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1987-648 ' w i w CER "TIFIC ATE +CIF OCCUPANCY' TOWN OF +QUEENSBURY WARREN COUNTY, NEW YORK u DateFebruary 16 , l9 tf �8 � Thia is to certify that work requested to be done as shown by Permit No. F7-649 f I has been completed. This struct l er be occupied as a One Family Dwelling turk 'lam• Laurel Lane Clandon Ridge Location Owner David Miner i By Order Town Board f TOWN OF QUEENSBURY 1 { 3 Building & Zoning Inspector MOONS L � z BUILDING PERMIT TOWN OF QUEENSBURY � . No. 87-648 � WARREN COUNTY, NEW YORK =C5 PERMISSION is hereby granted to David Miner OWNER of property located at Lot # 7 Laurel Lane Clendon Ridge Street, Road or Awe. !, in the Town of Queensbury, To Construct or place a One—Family Dwelling at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. C7 su C t. OWNER'S Address is Box 219A RD 3'6#3 Luzerne Rd . Queensbury , N . Y . 12801 m rs 2. CONTRACTOR or BUI LDE WS Name Dan Harvey 3. CONTRACTOR or BUILDER'S Address t� f7 rt Bay Road >ti Glens Falls , N . Y . 12801 r� 4- ARCHITECT'S Name rt ro N r w 5. ARCHITECTS Address m CO.) 1-4 CD 6. TYPE of Construction — (Please indicate by X) R. 0 OUWood Frame i ) Masonry I ) Steel W O. 7. PLANS and Specificationsm No. 38 ' x 37 ' per plot plan , specifications and application including S. Proposed Use One—Family- Dwelling rc $5 . 00 C/o 1 $ 110 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES April 1 , 1988 r• (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) C Dated at the Town of Queensbury this 25tb Day of Sept . ;y 87 R4 SIGNED BY � ' for the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG . DEPT . rOWN OF /■ Application No . � �fL�3, 4L� ���� 4� Yr ouv►e oisa�en si�ltrl Permit Issued 19 I'I ` L1 L 11 BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation SEP 1 U 7 Oueensbury, New York 12801 Variance No . Site P n Review F' -" •"�� ,x, CCfL? �Y• . '� Appr e �- - • A � r ' i' '' '""i. /I/S~ J { 111 APPLICATION FOR v 66 FjUILDING AND 70NING 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 isx \ 11f �. P . O . Address =1A '21Cs0, Z l Te3 . �43 - � �1 `� � Property Location : "C ` ; ..1 +p►�Y !w'? `� +- y� r��L ` Tax Map No . Street number or building lot number fyr. Ak ,F r Subdivision name ( if applicable) ka -- THE PERSON RES ONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : 1.3 �c, offilr Name P . O . Address r ,r Tel . No . Address Sy # 33 C� 7; Tel . '79z �4:;P84 Name of plumber i �U ! — �—"-- Tel . Name of builder FJ -f � Address Name of mason Address y Itccr . Tel . "7 - C7 NATURE F PROPOSED WORK : * ZONING INFORMATION : Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED , _Addition to a building * drawn reasonably to scale and attached hereto , Alteration to a building * showing clearly and distinctly all buildings , � (no change to exterior dimensions) whether existing or proposed and indicate all Other work (describe) * set-back dimensions from property lines . Give * street and number or lot number and indicate whether interior or corner lot . Show location FOR DEMOLITION PERMIT , STATE SIZE AND * of water supply and location and configuration LOCATION OF STRUCT S AFFECTED . * of septic disposal area . COMPLETE INFORMATION REQUIRED BELOW . Size of property n. ft X '�S� ft . * Existing building )sSize ft X Pt . * Aolaov PROPOSED BUILDING AND USE : * Existing building ( s ) Use Size of new structure R8 ft X....2.71.. ft Foundation-pier/slab/crawl/partial, ull Proposed building , distance from property line (circle one ) Front yard St7 ft Rear yard �CiCD ft No . of stories (habitable space) ft and 0 ft ft . Side yards w ---� - Height ( grade to ridge? 