93-567CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date Setterber 10 19
This is to certify that work requested to be done as shown by Permit No. y=_5 67
has been completed.
of .::e lc.ilia
This structure may be occupied as a
27 Di:wAve ue, Queensa,_ Teo.,-..,cal Park
Location
Owner _ 11141; H o l ti i.ri q s/Ai iG
I_-14 . 21
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
CaACL
of 1.3 jai- 0_2;4 L-rxI i
3
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 93-567
WARREN COUNTY, NEW YORK O
PERMISSION is hereby granted to AMG INDUSTRIES INC.
27 Dix Avenue
Queensbury Technical Park Street, Road or Ave. OWNER of property located at
I
N
in the Town of Queensbury,To Construct or place a Office Building
at the above location in accordance to application together with plot plans and other information hereto filed and
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N
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
GKA Holdings
RR1 Box 532
Queensbury NY 12804
2. CONTRACTOR or BUILDER'S Name
Machnick Builders z
t7
c
3. CONTRACTOR or BUILDER'S Address
3
Troy NY h
4. ARCHITECT'S Name H
z
5. ARCHITECT'S Address r
6. TYPE of Construction—(Please indicate by X) N.)
1 Wood Frame ( I Masonry (x) Steel ( )d
x
7. PLANS and Specifications
60 ' x170 ' Building (office) as per plot plan, specifica-
No.tions and application and in compliance with SP#30-93 roandSubdivision #11-1993 .
CD
8. Proposed Use D
cn
Office Building
a
S
472 . 00
PERMIT FEE PAID —THIS PERMIT EXPIRES
October 8 19 94
C)
If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 7
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this
8t
ay of. / October
19 93 x
SIGNED BY v '• for the Town of Queensbury 00
Building and Zoning Inspector rth
Imo.
C:
CD
C!
I
n
OF QUEENSBURY REVIEWED BY:
COMMUNITY DEVELOPMENT DEPARTMENT tr]
BUILDING & CODE ENFORCEMENT FEE PAID:
5 31 BAY ROAD
F .
n 2 I-
QUEENSBURY, NEW YORK 12804 PERMIT NO. 93 -(01
518 ) 745-4447
BUILDING PERMIT APPLICATION
A PERMIT MUST. BE OBTAINED BEFORE BEGINNING CONSTRUCTION .., ; 'rNSFICTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID B PERMIT.
All applicants ' spaces on this application MUST be c.ri'let ud the
signature of the applicant MUST appear on the applic , rion Jr' d
OWNER OF PROPERTY:Cv 1 1 V Hold!nis- 0
Vi e 4 bU
Mailing Address : Fet goy 5 3 Z Queensbury, NY 12804 t`. p
Telephone Number(s ) : Work 793-3404 Home 798-0560 Ytith r 393e- 496
PROPERTY LOCATION:27 Dix Avenue
yEZ
Tax Map Number: Section 110 Block 1 Lot 24 . 21
Subdivision Name: Queensbury Technical Park Lot No. 6 , 7 , 8
NATURE OF PROPOSED WORK: ESTIMATED MARKET- VAL E OF TEE
CONSTRUCTION: $
X NEW BUILDING:
RESIDENCE/COMMERCIAL- Office OCCUPANCY INFORMATION:
ADDITION TO BUILDING: PRIMARY BUILDING -
RESIDENCE/COMMERCIAL Single Family Dwelling
ALTERATION TO BUILDING: Two Family Dwelling
RESIDENCE/COMMERCIAL Family Dwelling
NO CHANGE TO EXTERIOR SIZE) X Office
OTHER WORK (DESCRIBE BELOW) Mercantile
Warehouse
Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE:
1ST FLOOR 10, 500 SQ. FT.
IF ADDITION, USE OF NEW ADDITION:
2ND FLOOR NA SQ. FT.
OTHER FLOORS NA SQ. FT.
not unfinished cellar or basement) ACCESSORY BUILDINGS :
Detached Garage - One/Two Car
TOTAL FLOOR AREA: 10, 500 SQ. FT. Attached Garage - One/Two Car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other
60 FEET X 170 FEET
Foundation Type : Concrete Will any second-hand or ungraded
Number of Stories : 1 lumber be used? If so, for what?
habitable space only) No
Height (grade to ridge) : feet Type of Heating System:
Number of fireplaces and/or woodstove circle all which lies )
to be installed: 0 Electr„r nil / Gas / Wood
Forced Hot Air)/ Baseboard / Other
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS :
NAME OF BUILDER/ADDRESS/PHONE: Machnick Builders, Troy, NY 272-8220
NAME OF PLUMBER/ADDRESS/PHONE : AMG Industries, Inc, Glens Falls, NY 793-3404
NAME OF MASON/ADDRESS/PHONE : _ Nu-Tech Construction, Glens Falls, NY 792-7622
NAME OF ELECTRICAN/ADDRESS/PHONE : Lacorte ECM, Troy, NY 274-9428
DECLARATION
To the best of my knowledge the statements contained in this appli-
cation, 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 noted, and that such work is authorized by the owner.
Further it is understood that I/we shall submit prior to a Certificate of
Occupancy or Certificate of Compliance being issu:•d, . AS BUILT PLOT PLAN
drawn to scale, showing actual location of pr. ' . . .reyi s .
Signature
Owner, owner' :ar hitect, contractor)
Charles Barber, Partner
FOR ANY SPECIAL PROVISIONS - SEE REVERSE SIDE:
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT 7441
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME 47A ,) (;%c
LOCATION
DATE 3 ,jG y PERMIT # 5'1-6 17
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVA
X ROUGH PLUMBING e, t
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING 1 R-
DUCT WORK OR PIPING :IN UNHEATED
SPACES
REMARKS:
CA A,/r L ic LA-5-
1 AST
ARRIVE
DEPART
INS L
1 "'
TOWN OF QUEENSBURY TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT BUILDING AND CODES DEPARTMENT
531 BAY ROAD 531 BAY ROAD
QUEENSBURY, NEW YORK 12804 QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447 TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTIONNS RECEIVED REQUEST" FOR INSPECTION RECEIVED
NAME /-r / ` (2 - NAME A A c, j it) >CJS 1 12 l (-7-5 --
LOCATION 0 ( i PD r( L.6! u( LOCATION `7 p (x f L'
DATE 5/3c lgif PERMIT # 9 3 -56 17 DATE 5/ C7c' PERMIT # q -5-6 7
TYPE OF STRUCTURE TYPE OF STRUCTURE O jC6._ -
RECHECK APPROVED RECHECK APPROVED
N/A YES NO N/A YES NO
FOOTINGS/PIERS FOOTINGS/PIERS
1ONOLITHIC POUR FORM MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE. THE PLACEMENT OF THE CONCRETE.
