1986-622 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 86-622
WARREN COUNTY, NEW YORK
cdI ►� f-� '
PERMISSION is hereby granted to Ray Supply, Inc.
Route 9 — Miller Hill Street, Road or Ave.
OWNER of property located at LC
in the Town of Queensbury,To Construct or place a Addition to commercial building (storage)
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. H
0
C)
1. OWNER'S Address is Upper Glen St.
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name.
John P. Matthews
3. CONTRACTOR or BUILDER'S Address
0
RR #1
rt
Lake George, New York 'D
ko
4. ARCHITECT'S Name
H
H
co
n
5. ARCHITECT'S Address pC
r•
H
H
6. TYPE of Construction—(Please indicate by X)
( 1 Wood Frame (x) Masonry ( )Steel ( 1
0>
7. PLANS and Specifications p,
_ r•
No. 16Tx16' per plot plan, specification submitted
0
0
8. Proposed Use o
Addition to retail store
m
$ 14.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 1 1987
(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.)
Dated at the Town of Queensbury this 23rd Day of September 19 86 ` \
GQ
SIGNED BY I Iliad 0- � -� for the Town of Queensbury
Building and Zoning Inspector ���
. TO BE COMPLETED BY BLDG. DEPT. .
Application No.
Jown of Quee,tiiir, _ Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires 19 TOWN OF QUE NSBURY
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation RECEIVED
Queensbury, New York12801 . , Variance No.
n/ i _ Site Pl i view No. SEP 1 ' 6
/ Approv fl lfy• / r .QU
APPLICATION FOR / % 9 a;l :] 21 41Ni
----T :r�c �r�a • v,o� 0Ye �o � GO
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.
The owner of this property is: RA-( Su pQDy l,�,,�
,_
P.O. Address - Sr. Sr i •
Tel.
Property Location: 5r 9 Tax Map No. / /
Street number or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
JOHN P. 414-7114.,s • 'b�l EAST S-c> /A-6- G'i<,rncX- ,v. t6 S--3d1
Name P.O. Address Tel. No.
Name of builder dqknft " +'-, Address Tel.
Name of plumber . Address Tel.
Name of mason .J. p.. WET ; Address Tel.
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
_Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
VAddition 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 andlindicate all
Other work (describe) * set-back dimensions from property lines. Give
* street and number or lot number and indicate
FOR DEMOLITION PERMIT, STATE SIZE AN * whether interior or corner lot. Show location
LOCATION OF STRUCTURES AFFECTED. 4/, ** of water supply and location and configuration
of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property 3W ft X 2S'0 ft.
* Existing building(s) Size 40c ft X _5•, ft.
* . . .
PROPOSED BUILDING AND USE: * Existing building (s) Use �°orrtrt¢./Zt/ k
Size of new struct e /, ft X IL, ft
Foundation-pier /crawl/partial/full * Proposed building, distance from property line
(circle one) *
* Front yard ft Rear yard yc ft
No, of stories (habitable space) / * Side yards l02o ft and y 0 ft
Height (grade to ridge) /a ft. * If on corner, 'setback from side street ft
If residential, no. of families
' No. of rooms(excluding baths) ' ! ' * OCCUPANCY INFORMATION
No. of bedrooms Ar/.
No, of bathrooms N/A •
*• PRIMARY BUILDING -
Primary heating system A-re * One family dwelling
Type of fuel p-/;� * _Two family dwelling
* Multiple dwelling / Number of units
No, of fireplaces to be installed wr v- Permanent occupancy
Will a wood stove be installed? iv�r,v� * .
* Transient occupancy
Central Air conditioning? Ale , 1/Business
*
BUILDING STYLE, PRIMARY STRUCTURE *' Industrial -
'77-Ranch Contemporary Log cabin * — Ot}ier
Raised ranch Mansion Duplex * If addition, what will use be? -5,1--orC-'4e_.
