87-400 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 87-400 0
WARREN COUNTY, NEW YORK '
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PERMISSION is hereby granted to Adirondack Nautilus
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OWNER of property located at 91 Glenwood Ave. Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Alterations for new exercise room
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
Queensbury Racquet Club
91 Glenwood Ave. a
Queensbury, N. Y. 12801 n
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2. CONTRACTOR or BUI LDER'S Name
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A. J. Catalfamo Const. x
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3. CONTRACTOR or BUILDER'S Address G
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5 6th St. G
Hudson Falls, N. Y.
4. ARCHITECT'S Name
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5. ARCHITECT'S Address �j
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6. TYPE of Construction—(Please indicate by X) C
(�Wood Frame ( ) Masonry ( ) Steel ( ) ((DD
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7. PLANS and Specifications F
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No. Alterations for new exercise room, add stair case to utilize 2nd
floor per application.
8. Proposed Use
Office space and fitness room rt
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$5.00 C/O rt
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28.00 °
January 1, 1g88 0
(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.) O
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Dated at the Town of Queensbury this 25th Day of June 19 87
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SIGNED BYu/lci�". —Z�e�' X___for the Town of Queensbury
Building and Zoning Inspector rD
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TO BE COMPLETED BY BLDG. DEPT.
Application No. lJ u U
own o QueenJLry Permit Issued 19 JUN 231987
BUILDING and ZONING DEPARTMENT Permit Expires 19
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation BUILDING & CODE DEPT,
Queensbury, New York 12801 Variance ;2 / -
/Q�` Site 'Pl n Review Ne Fv
^ I Appro d� / S* L
APPLICATION FOR !/o
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BUILDING AND ZONING PERMIT & Ail
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.
--------------------------------------------------------------=------------7------------------
The owner of this property is: Z)A, a l jC6' d a.g k N au T i ko
P.0. Address t3ea,-�OW1 , r� 11 Tel.519-Z53-S3cS 3
Property Location: pooh , Y, Tax Map No. / /
Street number or building lot number
Subdivision name (if applicable) 63 Q N -e,,
THE PERSON RESPONNSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
Name P.O. Address Tel. No.
Name of builder )9 '3 C?L4-si Address G 7� si ffi Z5S61,, E,=,-t S Tel. %y7 6 G 5 9
Name of plumber . Address Tel.
Name of ddress/U ; ,Sp; -!✓j Tel. 3 y 7 3
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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
Other work (describe) �,lpp7-,,,,�C�,�L * set-back dimensions from property lines. Give
street and number or lot number and indicate
whether interior or corner lot. Show location
FOR DEMOLITION PERMIT, STATE SIZE AND
LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration
* of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property . ft X ft_
* Existing building(s) Size : �%u ft X 1 d ft.
,� . . . . . . . . .
PROPOSED BUILDING AND USE: * g
Existing building(s)(s) Use I?'�e C ire
,
Size of new structure ft X ft
Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line
(circle one)
No. of stories (habitable space _ * Front yard ft Rear yard ft
)
* Side yards ft and ft
COHeight (grade to ridge) ft. * If on corner, setback from side street ft
If residential, no. of families
d. of rooms(excluding baths) * OCCUPANCY INFORMATION
mod. of bedrooms
PRIMARY BUILDING
of bathrooms One family dwelling
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Primary heating system x
Type of fuel * Two family dwelling
* Multiple dwelling / Number of units
No. of fireplaces to be installed
Will a wood stove be installed? * Permanent occupancy
Central Air conditioning? * Transient occupancy
* _Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
*. . Other'
Ranch Contemporary Log cabin * If addition, what will use be? C.`2F Ce S r ti
Raised ranch Mansion Duplex n
Split level Old style Bungalow
Cape Cod Cottage Other * 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 $---�����f/'�------ *
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
-BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. IA) d
Will any second-hand or ungraded lumber be used? If so, for what? NO
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 Is spacing "o.c. span ft.
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) fix " spacing "o.c. span ft.
Roof rafters fix " 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, 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 Queensbury A F F J D A V I T
County of Warren STATE OF NEW YORK
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 donelon the described premises and that all
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provisions of the BUILDING- CODE-,-THE ZONING ORDINANCE, and all other- laws pertaining to
the proposed work shall be complied with;wheth specified;or n that such work is
authorized by the owner.
SWORN TO BEFORE ME THIS Signat ____ _ _ ___________________
er, owner's agent,arcnirect,contractor
day of 19
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
B
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f on of QueenjLry
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING -INSPECTOR ' S REPORT
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NAME Q Q11. 7 L111
LOCATION
Date/ Permit No. "�/00
* * * * * * * * * * * * * * * * * * * * * * *
6� = APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproo ing
Door Closers
Smoke Detec ors
Chimney
INSULATIO
Foundatio
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Bu�irlding Inspector
6/86 and-vj