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1985-712 f ! CERTIFICATE OF OCCUPA N%WOPY TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK Date : . . .: r 1 1'�cT V7 qjZ This is to certify that work requested to be done as shown by Permit No. has been ccnn¢4eted. Drt-c, C!m 114 'FLU'[-�Lv_ J This structu may be/'�o�c pied qua _a TA Location Owner _ss By Order Town Board 'I`OW N OF QUEENSDIURY $uilding & Zoning Inspector e CM&AT1V[ 'INSTII PRPNTNO. GICMS ""S �+ T Izm0I If if]v!f-n!• _ ..._ _ T E M P O R A R Y +DER fiIFIiTE ►F +C + + LTPANAY TOWN OF QUEENSBURY , WARREN COUNTY, NEW YORK I July 30 19 86 Daft ss-712 This is to certify that work requested to be dons as shown by Permit No. 1 j has been completed. i One-Family Dwelling This atrucruttie may be occupied as a Ridge Road Location Christopher Lynch Owner j 'TEMPORARY CERTIFICATE: OP OCCUPANCY FOR 60 DAYS By Order Town Board TOWN OF QUEENPAVJM� f � `. Building, N Zoning ;tupector -------------- I BUILDING PERMIT TOWN OF QUE 'ENSBURY No. 85-712 WARREN COUNTY. NEW YORK PERMISSION is hereby granted to Chrlsto her L nch x ,d Ridge Road ~ OWNER of property located at Street, Road or Ave. one—Family Dwelling in the Town of Queensbury, To Construct or place a at the above location in accordance to application together with plot plans and other information hereto filed and t-� approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. n x 1. OWNER'S Address is 2. CONTRACTOR or BUI LDE R'S Name Tennent & Sons 3. CONTRACTOR or BUILDER'S Address P . O . Box 264 H Bolton Landing , New York tj r� 4. ARCHITECT'S Name C7 [5. ARCHITECT'S Address . TYPE of Construction — (Pleese indicate by X) X} Wood Frame ( 1 Masonry ( ) Steel i 1 7. PLANS and 'Specifications 26 * x60 t dwelling , 24 ' x26 ' two car attached garage per plot plan , specifications and application submitted , includi g No. sewage systemm z r=i 8. Proposed Use �7 One—Family Dwelling H L-" 'v $5 . 00 C /O Paid a $ 234 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES .Tune 1 !9 86 (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the r town of Queensbury before the expiration date.] Dated at the Town of Queensbury this 26t�hy Day of November 19 85 SIGNED BY �-f - C� 1 for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEENSBUR'Y ; Space inside block Its lx• lilicKl in br WARREN COUNTY* NEW YO RK Building lmHn N:1lsrl p�` Application for P(.11111,�i,;,1e .l BUILDIN6 AND ZONING PERMIT I'r'rmis F:�hira . 1!I /imitlF, 1 )i%trlt't l l Cap s of PLC>T PLA - C.aW. to scale Ai11Y1 1% ( Ir rsr e+winy A a+stual dimwits+ans o fl.w lot to be built lt<•s>>:1 }GS' upon. Tlra exact size. and location onthAtJot of the buildingto be erected 1`��T#JTc �-TR APPLIGAflt7 / f 1 C'OWN OF QUEE�IftijlSB4L] F�f�.� Dsrr A PERMIT MUST66E OBTAINED BEFORE BEGINNING WORK V ANSWER ALL OF THE FOLLOWING* NOV �b 19 The undersigned hereby applies for a permit to do the following work A,Mw 2�'Y' which will be don* in accordance with the descriP Lion. plans and sP ecifi- I21443141516 cations. and such special conditions as may his indicated on the permit. ?#8�9! s ' 1 The owner of this property is: tNA'xEl - . . aP o. ^DORESS} . . . . - . . - - The person responsible for supervision of the work insofar as the Building Code and the 'Zoning Ordinance apply is: -i I (MAMEI ION p ADDRESS} Name of Builder , . Eta jai- . . . C.