94-214 'r
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Race `/�iZ/i 19 q44
This is to certify that work requested to be done as shown by Permit No. 9 A—21 -4
has been completed.
retail store
This structure may be occupied as a
Adirondack Facto4i Outlet, Lake George Road
Location
Owner
Kenny Propprties Ltd Tenant: Florsheim Shoes
3G-1-28/29
By Order Towm,Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
�-3
BUILDING PERMIT
ro
TOWN OF QUEENSBURY z
No. 94-214 �
WARREN COUNTY, NEW YORK
I
PERMISSION is hereby granted to FLORSHEIM SHOES N
I
N
OWNER of property located at Adirondack Factory Outlet Street, Road or Ave. 0o
N
in the Town of Queensbury,To Construct or place a Interior Alterations
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.
It
1. OWNER'S Address is t-'
David Kenny/Kenny Properties Ltd �
RD#3 Lake George Rd
Lake George NY 12845 H
2. CONTRACTOR or BUI LDER'S Name �E:
In
O
n
3. CONTRACTOR or BUILDER'S Address In
4. ARCHITECT'S Name >
CJ
H
O
z
tzi
5. ARCHITECT'S Address >
n
6. TYPE of Construction—(Please indicate by X) n
�-3
�D
( )Wood Frame ( ) Masonry ( ) Steel
�C
O.
7. PLANS and Specifications C:
2200 sq ft Interior Alteations as per store layout, '-3
LH
No. specifications and application.
H
8. Proposed Use
Retail store
H
50 . 00 May 20 95
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 cD
�i
(if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the N
town of Queensbury before the expiration date.) O
fi
Dated at the Town of Queensbury this Day of, ll,i19�4
r �SIGNED BY for the Town of Queensbury
Building and Zoning Inspe o rt
O
In
TOWN OF QUEENSBURY REVIEWED BY:
COMMUNITY DEVELOPMENT_ DEPARTMENT �y
BUILDING & CODE ENFORCEMENT FEE PAID:
531 BAY ROAD
QUEENSBURY, NEW YORK .12804 PERMIT NO.
(518 ) 745-4447
BUILDING• PERMIT APPLICATION
7,3
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTIO NOP1NSPECT- NS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID :ILDING P RMIT:;
All applicants' spaces on this application MUST be c t'rpletnd; the:?
signature of the applicant MUST appear on . the applic Lion 70rCreO �a
�1
OWNER OF PROPERTY: , �:�n De4t
ueeo bury
Mailing Address : R k 9 JZ k3 7�- B 0.-e- 3a09 eo Y" 45, -tti
Telephone Number(s) : Work _ 79.E - a/6/ Home
PROPERTY LOCATION:
Tax Map Number: Section Block _� Lot a 8
Subdivision Name: F/orshc lm .5ROe Lot No.
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
CONSTRUCTION: $
NEW BUILDING:
RESIDENCE/COMMERCIAL OCCUPANCY INFORMATION:
ADDITION TO BUILDING: PRIMARY BUILDING -
RESIDENCE/COMMERCIAL Single Family Dwelling
ALTERATION TO BUILDING: Two Family Dwelling
RESIDENCE/COMMERCIAL Family Dwelling
(NO CHANGE TO EXTERIOR SIZE) Mice
,X OTHER WOFgK (DESCRJBE BELO.%) Mercantile
Warehouse
J Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE: a
1ST FLOOR �2 e;-C SQ. FT. j'L�ii7acfy[/
,�✓��� �'. �. IF ADDITION, USE OF NEW ADDITION:
2ND FLOOR SQ. FT.
OTHER FLOORS � SQ. FT.
(not unfinished cellar or basement) ACCESSORY BUILDINGS:
Detached Garage - One/Two Car
TOTAL FLOOR AREA: SQ. F11L, Attached Garage - One/Two Car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other
FEET X FEET
Foundation Type: Will any second-hand or ungraded
Number of Stories : lumber be used? If so, for what?
(habitable space only) j1_/(}
Height (grade to ridge) : feet Type of Heating System:
Number of fireplaces and/or woodstove (circle all which aplies)
to be installed: E1TPctc��--O� / as / Wood
Forced Homer: / aseboard / Other
PERSON RE. ONSIBL FOR/SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
NAME OF' BUILDER/ADDRESS/PHONE:
NAME OF PLUMBER/ADDRESS/PHONE:
NAME OF MASON/ADDRESS/PHONE:
NAME OF ELECTRICAN/ADDRESS/PHONE:
DECLARATION
To the best of my knowledge the statements contained in this appli-
cation, 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 noted, and that such work is authorized by the owner.
