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6611 L , CERTIFICATE OF OCCUPANCY" TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK Duce �Ju�y ;;tg 19$24 This is to Certify that work requested to be dame as shown by Permit No. (040 r has beets completed. This structure may be occupied as a _ Une. . Locadaft owsm By Order Town Board. TOWN OF QUEENSSURY Hudding & Zonin3 Inspector C 10Cw TYC "IN;TB ' PRINTING. [it CM3 In44S. N Y fR4a1 ISInxI�a-�ess BUILDING PERMIT TOWN OF QUEENSBURY No. 6 611 WARREN COUNTY, NEW YOR K PERMISSION is hereby granted to Burritt Construction Inc . F +-t OWNER of property located at Lot 12 Edgewood Drive ( St . # 6 ) Street, Road or Ave. in the Town of Queensbury, To Construct or place a One—Family Dwell1n2 at the above location in accordance to application together with plot plans and other information hereto filed and 0 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. In rt tt t. OWNER'S Address is 12 Edgewood Drive 0 Glens Falls , New York �. 0 2. CONTRACTOR or BUI LDE R'S Name Same e� 3. CONTRACTOR or BUILDER'S Address Same 4. ARCHITECT'S Name t-4 0 tf) 8- ARCHITECT'S Address • [v U P+ uQ (D 6. TYPE of Construction — (Please indicate by X1 C7% 14 0 a (X) Wood Frame { l Masonry I f Steel 7. PLANS and Specifications 1480 sq . ft . dwelling , 201x241 two-car attached No. garage and sewage system per plat plan , M specifications and application submitted . B- Proposed Use Gene-Family Dwelling Iv $ 5 . 00 C/O Paid _ N- $ 1 1 3 _ no PERMIT FEE PAID — THIS PERMIT EXPIRES Apri 1 1 x , (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the r-a town of Clueensbury before the expiration data.) fD _ IOUr r . Tr. F- Dated at the Town of Queensbury this 2 2nel Day of S _Ia hF±r 19 8 0 � N- SIGNED BY P'. 3 for the Town of Queensbury Buildi nd Zoning Inspecto A . TOWN OF QUEENSBURY -- BUILDING DEPARTMENT R o Do # 1 DAY ,& H AVTLA.ND ROADS GLENS rA.LMIS , N{EW YORK Phone 792 5832 w lr-091lcatc tttAat you were issued a bulldlnq permit of 01 c say' f yes show that the requIrad inspectlons are Incxmvpleteo s-till :rides construction please ccxztart thl s office for an ast. i ir�� of your bullding permm t , car if completed please contact ::ate Eo we e- n rake Your card out of tk-e actI a fi. le _ . R Nj e,fG tom• Mequl ed Jlnspect lon *i kijs9w cunmt:1ruct Zion `Z' isn )�c:w' 7C�"4�52 T LS r� L�EJL ] Cc3 L` !y Of i sued by L- ais i?eg�ar anent. 'before oc:cupa,x=.+cy .. Non ..;::i'•'i'7. .✓' r :" F':' il���-'..zr' t E'-s"It In lP.,.t..,{al .a'C:j.= :"'s-1L'Y1Fa £1YG � c3�Si7C.S s :i. s _ �'c:.'[ +C: 1 'Y? 9 C=C)77r3 L *t¢qto 'e'. 7 iss. _'^.. I TOWN OF QUEENSBUR'Y i ISpace inside block to lx• filled iu be WARREN GOl3NTY, NEW YORK Building inzpertr►rl Alication for .I ,IsIi, ,tier„ �p I'crn, n Is.urd lr1 BUILDING AND ZONING PERMIT 1"" -1111it f.spires "' P I I f11 l)�strir'r \ ,Tar s .l \►'nr`I. THREE ( 3 ) Copies of a PLOT PLAN, Drawn to scale showingthe actual dimensions of the lot to be built lie„l j I K17 upon, Te exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. (iced OTOWN OF �OLIEEYP,.S�S1B1SrR nu A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWING. RJIE `.� 1' 19b0 The undersigned hereby applies for a permit to do the following work p.M. which will be done in accordance with the description. plans and specifi- M4M. 231 cations, and such special conditions as may be indicated on the permit. � � .�� . 