1989-087 . . .. _ wr- , � _ sr.,: . ....r"
y ! SEEM
CERTIFICATE I01P OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date I la � a } 14 ` `'
This is to certify that work requested to be done as shown by Permit No.
has been completed.
This structure may be occupied as a
i,..acatian
r5txtr�� �14Y
Owner
By Order Town Board
TOWN OF QUEENSSURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
x
TOWN OF QUEENSBURY No $ 9 _ $ 7
WARREN COUNTY, NEW YORK z
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PER MISS10N is hereby granted to r OC 7,AM FACTORY OUTLET ( WES'TPORT ) w
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OWNER of property located at ROUTE g Street, Road or Ave. J r
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in the Town of Queensbury, To Construct or place a A TFR AT T ONS TO FI T7
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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
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2. CONTRACTOR or BUI LDER'S Name 4)
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CAPITAL CONSTRUCTION COMPANY �
3. CONTRACTOR or BUILDER'S Address
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1000 CAPITOL Drive 0
Wheeling , 111 . 60090 '
d. ARCHITECT'S Name O
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5. ARCHITECT'S Address
S. TYPE of Construction — (Please indicate by x) 0
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11 Wood Frame I I Masonry { Steel I I tr3
7. PLANS and Specifications
No. 500 sq . ft . alterations to building as per plot plan ,
specifications , and application ,
S. Proposed Use
Retail Store r
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50 . 00 c/o
$ 5C3 QD PERMIT FEE PAID - THIS PERMIT EXPIRES c-l- nhc� r 1 19.39 _ H
(If a longer period is required an application for an extension musk be made to the Building and Zoning inspector of the
town of Qusensbury before the axpiration date_I
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Dated at the Town of Queensbury this Day of �j+ a -rc,h 19_$� G
SIGNED BY for the Town of Queensbury
Bui1 ing and Zoning I ;isl6a ctar
"----��' APPI. ICATION FOR BUILDING AND ZONING PERMIT
TOWN Or QUEENSBVRY
vatc_- TOWN OF QUEENS'BURY
Rec-Leved RECEMED
CaAL
Reuieu►ed 'r" /�
fMAR 15 1989
Fee Paid
Date Tesaued BLDG. & CODE DEFT.
KJI LDING AND CODES UI TART TNIT '
UAY and IIAVXLAAIVD ROADS RD 1 DOW 93
OUEEWS.BURYeNEW Y0JRK 12804 Penm.L.t No .
Tel . (518 ) 992-5832 ext -204
., -* x * * s w ;r * � ,w ss s . s x r w r x x . : x . w . � : . . s r ■ rr r s •
A PERMIT MLJS'r B4 OBTAINED BE- FORE BEGINNING CONSTRUCTION . NO INSPECTIONS
WILL l3L'• MADE UNTIL APPLICANT HAS RE- CE- IVUD A VALTD BVILDINC PURMIT .
All applicable spaces on this application must be completed and the
sipuatune of the cant must appear on the reverse side of this sheet .
appli
Yc
The owner of this PraPerty �
L' . O . Address Cc; ' I' y "r °e. L . _„f
CI.S� 7'�AX MAP NO . / /
Croperty location �.+� � �-r'� � � ��.� a ' � �/'
H n Has there been any split of this property since October 1 , 1988 ? Flo
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if yes , Planning Board Review is necessary .
SUBDIVISION NAME , IF APPLICABLE , LG�� ]6,-
orhe person responsible for supervision of work as regards Building Codes is :
NAME P . O , ADDRESS _ n4e TEL . NO * "t
A �uAddress lcsc6 cc % -1-a'� c d,c Kz'e. 1 nLcL ` I ! �e1 1,— �j ' ' � 1•+� _`� .b2
name of builder CL s �"—�� Tel
NZAMO of Plumber T.ddress
Name of Mason AddrCss Tel
14ATURE OF PROPOSED WORK : 7ZONINGINFORrU!`1' ION ( Office use Only )
C:onacruction of a now building SIGNATION OF PROPERTY
Addition to a buildircg ; PRINCIPALPERMI'TED ACCESSORY
to a l;uilding „ QUIRED - PLANNING BOARD ZONING BOARD
(no ciwruju to axc .: r_ior climansions)
Uc)eer work (d.:::criU.:1 - - ' SITE PLAN REVIEW # APPROVED DATE
C tOS5__ ARLA or PROPOSED. :+ TRUC `i'URE kk
W VARIANCE # APPROVET] DATE. .
1st Floor
Remarks
2 nd Floor.- - sq f t . WCOiiP1 S.'1"l: • Iptl•'Of:Mh"1"10N R :QUI1CCD L11•:W1010
siza of property ft x ft .
