inspections BUILDING DEPT.COPY OF APPLICATION FORM 46-EL.NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
CITY OR ,,,.,.
VILLAGE1' V1 d Y1, Of)? r g TOWNSHIP -- - COUNTY V. i a r
STREET AND NO.OR F tiri
PPP
ROAD AND POLE NO. " ' 1�o_k ! f io J) POLE NO.
BETWEEN WHAT TWO i f$t --^At''";°�,
CROSS STREETS ISt
PREMISES LOCATED? SECTION S 2..,
BLOCK �K. LOT 2,7;`
OCCUPANT'S aF, BUILDING tt ( y _ ^per jj_ �
NAME (.f f OCCUPANCY `7 t 81 14j(,.. .,- �. i i' { i ,,,.„«
OWNER'S NAME $ _
g -Nat:
_ �t,, j y � t
AND ADDRESS t,,,,...it'1:t.,+ "' -Ati ,1,3 . ° i -Ni i 4 AY`.f.... - -x't.{:{..{7it.mt{., , ,I, ,,/. I 1'14 i
CURRENT t l
SUPPLIED FROM THEIR I OFFICE
By ` , t 1 , = � a' = s,
r.may,., . _ 4
BUILDING NEW OLD❑ REMODELED ❑ WORK NEW ADDITIONAL❑ REMOVED DEFECTS ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No.of Fixtures& BRANCH 1
NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS NUMBER OF LAMPS
Loca-
tion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge I F M.V.
Out-
side
Sub-
base
Base-
ment
1st Fl.
2nd Fl.
3rd Fl.
k 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 COMPLETED SIZE OF SIGN
SERVICE MAKER
ENTERS OF SIGN
BUILDING
INSPECTION REQUESTED
ON OR AS NEAR AS
POSSIBLE NEW El OLD ri
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE"RETURNED.
PRINT NAME AND ADDRESS
NAME OF i DATE OF a ,,, " ,s},t
APPLICANT w 1,�F.<-,fii I"` -, APPLICATION '"+
STREET ADDRESS
CITY OR ZIP LICENSE NO.
Ate"` -14 CODE WHEN APPLIICABLE POST OFFICE i
46 EL(REV. 1/82) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
•
TOWN OF QUEENSBURY
Building Department f
Inspectors Report Date ✓d f/3 MY
Name FPUX-/, ` C , c7-
location ,
. Permit No. ecf 3 Weather
d A- .. p marks
Excat a tion
Footing Forms
Footing & Piers •
Foundation .
Cement Coat
Waterproofing
Backfill \
Final Survey \
Framing \ /
Sheathing A
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor `
Interior Trim ,l c9/`
Stairs & Railingsa� - .--
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofirigss
Door C1 oserQ,,--,
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
"Ceiling
41,4
Building Inspector
REMARKS
•
TOWN OF•QUEENSBURY
Building Department
Inspectors Report Date 9/30 9
Name PA-0 /si CQ.iS 1--"Lfjf`:7: QA)
Location 40% /4;
. Permit No. Weather
Remarks
Exca*ation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey f�!�
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg. if
Relief Valves ,d
Wall Board \
Ext. Porches Y/
Finished Floor /\
Interior Trim / \
Stairs & Railings
Cellar Dr. Tile \
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst. 1
Septic Approval
Floors •
Foundation '
Insulation -- —1
Walls
Ceilin
//
� Building Inspector
•
REMARKS
•
TOWN OF'QUEENSBU RY
- Building Department
Inspectors Report Date Voi2F4-1
Name Ip•ao 1, 4- remirtztic
Location L 0 j / z 0
Permit No. c` (0 5- Weather
Remarks
Excavation ��
Footing Forms C(.
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer \ ,
Rough Plbg. \
Relief Valves_ \ /
Wall Board X
Ext. Porches l \
Finished Floor / \
Interior Trim \
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures 1
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Faundatiori
Walls '
Ceiling "
•
Building Inspector
REMARKS
TOWN OF'QUEENSB U RY
Building Department
Inspectors Report Date Yyj" ' 1 f
Name pILJ[ , Ai CO_AM l l'c,u'c.r
Location (;)rz_
Permit No. 2 6,se- Weather
Remarks
Excat7a t on
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing t/
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches a�
Finished Floor
Interior Trim /
Stairs & Railings
Cellar Dr. Tile rj
Concrete Floors /
Plbg. Fixtures /
Gar. Fireproofing
Door Closers
Chimney ,'
Water Meter Inst/
Septic A,pproval`t/'
Floors
Insulation 'Foundation
Walls
'Ceilin ' '
Bui ding Inspector
REMARKS
cele2912-er,
/8?
•
•
TOWN OF•QUEENSBURY
Building Department /�
Inspectors Report Date /.s '/
Name P40. /
Location /ntr--,1r',., 4744
Permit No. (� Weather
•
Remarks
Excavation
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 if
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
•
TOWN OF'QUE ENSB U RY
Building Department
Inspectors Report Date '/f4'`4
Wine 4 fl eat✓ °
Location df-cs?—,"A .�.,��-3 .r"..,,
Permit No. F 3 6 S Weather
Remarks
Excafra tion V
Footing - '
Footing & Piers 'r`
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding I
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board \Xi
Ext. Porches / \
Finished Floor i\
Interior Trim
Stairs & Railings /
Cellar Dr. Tile /
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
- Water Meter Inst.
Septic Approval
Floors
Insulation 'FOLndation
Walls
VCeilin V -
1;)
i --._
&'
Bui ng Inspector
REMARKS
•
•