1991-199 - I
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
,
WARREN COUNTY, NEW YORK
Date /1)PA1754-1_ ./0 19 '9/
91-199
This is'to certify,that work requested to be done as shown by Permit No.
has been completed.
This structure may be occupied as a Firehouse
Iiatión Luzerne Rd
Owner Hest Glens Falls Fire House
By Order Town Board
TOWN OF QUEENSBURY
Y./
Director of Bldg. & Code Enforcement
ate—
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-199
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to West Gl ensFal l s Fire Deptment
OWNER of property located at Luzerne Rd Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Addition to Bldg.
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
2. CONTRACTOR or BUILDER'S Name
Hill Top Construction
3. CONTRACTOR or BUILDER'S Address
Queensbury Avenue
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 56 sq ft addition to building as per plot plan specifications and
application
8. Proposed Use
Firehouse
$ N/A PERMIT FEE PAID —THIS PERMIT EXPIRES April 17, 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 17th Day of = ri 1 19 91
SIGNED BY for the Town of Queensbury
Building and Zonir( Inspector
TOWN OF QUEENSBURY
� REVIEWED BY TOWN OpUwEEEDNSI3LIFIY
iFEE PAID $ (Yp� - �
i % PERMIT NO. �//-/CJ
� � l APR 161991
BUILDING PERMIT APPLICATION
BLDG. & CODE DEPT.
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
WILL BB 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.
* * • • * • • * * • * * * * * * • * * * * * * * * * • * * * * • * * * * * * I * *
The owner of this property is: VICs1- NI-VS- %2I/S 1-7 Rz D iz`P 7—
P.O. Address J U?o A 3ii- P6 >.I) (a U,e.IN S g UN "r :l/, ( Tel. ./QQ?- 1/ y /-/
Property Location 14, - '/? I ' f? o 4, I) Tax Map No. / /
Has there been any split of this property since October 1, 1988? /
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE r , - * 7Z LOT NO.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
•
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF
w:' , (..I
Construction of a new building * CONSTRUCTION: . $ 3t,606
/
Addition to a building * COMPLETE INFORMAT ON REQUIRED BELOW:
* Size of property ft x ft.
Alteration to a building , *
(no change to exterior dimensions) Existing Buildings ) iz ' ft. x ft.
,/, /y * Proposed building - ist�an i from property line:
. X Other work (Describe) !%'Lf___ •
• Front yard ft. Rear yard ft.
.4%21,, P -.�1 `� * Side yards ft and ft.
r/Y *
GROSS AREA OF PROPOSED STRUCTURE * If on corner, setback from side street ft.
1st Floor 56 sq. ft. • OCCUPANCY INFORMATION
•
2nd Floor sq. ft. * ' Primary Building -
Other Floors sq. ft. • One Family Dwelling
(not cellar or base:!:ent ,., Two Family Dwelling
TOTAL FLOOR AREA sq. ft. • _Multiple Dwelling/Number of units
Size of new structure ft x ft. * Business
Foundation-pier/slab/crawl/partial/full * Industrial _ /
(circle one) * OOther Fire/loi
No. of stories (habit able space) •
Height (grade to ridge) ft. • If addition, what will use be?
If residential, o. f �a i/ es_ •
No. of rooms a cl ding the •
!� Accessory Building
No. of bedr m ) * Deg ached ar ONE/TWO Car
No. of bathrms
Primaryheating • _At ac ' ONE/TWO Car
sys em
Type of fuel * _P 'vote storage building
No. of fireplaces to be installed •
* Other
Will a wood stove be installed
Air conditioning
\,
OV• ER
BUILDING PERMIT APPLICATION CONTINUED -
•
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe, etc.
Will any second-handror upgraded 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 sq ft.
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) 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 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 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 ,/,(,'/7 7 C /D ADDRESS �„ee s-�- IL, TEL. NO. -75 -03..3)cP
NAME OF PLUMBER ADDRESS TEL. NO.
NAME OF MASON ADDRESS TEL. NO.
NAME OF ELECTRICIAN A(2,'G ADDRESS ��.- 3a" (:/`7.-- TEL. NO. 7 l�G SV)
/=/4-c TA
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 � �� X..
Owner, owner's agent, architect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
BY
i.. MIDC DEPARTMENT INSPECTION AGENCY, INC. •
� 1 o National Headquarters
•� 1337 West Chester Pike,West Chester, PA 19380
APPLICANT COMPLETES THIS SECTION Date://_ �� ,
City, Town or Township `y I k F,Js.L, County L,0 tip p1. pi State kis/.
Location/Address V\,�tLr_!.0rZ._.
