94-656 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date ti,Lot;e; 24
This is to certify that work requested to be done as shown by Permit No. eirye c
has been completed.
This structure may be occupied as a
t:1.)i) ; '`:i. ifd '.f'C BL!�L/OF iCk:
f 'Y' 1;E >
Location
Owner
„ By Order Town Board
TOWN OF QUEENSBURY
S(
Director of Bldg. & Code Enforcement
A
E '
BUILDING PERMIT
TOWN OF QUEENSBURY No. ?9T56'
\
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to ) "
OWNER of property located at (41 . G, c 14? 1 St eet,Road or Ave.
in the Town of Queensbury,To Construct or place a 7 6 , 0 ! . o i I-14 r ,--"
at the above location in accordance to application together with cat 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
5 o_dry .e.___.-------- At
2. CONTRACTOR or BUILDER'S Name `o=
I,re..4-Nci- ill t a ra; 4.7 -C-4:::::,
3. CONTRACTOR or BUILDER'S Address 1
�U
4. ARCHITECT'S Name
5. ARCHITECT'S Address �( n
f1,t/� J�
6. TYPE of Construction—(Please indicate by X)
)( Wood Frame ( I Masonry ( I Steel ( )
7„/Lii;ir---
No. ( � ;-'.--
��7. PLANS and Specification; „ / ) L�'6 . 1 C � 1l 7`�
a sz/ 62.52-,._ p L,A..)-(--- () LI— 5-fe_C4
.c.: . .,
8. Proposed Use
I 4::7"
$ Ut , PERMIT FEE PAID THIS PERMIT EXPIRES 19 7
(If a longer period is required an application for an extension must be made to the Buildi g and Zoning inspector of the
town of Queensbury before the expiration date.)
-,,,,,,
Dated at the Town of Queensbury this Z D. of U V 1)4) 19
SIGNED BY ,�'� > for the Town of Queensbury
Buil ing a Zoni nspector �'
TOWN OF QUEE,NSBURX I �ZiddD BY:
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING & CODE ENFORCEMENT ` FEE PAID
531 BAY ROAD V j � —
QUEENSBURY, NEW YORK 12804 . P NO _ q - 6
(518 ) 745-4447
BUILDING PERMIT nPPLI 9Med
Town of
____Ialv____
A PERMIT MUST-BE OBTAINED BEFORE _BEGINNIN� ';CON ION, NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT IIAS RECEIVED. A BUILDING PERMIT.
All applicants ' spaces on this applicatioiii',US'T be completed and the
signature of the applicant- MUST appear on the- application form.
OWNER OF PROPERTY : J PI
Mailing Address : Z7'r 5 Sr(
Telephone Number(s ) : Work frf - ).1 Home Other
PROPERTY LOCATION: a75' 11 ',
Tax Map N mber : Section /07 Block 1 Lot '17. ij
Subdivision Name : Lot No .
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
CONSTRUCTION: $ 5b V —
NEW BUILDING :
RESIDENCE/COMMERCIAL OCCUPANCY INFORMATION:
I/ ADDITION T'O-..4I-J-TI,rING : PRIMARY BUILDING -
RESIDENCE COMMERCIAL Single Family Dwelling
ALTERATION TO BUILDING : Two Family Dwelling
RESIDENCE/COMMERCIAL Family Dwelling
(NO CHANGE TO EXTERIOR SIZE) )( Office
OTHER WORK (DESCRIBE BELOW) Mercantile
Warehouse
Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTU
1ST FLOOR .3a°'fiYb1�• SQ. FT. r ,
IF ADDITION,���� USE OF NEW ADDITION :
2ND FLOOR fbI SQ. FT'. p NPRc1 c�i`IIc
OTHER FLOORS SQ. FT.
