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1989-066 Flo. 1 k _ CERTIFICATE `O �UPA.NCNJ Lr TOWN OF QU ENSBURY WARREN COUNTY, NEW YORK I Date -r i 19 4 This is to certify that work requested to be done of shown by Fermit No. has been completed. I ( I-P\f This structure may be occupied as a = - i Location � Owner By (order Town Board TOWN OF QUEENiSDURY Director of Bldg. & Code Enforcement I ' BUILDING PERMIT TOWN OF QUEENSBURY Na. 89 - 66 � WARREN COUNTY, NEW YORK t PERMISSION is hereby granted to Valente Builders — " cs� w � OWNER of property heated at 1 4 A $ayb r i g e Street, Road or Ave. ra in the Town of Queensbury, To Construct or place a 3 of Fourplex 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 C » 60 Sweet Road t Queensbury , N . Y . 12804 s1- rn 2, CONTRACTOR or BUILDER'S Name C7U G Same I. F." 3. CONTRACTOR or BUILDER 'S Address f1 rj S ame {" 4. ARCHITECT'S Name H-' 5. ARCHITECTS Address tU �C CT' 1'S 6. TYPE of Construction — (Please indicate by X) Y s.p (KKWood Frame ( ) Masonry ( ) Steel ( ) M 7. PLANS and Specifications No. 30 ' x 56 ' a of fou.rplex as per plot plan , specifications , and application , including attached one car garage . S. Proposed Use ' 0 0 4 of Fourplex ~ 0 a 25 . 00 C /o $ 1. 9300 PERMIT FEE PAID — THIS PERMIT EXPIRES October 1 19 $ r- (if a longer period is required an application for an extension must be made to the Building and Waning inspector of the town of Queensbury before the expiration date.) Dated at the Town of Queensbury rks Da of March 19 89 SIGNED BY for the Town of Queensbury Building and Wning I nspector TO ; tN M" QUEENSBU'RY APPLICATTON FOR BUILmMO AND ZONING PERNIIT vL:t u F.ec.i.ev eLt Rev.Le e Fee Paid ti WILDING ANE] cwE5 u :i,APmfr:3,rr Va,te Ib.aued 3AY and NAVI LAND ROADS RD .I BOX 93 / PUEENSFURY , NEI-1 YORK 1 .2804 I�tlull t � �� • _���1�CD � — Te1 . ( 518 ) 792-5832 Ext 209 * '�' ■ i[ lk * lyi Y ( ilf li s 1' Y[ il' ■ lk 1R 'X it } 14 i • } * "Yf Y # } ■ !k i 1 • SII i A I' E]Mf 'r MUST B4 OBTAINED BEFORE BEGINNING CONSTRUCTION . NO IN5P1iC'1' IUNS V I L L BE MADE UNTIL AP1' LICAMT I (AS RE, CEIVED A VALID UL; ILDINC PERMIT . All applicable spaces on Luis application must be completed and the 11tla art of ehe applicant Irtust appear on the reverse sick Of this 5110et . J: A l: k � NtJ ,r�lc r �: /G Y: X :K 'rile owner of this property isc /1(, r<--Ls✓77s" 'Cc , Gat- ti2. S' �r I' . C1 . Adclru d JGaa-rc lid - rr . , t "2S TEL . ` 5iO - 5 ] Property location i?�Q £ ( e 1 -^ ,/ 'rAx MAC' Itas there been any split at this property since October 1 , 1988 ? yes no if yes , Planning Board Review is necessary . UBDIVISIC) tl IJAmEt IF P6PPLICAnLE LOT NO * '1' ho person responsible for supervision of work as regards ataildin9 Codes. is : 14AIAE F . O . ADDRESS T> L , NO * tdaLmo Ofbuilcltr {,�W -cam c +.