93-568Mr
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date S mtember 19 =4
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
By Order Town Board
TOWN OF QUEENSBURY
i --
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
ro
No. 93-568 z
WARREN COUNTY, NEW YORK
o
PERMISSION is hereby granted to AMG INDUSTRIES INC.
0
27 Dix Avenue
OWNER of property located at Queensbury Technical Park Street, Road or Ave. jy
N
in the Town of Queensbury,To Construct or place a Shop 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.
1. OWNER'S Address is
GMA Holdings
RR1 Box 532 H,
Queensbury NY 12804 d
2. CONTRACTOR or BUILDER'S Name z
cn
Machnick Builders
cn
3. CONTRACTOR or BUILDER'S Address
H
Troy NY
4. ARCHITECT'S Name
N
t7
H.
5. ARCHITECT'S Address C
C
tO
6. TYPE of Construction— (Please indicate by XI Cr)
1 Wood Frame ( I Masonry (x)Steel ( )
0
7. PLANS and Specifications
No
170 ' x305 ' Shop Building as per plot plan, specifications
and application s,
n
8. Proposed Use
Shop Buidling
2398 . 00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 8 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.)
CU
G
Dated at the Town of Queensbury this 8thDay of ,October 199
H
iZ
SIGNED BY for the Town of Queensbury
Building and Zoning Inspecptir
TOWN OF QUEENSBURY REVIEWED BY:
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING & CODE ENFORCEMENT FEE PAID:
531 BAY ROAD
QUEENSBURY, NEW YORK 12804 PERMIT NO. 11 i
518 ) 745-4447
BUILDING PERMIT APPLICATION
A PERMIT MUST_ BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
WILL _BE MADE UNTIL APPLICANT IIAS RECEIVED A VALID BUILDING PERMLT
7111 applicants ' spaces on this application MUST be completed and the-- ,
rRsignatureoftheapplicantMUSTappearontheapplicationform.
a
OWNER OF PROPERTY: 4 Q ' !i S S Q
0
Mailing Address :RR' Tx S3z Queensbury, NY 12804
iiiit -
Telephone Number( s) : Work 793-3404 Home Other r°
PROPERTY LOCATION: 27 Dix Avenue-
Tax Map Number: Section 110 Block 1 Lot "2 :21
Subdivision Name:Queensbury Technical Park Lot No. ___6, 7 ,a
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
CONSTRUCTION: $ /, al 1?"-?)
X NEW BUILDING:
RESIDENCE/COMMERCIAL-Fabrication OCCUPANCY INFORMATION:
ADDITION TO BUILDING: Shop PRIMARY BUILDING -
RESIDENCE/COMMERCIAL Single Family Dwelling
ALTERATION TO BUILDING: Two Family Dwelling
RESIDENCE/COMMERCIAL Family Dwelling
NO CHANGE TO EXTERIOR SIZE) Office
OTHER WORK (DESCRIBE BELOW) Mercantile
Warehouse
x Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE:
1ST FLOOR _53 ,400 SQ. FT.
2ND FLOOR NA SQ.
IF ADDITION, USE OF NEW ADDITION:
FT.
OTHER FLOORS NA __ SQ. FT.
not unfinished cellar or basement) ACCESSORY BUILDINGS :
Detached Garage - One/Two Car
TOTAL FLOOR AREA: 53 , 000 SQ. FT. Attached Garage - One/Two Car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
170 FEET X 305 FEET
Other
Foundation Type: Concrete Will any second-hand or ungraded
Number of Stories : 1 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 whicl lies)
to be installed: 0 Electric / Oil / Gas Wood
Forced Hot Air / :aseboard / FIIIM
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS :
NAME OF BUILDER/ADDRESS/PHONE:Machnick Builders, Troy , NY 272-8220
NAME OF PLUMBER/ADDRESS/PHONE:AMG Industries , Inc. Glens Falls 793-3404
NAME OF MASON/ADDRESS/PHONE : _ Nu-Tech Construction, Glens Falls 792_7692___
NAME OF ELECTRICAN/ADDRESS/PHONE: LaCorte ECM, Troy, NY 274-9428
DECLARATION
To the best of 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 p for to a Certificate of
Occupancy or Certificate of Compliance being iss ed, an A BUILT PLOT PLAN
drawn to scale, showing actual location of . • ' !ct • pr
Signature A
Owner, own? • .gent, ar hitect, contractor)
Char - - H. Barber, PartnerFORANYSPECIALPROVISIONS - SEE REVERSE SIDE :.
T: :'1 CF 7,UF.7%SEUR.!
