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1991-014 • ,. CERTIFICATE OF COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date March 7., 19 20 a —7— 1- This is to certify that work requested to be done as shown by Permit No. 91-014 has been completed. This structure may be occupied as a interior alterations for photo shop / "---0)(3 Quaker Road Location Hannaford Bros. Co../Super Shop & Save Owner By Order Town Board TOWN OF QUEENSBURY • Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 91-014 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Super Shop & Save OWNER of property located at 103 Quaker Road Street, Road or Ave. in the Town of Queensbury,To Construct or place a Interior Alterations at the above location in accordance to application together with plot plans and other information hereto filed and s approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. -moo QO 1. OWNER'S Address is N Hannaford Bros Co. rD PO Box 1000, Portland Maine 2. CONTRACTOR or BUILDER'S Name Adirondack Construction Corp. 3. CONTRACTOR or BUILDER'S Address O 73 Mohican Street Glens Falls, NY 12801 4. ARCHITECT'S Name -5 0 a 0. 5. ARCHITECT'S Address CS fD - J. 6. TYPE of Construction— (Please indicate by X) 0 tud & Sheetrock ( 1 Wood Frame ( ) Masonry ( )Steel ( ) Metal S N 7. PLANS and Specifications ¢' c+ No. 630 sq ft Interior Alterations as per plot plan specifications and application . 8. Proposed Use Interior alterations to Retail Store $ 30.00 PERMIT FEE PAID —THIS PERMIT EXPIRES January 18, 19 92 (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.) Dated at the Town of Queensbury this_ 18th /Daay�oft January . 19 91 r' �'�T, SIGNED BY �_�(Jl� i �,/ � for the Town of Queensbury Building and Zoning Inspector OF QUEENSBURY (:• '„,.; REVIEWED BY /.//�� ` JWN OF CUEEN$ OB`, FEE PAID $ C� RECEIVED } 100-1*--- q/ oiy � PERMIT NO. �; _` JAN 15 1991 ` BUILDING PERMIT APPLICATION BLDG. & CODE DEPT. 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 * * * a • * a * • * * • * * * • * a * a a a a a a a a a a a • * * a • * The owner of this property is: //nN4)4 ..-0*) ./2os mod. P.O. Address p o. £oX /0av, ale? iv0 1 W4/%2/4" Tel. 607) 6'83 - 29// Property Location 103 Q4/42.62 Z}ij Tax Map No. /_/ Has there been any split of this property since October 1, 1988? / 4-'0 10.5 - I- ',Z/ If yes Planning Board Review is necessary. yes C SUBDIVISION NAME, IF APPLICABLE LOT NO. THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: Misr 6 y,2,f,5- ((/i O/, v vo4c/d_ Ct,•tiS7 2�, NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF • CONSTRUCTION: $ 3 41, c2oo Construction of a new building a Addition to a building • COMPLETE INFORMATION REQUIRED BELOW: * Size of property ft x ft. • Alteration to a building • Existing Buildings(3) Size ft. x ft. (no change to exterior dimensions) - • Proposed building - distance from property line: x Other work (Describe)1yi�"�o2 • Front yard ft. Rear yard ft. X7E,,e/E //.0i/*4iivA * Side yards ft. and - ft. • GROSS AREA OF PROPOSED STRUCTURE * If on corner, setback from side street ft. • 1st Floor /0 sq. ft. OCCUPANCY INFORMATION a 2nd Floor /t//2/. sq. ft. • - Primary Building - Other Floors !