1987-808 .«
777
1r
CER."TIFICA.TE OF C]CCTJPANCY
TOWN 4F +QUEENSBURY
WARREN COUNTY, NEW YORK
Date April 7 , 19 8 `8
This is to certify that work requested to be done as shown. by Permit No, 88-808
has been completed.
This
r structure may be occupied as a commercial Bldg . (office Space , Retail Area )
ljo 1 1AX dangle Ind . Park , Dix Ave .
LAwarion
finer male Granger
By Order Town Board
TOWN OF QUEENSBURY
Building 6r Zonins lnapectar
,.� BUILDING PERMIT ,
TOWN OF +QUEENSBUR'1f N4 87-808
WARREN COUNTY, NEW YORK
w
cr
Gerald & Cynthia Nudi
PERMISSION is hereby granted to 1
OWNER of property located at Triangle Ind . Park Dix Ave . Street, Road or Ave_ a�'o
in the Town of Oueensbury, To Construct or place a Commercial Bldg . (Office Space , Retail Area ,
at the above location in accordance to application together with plot plans and o In orm lonrhe No filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
ro
t . OWNER'S Address is 1 Old Aviation Rd . w
Glens Falls , N . S . 12801 a
m
n
2. CONTRACTOR or BUI LDE R'S Name
cot
Dale Granger
z
3. CONTRACTOR or BUILDER'S Address p
10 Harlem St .
Glens Falls , N . Y . 12801
4. ARCHITECT`S Name
H
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>v
o
S. ARCHITECT'S Address m
H
f7+
S. TYPE of Construction — {Please indicate by X)
H
7s'
( ) Wood Frame { ) Masonry { ) Steel f i
r.�
r�-
PC
7. PLANS and Specifications
No. 118 ' x 80 ' per plot plan , specifications and application including.
septic system .
h '
B. Proposed Use Commercial property used for Office space , retail store and o
lighted showroom. "
n
$5 . 00 C/o 'l
N
440 . 00 .Tune 1 , 88
$ PERMIT FEE PAID — THIS PERMIT EXPIRES 1`3 �
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the j
town of C2ueensbury before the expiration date_) A'
tj
Dated at the Town of O.ueensbury this 30th November.� Day of _._19 87 °°
�
SIGNED BY / / Qr" � . 'i"� for the Town of Ciueensbury
Building and Zoning I nspector
TO BE COMPLETED BY BLDG . DEFT. rUwN OF
awn o/ Queenj 14p y Application No . # � ��, ��6 i_� l� �f L, -
Permit Issued 19 �} I NOV 4
BUILDING and ZONING DEPARTMENT Permit Expires 19 NO ■ 1 9 198?
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation
Queensbury, New York 12801 Variance No. €3UH-OtING 4% CC:DE, :]EPT.
Site Plan Review Na .
Approved
APPLICATION FOR y Eb406
y
BUILDING AND ZONING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLCWING .
The undernigned hereby applies for a Building Permit to do the following work which will
be done in accordance with the description , plans and specifications submitted, and such
special conditions as may be indicated on the Permit .
The owner of this property is : v^
P. O. Address / ege#20 gQla %C7rs^]. 1rC'60 Peq�)
Property Location : iJ trk' T� '�• T1" ! � �� � I' Alrk Tax Map No .
Street number or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS :
t o t �,•ra an c� c..-- t ea -�-r�4 -w- � c SA , C a �` t ' c� r r !' z c 3 7
Name P. O. Address Tel . No .
Name of builder Address Telw
p nr ;,;_,,:` Address Tel .
Name of lumber ,
Name of mason Address Tel .
NATURE OF PROPOSED WORK : * ZONING INFORMATION :
300 �onstructlon of a new building A PLOT PLAN MUST BE PREPARED AND SUBMITTED ,
_Addition to a building * drawn reasonably to scale and attached hereto ,
Alteration to a building * showing clearly and distinctly all buildings ,
(no change to exterior dimensions ) * whether existing or proposed and indicate all
Other work (describe) * set-back dimensions from ,property lines . Give
* street and number or lot number and indicate
whether interior or corner lot . Show location
FOR DEMOLITION PERMIT , STATE SIZE AND of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTED.
of septic disposal area .
