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1987-884 CERTIFICATE OF OCCUPANCY TOWN OF QUEEN5BURY WARREN COUNTY, NEW YORK l ii II Date October 2 19 89 87-884 This is to certify that work requested to be done as shown by Permit No. has been completed. This structure may be occupied as a One Fainily Dwelling; L43c#rion � Iroquois Dy — Tyneswood Cowner Douglas Burbridge By Order Town Board TOWN OF QUEENSDURY Building & Znnfng pector BUILDING PERMIT w x TOWN OF QUEENSBURY No_ 87-884 WARREN COUNTY, NEW Y©RK o PERM1SS10N is hereby granted to Douglas Burbridge N OWNER of property located at Lot # 102 Iroquois Dr , Street, Road or Ave_ t o0 y 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 Queenshury Building and Zoning Ordinance. t . OWNER OS Address is 832x9$IfafltffU11X9XX 22 Cedarwood Dr , o Ballston Lake , N . Y . 12019 P) w m 2. CONTRACTOR or BUILDER'S Name � Same cx tr �t cL a4 3_ CONTRACTOR or BUILDER'S Address � Same 4. ARCHITECT'S Name r 0 H rt S. ARCHITECT'S Address N rn C+ � ry 0 O H G1• ri O +� 6_ TYPE of Construction — IPlaase Indicate by X) C C7 N• ( 31 Woad Frame ( i Masonry ; } Steel { ub CJ H 7. PLANS and Specifications No. 73 ' -6" x 26 ' as per plot plan , specifications and application including xxx septic system and attached two car garage . 8. Proposed Use o One Family Dwelling m m I� $5 , 00 CIO tc $ I85 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES July 1 , 8$ r' 19 � ro 1 IF a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of OUeansbury before the expiration date.) i-- :3 I Dated at the Town of Queensbury this _ y 23rd Day of December 19 $7 0'4 SIGNED BY ///� G C ? for the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG . DEPT . .tlid / Application No . � /owl� Gr �eRpBn� 6�t► � Permit Issued 19 Idd,k619 - �1f L . BUILDING and ZONING DEPARTMENT permit Expires 19 D � 8 Bay and Haviland Road, R.D. 1 Box 98 Zoning Designationtd Queensbury, New York 12801 Variance No . X•L" r Site PP14n�j�Reew N 6l dddf 1?0Apprd i t i(/ +f✓ - ! APPLICATION FOR ! ' BUILDING AND Z©NING PERMIT 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.F----� 004,,'A dd _ U/<! 'goo ' 4;761E� P . O. Address 0Z9 CEla u ~A;) OX . r�,�►u �:onJ .CA ace /�J /2c�r Tel . s Property Location : 10ar QCrQVO/ S ( ,r T7A/A45SLfrvc j?2 Tax Map No . /Z/ street number or building lot number �} Subdivision name ( if applicable) THET PERSON 1�46RESPONSIBLEFOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS ; �%L]+/ / y�/y" / / 1�/ � VL � � Name P . O. Address Tel No , Name of builder yrG' 6P-f.0G: Address cl�p,� ��� Z ` Name of plumber /_ ects AL Address 1CjZjqbZLr /AG Tel . Name of mason S6,c.� /vt Al ✓ Address 6� G 'C-s Tel . -3 NATURE OF PROPOSED WORK : * ZONING INFORMATION : XConstruction 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 , 'y Size of property 13s1 ft X lSY 17 ft . Existing buildings ) Size ft X ft . PROPOSED BUILDING AND USE : Existing building ( s ) Use _ ,[Jou-�'" Size of new structure 07ft X V' f Foundation-pier/slab/crawl/partial ul Proposed building , distance from propert line (circle one ) * fS ,fZ� No * of stories (habitable space) * Front yard ft Rear yard Side yards v ft and 3z;7 ft Height ( grade to ridge) { ft . * / If on corner , setback from side street ft If residential , no . of families No . of rooms ( excluding baths ) �q * OCCUPANCY INFORMATION No , of bedrooms * PRIMARY BUILDING - No . of bathrooms c y.' " Primary heating system One family dwelling + � Two family dwelling Type of fuel Noo of fireplaces to be installed.,_ Multiple dwelling / Number of units Permanent occupancy Will a wood stove be installed? `-Iles _ * Transient occupancy Central Air conditioning? KIU * Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch Contemporary Logcabin * Other Raised ranch mansion y Duplex * If addition , what will use be? R Split level Old style Bungalow Ca e Cod Cottage Other ACCESSORY BUILDING- olonia Row Town House * Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) * attached garage/one car/ twoca�rf._ car dddddddd* * * * * * * * * * * * * * * * * * _Private storage building ESTIMATED MARKET VALUE OF .Other CONSTRUCTION LLB- �pt7 _ - - - INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET . TO BE COMPLETED ! BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire Will any second-hand or ungraded lumber be used? If so , for what?^ Foundation wall material Pao%1&S.2 Thickness Depth of foundation below grade ��" {to bottom of footing) _ 6 Will there be a cellar?_ 19� Heated or unheated? Floor sq. footage /Z, ip.i6, sq ft Will there be a basement? Will any portion be used as living space ? ff � ( If so , what portiot�? sq. ft . - - Type of use? Type of roof - oped lat/shed/other Material of roof (f-L ASS Size , wood studs----�"x �, spacing �f& "o . c . length y - ft. Joists ( floor beams ) 1st . floor � "x (y -" spacing /6 "'o . C . span__Ll -ft .joists ( floor beams ) 2nd . floor Pox It spacing '0000 span L _ft Overiays (ceiling beams ) "x " spacing "o . c . span ft . Roof rafters "x to spacing o . c * span ft . ,}K.Roof trusses (pre-engineered) spacing_ __ ""o . c . span Y II P Exterior wall finish LJ00,p Of what material ? / Z Interior wall finish ,S RE4; i P�2LAI!!�m 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? If so will a Fire-rated door , enclosure , and self-closing device be provided? y195 Will a flue-lined chimney be installed? {�„- f : Height above roof. ft . Depth of chimney foundation below grade. ?+ ^� " ft . Depth of fireplace hearth_�ft ._ Q'in . Water supply - Municipal or private well SEPTIC SYSTEM _ Distance from ANY private well ( includi.ng adjoining properties ft . (A separate . application is necessary for - any repair or new installation of septic system) Town of f Warren 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 , 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 _ c ___________ - 0wner , - er ` s agen - rcnirect , contractor day of 19 Notary Public , Warren County , N . Y . * * * ol SPECIAL CONDITIONS OF THE PERMIT : B5''.............................-- ------- 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 dL4 �7 r 2 . Type of heat t- A-je-- 3 . Is the building mechanically cooled ? + P 4 . Percentage of area of windows and doors � ) ■ u� A . Over 16 % On1 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 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_ P� 39 2 . R value of exterior walls Z �i 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 r-7 . R value of slab insulation -, h-ea._ted slab r n8 . R value of heated basement-cellar walls ( above grade ) 499 R value of heated basement /c walls { below