1988-075 '•
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date October 11. 19 88
SO\ t
This is to certify that work requested to be done, as shown by Permit No. 88-75
has been completed.
On Family Moidular Dwelling
This structure may as a
LjVvD \- na,on 0\c k. •
location West Mtn Rd./Clendon Brook Rd.
Gary & Donna Maille
()mum
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
, — . •
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-75 - z
WARREN COUNTY, NEW YORK
PER MISSION is hereby granted to Gary & Donna Maille rW
OWNER of property located at Corner West Mtn./Glendon Brook Rd. Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Modular Home �w
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 0
Same
n
2. CONTRACTOR or BUILDER'S Name C
0
0
Saratoga Housing
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
c-�
0
5. ARCHITECT'S Address
fD
hi
m
rt
6. TYPE of Construction—(Please indicate by X)
rt
0
Tcxl Wood Frame ( ) Masonry ( )Steel ( )
0
7. PLANS and Specifications 0
a.
No. 28' x 60' as per plot plan, specifications and application including
septic system and attached two car garage. 1-1
8. Proposed Use 0
THE ATTACHMENT OF THE TWO PARTS MUST BE APPROVED BY A
LICENSED PROFESSIONAL ENGINEER.
One Family Modular Dwelling
$5.00 C/O
129.00 October 1, 88 a.
$ 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.)
x
0
Dated at the Town of Queensbury this 18th Day of March 19 88co
SIGNED BY Q. for the Town of Queensbury
Building and Zoning Inspector ,�e,
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 0 5f /v` •
2 . Type of heat /-ec_FLr(e__
3 . Is the building mechanically cooled? 1IO
4 . Percentage of area of windows and doors
A. Over 16% Only
1. Uo 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 41a:P
a. R value of insulation c ,/. 7 •g—"{F -r
5. Type of insulation
B. Under 16% Only
1. R value of roof and f3oors exposed to ambient conditions
_ 3g
2 . R value of exterior walls 2 pZ
3 . R value of glazed area 2 2.
4 . R value of doors 2 s
5. R value of floors over unheated spaces g' r�,J
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 rcb.ep2._ pD`/� 92e�+
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
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
2. Temperature control setting maximum
G. For Swimming Pool Only
1 . Maximum heating
Telephone No. /79„24e�05?
(app icant ' s signature)
TO BE COMPLETED BY BLDG. DEPT.
�] Application No. `TOWN OF Q!<.ie' :ai,i 13 :.
J liin of Queeniur, Permit Issued 19 �F,.� 'or/ -, ' Y ',
BUILDING and ZONING DEPARTMENT Permit Expires 19 1) 1 M L'; I? I - I
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation 1 7 .LJ
Queensbury, New York 12801 Varia4vwNo.
ce No MAR
9. Si '
I, BUILDING & CODE DEPT.
P
!l9 J��C2.
APPLICATION FOR •
/
BUILDING AND ZONING PERMIT
* * * * * * * * * * *. .. * * .* * * :.tt. * * .*. * * * * * * .11.• * * * * * * * * * *
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: �o I�}t C� ,. t e,A-P y .m 1-1-if /e-
P.O. Address / Tel.
Property Location: 0-n r iV er ()1"rr tt)es 44�� . (1�,a,, Qroo r Tax Map No.//3 // / 33
Street number or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS :
Name P.O. Address Tel. No.
u3ao ST
D,,� �re, ' (( ,, !
Name of builder,1��'Y!- ,r ,,,, rtic�c.{-,,.�..,. ddress SP� jitIQ 1.4. Tel.
Name of plumber a Address Tel.
Name of mason Address Tel.
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
,(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. * of septic disposal area.
. *
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property 0/271/.4� ft X/3.2-6% ft.
* Existing building(s) Size ft X ft.
