8701 C/O Paid
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Pr
Date 'Tu?-', 19
This is to certify that work requested to be done as shown by Permit No. 8 7 P 1
has been completed.
This structure may be occupied as a n'' are i l y D vTe l i i n
Location Lot lE Co} ]ales;gone Drive
Owner Dr. and Mrs. Pernardo Villajuan
By Order Town Board
TOWN OF QUEENSBURY
.�
Building & Zoning Inspector
•
CREATIVE "INSTA" PRINTING. GLENS FALLS. N Y 12801 15181793-5658
TEMPORARY
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date Decemher 17 19 84
This is to certify that work requested to be done as shown by Permit No. 8701
has been completed.
This structure may be occupied as a One—F aIT i L?r Dwellin
Location Lot 16 Cobblestone Drive (Butternut Hill Subdivision)
Owner Dr. and Mrs. Bernardo Villajuan
TET-IPORARY CERTIFICATE CF OCCUPANCY By Order Town Board
FOR 10 DAYS.
TOWN OF QUEENSBURY
Building & Zoning Inspector
CREATIVE "INSTA" PRINTING. GLENS FALLS. N S 12801 1518)793-5658
BUILDING PERMIT
TOWN OF QUEENSBURY 8701
No.
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Dr. and Mrs. Bernard() Villajyam
Lot 16 Cobblestone Drive 1-1OWNER of property located at Street, Road or Ave.
(Butternut Hill Subdivision)
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.
1-1
1. OWNER'S Address is Regency. Park
Glens Falls, N. Y. td
CD
w
2. CONTRACTOR or BUILDER'S Name ri
CZ
OKO Custom Homes
3. CONTRACTOR or BUILDER'S Address
F-'
9 John Clendon Road �•
Glens Falls, New York
4. ARCHITECT'S Name
5. ARCHITECT'S Address td 0
ct
rt.
ft F- `
(D
1-i
6. TYPE of Construction—(Please indicate by X)
ft tf'
(X)Wood Frame ( I Masonry ( )Steel ( I 1-1
F (D
1--' W
7. PLANS and Specifications 1--1 rt-
8 5'x45' per plot plan, specifications and cn
No. application submitted including two-car attached (D
garage and sewage system.
-N• I-1
8. Proposed Use < F-'-
E .
One-Family Dwelling N- al
$5. 00 C/O Paid
$ 199. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 19 85 O
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the (p
town of Queensbury before the expiration.date.)
Iv
Dated at the Town of Queensbury this . 2 0th Day of August 19 84
,�y Q
SIGNED BY itek + Q i �.� " for the Town of Queensbury
Building and Zoning Inspecto "T s
(D
H
W
TOWN OF QUEENSBURY
(Space inside block to Iy tilled in by
WARREN COUNTY, NEW YORK - Building Inspector)
A PPnlication for Application No. r
p(..„it Issued 19-
BUILDING AND ZONING PERMIT . Expires. 19.
/fining l)istricrt
\ attic it Work I��
THREE (3) Copies of a PLOT PLAN, Drawn to scale . .�l�l'i.(1 c•d by �,„.e_yi
showing the actual dimensions of the lot to be built. ItcnthrKs
upon, The exact size, and location on the lot of the .
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
s-//"__._� _� 7 FA0iNy TOWN OF QUEENSBURY
DATE � � � � � �
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ....�
li)
ANSWER ALL OF THE FOLLOWING. ' AUG i.0 19.84
The undersigned hereby applies for,a• permit,.'to do the following work: ,�q,p�;i•n`�. ch• uuta RM.
which will be done in accordance with the .description; plans and specifi= . , 11$1gpgol)12211213141516
cations, and such special conditions as may be indicated on the permit. oa_ .__..-_- ,. . , , ,
Tire owner of this p party is: - ,
,�.,t0 7e4d?9RPlor. /icy,,1,ru19.�v. .- 9Es :�.sy 2lc �r-. F. /z
�� (NAME) (P.O.ADDRESS)
The rson responsible for - ,supervision of the work insofar as the Building Code an the Zoning Ordinanc apply is:
........G.0 . . ";t-e-E7:? �ac .2�8 i0ADDRES .!&A,T.IX.V.r/ 4Z.
