queensbury, New York 12801 I� PS :Z400r IN SPECTOR ' S /REEPORT NAMEr ! LOCATION , Date Ci , permit �"y -8 * * * * * * * * * * * * D E O Ling/Pier Forms Foundation Waterproofing Backf i l l Framing Roofing Siding �..... Masonry Veneer Hough Plumbing �- Relief Valves — - Ext _ 'Porches Finished Floors -- interior Trim stairs & Railings j cellar Drain Tile Concrete Floors i Plbg . Fixtures Gar . Fireproof ` g Door Closers Smoke Detecto s Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL IN SpECTION DRlvFWAY APPROVAL Survey Final Building, Next scheduled insp ecCion (tail when ready ) Remarks- . i i Building inspector 6/86 and-vl JJ 01 c� ,I" � ...lown o� �tseens� t�tr+t�t i BUILDING and ZONING DEPARTMENT + Bay and Haviland Road, R.D. 1 Sox 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME ` i � i1 /�+ f�i' f d Z Is LOCATION Dates Permit No , //"r� APPROVED YES 7 * fotng/Pier Forms Foundation waterproofing �ackfill � 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 , Fireproof ' 9 Door Closers Smoke .Detecto S Chimney INSULATION Foundation Floors Walls Ceiling FINIAL ELECTRICAL INiSPECTIdN� DRIVEWAY APPR©Vt.I,�_ Final Building Survey Next scheduled inspection i(call when ready Remarks- Buil ing Inspect x 6/86 and-vl .•.../awn a� �cteen3bur� BUILDING and ZONING DEPARTMENTStyx 98 Bay and Haviiand Read. R.D• aueensbury. New York 12801 BUILDING INSPECTOR ' S REPORT NAME t� 95-,CI % 1 (,W LL4 f LOCATION ,ter Permita N _ Date- RPP RC3V ED - NO Footing/ Fier Forms Foundation Waterproofing T3ackfill Framing Roofing Siding Masonry Veneer �--�- Rough Plumbing Relief valves ---� Ext , Porches Finished Floors Interior Trim stairs & Railings Cellar Drain Tile Concrete Floors Flbg - Fixtures Gar . Fireproofing Door closers Smoke Detectors chimney INSULATION Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTIfK3 DRIVEWAY AYFROV Final Building Survey NC led ection (call when ready ex schedu insp Remarks- '�'' , i 3 I 1 8 lding n ec r 6/86 and-vl IIJ 4. J A BUILDING and zON1NG DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 oueensbury, New York 12801 B1IILDING INSPECTOR ' S REPORT q ON � I)ateZ4- L--1� Permit No . * * * '� �" * * * % ✓* * APPRC V.ED YES r.^15,00ting/pier Forms Foundation Waterproofing Backf ill 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 ELECTRICAL INSPECTION_^ IPR.IVEWAY APPROV — Final Building Survey Next scheduled InRemarks- (call when ready ) i P/0 i i i i 's i Buildin Inspector 5j86 and-vl i c� rr Qeteer� shuryl BUILDING and ZONING DEPARTMENT ` Bay and Ha,riland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT a NAME LOCATION Date Permit No . � ooOo APPROVED - YES, ,/ NO fFooting/Pier Forms oundation 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 IN a^- ULATI ON Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL- Final Building, Survey Next scheduled inspection (call whhj�en� ready Remarks- fl /J/&i Q"6c Sul ding Inspe to 6/86 and-vl { leiflow►! O� F_ Iueenjb �r1� A? BUILDING and ZONING DEPARTMENT gay and Haviiland Road, R.D. 1 Box 98 oueensbury. New York 12801 UU BUILDING INSPECTOR ' S REPORT NAME I N l permit No * APPROVED - 'SCEs N �ooting/Fier Forms Foundation waterproofing Backfi. 