1991-722 Atr'2,
• •
CERTIFICATE OF OCCUPANCY
k TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date February 5 19 9 2
This is to certify that work requested to be done as shown by Permit No. 91-722
has been completed.
This structure may be occupied as.a Kitchen
Location 120 Aviation Road
• Owner Sokol 's Market
By Order Town Board
• TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-722
WARREN COUNTY, NEW YORK
' z
PERMISSION is hereby granted to Sokol 's Market
OWNER of property located at 120 Aviation Rd Street, Road or Ave. 1-1
in the Town of Queensbury,To Construct or place a Interior Alterations Iv
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 O
Same
2. CONTRACTOR or BUILDER'S Name Or
Donald Sokol
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3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name Z�
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( ) Steel ( )
fD
7. PLANS and Specifications O
No. 156 Sq Ft Interior Alterations as per plot plan specifications
and application rD
8. Proposed Usea
Kitchen
$ 10.00 PERMIT FEEPAID —THIS PERMIT EXPIRES October 9, 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 9th Day of / October 19 91
SIGNED BY /' / for the Town of Queensbury
Building and Zoni g',inspector
TOWN OF QUEENSBURY
... REVIEWED BY:
� � n)if FEE PAID: OWN OF Q(JEBNSBIJF N
PERMIT NO. : I /- � �
OCT 8 1991
EUX43, 8LCUDECKin.
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.
* * * *_* * * * * * * * * * * * * * * * * * * .* * * *:* * * * * * * * * * * *-`* .* * * *
Owner of Property: SoiGoc;S MM.:F.cr.;-
' P.O. Address: i Zo f VI ATIc50 (th.3 G(c,jS FAO-Si NY PHONE j(?_7p2..3177
Property Location: Tax Map No. 9/ / / / A6;?
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: tot No.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
-Dan OJ_ck c &k4-t_—
NATURE OF PROPOSED WORK: * ESTIMATED MARKET. VALUE OF THE
Construction of new building * CONSTRUCTION: $ 7 G260.0."
Addition to building
X Alteration to building * COMPLETE INFORMATION REQUIRED BEL .
(no change to exterior dimensions) * Size of Property: ft. ft.
Other work (describe) * Existing Building Size:
* ft. x f- . .
* Proposed- buil *rig - di s a e from
GROSS AREA OF PROPOSED STRUCTURE: * property e:
*
1st Floor 15 Sq. Ft. * Frgg Yard ft. ' yard ft.
* SSde Yards . and ft.
2nd Floor Sq. Ft. * If on corner etback from side street-
*.
Other Floors Sq. Ft. " `
(not cellar or basement) . 00CUPANCYINFORMATION:
TOTAL FLOOR AREA: it Si ; Sq. Ft. * Primary Building -
* One Family Dwelling
Size of New Structure: /2_- ft. x /' ft. * Two Family Dwelling
Foundation: * Multiple Dwelling/No. of Units
Pier/Slab/Crawl/Partial/Full (Circle One) * ' Business .
L -AttSi-TA/G * Industrial
No. of stories (Habitable space) - * Other
Height (grade to ridge) fr. *
If residential , no. of families: * If addition, what will use be?
No. of rooms (excluding baths) • * /vA/
No. of bedrooms: j *
No. of bathrooms: '/ * . Accessory Building:
Primary heating system: . * Detached Garage - wo Car
Type of fuel : * Attached ge - One/Tw
No. of fireplaces t. be install : • : * Pr a Stora ing
Will' a woodstove • - installed?. * they
Central Air Con. tioning: Y-s No *
(OVER)
.iNG PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction:.- - •od frame, ire safe, etc.
Will any second-hand or ungraded lumber be used? If so, for what? /LAC
Foundation Wall Material : r�
,�KS2S-T1)/0 Thickness:
Depth of- Foundation- below grade (to bottom of footing) : -/Lc
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 ..2 " x 'f " ; spacing /c, " o.c. ; length /() f .
Joists (floor beams) : 1st Floor " x "-; spacing o.c. ; span ft.
Joists (floor beams) : 2nd Floor " x "; spacing 7 " 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: ,f of what material ?
Interior Wall Finish:.. WLLt_COA0 t 't " C iA3. A- P 07_11- i0 _
If a garage is to be attached, describe ,aterials to be used for FIRE - PARATION:
Is there to be an opening betwee garage and dwelling? so, will a Fire-Rated door,
enclosure, self-closing devic be provided?
