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1986-510 BUILDING PERMIT TOWN OF OURNSBURY No. 86-510 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Terry Brand OWNER of property located at Lot 595 Fox Hollow Lane (St. No. 13) Street, Road or Ave. 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. n 1. OWNER'SAddressis ZU ProspectDrive p Glens Falls, New York Q" 2. CONTRACTOR or BUILDERS Name same Er ro O m rr 3. CONTRACTOR or BUILDERS Address same N u„ w �c a Un V FSj O 4. ARCHITECT'S Name M x rr O F� N O F-+ p O N E 5. ARCHITECTS Address to t-' iu m .. rr 6. TYPE of Construction-(Please indicate by X) z 120 Wood Frame ( )Masonry ( )steel 7. PLANS and Specifications No 74'x28' per plot plan, specifications and application submitted including sewage system and two-car attached garage/ M 8. Proposed Use w One-Family Dwelling w M $ 178.00 PERMIT FEE PAID-THIS PERMIT EXPIRES March 1 19 87 w (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 00 town of Otresnsbury before the expiration date.) Dated at the Town of Queensbury this 20th Day of August t9 86 SIGNED BY -;)21a4 a for the Town of Queensbury Building and Zoning Irsrpector TO BE COMPLETED BY BLDG. DEPT. 1 . Application No. , _ownror Queeni ur Permit Issued 19 i ' 'N.OF-'' QUEENSBURY BUILDING and ZONING DEPARTMENT Permit Expires ,DR r' Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation 19 ' g . L Queensbury, New York 12801" Variance No. do a 1tt • w Site Pla Re iew No. '' '`"$' ApproY 71819%10111112) I.121 41516 APPLICATION FOR l BUILDING AND ZONING PERMIT Ala * * * * * * * * * * * * * * * * * * * * * * * * * # # # * * * * * * * * * * * A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies for a Building Permit to do the following work which will be done in accordance with the description, plans and specifications submitted, and such • special conditions as may be indicated on the Permit. The owner of this property is: p_ceul Nan P.O. Address a(^i Y DS�F-Gl _K.\\iQ l _ 0)ll' 3DO)cRA I kA. TellCO ycl Property Location: -�} ,` ()� � �C�p ��'�� A. Tax Map No.7 (�p�/ I / i Street number or building lot number Subdivision name (if applicable) Q� L\ ( VA$,.)t ) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: � e. /4 A r- . c C (icia\-,rt`.cif Name P.O. Address Tel. No. Name of builder •c- CloiaM11 Address . Tel. Name of •plumberlt LV e Address Tel. Name of mason ,,,oi %` Address Tel. NATURE OF PROPOSED WORK: * ZONING INFORMATION: )( Construction of .a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED, Addition to a building * drawn reasonably to scale and attached hereto, 7—Alteration Alteration 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. lines. Give_ * street and number or lot number and indicate FOR DEMOLITION PERMIT, STATE SIZE ANb * whether interior or corner lot. Show location LOCATION OF STRUCTURES AFFECTED. * of water supply and location and configuration * of septic disposal area. . * COMPLETE INFORMATION REQUIRED BELOW. * Size of property t c`iX \"'� ft X I1 ' tj lft. * Existing building(s) Size g�{-I ft X ft. PROPOSED BUILDING AND USE: * Existing building(s) Use * _ tl0 Size of new structure vt ft Xa x ft Foundation-pier/slab/crawl/partial full * Proposed building, distance .from property line (circle one) r * Front yard ' ft Rear yard V'4 ft No. of stories (habitable s ace) * Side yards ft and ft Height (grade to ridge) 1 ft. • If residential, no. of families * If on corner, setback from side street ft No. of rooms(excluding baths) * OCCUPANCY INFORMATION No. of bedrooms * * PRIMARY BUILDING - No. of bathrooms X One family dwelling Primary heating system meC1eAc Type of fuel * Two family dwelling No. of fireplaces to be installed * Multiple dwelling / Number of units Will a wood stove be installed? tC� * Permanent occupancy F� Central Air conditioning? MO * Transient occupancy * Business BUILDING STYLE, PRIMARY .STRUCTURE *. Industrial Ranch Contemporary Log cabin * Other Raised ranch Mansion Duplex * If addition, what will use be. ' Split level Old style Bungalow * Cape Cod Cottage Other * ACCESSORY BUILDING- Colonia _ Row Town House * Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) ... 4 Attached garage/one car/:two car; car * * * * * * * * * * * * * * * * * * ' Private storage building ESTIMATED MARKET VALUE OF * _Other CONSTRUCTION . * INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BPA 4/86 and-vl . . BUILDING PERMIT APPLICATION CONTINUED - • BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe,etc. k.. OOC) quame Will any second.