1987-095 CERTIFICATE OF OCCUP Cy
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Dater March la , 19 Es isis
87111111195
This is to certify that work requested to be done as shown by Permit No.
has been completed.
be occupied as a ov.e--f amily Dwelling
This structure may F
Location
Lot 41 Queens Lane. ( St , tioa Ib
Classic Homebuilders , Iris .
Owner
By Order Town Board
Tt7VW'1"3 OF QUEENSBURY
12
Building & zing Inspector
- BUILDING PERMIT
TOWN OF QUEENSBURY No. F-g
WARREN COUNTY, NEW YORK
m
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Classic Homebuilders , Inc .
PERMISSIONis hereby granted to
x
Lot 41 Queens Lane ( St . No . 16 ) Street, Road or Ave.
OWNER of property located at ♦ g
ro
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
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. l
M
1 . OWNER'S Address is P • O . Box 14421 O
Albany , New York 12212-4421
2. CONTRACTOR or BUI LOER'S Name same M O
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3. CONTRACTOR or BUILDER 'S Address H rD
same
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4_ ARCHITECT'S Name £N M
M rt
M rt
VO
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S. ARCHITECT'S, Address ro a
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8_ TYPE of Construction — (Please indicate by X)
(X) Wood Frame ( ) Masonry ( ) steel i }
7. PLANS and Specifications
44 ' x38 ' per plot plan , specifications and. application submitted
Na. including sewage system and two-car attached garage .
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B. Proposed Use =1
One-Family Dwelling
$5 • Q0 C/O October 1 87'
$ 112 . 00 PERMIT FEE PAIL) - THIS PERMIT EXPIRES 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the .
town of Queonsbu ry before the expiration date.) o0
Dated at the Town of Q 30th Day of March 19 87ueensbury this
SIGNED BY f/�' for the Town of Queensbury
Building and Zoning Inspector
TO BE COMPLETED BY BLDG . DEPT . TOWN OF
� ,ram Application No . k.
f �+J
�7own *I l_v,C/u.eenj ur Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires 19 R 241987
Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation y
Queensbury, New York 12801 Variance No . i SUtl.C}ING & CODE DEPT.
['�` L� Site Plan Review No .
a 1 - f Appr�oyvyefdby :
4017
APPLICATION FORVi
"I -- C
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 thisproperty-is : -4. 6,+rl��,. I� ; I c �
P. O. Address_?C1 So X. 144 :01 /"' e� BP Q(l IN v7 1 �C+a.4^'+' r'�-ir Tel .
Property Location : Q t,1E,Pl1,J S � 4 N Tax Map No .
Street number or building lot numlt` er010-2
r; C
Subdivision name ( if applicable) '��� {V '�I -L7 -
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS :
Name P . O. Address Tel . No .
Name of builder C4ASSIC "be*a&Ai%Cb4A'.Gkddress M MW1444V nVA46J 1 !�Jy Tel . 8 72 06 2 �
Name of plumber :51on ►o 1GeL Address ►% Gch'I{ c A.) em
Tel . 7 3 - 2: �
Name of mason - 044C.1 Wke 0 ' Address S�j�-° rJ ,. Tel . 3 ' s �i
►
MATURE. 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
* whether interior or corner lot . Show location
FOR DEMOLITION PERMIT , STATE SIZE AND of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTED . x of septic disposal area .
COMPLETE INFORMATION REQUIRED BELOW .
Size of property 11-0 3? ft X 147_0 £t .
Existing building ( s ) Si. ft X ft .