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TOWN OF QUEENSBURY
TOM OF QUEENSBURY
BUILDING AND CODES DEPARTMENT 71 BUILDING AND CODES DEPARTMENT firi
531 BAY ROAD
531 BAY ROAD
QUEENSBURY, NEW YORK 12804 QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED REQUEST FOR INSPECTION
RECEIVED
NAME 4"1-0C Jug .C.L4-h-c t NAME 9/-4 Y
LOCATION 7 /,Lt,- ice' LOCATION d)l;L
DATE /IA5 PERMIT I Qom-S6.1 DATE A PERMIT # 93-.51i4'
TYPE OF STRUCTURE 4L'. TYPE OF STRUCTURE r ' Yid
s
RECHECK APPROVED RECHECK
APPROVED
N/A YES NO
N/A . YO
FOOTINGS/PIERS OOTINGS/PIERS
MONOLITHIC POUR FORM MMONOLITHIC POUR FORM
REINFORCEMENT IN PLACE REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE. THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING FOUNDATION/DAMPROOFING
BACKFILL APPROVAL BACKFILL APPROVAL
ROUGH PLUMBING ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB PLUMBING UNDER SLAB
FRAMING:FRAMING:
JACK STUDS/HEADERS JACK STUDS/HEADERS
1
BRACING/BRIDGING BRACING/BRIDGING
JOIST HANGERS JOIST HANGERS
JACK POSTS/MAIN BEAM JACK POSTS/MAIN BEAM
HEATING ROUGH-IN HEATING ROUGH-IN
INSULATION: NSULATION:
FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- FOUNDATION WALLS EXTERIOR R-
FLOORS R- FLOORS R-
WALLS R- MALLS R-
CEILING R- CEILING R-
DUCT WORK OR PIPING IN UNHEATED DUCT WORK OR PIPING IN UNHEATED
SPACES SPACES
REMARKS: P EMARKS:
Yc: _ 7 .,
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ARRIVE id ARRIVE 1 ' 1 ' Ill
DEPART IrDEPART 1,1
INSPECTOR INSPECTOR
TOWN OF QUEENSBURY C 3UILD: G AND CODES DEPARTMENTT
BUILDING AND CODES DEPARTMENT 531 BAY ROAD
531 BAY ROAD v-- k- L QUEENSBURY, NEW 70R:< 12804
QUEENSBURY, NEW YORK 12804 ,,-' T=L EPHON (518) 7 45_4447
TELEPHONE (518) 745-4447
Z-iLLEIG _::S?Ev TC,'V'
BUILDING INSPECTOR'S REPORT ,) P e-V
j- i . REC'°ES _ D7=
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REQUEST FOR INSPECTION RECEIVED Il) 1 i S-S (.
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NAME
NAME A r 1 C L`k,
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LOCATION 6 `` t -
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IjDATE ,I )t c: ) 'E:G1.7 ; 3C:r
DATE it 3 ;'PERMIT # 93 -
OF
TYPE OF STRUCTURE
RECiEC,K_ APPROVED
RECHECK APPROVED iN/A ;ESI NO
N/A YES NO FOOTINGS/PIE=S
FOOTINGS/PIERS , • X. MONOLITHIC 7-'CU7:=', .,
MONOLITHIC'-POUR FORM REIKFGRCE; T
REINFORCEMENT IN PLACE THE CO1T-,="
THE CONTRACTOR iISRESPONSIBLEF ?3.5-D:. . . .1: .::_1. . TROfl
FOR PROVIDING PROTECTION FROM FREEZING FOR 43 ,,i., S. ._: ,=. _:. Ieo G I i
FREEZING FOR 48 HOURS FOLLOWING THE LAC_ „_y_
THE PLACEMENT OF THE CONCRETE. MAT=RIA _ 4?^v " :T:_3
MATERIALS FOR THIS PURPOSE ON SITE FOL ::AT C:, :.0_ 2-:'
FOUNDATION/WALL POUR RE ' FCa:_
REINFORCEMENT IN PLACE FOUND
FOUNDATION/DAMPROOFING BACK .;..
BACKFILL APPROVAL RO'_'Gi
ROUGH PLUMBING PLUMS::! . . _- - _. ` . _ :\
PLUMBING VENT/VENTS IN PLACE PLUMB: . -- - i
PLUMBING UNDER SLAB FRAMI '
FRAMING:
JACK STUDS/HEADERS 37
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/"a'y BEAM I
HEATING ROUGH-I:1 1
INSULATION:
FOUNDATION WALLS INTERIOR R- i _•_-. : T"ER:G 2- 1 j
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R- C=-_• ". __---_- -- -
CEILING R- C.C_ --- : I . _.: .
DUCT WORK OR PIPING IN UNHEATED
SPACES
S:
REMARKS:f/ r
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TOWN OF QUEENSBURY TOWlN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT -
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BUILDING AND CODES DEPARTMENT
531 BAY ROAD 7/
I/ 531 BAY ROAD
QUEENSBURY, NEW YORK 12804 QUEENSBURY, NEW YORK 12804
TELEPHONE (510) 745-4447 TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT BUILDING INSPECTOR'S REPORT
ZEQUEST FOR INSPECTION RECEIVED 2/34_3
REQUEST FOR INSPECTION RECEIVED ///..3eM
AME f c &lJLLL4-t id NAME j /22 c ? LL& 4
OCATI ONG ,AY LOCATION 76, /
ATE /2 ; /3 PER IT # 77--.jl y DATE /i/i.)// PETIT # V
YPE OF STRUCTURE jitad..L,YI
TYPE OF STRUCTURE
j'
RECHECKAPPROVEDtECHECK
N/AAPPYESED N/A YES NO
OOTINGS/PIERS XFOOTINGS/PIERS
1ONOLITHIC POUR FORM 1
MONOLITHIC POUR FORM
tEINFORCEMENT IN PLACE
REINFORCEMENT IN PLACE I
fHE CONTRACTOR IS RESPONSIBLE I THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
REEZING FOR 48 HOURS FOLLOWING FREEZING FOR 48 HOURS FOLLOWING
fHE PLACEMENT OF THE CONCRETE. THE PLACEMENT OF THE CONCRETE.
