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1985-671 C/O Paid CER.TIFICA.TE OF OCCUPANCY TOWN OF +QUEENSBURY WARREN COUNTY, NEW YORK Date I9 This is to certify that work requested to be done as shown by Pet it No. 8 5- 671 has been completed. This structure may be occupied as a Addition to dwelling ( solar room ) Location '"� Meadowvlew Road Cvvner George and Nancy Thurston By C7rder Town Shard 7OW'N OF QUEENSBURY Building & Zoning Inspector {REh YIVM "INSTA PAINTING. aLCN4 FALLS N V I ]SCI ISf l� T9]-S M136 BUILDING PERMIT TOWN OF QUEENSBURY No. 85 _ 671 WARREN COUNTY, NEW YOR K G) to 0 H PERMISSION is hereby granted to George and NanC?V Thurston ^_ ip OWNER of property located at SU 11 Meadowview Road _ Street, Road or Ave. ::I in the Town of Queensbury, To Constructor place a Solar addition to 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. LG 1 . OWNER'S Address is 11 Meadowview Road. Glens Fallsr New York Un rt 0 2. CONTRACTOR or BUILDERS Name s zm e 3. CONTRACTOR or BUILDER'S Address W F-� same m sy cz 4. ARCHITECT'S Name £0 N. S. ARCHITECT"S Address 0 W 6. TYPE of Construction — (Please indicate by X) (X) Wood Frame { ) Masonry { ) Steel { ) 7. PLANS and Specifications Na. 19 ' x23 ' per specifications and application submitted . � n, I-•� rr 8. Proposed Use I°1s a One-Family Dwelling ( solar addition ) ::I 0 rr 9 0 $ 5 . 0 0 C/o Paid mkt• /0 s 24 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES June 1 tg 86 (If a longer period is required an application for an extension must be made to the BuiWi ng and Zoning inspector of the H. town of 4ueenslwry before the expiration date.) � La Dated at the Town of Queensbury this 15�thp� -Day of NoVemb�er 19 85 SIGNED BY �� * ' + '� /�-�._.ge-ter L for the Town of Queensbury Building and Zoning I nspecrtor TOWN OF QUEENSBURY (Spares inside lsleatk to lxm fiklcKl itt 1,y WARREN COUNTY* NEW YORK Building lnslae%rterr) Application for \, r,llir :r[ ir,r, tit,. t'crrnir Is,ue�el !tT - BUILDING AND ZONING PERMIT I'r r ,,, ir FxpirY•ti ,.� \ ,c h is 1 0! \%'nrh goiis l tl Copv� of PLOT PLA Drawn to :calf \1 r1 showing the actual dimensions TJ his lot to be built upon, The exact size, and location onthAjot of the buildina to be erected U APPLICATION Lt A PERMIT MUST 8E OBTAINED BEFORE BEGINNING WORK � ANSWER ALL OF THE FOLLOWING. ti Th. undersigned hereby by applies for permit to do the following work , ,yl: 2t is�h which w;lk be done in accordance with the descrip+ion, plans and specifi- t f! 30 catlons, and such special conditions as may be indicated on the permit. , ' � ` r e The owner of this prope is. �.�tG{�y+l/.5�'"� /�'C. 7N alz-S 41 //.3� +ej.UG:cIV�1s r�/ eE�f3. 6s�e..�7t.r i, G[ fVs ' fH�,•dF� , IG O AVGRESs} . . . . . . ^. e d The person responsibie for supervision of the work insofar as the $kidding Code and the Zoning Ordinance apply is. . - - iHAMET ' , - . rP O ADDRESS) . . . . . . . . . . . . . . . Name of Sunder . . �'+ C?.2 G /�,+�/[//t L TDB! Address 114Y,64AbV,41(X_W �c 0 64FAIJ 6e4S Name of Plumber . . . . . . . . . . . . . . . . . . . . . . . . . . Address - . . ' . . . . . . . . . . . - . . .,� . . . Name of Mason . 