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1986-660 Y --- CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Dace January 3, 19 899 9q(-)S This is to cert fy that work requ ted to be,done.as shown by Permit No. 86-660 has been completed. This structure may be occupied as a One-Family dwelling. Location - Hall Road,GJ _ La1ce Owner., John. and Marion. Cornell '- By. Order Town Board TOWN OF QUEENSBURY (---a zcs Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY - No. 86-660 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to John and Marion Cornell OWNER of property located at Hall Road, Glen Lake 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. °p- 0 1. OWNER'S Address is Box 2048 Rotate 40 a. Hartford, New York 12838 r• 2. CONTRACTOR or BUILDER'S Name p same 0 n 3. CONTRACTOR or BUILDER'S Address same 4. ARCHITECT'S Name x Iv 5. ARCHITECT'S Address 0 0 w a. 6. TYPE of Construction—(Please indicate by X) 0 ro U tx)Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications No. 28'x40' per plot plan, specifications and application submitted including sewage 8. Proposed Use Per Var. 1143 Oo One—Family Dwelling $5.00 C/0 $ 84.00 PERMIT FEE PAID—THIS PERMIT EXPIRES May 1 19 87 (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.) I--' I� h'• Dated at the Town of Queensbury this 7th Day of October 19 86 r oa SIGNED BY 741 for the Town of Queensbury Building and Zoning Inspect° / / r,Lr✓- TO BE COMPLETED BY BLDG. DEPT. t /6�' / Application No. ✓own of Qt ,iurly Permit Issued 19 ,� BUILDING and ZONING DEPARTMENT Permit Expires 19 S Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation j'�P/ - 3° 1 . _ Queensbury, New York 12801 ,Variance No. UQ/j,, /� 3 — :, Site P an-Review . ,, 5(_1j 2 5 I 6 '/ 5- 3 3rJl 1 Appro b A / A 8 Pc.c-r P.FIt. APPLICATION FOR f ,bj,� 1 _ �� �1 ': . x� ea l ' o ee BUILDING AND ZONING PERMIT , L! .. �/ # * * * # # * # # # # # # * # # # # # # # * # # # of # # # # # # * # # * # at. # 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. 4. The owner of this property is: 11;1n0 cei,,r.l 61c?I;ic1vt C./:o, 'e: I r-> f 7 r�774 :L4- P.O.. Address. -30X � Tel. 3 C �?r�4.P !!�rtta �f® f,�u�ef(�f��f eLJ-' l� � � " ��.� J Property Location: /-0 N C/Ni9 <rrc,,N Tax Map No. 1-15 / 3 / 3s; Street number or building lot number • Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: -.ioff,,1 ( d • C riv)e 1 i -30x ar)L S 'T. WO I4acrlf_�n R r1 fu- ( L�3a -50-5 7`�'3-76 G Name P.O. Address `1 Tel. No. Name of builder /jj. Gr:(c•c°.-, Address Tel. Name of plumber Address • Tel. Name�of/mason fl iV1r ,,,,,,p ry1 Address Tel. ,RE NAT OF PROPOSED WORK: * ZONING INFORMATION: VConstruction of a new building * A PLOT PLAN MUST BE,PREPARED AND SUBMITTED, Addition to a building * drawn reasonably to scale and attached hereto, 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 numberlor lot number and indicate FOR DEMOLITION PERMIT, STATE SIZE AND * 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=-3) ft X DSO ft. * Existing building(s) Size ft X ft. * . . . . . . . . . . . PROPOSED BUILDING AND USE: * Existing building(s) Use Size of new structure ,', ft X 4Ci t Foundation-pier/slab/crawl/partial, full * Proposed building, distance from property line (circle one) **' Front yard ft Rear yard ft No. of stories (habitable spa ) * Side yards ft and ft Height (grade to ridge) I ft. * If on corner, setback from.side street ft If residential, no. of families �'�r 7 No. of rooms(excluding4 aths)9. !4 * OCCUPANCY INFORMATION • No. of bedrooms �/�' . . *No. of bathrooms * P !neAR BUILDING - Primary heating system rr e L * One BUILDING dwelling k,G Type of fuel * wo family dwelling No. of fireplaces to be installed kAgy * Multiple dwelling / Number of units 'A * Permanent occupancy t Will a wood stove be installed? Central Air conditioning? AR). * Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE � ' Industrial Other Contemporary Log cabin If addition, what will use be? ' sed ranch Mansion Duplex * Split level Old style Bungalow * Cape Cod Cottage Other * ACCESSORY BUILDING- O( ,� Colonial Row Town House * Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car * * * * * * * * * * * * * * * * * * 'Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION * $-_ Sa,Le2C90 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. \L)OO(� Will any second-hand or ungraded lumber be used? If so, for what? LJ C bl Foundation wall material 6bAd,2ATp PDaC hickness Depth of foundation below grade (to bottom of footing) C(7-o n N11.11M Vyvt Will there be a cellar? 1(-0j Heated ocheated: Floor sq. footage / 1/,D sq ft Will there be a basementll.�, Will any portion be used as living space? (If so, what por 2 sq.ft. -' - Type of use? Type of roof - sloped/ plat/shed/other Material of roof 2i iip_ ri C, (,Rec-6-6 ; Size, wood studs -7 "X " spacing )il "o.c. length 5;3 ft. Joists(floor beams) 1st. f oor "X IA " spacing 1m "o.c. span 12-I ft. Joists (floor beams) 2nd. floor WA_ "X ' " spacing "o.c. span ft. Overlays(ceiling beams) JJ4 "X " spacing "o c. span ft. Roof rafters d2 "X j+ " spacing (' o.c. span i ft. Roof trusses (pre-engineered) spacing gr"o.c. span g )ft. Exterior wall finish (,{)p, Q Of what material? ( Kt. Pt ham, Interior wall finish GeV Coo J, ' If a garage is to be attached, describe materials to be used for FIRE SEPARATION: JUJ 6-- Is there to be an opening between garage and dwelling? d`f' , - If so will a Fire-rated door, enclosure, and self-closing device be provided? Will a flue-lined chimney be installed? L Height above roof /L ft. Depth of chimney'foundation below grade ft. Depth of fireplace hearth ft. t' in. Water supply - Municipal orivate we7 SEPTIC SYSTEM Distance from ANY private well(including adjoining properties ,56 ft. (A separate application is necessary for any repair or new installation of septic system) \\ r k 1 .4-i to,fir, 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, and that such work is authorized by the owner. SWORN TO BEFO ME THIS Signature__ , , - �-� Owzi:er, owner's agent,act,contractor day o 19 Notary Public, Warren County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * • SPECIAL CONDITIONS OF THE PERMIT: • By -own of Queensiury APPLICATION FOR EPTIC DISPOSAL PERMIT BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98. Oueensbury, New York 12801 DATE LOCATION OF PROPERTY FOR INSTALLATION OWNER'S NAME ' �, . NAt/ .a frU-eiaij/ a.e /A L /� /� 393-76,24 ADDRESS ,e/10 O)(">) ` 4/ei=d.e N- / ,3� T E L �3a`l S AS (®(® ZtS.Z INSTALLER'S NAME . . . TEL Number of bedrooms(residential only) 02. Total daily `flow(compute @ 150 gal per bedroom) Topography: Flat - Rolling - Steep slope - (circle one) % of slope -a,J Soil nature Sand _Loam - Clay - Other Depth ft. Groundwater -At what depth? ft.. Bed-rock or impervious material - At. what depth? ft. Percolation test - Not required - Required - -Rate min-inch. Domestic water supply - Municipal We - Other • • Separation - Watersupply(i well) from