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1985-679 C /C7 Palo CERTIFICATE +DF OCCUPANCY TOWN OF QUEEN58URY WARREN CCfUNTY. NEW Y'd�i6eff Date U c AL-. c: L, s- y j 19 ��i '1'h,is is to certify that work requested to be done as shown by Permit No. has been WTIMPleted. y 1 11�'f tF `� lc' inc TI - r' cus L? z� d as This structure structure rnsy a r 4.3 t7 E 7 3'71 ] C+ ] nrT a ill I ' . { Yl . �XCJT] T?C`t-!C' FxE' ZE'Ta T73"' .l. 'I.TF- rl i- r ri i `9 T.7I`7 a Y C' Owner By Order Town Board TOWN OF QUEENSSUFLY it - 4p Building d Zoning Ino QR!•TIv! "INST Ii-- PRIMT'YMG. G""S FULLS X Y 125Q1 If 151T9l lFS• ... ,_ C l[ ' 1 ERTIFI+C�'TE C�►F C�C+�UT'A.N +� JL TOWN OF QUEENSSURY WARREN COUNTY , NEW YORK 19 Date This is to certify that work requested to be done as shown by Permit No. Pkvhas been camPYeted. + This structure may be occupied as a T7r' ; {- r< i ?.0 3 '� rC]112:` fTT^ 1t . 7- art.r� �x: t"- r'u � 1F? in(� 1.,ocatiot� 7� 17, T r 71 �.rc owner By Order Town Board TOVYN OF QUEE;NSBUK'y J Building & Zoning, ldspector CR£ATIY[ "INfTA" FRLNTIMG GAMS IALL5 N T 12901 {519119}-SeSe . r +CERTIFICATE CIF O C UPAN C�' TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date C7 c ..: o T- 19 t This is to certify that work requested to be done as shown by Permit No, has been completed. id IYA y k Y 3 •u11.<'1 ,_n TT 'rC->ur- t- r i t This structure may be occupied as a �„IpCal�On p7._'A` ny, �.c`.ad aPl C, F C: �. !'"T. F ,7" 1L' L Owner By Order Town Board 'I^OWN OF QUEENSBURV In 1 `n �. ' r ` Building & Zo laspector - CNEILTIVE "kHiT+4" PBINT1Np. GLEN'$ FALL$ M Y 1 ]804 VS181l9]-5830 Pa icy x CERTIFIC CIF OCCT.JI'ANC'Y' TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK � _ Llc �c�iu�r 7 5 19 This is to certify that work requested to be done as shown by Permit No.,_ � c _ C �7 1 has beer► completed. \A! ik i rit✓✓D , FLxil lin -rT - FOU Tlr. it This structure May be occupied as a _ �+ x a r tm e n t E7(A + 1 c4 r h� Location Dix C Yi R�a � � r_c� F 7 D Dcn T r.± vrzart' Owner By order Town Board Tow'N OF QUEENSSURY ` uildGnB g Zo LtlxPect6 I G IREATIVC "'�n ST A'- PIII�NTING. G4EMS iAi�i. N T liiil i] �il if b] _ __ _ _. -, _ " " i T E M P D R A R Y CER.T`IFICA.TE OF OCCUI''AT�TC�' TOWN Of QUEENSBURY - WARREN COUNTY . NEW YORK . Date__ Jun l 2 19 86 i V�1 i This in to certify that work requested to be done as shown by permit No. 55-679 'hare been completed. { ►a Unit i] T3:xildirsg II of Four Unit Apt . BlME dg .. This structure may be occupied as a k � Z,ocation Dixon Itcrad /Helen Drive Don F.E. Maynard Owner I` TEMPORARY CERTIFICATE OF OCCUPANCY By ©rder Town Board ! PF.bDIrifG FINAL I ECTftI CAL « EI OF CIUEENSBURY Duilding 6 Zoning Inspector tt T E M P O R A R Y +C +I7F C�► LJI''AN+ ERTIFICATE ' TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK G Date— TiTl�r 31 _19 This is to certify that worts requested to be done as shown by Permit Noq 85-679 has been completed. Q � This structure may be occupied as a Unit A iiuIlding TI our Unit Apt . Bldg * Dixon }toad / Hel+er� drive Location Dan F . Maynard Owner TEMPORARY CERTIFICATE OF OCCUPANCY By Order Town Board FOR 30 DAYS p�,X [ ` TOWN 4F QUSJ EP�1S8t1RY ' J Building N Zoning Inspector BUILDING PERMIT M1 TOWN OF QUEENSBURY WARREN COUNTY, NEW YDRK Cu , sw PERMISSION is hereby granted toi3on F Maynard sw p, OWNER of property located at I7 _xori Road and Helen Drive Street, Road or Ave. Building Il in the Town of Oueensbury, To Construct or place a Four Unit APaY tIriGnt Building 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 Q.ueensbury Building and