1993-079 ,.- .yam -;J. _,.n—vv - ✓ .. v -..,,e�-ti„�va4e,y;: ',v. _ -,. _y.-h-• t,� i. _ - -- -. „.-• -.. _ ,. _
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date February 10 , 19 95
This is to certify that work requested to be done as shown!by Permit No. 93-079
has been completed.
This structure may be occupied as a eye and offices
45 Qullaker Road
Location
Mlichaji 1 & Susan Kaidas
Owner
Tenant: AMC-Dept. of 0ptomology-Lions Eye Institute
By, Order Town Board
TO TOWN OF QUEENSBURY
c
Director of Bldg. & Code Enforcement
f ' is •
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 93-079
WARREN COUNTY, NEW YORK
cn
PERMISSION is hereby
granted to MICHAEL AND SUSAN KAIDAS
w
OWNER of property located at 45 Quaker Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a T ntPri or Al terati nnc
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
PO Box 268 n
Cleverdale NY 12820
2. CONTRACTOR or BUILDER'S Name —A.
m-
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ro
3. CONTRACTOR or BUILDER'S Address
to
N
A)
4. ARCHITECT'S Name
5. ARCHITECT'S Address
tit
6. TYPE of Construction—(Please indicate by X) s=
cv
(X)Wood Frame ( ) Masonry ( )Steel ( I
'S
C.
7. PLANS and Specifications
No. 800 sq ft Interior Alterations as per plot plan, specifications and
application. And in accordance with Area Variance 131-1992
8. Proposed Use
Eye Clinic/Offices
CD
J.
0
$ 40.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 1 19 94
(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.) c-F
fD
Z
Dated at the Town of Queensbury this ay of April 19 93
0
SIGNED BY for the Town of Queensbury J11
Building Zoning Inspector
TOWN OF QUEENSBURY REVIEWED BY:
COMMUNITY DEVELOPMENT DEPARTMENT -; -j0 �0
BUILDING & CODE ENFORCEMENT U, FEE PAID:
531 BAY ROAD .,4, ; �}
QUEENSBURY, NEW YORK 12804 PERMIT NO. c - 0(q
(518) 745-4447
BUILDING PERMIT APPLICATION
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTIQIfOF QLEENSBECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUITENUEVEvERMIT.
All applicants' spaces on this application MUST be completed and the
signature of the applicant MUST appear on the applicaltauefapo
ARc - NO
OWNER OF PROPERTY: '4(1.1) 1 C
Mailing Address :
Telephone Number(s ) : Wor Home Other
PROPERTY LOCATION: 45 c (1,10.4CL4 .
Tax Map Number: Section Block Lot
Subdivision Name: Lot No.
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE (r/10°-1
CONSTRUCTION: $ gOo gi
NEW BUILDING:
RESIDENCE/COMMERCIAL OCCUPANCY INFORMATION:
ADDITION TO BUILDING: PRIMARY BUILDING -
RESIDENCE/COMMERCIAL Single Family Dwelling
XALTERATION TO BUILDING: Two Family Dwelling
RESIDENCE/COMMERCIAL Family Dwelling
(NO CHANGE TO EXTERIOR SIZE) Office
OTHER WORK (DESCRIBE BELOW) Mercantile
Warehouse
Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE:
1ST FLOOR SQ. FT.
IF ADDITION, USE OF NEW ADDITION:
2ND FLOOR SQ. FT. 870 U i
OTHER FLOORS SQ. FT.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage - One/Two Car
TOTAL FLOOR AREA: SQ. FT. Attached Garage - One/Two Car
Private Storage Building
SIZE OF NEW STRUCTURE : Commercial Storage Building
Other
FEET X FEET
Foundation Type: Will any second-hand or ungraded
Number of Stories : lumber be used? If so, for what?
(habitable space only)
Height (grade to ridge) : feet Type of Heating System:
Number of fireplaces and/or woodstove (circle all whic ies)
to be installed: Electri / Gas / Wood
orced Hot Air'/ eboard / Other
V
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING(ODES IS :
NAME OF BUILDER/ADDRESS/PHONE :
NAME OF PLUMBER/ADDRESS/PHONE:
' NAME OF MASON/ADDRESS/PHONE :
NAME OF ELECTRICAN/ADDRESS/PHONE:
DECLARATION
To the best of my knowledge the statements contained in th' s appli-
cation, 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 noted, 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 to scale, showing actual 1 ion o project on premises .
