1988-444 •
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date Sept. 9, 19 88
301 (:*-
This is to certify that work requested to be done as shown by Permit No. 88-444
has been completed.
One Family Dwelling
This structure may be occupied as a •
Location Lot 47 wings Falls Ct. (St. No. 8) - Queensbury Forest Subd.
Owner Masullo Brothers Builders, Inc.
By Order Town Board
TOWN OF QUEENSBURY
Building & Zon ng Inspector
1' BUILDING PERMIT
TOWN OF QUEENSBURY 88-444
No.
WARREN COUNTY, NEW YORK
N
PERMISSION is hereby granted to Masullo Brothers Builders, Inc.
OWNER of property located at Lot 47 Wings Falls Ct. (St. No. 8) Street, Road or Ave. r,
Queensbury Forest Subd.
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.
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1. OWNER'S Address is
ti
3049 Broadway
Schenectady, N.Y.
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2. CONTRACTOR or BUILDER'S Name
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Same rr
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3. CONTRACTOR or BUILDER'S Address
Same
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( ) Steel ( 1
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7. PLANS and Specifications
No. 34' X 48' as per plot plan, specifications and application 'I
including septic system and attached two car garage lc)
8. Proposed Use N
.A b.
One Family Dwelling o
Fl
IL
5.00 C/O �, p
$ 157.00 PERMIT FEE PAID—THIS PERMIT EXPIRES January 1 19 89
i
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the b cat
town of Queensbury before the expiration date.)
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Dated at the Town of Queensbur this 30th Day of June 19 88 R,
SIGNED BY for the Town of Queensbury
Building and ning Inspector
JC / appi Lud Lou. 1...).
own of Yueenibury . .Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit. Expires 19 �„ �-� - �s(
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation l'O,:P! C.. Get -> ' .�
lI I," +,fir . •i
Queensbury, Now Y�pfk 12801 .. •Variance No. v
' • AO\ /\ • �� Site Plan Review No. �p//
�,\ Approved b JUN d•$1988
V • APPLICATION FOR • '' a/ , BU!L.DlhlG & CODl: DEPT.
BUILDING AND ZONING PERMIT 1J- )(� ,�,c,�(a
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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: Hapullo Brothers builders. Inc.
P.O. Address lnj q R ' Tel.17A-105R
•Property Location: to i F W)ll/6s f�QILS..Ci . ._ Tax Map No. / /
• Street number•or building _lot number -
Subdivision name (if applicable) Qilernsbury Forest
THE PERSON RESPONSIBLE FOR- SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
.Iiasullo Brcthete_Buijders Inc. ,049 .Spaftway ,jchenectady1 Key York 518-370-1058
Name P.O. Address Tel. No.
Name' af builder Same- Address Same as Abobe • ,Tel. Sams
Name'of plumberlg,B Pluiobing Address 88 Newton Stree, A1bar<v.N.Y. Te1.459-5811
Name- of masonlQ B , Builder Address S Tel. Sane
NATURE OF PROPOSED WORK: , * ZONING INFORMATION:
_ iConstruction of .m new building * A PLOT_ PLAN. MUST BE PREPARED AND SUBMITTED,
_Addition to a building, • . . * drawn reasonably to scale and attached hereto,
Alteratioxa _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 line's. Give
* street and number or lot number, and indicate
FOR DEMOLITION PERMIT, STATE SIZEtND *-whether' interior or corner lot. Show location
T.00ATION OF STRUCTURES .AFFECTED. of Water supply and location •and configuration
* of septic disposal area.
. *
. * COMPLETE INFORMATION REQUIRED BELOW.
'
* Size of property /75' ft• X f/c f t. •
. * ExiSting. building(s) Size ft X . ft.
