1992-069 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSSURY
WARREN COUNTY, NEW YORK
Date April 13, _ 19 9.2
This is to certify that work requested to be done as shown by Permit No, 92-4'Qfiy
I
has been completed.
This structure may be occupied as a Interior alterations for New Allstate Ins . Offi
Location - Men Street
Owner Frank Antos
By Order Town Hoard
TOWN OF +QUEENSSURY
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56
Director of Bldg. dt Code Enforcement
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BUILDING PERMIT
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&C
TOWN OF QUEENSBURY
No. 92-0+69
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Frank Antos
OWNER of property located at 690 Upper 'Glen Street Street, Road or Ave.
in the Town of Queensbury, To Construct or place a _ Inuri or Alterationg
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_ O
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1 . OWNER'S Address is
'Y 1
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Z. CONTRACTOR or SUI LDER'S Name
Scott Parker
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3. CONTRACTOR or BUILDER'S Address
71 Oak Street
Hudson Falls , MY I2839 �
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A. ARCHITECT'S Name
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5. ARCHITECT'S Address
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5. TYPE of Construction — (Please indicate by X)
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S Xi Wood Frame l ) Masonry ( i Steel
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7. PLANS and Specifications M
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No. 244 sq ft Interior Alterations as per plot plan specifications
and application
a. Proposed Use
Interior alterations for new Allstate Ins _ Office
$ lO_ OO PERMIT FEE PAID THIS PERMIT EXPIRES _ March 6 , Igo._--
(if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of (aueensbury before the expiration date.)
Dated at the Town of Queensbury this 6th p4y of March
SIGNED BY for the Town of Queensbury
Building a ddr Zoning I nspector
TOWN OF QUEEN58URY
REVIEWED BY :
FEE PAID : b --- TOWN RF Q ENSSUMV
PERMIT NO . : ��'�`� - l )f MAR rJ 199'+�'
BLD(3. & CODE DEFT.
BUILDING PERMIT APPLICATION
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 .
/'� * � •Ir ,k * Ar yr * * ,t � � * � it * * it * * ,k * ,k it * it ^k * * * * * * * ,tr * ,k dk * * * * 9e
Owner of Property : y 'C' A) 1G ,AnJ � �' -- -,- - ,- •
P . O . Address : (� cf, /� 1141e l lcf,f } ;`_ ,- - PHONE
Property Location * dgl&jj AAS f ,err Tax Map No . 1021
Has there been any split of this property since October 1 , 1988? Yes No
If yes , Planning Board Review is necessary .
Subdivision Name , if applicable : Lot No .
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS :
NATURE OF PROPOSED WORK : * ESTIMATED MARKET VALUE OF THE
Construction of new building * CONSTRUCTION : $ 4073 ( )
Addition to building
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW :
( no change to exterior dimensions ) * Size of Property : ft * x ft ,
Other work • ( describe ) * Existing Building Size :
* ft . x ft .
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE : property line :
*
1st Floor A ISNA Sq . Ft . * Front Yard ft , Rear yard ft .
* Side Yards ft . and ft ,
2nd Floor Sq . Ft , If on corner , setback from side street-
* ft .
Other Floors Sq . Ft .
( not cellar or basement ) OCCUPANCY INFORMATION :
*
TOTAL FLOOR AREA : Sq . Ft . * Primary Building -
One Family Dwelling
Size of New Structure : ) Z) ft . x `�!2� ft . * Two Family Dwelling
Foundation : * Multiple Dwelling/No . of Units
Pier/Slab/Crawl /Partial / Full ( Circle One ) * Business
* Industrial
No . of stories ( Habitable space ) * Other
Height ( grade to ridge ) cDCs ft .
If residential , no , of families : * If addition , what will use be ?
No . of rooms ( excluding baths ) :
No . of bedrooms : (Z)
No . of bathrooms : * Accessory Building :
Primary heating system : * Detached Garage - One/Two Car
Type of fuel : Cs, a+,. ' * Attached Garage - One/Two Car
No . of fireplaces to be installed . * Private Storage Building
Will a woodstove be installed? : )A * Other
Central Air Conditioning : Yes No
( OVER )
BUILDING PERMIT APPLICATION CONTINUED :
BUILDING SPECIFICATIONS :
Type of construction : wood frame , fire safe , etc . .,1 �, C,cht)
Will any second- hand or ungraded lumber be used ? If so , for what ?
