96-774 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date
January 20 19 _97
This is to certify that work requested to be done as shown by Permit No. 96774
has been completed.
INTERIOR ALTERATIONS (RECEPTION AREA)
This structure may be occupied as a
17 CRONIN ROAD
Location
Owner SOCIAL SECURITY BUILDING
TAX MAP NO. 6 @ . -2-11 , 2 By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. do Code Enforcement
BUILDING PERMIT
VALUE $ 4000 TOWN OF QUEENSBURY No 96774
TAX MAP NO . 60 . -2-11 WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to SOCIAL SECURITY BUILDING
OWNER of property located at 17 CRONIN ROAD Street, Road or Ave.
in the Town of Queensbury,To Construct or place a INTERIOR ALTERATIONS (RECEPTION AREA)
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
OWNER/BRASSEL, BARBARA R. D . #1 ROCKWELL RD .
QUEENSBURY, NY 12804
2. CONTRACTOR or BUILDER'S Name
HOWARD GROUP
3. CONTRACTOR or BUILDER'S Address
1735 CENTRAL AVENUE
ALBANY, NY
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
COMMERCIAL ALTERATIONS
( )Wood Frame ( 1 Masonry ( )Steel ( 1
7. PLANS and Specifications
140N3Q FT COMMERCIAL INTERIOR ALTERATIONS AS PER APPLICATION
8. Proposed Use
INTERIOR ALTERATIONS (RECEPTION AREA)
$ 5 PERMIT FEE PAID —THIS PERMIT EXPIRES December 19 19 98
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.►
Dated at the Town of Quee ry t 19 December 19 96
e
SIGNED BY for the Town of Queensbury
Buildingand oninglnspector
= rBuilding Pennit Application
Town of Queensbul y - Dept, of Community Developnre„t,� 742 Bay Road,
, Quee►►.rbury, NY 12804 1761-8256J
BUILDING & . CODE ENFORCEMENT
Requirements prior to issuance
A permit must be obtained before of this permit: PERMIT FILE NO. _ 7
beginning construction. No inspections PERMIT FEE PAID$ C)
will be made until applicant has received ❑ Z011ing Board Action
a VALID BUILDING PERMIT. All Area /Use
applicants' spaces on this application RECREATION FEE PAID$
MUST be completed and•the signature [� Planning Board Action REVIEWED BY.•
of the applicant must appear on the
SPR / Subdivision /Other Building Inspector
application form. n,�t�.,,. I tecr ion Fee Payment
A 2
PPlicant: {j\
Owner: SP)0,
, A10
Add ess: c Address: 1�C�1 v
Phone '#
----- ----- _
Phone # ( ) -------
I'roperty I,oc:tlion: / (� 1i]
Tax Map Number �
Subdivision Name: Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $nn n
residence / commercial
Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
Alteration to Bu' Primary Building -
residence commercial Single Family Dwelling
Residence / Commercla Two Family Dwelling
no change to exterior size Family Dwelling
Office
Other Work (describe below) Mercantile
Manufacturing
GROSS AREA OF PROPOSED STRUCTURE: �(,�i r ge o-e (J}�
lst Floor. . . . . . . . zoo sq. ft. If ADDITIO , what will use
2nd ,Floor. . . . . . . . sq. ft. of new addition be? :
Other Floors . . . . sq. ft.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage 1, 2 car
TOTAL FLOOR AREA: SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
FEET X / FEET Other
Foundation Type: Will any second-hand or ungraded
Number of Stories : lumber be used? )If so, for what?
(habitable space only)
Height (grade to ridge) : feet TYPE OF HEATING SYSTEM:
Number of fireplaces and/or woodstove (circle all which' appli s)
to be installed: Electric / Oil / Gas / ood
Forced Hot Air / Baseboard / Other
Person resp7_Z(f^,::-
ble for su ervision of wJrk as regards to building
codes i s : , ,t 7`1 —` :z-40
Name Addresss Phone
Builder:
Plumber:
Mason:
Electrician:
DECLARATION: Please sign below after you have carefully read the statement.
To the best of my knowledge 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 die 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 Uwe shall submit prior to a
Certificate of Occupancy"or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor- drawn to scale, in tual location of project on premises.
Signature: Z�w 7
(owner, owner's agent, architect, contractor)
l
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VED
TOWN Of-QUEEhsauRY
ILOING AND CODE
TO OF QUEENSBURY .
1
DE.
'BUILD-INN ti
REVIEWED BY 1
I
DATE
. .,_.; _ y ^ - . ___. ••
?pyiN OF QUEENSQtIRY B111LIANG DEPARTMENT
Based on our limited examination, i {
-' compliance with our comments shall-
_ n i be construed a s indicatng the-fi;,.
f.�ications arei full'-J _vg fM ' ',-�.C �VEC LS -i �,.i # p1a6sd spec
i
�'R Asa �;�iyya�� :�if !Sii6.1� f '4 'fljxhe ��- 3: ''' compliance with the cede. `
+,,,Ii'4iN. ?� .�1, #3: i ±fi t i��`. 1� t r _ ,i�" `'. ' �'Jai{ $ _✓r'�l
i..+
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: Ad DEPART: INSP:
FINAL INSPECTION REPORT
COMMERCIAL ------ MULTIPLE DHELLIHO
(hotel, motel,apt. comp le
DATE INSPECTION REQUEST REC VED:
NAME \
LOCATION (,
DATE - ` c:)-�T PERMIT N
TYPE OF STRUCTURE
FOOTINGS __BACKFILL_ FRAMING_ PLUMBING_
INSULATION
N/A YES NO
CHIMNEY/"B" VENT HNIGI
PLUMBING VENT FIXTU S
ROOFING
EXTERIOR FINISH
HEATING HOT WAT9R
RELIEF VALVES
FLOORS
FOUNDATION INSULATION
INTERIOR STAIRS/RAILINGS
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PENETRATION
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/VARIANCE REQ.
