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85-016
C/O Paid A CERTIFICATE OF CNCC1r TDANCY F TOWN OF CUEENSBURY WARREN COUNTY, NEW YORK V Date-Yebruary 14 1985 This is to certify that work requested to be done as shown by Permit No. 8 5-16 has been completed. This structure may be occupied as a Medical Center Location Northwav Plaza, Route 9 Owner Convenient Medical Center By Order Town Board TOWN OF QUSBN$BURY Building & Zoning Inspector WI cREA 1vt llyfi'P.w titft3�l i 9b4�Nff twl.l.s. M {4,tdx ltx �l 11R�, ..aus „e,'Y. i f BUILDING PERMIT i TOWN OF +QUf ENSBURY No. 8 5-16 j WARREN COUNTY, NEW YORK i � ca PERMISSION is hereby granted to Convenient Medical Center lessee IV )QVA%&f property located at Northway Plaza, Route9 Street,Road or Ave. w M in the Town of Queensbury,To Construct or place a Add itions/alterations for medical ctm f rt 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. tp 1. OWNER'SAddressis NPSC Corp. . P. O. Blx 732 Glens Falls, New York n . ro 2. CONTRACTOR or BUILDER'S Name 0rth t't W. L. Christopher Inc. 3. CONTRACTOR or BUILDER'S Address Northway Plaza Glens Falls, New York 4. ARCHITECT'S Name Z O Rist-Frost Associates, P.C. Consulting Engineers rHy 5. ARCHITECT'S Address Glens Falls, N. Y. gad N W N 6. TYPE of Construction—(Please indicate by Xi W ( )Wood Frame ( 1 Masonry ( )Steel ( ► D rt� 7. PLANS and Specifications addition/alteration building in Northway Plaza No. for medical center per plot plan, specifications and application submitted. B. Proposed Use Redical Center in Northway Plaza $40 00 PERMIT FEE PAID—THIS PERMIT EXPIRES September 1 19 85 S rt (if a long period Is required an application for an extension must be made to the Builds and Zoning P4 0 Building rn9 inspector of the town of Queensbury before the expiration date.) x'I \ S3+ 3y Dated at the Town of Queensbury this 5th Day of February 19 85 rt M SIGNED BY for the Town of Queensbury it rt Buildirg and Zonirrp 1 4 0- if! a TOWN OF +QUEENSBURY space inside block tics Ix• lillt•d in b% WARREN COUNTY. NEW YORK Building I"sTwctisrl Application for \sIni utSirr, No. PP l c•rinl 19r Isaue•d BUILDING AND ZONING PERMIT THREE 131 Copies of a PLOT PLAN, Drawn to scaly 4 � r� rr , i i•ii bti' /L•'*-� `ate showingg the actual dimension: of the lot to be built upon. The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. TOWN OF OR3EEN5Bt.1F"t' A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK F E E3 4. V%b ANSWER ALL OF THE FOLLOWING. C1 The undersigned hereby applies fora permit to do the following work y which will be done in accordance with the description. plans and specifi- cations, ?I$Ip ? 1I �11 " � cations, and such special conditions as may be indicated on the permit. The owner of this property is: "?3 . . . "- . .N N. Psi . . I '. . - . . . . , INA..rc! IP O. ApDRE553 The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply i%: - . . %ANIE! ' IP- - - O ADDRESS} Name of Builder . . 4W,. L .. . Christopher .Inc . . . . . . . . . . . . . . Address - Northway . Pl .aaa , • Glens . Fcalls , . .NY - - - Nameof Plumber . . Noll -ister ' s • Pl -umbi ng- - - Address 4 . Hi .ghl and Ave . . . .Glens, F.al 1 s.,- -BEY . . Name of Mason . . . . John , Ba a ong . . . . . . . . . . . . . . . . . Address Hu dson F'a l 1 •s , . NY. . . . . . - . . . . . Lot Number . . . .I-A- I . . . Unit . . . . . . . . , . - • Estimated value of proposed work 3 20 , 000 _00 . . . . . . . . . . . . . . Name of Village . . .Q41ef'J1S.bUX'y., . .N . . . . . . . . . . . . . . . . . . . - . . . . . . . . ., . Name of Street . . Glen StI .reet . . . . . . . . . . . . . . . . . . Side of street: north '�, east © , south O . west O Nearest Cross Street - , yi atlan . Road /Qt4ztkpr, Road - . . . . Distance from this ^rosswstreet . . .600 . . . . . . . . . . . . . . Ft . Property is north li$, south C3 , east i; , west Q from Cross Street If on Corner, which corner. northeast .