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1986-604 _ CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date Oct. 2, 19 87 This is to certify that work requested to be done as shown by Permit No. 86-604 has been completed. This structure may be occupied as a One-Fanily Dwelling Lot 596 Fox Hollow Lane (St. No. 15) Westland Section 15 Location • Owner Richard M. Haag By Order Town Board TOWN OF QUEENSBURY /S —' if Building & Zoning Inspector , , _ 4 BUILDING PERMIT TOWN OF QUEENSBURY No. 86-604 WARREN COUNTY, NEW YORK aqc133Richard M. Haag PERMISSION is hereby granted to OWNER of property located at Lot 596 Fox Hollow Lane (St. #15) Street, Road or Ave. in the Town of Queensbury,To Construct or place a One—FamilyDwelling at the above location in accordance to application together with''plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is 18 Sunset Drive Queensbury, NY 12801 C) 2. CONTRACTOR or BUILDER'S Name ¢' same x 3. CONTRACTOR or BUILDER'S Address w same o0 4. ARCHITECT'S Name rn rt O O rt 5. ARCHITECT'S Address N U1 rn C!] O N X 6. TYPE of Construction—(Please indicate by X) rt H. 0 (x)Wood Frame ( I Masonry ( )Steel ( ) p ~— 0 In 7. PLANS and Specifications 67'x40' per plot plan, specifications and application submitted No. including sewage system and two—car attached garage. N w o 8. Proposed Use a' 0 One—Family Dwelling m $5.00 C/0 $ 185.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 1 19 87 ro (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.) C!4 Dated at the Town of Queensbury this 19th Day of September 19 86 SIGNED BY )I €141 for the Town of Queensbury Building and Zoning Inspector a` . TO BE COMPLETED BY BLDG. DEPT. . �] // Application No. sown of Queeniburty Permit Issued 19 TOWN OF QUEEi3�8URY BUILDING and ZONING DEPARTMENT Permit Expires 19 b Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation i RECEOWED n Queensbury, New York 12801 Variance No. Site Plan Review No. JF=f i©�1986 - / - Approv by': .A.M. r� • f � .4i ' / ,, 1 _ J 71gmgl 112�12345C ArYLICATION FOR i l_ i i , ,P , , , , , BUILDING AND ZONING PERMIT I ? a if tit C-C" 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. 1 The- owner of this property is: .;3ely � ,. j ,t/4} a P.O. Address 4 5-auSe7/ _Z.Ai&r''�, 6L f ,;/". A /v, Tel. 7L•3 4 7 Property Location: 46/ 445- (p /,e. /4a) tiPti& Tax Map No. 77/ / /( Street number or bu lding lot number / Subdivision name (if applicable) r�C /C.V /� p/ G(J GIi•��/ THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: iCf'/4wA /'.04 `J _J2,,re7t .�.Pibe .���t/S' 7,6- . Name P.O. Address Tel. No. Name of builder ,_)gyr/e /fs Ahc Address ' Tel. Name of plumber ri "" '" Address Tel. Name of mason . "" " ', Address Tel. NATURE OF PROPOSED WORK: * ZONING INFORMATION: x 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 building * showing clearly and distinctly all buildings, (no change to exterior dimensions) * whether existing or proposed and indicate all Other work (describe) * set-back dimensions from property lines. Give • * street and number or lot number and indicate FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location LOCATION OF STRUCTURES AFFECTED. * of water supply and location and configuration * of septic disposal area. * * COMPLETE INFORMATION REQUIRED BELOW. . . * Size of property_ ,j ft X /7L� ft. • * Existing building(s) Size 33 ft X 4g ft. * PROPOSED BUILDING AND USE: 90 * Existing building(s) Use 74-4/- l' ��� •Size of new structure 6 7 ft X ft * y%cV ' 7 Foundation-pier/slab/crawl/partia * Proposed building, distance from property