Foundation Wall Material : Thickness :
Depth of Foundation below grade ( to bottom of footing ) :
Will there be a cellar? Heated or Unheated ? Floor Sq . Footage :
Will there be a basement ? 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 ) : Ist Floor '" x "' ; spacing o . c . ; span ft .
Joists ( floor beams ) : 2nd Floor "' x IN ; 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 IN
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 be 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 installer! ? Height above roof ft .
i( Depth of chimney foundation below grade : ft .
Depth of fireplace hearth : ft * in .
Water supply - Municipal or private well :
SEPTIC SYSTEM : Distance from AM private well ( including adjoining properties : ft .
(A separate application is necessary for any repair or new installation of septic system . )
NAME OF BUILDER & ADDRESS : o PHONE 7;V'6
NAME OF PLUMBER & ADDRESS : _ � PHONE
NAME OF MASON & ADDRESS : d PHONE
NAME OF ELECTRICIAN & ADDRESS : PHONE ';7y� '/` _ Zo?l
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 .
Signature
Owner , owner s agent , architect
contractor
SPECIAL CONDITIONS OF THE PERMIT :
Bye
Code Enforcement Officer
TOWN OF QUEEKSBURY
FIRE MARSHAL
QTELEPHONEi ( 5I8 )NEW 0745- 4424RK 4
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED
NAME_ CKY �Ly �
LOCATION ON
ON 'C'
DATE PERMIT# 5
APPROVED
+�I ' q� N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTIN
FIRE EXTINGUISHERS
AUTO . EXTINGUISHIN SY TEM
HOOD INSTALLATION
AUTO . SPRINKLER SY M
ALARM SYSTEM
INTERIOR FINISH
STORAGE :
CLEARANCE SP fIKLERS - -
CLEARANCE 0 HEATING UN TS
REQUIRED SI AGE
CHIMNEY
WOODST E
FIREP CE-MAS NR
FIRED ACE-FACTORY BUILT -
R RKS : OK TO THIS DATE
2/015 NSP CTOR
�a TOWN 0 QUEENSBURY
14f RE MARSHAL QUEENSBURY9 NEW ORK 12804
TELEPHONE ( 518) 745- 4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED
NAMElax
LOCATION 0:a;i
`�"�
DA I� - PERMIT#.
APPROVED
NIA YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO . EXTINGUISHING SYSTEM -'
HOOD INSTALLATION
AUTO . SPRINKLER SYSTEM
ALARM SYSTEM
hi �^
INTERIOR FINISHES N
STORAGE :
CLEARANCE TO SPRINKLERS .
CLEARANCE TO HEATING UNI y
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
FIREPLACE-MASOHR
FIREPLACE FACTOR Bl4ILT
REMARKS : OK TO THIS DATE
r
2/015 i PECTOR
O4iN p QUEEKSO RY
531 BAY ROAD
QUEENSBURY , NEW YORK 12804
TELEPHONE ( 518 ) 745- 4447
BUILDING INSPECTOR ' S REPORT
TION
REQU3OFSTERUCTUREP
CEIVED
NAME �LOCA �� �—"���—'/, C,��DATEIT! .— C/'CTYPE
REC�IECK
FIRE MARSHAL APPROVAL ( COMMERCIAL�S RUCTURE )
FOOTING FOUNDATJ ON BACKFILL FRAMING
ROUGH PLUMBINGy�" �FINAL ELECTRIC SEPTIC
INSULATION 0 STOVE/ FIREPLACE
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION '
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECKfPORCH/ST PS/RAILINGS
--
RELIEF VALVES ——
FURNACE/HOT WA Eft rOPERA IN
BASEMENT INSULATION/DUCTWO
INTERIOR TRIM/ PRIVACY DO
FINISH FLOORS :
BATH/KITCHEN WATERTI T
OTHER FLOORS SWEEPA E
OTHER FLOORS CARP ED
STAIR CLEARANCE/RA INGS
HANDICAPPED ACCES
SMOKE DETECTORS
BATHROOM FANS/ L H SE NS
ALL PLUMBING F XTURES OPERATIN
GARAGE FIRE OOFING
DOOR CLOSER
OTHER FIRE SEPARA ION
FIRE/DEMISE WALLS
DUMPS TER
SITE PLAN/VA NC REQUIREM NT _
FINAL ELECTRICAL"51 Col _. "F_
OK TO ISSUE C/0 R0 It
COMMENTS :. Le
f
ARRIVE log ( .
