97-269 BUILDING PERMIT
VALUE $ 1000TOWN OF QUEENSBURY No. 97269
TAX MAP NO. 59 . —2-13 WARREN COUNTY, NEW YORK
Ao\ T JOWN
PERMISSION is hereby granted to ENGELBREH
OWNER of property located at 113 MEADOWBROOK RD. Street,Road or Ave.
in the Town of Queensbury,To Construct or place a CQMMFRCTAT, TNTFRTf1R pT.TFRATTO1\j$
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
120 HUDSON ST
S . GLENS FALLS, NY 12803
2. CONTRACTOR or BUILDER'S Name
BALLWEBER CONSTRUCTION
3. CONTRACTOR or BUILDERS Address
PO BOX 132
FT ANN
4. ARCHITECT'S Name
COMMONWEALTH ELECTRICAL AGENCY
5. ARCHITECT'S Address
PO BOX 706
HAGUE, NY 12836
6. TYPE of Construction—(Please indicate by X)
COMMERCIAL ALTERATIONS
( )Wood Frame ( I Masonry ( )Steel ( 1
7. PLANS and Specifications
Cd$?MERCIAL INTERIOR ALTERATIONS AS PER APPLICATION
8. Proposed Use
COMMERCIAL . INTERIOR ALTERATIONS
June 9 19 99
$ 5 PERMIT FEE PAID —THIS PERMIT EXPIRES
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Oueensbury before the expiration date.)
9 June 97
Dated at the Town of Queensbury this— Day of 19
BY e��JIU� —��� for the Town of Queensbury
SIGNED Building aiid Zoning Inspector
v.- . Building Permit Application
Town of Queensbury Dept. of Community Development, 742 Bay Road, Queensbury, IVY 12804 [761-8256)
o BUILDING & CODE ENFORCEMENT
NOTICERequirements prior to issuance r
of this permit: PERMIT FILE NO. . 461
A permit must be obtained before
beginning construction. No inspections PERMIT FEE PAID$
will be made until applicant has received n Zoning Board Action
a VALID BUILDING PERMIT. All Area /Use
applicants' spaces on this application- RECREATION FEE PAID$
MUST be completed and the signature Planning Board Action REVIEWED BY: •
of the applicant must appear on the
application form. tn�t (Area
/ Subdivision /Other Building Inspector
J Recreation Fee Payment
Applicant: O-H aJ �Z.J C,_Ld 0.-Gkh Owner: 1-e:'+a1J ti&LII(bet-A-r
2v . )2 D 4-1-,�cs S�-
' Address: vs�S DL S i, S `4 1-, Nr Address: S - L-G.:0 i-"91,1-$., V1-10-3
Phone # (5.1 "o ) r i9, "'11O . I'honu # ( -t ) 1111b .'1103
Properly Location: 1 13 m L-4oD'3 'L pL I2-6' 'Subdivision Name: Tax Map Number / 0 r l
1�
Section Block Int
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
New Building: CONSTRUCTION: $ 1000
residence / commercial
Addition to Building:
residence. / commercial OCCUPANCY INFORMATION:
Alteration to Building: Primary Building -
residence commercial >Q Single Family Dwelling
X residence / Commercia Two Family Dwelling •
no c1inge to exterior size . . Fdtnily nwel
( -X- Offic ' HE r� �
Other Work describe below) Merca ti
OtherManuf ctur 1g�I 7 1997 •
•
Other �tAA
GROSS AREA OF PROPOSED STRUCTURE: • of t► ":3URY
t Gv\N C°` eODt
sili
' 1st Floor sq. .ft• of newDITIO additi ra e? :O
2nd .Floor sq. ft.
Other Floors sq. ft.
(not unfinished cellar or basement) ACCESSORY BUILDING
i � � J —
Detached Gar a 1, 2 car
TOTAL FLOOR AREA: ( SQ. FT. Attached • 1, 2 car
—
Private Building
SIZE OF NEW STRUCTURE: Commercial torage Building
FEET X FEET k�—obh-Qr I was--6��-Ibt
Foundation Type: 1Zh ',w.,1 . Will any second-hand or ungraded
' Number of Stories: / lumber be used? yo , for what?
(habitable space only)
Height (grade to ridge) : /L/ feet TYPE OF HEATING SY TEM:
Number of fireplaces and/or woodstove (circle all which appli s)
to be installed: Electric / Oil / Gas //Wood
Forced Hot Air / Baseboard / Other
Person res onsible for supervision of work as regards to building
codes is: t1 c�-cyIZo Pat.4,1...)6.65/Z V-r. 4(-14,)9. N' td-zo?-56 N y
Mine Addresss Phone
Builder: C."4- •
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, showin I actu 1 location of project on premises.
• Signature: 5V4
\i/Ct--4.,,
er, owner's agent, ar itect, contractor)
COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.-r4 P®4
Main Office 357 Elwyn Terrace — Manheim,PA 17545
MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL 5)---)
Panel Board No. Cert. 50 2 2 4 Cut-in Card No...