Zoning Ordinance. rl . OyvNER•S Addntssis 53 Helen Drive Glens Falls , New 'York. r� SC r3. CONTRACTOR or, BUI LDE R S Name O same Cl 1]d Sy G � CONTRACTOR or BUILDER'S Address Di M same :z 4, ARCHITECT'S Name + C7 Y- C (D 5_ ARCHITECT'S Address B. TYPE of Construction — (Please indicate by X) - k I Wood Frame ( } Masonry [ ? Steel 1 } i_ PLANS and Specifications t * lot plan , specifications and application 30 xf 4 per p No. su>~anitted including sewage system . Per Site Plan Rev . Noe 21-85 granted 9 - 18 - 85 0 c $. Proposed Use Fi Four Unit Apartment Building C:: N• rl- 2 C s .Tune 19 86 r $ 200 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES ly (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_) ' 19 S5 � Dated at the Town of Queensbury this 18tYt pay of November ML SIGNED BYQia for the Town of C}ueensbury to �... Building and Zoning tnspectori r- kJa TOWN OF QUEENSBURY )*;pace inside Mock tit he filltd in b%' . WARREN COUNTY. NEW YORK building lstsltanyart'i . .\Y�YyYi[ rtiolr :Val. ' Application for ,ra r'nl,t l�.sttoel ; ' • BUILDING AND ZONING PERMIT Y'r`I'In,l Expire% . 1 aIn[• r .Y 1�`.rrl. �` ca!u� CcrP4+" .tirYrl�.,. .•lY I>n• a PLOT PLAN. Drwn to scale a Showing the actual dimensions of the lot to ba built It. r,a;+t lXf upon. 1ha exact sire. end location on the lot of the building to be erected or altered MUST BE SUB,, MITTED WITH TkIM APPLICATION. TOWN OF C)UEeN5e!LJFtY Lb f1AiE A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWINGM � A.M. ry The uadersigned hereby applies for a permit to do the followingwork 7 T 9 ; 11} which will be done in accordance with the description. plans and secifi- I . . • N - I I I 'l S cetiows. and such special cest¢itions as may be indicated yarn the permit. r Ive t- �E` � y e-_ G+ C The owner of t his mM 7 5t a 6�F I-I e I e,07 /, 7 r • Cam. �•+ IMA #EI . 4P O ALooniSSI The person syo� e far supervision of the work insofar as the Building Coale and the Zoning Ordinance apply is. pnsibi . . . . . . . . » .'/:r .� . . . . . . . . . . .{NAME i . IP RES O A4481 . . . . . . . . . . . . . . . . . . . . Name of 'Builder . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Plumber • . G. Address . . . . . . . . . . . . . . . A . . . . . . A . . . . . . . . . . . . . . . . . Name of Mason . . . A . . . . . . . . . . , Address . . . . . . . . . . . . . . . . _ . , . . . . . . Lot Number 13As . . - , . . , . Unit . . . _ . . . . Estimated value of proposed work f . . . IRC+ CJ� . IJ .CtrU.O . . . . . . . . . . . . . . . _ . Name of Village . , A , Nam* of Street . . ! 7 � . � �]7 . .f`. ! ! A. <- ..N . . . . . . . . . . . . . I • • Side of street: north O , eest ❑. sotzth ❑ . west M Nearest Cross Street . . ./.f U/!#. 1�_rcn.. . . . . . . . . . . . . . . . . . . A Distance from this _►ross street • . . ./0. . _ . . . . . . . . . . tl. Property is north ❑ . south © . oast t i . west ❑ from Cross Street If on Corner. which corner. northeast �46 northwest ❑ . southeast 0 . southwest (Designate by marking with an "X" in the correct spaca.l OCCCY NATURE OF PROPOSED WORK Main B Mo in Main H!uiftfing CAmstruction of a new building. One-family dwelling I7 l] Addition to a building. Tw Iamily dwelling 0 O Alteration to a building. -family apartment house Demolition of a building. Sto b ert building 0 , - , . . . . . -car attached garage O Other: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Aoressaty Building 0 One-czar detached garage Q [] work. 'Describe: . . . . . . . . . . . . . . . . . . . . . . . . . . Two-car detached g7arage C • r� /r + �, Private chicken house � ' . A Private storage building 0 I'-�. . . . .