96-006 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
March 22 96
Date 19
j This is to certify that work requested to be done as shown by Permit No. 96006
has been completed.
COMMERCIAL ALTERATIONS
This structure may be occupied as a
721 GLEN ST.
Location
Owner TROY MATTRESS
TAX MAP NO. 103. --1-1 . 1 By Order Town Board
TOWN OF QUEENSBURY;.
‘S2- q1'1°I'kr\`'N
Director of Bldg. & Code Enforcement
BUILDING PERMIT
VALUE $ 1700 TOWN OF QUEENSBURY 96006
TAX MAP NO. 103. -1-1 . 1 No.
WARREN COUNTY, NEW YORK
TROY MATTRESS
PERMISSION is hereby granted to
721 GLEN ST.
OWNER of property located at Street, Road or Ave.
in the Town of Queensbury,To Construct or place a COMMERCIAL 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
721 GLEN STREET QUEENSBURY PLAZA
QUEENSBURY. NY 12804
2. CONTRACTOR or BUILDER'S Name
ED WINCHIP DOOR
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction— (Please indicate by X)
COMMERCIAL ALTERATIONS
( I Wood Frame ( ) Masonry ( I Steel ( )
7. PLANS and Specifications
No.
8. Proposed Use
COMMERCIAL ALTERATIONS
$ 10 98
PERMIT FEE PAID —THIS PERMIT EXPIRES January 16 19
(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 16 Day of January 19 96
SIGNED BY for the Town of Queensbury
Bui ding and Zoning Inspector
De parient o f Community Development •Reviewed By: c--1
ni
Building & Code Enforcement 41111101. Building Inspector
Town o f Queensbury Permit No. 6,, —00(��
742 Bay Road
Queensbury, New York 12804 Fee Paid $
(518) 745-4447 Building Permit Application
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VAL.T.D BUILDING PERMIT.
All applicants ' spaces on this application MUST be completed and the
signature of the applicant MUST appear on the application form.
Applicant: CD W / AlC h ) ? T C0O Q\ Owner: w ( I e
rr
Address: L C N S �� Address: -C
o'�• - 11NOti, S5
1
Phone # ) 79 8 - 16 a a Phone # (
Property Location: /0`3/ 1 /
Tax Map Number
Subdivision Name: Section Block Lot
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF , HE
New Building: CONSTRUCTION: $ n�
residence / commercial
Addition to Building:
residence / commercial OCCUPANCY INFORMATION:
444 Alteration to Building: Primary Building -
residence / commercial Single Family Dwelling
Residence / Commercial Two Family Dwelling
no change to exterior size Family Dwelling
• ' Office
Other Work (describe below) Mercantile
Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE:
1st Floor sq. ft . If ADDITION, what will use
of new addition be? :
2nd .Floor sq. ft .
Other Floors _ sq. ft .
(not unfinished cellar or basement)
ACCESSORY BUILDINGS:
Detached Garage 1 , 2 car
TOTAL FLOOR AREA: SQ. FT. Attached Garage 1, 2 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 : j 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 reponsible for supervisiSn of work as regards to building
codes is :J ..b v'/firGI / fD pzC' 7`18 —/600
Name A res s Phone
Builder: ( e l i : —Cs if
Plumber:
Mason:
Electrician:
DECLARATION: Please sign below after you have carefully read the statement.
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 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 by
a licensed surveyor; drawn to scale, showing actual location of project on premises.
Signature:
(owner, owner's agei , architect, contractor)
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
ARRIVE: fit&) DEPART: INSP: i!
FINAL INSPECTION REPORT
COMMERCIAL MULTIPLE DWELLING
DATE INSPECTION REQUEST RECEIVED:
NAME _ Vro m/'`t
LOCATION �/l e1 VS1j 'q C�"1
DATE 3 C )1 )),r��JJ PERMIT 0 O CQ
TYPE OF STRUCTURE (\.OI,l f ,T
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/RAILING'
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS P'NETRATII
FIRE DAMPERS
CEILING FIRE • OPPING
FIRE DOORS LOSERS
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
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY RD. , QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR/Id DEPART INT-¢
REQUEST FOR INSP ON REC.IVED:
NAME //
LOCATION 4 /ee
DATE 02 Zi/! PERMIT N
TYPE OF STRUCTURE:
RECHECK _ APPROVED
N/A YES NO
FOOTINGS/PIE•,
MONOLITHIC POU FORM
REINFORCEMENT I PLACE
THE CONTRACTOR IS •ESPONSIBL FOR
PROVIDING PROTE TIN FROM F' EZING
FOR 48 HOURS FOLLO NG THE •LACE-
MENT OF THE CONCRETD
MATERIALS FOR THIS P •POS ON SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE '
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT VENTS IN
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS[ EADERS
BRACING/BRIDGING
JOIST HANGE"S
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-
TOWN OF QUEENSBURY1111
BUILDING & CODE ENFORCEMENT
531 BAY RD., QUEENSBURY
NY 12804 '
INSPECTOR'S REPORT: ARRJ//' DEPART INT C-
REQUEST FOR IN ION RECEIV
NAME
I iG-arI
LOCATION
DATE pL/j 55 PERMIT 11 ////S; 96
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM \,
REINFORCEMENT IN PLACE
THE CONTRACTOR IS R .PONSIBLE FOR
PROVIDING PROTE TION FROM FRE ZING
FOR 48 HOURS FOLLOWIN• THE P CE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURP1SE 0 SITE
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN • ACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HE' DERS
BRACING/BRIDG NG
JOIST HANGER
JACK POSTS/ 'IN 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-
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY RD. , QUEENSBURY NY 12804 `
INSPECTOR'S REPORT: ARR/X'v DEPART//C() INT D -
REQUEST FOR INSP' TION RECEIVED:
NAME , V`
LOCATION 0-.4.
DATE b PERMIT #
TYPE OF STRUCTURE:
RECHECK 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 TH S PURPOSE ,N SITE
FOUNDATION/WALLP• R
REINFORCEMENT IN Mgr
FOUNDATION/DAMPPROOVG
BACKFILL APPROVAL .
PLUMBING VENT VEN' PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JAC STUDS/HEADE'S
B' ING/BRIDGING
JO .''T HANGERS
J:CK POSTSLMAIN BEAM
AIR INF TRATION BARRIER
HEATIN! ROUGH-IN
INSU ,TION:
OUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN
UNHEATED SPACES R-
3ff,veti d G (/ /Gr,rs /i.E�75
/ //✓ice h
5h7 if
•
JAN1 '
GI ti 40 boy _._ . .__________
I „/"N.. ((C ' 14.
i 1995
--r — ` 1
1 ,
TOWN OF QUEENSBURY BUILDING PEPARTMEN1 5 • I ( j —
Based on our limited examination, •compliance with our comments shall T.��--
�l�
not be construed as indicating the !�` _ l
I
plans and specifications are in full ` �a{ _ f ^__i-
compliance with the code. 1 I�r } I t_� r
.6f4-.'',17---i __ . , _ _
..9xfr e __ ,.- - - . -_ :)- X 1- _refo-(ems_ -- - - )
> 49L 7 . `6 'r
Cb' � /Ci 4-4.
4 4 c,/cs 'N`GO.✓G__
e6114 i i
I
dRO
4.
_� �` 1 ,,,t V /
V o
:t,
l
f S-g t / /6
6
I );
q—o — s
I
1
S •
et.,6 v.S Ciu�./ (?d\ii7,6 SCr-LE /l�'� A6.