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1990-799 ii a' Ni '-',.,r ..+` :4 .. •'G. ' y1'r ' .. a\.`' _ 1 ii a RTIFICAT. OF OCCUPANCY TOWN''-OF QUEENSBURY WARREN COUNTY, .'EW YORK -LL Date e7d't/r t,beik'4.7 7 19 II ..,.. -\ q)........- , \•(e ye This.,ie-.to'"certify that::work requestedd to be, done as shown by Permit No. has beeti',com i pleted. r'. Yl. N . Add tine -� builds q (D ntai nf ices) "' lQ� 1� �_ This structure.may b= occupied as a 1 - 1,watio roorner of_ Aviation & Poplar Lane 3 . 9 20( Alexander H. Burkich. �vnerY'ry . . By Order Town Board - TOWN OF QUEENSBURY i i . Director.of Bldg. & Code Enforcement BUILDING PERMIT -� TOWN OF QUEENSBURY No. 90-799 WARREN COUNTY, NEW YORK o PERMISSION is hereby granted to Alexander H. Burkich OWNER of property located at Corner of Aviation & Poplar Lane Street, Road or Ave. in the Town of Queensbury,To Construct or place a Addition to Building Office 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. 1. OWNER'S Address is 112 Aviation Rd X Queensbury -s 2. CONTRACTOR or BUILDER'S Name Byron B. Rist 03 J. 3. CONTRACTOR or BUILDER'S Address RR#1 Box 1469 Lake George, NY 4. ARCHITECT'S Name 0 -S fD 5. ARCHITECT'S Address —h 6. TYPE of Construction—(Please indicate by X) X) ( Wood Frame ( I Masonry ( ) Steel ( ) 2' 0 7. PLANS and Specifications No. 2,265.sq ft addition to bldg. office as per plot plan specifications and application. ro 8. Proposed Use Addition to bldg. (Dental Offices) Permit issued for New Center Portion Only. Separate permit required for improvements to Expansion area 0 $ 230. PERMIT FEE PAID —THIS PERMIT EXPIRES November 28 19 91 0 (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.) co Dated at the Town of Queensbury this 28 Day of November 28, 19 90 / 0_ /2/ to SIGNED BY %/,c%.' for the Town of Queensbury Building and Zoning InspectoV TOWN OF YUCrCt a), Ps REVIEWED BY OWN OF QUEENSI3URY ,/1 , A FEE PAID $ RECEIVED gtiv, PERMIT NO. '� NOV 20 1990 BUILDING PERMIT APPLICATION BLDG. & CODE DEFT, 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 reverse side of this application. • • • • * • • • * • • • • • • * * * • * • * * • * * * * * • • • • • • • * a • • a The owner of this property is: A- 11., -v`i%f4Z, /i - i (AA'ICLG(./ P.O. Address I I Z 4-I/6 _ t R(L&y) Tel. 7 q 3.r I l l"7 Property Location Co:�LJ ,V IA41491e.., q- PdPCA/, l AN-r- Tax Map No. ql /L/. Has there been any split of this property since October 1, 1988? / X //24. If yes Planning Board Review is necessary. yes no kP#;/ 92 SUBDIVISION NAME, IF APPLICABLE .. NA- LOT NO. THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: z (tom * NATURE OF PROPOSED WORK: • * ESTIMATED MARKET VALUE OF • Construction of a new building * CONSTRUCTION: $ i Z y� c Addition to a building • COMPLETE INFORMATION REQUIRED BELOW: a Size of property iLig )C zrz-erA /75- ft x �`—ft:)( jot X " Alteration to a building ; * Existing Buildings(3) Size 7.- -e ft. x 3l. v ft. (no change to exterior dimensions) • Proposed building - distance from property line: Other work (Describe) * Front yard 42! ft. Rear yard ive ft. • Side yards fig'' ft.. and 75 r ft. * GROSS AREA OF PROPOSED STRUCTURE • If on corner, setback from side street ' ft. 1st Floor COS sq. ft. o, (® ; ;a0 OCCUPANCY INFORMATION • 2nd Floor sq. ft. * • Primary Building - • Other Floors sq. ft. * One Family Dwelling (not cellar or basement • Two Family Dwelling TOTAL FLOOR AREA 2_5-sq. ft. • Multiple Dwelling/Number of units Size of new structure 21 ft x 5-3 ft. .1-u • Business Foundation-pier/slab/crawl/partial/full �4!y.d 26/ ' Industrial ,(circle one) • Other • No. of stories (habitable space) I • Height (grade to ridge) . 