PROPOSED BUILDING AND USE . Existing building s ) Use
Size of new structure A4 i ft X3S41ft
ul Proposed building , distant from property lane
Foundation-pier/slab/crawl/partia
(circle one )
Front yard J`-� ft Rear yard ft
No . of stories (habitable space ) y ft and S ft
� Side yards
Height (grade to ridge ) If on corner , setback from side street,-.&Zi¢ ft
If residential , no . of families i -`�-'—
Now of rooms ( excluding baths)ww
OCCUPANCY INFORMATION
No. of bedrooms_
�. PRIMARY BUILDING No . of bathrooms `One family dwelling
Primary heating system ,�LjCC. E 1;1D/# ( Two family dwelling
Type of fuel Multiple dwelling / Number of units
No . of fireplaces to be installed 1
Permanent occupancy
Will a wood stove be installed? Iu Q Transient occupancy
Central Air conditioning? n1C3
- Business
BUILDING STYLE, PRIMARY STRUCTURE Industrial
r.--------..
Ranch Contemporary Log cab-InOther
"
If addition , what wi11 use be?
Raised ranch saon Duplex
Split level Old style Bungalow
Cape Cod Cottage Other ACCESSORY BUILDING-
Colonial Row Town House Detached garage/one car/ two car/ car
19 �q fi ROLE ONE PLEASE ) * 'd Attached garage/one car two c Car
* * * * * * * * * * * * Private storage building
STIMATED MARKET VALUE OF " Other
CONSTRUCTION
INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETEDI
Form BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILdINGkSPECIPICATIONS :
Type of construction , wood frame fire safe , etc .
Will any second-hand or ungraded lumber be used? If so , for what ? �J
Foundation wall material Cam. ReAock Thickness 40 + '$,
Depth of foundation below grade (to bottom of footing ) _
Will there be a cellar? YleS Heated or unheated? 4+Iufi A+M� 3 Floor sqv footage j s ft
Will there be a basement?jd4lfiF Will any portion be unused as living space? � q
( If so , what portion? sq . ft . _ _ Type of ,rase?
Type of roof - slope flat/shed/other Material of roof $ c�
Size , wood studs "X itspacing
' ._ _ _ l .�„o . c . length "!�.'�4% w
.701sts ( floor beams ) 1st . floor X ► O " spacing—L&_"o . c . span LLof
j ft . /�S #%oe platy" s
Joists ( floor beams ) 2nd . floor ?�-_"X p '� spacing ► O .C . span ft . As 0*4p. pig*" !3
Overlays ( ceiling beams ) ITX 10s acing "o . co span ft .
Roof rafters FIX " spacing�o . c . span ft .
Roof trusses (pre-engineered) sDaningZd`9� "o . c . span ft ., ,',S Pee P/41►] s
Exterior wall finish_'/Z' Ci4jG $[a+0. jeo $ nF
Interior wall finish
If a garage is to be attaTched , describe materials to be used for FIRE SEPARATION :
Is there to be an opening between garage and dwelling? (je,5Z If so will a Fire-rated
door , enclosure , and self-closing device he provided?
Will a flue-lined chimney be installed.? Al Q Height above roof_ ' ft .
Depth of chimney foundation below grade _-p ft .
Depth of fireplace hearth__?..�.ft . pad .
Water supply - ci or private well
SEPTIC SYSTEM Distance from ANY private well ( including adjoining properties b/ 4 ft .
(A separate application is necessary for ' any repair or new installation of septic system)
Town of Queensbury A
County of Warren A F F I D A V 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 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 _
day of lg - _ ; __
Owner , owner ' s agent , arcknatect, contractor
Notary Public , Warren County, N . Y .
* * * * t * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * #
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 followings
1 . Gross floor area �6C
2 . Type of heat & e ::
3 . Is the building mechanically cooled ? IV Q
4 . Percentage of area of windows and doors 1 *
A . Over 16 % Only
1 . U value of gross area of walls , roof / ceiling and floors
exposed to ambient conditions
2 , Floor over heated spaces <- s NO
a . Are foundation walls insulated ? YES CE0
1 . If YES , what is the R value ?
3 . Slab on grade YES
a . If YES , what is the R value of insulation around
perimeter of floor ?
