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1988-777 V CERTIFICATE OF COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date Sari amber 1R 19 al_ 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 gasoline island canopy /147 ) S17-,vERoute 9 Location Owner Champlain Oil Co. Inc.. By Order Town Board TOWN OF QUEENSBURY Director.of Bldg. & Code Enforcement - BUILDING PERMIT TOWN OF QUEENSBURY No. 88-777 zo WARREN COUNTY, NEW YORK � I PERMISSION is hereby granted to Champlain Oil Co. , Inc. OWNER of property located at Rt 9 Street, Road or Ave. N in the Town of Queensbury,To Construct or place a Gasoline Island Canopy 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 P.O.Box 2126 South Burlington, Vermont 05403 c� 2. CONTRACTOR or BUI LDER'S Name Paul Wamsuanz 0 H 3. CONTRACTOR or BUILDER'S Address P.O.Box 5219 Essex Jct. , Vermont 05453 H 4. ARCHITECT'S Name c"] 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( ) Masonry ( ) Steel ( ) 7. PLANS and Specifications No. 26'x52' Island Canopy as per plot plan, specifications, and application. Area Variance#1383 8. Proposed Use .t 0 Gasoline Company r H 5.00 C/O $ 36.00 PERMIT FEE PAID —THIS PERMIT EXPIRES MAY 1 1989 (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.) tzi Dated at the Town of Queensbury this 17th Day of October 19 88 b SIGNED BY _______________________for the Town of Queensbury Building and Zoning Inspector ,p 'TO' BE. COMPLETED BY BLDG. DEPT. TOWN Or 1 Eli ll ;:;,,,,,,.;:. • cc77Application No. D _,� lJ: lh ,.t'... Jown o Queersilury ' Permit Issued 19 . • BUILDING and ZONING DEPARTMENT Permit Expires 19 ^ 4 Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation Queensbury, New York 12801 -. Variance No. Age/4 /3 83 . BUILDING,& epEg:DEFT. • . .:Site Plan Review No. 3 S/-y. 7i • . . . Approved APPLICATION FOR rj4 • .G.._ • - BUILDING AND ZONING PERMIT:.. '. ' ' • . * * * * * * * * * * * * * * * * #' .3 * * * * * * * * * .•• * * * * * * * *'.* * ,* 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 of this property is: C,4 'l 7/c /• 7/ _ ‘eZi :/, i , . P.O. Address IC, 2 � 2/060• •- , 4G!/2G/i,14p; �, W-O��,STel. -c Tyi Property Location: c25 /2T 9; ••0/ C ,Su2y Tax Map No. / /i Street number.or building lot number Subdivision name (if applicable) !U01' •' • THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS e9. 2".1 • �ga6. c'. 4'7r�U,9 -1z/ ,4'a, .62,if l�s�X 72V, /T�.S .. / '=::0. .. Name P.O. Address Tel. No. Name of builder,+ //z/o6/�. ',(J •- • Address,�E,t/.53ECA 6 eiti-Y • Tel. S/6--4i 3 � 2t'v8 ' Name of plumber Address • ' Tel. • . Name of mason ,c//q . Address • . 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 X...0ther work (describe) ��e.544,E . * set-back dimensions from property lines. Give' ' . -ti-- /S[.iup e4-Aio o/ * street and number or lot number and indicate . A : . • FOR DEMOLITION PERMIT, STATE SIZE AND FOR interior or corner lot. Show location LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration .* of septic disposal area. sU�9 • * COMPLETE INFORMATION REQUIRED BELOW. (sE'.t. il.) -" /75 ll08' ft. * Size of property 'R6 t— 05/ ft X . * Existing building(s) Size OAS ft X 44- ft: • PROPOSED BUILDING AND USE: * Existing building(s) Use Goc<e., /C-�c. Size of new ucture 24. ft X s-2- ft * ' ' c /U/ZE • • • ' Foundati•j slab/crawl/partial/full * Proposed building, distance from property line (circle one) No. of stories (habitable space) ' '`/i7 • , *.Front yard /do ft Rear yard �Z•S : 'ft Height (grade to ridge) /` "'.:.a" ft.. * Side yards �� ' ft and �� ft'' If residential, no, of families ;fJ�j:'• * If on corner, setback from side street .v�$ ft - : No. of rooms(excluding }paths)•'; :4- • • ' * OCCUPANCY INFORMATION No. of bedrooms ,v * ' * PRIMARY BUILDING - No. of bathrooms 4/ * One family dwelling Primary heating system Type of fuel 1 * Two family dwelling No. of fireplaces to be installed ; Multiple dwelling / Number of units rl Will a wood stove be installed? * Permanent occupa • ncy Central Air conditioning? * Transient occupancy * Business . BUILDING STYLE, PRIMARY STRUCTURE • : •.'• • Industrial . Ranch Contemporary Log cabin) • * Other • Cl�,t/O,Oy' • o//f : 34,9,U�$. : 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 . *' Detached garage/one car/ two car/ car• .: . . ( CIRCLE ONE PLEASE ) • *' Attached garage/one car/ two car/ car •* * * * * * * * * * * * * •* * * •* * ' Private storage building • ESTIMATED MARKET VALUE OF '• • , • . * _Other C�,UO,z/ .14,�2 .-„Z:CG4�O1 ' CONSTRUCTION $/� /.�Ov '• . . INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form EPA 4/86 and-vl • BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: • • Type of construction, wood frame, fire safe,etc. aere,/'�-,96. C/rC�L Will any second-hand or ungraded lumber be used? If so, for what? /Cro Foundation wall material ////7 Thickness '40,4,' • . Depth of foundation below grade (to bottom of footing) M'/,/. el,e2 " t / Will there be a cellar?A//g Heated or unheated? ,VAP, Floor sq. footage #/. sq ft . Will there be a basement? elle Will any portion be used as living space? Aera . . • (If so, what port• • ?1/ sq.ft. - - Type of use? A/A • Type of roof - sloped flat/shed/other Material-of roof /Y r -c. Size, wood studs "X " spacing ."o.c. length ft. . Joists(floor beams) 1st. floor "X " spacing "o.c. span ft. • • . Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft. R,Qe--, �v',c, et e0 Overlays(ceiling beams) "X " spacing "o.c. span ft. C, ��Y Roof rafters "X " spacing o.c. span ft. Roof trusses(pre-engineered) spacing "o.c. span ft. • Exterior wall finish r9Gt//.7,,//v.A-1 Of w t material? '`'!/� • Interior wall finish eta • . 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 sow 1 a Fire-rated door, enclosure, and self-closing device be provided? Nv Will a flue-lined chimney be installed? 414, Height above roof se•//, ft. Depth of chimney foundation below grade e //4 ft. Depth of' fireplace hearth .4-1/9 ft.- in. • . Water supply - Municipal or private well / /-66.1/G/, WL ' . SEPTIC SYSTEM — Distance from ANY private well(including adjoining properties A/hi ft. (A separate application is necessary for any repair or new installation of septic system).. . Town of Queensbury A F F 1 D A V I T 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 proposed work shall be complied with, whether specified or not, and that such work is i authorized by.the owner.. i SWORN TO BEFORE ME THIS Signature_ZG' ;47 �-�T Owner, owner's agent,arcn}tect,contractor l' day of 19 ' Notary Public, Warren