Loading...
1989-560%to -f- s(D'a ,to - I - Col 3 W a I 100 G 1,7 lao- i -(.4 SCALS - 10' TC)Wt4 OF QUEENSBURY PROFeRTY LO CA-T%Ot4 OwNeRs MARYE i40k-COMS R.R'Acv 30)4 k39 DAWN R0, i CERTIFICA OF OCCUPANCY CY"TOWN OF QUEENSSURY WARREN COUNTY, NEW YO►RK { I 1 November 28 l9 88 DateaC F6 • r` CK 3 89- 550 This is to certify that work requested to be dons as shown_ by Permit No. ; i i I has been completed. 1 i f This structure may be upied as a Single F am i 1 y Dwelling Location � na+�xn Fi �ad I j Wayne & Marie Holcomb Owner By Order Town Board TOWN OF QUBENSBURY L- Director of Bldg. do Code Enforcement i iI 4 X ' BUILDING PERMIT TOWN OF QUEENSBURY No r3q_ 560 WARREN COUNTY, NEW YORK _ o s PERMISSION is hereby granted to Jayne & Marie Holcomb %+j OWNER of property located at 139 Dawn (toad Street. 'Road or Ave. ~ in the Town of Queensbury, To Construct or place a _ Si ngl a Fami 1 y 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 K:] Same O° 2. CONTRACTOR or BUI LDER'S Name � m Larry C1ute 3. CONTRACTOR or BUILDER'S Address 140 RX Dawn Road rtt Queensbury . U . Y . 12[;U4 4. ARCHITECT'S Name S. ARCHITECT'S Address W u7 6. TYPE of Construction — (Please indicate by X) .� 0 .� } Wood Frames I 1 Masonry S ) Steel I ) o 7. PLANS and Specifications No_ ,L;4j x ;�;; ' Single Family Dwelling as per plot plan , specifications , and application . including septic , attached two car garage B. Proposed Use and drivewaya cn Single Family Dxellirlg m -r, PERMIT FEE PAID -- THIS PERMIT EXPIRES Eahrijary 1 - fg 9L, � (1— ff a longer period is required an application for an extension must be made to the Building and Zoning inspector of the "C town of Queenshury before the expiration date.) zz r Dated at the Town of Queensbury this Day of SIGNED BY _�.Oov for the Town of Queensbury Bui ng and zoning rApector I k n .' . IC : . T ' .l `; FUR ?� [ I ? rT; 'I(' +. 'Vfl � C "� ? y �, Pr 2tiItT OWN Or QUE�ENS13 L� RY r � C. Lt lv • Z Fev ' ed Fee Fa.id { 11)UILiDINC AND CODES U1 .PdPRnfENFr vace Issued -miy 6:4nd frAVjr.AND ROADS R.D 1 BOX 93 nUEE'NSBURY , NEir' YORK 12d04 Pc m.i,L No , -- Tel , ( 518 ) 792-5332 Exe 204 * f ■ ■ ■ a ■ i ; • ■ f * • f ! ■ ■ r ■ ■ • • • • • • ■ • i f a ! • f f A PEIMIT NIUS'C 1113 OBTAIN17D IIEFORE EEGIWIING CONSTRUCTION * NO INSPECTIONS VlLL BE MADE UNTIL APPLIC.' MT I 'AS RECEIVED A VALTD BUILDINC PERMIT . All applicable spaces on this application must be completed and the ti i llLlature of the applicant must all car on the reverse side of this sbect * * * * * * * A * * * k k '* * * * * * * * * * * * * * * * * * * * * * * r< '!' Y t t" owner of this.�property -�r�o Fi e r t y i 5 � ,� � ,r P . 0 , Address '' '�./'`f=►.�.sJv4� r^s ti �J V.+v* T- %n._._Isk 4`til..t r T E L .roperty TAX MAP ,�1��� r•�( "lG location � c`` (sue— C S No . ` CZ. g �_/ .` :A iias there been any split or this property since October 1 , 1988 ? yzs no if yes , Planning Board Review is necessary . :; UBDIVIS2 [] N NAME • IF APPLTC *NBLC LOT NO , The Person responsible for supervision of work as regards auildincj Codes is : �� `�' ti �L F -r I `-� _ 0 � fur y�,s �1Z , 0 `�[��� ��1 NA L P , G . ADORCSS T L . NOw 14ame of -2.c_ n*Address 04C7 r+ 'C' - C:; t A t.ddress � , Tel r{"me of Plumber Tel N"MO Of Masori A�Lclress � . f {r��Ul2t or !