1ATERIALS FOR THIS PURPOSE ON SITE MATERIALS FOR THIS PURPOSE ON SITE
OUNDATIO N/WALL POUR
FOUNDATION/WALL POUR
REINFORCEMENT INPLACEtEI1r7ORCELENTINPLACE 1
OUNDATION/GAMPROOFING 1
FOUN'D,ATIOM/DAMPROOFING I !
iACKFI! APPROVALBACKFILL APPROVAL
ROUGHPLUMBINGLOUGHPLUMBING
PLUMBINGMBING VENT/VENTS INPLACELUMBINGVENT/VENTS IN PLACE I
LUMBING UNDER SLAB I PLUMBING UNDER SLABj
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FRAMING
JACK STUDS/HEADERSjJACKSTUDS/HEADERS
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JOIST HANGERS 1
JOIST HANGERS I
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HEATING ROUGH-iil
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INSULATION:
FOUNDAT ON WALLS INTERIOR R-
FOUNDATIONIO` WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-1
FOUNDATION WALLS EXTERIOR'R-
FLOORS R-
FLOOR R-
WAL LS R- j
WALLS R-
CEILING R-
CEILING R-
DUCT
DUCT
WORK OR PIPING INUNHEATEDWORKORPIPINGINUNHEATED
SPACES
SPACES
1 1
EMARKS.
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TOWN OF QUEENSBURY TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT BUILDING AND CODES DEPARTMENT
531 BAY ROAD
531 BAY ROAD
QUEENSBURY, NEW YORK 12804 QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 4,0/W REQUEST FOR INSPECTION RECEIVED 24A)
NAME 4/1'/ 6NAME 1 6t siyC1.-C/ L(d
sSL
i. 'iLOCATIONuCY- L`.- LOCATION .?7 //_-G ,/
DATE / ,y /c ) 3 PERMIT I q 3 —r-10F,
DATE /2/ 7 Ai; PERMIT S 0 -'SG J
TYPE OF STRUCTURE
TYPE OF STRUCTURE A/ •
RECHECK APPROVED
RECHECK APPROVED
I N/A YES 7NO
N/A ; YES 1 NO
OOTINGS/PIERS iV OOTINGS/PIERS i
MONOLITHIC POUR FORM I
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE I
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
MATERIALS FOR THIS PURPOSE ON SITE 1 I
FOUNDATION/WALL POUR
FOUNDATION/WALL POUR I
REINFORCEMENT IN PLACE
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
FOUNDATION/DAMPROOFING i I ,/
I
BACKFILL APPROVAL t5c,. ,;AI
4-n I
BACKFILL APPROVAL Y K
ROUGH PLUMBING u
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE i
PLUMBING VENT/VENTS IN PLACE I
PLUMBING UNDER SLAB j j
PLUMBING UNDER SLAB
FRAMING:
FRAMING:
JACK STUDS/HEADERS
JACK STUDS/HEADERS I
BRACING/BRIDGING
BRACING/BRIDGING
JOIST HANGERS
JOIST HANGERS
JACK POSTS/' REAM ILI.:,CK POSTS/MAIN BED."
HEATING ROUGH-::1 1
HEATING ROUGH-IN
INSULATION:
INSULATION: 1
FOUNDATION WALLS INTERIOR R- I
FOUNDATION WALLS INTERIOR R-
I
FOUNDATION WALLS EXTERIOR R-
FOUNDATION WALLS EXTERIOR R- I
FLOORS R-
FLOORS R-
WALLS R-
WALLS R- I
CEILING R-
CEILING R- I
DUCT WORK OR PIPING IN UNHEATED
DUCT WORK OR PIPING IN UNHEATED
SPACESPACES
REMARKS:
REM,4R S:
7 l Jkr ' [--,•4/S AI CC_2 -
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0ARRIVE ARRIVE
DEPART Y.mil`
INSP CT
j INSPECTOR I
TOWN OFQUEENSBURYTOWNOFQUEENSBURY7
BUILDING AND CODES DEPARTMENT BUILDING AND CODES DEPARTMENT
s
531 BAY ROAD
r
531 BAY
YORKD12804QUEEASBURY, NEW YORK 12804 CU_ENSBURY,
TELEPHONE (518) 745-4447 T=LE?HONE (518) 745-4447
BUILDING INSPECTOR'S REPORT BUILDING INSPECTOR'S REPORT
EOUEST FOR INSPECTION RECEIVED 4.Z//41/43
REQUEST FOR INSPECTION RECEIVED /2//.'43
ATIOi 7 f/ Z/ LOCATIDN -'7
jsE /_z//_/ 3 PERMIT i 9, .J DATE /.2//3/3 PERMIT # 9 — 5hf
PE OF STRUCTURE .
y7 ,
j<TYPE OF STRUCTURE_ ,Q/2c y
Cr'EC:
J
APPROVED RECHEC:( APPROVED
FAST z N/A 1 Y« O
N/A YES 0
v (zei- LIwE 1 1 VOOT INGS/PIERS ji iLALFD) L F "
e
J T i:GS/PIERS FT ' I
EIOLITHICPOURFORMMONOLITHICPOUR ORM
INFORCEMENT IN PLACE I i REINFORCEMENT IN PLACE
E CONTRACTOR IS RESPONSIBLE TH CC ITRA OTOR IS .RESPONSIBLE
P. R011:DING PROTECTION FOR r CVIDING PROTECTIONFROMCc..TICN FROM
EEZING FOR 48 HCURS FOLLOWING FREE'= 2 FOR 48 HOURS FOLLOWING
OF THE CONCRETE.p`
3 .— ,
THE CONCRETE.
