1994-581 •
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date July 2 9 19 9 5
This`is to certify that work requested to be done as shown by Permit No.
has been completed.
This structure may be occupied as a
Location
• Owner i; '3U :i '!says • IrAT`-
By Order Town Board
TOWN OF QUEENSBURY
w
cc ?c ' j 4 ➢
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY - q .� 2
No. `7 �d
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Carr rr) 1Jthd)
OWNER of property located at .4.—hk -Ad/ Street, Road or Ave. 1
aJL
Ate.-, i C r
in the Town of Queensbury,To Construct or place a %0I ? a �JTL 1 LL J y�
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
Az), ..:3O3 " &W, / 20 l
2. CONTRACTOR or BUILDER'S Name
'M / act-La.-cap- C. btuth j
3. CONTRACTOR or BUILDER'S Address
4, ARCHITECT'S Name \ c�
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel (
7. PLANS and Specifications
r
No.
8. Proposed Use
RAL - D ant rriJvr�t £t J n
$ /O,DO PERMIT FEE PAID—THIS PERMIT EXPIRES /0fI3 19 95
(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 / D f DOb 19 q'41
SIGNED BY / / for the Town of Queensbury
Building and i nspector
TOWN OF QUEENSBIRY `. REVIEWED BY:
COMMUNITY DEV,ELOPMEND,EPARTMENT i'
BUILDING & CODE ,ENFORCEMENT .`+ FEE PAID: 10.00
531 BAY ROAD ft
QUEENSBURY/,;'NEW YO 0_2804 � PERMIT NO. cf4 -681
(518 ) 745-4,447
` ' ��@� BUILDING PERMIT APPLICATION
as ,4.
A PERMIUSTOBE,,,.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 application form.
OWNER OF PROPERTY: (Om,nw j7-V 144411,1010 i Tina .
Mailing Address : R b. 1Boc 303 6flens Fa-Ws Aix iagb i
Telephone Number(s ) : Work 1R3_y45o Homcc Other
PROPERTY LOCATION:
Tax Map Number: Section l&7 Block / Lot r
Subdivision Name: Lot No.
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
CONSTRUCTION: $
NEW BUILDING:
RESIDENCE/COMMERCIAL OCCUPANCY INFORMATION:
ADDITION TO BUILDING: PRIMARY BUILDING -
RESIDENCE/COMMERCIAL Single Family Dwelling
ALTERATIO�T®—B J.L-D-I- G: Two Family Dwelling
RESIDENCF./COMM- CIAL Family Dwelling
(NO CHANGE 'I'O"5XTERIOR SIZE) Office
OTHER WORK (DESCRIBE BELOW) Mercantile
Warehouse
Manufacturing
X- Other
GROSS AREA OF PROPOSED STRUCTURE: A r�� v�eY.3 C e,
1ST FLOOR SQ. FT.
IF ADDITION, USE OF NEW ADDITION:
2ND FLOOR SQ. FT.
OTHER FLOORS SQ. FT.
(not unfinished cellar or basement) ACCESSORY BUILDINGS :
Detached Garage - One/Two Car
TOTAL FLOOR AREA: Wo 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 which applies)
to be installed: Electric / Oil / Gas- / Wood
Forced Hot Air / Baseboard / Other
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS :^
rnr Gwn.ur✓
NAME OF BUILDER2ADDRESS/PHONE: c,,;r,,, b c Ax l C c.,a3=a mac\. v eatu-ity-c-
NAME OF PLUMBER/ADDRESS/PHONE: 1),c , i°3(3) "� - ��i`i- G 14Ly-1113O
NAME OF MASON/ADDRESS/PHONE : .
NAME OF ELECTRICAN/ADDRESS/PHONE : ‘4. z`
DECLARATION
To the best o.f' my knowledge the statements contained in this 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 location of project on premises .
