1987-875 1 "
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CERTIFICATE OF OCCUPANCY
t TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
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]]ys November I �q S8
{ This is to certi that work 87--875
fY requested to be dose as showm by Permit No,
has been completed,
This structure may be occupied a School
LocationAviation Rd . & Mountain View Lane
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Owner United Cerebral Palsy Association of the Tri---Counties
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By Order Town Board
TOWN OF QUEENSSURY
75
Building H Zoning Inspector
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' BUILDING PERMIT V
TOWN OF QUEENSBURY No 87_875 �
WARREN COUNTY, NEW YORK a
PERMISSION is hereby granted to United Cerebral Palsy Assoc . of the Tri-Counties 00
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OWNER of property located at N-E Corner Aviation. Rd . & Mountain View Ln ^'
Street, Road or Ave. +
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in the Town of Queensbury. To Construct or place a Addition
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.
t. OWNER'S Address is S
Same ~
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2. CONTRACTOR or BUILDER'S Name "t
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Adirondack Construction w
3. CONTRACTOR +nr $UILDER'S Address
73 Mohican St , rb
Glens Falls , N . Y . 12801 �
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4_ ARCHITECT'S Name O
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S. ARCHITECT'S Address ro
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B. TYPE of Construction — (Please indicate by X)
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i } Wood Frame pry[ Masonry PC ) Steal I } ro
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7. PLANS and Specifications
No. 65 ' x 40 ' as per plot plan , specifications and application
including septic system. •' M
8. Proposed Use td 0
Addition to building ( school) N
$5000 CIO
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480 . 00 r
PERMIT FEE PAID — THIS PERMIT EXPIRES July1 , 19 $g
(If a longer period is required an application for an extension must to made to the Building and Zoning inspector of the
town of Queensbury before the expiration darts_) rD
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Dated at the Town of Queensbury this 18th pay of December �g 87
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SIGNED BY for the Town of Queensbury
Paw
Building and Zoning Inspector rr
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TO BE COMPLETED BY BT- V DEPT.
Application No.
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Jot�rn areeen36ur
Permit Issued 19 11, Zvi i N_ f .at i - .i'+ 1:_, _
oILDING and ZONING DEPARTMENT Permit Expires 19 kk 11 ; ,F -
Ay and tiaviland Road. R.D. 1 Box 98 Zoning Designation j , �I !,
Oueensbury, New York 12801 variance No . LS 0 c7 �1
Q Site Plan Review No . NOV 2 3. 1987
Approved bye
< AP F CATION FOR
BUILDING AND ZONING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLOWING .
The underntgned hereby applies for a Building Permit to do the following work which will
be done in accordance with the description , plans and specifications submitted, and such
special conditions as may be indicated on the Permit .
The owner of this property Is : united Cerebral Palsy Association of the Tri-Cc>unties
P. O. Address Aviation Road, 'Dawn of Queensbury , NY 12801 Tel , 798-0170
Property .Location : N-E Ckarner: Aviation Road & mountain vaew T,ane Tax Map No .
Street number or building lot number
Subdivision name (if applicable) N/A
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS :
Cushing, Dybas Associates , Architects , P . C. - 274 Bay Ind. , Glens Falls , NY 12801 - 793-5183
Name P . O . Address Tely No .
Name of builder Address
.Adirondack Cbnst . 73 Mohican street Tel . 792-1128
- �-� - ' �nry T 7€�t11
Name of plumber Tro3an a Co . Address 96 Concjress 5t . , TrWr NY Tel . 272-7330
Name of mason Address Tel .
NATURE OF PROPOSED WORK : * ZONING INFORMATION :
Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED ,
X Addition to a building * drawn reasonably to scale and attached hereto ,
Alteration to a building * showing clearly and distinctly all buildings ,
(no change to exterior dimensions) " whether existing or proposed and indicate all
Other work (describe) " set-back dimensions from property lines . Give
* street and number or lot number and indicate
* whether interior or corner lot . Show location
FOR DEMOLITION PERMIT , STATE SIZE AND
LOCATION OF STRUCTURES AFFECTED. * of water supply and location and configuration
" of septic disposal area .
*
COMPLETE INFORMATION REQUIRED BELOW .