* COMPLETE INFORMATION REQUIRED BELOW , �
Size of property 2 7-6 r ft X.42Lgrnft .
Existing building ( s) Size ft X ft .
PROPOSED BUILDING AND USE : * Existing building ( s ) Use
Size of new structure LC Y ft X..ae> ft I " '
Foundation-pier/slab/crawl/partial/full Proposed building , distance from property line
(circle one ) * ' r
No . of stories (habitable space) / * Front yard �D ft Rear yard � oe ft
Height ( grade to ridge ) ,� ,5 f ft . * Side yards S ft and _ O ft
If residential , no. of families * If on corner , setback from side street ft
No . of rooms ( excluding baths) OCCUPANCY INFORMATION
Now of bedrooms "
Now of bathrooms * PRIMARY BUILDING -
Primary heating system
Type of fuel p `� * One family dwelling
* Two family dwelling
No . of fireplaces to be installed * Multiple dwelling Number of units
/
Will a wood stove be installed? * Permanent occupancy
Central Air conditioning? ct> Transient occupancy
�8 siness
BUILDING STYLE, PRIMARY STRUCTURE ✓Industrial
Other
Ranch Contemporary Log cabin
Raised ranch Mansion Duplex * If addition , what will use be?
Split level Old style Bunpalow
Cape Cod Cottage ciher ACCESSORY BUILDING-
Colonial Row Town House * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car
Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION drri
$ mod
INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED !
Form BPA 4/86 md- vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS .
Type of construction , wood fraam , fire safe , c .
Will any second-hand or ungrade used? If so , for what? a
Foundation wall material ['.ruese 'G-4-Oir� Thickness 2 011
Depth of foundation below grade (to bottom of footing ) .4{rYr�, O= ^ 4=
Will there be a cellar? &N/e> Heated or unheated? Floor sq. footage ,(e &-6 sq ft
Will there be a basement? _ rf+cs Will any portion be used as living space?
( If so, what portion? sc t . - - Type of use? k
Type of roof - sloped/flat/ ed/ her. material -of roof Size , wood studs "'x spacing "o . c . length ft .
Joists ( floor beams ) 1st . floor "x " spacing "o . c . span ft .
Soists ( floor beams ) 2nd . floor "X if spacing "o . c . span ft .
Overlays ( ceiling beams ) "X "' spacing "o . c . span ft .
Roof rafters "X " spacing. o . c . span ft . /
Roof trusses (pre-engineered) spacing,"o . c . span c'' p ft .
Exterior wall finiSh/4D tr �� _ of what material?
Interior wall finish me
zef
If a garage is to be attached , describe materials to -be used for FIRE SEPARATION :
Is there to be an opening between garage and dwelling? If so will a Fire-rated
door , enclosure , and self-closing device be provided?
Will a flue-lined chimney be installed? Height above roof ft .
Depth of chimney foundation below grade ft .
Depth of fireplace hearth ft , in . ,
Water supply - Municipal or private well
SEPTIC SYSTEM _ Distance from ANY private well ( includi g adjoining properties
(A separate application is necessary for any repair or new installation of sept!6 system)
Town of Queensbury A F F I D A V I T
County of Warren STATE of NEW YORK
I swear that to the best of my knowledge and belief 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 , o.n the described premises and that all
provisions of the BUILDING CODE , THE ZONING ORDINANCE , and all ot er laws pertaining to
the proposed work shall be complied with, whether pecified or , and that such work is
authorized by the owner .
,r s-
SWORN TO BEFORE ME THIS Signature'" lL` ____-_ _ __ ......
-owner , owner ' agent , ar izect , contractor
day of 19
Notary Public , Warren County , N . Y .
* * * * * * * * * . * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT :
By----------- ------------ _----_ ------
TOWN OF QUEENSSURY
WARREN COUNTYt NEW YORK
Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE
A permit must be obtained before beginning work .