line (circle one) * �. • * Front yard ' . . ft Rear yard /// ft No. of stories (habitable space) * Side yards 'y' ft and 37r ft Height (grade to ridge) 6 ft. * If on corner, setback from side street 0 ft If 'residential, no. of families / No. of rooms(excluding baths) ' * OCCUPANCY INFORMATION No. of bedrooms j * No. of bathrooms 1.,� 4 * PRIMARY BUILDING - Primary. heating system & e * X One family dwelling ACT * Two family dwelling Type of fuel -� ' No. of fireplaces to be installed / * Multiple dwelling / Number of units Will a wood stove be installed? A * XPermanent occupancy • Central Air conditioning? NO * Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Otl,ar Ranch Contemporary Log cabin * Raised ranch Mansion Duplex * If addition, what will use be. Split level Old style Bungalow * Cape Cod Cottage Other * ACCESSORY BUILDING- Colonial Row Town House * Detached garage/one car/ tw car/ car ( CIRCLE ONE PLEASE ) * .x Attached garage/one ca two ca / car * * * * * * * * * * * * * * * * * * ' "Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION $.^ /3 COO * 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. l AM& Will any second-hand or ungraded lumber be used? If so, for what? //7 Foundation wall material ,,6 ie ii �• Thickness ��'j Depth of foundation below grade (to bottom of footing) Will there be a cellar?O'c Heated or unheated3j Floor sq. footage ..ZTetD sq ft Will there be a baseme ? G 45-Will any portion be used as living space? �� (If so, what portion? ,-- sq.ft. - - pe of use? Type of roof - sloped/flat/shed/others Material of roof ,riA ,5 %fi S 4 Size, wood studs ,� "X < " spacing /6 "o.c. length 3' ft. Joists(floor beams) 1st. floor „x "X /) " spacing !'G' "o.c. span //ft. Joists (floor beams) 2nd. floor .,Z "X /6 " spacing /lam "o.c. span /( ft. Overlays(ceiling beams) "X (p " spacing / "o.c. span /lL' ft. Roof rafters , "X g' " spacing / o.c. span ft. Roof trusses (pre-engineered) spacing iZ "o.c. span i2 ft. / Exterior wall finish 5 44; Of what material? 4y,L Interior wall finish `efaAce If a garage is o be attach d, describe materials to be used for FIRE SEPARATION: bIs there to ben opining between garage and dwelling? 3' If so will a Fi e-rated door, enclosure, and self-closing device be provided? li4....5.- --J�9/ j. 5Will a flue-lined chimney be installed? r'S Height abo roof ! ft. (� Depth of chimney foundation below grade ,� ft. Depth of fireplace hearth .,2 ft.Q in. Water supply - Municipal or private well eii!/i C ,,GJ Z SEPTIC SYSTEM _ Distance from ANY private well(inclu ing adjoining properties /v4 ft. (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury AFFIDAVIT County of Warren 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 be 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 be complied with, whether specified or not, and that such work is authorized by the owner. �� SWORN TO BEFORE ME THIS Signature_-e'2f� AP _ �'` -__ Owner, ,Q ' } t, } ai nor day of 19 Notary Public, Warren County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: „ , By • TOWN OF QUEENSBURY . WARREN COUNTY , NEW YORK Application for: BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK . STATE ENERGY CONSERVATION- CODE A permit must be obtained before beginning work. ANSWER ALL of the following: 1. Gross floor area o2 :, ' 2 . Type of heat hze4.- . . . . 3 . Is the building mechanically cooled? /14k) _ 4. Percentage of area of windows and doors A. Over 16% Only 1 . Uo value of g css area of walls , roof/ceiling nd floors , • exposed to ambie conditions • 2. Floor over heated space YES a ' a. Are foundation walls 1 sulate• . YES NO 1. If YES, what is the • v. ue? 3f. Slab on grade YES NO • . a. If YES, what is the R alue o• insulation around perimeter of floor? 