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1989-347 } CERTIFICATE OF { COMPLIANCE TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK i Date Jane rY 9 . 19 2� t o -T 89-347 This is to certify that work requested to be done as shown by Permit No. has been completed. This structure may be occupied as a tA)ocation .�..� ; ,.__..a �� t9 Owner Ernest FA Charmaine gurnall By CJrder Town Board TOWN OF QUEENSSURV 20 Director of Bldg. do Code Enforcement WWI -. BUILDING PERMIT TOWN OF QUEENSBURY No WARREN COUNTY, NEW YORK r o--Y PERMISSION is hereby granted to ERNEST 8 CHARMAIHE BURNELL "D OWNER of property located at ROUTE 149 BOX 3289 Street, Road or Ave. in the Town of Queensbury, To Construct or place a PORCH 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_ 1 . OwNE R'S Address is RR#3 BOX 3289 Lake George ,H , Y _ 12845 r • 2. CONTRACTOR or BUI LOER'S Name r�7 SELF '! ro in r-+ 3. CONTRACTOR or BUILDER'S Address !ie SMW. d+ 4_ ARCHITECT'S Name ++ rtl b. ARCHITECT'S Address 6. TYPE of Construction — (Please indicate by XI 0 r r+ 1 wood Frame ; ) Masonry ; I steel ; to P + -P� 7. PLANS and Specifications No. 24 ' x 6 ' Porch as per plot plan , and application . ' x w S. Proposed Use 6fl Porch c/c i ncl . $ 16_ 00 PERMIT FEE PAID — THIS PERMIT EXPIRES December 1 19 89 ;if a longer period is required an application for an extension musk be made to the Building and Zoning inspector of the 'O town of Queensbury before the expiration date_! Dated at the Town of Queensbury t 25th Day of May 19 89 SIGNED BY for the Town of Queensbury Building and Z6M ng Inspector TOWN OF QUEENS13L7RY APP [41CATION FOR RUILLlIr. : ; AND ZONING PERMIT Va re.- tir-- ` TOWN OF QUEENSBURY _, >;eu sewed � j j- RECEIVED Fl Fee Feud tom/ MAY 2 2 1989 WILDING AND CODES UP ;P'A1Z1'1ti3!' r Va..Ge 7aaued BAY and HAV.7LAND ROARS RD l Dow 93 BLDG. $w CODE 1�EPT. pUEENSBURY , NEIV YOR.* 12804 Penm.%t No i2 - 3 C) _ Tel . ( 518 ) 792-5832 Ext: •204 .. • ak ■ ■ tr w x ■ ■ .* * i x • • f ■ • f * V F i i r ■ a ■ t ■ ■ r ■ w w a a A PEIIPIIT MUST Do OBTAINED BEFORE BE-GINNING CONSTRUCTIO14 o NO INSPECTIONS WILL BE MADE UNTIL APPLICANT IIAS RECEIVED A VALID BUILDINC PERMIT . All applicable spaces on this application must be completed and the %; ipUAturn of * the applicok ant *must ap* ear * o>* the reverse s id* e * of this shecct . � f" he owner of this property i s : C :c; _��,e R' . O . Address ot� fS aee �i� fiEL . ��/ iroperty 10 c a t i 0 n .1a2=z:zja G2tf � TAX MAP No . leas there been any split of this property since October 1 , 1988 ? yes no If yes , Planning Board Review is ^ ecessary . SUBDIVISION NAME , IF APPLICABLE Y R LOT NO . � The person responsible for supervision of work as regards Building Codes is : -- ll02 P . O . ADDRESSTE: L . NO . - Name of buildar Address Tel Address Tel Name of Plutnbsr. Tel Name of Mason Address ruATUkE OF PROPOc�CD 6ORK : ZONING INPORHA`I' ION ( 0 -f -fice usa only ) co t; cruccion of a now building 2,ONING DESIGNATION OF PROPERTY Y �Adaicion to a buil .Iiftg PERMITTED PRINCIPAL PERMITTED ACCESSORY �AILur:'Lion to a Luilding # ` ( [to CI4.utgu to c:XLUriOC (YitnenL- ions ) • REVIEW REQUIRED - PLANNING BOARD ZONING BOARD' . _ ,2!