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1990-281 , , .;:•••'•;. :,:•••;-. - -=- . • CERTIFICATE OF OCCUPANCY 7. TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date June 26 19 90 This is to certify that work requested to be done as shown by Permit No. 90-281 has been completed. This structure may be occupied as a interior store alterations Location Alk(ALe -tti Mark Plaza Orest Boychuk/Health Visions Owner By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY x No. 90-281 4 WARREN COUNTY, NEW YORK 'b - z 0 PERMISSION is hereby granted to OREST BOYCHUK/HEALTH VISIONS Mark Plaza Street, Road or Ave. OWNER of property located at ~ in the Town of Queensbury,To Construct or place a Interior store alterations 'A 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 28 Quaker Road Queensbury NY 12804 td O 2. CONTRACTOR or BUILDER'S Name T&T Construction Thomas Nassivera O 3. CONTRACTOR or BUILDER'S Address cM Glens FAlls NY 12801 4. ARCHITECT'S Name 1-3 rn 5. ARCHITECT'S Address Oz 6. TYPE of Construction—(Please indicate by X) 4 n ( )Wood Frame ( ) Masonry ( ) Steel ( ) - rb ly 7. PLANS and Specifications No. Interior store alterations as per plot plan, specifications and application. r' f-I 8. Proposed Use CD Interior store alterations/tenant o' rn One inspection $ 20.00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 17 19 90 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) y Dated at the Town of Queensbury this 17th Day of May 1990 w SIGNED BY n for the Town of Queensbury Building and ping Inspector TOWN OF QUEENSBURY REVIEWED BY e OWN QP ! ell& FEE PAID ; OJ€EDN BUR}"i �� .� _ � RI;CBi�IED 54,1 PERMIT NO. MAY 1 4 1990 BUILDING PERMIT APPLICATION -DIA BLDG. a CODE DEPT, 10 A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL:BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. All applicants spaces on this application MUST be completed and the signature of the applicant MUST appear on the reverse side of this application. * a a « a a * « « * • • a • • * a a * * • .• • * * • * * • • • • • * • * * * • a * The owner of this property is: 0f E, :5--f Bo C h uL. k P.O. Address ag 0,,,kktf,--R-Rd, Ouf_g-A), c,cr �. f . Tel. 7q��j 3 Property Location(, EZ Oa A (Z-RJ,(t�1- A _ 1 Tax Map No. /f,3i / 1, PP � y Has there been any split of this property since October 1, 1988? / X If yes Planning Board Review is necessary. yes no. SUBDIVISION NAME,IF APPLICABLE LOT NO. THE PERSO RESPONSIB E FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: 1 , NATURE OF PROPOSED WORK: ESC;MATED MARKET VALUE OF • Construction of a new building , CONSTRUCTION: $ Llsdd, Addition to a building • COMPLETE INFORMATION REQUIRED BELOW: / * Size of property ft x ft. Alteration to a building ' Existing Buildings(3) Size ft. x ft. (no change to exterior dimensions) • Proposed building - distance. ft, property line: Other work (Describe) " Front yard ft. Rear yard ft. • Side yards ft. and ft. • GROSS AREA OF PROPOSED STRUCTURE • If on corner, setback from side street ft. 1st Floor sq. ft. * • OCCUPANCY INFORMATION 2nd Floor sq. ft. • '.Primary Building - — Other Floors sq. ft. • •. , One Family Dwelling (not cellar or basement • _ Two Family Dwelling TOTAL FLOOR AREA�sq. ft. • • Multiple Dwelling/Number of units Size of new structure ft x ft. ' Business Foundation-pier/slab/crawl/partial/full " Industrial (circle one) • Other • No. of stories(habitable.space)_ • Height (grade to ridge) ft. , If addition, what will use be? If residential, no. of families___ • No. of rooms(eacluding bathe) • Accessory Building No. of bedrooms Detached Garage ONE/TWO Car No. of bathrooms • Primary heating system • _Attached Garage ONE/TWO Car Type of fuel ' _Private storage building No. of fireplaces to be installed • • Other Will a wood stove be installed • Central Air conditioning OV' ER BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe. etc. c Xy 0OO C.' r l � �tUsSS Will any second-hand or upgraded lumber be used? If so, for what? 1`-'0 Foundation wall material Thickness Depth of foundation below grade (to bottom of footing) Will there be a cellar? Heated or unheated? Floor sq. footage sq ft. Will there be a basement? Will any portion be used as living space? (If so, what portion? • sq ft. Type of use? Type of roof - sloped/flat/shed/other Material of roof Size, wood studs "x " spacing " o.c. length ft. Joists (floor beams) 1st floor "x " spacing "o.c. span ft. Joist (floor beams) 2nd floor "x " spacing . "o.c. span ft. Overlays (ceiling beams) "x " spacing " o.c. span ft. Roof rafters "x " spacing o.c. span ft. Roof trusses (pre-engineered) spacing " o.c. span ft. Exterior wall finish . of what material? Interior wall finish ,,x 1! (Aiy) d If a garage is to be attached, describe materials to be used for FIRE SEPARATION: Is there to be an opening between garage and dwelling? If so will a Fire-rated door, enclosure, self-closing device be provided? Will a flue-lined chimney be installed? Height above roof ft. Depth of chimney foundation below grade . ft. Depth of fireplace hearth ft. in.,. • Water supply - Municipal or private well SEPTIC SYSTEM Distance from ANY private well (including adjoining properties ft. (A separate application is necessary for any repair or new installation of septic system) 7 g7 6oAJ,5fruc±/oN NAME OF BUILDER7o/o/5 ASS/m ADDRESS i✓5 TEL. NO.79 /3i287 NAME OF PLUMBER ADDRESS TEL. NO. NAME OF MASON ADDRESS TEL. NO. NAME OF ELECTRICIAN Rjy B,11gtdADDRESS #1----WS74-g' TEL. NO. 77,2 DECLARATION 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 (I�c �.c�(�1-�C e� !Jr/i eZt ort ( Z(L2 Owner, owner's agent, architect, contractor SPECIAL CONDITIONS OF THE PERMIT: BY . . TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 46CV BAY & HAVILAND ROADS 77 QUEENSBURY, NEW YORK 12804- // / TELEPHONE (518) 792-5832 BUILDP G INSPECTOR'S REPORT REQUEST FOR INSP', CTION RECEIVED //`�� NAME€���/'L /r.V1—(.1/yUJ — 4 Zf120,6,!!/D 4e/z' LOCATION �jj, ,f�L ���a-7�.�/V {, DATE 0A/,`j� .' PERMIT # v?() -2 1� APPROVED YES NO FOOTING/PIERS ' MONOLITHIC POUR . ORMS FOUNDATION/DAMP—:ROOFING BACKFILL APPROVA ROUGH PLUMBING • FRAMING ELECTRICAL ROUGH'IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: ' �Ck2- CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES STEPS STAIRS—CLEARANC a '. RAILS PLUMBING FIXTUR RELIEF VALVE INTERIOR TRIM/'rI ACY DOORS / FINISHED FLOOR GARAGE FIREPR.•FI DOOR CLOSERS' SMOKE DETECTt'S FINAL ELECTRICAL INSPECTION FINAL APPROVAI OF CO TRUCTION OK TO ISSUE C 0 OR C A SIGNED CERTIFICATE 6.F OCCUPANCY MUST BE OBTAINED FRVM THE BUILDING DEPARTMENT BEFORE THESE PREMI.ES ARE OC PIED! REMARKS: - l ARRIVE 7 ta DEPART INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- TELEPHONE (518) '92-5832 BUILDI INSPECTOR'S REP"T / REQUEST FOR INSP CTION RECEIVED �j J/ 144/'4Q NAME (/4 r .rt/(/1✓t/�- - % I LOCATION / 4- // �,�1DATE � fir/ PERMI r # 90 ?I/ APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FJRMS t FOUNDATION/DAMP-PWOOFIN. BACKFILL APPROVAL.. ROUGH PLUMBING FRAMING ELECTRICAL ROUGH INSULATION: FOUNDATION FLOORS WALLS CEILING )(FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING j EXTERNAL PORC ES/'iTEPS STAIRS-CLEA• NCE &\RAILS PLUMBING FI IURES/BELIEF VALVE INTERIOR TR;M/PRIV'i Y DOORS FINISHED F DORS ,, GARAGE FIR PROOFING'. DOOR CLOSE•(S) SMOKE DET.'CTORS FINAL ELEC ICAL INSPECTION /' FINAL APPR VAL OF CONS ''UCTION V OK TO ISS C/O OR C/C A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDI DEPARTMENT BEFORE THESE P EMISES ARE OCCUPI D! REMARK I Vet 4i 1AV)!u-c" ' Ciat-itd ARRIVE 6`` ' DEPART I 1 SPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT , � p , BAY & HAVILAND ROADS ivw QUEENSBURY, NEW YORK 1280g. TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S OR�2��� REQUEST FOR IN/iCTION RECEIVED GO NAME � Q,/�. -.'i ,chi- 4'/ '/Q LZ!4 � LOCATION ) If ebae,, / DATE (p /.j f v PERMIT # �i/2f/ '� �q >>�,'�� �� �,+��" / APPROVED 1110,W J L (tiC,l'GC/�tak YES NO FOOTING/PIERS MONOLITHIC POUR ORMS FOUNDATION/DAMP-'•OOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH- / INSULATION: FOUNDATION FLOORS WALLS CEILING / /C FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/SqEPS STAIRS-CLEARANCE &\'•ILS PLUMBING FIXTURES/R, LIEF VALVE INTERIOR TRIM/PR/ A Y DOORS FINISHED FLOORS / GARAGE FIREPROO /ING DOOR CLOSER(S) / 1IIIIIIIIIIIIII SMOKE DETECTOR'' FINAL ELECTRICA ,`INSPECTION FINAL APPROVAL oF CONST\UCTION OK TO ISSUE C/s OR C/C A SIGNED CERTI ICATE OF I'CCUPANCY MUST BE OBTAINED FROM, THE BUILDI \ DEPARTMENT BEFORE THESE PREMIS1S ARE OCCUPI D! REMARKS: °Cd 0 lie , ARRIVE P7) DEPART INSPECTOR MIDDLE DEPARTMENT INSPECTION AG.. ,q ,Elect icat Buticlyi •PIprnl ng-,Fire Inspect Labe, 500E 3fe5 �I Date_J __/. frhi, ort < � �- constitutes certification that the above installation, but not the equip- '.*: ment itself, has been visually inspected x as of this date pursuant to the applic- '.' able codes. If additional equipment should be introduced or alterations made to the existing system or stuc- ?r ture, application for inspection should t( be submitted promptly to this Agency. • - - - - 7.-'':::1F-77.77,7 : ---7-7--.---- '-.- ' . " - -77-77:747iWar777 -. ---- --> . ?, •..,i: : — .. , -. -• . . . Li - - . .. .. . . . •., - • • 11 ' : . 11 .: h. • 11 . . .. •:, . . . . . ... , • 11111111.1111111.111111111111=111111111111 • • - •. i . 1 • 1 1 • I ---131-- - ..., 11111111111111M1111111111N111111111111111 . NM • ____,>' c->q cy . .' . MENEM II • 1 ____i 12.„, -?- , L, ' • . , . I 1— i • , .-. • . . . .. . , 1 1 -- ..--, . . 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