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1985-578 C /C paid Y CERTIFICATE OF OCCUPANCY TOWN OF +QUEENSSURY WARREN COUNTY, NEW YORK Date F=' , ,��a+c�► 19 This is to certify that work requested to be done as shown by Permit No. - has been oom,pleted. F?T= . 't: f T' l'. 1lC. ]. nCT T FC Yt " t1I` T` cti"' �_ "L '�- r {"� -je. T' This structure may be occupied as a By Order "Town Board TOWN OF QUEENSBURY Building ae Zoning Inspector CNEFTYYC A"OTA" POINTING. GLENS FALLS N Y C2661 451 *07%3-5656 _ - I CERTIFICATE OF OCCUPANCY TOWN OF C#UEENSBURY WARREN COUNTY, NEW YORK I Date i s L i; :z 19 t 7P i This is to certify that work requested to be done as shown by Permit No, has beers. completed. Phis structure may be occupied as a 'n i F P m i 16 i r T - c vt r ' am �r ? ra .r. r± l ocationi3rcan T� c�ac' fF' e ] en I? ri�� e Don F . Maarrarc� Owner By Order Town Board TOWN OF +QUEENSSURY 7 r Building & Zoning Inspector ---------------- CWC^TIYE "YNST+A pNINTINO GLEmm FhL LB N Y YZ•OY [S1D3733-5i39 i CERTIFICATE +C]F OCCUPANCY TOWN OF QUEENSBUR`r' ' WARREN COUNTY, NEW YORK 19 This is to certify that work requested to be done as shown by Permit No. has been completed. This structure may be occupied as a �_ t . �?. i.r c T - n n to a- may Locsrion _ I � iti-en PC- a-OZI'� 7 � n i7rit>c - Pon r . ri-, aynaro Censer By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector C REh TIME "�M3Th-- FRI NT,NG GLENS FhV 4S N v I Zoo I IS 10779]-l656 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date Nebruar; _ 5 19 8r _ r7f This is to certify that work requested to be done as shown by Permit No. has been completed. This structure may be occupied as a I7 r i fi 13 r't s i I d i nQ r 011 T r n i 1 T r a m 1.,y]f[atlon ni.xcn �{.C7r"3['� /�F�[` EP T) Don P . Mavna r-a Owner By Order Town Board TOWN OF QUEENSBURY r ` Building & Zoning Inspector CRCATIVC "INSTA PRINTING GLENS PALLS. N T }11101 1l IfIT9ll8l6 BUILDING PERMIT TOWN 4F QUEENSBURY No. a 1; SS7R . WARREN COUNTY, NEW YORK PERMISSION is hereby granted to OWNER of property located at Dixon Road/Helen Drive Street, Road or Ave. 0 in the Town of Queensbury, To Construct or place a Four—Family Apartment Building 'd 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. OWNERS Address is 63 Helen Drive n Glens Falls , New York ¢' 2. CONTRACTOR or BUILDER'S Name Same 3. CONTRACTOR or BUI LdER'S Address Salve to 4. ARCHITECT'S Name • a 5. ARCHITEGVS Address A� x Cb 6. TYPE of Construction — (Please indicate by XI 1 3 Wood Frame f 1 Masonry i T Steel 1 1 0 C 7, PLANS and Specifications No 301x642 per plot plan , specifications and application submitted including sewage system . 8_ Proposed Use PER. SITE PLANT REVIEW NOO 21- 8 5 Four-Family Apartment. granted 9- 18 -85 . 0 c $ 20 . 00 4 C/Os rt $ 200 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES May 1 19 86 F ' 03 ilf a longer period is required an application for an extension must he made to the Building and Zoning inspector of the 1J` 40 town of Qusenshury before the expiration date_) ~- ~- Dated at the Town of Queensbury this �9 t_ b Day of n o tmr SIGNED BY cGy vt 7 yf+-.