�,jUciior work i, cr ll+w') O � j/� �/ w �TTE LOA '2 :VIEW #! _. _ _ riPR:?uE:'' DL :' d rN�f VARIANCE It APPROVED DATE_ C hOSS AREA OV PItQPOSED, : TRUCT' URtE D 1st Floor sq ft . Remarks : 2 nd Floor sq f t . r C01•LT?I.E 'i`l: 1pRl'Ol 1M'i'113N frt:rlU 1lwL D SfR:LU�l . rg Other Flours . sq ft . LxistOir�pl3u;illilt•7 ( :: f� nu- Lt X rt . ( not cellar Or 1DaSQMQ1lc ) ; TOTAL FLOOR AREA^ sq f t • Lxi:.:cirlg bwilaintj e -a - q fie new uctur.: w Y ft X..aL_f t " _ V r`oLwkdacion riie slaltJcrswlJLaartial/ cull ' Nsottusud building , di : cancw: f rraut C+rutxurcy lime (circlw one ) Front yard Z. rt Rear yard ft Na . of wtori.ez (haliit:abl.: !-J)Actal Side yards ft and ll.:ighc tUradwa to ridgk.: ) ft . If on eornar , xu: rbaak from side t; CCOUc rc IC residunLial, now of fratnilir5 No . of rooms ( excluding b:. th:al ' OCCUPANCY INFOP4vATION Rla. of 1 Ldroouts PltlliAliY IaUILi'SIN(.� ^- No . of bachroouta: .OAQ faAti,ly dwelling Nriut:. ry Yruacinq Uy:.• l: uut # Two famt.ly dwolliny `T"yp" of fuel MONOMultil+lw: dwelling / Humber of units Now of firuplacut; era L%: in:;Calli:d Permanent occupzakcy Will :. wcau.l yLOVQ k+u irt:atallu+l? ' "irunsiurrc crcculaartcy C"nt£ul Air coi&Lticloning? + �, 13usinr:5s WILDING STYLE, PRIMARY STRUCTURE . Industrial l;setclt concw:auj,cpQr+ry+ LGh c:.bin Ocher If Addir ion . w1&"C will usu bc:? tui :ud ra.nclk M"nsir.+l1 Q%Aj lax sl�lic lwsvw:l Old styles Rlu+ltj"low ` C;.Ia4 Cod Cott:sry.: Oclwr ACCRS.SORY bUILRINC- COlofti...l Uaw rQWtk Clouse ` f:aw:tachad 1:j_►£4-r9jc/On0 Cur/ two c" r/ car ( CIRCLE: +ONE: PLEASE ) � awww�ALta4hti!d rj:.�ci►c�uforlw car/ Lwo C - Cl Cu ■• w w ■ s ■ ■ s w ■ . ■ w • r • * R vrivatw: ELC1£"ga building Lw `CIKATI: R MXRKr:.'1` V A L U V. OF w .0chw: r cONS10KUCor10 [A Cam^ f INror47bjATT0N ON BUTL0214C SPrCIFICATIONS , ON RLVtFLSE: SIDE OF TRIIS CtI"Ta •I'0 Be COMPLGTEDI Form DPA 10188 v1 BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . dk Gr Will any second-hand or ungraded lumber be used? If so , for W! at ? NocJe;�+ . Foundation wall material Thickness Depth of foundation below grade (to bottom of footing ) Will there be a cellar? Heated or unheated? Floor sq* footage sq ft Will there be a basement? Will any portion be used as living space? ( If so , what portion? s ft , - - Type of use? Type of roof - sloped/flat/ he other Material of roof p ,p, Size , wood studs lox spacing "o . c . length ft . Joists ( floor beams ) lst . floor �"X_�"' spacing "o . c . span -ft . .joists ( floor beams ) 2nd . floor "x to spacing "o . co span