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1988-037 - CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date March 14 19 89 r-Y)\ 88-37 This is to certify that work requested to be done as shown by Permit No. has been completed. This structure may bc_occupied as a One Family Dwelling Lot 94 Sycamore - The Pines of Queensbury Location Owner Sandra Brown By Order Town Board • TOWN OF QUEENSBURY /,‘1 / 2 // 7-S-zfr Building & Zoning Inspector BUILDING PERMIT ,n ,Hn PC TOWN OF QUEENSBURY No. 88_37 WARREN COUNTY, NEW YORK • PERMISSION is hereby granted to Sandra Brown I' OWNER of property located at LOt 94 Sycamore Street, Road or Ave. The Pines of Queensbury 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. OWNER'S Address is lv Sandra Brown a, Sugar Pine Queensbury, N.Y. 12801 o 2. CONTRACTOR or BUILDER'S Name Joe Roulier 3. CONTRACTOR or BUILDER'S Address H rt Box 301 CD Cleverdale, N.Y. 12820 b r• • to 4. ARCHITECT'S Name rA r� o E rn o n 5. ARCHITECT'S Address 01) Cr 01 rt X • 4 6. TYPE of Construction—(Please indicate by X) • (X)Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications No. 56' x 32' as per plot plan, specifications and application including xpl$ta septic system and attached two car garage 8. Proposed Use ,zy One Family dwelling . $5.00 C/O 136.00 Sept. 1, 88 r $ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0 town of Queensbury before the expiration date.) 04 Dated at the Town of Queensbury this 18th Day of February 19 88 SIGNED BY / 2.7a, ,A G{. / .— ?I (..2 for the Town of Queensbury Building and Zoning Inspector �/ ` TOWN OF QUEENS:3v " TO BE COMPLETED BY BLDG. DEPT. I M .1 0 W 5 111N // Application No. FEB® 9 ® 1988 on oI Queen áur, Permit Issued /�19 (( w BUILDING and ZONING DEPARTMENT Permit Exp. •- 19 4 Bay and Haviland Road, R.D. 1 Box 98 Zoning De- • ation ) BUILDING & CODE DEPT. Queensbury, New York 12801 Variance 10 / i //0 /16 OO l Site Pla rleview No I / GU Approve .r ! ,, ;do . qu APPLICATION FOR , r.,,-- --,,,,„ —1 v /,-/kav BUILDING AND ZONING PERMIT i, 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: ._S 7 4/Q 4 /.J/� io e•/A✓ . P.O. Address _S,, ,q� jg,,..'c / Qi ee.rs Zwr/ ,v'. / /. Tel. „0/,q Property Location:��� sy __ _,4�,o, _. 11,c ,,67,/ /v./. Tax Map No. / / Street number/or building ot num `S{ /14- `�� Subdivision name (if applicable) ✓es 4 e..raL„7 THE PERSON RESPONSIBLE FOR SUPERVISION OF ORK _AS REGARDS BUILDING CODES IS: 4 0 . g y .6/, C4�-4, Ai. V. 7< �z-3 J</Y Name P.O. Address Tel. No. Name of builder SA,ric ,Qs 1l/e_ Address Tel. Name of plumbers e /Q/f, , Address , ���p,J i✓,/ Tel.7y7 -,�--C73 Name of= mason j Le Address ff zec/r �•% /,../ Tel. 7s'/' -6e77 NATURE OF PROPOSED IRK: * • 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, 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 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 /-3o ft X / 7o ft. * Existing building(s) Size Z0 ft X ft. * PROPOSED BUILDING AND USE: * Existing building(s) Use Size of new structure ✓, ft X.3.