�/ (NAM ....... ..(P.O.ADDRESS/)
Name of Builder/` 0 1,3 T 1 •..• •Address( _Leivaa iF -
Name of Plumber s Addres
,/ +� G /N OO E'/4 iE' BAR s'P6s /2? C.
Name of MasonNe /V eetS77.nt.Pee4.7) EL44JPS•fddress .7. • i
Lot Number Unit .. Estimated value of proposed work S /35 CO 420
Name of Village�. .4:Pte. "v 34(Pei •
/may,�
Name of Street .4f LE50 7 rJ47"• • De Side of street:.north ❑, east. ❑, south west 0
Nearest Cross.Street 01r77'5W400 T Distance from this cross street /OOP\ Ft.
Property is north 0,south E,east i 1-,west:.. 0 from Cross Street
If on Corner, which corner, northeast 'Li, northwest ❑, southeast D. southwest - -
(Designate by marking with an"X`''in:the.correct space.)
NATURE OF PROPOSED WORK .. OCCUPANCY . _
X Construction of a new building. Main Building
Addition to a.building.. One-family dwelling-
❑ Alteration to a.building.' Two-family dwelling ❑
❑ Demolition of a building. • • - • - -family apartment house ❑
Store building ❑
-car attached garage ❑
Other: . \:
• ` -Accessory Building •
- One-car detached garage ❑
l] Other:w rk. Describe: Two-car detached garage
Private chicken house \ _ ❑
J \ ❑
Private storage building .\
. . ;fi Other: . -N
ZONIN ' CIFICATIONS. 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
T
' size of-the property,the location, size and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH Show proposed buildings) in:dotted line and existing
huilding(s) in solid line.
Size of property . ./.70.'f . . ft: x ZOO ft.
1 . Size and use of existing-buildings, if any
I-
) I-
I-
. < �i� . . ft.
s m Size of proposed building . -• • ft.x
Height(from grade to ridge) '_ z0 ft.
m/Q
ii Front.yard i'11, T 7 11 • ft.
•
. T.
Side yards a. ft. and . . .32... ., . . . . ft.
OC doe"r®dEsTo • Rear yard : - //.3 I
ft.
SOUTH If on corner,setback from side street ( ft.
I . .
IX
i
Note: distances ore net, as measured from street side
• - line to nearest part of,building. -f'
(OVER)
7-73—•
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of constructior600d fr fire safe,jttc�?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will any second-hand l i r e d? /�� o If so, for what
Material of foundation walls ,/''vde ' �"....e•tof�' r� Thickness RP i't
Ir.
Depth of foundation walls blow grade �e� Continuous foundation? YES
Will there be a cellar? G� If so, material of cellar floor eg'4f-oeA2
Type of roof: Sloped or flat? :(-•-o•PED • • M7,rial of roof b%/S4.'4it.c�.t-3 .T. . 'see. ev4G.eai
Size, wood studs eR "x ", spacing /4 "o.c., length. . . . a ft.
Size, floor beams, 1st floor " x . . . . /. .43. . . . . .", spacing /4 "o.c., span . . ./.rr ft.
Size, floor beams, 2nd floor -. " x . . . .0 ", spacing . . .l p. . . . span /'.4 .® ft.
. . o.c.,
Size, ceiling beams " x ", spacing /� "o.c., span i . . . . ft.
Size, roof rafters or beams "x 0 ", spacing . . . .�ro. . . . ."o.c., span . . .l Z. ft.
Exterior finish .e�/} . .• M4 toe' With what material?
Finish of interior walls. . . -;/- ��j a�,,
If garage is to be attached f what material is wall between garage and main bui<1Qing to be constructed?