ft . Overlays ( ceiling beams ) "x '" spacing "' o . c . span fr . Roof rafters ..2 "' " spacing_ZL o . c . span-T_fft , Roof trusses (pre-engineered) spacing "" o . cl span ft , Exterior wall finish Of what material? Interior wall finish If a garage is to be attached , describe materials to be used for FIRE SEPARATION : Is there to be an opening between garage and dwelling? If so will a Fire-rated door , enclosure , and self-closing device be provided? Will a flue -lined chimney be installed? Height above roof ft , Depth of chimney foundation below grade ft . Depth of fireplace hearth ft , in , Water supply - Municipal or private well SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties ft . (A separate application is necessary for any repair or new installation of septic system) D E, C L A R AT I ON 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 Blil .DING COL -% THE ZONINC3 ORDINANCE, and all other laws pertaining to the proposed Work shali by corrr Uccj 'v: +ti y 1 ^ " ::is Li !< :r.•. " ; or not , and that such work is authorized by the owner. Signature Owner, owner's agent, architect, contractor SPECIAL CONDITIONS OF THE PERMIT : By PROFESSIONAL B.UILDfN +G , S.YST' Eit� `SY , �, , t dd Ill SPECIFICATION mWORKSHEET / Y �r / :Q .. r : ltid �N©..../ S9`�!`*J 1 ' 4 L7OlL* .7 —�+i/.`. +�` / „' ' `,kr�'°`• 0 III, �3 dd . 0M •R/ v Rep. .,� r Ueuker ` Custorsler 5 ,,�y�! •i' -Type of Udldg_ ; dP 'A=Ga CAS/G l�xrvirrg Rm . RIGHT/LEFT wrk r d. Irl Clvervll ` Dimeri : s}�, >"��` w , ! U!JNDATlC3N 1� it9rkA5©NF. Y N ©T INCLUDED,NkN P 410E : '' ' d.-° ` ,,,', Full F-{ciylit Crowl Space Under ' ' r ` L Slab LFnrler �' > Knee Walls tL[x utiala Fief k1t ` ++� I :.E ; :i - "' t: Miscellaneous od id L Lk ��''--++ p * ` !__ r Ii.. )s r r. nor .., - f.� , . =5 By PBS By Others Size " wrapped c �' F1u'sh Locnlion : ( Circle One ) : Wood Steel Bearing Wall ' c ' ` Miscellaneous y , •,.ymryrtirr + t*sw w S I L L Al o/iL r StondarcljFreateci zx•F 2x6 ; . , ZxB t }1i,1er ! _ t5 QIQ. es ' Flu Fr F L O © R F RAM 1 N G : tovo f�:^ f c F�?I, 4 k Joists ------ u c. ?.xG 2x8 2x 1 O u+2x 12 t ," ' a Stan4Jard Sp cc' s Q -4 Sk,earlllft r •. r r• $ r.' i': 1r ' � _ S4E s 'c t" r f-'%It CUX si's ' CU>C s/s TGG , Jit 7GG i GLUE t , r ; Zr1c1 f LOC}F2 -� ;>f, dZk ,; It i? r I * '` 1 Y f,� � + r. ' y =F laist58 ' 2xll] x1'2 *` } r IL „ i f L. r•� r'$ x yi r Sheathing : y , D.C.c1e or at { r ,.c r. 5farl+.krrdSfaec i; t rl:Y'� yR1r y= '. __ . 9 f: CDX -Ye CDX 3✓a TGG 3/a: .' TGG '; GL:UEi L *�,.k.Y } . }. L.�rI IUf .r ...i ' r v -�...._ ..._.. .. -.,-_ .. .�.._ ......, .�_�.. d... _ ..... rA I3FtIt7Csit4c; : 1v4elol - W■socl i^Jails : Yes - !do '" .