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2004-655 TOWN OF QUEENSBUIRY 742 Bay Road,Queensbury,NY 12804-5902 (518) 761-8201 Community Development- Building & Codes (518) 761-8256 CERTIFICATE OF -OCCUPANCY Permit Number: P20040655 Date Issued:. Monday, December 13, 2004 This is to certify_that work requested to be done as shown=by-Permit Number P20040655 has been completed. Tax Map Number: 523400-302-006-0001-025-000-0000 Location: 751 GLEN St Owner: NIGRO COMPANIES Applicant: MR. SUBB This structure maybe occupied as a: By Order of Town Board Commercial Alteration TOWN OF QUEENSBURY r: jW A- Director of Building&Code Enforcement � `.. TOWN OF QUEENSBURY A 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518)761-8256 BUILDING PERMIT Permit Number: P20040655 Application Number: A20040655 Tax Map No: 523400-302-006-0001-025-000-0000 Permission is hereby granted to: MR_ SI TRB For property located at: 751 GLEN St in the Town of Queensbury,to construct ox;place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Tvoe of Construction Value Owner Address: NIGRO COMPANIES 20 CORPORTE WOODS Blvd Commercial Alteration $40,000.00 Total Value $40,000.00 ALBANY, NY 12211 Contractor or Builder's Name /Address Electrical Inspection Agency Plans&Specifications 2004-655 MR. SUBB 1482 sq ft COMMERCIAL INTERIOR ALTERATION $177.84 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday, October 04, 2005 (If a longer period is required,an application.for an-extension must be made to the code Enforcement Officer of the Town of Queensbury before the expiration date.) Dated at the T o ueens o ay, October 04, 2004 SIGNED BY for the Town of Queensbury. Director of Building&Code Enforcement Building Permit Application Town of Queensbury—Dept of Community.Dovelopment,742 Bay Road,Queensbury,NY (518)761.8256 A permit must be obtained before beginning construction. Permit File No. ss No inspection will be made until applicant has received a Fee Paid $,�'J2. S valid building permit. All applicants' spaces on this Roc:Fee Paid $ application must be completed and must appear on the Reviewed By: application form. Applicant: G 1 6 G Owner: Address: �1 o 4 A-,,cam,., Address: 9 o-,, 4 Phone#(Sid -7'L72 Phone#(,�) Ys - Property Location: Lot Number: / House Number / Subdivision Name: Tax Map Number: O New Building: residence /commercial 'Estimated Market Value of Construction: $ ����a O Addition: residence/ commercial If as Addition,what will use of new addition be? I' Alteration: residence miner W No change to exterior size: res ence com'l o Other work(describe ) Check Occupaneylnformation 1 Floor 2° Floor Other floor Total Below sq.ft. sq.ft. sq.ft. Square Feet O Single fiardly dwelling e. Two family dWeltia O Townhouse o Multifamily dwelling #Of units O Office j' My rcantile fcl�z 3R a Maaltafaaturia F Q p 0 1 car detached&arage p1 O 2 oar detached gMe O 3 car detached garage. 0 1 car attached garage 0 2 oar attached garage O 3 car attached garage o Storage building- commercial O Storage building- residential o Other What is the proposed height of the structure feet inches Will any second-hand or ungraded lumber be used? If so,for what? Type of Heating System: electric/ oil /.