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1989-069 3 I' • � r CERTIFICA.TE OF . OCCUPA.NCY !I ' TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK I I Date November 3Q 1990 Sq + This is to certify that worst requested to be done as shown by Permit No. - — has been completed. +�Dkj2yo� This structure may be oecu as a ,=r Location Owner u c? e By Order Town Board TOWN as Qu>5ENSSURY i Director of Bldg. & Code Enforcement f BUILDING PERMIT TOWN OF +QUEENISBURY No 99 - 69 � WARREN COUNTY, NEW YORK o PERMISSION is hereby granted to ON F" a OWNER of property located at I AO ; age Street, Road or Ave. nr in the Town of Queensbury, To Construct or place a 3 F FOi> �t gx 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 i 60 Sweet Road +- Queensbury , N . Y . 12804 `rD r-r tro 2. CONTRACTOR or BUt LDE R'S Name td C Same ~' o, 3. CONTRACTOR or BUILDER "SAddress SD Same ' 4. ARCHITECT'S Name F-' Ja 5. ARCHITECT'S Address (7 i? 6_ TYPE of Construction — (Please indicate by Xi rq F' f� XX Wood Frame i I Masonry ( I Steel i 1 `Q CD 7. PLANS and Specifications No. 291 x 42 ' of fourplex aS per plot plan , specifications , and application , including attached one garage . a. Proposed Use a of Fourpl.ex 0 ry 25 . 00 c/o $ 219 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES October 1 1g89 � (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of therc town of Ciueensbury before the expiration date.) H CC Dated at the Town of Clueensbuxvlhis 8th Day of March 1989 t SIGNED BY for the Town of Queensbury Building and Zoning I nspector TOWN +DT` QUEENS}3U ]2Y APPLICATTON FOR 11UTLnrMG AND ZONING PI: RhrIT I�u:cr4- Pec-ieved Rev-i ed 73 ;»fix:`- � Ft r POP r Fee Fuld IW I LDI NO AND COZIES ul :!'AP%11%Nrr Date. Iz,6 ued OY and 11AVxLANIJ ROARS RD 1 J30X 93 0(` Ile OUEENSFURY. New YOIRN 1280`1 PCAmit No . ri1 Le Tel* ( 518) 792-5832 Race 204 .. '■ w r ► x w 'x : F w x s w x w w w w x w : a x ■ w ■ w w w * a a x x r s a A I' i RHIT MUST 114 OBTAINED BEFORE BEGINNING CONSTRUCTION . NO INSPI2C"i' IONS WILL BE HADE UNTIL APPLICAMT HAS RECEIVED A VALID UL: ILDTNC PERMIT . All applicable spaces on This application must be eonspleted and the SOITUature Of Tile applicant must appear on the reverse side of this sheet . * 'k * * -A * * * * A Tic * k -4 * * is � * .its-:,* K W * X * * * * * * * x * * Yt YC 'Phe owner of this proPerty i, ,ss : - &sV72rS ,*t c 2C]L�c�e- l' . U . Address f%j ...'a�'C..c.�•�.e-' 1�ck' l..t.t ^-.tea R U, ,z+., ,�L'� c . l �. e(` TV I. . I" raperky iocntion � +� <2_,_ PAX MAP N O:Y G r / I / {I ltas there been any split of this property since October 1 , 198E3 ? / `ec yes no If yes , Planning Board Review is necessary . SUBDIVISION NAME , IF APPLICABLE LOT NO . The person responsible for supervision of work as regard :. " Ilding Codes pr•+a { vim `` MARL R'y . O . ADDRESS Tel e NO . [Jame of builderlyjl��•�aa* Qr " t � b�ru Address Cola Sc,-.�� el W"ffle of ` Name of MasonlY1 Gb 1" Addross J ar;..t,».ska .] e �-Yc. xu "Pal 1-.1TURE OF PROPOSED 60INNI: . „ ZONItICO INFORAtA"I• ION 10 'ff" " use on11J 2LCnnt: tructior4 of a new building MF ZONING DESIGNATION OF PROPERTY Ad&3ician to a building " PERMITTED PRINCIPAL PERMITTED ACCESSORY A1lruratiion t4 :a f .uilding ` [ no ct ".srrg. to .'xr Griot ciimen : ions) '► REVIEW REQUIRED - PLANNING UOARD ?.LINING BOARD Utljur work (Lie crIL3o) IF SITE PLAN RR;VICW d APPROVED DATE~ CROSS ARLA OV PUOVOSC COD :.I 'i• RUC "1• URaL � 'VARIANCE # APPROVED DATE zst Floor sq ft . 