�'I:[]l'O�L:C3 {� . . „ 70N .INCi iNFORI` IATICIN ( Orrice usra 0n y *� �_ont: truccicn of a rsuu bu1l01r17 r ZONING DESIGNATION OF PROPERTY �Adjicion to :a building r PERMITTED PRINCIPAL PERMITTED ACCESSORY nlCwe "Lion to " l..uilding • �... ( 110 ck,kji ] to ,axc � CLOC REVIEW REQUIRED - PLANNING BOARD ZONING BOARD raclt.: r wort: Ia.: rcr10k! l SITE PLAN REVIEW O.APPROVED.DATE1 . }t055 AFtLA OL' L� ROL' 08Ci7. LIcUi 'L' Ule ]r' • VARIANCE IF APPROVED DATE lsc Floor sq ft . • Remarks : r Ind Floor lsq f 14LLQU114L:D I.rk_ LoUw w • Sir..: of prolrurty� - fr. xy, �ft . Ocher rloors sq ft rc . ( not ccll ;.xr ar b :as %amentl Lxi::ti� ir} l:uillirs�j [ :: l 5i �.: rc X TOTAL FLOOR AREA k� (D (�v —sq f t r 1:x.LaC111t] of nc-w scrucCura ■�2� -ft k f voau,d:. tion-pier/ sLAL/+crawl/!]art A.71 full Yrai�o�act builsLncj , cli� cancu rra�u l. r�]l�urty 1 > r+u ( CirclQ one ) Front yard lac^'. i t Rear yard �_ft NJ . of CoriO.^, (lr.abic:.bl�] 51]4CC ) , `���[ L :a"d LC 5id.. y:+rds lt,;jghc ( Urado to ridq%j ) lei - ft • r If on cGrn.ar , froln sjdQ acruQc rc If ro!; iduntial , no . Of Camilias t t1om of roo4a3 ( Qxcludinq k; :"cha) ' OCCUi'ANL:Y 1lVFpf'JMATICN ire . of budroo+ns PIZII•[]LRY GUILDING No . as 1�"rolrroouka fOnn fanuly dwelling vrluury lu:ucirr<j Uy!L6-;119' T KIN% 1 TWO ="""ily dwulltny Typ" of fuel epx ( Multzpl%s dw.:ll&ng / Number of units_�� No . of firupl ,acux to U%j insc"llud� Vara6LnQMt occup;u4cy WAt Ll :► Wu►,! 2i QW64 k++.: i;r::t.�lluci? '1'rii[l`riyrlL'. oc;cwp"4rcy L%sntx6al Air cor4ultiun�ng7 QMZMS # llusinuss BUILDING STYLC, PRI &ARY STRUCTURE . Incsustrial O c trcr .�-- ur,c:h ConL.]uLLxrc..sy Ls,n cwLiin 1t „d3iciun , r,lwc +rill uu� b,s?�„�_ r. siwd raAC116 ""nsric.1+ fauLilux ,._�� :401LC luVQI Old aCyLS2 L6L16•j" 'Lo+w I:"Pu cod Cott:►y4 OL14 :r * ACCC:3,40UY 1iUILQING- Coloni..l Lcov l'ows� Clouse ' achau y ar{�rjc/one sr.rf C ^"r ( CIIiCL,L: GNL PL,JE:A:C 1 ' Ctwch tj:aragw/Qt1Q Cis t+wo urf cur w r • • ■ • • ■ . ■ r • . • ■ * ■' LlriV" L" ScOC"go building orIMATKO MARKET VA1. U0 OF ■ �Ochuc DrIMAT?ON OH nUTLOING SPrCIFICATIONS , ON REVERSE Skit: OF THIS CHL•:E , TO BE COMF+LGTL:Q ! rm DPA 10198 V2 SUILDING PERMIT APPLICATICANI BUILDING SPECIFICATIONS ; ' ype of construction , wood Eraxe , � re Sale , etc . Will any second-hand or ungraded lumw. er be used - If so , for what ? r +C3 Foundation wall material �,��,.IE Thickness L' Depth of foundation beloV grade ( to bottom rooting ) C� � Will there be a cellar ? `� Heated or unKeated ? Floor sq . footage t � ©�, sq ft Will there be a basement? 'l , Will any portion be used as living space ? sit ( If so , what por ? sq - ft . - - Type of use ? Type of roof - slope / flat/shed/other Material of roof �,�� ,. Size , wood studs�iE=� ," x -" spacing A (To . c , length 'RW £ t . Joists ( floor beams ) 1st . floor -'^ { 1C} spacing jf.�� "o , c . span 4 ft . Joists ( floor beams ) 2nd . floor " X spacing — "o . c . span -- ft . Overlays ( ceiling beams ) _ _ NIX — spacing " o . cl span ft . Roof rafters NIX — spacing -- c . c . span — ft . Hof trusses (pre- engineered) spac " o . c . s P a n , -ft , Exterior wall finish yL11 ✓L �t , � Of what material ? Interior wall finish _� �, 6Z2.k� .p If a garage is to be attached , describe materials to be used for FIRE SEPARATION : CL \ 6 4Z_ C, t Is there to be an opening between garage and` dwelling ? + N if so will a Fire -rated door , enclosure , and self- closing device be provident? %_<% mla � will a flue -lined chimney be installed? VaC7 Height above roof ft . Depth of chimney foundation below grade ft . Depth of fireplace hearth ft ,— ino Water supply - Municipal or private well SEPTIC SYSTEM _ distance from ANY private well { including adjoining properties Et . ( A separate application is necessary for any repair or new installation of septic system ) D E C L A R A T I O N 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. signature Owner, owner's agent , architect , contractor SPECIAL CONDITIONS OF THE PERMIT : 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 S 2 , Type of heat 3 . Is the building mechanically cooled ? #�! e, 5 >^ a 4 . Percentage of area of windows and doors X. 