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CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date March 23 19 90
This is to certify that work requested to be done as shown by Permit No. 90-34
has been completed.
This structure may be occupied as a n interior alteration
I.oca1i le Route 98di 149
Owner Loa Jam Center Associates
By Order Town Board
TOWN OF QUEENSBURY
d1)O (( (
3
Director of Bldg. be Code Enforcement
_ -_ BUILDING PERMIT 1
. a
TOWN OF QUEENSBURY
No. 90=34 g
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to LOG JAM CENTER ASSOCIATES (GITANO)
OWNER of property located at Log Jam Factory Stores - Route 9 & 149 street, Road or Ave.
_ w
in the Town of Queensbury,To Construct or place a an interior alteration to building
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
Watson Brook Road
2. CONTRACTOR or BUILDER'S Name r
O
G7
Clint Forrest Assoc.
3. CONTRACTOR or BUILDER'S Address
m
105 High Street
Portsmouth, NH a
4. ARCHITECT'S Name N
O
C7
a
5. ARCHITECT'S Address Cn
1-1
C,
a
6. TYPE of Construction—(Please indicate by X)
O
(X)Wood Frame ( 1 Masonry (X)Steel ( )
7. PLANS and Specifications
-I
No. 5760 sq. ft. alteration to existing building as per application, n,
specifications and plans. `O
say
8. Proposed Use
Interior Alterations.
$ 290 PERMIT FEE PAID —THIS PERMIT EXPIRES August 23 19 90
(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.)
m
Dated at the Town of Queensbury this 23rd Day of February 19 90
SIGNED BY for the Town of Queensbury m
Building and Zonin I pector
1-1
- O
TOWN OF.QUEENSBURY
REVIEWED BY
VvN OF QUE2f9SBUP
1 _ FEE PAID $ r:
PERMIT NO. O.- �- � �
rr n nn
BUILDING PERMIT APPLICATION r � �9JO •
BUILDING:& CODE DEPT.
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION.: NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A:VALID BUILDING PERMIT.
All applicants spaces on,this-application MUST be completed and the signature of the
applicant MUST appear on the reverse side of this application.
• • • • * • • • * • • * • ���• « * • • • • • * • • * • • • • • • • -« * •. • t * « •-.•
The owner of this property is: L .Fes"' c_. — +76.0b 1 14
P.O. Address W b10 Tel. (P11$- &(eA
Property Location /�� /1 � C � t a 149 Tax Map No.36 / l/ 34,,3
Has there been any split of this property since October 1, 1988? _/
If yes Planning Board Review is necessary. yes no a
SUBDIVISION NAME, IF 'APPLICABLE LOT.NO.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
•
NATURE OF PROPOSED WORK:. _ ESI'IMATED MARKET VALUE OF
Construction of a new building CONSTRUCTION: �7 000
1
Addition to a building • COMPLETE INFORMATION REQUIRED BELOW:
• Size of property ft x ft.
Alteration to a building • .
(no change to exterior dimensions) Existing Buildings(3) Size ft. x ft.
' Proposed building- distance from property line:
Other work (Describe) ' Front yard ft. Rear yard . ' - ft.
•
Side yards ft. and ft.
•
GROSS AREA OF PROPOSED STRUCTURE . • If on corner, setback from side street ft.
1st Floor S UoO sq. ft. ' OCCUPANCY INFORMATION
•
2nd Floor . ' sq. ft. .* Primary Building -
Other Floors sq. ft. • One Family Dwelling -
, •
(not cellar or basement) • Two Family Dwelling .
TOTAL FLOOR AREA 6`( oO sq. ft. • - Multiple Dwelling/Number of units
Size of new structure ft x ft. ' Business
Foundation-pier/slab/crawl/partial/full • Industrial
(circle one) • • Other
No. of stori (h'bitable space)
•
Height (grade to ridge) 24 ft. • If addition, what will use be?
If residential, no. of families ' ;
•
No. of rooms(excluding baths) • Accessory Building
No. of bedrooms . • ___Detached Garage ONE/Th►O Car
No. of bathrooms, 1 •
Primary heating system Room. 140c. Attached Garage ONE/TWO Car '
Type of fuel egtiel ' __Private storage building
No. of fireplaces to be installed '
Will a wood stove be installed • _Other
Central Air conditioning / •
OVER
BUILDING PERMIT .APPLIC.ATION CONTINUED -
BUILDING;
Type of construction;'woodframe, fire safe. etc. WO
Will any.second-hand.-or.upgraded:lumber be used? If so. for what? 140 •
•
Foundation.wall material �1i
�j�,G� ,� Thickness
• Depth of foundation below grade (to bottom of footing)_5 -K. ICY . `N—f-?n“1�
Will there be a cellar? Heated or unheated? UNWELe( O Floor sq. footage 57CDO sq ft.