grade ) _� �4 10 . Type of insulation c . Controls 1 . Thermostat maximum heat setting V 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 . Sire of hot water or cooling carrying agent4O ip 2 . R value of pipe insulation k F . Service Water Heating 1 . Performance efficiency 2 . Temperature control setting maximum {G . For Swimming Pool Only 1 . maximum yrheatIng Telephone No . ��( appvkcantls 9 ' g ature ) %MfM Of a4r~40y- APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE LOCATION OF PROPERTY FOR INSTALLATION Owner's Name: / Telephone: � - Address: d=< iGG}H-,G�tw _7 .r .�? j,�..u.s:r�,s.' .fi r rt.� Installer's Name: �,.r,,Jcr --- Telephone: -- Number of bedrooms (residential only) Total daily flow (compute (OEb 150 gal per bedroom) Topography: circle one: Fla Rolling Steep Slope % of slope Sail Nature: circle one Sanoam Clay Other / Depth: f� feet G'around Water: At what depth? feet Bedrock or Impervious Material: At what depth? _ '~~ feet Percolation test: circle one: not required required)/ rate anus inoir.- Domestic water supply: circle one Municipal Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption _ feet PROPOSED SYSTEM: Septic Tank 11-v0 gal. (minimum size: 1 ,000 gal.) - - TILE FIELD: Each Trench feet / Total system length 4P-.S�D feet SEEPAGE PIT(S) : Number of _ / Size each feet by feet Size of stone to be used # 14V 4n rDepth or Thickness lg f Z 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 Z.) 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 Be 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. Co 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 worts. 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 ail requirements of the Town of Queensbury Sanitary age Ckedinance. Signature of responsible person: u �' Date: IL 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 L IVE TOWN OF OUEENSBURY BUILDING .AND CODES DEPARTMENT BAY & HAVILAND ROADS 0+k QuEENSBURY. NEW YORK? 9 I28 128 TELEPHONE 832 BUILDING INSPECTOR' S REPORT G _ REQUEST FOR INSPECTION REIVED f I �- NAME -*- ` ` C_ LOCATION r DATEG' PERMIT # APPROVED YES NO F'OOTXNG/PIERS MONOLITHIC POUR FORMS FOUNDATXON/DAMP-PROOFING BACKFILL APPROVAL ROUGH ,PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS ' CEILING jo .-rINAL XNSNIPECTIO € � CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORC, ESISTEPS STAIRS-CLEARANCE 6 RAILS PLUMBING FIXTURESIRELXEF VALVE INTERIOR �IMIPRIVACY DOORS FINISHED FLOORS Lam. GARAGE FIREPROOFING DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED+. REMARKS : f , NSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 13AY 5i HAVILAND ROADS QUEENSBURY, NEW YORK I2806- TELEPHONE (518) 792-5832 BIJILDING INSPECTOR " S REPORT c+ REQUEST FOR INSPECTION RECEIVED__:"a NAME LOCATION DATE C-. �,._;._{ PERMIT #, ! ' I� ,APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATIONIDAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH- INSULATION: FOUNDATION FLOORS WALLS ILING NAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & :RAILS % PLUMBING FIXTURESfy ?ELIEF VALVE INTERIOR TRSM/PRT Cy DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSERS) - SMOKE DETECT FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTANED FROM THE BUILDING DEPARTMENT BEFORE TFIES PREMISES ARE OCCUPIED! REMARK.: f .INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURYO NEW YORK 32805E-. TELEPHONE (518 ) 792-5832 BU I L[ING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LdCATION DATE PERMIT ##J t pp APPROV YES FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING_ _ BAC'KFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL R UGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION : CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ST S ,STAIRS-CLEARANCE & LS PLUMBING FIXTURES/ EL F VALVE INTERIOR TRIM/PRIV CY ORSu FINISHED FLOORS -_ GARAGE FIREPROOF G _ DOOR CLOSERS) SMdKE DETECTORS FINAL ELECTRICAL NSPECTION FINAL APPROVAL O CONSTRUCTION _^ A SIGNED CERTIF CATE OF OCCUPANCY MUST BE OBTAINED FROM T E BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: INSPECTOR ` THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY FN-LG 41 STATE STREIET, ALBANY. NEW YORK 12207 Vase OCTOBER 20 , 1988 Application No. on file 0OZ685 / 88 A 7 3 n P. 8 2. THIS CERTIFIES THAT only the electrical egwprnens as described below and introduced by the aprplicsnt nsrned an the above ,epptiewtion a3s+rsbrer irw the prensises of DOU£: LAS fiilRBRID. GE , LOT 102 1RO44U01S DRIVE gUEENS23URYs NY inthefollowinRlocations Basensent lstFl. Q 2nd "I GARAGE/ ATTIC/OUTSLDEsection Block Lot 1aaR ezaSnined on Cj / 29 / 33 and found to be in compliance with the requirements of this Board. FIXTURE ACLllti SWITCHES PAP40M cooictma 6ECK5 OVENS DISH WASHERS EXHAUST FANS OUTLETS INCH MESCENT FLUORESCENT AMT_ K. w, ;w;, K. W. AMT, K.W. AMT. IC, W. AMT, PI. P. 23 51 23 28 i 1 1 1 . 5 1 1 FRI DRYERS FURNACE MOTORS RMIRE APPLIANCE lRRpRRS ISPECIAL111COPTI TIME CLOCKS RRLL JUNITMATMS *A LT64WTM DOWRIES MAT. K. W. 04L H. V GAS M. P. AMT. NO. A. W. *I AMT. AMP, AMT. Amrs- TRAMS- AMT. X. P. N Of FEET AMT. WATTS 1 80 6 / 3 1 1 13 600 SERVICE DISCONNECT S E R V C E AMT. AMP. TYPE *WWI f X 1W I X 9W 7 X sw s X 4w #POEM[FC0f4M OFC[cOklo. CW / j'L G No, OF NEUTRALS Oi NWEU'RAt 1 y[)l7 PANEL 1 x 1 4 / ,- 1 2 0 OTHRR A"ARATUS: }Y 3- PADDLE FANS 4- GFCI RECP 1 - SMOKE DET 1 - 4 * 5 KW WATER HEATER 22 CEDARWOOD DRIVE BA14LSTON LAKE , NY 1 :019 BRANCH MANAGER Per This certificate must not be altered in any manner, return to the office of the Board if incorrect. Inspectors may be identified by their credeTWlah. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. fhY' _._.Iauvre a� �eeee,n9 � urt� .�� BUILDING and ZONING DEPARTMENT �+ Bay and Haviiand Road. R- D. 1 Box 98 Queensbury, New York 12801 SEPTIC DI $P sAL SYSTEM INSPECTION LOCATION '� Ate` BATE cS'�I I PERMIT N� O SOIL 'TYPE - Sand - Loam - Clay -_ Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SY STEM Absorption field , total length Length of each trench Depth of trenches size of gravel- SEEPAGE PITs4Numbe2r of) Size- ft X Gravel size PIPING : sizeTYF'e Bldg . to tank Tank to dist . x Dist.. box to fi d/Pit Partial Openings sealed? YES NO LOCATION/SEPARATI So ft. Foundation to tank ft . Foundation to absor ion ft. Absorption to lot in ft. Separation of pit LOCATION C)Tm' SYST ON P PERTY (circle one) Front - Rear - L ft side- Right side - CCMMENTS : SYSTEM USE APPROVED ES NO Building actor ol/86 and vl _Town o/ QIween3+1uryt BUILD%t4G and ZONING ❑gPARTMENT Bay and HaWiland Rand. Ft.©. 1 Sox 98 f Clueensbury, New YOrk 12801 SEPTIC DISPOSAL SYSTQA INSPECTION NI4I�4E / Jill �� -d LOCAT i ONya�� liliR.