County, N.Y. _ • • * * * * * * * * * * * * * * * * * * * * * * * * * . * * * * * * * * I * * '* * '* * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: • • • By INTERIM BUILDING PERMIT Sir 777 PERMIT APPLICANT . CONSTRUCTION LOCATION &4' g • EFFECTIVE DATE /0 -7 • APPROVED BY !h�( 4 SPECIAL CONDITIONS : This will certify that all submittals for a Building Permit have been received and fee has been paid . During the processing of the Permit , the above named may begin construction per plans submitted . It is the responsibility of the applicant to obtain the Permit from the Building Department, following processing . POST THIS INTERIM PERMIT IN A CONSPICUOUS LO TI N ! ! Building & Codes Department . TOWN OF QUEENSBURY REQUIRED INSPECTIONS: 24 HOURS NOTICE REQUIRED!! )'l. Foundations Footings, before pouring concrete 2. Foundations Inspections and Waterproo ing, before Backfill. 3. Rough Plumbing, Heating and Frame Inspections before Closing in the Framework. 4. Insulation - Foundation, Floors, Walls, Ceiling. -1 5. Inspection of Electrical Installations before covering (rough in) and on completion of job. Final inspection certificate is necessary for issuance of CERTIFICATE OF OCCUPANCY. 6. All new septic systems or repairs before covering any work. ". Final Inspections before Certificate of Occupancy is issued. THERE IS TO BE NO OCCUPANCY OF THE BUILDING WITHOUT APPROVAL OF THE BUILDING DEPARTMENT. BUILDING DEPT._COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS. • FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. (TEMP.# IDATE I CI V LLl GE TOWNSHIP ,c- t /-� f ,.' COUNTY ..✓✓� // STREET AND NO.OR // / _ �'`--L. eli-/.5,,, t e"--J'l 'itC.fJ L-.?/ ROAD AND POLE NO. �(,,S �P`, f POLE NO. BETWEEN WHAT TWO 1 CROSS STREETS IS r J- / i /, - F r0 SECTION IPREMISESLOCATED? BLOCK LOT OCCUPANT'S / s� BUILDING / _y , J NAME {`iy y}Cfff y// /7/c.. cc7..,„,.- AND �OCCCUPANCY/•-,i�f-r") I'5 f?/ D' C,-- f"i AJO r,��7�' AA WNER'S N ADDRESS / 6��". — Z 2C.-` Jo, j /.s !/ �. (//'TEL.#. .�Qa 3 '.�`. /f ADDRESS //� `1 j <.)�� "I.� SUPPLIED /,//(/7 FROM THEIR OFFICE BY ^' BUILDING NEW❑ OLD SORK NEW I! ADDITIONAL❑ REMOVED DEFECTS ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No.of Fixtures& NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS OFFICE USE Loco- ONLY tion Side Attech't H.P. Watts A.W.G. Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Eaeh No. Each No. Gauge INSPECTION • Out- side - Sub- base ' Bass f/) meet ,^G. � l- e-7,<�r'?c ��ef:c.) c, •J 1st Fl. 2nd Fl. 3rd Fl. • REMARKS: LI .OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. // -`b — i-.> /c,.Q/,--' Vie_-Pf%T/,_ i4//. t.f/tk2.,c Y' C./O.e7/`: . This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed, you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant. SIZE OF EX''' ^^ ELECTRIC SIGN ;F ..---2TOTAL MAINS GC`�����'�� FEEDERS LAMPS �i. „-� ��Z'"'�WATTS 4'•.JZ-) CHARACTER ------ , n � ,..,��,/ - EXPOSED GAS TUBE SIGN OF WORK -Z.`-� ?' CONCEALED TRANSFORMERS OF VA WORK TO BE -r ��/ `,,,.1��', ' - (NUMBER) (CAPACITY) STARTED „f t�G y f COMPLETED , . - SIZE OF SIGN SERVICE OVERHEAD ! UNDERGROUND MAKER ENTERS ']f\` OF SIGN - BUILDING INSPECTION REQUESTED • ON OR AS POSSIBLE NEAR AS O 0/24 t/1 /Ul.e:� by Gc/vC�L/ , NEW l ' OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION /'jU .71 �4 PRINT NAME AND ADDRESS �y - - NAME OF .7/J�%/ ./`'f/1.f( C ` 1.J /1J1 XSIGNATURE r�,, :`� f ✓;,��`_,.E.» .