2 I ft. • If addition, what will use be? I) 1SAMA-1- If residential, no. of families • b i r `G e5 No. of rooms(excluding baths) • Accessory Building No. of bedrooms • _Detached Garage ONE/TWO Car No. of bathrooms * Primary heating system t ,ara + Attached_ Garage ONE/TWO Car Type of fuel G_ • Private storage building No. of fireplaces to be Installed C •• • __Other Will a wood stove be installed IT . Central Air conditioning ' it • OV• ER PERti1IT APPLICATION CONTINUED - BUILDING 3PECIFICATIONS: Type of construction,`'wood frame, fire safe, etc. (,ljoc;6 r ee24- 41.15. Will any second-hand or upgraded lumber be used? If so, for what? 111 Foundation wall material Cu 14.eu,k-t-- Thickness LO ` I Depth of foundation below grade (to bottom of footing) Will there be a cellar? tr-s, Heated or unheated? VIA);.}-e. r-tc Floor sq. footage z,_—( s sq ft. Will there be a basement? ' ' Will any portion be used as living space? pio (If so, what portion? • sq ft. Type of use? Type of roof - sloped/flat/shed/otherSuhr Material of roof s iuq. ,,Li-y Size, wood studs Z "x ( " spacing i(,- o.c. length R' ft. Joists (floor beams) 1st floor "x to " spacing 16 _"o.C. span 13 ft. Joist (floor beams) 2nd floor "x " spacing "o.c. span ft. Overlays (ceiling beams) "x " spacing " o.c. span ft. Roof rafters "x )Z " spacing lV o.c. span /3 ft. Roof trusses (pre-engineered) spacing arl' " o.c. span 311'-Y•" ft. Exterior wall finish i to 7 }-V of what material? -1:.t/R. Interior wall finish G-°IP5►2,.,/1 %c` r› If a garage is to be attached, describe materials to be used for FIRE SEPARATION: • WI- Is there to he an opening between garage and dwelling? If so will a Fire-rated door, enclosure, 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 NLUIi4 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) (AME OF BUILDER R T--.c;,.( �' ,�?15� ADDRESS P-RA t 4(s. TEL. NO. 7`1 k-}J 'I (AME OF PLUMBER 1.'i62k:t-1 ADDRESS L*c -/``4',/141d'TEL. NO. (AME OF MASON `?`ti?xsc.( siN> ADDRESS TEL. NO. (AME OF ELECTRICIAN t ;a,( t.v— ADDRESS TEL. NO. DECLARATION To the best of my imowledge and belief the statements contained in this application, together with the (ens and specifications submitted, are a true and complete statement of all proposed work to be done on le described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and II other laws pertaining to the proposed work shall be complied with, whether specified or not, and that 4ch work is authorized by the owner.. Signature � � �� w r Mlner's o agent, architect, contractor PECIAL CONDITIONS OP THE PERMIT: / 5Su& PO 2 /I/L—ea-C6.c1T z.- 1)o62--Trd A) aN4V S&PAfZR 1�r Pa 2.wir re-6-co I l?CEO Fv t12._ /.4 Pno v&til 4vrS i o I x Ows ft! J/a-re-61-- • BY ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS Compliance Methods: 'OWN OF QUEENSBURY RECEIVED PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) NOV 2 0 1990 PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings; Multi-Family Dwellin (3 Stories or Less) tLDEL 8L CODE Lefr''. PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential . PART 4 & 6 - Compliance Methods Require Submission of Worksheets Y 1-014 - 2 S', CoP-IAT U9 lc 4 Vil4--i-co.v 1=. Po Pt-4g- APPLICANT'S NAME PROPERTY LOCATION PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area - 2. !