11 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 . Fireproofin Door Closers Smoke Detectors chimney INSULATIQN = Foundation Floors Walls cell .n9 FINAL ELECTRICAL INSPECTIQNy I)RIVEWAY APPROV Survey Final Building on (call hen ready } Next scheduled Inspecti w Remarks- fo t A/ 1� � Building I pec or 5/86 Md-vl ji .Jo tun ofeteens6it ►-e� j BUYLDING and ZONING DEPARTMeNT Bay and Haviland Road, R.D. I Box 98 Queenst3ury, Ne%yYork 72801 BUILDING INSPECTOR ' S r REPORT NAME LOCATIONr Date ,r �/ /s /� Permit No . JI- W_7. APPROVED* ^*YES *NUJ Footing/Pier Forms Foundati Waterproof ng Back£ill Framing Roofing Siding Masonry Venee Rough Plumbin Relief Valves Ext . Porches Finished Floors Interior Trim Stairs 6 Railings Cellar Drain Tile Concrete Floors plbg . Fixtures Gar . Fireproofin Door closers Smoke Detector Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELEC R.ICAL INSPECTION i DRIVEWAY PROVAL pual Bull ing Survey Next scheduled inspection (Gall when ready ) Remarks-- �J r Building Inspector 6/86 and-vl YG DEPT, COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS, FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED. TEMP. ft DATE 1 � TOWNSHIP COUNTY POLE NO SECTION Z. 'y BLOCK LOT c�I BUILDING �^ ,S /Jf �C.�/'F7 -I , J . - J OCCUPANCY 3 Z::e odd L;J LI FROM THEIR OFFICE ORK r�rr� �e �I DEFECTS NEW Lm OLD ❑ ISV NEW HI ADDITION C 1 AL REMOVED ❑ t LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS Na. tsI Flxtratse #` BRANCH Letup Reasaptasiea MOTORS HEATS RS CIRCUITS OFFICE USE ONLY y R N Switwl t Bucket No. Type E� No. Each vvmtft No. A W"B' INSPECTION Each txeuye ER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. ed to power the above-listed aqu ipment to be inepac tad but if at time of inspection there is found additional the inspection and adjust the fee to cover the addatianal equipment not above listed, equipment, i• Prpwldfd by the appliaan4.. E LECTR IC SIGN TOTAL FEEDERS LAMPS WATTS EXPOSED GAS TUBE SE GN CONCEALED TRANSFORMERS OF VA (NUMSERI JCAP^CITY1 COMPLETED SIZE DF SIGN UNDERGROUND MAKER // OF SIGN r G,� .. ....._. New OLD L AND ACCURATE INFORMATION. ALL SPACES DATE 6F ION MAY BE RETURNED. ESS gPPLICAT7O ............. V::�J ✓� Ii !' �[ SIGNATURE +.., sa OFAPPLI "T r 1 Al' TELEPHONE # / ZIP LICENSE NO, CODE f7_a�r� WHEN APPLICABLE _. ,ARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING e (aAkR"_JNA PETA.IL ' ' •' VICE. ►, INC. November 20 , 1987 4 r1 N . W . Bodenweiser Bay Road Queensbury , N . Y . 