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1989-062 1 I CER TIFIC TE+ ' OF (DCCUPANCY TOWN 0# +QUEENSSURY WARDEN COUNTY, NEW YORK Gate � i�,�f:n�U a 19 This is to certify that work requested to be done as shown by Permit No. 0 9 - V 2 r ,as been completed. V q c)l Mur 9 This structure may be occupied as a 2, Kation 71 L u i LICI c Owner V+ j i By Order Town Board TOWN OF QUEENSBURY d Director of Bldg. & +Code Enforcement j I j ` y BUILDING PERMIT TOWN OF +QUEENSBURY 3" WARREN COUNTY, NEW YORK No. R A — 117 - • z a PERMISSION is hereby granted to Sra 1 pr, ta TzL1j -1 A S rn t✓ OWNER of property located at 7 7) r 4 lga Street, Road or Arne_ r...x I in the Town of Queensbury, To Construct or place a � Qf o � � at the above location in accordance to application together with plo p�_ans and other information hereto filed and r' approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNERS, Address is 60 Sweet Road Queensbury , N . Y . 12804 C Pr 2. CONTRACTOR or BUILDERS Name F , Same rr R) 3. CONTRACTOR or BUILDERS Address I" G M• Same I� rD K 4. ARCHITECT'S Narria � S. ARCHITECTS Address F-' -a I lJ 6. TYPE of Construction — (Please indicate by X) P Cr XN Wood Frame I } Masonry I I Steel G=. 7. PLANS and Specifications D iD No- 30 ' x 56 ' 4 Of Fourplex as per plat plan , specifications , and application , including attached one car garage . S. Proposed Use 4 of Fourplex 0 25 . 00 c/o 4 $ 193 - 00 PERMIT FEE PAID — THIS PERMIT EXPIRES October 1 7989 DI (If a longer period is required an application for an extension must be made to the Building h rg and Zoning inspector of the town off Queensbury before the expiration d (Date_I � X Dated at the Town of Queensbury this 8th Day of March 1989 SIGNED BY Al2eize glzd/ for the Town of Queensbury Building and Zoning Inspector UEENS13U72 'Y APP14TCATTON FOR BUTLI7iNG AND ZONING PER14TT ���� % co r1KC? ,r Fee. PaidW. BUILDING AND CODES lit :l 'IUZTP1F:�%!i' Date 1.6z ued 3A Y and IIAVX LAND ROADS RD I Box 93 PURENSDVRY, NR1V YORK 22804 Pekrllzt No . i`s [ G z - Tel . ( SIB ) 792-5832 Ext •204 .• .1k M a1 w r � w' x i t w f t w ■ a ■ tlr a a x a w w w • 1 w • w w • • it w ,� w A PE RHIT MUST 114 OBTAINED BEFORE BEGINNING CONSTRUCTION . NO INSPECTIONS WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID B I LDINC PERMIT * All apj) licable spaces on t13is application must be completed and the chiv aaturc of t }7e applicant must ap car on the reverse sick of this sheet , * k A A :A X * * * A * A * * * k A * * * * * * A A % W * * * W * K * k * $'. The owner of this property is : y/ z� 7,z=r L0zzYL.. S -�t P , Q . Addresti Q Lr +-r4 1 .. a A.k' . 2,, o4 TCL . `5��3�� Property location ,�� 12Xf LAL �- � � t&:}w TAX MAP NO � ! Ilas there been any split or this property since October 1 , 19E113 ? /, tic+ if yes , Planning Hoard Review is necessary . yes 110 SUBDIVISION NAME , IF 4hPPLICABLE LOT NOW The person responsible for supervision of work as regards Building Codes is : - N,ANE P , O , ADDRESS TEL . NOW 14ame of address_ o S .. . . - cQ r C� . Tel r44me of Plumber frit71'rzcw�,, f24+.. olio , � r 6 � � *k a° . � ' - _7.dcsress �- G 1'?rS) . c,Ci ':r=�.- �r},�.�- mez Name of Mason ry) £ y12 C Z5 .tiS ti- -ter ALtdress '�-�•-L $ L� r-+..a S"?� � s.