Is there to be an opening between gars a and building? . . . .yt'Z
Kind of heating system F'- -- i� ` c, tes'-et.coal?
s
Will a flue-lined chimney be provided? �eS • Depth of chimney foundation below grade
Height of chimney above roof. to•V �r
Will there be a fireplace? . . .�43 Depth of fireplace hearth . /�
Will a toilet be installed2 T 4`3
Will a kitchen sink be installed and connected to wattsupply? C�
Water supply (public water supply or pump) L(/
Distance of cesspool from any private well Aite5 � feet
Will drainage system be provided with required traps, cleanouts, and vents? . �m
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to tr,, b j 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. lete statement of all proposed work to be done on the described premises and that all rovisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertain'nJ the proposed i shall be complied wi whether specified or not,
and that such work is authorized by the owner. C
Sworn to before me this Signature s . ..' 47-
0 .' j NER;AGENT, ECT,C CTOR
c.b day of A-1 19 ?� aet
NOTARY PUBLIC. WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
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:
ram,
1 . Gross floor area 3 S
2 . Type of heat 4r2. =G7'/l/G.• A e 1 Eb .5A ��'45//1 7—
3 . Is the building mechanically cooled? /vd
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 ' 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
. Type of insulation •
-
Under 16% Only
1 . R value of roof and floors ex osed to ambient conditions
• 2 . R value of exterior walls /f
3 . R value of glazed area •
4 . R value of doors /1
5 . R value of floors over unheated spaces A7
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 /84'E 1 . 5 5 ''` ftl4j
C. Controls
1 . Thermostat maximum heat setting 75
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 efficiency4aft e5A6 Tjr�, r/En
2 . Temperature control setting maximum
G. .For Swimming Pool Only
1 . Maximum heating
Telephone No. 7` 2 2030 a4/
( licant ' s signature)
•
TOWN OF QUEENSBURY
BUILDING & ZONING DEPARTMENT
•
,v
SEWAGE2 DISPOSAL PERMIT APPLICATION
1. Owner' s Name be4 'A/a-IPL)o J<//44/9I'll"t/
Address //02. /( "7vC7'M,e,C ‘ec7V 1 AnaA A)V /2 Sro/
Telephone No. 792.- C ,1O2
2. Property location4 ,7 %� /of12AIGPT 8/44.
3. Name of person or firm responsible for installing system
QrO
L"u 3 Ta .� tie 01-7Es - Tot#•#- �'4 o1)i.a> o
CE"]iva '1n s 11,y Telephone No. 7 7 L- Zo 3 a
Address
4.` Number of b,,drooms (residential buildings only)
5. Daily flow 600 gallons/day
6. Septic tank capacity / 0 gallons
7. Topography: flat, rolling, teep
% of slope .
8. Nature of soil and depth
9. If ground water, bedrock or impervious material is apparent at what
depth does it begin? Z ft.
10. Percolation test: A is required
B is not required
C If required what is the rate minutes/inch
11. Water supply: municipals other
12. Type of system proposed: drywell, tile field other
Any contractor,. corporation, individual, etc. engaged in the construction
of a sanitary sewage disposal system who covers the same before inspection,
does not have an approved permit, or varies from the approved application
will be subject to a penalty of $250 as provided. for in Section 6 . 010 of the
Queensbury Sanitary Sewage Ordinance.
Date g- /, - 2 l
g a ure of a p icant
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
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
•
TEMP.# DATE .
CITY OR //�' _ J' /
VILLAGE �A L.r~J)`S r�-L L ;j TOWNSHIP �ZlL-,PIU -5 I�tiK COUNTY '�]c9/e�J
STREET AND NO.OR // / r� / ^y) ,
ROAD AND POLE NO. L ��-' / �_ifJ�: i�":J4-/U It If C,_ POL-E•NO. in X '1^' j
BETWEEN WHAT TWO
CROSS STREETS IS
PREMISES LOCATED? / SECTION .1 BLOCK LOT
OCCUPANT'S I _ pUILDING 1
- NAME ���' z..it_�t':L//9 fc�D0 G/ ,e_ .••)�J Ljii AOCCUPANCY �ti1=' C/>tl
OWNER'S NAME
AND ADDRESS 4J,�2 ��C 6:,r.—,_,,,- Jw "A, s?J 1 TEL9 0 a
CURRENT ,,---
---
SUPPLIED BY i f/I rn C-;'FROM THEIR . !C iJ<_i i
./ r'/-"Z.[_ S OFFICE
ISUILDING NEW OLD IIISORK NEW ADDITIONAL❑ REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No. Fixtures&
NUMBER OF OUTLETS LampfReceptacles MOTORS HEATERS BRANCH CIRCUITS OFFICE USE
Loca- ONLY
tion Side Attach't H.P. Watts A.W.G.
