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1987-019 CERTIFICATE 0. IF 0CC1JPAN'%20qY7 TOWN OF +QUEENSBURY WARREN COUNTY, NEW YORK n«te 19 _ I � Qa This is to certify that work requested to be done as spawn by Permit No. 87-19 has been completed. This structure may be occupied as a _ One--Family Dwelling Lott 13 Bardin Drive (BayView Court ) t Roland E . Bardin , Jr . Ckra By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector C/!t/ TIV< '"MM'1FT/1" •RIMTIM6. GLENS Fn -�S N / 1t�41 Il ►1l-!s3• g a [� T F M 0 R A R Y P CERTIFICATE +CIF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK DateSept . 16 , 19 87 This is to certify that work requested to be done as shown by Permit No. 87- 19 has been completed. One-Famlly Dwelling This stricture may be occupied as a IA ti Lot 13 Bardln Dr . (Ba View Court ) Roland E . Bardin , Jr . G7wner TEMPORARY C / o ISSUED FOR 90 DAYS By ()rder Town Board PENDING CW*UI LETION OF SIDING AND FINAL ELECTRICAL INSPEC'TIONO TOWN OF QUEEAiBBURY i Building & Zoning inspector { s BUILDING PERMIT TOWN OF QUEENSBUR`tt' No. 87-19 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Roland E . Bardin Jr . 0 OWNER of property located at Lot 13 Bardin Drive (Bair View Court ) Street, Road or Ave. ' One—Family Dwelling in the Town of Queensbury, To Construct or place a t=j 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. a)Iss H a l-� F2CONTRACTOR ER'S Address is Twin Channels Road Queensbury , NY u or BUII DER s^ Name same 3. CONTRACTOR or BUIL.DER'S Address same rr 4. ARCHITECT'S Name w G� ri Y 5. ARCHITECT'S Address r� 'f w e m 6. TYPE of Construction — (Please indicate by X) td fv '-C (x ) wood Frame i ) Masonry ( I Steel I. ) � Y m 7. PLANS and Specifications 26 ' x74 ' per plot plan , specifications and application submitted � No. including two—car attached garage and sewage system . r-t V B. Proposed Use One-Family Dwelling m l ❑s B $ 5oOO C/O Y- $ 136 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES August 1 19 87 Se (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 data.) Se Y N �h Y Dated at the Town of Queensbury this 28t Day of January 19 87 SIGNED BY +� for the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG . DEPT. r - € 3 r ;. �f Application No . �Jntun oueenttrt�[ Permit Issued 19 -- f r� _ t � ! rt BUILDING and ZONING DEPARTMENT Permit Expires 19 f R ECL. i �r`E ��! JAN 2 2 19o. Bay and Haviland Road. R.D. 1 Box 98 Zoning Designation Queensbury, New York 12801 variance "^ 1 �t l QC; Site Pl R view No S 'T,,'f,�1 + 10 Approy �.G -. APPLICATION FOR ! } ! ] tj 0" /av/ tyq BUILDING AND ZONING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLOWING . The undersigned hereby applies for a Building Permit to do the following work which will be done in accordance with the description , plans and specifications submitted , and such special conditions as may be indicated on the Permit _ The owner of this-property is : 2K& 0( # 0Q JF &IAla- Q 1 Awe ^� Tel . P1r3GZZG> P . O. Address. R �Je' G1�,#A.IiR.7 � S ICr� {�`l� �t ---- Property Location : 24k4s6Aw ORw 40eoT 4* 3 Tax Map No . # 2. Street number or building lot number .y- Subdivision name ( if applicable) j Tt.,,7 ie w Co 4k k I THE PERSON RESPONSIBLE FrO��R SUPERVISION OF WORK AS REGARDS BUILDING CODE'S IS : Name P. O . Address Tel . No . Name of builder J4C9H70e Address Tel . c Name of plumber S44 rr, /IC Address Tel .'