Septic absorption (C� ft. Proposed System: Septic tank /Deregal. ( Minimun size, 1000 gal. ) 2,1 Tile Field - Each trench ft. Total system legnth ftGa ,� Seepage pit(s) Number , of . Size each ft X ft a,, , Size of stone to be used # -. . . Depth or thickness ft.t' °4'. le od'9 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * .:' ; L IMPORTANT ! ! On a separate piece of paper., submit a diagram of the proposed system with all dimensions shown; including distance from any structure, distance from property l-ines and from ANY DOMESTIC WATER SUPPLY or shore-line of lake, streazn,pond or wet-lands. Include all dimensions of F the system, itself . * * * * . * * * * * * * * * * * * * * * * * * * * * * ,* *. * .* .* * * * * * * I have read the regulations on the reverse side of this sheet and agree to abide by these and all requirements of The Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of responsible person. ) j.11,64,24�= Data 05/86 and/vl 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 ) 1lie 2 . Type of heat. FLF(k.) (% • • • ' : 3. Is the building mechanically cooled? . 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�• spac.es YES NO a. Are foundatio\walls insulated? YES NO • � 1. If YES, what is t -eR 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 5. Type—f insulation 77 B. Under 16% Only - 1. R value of roof And floors exposed to ambient conditions_ • 2 . R value of exterior walls 1113 ' 3 . R value of glazed area N--• l , 1 4. R value of doors 1Z ( 1- . 1 5. R value of floors over unheated spaces � 6. R value of slab edge insulation - unheated slab 04k- ' 7. R value of slab insulation - heated slab /d-- 8. R value of heated basement/cellar walls (above grade) 9. R value of heated basement/cellar walls (below grade) wo, 10. Type of insulation ( �di—�S k 702ncQ Li C ficV c Controls � • 1. Thermostat maximum heat setting D. Duct Systems 1. Is duct system installed in unheated spaces? YES NO T) a. If YES , .R value of duct installation b. R value of duct in:. other areas • E. Piping Insulation , J / I-'( 1. Size of hot water or cooling carrying agent pipe (( 2. R value of pipe insulation F. Service Water Heating • 1. Performance efficiency //b 0 2. Temperature control setting maximum . 14/O " G. •For Swimming Pool 'Only - 1. Maximum heating Telephonie No. 63 S r '. , fA 1/.� A ri,vvr (lerif',.' AO.e( ' 7v3 - 7d, dip 41 .(applicant ' s signature) R BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. (TEMP.# IDATE CITY OR • ` VILLAGE TOWNSHIP rarrri,cii,...ie.. COUNTY STREET AND NO.OR 1-) ROAD AND POLE NO. kir,I j :'1.A POLE NO. BETWEEN WHAT TWO CROSS STREETS IS •/ PREMISES LOCATED?l'IJ t•- /r=--1 AK, Y. r SECTION . BLOCK LOT OCCUPANT'S _ / BUILDING _ r NAME t?Jr !.i I- E •a':ri`r a e // OCCUPANCY (_T,i , _. / .-, `"-/ Ili., • OWNER'S NAME AND ADDRESS TEL.# CURRENT r SUPPLIED t J �f l.' ( 'r BY /�-? / -'a '1 C-! ='? /i; :='l/ FROM THEIR Y i / E 1— i//1/ OFFICE BUILDING S/�j�' fi WORK DEFECTS IS NEW .J OLD❑ IS NEW ADDITIONAL❑ REMOVED ❑ /// "` LIST BELOW ALL EQUIPMENT WHICH.YOU IN TALLED of Fixtures BRANCH NUMBER OF OUTLETS OFFICE USE Lamp Receptacless MOTORS HEATERS CIRCUITS Loca- ONLY tion Side Attach't H.P. Watts A.W.G. Coiling 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. ' - ;1' , " :,, - .