� 7��-fit. mac..-.G `�'L:� r4ATURC OF PROPO CO 417t:1: : + ZONING INFORMATION tuffic4� use only ) �Conatrut [ iol, of a Ilea bu%ldirrq I* 20NING DESIGNATION OF PROPERTY �AdUiCion Co " buk1 *11itig ' PERYTTED PRINCIPAL PERMITTED ACCESSORY Alter:, tion M to :a tmUildkA19 ` (J&Q CIL.AJLtj : to oxc.ir.ior REVIEW REQUIRED - PLANNING DOARn 'ZONING BOARD Otiiur work { Je Grits.. } + SITE PLAN REVIEW #t APPROVED BATE + CROSS AREA 0 //16 PROPOSCO. STItUCTU1tE ; VARIANCE N APPROVED DATE lst Floor Cr: 5 sq ft , + Remarks : 2 n d r l oo r s q t t , COPLP LL•:T2 ISIi 01:MATXON kh QU 1 ItED rs14 WW , other S` locrrs sci ft . Sire of prolaerty Z � fC X �"- � � t' to ( not cellar or b , s : Inentl WWWWWW Exi:iti11tj builaiirg ( « I Sim+: s' 4 X it . r TOTAL FLOOR AREA^f WWWWWWWWW , � sq f t . + uxi.sCinu 13ua1&4i.I1La ( s) U:;u ' i44 of ncu structure n tt X •sift 1'rararldation-pier/ ;l;iL craw partial/ full r Proposed building , dist"Ace iron laro,Eu:rty lino (circle one ) Front urd S t't Rear ands d ft No , of .conies (1i"bitabla t;pace ) • y- - r y height ( rJrada: to ridcle ) 2 ft . ■ Side yards 773 ft :,net Ulm ct i c residentiai , no , oe talnilics / AV If on ccirnQr . ueco"ok from .ide 3c fiL:C t C No . of roola:, ( axcludintl baths 1 ` OCCUPANQY INFOP44AT I ON 140 . of Uedrnburs_ r No, of I`R {Y TsWxLnxrrc - ury tle:atil �rJ sy: teu� lea - � cr � + One .faa►ily+� dwelling Priu riii 114wo fa"aly dwelling raP fuel Coo . of firelxlaCU4 to 1ae insL"1lecl . Multilsl.s .lweilincl ,+ Humber of units Will :. WOO&A z; LQVQ LL; + s cnrwncnt occupancy '1'rant;lerit 0ccuV;A14CY contr:al Air caraiAitic3nirrg :' �I, c�-5 ' lyusirlr:5a r MWWWMWWW BUILDING STYLC, PRIMARY Sl•RUCTUr E „ Industrial 1ncia 4'L7rtGtiaiul s.r..Y Lc.�J C alsirt r OCh4a*r i:.xisud ranch H"nsic+Ia DLgAlex + If "dditton , vlliat will use bu7 uplic level Old SCyla ssuray,alou + c;;spw Cod CoLtaq.: OC11 " ACCESSORY aUILDING- Coloni:: l low "oun ]lou,e '" r,J::tachsu y:sriggelpno car/ two c:s r/ car { CIRCLs: C"1: P1WEAa::E 7 r Accuchea gariagu/ Ala car two c:rr/.. � • CaL* w w ■ w w r r x a w w w w w : s ■ '► lyYlV:at�.i .".LCar;acJi; bL11 S.ng L: r& 0VIMATED _MARKET VALLIE: OF * �-Ot lie r WW INPORMIATION ON I3UTLDTNC r� PrCIFYCATIONS , ON REVETLSE: SIDI» OF `PIIIS Cllt_kOP, TO iar COMALETCI) i Farm DPA 10/88 v2 BUILDINf. I '1 :RMIT APPLICATION coo, " INUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . c-J n oD Will any �cond-hand or ungraded lumber be used? If so , for what ? FoundatiOIL wall material r,- ) C= Z&� Thickness Depth of foundation below grade ( to bottom of footir}9 Will there he a cellar? Heated or unheated? ltL Floor sq. footage C=17 Will there there be a basement? o will any portion be used as living space? ( if so , what portion? sq . ft . - Type f use < Type of roof - sloped flat/shed/other-r Material of roof :7- size , wood studs ! -" X � spacing"o . c . length r ft . .joists ( fluor beams ) lst . floor llx�", spacing "'o , c . span r fl�' ft . .joists ( floor beams ) 2nd . floor 5;L_T''X f G� spacing^/6 "a . ca span r 4z ft . Overlays ( cciling beams ) - "X , " spacing'"o' .ra . span / fG ft . Roof rafters �� " X...�" spacing 26 o . c . span ! yam ft . Roof tru : yes (pre-engineered) spy Ling L� "o . c . span e12� ft . Exterior wall finish e.0 co [sue S'TB1 Of what material ?