2 n d Floor Ste' a sq i t . CoKpt.R:`1'L 11Jy ofg4ATSOH ecr.:Q UI1c2D IIEL,Uu . " ir..: o f proi,u r ty 2_ D f c x Ocher Floors Sq ft . Lxi::tiiva k�uiiJirxg [ :.I u fL X rc . Rnot cellar or basQm.: nt3 TOTAL FLOOR AREA /1 6s "b sq f t . * Lxia: ci Guil" Iily�� [ : ? us.: ' ix.m of new structure ;>,'$ f t x �i 2- ft # LeuLw"d:ation-pier/nlal.+/ raw partial/ cull " 1'raLic�seal builuinc] , di:: t:xc�cu rr+nru [.roiaurty line (Cirolu one ) z> ft NQo of stori•c:a (h"bicable : S pace ) -- . rout yard tS 5 Pt Rear y;ard� tl..:ight ( Urado to ridg&: ) � � F ' ft . . Sidi: yaYd : S r� > t and a r„ If on corner , ::uCLaaCk from sick: :�trec: s tt If rasiduntial , no , car tamilies I tloe of roomy [ excludin"1 Saathsl OCCUPANCY 1h1FC►fdMATICr! [1o. of '1.'+edrocams. 1 PRIMARY BUILDING No . of "Chroom:; 2 - One fal ily dwelling 0risis:ary huatir49fj sy :: 4 %:u" 14-b vr- 1gt +z '" 1u of fuel l°= two tauuly dwullin{a •P YS �.Muitilal�.. awc:lling / Number of units_ Nov of firepl :acu:: to !su ILia:ana:►nc =tic ❑ecup:uray will a wcYoa stove b.: 111sLallud? rat) ' L•r;an�:iur� c caccula:►r,cl C"ntral Air Corryiitlu14i11�:�r�n L-7!rW busin"Ua BUttWD ) r4C STYLC,* PRIMARY SI-RUCTu2C ] nclu:: crial Other Ji:.rrrch Concottgloar..ryy LGq cabin lT :.cidition, uhat will use bi:? s::ai"d rands M:ans"41 Dui.lk:x :JpLit level Old > tyl.: sxu, i•J" low 4:413u Cod Cott:aq*� Ott ACCESSORY nUTLDING- Colon ir.i Row1o.an NouSa " U.itached 9 "reage/one curl two car! car ( CIRCLE•' ONE PLEASE '" 1�Attutihr d 9� :ariagu/" it«: cu two c arl / _ Cia ►` w ■ ■ ■ ■ ■ r a a ■ + x ■ "� 11rivatu stor"go bul ding l: !; TIMAWIOED MARKrail JVfALLIE OF ` �•Ochur WWWWWWWWW INFQRmh4rT0H ON nUTLOTNC SPrCIFTCATIONS , ON REVERSE SIDr3 OF "PttIS SkjEL-"i` , 'ISO no COMPLR`TVAt Form DPA 10/88 vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . Will any second-hand or ungraded lumber be used? If so , for what ? + p Foundation wall material e'r ,) Thickness g c ` Depth of foundation below grade ( to bottom of footing), ,,, o44 " V e Ct Will there= he a cellar? A D Heated or unheated? /Vezr..6d Floor sq. footage sei-�Pt Will there be a basement? -- Will any portion be used as living space? ( If so , what portion? "- seq . ft , - - Type of use? - - Type of roof - slope(' flat/shed/other �-0 , Material of roof 55' o 17 -^ Sidsloxs"" "" J ze , wood stu GnC.+3tfr pacing . Z& o . c , length ft , Joists ( floor beams ) lst . floor _" X.,ec> " spacing_ "o . c , span /0/,/ ft , Joists ( floor beams ) 2nd . floor ci2, '3c " spacing '"p , c . span /</ ft . Overlays ((_: oiling beams ) spacing_ ""o . c . span ,✓.y" ft . Roof rafters "' x '" spacing_ ,F o . e . span / "V ft , Roof trus%;es (pre-engineered) spacings""o . c , spank ft . Exterior wall finish itQ4q, Of what material ? Interior wall finish If a garage is to be at ached , de r . he materials to be u� for IRE ' SEPARATION : L�"--^ / 6,y e54A G-Cc';.. . I . is thereto be an opening between arage and dwellin yLr< If so will a Pire--rated door , enclosure , and self- closing device he provided? Will a flue -lined chimney be installed? _)ec.