1988-080 ,.. ... , •ry F; r•-i• i N', .La ."1/' _r 'L ,.der .. s ..
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CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK'
Date June 27, 1988
ol, l�
This is to certify that work requested to be done as shown by Permit No. 88-80
has been completed.,
This structure may be occupied 'as. a One Family Dwelling
Lot #17 Walton Ct. (St. No. 6) Queensbury Forest
Location
Owner Masullo Brothers. Build&ns
By Order Town Board
TOWN OF QUEENSBURY
C/ d/ le/
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY No. 88-80
Z
WARREN COUNTY, NEW YORK
Masullo Brothers Builders Inc. '—' •
PERMISSION is hereby granted to
OWNER of property located at Lot 17 Walton Ct. (St. No. 6) Street, Road or Ave.
in the Town of Queensbury,To Construct or place a One Family 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.
1. OWNER'S Address is Masullo Brothers Builders
3049 Schenectady, N.Y. CD
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2. CONTRACTOR or BUILDER'S Name
Same o
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3. CONTRACTOR or BUILDER'S Address CD
Same
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4. ARCHITECT'S Name v9
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X1
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(x)Wood Frame ( ) Masonry ( )Steel ( ) - a
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7. PLANS and Specifications Z
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No.
26' x 56' as per plot plan, specifications and application including • H
septic system and attached garage °"' p°
8. Proposed Use rt
One Family Dwelling
$5.00 C/O o r
108.00 October 1, 88
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$ 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.)
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Dated at the Town of Queensbury this 21st Day of March 19 88 S
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SIGNED BY Lei, for the Town of Queensbury N,
Building and Zoning Inspector /.
or
�] Applic:acxou tw.
✓own of QueenJiury .Permit Issued 19 u ;;; :
-OWN OF
BUILDING and ZONING DEPARTMENT Permit Expires 19 ,+;
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation —. R
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Queensbury. New York 12801 .. •Variance No. ' • QA
Site Plan No. . - MAR . UM
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( � / A r ed DEPT.
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BUILDING & CODE i
APPLICATION FOR / • ei/.,e
• BUIL
DING AND ZONING PERMIT -' ' 9
• * * * * * * * * * * * * .* * * * * * * * * * * * * * * * * * * * * * * * * * ::.*
APERMIT 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: Masullo Brothere builders, Inc.
P.O. Address 9049 RrrijdwAy, Splapuertady, W w York Te1.17[l-1 05R
Property Locations_ Lot j ' /74...-sx.,,it .( ai,a ci Tax Map No. / /
Street number or building lot number •
Subdivision name• (if applicable) Queensbury Forest •
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
Masullo Brother,,s_Buj .ar .Inc. 3049.,Jrpadway. ,,1chenectady, _New York 518-370-1058
Name P.O. Address • Tel. No. •
Nam¢'af builder Same' - Address Same as Abobe _Tel. Sams
Name"of plumbert,B PLubinK _ Address 88 Newton Stree, Albany.N.Y. Tel.459-5811
Name- of masonl llo Bros. Bs ibm_Address Same Tel. some
NATURE OF PROPOSED WORK: * • ZONING INFORMATION:
I 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
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* street and number or lot number and indicate
FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location
-
of OF STRUCTURES AFFECTED. of water supply and location .and configuration
* of septic disposal area.
. *
* COMPLETE INFORMATION REQUIRED BELOW.-
' * Size of property /o 7 ft X 2,2o ft.
. * Existing. building(s) Size ft X ft.
*
PROPOSED BUILDING AND USE: * Existing building(s) Use
Size of new structure st ft X a ft *.
Foundation-pier/slab/crawl/partial ull * Proposed building, distance from property line
(circle one) " See Attar
go. of stories (habitable space) 2 * Front yard Plan ft Rear yard ft
Height (grade to ridge) 23' ft. * Side yards ft and ft
tf residential, no. of families 1 * If on corner, setback from side street ft
Rio. of rooms(excluding baths) ' ' ' 9 * ' OCCUPANCY INFORMATION
:Jo. of bedrooms S Z * PRIMARY BUILDING -
o. of bathrooms * One family dwelling
y heating systemglrur pent p,nP * Two family dwelling
rype' of fuel Electric
go. of fireplaces to be installed' l ' * Multiple dwelling. / Number of units
All a wood stove be installed? 1I, * Permanent occupancy
:ventral Air conditioning? yes * . Transient occupancy '
* Business
3UILDING STYLE, PRIMARY STRUCTURE * Industrial
ranch Contemporary Log cabin , * Other ' .
