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1987-768 .. a r - CIF +C���L71'A�+�Y CERTIFICATE TOWN OF QUEENSSURY WARREN COUNTY , NEW YORK Date stay 31 19 j This is to certify that work requested to be done as shown by Permit No. I , has been completed. I ed ss a Add :Lclon to mote , ( d units ) i This structure may occup+ � 4 French Mt . Motel. - 4tte : 9 Lf f Location 4 L . Tliosnas Warner Owner By Order Town Board 1 'roWN of QUEENSSURY r Building b Zoning Inspector { i I BUILDING PERMIT � TOWN 4F QUEENSBURY Na 87-768 WARREN COUNTY, NEW YORK Thomas Warner PERMISSION is hereby granted to L . � 1 r French Mt . Motel Street, Road or Ave- OWNER of property located at � w in the Town of Queensbury, To Construct or place a 8 Unit Motel Addition 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. r [2. :0VWVNF:ERSAddress is RR3 Box 3203 Lake George , N . Y . 12845 0 w to CONTRACTUR or BUI LDERS Name Same N ro n 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT`S Name ri ro n cr rt 6_ ARCHITECT'S Address O rY ro r+ [7. PLANS PE of Construction -- (Please indicate by }(} rs ( A Wood Frame I I Masonry ( } steel ( ) ro and SpecificationsNo. 28 ' x 70r as per plot plan , speCIfIcatlons and application tying into a !Sting system (per WB) oposed Use Addition to Motel ( 8 Units) °° r- rt $5 . 00 C /o June 1 , 19 88 4 203 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES r* ro (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.) "Y fo- Dated at the Town of Queensbury this loth Day of November 19 87 n o for the Town of Queensbury SIGNED BY Building and Zoning Inspector TO BE COMPLETED BY BLDG . DEPT . // Application No . 0. r pL(I►t PilEelT l6L11"f� Permit Issued 19 - � BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation i ©ueensb.ury., , New York 12801 Variance No . -� ✓ NOV 87 Site Plan Review No . �+ � Approved y : ,r�_ •._. . �c..0 `?F.�, , �/1 /�'�` /` -,e. v?Ca S tee:► APPLICATION FOR 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 lof-this property is : Jan bw* a. S P . O . Address_ 3TT � 3 Lk �ct Ae Irk Tel . Property Location : e_Toeah{ LA q {J�'f rF � � � ' Tax Map No . Street number or building lot number Subdivision name ( if applicable) THE PERSON RESPONrrS�� IBLE FOR SUPERVISION OF /WORK AS REGARDS BUILDING CODES IS : 11 Name f P . O . Addressy Tel . No . Name of builder 4 ,o✓ .sr.►-_ Address .a.� ' Tel . Name of plumber / �ev� Address Tel . 1120 f Name of mason tic l ourkac Address ,.y,y ,..r 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 , _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 j"C�5 ft x7�)�,1�- ft . Existing building ( s) Size._. j ft K ft . PROPOSED BUILDING AND USE : * Existing huilding ( s ) Use _ Size of new structureftraw g' ft ?£ �Jbft Foundation-pier/slab/ partial/full '� Proposed buildin , distance from property line (circl ) Front yard / ZZ 'G? ft Rear yard ICJ ft Y No . of stories (habitable space) Side yards _�� f t and - 4 / !l �a ft Height ( grade to ridge) ft * if on corner , set ack from side street ft If residential , no . of families No . of rooms ( excluding baths ) OCCUPANCY INFORMATION Now of bedrooms tS � �. PRIMARY $UILDING - Now of bathrooms One family dwelling Primaryheating system P ' ' v t g y Two family dwelling Type of fuel Multiple dwelling / Number of units No . of fireplaces to be installed . permanent occupancy Will a wood stove be installed? G' Transient occupancy Central Air conditioning? , ��. siness BUILDING STYLE, PRIMARY STRUCTURE Industrial f _Other AA L.q 2 Ranch Contemporary Log cabin " 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 OFC]ther CONSTRUCTION $ _ ` F Ur{�- - - - - - - - - - INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETER ! Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - KJILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . Will any second-hand or ungraded lumber be used';, if so , for what ? llC5 Foundation wall material L�''c-,ezcr.c e Thickness_ Depth of foundation below grade (to bottom of footing) Will there be a cellar? A Heated or unheated? Floor sq. footage sq ft Will there be a basement? Itlo Will any portion be used as living space?