-gas/woo f�hotbaseboard/other: Number of Ekeblaees to be installed Number of Woodstoves to be installed List below the person(s)responsible for supervision of work as regards to building codes; Name Address- Phone Number Builder q- Plumber Mason Electrician V ., 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 Itwe shall submit,prior to a Certificate of Occupancy or Certificate of Compliance being issued,as requested by the Zoning Administrator or Director of Building and Codes,an As Built Survev by a licensed surveyor;drawn to scale,showing actual location of all now construction. Signature: � s�' /! c �� owner,owner's agent,architect,contractor. DONSTATE OF NEW YO RK DEPARTMENT OF HEALTH Glens Falls District Office 77 Mohican Street,Glens Falls NY 12801 (518)793-3893 Fax(518)793-0427 Antonia C. Novello, M.D., M.P.H.,Dr.P.H. Dennis P.Whalen Commissioner Executive Deputy Commissioner September 22, 2004 David Dupont 15�Bolivar Ave. Troy,NY 12180 Re: proposed Mr. Subb (T) Queensbury, Warren County Facility Cody 4 56-BD50 Dear Mr. Dupont, I have reviewed,and approved:the plan submitted for the above proposed food service establishment. Please contact Mr. Steve Martin of this office to schedule a pre-operation Inspection.' ' We will need a copy of the certificate of occupancy issued by the Town of Queensbury as part of our permit issuing procedure. Your Permit to Operate will be based upon the pre-operation inspection. If you have any questions,please feel free to contact this office. Sincerely, Joseph Curatolo Principal Sanitarian Cc:.Anita Gabalski,,District Director _ Steve Martin, Senior Sanitarian.Code Enforcement Enforcement Office Commercial Final Inspection Report V /; Office No.: (518) 761-8256 Date Inspection r ec-''vet: Queensbury Building&Code Enforcement Arrive: a f 'ri Depart: ': a 742 Bay Road, Queensbury,NY 12804 Inspector's Initia NAME: t\-\ 9�, PERMIT LOCATION: Q�-\C, R _ 7 DATE: Oy COMMENTS: Y N NA Chimney/"B"Vent/Direct Vent Location Plumbing Vent Through Roof 6"/Roof Complete Exterior Finish Grade Complete 6"in 10' or Equivalent Interior/Exterior Guardrails 42 in.Platform/Decks Interior/Exterior Ballisters 4 in. Spacing Platform/Decks Stair Handrail 34 in.—38 in./Step Risers 7"/Treads 11" Vestibules For Exit doors>3000 s . ft. All Doors 36 in.w/Lever Handles/Panic Hardware, if required Exits At Grade Or Platform 36 (w)x 44" 1)/Canopy or Equiv. Gas Valve Shut-off Exposed&Regulator 18")Above Grade Floor Bathroom Watertight/Other Floors Oka Relief Valve,Heat Trap/Water Temp.110 Degrees Maximum Boiler/Furnace Enclosure 1 hr.. or Fire Extinguishing System Fresh Air Supply for Occupancy/Ventilation Combustion Low Water Shut Off For Boilers Gas Furnace Shut Off Within 30 ft. or Within Line Of Site Oil Furnace Shut Off at Entrance to Furnace Area Stockroom/Storage/Receiving/Shipping Room(2 hr.), 1 '/2 doors > 10%> 1000 s . ft. 3/a Hour Corridor Doors&Closers Firewalls/Fire Separatio , 2 Hour, 3 Hour Complete/Fire Dampers/Fire Doors 'Ceiling Fire Stopping, 3,00 s . ft. Wood Frame Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 24" Smoke Vents Or Fan, if required Elevator Operation and Si a e/Shaft Sealed Handicapped Bathroom Grab Bars/Sinks/Toilets Handicapped Bath/Parking Lot Si na e Public Toilet Room Handicapped Accessible Handicapped Service Counters, 34 in., Checkout 36" Handicapped Ram /Handrails Continuous/12 in.Beyond Active Listening System and Signage Assembly Space Final Electrical Site Plan/Variance required Final Survey,New Structure/Flood Plain certification,if req. As-built Septic System Layout Required or On File Building Number or Tenant Address on Building or Drivewa Water Fountain or Cooler Building Access All Sides by 20' /Driveable Surface 20' wide Okay To Issue Temp. or Permanent C/O Okay To Issue C/C Last printed 6/3/2003 9:27 AML:\PamW\Building&Codes\Commercial Final Inspection Report.doc Town of.Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518) 761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report Request / SCHEDULE Received: Pennit# ` lU INSPECTION ON: Name: y 3 PM ANYTIME Location: ' AP ROVED N/A YES NO COMMENTS EXIT ACCESS X EXIT ENCLOSURE EXIT DISCHARGE MAIN AISLE WIDTH SECONDARY AISLE WIDTH .EXIT SIGN—NORMAL EXIT-SIGN-BATTERY . I/ Q 1 EMERGENCY LIGHTING '�Y� FIRE EXTINGUISHER HUNG FIRE EXTINGUISHER INSPECTION FIRE EXTINGUISHER.HYDRO FIRE ALARM SYSTEM , FIRE ALARM -FAN SHUTDOWN FIRE SPRINKLER SYSTEM FIRE SUPPRESSION-KITCHEN FIRE SUPPRESSION—GAS ISLAND HOOD INSTALLATION INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS CLEARANCE TO ELECTRICAL ELECTRIC WIRING ENCLOSED COMBUSTIBLE WASTE VEHICLE IMPACT PROTECTION FIRE LANE F.D:-SIGNAGE—UTILITY ROOMS NO SMOKING SIGNS MAXIMUM OCCUPANCY SIGN EMERGENCY EVAC PLAN J P a OK THIS PATE FOR CO NOT OK INSPtCTED BY COM DEV/CHRISJINVORDILETTERS2001/FIREMARSHALINSPECTIONREPORT11022001 WHITE—BUILDING DEPARTMENT COPY YELLOW—OCCUPANT COPY Town of Queensbury Fire Marshal's Office 742 Bay Road Queensbury, NY 12804 Phone (518) 761-8205 Fax(518) 745-4437 Fire Marshal's Inspection Report a r OL. Request SCHEDULE Received: Permit# INSPECTION ON: Name: `� \\Y'�i 1� o --� I AM PM ANYTIME (� Location: Jr I APPROVED N/A. YES NO COMMENTS EXIT ACCESS a lrJ EXIT ENCLOSURE EXIT DISCHARGE MAIN AISLE WIDTH SECONDARY AISLE WIDTH _ �k 1 t j Z CAN N C I'l�vt/ ! EXIT SIGN-NORMAL EXIT SIGN-BATTERY EMERGENCY LIGHTING FIRE EXTINGUISHER HUNG P ef-FIRE EXTINGUISHER X � Vu-L �,Lk-, /h� �'� INSPECTION FIRE EXTINGUISHER,HYDRO , FIRE ALARM SYSTEM FIRE ALARM -FAN SHUTDOWN ,NS�t LCi 'A FIRE SPRINKLER SYSTEM FIRE SUPPRESSION-KITCHEN FIRE SUPPRESSION-GAS ISLAND , \-CIA I, ���ev HOOD INSTALLATION v INTERIOR FINISHES STORAGE COMPRESSED GAS CLEARANCE TO SPRINKLERS X .i �(/�()GJ ,f�� 1 It I CLEARANCE TO ELECTRICAL ELECTRIC WIRING ENCLOSED .COMBUSTIBLE WASTE VEHICLE IMPACT PROTECTION b<j r dYI'A� AGE ZCc MS FIRE LANE F.D.SIGNAGE-UTILITY ROOMS l� J NO SMOKING SIGNS MAXIMUM OCCUPANCY SIGN EMERGENCY EVAC PLAN t vii CID OK THIS DATE OK FOR CO NOT INSPECTED BY COMDEVICHRISJMIORDILETTERS20011F IRE MARSHALINSPECTIONREPORT11022001 WHITE-BUILDING DEPARTMENT COPY 0 �1�� YELLOW-9CCUPANT COPY IL Commercial Final Inspection Report - - Office No,: (518)761-8256 Date Inspection requ Vceived- I Queensbury Building&Code Enforcement Arrive: r �15 aepart: ar �m -742 Bay Road, Queensbury,NY 12804 Inspector's Initials NAME: 0 L1 PE 'T# LOCATION: DAT . COMIVIENTS: Y N NA Chimney/"B"Vent/Direct Vent Location Plumbing Vent Through Roof 6"/Roof Complete Exterior Finish Grade Complete 6"in 10' or Equivalent Interior/Exterior Guardrails 42 in. Platform/Decks Interior/Exterior Ballisters 4 in. Spacing Platform/Decks L-C)C9,, ' -A`tJ Stair Handrail 34 in.-38 in. /Step Risers 7"/Treads 11" Of Vestibules For Exit doors>3000-9 . ft. All Doors 36 in.w/Lever Handles/Panic Hardware, if required Exits At Grade Or Platform 36 (w)x 44"(1)/Canopy or Equiv. Gas Valve Shut-off Exposed&Regulator(18")Above Grade Floor Bathro atertight/Other Floors Oka / Relief Valve,Heat Trap/Water Temp. 110 Degrees Maximum Boiler/Fuma-c osure 1'hr.