Raised ranch Mansion Duplex * If addition, what will use-be?
Split level Old style Bungalow • *
va•e Cod . Cottage Other * ACCESSORY BUILDING-
''';rrnritl • Rbw Town House * Detached garage/one car/ two car/ car '
( CIRCLE ONE PLEASE ) ' * X Attached.. garage/one car/ two car/_ g car
.* * * * * * * * * * * * * * * * * • Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTIO *
...-AMR
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Porn BPA 4/86 and-v1 '
- , - . - - -
BUILDING SPECIFICATIONS: •
• Type of construction, wood frame, fire safe,etc.• ibx1Frme .
Will-.any second-hand: or ungraded lumber be used?' If so, for what? .
Foundation wail'.materia( Cestcret) Thickness 8" & 10"
Depth of foundation below grade (to- bottom of footing) 70"
"Will there be a cellax? YF.S Heated or unheated? Floor sq. footage 1,755 sq ft
Will there be a basement? Will any portion•be, used as living space?
(If so, what portion? sq.ft. - - Type of use? .
Type of.roof - sloped/flat/shed/other Material.•of roof Asphalt Shingles
Size, wood studs 2 •"X 6 " spacing 24 "o.c. length R ft.
Jo1uts(floor beams) 1st. floor 2 "X in " spacing. ].6 "o.c. span 14 ft.
Joists (floor beams) 2nd. floor 2 ' "X ' 10 " spacing . 115_2o.c. span 14 ft.
Overlays(ceiling beams) "X " spacing. "o.c. span • ft.
goof rafters "X - " spacing o.c. span ft. •
Roof trusses(pre-engineered) spacing 24 "o.c. span ,,ft.
Exterior wall finish Alumina . Of what material?
Interior wall finish " ahee'iodc- Painted
If, a garage is to be attached, describe materials to be •used for FIRE SEPARATION:
,?' FireCode '
Is there to be an opening between garage and dwelling? Yes If so will a Fire-rated
door, enclosure, and self-closing device be provided? Yes .
Will a flue-lined chimney:be installed? Ye • Height above roof 2 : ft.
Depth of ,chimney foundation below grade 74" ' ft.
Depth of fireplace hearth ' ft. 8 in. . • .
Water supply --'Municipal or private well Hnicfr l
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties A//,. 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 submitted, area 'true and
complete statement of ell proposed work to be done 'on the described premises and that all
provlsjons,•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. ; .• .
c_
SWORN:TO BEFORE ME THIS - 'Signature _ -
.Owner, owner's agent,arcnicect,contractor
. day of 19
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Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * 4 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
1
. Ea.
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i VIV L' 'VC=,.�U L' L1�5 V!t-1'!1
WARREN COUNTY, NEW YORK
Application for: BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGYCONSERVATION CODE
A permit must be obtained before beginning work .
ANSWER ALL of the following:
1 . Gross floor area /00O - Sq. Ft.
2 . T yp e o f heat Electric Heat Amp
. 3 . 'Is the building mechanically cooled? yES
4 . Percentage of area of windows and doors 1470
A. Over 16% Only •
1. U value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions See Attached
• 2. Floor over heated spaces YES NO
a. Are foundation walls insulated? YES NO
1. If YES , what is the R value? R-13
3 . Slab on grade YES 41130
a. If YES, what is the R value of insulation around
perimeter of floor?
4. Is basement heated? YES
a. R value of insulation
5. Type of insulation Fiberglass
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
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
8. R value of heated basement/cellar walls (above grade)
9. R value of heated basement/cellar walls (below grade)
10. Type of insulation
C. Controls
1. Thermostat maximum heat setting 900
D. Duct Systems
1. Is duct system installed in unheated spaces? YES NO
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 3" & 3/4 Copper
2 . . R value of pipe insulation
F. Service Water Heating
1. Performance efficiency
2. Temperature control setting maximum
G. Fpr Swimming; Pool Only •
1 . Maximum heating
Telephone No. 370-1058
(applicant ' s signature)
Join i
( ueates .
APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE. ?- `)- • ?di
LOCATION OF PROPERTY FOR INSTALLATION '-/7 %
Owner's Name: m.Svl/o 13roS v;lI e f c Telephone: 370 -/o ,g'
Address: 3o Ui •
Installer's Name: Telephone: 70 -A, s„r
Number of bedrooms (residential only)
Total daily flow (compute @ 150 gal per bedroom) = G o o . .
Topography: circle one' Rolling Steep Slope % of slope
Soil Nature: circle one: Loam Clay . Other / Depth: _ feet-
Ground Water: At what depth? /v/4 feet
Bedrock or Impervious Material: At what depth? i'ZJl9 feet
Percolation test: circle_one: not require required / rate 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.Tankl ,me 8_'"gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench SO feet / Total system length ,Sc. feet
SEEPAGE PIT(S): Number of / Size each feet by feet
Size of stone to be used # 02. / Depth orThickness feet
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
IMPORTANT .
...Please...LIST'NEW EQUIPMENT TO BE INSTALLED
* * * *.* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
(over)
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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: 37 9- 1
•
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801 .
(518) 792-5832
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40 ,!...1,05
g THE NEW YORK BOARD. OF FIRE UNDERWRITERS
E BUREAU OF ELECTRICITY
[e IYB 41 STATE STREET.ALBANY,NEW YORK 12207 /
k Date iTtl l Y a F 1988
�✓8 8 Application,No.on file 0 0 6 8 9 0 d 8 8 s 7
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{ THIS CERTIFIES THAT
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only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of '*"
MIL) ,u? .o Broth ersiui Hers Inc . 4�6 Walton St. Oueensburv, i.lew York.
V V outside 1 1 l one f°a�ni i •
01 L:
, , in the following location; ❑:Basement El 1st Fl. El 2nd Fl. Section'2'Block . Lot
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was examined on ... and found to be in compliance with the requirements of this Boi.:•d.
FIXTURE I FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS ECEPTAlCLES SWITCHES INCANDDESCENT-FLUORESCENT M%%POIY AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT.
AMT. H.P.
14
.6
<' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS SELL UNIT HEATERS MULTI-OUTLET DIMMERSSYSTEMS ici_
AMT. K.W. OIL H.P. GAS H.P. A AT. r 4"j-„NOg w ALVJ:G. - AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
1 dryer 34'11 t1,. 1
h ` SERVICE DISCONNECT NO.OF S E R V I C • E
AMT. AMP. TYPE wimp. 1 111 2W 1 Jd 3W 3 B'3W 3,2(IW NO.OFF CC COND. OF CC.COND.. NO.OF HI-LEG OF HI-LEG G NO.OF NEUTRALS OF NEUTRAL
` l 200 c` -. x 4/0 NF
74.
-6 OTHER APPARATUS:[fc,j
�, 1-smoke detector .
ri C�
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_ 11 GuEzardi Electric . 7i(!t.570‘74,-...-.-1.-12.—.-7, -7,4
4 179 Boxwood Ave,,
Schene c L •dy a aY /1 3 0 '..)"�. BRANCH• MANAGER
'P 1, Per - -
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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.
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COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
Jown of Queenur,
UILDING and ZONING DEPARTMENT
/U/QY2 ay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
jAz•;d
BUILDING I,NSPECTOR ' S REPORT
NAME A?CLdf,,c�/��
LOCATION b /(4t.j54,yzi �L
Date p � /_ye Permit No. f4 - 17
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED — YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Ven-er
Rough Plumbi g
Relief Valves ✓
Ext. Porches 1/
Finished Floors (/
Interior Trim ✓
Stairs & Railings l/
Cellar. Drain Tile
Concrete Floors
Plbg. Fixtures /✓
Gar. Fireproofing ✓
Door Closers ✓
Smoke Detectors
Chimney
INSULATION:
, .Foundation •
Floors
Walls
Ceiling •
FINAL ELECTRIIAL INSPECTION (/
DRIVEWAY APPRO AL
Final Building Survey
when \ ead
Next scheduled inspection (call � y)
Remarks-
j.,
7
` din nspector
Jown of Queenur,
BUILDING and ZONING DEPARTMENT
�' Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME a-OGGA5 , .-h-t- -
LOCATION (4 (e--4-1 c4-.