� C� {�/-;sL• Interior wall finish If a garage is to e attached . describe material to be used for FIRE SEPARATION : e ere Is there to be an opening bqeween garage and el ing? ./ cJ If so will a Fire-rated door , enclosure , and self-closing device be provided? Will a flue -lined chimney be installed? Height above roof 4=9r e ft . Depth of chimney foundation below grade z ft . Depth of fireplace hearth __ft . V in . < ` Water supt) ly - Municipal or private well yYt Gx ti r < t42 SEPTIC : Y :�` RM _ Distance from ANY private well ( including adjoining properties _ ft . (A separaite application is necessy-ry for any repair or new installation of septic system) D E C L A R A T I O N 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 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 not , and that such work is authorized by the o ner. n Signature 61 , Owne , owner's agent , architect, contractor SPECIAL CONDITIONS OF THE PERMIT : By - -------------- .......... 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 ,f � 0J 2 . Type of heat L&::S 3 . Is the building mechanically cooled ?� ' 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 ? 4 . Is basement heated ? YES NO a . R value of insulation s . Type of ' insulation B . Under 16 % only 1 . R value of roof and floors exposed to ambient conditions r2 3 ,fir'' 2 . R value of exterior walls 1 ' 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 s . R value of heated basement/cellar walls ( above grade )�`.. a 90 R value of heated basement /cellar walls ( below grade ) (Zs 1 10 . Type of insulation_ C . Controls 1 . Thermostat maximum heat setting 84J D . Duct Systems 1 . Is duct system installed in unheated spaces ? YES tap 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 . � �� '"" ]Z.-d� GI.�G ( appl ± c nt ' s signature ) O F S Ii U R A H C E ! PRODUCER ; THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIQR OKLY AND CONFERS NO RIGHT UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, ; Kinner ' s Insurance Agency EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW 202 Broadva , ___-______r_r--------- -------------------------------------------- -- , P .O. Box 17 COMPANIES AFFORDING COVERAGE Whitehall , NY 12887 _________________ ------ ---_--_-------_______--____-------________ (518) 499-0458 ; COMPANY A National Grange Mutual Ins. Co ; LETTER p - --------------------------- ------------------- -------------^ ------- ` --- -----------------.......---....................----- ; COMPANY B ; # INSURED ; LETTER William Manell & Gary Manell DBA COMPANY C p M & M Construction LEER , 27 I31ittn St . CINNPANY Dr________-^_r__________.._________-r ________ _______r- ' F Whitehall , N.Y. 12887 ; LETTER ; COMPANY E ------------------ -r_ f ! LETTER ; COVERAGES ________________________________________________________________________ THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BERM ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD_____ INDICATED. NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF AIMY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN 'FHE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT To ALL THE TERMS, EXCLUSIONS , AND