�S FIeight above roof ft . Depth of chimney foundation below gr.40e 21 r ft . Depth of fireplace hearth_ `ft . 4/ in . Water vul�ryly - Municipal or ,private well /WC4 ru / Cie SEPTIC SYsli'Em _ Distance from ANY private well ( inclu ing adjoining properties Et , (A separate application is necessary €or any repair or new installation of septic system) - G=­X.S r r I DECLARATION 110 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 on the described premises and that all provisions of the BUILDING CODE, TILL ZONING ORDINANCE, and all other laws pertaining to the proposed work shall be complied with, whether specified or not , and that such work is authorized by the ov ner. w Signature Owner, owner's Agent, architect , contractor Is sk SPECIAL CONDITIONS OF THE PERMIT : f TOWN OF QUEENSBURY WARREN COUNTY , 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 . 1 . Gross floor area__��� 2 . Type of heat 'r, 3 . Is the building mechanically cooled ? 1J4;-s a 4 . Percentage of area of windows and doors A . Over 16 % Only 1 . Uo value of gross area of walls , roof /ceiling and floors exposed to ambient conditions 2 . Floor over heated. spaces YES NO 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 ? 4m is basement heated ? YES NO a . R value of insulation 5 . Type of insulation Be Under 16 % only 1 . R value of roof and floors exposed to ambient conditions_ 2 3 910" 2 . R value of exterior walls IQ 3 . R value of glazed area (? 1 + QZ- 4 . R value of doors f ({ L 5 . R value of floors over unheated spaces 6 . R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab s . R value of heated basement/ cellar walls ( above grade ) 9� R value of heated basement/cellar walls ( below grade ) 5 •• �� 10 . Type of insulation C . Controls ►-r 1 . Thermostat maximum heat setting c�� D . Duct systems 1 . Is duct system installed in unheated spaces ? YES NO a . If YES , R value of duct installation b . R value of duct in other areas E . Piping Insulation 1 . Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F . Service Water Heating 1 .^ Performance efficiency 2 . Temperature control setting maximum G . For Swimming Pool Onlyemememe 1 . Maximum heating Telephone No . (appllcafhiIs signature ) THE STATE INSURANCE FUND FILE COS 199 CHURC►i STREET, NEVV YOnK, N. Y, 10007 (212) 962-8900 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE. EMPLOYER CERTIFICATE HOLDER I Po LACY rvUMUf=R 1 Valente Builders Inc Town of Queensbury i 749 283-8 60 Sweet Rd Attn : Dave Hatiea Queensbury N Y 12804 Bay Rd Queensbury : NY 12804 UNIT PERIOD COVERED CERTIFICATE NUMBER DATE ISSUED Alb . 2 /1 /88 - 2 /1/ 90 U . .: ' Ir :, j ' ; 3 /2/89 THIS IS TO CERTIFY THAT THE EMPLOYER NAMED ABOVE IS INSURED WITH THE STATE INSURANCE FUND UNDER THE ABOVE NUMBERED POLICY COVERING THE ENTIRE OBLIGATION OF THIS EMPLOYER FOR WORKERS' COMPENSATION UNDER THE NEW YORK WORKERS' COMPENSATION LAW WITH RESPECT TO ALL OPERATIONS IN THE STATE OF NEW YORK, IF SAID POLICY IS CANCELLED OR CHANGED IN SUCH MANNER AS TO AFFECT THIS CERTIFICATE, 5 DAYS WRITTEN NOTICE OF SUCH CANCELLATION OR CHANGE WILL BE GIVEN TO THE CERTIFICATE HOLDER ABOVE. NOTICE BY REGULAR MAIL SO ADDRESSED SHALL BE SUFFICIENT COMPLIANCE WITH THIS PROVISION. TdAkk �LK�.