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1987-643 CERTIFICATE OF OCCUPANCY � TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK � 7 Dace October 11 , 19 89 l lox j This is to certify that work requested to be done as shown by Permit No. 87-643 l has been completed. one Family Dwelling I"his structure may be occupied as a I Location j George Polunci C?avner r By Crder Town Board I 'TOW`N OF QUEENSBUilY I / Director of Bldg. do Code Enforcement I i BUILDING PERMIT � TOWN OF QUEENSBURY No. $7-643 WARREN COUNTY, NEW YQRK N George Polunci & Dan Danahy f- 1 PERMISSION is hereby granted to I C7' Lot 46 Laurel Lane (Glendon Ridge ) OWNER of property located at Street, Road or Ave. �` One-Family dwelling in the Town of Queensbury, To Construct or place a at the above location in accordance to application together with plot plans and other information he filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. Cj r2CONTRACTOR WNEWSAddressis ]'yD 1 1 $2B *s Lady Slipper Dr . Queensbury , N . Y . 12$01 0 0 or BUILDER'S Name n w� Same x 3. CONTRACTOR or BUILDERS Address t� w 4. ARCHITECT`S Name r F7. PLANS CHITECT'S Address o n rr m .� � rn s� 0 w r G. PE of Construction - (please indicate by X} w { wood Frame ( } Masonry { ) Steel { } arc � m r w and Specifications rD No 70 ' x 361 per plot plan , specifications and application including septic system, driveway permit , attached two car garage . 0 s. Proposed use One-Family dwelling m l 9 w w $S . O© C 0 04 129 , 00 April 1 , 19 $8 $ _ PERMIT FEE PAIi? - THIS PERMIT EXPIRES , (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queanstwry before the expiration date.) r- 23rd Clay of Sept . 19 87 rm Dated at the Town of Queensbury this f� L r+ /;� !�' -dg:0-1 w-vt./ for the Town of Queensbury SIGNED BY Building and Zoning Inspector lezloe TO BE COMPLETED BY BLDG . DEPT _ C)ebl'y OF .il} vSr�laiiF c� Application No . k _ /'own o/ Queen3t"ry Permit Issued 19 l�7 1�} Li BUILDING and ZONING DEPARTMENT Permit Expires lg �� Bay and Haviland Road, R.D. 1 Box 98 zoning Designation Queensbury, New York 12801 Variance No . site P n Review a . BL1[LCit1C Fxe ,C!C { 3E I7Ela; Appr ed b l APPLICATION FOR BUILDING AND ZONING PERMIT m* 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 : Ji ic Ile Tel . l� J� li P . O . Address Tax Map Property Location . numbe c7w� E +Gld Street number or building lot ,�1 ., .�1� Subdivision name ( i I f applicable) � C e ivr AIL f l THE PERSON RESPONSIBLE FOR SUPERVIS1014 OF WORK AS REGARDS BUILDING CODES IS : Na e P . O . Address 11, Tel No . C� 3 �JC.t *'K. C Address Tel . Name o£ builder Tel . Name of plumber Address Name of masonC� ��. -C � V Address ►v Tel . NATURE OF PROPOSED WORK : * ZONING INFORMATION : X.