2 If on corner , setback from side street r� ft If residential , no . of families .� No , of rooms ( excluding baths ) " * OCCUPANC 6 Y INFORMATION * No . of bedrooms * PRIMA Y BUILDING - No . of bathrooms A## X3 J, ne family dwelling Primaryheating s s m „ .Nf' g �' .....�� Two .family dwelling Type of fuel * Multiple dwelling / Number of units No . of fireplaces to be installed rrr ��l * Permanent occupancy Will a wood stove be installed?_ * Transient occupancy Central Air conditioning? Business * BUILDING STYLEj. �TURE * Industrial * Other Ranch Contemporary g cabin if addition , w t 11 use be? Raised ranch s�a z� Duplex " Split level Old style Bungalow Cape Cod Cottage Other ACCESSORY BUILD Colonial Row Town House tached garage/on car/ two car/ _car ( CIRCLE ONE PLEASE ) * ttached garage/ a car/ two car/ � * * * * * * * * * * * Private star e ilding _ ESTIMATED MARKET VALUE OF * Other CONSTRUCTION $ - 2!6 INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED ; Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , world frame , fire safe , etc . Will any second.-hand or ungraded lumber be used? if so , for what ? Foundation wall material Thickness Depth of foundation btt/shed/other ade (to bottom of fo ting ) i Will there be a cellaHeated or unheated? �� Floor sq. footage sq ft Will there be a basemWill any portion be used as liv ' g space? ( If so , what port. ? sq. ft . - - Type of use? Type of roofs Material of roof Size , wood studs._.�'X_ to spacing/ + " o . c . length eft . Joists ( floor beams ) lst . floor y "'X / 0 "' spacing__ l& "o . c . span ft , Joists ( floor beams ) 2nd , floor 'Z "X -_Q-_'" spacing �(e "o . c . span / ft . r � Overlays ( ceiling beams ) _ `s "X �" spacing_ 000 . c . span ft . Roof rafters "X� or spacing / , o . c . span__,/�___ft . �Ginri�vz c+o+ C � k1aa E:Ar Roof trusses (pre-engineered) spacing 42. "0 . c . span Z.02.. ft . lr;�� t.x.G !T6S1 S Exterior wall finish /IX6 6&r Ry7f what material'> me'µ" coca Interior wall finish onoomP G If a gar ge is to he attached describe matey ' is to be used for FIRE SEPARATION : Is there to be an opening between garage and dwelling? %,�S If so will a fire-rated door , enclosure , and self-closing device be provided? / Will a flue-lined chimney be installed? Height abou roof ^T� 3 ft . Depth of chimney foundation below grade ft . Depth of fir Mepl th ft . in . } �"A = Water supply unii a c or private well � �� ~ [ � a� Fti_.ct. �r4? SEPTIC SYSTEM _ Dmstance from ANY private well ( including adjoining properties ft . (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury County of Warren A F F I D A V I T STATE OF NEW YORx 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 c led or not , and that such work is authorized by the owner . � SWORN TO BEFORE ME THIS Signature _Owner , owner ' s agent , arcnirect , contractor day of 19 Notary Public , Warren County, N . Y . * * * * * * * * * * * IF * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT : 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 : / 1 , Gross floor area / G� 4 ++ 20 Type of heat �f 3 . Is the building mechanically cooled ? 4 . Percentage of area of windows and doors A . Over 16 % Only 10 U value of gross area of walls , roof/ ceiling and floors exposed to ambient condiVOns 2 , Floor overP ce ES NO a . Are fo1 s irfs fated ? YES NO 1 , if a value ? 