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 thetadditional equipment,as provided by the applicant. SIZE OF ,� _ /,,' IF'� ELECTRIC SIGN TOTAL �L_r'Cy �'MAINS is` ( 1� FEEDERS r /C./ LAMPS WATTS CHARACTER � � EXPOSED GAS TUBE SIGN ' OF WORK `J' i,t_i CONCEALED TRANSFORMERS OF VA WORK TO BE (NUMBER) (CAPACITY) STARTED COMPLET D SIZE OF SIGN • SERVICE OVERHEAD UNDERGROUND (� MAKER ' ENTERS 111\\\ BUILDING OF SIGN INSPECTION REQUESTED ' ON OR AS NEAR AS ) I I J- / ,�I.1 ....-- POSSIBLE NEW OLD El AVOID DELAY BY GIVING FULL AND{{ ACCURATE IINJFORMATION.ALL SPACES DATE OF MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION PRINT NAME AND ADDRESS NAME OF 1J y SIGNATURE APPLICANT �''` I.L r=0'"' P-. t` /‘OF APPLICANT t-inir" 1'4( f. nr>,,e" 11 ,il ' 'J f STREET ADDRESS 'kni'- ,f i�l 1.� ` 'k1r L f -) TELEPHONE# , 2 -.-"; -; ri CITY OR ff' ZIP LICENSE NO. ..// POST OFFICE ' n;f-t/n r'�1-' )l {- CODE 1-5<'S',1 +S WHEN APPLICABLE 46 EL (REV. 1/86) A SEPARATE AP LICATION MUST BE FILED FOR EACH SEPARATE BUILDING � .at('J.t471►,?�.)ll:�lr��l•��!9J;1.4.?�!,at!;t�.J- �4}�.1.!Sa�ti+tr!�t..'a�la�!:A*�:?R+ !fia�c'��.s�lhT{.a+w a�.:?t:C?tA1.11:at]��R)t,�{ �:}��L�r;J*!s).�. !+•dll."a!ro.. -.R!:?! �� �Ri;,) !?"ll+Ga!!, t!$t... .,! , ' THE NEW •YORK- BOARD, OF FIRE . UNDERWRITERS I— BUREAU OF .ELECTRICITY and - -.41 STATE STREET.ALBANY,NEW YO13K12207, Date September 9, 1988 Ipplii.aiio IVa.on jilt ,027202-86 + THIS CERTIFIESTHAT 726 888 ty only the electrical equipment as described below and introduced by the applicant named on the above application number in theis premises of John W,Cornell,:,Hall Road, Queensbury, New York �lat F! ❑ lnd -.l Section .SBlocl. . 3�� in the following location; CJ Basement- � Out 4 Lot 35 P. was examined on •• - and found to be in compliance with th e requirements of this Board.. ;! 8/30/88. FIXTURE. I• FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS+" OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT Ira- AMT. K.W. AMT. K.W. AMP. K.W. AMT* K.W. AMT. - H.P. 12 - 27 --16 - 1 . _ 4.6 :. 3 ,:. F,,, to DRYERS ." FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS UNIT HEATERS. MULTI OUTLET " DIMMERS If! BELL SYSTEMS' I AMT. . K.W.. OIL H F.. . - GAS H.P. , AMT. NO.- .A.W G. •AMT. AMP. Amy ,AMPS.. TdAHS. AMT. :H.P. No;OF FEET. .AMT. "WATTS 1 Range 3��6 ". 1 Dryer. 3#10 1 '• --SERVICE DISCONNECT :,:. No.OF .. • 1. ...- litiJi # OE R. TV. I C !, AMP. .. 'AMP. TYPE,— AEOUIP. 1 X TW 1.e 3W 3 if 3W 3,01 4W NO.OF CC.COND. A W G 1 NO,OP HI LEG. " • A..W G. • ' Na CF NEUTRALS .A W G PER.0' Of CC COND.. - OF HI•1.% OF NEUTRAL" �, 1 200 CB 1 x.. 1 4/0 • 1 2/0 OTHER APPARATUS: :+. . : 10 2- GFCI Electric Room.Heater -..2 2 0,,kw 1- Smoke Detector 3 1:5 :kw ry - 0kw :' 2 l it -,:• I ' y - . JOHN .W CORNELL , BOX 2048 RT. 40 RA MANAGER HARTFORD NY, 12838. j 239 "el This certificate must not be altered in any manner;-return to the office of the Board if incorrect: Inspectors may`be identified- by -their credentials.`- , L`$4mi?i a,fi TAstLi r,,,A,p7•efrr•\ fAi')T i ati ++s'-Ah;a.,+ist'!1016..'I 6! iaN i ;h!ro iir +NiY'Imo.7i fil.4411 r ,tip Acura cave -lf�C?i i fl i[n/9ri3 S53tic"} 1 1\-3'N'L\ , 1-11'� Jouin o ueenit ur/ BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 �� A Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME 1, i\ivy C1znc,wkk LOCAT I OJ Uy 7 t Date / at p Permit No. y to-- /Cr1��J * * * * * * * * * * * * * * * * * * * * * * * = APPROVED "i; YES / NO Footing/Pier Forms Foundation Waterproofing \. Backfill Framing Roofing \ V.Siding /1 ✓ Masonry Veneer Rough Plumbing ,' Relief Valves ✓/�/ Ext. Porches V Finished Floors I/ Interior Trim A Stairs & Railings 4/ f Cellar Drain Tile I Concrete Floors Plbg. Fixtures Gar. Fireproofing' Door Closers 1 Smoke Detectors/ 7//// Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey t Next scheduled inspection (call when ready) Remarks- OIC/ kc pird R.gc. B ding Inspector and-vl 1v-i-UU '-MJ-J-JJ J-1-0/ . CORNELL: John and Marion 86-660 Hall Road, Glen Lake One-Family Dwelling 1• fO‘Ti'n9 /I?i2r or_tw,_-107 /ii' PC 2'_.iounl_9C.1 Qh._.19 °u h-. 