* Size of property 416 ft x 236 ft .
* Existing buildings) Size ft K ft .
PROPOSED BUILDING AND USE : * Existing building ( s ) Use School
Size of new struct a 65 ' ft x 40 ' ft "
Foundation-pier la crawl/partial/full " Proposed building, distance from property line
circle one )
No * of stories (habitable space) one * Front yard N/A ' ft Rear yard 20 ' -0 ft
14 � O ft * Side yards N A ft and N/A ft
Height ( grade to ridge } If on corner , setback from side street 25 ft
If residential , no . of families if
of rooms ( excluding baths ) - * OCCUPANL;Y INFORMATION
No. of bedrooms -
No . of bathrooms - * PRIMARY 'BUILDING
-
One family dwelling
Primary heating system r rio ai *
* Two family dwelling
Type of fuel Gas
Noo of fireplaces to be installed - » Multiple dwelling / Number of units
* Permanent occupancy
Will a wood stove be installed? - * Transient occupancy
Central Air conditioning? Yes Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
Ranch Contemporary Log cabin * _ .Other '
if addition , what will use be?
Raised ranch Mansion Duplex School
Split level Old style Bun alow
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House * Detached garage/one car/ two car/ car
{ CIRCLE ONE PLEASE Attached garage/one car/ two car/ car
* * * * * * * * * * * * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION $ 240 , 000 . 00
INFORMATION ON BUILDTNG `SPrC 7PIC7T1r)NS . ON REVERSE SIDE OF THIS SHEET . TO BE COMPLETEDI
Form BPA 4/86 ind-vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS :
Type of construction , wood frame , fire safe etc . Non-c ubustible 2b
Will any second-hand or ungraded lumber be used? If so, for what ? No
Foundation wall material Concrete Thickness 12"
Depth of foundation below grade ( to bottom of footing )
Will there be a cellar? NO Heated or unheated? Floor sq. footage 2715 sq ft
Will there be a basement?? Will any portion be used as living space?
( If so , what portion? sq . ft , - - Type of use?
Type of roof - slope la shed/other Material -of roof hallasted EPCM
Size , wood studs "x to spacing "o . c . length ft .
Joists ( rloor beams ) lst , floor "x " spacing "o . c . span ft .
Joists ( floorr beams ) 2nd . floor "x spacing "o . c . span ft.
Overlays ( ceiling beams ) "x spacing It span ft ,
Roof rafters " x " spacing o . c . span ft .
Roof trusses (pre-engineered) spacing "o . cl span ft ,
Exterior wall finish Of what material? brick
Interior wall finish yin l wall covering on gypsxzn board
If a garage is to be attached , describe materials to -be used for FIRE SEPARATION :
Is there to be an opening between garage and dwelling? If so will a Fire-rated
door , enclosure , and self-closing device be provided?
Will a flue-lined chimney be installed? No Height above roof ft .
Depth of chimney foundation below grade ft .
Depth of fireplace hearth ft . in ,
Water supply - Municipal or private well Municipal
SEPTIC SYSTEM _ Distance from ANY private well { including adjoining properties - ft .
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury T t1 T STATE OF NEW PORK
County of Warren 11 I
I swear that to the best of my knowledge and belief 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 the BUILDING CODE , THE ZONING ORDINANCE , and all other laws pertaining to
the proposed work shall be complied with, whether specified or not, and that such work is
authorized by the owner , �
SWORN TO BEFORE ME THIS Signature _ wF- 5 c • _�-/_ _ ____ _- --- -
Owner , owner ' s ag _ arcna.zect , ontractor
day of 19
Notary Public , Warren County , N . Y .
SPECIAL CONDITIONS OF THE PERMIT :
By-------------- r_________ ....... ___--
• TOWN OF QUEENSBURY
WARREN COUNTYe NEW YORK
Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE
A permit must be obtained before beginning work .
ANSWER ALL of the following :
1 . Gross floor area 2715 Sq . Ft.
2 . Type of heat Electric Heat Pis (Classr c>rn_s) : Hot water cabinet heaters (corr)
3 . is the building mechanically cooled ? Yes - Classrcxxn.s
4 . Percentage of area of windows and doors
A . Over 16 % Onl
1 . Uo value of gross area of walls , roof / ceiling and floors
exposed to ambient conditions
2 . Floor over heated spaces YES NO
a . Are foundation walls insulated ? YES NO
1 . If YES , what is the R value ?