3 , Slab on gr INO a , If YEShe R value of insulation around perimer ? 4 , is basement treated ? YES NO a . R value of insulation 5 . Type of insulation Fs , Under, 16 % Only 1 , R vaLILe oE ro ^ -F and floors exposed to ambient conditions. 2 . R value of exterior walls 3 , R value of glazed area - C� +'�� �f✓ N + 4 , R value of doors 5 , R value of floors over unheated spaces /v . 6 . R value of slab edge insulation - unheated slab 7 , R value of slab insulation - heated slab so R value of heated basement/ cellar walls ( above grade ) 9 . R value of heated basement /cellar walls ( below grade ) _!�_ 1� ►"'T „ 10 . Type of insulation 6 G . Controls p Y. Thermostat maximum heat setting [] D , _Duct Systems 1 , Is duct system installed in unheated spaces ? YES NO a , If YES , R value of duct installation f 7I] I3E � _it�T b . R value of duct in other areas E , Piping Insulation �/+� T. Size of hot water or cooling carrying agent pipe ',�/5 2 , R value of pipe insulation F , Service Water Heating 1 , Performance off " ciency C 4L. 20 Temperature co trol setting maximum + • �iEF G , For Swimming Pojpj. 1 1 . Maximum he Telephone No . ( applicant ' s signature ) %iYourft df aPAd&try APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE LOCATION OF PROPERTY FOR INSTALLATION LT L�r � 'C3c.ttil�y pS,, Q-� Owner's Name. Telephone: n c) 1' 3 o) q 1 Address: 7i Q4 02PAg A. [_�?' �r 5��. 1 4syT ►tip+ -- installer's Name: �Ct4 w1{+� �s4+ t1• ►-a Telephone: Ica -14 ls; Number of bedrooms (residential only) — Total daily flow (compute @ 150 gal per bedroom) 4S"C1 Cn NR t Tope grapphy: circle one: Flat Rolling Steep Slope r°o of slope — s' `oLz Soil Nature: circle o< Sand oam Clay Other / Depth: _ feet Ground Water: At what depth? � [] feet Bedrock or Impervious Materi4id: At what depth? . feet Percolation test: circle on not requir d required / rate min. inch. Domestic water supply: circle onqjj�'Municipal �,�11 Other IF domestic water supply is a Wf1i'ell: Separation: Watersupply from S ptic absorption _ feet PROPOSED SYSTEM: Septic Tank � gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench feet / Total syste ength t SEEPAGE PITS) : Number of / Size each feet by fe Size of stone to be used # / Depth or Thickness feet � �C4 IMPORTANT5 '+ C �, ...Please...LIST NEW EQUIPMENT TO BE INSTALLED , * * * * * * * * * * sue * * * ss * ssss * * * * * * s * * s * * * sue * a s �EASjE-, Aovt� c (over) Section 11 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 Z4 hours before start of construction and shall include a plot plan showing: 1 .) the proposed location of the system 2.) location and distance to lot lines 3.) location and distance to structures 4.) location and distance to any water supply 5.) size and dimensions of all tanks, distribution boxes, the fields and/or drywells B. No system shall be covered before inspection and approval by the building Inspector. Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to $250.00. c. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. I have read the regulations above and agree to abide by these and all requirements of the Town of Queensbury Sanitary age isposal ctditnanc Signature of r o sible person: Date: -- Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 79Z--5832 SETTLED 1763 . . HOME OF NATURAL BEAUTY . . A GOOD PLACE TO LIVE Jown C7 fiLE �i2� pGLH "" �'l fAll QUEENSBURY TOWN OFFICE BUILDING BAY AT HAVILAND ROAD HIGHWAY DEPARTMENT QUEENSBURY , NEW YORK , 12801 TELEPHONE : (518) 792- 5832 Application for Driveway Permit . ( Submit compiweted application to Highway Department ) Name of Applicant \N !aE_ ..a Mailing Address ADDRESS TO BE INSPECTED _ � �` `�., x�„� 1�,*.3 \ ro Cs��� �� ' S►� 1 The Superintendant of Highways , 'Town of Queensbury , has reviewed the application of the above named resident to connect a driveway to the Town Road . The following action has been taken : { } Premininary Approval ( to be followed by " Final Approval " ) { } FINAL APPROVAL GRANTED ( } REJECTED Culvert pipe size to be used ( if necessary ) ( ) 61" - ( ) 0 „ _ ( ) 10 " - ( ) 12 "' - { } 249' 36 „ Date : Paul H . Baylor Superintendant of Highways Town of Queensbury SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . A GOOD PLACE TO LIVE , `/,?',� �] / _fcrtaxv [7/ ueerrr3Lss� rr� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R .G. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME -- a LOCATION Date -,/ / � Permi. t No _ *r * ✓ = APPROVED - S NO FootingfPier Forms Fc)un cl a t io Waterproo ing BackfiII Framing Roofing Siding Masonry Venee Rough Plumbing Relief Valves f Ext . Porches Finished Floors Interior Trim Stairs 6 Railings 1/ Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar _ Fireproofs g ['poor Closers Smoke Detecto Chimney. INSUI :TICIN Foundation r lr�ors WallsTdIng Ceilin FINAL L INSPECTION RIVEWAL_ al Survey Next scheduled inspection ( call when ready ) Remarks- s fe c rya r✓/may �,/�r� r� n -R AcqiIspector G/86 and-vl THE NEW YORK BOARD OF FIRE UNDERWRITERS FNLG BUREAU OF ELECTRICITY 41 STATE STREET, ALBANY, NEW YORK 12207 /� Date APRIL 15 , A988 Application No. on,file 028167 /37 � r 13013 # 301 J THIS CERTIFIES THAT ! only the eiectricei equy►+nsrat 00 deecribaai bel&w end introduced by the sppiHt+arst nAme0d an the oi!sooe appw[icstion, nsarrsber in the prensiaet of DAVID MINLRZ LOT' C��L-��E[[IrDON RIDGE ( LAdW.EL LANO,. QUEENS13URY , NEii tYORK in the fallowing locatian• L� 8aaemsnt LT let FT. El and Fi, Outside Section 12 mock 1 Lot �7 was examined an �' / 8$ and fonrsd to be in compliance with the requiremsents of this Board. IUTWT hTACLES SWITCHES FtXmari RAN;W- AAMT- KING DECKS OVENS DISH WASHERS EXHAUST FANS OUTiETS SCEM FL11011ESCEMT AMT, K. W. AMT21 46 18 20DRYERS FURNACE MOTORS F•IlT1/R! AfMt1ANCE mm" SPECIALdL H. P. GAE H. P. T. a. MST. AMP$. TRANS. AJMT. N_ r. SYSTEMS AMT. WA7T5 AS. NO. OF PfEi _ _.. I f?12YF.. �.o 1 SERVICE DISCONNECT NO. OF AAETES E Jt V 1 C E +4MT. AMP. TYrE � ] X 74V 1 X 9W 3 X SSM e X IfAf NO, PER d CMb. OF A. . G. Ha. OF Ht-LEG 'd' HI-LEG H17. OF NEUTRALS OF 'H W. a-AL z 2C1i1 CU OTHER AMARkTIJS: 2I0 3— GFCI 1— SMOKE DETECTORS � aF DAVID MINER Rid #3 BOX 219 A LUZERNE ROAD QtfEi Nas3T3EtY , NF.W Yc}rZK ] 28Oi im 239 BRANCH MANAGER 212 Per -•+..� � This certificate must not be altered in any manner; return to the office of the Board if incorrect, Inspectors may be identified11 by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ' �r� own o� �upt�nsbrure�r • 1 BUILDING and ZONING DEPARTMENT Bay and Havifand Road, R. D. 1 Box 9a Queensbury, New York 12801 BUILDING( INSPECTOR ' S REPORT NAME Ao e , _ � } c I y. 3�c'. LOCATION Date , ' , /,67 Permit No . F7 plc e7le ✓ APPROVED - YES NO Footing/Fier Forms ]'oundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors _ W Interior Trim Stairs 6 Railings Cellar Drain Tiley Concrete Floors Plbg . Fixtures Gar . Fireproo ng Door Closers Smoke Detec rs Chimney S U LAT I ON F'oundatio Floors Wails Ceiling_ FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( call when ready ) Remarks- Building Inspector 6/86 and-vl • ✓ BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECT OR ' S ,-REPORT NAMI; 2�2..zr'i+� � �J�rrr�.,.;yt.C.