CONDITIONS OF SUCH POLICIES. ` POLICY POLICY ; ; CO I I ; EFFECTIVE 'IExPIRATION ' ILTRi TYPE OF INSURANCE ; POLICY NUMBERI DATE ; DATE ; ALL LIMITS IN THOUSANDS ; GENERAL LIABILITY ; GENERAL AGGREGATE $600000 ; A [al COMMERCIAL GENERAL LIABILITY MP M35 580 1p 04/11/09 1 04/11/90 1 PRODUCT'S-COMPJOPS AGGREGATE 560006E ; C 3 [ ] CLAIMS MADE Cx] OCCURRENCE ; PERSONAL & ADVERTISING IRJURY 5300H00 C I OWNER ' S & CONTRACTORS PROTECTIVE; ; EACH OCCURRENCE $300008 C I ; t FIRE DAMAGE (ANY ONE FIRE) 550000 t C l _ _ _ _ ; ; MEDICAL EXPBNSE (ANY ONE PERSON) 550N ' F _ 1 ......�.._. r .. — .........._r 1 ..—........ 1 ......._...rr _ _ 1 _ _'_........ f ....__....— ^---.._ ... __. _.. R t C AUTOMOBILE LIABILITY C 3 ANY AUTO ; -CSL $ t C I ALL OWNED AUTOS BODILY INJURY ; [ 7 SCHEDULED AUTOS ; (PER PERSON) S ; C I HIRED AUTOS ; ; ; ---------------- .............. I ] NON-OWNED AUTOS tl BODILY INJURY ; C 3 GARAGE LIABILITY (PER ACCIDENT) ; 5 ! l s ; PROPERTY DAMAGE 5 --- ' --------------------------- -------- --------------------- ---------- ---------- ; -------------------------------------------- ' EXCESS LIABILITY ; EACH OCCURRENCE AGGREGATE C I UMBRELLA FORM ; i t ----------------- ; ---- --r_rF C 7 OTHER THAN UMBRELLA +� 5 1 _____........_—_—__—_....__..____________.-.,,�.,.�.. R _—___--___...J..__r______ 1 _____�,...��._ i __________ Y r_r__________ .---------------_—..—........... 1 t 1 , 06/21/89 106/21/90 STATUTORY.................. -------- F A 1 WORKERS ' ; WC F$9 78$ � � ; -_--- ; ^5100006 (EACH ACCIDENT) t EMPLOYERS ' LIABILITY t p $500000 (DISEASE-POLICY LIMIT) ; S100000 (DISEASE-EACH EMPLOYEE) # - ---------------------- ------- 1 --- OTHER 1 I f o I 1 j j 1 1 1 R 1 ! 1 1 1 1 R DESCRIPTION OF OPERATICtNS - --------'--^-----'---'-----"'------------------------- ; /LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE HOLDER ______ _ _______________________:______= CANCELLATION ................... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- Town of Queensbury t PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL ; Bay Rand 20 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE t Glens Fails, W . Y. 12801 i LEFi BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIAHLITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. ; ATTR: Dave Ha#Ian -------------- ----------------- - ; AUTHOR ENTATIVE ' - ' I � Irp�� "P'F %* , . } azt'�-'e , e `r.'.: .- .� •••••.. . '•. S• ISSUE OA i M6, jMYY IYL LED pF3oL1L cLTi - a ::- s:d- ft51 — 7•ni;: ♦..LI'i f, i[: TC I :5 U"O AS h I r l c r +«IF Irii ui .5.7-IilN ONLY AND COrJFERS I C00t. INSURING Ar I :NC Y INC N4 r11GUT� Lk% JrJ 1 NE Gri frf ICAI rtu�u r , l r I i irfC.A7E t7OC i NOT HhiLtiL, L,:-1 6L_G ,.•.i , .%.L 1 r_[i i IYL [:.,:i V�rs..C;: .., rim. �. 4. L.'r r r[L r-UUMES Far-:LOW. . 1801 WF=STt=E; N AVENUE- s�u� .rY1L i. 1 Vi t.: :f i 431JE=r?AL . - - --_- — { AL. LANY NY 1 2 C 0 i I f?AVF". L F- R5 INS CC) MO REAUSS PL UMF3 X NtG LCTEF:; 7. 3 CANVASBACK RIDGE �I.:r•..,I'. . N L_- I �Il=k I ' WATE: RE ORD , NY ] r 1 8 b ;- — -- - - -- -- ` - F 1-4 Ica i --- YHIZ: IS 1-4 CeH-rrr'Y THAT PGLlii[ OF 1n�D R.-.r :('�i Lr;: 4 t dL) i-[i W HAVE Lc Lli r..,:.U�:) 1 Ci 7Tr+c r:J::U[-i LD N.,r,.:. .,+ .. ..: r : r+::-+; 1 + .,� riC1LIC:Y IxcrltUD {I.GiCAI R:U.