1P . . 77.M.��:C'�► . . . . . . . . . . . . . . . . . AddressAwES- /G�1�. .+�;� 4,.D tiM4ol j Alo Lot Number . . . + � . - . . . UnitW464bk1RK!fi . - . Estimated value of proposed work S 0' /,r"tl,, 4 P ap . , , , , / -NSBvr2 Name of Village . . +,�'ll�. . . . . . . . . . ,?'� . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . - . . . . , . . . . . , . , . , . . . . . . . . '�� ��'�' . . . . . . . . . . . . . . . . Side of street : north ❑, east J9, south O . west 0 Name of Street , /.f7.� . . . . . . . . . . . . .A.- . . ��W Y.� . . . . . . . . . . Distance from this cross street Nearest Cross Street /Jai !9 . , . . . . . 4A . . . . Property is north ❑ , south X. east I , west ❑ from Cross Street If on Comer, 4which corner, northeast [s , northwest C] , southeast 0 , southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY 0 Construction of a new building. Main Building Addition to a building. One-family dwelling © Alteration to a building. Two-family dwelling [� 0 Demolition of a building. • . • . -Family apartment house � Store building .,:Z - - -car attached garage Other-. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accessory Building O Other work. Describe: . . .a�.G/. a r: , ./ .er r. ,T ! . °? . . . . . 'One-car detached garage C�7 Two-car detached garage 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Private chicken house (3 Private storage building . . . . . . . . . . . . . . . . . . . . . . . . - , . . , . . . . . . . . . . . . . . . . . . . . Other: . . _ . ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building, or a change of occupancy. n Indicate on the plot plan street narnes, the location and size of the property, the location, mile and setbacks of pro- NORTH posed buildings, and the location of all existing buildings. /{� AJ7diNVf�VI/ a�JD Show ,proposed building(:) in dotted line and existing huilding(s) in solid line. k ��.....0s�� t Size of property , . . . - -,e S0 . . . . ft. x . , �,©.©. . . . ft. �r-rr.1 -[ ~` A Clio 5i use of�exi tinges�16 n if any . . . . . . . . . . . . . . .�. p . . . . . . . . . . . . . . .5.', . . . . . . , . . . . . . , , , . . . , , . . , . . . # A isb 4z� W Size of proposed building x . . �� 3 .IZ . . ft. Height (from grade to ridge) . . . . . . . . . . . . . ft. Front yard • • ,/, ft, Side yards . , ' 3 � 0 7 . ft. and . . '. `1" .7. . . . . ft. Rear yard 07 . . . . . . . . . . . . . . . . . . . ft, suuT" If on corner, setback from side strIset , . . . . - - - - - - - ft. Note : All distances are wet, as measured/runs street side line to nearest pa Ire of building. [OVER) 7-73—m (cont'd.y BUILDING SPECIFICATIONS.. klo Kind of construction= Wood frame, fire safe, etc.? . . . . . . . . . I . . . . I . . . . . . . . . . . . . • . . . • . . . . . . . . . Will an second-himd lumber be used? /✓40 . . . . . If so, for what? . . . I . . . . . . . . . . . . . . . . . . . . . . . . , . Material of foundation walls . . . . . . . . . . . . !C. . -�:4!��.