1986-730 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date December 28, 19 87 ,
a(0( /-02^ 32`� � 86w730
This is to certify that work requested to be done as shown by Permit No.
has been completed.
This structure may be occur ed as a One -Family Dwe1l.-lug
Location Lot 29 Wildwood Place — Grant Acres Subdivision
Owner Karen and Allan Miller
By Order Town Board
TOWN OF QUEENSBURY
- t?, 4/
Building & Zoninlg Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-730
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Karen and Allan Miller
OWNER of property located at Lot 29 Wildwood Place - Grant Acres Street, Road or Ave.
in the Town of Queensbury,To Construct or place a One-Family Dwelling
co
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.
0
CD.
1. OWNER'S Address is 12 Twicwood Lane
Queensbury, NY 12801
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2. CONTRACTOR or BUILDER'S Name
N
AJS Enterprises n
3. CONTRACTOR or BUILDER'S Address
4 Amy Lane
Queensbury, NY 12801
4. ARCHITECT'S Name r,
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and Specifications
G]
35'x70' per plot plan, specifications and application submitted
No. including sewage system and two car attached garage. �-,
8. Proposed Use
One-Family Dwelling
$5.00 C/O
$ 241.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 19 87
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the m
town of Queensbury before the expiration date.) rr�
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Dated at the Town of Queensbury this 22nd Day of October 19 86
/�
SIGNED BY / / /lam for the Town of Queensbury m
Building and Zoning Inspect° e
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TO sz:; 'COMPLETED BY BLDG. DEPT. ,
.lows of Clueend�+er Application No..
BUILDING and ZONING DEPARTMENT • Permit Issued 19
Permit Expires 19 ���O � � (J'T?
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation - E r_.,
IEGE
f1flQueensbury, New York 12801 Variance No. 1 ' 1,,Y.:
Site P �n Review No ; ; 4
.-it O��c OCT 1 / tq
Appro d-,: Cs�: 1,41 ®.r'v - 1Vi�
APPLICATION FOR 3718191141.1412M213)4151s
BUILDING AND ZONING PERMIT .a8 �� i,1 _
* * * *`•* ..* * .'* *. * * * * * * * * * * • . • a * * * * * * * * :* * * * * • * *::•
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: ' X/4 r )„ It 41) IAA_ 41/r //'4
P.O. Address /2 . T'/r`e_ w a A• L .� Te1.7 3 - 5/3 02 Y.Property Location: ,41 4 22 9 G/ji /d'/vd O P4' Tax Map No. /_/
Street number or building lot number.
•
Subdivision name (if applicable) e-a^4 f GrrS
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS
Name P.O. Address Tel. No.
Name of builder SGil.,, ,o Address SCE{ . Tel. (-____ _2._______
Name of plumber f 3 9-Uee4,- : Address `� l'6/Se h ell‘ Tel. 7 V'7- 7 '
Name of. mason 2 ro,o ry,4 5 Address •,�„'a/vr //e Tel, 62 5'� - / /61',
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 ol. 6 ft.X S 2 ft.
* Existing building(s) Size ft X ft..
PROPOSED BUILDING AND USE: * _
* Existing building(s) Use
Size of new structure 3 S-ft X ,l/ft * ' . ' . '
Foundation-pier/slab/crawl/partial/4 * Proposed building, distance from property line
(circle one) Front
No. of stories (habitable space) � - * yard I��j ft Rear yard j/D ft
Height (grade to ridge) ft. * Side yards ,3 0 ft and ad-D ft
If residential, no. of families * If on corner, setback from side street ft
No. of rooms(excluding baths) // * , OCCUPANCY INFORMATION
No. of bedrooms ' . ' *
No. of bathrooms * PRIMARY- BUILDING -
Primary heating system / t �U,0y4 " One family dwelling
Type of fuel 4F/ -7Lk * Two .family dwelling
No. of'.fireplaces to be installed / Multiple dwelling /Number of units
Will a wood stove be installed? A/a . *' Permanent occupancy
Central 'Air conditioning? yPS * Transient occupancy
/ ' * Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial •
Ranch Contemporary Log cabin * Other '
Raised ranch Man 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/ two car/ car
(- CIRCLE ONE PLEASE ) * )(Attached garage/one car/< o / car
* * * * *. * * * * * * * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION *
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl. '
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BUILDING PERMIT APPLICATION -CONTINUED - -
- BUILDING SPECIFICATIONS:
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Type of construction, .od frame, fire safe,etc. `
Will any. second-hand or ungrate. . lumber be used? If- so, for what? 4/4
• Foundation' wal l material •a/1 0 ke)4, Thickness pn if
Depth of foundation below grade (to bottom of footing) (, / .
Will there be aHeated or unheated?
cellar? � /V6 Floor sq. footage sq ft
Will there be a basement? Will any portion 'be- used_ as living space?