Will there be a basement? Will any portion be used as living space? 1\10
(If so, what portion? sq ft. Type of use?
Type of roof - sloped/flat/shed/other ) Material of roof Yj41,4, ..
Size, wood studs Z "x " spacing 74 " o.c. length 11_, ft.-
Joists (floor beams)-1st floor41h1) "x " spacing l6 "o.c. span 2D ft. - -
Joist (floor beams) 2nd floor "x " spacing. "o.c. span-. ft.
Overlays (ceiling beams) "x " spacing " o.c. span ft.
Roof rafters "x " spacing . o.c. span ft.
Roof trusses (pre-engineered) spacing TA " o.c. span 40 ft.
Exterior wall finish C .N of f what material? Cepa_ `
Interior wall finish
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,
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. in,
Water supply - Municipal or private.well 111LNOIC41,1, _
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties ' ft.
(A separate application is necessary for any repair or new installation of septic system)
NAME OF BUILDER iT . � ADDRESS j 1IC ' 1 (611 •TEL. NO. C ' �i'4 S'O
NAME OF PLUMBER ADDRESS ` TEL. NO. .
NAME OF MASON - ADDRESS TEL. NO. ---
NAME OF ELECTRICIAN ' ADDRESS t TEL. NO. .
. DECLARATION
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-07..- 777.:fING CODE, THE ZONING ORDINANCE, and
all other laws pertaining to the proposed work snail ire complied with, whet er specified or not, and that
euch Work.is authorized by the owner.
Signature • • I\ ' —4tu rr' Cad trea..GTfx,
. Owner, owner's agent, architect, contractor -
SPECIAL CONDITIONS OP THE PERMIT: .
BY -
.
MAIN OFFICE ATLANTIC-INLAND, INC.
997 McLean Rd: NEW ORK
Cortland,New York 13045 MEMBER OF N.F.P.A.AND I.A.E.I. �
Phone: (607)753-7118 FIRE UNDERWRITERS
(607)753-7809 C 7 3 0 21
(607)753-1396 (Electrical and Fire Inspection-Enforcing and Consulting Service)
(Incorporated in the State 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.
APPLICATION FOR ELECTRICAL INSPECTION—PLEASE PRINT OR TYPE
THIS SECTION TO BE COMPLETED BY APPLICANT DATE OF APPLICATION 2.11)
F rr 1p1 l7 j� ��}
CITY,TOWN,VILLAGE ( ��L)frf i•.A f7L•rrW COUNTY a�J/ .. &IV STATE t-,\,L -
STREET _ ` �,,[� / I
ADDRESS w'C-37:1 4}J t ``. �I()01 --�t{> '�^� BUILDG.NO. 4
RURAL _ Y1r
I DIRECTIONS , � `•'� �{, 5-,-•t POLE NO.
NAME OWNER'S
S f-Cl/ 4•-t'`,k •7:I '2 a:, ' OCCUPIED AS l._
OCCUPANT : I`1 .i BUILDING—New It7Old❑WORK—New❑Additional f2'r
OWNER'S P.O. i I•
S _
ADDRESS 1PJJ,��•—;.r;�^.: vxlf' fJ2..ik. v 1".),;1-..1) 4.t s t-'i , J_ .�
APP.FOR—ROUGH WIRING❑FIXTURES❑OR lej 1;{ 11_1_I 4 f:7l C v READY FOR INSPECTION 19
FEE REMITTED—$ BY CHECK❑CASH❑MONEY ORDER❑ MAKE PAYABLE TO ATLANTIC-INLAND,INC—NEW YORK.
Number of Rough Wiring Outlets Fixtures Add Installation
Swtch Li'tng Recep. KW Med. Mogul Fluor. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Heat Base Base
if Elect.Heat
�-bS, Amp.Service Water Htr. Burner Air Cond.
Surface Unit Oven Range Gr.Disp. Dish W.