`a 2t, Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building. or a cbavg* of occupancy'• Indicate on the plot plan street nerves, the location and size of the property, the locatione sine and setbacks of pro- Jposed buildings. and the local" of all existing buildings. NORTH Shaw proposed buildislgls) in dotted line and existing building(s) in solid line. Size of property . . y Z Z . . . . . . . ft. : . . Size and use of existing buildings. if any14 . . . . . . . . . . . . . . i USESize of proposed building . . _ 3.0. . . it, x . (to !. • • • . - It. Height (from grade to ridge) • . • IT ft. Front yard . . . . . . . . . . ,.. t' >. , ... A . A . . . . . it. Side yards . . . . . . . ft. and . . �? , . . . . . . tt. e I— Rear yard . . , . . . . . . . . . . . . . . . . . . . . . . . . . . It. sourla If on corner, setback from side street A . . ft. ,Note: All distances are wet, as rnvssured from serves silo line to nearest par# of building. [ovens ?-73—M BUILDING SPECIFICATIONS„ (cont'd.) Kind of construction: wood rrttrne, fire safe. etc.? . . . ' .� Al . . . . . . . Will any second-hand lumber be used? l42 0 If so, for what? . . . . . . Material of foundation walla . . . . , /, 4"�.,� %A d? . . . &i. a c � . . . . T`fticknesa Depth of foundation walls below de . . . . Eta Continuous foundation?Will there be a cellar? . . �i -C?, . . , r . If . material of cellar floor Type of roof: Sloped or flat? . .`.�- - U [?t . . . . Material of roof . . . / - !'� u. icd Size, wood studs . . . . » rQ �+ . . „ r. yxs. . d� • • Sise, float beams. Ise floor . . , . . . . . . " _ . . J G ��• spacing . . . ., . . . , . ."o c., length . , ft. Size, floor beartts, 2nd floor . . . . . . , , spacing . - . : . . . . . . o.c., span . . . . . aJ. , . . . . . ft. a ,. Size. ceiling beams . . . - , . . , , "' _ . . . . . . . . . . . . 4 , spacing . . . . . . . . . . . . . » `o.c., span . . . . . . . . . . . . . . ft. Sole, roof rafters or bey s - c .+-. . . . . . . �• spacing, L "o.c., span . • ft. X. !' P uS. . . , spacing - . » . . . . ."es.e., span 6 . . » , . . pa » . . . . . , . . ft.Exterior finish . . . . .� C !?4-�; ,�1�. .�r ,,�, f�► �''. . . . . . . . . . . . . . With what material? - - . . . . .. . . . Finish of interior walls . . . . . . . .+� J . . . . . . . . . . If garage is to be attached, of what aaterial is wall between ,garage and main building m be eaostatntcted? . . . . . . . Is there to be an opening between 9 and building? . . . . . Kind of heating system [ .G .1✓ .! [„ , , , Oil burner or coal? . Will a flues-lined chimneybe . . . . . . . . below r "provided? . . » . . . , Depth or chimney foundation belesw Height of chimney above roof. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . - . grade . . . , » , . . . . . . , Will there be a fireplace? . . . . . . . . . . . . . . . . - . • . . . P . . . . . . . . . . . . . . . Depth of fireplace hearth . . . . . . . . . . . . . . Will a toilet be installeed? . . . - - . . . . ' . . . . . . . . . - . Will a kitchen sink be installed and connected to water suppl Water suPP1Y (public water supply or pump) . . . . . . . . . . . . s S,-^� � .