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1987-756 2, ,Tom. y, . y- �77 CERTIFICATE OFF CT,JI'ANC„Y'AN TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date July 15 19 88 This is to certify that work requested to be done as shown by Permit No. 37_ 756 has been completed. one Famliy Dwelling; This structure may he occupied as a Queen DS.�.na L.-ine ( Briarwood Close ) l..acaii�att D . E . C . Development Owner By 0 rder Town Board 7OWN OF QUEENSSURY , Building & Zoning Inspector BUILDING PERMIT � TOWN OF QUEENSBUR`Y' � No. 87-756 z WARREN COUNTY, NEW YORK -c> PERMISSION is hereby granted to D . E . Q . DEVELOPMENT 1 OWNER of property located at Lot #2 Queen Diana Lane Street, Road or Ave. I 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 hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. d t . OWNER'S Address is 184 Dunsbach Rd . c� Cohoes , N . Y . t� l� c r� 2. CONTRACTOR or BUILDER'S Name r Same � t3d z a CONTRACTOR or BUILDER'S Address r 4. ARCHITECTS Name k> zxt W N rr� 5. ARCHITECT'S Address tri � Z Q C7 C� H n r 6_ TYPE of Construction --- (Please Indicate by X) t*7 lz- i xl Wood Frame 1 I Masonry 1 I Steel I 7. PLANS and Specifications No. 32 ' x 48 ' as per plot plan , specifications and application including septic system and attached to two car garage . CD 8. Proposed Use z rn One Family dwelling .may H r $5 . 00 CIO tc $ 129 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES May 1 , 19 88 IIf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the r town of Queensbury before the expiration date_) G7 Dated at the Town of Queensbury this 28th Day of October 19 87 SIGNED BY for the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG . DEFT . r O 3 Application No . i C] ld; ti . ; c _; c M `. awn G►� �i4k�rl � � et re� Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19_ Bay and Haviland Road, R.0. I Box 98 zoning Designation L�t Queensbury, New York 12801 Variance � � OCT 281987 Site Pi Rev ew No ' APPLICATION FOR x BUILDING AND ZONING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGI14NING 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 : �}�( � s i� �a*7 ✓Ylc��li � P. O. Address / y �:yrtiS � /� Now Tel * 9205�- Property Location : LOT � ��+�e��+� � �rr�r�Jrd p L.^ ) Tax Map No . / Street number or building lot number Subdivision name ( if applicable) �& !?114 f,tX.y A C foSt;� THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : :Dfwe • 11 b t fl Co v 75' -0C�3? Name P . O . Address Tel . No . Name of builder .-DP ElIo r** v.� Address Tel • Name of plumber S" .,-C 1V ,"& o w%mww Address 13CJ OU ILL T ht94 Tel . "S_'+ Yo Name of mason 4g4 I , t';S AJCJXF_7E. Address "t!Q ft /r.of !e _ Tel . 7 - V!5�y- ,+r NATURE OF PROPOSED WDRK : ZONING INFO RMAT I ON : vooConstructlon of a new building A PLOT PLAN MUST P.E 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. (.Iescribe) " 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 CF 5'1'RUCTURES AFFECTED. of septic disposal area . k COMPLETE INFORMATION REQUIRED BELOW . size of property f � 7 - ft X_ ft . Existing building ( s ) Size ft X — ft . PROPOSED BUILDING AND USE ' 2 Existing building( s ) Use -----'-- Size of new structure ft X ft I`oundation-pier/slab/crawl /partia full Proposed buildirit3 , distance from property line (circle one) Front yard ft Rear yard S3 ft No . of stories (habitable space) �- * Side yards � � — —ft and _ �i oI. ft Height ( grade to ridge ) 2C3 ft * If on corner , setback from side street — ft If residential , no . of families� No . of roams ( excluding baths ) 4 OCCUPANCY INFORMATION No , of bedruoms RY BUILDi :it3 - No . of bathrooms f. * Y One family dwelling Primary heating system L.