1991-315 "4-
•
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
' WARREN COUNTY, NEW YORK .
Date October 16 19 91
This ie to certify that work requested to be done as shown by Permit No. 91-315
has been completed.
This structure may be occupied as a T-4pED k—In Cooler)
Location West Side of Route 9
Owner Charles A. CairositOLORIMLMART CITGO GAS
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
. '
BUILDING PERMIT
0.1
TOWN OF QUEENSBURY
No. 91-315
WARREN COUNTY, NEW YORK
CA)
PERMISSION is hereby granted to Charles A. Cairns/COLONIAL MART ¢&-).o or
U ry
OWNER of property located at Vest Side of Route 9 Street, Road or Ave.
c-�
in the Town of Queensbury,To Construct or place a Add/Alt to bldg
at the above location in accordance to application together with plot plans and other information hereto filed and p
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
Box 2126
South Burlington, VT 05403
2. CONTRACTOR or BUILDER'S Name
John Munter c
r�
3. CONTRACTOR or BUILDER'S Address
RD 1 Sodeman Rd a
Middle Grove, NY
4. ARCHITECT'S Name ip
O.
CO
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( I Masonry ( )Steel ( )
7. PLANS and Specifications
No. 415 sq ft Add/Alt. to building as per plot plan specifications
and application
8. Proposed Use
Walk-In Cooler
$ 170.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 20, 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 thi th Day., f. May 19 91
SIGNED BY ___ for the Town of Queensbury
Building and Zonid'Inspector
TOWN OF QUEENSBURY
REVIEWED BY TOWN OF ''''.'-"``iMSCIUI Y
iv*Oh FEE PAID $ /77.2 ' AEC' '
� PERMIT NO.
jr
qt�e-- MAY 16 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.
* * * * * * * * * * * * * * * * * * * * * * * * * * * • * * * * * * * * * * * * *
The owner of this property is: CHARLES A. CAIRNS - CHAMPLAIN OIL COMPANY, INC.
P.O. Address BOX 2126, SOUTH BURLINGTON, VERMONT 05403 Tel. (802) 863-5574
Property Location WEST SIDE OF ROUTE 9, NEAR EXIT 20 ON I-87 Tax Map No. 35 / 1/ 4.2
Has there been any split of this property since October 1, 1988? / X
If yes Planning Board Review is necessary. yes no. v1
O'r\;&-- AAT
SUBDIVISION NAME, IF APPLICABLE N/A Q.‘j %(-)QT,Cl.g �LO NO. ' N/A+
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
PAUL E. WAMSGANZ, (GRAPHIC/CONSTRUCTION MGMT. SERVICES, INC.) , CONSTRUCTION MANAGER
*
NATURE OF PROPOSED WORK: * ESI'IMATED MARKET VALUE OF •
Construction of a new building * CONSTRUCTION: $ 68,000
X Addition to a building * COMPLETE INFORMATION REQUIRED BELOW:
* Size of property .734 A or 31.96 . SFxxxxxxQc
Alteration to a building • * Existing Buildings(3) Size 27 ft. x 43 ft.
(no change to exterior dimensions) •
Proposed building - distance from property line:
x Other work (Describe) * Front yard 77 ft. Rear yard 36 ft.
INTERIOR RENOVATIONS * Side yards 110 ft. and 58 ft.
*
GROSS AREA OF PROPOSED STRUCTURE If on corner, setback from side street N/A ft.
1st Floor 415 sq. ft. * OCCUPANCY INFORMATION
•
2nd Floor N/A sq. ft. • ' Primary Building -
Other Floors N/A sq. ft. • One Family Dwelling
(not cellar or base: * Two Family Dwelling
TOTAL FLOOR AREA_ 13583 sq. ft. * Multiple Dwelling/Number of units
Size of new structure16 ft x 41.5 ft.
—_ * X Business
Foundation-pie./slab c:=.:: rtiai/full * Industrial
(circ e urk::; • • Other
•
Ho. of stories (habitable space) One • __ ___ - -
Height (grade to ridge) 22' EXIST. ft. * It addition, what will use be?