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 d 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. 2M 7 . R value of slab insulation - heated slab t 21 A 8 . R value of heated basement / cellar walls ( above grade ) A 9 . R value of heated basement / cellar walls ( below grade ) '=-1� �—' 10 . Type of insulation C . Controls p 1 . Thermostat maximum heat setting n . Duct Systems 1 . Is duct system installed in unheated spaces . NO a . If YES , R value of duct installation b . R value of duct in other areas E . Piping Insulation 7/^A 1 . Size of hot water or cooling carrying gent pipe 2 . R value of pipe insulation F . Service Water Heating 1 . Performance efficiency 2 . Temperature control setting max1. m G7 G . For Swimming Pool Only 1 . Maximum heating Telephone N a . � L, l � � ( applicant ' s signature ) TOWN OF QUEENSBUR. Y APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE LOCATION OF PROPERTY F _ 43 Owner's Name:!!i- i � � ; JK) <%e _ 4 t +C' ja j , ts Telephone: Address: ; ���i + .►6t.�. . co . a rs .6 L>-�� R • r'1Y Installer's Name: ~� Telephone; Number of bedrooms (residential only) Total daily flow (compute Cd 150 gal per bedroom) Topography: Circle one Flat Rolling Steep Slope �n of Slope Soil Nature: Circle on : Sand Loam Clay Other /Depth : Feet Ground Water: At what depth ? Feet Bedrock or Impervious ))Material: At what depth ? Feet Percolation test : Circle one: noi required required rate min. inch . Domestic water supply: circle o : Municipal Well Other If domestic water supply is a we . Separation: Water supply from septic absorption 'feet PROPOSED SYSTEM : Septic Tank gal. ( minimum size: 1 , 000 gal.) TILE FIELD: Each Trench feet/Total system length L } C7C2���ca c� SEEPAGE PIT(S): Number of / Size each feet by feet ` Size of stone to be used # /Depth or Thickness feetk �� . I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the Town of Queensbury Sanitary Se e Disposal Ordinance, SIGNATURE OF RESPONSIBLE PERSON: � DATE : OVER 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 Huilding Department at least 24 hours before start of construction and shall include a plot plan showing : 1 . ) the pproposad location of the system 21 ) location and distance to lot lines 3 . ) lGcacion 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 S . No system shall be covered before inspection and approval by the Euilcling Inspector . Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to 1$ 250 . 00 . C . An approved copy of the plat 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 installa— tion , alteration or repair of an approved system , a new proposal must b. submitted to the Queensbury Building Department before further c +711 _s t ruCt iDn . Town of Queensbury BUILDING and CODES DEPARTMENT Say and 11aviland roads Queensbury , New York 12804 Tojun of Queerts'burig Pig4tuaig Pepartutent say at Havitand Roads office Phone S18-793-7771 Queensbury, Now York 12801 RICHARD A. MISSITA PAUL H. NAYLOR Deputy Superintendent Highways Superenrendent Highways DRIVEWAY PERMIT , DATE : Z1, I' PC. ICANT 'NAME : `1' I -' 1j1iPHCNE NO ADDRESS TO BE INSPECTED : RF VURN ADDRESS : P plicant must show exact location and width of driveway ( S ) ccikae connected to the highway by placing stapes