�� cT +� i� Two family dwelling Type of fuel -- No , of fireplaces to be installed A., fl * Multiple dwelling / Number of units Will a wood stove be installed? rV v * Permanent occuriarxcy ,� Transient occupancy Central Air conditioning? /LJ� Business s BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch Contemporary Loci cabin '" Other Raised ranch Mansion Duplex if addition , wliat will use be? Split level Old style Bungalow Cape Cod Cottage Other * ACCESSORY BUILDING- olonia Row Town House " Detached garage/one car./ two car/ car ( CIRCLE ONE PLEASE } 'Attached garage/one car/ o ca car' y Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION 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 , ( fra[ae fire safe , etc . Will any second-hand or ungraded lumber be used.? If so , for what ? 113G Foundation wall material ,AcU +C�c� Cc, ucrCE �C Thickness _ . Depth of foundation below grade (to bottom of footing ) r" Will there be a cellar? e~ Heated o heated .� g '._. ` _. Floor sq . footage �tsta s ft Will there be a basement? 9ru� Will any portion be used as living space ? ^.7rzz� ( If so , what portion? sq , ft , - - Type of use? Type of roof - lapedy�f'lat/shedfother Material o £ ror�£ _ Gy, 1.Ji ,,,,,E'es Size , wood studs "X—a " spacing /(&,; "o . c , length ft . J01 sts ( floor beams ) 1st , floor "X " i /¢_? spacing / n . c . span /,7 $rft , .joists (floor beams ) 2nd , floor a "X 9 „ spacing /c. "o , c . span !,7 5 ft . Overlays (ceiling beams ) "X " spacing_"o . c . span ft . Roof rafters �"](� ' spacing_ _ IyG o . c . span C ft , W ` Roof trusses (,pre--engineered) spa cing_ "o .O . C . span ;MCA ft . Exterior wall finish Ar ;u Of what material ? Interior wall finish S_Iqp "!E21 it a garage is to be attached , ,dr �escrliae �Iterlals to be used, for FIRE SEPARATION : ^ F1 9 e [ f S /J&gj- k'cG-'+c _— Is there to be an opening between garage and dwelling? \ `5Tf so will a Fire-rated door , enclosure , and self-closing device be rovided? 1 ih-5 Will a flue-lined chimney be installed? 4eV C> Height above roof ft . Depth of chimney foundation below grade �t . Depth of fireplace hearth1aft , in , Water supply icipal r private well SEPTIC SYSTEM _ ance from ANY private well ( including adjoining properties T ... J ft . (A separate application is necessary for any repair or new installation of septic system ) Town of fu amen ry County of Warren A F F I D A V I 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 Vl:ovisions of the BUILDING CODE , THE ZONING ORDINANCEr 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 , owner ' s a nt , arcn_LT ec ^, _ -_-r,actor day of 19 Notary Public , Warren County , N . Y . SPECIAL CONDITIONS OF THE PERMIT : By r 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 ^� 1 . Gross floor area I oc> - ----- 2 . Type of heat ez C. 3 . Is the building mechanically cooled ? y12C7 4 . Percentage of area of windows and doors / r. A . over 16 % only 1 . Uo value of gross area of walls , roof /ceiling and floors exposed to ambient conditions 2 . Floor over heated spaces YES NO a . Are foundation walls insulated ? YES No 1 . if YES , what is the R value ? 