ANSWER ALL of the following :
r
1 , Gross floor area Q Q Q
ti R
2 . Type of heat
3 , Is the building mecha ically cooled ? "% gj'k ' O'.. !!E:
4 , Percentage of area of windows and doors
A . Over 16 % Only
Y . Uo value of gross area of walls , roof / ceiling and floors
exposed to ambient conditions
2 , Floor over heated spaces YES TO
a , Are foundation walls insulated ? YES NO
1 . If YES , what is the R value ?
3 . Slab on grade YES NO
a . If YES , what is the R value of insulation around
perimeter of floor ? { t7
46 Is basement heated ? YES NO
a . R value of insulation
so Type of insulation
Be Under 16 % Only
1 . R value of roof and floors exposed to ambient conditions.
7
2 , R value of exterior walls l S
3 . R value of glazed area .44o
Moo-
4 . R value of doors k4n /
5 , R value of floors over unheated spaces
60 R value of slab edge insulation - unheated slab 16
7 , R value of slab insulation - heated slab
86 R value of heated basement / cellar walls ( above grade ) _ht —'R
9 . R value of heated basement / cellar walls ( below grade ) Iv�A
100 Type of insulation
C . Controls
1 . Thermostat maximum heat setting �7 2
D , Duct Systems
1 , Is duct system installed in unheated spaces ? YES
a . If YES , R value of duct installation
b , R value of duct in other areas
E . Pining Insulation
1 . size of hot water or cooling carrying agent pipe
2 , R value of pipe insulation
F , Service Water Heating
1 . Performance efficiency C3
2 . Temperature control setting maximum
G . For Swimming Pool Only
1 . Maximum heating
Telephone No . `7 ! -Z 06
IC,2 _ Otoe -S y ( appl ant ' sLJ signature )
APPI.IC AT70H FOR SEP nC DISPOSAL PERMIT
DATE
LOCATION OF PROPERTY FOR INSTALLATION �� i
Owner's Name : .c'rcasl 4 ✓i Zlw_�G�_ / o G / Telephone:
Address:
Installer's Name: (: � .�`� Telephone: �'r f�
Number of bedrooms (residential only)
Total daily flow (compute @ 150 gal per bedroom) ac"' n
Topography: circle one: CF --~ Roiling Steep Slope % of slope
Soil Nature: circle one: Sand~"*hoam Clay Other / Depth: feet
Ground Water: At what depth? feet
r
Bedrock or Impervious Material: At what depth? _ feet
Percolation test: circle one: not required required / rate min. inch.
Domestic water supply: circle on Municipal Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption _ feet
PROPOSED SYSTEM: Septic Tank gal. (minimum size: 1 ,000 gal.)
TILE FIELD: Each Trench �S 0 r feet / Total system length r Q feet
SEEPAGE PIT(S) : Number of / Size each feet by feet
r
Size of stone to be used # �z - / Depth or Thickness _� _ „ _ feet
* * * * * * * * * * * * * * * * * * s * * * * * * * * * * # * * * * * * =ens
IMPORTANT
...P`lease...LIST NEW EQUIPMENT TO BE INSTALLER
PL
(over)
Section II Septic System inspections:
A. All applications for septic system installation, alteration or repair, as
required by the Town of Queensbury Sanitary Sewage Ordinance, shall
be submitted to the Building Department at least 24 hours before start
of construction and shall include a plot plan showing:
1 .) the proposed location of the system
2.) location and distance to lot lines
30 location and distance to structures
4.) location and distance to any water supply
5.) size and dimensions of all tanks, distribution
boxes, tile fields and/or dryweils
Be No system shall be covered before inspection and approval by the building
Inspector. Failure to comply with this requirement may result in the
uncovering of the system by the installer and a fine of up to $Z50.00.
c. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may result
in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installation,
alteration or repair of an approved system, a new proposal must be submitted
to the Queensbury Building Department before further construction.
I have read the regulations above and agree to abide by th and all requirements
of the Town of Queensbury Sanitary Sew 7r pba o Ord' cee
Signature of responsible person: �- �-.�'_..L_ r { t.{
Date:
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 1Z801
(518) 792-5832
SETTLED 1763 . . . 110ME OF NATURAL BEAUTY . . A GOOD- PLACE TO LSVE
Down o/ Queens6urry
BUILDING and ZONING DEPARTMENT
Bay and Havifand Road, R-D. 1 Box 98
Queenrg.bury, New York 12601
UI LD I NG INSPECTOR ' S REPORT
NAME el4G
LOCAT I O %e..