�_ for the Town of Queensbury ray. Building and Zoning Inspector 4rW ;71 fD t't' TOWN OF +QUEENSBURY ( Space inside block to be filled in b. WARREN COUN`i'Y, NEW YORK Building lnspvct<ir) ppli( alioll No. Application for 1.c rnm lti.necl k� _ BUILDING AND ZONING PERMIT Pvt niit Expirvs l� %„niu4; l3i.trirt ram' \ :ilsic• 441 \%tfwk ,., i•el k���l �ler THREE ( 3 ) Copies of a PLOT PLAN. Drawn to scale ti It i l e showingg the actual dimensions of the lot to be built size. and buof of fhO dint' to abet location erect d or altered MUST[ BE SUB MITTED WITH THIS APPLICATION. ,ATEtFOWN OF QUE Bx3R'�' A PERMIT MUST 13E OBTAINED BEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWING. 3 The undersigned hereby applies for a permit to do the following work �Q �r#z p ilp.m* which will be done in accordance with the description, plans and specifi- A M.` t tag cations, and such special co. di#ions as may be indicated on the permit. r �a t��� , � � I t' y The owner of this p rropev Is /� / - fNA rg� � � fP O. AUC7RE551 The person responsihie for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: . . . . . . . . - fP O A'GOR£5 } �. (NAME} � 's 'o. o� 6 , . . Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Builder . . . . . . Name of Plumber . . . l� }��. - . . . . . . - Address . . . . . . . . . . . . . . . . Name of Mason / fr;'ty. . , . . . . . . . , . . . _ _ . Address Estimated value of proposed work S . . . : F ' f1� �." G - Lot Number , unit . .,Y . . , . . . - . , p io Name of Village . . . . . . . . . . . . . . . . . . . . , - . . . Name of Street . . . +� �! / " ' • Side of street : north 0, east ❑ . south 1.3 . west Nearest Cross Street . . . !y' �rJ f U+ .+ - . - - . . . . . . . . . . . . . . . Distance from this gross street . . . . . . . � '✓. % . . . . . . . Ft . property is north 13 , south ❑ , east e i , west ❑ from Cross Street If on Corner, which corner, northeast U. northwest 0 . southeast southwest (Designate by marking with an "X" in the correct space_) NATURE OF PROPOSED WORK OCCUPANCY Main Bunting Construction of a new building. one-family dwelling 0 Addition to a building. 'Two-family dwelling T❑ D Alteration to a building. + -family apartment house /ca. ❑ Demolition of a building. gxI building 0 . - . . . -car attached garage ❑ other: . . . . . . . . . . . Accessory Building One-car detached garage ❑ C3 Other work. Describe: . . . . . . . . . . . . . . . . . . . . . Two-car detached garage n Private chicken house 'f '. . _ Private storage building ❑ k ` . . other: . . . . . . . . . . . . . . . . . . ,I . . . . � . f. .�-. L [ fir.r't. - - . ZONING SPECIFICATIONS• 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 size of the property, the location, site and setbacks of pro- posed buildings, and the location of all existing buildings. L���040RTM Show proposed buildir%ls) in dotted line and existing huilding(s) in solid line. _ d' �---� Size of property y/�.�- . . - ft. x . . . . . . . . . . . . ft. C Size and use of existing buildings, if any . • . Size of proposed building . . . f < . . f x . . Height (from grade to ridge) � Et. .. . 3 . J Front yard . . . . _ . . . . � G? . . . . . . . . . . . . ft. Side yards . . . . . � >�. . . . . ft. and . . �.�. �-�. . . . ft. Rear yard . . . . . . . . . . . . . . . . . . . . . . . . . . ft. SO U T M if on corner, setback from side street . . . . • . . . . . . . . . . ft. 7 Note: All distances are re et, as aneasured from street side line go nearest part of building. (OVER) (cont'd.) BUILDING SPECIFICATIONS., Kind of construction : Wood frame, fire safe, etc.? . . .64-! v. '�. . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber be used? C? . . . If so, for what? . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls )a. .e.'of. . 