� r ,CG . . . . , Distance of cesspool from any private well . . . . . . . . . . . . . . . . . Jf. - . . . . Will drainage system be provided with required trapso cleanouts, and vents? . . . . . . feet Town of Queenshury AFPIDA'VIT (:.county of Warren State of New York I swear that so tc AwTaf eny kr nOadas and belief this ststararngo ountahsed In this applicetisw, with 00 Mined. are ■ true and vu," ataswnent of all propueed week to be dross oleY tier daaeribsd �asd that a Pleas n d tigot�sal 1NG CODE. THE ?,ONING 01 RDIN^NCE, and all 4dwr laws psrtwieriayt work andl br ism/ that ouch work is suthrorised by tho owiew. eamstdiad wfti. rrl,+n spasidsd or hart, on bahwe aw this 8yp►.tttw . . �7 �� / dayof 14 C1 `i owkEn. o Me was +►roc r.co►enti CYo+t 7V erTAtt Y' MLFat.IC, wwwraa COUNTY N. Y. SPECIAL CONDITIONS OF THE PERMIT: r By .... .. .. . ............ .. . . .... . . . . TOWN Or QUEENSDURY WARREN COUNTY , NEW YORK Application tor : BUILDIN9 PERMIT IN COMPLIANCE WITH THE NEW YORK. STATE ENERGY CONSERVATION CODE * A permit must be obtained before beginning work . ANSWER ALL of the followings 1 . Gross floor area �'�f/ G'� , �,. � ►� �'� ------ 2 . Type of heat .{ ' !' r' 7 1 ! G [J 3 . Is the building mechanically cooled ? J� 7 ( 4 . Percentage of area of windows and doors A . Over 1 +6 % Only 1 . Uo value of gross area of walls , roof/ ceiling and floors exposed to ambient conditions 20 Floor over heated spaces YES No a . Are foundation walls insulated ? YES NO 1 . If YES , what to the R value ? 3 . Slab on grade YES NO aw If YES , what is the R value of insulation around perimeter of floov ?� 4 , Is basement heated ? YES NO a . R value of insulation 5 . Type of insulation - B . Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions 2 . R value of exterior walls 3w R value of glazed area 1 4 . R value of doorsw ct • `:� - 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 S . R value of heated basement/cellar walls ( above grade ) 9 . R value of heated base ent/ 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 bo R value of duct in other areas E . Pipin2 Insulation 2w Size of hot water or cooling carrying agent pipe 24 R value Of Pipe insulation F . Service Slater Heating �S 1 . Performance efficiency �'] r +7 / A" e +^ X�GI 2 . Temperature Control setting maximum 7°G G . For swimming Pool Only 10 Maximum heating J S3 � Telephone No . / / r ' I { ap icant a 01 ignature ) w 1 TOWN OF QUEENSBURY BUILDING i ZONING DEPARTMENT SEWAGE DISPOSAL PERMITS APPLICATION 1 . Owner ' s Name i 1� �" N ���- Address..142.'`�i r �'.I�' h ► r -- � � 1�I ►� 1�� J Telephone No . 2 . Property location�/V �'I�fL 3 . Name of person or firm responsible for installing system Telephone No . Address ..kh- IpI)a ,�. L 1 4 . Number of bedrooms (residential buildings only ) -ec & h • ' � ;� ' �� 5 . Daily flow f4 gallons/day 6 . Septic tank capacity gallons 7 . Topography : flat , rolling , psteep of slope f- 8 . Nature of soil and depth �v 9 . If ground water , bedrock or impervious material is apparent at what depth does it begin? ft . 10 . Percolation test : A is required B is not required Crf requrred what is the rate minutes/inch lI . Water supply : municipal , well , other / 7 G ya fG Lfd.9 I 12 . Type of system proposed : drywell , the field .. other 6V C� I / Any contractor .. corporation , individual , etc * engaged in thg 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 5 . 010 of the Queensbury Sanitary Sewage ordinance . �¢ Date.LC4 signature o scant on separate sheet of paper submit a ddR1ag�r_�am of the proposed septic system with all dimensions , including distance rom any structure , distance from property line and domestic water supply , etc . Include all dimensions of the system itself . Form 3 ~82 _Down 0/ Q"ee4ns6ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Sox 98 Queensbury, New York 12801 fa BUILDING INSPECTOR ' S 'REPORT NAME LOCATIONylI ,� , Date Permit No . _(? 