Late , Permit No
* * * * * * * * * ✓* * APPROVED � YES* NO �
Footing/Pier Farms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext . Porches
Finished Floors
Interior Trim
Stairs & Railing
Cellar Drain Ti
Concrete Floor
Plbg , Fixture
Gar . Firepro fing
Door Closer
Smoke Detec ors
Chimney
TNSULATIO
Foundatio
Floors
Wails
ceiling
FINAL EL TRICAL INSPECTION
ll VEWAY APPROVAL r
final Building Survey
N xt scheduled inspection (call when ready )
A
Remarks-
Y C //,k
�, f
Build g Ins ctor
6/86 and-%rl
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
r 41 STATE STREET, ALBANY, NEW YORK 12207
Liete APRIL. 21 ► 1986 Application No. on fife 03440V8I87 A 714605
THIS CERTIFIES THAT
only else electrical equipment as deecribed below and introduced by the applicant namad on the above application number in the prensieea of
E`t. 1LL3 Fx CY "T13IA INi0 s DIX AVENUZ , QUEE!Y:i13URY0 NEW YORK
in the following location; ❑ Basement ® tat Ft. El grad Fill OUTSIDE Section 110 Bloch ] Lot L . 28
Tvea examined an 4/r 5/ 88 and found to be in compliances with the requirements of this BtNsrd.
FIXTURE E�[:.EF?A,CiES SWITCHES FIXTURES DE RANGES COOKING CKS OWN
S DISH WASHERS EXHAUST FANS
OUTLETS INCANDE5CENT ntXMESCENT AMT. K. W. AM7. K. W. AM7. K.W. AMT. K. W. AMT. H. ►.
" A 113 1 3 1 21 1 el I FH
DffftRS FURNACE MOTORS FUTURE APPLIANCE /REDRRS SPECIAL REC"FT TOM CROCKS BBL UNIT HEATERS RRULTI OUTLET DIMMERS
APT. K. W. OIL H. P. GAS H. ►. AMr. No. A. W. G. AM7. AMP. AMT. AMPS. TRANS. AM7. H. ►. SY5TEMS AMY. WATTS
NO. OF Ft4R
716
SERYiCE DISCONNECT No. (* S E R V I C E
AMT. AMP- TYPE EQUIP. f .e' 2W 1 X 9M/ 3 X SW 3 X n'✓ NO. pPER x OND. OF CC. CGOND. - OF IMAM OF�HIiEG NO. OF NEUTRALS OF P&NORAI
OTHER APPARATUS:
2- E" i IGHTS ►
1— rig Er lCoUIT 200 A~M? P&NEL4
tag D N CYNTRI-A NUDI
I OLD ,AUIGTi'tiUM ROAD BRANCH MANAGER
Per.
This certificate most not be altered in any manner; return to the office of the Board if incorrect. inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
d _ town o/ Q¢ueenyhurr�
irI f� BUILDLNG and ZONING DEPARTMENT
11 Say and Havikand Road. R.D. i Box 98
aueensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME_ f/q d2 f2 �Es 1 �-- JIG f
LOCATION
Date / ' permit N04 IO�
APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry venee
Rough Plumbing
Relief values
Ext . porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
plbg . Fixtures
Gar . Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION :
Foundation
Floors
Walls
Ceiling
�. ...
x. FINAL ELECT RI AL INSPECTION
DRIVEWAY APPR VAL
)( Final Buildin Survey
Next scheduled inspection (call hen ready
Remarks-
A woo
Building InspeC r
6/86 and-vl
w. 0W►n of 'Queen] "rey
BUILDING and ZONING DEPAFRTMENT
Bay and Hawiland Road, FIX). 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME�I�flr
LOCATION X f r
Date Permit Now �
�✓' APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
siding
Masonry Venee
Rough Plumbin
Relief Valves
Ext , Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Ti
Concrete Floor
Plbg . Fixture
Gar . Firepro i-ng
Door Closer
Smoke Deter ors
Chimney
X INSULATI
Foundatio '
Ploors
A Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVATL__,,
Final Building. Survey
Next scheduled inspection ( call when ready )
Remarks--
1
Su lding Inspec or
6/86 and-vl
4-90 l0wrr 0/ Q"ueenshury
jo BUILDING and ZONING DEPARTMENT
1 Bay and Haviland Road, R. D- 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME /GG r G- - �
LOCATION 1 VIA lJ
Date Permit No .
