1989-141 kk
CERTIFI+ AT' OP.. OCCUPANCY
TOWN Of +QUEENSBURY
WARREN COUNTY, NEW YORK
J 'ate.........September 21 19 89
This is to certify that work requested to be done as shown by Permit No. 8 9 - 141
has been completed.
This structure may be occupied as a S r n r ag p- Building
Location � Bouldvard
Owner Mark Scarincio - Boulevard auto
BY Order Town Board
TOWN or QUEENSSURY
Director of Bldg. & Code Enforcement
� 3
BUILDING PERMIT
TOWN OF QUEENSBURY No ss - 11i1 z
WARREN COUNTY, NEW YORK O
r
I�
PERMISSION is hereby granted to BOULEVARD AUTO o
OWNER of property located at 1 BOULEVARD Street, Road or Ave, I
ry
in the Town of Queensbury, To Construct or place a STORAGE BUILDING api
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
MARK SCARINCIO
234 BOULEVARD
QUEENSBURYy N . Y . 12804
2. CONTRACTOR or BUILDER 'S Name
O
M & G GENERAL CONTRACTORS r
t�
C
3. CONTRACTOR or BUILDER 'S Address Pd
13 NOTRE DAME STREET
FORT EDWARD , N . Y . 12828 y
4. ARCHITECT'S Name
5. ARCHITECT'SAddress F ,
Cd
f~
B. TYPE of Construction — lPlease indicate by X1 M
C
) Wood Frame l ) Masonry k3tsteel
tz;l
7. PLANS and Specifications
No 40 ' x 70 ' Storage Building as per plot plan , specification
and application .
B. Proposed Use ,
STORAGE BUILDING INCIDENTAL TO BOULEVARD AUTO
0
50 . 00
$420 , 0+0 cIo PERMIT FEE PAID — THIS PERMIT EXPIRES November 1 19 89 �
[If a longer period is required an application for an extension must be made to the Building and zoning inspector of the toe
C
town of Qusensbury before the expiration date.)
r-y
r
Dated at the Town of Queensbury this 14th Day of Aar 1 1 19 89 F-A
SIGNED BY S „r, c for the Town of Queensbury
Buaarng and Zoning I r1splictor
TOWN OF QUEENSBURY APPI, ICATTON FOR BUILDING AND ZONING PERMIT �-
F'ec,%eued WN OF QUEENSBURY
Reu.i d RECEIVED
Fee Fa.r:d fi
�WPIPR 41989
RUIL DING AND CODES UJ :PARnT.NFr Date I.aaued BLDG. & CODE DEPT.
1A r and f!A VXLAND ROADS RD .I Box 98 p
OUEENSBURY, NEW YOoRK 12804 Permit No . £1 if
Tejo ( 518J 792-5832 Ext -2D4
.* * W_ * * * Im * f a ♦ 'I * * * a * It * * * * * * * a * a * x w a * * * Y+ f
A 11111MIT MUST 134 OBTAINED BEFORE BEGINNING CONSTRUCTION . NO INSPI:.CTi6NS
WILL 13.E MADE UNTIL APPL. ICAN'T ( (AS RECEIVED A VALID BUILDINC PIrRMIT .
All applicable spaces on this application must be completed and the
signature of the applicant must appear on the reverse side of this sheet .
* ** * * a * * * * * * X * * * * A * * * * * * * * * * * * * * * X * * * X
T1ie owner of this property is : Ma-Lrk Sra r a i c
11 . 0 . Address2 4 Boulevard , TEL &
(] uPen�, bry NY jana Z
iroperty location 1 Boulevard , oueensburu . UY 12804 TAX MAP ND . � � n_-f / c 3
Has there been any split of this property since October 1 , 1988 ? Y
if yes , Planning Board Review is necessary * yes no
SUBDIVISION NAME , IP APPLICABLE �/ � LOT NO .The person responsible for supervision of work as regards Hullding Codes is :
S . Paul Miller Pros M& G General Contracto g Tl-
NAME P . O . ADDRESS TEL . NO .