Signature '
(Owner, owner' s__agent, architect, contractor)
FOR ANY SPECIAL PROVISIONS -- SEE REVERSE SIDE:
, k , TOWN OF QUEENSBURY p1 (�
BUILDING &1 CODE ENFORCEMENT' �
531 BAY ROAD ,
QUEENSBURY NY 12804 AI
.(518)745-4447 4ARRIVE: >O"`j DEPART: ,�� INSP: G'
r
FINAL INSPECTION REPOT
COMMERCIAL MULTIPLE D•ELLINO
DATE INSPECTION REQUEST RECEIVED:
NAME CA t l
LOCATION CD,VPt\ER BcP0
DATE 4 1211 PERMIT # CIt" Cil
• TYPE OF STRUMME
FOOTINGS BAC FILL- FRAMING - PLUMBING—= ---,,,— -
INSULATION
N/A , YES NO
CHIMNEY/"B" VENT/HEIGHT
PLUMBING VENT/FIXTURES 17
ROOFING
EXTERIOR FINISH \ /
HEATING/HOT WATER \
RELIEF VALVES \ I
FLOORS • \! I
FOUNDATION INSULATION li„
INTERIOR STAIRS/RAILINGS
-STOCKROOM--ENCLOSURE ----- -
FIRE/DEMISE WALLS PENETRATI1N
FIRE DAMPERS ,., ti
i ,
CEILING FIRE STOPPING
FIRE DOORS/CLOSERS I
EXIT DOOR HARDWARE 1
EXIT STAIRS/RAILS \\
PLATFORM/ELEVATOR
HANDICAPPED ACCESS
HANDICAPPED BATHS s..
HANDICAPPED PARKING J
a
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.- - - - - -
FINAL SURVEY PLOT PLAN, IF REO
OK- TO ISSUE C/O OR C/C
- p , ,v 1
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 /11411 4
NAME CAA
LOCATION bjx ek--- vakC ram�
DATE 1(I !01a PERMIT # Ci`I
/ "' V
TYPE OF STRUCTURE
RECHECK APPROVED
NJA YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTIOti FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CON[RETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE 1,
FOUNDATION/DAMPROOFING
BACKFILL APPROV
ROUGH PLUMBING 1/4% `�0.,ta...
LUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING: \
JACK STUDS/HEADERS 1
BRACING/BRIDGING I
JOIST HANGERS q
JACK POSTS/MAIN BEAM I
HEATING ROUGH-IN I
INSULATION: N
FOUNDATION WALLS INTERIOR R°
FOUNDATION WALLS EXTERIOR RI,
FLOORS Ry
WALLS R4
CEILING R-4
DUCT WORK OR PIPING IN UNHEATED
SPACES
E
REMARKS:
w
ARRIVE \ % !)
DEPART t a t4
INSPE ,R
TOWN OF QUEENSBURY
'\ IpIV BUILDING & CODE ENFORCEMENT '
531 BAY ROAD
QUEENSBURY NY 12804
. (518)745-4447 41/
ARRIVE: a DEPART: INSP: '
FINAL INSPECTION R: Oof 6' •
COMMERCIAL MULTIPLE D LLING
/DATE INSPECTION REQUEST RECEIVED:
•
NAME. CAL
LOCATION DVN V.)
DATE 1 ,1 1VA PERMIT # E"�A°iM
TYPE OF STRUCTURE\
•
FOOTINGS BACKFILL FRAMING PLUMBING
INSULATION _ y'%
�i
,y N/A YES NO
CHIMNEY/"B" VENT/HEIGHT
1
PLUMBING VENT/FIXTURES
ROOFING \ '
/
EXTERIOR FINISH /i
HEATING/HOT WATER A
RELIEF VALVES JNr
FLOORS 1 \
FOUNDATION INSULATION
r INTERIOR STAIRS/RAI+LINGS
/
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS/PENETRATION
v
FIRE DAMPERS l
d
CEILING FIRE STOPPING
ii
FIRE DOORS/CLOSERS
EXIT DOOR HARbWARE
EXIT STAIRS/RAILS
PLATFORM/ELEVATOR
HANDICAPPED ACCESS
HANDICAPPED 'BATHS Y
HANDICAPPED PARKING , ,
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO. `a
FINAL S(+IRVEY PLOT PLAN, IF REQ
OK TO ISSUE C/O OR C/C •
Vi-
t , c *