�CtixAt�[I:d�":s:�.Gt�lnl�Lc9.�FCSc�EiC7c-6rreJiaScLlk'hC�r,4s6t3��lfl�ilx43T�11"aclfc,�cT�it.6c��F�c-5c+L3ff;�F�f�1k4.tR�c T Se9c'S�EFirG3s!'.�lt��k�7'�!4"�x THIS CERTIFICATE DOES NOT APPLY TO BUILDING DEMOLITION . H. JACOBS DIRECTOR INSURANCE FUND UNDERWRITING V-26.3 f 1977I rs i I a •`�" �_ �" fD1bE3a ;+ LlvE DAnnr.,I: � Y�I xdl .f Yt+:: i'+-i: 4 rr� i::i:l L- r�: I.:•,;.0 LU A:: h E..:. i i a r-c ..r i w.-t%r t._..:IION OciLY ` 11I'i CD(PubfiS 7"Ir£: CER'f IFICATC Ii C'I.L"+ .Ill Trdl; Cr Et TIFiCATE DOES NOT AMIEND, COOL INSURING AC' rNCY INC F>X Fc:.0 U4 . ALI Cit 'fiic COVEtIAGi .-.r r' t.r. :..Lu L1 InE POLICIES BELOW. 1 601 WESTERN AVENUE S r r i�'.:a .I .1 c0vL.R G1 AL. HANY NY 12 ;00 :; tJr.i nrlrTHAVELF_ RS INS (00 LI- i I :' ii LL.-Il i_ri MOREAUS PLUMN INC: A, COr.sr sNv LE 1-1_ri HEATING 23 CANVASBACK RIDGE CC)NIPANV Lc7T Grs "'� WAIrERI ORD , NY 1 .2188 COmPANY LE7'T CIS u`. Y Yr�YSffiib.y.....Id THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN IGSUEDTO THE INSUREO NAri9 k=0 AiSiO'VL: FGH THE POLICY PERIOD ihIOICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONY"AIC1- OR 0-1'111cR DOCUms E.NT 'YI fH hlt:::.•>=Ci TO "INCH 11HIS Cf 1TTJl Z MAY OF ISSUED OR MAY PERTAIN, THE INSURANCE AFFOFiL7ED UY THE POLK:Il Ot:::CFr+&c:.L7 HC149:IH IS SUBJECT TD r.LL Tl-a-� TcF%.l EXCLUSIOIJ::, AND CONDI- TIONS OF SUCH POLICIES. i I . . TYPE OF INSURANCE F�t_+LICY IJLrA tjl=Fi r r : .t I : I lr 014 II Y 1. IMII S IN THOUSANDS 1 .... . - fLlrr ._' . Ortlb I . Lrl1V:j Yl L...,: 11. >.: uJ rir ��7rI"rJ.,!' ` AGSFc"l Tr — r A GLN"RALLIAHILkTY 6xa02fSfi .lfiZOR 0fi / s' 0 / Hfi 06 / t0 / fi3 r I�.J larrr VY X COME iEHEN51 'E X' PREMISESlOPEHATIONS - UNDERGROUNp X EXPLOSION K COLLAPSE HAZARD — -- — ---Y P hOD U CTSYCOM P L E'I E D OPE RAT ICNS )( CONTRACTUAL f �:ur.l�,l�_�� �✓ ]. I, (d rQ � 1 I, 0 (0 19 X INDEPENDENT CONTRACTORS i3 )CAD IURNI PRUPERTY DAMAGE. Z PERSONAL INJJRY iit.';:Gr1r.L kNJL1riY r AUTOMOIJILE LIABILITY - - --1 I - ' - -- Al AUTO ALL OWNED AUTOS {PRW_ Pf'SS.) ALL OWNED AUTOS (OTHER THAN) i" i-�il:_ _i',(: l PRIV. PA:I%S HIRED AUTOS C r, ii irl r;Tv - NON-O'iiNLO A•ITOS ".•I.:,-".' _ G:.RAOF 1IA3kLITY r-t, I j �vAUIf,LL1 4: LxCc.& Ll"iLlLi Y LIMORELLA FG: .M a' '�':.: dEL'a OTHELR THAN UfAi3RELLA FGHI.: i ! __ 1 j. WORKERS' COMPENSATION .. __— I-ACH ACC 1Li AND t' 1DISi:.SE-F'ULICv Llrali) _ Eod PLOYEry S' LIABILITY I w i D I f>=SF Fi,CH Fe:PL UYEF) : 650208J6204 -- 06 / 20 / 88 166 / 20 / 89 U i_$CFiIP71G:%1 OF Cie CRATI ON SlL GCr; I I O:.SiV:_HICLG:,.::t C Cio.L il +: } RE : OPERATIONS OF INSUF2F-_ LY � TOWN OF UL-. L'.N SF-JURY ! SHOUY-D ANY OF TnE ABOVE Di:;IJ, i+.:c:I3 wilt.Ill vi CANCELLED BEFOli4: THE I=X- _ Q _ I Pill DATE THEHEOF, -F+s1L J:, sUIrgC CGs.wANY WILL ENDEAVOR TO AT l N D A V E F IA-] I FIN MAIL :3 0 DAYS WRITTEN NOTICt TO THE CCHTil%ICATE HOLDER NAhdEO TO THE BAY ROAD i '. Lf FT, uOT f'AiLUHE TO MAIL ,`�UCt1 N:J i I ::r,F.LL lloPl NO OBLIGATION OH; LIA"ill I Ok- Alir K Ow TYI[ COMPANY; I UE ENSDU r- •. nFi NEPR"< C"TATIVES. RY NY 12 8 0 d ��-- - - — _ 1-Tt: - r ; AUTnO!