!Jame of bui.ldezN&G General Cants. ,Tnc.Address 13 !Notre Dame .5.t. , Fort8ch,*arr3 Tel24
Name of Plumber same Address same Tel
Name of Mason same Ad[lrCss sarrti Tel
14ATURE OF PROfOSCO ZONING IN1:011HA'TION ( afflce use on1g )
.�Cont:truccior, of a isew building ' ZONING DESIGNATION OF PROPERTY
Ad.lition to .. bUildiraq " PERMITTED PRINCIPAL PERMITTED ACCESSORY
�Allr.:c:ation to a Luildtng `
to a:xc4: rior dimensional ' REVIEW REQUIRED - PLANNING HOARD ZONING BOARD0000000000
Oclt:: r work (c1.:::cri(aLa1 ' SITE PLAN REVIEW # APPROVED DATE
GROSS AREA OV PROPOSED. STRUCTURE " VARIANCE # APPROVED DATE
1st Floor 2 ,800, sq ft . ' Remarks :
2 n d Floor , / 1 sq f t . w. Col lvr usrl: _ IppolowwrION RUQU I.ReD 1.ILiLI: 6d
Ocher Floors _sq ft . Sixc of Isrofa+:arcy� 24C1 ft x »�rj—_Ft . approx .
( not cellar or basement ] „
L• "Ulnq b+ailJiaag ( =1) si 'o .: f4 X� rt .
TOTAL FLOOR AREA 2 ,800 sq ft . a ; y
k:X1aC ,iilg builJin.�1 (:: ) U�.: /1/ �-�
6. i4aj of nrw utiructur..: 40 ft X 70 ft ` y "'r 4
1''t,y.aa l+Ci:atl6n+'-.p_,tis' .� a /cra,.rl/l�arti.�.►lf full " Nro,Po:;Gcs 1vuil ding , di::C:anca: rroa�� proapurty ling:
(Circle one ) � Front yard 5 7 ' Pt Rear yard_ 2 _3 ft
No . of stories (Iv"itcabl,a space) 7 W Front
Side yyurd 5 0 ' noor t and 7701 1: t
II. ighC ( yrad4 to rickcJe ) 73 _ 7WoNopmo ft . If on cornar , uueb:ask from side scr"*r. � Cc
If rosidantial, no . of families ry,�A
Now of roomm (excluding baths) Al l.4 ' OCCUPANCY 'INFQRMATICiN
Now of bedrooms .., rv�g "
err' b:aclaroou►:: � � PRIMARY Ia(,IILDINC
No .
Ono family dwelling
i1riuury lau.aciJJ(J UySC +An �� , ,, s+ mat Two 1%41"ly dwolliny
Tyypu of fu4zldwag x Multiple awQlling / Number of units
No , of fireplaces to }.ate in::tallcd vc PIerlst:anuait occu .uac
Will :a WOQJ 5 OVO LU inUt,allud?w UQ 'rrun::.i.ar.4 uccup:ancy
Luntrul Air cojiU1t10nin9 :' AZ* Wlopfflooftw
�,ilusinuas
BUILDING STYLE, PRIMARY Sl`RUCTURC „ Industrial
lc arch Conc.mpor:..ry Log cabin " Oct►ur-
1:.. is.:d raY1c1► 1Kansic,.. Du1al.:x * . wFrat will %AL;e boLj? r
:101it l.ay.:l old scylu ULLJat :alowl "
a:.&ran Cot{ Coct:ayec:)cI r . ACCESSORY 13UTLDIWC-
Coloni.:►1 14LOw 'roar. douse " UL:cachecl 4jurt+90/0no cur/ two czar/ czar
( CIRCLE: OH PLEASE ) ` Atc achud garaqu/ona curl two car/ cwa'
a ■ a a a * r a a a a w r * IN 0 X .4iriv:ata: stor"ge building
V!; TIHATHD MARKr.'1' VALUE: OF Ocher
CON a:.'1' KUCorX (>N r
INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE ST00 OF ONITS aFICE"T, TO 110 COMPLE' EDI
Form BPA 20/88 v2
•wr w
r �
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS :
Type of construction , wood frame , fire safe , etc . h1ri ? din
g .