KATERIALS FOR THIS PURPOSE ON SITE MATERIALS FOR THIS PURPOSE ON SITE
OUNDATION/WALL POUR f FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE REINFORCEMENT IN PLACE
OUNDATICN/DAMPROOFING FOUNDATION/DAMPROOFING
3ACKF1LL APPROVAL BACKFILL APPROVAL
ROUGH PLUMBIN ROUGH PLUMBING
DLUMBING VEN NTS IN PACE PLUMBING VENT/VENTS IN PLACE
LL"
LUMBING UNDER SLAB PLUMBING UNDER SLAB
FRAMING: FRAMING:
JACK STUDS/HEADERS JACK STUDS/HEADERS
BRACING/BRIDGING BRACING/BRIDGING J \
JOIST HANGERS JOIST HANGERS 1.
JACK POSTS/".!.IN BEAM JACK POSTS/MAIN BEAM I
EATING ROUGH-I;1 HEATING ROUGH-IN I; -
R SULATION: 1 INSULATION: J
FOUNDATION 'WALLS INTERIOR R-I FOUNDATION WALLS INTERIOR R-
FOUNDATION 'ALLS EXTERIOR R- FOUNDATION WALLS EXTERIOR R-
FLOORS R- FLOORS R-
WALLS (5 ,,W \,1— R- I WALLS R-
CEILING I i' `} c,\i_
R- CEILING R-
DUCT WORK OR PIPING IN UNHEATED DUCT WORK OR PIPING IN UNHEATED
SPACES SPACES
REMARKS: REMARKS:
c1qAA-12 1 us Rit_rT C2 J off:-` 1. i R-0 c-i(1
1,tl f C}L)-9----(_0,,/,
RRIVE ARRIVE
EPART_750's u_ DEPART "
INSreCTO INS-EC
v
TOWN OF QUEENSBURY
v /
BUILDINGNG ANDCODES DEPARTMENT
a2, BAY ROADBUILDINGANDCODESDEPARTMENT
531 BAY ROAD QUEF,lSBURY, NEW YORK 12804
QUEENS BURY, NEW YORK 12804 T EL PHONE (5I$; 745-4447
TELEPHONE (518) 745-4447
OU7LaIgG :'ZP CTbO `S REPORT
WILDING INSPECTOR'S REPORT
j
Rcrs4it3 " FOR INSPECTION
RFQUE I ;TR 7NSP OTILA i CI» ED
EC IC J RECEIVED l////5 3 j -
MANE // / /4ti1 7x 5 s
LOCATION .f c__
LOCATION 4
DATE
DATE 3 1 ?EMIT i_.__22n= ,/3 PERMIT I 613 K
TYPE OF STRUCTURE
TYPE OF STRUCTURE X5:. /
RECHECK APPROVEDRECHECKVt_
e_,
APPROVED
i_-_Y-
N/A ( YES ( Ni
OOT IPdGS/PIERS
N/A YES
I
NO FOOTI GS/i'IERS 1 L
MONOLITHIC ?OUR MONOLITHIC rGUR FORA LFORM
REINFORCEMENTCRCE I
f, n
I,dF t'IENT t PLACE
RREINFORCEMENT _,; PLACE
THE CONTRACTOR IS RESPONSIBLE
THE C O5
y C iggr/' ' IS 'd :r`"
yg;S ,I'
FOR P`ROUIDIAG noTI e a_ .' . 1sA 1FORPROVIDINGGPROTECTIONFROMFEZTGFJ42CURSti.I.L+4 ,!C 1FREEZINGFOR48HOURSFOLLOWING
E PLACEMENTENT O y THE THE .2VC°;;. nTCONCRETE. THE P.CI:" c y
MA TRMATERIALSFORTHISPURPOSEONSITEff
IALS FOR THIS PURPOSE ON SIi'r ' 1
JUriuATIO,:/:JaLL ?GUR f FOU:DATION/SALE. POUR
REINFORCEMENTN PUCE 1 I 1 REINFORCEMEN!T IN P!AC,.`.M._..__..