< ft * Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line (circle one) * * Front yard N44 ' ft Rear yard ...i.;;e, ft No. of stories (habitable space) / Height (grade to ridge) .v/G ' ft. * Side yards N 3 7' ft and 3 7 ft If residential, no. of families / * If on corner, setback from side street ft No. of rooms(excluding baths) 7 * OCCUPANCY INFORMATION No. of bedrooms ,--3 * y * PRI • PRIMARY BUILDING - No. of bathrooms 1 v Primary heating system Q,C, ,!4!004 * One family dwelling * Two family dwelling Type of fuel �C *. Multiple dwelling / Number of units No. of fireplaces to be installed / Will a wood stove be installed? ,c/o * Permanent occupancy •,. Central Air conditioning? ,v, * Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial *- If Other .. Contemporary Log cabin *:If. addition, what will use be? •r ised ranch Mansion Duplex •Split level Old style Bungalow * Cape Cod Cottage Other * ACCESSORY BUILDING- • Colonial Row Town House * ;Detached garage/one car/ .two ar/ car ( CIRCLE ONE PLEASE ) * /Attached garage/one ca two car car * * * * * * * * * * * * * * * * * * • " Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION $ yG Q�. / * INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BPA 4/86 and-vl — 1 BUILDING PERMIT APPLICATION CONTINUED - , .BUILDING.•SPECIFICATIONS: Type of construction, wood frame, fire safe,etc. Good Will any second-hand or ungraded lumber be used? If so, for what? 4/o Foundation wall material t /3G-e Thickness /o Depth of foundation below grade (to bottom of footing) .✓ 76 " Will there be a cellar?,j Heated or unheated? Floor sq. footage sq ft Will there be a basement? > ' Will any portion be used as living space? a/a (If so, what portion? sq.ft. - - Type of use? Type of roof - slo e lat/shed/other Material• of roof 011 r- Size, wood studs -2 "X G " spacing /G "o.c. length dF ft. �S- Joists(floor beams) 1st. floor ,.. "X is " spacing /G "o.c. span /y ft. . " Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft. Overlays(ceiling beams) 1 "X y " spacingo? ! "o.c. span /G ft. Roof rafters "X " spacing o.c. span ft. Roof trusses (pre-engineered) spacing oty "o.c. span 3 ft. Exterior wall finish ifitx. /Y ' c e 4,- Of what material? G<<,a„ s.ar Interior wall finish /Z s 1/4"•• ( If a garage is to be attached, describe materials to be used for FIRE SEPARATION: Is there to be an opening between garage and dwelling? yes If so will a Fire-rated door, enclosure, and self-closing device be 'provided? >s Will a flue-lined chimney be installed?)installed? ) 5 Height above roof . ,1 ft. Depth of chimney foundation below grade., 4"git.. Depth of fireplace hearth Stir. /pin. Water supply - unici or private well SEPTIC SYSTEM _ Dis ance from ANY private well(including adjoining properties .✓�ia 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, and that such work is authorized by the owner. o SWORN TO BEFORE ME THIS Signature__ -- -wner, owner's agen ,arcnitect,contractor 6' day of �, 19 R 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 PORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work. • ANSWER ALL of the following: . 1. Gross floor area ''' /d°a-zs----' • 2 . Type of heat o .Z .. / -7..%4 4./ .3 . . Is the building mechanically cooled? ,✓o 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 • 5. Type of insulation B.X Under 16% Only • • 1. R value f roof and floors exposed to ambient conditions 1e? 2 . R value of exterior walls/foil .7s/ 3 . R value of glazed area .A-1 • - •� 4 . R value of doors . . /�- /4. - 5. R value of floors over unheated spaces '1'-' J - .e,/ _ . 6. R value of slab edge insulation - unheated slab ,-,/i4 7 . R value of slab insulation - heated slab "./'q' . 8 . R value of heated basement/cellar walls (above grade) JJ - 7 : . 