1989-264 "'"ea,.. ..w. -:r. '"p1'!r'r`ra"..
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1
CERTIFICATE 01F CUFAN rCY
TOWN OF QUEENSBU' RY
WARREN COUNTY. NEW YORK
I
j 1l Date oc�,gber 3 1989
IL
'1 . ✓ � � �
This is to certify that work requested to be done as shownby Permit No 89-254
. i
has been completed.
This structure may be occupied as a Retail Store
I
L.ocatiOn Northway Plaza aza � L
i
Chwner TGBY
By Order Town Board
�- TOWN OF QUEENSBURY
Director of Bldg. do Code Enforcement
I
I
a
BUILDING PERMIT
TOWN OF QUEENSBURY No. 89-264 a
WARREN COUNTY, NEW YORK sa
Im
ar
PERMISSION is hereby granted to
tV
Street, Road or Ave.
OWNER of property located at .p
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 , 07WNER'S Address is
Bi11 Dutch
2_ CONTRACTOR or BtJI LDER"S Name
Wes Turner or Bill Hart n
rio
MOC
3. CONTRACTOR or BUILDERS Address
Northway Plaza/Facilities Dept .
Queensbury, N . Y . 12804
A_ ARCHITECT'S Name
C7
6. ARCHITECT'S Address
MCI
6. TYPE crf Construction — (Please indicate by X)
{ T wood Frame { ! Masonry i 1 Steel ( S
7. PLANS and Specif i cat!ons
No. 840 sq . ft. alterations to building as per plot plan , specifications
and application _
8. Proposed Use
]m
Alterations to Building rr
C
c/o incl . i9-- a
$ 8� PER FEE PAID — Tli{5 PERMIT EXPIRES
(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.) C
G
Day of r 19 Ag e
Dated at the Town of Queensbury this J r
e
for the Town of Queensbury
SIGNED BY cl
Building artd Zoning I aspect r
TOWN OF QUEENSIBURY APPr. ICATTON FOR BUTLDT11C AND ZONING PERMIT
l�u-te- '7d OWN OF {QUEENSBURY
F' ec.ieued RECEIVED
-10
�, ---c--
Rev�.elued
' � -� ` � _� MAY 3 _ 1989
Fee Pa.i.d 7 `
BUILDING AND CODES U1 J)AR&DT_, !T Date Ida ued BLDG. $ CODE DEPT.
3A Y and HAVILAND ROADS RD 1 Box 93
PUEENSBURY. NEW YO,RJi 12804 ��' � � t �a '
Tel . ( 518) 792-5832 Ext 204
* IN a R * * IN * 1 * t * a * * a * * * a • ♦ •' f a * * a R >s a * * a * * a
A PERMT MUST Ufj OBTAINED BEFORE BEGINNING CONSTRUCTION NO INSPECTIONS
l? ILL BE, MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDINC PERMIT .
All applicable spaces on this application must be completed and the
sipuarur` e ❑ f * the ap� p * iAant *must al"Ve ron the
* c*e * sue side of
*E s * slee t
The owner of this property is ; e'a
�tJ/v+ 'Gv SVir �4� PSt°E'�/ 40//r
l' . O . Address Alo ► o- A d 7c /i! TEL . ?J�-// /�'!a
IF
Property location r /Or4pr edI ' 0`3 �'"' � � ��-TAX MAP NO .
alas there been any split of this property since October 1 , 198 €3 ?
yes no
1E yes , planning Beard Review is necessary .
LOT NO ,
SUBDIVISION NAME , IF APPLICABLE
The person responsible for supervision of work as regards Building Codes is :
NAME S,, Tbue+vEyr P . O . ADDRESS TEL . NO a
cg _r6D Address Afar-f&w.u., ,+�Ife j�f cr%i-I Pf4 Tel 79S'�//?d
Name of builder�rz rfdj&L ------ 0 r^ Tel
Name of Plumber_ l,ddress Tel
Name of Mason SZFs. a .*s +� � Address
fLtiTURk OF PROPOSCD 6ORK ' „ ZONING INFORPkAITION ( Office use only )
Cnn:+tructicon of a now building r 20NIN 2 DESIGNATION OF PROPERTY
Addition to a building t PERMITTED PRINCIPAL PERMITTED ACCESSORY
a %
'xAltur:.ttion to a luilding „ REVIEW REQUIRED .. PLANNING BOARD ZONING BOARD
( rko citIII t]4 to xeuriCr tliinen ; ionsl
rJtY _ C s:Crk lc-� r • il .r) 'W I T PLIIAN REVIEW a APPRGW M ^..>TE
VARIANCE # APPROVED DATE
GKOSS AREA OP pHOPOS'ED STUUCTURE
st Floor ^ [�! sq fIt LS
Remarks : l
n d Floor. N/A s q f t . , CORP LL:T I,NI'OrlMn'PIi]1k ��t I1tL� L1 L L.U�I . -I
size of ort^y -
c] ther Floors .+//�.t sq ft . "� ixiitirrc] buiidin�] { :: ) ai::v _----- fit x Ct .
