1987-379 �ER.TIFICATE CaF CJ tJI' NCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
' - L4 � rl
t 4 19 87
Gate
Z- L L A . . 87 379
This is to certify that work requested to be done as shown by Permit No.
k has been romPletcd.
Addltion to Plaza for storage
This structure may be occupied as a � ] �l
Quaker Road t1ark Plaza D yl
i i.aoa-,s�riaxf _
orest Soychulc
G:lwncr
By fprder Town Board
orOW N OF QUEENS13URY
Building & Zoning inspector
BUILDING PERMIT
TOWN OF QUEENSBURY No. 87 379 �
WARREN COUNTY, NEW YORK
w
Orest Boychuk (Mark Plaza) l
PERMISSION is hereby granted to a
r
Quaker Rd . Street, Road or Ave.
OWNER of property located at
Addition to Plaza for Storage
in the Town of Queensbury, To Construct or place a
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
O
]Jeer Run CD
Lake George , No Y . 12845 m
rr
2. CONTRACTOR or BUII_pER'S Name O
"I
n
Gerald Mallett
3. CONTRACTOR or BUI LbER'S Address
H
Fort Ann , No Y . w
as
N
4. ARCHITECT'S Name N
5_ ARCHITECT'S Address
w
rs
6. TYPE of Construction — {Please indicate by XY
I ) Wood Frame A Masonry 1 I steel { 1
7. PLANS and Specifications
No.
20 ' X 50 ' per plot plan , specifications and application
a. Proposed Use
9-
Plaza—storage a rs
r•
cr
►�-
0
$5000 C /o January 1 , 19 88 0
$ 24 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES lot
0
(if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the b
town of Queensbury before the expiration date.)
ta
June N
22nd pay of 19 87 I
Dated at the Town of Queensbury this can
rY
SIGNED Byfor the Town of Queensburyw
Building and Zoning I nspactor W
7 OVVN OF :.4UEQ-Nsa3
TO BE COMPLETED BY BLDG . DEPT .
� Application No .
_./own a/ Queen31ulry Permit Issued 19 MAY 13 M7
BUILDING and ZONING DEPARTMENT Permit Expires 19
Bay and Haviland Road, R. Q. 1 Box 98 Zoning Designation G- I BUI#rGkNGL,Sc CODE DEFT,
Oueensbury, New York 12801 Variance No . �,�^ yC� t,%?s: Of
Site Plan Review No .ei
1 • Approve *:�
_ �p l EDAPPLICATION FORi f^ WY
BUILDING AND ZONING PERMIT �� "7
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 Hone in accordance with the description , plans and specifications submitted , and such
special conditions as may be indicated on the Permit .
.......... ..... _ -_-_--___ .......----_________._..______
The-owner of this propertyis.- G' -------�
P . O . Address ,,-,I ' , c✓ ,¢ Cc' z� �'C�'c-.
Property Location : 4,0 3+ �" s.A0 .0,0 !,/.5' c' � . �cJ'/ ems" ax Map No .
Street number or building lot dumber
S
THE P ON N IBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS :
Name P . O. Address Tel . No .
Name of builder Address / _/�-� 3 t�i Tel .
''K Name of plumber Address Tel .
X.Narne of mason Address Tel .
NATURE OF PROPOSED WORK : ZONING INFORMATION :
_Constructlon of a new building A PLOT PLAN MUST BE PREPARED AND SUBMITTED ,
,t Addition to a building
* drawn reasonably to scale and attached hereto ,
Alteration to a building * showing clearly and distinctly all beaildings ,
� (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 .
"?G,Size of property 6?�1.! � ft .
*JCExisting buildings) Size ft X ft .
*
PROPOSED BUILDING AND USE : Ai(Existing building s ) Use 400") �
Size of new structu e � ft X ft
Foundation-pier slab crawl/partial/full '� Proposed building , distance from property line
circle one ) ,[ *Nront yard e;'Il ft Rear yard - Q ft
No . of stories (habitable space ) +�-6'9 Side yards ft andft
Height ( grade to ridge) ft . if on corner , setback from side street ft
If residential , o . of f ili.es
No . of rooms ( excl ding ths ) * OCCUPANCY INFORMATION
*
No* of bedrooms * PRIMARY BUILDING No . of bathrooms One family dwelling
Primary heating cyst Two family dwelling
e of fuel
Type ,� Multiple dwelling / Number of units
No . of fireplaces o be stalled Permanent occupancy
will a wood. stove be insta ed?