�Zz 40nr Name of mason 3,&0.r ,Or? Address Tel . NATURE OF PROPOSED WORK : ZONING INFORMATION : Construction of a new building A PLOT PLAN MUST BE PREPARED AND SUBMITTED , _Addition to a building drawn reasonably to scale and attached hereto , Alteration to a bu±ldang showing clearly and distinctly all buildings , � (no change to exterior dimensions) whether existing or proposed and indicate all Other work (describe) set-hack dimensions from property lines . Give * street and number or lot number and indicate whether interior or corner lot . Show location FOR DEMOLITION PERMIT , STATE SIZE AND of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED , of septic disposal area . COMPLETE INFORMATION REQUIRED BELOW , Size of property 7ti "} � ft X'-L'ft /► '" Existing building ( s) Size ft X ft , PROPOSED BUILDING AND USE : IAAFC4L + » Existing building ( s ) Use X Size of new structure -Zr, ft X ' ft '� Foundation-pier/slab/crawl/partial/full * Proposed building , distance from property line ( circle one ) ft y- Front yard ' ft Rear yard G} No . of stories (habitable space) � 7. � Side yards Z. ow ft and loo ft Height ( grade to ridge) 2 1 - ftb if on corner , setback from side street t/ ft If residential , no . of families / No & of roams ( excluding baths ) * OCCUPANCY INFORMATION )( No. of bedrooms No . of bathrooms " family dwelling PRIMARY BUILDING - Primary heating system /I,l�,t Y Two Type of fuel 03/l W Two family dwelling Multiple dwelling No . of fireplaces to be installed * / Number of units Will a wood stove be installed? Permanent occupancy �r- Transient occupancy Central Air conditioning? 1ft] Business BUILDING STYLE, PRIMARY STRUCTURE Industrial Ranch Contemporary Log cabin * Other Raised ranch Mansion Duplex If addition , what will use be? split level Old style Bungalow Ca e Cod Cottage Other * ACCESSORY BUILDING- Colonial Row Town House Detached garage/one car/ two car/ car { CIRCLE ONE PLEASE ) - A-t tached garage/one car wo �- car * * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF Other CONSTRUCTION X $ �- ' INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED ! Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . � CtC7tt Will any second-hand or ungraded lumber be used? If so , for what ? A'Of0 Foundation wall material C::L0A-)CjAerJC 'Thickness Depth of foundation below grade to bottom of footing )Will there be a cellar? 3eatec3 Floor sq, footage sq ft Will there be a basement? YfS -llwill any portion be used as living space? ( If so , what portion? 5q . ft . - - Type of use? Type of roof - 'flat/shed/other Material of roof SS Size , wood studs "X La spacing. , "o . o . length Te ft . Jaists ( floor beams ) Ist . floor z x IC3 " spacing "o . c . span IJ ft . Joists ( floor beams ) 2nd . floor 4 Po to _ " spacing 16 "o . c . span ! y"r �ft. Overlays ( ceiling beams ) _ "x +' spacing 16, ,0 . c . span / � ft . Roof rafters "X " spacing_Z6 _o . c . span_,f& ft . Roof trusses (pre-engineered) s acing "o . c . span ft. Exterior wall finish 1-le Of what material? � . yL Interior wall finish !IZ S/�.Pe'a` ##�-'f Cq If a garage is to be attached , describ materials to be used, for FIRE SEPARATION : 5/9 C r . i Is there to be an opening between garage and dwelling? 4 If so will a Fire-rated door , enclosure , and self- closing device be provided? —T` \J �' f � 7f,1C Will a flue-lined chimney he installed? 1. 