1b�`-�_h _��l�z U/S 14/ d i'54' 3• ►-c,n;,nq_off, insK.,Ti0,...WmLl3___ce}.Li,, b -- 4�-rou gin 1� _,_ rs t shp.) oh- /S/cY"7 -'-' - (d _locun Of Q e n j urcy V t)4 I i/1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 ' b Queensbury, New York 12801 ai: SEPTIC DISPOSAL SYSTEM INSPECTION NAME // i�° LOCAT ION G6.( /UGC/ � �� (/111X DATE /7/1/ Y7 PERMIT NO. (o— 4-o�C7 SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length a --. Length of each trench �,,,,,,-.'''--- Depth of trenches ' __tee----""' Size of gravels SEEPAGE PITS{Number of) I Size- ft. X / eft. Gravel size PIPING: Size Type Bldg. to tank 'ti PUC-- Tank to dist. box- =J ;:°l,:im • Dist. box to field/pi (.-1 (1.'V , Openings sealed? (ES NO Partial j_74-f'Z. -:-.5 tio it(7- b,it 7'f7 0 ROT-1 o.e.e i S --ir-'1-4) LOCATION/SEPARATIONS: Foundation to tank J Alt5 l4 0 Foundation to absorption 'ft. Absorption to lot line ft}. 0 Separation of pits —fit. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - ear - Left side - Right side - COMMENTS: X t'S's t.Ai its --FL 4.-z-( 7 SYSTEM USE APPROVED YES -NO q1� .d /', iJ ii a . J • Building Inspector 01/86 and vl .own of Queenatur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT 0 NAME 1.,,(1„,--)'r L O C A T I O J Date(,) � / gPermit No(a52 * * * *I* * * * * * * * * * * * * * * * -* * * = APPROVED - YES / NO , Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding M onry Veneer Obugh 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 DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- // J cza- , c/ Building Innspector 6/86 and-vl _ouin of Queniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME _MA A h 0)- e LOCATION Ho (',/e Date i//,j /&7 _ Permit No. �(p (do } * * * * * * * * * * * * * * * * * * * * * * * ✓ = 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 Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls -13 fl / pi'-Cef Ceiling /a 30 FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- Build' g Inspector 6/86 and-vl G a !( �c7�( /0/ 4O'C 9: o /t Jown of Queeniur1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME -To 'I Yl COY e (I -T66(4r IC LOCATI ON Iact i LI to c� Date 1d /Jj / Permit No. g(Q—Lolo CD * * * * * * * * * * * * * * * * * * * * * * * i/ = APPROVED - YES / NO Footing/Pier Forms X Foundation (Plt- Waterproofing fr ckfill Framing Roofing Siding Masonry Veneer �� ?ough Plumbing A,yu <'�g,6 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 DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- u /4 Building Inspector 6/86 and-vl gown of Queeniurty BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ` S REPORT NAME LOCATION1411 ,216_,, 4 Date /6 / , ermit No. ?� -- 66e, * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves "a 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 DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks k4 VA-4-4'-- W---0) Building Ins ector 6/86 and-vl� 6/e,7 L a K e . 1 i f Si , i \ . . • d ° �� C./ Q . 1 v . 1 IA ! u S i'41',----1----1 1•"1 rt i t • NE, i 5. -,O?.,' • Le Lail . SBp t,C-' 1 aDt • 030 a. VSs`, 1 \ , . .i ' `E ' .0a0( wee