- Cc5 Sq. Ft. 2. Type of Heat - Elec. Base Board Other G,4-5 -(-a R.cc 3. Is Building Mechanically Cooled? g YES NO 4. Percentage of Area of Windows and Doors Over 17% >( Under 17% THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED. THE R-VALUES SHOWN ON PLANS SUBMITTED! Baseboard 5. Insulation Values: Actual Shown Elec. Heat Other 7 A. Roof & Floors exposed to ambient temperatures R ;3% 30 B. Exterior Walls R C. Glazed Area R 1 , M11✓ I ,g D. Exterior Doors R Z„ t'l 11✓ Z-S E. Floors over unheated spaces R 2 c) 19 F. Edge of Slab on Grade (Heated Building) R i1//4 it G. Basement/Cellar Walls (Above Grade) R /0/ 14 9 H. Basement/Cellar Walls (Below Grade) R I. Heating/Cooling - Ducts - Piping in Unheated Space R A-(a ,41f4,/ -6 6. Service (Domestic) Hot Water Heating Device A. Conforms to minimum efficiency per code ) YES NO TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED L NTS ATURE DATE TELEPHONE NUMBER • INSPECTOR'S. REMARKS : //, 1 ' • TOWN OF QUEENS/JURY APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE: V--2-21) LOCATION OF PROPERTY FOR INSTALLATION cr 1-/-_3 /4<! . c©oNg4 • Owner's Name: AA- egg, J\' . 3 m (c r.-W NOV 2 0 1990 Address: W_ Av�d-,-. ckt,_ _ c v,e� Installer' s Name: Rypf,c4 Telephoch9G49 ' F , Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) Topography: Circle one: (Flat) Rolling Steep Slope % of Slope Soil Nature: Circle one: San Loam Clay Other /Depth: Ground Water: At what depth? f" Feet Bedrock or Impervious Material : At what depth? Ni Feet Percolation test: Circle one: not required required Rate - Min. Per Inch Domestic water supply: Circle one: Mcipauni Well Other If domestic water supply is a. wel : Separation: Water supply from any septic absorption feet. PROPOSED SYSTEM: Septic Tank 1,2,50 gal . (minimum size: 1,000 gal ) TILE FIELD: Each Trench feet/Total system length feet r,vcc,,Lbi, C SEEPAGE PIT(S)• Number of -- 6-As�iv,_Size each 6 ' feet by sr' feet Size of stone to be used #. .3 /Depth or Thickness Z. feet ***************************** HOLDING TANK SYSTEM IF REQUIRED NO. of Tanks Size of Each Gal . *Alarm system and associated electrical work to be inspected by an, approved agency. I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the Town of. Queensbury Sanitary Sewage Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: �/ DATE: lAvIeta rl f��� Septic System Inspections: A. All applications for septic system installation. alteration or repair, as required by the Tovn` of Queensbury Sanitary Sewage Ordinance. shall be submitted co 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 anal/or drywalls B. Nu system shall be covered before inspection and approval by the Building Inspuctor. 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 co produce said plot plan at tins of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installa— cion, alteration or rupdir of an approved system. a new proposal must bu submitted to the Quuensbury Building Department before further construction. Town of Queensbury BUILDING and CODES DEPARTMENT Bay and Haviland Roads Queensbury, New York 12804 kgnwrks: 7. -14A,t. •-1,P,!4 c 1 P, i..1 .. -1 a i.ln-1,,P.,&-I!i.a P P•P.i. 9P i:a• •1 P.i.. t ,.a P.�:a a;, •.S s_a,Pr tia i.a P9�1‘Pxi.a gas�...1,i.� is i a P --1,-P,. i,t,P?. y.,, P.?-. ,... A THE NEW YORK HOARD OF FIRE UNDERWRITERS PAGE 1 l:134597 ® 1 BUREAU OF ELECTRICITY . noT 41 STATE STREET,ALBANY.NEW YORK 12207 1 Date OCTOBER 02,1991 Application No.on file36902091/91 A 059451 THIS CERTIFIES THAT qO-1 qq 1 to only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of 1DR. A. BURKICH, 112 AVIATION RD. ,, QUEENSBURY, N.Y. in the following location; © Basement ❑ 1st Fl. ❑ 2nd Fl. • Section Block Lot .F .4 was examined on SEPTEMBER 27,1991 and found to be in compliance with the requirements of this Board. :'�':' FIXTURE ECEPTACLESI SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ' E - -, OUTLETS INCANDESCENT-FLUORESCENT OTHER AMT. K.W. AMT. K.W. MAT. K.W. AMT. K.W. AMT. H.P. r�;, 1 36 43 24 25 11 . 