-iI�FD RC. .r . - ter NTIb i'~-J _ _, _ -T—_--- ' C €a T E O F I H S U R A H C E DATE : cart / '' 3 / 85 �+ ---------------------------------------- ---------------------------^--^___^_ _^___-_-------------------_ ----------- PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHT UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES HOT AMEND, Kinner ' s Insurance Agency EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW ; 202 Broadaa t ___ _____________________________________________________________________ F.O. Box 179 COMPANIES AFFURDING COVERAGE Whitehall, NY 12887 ------ __________________________ t (518) 499-0458 CG11PAHY A National Grange Mutual Ins. Co LETTER ------------------- ; ---___....----------------------------------- ------------- ; COMPANY B tl INSURED ; LETTER --------------------- - ------------------------------------ t William Manell & Gary Manell DBA 1 COMPANY C M & M Construction LETTER ; 1 27 Blinn St . ------ --- ----------- Whitehall , N.Y . 12287 COMPANY D t LETTER ' 1 -------------.._..-..._--_-----------------------------------------' � COMPANY E LETTER COVERAGES _______________________ ________________ __ ^__--______-__-___--____-_---_-_-- _-__-__-------- =-=- 1 THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN-ISSUED-TO THE INSURED NAMED ABOVE FORTHE POLICY PERIOD ; INDICATED. NOTWITHSTANDING ANY kEQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ; CERTIFICATE MAY DE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED 8Y. THE POLICIES DESCRIBED HEREIN 19 SUBJECT TO ALL THE TERMS, ok EXCLUSIURS , ANO CORDITIONS OF SUCH POLICIES . ; --- - .............-................ ---------^^------------- ; ____--____----------- ---- POLICY POLICY ; Co ) EFFECTIVE JEXPIRATIONI I'LTRIP TYPE OF INSURANCE jPOLICY HUMBEA 1 DATE p DATE p ALL LIMITS IN THOUSANDS ------------ ------------ --------- ; ----________-........ ; .......... ; .......... ; .........---____________.................... ; GENERAL LIABILITY GENERAL AGGREGATE 5€66066 ; A C 1x] CLWKERCIAL GENERAL LIABILITY ; MP H35 580 10 04/11/39 1 u4/11/90 PRODUCTS-COMP/OPS AGGREGATE S€60066 ; ( ] ( ] L'LAIt7s MADE 1xJ OCCURRENCE I ; t ; PERSONAL & ADVERTISING INJURY 5300006 i I J OWNER ' S & CONTRACTORS PROTECTIVEt I EACH OCCURRENCE 5360000 t G C ] FIRE DAMAGE (ANY ONE FIRE) 550006 I ] MEDICAL EXPEHSE(AHY ONE PERSOH) 550k t t --- `-------------------------- -- --..._......__ � --------------------- 1 — ------•____ 1 ^_^........ --------- : 1 —..._.rr�...._µ---- ----.................. 1 tl AUTOMOBILE LIABILITY tl p i ; CSL 5 ; t I ] ANY AUTO ------ ' e1 ---------- t -------------- 1 1 [ I ALL OWNED AUTOS BODILY INJURY tl ; > E I SCHEDULED AUTOS (FER PERSON) i 5 ; ; i C ( ] HIRED AUTOS ; ________________ ______________ t t { ] HUH-OWNED AUTOS p BODILY INJURY ; ; I J GARAGE LIABILITY ; (PER ACCIDENT) 5 t II t ---------- ---- 9 ------------- PROPERTY 1 t t p I DAMAGE 15 k t C EXCESS LIABILITY ; EACH OCCURRENCE I AGGREGATE i 1 ] UMBRELLA FORM t ; ; ----------------- ; ----------------- ; tl f J OTHER THAN UMBRELLA i S 5 C t I� STATUTORY t A WORKHRS ' COMPENSATION WC F89 780 C 00/21/89 ; 0€/21/90 C ............................................ 4 AND t k k I ; 5100600 (EACH ACCIDENT) EMPLOYERS ' LIABILITY i ; t S500000 (DISEASE-POLICY LIMIT) t ; ; 51600i�i3 (DISEASE-EACH EMPLOYEE) ; --- ------------------------------------- --------------------- ---------- '. ---------- ; ----- _ ----------------------------------- t OTHER tl 1 1 , 1 l k 1 i 1 . 