`,L APPLICANT / / ` OF APPLICANT /� A STREET ADDRESS r/ .r- x Z/ 2.&,. TELEPHONE#_. ?? ";".�i-.`. " -. -7 CITY OR F / / ZIP LICENSE NO. POST OFFICE.✓i,-/- /- 'l/l,'`�£/.t_Y /U/ . 1//°• CODE��=_4<"7'-•WHEN APPLICABLE 46 EL (REV. 1/86) A SEPARATE AP I (CATION MUST RE FILED FOR EACH SEPARATE BUILDING . ' TOWN OF QUEENSBURY �/ ►; 531 BAY ROAD : ' " QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME a% 61// LOCATION ez S� DATE � S' ! / PERMIT/ RF•-772 TYPE OF STRU TURF CC! Gi' %Ali / RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT I / ROOFING v SIDING \ 1 DECK/PORCH/STEPS/RAILINGS \. ,; RELIEF VALVES FURNACE/HOT WATER OPERATING'„ BASEMENT INSULATION/DUCTWORK'`;; INTERIOR TRIM/PRIVACY DOORS , FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE ,',` '', OTHER FLOORS CARPETED 3' STAIR CLEARANCE/RAILINGS HANDICAPPED ACCESS SMOKE DETECTORS !' • BATHROOM FANS/WHOLEHOUSE FANS ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING // DOOR CLOSERS ' OTHER FIRE SEPARATION FIRE/DEMISE WALLS a' DUMPSTER SITE PLAN/VARIANCE /REQUIREMENTS FINAL ELECTRICAL / OK TO ISSUE C/O OR C/C COMMENTS: ,,,,< • 44//4 * / ARRIVE art DEPART I ' .'P T�` 5 .i.LfG .rr.G .G , . ' �,T ;� � r�,G=� .� ii c c3 t,�'3r �.Pn���/ � '�✓ E;%,4Gu.IT/,G?,U v �.%v�,2 ?'�^� ,P�f�.o✓« <- �� �LA� � � xi�l%vim .4.f os/4<,r- Jr/E j^ Ifl-l-W40e 1-44%�< Air ,fiV-44.10 4/4 ,,u 'r;a «,4 rie,v, 7, "C�/VG fl /L /-- J 1 4-11 f AL/ 'L,'d z< 2r 9 ✓� e 6 4143 '•`, Y- �-1 � 1-1a ,.w A . AV /rC'P t` r ACT v 44 A.1 G r v V c 4 K. A� rat T'.E w it/ .[ '/ i Al 40 LZ fYi,3r�,ua L.l�;o�r��iuls s/4_f,-Nr 7-0 �� L Env t F4 LL s LI, *T d4 ,4WO.p v Giev rO % 1 ft PO WA, NE z� �DWy 0� QJ�tNSw�ty t ea 0 b Q 0 � Qy Q � a o, . Fa U 2 .j Z © }' > > Z Z 2 O g c~a .J 4 V W Z Ix )2 T_ D 7 Olov., 1) F� 15 I -AA iN -1-0 r . . . . ............. .... ....... -----�--\ -- —� I III---,i ' ,' , I I i �I { �• C,5 7Z) !'j A/ DiM'_S NnN -TO BL F1 El 1) DE T_ E RV, I N E 1 A, i <I T-1 4- #A 4 4- A 21 3/4 CONDLAT A 4' TH E RS BY 0 GRAOE 7'r WA Y EXTERNAL DRAIN tNTERNAL 'ORA\ N - lf'R!'afir'o Ile, N York 5faki ,;w, 4" HOLE POK ( ONOUI-1 UN INTERNAL 2 INTERNAL O-PWN_ EP-IN 15H GRADE 71. PS I rONCR!,7TE G16FOUT BOX YX3, 5fu- VEL. i N G N L) T 4 115LAN ID 1�� J '1-'4"DRAjN-TfV,u)SLAND 21 EXTER NA L DWNS yr Mohawrl,, Metal Products Go, krl Main Street MOHAWK Frankfort, NY 13340 315-894-9918 ;I A SCALE: o I DATE 9122 5ffAADSrLE_Y WC, F-C)t:k QUEENSBUAY, N.Y. 2 2 - ,7'HC) L EL FOOTING Footing specifications. 1) All footings must Sae designed in' accordance wi'#'h local building code s. ;2) Footing Size based on 2000 PS F minimum soil bearing cALpaOj.t_j. Top of :Coating elevations stall 4�ualrotated tated otherw;se, E Extend fdoting below rr--ostline as .required. 5) If constrained by 31" thick (minimum) slab footing, footing S' :;hall be width x lereth x deptFj—.If' not r—estrained, footj ng, .­-ize of ��'width x 7 -length -?'=�_'depth is required, iVIOILAWK KETAL PRODuC-m.s Co. will assure no responsibility -as to the suitabi,21ty: of these and other sPeelfications meet local building codes. PEV13EDJPF. SPAIN6F15LD, Vr OAAWIWI %PjMgFP 'Q