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T23I S PURPOSE ON SITE 1 THIS PURPOSE ON SITE
y POUR LL POUR i
N. i PLACE IN PLACE1I
I! , C' /SA;''''..OGFI NG AMPROOFING
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1BI. VENT/VETS IN PLACE I
EAT/VENTS IN PLACE
U'')BING UNDER SLAB D_R SLAB
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ST ADERS
3-.-.._ G/BRIDE ur E 3RIDG NG i 1
S .. . ERIOR R- A;.'-S. O ERIOR R-
gin.. EXTERIOR R- 7 ,: :.t.TTN WALLS EXTERIOR R-
R-
L....; R-R_
R-
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R-
WORK OR PIPING IN UNHEATED
4r7: OR PIPING IN UNHEATED
r%cS
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INSPECTOR
INSPECTOR
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W111TOWNOFUEEQNSBURYAl___-----TOWN OFQUEENSBURYBUILDINGANDCODESDEPARTMENTBUILDINGANDCODESDEPARTMENT
531 BAY ROAD
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 3/;1 /!7/ REQUEST FOR INSPECTION RECEIVED ---
NAME 4Th .LLiG7.2 rl'- NAME s1C
LOCATION 9 7 t /h LOCATION
DATE / ---J i PERMIT i 9:3- (d DATE 3 PERMIT I q3''5
TYPE OF STRUCTURE -.: •
TYPE OF STRUC !RE
RECHECK APPROVED RECHECK APPROVED
N/A I YES NO N/A YENOFOOTINGS/PIERS I XOOTINGS/D'R 04EFAMONOLITHICPOURFORMMONOLITHI0URFORM
REINFORCEMENT IN PLACE
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE. THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR I FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING j FOUNDATION/DAMPROOFING
BACKFILL APPROVAL I I
KFI
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ROUGHPLUMBING
I orROJA <
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I1 ROUGH PLUMBING c....11PLUMBINGVENT/VENTS. IN PLACE I PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB I PLUMBING UNDER SLABILXFRAMING: GcP- C c:::i.;C-C w,_-, I FRAMING:
JACK STUDS/HEADERS
nr
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v STUDS/HEADERS_UDS/HEADt2SIBRACING, BRIDGING I
1
BRACING/BRIDGING
JOIST HANGERSI
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JACK POSTS/MAIN BEAM t I ! 2ti, , CSTS/"A"' PEAM
HEATING ROUGH-IN I I HEATING ROUGH-i;.
INSULATION: I N N:i
FOUNDATION WALLS INTERIOR R- I } O;, RATIO; ',MALLS INTERIOR R-
FOUNDAiION WALLS EXTERIOR R-FOUNDATION WALLS EXTERIOR R-
FLOORS R-
FLOC: R-IWALLSR- (
r,'A_LS R- I
CEILING R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
DUCT WORK OR PIPING IN UNHEATED
SPACES
SP CES
REMARKS:
ARKS:
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INSPECTOR
TOWN OFQUEEMS8URY4531BAYROADTOWNOFQUEENSBURY
QUEENSBURY, NEW YORK12804BUILDINGANDCODESDEPARTMENTrµTELEPHONE (518) 745-4447531BAYROADFf¢ rQUEENSBURY,
NEW YORK 12804 BUILDING
INSPECTOR'S REPORT TELEPHONE (
518) 745-4447 F'
IL INSPECTION BUILDING
INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED \t \c0 REQUEST
FOR INSPECTION RECEIVED 57 J/ff{l NAME
k t*0()S-VNAME
4/Yl . ... fetu.o77Lt. I LOCATION Di)L, P•0F1t:i1 LOCATION
7 / 4, DATE LA \SEActlf- PERMIT# c3-5Z DATE _
S7/271/94/ PERMIT # Q.-5(o i TYPE OF STRUCTURE TYPE
OF STRUCTURE f 1,X/-...&(( RECHECK RECHECK
APPROVED FIRE
MARSHAL APPROVAL (COMMERICIAL STRUCTURE)N/
A YES • NO 0TING
FOUNDATION BACKFILL FRAMING FOOTINGS/
PIERS MONOLITHIC
POUR FORM OOOUGHPLUMBINGFINALELECTRICAL _SEPTICREINFORCEMENT
IN PLACE INSULATION _
WOSTOVE/FIREPLACE THE
CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTECTION FROM REMARKS
FREEZING
FOR 48 HOURS FOLLOWING THE
PLACEMENT OF THE CONCRETE.MATERIALS
FOR THIS PURPOSE ON SITE APPROVAL
FOUNDATION/
WALL POUR N/
A YES NO REINFORCEMENT
IN PLACE CHIMNEY HEIGHT/LOCATION FOUNDATION/
DAMPROOFING B VENT/LOCATION BACKFILL
APPROVAL PLUMBING VENT ROUGH
PLUMBING ROOFING PLUMBING
VENT/VENTS IN PLACE SIDING PLUMBING
UNDER SLAB DECK/PORCH/STEPS/RAILINGS FRAMING:
1 RELIEF VALVES 1 JACK
STUDS/HEADERS FURNACE/HOT WATER OPER' ING t BRACING/
BRIDGING INTERIOR TRIM/PRIVAC' DOORS JOIST
HANGERS FINISH FLOORS: 1 JACK
POSTS/MAIN BEAM 1 1 BATH/KITCHEN WAr..RTIGHT HEATING
ROUGH-IN OTHER FLOORS ,EEPABL E INSULATION:
OTHER FLOORS CARPETED FOUNDATION
WALLS INTERIOR R- STAR C .EARAi'.,y'RAILINGS FOUNDATION
WALLS EXTERIOR R- SMOKE DETEC ORS I FLOORS
R- DOOR CLOS= _C WALLS
R- BATHROOM :Asti CEILING
R- ALL PLT,6ING FIXTURES OPERATING T DUCT
WORK OR PIPING IN UNHEATED GARAG- FIRE PROOFING I 1 SPACES
DOOR LOSERS OTH''.,
FIRE SEPARATION REMARKS:
F IP-/DEMISE WALLS l
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TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAYROADBUILDINGANDCODESDEPARTMENTQUEENSBURYNY12804
531 BAY ROAD 518)745-4447
QUEENSBURY, NEW YORK 12804
rTELEPHONE (518) 745-4447 ARRIVE: / -C} 1DEPART: Z(INSP: 2j
BUILDING INSPECTOR'S REPORT FINAL INSPECTION REPORT
COMMERCIAL MULTIPLE DWELLING
REQUEST FOR INSPECTION RECEIVED DATE INSPECTION REQUEST RECEIVED:
NAME P t-kC,-,1.YD U 41 W1E-6
NAME 7, .Y .,."
LOCATION 1,y1 / ..-
LOCATION R\) G
7
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DATE J PERMIT R /. ny
DATE -I ) L41 11-1 PERMIT I 3r'S 1/ TYPE OF STRUCTURE
TYPE OF STRUCTURE
FOOTINGS BACKFILL_ FRAMING_ PLUMBING_
INSULATION
RECHECK APPROVED N/A
i
YES NO
N/A YES NO CHIMNEY/"B" VENT/HEIGHT
FOOTINGS/PIERS
MONOLITHIC POUR FORM PLUMBING VENT/FIXTURES
REINFORCEMENT IN PLACE
ROOFING
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM EXTERIOR FINISH
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
HEATING/HOT WATER
MATERIALS FOR THIS PURPOSE ON SITE RELIEF VALVES
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FLOORS
FOUNDATION/DAMPROOFING INTERIOR STAIRS/RAILINGS
BACKFILL APPROVAL
NLROUGH PLUMBING :ai r: - ,,
STOCKROOM ENCLOSURE
PLUMBING VENT/VENTS IN PLACE
FIRE/DEMISE WALLS PENETRATION
PLUMBING UNDER SLAB
FRAMING: FIRE DAMPERS
JACK STUDS/HEADERS
CEILING FIRE STOPPING
BRACING/BRIDGING
JOIST HANGERS FIRE DOORS/CLOSERS
JACK POSTS/MAIN BEAM
EXIT DOOR HARDWARE
HEATING ROUGH-IN
INSULATION: EXIT .STAIRS/RAILS
FOUNDATION WALLS INTERIOR R-PLATFORM/ELEVATOR
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
HANDICAPPED ACCESS
WALLS R-HANDICAPPED BATHS
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
HANDICAPPED PARKING
SPACES
FINAL ELECTRICAL
REMARKS: SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN, IF REQ
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BUILDING & CODE ENFORCEMENT
531 BAY ROAD
Y I FIRE MARSHAL QUEENSBURY 804
t47 QUEENSBURY, NEW YORK 12804
518)745-4447
TELEPHONE (518) 745-4424 i e
L ARRIVE:: /If1 DEPART: /; INSP: :,
FIRE MARSHAL INSPECTION REPORT FINAL INSPECTION REPORT
COMMERCIAL MULTIPLE DWELLING
REQUEST FOR INSPECTION RECEIVED /A? /4 1 DATE INSPECTION REQUEST RECEIVED: —71//at1
NAME 4-/y1/' ./';,
NAME _ fi. 7
l-:7 -T-1\1 'Srri C
LOCATION L? i .
DATE I / ) 1614 PERMIT # h L'
DATE /4 i4I/PERMIT# flY7,51
TYPE OF STRUCTURE
FOOTINGS BACKFILL_ FRAMING_ PLUMBING!
APPROVED INSULATION _
N/A YES NO N/A YES NO
EXITS
1
AISLE WIDTHS
CHIMNEY/"B" VENT/HEIGHT
EXIT SIGNS PLUMBING VENT/FIXTURES
EMERGENCY LIGHTING
ROOFING
EXTERIOR FINISH
HEATINLHOT WATER
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM
RELIEF VALVES
HOOD INSTALLATION FLUOR::
AUTO. SPRINKLER SYSTEM INTERIOR STAIRS/RAILINGS
ALARM SYSTEM
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PENETRATION
INTERIOR FINISHES
FIRE DAMPERS
STORAGE:
CJLIt1G FIRE STOPPING
CLEARANCE TO SPRINKLERS FIRE DOORS/CLOSERS
CLEARANCE TO HEATING UNITS IEXIT DOOR HARDWARE
REQUIRED SIGNAGE
EXIT STAIRS)RAILS
PLATFORM/ELEVATOR
CHIMNEY
IIANDICAPPED ACCESS
WOODSTOVE
HANDICAPPED BATHS
FIREPLACE-MASONRY HANDICAPPED PARKING
FIREPLACE-FACTORY BUILT t.