141 i $ The ow of this property / ' The person re s nsi} for supervision of the work insr,far as the Building C(wir and the Zoning Ordinance apply is: {f1AMfl iP O AG DRESSs Name of Builder . - . . . _ . . !". . . . . . . . . . . . . . . . . . . . . . . . Address 'r , . . . . . , . . . Name of Plumber , . . . . - . . ` . . . . . . . . . . . . . . . . . . . . . . . . . . . AAddres. ' . . . . . . . . . . . Name of Mason - t". . . . . . . . . . . . . . . . . . . . . . . . . . . Addretc . . / . . ". Lot Number . . . . Unit , . . . . . . a led value of proposed work S f . . . ..? ... . . . . . . . . . . . . . . . . Name of Village . . . . . . s �j . . . . . . . . . . . f Name of Street - , . , . . . . /. . Side of street: neti th ©. east O, /s_ou_th ❑ . west yt t2 Nearest Cross Str t . . . . . . . . . . . - I �-- . , , . Distance frr:<<< thi -, ,.ross street , , . + ` z'� - f . Ft . /)K property is north , south 0 . east �i , west El from Cross Stree / If on Corner, whit corner, northeast 0. northwest © , southeast Y<outlsw•e Ct (Designate by marking with an "X " lei the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Construction of a new building. OneMain B.%Afding Tw Addition to a building. -fn mike dwelling0 ' Family Alteration to a building. a-fami' dwelling D Demolition of a building. Stor apartment house � e Ilr:ilding C� -car attached garage . . . . . . . . . , d d Accessory Building One-car detached garage C] Other work. Describe: . . . . . . . . . . . . . . . - . . . . _ _ . . Two-car detached garage Private chicken house . . . . . . . . . . Private storage building ED Other : . , . . , . . . . . . . . - . . ZONING SPECIFI TIONS. Fill in for new building, or addition to existing building, or a change of occupancv- Q Indicate on the plot plan street names, the location and size of the property, the location, size and setbacks of pro Hoter►r posed buildings, and the location of all existing buildings. Show proposed building(s) in dotted line and existing tauiiding(s) in solid line. r ,c Size of property . . / . '' tf tr . . . ft, x . ./ • ? ' /G7 ft. Size and use of existing buildings, if any `t — i m Size of proposed building . . . . . r ' x ft. m Height (fro grade to ridge) . . . . /ram. �"R ft. g Front yard ,3e? ,+'e r 527 . . . . . . . . . . . ft. / . . . . Side vard�--�-'�� 7C. . . _ /'� . �I. . . . . it. and ft � . . . - . . Rear yard . . - ,.. r. X. f7477. . . . - . . , . . . . . _ . . ft. SOUTH If on corner, setback from side street • . . . . . . . . - ft, Note: All distances are net, as natasurod From street side line to nearest ,part of building. tovew ? -73_N (cunt"d.7 BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe, etc.? Will any second-hand lumber, If W, for what? . . . . . . . . . . . . . . . . . . . . . . ! a •• ,.� -.+�-c~ - Material of foundation walls I hickness c _ - . - . . . �"�' Depth of foundation walls below grade . . . . , ti Cgrlti s Foundation? . . . . . . . . . . Will there be a cellar? . If so material of cellar float lT.� . . . . Type of roof: Sloped or flat? Material of roof : . . . " zc . . . . . . . . . . . . s cin _L_� " Sine. wand studs . . , . . , - . . . . . ' , pa g , . . . �Cv. . . . . . 'o.c., 1 gth . . .+5. ft. Size, floor beams, Ist floor . . . . . . , " x . . . . . . . . . , . ". spacing . . . . .f , , P . "o.c., span . . . ,/"T . . . . . , ft. Size, floor beams, 2nd floor . . . . . . . , _ . . " x „ spacing . . . . "o.c., span . . . . ft. Size, ceiling beams . . . . . . . . . . , .�� ", spacing . . . . .f P . ""o.c., span . . , . . . . . , ft_ , spacing n.c„ span Size, roof rafters o�ry beams : . - . !r�' , . _ . . - " ft_ Oft Exterior finish . .91�4 •y With what material. Finish of interior walls . . . . . .r . �. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If garage is to be xttached, o�.