4 . Is basement heated. ? YES NCS]
a , R value of insulation
5 . Type of insulation ewi bexcl a( S 3
B . Under 16 % Only
1. R vai of roof and floors exposed to ambient conditions.
ng
2 , R value of exterior walls '' mm,
ci
3 . R value of glazed area 1 .
4 . R value of doors mmmm �
5 . R value of floors over unheated paces ---
6 . R value of slab edge insulation - unhea'Ce.� a
7 . R value of slab insulation - heated slab_
8 . R value of heated basement/ cellar walls ( above grade ) AJ
//�
9 . R value of heated basement /cellar walls (below grade )
10 , Type of insulation )^ ' -' �"" `7ha
C . Controls C] Q "
1 . Thermostat maximum heat setting 1I
D . Duct Systems
1 . Is duct system installed in unheated spaces ? YES NO
a . If YES , R value of duct installation ZA
b . R value of duct in other areas
E . Piping Insulation
1 . size of hot water or cooling carrying agent pip e
2 � R value Of pipe insulation It
F . service Water Heating
1 . Performance efficiency
2 . Temperature control setting maximum C�°
G . For swimming Pool Only /
1 . Maximum heating ���Jr(
Telephone No . 8?170 1 6 0 Z
( applicant ' s signature )
APPLICATION FOR SEPTIC DISPOSAL PERMIT
BATE 044 .' 8 e7/
LOCATION OF PROPERTY FOR INSTALLATION 4
Owner's Name: (: L + Ie 140 �y . E7:;b! C ES Telephone:
Address: t 'T L�� fYa-6 �1P "f f �G ^G 1
Installer's Name: A LIrS� Telephone: I 2
(��
Number of bedrooms (residential only) _
Total daily flow (compute @ 150 gal per bedroom)
Topagraplxy. circle one: <1Flat Roiling Steep Slope % of slope
Soil Nature: circle one: Sa Loam. Clay Other / Depth: feet
Ground 'Water: At what depth? . IA::: feet
Bedrock or Impervious Material: At what depth? t,//A feet
4,,ep� x,�4hc1
Percolation test: circle one: not required required rate *V min. inch.
Domestic water supply: circle one: Municipal Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption #' feet
PROPOSED SYSTEM : Septic Tank 1 000 gal. (minimum size: 1 ,000 gal.)
TILE FIELD: Each Trench S +0 feet / Total system length Z <C3_ feet
SEEPAGE PIT(S): Number of I' A / Size each feet by feet
Size of stone to be used # JZ / Depth or Thickness 1 24 feet
IMPORTANT
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
(over)
mommmomm
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
4.) location and distance to any water supply
5.) size and dimensions of all tanks, distribution
boxes, the 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 $Z50.00.
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 worts, 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 read the regulations above and agree to abide by these and all requirements
of the Town of Queensbury Sanitary Sewage Disposal C}rdina.nce.
Signature of responsible person: [i��
Date: 2 - 8 7
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
SETTLED 1763 . . }TOME OF NATURAL BEAUTY . . A GOOD PLACE TO LIVE
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THE NEW YORK BOARD OF FIRE UNDERWRITERS
to BUREAU C]F ELECTRICITY
January 1� 1988 41 STATE STREET. ALBANY. NEW Y? L"�,Fi2Z
Date R Application .Yo. on file UL11 !b[31 Li / x 7 J 4 7 4 5
THIS CERTIFIES THAT
tally the electrical equipment ae described below and introduced by the applical menswed on the above appiicatson number III the promisee of
Classic nome Bulder Inc . Lot 41 Queens Lane Glens Falls , NY one rar13ly
90 9 41
in thefoilowing ! ..+ Basemens lime Fl. ❑ 8nd Fl. Section Black loot
1V= —
was ezamin.eti an and found to be in compliance with the regMirements of this Board. _
FIXTURES RANGES COOKING oECKs GIVENS DISH WASHERS EXHAUST FANS �
wxTUIT PTACLU SVOTCHEs
Ot1TLET5 INCANDESCE Nf F1410RE5+CENT A AMT, K. W. AMT. K. C AMT, K.W. AMT- 1 W, AMT- X. P.