( not cellar or basement }
TOTAL FLOOR AREA� Atav ;�49ci ft ' 1:xiating lc�uilcliny {:: ) U7u
4� i �.: cur now structur.Y ft X — ft IVNirtt'n�d y' �'
i olsr �d:ttion-flicrj :;lat+jcruwl/r�arti�, ljruil l'ro13o::Gd building , distance trout property line:
(circle one ) + Front yard -- ft Rear yard �� ft
Cc
of stories (haLiit"- ble 4 L1)4ce ! Side yards - ft :and
ll�ighr ( grade to ridq.: ) — f t • * If on cornar , sfr; tb: Ck from side: street
1 t reuiduntial , no . at families OCCUPANCY 1f1FOi'.JMPeT10N
Now of roomn iexcludinf] b:athsl '
t1o * of bedrooms w pILIMARY DUILDINC
Noo of batilroouUm: — onn fancily dwelling
prisn:ary hQatirui syt:L. Ltk eAlUX04 aas CAt'C�C�I' 11Y ~ 'iwo f:auaily dwulliny
1`yl�u of rskei ,✓ r9z1,ef dAs' T401 * Number of un %ts�
� Multiplfs flwclling /
No . Of fircialacu :: to 1�+� inzc allS.I iatjAanont occup:arrcy
Will :a wom.I si:ovc k+u irtist:tll._cl? 'i'runsiunr occup"I& :y
G:.sntr"l Air CO[Lait"A i.ng:' r"' �'� l I3usinuss
c ""7f s Industrial
JAUILDING :TYLC, STRUCTURE PRIMARY a
Ochar
1u�tG?a Cont.uulxr"ry LI cabin Ar
It .addition , wltwt will use: b.:?
I'LAISi d ranch Mansst,fa oupla.:x
:.1pIlL l"el old s uEyle u eL .,tlow rr +
+Capu Cod Cott"EJ &I Otk►ur tp z ACCgSSORY 11UILDI1iG- czar
Colo"iI 14ow 'Town House ` Iu tachau gartago/one earl two car/{ CIRCLE ONL: PLEASE I ' Actached 94aragu/ona car/ two car/ cµa'
a * a a w * ■ a a a a a a a * a a priv atf.: storage building
L 'CIMA1" 1: D MAR1C1"1' V .ALUC OF
� ~�OChvr
CDN ::'rtaUC'i• IUN � 3� ��g
INF'ORMATTON ON OUILDING SPRCIFICAT'ONS , ON REVERSE SIDE OF T"TS Sti i'T, TO Be COMJ'LC'1'I:0I
Farm BPA 10/88 V1
}
BUILDING PERMIT APPLICATION CONTINUED -
WILDING 8PECIFICATIONS :
Type of construction , wood frame , fire: safe , eto . _ S�rUP C,Ig4Lr - ,,,v,, 547177701VVm 47N4y_
Will any second-hand or ungraded lumber be used? If so , for what ? AleGIVOT"
Foundation wall material Thickness
Depth of foundation .below grade (to bottom of footing )
Will there be a cellar? Heated or unheated? e. Floor sq. footage — sq ft
Will there be a basement? — Will any portion be used as living space?
( If so , what portion? - sq . ft . - - Type of use?
Type of roof - sloped/flat/shed/other — Material of roof
e=�:77,.yL;
S 30yood studs ONX " spacing "o . c . length ft . -
1e• oists ( floor beams ) 1st . floor "X '" spacing "o . c . span ft .
L.N 'fJoists ( floor beams ) 2nd . floor y lox " spacing "o . c . span - ft .
Nw�P Overlays ( sealing beams ) FIX spacing "o . c . span — ft .
Roof rafters -- ," x spacing -- o . c . span ft .
Roof trusses (pre-engineered) spacing "o . c . span — ft .
Exterior wall finish of what material?
Interior wall finish �p,qy&+r OM y*,yeev
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 ft .
Depth of chimney foundation below grade ft .
Depth of fireplace hearth ft %
Water supply - Municipal or private well_ ___Ad �rAdrrr/,44
SEPTIC SYSTEM _ Distance from ANY private well ( including ad3oining properties -- ft .