3 .' Slab on grade YES NO a . If YES , what is the R value of insulation around perimeter of floor ? 4 . Is basement heated ? YES NO a . R value of insulation s . Type of insulation BO Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions. 2 . R value of exterior walls r1 3 . R value of glazed area r7c 4 . R value of doors IQ / a 5 . R value of floors over unheated spaces IQ a 6 . R value of slab edge insulation - unheated slab IuA 7 . R value of slab insulation - heated slab 8 . R value of heated basement/ cellar walls ( above grade ) 9 . R value of heated basement/cellar walls ( below grade ) li )A low Type of insulation C . Controls 1 . Thermostat maximum heat setting c' D . Duct Systems 1m is duct system installed in unheated spaces ? YES a . If YES , R : value of duct installation b . R value of duct in other areas E . Piping Insulation 1 . Size of hot water or cooling carrying agent piper 2 . R value of pipe insulation F . service water Heating 1 . Performance efficiency. - -- 2 . Temperature control setting maximum / fie G . For Swimming Fool only 1 . Maximum heating Telephone No . ( applicant s signore ) k �`•�' '" �' QaKQPa►asaa�eary APPLICATION FOR SEPTIC DISPOSAL PERMIT 1SUILDfNG and ZONING DEPARTUENT Bay and Havitand Road, R.D. 1 Box 98 Oueensbury, Nex York 12801 LATE to ! ate' -7 LOCATION OF PROPERTY FOR INSTA. LLATIDN- LA.) 0, 1d jfC7SC' OWNER ' S NAME ", [lEl o�nl�j r✓ 1 ADDRESS + � ,rrl untsG�.4GJSf 1C'atr... .._ , ,. Onllogns A ljfl TEL INSTALLER ' S NAME �� " � r.&-1zc T E L �/ �� 3Ys�S'� Number of bedrooms ( residential only) 14 Total daily flow ( compute @ 150 gal per bedroom) 4 �0 Topography * F1 Rolling - Steep slope - ( c3.rcle arse ) % of slope Soil nature Sand - Loam - Clay - Other Depth ft . Ground water -At what depth? &)CwUe" ft . Bed-rock or impervious material - At what depth? /UQ/VG= ft . Percolation test - Nt'�ot require - Required - -Rate /,r, :ov /`. :0 min-inch . Domestic water supply - nicipa� - 'Well - Other Separation - TAatersupply* ( if well ) from Septic absorption ,/L/ ft . Proposed System : Septic tank /000 gal . ( 741nimun size , 1000 gal _ ) Tile Field Each trench 610 ft . Total system legnth 00 ft . Seepage pit ( s ) Number of Size each ft X ft Size of stone to be used3 Depth or thickness o2 ft . ' IMPORTANT ! ! On a separate piece of paper , submit a diagram of the proposed system with all dimensions shown ; including distance from any structure , distance from property lines and from ANY DOMESTIC WATER SUPPE,Y or shore - line of lake , stream pond or wet - lands: " Include all dimensions of the system , itself _ r'C 'c' Erce qr- C/f t. k 1:i S7. C 7 CT: .: 4a I' CE to wide by tkese and al Z recusrerr. ents of The ToL+n of Queensburxy Scnitar r sewooe i isposal ordirionce . /000 Signature of responribZe - rsor. 05 / 86 and / vl Section II Septic Systcam Insl2ections : A . All applicationd for septid system installations , alteration or repair , as reauired by the Town of Oueensbury Sanitary Sewage Ordinance , shall be submitted to the Buildina Department at leaost 24 hours Y?efore 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 inspectlrcn 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 . 