22 46 21 �� i �' • � g �r
DRYERS FURNACE MOTORS FUTURE AMN.IANCE FEEFlERS S#ECIAL REC'PT TIME CLOCKS EE{,6 UNIT HEATERS MULTI.OUTLET DIMMERS y
AM.7_ K. W. CWl H. P. GAS H- P- AMT- NO. W. G, AMf. AMP, AM►. AMPS. TEAKS. AMT- H. P, r�10 lT MAT. WATTS
i drye #10 1 e
SERVICE DISCONNECT No, Or S E R V I C E � pp� i
AMT. AMP. TYPE METER 1 X a1N 1 ,e 7tiv S JR snv a I' AW' NCf, aF CG CONa. A. W- NG. aF HI-IIEG A- W G. No. of NEUTRALS GF 1E111*AL
E( I, PER !' GF CC. C&D. OF MANG
i 200 eb i X 4/t 2/0 1 1
OT APPARATUS: ,1+�['�
E�ac . Room Heaters : 312 . 0 , 4/ ZJfR 3/ 1 . 0 , 31 . 75
2- gfci k
r
I--smoke detector
Clase3.a 'Home Builders IxLc .
Boat 14421 BRANCH MANAGER
Albany . Nei 12212
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.
+� aee¢nsur�
I (y+ �' ocun +ti
1 BLII�Djt4G and Zr3N%N C1�PARY�Bx 9$
G41 11 may ,and Ha�ritiand Road. Ot
C]ueensbury, New York 1280t
REPORT
BUILDING INSPECTOR
N,we ( �GZe 1w
LOCATIM' j7 - 7
l p �7' permit �o
pate q No
* * * k * * * $000* * APPPJWED -
Foot3.ri9/Pier Forms
Foundation
Waterproof inq
Bac:kf ill
F ranting
goof inq
Siding
r
�,�yasonry Vexa
Relief V - lVes
Ext - Porches
Finished 'Floors
stairs
t2axs � gaili.ngs
Cellar Drain Tile
Concrete Floors
Plbg • Fixture s
Gar . Fireproo€ing
Door Closers
Smoke Detectors
Chimney
IN SMATT-ON
Foun lon
Floors
Wails
Ceiling_ .AL INSPECTICYN�--
FI13AL ELE+CTR
I]R.Lv'z P6y APP'R
Final
guildin8 Surv{ey .�.�-�"�
call when ready
inspection [
Next scheduled
C
4 -
puil+ding Inspector
j6/863-vl
_,lnwaz o� Queens � u+r+t�
BuiLDING and ZONING L)R-D, i ox 9
f11� fl Bay and "aviland Road. R-D. 1 Sox 98
Queensbury, New York 12801
f
SEPTIC DISPOSAL SYSTE ''M Y INSPECTION
01
N+�M�
LOCATION
arl�`- PERMIT NO ._
DA7CE ?�!
Sand - cla �- �---�—
E - LOau' _
SOIL Test Requ3-red? ES NO
PePercolation-laPercolation-
to � ,Min/In �.
percolation r
*TYPE of SYS layto leng th
pbsorpicion f 11 trencjil
Length of to hes
Depth of ---
size of grave
SEEPAGE PTTS-414 r of) _
ft. ft.
Size-Gravel size Sine-J Type
P IP INN
Bldg - to tank ----�—
dist box
Tanis to Dist. box It field 140 P tial
Open3.ng s se led?
140CATT013/S AbtATIONS = LIII• t.
Foundatio to tank ft _
to absorption
Foundat.io f t .
AbsorPtio to lot line ft .