� � ( If so , what portion? sq . ft , - Ty f use? Type of roof - sloped/flat/shed/other I Material of roof sp rk Size , wood studs_ " X i" spacing "o . c . length ft , Joists ( floor beams ) 1st . floor "X - J -" spacing_ _"o . c . span�ft . Joists ( floor beams ) 2nd . floor '•X +1( _•' spacing"o . c . span ft * overlays ( ceiling beams ) "X " s acing "o . c . span ft , Roof rafters spacxe�r== . c _ Wft . Roof trusses (pre-enginee ) spacing _,Z.AL."o . c . span _ft , s� Exterior wall finish Ceve C7f wh t material ? Interior wall finish `� fi �X It 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? ---j. 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 +,rrade ft . Depth of fireplace hearth -- t , in . water supply - Municipal or private well {lCr SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties t - ft , (A separate application is necessary for an V y l i repair or new installation of septic system ) Town of Queensbury County of Warren C A A F 1 I D T 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 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 not , and that such work is authorized by the owner . SWORN TO BEFORE ME THIS Signature _-- _-_ -- _ -- 'l -_ ------------------- Owner , owner ' s agent , archirect , contractor day of 19 Notary Public , Warren County , N . Y . SPECIAL CONDITIONS OF THE PERMIT : ------------------ 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 : 1 . Gross floor area J 2 . Type of heat El cjyic� 3 . Is the building mechanically cooled ? 4 . Percentage of area of windows and doors = - cw%o t A . Over 16 % Onl 1 . Uo value of gross area of walls , roof / ceiling and floors exposed to ambient conditions 2 . Floor over heated spaces YES NO a . Are foundation walls insulated ? YES NO 1 . if YES , what is the R value ? 3 , slab on grade YES NO a . if YES , what is the R value of insulation around perimeter of floor ? 4 , is basement heated ? YES NO a . R value of insulation 5 . Type of insulation B . Under 16 % Only 1 . R value of roof and floors exposed ambient c ndi ' ons_ 2 . R value of exterior walls} f DYE> 3 . R value of glazed area 4 . R value of doors 5 . R value of floors over unheated spaces 6 . R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab y V zS ��- # �, Pr.. � +2 8 . R value of heated basement / cellar walls ( above grade ) A 96 R value of heated basement /cellar walls ( below grade ) 14 . Type of insulation r Cn C . Controls 1 . Thermostat maximum heat setting [ D . Duct Systems_ 1 . Is duct system installed in unheated spaces ? YES NO a . If YESr R value of duct installation b . R value of duct in other areas E . Piping Insulation 1 . Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulations F . Service. Water Heating 1 . Performance efficiency 2 . Temperature control setting maximum G . For Swimming Pool Only 1 . _Maximum heating LAO Telephone No . t + 57 ( applicant ' s signature ) APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE LOCATION OF PROPERTY FOR INSTALLATION ' [ ! S1 Yl Owner's Name : (91#V Vt Cc 5 GL (✓-1y {?G---- Telephone: Address: /3 if 3 X OL (! 1 �-41 Installer's Name: Telephone: Number of bedrooms (residential only) Total daily flow (compute (qD 150 gal per bedroom) Topography: circle one: Fla Rolling teep Slope % of slope Sail Nature: circle one: (;and Loam ay Other / Depth: feet Ground Water: At what depth? /� '� feet Bedrock or Impervious Material: At what depth? feet Percolation test: circle one: not required required �/ rraate� min. inch. Domestic water supply: circle one: Municipal Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption _ feet PROPOSED SYSTEM: Septic Tank IDW gal. (minimum size: 1 ,000 gal.) `]- TILE FIELD: Each Trench -feet / Total system length feet .H^— traw� 4J SEEPAGE PIT(S) : Number of / Size each feet by feet Size of stone to be used # / Depth or Thickness feet * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * IMPORTANT ...Please...LIST NEW EQUIPMENT TO BE INSTALLED pav (over) Section II Septic System Inspections: A. .All applications for septic system installation, alteration or repair, as required by the Town of Queensbury Sanitary Sewage Ordinance, shall be submitted to the Building Department at least Z4 hours before start of construction and shall include a plot plan showing.: 1.) the proposed .location of the system Z.) location and distance to lot lines 3.) location and distance to structures 4.) location and distance to any water supply 5.) size and dimensions of all tanks, distribution boxes, the fields and/or drywells B. No system shall be covered before inspection and approval by the building Inspector. Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to $250.00. Co An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. I have read the regulations above and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of responsible person: Date: Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SETTLED 1763 . . HOME OF NATURAL BEAUTY . . A GOOD PLACE TO LIVE awn o/ Quee► Jgary BUILDING and ZONING DEPARTMENT ], UrLD , NG ay and Hav�iiand Road, R.D. 1 Box 98 Queensbury, New York 12801 1,�� INSPECTOR ' S REPORT N,4MEl04 2lS�,r� #,, O C A T I O N _,, � Date r / Permit No . .+ r,* ✓ = APPROVED - 'YES No Footing/Pier Farms Foundation Waterproofing Backfill Framing Roofing Sidin Masonry Veneer Rough PI ing Relief Va ves Ext . Porch s Finished F1 ors interior Tri Stairs & Rail ngs � . Cellar Drain T le Concrete Floors Plbg . Fixtures Lr Gar . Fireproofing Door Closers Smoke! Detectors Chimney SULATION :-. Foundation Floors Walls Ceiling FINAL ELECT CAL INSPECTIC? DRIVEWAY APP OVAL Final Builds Survey Next scheduled inspection (call when ready ) i Remarks- WOOF Building Inspector 6/86 and-vl Jatun v Queen s6ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road. R. D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION f NAME �J�IfL�I-T LOCAT I Ohl . / Q � DATE J� /'&+ PERMIT NO. SOIL TYPE - Sand Loam - Clay - Percolation Test Required? YES N ' Percolation rate - Min/Inch _ TYPE of SY.PTEM: Absorption ld , total len h Length of each Depth renches Size of gra 1 SEEPAGE PITS ¢ umber of) _ Size- .� ftj) _ t Gravel size PIPING : size Type Bldg , to tank Tank to dist . box Dist , box to fiel it P;I'G Openings sealed? NO Partial LOCATION/SEPARA IONS : Foundation to k Olft.y& Foundation to bsorption ft . p Absorption to of line Of t- Separation of pits ft Lo ON OF S STEM ON PROFERT (Circle one) rant Rear - Left side - g s3. TS : SYSTEM USE APPROVED YES NO Building Inspector 01/86 and V1 1� •f 9,, Jou�n o ueen36e�rt� i BUILDING and ZONING DEPARTMENT ] Q Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 UILDING INSPECTOR ' S REPORT NAME LOCATION Date _ 4- r�[� Permit No . ✓ = - FootingfPier Forms APPROVED YES NO Foundation waterproofing Backfill Framing Roofing Siding Masonry V neer �gh Plum ing Relief Val s Ext . porch e Finished Flo s Interior Trim Stairs & Rail! gs Cellar Drain Ti e Concrete Floors Plbg . Fixtures Gar . Fireproofin Door Closers — Smoke Detectors --� Chimney INSULATION : Foundation Floors Walls Ceiling _ FINAL ELEC RICAL INSP TION DRIVEWAY PROVAL Final Bui ding Survey Next scheduled inspection ( call when ready ) Remarks- . II 1 i g Inspector Fi/8€� and-vl I qJ V A 'CY' 5OLEIFZ O/ KCLI/ ✓ VkP[ w BUILDING and ZONING DEPARTMENT r! Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION 'Sp� 4r7s i Date f__.. Permit No 0T�-� * * x F ' = - Footing/Pier Farms APPROVED YES NO Foundation Waterproofing Backfill WIFraming Roofing Siding Masonry Veneer Rough Plumbing ;5 p�.. � — Relief Valu Ext . Porches Finished Floo s Interior Trim Stairs & Railin Cellar Drain Til Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRZ AL INSPECTION DRIVEWAY APPR VAI '- Final Building Survey Next scheduled inspection (call when ready Remarks- fkAtpmr Building Ins ector 6/86 and-vl p � 7.01 a/ Queens bury } BUILDING and ZONING DEPARTMENT ( � ► Bay and Hauiland Road, R. D. 1 Box 98 rr Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME �`rIL` G LOCAT I ON �7 Date / j_ Permit No . :U / ' *7&r ✓ = APPROVED - . YES NO Fo ing/Pier Forms oundation 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 EIECTRT AL INSPECTION DRIVI APP VAL Final Building Survey Next scheduled inspection ( call when ready ) Remarks- Building Inspector 6/86 and-vl .