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ.
REMARKS: OK TO THIS DATE FINAL SURVEY PLOT PLAN, REQ
OK TOO ISSU`E%C/O/ORR C/C / '
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TOWN OFQUEENSBURYQUEENSBURYNY12804BUILDING & CODEENFORCEMENT518)745-4447
531 BAY ROAD
1
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5118)745-44472804ARRIVE:DEPART: 3'
t/INSP:
FINAL INSPECTION REPORT ARRIVE: //V DEPART: //iY INSP:
COMMERCIAL
MULTIPLE DWELLING
DATE INSPECTION REQUEST RECEIVED:
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FINAL INSPECTION REPORT
OMMERCIAL MULTIPLE DWELLING
NAME I R \ vidi j _ _1 DATE INSPECTION
REQUESTEQ
RECEIVED: .
7/
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LOCATION 1 'Q ( , /tq f-,.t,(—_. MIME _ 4//1(i . f"/1
DATE ,0(3 i cii-i PERMIT A qJ 5b q LOCATION l1,'..i ' /
TYPE OF STRUCTURE L U
r DATE _ J V PERMIT • 5L,.k
FOOTINGS BACKFILL FRAMING PLUMBING TYPE OF STRUCTURE d/
7 /.//lamINSULATIONJ
FOOTINGS BACKFILL_ FRAMING_ PLUMBING_
YES NO
INSULATION _
CHIMNEY "B" VENT HEIGHT N/A ES N/
PLUMBING VENT/FIXTURES cI 1MNP;"B" VENT/HEIGHT
ROOFING PLUMBING VENT/FIXTURES
EXTERIOR FINISH ROOFIctG
HEATING HOT WATER XTER1OR FINISH
RELIEF VALVES
tEATItt HOT WATER
FLOORS j?I.IEF' VALVES
FLUOR:;
FOUNDATION INSULATION
INTERIOR STAIRS/RAILINGS
INTERIOR STAIRS RAILINGS
STOCKROOM ENCLOSURE
STOCKROOM ENCLOSURE
111111
FIR LPEMISE WALLS PENETRATION
FIRE DAMPER
FIRE DEMISE WALLS PENETRATION
FIRE DAMPERS
CIILING FIRE STOPPING
CEILING FIRE STOPPING
IRE UOORSf CLOSERS
FIRE DOORS CLOSERS
EXIT DOOR HARDWARE
EXIT DOOR HARDWARE
EXIT :STAIRS/RAILS
V
EXIT STAIRS/RAILS
PLATFORM/ELEVATOR
LATFORM ELEVATOR
j!ANDICAPPED ACCESS
iANDICAPPED ACCESS
HANDICAPPED BATHS
ORBATHSIIIIIIIIIIIIHANDICAPPEDPARKING r
IANDICAPPED PARKING FINAL ELECTRICAL
INAL ELECTRICAL SLTE PLAN/VARIANCE REQ.
ITS PLAN/VARIANCE REQ, FINAL SURVEY PLOT PLAN, IF REO
INAL SURVEY PLOT PLAN IF RE,( OF TO I SUE, / OR C/C
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TOWN OF QUEENSBURY
BUILDING & CODE
ENFORCEMENTa531BAYROADTOWNOFQUEENSBURY
QUEENSBURY NY 12804
518)745-4447
BUILDING AND CODES DEPARTMENT ,
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
ARRIVE: /,,Gz DEPART: /," yi: INSP: fDA-
TELEPHONE (518) 745-4447
FINAL INSPECTION REPORT
COMMERCIAL MULTIPLE DWELLING
BUILDING INSPECTOR'S REPORT
DATE INSPECTION REQUEST RECEIVED: .
REQUEST FOR INSPECTION RECEIVED NAME W47 4
LOCATION c!//E'NAME 9/2% ' , & /// 4.r>:f
DATE 0CPERMIT # ]3 -Ca
LOCATION 1,.4y, .d-,.r;/42-4-e.,
r
TYPE OF STRUCTURE
DATE /6/7 / _ G/PERMIT # 3--5 61 FOOTINGS BACKFILL_ FRAMING PLUMBING
INSULATION
TYPE OF STRUCTURE 2,;, /s; Xr 47
N/A YES NO
RECHECK APPROVED
CHIMNEY/"B" VENT.HEIGHT
WA i YES NO
FOOTINGS/PIERS "il, ',n PLUMBING VENT/FIX
MONOLITHIC POUR FORM \
ROOFING
THEREINFORCEMENTNTRCT
IN PLACE
11111.1111111111THECONTRACTORISRESPONSIBLEEXTERIORFINISH
FOR PRCVIDIN6 PROTECTION FROM
HEATING HOT WATER \
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE. RELIEF VALVES
MATERIALS FOR THIS PURPOSE ON SITE , liFOUNDATION/WALL POUR Ij FLOORS
REINFORCEMENT IN PLACE I FOUNDATION INSULATION \\
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL I ! INTERIOR STAIRS RAILINGS
ROUGH PLUMBING ISTOCKROOM ENCLOSURE
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB FIRE DEMISE WALLS PENETRATIONA
FRAMING: j
JACK STUDS;HEADERS
FIRE DAMPERS
BRACING/BRIDGING
CEILING FIRE STOPPING / \
JOIST HANGERS
JACK POSTS/MAIN BEAM FIRE DOORS/CLOSERS
HEATING ROUGH-IN
INSULATION:
EXIT DOOR HARDWARE
FOUNDATION WALLS INTERIOR R- EXIT STAIRS RAILS /
FOUNDATION WALLS EXTERIOR R-
PLATFORM/ELEVATORFLOORSR-
WALLS R- HANDICAPPED ACCESS
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
HANDICAPPED BATHS
SPACES
HANDICAPPED PARKING
REMARKS: FINAL ELECTRICAL
l SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN, IF REQ
L4//. &_,,,, ,,,,,. Ezyc ,. OK TO ISSUE C/O OR C/C
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DEPART -
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INSPECTOR
SPRINKLER SYSTEMS
OPERATION;li e}s'f,.;L?i!:':
0 '. '''ATIC4-.40ELECTRIC}3Y'`'`a.
