1988-038 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date March 30, 19 sS
31DH
This is to certify that work requested to be done as shown by Permit No. 88-38
has been completed.
This structure may be occupied as a Restaurant (Lox of Bagels)
89� Main St.
Location
Owner Norman Benack •
•
• By Order Town Board
TOWN OF QUEENSBURY
( %.!4, � ��i _.✓'/
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-38
WARREN COUNTY, NEW YORK •
PERMISSION is hereby granted to Norman Benack
891 Main St.
OWNER of property located at Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Alteration (Lox of Bagels) Q-,
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. co
1. OWNER'S Address is
Peggy Ann Rd.
Queensbury, N.Y. 12801
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2. CONTRACTOR or BUILDER'S Name
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3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction— (Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( ) -- - --
7. PLANS and Specifications
No. Interior alterations to building — convert to Bagel Restaurant
as per plot plan, specifications and application.
8. Proposed Use r~r
Alterations m
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$5.00 C/O
18.00 Sept. 1, 88
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 v,
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(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the CD
town of Queensbury before the expiration date.)
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Dated at the Town of Queensbury this 19th Day of February 19 88 rt
SIGNED BY - (yam /vP for the Town of Queensbury
Building and Zoning Inspector y/2,e
•
TO BE COMPLETED BY BLDG. DEPT. . T �14b'�i OF �� ��"�=`� •
ac� li
wn. o� Queeni1ur1, Application No. • 9n41 M �[ f [,Permit Issued 19 . • [I]
BUILDING and ZONING DEPARTMENT Permit Expires 19 FEB 181983
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation
Queensbury, New York 12801 Variance No. 3dli?E;ING & CODE.DEPT.
-
' - Site P1- Re iew No._A _ .
/ 2,. 7 — / -' ri +lr . APpro _ -dby �v it��/i tl�
APPLICATION FOR A . e.-16 1,oe_._(..__ •__
M I. 3
•
BUILDING AND ZONING PERMIT 5
* * * * *' * * * * * * * * * * * *. * * * * * * * * * .* .* •* * * * *. *:.#
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING. _
The undernjgned hereby applies for a Building Permit to do the following.•wor-kkwhich •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: NhiP_INI A,1N 13E-YlNACK .
P.O. Address PEM A y , 1.(�I�P1`WshuIy � .y, • Tel. 74 --3a /
•
Property Location: cRg '/4 A/11) lf. (.(),-( 1Eit); 1cl15 - Tax Map No. I //Jj 17,1-(s '
Street. number or b• uilding. lot number 0 ,
.
Subdivision name (if applicable) 0 .
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS.:..
• 3� .e� t, 2 A, ; at 1 7-� -a-ss a ( P4)
Name ( �� P.O. Address Tel. No.
•
Name of builder Address ' ' Tel.
Name of plumber Address " Tel.
Name of mason /`• %/ / / / Address / ' 7.• ' / 7 ./ / Tel. / / / / / /
•
•
•
NATURE OF PROPOSED WORK: * • .ZONING INFORMATION:
_Construction of a new building * A PLOT PLAN MUST •BE-PREPARED .AND SUBMITTED,
• Addition to a building S * 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) . 0 * set-back dimensions from property lines. Give
,` ` * street and number or lot number and indicate
FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location
L TION OF STRUCTURES AFFECTED. of water supply and location and configuration
* of septic. disposal area. .
__,_ . .
* COMPLETE INFORMATION REQUIRED BELOW.
'Size of property .. 50� ft X /,/, 3?)ft.
-- ` Wxisting building(s) Size %Q ft X : O ft.
*
PROPOSED BUILDING AND USE: • "` '
* Existing building(s) Use. 737;1,1 eS s
Size of -new-- structure /.J) ft 'X '3j ft ---.- * • ' '
Foundation-r'�r' ' 'parti-alifu31 * Proposed building, distance from property line
��S(VS i Ili (circle one) yard ' ' ' . ft Rear yard ft
No. of stories (habitable space)_ Side yards ft and ft
Height (grade to ridge) ft. orne , f
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 s tem ( }-6?-, C 1'Z * . Two family dwelling
Type of fuel a 1NeS * Multiple dwelling / Number of units
No. of fireplaces to be installed '
Will a wood stove be installed? - * Permanent occupancy
*" Transient occupancy
Central Air conditioning? --f - •
u Business
BUILDING STYLE, PRIMARY STRUCTURE *' ' Industrial
' Ranch Contemporary Log cabin * I 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 House * ' • - One_car/ two car/ car
( CIRCLE ONE PLEASE ) *' Attached-gars a scar
* * * * * * * * * * * * * * * * * * . Priva orag_e -ing._ --- �--�
', ESTIMATED MARKET VALUE OF *' -y6t er----
C O N S T R U C T I O $ a)0 CrJCrJ? * _Y ���
•
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 - e: (Yc..•\5 Lo c-f(--•
Will any second-hand or ungraded 1 I . •e used? If so, for what? Leo , _- ,
•
Foundation wall materi �76 1 . Thickness ' /D'
al O fin c-te,- -x .S'7 I Ai $2* - •
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? ffc, Heated or unheated?1 L— Floor sq. footage cq,' Ion sq ft
Will there be a basement? 610 Will• any portion be used as living space? AID
(If so, what portion? --. sq.ft. - - Type of use? --Baer 5.;4,rof
Type of roof - sloped/flat/shed/other -'/6-r-- Material.-of roof
Size,-we uds "X " spacing "o.c.• •length - ft.
