1993-052 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
January 8 96
Date 19 _
This is to certify that work requested to be done as shown by Permit No. 93052
has been completed.
INTERIOR ALTERATIONS
This structure may be occupied as a
53 BOULEVARD
Location
Owner TREE CARE BY STAN HUNT -
Or
TAX HAP NO. 112. -1-17. 2 By der Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
VALUE $ 0. TOWN OF QUEENSBURY No 93052
TAX MAP NO. 112. -1-17. 2
WARREN COUNTY, NEW YORK
TREE CARE BY STAN HUNT
PERMISSION is hereby granted to
53 BOULEVARD
OWNER of property located at =f 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
2. CONTRACTOR or BUILDER'S Name
PRANK SEARS
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
COMMERCIAL ALTERATIONS
( 1 Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
PAIID. $25.00 TO RENEW PERMIT EXPIRES 3/18/97
8. Proposed Use
INTERIOR ALTERATIONS
25
$ PERMIT FEE PAID —THIS PERMIT EXPIRES March 18 19 97
(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 17 Day of October 19 95
SIGNED BY for the Town of Queensbury
i g and Zoni I ctor.
x
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 93-052
WARREN COUNTY, NEW YORK v
PERMISSION is herebygranted to .•
TRFF (:ARF RY STAN HUNT
OWNER of property located at 53 Roul evard 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
1. OWNER'S Address is
K&B Holding
12 Ryder Av m
S Glens Falls NY 12803
2. CONTRACTOR or BUI LDER'S Name
N
—I
Frank Sears
3. CONTRACTOR or BUILDER'S Address
-I
--I
4. ARCHITECT'S Name
Cn
5. ARCHITECT'S AddressCo
w
0
-
fD
6. TYPE of Construction—(Please indicate by X)
( 1 Wood Frame ( ) Masonry ( )Steel (
7. PLANS and Specifications
N0.680 sq ft Interior Alterations as per plot plan, specifications and
application.
8. Proposed Use
Office e
CD
$ 35.00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 18 19 94 n
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the • c�F
town of Queensbury before the expiration date.) rD
ci-
Dated at the Town of Queensbury this Day o March 19 93•
w
SIGNED BY for the Town of Queensbury
Building and Zoning In r
TOWN OP QUEENSBURY . • • :
REVIEWED BY:
deati .
10#111, FEE PAID: ___P___===___
PERMIT NO. : 9.3 ` aZ ! OFt�lS �.
RECEIVED
BUILDING PERMIT APPLICATION `
1O. &-CODE DEPT. —..__---
A PERMIT MUST BE OBTAINED BEFOREBEGINNING CONSTRUCTION. NO INSPECTIONS,„.W.I.L.LBEMADE UNTIL
APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicants spaces on this application MUST be completed and the-si-gnatu-r-e-of the.-_......:..., �,, _. ,
applicant MUST appear on the reverse side of this application.
* * *_ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Owner of Property: _ ff- R ‹,,X6A0a
P.O. Address: _/ / � 4, �
l /. PHONE
Property Location: � ,u4&' ,-/_ q 4 „ Tax_ Map No. (fa/ (-I /7
Has there been any split of this property since October 1, 1988? -Yes-,,=• - =-,NoAlimir _, ,rY;_-,�_,_ �`�'
If yes, Planning.Board. Review is necessary. ; . b:;_ �`"
• /XE:e /i-/eC 3 , fr ✓ /%M ot—N o. '
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDIfG,;.CODES.•I-S:.. -,:_,_.�:,:,_•--� -=s rs0
0 Fb---t=r-0 (c----
eA,40-3
NATURE OF PROPOSED WORK: . ""`*1''``ESTIMATED IMARKET VALUE OF THE
Construction of new building * CONSTRUCTION-:---$``��0r). - -." „�- `�'-<�-�..•
Addition to building *
-, y Alteration to building * COMPLETEINFORMATION REQUIRED BELOW:
(no change to exterior dimensions) * Size of Prop.erty.:--.a ft:.---x-- ..._ _,ft,..;a,><•
Other work (describe) * Existing Buildin _Size_;_..