Separati of Pits circle one)
LC�CATIC313 SYSTEM CN PROPER ht side -
Front -
r _ Lef t side
CC AMENT
r- U`
,.. , cooj / G
SYSTEM T3SE APPROVED NO
YES
Build`3 inspector
pl/$6 and vl
Queens
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
I Oueensbury, New York 12801
SEPTIC
EPTIC DISPOSAL
SYSTEM INSPECTION
NAME
LOCAT I ON /'f
DATE /� /� PERMIT NO.
SOIL TYPE - and Loam - Clay -
Percolation Required? YES
Percolation rate - Min/Inch 3
TYPE of SYSTEM :
Absorption field , total ngth _
Length of each trench ~ -
Depth of trenches
-
Size of gravel qmWww
SEEPAGE PITS4 er f )
size- ft. _ ft •
Gravel size
PIPING : Sizer Type
'Bldgo to tank r5" t
Tank to dirt .
Dist* box to f ' 1 /pit
Openings Seale ? YES NO artial_
LOCATION/SEPPA TI
Foundation t tank. 'a. rf't-
Foundation t absorp ' on Oft.
Absorption t lot lin ft.o-
separation pits f-to
WCATION STEM ON P OPERTY (circle one)
Front - ea Left side - Right side -
CCMMEN
'a"
SYSTEM USE APPROVED YES O
ing in pector
01/8+6 and v1
E pAjj* I0r INSPECTION AGE" J ��""'
lilllllllllllllllllllIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIillillillillillillilliiiiiiilillllwmww=MMMONawo
National lleadqua N. 1- 08108
,g,pij`jjaddon Avi2.. Cok1'sn9s'wood, pate'
I i 1 d u'v+' +�° � ;Mate
County
City. Town or Township G Poke *P
U {? +N ease ,Attacfi pirectlonsl permit # r� Old '
LocationlAddm� R (►f ted in Rural Area - Pl Building: Ne
pvaner Floor . eUc.l:
Occupied As r1C Area in Bulls for 1nsPectioll
Rea Make Pa able TO: M-D.LA.
OczuPant
rv` or: fJi.O- xzaw
17 psoo xsso 30o0
for: yyisih Check txso aeon 50 xn Range
750
Fee Remitted - �' Elect. Heat FDishw ±her "------~-pump
Wiring Outlets 'Surface Unit .----- D der
Number of Rough r__J_AMP. Service - -�-�� Air Conditioner �---�~ trols for_- f--�-- Burner
`- , .Vjater Heater -�----- l Wiring and Con
Switches Garbage CfisPoSa
Lighting ��OvenRece� _, Fralctional H.P. Vent Fans
Receptacles r of Fixtu 1-- -gyp'
talcies
Num ao so zs loo
Other Equipment:
.. � � '� 10 l5 20
25
?J2 . lfl 3I10 1/a 1/G 114 1/3 1/2 3/a 1 1 2
Mi] tC3F15 H_1'. ti of
'N7ark pyu 1z License # V l
of tech Size f
Applicant's P
Signan"'a fir' Service Request #
TIA If (zip)
ApPli t' Addr - (State) Electrician-
I.
rt
i OA7E 1f45PECTE'�'
Phone # - _
gA7E Rr=CEIV EQ: d
or: Cfvesi SP
Correct Location: Same as Above Di
Surface Unit Csarb'
Red Notice Label Outlets Ran DisktwNasher
Wiring
Rough p er _
Water Heater
4 Switches AMP
Race tacles Air Conditioner
Coik r*S for- 'Vent'Pwis
Fixtures Burner ra so 5 loo
Service Equipment Pump 2 3 5 7us l0 15 zo 25 30
Am . Service Conductors
.. 1!� 1l12 Conductors
1/`i2 -4/* 1 li/s
{. Soo Aso coo lxw xsoo 175D . .
