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1991-373 1 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 19 92 This is to certify that work requested to be done as shown by Permit No. 91-373 has been completed. This structure may be occupied as a Classroom Location 9 Miller Hill Mall Owner Al Potenza/ Tenant Northway Car Care By Order Town Board TOWN OF QUEENSBURY • Director of Bldg. & Code Enforcement BUILDING PERMIT • 0 TOWN OF QUEENSBURY ' No. 91-373 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to NORTHWAY CAR CARE OWNER of property located at 9 Miller Hill Mall Street, Road or Ave. in the Town of Queensbury,To Construct or place a Alteration to building 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 C. Al Potenza 2. CONTRACTOR or BUILDER'S Name 1 \`, 3. CONTRACTOR or BUILDER'S Address (� 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) ) ( X Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications No. 528 sq ft Alteration to building as per plot plan specifications and application 8. Proposed Use Alteration to Building $ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES MAY 31, 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 31st Day of MAY 19 91 SIGNED BY \ / - / iii ii for the Town of Queensbury Building and Zoning fpector TOWN OF QUEENSBURY REVIEWED BY TOWN OF QUEENSBURYTitill FEE PAID $ A5 RECEIVED PERMIT NO. 67/ V MA Y 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. f. • * • a * • • * a a * * * * * * a * * a * * a a a * a a a • * * * * * * * * * * * The owner of this property is: / / /07/e/7 2 ci e P.O. Address /#//7 /7/''/ GA/ Tel. Property Location ( uee/ J' / — mle2-- // �� , 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 6/ ///4-zy 49, EJ LOT N . THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: • NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF • ' Construction of a new building • CONSTRUCTION: $ 2OD(9 oO ddition to a building * COMPLETE INFORMATION REQUIRED BELOW: —74k * 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: Other work (Describe) * Front yard ft. Rear yard ft. • Side yards ft. and ft. • GROSS AREA OF PROPOSED STRUCTURE • If on corner, setback from side street ft. 1st Floor �(:)`�d sq. ft. * OCCUPANCY INFORMATION 2nd-Floor sq. ft. * • Primary Building - Other Floors sq. ft: • _One Family Dwelling (hot cellar or base:- t * Two Family Dwelling TOTAL FLOOR AREA__aC4 sq. ft. - * ultiple Dwelling/Number of units Size of new structure * i/ Business ftx , . �/Foundation-pier/slab/cravtl partial/full- * Industrial (circle one) * Other , .:o. of stories (habitable space)_ • Height (grade to ridge) 4//4 . ft. If addition, what will use be? If residential, no. of families VA • No. of rooms(excluding baths) Accessory Building No. of bedrooms /1/6 - • Detached Garage ONE/TWO Car No. of bathrooms N`4- • Primary heating system pis ' • ....> __Attached Garage ONE/TWO Car Type of fuel ov9L.S • ___Private store e buildi n8' ; No. of fireplaces to be installed • * Other Will a wood stove be installed 1//q Central Air conditioning VP • OV• ER BUILDING PERMIT APPLICATION CONTINUED BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe, etc. (itJoo►o 1 f'C(T e Will any second-hand or upgraded lumber be used? If so, for what? /v© Foundation wall material ^ /I( d�Xy Thickness Depth of foundation below grade (to bottom of footing) ,1/7 Will there be a cellar? (Up Heated or unheated? y-es Floor sq. footage s-ag sq ft. Will there beta basement? (1)0 Will any portion be used as living space? NO (If so, what portion? sq ft. Type of use? Type of roof - sloped/flat/shed/other Material of roof Size, wood studs':.'', "x " spacing I(.c " o.c. length IC) 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 5121 s4ErPcu4, of what material? '61-kez-vreocIC Interior wall finish Sl8 Sw i2uCK If a garage is to be attached, describe materials to be used