1992-008 CER TIFI AT-E %Mws* �LTP. Iwd .' '
TOWN OF QUEENSBURY
WARREN COUN'T'Y. NEW YORK
Date_ • ®ri.�Ir f. �3 _ 19
. 92-008
This is to certify t at work requested to be done as shown by Permit No.
has been completed.
This structure maybe occupied as a
Single Fa ily Dwelling
Location Peggy Anil Road
Owe er Stuart Corlew
By Order Town Board
^i'OWTi OF QUEENSBURY
Director of Bldg, & Code Enforcement
BUILDING PERMIT
x
TOWN OF +QUEENSBURY No. 92-008
WARREN COUNTY, NEW YORK
0
co
PERMISSION is hereby granted to Stuart G(11 leM "Ic
T
OWNER of property located at Lot 1 Pe Ann Rd Street, Road or Ave_ p,
V
in the Town of Queensbury, To Construct or place a 'Single 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.
c'7
0
t. OWNER'S Address is
RD#1 Fort Edward
r
t'4
2. CONTRACTOR or SUI LDER'S Name 0)
a CONTRACTOR or SUILDER'S Address
4. ARCHITECT'S Name CD
40
iQ
a
a
5. ARCHITECT'S Address
Carl
fi. TYPE of Construction — (Please indicate by X) a`
(XI Vvood Frame 1 I Masonry 1 } Steel I } M
7. PLANS and Specifications
No. 1 *752 sq ft single family dwelling as per plot plan specifications � �c
and a lication
a. Proposed use
Single Family 'Dwelling �
251 _ 4D PERMIT FEE PAIL) — THIS PERMIT EXPIRES January 10 , 1993
Ilf 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.)
Dated at the Town of Queensbury this I th Day o January }g 92
SIGNED BY for the Tawn of Queensbury
Bui erg and Zoni otsrae yr
TOWN Or QUItENSOURx
ct
REVIEWED BY :
FEE PAID : � ,I , � meowm OF CEUEEfrilS3 RY
PERMIT NO . : [ Q AIM
JAN �
BUILDING PERMIT APPLICATION SUIL00AG B► COOS DgP'T*
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . NO INSPECTIONS WILL BE MADE UNTIL
APPLICANT HAS RECEIVED A VALID BUILDING PERMIT .
All applicants spaces on this application MUST be completed and the signature of the
applicant MUST appear on the reverse side of this application .
* * * * * * * * * * * * * * * *1 * * r,* * * /* * * * * * * * * * * * * * * * * * * * * * *
Owner of Property : � ' r , a wI/- 4rfoy/ ,. C .
P . O . Address : _ sh 4,!) ~ r ]r. 0 3r _ 44u$ do CO) . `r;t s o PHONE �.3 -�s 7
Property Location : easaL 7o Tex Map No . S"i / cP- / �'. 7Has there been any split of this property since Octoberf 1 , 19W Yes No �-
If yes , Planning Board Review is necessary .
Subdivision Name , if applicable : Lot No .
THE PERSON RESPONSIBLE FOR SUPERVISION
/fOF _WORK AS REGARDS TO BUILDING CODES IS :
NATURE OF PROPOSED WORK : f * ESTIMATED MARKET VALUE OF THE
Construction of new building * CONSTRUCTION : $ ✓ o 060
Addition to building I ""--"—
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW :
( no change to exterior dimensions ) * Size of Property : :/ as ft . x / So ft .
Other work ( describe ) * Existing Building Size :
* ft . x ft .
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE : * property line :
*
1st Floor Z 52-- Sq . Ft . * Front Yard 3 0 ft . Rear yard ,2-4:> ft .
Side Yards a ft . and a-cr ft .
2nd Floor Sq . Ft . * if on corners etback from side street-
-�;... * o f t .
Other Floors -. Sq . Ft * �
(not cellar or basement ) OCCUPANCY INFORMATION :
*
TOTAL FLOOR AREA : Sq . Ft . * Primary Building -
* One Family Dwelling
Size of New Structure : H,: - ft . x ft . * Two Family Dwelling
Foundation . * Multiple Dwelling/No . of Units
Pier/Slab/Crawl /Partia /Full Circle One ) * Business
* Industrial
No . of stories ( Habitable space ) 1 * Other
Height ( grade to ridge ) ai= 3zf ft .
