95-606 CERTIFICATE,. :OF OCCUPANCY
` TOWN OF QUEENSBURY
WARREN COUNTY, 'NEW YORK
Dace _0oveml)er 2 19 _95
This is to certify that work requested to be done as shown by Permit No. 9 5 6 0 6
has been completed.
This structure may be occupied as a C..C}tfP4ERC CAL IN`. ER]:OR ALTERATIONS
20
ROUTE
Location
Owner G A D T
I'A X 1 f A t' 140. v 1-:; By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. 6t Code Enforcement
BUILDING PERMIT
VALUE $ 147sOTOWN OF QUE-ENSB.URY 95606-
TAX MAP NO. 36. -1-28 NO
WARREN COUNTY, NEW YORK
GANT
PERMISSION is hereby granted to
ROUTE 9
OWNER of property located at Street, Road or Ave.
in the Town of Queensbury,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 Queensbury.Building and Zoning Ordinance.
1. OWNER'S Address is
ROUTE 9 R.R. #3 BO% 3202
LAKE GEORGE. NY 12845
2. CONTRACTOR or BUI LDER'S Name
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
COMMERCIAL ALTERATIONS
( )Wood Frame 1 ) Masonry ( )Steel ( )
7. PLANS and Specifications
- 4001&.SQ --FT COMMERCIAL INTERIOR ALTERATIONS AS _PER. PLOT PLAN
- SPECIFICATIONS=:=z,, ;,. _
8. Proposed Use
COMMERCIAL INTER IOR -ALTERATIONS=={ ---
October- 25 - 91
$ PERMIT FEEPAID -THISLPERMIT 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.)
October . 95 .
Dated at the Town of Queensbury this Day of 19
SIGNED BY for the Town of Queensbury
Building and Zoning Inspecto
10/17/1995 12:45 5187454437 DEPT OF 60Mhl DEVEL PAGE 05
De,pa►'tmeni of Community Development Reviewed By:
Euilding-&Code Enfot'cement uilaing x nsyeet(orr
Town of Queensbury PertHtit No. j__._/ p
742 Bay Road Cj O
Queensbury, New York 12804 Fee poll $
(518) 745-4-4¢7 Building .Kermit AppUeatian
A PERMIT MUST BE OBTAINED BEFORE 2401VNING CONSTRUCTION. NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING .PERMIT.
A_i a-ppl.zealit-9' spaces on this opplication MUST be completed and the
signature of the applicant MUST appear on the application form.
,14
Ga
Applicant: r^��� /� Owner: /����7
Address: v "Fib �lb� !L(i�V✓ l/��lttllt'C35: �GD JC O/ ) 1�'� t✓ r wVt/7
Phone# (,FO _)6s�•�f�_ Phone# (!_0_
Property Location:• � ��?T Z�.- -�
Iax,41ap Jsumber ssl-_t
Subdivision N.�nx : — scction Block Lai
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building; CONSTRUCTION:
residence / commercial
Addition to Building: --
residence / comnercial OCCUPANCY NFORMATION:
Alteration to Building: Primary .Building --
residence / cbrmnercial _ Single Fai0ily Dwelling
Residence /- Commercial Two Family .Dwelling
no change to ext:erio_r aze Family Dwelling
- Off Ga
Other Work (describe below) ✓7 Mercantile
Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE:
1f ADDITION, what will use
1st Floor. . . . . . . sq. ft. of new: acid t' be?:
2nd Floor. . . . . . , sq. ft.
Other Floors. . . � sq. ft.
(not unfinished cellar or basement) ACCESSORY SUILDINCS:
�u
Detached Garage .lr 2 car
TOTAL FLOOR AREA: gOOO SQ. FT. Attached Garage 1, 2 car
Private Storage Building
SIZE OF NEW STRUCTURE: Comnercial Storage Building
Other
FEETk� FEET �"
Fo,andation Type: 9-x Ai�� Will any second-hand or ungraded
Number of Stories: -_ lumber be -ea!? If so, for what?