PROPOSED BUILDING AND USE: • . * Existing building(s) Use
size of new structure .34 ft -X 48 ft *. •
Foundation-pier/slab/crawl/partial ull . * •Pzoposed building, distance from property line
(circle one) * See Attar
Rio. of stories (habitable space) 2 * Front yard ply ft Rear yard ft
Height (grade to ridge) 23' - ft. * Side yards . ' ft and ft
Lf residential, no. of families —1 * If on corner, setback from side street ft
No. of `rooms(excluding baths) • • 9 * ' • OCCUPANCY INFORMATION
:for of bedrooms . g oi . . *
IQ. of bathrooms 0 * PRIMARY BUILDING
Primaryheatings stem * ;, One family' dwelling
Y Elprtrir ppar R•
type of• fuel Electric *. Two family dwelling
Jo. of fireplaces to be installed' 1 . * Multiple dwelling / Number of units
,aill a wood stove be installed? II, * Permanent occupancy
::antral Air conditioning? yes * Transient occupancy
*. . Business
3UILD-INc , STYLE,- PRIMAR:'-- STRUCTURE - --- -*•---.' Industrial - - - . -
ttanch Contemporary Log "cabin * If addition, what will use be?
wised ranch Mansion Duplex
split level Old style Bungalow • *
?Ape Cod • Cottage . Other * .ACCESSORY BUILDING-
`-olonia}t - Rbw Town House * •Detached garage/one car/ two car/ car
•
( CIRCLE ONE PLEASE ) * I Attached. garage/one car/ two car/_scar •
.• * * * * * s * * * * * * * * r
Private storage building
ESTIMATED MARKET VALUE OP * Miler
CONSTRUCTION ppp� ryrmy *
$1._sKa ana� .
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Porn UPA 4/86 and-vl V ,
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BUILDING SPECIFICATIONS:, .
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Type of construction,' wood frame, fire safe,etC:- _ Wax1Frme
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- Will any second-hand or ungraded lumber be used?' If so, for what?
. . . .- - - • • - .
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.„. Foundation wall material Ibured axicrete. . Thickness 8" & Ur
' Depth Of- foundation 'tlow grade (to bottom, of footing) 70" . .
Will there be a cellar? 1MS Heated or unheated? - . Floor sq.. footage 1,755 . sq ft
gla. there be a basement? Will any portion be. used as living Apace?
(If so, what portion?. sq.ft.. - - Type of use? . . .• •
Type of.roof - eloped/flat/shed/other Materials of roof Asphalt Shingles
Size, wood stud* 2 ."X 6 " spacing 24 "o.c. length . F; ft.
Joi:sts(floor beams) 1st. floor 2 , ."X ;in " spacing' 1 ,
6 o.c. span14. ft. •
Joist (floor beams) 2nd. floor .2 "X 10 " Spacing . 162o.C., span14 ft.
overlays(ceiling beams) . "X " spacing: . '. . "Oita 'span . ft.
goof rafters "X - w spacing o.c. span . ft.
Roof ttusses(pre-engineered) spacing 24 "o.c: span ',,ft. . .
Exterior wall finish Ahmdnut Of what material? . .
Interior wall finish 4" Am-rode- painted
If, a -garage is to-be attached, describe materials to. be used for FIRE SEPARATION:
• "FixeCode ' .
Is there to be an opening between garage and dwelling? . Ye 4 If so will a Fire-rated
door, enclosure, and self-closing device be provided? Ye./3
Will, a flue-lined chimney:be installed? y . Height above roof 2 ' ft.
Depth of chimney foundation below grade 711, :. ft.
Depth of fireplace hearth ft. 8 in.. . . • . '
. Water supply ...'Municipal or private well itingrisai. -.
SEPTIC SYSTEM Distance from NY private well(inCluding adjoining properties ft.
(kaeparateitiiiidation is necessary for anY. repair or new installation of septic system)
._....--- ..,
Town- of. Queenabury ' _:.
County of Warren AFFIDAVIT : 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 -
k..ompl.etp.AtateMent of,41.1 proposed work tO be done on the described premises and that all
F.c.viSions_of the BUILDING CODE, THE ZONING ORDINAlidE, and all other laws pertaining to
the. proposed work enall be complied with, Whether specified or not, and that such. work is
euthoriZed, by be oWner: : .- .
• •. •
. SWORN: TO BEFORE ME THIS • --signature #. . .
10-
. .Cwher, owner's agentorcnitect,contractor
3 day of - 0019.9ed .