� r 0f i.ITE,STAI4L7,i,G ANY F#ci.:luti t.:s,..:,. 1 , t c.H[.s . I.'t..,._ir i+G l A +:,1= %.tJ'( CC+. + ! ['..'.i: If ;✓-I'+ of r.+:_:::u fil-C .I1 : .u1 -:,•, ,. ruCli THIS CEIJTIFICATE MAY = . LL i:S:;LLD C?ri i..,:Y Fi_R7Ai, i• l'/'ll. lr J.:.Jr,.,14 Cc. .',.r;li.[:::tl 1_.V -i-r, YC5L1[::I:.:y L;L:•;,::r,:[:r;G ni;,,,:iN t:: SULs ILC"i . LL tt.YCLUSfUiro:,l, AND COn04- 'iJGd1t`s O+" SUCH 0GLICILS, T ! LI1n 11 ::- 1[J F U Jf iANCC Lr4 UHVKb -.UrJr�ur+.li p LLI L1TY Fi � @ :? ESEi ;rszra 0La / 1flFf £38 G76 / lfB / E3 �f X I XYL l:Jl !I -ii $ . kJ r•r: Ul.l S .:'I L TE.L) UPL! ., . I,.. ... x x i;._,LI Er,LYL:I : .:�•+ I rv:L l lih I - JI•.`\L ••, in � I — ,`:GrJ..L INj UiI`f V •:ifG , CJu[Ld !_[.-.r.•iLr1�Y —�_ - _-_ 1 .,.. . . .: 1 f:r .;UIU by �.LL :Ni frcC IQ , US 1Lrt ELil PRIV ; I,,.t, e --` : u'lr IJLU n:..ilUS j {:,,•-: �. ' I Li J I�• � Ui.,.i.5[ LL++ FO.iC,9 i I L� W � { --� Uil iifi l;pA3RELLA rGf;f,1 l 3 Yr Orrrttr5 .' COtAPENS.%TiON - — —• - . -------- - --- n:fti j [Lr 1c1 L'a.n:i:.-I'uLIL:Y LltAlll I1 L-In PLOY triS' LIHFSILiFY ! I n.rLtAUtiEP,.VLU[ EEI ;' A � fe4vri( r-)F. lo. Y 3 E; oyIG 2l3tFJFi :? 414 j fdfil :? fbf8l3 rdCsl2fd / !39 : I ..- " 0�:,CI-i:rilC" .jF i:iF'k1�ATION .a<LfJCnT40ry SfVEI-t4C�E:�..,:..ri=CI:.L IIr~++1_� RF= :; rtOr�FyERATIONS Of' INSUR D i • • Y , TOWN OF QUL- ENGUURY SHO{ I} : .:'I 4P THC Afa C)VG G i,Y is Y iiGi' :: Gr_ CANCELLED BEFORE THE EX. F . A?1 N �) AVE. - ElAT1' E� N j FIHATIbtJ DATE TIn EAJEOF, TIrL IS.i Ultu.^. C0(.1PANY WILL �ENOLAVOR TO .� a,AIL 3 Q) (JAYS VitRiTTE-N 1401'iC 7"r-,4. CL--F IYrriCATE HOLDER NAMFLI TO THE BAY FZdA p � LEr=1', x ) LArLULic TO MAIL SUCri Iv 'f IUL Sr ,1.t.L il,ido E NO OEILIGAT:ON OR UAWLITY OF RI KIND y4N THE C4MF:ttJY. .��^� 3 ri GYritStNTA FIV ES. QUFf'NSE:iUF2Y , NY 12fi (64AUTI1ar.IrFurie •I nr fv -- - ; THE STATE INSURANCE FUND FILE Copy 199 CHURCH STREET, NEW YORK, N. Y. 10007 (212) 962-8900 CERTIFICATE OF WORKERS* COMPENSATION INSURANCE EMPLOYER CERTIFICATE HOLDER i POLICY NUMBER Valente Builders Inc Town of Queensbury i 749 283-8 £O Sweet Rd Attn : Dave batten Queensbury m Y 12804 Bay Rd Queensbury , NY 12804 i rUNIT PERIOD COklEFiED CERTIFICATE NUMBER =DATESUED Alb . 2/l /88 - 2 /1 /90 _ . . _ /s9 U - ZC1 . • � 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. Tcb rK ?6R'Xc�g7tAC 8 4a�AYFc�dld �fc5i]NEirTc�i"aS[4�lik6E�c9cltil3C�did�idid�d�' 3d�t5���t'�33crFx°�!k�ll����li�lS�ith�k!o-�.3r��c THIS CERTIFICATE DOES NOT APPLY TO BUILDING DEMOLITION . H, JACOBS DIRECTOR INSURANCE u-2fi.3 i1477) FUND UNDERWRITING 1 x,fir, 6 " THE NEW MURK BOARDC1F:. FIRE UNDERWRITERS BUREAU OF ELECTRICITY 41 STATE STREET, AL.BANY, NEW YORIC 12207 Date 3 f' F, f ?-.: !"4 ^ , .t `a`3 .�. Appfiroti THIS CERTIFIES THAT nr3 ! 7 + " ! 4" ` rl 3 ^ } only the electrical equipmentdu as described below and introduced by the .. . a►yr[icar►t nansmd of the above applscatson number in the per,...:�.. of aR?�!TRi q1w i ,;'1�! (; , Fs I,D'=;x in thefollowing location, 0 Basement 0 78e Ff. Fred Fl. s`_'? }; Section Block waesesarreinedpn "f ', I: �'?? '. [ . J q "7 ] Lot z and found to be in compliance with the requirements of this BoOrd. IMIXTURN twTlFTS TACM SWITCHES IX FTURES RANGES Ts INCA40ESCENT FL COOKING DECKS OMENS bISH WASHERS EJXHAUST FANS > LK7RE3[ENT OTHER AMT. K. W. AMT, K. W, AMT- K.W. AMT, K. W. AMT- H- P. ' 33 3 'R �. 