3 . Slab on grade YES NO
a . if YES , what is the R value of insulation around
perimeter of floor ?
4 . Is basement heated ? YES NO
a . R value of insulation
5 . Type of insulation
B . Under 16 % Only
1 . R value of roof and floors exposed to ambient conditions_
R--20 (Tnsulation only)
2 . R value of exterior w a l l s R--18 . 5 (Insulation only)
3 . R value of glazed area I:t--2 - O
4 . R value of doors R=7o0
5 . R value of floors over unheated spaces -
Go R value of slab edge insulation - unheated slab
7 . R value of slab insulation - heated slab I:t--10
8 , R value of heated basement / cellar walls ( above grade ) -
9 . R value of heated basement / cellar walls ( below grade )
10 . Type of insulation. Fibot--�lass batt and. rigid
co Controls
1 . Thermostat maximum heat setting 75OF
D . Duct Systems
1 . Is duct system installed in unheated spaces ? YES
a . If YES , R value of duct installation
b . R value of duct in other areas
E . Piping insulation
1 . Size of hot water or cooling carrying agent pipe l " -
2 . R value of pipe insulation R--7 - 0
F . Service Water Heating
1 . Performance efficiency
2 . Temperature control setting maximum
G . For Swimming Pool Only
1 . Maximum heating
"Telephone No . 7g3t h18 -
( applicant ' s i nature )
}
APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE /
Northeast corner of Aviation Road
LOCATION OF PROPERTY FOR INSTALLATION & Mountain View Lane.
United Cerebral Palsy Association
Owner's Name: Of The Tri-Counties Telephone: ( 518 ) 798 -017O
Address: Aviation Road , Town of Queensbury , NY 12801
Installer's Name: Adirondack Construction Corp , Telephone: ( 518 ) 792 - 1128
Number of bedrooms (residential only)
Total daily flow (compute @ 150 gal per bedroom )
Topography: circle one: 6Eiat Rolling Steep Slope 5b of slope
Soil Nature: circle one. Sand Loam Clay Other J Depth: , feet
Ground Water: At what depth? N/A feet
Bedrock or Impervious Material: At what depth? N/A feet
Percolation test: circle one: not required required / rate 5 min. inch.
Domestic water supply. circle one: Municipal Well Other _
IF domestic water supply is a Well.
Separation: Watersupply from Septic absorption feet
PROPOSED SYSTEM.: Septic Tank 2000 _ gal. (minimum size: 1 ,000 gal.)
TILE FIELD: Each Trench 54 ` -0 feet / Total system length 378 feet
SEEPAGE PIT(S) : Number of / Size each feet by feet
Size of stone to be used # / Depth or Thickness _ feet
I M P O R T A N T
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
(over)
Section II Septic System Inspections:
A. All applications for septic system installation, alteration or repair, as
required by the Town of Queensbury Sanitary Sewage Ordinance, shall
be submitted to the Building Department at least 24 hours before start
of construction and shall include a plot plan showing:
1 .) the proposed location of the system
2.) location and distance to lot lines
3.) location and distance to structures
4. ) location and distance to any water supply
5.) size and dimensions of all tanks, distribution
boxes, tile fields and./or drywells
Be No system shall be covered before inspection and approval by the building
Inspector. Failure to comply with this requirement may result in the
uncovering of the system by the installer and a fine of up to $250.00.
c. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may result
in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installation,
alteration or repair of an approved system, a new proposal must be submitted
to the Queensbury Building Department before further construction.
I have read the regulations above and agree to abide by these and all requirements
of the Town of Queensbury Sanitary 'Sewage Disposal Ordinance.
