1986-843 •
r .
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19
This is to certify that work requested to be done as shown by Permit No. 86-843
has been completed.
This structure may be occupied as a Addition to one family dwelling
Location 198 Tee Hill Road
Stephen and Lori Britton
Owner
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY 86-843
No.
WARREN COUNTY, NEW YORK
En
rt
PERMISSION is hereby granted to Stephen and Lori Britton
x
0
OWNER of property located at 198 Tee Hill Road Street, Road or Ave.
w
in the Town of Queensbury,To Construct or place a Addition to dwelling
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.
th
1. OWNER'S Address is 198 Tee Hill Road
r•
Queensbury, NY 12801 rt
0
0
2. CONTRACTOR or BUILDER'S Name
Justine Charles
American Builders
3. CONTRACTOR or BUILDER'S Address
Bolton Landing, NY
1-3
CD
N
4. ARCHITECT'S Name x
0
0
5. ARCHITECT'S Address
6. TYPE of Construction— (Please indicate by X)
(X) Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
28'x36' per plot plan, specifications and application submitted
No. including septic (drywell for washing machine only) a
8. Proposed Use o
One—Family Dwelling (additional living area)
a.
$5.00 C/O
$ 77.00 PERMIT FEE PAID—THIS PERMIT EXPIRES July 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 0
GQ
town of Queensbury before the expiration date.)
F-'
Dated at the Town of Queensbury this 10th Day of December 19 86
6a"`G SIGNED BY td � 'v for the Town of Queensbury
ri
Building and Zoning Inspector (
fD
TO BE COMPLETED BY BLDG. DEPT.
�] Application No.
.own of Queen3burcy Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires 19 TOA,N( a `UPl•
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation = ( E 1 V
Queensbury, New York 12801 Variance No. [mod
Site Pl Rev w No --�
_5- 0 , Noi 19 D
- Approv d by.
APPLICATION FOR h 81 1 • 1I2I 1415 6
„
BUILDING AND ZONING PERMIT ---- - -- -- --
* * * * * * * * * * * * * * * * * * * * * * * * * * * *• * * * * * * * * * * i'•*
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: ]l ff�/� f 1)P- (/ ag/7T%vt/
P.O.' Address 173 7 i ///L L RDA. ��/�y Tel.
Property Location: S/3/YJE /45 . -r3Dy / Tax Map No. / /
Street number or building lot number
Subdivision name (if applicable) -
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
`YU5%/N/- , efiA- a-i-- /2T /1 RbzTp.A, c4-4,5i &41z7- 97i1
Name P.O. Address Tel. No.
1 '
Name of builderQME(DEA-7( &OS Address (?)DL-✓Uf'( L4-/4..D/W-Tel. 6vy C/ 7q6"
Name of plumber 47,1141 r Address 5,4-ipo l- Tel.
Name of.mason Address _ L( C c Art,' Tel. ' n?„-___
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
_C nstruction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
_ dition 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. * of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property '(/4O ft X 3/y6 ft.
* Existing building(s) Size, 1/p ft X - it ft.
* . . . . . . .
PROPOSED BUILDING AND USE:
Existing building(s) Use /-{i
Size of new structure 7,' ft X 34. ft
Foundation-pier/slab/crawl/partial * Proposed building, distance from propetty line
*
(circle one) * Front yard 77S ft Rear yard /7 S ft
No. of stories (habitable space) /
Height (grade to ridge) ft. * Side yards i� ft and /4-a ft
If residential, no. of families * If on corner, setback from side street ft
r
No. of rooms(excluding baths) ' -A ' * OCCUPANCY INFORMATION
No. of bedrooms 1 *
No. of bathrooms l * PRIN}ARY BUILDING -
- /-C TKiC * 1 Two family dwelling
Primary heating system
/%z• * Two family dwelling
Type of fuel
No. of fireplaces to be installed,No,V5 * Multiple dwelling / Number of units
Will a wood stove be installed? A/p * Permanent occupancy
Central Air conditioning? NO * Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE Industrial
� Other
rRanch Contemporary Logcabin
ti P y * If addition, what will use be?