✓ = APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterproofing
Back fill
1� Framing
Roofing
Siding
Ma my Veneer
ugh Plumbing CNsrz-�r 4--
Relief Valves
Ext . Porches
Finished Floors
Interior Trim
Stairs & RailinCJS
Cellar Drain Tile
Concrete Floors
PlEbq . Fixtures
Gar . Fireproofing
Door Closors
Smoke Detectors
Chimney
INSULATION :
Foundation
Floors
Walls
Ceiling
FINAL ELE RICAL INSPECTION
DRTVEWAY PPROVAL
Final Bu ldI g Survey
Next scheduled inspection (call when ready )
Remarks-
NI L-T PrL �� t-a 1 Al TC �rLrp 42 ff .riTiO4/S
uilding 4wpejor
Ei/€3E> and-vl
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Clueensbury, New York 12801
BUILDING INSPE�CnTORTS REPORT
M NAE QjA_ yt + .LI i=t6e -rL, C
L O C A T II Q N/—' f)
e r�rsa I ( rL�
Dat / c S 1i Perim± t No . QIf-�Q- '—S `'J�
APPROVED - YES NO
Forting/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Venee
,,Rough F�lumbin � � ,/ ImY
Relief Valves
Ext . Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tii
Concrete Floors q
Plbg . Fixtures
Gar . Fireproo ng
[lour Closers
Smoke Detec rs
Chimney
INSULA`T'IO
Foundatio
Floors
Walls
Ceilinq
FINAL ELECTRICAL INSPECTION
I)RI VIEWAY APPROVAL
Final Building Survey
Next scheduled inspection ( call when ready )
Remarks-
I
'— 6' .o s2 i,U,�vT 16 �2 LA t4 —
Flui ding spec or
6/86 and-vl
� ./owrt o� �uven .sltiur�
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NA h1 E + - -J
,ram
LOCATION A D y � r/permit No
✓ -
Footing/pier Forms AppROVED YES NO
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumb ' ng
Relief Valve
Ext . Porches
Finished Floor
Interior Trim
Stairs - Rai in
Cellar Drain T ' e - -'- °-
)( Concrete Floo -- ..._ .....-�
Plbq . Fixtur
Gar - Firepr Ping
Door Closer
Smoke Dete tors
Chimney
INSUI.ATI
Foundati n
Floors
wails
Ceilinc
FINAL 'LECTRICAL INSPECTION
DRIVEW Y APPROVAL
Final uilding Survey
Next scheduled inspection (call lien ready )
Remarks-
z XX
u
Hui d ' g spe or
6/86 and -vl
��� ._lottart p� �ueero.s6ure�
F BUILDING and ZONING DEPARTMENT
i � BaY and Haviland,Road, R. D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
r
NAME
LOCATION (it✓r7.� .'.G'' '"
Date_ Z:.j / _ Permit No . ��— +�5Or
✓ = -
Footing/pi r Forms APPROVED YES NO
Foundatio
Water proo ing
Backfill
Framing
Roofing
Siding
Masonry Ven er
.Rough Plumb g
Relief Valve
Ext . Porches
Finished Floo
Interior Trim
Stairs & Rallin s
Cellar Drain Til
Concrete Floors
Plbg . Fixtures
Gar . Fireproofs g
Doer Closers
Smoke Deteoto s
Chimney
INSULATION :
Foundation
Floors
Walls
Ceiling
FINAL ELECT CAL, INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection ( call when ready )
Remarks- J+
Building Inspector
6/86 and-vl
+j- �J
• BUILDIN+G and ZONING DEPARTMENT
Bay and Haviland Road, RA). i Box 98
I ✓ Queensbury, New York 12801
BUiLDING INSPECTOR ' S REPORT
NAME Z4
LOCA -T II—O-N�%
Date- /,V Perrn.it IVo .
