1986-836 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY e*,
WARREN COUNTY, NEW YORK "
April '3 87
Date 19
(a\lal\ t 4 \
This is to certify that work requested to be done as shown by Permit No. 86-836
has been completed.
,
This structure may be occupied as a ONE FAMILY DWELLING
Location LOT 30 TERRACE ROAD (ROLLING RIDGE')
• STEVE AND BARB STEPHENS
Owner
By Order Town Board
TOWN OF QUEENSBURY
•,-'M.A 4/ /./7
( Building et Zoning Inspector
•
BUILDING PERMIT
TOWN OF QUEENSBURY No 86-836 w
WARREN COUNTY, NEW YORK m
rD
PERMISSION is hereby granted to Steve-and Barb Stephens
OWNER of property located at Lot 30 Terrace Road (Rolling Ridge) Street, Road or Ave.
in the Town of Queensbury,To Construct or place a One—Family Dwelling c
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 910 Denis Road
Hudson Falls, New York
2. CONTRACTOR or BUILDER'S Name r
Paul G. Sokol
0
3. CONTRACTOR or BUILDER'S Address H
210 5th St.
Glens Falls, New York
4. ARCHITECT'S Name %h
lv
a,
0
5. ARCHITECT'S Address
0
_ e �
w
6. TYPE of Construction—(Please indicate by X) a,
00
tD
(x)Wood Frame ( ) Masonry ( )Steel ( ) cn
a
7. PLANS and Specifications C
28Tx66r per plot plan, specifications and application submitted r'
No. including two—car attached garage and sewage system. o'
8. Proposed Use
One—Family Dwelling o
Ij
$5.00 C/0
$. 164.00 July 1 87
PERMIT FEE PAID—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 Queensbury before the expiration date.) g
(D
I�
Dated at the Town of Queensbury this 9th Day of December " _ 19 86
71/a
SIGNED BY for the Town of Queensbury . .. ._
Building and Zoning Inspector
TO BE COMPLETED BY DEPT.
fOIUIi of Qucenihur y Application No.Permit �0F Q �. t�RY
Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires 19 EDUCE Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation 17)
Queensbury, New York 12801 Variance No. IV O i 8 19
Site Plan Review No.
Jr I nO
s — Approved y: 18/911 1i2/31?
® a a ® a
APPLICATION FOR v
BUILDING AND ZONING PERMIT 1 - -w —�---
* * , * * .tt. * * * * * * * * * .* * * * * * * * * * * * * * * * * .* * * * .*- it. ::. .
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.
T
1 The owner of this property is: 1 E /E -�--- 7-¢;-v,,C� = Eta 4-1-e�5 z�
r P.O. Address 9/O / )-etyvi 5 P/-} f-1 ac(Szr F c.S k-s .y , Tel.' -7i'lz
I
Property Location: �.0-7- gr�(/1hG, R ti%L� , c -,,,cr,-�CRc1 Sax Map No. / /
Street number or building lot num4ber
Subdivision name (if applicable) ;D(l'r�j 'R,c� �,
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
4- R-u.L_ Cr, . �c� ( -c.,c__ ( ,) 'b f ^ -0- (9.( -e,v/`a FQ.I,(mot j q 3 1 S (o
Name P.O. Address Tel. No.
Name of builder 'PALL (>> S6 z Address t)i 1) 3A^ S T, (;, IF ,. Tel.--/C�` i S 6
Name of plumber 6.( v . v.,/. (nE1 hoZ„,e Address ,?;c.e,r' p- Ls ,n l'—r ds s„rTel. (3 J. — ")2,1 `.,
Name of mason , O L r <,,1<,C Address Tel.
NATURE OF PROPOSED WORK: * ZONING ' INFORMATION:
X Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
4 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
'. x 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 az v ft X . 2-,o ft.
* Existing building(s) Size, ft X ft.
