1993-004 ' X
BUILDING PERMIT
TOWN OF QUEENSBURY •
No. 93-004
WARREN COUNTY, NEW YORK
J 3 cri
PERMISSION is hereby granted to C.R. BARD F-
OWNER of property located at Pi ` Bay Road, Bldg. 2 Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Interior Alterations
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)
same •
70
to
2. CONTRACTOR or BUILDER'S Name
t7
same
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
N
rn
to
iv
5. ARCHITECT'S Address
O
Q
to
6. TYPE of Construction-(Please indicate by X)
N
( I Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
N 5500 sq ft Interior Alterations as per plot plan, specifications
and appgication.
8. Proposed Use
Manufacturing area update
c+
co
50.00 JANUARY 14 94
$ PERMIT FEE PAID -THIS PERMIT EXPIRES 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the ct
town of Queensbury before the expiration date.) CD
iv
ci-
Dated at the Town of Queensbury this 1Day of January 19 93 0
_./ v.)SIGNED BY O )0 for the Town of Queensbury
Building and Zoning Inspe r
TOWN OF QUEENSBURY
�� REVIEWED BY:
� % FEE PAID: t,56
PERMIT NO. : a3.®ot .v,, OF QUEENSbL
BUILDING PERMIT APPLICATION jA
7 1993
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS kJTLEa MAe nNTIL
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: _ ( - (Zug
P.O. Address: (Q Fyi-y TIT, �v£ , t�v1,7 /(J y 1 z PHONE �� ,j
z�� S[ x_2�'9
Property Location: /q-7 l7 Tax Map No. / /
Has there been any split of this property since October 1, 1988? Yes No Y
If yes, Planning Board Review is necessary.
Subdivision Name, if applicable: Lot No.
THE P ON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
071.))/41..-0 gFeCK,t___.
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE-0
Construction of new building * CONSTRUCTION: $ O j t
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:
* ft. x ft.
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
*
1st Floor Sq. Ft. * Front Yard ft. Rear yard ft.
* Side Yards ft. and ft.
2nd Floor Sq. Ft. * If on corner, setback from side street-
* ft.
Other Floors Sq. Ft. *
(not cellar or basement) * OCCUPANCY INFORMATION:
(k
TOTAL FLOOR AREA: CSSq. Ft. * Primary Building -
* One Family Dwelling
Size of New Structure: ft. x ft. * Two Family Dwelling
Foundation: * Multiple Dwelling/No. of Units _
Pier/Slab/Crawl/Partial/Full (Circle One) * Business
* }C. Industrial
No. of stories (Habitable space) * Other
Height (grade to ridge) ft. *
If residential , no. of families: * If addition, what will use be?
No. of rooms (excluding baths) : *
No. of bedrooms: *
No. of bathrooms: * Accessory Building:
Primary heating system: * Detached Garage - One/Two Car
Type of fuel : * Attached Garage - One/Two Car
No. of fireplaces to be installed: * Private Storage Building
Will a woodstove be installed?: * Other
Central Air Conditioning: Yes No *
(OVER) dqa Cam.
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: wood frame, fire safe, etc. gl-o-c-- --
Will any second-hand or ungraded lumber be used? If so, for what? �vO
Foundation Wall Material : : & Thickness:
4s-7/
Depth of Foundation below grade (to bottom of footing) : Vr
Will there be a cellar? (Vv Heated or Unheated? Floor Sq. Footage:
Will there be a basement? VO Will any portion be used as living space?
If so, what portion? Sq. Ft. Type of Use?
Type of Roof: Sloped/Flat/Shed/Other 1 /-n-r- Material of Roof 7,, , j b Li
Size, wood studs " x Ci "; spacing f/" o.c. ; length lb ft.
Joists (floor beams) : 1st Floor /lam' x "; spacing " o.c. ; span ft.
Joists (floor beams) : 2nd Floor 011 " x " ; spacing " o.c. ; span ft.
Overlays (ceiling beams) : j'Un" x " ; spacing • " o.c. ; span ft.
Roof rafters: jlI x " ; spacing o.c. ; span ft.
Roof trusses (pre-engineered : pacing " o.c. ; span ft.
Exterior Wall Finish: 34ucc/C— of what material ?
Interior Wall Finish: SLT- t2OG1
If a garage is to be attached, describe materials to be used for FIRE SEPARATION: iV/4--
Is there to be an opening between garage and dwelling? I//If so, will a Fire-Rated door,
enclosure, self-closing device be provided?