� SI . . . . I`}tickness . .!r�. . . . . . . . . . . . . . . . . Depth of foundation walls below grade . . . F T . . . . . . . . . . . . . . . . . . . . . . . . . . Continuous foundation? . . . A . . . . . . Will there be a cellar? . W4. , . , , . . If so, material of cellar floor . Type of roof: Sloped or flat? . . -T'LO'�' b • . . . . Material of roof +A' 4✓.�^. ,0 etlje7? N F6'Fi� �, C4.C1 �,!if'rV4L7'A S '**&*X Size. wood studs - . . . . . . . . . . .W4 ^ x . . . . . . . . . . . . . . ", spacing . . . . . !'+�7. - . . . .^o.c., length . .. . . . . . it. Size, floor beams, 1st floor .►'at''2 t a " x ice AWC. J_Zjt�7 , , ", spacing , . . , . . . . . . . . ^o.c., span . . . . . . . . . ft. Size, floor beams, 2nd Floor . . . .� . . . . . "' x . . . ~ . , . . - , . . . ^to *9, spacing . . , . - ' . . . . . -..o c , span . . , :�. . . - - - . .Site, ceiling beams - . . . . . . . . . . . . . . sparing . . . . ` . . , , . . "o.c., span . , . . . . . 4 , ft. Side, roof rafters or beams . . . . . . . . . " x �' . . . . . ", spacing . . . .-2 . . . . . , "o.c., span . . / , , . . . . . . ft. Exterior finish - . . . S 'ar4-�-'� With what material? . . . . . ' Finish of interior walls , , . . . Y. �t'2!' e: S H . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 garage and building? . . . . . !� . . . . . . . . . . . . . . . . . . . . . . 44 . .. . . . , 4 . , . . . , . . , . . . Kind of heating system f 9S/4! y T/Ysc •fr* f?/^+� . - . . - . . . Oil burner or coal ? . .''I . . . . . . . . . . . . . . . . . . . . . . . . . Will a flue-lined chimney be provided? . . . ! . . . . . . . • Depth of chimney foundation below grade . . . . . . . . . . . . . . . Height of chimney above roof. . . . . . . 7 . . . . . . . . Depth of fireplace hearth . Will there be a fireplace. . . . , . . . P 1 Will a toilet be installed? . . . . . . . . !. P. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a kitchen sink be installed and connected to water sup�,pply? . . - . !t':1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Water supply (public water supply or pump) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Distance of cesspool from any private well . - . . . . . . . . .,/✓d. . . .ram ?/, r!'�T . . F!Y� 4 . . . . . . . . . . . . . . . . . . . . . . . feet Will drainage system be provided with required traps, cleanouts, and vents? , - - ./�/Ct. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Town of Queenshury AFFIDAVIT County of Warren State of New York 1 smear that to tit, ,WyTuf my knovoodge and belief the staterrteon am tained in this appt"don, tn*wd er with she plane and spedfiwartims oub- mitted, area true and co#uAnte su of sll proposed work w be done on tlr+ deecsribecl promises and that +ett mwkp Of rite B1JII.I]- LNCs CODE, THE NLN ORDIN E, and all other Laws pertaining so the proposed warp shall comow witls r bw specified or aaR and that such work is • riled by owner. h--y Sworn to before me th" Signature ^�� •' L7INIVER. OWNERI5 AGENT, ikR k lE Cdii'rIrACTOR day . . .... ... .. .. . .... . 