87-395 r
- CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date JUNE 25, 1987
This is to certify that work requested to be done as shown by Permit No. 87-395
has been completed.
This structure may be occupied as a RETAIL STORE
Location AILEEN - ADIRONDACK FACTORY OUTLET CENTER.-RTE. 9
Owner DAV ID KENNY
By Order Town Board
TOWN OF QUEENSBURY
Building 6 Zoning Inspector
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BUILDING PERMIT
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TOWN OF QUEENSBURY No. 87-395 '
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Aileen
Lessee
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X6MAN of property located at Adirondack Factory Outlet, Rte. 9 Street, Road or Ave. N
in the Town of Queensbury,To Construct or place a Alteration to building
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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 Adirondack Factory Outlet Center (David Kenny)
Box 1923 Rte. 9
Queensbury, N. Y. 12801
2. CONTRACTOR or BUILDER'S Name
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3. CONTRACTOR or BUI LDER'S Address
4. ARCHITECT'S Name
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5. ARCHITECT'S Address o
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6. TYPE of Construction—(Please indicate by X) s�
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( )Wood Frame ( ) Masonry 1 ) Steel ( ) o
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7. PLANS and Specifications r
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No. Interior alterations to Retail Store per application rt
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8. Proposed Use n
Retail Store
$5.00 C/O
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$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES January 1, 19 88 rt
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the N
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town of Queensbury before the expiration date.) w
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Dated at the Town of Queensbury this 24th Day of June 19 87 p
SIGNED BY �s' Gj,�' �', for the Town of Queensbury
Building and Zoning Inspector /-//Z•
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TO BE COMPLETED BY BLDG. DEPT.
Application No.
own o QueenJlury Permit Issued 19 uE iv�rr: Y
BUILDING and ZONING DEPARTMENT Permit Expires 19
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation
Queensbury, New York 12801 Variance No. JUN 2 2 19 7
�O}C1 Site Plan Review No.
6 Approved by: BUILDING & CODE DP
J� APPLICATION FOR lzl- �
BUILDING AND ZONING PERMIT G�
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: !�[ i I° C ;ido/ c_ /-0 -7 ��/ Qu-71eT-- CCh/er'
P.O. Address p X / 9 a 3 // Tel. . 15 - Jy-? 3/�6
Property Location: e (�,e nh cam. �/ Tax Map No.
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Street number or building lot number f 0006e r1,
name (if applicable) I. /C e /7
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES_ IS:
A) o.,1iA rienn ,1 0C3X 19a 3 5'/,-- 7C/ 3 - 3194"
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,
a/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
* Side yards ft and ft
Height (grade to ridge) 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
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.
Wil`1 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) lst. 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 if 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 'I 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
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- _ ------
Owner, owner's ag t,arc ct,contractor
day of 19
Notary Public, Warren County, N.Y.
SPECIAL CONDITIONS OF THE PERMIT:
By---------------------------------------
Jown of Queenil.ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME ` L � A
LOCATION
Date 2-3/� Permit No. F - 396-
* * * * * * * * * * * * * * * * * * * * * * *
✓ = 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
Final Building Surve ,25---N
Next scheduled inspection (call when ready)
Remarks-
Ag-5 Im L J-f Am-t 2�1'
Bull—ding- In pect
6/86 and-vl
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