r
i
OUFiDA T_GN,DMMPROOFING I
I L' ACK+ ICi/UAP'R";, : G 1
SAC -L R' -L
1 L ACKF UL APPROVAL__
ROUGH rU BI.;!ROU
ING VE-'I-/VtNTS IN PLACE I PLUMBING VENT VE TS IN PLACE
PLUMBING UNDERL.,B 1 PLUMBING UNDER SLAB1`
FRAMING: FRAMING: 1 1
JACK S!:)uJ/N=:2DERS JACK S!UDS/:+EAOE:RS
BRACING/SKIDS,NG 1 I BRACING;'SRIu I G_
v
HANGERS uGI3 HANGERS 1
F1, r.-^ ;u• ' _. 1
Z r to
1i 1 JACK POST /MAI BE;M i i 1
i . RG3G;.- HEATING ROi; .'. iN
1 INSULA . ;: j j
ih ._S INTERIOR R- j FC'J vvA- C' WA 1.) ';_3 II!? E' ; ;,""! :{- jFLNDATIONWALLSEXTERIORR- 1 FOUNDATION +,:AL_S -u-. R
R- FLOORS R-
R-1 WALLS R-—-
i`' ti h OR P„ i
R- 1 CEiLINS R- 3U:
SP
PING IN UNHEATED C DUCT R° Pr INHE ED
7.MAc3 ' in
n I 1
n,`' 1- ? ` C` f l c•< < ti/(4S REMARKS:
1
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kItiSP TOR / DE ___- (d_ ____-- `r
V r,_
1"
TOWN OF QUEENSBURY
TOWN OF QUEENSBURY 531 BAY ROAD
BUILDING AND CODES DEPARTMENT ii QUEENSBURY, NEW YORK 12804
531 BAY ROAD I TELEPHONE (518) 745-4447
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT
BUILDING INSPECTOR'S REPORT FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
REQUEST FOR INSPECTION RECEIVED
NAME 7Cr 0J/e
NAME fi GgC-e 4-
LOCATION '7 4/f , /
DATE // ) 7 PERMIT# c2-
DATE f/ A ,3 /- 93PERMIT # __567
TYPE OF STRUCTURE 5U'1
TYPE OF STRUCTURE
RECHECK
RECHECK APPROVED
N/A YES NO FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
FOOTINGS/PIERS 44/.4 .' (-_---' 1. ''FOOTING FOUNDATION BACKFILL FRAMING
MONOLITHIC POUR
OO
ROUGH PLLMBING FINAL ELECTRICAL SEPTIC
REINFORCEMENT IN PLACE INSULATION WDSTOVE/FIREPLACE _
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM REMARKS
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE APPROVAL
FOUNDATION/WALL POUR N/A YES NO
REINFORCEMENT IN PLACE CHIMNEY HEIGHT/LOCATION
FOUNDATION/DAMPROOFING B VENT/LOCATION
BACKFILL APPROVAL PLUMBING VENT
ROUGH PLUMBING ROOFING
PLUMBING VENT/VENTS IN PLACE SIDING
PLUMBING UNDER SLAB DECK/PORCH/STEPS/RAILINGS
FRAMING: RELIEF VALVES
JACK STUDS/HEADERS FURNACE/HOT WATER OPERATING
BRACING/BRIDGING INTERIOR TRIM/PRIVACY DOORS
JOIST HANGERS FINISH FLOORS:
JACK POSTS/MAIN SEAM BATH/KITCHEN WATERTIGHT
HEATING ROUGH-IN OTHER FLOORS SWEEPABLE
INSULATION: OTHER FLOORS CARPETED
FOUNDATION WALLS INTERIOR R- STAIR CLEARANCE/RAILINGS
FOUNDATION WALLS EXTERIOR R- SMOKE DETECTORS
FLOORS R- DOOR CLOSERS
WALLS R- BATHROOM FANS
CEILING R- ALL PLUMBING FIXTURES OPERATINGDUCTWORKORPIPINGINUNHEATEDGARAGEFIREPROOFINGSPACES
DOOR CLOSERS
I OTHER FIRE SEPARATION
REMARKS:
FIRE/DEMISE WALLS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
l COMMENTS:
J
ARRIVE 1
DEPART -- I
ARRIVE ,'.2
INSPECTOR DEPART /4-7-
INSPECTOR
L)L+J
TOWN OF QUEENSBURY TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT BUILDING AND CODES DEPARTMENT
531 BAY ROAD 531 BAY ROAD
QUEENSBURY, NEW YORK 12804 QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447 TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 11 1413 REQUEST FT INSPECTION RECEIVED ii
f()-
3 J S 3
SAME AM (7 O ff, `c-F NAME
LOCATION 1 iy 'ttli`,C_,LOCATION .;Yi \`" qG '‹
ATE 1 L ;)L-/-16)3 PERMIT # DATE 3 PERMIT
TYPE OF STRUCTURE
1 5
TYPE OF TRUCTURE
RECHECK APPROVED RECHECK APPROVED
N/A YES NO N/A YES NO
00TINGS/PIERS FOOTINGS/PIERS
IONOLITHIC POUR FORM MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE. THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFIN)G FOUNDATION/DAMPROOFIN a,
3ACKFILL APPROVAL 1-A iz-n,LT , X XACKFILL APPROVAL t-65,(/}-4" A.
ROUGH PLUMBING ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB PLUMBING UNDER SLAB
FRAMING: FRAMING:
JACK STUDS/HEADERS JACK STUDS/HEADERS
BRACING/BRIDGING BRACING/BRIDGING
JOIST HANGERS JOIST HANGERS
JACK POSTS/MArN BEAM / JACK POSTS/MArN BEAM
HEATING ROUGH N HEATING ROUG iN
INSULATION: :' ;,t - INSULATION: " 1c( —
FOUNDATION WALLS INTERIOR R- (r, X FOUNDATION WALLS INTERIOR R- 10 A
FOUNDATION WALLS EXTERIOR R- FOUNDATION WALLS EXTERIOR R-
FLOORS R- FLOORS R-
WALLS R- WALLS R-
CEILING R- CEILING R-
DUCT WORK OR PIPING IN UNHEATED DUCT WORK OR PIPING IN UNHEATED
SPACES SPACES
REMARKS: REMARKS:
L.. v - (t C .F c1-lfi IL/it cam.—
et:3 t L c /`;-)Z < l,) a _ fA.,5.-Q l,l/A-c-C—
7 YA/O-44--Lf
ARRIVE
f
ARRIVE
DEPART / I' L DEPART A-r:t - - t...., f 2- ----
INSPECTOR,` INSP. C,, R
TOWN OF QUEENSBURY hi TOWN OF QUEENSBURY
U i
BUILDING AND CODES DEPARTMENT "// BUILDING AND CODES DEPARTMENT
531 BAY ROAD 531 BAY ROAD
QUEENSBURY, NEW YORK 12804 QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447 TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED REQUEST FOR INSPECTION RECEIVED P -1 13-1
NAME 0)(P hda,o).ioA NAME414 1///CT
LOCATION eZ,pp 4.1144/}.7 Lgs,Ch 7Q L/ LOCATION ^rtl /31dS,
DATE /93 PERMIT #r . o 0,DATE I q 3 PERMIT # 93" ,S V7
TYPE OF STRUCTURE TYPE OF ST UCTURE
RECHECK APPROVED RECHECK APPROVED
N/A YES NO N/A YES
FOOTINGS/PIERS tNOLITHICOTINGSlIE 'F-C
MONOLITHIC POUR FORM POUR FORM
REINFORCEMENT IN PLACE REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
THE PLACEMENT OF THE CONCRETE.MATERIALS FOR THIS PURPOSE ON SITE
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING
FOUNDATION/DAMPROOFING BACKFILL APPROVAL
BACKFILL APPROVAL ROUGH PLUMBING
ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE
PLUMBING VENT/VENTS IN+ PLACE PLUMBING UNDER SLAB
PLUMBING UNDER SLAB ! / FRAMING:
FRAMING: JACK STUDS/HEADERS
JACK STUDS/HEADERS / BRACING/BRIDGING
BRACING/BRIDGING JOIST HANGERS
JOIST HANGERS JACK POSTS/MAIN BEAM I
JACK POSTS/MAIN BEAM HEATING ROUGH-it
HEATING ROUGH-IN INSULATION: I '
INSULATION: I FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS 'INTERI.OR R- FOUNDATION WALLS EXTERIOR R-
FOUNDATION WALLS EXTERIOR R-FLOORS R-
FLOORS R- WALLS R-
WALLS R- CEILING R-
CEILING R- DUCT WORK OR PIPING IN UNHEATED
DUCT WORK OR PIPING IN UNHEATED SPACES
SPACES
REMARKS:
REMARKS:
F.:.6=4,..-fg 0-A5
ARRIVE V•10 I/
ARRIVE
DEPART `; 3(
DEPART NSPECTO
NSP TOR i
V
TOWN OF QUEENSBURY TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT BUILDING AND CODES DEPARTMENT di 4531BAYROAD531BAYROADI.