DEPART,
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
di STATE STREET, ALBANY, NEW YORK 72207
Bate ��1h1lC6tiOR No. on file
THIS CERTIFIES THAT �j D )
only the electrical equipnserat as described below and introduced by t711er appUcient named an the ab~ apya(icasson nrstnbar in the prw■nseee of
in thefK41ono1nsId)P6zX%; Q
IstFl. Bnd Section Block Lot
uFas examined on �y and found to be in compliance with the regtlireosents of this Board.
NXTURE AGUES SWITCHES RXTURES RAN"S COOKING DECKS OVENS p5H WASHERS EXHAUST FANS
OUTLETS ING.kNPESCENT FLUORESCENT OTHER AMT. K. W. AlAT. R. W. AMT. R.W. AMT. K. W. AMT. H_ r.
r
DRYERS RJRNACE MOTORS RITURE ArInUANCE MIMES JSMCIAILL REC VT TIME CLOCKS RELL UNIT"EATERS MULTI.OWLET DIMMERS
AMT. R. W, L7FL H. !'. GAS H. R. AMT. No, A. W. G. AMT. AMP. AMT, A&%n- TRAPS. I AMT. SYSTEMS AMT.NO.Or FRET MT. WAT
F SERVICE pSCO1VNECT NO. oR S E R V 1 C E 4p.'
AMT. AMP. TYPE EQIII�. 1 .�/' 9W 1 X 3W 3 X ]W 3 X 4W "ll srCONP. AI
Or C CWlP. NO. CM Mt-LEG aA. WI-LEG NO. C!F NLLnlAI!$ of NWtir,rsAL
! OTHER Arf'ARATUS-
sy
! Scow 9wilble
z Tti RLRsM se t't 7,t 12a n BRANCH MANAGER
T
Per,
y This certificate must not be ahered in any manner, return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THUS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
-I OF (p3EE%51S"V
BUILL3ING AND CODES DEPARTMENT
531
ROAD OUEENSBURY NEWOCREKI 12804
.PHONE 792-5832
TELE TOR ffis REPORT
BUILDING INSN
REQUEST FOR
IO
P Li2� JilllZ
LOCATION
IT
PATE PEWI
TYPE OF STRUCTURE APPROVED ND
N
RECHECK /A YES
FOO INGS/PIERS
P{OffdLITHIC POOR FON PLACE
`
REINFORCEMENT IIS RESPORSIB
IL
TJ COM'TRAc F01 FROM
FOR PROV I OI11GPRO
µOURS RETE -
FREEZING FOROiF THE COMC SITE
MATERIAL THIS PURPOSE ON
FOUNDATION/WALL POUR
REINFORCEMENT IN
FOUNDAT ION/
DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT / IN
PLUMBING UNDER SLAB
S--
)r ,F RAM1 NG
JACK SIDS / FADERS
BRACING/BRIDGING
JOIST "ANGERS IN
BEA
JACK POSTS /MA
FIRESTOPPING
WALLS
CEILING
FIREWALLS
HEATING ROUGH- IN
INSULATION : ERI R-�
FDUNDATION WALL' I
FOUNDATION WALLS EXT ERIOR R-
FLOORS
WALLS Jill,
ED
CEILING PIPING IN UN
DUCT WORK OR
SPACES
REMARI4S :
A/
1 5
ARRIVE` '
C R
DEPART IN
TOWN OF QUEENSIBURV r
BUILDING 53 D BA CODES ROAD DEPARTMENT r
QUEENSBURY , NEW YORK 12804
TELEPHONE ( 518 ) 792- 5832
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSP CTION RECEIVED ------
MAMEy ,,_. e
LOCATION
DATE �qF+ -- PERMIT
TYPE OF STRUCTURE
APPROVED
RECHECK N/A t YES NO
00 ING /P ER
MONOLITHIC POUR
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPON I LE
FOR PROVIDING PROTECTION FROM
FREEZING FOR aIKK RS FOLLOWING
N
THE PLACEMENT OF
UMATERIALSNFOR THIS PURPOSE ON SITE
4
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VEN N L E
PLUMBING UNDER SLAB
FRAMING :
JACK STUDS /HEAD RS
BRACING/BRIDGIN
JOIST HANGERS
JACK POSTS /MAIN AM
FIRESTOPPING
WALLS
CEILING
FIREWALLS
HEATING ROU - IN
INSULATION- R R-
FOUNDAT N LLS I E
FOUN ION WALLS EXTERIOR RR-
FLOO R-
WALLS R_
CEILIN DUCT WORK O PIPING N NH EA E
SPACES
RENW KS
ARRIVE
DEPART IN P
YOU ARE HEREBY REQUESTED TO
INSPECT AND ISSUE CERTIFICATES
FOR THE FOLLOWING ELECTRICAL
/Y EQUIPMENT TO BE INSTALLED BY
f THE UNDERSIGNED
DATE .