If residential , no. of famIlleso. / * If addition , what will use be?
No . of rooms ( excluding baths ) :
No * of bedrooms : 3
No. of bathrooms : * Accessary Building :
Primary heating system: Detached Garage - One/Two Car
Type of fuel : * . -�-- Attached Garage - Qme Two Car
No . of fireplaces to be installed : �w Private Storage Building
Will a woodstove be installed? : Other
Central Air Conditioning : Yes No
( OVER )
BUILDING PERMIT APPLICATION CONTINUED :
BUILDING SPECIFICATIONS :
Type of constru,gti.yn : q d frame fire safe , etc ,
•vt, .="_
WiI1f`an �S$ti�rn�al hrfo � graded lumber be usedl; If so , for what ?
;;,. 1 r -�
Faun till ri Thickness : $ `r
to /,,.y
Depthq&t §qJt9 aJion below grade ( to bottom of footing ) :
Wi l l there be a cee !i"Wit'-� " Y-r g Heated or Unheated ? z4 .a Floor Sq . Footage :
Will there be a basement ? yjcx Will any portion be used as living space ? •cs
If so , what portion ? Sq . Ft . Type of Use ?
Type of Roof : 1apeQF1at/Shed/Other
Material of Roof
Size , wood studs wt x L to ; spacing / o . c . ; length St' ft ,
Joists ( floor beams ) : 1st Floor „2 " x / 0 spacing ! G o , c . ; span ft .
Joists ( floor beams ) : 2nd Floor x It ; spacing " o . c . ; span ft .
Overlays ( ceiling beams ) : " x " ; spacing o . c . ; span ft ,
Roof rafters : " x " ; spacing o . C . ; span ft .
Roof trusses ( pre-engineered ) : spacing AY o . c , ; span 3a--- ft .
Exterior Wall Finish : L.°_.. O�P v of what material ?
Interior Wall Finish : � ' ', �[ 4 { a -
If a garage is to be attached , describe materials to be used for FIRE SEPARATION : �rr.
Is there to be an opening between garage and dwelling? to If so , will a Fire- Rated door ,
enclosure , self-closing device be provided ? AILE '1�
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 4�w- Municipa 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 . )
NAME OF BUILDER & ADDRESS : 'S2jLt4 4a a �- / ncJ ' f �ef?.�, ... c.� '.�Jy _PHONE 43r" jj' m;t ,5
NAME OF PLUMBER & ADDRESS : _ Z7� PHONE
NAME OF MASON & ADDRESS : -� PHONE
NAME OF ELECTRICIAN & ADDRESS : `--E'_ PHONE
DECLARATION
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 .
Signature
Owners owner as agent , arc tact
contractor
SPECIAL CONDITIONS OF THE PERMIT�
By*
o e n orcenin cer
ENERGY CODE COMPLIANCE APPLICATION
TOM OF QUEENSBURY9 WARREN COUNTY - 9000 HEATING DEGREE DAYS
TOWN OF QUEENSLBUR a'
Compliance Methods; I
PART 5 - Acceptable Practice Method - 1 lI 2 Family 'Dwellings ( ONL
JAN 0 8 'I
PART 5 - Thermal Rating - Component Trade Offs - 1 b 2 Family Dwellings ;
Multi - Family Dwel
{ 3 Stories or Les*r@pO M, CODE
DMP'T.
PART 4 - Design By Component Performance - Commercial Buildings - Hi - Rise Residential
PART 4 & G - Compliance Methods Require Submission of Worksheets
e ra tar Y e o Y L r-c_.3 ,_ 7�77/ - U P.
A'Y LICPROPERTY LOCATION �—°^-o�
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE :
1 . Gross Floor Area 7 S =:L Sq . Ft .
2 . Type of Heat on Elec . Base Board Other G d,,9 , Y .D 14,,4 W • a"`
3 . Is Building Mechanically Cooled ? YES NO
4 . Percentage of Area of Windows and Doors Over 17% Under 17 %
THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO R E Q U I R E D
THE R.VALUES SHOW on PLANS SUBMITM6!