QHYDRAULIC'}'`'-'r""'1-r''il--;x11"`
PIPING ED
YES ONO DETECTING MEDIA SUPERVISE
YES ONO
DOES VALVE OPERAT MANUAL TRIO ANCHOR REM TE CONTRO S
YES NO
DELUGE f(t=' IS THERE AN ACCESSIBLE FACILITY IN IT F IF NO,EXPLAIN __,,>` .:....:c.4,a,-....„,; _
PREACTION
VALVES
YES.
sac, ;
COES EACH CIRCUIT OPERATE dRCUIT. MAXIMUM TIME TO
M ODEL
SUPERVt510N"SS ALARM---OPERATE OPERATE IV'r"..
sv, . ," YES• NO YES NO-' jN.• . SEC
r::c.-- terr— Y.. - -.r • .:b.H, csr'-nr era . :tt pre c.s :ms a as Mt ,IV- a:-.-s
1
HYDROSTATIC: Hydrostatic tests shall be made at not less than-200 psi(13.6 bars)for two hours or 50 psi(3.4 bars)above sUue
1 17 pressure in excess of 150 psi(10.2 bars)for two hours. Differential dry-pipe valve clappers shall be fish open during test to prevent darriape-
t_. _ All above-round piping leakage shall be stopped. . 1 r-0 10
FLUSHING: Flow the required rate until water is cleat as indicated by no collection of foreign material in burlap bps at outlets suchesTEST-
hydrants and blow-offs. Flush at flows not less than 400 GPM(1514 L/min)for 4-inch pip+,600 GPM 12271 Liman)for 5•inch pipe.
DESCRIPTION 750 GPM(2839 L/min)for 64nch pipe,1000 GPM(3785 Liman)for 8-inch pipe,1500 GPM(5678 L/min)for 10-inch pipe and 2000
GPM(7570 L/min)for 12-inch pipe. When supply cannot produce stipulated flow rates,obtain maximum available,
PNEUMATIC:Establish 40 psi(2.7 bus)air pressure and measure drop which shall not exceed 141 psi(0.1 bars)in 24 hours. Test
pressure tanks at normal water level and air pressure
anda
measure air pressure drop which shall not excited 1•%psi(0.1 bars)in 24 hours.
ALL PIPING HYDROSTATICALLY TESTED AT'acv PSI FOR a .HRS. IF NO.STATE*REASON
DRY PIPING PNEUMATICALLY TESTED OYES ONO
EQUIPMENT OPERATES PROPERLY DYE'S' ONO 1
DRAW
READING OF GAGE LOCATED NEAR WATER SLI ..Y TEST PIPE: I RESIDUAL PRESSURE WIT}i VALVE IN TEST PIPE OPEN WIDE:?
TESTS
TEST STATIC PRESSURE: PSI PSI
Underground mains and lead in connections to system risers flushed before connection made to sprinkier piping.
VERIFIED BY COPY CF THE U FORM NO.SS6 _ OYES ONO OTHER EXPLAIN
FLUSHED BY INSTALLER OF UNDER• - _
61GROUNDSPRINKLERPIPINGOYESNO
BLANK TESTING
NUMBER USED LOCATIONS NUMBER REMOVED
GASKETS 0
WELDED PIPING tC..YES ONO - -
IF YES...
DO YOU CERTIFY AS THE SPRINKLER CONTRACTOR THAT WELDING PROCEDURES COMPLY
WITH THE REQUIREMENTS CF AT LEAST AWS 010.9,LEVEL AR-3 YES NO
s_
00 YOU CERTIFY THAT THE WELDING WAS PERFORMED SY WELDERS QUALIFIEiS IN
WELDING
COMPLIANCE WITH THE REQUIREMENTS OF AT LEAST AWS 010.9.LEVEL AR-3'YJ YES (_j NOyyyK.