Will any second-hand or ungraded lumber be used? If so , for what? No
Foundation wall material Thickness 'qn
.Depth of foundation below grade (to bottom of footing ) 4r
Will there be a cellar? No Heated or unheated? N / A Floor sq. footage N / A sq £t
Will there be a basement? No Will any portion be used as living space ? No
( If so , what portion? sq. ft . - Type of use?
Type of roof slo ed lat/shed/other. Material of roof corrugated steel
Size , wood studs six 'r spacing r,o . c . length ft .
Joists ( floor beams) lst . floor "X is spacing 'ro . cv span ft .
Joists ( floor beams) 2nd . floor "x Is spacing "o . c * span ft .
Overlays ( ceiling beams ) "X " spacing 'ro . c . span ft .
Roof rafters six gospacing o . o . span ft .
Roof trusses (pre-engineered) spacing _"o . c , span ft .
Exterior wall finish corrugated steel Of what material? galvanized - Lainted
Interior wall finish va_ ngl face of insulation
If a garage is to be attached , describe materials to be used for FIRE SEPARATION :
Is there to bean 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 fireplac hearth ft . in .
Water supply unicip for private well
SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties ft .
(A separate application is necessary 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 owner.
Signature
Owner, owner's agent, architect, contractor
SPECIAL CONDITIONS OF THE PERMITi
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 2 , 800 sq ft floor space . AAl1 �
2 . Type of heat Projected heat , gas space heaters .'Itft
3 . Is the building mechanically cooled ? No
4 . Percentage of area of windows and doors 64 %
A . Over 16 % Only
1 . Uo value of gross area of walls , roof /ceiling and floors
exposed to ambient conditions NIA
2 . Floor over heated spaces YES NO x
a . Ave foundation walls insulated ? YES NO X
1 . If YES , what is the R value ?
3 . Slab on grade YESX NO
a . If YES , what is the R value of insulation around
perimeter of floor ? NIA
4 . Is basement heated ? YES NO X
a . R value of insulation NIA - _ -
5 . Type of insulation NIA
s . Under 16 % Only
1 . R value of roof and floors exposed to ambient conditions
roof _R. - 19 . floor R - Q
2 . R value of exterior walls R - 13
3 . R value of glazed area NIA
4 . R value of doors R - 3
5 . R value of floors over unheated spaces NIA
6 . R value of slab edge insulation - unheated slab NIA
7 . R value of slab insulation - heated slab NIA
8 . R value of heated basement / cellar walls ( above grade ) NIA
9 . R value of heated basement/ cellar walls ( below grade ) NIA
10 . Type of insulation Fiberglass
C . Controls
1 . Thermostat maximum heat setting 600
D , Duct Systems
1 . Is duct system installed in unheated spaces ? YES No X
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 none
2 . R value of pipe insulation
F . Service Water Heating
1 . Performance efficiencY non
2 . Temperature control setting maximum
G . For swimming _Pool Only
1 . Maximum heating none
Telephone No . f5181 747 - 0602
( applicant ' s signature )
'J'OLIr'N OF QUEENSBURY
APPLICATION FOR
SEPTIC DISPOSAL PERMIT
DATE Marr_ h 37 798
LOCATION OF PROPERTY FOR INSTALLATION
Owner's Name: Mark S ca r i n c i o Telephone: 7 9 3 - 3 6 5 3
Address: i 8cau3evards Queensbury , NY
Installation not necessary , septic system pre - existing .
Installer"s Name: M& G General contractors Inc . Telephone:_ ( 518 ) _ 747 - 0602
Number of bedrooms (residential only)
Total daily flow (compute (d 150 gal per bedroom)
Topography: Circle one: Flat Rolling Steep Slope % of Slope
Soil Nature. Circle one: Sand Loam Clay Other. /Depth: Feet
Ground Water: At what depth? Feet
Bedrock or Impervious Material: At what depth? Feet
Percolation test: Circle one: not required required rate min. inch.
Domestic water supply: circle one: Municipal Well Other
If domestic water supply is a well:
Separation: Water supply from septic absorption feet
PROPOSED SYSTEM : Septic Tank gal. (minimum size: 1 , 000 gal.)