( not unfinished cellar or basement) ACCESSORY BUILDINGS :
Detached Garage - One/Two Car
TOTAL FLOOR AREA: .4,00M6 SQ. FT. Attached Garage - One/Two Car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other
iP FEET X ar FEET
Foundation Type : h " pogo elpticeT'( Will any second-hand or ungraded
Number of Stories : Z. lumber be used? If so, for what?
• (habitable space only) ND
Height (grade to ridge) : Ali feet Type of Heating System:
Number of fireplaces and/or woodstove (circle all which lies• . )
to be installed: Electric / Oil OOP / Wood
Forced Hot Air / :aseboard / Other
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS :
NAME OF BUILDER/ADDRESS/PHONE : c 11W 7)2 ri A4.4- - Qv`' 9
NAME OF PLUMBER/ADDRESS/PHONE : S',e
NAME OF MASON/ADDRESS/PHONE : .174Y
NAME OF ELECTRICAN/ADDRESS/PHONE : ""
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 issued, an AS BUILT PLOT PLAN
drawn to scale, showing actual location of, of on pr ises .
Signature
(Owner, owne s agen , architect, ` contractor
FOR ANY SPECIAL PROVISIONS - SEE REVERSE S DE :
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
la 7421 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447 j�
ARRIVE: 1fk:14 DEPART: /d tf )
INSP:
FINAL INSPECTION REPORT
COMMERCIAL MULTIPLE DWELLING
(hotel, motel, apt. complex)
DATE INSPECTION REQUEST Rlea/hf
EIVED:
NAME J4
LOCATION "A" O'''�
DATE / 4( �� //PERMIT fl
i1-4 / /" � / i�
• TYPE OF STRUCTURE / �CPYl. / �, /
FOOTINGS BACKFILL FRAMING PLUMBING_
INSULATION '
N/A YES NO
CHIMNEY/"B" VENT/HEI HT
PLUMBING VENT/FIXTURE
Iry
ROOFING
EXTERIOR FINISH
HEATING/HOT WATER
RELIEF VALVES
FLOORS •
FOUNDATION INSULATION
INTERIOR STAIRS/RAIL ' GS
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS •ENETRATIs.
FIRE DAMPERS
CEILING FIRE STR•PING
FIRE DOORS/CLOS RS
EXIT DOOR HARD ARE 1
EXIT STAIRS/• .ILS
PLATFORM/ELEV'TOR '
HANDICAPPED PCCESS v
HANDICAPPED BATHS
HANDICAPP:' PARKING
FINAL EL: TRICAL
SITE PIN/VARIANCE REO.-
FINAL OURVEY PLOT PLAN, IF REQ
OK TO`ISSUE 0
OR C/C
�(1.a--c�( eVev . v1 .A t, + i C !:
TOWNuOF QUEENVIRY
BUILDING & CODE ENFORCEMENT
1064 742 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
ARRIVE: J'iJ DEPART: 9ry INSP:
0
FINAL INSPECTION REPORT
COMMERCIAL MULTIPLE DWELLING
(hotel, motel, apt. complex)
DATE INSPECTION REQUEST RECEIVED: /0 1, - qS
NAME
LOCATI N , S 4
DATE ci , PERMIT # y11 j-"( (!,'S 1p
TYPE OF TRUCTURE
FOOTINGS \_BACKFILL FRAMING_ PLUMBING_
INSULATION'=,
l
N/A YES NO
CHIMNEY/"B" VENT/HEIGHT
PLUMBING VENT/FIXTURES
ROOFING
z
EXTERIOR FINISH
HEATING/HOT WATER \
i
RELIEF VALVES
FLOORS
It
FOUNDATION INSULATI N�
INTERIOR STAIRS/RAIL (4GS
STOCKROOM ENCLOSURE i
E
FIRE/DEMISE WALLS PENiTRATION
•
FIRE DAMPERS
CEILING FIRE STOPPING
FIRE DOORS/CLOSERS
EXIT DOOR HARDWARE
EXIT STAIRS/RAILS
PLATFORM/ELEVATOR 1
HANDICAPPED ACCESS
HANDICAPPED BATHS
HANDICAPPED PARKING
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ."