CRY OR VILLAGE
/ TOWNSHIP COUNTY
STREET r,1O OR ROAD
BETWEEN WHAT 1YP3 CROSS SIRE �4 PREMLSEB LCCrV' p SECTION alOfi1C
LOT
OODUPAN7`8 NAME
i RUILDINGOOCUP�
owNcil 51'M1IAME AND Apt
/ HOME P NENUM
CURRETJT SUF'PUED By FROM THE OFFICE J
' y WORK TELEPtIOME NUMBER
BUILDING ES
NEW ❑ OLO CJ.^� WOORK IS NEW ADEATEcNAL Lam^' DEFECTS REMOVED O
LIST BELOW ALL EQUIPMENT WHICH YOU 1 LLED
Lacs- NUMBER OF OUTLETS ND, of PiFttures & M01'C7R5 BRANCH
LarnP Receptacles HEATERS ' OFFICE USE
Tian
Ceiling BOB Anach•t R f .r CIFIGUITS` ONLY
OLFT• WNII Reoep'Ig Switch Pendant Bracket NO. Type Each Nm vVm E h No. Gouge INSPECTION .
'SIDE
sue- _ c1�
EASE
BASE-
MENT
lot
FL_
2nd
FL.
3rd
FL
REMARKS; LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE,
THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTEQ BUT IF . THERE IS
FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTEQ. YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND THE FEE TO COVER
THE ADDITIONAL EQUIPMENT, AS PROVIDED BY THE APPLICANT.
SIZE OF MAINS // FEEDERS ELECIRK: SYGNStt.AMPS
Af TC7M.L ufN75
CHAFUw:I'ER OF WORK 'n? ❑ EXPOSED +�TUBE SK;N!lR�yyF ggI,IERS OF {w
❑ GCNJCEALED
y� w
DATE ind'Yc TO BE 5TARTIED .,y. _ DATE COMPLETED 512E OF SIGN(NUMBER)
CAPACITY
SERVICE ENTERS BUILDING
MANUFACTURER OF SKjN
❑ f7JFRHEAD CI UNDERGROUND
EWE NSP^ ION REQiJE IED ON(OR AS NEAR,ASPOSSIBLE) _
A1lOID DELAWS By Wymm FULL A RATE . ALL 'SPAICES BE FILLED OR RET RNED-
PRINT NAME AND ADDRESS `
NAME OF APPLK.ANT ^� ( PLICATION
STREET
TELEPHONE Nip. ..
CITY LTR P OFFICE / ! /i r J / — 7�
^C q�,� � i� f �Lf I{ 1,,,�jy Z C E LICENSE NQ WHEN APPI..IGABLE
L7 John Street tatrg Street [.•f I g70 Delaware Avenue
N + 217 Lake Avenue ff 202 Arterial Road
NEW YORK N NY 10038 ALBANY, NY 12207 I BUFFALO, NY 14202 I ROCHESTER, NY 14606 I SYRACUSE, NY 13206
(212) 227-3.700 iii (518) d63-21 '22 1111 (71 B) 884-1156 (716) 254-0141 I
(315) 463-$552
THE NEW YORK BOARD OF FIRE UNDERWRITERS
KPI
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G/ •1 s , aasaaeaew ���� BUtLL7IG C L]EPT,
y/ r.7 zo Grl _ compliance vAb ow MNMM@M~ REVIEWED BY
not be consbueNd M
-, plans and speciliCeli■ M
compliance with Vo a DATE