Lk) ft. -V �w �_ . ft.
* . .-P-r-oposed- buil di ng distance`froM�' •-- 4
GROSS AREA OF PROPOSED STRUCTURE: * property line:
*
1st Floor Sq. Ft. * Front Yard- // ft. Rear yard t-.
* Side -Yards �� ft. and /6, ---
. 2nd Floor 6 id Sq. Ft. * If on corner, setback from side street-
* ft.
Other Floors Sq. Ft. * .
(not cellar or basement) * OCCUPANCY INFORMATION:
=TOTAL FLOOR AREA: h 4 6) Sq. Ft. * Primary Building -
* One Family Dwelling
• Size of New Structure: ft. x ft. * Two Family Dwelling
•
Foundation: MUIrrik G 40 * Multiple Dwelling/No. of Units
P ' e) * am Business
* Industrial
No. of stories (Habitable space) ammo. * Other
Height (grade to ridge) am..m. ft. *
If residential , no. of families: - * _ _ _ If addition, what will use be?
No. of rooms (excluding baths) : ..� ONCE Sei c-�
No. of bedrooms: ...... *
No. of bathrooms: . _ ammo. _ * Access'. Building:
Primary heating system: -/ « * - De :,`��-�t „_ •e - One/Two Car _ .
Type of fuel : aca- _ * Attached Garag= - Alt: T..• .-,,.
No. of fireplaces to be installed: .... * Private St. ;— "'' i^
Will a woodstove be installed?: .... - * I..J„M1��r,
Central Air Conditioning: Yes ■.... No ..•w *
(OVER)
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
•
Type of construction: Cod frame, fire safe, etc.
Will any second-hand or ungraded lumber be used? If so, for what? /V,/ )
F Thickness:
D ow grade (to bottom of footing) :
Heated or Unheated? Floor Sq. Footage:
Will any portion be used as living space?
Sq. Ft. Type of Use?
Ty ope a ed/Other Material of Roof
Size, wood studs ?_ x " ; spacing / , " o.c. ; length ft.
Joists (floor beams) : 1st. Floor " x " ; spacing " o.c. ; span ft.
Joists (floor beams) : 2nd Floor 7 " x " ; spacing a, " o.c. ; span /D ft.
Overlays (ceiling beams) : " x " ; spacing " o.c. ; span ft.
Rosimmuv04er . " ; spacing o.c. ; span ft.
Roo4.4musyserlineeredl% spacing " o.c. ; span ft.
Exterior Wall Finish: MiditiAlib sm. of what material ?
Interior Wall Finish: 5/ ' PP• t ( W/-ct—
wgonizmt2.tie , ++zrh.ad, describe materials to be used for FIRE SEPARATION:
Is t 0,„4,- a !, 4•_ ling? If so, will a Fire-Rated door,
enclosure, self-closing device be provided? 'r&s _ () c%i—CD S,-(oP —
Wi - ed? Height above roof ft.
De e: ft.
D +n 1 f gagul ee.alz tiro = ft. in.
W . well :
SEPT i a (including adjoining properties: ft.
(A separate application is necessary for any repair or new installation of septic system. )
NAME OF BUILDER & ADDRESS: Ar\)(c &at-- S PHONE ?5 8' , '
NAME OF PLUMBER & ADDRESS: PHONE
NAME OF MASON & ADDRESS: PHONE
NAME OF ELECTRICIAN & ADDRESS: PHONE
DECLARATION k ' fA a°"' v-
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 descried premises and that
all provisions of the Bui i di ng -C-odeT~the Zo►ii ng, ONIftrce-,, and—all otr er- laws
pertaining to the proposed work shall be complied with, whetherJfspecified or
not, and that such work is authorized by the owner. Further it is understood
that I/we shall submit„pra-or 'to a Certificate of Occupancy - or'rCetif icate of
S,ompl i ance bei n.g> issued, an AS BUILT PLOT PLAN drawn to sc- e, showing act , 1
location .Wp.roject on premises.
