1991-453 ti
e j,_�_L - a
. fir. �_� � ..
:z • ,f CERTIFICATE OF OCCUPANCY
f. TOWN OF QUEENSBURY
WARREN COUNTY,, NEW YORK
.
Date . . l2li �h 19 9..�
,
This is to certify that work requested to be done as shown by Permit No. 91-853
has been completed. '
This structure may be occupied as a Pool House
LocationBox 64A Sherman Avenue .
Owner. Randy;& Suzanne Wlashburn
•
,By Order Town Board
TOWN OF QUEENSBURY •
• /rJi` .. ,•
Director of Bldg. & Code Enforcement ,
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-453
•
WARREN COUNTY, NEW YORK ca
ua
PERMISSION is hereby granted to Randy & Suzanne Washburn ry
OWNER of property located at Sherman Avenue Street, Road or Ave. V
in the Town of Queensbury,To Construct or place a Pool House
at the above location in accordance to application together with plot plans and other information hereto filed and H
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
I
1. OWNER'S Address is
Box 64A, Sherman Ave.
Queensbury, NY
2. CONTRACTOR or BUILDER'S Name Re
David Owens cn
N
3. CONTRACTOR or BUILDER'S Address
rD
13 Forest Drive •
Gansevoort
rD
4. ARCHITECT'S Name a
rD
5. ARCHITECT'S Address
CD
0
0
6. TYPE of Construction—(Please indicate by X) •
0
( x Wood Frame ( ) Masonry ( ) Steel ( 1
7. PLANS and Specifications
No. 156 sq ft Pool House as per plot plan specifications and
application
8. Proposed Use
Pool House
$ 15.00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 27, 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 27th Day of June 19 91
SIGNED BY 1,� - for the Town of Queensbury
Building and oning Inspector SE
TOWN OF QUEENSBURY
`lah REVIEWED BY• 10VVISI OF zit€i \ SUR'
FEE PAID: ,(5
'� JUN261991
PERMIT NO. : /- 9,
BLDG. & 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.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 71/1; * * * * * * * *
Owner of Property: / 'L C&L//t
P.O. Address: CV/CO-A *Alan friLe Olig-CAMbUlai Dq-2:
Property Location: Tax Map No.9)..�/ / %° " Y
p Y
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: $ f2,O()
Addition to building *
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
J (no change to exterior dimensions) * Size of Property: / .. ft. x-16-5{-5Aft.
�/ Other work (describe) * Existing Building Size:
Via( 1V C-Q__ * ft. x 66 ft.
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
1st Floor Sq. Ft. * Front Yard /� ft. Rear yard W6 -ft.
* Side Yards 5- ft. and 47' 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: 1 ft. x I3 ft. * Two Family Dwelling
Found ' n: G * Multiple Dwelling/No. of Units _
Pier Slab/Crawl/Partial/Full (Circle One) * Business
* Industrial �^
No. of stories (Habitable space) .� * ,/ Other fiCALEU lJ1 I J eLt'.frY V) Lk—
Height (grade to ridge) ft. * 19��cc,,,�� .
If residential , no. of families: PI * If addition,what w1'tl use be?
No. of rooms (excludin aths) : 0 *
No. of bedrooms: * .
No. of bathrooms: * Accessory Building:
Primary heating syst * Detached Garage - One/Two Car
em:
Type of fuel : * Attached Garage - One/Two Car
No. of fireplaces to be installed: j * Private Storage Building
Will a woodstove be installed?: I /* Other
Central Air Conditioning: Yes No ✓ *
(OVER)
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS: •
dType of construction: wood frame, fire safe, etc. . 1-G
ax-e- ,
Will any second-hand or ungraded lumber be used? If so, for wha
Foundation Wall Material : Thickness:
Depth of Foundation below grade (to bottom of footing) :
Will there be a cellar? , J Heated or Unheated? Floor Sq. Footage:
Will there be a basement? Will any portion be used as living space? /
If so, what port' n-?� Sq. Ft. Type of Use? ,
Type of Roof: Slope 'Flat/Shed/Other
f Material of Roof ,,,_C,t,Qo
Size, wood studs " x Le " ; spacing ILQ " o.c. ; length 1 ft. UU_
Joists (floor beams) : 1st Floor " x " ; spacing " o.c. ; span ft.