FINAL SURVEY PLOT PLAN, IF REQ
OK TO ISSUE C/O
/ORC/C/C /
i�Q/Y1d
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
ARRIVE: /If DEPART: c2/uINSP:
FINAL INSPECTION REPORT
COMMERCIAL MULTIPLE DW LLINO
DATE INSPECTION RE QU ST RECEIVED:
NAME '41�°
LOCATION 2 7,( 2,,
DATE f P IT #
TYPE OF STRUCTURE
FOOTINGS BACKFILL F' ING PLUMBING
INSULATION
N/• YES NO
CHIMNEY/"B" VENT/HEIGHT
PLUMBING VENT/FIXTURES
ROOFING
EXTERIOR FINISH
HEATING/HOT WATER
RELIEF VALVES
FLOORS
FOUNDATION INSULATION
INTERIOR STAIRS/RAILINGS
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PENET' TION
FIRE DAMPERS
CEILING FIRE STOPPING
FIRE DOORS/CLOSERS
EXIT DOOR HARDWARE
EXIT STAIRS/RAILS
\\\\
PLATFORM/ELEVATOR
HANDICAPPED ACCESS
HANDICAPPED BATHS
HANDICAPPED PARKING
FINAL ELECTRICAL
SITE PLAN/VARIAN P REQ.-
FINAL SURVEY PLOT PLAN, IF REQ
OK TO ISSUE C/O OR C/C
g/ ci
in j.j r'_ /rl
4-4./ '76r- geerior,g
rf /V.we
etc/eke, _red, adid,t),../40‘ve4fiseck
Pni
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
A
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED cg —CO
NAME
LOCATION
DATE 4-3--q5 PERMIT# I ' �(1 S�
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS ,/
AUTO. EXTINGUISHING S M
HOOD INSTALLATION
AUTO. SPRINKLER SYS M
ALARM SYSTEM
INTERIOR FINI:HES
STORAGE:
CLEARAN► TO SPRINKLES
CLEARA. E TO HEATING SNITS
REQUIRED SIGNAGE
CH NEY
WODSTOVE
IREPLACE—MASONRY
FIREPLACE—FACTORY BUILT
REMARKS: U OK TO THIS DATE
A
i
a2 �
2/015 I SPELT R
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY RD. , QUEENSBURY NY 12804 i
INSPECTOR'S REPORT: ARR tj DEPART'L.VC)I
REQUEST FOR IN ECTION RECEIVED:
_� -�I
NAME
LOCATION 7 s
�j — 45 -
DATE PERMIT C1� S
TYPE OF TR TURY r.)(l c < {, I 1 C
RECHECK PPROVED
N/A YES �_NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
-
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZ G
FOR 48 HOURS FOLLOWING THE PLA -
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPSE SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
s
-
FOUNDATION,/DAMPPROOFIN
BACKFILL APPROVAL
PLUMBING VENT/VENTS N PLAC
ROUGH PLUMBING \F.:-
PLUMBING UNDER S 'B
FRAMING:
JACK ST DS HEADERS
BRACING/BRIDGING
JOIST ANGERS -I_
JACK 'OSTS/MAIN BEAM
AIR INFILT• . ION BARRIER
HEATING ROUGH-IN
INSULATI• :
UN, TION WALLS INTERIOR R _
DATION WALLS EXTERIOR __ _
WALLS R-0--
CEILING
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
'TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
ARRIVE: All DEPART: c:22/ INSP:
FINAL INSPECTION REPORT
COMMERCIAL MULTIPLE DWELLING
DATE INSPECTION REQUEST RECEIVED:
NAME Tf ' (ecsi
LOCATION � �
,/
DATE L L J PERMIT # __RA:=A01.0
TYPE OF STRUCTURE
FOOTINGS BACKFILL FRAMING PLUMBING
INSULATION
N/A YES' NO
CHIMNEY/"B" VENT/HEIGHT `�
PLUMBING VENT/FIXTURES
ROOFING
EXTERIOR FINISH
HEATING/HOT WATER
RELIEF VALVES
FLOORS
FOUNDATION INSULATION
INTERIOR STAIRS/RAILI GS ,�
STOCKROOM ENCLOSURE v/
FIRE/DEMISE WALLS PENET• •TIA ✓✓/
FIRE DAMPERS
CEILING FIRE STOPPING
FIRE DOORS/CLOSERS
EXIT DOOR HARDWARE
EXIT STAIRS/RAILS
PLATFORM/ELEVATOR
HANDICAPPED ACCES
HANDICAPPED BAT,
HANDICAPPED • .RKING
FINAL EL ' RICAL
SITE • AN/VARIANCE REQ.