TILE FIELD : Each Trench feet/Total system length feet
SEEPAGE PIT(S): Number of / Size each feet by feet
Size of stone to be used # /Depth or Thickness feet
I have read the regulation on the reverse side of this sheet and agree to abide by these
and all requirements of the Town of Queensbury Sanity+ Sevyage isp a Ordinance.
SIGNATURE OF RESPONSIBLE PERSON: /
DATE: March 31 , 1989
OVER
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
3 . ) location and distance to structures
4 . ) location and distance Co any water supply
5 . ) size and dimensions of all tanks , distribution boxes ,
rile fields and /or drywells
B . No system shall be covered before inspection and approval by the
Building Inspuctor , .Failure to comply with this requiremenC may
r� Sult in the uncovering; of Cite sysceuh by the installer and a fine
of up to $ 250 . 00 .
C . An approved copy of the plot plan shall be available an the construction
situ , 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 installa—
tion , alteration or repair of an approved system , a new proposal must
be submitted to the Qucensbury Building Department before further
ce.rrir. trucCiun .
Town of Queensbury
BUILDINC and CODES DEPARTMENT
Bay and Haviland Roads
Queensbury , New York 12804
h�niarks : . t
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S U x A N C £ ISSUE DATE (rfN/OD/YYYYi ; 4f04f15$'3
i YKUUULCi<-...______.__ HI'S E;Lii 1 lr 1Ltt i t-Jb 1SSUti/ FtSTA4i7A f TEic-ilr IT------- € ii1N uMs_'f Rhl}----- ---EgS ;µU---' !II OBIBilhitpp Ins. k�e37CleS 1 RIGHTS UPON THE CER iFiiCAIL HULDEii, tills CEMiiratAiE iiOES hUT rs3itnD,
WU BOX 47 91 1I6 Aviatzan EXTEND 08 ALTER THE COVERAGE AFFORDED by Tr+E POLICIES BELOW,
I Queel7sbury, N, Y. , 12804 i _._.__-_-___-____..___-_____ ____ .._---__.____. —...._--____-_..,______..-_.........______.___-_{ L+IDt 5UB-CODE k LL U M l•' A N i E s A FLI tt D 1 N {i L. Lf v L rt A G t T
i 1NSl7R til f Lit MPHN r LL i I tIi HA LNk s IMBG Gen. Contractors Inc, i 1oMPftNY LEFatR Er:
i13 Notre Dame Street
i LftMF'AN4' LET Fri K L;
[Ft. Edward NY 12828 1 COMPANY LETTER D:
I COMPANY LETTER E;
1 = LUVthAinn _ _ _ _ __ _
1 THIS IS TO CERTIFY THAT POLICIES—OF INSURANCE LISitD BELOW HAi& BEEN ISSUED—TU THE—IN50RED„NkMED—A$GVE FOR inE FOLIcY 4— — i
s �'ERIOD INDICATED, NO] WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION or ANY CONTRACT OR 01HER DOCUMENT WITH RESPECT
i TO WHICH TH15 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED SEREi;N IS
! SUii.TECI TO ALL. THE TERMS, EXLLUSIUNS, AND LUNDITIONS OF SUCH POLILIES. LIiAITS SHOWN MAY HAVE BEEN RtDUCED BY PAID CLAIMSw i
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iLU i 7iF'E Ur 1NStJ{i Attitt FiJ41LY rT U{h 1lt if PUL1€.T I #`GLILY tXPik- 5 k4L L1TSli `i 1M JHUUSANI)'S _ {
ILTRi itfFECI . DAIEI ATIGN DAit l
i r T € rS�Tf UU.l YYs1 i T515r i?ilf Yi Yt i iGENERAL LIABILITY iGEMERAL AGUktGATE
I if. ]COMMERCIAL, GENERAL LIABILI T Y t F'RODULI"S—CURI1fUuS !