�what materia ,r►s wall betwe garage nd main building to be constructed? Is there to an openi garage nd b 'Iding? • • - • • • . . . . . . . . . . Kind of heating system - -'rpm"` �rvtt ourner or coal? . . . Will a flue-lined chimney be provided? -444c0 ~': De of chimney foundation below grade. Height of chimney above roof- . . . . . . . . . . . . . . . . . . . .. . �.+ . . . . Will there be a fireplace? - - • . • . " Depth of fireplace hearth Will a toilet be installed? . . . . . . I . - . . . • . . . . � - - - . . . . d . . . . . Will a kitchen sink be installed a connected to wV, cleaLnouits, ? Water supply (public water supply or pump) . . . . . A . . . . . . . , Distance of cesspool from any private well . . . , ``r feet Will drainage system be provided with required tra and vents? Town of Queensbury � AFFIDAVIT County of Warren State of New York I swear that to tit bw rof my knowledge and belief the statements contained in this application. towether with the plane and rpecirmotitme sub- mitted, area tree and rw.,. letE statement of all proposed work to be done an the described p nd that a of the $LIILD- INC. CODE, THE ZONING ORDINANCE, and all other laws pertaining to propo wor" b ed witru whether specified or not, and that such work is authorized by the owner. Sworn to before me this Signature _. COWNER. OWNER-S A ENT. ARCHITECT. CONTRACTCfR dayof. . .. . . . _. . .. .. . . . . .. . . .... .. . .. .. . ... . . 19. . . . . .. . .. . .. . . . . . . . . NOTARY PUELIC, WARREN COUNTY, N. Y. SPECIAL. CONDITIONS OF THE PERMIT: f TOWN OF +QUEENSBURY ` (Space inside block to lx• fillers in by W^RREm COUNTY. NEW YORK Building Itt teusr) A licalion Iof \1 it tea No.No.RR Permit l..uctil 19 BUILDING AND ZONlN6 PERMIT V,yrtt,itIFl - i'., .e,inN District 1 a1 m. „I 1V4114. It THREE 13 ) Copies of a PLOT PLAN, Drawn to scale \1itLr, ., 1•ti In showing the actual dimensions of the lot to be built KL st�a, 16+ upon, The exact size. and location on +he lot of tfie building to be erected or altered MUST BE SUB- MITPED WITH THIS APPLICATION. . . . . . . . . . . . . . . . . naiE A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies for a permit to do the following woek which will be done in accordance with +he description, plans and specifi- cations. and such special condi++ions as may be indicated on the permit. Towner of this. property A: I i?- -7-T7. . . . k-:0� i. 2,, u s L . l 0P,3. L + +C •. . . . . . fMA psi The person responsibie for supervision of the work insofar as the Buildi;W.C'.cxle and the Zoning Ordinance apply i.: 4r4^MEf fp 0 AODRE ST � � — r - + 1 Name of Builder . . ! ? c 3 i�-;+�2_.ti� .I . , . . . . +lei .t . S X- + .tAddrasss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Plumber . . . . . . . . . f Address . . . it Address - - t+ Name of Mason - - - . . Lot Number . . . 1. �-. . . Unit . . . . . . . . . . . . Estimated value of proposed work S Oar et !a ��. �`j� .t.tZe_ .. . Name of Village . . , �E��4t >--t! . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . � Name of Street . . lip °��.C+ . ! �4� V f'L?�.-1 '-, . . . . . . . Ssde of.*treat: nnrth ©, som l3 . south west Nearest Gross Street '�'•' "> . . . . . . . Distance from this ^Toss street . . . . . . ?4 Property is n5rth , south ❑ , east LL i , west ❑ from Cross Street If on Corner. which corner, northeast 0 , northwest l3 , southeast 0 Southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Construction of a new building. Main Bding 0 Addition to a building. One-family dwelling uil Two-family dwelling p © Alteration to a building. -family apartment Douse © 'Demolition of a building. Store building 0 - . -car attached garage Other- . . . . . . . . . . . . Accessory Building One-car detached garage ED I] Other work.. Describe: . . . . . . . . . . . . Twcrcar detached garage Private chicken house . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Private storage building Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building, or a change of Occupancy- Indicate on the plot plan street name, the location and size of the property. the location, sitae and setbacks of pro- Q posed buildings, and the lomtistst of all existing buildings. M4RrN v Show proposed building(s) in dotted line and existing �- 1tuilding(s) in solid line. ► - � Size of property �75 F _ . . . ft. x _/�c "7 /!� , , ft. Size and use of existing buildings, if any . - Fay 1 . . . . . . sW, Size of proposed buildingfl. x - . . - . . . . . , ft. p pried . . , . , . . . . � .. t ' Height (from grade to ridge) �. + . �'. . . . ft. Front 5'?� X. . /t-!57� . . , . 4��' x /z . ' ft. Side yards ? fx !`.�7 .'. . . . ft. and • _ . #t. i� �t .s CE Fr_ ■�c . %'o F§ Rear yard . .^ . . . . . . _ J 75 . . . . . . . . . . . . . . . . . . . ft. so Ur M If co corner. setback from side street . . . �� . . . . . . . ft. . . Nose: All distances are not* as mossxredfro'm street side line to nearess part of buildix0. (OVER) 7-73—M (cont'd,) BUILDING SPECIFICATIObNS-$ Kind of construction: 'Wood frame, Eire safe, etc.? . . . . . . . . . . . . . . . • . • . • . . . • . . Will any second-hand lumber be used? . . . . %{ )o . . . . . _ _ If so, for what? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls . , .elf Y+ S 0 x. ddf . . _G'{.?*4< . . l 3 .e� C . . . . . . . . . . . . . Thickness » . . . » . . I4? ;' , . . . . . . . . . Depth of foundation walls kelow grade . . .fc+ . . . . . . . . . . Continuous foundation? . .q+C::!F. . . Will there be a cellar? . . S . . . . . . . If so, material of cellar floor . . . 45:??4`. . . A! '"4e��: . . . . . . . . . . . . . . Type of roof: Sloped or flat? . . ,cT V7■t~. C? . . . . . Material of roof Size, wood studs • . . . . . . 2 . . ' x .(e+. . . . . . . . . . . . :". spRc4nB . . . . . . . . . . f.6."o.c., le=tgtla . . . .'.'-.4. -. . . ft. .. x fe, "` •, spacing . . , . . . . . . �� span . . . /�{ f . . . . . . ft, Size, floor beams, 1st floor . . . . . . . . . . . . . . . . . . . . _ . o»c». To Size, floor beams, 2nd floor . . . . +R './� . . " x ., spacing . . . . . . . . . " o.c., span . . . » r» . . . ft, F + " x . . . . . . . . . . . . ". spacing . . . . . . . . . . fl`o. . o.c., span . . , �, , , . . , ft. Size, ceiling beams . . . - , . . . . . - . i4 ' e: Site, roof rafters or beams . . . . . . . . . " x . . . . . . . . . - ", spacing . . . . . . . . . . /4e."o.c., span . . . l . - . . . . . . . ft. Exterior finish . . . .tA "4C "* •' •` c , . . f' t Siva., . SiA.t"AtWith what material? . . . . . . . . . . . . . . . . . . . . _ . . _ . . . . Finish of interior walls . . . . '+ .`'. . . +�fL4 u9 !a. 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If game is to be attached, of what material is wall between garage and main bu4ding to be conatrtscted? tz '' . . .(?-+ ( . + , ?• t. . .r. . 'C .�9 _ . ll? °S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . Is there tobeanopening between garage and building? . , . .` - . . • . . . . . . . . . . . . . . . . . . . . . . ». » . , , , , , , , , , Kind of heating system k� R ( 'i �-+ , . iJ !Q!� .f�4 VlrRt`x . , . . Oil bernw or coal? . . . . F. � C� 2 . . ... lY. ? . . . . . . . . Will aflue-lined chimney be provided? , . . . 14e_� . . . Depth of clufhney foundation below grade Height of chimney above rooff . . . r - t+' . . . . . , . . . . _ . Will there be a fireplace? . . l . . . . . . , , . . . Depth of fireplace hearth . . N Lr`1. . . . . . . . . . . . . . . . . . . . . . . . . . Will a toilet be installed? . . . . Will a kitchen sink be installed and connected to water sup ply? . . .