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 t . Existing building ( s) Size t X ft . * PROPOSED BUILDING AND USE : * Existing building ( s ) Use Size of new structure =2 y�ft X twI * distance from property line Foundation-pier/ slab/crawl/partly fu1 Proposed building , * ft (circle one) Front yard P.P.P.P.P. Rear yard gd * ft No . of stories (habitable space) * Side yards #ift and Height ( grade to ridge ) ft . * If on corner , setback from side street '.x6aft If residential , no . of families ws,� * OCCUPANCY INFORIATION Now of rooms ( excluding batths ) . No. of bedrooms * PRIMARY BUILDING No . of bathrooms ' One family dwelling Primary heating system� . e SO ICE► * Two family dwelling Type of fuel 11 Multiple dwelling / Number of units * No . of fireplaces to be installed permanent occupancy Will a wood stove be installed? s/ 0 * Transient occupancy Central Air conditioning? * Business BUILDING STYLE, PRIMARY STRUCTURE ,Industrial Other nch Contemporary Log cabin * If addition , what will use be? sed ranch Mansion Duplex Split level Old style Bungalow ACCESSORY BUILDING- Cape Cod Cottage Other 'Town House '� Detached garage/one car/ two car/ �._,car Colonial Row * car CIRCLE ONE PLEASE } ( ^yAttached garage/one car/ two car * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF * Other x- CONSTRUCTION $ w,J `O �. .�._ - _ - _ - _ - INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET . To BE COMPLETED ! Form BPA 4/85 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS * Type of construction , wood frame , fire safe , etc . , yn ,p Will any second-hand or ungraded lumber be used? If so , for what ? /�JG►? Foundation wall material PD ,>,C4 Ond!�n&M* Thickness_ ••�`, Depth of foundation below grade (to bottom of footing • Will there be a cellar? Heated or unheated? or sq. footage / q f t Q s Will there be a basement? Will any portion be used as living space?_ ( I£ so, what Portion? __sq. ft . - - Type of use? Type of roof �lo ed lat/shed/other Material of roof Size , wood studs Z. "X^ �" spacing_�/�f.�,. ,"o . c . length ft . .7 olsts ( floor beams ) lst . floor 2 '"X !o " spacing__Z�"o . c . span_/&ft . JOIsts ( floor beams ) 2nd . floor "X " spacing "'o . c . span ft . Overlays (cei.ling beams ) "X „ spacing "o . c . span ft . Roof rafters " ?{ " spacing o . c . span ft . Roof trusses (pre-engineered) spac ' ng + "o . c . span_j&.ft . Exterior wall finish Of what material? �jr " Interior wall Finish _ tf 7ru r_ s if a gara is to be att ched ,f describe ,materials to be used for FIRE SEPARATION : EWAl,E.tlfL�rFL- Is there to be an opening between dwellln and garage g g?. .a,. 3 If so will a Fire-rated door . enclosure , and self-closing device be provided? Alt, 5 Will a flue-lined chimney be installed? _ Height above roof 43 ft . Depth of chimney foundation below grade_. ''¢_`ft . Depth of fireplace hearth'Zft , 4:p in , Water supply - Municipal or private well 01"Me'.•yp SEPTIC SYSTEM _ Distance from ANY private well ( incl ding adjoining properties Ft , (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury T T1 %V 1 I County of Warren A F F 1 D A T STATE OF NEW YORK I swear that to the best of my knowledge and belief the statements contained in this application , together with the plans and specifications submitted , are a true and complete statement of all proposed work to be done - on the described premises and that all provisions of the BUILDING CODE , THE ZONING ORDINANCE , and all other laws pertaining to the proposed work shall be complied with, whether specified or not , and that such work is authorized by the owner . SWORN TO BEFORE ME THIS Signature ,! Owner , own is agent , arcnitect , contractor ,Ae day of 19 Notary Public , Warren County, N . Y . SPECIAL CONDITIONS OF THE PERMIT : a By TOWN OF QUEENSBURY WARREN COUNTYr 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 : ))/f �� � / 1 . Gross flour area /[d !,/�� 2 . Type of heat �dTG' 4LA /T0 `l' 3w is the building mechanically cooled ? E? 