1PS Height abovS roof ] ft . Depth of chimney foundation below grade �ft . Depth of fireplace hearth ft . in . Water supply - (Municipal or private well SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties ft . (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury County of Warren A F F I D A ►+ I T STATE OF NEW 'YORK I swear that to the best of my knowledge and belief the statements contained in this application , together with the plans and specifications submitted , are a true and complete statement of all proposed work to he done on the described premises and that all provisions of the BUILDING CODE , THE ZONING ORDINANCE , and all other laws pertaining to the proposed work shall he complied with , whether specified or not , and that such work is authorized by the owner . �►^ SWORN TO BEFORE ME THIS Signature _ _ Owner4ownre!7' s agent , arcnicect, contractor day of 19 Notary Public , Warren County , N . Y . SPECIAL CONDITIONS OF THE PERMIT : By TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK 3 Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE A parmit MUNt be Obtained before beginning work . ANSWER ALL of the following : 1 . Gross floor area___ .. 4 .-Z '4/ 0 2 . Type of heat- - ,/p1 t1� f-rR.��fr1 0 _ 3 . Is the building mechanically cooled ? !y' 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 i , If YES , what is the R value ? 3 . Slab on grade 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 M 8 . Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions 2 . R value of exterior walls R / 2 3 , R value of glazed area J Z 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 s . R value of heated basement/cellar walls ( above grade ) 9 . R value of heated basement /cellar walls ( below grade ) k-�r_ 3 100 Type of insulation." Let i T co Controls 1 . Thermostat maximum heat setting 151� D . Duct Systems 10 Is duct system installed in unheated spaces ? YES NO a . I £ YES , R value of duct installation b . R value of duct in other areas E . Piping Insulation 1 . Sire of hot water or cooling carrying agent pipe 2 , R value of pipe insulation ' F . Service Water Heating 1 . Performance efficiency Y� //�, � - / �,t,,.rr�2 5�c �e. rG.r lea 2 . Temperature control setting maximum fez,, G . For Swimming Pool Only 1 . Maximum heating Telephone No . L7 1L _�� ` ' ► `� , f'�e+t�-'�r�" .� ( applicant ' s signature ) vans of APPLICATION FOR 'SEPTIC DISPOSAL PERMIT DATE / LOCATION OF PROPERTY FOR INSTALLATION gAkA A,. 04? + Owner's Name: 44Rjp /JIAd It? . Telephone: 6 Address: _ 5c.viw. [ e,1',.9' ,Rojuel S' A .0,4 C? &Ae Installer"s Name: Ct_ YY . MF Telephone: rf Fes' f 3 ,j Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) �QV Topography: circle on Flat Rolling Steep Slope 90 of slope Sail Nature: circle�one Sa Loam Clay Other / Depth: S' feet jWWGround Water: At what depth? AoAPAwOC feet Bedrock or Impervious Material: At what depth? _ bn&Ag feet Percolation test: circle one: not required equine rate © min. inch. fee • 47- 6 -o Domestic water supply: circle one: rr4unicipal Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption _ feet PROPOSED SYSTEM : Septic Tank / .? _ gal. (minimum size: 1,000 gal.) TILE FIELD : Each Trench 50 feet / Total system length 2 SC► feet SEEPAGE PIT(S) : Number of / Size each feet by feet Size of stone to be used # / Depth or Thickness ^7, ^ feet I M P O R T A N T ...Please.._LIST NEW EQUIPMENT TO BE INSTAI_i_F TS (over) Section II Septic System Inspections: A. All applications for septic system installation, alteration or repair, as required by the Town of Queensbury Sanitary Sewage Ordinance, shall be submitted to the