Baseboard
S . Insulation Values * Actual Shown Elec . Heat Other
A . Roof A Floors exposed to ambient temperatures R 3
B . Exterior Walls R_ ) G3 -��-
C . Glazed Area R
D * Exterior Doors R
E . Floors over unheated spaces R
F . Edge of Slab on Grade ( Heated Building ) R
G . Basement/Cellar Walls (Above Grade ) R 1 O
H . Basement/Cellar Walls ( Below Grade ) R.._�O
I . Heating/Cooling - Ducts - Piping in Unheated Space R
5 . Service ( Domestic ) Not water Heating Device
A . Conforms to minimum efficiency per code ✓ YES NO
TEPPERATURE CONTROL MKX114UN SETTING 140• - WIL.L NOT BE EXCEEDED
�APPLrCANTwS �
a �'E E
I NS PEC TOR ' S REMARKS
l
I.
t
TOWN ma ra"am
�
APPL T10 F aNN FOR SE Permit #
Fee Paid
Date : r� Yam' Reviewed By
$, _gyp E pEPT,
LOCATION OF PROPERTY FOR I NSTALLATI0�I�� oqZ 6[,!/ 0
Owner ' s Name : lc4 of ,• Z ^oeyr- A r7
Owner ' s Mailing Address : �'CL`� " rd� ir � ✓1 `�,+ �+
Installer ' s Name : Phone # :
Number of bedrooms ( if residential ) :
Total daily flow ( residential - compute @ 150 gal . per bedroom ) : li' S O& /
Topography- Circle One : Flat Rolling Steep Slope % of Slope
Soil Nature-Circle One : Sand' Loam Clay Other /Depth :
Ground Water-At What Depth ? Feet
Bedrock or Impervious 'Material -At What Depth ? Feet
Percolation Test- Circle One : Not Required Required/ Rate Min . Per inch
Domestic Water Supply-Circle One : unit ' Well Other
If domestic water supply is a we 1 -
Separation : Water supply from any septic absorption feet
PROPOSED SYSTEM: Septic Tank loo v gal . ( Minimum size : 1 , 000 gal . )
Tile Field : Each Trench feet//Total System Length feet
Seepage Pit ( s ) : Number of each : ft . x ft .
Size of Stone to be used : # � - '/ li ckness / feet
( L� ' iIRED
No . of Tanks + zze' of Each Gal .
Alarm system and associiai oe inspected by a certified
agency. 4 * *
I have read the regulation on reverse side of this sheet and agree to abide
by these and all requirements or the Town of Queensbury Sanitary Sewage Disposal
Ordinance .
SIGNATURE OF RESPONSIBLE PERSON : DATE :
1
Sep.tfL" System ; In spections :
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 , 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 .
Town of Queensbury
Building & Code Enforcement
Department
531 Bay Road
Queensbury NY 12804
Remarks :
TOw m OF QUEENSBURY i
BUILDING AND CODES DEPARTMENT G
531 BAY ROAD
QTELEPHONE � NEW 0( 518 ) 745- 4447
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEIVE
NAME
LOCATION /��/ � �1
DATE PERMIT # f -- 4:2
TYPE OF STRUCTURE
RECHECK APPROVED
N A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS iIESI ISLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS LL
ENT OWIN
THE PLACEM OF THE C CRETEji"
MATERIALS FOR THIS PURP E 01 SITE
FOUNDATION/'HALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
X ROUGH PLUMBING ,L
%XPLUMBING VENT VENTS IN ACE
PLUMBING UNDER SLAB
FRAMING :
JACK S DS/HEAD R
BRACING/BRIDGING -�-
JOIST HANGERS
JACK POSTS/MA N AM -
HEATING ROUGH- IN
^[ INSULATION :
l FOUNDATION AL N ERI R R-
FOUNDATION WA S E%TERIOR RR_
FLOORS R�
WALLS R_ :.