If residential, no. of families N/A * WALK-IN COOLER
No, of rooms(excluding baths) Four *
Accessory Building NOT APPLICABLE
No. of bedrooms N/A *
No. of bathrooms Two a _____Detached Garage ONE/TWO Car
Primary heating system FURNACE (NEW) • ,_Attached Garage ONE/TWO Car
Type of fuel PROPANE • _Private storage building
•
No. of fireplaces to be installed N/A
•
a Other
Will a wood stove be installed NO
Central Air conditioning YES •
OV• ER
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction,''wood frame, fire safe, etc. WOOD FRAMING AND PRE-FABRICATED COOLER
Will any second-hand or upgraded lumber be used? If so. for what? NOT AP)LICABLE
•
Foundation wall material POURED CONCRETE Thickness 8"
Depth of foundation below grade (to bottom of footing) 5'-0"
Will there be a cellar? NO Heated or unheated? - Floor sq.,footage - sq ft.
Will there be a basement? NO Will any portion be used as living space? NO
(If so, what portion? -• sq ft. Type of use? WALK-IN COOLER
Type of roof - slope /fla shed other Material of roof WOOD FRAME (FIBERGLAS SHINGLES)
Size, wood studs 2 "x 6 " spacing 16 " o.c. length 8± ft.
Joists (floor beams) 1st floor "x " spacing "o.c. span ft. N/A
Joist (floor beams) 2nd floor "x " spacing "o.c. span ft. N/A
Overlays (ceiling beams) 2 "x _.," spacing 16 -" o.c. span 10± ft.
Roof rafters 2 "x 8 " spacing 16 o.c. span _12. ft.
Roof trusses (pre-engineered) spacing " o.c. span ft. N/A
Exterior wall finish PAINTED AS APPLICABLE of what material? METAL PANELS / VINYL SIDING -
Interior wall finish COOLER -METAL PANELS OTHER - PLYWOOD (PAINTED)
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
NOT APPLICABLE
Is there to he an opening between garage and dwelling? N/A If so will a Fire-rated door, enclosure,
self-closing device be provided? N/A
Will a flue-lined chimney be installed? NO Height above roof (Roof To Unit) ft. -
Depth of chimney foundation below grade N/A_ft.
Depth of fireplace hearth ft. in.
Water supply - Municipal or private well MUNICIPAL SERVICE
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties N/A ft.
(A separate application is necessary for any repair or new installation of septic system)
NOT APPLICABLE
R D # 1 Sodeman Rd.
NAME OF BUILDER JOHN MUNTER ADDRESS Middle Grove, N. Y. TEL. NO. 518-584-6174
NAME OF PLUMBER ADDRESS TEL. NO.
NAME OF MASON ADDRESS TEL. NO.
NAME OF ELECTRICIAN ADDRESS TEL. NO.
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 rtainin to the proposed rid
pe g p posed wo"rk shall be complied with, wheChec specified or not, and that"-- - __
such work is authorized by the owner.
Signatur , —k4-1 j
Owner, owner's agent, tact, co rector
SPECIAL CONDITIONS OF THE PERMIT:
BY
YOU ARE HEREBY REQUESTED TO
INSPECT AND ISSUE CERTIFICATES
FOR THE FOLLOWING ELECTRICAL
EQUIPMENT TO BE INSTALLED BY
THE UNDERSIGNED
TEMP.H DATE !' I -.
r ._ '
CRY OR VILLAGE A TOWNSHIP COUNTY
STREET AND NO.OR ROAD POLE NUMBER
/(-.",,, .JIG't if ,!r':i/( /c Ir2 .,/ /7 ./z,-; /r-/ 7 - G'7 .t f ./ ::`t
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK , LOT
OCCUP 'S NAME BUILDING OCCUPANCY
C/. AV 2/,/1/,!/ t/,; lU .