(If Later in Rural Area - PI se Att'ch Directions) Pole #
Owner t c rt,cI r d� L� • /—iP 0 ! Permit # ,.',1 i l 'f
Occupied As r re..., ‘__,r , / Building: New❑ Old --
Occupant
Work Area in Building (Floor #,etc.):
App. for: Wiring Ek Service L or: ./----- Ready for Inspection:
Fee Remitted-$ Cash n Check n M.O. I I 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 ' tiao q L-100 Amp. Service Surface Unit Dishwasher 'Range
Lighting I _
Receptacles Water Heater Air Conditioner Dryer Pump
8
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 11h 2 3 5 71/2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Siz<a, i
Applicant's,
Signature License # Permit #
T/A ^ Utility: kJ1 rw —
Applicant' Address: � � � (NAME) (OFFICE LOCATION)
(City) cJr'p., Fit (k5 (State) i..a-t (Zip) I).ii / Service Request # 3L/70 3 '
Phone # Electrician:
MDIA USE ONLY DATE RECEIVED: DATE INSPECTED:'
Correct Location: Same as Above n 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 11/2 2 3 5 71/2 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
CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECTFEE FEE PAID
AI RW Progress: Inc.El LKD❑
. Contractor
\❑ CFT Violation: Work Comp.❑ Inc. ❑
l__J L/A Owner CASH
Fee CHK #
L/A Due MO #
IPA Municipal
\ INV #
r' Applicant ❑
e: • Other Side❑ Utility Owner
Card {Temp # Date
' INSPECTORS SIGNATURE
i 1'Final # Date
i
..MrION FORM NO.250 EL 11/89
TWA OF QUEENSBURY
r '4 ; 531 BAY ROAD
,,y ' QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTI.x
REQUEST FOR INSPECTION RECEIVED
NAM !'�6-F o-c //Q
LOCATION /.4,2e,,� �,(
DATE // /5) PERMIT# y/ --7
TYPE OF STRUCTURE
RECHECK
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)) �!
_FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLITMBING FINAL ELECTRICAL SEPTIC
INSULATION WOODSTOVE/FIREPLACE
SITE PLAN/VARIANCE REQUIREMENTS YES _ NO
REMARKS
t
APPROVAL
CHIMNEY HEIGHT/LOCATION N/A YES NO
B VENT/LOCATION
PLUMBING VENT \ I
ROOFING \ i
SIDING _
DECK/PORCH/STEPS/4 ILINGS
RELIEF VALVES
FURNACE/HOT WATE PERATING
BASEMENT INSULAT 0 DUCTWORK
INTERIOR TRIM/PR VA Y DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SbWEEPABLE
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
DUMPSTER
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS: g/A/4 //: ,
(,7, 41
C
ARRIVE /L;05—
i
DEPART /2S ciiO (�
IN
ELECTRICAL INSPECTIONS
/DUPLICATE MUNICIPAL RECORD
qi
Permit No.
Owner __ _ 6_46:—/V F'/G5 /fee-C'
Occupant /Tvr4 L Location %
at� L U Z�, N e ' `/�/�
'4d
�._CrI� J� s of 4LLa •IXri
Town or City Scare
Installation as itemized on reverse side has been visually inspected pursuant to applicable
coC@s.
Installed by 7-ACK a 7/1/-2-1.-Cy-
5co. ja est
Date ! 1�1iLt ___ o/ 01.ector
MIDDLE DEPARTMENT INSPECTION AGENCY,I
FORM NO.18 EL. 1337 West Chester Pike,West Chester,PA 19380
ROUGH WIRING OUTLETS . H.P.AIR CONDITIONER
,OUTLETS 52-4,4`/7Z 6 WIRING &CONTROLS FOR BURNER
g RECEPTACLES H.P.PUMP
/ FIXTURES K.W.OVEN
AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT
AMP.SERVICE CONDUCTORS K.W. DISHWASHER
K.W.SURFACE UNIT K.W. DRYER
K.W. RANGE AMP. RECEPTACLE
K.W.WATER HEATER FRAC. H.P.VENT FANS
MOTORS H.P. 1/20 1/12 I/10 1 '/s % 1 1 '/ 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE
APPARATUS
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 /L/,rillezis
LOCATION • v.Ze?r--e /6(2
DATE i/, %-/ PERMIT
/ /
TYPE OF STRUCTURE - hst /Si%
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS-
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR I.S 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 LACE
PLUMBING UNDER SLAB
L RAMING: AZ) > ,-, /ai/S,'
JACK STUDS/HEADERS ' ,! �"
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS
CEILING CEILINGV
FIREWALLSp
HEATING ROUGH-IN
INSULATION: ` . ,it/ ///—
FOUNDATION WALLS INTERIOR
FOUNDATION WALLS EXTERIOR ;;R-
FLOORS
WALLSuR-
CEILING / iR-
DUCT WORK OR PIPING IN UNHEATED
SPACES f
f
REMARKS: 7.71
I J
j"fit/ f ��.
'
ARRIVE /.22
DEPART //1- 'r'� \/;aC '��
INSPECTOR