9 . R value of heated basement/cellar- walls (below grade)• , 10 . Type of insulation -.Gf.y`...ar d.i (,.-,_ • C. Controls 1. Thermostat maximum heat setting 7o ' 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 H ' • 1. Size of hot, water, or ' cooling carrying agent pipe ✓ a 2 . R value of pipe insulation: ' F. . Service Water Heating 1. Performance efficiency yo/' 2 . Temperature control setting maximum /.3;° .. . G. For Swimming Pool Only • 1. Maximum heating !''/' Telephone No. Gs/L -3 (II - (applic nt 's signature) • .4710101. iQY1 . APPLICATION.FOR SEPTIC DISPOSAL PERMIT DATE LOCATION OF PROPERTY FOR INSTALLATION 1! !`'`� S/eis^,d,c. Or e,e,,6ycN Owner's Name:r___<v.0q..a 8,"" ica✓.l Telephone: _ '`'/� Address: ,Sf o, P. D<<.:C.,.y, .�. / r Installer's Name: �(; ��.4Z Telephone: Number of bedrooms (residential only) .-3 Total daily flow (compute @ 150 gal per bedroom) Topography: circle one: late Rolling Steep Slope % of slope Soil Nature: circle one San Loam Clay Other / Depth: feet Ground Water: At what depth? <1 feet Bedrock or Impervious Material: At what depth? _ 4'/a feet Percolation test: circle one: not required required / rate min. inch. Domestic water supply: circle one Mtinici Well Other • IF domestic water supply is a Well: Separation: Watersupply from Septic absorption — feet PROPOSED SYSTEM: Septic Tank /aa".r gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench —$ 0 feet / Total system length y a - feet SEEPAGE PIT(S): Number of -/ Size each feet by feet Size of stone to be used # /-Depth or Thickness oZ feet * * * * * * * * * * * * * * * * * * * * *-* *:*.:* * * * * * * * * * * * * * * * * IMPORTANT ...Please...LIST NEW EQUIPMENT TO BE INSTALLED * * * * * * * * * * * * * * * * * '*-* * * ** * * * * * * * * * * * * * * * * * * (over) Section II 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 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. I have read the regulations above and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of responsible person 7c, Date: %/ Town of..Queensbury " Building and Code,Department, Bay at_Haviland.Road Queensbury, New York 12801 (518).792-5832 • I'fE" , I` AUTY . , 'IOC) TO I_'' • BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. z //TEMP.# I DATE CITY OR d VILLAGE TOWNSHIP (;_ - _ COUNTY :!-,/.. . STREET AND NO.OR ,r' it AND POLE NO./.7 -�."- ;i� -.- _ , -. :,:I r POLE NO. BETWEEN WHAT TWO • CROSS STREETS IS -'' ---: •—•- -' it •.` PREMISES LOCATED?-' - - - '- I � SECTION °'_` BLOCK LOT OCCUPANT'S %` BUILDING _ ;3 ' NAME r OCCUPANCY -i;.,:., .�. .. =-'= °_-. OWNER'S NAME j"` ! _ • - :`' i ' /7- AND ADDRESS - -" c` f<- ,. .. ,i� TEL # -y1'.:: . CURRENT I, _ SUPPLIED ( F-^�. - FROM THEIR , f%: . OFFICE BY •BUILDING �-y J DEFECTS IS NEW�• WORK OLD❑ IS NEW LA ADDITIONAL ill REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No.of Fixtures& BRANCH OFFICE USE NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS Loco- • "ONLY lion Side Attach't H.P. Watts A.W.G. Ceiling 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 .r- -fin (NUMBER) (CAPACITY) _ _ COMPLETED,i. SIZE OF SIGN SERVICE OVERHEAD - UNDERGROUND__,— ' MAKER ENTERS •-'-�-^^�-_----'-BUILDING OF SIGN - r4--� INSPECTION REQUESTED ON OR AS NEAR AS _ • POSSIBLE NEW 0 OLD . AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF _ " ./ MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. .f •- APPLICATION : PRINT NAME AND ADDRESS _ NAME OF -�,- . V SIGNATURE - - , ` . T APPLICAN ' /S-OF APPLICANT- ---'^" "`` tea" STREET ADDRESS�'---^-'-- - ✓TELEPHONE# ' „-"X? i ) 's LICENSE PITY OR �' CODE; ,. ' WHEN APPLICABLE ' POST OFFICE'..,=-%-:'`"'. -�:'�� - � 1 46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING C4 &g.xsc/ �v ;r4vM �WW `�-( - - ‘, _, 1 n�r Jn�tn cid~v n .