-'„'.�,r✓ LOCATION Date Pe rm ice,&No . ✓ = APPROVED - 'YES NO Footing/Pier Fortes foundation Waterproofing Backfi ]. 1 Framing Roofing Siding - Mas ry Veneer Y ugh 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 INSLII.ATION : Foundation Floors Walls Ceiling_ FINAL EIECTRIC L INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (ca11 when ready ) Remarks-- Building ins a for G/B6 and-vl _Jvufn a/ QLeaena6ury J BUILDING and ZONING DEPARTMENT 7 Bay and Haviiand Road, R. D. 1 Box 98 QUeensbury, New York 12801 BUI LDf NG INSPECTOR'S REPORT NAME G�,�,X-•{. C� ��."�C,.-�.E°-�'v� LOCATION Date .,! f':C77_ Permit No . Footing/Pier Forms APPROFV,ED YES No Foundation Waterproofing kfill naming Roofing Siding Masonry Ve eer Rough P1 ' ng Relief Valve Ext . Porches. Finished Floo Interior Trim Stairs & Railing Cellar Drain Tile Concrete Floors. Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION Foundation Floors Walls Ceiling FINAL ELECTRICAL NSPECTION DRIVEWAY APPROVAL Final Building Su Vey L" M ji .1jr. - D A- - I Ill /A LAC-r Next scheduled inspection (call when ready ) Remarks- VeA*J"i"- Up 13ne-r0 ).F:w +RT'Gl(24 ~5-r- HAV& CanvTwivuous f2j ;M6 `S (Ao u J,0 6 C. '�;L I ,fir c'r4 A Pfli-t Aar": Buildi � 9 Inspectoy 5/86 and-vl !r ow-5 A / ? au'in 'a/ Queen36upy 9UILDING and ZONING DEPARTMENT Bay and Haviland Road, R. ©. 1 Box 98 Queensbury. New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCATION ��' � /�'' ,� �' ! rb F,r per. I•, PERMIT No. �` 4 SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES Percolation rate - NCY Min/inch TYPE of SYSTEM: 4 Absorption field , total length Length of each trench Depth of renches Size of g vel SEEPAGE PI S4Nt er of --- Size- 67dJ t. X f Gravel size PIPING ; Bldg . to tan Size Type Tank to d i s t. Dist. box to eld/p. Openings seal YES f NO � a tXal J ' e[. IFOCATION/S ARA I S ; ✓� FOundatio to t k Foundati to ab o ft. Absorpt ' n to lot ZPneon ft ` ft. pits Separa on of ft. YSTEM Front IA>CAT PROPERTY (circle one) - ear Left ide - Right side - `0 SYSTEM USE APPROVED YES Build-in Inspectoz` ol/ and vl 0/ ��eE'rlJllllrtl Irlf /�, yy flT BUILDING and ZONING DEPARTIWeE�iJ7 �I Bay and Haviland Road, R. D. 1 Box 98 Oueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION , NAME ,? LOCATION DATE ,a, �/r o 7 PERMIT NO. SOIL TYPE - Sand Percolation Test R- jx - Clay - Percolation rate Required ? YES Min/Inch TYPE of SYSTEM: - Absorptio field, total length Length of ch trench Depth of tr nches Size of gran 1 SEEPAGE PITS umber of) Size- ft. ft. Gravel size PIPING ; Bldg - to tank ize Type Tank to dist . box Dist . box to fie, t Openings sealed ? Y NO Partial LOCATION/SEPA IONS : Foundation to ankZ! ft. Foundation to absorption ft . Absorption t lot line Separation f ft. pits ft. LOCATION STEM CH PROPERT circle one) Front - Re r Left side - Righ side - COMMENT SYSTEM USE APPROVED YES Bull ng Inspector 01/8E and V1 W;; .