, *
PROPOSED BUILDING AND USE: * Existing building(s) Use
Size of new structure ft X U. ft *
Foundation-pier/slab/crawl/partial/iful * Proposed building, distance from propetty line
�__---
(circle one)
* Front yard g'0 6 ft Rear yard / Q O ft
No. of stories (habitable space) , , ft
Height (grade to ridge) ,),A ` ft. * Side yards Q,'U ft and c(�'
If residential, no. of families / * If on corner, setback from side street ft
No. of rooms(excluding baths) R * OCCUPANCY INFORMATION
No. of bedrooms *
' No. of bathrooms , ,// * PRIMARY BUILDING -
heatingsystem * V! One family dwelling
Primary y 7',('�` l r. * Two family dwelling
Type of fuel <-----
No. of fireplaces to be installed * Multiple dwelling / Number of units
Will _a wood stove be installed? * Permanent' occupancy
nll� Transient occupancy
Central Air conditioning? „r, *
Bu
siness
usiness
BULLDING STYLE, PRIMARY STRUCTURE * . Industrial
Other
Ranch ' Contemporary Log cabin *
Raised ranch Manes-i-on Duplex * If addition, what will use be?
Split 'level , Old style Bungalow *
Cape COd Co age Other * ACCESSORY BUILDING-
Colonial Row Town House * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * `,< Attached garage/one car/ two car/ g car
* * . * * * * * * * * * * * * * * * * ' "Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION $ [vl c5 0� *
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl
1
1
BUILDING PERMIT APPLICATION CONTINUED =
•
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. W Oe)e9,
Will any second-hand or ungraded lumber be used? If so, for what? A(c)
Foundation wall material l'oc-j(- Thickness /0"
Depth of foundation below '�
p grade (to bottom of footing) �� •
Will there be a cellar? et Heated or unheated? .uAN1,c.ek.J 'loor sq. footage -2, 5d sq ft
Will there be a basement? Will any portion be used as living space? .g-
(If so, what por n? sq.ft. - - Type of use? •
Type of roof - loped flat/shed/other Material. of roof 4-S}�p I-}-
Size, wood studs "X -41 " spacing J,{,."o.c. length g ft.
JQists(floor beams) 1st. floor a_ "X 74, " spacing jc. "o.c. span /. ft.
Joists (floor beams) 2nd. floor A "X 1„ ? spacing /,� "o.c. span 11 ft.
Overlays(ceiling beams) "X ( " spacing j., "o.c. span/5 ft.
Roof rafters "X " spacing C(, o.c. span /4 ft.
Roof trusses(pre-engineered) spacing "o.c. span ft.
Exterior wall finish cj c.„ b «( Of 'what material? e;cetc,./. •
Interior wall finish - . c.z-(-•c 6c1<
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
4J
Is thee to be an opening between garage and dwelling? uL`� If so will a Fire-rated
door, enclosure, and self-closing device be• provided? 3
Will a flue-lined chimney be installed? ubsc_ Height abov roof ft.
Depth of chimney foundation below grade /-j ' ft.
Depth of fireplace hearth (' _ft. , in.
Water supply - Municipal or private we to e.)(
SEPTIC SYSTEM Distance fr��m-Ohl-Y—prstate well(including adjoining properties !p v ft.
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury
A F F .'I D A V I T STATE OF NEW YORK
County of Warren
I swear that to the best of my knowledge and belief the statements contained
in this application, together with the plans and specifications subm_itted, _ar_ e 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 1f ,44,-(7\ . . .
`! Owner, owner's agent,arcnitect,contractor
day of Mbu 1986
Notary Public, Warren County, N.Y.
SPECIAL CONDITIONS OF THE PERMIT: •
•
•
'
•
•
By
•
•
1
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
(TEMP.# DATE I ern —
f, (�
` 'f t.
CITY OR
VILLAGE 1 , _ TOWNSHIP - , COUNTY (, -
STREET AND NO.OR
ROAD AND POLE NO. i r :• . ' POLE NO.