4 . -Is basement heated? • YES NO • • a. R value of insulation 5. Type of insula ion • \ B. Under 16% Only 1. R value of roof and . floors exposed to ambient conditions ze 2 . R value of exterior walls © . 3 . R value of glazed area A.44 • 4 . R value of doors .05 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 Ail ' • 8. R value of heated basement/cellar walls (above grade) 45 9 . R value of heated basement/cellar walls (below grade) 5 10 . Type of insulation ,C kli f4 .� `sC7i4tie C. Controls ry�O 1. Thermostat maximum heat setting ! . D. Duct Systems �7- 1. Is duct system installed in unheated spaces? YES NOf a. If YES , R value of duct installation - b. R value of duct in other areas f� E. Piping Insulation 1. Size of hot water or cooling carrying agent pipe. 2 . R. value o f pin p'e insulation . —r---- F. Service Water Heating . 1 . Performance efficiency. „...---7- 2. • Temperature control setting maximum /W4' G. For Swimming Pool Only •1. Maximum heating �-------- • Telepho ie No. 7fL5-6 7 • (applicant ' s signature) .. _ .. - • • . • Jc�un o` Queensbury APPLICATION FOR SEPTIC DISPOSAL PERMIT BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, Nevi York 12801 DATE f / O�D LOCATION OF PROPERTY FOR 'INSTALLATION / j L, ti& OWNER' S NAME . 0 , /,pf /4,14 79 lu ADDRESS Al ��,u�� ,�.ni��' �. �l�,v v//S' /� > • TEL Tr INSTALLER' S NAME '-pe,ve • gaxe • TEL 7417 37/ Number of bedrooms (residential only) 3 Total daily flow(compute @ 150 gal per bedroom) Topography Flat - Rolling — Steep slope - (circle one) % of slope Soil natur San - Loam' - Clay - Other .Depth A, ft. Ground' water -At what depth? 1 ft. _. Bed-rock or impervious material - At what depth? • -- ft. Percolation test - Not require - ,Required - -Rate min-inch. Domestic water_ supply - Municipal - Well - Other 4Aiik7/;›,9/ Separation - Watersupply(if well) from Septic absorption ft. Proposed ,System: Septic tank 44110 gal. ( Minimun size, 1000 gal. ) Tile Field: - Each. trench ---- ft. Total system legnth ft. Seepage pit (s) Number of , . Size each 8 ft X 8 ft Size of stone to be used # --or thickness ft. IMPORTANT ! '. On a separate piece of paper, submit a diagram of the proposed system with all dimensions shown; including distance from any structure , distance from property lines and from ANY DOMESTIC WATER SUPPLY or shoreline of lake, streain,pond or wet-lands.' Include all dimensions of the system, itself. * * * * * * _ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * I have read the regulations on the reverse side of this sheet and agree to abide by these and aZZ requirements of The Town of Queensbury Sanitary Sewage Disposal Ordinance . • Signature of..res.p onsible person 02LOA( 7470.619 05/86 and/vl • • • Section II Septic System Inspections: A. All applications for septid system installation, alteration or repair, as required by the Town of Queensbury Sanitary Sewage Ordinance, shall be submitted to the Buildina 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 4) 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 of 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. ..... .,... ...... . .:....:...:..:z.. :,.,,. .x „ . a.x ...�:,...-'w.3m. .lsditAcca+5 vi*.v .., - ilaEX.leNLsid-.'G3s'-�ava"n'�';E>ti34ai: � '�'"a`P .�'�.�..,.u.:.r=.�.:.o s....�.,arx::c�",.a�a�"'�- .e:.. t✓9 ` .7�. 