1988-054 .. f
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date September 17 _19 91
This is to certify that work requested to be done as shown by Permit No. RR-r14
has been completed.
This structure may be occupied as a dock
Location Cl everdal e
Wings Food Services Inc.
Owner
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No 88-54
WARREN COUNTY, NEW YORK o
PERMISSION is hereby granted to Wings Food Services Inc.
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OWNER of property located at Cleverdale Street,Road or Ave. l
in the Town of Queensbury,To Construct or place a Dock
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 49 S. Main St.
Spring Valley, N.Y.
2. CONTRACTOR or BUI LDER'S Name
O
D. D. Belden a.
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3. CONTRACTOR or BUILDER'S Address Q
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Lakeshore Dr.
Hague, N.Y.
4. ARCHITECT'S Name
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H
Oro
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5. ARCHITECT'S Address 00
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6. TYPE of Construction—(Please indicate by X)
1 )Wood Frame ( ► Masonry 1 )Steel ( ) N
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7. PLANS and Specifications . H
ial
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33' x 36' as per plot plan, specifications and application. H
No. M
8. Proposed Use ,
Dock
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$ 15.00 PERMIT FEE PAID—THIS PERMIT EXPIRES October 1, 19 88
(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.)
Dated at the Town of Queensbury this 3 Day of March 19 88
SIGNED BY �. �� for the Town of Queensbury
Building and Zoning Inspector .
TOWN
TO BE COMPLETED BY BLDG. DEPT.
cc�� Application No. _ � f
_louln o/ Queenjiurt� Permit Issued 19 e i�..f
BUILDING and ZONING DEPARTMENT Permit Expires 19 FEB 26 1906
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation_ �
Queensbury, New York 12801 Variance No. BUi(�I�yNv �, C;DDg DI"',
j Site Plan Re vie No.
Approv d
APPLICATION FOR
BUILDING AND ZONING PERMIT IR
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING.
The undersigned hereby applies for a Building Permit to do the following work which will
be done in accordance with the description, plans and specifications submitted, and such,
special conditions as may be indicated on the Permit.
----------------------------------------------- -- - -------------------ra;
- �e` .�Q The owner of this property is: ccG%C� �E'r (f i'c e j 0
P.O. Address ! S > ,4iy�, n > �fT�) '�'���r /fin/�� v Tel.
Property Location: ��/N4 r: �� A -rr- ,L,- 2�1 � Tax Map No. Z /
Street number or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
Q r yi A'q At S/'1Z 2 y t
Name P.O. Address otc --Tel. No. sY3- 66op
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Name of builder ZJ l R ;; �t/� ,, Address s ��7 I Tel.
Name of plumber Address Tel.
Name of mason Address Tel.
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
_Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
_Addition to a building * drawn reasonably to scale and attached hereto,
Alteration to a building * showing clearly and distinctly all buildings,
(no change to exterior dimensions) * whether existing or proposed and indicate all
-4L16-ther work (describe) -�:>.1/- set-back dimensions from property lines. Give
* street and number or lot number and indicate
FOR DEMOLITION PERMIT, STATE SIZE AND *whether interior or corner lot. Show location
LOCATION OF STRUCTURES AFFECTED. * of water supply and location and configuration
* of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW,.
-"A r'*fi 4 xis'
* Size of property. e- t� ft X ft.
* Existing building(s) Size ft X ft.
PROPOSED BUILDING AND USE: * Existing building(s) Use
Size of new structure 3.5 ft X ft
*. .
Foundation-pier/slab/crawl/partial/full " Proposed building, distance from property line
(circle one)
No. of stories (habita-ble space) * Front yard ft Rear yard ft
Height (grade to ridge) ft. * Side yards fS ft and yy ft
If residential, no. of families * if on corner, setback from side street ft
No. of rooms(excluding baths) * OCCUPANCY INFORMATION
No. of bedrooms
No. of bathrooms * PRIMARY BUILDING
* One family dwelling
Primary heating system * Two family dwelling
Type of fuel
No. of fireplaces to be installed * Multiple dwelling / Number of units
Will a wood stove be installed? * Permanent occupancy
*
Central Air conditioning? Transient occupancyBusiness
*
BUILDING STYLE, PRIMARY STRUCTURE *'___Industrial
* . .
Ranch Contemporary Log cabin Other *
If addition, what will use be?
Raised ranch Mansion Duplex
Split level Old style I3ungn allow
Cape Cod Cottage Other3 * ACCESSORY BUILDING-
Colonial Row Town House * Detached garage/one car/ .two car/ car
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car
* * * * * * * * * * * * * * * * * * ' Private storage building
ESTIMATED MARKET VALUE OF Other
CONSTRUCTION $
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE CGMPLETEDI
Farm RPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED —
BUILDING SPECIFICATIONS: /
Type of construction, wood frame, fire safe,ete. �'�'
Will any second-hand or ungraded lumber be used? If so, for what? C?
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 It spacing "o.c. length ft.
Joists(floor beams) 1st. floor "X " spacing "o.c. span ft. .
Joists (floor beams) 2nd. floor "X spacing "o.c. span ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters "X ". spacing p.c. span ft.
Roof trusses(pre-engineered) spacing "o.c. span ft.
Exterior wall finish Of what material?
Interior wall finish
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, 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 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)
Town of A F F I D A V I T STATE OF NEW YORK
eensbury
Warren County off Warren
I swear that 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, whet ecified or not, and that such work is
authorized by the owner. l
SWORN TO BEFORE ME THIS Signature___-_
�1 Owner, owner's agent,arcnitect,contractor
CA day of cl�k 19
Notary Public, Warren County, N.Y.,
Al
SPECIAL CONDITIONS OF THE PERMIT: A"ON M. 1
Notary Public in tha btata cPN•w"ac,x=
Rending to Warren County
Gommloion Mmiree Mweb 90.t9rel
By------- -----------------------------
YWN OF QUEENSBURY
531 BAY ROAD
ta QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAMEf�t/l�/fin
LOCATION 0���L_
DATE PERMIT# O
TYPE OF STRUCTURE !1L j c
RECHECK
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL _FRAMING
-FOOTING
PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/Al YES NO
CHIMNEY HEIGHT/L0ITION
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILI
RELIEF VALVES
FURNACE/HOT WATER OPERAT ' G
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
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DEPART
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REGION 5
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ZONING G CODES DEPT.
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