5�'.t 79 APPROVED YES NO Footing/Pier Forms Foundation waterproofing aackf ill r Ming oof ing L09016ding Masonry veneer Rough Plumbing +/<elief valves �1yxt . Porches Finished Floors Ineriar Trim - Ltairs & Railings Cellar Drain Tile � Cm rete Floors LOPlbg , Fixtures Gar . Fireproofing Do r Closers -� �-S`moke DetectorS Chimney IN SU LAT I(]I3 III Fou n Floors Walls Ceiling FINAL ELECTRICAL INSPECTION _,.. DRIVEWAY APPROVAL Final Building, Survey Next scheduled inspection ( call xahen ready ) Remarks-- El, dk yellow 511 p' �ulding Inspector 6/86 and-vl flown Of Queerrsbury BUILDING and ZONING, DEPARTMENT Bay and Hauiland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME �D1n W1a h ct+ c+ LOCATION � .I C Permit NO * +/ APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing &##koo f ing ding Masonry Veneer Rough Plumbing tlief Valves xt _ Porches 44Pin ished Floors ,Le�-terior Trim stairs & Railings Cellar Drain Tile Concrete Floors LAI'll;g . Fixtures Gar , Fireproofing Door Closers togr'noke Detectors Chimney. INSULATI S Foundation Floors Walls— ceiling FINAL ELECTRICAL INSPECTI N DRIVEWAY APPROVAL Final Building, Survey Next scheduled inspection ( call when ready) Remarks- C 1• CLi Building Inspector 6/86 and-vl w THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 41 STATE STREET, ALBANY& NEW YORK 12207 �mdl7krte Application No. on file 10234?^�� � A 663364 October 3 , 1986 THIS CERTIFIES THAT and intradacad by CI#e applicant named on the shoes application number in the premlees 07 way Cho electrical equipment as described belmo Don P Maynard . Dixon & Helen. Drive . Queensbury , New York 135' os thefollowing location; ® Basement ❑ lot in. 0 8nd Fl. Outside 5ectiora 9'OBfock 4Lot seas examined an and found to be in compliance with the requirements of this Beard. 25 f 29 86 RANGES CCtf1KtNGDEGILS FIXTURE oven DISH WASHERS EXHAUST FANS FIXTURES OUTLETS EPTACLES SWITCHES INCANDESCENT FLU ONESCENT v AMT. K. W, AMT. K. W. AMT_ K-W- _ 18 34 20 is 2 F OTTERS FURNACE MOTCM FNTURE APMIANCE FEEDERS SPECIAL RITIME CLOCKS EEII UFMT HEATERS M STEINSLET DIFSIYUERS AMT. K. W. OIL K P. GAS w P. AMT. NO. w. W. G. AMT. AMP. AMT. AAu'S. TRAMS. AMT. H. P. HO. CIF FEET AMT. WATT$ 1 Rang 3$6 Dr a 30 10 SERVICE DISCDFENECT NO.of 1 MqT W10 E R v I C E w.w.o. METER NCl. OF C+C. COND- A. W. G. Na. DF NbUG A.W, G' NO.OF NEUTRALR OF NEUTRAL AMT. AMP. TYPE EQUIP. 1 X 2W 1 X sW 3 X 3W 3 X AW FER e' Oi CC. CGrFD. GF NI•LEG 1 100 CB 1 X 2 4 /0 2 k10 - Es 01111211 APPARATUS: 1^ MDP ' Elecetrtr ic Heater : 3- 2 . o kw 4 l . 5 kw 7 a J s 2- 1 . 0 kw - — 1 Don F Maynard 63 Helen Drive �39 BRANCH MANAGER Glens Palls . New York 12$01 = Prr 3 - Eg This certificate must not be altered in any mannarr return to tfie office of the Board if incorrect. Inspectors may be identified by their Credentials. COPY FOR BUILDING DEPARTMENT. TH19 COPY OF frERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. - -- - THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 4 f� �� 41 STATE STREET. ALE3ANY. NEW YIDRK 722Ct7 � p +� II Application No On flle 102350� 85 � L� � �I J Q !Hate October 2 , 198fi a THIS CERTIFIES THAT only the electricel equipment ea described below and' introduced by the oPPae n named on the teb+ue:e eppiieetio+s nuFnber in the promisee of Don ir Maynard, bison Road & Helen Drive * Queenabury , New York 135 in thefollowing location: ❑ Basement ® Outside Ist Ff. ❑ Znd FI- Section 90 Black 4 Lot ewes examined an and found to be in compliance with the requirements of Chia Board. 