(If so, what porti ?. sq.ft.' -. - Type .of� use? ' •
Type of roof. sloped flat/shed/other' Material-•of roof 'yC, �,� g f N
Size, wood studs "3C " spacing / �'
P g• � "o.G.. length, � ft. •.-Joists(floor beams) 1st. floor' "X 7L " spacing � r, o.c. span/ _ft.
• Joists (floor beams) 2nd. floor '' Pacin "
"X/..2 " spacing ' "o.c. span ft.
Overlays(ceiling beams) )- "x " spacing g /6 "o.c. span; ft.
Roof rafters a "X /n" spacing /K o.c. span / ft.
Roof trusses(pre-engineered) spacing "p.c. :.span' _ ft. '
Exterior wall finish Y .`,�'(�, '
�rvcr Of what material? GfJ d
Interior wall finish • S in (,
it
If a garage is to be Attached, scribe materials to be used for FIRE SEPARATION:
`' � �
� de
. • , Is there to be an opening between garage and, dwelling? If so will a Fir -
y�S a rated
door, enclosure, and self-closing device•be provided?.- 7 ,os
. Will a flue-lined chimney be installed?-.� ��—• Height' above oof ,.,) ft.'
Depth of chimney foundation below 'grade� (a ft..
Depth ,of fireplace hearth a 'ft.': in. .. '
Water supply -Municipal o private weft •
• SEPTIC SYSTEM Distance fro vate. .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. V I T STATE OF NEW PORK
I swear that to the best of my knowledge and belief the statem •
ents 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, wheth ecifieg_or'not, and that Such work is
authorized by .the owner. • e�-1>/ <'/frS -
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SWORN TO BEFORE ME THIS ''Signature , -S
Owner, wner's agent,arcnitec ,contractor
/ 7 day 'of P Ar• 19046 .
.Notary Public, Warren County, N.Y. '
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• • * .* * * :* * * * * * •* * *- *, * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
•
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 OCR,
•
2 . Type of heat EL ..( 4... )(
3. Is the building mechanically cooled? .' kt e
4 . Percentage of area of windows and doors
A. Over 16% Only
1 . . Uo value of gross area o.f walls , roof/ceiling and floors
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 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
B. Under 16% Only .
1. R 'value of _ roof and floors exposed to ambient conditions
2 . R value of exterior walls R. VI ,
3,. R value of glazed area 2 3 e Q
4 . R value of doors I�'1
5. R value of floors over unheated spaces Y
6. R value of slab edge insulation - unheated slab
7. R" value of slab insulation - heated slab. t.'f44 .
8. R value of heated basement/cellar _walls, (above grade) PJ{N
9 . R value of heated basement/cellar walls (below grade)
10. Type ;of insulation �h �}��?C` - � �}�
C. Controls ?het' 1 (. FOhuv ,
1 . Thermostat maximum heat setting
D. Duct Systems
1. Is duct system installed in unheated spaces? YES NO
a. If YES , R value of duct installation e , v
b. . R value of, duct in other areas
E. Piping Insulation
1 . Size of hot water or cooling carrying agent pipe 314,
2 . R value of pipe insulationN)
F. Service Water Heating
1. Performance efficiency 0^2.0
2. Temperature control "setting maximum I (.('C)
G. For Swimming Pool Only -
• 1. Maximum heating KV4--
Telephone$ No. — ' 7 % o/fS
(a •pant 7i�gnature)
Jown o/ Queenibury . APPLICATION DISPOSAL
P
FOR SEPTIC DIS OSAL PERMIT
BUILDING and ZONING DEPARTMENT
•
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury, New York 12801 DATE LO /
/2/C-6,
LOCATION OF PROPERT,Y FOR INSTALLATION: .: L0 �: 04/ ou i�er2ln?C PLACE
GF
OWNER'S NAME AAA21k2)
ADDRESS :: - .. , / /
/�- / /, G t/l) d.a. f �to TEL"
INSTALLER'S `NAME • -
S'S' TEL 7Y2Pre
Number of bedrooms(residential only)
Total daily flow(compute_. t- 150 gal per bedroom) S-I-D
Topography: F;i14Rolling) Steep slope -(circle one) % of slope
Soil nature: jl_Sand Loam - Clay - Other Depth ft.
Ground water. -At what depth? ` I ft.
Bed-rock or impervious material - At what depth? N//n.. ft.
Percolation test Not `rece - Required Rate 4au(3- VI V.tSt oh twin-inch.
Domestic water supply Municipal Well Other
Separation - Watersupply(if well) from Septic: absorption VOCr ft.
Proposed System: Septic tank %l5 10 gal. ( Minimun size, 1000 gal.)
Tile Field Each trench ( 0 ft. Total system legnth X�O ft.
