8379 •
C/O Paid
CERTIFICATE OF OCCUPANCY •
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
- Date - ?ua'u s t R- _19 8 4
This is to certify that work requested to be done as shown by Permit No. 8379
has been completed.
This structure may be occupied as a One-Family Dwelling
Location Lots 12 , 14 Coolidge Avenue
Owner Robert Crawford
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
CREATIVE '-INSTA" PRINTING, GLENS FALLS. N Y 12801 r 918)793-5656
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 837q
WARREN COUNTY, NEW YORK
•
PERMISSION is hereby granted to Robert Crawford
OWNER of property located at Lots 13, 14 Coolidge Avenue Street, Road or Ave.
rt
in the Town of Queensbury,To Construct or place a One—Fam i ly Dwel 1 ing n/
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.
Hi
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1. OWNER'S Address is 16 Wilmot Ave. a
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Valente Builders, Inc.
ti
3. CONTRACTOR or BUILDER'S Add l ess O
Box 16
rt
Lake Luzerne, New York 12846
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4. ARCHITECT'S Name
tP
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O.
5. ARCHITECT'S Address 1-+•
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6. TYPE of Construction—(Please indicate by X) C
N .
(x) Wood Frame ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications
31'x79' per plot plan, specifications and
No. application submitted including two—car attached garage
and sewage system.
8. Proposed Use
One—Family Dwelling o
m
$5. 00 C/O Paid 206. 00 PERMIT FEE PAID -THIS PERMIT EXPIRES 19
1 19 84
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
C7
Dated at the Town of Queensbury this 5th Day of April 19 84 fD
H
SIGNED BY k./12 a. for the Town of Queensbury
Building and Zoning Inspector Ca
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TOWN' OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for Application No. :
Permit Issued 19.
BUILDING AND ZONING PERMIT Pormit Expires. ►!.
7.(min . District
\ aim: „I \Vnrk ,
THREE (3) Copies of a PLOT PLAN, Drawn to scale .\1'1n.o d Iw
showing the actual dimensions of the lot to be built. u�•(,,:ii'K$' d//-
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
l f — j 8 a... /, I 3A0 . . TOWN OF QUEENSBURY
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK REGERLED•
ANSWER ALL OF THE FOLLOWING. : 'NEW
The undersigned hereby applies for a permit,to do the following work ,.�s
which will be done in accordance with the description, plans and specifi- A.M.01iy�/� /.;;1,
cations, and such special conditions as may be indicated on the permit. 7113TOPPD121-Vh �5��
The owner 1of^this property/ �Je is: . / , / .! ,°
�Z�N2,[�S •`.'l ctitN - ),l0 L-U i` 1' 6 A— :-2� 6-'— -S' `� -4-6
(NA'•aE)
(P.O.ADDRESS)
The person responsible for •supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
+r 'i U ai--c-'Are g 44 / 6 7 <e - vim p�. ems.—/t /u ,
(NAME) (P.O ADDRESS)Name of Builder // 64'' .‘"'-t COc:> J - Address ,e / 6 -7 (g z: (--c "2 --- �/- y^
Name Of Plumber ��Gf 6-4- ( i S,(--F, Address 1 J77Z`l " �'r• .7!'' 0"-- T- -e-4-
Name of Mason t,`fy/n`,'�� 1, Lit C�si -72r Address ice '
Lot Number. / '' Unit Estimated value of proposed work S ./.,. ...?./
Name of Village . . . .&'.-�.r -ef'
Name of Street . . .��6''�/ -?"-- la-1 rr Side of street: north ❑, east j south ❑. west ❑
Nearest Cross Street 6' °' /9cra.s • Distance from this cross street Ft.