Building Department at least 24 hours before start of construction and shall include a plot plan showing: 1.) the proposed location of the system 2.) location and distance to lot lines 3 .) location and distance to structures 40 location and distance to any water supply 5.) size and dimensions of all tanks, distribution boxes, tile fields and/or drywells B. No system shall be covered before inspection and approval by the building Inspector. Failure to comply with this requirement may result in the uncovering o€ the system by the installer and a fine of up to $250.00. C. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. I have Head the regulations above and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of responsible person: Date: Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SETTLED 1763 . . . HOME OF NATURAL BEAUTY A GOOD. PLACE TO LIVE 4001339 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY �n1 41 STATE STREET. ALMANY, N£W Y }�I Date October 2 0 , 1 9 8 7 Application No. ore felt CI !t (s s ?$T 6 _ dd THIS CEFYTIFiES THAT elnly the electrical egaiprnent as deeeribed below and introduced by the applicant naInted an the above applicatioa nearnber in the promiwes al Rowland Bardin , Twin Chartnela Road , QueensWry , Now York in the fol[o�ning location; 1 ��� p=�eeret �laa Fl. � .4nd F[. Outside Section Block Lot Was examin4RO on / 8 I aa.dfound to be in compliance with the requiremeenta of this Board. FIXTURENTACI� SWFTctiESRxrUNIES RANGES GOOIONG DECKS OVENS DISH WASHERS EXHAUST FANS a+T�TS INCANDESCENT FWORESCEN7 AMT. K. W. AMT. K W AMT. K.W_ AMIr. K. W. AMT. M. R. DRYERS FURNACE MOTORS RJTURE APPLIANCE FEEDERS ISFOCIAL R*CrFTJ TIME CHOCKS I UNIT HEATERS lr<I+M.TI-OIJTI.ET DIMMERS AMT, K. W. OIL N. P. GAS H. P_ AMT. RK}. A W. G. AMT, AMP. AMT. AAVS. TRANS. AM7. N. ►. FRET SYSTEMS N AMT. WATT'S O. or — SERVICE NSCONNECT NO. OF S E R V 1 C E METE AMT. AMR. TYPE EOIRF. 1 ,e sw 1 }' 3W 3 X 3W 3 0 AW Ma. OlER*COMD. OF CC. CO�ND. ' . aF M1-LEG OR NFLEG NO. !JF h1EUTR'RLL OF i,EiJTRAI 1 ISO Cb 1 x 1 2 / 0 1 0 OTHER J"ARATtiS: - a v ec Stephen Kelly 15 Willow Road ^' y Glens FAlls , NewYork 128011 BRANCH MANAGER Par This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their cnsd"tiah_ _COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. THE NEW YORK BOARD OF FIRE UNDERWRITERS ►} , � a t BUREAU OF ELECTRICITY ! 41 STATE STREET, ALBANY. NEWLY(? Dwte Application ,Vo. ore file THIS CERTIFIES THATIdio onfy the e+Gactricaf eT{uipmeFat p deecriif+erd batlerso and tntr!wh4ced by Chet nomad on t he abeae opPlicatlers raireraber in the promises of iti.:J c .:s3 .' f3 Fs :1: -1 L: y . ^' . y L's r"i G.i ' ..1 C .1_YP r in the following lr►ca I � Basement Ej lac r7. © Snd Fl. Section Bloci'c Lot xaoe examined on and found to be in corrrplience with the requirr onents of this Board. FIXTURE TACLES SYtfTC►/ES FIXTIiRlS RANG" CDf.1KINGi DECKS OVENS DISH WASHERIC EXHAUST FANS C IT► S tW.ANDV3CEHT FIUOMSCENr AMT. K. W. AMT. K. W. AMT, K.W. AMT. K. W. AMT. "I ►. rr. DRYERS FURNACE MOTCIRS FUTURE AFFUANCE FII110RS SPECtAi REC'PT TIME CIACK3 DHL UNIT HEATE#5 rMULTI OUTLE7 dIMMERS r]Il H. P. GAS H. P. T. WiO. G. AMT. AMP. AMT. AMPS. TRANS`. SYSTEMS AMT. WATTS NO. t]F RET _ I f 0 ; SERVICE DOCO MIFCT Nt3. OF S E R V 1 C a AMT. AMP. TV" �� T . 2W' I / 8W 9 0 9w 3.0 4w NO. OF CC. GONb. A. W. C3. NO- OF HI IaG A. W. Li. NO. CP i�KilrtALS A. w. �t PeK s of ee. eaHo. oP M-UG of Heu iiAl 157ttlR AIPARATYIS: row 3 . � rs.Y .