Signature r C
Owner, owner s agent, architect
contractor
SPECIAL CONDITIONS OF THE PERMIT:
•
By:
Code Enforcement Officer
(1f- e. ......0.,
� `�* MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
. National Headquarters
1337 West Chester Pike,West Chester, PA 19380
APPLICANT COMPLETES THIS SECTION Date: < j i /
City, Town or Township • ) '•-� County : -• •% :,% State f,-%�f%
Location/Address i . . ,( - %.-< --! `T
(ffIf Located in Rural Area - Please Attach Directions) Pole #
Owner 3- [k
` (4, . IL1�. _H (-1 Permit # ! . 1 '---
Occupied As Building: New❑ Old t-I.
Occupant f''. - . . -. 1 /_if r i •
,:
'_+ Work Area in Building (Floor #,etc.):
App. for: Wiring❑ Service❑ or: Ready for Inspection:
Fee Remitted-$ Cash❑ 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 1'/2 2 3 5 7,/z 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size .--
Applicant's /
Signature "`_" —�""�r License # Permit #
T/A _ Utility:
Applicant's Address: V---�- / ✓'L- -: ,./ (NAME) (OFFICE LOCATION)
(City) .`T ("-` 7r-�-.e' %- - //(state) I' .' (/ (Zip) Service Request #
Phone # ." % / � Electrician: / - r f— ,
MDIAUSE ONLY DATE RECEIVED: DATE INSPECTED:
Correct Location: Same as Aboven 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 1P/2 2 3 5 7'/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 CORRECT FEE PAID
FE
I RW Progress: Inc.❑ LKD❑ Contractor
❑ CFT Violation: Work Comp.n• Inc. ❑
n L/A Owner CASH ❑
/A Fee CHK #
Due MO #
IPA Municipal
INV #
Date: - Other Side❑ Utility Applicant
Owner
Cut in Card n Temp # Date
n Final # Date _ INSPECTORS SIGNATURE -
' ' r
ee i ire-rink! cnoM Al(1 9Fn Fi 11/RO -
TOWN OF QUEENSBURY511
r.
BUILDING & CODE ENFORCEMENT
531 BAY RD., QUEENSBURY NY 12804 f,p - r
INSPECTOR'S REPORT: ARRLQI/J DEPARTd.'GrINT REQUEST FOR.FOR. SPECTION RECEIVED: `CL S
NAME c.7LOCATION
c DATE I
?Q-p LS PERMIT # Q
TYPE OF STRUCTURE: y
RECHECK<VL040(4: APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALLPOUR 6 /
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS I /PIIACE
ROUGH PLUMBING
PLUMBING UNDER LAB
FRAMING:
JA K STUDS/HEADEkS
BRACING/BRIDGING'
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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-
Seel r C',�� vie... lL 4t<o i-ve,,i sy
6,11-,sf6— ;//• (
'r / G1, Cr//Ki
gt//'
S\-MA-�1 V;:
e TOWN OF QUEENSBURY 4 'I;
BUILDING & CODE ENFORCEMENT ' kn•
531 BAY RD., QUEENSBURY NY 12804 "• I
INSPECTOR'S REPORT: AR5/60 DEPART/6/4
REQUEST FOR INSPECTION RECEIVED: /3- --IL/
-01 5
� c'�� fJ
NAME � c} `Q� t', �' ()A. utA d
LOCATION 5 3 2{(ulQQ7)r,tQ '
DATE 1 P,--) 1�;� 5 PERMIT it DI 3- O 5 p.
TYPE OF STRUCTURE: -1:0 / l
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE .
THE CONTRACTOR IS RESPON ABLE FOR
PROVIDING PROTE TION FRO FREEZING
FOR 48 HOURS FOLLOWING TH PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOF' G
BACKFILL APPROVA.
