1999-349 CERTIFICATE OF 'OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
June 28 99
Date 19
99349`
This is to certify that :work, requested to be done as shown •by Permit No.
has-been completed.
COMMERCIAL INTERIOR ALTERATIONS
• This structure may be occupied as a
616 QUAKER RE1,
Location
NORTH COUNTRY IMPORTS;
Owner
TAX MAP NO. 109 . -3-6'. 1 < By Order Town Board - .
'TOWN OF QUEENSBURY
•
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
VALUE' $:' 8000 • No. 99349
TAX MAP NO. 109 . —3-6 . 1 WARREN COUNTY, NEW YORK
PERMISSION is hereby'granted to NORTH COUNTRY . IMPORTS,
OWNER of property located at 616 QUAKER RD. Street,Road or Ave.
in the Town of Oueensbury,To Construct or place a COMMERCIAL INTERIOR ALTERATIONS
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 Oueensbury Building and Zoning Ordinance.
1. OWNER'S Address is
INC. 616 QUAKER RD .
QUEENSBURY,, NY 12804
2. CONTRACTOR or BUILDER'S Name -
LENDRUM :. KEN
3. CONTRACTOR or BUILDERS Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address.
6. TYPE of Construction—(Please indicate by X)
COMMERCIAL-ALTERATIONS'.
( )Wood Frame ( )Masonry ( )Steel ( )
7. PLANS and Specifications
487.'.SQNdFT::COMMERCIAL INTERIOR ALTERATIONS AS PER PLOT PLAN.-'.
SPECIFICATIONS
8. Proposed Use
COMMERCIAL,.. INTERIOR~ALTERATIONS:.
• 25.. June 25 , -. 2001.
$ PERMIT FEE PAID -THIS PERMIT EXPIRES 19
(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.)
25 June., . . ,.. .. . 1999
Dated at the Town of Oueensbury this Day of 19
SIGNED BY �`l2—.. \1 '"`� \ for the Town of Oueensbury
Building and Zoning Inspector_
Building Permit Application
Town Of Queel sbu1'y - Dept. c f Community Derelopunent, 742 Thw Road, Queen.i•bra y, Ni' 12804 1761-82561
IN'
Al BUILDING & . CODEOTICE CNF'ORCEAIEN7'
Requirements prior to issuance
A permit must be obtained before of this permit: PERMIT FILE NO.
-
beginning construction. No inspections OCR
will be made until applicant has received i—i Zonbtg Board Action PERMIT FEE PAID$ `
a VALID BUILDING PERMIT. Alt Area /Use
applicants' spaces on this application RECREATION FEE PAID$
. MUST be completed and.the signature it Planning Board Action V,ij.
of the applicant must appear on the REVIEWED 11}:
pheatlon form. m )... SPR / Subdivision /Other Building bureau,-
Recreation Fee Payment
Applicant: 6 L • 1fi Owner: 16U Le yid iu it,c
Address: - t (6 10lna <el •:1?(1/1 P Address: 3 •('12 erol PP z_a 14 —e_
' , ePby'
Phone # (. .1 )Z1°_7_ - _ZJ,�� Phone # ( ) �2. - L2D�
•
Property Location: .
•
Subdivision Name: Tax Map Number L 9 ---__I 6'
.. Sect iun Block I ni
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $
residence / commercial
Addition to Building:
'residence / commercial OCCUPANCY INFORMATION:
leration o Primary Bun
ra,GLIE.,�.a Building -
mmercial Single Fami.l � VIED
Residence / Conunerc Two Family I)wI }] +
no change to exterior size Family Dwelling
Office JUN 1 5
Other Work (describe below) �p Mercantile 199�
,,i4s ...ii52_2zs _____
;, ' < Manufacturi 'v�'�t OFQUEENJ.BURV
GROSS AREA OF PROPOSED STRUCTURE: Other U6tL71Nra,q�p
1st Floor �� sq. ft. If ADDI'1'ION, what will use
of ne
2nd .Floor _ sq. ft. w addition be7 :
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 IIEA'1'ING SYSTEM:
Number of fireplaces and/or woodstove (circle' all which applies)
to be installed: Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
Person responsible for supervision of work as regards to building
codes is :
Nine Address° Phone •
Builder: .
Plumber:
Mason:
Electrician: •
•
DECLARATION: Please sign below alter 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, arc 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
Ccrtilicatc of Occupancy''or Certificate of Compliance being issued, an AS BUILT PLOT PLAN by
a licensed surveyor; drawn to sc. lc, showing actual location of project on premises.