/� 1 sq. ft. » One Family Dwelling ' • (not cellar or baIement) ,, Two Family Dwelling . • Multiple Dwelling/Number of units TOTAL FLOOR AREA �sq. ft. —_3 a X Business Size of new structure / c ft x 412 ft. -_' * Industrial Foundation-pier/slab/c ._: .Artiai/full (circle 1-; r Other - • No. of stories (habitable space) • Height (grade to ridge) ft. • If addition, what will use be? If residential, no. of families • No. of rooms(excluding baths) • Accessory Building No. of bedrooms ' Detached Garage ONE/TWO Car No. of bathrooms Primary heating system • Attached Garage ONE/TWO Car Type of fuel • Private storage building No. of fireplaces to be installed • Other Will a wood stove be installed. a Central Air conditioning » OV* ER BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: • Type of construction, wood frame, fire safe, etc. f1/5.:7✓¢L -C%vp --CA:77goCe— Will any second-hand or upgraded lumber be used? If so, for what? ,VU Foundation wall material A/4 Thickness Depth of foundation below grade (to bottom of footing) Will there be a cellar? A/4 Heated or unheated? Floor sq. footage sq ft. Will there be a basement? /I//� 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 of roof Size, wood studs "x " spacing " o.c. length ft. Joists (floor beams) 1st floor "x " spacing "o.c. span ft. Joist (floor beams) 2nd floor "x " spacing "o.c. span ft. • 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 finish of what material? Interior wall finish - If a garage is to be attached, describe materials to be used for FIRE SEPARATION: 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? Height above roof ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ft. in.. Water supply - Municipal or private well 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) • NAME OF BUILDER/70/e ti de. 6/< s ADDRESS 73 Aio,/C4iv S7 AIrEL. NO. 79'2. -//2 ? NAME OF PLUMBERMp,vaF / s // ADDRESS 6 C3Lvc, / F TEL. NO. 7 - G 4/2 ' NAME OF MASON ADDRESS TEL. NO. NAME OF ELECTRICIAN ,Qp1ivic2 , ...ADDRESS /6 4 O,,y TEL. NO. 796?-60o/ 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 BUILD!. CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall be corn• ied with, w ether specified or not, and that such work is authorized by the owner. Signature / .►.u• o ner's age 0 1K , r SPECIAL CONDITIONS OF THE PERMIT: BY �°'' -'-� ' MIDDLE DEPARTMENT INSPECTION AGENCY, INC. ; --� �� � National Headquarters ;l/ _ / 900 Haddon Ave., Collingswood, N.J. 08108 / 1 APPLICANT COMPLETES THIS SECTION Date: / 3/ ty City, Town or Township �' -- --- '``+r.-- �- / County , _ v'- �1 State /'i , I Location/Address t ..). ,.r :. tr 7c _l y (If Located in Rural Area - Please Attach Directions) Pole # Owner _ i`1 ",- �^G , . c Permit # Occupied As f 1 SA -{ i " Building: News Old Occupant Work Area in Building (Floor #,etc.): App. for: Wiring '-' Service n or: Ready for Inspection: Fee Remitted-$ Cash n Check 7 M.O. n Make Payable To: M.D.I.A. 500 750 1000 1250 1500 1750 2000 2250 2500'2750 3000 Number of Rough Wiring Outlets Elect. Heat Switches Lighting Amp. Service Surface Unit Dishwasher Range Receptacles Water Heater Air Conditioner Dryer Pump Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner Amp. Receptacles Fractional H.P. Vent Fans Other Equipment: MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100 Mark Number of Each Size Applicant's Signature - License # Permit # T/A f 1 i l , ,-- ,,�;, C r: >• (,'"`_ Utility: ' (NAME) (OFFICE LOCATION) Applicant's Address: '. ("-) f--) r, - / :: '/ . (City) (' _ • %�_° ,:_ � (State) .if (Zip) f r� ,--�1 ' / Service Request # - / Phone # Electrician: MDIA USE ONLY DATE RECEIVED: / - I �j� DATE INSPECTED: j j / '�V Correct Location: Same as Above! or: / Red Notice Label n Rough Wiring Outlets Surface Unit Oven Switches Range Garbage Disposal Receptacles Water Heater Dishwasher Fixtures Air Conditioner Dryer Amp. Service Equipment Burner, Wiring &Controls for Amp. Receptacle Amp. Service Conductors Pump Vent Fans MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1'/2 2 3 5 7'/2 10 15 20 25 30 40 50 75 100 Mark Number of Each Size 500 750 1000 1250'1500 1750 2000 2250 2500 2750 3000 Elect. Heat t ---_ // 0 (----1 .r CERTIFICATIONS USE FOR INITIALVISIT ONLY NOTIFIED DATE CORRECTFEE FEE PAID RW Progress: Inc.❑ LKD❑ Contractor ,o L--eFT - Violation: Work Comp.I I Inc. ❑ n L/A Owner CASH n �] L/A Fee CHK # Due MO # n IPA Municipal INV # Date: /- ✓/ Other Side ElUtility ")./;;.7. Applicant D Owner /' . Cut in Card Temp # Date ,!!jam �" t. Gr 0-3 f v n Final # Date INSPECTORS SIGNATURE APPLICATION FORM NO.250 EL 11/86 MIDDLE DEPARTMENT INSPECTION-:AGENCY, INC. National Headquarters 1337 West Chester Pike,West Chester, PA 19380 APPLICANT COMPLETES THIS SECTION _ Date: /r/1 f-;/ V City, Town or Township ` County ( Ifa,72, N:r ; State � 'Y Location/Address ,f--,..z J.•,..-,-:. }:' •a.; . • (If Located in Rural Area-Please Attach Directions) Pole # Owner �:. :<. �, Permit # (---./ - (}/-`% Occupied As ;15 ) - ."' ' - 5�. Building: New❑ Old1 f,:I Occupant `,' - • Work Area in Building (Floor #,etc.): , App. for: Wiring Service n or: Ready for Inspection: Fee Remitted -$ - Cash n Check n • M.O:n - Make Payable To: M.D.I.A. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Number of Rough Wiring Outlets Elect. Heat - Switches Lighting • Amp. Service Surface Unit - Dishwasher .Range Receptacles Water Heater _ Air Conditioner Dryer Pump Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner Amp. Receptacles - Fractional H.P. Vent Fans Other Equipment: ' MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1,/2 2 3 5 7'/2 10 15 20 25 30 40 50 75 100 Mark Number ' of Each Size - Applicant's - \� / r t, 'f` ' Signature f./.. .1,-- ;�.V•aI ' License # Permit # . T/A -1- ,/.-- .i Utility: Applicant's A�Iress: ,//- ,' -../ -- (NAME) (OFFICE LOCATION) (City) (State) (Zip) Service Request # Phone # .7. _;�- .-- 7 , / ., Electrician: • MDIA USE ONLY • DATE RECEIVED: DATE INSPECTED: Correct Location: Same as Above n or: Red Notice Label Rough Wiring Outlets Surface Unit - Oven Switches Range - • •- Garbage Disposal Receptacles Water Heater Dishwasher Fixtures Air Conditioner Dryer Amp. Service Equipment Burner, Wiring &Controls for Amp. Receptacle • Amp. Service Conductors Pump Vent Fans MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/31 1/2 3/4 1 Ph 2. 3 5 7'/2 10 15 20 25 30 40 50 75 100 Mark Number of Each Size 500 750 1000 1250 150011750 2000 2250 2500 2750 3000 Elect. Heat - CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED . DATE CO RECT FEE PAID ❑ RW Progress: Inc.❑ LKD❑ Contractor ❑ CFT Violation: Work Comp.