� , northwest Q , southeast CI . southwest (Designate by marking with an "X" in the correct space_) NATURE OF PROPOSER WORK OCCUPANCY 0 Construction of a new building. Main Building 0 One-family dwelling lM Addition to a building. Two-family dwelling 171. ® Alteration to a building. -family apartment house E J Demolition of a building. Sucre building . . . . , - . -car attached garage L 1 other.. C-oftnercial . Use . . . . . . . . . . . . . . . . . . . . . . . . Accessory Building One-car detached garage -� F*1 Other work_ Describe: . . . . . . . . - • • - Two-car detached garage Private chicken house Private storage building � 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. "aRT" Show proposed building(s) in dotted line and existing t&uilding(s) in solid line. Size of property . . . . . 4fi . . . . . . _ ft. x , •54 ' 3 ". • . . ft_ Size and use of existing buildings, if any • • . . . • • • r . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - . . , Size of proposed building . . . . , . . ft• x 6. . . . . .11 Height (from grade to ridge) . . . . . . . . . . . . . . . . . . . Front yard ft, Side vards . . . . , - . . . . . . . . . ft. and . . . . . . . . . . . . . . . ft. Rear yard . . . . . . . . . . . . . . . . . . . . . . . . . ft. SOUTH If on corner, setback from side street , , ft- Note : All distances are not, as mrasured from street side line to nearest part of building. [OVER} ry f '73 " M - (con t'd.) BUILDING SPECIFICATIONS., Kind of construction-- Wood frame, fire safe, etc.? . WQod . frame . ( ext .. wa I Is). , . metal I . studs . &. gyps elm. board ( in t , ) Will any second-hand lumber be used? . . . . . .NO . . . . . . . If so, for what' . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls . . . . . . . .al I . exi.Sti ng. . . . . . . . . . . . . . . . . . . . . . . . . Thickness . . . . . . . . . . . . Depth of foundation walls below grade . 011 - eX7 S.t,Z.1)9 . . . . . . . . . . . . . . . . . . . . . . Continuous foundation? . . . . . . . . . . Will there be a cellar? . . . NQ . . . . - . , - - If so, material of cellar floor . . . . . . . Type of roof: Sioped or flat? . . . .f1 dt. . . . . . . . . . Material of roof met41 . Bieck r:i.gi d , i nsuI , . bu1. 1 t- up roof Size, wood studs . . . - . . . . . 2. . . _ . . . . . . " x . . . . . . .4 . . . . . . spacing . . - ,1 . . . . . . . . "o.c., length . ft- Size, floor beams, 1st floor . . . . . . . . . . . . " x . . . . . . . . . . . . . . . ", spacing . . . . . . , . . . . , . , "o-c., span . . . . . . . . . . . . . . ft. Size, floor beams, 2nd floor . . . . . . . . . . , " x . . . . . . . . . . . . . . . spacing . . . . . . . . . . . - - . "o.c., span . . , . . ft_ Size, ceiling beams . . . . . . . . . . . . . . . . . . " x . . . - . , . . . . , . . . . ". spacing . . . . . . . . . . "o.c., span . . . . . . . . . . . . . It. Sire, roof rafters or beams exist . . 18 . "-x- -open -W ", spacing . . . . . . . . . - - "o.c., span . . . . d ft. �i S`t5 Exterior finish - YES . +. :. . . . . . . . . . . . . . . . . . . . . , With what material? stucco . on . lath. . . . . . . . . . . . . . Finish of interior walls . . 1 12--'. .gypsum . boa d/. . taped . and .finished . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If garage is to be attached, of what material is wall between garage and main building to be constructed? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 - 1 . . . . . . , . . . . . . . . . . - Is there to be an opening between garage and building? . . . . . . . . . . . . . . . . . . . . . . Kind of heating system , hot . ai ntroof. top , uni+t . . . . . . . . . Oil burner or coal ? . . .gas . . . . . . . . . . . . . . . . . Will a flue-lined chimney be provided? . , .1 0 . . . . Depth of chimney foundation below grade . . . a . . . . . . . . . . . . . . . Height of chimney above roof. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will there he a fireplace? . . . . . . . . . . . . . . . . . . . . . . . . . Depth of fireplace hearth . , . . . . Willa toilet be installed? . YES,. • 3 • Wlth . flush . va1ves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a kitchen sink be installed and connected to water supply? ,YE$ , . .2 . ShAiml. , be. . . . . . . . . . . . . . . . . . . . Water supply (public water supply or pump) .1. - . main . to . serve . t:Qi lets. A , 1a)44tgry, .