Raised ranch Mansion Duplex
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/ two car/ car
* * * * * * * * * * * * * *' * *' * * Private storage building
ESTIMATED MARKET VALUE OF * Other /jl�r
CONSTRUCTION $-- �� *
DRMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
\
3RA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. GO D OIL
Will any second-hand or ungraded lumber be used? If so, for what? /4 D
Foundation wall material CONe.2.G:7.j`'— /5/�(V ((Thickness of go
Depth of foundation below grade (to bot om of footing)
Will there be a cellar? W O Heated or unheated? 64/4 Floor sq. footage sq ft
Will there be a basement? ae's Will any portion be used as living space?
(If so, what port', sq.ft. - - Type of use?
Type of roof - sloped flat/shed/other Material of roof
Size, wood studs "X y " spacing /G "o.c. length tic/ ft.
Joists(floor beams) 1st. floor "X /O " spacing ileflo.c. span if ft.
Joists (floor beams) 2nd. floor "X 7 spacing "o.c. span ft.
Overlays(ceiling beams) "X e; " spacing to "o.c. span /F ft.
Roof rafters Q "X fL" spacing /4 o.c. span /S/-ft.
Roof trusses(pre-engineered) spacing "o.c. span ft.
Exterior wall finish 5//' �7" fL®Z k Of what material?
Interior wall finish fJ411--
If a garage is to be attached, 'describe materials to be used for FIRE SEPARATION:
g
Is there to be an opening between g rage and dwelling? / j_If so will a Fire-rated
door, enclosure, and self-closing device be provided? (/
Will a flue-lined chimney be installed? p Height above roof ft.
Depth ,of chimney foundation below grade ft.
Depth of fireplace hearth ft. in.
Water supply - Municipal or/private well f,C/ 67/1NG6---
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 AFFIDAVIT 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_
Owner owner's agent,architect,contractor
day of 19
Notary Public, Warren County, N.Y.
* * * * * * * * * * *' * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
.
i
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:
r
1 . Gross floor area / j o d �9, / "
2 . Type of heat Ii�G%SIC
3 . Is the building mechanically cooled?
4 . Percentage of area of windows and doors
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. 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 - )
3 . R value of glazed area
4 . R value of doors 6 5r'
5 . R value of floors over unheated spaces 2.
6. R value of slab edge insulation - unheated slab W
7 . R value of slab insulation - heated slab ff k
8 . R value of heated basement/cellar walls (above grade)
9 . R value of heated basement/cellar walls (below grade)
I( I
10 . Type of insulation (p j�� �/L4)7 ;c,9S / )Ulf
C. Controls
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 /f/ A-
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 6 °]
1 . Performance efficiency `&
2 . Temperature control setting maximum 751
G. For Swimming Pool Only
1 . Maximum heating
Telephone No. 3'"5"5-/e ..
(app icant ' s signature)
runt. of Cketidotity
APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE // /l
(1 / '(,,
•
LOCATION OF PROPERTY FOR INSTALLATION ( ? 7--, /�I/GL /2b
Owner's Name: Ep/f,Ey e `&27-7,--d/L/ Telephone: 7q 3-5":5-/S/
Address: / 9S- TEE /f/LL "/2l6 r 6 LF/US fi 1U S �, 7 '
Installer's Name: , ( /e4A., /gy p/_-7/2} Telephone: 6, ./c — 7 vs-
,„,.. .
Number of bedrooms (residential only) j iga
Total daily flow (compute @ 150 gal per bedroom) 7 CD U7wr- .
Topography: circle one: Fla Rolling Steep Slope % of slope
Soil Nature: circle one: Sand Loam Clay Other / Depth: g' feet
' Ground Water: At what depth? A/ feet
Bedrock or Impervious Material: At what depth? Nit---- feet
Percolation test: circle one: not required required /rate min. inch.