Signature of responsible person: 0"�' D a a"
Date: 0 -&c ,� ! � , i�c��i
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(519) 792-5832
SETTLED 1763 . . . HOME OF NATURAL BEAUTY A GOOD PLACE TO LSVE
Section II Septic System Inspections:
A. All applications for septic system installation, alteration or repair, as
required by the Town of Queensbury Sanitary Sewage Ordinance, shall
be submitted to the Building Department at least 24 hours before start
of construction and shall include a plot plan showing:
1.) the proposed ,location of the system
2.) location and distance to lot lines
3.) location and distance to structures
4.) location and distance to any water supply
5.) size and dimensions of all tanks, distribution
boxes, tile fields and/or drywells
B. No system shall be covered before inspection and approval by the building
Inspector. Failure to comply with this requirement may result in the
uncovering of the system by the installer and a fine of up to $250.00.
c. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may result
in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installation,
alteration or repair of an approved system , a new proposal must be submitted
to the Queensbury Building Department before further construction.
1 have read the regulations above and ague to abide by these and an requirements
of the Town of Queta +xbr vy Sanitary Sewage Disposal Ordinance..
Signature of responsible person:
Date:
Town of Queensbury
Building and Code Department
Bay at Haviland Read
Queensbury, New York 12801
(518) 79Z-5832
SETTLED 1763 . . HOME OF NATURAL BEAUTY A GOOD PLACE TO LIVE
MIDDLE DEPARTMENT IN$PECTION AGENCY! INC.
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C _ .s ' • , ' - '-` :r dares October 10 , I98�3
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�eCtifieo that the electrical equipment fisted has been examined and.is approved as being in accord
with the National Electrical Code, applicable governmental, utility aril Agency'"rules.
Owner: Vui Led Cerebral. . Palsy ps� ��
Same Pan ;erbral Palsy
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Occupanr� •-
Location: : It:n vier• lsviatiorl RoAd , Qiteerisbtn [W�(7c :•_ ' 1
^ - .^" =La l 'cote covitre the oleetricu
dale. If addmonal equlpmeM end inala Nation inspected this
eauipmen[;ehoufd be Introduced or altershons made to
14 existing System this certificate shall be null and void. and application for
u, mend: .S}r.Titclies ; 17 Receptacles ; �., Protective inspection Should be Submitted pratnpttyto this Agency.
Q piS. ,� .i' :d.n Device ; 2 Heat -PuTil p:.i � ! -Haider oflh is certificate should present Items to his
F property Fnsursnce corns.
(agent or company) as evidence Of crerl ification of electrical eq ulpment approvad
as Specified.
rCDK Electric # '
ApptrCant: PO Box 347 _ " C��lo.
- 15 -022396
Hudson Falls ,
RMfn /aa. 7d9 EL t i3
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�Jourrn v� �ueere.36ure�r
BUILDING and ZONING DEPARTmr=NT
Bay and Haviland Road, R.O. 1 Box 98
Oueensbury, New York 12801
�-,. --SEPTIC DISPOSAL SYSTEM INSPECTION
v
LOCAT ION J21 , 'Ise/ r, >
DATE `f ! PERMIT NO . 11
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - No
Percolation rate - Min/Inch
TYPE of SYS Yo
Absorption f i d , total 1
Length of each trench
Depth of trench s
Size of gravel_
SEEPAGE PITS{N er of �--
Size- ft. X f
Gravel size
PIPINIG : Siz
Bldg . to tank (%
Tank to list . box
Dist_ box to fief /
Openings sealed? E O Partial
LOCATXON/SEFARA ONS :
Foundation to nk �£t.
Foundation to sorption ft-
Absorption to of line £t .
Separation of pits ft.
LOCATION STEM ON PR cle one)
Front - ear Left side - ' ght side
COMMENTS ,
Y
SYSTEM TJSE APPROVE ES 0
i ing Inspector
01/86 and vl
BUILDING and ZONING DEPARTMENT
Gf Say and Haviland Road, R. D. 1 Box 98
Queensbury, New York 12801
r
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION
Date / Permit Noe � ',� t1Y �✓�_
APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterproofing
Bac fill
aming
I Roofing
Siding
Masonry neer _.._
Rough Pl bing
Relief VaI es
Ext . Porche
Finished Fla rs
Interior Trim
Stairs & Rails Is
Cellar Drain Ti
Concrete Floors
Plbg . Fixtures
Gar . Fireprar3fi.ng
Door Closers
Smoke Detectors
Chimney
,(,,II4SULAT1ON
Foundation
Floors
I 'Walls
_ r
Ceiling
t FINAL ELECT , AL INSPECTION
k DRIVEWAY APP OVA7 r
Final Builds g Survey
Next scheduled �ngp�.ction (call when ready )
Remarks--,�.. -
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Building Inspector
6/86 and-vl
Mown u/ Queen .lt urry
I Y BUILDING and ZONING DEPARTMENT
Bay and Haviland Road. R.O. 1 'Box 98
Queensbury, Now York 12801
BUILDING INSPECTOR ' 5 REPORT
NAME �2Le1fi
LOCATION � i
Date
Permit NO .