(.public water ) Distance of cesspool from any private well . . . . . . . . . . . . . . . . . . . . . . . . I M e d I . - . feet Will drainage system be provided with required traps, cleanouts, and vents? . . . . . . . YE5 . . . . . . . . , . . . Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to tr bry fof my knowledge and belief the statements contained in this a , with the plans and tions sub- mitted. area true and cu.,.pkete statement of all proposed work to be done on the-tftscti prams and that all of L1ILD- ING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the posed ork *hall compli w 0 t not, and that such work is authorized by the owner. Sworn to "fore me this / Signature .. ./ % . . .. ay pf �.- 4- . ... . . ... . . . 1$. . . ..' ' . L (2 tC L'�/l v . . . -. . . . . . CHARLOTTE L kTTRICH NOTARY PUBLIC, WARREN COUNTY, N. Y, lNntacy Public- State of New York Qualified in Warren County da;k z SPECIAL CONDITIONS OF THE PERMIT: My Comrnission Expires March 30, 190"- ' By . . _ . ...... . .. . .. .. ..... . . . . . . . . . .... . . . . .. . TOWN OF OUFFNSBURY BUILDING & ZONING DEPARTMENT SETATAGF DISPOSAL PERMIT APPLICATION 1 . Owner ' s Name lr N n _ c r Corp orar i n Address _Nor hw y P eza P . O . Box 732 Gleag Falls , NY 12801 Telephone No . ( 518 ) 798,- 5 22 2 . Property location 3 . Name of person or firm responsible for installing system. Telephone No . Address 4 . Number of bedrooms ( residential buildings only ) 5 . Daily flow gallons/day 6 . Septic tank capacity gallons 7 . Topography : flat , rolling , steep % of slope 8 . Nature of soil and depth 9 . If ground water , bedrock or impervious material is apparent at what depth does it begin? ft . 10 . Percolation test : A is required B is not required C If required what is the rate minutes/inch 11 . Water supply : municipal , well , other 12 . Type of system proposed : drywell , the field , other Any contractor , corporation , individual , etc . engaged in the construction of a sanitary sewage disposal system who covers the same before inspection , does not have an approved permit , or varies from the approved application will be subject to a penalty of $ 250 as prov-574ed for in Section 6 . 010 of the Queensbury Sanitary Sewage Ordinance . Date signature of applicant On separat sheet of paper submit a diagram of the proposed septic system with all dimensions , including distance from any structure , distance ` from property line and domestic water supply , etc . Include all dimensions of the system itself . * * TO USE SAME SYSTEM Form 3 - 82 TOWN OF QUEENSSURY Buildiar� Department sumpect .s RepawtIIIIIIIIIIIIIII, Dame NwMe I..oI weather Permit No-'73 -- f Remarks Sxca i7 a tzon Footin Forms Footin & Piers Foundation Cement Goat Water ,roofin Backfill Pinal Surve Franzen gheathin Roof Felt Roofing ,Sidin Mason x veneer Rou h pl Relief valves Wail Board Sxt . porches Finished Floor .^ Interior Trim stairs & Rallin s Gellax Dr Tile - Concrete Floors pl Fixtures Gar . Fire roofi.n Door Closers Chimne Meter Water Inst .l Se tic A roya Floors Found ttfon ~� Insulation Wallas -� Ce33 n9-- ----�_ �.. Building rnsPector REMARKS jown 0/ Qu-eenj atov QUEENSBURY TOWN OFFICE BUILDING BAY AND HAYILAND ROADS. R. D. 1 GLENS FALLS. NEW YORK, 12601 TELEP140KE : (518 ) 792 - 50332 FIRE MARSHAL H I G H W A Y D E P ` , 7 9 3 . 7 7 7 1 February. 14 , 1985 TO : The Building Department "GOWN OF QUEEN S RY Town of Queensbury Fe rj � a � 0 FROM : N . W . Bodenweiser , Fire Marshal . c &* 19db P-MM1 SUB : Final inspection of : T igp` L1213F415 ,g Convenient Medical Care P a . T"J• • • • Northway Plaza Glens Falls , NY 12801 All deficiencies have been corrected in accordance with the N . Y . S . Uniform Code . NWB/gp SETTLED 1763 . . . HOME OF NATURAL BEAUTY A GOOD PLACE TO LIVE { I. i cr L Maar[Fy eAJaaib by tx. H ,rl palreJxtr W1ie + Wtilf^>nl, Air rNaiwelir L iensaxPl M I� ' larwt. wq 4a :. TM arllal" a WAIN talent as ft2a a olio ix eta- w retie ri la $Ainl to Laagi, 3, SIM L alsnnfanf friar aH aNral,maH Warr fnalr6 H ryrltiN Hicelb++H Mt{ib17 (ar nit teytrarat.e r ; fipt,akir, M•a~Cal holi�Ltllt wni, I% fff L. t*tr~ aab fait latatiaw lea wrrr.Mlnb rW, afe f••' t + aiwte 4i rr .Mint to aiarbeai of "Mim r aatMari/lea. 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