i i AGtskGGATE i
! I L Jelai�ks made f 3occurrence , iPERS. & ADVERTiSIsu i
I k ! ! iNjukY Y
if JWNERS d CGHTRACTORS P861ECTIVL . f {
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I IL I iFIRE DAMAGE (ANY ONE k
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ki i 1 i1NE PEkSON) t 4 [' ___________..---------'---,. i ...____--•._____-..__._____._..._____ i ___._______.•- 1 --__-______
i JAU10MORILE LIABILITY i i I 1LOMBIhED SINGLE LIMIT I t
i 1 L J AN'r' AU 'iU 1 i i 1 BCtilILY INJURY
IL J OLL UWNLD kaiik;a + i i F'tnSUNI i
i i L G SCHEDULED AU US i i 1 4 ti•'E{t iSUDt4 Y iHJUrf Y i
HIRED AUTOS i I i I (PER ACCIDENT) k � k
1 1L J NUN-OWNED AUTOS I i 1 I 3
I i f , GARAGE LIABILITY [ i F'ki1FE{iT z DAMAGE a
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{EXLESS LIsTHiLI iY EALH bLCt;kkLNirE Ai,GRkGN T L
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A I WORKERS' COMPENSATION } WL300$29291 i 8f51l198& $f31f1y8'3 STATUIi{kY
1 AND I 9 IOU EEALm Ai t IDENT3
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i LNPLOYERS' LIABILITY i r i $ Soo tDISCASE-PULi i:Y Lirllij €
T $ 100 (DISEASE-EACH EMPLOY. ) k
--------- ------- -------.---------—._ i _________
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iDtSLRIPiIUr+s OF UPERATIt1NSfLtiGHilur3SiVtHil:LtSf�itSfrrlClltlr{siSF'tiiFiL 1Tt€'TS i
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i = Ct{IlFiLATE HOLDER =-___---=-_-----------------= GANGELLAIiUN =_=__=___=•- -______-------__._ ________ _ _ _ =y !
" k SHOULD ANY Or THE ABOVE DESCRIBED F'ULI TES BE CANCLLLru BEF&kE HiLy=T---- i
I TOWN Jr' QUEENSBURY EXPIRATION DATE THEREOF, THE ISSUING COAPANY WILL ENDEAVOR TO imAIL
DAY T'I HAVILAMD RD ! 10 DAYS WYIITEN NOTICE TG THE CERIIFICAIE HOLDER NAMED TO I7E L&'Tj
I UUEENSDURY MY 12804 BUT FAILURE TO MAIL SULH NOTICE SHALL IMPOSE NO GBLIGATIGN OR LIA8iL--
" ITY OF ANY K114D UPON THE COMPANY, ITS AGENTS Ok REPRESENTATIVES.
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_________________ ' Hli i H{IrtIGcD-kEF'hESEM I Ai I4k` ,r,�,
=- ----------.--- -----------
ALORD 25-S-(a188) ALOxD is a registered traaeearK of ACC,RD l ornoration
MIDDLE DEPART AGENCY, INC. QQ_ yri�f
r,f� ir I sp �+ � . Data July 12 , 1989
�!C£Ctifce� that le til equipment listed has been �exa an approved as being in accord
with the National Elect ; ,applicable governmental, utility anti pl � yIII S.
Owner: Boulevard A p L � �
Occupanr: Same yy
Location: Boulevard , e n'�Fa{.1 � a.r t carylicate t uipment and installation inspected this
.0 date. 11 arMitional abui nt an be introduced or aaerabonS made ro
ma's` eaiatinp system thud is null and void. end application for
G! inen t: 41 Outlets ; 4 , R�G e to c 1 e s •, ��.�/+'� �..ar�i- �$,}q y�� /Ina ion should 1W aubrnitt illy to this Agency.
4 Ip ' \ ., 1 �yj 9 P E CTj 6 a i solder of this ce"iflCate an Id fit same to his Woperty insurance carrier
30 a�ml,.) G o n t aL, r,,, `., (agent or corn"hyl as evi artificaiion of electrical equipment approved
as specified;, �.