Domestic water supply: circle one: Municipal 0
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 feet / Total system length feet
SEEPAGE PIT(S): Number of 1 / Size each feet by, CP feet
Size of stone to be used # ,3 / Depth or Thickness Co 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
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: 8! / Q' e6
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.
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
(TEMP.# IDATE
CITY OR — } ��"' / `
VILLAGE ( 1L�1II.5 -i''/-i 1_�) TOWNSHIP ( ()l.(r`''' AI j (:'?(I f Alt' COUNTY tij A: W,12.-n/
STREET AND NO.OR _, j
ROAD AND POLE NO. /j 1/=/.� I 6 C,. yid) l POLE NO.
BETWEEN WHAT TWO
CROSS STREETS IS /, I J '.!,
PREMISES LOCATED? • f v i_ . 1 _ t%_ /-i J'/:: f'i) SECTION BLOCK LOT
OCCUPANT'S —� P. _ BUILDING
NAME i /"/ ^, f' .i 9-'/ ;-, d rf OCCUPANCY /-(7 ifrj 1= .
OWNER'S NAME TEL.# / -?
AND ADDRESS !J_ 1.e, . 75a/773 N /`"T +�/ "fI /-//C( /,, 6 T% �. ,j `.; /
CURRENT
SUPPLIED % + r—'
BY i, A S -';, 0 ' .,-- FROM THEIR i /= ./1/ } . -.,c_ OFFICE
BUILDING • _ WORK -- -1 -I..',; i :DEFECTS
IS NEW El OLD IS NEW ❑ ADDITIONAL 'REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No.of Fixtures& BRANCH OFFICE USE
NUMBER OF OUTLETS Lamp Receptacles MOTORS. HEATERS CIRCUITS
Lora- ONLY
lion Side Attach't H.P. ",` ..Watts A.W.G.
Ceding Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
Out-
side
Sub-
base
Base-
ment
let 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 OLD
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF `
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION /f( j if, u—A •4 -
PRINT NAME AND ADDRESS • - - ,' /:' --.. j'
fiSIGNATURE I s.
NAME OF - i !i %/ i- •j l" --.�,a:
APPLICANT '` � lC •,' i�w n� ��"_ i .r :� Al�� /S OF APPLICANT/t"- _.,_:-._. e.,: =st. ''—
•1 rs "! �j — ...''' it
STREET ADDRESS " ) r" / /-i r, , TELEPHONE# 1
CITY OR f f 1 PS
r - / LICENSE NO.
POST OFFICE `-'' L-i=;' . - r--jr(.f . +''1 CODE ,- CO ! WHEN APPLICABLE
46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
. .
' - • •• . .
. ,
•
. .
• . —
•
•
OCCUPANCY CONSTRUCTION SIZE AREA. CLASS AGE REMODL*0 CORD. REPL.VALUE PRE.DEP. PH YS. VALUE FuNcr.DEP. ACTUAL VAL. 1 EF.°,.. ' ASSESSMENT
1-1'0 • ."' 7 - 1 1. C.,::.i_ ,73 ti. i ---- . .;:. ,.,,,,)c-:•-.? [yA-1 2.:-.215-,4 ...?
. . . ,...
,
.._e___,___
i
si 1 Ar-(1 1 7,:7; .!-.- '.•'''a ' TT .:7;:' :
, ,t' , -.-:;',, : . - -•• 3':' 0;),,.1 --,._.. ...."7 7-.._,'.:. _I
FOUNDATION ATTIC & BS MT. FIN.
1 •i TT1 , !
. • ATTIC FL&STAIRS .:,..,-•-... LAND COST O AL L.:- t,i-e,
..,
BLDG.COST .3..- .. ,.., . . . . . . „, . .. . .. . . 3 2..
CEMENT BLK.WALLS / FIN.ATTIC AREA i ', .'
BUILDING CO MPTS77.1101,4"1.•PURCH.PRICE . . 1 I it-z-tiA--4.-.-- .14%-) .-P-e:',...