•
Split level Old style Bungalow * rYe� `-`�� A�"����
Cape Cod Cottage * ACCESSORY BUILDING- 1�
Colonial Row • n House * Detached garage/on car/ two car/ car
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car
* * * * * * * * * * * * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF * --Other
CONSTRUCTION .tt// *
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. driviceIZE t,k-
Will any second-hand or ungraded lumber be used? If so, for what? AJD
Foundation wall material �3Lpc,.� Thickness
Depth of foundation below grade (to bottom of footing) •
Will there be a cellar? Ib0 Heated or unheated? Floor sq. footage 2 56 sq ft
Will there be a basement? ,,co Will any portion be used as living space? ,+eci
(If so, what portion? sckft. - - Type of use?
Type of roof - sloped/flat/ he Yother Material. of roof /45-119492-1- ,_cl
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 "l spacing "o.c. span ft. •
Roof rafters 2 "X fa!, " spacing !� o.c. span /3- ft.
Roof trusses(pre-engineered) spacing "o.c. span ft.
Exterior wall finish / 4 Of what material? 4, -eivr . Gi*tT • Td "fret( tfi5T'S
Interior wall finish A54.4l4'
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 j ft.
Depth of chimney foundation below grade - ft. •
Depth of fireplace hearth
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 Qrbury AFFIDAVIT STATE OF NEW YORK
County off War Warren
•
I swear that o the best of my knowledge and belief the statements contained
in this appli tion, together with the plans and specifications submitted, are a true and .
complete state nt of all proposed work to be done on the described premises and that all
provisions of th BU LDING CODE, THE ZONING ORDINANCE, and all other laws jertaining to
the proposed work s 11 be complied with, whether specified or not, and that such work is
authorized by the ner.
•SWORN TO BEFORE ME THIS Signature • /
�9 Owne/ owner's gent,arcnitect,contractor
dayof
Notary Public, Warren County, \N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * •* * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
•
•
•
•
•
•
By
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. /
' 'TEMP.# IDATE I 7j/ ^f„ 2 Z
CITY OR• ` C��9%% v
VILLAGE TOWNSHIP �LiiL vS,.j!i/#1 COUNTY j j,-(, �,:(/
STREET AND NO.OR I '
ROAD AND POLE NO. j<>7 -t POLE NO.
BETWEEN WHAT TWO ! c
CROSS STREETS IS .�
PREMISES LOCATED? SECTION -7 / BLOCK / LOT
OCCUPANT'S r j BUILDING i, _r-� y
NAME Kill S'✓ /h----/ r .-,- OCCUPANCY /'.f„ / 1 :)r) i: /I mil.:f,i '?/'''•
OWNER'S NAME
AND ADDRESS TEL.#" .
CURRENT i'
SUPPLIED f- 6 y' -" FROM THEIR - OFFICE
BY i r �. if s- ! '-- . /. :l i l k
BUILDING NEW❑ OLD�/ IS NEW El
y/ DEFECTS
LJADDITIONAL IR REMOVED ❑
IS
--LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS ampi-Fixtures Receptacles MOTORS HEATERS BRANCH CIRCUITS OFFICE USE
Loca- ONLY
tion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendent .Bracket No. Type Each No. Each No. Gauge INSPECTION
•
Out- '
side -
Sub-
base •
Base-
ment
1st Fl.
2nd Fl. '
3rd Fl.
' REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE.
This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed,
you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant.
SIZE OF ELECTRIC SIGN TOTAL
MAINS FEEDERS LAMPS WATTS .
CHARACTER EXPOSED GAS TUBE SIGN
OF WORK CONCEALED TRANSFORMERS OF VA
WORK TO BE (NUMBER) (CAPACITY)
STARTED - COMPLETED SIZE OF SIGN
SERVICE OVERHEAD UNDERGROUND MAKER
ENTERS ------- - -
BUILDING OF SIGN .