QUEENSBURY, NEW YORK 12804 QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447 TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED / 9f REQUEST FOR INSPECTION RECEIVED 0/7Y
VANE 1'Y)G' NAME t9/2 .,O?r(J&)ite_z
OCATION v i7 iiii5i(' i/O f? 4.4._ LOCATION 47 Aae:4,-
ATE /2j21/Q3 PERMIT # QI ,5(07 DATE ////Q(PERMIT # 9.9-5(a 7
YPE OF STRUCTURE (,1
j
1jU/(
a/ TYPE OF STRUCTURE dG 51. c/
ECHECK APPROVED RECHECK APPROVED
N/A YES NO N/A YES NO
OOTINGS/PIERS FOOTINGS/PIERS
ONOLITHIC POUR FORM MONOLITHIC POUR FORM
EINFORCEMENT IN PLACE REINFORCEMENT IN PLACE
HE CONTRACTOR IS RESPONSIBLE THE CONTRACTOR IS RESPONSIBLE
OR PROVIDING PROTECTION FROM FOR PROVIDING PROTECTION FROM
REEZING FOR 48 HOURS FOLLOWING FREEZING FOR 48 HOURS FOLLOWING
HE PLACEMENT OF THE CONCRETE. THE PLACEMENT OF THE CONCRETE.
4TERIALS FOR THIS PURPOSE ON SITE MATERIALS FOR THIS PURPOSE ON SITE
UNDATION/WALL POUR FOUNDATION/WALL POUR
INFORCEMENT IN PLACE ' REINFORCEMENT IN PLACE
UNDATION/DAMPROOFING FOUNDATION/DAMPROOFING
kCKFILL APPROVAL BACKFILL APPROVAL
UGH PLUMBING I ROUGH PLUMBING
UMBING VENT/VENTS IN PLACE PLUMBING VENT/VENTS IN PLACE
UMBING UNDER SLAB ' \ PLUMBING UNDER SLAB
LAMING: PRAM ING: 1,,L.Lt /O- ', .,7c'
7.
UJACKS EADERS JACK STUDS/HEADERS
BRACING/BRIDGING 1 BRACING/BRIDGING
JOIST HANGERS JOIST HANGERS
JACK POSTS/MAIN BEAM JACK POSTS/MAIN BEAM
4TiHG ROUGH-IN HEATING ROUGH-IN I
SULATION: INSULATION:
FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS INTERIOR R- = ,
FOUNDATION WALLS EXTERIOR R- FOUNDATION WALLS EXTERIOR R I
FLOORS R- FLOORS R-
WALLS R- WALLS R-
CEILING R- CEILING R-
DUCT WORK OR PIPING IN UNHEATED DUCT WORK OR PIPING IN UNHEATED
SPACES SPACES
I I
MARKS: REMARKS:
L E 7\G\\\U.L,
c)O V-C-\ tCr, 3 t ti ..-t\C-V— tt .-5
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VpF C.-V\EC-Y a F o?-_,
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INSP
DEPART =t--"2 fNlCTPr/L(1/11
C TO
1VWN OF QUEENSBURY
GTOWNOFQUEENSBURYlG"
4.
BUILDING & CODE ENFORCEMENT 1l
531 BAY ROAD
BUILDING & CODE ENFORCEMENT ` QUEENSBURY NY 12804
531 BAY ROAD 518)745-4447
QUEENSBURY NY 12804
518)745-4447
l
ARRIVE: AO DEPART: /i5 % INSP: 274
ARRIVE: JJ•C DEPART: #Z• INSP: {/ FINAL INSPECTION REPORT - RESIDENTIAL
FINAL INSPECTION REPORT DATE INSPECTION REQUEST RECEIVED:
COMMERCIAL MULTIPLE DNELLINI3
Q DATE INSPECTION REQUEST RECEIV
Lof
NAME T
NAME 44/(15 a LOCATION 4.