° E-yC (. L \= .x Q (: :.: 2 w{= w i .i3.^^. 1lc' x.. u: C. ;.y 3 : + L)i M��. L �: �. t'-'. :". Y..:' I. Ip'� i.. ._.LL `.. r dr.ii ♦ 1j (i.ci.�. . ;R L":y L '-) .G _K. ti4 p� W- iL^`7 BRANCH NIANAt3ER Per This certificate must 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. � BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME ± L' .4A/, LOCATION B Ar re 121AJ PARA,0 Date�Tf_ 6 Permit No . civi_ 'l ' + - Footing/Pier Forms APPROVED YES No Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing RP Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar .Drain Til Concrete Floors Plbg . Fixtures )'%Gar _ Fireproof ' g )P�Door Closers Smoke Detecto s Chimney. INSULATION : $(Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL ,,Final Building Survey Next scheduled Inspection (call when ready Remarks-4 3�( P !L`' !3 ['y� FT ,cr( s N (Al I.,v_P.[vG 5 X49 - Building Inspecto 6/85 and-vl O>A7 ell ..Jirwn v� �ueer: shur� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME p o l ac rL jt. o C A T I O N ,C T 13 R •� r+ ICI . u ►� Date 1G / _ Permit No . —2-,!7 ✓ = - Footing/'Pier Farms APPROVED YES NO Foundation Waterproofing Backfill Framing Roofing 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 Chimaxey )( INSULATION - Foundation Floors a1 ]. s Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( call when ready Remarks- Building Inspector 6/86 and-vl _J'own o/ QueensErury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D_ 1 Box 98 Queensbury, New York 12801 BUILDING INSPECT,OR ' S REPORT NAME 11v � d ►. c� 17G[ r � i � �l LOCATION LETS: ate y6/9 / A �2 Permit No . 97 _ . 7 ✓ = APPROVED - YES No Footing/Pier Forms Foundation ' Waterproofing Backfill ]C Frandng Roofing Siding Masonry Veneer *�L 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 DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready ) Remar ks-- Bui ding Insp tca 6/86 and-vl 3 /3 / fr7 9 Is 42 0 lh4► / _Jown o/ Q" een36+urm BUILDING and ZONING DEPARTMENT Bay and Haviiand Road, R. D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LCOCAT I CJN_ _ 1_a {- / � J�Gk t�r a P - e r t -r-4 e.5 DATE 3/,?/ I ,�Z PERMIT NO. 4Y &7 - { `] SOIL TYPE - an - Loam - Clay - Percolation Test Required? YES NO Percolation. rate - Min/Inch TYPE of SYSTEM: Absorption field , total length ` Length of each trench &&S Depth of trenches_ Size of gravel �. SEEPAGE PITS414' inber Size-f � '~~ft . Grav 3.ze PIPING : Size Type Bldg . to tank f.4 "Seya.t{f� Tank to disc. box t�j -- Dist_ box to field/pit +-{ 00 `/'� Openings sealed? YES NO Partial LOCATION/SEPARATIONS : Foundation to tank f1ft:�a Foundation to absorption zoftrf- Absorption to lot line ft . Separation of pits ft- LOCATION O SYSTEM ON PROPERTY (circle one ) Front - Caa - t sid - Right side - COMMENTS Mc _` 6 $-aIf rjr7sfq/le�0^ SiAIC' P, PF;.r OptAAAIL UrrO 0 CS SYSTEM USE APPROVED4ingpe _ 1 Buior 01/86 and Vl {y/� . ./own o/ �ueensbur� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D_ 1 Box 98 ` Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME ,��yy ++ LOCATION Lb' ' _ Date Permit NO . ✓ - FoOtingJPier Forms APPROVED YES NO Foundation Waterproofing Backfill L Framing Roofing Siding Masonry Veneer Rough Plumbing - Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain TileT�" Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors �+C Chimney INSULATION Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready ) Remarks- Building Inspec r 6J86 and-vl 3'(toh 4 JOLt " c► LteeIt3C7ftr