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87-392 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date JUNK; 25, 19 87 This is to certify that work requested to be done as shown by Permit No. B 7`392 has been completed. Retail. Store This structure may be occupied as a Location Van Heusen — Adirondack Factory Outlet Center Rte 9 Owner David Kenny By Order Town Board TOWN OF QUEENSBURY IL Building & Zoning Inspector j I BUILDING PERMIT TOWN OF QUEENSBURY No. 87-392 � w WARREN COUNTY, NEW YORi( 0 PERMISSION is hereby granted to Van Heusen w Lessee Adirondack Factory Outlet, Rte. 9 1MR of property located at Street, Road or Ave. N in the Town of Queensbury,To Construct or place a Alteration to building w at the above location in accordance to application together with plot plans and other information hereto filed and CD approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is Box 1923 Route 9 ADIRONDACK FACTORY OUTLET CENTER Queensbury, N. Y. 12801 (David Kenny) 2. CONTRACTOR or BUI LDER'S Name Q W x 3. CONTRACTOR or BUILDER'S Address fD 4. ARCHITECT'S Name 5. ARCHITECT'S Address rtrL rt ty ro N• . n 0 6. TYPE of Construction—(Please indicate by X) � 0 p� w ( )Wood Frame ( ) Masonry ( )Steel ( ) n x 7. PLANS and Specifications n rt 0 No. Interior alterations to Retail Store per Application � c r_ 8. Proposed Use rt N Retail Store rt $ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES January 1, 19 88 rt �t (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the W rt town of Queensbury before the expiration date.) H. 0 Dated at the Town of Queensbury this �� ff 24th Day of June 19 8`7 SIGNED BY ��Csr'Ce for the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG. DEPT. jown Permit Issued 19Application No.o/ QueenJlury T:�J�hIN Ur- QUE�NSryi�?" _ BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Haviland Road, R.D. 1 Box 98 Zoning Designatio Queensbury, New York 12801 Variance No. A� UUN 2 21987 �q` Site Plan Review No. 3b'd - J •J Approved by:� BUILDING & CODE DEPT. APPLICATION FOR BUILDING AND ZONING 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. ---------------------------------------------------------------------------7------------------ The owner of this property is: ,d/,ro h F > 04C P.O. Address �X �a 3 —Tel.* 9- '79 Y31 Property Location: pA-k e 9 Q U_E.Gh-�.r,�r-q/ Tax Map No / Lj I a L Street number or building lot number ais name (if applicable) VQ►1 1-1(2Lt Soh THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: ro VeV1V%. / 923 5 / F- 79 Name P.O. Address Tel. No. Name of builder Address 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 Other work (describe) * 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 * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED. 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) No. of stories (habitable space) * Front yard - ft Rear yard ft Height (grade to ridge) ft. * Side yards ft and ft * If on corner, setback from side street ft If residential, no. of families No. of rooms(excluding baths) " ' * OCCUPANCY INFORMATION No. of bedrooms * PRIMARY BUILDING - No. of bathrooms One family dwelling Primary heating system * Two family dwelling Type of fuel * Multiple dwelling / Number of units No. of fireplaces to be installed ' will a wood stove be installed? * Permanent occupancy * Transient occupancy Central Air conditioning? * Business BUILDING STYLE, PRIMARY STRUCTURE Industrial Ranch Contemporary Log cabin * Other * If addition, what will use be. Raised ranch Mansion Duplex 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 $---� -�Q 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 Materialcof 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? Tnterior-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 .1 D A V I T STATE OF NEW YORK County of 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, whether specified or not, and that such work is authorized by the owner. SWORN TO BEFORE ME THIS Si nature----- -------- ------- ---------------- g - Owner, owner's agent ct,contractor day of 19 Notary Public, Warren County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: By--------------------------------------- VfiA Wrl of Queen3bury (DING and ZONING DEPARTMENT ay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILD G INSPECTOR ' S REPORT NAME /P / /' A LOCATION Date_ Permit No. qA * * * * * * * * * * * * * * * * * * * * * * * ✓ = 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 Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL x Final Building Surve CnOAI Next scheduled inspection (call when ready) Remarks- Orf' ��a7yf 87 Buil ing Inspec��or 6/86 and-vl