Signature
, ner' s agent, architect, contractor)
FOR ANY SPECIAL PROVISIONS - SEE REVERSE SIDE:
THE NEW.YORK BOARD OF FIRE. UNDERWRITERS -- CERTIFICATE NO.
DO NOT WRITE HERE—FOR OFFICE USE ONLY • i .
BUILDING PERMIT NO.
TEMP.# DATE 4✓� f -
CITY OR VILLAGE ZIP CODE 'r- yt TOWNSHIP COUNTY r j
i:- i, -?e ID l\ ..\-'1`,i# '\1 I ki` e' }'1 I �I\I it3L.'r�
STREEY'AND NO.OS•AOAD� I J,��'j
T POLE NUMBER
S d k / \I✓ t
. �.�^^.:..�.��. �t fi�(��\,�.' .`1(�/•of t
BETWEEN WWU TWO CROSS STREETS IS PREMISES LOCATED? a: i • SECTION - BLOCK - - LOT
OCCUPANT'S NAME 't�„•,-' BUILDING OCCUPANCY l
'i,C) :t:' '5' t-� \ V . ' ( I a fl ! 1 .
OWNER'SNAMEANDADDRESS r ` '� - HOME TELEPHONE NUMBER
a
CURRENTt SUPPLIED BY - i. FROM THEIR OFFICE WORK TELEPHONE NUMBER
& Ala kIThrV (� 1
t4 i,, -•-1 A\
BUILDING IS %j ..r.'�P
NEW❑ •..- _ -• -'-OLD-L:1�� WORK IS NEW❑�� ADDmONAL❑ DEFECTS REMOVED❑
. . - .:LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
. No.of.Fixtures& BRANCH OFFICE USE '.
NUMBER OF OUTLETS MOTORS HEATERS
-Coca- - -• - •_ � Lamp Receptacles CIRCUITS ONLY
- ,lion -Side: Attach't H.P. Watts A.W.G.
- Ceiling Wall rtecep'Is_ •Switch - Pendant Bracket No. Type Each No• Each No• Gauge INSPECTION
• OUT- - ,
• SIDE
.SUB-
BASE
BASE- . .
MEN?'
1st"
FL.
- ' 2nd
FL
3rd
FL.
•
- " REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE. • .
r'
THIS APPLICATION IS INTENDED._TO COVER THE ABOVE-LISTED EQUIPMENT TO 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,PJIOVIDED BY THE APPLICANT. - . .
SIZE OF MAINS S FEEDERS ELECTRIC SIGNSILAMPS TOTAL WATTS
CHARACTER OF WORK - ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF . VA
❑ CONCEALED ..
• DIVE WORK TO BE STARTED .DATE COMPLETED SIZE OF SIGN(NUMBER) • CAPACITY
_ SERVICE ENTERS BUILDING - MANUFACTURER OF SIGN
❑ OVERHEAD ❑ UNDERGROUND -. _
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANTS ►
IDENTIFICATION NUMBER
- AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION:ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED..- -
PRINT NAME AND ADDRESS
- NAME.OE APPLI NT ._.Si) - F� �4t,y DATE OF APPLICATION , �(SIGSNPTURE OF APPLICA / - /` 1
tt r.i :"'i U t `\.h1._:t- T 1`•• '`....... .':(:,j'-'_____ w...2`':1.�., ,,e 1..
STREET ADDRR, SS . -"- TELEPHONE
' NO. e
L- E - / � f.../ ). j
- CITY OR POSII"OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE
#
Li
85 John Street . '''41 State Street - _ ❑570 Delaware`Avenue ❑ 217 Lake Avenue .- ❑ 202 Arterial Road • -
• NEW-YORK,NY 10038 : . ALBANY,NY';12207 BUFFALO;NY-14202 ROCHESTER,NY-14608.I SYRACUSE,NY 13206
' (212)227-3700 " (518)463-21.22" •, (716)884-1155 ' (716)254-0141 (315)463-8552 -
. . . . ...... . • . ii1r.ri-.1I.1 A-r\11 -Om.kr_.rI1 r I IR'I.r%r.r1\A./r91T,rP9-[1. _ -
ii
tZ,e1,,IPr:,aL1a,i.r,).r,Via,1.1. 1r„• r,1,Ie !IPr A.I.1 Ilr,9r sr_A, IPr L•r,lel OPt aer,,11i 11r s„111( \.a 11i"It!,101,.),11?,1.114,A111,"1.(, lid,,v(.AL.,_gar- "r pr s!_r.i "r",,( IP IP at 10r_a,,?,1
THE NEW YORK BOARD OF FIRE UNDERWRITERS I' 171; 1
• BUREAU OF ELECTRLr.�eITY '
�• 41 STATE STREET.ALBANY.`NEWYORK 12207 .•�
ilri'I "0 I.`)�=1:i f !1 iE�ri � t;�'3? 4X �'-sill
• Date Application N .on file ;:
1.',: THIS CERTIFIES THAT ..
