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1991-870 r • , -CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date February 21 1992 g—I—3 91-870 This is to certify that work requested to be done as shown by Permit No. has been completed. transition room This structure may be occupied as a Bay Road Iication Owner CR. Bard By Order Town Board TOWN OF QUEENSBURY'' n2- Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 91-870 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to C.R. Bard OWNER of property located at 266 Bay Road Street,Road or Ave. 1-1 L0 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. c9 1. OWNER'S Address is Same c. 2. CONTRACTOR or BUILDER'S Name C.R. Bard Maintenance tT CO a 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name 5. ARCHITECT'S Address 0 G1 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications No 1100 sq ft alteration to building as per plot plan specifications and application 8. Proposed Use • Interior partition walls $ 55.00 PERMIT FEE PAID -THIS PERMIT EXPIRES December 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 Da of ^ ,December 1g 91 SIGNED BY 1'�C W for the Town of Queensbury buirdmg and Zoning Inspector 3 TOWN O! QVEENSBURY eftREVIEWED BY: SAID" • � Edri,'=i1/EY) Sv FEE PAID: �j,� PERMIT NO. : .`7C) . CZC, 36 7991 . ( 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. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Owner of Property: CR. BD P.O. Address: 2 k (? Ay Ropn� PHONE 793-2531 Property Location: Ztv 6 6A-y gOA-r Tax Map No. /05/ I / /Z 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: CA4A-‘1 PHONE -7913-253 NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE ____ Construction of new building * CONSTRUCTION: $ S CCU° Addition to building * ' Alteration to building * COMPLETE INFORMATION REQUIRED BELOW: (no change to exterior dimensions) * Size of Property: ft. x ft. Other work (describe) * Existing Building Size: J :7 4crcc5 -T-\rr 0 01-!7'TT}c t.y * . ft* x f t. GROSS AREA OF PROPOSEDC STRUCTURE 24A121ii&&-) * /Proposed building - distance from * / property line: M 1st Floor Sq. ,Ft. * Front Yard ft. Rear yard ft. * Side Yards ft. and ft. 2nd Floor HOD Sq. Ft. * If on corner, setback from side street- Other Floors 1J i * ft. I(� Sq. Ft. (not cellar or basement) * OCCUPANCY INFORMATION: * TOTAL FLOOR AREA: IOC) Sq. Ft. * Primary Building - * - \ Size of New Structure: One Family Dwelling 0 A- ft. x ft. * Two Family Dwelling Foundation: !NIA * Multiple Dwelling/No. of Units Pier/Slab/Crawl/Partial/Full (Circle One) * Business — No. of stories (Habitable space) 1u� 't * Ithertrial � q Height (grade to ridge) 1 - ft. * Other If residential , no. of families: NAft- * If addition what will use be? No. of rooms (excluding baths): p\A- * 13 No. of bedrooms: 1-)I fk * No. of bathrooms: FJ lit * Accessory Building: Primary heating system: NIA * Detached Garage - One/Two Car Type of fuel: /(-- )A- * Attached Garage - One/Two Car No. of fireplaces to be installed: N1�`r * Private Storage Building Will a woodstove be installed?: N * Other Central Air Conditioning: Yes _ No Y * (OVER) BUILDING PERMIT APPLICATION CONTINUED: BUILDING SPECIFICATIONS: Type of construction: wood frame, fire safe, etc. 16 s(46`7-°C1- k) Z )(¢ '-ruP5 Will any second-hand or ungraded lumber be used? If so, for what? `1J� • O1 I��'�Km Foundation Wall Material : N IA- Thickness: • Depth of Foundation below grade (to bottom of footing) : .‘it Will there be a cellar? VT Heated or Unheated? Floor Sq. Footage: Will there be a basement?N Will any portion be used as living space? If so, what portion? Sq. Ft. Type of Use? Type of Roof: Sloped/Flat/Shed/Other iv Material of Roof ME-c-A Size, wed studs — " x 9- " ; spacing (o " o.c. ; length i- ft. Joists (floor beams) : 1st Floor Ni'` " x spacing " o.c. ; span ft. Joists (floor beams): 2nd Floor OW " x "; spacing " o.c. ; span ft. Overlays (ceiling beams) : Olk " x "; spacing " o.c. ; span ft. Roof rafters: W " x " ; spacing o.c. ; span ft. Roof trusses (pre-engineered): spacing Iv r o.c. ; span ft. Exterior Wall Finish: NW of what material ? Interior Wall Finish: P4-1 N5\-- /( J -(L (XATIR- If a garage is to be attached, describe materials to be used for FIRE SEPARATION: 4- Is there to be an opening between garage and dwelling? \'V�' If so, will a Fire-Rated door, enclosure, self-closing device be provided??