Rau g x7aa Sup'°
mark Nusrn6ar
of each size Elect. -Refit
L1GD Contractor CASH
L R progress: Inc. knc. t Fee C111 `y
W Violation : NYork CamP. p Owner Due
C3 CFT _ . __ _ MuniG r„ i
LIA ,tts � �" + 5^ : lfcaiif
f-K6 IT
rw;irii
„r UtFae+r
114 f
T. .i Zvi f Y
r
; Se
.,e.is� . tc ' IY1p $`SIGNATl3F1lCf.
Cut in Car i+�T ,sr•�:aas
Date
IPA
Final tkpppppppp
c'G .
AYpl_ICATION Va RM Nd. 250 G. I11°aifi• J
J
M�DA'Lf �Pq� NT �IYSPE�
NATIONAL H AF At
iftft , CMW
90 Haddon.' •EC1Awe. -Ccllrngw RTERS:
oN. l. 08108 {609) y
a DELAWARE
1876 New NEW JERSEY
Port Gap Pike
14arshallton, Del. 19808- 1500 N. King s(302) 999-0243% Suite 105 Hwy. 1542 Bristol Pike
13 N. Cherry Full, N.J. ()8034 U.S. Route 13
Church Street (609,}t28-800 Bensalem P ,
Milford, C7el. �9963 a 79020
(302) 422-5729 350 Grove Street (215) 244.1919
(3Q2) 856-2218 Grove XXII. Corner
e .J. 08807 P.O. a Route 19
Bridgewater, , North
g water, Nox 136
41ARYLAIYD (201 ) 52670MO Wexford, Pa. 1S090
26 S. State Street (412) 931-3028
Milford Professional Bldg (472) 935-75,
3670 Hackensack, N.J. 07602
Milford "ll Road. (20I ) 487-5373 128 N Baltimore. Md. 21207 Market St.
(301 ) 922- 1122. Scranton, Pa. 18504
Route 9 (7I7) 344-9$25
Burch oil Mar►'nora. N.J.. 08223 -
E/S Route 5' Bldg. (609) 390- 1940
Cho lofts Hall ViRGiNJA
M iN 645-2219 d. 20622 NEW YOR
(301 ) 884-4547 K 42 W. Piccadilly
winch6ster Va. Street
Washington 803 Utica Street (703) 667-8484 22607
9 Co. P-O. Box 745
Office Bldg, Oriskany,
33 W Washington Ave. (316) 337-48013424
Hagerstown, PAd. 21740
(301 ) 791 -3190 460 State Street
Hitch Bldg, Room 406
Salisbury B
636 S. g Room Blvd vd Rochester, N. Y. 14608
Salisbury, Md. 2I801 (716) 454-5191
(307) 749-0641
Room 30I Main PENNSYLVANIA
Court House Street .
Elkton, Md. 121 W- Tenth Street
Elkton,
21921 Erie, Pa. 7e5Q1
398-5200 (814) 452-4604
Routes 404 & 662 206-
lye.
Mlye Mills, -Md. 21679 Kingston, a 18704 Ave,
(301 ) 822 8300 (717) 2884906 -
(301 ) 758-0958
1526 Cedar Cliff Dr,
Camp Hill. Pa. 17077
(717) 761 5340
TICE Toi+IPPLICANTS: Final inspection and approval may be r
;upoplsr Agency undertakes to provide inspections until final wired by taw before electrical current may
n d61* the last inspection. upon expiration .of, 120 days.firarn tine date�ot is granted if such requests am �e energized for use �
dd.* the Agency shall be deemed completed, and all fees paid by applicant shall dog m"e11t ;nspeatian, all duties and�obligations
f} � Ceher rif Caton shall be plied or inferred Withoucidlons shall be Wdertaken by the Agency t isshtsan+ceout lolf a dng f a new appricat€on, apd th s�yment of relevantfor services ins rformed. No
WY executed certificate.. inspection tees.
�� In t1 g . ,.11c�ion jor lflspecttDn cannot assurne responsibility for unavoidable delays in inspection_
•' pp YEA#iS°' pRQTfeCTING TINE CONTRACTOR AND THE C�DAFSt,IMLR.