12801 Dear Mr . Bodenw+eiser : In reference to the wood panel ceiling at French Mountain +commons , r this is to certify that the ceiling in French Mountain Commons was treated with Flame Control Type 129 Base Coat , ULC Vol IT Guide # 40UP . Tested in accordance with ASTME84 -NFPA2SS and UL ,approved . Application was applied by manufacturers specifications . Manu- factor is Flame Control Coatings , Inc . , Niagara Falls , NY 14302 . If we can be of anymore assistance , please let we }snow . Sincerely , Jim Hincemon Vice -President JH : bu 403 East Jeffersc Street . Ak nroe,N xs th Carolina 281K) •7()4289AgA ;70wn Q GI Ef'L� fiLi" . QUEENSBUR,,Y TOWN OFFICE BUILDING SAY AT HAYI 'LAND ROAD QUEENSBURY, NEW YORK , 12801 TELEPHONE : (518) 792-5832 TO : French Mountain Commons ( L & M Investors ) Route 9 - Lake George Road. _ . . Lake George , NY 12845 White Pine Security r P _ O _ Box 2031 Manchester Center , Vermont 05255 FROM : Na W . Bodenwerser , Fire Marshal DATE : November 18 , 1987 SUB : Fire Alarm System Approval All segments of the system installed at above address , and tested as of this date , meet N . F . P .A . 72E specifications . Testing of installation of smoke detectors and pull stations brought system into proper activation with strobe lights and buzzers , meeting decibel and sight factors as acceptable . Annunciator panel and slave annunciator segment on the exterior of unit #4 , all are operable . N . W . Bodenwelser Fire Marshal * igp cc : Building Department Town of Queensbury Brian LaFlure , Chief Queensbury Central ,Fire Department r SETTLED 1763 HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LIVE r Mel TINS CER711FICArE IS ISSUED AS A MATTER OV INFORMATION ONLY AND CONFERS No RIGHTS UPON THE CERTIFICATE HOLDEPI. THIS CERTIFICATE DOES NOT AMEND. The Patch Insurance Agency IncOper . is JP ExT'END OR ALTER THE COVERAGE AFFORDED 9Y THE POLICIES BELOW, 297 Linden Street -.---- �.. _ Wellesley 11A 02191-5910 COMPANIES AFFORDING COVERAGE EUIMPANY L,ETTr..R A Libert Mutual Insurance Co. .�.. . .^ . .'_... - . .— . ..._.•. � Ct)Mr•nLYV .. .�.. .,. ...—.�. LETIER 13 Clinton Forrest ASSaciateds colllldoo - �y l -� __.. " -- - -- 105 High Street rr:T7EfI C PartseDUth NN 0360I C(7MPANY nTTN. Kenneth Forrest I.ETTI-q D COMPANY I r ol"d R. Ror ivy 0WOTWI ' 'STANOIN4TA14Y AFQU1H• mk:NT TERN} OR CONOIT oN OP ANY GONThACT pR OTHER OOCVMEONT 1N rm RE�sPCC'It r{i WHICH POLICY i1S CERTIF CERTIFICATE IRA TJISSUED OR MAYPOLICIES.PERTAIN, THE INSURANCE AFFOR8fi0 BY THE POLICIES i7ESCRI1SEfl HEACIN IS SUBJECT' TO ALL 7H[ TERMS, EXCLUSIONS, AND OONOI- 9h I S OF SUCH POLICIES. n OUL1CY NUMBA;s rrm n•r rnTr,T•yk IIULi'.v Fx,rr:,Llr;cur —. ._._.._ _ ':.�r IV114TlD1YYl LMTr cmwtlan'tl Al ! I IMI I} IN THOUSANDS._.�.. �i r Ih. A :l. ._'.0 r.:.:. '..�..! I11 M1•_ . .�� L yr!IrI HidI040 . l`• . IS I,','f,l'k": :L'ON IA 10 « . dodd .._._.. Vlr COY aS FFF JJJ r J I did 7L'%r dl. ii 0 lI S BI pg 41.11 .r{yy[l�L s .'a. Iru Icr1a r1I nI rrnrT f J J -- _ doodoodoo_ •—•.•..• �--. f J Ill ll :MMA[:l IMIY U'Jf fdJA ..•.—.•. r AUTOMOSIA•E LIA131LITY ...-•.. . „ . 