PLUMBING VENT ENTS IN PLACE 1
ROUGH PLUMBI G \1
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER
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-
j.Y1 ee SG'G4' d St1 1/
C/CC /2/Zd jsi ern.
Ail
• TOWN OF QUEENSBURY
' e. BUILDING & CODE ENFORCEMENT
7421 BAY ROAD
,:•a. 'r QUEENSBURY NY 12804
(518)745-4447
ARRIVE: /1/0 DEPART: //zi INSP: WP-
FINAL INSPECTION REPORT
COMMERCIAL MULTIPLE DWELLING
(hotel, motel, a t. m e
DATE INSPECTION 4EC7.UEST R / X;
NAME n -e
LOCATION /.�/ �f e(1rG(_�Q�
I1i /�'/ / j PERMIT # / ,v'+ .
TYPE OF STRU TURE aid` Q ,Y-AS
FOOTINGS BACKFILL_ FRAMING_ PLUMBING_
INSULATION
N/A YES NO
CHIMNEY/"B" VENT/HEIGHT •
PLUMBING VENT/FIXTURES
ROOFING
EXTERIOR FINISH
HEATING/HOT WATER
RELIEF VALVES
FLOORS
FOUNDATION INSULATINt
INTERIOR STAIRS/RAILINGS
STOCKROOM ENCLOSUREEI
FIRE/DEMISE WALLS, PENETRATION
FIRE DAMPERS /
g' q
CEILING FIRE STOPPING
FIRE DOORS/CLOS RS
EXIT DOOR HARDW',RE
EXIT STAIRS/RAILS
PLATFORM/ELEVATOR '
HANDICAPPED ACCESS -
HANDICAPPED BATHS °
HANDICAPPED PARKING
FINAL ELECTRICAL '
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLAN, IF REQ
OK TO ISSUE C/O OR C/C
/t)eu/ vger Ait : f e/Z 4 re c��-
7 ,cif fC „„/,t r Sear-5
C�Gnj t (A T«. ram./ Jo r.
-VP Ailliat A a/( d 4,J c°e"I
ctsA j\___Q/6..j-- /cej\.:\_/0 szr.
I C. Jjsal,_
cire 51 0 u L
TOWN OF QUEENSBURY �1 '
t, 4. BUILDING & CODE ENFORCEMENT
0001106.
} -! 7421 BAY ROAD , p p
v � QUEENSBURY NY 12804
-p`" r, (518)745-4447
&A 130 +10144/\
ARRIVE: ADEPART: 4/GU INSP: I��
FINAL INSPECTION REPORT
COMMERCIAL MULTIPLE DWELLING
(hotel, motel, a t. co}11 ple(i)
DATE INSPECTTION REQUEST
� RECEIVED: i 1.1 - l
NAME \Y e C��'v `-'�'4J�.-` 7-cv
LOCATION 5 3 I,� A D pA Jr •
DATE ! a -c"C\ PERMIT # tJ V5g_
TYPE OF STRUCTURE 1;114 F'
FOOTINGS BACKFILL, FRAMING_ PLUMBING_
INSULATION
f N/A YES NO
CHIMNEY/"B" VENT/HEI HT
PLUMBING VENT/FIXTUR S
ROOFING /
EXTERIOR FINISH /
HEATING/HOT WATER I
RELIEF VALVES /
FLOORS • /
FOUNDATION INSULATION //
INTERIOR STAIRS/RAILING
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PE T TION
FIRE DAMPERS
CEILING FIRE STOP ING
FIRE DOORS/CLOS RS
EXIT DOOR HARDWARE
EXIT STAIRS/RAILS ,
PLATFORM/ELEVATOR '
HANDICAPPED ACCESS
•
HANDICAPPED BATHS
HANDICAPPED PARKING
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO:
FINAL SURVEY PLOT PLAN., IF REQ
OK TO ISSUE C/O OR C/C _ •
""---7) / 1 JC 3CA
TOWN OF QUEENSBURY =a#'. , ,
BUILDING & CODE ENFORCEMENT `.c., `s'
531 BAY RD., QUEENSBURY NY 12804 '.`,p 0!+;,^;L,
INSPECTOR'S REPORT: ARRAWr DEPART IN'i'��✓l
REQUEST FOR INSPECTION RECEIVED: �� I L 5
......----
NAME 1P ^
LOCATION
DATE —t --Ci- PERMIT #y
TYPE OF STRUCTURE: 14 (VI I-
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM ,
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZIN!'