` .� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Water supply (public water supply or pump) . . . P9.A1Q! X t C"* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Distance of cesspool from any private well . . . . . . + . . . . . . . . . . • . . . • . . . . . . . 0 . . . . . . . . . . . . feet Will drainage system be provided with required traps, cleanouts, and vents? . . . . �. AFFIDAVIT Town of Queenshury County of Warren State of New York I swear that to tr. jAa of my knowyledde and belief the atatet menu contained in this aprpftcatscn, tiagether with the pLRar wad apadC�tiww rab- mitted, are a true and a,.,. {ete statesoent of ail profa med work to be done on the described promises wad that all provisiasso of the BUILD- ING CODE, THE ZONINd ORDINANCE. and all other laws Pertain' kd with, whwlbw epedfied or scot, and that such work is authorised by the owner. Sworn to before me this Si�natnre .. . . . . /•, ,, ONINER, OWMER"S �AJ 7. ispCM4781:7, CO ACTOR dayof. .. . . .. _ . . . ... . .. . . . ... . .. 19. . . . . ._ NOTARY PUSL1C. WARREN COUNTY. N. V, SPECIAL CONDITIONS OF THE PERMIT: By .--. .,--.• .... .. .... .. ....... ... .. ... . .. ......... ..... ...... .... .... .. .... .......,............ .,... ... . ......., TOWN OF QUEENSSURY 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 : 10 Gross floor area► rTG7J , � 21 2rype of heat # S C. CZ ASa. lisC7� lZ,% 3 , Is the building mechanically cooled ? K3cp 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 , whet is the R value ? 3 , Slab on grade YES NO a . If YES , what is the R value of insulation arotznr' perimeter of floor ? 4 . Is basement heated ? YES NO a . R value of insulation 5 . Type of insulation 3 . Under 16 % Only 1 . R value of roof and floors exposed to a lent conditions 3� 2 . R value of exterior walls , 1Q 'f- 3 , R value of glazed area - . • 0 4 . R value of doors 5 . R value of floors over heated spaces /G? 6 . R value of slab edge insulation - unheated slab _A� 7 . R value of slab insulation - heated slab ,l! /h 8 . R value of heated 'basement / cellar walls ( above grade ) -Z? /d:-.s 9 . R value of heated basement / cellar wall :: ( below gradeyz<IC.? 10 , Type of insulation ; 1V.1 05e/004VOf Cs2e d C . Controls X2 " Gr�rr#35' •4� YG+e .�/+ �c1+9�! 5' y 1 . Thermostat maximum het� �settng � D , Duct SXstems /f/' /� 14 Is duct system installed in unheated spaces ? YES NO a , If YES , R value of duct installation bw R value of duct in other areas E » Plpin5 Insulation 1 . Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F , Service Water Heating f 1 , Performance efficiency .Crate tveE4/ Sc�? - eFr 2 . Temperature control setting maximum f � c . For Swimming Pool. Only I(P /� 11 Maximum heating_ J I- e1ephone No . - ( applicant ' s signature ) TOXIN oir ntILrENSBURY RUILDIMr. AND Z1sr1INO DEPARTMENT 741 F1-.. '1,.f1 c. . ., . .f y : � ;l ' r ; i.. . . e: •� io .f`. r.. f- " 1f; r. n.-, - �Y �" rT� "� erz=-o rl"` rj'.`-` r ''` � '• Yn` '` i� �:: t .ls`r 3 ,,�g �,;F T TELEPHONE `? i Z — ES-3 2 r,'gNER • s NAPS t ADDRESS NUMBER OF BEDROOMS .. GARBAGE GRINDER.? C* z) (YES OR NO) TOPOGRAPHY : FLAT , ROLIANG , STEEP , SLOPE GENTLE S R. NATURE OF SOIL : SANDY , L.OAM�, GRAVEL , ROCKS , ETC * PERCOLATION TEST ' / .� r _ WATER :SUPPLY : <MU ICIPAL WELL , OTHER DIAGRAM OF PROPOSED SEPTIC SYSTEM OTHER PERTINENT INFORMATTON IT IS HEREBY AGREED TMAT IF THIS APPLICATION AND PLANS ARE APPROVED , THSTALLATION' OF SEWAGE DISPOSAL FACILITIES WILL BE MADE IN ACCORDANCE WITH DETAILS SHOWN . DATE S IGNATURE OF APPLI CANT_ LAKE GEORGE PARR COMMISSION APPROVAL s gnature 40 TOWN OF QUEENSBURY Building Department Name ; PeruIt NNo. & _I .