`. `'s .. `. _' 1f9r} ':' ; f Yt.r Fi L I N Si If i : �CI /LIiLT. - li f. t - r ri'' '�[F? { s fe o r� r tisf-311, { E �'C '41 Cx 4t� C' ,, YJ'+3x5. Joists 2x4 2x6 2x8 2x1 [} 2 F2' C11Ftrr -.' . rt f <4SJ'-tt4E{1fiX' {tia I st Floor 1-leigllt . u. __ _ . Znd Floor Id I Heigh : f , r �I;`; r It :; :Knenwo111 14tlrghf ; �;"TY���}I�j r Cathedral Ceiling AflO _ _ ._W. ._. _ . ` fi: 71, I ., . ke i.'Y. ' l It); if ; s.f.E�i,It A.l3�I.V of A f ROOF y►,, �3 r �-+ �'y/J ` dd 1 r , r. ,14. SM ! i ,F f' ,. ,� . r;tii ' R O O F F R A ■ I N G r f�' v G l !I r , !rJ}` .Vro 41 ' ' i 4r 11 a t; f 7i � � �• xr, r E l it u Type : GABLE F-IIF� GAlrIBREd!- rfi FIEU' f`" } , r Id ` d r xwa»,. r ti I2iJye q O 47 d BIG¢7�}�!� h!.#ti.y ;v tT [ I° ',.J liaFters o.c. Zx6 2x8 E " ` " `' °oG•(4 •< FNds rtr e+: rei, st ik y 2rk lC} "f `tRi 2x O er" .. , f,►rlr� Trusses a.C . Type '%i=dd� dl ' FirringM`d Nune, Lgaadin9 k3o! ` i� 4 2ii a�"rd&, i$ C] • .� _~ �Jt1Carl1ing ; /j " �„[,� 7Q r' COX Cllps ,v' `{ iv: . 4 ,5s r':;. : ?' s -.,]`3'fs �F:9Ly - +sr� R -^r; C3verllong : aves r' k r" :i!: en 'r w ':dvkv`'}a" 4 pi-%4 �,+Rgicir '` IN 12elurn : SLOPE BOX ' !r• " {^ ,^+. r { xr w fJarmcrs : SHED GABLE ,: +;�wN4NE ; ' . �Y" Slain les : _ ` .' � v .dl�. ..,. i Roalrl oils ti cI , z.l } „" M 1= _ # r iR. rHxtW x., yr , ' sMIMMOW rJ Drip E t id, s.a: r s J. ,,,., x FrorcFt F'rasrs : Na Yes No yhx # r �oo�/ 1sr ° , ' I F usciu TrIr11 - �' .w. iC' "s�"1 4rtr'�.eFFlln t ��:�" 45 � r�{�Ar. i ySi'' 'ryi1c�"i Sotfil Nlaler,ul : ere ' A / .r ;'• ; v ? yl M [3 le �.. et5 f gr. il . : e R S Fi1r. p�f 1 �Ve i "cl: +tasa 1te 3r $r'A�rlFltytwrt► d4�}rer / �,+ ac,iSa� d4' i 3 's� t' 7 E , '{ T �de, ��rr.'+y�. �e 'a: ry x rli �R y S 3^• w` A'Fy'c_Y.}J.didf` • 'i Iih d • t'r'rf f 11 •iw qi'L.F..rs„c$�? s"�d' It ��,"' „l 1S"�T i'� SOFFIT RlC1GE GABLE s > ' I .-vs �tl.: air v " E' I + . rscc laneous + � # fl• dVd 14 1 /'� ,/ Wall r . 1 N �✓ R ■• A '*; � . '{ 1'1:1 a il P•n' •yr,�'rixar 4 r r ` { .. ; „ 1. T K 1 L L S Zxq 1d o 4 t y • �;4t��t err + t ' ; r I43t } s � a &rif?Y�' : Gp >) f 'kid �w '" '`S, Pi+ .11' y '1 .lk . , 'lam. ryf'rf y .,C, a ..'"�� •T.'v E X T E R 1 O IaC IT L ( ' , /w� ,/}yf ,) /d �r � y (L r , . . A L L ,r? • �/+:i�rl' CYyy� ' � , � Z Y3 .J �� y dIJ Id I �� � ll f�i ML.'tIY"Yv 4 .N' 1+E f YMZ r•... 1 IV It kI 6" o.C . .Zx6 - 16'' o.c. Zx6:%dd424!ddim;c ` } `OZhe # - Sheathing r .. . %r ' ' .y ` � .r Cj % rR: — 9 Oprarl ♦2 Ci7X 7/.1 �.�C3.5E"� n� *a fiarrir. r , l 5r } fL Fi. Fi P . NUNEV ` SIdirly . . 8. ,+ i Buick ' Fieiyffr . f iMIMMIM :, a r t L"uCotriori'., a i" � *w,i , . ,�� 1•rrEfkc tkrSlNu ! ! 'fyI 1 r �' J ! s • f' 's.frII;i L 41 1' < 1 . • �'t • s n. r• I' . r` js!-.% Y.+4a"r.,:..i .., . r �,..' +rs.y .",..'.""