-hand or ungraded lumber be used? If so, for what? lArl . Foundation wall material c OHCQ Thickness l'i Depth of foundation' below grade (to bottom of footing) . Will there be a cellar? Wpeated or(unEea€ec1y Floor sq. footage A eLo sq ft Will there be a basement? Will any portion be used as living space? Nil (If so, what portion? sq.ft. - - Type of use? Type of roof - sloped/flat/shed/other i;AL,11 Material.•o�; rip of Tic g2(4.k. h� rite Size, wood studs "X4 spacing "o.c. length.-) Sft. Joists(floor beams) 1st. floor c "X t; " spacing ,tA "o.c. span 1.j ft. Joists (floor beams) 2nd. floor • "X tEk " spacing \la "o.c. span ft. . Overlays(ceiling beams) . "X . " spacing "o.c. span ft. Roof rafters "X " spacing o.c. span ft'. aeV Roof trusses(pre-engineered) spacing "o.c. span �9 ft. Exterior wall finish c l /Q ZD¢g, f what material? - Interior wall finish ,�Vee�':�oc. '. �J If a garage is to be attached, describe materials to be used for FIRE SEPARATION: kx4 Svoci A\ Fk-C4.-e (000 i0 Is there to bean opening between garage and dwelling? MRS If so will a Fire-rated door, enclosure, and self-closing device be provided? t Will a flue-lined chimney be installed? ' Height abobe oof .`!• ft. .2 Depth of chimney foundation below grade ft. Depth of fireplace hearth --- ft. in. Water supply - Municipal or private wellIL-1g,_ • SEPTIC SYSTEM _ Distance from ANY private well(inclOding adjoining properties MAO ft. (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury AFFIDAVIT STATE OF NEW YORK County of Warren 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 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, an at such work is authorized by the owner. SWORN TO BEFORE ME THIS Signature • Owner, caner's a ent,a c Leo ,.oclit ctor day of 19 • Notary Public, Warren County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: • • • By N OF QUEENSBURY (Space inside block to be filled in by WARREN COUNTY, NEW YORK • Building Inspector) • Application for Application No. : I'et•nu+ Issued 19. . BUILDING AND ZONING PERMIT 1',.t•"ti( Expires. 19. %„Dint uisirict _ \ ;doe i,1 Work' One copy of a PLOT PLAN, Drawn to scale .\1'I"•'''(II hy. showingthe actual dimensions of the lot to be built )tent:tt'fC5" upon, Te exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. TOWN OF QUEENS OF Y, a i E l VL4� • DATE . .. . l A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK. 1,y3 d-JUL 2 ANSWER ALL OF THE FOLLOWING. A.li)!. P M. The undersigned hereby applies for a permit to do the following work 7i31911001? 1.12'131415i6 which will be done in accordance with the description,'plans and specifi- cations, and such special conditions as may be indicated on the permit. . 11'`: C-. . The owner of this property_is: i�o2 ((f r+i ,O QizoSp6�: .1)z . . . . . CAt ei .W.1, . . . .IN.14, 101,101 . • (NA••dE) IP 0.ADDRESS) The person responsible for supervision of the work insofar as the Building Code and the.Zoning Ordinance apply is: (NAME) (P 0 ADDRESS) , Name of Builder. . C- %. ..c�.0.01�•P'I.I Address Name of Plumber -1 e-� ' > .1O Address . .&C.).Peos ( OR, Name of Mason.cLAOOE:: . . -lR-'2 k�. , Address. ro Lot Number. . . .�3. . . . . . Unit Estimated value of proposed work$ `�. .C).,Q 0 Name of Village ` Name of Street •EOX .licittak, -.I l Side of street: north .. , east ❑, south 0. west 0 Nearest Cross Street . . am. .W. Distance from this cross street . ft Ft. Property is north at,south ❑,east i i,west 0 from Cross Street If on Corner, which corner, northeast 0, northwest ❑, southeast Q. 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 PEI ❑ Alteration to a building. Two-family dwelling ❑ ❑ Demolition of a building. -family apartment house ❑ Store building El . . .6{ -car attached garage ' Other: - • Accessory Building • One-car detached garage ❑ 0 Other work. Describe Two-car •detached garage ❑ ' Private chicken•house ❑ •Private storage building El Other: ZONING SPECIFICATIONS. Fill in for new building,or addition to existing building, or a change of occupancy. . 1 Indicate on the plot plan street names, the location and size of the property, the location, size and setbacks of pro- NORTH posed buildings,and the location of all existing buildings. Show proposed building(s) in dotted line and existing t-O 1i( (O' JLivtQ \. huilding(s) in solid line. p, Sh/ Size of property 1 CX % ft. x l ��C'9'.K.