1 F •5 _, DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS 'BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS 4 AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. • MAT. AMP. MAT.• MAPS. TRANS. AMT. H.P. NO.OF FEET MAT. WATTS . 1 F . SERVICE DISCONNECT NO.OF S ' E R V I C E ,•I MAT AMP TYPE METER 1 5•2W 1 0 3W 3%3W 3%4W NO.OF CC.COND. A.W.G. NO.OF HI-LEG A•W G• NO.OF NEUTRALS A.W.G. EQUIP. PER 8 OF CC.COND.. OF HI•lEG OF NEUTRAL 1 200 CB _X 1 4/0 1 2/0 OTHER APPARATUS: E. il EMERGENCY PACK-4 • EXIT-3 PADDLE FAN-1 ELEC. WATER HEATERS: :1-4.5 K.W. 1 G.F.C.1:-6 p. -,1 BOB MURTHa ` � \ 0, k 91 `•IANNIS RD. _ �ruT tGLENS FALLS, NY, 12801 BRANCH MANAGER k 2 3 9 Per s This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their credentials. ®r 1 f• ® ____ ® o ® oo o ® o ® ® o ® o0000000riL.- COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUS1 NW BE ALTERtD IN ANY MANNOt. tiOu4.. TOWN OF QUEENSBURY AY 531 BAY ROAD :1 1 QUEENSBURY, NEW YORK 12804 A► "' TELEPHONE (518) 745-4447 . �.., ," '``, BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED IlI�-11 1 AiK NAME 404 LOCATION C'',01i. 1,dM e61 �- PA-(? eCL.(.1 4. DATE PERMIT/ 6/0 -g e( 61 TYPE OF STRUCTURE 04kci eL.,rii RECHECK (,(}, avy?flP FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL--_SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL N/AO YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION 'j PLUMBING VENT ROOFING SIDING DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE/HOT WATER OPERATING BASEMENT INSULATION/DUCTWORK INTERIOR TRIM/PRIVACY' DOORS` FINISH FLOORS: A BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLEE OTHER FLOORS CARPETED,' STAIR CLEARANCE/RAILINtS HANDICAPPED ACCESS SMOKE DETECTORS I s BATHROOM FANS/WHOLF,,HOUSE' FANS ALL PLUMBING FIXTURES OPRATING GARAGE FIRE PROO'ING_ DOOR CLOSERS OTHER FIRE SEP4RATION \ FIRE/DEMISE W LLS DUMPSTER SITE PLAN/VA IANCE REQUIREMENTS FINAL ELEC ICAL OK TO ISSU C/O OR C/C COMMENTS: s' / C C: ARRIVE DEPART . ;L)/ 77) �'` INSPECTOR TOWN OF QUEENSBURY '"'%1� ' 531 BAY ROAD i,f QUEENSBURY, NEW YORK 12804 �' TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR SPECTION RECEIVED NAME // LOCATION /-�t' / DATE / PERMIT/ %���///Z�j/ TYPE OF STRUCTURE c:� ;;s GT cc e- RECHECK Sde i� FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) _FOOTING FOUNDATION BACKFILL FRAMING _ROUGH PLUMBING FINAL ELECTRICAL--_SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS I I: I 1 I APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION I PLUMBING VENT ), / ROOFING i / SIDING a / DECK/PORCH/STEPS/RAILIN'GS RELIEF VALVES tc, I FURNACE/HOT WATER OPERATING BASEMENT INSULATION%D CTWORK . INTERIOR TRIM/PRIVACyYiDOORS FINISH FLOORS: BATH/KITCHEN WATE SIGHT OTHER FLOORS SWEE ABLE OTHER FLOORS CARP TED STAIR CLEARANCE/RA LINES r/ HANDICAPPED ACCESS \ i/ SMOKE DETECTORS [ %, BATHROOM FANS/WHOIEHOUSE\FANS ALL PLUMBING FIXT RES OPERATING GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE SEPAR TION \. FIRE/DEMISE WALL \ DUMPSTER SITE PLAN/VARIA CE REQUIREMENTS 7/ FINAL ELECTRICA \ OK TO ISSUE C/O OR C/C I COMMENTS:/ / L4 / / ,,(c. • . , A 4 0{ 54 l( A-e. ,.) it., (,4,1e. l- -cN--6,:_ p - s // ,�E'ea(J 12, JZ(l rcru `' 01�1.:5 ARRIVE `�I"/))DEPART yJJ / D4- "� INSPECTOR -3u TOWN OF QUEENSBURY O ArA' illiftb 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME J L Qb,r)- .,'4.l1C LOCATION �} DATE /i/ /g I L J PERMITS `/0' 7(J TYPE OF STRUCTURE ezied, 6` ,, ir_o__J RECHECK _FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) _FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS CHIMNEY HEIGHT/LOCATION r APPROVAL N/A YES NO ,' B VENT/LOCATION 1 ,;' PLUMBING VENT 1 ROOFING k ,l SIDING • DECK/PORCH/STEPS/RAILINGS/\ RELIEF VALVES ,/' \ FURNACE/HOT WATER OPERAVNG \ BASEMENT INSULATION/DUCTWORK "4 INTERIOR TRIM/PRIVACY YOURS FINISH FLOORS: if BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE \ OTHER FLOORS CARP FED \ STAIR CLEARANCE/RAILINGS 1, HANDICAPPED ACCESS , SMOKE DETECTORS / BATHROOM FANS/WHO,LEHOUSE FANS ALL PLUMBING FIXTURES OPERATING 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: / 1/ < / Nel J7 S r /OCcc'S5 �rc� I- 1?, L ' 5� I1 ,�i O- _4 1 ,,,. • / ARRIVE CI',30 DEPART Y �� G/ INSPECTOR -7--/-' 7e- ) TOWN OF QUEENSBURY 6 �' �t�om�►► 531 BAY ROAD 1 c2ix � -s QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIIVVED • NAME Oa/a/1(1AL. �/9- J.J."_/,('J (J LOCATION ?/1 1 r4jJ O1 Q' ` 1 DATE ///?/q/ PERMIT# �j TYPE OF STRUCTURE V. 6--- Cam/ RECHECK)/`Z '�.,��p,v e f /.{� f..i��: FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) - FOOTING FOUNDATION BACKFILL FRAMING - ROUGH PLUMBING FINAL ELECTRICAL /SEPTIC INSULATION WOODSTOVE,'FIREPLACE REMARKS -S;/ I/ 1 /APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION 7 B VENT/LOCATION y PLUMBING VENT ROOFING SIDING DECK/PORCH/STEPS/RAILINGS RELIEF VALVES • FURNACE/HOT WATER OPERATING `. BASEMENT INSULATION/DUCTWORK, INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPAB.L'E OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS • HANDICAPPED ACCESS SMOKE DETECTORS BATHROOM FANS/WHOLEHOUSE FANS ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE WALLS DUMPS TER SITE PLAN/VARIANCE REQUIREMENTS FINAL ELECTRICAL OK TO ISSUE C/O OR C/C V COMMENTS: _— '7 j o, c 4/CO. ARRIVE // 'ice � "i„s DEPART /4`7 J/4 INSPECTOR • _town of Queen aur,. • BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 • SEPTIC DISPOSAL SYSTEM INSPECTION NAME ":`iJ�--Q� - LOCATIONJ\cj - j G DATE 1O4�/ R( PERMIT NO. 7/� -77/ SOIL TYPE - .and Loam - Clay - Percolation - Required? YES - Percolation rate - Min/Inch • TYPE of SYSTEM: Absorption field, tot ngth Length of each nch Depth of tr es Size of ravel_ SEEPAGEPPITS{Number of) _ , ' Size- lu ft. X ft. Gravel size 1P7_:_ - PIPING: Size Type Bldg. to tank Tank to dist. box Dist. box to field/ ' 61- N � O Openings sealed? Y Partial LOCATION/SEPARATIOS: Foundation to tank ft. Foundation to abdorption ft. Absorption to 1¢it line • ft. o Separation of ,pits ft. LOCATION OF SYSTEM ON PROPERTY rc e one) Front - Rear - Left side - 'ght- side COMMENTS: SYSTEM USE APPROVED YE • • Bui ding Insp ctor • • 01/86 and vl . " TOWN OF QUEENSBURY 531 BAY ROAD "-"j,Libitag : QUEENSBURY, NEW YORK 12804 101"s{_7-`0 TELEPHONE (518). 745-4447 BUILDING INSPECTOR°S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED/o/q of "NE t (),-1(iA ; A 1 oa.rkavy LOCATION Y (Y DATE /'®/7/q PERMITf 9 0-799 TYPE OF STRUCTURE f\J1)1'4714. _opF4 C.C/ RECHECEC FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING FOUNDATION BACKFILL FRAMING _ROUGH PLUMBING VFINAL ELECTRICAL SEPTIC INSULATION WOODSTOVE/FIREPLACE ' REMARKS / / I APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION. /' PLUMBING VENT / :� ROOFING ,� SIDING c/ DECK/PORCH/STEPS/R L NGS V1 RELIEF VALVES v FURNACE/HOT WATER}} RATING l/ BASEMENT IINTERIOR TRIM/PR IVACYCOORSi< J FINISH FLOORS: BATH/KITCHEN ATERTIG OTHER FLOOR, SWEEPABLE , i/ _ OTHER FLOC) CARPETED STAIR CLEAR CE/RAILINGS HANDICAPPED ACCESS % SMOKE DETECTORS BATHROOM ANS/WHOLEHOUSE FANS\ �/ ALL PLUM NG FIXTURES OPERATIN v GARAGE F RE PROOFING_ �, DOOR CL ERS \ OTHER FI E SEPARATION_ \ FIRE/DEMISE WALLS i \ DUMPSTER SITE PLAN/VARIANCE REQUIREMENTS \ _ FINAL ELECTRICAL ` {/ OK TO ISSUE C/O OR C/C \ COMMENTS: -3,,,,,e ,...,"----1_ fi, 9/z-7/ ,7,4 4',.., - , - - ARRIVE %f r ,G, ``� J DEPART// INSP C-f TI Ajn 1 �L TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 