FINAL SURVEY PLOT PLAN, IF RE
OK TO ISSUE CIO OR C C
TOWN OF QUEENSBURY f`1 1
BUILDING & CODE ENFORCEMENT
742 .BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
{�
ARRIVE: •� DEPART: INSP:
FINAL INSPECTION REPORT
COMMERCIAL ------ MULTIPLE DWELLINO
(hotel, motel, apt. comp]
DATE INSPECTION REQUES R, IVED., I
NAME
t
LOCATION
DATE PERMIT NIn 77
s
TYPE OF STRUCTURE
FOOTINGS _BACKFILL_ FRAMING_ PLUMBING_
INSULATION
NL YES NO
ti
CFFIMNEY/"B" VENT FIEIG T
PLUMBING VENT FIXTURES
ROOFING
EXTERIOR FINISH
HEATING HOT WATE
RELIEF VALVES
FLOORS
FOUNDATION INSULATION
INTERIOR STAIRS/RAILINGS
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PENETRATION
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 VARIANCE REQ.
FINAL SURVEY PLOT PLAN, IF RE
OK TO ISSUE C/O OR C C
Ok /
0v C
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT _
CL 742 BAY ROAD
QUEENSBURY NY 12804
���� (518) 761-8256
ARRIVE: hl(1 DEPART: INSP:
FINAL INSPECTION REPORT
COMMERCIAL ------ MULTIPLE DWELLING
(hotel, motel, apt. con lc
DATE INSPECTION REQUEST RECEIVED:
NAME
t
LOCATION
DATE PERMIT N ^
TYPE OF STRUCTURE 7 4' ?q
FOOTINGS _BACKFILL_ FRAMING_ PLUMBING_
INSULATION
N/A YES NO
CHIMNEY "B" V FIEIGIIT
PLUMBING VENT IXTURES
ROOFING
EXTERIOR FINISH
HEATING/NOT WATER
RELIEF VALVES
FLOORS
FOUNDATION INSULATION
INTERIOR STAIRS/RAILINGS
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PENETRATION
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 VARIANCE REQ.
FINAL SURVEY PLOT PLAN, IF RE
OK TO ISSUE C/O OR C C
(518) 761-8256
TOWN OF QUEENSBURY = -=
BUILDING 6 CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARRok DEPART J /INT �J
REQUEST �F�INSPECTION RECEIVED: ! L o
t
NAME C 1 J
LOCATION -�A,/V� /
/
DATE ! z 0 PERM T
TYPE OF STRUCTURE:
'T
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS IN X
MONOLITHIC POUR FORM
REINFORCEMENT IN P CE
THE CONTRACTOR RESPON ' BLE FOR
PROVIDING PROT TION FROM FREEZING
FOR 48 HOURS F LLONING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
�AMING:
JACK STUDS/HERDERS
BRACING BRIDGING
JOIST HANGERS
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-
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
F 111 WASHINGTON AVENUE,SUITE 704,ALBANY,NY 12210
Date :i'`i',L.AR0 1"7 (t3.<1911,17 Applicati o.on /4 1.`i 1:'�1`.97, :)-J H ',4 1 5`)';
THIS CERTIFIES THAT
t•'I;1?"11`i' tat,
only the electrical equipment as described below and introduced by the named on the above application number in the premises of
t°l C l]N 11 . QVIP"211SlaE Ri', 1d.t'
in the following location; ❑ Basement ❑ lst Fl. ❑ 2nd Ft. Section Block Lot
was examined on 1 f�l�!) ° j I'3 I-rr'^` and found to be in compliance with the National Electrical Code.
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENT1 FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. I H.P.
,2
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS sPEaALREC'PTj TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
AMT. K.W. OIL I H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPs. TRANS. AMT. H NO.OF FEET
.P. SYSTEMS AMT. WATTS
SERVICE DISCONNECT NO.OF S E R V I C E
AMT- AMP TYPE METER �•4W A 3W 3/3W 3,f'IW NO.OF CC COND. A.W.G. NO.OF HIAEG A•W C'• NO. NEUTRALS A.W.G.
EQUIP. PER tr OF CC.COND. OF HI-LEG OF NEUTRAL
OTHER APPARATUS:
GTIBUIa PfiT_d,,S, Wj'; 12801 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 credentials.
COPY FOR BUILDING DEPARTMENT THIS COPY OF CFRTIFICATF MUST NOT RF ALTFRFD IN ANY MANNER.