13) D.0 . . . . . - - . . . . . . . . . . . . . . . . . Thickness . . . . . . . Depth of foundation walls below grade . Al e. . . . . . . . . . . . . . . . . . . . . . . . . Continuous foundation? . . Will there be a cellar? . . . . +fit .+'.�, . . - . . . If , material of cellar floor , Type of roof: Sloped or flat? . . . `�. �.t �, . . Material of roof . . .P4 {--r f 4r" p c`. .c� � . �- . � �. h.. , .. r ire . Size, wood studs x spacing . . . . "' Size, floor beams. Is floor . . . . . . . . . " x . . �, / o.c., length . . . . . . . . . . , ft. spacing u . - . . . , '"o.c., span Size, floor beams, 2nd floor " x . . .. . . . . . . . . . , spacing . . . . . . . . . . . . . "o.c., span . . . . . . _ . . . . . , , ft. Size, ceiling beams . . . . . . . . . . . 00r " x spacing "" . . . , ;r P K o.c., span Site, roof rafters or beams . ce . . . . . "' x ry , 11 , spacing . . . . . . . . "o.c., span . . , ,..?. s' �. . . . . _ ft. Exterior finish . . . rt !.i. t+.�.L . f . . ? _ . . . . , , . . . . . With what material ? . . . . . . . . . . . . . . . . . . . . . . . . Finish of interior walls . . . . . . /` r C: { r.z c. ,.0 . . . . . . . . . . . . . . . . . . . . . . . . . . . If garage is to be attached, of what material is wall between garage and main building to be constructed? Is there to be an opening between Trage and building? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kind of heating system . . . .U ( G. Ct L . . . . . . . . . . . . . . . . . . . Oil burner or coal? . . . . . . . . . . . . . . . _ . . . . . . . . . . . . Will a flue-lined chimney be provided? . . . . . . . . . . . . . . . Depth of chimney foundation below grade . . . . . . . . Height of chimney above roof . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ ' - - , Will there be a fireplace? . . . . f?. . . . . . . . . . . . . . . . . Depth of fireplace hearth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a toilet be installed? VC. S. . . . . . . . . . . . . . . . . . . . . Will a kitchen sink be installed and connected tow r suppp y? ,. . '(-'' c`' . . . . . . _ . . . . . - . . . . . . . . . . . . . . . . . . . . . . . . . . Water supply ( public water supply or pump) . . . . L' fJ ' C' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Distance of cesspool from any private well . . . . . . . . .L?. . . . . - . . . . . . . . . . . . . . . . . . . . feet Will drainage system be provided with required traps, cleanouts, and vents? . . . . . . . . . . . . . . . . . . . . . . . . Town of Queensbury AFFIDAVIT County of Warren State of New York 1 swear that to ti: yvj„juf my knowledge and belief the statements contained in this appi"tian, and that a tu�elher with the *ens and apecif ostioas sub- mitted, area true and oa.�.p life statement of all proposed work to be done on the p bed eermses ll of the BUILD- ING CODE, THE ZONING ORDINANCE, and all other laws pertaining pro w it shall he uampilied wi�er specified or not, and that such work is outhori ed by the owner. / Sworn_ to before me this Signature ! 044��e Yf �P i !� 4WNEft. OMYNR"S IEryT, ACHI E T CT C, ONTRACTOR day of. . . . .. .. . . . .. . . . . .. . . . . . . . .. . B+t 19 . . [ NOTARY PUBLIC. WARREN COUNTY, IV- y, SPECIAL CONDITIONS OF THE PERMIT; By . . .. . . . .... .. .. .... .. . ... . . . .. .. . . . ... .. . . .. .. .. . . . ... . . . ..... . ... .. . .... .. .. .... . ...... TOWN OF QUEENSHURY WARREN COUNTY , NEW YORK Application fors 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 * lowing : r 1 . Gross floor area I 3 y� � ] / r;, r 2 . Type of heat l •Qrf"r- / 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 spaces YES NO a . Are foundation walls insulated ? YES NO 1 . if YES , what is the R value ? 