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1989-394 II . .� . . .-• �'.yr:k-,.,yy3,... ..:f^ •'' '�=*�;�"' ""'ter. .�'-"yt,'C`.vg'r:�-: yr"�,�'.:"'o-�6W:sr•:. -a ..wc . . . .. �� ��' . s CERTIFICATE C � COMPLIANCE TOWN OF QUEENSSURY i WARREN COUNTY, NEW YORK Date January 18 Ig90 ' � ►b �` 3a j This is to certify that work requested to be done as shown by Permit No. 89 394 I has been completed. This structure may be occupied as a Freezer r;r L ocation �" Cv�nnjn Road OwnerGlens Falls Lodge 81-B_ P . O. Elks By Order Town Board TOWN OF QUE£NSSURY I w i 3 Director of Bldg. do Code T41 orcernent 1 r I i BUILDING PERMIT x TOWN OF +QUEENSBURY No. 89-394 a WARREN COUNTY, NEW YORK ' Cr, 1 crl ua PERMISSION is hereby granted to grans Fal l c Indge 8 B P O Elks tsl OWNER of property located at Cronin Road Street, Road or Ave. .P. in the Town of Queensbury, To Construct or place a Addi ti nnJfree er cooler 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 RR#5 Box 403 fS! Queensbury. N . Y _ 12804 n N 2_ CONTRACTOR or BUI LDE R'S Name .� Self cr+ r 3. CONTRACTOR or BUILDER'S Address O Same f�*� Co IRMA 4, ARCHITECT'S Name ro fy5 rrl 5. ARCHITECT'S Address r� B. TYPE of Construction — (Please indicate by XI I ) Wood Frame I ) Masonry { ) Steel { ) 7. PLANS and Specifications No. 16 ' x 22 ' addition/freezer cooler as per plot plan , specifications , and application . 8. Proposed Use C7 Freezer cooler addition $ 15 nn PERMIT FEE PAIL] — THIS PERMIT EXPIRES January 1 19 as 90 (If a longer period is required an application for an extansion musk be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) G Dated at the Town of Queensbury this 6th _ Day of June 19 89 SIGNED BY for the Town of Queensbury'fhrff m dRg and Zon rWl nspector rtf IV r+'l ;a cm� G CD r f t'1 TOWN OF t,'xUEE:`4'SI3UI2Y APrf . TCArTnN FOR RUILPPICa AND ZONTNC PVRk11T TOWN OF QUEENSBURY RECEIVED Rev " ed� g'f JUN 2 _ 1989 Fee Pae-:d t . BUILDING AND CODES u1 .11ARTtfEN`T Va.te Ida ued BLDG. S CODE DEPT. 3AY :end ItAVILAND ROADS RD 1 Box 9a nuEENSBuRY , NEIJ YORK 1280-4 PeAm,..t No . �J`T _ Tel . ( 518 ) 792.05832 Exe 204 * * * ■ It * * * 1 * * a * ■ ! * ■ IN ■ ■ * IN IF • • w > ■ • w • • • • w w A 1' ERHIT MUST E2 OBTAINED 13C1' ORE LECIWIINC CONSTRUCTION . NO INSPECTI6NS VILL BE MADE UNTIL APPLICAMT HAS RECEIVED A VALID BUILDINC PERMIT . All applicable spaces on this application must be completed and the A i (Tuature of the appllc:ant I!lust appear on the reverse sick of this shect k A A k 7k * A k The owner of this property is » 11 . 0 . Address /!~° k'. - �aA ''� 3 6%) Ar..g., .fXt-' a- ;r AZ TEL . / S> L - 3 4 3q 1roperty location +:::Qz4a 400O 'D 'rAX MAP NO * rag fu� � Has there been any split of this property since October 1 , 1988 ? / < / yes no If yes , Planning Board Review is necessary . SUBDIVISION DAME , IF APPLICABLE LOST NO . 111he Person �responsible for supervision of work as regards Building Codes is : C3 L1 $^K gel j j�/k^' iPs rv�c s Yt JL*LWjV m Il�vc.,E .� � �v . . �3,E rx� 7 A00 , [a r +.. a s��k c +-a 79 3 - 97 1 !