• , 1 . • .
- • .
Notary Public, Warren County, N.Y.
a * * * * * * * * * * * * * * * * * * * * * * 4• * * 4 * * * * * .* * * * * * i * it i * * * i
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SPECIAL CONDITIONS OF THE PERMIT: . •
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TUwty Ut• QUzEtVSBURY
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 zoo Sq. Ft.
2 . Type of heat Electric Beat Pii
. 3 . Is the building mechanically cooled? YES
4 . Percentage of area of windows and doors 1470
A. Over 16% Only
1. Uo value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions See Attached
• 2. Floor over heated spaces YES NO
a. Are foundation walls insulated? YES NO
1. If YES, what is the R value? R-13
3 . Slab on grade YES Q.,
a. If YES, what is the R value of insulation around
perimeter of floor?
•
4 . Is basement heated? YES (15
a. R value of insulation
5. • Type of insulation Fiberglass
B. Under 16% Only
1. R value of roof and floors exposed to ambient conditions
2 . R value of exterior walls
3 . R value of glazed area
4 . R value of doors
5. R value of floors over unheated spaces
6. R value of slab edge insulation - unheated slab
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)
10. Type of insulation
C. Controls
1. Thermostat maximum heat setting 900
D. Duct Systems
1. Is duct system installed in unheated spaces? YES NO
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 pipe 1" & 3/4-Capper
2 . R value- of pipe insulatiod F. Service Water Heating -
1. Performance efficiency
2. Temperature control setting maximum
G. Fpr Swimming Pool Only
1. Maximum heating
Telephone ' No. 370-1058 JL,
(applicant ' s signature)
INTERIM BUILDING PERMIT
PERMIT APPLICANT Ag5(/ Gb c /2c5s_
CONSTRUCTION LOCATION ' S Gva. s'. •p 7�
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EFFECTIVE DATE 4/1/2. 7 •
APPROVED BY ��
SPECIAL CONDITI
ONS :
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This will certify that all submittals for a Building
Permit have been received and fee has been paid .
During the processing of the Permit, the above named
may begin construction per plans submitted. it is the
responsibility of the applicant to obtain the Permit
from the Building Department, following processing .
POST THIS INTERIM PERMIT IN A CONSPI U C I I ,
Building & Codes Department
. TOWN OF QUEENSBURY
APPLICATION FOR SEPTIC DISPOSAL PERMIT •
DATE 6-'J • / .
LOCATION OF PROPERTY FOR INSTALLATION 'g ,//N65,'5s l c7
Owner's Name: /Map Mg. L3 ? & liz/c Telephone: _PO/OSg
Address: 3099 8I04,0w/1Y (.0/6cZ'gC7 0 • /liy /2306
Installer's Name: MA iz° eaC,Ocr' .. Telephone: , 707'0�8
Number of bedrooms (residential only) . 4 .
Total daily flow (compute @ 150 gal per bedroom) _ . 00 • • i
Topography: circle one:40 Rolling Steep Slope % of slope..
Soil Nature: circle one: dal Loam Clay . Other / Depth: . . _ feet
Ground Water: At what depth? feet
Bedrock or Impervious Material: At what depth? _ feet
Percolation'test: circle one not require. required /rate min. inch.
Domestic-water supply: circle one• Municipal Well Other
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IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption _ feet
PROPOSED SYSTEM: Septic Tank /260 gal. (minimum size: 1;000 gal.)
TILE FIELD: Each Trench 5 0 feet/ Total system length •2S-0 feet
SEEPAGE PIT(S): Number of . / Size each feet by feet
Size of stone to beused # 2 . / Depth or Thickness feet
* * * * * * * * * * * * * * * * * * * * * * * * # * * * * * * * * * # * * * * *
IMPORTANT
-...Please...LIST NEW EQUIPMENT TO BE INSTALLED
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
(over)
1 '
Section II Septic System Inspections;
A. All applications for septic system installation, alteration or repair, as
required by the Town.of Queensbury Sanitary Sewage Ordinance, shall . :
be submitted to the Building Department at least 24 hours before "start
of construction and shall include a plot plan showing:
1.) the proposed,location of the System
2.) location and distance to lot lines
3.) location and distance to structures
4.) location and distance to any water supply
5.) size and dimensions of all tanks, distribution
boxes, tile fields and/or drywells
B. No system shall be covered before inspection and approval by the building
Inspector. Failure to comply with this requirement may result in the
uncovering of the system by the installer and a fine of up to $250.00. •
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may result
in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installation,
alteration or repair of an•approved system, a new proposal must be submitted
to the Queensbury Building Department before further construction.