3 . Slab ongrade 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 t. .. ) Under 16 % only ,,,,//// 1 . R value of roof and floors exposed to ambient conditions 2 . R value of exterior walls 3 . R value of glazed area 4 . R value of doors 5 . R value of floors over unheated spaces " 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 ) 90 R value of heated bas .-- meant /cellar walls ( below grade ) 10 . Type of insulation 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 / / l/J b . R value of duct in other areas E . Piping Insulation 1 . Size of hot water or cooling carrying agent pLpe A44L 2 , R value of pipe insulation h/ F . Service Water Heating 1 . Performance efficiency }i/ 2 . 'Temperature control setting maximum G . For Swimming Pool Only 1 . Maximum heating +�� r` Telephone No . ( applicant ' s signature ) TOWN OF OUFrNSBURY PUILDING & ZONING DEPARTMENT SFWAGF DISPOSP- � PEYWIT APPLICATION i 1 . Owner ' s Name Address 4Z-) J' Telephone No . y �' � � � '• �.. 2 . Property location c. lell 3 . Name of person or firm responsible for installing system "Telephone No . Address _ k, ti C ; A 4 . Number of bedrooms ( residential buildings only ) ' n i 5 . Daily flout+ gallons/day 6 . Septic tank capacity_ J �' r /R gallons 7 . Topography : flat , rolling , , steep , % of slope `1. 8 . Nature of soil and depth � r 90 if ground water , bedrock or impervious material is apparent at what depth does it Obegin? ft . 10 . Percolation test : A is required B is not required C If requTr- ed what is the rate ininutes/inch 11 . Water supply : municipal , well , other. 0121 , �� 1 12 . Type of system proposed : drywell , tile field , other 1y ; ; � . �: .•` 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 signatureaof applicant. On separate sheet of paper submit a diagram of the proposed septic system with all dimensions . including distance frcam any structure , distance from property line and domestic water supply , etc . Include all dimensions of the system itself . Form 3 - 82 l THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY I T ici 41 STATE STREET, ALBANY, NEW YORK 12247 lhzte Marckh 14 , 1986 Appiicarion No. on file (}97511//"05 THIS CERTIFIES THAT wady the electrical equipment as described belanwP and introduced by the OYWJIcant named on the above rpWdication number irn the premises of Don. F. Maynard, Dixon & Aelen r) ivef f oeensbu.'L'V, Now York in the following location; Eg Basement DE tat Ft, ❑ 2nd Ft. Section block Lot # 135 seas examinedon and found to be in compliance with the regnairements of this Board. FIXTURE FIXTURES ES RANG COOKING DECKS I OVENS I DISH WASHERS EXHAUST FANS 011Tllti7, RECEPTACLES #WITCMOs INCANDESCENT FLLt AMFNT AMT. K- W. MAT. K. W. I AMT. I K-W. I ART. -KW. AMT. H. P. 18 ti 6 14 17 1 2 k'F2 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPOCIAL nnCFTJ TIME COCKS IR!LL UNIT HEATERS MULT&OU 119 ART. K. W. all N. P. GAS N. P. T. NO. G. AMT, AMP. AMT. AMPS. TRANS. N. ►. NO. S+rSTEMf ART. WATTS NO. OF /'FIST 1 SERVICE DISC�OIMIlCT NO.OP S E R V I C E ART. AARr. TYPE MRaUW1 X tw 1 X 3w 3 -N 3W a X AW No. OF CC, CaND. A w� NG aP HwYEG w. w, a. NO. OP NEUTRAls A w. G Ptal x of rc. o. cF All& OF: NE L 4 150 Cis 9 X ` 1 --2/0 OTHER APPARATUIL: - 1— �l 1-- Smoke Ie� 1- 30 Cix'ctlit 150 Aim'+ Panel _ k'lcsctric F3eater r s . 