19 . . . MOTAN! PIJat.eC, WAR N COUNTY. N. Y, SPECIAL CONDITIONS OF THE PERMIT: By . .. . .. . . . . . . . __ . . . . ...... .. .... . . .... ... ......... TOWN OF QUEENSBUR.Y 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 workw ANSWER ALL of the following : p 2 1 . Gross floor area 4(7 2 . Type of heat 3m is the building mechanically cooled ? AID 4 . Percentage of area of windows and doors �2"oL 70 A . over 16 % Only 1 . U value of gross area of walls , roof / ceiling and floors exposed to ambient conditions e= 'e-141A ow G� a" 9 ,' Ftor �/'�. ry• � 4't 4e+ (..s 6'P 4957 /UW4 f 2 . Floor over heated spaces YES NO a . Are foundation walls insulated YES NO 1 . If YES , what is the R value ? A& � AZ 3 . Slab on grade YES NO a . if YES , what is the R value of insulation around perimeter of floorr ? .2 / 40 is basement heated ? YES NO A * R value of insulation ,/yo ,•" --��r" �*Z-�' 5 . Type of insulation 2)494,4J Jes IS'D/$ ! l1 ExTk' yi7 J� �' �' I`� +�••g H . 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 64 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 bask., ment /cellar walls ( below grade ) lO . Type Of insulation Co Controls D 1 . Thermostat maximum heat setting Do Duct Systems 1n 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 1 . Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F . Service /Water Heating_ 1 . Performance efficiency 2 . Temperature control setting maximum G . For Swimming Pot Only 1 . Maximum heating --~� Telephone No . l jaw /7 0d' /./e 10 / ! 5 6r,� L�ff/ l.�' ( app icant ' s signature ) N[1. Date 1'9 COMMONWEALTH ELECTRICAL INSPECTION SERVICE INC . (Consulting and Fire Inspection Services) (Incorporated In tl+s Stet" o1 MAIN OFFICE: 357 Elwyn Terrace, Manheint, PA 17545 + (717) 664-2347 New York Maryland, Penneylvarlla, Delaware] Bflf]F732 0443 LOCATION Pleese yrire full and aceura- directions in order to avoid drlav )Use back of sheer 1f naaded) Desiring Certification of Approval, application is made for inspection of electrical installation in the premises described below. On demand, supplicant agrees to pay for inspection service in accord with schedule of ch e2er'4r*A Reverse Side). PLEASE PRINT r...� el [)caner . �s► Ind................... .- ........ r+ Q t r .................................. Type Bldg. ❑ U G !!' ?/!?Ago G IM �Ir ie 7Wt/ n`� ,{ ,'Ta �/ Bldg. Fernlit .No- A-r'..�" {... i (occupant..'�� ...R��� .d�r...............1� ......-.,-�y ............- III /A�l. ✓ .......................... City.. , Job LAxantion -.-.. . . ++� 1 1,'�,!,./l�l+V /e. • Y.��ir�! ! e?' /i ........... ................... S�alc± �. .. County .......I✓.Y../9/ +f....................................................... Twp. .............................................-. Swimming Pool — New ❑ Old 0 Owner`s Address �/r ? �DKJ✓/ N✓ .-I...... . .... !� F !� a f»�.!7+-,?,'.`...::. r. r..... Pool Permit �r. ............................. F-*'" FF..RP n r.. 2-a„ q ,q,erdr�. trl2o .k?� .(a *,rwl ,r✓ x T Directions to lab Site ..................... jQiCif's" oivrdV.Weft- TMg car - . � %lau f adr Ii?.G#t " Application For Rough Wiring I i fixtures ❑ Service O or ...............................