CONCRETE WALLS FIN.BSMT.AREA
• r [ I -2 '......' 7.,,, ,
•. ... ••. . •. •
PURCH.DATE -.:•.. -• ., e.„rzy- , ,_, i .•:' ''''''"'"-•••S' . , .____,/ , ____
BNCIL WALLS RECREATION Rm.BSMT. —
!• . V 22 ......REMOD.COST I __ ..,ct,• --'--3 Z-. . -1'. •'' -, . . . . ., . ... I •r- r•--9 0
STONE WALLSI I GARAGE IN BSMT. ., ' :,7C,••; '— -,.---7.'; _ • _;3... .._,.___, .,t, , -.., s.F.i . • ___I •-;.j... ,.,
—1"--I 1- - 7 . i.... -,4
14-- *. : ' • ..1 Di?. -.Z, . 6 1 •• • -
• . . . . . . . .,.., ....,„ , ... ...;.., . 1 • - - i_____ • .: i; ____ 1 Ze/`.. ..7.,,
7 - k PO ,IS• I ---. r,,-1:: . I..._____I___?-.. • I • i
§_iii.y.OR,CELLAR AREA ROOMS --
• • ' " - --4--L...-._- /--' -L.-Z.---_—_1.Z.L• 11 „
s.F.I.
' NO 1 'A T.---,y2 I 3A-TT -I BSMT
—• i • 1 ,
EXTERIOR VALLS • AND I 3RD ' r .• .
, -
. , SIDING ON SHF.ATHING .• INTERIOR FINISH .
,..! • . I
. • '. I
;-'--- r'"--.- ' . ': . . ... i•..,•i - ''• • 1"'d '. ' :P. '.' • •• • I -, I
S:NOLE SIDING 1ST 2ND 3RD
. , _., - -• / ,?; /.,).' .. ,, i':,., :' .. I";* ....-, .
.
-
c
WOOD SHINGLES PINE r,-;-,.. 4 v" J ,-, '- . • •.. ' • • : - --...,. : . . . .1 .,.. - ' ;.:• -^.--,..;.--,.- .
1 . ,--- ,:.. • -.._
0:APO.SHINGLES ENAMELED I • . • . . . . . - • • • Fr,- '''Z.-....:-- • • 1 • • : ::•, •;
• _ STUCCO _
ON FRAME CHESTNUT I .t ,,, ___,I
_
HARDWOOD .' r! I ' i I
'•
FACE BRIC.K VENEER 4- :'; l' I•.,7 • •„,...,,,..,• • ,‘.,• • i . . .. .,,,_. . ,, . . . ••,-.. .
FACE BR.ON TILE OR C.9. I' WALL BOARD I PE'E:'.,-.4 rr Lei°6
c If• " BASE RR ICE
,
' . . CON BRICK‘..ENE ER I .i I MATCH BEAD I • i • • N---....,••.....- ,
3.Z.:4 a.3 1,z•'. '-'-'-'`-•-• , 1
•
: COM.BR.ON TILk:OR C.B. UNFIN. INT. 1 '6•;-, —,-• i . . . .
p.7.‘='•',•Z e , : , .: 1 . .
,.
. -- , , .
:::.• BS-PAT...3EREA I .
--- L_ _ .. ... ,
..... —
---, , WALLS I ,
SOLID COM.BRICK G FI P .{',7::::-.7'2 IS•c)"*-- • 1-7—--- :/- -
STONE VENEER_ INT.COND. M- , /....,,C...v.,, .,....x 6.).5-_ 4...7 2,..-
. • t - .-:-.....-1 !__L__ : •
t
ALUMINUM LAYOUT I '. .,' . .. .
•.
--*/
. ROOF I
BLAME.T INSULATION V •STRUCTURE- ! '../ ...'' '''''-' . . . . .I)e 1:-:: •4&.;-)1-'. ----------------
: ..„
/0- —
•RCAF INSULATION • HEATING ..,:. FLOCRS I
. ' .. . .-)a ,.2._:cia.,,„,.,-.,,.. ., ..,.• . ..._, ,6,..,., 6...:,... . .. . . .