000 Co An approved copy of the plot plan shall t+e 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 Oueensbury Buildincs Department before further construction . r �„I'vwn ©� �eeeen3 � ur� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 l BUILDING, INSPECTOR ' S REPORT NAME L A T I ON Date - f /2eL Perin t No . L_ APPROVED - YES NO Footing/Pie Forms Foundation Waterproofing Backfill Framing Roofing L� 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 IN SU LAT I ON Foundation Floo rs WWa3:ls Ceiling FINAL ELEC'TRSCAL II3SPECTION DRIVEWAY APPROVAL Final Building Survey - Next scheduled inspection (call when ready) Remarks- tor Building ns ector 6/86 and-vl JGrture O� �tleE"n36esr1� BUILDING and ZONING DEPARTMENT Say and Haviland Road, R .O. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME., - ,I .�' G L.00AT I ct, +� DATE PERMIT NO . SOIL TYPE - ~ - clay Percolation Test Required? YES Percolation r to - Min/Inch _ TYPE of SYSTEM: Absorption field , total length Length of each tre ch 0 Depth of trenches �^ Size of gravel Z-- SEEPAGE PITS4Niamber o _ Size- ft_ X Gravel :s i Type PIPINGS e Bldg . to tank Tank to dist . box ■ u --� Dist. box to field/ _ openings sealed? S NO Partial LOCATION/SEPAI2ATI S ; Foundation to t k ft. Foundation to a sorption f lc� Absorption to of line ft Separation of its LOCATION OF S STEM ON pROPERTY (circle one) Front - Rear - Left side - Right side COMMENTS : SYSTEM USE APPROVEr-ing Bpector 01/66 and vl 4002343 THE NEW YORK BOARD OF FIRE UNDERWRITERS tN BUREAU OF ELECTRICITY , Al STATE STREET, ALBANY, NEW YORK 12207 Date 'Tiny 8 , 198 $ APPlicateon ,va. onfate 032035 / 8 +6 "? THIS CERTIFIES THAT A I7 " ' 221 only the electrical e"Aprrsent a described beiaw and introduced by the applicant named an the abose nppfication Fs"naber in the prainises of DEC Development Lot # 2y�4 Queen Diana Lane 'Queensbury , New 'York dwell . dia in thefolloscing location; EP Basement 1-1 lst Ft. 7=f ,Snd Fl. out9 ection $lock Gat was examined on 6 — 2 7 - 8 8 end found to be in compliance seith the requirements of this Board. FIXTURE ACLOS SWI7CME5 FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT I MVEDW I AMT. K- W, AMT, K. W. AMt, K.W. AMT. K. W. AMT. H. P. 21 42 18 20 1 1 1 1 1 1 1 1 4 . 8 3 fr DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPEOM RFC TT TIME CLOCKS BELL UNIT HEATERS MWTI.OUTLET DIMMERS AMT_ K. W. dll H. F. GAS H. F, AMr. NO. A. W. G. AMT_ AMP, AMT. AMrS- TRANS. AMT. H. ►. SYSTEMS AMT. WAt'rS NO. OF FEET 1 # SERVICE DISCONNECT No- ifs S E R V ! C E AMT. AMP. TYPE EQUIP, 1 X sw 1 X 3W 8 x 9w s X +lW NO. F" Ar D. OF CC CGaidD. NO. OF M'Lao OF'WLEf3 NO. OF NEurRAls OF O*UYRAL 1 2C� O Cka 1 �[ 4 / 0 2 / (} OTHER APPARATUS; El.eca Room Heaters _ 3 / 2 . 5 . 2 / 2 . Op 1 / 1 . 75r 3 / 1 . 5r 1 / I. . O 3 -•-g f c! 1 -zmoke detectors RIchaEld Rosetti 7r 423 Now Karner Rd . Albany , NY 12205 239 BRANCH MANAGER Pry ; 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, 4037556 THE NEW PORK BOARD- OF FIRE UNDERWRITERS �v,LG BUREAU OF ELECTRICITY 4t STATE STREET, ALBANY, NEW YORK 12207 Date "JUKE ' 7 t 1988 Application 'Va. un file 104800/87 THIS CERTIFIES THAT A 7 _ 5 ? only the electrical equipment os described belose and infra ckicetl by the icent maned on the above appl application number in the premises of DEC DEVELO1"I3ENT � LUT #62 HOUSE 4 QUEEN 'iIANA !.j6NLr QUEL•'.NSBl RY , NEW Yuri[ in thefollowing location; ® Basement ® far Ft. U $nd Fi. OUTSIDE Section Block Loot was examined on 6/ 1 5 /8S and found to be in compliance with the requirements of thin Board. FIXTURE ACLE3 SWITCHES FIXTURES RANGES COOKINGS DEGAS oVENS CLASH WASHERS EXHAUST FANG OWLETS cANmscENT FLuomscew AMT. K. W. AMr. K. W. AMT. K.W. AMT- K. W. AMT. H. ►. 