I' o 9/pier Forms tin - APPROVED .., YES NO
�
4000 'aun da t i o n
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Vene
Rough Plumbin
Relief Valves
13xt . Porches
IPin ished Floors
Interior Trim
Stairs & Railings
Cellar" Drain Tile
Concrete Floors
Plbq . Fixtures
Gar . Fireproofi
Door Closers
Smoke Detector
Chimney
INSULATION :
Foundation
Floors
Walls
Ceiling_
FINAL EI.ECTR CAL INSPECTION
DRIVEWAY APPR VAL
Final Building Survey
Next scfeedulec3 inspection { call when ready)
Remarks-
F.+lBri and-vl
Building Inspector
JA0 . Jou,n o/ �eeeen fhure�
BUILDING ane ZONING DEPARTMENT
, r w Bay and Haviiand Road, R. D. I Box 98
V Queensbury. New York 12801
SEPTIC WSPCISAL SYSTEM INSPECTION
NAME_
LOCAT rL2-*/
I f �,
DATE I
PERMIT Np, ( "f- ICJ
SOIL TYKE - Sand - Loam - Clay -
Percolation Test Required ? YES
Percolation rate - NG�~
'- Min/Inch
TYPE of SYSTEM ;
Absorption field , total leng J
Length of each trench
Depth of trenches
Size of gravel
SEEPAGE p; { bee of)
Gravel size
PIPING .
Size Bldg . to tank Type
Tank to disc. bo ----��
Dist . box to fi d/
Openings seal., . ES NO
Partial.
LOCATION/SEPA TIONs
Foundation t tank
Foundation ft-
absorpt on ft .
Absorption o lot line
Separation f pits ftedL4 Ltf -
LOCATION SYS 1ft'4( p, '
Front - Re r PERTY (circle one)
COMMENTS , Left side Right side Iy -
7, T t cam- 6
SYSTEM USE APPROVED ES
O
Suil ing Inspector
01/86 and vl
TOWN OF Q►UEENSBURY
Bus'ldiagr Department
44 name Cbmal � ,qrt -� _._ ne. _
Ponvok Na O Weatlser
Remarks
i
Exca►Ya tlon
FOotingr Forms
Footi.n & Piers
Foundation
Ceawn t Coat
Water x'oofin
BacFcfill
Final Survey
Framin
Shea thi n
Roof Fel t
Roo.fin
sidin
Masons Veneer
Rough Plbg
Relief valves
Wall Board
Ext . Porches
Finished Floor
Snterior trim
stairs & Rail n s
Cellar Dr . T Ie
Concrete Flobxs
Pl Fixtu es
i
Gar . FJxepiooffing
Door Close s
Chimney
Water Met r Snst .
.Septic A oval
Floors �
Insulation Foundation . �
Walls
Ceili
Bu.i ding 1'nspector
REMARKS
"Ilzes
.Jou.�fr o� '�ueprr .f6urt�
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. i Box 98
Clueensbury, New York 128o1
BUILDING INSPECTOR TS REPORT
NAME r
LOCATION
Date / Permit No . .y
ti APPROVED arms - YE NO
Foundation
Waterproofing
Backfill
framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
.Relief Valves
l,xt . Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete .Floors
Plbg . Fixtures
Gar , Fireproofs
Door Closers
Smoke Detector
Chimney
INSULATION :
Foundation
Floors
Walls
Ceiling_
FTNAL ELECTRICAL. INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection ( cal. - when ready)
Remarks-
l3uildin pn s
F/85 and-vl 9' Ins actor
�oxur� o� �ueerrs6ure�
BUILDJNG and ZONING DEPARTMENT
Bay and Haviland Road, R. D. 1 Box 98
Queensbury. New York 12801
BUILDING INSPECTOR ] S REPORT
NAME
,,or
LOCATION
Date / ' / Permit No .