LJ DATE 7/3 s7 PERMIT # /3J )LOCATION c/ )e II
DATE Z• C- PERMIT # )1-S 7 TYPE OF STRUCTURE
TYPE OF STRUCTURE FOOTINGS_ FOUNDATION BACKFILL FRAMING _
ROUGH PLUMBING SEPTIC INSULATION
FOOTINGS BACKFILL FRAMING PLUMBING_FINAL ELECTRICAL WOODSTOVE OR FIREPLACE _
INSULATION _
N/A YES NO
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
CHIMNEY/"B" VENT/HEIGHT
PLUMBING VENT
PLUMBING VENT/FIXTURES
ROOFING
ROOFING
EXTERIOR FINISH
EXTERIOR FINISH
DECK/PZ?RCH/STEPS/RAILI S
HEATING/HOT WATER
RELIEF VA ES
RELIEF VALVES
FLOORS
FURNACE/HOT TER OPERAT NG
INTERIOR STAIRS/RAILINGS INTERIOR TRIM/PRIVACY DO RS
FINISH FLOORS:STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PENETRATION BATH/KITCHEN WATERY GH
FIRE DAMPERS OTHER FLOORS SWEEPABL
CEILING FIRE STOPPING OTHER FLOORS CARPETED
FIRE DOORS/CLOSERS STAIR CLEARANCE/RAILINGS
EXIT DOOR HARDWARE SMOKE DETECTORS
EXIT .STAIR %RAILS BATHROOM FANS
PLATFORM/ELEVATOR PLUMBING FIXTURES
HANDICAPPED ACCESS
FOUNDATION INSULATION
IANDICAPPED BATHS
GARAGE FIRE PROOFING
HANDICAPPED PARKING
DOOR CLOSERS
FINAL ELECTRICAL
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO.
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLAN, IF REO
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C 7
Z / OK TO ISSUE C/O OR C/C
5/
ram J 1 f ./ hJ (k Y e I,
I
C6) 1„4,- rraie,
exits a i 6 k
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TOWN OF QUEENSBURY TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT ,/%„ 531 BAY ROAD
531 BAY ROAD v
QUEENSBURY, NEW YORK 12804
QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447
TELEPHONE (518) 7 45-4447 BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED
REQUEST FOR INSPECTION RECEIVED 2,h*/9/7Z. NAME 0 :.e_
NAME i9/7.26' zi.,/a.e LOCATION
LOCATION 7 /j- 4/ DATE a ll PERMIT# 92 Io
p TYPE OF
7REDATE
1 /91 PERMIT 5 993 J 2
d
TYPE OF STRUCTURE RECHECK: 6,74 4Fi (.t / - //,t.-
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
RECHECK APPROVED FOOTING FOUNDATION BACKFILL FRAMING
N/A YES NO ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
INSULATION INSULATION WOODSTOVE/FIREPLACE --
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE REMARKS
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING APPROVAL
THE PLACEMENT OF THE CONCRETE. I N/A 'YES NO
MATERIALS FOR THIS PURPOSE ON SITE I CHIMNEY HEIGHT/LOCATION
FOUNDATION/WALL POUR 8 VENT/LOCATION
REINFORCEMENT IN PLACE PLUMBING VENT
FOUNDATION/DAMPROOFING i ROOFING
BACKFILL APPROVAL f i SIDING
ROUGH PLUMBING I DECK/PORCH/STEPS/RAILINGS ‘
PLUMBING VENT/VENTS IN PLACE RELIEF VALVES 1 !
PLUMBING UND
j
R SLAB i _ FURNACE/HOT WATER OPERATING \
X FRAMING: /'a't I 1 BASEMENT INSULATION/DUCTWORK \
JACK STUDS/HEADERS INTERIOR TRIM/PRIVACY DOORS
BRACING/BRIDGING FINISH FLOORS:
JOIST HANGERSl 1
BATH/KITCHEN WATERTIGHT
JACK POSTS/MAIN BEAM I i !OTHER FLOORS SWEEPABLE
ROUGH-IN
OTHER FLOORS CARPETED
HEATING
ETLNGIO:
STAIR CLEARANCE/RAILINGS
IHANDICAPPED ACCESS
FOUNDATION WALLS INTERIOR R- I SMOKE DETECTORS
FOUNDATION WALLS EXTERIOR R- BATHROOM FANS/WHOLEHOUSE FANS
FLOORS R- ALL PLUMBING FIXTURES OPERATING
WALLS R- GARAGE FIRE PROOFING
CEILING R- i DOOR CLOSERS
DUCT WORK CR PIPING IN UNHEATED OTHER FIRE SEPARATION
SPACES FIRE/DEMISE WALLS
I DUMPSTER
REMARKS: SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
X4 `_,'i7 OK TO ISSUE C/O OR C/C
t r
J(_/
COMMENTS:
r.
ARRIVE 1'U % " ARRIVE •(;: L7
DEPART - . y DEPART !' ; i
INSPECTOR IN T
FIRE ALARM INSPECTION REPORT
A) Site and Equipment Information:
Name: AMG, 1.jc sT,cIE_se r'1c -
Mailing Address:
Represent At Nze(s) :
Telephone #:
B) System Installer (Name, Address, Phone # and Contact)
MAHor.jcy &kr; :/L --Pc.;-4 173 710S516
Gad Erc 5-r
F.aLL 1•.).y. 1 Zgoi 3ou—/L
System Manufacturer - S-pE.crr z.:*) cs
1D;GI ITAL.- t"-14:1-4,VrefRietyv
Mrs
C) Alarm Initiating Devices Land Circuits
Of Circuits Style IS
A Type of Devices Tested
tY
f'7-
type
SL pulls
yp
L
U 0./a(i smokes LIK o) ` F4 1 —
smokes
414 duct smokes A N /A
NheatsN
A./
sprinkler switches
t°f1i5.5e/2 s/ Sw,iG
D) Alarm Indicating Devices
A bells N R size rAtY
h.) 1,, horns JA
specify,
other 7- / s-r c o a E Z
visible signals k check here if combined
w/audible
E) Supervisory Signals •
Sprinkler Supervision j qty
Low temperature Y qty
0)4 Water Level A31A qty
NIA Fire Pump Running Q/rt qty
k) /14. other
specify
F) Power Supplies
1) Primary Source Breaker Location & # 451 D= 14/9
2) Secondary 2 Batteries 144A H Amp hour
rating
N/A Generator
t A Location of Fuel Storage
G) Remote Signaling
Type 17)tG,iTA 72J:AC.zrZ
Receiving Location M A 4+c0E V c.;G, GaWS
Phone # 5t 8 `1 q3 1185
JUL-14-1994 11:56 FROM ALBWNY F IRE PROTECTION TO 793452? P.