Joists (floor beams) : 2nd Floor " x "; spacing " o.c. ; span _ ft.
Overlays (ceiling beams) : " x "; spacing ts " o.c. ; span ft.
Roof rafters: " x 119 " ; spacing 1e o.c. ; span ft.
Roof trusses (pre-engineered) : spacing " o.c. ; span ft.
Exterior Wall Finish: h,,cpr-�,( e.5 hog, -f 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 & ADDRESS: 2 ,(,( J1t ukev s l • ✓4 Il CZhS Atelod PHONE gqa-$p2
NAME OF PLUMBER & ADDRESS: X PHONE
NAME OF MASON & ADDRESS: Gj(QALI,Q PHONE
NAME OF ELECTRICIAN & ADDRESS: PHONE
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 Pll 1,�zw
9
• wner, owner s agen architect
contractor
X—Qc7- 0-e-V CZ7/,,ce2A4- 7
SPECIAL CONDITIONS OF THE PERMIT:
By:
Code Enforcement Officer
J
- •
BLDG. PERMIT NO.
APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY
A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property
located at; Quaker Plaza
for the following uses: Pro-Fast Photography Store
•
DATE 7 SIGNATURE OF APPLICANT
TEMPORARY CERTIFICATE OF OCCUPANCY
The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby ()APPROVED
( )DISAPPROVED
with the following conditions: as per attached letter
TEMPORARY CERTIFICATE OF OCCUPANCY FEE: (�)$10.00 DEP,OSIT:)P')$100.00
received on /f/®/�Z= (.;� // i✓l/ `
Date of Issuance Director of Bldg. l& Code Enforcement
•
THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES 30 DAYS
FROM THE DATE OF ISSUANCE.
NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. & Code
Enforcement or his designee.
fr
4
: ,- 4-4-----,<---- .,. ,
TOWN Y OF 1 QV LEI- '1 SB V R 1
' /rt. - /Y[s� `P'' Bay at Haviland Road, Queensbury, NY 12804-9725 (518)792-5832
January 27 , 1992
Alan Miller
Manager
Pro-Fast
Route 9 , Northway Plaza
Queensbury, NY 12804
RE: Issuance of Final CO
Dear Alan:
The following items must be 100 percent complete over the next
30 days in order for Pro-Fast to receive a Final CO. These are
required within the next 30 days because they should have been done
at a time a temporary Certificate of Occupancy was issued but due
to delays , have not been done, and therefore I request your cooperation
in this matter.
1 . A self closer must be placed on the electrical room.
2 . Change the door on the storage room to a. 3/4 hour rated door
and jam.
3 . Provide a sprinkler head in the electrical room adjacent to
the hallway.
4 . Change the platform and stairs to noncombustible construction
at the rear exit next to the atrium.
5 . We need a copy of the building plans which reflect the floor
plan as it exists today for our file.
6 . We need a final electrical inspection from the electrical
inspector.
When all of the above items are completed, Final Certificate
of Occupancy will be issued, however, you must comply with all of
the above within the next 30 days .
Sincerely,
( / ) /)//1//--/ -
DAVID HATIN
DIRECTOR
BUILDING AND CODES DEPT.
DH/sed
"HOME OF NATURAL BEAUTY. . . A GOOD PLACE TO LIVE"
SETTLED 1763
°. ..'s� ' MIDDLE DEPARTMENT INSPECTION AGENCY tNC7,
� National Headquarters / 944—.