�- c71.� DATE / PERMIT NO SOIL TYPE - anti roam - Clay Percolation Test. Required? YES Percolation rate - Min/Inch TYPE of SYSTEM: total length Absorption fiela , Length of each trench Depth of trenc Size ai e TS4N ftV i fof) --.��— SEEPAGE -� t C12 _-. Size- �.._�-. Gravel size Type PIPING : �, l.1G �1 4 t-( d Bldgm to ank Tank to di t . box Disto box t field/pi 40 Partial open-ings sea ea? Y LOCATION/SE'PPA TIO ft. Foundation to t tion Founaation to abs rio ft © 4 gE-- Absorption to to ne Separation of Pots RpPERTY (circle one) 0Lj Or SY ! _ Right side - ront Rear - 6 t Bid CCMML714TS : p 0 x t �.► rz� ► ► All: SYSTEM . USE APPROVED YES NO Huildinc3 Inspec or Ql/$6 and v1 Own 0/ BUILDING and ZONING DEPARTMENT Say and Haviland Road, R-1). 1 Box 918 []ueensbury, New York 12801 BUILDING INSPECTOR15 REPORT NAME LOCATION '© Date permit No . * k * * sr * i. * * ✓** APPROVED; * YES* NO Footing/pier Forms Foundation Waterproofing Backfill / teaming G--�oo f ing siding Masonry Veneer Rough plumbing Relief Valves Ext , Pordhes Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg , Fixtures Gar . Fireproofing Door Closers smoke Detectors Chimney SULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL NSPECTION DRIVEWAY APPRt7V Final Building S rvey Next scheduled in ection {call when ready ) Remarks- Building Inspector 6/86 and-vl own o/ Queen31"rry BUILDING and ZONING DEPARTMENT gay and Haviland Road? R-D. I BOX 98 Oueensbury, New York 12801 �1 SEPTIC DISPOSAL- SYSTEM INSPECTION hU,J 'I7 t� LOCATION DATE iC �! PERMIT NO . ` SOIL TYPE - Sand - Loam - Clay Percolation Test Required? YES - No r Percolation rate -' 141n/2nch _ TYPE of SYSTEM= total length Absorption field , Length of each trench Depth of trenches Size of gravel,_ ----� SEEPAGE P ITS-(N er of) �--�- Si.ze- ft_ X Gravel size Siz Type P IP ING a. Bldg . to tank. Tank: to list. box Dist. box to flel Pit NOPartial openings sealed? LOC'p.TION/SEPAP TIONS ft. Foundation to tank f t . roundation to abso ti n ft. Absorption to lot in , f t. separation of Pit LOCATION OE' SYS ON PRO RTX (circle one) _, ft side - ight side - Front - Rear CATS 6A SYSTEM USE APP • D Y NO _ ui g Spector 01/86 and vl BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. I Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME 0 C) I LOCATION �d z � ' Date Permit NO . r #/ APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Back.fill raml ng of ing Siding Masonry Venee TS�ltryugh Plumbing 1� "Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plhg . Fixtures Gar . Fireproofi Door Closers Smoke Detector Chimney INSULATION : Foundation Floors walls Ceiling FINAL ELECT CAL IN ECTION DRIVEWAY "PROVAT- -- Final Building Survey Next scheduled inspection (call w h en rea dy ) Remarks-- no Buil Enspector 6/86 and-vl �!a.e 0 `awn !J LLPPIt3L7tel► BUILDING, and ZONING DEPARTMENT f9'� Bay and Havifand Road, R. D. 1 Box 98 {Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME / LOCATION c J k1xpSGd'cr.