7 /29 /86 FIXTURE5 RANo" COOKINti DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ACLES SIIWTCHES IIVChIWESCIE FIT FLUORtSCEMT V AMT, K-W. ^MT- K, W, AMT. K.W. AMT, K. W. AMT. H. P. Eliis 34 20 18 2 F DRYERS FURNACE MOTORS FUTURE ACIMJANCE FEEDERS SeECLAL.RECf'T 11MR cLocKS SM LIMIT HRATERS AUKTI-OUTLET DIMMERS SYSTEMS AMT Will AMT, K, W. OIL H. P. GAS H, P_ Al III A. W, fw, Al AMP. AMT, AMPS. TRAtiS. AMT. H. R HO. 'OF FEET ange 1 yer ?�O SERVICE DISC7dNF1ECT IiO, OF S E R V I C w. G. E A w. G METER PIb. 4F CC, ca`+o. A. W. Na. OF HI-l#G NQ. OF PeElur4Aes OF Hfll1'RAL AMT, AMP- TTFE E: 1, .e sw' 1 lr 3w 3 K 3W 3 0 AW FE4 ♦ OF CC. CUh10. 17A HI-L£{S OTHER APPARATUS: 1- GFCI Electric Heater : 3- 2 .0 kw -p 1- Smoke Detector 2— 1 . 5 kTa Y 2-1 . 0 kra Ole Don F MaynardAi 63 Helen Drive 239 Glens Fells , New York 12001 ORANC14 MAI ICER Per This certificate must not be altered in any manner return to the Office of the Board if incorrect. Inspectors may Ise identified 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 Fwd 41 STATE STREET. ALBANY. NEW YORK 12207 Bate October 2 P 198b Applicotian ,va. on fife 102349-85 A 66 0 302 TmiS CERTIFIES THAT arty the electrical equipswent ee described below and introduced by Mrs eppdicame named on the abose eypplicetlon member in the prwnaiw Don Maynard , Dixon Road. & Helen Drive , Queensbury , New York. outside 135 in thefollowing location; [I Basement ]st FT. ❑ 2nd F'j. Section 90 $jack 4 Lot was examined on 7 /29 /86 and found to be in compliance with the requirements of this Board. FIXTURE EF1AClE5 SMATCHES FIXTURES RANGES coOKI TL NG IS[ctCi OV ENS DISH WASHERS EXfiALIST FANS OUETS INCAMMSCAta rLUOMCEM AMT. K. W. AMT. 18 34 20 18 DRYERS FURNACE MOTORS FUTURE AFriIANCE FEROERS SMtJAl REC`FT TIME CLOCKS UNIT FIEATlRStHn-oUTtE7 QINAMERS OIL H. I. C.AS H, P- wMT. NO. A. w. Cs. AM[. /1MI. AMT. LAMPS. TRANS. wMT. H. I. F FEET AMT. WATfS l Drye 3- 60 SERVICE MSCOtANeCT esp• of S R It I C E AMT. AMP. TYFE METER T x Iry r x sw s N sw a x AW Ho. Cf CC. CCND. . w. G. Na, of HI-LEG A w. o. No. of NEunIALs w. W. M M0611F. FER Ar OF CC. COND_ aF HI-LEG OF NEllIRAI 1 100 CB 1 OTHER APPARATUS: 1- GFCZ Electric Heater : 3- 2 .0 kw ESE - Smoke Detector - 1 kw 2-- 2 l eO 0 ltw Don Maynard 63 Helen Drive �l Glens Falls , New York 12001 - 239 BRANCH MANAG*R ry Per ; S This certificate must not be altered in any manner; return to the office of Ike board if incorrect. Inspectors may be identifiafl by their credervNolsWW COPY FOR BUILDING DEPARTMENT, THIS COPY DF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS SUREAU OF ELECTRICITY 41 STATE STREET. ALHANY. NEW YORK 12207 t Date October 2 . 1986 application No. on file 102348- 85 A 668305 THIS CEiRTIP1ES THAT only the electrical equipment as described below and introdacod by the applicant named on the abate aPPli�t+a► ne.Enber in the premiEKEe aj M Don F Maynard . Dixon & Helen Drive , Queensbury , New York in thefallowing location; ® Basement ❑ lit Ft. ❑ Yn4 pi. Otltelde Section Block Lot was examined an 7 /29/86 anzfjound to be in compliance with the requirements of this Board. /IXTURE ACLlS SWITCH" FIXTURES FANCIES COOKItt4 DECKS OVENS dSH tIYASFIERS E%HAUST FANS OUTLETS MIJCAmoesCam F 4'+n"EMT v Wy- K- W. AMT. K. W. AMT. K.W. AMT, K. W. 1$ 34 20 i8 2 � DRYERS FURNACE MOTORS FUTURE APPLIANCE FELOE1ts SPECIAL N*VFTj TIME CLOCKS I UNIT Hawran IMULTI.O TLlT DUAMERS AMT- K. W. GUL H. ►. GAS H. r. AMT- NO. W. Q. AMT. AMP, AMT- AMPS. TRANS. AMT. H. P. HQ. AMT- WAT A. TS _ 1 Range 3#6 1 Drvelt3#10 SERVICE lowwo IPRFGI ND.# 1 HWT 31910 E it G, v 1 C E AMT. AM►. TYrE MEQ 1 X TW 1 JP 3W 4 X SW ] I' IW No. CDCONR, or GC CONO. Na, OF HI-LEG NO. OF NEUTRALS OF�!lM 1 100 CB l OTHER A►PARATLK: 1- So V , -,�r ,p, ► 1- Smoke Detector � c Fl electrieeter : 3- 2 . 