Ceding Wall Recep'Is Switch Pendant Bracket No. Type Each NO• Each NO• Gauge INSPECTION
Out-
side
Sub-
base
Base-
ment
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 fee to cover the additional equipment,as provided by the applicant.
SIZE OF ELECTRIC SIGN TOTAL
MAINS FEEDERS LAMPS WATTS
CHARACTER EXPOSED GAS TUBE SIGN
OF WORK CONCEALED TRANSFORMERS OF VA
WORK TO BE (NUMBER) (CAPACITY)
STARTED 9-/`� - COMPLETED/�'-"**SIZE OF SIGN
SERVICE OVERHEAD UNDERGROUND MAKER
ENTERS
BUILDING OF SIGN
INSPECTION REQUESTED
ON OR AS NEAR AS
POSSIBLE NEW n OLD
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NNAME AM(E/SAND/A�DDRE n/ / F/
APPLICANT -" /`-' /ti r;j c'!' ` r` ��f`" APPLICATION '^/6 - y(
STREET ADDRESS •
J `. `)/7f L., �` "-� '�"i.e)(.`' "4f')• TELEPHONE# 'Pi
_ 2 0'�r`-)
CITY OR r: ' `=u0.$ -;"3"-‘_. - " /LI y "2 •0/ ZIP LICENSE NO.
POST OFFICE CODE WHEN APPLICABLE
46 EL(REV.1/84) A SEPARATE APPLICAYION MUST BE FILED FOR EACH SEPARATE BUILDING
_-. -F.,.CA.AA.CA.V...CJ.A.J..V..IJ.cV._CAl :.I1LV_•/J_•.lJ.•_Ca•.C).•.V.•.Ca•.1,),"lad. •aCa•.C�•l a•PN•l• J.•.UJ/,).aA•.4.•cla•.VINla%.17.Caba•._C.1,•.&-In-,_•.Ca•.lJ.•.lJ...U_•.-1,9.1 •k)J.0 .1',P.•.Cx._C�.,IJ_. a.:.C$-•A). -
• 4L.5Vi 5J THE NEW YORK BOARD. OF FIRE UNDERWRITERS Y
BUREAU OF ELECTRICITY y
Hari 41 STATE STREET,ALBANY,NEW YORK 12207 'r
o- Date t�'.?`T? J'' F'v 19 Application No.on de e? 0 �1 -
THIS CERTIFIES THAT .r
4 only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of .r
-( /1 rr '}l5a'y n o ,tT F r] +� Butternut H �Y G r� Falls,
A .p(t� . e y tjor.., 'T
3.�:. a..Y. L•LJ :�.J tl�t 4LyjCL�'�1 9 Hill,d �T�Cw','�19 3.t'•�.L..)9 S�4•YY York f.. ,Y
'± i�
in the following location; n Basement 0 1st Fl. Ill 2nd Fl. Outside r t' Section Block Lot r
was examined on and found to be in compliance with the requirements of this Board. ,r
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ':
` OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT MERCURY AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. :
/' VAPOR �
• 26 63 .32 I4 2 3 Fr' 'Y
r
1 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS r
SYSTEMS .4
'AMT. K.W. OIL ' H.P. GAS H.P. AMT. NO. _A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET 'AMT• WATTS '
L fi 0 •
•SERVICE DISCONNECT NO.OF 1 'i' '1 S � k..) E R V I C E ;T
i AMT. AMP. TYPE EQUIP. 2W ,B'3W 3,B'3W 3.2'4W NO,OF C COND. OF CC.COND. NO.OF HI-LEG OF HI--LEG NO.OF NEUTRALS OF N UTRAL '
1
CB 3
1
0
1
_
-< OTHER APPARATUS: r
2 GC71
'i
-- 2- Smoke D e V C w or ,r
-�' E_cta- c Tt,Ja:..ei. 3- 2.0 y-zw y
U- .
3- 1.0 1'..ra �4
2— .! lug Y•
1 4
w 4
, 4`°' °, o094, 'Ts,
�r pi.�La1. iC;1r7 .s:°4a44
N . �. q - -,'�
.r
Ga e„fa Falls, Ne.v York 12801 ,
- BRANCH MANAGER Ai
i-
15
Per
s r•
lit
-_ 'f i,eiii ii?ev-e-iv iviv leilT7ii T'eliTY�Y9f ® a a ® ® a a ae a� ® ao a� 1•
= COPY POR BUILDING IIEPQRTMENT-THIS COPY OF C RTIFIQATE MUST NQT VE ALTERED IN ANY MANNER.