CONTRACTOR'S MATERIAL of TEST CERTIFICATE FOR" SO4EGROUNO PIPING..
PROCEDURE. •
UOai cOrrusiedoo of work•tn'pectfon and two shall be mode by dim eontraetsr'i npnaeute$ve va}d w d(hassed by an owner's ripnsa+tadvr.All
defects slap be eorrectad and system telt Is service before contractet Fersennat finathr law ptMj•
A wtiftoie'half Im filledout and signed by bah septsa tithes.Coptet shall be prepared for prawnauthorttdas,on and contractor.
It Is understood the owner's r*p'wensatfve's i lure in ro wey Prejudices any chin opiumoo or faulty Material,poor workmanship,ireorfalb to comply with ataproulna authoritysrrequirements or loot erdinanoas. wijk
PROPERTY NAME DTE
PROPERTY A OORES3 i
A
0 -41( • AIX., .L. I, .4-..iii,!1...v,
ACCEPTED BBYPROVING AtrrwORITY( NAMES
1 Sc)V Ci,`JVIdfC1PXL . .1 Q44 Y i0...Ls I
ADDRESS
PLANS 'V.Attk..eaet—3Y
INSTALLATIOINSTALTIOORM%TO ACCEPTED PLANS : ES ONOEQUIPMENTUSEDISAPPROVED
YES ONOIFNO,EXPLAIN DEVIATIONS
HAS PERSON.IN CHARGE OF PIAF..IEQUIPMENT BEEN INSTRUCTED As TO LOCATION YES 0 NQOFCONTROLVALVESANDCARE-AND MAINTENANCE OF THIS NEW EQUIPMENTIFNO,EXPLAIN
INSTRUCTIONS
HAVE COPIES OF APPROPRIATE INSTRUCTIONS AND CARE AND MAINTENANCE CHARTS YES ONOANDNFPA17ASEENLEFTONPREMISESPsi`IF NO,EXPLAIN
LOCATION SUPPLIES BLOCS.
OP SYSTEM
YEAR OF ORIFICE TEMPERATURE
ji,
MAKE MODEL MANUFACTURE. SIZE QUANTITY
RATING
SPRINKLERS !}~
t C ` P , VIS 4 . I !
i 50 r14•
PIPE CONFORMS TO Air?,E-j's STANDARD i YES ONO
PIPE AND FITTINGS CONFORM TO itiWM-f3 STANDARD YES ONO
FITTINGS. IF NO,EXPLAIN
ALARM
ALARM DEVICE MAXIMUM TIME ID OPERATE Tr4100011 TEST PIPE
VALVE TYPE MAKE MODEL . MIN. SEC.
INDICATORR 1 V1! C t,pk Yatiit 1' l
kr
DRY VALVE l Q O,D.
MAKE MODEL SERIAL NO. MAKE MODEL
TIME WATER AtR TRIP POINT
TIM W
ED OP RATED
THRU TEST PI PRESSURE PRESSURE -AIR PRESSURE_ OUTl1ET' PROPERLY
DRY PIPE
MIN, SEC. PSI MIN, SEC. YES NO
OPERATING
TEST Without
Q.O.D. I
O.O.D,
wren
1
IF NO,EXP
Reprinted with permission from NFPA 13-1985,Standard for Installation of Sprinkler Systems,Copyright tL.1985,National Fire Pro-
teC1ion Association,Ouincy,MA 02269.This reprinted material is not the complete and official position of the NFPA on the referenced
subject which is represented only by the standard In its entirely.
American Fire Sprinkler Association
11325 Pegasus, Suae E•109
Dallas.Texas 75238 Form 104
TOTAL P.06
SPRINKLER SYSTEMS
CPE AATI N
OPNEUMATIG OELECTRIC OHYDRAUl1C`' •
PIPING YESONO DETECTING&mot^sure
ES NO
DOES VALVE OPERAT MANUAL IMP AND/OR 14E146TE CON
DELUGE& IS THERE AN ACCESSIBLE FACILITY IN UtT F IF NO,EXPLAIN
P REACTION . OYES NVALVES
q,pp11 yy T'Ty At T'pp
fpppptAERVlS10lVLOSS
R CIRCUIT
O CRATE LEASEMODEL
YES NO •YES MIN - SEC.
V0ROSTATIc: Hydrostatic taut shin be:made at not teu than'200 psi(13.6 bans for two hours or SO psi(3.4 ban)above sums
pressure m tutu of 150 psi(102 bats)for two hewn. DiHerentiai dry-Pipe valve clappers shaft be left open doting last to prtvent damsga,
All a round piping leakage shell be stopped.
TEST :
F HI • Flow the required rate until wsseris clew as indlcatad by no sottectiyntsf foreign'militia)in burlap bags at outlets suet,as
DESCRIPTION by rants blowoffs. Flush at flows not Ieg then 400 GPM(15141Jrnin)for Cinch pippee 600 GPM 12271 Llmin)tor 5.inchehpa,750 GPM(2839 LImin)for 6•in pipe 1000 GPM 1378 S.5 Llmin(Srfor neh Pipe.1500 GPM(562 /min)for 10+nets pipe and 2000
GPM 17570(Jmin)for 1240th e. When supply cannot produce stipulated flow rat
8 Les,obtain rpaximuwt available.
PWEUMATIC:Establish 40 pat 12.7 bars)tit preasuti end meows dt p which shall not exceed 144 psi(0.1 bars)in 24 hours. Tait
pressure tanks at normal waist level and air tsrtisure and measure sir pressure droo which shall not exceed 1-%pre l0.1 bars)la 24 hours.
ALL PIPING HYDROSTATICALLY TESTED/IYf PM,PSI' PGA. /A .lSRS. IF NO.STATS PEASOK
DRY PIPING PNEUMATICALLY TESTED Y S Q NO
EQUIPMENT OPERATES PROPERLY 4ES nNO -
DRAIN READING OF GAGE LOCATED NEAR RATER SUPPLY TEST PIPE, RESIOUAJ.. ESSU wrot VALVE ce TEST PIPE OPEN wtOE
TESTS TEST STATIC PRESSURE: J fIs ,PSI PSI
Underground mains and lead in connections to system risersflushed before connection made to sprinkler piping.