. Joists(floor beams) lst 8z "X.- - " spacing "o ' an ft.
Joists (floor beams) 2nd. floor "X " spa "o.c. - span ft.
Overlays(ceili g. beams) "X ". s c . "o.c. span '
Roof rafters "X " spa o.c. span . ft.
Roof trusses(pre-eng spacing "o.c...span_ ' ft. •
Exterior wall • s - Of what material?
Interio 1 finish
-If a garage is. to be attached, describe ma 'als to:be us SE ARATION:
Is there to be an opening between and dwelling? so will a Fire-rated
door, enclosure, and self- ng device be`'piovided?
Will a flue-lined c ' ey be installed? Height-above roof -
Depth of chi foundation below grade ft. �..
Dept fireplace hearth . ft. in. ,/
Water supply - Municipal or private well %g/ovtc/GAL.,,.
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 AFFIDAVIT 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 pro••sed work = all- be complied with, whether specified or not, and that such work is
authorizod by the owner. - ,
SWORN TO B' O" -ME THIS Signature__ _
-_tip - '
_
• Owner, owneiCs agent arcnitect,contractor
day lik 19
Aa . ' .
Notary P •lic, W. ren County, N.Y. ' •
* * * * * * * * * . * * * * * * * -* * * * *. .* *. * *, * * * * * * * * * * * * * * * * * * *.
SPECI'L CONDITIONS $ THE PERMIT: •
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TOWN OF QUEENSBURY
WARREN COUNTY , NEW YORK
. Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE
A permit must be obtained before beginning work.
ANSWER ALL of the following:
Gross floor area %l Qj •
Type , of heat V J j4or
3 . Is the building mechanically cooled? lr.S
4 . Percentage of area of windows and d ors
A. Over 16% Onl
1 . Uo va a of gro s area of w s , oof/ceili and floors'
exposed o ambien condi ' ons
2 . = loor over hea spaces YES NO
a. Are foun• - tio walls in 1 ed? YES NO
I ES, wha is the alue?
3 . Slab on -rade YES O
If YE what is e R lue of in ula 'ion aroun•.
perimete . of f .or? •
Is ba'-.ement he. ea.? - YES NO
i
a. R : lue • insu . tion •
•
5. Type of ulation
•
B. Under 16'. Only
�1. R value of roo' and floors exposed to ambient conditions
• rK2 e R value of exterior wallsP-D0(r1O/J ( N 14-1 2 QA1 c;)A-tLS
3 . R value of glazed area pa_CiA4
�e4 . R value of doors ( V
5 . R value of floors over unheated spaces js'1/
6. . R value of slab edge insulation - unheated slab ./4// f
7 . R value of slab insulation - heated slab
8. R value of heated basement/_c_el_lar w_a_1-1.a; ,(above. grade)
9 . R valu o h.e-armed ba.sem-e=nt/ae.l,lar walls (below grade)
10 . Type of insulation
C. Controls
1 . Thermostat maximum heat setting
D. Duct Systems -
1. Is duct system installed in unheated spaces? YES . NO
a. If YES , R value of duct installation
b. R value of duct . in other areas
E . Piping Insulation
1. Size of hat water or cooling carrying agent pipe
)` F. .
� 2 . R value of pipe insulation.
P F. . Service Water Heating
1 . Performance efficiency --
2. Temperature control setting maximum /' A
. G. For Swimming Pool Only !