'S 4 . Percentage of area of windows and doors Z ■ [ !C► 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 ? 4w 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_ r 30 2 . R value of exterior walls 3 . R value of glazed area + 3 4 . R value of doors ' /7r9 5 . R value of floors over unheated spaces ,� ,/I 6 . R value of slab edge insulation - unheated slab I � RS 7 . R value of slab insulation - heated slab, /Y • 9 . 84 R value of heated basement/ cellar walls ( above grade ) �a * 9 . R value of heated basement /cellar walls ( below grade ) 1004/ 10 . Type of insulation C . Controls it 4 1 . Thermostat maximum heat setting 50 D . Duct Systems 1 . Is duct system installed in unheated spaces ? YES a . if YES , R value of duct installation b . R value of duct in other # reae -." sr piping 1�0'@Ujatlon ;/ u le size of hot water or cooling carrying agent pipe �....;G 2 . R value of pipe insulation e> F . Service Water Heating +y 1 . Performance efficiency '�/p - -- 2 . Temperature control setting maximum G . For Swimming Pool Onl 1 . Maximum heating Telephong No . ( app icint ' s signature ) w4w varn4"Qe46^d&Wy APPIACA17ON FOR SEPTIC DISPOSAL PERMIT DATE - / SZ.1._ LOCATION OF PROPERTY FOR INSTALLATION c l e vi Ili n, At Owner's Name: ( ft-) r�G � L4, k3 f4 i Telephone: Address: ? z I ? ] J o %/ �er r. C, �„a .S '�c, 1 e,5 <4 ra► 12,?G 1 Installer's Name: Dex, V � 4 cf Li �Ly A_ Telephone: Number of bedrooms (residential only) Total daily flow (compute Cd 150 gal per bedroom) S C� Topography: circle one: Flat Rolling Steep Slope % of slope $� Soil Nature: circle one: Sand Loam Clay Other / Depth: feet Gaaund Water: At what depth? Q,� feet Bedrock or Impervious Material: At what depth? _ feet Percolation test: circle one: not required required / rate min. inch. Domestic water supply: circle one: unicipa ` Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption ZvoAA feet PROPOSED SYSTEM: Septic Tank gal. (minimum size: 1 ,000 gal.) f TILE FIELD: Each Trench �, C► — feet / Total system length .2 j / feet SEEPAGE PIT(S) : Number of / Size each N A: ^ feet by IVA 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 Z.) 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 $ZSO.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: 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 5own OQu aGF (+'i i 4/u Y I f' •" !" 'ya..` r if!/ QUJCV S-BURV TOWN OFFICE BUILDING - .. F •�►r wrio rswvir.xkc wa�,as. w. o. HT'" HWAY c1.61w�a +rAua, " cw VokKo fZOO 31r;oaxXZCX3 "nxXX3CXX 0&QpV CDa.K FfI +GiF1wAY ath7' . } +� i . 777 DRI'VEkAY PERMIT APPLICANT : ,ADDRESS C^o► A tr_ rs'wr .ems Lt re 1 r +#./ Mc4 eta be insr+ected) MAILING ADDRESS , r� 4 r a 1 L. r �y,��[ C/- Al 4 t/ K 2 8 1 The Superintendent of Highways . Town o�nsbu x^y , has reviewed the appliaatiOn of the above named president to ccnnect a driveway to the Toren ;road . The following action has been taken : i Preliminary Approval ( to be 'followed bO Y "Final Approval " ) ( ) Final Approval Granted t I. ReJ ected size pipe to be used ( if necessary) ( ) 6 " ( } S « ( 1G " t f 12 " { ! 