}�-n�'S. . . . . . . . . . . . . . . Address , . .. .. . . . . AC �... . . . ..4�TZs s L.6n ►iRhYr IV , �, . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Name of Plumber , .�t , , » ?�c. . G? " i - - - Address . . . . 1 Natise of Mason . . . T, -&J. �, . . - . . . . . - . Address . . . . . . . . . . . . Y 1 . . . . . . . . . . . . . . . . 1 . `�. - ` , , . Lot Nunnber . . . .�. . - . . . - Unit . . . . . . . . . . . . Estimated value of proposed work S . . , . .l-�.v • CaC7 . . . . . . . . . . - . . Name of . . . . . E c 1 . .. . . . . . . . . . . . . - Name of ktreet . TZ;AJ'� Side of street: north 0, east ❑ , south 0 . west W Nearest Cross Street Distancr From this; ^rosa street . . . . . . . . Property is north 0 . south ❑ , east . west ❑ from Cross Street 1f on Corner, which corner. northeast 0 , northwest 0 . southeast b . wstuthwest (Designate by marking with an •'X" in the corrmi space.) NATURE OF PROPOSED WORK OCCUPANCY Construction of a new building. Main Building Q Addition to a building. One-family dwelling -� Alteration to a building. Two-family dwelling l] Demolition of a building. - - - . . -family apartment house Q Store building 0 . :Z2- . . -car attached garage Other: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accessory Building One-car detached garage Q (l Other work. Describe: . . . . . . . . . Two-car detached garage ED Private chicken house 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . Private storage building . . . . . . . . . . . . . . . . . . Other. . . , . , - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ZONING SPECIFICATIONS. Fill its for new building, or addition to existing building, or a change of occupancy- Indicate on the ,plot plans street (names, the location and sire of the property, the locetiop, sbue and setbacks of pro- posed buildings.buildings, sued the location of all existing buildings. Show ,proposed building(s) in dotted line and existing I;tsilding(s) in solid line. J 2 • 7 .$ - Size of . ?='L" . . . . ft. AL . . . . . - ft. property . . . . Size and use of existing buildings. if any . . .70 /VC7ll/lrl . N Size of proposed building . . t.?� !. . ft, x 4� Lf Q ft`rl 14eight (from grade to ridge) . - - - . . .0 . . . . . . . . it. Front yard . , . . . . . .'2 . A>. . . . . . . . . . . . . . . . . . . . . ft. Side Yards . . . . , , . �� .[ . . ft. and . . . - ' . CJ- • • - • ft. Rear yard . . ! 2 -' . . . . . . . . . . . . . . . . . . . . . (t. If on corner, setback from side street . . . - - • - • . • • • • - - ft. - Note: All distances are not, as measured from street side line to wearest part of building. love") 7 -73 _ M (cont'd.) BUILDING SPECIFICATIONS. Kind of construction. Wood frame, fire safe, etc.? . . . . 7[ . . +r�5l MIE7 . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber be used? . If so, for what? , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls . . . . .4EW ZL-�Z . . . . . . . . . . . . . . . . . thickness . .kC. i '.' , , . . . . . . . . . . . . Depth of foundation walls below grade 3 � foundation? , . sl '. . . . . . . . . . .' . . . . . . . . . . . . . . . . . Continuous . . . . . , . . Will there be a cellar? . . . .!. J!