for FIRE SEPARATION: Is there to he an opeiing'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 AN'Y private well (including adjoining properties' ft. (A separate application is necessary for any repair or new installation of septic system) NAME OF BUILDER �Ex..v ADDRESS TEL. NO. NAME OF PLUMBER ADDRESS TEL. NO. NAME OF MASON - — ADDRESS TEL. NO. yNAME OF ELECTRICIAN ONN 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 stateme t of all proposed work to be done on the described premises and that all provisions of the BUILDING D , THE ZON ORDINANCE, and all other laws pertaining to the proposed'work shall be compli wit , whether cified or not, and that such work is authorized by the owner. Signature 0 er, owner's ent, ar hitect, contractor SPECIAL CONDITIONS OF THE PERMIT: BY �V V TOWN OF QUEENSBURY FIRE MARSHAL QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 FIRE MARSHAL INSPECTION REPORT REQUEST FOR�''�(INSPECTION/� . /RECEIVEDDy NAME �2 ��LUC(-i/ ! ,c tit - LOCATION el 21,1 (I,1pi) fitiLLL, DATE 41f 9z PERMIT# %/-013 APPROVED N/A YES NO EXITS AISLE WIDTHS EXIT SIGNS EMERGENCY LIGHTING FIRE EXTINGUISHERS AUTO. EXTINGUISHING SYSTEM HOOD INSTALLATION AUTO. SPRINKLER SYSTEM ALARM SYSTEM N INTERIOR FINISHES STORAGE: ' CLEARANCE TO SPRINKLERS CLEARANCE TO ,WEATING UNITS REQUIRED SIGNAGE !/ �a CHIMNEY WOODSTOVE ti FIREPLACE-MASONRY FIREPLACE-FACTORY BUILT \ REMARKS: ) O,K TO THIS DATE dl/c,_.e \ ARRIVE DEPART `IIVSPE•TOR 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 "ME A5914 G027 LOCATION „//7, / . DATE 1 ,2 5v/ 9.2 PERMIT yy 9/ - 57,3 TYPE OF STRUCTURE ,AH--, RECHECK APPROVED N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS. RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 42 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPO E ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLiVE FOUNDATION/DAMPROOFUN BACKFILL APPROVAL 1} ROUGH PLUMBING PLUMBING VENT/VENTS, I!N PLACE PLUMBING UNDER SLA t, FRAMING: JACK STUDS/HEA ERS BRACING/BRIDG NG JOIST HANGE JACK POSTS/ IN BEAM. FIRESTOPP IN WALLS CEILING I FIREWALLJ HEATING..ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: 6 d1/‘C‘. -e ARRIVE DEPART INSPECTOR .�. TOWN OF QUEENSBURY q:44# 531 BAY ROAD QUEENSBURY, NEW YORK 12804 • TELEPHONE (518) 745-4447 ark' . BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED E4 7y / (.mite - A LOCATION f_ /,�('` 6 2/ DATE V/3/9/ PERMIT# 0-2 7 3 TYPE OF STRUCTURE RECHECK r ' /a , FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING FOUNDATION BACKFILL _FRAMING ROUGH PLUMBING c-FINAL ELECTRICAL -,SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL N/A`•i YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION ' PLUMBING VENT .� ROOFING SIDING ,f DECK/PORCH/STEPS/RAI'LINGS / RELIEF VALVES f FURNACE/HOT WATER OPERATING BASEMENT INSULATION/DUCTWORK INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: O BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEE9ABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS ?, HANDICAPPED ACCESS SMOKE DETECTORS/ BATHROOM FANS/ HOLEHOUSE 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: UDC) Loci 6/3 —f,�v�;Spa�1�✓ CO C6sA// Der J1 C✓1-nailo(i irrzA4✓1-e6- Ced kiG-LTA-AAL' C-re. ARRIVE /2; 5 lc-- DEPART J'C) IN t Ie::tr,;.:a, Building-Plurnbrng Fire Inspections • Date 9l cc' çc tor 4-4 constitutes certification that the above installation, but not the equip- ment itself, has been visually inspected 4.1:;; as of this date pursuant to the applic- able codes. If additional equipment should be introduced or alterations made to the existing system or struc- ture, application for inspection should • 0 be submitted promptly to this Agency. SAT 14rec. At- , ckssrofir, ; LI I t,„,11-L iffe.... c.„",e,,,,,,,fr,,..ketvisici.t., ,,.. ,fg,,,1 r 7.rn, 7.;C Ft) II V mow, PM 3° I \i'F/ G V @sf y roE„ , L v U N:,. 3h ir 11:7-pedalf REVIEWED BY '• rgb. DATE 3