DATE J6:?W rr PERMIT NO. ff-ff-D
SOIL TYPE - Loam - Clay -
Percolation Test Required? YES - 'NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field total leng hTU
Length of each tr: ch _G,
Depth of trenches . --
Size of gravel 4f .:
SEEPAGE PITS{Number • )
Size- ft. X _ f
Gravel size
PIPING: Si-e Type
Bldg. to tank 7,7t2
Tank to dist. box c, le
Dist. box to fi- d/pit Li "
Openings seale.. YES NO Partial
LOCATION/SEPA.•.TIONS:
Foundation t• tank a .
Foundation 'o absorption r&a ft
Absorption ' o lot line /S' ft.
Separation of pits ft.
LOCATION 0 STEM ON PROPERTY(cir.le one)
Front -,:ea Left side - Right sire -
COMMENT5: •
SYSTEM USE APPROVED _ O l
Buildin Ins ct
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01/86 and vl
_Down of Queen3urf/
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
P/2UJLDJNG INSPECTOR' S REPORT
NAME i�/ 0 .e��
LOCATION CQ bJa_& b
Date 5/0 / Permit No. fpdvo
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veieer
Rough Plum.'ng
Relief Valv_s
Ext. Porches
Finished Floo s
Interior Trim
Stairs & Raili gs
Cellar Drain Tite
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chi ey
SULATION:
Foundation
Floors
Walls ,� -
Ceiling ,Q- 3a
FINAL EL;CTRICAL INSPEC ION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
e,e//f
1 ing Inspector
6/86 and-vl
( Jown o/ ueen�burcy
`l BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME /2?GG4-6/1e)
LOCATION LQ 6),(1w
Date 5- L ay- Permit No. 4 4 'O p
* * * * * * * * * * * * * * * * * * * * * * *
V = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
�`rami ng c.•//
Roofing
Siding
Masonry :neer
, ugh Pluming
Relief Val -s
Ext. Porche
Finished Floors
Interior Trim
Stairs & Railin.-
Cellar Drain Ti -
Concrete Floors
Plbg. Fixtures
Gar. Fireproo'ing
Door Closers
Smoke Detectirs
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELEITRICAL INSPECTION
DRIVEWAY A"ROVAL
Final Build g Survey
Next scheduled inspection (call when ready)
Remarks-
Bui h U�1
ding Inspector
6/86 and-v1
/,/ _Jouin of Queeni‘ury
1:gu BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME /,a__Aczez ,
LOCATION
Date ` / (j( Permit No. 0(1 ' ro
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms //
undation V
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. Fireproof,ng
Door Closers
Smoke Detectors
Chimney
INSULATION-
Foundatio
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Building Inspector
6/86 and-vl
ej c��]
�,�� _bean of Q , iLry
4.fl% BUILDING and ZONING DEPARTMENT
,ay nd Haviland Road, R.D. 1 Box 98
ueensbury, New York 12801
i
UILDING INSPECTOR ' S REPORT
NAME :—/// /GLd-G,6//
LOCATION z /, J_,zz8,_2,7
Date 3-v? /ff Permit No. 00 -Yz)
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - F4 / NO
(.Footing/Pier s
Foundation
Waterproofin
Backfill
Framing //
Roofing
Siding
Masonry Venee
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireprooring
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELEC RICAL INSPECTION
DRIVEWAY A'PROVAL
Final Buil.ing Survey7/1
Next scheduled inspection (call when ready)
Remarks-
i i nspector
6/86 and-vl
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1 7 ZONIN & BLDG CODES DEPT. . .
TOWN OF QUEENSBUtY . \ ,`_,e_ .. -