=>. . . . . . , It so, material of cellar floor . . . . . . . . . . . . . . . . . . . . . . . . . . . . Type of roof: Sloped or flat? -.:L +ar: 1 : . Gr,-t2..1� Material of roof _ . . . .�r'•l�.:� 1 �{ . . .` ;,Lj..I;nXyj� . _ . . . . . .. Size, wood studs . . . . . . . . . . . . . . `� " x1 , spacing . . . .LC�. '.' . . . . . ."o.c., length . . . AW. Size, floor beams. Ist floor . . . . . . �.. . . " x . . . ICJ. . . . . . . . . spacing . . . I ,Ca. . . . . . "o.c., Span . . . . 1 3'. . . . . . , ft. Size, floor beams, 2nd floor . . . . . . " x . . . .1 c? . . . , . . . . ", spacing . . . f lo.t . . , . . . "a.r., span . _ . . l ?a . , , . . , ft. Size, ceiling beams . .3 . ... . . . x . . .1. CP. . . . . . , . ", spacing . . . :c? . . _ "o.c., span . . . .kzk . . . . ft, Site, roof rafters or beams . . . . . . .. . . % ". .1Ca . . . . . . . , spacing . . . .� ./+� . . . ."o.c., span . � . 177.' (o,f . , . . . ft. Exterior finish . . . A!!!!;-%.CSX"". tth what material? . . . . . , . . . . . . . . . . . . . . . . . . Finish of interior walls . . . . . . S+ Tf',,Cx . . ' Ci ri:�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If garage is to be attached, of what material is wall between garage and main building to be constructed? Is there to an opening between garage and building? . . . :4C305Z�0)e, . . .CM ._ .I!'.5�, . . . . . . . . . . . . . . . . . . . Kind of heating system , . . . . I . . . . . . I . . . . . . . I . . . . . . . . . . . . . . Oil burner or coal? . . . . . . . . Will a flue-lined chimney be provided? . . 5. . .� , . . , . . Depth of chimney foundation below grade 3 Y` ._d7 .. . . . • • . . . Height of chimney above roof . . . . . . . . . . . . . . .� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will there be a fireplace? . , . --1 6S. . . . . . . . . . . . . . . . _ Depth of fireplace hearth . . . /CZ;, . . . . . . Will a toilet be installed? . .' . . . . . . . . . . . . . . . . . . . 1 . . . . . . . . . . . . . . . Will a kitchen sink be installed and connected to water supply? . E4 . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Water supply (public water supply or pump) . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Distance of cesspool from any private well . . . , . . . . . . . . . 1C�+.'.}.` . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . feet Will drainage system be provided with required traps, cleanouts, and vents? Town of Queenshury AFFIDAVIT County of Warren State of New York I swear that to tr; hvy'f'uf my knovoadae and belief the sta amerius contained is this applinafion, ""iser with the li piano ttnd speaoatiane rob& fnitted, area true and «..,. ste statement of all proposed work to he dons on the ddiio d pre .•red-OWN tuio us of the HVILD61NG CODiE, TIRE ZONING ORDINANCE, and all other taws pertaining to the proposed wos be. wt or and that such work is authorised by the owner. Sworn to before me Signature . .. . . .. . . . . . . . .owNEs. o T. RCFIiTECT. Ct?ii7' .. ...TOP/ . . . . . . . de . . .. . 119. . NOTAN MLjwtic. WA EN COUWry, r' SPECIAL CONDITIONS OF THE PERMIT. By . . . . . .. .. . . .. ... . . .... . . . ... . . .... ... . . . .. TOWN Or QU 'EENSHURY i 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 followings 1 . Gross floor area 2 . Type of heat 3 . Is the building mechanically cooled ? 