92-075 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date February 17 Y9 93
This is to certify that work requested to be done as shown by Permit No. 92-07 5
has been completed.
This structure may be occupied as a window in kitchen
Location Ames Plaza, Upper Glen Street
Owner Adicommco Corp.
Tenant: Glens Falls Queen Diner'
By Order Town ,Board
TOWN OF QUEENSBURY
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Director of Bldg. at Code Enforcement
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BUILDING PERMIT
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TOWN OF QUEENSBURY X
No. 92-075 n
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to GLENS FALLS QUEEN DINER o
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OWNER of property located at Ames Plaza Street, Road or Ave. ~
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I in the Town of Queensbury,To Construct or place a Alteration to building
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.
I1. OWNER'S Address is ADICOMMCO CORP
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2. CONTRACTOR or BUI LDER'S Name
Frank Brenneisen Sr. N
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3. CONTRACTOR or BUI LDER'S Address rm
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4. ARCHITECT'S Name
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
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( )Wood Frame ( ) Masonry ( I Steel (x)Theropane Casem nt Type Window N
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7. PLANS and Specifications C
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No• 3' 4"x1'82" Window in rear of building within kitchen area as per
plans and application. t
8. Proposed Use
Rear kitchen window C+
$ 10.00 PERMIT,FEE PAID —THIS PERMIT EXPIRES March 13 15 93 y
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(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.) rD
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Dated at the Town of Queensbury this 13th ay of March 19 92 0'
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SIGNED BY \i,i � for the Town of Queensbury
Building apcl Zoning Inspector 0-
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TOWN OF QUEENSBURY
REVIEWED BY: ,TOWN OF QUEENSBURY
FEE PAID:
qC RECEIVED
PERMIT NO. : _ MAR 121992
BLDG. & CODE DEPT.
BUILDING PERMIT APPLICATION
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.
Owner of Property: _ 7 ('LPr
P.O. Address: E/o S`'vwz PHONE
Property Location: R l,/ ®0MA4� L?0-02/y Tax Map No.
Has there been any split of this property since October 1, 1988? Yes No
If yes, Planning Board Review is necessary.
Subdivision Name, if applicable: Lot No.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS, REGARDS TO BUILDING CODES IS:
171
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NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
Construction of new building * CONSTRUCTION: $
Addition to building
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
pc- (no change to exterior dimensions) * Size of Property: ft. x ft.
WfAbOV Other work (describe) Existing Building Size:
* ft. x ft.
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
1st Floor Sq. Ft. * Front Yard ft. Rear yard ft.
* Side Yards ft. and ft.
2nd Floor Sq. Ft. * If on corner, setback from side street-
ft.
Other Floors Sq. Ft.
(not cellar or basement) OCCUPANCY INFORMATION:
*
TOTAL FLOOR AREA: Sq. Ft. * Primary Building -
* One Family Dwelling
Size of New Structure: ft. x ft. * Two Family Dwelling
Foundation: * Multiple Dwelling/No. of Units
Pier/Slab/Crawl/Partial/Full (Circle One) * _ Business
* Industrial
No. of stories (Habitable space) * Other 0o fix! �5 4! le
Height (grade to ridge) ft.
If residential , no. of fami.lies: * If addition, what will use be?
No. of rooms (excluding baths) :
No. of bedrooms:
No. of bathrooms: * Accessory Building:
Primary heating system: * Detached Garage - One/Two Car
Type of fuel : * Attached Garage - One/Two Car
- No. of fireplaces to be installed: * Private Storage Building
Will a Woodstove be installed?: * Other
Central Air Conditioning: Yes No
(OVER)
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: wood frame, fire safe, etc. +0/xs
Will any .second-.hand or ungraded lumber be used? If so, for what?
Foundation Wall, Material : Thickness:
Depth of Foundation below grade (to bottom of footing) :
Will there be a cellar? Heated or Unheated? Floor Sq. Footage:
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.
Joists (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:
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. )
NAME OF BUILDER & ADDRESS: Z ������ J
PHONE
NAME-GF nUN(BER & -SS +lip I�/ 3� �/�/tom CC`Ng h1YPS'V PHONE )50
NAME OF MASON-&ADDRESS� PHONE
NAME--OF-ELECTRTC-IAN-&-ADDRESS: PHONE
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
• Owne-r-,-o er s agent, architect
contractor
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SPECIAL CONDITIONS OF THE PERMIT:
By:
Code Enforcement Officer
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME ��'o/
LOCATION
DATE ?/` PERMIT #
TYPE OF STRUCTURE
d
RECHECK APPROVED
�. N/Al YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM l .
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE,j
FOR PROVIDING PROTECTION FROH,'
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE/oN SITE
FOUNDATION/WALL POUR s
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING i
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS INPLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDSAEADERSr'
BRACING/BRIDGING ;
JOIST HANGERS
JACK POSTS/MAIN ;BEAM
FIRESTOPPING a'
WALLS
CEILING
FIREWALLS
HEATING ROUGH—IN
INSULATION:
FOUNDATION WALLS INTERIOR:,R—
FOUNDATION WALLS EXTERIOR.;R—
FLOORS R—
WA LLS R—
CEILING i R—
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
livtil��.ca�iso
ARRIVE -�
DEPART
PC
TOWN OF QUEENSBURY
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION
DATE PERMITS ��D
TYPE OF STRUCTURE
RECHECK � O CAL L� Ct'isU
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
_FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
—INSULATION WOODSTOVE/FIREPLACE
REMARKS r/3Yee�
APPROVAL
N/A YES IND
CHIMNEY HEIGHT/LOCAT,ION f
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING /
DECK/PORCH/STEPS/RAILINGS'
RELIEF VALVES 'l
FURNACE/HOT WATER OPER TING
BASEMENT INSULATION/DUITWORK
INTERIOR TRIM/PRIVACY�bOORS
FINISH FLOORS:
BATH/KITCHEN WATEOIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED ,
STAIR CLEARANCE/RALLINGS
HANDICAPPED ACCESS/ o
SMOKE DETECTORS I
BATHROOM FANS/WHO,LEHOUSE FANS
ALL PLUMBING FIXURES OPERATING
GARAGE FIRE PRO ING
DOOR CLOSERS
OTHER FIRE SEP RATION
FIRE/DEMISE WA LS
DUMPSTER
SITE PLAN/VAR ANCE REQUIREMENTS
FINAL ELECTRI AL
OK TO ISSUE C 0 OR C/C
COMMENTS:
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DEPART
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W> ® ' MAR 2 3 1992
C3 ul +U .- & CODE DEFT•
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