Will a flue-lined chimney be installed? A / eight above roof ft.
Depth of chimney foundation below rade: A/ ft.
Depth of fireplace hearth: j ft. in.
Water supply - Municipal or private well : urvre,c pt`t"—
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: _ CV. Sfl-P-; /stp.6, 76/4- Rd PHONE
NAME OF PLUMBER & ADDRESS: tt Lc /' ��r PHONE Z S
NAME OF MASON & ADDRESS: Ii 4/ // i/ PHONE
NAME OF ELECTRICIAN & ADDRESS: ! I II /' 0 PHONE
DECLARATION
To the best of my knowledge 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. Further it is understood
that I/we shall submit prior to a Certificate of Occupancy or Certificate of
Compliance being issued, an AS BUILT PLOT PLAN drawn scale, s owing tual
location of project on premises.
Signature
Owner, owners age , architecT-
contractor
•
SPECIAL CONDITIONS OF THE PERMIT: .
•
By:
Code Enforcement Officer
+'( "'� MIDDLE DEPARTMENT INSPECTION AGENCY, INC. -
\ fix National Headquarters
1$37 West Chester Pike,West Chester, PA 19380
APPLICANT COMPLETES THIS SECTION /
Date:,/ /
.
/
•
City, Town or Township ( • : " --'''' f County ( -', = I, State k) ((((/
r
Location/Address '' ' ' - I / - ' I ' '! / 7 / . t-..
(If Located in Rural Area-Please Attach Directions) Pole # /
Owner I- r 1 " • Permit # / /(-
Occupied As I - i ' r=: Building: New❑ Old❑:
Occupant ) /_
Work Area in Building (Floor #,etc.): r" 1_,..-,1 c / r Z
App. for: Wiring,❑ Service n or: Ready for Inspection: /
Fee Remitted-$ 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
Water Heater Air Conditioner Dryer Pump
Receptacles
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 7i 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size / I
;/ f
Applicant's <f
Signature t; - 'u-' License # Permit #
•
fir- / l j
T/A \ Utility: (NAME)/ll /V l) (Cd'F/F-ICE-LOCATI'OJiIQ
Applicant's Address: �-r(, l��y w.; �C�
(City) ( �. -- - )-•,/,• --i (State) /'U (Zip) i 2 /C LI Service Request #
Phone # 7 - 1, / (:7 7,1 z. Z <-c-/ Electrician:
MDIA 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 -
I500 750 1000 1250 1500'1750 2000 2250 2500 2750 3000
Elect. Heat
CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECTFEE FEE PAID
❑ RW Progress: Inc.❑ LKD❑ Contractor
❑ CFT Violation: Work Comp.n Inc. ❑
n L/A Owner CASH ❑
Fee CHK #
❑ L/A Due MO #
n IPA Municipal
• • INV #
Date: Other Side El Utility Applicant ❑Owner
Cut in Card n Temp # Date
n Final # Date INSPECTORS SIGNATURE
•
APPLICATION FORM NO.250 EL 11/89
GENERAL INSPECTION REPORT
Town of Queensbury
Dept. of Community Development Date inspection request received:
Building&Code Enforcement
742 Bay Road
Queensbury,NY 12804 Arrive Alb am/pm Depart am/pm
Inspector's Initials COr
NAME: c b:X.'(-) PERMIT# 3- ocp
`f
LOCATION: ) \ { ,› 'DA 3--1 ,- ?
TYPE OF STRUCTURE: _XJ -€ ()..`(Y- \-P^/t 't L -<
RECHECK
N/A YES NO COMMENTS
Footings/Piers I I
Monolithic Pour Form _
Reinforcement in Place
The contractor is responsible for
providing protection.from fr ing Cilf - o s 1
for 48 hours following the p1 cement
of the concrete. ��
Materials for this purpose on si /yo 1 Jar �u (421-/e
Foundation/Wallpour
Reinforcement in Place
Foundation/Dampproofin
Backfill Approval /
Plumbing Under Slab /
Plumbing Vent/Vents'in Place
Rough Plumbing
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 R-
Proper Vent, Attic Vent
Framing
Jack Studs/Headers `
Bracing/Bridging
Joist Hangers
Jack Posts/Main Beam
Air Infiltration Barrier
Fire Separation 1, 2, 3, hour
Penetration Sealed
Fire Wall 2, 3, 4 hour .