24 " I f 36 r r DATE ; Paul 990 Nay ar • Superintendent of Highways Town of Queensbury SITTI. rb . . �iemDir rtr IJATiIr a nrAirr o - - TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY Sa HAVILAND ROADS QUEEN.SBURY, NEW YORK I2804- TELEPHONE (518) 792-58.32 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED E �NAM LOCATION DATE � /�,. -z/ PERMITlEL , �F �T v - APPROVED YES NO FOOT.ING/PIERS MONOLITHIC POUR FORMS FOUNDATXON/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING ; FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES STEPS ,STAIRS-CLEARANC & RAILS PLUMBING FIXTUS/RELIEF VALVE INTERIOR TRIM/.PRIVACY DOORS FINISHED FLDOFjS 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: r INSPECTOR TOWN OF QUEENSBURY `1'�' 1, BUILDING AND CODE'S DEPARTMENT DAY & HAVILAND ROADS OUEENSBURY, NEW YORK 1280!& TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED — off NAME LOCATION 7 DATE �`. ` �J / PERMIT # �1 / <21 APPROVED YES NO FOOTING/PIERS MONOLITHIC POU FORMS FOUNDATION/DAM PROOFING BACKFILL APPROV .ROUGH PLUMBING FRAMING ELECTRICAL ROUGH- TNSULATION: FOUNDATION FLOORS WALLS CEILING L `PTNAL INSPECTION: 'T cy CH1'MNEY HEIGHT ROOFING SIDING EXTERNAL PORCHESfST STAIRS—CLEARANCE & y PLUMBING F'IXTURESELI VALVE INTERIOR TRIMfPRI47ACY FINISHED FLOORS s �.- GARAGE FIREPROO ING DOOR CLOSER (S) .r SMOKE DETECTO FINAL ELECTRIC INSPECTION FINAL APPROVA OF CONSTRUCTS Y, A SIGNED CER TFICATE OF OCCUPA Y MUST BE OBTAINED FR THE BUILDING DEPA MENT BEFORE THESE PREMTJ S ARE OCCUPIED!' REMARKS: / r/lJ, Ile el2� Wiz; ` / INSPECTOR THE MEIN YORK BOARD OF FIRE UNDERWRITERS � } i 1 i BUREAU OF ELECTRICITY 41 STATE STREET, ALBANY, NEW YORK 12207 U + Date i ' i i i ? 1 Application :Vo. ore file. , <: ] r, , . '' THIS CERTIFIES THAT only the electrical equipment an described below and intradraced by the appllearst narssed an she abowr epplidstion number in this prernseee of I F ''. � - I" 1: i. in thefolloal location, Basement ❑ lat III ❑ 2"d Fill. section Block Lot i was examined on andfound to be in compliance with the "uirementa of this Board. MIX u S E1•TA �' S1IYITCHES TUBE MIXTURES RANGES COOKING DECKS I OVENS OfSM WASHERS EXHAUST FANS INCANDeWANT FLUMISCENT OTHER AMT. K. W. AMT- K. W. AM7. K.W. AMT. K, W. AMT. N. P. DRYERS FURNACE MOTORS FUTURE APPUTANCE FERoull SPECIAL MC"FT TK MR CLOCKS EErL UNIT MEATERS AUXT143UTM DMMµM wMT. K. W, pt rl. P. GAs N, r. AMT. No. A. W. O- Al AMP. AMT, AMPS. TRANS. Al 41. P. SYSTEMS NO AMr� wxrrs . OF FRET 1 SERVICE OfSCONNECT No. of S E R V I C E AMT. AMP. TYPE 1 „a' 4W T IIr avu 3 X 9W 3/r aW NO- OF CC. CONP. A. W. G. IV6. of l46lEG A. w^ G, No, GF NEUTRA4,S OF NEL!RAt PtR +► OF Cc, Willi OP HI-IEC. 3 OTHER APPARATUS: r 1,' , i•r �i.. ;. i it � - A ; Jig il Iliu {' } i , ,. -. -1' 1: f, }i I- . i }•. is .". : . � i ` 1, _ f . BRANCH MANA[3E.R 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. TH35 COPY OF CERTIFICATE MIDST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBURY BUXLDXNG AND CODES DEPARTMENT .BAY & HAVILAND