• 1. Maximum heating �!/A--
Telephone No. 73( 5 n
(appli nt ' s ' gnature)
�l MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
/
National Headquarters
""c.—' 900 Haddon Ave., Collingswood, N.J. 08108 r -3r
APPLICANT COMPLETES THIS SECTION Date:�;.'��,`,Jfj-; tj
4:i+1c::" i. t
City, Town or Township �- =`)y 'a County �_?--1 'v `- '''- State 1\-) •
Location/Address C', Z 1 ';\. ,:) -•-�\,,,
(If Located in Rural Area -Please Attach Directions) Pole #
Owner ' `"`--'Y c-- Permit #
Occupied Ps - ',-2.1," -\ Building: New❑• Old.
Occupant '- >, L' . 1 - -k t- - - '--- =- -L.''` - -
Work Area in Building (Floor #,etc.):
App. for: Wiring Sgwice❑ or: Ready for Inspection: cy'�` '41-�?C>
Fee Remitted-$ i.� I 0-1-) Cash n Check n M.O. ❑ -Make Payable To: M.D.I.A.
500. 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 -
Number of Rough Wiring Outlets Elect. Heat
Switches I Q. -
Lighting
+•r it--,)) -Amp. Service - Surface Unit Dishwasher Range
Receptacles 2-0 Water Heater Air Conditioner Dryer Pump
Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner
Amp. Receptacles Fractional H.P. Vent Fans
- Other Equipment: - -
MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1'/2 2 3 5 7'/2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size ,' - _
Applicant's ' - ! i -
✓
Signature ' ' '' 1--'-`'`=`--'(v`'-' License # Permit #
T/A - Utility:-
- Applicant's Address: ' ''.-' } —`='t `. ,4, - - (NAME) (OFFICE LOCATION)
(City) (State) (Zip)_-- Service Request #
Phone # -_.'':% y el A. Eletrician:
M DI A USE ONLY -'7 z. .-- i' =-1-- �'
DATE RECEIVED: ^� f: ( DATE INSPECTED_ .� _ __ _ _ _
Correct Location: Same as Above n or: - _ •
Red Notice Label n -
Rough Wiring Outlets Surface Unit Oven '
Switches Range Garbage Disposal
Receptacles Water Heater Dishwasher -
Fixtures Air Conditioner " Dryer
Amp. Service Equipment Burner,Wiring &Controls for Amp. Receptacle •
Amp. Service Conductors Pump Vent Fans -
MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 lib 2 3 5 7'/2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Elect: Heat - -
l .
RRECT:
CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE COFEE FEE PAID
❑ RW Progress: Inc.❑ LKD❑ :- Contractor - • _ .5-'TO-
El i�
CFT Violation: Work Comp.❑ Inc. n
n -L/A - Owner Fee CASH F L7 -,
Due - #
pi IPA -. - - Municipal I MO
- - INV #
/1 _ Applicant �`I
Date: Other Side Utility • P.
!J I/ - ❑
) Owner
...7,Cut in Card n Temp # Date /=
pi Final # Date / INSP CTORSSIGNATV.R-E]
I' i !
APPLICATION FORM NO.250 EL 11/86 - ' • ' -
APPi_IfIANT% £'J PV
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
NATIONAL HEADQUARTERS:
900 Haddon Ave., Collingswood, N.J. 08108 (609) 858-4400
DELAWARE NEW JERSEY
1815 Newport Gap Pike 1500 N. Kings Hwy. 1542 Bristol Pike
Marshallton, Del. 19808 Suite 105 U.S. Route 13
(302) 999-0243 Cherry Hill, N.J. 08034 Bensalem, Pa. 19020
(609) 428-3800 (215) 244-1919
13 N. Church Street
Milford, Del. 1.9963 350 Grove Street Route 19, North
(302) 422-5729 Grove XXI I, Corner P.O. Box 136
(302) 856-2218 _ Bridgewater, N.J. 08807 Wexford, Pa. 15090
(201) 526-0880 (412) 931-3028
(412) 935-1558
MARYLAND 26 S. State Street
Hackensack, N.J. 07602 128 N. Market St. .
Milford Professional Bldg. (201) 487-5373 Scranton, Pa. 18504
3610 Milford Mill Road (717) 344-9825
Baltimore, Md. 21207 Route 9
(301) 922-1122 Marmora, N.J. 08223
(609) 390-1940 VIRGINIA
Burch Oil Co. Bldg.