CEILING
DUCT WORK R IPING IN UNHEATE
SPACES
REMARKS :
ARRIVE �2, 7 j
DEPART
v N PEC R
TOWN OF Ql,1EENSEURY
BUILDING 53 D BAY E ROADPARTMENT
QUEENSBURY , NEW YORK 12804
TELEPHONE ( 518 ) 792- 5832
BUILDING INSPECTOR' S REPORT
REQUES OR INSPECTION RECEIVED
NAME -
rN
LOCATION •
au40 +
DATE +� —PERMIT # _5
TYPE OF STRUCTURE
APPROVED
RECHECK NIA YES NO
FOOTINGS/VIER
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR is RESPONLE
FOR PROVIDING PROTECTION FRO14
FREEZING FOR 48 NWRS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOU DA LL APPROVAL
OOOFING�._
ROUGH PLUMBING
PLUMBING VENT/VEN S IN PL
PLUMBING UNDER SLAB
FRAMING :
JACK STUDS /HEADERS ---
BRACING/BRIDGING--
JOIST HANGERS
JACK POSTS /MAIN BEAM —�
FIRESTOPPING
WALLS
CEILING }
FIREWALLS
HEATING ROUGH- IN A
kINSULATION :
FOUNDATION WALLS IN E R-
X FOUNDATION WALLS EXT E` OR RR'
FLOORS
WALLS
CEILING
DUCT WORK OR P IP IN IN NH EA ED
SPACES ,
REMARK :
rzo
-Z' ' ,��M �-- res ,fix—��z.r c�►�..
ARRIVE
DEPART, O Sp TOR
TOWN OF QUEENSBURY
BUILDING 53 D BAD ROAD DEPARTMENT
QUEENSBURY , NEW YORK 12804
TELEPHONE ( 518) 792� 5832
BUILUING INSPECTOR' S REST
REQUEST FOR INSPECTION RECEIVED
NAME C� r
LOCATION _
GATEJIRUCTURE,.,.-.�����
PERMITTYPE
APPROVED
RECHECK NIA YES NO
F00 INGSIP ERS
MONOLITHIC POUR FORM
REINFORCEMENT IIPSESPO�ISI
THE CONTRACTOR IS
FOR PROVIDING PROTECTION C"
FREEZING FOR 48 HOURS FOLL ING
THE PLACEMENT OF THE CONC E.
MATERIALS FOR THIS PURPOSE SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENTIVEN S IN LA E
PLUMBING UNDER SLAB
FRAMING :
JACK STUDS /HEADERS
BRACING/ BRIDGING�� �-- �-
JOIST HANGERS_
JACK POSTS /MAIN BEAM
FIRESTOPPING
WALLS
CEILING
FIREWALLS
HEATING ROUGH- IN
INSULATION :
FOUNDATION WALLS I ERIO R-
FOUNDATiON WALLS E TERIOR RR`
FLOORS
WALLS
CEILING
DUCT WORK 0R PIP NG IN N EA ED
SPACES
R00FARKS :
0
ARRIVE
DEPART NSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT ----- ---
531 SAY ROAD
QTELEPHONE ( 518) 745 4447
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSIPECTION RECEIVED"
NA14E Y ^
LOCATION c ��- "�y ��,
DATE PEW4IT # !
TYPE OF STRUCTURE, -
APPROVED
RECHECK N/A YES-1 NO
OOTINGS/P ERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE :
THE CONTRACTOR IS RESPO IBLE
FOR PROVIDING PROTECTI FRa4
FREEZINGFOR 48 HOURS IF Ea
THE PLAC OF THE COMATERIALS FOR BETE.
THIS
RPO E ON TE
FOUND TION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VEN S I P
PLUMBING UNDER SLAB
FRAMING :
JACK S S/HEADE
BRACING/BRIDGING — -- �"
JOIST HANGERS �--- -
JACK POSTS/ N B
HEATING ROUGH- IN
INSULATION :
FOUNDATION L S N E OR R-
FOUNDATION WALLS EXTERIOR RR-
FLOORS R_
WALLS R_
CEILING
DUCT WOR OR P PING IN UNHEA ED
SPACES
REMARK
Ylgfzy4l -f gFC� [x �rEf S -
f
ARRIVE '�s�CSG
DEPART � ECT R
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.0- 1 Box 98
Queensbrury, New York 12801
SEEPTIC DISPOSAL SYSTEM INSPECTION
NAME f,��_)_ 62 L � G{f�l_ (-N f
LOCAT I Ohi `t
DATES ! qZ .PENT NO . -
SOIL TYPE - and Loam - Clay -
Percolation est Required? YES C1g19'
Percolation rate - Min/inch
TYPE of SYSTEM:
Absorption fielar total ]rength � �C 'G
Length of each trench. ` �;.')