FIRE MARSHAL INSPECTION REPORT REQUEST FOR INSPECTION RECEIVED VI/6i NAME - :i (1_2 N efc\rd cJf LOCATION C'V^ DATES/ /9 ) PERMIT# / G C) 7r j /APPROVED N/A YES NO EXITS V. AISLE WIDTHS ,1 / EXIT SIGNS / /✓ EMERGENCY LIGHTING rn +f FIRE EXTINGUISHERS r,� AUTO. EXTINGUISHING SYSTEM;'; HOOD INSTALLATION ' AUTO. SPRINKLER SYSTEM r` ALARM SYSTEM f /P INTERIOR FINISHES 1 STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS REQUIRED SIGNAGE i / CHIMNEY • F�+ WOODSTOVE / FIREPLACE-MASONRY FIREPLACE-FACTORY BUILT REMARKS: 1 1 OK TO THIS DATE 60) AD r c:12-7„2_,, ARRIVE Age DEPART 4 C :41,2 INSPECTOR eve .� � / 1) TOWN OF QUEENSBUR 044116. 531 BAY ROAD croglibuil QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED 9i(gY//51NAME ,_ U\- 2 LOCATION Cer cr-.I\N l c \l‘s.'-1 t QYkC )Y1AQ-'" DATE 9/,-)--5I f PERMIT# 0,(l —1 9 I TYPE OF STRUCTURE POI) 4'0 OiC RECHECK 11�1 FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) %FOOTING FOUNDATION V'BACKFILL /FRAMING ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC i!INSULATION WOODSTOVE/FIREPLACE. REMARKS APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING „ SIDING DECK/PORCH/STEPS/RAILINGS , RELIEF VALVES ' FURNACE/HOT WATER OPERATING , BASEMENT INSULATION/DUCTWORK INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED ' STAIR CLEARANCE/RAILINGS HANDICAPPED ACCESS '. SMOKE DETECTORS BATHROOM FANS/WHOLEHOUSE FANS ;: ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE WALLS ` DUMPS TER SITE PLAN/VARIANCE REQUIREMENTS / FINAL ELECTRICAL `// OK TO ISSUE C/O OR C/C COMMENTS: Z(lacAl. ./h/ 117/e'0 21_,,-es/(J.4 .-/4r0.41 0'--?1_zt#4 1 x/// ARRIVEIo7-r"''� .0 .a DEPART/0 /-.-'' �U^--..- 'C?-1INSP CTOR TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 FIRE MARSHAL INSPECTION REPORT / REQUEST FOR IINSPECTION '�l5/RECEIVED � (J NAME a LOCATION � d1-4 DATE q yh���� PERMIT# qd APPROVED N/A, YES NO EXITS I AISLE WIDTHS EXIT SIGNS j EMERGENCY LIGHTING FIRE EXTINGUISHERS V AUTO. EXTINGUISHING .SYSTEM HOOD INSTALLATION AUTO. SPRINKLER SYSTEM ALARM SYSTEM INTERIOR FINISHES STORAGE: CLEARANCE TO SPRINKLERS CLEARANCE TO HEATING UNITS , REQUIRED SIGNAGE CHIMNEY WOODSTOVE FIREPLACE-MASONRY FIREPLACE-FACTORY BUILT REMARKS: 1/j/ K TO THIS DATE ) 4 ) 6 At2 ARRIVE DEPART tY)111/ ��i�tv��iL1t INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME YJ \: J \ POr LOCATION CP>`( A V Cl-h c- -,``- VC?V)c DATE PERMIT # " 17(19 TYPE OF STRU TURE RECHECK Y`111 A'`n*APPROV N/A Y NO 4FOOTINGS/PIERS 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 PLACE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS f' JACK POSTS/MAIN BEAM FIRESTOPPING WALLS .+ CEILING / FIREWALLS HEATING ROUGH-IN I INSULATION: / FOUNDATION WALLS INTERIOR' R- FOUNDATION WALLS EXTERIQR R- FLOORS WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE DEPART ` INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME q v �1 G'Jt e gt11. LOCATION Comer (-,/ �1 c i (5 .� Qp\� j U ( � DATE PERMIT # 9 D -� 7 19 TYPE OF STRUCTURE Add 4 DF ii c p - RECHECK APPROVED N/A YES NO FOOTINGS/PIERS • 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 r. c ROUGH PLUMBING ✓ PLUMBING VENT/VENTS IN PLACE ,,•,r PLUMBING UNDER SLAB l` FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM ;i 7 HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS ,1 R- WALLS I R- CEILING ,1 .I R- DUCT WORK OR PIPING IN UNHEATED SPACES / REMARKS: ;1 /,, Y • ARRIVE / /,) S� DEPART INSPECTOR' TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT / 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR°S REPORT REQUEST FOR INSPECTION RECEIVED �j��Vs/y'/Lao.,--) NAME A,1l!