Property is north,south ❑,east [I, west 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast (r:gi'. southwest
(Designate by marking with an "X•'_in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
Construction of a new building. Main Building
Addition to a building. One-family dwelling Z
❑ Alteration to a building. Two-family dwelling ❑
0 Demolition of a building. -family apartment house ❑
Store building ❑
- . . . 2-.-car attached garage ,K
Other:
• Accessory Building
• - One-car detached garage ❑
0 Other work. Describe Two-car detached garage 0
Private chicken house 0
Private storage building ❑
Other:
ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building, or a change of occupancy.
- - . Indicate on the plot plan street names, the location and
. size of the property, the location, size and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH Show proposed building(s) in dotted line and existing
. Iuilding(s) in solid line. . 11 c
. • Size of property ift. x
Size and use of existing buildings, if any
F
s w Size of proposed building 3/ ft.x !' ' ft.
' Height(from grade to ridge) al-ci ft.
Front yards ft.
Side yards 3:S I ft. and -e-J ft.
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Rear yard -:3--zs
i ft.
SOUTH If on corner, setback from side street ft.
Note: All distances are net, as measured from street side
line to nearest part of building.
(OVER)
7-73-M - .
i
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.?. . . . °_'.?• • • 17-. •• - '•'"``L • r. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will any second-hand lumber be used? / " If so, for what'
Material of foundation walls C-`.-¢.,,-' `4 &`� `�
r Thickness
Depth of foundation walls below grade , z. Continuous foundation? .�I%cyl —
Will there be a cellar? . . . .c.z.'S - If so, material of cellar floor t-ov� "�T. r
e.°�.•. . . . Material of roof Al-,�z'�'%IL c ` i•�•c.- :2c.._.v
Type of roof: Sloped or flat. . . . .SC,.'' .
��
Size,wood studs Uj'"x � ", spacing "o.c., length ( ft.
Size, floor beams, 1st floor . . . . " x / L� ", spacing / G 'r "o.c., span /' ft.
Size, floor beams, 2nd floor . . . " x .% ° ", spacing / G " "o.c., span / d. r ft.
Size, ceiling beams . 2 " x ", spacing /l "o.c., span / ft.
v L( t r
Size, roof rafters• or beams� ram— . ..�. " x spacing o.c., span ft.
Exterior finish (/. //LG' S- ID'`��,� With what material?
Finish of interior walls. . . . . ..C�.!C:r!. .`-.'.`. ° . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . .
If garage is to be attached, of hat�aterial is wal betwreee_n garage and main budging to be constructed? - e-
6
Is there to be an opening between garage and building? AY
Kind of heating system (52 `' Oil burner or coal?
Will a flue-lined chimney be provided? '�!. C . - . • Depth of chimney foundation below grade 4 /
Height of chimney above roof a J �r
Will there be a fireplace? �l erg ' Depth of fireplace hearth t 6 cr
Will a toilet be installed? - Y '
Will a kitchen sink be installed and connected to water supply? . i"S
Water supply (public water supply or pump) P'-4�'�
Distance of cesspool from any private well feet
Will drainage system be provided with required traps, cleanouts, and vents? y c7
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to th des;r of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.i.pp lete statement of all proposed work to be done on di ..described premises and that all rovisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the p sed work al be/complied whether specified or not,
and that such work is authorized by the owner. /
Sworn to before me this Signature
OWNER.OW ER S AGENT.ARCHITECT.CONTRACTOR
day of 19
NOTARY PUBLIC. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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By
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 ?6.v •
2 . Type of heat ( c, F,C
3 . Is the building mechanically cooled?' 6
4 . Percentage of area of windows and doors
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 (r)
a. If YES , what is thevalue of insulation around
perimeter of floor? .