3t 00 YOU CERTIFY THAT WELDING WAS CARRIED OUT IN COMPLIANCE WITH A
DOCUMENTED QUALITY CONTROL PROCEDURE TO INSURE THAT ALL DISCS ARE
RETRIEVED,THAT OPENINGS IN PIPING ARE SMOOTH,THAT SLAG AND OTHER' _
WELDING RESIDUE ARE REMOVED,AND THAT THE INTERNAL DIAMETERS OF -
p[JYES !O
PIPING ARE NOT PENETRATED• ir
HYDRAULIC NAMEPLATE PROVIDED IF NO,EXPLAIN
DATA
NAMEPLATE YES NO
DATE L$*'P tPISERVICE WITH ALL CONTROL VALVES OPEN: -l -
c/1d IalOIlREMARKS
l
1
NAME OF SPRINKLER CONTRACTOR
ALBANY FIRE PROTECTION, INC.
TESTS WITNESSED BY
SIGNATURES FOR PROPERTY (SIGNED) t DATE
2-2-
5yTITLE}//
R
y ,
PRINKLER
1`
P.
R(SIGNED)TITLEDATE
1PSLS. ---,qI I'1
ADDITIONAL EXP ANATION AND NOTES ( C1 r
L
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Contractor's Material &Test Certificate for Aboveground Piping
I
1
CONTRACTOR'S MATERIAL Ec TES_T CERTIFICATE FOR
w
BOVEQROUND PIPgI NGr3+ P"
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PROCEDURE• .
i'CsT. ;F '.:_
Upon noomplaeo of;ork.In Bowdon and testa shall be made by,the contraetor'i representative and witnesaid by an owrsefs representative:All='! -
defects shall be'correct.d and system left in service before contractor's parsonnayinally leave the job. • - ---:.
A certificate shill be filled out and signed by both representatives: Copies shallbe prepared foi approv)na authorities,ownan and contrector. -_._`
It is understood the owners representative's signature winno ay prejudices any claim against contractor tot faulty material,poor workmanship,
or failure to comply with approving authority's requirements or local ordinances,._._
PROPERTY NAME
i. .s..z. 6- ,_„Z DATA -
PROPERTY ADDRESS._
ACCEPTE /BY APPROVING A HORITYCS)NAMES
ADDRESS
y q
PLANS eo
INSTALLATION CONFORMS TO ACCEPTED PLANS' •
YES 0 NO
EQUIPMENT USED IS APPROVED •
YES []KO
IF NO,EXPLAIN DEVIATIONS - - -
HAS PERSON IN CHARGE OF FIRE EQUIPMENT SEEN INSTRUCTED AS TO LOCATION y
OF CONTROL VALVES AND CARE AND MAINTENANCE OF THIS NEW EQUIPMENT qp YES NO
IF NO,EXPLAIN
INSTRUCTIONS
HAVE COPIES OF APPROPRIATE INSTRUCTIONS AND CARE AND MAINTENANCE CHARTS - YES 0 NO
AND NFPA 13A SEEN LEFT ON PREMISES T1
IF NO,EXPLAIN
LOCATION SUPPLIES BLOCS.
OF
SYSTEMYLQD C- _
MAKE MODEL
YEAR OF ORIFICE
I QUANTITY
TEMPERATURE
MANUFACTURE ' -
SIZE
RATING
SPRINKLERS
VI t F2M tJ.
rk4
Yx i 1.55
Vi -, 5 fM rn. ;A1 l"' IV,A -9 1 5 -
s 1\ WI VV L)
1
oti 5
iZ t l
r' $ .
t 9 t - 1 es•
PIPE CONFORMS TO J STANDARD ES ONO
PIPE AND FITTINGS CONFORM TO NFPA-l 5 STANDARD ES 0NO
FITTINGS.
tF NO,EXPLAIN
ALARM DEVICE MAXIMtJ.4 TIME TO OP ERATE ThRCtJI-4 TEST PIPE
ALARM
VALVE
TYPE MAKE MODEL
MIN, SEC.
OR FLOW 414(tY t C Ylt&i ., r aovt O7
INDICATOR
DRY yALVE Q0.0.
MAKE MODEL SERIAL NO. MAKE MODEL SERIAL NO.
TIME WATE ALARM
TIME T WATER AIR TRIP POINT R OPERATED
THRU TEST PIP RESSURE PRESSURE AIR PRESSURE OUTLET' PROPERLY
DRY PIPE
MIN. SEC. PSI aSr" MIN. SEC. YES I NO
OPERATING
TEST Without
Q.O.D.
With
Q.O.D.
1F NO IN
Reprinted with permission from NFPA 13-1985,Standard for Installation of Sprinkler Systems,Copyright qs- 1985.National Fire Pro-
tection Association,Quincy,MA 02269.This reprinted material is not the complete and official position of the NFPA on the referenced
subject which is represented only by the standard in its entirety.
American Fire Sprinkler Association
11325 Pegasus, Suite E•109
Form104Dallas.Texas 75238
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mahoney
P.O.BOX 767 GLENS FALLS,NEW YORK 12801 not i f i e r inc. RAYMOND F.MAHONEY,PRESIDENT 518-793-7788
July 21, 1994
Mr. Jim Flexon
AMG Industries
Dix Avenue
Glens Falls, NY 12801
Dear Mr. Flexon:
This letter will confirm completion of the fire alarm system at
the rear warehouse area.
We have also, as at this writing, completed the inspection and
final testing of alarm devices for a completely operational
system in that area.
Should you have any questions, please do not hesitate to contact
our office.
Sincerely,
spi).
Benjamin P. Chapman
Operations Manager
BPC/jn