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1989-065
r Iwo + ERTIFICATE 017 OCCU 'AN%wor TOWN OF QUEENSBURY WARREN COUNTY, NEW YQRK i i Date September 22 19 89 Grn This is to certify that work requested to be done as shown by Permit No. E : has been completed. This structure may be occupied as a ?; s,- rnu-, j cl�i F713CJ - - l.,ocaeioa Owner By Girder Town Board i TOWN OF QUEENSSURY l k Director of Bldg. & Code Enforcement f 4 BUILDING PERMIT TOWN OF QUEENSBURY No 89 - 65 COUNTY, NEW YORK ^cs PERMISSION is hereby granted to 0 OWNER of property located at Street, Road or Ave. rn in the Town of Queensbury, To Construct or place a at the above location in accordance to application together with plot plans and other information hereto filed and iv approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. t, OWNER'S Address is 60 Sweet Road Queensbury , NoYo 12804 C 2, CONTRACTOR or BUILDER'S Name F I fD Same r-r rn 3. CONTRACTOR or SUILDER'S Address td i✓ Same I- s� m n 4, ARCHITECT'S Name rn 5. ARCHITECT'S Address. I-- C7 S. TYPE of Construction — (Please indicate by X1 tz S]7 (X'XVuood Frame { 1 Masonry { I Steel { ) �C CF ri r T- PLANS and SPeClfictiOns Q No. 30 ' x 56 ' n Of fourplex as per plot plan , speei. fications , m and application , including attached one car garage . 8. Proposed Use y a of Fourplex c o- 2 5 . 0 0 c f o � PERMIT FEE PAID PERMIT EXPIRES � q��_� t {lf a longer period is required an applicat!an for an extension must be made to the Building and Zoning inspector of the t town of Queensbury before the expiration date.) } h I Dated at the T7777ZLL ' Day of793-�- l I for the Town of Queensbury SIGNED BY 1 nspector TOWN• Orw QUEENSBURY APPLICATION FOR BUILnrMC AND ZONTNC PERMIT )r�`� F'ece� etf R ev.L ere 4 (� flit Fee Paid UJILDINC AND CODES UJ TARTtT1= ,T Date 1.4.6ued sn r and JIAVI-LAjVD RoAns R.D 1 Box 93 0UE2JVS-BURr, NE(V YORK 12804 Pennl.Zt No . Tel ( 518 ) 792-5832 Ext •204 A PL: 1Lr1IT !~II..TS'r B4 OBTAINED BEFORE BEGINNING CONSTRUCTION . NO INSPECTIONS WILL BE HADE UNTIL APPLICANT HAS RECLEIVED A VALID 111: ILDINC PERMIT . All applicable spaces on this applications must be completed and the S- sluature of the applicant must appear on the reverso side of this sliest . A n A n X * K * A * V: A * * * A * * * at x A * k *0 A * * * X K K * * * :k i' 11a owner or this pro pert`y� is : Ilr�s Gam ? tuC- © <:--' .g -� - r l+ . !] . A cI d r e Ci+ � - I LJ c�2-. S A) ,L W C> N/ T G L "/7 J 0 Property location Por-., % cQE- Lb ,� ck ..-a�. �/ TAX MAP Nk� 11as there been any split of this property since October 1 , 19BO ? If yes , Planning Board Review is necessary , yes no : UBDIVISIOt7 11AME4 Ir APPLICABLE LOT NO . The Person responsible for supervision of work as regards Building Codes Is : NA tot E P . o . ADDItESS TEL . NO * ttame of guilder V y c a.' t ,mac Address Tol 0'? 2S-7-- w"nwa. of PIuwLber rnt Iirwc"+._ 2l_.. 23p,' .- Lddress b 2-'07 PtAg ,..