-.J'rawpa of Queen ] & ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT yy NAME /'►�- @ /�I2AIL•�_ LOCATION Date / _ Permit 1Vo . ✓ APPROVED - 'YES NO Footing/Pier Forms Foundation Waterproofing Z3ackfi 11 Framing Roofing Siding ` Masonry Veneer �K Rough plumbing Relief Valves Vxt . Porches Finished Floors Interior Trim Stairs & Railing Cellar Drain Tile , Concrete Floors 111bg . Fixtures Gar . Fireproof inct/1' Door Closers Smoke Detector Chimney INSULATTON : Foundation Floors Walls Ceiling_ FINAL EI ECT CAL INSPECTICIN !)RIVEWAY APPROVAL Final Building Survey i Next scheduled inspection ( call ywhen ready ) Reim r k e-'/1�F IV+.,�.J� � f ' '""" ]�`..�(."r Lo ,�,,,,►- 70 BEM 2. -+(7 met-[.u'Pa 1 S 3 "r4-G►2�sS,, v 7 0 (Ar ro o r+r.tl'ar SuiagieF� G/85 rnd-ul _J©wra o� �ueen �l � urr� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. Q. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME FRENCH NIT . MOTEL ( Warner ) LOCATION ROUTE 9 Datel2/ 17 / 87 Permit No . 87- ✓ = APPROVED - YES NO XX Footing/Pier Forms XXX Foundation Waterproofing 13ackfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Parches 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 1 I FCTRI AL INSPECTION DRIVEWAY APPROVAL _ WR — Final Building, Survey Next scheduled inspection ( call when ready ) Remarks- The call , requesting inspection , was received at 10 : 45 AM , 12/ 17 _ This office requires 24 hours notice , Before inspections . At 3 : 30 . PM , the concrete had been poured , without inspection . You are directed to expose the edge of the footings , after removal of the forms , at several points , indicated by the Inspector . No further construction to take place u 1 app ved by this Department . zo Suild 6/86 and-vl BUILDING DE PT. COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS- FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED. A / p CITY OR VILLAGE [�� . E`/f l �� TOtMiSlf 1p r , r A f 1CN ` r * F� COUNTY 11, 11 V r1 �t ' L STREET AND NO. OR - v ROAD AND PALE ND- Nt, 1 POLE NO- � "� J BETWEEN 1110"T TWO R S -r (y'' GROSS STREETS IS 'F I'V'Y �- t�! r s 14- 6, t r oZ SECTION BLOCK LOT Jr BUILDING „7 MA&W 'S _ y l .j C' it .p OCCUPANCY AND ADDRESS ,�. f#54} INA v r1' -¢ il''` Y ! ` t F' "y`= '�7 +`.�' TEL. i�J SUPPLIEDCURRUINT FROM THEIR OFFICE DEFECTS BUILDINGIs NEW OLD ElIYMpRK NEW ADDITIONAL ❑ REMOVES} ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED ANCH NUMBER OF OUTLETS LAMI 10. 401FIReoIp +Ae MOTORS HEATERS CIRCUITS OFFICE USE Laos ONLY :.ei e1 Side Attrelift ffsriSNt Patldettt BrrelcetY: : No, T, E,- No. Ea�e11 No_ AOwl& INSPECTION Ceriq Weu Reoepls Otlt- alde Bob. sow twene tat A. 2" FR. ad Ft. REMARKSi LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE, This application is inlentlad to cover the Woy listed equipvnant to be inspected but it at time of iMpavibion there is found w"tionel oqui omit tvat above listed, you we authorized to make the impaction and adjust the fan to oe the additional equipnsetts, u provided by the app1tcimL SIzE OF ( / may"' ,-? ELECTRIC SIGN TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER . 3 r , CUPIRROI GAS TUSE SIGN CONCEALED TRANSFORMERS OF VA OF WORK .- 4,.1 WORK TO Be INIIMBERI ICAPACITYl STARTED I'^NIPe ETED SIZE OF SIGN SERVICE OVE.RHE:AD UNDERGROUND MAKER ENTERS . :4 ;r .-y- _ OF SIGN ILDING INSPECTION REQUI ON OR AS NEAR i! OLD PSy$SIBLE AVOID DELAY BV GI VINO FULL AND ACCURATE INFORMATION. ALL SPACES DATE OF MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.. APPUCATIO PRINT NAME AND ADDRESS '} ' SIGNATURE ALE OF r-' Tct :� L" to, t V t�f f--' r A OF APPLICANT STREET ADDRESS - ! ' TELEPHONE 31 _2 CIcr:"SE No ITY OFFICE _ +-'` �' 4`'a' -' rE� "' =C'DE � `—LWHEN APPLICABLE ee EL (REV. 1/866) 9SEPARATE APPLICATION MUST BE FILED FOR EAC{-1 SEPARATE. BUILDING P t i a .r �=_ -- ., - - . . F t - i ` r .. � 1 J I.r�l(` �• �1 . 1 � � l.r �1 At �1 ._-�- I owa a uee�� f��cp zrr w QUEENSBURY TOWN OFFICE WiLbING BAY AT HAVfLAND ROAD QUEENSBURY, NEW YORK, 12801 TELEPHONE: (3T8) 792,5832 TO : The Building Department Town of Queensbury FROM : N . W . rrBodenweiser , Fire Marshal DATE : I � G) SUB : Certificate of Occupancy Name * Address : � � 11 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 N . W . Bodenweiser Fire Marshal SETTLED T763 . . . HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LEVE