1337 West Chester Pike, West Chester,)7A 19382-6422
APPLICANT COMPLETES THIS SECTION Date: - '= %._.-
City, Town or Township 62 C.P (" 8/ County t= a ''` - •,,, State ; r`.
i
Location/Address .:-2. _ - -- . .',i=,..Lti
(If Located in Rural Area - Please Attach Directions) Pole #
Owner ,-/ 1./.•-F ;. . , .'- -. ./: . • •
Permit #
Occupied As ' ' Building: Newr'r- Old 1 1
Occupant - -
Work Area in Building (Floor #,etc.):
App. for: Wiring I( Service 1- . 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
I
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 71/2 10 15 20 25 30 40 50 75 100
Mark Number .
of Each Size
Applicant's
Signature License #___ Permit #
-
T/A ,`---,_r 2 ,,: '' >_ ., A ,4 <_ .- -.F,! - Utility:
'•/ «`_: `- ,. ' :R/ t-it../ (NAME) (OFFICE LOCATION)
Applicant's Address:
(City) ("D..li,C - P(/ S .6 to'?. (State) 41. (Zip) _-- f, r Service Request #__ `- ` 1'-_
Phone # f.7 __ -- 'y/ ` 7 Electrician:
MDIA USE ONLY DATE RECEIVED: DATE INSPECTED: - I t f..•---
Correct Location: Same as Above 1 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 ,
C RTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE COFEECT FEE PAID
LiRW Progress: Inc.❑ LKD Contractor ()
❑ CFT Violation: Work Comp. ❑ - - - `' _❑ Inc. CASH ❑
n L�AA Owner Fee CHK # 'S
Due MO #
n IPA • Municipal
_ - • INV # .
Date: Other Side Utility Applicant gr.,/Owner
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Cut in Card 1-7 Temp # Date tJh7 / '�� ;- � s ;f ,, r ;
Final # iff`,t ." • Date `I_ ;'' INSPECTORS SIGNATURE
'APPLICATION FORM NO.250 EL 11/89
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
National Headquarters
1337 West Chester Piko'VVaot Chester, PA 19380
APPLICANT COMPLETES THIS SECTION Data:
Ot� Town orTownship / | / / N �J /'/ / � '' � / County State
Location/Address '
�|f Located in Rural �� ' Attach Directions) '. ' �p�o�#�
Owner /) ' � /l / / ` / / / y' / ( !{/' / . >/ ' /� / ' � '' � i_ / ponnit #
Occupied As ' ' � `�./. / ' / ') / -~-- Building: No 'n�~ Old
Occupant
VVork"4mu in Building (Floor #,»tc.):
App. for Wiring El Sunico F-1 or: ' Ready for Inspection:
Fee Remitted'$ Cash F-1 Check F-1 K8.[l F-1, Make Payable To: M.D1A.
Num�r� R�� �hnUO��m� Bo� H�� � � 1mmz� 1� nm2� 2� '� '� a� .
Switches Amp. Service Surface Unit Dishwasher Range
Lighting Water Heater Air Conditioner Dnm/ pun»P
R000ptmc|o, '
Oven Garbage Disposal Wiring and Controls for Burner
Number ofFixtures
Amp. Rmmpmo|oo Fractional H.P. Vent Faro
Other Equipment:
MOTORS z»mz/zevz z/u' z/s z/^ z/n rp 3/4 z z* u a , r* m zs eo 25 no ^o yo 75 mv
NumberMark
of Each Size` 'Applicant's Signature / ) /l /, // / /' / , / Uooma # p*nn� #
/ - ' , . .