1 2 . 0 FS.T^7. •�•�'�I�SPP .� �� � i 2- 1 . 5 XeWo — 2- 1 . 0 K.W. Don F. �r3 239 6 3 Helen Drive BRANCH MANAGER GrIens Falls , '^Tew Yank 12601 Per This certificate must not be aftered in any manner; return to the office of the board if incorrect. Inspectors may be iderlt ied their credentials. COPY FOR BUILDING DEPARTMENT_ THIS COPY OFF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER_ THE NEW YORK BOARD OF FIRE UNDERWRITERS 1g BUREAU OF ELECTRICITY M...h 14 1986 41 STATE STREET, ALBANY, NEW YORK 12 ©T pow, Apprication No. on file 097510 85 THIS CERTIFIES THAT 656109 art#+,x the electrical equipAnent as described below and inter by the applicoAst Horned an the slboee oppi#cation number #n the protniees �/ DinF. 9 ia3r ]is �aEsd . Qars ny, ;7n%a york Ir - 35 in the following 1oc2tiTg.897 Basement LJ Iat Ff. ❑ ,Snd Fi. section Bloch Lot t seas examined an and found to be in cornpliance with the requirementa of this Board. pxTtm ACLES SV RTCHES RXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS �TLETS NCANOESCENT FLUORESyCEM AUMT. R. w. MFT. K. w. AMT. K.W. AMT. K. W. N+N��T. Ham. P_ Vila 1 G FOR DRYERS FURNACE MOTORS FUTURE AIFUANCO FEEDERS SIFECIAL ONCPTJ TIME CLOCKS EELL UNIT HE^TRES MULTI-OUTUIT pI AMEIS AMT, K. w. O1L N. P. GAS H. P. AAkT, NM A, W. G. AMT_ AAv. AMT. AMPS. TRANS. AMT. N, P. SYSTEMS AMT. WATTS NO- OF FEET SERVICE DISCONNECT NO. OF S E R V I C E AMT. AMP. TTPE METER 1 .9 3w 1 1 X 3W 3 AT 3W 30 4W NO. Of CC. CaNO. A. W. G. rap. OF N41EG A. w. O. NO. OF NEUTRALS A4 W_ G. PER Of CC. CONn. OF W-lEG OF NEUTRAL OTHER 0FARATIJ& F1 3.c HeaterFs : 1- 2aO 1{.W. 1- GFr,1 2- 1 . 5 x.w. 1- c+ke Detector 2- 1 . O K.W o 1- 30 C~i rCu t 150 Amp Parini INSPE.C.7I'I(7�� Don F. P4a11rnexrd. � 63 11ale n. Drive Glens Falls , New Ybrk 12801 BRANCH ANAGER r F Per This certificate must not be altered in any manner, return to the office of the Board if incorrect. Inspectors may be Wenrif' hair credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 41 STATE STREET, ALBANY. NEW YORK 12207 11] C� to 14 r 1986 Appfiearion ,Vo_ on file 097509/85 A 656111 THIS llCaERTIFIES THAT omrly the electrical equip"sent as described below Ono Introduced by the applicant "embed an the above application numnber in the prensaees of Dori F. ?I.9a , D� ,d , buz v i, r York in thefollowing) location; Basement � lat F'l. �gFl. 4ectian Block Lot #135 was exambined on 2-19- 86 aadfou"d to be in compliance with the requirements of this Board. W R%T1IRE FIXTURES RANCHES COOKING DECKS OVENS DISH WASHERS, EXHAUST FANS O4TIiT5 h'TACLES SYPITGHES eNC 065CENT PWOAESCEM' AMT. K. W- AMT, K_ W. AMT. K-W, AMT. K. W. AMT. It P. 3 8 26 14 17 3 2 M' DRYERS FURNACE MOTORS 14MRE APPUAHCE PO DERS SPSCMEMOPTI TIME CLACKS I ANT HEATERS 1MkAT~UFT DIMMIM SYSTEMS AMT. K. W. OIL H. r, GAS H. F. AMr- NC7. A. W. a. AMT, AMP, AMT. AMPS. TRANS. AMT. N. ►. I'td. # PST AMT. WATTS s s s SERVICE NSCC**4*CT "0• # S E ! V I C E �{ AMT. AMP. TYr'E ECK".M11 ME: 1 ,V 2W 1 X 3W 3 sr 3w 31 Aw NO. OF CC. {OND, A. W. A,M- 6. Of h EUTRIRL EQUIP'. PER / Or CC. CO. NO. Or MI-UYa OF F11 uEG NO. 4F NIE4ITKl1L5 OTHER AMARATUS: 1- 30 Clrcuit 150 amp Pal Electric Heat:.er I s : 1- 2 . p K.W. ��-rr -�t��^-�1trT�-�-q � ~�A� 2— 1 . 5 K.W. ]EN' �P.�:i+l.r .1. l. lei 2— I . 