Seepage pit(s) Number of _/icr. Size each ft X ft
Size of stone to be used # • /2.-- . Depth or thickness 2. 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
shore-line of .lake, stream,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 all requirements of The Town of Queensbury
Sanitary Sewage Disposal Ordinance.
Signature of responsible person # 115. .4 k'/f'e'S .,
to /a/./�//C
05/86 and/vl
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.?WHEN.REQUIRED.
i
TEMP.# ' _ .IDATE +I, ` .5 rl
f (.
' CITY OR ' ' /'
VILLAGE i/1) l/e -J r--%!l/P/1/
TOWNSHIP COUNTY i//.r l Y )/' -
STREET AND NO/OR yf j J
ROAD AND POLE NO. J ,...J f l//d/,i.4/i ;J ;,,,l.F//{7,rr POLE NO.
BETWEEN WHAT TWO • " ' r - • " `` '
CROSS STREETS IS 4 "' � _/
PREMISES LOCATED? l_,/T V A �?/ rE/C/ fr SECTION Ji BLOCK ' '-t' LOT ,..�1
OCCUPANT'S '� - S rr/� /t BUILDING "- /� // �/^� t// /
NAME f 1� f! to ni y_. /9f/ <'Ult /�-////,1, OCCUPANCY • ,//%I( l✓ t '-�Y7 f/I Ai
i
OWNER'S NAME / i//j )
AND ADDRESS J- 624,,, e TEL.# `�� J �r�C
CURRENT .-/ //
SUPPLIED j// ,1 �'l�L / �1`,1g FROM THEIR i OFFICE
BSUILDING (NEW OLD❑ IS
NEW ADDITIONAL CIREMOV D DEFECTS ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS Lamp of Fixtures& BRANCH
No. Receptacles MOTORS HEATERS CIRCUITS OFFICE USE
Loca- ONLY
lion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Reeep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
•
Out-
side
Sub- -
base
Base-
ment
1st Fl.
2nd Fl.
3rd Fl.
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE.
This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed,
you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant.
SIZE OF / f/ ELECTRIC SIGN TOTAL
MAINS fi 1- FEEDERS LAMPS WATTS
CHARACTER EXPOSED GAS TUBE SIGN
OF WORK /� D TRANSFORMERS OF VA
WORK TO BE ��/ •,✓;f (NUMBER) (CAPACITY)
STARTED / f /ay, COMPLETED SIZE OF SIGN
SERVICE OVERHEAD UNDERGROUND MAKER
ENTERS �/
BUILDING I �'�. OF SIGN
INSPECTION REQUESTED ! )
ON OR AS NEAR AS pp// �� ./ / (� (�
POSSIBLE 1-_J'i!1/' I /-. 6/ .// NEW I 1 OLD I I
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AN? ADDRESS f •
---
NAME OF �_,,r -_�/r-- /� DATE OF 1�! fff )/j�
APPLICANT /T d / , ', -"�� ..,:)-.4-, c + /fir - APPLICATION -f<�! f //�:' �y
/ %i _ F �r
STREET ADDRESS 2•� ,I f7/�//' ( /� TELEPHONE# -•-•"] .)
e` f f�j
CITY OR .� % ,.-- - .- ZIP / )-. LICENSE NO.
POST OFFICE '`% '-0I-, G� '� 1 CODF`^'�t: f WHEN APPLICABLE
46 EL (REV.1/85) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
,,-,,4 . i,,/,.\t?J,‘..i..X i..l A.,\.1.).i\t o,I.\JJ/.\ilgl ARM ./W art - 1/.1 • •
t�;3�53 .THE' NEW YORK BOARD OF FIRE UNDERWRITERS
•
._ BUREAU OF ELECTRICITY ;y m
-s; �=. • 41 STATE STREET,ALBANY..NEW YORK 12207
�, Date `7 22Z13 3 y C� 1.�}u t Application No.on file r� „
030 5/8
k. THIS CERTIFIES THAT
�' only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of .-
ti
Karren & Allen Miller , Lot 29 t=li,ld.:�rood Place ,ace Que`nsbury, New York
ii:�• in the following location; El Basement 0 1st Fl. El 2nd Fl. • Section2 7 Block 4 Lot 29
was examined on 1 2/2 2/B 7 and found to be in compliance with the requirements of this Board.
rFj 1.
.; FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
t:- 1 OUTLETS ECEPTACLES SWITCHES MOCuRY
,
�; INCANDESCENT.FLUORESCENT vAroR AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. •'
�; 29 56 31 28 1 . 3 `,
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS - r.
SYSTEMS
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.T W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
� .a 1.: 4 W 11' 0
-, J. A ang 39f o
iP -. - .I TSrva -J1 ("11 •'�
• SERVICE DISCONNECT NO.OF S E R V I C E '•
AMT. AMP. TYPE EMQEU�P 1.2'2W 1,8'3W 3.B'3W 3,9 4W NO.OFF C COND. OF CC.COND.. NO.OF HI-LEG OfA.HI-W..IEG NO.OF NEUTRALS OF NEUTGAAL S.