* Transient occupancy
Central Air conditioning'? siness
BUILDING STYLE , INdustrial
PRIMARY STRUCTURE *
*, Other
Ranch Contemporary Lag cabin If addition , what will use be?
Raised ranch Mansion Duplex
Split level Old style Bungalow
Cape Cod Cottage Other * AC Y BUILDING-
Colonial Row Town House * Detache one car car
( CIRCLE ONE PLEASE } * Attached gara car/ car
Privat rage building
ESTIMATED MARKET VALUE OF * r
CONSTRUCTION
INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETEDI
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 Q, u[ rt r Thickness { ✓---
Depth of foundation below grade (to bottom of footing ) J~
Will there be a cellar? .ill Heated or unheated? sq , footage,.,4j;,7: f�,► sq ft
Will there be a basement? ,,Zky Will any portion be use as living space ? u
( If so , what portion? sq . ft . Typ f use? "Y
Type of roof - sloped/flat/shed/othe Material of roof
Size , wood studs FIX " ' spacin "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 - acing it span ft .
Roof rafters "X_ spacing o . c . span�t .
Roof trusses (pre-engineered) spacing "o . c . span ft .
Exterior wall finish /( CjV
t Of what material ?
Interior wall finish y �u1
Ideaer±bemareFials to be used for FIRE SEPARATION :
_ •- } ' garage and. dwelling? If so will a Fire-rated
= UWTf-c.LoTtM-g-dev!ce be provided?
" =, , ' ' -- cai�ecxt Height above roof L f t .�Dth o� .-�=mr..�.. �Qy=.�- �'kF7ii kzralos"� gsaa3e ft .
Water supply Municipa or private well
_ zs once romrdPe!1 ( :ine1me1!Lng
proper
< e app �cat�on is necessa
Town of A F F I D A V I T STATE OF NEW xoRK
eensbury
Warren
County off Warren
I swear t at to the best of my knowledge and belief the statements contained
in this applicat on , together with the plans and specifications submitted , are a true and
complete stateme t of all proposed work to be done on the described premises and ,that all
Provisions of th BUILDING CODE , THE ZONING ORDINANCE , and all other laws pertaining to
the pro d wor shall be complied with, whether spec ' ed or not , and t t such work is
autho zed b th owner . VOW
SWORN BEFO S Signature
day of 19
er , owner • s a _ n �, ~� t- n ractor
Notary Public , arren County , N. Y .
* * * * * t it * * * * ,r IF * * * * * * Ar * # ar * IF * * IF * * rr i" At tle 7k at * * ak * ,t ,t * OF !r
SPECIAL CONDI ONS OF THE PERMIT :
' 0 � BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D_ 1 Box 98
6 Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
P3Ah1E��!���
LOCATION
Permit No .Date {} r =
APPROVE * - YES* *NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
siding
Masonry veneer
Rough plumbing
Relief Valves
Ext . Porches
r
Finished Floo
Interior Tri
Stairs & Rai ings� --
Cellar Drai Tale
Concrete F ors
Plbg . Fix res
Gar . Fire oofing
Door CIO rs
Smoke De cto rs
Chimney
IN SU LAT I IQ
Foundata n
Floors
Walls
Ceiling
FINIAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey _...., .
Next scheduled irxspection (call when ready
Remarks-
Building KnsPectOr
6/86 rnd-vl
._.lo+wn 01 Q"Oenjlury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road. R.D. 1 Box 98
Oueensbury, New ''York 12801
BUILDING INSPECTORtS REPORT
NAME
LOCATION
i7ate_ Permi t
APPROVED - YES NO
Footing/Pier Farms
Foundation
waterproof in
Backfill
Framing
.Roofing
Sitting
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 Survey
Next scheduled inspection (tali when ready* )
Remarks- oef
,+ J
Building Inspe4ctor
6/86 and-vl
BUILDING, and ZONING DEPARTMENT
Bay and Ha►riland Road. R. D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME EC] '� �' Ica C
LOCATItN ,I1r ,, �
Date/, Permit No . .
APPROVED - NO
Footing/Pier Forms
Foundation
Waterproofing
Dackftll
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext . Porches - _-
Finished Floors
Interior Trim
Stairs & Rail ,ings
Cellar Drain Tile
Concrete Floors
Plbg . Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION :
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROV
Final Building Survey
Next scheduled inspection call when ready
Remarks-
WAI
Rib
f :
6/8+5 and-vl Bu ding Inspector
AND
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