0 kw 4� l . S 1,W W 2-- 1 . 0 kw IN Don P Maynard9 . �. ..- 63 Helen Drive Glens Falls . New York 12801 239 aRAPJiCH MAfFA�ER Per. This certificate most not be altered in any manner. return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. � . 1 J� �r e•+ � bvn o/ QmeenJ "rry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT 1 NAME LOCATION C Date / Permit No . y '� ✓ = APPROVED - YES NO E Fdoting/Pier Forms Foundation Waterproofing Backfill i Framing PO'R' oof ing p� t VSiding Masonry Veneer, } $Lough Plumbing V t Relief Valves d xt . Porches Q y Finished Floors 40fnterior Trim `taus & Railings _ Cellar Drain Tile Concrete Floors 6 Plbg . Fixtures is Gar . Fireproofing Door Closers € moke Detectors i Chimney I INSULATION : Foundation Floors I Walls I C�ei�, ing FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection ( call when ready) Remarks- - Building Inspector 6/86 and-vl TOWN 4F CUEENSBURY Buildinc Department hurecturs Report Daate-,��%/o� � Nano! in Perrepc N.a«.— X !'fit 7q Wwcher Remarks Excat;a t on Foot.ing Forms Faoti 6 Piers Foundation Cement Coat Water roof1n BaaJcfi33 F.frial Starve FranLingr Shea thin Roof Fel t Rvo- i Siding I Masonxg veneer Roy h Plbg Relief valves f Q Wall Board Por p K . Ext . Parches I Finished Floor Interior Trim Stairs & Railin �rT �, �, Celiar Dr . Til; Concrete Floors P3 Fixtures Apor Gar. Fire roofin Door Closers Chimne Water Meter Inst . 3e tic Approval Floors Insulation Foundation Wa23s - Ceiling _._ Byilding Inspector y REMARKS A TOWN bF QUEENS13URY Building Department Luspecbms Report Daft Name Permit No - a►tber P �"�_ r Remarks Exaaatios n-- --� '.� Footinci Forms Footing& Piers Foundation Cement Coat water roofin BaClcfill ..-, Final Survey- Framing Sheathi Roof Felt Raofin Sid.f n NASCknry veneer Rau h Pl Relief Valves Wall Board Ext . Porches Finished Floor Interior Trim Stairs & Railin s Cellar Dr . Tile ConCrete Floors PI . Fixtures 60000 Gar. Fire roofin Door Closers Chimney water Meter Inst . Se tic A raval loors Insulat.ion foundation Malls Cellirhg Bend nsgeCt::: Or REMARKS TOWN OF CUEENSSURY BeildivW Depar*m,,tt Inr R'ep°'rt Date Nanaw permaidN.s. Weather ,l, l'p, ore O*z. Remarks Excava is an root-ingr Forms Footing & Piers Foundation cement coat Water roofin BaakElll Final Survey Framif n Sheathing Roof Pei t Roofin Si din Masonry Veneer Rau h PI Relief Valves Wall Board Ext . Porches Finished Floor rntexl or Trim ilk Stairs & Rail in s Cellar Dr . Tire Concrete Floors PI . Fixtures Gar . Fire roofin Door Closers Chimney wa ter Meter Inst . .Septic A roval Floors Insulation Foundations Walls ceilin „„ _... Building Inspector REMARKS TOWN OF Q EENSBURY Reildiug Department Name Location i Percept No. weather exca0a ti on P00 tin Forms Footi & Piers Foundation Cement Coat Water roofin BaC,kfi I1 Final Su.zrve Frami n r Shea thin Roof Felt Roofin Siding Sammon-ry Veneer Rough PI Relief valves Wall Board Ext , Porches Finished Floor Interior Trim Stairs & Railin s Cellar Dr . Tile Concrete Floors jPlba. Fixtures Gar . Fire xroofin Door Closers Chimney Water Meter Inst . Septic A roval Floors Insulation +t?