'Depth of trenches
Size of gravel _
SEEPAGE P ITS4Number of d
size- fto x f �`�---
Gravel size
PIPING : Slie Type
Bldgw to tank {�cA Q6 Pr-`'—
Tank to d1 st. box
Disto boss to f,:ld/
Openings sealed? Y !j NO Partial
LocATION/SEPARATION
Foundation to tank / t0 ft:*~- 0 fC_
Foundation to absQx ion Z ft =`—
Absorption to lotf li a IC7 ft=
Separation of pi Sj ft-
LOCATION OF SYS PRC7PE TY (circle one)
Front - Rear eft ' de - Right side
CCIMMENTS :
SYSTEM USE APPRCDVED Y
B din I Spector
01/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY , NEW YORK 12804
TELEPHONE {51$ } 745-4447
BUILDING INSPECTOR ' S REPORT/ /
REQUEST FOR INSPECTION RECEIVED_ / / �--
NAMF. fx_ h I (ffJ''�
,r�
LOCATION /,Paa -tt
DATE ERMIT #
TYPE OF STRUCTURE
RECHECK APPROVED
N A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPOt
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEWNT OF THE CONCRETE.
MATERIALS FOR THIS PURP SE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VEN? IN PL CE
PLUMBING UNDER SLAB
}( FRAMING :
JACK S UDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN AM
HEATING ROUGH- I
INSULATION :
IFOUNDATI WALLS I.NTERI
FOUNDA ON WALLS EXTERi R-
FLOO R-
WA S R-
C ILING R-
DUCT WORK OR PIPING IN PNHEATED
SPACES
REMARKS :
ARRIVE
DEPART I rzL,
INSPrOTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
4 �TELEPHONE ( 518)NEW 07 RK �92- 5832
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION
� RECEIVED
NAME lr G ('/d-'J&d 42
LOCATION A
DATE ' PERMIT #
TYPE OF STRUCTURE 4J1
RECHECK APPROVED
N/A YESI NO
MONOLITHIC POUR FORM
REINFORCEMENTIN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE C NCRETE_
MATERIALS FOR THIS PUR OSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE •
FOUNDATION/DAMPROOFIN
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTqg IN IL CE
PLUMBING UNDER S B
FRAMING :
JACK STUD { pER5
BRACING/BR GING _
JOIST HA RS
.TACK POSTS/MAIN BEAM
FIRESTOPP AG
WALLS
CEILING
FIREWAaS ?
HEATIN4 ROUGH- IN
INSULATION :
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS
CEILIN R-
DUCT WORK OR PIPING IN HEATED
SPACES
Ad
ARRIVE
r
DEPART
I NS PE '
TOW OF QKEN,SBURY
531 BAY ROAD
QUEENSBURY , NEW YORK 12804
TELEPHONE ( 518) 745-4447
BUILDING INSPECTOR' S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAM <3 C@'7 '-
LOCATION lv 1V '
DATE �} �� ' PERMIT# --C 2
TYPE OF STRUCTURE
RECHECtt
FIRE MARSHAL APPROVAL ( COMMERICIAL STRUCTURE )
:KIFOOTING X FOUNDATION K BACKFILL X,FgAMING
UM
OUGH PLBING FINAL ELECTRICAL ; 7 EPTIC
INSULATION WO STOVE/FIREPLACE rt
REMARKS
s
APPROV
N/A YES NO
CHIMNEY HEIGHT/LOCATI
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/ RCH/S E ! ILIN
RELIEF VALVES
FURNACE/HAE
IA R E NG _
INTERIOR /PRIVACY 5FINISH FL :BATH/KIN WATE IGHTOTHER FS SWE ABLEOTHER FS CA ETEDSTAIR CLCE/ ILINGSMOKE DERSHBATHROOMSALL PLUM U S 0 E TINGARAGE FOOFINGDOOR CLOOTHER FIPA I FIRE/DEMWALLSFINAL ELICALOK TO ISC/O OR C7c
COMMENTS :
ARRIVE _
DEPART "'
I
�I f
i
Ck)
WIN OF qu
9WWINO i CODE DEPT.
Dot
Zoning A in into r