TOWN OF QUEENS U RY'
Building- Department
Inspectors Report Date 3
Name �l � Iki4J__ 1�/f 445
-
I.ocatior 60 r _ �/—elL
. Permit No._ ` ;
her
•
A91-- C, 0 / emarks
Exca fra ti 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 f(
Finished Floor i/v0
Interior Trim C9/1'
Stairs & Railings
Cellar Dr. Tile /'
Concrete Floors /
Plbg. Fixtures �'(9�-�'l
Gar. Fireproofing ( "
Door Closers v U2A-' •
Chimney
Water Meter Inst. •
Septic Approval
Floors
Insulation Foundation
Walls "
' Ceiling .
Building Inspector
REMARKS - .
61-0rJ
TOWN 00 QUEENSBURY
Building Department
Inspectors Report Date ..0?C a' 2 /%??C/.
Name sr) , li/ ///"TT,' -,i'i
Location urJ/(%_J rL(I% /fi r L L �- l i
Permit No. 870/ Weather
/6-07.690 IiZ.-1/ Remarks
Excal,a t on / /-2(I—) C"
Footing Forms / /
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing ✓_ , _-.
Siding ✓ iy✓L
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board +�
Ext. Porches r/ ✓IjO
Finished Floor
Interior Trim ✓ (c&
Stairs & Railings r/(9'/L
Cellar Dr. Tile r° _
Concrete Floors �� `,
Plbg. Fixtures
Gar. Fireproofing✓)- -- ��._ •___._
Door Closers /vO 1
Chimney
Water Meter Inst.
Septic Approval
Floors 1 _
Insulation Foundation I
Walls
Ceiling
Bu1"1d1ng Inspector
REMARKS
�e,1.�a , / 6— oI ,s /aY(ar
v S,o e /J._c_r_ ,ve_e_sS_
f✓t� �� - �r��/1/4../< <S __s
TOWN 00 QUEENSBURY
Building Departruei t
Inspectors Report Date //Ai %As?y
Name 2t---- L i f l f+i'r1 1114 (()A.C1- /fe,rea e 9
Locate /L3T /( u tl"ernwr
Permit No. -7 0 / Weatlaesr .
•
• Remarks
Excaiia ti 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 11111111
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers e ._
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
•
eltd/B :7;-/7
Building Inspector
REMARKS
b/6
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date// 2/e>'
Name VD, 1/( 11 t ilk / 7
Location /6 ✓; i P/-7 Ai Pi— -L L
Permit No. i oI weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey r•, ,��
Framing ✓ ,�tJ�/ •
Sheathing
Roof Felt
Roofing
Siding
Masonry Venee✓ ��_
Rough Plbg. Ly/�
Relief Valves
Wall Board
Ext. Porches /
Finished Floor i
Interior Trim /
Stairs & Railings /•
Cellar Dr. Tile /'
Concrete Floors \ /
Plbg. Fixtures �(
Gar. Fireproofing /
Door Closers /
Chimney /I
Water Meter Inst. J
Septic Approval
Floors
Foundation
Insulation
Walls
Ceiling
/ A ((
Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building. Department
Inspectors Report Date 9// ///y
Name Di-- i?e rh a rcf a V I l cc u q ii
Location j /6 e o h 1,/e sj rIh c /)1-i'i,e
Permit No. ,5'7 al W eatter
Remarks
Excatja ti on
Footing Forms /— 4I Ly c _p
Footing & Piers .J � „ //
Foundation Y d W 5- /yam(//,(
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 \\///1 -
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures 1
Gar. Fireproofing
Door Closers /
Chimney /
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
ui Inspector
REMARKS
TOWN O''F•QUEENsBU RY
Building. H epartffient
Inspectors Revert Date (v.ha. 2
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Name Dr. ernes. a Ua It a 7"u ayk
L.ocaton 4-0 7- 6 C.o h h/e sT O h e, ; v z'
Permit No. Ss r7 O 1 Weather
Remarks
Excatia t on
Footing Forms i {^
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
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