BUILDING and ZONING DEPARTMENT Bay and Ha►riland Road, Rt D- 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME ff¢Iq �y4 j3 LOCATION Date Ah Xk7�` permit ✓ = - 5( Footing/Pier Forms APPROVED YE NO t Foundation waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs 6 Railings Cellar .Drain Tile Concrete Floors _ Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSUr.ATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( call when ready Remarks- Building Inspector bfB� and-vl Cc��-z. /ear 1dr �'' ■■ ._-./rrwn v/ Queen3hure� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION , Date �f Permit No . ✓ = - Footing/Pier Forms � APPROVED YES NO }C Foundations Waterproofing Backfi.11 Framing Roofing Siding Masonry Veneer Rough Plumbing f Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSUI.ATI ON Foundation Floors Walls Ceiling FINA.L, ELECTRICAL, INSPECTION Final Building Survey Next scheduled Inspection ( call when ready) Remarks- - 6 6/85 and-vi Building Inspector i ✓[3WIZ Cl Q ee "IShL[!'� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INNSPECTOR ' S REPORT NAME L (] CATI ()N Date J� Permit] No . gq _ `l ✓ APPROVED - YE$ / NO Footing/pier Forms+.q � J � C e9.:FY Foundation �4 Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim v Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION * Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( call when ready ) Remarks- An Suildi Rg Ins tar 6/86 and-vl BUILDING DEPT, COPY OF APPLICATION RM 464EL, NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY W H BUILDING DEPOT: WHEN REQUIRED. CITY OR - + VILLAGE _ +' r �. ; , i; ft. TOWNSIf?1! ! " f f {COUNTY ♦ ^ e! STREET AND NO. OR Alf ROAD AND POLE NO, BETWEEN WHAT TWO CROSS STREETS IS PREMISES LdCATED7 ,7- - = ?... r" " d' vk + •' SECTION BLOCK LOT/ OCCUPANT'S BUILDING .._ NAME OCCUPANCY OWNER'S NAME _ AND ADDRESS , /- /Jr .[! .+' WA Ir TEL # , CURRENT SUPPLIED �` BY /�'� ' s`i ':!' L!J '�-, FROM THEIR f �:` I + r ,{�/ OFFICE is BUILDING 'Al . NEW OLD ❑ Is NEW yp,, ADDITIONAL C3 REFECTS MOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS LNemp q c p MOTORS HEATERS CIRCUITS Lacy CIRCUITS OFFICE USE ONLY ifan Side Attech't i^E Wslr Rseep7e Switch Pendent Breeketl No. Typr E.Wt No, Sert"eer. N'e, cesWgGi' INSPECTION Bids Got- Baer Ittam �t lat FI. 2nd Ff. 3rd FI. REMARKS: LIST OTHER ELECTRICAL QEVIC ES NOT SET FORTH ABOVE: DO NOT USE. THIS SPACE. This application is intended to corer the abovrli.tad equipment to ba insprctad but if at time of inspection there is found additional equipment not above listed. You are authorized to make the inupection end adlust the Ise to cavar the additional equipment, as prodded by the applicant. SIZE Of MAINS ;f -. r (, : f' i FEEDERS ELECTRILASIS TOTAL WATTS CHARACTER - - }(POSEEp..' GAS TUBE SIGN OF WORK ..r 't y�i.,,,, ,{t" •t.a..,. • E €ALEO TRANSFORMERS OF WORK TO BE - MA STARTED 'j -- / r [N VMBERr (CAPACITY] .r yr7 C{7MPLETEQ" + ' 512E OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS 1 LdI OF SIGN INSPECTION REOUESTED ON OR AS NEAR AS ,��� �- POSSIBLE NE•W ❑ OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. DATE OF APPLICATION PRINT NAME AND ADDRESS NAME OF APPLICANT -'i ei r •# ,{iN j � i `r �'I !` ° SIGNATURE APPLICANT STREET ADDRESS I4...c6 ! 1M1.F G / i /h.tl/1#J: P 3 . '".✓ TELEPHONE CITY on ZIP } LICENSE Nd. PO.fT OFFICE CODE !/ I WHEN APPLICABLE AJEL ]REV, lle6) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING 1 1'3AflA%N DR. - s'o