FOR 48 HOURS FOLLOWING THE PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SIiE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE t--
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/•EADERS di
BRACING/BR-DGING __
JOIST HANjERS
JACK POSI'S/MAIN BEAM -
AIR INFILTRATION` BARRIER
HEATING ROUGHJIN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R_ `
CEILING R- -
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
•
Le / e-C3 .,c car A-J-Z"
)/f e p' /a: /...e d 4_,
/ t� ‘416,4-
j/O� ,, A:r /�
; 'v"�v'y
TOWN OF QUEENSBURY
eil ',; BUILDING & CODE ENFORCEMENT
t � 7421 BAY ROAD
+- ' QUEENSBURY NY 12804
(518)745-4447
'-
ARRIVE: 02/7') DEPART: o310U INSP: 24==._
FINAL INSPECTION REPORT
COMMERCIAL MULTIPLE DWELLING
(hotel, motel, apt. com le s
DATE INSPECCTION REQUEST RE V
Clir
NAME 1 e. C9L \- 1 `
LOCATION S t&m>
DATE I V --/(� TT � �
PERMIT # L,�'` 005 oC
• TYPE OF STRUCTURE 4.1a 'lrei-_Q-rjn' o
FOOTINGS BACKFILL FRAMING PLUMBING_
INSULATION
N/A YES NO
CHIMNEY/"B" VENT/HEIGHT
PLUMBING VENT/F1'XTURES
ROOFING
EXTERIOR FINISH
HEATING/HOT WATER
RELIEF VALVES I
FLOORS , _
FOUNDATION INSULATION
INTERIOR STAIRS/RAILINGS
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PENETRATION
i
FIRE DAMPERS
CEILING FIRE STOPPING
FIRE DOORS/CLOSERS
EXIT DOOR HARDWARE
EXIT STAIRS/RAILS ,
PLATFORM/ELEVATOR '
HANDICAPPED ACCESS
HANDICAPPED BATHS
HANDICAPPED PARKING
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN, IF REQ
OK TO ISSUE C/O OR C/C _
___ tica 4/,,14,/ 4 epiertt-- s74.04.
- dee,/,0,4 444,4 Cei/, c�-
a,j2 s'% GF
TOWN OF QUEENSBURY
1111 BUILDING & CODE ENFORCEMENT
It
531 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447/
ARRIVE: `/•`�� DEPART: /( zr INSP:
FINAL INSPECTION REPORT
COMMERCIAL MULTIPLE DWELLING
DATE INSPECTION REQUEST RECEIVED:NAME 1ife LG�- 9 C)q &A--
LOCATION , .
DATE f W c PERMIT # ~
TYPE OF STRUCTURE
FOOTINGS BACKFILL_ FRAMING_ PLUMBING
INSULATION
N/A YES NO
CHIMNEY/"B" VENT/HEIGHT
PLUMBING VENT/FIXTURES
ROOFING
EXTERIOR FINISH
HEATING/HOT WATER
RELIEF VALVES
FLOORS
FOUNDATION INSULATION
INTERIOR STAIRS/RAIL GS
STOCKROOM ENCLOSUR
FIRE/DEMISE WAL PENETRATION
FIRE DAMPERS ,
CEILING FIR STOPPING
FIRE DOOR /CLOSERS
EXIT DOO HARDWARE
EXIT STAIRS/RAILS
PLATFORM/ELEVATOR •
HANDICAPPED ACCESS
•
HANDICAPPED BATHS
HANDICAPPED PARKING •
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN, IF REQ
i!/
OK- TO ISSUE C/O OR C/C
4// =�7`ins c6744—
/' ;/ C
TOWN OF QUEENSBURY
531 BAY ROAD
•i3t , QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME /f(fArr- .G - ��1W,07-(6
LOCATION P L(J P -
DATE y/rs/!iy' PERMIT# —dam Z
TYPE OF STRUCTURE/4/Tic -io ii /it..A-",
RECHECK
FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A , YES NO
CHIMNEY HEIGHT/LOCATION I
B VENT/LOCATION
PLUMBING VENT N
ROOFING \
SIDING q
DECK/PORCH/STEPS/RAILIN S .