�%'/&( e, :C/1%,/eT'ii LOCATION (4 (j "l' z-el.ii 7 ' DATE 9/ PEA IT f j'Q- �9:, TYPE OF STRUCTURE (//C7( ) G , ., RECHECK I APPROVED J , /A YES NO FOOTINGS/PIERS J MONOLITHIC POUR FORM / REINFORCEMENT IN PLA E / THE CONTRACTOR IS RE PONSIBLE / FOR PROVIDING PROTEC ION FROM FREEZING FOR 48 HOURS FOLLOWI G . THE PLACEMENT OF THEt CONCRET . MATERIALS FOR THIS PURPOSE g SITE FOUNDATION/WALL POUR! / REINFORCEMENT IN PLACE J FOUNDATION/DAMPROOFL G o' BACKFILL APPROVAL ` ROUGH PLUMBING ` PLUMBING VENT/VENTS N .;PLACE PLUMBING UNDER SLAB ! / / )(FRAMING: 1/ // JACK STUDS/HEADERS' BRACING/BRIDGING A JOIST HANGERS / 1 JACK POSTS/MAIN gm FIRESTOPPING i WALLS CEILING / FIREWALLS / (1 HEATING ROUGH-uN 4 INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION (JALLS EXTERIOR R- FLOORS ;! R- WALLS / 4R- CEILING / 1 R- DUCT WORK/ OR PIPING IN UNHEATED SPACES J I REMARKS: /Q-1dZ e".1174- °47-(4' °-1'41- j jei G--1....)\,./4/ 09,,,,,,L„. ARRIVEOP- DEPARTe?--1 -/Yeer- INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTM T 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 3l 1 V/ ? NAME U i cl'� Ple,xcuv)e,se LOCATION Cp 779 DATE 3 Ii0/mil / PERMIT # 9 D TYPE OF STRUCTURE C,0i4-r:7,., RECHECK APPROVED , N/A YES NO FOOTINGS/PIERS\ MONOLITHIC POUR\FORM REINFORCEMENT IN\ PLACE THE CONTRACTOR IS, RESPONSIBL FOR PROVIDING PROTaECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE N SITE FOUNDATION/WALL POUR A;. REINFORCEMENT IN PLACE';, XFOUNDATION/DAMPROOFING !� 7BACKFILL APPROVAL ,+J ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB I `, FRAMING: I JACK STUDS/HEADERS / BRACING/BRIDGING d JOIST HANGERS I 1, JACK POSTS/MAIN BEAM HEATING ROUGH-IN INSULATION: FOUNDATION WALLS IN ERIOR R- FOUNDATION WALLS EX ERIOR R- FLOORS R- WALLS R- CEILING I R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ARRIVE DEPARTP5 / ' INSPECT!R TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENTe�/y21 t/ tOal 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 /J f 1/// BUILDING INSPECTOR'S REPORT 4 REQUEST FOR INSPECTTION RECEIVED NAME /'�/,(Orr,e�./'/L/ LOCATION /J G� DATE ' �j /ql/ PERMIT I 79, TYPE OF STRUCTURE �4.2/ (( RECHECK { PPROVED N/A YES NO FOOTINGS/PIERS • t +' 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; XFOUNDATION/WALL POUR 1 / (REINFORCEMENT IN PLACE 1 I ,� FOUNDATION/DAMPROOFING ; ,1 BACKFILL APPROVAL ` 1 ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE b/ PLUMBING UNDER SLAB / FRAMING: .� JACK STUDS/HEADERS ! d BRACING/BRIDGING / JOIST HANGERS JACK POSTS/MAIN BEAM 5J FIRESTOPPING WALLS A CEILING 11 FIREWALLS I HEATING ROUGH-IN / A INSULATION: r '1 FOUNDATION WALLS INTiERIOR\R- FOUNDATION WALLS EXTERIORR- FLOORS 1 WALLS f R; CEILING R'--; DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: ti • 114 ARRIVE DEPART 1/ INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 31 419 / NAME • fitly- `� ��� X �Q�� LOCATION ; () -1-, (1Y DATE 3s 0,19 J PERMIT # V / 9 1 TYPE OF STRUCTURE Rc)c)i\-t1.5\., , RECHECK I APPROVED / , N/A YES ' NO FOOTINGS/PIERS • MONOLITHIC POUR FORM I REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLEI FOR PROVIDING PROTECTION FROM/ FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS ,PURPOSE ON SITE / X1OUNDATION/WALL POUR I k/ EINFORCEMENT IN PL'RCE / FOUNDATION/DAMPROOFING / BACKFILL APPROVAL t / ROUGH PLUMBING d„ J PLUMBING VENT/VENTS ItN PLACE PLUMBING UNDER SLAB \ / FRAMING: JACK STUDS/HEADERS A BRACING/BRIDGING 1. JOIST HANGERS JACK POSTS/MAIN BEAM ,` HEATING ROUGH-IN 1 INSULATION: J "; FOUNDATION WALLS/INTERI'OR R- FOUNDATION WALLS EXTERIQ}R R- FLOORS r \ R- WALLS CEILING / DUCT WORK OR�P'IPING IN UNHEATED SPACES REMARKS: ARRIVE DEPART ra INSPECTO TOWN OF QUEENSBURY F\lN BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED , l S l C / NAME BU 1-k i C, ` N eXc v Y cw kJ - LOCATION COY. 0-F i(SYl .4- POO V�a DATE 3 ) (n/ C/ / PERMIT # 0 - 79 TYPE OF STRUCTURE A) ), ` is ; &7)d f\n(o� or-i - .2 2 RECHECK APP}ROV D N/A YEN' NO FOOTINGS/PIERS I/ ''MMONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE f FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING fy, THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE / FOUNDATION/WALL POUR REINFORCEMENT IN PLACE x? FOUNDATION/DAMPROOFING / BACKFILL APPROVAL n , ROUGH PLUMBING / PLUMBING VENT/VENTS IN PLACE s' PLUMBING UNDER SLAB FRAMING: ,; JACK STUDS/HEADERS . BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM/ HEATING ROUGH-IN " INSULATION: / FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS I I R- WALLS R- CEILING F \ R- DUCT WORK OR PIPING IN UNHEATED SPACES / REMARKS: ARRIVE DEPART ! d INSPECT P.O. Box 700 +� +lealthc®International 601 Columbia Street Extension INC. Latham, New York 12110-0700 518-783-5050 1-800-222-2011 791 Dental Supply May 9, 1991 TO: Dr. A. Burkich 793 Aviation Road Glens Falls, N.Y. 12801 FROM: Joseph Scalzo Healthco International RE: Waste Line Plumbing TO WHOM IT MAY CONCERN, In regards to the use of cast iron drain lines in the Dental Office of Dr. Burkich, it should be of a material impervious to the action of chemicals routinely used in the Dental Office (CPVC, PVC, GLASS) . incerely, ROOST RIST-FROST ASSOCIATES,P.C. CONSULTING ENGINEERS a Id �, .wyICIG1w ,, F i LE c op yARCHITECTS ! SURVEYORS POST OFFICE BOX 838 APR 1 6 1990 21 BAY STREET Hf R 16 yy •;� April 11, 1990 GLENS FALLS ' NY 12801 3LANNING & ZONlNr,, RFA #89-5000.021 FAX 518•793-4146 DEPAR ;;ENT 518•793-4141 Town of Queensbury Office Building Bay and Haviland Roads Queensbury, NY 12804 Attn: Mrs. Lee York, Sr. Planner Re: Dr. Kit Burkich - Aviation Road Site Plan 21-90 Dear Mrs. York: We have reviewed the referent project and have the following comments: 1. A grading plan with spot elevations for the parking lot and dry wells should be provided. The retention basin grading should also be provided. 2. The size of the existing seepage pit serving the building should be stated to verify that it is adequate to accommodate the existing 384 gpd flow. At the new seepage pits, percolation tests with test pit data including depth to seasonal groundwater, mottling or bedrock should be 'provided. Two tests per pit are required; one at half depth and one at the floor of the pit. 3. The entrance to the parking lot should be channelized to permit an orderly and safe flow of traffic into and out of the parking lot. Very truly yours, RIS - OST ASS:iIATES, P.C. Ar ne annett, . Mana ng Project Engineer WG/cmw cc: Town Planning Board Members GLENS FALLS,NY-LACONIA,NH ��•1t.; .r •-1 r n-,• ,n.•.-rn , r. r.-i°r. r1.- ,nr, . 13 l t:: cv' ':tr:,,;. P.O. Rn,` 792 20 ego • �78 Glelza t�111s, NowNowYork 12801 �� 3 GLl► 1O• WN OF Q 'EE{ PL '' •r. . . : I . REc:wE0 PJv C.iG 14_ C S, 1 . . . Ag.,.. ../49 ..1_,P-41A03 AT. Fopt...kk I NOV/ 40 1990 / . , . . "7 ! .Aips4/.1A 4e ]- ::SKE, raal-J- 4.'NfooT t3LDGj& • 4 i '(/• � „ -. •o-• • .••.i ), I • . ; WAsieH1A7itz .sfs7 kj - ri LL&h1 &4i), ; .. • LTG t4 -4=,►`(dq7 ! ` • . S17 lil ; �0 • ! f } Hi , 4� S..P. _ ems` + l • / AO --. \ 1 . kir �" i I i ` ' pa I : ' • 111. :. .. / - • •. :...1,, I, •• : \y- , i - vil 1 - . . , 4%1. . . .,,. : , . . • . • ri ' ' t #if ; r ......., ...i . : 4 r : : 4 : : - i I 6,1' i . ••••14... . • %) * . l' • . - ' • 1 ••! . e , 4 74. . � . .,'fF. i _ • I •,•` �. _ f., i , • .Al l'. 4 •`•.' ,: ' M/AG� I • i ; . • ,;!: _.: 3.4 tv.),j.-4-r---17 .o - 4� s .,ft. 1� -- • 1. I i I • : 1,t t' .. .. - w rr, 'write K!'rl'r Fit. A r rrt CC,