+ oIrr� dill a flue-lined chimney be installed? N - Height above roof ft. )epth of chimney foundation be grade: IU l/}- ft. )epth of fireplace hearth: 1 ft. in. dater supply - Municipal or private well : J/ca/lllC IQA L, SEPTIC SYSTEM: Distance from aY private well (including adjoining properties: e " ft. (A separate application is necessary for any repair or new installation of septic system. ) VAME OF BUILDER & ADDRESS: -Z . PAR. ) Ct PHONE 793-153 VAME OF PLUMBER & ADDRESS: � PHONE VAME OF MASON & ADDRESS: PHONE VAME OF ELECTRICIAN & ADDRESS: PHONE • DECLARATION To the best of my knowledge and belief the statements contained in this application, :ogether with the plans and specifications submitted, are a true and complete statement of ill proposed work to be done on the described premises and that all provisions of the IUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall * complied with, whether specified or not, and that such work is authorized by the owner. Signature • Owner, owner's agent, architect contractor SPECIAL CONDITIONS OF THE PERMIT: By: Code Enforcement Officer 40..'"� �"`� MIDDLE DEPARTMENT INSPECTION AGENCY,:INC. National Headquarters ��-• -1337 West Chester Pike;West Chester, PA 19380 APPLICANT COMPLETES THIS SECTION Date: irk f`/r City, Town or Township i r _ i.it County �� =T r State 1k - Location/Address -7 6-t 1'14 (�� I (If Loated in Rural Area- Please Attach Directions) Pole _ Owner ( ' 'j} Permit # — r/FQ Occupied As (I ) iJ++ Building: Nevi❑ Old /. Occupant +-�� 9 , Work Area in Building (Floor #,etc.)!: '• 7 'L c-' ! App.for: Wiring❑ Service❑ 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 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 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100 Mark Number of Each Size ( Applicant's t j l Signature ' " 6 `" ''4- License # Permit # t T/A !! Utility: /O/ '€1(t r yeas t 4 Applicant's Address: 7-t•�l f. 2) (NAME) (OFFICE LOCATION) (City) r ���. Ic ,„- Phone (State) -`f (Zip) I 7-- L-�! Service Request # # 7 ? 1 ': •5 7 t `� 7. Electrician: ..-.T �ci -L MD91,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 COFEECT FEE PAID ❑ RW Progress: Inc.n LKD❑ Contractor ❑ CFT Violation: Work Comp.❑ Inc. El n L/A 'Owner CASH ❑ ❑ L/A - Fee CH K## Due MO # n IPA Municipal I N V # ' Applicant ❑ Date: Other Side❑ Utility ❑ Owner Cut in Card ❑ Temp # Date El Final # Date INSPECTORS SIGNATURE MIDDLE DEPARTMENT INSPECTION AGENCY, INC. ' - - NATIONAL HEADQUARTERS: _ - 1337 West Chester Pike,West Chester, PA 19380 -- DELAWARE NEW JERSEY - • 1815 Newport Gap Pike 1030 Kings Highway North 3901 Hartzdale Drive Marshallton, Del. 19808 Suite 310 - Suite 112 _ ._ _- (302) 999-0243 Cherry Hill, N.J. 08034 Camp Hill, Pa. 17011 _ - -= (609) 667-9200 (717) 761-5340 203 N.E. Front Street , Suite 105 Rear Entrance 350 Grove Street 1542 Bristol Pike • P.O. Box 306 "Grove XXII Corner U.S. Route 13 _ - Milford, Del. 19963 - Bridgewater, N.J. 08807 Bensalem, Pa. 19020 (302) 422-5729 (201) 526-0880 (215) '244-1919 (302) 856-2218 - 26 S. State Street Route 19, North Hackensack, N.J. 07602 P.O. Box 136 MARYLAND (201) 487-5373 Wexford, Pa. 15090 . . . (412) 931-3028 Burch Oil Co. Bldg. Route 9 (412) 935-1558 E/S-Route 5 _ Marmora, N.J. 08223 Charlotte Hall, Md. 20622 (609) 390-1940 (301) 6452219 VIRGINIA (301) 884-4547 NEW YORK 3076 Shawnee Drive Washington Co. 706 Erie Boulevard West P.O. Box 1626 " Office Bldg. P.O. Box 285 Winchester, Va. 22601 33 W. Washington Ave. Rome, N.Y. 13440 (703) 667-8484 -- Hagerstown, Md. 21740 (315) 736-0477 (301) 791-3190 (315) 337-3480 Hitch Bldg. Room 203 460 State Street ,. 