✓ = APPROVED - YE NO
G.-t�'ootingfP3er Forms
oundation
Waterproofing
Backfill
]Framing
Roofing
Siding
Masonry Veneer
Rough Plumbin
Relief Valves
Xxt . Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plhg , Fixtures
Gar . Fireproofing
Ducar Closers
Smoke Detectors
Chimney
IN S[J LA T I ON :
Foundation
Floors
Walls
Ceiling_
FINAL EIECTRIC L INSPECTION
DRIVEWAY APPR4 AL
Final Building. Survey
Next scheduled inspection {tail when ready )
opt cv
Building Inspector
6/86 and-vl
Now
ocuri W Queeftil
ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. i 80x 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
l ei...' a�/G
oCA T I Co IN �
Date
Permit N. .
Ca^[7oting/Pier Far-nys ✓ APPROVED - NO
foundation
Waterproofing
nackfi1- 1
Framing
Roofing
Siding
,Masonry Veneer
Rough Plumbing
Relief Valves
1=xt . Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
1'lbg , Fixtures
Gar . Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION :
Foundation
Floors
Walls
Ceiling
FINAL, Fi ECTRI , AL INSPECTION
l7RIVEWAY APPROVAL
Final. Building Survey
Next scheduled inspection Cca]. l when ready )
Remarks-
i
Building In
6/86 spector
and-vl
�± .JPurn o� �e+t�[+�Pn36ter�r
BUILDJ NG and ZONING DEPARTMENT
Bay and Haviland Road, R. D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAM
LOCATIODate /
N ~
/ Permit No .
✓ APPROVED - �
�CFooting/Pier, Forms � Na
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Vene
Rough Pl.umbi n.
Relief Valves l
Ext . Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg . Fixtures
Gar . Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION :
Foundation
Y
Floors
Walls
Ceiling
FINAL ELEC RICAL INSPECTION
DRIVEWAY A ROVAI�
Final Building Survey
Next scheduled inspection (call when ready
Remarks-
'/'''
Buil inspector
6/86 and-vl
awn 0/ �ueen �6ure�
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR N S REPORT
hdAAiE
LOCATIC3IV �/ 2r , � � �
Date f/ /� Permit No . �
✓ = APPROVED - YE No
otingfPi+er Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext , Parches
Finished Floors
Interior Trim
Stairs & Railing
Cellar Drain Tile
Concrete Floors
Plbg . Fixtures
Gar . Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION ,
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVA�� f '
Final Building Survey
Next scheduled inspection (call when ready )
Remarks-
.
Building Inspector
6fs6 and-vl
.�.lown o� �u�en36urt�t
BUILDING and ZONING DEPARTMENT
Bay and Waviland Road, R. D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECT,OR ' S REPORT
LOCATION
Date /r � �
.Permit No .
-
�oting/Pier Forms APPROVED NO
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext . Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg . Fixtures
Gar . Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION ;
Foundation
Floors
Walls
Ceiling
FINAL ELECTRI AL INSPECTION
DRIVEWAY APPR VAL
Final. Buildin Survey
Next scheduled inspection ( call when ready )
Remarks-
Ff
v1 1.,2
Building Inspector
6/8E+ and-vj
awn o� �ueQn.3huryt
BUILDING and ZONING DEPARTMENT
Bay and Hawiland Road, R. D. 1 Box 98
Oueensbury, New York 12801
BUILDING INSPECTOR ' S REPORT �
NAME
LOCATION I/ . C..a .C. - /Z LCC•'j ye'�ec ��
Date
f Permit No .
✓ = -
ifFooting/Pier Forms APPROVED NO
Foundation
Waterproofa.ng
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext . Porches --
Finished Floors
Interior Trim
Stairs & Railings _...
Cellar Drain Tile
Concrete Floors
Plbg . Fixtures
Gar . Fireproofin
Door Closers
Smoke Detector
Chimney
INSULATION :
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL ^_
Final Building Survey
Next scheduled inspection ( call when ready )
Re ma ks-
Buildin I s ector
+6/86 and-vl
f1' f II
uwn o� �+ueer+ � 6urr�
BUILDING and ZON$NG DEPARTMENT
V Bay and IHawifand Road, R. D, ! Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME � � ar
LOCATION
Date / Permit No .