1r: DRYERS FURNACE MOTCtRS AMT. K, W. FUTURE AFfl1ANCE EO FEERs SIECIAL 1tEC Pt TIME CLOCKS Elill UNIT HlATEES +Furl ourtET btMMERs DIl H. P. GAS H. P. AMT. Nei. A- W. G- AMT- AMP. AMT. AMPS. TEAKS. AMT. H, P. SYSTEMS - t 3 1 1 No. of +�Ir AMT. wArrs SERVI" DISCONNECT No. OF AMT- S AMP. Tr PE METER E R V 1 C iE EOINF, 1 ,1' 4W 1 X 3W 3 0 3W 9 .a IW NO. OF CC. Cpnlp. A. w. G. CC- CONp. NO. OF Ht-LEG A. W, G, -� c n OF HI-LEG, NO. OF 04EUVRALS pp'NWEI7fRAl OTHER AFF'ARATUS: f fi ? rP fiT':'. f T;H : : 1 •1 . c, `: . F. (' . X : 3 s kT [tu7 a I .''f 04 BRANCH MANAGER [" �1 This certificate must not be al 13er tered in any manner return to the office of the Board if incorrect. Ins i freCtors may be identified by their credentials. - -- �CUFY FOR BUILDING DEPARTMENT`THRS CUFY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANLIER. �ci ni r r OF A�:BURY QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 792- 5832 BUILDINfG INSPECTOR 'S REPORT FINAL INSPECTION q REQUEST FOR INSPECTION RECEIVED MAN (� LOCATION f ? Z DATE` //c=:2R P€RNXT# G` TYPE OF STRUCTURE �- RECHECK FIRE MARSHAL APPROVAL ( COMME CIAL STRUCTURE) ✓FOOTING FOUNDATION BACK ILL ✓ FRAMING +--PLOUGH PLUMBING FINAr`ELEC RICAZ SEPTIC INSULATION iWODUSTOVE/FIR€ LACE r REMARKS APPROVA, CHIMNEY HEIGHT/LOCATION N/A YE NO B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/PORCH/S E S/ ICINGS_ RELIEF VALVES FURNACE/HOT WAT R 0 E ING INTERIOR TRIM/PRIVACY DOORSy -- FINISH FLOORS : BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS DOOR CLOSERS BATHROOM FANS ALL PLUMBING FI7( UR S OP N GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE SEPA H FIRE/DEMISE WALLS FINAL ELECTRICAL OK TO ISSUE C/O OR C/ COMMENTS : ARRIVE DEPART E T R TOWN OF Qt.UEENSBURY + BUrZDXNG AND CODES DEPARTMENT BAY & HAVXI.AND ROADS S1i*1EENSBURY0 NEW YORK 12801& 7ELEPHONE (538) 7921111-5832 BUILDING INSPECTOR ' S REPORT REQUNST FOR XIVSPECTXON RECEIVED g +FAME OCATXON i s- y 1 • y DATE �`^ `C� PE�R�Mvwill I�T_# APPROVED F'OTXJVG/PXERS YE$ NO MONOL.ITHXC POUR FORMS FOUNDATION/DAMP-PROOF XNG BACKFILL APPROVAL ROUGH FLZWBING FRAMING ELECTRXCAL ROUGH.XN �ZNSULATXONr POU49VDAT3'ON FLOOR ,r WALLS CEXLXNG FINAL XNSFECT. CHXMNEY H- IT { ROOFING SIDXNG EXTERNAL PORCHES/STE S STAXRS-C EARANCN & PL`UMBSNG FXXTIJRES f ELX VALVE XNTERXQR TRrM/PRrrACY FXNXSHND FLOORS DOORS GARAGE PTRE'PROOF XG DOOR CLOSERS) SMOKE DETECTORS FINAL ELECTRxCAL INSPECTXON FINAL APPROVAL +�`OIVSTRUC'TXON -•- 17 A SIGNED CERTXF CATS OF OCCUPANCY OBTAINED FROM E BUILDING DEF�ARTMENT BEF7DRE THNSE PREMXSES RE OCCUP-II REMARK'S: *ProRl TOWN ©F QUEENSBURY BU.rLDIJVG AND CODES DEFAR3'MENT BAY & MAVrLAND ROADS QUEEYVSaVl?Y NEW YORK 12802%TELEPHONE (518) 792-5832 BUILDING INSPEC:TOR ' S REP RT REYJUEST FOR x�SPFCfixON RECEIVED NAME �p LOCAfixOJV DATV v PE'J?1 yrT # tTOVED FOOT-rNG/PIERS NO MoNOLx2'ff rC POUR ORMS FO NDATIONfDAMP_ OOF`ING HACJtUpTr.LL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-rN rNsvr,ATxON: FOUNDATxON FLOORS WALLS CEiLrNG FINAL INSF'FCTxON: CIfrMNEY HErGHT ROo.F.rNG SIDING EXTERNAL PARCH SfSTEPS PLUNBTNG PXX J4ES& RAxLs TNTERrop TRx IRELrJ�`F zvz FINISHED /PRIVACY GARAGE FIR RS R �----� DOOR OSE COFING CL (S) ~- SMOKE DET TORS FINAL ELEC RICAL INSPECTION FINAL APPROVAL OF CONSTRUCTrO1V A SXGNED CERTrFICATE OF OSTAxNED FROM THE OCCUPANCY ST HE THESE PRENXSES ARE$UI SING J?EFARTMENT BEFORE'OCCUPxED[- REMARKS:, TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVXLAND ROADS �?TELUEENSBUrRY, NEW YORK 12804EPHONE (518) 792-5&3.2 BUILDING INSPECTOR ' S REPORT REQUEST FOR rNSPECTION RECEIVED NAME LOCATrON DATE - � -�----_ PERMIT ff 1 L � APPROVED FaOTrNG/pIERS YES NO N1aNOLITHIC POUR FORMS FOUNDATrOIVIDAMp_P BACKFrLL APPROVA,LRaaFrNG RaUGH PLUMBING �AMING E,�.,ECTRICAb ROUGH-rN TAISUL,q TrON: POUNDATrON FIRS WALLS CErLING FINAL INSPECTraN: 4 CHIMNEY HEIGHT ROOFrNG .SrDSNG EXTERNAL PORCFfES/STEP$ STArRS-CL-CAR,,ANCE 6 RArLS rNTERraR PLUMBrNG F3"+YTIJRES/RE� rEFk VALVE 2*t-TM/PRzv,4Cy FrNrsHEDf%FLOORS Dootzs ToI F� REPROOFrNG SER (S) _ sMaKE ETECTORs FINAL E ECTRTCAL FINAL OVAL OF rNSPECTraN CONSTRUCTraN A SrGN D CERTrFICATE afi OBTArNED FROM aCCUPANCY THESE THE BUILDrNG DEP MUST BE PRZ7)t S ARE OCCUPrED� ARTMRNT BEFORE REMARKS. ���,v Pc rz P�1vS 4 INS CTGR^~i---- - T01VN OF QUEENSBURY BUXLDrNG AND CC7DES IJtiPARTi^YEN?' LAY V HAYILAND RC)ADSQRK ! r QLTEENS3UfiiY, NEW Y I.28E7+ TELEPHQNE (528) 792-5832 r RiJILbIWG rmspEC OR is R,Ep©RT REVUEST POW IV NAME � r REClsr7-V�E'n' v ZCCAfiXQN DATE APP176DVED QQT'I NG/F+2 SRS YES 'vo MONQLrTHIC PQ+UR FORMS roUNZL4rx 7N/hAM'p_pR FSNu^ ,_,�'�C'"pXLL APP)WvAL QUGH 'If"NG PRANXIVG ELECTRICAL ROUGH-IlV r1VSL7LATIONr FoUNDATIQN PILQQRS WALLS , CErLrNG FXNAL INSP2+rQN: CHIMNEY HEIGHT RQQF?1VG S-rDr1VG EXTERNAL PORCHES/S2.E pS STAIRCLEARANCE' & RAr PLU S'_FiBSNG FrXTURES/RcLXE SALVE IN2'&RIQR TRrM/'p4zu CY RS-"rNXSHr21 FLC70RS' GARAGE FIREPRDOOtY]FrNG R CZOSER (S) SMOKE DETECTORS FINAL ELEC2i4X FINAL APPROVALA fiXlVSPECTIC7N Co'V STRUCTrON A S?GNEIS CER7'?FICAT� OP AXNED PROM T OF OCCL3P.ANCY �j.ST 8E 2"HESE PREMISES ARE HrjILDXNG DEPA27TMENfi QCCUp_rED! BEFORE REMARKS: IN TOl,lN VC BUILD-rZD QUEENS BUR Y ING AND CODES DEPARTMENT RAY & HAVI 'AND ROADS 1 U$ENSBURYr NEW YORK TELEFjyONE (5.28 �280dC. ) 7'92-5,9 32 BUILDING INSPECTO fS REPORT REQUEST FOR X&SPE'CTION NANE, RECEIVED '/1/i ' 74, LOCATxoN DATE' "j� PER/y22' # sue" Y �/ E. F OQ7"2 NG APPR4VED MONOL�T2'F1'ICE O YE ND "OUNDA27TON FOUR FORMS BACXF �U`��°`PRC7f7FSNG -ILL APPROV,A,L ROUGH PLUMBING FRAMING ELECTRICAL, ROUGH. INSULATION: TAr ~~ FOUNDyTION ~~ FIRS ~ WALLS CE"-CLING FINAL C INSPETIONr HIMNE•y HEIGHT , ROOFING SIbING EXTER1yAL PORCH s/S2'E'P S STAIRS-CrE'�RANCE &PLUM RAMS BING FIXTU)?ESJRELI EF VA t,VE IN'2'ERIc7R NIPRIVACY DOORS FAN?ShED FjR,S GARAGE, FIREPFtOC7FIN G DOOR CLOSER (S) .SMOKE' DETECTORS FINAL E'LA*C?'RTCAZ IIVSFEC2'ION FINA APPROVAL OF CoArSTRUC? tt7N -4 SIGNE'D 013TA CERTTFICA2'E OF _1'NED FROM •2HE RUI OCCUPANCY THESR PREMrSES LDING DEFARTM ITT BE ARg OCCCUPIED i RECFORE REMARKS: INSFEZG'TOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT DAY & HAVXLAND ROADS <?URENSBURY� NEW YORK 12BOI TELEPHONE (5I8) 792-58.32 BUILDING INSPECTOR ' S REPORT REQUEST SNSFECTIONfRECEIVED NAME //J1/eAV75 f ryc f LOCATION ��—�^-- DATE `'� PERMIT # APPROVED YES NO OOTING/PIERS NOLXTHXC POUR FORMS FOUNDATTOXIDAMP-PRpprXNG BACXFl APPROVAL ROUGH F BING FRAMING