APPROVED YES NO
Footing/pier Forms
Foundation
waterproofing
Backfill
Framing
Roofing
Siding
Masonry veneer
Rough Plumbing
Relief Valves
Ext . Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
L.�Oncrete F_ .•9-Qw-s
plbg . Fixtures
Gar . Fireproofln
Door Closers
Smoke Detectors
Chimney
INSULATION :
Foundation
Loo loors 7424
malls
Ceiling
FINAL ELECTRIC L Ii3SPECTION _�
DRIVEWAY APPROV
Final Building rvey
scheduled i spectivn all when ready )
NexC
Remarks- 9CpG�o✓ - '�--
Building Inspector
6/86 and-vl
�] Queens � ur�
_Jorti'rt +�� S]EQAR'TPAEN�1
gtjjl_D%NG and ZONNSG } BOX 98
Bay and Hav4,4and Road FI.D.
t2g41
C)ueensbUrY• Mew
gtSZ �pING T
INSPFCOSZ
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NAME
[ * * * * NO
Da * * * * * * ✓* APPROVED
v ootin9/p'.I-er Forms
d 1 c,undation
Waterproofing
L3ac. 'fill
Framin13
Roof in9
5 i din+3
Veneer _
Bough Flumbin9� ��.--
Re 1 ie f Valves ------ _-- — _-- -
yxt . Porches
7* infished Ioor s
Interior i
�.--
Stairs &
Cellar
te Floors
Concre ---_"_`
i tures
Plb�3 - F x roof in�3
Gar * --
or Closers
Smaxe Detectors
Cbimney
1t4SuLp+T' OL3 .
FOundatyon
Floors
Walls
Ce . 1ing_ INSPEC r
IN EI ECTRICAD --
VAlII 4tAY AYPROVSurve�"~
Final Building
on (call ualnen ready ?
KexC scheduled inSpecCi yj�"
Remarks- rryalp, F
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ctor
Inc
TOWN OF QUEENSBURY �-
BUILDING AND CODES DEPARTMENT
BAY & PIAVILAND .ROADS
QUEENSBURYr NEW YORK 12801.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR' S REPORT /
REQUEST FOR INSPECTION RECEIVED
oe
NAME.-
�' ,�c.�x..�is�--ram .f �.�'='aJ7' • �-✓r�u�'
LOCATION _ g �7
DATE A2 / / PERMIT #_ �'
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFTLL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-I
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
,,,,PENAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS--CLEARANCE & RA
PLUMBING FIXTURES/RE EF VALVE
INTERIOR TRIMIPRIVA DOORS
FINISHED FLOORS
GARAGE FIREPROOFIN
DOOR CLOSERS)
SMOKE DETECTORS
FINAL ELECTRICAL IN PECTION�^,�_
FINAL APPROVAL OF NSTRUCTION
A SIGNED CERTIFICA E OF OCCUPANCY MUST BE
OBTAINED FROM THE UILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED :'
REMARKS:
INSPECTOR
56wn R/ V r ee YV zap/
QUEENSBUP%Y TOWN OFFICE BOILDING
SAY AT HAYILAND ROAD
QUEEN5BURY, NEW YORK, T2801
TELEPHONE : (518) 792-5832
4
TO : The Building Department
Town of Queensbury
FRC?N! : N . W . Bodenweiser , Fire Marshal
DATE *
SUBS Certificate of occupancy
Name : oxz
Address .
It is the opinion of this office that the above
named premises has complied with all sections of the
N . Y . S . Fire & Building Code regarding fire prevention
)y rlr.�611, u�e me Jy
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N . W . Bodenweiser
Fire Marshal
SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LIVE
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