^ n r • MIDDLE DEPARTMENT INSPECt,TION AGENCY, INC y��i ) CsooA soi►�eneaaidrpdg9yu�ie{�uoaif ,t�ue9e t rrV ask ;er r 9 B E9 m1/�'�" 4�{ C`. _ 7 ��` ,t� �170 . ''� Date March 13,- 1989 '` . �' �lertlf lC� that th'�"%e e t ic�i equipment listed has been xa ed an his a roved as tjein in accord. ) with the National Elect�tt e ppliable governmental, utility and Age o. i�i les. g ,� itsI A--. f a i , Owner: Roulier Cons,��ut�9h rol% :ar �,, �` ,at„,,,�'��� ail ``, , aOccupant: Mr. Brown kik ct ` P Y � t C Location: 94 SycamoreEpr v, ueepsbury t ...r'eI1 �,Cp,} mi,,,mra,:\,3 , 1 ( 41 --, ertificate t lac rice equipment and installation inspected this C, tm date. II additional uiprnent sh uld be introduced.or alterations made to + existing system thl c f Iica/e all,be null and void, and application for 90 Outlets; 1$A Reide � acles• 20 Fixtures' 7 inspection should esubmnitt d pp C C Equipment: �K� � prrpm'"(ptlytothisAgency:.;�n'< g��g ��qr'^ af9pt b Appliances 9 F➢ k"' 6 E d 67 r„; older of this ce Lficate shQUld4pi ant same to his property Insurance carrier CO%'�,, —(agentorcompeny)asevid nc 'Ofcertificationof electrical equipment approved e e as specified: #` Yt_L C r , ERA Electric s , _ �pp jk " Applicant: RD4, Box 339F, Ca is 1 - °- ..t . '�No. ,15-021223 er C: LGlens Falls, NY 12801� ` „ r'7 n.04`.�nn.e./)n /sr\ Or\ !+� /Irk An /3 l+� 0 .0� 0 O� 1 0r1 r�+7.�r/'��. .0 0., 1(1.a./� Form Ho.703 EL 1-83 - t N aIVIIDDLE DEPARTMENT INSPECTION AGENCY, INC! Electrical-Building-Plumbing-Fire Inspections r.n yG62 Pt.e w R Date s,"r � kb" ao I nectar IA VI 1 T - constitu es certification that the .T, above installation, but not the equip- uCD ment itself, has been visually inspected as of this date pursuant to the applic- o able codes. If additional equipment should be introduced or alterations made to the existing system or struc- ture, application for inspection should 0 be submitted promptly to this Agency. -�' //2' OWfl o/ Queenitury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME „.4:1! ,,,x4 4 LOCATION D 4 94 DATE %:';g(I o T"PERMIT NO. SOIL TYPE -(Sand)- Loam - Clay - Percolation Test Required? YES Percolation rate - Min/Inch TYPE of SY .TEM: • Absorption field, total 1= gth Length of e.ch trench 6 9 Depth of treiches ,i / Size of grave ' _ SEEPAGE PITS* umber •-f) Size- ft. _ ft. Gravel size PIPING: Size Type Bldg. to tank L/ /e)/ C� Tank to dist. b. Dist. box to f' -ld/•it y Openings seale' ? Y;S NO Partial LOCATION/SEB“,TIONS: Foundation • tank /6- ft. Foundation o absorpti. 075 ft. Absorption to lot line /D ft. Separatio of pits - ft. LOCATION of SYSTEM ON P••OPERTY(circle one) Front -.Tar-3 Left side - Right side - COMMENTS: • • SYSTEM USE APPROVED 41, NO Building Inspector 01/86 and vl eel14 ✓ / U( c� 5 f Jown of Queeni‘ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME , 1l2. LOCATION e)7L Date���/�� Permit No. (g—c:... , * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill 'Framing • V Roofing Siding Masonry Veneer ugh Plumbing s� Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofi • Door Closers