•... - + Address , t� S:�;..."'E- C�-�c c� , . --� • Tel -f2 N"mr of 1' lurstber r.ddress Z �? �� 2c9 . CC4� F��.r. f , Tel Name of Mason M �, Kyl C,& d's -r Aciclress i B � r w. 57� gel ?d c hf+ t ' `Pe1 Hfir' ,5+ rJATURL OF PI�OPOSED W. RK : ZONING 1Nl :ORmj%•01g1Of%j ( Orrice use onl1 ) COnxcructior� of a nUw blkildifJU } ZONING DLSICNA'1'ION OF PROPERTY Addition PERMITTED PRINCIPAL PERMITTED ACCESSORY AltuC;4Li©t1 to iL l:uildinc] ` (L10 cl+.:L+ �t1 � to oxc .: rior Uitnension:;) v RLVIEW REQUIRED - PLANNING BOARD ZONING DQARD� OG[tur work. (. l . :crisp+ . ) " SITE PLAN RL'VIEW # APPROVED DATE VARIANCE B APPROVED DATE GROSS AItLlL O1' 1' itOPOSEII, f: 'rRUC41LU [[>; DATE 1st Floorw ''-5 z� sq ft . Remarks 2 nd Floor sq t t . C01•tPI.L'1'1 1F;1'Of rhA`1'ION i[[ r�UT1c4 k3 [[[ LOCI . :ir.. Qf l�xol+. Icy � � fc Other Floor :: sq f t . = Lxiz:citty bLtii.l irr.1 E ::1 Si : u ( not callar or basc� rnenc ) TOTAL FLOOR AREA sq f t # LiAic: cing 1]4A1la.Lity ( L; ) Ut;U . :.• iGU (if new structure a tt Y, sft k`uLu�d:[ tiort-pier/ .:laL craw l�arti:.1/ full ' NtoPos.:d builLlin[a , ancU iroLu l.ra]1[urty lino ( r: irclU ont: ) Front yard ft Rear y;axcl Na . Of stnrics thabit:.ble sl74tce ) Side yard:; 45��� ft and IIQ!ghr. ( grade to ridgU ) 2 z ft • If on corner, st tback frota skid 1;u r. a[:t c t If reuidUntial . no. of faLtlilies I NOv of roornr[ ( cxcludinj b"cha) 5' " OCCUf'Ar%A[ Y INFOP44ATICN Igo. Of budroout r PiLIMRitY GUILDIiJC - No. of b:LtlLroout : - Onc taluily dwalling I'riuurY 11� . tiLu1 py; Lvu� , rz krwo f"mily duelling 'tyll" of foa 7Multiplo 41weil :Lnrj r Nurttber of units� No. of fircl7lacuz to k.re i1►st:all + d perLnanQnt OCCUP:uicY Will a WoQa sLovL1 bc.: in:; r;.. 11Ud? �f • '1'rana:iL:r� t cywculr,:ar[cy C%2ntrul Air coijUitionirrg? * D"sinuss RU ( LD1NC 9TYLC, PRIMARY STRUC;TURC ; ] ncluscrial I"Itch Conteutl:ur.,ry L0QQ c"bin It "dcllcin[1 , wt �:►c will usU ]Ga 1 ItALsL:d ranch 1AI:An:SL4it Oupliax 101� .c lUVUI Old atyle U&AjkLj.&10W ` c":apas CQd CCott"Cj%z Ocl �,_ " RCC9SSo"y "UILDIN+C- LQJOrti:.l laaw llausz ` L+Utachowd garueJcfone cur/ two car/ c:Lr t CIRCLLA ONU PL.khS ) '" :TArtach4.:a gz&r:.Lgw/ 11a: cixr two Car/� CiLi' w # s # # } s w . w } ■ w ar x u + PriV:.[ t4: zCor"tJ4 )3L11. aLnq . �. . Ke" TIMATV0 I•IARKr.T V AI. 0 C OF ' DGh+- r J N(460 cr'tATTI)r4 ON nUILOTNC srrCIFICA`TONS , ON nvz vm se SIDE OF ` I[TS crlckk T, `m Be COMPLETED * Farm VPA 10/68 V1 St7ILDTr,Jc 3 '1'RMIT APPLICATION CONTINUED - BUILDING �ji'CCIFICATIONS : Type of coxistructi.on , wood frame , fire safe , etc . L'<.) ra C� C T 2e - n Will any s. �rcond-hand or ungraded lumber be used? If so , for what ? Z) Foundat. ic,r, wall material Thickness Depth of foundation below grade ( to bottom of fontirla) z Will thore be a cellar ? /-�) Heated or unheated? 