�, 1 200 eb 1 _
�. OTHER APPARATUS: .ti
11.13 ,; G ,,F .C . I. -• 3 '_
�. 2 — Smoke De.tecL0r"..
�C:
i'
A 'i
hi 1
�: A i,L T nLoT.7Z 3 sev Inc,,. - .,•
�' 4 Amy Lane C� ✓ .BRANCH MANAGER 'P
EF �; Glens Falls , New York 12801 :
; Per I'`..
•
i i; 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.
s�%.?-is •?s 0 ® 0 0 ® 0 ® I> ® 0 0 ® ® 0 0 0 ® 0 n ® ® 0
COPY -
FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
(1,,66,,e41
)A' I) t awn of Queen i urcy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
eir°
BUILDING INSPECTOR ' S REPORT
NAME G - (//KJ YZCI
LOCATION //
Date /oc//)/ Permit No. r, -7.,0
* * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing /
Backfill
Framing f
Roofing
Siding
Masonry Veneer
Rough Plumbing
/BRelief Valves Cr
,�,xt. Porches (s'/'r
Finished Floors V _
Znterior Trim I/
tairs & Railings V
Cellar Drain Tile
Concrete Floors
,;Plbg. Fixtures
.kGar. Fireproofing j��'
Door Closers
moke Detectors O
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL EIECTRI, AL INSPECTION
DRIVEWAY APP•IVAL ;
Rinal Building Survey
\\,17r;
Next scheduled inspection (call when-ready)
Remarks-
(
ad/
Build_ ng Inspector
6/86 and-vl
ca (k �4, fr1
Jown o/ Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME fin eh frn1 // �h
LOCATION •1-0 r a1 cj Ga r I4. wood rIac
Date 419 / yrf Permit No. ?6, _ '7 3O
* * * * * * * * * * * * * * * * * * * * * * *
V = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
(Framing /ice
Roofing
Siding
Masonry Veneer
).Rough Plumbing 4 e;,?Pe.rZ 5' G(/6n y�
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
\\/
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney I
INSULATION: f
Foundation �f
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
M
cam_,.._
Buil ing Inspector
6/86 and-vl
qs -2)(, a,,,,,,
Jo. o of Queen 3t ur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION• \1 /
NAME 4\',.,—S (6//v4)1(..{-c64(%.7'-N
LOCATION /)---,c,4 st— 44d'es V,(- 8
DATE LZ / 7-91 PERMIT NO. 8 - 1 3 6
SOIL TYPE - Sand - Loam -all;
-
Percolation Test Required. - NO
Percolation rate - Min/Inch (p
TYPE of SYSTEM: (
Absorption field, total length 3 co` coo
Length of each trench .p- 5 0'
Depth of trenches
Size of gravel .7Z' ')._
SEEPAGE PITS4Number of) _
Size- ft. X _ ft.
Gravel size
PIPING: Size Type
Bldg. to tank (f r 1 02006 /4
Tank to dist. box _
Dist. box to field
Openings sealed? NO Partial
LOCATION/SEPARATIONS:
Foundation to tank %p ft.
Foundation to absorption ,�p ft.7-
Absorption to lot line p ft.'t
Separation of pits ft.
LOCATION SYSTEM ON PROPERTY(circle one)
Front Rear - Left side - Right side -
COMMENTS.
SYSTEM USE APPROVED NO
IP
Building Inspector
01/86 and vl
a//-e ' crt i io G B 6 I a-°-..
awn of Quen.is1ur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
0 fx= pick' �!..
BUILDING INSPECTOR' S REPORT
NAME 9T//e h /Yl i / .i_..
LOCATION t_o-i- r'(1 (d Wos of piIct
Date 1 J/ 16 / g 6 Permit No. 3 ce s
* * * * * * * * * * * * * * * * * * * * * * *
= APPROVED - YES - NO
Footing/Pier Forms j q,•- -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
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-
f k9r4a5 /c-2O wrn't
2;it:p p Lei 6 c9 fl,v6 S 5�it 'J
(-
Wit (- n WMt frr
Building Inspector
6/86 and-vl �/
1O 10a4
awn 01 Queenitury
ll BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
- G '�t7v � ca-Uef
BUILDING INSPECTOR ' S REPORT
NAME' i�J A C�
®� t
LOCATIONc�� ��•� �� V
Date I / /� � //IPermit No.• 0W - 1.7L
* * * * * * * * * * * * * * * * * * * * * * *
V = APPROVED - YE / NO
>ooting/Pier Forms ®'e
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
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL .
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
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Gr./9-)146
Building Inspector
6/86 and-vl