2 6 51 19 1 '?4 2 1 4 . Fi 3 L r DRYERS FURNACE MOTORS FUTURE APPUANCE FRS SPECIAL REC'PT I TAME CLOCKS I � UNIT HEATERS ML LTs-OUTLET DiRAMERS AMT. K- W. OIL H. P. OAS H. P. AMT, NO. A. W. G. AMT- AMP, AMT- AMPS. TRANS. AMT. H. ►. SYSTEMS� T AwAT, WATTS R ''`? 1 SERVICE IxSCONNECT NO. OF S. E R V t C E AMT. AMP. TYPE MEM MKOWU W. $ 'x ?W I X 3w 3 X 31M 3,►' aw Na. Fcc. Como. ai CC �ND. NO, or NI-LEG. Of-NWI LK. Np. or NEiITRAlS OF+�E17�7iAL 1 15t} L;b 1 x OTHER APPARATUS: ELECTRIC ROOM HEATERS ; 3- GFrCI 3-- 2 . C1 &W I- 'SStIOKE' DETECTOR 4 - 1 . 5 K'W 2 - I . 75 KW DAVJL CANF I i`'_LD 1 &4 DUNS 4ACH ROAD COHOES , NOW YORK 12047 '39 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 AMY MANNER. ? ■/ BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 J Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION cl)oc Date / � Permit No . APPROVED - YES NO Footing/Pier Farms Foundation Waterproofing Bagkfill raming Roofing Siding Masonry Veneer L..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. Ch ' ey SU14ATION : Foundation Floors Walls Ceiling - + FINAL ELECT ICAL INSPECTION DRIVEWAY APP C?VAL r~ Final Buildi Survey Next scheduled inspection ( call when ready ) Remarks- Building Inspector 6/86 and-VI BUILDING and ZONING DEPARTMENT I� + gay and Haviland Road. R-0. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME D r� c LOCATION r, D ate cy- / Permit No . � APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill t�raming Roofing Siding Masonry Ven er ( �ugh Plumbi g Relief Valves Ext . Parches_ Finished Floor Interior Tram Stairs & Railin Cellar Drain Til Concreto Floors Plbq . Fixtures Gar . Fireproofing_ - Door Closers Smoke Detectors - — Chimney L,,I aU JATI.ON Foundation Floors WalIs Ceiling FINAL ELECT TCAL INSPECTION DRIVEWAY AP ROVAL _ Final Bull ingY Survey Next tsch uled inspection (call. w en ready ) Remarks ^ Ar1 0 / 4: 7c R ilding ns ctor G/86 and-vl r nr� gown a Queens ury . V EIIJILOING and ZONING DEPARTMENT ` Bay and Haviland Road, R.D_ I Box 98 Queensbury, New York 12801 SU1L47 [ NG INSPECTOR ' S REPORT NAME—. `�tr -``—�' LOCATION Date ©J _ 9 .._/ d Permit NO of APPROVED - `IES . NO Footing/Pier Forms Foundation waterproofing Backfill U'Vofaming Roofing Siding Masonry Venee Rough Plumbin Relief Values Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain 'Tile Concrete Floors Plbg . Fixtures Gar . Fireproof ' g_ Door Closers Smoke Detecto s Chimney INSUI.ATI.LN Foundation Floors Walls Ceiling FINAL EL - TRICAL INSPECTION � DRIVEWAY PPROVAL Final Bui. ding, Survey Next schedu ed inspection (call when ready ) Remarks- A/O 41iuildlngInspec r £�/E3Ei ericl-vl jotvn v�"/� tceenj6"r f BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 BOX 98 Queensbury, New York 12601 I BUILDING INSI' ECT (JR O S REPORT AME �* _ G C LOCATION s� Date / 1 Permit No . }+ ' APPROVED/- YES NO Fof�oting/Pier Forms e.,,.�oundat ion Waterproo ing Backfill Framing Roofing Siding masonry Vene Rough Plumbin Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & R.ailin _ Cellar Drain Ti a _.... _.. Concrete Floor Plbg . Fixture Gar _ Firepro ing Door Closers Smoke Detec rs Chimney INSULATION - Foundation Floors Walls Ceiling FINAL ELECT CAL INSPECTION _ DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( call when ready ) Remarks- ; Ir■(/1''^mot / Building I pector 6/86 and-V1 BUILDING and ZONING DEPARTMENT Bay and