� weatbor Remarks Excaoa txon pootlg2 Forms pootlaz & Piers Foundation Cement Coat Waterproofing Backfill F-inal Survey Praming sheathin Roof Felt Roofin Siding Masonry veneer Rou h Pl Relief Valves Wall Board Ext . Porches Finished Floor Interior Trim Stairs & Railin s Cellar Dr . Tile Concrete Floors Pl . Fixtures Gar . Fireproof-ingi Door Closers Chimne OOF water Meter Inst . Se tIC Approval Floors go Insrulation Foundation ..._W Walls Cell-in Building XnapWctox REMARKS THE NEW YORK BOARD OF FIRE UNDERWRITERS =_ BUREAU OF ELECTRICITY kr 41 STATE STREET, ALBANY, NEW YORK 12207 Date f; e tember 16 , 10 ' 1 i 49k 485 �"iO4 1 Application Na. ate fiGe .T +T THIS CERTIFIES THAT ..�. f only the electrical equipment w described below anal introduced by the applicant named on the shave app#"tien number in the premises of — 13urrstt construction Lot 4" 12 St V6 Glens Fig Its , Now York in the fotlowing location; El Basement ® lst Fl. ❑ 2nd Ft. O u t s ld Section Slack Iwrt was examined on 9 !/9 /8 1 andfound to be in compliance with the requirements of this Board. FIXTURE FIXTURES I RANGES COOKING DECKS I OVENS f DISH WASHERS EXHAUST FANS OUTLETS MICEFTACLAS SANITCHES INCANDESCENT FLOOMMMNT I AMT. I K. W. AMT. K. W. AMT. I K.W. I AMT. I K. W. AMT' H. P. x7 52 32 17I I I I f r DRYERS FURNACE MOTORS FUTURE APFMANGS FEEDERS ISPOCIAL RECOPY TAME CLOCKS IREiLI UNIT HEATERS I MUL�TRMSTLET DUNMERS AMT. K. W. Ole H. P. GASP APAT. NO. ^p fWy . G, AMT. AMP_ AMT. AhVS. TRANS. AM1. H. P. Ham. S FEETAMT, WATTS je l ryery °,E\J - SERVICE DISCONNECT ND. OF S ER E R V 1 C E AMT. AA1P. TYPEMIT Eft SW 3 X 35Y 9.IP LW N81 C1f CC. GONG. A. W. Cw NO. CIF HI-LEG A- W. G. NO. DF NEIJTRASS A W. G. //� (ryy��Iyy !�y{ �.] PyEaR A' OF CIlC. Cf;Mlp. OF HFIEG F]OF N+.E�UTRAL 1 200 jn ' f . A Yl o ` r 1 OTHER APPARATUS: 171ectr lc Heaters ; 2 ^ 3 . 0 K r - i T:tv ]. - s :"?l t :e det+ervL-or~ 1* . 75 ice' 4 - 1 * 0 R7,Y 211 Pxx 1 • . , n !ie vi ' i c: -' t!4 2 . + clelvl 01 BRANCH 1ANAGER Pyy r COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. | > ) j m tUJ § — § UJ � \ o ; ate � r g = mow 0 OR ) ■ ) ) Q > § w % � > ! moa4 0Q0m 0 . Qw § 2k § 9 \ W th A | / A \ @ % ® ' Qom w � w � q@mw0 � M » # © wpm Sm A � 0go 4kM , % 4J mggm , v4:po § m � « � mw@ r4, 0 , tw # qw § M � � ergaQ m % W , � . w #m44 -W Q) m ■ # aQwo w � & > IQ gk , , \IIZ ' « 0q , m | m ; ww2q � � � ; 30 ' m kRooe , , RAR / mom , k 'ri4J fu R kkkQ % \ km ( & k « % % m & wmQo & » Q5 % m e . � TOWN OF QUEENSBURY Building Department ip«'tors Rat date Z - l `7 -_ cam'../ Name Location [ off Permit No. 5;�, r.5 // Weather Remarks 8xcavation FovtI12 Forms Footing & Piers Foundation Cement Coat Water roofin Backfill Final Survey Framingsue" Sheathing Roof Felt Roofln Si ding Masonry Ven0er Rough P3 Relief Valves Wall Board Fsxt . Porches Finished Floor Interior Trim Stair's & Railings Cellar Dr . Tile Concrete Floors I PI * Fixtures r Gar . Fireproofing Door Closers Chimney Water Meter Inst . Septic Approval Floors .insulation Foundation �------ _..._-- Walls Ceilin Building .inspector REMARKS TOWN OF QUEENSBURY Buildini Department Inspectors Report Date le Name Location Permit No. weather Remarxs _ Exca�ia t�.on Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Bacxfil l Final Survey Framing Sheathing Roof Felt Roofin Siding Masonry Veneer Rough Pl b , Relief Valves Wall Board Ext , Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr . Tile Concrete Floors PI . Fixtures Gar . Fire roofin Door Closers Chimney Water Meter Inst . Septic Approval Floors Insulation Foundation Walls Calling Building Tnspector REMARKS BUOTi CONSTRUCTION INC. 12 EDQWOOD OL a 16 , 4 k f � , W %3 4iA7T it Su?pIy Am sw/ r - �D+�'�W'e►a� �RtvE~