••....................................................................... ..... Work - New ❑ Additional Bldg. New ❑ Old 0 Ready for Inspection .........«....................................................... Fee Remitted i............................................... Check ❑ Cash ❑ Make Payable To C.E.I.S., lne. LIST ALL EQUIPMENT ANO WIRINCa , NUMBER OF ROUGH NUM$ER OF ELEC HEAT . AIR CONOkTICNJERS•BURNERSORY ERS-HEATERS.RANGES ETC. WIRING OUTLETS Fl NUM ER TYPE OF DEVICE H P OR IS w. NUti79ER TYPE OF DEVICE H.P. OR K-w. } SWITCHES MERCURY I i LIGHTING SODIUM RECEPT LUORESCENT . EL EC, HEAT I QUARTZ MOTORS: H.P. 1/2 /12 1/10 its 1/6 lf4 1/3 1/2 3/4 1 1-lf 2 3 5 7.1/2 10 15 20 25 30 40 50 75 100 MARK NUMBER i OF EACH 542E - I ATPLICANT'S H - LICENSE as PERMIT w N NAME OF UTILITY II ' 'A EOFFICE CITY STATE ZIP CODE BENOTIFIED SPACE BELOW FOR USE OF INSPECTORS ONLY ROUGH WIRING k AMP SERVICE PUMP OUTLETS EQUIPMENT H A OVEN f SWITCHES !MAC. SURFAC OI$POSAL UNIT RECEPTACLES NIT MEDIUM BASE RANGE FIXTUR WATER MOGUL BASE EATER DRYER i FIXTURES AI PtRECEPTACLES FLUORESCENT CONDITIONER AMP, FIXTURES FRAC. H ,P, MERCURY VAPOR OR WIRING +& CONTROLS FOR BURNER VENT FANS UARTZ FIXTURES MOTOgg; H.P. 1/241/12 1/30 1/B lffi 1/4 1/3 1N2 ,3/4 1 •1/ i2 3 5 T-1/ 10 15 24 25 30 44 5O 75 100 MARK NUMBER OF EACH SIZE APPARATUS f MISC. INFO. ATE iNSPL4�-.v NOTIFIED POR- R 2 O FEE PAID . . -.. TOTAL $ cnN— TRACTUR CERTIFICATE ISSUED OWNER CHECK NO. ❑ R.W. ❑ DUP CUI+ANT CHARGE ❑ FINAL ❑ SERV. PROGRESS Cl AGENT CASH DE ECTIVE ❑ ELEC. H.O. LT CO. TEMP CARD N DATE INSPECTOR A C FINAL RD ae ' ep/oINAL CAflaw Ems APPLICATION EXPIRES ONE YEAR FROM DATE, ffyWHri'E/dtlioe C U4ARY/Cus4aMW PINK/Inspector GOLmOt@aer 11 TdwN dFcoDF.snFOpCfENT BUILDING �` CUEENSSURY NY 12004 531 BAY RD " ( f I r )EPART f ' I13T 0 E INSPECTORS REPORT : hRR � ._�_ - 7 � REO'UEST FOR 3NSPECTION RECEIVED : .--- .�v-'�-i +� . NAME { LOCATION PERMIT RATE � � 1 � St> -v TYPE or STRUCTURE ' APpopovED N A y^ES NO RECHECK FOOTING 1'I'ER'S MONOLITH C POUR FoVJ4 — -- EYNF'GRCEt'SEN IN PLAC . THE OONTRmCTOR IS RE'SPCl16IFREffiZING ON FROM 4LACE~ VROV IiSI �ti ROI.OLLOAi2Nf# 'x i3ffi _----- FOR 48 CO016Ll wjv ti OF THE OSE ON SIT MATERI LS FovoltTIiIS PURP FOUtaDATION WALLPdUR -- IN PLACE RE 1NFdRCET4ENT FC7UNT?F1v'fiI[7N 5]PsTSP_...._PA-d4F I.NG - SACKFILI' G VENT I Pj„UMB£N_ �— ----~ ROU_.Gkk PLUMB INNGG --- LUMBING E- P SLAB — �w FIt.A1'IiNG " STUDSLHKNR R__S__�----- - �� --- JACK BRTDGINU B RAC T N r L_-.---- {7I";T HANGERS a� 1.---- --�" JACK POSTS MAIN ,AIR^1NF I LTRAT IO HEATING ROU�tl Imo—' `� _INSULAT ION 1_. WALLS INTERIdR R- _ Fpl]tIflATI4 WALLS EXTE`RI+UR R- FOIjNLIATI� 'p�N_-.-_..---' _ ..�----- FLOO � - R- ----�' C ILING dR PIPING 1-. 114 ------ DUCT WORK R- i3EA'£E�DES - r TOWN OF QUEENSBURY BUILi)ING i& 'ODE ENFORCEMENT 531 'BAY RD . � QUEENSBURY NY 12804 .( ARR.../ j ;)EPART,) /2 INSPECTOR ' S REPORT : . REQUEST FO INSPECTION RECEIVE NAME /JJJ LOCATION PERMIT 'A r�__�/�1, DATE !_ - - ��, �,,. 4- . .�.s..