(A separate application is necessary for any repair or new installation of septic system)
DECLAR. ATI0N
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, TIIE ZONING ORDINANCE, and all
at her laws pertainin[ to the proposed work shall be complied with, whether specified
or not, and that such work is authorized by the owner.
Signature
Owner wner's agent, archi#V471 contractor
SPECIAL CONDITIONS OF THE PERMIT :
By
nferttaerN.Ff?A. & I.A.E.I. ��eCt?'LCGGC Certificate
- INLAND, INC. - NEW YORK
Electrical and Fire Inspection-Enforcing& ConSUfting Service
997 McLean Road, Cortland, NY 13D45 DATE. l CERTIFICATE NO.-
AS APPROVED FOR:
l_.
F S','
ADDRESS:
= i .-�� , r ? _ -':'�h�.T�+'•. til"%'S`i.�. tis]'�li�.]- j�' -. it 7t_7ili. ,� -
ELECTRICIAN: T`' . ; ' - ] .E f;r,
-`c,t Pit
T-._
ADDRESS:
The conditions following governed the issuance of this cendicale, and any certificate previously issued
is cancelled:
Copy
This Certi in of only Covers the electoral Epuiions, pplicliste and hall ai pr conditions as ar date- on.the introduction of additional equipment or alterations, application shall be promptly made for mSpecR�on.
inspectors of this Company shall have the privilege of making inspections at any rime- and 1i il5 rUIBs
♦♦ are violated, the Company shall have the right to revoke this certificate.
Al - 27
TOWN OF QUEENSBURY J ']
BUILDING AND CODES DEPARTMENT /
SAY & HAVXLAND ROADS
QUEENSBURYr NEW YORK I2809-
TELEPHONE (5-18) 792-5832
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION
ITDATE --P
APPROVED
YES NO
FOOTING/PIERS
MONOL TH.rC POUR FORMS -
FOUN TION/DAMP-PROOFING
BACKF APPROVAL
ROUGH MBING
FRAMXN
ELECTRI L ROUGH-IN
XNSULATX
FOUNDAT • N
FLOORS
WALLS
ILXNG
NAL INSPEC ON:
CHIMNEY HEX T
ROOFING
SIDING
EXTERNAL PORCHE STEPS
,STAIRS-CLEARANC RAILS
PLUMBING FIX TU S LSEF VALVE
INTERIOR TRIM/ RIP Y DOORS
FINISHED FLOO
GARAGE FIREPR PING
,DOOR CLOSER ( )
SMOKE DETEC RS
FINAL ELECTRI AL INSPECTIO r
FINAL APPROVA OF CONSTRUC ON
A SIGNED CERTIFICATE OF OCCUPA`WCY MUST" BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIEDI
REMARKS :
lie
INSPECTOR
TOWN OF QUEENSBURY oo
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION
DATE PERMIT # i;E22 Aey4`
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH--IN
INSULATION:
FOUNDATION
FLOORS
WALLS
� NALING
L INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES T PS .�
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTUR S/RELI,N P VALVE
INTERIOR TRIM,/'P VACY DP'IORS
FINISHED FLOOR
GARAGE FIREPR PING
DOOR CLOSERS)
SMOKE DETECTO
FINAL ELECTRICA INSPECTION
FINAL APPROVAL F CONSTRUCTION
A ,SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
L
y
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT `
BAY & HAVILAND ROADS
QUSENSBURY, NEW YORK 12809.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION
DATB- f PE IT #�
�f APPROVED
YES NO
FOOTING/P RS
MONOLITHIC UR FORMS
FOUNDATION/ -PROOFING
BAG" ILL APP VAL
OUGH PLUMBING
FRAMINGx we
ELECTRICAL ROt7GH-XV g
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT 5
ROOFING
SIDING
EXTERNAL PORC ES/STEPS
AIRS-CLEA CE & RAILS
PLUMBING FIXt0RES/RELIEF VALVE _
INTERIOR TR /PRIVACY DOORS
FINISHED F tRs
GARAGE FIR ROOFING
DOOR CLOSE (S)
SMOKE DET TORS
FINAL ELECTF#.ICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
4
F
k
INSPECTOR
MAIN OFFICE 997 McLean Rc1. ATLANTIC- INLAND, INC.
Cortland, New York 13045 NEW YORK
Phone: (60 7) 753- 711 a MEMBER OF N.F P A AND I E I.