�jP .r.L E,v ,.: ;_ ." y —{ Fi 4 Yn y {, y Slk� x ' .. .. , 3 (, Is. Iwo it v \IVY i I I`# D O W Sdd nnry _ WC7(7D ALUIv11NUr4l PLk1v%ASH1 ELD , �W I`T ;! ER .ATONi Tyj)e : DOUM. EJHUNG CASLME14 � AWNING GLIDIj'JG . , �. • OtheM.rA r �i Opt Ions iNSULATEU rL1155 SCREENS -. # GRII_i 51 * +`*";: Y 11brids tSleutlersi 1'Urfs NONE pICTU[7Ey"V�/I � [�W GF2lLL YE5/hIO �c � � a' } ` Goble Glass : By P,EliS BY Others M.None Lpca1eot% Mis[cllur;ccnas } ' IF 11 s !' iAs ]f 0 O R. SrA l"Exieriar Swin a S� y : I eciclei ree/011 rer Enlrarlce Trirr► ` Y _ a \ ' ' � • /No ;rt '",= i Yes/No Side" Llyirts Yes Exterior 5lidifzg : iacncleirccfCJrieer Grills ; ' Yes/No Size - WC]ULi ALUNIII`dI.IMI : ' PERht1A511IELt7 ` # 1t"�� ' t ,..;. . a yr •' Syr} w . Swing - tlircl►+ - Regular - Prefi i. /Louarl/G Panel Fine hllaisanite/Lnuver'ed -r Full r/2 Cs :` r/xY Sliding - E3ireh - Regular - Prelin./Lvuan/G Panel, Pine ��+rlctsar�Ilc uo yierecl�-. F%411 .Ih 13itold - Mich - keguiar - Prefilr, /Louun/G Pone[ Pine:IyAcssan 1e/Levered °x �uiik f rfz '.G :.F/y '�•« . 7, � I-1mdwe1re : Standard Queer x " + +rF )#!J �rantpDonr, FlrfrrdleiSet;, . Yes/Np Ctesecl C7leerrirec�5 Yles/ Na t �w3 M. r 1. n , F L © 4 It I N G /f, vlrl� under lu nlef it 5' e i :. e; �, ! + I '' - xr/+.ti . 3'+1 .r Y on f Cr 15 1--leelproof : LocaIiurI 'NONE sy 'r Panicle lJourd; Location '' r ; +$+>.� ts4 _g�N��OyNrE Wood Flrrnrir,y : type r _ �._�. . _. _—. _ _ Location I N S U LAT 1 0 h! : jGsrlta < 'Wall : 3 - �.il "" Fl= 60 FF -V4 " URETHANE NONE-'.' FQther Ceiling G" 9" y ` Urethane : 3/q'r y rr 2.r F lcxar : 3 r,z , 6 NONE Other' 9 NONE Others `'"� 1r+1r7sUIerY 3/n " i'nn!!I Foam Uretlrana h ' "ar^Irr lr:..: 2rr. r '^,r` ..< NONE ; C3th r. Put for 'SieiewoEls : Y .�- ___� y irir_,` / ly r. z ' �' , tl t Y estNa Proper Vent Yes/NaY. Pvlytrsl I *Ya,s/Nrs ': ► ,ay [ T" . hJll'.Ceiiu,ec al■s _ ;�:}ry .. .: :t;�5•+ 5 +'j .. 4? x {..+XL It r . , "* ¢ @,,"<I�{i;:e . i_.�- n♦+yx. , '� 5 + , • . : '. :...y'f'J .r " *F1 .w 1 L L VY [] R 1C JI.r✓'cr ,rvt."' . ,� ,1 � ru; . f�nr'�f:11Ie _up'r raF " t[�+• 'T CODE : KD » FIELD - ASSEMBLE hl� FA,� 'F ( qF ASS x SlGiIs y 1^4r}:CI111 .ep . . l' rfl15h/QCa1i]ei Descripiion; '.3r n1'h't<rt4`i' ' .1 -.'.11+K.�. {�' `iri 'k3' b `r'+•- J+�+r�{! �@ rArl r Na /�. +.:e sy7 wig TM.r Mr�irr rrl3'"; FinislejCarpei ; Description; Fta f �,res� No Musre '.L.. Fi ---^--.- k nish/C❑fpei ; i)£scriptian; S k "1 c.�-�`!'r 'I 0 ,**4 rvh1�.'r: i1`fr 1 : 'r:. v '"!'�v+�.�. '+Lf pF Secur+Jrer yr '"i7 Sid L3aserrfertit/[7eFtier` >fnf,a M >; e y..r.3 a , i.r ` ill" r1y}�u°r� .w^ra Ncr 5`i f!�rlr u3nr 'r�." • Jrct E3a serte r =' urfi }+ h..igvya.:+ ., + ;•+ , . "'"'tiG ' Y es tit /Other . _ . + . Tom, ►ut f es . .Na F.xlerior �Nlncintiv 1•ri1I, I3i21CK MiC7OULD S ' EDGE° ' ' „ Rrx. 'I a . ' Qe , NQN >a w Ottefff � � ..�. or Dgrx)r 7'r irn : ++7 + Exieri BRICK MOULD 5Q ', EDGE - �.QNE, ;s ��'_(]fh"nr'�s, rs� Ilerrriar Wirrclow G C►cxar `Trifer : MOULDED -CA511WGrc� `}�: S(� I�DG� ' � Inieriar FJasls Trirre : MOULDED CASINCSQ ELSE E' N' +C3I s " sileiving & 11ods, : , Mefai - 4Yoe>d " )1 . ra: , r . 1EXTER10R WOOL [) ECIC . � �� � � �+ � ` $ RY. . 5ixe #LiCot II III T D" E tEL7 `s joist's . - - ..