•. or Fire Extinguishing System Fresh Air Supply for Occupancy/Ventilation Combustion Low Water Shut Off For Boilers Gas Furnace Shut Off Within 30 ft. or Within Line Of Site Oil Furnace Shut Off at Entrance to Furnace Area Stoclo:oom/Storage/Receiving/Shipping Room(2 hr.), 1 '/z doors > 10%> 1000 s .ft. 3/4 Hour Corridor Doors&Closers Firewalls/Fire Separation,2 Hour, 3 Hour Complete/Fire Dampers/Fire Doors S2]EM%17E- 'Ceiling Fire Stopping, 3,000 s . ft. Wood Frame Attic Access 30"x 20"x 30"(h),Crawl Space Access 18"x 24" Smoke Vents Or Fan, if required Elevator Operation and Si a e/Shaft Sealed Handicapped Bathroom Grab Bars/Sinks/Toilets k5s-%— V rroj p� Handicapped Bath/Parking Lot Si na e f-k -1)\WW::� l Public Toilet Room Handica ed essible ` 9 Handicapped Service Counter , 4 i ,Checkout 36" (v\ Handicapped Ramp/Handrai ontinuous/12 in.Beyond 1 e Active Listening System and Signage Assembly Space Final Electrical Site Plan/Variance required 1 Final Survey,New Structure/Flood Plain certification,if req. As-built Septic System Layout Required or On File Building Number or Tenant Address on Building or Driveway Water Fountain or Cooler Building Access All Sides by 20' /Driveable Surface 20'wide Okay To Issue Temp. or Permanent C/O Okay To Issue C/C Last printed 6/3/2003 9:27 AML:\PamW\Building&Codes\Commercial Final Inspection Report.doc Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspectio,r.reque�r c iv d: Queensbury Building&Code Enforcement Arrive: pm 742 Bay Road, Queensbury, NY 12804 Inspector's Initials: !� NAME: �"� \ U{�(� \� ( SCE �il�t� PL�za)PERMIT#: Z � LOCATION: -1 INSPECT ON: TYPE OF STRUCTURE: Framing Y N N/A COMMENTS Jack Studs/Headers Bracing/Bridging Joist hangers I Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %2 (w) 16 gauge(8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center ce and snow shield 24 inches froin wall Fire separation 1, 2, 3 hour rr Fire wall 2, 3, 4 hour L01PkLL Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side %2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 I! . I Framing / Firestopping Inspection Re ort Office No. (518) 761-8256 Date Insp tion re .est.v cei ed: Queensbury Building&Code Enforcement Arrive:.. a prI}' D rt'� a pm ) 742 Bay Road, Queensbury, NY 12804 Inspector's Initia NAME: �� ��:'��'�\'? PERMIT#: -lv LOCATION: V2AL,� V-- _���'� �� INSPECT ON: 1--- 1--C)U TYPE OF STRUCTURE: Y lv lv/a Framing COMMENTS Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12" O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %2 (w) 16 gauge (8) 16D nails each side "--Draft stopping 1,000-sq.--ft.-floor trusses. Anchor Bolts 6-ft. or less on center Xce and snow shield 24 inches from wall /Fire separation 1, 2, 3 hour -! ------�� Fire wall 2, 3, 4 hour IN Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side % inch or 5/8 inch Type X Garage side.5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade L:\SueHemingway\Building.Codes.Inspection.FORMS\Framing Firestopping Inspection Report.doc January 28,2003 Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection req rece Queensbury Building& Code Enforcement Arrive: a i/p art: '• am/pm 742 Bay Road, Queensbury,NY 12804 Inspector's Initial j NAME: PERMIT#: Pi , LOCATION: INSPECT ON: r L[ TYPE OF STRUCTURE: Framing Y N N/A COMMENTS Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12" O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. z Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %2 (w) 16 gauge (8) 16D nails each side >' Draft stopping 1,000 sq. ft. floor trusses f' Anchor Bolts 6 ft. or less on center f l Ice and snow shield 24 inches from wall Fire separation 1, 2, 3 hour - 1 � Fire wall 2, 3, 4 hour Firestopping R Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation �' N C__ 1 House side %2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LASucHerningway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003 2 0, Rough Plumbing%1Ins�Uu1qt1;a ion Inspection Report Office No. (518) 761-8256 Date Inspection reques a eiv : Queensbury Building& Code Enforcement .Arrive: p D part: n 742 Bay Road, Queensbury,NY 12804 Inspector's Initials NAME: r PERMIT #: of S LOCATION: INSPECT ON.