�cl CAP s,'�C7 bate/— .4 Permit No . `0 APPROVED - YE$ NO ,X Footing/Pier Forms ! Foundation waterproofing Backfill Framing Roofing Siding Masonry Veneer. Rough Plum ing Relief Val es Ext . Porche Finished Flo s Interior Trim Stairs & Rail! s Cellar Drain Pi Concrete Floors Plbg . Fixtures Gar . Fireproofi g Boor Closers Smoke Detector Chimney INSULATION : Foundation Floors walls Ceiling FINAL ELECT CAI, INSPECfiION DRIVEWAY APP OVAL Final Buildi g Survey Next scheduled inspection (call when ready ) Remarks- n t Building inspector 6/86 and-vl �owex o� �iteen36ure� BUILDING and ZONING DEPARTMENT Say and Haviland Road, R. D, 1 Box 98 Queensbury, Now York 12801 BUILDING INSPECTOR ' S REPORT NAM CJ �' L O CA T I O Nt ice/ 1 •G,f�.r�' Kea! Date / Permit No . u ���,t� APPROVED - YES Np� V7Footi.ng/pier Horrtts #� Foundation Forms A3ackfill 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 . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRIC L INSPECTION DRIVEWAY APPRO A Final Building Survey Next scheduled inspection { call when ready } Remarks- Bull xng Inspector 6/86 and-vl BUILDING and ZONING DEPARTMENT [/1 g Haviland Road, R. D. 7 Box 98 u ensbury, New York 12$04 UILDING INSPECTOR ' S REPORT NAME !� F LOCATION © 7L J�' �i � wlotC p zyn Date Permit No . �L /,�� APFRCYVEp* -*Y_ S/ NO � (,p66tin+g/Pier Forms Foundation waterproofing — 33ackfill Framing Roof in siding Masonry Ven er Rough Plumbi- g Relief Valves Ext , Porches Finished Floor Interior Trim Stairs & Railin Cellar Drain Ti Concrete Floor Plbg . Fixture Gar . Firepr ring - Door Close Smoke pet otors Chimney INSULAT ON : Founda ion Floor wall Ce i. ing FIN ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready ) Remarks-- t ' r Bui ing nspector 6/86 and-vl BUILDING DEPT. COPY OF APPLICATION FORM 46-ELo NEW YORK BOARD OF FIRF UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT, WHEN REQUIRED. TEMP: • DATE `. CITY OR VILLAGE (.- 1.} - i dcls X,_ i ` "{ TOWNSHIP COUNTY STREET AND ND. OR ROAD AND POLE No. POLE Nd BETWEEN WHAT TWO CROSS STT;EETS IS /� Y roc. J I !� ! + "�, .*. �R, J i� ill PREMISES LOCATED? w .. .-, i SECTION BLOCK LOT OCCLIPANT^s BUILDING --- NAME OCCUPANCY OWNERS NAME AND ADDRESS TEL. # VeSvPL8ED !�� / FROM THEIR E� !} •' . OFFICE FECTS IBUILDINO NEW OLD © IYMDRfC NEW ADDITIONAL E] REMOVED 171 LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS Nj,attq/ ploaPlaglas OTORS HEATERS CIRCUITSM TS OFFICE USE UCH ois1 ONLY �IBtu Wall �'1i Swfldl PawtMAt Braekot Na TYPa M.P. f++ e a I+o �t� INSPECTION Owt- ti+s /r 4:7 lasso Br BNtr wrswl fst Fl.. 30 / tip 3trd FL REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH A DO NOT USE THIS SPACE. T*m aPPliceUtttt is iolw%d" to c w Om _bov Ysted aquiptoaot to be inspected but it at i we eutboNZMI to make ,itwpeetho and adjust OM f" to newer the additional rwpdA fttwe is footed atklitionel equilwtwwlt not aharr IiltArl, You eelui idled by the applice.tt_ SIZE OF ELECTaHrSIGN TOTAL MAINS. FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA, WORK TO BEE (NUMBERY fCAPACITVP 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 61WNO FULL AND ACCURATE INFORMATION. ALL SPACES DATE OF ,. MUST BE FILLED IN OR APPLICATION MAY Be RETURNED. APPUCATI PRINT NAME AND ADDRESS NAME OF � +T � SI6 NATURE l e �-• APPLICANT A,) " 1-,g t G /% `, f `,� '� •+ d ' r 'I��-'�'t�"'"' OF APPLICANT � ..:d"� •[y �� STREET ADDRESS +� .r 'G.' ��. w--' ' ." '9 ! .>1'-L TELEPHONE i1R' ,�'' f C � �•• .. CITY POST OFFICE CFI [ c `-7T'"u.✓ +�'r +`�- C?DE ,' �n} r] YM/EN�LICABLE 46 EL (R". 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING ,sz t r P 4?40 �Q 1 r4 C�c1 9 D bQ & 0a{ �4 ! C