M G General ac GUr�iIUt, , _.__ ._.._.__8�3
Applicant: 13 Notre Dame ._. 0 & 15 - 025537
�Ft Edward , NY 12328
rang No. 7W EL 143
TOWN OF QUEENSBURY
BUILDING AND CODE'S DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280%v
TELEPHONE (518) 792-5832
BUILDING INSPECTOR' S REPORT
REQUEST FO I IS EC RE
NAME !f'
LOCATION
DATE 1P 8 P IT #
ERM
APPROVED
YES two
FOOTINGIPIERS
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/STEP,
STAIRS-CLEARANCE & RAILS
PLUMBING FI.7fTURES/RELIEF VA VE
INTERIOR TRIM/PRIVACY DOORS �.
FINISHED FLOORS
GARAGE FIREPROOFING
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 . r
r
INSPECT R
TOWN OF QUEENSBUR"Y
BUILDING AND CODES DEPARTMENT
BAY & gAVI'LAND ROADS
A ] 280sE
QUEENSBURYo NEWDK 792-5832
TELEPHONE ( 18 )
BUILDING INSPECTOR' S P�EpORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATtat
#
PERMIT
DATE — APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS��
FOUNDATION/DAMP—PROOFING
��
BACXFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH—IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
4,rf1VAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS--CLEARANCE & RAILS VALVE
PLUMBING FIXTURESIRELIEF VALVE
INTERIOR TRIMrPRIVACY DOORS
FI NI SHED FLOORS
GARAGE FIREPROOFING
,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 OCCUPIEDL
REMARKS:
INSPECTOR
MIDDLE DEPARTM ON AGENCY, INC.
~--- M1 i f .• ,' t onto May 19 8t3
Certif eel oe�
that tF� le J ell equipment fisted has been 6x$rf�iPec] a'rid�,is approved as being in accord
with the National Efect� 1 ,[; e, applicable governmentai1 utility arid ,Aj)Qncyr ` ies.
Boulevard l�utw ! ilz/ C rtnpe>'
Owner: Same # r "t f p
C7ccuparrt: £Y. n. a
Boulevard , Cnl�Yu C
Location: cerNlicate tham is uip"ril and mstaNsrion inspected this
date. If addilional gquifmrmt)sh be introduced or aharahons made ip
y� A nn y i,�a eaisfing system [hilt cormic be nul4 and woad. mir . appAcation for
15 0 Amp S e r 4.y I � inspeclion should 00 goin .illyd p try fo thia AgenGV
Equiptnenr: �7Y I AL S P Cf C:y1 C4yolder ui ]his cenlFicats shgllW nt some le his property insurance ca/nor
Y.• "(aosnl or comppt+y) as ewi artiflcstioI of olecfncai equip menl apprwen
spacaied. .
kf & C General C aco � ►ill� « � � �, �
Applicant: 13 Notre Dame Str -...-__._____.-- o . 15 - 024666
L Ft Edward , NY 12828
fy
Foe no. 703 aL I-"
TOiVN OF QUEBNSBURy
BUILbING .AND CODES DEPARTMENT
BAY & HAVITZAXD RGADS
PUEENSBJRk', NEW YORK I260I
7ELEPH(]NE (518) 792-5832
BUILDING INSPECTOR + S PORT
REQUEST FOR
NE71ML _'/,��y JAI +RC ION R EX
ED
C"_.�! e
LOCATrox
DATE L PERMIT r,r
FOOTING APPROVED
/PIERS YES NO
MONOLITHIC PO Fopws' ATIC>N
BACKPrzL APP Pf`'OOFING
OUGH ROVAL
PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATX0
FOUNDATION
FLOORS ' .