UVERIFIEDBYCOPYOFTHE FORM NO.aye OYES NO OTHER EXPLAIN
F‘../SHED BY INSTALLER OF UNDER- as
GROUND SPRINKLER PIPING OYES ONO CJ (7, •
BLANK TESTING NUMDER USED'LOCATIONS NUMBER REMOVED
GASKETS
WELDED PIPING I LIES NO
IF YES...
DO YOU CERTIFY AS The SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY
WITrI THE REQUIREMENTS OFAT LEAST AWSD10.e,LEVEL,AA-3 EYES ONO
DO YOU CERTIFY THAT THE WELDING WAS PERFORMED SY WELDERS QUALIrIEr1 IN
r--'
WELDING COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS 0104.LEVEL AR.3 YES L7 NO
DO YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A •
DOCUMENTED QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISCS ARE
RETRIEVED,THAT OPENINGS IN PIPING ARE SMOOTH.THAT SLAG AND OTHER'
WELDING RESIDUE ARE REMOVED,AND THAT THE INTERNAL DIAMETERS OF it YES 0 NO
PIPING ARE NOT PENETRATED
HYDRAULIC NAMEPLATE PROVIDED IF NO.EXPLAIN
DATA
NAMEPLATE 1rES NO
DATE LEFT IN SF RVf C Wl
jt CONTRf}L VALVES OPEN,
REMARKS A
7 eT`
NAME OF SPRINKLER CONTRACTOR
ALBANY FIRE PROTECTION, INC.
TESTS WITNESSED SY
SIGNATURES ROe EATMQW NE D)
Qr API es-
TITLE - > DATE
SPRINKLER CON CTOR(SIGNED) TITLE DATE
r 1'
ADDITIONAL EX NATION AND NOTES
Contractor's Material&Test Certificate for Aboveground Piping
20'd LESb262, 0l NO I10310Nd 32l I d ANderld WONd bS:1:1 P66I-bT-1fll
TOWN OF QUEENSBURY IP(I°
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT BUILDING & CODE ENFORCEMENT
531 BAY ROAD 1117L 531 BAY ROAD
QUEENSBURY NY 12804 QUEENSBURY NY 12804
518)745-4447 518)745-4447 1
ARRIVE: `/e.) DEPART: /// ' INSP: / ARRIVE: 7_ 01) D PART: 77-'Z_D INSP:
0. L46`L- FINAL INSPECTION REPORT PINP.L INSPECTION REP T/
COMMERCIAL MULTIPLE DWELLINGr COMERCIAL MULTIPL DWELLING
DATE INSPECTION REQUEST RECEIVED: i)0y DATE INSPECTION REQUEST RECEIVED: l_6J`7 J
NAME MG NAME 4 m 4 .--f 71 d/.l,dtrf c..6e
7
LOCATION i/4)( 4/LOCATION 7 /1,(,JC/.'Y7/
DATE
1/1 1514 1 PERMIT #3 -.5,-'7 DATE 17`/, ,f/
J y PERMIT t 7;`7(/7
TYPE OF STRUCTURE TYPE OF STRUCTURE C:'
7iiiLt...i
J
FOOTINGS BACRFILL FRAMING PLUMBING_ FOOTINGS _BACKFILL_ FRAMING_ PLUMBING_
INSULATION INSULATION
N/A YES NO - N/A YES NO
CHIMNEY/"B" VENT/HEIGHT CliIMNEY!"B" VENTlHEIGHT
PLUMBING VENT/FIXTURES PLUMBING VENT/FIXTURES
ROOFING ROOFING
EXTERIOR FINISH EXTERIOR FINISH
HEATING/HOT WATER HEATING/HOT WATER
RELIEF VALVES RELIEF VALVES
FLOORS FLOORS
INTERIOR STAIRS/RAILINGS INTERIOR STAIRS/RAILINGS
STOCKROOM ENCLOSURE V
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PENETRATION FIRE/DEMISE WALLS PENETRATION
FIRE DAMPERS FIRE DAMPERS
CEILING FIRE STOPPING CEILING FIRE STOPPING
FIRE DOORS/CLOSERS V/
f
FIRE DOORS/CLOSERS
EXIT DOOR HARDWARE EXIT DOOR HARDWARE
EXIT STAIRS/RAILS EXIT gTAIRS/RAILS
PLATFORM/ELEVATOR PLATFORM/ELEVATOR
HANDICAPPED ACCESS HANDICAPPED ACCESS
HANDICAPPED BATHS HANDICAPPED BATHS
HANDICAPPED PARKING HANDICAPPED PARKING
FINAL ELECTRICAL FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
P./
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN, IF REQ
r,
FINAL SURVEY PLOT PLAN.,(IF REQ
OK TO ISSUE C)OIOR-£7 ,6 401e 7f OK TO ISSUE C/O OR C/C `.
31\
CL 4 d 1rr: ;K CI th
s
r.„, '-At` e"S`
L' I``- :.nx l }'c,- C' i it s f'Z'"LLG;:
67-1-‘ / c'
el—‘71:4 / /
i
tl`/ /1-iZ ' 47 ,5:---;z/Jy
ELECTRICAL INSPECTIONS
DUPLICATE MUNICIPAL RECORD
Permit No. 9-3 •w 7
Owner
Occupant OIL;
Location
Ma
r 2/ T Ve-
lti
fr
K
Sate
Installation as itemized on reverse side as been visually inspected pursuant to applicable codes.
Installed by Wit% y cr i'L.
C
No.
Date - -/9 V l {.P' -- _ _t Inspector
MIDDLE DEPARTMENT INSPECTION AGENCY INC.