at the s 1;, L-- ci f iecl location . TFZ ? Superintendent of Highways , Town of Queensbury , has reviewed the application of the above named resident to connect a driveway to the Town road . The following action has been taken ; royal , STEP 1 ; { } Preliminary App NEED : ( } Slight Swall { ) Level With The Road ( ) Deep 'Swai l Size Pipe to be used ( if necessary ) ( ) 12 "' ( ) 15 " ( ) 18 " ( ) 24 " ( ) 36 " pxuliminary inspection by DATE Approval by Highway Suet - Depty . Supt * After receiving the Preliminary Approval , submit the permit to the Town of Queensbury , Highway Department upon completion for a Final Approval , STEP 2 : { } Final Approval ( ) Rejected DATE : Paul H . Naylor Superintendent oL highways Town of Queensbury TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY 6 HAVILAND ROADS QUEENSBURY, NEW YORK 1280& TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT . REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE PERMIT # G APPROVED YES I NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFXLL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL R H-IN INSULATION: FOUNDATION FLOORS WALLS CEILING �SNAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORC S/ST S STAIRS-CLEA CE 6 IS PLUMBING FI RESIREIkEF VALVE INTERIOR" T IM/PRIVACY RS FINISHED LOORS GARAGE F REPROOFING It DOOR C SER (S) _ SMOKE ETECTORS _ FINAL E ECTRICAL INSPECT'IO FINAL A PROVAL OF CONSTRUCT N a A .SIGNED CERTIFXCATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT .BEFORE THESE PREMISES ARE OCCUPIED! / �. INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT �� SAY & HAVILA,ND ROADS QUEENSBURY, NEW YORK 1280lE- TELEPHONE (518 ) 792. 5832 BUILT)ING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME / LOCATION DATE /r- PERMIT # APPROVER YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOPING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-YN INSULATION: FOUNDATION FLOORS WALLS ILING INAL INSPECTION: CHIMNEY HEIGHT v ROOFING SIDING ' EXTERNAL PORCHES/S . PS STAIRS--CLEARANCE & RAILS PLUMBING .FIXTURES RELIEF ,VALVE INTERIOR TRIMJPR ACY DOORS FINISHED FLOORS " GARAGE PIREPROO ING DOOR CLOSER (S) SMOKE ,DETECTOR FINAL ELECTRICAL INSPECTION _ FINAL APPROVAL O CONSTRUCTION_ A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!` REMA KS: _ f 1 ► wo r 1 p 1 63 o7o � (,IN PECTDR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVI LAND ROADS QUEENSBURY, NEW YORK 228D� TELEPHONE (5I8) 792- 5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME d oCATION r�7 r� �i�•�GP �, DATE 47 -c�7�7 " CJ q PERMIT #_Z " ' --- APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING E E TRICAL ROUGH-XIV L�TULATIONz FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STZPS ti STAXRS-CLEARANCE & ,'RAILS'`; PLUMBING FIXTURESIRELIEF SALVE INTERIOR TRIM/PR7VACY DOOR FINISHED FLOORSt' - GARAGE FIREPR FIND DOOR CLOSERS SMOKE DETEC S _ FINAL ELECTRIC L INSPECTION FINAL APPROVA OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: l NSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT /7 , BAY & HAVSLAND ROADS ff� QUVENSBURY, NEW YOR,K 1280& TELEPHONE (518) 792-5832 BUILCIING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE - - r�Y ! .PERMIT # APPROVED YES INO F Q�SNG/PIERS MOONOLXTHXC POUR FORMS POUNDATXON/DAMP-PROOFING .ACKFILL APPROVAL y✓, UGH PLUMBING I/ FRAMING` . ELECTRXCAZ ROUGH-XN XNSULATIONJ ! FOUNDATI61N +� FLOORS 4 WALLS CEILING FINAL INSPECTIO CHIMNEY HEIGHT ROOF.rNG SIDING EXTERNAL PORCHES/ PS _ STAIRS-CLEARANCE & ILS PLUMBING FIXTUR S51REL F VALVE _ INTERIOR TRIM/ VACY RS FINISHED FLOUR