- TYPE OF STRUCTURL Y N N/A PVC: R-1,R-2, R-3,R4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. 1, Plumbing Vent/Vents in Place Rouo Plumbing/Nail Plates "1 % inch min.Drain Size Washing Machine Drain 2 inch nun. Head or Air Supply Test Drain and Vents 5 PSI or 10 feet above highest connection for 15 minutes Cleanout every 100 feet/change of direction Water Supply Piping Coo ommercial oo er,CPVC,Pex One and Two-Family nsulation/Residential Check/Commercial Check Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If re uired unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: L:\SueHemingway\$uilding.Codes.hispection.FORMS\Rough Plumbing Insulation Report.doc November 11,2003 1, j I Framing / Firestopping Inspection Report Office No. (518) 761-8256 Date Inspection re es rec v ?Z 6 Queensbury Building&Code Enforcement Arrive: m/p art: 742 Bay Road, Queensbury, NY 12804 Inspector's Im als: NAME: sub 10 PERMIT#: �. S S LOCATION: C-IMP v. INSPECT ON: Q LJ TYPE OF STRUCTURE: r Y N N/A COMMENTS raming Jack Studs/Headers Bracing/Bridging Joist hangers Jack Posts/Main Beams Exterior sheeting nailed properly 12"O.C. Headroom 6 ft. 8 in. Stairwells 36 in. or more Headroom 6 ft. 8 in. Notches/Holes/Bearing Walls Metal Strapping for Notches Top Plate 1 %2 (w) 16 gauge (8) 16D nails each side Draft stopping 1,000 sq. ft. floor trusses Anchor Bolts 6 ft. or less on center Ice and snow shield 24 inches from wall Fire separation 1, 2, 3 hour Fire wall 2, 3, 4 hour Firestopping Penetration sealed 16 inch insulation in cavity min. Garage Fire Separation House side t/2 inch or 5/8 inch Type X Garage side 5/8 inch Type X Ceiling/wall Windows Habitable Space/Bedrooms 24 in. (H) 20 in. (W) 5.7 sf above/below grade 5.0 sf grade LASueHerningway\Building.Codes.Inspection.FORM S\Framing Firestopping Inspection Report.doc January 28,2003 Rough Plumbing / Insulation Inspection Report Office No. (518) 761-8256 Date Inspection reque qeeiv Queensbury Building&Code Enforcement Arrive: p D art: a a 742 Bay Road, Queensbury,NY 12804 Inspector's Initi t NAME: N� . SJbb PERMIT #: LOCATION: —7 e r` INSPECT ON: b tl TYPE OF STRUCTURE: Y N N/A PVC: R-1,R-2,R-3,R4 Drain/Vents Cast Iron, Copper Drain/Vent/Comm. Plumbing Vent/Vents in Place *g2ugh Plumbing/Nail Plates 1 % inch min. Drain Size Washing Machine Drain 2 inch min. e or Air Supply Test rain and Vents 5 PSI or 10 feet above highest - connection for 15 minutes Cleanout every 100 feet/change of direction Water Supply Piping Copper Commercial Cooper, CPVC,Pex One and Two-Famil Insulation/Residential Check/Commercial Check Proper Vent,Attic Vent Duct/Hot Water Piping Insulation If required unheated spaces Combustion Air Supply for Furnace Duct work sealed properly/No duct tape COMMENTS: L:\SueHemingway\Building.Codes.Inspection.FORMS\Rough Plumbing Insulation Report.doc November 17,2003 Foundation Inspection Report .Office No. (518) 761-8256 Date Inspection re est ecei d: Queensbury Building&Code Enforcement Arrive: ";'� m/p epart: am�m�� 742 Bay Rd., Queensbury,NY 12804 Inspector s it als° r NAME: ERMIT#: Z i3Q'--\ LOCATION: ZAINSPECT ON: 1A—p TYPE OF STRUCTURE: Comments Y N N/A Footings Piers Monolithic Slab Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on.site. Foundation/.Wallpour Reinforcement in Place Foundation Dampproofing Foundation/Waterproofing Type of Dampproofmg/Waterproofing Footing Drain Daylight or Sump Footing Drain Stone: 12 inch width 6 inches above footing 6 mil poly for wet areas under slab ° ackfill Approval Plumbing Under Slab Cj�st/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LASueHemingway\Building,Codes.Inspection.FORMS\Foundation Inspection Report.doc January 28,2003 Foundation Inspection Report Office No. (518) 761-8256 Date Inspection re receiv Queensbury Building&Code Enforcement Arrive: anvpm Depart: _ ,, ain 742 Bay Rd., Queensbury,NY 12804 Inspector's In' is NAME: �N\ .�� ,KNIT#: J LOCATION: `_ _ INSPECT ON: TYPE,OF STRUCTURE: Comments --- --- __ y N N/A Footings Piers Monolithic Slab 2 Reinforcement in Place �V 1 The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete, Materials for this purpose on_site._ Foundation/Wallpow- \ �� Reinforcement in Place �� /AV Foundation Dampproofing Foundation/Waterproofing Type of Dampproofing/Wate>proofing Footing Drain Daylight or Sump A Footing Drain Stone: 12 inch width 6 inches above footing `1 6 mil poly for wet areas under slab �� Backfill Approval -YJumbTng Under Slab PVC/Cast/Copper Foundation Insulation Interior/Exterior R- Rough Grade 6 inch drop within 10 ft. LASucllemingway\Building.Codes.Inspection.FURMS\I'oundation Inspecrion Report.doe January 28,2003 MIDDLE DEPARTMENT INSPECTION AGENCY, INC. if.�r/red that the electrical wiring to the electrical equipment listed below has been examined and is approved as being in accord with the National Electrical Code, applicable governmental, utility and Agency rules in effect on the date noted below and is issued subject to the following conditions. Owner: Mr. Subb Date: 0 9/2 7/2 0 0 4 C�_ Occupant: Unknown Location: R t 9 Queensbury, Warren Co. NY Occupancy: Non—Residential Applicant priority Electric _ C/O 26 Congress St #302'n Saratoga, NY 1.2.866 No. 3180141_3,6685E.; _ Equipment: -.. . ' 200 Amp. Service Equipment 4/01 . 45 KVA Transformer This certificate applies to the electrical wiring to the electrical equipment listed immediately null and void. This certificate applies only to the use,occupancy and above and the installation inspected as of the above noted date based on a visual ownership as indicated herein. Upon a change in the use,occupancy or ownership inspection. No warranty is expressed or implied as to the mechanical safety, effi- of the property indicated above,this certificate shall be immediately null and void. ciency or fitness of the equipment for any particular purpose. This certificate shall In the event that this certificate becomes invalid based upon the above conditions, be valid for a period of one year from the above noted date. Should the electrical this certificate may be revalidated upon reinspection by Middle Department system to which this certificate applies be altered in any way,including but not limit- Inspection Agency, Inc. An application for inspection must be submitted to Middle ed to,the Introduction of additional electrical equipment and/or the replacement of Department Inspection Agency, Inc. to initiate the inspection and revalidation any of the components installed as of the above noted date,this certificate shall be process. A fee will be charged for this service.