*
PROPOSED BUILDING AND USE: * Existing building(s) Use
Size of new structure Ail ft X 5l%O ft *
Foundation-pier/slab/crawl/partial/ * Proposed building, distance from property line
(circle one) * Front yard ' " " ft Rear yard ft,
No. of stories (habitable space) * Side yards ft and ft
Height (grade to ridge) ft• * If on corner, setback from side street ft
If residential, no. of families
No. of rooms(excluding baths) . /: * OCCUPANCY INFORMATION
*
No. of bedrooms * PRIMARY BUILDING -
No. of bathrooms `� * One family dwelling
Primary heating system E teci: I
47, Two family dwelling
Type of fuel *. . Multiple dwelling / Number of units
No. of fireplaces to be installed IPermanent occupancy
Will a wood stove be installed? ,zit}-er- *. .
* Transient occupancy
Central Air conditioning? M) Business
BUILDING STYLE, PRIMARY STRUCTURE *. . Industrial
*" Other . . . . . . . . . .
nch Contemporary Log cabin * 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 * XOther 11,06('i2ir t, ,h oat-\ e,t_o_
CONSTRUCTION // *
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
•
BUILDING SPECIFICATIONS: •
•
•
Type of construction,(wood frame,? fire safe,etc. •
Will 'any_second-hand or ungraded lumber be used? If so, for what? N
Foundation wall material 0)11. r Thickness S
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? Heated or4 ti:T :fr Floor sq. footage sq ft '
Will there be a basement? Will any portion be used as living space? /t/O
(If so, what portion? sq.ft. - - Type of use?
. Type of roof - sloped)flat/shed/other MateriaL'of roof • $Lj;ti /ps
Size, wood studs , "X 6 " spacing /6 "o.c. length ft.
Joists(floor. beams) 1st. floor ,2 "X / " spacing //, "o.c. span ft.
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft. •
Roof rafters "X " spacing o.c. span ft.
Roof trusses(pre-engineered) spacing "o.c. span ft. /
Exterior wall finish /�'' Of what material? %/✓�'G% G $•i.c�//1
• Interior wall finish S4-c_/ epcf( [ 2- i/s •
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
Is there to be an opening between garage and dwelling? ye$ If so will a Fire-rated
•
door, enclosure, and self-closing device be- provided? /ye
Will a flue-lined chimney be installed? Height ab6ve roof ft. •
Depth of chimney foundation below grade ft.
Depth of fireplace he.rth ft. in.
Water supply - telagebor private well
SEPTIC SYSTEM _ Distance from 'ANY'private' we1l('i'ndluding adjoining properties ft.
(A separate application is necessary for any repair or new installation of septic system) •
Town of Queensbury AFFIDAVIT 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, 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, o er's age t,arcnitect,contractor
day of 19
Notary Public, Warren County, N.Y. •
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
•
•
•
•
By •
�ru41. of OW&Atfp
APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE /
LOCATION OF PROPERTY FOR INSTALLATION ei/€S,/-/L(ou. ;&) C/evvc/U Froo/,e8
Owner's Name: _ /po/N/vy- 4-c4,eI mi9-i//e Telephone: 7 '2 o 9
Address:
Installer's Name: 6, -k_ 7);-/. yy\a Telephone:
Number of bedrooms (residential only)
Total daily flow (compute @ 150 gal per bedroom) </�D
Topography: circle one: Flat Rolling Steep Slope % of slope
Soil Nature: circle one: and)Loam Clay Other / Depth: _ feet
Ground Water: At what depth? feet
Bedrock or Impervious Material: At what depth? _ feet
Percolation test: circle one: not required required / rate min. inch.
Domestic water supply: circle one: .d i nicipI Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption _ feet
PROPOSED SYSTEM: Septic Tank /OVc7_gal. (minimum size: 1,000 gal.)
So'
TILE FIELD: Each Trench 00,7 feet / Total system length (20-8 feet
SEEPAGE PIT(S): Number of / Size each feet by feet
Size of stone to be used # 3 / 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
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT:WHEN REQUIRED.
•
(TEMP. k (DATE , ..
,CITY_OR i r..
•
'VILLAGE Co//r/o 5 t='r' /,`_� TOWNSHIP r COUNTY WO-t r
STREET AND NO.OR -`--
ROAD AND POLE NO. I)1 t;�'(° MO l,te:n."1;il, , 1 \� • POLE NO.