1 1 t ; ! t DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SFECIAL ITEMS i ; ___._ CERTIFICATE HOLDER ________________________________________ CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- Town of Queensbury t PIRATIOH DATE THEREOF, THE I&SUING COMPANY WILL ENDEAVOR TO MAIL Bay Road 20 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Glens Falls, H. Y . 12801 LEFT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY , ITS AGENTS OR REPRESENTATIVES. ATTU: Dave Hatiun ; ------------------------------------------------------------------------- AUTHORI2 EPRESEHTATIVE _ i �Ijjjjj 11 Jill mat AIEW yORK gpARD .Lr= FIRE UNDERWRITERS THE eURF.AU OF �L�csr�fctT,111 S22ti7 n fi n r TRE>�T. ALSANY , N 'aTATE '-'r' ApPliration . on fill E. E�, 1? r, $'�i , RC �, �# tiae4 n,urrsher in the pre""s" "'f Date � { ' I E . � ]•FE:"!T `3' an the atone +nPld'Les TF115 CF. TIFSES THAT ribed beease int by the eice,.t n.n►ed orslly the etectrical e4uiPPrsent es desa ` Lot s _ t 1:)1 i t, -1 � 13{ ' 1{`� � n: i Section Block Q 2nd Fi• rxirements of this Board. E iat Fi. lionce with the reQ fallowing location, BasernenL^� and found to be in Comp ERS E7tMAUST BANS in the f n,{ `,l.' S 1W V 3 1 E ` Cpgytlttd OHCKS QYEHS WStt MllkSli uAT. 14. P. AMT. K scan examiT+ed arr E/LNIQES A/AT- K " AMT. FIXTIiRES oTN�a twr- K.w- E Bpi yuwa EPTAGLES swacNES J%Cxt+ntsctµI Ptur-tst'ss r. ? MULTI-QUT1.'ET DIMMIERS CtpCKS Is" UNIT NEATE'E'S SYSTEMS ,�,N,T, will f1 ; ' SpEC,IAL IDS riME TRANS. AtAT. ++.T. NO•of NIFF Ti77I1EE AlyL1ANGE FEEOEIIS T ^MP. YEtS p I URNACE MQTQRS GAS g, P. pill K o. T CNL N P A,�AT. ,w. E 8 w- G. 1 R 1 S E w. . ND. OF NEUTRALg OE NEUTRAL A. OE fq-LEG OF NI-L'EG Fp F CC. GDND. d. SEEyFGE OISGQ!'rFtEGT W40WWRR , f. 2W % X s w a r aw s x •w OPtR X 1- Till OCAM. AMP- 47NEll +A1N"!`RA`7U5` CUP . lti TEuR pill z — CFSwa g1lAHC1f Al la --- ■ b their credent�t Board if issCorreci. 5nspectors may be idetstif"Plkd Y trtanner, return to the office of Iha Boa -- altared 'in any T h10T BE ALTERED 1N AILY IAa'TW -Mis Cerrificate must not 4te IS CQPY OF CERTIF{CATE MUST _ COPY FOR SUILDIt4G DEPAR LME►iT. TH — OtiVN ©F QUE'E"S, DE RX BUILDING AND CODES DEPARTMENT lr & HAVILAND ROADS 28016 �,UEENSSURY. NEW yORK TELEPHONE ( 518 ) Tqz-583 BUILDING INSPECMP'l S PX'pCyRT ' QUEST FOR IN III SPECTION R �xvrD��f ! NAME C. IT T LOCATIONON �,E # DATE YES XES NO FOOTING/PIERS FORMS MONOLITHXC P' OOFING F,O UNDATIONf DAJ� BACKFILL APPROVAL ROUGH PLUp1BING FRAMING ELECTRICAL ROUGH- III INSULATION. FOUNDATION FLOORS WALLS f CEILING TTON- Al IN SPEC ^-- ''�'/ r+Irr� CHXMNEy HEIGHT r ROOFING ` SIDING STEPS��� EXTERNAL PORCHES/ AILS s/ STAIRS-CLTsARANCE 6 R LIEF V VE`� �-- PLU+M,BING FIXTURES/ INTERIOR TRIM/PRXVACY FIAGFIER p~FING ER �- ppOR CLOSERS) SMOKE DETECTORS NS P ON CONs �--� � FINAL ELECTRICAL 2Nb" JCTION T �Jl FINAL APPROVALQ Oft 'C/ OY, TO ISSUE C/ F OCCUPANCY MUST BE A SIGNED CERTIFICATE XNG DEPARTMENT BEFORE OBTAINED FROM THE BUI PXEpI THESE ' PREMISES ARE q CCtf t � Y REMARK/S = ARRxVs I TNSP OR pRPAR rrol,li of QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS 1280k QUEENSBURY, NEW YORK TELEPHONE ( 518 ) 792-5832 W11DING INSPEC�R' S gEp€aRT REQUEST FOR INSPECTION R NAME C LOCATION P IT OVED DATE -fir' J� APPR YES NO FOOTING/PIERS FORMS