%nature: 4/Y e/A,ee
(owner, owner's agent, architect, contractor)
FIRE MARSHAL
• /, '4j: TOWN OF QUEENSBURY
QUEENSBURY, NY 12804
. A` (518) 761-8205
FIRE MARSHAL INSPECTION REPORT
REQUEST RECEIVED
NAME k - `cam, WA... _Ail 40110
LOCATION A V 'ERM T# • 0
SCHEDULE INSPECTION ON 0
AM PM
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHT G
FIRE EXTINGUISHERS
FIRE ALARM SYSTEM
FIRE SPRINKLER SYSTEM
FIRE SUPPRESSION SYS EM
HOOD INSTALLATION
INTERIOR FINISHES
STORAGE:
CLEARANC TO SPRINKLERS
CLEARAN E TO HEATING UNITS
REQUIRED SIGMA E
CHIMNEY
WOOD STOVE
FIREPLACE ❑MASONRY ❑FACTORY BLT.
❑ROUGH-IN
❑FINAL
REMARKS: ❑ OK TO THIS DATE
a)f ')//iderA
iorArd-• dix 4e--
INSPSLIP.PUB INSPECTOR
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive /"/i am/pm Depart am/pm
Inspector's Initials a2
NAME: /vim L:L/vir �% l�4' PERMIT#
LOCATION: DATE .
TYPE OF STRUCTURE:
RECHECK
N/A YES NO COMMENTS
Footings/Piers l
Monolithic Pour Form /far .�cu/ J �--
Reinforcement in Place Ge
The contractor is responsible for
providing protection from u g eh
for 48 hours following the ent
of the concrete.
Materials for this p ..se on
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
Heating Rough-In
Insulation
Foundation Walls Interior t-
Foundation Walls Exterior -
Floors R-
Walls R-
Ceiling R-
Duct work or piping in
unheated spaces R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3. hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
7
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC7 V
Main Office 176 Doe Run Road-Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
Panel Board No Cert.N2 6 6 1 5 0 Cut-in Card No.
Owner VC?/2-7-14 xikt
Location (6 Cs1-1-1-14ke72. 724• (0-4163-/Y
Installation Consisting of -et RI/6 / /74)5/96-C 77,0/3
g— z,
•
e -C7N ce, 7e---1 /- 2e- e,t1)2 Cee et.)772e)
Installed By. efek-Diveze___ Lic.No.
The conditions following governed the issuance of this certificate,and any certificate previously issued is
cancelled:-
This certificate only covers the electrical equipment and installation conditions as of date. Upon the
introduction of additional equipment or alterations,application shall be promptly made for inspection.
Inspectors of this Company shall have the privilege of making inspections at any time, and if its
rules are violated,the Company shall have the right to re e this _rtifi ate.
Date 2-1-9 9 INSPECTOR.
GENERAL INSPECTION REPORT
Town of Queensbury J
54,14
t
Dept. of Community Development Date inspection request received:
Building& Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive /a)° am/pm Depart am/pm
Inspector's Initials
NAME: ONC
e4
t
PERMIT#
LOCATION: « DATE :
TYPE OF STRU •
RECHECK 1 J I c
N/A YES NO COMMENTS
Footings/Piers
Monolithic Pour Form � / ���!` L///,'•)
Reinforcement in Place
The contractor is responsible for JJ
providing protection from freezing fier' - ,- 2-/-
for 48 hours following the placement
of the concrete.
Materials for this purpose on site
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofing
Backfill Approval
Plumbing Under Slab
Plumbing Vent/Vents in Place
Rough Plumbing
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-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour
Firestopping
j —� —
N
a
M o I
I• 1
a
r
TownOc Quc=l�4nus;�.�•
�. •ii c'i- N ' o I
lased on our limited examination,DEPARTMENT I i m I
compliance with our comments shall f I
not be construed as indicating the r
p
plans and s ecif N o o
compliance with t et�code.re in futf — — `�
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,I Q TOWN OF QUEENSBURY -
I ��O 3J
'1 BUILDING & CODE EPT. ill
REVIEWED BY
DATE C' c
•
11
41 II
`�I EENSRURY o 5 FILE COPY 1
TOWN ®�
FIRE MA,.. .n , = •
P'S OFFICE
I
II I •
DATE Ss ,w I
COMMENTS : A4?
�q 9 -�
fr_:e,. .4v
,.. EcE1\ _ .
1 1 . 1 .
TOWN OF QUE NSBURY FIRE MARSHAL I
Based on of ilimited examination, JUN 1 5 ��99 I►
compliance iith our comments shall TOWN OF(�UEE�JBBUR�'
not be cons Ned as Indicating the BUILDING AND CODE
plans and specifications are in full
compliance kith the code. I
I
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