WALLS
CEILI)yG
FINAL TNSPEC?IC7N:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL �
STAIRS- PORCHE /STEPS
CLEAN E
PLU1yBING FIX & AILS
INTERIOR TRI RES/RELIEF' VALVE
FINISHED PRX VACY DOORS
F RS
GARAGE! FIRE' OL7FING
DOOR CLOSER ,S I
SMOKE DETEC ORS
FINAL ELECTR C
FINAL APPROV AL IIVSFECTION
L OF CONSfiRUCT20-N-^--
A SXGNED CER FICATE O OBT,yINEb F FROM OCCUPANCY MUST .BE
THESE PREMISES 1?UILDING DEPARTMENT BEFORE
OCCUPIED,[
REMARKS*-
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INSPECTOR -�-�--
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT 7
BAY & HA VSLAND ROADS
QUEENSBURY, NEW YORK I28o*
TELEPHONE (518) 792-5832
BUILDING INSPECTOR ' S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION oz de
DATE �J- cJ PERMIT #
APPROVED
r YES I NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP— ROOFING
Leo*
CKFSLL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH—IN
INSULATION:
FOUNDATION
FLOORS IL
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT'
ROOFING
SIDING
EXTERNAL PORCHES/ EPS
STAIRS--CLEARANCE RAILS
PLUMBING FIXTURE RELIEF VALVE
INTERIOR TRIMJPR VACY DOORS
FINISHED FLOORS
GARAGE FIREPROO 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 OCCUPIEDI
REMARKS.
NSPECTOR
TOWN OF QUEENSBUR'Y
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW FORK 12804--
TELEPHONE (518) 792-5832
BUILDING INSPECTOR ' S REPORT
REQUEST FOR INSPECTION RECEIVED 4vi
NAME
LOCATION
DATE f PERMIT #
.APPROVED
><FOOTING/PIERS YES I NO
MONOLI IC POUR FORMS
FOUNDATX ON/DAMP-PROOFING
BACKF-T PPROVAL
ROUGH PLU ING
FRAMING
ELECTRICAL R GH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION: y
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/ EPS
STAXRS-CLEARANC & RA
PLUMBING FIXTU ES/RELIEF ALVE
INTERIOR TRI /PRIVACY DOO
FINISHED F RS
GARAGE FI PROOFING
DOOR CIA R (S)
.SMOKE D ECTORS dL
FINAL EL TRICAL INSPECTION
FINAL A ROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUS BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIEDI
REMARKS:
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INSPECTOR
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MAIN OFFICE ATLANTIC-INLAND, INC.
997 McLean Rd.
Cortland, New York 13045 NEW YORK
MEMBER OF N.F.P A. AND I.A.E 1
Phone: (6p7) 753-7118 07) 753- FIRE UNDERWRITERS
(
(607) 753- 1396 396 (Electrical and Fire Inspection-Enforcing and Consulting Service) C 53689
C} 89
(incorporated in the State of New York)
Desiring Certificate of Approvai, application is made for inspection of electrical installation In the premises described below. On demand applicant agrees to pay for
inspection service in accord with schedule of charges.
APPLICATION FOR ELECTRICAL INSPECTION — PLEASE PRINT OR TYPE oarr",
THIS SECTION TO BE COMPLETED BY APPLICANT DATE OF APPLICATION
CITY, TOWN, VILLAGE tQlixt. fens COUNTY STATE f
STREET
ADDRESS BUILDG- NO,
RURAL
DIRECTIONS
POLE NO.
OWNER'S / 4 y�k �. 1/�
NAME Iy 1 15 OCCUPIED AS CJ G- i-.L. r5 i.-..
OCCUPANT BUILDING — New I1111"Old tJ WORK — New ❑ Additional ❑
OWNER'S P.O.
ADDRESS
APP. FOR — ROUGH WIRING O FIXTURES O OR READY FOR INSPECTION 19
FEE REMITTED — S BY CHECK ❑ CASH 0 MONEY ORDER Q MAKE PAYABLE TO ATLANTIC-INLAND, INC — NEW YORK
Nut mlow of Rough Wiring Outlets Fixtures Add Installation
Sertch �f Li'trtR1'eG;6p. KW Mod. Mogul �F+lluor. Sbb 750 tOW r250 1500 1750 20Df1 2250 2500 2150 3000
OG1THeat Rase Base f.y Elecf Heatn a Amp. Service WASer Ntr, Burner Air Cord
+S Surface Unit Owen Range Gr. Disp. Dish W.