ROADS QUEENSBURY, NEW YORK I280k- TELEPHONE (5I8) 792-58.32 BUILDING INSPECTOR ' S REPt7R REQUEST E77 2N ECTION REC$XV D NAME �45 LOCATION cy z Itef lei DATE r PERMIT # 67.7 V y;`' f y APPROVED YES NO FOOTING/PIERS MONOLITHXC POUR FORMS FOUNDATION/DAMP—PROOFING BACI(PXH APPROVAL. ROUGH P MBXNG "— FRAIMTNG ELECTRICAL GH—IN XNSULATION: �- FOUNDATION - � C � r FLOORS WALLS CEXLXNG FINAL XNSPECTXON: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/S PS STAIRS—CLEARANCE & RAI PLUMBING FIXTURES LIEF VALVE INTERIOR TRIM/PRX AC FINXSHED FLOORS A GARAGE FIREPROOF NG DOOR CLOSER (S) SMOKE DETECTORS .INAL ELECTRICAL INSPECTION IMAL APPROVAL CONSfiRUCTION A SIGNED CERTI TCATE OF OCCUPANCY MUS BE OBTAXNED FROM HE BUILDING DEPARTMENT B ORE THESE PREMISE ARE OCCUPIEDf s f e r✓,fir t yl . /+ ' 01" ; A rri ";.o // WhA el 7 flown own o f Queen ,sbury /y ` BUILDING, and ZONING DEPARTMENT 1 Bay and Haviland Road, R.D. 1 Box 98 .oq�P,a Oueensbury, New York 12801 � � • FLDING INSPECTOR ' S REPORT N ME LOCAT I ON 0 � ,-y Date �/4 Permit No . ✓ = APPROVED - 'YES NO Footing/Pier Forms Foundation Waterproofing Back f111 Framing Roofing Siding Masonry Vene r �gh Plumbin Relief Valves Ext , Porches Finished Floors ,interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar _ Fireproofing Door Closers Smoke Detectors Chimney _ .. .-..._ _._. ,X SULATI€ N 4' Foundation f V // 6 Floors Walls Ceiling ' FINAL ELECT CAL I S E TION DRIVEWAY AP ROYAL Final Sufi ng Survey Next scheduled inspection (call when ready Remarks- ,r 40 ,�, Building Inspector 6j8+6 and-vl .ltiufrl 0/ Queenshesry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME77 LOCATION Date Permit No . _�� Ile' APPROVED YES NO Footing/Pier Pier Forms Foundation Waterproofing Sackfill Nramin Roofing Siding Masonry V e er Rough Plum ' ng Relief Valv Ext . 'Porches Finished Floor Interior 'Prim Stairs & Rail in Cellar Drain T ' e Concrete Floo s Plbq . Fixtur s Gar _ Firepr fing Door Closer Smoke Dete tors Chimney INSUI,A'I'IG] Foundatio Floors Wal7.s ceiling FINAL 1:Ll-: 'T'RICAL INSPECTION DRIVEWAY APPROVAL Final 'Building Survey. Next scheduled inspection ( call when ready ) Remarks- Building Inspector G/€ 6 and-VI ouirt a/ upens6ure� 40000 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 88 Queensbury, New York 12801 SEPTIC ISPOSAL SYSTEM INSPECTION NAME ! �` LOCATION /�X1 wry c ,�•� I7ATE/�! Zj��trc] PERMIT lvo . '` SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEMS ; Absorption field , total length Length of each trench Depth of tre ches Size of grave SEEPAGE PITS er of) � Size- _�I ft. -�l ft. Gravel size PIPING : Si fType r Bldg _ to tank Tank to dist . box y Disto box to field Openings sealed? Partial LOCATION/SEPARATION s Foundation to tank Foundation to ahso tion ��ft. Absorption to lot ine ft . Separation of pit f] ft. .FrOM� OF SYST ON PROPS TY (circle one ) front - Rear - ft side - R ght side - TS : SYSTEM USE APPROVED EfC S NO Buil ' g Inspector 01/86 and vl awn o/ Queeny6urry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Clueensbury, New York 12801 BUILDDIN/G} INSPECTOR ' S REPORT NAME /_ gL LOCATION Date) Permit No . ✓ = APPROVAL) - YES NO �I'FC>otingfPier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior 'Trim Stairs & Railings Cellar Drain Til Concrete Floors Plbg . Fixtures Gar . IIreproo ing Door Closers Smoke Detec rs Chimney INSULATION Foundatio Floors walls Ceiling FINAL 'ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready ) Remarks- .