Haviiand Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING I NS PECCyT�OR ' /S REPORT NAME V LOCATION Date Perinit No . APPROVED - YEyA NO Jpooting/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Ven r Rough Plumbin Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railin Cellar Drain T4 e, concrete Floox Plbg , Fixture Gar . Firepro Ping Door Closer Smoke Detec ors Chimney INSULATION Foundation Floors Walls ceiling FINAL. ELECTRICAL INSPECTION DRIVEWAY APPROVAL - Final Building Survey Next scheduled inspection ( call when ready ) Remarks- Building Inspector 6/B6 and-vl BUILDING DEPT. COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT. WHEN REQUI RED. , / TEMP. MiT,y/ 4/ �a . . CITY OR COUNTY {.-+�L.: �• VILLAGE {�,� Lj .,,/ /' ay,J TOWNSHIP y � _ STREET AND NO. OR r] i ,r fj�M.' i/'7 h: �'-•oC> r1 ROAD AND POLE NO. / ,{ f ti- sf C. ,� L- j {,/) C �.,1 Z r i` POLE NO BETVMEEN WHAT TWO / e CROSS STREET$ fS ^ I`� 3 L 4- � a' r9 Y SECTION BLOCK i LOT PREMISES LOCATED? ins=).�'i -.. - OCCUPANT'S BUILDING - NAME C._ C OCCUPANCY OVMER"S NAME / i - f 7 TEL. AND ADDRESS 4 b-o ` f y.�"� U .'' r' I c l:` f SUPPLIED ru FROM THEIR - I r .4 �! OFFICE ev BUILDING DEFECTS �I IS NEW lL7 OLD © is NEW ADDITIONAL Q REMOVEDLJ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No. ofFilttuoo 6 MOTORS HEATERS BRANCH OFFICE USE NUMBER OF OUTLETS Lamp RaospfaeMa ONLY don Leer Skis A "•1 Switch Rndant Brrekef No. TV E Ne. Ea No. 'A`Gaulle �'d INSPECTION f.'eillns 'Mfall Raap'q Oua slda Sale- bass ment marrt mist R. 2nd Fl. 3M Fl. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: 00 NOT USE THIS SPACE. This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional ectuipmant not above listed. you are authorized to make tfie inspection and adjust the fee to corer the additional equiPment, M pravidad by the aPPI"nt. SIZE OF ELECTRIC SION TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER _ ` - j EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA �J r' iNUMBEA) {CAPACITY} WORK TO BE STARTED COMPLETED 512E OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS OF-SIGN IL lNG INSPECTION REQUESTED i ON OR AS NEAR AS J} f C NEW OLD Cl AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION, ALL SPACES DATE OF j r ' MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. V APPLi U'-A N PRINT NAADDRESS NF�^¢ND AdDRESAPPLICANT �Sr �_ lj A SI AAtUREN1 '�'" =y-" NAME OF Y ..1. ,} LLf'Cy^'#f" iI f /SM TELEPHONE # STREET ADDRESS �„-�-- _-fh/ ZIP ! �L-)�� LICENSE APPLICABLE CITY OFFICE S r/f : r' i� CODE J WHEN ENO. ABLE 46 EL (REV. Ilea) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING C ll , ASK - - ..., ._ _.._=a. _.._. ,.m... _ __.. .. NOTICE OF TAX MAP REVISION Map : Cit of _ Town of ? ,fa ' V11 . of Type of change Section ` Block �_ Parcel A Split pl Consol id at ion Chanis=; e Correction v:=I Deed Boo Z0 'e Page Deed Date Other +=' Grantor C C,14 Ve p Grantee �', CA hJf=` E (". � i } Office Retard R&c ' d out Plat by Other ( ex_ plaln ) ` Ti "[ � . (� � L IT C'� F �4t o Tracefd _by 3 ,:y �~�_���y �..i..•� �1 L 1r�( �> "�'�f"'�-- �-- (�,1,^ �• I •.1—��(f�ofr �..s (`} �~ (42 r i \ 1 'U i II `✓ ketch m tyl; atClt Y 'n '•� 1d _ to 80 CD _ " CT) h _ cp C.1 Lll l71 Q1 !9 3 76 C�il y CID ro C�y • vs � tin � � rn F 190, 99 y n� n� o _o ro PV N hl Qy f N N f 7 N tv hi 1 [o � IS$. 2f 190 ElEE l LA ^I CD [T LA � �� � Cx1 .� 11 183 - 67 r 9g 190 66 N rn 'p' 4 w ns [n — to Lf+ x t C7 C3 CU M1} 9 ar 174 . 61