04 4 . Percentage of area of windows and doors A . Over 16 % Only 1 . U value of gross area of walls , roof/ceiling and floors o 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 wu } a . If YES , what is the value of Insulation around perimeter of flOOW ? 4 . Is basement heated ? YES + o� - a . R value of insulation 5 . Type of insulation B . Under 16 % Only 1 _ R value of roof and € oors exposed to ambient conditions. 2 . R value of exterior walls 3 . R value at glazed area . - 73 3 ,3 4 . R value of doors =' � Z" 5 . R value Of floors over unheated spaces _ w - 6 . R value of slab edge insulation - unheated slab - 7 . R value of slats insulation - heated slab s . R value of heated basement/ cellar walls ( above grade ) 9 . R value of heated bas .- iaent/cellar walls ( below grade ) 104 Type of insulation 7 - lcss 1`�. - �' Co Controls 1 . 'Thermostat maximum heat setting D . Duct S stems 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 ' 1 . Size of hot water or cooling carry .i. nq agent pipe 2 . R value of pipe insulation F . Service 'Water Heating_ -ems , 10 Performance efficiency ledZ 4:::2� ✓ �✓ - M t 2 . Temperature control setting maximum G . For Swimming Pool Only_ y 10 Maximum heating F Telephone N o . Cit+j ( airplic n ' s signa " re ) TOWN OF OUEFNSBURY BV I L,D ING ZONING DEPARTMENT SrV-AGF DI8P©SA=. PERMIT APPLICATION 1 . Owner ' s Name Address Telephone No . ^]20 Property location 2$� e(2 3 . Name of person or firm responsible for installing system � x �c �►u�S uT c s �, -T�E�,zt ) Telephone No . (2�--1cq Address, CJc-� �''` i�?S �-1 4 . Number of bedrooms ( residential buildings only) 5 . Daily flog' Cs gallons/day 6 . Septic tank capacity- -- . �7�', _ - - - -- „ gallons 7 . Topography : f at rolling , steep . % of slope Be Nature of soil and depth +6 9 . If ground water , bedrock or impervious material s apparent at wh? t depth does it 'begin' -i ft . 10 * Percolation test : A 7C is required ,��'y fri . ci y►~c�r /' " B� is not required �-- C if regu red what is the rate minutes/inch 11 . Water supply : municipal , well , other 12 . Type of system proposed : drywell , the field , other Any contractor , corporation , individual , etc . engaged in ' the construction of a sanitary sewage disposal system who covers the same before inspection , doses 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 S it y ge Ordinance . Da t+e �^�34 signatuVe ' ant _ On separate sheet of paper submit a di ram of the proposed septic system with all dimensions , .including distancm any structure , distance from property line and domestic water supply , etc . Include all dimensions of the system itself . Form 3- 82 flown of Qaeen31 "ry BUILDING and ZONING DEPARTMENT Bay and Haviland Road. R.t7, i Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION lYi' n p NO . Date�+f e:�r'mit APPROVED * * * ^* YES NO ti g/pier Forms Foundation waterproofing 8ac'1cf i 11 Framing Roofing Siding p �onrY Veneer gh plumbing - ---� Relief Valves Ext . porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile_ concrete Floors i Plbg . Fixtures Gar . Fireproofing i Door Closers ..—.�— ' Smoke Detectors i ChimneY INSULATION Foundation Floors walls , exling INAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection ( call when retardy*) Remarks- -ra s r—` j .. 