0 K*W. Don F. Maynard 233 / 63 Melen I]rIve r BRANCH MANAGER Glens Fills , New York 12POI Per F This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be i by their credentials. COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY �nlq 41 STATE STREET, ALBANY, NEW YORK 12207 656112 + DateMt3lCCh 14 , I98Fi Application ,Ya. areJile 097 07/85 � THIS GERTIFIEES THAT only the electrical equipment as described below and introduced by tlae applicant maned on the above application number in the premiess of Don F a n-W�d r Dl=m Rcsad, CXX�enSbury, Taw YC&k in thefollowing ✓location; ® Basement 1�a let Fl. ❑ 2nd Fl. Section Block Lot ,135 avers examined on 2-19-E3Fi andfoeand to be in compliance with the regrsiremcnts of this BoardPIX , - OUTLET PTACtES SWITCHES FIXTURES RANIMI COO/fINCi LtECKS OVENS DISH WASHRItS, EXHAUST FANS _ OUTLETS INCANPE$C{NT FLl10EESCENr AMT. AMT. k. W. AMT, 18 26 14 17 DRYERS FURNACE MOTORS IUTURE APMANCE PRIDOM SNECUH REC'PT TIMR CtOCKi tlRl,t tMMT HEATERS M{IITI.OUTLRT pyy{iyl g AMT. X. W. Olt H. R, GAS H. ►, AMT. Nd. A. W. G. AMT, AMR. AMT. AARPS. TRANS. AM7. H. P. SYSTRMS AMT. WATTS RIt]. Of lERT SERVICE DISCONNECT NO. of 11P PP hINTIN S E R Y I C IfAMT, AMR, TYPE EDUIP. t Ar 2W 1 X SW 2 X "Jul 31' 4W NCI. OF CC. COFW, A. W. G. NG. OF HI-11G A. W. G. N A. W. G PER !' OF CC. CGNP_ Q OF NEUTRALS OF HIAEG OF NEUTRAL XX OTHER A"ARATUS: 1- GFCT moke 1- � I� � ° Am panel INSPECTION FEE JIB Tal�rf.a Heater r s: � l- 2oO K.W. 2- 1 . 5 KwWa 2- 1 . 0 K.W . 3 Helen Drive BRANCH MANAGER Gleans Palls , Ilew York 12801 Par This certificate must not be shared in any mannorp return to the office of the Board if incorrect. Inspectors may be idsnt' ' y their credentials. 20 COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TC]WK 'bF QUEENSBU RY Building Department Date L.oc �nAmaag� aaeioa Pea�sR Na. ,1,r� ' S 9F Weather ,0 6. � .f� /ram Remarks Excatia tion Footing Farms Footing & Piers Foundation Cemen t Coa t Waterproofing Backfill Final Survey. Framing Shea thi n Roof Felt Roofin Siding Masonry Veneer 04 - Rough Plbg, Pt Relief valves Wall Board Ext . Porches Finished Floor 2. Interior Trim Stairs & Railings Cellar Dr . Tile Concrete Floors Pl . Fixtures Gar , Fireproofing Door closers Chimney water Meter Inst . septic Approval Floors .Insulation Foundation Walls Ceilin Building Tnspector REMARKS lie TOWN OF QUEENSBURY Bttildias Department Name iaaetivn / � � IS Parmitr No* - -7 Wcwther - +G wZ> 400eo Remarks Excava is o�n ! "' FOOt-ing Farms Footing & Piers Foundation Cement Coat Water ro[rfin Bachfill Final Survey Framin Sheathing hoof Felt Roofi n Siding mason.ry Veneer Rough Pl b . Gl Relief Valves Wall Board Ext . Parches p Finished Floor Ole Interior Trim 4U= Stairs Cellar Dr . Tile Concrete Floors PI . Fixtures Gar . Fire roafin Door Closers Chimne Water Meter Inst . Se tic Approval Floors Insulation Poundati©n Walls Celli Building Inspector MARKS RE E TOWN OF QUEENSBURY Building- Department hisPoctwo Repcirt Date_ Kamm � Ponnit No.-- S5`- 'S' 2 $ Westhew /4 �� � ( ?w l3� Remarks ExcaVa to on Footin Forms Footing & Piers Foundation Cement Coat Aster .roofin Ba cJicfill Final Sarvey. FX.