BETWEEN WHAT TWO `
CROSS STREETS IS ? 1 S' j� r I t �^c-.t i/ k(• SECTION /,y'- BLOCK ! LOT ,.- •.✓
PREMISES LOCATED. L/r%�r.`f�J�> ,1Y'_fr) (;� P- 1"
OCCUPANT'S �c ',/ /� BUILDING
- NAME i2O/U/1J4 �`--' l/'11 K e� t r 1 I-/ !IC_ - - " OCCUPANCY
OWNER'S NAME t %r4'/Z. ' /`/� / / r'
AND ADDRESS ^ 1!! ti,' VL.. 1f0,(j'?`i f 1 i 'lle II?e„,;x: r60� /y._f,;-(i l�• (C�. TEL.# / / C�d(O� I
CURRENT J SUPPLIED ii10
J �AtcJi FROM THEIR OFFICE
ISUILDING 0NEW I OLD❑ IWS
NEW ADDITIONAL❑ REMOVED DEFECTS ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS LampfReceptacles MOTORS HEATERS CIRCUIT'S OFFICE USE
Loca- ONLY
tion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recess% 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 Q'/(7_ O ice,j'' 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 OF SIGN
BUILDING '
•
' INSPECTION REQUESTED •
ON OR AS NEAR AS .
POSSIBLE NEW El OLD
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 '1 !~ r;. f' n SIGNATURE %. ! 7 . �,f//1,
APPLICANT OF APPLICANT ! //, ,^
STREET ADDRESS •• .- k''I`:L •<(<� TELEPHONE# /
CITY OR / 1- r 'i J /� 16„rics ZIP LICENSE NO.
POST OFFICE (�RGPut"r'/�/. ,a°1ltJ /},i'"- f WHEN APPLICABLE
CODE �v,
46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING -
b.,'�.,'i, mMfLm vaL an marvsLmmmmLm cncm�ic =
C
THE NEW YORK BOARD. OF FIRE UNDERWRITERS* . 7j
BUREAU OF ELECTRICITY c�Q ��
a j' fJ1x, 41 STATE STREET.ALBANY;NEW YORK 12207 r
� •-'•L.ES;.ti -• s • 21y A I r• d 9 n 5 t;
►. Date l o 1. " Application No.on file006,992788 ;4y �, w
ki
THIS CERTIFIES THAT
'e only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
I DONNA & GAR`_r t1{3IL E , WEST MOUNTAIN ROAD, GLENS MALLS, •1. PI
.4 in the following location; ❑ Basement El 1st Fl. El 2nd Fl. Section Block Lot _
Fi ►; was examined on • . and found to be in compliance with the requirements of this Board.
�' -6 FIXTURE I FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
r. J OUTLETS ECEPTACLES SWITCHES INCANDESCENT.FLUORESCENT MEACWIY • - ``
►; yApR AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
p. 5 1 ri
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
ar; SYSTEMS
e AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
1; SERVICE DISCONNECT NO.OF S E R V I C 'E
, AMT. AMP. TY MET� TYPE ER1 A 2W lid 3W 3 if 3W 3,B'4W NO.OFR.COND. OF CC.COiJD.. • NO.OF HI•LEG of HI LEG NO.OF NEUTRALS Op NEUTRAL
E. �,
7n
1 200 PANEL 1 x 1 4/01 2/0
OTHER APPARATUS:
G 6 4— G (,T RECP :y _�`-P " --
tr -v 2— SMOKE DET
• <, • i-- 4.5 KW WATER HEATER �-a ,
,-. ►. ,, �
V
1.0
.:;.:::7"7::.‘
1.
10
'.r D i N S ClARY HAl'.T�LE
;1TT 3 r?,:� 2Gi HTJs L,?Iv"B ROAD . . . .771(!5PIN.-.--4-......S-.120—.7 ' —
14:K GLENSA FALLS, NY 1 f;0i 0 • BRANCH MANAGER -'
-6 `
: Per ;. ..
�' /
rs 4: This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their cret
ii iar,ar•rwr•isr-isrisr•7as•qi•rac-iwriariar4c•4i tisY•isi•iar=isciar•=eyiriikr7AiYAY•iAf7Argr9s?.7sr.isi•,�Y•iAriAi ysr.]�P.���..���..1sr•7ac�isr]s7•is�is?..�r.��"ist7s�•=�r•�ar�,a is?•isr•=
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. '.