RELIEF VALVES
FURNACE/HOT WATER OPERAT�I�IG
INTERIOR TRIM/PRIVACY D "OR,
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPA,LE
OTHER FLOORS CARPF `ED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
DOOR CLOSERS
BATHROOM FANS
ALL PLUMBING FIXTURES OPERATING \
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
l-1 rT (.ram a Lti irt-i KA-V-14 " ) ¢e2T-()
"ram A4 /
R ►'� / JP - lof
ARRIVE
DEPART
/ ,LINS CTOR
114 PL iP rffi
ELECTRICAL INSPECTIONS
DUPLICATE MUNICIPAL RECORD
Q�
Permit No w; 6
Owner !d2 L& e#1"'9 /3,v J%1"LJ kitel
Occupant
Location 6-.3 C:W/PAO
No. �� Street
LLC — v
Town or City State
Installation as itemized on reverse side has been� visually inspected pursuant to applicable codes.
Installed by I—, a°/-AK -6-/� No. /�/'6 6
Date c� 9 3 � Inspector
MIDDLE DEPARTMENT INSPECTION AGENCY INC.
FORM NO.18 EL. 900 Haddon Ave.,,Collingswood, NJ 08108
_3 ROUGH WIRING OUTLETSEs H.P.AIR CONDITIONER
�r 49fdaG7.S 5Zi1,7Cl7 WIRING &CONTROLS FOR BURNER
RECEPTACLES H.P.PUMP
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
7 717'L(q/-e S 0 e-PVC
4OTORS H.P. I/2O 1/12 I/IO% 'A % '/ '/z '/� 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 10(
/ARK NUMBER
iF EACH SIZE
4PPARATUS -
TOWN OF QUEENSBURY
531 Bay Rd. , Queensbury NY 12804
J 518-745-4447
Building & Code Enforcement
INSPECTOR'S REPORT
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93,o
Lu D.
Property Location
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Owner or Tenant
Building X Sewage Sign Other
Remarks:
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CONTACT THIS OFFICE WITHIN
If; oa A4A
Bu"iTd' g s ector
TOW! OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME Acip-r156.4.0_5
LOCATION B L
DATE (3/0/93 PERMIT 0 Q/-\,v{p( 6,d v
TYPE OF STRUCTURE
RECHECK APPROVED
IN/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONT" .CTOR IS :I SPCNSIBLE
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 ,s
BACKFILL APPROVAL
ROUGH PLUMBING / /
PLUMBING VENT/VENTS IN PLACE'
PLUMBING UNDER SLA
FRAMING: �y
JACK STUDS/HEADE S I
BRACING/BRIDGING 1
JOIST HANGERS I'
JACK POSTS/MAIN B ,M
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALV INTERIOR R-
FOUNDATION WA S EX ERIOR R-
FLOORS ' R-
WALLS R-
CEILING / R-
DUCT WORK OR PIPING IN UNHEATED
SPACES \
REMARKS: ,
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Application . . 2E-CO/ZD aE.s'C2/P770N1•
MAR 17 1993
4ar.4 _ �"` "Unauthorized alteration or addition „ -- .; �8
to a ourveq map Dearing a Licensed Onlq oopiea from the original of this
Zoning 'dminist ator Land Surveyor's seal in a violation survey marked with an original of the jJ'�JTE' gQi(/Q,PE`t
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