+°. , Q� - C,C._r_ Tel �S`7 I - B 3S"� Name of Mason Cn £ t"Yl f :, , 5 r AUdre3s z t (I &z ,•- 0 Sl )4�� 1 + Tel 7 14ATURE OF f'f:£]PDSCT3 S,ORr, : * ZONING INFORMATION tofface use on11J .2LCon :; truccion of a I ;ew building } ZONING DLSICNATION OF PROPERTY Ad&Jic ,Lon to «a Lsuil .aing PERMITTED PRINCIPAL PERMITTED ACCESSORY �_Altt:a":atia;l to a Lk4iIding ` ( ilo chi 4i4aj � to exc .zr'.ior cillmen:.- iona ) " REVIEW REQUIRED — PLANNING BOARD ZONING BOARD_ Cltliur wrarl: {JsscriU�; k SITE PLAN REVIEW 11 APPROVED DATE Ar [.; 1AQSS AREA OV PROPOSED% I; TrtUCTUftU * VARIANCE 0 APPROVED DATE lst floor � +� 33 sq ft . � Remarks : 2 nd Floor sq f t . COi•ll' f_k '1'L ,Ip1-1Qkj-iATI0N Uk:t.?U11cE0 1 LWW . Other Flooru sci r c . Sixes of PCoL),,rty �� l'' t x e c] ft . ( not cellar or bas ,erna: ntl * "i:.:ting L)uLldiaa+zj ( u) Si u 1.' r: x CC . e TOTAL. FLOOR AREA�J sq ft a E:xi::cillg nuilziir;kj (L; ) U.:u `.-' ix,e Of new t; truCtura qV ft ?; -�'� ft 1••oLvs d:ati.on-plar/::lair craw llarcial/ full Proposers building , dlat; ancu rroul laruljurty line (circle on Frant yard 1` f' c Rear yard Na . of utor.i.es {ktaLelt:.1�1s. '13aCc } +'' � 5yde y:ards .1. ST�rc :and _ ,��`-+ca eft JI :ighc (Urada; to ridcle ) r � ft . IL'' ra� ida:nciala nos of falllilic3ti /� } It on CGrn.:r , :L• tbzck froiu .idv scr"or ft Nos of room., ( excluding k; c"th:iI �S OCCUPAP4CY INFORMATICN t!t? . of bedroaauc : - „ PItI?4A.TiY LsUTLDINC No. or b:tcliroaul : _ ram_^ OnQ fauii.ly dwelling i'riu�ary !►u:ata ltg sy:.I vll+ /�{,�3-_ _ �c r� 'L'ylaca a f f u:� i ,. i'wa 1:ausi.ly dwru 11 my No. of firutalacej CO la:a irssc,Llleci ■ Multil+la.: dwelling / Number of units Will ;a wt7�d.a seovA;: L; 1111 Leallud7 � � Persz►:inulit at:cula:ulcy CwnLrul Air cotulitirjni nt ' '1'ranl:iur; c Gccula;atrc y '� ' a�''�i''=s - 1313S1nG�� r RUILD1NG TYLC, PRIKkRY STRUCTURE lndu : srial li:ancll CGnGwaui:c.r a]ry LQQ C.4bin . Ocher itai"d rant!► M:an:;i;L"I D"pl .:x r If addi. cion, wjk"c will use ba=? aolic 1uv41 old style I.su.11Lj" lou } C';.'Pta Cad Cott"g4z Ocl ; ACCL:SSORY DUILDINC~ G`oioni ::i Uow own lIau::e '" isa::cachQa yarzage/ona cur/ cwn c:ar/ s:ar ( CIRCLE Ohll PLEA:: 1 ' EAZUa he;:a cj..ars.►rju/ Aa cur two u ar/ / caa• . . . . : r t w . . . . '. . i '► I�riYia Ca: scoci.age bli ESTIMATED _MARKroll VALUE 0P " �Othar CC1t3 :'t' ItUC'i' Tulr GeC r _ _ _ _ __ INVOrtt•IATTON ON nUTL.DTNC gPrCrj# rCATTQNS , ON Rr- VErtSV SIDE OF Tl1T'S SCne :'r, evo Dr COMPLI~TliDl Farm DPA 10/89 v1 BUILDINC: 1 • s?1;r4iT APPLICATION CONTINUED - BUILDING >PECI FICAT IONS : n Type of ccu, struction , wood frame , fire safe , etco c_.cx cn C � Will ally e> t:cond-hand or ungraded luxnber be used? If so , for what ? ,^E g Foundat for L hall material Thickness � r Depth of foundation k)elow c1radc ( to bottom of footir)g ) er Will there to a cellar? 1r' Heated or unheated? ,/Ae Floor sq . footage Will there be a ksasement? J Will any portion be used as living space? Cif so , wl ,.At portion? sq . ft . - - Type f use? Type of roof - slopes` flatfshedJother £>�L� 'Material of roof Size , woocl atuds " X __ _" spacing" o • c • length sf ! ft . +Jo! sts ( i lcacrr beams ) 1st . floor _ -" > spacing"''o - c - span ft . Joists ( floor beams ) 2nd . floor "X �, G) " spacing./.�_"o . c . span �F ft. .overlays ( coiling beams ) __ —"x � +' spacing " o . o • span t � ft . Roof raLt� rs ^•' X " spacing��_o . c . span ! t ft . Roof trusscs (pre-engineered) spicing l� lo . c . span �} 2 ft . Exterior wall finish G,o a &IRZ> .V,,r /l j� of what material? Interior wall finish if a g ai t ' is� ta �e attache . escribe material be used fo F SEPARATION : t]e. cr'L C '� 'C Gc.. .-c7cJLr '..ui,�r* ri t is them to be an opening b ween garage and el ing? If so will a Fire' rated door , ej,Q10sure , and self-closing device be provided? C Will a flue -- lined chimney be installed? cry ° Beight above roof c'4 r ft . Depth of c-himney foundation below gry;,de 77� f ft - Depth of i° ireplace hearth 1 ___.-ft . Q( in . K" Water supply - Municipal or private well SEPTIC Y �'L'IM _ Distance from ANY private well ( including adjoining properties ft • (A separate application is necessary for any repair Or new installation of septic system) !' :�z 5rS 'At D E C L A R A T 1 0 N '1'o the best of my knowledge and belief the statements contained in this application, together with the plans and specifications submitted, are a true and compicte statement of all proposed work to be done on the described premises and that all provisions of the BUILDING CODE, T1IE ZONING ORDINANCE, and all other• 1<Yws pertaining to the proposed work shall be complied with, whether specified or not , and that such work is authorized by the owner. Signature Owne , owner's gent , architect, contractor SPECIAL CDtiDITIONS OF THE PERMIT : gy... .............. _ _------_- Id I TOWN OF QUEENSBURY WARREN COUNTY , 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 21 Type of heat. ¢ 3 . Is the building mechanically cooled ?.1L�-:s 4 . Percentage of area of windows and doors A . Over 16 % Only 1 . U ¢ 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. 2 . R value of exterior walls 3 . R value of glazed area 4 . R value of doors 5 . R value of floors over unheated spaces 6 . R value of slab edge insulation - unheated slab 7 , R value of slab insulation -• heated slab 8 . R value of heated basement/ cellar walls ( above grade ) + 9 . R value of heated basement/cellar walls ( below grade ) ' 5` % ' � � 100 Type of insulation � �-t h f + C , Controls 1 . Thermostat maximum heat setting D . Duct Systems 10 Is duct system installed in unheated spaces ? YES NO 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 2 . R value of pipe insulation F . Service Water Heating mmmmm 1 . Performance efficiency -- 26 Temperature control setting maximum G . For Swimming Pool Only 10 Maximum heating Telephone No . `24oL `Z--rt� ( applic nt ' s signature ) • THE STATE INSURANCE FUND FILE Copy 199 CHURCH STREET, NEW YORK, N. Y. 7C1W7 (212) 962-89OO CERTIFICATE OF WORKERS' COMPENSATION INSURANCE EMPLOYER CERTIFICATE HOLDER ` POLICY NUMBER Valente Builders Inc Town of Queensbury 749 2z33_8 60 Sweet Rd Attn : Dave flatten Queensbury N Y 12804 Bay Rd Queensbury , NY 12804 i UNIT PERIOp COVERED CERTIFICATE NUMBER DATE ISSUED Alb . 2 / -/88 — 2 /1/ 90 ; ' ; 3 /2/89 THIS IS TO CERTIFY THAT THE EMPLOYER NAMED ABOVE IS INSURED WITH THE STATE INSURANCE FUND UNDER THE ABOVE NUMBERED POLICY COVERING THE ENTIRE OBLIGATION OF THIS EMPLOYER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS" COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK. IF SAID POLICY IS CANCELLED OR CHANGED IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE, 5 DAYS WRITTEN NOTICE OF SUCH CANCELLATION OR CHANGE WILL BE GIVEN TO THE CERTIFICATE HOLDER ABOVE. NOTICE BY REGULAR MAIL SO ADDRESSED SHALL HE SUFFICIENT COMPLIANCE WITH THIS PROVISION. Tdata 1L3Cri:x B at oG8 0,�# 1fiFx6cti 16c>ic5c�#'xI`c absa Sdd kkI�c5,c W�Eadad:�idiiad��'7d3Nrc3�k5'c�lc"6cS3��F.x3Y klslG icx�E3c�iclkrx�z lw��ir+x►�lQ�c�,�sc THIS CERTIFICATE DOES NOT APPLY TO BUILDING DEMOLITION . H. JACOBS DIRECTOR INSURANCE FUND UNDERWRITING Ll-�(a-3 51977'J - -r - :ri� o . . •r - 3 /�S,' �fy,� s �:'�+t"Fv :'`.'��'�^}'''`'' /�r+��,,: ... ..,.[ -•Ly,�a,l. ,r-� �4,.�-• , . r, :i :±; 1:-iSLJE P.,i-rE (rvime DD/y Y) fAfb896Jib dd 11 i PRODUCL13 YHIS CL-k l Ir.L's.T L I;:+ L :�UEI? AS A :.r.k C Cali �:lr L:..=tJ:�:.,ATION ONLY s.i.D CO[1FEft5 € t1.7 r;1Ci-iTt; UI'Ota THE Ci-R"TIFICATE ii l`:LCicri, l ril`a CEi-s 71FICATE DOES tJ177 AMCNr f coot. INSURING AGr":NCY INC C-xrcrtD OtL A TEA rrl= GOVfkACZ n4-r-G.LOLO ioY IHE POLICIES BELOW. r , { 1 B0l WF STF HN AVENUE - _— 4•f%rtilf .ti "LI r rCrii -lvi c (.OVER,+ G` .. . - AL FLANY NY 12203 Cf 11=FtirJ`i ri l RAVF A. r_ RS INS CO ; LFiri I , CCarr6sM.ry4' .._ iwSURLED I-T I: :{ �. h' OREAU£a PL. UM13ING tar =:Slr.i fie..r,r , 1•1F. AT I NG _. ? 3 CANVASUACK R T I)GL: f c' ._'.s . : L:_ I I � t WA•rr ra orm , NY 3 2 18 13 -- 1:.:I '..I.': ... LL iJj I 1 C+ Gt:riT lr=Y THAT POLICIr_:.i OF ii-4 .URAri:v? i+3 fLD L..LG'•1 rd.>.+Ic F„=F. LU...uT .� 7Ltl.: ll+i UfiCD N I . � .; � • FUi! '3'!rL iri7LICY PC C0flD1N ,k-IL D. r':7 CWIT}rSTAl4¢II.G ANY Rc'C]UlRul.r't=(1T TERt,�i c:�rf Ct'.,.GITIVrY Vr rii+Y C:iir. i r-...C= F :.r. L Lp l:.rl uU L:U 7.Li:tal YI rt r 4t- L r .r nl.:ki 7RI:.. �:t,lL fli'ICi�I c MAY 0" 6iAY PLfiTAlei, Tills- IN"i Jri: NCE .a, J, .ucU :....r I . l :..rlr I .:tt..:.aa.. I - 'f!Jl.tn ur' SUCH POLICIES,. lIT 1 IN 7 lJ r l.+S ,�Irr,l T'rPE OF IN.Ss"UFi A.NCF= - . .,. : .: `" .. — _... —r IT 1 L I H..] f' 1. 4.1 IL!"• 1:L.,1 r`c (- Lu.C. L Lj"ILi ry X Ct::ni'S4Crtt rJSi:F rGii:.1 ---� `-- X PhL1%)ISLk.;uPEriNTlar4S 0 .p ,. . , " if y. . ){ EkPLrSlGri $. COLLAPSF HAZARD X PkuDUGTS.rGOh;PLP- ED UPERAIICsi X CMP-TRACTUAL .-..:L.,.,,r_, •�+' .F fib ' -' Z, r 000 X Ii,DFPEM)l:XAT WwRAC:TORS .—'�------ , i;okulr L) FOruo PkUPLHTY D;UAM•:F PEP.SPr:,;.r Ir:JJHY 'r: it:�U'�nL LftJ Uisl' _ - -'i•.U-CO;nOBILL LIABILITY d. . :... ALL UL'1'JCO A!3rUS (PR[V. Pi SS-) , LZ ALL Ut'!rir.p AUTOS0TRHLERFTmAr4) rlliicU AUTOS 1 G.:Fil'rGC Ll:,iilL ll'Y i.i I'�+ $ ' �LU .iurt[LLri F{1riFd kk '• ' OLrLH Tro4y UME6HELLA FOAt.1 W tirtitER5' COI.hPEniSATlC7t+: _ _ .._ - . AND ,UI'.I%,SrPJLIC:Y LL?:,il ) C LiPLDYERS' LIABILITY � '...-- _ ' [ :_C:. Irtkir'iPI^J`fLF] A ulr, pl-'ZOi'ERTY Ei5fD2t3t3JG .? {d4 {dti / f' 4i1t313 GlEi / 2431t3 `} ---- DL.�S4Fr1' I ON OF GFLFLA EION:}iLC1G:H71C7 r4 S,:Je i11CLr_:... ..;r c-L:.I.�L L I.I:i rtF_ : OF'F RA rIONS OF 1 NSUR u 3 F'f)WN OF QUL.f :Nak3UF2Y r;o ✓ rH.� %jaO r -1 � CANCcLLEL: O EF itu rriF �x- PIFlx7 i:a 11 D:+7i 7kxEFtEOF, TIrL� iu�: Ull+:. C4:.•r.%PANY WILL ENDEAVOR TO AT 1 N : F)A V�. } 1A l 7. F< N j k r iL 3 f0 DAYS WAIT fEN NOT ICc i"U 1 i is CcF fit-ICATE HOLUtR hlAti cD 10 7Hc i HAY F2UA Lc,7 , uJ C r.,iLUAE TO MAIL 5UCr# iA l 1-1 r,f LL It..ri SL NO 4BL1Cwl"ION Otl LI a iILi7Y ( j Or Ai.i r:llry •CN TRL C©rA r':+IaY . ,- ., F:Ir-L:` !" :i rHLPNC-!;ENTATIVE'S- C11lE: r1SFiUF�Y , NY 1 :' Eif11A I1;c - rr' N7 C E R IT T F T C A T 'E C] 7+' 3 N � iJ R A Ed C E DATE : 01 / 2 3 / 1i 9 1 Y@ODNCE..-------- ; THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS HO RIGHT UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND , Kinner ' s Insurance Agency EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW ag --_-r _______________r_______ 202 Broadw P .O. Box 17 COMPANIES AFaORDIHG COVERAGE Whitehall , NY 12687 --------__ -- ___--- -- ---- i {5181 499-0458 COMPANY A National Grange Mutual Ins . Co LETTER ----- COMPANY 8 INSURED --- LETTER William Menell € Gary M3nell DBA ; COMPANY C M & M Construction LETTER 27 Blinn St . -------------- ----- Whitehall , N.Y . 12887 COMPANY G LETTER - ------------------------ ; COMPANY E LETTER COVFTAGES THIS IS TO CERTIFY THATPOLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FUR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERI OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ; CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY. THE POLICIES DESCRIBED HEREIN 19 SUBJECT TO ALL THE TERMS, EXCLUSIONS , ktiD CONDITIONS OF SUCH POLIC�� S. -------------------- ---- POLICY 1 POLICY 1 .CO ; EFFECTIVE EXPIRATION ' 1LTR ' TYPE OF INSURANCE I. POLICY NUMBER DATE DATE -- ALL-LIMITS IN THOUSANDS ----- ------- -- ---^^---- > ------ --- ------------^--------- 9 --- i ---- -'------`-'--------- ------- ------- --'- -- GENERAL AGGREGATE 560{a0W0 GENERAL LIABILITY �3�/11/89 04f11fBw PRODUCTS-( AGGREGATE $600000 A Es] COMMERCIAL GENERAL LIABILITY . MP H35 580 PERSONAL & ADVERTISING INJURY 5300000 1 1 1 E 7 C ] CLAIMS MADE Ex] OCCURRENCE 1 E 7 OWNER ' S & CONTRACTORS PROTECTIVEC EACH OCCURRENCE $30{)k?00 t 1 t FIRE DAMAGE IkNY ONE FIRE) 55�ai�00 13 MEDICAL EXPENSE (ANY ONE PERSON) 55004 E ] AUTOMOBILE LIABILITY ' 1 ; ; CSL 1 5 h I 13 ANY AUTO 1 � ---------------- � -------------- � E I ALL OWNED AUTOS 1 ; BODILY INJURY 9 17 SCHEDULED AUTOS 1 (PER PERSON) - 5 -----___ [ ] HIRED AUTOS ; BODILY INJURY 1 C ] NOH-OWNED AUTOS ; (PER ACCIDENT) E ] GARAGE LIABILITY ---__ ; -------------- ; --__ 9 PROPERTY , DAMAGE 1 S --- ' --------------........ .....--------- 1 -- -- ---- --- 1 EXCESS LIABILITY EACHYOCCURRE)iCE , -AGGREGATE-- ; E 1 UMBRELLA FORM - ----- - E 7 OTHER THAN UMBRELLA - $ , 1 STATUTORY A WORKERS ' C011YEHSATIOH WC F89 780 06/21/84 i 4�n/21f9U -----~ Slk+k�f� �a -- (EACH ACCIDENT) ---- AND 55U6000 (DISEASE-POLICY LIMIT) EMPLOYERS ' LIABILITY i 51C�0000 (DISEASE-EACH-EMPLOYEE) 1 _-_---- --- ; OTHER ` , DESCRIPTION OF OPERATIONS/LOCATIUHS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER _____________________________ __"_____` CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES-BE CANCELLED BEFORE THE-EX- Tawn of QueeAsbury p PIRATIOH DATE THEREOF, THE ISSUING COMPANY MILL ENDEAVOR TO MAIL , Bay Road 20 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED IO THE Glens Falls, N . Y . 128r1 LEFT BUT FAILURE IO MA1L SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY RIND UPON THE COMPANY, ITS AGENTS Olt REPRHSEHTAIIVES . ATTR: Dave Hatian -- ---- ...... ---- y-- ' AUTHOR Ii RE RESENTATIIF ' "_______ ___ r r TOWN OF QUEENSBURY �_ BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY. NEW YORK I2801- TELEPHONE (51 8) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVER NAME LOCATION DATE �-!, PERMIT # APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATIONy�IDAMP-PROOFING )A BACKFILL PPROVAL ROUGH PLUl7'rBING FRAMING ELECTRICAL xouGH-IN INSULATION: FOUNDATION FLOORS N WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL Piz HESIST S STAIRS-CLE NCE & RA LS _ PLUMBING F XTURES/REL F VALVE INTERIOR RIM/PRXVACY RS FINISHED LOORS GARAGE EPROOFING DOOR C SER (S) SMOKE TECTOR.S ' FINAL EL CTRSCAL INSPECTION FINAL AP ROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIEDI .INSPECTOR f TOWN OF +QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK I280k TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED -� NAME LOCATION DATE `? / PERMIT #ram APPROVED YES NO FOOTING/PIERS MONOLITHIC FOUR FORMS FOUNDATIO DAMP-PROOFING BACKFILL A PROVAL _....�......... ROUGH PLUM NG FRAMING ELECTRICAL R' UGH-IN INSULATION: FOUNDATION FLOORS WALLS FILING IVAL INSFECTIO CHIMNEY HEIG T ROOFING � . SIDING EXTERNAL RCHES/S PS STAIRS-C ARANCE & ILS PLUMBIN FIXTURES/RE.ATEF VALVE INTERIO TRIM/PRIVACY . DOORS FINISH D FLOORS GARAG FXREPROOFING - DOOR LOSER (S) -- SMOK DETECTORS FINAL LECTRICAL INSPECTION FINAL PPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS : ////,, 71 INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS �i � � BUREAU OF ELECTRICITY 41 STATE STREET, ALBANY, NEW YORK 12207 I Applicatiara ,Vo. ore file - :. 1 i d ? " Pate l i s ` il', ! is THIS CERTIFIES THAT reduced by the applicant Reused eused on the above epplicetion nurrlher in the pr'snaises of only the electrical equipment as described below and int �. i ? i 1 �'. l l : Section Block Lot l i I 1' 1 I E . '. +. ❑ Ise Fl. Snd V. in the fallawing locatio n; ❑ Bescrnasnt and found to be in corraplian+ce with the requirements of this Board, Baas exornined on ; . I- I ' If" 'S I'.; i s FI%TUBES RANGES Ot>OK121 o PECKS OVENS DISH WASIHERS EXHAUST FANS R%TURS PTACLES SWITCHES INCAPFOESft AI'f FLUCILtSCf1'rT OTHER AMT. K. W. K. w- AMT. K-w. AMT. K- W. AAI H. P. OUTLETS , t 1 'P LMMT HEA4r"S M LTII v s�T DIMMERS DRYER'S FU"l^CE MOTORS PUTTIRE APMIAHICE PEEdiRS SPECIAL RECT TIME CLOCKS am A+MT, H. P. AMT, wwrn AMT. K. W. OIL H. P. GAS H. P. AMT. WO. A. W. G. AI AMP. AMT- AMPS- ttt7. OP t$T i i 1 C E S E R V 1 A. W. ER G. SVICE DISCONNECT 0. ` Na. aP cG. car+b. A. w. I•Io. OF r1p. A.•�G Hcp. of MEUTRAes OF P�Eure+u AMT. AAM. TYPE lOUIP. I �" I s sw s ,P 3w a X rva PRII w aF cc. c o. r 0 OTHER APPARATM k [ i ! f [. 1 ` i BRANCH MANAGER This certificate must not be altered in any monner- return to the office of the Board if incorrect. Inapectars may be identified by their credentials. COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BEALTERED IN ANY MANNER. - TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT N BAY & HAVILAND ROADS �✓�✓ f QUEENSBURY, NEW YORK 3280!t- TELEPHONE ( 5I8) 79.2-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION PERMIT DATE APPROVED YES NO FOOTING/PIER MONOLITHIC R FORMS _ FOUNDATIONI -PROOFING BACKFILL APPRO L ROUGH PLUMBING FRAMING ELE ICAL ROUGH IN ULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION CHIMNEY HEIGH ,ROOFING SIRING EXTERNAL CHES/STE STAIRS—CLE RANCE & RA S PLUMBING IXTURESfRELI F VALVE INTERIOR RIM/PRIVACY RS FINISHED eFLOORS — GARAGE �REPROOFING -- DOOR C SER (S) — SMOKE D TECTORS__ — FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED? REMARKS: INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT ,BAY & PAVILAND ROADS QUEENSBURY, 5I8] YO�128 0& TELEPHONE 2- 5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED _,_._�—_.--- NAME F OCATION DATE �' PERMIT # - 1U APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP—.PROOFING BACKFILL APPROVAL X. ROUGH .PLUMBING .� ING ELECTRICAL ROUGH—IN INSULATION: r'' N` FOUNDATIO s FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT��^ _�--------� ROOFING SIDING EPS EXTTERNAL PORC CE RAILSO&T STAIRS CLEA PLUMBING FI RES/RELIEF VALVE INTERIOR TR M/PRIVACY DOOMS FINISHED F RS GARAGE FI PROOFING DOOR CLOS R (S) SMOKE DE ECTORS FINAL ELI ICAL INSPECTION FINAL APP OVAL OF CONSTRUCTION i A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT 'BEFORE THESE PREMISES ARE OCCUPIED ' REMARKS : INS TOR TOWN OF QUEENSBURYAl BUILDING AND CODES DEPARTMENT ' BAY & HAVILAND ROADS QUEE'NSBURY, NEW YORK I2809- TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR ECT�XON RECEIVED NAME +�" ZOCATSON r DATE PERMIT 2 La%"L APPROVED YES I NO FOOTING/PIERS MONOLITHIC POU FORMS_ _ FOUNDATION/DAMP PROOFING .--- $ACKFILL APPROV ROUGH PLUMBING FRAMING ELECTRICAL ROUGH— INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ST STAIRS—CLEARANCE & LS — PLUMBING FXXTURES/ EL F VALVE INTERIOR TRIMIPRI''D%Cy PS FINISHED FLOORS GARAGE FIREPROOFI$TG DOOR CLOSER (S) ... SMOKE DETECTORS FINAL ELECTRICAL NSPECTION ` FINAL APPROVAL = CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIEDI RENARICS: IN PECTOR IWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- TELEPHONE (518 ) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME f LOCATION ^ DATE - I Z� PERMIT APPROVED YES NO FOOTI NGI PI ERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVATi ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ST S STAIRS-CLEARANCE & ILS ---- PLUMBING FIXTURES ELIEF V LVE INTERIOR TRIM/PR ACY DOOR FINISHED FLOORS GARAGE FIREPR ING DOOR CLOSERS) SMOKE DETECTQ S FINAL ELECTRIC L INSPECTION PI FINAL APPROVAL OF CONSTRUCTION ---------- A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIEDI REMARKS: INSPECTOR TOWN OF QUEENSBURY ,BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST INSPECTION;RECEIVED NAME fJ t .y.r� - i ; A ---• C !T LOCATION DATE .I PERMIT N — APPROVED YES NO •OT1rNG1P2ER5 NOLITHIC POUR FORMS F UNDATIONIDAMP-PROOFING BA KFFLL APPROVAL RO H PLUMBING FRAM G ELECTR L ROUGH-IN INSULAT FOUNDAT • N FLOORS j WALLS CEILING FINAL INSPEC'TIO CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCH TEPS .STAIRS-CLEARA E 4 RAILS PLUMBING FIXT RES LIEF VALVE INTERIOR TRI /PRIV DOORS FINISHED F RS GARAGE FIR ROOFING DOOR CLOS (S) SMOKE DE T CTORs FINAL ELEC ICAL INSPECT N FINAL APP VAL OF CON.STR TION 1 A SIGNED (CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THE.9E PREMISES ARE OCCUPIEDI REMARKS: F � I u YOU ARE HEREBY REQUESTED TO INSPECT AND ISSUE CERTIFICATES FOR THE FOLLOWfNG ELECTRICAL EQUIPMENT 70 BE INSTALLED BY THE UNDERSIGNED /jam 1y TEMFt k OAT 1 fI Gf1Y DR 41<.L - 44 0`1- e.n..+ yo ', r j'� SHIP r + ' ' , - STREET AND f w'' POLE NUMBER WHAT TWO GROSS ETS 1B PPRE,MMES LOCATED? SEGtION BLOCK LOT CNJCUPAW?1S NAME B V ILOING OC:CUPANG`/ OWN 'S NAME AND ADDRESS HOME TEkEPHIONE NUMBER CURRENT SUPPLIED BY FROM IR WORN PHONE NUMBER { !] •J BUILDING IS NE4V OLD ❑ Vu'4RK IS NEW Eir ADDITIONAL ❑ OEFECre REMOVED ❑ LIST BELOW AL 1 EQUIPMENT WHICH YOU I LLED NUMBER OF OUTLETS No. of Fixtures & MOTORS HEATERS BRANCH OFFICE USE Loca- Lamp Receptacles CIRCUITS ONLY lion wait Attach'[ switch Pendant Bracket Nu Type Hama h No. Na warts �uoe INSPECTION Ceiling Wall Recap'ls OUT- SIDE SUB- EASE BASE MENT 1$1 FL. 2Dd FL_ FIL FL. REMARKS: LIST OTHER ELECTRiChL DEVICES NC1r SET FOR THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED, BUT IF AT TIME OF INSPECTION, THERE IS FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED, YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER THE ADDITIONAL EQUIPMENT, AS PROVIDED BY THE APPLICANT. SIZE OF MAINS FEEDERS ELEGTR1C SIGNSILAMPS TOTAL vcwT CHARACTER OF WORN ❑ EXPOSED GAS TUBE SIGNdTAANSFORMERS OF CI CONCEALED DALE WORK TO BE STARTED r TE COMPLETED SIZE OF SIGN INUMBERI CAP'r" SERVICE ENTERS BUILDING MANUFACTURER OF SIGN El OVERHEAD 12 uNDERGROUNo { DN6 INSPECTION RECUESTEG ON {OR AS NEAR AS POSSIBLE) ENTER I"� .� I �I' i .I, r .I I Ao PAfoGID D AYS Illy GIVING FULL AND ACCURATE INFORIMATt . ALL SPACES M BE FILLED IN OR AP TIDN JMAY BE RETURNED- PRINT PRINT NAME AND ADDRESS NAME OF APPLICANT (DATE OF APPLICATION STflEET ADDRESS TEL PHONE NO CITY OR POST OFFICE ZIP CODE LICENSE NOL WHEN APPLICABLE M 85 John Street ❑ 41 State Street ❑ 584 Delaware Avenue ❑ 217 Lake Avenue ❑ 20r2 Arterial Road NEW YORK, NY 10038 l ALBANY, NY 12207 , BUFFALO, NY 14202 1 ROCHESTER, NY 14G08 SYRACUSE, NY 13205 THE NEW YORK BOARD OF FIRE UNDERWRITERS