7owno/ &eenhtrt 3U " ENSvIJRY TOWS OFFICE BUILDING ° Y ��,� aE,10�, ,s BAY AND HAVILAND ROADS. R. D. 1 GLENS. PALLS. NEW YORK. 12801 HIG". A'�' TELEPHONE: (518) 792-0832 HIGHWAY DEPT. 793.7771 ' I � f DRIVEWAY PERMIT f APPLICANT: NAME %`hvi A ' r ADDRESS Ld74 -5g �'4�C, /0 , i1/� • (to be inspected) MAILING ADDRESS // r51;,& k leo- zee The Superintendent of Highways,. Town of Queensbury, has reviewed the application of the above named resident to connect a driveway to the Town road. The following action has been taken: y. ( ) Preliminary Approval (to be followed by "Final Approval") ( ) Final Approval Granted ( ) Rejected: Size pipe to be used (if necessary) ( ). 6" ( ) S'° ( ) 10" ( ) 12'" ( ) 24" ( ) 36" f DATE: . Paul H. Naylor • Superintendent of Highways Town of Queensbury SETTLED 1763 . HOME OF NATURAL BEAUTY . . A cigQD PLACE TO MC l, (S c7 Ci ✓�� Jown of Queetiiur1 I/ i BUILDING and ZONING DEPARTMENT )vU'a' a and Haviland Road, R.D.'1 Box 98 � ueensbury, New York 1.2801 V 0 ILDING INSPECTOR ' S REPORT NAME // 79 ( LOCATION / /l% �//�lr/ 77/�j-ti, Dater i/ 5 / FO¢� Y 1 Permit No. * * * *//* * .* * * * * * * * * * * * . * * * * ✓ = APPROVED - ES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing OS Roofing A Siding Masonry Venee Rough Plumbin• Relief Valves Ext. Porches ,J/X Finished Floors Interior Trim Stairs & Railings Cellar Drain Til: Concrete Floors Plbg. Fixtures Gar. Fireproo .ng Door Closers Smoke Detect'.rs P?\ Chimney INSULATION: I, Foundatio Floors Walls ' Ceiling FINAL ELCTRICAL INSPECTION D IVEWAY APPROVAL inal Building Survey , o C 7 (9a-S( c(�`� , r(r /X Next scheduled inspect r(call when ready) Remarks— e/z. 4„,,/,-(4 y, / /1„, r 7 Building I pector 6/86 and-vl i sown of Queeurcy BUILDING and ZONING DEPARTMENT ,4Bay and Haviland Road, R.D. 1 Box 98 'UP-- c Queensbury, New York 12801 ik BUILDING INSPECTOR ' S REPORT NAME //AA c . LOCATION 9 /x N0(.110(01 l Az Date 3/2 / S,-7 Permit No. S)(0 G 0if- * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms 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 II Gar. Fireproofing Door Closers 4/: Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey T / ilitd-e- Next scheduled inspection (call when ready) Remarks- , : I f AL-14, tif----ck—kt---L----- Building Inspector 6/86 and-vl _Jocun of Queen jur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12.801 BUILDING INSPECTOR ' S REPORT NAME 7Gt-a, dam%( LOCATION L /%;-,� Date / / 02 Permit No'. ReTO2 * * * * * * * * * * * * * * * * * * * * * * * = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing • Backfill *Framing ,AJIL j 13 Roofing Siding Masonry Veneer Rough Plumbing '\ / Relief Valves F. Ext. Porches Finished Floors Interior Trim Stairs & Railings /,VC>2, /3/. 7 _ Cellar Drain Tile LU t o i k /,F✓ C;.A2Aa (,;Z Concrete Floors To J.ti jtj3, 441 Plbg. Fixtures Gar. Fireproofing • Door Closers i Smoke Detectors Chimney INSULATION: Foundation ;x POS-&O 414144,/><//0/f-Ll$ Floors Walls Ceiling FINAL ELECTRICAL INSPECTION ' DRIVEWAY APPROVAL Final Building Survey Imo Li-I-m iV- Next scheduled inspection (call when ready) Remarks- 0141 Li: 1 UAL PLJ VS (J L L. E'-t?,►2 PPrtcif f4A-r'%s ,va w / GP . P Aso A4A-leek- Pao$046rz. C ta44.7i loos • Building Inspector ' f 6/86 and-vl _own o/ QUC4Ur y BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPPECCTION NAME ��G C��� LOCATION 04 LJ //OGJ �(� DATE 1 �-/ �/ PERMIT N0. ,5/ 7 `(A SOIL TYPE 41010! Loam - Clay - Percolation est Required? YES Percolation rate - Min/Inch 0 s TYPE of SYSTEM: Absorption field, total length Length of each trench Depth of trenches Size of gravel SEEPAGE PITS-fNumber of) '3 Size- (0 ft. X ft. Gravel size 3 PIPING: Size Type , Bldg. to tank }rt( /50 /hj Tank to dist. box _ Dist. box to field Openings sealed? YES NO Partial LOCATION/SEPARATIONS: Foundation to tank iD ft. Foundation to absorption ,:Q ft. Absorption to lot line /'5 ft.