•
Dryer H.P.Pump Ex.Fan Hood
•
OTHER EQUIPMENT(Specify Type&Capacities)
TYPE OF SIZE OF/J SUB- rp Y BRANCHES / NO.OF
WIRING OPEN + CONCEALED,❑ OTHER MAIN �,.�f .+y3 MAIN � , CIRCUITS
APPLICANT'S (1r'
Ur SIGNATURE ti t24Jt,.6 C. ���•'q' LICENSE# PERMIT#
APPLICANTS 4� pC t .� NAME OF
ADDRESSlc- .1t S}G':.y ya-C.�/ UTILITY
OFFICE TO
%/t,.f CITY�� . STATE 1(r)r ,y'
9, ZIP CODE AGl Qq9 BE NOTIFIED
SPACE BELOW FOR USE OF INSPECTORS ONLY
ROUGH WIRING AMP SERVICE K.W.SURFACE
OUTLETS EQUIPMENT UNIT
SWITCHES AMP SERVICE K.W.OVEN
CONDUCTORS
H.P.GARBAGE
RECEPTACLES H.P.PUMP DISPOSAL UNIT
MEDIUM BASE K.W.
FIXTURES KW.DRYER DISHWASHER
MOGUL BASE K.W.WATER
FIXTURES HEATER K.W.RANGE
FLUORESCENT H.P.AIR AMP. RECEPTACLES
FIXTURES CONDITIONER
MERCURY VAPOR OR WIRING&CONTROLS FOR BURNER SMOKE FRAC.H.P.
QUARTZ FIXTURES DETECTORS VENT FANS
MOTORS,H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11 2 3 5 7,/z 10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
APPARATUS Elect.Heat
MISC.INFO. Received Inspected FEE PAID
❑PROGRESS TOTAL$
❑DEFECTIVE
Check No.
❑Rough Wiring Certificate
❑Temporary Service Money Order
❑FINAL CERTIFICATE Cash
❑Dup.Cert.Req.
❑ Charge
MUNICIPAL
MUN.ADDRESS
ATTN:
Temp.Cut-in Card No. Final Cut-in Card No.
Inspector
AI-01
MUNICIPALITY
TOWN OF QUEENSBURY 4/1
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST F R I ECTION RECEIVED l qO ilk
NAME j (6L.,/ c/�o cAA
•LOCATION 1, 1 "/I v /4/9
DATE 7,�z-9,-- 50 PERMIT #
fi /APPROVED
/ YES NO
FOOTING/PIERS y r'
MONOLITHIC POUR FORMS 1'
FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL I
ROUGH PLUMBING1 f
FRAMING �;
ELECTRICAL ROUGk—IN '
INSULATION: 1 FOUNDATION r ;+
FLOORS. /
WALLS e
CEILING 4 1
FINAL INSPECTION: \ I
f
CHIMNEY HEIGHT � /
ROOFING \ /
SIDING ,%
EXTERNAL PORCHES/.STEPS
STAIRS—CLEARANCE*RAILS
PLUMBING FIXTURE /RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS ✓�
FINISHED FLOOR L
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS \
FINAL ELECTRICAL INSPECTION '
FINAL APPROV L OF CONSTRUCTION
OK TO ISSUE C/O OR C/C \
A SIGNED CERTIFICATE OF OCUPANCY MUST BE
OBTAINED FROM THE BUILDIN', DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPI !
1
REMARKS:
()IjaA Ste.
54,2, L-m424,44,----c__ .
ARRIVE /9,3iv .
DEPART /V,YTD #
INSPECTOR
fl/Q &/TOWN OF QUEENSBURY /47L
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS.
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
•
BUILDINGINSPECTOR'S REPORT
REQUES OR NSPECT N RECEIVED ,,
•
NAM 4 ) L0
LOCATI� C�i�x_ a, q1
DATE (�z- �( / PERMIT # (? ) �94-
f
t APPROVED
y/
4 YES NO
i
FOOTING/PIERS I /
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING I /'
FRAMING ;j /
ELECTRICAL ROUGH-IN t • '
INSULATION: /
FOUNDATION , )'
FLOORS. f
WALLS I '
CEILING 1 I
A/FININSPECTION: /
AL
CHIMNEY HEIGHT I
ROOFING ` 1
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & EAILS
PLUMBING FIXTURES/R/LIEF VALVE
INTERIOR TRIM/PRIV C ' DOORS
FINISHED FLOORS j{
GARAGE FIREPROOFI G '
DOOR CLOSER(S) g
SMOKE DETECTORS /
FINAL ELECIC NSPECTION
FINA APPROVAL`O CONSTRUCTION •
. OK O ISSUE C/O/ C/C 't
A SIG1yE ICATE OF OCCUPANCY MUST BE
OB NED FROM/THE BUILDIN
T� G DEPARTMENT BEFORE
TH SE PREMISES ARE OCCUPIED!
EMARKS: 'in � / �
JJL
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ARRIVE
DEPART
• INSPECTOR
• 11,
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- 'OWN OF QUEENSBURY
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