3 1 Building Inspector 6f86 and-vl .,:�` " .�rTS'�'�>' 1'+R Ca�a%.,_.i _''i�3lIM1�/.d1""'r' ;5'. . • r:_±Clatt...,rsrr'.•.T � -- -.... ..—_.. THE NEW YORK BOARD OF FIRE UNDERWRITERS EEUrCEAU CTF ELECTRICITY J- an 41 STATE STREET, ALEJANY, NEW YORK 12207 Date September 17 , 19r85 AlAlrleeatiort No. r>rt film, Q4 - � �hn -7 � Q � 667560 _ THIS CERTIFIES THAT l Q 1. only the rlectrical equil>mv t -._. nt y lercri l>.alu o arad in trortara+d by the applicant nary a d or& the above application nurnber in the prembes Tennent L&� Sons , Rldge Roadr Queensburg , New York o--e irl thefollowing location; 'x r .8i!rena.:Yat .if Ist E!. ❑ 2nd F[_ Outside section Rlu 'Au teas examined on 7 r 3 1 / 8 6 and found Lo be in rornpllnnce with The reyuirernents s>f this fie>"rel. FIXTURE iCEPTACLES SWITCHES FIXTURES RAµGES ��COOKING DECKS 0vE S 0 OUTLETS IWCANpE=:e,,1r FLL/ORESCtNx DISH WAS'�1Ett5.�ilE7GWJI.LIST F, NS 'w'y t, R _ AMP. — r,. W. AMT. K. W- Y AMT. K-W. AMT. _ K. W. -- 19 48 23 18 1 _ - 3 FR DRYERS FURNACE MOTORS FUTURE AFtrUAMCE FEEDERS SPECIAL REC'PT TIME CLOCKS AMY. K. W- FELL UNIT HEATERS MULTI-C}UYLE7 [YI/Tt7r{ERS OII H. P. OAS H. P- µIT, t4Kl- A, W G- AMY, AMP- AMT. AMPS, TRANS. AMT- }L, P. SYSTEMS _ NO. OF FEET AMT. WATTS a ge SERVICE DISCONNECT "O. pF S E R V --- AMT_ AMP. TYPE METER —__. EGUfP. I 'g 2W 1 X 3W 3 ,/ 3W 3�' a W tJC7. OI' CC_ CGNiT- A. W G- •' - NO- CIE HI� '�' W- G------��- OF NEUTRAL PER $ OF CC. CGN0- LEG pr HI LEG PLG- OF NEUTRALS A. W- 4- 1 200 CB 1 x 1 4 / 0 1 2 / 0 OTHER APPARATUS: .� G . FaC 1 - Smoke I . Smoke 1 - Electric Heaters : 3 - 2 . 0 kw Detector 1 - 1 . 5 kw 6 - 1 . 0 kw Tennent & Sons Bolton Landing , New York BRAN04 MANAGER Pa Box 264 Per ZA This certificate must not be ahered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. ems ' r? ,� !-!, (. �r 3 . (� flown Dfueeriy6esr BUILDING and ZONING DEPARTMENT Bay and Haviland Ftoad, R.0' 98 pueensbu(y. New York 12$01 f� REPORT �\ 8UI LOING INSPECTOR ' S NAME LOCATION J�t �'--- permit NO . �� Date * * * * * * * * * * * *y."* s APPROVED - YES NO FootingfF'ier Forms Foundation waterproofing agkfill aming Roofing Siding t4asonry Veneer Rough Plumbing Relief Valves Ext . porches Finished Floors`__ �- Interi:or Trill' Stairs & Railings Cellar Drain Tile�_�_ _ �-- concrete Floors__ � �- Plbg • Fixtures_.----�- Gar.. Fireproofing Door closers Smo}�e Detectors Chimney 'IN SU I.AT I QN Foundation Floors walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Insp eetion ( call Next scheduled when ready} Remarks- i 1 i Building Ins ctor 6/'$,6 and-vl y ueens xury 9qpW. O DEPARTMENT 'BLNLDING and ZOhItNG oadlR.D. 1 'Box 98 0aY and }{aviland w York 12801 DueensburY. iSySPECT 'OR ' S REPORT BUILDING ! c/ r4AME I/ f LOCATION ,r Z APPROVBD YESi3f1 root,in9/Pier F©rTLIS Foundation Waterproofing Bacicf ill F ranxing g�f ing siding KrY Veneer ason uJ11 p1 ]ping Relief Valves Ext. Porches Finished Floors Interior Trim Stairs le Ram Tile_--- Cellar Drain Concrete Floors �--^-� Plb9 • rxture s Gar . F -reproofing�� Door Closers S0,01ce Detector's Chimney It35U'�TION� Foundation Floors Walls Ceiling CAL I'NSFECSIDt3 FINAL gLEC Survey Final Building tsext scheduled cicion Gall When xea'dy) InsPe r . 