INSPECTION REQUESTED
ON OR AS NEAR AS
POSSIBLE NEW El OLD 1-1
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF /J
• MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION i / ( mr.t-
PRINT NAME AND ADDRESS
NAME OF i SIGNATURE /�/jlnrlyJr �`
APPLICANT J1.' " r 1.� I t't Y" S Ar%OF APPLICANT �-- e "'l� ^.^'"�
J J,
STREET ADDRES•S \--k,-- . I.Af�'7`"' G L •`f 61i TELEPHO E# ,(4l.%✓'f ✓� J7i"t
1
CITY OR / ZIP ,- LICENSE NO. -
IIIIIIIIICATION
CODEI . l WHEN APPLICABLE MUST BE FILED FOR EACH SEPARATE BUILDING -
4....,_.:.n.,,A_I P14.1A!_.1 iCA rl A./ \)\_.....ti../.,/.a._l 1 1;=1 I.. P!..\.P./�t/.,\. 1/a.P.P.:!..,,.1.,..!.., .P.44 P.:?.4-1,1.�./?t!.1 I).r).I..'!)/1tr-J,I .-'-1!,-,I)!., "r 1 " ". 4-; S
THE NEW YORK BOARD. OF FIRE UNDERWRITERS �a�
i
ti 4000633 BUREAU OF ELECTRICITY11
41 STATE STREET,ALBANY.NEW YORK 12207He
J Application No.on file "' 0 i7
^. k' Date litigtia'it: 27, 1.'387 030)21-86 A 0J 4
THIS CERTIFIES THAT
'Pc only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
h o w
Ray Supygy Inc. , Zatre Geore' R . , Glens Falls, NY. in the following location; ❑ Basement ❑ 1st Fl. .❑ 2nd Fl. Section Block Lot
�^ was examined on 8/4/87 and found to be in compliance with the requirements of this Board.
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
�' OUTLETS RECEPTACLES SWITCHES INCANDESCENT MERCURY _
< !�, VAPOR AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
ii
-A
-1 .
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS .BELL UNIT HEATERS MULTI-OUTLET DIMMERS
ISYSTEMS -
MAT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. MAT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET MAT. WATTS
1 190
17.
SERVICE DISCONNECT NO.OF S E R V I C E -
ti AMT. AMP. TYPE METER
1,0'2W 1 a 3W 3.B'3W 3/B'IW OFF C COND. OF CC.COND.. NO.OF HI-LEG OF.I LEG NO.OF NEUTRALS O NEUTGkAL
i -
1 40(1 e D 1 .. 1 500 500 -
OTHER APPARATUS: :-:-:
J
panels 1 30 1.50
__ 1 20 100
•:....,. -..,,? [
. ."77e,..---.--.--J... -----...7
if
ii ;van Electric, Electrical Contractors, Inc a i
. ....:
.... .,
. .,,,, PO Loy; 4
BRANCH MANAGER Ei
Rally NY 12301.
r
, Per
�; This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
1-7 f,f i`Y 1 I''i •i r.Y'i..',"F... V" .j.!. ...... ..... .. ..... .. . .{f.Y. ......'i le'i.. ..Y'r Cr i'i 'i Y i.1"1 Y'i'el 1-I i'i 1 i "t Cr et Cr et Cr et er et <
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN'ANY MANNER. =
_Down of Queeniur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ''S REPORT
NAME VAN S. Pt.
LOCATION i��
(7-174-- ?
Date t i/ / (?j c Permit No. 7 6— (o
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
y(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 $.�Z f/.mot°S(;)-itis/ ez-
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
Building In iec r
6/86 and-vl
_-/. ,-(_)e)-)_,
Jown of Queeniur (
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME ext, ��, 6� c.
•
LOCATION 9i,-- //erAl
Date /O/ IG Permit No. d 6.)-)--
* * * * * * * * * * * * * * * * * * * * * * *
'ZV = APPROVED - YE 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 ,.-'x
Plbg. Fixtures J'
Gar. Fireproofing
Door Closers V
Smoke Detectors / \
Chimney
INSULATION: / \
Foundation
Floors / ' .N
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
l47/ tC' i=t.LC
Next scheduled Inspection(call when ready)
Remarks- -
keyi it"_1(._ ,
Building Inspec or
6/86 and-vl
G
q
i
i
I.
a
i
i
))I
II4
f
i
r
NEW APNIUM
i�
_ SITE pt A , _
SCALD I x zo'
J
AY SO PPL y - ADM rjoAl
'SOP �986
MATTyi1sJj
_ SITE pt A , _
SCALD I x zo'
J
AY SO PPL y - ADM rjoAl
'SOP �986
MATTyi1sJj