1�1_Q Floor sq . footage /a s Will there, be a basement? r� will any portion be used as living space ? ( If so , what portion? sq . ft , - - Type £ use? Type of x oof - slope flat/shed/other f65i�L, -Material of roof Cj „3 ra t;1 s -r s Size , waoLi studs_�_r' " X " spacing s"o . c . length ft , Joists ( t: lc,rar beams ) 1st . floor -- " X �^" spacing zb "o . c0 span r t� ft . Joists 4fl(,or beams ) end . floor - "' X ! G7 to spacing/6 it span ft , Overlayr (%3 ding beams ) __,"X , spacing Ca_"o . c . span ft . Roof raftcrrs 41spacin67 6 o _ c . span e CK' ft . Roof t_r t, �.::.;k`s (pre-engineered) sp4Aeing r�'" o . c , span 412� ft . Exterior wall finish e�o o OS2> Of what. material ? CC>)OzPr� Interior wall finish _: �e..o�[,l� If a ga-rage is to ��e attache escribe material tc� be used fo FIRE SEPARATION : ! u ` -r>c fz.- 6-c C.c.. o CULL ..a 1looe- .S ..� Is there to be an opening bqXween garage and el ing? ,4r, If so will a Fire-rated door , enclosure , and self-closing device be provided? Will a flue- lined chimney be installed? crar height above roof a ft , Depth of chimney foundation below grade 777 4�ft . Depth os: fireplace hearth___I-___-ft , (4in , Water supj, l y - Municipal or private well Kn " A) , C e p c SEPTIC YS'IIEN _ Distance from ANY private well ( including adjoining properties ft , (A sopar�:tLe application is necess4ry for any repair or new installation of septic system) i ri I S '-Ar t5r D E C L A R ATICIN `l'o the best of my knowledge and belief the statements contained in this appliezition, 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 othor 1414vs pertaining to the proposed work shall be complied with , whether specified or not , and that such work is authorized by theaWnerl Signature Owne , owner's a ent , architect , contractor to At W It SPECIAL CON131 T'IONS OF THE PERMIT - By ..... .. -- .- _ . -__------ TOWN OF QUEENSSURY 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 followings; 1 . Gross floor area 2 . Type of heat 6=±ah`Q' 3 . Is the building mechanically cooled ? Z 4m 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 ? 4 . Is basement heated ? YES NO a . R value of insulation 5 . Type of insulation B . Under 16 % only 14 R value of roof and floors exposed to ambient conditions. 2 . R value of exterior walls 3 . R value of glazed area 4 . R value of doors 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 �~ 8 . R value of heated basement/ cellar walls ( above grade )Q..4 90 R value of heated basement,,/'cellar walls ( below grade ) (Z 100 Type of insulation Co Controls 000000 1 . Thermostat maximum heat setting ^ D . Duct Systems oow000 14 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 Only 1 . Maximum heating Telephone No . a ( applic nt ' s signature ) THE STATE INSURANCE FUND FILE199 CHURCH STREET, NEW YORK, N. Y, 10007 COPY (212) 962-8900 CERTIFICATE OF WORKERS' COMPENSATION INSURANCE EMPLOYER CERTIFICATE HOLLER POLICY NUMUEIA Town of Queensbur Valence Bui.Iders Inc Y i 349 283-8 60 Sweet Rd Attn : Dave Hatien Queensbury N Y 12804 Bay Rd Queensbury* , NY 12804 UNIT PER14D COVERED CERTIFICATE NUMBER DATE ISSUED Alb . 