�L( ft• *^` Size and use of existing buildings, if any . t ' to Size of proposed building . • • e4 ft. - ft. 1( � x Height(from grade to.ridge) a. ft. 1 • Front yard ft. Side yards as ft. and . . . . ft. } Rear yard k_ ft. ��r�1 C,F 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) • fV• 7-73-M (cont'd.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe, etc.) )Oi --) C-Z Y\Q- Will any second-hand lumber be wed? . . . 0 If so, for what) Material of foundation walls `VO1?9_.en . . .QZIPAC ' ,le.r Thickness . . .� `''' Depth of foundation walls below grade Continuous foundation? . ..i ' . . . Will there be a cellar? . . '_.c. . . If so, material of cellar floor .CCMC.:2--"�Ei Type of roof: Sloped or flat. . ... . //j&.c)ir Material of roof . . .5i �Z�SLASs. . .S\foci (. ,• g,r. . . Size, wood studs a "x <I ", spacing "o.c., length _ 2. ft. Size, floor beams, 1st floor a., . "x 1 G ", spacing "o.c.,span ft. Size, floor beams, 2nd floor ." x t `� ", spacing I. Co "o.c., span 1 ft. Size, ceiling beams "x . . ', spacing 4. "o.c., span . . /' ft. Site, roof rafters or beams +"`�� "x ` � • . . . spacing . . . . . ��"o.c., span ft. Exterior finishlF...C . . i'Gn LICA —' With what material? Finish of interior walls S\ . 'i QQC.YL� If garage is to be attached, of what material is wall between garage and main bui4Qing to be constructed? .,Mer . tee. . , V-VRELAUNM, Is there to be an opening between garage and building? \- ' . Kind of heating system . . . &..Ta-1 Ce _ Oil burner or coal? Will altkpt ia-41-chimney be provAided .1�(.5_' Depth of chimney foundation below grade . . .Q� ik Height of chimney above roof ir) Will there be a fireplace? . . . Depth of fireplace hearth Will a toilet be installed? Will a kitchen sink be installed and connected to water su ply? . .k-'v. . Water supply (public water supply or pump) 9O C. Distance of cesspool from any private well INI Pk feet Will drainage system be provided with required traps, cleanouts, and vents? Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to tr. b4 r of my knowledge and belief the statem to tamed in this application,together with the plans and specifications sub- mitted, are a true and co.i.p lete statement of all proposed work ,, n the describe� see and that all rovisions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws perta'li to the roposed woik she be complied wi , Nether specified or not, and that such work is authorized by the owner. Sworn to before me this Signature � • .0\\ NER' AG .ARCHITECT.CO IRA R a. ............day of \.J 19. . . NOTARY PUBLIC. WARREN COUNTY, N. Y. . SPECIAL CONDITIONS OF THE PERMIT: • • By • Jocun o/ Queen bur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 - Queensbury, New York 12801. . SEPTIC DISPOSAL PERMIT APPLICATION :. . Owner ' s Name_ I ? „ • Address ___Ak ?A Person/Firm installing system. QkpQy (- \ QA 1 • Number of bedrooms (residential only) '"_ Total daily flow:. (compute @ 150 gal.:per bedroom per .day) (Q00 • Topography: flat rolling) - steep - (circle one) Degree of slope Z % Nature of soils: san -loam-clay- other- Depth \C ft. Ground water-- at what depth? NIA ft. Bedrock or impervious material--at what depth? 4 ti ft. Percolation Test -- Not required Required -Rate , min/inch. Domestic Water Supply - Municipa Well - Other IMPORTANT! On a separate piece of paper, submit a diagram of the proposed septic system with all dimensions; including. distance from any structure, distance from property lines and distances from -any domestic water supply or shore-line Of lake, stream, pond orrwetlands. Include all dimensions of the system itself. Description of proposed system: Septic tank size \ gal. • Tile field- Length of each trench .6Oft. Total fieldaFnft. Size of stone # Seepage Pit (s) Number ' / 'Size ftX ft. Size of stone# . 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 providedfor in Section 6. 010 of the Town of Queensbury Sanitary Sewage Ordinance. Signature o Applica a • Date . 01/86 and/vl • 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 he 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 mustsbe submitted to the Queensbury Building Department before further construction. TOWN OF QUEENSBURY • WARREN COUNTY, NEW YORK t 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 aI q,4 2 . Type of heat \trk LIQ\( • C(, U Q,c1160 3 . Is the building mechanically cooled? NO 4 . Percentage of area of windows and doors A. Over 16% Only 1 . Uo value of g oss area of walls , roof/cei ing and floors ' exposed to ambient • 2 . Floor over heated spat YES NO a. Are foundation walls ' ns . ated? YES NO 1. If YES , what is t .' R value? 