"::: only the electrical equipment as described below and introduced by t applicant it med on the above application number in the premises of :•'
MIX I•'-Iii_D\S; 4.tt tM"F:FI1 RD,, QU1 Lt9•':B1.1IY, N.Y,
�, in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. Section Block Lot
►; was examined on I I#�' '� 1�f°D'i and found to be in compliance with the National Electrical Code. '
• FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
ECEPTACLES SWITCHES
OUTLETS INCANDESCENT FLUORESCENT OTHER MAT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. .)
-Kb 36 l._ ,i/., s _"r i ., �� 1-
.' :,
ti' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BRU UNIT HEATERS MULTI.OUTLET DIMMERS .'
6'; SYSTEMS
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. .MT. AMPS. TRANS. AMT. H.P. NO.of FEET AMT. WATTS ;;.
^, SERVICE DISCONNECT NO.Of S - -E R II V -I C - .E - - `'
• AMT. AMP. TYPE EQUIP. 1.M 2W 1,P 3W 3/3W 30 4W No.O 5COND. OF CC.CWND. No.OF HI-LEG et.git No.OF NEUTRALS OF EUGRAL
I
if' OTHER APPARATUS:
EXI
T—•• EX1 T--2 •'1
•;:
•4
1'
j•
tc-4: , ,
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:. ,'ICJ MEL MAI DA S ,,
(....
CLE�T.i1 DA "E, NY, 1 ", S 2 t BRANCH MANAGER ••
`k, i
iiP Per
'i
-C'
; This certificate must not be altered in any manner;return to the office of the Board ifj incorrect. Inspectors may be identified by their credentials. ''e
Y'i.('i. .C-ia, '?.3-4 `i.,Y-yC'ii ® NIMITiffeitStiffEEI 0 rIMU 10i ilin. 1111" f]W IWI.' -
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY
St 531 BAY ROAD
QUEENSBURY, NEW YORK 12804 '
TELEPHONE (518) 745-4447 •
BUILDING INSPECTORS REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME is 11 k N r4( % -
LOCATION C JAt*:dt M1^_.c, , 6-C.-► t:
DATE i hi PERMIT# C3 'C) '1
TYPE OF STRUCTURE
RECHECK,
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
_FOOTING FOUNDATION BACKFIL _FRAMING
_ROUGH PLTBING FINAL ELECTRWAL _SEPTIC
_INSULATIO _ OD WOSTOVE/FIREPLACE '
REMARKS /
APPROVAL
N/A 'YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION \ /
PLUMBING VENT /
ROOFING
SIDING /
DECK/PORCH/STEPS/R134 LINGS
RELIEF VALVES / \
FURNACE/HOT WATE ' OPERA ING
BASEMENT INSUL TION/DUCTWORK
INTERIOR TRIM/ RIVACY DOO S
FINISH FLOOR •:
BATH/KITC N WATERTIGHT
OTHER FL RS SWEEPABLE ` '
OTHER F ORS CARPETED
STAIR CLFF- RANCE/RAILINGS
.eimi'NANDICAPIPED ACCESS
SMOKE DETECTORS
BATHROM FANS/WHOLEHOUSE FANS
ALL PVJMBING FIXTURES OPERATING
GARAG FIRE PROOFING
. DOOR/CLOSERS
OTFER FIRE SEPARATION
FI,)E/DEMISE WALLS
DUMPS TER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/0 OR C/C X
COMMENTS:
e....-LO 5,:i' a- OCR
ARRIVE
DEPART /C
C. ,r'•
INSP T
TOWN OF QUEENSBURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4424
4v
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR IINSPECTIOONN RECEIVED
G '1
NAME /- Lek,
LOCATION
DATE Ø,ft PERMIT#
APPROVED
N/A YES NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
HOOD INSTALLATION 'r
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM
4'
INTERIOR FINISHES /
STORAGE:
CLEARANCE TO SPRINKLERS,
1 CLEARANCE TO HEATING UNITS
REQUIRED SIGNAGE
Y .
