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88-291 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 19 _ This is to certify that work requested to be done as shown by Permit No. 88-291 has been completed. This structure may be occupied as a Retail Store - Shawn Anthony Jeweler's, In(. Location Adirondack Factory Outlet - Route 9 Owner Mrs. Judy Buttling By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No 88_291 b WARREN COUNTY, NEW YORK o w rn PERMISSION is hereby granted to Shawn Anthony Jeweler's, Inc. I LESSEE N ® 40&of property located at Adirondack Factory Outlet Street, Road or Ave. �9 law 0 in the Town of Queensbury,To Construct or place a C/O 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 $ David Kenny Adirondack Factory Outlet - Route 9 Lake George, N.Y. 12845 0 2. CONTRACTOR or BUI LDER'S Name LQ b (D (D ti 3. CONTRACTOR or BUILDER'S Address h b 4. ARCHITECTS Name n 5. ARCHITECT'S Address N. h O b R, W O 6. TYPE of Construction—(Please indicate by X) by W n ( )Wood Frame ( ) Masonry ( 1 Steel O h 7. PLANS and Specifications Other than painted walls, and display cabinets & carpet, o No. no alterations to existing store. - no building permit - ti C/O only. c�Dy 8. Proposed Use C/O k $ 5.00 PERMIT FEE PAID —THIS PERMIT EXPIRES N/A 19 n (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the Q town of Queensbury before the expiration date.) Dated at the Town of Queensbury this Ath Day of May 19_g2_ SIGNED BY for the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG. DEPT.. �] Application No. -Jowl) �a� Quet�lijllury Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 TO`A"N 'Or QL)� r�'�""='`" Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation IYe -/ I R n `I r,7r- i Oueensbu I V w York 12801 Variance No. l _ �. Site Plan Review No. p�, p Approved by: I .Y 1988 APPLICATION FOR BUILDING & CODE DEPT. PUILDING AND 7.ONING PERMIT 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. ---------------------------------------------------------------------------------------------- The owner of this property is: U P.O. Address G O © o d Tel. Z—?/R, Property Location: Tax Map No. / / tree number or building lot number Subdivision. name (if applicable) THE PERSON ESPONSIBLE FOR SUPER ION OF WORK AS REGARDS BUILDING CODES IS: e P.•O. Address Tel. No. Name of builder /�/�1r(/ Address Tel. Name of plumber rr 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 SUBMIT`PED, _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 dim nsions) * whether existing or proposed and indicate all O her work (describe) * set-back dimensions from property lines. Give G Z-7-reA--r/C9 X * street and number or lot number and indicate FOR DEMOLITION PERMIT, STATE. SI7E 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. * Size of property ft X ft. Existing building(s) Size ft X ft. * PROPOSED BUILDING AND USE: * Existing building (s) Use Size of new structure ft X ft Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line (circle one) * Front yard ft Rear yard ft No. of stories (habitable space) Height (grade to ridge) ft. * Side yards ft and ft If residential, no. of families H• If on corner, setback from side street ft No. of rooms(excluding baths) * OCCUPANCY INFORMATION No. of. bedrooms No. of bathrooms * PRIMARY BUILDING - Primary heating system * One family dwelling Type of fuel * Two family dwelling No. of fireplaces to be installed _ * Multiple dwelling / Number of units Will a wood stove be installed? * Permanent occupancy Central Air conditioning? * Transient occupancy __- * Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch Contemporary Log cabin * Other Raised ranch Mansion Duplex * If addition, what will use be? Split level Old style Bungalow Cape Cod Cottage Other * ACCESSORY BUILDING- Colonial Row Town Ilouse * 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 CONS'PRUCTION $ D _._�a-�----------- 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 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 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 " 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, 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 County of Warren A F F I D A V I T 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 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. SWORN TO BEFORE ME THIS Signature__ _____ _ __ _ _____ _________ O er, o er's agent,arcnire-;Lcontractor day of 19 � Notary Public, Warren County, N.Y. SPECIAL CONDITIONS OF THE PERMIT: R By--------------------------------------- OG(If2 D QUEENSBUKY TOWN OFFICE BOILbING � m� BAY AT HAVILAND ROAD i QUEENSBURY, NEW YORK, 12801 TELEPHONE: (518) 792-5832 TO: The Building Department Town of Queensbury FROM: N. W. Bodenwei.ser, Fire Marshal DATE: SUB:. Certificate of Occupancy Name . Address: (ter-1� l F / Tt is the opinion of this office that. the above named premises has complied with all sections of the N.Y.S . Fire & Building Code regarding fire prevention 0 N. W. . Bodenweiser Fire Marshal SETTLED 1763 . : . HOME OF NATURAL BEAUTY . .-. A GOOD PLACE TO LIVE. Jown o f Queen4ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbur w► York 12801 BUILDING INSPECTOR ' S REPORT NAME d 2� LOCATION Date cs % Permit No. -! ✓ = 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. Fireproofing lolo- P<Qo-or Closers P<45_moke Detectors Chi e 45 INS TION: Fo dation F o rs alls Ceiling FINAL ELECTRIC L INSPECTION DRIVEWAY APPRO L oo- einal Building urvey Next scheduled inspection (cal when ready) Remarks- \ Building Inspec or /86 and-vl