FORM MO.16 EL
ROUGH WIRING OUTLETS y41..'AIR CONDITIONER /
R vf
Lam'—'-rS WIRING &CONTROLS FOR l/IURNNE4R
I 1 LRECEPTACLES H.P. PUMP
1FIXTURES K.W.OVEN
XMP. SERVICE EQUIPMENT H.P. GARBAGE DISPOSAL UNIT
c"tr. SERVICE CONDUCTORS K.W. DISHWASHER
K.W. SURFACE UNIT K.W. DRYER
K.W. RANGE AMP. RECEPTACLE
K!IP. WATER HEATER FRAC. N.P. VENT FANS
OTORS N.P. 1/20 1/12 I/10/1/4 h '/ 1 1% 2 3 5 71 10 15 20 25 30 40 50 75 100
n ARK NUMBER
PF EACH SIZE
4PPARAT(US
IL!
ri—G vo
TOWN OF QUEENSBURYTOWNOFQUEENSBURYBUILDINGS. CODE ENFORCEMENT
BUILDING AND CODES DEPARTMENT 531 BAY ROAD
531 BAY ROAD QUEENSBURY NY 12804
QUEENSBURY, NEW YORK 12804 518)745-4447
TELEPHONE (518) 745-4447 2ARRIVE: / DEPART: /(j- f
C
INSP:
r.:(.
14/i--
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION REPORT
COMMERCIAL MULTIPLE DWELLING
tEQUEST FOR INSPECTION RECEIVED 7/ _/
DATE INSPECTION REQUEST RECEIVED:
IAME TJPI(s1 NAME 41; C emu
MATZOHLOCATION AC i-t
ATE 7 /d PERMIT # 3 7
RDATE 0r/ • PERMIT #
jj
92-567
TYPE OF STRUCTURE G c1. yJ,J
YPE OF STRUCTURE FOOTINGS _BACKFILL FRAMING PLUMBING
INSULATION
ECHECK APPROVED
N/A YES NO
N/A YES NO-
OOTINGS/PIERS CHIMNEY/"B" VENT/HEIGHT
IONOLITHIC POUR FORM
PLUMBING VENT/FIXTURES
EINFORCEMENT IN PLACE
HE CONTRACTOR IS RESPONSIBLE ROOFING
OR PROVIDING PROTECTION FROM
REEZING FOR 48 HOURS FOLLOWING EXTERIOR FINISH
HE PLACEMENT OF THE CONCRETE. HEATING/HOT WATER
ATERIALS FOR THIS PURPOSE ON SITE
OUNDATION/WALL POUR RELIEF VALVES
EINFORCEMENT IN PLACE FLOORS
OUNDATION/DAMPROOFING
ACKFILL APPROVAL INTERIOR STAIRS/RAILINGS
OUGH PLUMBING STOCKROOM ENCLOSURE
LUMBING VENT/VENTS IN PLACE
LUMBING UNDER SLAB FIRE/DEMISE WALLS PENETRATION
RAMING: FIRE DAMPERS
JACK STUDS/HEADERS
BRACING/BRIDGING i CEILING FIRE STOPPING
JOIST HANGERS FIRE DOORS/CLOSERS
JACK POSTS/MQTN BEAM
EATING ROUGH-ill EXIT DOOR HARDWARE
NSULATION: EXIT STAIRS/RAILS
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- PLATFORM/ELEVATOR
FLOORS R- HANDICAPPED ACCESS
WALLS R-
CEILING R- HANDICAPPED BATHS
DUCT WORK OR PIPING IN UNHEATED HANDICAPPED PARKING
SPACES
FINAL ELECTRICAL
EMARKS• SITE PLAN/VARIANCE REQ.
1 - 1 4771i/(e,,,, FINAL SURVEY PLOT PLAN, IF REO
ke/s-
OK TO ISSUE C/O OR C/C 1
r,/t // zKIP' b,ie:,<r
k , ,(_-/ ,J A toe, / zp l e r‘,
k Zr.",/,..r4 C 5-47:=e' /reel
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RRIVE 2?.74--- 5?,i.r Jer ,'
EPART Y/
i 7/
INSPECTOR
G,/i,'/ "
4/cv374,', r71./7 SSr1
TOWN OF QUEENSBURY TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT BUILDING AND CODES DEPARTMENT
531 BAY ROAD 531 BAY ROAD
QUEENSBURY, NEW YORK 12804 QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447 TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECCEIVED REQUEST FOR INSPECTION RECEIVED
oNAMEft e ,NAME Aiee e. /:,Al.
LOCATION LOCATION vim L
DATE (2 PERMIT I 95 .,)(7 DATE `/2Xfy PERMIT # P- ._5Z 7
TYPE OF STRUCTURE TYPE OF STRUCTURE
RECHECK APPROVED RECHECK APPROVED
N/A YES NO N/A YES NO
FOOTINGS/PIERS FOOTINGS/PIERS
MONOLITHIC POUR FORM MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE. THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING FOUNDATION/DAMPROOFING
BACKFILL APPROVAL BACKFILL APPROVAL
ROUGH PLUMBING ROUGH PLUMBING
PLUMBING VENT/VENTS PTV
7ACE
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB \PLUMBING UNDER SLAB a
FRAMING: FRAMING:
JACK STUDS/HEADERS JACK STUDS/HEADERS
BRACING/BRIDGING I BRACING/BRIDGING
JOIST HANGERS JOIST HANGERS
JACK POSTS/MAIN BEAM JACK POSTS/MAIN BEAM
HEATING ROUGH-IN HEATING ROUGH-IN
INSULATION: CINSULATION: f7ti4,-6y,,
FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- FOUNDATION WALLS EXTERIOR R-
FLOORS R- FLOORS R-
WALLS R- WALLS O`(F R- 1,c N.
CEILING R- CEILING R-
DUCT WORK OR PIPING IN UNHEATED DUCT WORK OR PIPING IN UNHEATED
SPACES SPACES
REMARKS: REMARKS:
I 7c e /I
LD`C•e JOE \:3 \ N
N L\J \ cccc iNg7v
ARRIVE // (40 ARRIVE r;'•
DEPART /) /(- L DEPART v)-• ,A ri
If SPE.CTOR INS