2 /I188 - 2 /1 /90 f 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, b DAYS WRITTEN NOTICE OF SUCH CANCELLATION OR CHANGE WILL BE G1VEN TO THE CERTIFICATE HOLDER ABOVE_ NOTICE BY REGULAR MAIL SO ADDRESSED SHALL BE SUFFICIENT COMPLIANCE WITH THIS PROVISION. Td)ta SLICaAc.][!L X N$Rk 7fi.C {.Fs kdl�If>as516Q fc Si7�J+�XTK7d3o5ck,� [@I3f]d5�11�+�3�7�]Yx�3C�i[�lk6c�s�[1�1�L]F3t3�1C�R�[]�E3t�4�c�,IK�+i��sr ii�c�.'l�x THIS CERTIFICATE DOES WOT APPLY TO BUILDING DEMOLITION . J V ePao H. JACOBS DIRECTOR INSURANCE FUND UNDERWRITING U•26.3 (1977I ✓ C E R WE I P' I C A T E C7 F = N 8 C3 R Ae N C E --------------------------------..........------------------------.........--------------------------------- ----------------------- f PRODUCER ; THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS ; ' NO RIGHT UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, t ' Kinner ' s Insurance Agency EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW I 272 Braadvayy ; ------------------------------------ ---- -------- --------------------- ; P .O. Box 179 ; COMPANIES AFFORDING COVERAGE ; Whitehall , BY 12887 4 ---------_rr----------------________- ------____r___---------_---------___ 1 (518) 499-0458 ; COMPANY A Hational Grange Mutual Ins. Co LETTER rr-................--- ---------________---------__ ............. ---------- ......... .................. ..... COMPANY B INS➢RED ; LETTER ; -- ------------------------------ -- ------------ - --------------------- ; William Manell € Gary Manell DBA COMPANY C M a M Construction S LETTER ' 27 Blinn St . ; r------------ --------- ---........ ...---------- ------------.........--- - ; Whitehall , H. Y . 12887 i COMPANY D Y LETTER COMPANY E 1 ' LETTER ----- COVERAGES ' THIS IS TO CERTIFY THAT POLICIES-[IF- INSURANCE LISTED-BELOW-HAVE BEEN ISSUED-TO SHE INSURED-NAMED ABOVE FOR THE POLICY PERIOD ^ INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED GR MAY PERTAIN THE INSURANCE AFFORDED 0, THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS+ EYCLBSIuHS , AtiO CONDITIONS OF SUCH POLIC F:S . ------ --- ------ ------------------ ------------ -- - ------------_ POLICY POLICY ;CO ; ; ' EFFECTIVE ' EXPIRATION ' 'LTRI TYPE OF INSURANCE ; POLICY NUMBER DATE ; DATE ' ALL LIMITS IH THOUSANDS ' 1 1 —�—w.-�•— • .._ _ ___— .. A __a.-nr—w_ _ _ ; _r..s x -_ i ia.__-------------- GENERAL LIABILITY ; GENERAL AGGREGATE sE(r0000 A ; Cx] COSIMERCIAL GENERAL LIABILITY ; Mt N35 580 ' 04/11 '89 1 04/11/90 ; PRODUCTS-COMP/6PS AGGREGATE 5600000 C 3 C 1 CLAIMS MADE Cx3 OCCURRENCE I ' ' I PERSONAL & ADVERTISING INJURY 5300000 ' ; C ] OWNER ' S CONTRACTORS PROTECTIVE; ; ' EACH OCCURRENCE 530E+0+0d t FIRE DAMAGE (ANY ONE FIRE) $50000 1 MEDICAL EXPENSE (ANY ONE PERSON) $5090 ; 1 AUTOMOBILE LIABILITY i 4 CSL 9 ' [ 3 ANY AUTO ' ; ' ' -^-------------- ; -- ----------- ' ' ; C ] ALL OWNED AUTOS ; ; BODILY INJURY ; ; ; C 1 SCHEDULED AUTOS ; ' ' (PER PERSON) ' ' ' [ 3 HIRED AUTOS { ; ____________ ' C ] NON-OWNED AUTOS ' ; i BODILY INJURY ' C I GARAGE LIABILITY ; ; ; (PER ACCIDENT) ' S I ' I —^-------------- I -------------- ; 1 ; A ; I h PROPERTY ; ' ' DAMAGE ; 5 I EXCESS LIABILITY ; EACH OCCURRENCE I AGGREGATE ; I I C I UMBRELLA FORM ; ; ; ........--------- ; -----r__...... __- ; ' C 1 OTHER THAN UMBRELLA --- 1 -- -- --------..