00000Od .. _�. ± ._ f ,J �srrtu:nl r �r'i r ;f {s+4r .ul: ,+f!s:�i . . I •. f 1 f I $ Food Id do SLHf:DIN Fn AUIf?.S f 1 f AwDI.. - Nt HIRT;[] Alliilti f f J J tppY/Ap!Lr .[U{}dod $ NON-Irwr,LUl al1TOS J J J J 5011 .0 f f J J Y•N fxllinUE 1_I41}N ITY 4ArIr EXCESS LIABILITY . .-...._._.-. _ -�..._ - __ - -•L.AGM -. ACAQ lCIA fL r .,.. : - OC.fiu.4lfiNS:a doodoodoodoodoodoodoodoodoodoodoodd or o:Ivi dood WORKERS• COENSATION COMPENSATIONP .... T. _~ 'STnIVrrAidw :"'d -, To Be Issued 42J2TfB4 02/27190 -y' �14r) ifac,. •I:Clurnfl EMPLOYERS' LIABILITY f J J ! S 500 rDIrWf4F COL L;Y Hid �._�. ,- n r , L' FR o do J f J f . 1I_r+Iu [ IUN (aF OPFnA111"I CI1 LJ.1LA T ICONS lVF_HICLEu+fiE TRICTIONSr.€irl C.CIAL ITEMS JAU HQULD ANY CW T'HF ABOVE DESCRIBED POLMICS BE CANCCLLED BEFORE THE EX. Tilley Creek Bevelo €�RRt Co IRA'IN)N DATE ( HEREOF, THE ISSUING COMPANY WILT. ENDEAVOR TO AIL. 20 DA VA WRITTEN hI:1 r rl:i. I I HC C.FRTIFICA re BOLDER NAMED TO THE Watsan Brook Road PR Box 074 EFT, BUT F TO MAIL. SUCH NOTICC SI4 CC' G E NO OBLIGATION OR Exeter ifH 43833 IAf#ILI r Y AN rN[7 N THE co Y. OR R PRIc SENTA� TIVC6. 1tii1 R USE IVr do o Igo dlT ` . " ;" _ . , r�l � '� r'�1 V ! ! Is5 DATE tirrt]D;YY) j ; - - - _ 2 /$ PRODUCER Lrt l ,[ I:,.A 1 r J,; UED AS A I'.1.:TTt, 1 OF IJ4;�0 I[•[ATION ONLY ANO C0i2FEiiS 3 - ':,�.:., , , a "e 4r .. 1 r sc CcI-ti I IFICATE NiJLllc-I'r. 1 HIS LLH F I F;Cr:TIE D01=� i4o r AwiENU, we Joseph McPhill3.pl�, riC r. 1:.:'l i=JL LI L7,`, :,LT 'H THE COVERAGi= Are Of:Dv` rSY THE FzGLICt;:.S iiELOri. S 20 Be Waahington Streat � - - _ ._— _ __—_ -- __ ___ . �k I o Glenn Falls, BY 12$[]1 CCJ.Ir' +� lul�S r.F=1=�,��Glrl� C0VERAG% LLI 1 2 -� Fire=entra Tnsuranoe Go1Rl k � I18UReU Ed & Thomas O'Connor r I3G . ., L=1;^[;F.I If ft�•,r.;i111F RdOibrook Road ----�. — a Glans Falljl# N.Y. 12801 Li: i I oiH ✓ �' THIS IS TO CERTIFY THAT POLJ CIT„} OF Is';URAf 1 Cl: L I.:] ED i:.LLu 4✓' 1 "V. ..,-:,N it".Qr!D TO TY[i !„i,,4�Ll FScD IJ:.a„,Z.D t' t ..^.vx: , ,j;. Yi rc pu—LICY Fri Rt00 IivDICATZ0, ,N0-f'wJTi-1STANU' .G ANY Rr`i.:ull-[e.h rlv l , 'i r_RM t;,i i ,,,, ,r,l I JC.. OI- .,r'•IY l.C; 41 vi;;C I "rl i 0Tr:i i-1i DOCUI.4' NT L.I I : l . _"rj_C f "C t3 SV rFI„r[ TM IS CEFK1-Ir ICraTt: h;AY 3 1 �I iiE i.4.'SUEl7 OR f.7.�Y i„rRTA{ti, f[ 1:,: ll�;,,Ors:.ryCE ,%,; L:i ,l,..c.. uY ThE VUL:Cir ci u:-Sco%ic � O hLN iLIN IS SUL)JEC F TO ALL Yt'rE ` LANIS, EXCLUSIONS, AND CONOI- !" I 3 TIONS OF SUCH POLICIES. a o TYPE Cr Ii .S 1RANCt rl.,ur Lxrirl„1 � k LTr� -'...,LIr„ r rIf. Esc'r: It 1r" r.vbk r ,' ALL LJNV11TS IN THOUSANDS 1# GEF:7,� LIABILITY 1ERCIAL CL NERAL LIAEiI ,iTY A CBP 60131'� 9/l1/88 9/11/$9]Gr. r � G L VG UGGT ,C C:7nS 1 f 1 4 .c— - - / A _. - --- ---- -- 5 . !' 1 saT 6rrlOctlLE LJArslr`LrY / — .— — .. .UTC 911/ E3 SI 11 89 s ,I .+LL G�"JYiEL7 AUTOS =PW41317 � � ..:.� SCHEODLEU :hU USIi;kfD AUTOS a i' ❑ARAGE LlAaiuIY ----- EXCESS LIABILITYn.