4 . Is basement heated? YES NO
a. R value of insulation
5. Type of insulation
B . Under 16% Only
1. R value of roof and boor- exposed to ambient conditions
2 . R value of exterior walls 00`
3 . R value of glazed area 2- kg 2,
4 . R value of doors re- �� 3
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 /JR6r726-i J'Ss ��✓J� =T-C�'�e�� ;
C. Controls.
J '
1 . 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
b. R value of duct in other areas
E . Piping Insulation
1. Size of hot water or cooling carrying agent pipe
2 . R value of pipe insulation
F. Service Water Heating '
1 . Performance efficiency
2. Temperature control setting maximum
G. For Swimming Pool Only
1 . Maximum heating
Telephone No . 6,C _ 6
(applicant ' s signature)
v/ IJ `� I
TOWN OF QUFENSBURY
BUILDING ,& ZONING DEPARTMENT
SEWAGF DISPOSAL PERMIT APPLICATION
1. Owner' s Name 61� �f c� r�' l/f E G`
Address %e : .Gc��C,•ro ,�c,��"
6 Telephone No.
2. " Property location C/
3 . • Name of person or firm responsible for installing system
A-415-ci-)47/242( �S CI�v y Telephone No. .7q-7 3 J/
Address /,Z- :&4 r/"i ,r G
_ 4. Number of bedrooms (residential buildings__only) -�
5. Daily flow gallons/day
6. Septic tank capacity gallons
7. Topography: flat, rolling, steep
% of slope .-
8. Nature of soil and depth S, U /
9. If ground water, bedrock or impervious_material is apparent at what
depth does it begin? ft.
10. Percolation test: A is required_..
B is not required .
C If required what is the rate minutes/inch
11. Water supply: municipal, well, other
12. Type of system proposed: drywell,(iile field, other
Any contractor,, corporation, individual, etc. engaged in the construction
of 'a .sanitary sewage disposal system who covers the same before inspection,
not have .an approved permit, or varies. -from---the approved application
-will .be subject to a penalty of. $250 as prov-i d- •for in Section 6.010 of the
Queensbury Sanitary Sewage Ordinance.
Data /� J� 7 l671V
f i ignature of applicant
On separate sheet of paper submit a diagram of the proposed septic system
with all dimensions, including distance from any structure, distance from
property line and domestic water supply, etc. Include all dimensions of
the system itself.
Form 3-82 - - • --
Valente Builders, Inc.
Route 9N Pride and Workmanship is
Lake Luzerne, N.Y. 12846 the Foundation of Our Homes Phone (518) 696-2689
4
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''..r................... ,,___„.
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BUILDING DEPT.COPY OF APPLICATION FORM 46-EL.NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
CITY OR t_�,+----�--•"' L
.04,T
VILLAGE . f ../•-�.. mot`/ � TOWNSHIP 6.,){��r .��__ �i 1'�>E'"-�/�Q� /J
STREET AND NO.OR t r r i3 /
ROAD AND POLE NO. /i. _ ! -.. .`=t Cy°' _ _ POLE NO.
BETWEEN WHAT TWO , - %,,,-"-•., y-; . ,,,c
CROSS STREETS IS `
PREMISES LOCATED? .. t,�' !,. ) C- - SECTION BLOCK LOT
OCCUPANT'S —-S _ BUILDING
NAME i' /,-, ,: i -7 \, OCCUPANCY _
OWNER'S NAME •
1.AND ADDRESS r_ �;.-: /j -7�"' �: r��-j
CURRENT
SUPPLIED ;:,/,
BY C: FROM THEIR OFFICE
BUILDING NEW� OLD ill ❑ WORKSNEW jI ADDITIONAL El REMOVED DEFECTS ❑
IS �
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS Na.of Fixtures& MOTORS HEATERS BRANCH LAMPS
lamp Receptacles CIRCUITS
Loca-
tion
Ceiling Side Attach't Switch Pendent Bracket No. Type H.P. No Watts No A.W.G.a NO. WATTS
Wall Recept'Is Each Each GaugeEACH
Out-
side
Sub-
base
Base •
-
ment
1st Fl.
2nd Fl. •
3rd FI.
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 fee to cover the additional equipment,as provided by the applicant.