� NAM E C-V a--ee"�'�+ J Wot*,A -f'P . O . A D D R 'E . I- `J ADDRESS TEL . N O . . _ . .�.. +� +�i t3 u 2 fr '? " 3 4 3 -- Name Of builder 1 004FAE bi jgPajE Acid Te 1 9 N ame of Plumber T.dd CA t`q„�- � � Tel Name of Mason r� �f jrolDca. ,� S / �,r�'C+� Acid riATuRE C C PROPOSLD WORK .* 3j +�' 4L + � .'1' 1GhI ( Ox ti ce use only ) (,nn:; truciiQiL of a glow building] _ y )N OF PROPERTY .,I� _Ad.xition to :. building r , .y.a g ?AL PERMITTED ACCESSORY AlLsaC"Lion to a Luilding �� ( Ito cta.aeu] Oz CO wxt � rioc climonSion:i , — PLANNING, BOARD ZONING L30ARD�� Utlicir work ( ate:Cr Ll7a' ) SITE PLAN REVIEW #1 APPROVED DATE i.; RQSS ARLA OV VROPOS' GD. !: TICUC ' UR= ; VARIANCE N APPROVED DATE lst Floor .� � Remarks : 2 nd Floor sq f t . w GOivtPLLTLZ i{vIl`G1.1ti1PlOrt JiL QUILtED U2L#c.nr . SA -� fJr , i✓ slz Of prol,urty l�'- w.tiSfc .tr d ft . on Other Floors sq . ft - Lxic: tincl L' uilSiaa� i :: 1 Si : u 1' l ?( ft . Inat cellar or basamenc ) � ; �-jC frig, TOTAL FLOOR AREA �O' Z sq f t . • L"xi. t iaig o.. i l.iiny { :. } Us.: i' i :c of nQw Structur4 j f L x Z '4L ft CFO 4� 49v40 4 DOr 1"cakst1d:scion-picrj�cruwllparcl&&Iltull ' vxopoSccl Guiluing , d.► t.L"ncu Prom L, ropg-orty iirr4 5'+e,lc. C7w"Ca.. lairclu one ? Alt■ Front yµrd 1 � Sr 1- t Roar yard :3 Z-4 ft No . of stories ( tl"bliz:ablo S•laace } 'L' A � side yard:: ft,Efr- J � � c t anclb � y T - *3.aIS WOO Cr Il. ighc ( r1r ] dr_ to riciclu ) Appio .c 1Z ft . If on cornar , rQtbwAck from si44.4 :;truc: c NA CC If reuidwntial , noa of families A.1 /4 No , of roorn:i ( QxCludinq b"thssl /,*/A " OCCUPANLY 1NFORMATICP4 14ow of budroorns /i,,/ A ■ ARNOw FR.I.MXRY LUILDINCow NO . Oi lzatlxraow:: /f1 .4 ■ Once fan"y dwelling r'riuury 1►w.atiruj s:y :;t; %o;m /L-/A Swo f"a►ily d+w.slling 'ly131i of f+.r.: l N A WOO MultLr+l.: +dwillS.ng / Number of units,,,^„^ NCO Of €irut1lacr`4 to 1uu in9QiAll4; V:d ,/ ' L�erur.anr:=tit occup:u►cy Will :a WQC" "ovo ta.: i1%ULQllus3? _ ` ir;Gn:: iunt r,uauty:cr�c y Luntrwal Air corarlitianiirg ? ` „ businuus UuILDINC STYLE, PRIINARY STRUCTURE . Ina"surial Z{Os r L. c+ rCc �(✓ 4e go . Y.!/ .n✓to surrCh COr►t�u�L:ur.ary I.rrn c .lain It .addition , �"'114at W4.11 luiauti ranch M"n■Sicraa ouplux ' �F( /Z J Ca. ri FL cV_ O :4pl ,LL luvc:l Old style: Uuaacj.+ low r C"PQ C041 Cott:.yu <: t� r� ' ACCESSORYlivIS.DXNC- CULoni.al Juaw Lowry HOaase ■ /�/A uucacheu ysrtagr3/ono cur/ two c:acj cur ( CIRCLi: ONE PLEASE } * �-ACLiaCYlu�4 g"rr.1�]U/QALa: Car/ tUo ■ • • • ■ is * ■ r • * ■ + a ■ • ■ r"- A priVatu stor"go btAilLling L: "STIMATED MARKrT VALUE: OF ' �Ocltur CONt;*40KuCTIUN j C.yC) © ` " MOO M, 1NFOAMATTON ON surLDINC SPI':CEFICATTDN's , ON REVERSE: SICC OF TkITS StlUeor, TO BE COMPLaTUDI Form BPA 10/88 v2 BUILDING PERMIT APPI,ICATICN CCNTINUED - BUILDING SPECIFICATIONS : Gn ,,,,r,v-yr ei �.-c rE c,.., f-•'�a.f�,rG �-�ML/ G'-o;:. 4.