- Separation of pits 14 ft. OF SYSTEM ON PROPERTY(circle one) Front - ear - Left side - Right side - TS: , SYSTEM USE APPROVED 0 NO Building Inspector 01/86 and vl _louin O f Queeniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPO T NAME n ,, e o ,KCGe�Gr�L� o, Z LOCATION— Date 1 / V Permit No: -(46 * * * * * * * * * * * * * * * * * * * * * * * Al = APPROVED - YES / NO `�Footin� ✓er Forms Foundation .(�.� ep�WaterproofingV "� Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing " Relief Valves Ext. Porches Finished Floors Interior Trim f Stairs & Railings . Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing \NN • Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION '' DRIVEWAY APPROVAL I. Final Building Survey i1 Next scheduled inspection (call when ready) Remarks- W Building Inspector 6/86 and-vl Jown of Queenihurj BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME 6 — LOCATION L6 .59 c, x kid f g ut/ Date / v /(6- j Permit No. 8 6 - O �f * * * * * * * * * * * * * * * * * * * * * * * i� = APPROVED - YES / NO Footing/Pier Forms ndation waterproofing L) )(Backfill ()- Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim 1, Stairs & Railings Cellar Drain Tile Concrete Floors \j Plbg. Fixtures /1k Gar. Fireproofing / Door Closers / Smoke Detectors / 1 Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - kl/d2) Building Inspector 6/86 and-vl �1/13/ 4 I 1 • flown o/ Queenitur1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME14 o. 3 LOCATION LbI 5 [ rov. Date (II j / Permit No. 't!a - (o * * * * * * * * * * * * * * * * * * * * * * * = APPROVED - YES NO tFooting/Pier Forms 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 Chimney TION%—i Foundation rU1� 47( -Tlit 0m- Floors Walls Ceiling FINAL ELECTRICAL INSPECTION . • Final Building Survey Next scheduled Inspection(call when ready) Remarks-�e� - /f n 0)110--AUY/_-1'yTt� ✓L I 1(,AJ(,P 63 L17 ftr • • Building Inspector; 686 and-vl I i Jown of Queeniur1 . BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1,Box 98 Queensbury, New York 12801 LiJ u--CA-IL 1 r W-&- -, 00 i�G-j-4.A t.i BUILDING INSPECTOR ' S REPORT Po NAME PJA A LOCATION ,�� 1''c� 'f, 0 L(_rn• fitJ Date Permit No: No _ ( 611 * * * * * * * * * * * * * * * * * * * * * * * ✓�- APPROVED - YE NO ootin /Pier Forms /4 2.47A-c__., 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 i Door Closers Smoke Detectors Chimney INSULATION: / Foundation Floors • Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey , Next scheduled Inspection(call when ready) Remarks- - a` d'L '�)ei_ . kirerA-vt.p. — 4 atr-64_,AAJ )1 Buil ing Ins ector 6/86 and-vl sown of Queenihircy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME /2L-I<_ A-1 4/4-- a�Lc' T LOCATION BL. L Q Date q/ _ YG Permit No.; ��,6,0 1 �y z * * * * * * * * *• * * * * * * *. * * * * * * * ✓ = APPROVED - YES I NO Footin /Pier Forms A/1,17/-z_ j J'UL— rL&/1 CA/.A-4,i_o,IA* 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 / 'N Smoke Detectors / N. Chimney / INSULATION: 1 Foundation Floors Walls Ceiling , FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - Q iYjP Cam✓ Ch '�-e a i"c- -D rt--6. 0 : j Buildingorr Insp ct 6/86 and-vl [-• gl /418..5-/ 1 -EL-1 T //// pr 1---1 , t81 -a 27' 19. iJ`, - `sae • 8;48` No, V C PEME1LJ - i i ir /35 1 4� 1s� .