CHIMNEY /
WOODSTOVE / s,
FIREPLACE-MASONRY 1
FIREPLACE-FACTORY BUILT
REMARKS: U OK TO THIS DATE
•
orn/'10
/015 NSP TOR
TOWN OF QUEENSBURY
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
,`1 ,.• TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVEED/
MANE M-4 �i/4.41c.
LOCATION AZ �� t ,
DATE /IV PERMIT# 73 -677
TYPE OF STRUCTURE
RECHECK
FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING (LFINAL 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
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
DOOR CLOSERS
BATHROOM FANS
ALL PLUMBING FIXTURES OPERATING 7`
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C ?4--
COMMENTS:
ARRIVE
DEPART
INSPECTOR
TOWN 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 /�JD S 3
NAME �I,C�K4 /
LOCATION QW40-✓l2a2c.----'
DATE /RI 3 PERMIT # 95-o 7 /q
TYPE OF STRUCTURE
RECHECK APPROVED
1 N/A YES NO
FOOTINGS/PIERS 1
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE .
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PR TECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF HE CONCRETE.
MATERIALS FOR THI PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN P ACE
FOUNDATION/DAMPROOF4NG
ACKFILL APPROVAL / 4' ��
OUGH PLUMBING I \
PLUMBING VENT/VE`TS kN PLACE
PLUMBING UNDER LAB
FRAMING:
JACK STUDS/ ADERS
BRACING/BRIDGING \
JOIST HANG RS \
JACK POST-/MAIN BEAM
HEATING RO-GH-IN
O,(INSULATI1: \
FOUNDATION WALLS INTERIORS R-
FOUNDATION WALLS EXTERIORS -_
FLOORS -
WALLS R'1 _
CEILING R-\
DUCT WORK OR PIPING IN UNHEATED
SPACES \
REMARKS:
ARRIVE t( Ub
DEPART
INSPECTOR
41 k TOWN OF QUEENSBURY
ct Ay531 BAY ROAD, QUEENSBURY, N.Y. 12804-9725 (518)745-4400
•
MEMO TO FILE
RE: KAIDAS, PERMIT #s 91-024---93-100---93-079
Permit '# 91-024 Close out this permit
To erect a metal bldg. for storage.--All inspections done except the
final Electrical.
Permit #93-100 ----Close out this permit
Alterations to metal bldg. to form showroom and office.
At the conclusion of this job, all inspections were done including
the Fire Marshal and the Elecrrical Final. In that this was the same
structure as Permit #91-024; :the final electrical inspection would
include the original basic wiring and service.
Permit #93-079---
Eye clinic--- Internal alterations to existing bldg.
In that the Fire Marshal 's final inspection and the Electrical Inspection
have been done and a final slip' is in the file., a- inspection was made
.of the handicapped bath and theipermit may be closed out.
Vic Lefebvre 2/13/95
•
"HOME OF NATURAL BEAUTY. . . A GOOD PLACE TO LIVE"
SETTLED 1763
,,. TOWN OF QUEENSBURY FIRE MARSHAI
TOWN; OF QUEENSBURY Based on our limited examination,.
r,, OFFICE- compliance with ourcomrrients shall
' moor QUEENSBURY BUILDING'DEE R 1 , T
� FIRE MAR ,, '��1 a
io t-be construed nd
•': 9ased on:ourlimited,examm n, Ki � o �n need-asi IE�tn�the---
-.-TH-I,S'--P-L -N T _ B E vim - plans and specifications are in full
compGance with our comme ha!!-- y 5 EW
not be construed as tn(fic0i: I r.. i4
�j 9.� ompiiance with the code...
PROJ ECG' SITE 'AT plans and spec f, nta ,[ .r.. a mFNTs -Y >:� :4 • - r
..ALL T' compliance
[ ii66 �m E 4 rrro. +.' y�
4.
THE DUR.=�, , �. _ _�Lrra . I ce ,Ok
COST ' C J 0 g
yt/ ' , Li Fri ' 11:-
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//,�/! /
You are hereby ny }titled �:�h :� P�
-- this plan � f , t conform ' �x
3//
the American - isa4 '1'vg q-kr1. -------- ----- - __ _
_
/7r i�ld�rt� rc A..A.
• eiea
effective :January 2 : :• Aged