GARAGE FIRE FING DOOR CLOSERS SMOKE DETEC S FINAL ELECTRIC L INSPECTION FINAL APPROVA OF CONSTRUCTION A SIGNED CER XFICATE OF OCCUPANCY MU BE OBTAINED .FRO THE BUILDING DEPARTMENT BEFORE THESE PREMIS S ARE OCCUPIED! REMARKS. � • INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUE£NSBURY, NEW YORK 12804L TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATXON 4va�L� �' DATE / �� G PERMIT # - T APPROVED YES NO FOO NG/PIERS 4 d OLLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL. ' ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT -------------- ROOFING ' ,SIDING EXTERNAL PORCHESISTEPS STAIRS-CLEARANC & RAILS PLUMBING FXXTUR S/RELIEF VALVE INTERIOR TRIM1 IVACY DOORS FINISHED FLOOR GARAGE FIREPR PING DOOR CLOSERS) SMOKE DETECT S FINAL ELECTRICA INSPECTION_ FINAL APPROVAL F CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIEDf REMARKq= INSPECTOR I 9 MIDDLE DEPARTMENT INSPECTION' AGENCY, INS . . !National :Headquarters .;., 900 Haddon Ave., Collingswood, N.J. 08108 Date. City, Town or -township �,,t� +�•�L�y,�,_i. �� �" County �..��r' � -- State �.� Location/Address `y ilf Located in Rural Area - PI ase Attach Directions) - Owner. : Pole, illPermi rt Occupied As trill * Building: New.E" Old F Occupant Work Area in Buildi Floor # -etc.) : for: Wirin Service or: Ready for Ins ion: Fee Remitted . $" Cash �. Check M.O. Make Payable To: M..D. I.A. . 500 750 IOOb 1Y50 1500 1750 2000 2250 2500 Y750 3p00 Number of Rough lAliriiag Outlets. Elect_ Heat Switches Lighting Amp. Service Surface Unit — Dishwasher Range Receptacles Water Heater Air Conditioner Dryer 11 11 Pump Number of Fixtures ' Oven 'Garbage Disposal Wiring and Controls for Burner Ampr,�Receptacles Fractional H.P. Vent Fans Other Equipment: MOTORS H.P. I/2 1/12 1/10 1/8 1!6 1/4. 1/3 1/2 3/4 1 lYa 2 3 5 7% 10 15 20 25- . �0 ; _40 ,5q .75 Ian Mark Number of Each Size Applicant.'s w , 1 ,�* }„'I f} . Signature s L ^` 'ti, _. tiJ_^ __1 i r:�....__.._•+ : t License k limit ,# TIA Utility. ' Appl icant�sr Address: N AM E IE;F. LOCATION) � tY 1 .a 3`a ne "� r� •s,_� __ ?__ — [State]_ I^_� "- ;_.: i�ip] �34 4 Service Request # Phone # Electrician: rti GATE RECEIVED= DATE INSPECTED: Correct Location : Same as AboveE3 or : Red Notice Label Rough Wiring Outlets Surface Unit Oven Switches Range G Disposal Receptacles Water Heater bishwasher Fixtures All _Ggrtditioiter D er Amp. Service ^Equipment Burner, Wiring & Controls for Amp. (ieceptacla Amp. Service Conductors Pump Vent Fans MOTORS H P, 1/20 1/12 1/10 1/a 1!e 1 1/4 1/3 1/2 3/4 1 1 1 Vz 1 2 3 5 7Yx 14 '15 20 25 30 40 '50 75 Mark Number " of Each .Size - . 500 750 1000 1250 1500 1750 2000 2250 ' O 2754 3000 * Elect. Head ° i R Progress: Inc. �""� LKD 0 Contractor D CFT W7Violation : Work Comp. 0 .0 Inc: CASH70 L/A7 Owner L/A Fee = CWK # p lPA - Municipal Due IMD-# IN+v Date: Other Side 0 Utility ,�7wner -.plicant. .. -Cut in Card terrili Date Q Final # Date I EC SIt;N0.TtJRE APPLICATION FORM NO. 250 EL 11/46 Down o� Quee" Atery BUILDING and ZONING DEPARTMENT Bay and Hawiland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Permit APPROVED - OYES NO Footing/Pier F Foundation waterproofing Backfi.11 Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Parches Finished Floors Interior Trim lye Stairs & Railings Cellar Drain Tile Concrete Floors Plbg , Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION _ Foundation Floors Walls Ceiling FINAL ELECTRICA INSPECTION DRIVEWAY APPROVAI. �_ Final Building Survey . Next scheduled inspection (call when ready ) Remarks- L.0 Building n pector 6/86 and-vl