Will a flue-lined chimney a installed? Height . •ove roof ' ft.
Depth of chimney found ion below grade: ft.
Depth of fireplace arth: ft. _ __ _ _ in.— _____— __-
Water supply - Mu icipal or private well :
SEPTIC SYSTEM: Distance from any priv. e well (including adjoining properties: ft.
(A separate application is necess for any repair or new installation of septic system. )
NAME OF `BUILDER & ADDRESS. ;er...m.E., - Sam s- ,44,40tCr - boJAr-} Jcy e_ PHONE-
NAME OF PLUMBER & ADDRESS: SOKOL'S MARKFT inic PHONE
NAME OF MASON & ADDRESS: 120 AVIATION RD. PHONE
NAME OF ELECTRICIAN & ADDRESS: GLENS FALLS, N.Y. 12801
. 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 i a thorized y the owner.
SignatureV _ '� ,C.e %2
• Owner, owner's gent, architect
contractor -
SPECIAL CONDITIONS OF THE PERMIT:
�.- By:
Code Enforcement Officer
YOU ARE HEREBY REQUESTED TO
INSPECT AND ISSUE CERTIFICATES . •
FOR THE FOLLOWING ELECTRICAL
EQUIPMENT TO BE INSTALLED BY
• THE UNDERSIGNED
•TEMP• . DATE Li ; ,?
CITY OR VILLAGE - TOWNSHIP ; COUNTY { .
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STREET AND NO.OR ROAD -! POLE N MBER
/ i_� id (//,i1'/7/%7:t). i Cr') l•)
BETWEEN WHAT TWO CROSS STREETS IS.PREMISES LOCAtED? SECTION BLOCK LOT
•
OCCUPANT'S NA((TE BUILDING OCCUPANCY
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OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER
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i: j�>%��,-,J / s__r R) Y'�t��t_�'-` � r.._v.ri:;:; }t.,(_- _,l.P /j 5 /"s ;!'f-
CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER
r
r!e 7'i7 _7777
BUILDING IS
NEW 0 OLD WORK IS NEW] ADDITIONAL❑ DEFECTS REMOVED 0
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE
Loca- Lamp Receptacles CIRCUITS ONLY
tion Side Attach't.. ' H.P. Watts A.W.G.
Ceiling Wall Recepls" Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
OUT-
SIDE
SUB-
BASE
BASE- '
MENT •
1st
FL. .
2nd i r, • ' . r' :
FL i = a - '
3rd -
FL. '
•
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE.
THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT 70 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
CHARACTER OF WORK ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA
0 CONCEALED '
DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY
SERVICE ENTERS BUILDING MANUFACTURER OF SIGN
.0 OVERHEAD ❑ UNDERGROUND `
DATE INSPECTION REQUESTED ON(OR;F1S NEAR AS POSSIBLE) t MUST ENTER IDENTIFICATION NUMBERS I I I I I I I.
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS . z
NAME OF APPLICANT • DATE OF APPLICATION SIGNATURENOF APPLICANT ;
, ! C
STREET ADDRESS "TELEPHONE NO.
CITY OR POST OFFICE t tit . 1` ZIP^ c(CODE LICENSE NO.WHEN APPLICABLE
.I..T,.r G '. i- J'Y t''' i .! ri I? Y!- -
85 John Street 0 41 State Street D 570 Delaware Avenue 0 217 Lake Avenue 202 Arterial Road
NEW YORK,NY 10038 ALBANY,NY 12207 BUFFALO,NY 14202 ROCHESTER,NY 14608 Q'SYRACUSE,NY 13206 •
\ (212)227-3700 (518)463-2122 ,(716)884-1155 (716)254-0141 • •(315)463-8552
TI-IP NPw V(1RK'R(IARf) nF F25 I "i..i,rw F RS
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THE NEW YORK BOARD. OF FIRE UNDERWRITERS PAGE 1 ,. E.
8021604
S -- BUREAU OF ELECTRICITY . . •
41 STATE STREET.AL ,NE ORK 12207
' •
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Date DECEMBER 26,1991 Applica 'on No.on filP,8 1( 3891/..-,9 1 N 414871
= -c
E I.-t THIS CERTIFIES THAT PERMIT NO. 91-722 • '
. . ,...