�r[ � 3>, ► 3 000 7_ arrsFrl Tna�rJ urF:aRFLLA Eon+n # WORKERS' COMPENSATION r AND _jJVWI30 �3387 p/ 11/8p 9 11/V EMPLOYERS' LIABILITY AL.Fi.+.,[[aJL1 I:U,1k i :,:I f OTHER t - � ~. .� Dc.`S C,;.H IFTi[1 fJ 4F (JPEi'i.s,TiDtJSl LC]+::F:TiO�JS J VEHICLE.;: + : �i:: I'F,IC J'I-ri i:ir Sr__t;,,;L ITi:n.:,; 'r 1 xr: IA3G JAM PLAZk 1 J A"OVE Di SCRILFt6 PULJCJES 6f CANCELLED BEFOHE THE Ex- i Forrest Assoaiatlon I, Pi}lAT luf. D..] C THErICOE, THE J,`:`aUING COMPANY WILL ENDEAVOH fO q At't"; CIALut Fo I ,.J Al 0 u,-.'i S 1v.;JT TEN NOTICE 1-0 i-HC CcRTiHCATJv HOLDER NAMED TO THE � 105 HIsh Streeti Li !', U F PAILUFII4 TO MAIL SUCA NOYiCE SHALL 114iPOSE NO OBLIGATION OR I J ' Portsmouth N H ��y� ' s . . " # fl.7��1 .r LIABILITY Or ANY IF. V40 UPON THE CO,'.7PANY, ITS AGENTS OR REPRE°ENTATIVES- ._� I �fui �-7� Cananwili Consumer Discount Company Contract Number 500 Victory Road INSURANCE PREMIUM FINANCE AGREEMENT Manna Bay Quote Number North Quincy, MA 02171 Name and Address or Insured (Exactly as Shown on Policy) Name and Address of Insured's Agent f- . . t _ i . r . . . _ Policyholder Designation (Check One): Type of Agreement (Check tine): M NonmOuslnese ❑ Proprietorship ❑ New Indicate contract number of 0 Partnership 13 Corporation Q Additional Premium current pollcy being financed. SCHEDULE OF POLICIES +COVERED BY THIS AGREEMENT FOR POLICY NUMBER FULL NAME OF INSURANCE COMPANY TYPE OF TERM POLICY POLICY COMPANY AND INSUR& IN EFFK;MVE,DATE PREMIUM USE ONLY ADDRESS OF BRANCH REPORTING OFFICE ANCE MONTHS Mo. I Da I Year I I I i +I ! 1 I I I E I I I I i I CASH PRICE DISCLOSURE STATEMENT—PAYMENT SCHEDULE (Tots] Premiums) l I �l Payment Plan: Ct Monthly Q quarterly '❑ Annually --- First Payment Due Numberof Payments CASH PRICE DOWN CASH © AMOUN FIINANCET rIMANCIII D CHAitQlq PAY MENTS AL OF AMOFNT PKR40OUT L PAYMENT The amount of The dollar amount The amount you wilt have EACH RATE OIK credit provided the credit will paid when you have made PAYMENT The cost of on your behalf. coat you. all scheduled payments. your credit as a yearly rate. MAIL ALL PAYMENTS AND CORRESPONDENCE TO: other things,any gross returns or unpaid premiums and any payment on account of loss which CANANWLLL CONSUMER DISCOUNT COMPANY results In reduction of unearned premium. SW Victory Road, Marina pay, North Quincy, MA 02171 Default and Delinquency Charges: Agrees upon default in payment of an Installment for 10 1-800-523-,0719 days to pay a delinquency of such Installment of 5`fo or $5.00 maximum (personal lines only). (HEREINAFTER CALLED CANANW I LL) No maximum for commercial lines. Agrees that If a default results In the cancellation of the scheduled Insurance contract or Prepayments:The Insured may prepay the full amount due and receive a refund subject to a Contracls listed to pay a cancellation charge of 2% of the unpald balance due on the nonrefunda6fa charge as prescribed by law, agreement or $5.00. However, the amount If any, by which the charge exceeds $5.00 may