MONOLITHIC POUR PROOp'IN FOiTNDATIONAPPROVAL ROUGH R 'T PLUMBING OUG FRAMING ELECTRICAL ROUGH-IN d� XNSULATXON ► FOUNDATION FLOORS WALLS CEILING TION = �- FINAL INSPEC CHIMNEY HEIGHT_ ROOFING SIDING p -RCHESISTEPS EXTERNAL CLEARANCE I STAIRS- SIRELI F VALVE ---- PLUMBING FIXTURE CY R`' --�- INTERIOR TRIMIPRIVAr- -- FINISHED FLOORS GARAGE F-TREPROOFING DOOR CLC}SER (S ) ��- SMOKL' DETECTORS ECTI FINAL ELECTRICAL INS TON FI FNAL APPROVAL OF C STRV oIC TO ISSUE CIO OR /'C E OF OC PANCY MUST BE A SIGNED CERTIFICA UILDING EPARTMENT BEFORE OBTAINED FROM THE OCCrUpTED ! THESE PREMISES AR REMARKS ' i i L h J' DEPAR INS CTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTME BAY & HAvIIAND ROADS l2$ 04- QUEENSBURY. NEW YORK 5 8J 7g2-S 128 TELEPHONE f 832 BUILDING INSPECTOR'S REPOR'T REQUEST F R INSPECT. ON RECEIVED F -� NAME LOCATION PERMIT ! �� DATE APPROVED YES NO FOOTING/PIERS _ MONOLITHIC POUR FO FING' FOUNDATIONI DAMP-PR E! �- BACKFILL APPROVAL �. OUGH PLUMBING # IAMING I,ECTRICAL ROUGH-'IN � INSULATION: PoUNDATI+ON FLOORS WALLS CEILING FINAL INSPECTION. CHIMNEY HEIGHT ROOFING SIDING__-__� EXTERNAL PORCHEW TEPS STAIRS-CLEARANCE & RAID VALVE �- " ,Ul,,:rNG FIXTURE /REZJr VACY DOORS INTERIOR TRIMIP FINISHED FLOORS GARAGE FIREPROO ING DOOR CLOSER(S) SMOKE DETECTOR FINAL ELECTRICA F CONSTRUqNION FINAL APPROVAL C3K TO I SS[3'E CI OR C/C A SIGNED CERT ICATE OF O£ UPANCY MUST BE OBTAINED FROM THE BUILDING OCCUPIED ERARTMENI' BEFOR THESE PREMTS REMARKS: ARRZVE DEPWRT �- N TOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT PAY 6 HAVILAND ROADS QUEENSBURY. NEW YORK 22802g TELEPHONE (518 ) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR /S,NSPECTTON�RECEIVED NAME LOCATION r DATE �� s PERMIT' #_ r APPROVED YES NO FOOTINGIPIERS MONOLITHIC FOUR FO FOUNDATION/DAMP-PROD ING ' B CKF'ILL APPROVAL OUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION : CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ EPS STAIRS-CLEARANCE RAILS PLUMBING FIXTURES RELIEF V LVE INTERIOR TRIMIPR ACY DOO FINISHED FLOORS GARAGE FIREPROOF NG DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL NSPECTION FINAL .APPROVAL OF CONSTRUCTION A SIGNED CERTIFT ATE OF OCCUPANCY UST BE OBTAINED FROM TH BUILDING D,EPARTM T ,BEFORE THESE PREMISES ARE OCCUPIED? REMARKS: _- *SPECTIOR I TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YO3RIi' 12804- - TELEPHONE (528 ) 792-58.32 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED Lr/_ NAME LOCATION q ,/4( DATE _ i PERMIT2PPROVED YES NO lo' FOOTING/PIERS MONOLITHI POUR FORMS FOUNDATIO DAMP-PROOFING BACKFILL A ROYAL ROUGH PLUMB G _ FRAMING t ELECTRICAL RO H-IN INSULATION: FOUNDATION FLOORS WALLS r` CEILING FINAL INSPECTION CHIMNEY HEIGHT' ROOFING SIDING EXTERNAL PO C4' STEP$ STAIRS-C RANGE & RAILS PLUMBING XTURES/RELIEF VALVE INTERIOR RIM/PRIVACY DOORS FINISHED LOORS GARAGE F REPROOFING DOOR CLO ER (S) SMOKE DE, ECTORS FINAL ELECT1R_TCAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORF' THESE PREMISES ARE OCCUPIED! INSPECTOR YOU ARE HEREBY REQUESTED Td INSPECT AND ISSUE CERTIFICATES FOR THE FOLLOWING ELECTRICAL EQUIPMENT TO BE INSTALLED BY TEMP. THE UNDERSIGNED d M� /J/ f GTY OR VILLPGE '..� TOWN IP 'T"C..'. / - CS" Q / 6+4�,401 Lr." STREET/AMA/ 4FiI J^y^M'"' " F.