Firestopping
ELECTRICAL INSPECTIONS
DUPLICATE MUNICIPAL RECORD 0(')
Permit No. 3-?o
V
Owner g, e/m419
Occupant
Location '''2-6) 4/9-V
a (26-73-ws Street
Town or Cuy State
Installation as itemized on reverse side has been visually inspected pursuant to applicable
codes.
Installed by
9c)
Date c:-/Z4.:772121Pa2..i...L._ Inspector
MIDDLE DEPARTMENT INSPECTION AGENCY INC.
nnn Atm rnilinncuunnr1 N.I 08108
ROUGH WIRING OUTLETS H.P.AIR CONDITIONER
6WSJ.F34S •Fj'V/' re/r WIRING &CONTROLS FOR BURNER
/ 3 RECEPTACLES H.P.PUMP
'30119 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
f-Cl�ie� -3e- frLires 'I �•
IOTORS H.P. I/20 1/12 I/IO %s 1/6 % '/a I/ '/4 1 1' 2 3 5 7%: 10 15 20 25 30 40 50 75 10(
HARK NUMBER
IF EACH SIZE •
4PPARATUS
Q- /gf7 TOWN OF QUEENSBURY
f .; 531 BAY ROAD
.4 QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED 3/�5 iq3
NAME 0 / &A —
LOCATION j(d9 a .
DATEwg/ ,6J9 PERMIT# 93,90,/
TYPE OF STRUCTURE J� i ( Q/
RECHECK .
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 :r✓
PLUMBING VENT ✓
ROOFING ✓
SIDING
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING ? L./-
BASEMENT INSULATION/DUCTWORK '
INTERIOR TRIM/PRIVACY DOO
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT) 17
OTHER FLOORS SWEEPABLE 11
OTHER FLOORS CARPETED /;! A
STAIR CLEARANCE/RAILINGSs' A IX
HANDICAPPED ACCESS
SMOKE DETECTORS 'A V
BATHROOM FANS/WHOLEHOUSE FANS /
ALL PLUMBING FIXTURES/.,'TOPERATING
GARAGE FIRE PROOFING f //".
DOOR CLOSERS ,I \;/
OTHER FIRE SEPARATIgJI
FIRE/DEMISE WALLS I ,/�
DUMPS TER �' • fj
SITE PLAN/VARIANCESREQUIREMENTS i/ \
FINAL ELECTRICAL /
OK TO ISSUE C/O OR/C/C
COMMENTS:
'i/ o4-1
ke0( /Z7r fr-141
ARRIVE A
DEPART (71)21
SP T
TOWN OF QUEENSBURY a� j�
b/4k/"" FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
1 . TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED 3/z5"/9_3
NAME C 1 & j
LOCATION /./4W40ro
DATE 0,-(; /9 ___ :PERMIT# 9J-a0V
. APPROVED
NO YES/ NO
EXITS ✓✓/
AISLE WIDTHS
EXIT SIGNS . 6
EMERGENCY LIGHTING ; t'
FIRE EXTINGUISHERS��' � \/
AUTO. EXTINGUISHING:;,SYSTEM .r; f HOOD INSTALLATION �;, ,y?`
AUTO. SPRINKLER SYSTEM if ,/
ALARM SYSTEM '�;
INTERIOR FINISHES I \
STORAGE: `
CLEARANCE TO SPRINKLERS
CLEARANCE .TO HEATING UNITS
REQUIRED SIGNAGE I
CHIMNEY / .
WOODSTOVE /
FIREPLACE-MASONRY //
FIREPLACE-FACTORY BUILTNN
REMARKS: 1 I OK TO THIS DATE
, /OK
10119 ///
2/015 INSPECTOR
TOWN OF QUEENSBURY
FIRE S OFFICE
REVIEs 8Y
DACE 14W`?'�
r _
G� P J�,t fe�,00444J.�
TOWN OFF QUEENSIBURY
REVIEWED BY
DATE
TOWN OF QUEENSBURY BUILDING DEPARTMENT
Based on our limited examination,
compliance with our comments shall
not be construed as indicating the
plans and specifications are in full
compliance with the code.
HLE Cu"^-PY
BUILDING ul - PROPOSED RENOVATIONS
TOWN OF QUEENSBURY FIRE MARSHAL
Based on our limited examination,
compliance with our comments shall
not N construed as indicating the
plans and specifications are in full
compliance with the code.
SCALE: 1/6 1.00"
12/22/92 H.ABRAHAMSON
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