✓ = - No
outing/Pier Forms APPROVEL>
Fo dation
Waterproofing
BackfilI
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext . Porches
Finished Floors
Interior Trim
Stairs & Railings_ -"--
Cellar Drain Tile -'-
Concrete Floors
Plbg . Fixtures
Gar . Fireproof
Door Closers
Smoke Detector
Chimney
INSULATION
Foundation
Floors
Walls
Ceiling
FINAL ELEC CAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection ( call when ready )
Remarks-
Building Inspector
6/86 and-vl
BUILDING DEPT. COPY OF APPLICATION FORM 46-EL, NEW YORIC BOARD OF FIRE UNDERWRITERS_
FILE THIS COPY WITH BUILDING DEPT. WHEN REOUIRED_
TEMP. iI DATE .
CITY OR „�.�+
VILLAGE r/•y r l "3 r . TOWNSHIP COUNTY
STREET AND NO.OR _
ROAD AND POLE ND. I f'Y 1 POLE POO.
BETWEEN EN EFTS Is
CROSS STREETS IS
PRENI LOCATED? 01 �LA 6j SECTION BLOCK LOT ` ;x
OCCAJPANT ,�7 � BUILDING f
OCCUPANCY ( {! f e
r
NID ADR NAME A f f AND AOOESS !� n � � /
sq
SURRr
Nr
PPLOEb
jf
BV + f�1 FROM THEIR OFFICE
Is
MEW OLD Q Is
DEFECTS
NEW 0 ADDITIONAL O REMOVED 0
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER QF OUTLETS LLanw Reoaptacim MOTORS HEATERS dpCUf�TS OFFICE USE
Loon
ONLY
hon S"Ma Aweh+t H.P. Watu A.W.O.
DrillingWsII Reaw'k Ssrildr PasWant Beaeka! No. TV" Each No. Each No. Grttps INSPECTION
Dan-
basis!
Beer
merM
1st FR.
2nd FR.
3rd FL
REMARKS. LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ASOV E= DO NOT USE THIS SPACE..
This applier[ian is in7Qflded to corer the abwe-Iistad equipmsml to be inspected but if at time of inspection there is found sdditio l
Yon are authwiaed to make the inspection and adjust the fair t4 ewer the additional a u' rrt, M equipnwrrr[ nor adore liftatl,
4 rpnw prorided by tIM applicant.
SIZE OF ELECTRIC SIGN TOTAL
MAINS FEEDERS LAMPS WATTS
CHARACTER EXPOSED GAS TIME SIGN
OF WORK CONCEALED TRANSFORMERS OF VA
WORK TO BE 1NUMBERI ICAPACITYI
STARTED COMPLETED SIZE OF SIGN
SERVICE OVERHEAD UNDERGROUND MAKERENTERS
I PING OF SIGN
INSPECTION REQUESTED
ON OR AS NEAR AS
POSSIBLE NEW OLD ❑
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES DATE OF
MUST BE FILLED IN OR APPLICATION MAY RE RE URNED. APPUCATIO
PRINT NAME AND ADD ESS _
NAME OF ! �1 f '� r fI r V SIONATU RE
APPLICANT f, -"� irk' ,` "t r' /-+{ _ .'� ! r 3 /f +t /,400 J'1 4F APPLICANT
STREET 1101CIRE. 'f f' I f G''l ?' �'�. :` �0 w f r,,� � �
iy�I - � � TELEPHQNE # _ ,f .- � yam'
CITY OR ,�, /;�I w,� t,j• ZIP �r — y^ r LICENSE NO.
POST OFFICE .L,.C,2..3 2.++�-- / I �- • CODE ^ �" 499N APPLICABLE
A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
5�7Own v ueent4 ar
gr
QUEENSBUKY TOWN OFFICE BUILDING
DAY AT HAVILAND ROAD
QUEENSBURY, NEW YORK , 12801
TELEPHONE : (518) 792-5832
TO : The Building Department
Town of Queensbury
FROM : N . W . Bodde^nweiser , Fire. Marshal
DATE *
SUB : Certificate of Occupancy
Name : AwL.941.,. �.
Address : L ' ^+
It is the opinion of this office that the above
named premises has complied with all sections of the
N . Y . S . Fire & Building Code regarding fire prevention
N . W . Bodenweiser
Fire Marshal
SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD PLACE T€7 LIVE