Smoke Detector' imney INSULATION: Foundation I ,' ; 1� ✓�f- Floors Walls Q-1 Ceiling '3C(. FINAL ELECT••ICAL INSPECTION DRIVEWAY APPRS AL Final Building Survey Next scheduled inspection (call 1 when ready) Remarks Mi �e f B,�, . IC►Z! 1'�sote olL -L_ Lir c)::5 S P ,4-1 Building Inspector t 6/86 and-vl 91 Down o Qaecniur BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 7171 / LDING INSPECTOR ' S REPORT NAME L O C A T I Date3f.I Permit No. ✓o 3,7 * * * * * * * * * * * * * * * * * * * * * * * ✓,/� PROVED - Yr// NO Ming/Pier Forms Foundation r / Waterproofing Ba�-k f i l l L//7 i—F"raming Roofing Siding Masonry V-neer Rough P1 sing Relief Val es Ext. Porche•. Finished Floors Interior Trim Stairs & Raili as Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detect•rs Chimney INSULATION: Foundation Floors Walls Ceiling - ~ FINAL ELE4TRICAL INSPECTION DRIVEWAY •PPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- • Bui g Inspector 6/86 and-vl • • • Jown of Queeniurey I BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME > &,Y1 LOCATION 99 L -"Jej_____ O` L Date 3 - ?/ef Permit No. j7ec- 7' * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms undation Waterproofing Backfill 2'C 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 DRIVEWAY APPR'VAL Final Buildi g Survey Next scheduled inspection (call hen 'ready) Remarks- • il;// 61?.. /1:7 . 1Yr . /' • Buil • g I Spector 6/86 md-vl • Jo[un o/ Queenitury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME \_3 GI xe,uL( IL rz -- LOCATION 7L/ s`vc (o T2Z Date J�3//W Permit No. 1G 3l * * * * * * * * * * * * * * * * * * * * * * * f/ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill )(Framing RJ -1,v,QLe`rio ) 61 Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofi g Door Closers Smoke Detectofs Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELEITRICAL INSPECTION DRIVEWAY 'I•PROVAL Final Building Survey Ne h d spection (call when ready) Remar Z5 ( 4-_-P/ I2s f &z EA-fC IAlL- 2s A-Pf)2o v E,-0 6G-1—r-4o p E i fr."-0 f _ Building In ect 6/86 and-vl iUo , k G ) si n..�., ,,erueendsurt�. e BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 . Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME `/ip' , 0,7 e`& LOCAT I ON - �-�' ` 5' e,4„,,,,,,„ 0?,,„,,,,, Date g2A9 /_ Permit No. F(' . 11 Or = APPROVED - YES/ 0 Footing/Per Forms ((// Foundation Waterproofin• 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. Fireproof' Zg Door Closers Smoke Detecto s Chimney INSULATION: \ Foundation Floors Walls Ceiling FINAL E ECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey t Next scheduled inspection (call when ready) Remarks- / 1 L i cci r C-- O(s) __ //,u4 -12 P---- Building Inspector// 6/86 and-vl • Jown of Queeniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION 9,4/ ehc___, Date -2/-R7/ Permit No. o o --L * * * * * * * * * * * * * * * * * * * * * * * 8/ = APPROVED - YES / ••• Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding j✓. Masonry Veneer Rough Plumbing Relief Valves V Ext. Porches Finished Floors !� Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures l� Gar. Fireproofi . Door Closers Smoke Detector. Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- SUS C4 j, l7 �fl f/ /P.(''-1 te( Building Inspector 6/86 and-vl JOE O U L I E R, INC. (518)656-3544 BOX 301,CLEVERDALE, N.Y. 12820 s A v' r` 4.4"g1 i 1( 11° ,4 4 t-N9 3 1 $-11 LY -icy yo' v J /.30' >.