- 01C .J +'41i 2xEi . -'2xr� MMO* to + �Wd+l . 'g c ' I larking Moferial : � ��( �'! r �4 F . Ion a �i riot ��MD" dui c3railartl ,~6 GARAGE a» y , '• Y i "'1�Y Y'f(fitl'F yL ? k i^ }r'.• �'1(I i- �'' ly^.a '�` x1 ty;.i7'7� + su } r} : x'y � lr ATTACHED „ :, ' *f Id UiyATT CNEU % " �^+ U DER ` f `Q ` r Garage Size 0 Door i*� `T{ �JIxC ! ' ? `'" "•'t 0 INSTALLED FLUSH PA- DEL rLD'3,YV OIV '$ ROYY . G ASKS t Service Doors : Peachiree, Utller k"it ri{ tfr arL ;a }q rr oneZI Y'$ 1 r 1VI1 $ CI; LL1�► t+ A L am 3b # N E 1'J U S 4>''?rY!'i"`c: . a'r9.,,,.-f3.z..re.'''@Y�r.% o.l✓.i�y, . . , i .ii}?': :�'K:r: .'.., ,11}iC-w'%•r'r.4y","t :.`('k'} '?�i' §.`.r*`J+I`'F'F'� ' lw.�''. . r }, 'i -ir.+!'Ja:'+$�I.rsy ' "gRy''^s•a# r:s l.;•' ejar �rr.1F 6'<' rn .I' ; , .. . ,, l 4 . .N v,e?�iiry1]�} � }, F'1+5e,.:.w. i,h•p ...,4.a .ni�:�, 6 r:l:llfi' .' ...•„�,. 1*ilV re . ALL MATERIALS PRICED DELIVEREq aY +1+C�'1Ts.rrlL.C� �s"`�t '''�•'�`� ' " •e]] Yotal .'Ll.r� �� .`fw �• .. .:� . • ^� �.a.i.+rr ..e,}! 7 1 `. + Y 4! PY+,., '1 I!'.^1iY :J 1. y a,:y� ^,. r Pr .a..-�- �r +';`. -�- F+L�.Lt'1��.1x`'� e; ! k. %' r ;`:i -'r e+ ' - Does NO Sr-Includ Sfil6S aK r�,PRICE GQ©© FOR 30 .DAYS) �, ,�"r n l ' .r h, irk ' TOWN OF QUEBNSBURY BUILDING AND CODES DEPARTMENT SAY & HAVXLAND ROADS QUEENSBURY, NEW YORK I280&- TELEPHDNE (518) 79211-5832 BUILDING INSPECTOR' S REPORT RWY, SST FOR INSPECTION RECEIVED NAME LOCATION DATE __I�� PERMITf_ APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOU NDATIONI DAMP-PROOFING BACKFXLL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FouNDATION FLOORS WALLS CEILING FINAL XNNSPECTXON: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PO ES/STEPS STAXRS-CL NCR & RAILS PLUMBING XTURES/RELIEF LVE _ INTERIO TRXM/PRIVACY DOO FINXSHE FLOORS GARAGE FIREPROOFING DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTIONu OK TO ISSUE C/o OR C/C_�_____� --- A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUXLDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIEDI- REMARKS: ARRIVE DE ' INSP TOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT �k BAY & HAVILAND ROADS QUEENSBURY,. NEW YORK 1280k TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATIO1 DATE o �` � PERMXT #_ (7 1 3 �F - APPROVED YES NO FOOTING/PIERS f MONOLITHIC POUR FORMS F O UNDAT.IQ N/DAMP-PROOFING BACKFILL 'APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL 'IROUGH-IN INSULATION: ,., FOUNDATX094N, f FLOORS { WALLS ,CEILING FINAL INSPECTION_ j CHIMNEY HEIGHT ! ROOFING 'S — —� ,SIDING ` EXTERNAL S -- STAIRS-CLEARANCE & LS_ PLUMBING FIXTURES/ L F VALVE INTERIOR TRIM/PRIV CY RS FINISHED FLOORS GARAGE FIREPROOFS G _ DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL ,Z'NSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT." BEFORE THESE PREMISES ARE OCCUPIED ! REMARKS: I SPECTOR OW) O r� � r n ` caning Mministra or V: ��� 1 rfj \ 041 qF � ` s