_. vwre O TNEN IJG 1NGDEPAR
BUIL00
i Box 98
Bay and 14aviland Road. R E+
()ueensbury, New York i 2goi
INSFECTCIR ` "s. -REEPPC7R`TT s
NAME `
L()CAT ION , ,y C
Permit
Date * * * * * * NO
,APPROVED - YES
Footing/Pier Forms
Foundation
Waterproofing
13a,ckf ill
Framing
Roofing
siding
Masonry Veneer
Rough Plumbing --- �r --
Rel, jef valves
Ext . Porches
Finished Floors
Interior Trim
Stairs F R idings
Cellar Drain Tile
Concrete Floors
1'1'bg • Fixtures
Gar . Fireproofi
Door Closers
Smoke Detecto
Chimney
)OIN SUI,ATION
Foundation
Floors b
walls
Calling TRTCRL INSPEGTIOt3r
FINRI iT'
PP P,0V AL
1]liIVF.WAY ldin8 survey
Final l3u
t scheduled insP
rction
'Nex Cea71 when ready )
lZemarky_
gUilding Inspector
�/gf, mci-`tl
town o
BUltpiNG and ZOI4riNG GIEPARTMENT
Bay and Haviland Road, pt.D• 1 Box 98
pueensbury. NOW York 12801
BUILDING INSPFGTOR S
REPORT
7Cma.t NO .
I7r71t�'- * * * * ✓ * P4ppROVBD * * l3O
* * * - YES
Fa,e,ting/Pier Forms
Foundation
Waterproof ing
sach.f i l l
L, naming
R00f ing
Siding
,asonry veneer
Rough Plumbing_--- --
J
Re}. ie f Valves
Ext . porches
Finished Floors �-�-
Interior Trim -- --
Stairs & R,ailings�- � -
Cellar Drain 'rile
concrete Floors
plbg - Fixtures
Gar . Fireproofing. —� - �- -
Door closers �__�---
S oXe De ec ors —
imneY
I14SULAT3:0N
Foundation
Floors
Walls
ceiling 114 pECTIOI3`_� ~ ~ -
F :ENAL ELECTRICAL
) -Ivy AY rc
AFPROFV ---
Final l tiding suveY�----r^~
ady)
insp
ection (call when
Vext scheduled re
Reenarka--
auilding Inspector
G'� �� pen3 � uME��
_J0 O N1NG pFPAR
Boll-DING and Z4 RD. 1 Boy, 98
Bay and 1-iawiland SOad• 12801
OueensburY. t3ew York
B01 LID I 'NG 11N5PECTo
s 5
1.1AME
LOCAT i ON
permi it. 1J_ _ **-*
Cyr [ �' * * * * * * Y 134
0/ PapP17C7V
9/Pier Forms - �
t ion
poun f in�3
WatexP
Back/i}.1
Framing
Roof
S i d inr3
rY Veneer
aSon Plumbi
aSon nc3
FotjcgbBelief Valves
Fxt yc'rc Fl ors
F in ishedTr
Flo �---
InteriQ& x-in�3s�,_�
C llar Brain Tile__----" f '
Floor
Crancra't�'•
Fixtures
Pll x3 . roof ing
Car . FrreP
V00r Closers
smoke pet {ect'ors
C7himnev
INSUI.ATT OL3 s
Foundation
Floors
walls sl'FC T-1014
Ceiliny Ii3 rr�
F I14 AL TG:LEC Tr C AL ��-
17R3VEWP.`L P.PPI�O'VAL.� --�r"".�--^�
Final tiuildint
wwhet' r da y)
inspection
(call
'Next :scheduled
�{exra r k5,
Fsuilding I"efie'ctor
(,/86 xnd-� 1
ii �y 7 901vrl ePARTmENT
r 11 I iaUILDfNG and Z(:)tf4 p
�.Q8Ox 9$
T� Bay and Fiaviland F��ad•
aueensburY• t4 YC]rk �2841
SlJll_'Dll^SG INSPECTOR
� S R'EPCIRT