BETWEEN WHAT TWO
CROSS STREETS IS __ - i
PREMISES LOCATED? "'— SECTION '-J try BLOCK LOT
OCCUPANT'S _ BUILDING
NAME - - .-_ -.,OCCUPANCY -
• •
OWNER'S NAME -
AND ADDRESS `i :-f ,) j \
CURRENT
SUPPLIED 1 1 FROM THEIR , .• h- , OFFICE
ISB f-UILDING NEW' OLD Ill IWS
NEW OR ADDITIONAL❑ REMOVED DEFECTS ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED •
No. Fixtures&
NUMBER OF OUTLETS LampfReceptacles MOTORS HEATERS BRANCH CIRCUITS OFFICE USE
Loca- ONLY
tion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'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 ELECTRIC SIGN TOTAL _
MAINS FEEDERS LAMPS WATTS
CHARACTER EXPOSED GAS TUBE SIGN
OF WORK CONCEALED TRANSFORMERS OF VA
WORK TO BE (NUMBER) (CAPACITY)
STARTED COMPLETED SIZE OF SIGN
SERVICE OVERHEAD UNDERGROUND MAKER
ENTERS
BUILDING OF SIGN
INSPECTION REQUESTED
ON OR AS NEAR AS
POSSIBLE - NEW III OLD El
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION
PRINT NAME AND ADDRESS
NAME OF - \/SIGNATURE •
APPLICANT - - At- OF APPLICANT '" A
STREET ADDRESS - TELEPHONE# -
CITY OR - ZIP LICENSE NO. -
POST OFFICE '. CODE` " . WHEN APPLICABLE
46 EL (REV. 1/66) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
.
TOWN OF QUEENSBURY
WARREN COUNTY , NEW YORK
• i
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 a pD
2 . Type of heat ("v(13-e, _
3 . Is the building mechanically cooled? /\12)
4 . Percentage of area of windows and doors /02.6//e,
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 YES NO
a. Aie foundation wal s ins lated? YES (aO)
1. If YES , what is t e v value?
3 . Slab on grade YES NO
a. If YES , what is the R va11 o " insulation around
perimeter of floor?
4 . Is basement heated? diti 00
a. R value of insulat ' • • ' tl
5. Type of insulation ; r 5
YP �
•B. Under 16% Only
1. R value of roof and floors exposed to ambient conditions_
R-.1 - 1 9 -
2 . R value of exterior walls fR -
3 . R value of glazed area
4 . R value of doors
5. R value of floors over unheated spaces ( 9
6 . R value of slab edge insulation - unheated slab A),1
7 . R value of slab insulation - heated slab AJ �
8 . R value of heated basement/cellar walls (above' grade) 1VYJ
9 . R value of heated basement/cellar walls (below grade) /Ji--
10 . Type of insulation -e,be,<<hi f, -
C. Controls U
1 . Thermostat maximum heat setting '7 5-' 6
L.
D. Duct Systems
1. Is duct system installed in unheated spaces? YES
a. If YES , R value of duct installation
b. R value of duct in other areas
E . Piping Insulation
1. Size of hot water or cooling carrying agent pipe
2 . R value of pipe insulation
F. Service Water Heating
1 . Performance efficiency 7f777aJ we /
2 . Temperature control setting maximum fa-0
G. For Swimming Pool Only
1 . Maximum heating
Telephone No . 7 1 3 /9 jr, Pou4
/U , �
(applicant ' s signature)
%.71011rn. 0 Queadvitty
APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE Aiou / Q,co
LOCATION OF PROPERTY FOR INSTALLATION
Owner's Name: �T�`7 t- �j z,� S TFJP 3 v 5Telephone: j
Address: q/U n,;S n c�s�.: �5 /4 )
Installer's Name: ��ry,-� f�tz P,p Telephone: . t1�J.9 — 7 a..S
Number of bedrooms (residential only)
Total daily flow (compute @ 150 gal per bedroom) .1.,4-77.
Topography: circle one: Flat : Rolling Steep Slope % of slope s-
Soil Nature: circle one: Sand Ct2az1D Clay Other" / Depth: feet •
Ground Water: At what depth? („ feet
Bedrock or Impervious Material: At what depth? feet
Percolation test: circle one: Etrequired required /rate min: inch.
Domestic water supply: circle one: Municipal 1lOther
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption o O feet
PROPOSED SYSTEM: Septic Tank / o 0 gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench 4 O feet / Total system length cs9h O . feet
SEEPAGE PIT(S): Number of / Size each feet by feet
Size of stone to be used # / Depth or Thickness feet
* * * * * * * * * * *-* * * * * * * * * * * * * * * * * * * * * * *.* * * * * * *
IMPORTANT
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
* * * * * *-* * * * * * * * * * * * * * * * * * * * * *. * * * * * * * * * * * * *
(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
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.
I have read 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
_Down of Queeniur ,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME
LOCATION
Date� � .36 2 / gPermit No. - p 3 c
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
elief Valves
k/Ext. Porches (7_i
Finished Floors
)Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
NSULATION:
oundation Mer
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION C/IfK
DRIVEWAY APPROVAL
(-ttral Building Survey
Next scheduled inspection (call when ready)
Remarks-
t/IANG
Building Inspector
6/86 and-vl
-313D-4.1,3(.;)
Jown of Queensbury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
a
LOCATION
Date S/ C/ ermit No.