❑ Inc. ❑ . . n L/A Owner CASH ❑ n L/A • - Fee CHK # Due MO # • n IPA Municipal INV # Date: - - Other Side ElUtility Applicant 0 Owner Cut in Card Temp # Date - , . ❑ Final # Date INSPECTORS SIGNATURE APPLICATION FORM NO.250 EL 11/89 - - V`-) TOWN OF QUEENSBURY 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED /i / / NAME{ J �.\r(-C7ANC}CA 2 . CP\O, S 19 U-107' ) LOCATION \No-10 �- <_-�'l I- DATE / 7/9 / PERMITS 9/ -0/ TYPE OF STRUCTURE %.n+ev 0,, nu-eyed-,`/'Y1 S RECHECK JFIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE) FOOTING FOUNDATION BACKFLLL //'FRAMING • -ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC -INSULATION WOODSTOVE/FIREPLACE REMARKS 7 APPROVAL r N/A1 YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING t y SIDING 04 DECK/PORCH/STEPS/RAILINGS V RELIEF VALVES , FURNACE/HOT WATER OPERATING A INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS:. BATH/KITCHEN WATERTIGHT -~ OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED ; t, STAIR CLEARANCE/RAILINGS; SMOKE DETECTORS 1 DOOR CLOSERS • BATHROOM FANS ALL PLUMBING FIXTURES/OPERATING \\ GARAGE FIRE PROOFING,/ DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE WALLS FINAL ELECTRICAL OK TO ISSUE C/O OR C/C h AM- . CoP-3 T zecr-icy.r COMMENTS: (.' Arei-E;b 4-Pn acuA-L i-►2om / r(2-iCA-L j;US Pam- 7012_ e��;—t e Pt it/ TI 1-&J 15.5 v� J ARRIVE . • DEPART 2 q= • (/: 1TNSPF AM 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 5740 N LOCATION U-ps4C IET pt.61 DATE ) /)9qj PERMIT # — © Q ll APPROVED YES NO FOOTING/PIERS MONOLITHIC:.POUR FORMS FOUNDATION%DAMP—PROOFING BACKFILL APPROVAL • ROUGH PLUMBING FRAMINGsXt ELECTRICAL ROUGH—IN ' INSULATION: FOUNDATION FLOORS • WALLS CEILING h FINAL INSPECTION: 1� CHIMNEY HEIGHT / ROOFING �. r SIDING i !r EXTERNAL PORCHES/STEPS STAIRS—CLEARANCE & RJILS PLUMBING FIXTURES/R'LIEF VALVE INTERIOR TRIM/PRIV4CY DOORS FINISHED FLOORS GARAGE FIREPROOFI113G DOOR CLOSER(S) I • SMOKE DETECTORS / FINAL ELECTRICAL INSPECTION _FINAL APPROVAL OF, CONSTRUCTION OK TO ISSUE C/OOR C/C A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM /THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!'.). w � REMARKS:{ ( g � r A n� o F p u P/-00 • • . :: c -3, • IN EC OR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS 5 ��— QUEENSBURY, NEW YORK 1280� TELEPHONE (518) 792-5832 t, BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED _ NAME Sle.6? 0 C 3 LOCATION ]f ri4&4 E9!-,- DATE 1 J29/W / PERMIT # 9 ( -o I Li 5 1 APPROVED NO C!z-Gl-f'c9 L ip et7 l E5'ES NO FOOTING/PIERS 4 MONOLITHIC POUR FORMS FOUNDATION/DAMP—PROOFING BACKFILL APPROVAL ROUGH PLUMBING )(FRAMING ;r • ELECTRICAL ROUGH—IN 4 INSULATION: ! FOUNDATION � '`ti, FLOORS • • 1, 1 • • WALLS 1;, CEILING / FINAL INSPECTION: 11, I CHIMNEY HEIGHT r. ROOFING SIDING .. EXTERNAL PORCHES/S E•PS STAIRS—CLEARANCE & RAILS PLUMBING FIXTURES'RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS __ GARAGE FIREPROOFING DOOR CLOSER(S) , SMOKE DETECTORf§ FINAL ELECTRICALS INSPECTION _FINAL APPROVAL F CONSTRUCTION — OK TO ISSUE C/C OR C/C A SIGNED CERTI ICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISE ARE OCCUPIED.tU REMARKS: 1w1 j 1-r /"A,VVp 1, .: A Cod/ E--ru.5- 6 do al-4 0 9Rkio '(--- 1 ,1 S 69 trr---17 d tJ J6-J- PeS5-1 8 Z--- -- n Po 6- E) - & WAS • LAI-5 -1-1Q- /°Id-- Ajtui- BThez7)16- i 4Wit-x=t 6-6., . ARRIVE l i�3,5 DEPART ft.:-r S //C) INSP TOR 0