OWNS S NAME AND ADDRESS .r , HOME TELEPHONE NUMBER
C////,t 1 f., ,f. fr:r;.:.t!/�= Y :X/7/ -2�'- Lit'/AF'//A•/'/; ".. ' 'L'3
CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER
/1 �/ fti f/ 7 . Sf (L'(). ) Cf/i ' J`J 7 y
BUILDING IS
NEW❑ OLD, WORK IS NEW❑ ADDITIONAL% DEFECTS REMOVED❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE
Loca- Lamp Receptacles CIRCUITS ONLY
lion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
OUT-
SIDE /
SUB-
BASE
BASE-
MENT .rim
FL. f V /> U' 5 / /4, -/ ""
2nd
FL.
3rd
FL.
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE. •
A'r`f-f,e- /./( /'// ./ f/_T 1 1I Ti/r'/i// /J/7-,/ (/"id I/ ,,;b >'4-
THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS
FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER
THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT
SIZE OF MAINS FEEDERS ELECTRIC SIGNS/LAMPS TOTAL WATTS
/r/.97/ ..r/> AV/
CHARACTER OF WORKEXPOSED GAS TUBE SIGN/TRANSFORMERS OF �J// VA
,Y.l X./'' L',.../i' f.C'/`, CONCEALED ` l-: '
ll
DATE WORK TO BE STARTED t•!. DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY
,C/_/it /r2 / /'? / �///= ,' I//A
SERVICE ENTERS BUILDING - MANUFACTURER OF SIGN❑ OVERHEAD $-UNDERGROUND !ff e/
DATE INSPE IN REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANTS
C eA;i7 i•/1.'i /// !L,./1! ('fi/1 IDENTIFICATION NUMBER
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS
NAME OF AP,IpANT D E F APPL CATION SI9NAT.URE OF APPLICANT ..—,
/i: !
t7 i!! Z. • fv />?hie._'/;,.( ti.l;! � �i/ �/ /�'✓yrf�c-�€!.-, f '-�Fy J-!-�.: .--=.-�
STREET ADDRESS - - ELEPHONE NO.
///- i c- : �.fir., !) : �-• 'J i-f.'
CITY OR}P'Q ST OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE
❑ 85 John Street 41 State Street ❑ 570 Delaware Avenue ❑ 217 Lake Avenue ❑ 202 Arterial Road
NEW YORK,NY 10038 ALBANY,NY 12207 BUFFALO,NY 14202 ROCHESTER,NY 14608 SYRACUSE,NY 13206
(212)227-3700 (518)463-2122 (716)884-1155 (716)254-0141 (315)463-8552
' THE NFW YORK BOARD OF FIRE UNDERWRITER$
r U . TOWN OF QUEENSBURY
,q vk ; ' 531 BAY ROAD
QUEENSBURY, NEW YORK 12804
, . ;` TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME �Ad ha_ ! ( 7.G�0)z‘LiL/—
LOCATION 4 9
DATE /J/7c /9/ PERMIT#
TYPE OF STRUCTURE
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
,FOOTING ): UNDATION-✓/BACKFILL LM EMING
ROUGH PLOMBING 1-11NAL ELECTRICAL--_SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/Al YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES r•
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION%DUCTWORK /
INTERIOR TRIM/PRIVACY DOORS ,1
FINISH FLOORS:
BATH/KITCHEN WATERTcIGHT
OTHER FLOORS SWEEPABLE r
OTHER FLOORS CARPETED. I
STAIR CLEARANCE/RAILINGS/
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES! OPERATING
GARAGE FIRE PROOFINL
DOOR CLOSERS \,
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS\
FINAL ELECTRICAL 'ti,
OK TO ISSUE C/O OR C/C
COMMENTS:
Aia°6- (3 CC() --C.7&" 1°6
() chz44.1 /
ARRIVE 340.)
DEPART -5 Br / � 1/1-1----
t' INSPECT?
ELECTRICAL INSPECTIONS
•
DUPLICATE MUNICIPAL RECORD
Permit No. R_(-3(,
Owner I � )_ U L Az?72r.