SIZE OF ELECTRIC SIGN TOTAL
MAINS _) /) (.i' ,,-:.2r':/ FEEDERS LAMPS WATTS
CHARACTER / EXPOSED GAS TUBE SIGN
OF WORK /--/ ?. _-J CONCEALED TRANSFORMERS OF VA
WORK TO BE ,�-}�- 7 (NUMBER) (CAPACITY)
STARTED /- r,. • COMPLETED SIZE OF SIGN
SERVICE MAKER
ENTERS /.
BUILDING / :-' `- (-.-' .-C.'L. a j OF SIGN
INSPECTION REQUESTED
ON OR AS NEAR AS
POSSIBLE NEW OLD
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
NAME OF % _ DATE OF ,- ;✓_ r 2 j l: i E j
APPLICANT ., ..ir'. --1 jr l' APPLICATION '
STREET ADDRESS I` t•''� C- f`'i�' `' t` .J / •
CITY OR /' _ _ S / /i ZIP .. y LICENSE NO.
POST OFFICE '-- , - '� '" -''' - '�'" `_� CODE WHEN APPLICABLE
A SEPARATE APPLICATION MUST- E FILED FOR EACH SEPARATE BUILDING
.-f.'-11:AA,�.I)-'A_.1-.._Ca.AA.A AA4.:_AJ__V..la,1 Via./.a..V !.4.._Ca.1.1,4•AA-..11,i.J_A-1,(.a/.J,.A.1,,I.a.C)...EJ_..1.\_l.L.T.l),.lJ_Aa,•11,AI.P!.)-1_-)Y4-),I4.9!.J...C.,!.J. J..Ia'AJ_P.C. _-1.4.4.Via./..'..l•A
j u ��a.;, �, THE NEW YORK BOARD OF FIRE UNDERWRITERS . y
- i, BUREAU OF ELECTRICITY -.a.
"' 41 STATE STREET,ALBANY,NEW YORK 12207
r-- � Date .:'��t.i.g if-2 6, 1 9 86, Application No.on file ' �T1.Yi•J'rr'9 6— ': A 625589
' , THIS CERTIFIES THAT
Z-. �. only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of --
-<, (� y tl 7 p q t {
-<' iC'f 1)CI't Cra— c i, L GJY, _k.1 - 14 Coolidg iota ., Q eenubary, r c York
_Z'
{ 0 0 1st Fl. 2nd Fl. g 1`R' e. '`)UIL:'"''"(3E Section Block Lot
�, in the following location; v Basement
_ ' -.C..‹; was examined on and found to be in coriipliance'with the requirements of this Board.
`y 4 FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS -
— 1, OUTLETS ECEPTACLES SWITCHES MERCURY
�, INCANDESCENT FLUORESCENT VAPOR AMT. K.W. AMT: K.W. AMT. K.W.. AMT. K.W. AMT. H.P.- __
•
-,'- 4. 'i6 48 , 26 36 `f` Y
-4 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS �r
'AMT. K.W. OIL ' H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P SYSTEMS NO.OF FEET AMT. WATTS --
-.75,; SERVICE DISCONNECT NO.OF t .,, Tio S, ,q 4.1, E R V I C E ;r
�1 AMT. AMP. TYPE METER 1 t 2W 1.ff 3W 3,B'3W 3,B'�IVJ NO.OF"CC.COND. A.W.G. NO.OF HI-LEG A.W G. NO.OF NEUTRALS A.W.G. '
EQUIP. PER iB' OF CC.COND. OF HI-LEG OF NEUTRAL
-C' '1 Fa•r, P B
�' ��t i�� a,L v,. 4�, 40 V 2/0
_ -c
OTHER APPARATUS:
s �•sry�i^;;,e a „;�i f(ti y�w o vq' J t; 9 v) �i"_; i 1'. 2 Cs
-[4 r.'aY EW!SEsTC g'.LL::A.�.•!'_aS® y1_ .,5 kw, 2 o P_> f.:�. 9 — r ,c: ° r, e ® 2 7.w., k_`- 2.s1 iS:.g —
._- -<' 1-— 5 amp i?�,� Air e t'�L, a�.'