00/
* * * * * * * * * * * * * * * * * * * * * * *
= APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
hoofing � K
C ding (9,
Masonry Veneer
Rough Plumbing
belief Valves O. c
xt. Porches See_ T3e.oto
-nished Floors 0:�',
,Interior Trim
"Stairs & Railings SE e 13 eo w
Cellar Drain Tile
Concrete Floors
Fixtures „ir
Gar. Fireproofing o,l;•,
for Closers �' ,
Vioke Detectors
Chimney
(/INSULATION
Foundation
Floors
Walls
Ceiling
1-1INAL ELECTRICAL INSPECTION P044
DRIVEWAY APPROVAL 7 t
L.Pinal Building Survey
Next scheduled inspection (call when ready)
Remarks-
/ma
e 4.,teZ 71 e
(v'21472)
Building Inspector
6/86 and-vl
qc!1.ee / l/3 /y9 / //
own of Quecniari
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME 57-eL
LOCATION
Date St{ 417 Permit No. 8 ,-• .36
* * * * * * * * * * * * * * * * * * * * * * *
✓ = 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 ////V
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-
0 - T71 PDQ Pre q /3ftiZMC
A ftQC/ATO S;i-i r2 O Pt,iW 1
D,Artoort--C
Building Inspector
6/36 and-vl
Jown o� Queenit urry
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME c• Pi-1 jj
LOCATION % b l 30' ,Lw {� O
DateP/7 / E7 Permit No. � -- 336
* * * * * * * * * "* * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
framing O��
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-
w)173
Building Inspector
6/86 and-vl
_Jown 0/ Queen.J‘ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, Nevi/ York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
Lot 3
LOCATION /l O l Af 72/D G-/7
DATE/44/2J �'PERMIT NO. 8' � a
- D l(
SOIL TYPE/r - Sand Loam - Cla -
Percolation Test Re.. red? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length —3 r O
Length of each trench yza, CO ,Lc, _5'
Depth of trenches ;If
Size of gravel (..1---
SEEPAGE PITS{Number of)
Size- ft. X ft.
Gravel size •
PIPING: Size Type
Bldg. to tank i(r( !(Q
Tank to dist. box
Dist. box to field/ it
Openings sealed? �ES NO Partial
t Foundation EtoRt NS.ank `
a ft.9-''II
Foundation to absorption -7 ft.
Absorption to lot line 1/)ft.
Separation of pits r ft.
LO N OF SYSTEM ON PROPERTY(circle one)
F�'ront Rear - Left side - Right side -
TS:
I
1
% •i
/rr
/\
/ \
``\
\v
SYSTEM USE APPROVED ES NO
(/711/
• Building Inspector
01/86 and vl
c all'°- /1/a o1x 9: Y°
71141
Jown of Qu 'eniar,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME aTe v e 37---e
i1y
LOCATION
mar 20 dui .tiS g.
$3V
Date // 46 /w, Permit No. /...4.07-47,10%-y
* * * * * * * * * * * * * * * * * * * * * * *
= APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing b,
)cBackfill
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-
5oKK 01 ,
6ty 3
Building Inspector
6/86 and-vl
evA own of Quvenalury
f(/(� BUILDING and ZONING DEPARTMENT
/ Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME io-L,47_,_
LOCATION 3o
Date/j w / T Permit No. p (� �l
* * * * '* * * * * * * * * * * * * * * * * *
i/ = APPROVED - �Y�ES ,/ NO
no C ting/Pier Forms .6c
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding •
Masonry Veneer
Rough Plumbing
Relief Valves
•
Ext. Porches
Finished Floors
Interior Trim NN, d7
Stairs & Railings ��, /
Cellar Drain Tile \ /
Concrete Floors 1\
Plbg. Fixtures
Gar. Fireproofing / \
Door Closers d+ '\
Smoke Detectors
Chimney .
INSULATION:
Foundation
Floors
Walls -
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
•
10/073
Building Inspector
6/86 and-vl
R0 L LT:, f'-1 C- ?� -.r ��4t-
A 60 I-
jqa
0