F A SURVEY PLOT PLAN` IF REQ.
OK TO ISSUE C/O OR C/C
r/c'l 1'ZZGt(e dJ7/1&p
oz- 47
)PerAig,-c.
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY RD., QUEENSBURY NY 12804 ••`
INSPECTOR'S REPORT: ARRID,In DEPART 7 I •
REQUEST FOR INSPECTION RECEIVED:
NAME _ 1 ��
LOCATIONqcx t7 x
DATE /r3 S' ((''
c -6/4 PERM # -I"f ,_SP
TYPE OF STRUCTURE: LACV C
RECHECK APPROVED
_N/A YES _NO
FOOTINGS/PIERS
MONOLITHIC POUR 'ORM
REINFORCEMENT IN LACE
THE CONTRACTOR IS ESPONSIBLE FOR
PROVIDING PROTE TIO FROM FREEZING
FOR 48 HOURS FOLLOW NG THE PLACE-\
MENT OF THE CONCRET
MATERIALS FOR THIS PU$POSE ON SIT
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING
JACK STUDS/HEADERS \//�
JOSING BRIDIN 1
JOIST HANGERGER S _ �
JACK POSTS/MAIN BEAM .$
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R_ - - -
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
V-EN1p t3LE Z :{
\iJSUu\` �3
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY RD., QUEENSBURY NY 12804 y
INSPECTOR'S REPORT: ARR ,3(9g)DEPART /U INT i-1/f-
REQUEST FOR INSPECTION RECEIVED:
- -
NAME
LOCATION
DATE PERMIT #TYPE OF STRUC UR :
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FO
PROVIDING PROTE TION FROM FREEZI G
FOR 48 HOURS FOLLOWING THE PLAC-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON TE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BE
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERI•R R-
FOUNDATION WALLS EXTERIIR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
•
'-irl« FA.1
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME T
LOCATION `ZTS S,A R F)
DATE 1 1\1 y'CA lA PERMIT # 9 u -tok (c)
TYPE OF TRUCTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/P RS
MONOLITHIC FOUR FORM f
REINFORCEMEN` IN PLACE -2.O1-'5 f
THE CONTRACT'' IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR HOURS FOLLOWING
THE PLACEMENT 0 THE CONCRETE.
MATERIALS FOR T S PURPOSE ON SITE
FOUNDATION/WALL 'OUR
REINFORCEMENT IN °LACE
FOUNDATION/DAMPROO ING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS I PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS 1
JACK POSTS/MAIN BEAM \
HEATING ROUGH-IN 1
INSULATION:
FOUNDATION WALLS INTERIOR+, R-
FOUNDATION WALLS EXTERIOR\ R-
FLOORS ',R-
WALLS - _
CEILING
DUCT WORK OR PIPING IN UNH ATED
SPACES
REMARKS: I
TtiV__ R_E3AR _ i 3i-A
o
t 5 -cam p\ 1-. TC-)
ARRIVE \ ; sQ
DEPART 1\ M
INSP 0