636 S. Salisbury_Blvd. Suite 308 Salisbury, Md. 21801 Rochester, N.Y. 14608 - " • (301) 749-0641 , . (716).454-5191 . Cumberland City Bldg. - - -52 Margaret Street - " Third Floor Plattsburgh, N.Y. 12901 - , 20 Bedford Street (518) 563-2835 ' _ . Cumberland, Md. 21502 (301).759-6519 PENNSYLVANIA 318-A Commerce Drive -121 W. Tenth Street Easton, Aid. 21601 Erie, Pa. 16501 - (301) 822-8300 (814) 452 4604 , 18 N. Wyoming Ave. ' Room 204 - Kingston, Pa. 18704 . (717) 288-4906 NOTICE TO APPLICANTS: Final inspection and'•approval may be required by law before electrical current may be energized for use of occupants. The Agency undertakes to provide inspections until final certification is granted if such requests are made within 120 days from date of the last inspection. Upon expiration of 120 days from the date of the most recent inspection, all duties and obligations owed by the Agency shall be deemed completed,and all fees paid by applicant shall be deemed consideration for services performed. No - further inspections shall be undertaken by the Agency without filing of a new application, and the payment of relevant inspection fees. No final certification shall be implied or inferred without issuance of a duly executed certificate. The Agency.in accepting application for inspection cannot assume responsibility for unavoidable delays in inspection. "100 YEARS" PROTECTING THE CONTRACTOR AND THE CONSUMER. TOWN-OE:-QUEEWSBURY &21 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED ,2p/%-- NANE ne ' 4th‘,. LOCATION 24/;y4Yq_ &i DATE A/z/4,2- PERI4IT# 9/er7d TYPE OF STRUCTURE ,"/ 6 RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING FOUNDATION BACKFILL )FRAMING 1ROUGH PLUMBING 2C,FINAL ELECTRICAL _SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/PORCH/STEPS/RAILINGS • RELIEF VALVES FURNACE/HOT WATER OPERATING ,,- BASEMENT INSULATION/DUCTWORK P INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHTI OTHER FLOORS SWEEPABLE ',\ _ ' OTHER FLOORS CARPETED A STAIR CLEARANCE/RAILINGS '6 / HANDICAPPED ACCESS ,(' SMOKE DETECTORS LI BATHROOM FANS/WHOLEHOUSE ,FANS ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING / �. DOOR CLOSERS '-,, OTHER FIRE SEPARATION/ h. FIRE/DEMISE WALLS DUMPSTER SITE PLAN/VARIANCE:REQUIREMENTSi, FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMMENTS: is I(5 Ob- 02 9 ARRIVE DEPART T ELECTRICAL INSPECTIONS /� ODUPPLICATE MUNICIPAL RECORD • a / 76 m Per n No. /� Owner ,R 1 13 6:-.R.Aitts G N AA Occupant / �t Location _ G 4A "It Z_�/_s, 7:3,Gl 6 - / Street • Town or City /� State Installation as itemized on reverse side has been visually inspected pursuant to applicable codes. • Installed by • Date _._. ( J � IrX�LGL ... .i..ns:±faPeCns.p4sior MIDDLE DEPARTMENT INSPECTION AGENCY,INC. FORM NO.18 EL. 1337 Want Chanter Plke-West Chester.PA 19380 ROUGH WIRING OUTLETS H.P.AIR CONDITIONER .� OUTLETS WIRING &CONTROLS FOR BURNER 5� RECEPTACLES H.P.PUMP FIXTURES K.W.OVEN AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOOSAIf UNIT AMP.SERVICE CONDUCTORS K.W. DISH WASHER) K.W.SURFACE UNIT K.W. DRYER K.W. RANGE AMP. RECEPTACLE K.W.WATER HEATER FRAC. H.P.VENT FANS Cle-iT 5/" S i re-S . r 4/4440 /51/0'L—%% IOTORS M.P. I/20 1/12 I/10 y ye '/ % 1 '/ 1 11/2 2 3 5 171/2 10 15 20 25 30 40 50 75 10( IARK NUMBER F EACH SIZE PPARATUS TOWN OF QUEENSBURY "'o BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR°S REPORT REQUEST FOR INSPECTION RECEIVED 4361611 NAME �� LOCATION DATE 1 /Dicq PERMIT # C\`— 370 TYPE OF STRUCTURE RECHECK APPROVED 1 1' . N/A YES NO FOOTINGS/PIERS • \ MONOLITHIC POUR FORM 1 / REINFORCEMENT IN PLACE I / . THE CONTRACTOR IS RESPONSIBL FOR PROVIDING PROTECTION E OM FREEZING FOR 48 HOURS FOL1 WING THE PLACEMENT OF THE CONC ETE. MATERIALS FOR THIS PURPOSrEON:SITE FOUNDATION/WALL POUR _ REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING I 1 BACKFILL APPROVAL / 1 _.,./ ROUGH PLUMBING / PLUMBING VENT/VENTS LN PLACE ✓ PLUMBING UNDER SLAB,/ / tFRAMI NG: ,/ JACK STUDS/HEADERS BRACING/BRIDGING_ JOIST HANGERS JACK POSTS/MAIN BEAM 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: • & c / i 13;(f 6476am. ARRIVE DEPART INSPECTOR AdQ3 3113 XoVd I Noyd love F— >iov?j Im sitys- all" 4",;,/ "/.V cn2o/ eve eve eve TAME w ---_______ ----- I ----------------- ovo I ovo AC 'ZIU evo I evo 1/5 0 =1 i 1 0 ca Em 7A/ 1