3 . Slab on grade YES '' a. If YES , whata s the R value o insulation around perimeter f floor? 4 . Is baseent heated? YES NO a. Revalue of insulation 5. Type of insulation B. Under 16% Only 1. R valu of. of a floors exposed to ambient conditions_ 2 . R value of exterior walls 9-0 ... 3 . R value of glazed area rV . 4. R value of doors o „S . 5 . R value of floors over unheated spaces 1Cr 6. R value of slab edge insulation - unheated slab 0/ i 7 . R value of slab insulation - heated slab N „/YA- 8 . R value of heated basement/cellar walls (above grade) °l A 9 . R value of heated basement/cellar walls (below grade) rv,ir; 10. Type of insulation CX,k.S42-Y\6 C,peYU1(' ( I- I13( CC- ,/-1; g ple-p.e.TVOLe G 0Avh C. Controls 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 S-:_ 144\ Telephone No. C‘IZI ~(t N‘ \ ' (applican ' s i a r'A _loWn Of QueenJburty BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ` S REPORT NAME �(12/2y. ,�)/24%' LOCATION - /tip N ©LLOCV Date l/ 2c / Permit No. 36- 576 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill A Framing (I „o 0 ) Roofing Siding Masonry Veneer ('Rough Plumbing �,�L Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings . Cellar Drain Tile \I Concrete Floors i Plbg. Fixtures Gar. Fireproofing f Door Closers Smoke Detectors 0 Chimney 3 INSULATION: Foundation I �• Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks-aJ ,z "ea-Lip-64J wig- E l04.44/yeiugi-,47,111,--t-4-42 (440 Building Inspector 6/86 md-vl _Jocun of Qunursj BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISSPOSAL SYSTEM INSPECTION( NAME iI/LLrn LOCATION (9 tC /41.4, DATE 10111 / 'L PERMIT NO. (s76._ $ /0 SOIL TYPE - Sa - Loam - Clay - Percolation Test Required? YES Percolation rate - Min/Inch _ D --j TYPE of SYSTEM: Absorption field, total length 2 ( Length of each trench =) 1 Depth of trenches ,91 Size of gravel SEEPAGE PITS{Number of) Size- ft. X ft. Gravel size / PIPING: ize Type Bldg. to tank jFr Tank to dist. box _ Dist. box to fiel / ' • Openings sealed?/ `S NO Partial LOCATION/SEFA `IONS: Foundation to tank /Q ft. Foundation to absorption aQ ft. Absorption to lot line Do ft"( Separation of pits ft. LOCATION YSTEM ON PROPERTY(circle one) Front •- Left side - Right side - COMMEN SYSTEM USE APPROVED NO 6a//6 Building Inspector 01/86 and vl gown of Queenibur1 BUILDING and ZONING DEPARTMENT Bay and Havilarid Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME 3 p14 l-o LOCATION fi' Date q /i / Permit No. ye--5 1G * * * * * * * * * * * * * * * * * * * * * * * I� = RVPROVED - YES / NO oting/Pier Forms o Foundation 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 I Gar. Fireproofing Door Closers Smoke Detectors I Chimney \ INSULATION: �I \ Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - Building Inspector 6/86 and-vl 6g,ald/D; /5 awn o/ Queeni‘ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME LOCATION AL- G15 f /lc4-^rAt Date Cl/ /O Permit I * * * * * * * * * * * * * * * * * * * * * * * V APP UE YES / NO noting/ germs9 Foundation 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 X Smoke Detectors Chimney / INSULATION: Foundation Floors / Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - n d� 41/WE3AE.LA --- Building Inspector 6/86 and-vl awn o/ Q31 , BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME (J LOCATION— P/2/ c(� _s/a Date Permit No. �, � ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings p Cellar Drain Tile -•\\xConcrete Floors Plbg. Fixtures Gar.. Fireproofing Door Closers Smoke Detectors i Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - Building Insp tor 6/86 and-vl Q.601 -q /l5h (, 6-7) "041. ...awn off QueenJbury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME y- I LOCATION— Ih D1. Foy- `1 jLtt C. E(o -- S/o Date g`ze /a _ Permit No.`7 e.tfi R2 7 ** * * * * * * * * * * * * * * * * * * * * * 00/ APPROVED - YES / NO �Footing/Pier Forms YFoundation ►' Waterproofing j/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 Final Building Survey Next scheduled Inspection(call when ready) Remarks- - C Building Inspect 6/86 and-vi Town o� Queeniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME (//�,•/,� /l��nG� LOCATION coy z-66 el) cc Date ) / Permit No. * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO ting/Pier Forms MILE ,� l Foundation 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 Final Building Survey ' Next scheduled Inspection(call when ready) Remarks- - (1(11/11?-)AtZ:) Building Inspector 6/86 and-vl L so'