�mzn , Sheathin Root' Fel t Roofing Siding , Ma,S013ry veneer Rough Plbg Relief Valves Wall Board Ext . Porches Finished Floor Interior brim Stairs & Railin s Cellar Dr . Tile Concrete Floors Pl . Fixtures niK. Gar . Fire roofin Door Closers Chimney Water Meter Snst . Ow Se tic A roval FI Dc>rs Insulation Fcsundati�on Walls Cei 3 i Building Inspector REMARKS TOWN bF QUEENSBURY Building- Department N Rat Da �2�3/6�• "Oocation Permit Nae. Weather ExcaQa is on %dw Footin Forms Footing & Piers Foundation Cement Coat Water roofin Bac*EIj l Final Survey Frazlincr Sheathing Roof Felt Roofin Siding Masonry veneer Rough PI Relief valves p, Waal Board Ext . Porches Finished Floor Znterior Trim Stairs & Railings Cellar Dr , Tile Concrete Floors Pl . Fixtures Gar . Fire roofin Door CloserS Chimne Water Meter Inst . Septic Approval Floors 3naulation Foundation Walls �— Ceilin wilding Inspector REMARKS TOWN OF CNJEENSBURY Suilcumar Department Permit - �Y --,C:; -'A "._ weawtlr Remarks &xca�ation Footing Forms Footi & Piers Foundation Cement Coat Water roofin Baakfill Final survey Framing Shea thin Roof Felt Roofin Siding masonr Veneer noucyh Pl Rel.f of valves Wall Board Sxt . Porches Finished Floor Interior Trim Stairs III 1& Railin s Cellar Dr . Tile Concrete Floors _ PIL>zm Fixtures Gar . Fireproofing Door Closers Chimne Water meter Inst , _ Se tiC A royal L Floors'_ Insulation Foundation IValls I-ing i.Bul2 ding rnspector REMARK'S TOWN OF QUEENSBURy $a;iaing. Dep&lrtmaent hupeckwo ptp... Name . 2 Date LACafien � � We�tl�w Remarks ExcatYa r on Faoti LP9Farm 3°"aotin & piers Founda tl on �'ement Coat + Water fan anakeizz Final Serve . FraauT shearh.in Roof Fezt III Rootin S-sdin Maaranr Veneer Rou h Pi Relief Valves Wl Board Ext . parches F3nI shed Fz aar _ z'nterior Trim Stairs & Raili s - Celiar 17r . Tile _ Canc-re te Fzoars _ P2 Fixtures Gar. Fire roofin Door Closers Chinuje Water deter Xnst . 3a tic A royal Floo.ra' _ xnsulation Foundsrion Walls Cedi---j--� B¢aildingr spector VACS G T"� III �r/-4 -40c/),L TOWN OF QIJEENSSURY Building Department Nana 7 Remar)rs Excatm tion Foot-in Forms Foot i Ifr Piers Foundation cement cont Arater fin BaclFfill Final Surve Framing sheathinq Roof Felt Roofing S-idin masonr Veneer Rau h PI Relief Valves Wall Board szt . Porches Finished Floor .Interior Trim Stairs & Raili s Cellar Dr . rile Concrete Floors Pl Fixtures Gar . Fire roo- in i Door Closers chimne, wa ter Meter Inst . Septic A royal Floors Insulation PoL, tion Walls --� ceili Building xn a it:or REMARKS TOWN OF QAJEENSBURY $ua�a;,��- DOPsrtwent p c� 'westl�ex- Remarks ExcatYa tson Footin Forms F'ootin & Piers Foundation Cement coat FVa ter rooafi n Backfill Final Surve F-r4mincr Shea thi Roof pelt Roofin Si din N&Sonr veneer Rou h PZ Relle.f valves wall Board Sxt . Porches Finished frloor .Interior Trim Stairs & RAilin s Ce114r Dr. Tile Concrete Floors J°. - Fixtures Gar . Fire roofi Door Closers Chia+nne Watex Meter xnst . Se tic A roval Floors _ Insulation FDundatibr7 —� Walls "~^---- Cel--lI n Busldsng -Inspector REMARKS TOWN OF QUEENSBURY Suildiair Deportment ;mPee#wea Date Ponta No,. `'.I1 'Weather Remarks Sxca;Ya tion Ole Footin Forms Footin & Piers Foundation Cement Coat Water roofin Rackfi ll Final 3urve Framin Shea thin Roof Felt Roofin Sidin M4sO?xr.V Veneer I - Rougrh P311 L Relief Valves Wall Board Exta Porches Finished Floor Interior Trim Stairs & Railin s Cellar Dr , Tile Concrete Floors PI Fixtures Gar. Fire roofi Door Closers Chi.mne Water Meter Inst . Se tic A zoval Floors Insulation FcUndatjon Walls Cellin 00 Building inspector RZMARxs —. PLAN VIER NOTW I. F" bir M be maw w", ae00ft wNeW Of oWWMAM L 2. 4" suft p0n k^v bOw aI s wt Wvd oe a dw o/ I/!" Per h. up too dbkt w lawral. r-I" TO r cumm sum 1 r M1N. Pa GRAVEL cwm4wr101m View DISTRIBUTION 9W DETAIL Imm _ �. FMM SMPM -'+ - a" on TANK •, . •� WNW. RING OF W AINEO GRAVEL OR mom ><I+Ow 314" N W REMOVABLE I2" MIN. 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