3 Building Inspector 6/gB and-Vl raw 0 Wks V " ` r�� � ueensrar BUVti-01S4G and 1NG or cP BDx 98 Ray and Haviland Road, R a Ot)eensbU('Y1 New York 128�1 g1JI i DIS�iG TNSPRC.TC]R ` 5 f2EP()R� NPjAE {`x L AJC4 LOCAT ' ON p ates p * ES* 33Q * * * * PROVELJ ... Y C3 pier .Foundation �— waterproof inc3�-----_"_`—_ p,a'I ill - -_ vravaincj SnofinC3 iIncj onry �- eer �,�c3S. h Plumbincj Pf, ye f valves. -------� porches_-- I '�v-d t �t h fised Floors r i or Tr'-M ing tairs & Railin�3s._-- ---' Cellar Drain rF n Tile �. ti 3 , rs C,ranore ureS_ � 1�'�3 F3reC�roo,fis�c3_ A �-- i C ` r Closers--___`—_. eke getectors_ y Chivx%eY ZtISu LION Fc�undat i.on Floors walls__ --- _-`-- e i l ing IN SPECTIQL3 C FINAL SLEC Cling �vrvc'Y a1 guildin9 vrhen on ( call r eadY� I3ext scheduled -,;s-p QD Y rldin9 Inspectzl or �ueer� .f� ur� an BUILCllt3G and ZC?rSING C7EPAFi-rN4Ef1T Say and Nav'land Road, R.D. i Box 9$ ,0ueensburY. New York 12801 SEPTIC DISPOSAL- SYSTEM INSPECTION K W IE Vol - t LOCAT I C N �,_ 1 )EWIT Na pA'TR _ clay 3O SOIL TV - Sand LoTmpercolation Test Requkmce1 4 YFS Min/-Inch Percolation rate - TYPE of SYSTEM: total length Absp'rPbion f ' trench I engtln of each p apth of trenches --- Svel ize of gra: SpAGE PYTS� f r of) Size- _� -fit` T, ype Gravel size Size plc'�S • to di-st- TanK to x to f ieldfPit 1140 openings artial D ist . sealed? YES T,,cPTT60N/S11PA12ATl c,45 tion to tank Founda Foundation to abaorPtianeft . Absorption to lot line �'� ft. SYSTEM CEN PRC7FERTY tcircie one $eparation of Pits t side LO ATY"� of _ Z,eft side Front - 'Rear CCtjMEN TS /Va (9)t - �, un D 5F APPF ES Sy ST $u • cling Inspec r 01/S'6 and v l i i E1 1 7own of Q'eieen3l " rY _.t BUILDING and ZONING DEPARTMENT9$ Bay and Haviiand Road, RS D- oueensbury, New York 12$01 SEPTIC DISPOSAL SYSTEM INS'PECTICSN NWE. LOCAT ION �J PERMIT Z PATE SOIL TYPE - Sand - Loam Clay Percolation Test Regtixiren YES - NO - Min/ Percolation rate Inch - TYPE of SYSTEM= fatal length- Nbsorption field , Length of each trench Depth of trenches Size of gravel er Of SEEPAGE P ITS ENutnb size._ ft. x _►- ` '~r y-�-�-^' Gravel si ^_--- Size TYPe PIPING : Bldg . to tank --�-�- Tank to dirt. box --- Dist. box to f ield/pilt pa tial openings sealed? YES r oCATION/SEPARATICNS : ft., Foundation to tank tj absorption goundation to line Absorption to lot f . Separation of pits PROPER iCircle _one) LOCATICHI OF de SYSTEM fight side ^` Front - ear Left Side CCNSMENTS : vr -�-- _ro o SYSmEt USE APPROVED y Bui ding inspector C>l/'86 and vl TOWN OF QUEENSSURY wilding- DeVartment R,p °►�` - Ns►ms _ Pernik No. S S - '7 r V1leaet►er Remarks Excatra taon Footi Forms Footin & piers Foundation cement Coa t Water roofin gao7cfill Final Surve Framin Sheathin Roof Felt kk 1goo in Sic3in masonr veneer Rou h PJ Reli-ef Val Ves Wall Hoard Ext , Porches Finished Floor interior Tr1m stairs & RaIjIn s Cellar rir . Tile Concrete Floors pl. . Fixtures Gar . Fire roofin ,poor Closers Chimne if Water Meter Inst . septic A rova7 Floors �. Foundation _�.. Insulation Walls �+y Cei l i I' Huilaing Inspector REMARKS j kovalAAI'I G1 �t. 1Rh rL TOWN OF QUEENSBURY Building Department Nwewe drz.n . Persak No. _ 8 "7 1 Wcather Remarks Exaatka Lion Footan Forms Foo nq & Piers Foundation cement Coat water ofin BascJcfi l l Final Survey . L Frami gheathin Roof Felt Roofin Sidinq Masanx veneer Rou h Pl Relief valves Wall Board Evt . porches