only Security Agreement:The Insured $salons to Cananwill as security for payment of this note be collected If the cancellation becomes affective. For personal purposes, the cancellation all sums payable to the Insured with reference to the policies listed above, Including, among charge may not exceed 55.00. NOTICE: SEE OTHER SIDE FOR IMPORTANT INFORMATION The insured understands and agrees that the provisions on the reverse side hereof, are incor porated by reference and constitute a part of this agreement. NOTICE. 1. DO NOT SIGN THIS AGREEMENT BEFORE YOU READ IT, INCLUDING THE WRITING ON THE REVERSE SIDE, OR 1F IT CONTAINS ANY TOBLANKS. 2. YOU ARE ENTITLED TO A COMPLETELY FILLED IN COPY OF THIS AGREEMENT, 3, THE UNDERSIGNED UNDERSTANDS AND INSURED: HAS RECEIVED A COPY OF THIS AGREEMENT. All Insure¢& must atgn as named in policies. If corporation, authorized officers must sign; If partnership, partner should sign as such; signatory acting In representative capacity represents that all Insureds have authorized this transaction. By �,, . r (Signature of Insured) Date PRODUCER'S REPRESENTATIONS { The underalgnod agent has read the Insurance Producer's Representations on the reverse side and makes ail such representations and warranties recited therein. y .r c Date i r ' .. (Type or Print Name Under ISIanature) CW-888-MASSACHUSElTS Ed. 101W 1 �� f * _ ISSUE DAi L IMMrUUIti Y I 2/ 17/ 89 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, Len Whitney Insurance EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P . O . Box 357 COMPANIES AFFORDING COVERAGE Dover , N . H . 03820 COMPANY A LETTER Aetna. Casualty & Surety COMPANY I3 INSURED LETTER Clinton Forest I?BA COMPANY Clinton Forest Associates LETTER �+ 105 High Street COMPANY D Portsmouth , N . Ii . 03801 LETTER COMPANY F LETTER • THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN IS SUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INOIC ATE D. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONUI- TIONS OF SUCH POLICIES. CO POLICY EFf ECTIVE POLICY EXPIRATION LIABILITY LIMITS IN THOUSAND LTR TYPE OF INSURANCE S POLICY NUMBER DATE IMWDENY3 DATE IMM I)IMYY! EA H OCCURRENCE AGGREGATF GENERAL LIABILITY BODILY A X COMPREHENSIVE FORM To be assigned 2/17 /09 2 / 17 /90 INJURY $ $ X PREMISESIOPERATIONS pRpPERTY X EXXPPU61OONN&COLLAPSE HAZARD DAMACsE $ $ X PRODUCTS/COMPLETED OPERATIONS X CONTRACTUAL al a Fro COMBINED p 0 0 r $1 , 000 X INDEPENDENT CONTRACTORS X BROAD FORM PROPERTY DAMAGE aSnNALANJURY PERSONAL INJURY $1 r 0 0 0 , X Hi red & 1Vanok rLe AUTOMOBILE LIABILITY ---�_ apply INJURY ANY AUTO +.PER d'ER9pNl $ ALL OWNED AUTOS {PRIV. PASS I gpplr ALL OWNED AUTOS (OTHER THAN) INJURY PRIV PASS ! IP '1 '��Nn � HIRED AUTOS PROPERTY NON-OWNED AUTOS DAMAGE $ GARAGE LIABILITY BI 6 PD COMBINED $ EXCESS LIABILITY A X UMBRELLA FORM To be assigned 2/ 20/' 89 2 /20 /90 coMPDED $2 or000r $2 r 000 r OTHER THAN UMBRFLLA FORM STATE,}TpRY WORKERS' COMPENSATION �i (LACH AC:C:II 1 N I I AND $ (OISFA;SI M ICY 11V:TI EMPLOYERS' LIABILITY - $ IDtSEASE-EACH EMf� `r l raTi•lEFi �--.. DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESISPECIAL ITEMS Certificate Holder is also named as an Additional Insured tilllle Creek L7e Ve1C7 eTnent r Inc . 'SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- Wiley Creek PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO t++]'a"on Brook Road MAIL 10 DAYS ITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE P . O . $O]C 1070 LEFT, BUT FAI MAILS H NOTICE SHALL NQ QBLIGATIQN QFI LIABILITY OF ANY kIN HE CO NY MT9 1PFCENTA71VE5. �,`xeterr NrH . 03633 AUTHORIZED _SENTATIV t -" ! % _ s - r ra r - ■ • ' r r orISSUE GATE {MM1DLPYY} _ 2/ 17/ 89 PRODUCER THIS# CERTIFICATE IS ISSUED AS A MATTER OF 114FORMATHDN ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE #+OLDER. THIS CERTIFICATE DOES NOT AMEND, Len Whitney Insurance EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, P ' ' B"" 357 Dover , N . H . 03820 COMPANIES AFFORDING COVERAGE COMPANY A LETTER Aetna Casualty & Surety COMPANY INSURED LETTER Clinton Forest DBA COMPANY Clinton Forest Associates LETTER C 105 High Street COMPANY Portsmouth , N . H . 03801 LETTER D COMPANY E LETTER r THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDI. TIONS OF SUCH POLICIES. C4 POLICY EFfECTNE Pox ICY EXRRAnoR LIABILITY LIMITS IN THOUSANDS LTR TYPE OF INSURANCE POLICY NUMBER DA7E CMM+DDr'M DATE IEXPIRATIO EACH wGG OCCURRENCE aaE.r?wrf GENERAL LIABILITY LY A X COMPREHENSIVE FORM To be assigned 2/ 17 /a 9 2 / l 7 / 9 0 II URY $ $ X PREMISESIOPERATIONS PROPERTY UNDERGROUND DAMAGE $ $ X EXPLOSION R COLLAPSE HAZARD X PROpUCTSICOMPLETED OPERATIONS X CONTRACTUAL 6I a PID 0 BI $1 0 d 0 , $1 , 0 0 0 , O r X INDEPENDENT CONTRACTORS X BROAD FORM PROPERTY DAMAGE X X PETFSONAL INJLIFIV PERSONAL INJURY $1 , 0 0 0 ed r Hir & Nonowne AUTOMOBILE LIABILITY 91YIIIY INJQRY ANY AUTO IPFR PERSM $ ALL OWNEO AUTOS (PRIV. PASS.) MOLLY OTHER THAN) INJURY ALL OWNED AUTOS PRIV PASS I OR ACC'1DENI'I $ HIRED AUTOS PROPERTY NON-OWNED AUTOS DAMAGE $ GARAGE LIABILITY COMBO - COMBINED $' EXCESS LIABILITY S A }{ UMBRELLA FORM Tp bB assigned 2/20/$ 9 2/20/9d BSI4, P" O $2 r 00 '0 r $2 r 000 . OTHER THAN UMBRELLA FORM SIN WORKERS' COMPENSATION STATUTORY AND is {EACH ACC"4fNTl EMPLOYERS' LIABILITY $ IDISFASF-POLICY LIh+IT) $ (DISEASE-EACH EMPI-I'-vF OTHER DESCRIPTION OF OPERATIONSILDCATIONS+VEHICLESISPECIAL ITEMS Certificate Holder is also named as an Additional Insured r r s . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- Wiley creek L7evel©dement , Inc PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO Watson Brook Road MAIL 10 DAYS ITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE P . O . Box 1070 LEFT, BUT FA I AM S H NOTICE SHALL I NO OBLIGATION OR LIABILETY OF ANY KIN HE CO NY OE 7 P SENTATIYES. Exe ter r N . H . 03833 AUTHORIZED SENTATIV