�d$tion Walls Cei23ri�,;�- Building InspeCtor REMARKS TOWN OF QUEENSSURY Building pepartmout ,parInk Name Date Wewti�cr Remarics ,#^sxcat>a tlon F oo An Forms Foot., & Piers Foundation Cement Coat WA ter rvafi n Bac&fill Final Surveg Frami Shea thin Roof Felt Roofs n Siding eaasanr 4'eneer Rau h Pi RelieF 'valves Wall $card Sxt • Parches Finished Flaor .Interior Trim stairs & Rail! s Cellar Dr . Tile Concrete Floors a PI Fixtures Gar . Fire roofin Door Closers Chimne wwa tex Meter Inst . Se tic A royal Floors -Insulation Foundatst on Wa1"a Ceili Building Inspector REMARKS e TOWN OF QUrEENSBURY Date i se Penuk No. _ W�►fLer 13 z ExcatYa Lion Footin Forms Footin & Piers Foundation Cement Coat WaterProofincr Bacxfill Final Surve Frami Shea thin ` . Roof Fe1 t Raofin Si ding ma F31111ZY Veneer Rou h PI m 0 Relief valves Wall Board Ext . Porches Finished Floor Interior Trim Stairs & Rail - Ln s Cellar Dr . Tile Concrete Floors PI . Fixtures Gar , Fire roofin 17oor C1 osers Chimne water Meter Inst . Se tic Approval Floors Insulation FOundation walls Cell i �- —' -- -- Bull ding• Inspector REMARKS TOWN OF QUEENS13URY Boddie& Dep►artme.t Name Date Weatljer Excaxia ti on Remy rtcs Pootin Forms Fogtin & Piers Foundaison Cement Coat Water roofin Backfi ll Final Survey erainln Shea th!n Roof Fel t RooE .Irdln B'asonr veneer Rou h Pl Relief Valves / L Avall Board �- ext , Porches Pinished Floor Xnterl or Tri m Stairs Rallin s Cellar Dr . The Concrete Floors Pi . Fixtures Car. Fire roof!n Door Closers Chimne Wa ter Meter rust . 'fie tic A roval Fl xs .t'nsula ti on FoUnda tl on Walls ---. - �� Cell i n _ 62� Be.rllding Fnspector REMARKS TOWN OF QUEENSBURy $nildie,ir neepa►rtAment Resmet" Date name �`a�oie No.y,�.. .�, ���•„_„_ We,�atl�er Remarks Rxcat}a t i on pootAgg For w Footing & Piers Foundation Cement Coat si'atter fin - Bacltfi ll Final Surve Frami - Sheathin Roof pelt Roofi Sidi Mason.rW veneer Rough Pi Relief valves Wall Board IsxtII, Porches Finished Floor Interior Trim Stairs & Raili s Cellar Dr , Tile Concrete Floors - PI . Fixtures - Gar . Fire roofin Door Closers - Chimney Water NOter Inst , - _ Se tic A royal - Floors - 3ns,rlation Foundation Walls Cel l i Building ,Inspector REMARKS TOWN OF QUEENSSURY Building- Department huWecbwg Rat Dame Name �al+oo Pewmk Remarks Excat}a is on Footin Forms -Pootin & Piers Foundation Cement Coat Water roofin Seckfiij F.inai Survey .lpramin Shea thin Roof Fel t Roof%n Sidin Ma n7-rY Veneer ROU h Plbg Relief Valves W411 Board _ Ext . Porches Finished Floor Interior Trim Stairs & Rail.in s -- ! Cellar Dr . Tile Concrete Floors Plb4go Fixtures Gar. Fire roofin Door Cl osers Chimne Water Meter Inst . Se tic A >xavaj r � i Floors Insulation •Founda tion Wal is -� C012in Buildifg Tnspectar� REMARKS G/ 14 I C� c7 ? / Y t� r /] �✓ / TOWN OF QUEENS13URY 81411dins, Departsner,t Name Lfa�e I' ' Permit 11Fo. 1'2 n Remarks Excao i s on Poo L-incY Forms Footin 6 Piers Foundation Cement coat Water roofin Bacxfill Final Surve Framin Sheathin Roof Felt Roofin Siding Masonry veneer Rou h P2bql Relief valves Wall Hoard $xt . Porches Finished Floor Interior Trim Stairs & Raili s Cellar ,Dr . Tile Concrete Floors Plbq . Fixtures _ Gar. Fire roofin Poor Cl os,ers Chimney Water Meter Inst . Se tic A roval7'i eJ Floors Xnsulation Foundation Walls ---- Cei Build-in inspector REMARKS ? 115r 8&L, 1_ IAI e4 -I I r is rz - 4,0 To TOWN OF QUEENSBUR'w' Building- Department N �Ri povt DateOle eI LAmation C X t7 rJ ri Pemk N,a. er Remarks Excavpa ti on Foot.I Forms Foot-in & Piers Foundation Cezwnt Coat Wat -oofin Baclrfill Final Surve Framin SheathingQCroT Roof Fel t Roofin Siding Masonry Veneer Rou h Plbg Relief Valves Wall Board Ext . Porches F.i.ni shed Floor Interior Trim stairs & Rail-I Is Cellar Dr . Tile Concrete Floors PI . Fixtures Gar . )P .; IIIIIIeIIIIII,roOj6ln Door Closers Chimne Water Meter Inst . Septic Approval Floors Insulation 'ounda tion _ , . Walls Cei I i ngr wilding Tnspectar REMARKS