•
I have read the regulations above and agree to abide by these and all requirements
of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
L.
Signature of responsibleperson: � R Date: � g36 . ' ,
- Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
'-t1RM 46E1 .iPPLICATIM' (REV. I/Pri)
•
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THE NEW YORK BOARD OF FIRE UNDERWRITERS 41 STATE STREET I CERTIFICATE NO.
ALBANY,N.Y. 12207
YOU ARE HEREBY REQUESTED TO
INSPECTAND ISSUE CERTIFICATES
FOR THE FOLLOWING ELECTRICAL
•
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EQUIPMENT TO BE INSTALLED BY BUILDING PERMIT NO.
THE UNDERSIGNED.
ITEMP.* DATE
VILLAGE ( UrG11042J41I'1W
TOWNSHIP�"�}- COUNTY W/VI�EIy
qlROAD STREET AND NO.OR _//n'/l Fj)l i CT IDS(
ROAD AND POLE NO. �JV{/,V UJ /YGJ+J J �, 1 POLE NO. //�J
BR WHAT TWO +J-r• "G'" /3 K!�� ALIJ NIa CJ- SECTION 1)-1 BLOCK I) � LOT + F
CROSS STREETS IS 1 W
PREMISES LOCATED? nj /J//
OCCUPANT'S/� l/' yyt,t'A' �� I's`' BUILDING -
OCCUPANCY r�t — �f-/�
AND ADDRESSE �/Q L(tO /yC ,r _`TEL.# �'/(J•—41-23
CURRENT }}}
SUPPLIED �/�0 -
BY ��1"""I �( FROM THEIR OFFICE
ISUILDING NEW LJ OLD❑ WORK NEW ADDITIONAL❑ REMOVED DEFECTS ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures BsBRANCH
Lamp Receptacles MOTORS HEATERS CIRCUITS OFFICE USE
Loca- ONLY
ban • Side Attach't
Ceiling Switch Pendant Bracket No. Type 'Each
No. Watts No. A.W.G.augeINSPECTION
mil Recap'la yp EeehEachGaups
Out-
side
•
Sub-
base
Hese-
merit
1st Fl.
2nd Fl.
3rd Fl. •
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE.
This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed,
you are authorized to make the inspection and adjust the lee to cover the additional equipment,as provided by the applicant.
SIZE OF n ELECTRIC SIGN TOTAL '
MAINS 2/�� ��/� - FEEDERS LAMPS WATTS
CHARACTER yi�,�y �/�� /��t� EXPOSED GAS TUBE SIGN
OF WORK Nv 1Y (rO/�/J-PeCTRO/✓ CONCEALED TRANSFORMERS OF VA
WORK TO BE (NUMBER) (CAPACITY)
STARTED COMPLETED SIZE OF SIGN
• SERVICE OVERHEAD UNDERGROUND/ MAKER
ENTERS �/ •
BUILDING OF SIGN
INSPECTION REQUESTED
ON OR AS NEAR AS
POSSIBLE NEW ElOLD El
•
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION y�
PRINT NAME AND ADDRESS
NAME OF GUiln/1r C/�yT/�/� X OF APPLICANT-LA
SIGNATURE
APPLICANT �/sV'�ftif s-•r+-�+q /�
STREET ADDRESS��(//C,7� ' �tox wJt'w D4 ZIP TELE�PPHONEC E#N SE 15 8/00
POST OFFICE t ""'�"'�/1!//f /!/'/' CODE /2Z WHEN APPLICABLE
46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
•
•
sown of Queeniurcy .