Occupant nn
Location
/C T&
•lQueS eiti(2y xty
Town or City State
Installation as itemized on reverse side has been visually inspected pursuant to applicable
codes. n
Installed by . Bf LL c4—, 6 e / / C Q-
_
_7/ � 9i
Date _ ,, �,, t"gaitrs%ag,_
MIDDLE DEPARTMENT INSPECTION AGENCY,INC.
FORM NO.18 EL. 1337 West Chester Pike,West Chester,PA 19380
ROUGH WIRING OUTLETS - H.P.AIR CONDITIONER
( r`J1- WIRING &CONTROLS FOR BURNER
Co 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 M.P. 1/20 1/12 1/10 I/e % % Ih I/ '/ 1 1% 2 3 5 71 10 15 20 25 30 6 40 50 75 100
MARK NUMBER
OF EACH SIZE
APPARATUS
01C(1-1/) , -61 il/Y?
. • 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 CIO l(S ir_S) \c n
cisci.
JZ/s A Cali i
LOCATION
DATE / PERMIT # %l- 5/5-
TYPE STRUCTURE
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 1
FOUNDATION/DAMPROOFING ,/
BACKFILL APPROVAL i
ROUGH PLUMBING ''\
PLUMBING VENT/VENTS I.N PLACE
PLUMBING UNDER SLAB
'FRAMING: `;,/
JACK STUDS/HEADERS
BRACING/BRIDGING\1
JOIST HANGERS I )
JACK POSTS/MAIN' BEAM
FIRESTOPPING
ii
WALLS i
CEILING / ',
FIREWALLS /
HEATING ROUG '--IN °k
INSULATION: / \
FOUNDATIOJ WALLS INTERIOR R-
FOUNDATI `N WALLS EXTERIOR R-
FLOORS \ R-
WALLS I R-
CEILINg \ R-
DUCT �{-ORK OR PIPING IN 7EATED
SPACES
REMAR S: 't
000 3 <)('CVL .15(51frtet -
41)1
ARRIVE di
DEPART A
' NSPECTOR
(.S Oz1 W 1\\�1�.� .r��
\\ TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT '4
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 5/3//1 9 /
NAME 00 I( \ 1 0\CtAlt-
LOCATION /
DATE_L J N / PERMIT # 9( -3//
TYPE OF STRUCTURE
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 k`, ✓
ROUGH PLUMBING
PLUMBING VENT/VENTSIiIN PLACE
PLUMBING UNDER SLAB!
FRAMING: •
JACK STUDS/HEAD,ERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R4.,
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED ,
SPACES
REMARKS:
ARRIVE // • Oo , 4/
DEPART /a `A gt.gi.
INS'' C'
TOWN OF QUEENSBURYv �"
BUILDING AND CODES DEPARTMENT V
531 BAY ROAD ),
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 5/36 q/
NAME l� ,L ) Y'L C it1J
LOCATION *_ LL i Pk,
DATE /)/,3// q/ PERMIT -. /5
TYPE OF STRUCTURE •
L.Y di
RECHECK APPROVED
N/A YES 0
kOFOOTINGS/PIERS
NOLITHIC 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 \ Jy
JACK POSTS/MAIN BEAM
FIRESTOPPING j
WALLS
CEILING /
FIREWALLS I
HEATING ROUGH-IN /
INSULATION: /
FOUNDATION WALLS INTER,;IOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS / R-
WALLS R-
CEILING // R-
DUCT WORK OR PIP G IN UNHEATED
SPACES PIPI
REMARKS: I
3- It y
ARRIVE /' 5-9
DEPART : 'v
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT Z-71-4/
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME /7)LOCATION
DATE , /�//�/ PERMIT # Q/34
TYPE OF STRUCTURE
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/DA'MPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING \
PLUMBING VENT/VENTS IN PLACE •
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS\
BRACING/.BRIDGING \
JOIST HANGERS
JACK POSTS/MAIN BEAM \:''
FIRESTOPPING
WALLS
CEILING ®
FIREWALLS
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R- \
FOUNDATION WALLS k'EXTERIOR R-
FLOORS R- \
WALLS R- `
CEILING R- \,
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
aY/
/7/_ aCC-eS79
�RJ1�C
'} INSPECTOR
,1