�-. _._'�— 1. TYPE OF STRUCTURE : rAPPROVED RECHECK R YES NO O TI S FI S ONOITHIC yOUft FORM M L REI FORCEMENT IN PLAC TB CONTRACTOR IS RESP OM HL'E F H. PROVIDING PROTE T a H ION F OM YLJk HG FOR P MENTOF THS COIZCRETEw HE LA MATERIALS FOR THIS—PM P E ON SITE FOUNDX) ION WALLFOUR REIN EMUNT PLACE F0 DAT ON D PPROOFI G BACKF LL AppR -- gLUMHIN 'VENTIVE SIN AC ROUGH.PLUMBIN- G--�—'— PLUMBING UNDER SLAB RAN[ING ' JACK STUDS,(}; 11DERS SRRCI:NGL1Bf31 ING 0OI �;T RANGE S JACK PC]STS AIN B AM AIR INFILTRATION ftRIER HERT NG ROUGH- IN FOUNCfA'r 1ON ALLS INTERIOR R F;7NDATION ALLS EXTERIOR R Y - FLf7f7R5 _ -LL f _ _.-- CE LING DUCT WORK OR PIPING IN U HE A ED PACES �• l II TOWN OF QUEENSBU _ BUILDING & CODE ENFORCEMENT 531 SAY RD . r QUEENSBURY NY 12804 , IINSPECTOR' S REPORT : ARR DEPART NT . REQUEST FORINSPECTION REC IVED ! NAME kk LOCATION 0 V 1O ^ DATE PERMIT 4 TYPE OF 5 'RU TU E : ' -y VN� �PROVED RECIIECK ---� N A YES NO^ FOOTINGS PIERS Id MONOL9H x'OUR FORM PREEINF'ORCEMENT IN PLACE — THE CONTRACTOR IS RESPO"SIB FOR YROVIDxwa PROTE '.LION FROM F SEEM[ FOR 48 'HOURS FOTILo XNG THE LACE- MENT OF THE CONCRETE . MMMTERIALS FOR THIS PURPOSE ON SITE FRO UNI3ATION /WALLPOUR REINFORCEMENT IN PLACE FOUNDATION /DAMPFfkOOFING _ g71^ CKFILL APPROVAL gLUMaING VENT1V8b1'PS IN P ACE ROUGIi PLUMBING PLUMBING UfiDER SLAB - --�r' FRAMING : JACK STUDS [HEAD S BRACING/ BRIDGIN JOIW BANGERS JACK POSTS MAIN BEAM A.IR iNFII,' RAT1 N BARR FiERT1NG FCCIUGH- IN �— - INSULATION FOUNDATION WA WALLS _INT IOR R.- FOUNDATION WALLS EXT IOR RR! WALLS R CEILING DUCT WORK OR PIPIDIG R _ UN _SATES] SPACES / (awTOWN OF QUEENSBURY Bay at Naviland Road, Queensbury, NY 1 2804-9 725-5 1 8-792-5832 , '"�tzc oor "HOME OF NATURAL BEAUTY . A GOOD PLACE TO OVE" SETTLED 1783 TOWN OF QUEWBURY BUILDING AND BAODES Y ROAD PARTMENT QTELEPHO E� ( 518) 7 +45-4+447 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME , LOCATION DATE �I/t� PERMIT _ ^ .,�--- TYPE OF STRUCTURE APPROVED RECHECK N/A YES NO I GS/PI RS MONOLITHIC POUR REINFORCEMENT iN LA IS L THE COWMACTOR IS FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FLOWING THE PLACEMENT OF THE CONCRETE . MATERIALS FOR FOUNDATION/WALLPOUR H IS PURPOSE Oil SITE REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/ NT I P A PLUMBING UNDER SLAB FRAMING: JACK S EAD BRACING/BRIDGING, _ JOIST HANGERS JACK POSTS/MA [ B AM HEAT ING ROUGH- IN INSULATION : HTE D FOUNDATION L FOUNDATION WALLS EXTERIOR RR_ FLOORS R- WALLS R- CEILING DUCT WORK R I ING IN UN EA ED SPACES REMAR : 7/ 01(d, xe ARRIVE} 'DEPART f � �� - - INSPECTOR � 1� � � .,..lowr� o� ��eens�► cir+l� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING I NS PECTORR'' S REPORT NAME �� �y_fl LOCATION Date Permit No ► 1� �- -� Is a r APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing psackfi11 Framing Roof.in 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 Final Building Survey Next scheduled Inspectiorr ready) ( call when Remarks- - e' Building nspector 6/'86 and-vl 13L)ILDING and ZONING DEPARTMENT Bay and Havitand Road, R. D_ 1 Box 98 Queensbury, New York 12801 BUILDING I NSPECTORR I S REPORT NAME E'G7Y �-� e / i Ci 5 ra LOCATION ���Qc�111' E' w a � Date F6 Permit No . _ � APPROVED YES NO Fo©ting/Pier Forms Foundation Waterproofing .