�fa'• Type of construction , wood frame , fire safe , etc . Will any second-hand or ungraded lumber be used ? If so , for what ? Foundation wall material 457rr � hoc Thickness < Depth of foundation below grade ( to bottom of footing ) 4¢ e, / '0td Will there be a cellar ? ,/I149 Heated or unheated ? ✓!11A Floor sq . footage a0L/2WA­sq ft Will there be a basement ? ;VA- Will any portion aue used as living space ? A.,ldp ( if so , what port ` sq . ft , - - Type of use ? �- Type of roof - lope flat/shed/other Material of roof p¢r vac, 'reic Size , wood studs NX " X A.; A- spacing +V4 " o . c . length re Art ft . Joists ( floor beams ) 1st . floor ,n..I-A_ " X ^op "' spacing A.IsV "o . c . span -PeVA ft . ,joists ( floor beams ) 2nd . floor AI " X ,*4r _ " spacing "o . c . span ^t'"rl ft . Overlays ( ceiling beams ) I4 X �J spacings"o . c . span ^/jd ft . Roof rafters &Ar `" X Ao$A- " spacing ooVjk o . c . span r1, A ft . Roof trusses (pre- engineered) spacing 24- " o . !; . span 2..- 2.. ft . Exterior wall finishC�c �sc t�iw2-c �r� +s 4 };�f:�l w aa�t material ? 57_c� d"- interior wall finish if a garage is to be attached , describe materials to be used for FIRE SEPARATION : e -,' Ar Is there to be an opening between garage and dwelling? AJA if so will a Eire- rated door , enclosure , and salt-closing device be provided?l Will a flue - lined chimney be installed? ,.fIA Height above roor` #ram A- ft . Depth of chimney foundation below grade toGI ,{ ft . Depth of fireplace hearth AIA- ft . in . water supply - Municipal or private well yr .s..s Gd P t- SEPTIC SYSTEM _ Distance from ANY private well { including adjoining properties A.,OP ft . (A separate application is necessary for any repair or new installation of septic system ) D E C L A R A T 1 0 N 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. Signature Owner owner's agen architect , contractor SPECIAI. CONDITIONS OF THE PERMIT By_..... .__ ----_ ------------------- --� - TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801� TELEPHONE ( 518) 792--5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED.. NAME LOCATION �- p DATE r PERMIT #_ " APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FO S FOUNDATIONfDAMP-PR ING BACKFILL APPROVAL ROUGH PLUMBING '�CFRAMING T"tt- ELECTRICAL ROUGH-IN INSULATION. FOUNDATION FLOORS WALLS CEILING FINAL .INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ TEPS ,STAIRS-CLEARANCE RAI _ PLUMBING FIXTURE /RELIE VALVE _ INTERIOR TRIM/PR VA DO RS N FINISHED FLOORS GARAGE FIREPROO ING� DOOR CLOSER (S) SMOKE DETECTOR FINAL ,ELECTRICAL INSPECTION I FINAL APPROVAL O CONSTRUCTIO A SIGNED CERTIF CATE OF OCCUPANC MUST BE OBTAINED FROM E BUILDING DEPART ENT BEFORE THESE PREMISES ARE OCCUPIED ! REMARKS . 4pEcTaRt_::== fLVn u/ QueenAuryr BUILDING and ZONING DEPARTMENT Bay and Haviiand Road, R. D. 1 Sox 96 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME j LOCATION ^ i Date'' Permit rres . q 'J "7 �✓ - APPROVED - YES NO M �Pie Fo tion Waterproofing Backfill Framing Roofing Siding Masonry veneer Rough Plumbing Relief valves Ext . Porches r Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile — Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL NSPECTION DRIVEWAY APPROVAL., , Final Building Survey _.. Next scheduled inspection (call when ready ) Remarks- 0 fe j pp � T�..