Owner Z7U c6 , ez7—
Occupant Location / 3 /n'741)00 00(70.4 d ae-&- V
Installation Consisting of.l OZ � S!/ d
Installed By g /St.-'A•e Lic. #
The conditions following governed the issuance of this certificate,and any certificate previously
issued is cancelled:—
This certificate only covers the electrical equipment and installation conditions as of date. Upon
the introduction of additional equipment or alterations, application shall be promptly made for
inspection.
Inspectors of this Company shall have the privilege of ma g insp tions at time, and if its
rules are violated,the Com any shall have the right to revok t •certif ate.
vi 3/
Date....1 " (� ° INSPECTOR .. �
Member N_F.P_A._I.A.E.I.
TOWN OF QUEENSBURY
ell
BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(518) 761-8256
ARRIVE: op DEPART: INSP: V1,- ,
FINAL INSPECTION REPORT
COMMERCIAL MULTIPLE DWELLING
(hotel, motel, apt. comp ex)
DATE INSPECTION R+QUEST RECEIVED: ` L99
NAME en 1 / •% ^'1 1 �"Y
LOCATION JJ , • d0UJ � /i 1
DATE of it p PERMIT # '/ 7'0 r °
a
TYPE OF STRUCTURE a Qgln a Lax-. f) 1 ,
FOOTINGS BACKFILL FRAMING_ PLU BING_
INSULATION
N/A YES NO
CHIMNEY/"B" VENT/HEIGH _
'PLUMBING VENT/FIXTURES
ROOFING
EXTERIOR FINISH IF
HEATING/HOT WATER
RELIEF VALVES
FLOORS
FOUNDATION INSULATION
INTERIOR STAIRS/RAILINGS
STOCKROOM ENCLOSURE
FIRE/DEMISE WALLS PENE RATIO.
FIRE DAMPERS
CEILING FIRE STOPPI
FIRE DOORS/CLOSERS
EXIT DOOR HARDWARr
EXIT STAIRS/RAIL••
PLATFORM/ELEVAT'R
HANDICAPPED AC(ESS
HANDICAPPED B.THS
HANDICAPPED •ARKING
FINAL ELEC •ICAL -
SITE PLAN VARIANCE REO.
FINAL SU VEY PLOT PLAN, IF REQ I
OK TO SSUE C//O'' OR C/C .
UE�
, A.
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: ARR do DEPART INT//
REQUEST FOR INSBEC;TION RREECEIV/ED:
NAME Jr-
;j g/[z eeL l `
LOCATION (���i/✓ 4lr�fG 4.4aY/X1'
DATE d/V // PERMIT A // (��)
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NQ
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE ._
THE CONTRACTOR IS RESPO I LE FO
PROVIDING PROTE TION FROM I
FOR 48 HOURS FOLLOWING TH PLACE-
MENT OF THE CONCRETE.
MATERIALS FOR THIS PURPO E ON SITE_
FOUNDATION/WALLPOUR _
REINFORCEMENT IN PLACE _
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE ,.
ROUGH PLUMBING _
PLUMBING UNDER SLAB .
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
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- __
••
(518) 761-8256
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT i ,0v. .
742 BAY RD., QUEENSBURY NY 12804 .. ''''..e.
INSPECTOR'S REPORT: ARR /2IV DEPART, , INT�II "
REQUES'P FOR INSPECT ON RECEIVED:
NAME ��(� 1.L� Y C., \ '4,
LOCATION 1? N (7e- t/(w � i'Ut(`c)
DATE r��/ .-‘1-7 A m4 PERMIT l
TYPE OF STRUCTURE: A- - c1 l,A7;
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 T PLACE—
MENT OF THE CONCRETE.
MATERIALS FOR THIS P1P E ON ITE
i
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING _
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING _
PL,MBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS _ •
BRACING/BRIDGING
JOIST HANGERS ,_
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—
(518) 761=8256
TOWN OF QUEENSBURY
BUILDING 6 CODE ENFORCEMENT '..
742 BAY RD., QUEENSBURY NY 12804 -.... ,
INSPECTOR'S REPORT: ARR/2(ZrDEPART INT ,7)k
REQUEST FOR INSPECTION RECEIVED:
NAME ": '%-, i, A-9 2J d/,,^/crCi�4J}.
LOCATION 3 ///17.c�1 L+-bn:(/4 1/�/^�
DATE §4717 PERMIT A 97^€ 7
TYPE OF STRUCTURE:
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS / !I
MONOLITHIC POUR 'FORM I _
REINFORCEMENT IN\LAC I
f
THE CONTRACTOR IS RESPONSIBLE FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLONI G THE PLACE-
MENT OF THE CONCRET .
MATERIALS FOR THIS URPOSE ON SITE
1
FOUNDATION/WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE -
ROUGH PLUMBING
PLUMBING UNDER SLAB •
_
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
-
JOIST HANGERS
JACK POSTS/MAIN BEAM
A1IR 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- •
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TOWN OF QUEENSBURY BUILDING DEPARTMENT •
Based on our limited examination, B U 1 D 1 N G 8? CC)D ES D E PT.
compliance with our comments shall 2 • 7Ye/CAL ,5 EC -1704
not be construed as indicating the REvIEWED BY - \ N
plans and specifications are in full
compliance with the code. DATE g') _
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