Dryer H.P. Purnp Ex. Fen Hood
OTHER EQUIPMENT (Speci ly Type b Ca pecrties)
TYPE OF SIZE OF �+ SUB-
WIRING OPEN ANTS
❑ CONCEALED 13 OTHER MAIN 1SG7 ft wy MAINAPPLI BRANCHES NO OF
'SIGNATURE �] fJ CIRCUITS
SIGNATURE LICENSE +r PERMIT y
AP S
NAMEOF
ADDRESS 4o n ,^e� 45 V UTIUTY
CfTy STATE lVq / A OFFICE TO
ZIP CODE I a2 BE NOTIFIED
ROUGH WIRING AMP SERVICE
OUTLETS EQUIPMENT K.W SURFACE UNIT
SWITCHES AMP SERVICE KW OVEN
CONDUCTORS
RECEPTACLES N.P. PUMP H.P.GARAAGE
MEDIUM BASE DISPOSAL UNIT
FIXTURES K.W.
X-W, DRYER DISHWASHER
MOGUL BASE
FIXTURES K.W. WATER
HEAVER K.W RANGE
FLUORESCENT M.P. AIR AMP RECEPTACLES
FIXTURES CONDITIONER
MERCURY VAPOR OR WIRING. $ CONTROLS FOR BURNER SMOKE FRAC H.P
QUARTZ FIXTURES DETECTORS VENT FANS
MOTORS, H.P 1120 1112 1l10 I19 1 /6 114 1 /3 172 aid 1 1 /x 2 3 5 7Y9 10 15 20 25 30 40 50 75 700
MARK NUMBER
OF EACH Si7F
501J 750 1000 1250 ISM 1760 2000 2250 2500 2750 70
APPARATUS Elect, Heat
M1SC, INFO. Received
Stanley Inspected FEE PAID
ra Cy ❑ PROGRES8
1/ViI f4' TOTALS
]] q ❑ DEFECTIVE
,/''�
�r�r Box 60 El Rough Wiring Certificate Check No,
Goren ff,t,ck I'llil 't7 128 x34 ❑ Temporary Service Money Order
i745GiL. " PRO RO 16 � 7?.!'. +]0 AL*M, p FINAL CERTIFICATE Cash
51114924295 O Dup. Cert. Ran
❑ MUNICIPAL Charge
(518) 638-6339
MUN_ ADDRESS
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BOULEVARD AUTO] SALES
1 BLVD .
GLENS FALLS , NY 12801
February 3 , 1989
Town of Queensbury
Upper Bay Road
Queensbury , NY 12804
Attn : David ��je�
Dear Sir ,
our services were completed in April of 1988 on # 4
Boulevard. . The Kingsbury Fire Department burnt down our
building in April of 1988 , at that time we were informed
by your office that we had 18 months to rebuild . We intend
to use the exhisting slab and the existing plumbing for
our bathroom facility . We will be constructing a 40 ' x70 '
steel building on the existing slab .
Thank You
v
Mark. Scarincio
Boulevard Auto Sales
Isp
MA P REFERENCE:
LANDS OF SULLIVAN ESTATE
SUBDIVISION DATED MAY 71 1928
AND FILED IN THE WARREN COUNTY
CLERKS OFFICE MAY 11, 1928
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LANDS OF
PERKINS
DEED REFERENCES.
WILLIAM CANALS
TO MARK SCARINCIO
DATED SEPT 30, 1986
IN BOOK 685 PAGE 564
FRANCIS E. SULLIVAN ET. AL.
TO MARK SCARINCIO
DATED JUNE 29, 1984
IN BOOK 669 PAGE 724
. TOWN OF QUEENSSURY
MAP OF A SURVEY MADE FOR
MARK SCARINCIO
TOWN OF QUEENSBURY COUNTY OF WARREN N , Y ,
SCALE: 1 "=20' DATE 1 MARCH 29, 1989
VanDusen k Steves
LAND SURVEY❑RS,GLENS FALLS,NEW Y❑RK
I.P.F. = IRON PIPE FOUND
N,Y, STATE LIC, NO. 35617 I.R.F. - IRON ROD FOUND
7,I.R.S.= IRON ROD SET
89-084 ( A85-345 D-19; .: .y