�Backfi. 11 Framing Roofing Siding Masonry Veneer Rough P umbi-n<3 Relief Va ves Ext . porche Finished Floo 5 Interior Trim stairs & Railings_ Cellar Drain Tile. Concrete Floors plbg , Fixtures Gar.. Fireproofing Door Closers Smoke Detectors Chimney INSULATION Foundation Floors Walls Ceiling 1 FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled inspection ( call when ready) r Remarks- - 1 Building Iris ctor 6/86 md--vl TOWN OF CCU EENSBU RY suIldins Depaarta ono ids Report Date- . ' 220 . Nam" P, Na _ I Weather Rerrra rks Exca�Ya ti on rooting Forams sec Footing & Piers Foundation Cement Coat Waterproofing Ba cJkfill Final Survey Framin Sheathing Roof Felt Roofin sidin Masonry Veneer Rough Plb . Relief Valves Wall Board Ext . Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr . Tile Concrete Floors Plbg. Fixtures Gar . Fire roof!; Door Closers Chiamne Water Meter Inst . Septic Approval FICSorS .rrisu.Zation Foundation. — --- - Walls Cei11n t Building Inspector REMARKS � ,rZ, ..Le 42 . BUILDING DEPT, COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS_ FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED. DATE CITY OR VILLAGE ,rvI eno l. tf� STREET AND NO DR TOWNS ',`i (,I.r:,Ii c r�.� ��,r�}y COUNTY "01457ye. ,OC,C Al ROAD AND POLE NO. BETWEEN WHAT TWO " "' CROSS STREETS IS POLE NO, PREMY ;ES LOCATEOt ,rQ APO 4,l, OCCUPANTS �+ D(j IA/ 4'I'l� SECTION IS�I4�iQdpi(�„T` ! A NAME �'/4'� C7 ! BUILDING BLDCK LOT �Y' OWNER'S NAMEn•. 94lil OCCUPANCY .,S'/pl/l 0.C" AM6 ADDRESS ` y ,�^ / SUPV IEU ,�' /,.�s,�/1fJ V♦ +Q4+f// � R40 60 . /` j TEL. # SUILDING NEW (-'� OLD WORK FROM THEIR �4 tS OFFICE [� ❑ IS NEW ADDITIONAL : DEFECTS LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED REMOVELocal D Q NUMBER OF OUTLETS No. of Fix Yrnee a tiotl Lamp Racaptocles MOTORS HEATS RS BRANCH CIRCUITS OFFICE USE Coiling Side Attwh't ONLY Wall Recap to Switch Pendant Braeltax No. Typo Each No. Wertz A.W.O. Out Each No. [tangs INSPECTION alidit Sub- w� ao (f • f bast Baos- me it tot FI, :# 2nd FI. 3rd FI. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FOR ABOVE: DO NOT USE THIS SPACE_ yousa a authorion is ized led totm ded to cover The above-listed equipment to bs insPecxed aka the inspection and adjust the fee to cover the additionaliwl it et irme of in'sPaction thaw IS found additional SIZE OF e<I n+Pment, m provided by the applicant, aquipmen; not above listed, MAINS FEEDERS ELECTRIC SIGN CHARACTER LAMPS TOTAL OF WORK EXPOSED GAS TUBE SIGN WATTS WORK TO BE CCINCEALEb TRANSFORMERS OF STARTED (NUMBER} VA SERVICE OVERHEA6 COMPLETED SIZE OF SIGN (CAPACITY) ENTERS UNDERGROUry6 UILDING MAKER INSPECTION REQUESTED OF SIGN ON OR AS NEAR AS POSSIBLE NEMY Q OLD AVOID DELAY GIVING FULL AND ACCURATE INFORMATION_ ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME ANDD ADDRESS _ NAME OF -^ //� n TO "' .� APPLICANT C / L/+�. ti DATE OF 4PPLICATIONAf� �! u "�" STREET ADDRESS , I E''r�t3�7il1!!/ t �/ I +j CITY OR /^ ` / ,� / /^ , TELEPHONE # / X3' 130if.. 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