�...---------- -----�---- ' -- - -------•`- --------- ' ----._._•_—.. 1 ---------- ' --------- 1 1 4 �`......' -'— ; I STATUTORY A WORKERS ' COMPENSATION I WC F89 780 ; @5/21/89 G6/21/90 ; --------__ ___________-____ -------- I AND ' ; t ' S100000 (EACH ACCIDENT) ; I I EKPLO]YERS ' LIABILITY I I I ' 5500i;)O (DISEASE-POLICY LIMITI ' s11a06b0 (DISEASE-EACH EMPLOYEE) ' ---_ _ --_-........ 4 ...._..,.. _ —. 1 _... .. _ k rr r.n_ rY .__....__ , OTHER 1 ; 1 Y Y 1 1 1 4 1 1 1 l 1 1 1 Y 1 1 1 ___._...�..«.._ ----------------- +.+.++.__ _ ____«....... _ ..r.. ....+.+.. __ 1 DESCRIPTIO14 OF OPERATIONS/LOCATIOt(Sr'VEHICLES/'SPECIAL ITEMS t CERTIFICATE HOLDER _______________________ __________= CANCELLATION ' SHOULD ANY OF THE ABOVErDESCRIBED POLICIES^BE CANCELLED BEFORETHE EX-y^ ' 1 Town or Queensbury PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ; Bay Road ' 20 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Glens Falls N .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. ' ATTN: Dave Hatian ' -------------«_____-------- -___-__ _______ AUTHORIZ REPRESEH`TA1TIVE / -� - I1I ISSUE OATi= (Mktll]Q1Y Y} -1.3 PHC]AUGER '1 HIS Cr"rirrFlC..7L i:.: ISSUEQ 'AS A url r'I'Ck Gr= Ilw,vNIOIATION OiJLY ALda CC1Nh"ERS NO t-UGHTS UPON THE CERTIFICATE ImIQLuc Ii 1-r-iis C.Lr,TIMAYL uoEti NOT AMENG, COOL_ INSURING AGF!NCY INC: cxr r:o GFi-.i.mTdMmmR rr,� c3v�rrFc.�+ . � u,' r r4ti^trrL! POLICIES UCLOW- s i 1 LS101 WESTERN AVENUE_ --- JCClrvli=iai�+ii +r^�_ �� .::: ilu COVERAGE ; r ALErANY NY 1 i' 1 fO �I 7r.IP NY •E' FEAVF: L F_ RS INS CO L F_Ti c:A ' Cui.ni•i+F+i Y' � ' a ' INSURED ` NOREAUdS P LU{'1f3 i NG - ,-It HEATING -- -- - - _ -- - - . -- — �'._ 23 CANVASNACK RIDGE. Lr. i I' I' LFN I_ WA'f E Ri oRr) , NY ] 2 ] S 8 Yam` Tril.', IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW riAV C LEEN I:..`_:U:U 7O l"Yic` INSURED Ni.irir=?.i .�:i is Jc rc�r1 1 r,a= r�C1L1GY PCCATi FICATrZ Id r NOTWITHSTANDING. ANY REQUIREMENT. TERM 0" CGrJ.O17FGN OF AJ4V C:L3,."rr„-.v. i Oil 6 n.:H UGGUr.rslar iNI I I'; rF-'.:+'.:.:;T I G ��.,r r1l.:rt 'r Mi=: CEFITIFICATs rnAY Lc. k::SU£O Ori IrI:.Y PERTAIN, 7FiE INSIJ riANCE AF r U.:r:+EU Li 741E I'OLi CrE=- L' L;j.: „+.:W:G +,.:iti i:: :,UUJE:.7 TCr .aLr.. 1-F-: Tcrri.r J, EXCLUSIONS, ANO CONDI- e TiONS Ov� SUCH POLICIES. --- - "'- �.r—�_ _ l i•ti51L11 Y LI3vtITS lid TFi iJUuANCiu ? ik. :ILF TYPE OF INSURANCE C.)LI:.Y fiL:7.4r:c.i --_- . .Jr1RL �I-'- a.L,.ui,,L Li..L3I Li q fi 'aQ12fSES .► b2f04 f_— fD (7 /' 1 fD / ES8 � fi / 241 / Ei �! "RL nL�i51v't ��..1 Fs1,1 r'FtEI,�iSES,L7PEIir.TIGF,rS X `{ UiJD[Fi{i FrU U:3L� rx EXPLOSION & COLLAPSE HAZAR0 ' � "— X PRUi:+t1tiT::dCOr.1PLEIE:] URLFW71GF:5 I.F. '�(} UUFJTFiHC FUAL �:F",,,.�.,_u '+' 7 * ffl FLF k' S. , ¢s f0 f0 X INUcf'EP.L1EhF CUktT17AC1Ufi5 �,. ._ -__.._. , .�_. HFtOAU FOWAI I'hrOP>;RTY OAF.;r.CE. n, PERSONAL iNJUAY ra� ri:...:.1fv%,L IN.r Ui'iY •t+ 1 14 (Q (a md- ^UTOI.tObiLE LJAI3ILITY A',) AUTO l -- -- .+Li, U'VIINEP AUTOS WRIV. PJSS I .