Further it is understood that I/we shall submit prior to a Certificate of
Occupancy or Certificate of Compliance being issued, an AS BUILT PLOT PLAN
drawn to scale, showing actual location of projec on re ' ses.
Signature '
(Owner, owner's agent, contractor)
FOR ANY SPECIAL PROVISIONS - SEE REVERSE SIDE:
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK IZ804
TELEPHONE (518) 7454447
BUILDING INSPECTOR'S REPOR ?
REQUEST F SPECTION RECEIVED.,* c-
NAME d--S DU�►x °�
1
LOCATION f�C� . A i 4
r
DATE PER1IIT fl�
TYPE OF 6RUCTURE
RECHECK APPROVED
N/A YES, NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWII(G
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING J
BACKFILL APPROVAL 1 1
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK ST DS/ EADER
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM''/ A _'
HEATING ROUGH-IN
INSULATION:
FOUNDATION L S INTERIOR R-
FOUNDATION WALLS EXTERIOR R�\
FLOORS R- '
WALLS R-
CEILING -
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE
DEPART
INS ECTOR ;.
5
To.a OF-QUEENSBURY
531 BAY ROAD
QUEENSBURY, NEW YORK 12864
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT "
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAPE
LOCATION Abe
DATE as PERNIT# J /
TYPE OF STRUCTURE ju-LL a,U/.,l
RECHECK
_FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
_FOOTING FOUNDATION BACKFILL FRAMING
_ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT 1
ROOFING '
SIDING
DECK/PORCH/STEPS/RAILINGS, `
RELIEF VALVES
FURNACE/HOT WATER OPERATINV
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS: r7
BATH/KITCHEN WATERTIGHT , /
OTHER FLOORS SWEEPAB E
OTHER FLOORS CARPETED
STAIR CLEARANCE/RA 1 GS
SMOKE DETECTORS
DOOR CLOSERS f
BATHROOM FANS f '�
ALL PLUMBIVSP
FIXTURES OPERATING y
GARAGE FIRROOFING
DOOR CLOSE
OTHER FIRE SEPARATION \
FIRE/DEMISE WALLS \
FINAL ELECTR ZG"Z F'
OK TO ISSUE /0 R C/
COMMENTS:
ARRIVE l
DEPART C' Jl 6)
INSPECTOR
TOWN OF QUEENSHURY
FIRE MARSHAL
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4424
FIRE MARSHAL INSPECTION REPORT
REQUEST FOR INSPECTION RECEIVED ?�
NAME
LOCATION T
DATE 5 1 PERMIT#
APPROVED
N/A 7 NO
EXITS
AISLE WIDTHS
EXIT SIGNS
EMERGENCY LIGHTING
FIRE EXTINGUISHERS
AUTO. EXTINGUISHING SYSTEM /
HOOD INSTALLATION
AUTO. SPRINKLER SYSTEM
ALARM SYSTEM / r'
INTERIOR FINISHES /
STORAGE:
CLEARANCE TO SPRINKL RS `,
CLEARANCE TO HEATIN UNITS
REQUIRED SIGNAGE
CHIMNEY
WOODSTOVE
FIREPLACE-MASONRY
FIREPLACE-FACTORY BUILT
REMARKS: OK TO THIS DATE
o
ce
2/015 INSPECTOR'
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE' ('518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR IN��S,,PECTION RECEIVED
NAME
LOCATION /C1-41
DATE PERMIT #. /d
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES - NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS j N PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM'
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
//�v� G✓�i/����1%dclCf�
ARRIVE
DEPART
INSPECTOR
\,1#Y
rfvo-`�
L.I.RONDACK FACTORY OUBLET CENTER
Lake George,-Nev, Y `.
� a �
_- —
.jY3C 3y.FT
ep
b—T—e ._-- 4.iu<r � /y<� � ��'C K✓FiI OnM1f 5_G /s .I I J-Pol,
JIVuIII � � �
1
M �+
n 8
I�wS'IJp? Auf/.5 iJSOlP.f .:IOMN. 4^� S:N 3Tif �
Q LJAN.WS A