T/A ' Utility: `
(mmws) (OFFICE LOCATION)
Applicant's Address:
(City) (State) (Zip) Service Request #
Phonv # Electrician:
KUD|A USE ONLY DATE RECEIVED: DATE INSPECTED:
Correct Location: Same as Above F-1 o,: '
Red Notice Label F-]
-
Rough Wiring Outlets Surface Unit Oven
Switches Range Garbage Disposal
G000ptao|o, �' � Water Heater Di,h",nsho,
Fixtures Air Conditioner Dryer
Amp. Somioo Equipment Burner, Wiring &Controls for � Amp. ReceptacleAmp. So=iceCondu,ton | Pump Vent Fans
MOTonnup. vc 1u2 1/10 1m 1/6 zp` z/a z/u 3/4 z z* c a n ,m m z» cn zy oo ^o no 75 um
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Elect. Ho�� �
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`CERTIFICATIONS o�nnsor
p�c��u�mm ussron /m ��� �m�� ` |mor/p/so ���rs pss FEE PAID
F-1 RVV Progress: Inc.E] LKD0 Contractor
�CFT Violation: Work �� |n� �]�+ � -- CASH
� [ LA\l L/� Own».r Fee CHK #Due�
F� MO #
F-1 IPA Municipal
|NV #
L�
Date: Other Side Utility Owner
Cut in Curd F� Temp # Date
Final ** Do��
INSPECTORS SIGNATURE
�� � ,
APPLICATION FORM NO.250 EL 11/89
ELECTRICAL INSPECTIONS
,/ DUPLICATE MUNICIPAL RECORD
Permit No. /7�T�3 ,
Owner tiff 4-56f e a 'F'
Occupant
Location Y4 5-4 ft-c- S2 MI
No. Street
Town or City State
Installation as itemized on reverse side has been visually inspected pursuant to applicable codes.
Installed by
-7 Ni 96 a
Date -6^'GC �
nspector
MIDDLE DEPARTMENT INSPECTION AGENCY INC.
FORM NO.18 EL. 900 Haddon Ave.,Collingswood, NJ 08108
7 ROUGH WIRING OUTLETS H.P.AIR CONDITIONER
Gl"T' j(r/ TC 7 WIRING &CONTROLS FOR Y' BURLIER
s/' RECEPTACLES H.P.PUMP
/ FIXTURES • K.W.OVEN
AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT
i
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. I/2O I/I2 I/10 1/2 1/2 % Ih 1/2 '% 1 11 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 �� B
NAME 477 '%
LOCATION /479,/j/i-n-Wzy-7,4----DATE � � PERMIT if
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
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 EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS: I \
/ ,e/L,32___,A7
ARRIVE
DEPART
INSP CTOR
frf - c1 a), ae y 9.3-2-,22, 1'
(01.11-6c&edTo 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 A94/r2c-11,/
LOCATIONt'/A49 ,i
DATE �'/‘720/ PERMIT 1
TYPE OF STRUCTURE ' ' ����
RECHECK APPROVED
N/A YES NO
)' FOOTINGS/PIERS d- 07/9/ Y�
MONOLITHIC POUR FORM ll'
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 t /
JACK POSTS/MAIN BEAM d /
FIRESTOPPING t
WALLS i, ,
CEILING
FIREWALLS
HEATING ROUGH—IN
INSULATION: /
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERI1R R'=
FLOORS / R};.
WALLS / R�
CEILING / R—
DUCT WORK OR PIPING leN UNHEATED
SPACES 1
1
REMARKS:
eV�
ARRIVE ,/ --
DEPART 3
I NS PEC 0
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT rJ
REQUEST FOR INSPECTION RECEIVED (Op
NAME �. C c,--)\-Mr?U1 \n ` f�1�Ci �{` 5\1ZC111'\ s2
LOCATION S)Nou .� „— } S,(- Y? c\I0165-"
Gcy-us rpm ) -h)s Or. ) P�
DATE '• . PERMIT # C / —L/53
TYPE OF STRUCTU E
RECHECK APPROVED
N/A YE, S/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
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PUCE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS ti
BRACING/BRIDGING
JOIST HANGERS %
JACK POSTS/MAIN BEAM
FIRESTOPPING j
WALLS /
CEILING /
FIREWALLS
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R- '
CEILING R-
DUCT WORK OR PIP-.ING IN UNHEATED
SPACES
REMARKS: %I
ARRIVE C› 4ff
DEPART C� ?� `->
INSPECTOR
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