ELECTRICAL GH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTOR CHIMNEY HEIGHT ROOFING SIDING EXTERNAL, PORCH SfiEPS STAIRS-CLEARA E RAILS PLUMBING FIX RES ELIEF VAL-� Zr INTERIOR TRI /PROV Y DOORS FI NiT'SHED F RS GARAGE FIR PROOp_rNG DOOR CLOS (S) SMOKE DE T CTORS FINAL ELEC ICAL INSPECT N FINAL APPR VAL OF CONS TRU PION A SIGNED CERfiIFICATO OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES .ARE OCCUPIED REMARKS: ' INSPECTOR TOWN OF QUEENSBURY BUrLDrNG AND CODES DEPARTMENT BAY S HAVrLAND ROADS / QUEENSBURY, NEW YORK .I280k TELEPHONE (518) 792-583.2 RJUDING INSPECTOR. ' S REPORT REQUEST FOR - NSPECTION RECErVED NAME LOCATrON -a/+ - ,o /•—r DATE APPROVED N TrNG/PIERS YES O MONOLITHIC POUR FORMS FOUNDATZONJDAMP-PROOF-TNG RACK rLL APPROVAL ROUGH PLUMBrN FRAMrNG ELECTRICAL ROU H-rN rNSULATION: FOUNDATXON FLOORS WALLS CErz.r FINAL rNSPECTrON.: CHIMNEY HETGHT ROOFrNG SrDING EXTERNAL PORCHES/ TEPS STAIRS-CLEARANCE RA rLS PLUMB.TNG F-rXTUR S/RELTEF V VE XNTERTOR TRTM/ RrVACY DOORS -- F.TNTSHED FTAO GARAGE FXI?EPR FrNG DOOR CLOSER ( 1 SMOKE DETEC RS FINAL ELECTRr AL r1VSPECTION FINAL APPROV OF CONSTRUCTION A SrGNED CER rFrCATE OF OCCUPANCY MUST BE OBTAXNED FROM THE BUILDING DEPARTMENT BEFORE THESE PREM.TSES ARE OCCUPTEDI REMARKS; n�J '�rTtr rNSP CT low YOU ARE HEREBY !REQUESTED TO INSPECT AND ISSUE CERTIFICATES FOR THE FOLLOWING ELECIITI"L EQUIPMENT TO BE INSTALLED BY THE UNDERSIGNED TEMP. III GBY OR VII.l..ACaE 1 fIE T f' C ,r TOWt(SMI �. oa.NTv II 1�'?.,yJ� FOIENUMBER__ BEl'WF_EN WHAT ,TwO Oposs SIRE 13 PREMISES LOC+aI'Ep? L F _ _ E .. /� T+.. . r� { / �y BUILnINO DC.CUPANLv OW f-nA'S NAME NO pppgEgS "'T •!' y f , `^'"'�'.� 'ty IA J r - • I CY' d d G. 1�'�E TE ,PPtJ NE NIZIeER CURRENT SUPPLI W l /y�)��FROM THEIR J ^ 11 C 61 !�[' _- / +' ' {,1 ! r.--v Y" flFFM,.E WORK PHONE ��EER BUILDING IS _T � 1 ^ ,f 5 G NEW OLp ED WORN IS ,,,,,�� LIST 8FLOW ALL EQUIPMENT HICH YOU INSTALLED Ano nONAL DEFECTSREMCAw L7 Lo,ca_ NUMBER OF OUT ND. of Fixtures & Tian Lamp Raceptacles MOTORS HEATERS BRANCH OFFICE USE Side Attach't CIRCUITS ONLY Ceiling Wall RaceI Switch Pendant Bracket No. Type H-P Won AW.G. OUT- Each No. Each NQ Gauge INSPECTION SIDE SUB- BASE RASE- MENT W FL. 2ncl FL. 3rd FL, REMAI LIST OTHER ELECTRICAL DEVICES 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 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 MAIMS FEEDERS ELECTRIC SIBN�.ul-AM RS TVI'AL WI CHARACTER OF WORK E GAS TUBE SNaN/rRAN SFORMERS OF El EXPOSED CONCEALED DATE VI To Be STAR'1'Ep DATE ODNIPLETEO SIZE OF SIGN WUMBERI CAPACITY SERVICE ENTERS BUDDING MANUFACTURER OF SIGN ❑ RHFi1D DATE INSF'+ECTgN NEAR REIX/ESTED ON (OR AS NEAR AS FOS„JBLEJ UNDERGROUND ,/ C MLWF EN'7 F�:i4PRLIC'.AN'►S " + " �, �Er .�, 111EN'TiFICA7'Iplil NtJIYei�w �'' AVgD DELAYS ING FULL AN RATE INFORMATIQN. ALL SA/4CE MUST BE FILLER IN R A GITfOM IIIIAII BE RETURN C7. PRINT NAIi4E AND ADDRESS NAME OF APPLICANT DATE OF APP'LJ(-41'ION STIREE 111111 61 + TELEPHONE ND, CITY OR POST OFFICE ZIP CODE LICENSE NO. WHEN APPLICABLE ❑ 85 John Street El 41 State Street ❑ 584 Delaware Avenue + ❑ 217 Lake Avenue NEW YORK, NY 10D38 ALBANY, NY 12207 BUFFALO, NY 14202 f F10CHESTE,R, NY 14608 1 � S RACUSE, N202 Arterial Yt132M THE NEW YORK BOARD OF FIRE UNDERWRITERS