Ki C � er•
t4At4E CA
u +G err 3 -'-
LtJCAT 1 ON o pr.7
--
Permit I3a '
t]8tE' * * Z h * * ✓ 0
APPR0 * YE 23
ED
Footing/pier
Fare S
k,Q,,xndat.ion _-.----
W ater'Pz c:,a f ins]
ga,oKfill
F ramin�3
Roof inr3
Siding
MasanrY Venee-r------�_'�.�---_------
Rotigb
Relief Vales
Fxt . Porches
Finished Floors
Interior Trim
Stairs & Railings_._------
Cellar Drain Tile--
Conerete Floaxs__� _—
Gar -
or Closers
oke Detectors.---
Chimney
INSUIJ)P ` '01'3
votIndati.nn
Walls
Ceiling IC AL 7N5PEC
TI'K FWA'i APPRLlSTAL, ----r'~
Final Buildin3� SurveY .�- --�~�`�
�1exf sche i
dule�'i'
nspection (call
p,ailding Snstfecto
6/86 and-vl
�p�,tr►a a,�
"Ill it
and ZONING EPAiiTMSNT
BL314C)rfiCa O
Bay and Hayiland Road, 'R-C7. i Box 98
QueensUury, NeW York '2801
BUILDING' INSPECTOR
s S REPORT
t4AME
IODATION
f
�, G ..7 pertit
I7a Le * * * * * * ✓ —,* ,pgOVED - yE5 No
,Footing/Pier Fo%1l
FoUndation
wa.terproo ing
Clcf ill
Framing
gopf ing
$icii ng
1+[asonrY veneer
Bough Plumbing - --
lief valves
Ext . Porches
Finished Floors
Interior Trim
Stairs & Railings
cellar Drain Tile
Concrete Floors
Plbg - Fixtures r
Gar . Fireproof ing-��
Door Closers
Smol Detectors �~
Chima're2IOW =
IW SUl
'y Fo�dat.ion
Walls •Mots
Ceiling ;,z IPiSPEC
DRIVEWAY APPROVAL
Final Building surve3Tr- �-~�
ready
Iyext s,�}tieduled inspection '�
call wY+en
Rematka�
Suil
ding Inspector
6/86 md-vl
.Down o Queens1ury
BUILDING ,and ZONING DEPARTMENT
Bay and Haviland Road. R.D. I Box 98
pueensbury, New York 12801
"BOA
P
BUILDING INSPECTOR ' S REPORT
NAME (f fQ Ste ! c. do-me fifditr_s
p,►l LOCATION / -
Date__�'� Permit 13ca _ _
} - APPROVED - YFS NO
Footing/- Forms
Foundation
Waterproofing
Backf ill
Framing
Roofing
siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext , Porches
Finished Floors
interior Trim
Stairs & Railings
Cellar Drain 'Bile
Concrete F1400rsJ _
plbg . Fixtures
Gar , Fireproofing
Door Closers
Smoke Detectors
Chimney
IN SU LpiTTON
Foundati
Floors
Walls
Ceiling
FINAL ELECTRTCAL IrIsPECTION
DRIVEWAY APP ROVAI,,_
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Building Inspector
6/86 and-vi
�... 901TOLM
+Ali
W ""
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rC
`LKorve ix, 4L4 . 13 D�(
Q�oT QL,A N f-o� Lt r - S i'c -rf o N <WO
VAAJ kgwc, 6`5 -rAr4' t
�1'awu oj' QuEE'NssurZY WAtZlCfx't4 Go44N-fY , 14. Y.
k:';4 A LC' ; 1 �' x jEr ' f?,4TE MACe 44 141 . 141 7
LAND SURVEYORS , GLENS FALLS , NEW YORK
N. Y. STATE LIC, NO. 35617