+""'--'A? ! � � ,I � {' � POLE NUMBER B WITAT TWO GROSS STREETTP 4,0PREMIUDS LOGnTEP? s ,.SnE.,C�TI�N �� ff ) �, BLOCK WT' UGCUIr4VJT AME- /j `+, .i .z�.rl�"'� C OILtlW�IG `� �IX7CUPANC am M /' �y ■ OWNER'S �D AOORj56f'!-'+K,-[^f Jr ! �IpNi � *'f CURRENT SIJ uEIDr 'l• 1yyg !#iOM THEIR OFF E ?�K�LEt;I-IONEi NUMBER I C� C � • C. T ! ' �} IL' , .n_, VJ i R3 LI BUlLDMJG IS ,. _ NEW OLD El 71 ZRK IS NEW,?Yf ADDITIONAL Cam.. DEFECTS REMOVED LJ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No. of Fixtures 8 MOTORS HEATERS BRANCH OFFICE USE Loon Lamp Receptacles CIRCUITS ONLY Sion Side AOOM41t Switch Pendant Bracket Nfa lf/pa E� NO. E h No. �� INSPECTION CePlrg Wall Racep'Is OUT- SIDE SUB- BASE BASE- MENT lot FL. 2 Id FL_ 3rd FL. REMARKS: LIST Crr HER ELECTRICAL DEVICES NOT" SET FORTH AENWE: THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED, BUT IF AT TIME OF INSPECTION, THERE IS FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED, YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER THE ADDITIONAL EQUIPMENT, AS PROVIDED BY THE APPLICANT SIZE OF MAINS FEEDERS ELECTRIC SIGNSfLAJUPS TCRAL VWQITS CHARACTER OF WORK ❑ EXPOSED GM TUBE SIDNITRAN STOWERS OF '+B ❑ CONGEALED DATE WORK TO BE STARTED DATE COMPLETED S12E OF SIGN fNUMBERI GAPYIGIT'Y' SERVICE ENTERS BUILDING MANUFACTURER OF SIGN ❑ OVERHEAD ❑ UNDERGROUND { DATE IN51PECOON REOUESTEO ON(OR AS NEAR AS POSSIBLE) MUST EWER^PPILICANTS , . _ I 'I._ WIII I WWAT11CM NMI A"D DELAYS BY GIVING FULL AND ACCURATE INFORMATION. ALL SPAN MUST BE FILLED IN OR AP1PLfCATIION MAY BE RETURNED. PRINT NAME AND ADDRESS or NAME OF APPLICANT DATE OF APPLICATION .APIx STREET ADDRESS TELE O CITY OR POST DFF ICE ZIPCODE LICENSE NO. WHEN APPTJCABLE 85 John Street ❑ 41 State Street ❑ 584 De4aware Avenue ❑ 217 Lake Avenue El202 Arterial Read NEW YORK, NY 10038 f ALBANY, NY 12207 BUFFALO, NY 14202 ROCHESTER, NY 1460E SYRACUSE, NY 13206 THE NEW YORK BOARD OF FIRE UNDERWRITERS TOWN OF QUEENSBURY �� BUILDING AND CODES DEPARTMENT r ,- '? BAY & HAVILAND ROADS �'/ I QUEENSBURY, NEW YORK 1280q- TELEPHONE ( 518 ) 792- 5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEXVED NAME ' LOCATION DATE PERMIT # n APPROVED YES NO t,,,.�r'00TINGIPIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP—PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION : CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/.STEPS STAIRS—CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF , 'VALVE INTERIOR TRIM/PRIVACY DOORS ---- FINISHED FLOORS — GARAGE FIREPROOFING 1^ _ DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS : Fb eW p I ec �...t r�`N i INSPECTOR TOW RY BOIL OF QD CODES DE BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS ry] QUEENSBURY, NEW YORK 1280+L. I �' r TELEPHONE (518 ) 792-5832 BU I L.DI NG INSPECTOR ' S REP( RT REQUEST FOR INSPECTION RECEIVED NAME fey Co 6* LOCATION �` v DATE % PERMIT # / - APPROVED YES I No OTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH- XN INSULATION: ' x FOUNDATION FLOORS N WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHESISTE ,STAIRS—CLEARANCE & ILS � PLUMBING FIXTURES1 LIEF VALV _ INTERIOR TRIMfPRI CY DOORS FINISHED FLOORS GARAGE FXREPROO ING DOOR CLOSERS) SMOKE DETECTOR FINAL ELECTRICA INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!. REMARKS: i i. INSPECTOR