�V' `�- 9Sovg1 fl )0�rw 6V S %d a c j Avr CA,"O"Lj Ec I I L I ! 6 how F-yc_c Building Inspector Inspector 6/86 and-vl f ISSUE DATE tf MIDONY) e 6 /l /89 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AD CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS Loomis & LaPann , Inc . EXTEND OR ALTER THECOVERAGE AFFORDED BY THE P AfItEND, POLICIES BELOW,ICATE DOES NOT 18 Exchange St . COMPANIES AFFORDING COVERAGE P . 0 . Box 2158 Glens Falls , NY 12801 COMPANY A Exchange Insurance Company LETTER COMPANY INSURED LETTER B Glens Falls Lodge #81 , B . P . O . E . COMPANY Y � RR #5 , Box 403 LETTER Queensbury , NY 12804 COMPANY D COMPANY E LETTER _00- THIS IS TO CERTIFY THAT POLICES 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 CONDI- TIONS OF SUCH POLICES. CC POLICY EFFECTIVE O (E LIABILITY LIMIT$ IN THOUSANDS LT TYPE OF INSURANCE POLICY NUMBER AGGREGATE OCCURRENCE GENERAL LIABILITY BODILY COMPREHENSIVE FORM INJURY $ PREMISESIOPERATIDNS PROPERTY UNDERGROUND DAMAGE $ $ EXPLOSION & COLLAPSE HAZARD PR13DUCTSICOMPLETED OPERATIONS CONTRACTUAL COMBINED&MBINED $ INDEPENDENT CONTRACTORS BROAD FORM PHUPERTY DAMAGE PERSONAL INJURY PERSONAL INJURY AUTOMOBILE LIABILITY ICY , . ANY AUTO (RR +) $ ALL OWNED AUTOS (PRIV. PASS_) 900IAY NJ ALL OWNED AUTOS (OTHER THAN) nR AOPDEND $ PRIV. PASS, HIRED AUTOS PROPERTY NON-OWNED AUTOS � DAMAGE $ GARAGE LIABILITY BI A PD COMBINED , EXCESS UABILJTY UMBRELLA FORM coual°IED $ $ OTHER THAN UMBRELLA FORM STATUTORY WORKERS' COMPENSATION -... A AND 136-3-50018 4 /15 / 89 4/15 /90 $ (EACH ACCIDENT) `� POLICY LIMIT) is (DISEASE EMPLOYERS` LIABILITY - � '�/ (DISEASE-EACH EMPLOYEE) OTHER DESCRIPTION OF OP'ERATRDNSILOCATIONSIVEHICLEWSPECIAL ITEMS Ex- Town Of eensbur SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- 31' DATE THEREOF. THE I$S G COMPANY WILL ENDEAVOR TO Bay Road MAIL 10 DAYS WRITTEN NOTICE TO HE ERTIFICATE HOLDER NAMED TO THE LEFT, FAILURE TO MAIL SUCH NOTH:E IMPOSE NO OBLIGATION OR LIABILITYQueensbury , IVY 12804 OF AN UPON THE G PANY ITS OR REPRESENTATIVES. ][PIRATAON THCIRI R RESENTATI Att : Building Dept . MIDDLE DEPART N AGENCY, INC. • Lc �T4=r INspec " f l r� 1fQ date April 19 , 1989 �ECertif ie!6 that t y T uipment listed has been a approved as being in accord with the National Elect ! plicable governmental, utility an s. Owner: Glens Falls Occupant: Satan Location: Cronin. Road v teate S I uipment and installation inspecte i this data. It eddill nr5al ui� nt be introduced or alleratlona made to existing eystam thi be null and void, and app Mention for 1 Y �apeatlan ais ce ate a Equipment: 1 Outlets ; ece tacles ; in p fly totnisAgency- 2 Ellt Fans drier of this ) as ev a nt same Of his property insure sae earner agent ifcomp y] as evi rtificaTion of a{9otredal aquipmans approvBd as apacllled. rCarl Kritz +5 NCE '1 � Ig'.3 Applicant: RR$3 , Box 3292-7 O . 15 -020968 Lake George , NY 12 f �j Font ne. 7W EL i as