,<' —
.-
r
Pc_rz y 3 Ray , • •
•
-
U �a StElte Roar' °?
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BRANCH'MANAGER s
E 1 ',Lake, Lu%e...f�P, New •i�O.y.ic.. 13.846
— Per 'F
_"fY YYYYYY YYYY-YYYYYY YY YY YY YYYYYY YYY'i'gYYiCY YY YYYY YY YY'C'4YYYY YY YY YY YYiiY(YYYYYY-i YY Y'i Y•i',Tr?YYY`i Y'i Y'i KY YY'iY-i`fY YY YY'CY Y'i Y'i f'i Y-i Y' _,
__ COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. '
•
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TOWN OF QUEENSBURY
Building Department
Inspectors Report Date �3�
Name
. Location K c 1 ?' i:«� .�Bl` ��rs 474,41
Permit No. i'!77- Weather
• l A,7:x iL (.i 5. Remarks
Exca fia t on
Footing Forms
Footing & Piers
• Foundation
' Cement Coat
Waterproofing ./(17/ �1 � a
Backfill — --�'C
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves \ 1
Wall Board
Ext. Porches
Finished Floor \
Interior Trim
Stairs & Railings l/ �/�
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing L. (),4--
Door Closers e/ ;_
Chimney J/ (..)&
Water Meter Inst.
Septic Approval
Floors •
Insulation Foundation '
Walls '
"Ceiling
' Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 7 V �}' /
Name ,O RA/ lM-IMrr R. (' _ u f ovi
Location C O1 irb t i9 fie—
. Permit No. 57.1 Weather
Remarks
ExcaOat on
Footing Forms
Footing & Piers:
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
• Roof Felt
Roofing
Siding •
Masonry Veneer
Rough Plbg.
Relief Valves . •
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors . •
Plbg. Fixtures
Gar. Fireproofing
Door Closers �'
Chimney
Water Meter Inst. •
Septic Approval
Floors
•
Insulation Foundation "
Walls
• 'Ceiling
Building Inspector
•
REMARKS
02 Y, a gy- L.eedJ-'
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TOWN OF QUEENSBURY
Building Department
Inspectors Report Dates r Wit"
Name C`�4-C 2P �r
Location 11-1'
. Permit No. ?3 '7 q Weather
Remarks
Excatta ti on
Footing Forms.
Footing & Piers'
Foundation •
Cement Coat •
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer �
Rough Plbg. 0-
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors •
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Foundation
Insulation Wa1Is
Ceiling " '
• - Building nspector
REMARKS
J
/04-611Z
TOWN OF•QUEENSBURY
Building Department
Inspectors Report Date 4' �i�/
Name C1J‘A& )iP-h,e7:4)
Location
Permit No. 3 77 Weather
Remarks
• ' Excavation
Footing Forms ��
Footing & Piers' 1'7 �,�ir p --,
Foundation
Cement Coat
Waterproofing
Backfill
• Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Venee
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railin-s
Cellar Dr. Til
Concrete Floor
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
-14 .%/0(
Building Inspector
REMARKS
TOWN OF QL EENSBURY
Building Department
6 M.
Inspectors•Report Date /3 o f h'
Name Jo 1,T•
Location - .i s t 3 , i-a C ro n I i (-I
_ . Permit No. Weather
3" 3 7 7 Remarks
Excatja tion
Footing Forms ��`��
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer /
Rough Plbg. i
Relief Valves
Wall Board NV
Ext. Porches \
Finished Floor aa.
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors -
• Insulation Foundation
Walls
'Ceiling
Building Inspector
REMARKS
Da h t)ct I��fie, ; Co h n-
•
Valente Builders, Inc.
•,�IUo�-.- ��I101�lp�uq
Route 9N Pride and Workmanship is
Lake Luzerne, N.Y. 12846 the Foundation of Our Homes Phone (518) 696-2689
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