Finished Floor Interior Trim Stairs & Railin s Cr�lZar Dr , Tile Concrete Floors p1by , Fixtures ,Gar . Fire roofin Door Closers Chimne Water Meter Inst . Se tic A roval Floors --- poUndation Insulation walls - ----�— ceilinr�_ - - CAL! ! F Inspector -- Beailding REMARKS � w z � . EE14SB'ISRY _. TOWN OF 'U WI Niles Remarks ExcatfatIon Footin Forms Footin & piers Foundation Cement Coat Water roofin III III gackfi33 , pinal surve Framin IIIM I, Sheathin Roof Fel It Roofin Siding Masonr veneer Rou h Plb - Reli.ef 'valves Wall Board Ext , Porches Finished roor Interior izn In Stairs & Rall Tile s Cellar TJr Concrete Floors Pl Fixtures Gar . Fire roofin r Closers Ch.imne Inst . Water Dieter septic A roval Floors Foundation Tns;ulation Walls Ceili Building rnS,pector REMARKS TOWN OF QUEENSBURY Buil+dia; Dep&rt,a+ent "^=beIRWIN - P .�;� Wewtb�r ExcaQa tz on Footin Farms Footi. & Piers Foundation Cement Coat water fin gacicfill Final Surve Frami Sheathin Roof Felt Roo fin Sidiri9 Masonr veneer Rou h PI Jib Relief valves swell Sward sxt . Porches Finished Floor Z�aterfor Trim Stairs & Ra.ilin s Cellar Dr . Tile concrete Floors P,l , Fixtures Gar . Fire roo.fin Door Closers Chimne Water Meter Inst . Se tic A roval Floors .-�- Found8 tirin Insulation walls Ce.J Building Inspector REMARKS BUILDING DEPT. COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WIT14 BUILDING DEPT. WHEN REQUIRED. TEMP, # DATE �y�.. ' J - CITY OR VILLAGE { � y ,�^.yj TOWNSHIP COUNTY Cf STREET AND NO OR RE' ROAD AND POLE NO. ,+Ia V 1� .YJ POLE NO. BETWEEN WHAT TWO CROSS STREETS IS ! PREMISES LOCATED? SECTION 45 S BLOCK / LOT _ OCCUPANT'S BUILDING NAME OCCUPANCY 4,.(,! If= �. �• •+�.��! OWNER FS AND ADDRESSE (,�` TE L. # f l �{ .�. YL/L..� CURRENT /^ + •/ r `._f.._-,__, /� SUPPLIED PPLIED Ifs, }# �.�� _ •. JC{" Vto j_ 4tx - FROM THEIR [9 JI. :lK..a I' - � f� �} OFFICE BUILDING ■ v Is NE W� -c• emu.- OLD ❑ ITS NEW ❑ ADDITIONAL ❑ R£MOVEO 0 LIST BELOW ALL EOUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS L o- of FixAmmit $I BRANCH amp Racreetades MOTORS HEATERS CIRCUITS OFFICE USE Loce- ONLY tion Sides 'Atiach`t H_P. Waits A-W.G. Cwiliny Wall Recep'k Switch Wndant Bracket No, Type Each No. EaNt No. Oauga INSPESTION side sides Subr Actual 8a meat 1st FI. 2nd Ft. Srd CO. REMARKS_ UST OTHER ELEC TR FCAL DEVICES NOT SET FORTH ABOVE. OO NOT USE THIS SPACE. This application is Intended to corer the above-)-rated equipment to be Inspected but if at time of inspection there is found additional equipment net above listed. You are au th or iz ad to make the imipecti on and adjust the fees to corer the addi if onal equipment, as provided by the applicant. SIZE OF ELECTRIC SIGN TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER EXPOSED OAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE (NUMBER) )CAPACITY) STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS BUILPING OF SIGN INSPECTION R£OUESTEO ON OR AS NEAR AS POSSIBLE NEW OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRE'S�S�` NAME OF ��1*„ r-J �. v t "�f., �=✓f, tip. OATS OF APPLICANT APPLICATION STREET ADDRESS 44Ic Is I � - - • '�� TELEPHONE CITY OR -- Zip _LICENSE NO. POST OFFICE L.-'t'lr`+ i '"`.7�'.i"" / �.! 4 CODE r WHEN APPLICABLE 46 EL (REV- Iles) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING