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1989-298 w CERTIFICATE OF +ClCCI.JI'A N Cy TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK Date Bebruary 28 , 1992 This is to certify that work requested to be done as shown by Permit No. 89-29$ has been completed. This structure may be occupied as a Dentist Office L.ocario�8 Road Comer John Matthews By Order Town Board orovvN OF QUEENSSURY Director of Bldg. & Code Enforcement Y CERTIFI.+CTE QV 0C*4,kTPANlC.NWvAjL7 TOWN OF QUEENSBURY - � WARREN COUNTY, NEW YORK i I �I Date N vember 7M .19 .21 This is Co certify that work requested to be done as shown by Permit Na. 89-298 has been completed. This structure may be occupied as a office Space Addition r location OwnerJohn Matthews [ By Order Town Board r lk TClWN OF +QUEENSSURY ..:`_.•(':'(.r'I.' .fir Director of Bldg. & Cade Enforcement i x - BUILDING PERMIT _ x TOWN OF QUEENSBUR'Y a No. 89-298 WARREN COUNTY, NEW YORK . I w .p. PERMISSION is hereby granted to John Matthews OWNER of property located at 300 Bay Road Street, Road or Ave. in the Town of Queensbury, To Construct or place a Addition to Office Building 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 Q.ueensbury Building and Zoning Ordinance. 1 . OWN E R'S Address is RWI Lake Bi R4119s Hoye 12845 George rrI 2_ CONTRACTOR or BUI LPE R'S Namecon French Mtn . Enterprises wk c� oor c� 3. CONTRACTOR or BUILDER 'S Address R0#1 Lake George , M _ Ye 12845 d_ ARCHITECT'S Name 5. ARCHITECT'S Address G C a 5. TYPE of Construction — (Please indicate by X) s l ) Wood Frame i ) Masonry I I Steel f ) t i. PLANS and Specifications N _ 36, ' x 18 ' ,36 ' x 9 ' addition to office wilding as per plot plan , speciVications , and application . a. Proposed Use office Building Addition �/� PERMIT FEE PAID — THIS PERMIT EXPIRES I)ec aber -s'�L0 v0 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of puaensbury before the expiration date.) Dated at the Town of Queensbury thys.-- Dayof for the Town of Oueensbury SIGNED BY uiidIng and Zo Inspector TC3LVN OF QUEENS}3URY APPI • ICATTON FOR BUILDING AND-ZONING PE. RMIT 1' ec..{cv e d 1~ev i ewe d� r FCC PcL.id " V i'�UILDINC', AND CODES Ll1 .PAR`1'tfa6T Date. I.baued ;3A Y and NAV.TLAMD ROADS RD 1 BOX 93 OUEENSBUR Y , 4NE971 YORK I2804 pel[trw� �� • �_1—.�-1c7 Tel . ( 518 ) 792-5832 Ext 204 i * * ■ Y f !r * I r * * * ■ * r i * It i ■ r r i ■ i i i • r ■ ■ i r ■ A PEWIT MUST D11 OBTAIijEU BEFORE BEGINNING CONSTRUCTION . NO INSPECTIONS WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID DL' ILDINC PERMIT . All applicable spaces on this application must be conipleted and the q. •� nt( ature of the applicant must alilrcar an the reverse sick of this sheet . * '* * * * * * * * r * A A * * k * * * * at * 7R * * * * * * * Yc tc * * k i' I, e owner of this property is : P. �j P . O . Address , =1''1e d'6 T A X .MAP N O . property location `2t 13 v Itas there been any split of this property since October It 1988 ? yes no If yes , Planning Board Review is necessary . &v{�T NO . sUBDIV151ON NAME , IF APPLTCAnLE The person responsible for supervision of work. as regards Building Codes is : P . G . ADDRESS TEL . NO . NAME _ Tel <r6115301 uume of builder a .6 :- LfA_ Address r"ddress Tel t1;Attrt: of Plumber Tel Name of Mason Addrezis IiATuRE OF PROPOO�CD Wt3RK : JfONING INVOil✓~ ltrTION ( office use on2y ) ['C7n truc [ ior, of :► nc w lauiiciin7 r' ZONING DESIGNATION OF PROPERTY '_Addition to a buil .litlg jr PERMITTED PRINCIPAL PERMITTER ACCESSORY _ �lt+_ r"Lion to a 1.uilding * REVIEW REQUIRED - PLANNING BOARD ZONING BOARD ( ! EO tO a2.Kt +arior "'nen:; >,.on::) Uthor work iawsrriV� ] ` SITE PLAN REVIEW 0APPROVED DATE I VARIANCE # APPROVED DATE t: ROSS ARLA OV PROPOS00, _; 'T " UC. 'L' URIZ 1st Floor /`7'` l1Q_ s q f t . Remarks : 2nd Floor sq ft . , COL"tl� [.1�'L'L i [il'Of:Ml�'L'SDN I(L(f )UliCLD LkL'LGY1 . of I)rol:%.: rty 3e It x 271 ft . Other Floors sq ft • t' L 7c flrs _ce . ( not collar or b a s .a m e n t ) . -----�-ram TOTAL FLOOR AREA�jokj sq f t •Q }�xs�Gialcl riuilliny (:. I flow _ rail err i of now �`tructurr: G 2C 'ft x1f0 �It W l'eauald:rtiGrl-p jar/ slat./cr:awl/1a3s c3 .al/ cull a builuing , di:. e:ince [ rout L,rui�ercy isrxu (circle one ) Front yur ft Rear yard ft NJ , of storiew Ov"bicablo sPac+e ) Side yard:a ve eft and 4ff ? rt Height ( Vradc to ridq &w: ) Ik ft • If on corner . surt;b"ck .from side: e:crt.:L a=ft it" roatduntial , no . Of ftamilicti41 OCCuPANLY 1NFOR ATICN No , of rooms ( k:xclkad)'. nk bath::) no , of budroomsi Jy/'-i? ; PltlliARY DUILDINC No . of 1;:aLhrooulu �' Z # Ono fankily dwelling vrimary 1iu" r19k'j uyiL .+n+ Two family dwullin9 'Yylau of fuk:l Multiral+: UwQlling / Nuenbar of units No . of firet>lacu-» to 1u� in::caiiud , Pax% "nuns aecup:uLcy Will :a wua.s stov,a k.e iF%ULaI .14jf? dzz _ � 1'ran::il:rxt ciecuif:arkey CunLr"l Air C0't"!t!Qn.Lxk91 J10usinesss BUILDING STYLEO PRIMARY STRUCTURE * �nduscrial Ocher 0` f ✓ lc+lxcl► Cont. +ulwr.,ry LGn o;alsin # it .addition , wkk.at will uwu twis.ffi;d ranch Mansic,ak oul.,lux slake level Old styli: ULAslq.alow # AcciiSSORY BUILDi1VG- Cottag� Oclwr car c:oloni"l Lcow Towsk House Uetachad 9"ri4go/ona cur/ two c4r/ ( CIRCLI ON1: PLEASE 1 * ActochL:d 9"rurle/are cur/ two cart cuc' i • r a a ■ a r A r ■ ■ A a a r r' Lkriva Ce Storage building 1~ "+ '!' IMA"1" liD MARICE'!• VA1. UV OF v !—Ocher CON :.:'i' LtUC'1' IUN � ' _ - 'Q, - _ - - - - - - - - INFORMATION ON 13UTLOINC SPrcll"' IcATIONS , ON R.CVRRSE SIDE OF TkfTS 0":hET, 1'0 13C COMPLET " I Form BPA 10/88 V2 BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood framer fire safe , etc , Will any second-hand r�r ungraded lumber be used? if so , for what ? Foundation wall material �� ,y p rr_ r Thickness �/ � r, Depth of foundation below grade ( to bottom of footing ) if Will there be a cellar? Heated or unheated? _(Lrwj°,�5/ _Floor sq . footage� yfd sq ft Will there be a basement? .J _Will any portion be used as living space ? ( If so , what portion? sq . ft , - - Type of use? Type of roof - sloped/ flat/shed/other Material o roof Size , wood studs-'• X� '" spacing "'o . c . length ft Joists C floor beams lit . floor - _"" "" spacing, "o . c . span eft . Joists ( floor beams ) 2nd . floor X to spacing "o . c . span £t _ Overlays ( ceiling beams ) 'X spacing "o . c , span ft . Roof rafters " X '" spacing o . c . span ft . Roof trusses (pre-engineered) spacing " o . c . span __?/,,,, ft . Exterior wall fi � t nish /� Of what material ? '� Interior wall finish 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? � Height above roof ��- ft . Depth of chimney foundation below grade .. � ft . Depth of fireplace hearth -� . _ Water supply - Municipal or private well SEPTIC SYSTEM ' "13 stance from ANY private well ( including adjoining properties ft , (A separate application is necessary for any repair or new installation of Sept c system ) DECLARATION 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. Signatur, OW er, wner's gent , archit t , contractor * * * * * * * * * * * * W too * It * * f * * * . . * * x * . . SPECIAL CONDITIONS OF THE PERMIT : By 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 : I . Gross floor area Ci 2 . Type of h e a t rr� `7 In r�i�-�^'� ( f 3 . Is the building mechanically cooled ? �TI� 5 4 _ Percentage of area of windows and doors A . Over 16 % Only 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 I . 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 A/ 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 ) 10 . Type of insulation € ezZ!yf//L x L4 LE- --C . Controls " 1 . Thermostat maximum heat setting _7r0_ D . Duct Systems 1 . 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 Y . size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F . Service Water Heating '/ 1 . Performance efficiency �f e 2 . Temperature control setting maximum -iW Z G . For Swimming Pool Only 1 . Maximum heating Telephone No . IC-12 '5F f ( applicant ' s signature ; __ / 1 TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 792- 5832 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE '" PERMIT# �P9 ' f' q' APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING r� FIRE EXTINGUISHERS AUTO . EXTINGUISHING SYS EM -_........... ..._._ HOOD INSTALLATION AUTO . SPRINKLER SY EM ALARM SYSTEM INTERIOR FINISHES STORAGE : CLEARANCE TO SPRf N ERS ✓' CLEARANCE TO HEfTIN UNITS REQUIRED SIGNAGE , i CHIMNEY WOODSTOVE FIREPLACE-MASON Y FIREPLACE- FACTORY BUILT REMARKS : Lj OK TO THIS DATE ARRIVE DEPART v4 / `9 EC OR TOWN OF QUE URY 531 BAY ROAD QUEENSBURY , NEW YORK 12 4 TELEPHONE ( 518 ) 745- 4447 BUILDING INSPECTOR' S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED_../ /.<e NAME le6r '4,fP i"'� LOCATION__, /a la+ ,r ,jCd, DATE P"ERRMT%IT# TYPE OF STRUCTURE RECHECK _FIRE MARSHAL APPROVAL ( COMMERCIAL STRUCTURE ) FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL SEPTIC INSULATION WOOOSTOVE/FIREPLACE REMARKS APPROVAL N/A •YES NO CHIMNEY HEIGHT/L CAT ON B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACEMOT WATER OPERA TIN BASEMENT INSULATION/DUCTWORK INTERIOR TRIM/ PRIVACY DOORS ✓ FINISH FLOORS : BATH/KITCHEN WATERTIGHT v OTHER FLOORS SWE£PABLE OTHER FLOORS CARPETED. s/ " STAIR CLEARANCE/RAILINGS HANDICAPP ED SMOKE DE BATHROOMUSE ANS ALL PLUM OPERATIN v GARAGE F DOOR CLO OTHER F two FIR MISS WALLS DUMPSTER SITE PLAN/VARIANCE REQUIREMENTS FINAL ELECTRICAL OK TO ISSUE C/0 OR C/ COMMENTS : ARRIVE DEPART S efOWN OF QUEENSBURY 531 BAY ROAD QUEENSBAll URY , NEW YORK 12$44 I TELEPHONE ( 518 ) 745- 4447 BUILDING INSPECTOR ' S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME ( * L' LOCATI DATE .,tZ / PERMIT# TYPE OF STRUCTURE , � RECHECK _FIRE MARSHAL APPROVAL ( COMMERCIAL STRUCTURE ) _FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL SEPTIC INSULATION TWOODSTOVE/FIREPLACE REMARKS yf f` x APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION } ` 8 VENT/LOCATION PLUMBING VENT ROOFING SIDING HECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE/HOT WATER OPERA IN BASEMENT INSULATION/DUCTW AK INTERIOR TRIM/ PRIVACY DOO,S� FINISH FLOORS : BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE ' OTHER FLOORS CARPETED STAIR CLEARANCE/RAILING'S HANDICAPPED ACCESS SMOKE DETECTORS BATHROOM FANS/WHO� LE- HOUSSi FANS ALL PLUMBING FIXTURES 6PERATI'NU^^^, : GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE WALLS DUMPSTER SITE PLAN/VARIANCE REQUIREMENTS FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMMENTS : 400 f d 2 AO . ARRIVE___�� DEPART_:5 --- INS TOWN OF QUEENSBURY FIRE !MARSHAL QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 792- 5832 FIRE #MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE // 6 /� PERMIT# APPROVED EXITS N/A YES NO AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS 'r AUTO . EXTINGUISHING SYS HOOD INSTALLATION ..^ AUTO . SPRINKLER SYSTEM ALARM SYSTEM INTERIOR FINISHES STORAGE : CLEARANCE TO SPR KLERS CLEARANCE TO HEA iNG UNITS_ REQUIRED SIGNAGE CHIMNEY WOODSTOVE FIREPLACE-MASONRY FIREPLACE- FACTORY BUILT REMARKS : OK TO THIS DATE ARRIVE/+ - DEPART I P TOR TOHN OF QUEENSBURY 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 745- 4447 BUILDING INSPECTOR ' S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED LOCATION - DATE —PER14IT# TYPE OF STRUCTUREdo RECHECK . 41RE MARSHAL APPROVAL ( COMMERCIAL STRUCTURE ) 4 &OOTING FOUNDATION .-�CKFILL 41f f'RAMING xE AOUGH PLUMBING FINAL ELECTRICAL SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS .,. ,p'_. df APPROVAL N/Al YES NO CHIMNEY HEIGHT/LO ATI.ON B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/ PORCH/STEPS/RAXIGS RELIEF VALVES FURNACE/HOT WATER Of A IN BASEMENT INSULATION/ TWORK INTERIOR TRIM/ PRIM Y OORS FINISH FLOORS : BATH/KITCHEN WA RTI T OTHER FLOORS S EPABL OTHER FLOORS C RPETED STAIR CLEARANCE AILINGS v HANDICAPPE6 AC SS SMOKE DETECTOR BATHROOM FANS/ HOLEH USE 'ANS rr ALL PLUMBING XTURES OP ATING GARAGE FIRE OOFING *� DOOR CLOSERS OTHER FIRE SEPARATION. FIRE/DEMISE WALLS DUMPSTER SITE PLAN/VARIANCE RE U EM N FINAL ELECTRICAL. OK TO ISSUE C /O OR C/C COMMENTS f rAja�C e. ARRIVE q . 0'0 DEPART 1 � SPECTUR TOIM OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 SAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 792- 5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED MAKE LOCATION DATE InfieIg PERMIT P TYPE OF STRUCTURE RECHECK APPROVED FOOTINGS/PIERS NfA YESI NO MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPON I8L " FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLAC _ FOUNDATION/DAMPROOFING� ��-- BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IINPLACE oor PLUMBING UNDER SLAB FRAMING : JACK STUD MEADERS BRACING/ BRIDGING JOIST HANGERS JACK POSTS /MAIN BEAM FIRESTOPPING WALLS CEILING FIREWALLS HEATING R UGH- IN INSULATION : FOUNDATION WALLSNITER R R- FOUNDATION WALLS,/EXTERIOR R- FLOORS R- WALLS - CEILIN - DUCT WORK OR PIPING IN UNHf.ATED SPACES 1 REMARKS : ARRIVE DEPART IN5PE R TOWN OF OUEENSBURV BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518) 792- 5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIY1<)13 NAJME }� LOCATION DATE. -PERMIT / 99 1? jo TYPE OF STRUCTURE RECHECK APPROVED FOOTINGS/PIERS N/A YES NO MONOLITHIC POURFORM REINFORCEMENT IN PLA E THE CONTRACTOR IS RES IBL FOR PROVIDING P ECTION FROM ` FREEZING FOR 48 RS FOLLOWING THE PLACEMENT OF E CONCRETE. MATERIALS FOR THI PURPOSE ON SITE FOUNDATION/WALL PO REINFORCEMENT IN PL FOUNDATION/DAMPROOFI ACKFILL APPROVAL OUGH PLUMBING PLUMBING VENT/V N IN LA PLUMBING UNDER SLAB 54 FRAMING : JACK STUDS/HEADERS t BRACING/BRIDGING JOIST HANGERS JACK POSTS /MAIN BEA FIRESTOPPING WALLS CEILING FIREWALLS HEATING R UGH- IN INSULATION : FOUNDATION LS INTERIOR - FOUNDATION W LLS EXTERIOR R- FLOORS R- WALLS R- CEILIk R- DUCT WORK PR Prpi-NGT'NUNHEATED SPACES REMARKS : ARRIVE .� DEPART�-�5� I NS ) TOWN OF QuEENSBURr r� BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 792/ 5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED ) NAME, (r� LOCATION DATE Alf �/' PERMIT # ,��,Q TYPE OF STRUCTURE RECHECK APPROVED FOOTINGS/PIERS N/A YES NO MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE _ MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/ DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/ VENTS IN PLACV. PLUMBING UNDER SLAB )(FRAMING JACK STUDS /HEAVERS BRACING/ BRIDGING JOIST HANGERS JACK POSTS /MAIN BEAM FIRESTOPPING WALLS CEILING FIREWALLS HEATING ROUGH- IN k NSULATION : FOUNDATION ALLS NTERIOR R- FOUNDATION WALLX EXTERIOR R- FLOORS R- WALLS R_ i 'V Poly CEILING IR- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS : • a ARRIVE / - DE PART / � INSPECT TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 1 '1 BAY & HAVXLAND ROADS - QUEENSBURY, NEW YORK I280k } TELEPHONE (538) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME [}- ti y 4 x.-- C _ C F( P c • : 3 LOCATION or DATE % /C/ % PERMIT # '�` ` - APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION P-PROOFING �ACKFILL ANAL ROUGH PLUMBING FRAMING ELECTRICAL ROUO.H--XN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHE /STEP STAIRS-CLEARANG & RAI _.._ PLUMBING FIXTU S/BELIE VALVE INTERIOR TRIM/ RIVACY FINISHED FLOO GARAGE FSREPR FING DOOR CLOSER {S _ SMOKE DETEC S FINAL ELECTRIC L INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKSctc INSF TOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVI LAND ROADS 1 QUEENSBURY, NEW YORK 1280k TELEPHONE (5I8) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSP CTION RECEIVED NAME LOCATION DATE _ "r �7 7 P IT # G7 APPROVED YES NO FOOTING/PIERS MONOLITHIC PO FORMS FOUNDATION/DAM -PROOFING BACKFILL APPROV L ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-AN FOUNDATION FLOORS WALLS CEILING FINAL INSPECTI CHIMNEY HEIG T ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF LVE INTERIOR TRIM/PRIVACY DOO FINISHED FLOORS GARAGE FIREPROOFING _ DOOR CLOSER (S) SMOKE DETECTORS 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: oelll INSPECTOR TOWN OF QUEENSBUR'Y' BUILDING AND CODES DEPARTMENT BAY & HAVTLAND ROADS QUEENSBURY, NEW YORK 1280-q- TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED.. NAME LOCATION DATE PERMIT # APPROVED / YES I NO I �OOTINGIPIERq MONOLITHIC PD R FORMS FOUNDATION/D -PROOFING BACKFILL AP ROUGH PLUM FRAMING ELECTRICALINSULATIONFO UNDATI FLOORS WALLS CEILING FINAL INSPECTION : CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHESISTEP45 STAIRS-CLEARANCE f RXSLS PLUMBING FIXTURES/REIEF LVE _ INTERIOR TRIMIPRIVACY'' DOOR FINISHED FLOORS GARAGE FIREPROOFING_ DOOR CLOSER (S) _ SMOKE DETECTORS FINAL ELECTRICAL INS ECTIDN FINAL APPROVAL OF CONSTRUCTION x A SIGNED CERTIFIC � E OF OCCUPANCY rBOBTAINED FROM THE BUILDING DEPARTME TIfESE PREMISES A OCCUPIED? REMARKS: r t INSPECTOR TOWN OF QUEENSBURY %5.1atj4 Q..} Say of Havgand Road, Queenslw y, NY 12804-9725--518-792-58a2 Building & Codes Department INSPECTO$ FS REPORT r `{r PROPERTY- LOCATION OIAER OR TV'NANT BUILDING %de SEWAGE SIGNt OTHER s REMARKS aA -s' -7 49 i I l CONTACT THIS OFFICE WITHIN INSPECTOR —HOME OF NATURAL BEAUTY . A GOOD PLACE TO LIVE" .SETTLED 1763 MAIN OFFICE 997 McLean Ind, ATLANTIC-INLAND, INC. Cortland. New York 13045 NEW YORK Phone: (607) 753- 71 18 MEMBER OF N F P A AND I.A.E.I (607) 753-7809 FIRE UNDERWRITERS 7 1 (607) 753- 1396 (Electrical and Fire Inspection-Enforcing and Consulting Service) (incorporated In the Slate of New York) Desiring certificate of Approval, application Is made For Inspection of eleetrical installabon in the premises described below. On demand applicant agrees to pay for Inspection service in accord with schedule of charges. APPLICATION FOR ELECTRICAL INSPECTION — PLEASE PRINT OR TYPES{M THIS SECTION TO BE COMPLETED BY APPLICANT DATE OF APPLICATION �G: Ld CITY. TOWN, VILLAGE COUNTY STREET STATE '. ADDRESS RURAL _ BUILDS. NO, DIRECTIONS Ft( �„ ,E. OWNER'S - r POLE NO. NAME ._�J' r.. „t„ f- --7- '� „5 OCCUPIED AS L' OCCUPANT f'�. r BUILDING — New 0 Oid C WORK — New Cl Addilioinal 0 OWNER'S P.O. ADDRESS APP FOR — ROUGH WIRING ❑ FIXTURES ❑ OR READY FOR INSPECTION yg FEE REMITTED — $ BY CHECK ❑ CASH O MONEY ORDER ❑ MAKE PAYABLE TO ATLANTIC-INLANO, INC — NEW YORK Number of Rough Wiring Outlets Fixtures Add InslalYetlpn S with L�Ing Racep. KW Meal, Mogul Fluor 500 750 7000 1250 1500 1750 2000 2250 2500 2750 Heat Sase Base 3000 Elect. Heat Amp, Service Water Htr, Burner Air Cond. Surface unit Oven Range at D,sp. Dish W Dryer H.P Pump Ex. Fan Hood OTHER EQUIPMENT (Spec Ity Type 6 Capac4tHes) TYPE OF 512E OF SUB- WIRING OPEN 0 CONCEALED ❑ OTHER MAIN MAIN BRANCHES NO- OF APPLICANT'S r CIRCUITS � SIGNATURE LICENSE rr PERMIT 4 APPLICANTS NAME OF ADDRESS /L/ UTYLYTY CITY STATE CODE OFFICE TO ZIP .1� BE NOTIFIED / • • ROUGH WIRING AMP SERVICE OUTLETS EQUIPMENT K.W SURFACE SWITCHES UNIT AMP SE RWICE K.W. OVEN CONDUCTOHS RECEPTACLES H P PUMP H.P.GARBAGE MEDIUM BASE DISPOSAL UNIT FIXTURES K W DRYER K.W MOGUL BASE DISHWASHERK FIXTURES .W. WATER HEATFR FLUORESCENT K.W. RANGE FIXTURES H.P. AIR AMP, RECEPTACLES CONDITIONER MERCURY VAPOR OR WIRING d CONTROLS FOR BURNER SMOKE QUARTZ FIXTURES FRAC. H.P. DETECTORS VENTFAµS MOTORS, H R 1 r20 1112 7110 11$ 1J6 i r4 7/3 Af2 3/4 1 1 'h 2 3 5 71/v 10 15 20 25 30 40 so 75 i00 OF EACH MBER OF EACH SIZE 500 750 1000 1250 1500 1750 2000 225o 2500 2750 3000 APPARATUS Elect, Heat MISC- INFO. Received Inspected FEE PAID �,Z ElPROORess L•FL �)7 ai J/pa TOTAL $ "^ ❑ DEFECTIVE �ry LIj C] O Rough Wiring OartlliCale Check Na. 0 Temporary Se"IL'e Money Order ❑ FINAL CERTIFICATE Mclin. r ri_ c3-7: .30A.M. 0 Cash Dup. Carl. Red. b 18-692-9t195 0 MUNICIPAL Charge 518-638-6339 ti .�.#:#1►trtr. CERTIFICATE OF INSURANCE a i �a4 IS1 1 DATE (MMfDD+YY) ; Q41 cm s PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND. f II fLU NCiSP t EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW L1 E -D c ' K.j. PALLS NY 12801 COMPANIES AFFORDING COVERAGE COMPANY A CODE SUB-CODE LETTER Y 'v 14 ram' L- ye 4.E COMPANY INSURED LETTER Y" R L". NC H MOUNTAIN ENTi EiR COMPANY �. P R I cGES INC - LETTER R ' D , t* i EAZ5T SIDE COMPANY �y L _Au, r- t=EQRGE , NY120-45 LETTER D COMPANY E LETTER COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM 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 IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS- co TYPE OF INSURANCE POLICY NVMSER POLICY EFFECTIVE POLICY EXPIRATION ALL LIMITS IN THOUSANDS LTR DATE gMMeDO!YY) DATE (MMMMYY) GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPIOPS AGGREGATE $ CLAIMS MADE OCCUR. PERSONAL & ADVERTISING INJURY $ OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE S FIRE DAMAGE (Any one fire) S MEDICAL EXPENSE (Any one person) $ r=ti AUTOMOBILE LIABILITY 1 L.1F -.,)�{ '.,_) " 9L;: '1 {,) j iJ i rI E g COMBINED SINGLE $ X. ANY AUTO LIMIT "„'+ 009 ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY $ 3; NON-OWNED AUTOS INJURY (Per accident) GARAGE LIABILITY PROPERTY DAMAGE S EXCESS LIABILITY EACH AGGREGATE OCCURRENCE a � OTHER THAN UMBRELLA FORM i 'L"`�. J13.. ri r.'��-.'211 EQ I 10o' li ? .^ L'� E ! 0-- / z"" / c99 STATUTORY WORKER'S COMPENSATION $ ]. 10QEACH ACCIDENT) AND S `i 0ODISEASE—POLICY LIMIT} EMPLOYERS' LIABILITY $ I 000ISEASE—EACH EMPLOYEE) OTHER I I DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLE'SIRESTRICYIONSISPECIAL ITEMS CERTIFICATE HOLDER T CANCELLATION _- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE TOWN OF OUEENSDUR Y LEFT.- FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR BUILDING DEPT . LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES- DICK GIJANTQ - --- — -- -- -- - - -- — DAY ROAD AUTHORIZED 177SENTATIVE �1 GUEENSBURY , IVY 12A04 ACORD 25-5 (3188) OACORD CORPORATION 1988 rr 3.1 C . anesoMs ()LJEF.N5,E3UFAy 4 Rlll nisxTat rfiaw Srrwerz L)WIL --.. • . ... � �. -i — --[p) Mwn Hal[ � �"` /'p�E O F ,l►7'4rS rry„r`i' r. ! 13 + t •. - — A?PRAYED h�At�►atJ Lr i 1160 S4 fro a3 ' � •�y, �o m REYI5T�D h [fD+Tti►N s i6t 6T o�?,o 5;40 91vsQ Pr AKA-vlb" i lu Ire 5av 16t FT ADD1T16" o f .?41f k y h ore tribe p►r�s lyy ' •'.� , • +. , «t i1.} ,J 'IXD�a7H L �Elff ',n, •f� •�hN cnPfDr. SF PnR.x1Nti 3el CR �� M/.r 4115 -r rj,L{'st* RIG SVL. x '91ST004L srtlu - 34 Avh}1n61t IaSI �, h til 'R.O A L7 L.r 1r �. G RE N JIF�E11 : 644 ,s b LAAID St Rr'Y FO iti�►P_5 : 511r Ub ? 1RF?Z 41� "l,� , s �� •,a� w4 yew r00 BAY ROAD EVISED SITE PLAN P. rn 1{Ew S - 0 wtjvbK1 L0tyIrom 1�• � 1L Yi John P. Matthews RoRd 41 Box 1154 Labe George , NY 12845 May 15 , 1989 Town of Queensbury Building Department Bay Road Queensbury, NY 12801 Attention : Burt Re ; Permit 300 Bay Road As per our discussion 5/15/89 1 am writing to verify that I plan to construct Handicap Ramps to the new entrances on the addition ' s to 300 Bay Road. I also will modify existing bathroom to include a wider door for Handicap. Thank you for your assistance. TOWN OF QUEENSBURY Sincerely , RECEIVED MAY 16 199'1 YJ0n �. Matthews BLM & CODE DEFT_ JPM/bel