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only the electrical equipment as described below and introd by the .• rtt-ttantd on ifte above application number in the premises of 'pli
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1D, SOKOL, 120 AVIATION RD. , SOKOL'S .MARKET, OUEENSBURV, N,Y. . • EA .
•
1 in the following location; El Basement E 1st Fl. El 2nd Fl. Section Block Lot
..,
-1 DECEMBER 05,1991
was examined on . and found to be in compliance with the requirements of this Board.
-4
-.<
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS a
ECEPTACLESI SWITCHES r4:
•:-:. -4 OUTLETS INCANDESCENT:FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. ..,R...
,:r• -. ..,:.
4 4 ,-,
__. ' . : -
__,...
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RECTT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
- SYSTEMS -4
MAT. K.W. OIL H.P. - GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. moo.. H.P. NO.OF FEET NAT. WATTS 'f-
t-.
2 .. . . •':.. -
•
-SERVICE DISCONNECT NO.OF S -E - •R-! V : - I. - C . -- E -
i AMT. AMP. TYPE
METER.
EQUIP UN 2W 1%3W 3 0 3W 3 0 AW NO.OFpf5VOND.
OF V:iaNID.. NO.OF HI-LEG ot•ase NO.OF NEUTRALS
OFANUAL
••F
-.77: k . . :•ii. F.
t-- k OTHER APPARATUS:
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7.: SOKOL' S MARKET - •
5.: 120 AVIATION RD. . cru,re'i. „.
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:::: • QUEENSBURY, NY, 12804 . . BRANCH MANAGER : r
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• . _ -_. Per This certificate must not be altered in any mannerk return to the office of the Board if-incorrect. Inspectors may be identified by their credentials. .1*
.. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
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� ,. TOWN OF QUEENSBURY
"$ 531 BAY ROAD
ts QUEENSBURY, NEW YORK 12804
'•, -� TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED�
NAME Ste//-5 /47;icei
LOCATION �,
DATE / 9/ PER/MIT/P 9/_72,Z'
TYPE OF STRUCTURE .1 , 1A-44-;
RECHECK /2 a/ pc- r44/ p / '/(79 pia L
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL--_SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
/ N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING r
DECK/PORCH/STEPS/RAILINGS/I
RELIEF VALVES
FURNACE/HOT WATER OPERATT'NG
BASEMENT INSULATION/DUG'TWORK
INTERIOR TRIM/PRIVACY/DOORS'\
FINISH FLOORS: /
BATH/KITCHEN WATERTIGHT '\
OTHER FLOORS SWEEPABLE
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
DUMPS TER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL K
OK TO ISSUE C/O OR C/C
COMMENTS:
Ow;l/ Witt C 1'r L Co
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ARRIVE ��-`,5?
DEPART /L24
INSPECTOR
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TOWI 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 (-�c: v L_ 1.�
LOCATION `� T t G .Q ec) \N t1
DATE 10`2SA c6 PERMIT ' //is
TYPE OF STRUCTURE l re-icz_ L i LA (:--K lc_, L r
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/HEADER 1
BRACING/BRIDGING /
JOIST HANGERS 1 I
JACK POSTS/MAINBEAM /
FIRES TOPPING / x
WALLS /
CEILING /
FIREWALLS
HEATING ROUGH-IN \
INSULATION: / \
FOUNDATION WAi LS INTERIOR R-
FOUNDATION ALLS EX SERIOR R-
FLOORS R-
WALLS / \ R-
CEILING \ R-
DUCT WORK OR PIPING IN UNHEATED
SPACES •
REMARKS:
C (Si ki iZ i�Cff L il,r /cif`
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I2/1-1-6o c v RO 6-19_,
ARRIVE H:
DEPART it Sc)
INSPEC R
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
F 1ME c f �LC�1
LOCATION �./f(7i/G49
DATE /4/C-4 PERMIT # 6,97-7
/ i
TYPE OF STRUCTUREiL W.Wz Iaf_ c 4'S
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 v, /
BRACING/BRIDGING
JOIST HANGERS "i
JACK POSTS/MAIN BEAM A
FIRESTOPPING /
WALLS ,i
CEILING MV `,
FIREWALLS 4`A1C 14 )/, '-
HEATING ROUGH-IN •'
INSULATION:
FOUNDATION WA LLSI INTERIOR R A.
-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
R EMA R IS T``-l4d's��}�I1�4 C�Ave-S J� 7-�'{)6 ~
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