(habitable space only) (IQ
Height: (grade to ridge) : feet TYPE Or' HEATING SYSTEM: C77AO
Number of fireplaces and/or woo etove (circle all which applies) S
to be installed: Electric / Oil % Gas / wood
Forced Hot Air / Baseboard / Other
Person responsible for supervision of work as regards to building
codes is: 1118o QU G%Q`bi(,6 A�r /Nrl e&m' (406)C, S5 1155 e o,&; 7
Name resss Phone
i�uilc3er: _
Plumber:
Mason; _
Electrician:
DECLARAHO.N.• Please sign below after you have carefully re4d the statement.
To the best of my knowledge the statements corttained 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 noted, and
that such work is authorized by the owner. Further, it is understood that I/we shall submit prior. to a
Certificate of Occupant; r Certific of Compliance being issued, an A5 BUILT PLAT PLANT by
a licensed surveyor; rS-CA , s owing act adon of project on premises.
Signature:
n r, owner's agent, arc itect, contractor)
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
(a 531 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
ARRIVE: !cPv'- DEPART: '�fr INSP:
FINAL INSPECTION REPORT
COMMERCIAL ------ MULTIPLE DWELLING
DATE INSPECTION R QUEST ,RECEIVED:
NAME
LOCATION
DATE /� L ff PERMIT
.. TYPE OF STRUCTURE
FOOTINGS __BACKFILL_ FRAMING_ P UMBING_
INSULATION
N/A YES NO
CHIMNEY "B" VENT Fi IGHT
PLUMBING VENT/FIXT RES
ROOFING
EXTERIOR FINISH
HEATING HOT WATER
RELIEF VALVES
FLOORS
FOUNDATION INSULATION
INTERIOR STAIRS RAILINGS
STOCKROOM ENCLOSURE
FIRE DEMISE WALLS PENEIkATINN
FIRE DAMPERS
CEILING FIRE STOPPING
FIRE DOEPLOTPLAN,
SERS
EXIT' DOWARE
EXIT STILS
PLATFORTOR
HANDICACCESS
HANDICAATHS
HANDICAARKIN
FINAL ECAL
SITE PLIANCE R
FINAL SPLOT PLAN IF RE
OK TO ISSUE 0 R C C
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
7421 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447 /
ARRIVE: /f�Ci DEPART: L� INSP: d�
FINAL INSPECTION REPORT
COMMERCIAL --- - MULTIPLE DHELLING
(hotel, motel, t.
DATE INSPE ION REQUEST RECEIVED:
NAME ry
c
LOCATION
DATE I 0=31 -9-S PERMIT R(
TYPE OF STRUCTURE :Q W\M, /�(� ,
FOOTINGS _BACKFILL_ FRAMING PLUMBING_
INSULATION
N/A YES NO
CHIMNEY "B" VE T HEIGHT
PLUMBING VE'NT/AXTURES
ROOFING
EXTERIOR FINISH
HEATING HOT WATER
RELIEF VALVES
FLOORS
FOUNDATION INS LATION
INTERIOR STA S RAILINGS
STOCKROOM E CLOSURE
FIRE DEMI E WALLS PENETRATION
FIRE DAMPERS
CEILI G FIRE STOPPING
FIRE DOORS CLOSERS
EXIT DOOR HARDWARE
EXIT STAIRS RAILS
PLATFORM ELEVATOR
HANDICAPPED ACCESS
HANDICAPPED BATHS
HANDICAPPED PARKING
FINAL ELECTRICAL
SITE PLAN VARIANCE RE
FINAL SURVEY PLOT PLAN IF RE
OK TO ISSUE C/O ORRC C
TOWN OF QUEENSBURY x
BUILDING & CODE ENFORCEMENT
531 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR Go DEPART INT�J✓
REQUEST FOR INSPEC ON RECEIVED:
NAME.
LOCATION
r �G
DATE /6 d% PERMIT If---^fr_—. --
1
TYPE OF STRUCT E:
RECHECK APPROVED
N/A YES NO
FOOTINGS PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE/PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS 1PURP04 ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL %
PLUMBING VENT/VENTS INs LACE
ROUGH PLUMBING _
PLUMBING UNDER LAB
FRAMING:
JACK STUDS HEADERS _
%BRACING B( RIDG NG
JOIST HANGERS
_ JACK POSTS! N BEAM
AA R INFILTRATION BARRIER
` 1
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-
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