5625 ;"
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19
-3 3
s‘as--
This'is to certify that work—reqUeited-to be done as shown by Permit No.
has been completed.
.1.v.vAxAsk-TAN SLA.% %roe
This structure may be occupied as a 1 r 1 :
PC\ C2?otAi Rockou
Location
C ‘Sc\,rrk-art.c-•
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Owner
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
CREATIVE "INSTA- PRINTING. GLENS FALLS. N Y 12801 1718)793-5858
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 5625
WARREN COUNTY, NEW YORK
n
PERMISSION is hereby granted to C C. R. Bard, Inc.
OWNER of property located at Bay Road Street, Road or Ave. bj
in the Town of Queensbury,To Construct or place a Addition to. industrial building 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. n
1. OWNER'S Address is Box 266
Glens Falls, N. Y.
2. CONTRACTOR or BUILDER'S Name
J. M. Weller Associates Inc.
3. CONTRACTOR or BUILDER'S Address
R. D. #1
Lake George, New York •
4. ARCHITECT'S Name '7y
James M. Weller, Licensed Professional Engineer
0-1
5. ARCHITECT'S Address
R. D. #1
Lake George, N. Y.
6. TYPE of Construction—(Please indicate by X)
( ) Wood Frame (X) Masonry (X)Steel ( )
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7. PLANS and Specifications 0
100 'x100 ' per plot plan, specifications and application
No. submitted. Quonset Hut 40 'x80 ' to be removed.
8. Proposed Use
Industrial Building - U S Catheter & Instrument Corp.
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$5. 00 C/o Paid ~'
$ 250. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 1 1979 f✓
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the `,)c7�
town of Queensbury before the expiration date.) aor. ///y N-
Dated at the Town of Queensbury this 12th Day of December 1978
SIGNED BY e for the Town of Queensbury
uilding and Zoning Inspector
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TOWN OF QUEENSBURY 3UILDING DEPARTMENT
R. D. fl BAY & HAVI LAND ROADS
GLENS FALLS,NEW YORK
Phone 792-5832
DATE A4A,
‘414'444**"?-#‘7- 6"c2e-
i3e,
Our records indicate that you were issued a building permit
number on a ' /
•
for the construction of
Cur files show that the required inspections are incomplete.
If still -ender construction please contact this office for an
extenLion of your building permit, or if completed please contact
us so we can take your card out of the active file.
•
Kent required inspection
0/44,
For all new construction Town Law requires a Certificate of
Occupancy to be issued by this Department before occupancy. Non
compliance may result in legal action.
To avoid further delay and possible legal action® contact
this office to make arrangements to update your file.
QUEENSBURY BUILDING DEPARTMENT
•
TOWN OF QUEENSBURY •(Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
• • Application for Application No.
PP Permit Issued - 19. .
BUILDING AND ZONING PERMIT 1`..,-mii Expires. lg.
i:c,(tin . District
. \ Ale cal \\'cork$
THREE (3) Copies of a PLOT PLAN, Drawn to scale \1'1 "`i'c1 1w
showing the actual dimensions of the lot to be built I:enun
upon, The exact size, and location on the lot of the •
building to be erected or .altered MUST BE SUB-
MITTED WITH THIS APPLICATION,
I 0 _6" _ 1 _ I 1 • /21/2,ht 1 ov,NI OF QUEENSBURY
5
DATE J d 3f / h
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK �u _,
• ANSWER ALL OF THE FOLLOWING. 0l:.L j. 4 1M
The undersigned hereby applies for a permit. to. do. the following work • A.M. P.M.
which will be. done in accordance with.the description, plans and specifi- - 7I$Igi10;11112111213141516
cations, and such special conditions as may be indicated on the permit. i 6 6 6 a A a A. a
The owner of this roperty is:.
. . . . . . .1....5.•.C.4d.•.A.DlI1S10!0.0. .G..R...t�i..ARD. .1uc... . . . .Sox. 26G . .6L.l Js M[.I:S N•.Le.
•
(NA'.E) (C O.ADDRESSI
The person responsible for ,supervision of the work-insofar as the Building Code and the Zoning Ordinance apply is:
SAmci.s. . rt, Wia.L.4Ls12 R,r.6,1* I 4-AIct 6asecIJ N.Y.
(NAME) -(P.O ADDRESS),
•
Name of Builde ? ... . a s. . .6 6l;� N,'r
r j lift,. 4-*!-4�`2 r°S.SQGd�. riG, .Address ,k'��� �../�1.�. -
Name of Plumber S Arh a ' Address
Name of Mason 5 Art t2 Address
v
.
Lot Number .Unit Estimated value of proposed work .I.2S;DO 0
Name of Village .TO *•". . .D.F. .Q.4).L..av-6 3 v2`t-i
Name of Street . .-L A.Y. . .K4)A•11 Side of street: north 0, east 0, south O. west ;®
Nearest Cross Street .co,AKc iZc/AD Distance frc;ni this --rosy street I UuU Ft.