E/S Route 5 42 W. Piccadilly Street
Charlotte Hall, Md. 20622 NEW YORK Winchester, Va. 22601
(301,) 645-2219 (703) 667-8484
(301) 884-4547 803 Utica Street
P.O. Box 145
Washington Co. Oriskany, N.Y. 13424
Office Bldg. (315) 337-3480
33 W. Washington Ave.
Hagerstown, Md. 21740 460 State Street
(301) 791-3190 Room 406
Rochester, N.Y. 14608
Hitch Bldg. Room 203 (716) 454-5191
636 S. Salisbury Blvd.
Salisbury, Md. 21801
(301)'749-0641 PENNSYLVANIA •
Room 301 Main Street 121 W. Tenth Street
Court House Erie, Pa. 16501
Elkton, Md. 21921 (814) 452-4604
(301) 398-5200
206-18 N. Wyoming Ave.
Routes 404 & 662 Kingston, Pa 18704
Wye Mills, Md. 21679 (717) 288-4906
(301) 822-8300
(301) 758-0958 1525 Cedar Cliff Dr.
Camp Hill, Pa. 17011
(717) 761-5340
NOTICE TO APPLICANTS: Final inspection and approval may be required by law before electrical current may be energized for use of
occupants. The Agency undertakes to provide inspections until final certification is granted if such requests are made within 120 days
from date of the last inspection. Upon expiration of 120 days from the date of the most recent inspection, all duties and obligations
owed by the Agency shall be deemed completed,and all fees paid by applicant shall be deemed consideration for services performed. No
further inspections shall be undertaken by the Agency without filing of a new application, and the payment of relevant inspection fees.
No final certification shall be implied or inferred without issuance of a duly executed certificate.
The Agency in accepting application for inspection cannot assume responsibility for unavoidable delays in inspection.
"100 YEARS" PROTECTING THE CONTRACTOR AND THE CONSUMER. .
_town of Queeniburf/
BUILDING and ZONING DEPARTMENT
Bay and F ' nd Road, R.D. 1 Box 98
• ersb ry, New York 12801
/C) 0
BUILDING INSPECTOR ' S REPORT
NAME �J
�
LOCATION y Gu/1__I
Date/ �/. Permit No. W-36.
* * * * * * * * * * * * * * * * * * * * * * *
✓ = 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 v
Gar. Fireproofi' g
Door Closers
Smoke Detector •
Chimney
INSULATION:
Foundation
•
Floors
Walls
Ceiling
FINAL ELECTR CAL INSPECTION
„DRIVEWAY APP OVAL
Final Buildi g Survey •
Next scheduled inspection (call when ready)
Remarks-
.
//;
AAV
• Building nspector
6/86 and-vl
" .awn o f QueeniLry
�� BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Clueensbury, New York 12801
/ )
BUILDING INSPECTOR ' S REPORT
NAME AO
LOCAT ION 679,
19 GC( (1
Date 697-dT Permit No. (f9r,30
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES // NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
RMas my Veneer 1 /
h Plumbing /Nc
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproof in•
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
•
/% • ,
. /
Building Inspector
6/86 and-vl
flown of Queeni‘ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME LoX C7r- 6/4 C LS
LOCATION //1 , fA1 51 /
Date fi / Permit No.
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROV D - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfil(l
Framing
Roofing
Siding
Masonry Veneer %
r Rough Plumbin• (Af '
Relief Valves c f
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 11
DRIVEWAY APPROVAL
Final Building Sur ey
Next scheduled inspection (call when ready)
Remarks-
ex ,‘ adv4ic
Buildi In ector
6/86 and-vl
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P� 3i M , ..
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_ �^..ti `fix,. :� x :v'����,x, ��
1 j„,„3/11,2A alp - ... 1--- - ..' - ', . . -;.." " '-::-:-.r4..' -F.fr.X. :441 i Vgbit-,-„;-..*Zi,;:,I
QUEENSBURY TOWN OFFICE BO1Lb1NG .- � .� . - ,:
. BAY AT HAVILAND ROAD
QUEENSBURY, NEW YORK, 12801
TELEPHONE: (518) 792-5832
•
TO: The Building Department
• Town of Queensbu ---
FROM: N. W. Bodenweiser, Fire Marshal -
DATE: z
SUB: Certificate of Occupancy..
Name: 4c NI
Address:
% . ,...sji- ic--) g.
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•
It 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
•
00191V610-U-Cia-y
N. W. Bodenweiser
Fire Marshal
SFTTI Ffl 174'2 . . HOMF Or NATIIRAI RFAIITY - : : A riOD 1 PI Af F TO 11VF
4PPROVED
DA _ ( r
ZONNG ArBLtE'iNS8LUjRY
ODES DEPT.
TOWN OF
TOWN OF Giika{rj
w � �e � [I 1-1
FEB 181988
BUILDING & CODE DEPT.
t
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14N NO. iMMF AOEPROOF "M^§Tf,fl FORM"
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