+LL i]L'rNE❑ A.U705 l PRiV PASURIER TIiA[4 .__ l v r4;tEU AUTU5 r, FY t4ON-OV,P4D AUTOS GAhu'.Gf LIABII. ITY UTALi irLiA FOIIIA �- I HF R T6AN tj WRF:LLA fG WO — WGi.r4EH5' COMPENSATION ANO L AS POLIi:Y LIr.1i I1 EraPLOYErIS' LIABILITY 11 [;, ----- -- i:il;C:+SF•i d�;fi cr.1rLU"+Lrl . A 65020SJ62 04 06 / 20 / 88 06 / 20 / 89 - i fi}:: : UF'ERA'rION:S OF INSURK. . 'r SH;,3U LLi Ai,vY OF T"d,' AisOVs- G.:::C;r .e."c:.l I•U�ICIE:i uL CAr Ci LLEP i3EFOS ii: TkiE C74- i TOWN OF QUE N`aHURY l I PIRATIGx4 O ATE THEREOF, TiiF: 4S&UIF,i.: COMPANY WILL ENDEAVOR TO i. i Li AFL GAYS V1RIT77EN NOTICE 7'O T roC Ciilti CII=tCA7E HOLDER NAMED TO THE ' ATl' N : UAJE: FiAi IEN L4i-T, "J-C Es.ii_Ui1i TO MAIL SUCrI ih .�, GSi NO OULIGATION Oft LIABILITY BAY ROAD � 1 OF AkiY lria "'GN THc COMPAilY I' "FNTti 7R REP 7ESErJTATIVES.___� QUEiENf- UIURY , NY 12804 j AUtwIDr,1 F HL 'Fr NT, ry TOWII OF WEENS&MV 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 51$) 792- 5832 BUILDIM INSpECTMI S 11£ VRT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED�� .� NAME � LOCATIO1l PATE ' PERMIT# r l TYPE OF STRUCTURE G I 1 I RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) I TiHG FOUNDATION BpICKFILL RAMING GH PLMING FINAL EXECTRIC SEPTIC 4NSULATION �[O'MSTOVE/FIREPLA ITE PLAN/VARIANCE REQUIREMENTS I REMARKS N/ ypq NO CHIMNEY HEIGHT/LOCATION J B VENT/LOCATION PLUMBING VENT ROOFING SIDING L DECK/P /S RELIEF VALVES FURNACE/HOT W E 0 NG BASEMENT INSULATION/ CTWOR INTERIOR TRIM/PRIVA DOORS -- FINISH FLOORS : BATH/KITCHEN WAT RTIGHT OTHER FLOORS SW PABLE OTHER FLOORS C PETED STAIR CLEARANCE/ ILING�^ _ �- HANDICAPPED ACC S SMOKE DETECTORS BATHROOM FANS/ H L NOU E AN �[ ALL PLUMBING .F XTURES OpERATI GARAGE FIRE P 00FING_ DOOR CLOSERS OTHER FIRE FIRE/DEMISE WALLS DUMPSTER FINAL EL R OK TO IS S E C/O OR C/ i +f' ARRIVE. � 3a pEPART��.- THE NEW YORK BOARD OF 'FJ;RE UNDERWRITERS E3UREAU OF ELECTRICITY lr 41 STATE STRE ET, ALB ANY, NEW YORK 12207 Applicat LL LineaionDate THIS CERTIFIES THAT ors the afire application number in the promises of only the etectrical equipnsent as described befalls and intr0el"ced 1INLENT t1,I'FCI' iI:c' . . to � , rr� rltis t, �ttit; . FsL,Irc, I 41 , I't_t tiesl,l ltti �, , . in thefaltowin,g location; Basement © Ist Ff. ❑ 2" Ft. {71. f{ Section Block Lot urns examined on y'4 y I"`II `{ r' , 1 and foumd to be in camptiance with the rPquirementa of this Board. RANG€S COOItING DECKS QVfEN$ DISH W ASMERS EXHAUST FA RXTURES NS XTU" TACM SWITCHES INCANDESCENT fLVOIlESCEN7 OTHER AAkT. K- W, AMT- K. W. AMT R . K-W. AMT. K. W. AMT. I 1. i 7 11 `j 3 FUTURE AMUANGE FEEDERS SFECAt RRC'PT TIME CIciCKS EEI�1. UNIT HEATERS MtSYST?tlTlEt MMMERS DRYERS FURNACE MOTORS o. C* FEET AMT. wArrs AMT. K. w. dl H- P. GAS H- P, AMT. NO. A. W, O. AA+4T, AASP, AMT. AMPS, TRANS. AMT. H. ►, Fes, G1F FEET (}f1 S E R Y I E SERVICE DISCOFIMECT NO. f)F w, W. G. No. or HEUTEnLS W. G A.EQV fr Zw 1 ,I' 3W 3 r SW 9 0 AW No. OF CC. Cc)t4 .. c , G. NO. OP HI-LEG OP HI-lEG Of f+MFurAAL 11,E�S AMT. AMP- TYPE ►ER !' of cc. G'OWCY• t t : t5 DYNE* AMARATU'S- rtI >�i,I t'' C.LL'' . t* TFi: tiF TFP", 3 t . ` I•.: , 4; m J S Lsu� t{D BRANCH �MANAGER Per t be altered " red in any manner,,- return to the office of She Board if incorrect. inspectors may be idOr' ed by their credesTtia This certificate must no ls. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNE -- ---- - — — TOM OF QU EENSBURV BUILDING A D N CODES DEPARTMENT BAY ROAD QUEEKSBURY , NEW YOR 12804 TELEPHONE E 5832 BUILDING INSPECTOR' S REPORT 1� REQUEST FOR INSPECTION RECEIVED NAME i\\l LOCATION DATE •� J c PERMI #�-�- - TYPE--OF�STRUCTURE - DUB' I� APFROVED RECHECK N /A YES NO FOOTINGS/ IER MONOLITHIC POUR FORM REINFORCEMENT IN PLACE+ SIBLE THE CONTRACTOR IS RE' FOR PROVIDING PROTECTI LF_ FROM FREEZING FOR 4S HOURS LOWING THE PLACEMENT OF THE CO CRETE . MATERIALS FOR pUNDATION/WALL HPOUR IS RP £ ON SI REINFORCEMENT IN PLACE FOUNDAT ION/DAMPROOF ING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING UNDER SLAB IN PLA FRAMING ; FADE JACK S / BRACING/BRIDGING GIST HANGERS �- JACK POSTS/MA N B _A EATING ROUGH- IN INSULATION . FOUNDATION AL E R r FOUNDATION WALLS XTERIOR R- FLOORS R- WALLS R- 3 CEILING p NG IN UNHEA ED DUCT WORK R SPACES R . ARRIVE DEPART �� INSPF.t.TOR TOWN OF QUEENSBURY BUILDING AND SCODES AY ROAD DEPARTMENT 531 QUEENSBURY ( 5I18)0792- 5832RK � BUILDING IKSPECTOR' S REPORT REQUEST FOR IKSPECTION RECEIVED KANIE LOCATION DATE PERMIT TYPE OF STRUCTURE____ ---- APPROVED RECHECK NIA I YES NO FOOT NGS/ ERS MONOLITHIC POUR FORM -' REINFORCEMENT IN PLACE THE COKTWTOR IS RESPOKSIS E FOR PROVIDING HOURS ON F THEIKG FREEZING FOR THE GONGRE THE pLAGEMNEKT SITE MATERIALS FOR THIS PURPOSE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT UNDER V IN P ACE SLAB v RAMING : S/HEAD JACK S ----- BRACING/BRIDGING JOIST HANGERS JACK POSTS/MA N B HEATING ROUGH- IN INSULATION : N E _ FOUNDATION L FOUNDATION WALLS EXT IOR R- FLOORS R_ WALLS R_ CEILING IN UNHEA ED DUCT WORK OR IP SPACES ARRIVE 622// DEPART? SP TOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT SAY 6 HAVILAND ROADS ORK I2804� QUEENSBURY, NEW TELEPHONE { 5I8 ? 792-5832 BUILDING INSPECTOR' S REPORT - REQUEST FOR J�TSN ReCEIVED �, • 46 NAME LOCATION r z PERMIT # DATE APPROVED YES NO FOOTINGIPIERS MONOLITHIC POUR F �FINI�~_~— FOUNDA'3TIONIDAMP- _�- BACKFILL APPROVAL )CROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION. CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE 6 RAILS -- PLUMBING FIXTURES/.RELIEF VALVE_ INTERIOR TRIMIPRIVACY DC RE FINISHED FLOORS ++++++ GARAGE FIREPROOFING DOOR CLOSERCSI SMOKE DETECTORS FINAL ELECTRICAL INSPECT ON FINAL APPROVAL OF CONSTRE TCTION A SIGNED CERTIFICATE OF CCUPANCY MUSBV OBTAINED FROM THE BUILDI G DEPARTMENT BE RE THESE PREMISES ARE OCCUPIEDI REMARKS: INSPECTOR YOU ARE HEREBY REQUESTED TO INSPECT AND ISSUE CERTIFICATES FOR THE FOLLOWING ELECTRICAL EQUIPMENT TO BE INSTALLED BY THE UNDERSIGNED ,�{ _ �, .n� TEMP- M BATE f� �r„ COUNTY CITY OR YIIIIIII ILA..�t-I --+`3 '{ (4 f1 -�.�+-�.� 4+/r p / �:T' (7 {f 47 R 'ii.