Property is north ,E1,south ❑,east El, west 0 from Cross Street
If on Corner, which corner, northeast ❑a, northwest •❑,'southeast L. southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
" Construction of a Main Building new building. ❑
. .K Addition to a building. One-family, dwelling
❑ Alteration to a building. Two-family dwelling ❑
A Demolition of a building. • -family apartment house E.
Store building ❑
-car attached garage -
Other:
. . • Accessory Building
• •
I (,t 0 h 5 One-car.detached garage ❑
0 Other work. Describe: 1 Two-car detached garage 0
I 7 Private chicken house ❑
/' Private storage building ❑
f t44 a -C ( 7 ' / Other:
ZONING SPECIFICATIONS. Fill,in for'new building, or addition to existing building, or a change of occupancy.
• Indicate on the plot plan street names, the location and
. • size of the property, the location, size and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH Show proposed building(s) in dotted line and existing
building(s).in solid line.
•
. Size of property • ft. x ft.
Size and use of existing buildings, if any
s 4'1-
W Size of proposed'tiuii ng /ex/ ft.x . .JG11' ft.
Height (from grade to ridge) . ft.
Front yard . . :.-.452` ,L:- ft.
Side yards .. . . �/..�.f. . . . ft. and . .Zr.eke.�= ft.
i
Rear yard . : . . .-'�'4.$ ft.
SOUTH If on corner,setback from side street ft.. .. -
Note: All distances are net, as measured from street side
line to nearest part of building..
- (OVER) •
7-73—M .
125,vim Z55`,4i . .
•
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.?. . RASOO2`� S l Cl l:;
Will any second-hand lumber be used? . (I`J.O If so, for what
Material of foundation walls . . . GCIYJ G Thickness
Depth of foundation walls below grade 4-I Continuous foundation? .y'i S. . . .
Will there be a cellar? . . . l-2.0 If so, material of cellar floor
Type of roof: Sloped or flat? A.j Material of roof . .5TaIVL-
ok.c. iJP
6� A x ", spacing "o.c., length •Size,wood studs " ft.
Size, floor beams, 1st floor . 1-)A "x ", spacing "o.c., span ft.
Size, floor beams, 2nd floor I.1A " x ", spacing "o.c., span ft.
Size, ceiling beams " x ", spacing "o.c., span ft.
Siie, roof rafters or beams "x ", spacing "o.c., span ft.
Exterior finish 'F/N` With what material? .rt.AS.On,
Finish of interior walls.
If garage is to be attached, of what material is wall between garage and main building to be constructed?
Is there to be an opening between garage and building?
Kind of heating system Oil burner or coal?
Will a flue-lined chimney be provided? Depth of chimney foundation below grade
Height of chimney above roof
Will there be a fireplace? Depth of fireplace hearth
Will a toilet be installed?. . 1-9
Will a kitchen sink be installed and connected to water supply?
Water supply (public water supply or pump)
Distance of cesspool from any private well - feet
Will drainage system be provided with required traps, cleanouts, and vents?
AFFIDAVIT
Town of Queensbury
County of Warren
State of New York
I swear that to th-A, of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.e.plete statement of all proposed work to be one on the described pre .,. . a d at all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws mi to the proposed wor _hf be lied with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature .... .... .•..
OWNER.OWN RS AGENT.ARCHITECT.CONTRACTOR
day of 19
NOTARY PUBLIC,WARREN COUNTY..N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
•
By .
TOWN OF QUEENSBUR"Y
Building Department_
Inspectors Report Date ;77
Name re
Location thy
Permit No. 5-tp Weather
Per Cent •
Complete Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Rough Htg.
Relief Valves
Wall Board
Ext.Porches
Finished Floor
Interior Trim
Stairs&Railings
. Cellar Dr.Tile
Concrete Floors
Plhg.Fixtures
Gar.Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Building Inspector
REMARKS
/) 2i
•
TOWN. OF QUEENSBURY
Building Department /
Ij Inspectors Report Date .%7'�/ '3 /7.1
Nam- Ci / e )7 fiA?,/
Location ire/'
Permit No. Weather
Per Cent • Remarks
Complete
Excavation
Footing Forms
Footing & Piers
' Foundation
Cement Coat
' Waterproofing
Backfill
Final Survey
Framing
Sheathing
j Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Rough Htg.
Relief Valves
Wall Board
Ext.Porches -
Finished Floor
Interior Trim
Stairs&Railings
. Cellar Dr.Tile
Concrete Floors
Plhg.Fixtures
Gar.Fireproofing
Door Closers 1
Chimney r
1.._
Water Meter Inst. / / t'
Septic Approval G l' F/ /:,/j /
Building Inspector
REMARKS
Azde,-/L