_town of Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
'1111G/ Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME 7 ���,,/�`,,
LOCATION ei 43 !]��4e)e�,,L��
Date /� Permit No. �6 —7j'
* * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing •
Backfill '
Framing
Roofing 17
Siding `, • /,/
Masonry Veneer
Rough Plumbing
Relief Valves . V
Ext. Porches
Finished Floors \a i• V
Interior Trim ,;
Stairs & Railings i' .
Cellar. Drain Tile I
Concrete Floors , f /
Plbg. Fixtures , N. V
Gar. Fireproofing / \ 1//---
Door Closers ,i'
Smoke Detectors 1 'N. !'r
Chimney / °<..,
INSULATION:
Foundation
Floors_ /
Walls /
Ceiling /
• FINAL ELECTRIC • INSPECTION
`)DRIVEWAY APPRO AL X
_
xFinal Builds g Survey
Next scheduled inspection (call when ready)
Remarks- r
JP 0 ill CI 17
r
A ---1/;. (--
F/iid/ v4
",z(
Building Inspector
6/86 and-vl
..own of Queeniur,
BUILDING and ZONING DEPARTMENT •
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOOR' S REPORT
NAME AA-
LOCATION Li A% /'/ ,J7 ✓ vU,L,
Date I`/3 /61� Permit .No. 00 '
* * * * * * * * * * * * * * * * * * * * * *
� ✓ = APPROVED - E / NO
Footing/Pier Forms ��rc;
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 J •
Door Closers 1
Smoke Detectors /
Chimney 5r •
INSULATION: •
Foundation •
Floors
Walls
Ceiling ••
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
•
Remarks—
•
•
•
•
Bui ing Ins or
6/86 and-vl
•
Down of Queeniur,
1/, . BUILDING and ZONING_DEPARTMENT
/ Bay and Haviland Road, R.D. 1 Box.98
Queensbury, New York 12801
•
•
SEPTIC DISPOSAL SYSTEM/ INSPECTION •
NAME �<'�� ../ _;j'//4-(_
LOCATION
DATE_ !fFi"/ PERMIT NO. 5a" 't5
SOIL TYPE �� n� Loam - Clay -
Percolation ,,�r--e--st Required? YES - NO
Percolation rate - Min/Inch 1
s
TYPE of SYSTEM: !/
Absorption field, total length ,
Length of each• trench ,
Depth of t enches . 7 '
Size of gravel •
SEEPAGE PITS4Number of)
Size- R' ft."X g ft.
Gravel size if
PIPING: Size Type
Bldg. to tank a PAL
Tank to dist. box 'ti c/
Dist. box to field/pi`t y C(
Openings sealed? / YES\ NO Partial
t.
LOCATION/SEFARA,TIONS:
Foundation to tank 345' ft.
Foundation to/absorption .�) ft. •
Absorption t9/lot line — ft.
Separation o pits ft.
LOCATION OF /SYSTEM ON PROPERTY(circle one) •
Front - Read Left side - Right side -
COMMENTS:
•
•
•
•
•
SYSTEM USE APPROVELI(/ ) NO
Bui ding I pector
•
01/86 and vl •
Jown o f Queenitur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
/}// Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
iClCt'L�, �
LOCATION Lelia W i /, ;•"/Z. •
Date I�/q /fir Permit No. ord - fJ
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
oundation //��,r ��/;��% tj�
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Ve ,eer
Rough Plumbi.g
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofini
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-
B 1 'ng Inspector
6/86 and-vl
_loom of Queeniurj
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
() Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME �/J
LOCATION /L 4 yi3,. n/�-� 0;,,,Li
Date// / Permit No. c y Z5
* * * * * * * * * * * * * * * * * * * * *7* *
I,/ = APPROVED - YES / NO
L.4noting/Pier Forms V
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. Fireproofi g
Door Closers
Smoke Detecto.s
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Ai/
Bui n• `nspe tor
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