I -Y-
ROOF TYPE ., HOT AIR 1 /d"; X.',..;;;2" t- ./..,.6 .:•!. t..!:.•.:7., i.,,. • ,, FLOORS .
.„... ,,
. .HIP I GABLE I STEAM , . . . . ........ .
• :,
MANSARD FLAT HOT WATER 1:2—: P. ATTIC
%,. ' TILING OUT BLDGS. I U I MEASURED BY
GAMBRE. ELECTRIC T.-1-1 17 F-- BATH FLOOR&WAINSCOT 1 WALL FOUNDATION . BSMT.FINISH :
,
.____!...._ROOFING AIR CCMD. . .
BATH FLOOR&WALLS PIER FOUNDATION -- 1 INT.FINISH -7 _ .• -.
.,, ..
...--,
ASPHALT SHINGLE I','' FL OR WALL FURNACE I. PLUMBING 'BATH FLOOR ONLY SINGLE WALL SDG. LISTED BY ._... .
H EA TI NG. SY ST.WOOD SHINGLE PIPELESS FURNACE BATH ROOMS ir TOILET RM.FL.&WAINS. DOUBLE WALL SOD. I ---7-
A
. • I . AU .UNIT I
SLATE ! - OIL BURNER • / STALL SHOWER EXTRA TOILET RM.FL.ONLY STUCCO ON I--I '
'.-- AREA COMP.BY
FIREPLACES
, • ... -
___L_____________j____COAL STOKER TOILET ROOMS CEMENT BLOCK j I IPLWARING .
' _J--,1
FLOORS GAS BOILER WATER CLOSET EXTRA KITCHEN WAINSCOT 1-4 BRICK i l
-----
-1--- PR ICED BY TILING
• . IB I 1ST I 2141313RD I LAVATORY EXTRA . LOCATION I CONC.FLOOR
4 ,
PRICE i •
_ CEMENT_ ! ‘,/t I FIREPLACES 'SINE EXTRA ..." GOOD FAIR POOR EARTH FLOOR 1— -TOTAL RASE I
EARTH 7 1 1., FIREPLACE STACKS I `./ ••. .
TOTAL i -.-- ? .......' I
VINE — j .I V K T, FIREPLACES ','"'..!SEPTIC TANK OR-TESS-PL. ,." INCOME. SHINGLE ROOF ..
I t_
. ..
_
HA P.oW 0 o 0 1 1/ COST FACTOR //d; .
I SEWER - - ROLL ROOFING '
-) 1 '-• -.) '3
• sINGI.EF:.. j • I • INCINERATOR I NO PLUMBING ELECTRIC LIGHTS 1- REPLACEMENT VALUE
• -:1_...1._.,..._•:•:...f,._
._ . . .._. .
_ .
•
•
• • .•
. .
. .
•
• . . ..•
.. .
•
•
•
o� •
j 6/c'/3_/O •E,, 2.15.35 —o�p�o .
k s z
O 7 ni
/1/•63'1 00•- 5 I. , .8/,67'
0 ti4.e4,s
'4 "S,ro
.. O • 1 v-
o.A.r OR.✓E `1 �-^ —
O M _
0I SY.S___ 4 1
.11014.0 I
\ •. c {
0 1 �a ::\ I
0 i TOTAL AREA
°• h 4.4\ .. 11 031e /�
'/�r..: •
y. ,3, ACRES - I,� .
��) l invoao.) _C� R 1
t I - F
J y" 6 O
n
1' .. _ O-E1�0' REFf2Ei1/GES _.- _ �-
"" 1 ' CNARLEf M, 8 f/E,CE.i- L3.aROER ry CO
To N
,20,4w q, R SUJ•oAT L. STER,C/it/c
. 0,"'/-8-78 R,'Y-.2G-7a '/3-670
---) .
.TOWA/ C�. STERL/A/G j
To •
• •
r_0/ ' . ,8 , sWAA/L.srER:/�Cj .
•
O S-27-&3 �53-8/3
S 6.. /,s00 ,'• �[J
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