(607) 753-7809 FIRE UNDERWRITERS
(607) 753-1396 (Electrical and Fire Inspection-Enforcing and Consulting Service) C 56711
(Incorporatog .n the Slate of New York)
Desiring Certificate of Approval, application is made for Inspection of electrical Installation In the premises described below. On demand applicant agrees to pay for
Inspection service in accord with schedule of charges. r�APPLICATION FOR ELECTRICAL INSPECTION — PLEASE PRINT OR TYPE
THIS SECTION TO BE COMPLETED BY APPLICANT DATE OF APPLICATION
CITY. TOWN_ VIL LAGS (r[ BL�LeG,4r COUNTY t�i4/ STATE
STREET
ADDRESS g � y -
RURAL d�r � 'd' 0 .� .� BUILQG NO
DWINER'gNS /../ rAI �7'L�N O.�I/1'd !�/ V.M - 9. POLE NO.
OWNER'S �sr rr+.r7,L�vsE,7rE�7ll.s/
NAME 4�G� p� �{ �f'�jrQ�lj' Lritre'TJ'� dkPd P,tr �'�Q L F`Rr/ YR
OCCUPIED AS deq AVAMT70PIZ n/
OCCUPANT - ir'
emm
OWNER'S P.4. BUILDING - Now 0Old WORK - N0WJ4 Addnnonal0 OAr>!Iprt.,rl• ary
ADDRESS rlCC+-CTF /MC tO hl/CyG3� 2400 7re't d�•t". 'JI � _fVY er,?t�.L'�G'r
App. FOR - ROUGH WIRINGX FIXTURES Q OR / Bi"Yi�'f^ �iti{,/Ei EADY FOR INSPECTION `CA,rfIF���/' �u 19 O •/
FEE REMITTED - S BY CHECK L1 CASH ❑ MONEY ORDER O MAKE PAYABLE To ATLANTIC-INLAND, INC. — NEW YOR1K
Number of Rough Wiring Omeelsi7lier
Add lnatallabon
Swlch LI'tng Plecep. KW Soo 750 1000 1250 7500 1750 2000 2250 2500 2750 3000
Heel
Heat
p. Service Water Mr. Burner Air Gontl.
face Unit Oven Range Gr. Oisp. Dish W.
H.P. Pump Ex. Fan Hood
OTHER EOUIPMENT (Specrry Type a Capaotesf SDeftr r4r:P< /ilr' YdGerrer f„ s�A:'+�e-Ae r 14JW 4+k• rev ¢-a"PZW -
RE OF SIZE OF
WI SUB- BRANCHES NO OF
WIRING OPEN ❑ CONCEALEp OTHER MAIN MAIN CIRCUITS
APPLICANT'S
SIGNATURE
PPLIC AS LICENSE a PERMIT a
ADDRESS
.,.r,. NAME OF
f^[y �/ UTILITY
CITY srarE p ZIP CODE BE
TO
BE NOTIFIED
BELOWSPACE • OF • R ONLY
ROUGH WIRING AMP SERVICE
OUTLETS EQUIPMENT K.W. SURFACE
SWITCHES UNITAMP SERVICE K.W. OVEN
CONDUCTORS
RECEPTACLES H.Y. PUMP H.P.GARBAGE
MEDIUM BASE DISPOSAL UNIT
FIXTURES K.W.
MOGUL BASEK-W. DRYER DISHWASHER
FIXTURES X_W. WATER
HEATER K.W RANGE
FLUORESCENT H.P, AfR AMP, RECEPTACLES
FIXTURES CONDITIONER
MERCURY VAPOR OR WIRING & CONTROLS FOR BURNER SMOKE FgAC H p
QUAFITZ FIXTURES DETECTORS VENT FANS
MARK NUMBER
MOTORS, H.P. 7f20 tI12 }.r1D 1 !a 116 114 113 112 3/d 1 1 'h 2 3 5 7vs 74 15 20 25 30 40 5o 75 100
OF EACH 512E
500 750 t000 1250 1500 1750 2D00 2250 25 2750 3CK)o
APPARATUS Elect Heat
MISC. INFO. Racmved
Inspected FEE PAID
�/J� ❑ PROGRESS
�ila"I j^e fy'(j;,�.ly" DEFECTIVE TOTAL S
i7 #%?, � ! C0 d Rough Wiring Certificale Check No-
/+ IC n V Q Temporary Service MoneyOrder
ity'' 2�?Ei�f1-LSG .��. +7 7�3�F ❑ FINAL CERTIFICATE
Mon. - Fri. 6-7 : 30 A. M . o Dup. Con. Req. cash
j 18-692 -929a D MUNICIPAL Charge
5 k8-638-6339
MUN ADDRESS