^ /if Vv�"TH I Ice cmz -J AJ f I -- Bu 1 ing Ins ecta 6/86 and-vl tol /of j ? 30 Dawn 0/ Queens6urc� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BIJ IN I N',�PECTOR ' S REPORT NAME LOCATION 67( Posat L�.7 f—a.0 Permit No 7 ✓ = LOP APPROVED - NO Pootin /Pier Forms Foundation Waterproofing )<aackfill Framing Roofing Siding Masonry Vene r Rough P1umbin Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproof ' g Door Closers Smoke Detect rs Chimney INSULATION Foundatio Floors Walls Ceilin FINAL LECTRICAL INSPECTION DRIVEW Y APPROVAL Final uiiding Survey Next scheduled inspection ( call when ready ) Remarks- le Buildi Inspector 6/86 and-vi BUILDINfii DEPT. DOPY OF APPLICATION FILE FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS. THIS COPY WITH BUILDING DEPT. WHEN REQUIRED. P. A DATE CITY OR VILLAGE I 1 STREET ANDIII 1110 , NO OR {f TOWt�►SFrrP f !�."! i.. / s COUNTY +Y •..J' 1.f yf y fs . ROAD ANbRMiAT TIIWp .: ' ' ^�. ' ✓I Lr' /r i' PREOr SS STREETS 1$ �� ! j i NO. OCCUPANT $ + i �' NAME OWNW 5 BUILDING 8 ER K L OOCUPANCX AND ADDRESS J.. Yc• . SUPPlIEOr i x 4{ ✓7 Y,jrr .., a'7 r TEL. SU ii r BUILDING '{'�. "sT� FROM THEIR /� f Yrr -.� NEYW,ICti f� `•7 '^( OFFICE is L.J " NEW AL EQIjiN� ADOr T,:IONAL.O REMOVES ❑ IFfV�T YYHICtr YOI.I rN TPiLL EMI NUKIEWR OF OUTLETS NII s I - _ �� . L'b� MOTORS I HEATE'RS� � 'f�IRgJIC" crony w At4th•t T$ OFFICE USE f RaayTt SN*bd Fandant .NaT+ P '" ` Aw.G. ONLY oI No" Ea No. INSPECTION dd ,at Fl. � AM FI r � 3rd FL REMARKS: LIST OTHER ELECTRICAL OEVACEIS NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. This you One �otl�i� p x�"� cover Ma above-listaed ecluiP*Mont to be inaP+r:•tod but it at KnM of i rlbPoe7ian and tMljxrat the fM to Mwr the additiond ^rPrction Ih" Is found odditiorrat MAIN SIZE F . ..'` a'4olPxn�M, as pnent dad by thisaPpriraM, 'WuiPxrtant not above !"vax.d, $ % "J ELECTRIC SIGN CHARACTER FEEDERS LAMP$ TOTAL OF WORK '=� WATTS 'f 0 . .~ : l .e /. EXPOSED GAS TUBE SIGN WORK TO BE f ` CONCEAL TRANSFORMERS OF STARTED _: a •;! lNlaIMIIERI VA SERVICE OVE RH AD CO�irPLETEb i - 7 St2E OF SIGN (CAPACITY) ENTERS UNIONS ROUND t DI MAKER rNSPECTION tIEOLIESTED OF SIGN ON OR AS NEAR AS AVOIDOE L^y BY GIVING FULL AND ACCURATE IN OR MATI Olt, ALL $PACES NEW Q OLD MUST BE FILLED 114 OR APPLICATION MAY BE RETURNED.PRINT NA AND ADDRESS DATE OF ,r APPLNAMEtC^NT ' ' • P`' (-' �- ' - 4PPLICATIO C . SIGNATURE f STREET ADDR ES6. f f / OF APPLICANT / ' f f� s' r CtTX OR .' "' ,r// ^ ' - .- �f "f' TELEPHONE POST OFFICE ,fi' ZIP + -DF/ YMk1E -te CO `" �'' LICENSE NoI Cil►BLE r_r - +c EL (Itt-v. r/eaa A SEPARATE APPLICATIONMIDST BE FILED FOR EACH SEPARATE BIJiLDI'IG . e N to L O"T 4 6*N1P6N IbG�\�FUB&/"ION 6 54�5,,SQ, FT 7Z- MAP OF A SURVEY MADE FOR STEPHEN F. & NANETTE L. HOWARD ✓ TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK SCALE : I" - 30' DATE : JUNE 23 , 1987 VanDusen Steves LAND SURVEYORS,GLENS FALLS,NEW YORK N.Y.STATE LIC.NO.35617 8