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
U • P Queensbury, New York 12801
4/J'
BUILDING INSPECTOR ' S REPORT
NAME //`a,(�GC7 SvZzi/_-,�
LOCATION �' �! • ,L1d!
Date C - I / Permit No. -W—y
* * * * * * * * * * * * * * * ,* * * * * * * *
= APPROVED - YES / NO
Footing/Pier Forms ,'
Foundation
Waterproofing
Backfill + .
Framing
Roofing- , ,1J 1../ i
Siding `' ; • ✓
Masonry Veneer
Rough Plumbing ,,
Relief Valves,: [ 1.f ''
Ext. Porches
Finished Floors ,/
Interior Trim l ti
'
Stairs & Railings`',,
Cellar Drain Tile •.,
Concrete Floors ,1',
Plbg. Fixtures
Gar. Fireproofing ?
Door Closers /
Smoke Detectors \ yr
•
Chimney '
INSULATION:
•
Foundation \..
Floors
Walls '
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL /
Final Building Survey J//
Next scheduled inspection (call when ready)
Remarks- a, W aexy A ydee
. .
, .
Bui In p ctor
6/86 and-vl .
Jotun o/ Queen.i‘ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
6�
SEPTTIICC�/�DISPOSAL
SYSTEM
- INSPECTION
NAME - /7Z t//
LOCATION 0 Gi!�C/1Z-
DATE_420/ PERMIT NO. 1 d l7
SOIL TYPE dIMP Loam - Clay -
Percolation Test Required? YES - N'
Percolation .te - Min/Inch
TYPE of SYSTEM: \
Absorption field, total lengt D250
Length of each tre ,ch $o
Depth of trenches '
Size of gravel_
SEEPAGE PITS.Number o )
Size- ft. X ft.\
Gravel size
PIPING: Siz- Type
Bldg. to tank / ' PUL
Tank to dist. box i/ "
Dist. box to field pit If" ur
Openings sealed? 410 NO •.rtial
LOCATION/SEPARA'IONS:
Foundation to rank // ft.
Foundation to absorption DZ(2 ft.
Absorption t. lot line tO ft.
Separation of pits -- ft.
LOCATION OF • STEM ON' PROPERTY(?lrcle one)
Front -40 Left side - Right side -
COMMENT .
SYSTEM USE APPROVED YE NO
Bu d g Inspector
01/86 and vl
Jown o f Queeniurcy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT�
77
mil 0
NAME �C � d�"�Q/��
LOCATION e .,
Date �/F Permit No. (o(� r ,
/`
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Vene=
Rough 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
(/INSULATION:
Foundation V
Floors ,
Walls V.
Ceiling
FINAL ELECT, .ICAL INSPECTIO
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Building inspector
6/86 and-vl
_Jown o� Queenitury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME W/GC tom,. , i/
LOCAT I ON
/
Date ,-ge Permit No. 4r cF cf
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
aming / ✓
Roofing
Siding
MOonry Veneer
,,Rough Plumbing t�
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
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
IBA .lding InspJector
6/86 and-vlI J
awn of QueenAury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
LDING INSPECTOR S REPORT
,0,4,
I4A M E / C(� .,rt%/U•
LOCATION / � cp ` e-i r
•
Date -ar/ir Permit No. =�
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms J
foundation V
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
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY AP.'ROVAL
Final Building Survey
Next scheduled inspection (call/when ready)
Remarks-
•
•
ilding Inspector
6/86 and-vl
_own of Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME ,e
G�Sd ,
4.-_)---
LOCATION ' w/- S,
Date as / aci Permit No. - gip./
* * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
toting/Pier Forms I/
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding /
Masonry Venee
Rough Plumbin•
Relief Valves
Ext. Porches
Finished Floor-
Interior Trim
Stairs & Railin• _
Cellar Drain Tilt
Concrete Floors
Plbg. Fixtures
Gar. Fireproof.ng
Door Closers
Smoke Detecrors
Chimney
INSULATIO
Foundati.
Floors
Walls
Ceiling
FINAL EL TRICAL INSPECTION 1
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
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