�hure� } 0BUILDING and ZONING DEPARTMENT f Ba and Havifand Road, R.D. I Box 98 z ue sbury, New York 12801 I G INSPECTOR ' S REPORT N LOCATION Permit Nlcr , �lpri 1✓ = APPROVED - YES Footing/pier Forms NO Foundation 44 aterproofing Backfill Framing Roofing Siding Masonry Veneer Rough P1 . ng Relief Valve Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar brain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors l .Chimney �c SNSULATION Foundation Floors Walls Ceiling FINIAL ELECTR-TC L INSPECTION DRIVEWAY APPRO AL Final Buildin Survey Next scheduled inspection (call when ready) Remarks- 4-rr ve mcbfflo .r r Building Inspec r B/86 and-vl BUILDING and ZONING DEPARTMENT Bay and Havifand Road. R. D. I Box 98 Queensbury, New York 12801 BUILDIN,Gy I.aNSPECTORiS REPORT NAME LOCATION bate / le Permit Non APPROVED - YES NO ,,�ooti g/Pier Forms Foundation ' Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext • Porches Finished Floors Interior Trim Stairs & Railings Cellar brain Tile Concrete Floors P1}g , Fixtures Gar , Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRIC L INSPECTION DRIVEWAY APPROVAL - -- Final Building Survey Next scheduled inspect �on (call when ready ) Remarks. 117 t,4 Illeelf , c lee � Building Inspector �/S6 and-vi . Jown trupe►is �urc BUILDING and .ZONING DEPARTMENT Bay and Haviland Road. R. O. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME �, LOCATION f eo ry 9 Date Z Z / _ Permit No . + }� ✓ = - Doting/Pier Farms APPROVED NO rundation Waterproofing Back£ill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Tram Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar , Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECT CAI, INSPECTION_ DRIVEWAY AP OVAL Final Bull ing Survey Next scheduled inspection (call when ready) Remarks- �r1-�����! © Af/ ` f 6/86 and-v1 Building Tnspector BUILDING DEPT_ COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED. CITY OR yr VILLAGE STREET AND NO. OR ¢' _ ROAD AND Pf'i,ILE NO, 14 J1��L71S� f '7I.7# «. NO BETWEEN WHAT TWO POEM STREETS IS x Lae L Nr., Z" �� er . ,fr r. ,ICI Al Oacz SECTION . LOToCCUPwNTs BUILDING NAMEti► "sES AICrcr OWNER'S IIAIYIE _ _ AND ADDRESS 3 � iI� ,� �.� �7�/� ,ate+"'" TEL.SUPP � ry LIED � � FROM THEIR � � .,(� '� OFFICE BUILDING ROM NEW OLD ❑ IS NEW Q ADDITIONAL Q REMOVED 0 LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMEER OF OUTLETS Na eI FIIIe1ew icm Lm LraP Rewpbelr MOTORS HEATERS MR mm OFFICE LISE New side NeeWi ONLY ' ! Wa6 Stritalt Fetldret laetAeee NMt. TyPr Eacch N'o- E� No- ~GewwE�' INSPECTION Otet- war iletr hate owes- event Oat FL tad FI Sete F1. , REMARKS: LIST OTHER ELECTRICAL DEVICES ICES NOT SET FORTH ABOVE- OO NOT USE THIS$PACE_ This mpeo1wonmn m intended to corer the aboea. I rpwignrnt to be inmpemted but it at time of inepe0'lion Nora is found rtlllitiDnal etptip.erne not ataeea Iilded. 'w are awthorized to make the wspwepon and the fan to L•airM the additional *Wipmns, s prariarl by dbb Applicant, 512E OF FEEDERS ELECTRIC SIGLAMN TOTAL MAINS WATTS CHARACTER EXPOSED GAS TUBE SIGN -+ OF WORK CONCEALED TRANSFORMERS OF -�" VA "I TO BE /„py C J / �! UMBER! fCAPACI7Y} STARTED /[./ +7 / COMPLETED//" � ZE OF SIGN SERVICE OVERHEAD UNDERGROUND !MAKER ENTERS .BUILDING OF SIGN INSPECTION REQUESTED ON OR AS NEAR AS BLE NEW © D oe5AVOIO DELAY ULL ANO ACCURATE INFORMATION. ALL SPACES OF MUST BE FI IN OR A ICATION MAY E ETURNED. DATE DATE ON PRINT NAME AND ADS /y ML/CANT / ! !/V+'��' - SIGNATUAe , PPLICANT _ y` 'STREET ADDRESS '� "" �r �`+ ` vG i-JR✓ L. f�TELEPHONE ilI' � ! �✓�CITY OR POST OFFICE CODE NLICENSE EN APPLICABLE 4E F� (RSV. 1/06) A SEPARATE APPLICATION MUST BE FILE6 FOR EACH SEPARATE BUILDING ii i � s 41 , .�. to VI ,.� mom N s Pa'SEC M Q s w