Other Floors sq ft . + lxistirrrl Builal.ijrq:) ( :A -�2 � fv x S'o rc ,
( not cellar or basement ) a
TOTAL FLOOR AREA sq ft , ► Lxisting buildinrj (&; ) UauAjex�kl S ,
: iz4 or' new structure ft St ft '
14%oLv4d:at ion-pier/slat/crawl/martial/full Nropo::cd Building , di::t;anca: frolu proporty ling
(circle orsc ) : Front yard •�C ft Roar yard 6 ft
Nv . of , curies {Y►abit:abl4: slvAacc) Sid.: yard ; C y „ ct :and frc
fright ( uradc to rick).: ) ft . � Ix on carper , ;er.B:xck from side str+ie C ft
1 f re::3.dc:ntial , no . of families
Na . of rooms ( excluding b"chs ) ' ()CC:UPA"UY INFOC'.h4ATICN
1400 of bedrooms � ppoIMARY DUILDING -
No * of bathroom .: one family dwelling
larimary heating myZL %A1k I• "r,,,,,o family dw4llinq
aryp" of fua1 " 1� Multij 10 Uw011ing / Nusmber of units__ _
No . of fireirlacu:: to LQ installed w Pcrin:anant accup:uecy
will :a Wood ;:cove.: lee iriuLallud? rrant;ivnt occu,parrcY
Cuntr:al Air cor�ditioning? ; ")}usirlc 5s
OuILDING STYL(:, PRLMf'1RY STRUCTURE Inelustrial
Ocher
1;:.iLclt Contemixrr:ar y fan cabin 1t addition , wl'�at wi11 uua: b4l?
1"Lsad rands Mansion Duplex
,Jpl it 1Wva1 Old aty^ lQ U a .a1c. W
C:als4 Cod Cottages Oc1wY V ACCESSORY BUILDING-
Coloni:al stow
town Ouse �r4atached g ►r-&q0/One c"r/ two czar/ car
{ CIRCLE' OAIL= PLEASE ) W Attuch6-!d ULLr"9u/041" Car/ two car/ Cur
w s a s x x w • W M a • �' '# '�' * Vriv" ta SGAr"90 building
k 'i '1' IMhR'1:A MARKrOl' VALUE: OF r Ocher
0 OW;ThUCorIUrr4 Gt% a
7NFORM&TTON 00 BUTT.DiNG spr.cxvrcATToms4 ON =- VERSE SIDE OF THIS SRICET, To Be cC1M,i'LRTuoI
Form BPA I0/88 V1
V i ^.
BUILDING PERMIT APPLICATION CC)NTINUED -
BUILDING SPECIFICATIONS :
Type of construction , wood frame , fire safe , etc . s'1ex�'
Will any scrcond-hand or ungraded lumber be used? If so , for what ?
Foundation wall material Thicknessfr
Depth of foundation below grade ( to bottom of footing ) _c VN� rn ,' .� t,% 0-)
Will there be a cellar? Heated or unheated? Floor sq. footage sq ft
Will there be a basement? __j2 will any portion be used as living space? N /"j
( If so , what portion? sq . ft . - - Type of use?
Type of roof sloped flat/shed/other Material of roof - � ( c
size wood P` t lox /� 1� 1� � G
�� spacing. o . c . length p ft .
Joists ( floor beams ) lst . Boor y +gyp " X spacznq "o . c . span ft .
Joists ( floor beams ) 2nd , floor ye-larLZ" X " spacing "o . cl span ft .
overlays ( cc� iling beams ) "X spacing "o , c , span ft .
Roof rafters "X '" spacing o . c , span ft .
Roof trusses (pre-engineered) spacing " o . c . span /6 ft .
Exterior wall finish n Of what material ?
Interior wall finishi
If a garago 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 bj provided?
Will a flue--lined chimney be installed? tlk. 0 Height above roof ft ,
Depth of chimney foundation below grade ft .
Depth or fireplace hearth ft . in .
Water sup p Ly - Municipal or private well OC v. i n C t o
SEPTIC SY 's'IIEM _ Distance from ANY private well ( inclu xng adjoining properties ft .
(A separate application is necessary for any repair or new installation of septic system)
I3 E C L A R A T I O N
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 IwAls pertaining to the proposed work shall be complied with , whether specified
or not , sand that such work is authorized by the owner,
i/
Signature ✓
Own wner's age t , rCjvR� , contractor
go
SPECIAL CONDITIONS OF THE PERMIT :
By
��- ---� _---------------- -----------
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVrLAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR ' S REPORT/
REQUEST F INSPECTSpN RECE". VED____�
NAME --
LOCATION
DATE }l�„/,/��'/' ERMS2 �#
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATIONfDAMP-PROOFING _'-
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/-STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURSS/RELIEF VALVE
INTERIOR TRIMIPRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER (SS`)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIEDI
REMARKS:
XA
INSPECTOR
�.I'oturi a� �teeen3hurt�
BUILDING and ,ZONING DEPARTMENT
Bay and Haviland Road, R.O. 1 Box 88
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME W 6f
1fi� TT ,
L O C A T I O N
Date AA- / Permit No . �
✓ APPROVED - YES NO
Footing/Fier 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
Gar . Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION
Foundation
Floors
Wails
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY AI�PROVAI
Final Building Survey L/
I3ext scheduled inspection (call when ready )
Remarks-
Building Inspe or
6/86 and-vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804"
TELEPHONE (518 ) 792-5832
BUILDING INSPECTOR ' S REPORT
REQUEST JVR INSPECTION RECEIVED
NAME
LOCATION
DATE ,e PERMIT #
APPROVED
YES NO
FOOTXNG/PXE'IZ
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/"STEPS
.STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRXVACY DOORS
FINISHED FLOORS
GARAGE F;'REPROOFXNG
DOOR CLOSER (S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNET? CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!'
REMARKS:
s f
INSPECTOR
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