95-323 ✓'t" "ar' 1.`^2.i'••'Is +. ,` .a-r'%',.,.--z ,.v' ..-.. } . :. -.. .. r .. r. .,/ - r r` .f`
CERTIFICATE OF OCCUPANCY
TOWN_-OF QUEENSBURY
WARREN COUNTY, NEW YORK
Daie AnnnTc..t ''l9 _ 95
This is to certify that work requested to be done:as shown by Permit No.
has:been;completed:
This structure may be occupied as a R.E SIDE;P•TIAL ALTERATIONS
(0R CNTH hO ,
Location I ��S
Owner ,T(1RrP]-1?,'4?Tt f)'rc''IT n4)TTrnllpC
By Order Town Board
TAX H A P NO. J_4 6 . -
_ TOWN OF QUEENSBURY
(/ %
Director..of Bldg. 6: Code Enforcement
r i
BUILDING-- 'PERMIT
VALUE $ 15000 TOWN OF. QUEENSBURY_ 95323
TAX MAP- NO. 146. -1-8.2 No: n
WARREN COUNTY, NEW YORK Qe_Opiv��►c�
\'.\S \ S
NORTHERN DISTRUBUTORS ���(�
PERMISSION is hereby granted to ' nn
CORINTH RD. D\-eG�{
OWNER of property located at __-- - --- - —. Street, Road oi'Ave.
RESIDENTIAL ALTERATIONS PKIrtv edo
in the Town of Queensbury,To Construct or p ce a
at the above location in accordance to applica o pans and other information hereto filed and 'SQL
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
CORINTH ROAD
' QUEENSBURY, NY 12804 •
2. CONTRACTOR or BUILDER'S Name
F.T. COLLINS CONSTRUCTION
3. CONTRACTOR or BUILDER'S Address
14 DIX AVENUE
GLENS FALLS, NY 12801
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
RESIDENTIAL ALTERATIONS
( )Wood Frame ( ) Masonry ' ( )Steel ( )
7. PLANS and Specifications
768 SQL FT RESIDENTIAL ALTERATIONS AS PER PLOT PLAN SPECIFICATIONS
8. Proposed Use
RESIDENTIAL ALTERATIONS
25 June 15 97
$ -PERMIT FEE PAID HIS 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.)
Dated at the Tow n of Queensbury this _ 18 Day of : August 19 95
SIGNED BY `1 for the Town of Queensbury
Building and Zoning Inspector
Department of Community Development Reviewed By:
Building & Code Enforcement •, uil ing Inspector
Town of Queensbury wag, Permit No. 3— 3 3
742 Bay Road �' O v
Queensbury, New York 12804 Fee Paid $ ��`
(518) 745-4447 0,0-
Building Permit Application c Cam^ ONV'�
� �,,� -.
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicants ' spaces on this application MUST be completed and the
signature of the applicant MUST appear on the application form.
Applicant: A-,7-. l}a //�/�, �e,ni3�.a, , Owner: 1/27-;,?,2 2-t'a—G?-0,l ,23i,s-7-",1G'stfri v<
Address: �/7 ;/-.�1,14'/Y 1- `aA')61'-'s!,IC - Address: (id'A:-%to i' %C%C,' 'G
Phone # ( /8 ) 29 - 7 Phone # (,5--fgi ) 9-1,� -. /Li7
Property Location: 6�' %A/7'"12-/ ,�LJ C` r d/ B 2
'
_ . Tax Map Number_ 14. / I i�
Subdivision Name: Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ /5(Z8,
residence / commercial
Addition to Building: ` ---
residence / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence" / Ga rc a— Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size Family Dwell ' • ` 15®
Office �aG Ott
Other Work (describe below) Mercantile
Manufacturi 9g5
--- - Other g 3U ����NsguR�'
GROSS AREA OF PROPOSED STRUCTURE: �v,QVE (-CO
If ADDITION, what —Tuse
1st Floor H7n c sq. ft. of new addition be
2nd .Floor l, ) sq. ft .
Other Floors sq. ft.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage 1 , 2 car
TOTAL FLOOR AREA: 7‘6 SQ. FT. Attached Garage 1 , 2 car
Private Storage Building
SIZE OF NEW STRUCTURE : Commercial Storage Building
Other
,3 L FEET X FEET
Foundation Type : (�,5Ri-C, , g.t. ;1 .. Will any second-hand or ungraded
Number of Stories : / ' lumber be used? If so, for what?
(habitable space only)
Height (grade to ridge) : 45 feet TYPE OF HEATING SY__ STEM:
Number of fireplaces and/or woodstove (circle all which applies )
to be installed: Q Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
Person responsible —
for supervision of work as regards to building
codes is : t-441 (,c.//,ram
Name Addresss Phone •
Builder: --- / .-2i17/Vk Cd//.,,, -/'719/4 G(7) A- ,57//-1%`3d- 17'71-- --- _______
Plumber:
Mason:
Electrician:
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 locati °n of pro 'e t on premises .
Signature: r cam/ .
(owner, o /er' s agent, architect, contrac o
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMEN
It.
531 BAY ROAD
QUEENSBURY NY 12804 v
C _ U (518)7 5-4447� � 11' 'i'" '�
d��•Q-ONCL j 'ill A`Q 111
ARRIVE: \0\p DEPART: t\\+ INSP: _
FINAL INSPECTION REPO
COMMERCIAL MULTIPLE�.. LLINQ
'-I 5-9 5
DATE INS$ECTI N REQUEST CEIVED: *
NAME No)- A\ �A) \S , . r c
LOCATION 0„tDj\ y�-•J (
DATE 3-1I-15 PERMIT #k \?i5 3 -J
• TYPE OF STRUCTURE �.,�"1'V�(\f`Q s\PI,\,(}._.Q Piwr
FOOTINGS BACKFILL FRAMING PLUMBING
INSULATION
N/A YES N
CHIMNEY/"B" VENT/HEIGHT
PLUMBING VENT/FIXTURES
ROOFING . ‘,///://:
EXTERIOR FINISH -,
HEATING/HOT WATER /7 /
RELIEF VALVES
FLOORS •
FOUNDATION INSULATION
INTERIOR STAIRS/RAILIN S /\/:/
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS • NETRATION .V
FIRE DAMPERS
CEILING FIRE STO'PING
/
FIRE DOORS/CLOS/RS v///:////
EXIT DOOR HARDWARE
EXIT STAIRS/RAILS
PLATFORM/ELEVATOR ✓/
HANDICAPPED ACCESS
•
HANDICAPPED BATHS
HANDICAPPED PARKING '
_ ^FINAL ELECTRICAL al1-2-stiCKCEF—
SITE PLAN/VARIANCE REQ. /
/
FINAL SURVEY PLOT PLAN', IF REQ v
OK TO ISSUE C/O OR C C /�_.--� Y
11\Y1 age o V__ f r•bL FI j.
C-ci. V--- -2_ - TRGLE_ CV1
OF
\C� � 1 U \tom ':- 'c cc
\ J LA \) \,�� 2r ILA
�o=e® a r-.
•
TOWN OF QUEENSBURY Pg .
BUILDING & CODE ENFORCEMENT
k
531 BAY RD. , QUEENSBURY NY 12804
✓ O INSPECTOR'S REPORT: ARR`D to.DEPART V` NT V/
REQUEST FOR INSPECTION RECEIVED:
NAME �QP�� ��! DASIR •i. .,
LOCATION EC)flD
DATE (J ZXI q5 PERMIT H ac �" 2
TYPE OF STRUCTURE: M
RECHECK i APPROVED
IN/A YES NO
FOOTINGS PIERS
MONOLITHIC PeUR FORM /
REINFORCEMENT IN PLACE
THE CONTRACTOR\ S RESPONSIBLE F/R
PROVIDING PROTE\\TION FROM FREE ING
FOR 48 HOURS FOLOWING THE PLA E-
MENT OF THE CONCRETE.
MATERIALS FOR THISPURPOSE ONl SITE
"
FOUNDATION/WALLPOUR,\"\ t `
REINFORCEMENT IN PLACE ,
FOUNDATION/DAMPPROOFIN6
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PL CE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS -
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER ;
HEATING ROUGH-IN 1
) V
*INSULATION: K.FOUNDATION WALLS INTERIOR -
FOUNDATION WALLS EXTERIOR R-
FLOORS R_ -
WALLS R_ -
CEILING R_
DUCT WORK OR PIPING IN UNHEATED SPACES R_
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC. (� a3
Main Office 357 Elwyn Terrace — Manheim,PA 17545 9 s
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL
45266
Panel Board No. Cert. / Cut-in Card No.
Owner ��2 �r� prST
rz/v L 1,t, r/AJ
Occupant ��
Location 4./� �/fJ 771 /� --C L I`,i4 tY
Installation Consisting of ��2ec l �f Epi o(1 -77e i(Jf
reS 4-/e. /o fifriver--
Installed By /2 , L-, C C Lic. #
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 inspect' ns at any time,and if its
rules are violated,the
Company shall have the right to revok
t
}• certif. • .
d,
Date 6' -0 rq INSPECTOR -'
ember N.F.P A.,I.A.E.I.
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