-^SL / POLE NUMBER E �yyl'R ANO NO ROM1Q /I!1 LOCK Lar BE1'YUEEN CnQSS STREETS ISPFIEMI LOC;IKEiM SECTION 'y> eIJILDING OCCUI A CY HOME TEIE NUMBER OIATJER'S NAME ANP�iOURESS - . ��0 b � � � � 4 f "'f � (�I - 3 �Z O a.L'}' V--�a�. . -�.. / i FRC] OFFIC WORK E "UMBER CURRENT SUPPI�tED BY M EIR � ,S ,VI " BUIL G IS ADDITIONAL ❑ DEFECTS REMOVED d NEW OLD ❑ VVDRK IS NEW LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No. of Fixtures & BRANCH OFFICE USE Loca NUMBER OF OUTLETS MOTORS HEATERS CIRCUITS ONLY Lamp Receptacles lion Side Attach'T FaC: Na. ' No- caws INSPECTION Ceiling wall Recap'Is ^ IiGh Pendern Bracket No. TYPa Each Eech OUT- SILIE SUB- BASE BASE- MENT 1 St FL, 2nd FL, 3rd FL- REMARF�,� L1 ST(TTNER ELEL"1"fiIGAL DEViGES NOT SET FORTH ABOVE THIS APPLICATION IS INTENDED To COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED, BUT IF AT TIME OF INSPECTION, THERE IS T ADD ITIONAL ADDITIONAL EQUIPMENT PR OVIDED RTT ABOVE LISTED, YOU ARE E AUTHORIZED TO MAKE THE INSPCTION AND ADJUST THE FEE TO COVER FEEDERS ELECMICSIGNSI.AMPS fT74AL SIZE OF MAINS CNARAGTER OF WORK ❑ EXPOSED GAS TURF SYGNfrAAIiSFORMERS OF [] CpNCEALEO CAPRGrII' DATE WORK 10 BE STARTED EA r COMPLETED 51 OF SIGN (NUMBER) MANUFACTURER OF SIGN SERVICE ENTERS BUILDING ❑ OVERHEAo ❑ UNDERGROUND DME INSPECTION RE[7UE:7IED 014 fOR A.S NEAR AS POSSIBLE) MUST- t ' AWOID DELA BY C.1411iC FULL Af�NT ACCURATE ihiFORMA7IDIN ALL SPACE S MUST BE FILLED Frf R APPLI TIDN MAY BE RETURNED. PRINT NAME AND ADDRESS PATE OF APPLICATION NAME OF APPLICANT T'ELE HONE STREET ADDRESS ZIP CODE LICENSE NO. WHEN APPLICABLE CITY OR POST OFFICE ❑ 85 John Street ❑ 41 State Street ❑ 584 Oe4aWare Avenue ❑ 217 Lake Avenue El202 Arteria4 Road NEW YORK, NY 10038 ALBANY, NY 12207 BUFFALO, NY 14202 ROCHESTER, NY 146(TS SYRACUSE, NY 13206 THE NEW YORK BOARD OF FIRE. UNDERWRITERS n TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT i•P�`) BAY & HAVILAND ROADS QUEENSBURY, NEW YORK I280& TELEPHONE (5I8 ) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME 4r LOCATION DATE PERMIT # aJ ' ,APPROVED YES I NO L,,,eOOTING/PIERS 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 DOOR CLOSERS) 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. ec INSPECTOR TOWN OF QUEBNSBURY BUILDING A ND CODES DEPARTMENT BAY & HA VILAND ROADS QUEENSBURY, NEW YORK I280-9& TELEPHONE (5I8) 792-5832 BUILDING INSPECTOR. ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION HATE � . PERMIT # APPROVED / YES NO tiroOTINGfPIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFITLL APPROVAL ROUGH PLUMBING r FRAMING ELECTRICAL ROU(Av IN INSULATION: ?� FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/S PS STAIRS-CLEARANCE ILS PLUMBING FIXTURE f IEF VALVE INTERIOR TRIM/P IVAC DOORS FINISHED FLOOR GARAGE FIREPR FING DOOR CLOSER ( ) SMOKE DETEC RS FINAL ELECTR AL INSPECTIO �7 � FINAL APPRO L OF CONSTRUC2 ONEHE A SIGNED ERTIPZ'CATE OF OCCUP CY MUST BE OBTAINED FROM THE BUILDING DEP TMENT BEFORE THESE P MISES ARE OCCUPIED: N REMARKS: 1 INSPECTOR